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$4 and $10 Generic Prescriptions

Dierbergs Pharmacy - Generic Prescriptions

Save with more than 300 $4 and $10 generic prescriptions every day at Dierbergs. Even if you have insurance...in many cases, your cost will be less than your insurance co-pay including mail-order co-pays!

Program is good only with a valid prescription for selected generic drugs and prescribed refills. $4/$9 generic prescriptions are good for up to a 30-day supply of commonly prescribed dosages. $10/$24 generic prescriptions are good for up to a 90-day supply of commonly prescribed dosages. Prescription is $4/$9 or $10/$24 regardless of insurance provider. The list of covered drugs is subject to change. Not all prescription drugs are covered by this program. Ask your pharmacist for details.

Download the Generic Prescription List shown below as a PDF.

$4 and $10 Generic Prescriptions
Medication Name 30 Day Quantity 90 Day Quantity
Acyclovir Cap 200mg 30 90
Acyclovir Tab 400mg 20 60
Albuterol Inh Solution 0.083% 75 225
Albuterol Syrup 120 360
Alendronate Sodium Tab 10mg 4 12
Allopurinol Tab 100mg 30 90
Allopurinol Tab 300mg 30 90
Amiodarone Tab 200mg 30 90
Amlodipine 2.5mg 30 90
Amlodipine 5mg 30 90
Amlodipine 10mg 30 90
Amoxicillin Cap 250mg 30 90
Amoxicillin Cap 500mg 30 90
Amoxicillin Chewable Tab 125mg 30 90
Amoxicillin Chewable Tab 250mg 30 90
Amoxicillin Susp 125mg/5mL 80 240
Amoxicillin Susp 125mg/5mL 100 300
Amoxicillin Susp 125mg/5mL 150 450
Amoxicillin Susp 200mg/5mL 50 150
Amoxicillin Susp 200mg/5mL 75 225
Amoxicillin Susp 200mg/5mL 100 300
Amoxicillin Susp 250mg/5mL 80 240
Amoxicillin Susp 250mg/5mL 100 300
Amoxicillin Susp 250mg/5mL 150 450
Amoxicillin Susp 400mg/5mL 50 150
Amoxicillin Susp 400mg/5mL 75 225
Amoxicillin Susp 400mg/5mL 100 300
Amoxicillin Tab 250mg 30 90
Amoxicillin Tab 875mg 30 90
Ampicillin Cap 250mg 30 90
Ampicillin Cap 500mg 30 90
Ampicillin Susp 125mg/5mL 100 300
Ampicillin Susp 125mg/5mL 200 600
Ampicillin Susp 250mg/5mL 100 300
Ampicillin Susp 250mg/5mL 200 600
Atenolol Tab 25mg 30 90
Atenolol Tab 50mg 30 90
Atenolol Tab 100mg 30 90
Atenolol/Chlrthal Tab 100/25 30 90
Atenolol/Chlrthal Tab 50/25 30 90
Baclofen Tab 10mg 30 90
Benazepril Tab 5mg 30 90
Benazepril Tab 10mg 30 90
Benazepril Tab 20mg 30 90
Benazepril Tab 40mg 30 90
Benzonatate Cap 100mg 14 42
Benzonatate Cap 200mg 14 42
Benztropine Mes Tab 0.5mg 30 90
Benztropine Mes Tab 1mg 30 90
Benztropine Mes Tab 2mg 30 90
Bethanechol Tab 5mg 30 90
Bethanechol Tab 10mg 30 90
