$4 Generic Prescriptions

MEDICATION NAME	QTY
ACYCLOVIR 200MG CAPS	30
ALBUTEROL 0.5% SOLN	20
ALBUTEROL 0.83MG/ML	75
NEB (25 X 2.5ML)
ALBUTEROL 2MG TABS	90
ALBUTEROL 4MG TABS	60
ALBUTEROL 2MG/5ML SYRUP	120
ALLOPURINOL 100MG TABS	30
ALLOPURINOL 300MG TABS	30
AMILORIDE/HCTZ 5/50MG TABS	30
AMITRIPTYLINE 10MG TABS	60
AMITRIPTYLINE 25MG TABS	60
AMITRIPTYLINE 50MG TABS	60
AMITRIPTYLINE 75MG TABS	30
AMITRIPTYLINE 100MG TABS	30
AMOXICILLIN 125/5ML SUSP	150
AMOXICILLIN 125/5ML SUSP	100
AMOXICILLIN 125/5ML SUSP	80
AMOXICILLIN 250/5ML SUSP	150
AMOXICILLIN 250/5ML SUSP	100
AMOXICILLIN 250/5ML SUSP	80
AMOXIL 50/ML DROPS	30
ATENOLOL 25MG TABS	30
ATENOLOL 50MG TABS	30
ATENOLOL 100MG TABS	30
ATENOLOL/CHLOR 50/25MG TABS	30
ATENOLOL/CHLOR 100/25MG TABS	30
BACLOFEN 10MG TABS	60
BELLADONNA ALKA/PB TABS	60
BENAZEPRIL 5MG TABS	30
BENAZEPRIL 10MG TABS	30
BENAZEPRIL 20MG TABS	30
BENAZEPRIL 40MG TABS	30
BENZTROPINE 0.5MG TABS	30
BENZTROPINE 1MG TABS	30
BENZTROPINE 2MG TABS	30
BETAMETH DIP 0.05% CREAM	30
BETAMETH DIP 0.05% CREAM	45
BETAMETH DIP 0.05% OINT	15
BETAMETH DIP 0.05% OINT	45
BETAMETH VAL 0.1% CREAM	15
BETAMETH VAL 0.1% CREAM	45
BETAMETH VAL 0.1% OINT	15
BETAMETH VAL 0.1% OINT	45
BISOPROLOL/HCTZ 2.5/6.25 TABS	30
BISOPROLOL/HCTZ 5/6.25 TABS	30
BISOPROLOL/HCTZ 10/6.25 TABS	30
BUMETANIDE 0.5MG TABS	30
BUMETANIDE 1MG TABS	30
BUSPIRONE 5MG TABS	60
BUSPIRONE 10MG TABS	60
CAPTOPRIL 12.5MG TABS	60
CAPTOPRIL 25MG TABS	60
CAPTOPRIL 50MG TABS	60
CAPTOPRIL 100MG TABS	60
CARBAMAZEPINE 200MG TABS	60
CERON DROPS	30
CHLORHEXIDINE GLUC SOLN	480
CHLORPROPAMIDE 100MG TABS	30
CHLORTHALIDONE 25MG TABS	30
CHLORTHALIDONE 50MG TABS	30
CHLORZOXAZONE 500MG TABS	30
CIMETIDINE 800MG TABS	30
CITALOPRAM 20MG TABS	30
CITALOPRAM 40MG TABS	30
CLONIDINE 0.1MG TABS	30
CLONIDINE 0.2MG TABS	30
CYCLOBENZAPRINE 5MG TABS	30
CYCLOBENZAPRINE 10MG TABS	30
CYCLOPENTOLATE 1% OPHT SOLN	15
CYTRA-2 (SOD CITRATE+CITRIC)
SOLN	240
DE-CHLOR DM SYRUP*	120
DEXAMETHASONE 0.5MG TABS	30
DEXAMETHASONE 0.75MG TABS	18
DEXAMETHASONE 4MG TABS	12
DICYCLOMINE 10MG CAPS	90
DICYCLOMINE 20MG TABS	60
DIGOXIN 0.125MG TABS	30
DIGOXIN 0.25MG TABS	30
DILTIAZEM 30MG TABS	60
DILTIAZEM 60MG TABS	60
DILTIAZEM 90MG TABS	60
DILTIAZEM 120MG TABS	30
DIPIVEFRIN .1% OPHT SOLN	5
DOXAZOSIN 1MG TABS	30
DOXAZOSIN 2MG TABS	30
