Stop Shop / Giant CareOne Generic Drug Program

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Stop Shop / Giant CareOne Generic Drug Program NDC Drug Name Quantity
(Up to) Allergy, Cold and Flu 50111-0851-01 BENZONATATE 100 MG CAP 42 84 126 60258-0415-16 CERON DM SYRUP 360 ML 720 1080 60258-0417-30 CERON DROPS 1 OZ 90 ML 180 270 00781-5077-01 LORATADINE 10MG TAB 90 180 270 54838-0538-40 LORATADINE ORAL SOLN 360 ML 720 ML 1080 ML 60432-0604-16 PROMETH DM SYRUP 360 ML 720 ML 1080 ML 60432-0608-16 PROMETH SYRUP PLAIN 6.25MG/ML 540 ML 1080 ML 1620 ML 58177-0923-07 TRIVENT DPC 6212/5 SYR 360 720 1080 Antibiotics 00093-4150-73 AMOXICILLIN 125MG/5ML 300 ML 600 ML 900 ML 00093-4150-79 AMOXICILLIN 125MG/5ML 240 ML 480 ML 720 ML 00093-4150-80 AMOXICILLIN 125MG/5ML 450 ML 900 ML 1350 ML 67253-0140-50 AMOXICILLIN 250MG CAP 90 180 270 00093-4155-73 AMOXICILLIN 250MG/5ML 300 ML 600 ML 900 ML 00093-4155-79 AMOXICILLIN 250MG/5ML 240 ML 480 ML 720 ML 00093-4155-80 AMOXICILLIN 250MG/5ML 450 ML 900 ML 1350 ML 63304-0655-05 AMOXICILLIN 500MG CAP 90 180 270 63304-0969-03 AMOXICILLIN ORAL SUSP 200MG/5 150 ML 300 ML 450 ML 63304-0969-04 AMOXICILLIN ORAL SUSP 200MG/5 300 ML 600 ML 900 ML 63304-0969-01 AMOXICILLIN ORAL SUSP 200MG/5 225 ML 450 ML 675 ML 63304-0969-01 AMOXICILLIN ORAL SUSP 200MG/5 225 ML 450 ML 675 ML 63304-0970-01 AMOXICILLIN ORAL SUSP 400MG/5 225 ML 450 ML 675 ML 63304-0970-03 AMOXICILLIN ORAL SUSP 400MG/5 150 ML 300 ML 450 ML 63304-0970-04 AMOXICILLIN ORAL SUSP 400MG/5 300 ML 600 ML 900 ML 68180-0121-01 CEPHALEXIN 250MG CAPS 84 168 252 68180-0122-02 CEPHALEXIN 500MG CAPS 90 180 270 55111-0126-01 CIPROFLOXACIN 250MG TAB 42 84 126 55111-0127-01 CIPROFLOXACIN 500MG TAB 60 120 180 00591-5440-50 DOXYCYCLINE 100MG CAP 60 120 180 00591-5553-50 DOXYCYCLINE 100MG TAB 60 120 180 00591-5535-50 DOXYCYCLINE 50MG CAP 90 180 270 00074-6326-13 ERYTHROMYCIN BASE 250 MG TAB 120 240 360 53489-0135-01 METRONIDAZOLE 250MG TAB 84 168 252 53489-0136-01 METRONIDAZOLE 500MG TAB 42 84 126 00093-1172-01 PENICILLIN VK 250MG TAB 84 168 252 00093-4127-73 PENICILLIN VK 250MG/5ML 300 600 900 67253-0203-10 PENICILLIN VK 250MG/5ML 300 600 900 67253-0203-20 PVK 250MG/5ML ORAL SOLN 600 1200 1800 50383-0824-16 SMX/TMP PEDIATRIC SUSP 360 ML 720 ML 1080 ML 53489-0146-01 SMX-TMP