Bisoprolol/HCTZ Tab 2.5mg 30 90
Bisoprolol/HCTZ Tab 5mg 30 90
Brimonidine Opth Solution 0.2% 5 15
Bisoprolol/HCTZ Tab 10mg 30 90
Buspirone Tab 5mg 60 180
Buspirone Tab 10mg 60 180
Buspirone HCL 15mg 60 180
Carvedilol Tab 3.125mg 60 180
Carvedilol Tab 6.25mg 60 180
Carvedilol Tab 12.5mg 60 180
Carvedilol Tab 25mg 60 180
Cephalexin Cap 250mg 40 120
Cephalexin Cap 500mg 40 120
Cetirizine HCl Tab 5mg 30 90
Cetirizine HCl Tab 10mg 30 90
Chlorhexidine Rinse 0.12% 473 1419
Cimetidine 400mg 30 90
Ciprofloxacin Opth Solution 0.3% 5 15
Ciprofloxacin Tab 250mg 14 42
Ciprofloxacin Tab 500mg 20 60
Ciprofloxacin Tab 750mg 14 42
Citalopram Tab 10mg 30 90
Citalopram Tab 20mg 30 90
Citalopram Tab 40mg 30 90
Clindamycin Cap 150mg 30 90
Clonidine Tab 0.1mg 30 90
Clonidine Tab 0.2mg 30 90
Clonidine Tab 0.3mg 30 90
Cyclobenzaprine Tab 5mg 30 90
Cyclobenzaprine Tab 10mg 30 90
Cytra-2 Solution 120 360
Dexamethasone Tab 0.5mg 30 90
Dexamethasone Tab 0.75mg 18 54
Dexamethasone Tab 4mg 12 36
Dicyclomine Cap 10mg 90 270
Dicyclomine Cap 20mg 60 180
Diltiazem Tab 30mg 60 180
Diltiazem Tab 60mg 60 180
Diphenhydramine Cap 25mg 30 90
Diphenhydramine Cap 50mg 30 90
Doc-Q-Lace Cap 100mg 100 300
Donepezil Tab 5mg 30 90
Donepezil Tab 10mg 30 90
Enalapril Mal Tab 2.5mg 30 90
Enalapril Mal Tab 5mg 30 90
Enalapril Mal Tab 10mg 30 90
Enalapril Mal Tab 20mg 30 90
Enalapril/HCTZ Tab 5/12.5mg 30 90
Enalapril/HCTZ Tab 10/25mg 30 90
Enulose Sol 10gm/15mL 473 1419
Estradiol Tab 0.5mg 30 90
Estradiol Tab 1mg 30 90
Estradiol Tab 2mg 30 90
Famotidine Tab 10mg 30 90
Famotidine Tab 20mg 30 90
Famotidine Tab 40mg 30 90
Fluconazole Tab 150mg U/U 1 3
Fluoxetine Cap 10mg 30 90
Fluoxetine Cap 20mg 30 90
Fluoxetine Cap 40mg 30 90
Fluoxetine Tab 10mg 30 90
Fluphenazine Tab 1mg 60 180
Folic Acid 1mg 30 90
Fosinopril Tab 10mg 30 90
Fosinopril Tab 40mg 30 90
Fosinopril Sodium 20mg 30 90
Furosemide Tab 20mg 30 90
Furosemide Tab 40mg 30 90
Furosemide Tab 80mg 30 90
Gabapentin Cap 100mg 30 90
Gabapentin Cap 300mg 30 90
Gabapentin Cap 400mg 30 90
Gentamicin Opth Solution 0.3% 5 15
Glimepiride Tab 1mg 30 90
Glimepiride Tab 2mg 30 90
Glimepiride Tab 4mg 30 90
Glipizide Tab 5mg 30 90
Glipizide Tab 10mg 60 180
Glyburide Micro Tab 1.5mg 30 90
Glyburide Micro Tab 2.5mg 30 90
Glyburide Micro Tab 3mg 30 90
Glyburide Micro Tab 6mg 30 90
Guaifenesin Dm Syrup 120 360
Guanfacine Tab 1mg 30 90
Guanfacine Tab 2mg 30 90
Haloperidol Tab 0.5mg 30 90
Haloperidol Tab 1mg 30 90
HCTZ Cap 12.5mg 30 90
HCTZ Tab 25mg 30 90
HCTZ Tab 50mg 30 90
Hydralazine Tab 10mg 30 90
Hydralazine Tab 25mg 30 90
