These over-the-counter medications, as well as prescription medications,
may be ordered/refilled online using the Pharmacy Refill Request online form.
Cold and
Allergy
| Medication
name (Brand) |
Quantity | Cost |
| Advil cold and sinus (generic) |
20 tabs |
$3.00 |
| Alka-Seltzer Plus cold tablets (cherry burst
flavor) |
20 tabs |
$4.30 |
| Alka-Seltzer Plus night-time cold tablets |
20 tabs |
$5.50 |
| Benadryl (Genahist) diphen 25 mg tablet |
24
tabs |
$2.50 |
| Benadryl allergy and sinus headache
(generic) |
24
tabs |
$2.50 |
| (Chlor-trimeton
generic) chlorpheniramine "allergy" 4 mg tablet |
100
tabs | $2.00 |
| Claritin-D 12 hour tablet |
5 tabs |
$5.50 |
| Claritin-D (loratidine with pseudophedrine) |
5 tabs |
$6.50 |
| Claritin (loratidine) 24 hour tablet |
30 tabs |
$5.00 |
| Cold PE non drowsy - daytime without pseudophedrine |
24 tabs |
$2.25 |
| Dayquil |
6 oz |
$3.00 |
| Delsym cough suppressant |
3 oz |
$10.00 |
| Mucinex |
18 tabs |
|
| Mucinex D |
20 tabs |
$9.00 |
| Mucinex DM |
20 tabs |
$9.40 |
| Robitussin cough DM sugarfree |
4 oz |
$5.50 |
| Sudafed
(Sudogest) pseudoephedrine 30 mg tablet |
24
tabs |
$2.50 |
| Tylenol cold (multisymptom cold
caplet) |
24 caps |
$2.00 |
| Zicam cold remedy nasal |
|
$9.95 |
| Zicam cold remedy nasal allergy relief |
|
$8.95 |
Cough
and Sore Throat
| Medication name
(Brand) |
Quantity | Cost |
| Cepastat
lozenges |
18 loz |
$3.50 |
| Chloraseptic sore throat spray - cherry flavor |
6 oz |
$3.00 |
| Chloraseptic
sore throat lozenges - cherry flavor |
18 loz |
$3.25 |
| Cold-EZE zinc lozenges (cherry, menthol, and
citrus) |
18
loz |
$4.40 |
| Delsym 12 hr. cough relief |
3 oz |
$10.00 |
| Halls fruit breezers |
|
$2.00 |
| Halls
menthol/cherry/honey cough drops |
30
loz | $0.95 |
| Ludens berry cough drop/throat lozenges |
|
$2.00 |
| Nice cough suppressant oral anesthetic |
24 loz |
$2.00 |
| Nyquil (nite time liquid) |
6 oz |
$2.60 |
| Robitussin DM (Guiatuss DM) |
4
oz |
$1.30 |
| Robitussin expectorant (Guiatuss) |
4
oz |
$1.30 |
| Sucrets Complete |
18 |
$3.10 |
| Vicks Vapor Rub medicated chest rub |
1.76 oz |
$4.00 |
First Aid and Topical
| Medication name (Brand) |
Quantity |
Cost |
| Ace elastic bandage--2 inch |
1 |
$3.80 |
| Ace elastic bandage--3 inch |
1 |
$3.50 |
| Ace elastic bandage--4 inch |
1 |
$5.50 |
| Ace reusable cold compress |
1 |
$4.35 |
| Jack Frost reusable cold compress |
1 |
$1.00 |
| Acne medication--benzoyl peroxide 10% |
1.5 oz |
$2.00 |
| Acne medication--benzoyl peroxide 5% |
1.5 oz |
$9.00 |
| Alcohol, rubbing--B.L. |
16 oz |
$0.95 |
| Aloe vera gel (after sun) |
8 oz |
$4.00 |
| Americaine benzocaine topical anesthetic spray |
.2 oz |
$4.40 |
| Amlactin lotion 12% |
14 oz |
$18.00 |
| Aveeno bath treatment |
8 |
$6.54
|
