Lista de medicamentos a menor costo Además de los descuentos en todos los medicamentos bioequivalentes y en miles de medicamentos de marca, los afiliados del Club de Ahorros Walgreens en Recetas Médicas ahora recibirán aún más descuento en más de 700 bioequivalentes a través del sistema de tres gamas.** El precio de un medicamento bioequivalente se basa en su gama y si es suministro de 30 ó 90 días: Suministro de 30 días a un costo de $5 (gama 1), $10 (gama 2) o $15 (gama 3) Suministro de 90 días a un costo de $10 (gama 1), $20 (gama 2) o $30 (gama 3) BIOEQUIVALENTES A MENOR COSTO

Afecciones de la tiroides [Thyroid Conditions] (cont.)

Afecciones de la piel [Skin Conditions] Medicamentos

Cantidad Gama 30 90

AMMONIUM LACTATE 12% CREAM 2X140GM BENZOYL PEROXIDE 10% WASH 227GM BENZOYL PEROXIDE 10% WSH LIQ 148GM BENZOYL PEROXIDE 2.5% AQ GEL 60GM BENZOYL PEROXIDE 5% AQ GEL 60GM BENZOYL PEROXIDE 5% WASH 227GM BETAMETHASONE VAL 0.1% CRM 15GM CICLOPIROX 8% TOPICAL SOLN 6.6ML CICLOPIROX TOPICAL SUSPENSION 30ML CICLOPIROX TOPICAL SUSPENSION 60ML CLOBETASOL PROP 0.05% GEL 15GM CLOTRIMAZOLE 1% CREAM 30GM CLOTRIMAZOLE 1% SOLN 30ML DESONIDE 0.05% OINT 15GM ERYTHROMYCIN 2% GEL 30GM FLUOCINONIDE 0.05% CREAM 30GM FLUOCINONIDE -E 0.05% CREAM 15GM FLUOCINONIDE -E 0.05% CREAM 30GM FLUOCINONIDE -E 0.05% CREAM 60GM FLUTICASONE 0.005% OINT 30GM HALOBETASOL 0.05% OINT 50GM HYDROCORTISONE 1% CREAM 28.35GM HYDROCORTISONE 1% OINT 28.35GM HYDROCORTISONE 2.5% CREAM 30GM HYDROCORTISONE 2.5% OINT 28.35GM HYDROQUINONE 4% CRM W/SUNSCREEN HYPERCARE 20% SOL DAB-O-MATIC 60ML MELQUIN 3% SOLN 30ML MOMETASONE 0.1% OINT 15GM MOMETASONE 0.1% OINT 45GM MOMETASONE 0.1% TOPICAL SOLN 30ML MOMETASONE 0.1% TOPICAL SOLN 60ML NYSTATIN OINT 15GM SALICYLIC AC 6% SHAMPOO 177ML SELENIUM SULFIDE 2.5% SHAMPOO (LOTN) TRIAMCINOLONE 0.025% CREAM 15GM TRIAMCINOLONE 0.5% CREAM 15GM TRIAMCINOLONE 0.1% CREAM 15GM TRIAMCINOLONE 0.1% OINT 80GM UREA 40% LOTION 236.6ML UREA 50% NAIL GEL 18ML

Afecciones de la tiroides [Thyroid Conditions] Medicamentos

LEVOTHROID 0.1MG TAB LEVOTHYROXINE 0.025MG (25MCG) TAB LEVOTHYROXINE 0.05MG (50MCG) TAB LEVOTHYROXINE 0.075MG (75MCG) TAB LEVOTHYROXINE 0.088MG (88MCG) TAB

3 3 3 3 3 3 3 3 3 3 2 3 3 3 3 2 2 3 3 3 3 2 2 2 3 3 3 3 3 3 3 3 3 3 2 1 2 2 3 3 3

280 840 227 681 148 444 60 180 60 180 227 681 15 45 6.6 19.8 30 90 60 180 15 45 30 90 30 90 15 45 30 90 30 90 15 45 30 90 60 180 30 90 50 150 28.35 85.05 28.35 85.05 30 90 60 180 30 90 60 180 30 90 15 45 45 135 30 90 60 180 15 45 177 531 118 354 15 45 15 45 15 45 80 240 236.6 709.8 18 54

Cantidad Gama 30 90 2 2 2 2 2

30 30 30 30 30

90 90 90 90 90

Medicamentos

LEVOTHYROXINE 0.112MG (112MCG) TAB LEVOTHYROXINE 0.125MG (125MCG) TAB LEVOTHYROXINE 0.137MG (137MCG) TAB LEVOTHYROXINE 0.150MG (150MCG) TAB LEVOTHYROXINE 0.175MG (175MCG) TAB LEVOTHYROXINE 0.2MG (200MCG) TAB LEVOTHYROXINE 0.3MG (300MCG) TAB METHIMAZOLE 5MG TAB METHIMAZOLE 10MG TAB NATURE-THROID 0.5GR (32.5MG) TAB

Arthritis o dolor [Arthritis or pain] (cont.) Cantidad Gama 30 90 2 2 2 2 2 2 2 2 3 2

30 30 30 30 30 30 30 30 30 60

90 90 90 90 90 90 90 90 90 180

Antifungal [Antifungal] Medicamentos

FLUCONAZOLE 50MG TAB FLUCONAZOLE 150MG TAB TERBINAFINE 250MG TAB

Cantidad Gama 30 90 3 2 2

20 1 30

60 3 90

MEFLOQUINE HCL 250MG TAB

Antiviral [Antiviral] Medicamentos

ACYCLOVIR 200MG TAB

Cantidad Gama 30 90 3

5

15

Cantidad Gama 30 90 2

60

180

Arthritis o dolor [Arthritis or pain] Medicamentos

BACLOFEN 10MG TAB BACLOFEN 20MG TAB CHLORZOXAZONE 500MG TAB CYCLOBENZAPRINE 5MG TAB CYCLOBENZAPRINE 10MG TAB DICLOFENAC POTASSIUM 50MG TAB DICLOFENAC SODIUM 25MG TAB DICLOFENAC SODIUM 50MG TAB DICLOFENAC SODIUM 75MG EC TAB DICLOFENAC SODIUM 100MG ER TAB ETODOLAC 300MG CAP ETODOLAC ER 400 TAB FLURBIPROFEN 50MG TAB FLURBIPROFEN 100MG TAB IBUPROFEN 100MG/5ML ORAL SUSP IBUPROFEN 400MG TAB IBUPROFEN 600MG TAB IBUPROFEN 800MG TAB INDOMETHACIN 25MG CAP INDOMETHACIN 50MG CAP KETOPROFEN 50MG CAP