DS TAB 60 120 180 53489-0145-01 SMX-TMP SS TAB 84 168 252 00555-0011-05 TETRACYCLINE 250MG CAPS 180 360 540 00555-0010-05 TETRACYCLINE 500MG CAPS 180 360 540 Antiviral 00093-8940-01 ACYCLOVIR 200MG CAP 90 180 270 Asthma 16252-0097-22 ALBUTEROL 0.083% INH SOLN (25X3) 225 ML 450 ML 675 ML 50383-0741-20 ALBUTEROL 0.5% INH SOLN 60 ML 120 ML 180 ML 00378-0255-01 ALBUTEROL 2MG TAB 270 540 810 00378-0572-01 ALBUTEROL 4MG TAB 180 360 540 00093-0661-16 ALBUTEROL SYRUP 360 ML 720 ML 1080 ML 16252-0098-22 IPRATROPIUM 0.02% NEB SOLN 25X2.5ML(=QTY 75) 225 450 675 Cholesterol 53489-0607-06 LOVASTATIN 10MG TAB 90 180 270 $9.99 Quantity (Up To) $19.98 Quantity (Up To) 1 7/3/2008 Stop Shop / Giant CareOne Generic Drug Program 53489-0608-06 LOVASTATIN 20MG TAB 90 180 270 16252-0526-90 PRAVASTATIN 10MG TAB 90 180 270 16252-0527-90 PRAVASTATIN 20MG TAB 90 180 270 16252-0528-90 PRAVASTATIN 40MG TAB 90 180 270 Diabetes 00781-5045-01 GLIMEPIRIDE 1MG TAB 90 180 270 55111-0321-01 GLIMEPIRIDE 2MG TAB 90 180 270 55111-0322-01 GLIMEPIRIDE 4MG TAB 90 180 270 00781-1453-01 GLIPIZIDE 10MG 90 180 270 00781-1452-01 GLIPIZIDE 5MG 90 180 270 00093-9433-01 GLYBURIDE 2.5 MG (DIA) TAB 90 180 270 00781-1146-01 GLYBURIDE 2.5 MG (MIC) TAB 90 180 270 00093-9364-01 GLYBURIDE 5 MG (DIA) TAB 90 180 270 00093-9364-10 GLYBURIDE 5 MG (DIA) TAB 90 180 270 00781-1191-01 GLYBURIDE 5 MG (MICRO) TAB 90 180 270 52152-0134-02 GLYBURIDE MICRO 3MG TAB 90 180 270 67253-0462-10 GLYBURIDE MICRO 6 MG TAB 90 180 270 00781-5052-01 METFORMIN 1000MG TAB 180 360 540 60505-0192-00 METFORMIN 1000MG TAB 180 360 540 00781-5050-01 METFORMIN 500MG TAB 180 360 540 60505-0190-00 METFORMIN 500MG TAB 180 360 540 00781-5051-01 METFORMIN 850MG TAB 180 360 540 60505-0191-00 METFORMIN 850MG TAB 180 360 540 60505-0260-01 METFORMIN ER 500MG TAB 180 360 540 Ear Health 00603-7020-73 A/B OTIC 45 ML 90 ML 135 ML Eye Health and Glaucoma 00168-0026-38 BACITRACIN OPTH OINT 10.5 GM 21 GM 31.5 GM 24208-0910-55 ERYTHROMYCIN OPHTH OINT 10.5 GM 21 GM 31.5 GM 61314-0633-05 GENTAMICIN SULFATE OPTH SOLN 15 ML 30 ML 45 ML 61314-0229-05 LEVOBUNOLOL OPTH SOLN .5% 15 30 45 61314-0631-36 NEO/POLY/DEXA O.O. 10.5 GM 21 GM 31.5 GM 61314-0630-06 NEO/POLY/DEXA OPTHAL SUSP 15 ML 30 ML 45 ML 61314-0203-15 PILOCARPINE 1% OPHTH SOL 45 ML 90 ML 