Extended Supply Program

How the plan works – Program Details

The Extended Supply Program is for maintenance medications that you have been on and you will probably be on for many months to come. Not all medications are on the Extended Supply Program. A list of commonly prescribed medications is indicated below. These medications cover disease states including Cardiac, Diabetic, Psychiatric, and many other chronic disease states.

What you need to do…

1. Talk to your doctor or pharmacist. Check if you are able to receive a medication on the program. If you are, obtain a prescription for the extended supply your physician wants you to take. Either 100, 200 or 360 days supply of medication (at normal dosing)

2. Have the Doctor either give you the prescription and you bring it in -may take 1 business day to fill for large quantities, or have your Doctor fax, e-script or call in your prescription.

3. The prescription must be written for the extended days supply of medication. If the physician writes for 30 tablets plus 11 more refills, we cannot change it to 360 tablets and 0 refills. It must be written for 360 tablets. We can however lower the amount you receive from 360 to 100 if you prefer less.

4. You must sign a statement indicating you wish to enroll in ‘Dan’s Extended Supply Program” and you do not want us to bill your insurance for a reduced supply of medication, and you will not submit a bill to your insurance for reimbursement.

5. You must understand that pricing does not apply to lower than 100 days supply of medication and price cannot be prorated.

6. Changes may be made at any time without notice. Only strengths and quantities listed are eligible.

Pricing Structure for most medications

100 Days Supply = $12.00

200 Days Supply =$24.00

360 Days Supply =$40.00

Over 100 Commonly Prescribed Medications and dosages on program

For medications not on this list we also accept most Rx insurance. Such as TRICARE, Medicare D, Federal BC, Anthem, Express Scripts, Caremark, and many more

Blood Pressure, Heart Health

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Amlodipine10mgtab$12.00100$24.00200$40.00360
Amlodipine2.5mgtab$12.00100$24.00200$40.00360
Amlodipine5mgtab$12.00100$24.00200$40.00360
Carvedilol12.5mgtab$12.00200$24.00400$40.00720
Carvedilol25mgtab$12.00200$24.00400$40.00720
Carvedilol3.125mgtab$12.00200$24.00400$40.00720
Carvedilol6.25mgtab$12.00200$24.00400$40.00720
Clonidine0.1mgtab$12.00100$24.00200$40.00360
Clonidine0.2mgtab$12.00100$24.00200$40.00360
Diltiazem30mgtab$12.00100$24.00200$40.00360
Diltiazem60mgtab$12.00100$24.00200$40.00360
Enalapril10mgtab$12.00100$24.00200$40.00360
Enalapril2.5mgtab$12.00100$24.00200$40.00360
Enalapril20mgtab$12.00100$24.00200$40.00360
Enalapril5mgtab$12.00100$24.00200$40.00360
Enalapril-HCTZ5/12.5tab$12.00100$24.00200$40.00360
Furosemide20mgtab$12.00100$24.00200$40.00360
Furosemide40mgtab$12.00100$24.00200$40.00360
Furosemide80mgtab$12.00100$24.00200$40.00360
Guanfacine1mgtab$12.00100$24.00200$40.00360
HCTZ (hydrochlorothiazide)12.5mgtab$12.00100$24.00200$40.00360
HCTZ (hydrochlorothiazide)25mgtab$12.00100$24.00200$40.00360
HCTZ (hydrochlorothiazide)50mgtab$12.00100$24.00200$40.00360
Lisinopril10mgtab$12.00100$24.00200$40.00360
Lisinopril2.5mgtab$12.00100$24.00200$40.00360
Lisinopril20mgtab$12.00100$24.00200$40.00360
Lisinopril5mgtab$12.00100$24.00200$40.00360
Lisinopril-HCTZ10-12.5tab$12.00100$24.00200$40.00360
Lisinopril-HCTZ20-12.5tab$12.00100$24.00200$40.00360
Lisinopril-HCTZ20-25tab$12.00100$24.00200$40.00360
Metoprolol Tart.100mgtab$12.00200$24.00400$40.00720
Metoprolol Tart.25mgtab$12.00200$24.00400$40.00720
Metoprolol Tart.50mgtab$12.00200$24.00400$40.00720
Propranolol10mgtab$12.00200$24.00400$40.00720
Propranolol20mgtab$12.00200$24.00400$40.00720
Sotalol80mgtab$12.00100$24.00200$40.00360
Terazosin10mgcap$12.00100$24.00200$40.00360
Terazosin1mgcap$12.00100$24.00200$40.00360
Terazosin2mgcap$12.00100$24.00200$40.00360
Terazosin5mgcap$12.00100$24.00200$40.00360
Verapamil120mgtab$12.00100$24.00200$40.00360
Verapamil80mgtab$12.00100$24.00200$40.00360
Warfarin1mgtab$12.00100$24.00200$40.00360
Warfarin2mgtab$12.00100$24.00200$40.00360
Warfarin3mgtab$12.00100$24.00200$40.00360
Warfarin4mgtab$12.00100$24.00200$40.00360
Warfarin5mgtab$12.00100$24.00200$40.00360
Warfarin6mgtab$12.00100$24.00200$40.00360
Warfarin7.5mgtab$12.00100$24.00200$40.00360

