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
Amlodipine 2.5mg tab $12.00 100 $24.00 200 $40.00 360
Amlodipine 10mg tab $12.00 100 $24.00 200 $40.00 360
Amlodipine 5mg tab $12.00 100 $24.00 200 $40.00 360
Carvedilol 3.125mg tab $12.00 200 $24.00 400 $40.00 720
Carvedilol 25mg tab $12.00 200 $24.00 400 $40.00 720
Carvedilol 12.5mg tab $12.00 200 $24.00 400 $40.00 720
Carvedilol 6.25mg tab $12.00 200 $24.00 400 $40.00 720
Amlodipine 2.5mg tab $12.00 100 $24.00 200 $40.00 360
Amlodipine 5mg tab $12.00 100 $24.00 200 $40.00 360
Amlodipine 10mg tab $12.00 100 $24.00 200 $40.00 360
Carvedilol 3.125mg tab $12.00 200 $24.00 400 $40.00 720
Carvedilol 12.5mg tab $12.00 200 $24.00 400 $40.00 720
Carvedilol 6.25mg tab $12.00 200 $24.00 400 $40.00 720
Carvedilol 25mg tab $12.00 200 $24.00 400 $40.00 720
Clonidine 0.1mg tab $12.00 100 $24.00 200 $40.00 360
Clonidine 0.2mg tab $12.00 100 $24.00 200 $40.00 360
Diltiazem 30mg tab $12.00 100 $24.00 200 $40.00 360
Diltiazem 60mg tab $12.00 100 $24.00 200 $40.00 360
Enalapril-HCTZ 5/12.5 tab $12.00 100 $24.00 200 $40.00 360
Enalapril 2.5mg tab $12.00 100 $24.00 200 $40.00 360
Enalapril 5mg tab $12.00 100 $24.00 200 $40.00 360
Enalapril 10mg tab $12.00 100 $24.00 200 $40.00 360
Enalapril 20mg tab $12.00 100 $24.00 200 $40.00 360
Furosemide 20mg tab $12.00 100 $24.00 200 $40.00 360
Furosemide 40mg tab $12.00 100 $24.00 200 $40.00 360
Furosemide 80mg tab $12.00 100 $24.00 200 $40.00 360
Guanfacine 1mg tab $12.00 100 $24.00 200 $40.00 360
HCTZ(hydrochlorothiazide) 12.5mg tab $12.00 100 $24.00 200 $40.00 360
HCTZ(hydrochlorothiazide) 25mg tab $12.00 100 $24.00 200 $40.00 360
HCTZ(hydrochlorothiazide) 50mg tab $12.00 100 $24.00 200 $40.00 360
Lisinopril-HCTZ 10-12.5 tab $12.00 100 $24.00 200 $40.00 360
Lisinopril-HCTZ 20-12.5 tab $12.00 100 $24.00 200 $40.00 360
Lisinopril-HCTZ 20-25 tab $12.00 100 $24.00 200 $40.00 360
Lisinopril 2.5mg tab $12.00 100 $24.00 200 $40.00 360
Lisinopril 5mg tab $12.00 100 $24.00 200 $40.00 360
Lisinopril 10mg tab $12.00 100 $24.00 200 $40.00 360
Lisinopril 20mg tab $12.00 100 $24.00 200 $40.00 360
Metoprolol Tart. 25mg tab $12.00 200 $24.00 400 $40.00 720
Metoprolol Tart. 50mg tab $12.00 200 $24.00 400 $40.00 720
Metoprolol Tart. 100mg tab $12.00 200 $24.00 400 $40.00 720
Propranolol 10mg tab $12.00 200 $24.00 400 $40.00 720
Propranolol 20mg tab $12.00 200 $24.00 400 $40.00 720
Sotalol 80mg tab $12.00 100 $24.00 200 $40.00 360
Terazosin 1mg cap $12.00 100 $24.00 200 $40.00 360
Terazosin 2mg cap $12.00 100 $24.00 200 $40.00 360
Terazosin 5mg cap $12.00 100 $24.00 200 $40.00 360
Terazosin 10mg cap $12.00 100 $24.00 200 $40.00 360
Verapamil 80mg tab $12.00 100 $24.00 200 $40.00 360
Verapamil 120mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 1mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 2mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 3mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 4mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 5mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 6mg tab $12.00 100 $24.00 200 $40.00 360