135 ML 61314-0204-15 PILOCARPINE 2% OPHTH SOL 45 ML 90 ML 135 ML 61314-0701-01 SULFACETAMIDE 10% OPHTH SOL. 45 ML 90 ML 135 ML 61314-0226-05 TIMOLOL MAL OPHTH SOLN 0.25% 15 30 45 61314-0227-05 TIMOLOL MAL OPHTH SOLN 0.5% 15 30 45 61314-0643-05 TOBRAMYCIN OPTH SOLN .3% 15 ML 30 ML 45 ML Fungal Infections 59762-5017-01 FLUCONAZOLE 150MG TAB 3 6 9 51672-1289-01 NYSTATIN CREAM 45 GM 90 GM 135 GM 51672-1289-02 NYSTATIN CREAM 90 GM 180 GM 270 GM 00472-0166-15 NYSTATIN OINT 45 GM 90 GM 135 GM 00472-0166-30 NYSTATIN OINT 90 GM 180 GM 270 GM 00168-0081-15 NYSTATIN/TRIAM CR 45 GM 90 GM 135 GM 00168-0081-30 NYSTATIN/TRIAM CR 90 GM 180 GM 270 GM 00168-0081-60 NYSTATIN/TRIAM CR 180 GM 360 GM 540 GM 00168-0089-15 NYSTATIN/TRIAM OINT 45 GM 90 GM 135 GM 00168-0089-30 NYSTATIN/TRIAM OINT 90 GM 180 GM 270 GM 00168-0089-60 NYSTATIN/TRIAM OINT 180 GM 360 GM 540 GM 00555-0544-01 TERBINAFINE 250MG TAB 90 180 270 Gastrointestinal Health 00603-2418-01 BELLADONNA ALK/PB TAB 180 360 540 60258-0001-16 CYTRA-2 SOLUTION 540 ML 1080 ML 1620 ML 00591-0794-01 DICYCLOMINE 10MG CAPS 270 540 810 00591-0795-01 DICYCLOMINE 20MG TAB 180 360 540 64679-0936-02 FAMOTIDINE 20MG TAB 180 360 540 2 7/3/2008 Stop Shop / Giant CareOne Generic Drug Program 58177-0274-04 HYOSCYAMINE 0.125MG ORAL TAB 180 360 540 58177-0255-04 HYOSCYAMINE 0.125MG SL TAB 90 180 270 58177-0237-04 HYOSCYAMINE SULF .375MG ER TAB 90 180 270 62175-0101-01 HYOSCYAMINE SULF 0.125MG 180 360 540 00472-1360-16 LACTULOSE 10GM/15ML SOL 720 ML 1440 ML 2160 ML 00472-1358-08 LACTULOSE SYRUP (480 ml) 720 ML 1440 ML 2160 ML 00472-1358-32 LACTULOSE SYRUP (960 ml) 720 ML 1440 ML 2160 ML 00093-2203-01 METOCLOPRAMIDE 10MG TAB 180 360 540 60432-0622-16 METOCLOPRAMIDE SYRUP 180 ML 360 ML 540 ML 59746-0115-06 PROCHLORPERAZINE 10MG TAB 90 180 270 00591-5307-01 PROMETHAZINE 25MG TAB 36 72 108 64679-0906-03 RANITIDINE 150MG TAB 180 360 540 64679-0907-02 RANITIDINE 300MG TAB 90 180 270 Heart Health and Blood Pressure 00378-0577-01 AMILORIDE HCL/HCTZ 5/50 90 180 270 00781-1507-01 ATENOLOL 100 MG TAB 90 180 270 00781-1078-10 ATENOLOL 25MG TAB. 90 180 270 00781-1506-10 ATENOLOL 50 MG TAB 90 180 270 00591-5783-01 ATENOLOL/CHLORTHAL 100/25 TAB 90 180 270 00591-5782-01 ATENOLOL/CHLORTHAL 50/25 TAB 90 180 270 58177-0342-04 BENAZEPRIL 10MG