» Mental Health
» Other Medical Conditions
Retailer Program | Drug Strength(s) and Form | 30 Day Qty | 90 Day Qty | Use Category | Program’s Complete Drug List |
Kmart $5 / 30Day $10-$15 / 90Day |
LIDOCAINE 2% VISCOUS SOLN* | 100 | 300 | MENTAL & NEURO HEALTH | Show Kmart list |
*These drugs cost $15.00 for a 90 Day supply | |||||
Stipulation: Enrollment Required in Kmart Pharmacy Prescription Savings Club ($10 enrollment fee) | |||||
Walgreens $5-$15/ 30Day $10-$30 / 90Day |
LIDOCAINE 4% TOP SOLN 50ML** | 50 | 150 | Other | Show Walgreens list |
**These drugs are Tier 2 and are priced at $10 / $20. | |||||
Stipulation: Membership in Walgreens Prescription Savings Club required* | |||||
Wegmans $4 30Day / $10 90Day |
LIDOCAINE 2% VISCOUS SOLUTION (100ML) | 100ml | 300ml | Show Wegmans list |