DOXAZOSIN 4MG TABS	30
DOXAZOSIN 8MG TABS	30
DOXEPIN 10MG CAPS	30
DOXEPIN 25MG CAPS	30
DOXEPIN 50MG CAPS	30
DOXEPIN 75MG CAPS	30
DOXEPIN 100MG CAPS	30
ENALAPRIL 2.5MG TABS	30
ENALAPRIL 5MG TABS	30
ENALAPRIL 10MG TABS	30
ENALAPRIL 20MG TABS	30
ENALAPRIL/HCTZ 5/12.5 TABS	30
ENULOSE 10GM/15ML SYRUP	240
ERYTHROMYCIN 250MG CAPS	30
ERYTHROMYCIN 250MG TABS	40
ESTRADIOL 0.5MG TABS	30
ESTRADIOL 1MG TABS	30
ESTRADIOL 2MG TABS	30
ESTROPIPATE 0.75MG TABS	30
ESTROPIPATE 1.5 MG TABS	30
FAMOTIDINE 20MG TABS	30
FLUOCINONIDE 0.05% CREAM	15
FLUOCINONIDE 0.05% CREAM	30
FLUOXETINE 10MG CAPS	30
FLUOXETINE 20MG CAPS	30
FLUPHENAZINE 1MG TABS	60
FOLIC ACID 1MG TABS	30
FUROSEMIDE 20MG TABS	30
FUROSEMIDE 40MG TABS	30
FUROSEMIDE 80MG TABS	30
GENTAMICIN 0.1% CREAM	15
GENTAMICIN 0.1% OINT	15
GENTAMICIN OPHT SOLN	5
GLIMEPIRIDE 1MG TABS	30
GLIMEPIRIDE 2MG TABS	30
GLIMEPIRIDE 4MG TABS	30
GLIPIZIDE 5MG TABS	30
GLIPIZIDE 10MG TABS	60
GLYBURIDE 1.25MG TABS	30
GLYBURIDE 2.5MG TABS	30
GLYBURIDE 5MG TABS	30
GLYBURIDE 3MG MICR TABS	30
GLYBURIDE 6MG MICR TABS	30
GUANFACINE 1MG TABS	30
HALOPERIDOL 0.5MG TABS	60
HALOPERIDOL 1MG TABS	60
HALOPERIDOL 2MG TABS	60
HALOPERIDOL 5MG TABS	60
HYDRALAZINE 10MG TABS	30
HYDRALAZINE 25MG TABS	30
HYDROCHLOROTHIZIDE 12.5MG
CAPS	30
HYDROCHLOROTHIZIDE 25MG TABS	30
HYDROCHLOROTHIZIDE 50MG TABS	30
HYDROCORTISONE 1% CREAM	30
HYDROCORTISONE 2.5% CREAM	30
IBUPROFEN 100MG/5ML SUSP	120
IBUPROFEN 400MG TABS	90
IBUPROFEN 600MG TABS	60
IBUPROFEN 800MG TABS	30
INDAPAMIDE 1.25MG TABS	30
INDAPAMIDE 2.5MG TABS	30
IPRATROPIUM 0.02% SOLN
(25 x 2.5ML)	75
ISONIAZID 300MG TABS	30
ISOSORBIDE DIN 5MG TABS	90
ISOSORBIDE DIN 10MG TABS	90

MEDICATION NAME	QTY
ISOSORBIDE DIN 20MG TABS	90
LACTULOSE 10GM/15ML SYRUP	240
LEVOBUNOLOL 0.5% OPTH SOLN	5
LEVOTHYROXINE 25MCG TABS	30
LEVOTHYROXINE 50MCG TABS	30
LEVOTHYROXINE 75MCG TABS	30
LEVOTHYROXINE 88MCG TABS	30
LEVOTHYROXINE 100MCG TABS	30
LEVOTHYROXINE 112MCG TABS	30
LEVOTHYROXINE 125MCG TABS	30
LEVOTHYROXINE 137MCG TABS	30
LEVOTHYROXINE 150MCG TABS	30
LEVOTHYROXINE 175MCG TABS	30
LEVOTHYROXINE 200MCG TABS	30
LIDOCAINE VISCOUS SOLN	100
LISINOPRIL 2.5MG TABS	30
LISINOPRIL 20MG TABS	30
LISINOPRIL 5MG TABS	30
LISINOPRIL 10MG TABS	30
LISINOPRIL/HCTZ 10/12.5 TABS	30
LISINOPRIL/HCTZ 20/12.5 TABS	30