KETOROLAC 10MG TAB KETOROLAC 30MG/ML INJ, 2ML LEFLUNOMIDE 10MG TAB MELOXICAM 7.5MG TAB MELOXICAM 15MG TAB NABUMETONE 500MG TAB NAPROXEN 250MG TAB NAPROXEN 375MG TAB NAPROXEN 500MG TAB NAPROXEN 375MG DR TAB NAPROXEN DR 500MG TAB NAPROXEN SODIUM 275MG TAB NAPROXEN SODIUM 550MG TAB SULINDAC 150MG TAB TIZANIDINE 2MG TAB TRAMADOL 50MG TAB

Cantidad Gama 30 90 2 3 3 2 2 3 3 3 3 3 3 3 3 3 2 2 2 2 2 1 3

90 90 60 30 30 60 60 60 60 30 60 30 60 60 120 90 60 60 60 30 90

270 270 180 90 90 180 180 180 180 90 180 90 180 180 360 270 180 180 180 90 270

Cantidad Gama 30 90 2 3 3 2 2 3 1 1 1 3 3 1 3 3 3 3

15 15 30 30 30 60 60 60 60 60 60 30 30 60 60 120

45 45 90 90 90 180 180 180 180 180 180 90 90 180 180 360

Asma [Asthma] Medicamentos

Antimalaria [Antimalaria] Medicamentos

Medicamentos

ALBUTEROL 0.083% INH SOLN 25X3ML ALBUTEROL 0.5% INH SOL 20ML ALBUTEROL SULFATE 2MG TAB ALBUTEROL SULFATE 4MG TAB ALBUTEROL SULF INH SOLN 1.25MG/3ML ALBUTEROL SULFATE SYRUP (2MG/5ML) AMINOPHYLLINE 100MG TAB AMINOPHYLLINE 200MG TAB DYPHYLLINE-GG 100-100 ELIXIR DYPHYLLIN-GG TAB IPRATROPIUM INHAL SOLN 60 X 2.5ML TERBUTALINE 2.5MG TAB TERBUTALINE 5MG TAB THEOPHYLLINE 200MG CR TAB THEOPHYLLINE 300MG CR TAB THEOPHYLLINE 100MG ER TAB THEOPHYLLINE 200MG ER TAB

Cantidad Gama 30 90 2 2 2 3 3 1 2 2 2 3 2 3 3 3 3 2 3

75 20 60 60 90 120 60 60 240 30 75 30 30 60 60 60 60

225 60 180 180 270 360 180 180 720 90 225 90 90 180 180 180 180

Cholesterol [Cholesterol] Medicamentos

FENOFIBRATE 54MG TAB GEMFIBROZIL 600MG TAB LOVASTATIN 10MG TAB LOVASTATIN 20MG TAB LOVASTATIN 40MG TAB PRAVASTATIN 10MG TAB PRAVASTATIN 20MG TAB PRAVASTATIN 40MG TAB PRAVASTATIN 80MG TAB SIMVASTATIN 5MG TAB SIMVASTATIN 10MG TAB SIMVASTATIN 20MG TAB SIMVASTATIN 40MG TAB SIMVASTATIN 80MG TAB

Cantidad Gama 30 90 3 3 1 1 1 1 1 1 3 2 2 2 3 3

30 60 30 30 30 30 30 30 30 30 30 30 30 30

90 180 90 90 90 90 90 90 90 90 90 90 90 90

2

Lista de medicamentos a menor costo (cont.) Dispositivos médicos [Medical Devices]

Cuidado de la vista [Eye Care] Medicamentos

Cantidad Gama 30 90

BACITRACIN/POLYMYX OPHTHOINT 3.5GM CARTEOLOL HCL 1% OPH SOL 5ML CARTEOLOL HCL 1% OPH SOL 10ML CARTEOLOL HCL 1% OPH SOL 15ML CROMOLYN SODIUM 4% OPHTH SOLN 10ML CYCLOPENTOL 1% OPTH SOLN 15ML DEXAMETHASONE 0.1% OPHTH SOLN 5ML DORZOLAMIDE 2% OPHTH SOLN 10ML ERYTHROMYCIN OPHTH OINT 3.5GM GENTAMICIN 0.3% OPHTH SOLN 5ML KETOROLAC 0.4% OPTH SOLN 5ML KETOROLAC 0.5% OPHTH SOLN 5ML LEVOBUNOLOL 0.5% OPTH SOLN 5ML PILOCARPINE 0.5% OPHTH SOLN POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN PREDNISOLONE AC 1% OPHTH SUSP 5ML SULFACETAMIDE NA 10% OPH SOL 15ML TIMOLOL MALEATE .25% OPHTH SOL 5ML TIMOLOL MALEATE 0.5% OPHTH SOLN 5ML TOBRAMYCIN 0.3% OPH SOL 5ML TROPICAMIDE 1% OP SOLN

3 3 3 3 3 3 3 3 2 2 3 3 2 3 2 3 2 2 2 2 3

3.5 5 10 15 10 15 5 10 3.5 5 5 5 5 15 10 5 15 5 5 5 15

10.5 15 30 45 30 45 15 30 10.5 15 15 15 15 45 30 15 45 15 15 15 45

Cuidado del oído [Ear Care] Medicamentos

ACETIC ACID 2% OTIC SOLN ANTIPYRINE BENZOCAINE OTIC SOL 15ML

Dental/Boca/Garganta [Mouth/Throat/Dental] Medicamentos

CHLORHEXIDINE ORAL RINSE 473ML LIDOCAINE VISCOUS 2% ORAL SOL 100ML PILOCARPINE 5MG TAB SOD FLOURIDE 0.2% MINT SOLN SF 5000 PLUS 1.1% CREAM 51GM STANNOUS FLUORIDE 0.63% RINSE