TAB 90 180 270 58177-0343-04 BENAZEPRIL 20MG TAB 90 180 270 58177-0344-04 BENAZEPRIL 40MG TAB 90 180 270 58177-0341-04 BENAZEPRIL 5MG TAB 90 180 270 00378-0505-01 BISOPROLOL/HCTZ 10/6.25MG TAB 90 180 270 00378-0501-01 BISOPROLOL/HCTZ 2.5/6.25MG TAB 90 180 270 00378-0503-01 BISOPROLOL/HCTZ 5/6.25MG TAB 90 180 270 00185-0128-01 BUMETANIDE 0.5 MG TAB 90 180 270 00185-0129-01 BUMETANIDE 1 MG TAB 90 180 270 00378-3007-01 CAPTOPRIL 12.5 MG TAB 270 540 810 00378-3012-01 CAPTOPRIL 25MG TAB 180 360 540 00378-3017-01 CAPTOPRIL 50MG TAB 180 360 540 00378-3022-01 CAPTOPRIL 100MG TAB 180 360 540 68462-0164-01 CARVEDILOL 12.5MG TAB 180 360 540 68462-0165-01 CARVEDILOL 25MG TAB 180 360 540 68462-0162-01 CARVEDILOL 3.125MG TAB 180 360 540 68462-0163-01 CARVEDILOL 6.25MG TAB 180 360 540 00378-0222-01 CHLORTHALIDONE 25 MG TAB 90 180 270 00378-0213-01 CHLORTHALIDONE 50 MG TAB 90 180 270 00378-0152-01 CLONIDINE 0.1MG TAB 90 180 270 00378-0186-01 CLONIDINE 0.2MG TAB 90 180 270 00527-1324-01 DIGOXIN 0.125MG TAB 90 180 270 57664-0441-88 DIGOXIN 0.25MG TAB 90 180 270 00093-0318-01 DILTIAZEM 30MG TAB 180 360 540 00093-0319-01 DILTIAZEM 60MG TAB 180 360 540 60505-0093-00 DOXAZOSIN 1MG TAB 90 180 270 60505-0094-00 DOXAZOSIN 2MG TAB 90 180 270 60505-0095-00 DOXAZOSIN 4MG TAB 90 180 270 60505-0096-00 DOXAZOSIN 8MG TAB 90 180 270 64679-0925-03 ENALAPRIL 10MG TAB 90 180 270 64679-0923-02 ENALAPRIL 2.5MG TAB 90 180 270 64679-0926-03 ENALAPRIL 20MG TAB 90 180 270 64679-0924-02 ENALAPRIL 5MG TAB 90 180 270 60505-0208-01 ENALAPRIL/HCTZ 5/12.5MG TAB 90 180 270 00591-0300-01 FUROSEMIDE 20MG TAB 90 180 270 00603-3739-32 FUROSEMIDE 20MG TAB 90 180 270 00603-3740-32 FUROSEMIDE 40MG TAB 90 180 270 00603-3741-21 FUROSEMIDE 80MG TAB 90 180 270 00378-1160-01 GUANFACINE 1MG TAB 90 180 270 00591-0347-01 HCTZ 12.5MG CAPS 90 180 270 00527-1413-10 HCTZ 25MG (LANNETT) 90 180 270 00603-3856-32 HCTZ 25MG TAB (Q/P) 90 180 270 67253-0821-11 HCTZ 50 MG TAB 90 180 270 3 7/3/2008 Stop Shop / Giant CareOne Generic Drug Program 50111-0398-01 HYDRALAZINE TAB 10MG 90 180 270 50111-0327-01 HYDRALAZINE TAB 25MG 90 180 270 00228-2597-11 INDAPAMIDE 1.25MG TAB 90 180 270 00228-2571-11 INDAPAMIDE 2.5MG TAB 90 180 270 58177-0222-04 ISOSORBIDE MONO 30MG ER TAB 90 180 270 58177-0238-04 ISOSORBIDE MONO 60MG