1. No category

NAME (NOMBRE) ______________________________________________________________
ADDRESS (DIRECCIÓN) ________________________________________________________
_____________________________________________________________________________
MEMBER ID ( NUMERO DE MEMBRESIA) __________________________________________
PHONE (TELEFONO) ___________________________________________________________
/ Digestion / Laxatives
Item Antacids
(Antiácidos / Digestión / Laxantes)
Qty
Brand
Marca
Price
Precio
A1 EFFERVESCENT PAIN RELIEF 36CT ALKA-SELTZER 4.49
A4
CALCIUM ANTACID ES TABLETS
96CT TUMS 3.99
A7
RANITIDINE 75MG
30CT
ZANTAC 7.99
A8
ANTIACID TABS
100CT
6.49
A13 ANTACID CHEWABLE TABS
60CT
4.99
A14 HEARTBURN RELIEF TABS 30CT PEPCID ACID 6.99
A15 MOTION SICKNESS TABS 12CT DRAMAMINE 3.99
L1
BISACODYL TABS
25CT DULCOLAX 4.49
L2
STOOL SOFTENER
100CT
9.99
L4 SENNA LAXATIVE TABS 50CT SENOKOT 7.99
L6 GLYCERIN SUPPOSITORIES ADULT 25CT
3.49
L7
FIBER CAPSULES
160CT METAMUCIL 10.99
L8 CHILDRENS SUPPOSITORIES 25CT
3.49
L11
COLON CLEANSER
120CT
FDC
7.99
L13
ENEMA SINGLE
1 CT
1.49
Q1 ANTI-DIARRHEAL CAPLETS 12 CT
5.49
Q3 PINK BISMUTH CHEWABLE TABS 30CT PEPTO-BISMOL 3.99
Q4 GAS RELIEF SOFTGEL E/S 30CT GAS X 4.49
INFANT GAS RELIEF
Q8
5OZ
6.49
Pain Relievers (Analgésicos)
P3 ASPIRIN 81MG LOW DOSE TABLETS 32CT
2.49
P4 ENTERIC ASPIRIN 81MG 120CT
5.49
P8 CHEWABLE ASPIRIN 81MG 36CT BAYER 2.49
P11 CHILDREN'S PAIN RELIEF RAPID TABS 30CT
3.99
P12 CHILDREN'S IBUPROFEN SUSPENSION
4OZ CHILDREN'S MOTRIN 6.49
P13 CHILDREN'S PAIN RELIEF SUSPENSION 4OZ CHILDREN'S TYLENOL 4.49
P9 HEADACHE RELIEF COATED TABLETS 24CT
1.99
P14 HOT / COLD PATCHES
5CT ICY HOT 6.99
P17 HEADACHE RELIEF COATED TABLETS 100CT EXCEDRIN 7.49
GLUCOSE TABLETS ORANGE
P20
10CT
1.99
P44 MUSCLE THERAPEUTIC BLUE GEL 8OZ
7.49
P45 ACETOMINOPHEN NIGHTTIME PAIN RELIEF 24CT TYLENOL PM 3.99
Miscellaneous / Sunscreen Lotion (Misceláneo / Loción Protectora Del Sol)
C8 THERMOMETER DIGITAL EACH
4.99
F35 LIQUID CORN & CALLUS REMOVER .5OZ
3.99
M1
SUNBLOCK SPF 45
3OZ NEUTROGENA 6.99
M3
LIP BALM
.15OZ
1.99
SLEEP AID 25MG
M6
24ct
3.99
M9 COTTON SWABS DOUBLE TIPPED PLASTIC STICK 375CT
2.49
J&J
M11 BABY POWDER WITH CORN STARCH 4OZ
1.99
MONISTAT 7.99
M30 MICONAZOLE NITRATE
M46 AZO URINARY RELIEF
12CT AZO STANDARD 4.99
OIL OF BEAUTY
M48
6OZ
OLAY
6.99
M51 7 DAY PILL BOX (LARGE)
EACH
2.49
M52 BENZOCAINE TOPICAL
.33OZ ANBESOL 5.99
M55 HEARING AID BATTERIES 312 8CT
6.99
M56
GENTLE TAPE 2 PACK
EACH
5.99
M57 VINYL DISPOSABLE GLOVES 50CT
7.49
VITAMIN E CREAM
X18
4OZ
4.99
X72 *BLOOD PRESSURE MONITOR MANUAL EACH
17.99
First Aid / Personal Care
Item Primeros
Auxilios / Cuidado Personal Qty
F2
MUSCLE RUB
F4
CALAMINE LOTION
F5 HYDROCORTISONE CREAM 1%
F7 TRIPLE ANTIBIOTIC OINTMENT
F10 DIAPER RASH OINTMENT
F11
ANTI-ITCH CREAM
F29 ITCH RELIEF GEL MAX STRENGTH
F34 HOT/COLD MULTI-COMPRESS
F61 BACITRACIN OINTMENT
F64 BENZOYL PEROXIDE 10%
M45
ALCOHOL PREP PADS
M52
BENZOCAINE TOPICAL
C1
C2
C4
C7
C11
C12
C13
C14
C16
C19
C20
C24
C52
C54
C55
C56
C57
C60
C61
3OZ
6OZ
1OZ
.5OZ
2OZ
1OZ
4OZ
1CT
1OZ
1OZ
100 CT
.33OZ
Brand
Marca
Price
Precio
BEN-GAY 5.99
CALADRYL 2.99
CORTIZONE 4.99
NEOSPORIN 4.49
DESITIN 3.99
BENADRYL 4.99
4.99
8.49
5.99
4.99
3.99
5.99
Cough / Cold / Allergy (Tos / Catarros / Alergia)