Cantidad Gama 30 90 3 2

15 15

45 45

Cantidad Gama 30 90 2 2 3 2 3 3

473 1419 100 300 90 270 473 1419 60 180 300 900

Diabetes [Diabetes] Medicamentos GLIMEPIRIDE 1MG TAB GLIMEPIRIDE 2MG TAB GLIMEPIRIDE 4MG TAB GLIPIZIDE 5MG TAB GLIPIZIDE 10MG TAB GLIPIZIDE ER 10MG TAB GLIPIZIDE XL 2.5MG TAB GLIPIZIDE XL 5MG TAB GLIPIZIDE-METFORMIN 2.5MG/500MG TAB GLIPIZIDE-METFORMIN 5MG/500MG TAB GLYBURIDE 1.25MG TAB GLYBURIDE 2.5MG TAB GLYBURIDE 5MG TAB GLYBURIDE MICRO 1.5MG TAB GLYBURIDE MICRO 3MG TAB GLYBURIDE MICRO 6MG TAB GLYBURIDE/METFORMIN 1.25/250MG TAB GLYBURIDE/METFORMIN 2.5/500MG TAB GLYBURIDE/METFORMIN 5/500MG TAB METFORMIN 500MG TAB METFORMIN 850MG TAB METFORMIN 1000MG TAB METFORMIN ER 500MG 24HR TAB METFORMIN ER 750MG 24HR TAB

Cantidad Gama 30 90 1 1 1 1 1 3 3 3 3 3 1 2 2 1 1 1 1 1 3 1 1 1 1 3

30 30 30 30 60 30 60 30 90 90 30 30 30 30 30 30 60 60 90 90 90 90 60 60

90 90 90 90 180 90 180 90 270 270 90 90 90 90 90 90 180 180 270 270 270 270 180 180

Cantidad Gama 30 90

PROCHAMBER AERO SPACER

3

Medicamentos

ALLOPURINOL 100MG TAB ALLOPURINOL 300MG TAB

Cantidad Gama 30 90 2 2

Medicamentos AMOX-CLAV 400MG CHEW TAB AMOX-CLAV 200MG/5ML SUSP 100ML AMOX-CLAV 400MG/5ML SUSP 100ML AMOX-CLAV 500MG TAB AMOX-CLAV ES 600MG/5ML SUSP 125ML AMOXICILLIN 250MG CAP AMOXICILLIN 500MG CAP AMOXICILLIN 125MG CHEWABLE TAB AMOXICILLIN 250MG CHEW TAB AMOXICILLIN 125MG/5ML SUSP 150ML AMOXICILLIN 200MG/5ML SUSP 100ML AMOXICILLIN 250MG/5ML SUSP 150ML AMOXICILLIN 400MG/5ML SUSP 75ML AMOXICILLIN 500MG TAB AMOXICILLIN 875MG TAB AMPICILLIN 250MG CAP AMPICILLIN 500MG CAP CEFACLOR 250MG CAP CEFADROXIL 500MG CAP CEFDINIR 125MG/5ML SUSPENSION 60ML CEFDINIR 250MG/5ML SUSPENSION 60ML CEFPROZIL 125MG/5ML SUSP 100ML CEFUROXIME 250MG TAB CEPHALEXIN 125MG/5ML SUSP 200ML CEPHALEXIN 250MG/5ML SUSP 200ML CEPHALEXIN 250MG CAP CEPHALEXIN 500MG CAP CIPROFLOXACIN 250MG TAB CIPROFLOXACIN 500MG TAB CIPROFLOXACIN 750MG TAB CLINDAMYCIN 150MG CAP CLINDAMYCIN 300MG CAP DICLOXACILLIN 250MG CAP DOXYCYCLINE HYCLATE 50MG CAP DOXYCYCLINE HYCLATE 100MG CAP DOXYCYCLINE HYCLATE 20MG TAB DOXYCYCLINE HYCLATE 100MG TAB DOXYCYCLINE MONOHYDRATE 50MG TAB DOXYCYCLINE MONOHYDRATE 100MG TAB ERYTHROMYCIN ES 200MG/5ML SUSP METRONIDAZOLE 250MG TAB METRONIDAZOLE 500MG TAB MINOCYCLINE 50MG CAP MINOCYCLINE 75MG CAP MINOCYCLINE 100MG CAP PENICILLIN VK 125MG/5ML SOLN 200ML PENICILLIN VK 250MG/5ML SOLN 100ML PENICILLIN VK 250MG TAB PENICILLIN VK 500MG TAB SMZ/TMP REGULAR STRENGTH TAB SULFAMETH/TRIMETHOPRIM 800/160 TAB SULFAMETH-TRIMETH SUSP TETRACYCLINE 250MG CAP TETRACYCLINE 500MG CAP TRIMETHOPRIM 100MG TAB

3 3 3 3 3 1 1 2 3 2 1 1 1 3 3 2 3 3 3 3 3 3 3 3 1 1 1 1 1 3 3 3 3 1 1 3 3 3 3 1 2 3 3 3 3 1 1 1 1 1 2 1 2 2 3

Medicamentos

15

45

180 180

Cantidad Gama 30 90

Medicamentos

3

60 60

Infecciones [Infections]

Disfunción eréctil [Erectile Dysfunction] PAPAVERINE 30MG/ML SOL

3

Gota [Gout]

Presión arterial/Salud cardíaca [Blood Pressure/Heart Health]

Cantidad Gama 30 90

1

AMILORIDE 5MG / HCTZ 50MG TAB AMIODARONE 200MG TAB

20 100 100 20 125 30 30 30 40 150 100 150 75 30 20 40 60 30 20 60 60 100 20 200 100 28 30 14 20 20 30 28 40 30 20 60 30 30 30 120 28 14 60 60 30 200 100 30 20 28 28 150 60 60 30

60 300 300 60 375 90 90 90 120 450 300 450 225 90 60 120 180 90 60 180 180 300 60 600 300 84 90 42 60 60 90 84 120 90 60 180 90 90 90 360 84 42 180 180 90 600 300 90 60 84 84 450 180 180 90