ER TAB 90 180 270 68180-0514-01 LISINOPRIL 10MG TAB 90 180 270 68180-0514-03 LISINOPRIL 10MG TAB 90 180 270 68180-0512-01 LISINOPRIL 2.5MG TAB 90 180 270 68180-0515-03 LISINOPRIL 20MG TAB 90 180 270 68180-0513-03 LISINOPRIL 5MG TAB 90 180 270 68180-0518-01 LISINOPRIL/HCTZ 10/12.5MG TAB 90 180 270 68180-0519-01 LISINOPRIL/HCTZ 20/12.5MG TAB 90 180 270 68180-0520-01 LISINOPRIL/HCTZ 20/25MG TAB 90 180 270 00378-0611-01 METHYLDOPA 250MG TAB 180 360 540 00378-0421-01 METHYLDOPA 500MG TAB 90 180 270 00781-1228-10 METOPROLOL 100MG TAB 180 360 540 00378-0018-01 METOPROLOL 25MG TAB 180 360 540 00781-1223-10 METOPROLOL 50MG 180 360 540 00378-0028-01 NADOLOL 20MG TAB 90 180 270 00378-1171-01 NADOLOL 40MG TAB 90 180 270 68462-0145-01 NITROGLYCERIN SL 0.3MG TAB 100's 300 600 900 68462-0146-01 NITROGLYCERIN SL 0.4MG TAB 100's 300 600 900 00378-0127-01 PINDOLOL 10 MG TAB 90 180 270 00378-0052-01 PINDOLOL 5 MG TAB 90 180 270 00378-1101-01 PRAZOSIN 1MG CAP 90 180 270 00378-2302-01 PRAZOSIN 2MG CAP 90 180 270 00378-3205-01 PRAZOSIN 5MG CAP 90 180 270 50111-0467-01 PROPRANOLOL TAB 10MG 180 360 540 50111-0468-01 PROPRANOLOL TAB 20MG 180 360 540 50111-0469-01 PROPRANOLOL TAB 40MG 180 360 540 50111-0471-01 PROPRANOLOL TAB 80MG 180 360 540 00185-0171-01 SOTALOL 80MG TAB 90 180 270 53489-0143-01 SPIRONOLACTONE 25 MG TAB 90 180 270 60505-0118-00 TERAZOSIN 10MG CAPS 90 180 270 60505-0115-00 TERAZOSIN 1MG CAP 90 180 270 60505-0116-00 TERAZOSIN 2MG CAPS 90 180 270 60505-0117-00 TERAZOSIN 5MG CAPS 90 180 270 00555-0488-05 TRIAM/HCTZ 37.5/25MG CAPS 90 180 270 60505-2656-05 TRIAM/HCTZ 37.5/25MG TAB 90 180 270 60505-2657-05 TRIAM/HCTZ 75/50MG TAB 90 180 270 00378-0772-01 VERAPAMIL 120MG TAB 90 180 270 00378-0512-01 VERAPAMIL 80MG TAB 90 180 270 00832-1219-00 WARFARIN 10MG TAB (JANTOVEN) 90 180 270 00832-1211-00 WARFARIN 1MG TAB (JANTOVEN) 90 180 270 00832-1213-00 WARFARIN 2.5MG TAB (JANTOVEN) 90 180 270 00832-1212-00 WARFARIN 2MG TAB (JANTOVEN) 90 180 270 00832-1214-00 WARFARIN 3MG TAB (JANTOVEN) 90 180 270 00832-1215-00 WARFARIN 4MG TAB (JANTOVEN) 90 180 270 00832-1216-00 WARFARIN 5MG TAB (JANTOVEN) 90 180 270 00832-1217-00 WARFARIN 6MG TAB (JANTOVEN) 90 180 270 00832-1218-00 WARFARIN 7.5MG TAB (JANTOVEN) 90 180 270 Mental Health 53489-0108-01 AMITRIPTYLINE 100MG TAB 