| Bacitracin zinc ointment--antibiotic |
1/2 oz |
$4.50 |
| Bag balm ointment |
1/2 oz |
$3.60 |
| Band-Aid Curad sensitive skin |
30 |
$2.50 |
| Band-Aid flexible fabric |
30 |
$2.00 |
| Band-Aid blister block cushions |
4 |
$3.95 |
| Band-Aid liquid bandage |
10 apps |
$6.75 |
| Band-Aid sheer extra large bandages |
1 |
$.25 |
| Band-Aid sheer spot |
100 |
$8.00 |
| Band-Aids |
100 |
$4.50 |
| Benadryl cream |
1 oz |
$3.50 |
| (Benadryl cream generic) anti-itch 2% cream |
1 oz |
$1.60 |
| Benadryl spray extra strength |
2 oz |
$4.60 |
| Benzoin compound tincture with alcohol |
1 oz |
$4.50 |
| Boudreaux's butt paste |
1 oz |
$2.50 |
| Brite-Life bandage fabric assortment |
20 |
$1.85 |
| Bunion cushions |
6 |
$2.25 |
| Calamine lotion (clear) |
6 oz |
$2.40 |
| Caldensene protecting powder (zinc oxide talc) |
6 oz |
$2.40 |
| Carmex lip balm (jar) |
.25 oz |
$1.00 |
| Carmex lip balm (stick) |
.25 oz |
$1.00 |
| Carmex lip balm (tube) |
.25 oz |
$1.00 |
| Carmol 20 cream |
3 oz |
$8.75 |
| Cetaphil daily moisturizer |
16 oz |
$11.50 |
| Cetaphil moisturizing cream |
1/2 oz |
$2.60 |
| Cetaphil skin cleanser |
16 oz |
$9.45 |
| Cetaphil skin cleanser |
4 fl oz |
$8.95 |
| Chigarid liquid--for insect bites |
1.75 oz |
$2.60 |
| Chiggerex medicated ointment |
1.75 oz |
$2.50 |
| Cocoa butter 100% stick |
5 oz |
$2.49 |
| Corn cushions |
9 |
$2.10 |
| Corn removers, medicated |
9 |
$2.64 |
| Cotton balls |
500 |
$1.50 |
| Curad gauze sterile pads |
25 |
$3.00 |
| Curel lotion |
6 oz |
$4.25 |
| Domeboro powders for soaks |
12 |
$10.25 |
| Epsom salt |
4 lb |
$2.50 |
| Epsom salt B.L. |
16 oz |
$1.15 |
| Eye pads |
1 |
$.20 |
| First Aid cream wound dressing (Johnson & Johnson) |
4 oz |
$2.10 |
| Foille ointment--burns and sunburn |
1 oz |
$2.85 |
| Gauze: 2 inch x 2 inch sponges |
1 |
$0.10 |
| Gauze: 4 inch x 4 inch sponges |
1 |
$0.20 |
| Gauze (Johnson & Johnson):
4 inch x 4 inch sponges |
1 |
$0.20 |
| Gauze--2 inch x 65 inch roll |
1 |
$1.00 |
| Gauze--Telfa No-stick 2 inch x 3 inch |
1 |
$0.20 |
| Gold Bond body powder |
4 oz |
$2.80 |
| Gold Bond foot powder |
4 oz |
$3.00 |
| Hibiclens antiseptic skin cleanser |
4 oz |
|
| Hydrocortisone cream 1% |
1 oz |
$2.60 |
| Hydrocortisone Ointment 1% |
1 oz |
$1.95 |
| Hydrogen peroxide solution 3% |
16 oz |
$1.00 |
| Insect repellent (10 hour) lotion |
2 oz |
$6.69 |
| Insect repellent (Ultrathon) lotion |
2 oz |
$5.65 |
| Insect repellent (Ultrathon) spray |
6 oz |
$5.20 |
| Itch-X--anti-itch gel |
1.25 oz |
$4.00 |
| Ivy Block lotion |
4 oz |
$10.25 |
| Ivy Cleanse towelettes |
12 |
$6.00 |
| Ivy Dry (super) itch reliever |
1 |
$5.90 |
| Keralyt gel (6%) salicylic acid |
1 oz |
$9.00 |
| Lamasil AT--antifungal cream |
24 gm |
$14.00 |
| Lamasil AT--antifungal cream |
12 gm |
$8.15 |