Cantidad Gama 30 90 2 1

30 30

90 90

Presión arterial/Salud cardíaca [Blood Pressure/Heart Health] (cont.) Medicamentos AMLODIPINE BESYLATE 2.5MG TAB AMLODIPINE BESYLATE 5MG TAB AMLODIPINE BESYLATE 10MG TAB AMLODIPINE-BENAZ 2.5/10MG CAP AMLODIPINE-BENAZ 5/10MG CAP AMLODIPINE-BENAZ 5/20MG CAP AMLODIPINE-BENAZ 10/20MG CAP ATENOLOL 100MG TAB ATENOLOL 100MG/CHLORTHAL 25MG TAB ATENOLOL 25MG TAB ATENOLOL 50MG TAB ATENOLOL/CHLORTHALIDONE 50/25 TAB BENAZEPRIL 5MG TAB BENAZEPRIL 10MG TAB BENAZEPRIL 20MG TAB BENAZEPRIL 40MG TAB BENAZEPRIL/HCTZ 10/12.5MG TAB BENAZEPRIL/HCTZ 20/12.5MG TAB BENAZEPRIL/HCTZ 20/25MG TAB BISOPROLOL FUMARATE 5MG TAB BISOPROLOL/HCTZ 2.5MG/6.25MG TAB BISOPROLOL/HCTZ 5MG/6.25MG TAB BISOPROLOL/HCTZ 10MG/6.25MG TAB BUMETANIDE 0.5MG TAB BUMETANIDE 1MG TAB BUMETANIDE 2MG TAB CAPTOPRIL 12.5MG TAB CAPTOPRIL 25MG TAB CAPTOPRIL 50MG TAB CAPTOPRIL 100MG TAB CAPTOPRIL/HCTZ 25/15 TAB CAPTOPRIL/HCTZ 25/25 TAB CARTIA 120MG XT CAP CARVEDILOL 3.125MG TAB CARVEDILOL 6.25MG TAB CARVEDILOL 12.5MG TAB CARVEDILOL 25MG TAB CHLOROTHIAZIDE 250MG TAB CHLOROTHIAZIDE 500MG TAB CHLORTHALIDONE 25MG TAB CHLORTHALIDONE 50MG TAB CILOSTAZOL 50MG TAB CILOSTAZOL 100MG TAB CLONIDINE 0.1MG TAB CLONIDINE 0.2MG TAB CLONIDINE 0.3MG TAB DIGOXIN 0.125MG TAB DIGOXIN 0.25MG TAB DILTIAZEM 30MG TAB DILTIAZEM 60MG TAB DILTIAZEM 90MG TAB DILTIAZEM 120MG TAB DILTIAZEM ER 120MG CAP (XR-24HR) DIPYRIDAMOLE 25MG TAB DIPYRIDAMOLE 50MG TAB DIPYRIDAMOLE 75MG TAB DOXAZOSIN 1MG TAB DOXAZOSIN 2MG TAB DOXAZOSIN 4MG TAB DOXAZOSIN 8MG TAB ENALAPRIL 2.5MG TAB ENALAPRIL 5MG TAB ENALAPRIL 10MG TAB ENALAPRIL 20MG TAB ENALAPRIL-HCTZ 5-12.5MG TAB ENALAPRIL-HCTZ 10-25MG TAB FELODIPINE 2.5MG ER TAB FOSINOPRIL 10MG TAB FOSINOPRIL 20MG TAB FOSINOPRIL 40MG TAB FUROSEMIDE 8MG/ML SOLN FUROSEMIDE 10MG/ML ORAL SOLN 60ML FUROSEMIDE 20MG TAB FUROSEMIDE 40MG TAB

Cantidad Gama 30 90 2 2 2 3 3 3 3 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 3 3 3 2 2 2 2 2 3 3 3 3 3 2 2 2 1 1 2 2 2 2 3 3 3 3 2 2 2 2 1 1 1 1 1 1 3 2 2 2 3 3 1 1

30 30 30 30 30 30 30 30 30 60 60 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 60 60 60 60 60 60 30 60 60 60 60 60 60 30 30 60 60 60 60 60 30 30 60 60 60 30 30 60 60 60 30 30 30 30 60 60 60 60 60 30 30 30 30 30 120 90 60 60

90 90 90 90 90 90 90 90 90 180 180 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 180 180 180 180 180 180 90 180 180 180 180 180 180 90 90 180 180 180 180 180 90 90 180 180 180 90 90 180 180 180 90 90 90 90 180 180 180 180 180 90 90 90 90 90 360 270 180 180

3

Lista de medicamentos a menor costo (cont.) Presión arterial/Salud cardíaca [Blood Pressure/Heart Health] (cont.) Medicamentos

Presión arterial/Salud cardíaca [Blood Pressure/Heart Health] (cont.)

Cantidad Gama 30 90

FUROSEMIDE 80MG TAB GUANFACINE 1MG TAB GUANFACINE 2MG TAB HYDRALAZINE 10MG TAB HYDRALAZINE 25MG TAB HYDRALAZINE 50MG TAB HYDROCHLOROTHIAZIDE 12.5MG CAP HYDROCHLOROTHIAZIDE 12.5MG TAB HYDROCHLOROTHIAZIDE 25MG TAB HYDROCHLOROTHIAZIDE 50MG TAB INDAPAMIDE 1.25MG TAB INDAPAMIDE 2.5MG TAB ISOSORBIDE DINITRATE 5MG ORAL TAB ISOSORBIDE DINITRATE 30MG ORAL TAB ISOSORBIDE DINITRATE 2.5MG SL TAB ISOSORBIDE DINITRATE 5MG SUBL TAB ISOSORBIDE MONONITRATE 10MG TAB ISOSORBIDE MONONITRATE 20MG TAB ISOSORBIDE MONONITRATE 30MG ER TAB ISOSORBIDE MONONITRATE 60MG ER TAB ISOSORBIDE MONONITRATE 120MG ER TAB LISINOPRIL 2.5MG TAB LISINOPRIL 5MG TAB LISINOPRIL 10MG TAB LISINOPRIL 20MG TAB LISINOPRIL 30MG TAB LISINOPRIL 40MG TAB LISINOPRIL-HCTZ 10/12.5MG TAB LISINOPRIL-HCTZ 20/12.5MG TAB LISINOPRIL-HCTZ 20/25MG TAB LOSARTAN/HCTZ 100/12.5MG TAB METHYLDOPA 250MG TAB METHYLDOPA 500MG TAB METOLAZONE 2.5MG TAB METOLAZONE 5MG TAB METOLAZONE 10MG TAB METOPROLOL TARTRATE 25MG TAB METOPROLOL TARTRATE 50MG TAB METOPROLOL TARTRATE 100MG TAB MOEXIPRIL 7.5MG TAB MOEXIPRIL 15MG TAB MOEXIPRIL/HCTZ 7.5-12.5MG TAB MOEXIPRIL/HCTZ 15-12.5MG TAB MOEXIPRIL/HCTZ 15-25MG TAB NADOLOL 20MG TAB NADOLOL 40MG TAB NADOLOL 80MG TAB NICARDIPINE 20MG CAP NITROGLYCERIN 6.5MG SR 100 PENTOXIFYLLINE 400MG ER TAB PRAZOSIN 1MG CAP PRAZOSIN 2MG CAP PROPAFENONE 150MG TAB PROPRANOLOL 10MG TAB PROPRANOLOL 20MG TAB PROPRANOLOL 40MG TAB PROPRANOLOL 60MG TAB PROPRANOLOL 80MG TAB PROPRANOLOL ER 60MG CAP PROPRANOLOL ER 80MG CAP PROPRANOLOL ER 120MG CAP PROPRANOLOL ER 160MG CAP QUINAPRIL 5MG TAB QUINAPRIL 10MG TAB QUINAPRIL 20MG TAB QUINAPRIL 40MG TAB QUINAPRIL/HCTZ 10-12.5MG TAB RAMIPRIL 1.25MG CAP SOTALOL 120MG TAB SOTALOL 160MG TAB SPIRONOLACTONE 25MG TAB SPIRONOLACTONE 50MG TAB SPIRONOLACTONE 25MG W/HCTZ 25MG TAB TERAZOSIN 1MG CAP