NASAL SPRAY REGULAR 1OZ
ALLERGY DIPHENHYDRAMINE CAPSULES 24CT BENADRYL
NON ASPIRIN DAY/NIGHT COMBO PE COLD MULTI 24CT
MEDICATED CHEST RUB 3.53OZ VICK'S VAPORUB
SORE THROAT LOZENGES 18CT
TUSSIN EXPECTORANT
4OZ
TUSSIN DM COUGH
4OZ
COLD MULTI-SYMPTOM 24CT
NASAL DECONGESTANT TABS
18CT
CHEST CONGESTANT RELIEF 400MG 60CT
CHILDREN'S ALLERGY ELIXIR CHERRY 4OZ
COLD GELS PE DAYTIME 16CT DAYQUIL
SALINE NASAL SPRAY
1.5OZ
SINUS CONGESTION NIGHTTIME
16CT
CHILD'S ALLERGY DIPHENHYDRAMINE RAPID MELT 18CT
SINUS ACETAMINOPHEN 24CT TYLENOL SINUS
SORE THROAT SPRAY
6OZ CHLORASEPTIC
COUGH COLD ANTIHISTAMINE
16CT CORIC HBP C&C
FEXOFENADINE TABLET 180MG 30CT ALGR ADL 24HR180MG
5.49
3.99
5.99
5.99
3.99
4.99
4.99
4.99
4.49
9.49
4.99
4.49
3.49
4.49
4.49
4.99
4.49
5.49
14.99
Anti-Fungals (Antimicóticos)
M30 MICONAZOLE NITRATE 1.59OZ MONISTAT 7.99
O1 CLOTRIMAZOLE CREAM USP 1% 1OZ TINACTIN 9.99
MONISTAT 6.99
02
ANTIFUNGAL CREAM
1OZ
Anti-Hemorrhoidals (Contra Hemorroides)
H2 HEMORRHOIDAL SUPOSITORIES 12CT
4.99
H3 HEMORRHOIDAL OINTMENT 2OZ PREPARATION H 7.49
Dental (Dental)
X2
DENTURE TABS
X6 DENTURE ADHESIVE REGULAR
84CT
5.49
2.4OZ FIXODENT 3.99
Ear and Eye Care (Cuidado de la vista y Oido)
E1
ARTIFICIAL TEARS
.5OZ
VISINE
4.49
E2
EYE DROPS
.5OZ
VISINE
3.49
E3
EARACHE DROPS
.33Z SIMILISAN 8.99
E4 EYE ITCH RELIEF 12 HOUR .17OZ
10.99
X16
5.99
EAR WAX DROP
KIT
*LIMIT (1) PER ORDER • *LÍMITE DE (1) POR ORDEN
Medicines, ointments and sprays with active medical ingredients that cure, diminish or remove symptoms
Medicamentos, ungüentos y aerosoles con ingredientes medicinales activos que curan o eliminan los síntomas
YOU WILL RECEIVE THE GENERIC EQUIVALENT OF ALL ITEMS.
USTED RECIBIRÁ EL GENÉRICO EQUIVALENTE DE TODOS LOS PRODUCTOS.
Vitamins / Minerals (Vitaminas / Minerales)
V1
B-COMPLEX VITAMIN 100%
100 CT
4.49
V19 OMEGA-3 FISH OIL 1000MG 100 CT
V2
VITAMIN C 500MG
100 CT
6.99
V26
VITAMIN D 400 IU
100 CT
2.99
V3
CALCIUM CARBONATE + D
60 CT
CALTRATE
4.49
V32
D 1,000 IU
100CT
3.49
V5
COENZYME Q-10 10MG
30CT
NATURE'S BOUNTY
5.49
V33
B-12 1000 MCG
100CT
8.99
100CT
ONE A DAY
5.99
V35!
MAGNESIUM
MG
!
- 500
-
100CT
!
-
V6
V7
!
!
DAILY MULTI
VITAMIN
-
-
COMPLETE SENIOR VITAMINS
-
!
-
100CT CENTRUM SLVR 9.99
-
V10 GLUCOSAMIN/CHONDROITIN
50- CT
V11
CALCIUM 500 MG +D
V14
A 10,000 IU NATURAL
-
-
-
-
- -
75- CT
-
100 CT
-
V15 CHEWABLE MULTIVITAMINS
100- CT
V16
V17
V18
VITAMIN
- IU
E- 400
-
-
FOLIC ACID 800MCG
-
IRON SUPPLEMENT
- -
NATURE'S BOUNTY
10.99
CITRACAL
5.49
NATURE'S- BOUNTY
4.99
FLINSTONES
6.99
100- CT
-
100 CT
-
12.99
-
3.49
-
100- CT
- -
-
-
!
5.49
- V36 ZINC GLUCONATE- 50 MG CHELATED
V38
-
-
-
PROBIOTIC ADULT 20 BILLION
V46
ADULT GUMMY
VITAMINS
-
-
-
-
15CT
-
- -
V48
BIOTIN
-
MCG
-
60CT-
-
V49 MELATONIN GUMMIES 5MG 60CT
-
-
-
V50 L-LYSINE 500MG- VITAMIN
- -
100CT
-
V51
1O0CT
-
-
-
-
-
9.99
13.49
9.49
-
-
-
TURMERIC
-400MG
- -
4.49
50CT- OAD REG GUMMIES 7.49
V47 PRENATAL VITAMIN
TABLETS
100CT- 10000
7.99
4.49
-
-
-
-
Must consult with Primary Care Physician prior to ordering a dual-purpose item.
Debe consultar con
su médico de cabecera antes de ordenar un producto de doble
propósito.
-
-
100CT
90CT-
V45
-
-
CO-Q10 30MG
90- CT
PURITAN
-
10.99
9.49
5.49
10.49
-
-
-
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