90 180 270 53489-0104-01 AMITRIPTYLINE 10MG TAB 90 180 270 53489-0105-01 AMITRIPTYLINE 25MG TAB 90 180 270 53489-0106-01 AMITRIPTYLINE 50MG TAB 90 180 270 53489-0107-01 AMITRIPTYLINE 75MG TAB 90 180 270 00832-1082-00 BENZTROPINE 2MG TAB 90 180 270 00591-0658-01 BUSPIRONE 10MG TAB 180 360 540 00591-0657-01 BUSPIRONE 5MG TAB 180 360 540 00093-0109-01 CARBAMAZEPINE TAB 200MG 180 360 540 55111-0343-30 CITALOPRAM 20MG TAB 90 180 270 4 7/3/2008 Stop Shop / Giant CareOne Generic Drug Program 55111-0344-30 CITALOPRAM 40MG TAB 90 180 270 00591-5629-01 DOXEPIN HCL CAPS 10 MG CAP 90 180 270 00591-5633-01 DOXEPIN HCL CAPS 100MG CAP 90 180 270 00591-5630-01 DOXEPIN HCL CAPS 25MG CAP 90 180 270 00591-5631-01 DOXEPIN HCL CAPS 50MG CAP 90 180 270 00591-5632-01 DOXEPIN HCL CAPS 75MG CAP 90 180 270 50111-0647-01 FLUOXETINE 10MG CAPS 90 180 270 49884-0734-11 FLUOXETINE 10MG TAB 90 180 270 50111-0648-01 FLUOXETINE 20MG CAP 90 180 270 50111-0648-03 FLUOXETINE 20MG CAP 90 180 270 00093-1043-01 FLUOXETINE 20MG CAPS 90 180 270 00781-1438-01 FLUPHENAZINE 5 MG 90 180 270 00781-1391-01 HALOPERIDOL 0.5MG TAB 90 180 270 00781-1392-01 HALOPERIDOL 1MG TAB 90 180 270 00781-1393-01 HALOPERIDOL 2MG TAB 90 180 270 00781-1396-01 HALOPERIDOL 5MG TAB 90 180 270 00054-2527-25 LITHIUM CARB 300MG CAP 270 540 810 00591-5786-01 NORTRIPTYLINE 10 MG CAP 90 180 270 00591-5787-01 NORTRIPTYLINE 25 MG CAP 90 180 270 60505-0097-01 PAROXETINE 10MG TAB 90 180 270 60505-0083-01 PAROXETINE 20MG TAB 90 180 270 53489-0149-01 THIORIDAZINE 25MG TAB 90 180 270 50111-0434-01 TRAZODONE 100MG TAB 90 180 270 50111-0441-01 TRAZODONE 150MG TAB 90 180 270 00093-0637-01 TRAZODONE 50MG TAB 90 180 270 00591-5335-01 TRIHEXYPHENIDYL 2 MG 180 360 540 Pain and Arthritis 00591-5543-01 ALLOPURINOL 100MG TAB 90 270 00603-2116-21 ALLOPURINOL 300MG TAB 90 270 00172-4096-60 BACLOFEN 10MG TAB 90 270 68013-0001-01 COLCHICINE TABS 0.6MG TAB 90 270 50111-0563-01 CYCLOBENZAPRINE 10MG TAB 90 270 00781-5032-01 CYCLOBENZAPRINE 5MG TAB 90 270 59746-0211-06 CYCLOBENZAPRINE 5MG TAB 90 270 00054-4184-25 DEXAMETHASONE 4MG TAB 18 54 00781-1789-01 DICLOFENAC SOD 75MG TAB 180 540 00472-1270-16 IBUPROFEN 100MG SUSP (RX) 360 ML 720 ML 1080 ML 53746-0131-01 IBUPROFEN 400MG TAB 270 810 53746-0132-05 IBUPROFEN 600MG TAB 180 540 49884-0779-05 