1 2 2 1 2 3 2 3 1 1 2 2 1 3 2 3 3 3 2 2 3 2 2 1 1 2 2 2 2 2 3 3 3 3 3 3 2 2 2 3 3 3 3 3 2 2 3 3 1 3 1 2 3 2 2 2 3 2 3 3 3 3 2 2 2 2 3 3 2 3 2 2 2 2

30 30 30 60 60 90 30 30 30 30 30 30 90 60 30 120 60 60 30 30 30 30 30 30 30 30 30 30 30 30 30 60 60 30 30 30 60 60 60 30 30 30 30 30 30 30 30 60 30 60 30 60 90 60 60 60 60 60 30 30 30 30 30 30 30 30 30 30 60 60 30 30 30 30

90 90 90 180 180 270 90 90 90 90 90 90 270 180 90 360 180 180 90 90 90 90 90 90 90 90 90 90 90 90 90 180 180 90 90 90 180 180 180 90 90 90 90 90 90 90 90 180 90 180 90 180 270 180 180 180 180 180 90 90 90 90 90 90 90 90 90 90 180 180 90 90 90 90

Medicamentos TERAZOSIN 2MG CAP TERAZOSIN 5MG CAP TERAZOSIN 10MG CAP TICLOPIDINE 250MG TAB TORSEMIDE 5MG TAB TORSEMIDE 10MG TAB TORSEMIDE 20MG TAB TORSEMIDE 100MG** TAB TRANDOLAPRIL 1MG TAB TRANDOLAPRIL 2MG TAB TRANDOLAPRIL 4MG TAB TRIAMTERENE 37.5MG/ HCTZ 25MG CAP TRIAMTERENE 37.5MG/ HCTZ 25MG TAB TRIAMTERENE 75MG/ HCTZ 50MG TAB VERAPAMIL 40MG TAB VERAPAMIL 80MG TAB VERAPAMIL 120MG TAB VERAPAMIL 120MG ER CAP VERAPAMIL 180MG ER CAP VERAPAMIL 240MG ER CAP VERAPAMIL ER 100MG CAP (24 HR) VERAPAMIL ER 120MG TAB VERAPAMIL ER 180MG TAB VERAPAMIL ER 240MG TAB WARFARIN SOD 1MG TAB WARFARIN SOD 2.5MG TAB WARFARIN SOD 2MG TAB WARFARIN SOD 3MG TAB WARFARIN SOD 4MG TAB WARFARIN SOD 5MG TAB WARFARIN SOD 6MG TAB WARFARIN SOD 7.5MG TAB WARFARIN SOD 10MG** TAB

Salud mental [Mental Health] (cont.)

Cantidad Gama 30 90 2 2 2 3 3 3 3 3 2 1 2 2 3 1 3 1 2 3 3 3 3 3 3 3 1 1 1 1 1 1 1 1 1

30 30 30 60 30 30 30 30 30 30 30 30 30 30 60 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30

90 90 90 180 90 90 90 90 90 90 90 90 90 90 180 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90

Salud Gastrointestinal [Gastrointestinal Health] Medicamentos BELLADONNA ALKALOIDS W/PB TAB CIMETIDINE 200MG TAB CIMETIDINE 300MG TAB CIMETIDINE 400MG TAB CIMETIDINE ORAL LIQ 300MG/5ML DICYCLOMINE 10MG CAP DICYCLOMINE 10MG/5ML SOLN DICYCLOMINE 20MG TAB DOC-Q-LACE 100MG CAP FAMOTIDINE 20MG TAB FAMOTIDINE 40MG TAB GENERLAC 10GM/15ML SOLN HYOSCYAMINE 0.125MG ORAL DIS TAB HYOSCYAMINE 0.125MG SUBLINGUAL TAB HYOSCYAMINE SULFATE 0.125MG TAB LACTULOSE 10GM/15ML SOLN METOCLOPRAMIDE 5MG TAB METOCLOPRAMIDE 10MG TAB METOCLOPRAMIDE HCL 5MG/5ML SOLN NIZATIDINE 150MG CAP NIZATIDINE 300MG CAP OMEPRAZOLE 20MG CAP RANITIDINE 150MG TAB RANITIDINE 300MG TAB RANITIDINE 15MG/ML (75MG/5ML) SYRUP RANITIDINE 300MG CAP

Cantidad Gama 30 90 1 2 2 3 3 2 3 1 2 2 3 2 3 3 3 3 2 2 1 3 3 3 2 2 3 3

60 180 60 180 60 180 60 180 240 720 90 270 118 354 60 180 60 180 60 180 30 90 237 711 60 180 90 270 90 270 473 1,419 60 180 60 180 60 180 60 180 30 90 30 90 60 180 30 90 120 360 30 90