| Lamasil AT--antifungal spray |
1 oz |
$10.50 |
| Mederma (scar management) |
0.70 oz |
$14.95 |
| Medi Pads (hemorrhoidal pad with witch hazel) |
100 |
$4.90 |
| Mediplast Curad (40 % salicylic acid) corn/callus/wart |
1 |
$1.50 |
| Miconazole nitrate cream 2% |
1 oz |
$3.50 |
| Neosporin cream (triple antibiotic
ointment) |
1 oz |
$2.95 |
| Neosporin pain relief |
0.5 oz |
$5.00 |
| Neosporin scar solution #28 |
|
$23.50 |
| Nutraplus cream |
3 oz |
$7.75 |
| Oak 'n Ivy cleanser--Technu |
4 oz |
$12.00 |
| Petroleum jelly |
13 oz |
$2.60 |
| Polysporin antibiotic ointment |
1/2 oz |
$4.00 |
| Purell hand sanitizer |
2 oz |
$1.70 |
| Purell hand sanitizer |
8 oz |
$3.75 |
| Sastid bar soap (salicylic acid and sulfur) |
|
$4.10 |
| Tape, Micropore paper--1 inch x 10 yards |
1 |
$2.00 |
| Tape, surgical--4 inch x 5.5 yards |
1 |
$8.50 |
| Thermacare heat wrap - knee wrap |
2 |
$6.40 |
| Thermacare heat wrap - menstrual |
3 |
$6.00 |
| Thermacare heat wrap - neck to arm |
3 |
$6.00 |
| Vaseline lip therapy |
.35 oz |
$1.10 |
| Wart remover, Duofilm |
1 |
$7.50 |
| Wart remover, Duofilm (cover up discs) |
20 |
$7.30 |
| Wart remover, Rugby - salicylic acid 17% |
1/2 oz |
$2.95 |
| Zanfel washes away poison ivy |
1 oz |
$27.95 |
| Zeasorb medicated powder |
56 gm |
$10.00 |
| Zinc oxide ointment |
1 oz |
$1.30 |
Miscellaneous
| Medication name
(Brand) |
Quantity | Cost |
| Aquaphillic Ointment |
16 oz |
$7.00 |
| Baby powder |
15 oz |
$2.30 |
| Ear
plugs (Flents) for swimming |
6 |
$1.95 |
| Foam ear plugs--Quiet Please |
6 pr |
$2.50 |
| Sealrite (flents) ear plugs |
3 pr |
$1.95 |
| Emery boards |
10 |
$1.25 |
| Eucerin cream |
8 oz |
$9.49 |
| Eucerin lotion |
16 oz |
$9.00 |
| Hydrocerin moisturizing cream |
16 oz |
$8.50 |
| Lacticare lotion |
11.5 oz |
$10.95 |
| Lubriderm moisture |
10 oz |
$6.00 |
| Moisturel cream |
16 oz |
$18.91 |
| Moisturel lotion |
14 oz |
$10.90 |
| Nail clippers |
1 |
$1.25 |
| Neutrogena hand cream |
2 oz |
$3.55 |
| Neutrogena oil free face wash |
6.7 oz |
$5.10 |
| Neutrogena T-Gel (coal tar) |
8.5 oz |
$7.00 |
| Nicoderm
CQ Step 1 | 14 |
$35.00 |
| Nicoderm
CQ Step 2 or Step 3 | 7 |
$18.95 |
| Nicotine gum 2 mg |
110 |
$30.00 |
| Nicotine gum 4 mg |
50 |
$25.00 |
| Nicotine gum 4 mg |
110 |
$39.00 |
| Nizoral (anti-dandruff) |
4 oz |
$9.25 |
| P & S liquid (anti-dandruff) |
4 oz |
$9.25 |
| P & S shampoo (anti-dandruff) |
8 oz |
$12.00 |
| P & S shampoo (anti-dandruff) |
4 oz |
$9.50 |
| PC tar shampoo (anti-dandruff) |
6 oz |
$4.00 |
| Pumice stone |
1 |
$2.00 |
| Rogaine minoxidil 2% |
2-60 ml |
$17.50 |
| Rogaine X-Strength (minoxidil 5%) |
1-60 ml |
$20.00 |
| Selsun Blue (anti-dandruff) shampoo |
7 oz |
$4.00 |
| Tablet
cutter |
1 |
$4.50 |
| Tweezers |
1 |
$4.20 |
| Vitamin E cream |
2 oz |
$8.00 |