Cholesterol

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Lovastatin10mgtab$12.00100$24.00200$40.00360
Lovastatin20mgtab$12.00100$24.00200$40.00360
Simvastatin10mgtab$12.00100$24.00200$40.00360
Simvastatin20mgtab$12.00100$24.00200$40.00360
Simvastatin40mgtab$12.00100$24.00200$40.00360
Simvastatin80mgtab$12.00100$24.00200$40.00360

Diabetes

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Glipizide5mgtab$12.00100$24.00200$40.00360
Glipizide10mgtab$12.00100$24.00200$40.00360
Glyburide1.5mgtab$12.00100$24.00200$40.00360
Glyburide3mgtab$12.00100$24.00200$40.00360
Glyburide6mgtab$12.00100$24.00200$40.00360
Metformin500mgtab$12.00200$24.00400$40.00720
Metformin850mgtab$12.00200$24.00400$40.00720
Metformin1000mgtab$12.00200$24.00400$40.00720
Metformin ER500mgtab$12.00100$24.00200$40.00360

Eye and Ear Care

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Timolol Maleate 0.25 Eye Soln10mlsoln$12.001 btl
Timolol Maleate 0.5% Eye Soln10mlsoln$12.001 btl

Gastrointestinal Health/Stomach

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Lactulose Syrup10mg/15mlsoln$12.00473ml
Promethazine12.5mgtab$12.00100$24.00200$40.00360
Promethazine25mgtab$12.00100$24.00200$40.00360
Ranitidine150mgtab$12.00100$24.00200$40.00360

Mental Health

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Lithium Carb300mgcap$12.00300$24.00600$36.00900$48.001200
Trazodone50mgtab$12.00100$24.00200$40.00360
Trazodone100mgtab$12.00100$24.00200$40.00360
Buspirone5mgtab$12.00200$24.00400$40.00720
Citalopram20mgtab$12.00100$24.00200$40.00360
Citalopram40mgtab$12.00100$24.00200$40.00360
Fluoxetine10mgcap$12.00100$24.00200$40.00360
Fluoxetine20mgcap$12.00100$24.00200$40.00360

Pain and Arthritis

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Cyclobenzaprine10mgtab$12.00100$24.00200$40.00360
Ibuprofen600mgtab$12.00100$24.00200$40.00360
Ibuprofen800mgtab$12.00100$24.00200$40.00360
Meloxicam7.5mgtab$12.00100$24.00200$40.00360
Meloxicam15mgtab$12.00100$24.00200$40.00360
Naproxen375mgtab$12.00100$24.00200$40.00360
Naproxen500mgtab$12.00100$24.00200$40.00360

Miscellaneous Items

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Loratadine10mgtab$12.00100$24.00200$40.00360
Lidocaine visc.sol100mlsoln$12.002 btls

Antibiotics (Single Therapy Price)

Medication
Size
Type
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Price/Qty
Qty
Azithromycin (ZPAK)250mgtab$15.006
Amoxicillin500mgtab$8.0030
Cephalexin500mgtab$8.0028
Amoxicillin400mg/5ml up to 200mlsoln$8.00200ml
SMZ/TMP DS800mg/160mgtab$8.0020

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