Salud mental [Mental Health] Medicamentos

AMITRIPTYLINE 10MG TAB AMITRIPTYLINE 25MG TAB AMITRIPTYLINE 50MG TAB AMITRIPTYLINE 75MG TAB AMITRIPTYLINE 100MG** TAB

Cantidad Gama 30 90 1 1 1 2 1

30 30 30 30 30

90 90 90 90 90

Medicamentos AMITRIPTYLINE 150MG TAB BENZTROPINE 0.5MG TAB BENZTROPINE 1MG TAB BENZTROPINE 2MG TAB BUSPIRONE 5MG TAB BUSPIRONE 10MG TAB BUSPIRONE 15MG TAB CARBAMAZEPINE 100MG CHEWABLE TAB CARBAMAZEPINE 200MG TAB CARBIDOPA/LEVODOPA 25-100MG CR TAB CHLORDIAZEPOXIDE 5MG CAP CHLORDIAZEPOXIDE 10MG CAP CHLORDIAZEPOXIDE 25MG CAP CITALOPRAM 10MG TAB CITALOPRAM 20MG TAB CITALOPRAM 40MG TAB CLOMIPRAMINE 25MG CAP CLOMIPRAMINE 50MG CAP CLOZAPINE 25 MG TAB DIVALPROEX DR 125MG TAB DOXEPIN 10MG CAP DOXEPIN 25MG CAP DOXEPIN 50MG CAP DOXEPIN 75MG CAP DOXEPIN 100MG** CAP DOXEPIN HCL 10MG/ML CONC 118ML FLUOXETINE 10MG CAP FLUOXETINE 20MG CAP FLUOXETINE 40MG CAP FLUOXETINE 10MG TAB FLUOXETINE 20MG TAB FLUOXETINE 20MG/5ML LIQUID FLUPHENAZINE 1MG TAB FLUPHENAZINE 2.5MG TAB FLUPHENAZINE 5MG TAB FLUVOXAMINE 25MG TAB FLUVOXAMINE 100MG TAB GABAPENTIN 100MG CAP GABAPENTIN 300MG CAP GABAPENTIN 400MG CAP GABAPENTIN 250MG/5ML SOLN HALOPERIDOL 0.5MG TAB HALOPERIDOL 1MG TAB HALOPERIDOL 2MG TAB HALOPERIDOL 2MG/ML CONCENTRATE HALOPERIDOL 5MG** TAB HYDROXYZINE 10MG/5ML SYRUP HYDROXYZINE HCL 10MG TAB HYDROXYZINE PAMOATE 25MG CAP IMIPRAMINE 10MG TAB IMIPRAMINE 25MG TAB IMIPRAMINE 50MG TAB LAMOTRIGINE 5MG CHEWABLE TAB LAMOTRIGINE 25MG CHEWABLE TAB LITHIUM CARBONATE 150MG CAP LITHIUM CARBONATE 300MG CAP LITHIUM CARBONATE 300MG TAB LITHIUM CARBONATE 600MG CAP LITHIUM CARBONATE ER 450MG TAB METHYLPHENIDATE 5MG TAB MIRTAZAPINE 15MG ORAL DSNTGRT TAB MIRTAZAPINE 30MG ORAL DSNTGRT TAB MIRTAZAPINE 7.5MG TAB MIRTAZAPINE 15MG TAB MIRTAZAPINE 30MG TAB NORTRIPTYLINE 10MG CAP NORTRIPTYLINE 25MG CAP NORTRIPTYLINE 50MG CAP NORTRIPTYLINE 75MG CAP OXCARBAZEPINE 150MG TAB PAROXETINE 10MG TAB PAROXETINE 20MG TAB PAROXETINE 30MG TAB PRAMIPEXOLE 0.125MG TAB PRAMIPEXOLE 0.25MG TAB PRAMIPEXOLE 0.5MG TAB

Cantidad Gama 30 90 2 1 3 2 2 2 3 3 2 3 3 2 2 2 2 2 3 3 3 3 1 2 2 3 3 3 1 1 1 1 1 3 2 3 3 3 3 2 3 3 3 2 1 2 3 2 3 3 3 3 3 3 3 3 3 2 3 3 3 2 3 3 3 1 3 2 2 3 3 3 2 2 3 3 3 3

30 30 60 30 60 60 60 120 100 90 60 60 60 30 30 30 60 60 30 90 30 30 30 30 30 90 30 30 30 30 30 150 60 30 30 30 60 90 90 90 236 60 30 30 135 30 240 60 90 60 60 30 150 180 60 90 60 60 60 60 30 30 30 30 30 30 30 60 30 90 30 30 30 30 30 60

90 90 180 90 180 180 180 360 300 270 180 180 180 90 90 90 180 180 90 270 90 90 90 90 90 270 90 90 90 90 90 450 180 90 90 90 180 270 270 270 708 180 90 90 405 90 720 180 270 180 180 90 450 540 180 270 180 180 180 180 90 90 90 90 90 90 90 180 90 270 90 90 90 90 90 180

4

Lista de medicamentos a menor costo (cont.) Salud mental [Mental Health] (cont.) Medicamentos PRAMIPEXOLE 1.5MG TAB PRIMIDONE 50MG TAB PROCHLORPERAZINE 5MG TAB PROCHLORPERAZINE 10MG TAB RISPERIDONE 0.25MG TAB RISPERIDONE ODT 0.5MG TAB RISPERIDONE ODT 1MG TAB RISPERIDONE ODT 2MG TAB ROPINIROLE 0.25MG TAB SERTRALINE 25MG TAB SERTRALINE 50MG TAB SERTRALINE 100MG TAB THIORIDAZINE 10MG TAB THIORIDAZINE 25MG TAB THIORIDAZINE 50MG TAB THIOTHIXENE 1MG CAP THIOTHIXENE 2MG CAP TRAZODONE 50MG TAB TRAZODONE 100MG TAB TRAZODONE 150MG TAB TRIFLUOPERAZINE 1MG TAB TRIFLUOPERAZINE 2MG TAB TRIHEXYPHENIDYL 2MG TAB TRIHEXYPHENIDYL 5MG TAB VALPROIC ACID 250MG/5ML SYRUP VENLAFAXINE 25MG TAB VENLAFAXINE 37.5MG TAB VENLAFAXINE 50MG TAB VENLAFAXINE 75MG TAB VENLAFAXINE 100MG TAB ZONISAMIDE 25MG CAP ZONISAMIDE 50MG CAP

Cantidad Gama 30 90 3 3 2 2 3 3 3 3 3 2 3 3 2 2 2 2 3 2 1 2 3 3 2 3 3 3 3 3 3 3 3 3

60 180 60 180 30 90 30 90 60 180 60 180 60 180 30 90 60 180 30 90 30 90 30 90 60 180 30 90 30 90 60 180 60 180 30 90 30 90 30 90 60 180 60 180 60 180 90 270 540 1620 60 180 60 180 60 180 60 180 60 180 90 270 90 270