IBUPROFEN 800MG TAB 90 270 53746-0137-05 IBUPROFEN 800MG TAB 90 270 00378-0143-01 INDOMETHACIN CAP 25MG 180 540 68180-0502-01 MELOXICAM 15MG TAB 90 270 68180-0501-01 MELOXICAM 7.5MG TAB 90 270 00143-1347-01 NAPROXEN 375MG TAB 180 360 540 00143-1348-05 NAPROXEN 500MG TAB 180 540 00378-2020-01 PIROXICAM CAP 20MG 90 270 65162-0627-11 TRAMADOL 50MG TAB 180 540 Skin Conditions 00472-0371-15 BETAMETH VAL .1% OINT 45 GM 90 GM 135 GM 00472-0371-45 BETAMETH VAL .1% OINT 135 GM 270 GM 405 GM 00168-0040-15 BETAMETH VAL 0.1% CR 45 GM 90 GM 135 GM 00168-0040-46 BETAMETH VAL 0.1% CR 135 GM 270 GM 405 GM 00168-0055-15 BETAMETHASONE DIP 0.05% CR 45 GM 90 GM 135 GM 00168-0055-46 BETAMETHASONE DIP 0.05% CR 135 GM 270 GM 405 GM 00168-0215-60 ERYTHROMYCIN 2% TOP SOL 180 ML 360 ML 540 ML 00168-0059-60 FLUOCINOLONE .01% SOLN 180 ML 360 ML 540 ML 51672-1253-01 FLUOCINONIDE 0.05% CR 45 GM 90 GM 135 GM 51672-1253-02 FLUOCINONIDE CR 0.05% 90 GM 180 GM 270 GM 00168-0080-31 HYDROCORTISONE 2.5% CR 90 GM 180 GM 270 GM 60432-0528-04 SELENIUM SULF 2.5% LOTION 360 ML 720 ML 1080 ML 00168-0003-15 TRIAMCINOLONE 0.025% CR 45 GM 90 135 180
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180
180 36 360 540 180
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180 5 7/3/2008 Stop Shop / Giant CareOne Generic Drug Program 00168-0003-80 TRIAMCINOLONE 0.025% CR 240 GM 480 720 00168-0004-15 TRIAMCINOLONE 0.1% CR 45 GM 90 135 00168-0004-80 TRIAMCINOLONE 0.1% CR 240 GM 480 720 00168-0006-15 TRIAMCINOLONE 0.1% OINT 45 GM 90 135 00168-0006-80 TRIAMCINOLONE 0.1% OINT 240 GM 480 720 00168-0002-15 TRIAMCINOLONE 0.5% CR 45 GM 90 135 Thyroid Conditions 00378-1809-01 LEVOTHYROXINE 100 MCG TAB 90 180 270 00378-1811-01 LEVOTHYROXINE 112MCG TAB 90 180 270 00378-1813-01 LEVOTHYROXINE 125 MCG TAB 90 180 270 00781-5191-01 LEVOTHYROXINE 137MCG TAB 90 180 270 00378-1815-01 LEVOTHYROXINE 150 MCG TAB 90 180 270 00378-1817-01 LEVOTHYROXINE 175MCG TAB 90 180 270 00378-1819-01 LEVOTHYROXINE 200MCG TAB 90 180 270 00378-1800-01 LEVOTHYROXINE 25MCG TABS 90 180 270 00378-1803-01 LEVOTHYROXINE 50MCG TABS 90 180 270 00378-1805-01 LEVOTHYROXINE 75 MCG TAB 90 180 270 00378-1807-01 LEVOTHYROXINE 88MCG TAB 90 180 270 Vitamins and Nutrition 59746-0012-10 FOLIC ACID 1MG TAB 90 180 270 00603-1534-58 KCL 