Warfarin 7.5mg tab $12.00 100 $24.00 200 $40.00 360
CHOLESTEROL
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Lovastatin 10mg tab $12.00 100 $24.00 200 $40.00 360
Lovastatin 20mg tab $12.00 100 $24.00 200 $40.00 360
Simvastatin 10mg tab $12.00 100 $24.00 200 $40.00 360
Simvastatin 20mg tab $12.00 100 $24.00 200 $40.00 360
Simvastatin 40mg tab $12.00 100 $24.00 200 $40.00 360
Simvastatin 80mg tab $12.00 100 $24.00 200 $40.00 360
DIABETES
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Glipizide 5mg tab $12.00 100 $24.00 200 $40.00 360
Glipizide 10mg tab $12.00 100 $24.00 200 $40.00 360
Glyburide 1.5mg tab $12.00 100 $24.00 200 $40.00 360
Glyburide 3mg tab $12.00 100 $24.00 200 $40.00 360
Glyburide 6mg tab $12.00 100 $24.00 200 $40.00 360
Metformin 500mg tab $12.00 200 $24.00 400 $40.00 720
Metformin 850mg tab $12.00 200 $24.00 400 $40.00 720
Metformin 1000mg tab $12.00 200 $24.00 400 $40.00 720
Metformin ER 500mg tab $12.00 100 $24.00 200 $40.00 360
EYE & EAR CARE
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Timolol Maleate 0.25 Eye Soln 10ml soln $12.00 1 btl
Timolol Maleate 0.5% Eye Soln 10ml soln $12.00 1 btl
GASTROINTESTINAL HEALTH/STOMACH
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Lactulose Syrup 10mg/15ml soln $12.00 473ml
Promethazine 12.5mg tab $12.00 100 $24.00 200 $40.00 360
Promethazine 25mg tab $12.00 100 $24.00 200 $40.00 360
Ranitidine 150mg tab $12.00 100 $24.00 200 $40.00 360
MENTAL HEALTH
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Lithium Carb 300mg cap $12.00 300 $24.00 600 $36.00 900 $48.00 1200
Trazodone 100mg tab $12.00 100 $24.00 200 $40.00 360
Trazodone 50mg tab $12.00 100 $24.00 200 $40.00 360
Trazodone 50mg tab $12.00 100 $24.00 200 $40.00 360
Trazodone 100mg tab $12.00 100 $24.00 200 $40.00 360
Buspirone 5mg tab $12.00 200 $24.00 400 $40.00 720
Citalopram 20mg tab $12.00 100 $24.00 200 $40.00 360
Citalopram 40mg tab $12.00 100 $24.00 200 $40.00 360
Fluoxetine 10mg cap $12.00 100 $24.00 200 $40.00 360
Fluoxetine 20mg cap $12.00 100 $24.00 200 $40.00 360
PAIN & ARTHRITIS
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Cyclobenzaprine 10mg tab $12.00 100 $24.00 200 $40.00 360
Ibuprofen 600mg tab $12.00 100 $24.00 200 $40.00 360
Ibuprofen 800mg tab $12.00 100 $24.00 200 $40.00 360
Meloxicam 7.5mg tab $12.00 100 $24.00 200 $40.00 360
Meloxicam 15mg tab $12.00 100 $24.00 200 $40.00 360
Naproxen 375mg tab $12.00 100 $24.00 200 $40.00 360
Naproxen 500mg tab $12.00 100 $24.00 200 $40.00 360
MISCELLANEOUS ITEMS
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Loratadine 10mg tab $12.00 100 $24.00 200 $40.00 360
Lidocaine visc.sol 100ml soln $12.00 2 btls
ANTIBIOTICS (SINGLE THERAPY PRICE)
Medication Size Type Price/Qty Qty Price/Qty Qty Price/Qty Qty Price/Qty Qty
Azithromycin (ZPAK) 250mg tab $15.00 6
Amoxicillin 500mg tab $8.00 30
Cephalexin 500mg tab $8.00 28
Amoxicillin 400mg/5ml up to 200ml soln $8.00 200ml
SMZ/TMP DS 800mg/160mg tab $8.00 20