Medicamentos

Cantidad Gama 30 90

Medicamentos

Salud de la mujer [Women’s Health] Medicamentos ALENDRONATE 5MG TAB ALENDRONATE 10MG TAB ALENDRONATE 35MG TAB ALENDRONATE 70MG TAB ANASTROZOLE 1MG TAB CLOMIPHENE CITRATE 50MG TAB EST ESTRGN METHTEST 0.625/1.25MG TB EST ESTRGN METHTEST 1.25/2.5MG TAB ESTRADIOL 0.5MG TAB ESTRADIOL 1MG TAB ESTRADIOL 2MG TAB ESTROPIPATE 0.625MG (0.75MG) TAB ESTROPIPATE 1.5MG (1.25MG) TAB MEDROXYPROGESTERONE 2.5MG TAB MEDROXYPROGESTERONE 5MG TAB MEDROXYPROGESTERONE 10MG TAB MEGESTROL ACETATE 20MG TAB TAMOXIFEN 10MG TAB TAMOXIFEN 20MG TAB

3 3 3 3 3 2 3 3 1 1 1 2 3 2 1 1 2 3 3

30 30 4 4 30 5 30 30 30 30 30 30 30 30 30 10 30 60 30

90 90 12 12 90 15 90 90 90 90 90 90 90 90 90 30 90 180 90

Salud del tracto urinario [Urinary Health] Medicamentos BETHANECHOL 5MG TAB BETHANECHOL 10MG TAB BETHANECHOL 25MG TAB BETHANECHOL 50MG TAB OXYBUTYNIN 5MG TAB OXYBUTYNIN 5MG/5ML SYRUP OXYBUTYNIN ER 5MG TAB OXYBUTYNIN ER 10MG TAB OXYBUTYNIN ER 15MG TAB

Cantidad Gama 30 90 3 3 3 3 2 3 3 3 3

60 60 90 90 60 240 30 30 30

180 180 270 270 180 720 90 90 90

Tos/Catarro/Alergias [Cough/Cold/Allergy] Medicamentos BENZONATATE 100MG CAP BENZONATATE 200MG CAP

Tos/Catarro/Alergias [Cough/Cold/Allergy] (cont.)

Cantidad Gama 30 90 1 3

30 30

90 90

BROMDEX D SYRUP CETIRIZINE 1MG/ML SYRUP CETIRIZINE 10MG TAB CLEMASTINE 2.68MG TAB CYPROHEPTADINE 2MG/5ML SYRUP DE-CHLOR DM LIQUID DE-CHLOR DR SYRUP DEHISTINE SYRUP DIPHENHYDRAMINE 50MG CAP FLUTICASONE NASAL SP (120INH) 16GM IPRATROPIUM 0.03% NASAL SPRAY 30ML IPRATROPIUM 0.06% NASAL SPRAY 15ML LORATADINE 10MG TAB NOHIST TAB ORGAN-I NR 200MG TAB PBM ALLERGY SYRUP PHENYLTOLOXAMINE PE CPM SYRUP PROMETHAZINE 6.25MG/5ML SYRUP PROMETHAZINE 25MG TAB PROMETHAZINE 50MG TAB PROMETHAZINE DM SYRUP QUARTUSS DM DROPS 30ML QV-ALLERGY SYRUP REME TUSSIN DM SYRUP SILDEC PE-DM SYRUP SILDEC-PE SYRUP SUPRESS-DX PED DROPS 30ML TRIPOHIST LIQUID

Vitaminas y salud nutricional [Vitamins and Nutritional Health] Cantidad Gama 30 90 3 3 2 3 3 2 2 3 2 3 3 3 1 3 3 3 2 2 1 2 2 3 3 3 1 1 3 3

120 120 30 60 120 120 180 240 30 16 30 15 30 30 120 120 240 240 12 60 180 30 240 150 120 120 30 120

360 360 90 180 360 360 540 720 90 48 90 45 90 90 360 360 720 720 36 180 540 90 720 450 360 360 90 360

Vitaminas y salud nutricional [Vitamins and Nutritional Health] FABB TAB FE C PLUS TAB FEROTRIN CAP FERREX 150 FORTE CAP FLUORIDE 0.25MG F CHEWABLE TAB FLUORIDE 0.5MG F CHEWABLE TAB FLUORIDE 1.0MG F CHEWABLE TAB FOLBECAL TAB FOLBEE PLUS TAB FOLBEE TAB FOLIC ACID 1MG TAB HEMATINIC/ FA TAB HEMATINIC PLUS TAB 10 X 10 KLOR-CON 10MEQ TAB MULTIGEN FOLIC TAB MULTIGEN TAB MULTIVIT/F 0.25MG CHEWABLE TAB MULTI-VIT/FL 0.25MG DROPS 50ML MULTI-VITA-F 0.5MG CHEW TAB MULTI-VIT/FLUORIDE 1MG CHEW TAB MULTIVITAMIN W/FL .5MG/ML ORAL DROP MULTIVITAMINS W/ FL 1.0MG CHEW TAB MULTIVITS W/FL 1MG & IRON CHEW TAB NATALCARE PLUS TAB (1MG FOLIC ACID) OB-NATAL ONE CAP PHOSPHA 250 NEUTRAL TAB POLY-IRON 150 CAP POLY-IRON 150 FORTE CAP POT CHLOR 10% LIQ SF (20MEQ/15ML) POTASSIUM CHLOR 20% LIQ (40MEQ/15ML) POTASSIUM CL 10MEQ ER TAB PRENAFIRST TAB PRENATAB FA TAB PRENATAL - U CAP PRENATAL 19 CHEWABLE TAB PRENATAL 19 TAB PRENATAL PLUS TAB RE DUALVIT F CAP RE PRENATAL MULTIVIT W/IRON CHEW TB

Cantidad Gama 30 90 3 3 3 2 2 1 2 3 3 3 1 2 3 3 3 3 2 3 1 2 3 3 1 1 3 3 2 3 2 2 3 3 2 3 3 2 2 3 3

30 90 30 90 60 180 45 135 120 360 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90 50 150 30 90 30 90 50 150 30 90 30 90 30 90 30 90 100 300 60 180 45 135 473 1419 710 2130 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90 30 90

Medicamentos RENA-VITE RX TAB RENAL SOFTGEL CAP SE-NATAL 19 TAB THEROBEC PLUS TAB TRI-VIT/FE FL .25MG DROPS 50ML VINATE AZ TAB VINATE C TAB VINATE CARE CHEWABLE TAB VINATE ONE TAB VINATE GT TAB VITAMIN D 50,000IU CAP