10% SF LIQUID 1440 ML 2880 ML 4320 ML 00245-0057-11 KLOR-CON M10 TAB 90 180 270 60258-0171-01 MAGNESIUM OXIDE 400MG TAB 90 180 270 00603-4714-21 MULTI VIT W/F TAB .5MG TAB 90 180 270 00603-4713-21 MULTI VITA-BETS W/F C TAB .25 90 180 270 58177-0225-04 NATAL CARE PLUS TABS MLTIVITMN 90 180 270 00245-0041-15 POTASSIUM CHL 10 MEQ SR TAB 90 180 270 00781-1526-01 POTASSIUM CHL 10 MEQ SR TAB 90 180 270 00245-0040-11 POTASSIUM CL 8MEQ ER TAB 90 180 270 00781-1526-01 POTASSIUM CL SR 10MEQ TAB 750M 90 180 270 58177-0216-11 PRENATAL RX TAB 90 180 270 Other Conditions 58177-0432-40 ETHEDENT 0.25MG CHEW TAB 360 720 1080 00472-0511-12 HEMORRHOIDAL HC 25MG SUPP 12CT 36 72 108 00555-0071-02 ISONIAZID 300MG TABS 90 180 270 00603-1393-64 LIDOCAINE 2% VISCOUS 300 ML 600 ML 900 ML 60432-0464-00 LIDOCAINE 2% VISCOUS 300 ML 600 ML 900 ML 00555-0606-02 MEGESTROL ACET 20 MG TAB 90 180 270 00555-0301-38 METHYLPRED 4 MG PAK 63 126 189 00555-0301-02 METHYLPRED 4 MG TAB 63 126 189 59746-0001-03 METHYLPRED 4MG DOSEPACK 63 126 189 59746-0001-06 METHYLPREDNISOLONE 4MG TAB 63 126 189 50111-0456-01 OXYBUTYNIN 5 MG TAB 180 360 540 00126-0271-16 PERIOGARD ORAL RINSE 0.12% 1440 2880 4320 00603-5141-21 PHENAZOPYRIDINE 100MG TAB 18 36 54 65162-0517-10 PHENAZOPYRIDINE 100MG TAB 18 36 54 00603-5142-21 PHENAZOPYRIDINE 200MG TAB 90 180 270 65162-0520-10 PHENAZOPYRIDINE 200MG TAB 90 180 270 00143-1473-10 PREDNISONE 10MG TAB 90 180 270 00054-4742-25 PREDNISONE 2.5MG TAB 90 180 270 00143-1477-01 PREDNISONE 20MG TAB 90 180 270 59746-0172-10 PREDNISONE 5MG TAB 90 180 270 The following drugs are available in a 90-Day supply for $29.99 NDC Drug Name $29.99
Quantity
(Up To) $59.98
Quantity
(Up To) $89.97
Quantity
(Up To) Women's Health 00591-0077-04 ALENDRONATE 35MG TAB 12 24 36 6 7/3/2008 Stop Shop / Giant CareOne Generic Drug Program 00555-0720-54 ALENDRONATE 70MG TAB 12 24 36 00591-0781-30 CLOMIPHENE CITRATE 50MG TAB 15 30 45 51991-0079-01 E.E.M.T. DS TAB (ic Estratest DS) 90 180 270 51991-0078-01 E.E.M.T. HS TAB (ic Estratest HS) 90 180 270 00555-9016-58 SPRINTEC 28-DAY TAB 84 168 252 00093-0784-06 TAMOXIFEN 10MG TAB 180 360 540 00093-0782-56 TAMOXIFEN 20MG TAB 90 180 270 52544-0935-28 TRINESSA-28 DAY TAB 84 168 252 7 7/3/2008

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