Pain and
Fever
| Medication
name (Brand) |
Quantity | Cost |
| (Aleve
generic) naproxen sodium 220 mg |
50 |
$4.00 |
| Aspirin
325 mg (5 grain) tablet |
100 |
$1.00 |
| Bayer aspirin
(generic) 325 mg tablet |
24 |
$0.75 |
| Children's ibuprofen liquid |
4 oz |
$5.00 |
| Children's MAPAP acetaminophen liquid |
4 oz |
$2.95 |
| Enteric coated aspirin 81 mg |
500 |
$7.00 |
| Exedrin
ES genaced |
100 |
$4.50 |
| Exedrin
migraine |
50 | $6.35
|
| Genacote (Ecotrin) aspirin 325 mg |
100 |
$2.50 |
| Ibuprofen generic 200 mg |
1000 |
$16.50 |
| Ibuprofen generic 200 mg |
100 |
$3.75 |
| Midol
menstrual formula (maximum strength) caplet |
24 |
$5.25 |
| Motrin 200 mg tablet |
60 |
$1.75 |
| St. Joseph baby aspirin 81 mg |
36 |
$2.25 |
| (Tylenol
extra strength generic) acetaminophen 500 mg |
50 |
$1.25 |
| (Tylenol
generic) aacetaminophen 325 mg tablet |
100 | $0.85
|
| Tylenol 8 hour 650 mg |
24 |
$5.00 |
| Tylenol 8 hour 650 mg |
50 |
$7.00 |
| Tylenol
arthritis extended relief caplet |
100 | $10.45
|
| Tylenol arthritis pain 650 mg gel
tabs |
80 |
$10.50 |
| Unisom sleep tablets |
16 |
$5.50 |
Stomach
and G.I.
| Medication
name (Brand) |
Quantity | Cost |
| Alka
Seltzer antacid goldline |
36 |
$4.30 |
| Benefiber |
5.4 oz |
$7.30 |
| (Citrucel) methylcellulose
fiber |
16 oz |
$9.95 |
| Dimenhydrinate tablets |
100 |
$2.50 |
| Docusate sodium 100
mg--stool softener |
100 |
$2.50 |
| (Dramamine generic)
motion sickness tablet |
12 | $1.10 |
| Dulcolax suppositories |
4 |
$4.50 |
| Fiber laxative tablet |
90 |
$6.50 |
| Fleets enema |
1 | $1.15 |
| (Gaviscon generic)
Genaton |
100 |
$4.90 |
| (Gaviscon generic)
Genaton liquid tab |
12 oz |
$3.40 |
| Glycerin suppositories |
12 |
$1.75 |
| (Imodium AD generic) loperamide 2 mg |
12 |
$3.00 |
| Lactaid
ultra |
60 |
$6.75 |
| (Lactase) B.L. dairy
relief caplet |
120 |
$6.05 |
| Maalox liquid--mint
flavor |
5 oz | $1.00 |
| Maalox quick dissolve |
45 | $3.25 |
| (Metamucil generic) |
21
oz |
$5.95 |
| Metamucil apple fiber wafers |
12 |
$4.60 |
| Milk of magnesia |
12 fl. oz |
$3.00 |
| Mineral oil--laxative |
16
oz |
$2.30 |
| (Mylanta
generic) chewable tablet--cherry flavor |
35 |
$3.75 |
| Mylanta ultratab |
35 |
$3.75 |
| (Mylicon-80 generic)
simethicone 80 mg |
100 |
$2.25 |
| Nausea cola syrup |
4 oz |
$2.00 |
| Pedia pops (frozen)--$.50
each |
16 | $8.00 |
| Pepcid complete tablet |
25 |
$8.75 |
| (Pepto-Bismol generic)
pink bismuth liquid |
8 oz | $1.90 |
| (Pepto-Bismol
tablet generic) pink bismuth tablet |
30 | $2.30 |
| Prilosec OTC 20 mg |
14 |
$11.25 |
| Prilosec OTC 20 mg |
28 |
$20.00 |
| Prilosec OTC 20 mg |
42 |
$27.50 |
| Tagamet HB 200 mg
tablet |
30 |
$4.50 |
| (Tums generic) B.L.
extra strength antacid tablet |
150 | $3.50 |
| (Zantac generic)
75 mg |
30 |
$7.00 |