Hydralazine Tab 50mg 30 90
Hydralazine Tab 100mg 30 90
Hydrochlorothiazide Tab 12.5mg 30 90
Hydrocortisone Cream 0.5% 30 60
Hydrocortisone Cream 0.5% 30 90
Hydrocortisone Cream 1% 30 60
Hydrocortisone Cream 1% 30 90
Hydrocortisone Cream 2.5% 30 60
Hydrocortisone Cream 2.5% 30 90
Hydroxyzine Syrup 120 360
Hydroxyzine HCl Tab 10mg 30 90
Hydroxyzine Pamoate Cap 25mg 30 90
Ibuprofen Susp 100mg/5mL 120 360
Ibuprofen Tab 200mg 90 270
Ibuprofen Tab 400mg 90 270
Ibuprofen Tab 600mg 60 180
Ibuprofen Tab 800mg 60 180
Imipramine HCl Tab 10mg 30 90
Imipramine HCl Tab 25mg 30 90
Indapamide Tab 1.25mg 30 90
Indapamide Tab 2.5mg 30 90
Indomethacin Cap 25mg 60 180
Indomethacin Cap 50mg 60 180
Ipratropium Solution 0.02% Udv 75 225
Isoniazid Tab 300mg 30 90
Lactulose Solution 10gm/15mL 473 1419
Lidocaine Viscous Sol 2% 100 300
Lisinopril Tab 2.5mg 30 90
Lisinopril Tab 5mg 30 90
Lisinopril Tab 10mg 30 90
Lisinopril Tab 20mg 30 90
Lisinopril Tab 30mg 30 90
Lisinopril Tab 40mg 30 90
Lisinopril/HCTZ Tab 10/12.5 30 90
Lisinopril/HCTZ Tab 20/12.5 30 90
Lisinopril/HCTZ Tab 20/25 30 90
Lithium Carb Cap 150mg 60 180
Lithium Carb Cap 300mg 90 270
Loperamide 2mg 30 90
Loratadine 10mg 30 90
Lovastatin Tab 10mg 30 90
Lovastatin Tab 20mg 30 90
Lovastatin Tab 40mg 30 90
Magnesium Oxide Tab 400mg 60 180
Mag-SR Tab 64mg 30 90
Medroxyprogst Ace Tab 2.5mg 30 90
Medroxyprogst Ace Tab 5mg 30 90
Medroxyprogst Ace Tab 10mg 30 90
Megestrol Tab 20mg 30 90
Meloxicam Tab 7.5mg 30 90
Meloxicam Tab 15mg 30 90
Metformin Tab 500mg 60 180
Metformin Tab 850mg 60 180
Metformin Tab 1000mg 60 180
Metformin ER Tab 500mg 60 180
Methyldopa Tab 250mg 60 180
Methyldopa Tab 500mg 30 90
Metoclopramide Syrup 5mg 120 360
Metoclopramide Tab 5mg 60 180
Metoclopramide Tab 10mg 60 180
Metoprolol Tab 25mg 60 180
Metoprolol Tab 50mg 60 180
Metoprolol Tab 100mg 60 180
Metronidazole Tab 250mg 28 84
Metronidazole Tab 500mg 14 42
Naproxen Tab 250mg 60 180
Naproxen Tab 375mg 60 180
Naproxen Tab 500mg 60 180
Natalcare Pic Tab 30 90
Natalcare Plus Tab 30 90
Nortriptyline Cap 10mg 30 90
Nortriptyline Cap 25mg 30 90
Ondansetron Tab 4mg 12 36
Ondansetron Tab 8mg 12 36
Oxybutynin Syrup 5mg/5ml 150 450
Paroxetine Tab 10mg 30 90
Paroxetine Tab 20mg 30 90
Paroxetine Tab 30mg 30 90
Paroxetine Tab 40mg 30 90
Penicillin VK Susp 125mg/5mL 100 300
Penicillin VK Susp 125mg/5mL 200 600
Penicillin VK Susp 250mg/5mL 100 300
Penicillin VK Susp 250mg/5mL 200 600
Penicillin VK Tab 250mg 28 84
Penicillin VK Tab 500mg 28 84
Phenazopyridine Tab 100mg 5 15
Poly-Iron Cap 150mg 30 90
Pramipexole Tab 0.5mg 30 90