Otros [Other] Medicamentos ANAGRELIDE 0.5MG CAP ANAGRELIDE 1MG CAP ANUCORT-HC 25MG RECTAL SUPP 24’S CYTRA-2 SOLN CYTRA-K ORAL SOLN DEXAMETHASONE 0.5MG TAB DEXAMETHASONE 0.75MG TAB DEXAMETHASONE 1MG TAB DEXAMETHASONE 1.5MG TAB DEXAMETHASONE 4MG TAB FINASTERIDE 5MG TAB LIDOCAINE 4% TOP SOLN 50ML PHENAZOPYRIDINE 100MG TAB PHENAZOPYRIDINE 200MG TAB PREDNISOLONE 15MG/5ML SOLN PREDNISOLONE SOD PHOS 15MG/5ML SOL PREDNISONE 1MG TAB PREDNISONE 2.5MG TAB PREDNISONE 5MG TAB PREDNISONE 10MG** TAB PREDNISONE 20MG TAB PREDNISONE 5MG TAB PACK 21’S PREDNISONE 5MG PAK 48’S PREDNISONE 10MG TAB PACK 21’S

Cantidad Gama 30 90 1 2 2 3 3 3 3 3 2 2 1

30 30 30 30 50 30 30 30 30 30 4

90 90 90 90 150 90 90 90 90 90 12

Cantidad Gama 30 90 3 3 2 3 3 2 2 3 3 2 2 2 2 2 3 2 2 2 2 1 2 2 3 2

90 270 60 180 12 36 473 1419 473 1419 60 180 12 36 30 90 45 135 30 90 30 90 50 150 30 90 30 90 60 180 30 90 90 270 60 180 30 90 30 90 30 90 21 63 48 144 21 63

5

Lista de medicamentos a menor costo (cont.) MEDICAMENTOS DE MARCA A MENOR COSTO

Insulinas [Insulins] LEVEMIR FLEXPEN LEVEMIR 100 UNITS/ML VIAL NOVOLIN N 100 UNITS/ML VIAL NOVOLIN R 100 UNITS/ML VIAL NOVOLIN 70/30 100 UNIT/ML VIAL NOVOLOG MIX 70/30 VIAL NOVOLOG MIX 70/30 FLEXPEN NOVOLOG FLEXPEN NOVOLOG PENFILL 3 ML NOVOLOG 100 UNIT/ML VIAL

1 BOX 1 VIAL 1 VIAL 1 VIAL 1 VIAL 1 VIAL 1 BOX 1 BOX 1 BOX 1 VIAL

$204.65 $118.60 $58.12 $58.12 $58.12 $131.27 $254.73 $254.73 $251.29 $131.27

Medicamentos para el estilo de vida CIALIS 5MG TAB (QTY 6) CIALIS 10MG TAB (QTY 6) CIALIS 20MG TAB (QTY 6) LATISSE 0.03% OPHTH SOLN VIAGRA 50MG TAB (QTY 6) VIAGRA 100MG TAB (QTY 6)

$28.99 $165.99 $165.99 $108.99 $165.99 $165.99

AHORRO PROMEDIO-

Suministros diabéticos [Diabetic Supplies] WALGREENS TRUE RESULT METER 1 METER WALGREENS TRUE TEST STRIPS 25’S 1 BOX WALGREENS TRUE TEST STRIPS 50’S 1 BOX WALGREENS TRUE TEST STRIPS 100’S 1 BOX

FREE $17.99 $24.99 $41.99

BAYER CONTOUR NEXT METER BAYER CONTOUR NEXT STRIPS 25’S BAYER CONTOUR NEXT STRIPS 50’S BAYER CONTOUR NEXT STRIPS 100’S

1 METER 1 BOX 1 BOX 1 BOX

FREE $23.99 $39.99 $78.99

BAYER CONTOUR METER BAYER CONTOUR USB METER BAYER CONTOUR TEST STRIPS 50’S BAYER CONTOUR TEST STRIPS 100’S

1 METER 1 METER 1 BOX 1 BOX

FREE FREE $47.99 $93.99

BAYER BREEZE 2 METER KIT BAYER BREEZE 2 TEST DISCS 50'S BAYER BREEZE 2 TEST DISCS 100'S

1 METER 1 BOX 1 BOX

FREE $48.99 $93.99

MEDICAMENTOS PARA EL ESTILO DE VIDA

Anticonceptivos $12 por un suministro de 1 mes MONONESSA TAB TRINESSA TAB

28 28

$21.99 por un suministro de 1 mes MICROGESTIN 1.5/30 FE TAB MICROGESTIN 1/20 FE TAB RECLIPSEN 0.15MG-30MCG TAB

28 28 28

$23.99 por un suministro de 1 mes LOW-OGESTREL TAB NECON 1/35 TAB

28 28

$24.99 por un suministro de 1 mes JOLIVETTE 0.35MG TAB

28

$25.99 por un suministro de 1 mes LEVORA 0.15/30 TAB LUTERA TAB

28 28

Requiere membresía ($20 al año para la individual o $35 al año para la familiar). No pueden participar en este programa los beneficiarios de Medicare, Medicaid o algún otro programa federal o estatal de cuidado de salud. Se aplican ciertas restricciones al bono de 10%. Los medicamentos para mascotas deben ser sólo aquellos medicamentos equivalentes para humanos. Si cancelas la membresía dentro de los primeros 30 días de suscripción, obtendrás un reembolso total. Si al finalizar la membresía de un año el afiliado no ha logrado los ahorros acumulados en todos los artículos y servicios elegibles del Programa de Bonos de Farmacia y Walgreens comprados con la tarjeta del Club de Ahorros en Recetas Médicas (PSC, por sus siglas en inglés) y dichos ahorros son menores que el costo de la membresía por ese año, el afiliado será elegible para recibir un crédito por la diferencia entre la cuota de afiliación y la cantidad total ahorrada con el Club de Ahorros en Recetas Médicas. Para todos los términos y condiciones, llama al 1-866-922-7312 o visita Walgreens.com/rxsavingsclub. WAGDCO, LLC, 104 Wilmot Road, Deerfield, IL 60015. ESTE PROGRAMA NO CONSTITUYE UN PLAN DE SALUD. *La lista de medicamentos no es exhaustiva. Consulta al farmacéutico de Walgreens para saber si tu medicamento es un bioequivalente a menor costo. **Visita Walgreens.com/rxsavingsclub para una lista actualizada de precios. Los nombres de los medicamentos son propiedad de sus respectivos propietarios. ©2012 Walgreen Co. Todos los derechos reservados. Válido del 21 de noviembre al 31 de diciembre de 2013

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