LISINOPRIL/HCTZ 20/25 TABS	30
LITHIUM CARB 300MG CAPS	90
LORATADINE 10MG TABS	30
LOVASTATIN 10MG TABS	30
MAG 64 TABS*	30
MAG-OXIDE 400MG TABS	60
MEDROXYPROGEST 2.5MG TABS	30
MEDROXYPROGEST 5MG TABS	30
MEDROXYPROGEST 10MG TABS	14
MEGESTROL ACET 20MG TABS	30
MELOXICAM 7.5MG TABS	30
MELOXICAM 15MG TABS	30
METFORMIN 500MG TABS	60
METFORMIN 850MG TABS	60
METFORMIN 1000MG TABS	60
METFORMIN ER 500MG TABS	60
METHYLDOPA 250MG TABS	60
METHYLDOPA 500MG TABS	30
METOCLOPRAMIDE 10MG TABS	60
METOCLOPRAMIDE SYRUP	120
METOPROLOL 100MG TABS	60
METOPROLOL 25MG TABS	60
METOPROLOL 50MG TABS	60
NADOLOL 20MG TABS	30
NADOLOL 40MG TABS	30
NAPROXEN 250MG TABS	60
NAPROXEN 375MG TABS	60
NAPROXEN 500MG TABS	60
NAPROXEN SOD 275MG TABS	30
NEOMY/POLYM/DEXM OPHT OINT	3.5
NORTRIPTYLINE 10MG CAPS	30
NORTRIPTYLINE 25MG CAPS	30
NYSTATIN CREAM	15
NYSTATIN CREAM	30
NYSTATIN OINT	15
NYSTATIN OINT	30
NYSTATIN/TRIAMCINOL CREAM	15
NYSTATIN/TRIAMCINOL CREAM	30
NYSTATIN/TRIAMCINOL OINT	15
NYSTATIN/TRIAMCINOL OINT	30
OXYBUTYNIN 5MG TABS	60
PENICILLIN VK 125MG/5ML SOLN	100
PENICILLIN VK 125MG/5ML SOLN	200
PENICILLIN VK 250MG/5ML SOLN	100
PENICILLIN VK 250MG TABS	28
PHENAZOPYRIDINE 100MG TABS	30
PHENAZOPYRIDINE 200MG TABS	30
PILOCARPINE 0.5% OPHT SOLN	15
PILOCARPINE 1% OPHT SOLN	15
PILOCARPINE 2% OPHT SOLN	15
PINDOLOL 5MG TABS	30
PINDOLOL 10MG TABS	30
POLYMYXIN B/TRIMETH OPHT
SOLN	10
POTASSIUM CHLORIDE 10% LIQ	480
POTASSIUM CHLORIDE 20% LIQ	480
POTASSIUM CHLORIDE 8MEQ TABS	30
POTASSIUM CHLORIDE 10MEQ
TABS	30
POTASSIUM CHLORIDE M 10MEQ
ER TABS	30
PRAZOSIN 1MG CAPS	30
PRAZOSIN 2MG CAPS	30
PRAZOSIN 5MG CAPS	30
PREDNISONE 2.5MG TABS	30
PREDNISONE 5MG TABS	30
PREDNISONE 10MG TABS	30
PREDNISONE 20MG TABS	30
PREDNISONE 5MG DOSEPACK	21
PREDNISONE 5MG DOSEPACK	48
PREDNISONE 10MG DOSEPACK	21
PREDNISONE 10MG DOSEPACK	48
PRENATAL PLUS TABS 30
PRENATAL RX (VINATE ONE) TABS	30
PROCHLORPERAZINE 5MG TABS	30
PROCHLORPERAZINE 10MG TABS	30
PROMETHAZINE 25MG TABS	12
PROMETHAZINE 6.25/5ML SYRUP	120
PROMETHAZINE DM SYRUP	120
PROPRANOLOL 10MG TABS	60
PROPRANOLOL 20MG TABS	60
PROPRANOLOL 40MG TABS	60
PROPRANOLOL 80MG TABS	60
RANITIDINE 150MG TABS	60
RANITIDINE 300MG TABS	30
SALSALATE 500MG TABS	60
SALSALATE 750MG TABS	60
SELENIUM SULFIDE 2.5% LOTN	120
SOD FLUORIDE 0.25MG CHEWTABS	30
SOD FLUORIDE 0.5MG CHEW TABS	30