Pramipexole Tab 1mg 30 90
Pramipexole Tab 1.5mg 30 90
Prednisone Tab 1mg 30 90
Prednisone Tab 2.5mg 30 90
Prednisone Tab 5mg 30 90
Prednisone Tab 10mg 30 90
Prednisone Tab 20mg 30 90
Prochlorperazine Tab 5mg 30 90
Prochlorperazine Tab 10mg 30 90
Prometh Dm Syrup 120 360
Prometh Plain Syrup 120 360
Promethazine Tab 25mg 30 90
Promethazine HCl Tab 12.5mg 20 60
Propranolol Tab 10mg 60 180
Propranolol Tab 20mg 60 180
Propranolol Tab 40mg 60 180
Propranolol Tab 80mg 60 180
Quinapril Tab 5mg 30 90
Quinapril Tab 10mg 30 90
Quinapril Tab 20mg 30 90
Quinapril Tab 40mg 30 90
Ramipril Tab 2.5mg 30 90
Ramipril Tab 5mg 30 90
Ranitidine Oral Solution 60 180
Ranitidine Tab 150mg 60 180
Ranitidine Tab 300mg 30 90
Rena-Vite Tabs 30 90
Reno Caps 30 90
Sertraline 25mg 30 90
Sertraline 50mg 30 90
Sertraline 100mg 30 90
Simvastatin 5mg 30 90
Simvastatin 10mg 30 90
Simvastatin 20mg 30 90
Simvastatin 40mg 30 90
Simvastatin 80mg 30 90
SMZ-TMP Tab 400mg/80mg 28 84
SMZ-TMP DS Tab 800mg/160mg 20 60
Sodium Fluoride Chewable 0.25mg 120 360
Sotalol Tab 80mg 30 90
Spironolactone Tab 25mg 30 90
Terazosin Cap 1mg 30 90
Terazosin Cap 2mg 30 90
Terazosin Cap 5mg 30 90
Terazosin Cap 10mg 30 90
Terbinafine Tab 250mg 30 90
Thioridazine Tab 25mg 30 90
Thiothixene Tab 2mg 30 90
Timolol Mal Opth Solution 0.25 5 15
Timolol Mal Opth Solution 0.5 5 15
Topiramate Tab 25mg 60 180
Topiramate Tab 50mg 60 180
Topiramate Tab 100mg 60 180
Topiramate Tab 200mg 60 180
Torsemide 5mg 30 90
Torsemide 10mg 30 90
Torsemide 20mg 30 90
Trazodone Tab 50mg 30 90
Trazodone Tab 100mg 30 90
Trazodone Tab 150mg 30 90
Triamterene/HCTZ Tab 37.5/25 30 90
Triamterene/HCTZ Tab 75/50 30 90
Trihexyphenidyl Tab 2mg 60 180
Trimeth/Polymyxin Opth Solution 10 30
Verapamil Tab 80mg 60 180
Verapamil Tab 120mg 60 180
Vitamin D2 50,000 IU 4 12
Warfarin Sodium Tab 1mg 30 90
Warfarin Sodium Tab 2mg 30 90
Warfarin Sodium Tab 2.5mg 30 90
Warfarin Sodium Tab 3mg 30 90
Warfarin Sodium Tab 4mg 30 90
Warfarin Sodium Tab 5mg 30 90
Warfarin Sodium Tab 6mg 30 90
Warfarin Sodium Tab 7.5mg 30 90
Warfarin Sodium Tab 10mg 30 90
 
$9 and $24 Generic Prescriptions
Medication Name 30 Day Quantity 90 Day Quantity
Alendronate Sodium 35mg 4 12
Alendronate Sodium 70mg 4 12
Amitriptyline Tab 10mg 60 180
Amitriptyline Tab 25mg 30 90
Anastrozole 1mg 30 90
Clomiphene 50mg 5 15
Finasteride 5mg 30 90
Letrozole 2.5mg 30 90
Megestrol 40mg 60 180
Previfem 28 84
Tamoxifen 10mg 60 180
Tamoxifen 20mg 30 90
Tri-Previfem 28 84
Updated September 29, 2014

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