» Other Medical Conditions
Retailer Program | Drug Strength(s) and Form | 30 Day Qty | 90 Day Qty | Use Category | Program’s Complete Drug List |
Walgreens $5-$15/ 30Day $10-$30 / 90Day |
LIDOCAINE VISCOUS 2% ORAL SOL 100ML** | 100 | 300 | Mouth/Throat/Dental | Show Walgreens list |
**These drugs are Tier 2 and are priced at $10 / $20. | |||||
Stipulation: Membership in Walgreens Prescription Savings Club required* | |||||
Target $4 / 30Day $10 / 90Day |
LIDOCAINE VISCOUS 2% | 100 | 300 | Topical Preparations | Show Target list |
Giant Eagle (MD) $4 / 30Day $10 / 90Day |
LIDOCAINE VISCOUS 0.02 SOLUTION | 100 | 300 | Other | Show Giant Eagle (MD) list |
Stipulation: This List is only valid in Maryland Stores. | |||||
Giant Eagle (OH) $4 / 30Day $10 / 90Day |
LIDOCAINE VISCOUS 0.02 SOLUTION | 100 | 300 | Other | Show Giant Eagle (OH) list |
Stipulation: This List is only valid in Ohio Stores. | |||||
Giant Eagle (PA) $4 / 30Day $10 / 90Day |
LIDOCAINE VISCOUS 0.02 SOLUTION | 100 | 300 | Other | Show Giant Eagle (PA) list |
Stipulation: This List is only valid in Pennsylvania Stores. | |||||
Schnucks $4 / 30Day $10 / 90Day |
LIDOCAINE VISCOUS SOL 2% | 100 | 300 | Other Medical Conditions | Show Schnucks list |
Giant Eagle (WV) $4 / 30Day $10 / 90Day |
LIDOCAINE VISCOUS 0.02 SOLUTION | 100 | 300 | Other | Show Giant Eagle (WV) list |
Stipulation: This List is only valid in West Virginia Stores. |