SOTALOL 80MG TABS	30
SPIRONOLACTONE 25MG TABS	30
SULFACET SOD 10% OPTH SOLN	15
TERAZOSIN 1MG CAPS	30
TERAZOSIN 2MG CAPS	30
TERAZOSIN 5MG CAPS	30
TERAZOSIN 10MG CAPS	30
TETRACYCLINE 250MG CAPS	60
TETRACYCLINE 500MG CAPS	60
THIORIDAZINE 10MG TABS	30
THIORIDAZINE 25MG TABS	30
THIORIDAZINE 50MG TABS	30
THIOTHIXENE 2MG CAPS	30
TIMOLOL 0.25% OPHT SOLN	5
TIMOLOL 0.5% OPHT SOLN	5
TRAZODONE 100MG TABS	30
TRAZODONE 150MG TABS	30
TRAZODONE 50MG TABS	30
TRIAMCINOLONE 0.025% CREAM	15
TRIAMCINOLONE 0.025% CREAM	80
TRIAMCINOLONE 0.1% CREAM	15
TRIAMCINOLONE 0.1% CREAM	80
TRIAMCINOLONE 0.1% OINT	15
TRIAMCINOLONE 0.1% OINT	80
TRIAMCINOLONE 0.5% CREAM	15
TRIAMT/HCTZ 37.5/25 CAPS	30
TRIAMT/HCTZ 37.5/25 TABS	30
TRIAMT/HCTZ 75/50 TABS	30
TRIHEXYPHENIDYL 2MG TABS	60
TRI-VIT FL 0.25MG DROPS	50
TRI-VIT FL 0.5MG DROPS	50
TRI-VIT-FL FE 0.25MG DROPS	50
VERAPAMIL 80MG TABS	60
VERAPAMIL 120MG TABS	60
WARFARIN 1MG TABS	30
WARFARIN 2.5MG TABS	30
WARFARIN 2MG TABS	30
WARFARIN 3MG TABS	30
WARFARIN 4MG TABS	30
WARFARIN 5MG TABS	30
WARFARIN 6MG TABS	30
WARFARIN 7.5MG TABS	30
WARFARIN 10MG TABS	30

*Certain restrictions apply. See Pharmacy for details.

Dominick's Generic Drug Program Disclaimer Certain restrictions apply. See Pharmacy for details. This program is available at all Safeway Company pharmacies in (IL, MD, DC, DE, VA, PA, NJ). $4 prescriptions are for up to a 30-day supply of an included generic drug at a commonly prescribed dosage. The list of generic drugs included in this program may not include all manufacturers and is subject to change. Not all prescription drugs are included in this program. This program may be modified or discontinued at any time. There are over 300 generics available. Your participation in certain prescription-drug plans may entitle you to pay even less than $4 for certain prescriptions. If you are eligible, you will be charged the lowest applicable amount. Only prescriptions initially filled in person at a participating pharmacy are eligible for the $4 rate; refills must also be picked up in-store, but may be ordered in person, online or by phone. See your pharmacist for more information or to determine if your generic drug is covered by this program.

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