WAL–MART/SAM'S CLUB $4 Prescription Drug Program
Mental Health Medications
List Effective September 27, 2007
Applies to up to a 30 day supply at commonly prescribed dosages.
DRUG NAME AND DOSAGE QUANTITY
AMITRIPTYLINE 10MG TABLET 30
AMITRIPTYLINE 25MG TABLET 30
AMITRIPTYLINE 50MG TABLET 30
AMITRIPTYLINE 75MG TABLET 30
AMITRIPTYLINE 100MG TABLET 30
BENZTROPINE 2MG TABLET 30
BUSPIRONE 5MG TABLET 60
BUSPIRONE 10MG TABLET 60
CARBAMAZEPINE 200MG 60*
CITALOPRAM 20MG TABLET 30
CITALOPRAM 40MG TABLET 30
DOXEPIN HCL 10MG CAPSULE 30
DOXEPIN HCL 25MG CAPSULE 30
DOXEPIN HCL 50MG CAPSULE 30
DOXEPIN HCL 75MG CAPSULE 30
DOXEPIN HCL 100MG CAPSULE 30
FLUOXETINE 10MG CAPSULE 30
FLUOXETINE 10MG TABLET 30*
FLUOXETINE 20MG CAPSULE 30
FLUOXETINE 40MG CAPSULE 30
FLUPHENAZINE 1MG TABLET 30
HALOPERIDOL 0.5MG TABLET 30
HALOPERIDOL 1MG TABLET 30
HALOPERIDOL 2MG TABLET 30
HALOPERIDOL 5MG TABLET 30
HYDROXYZINE HCL10MG/5ML SYRUP 120ML
LITHIUM CARB 300MG CAPSULE 90*
NORTRIPTYLINE 10MG CAPSULE 30
NORTRIPTYLINE 25MG CAPSULE 30
PAROXETINE 10MG TABLET 30*
PAROXETINE 20MG TABLET 30*
PROCHLORPERAZINE 10MG TABLET 30
THIORIDAZINE 25MG TABLET 30
THIORIDAZINE 50MG TABLET 30
THIOTHIXENE 2MG CAPSULE 30
TRAZODONE 50MG TABLET 30
TRAZODONE 100MG TABLET 30
TRAZODONE 150MG TABLET 30
TRIHEXYPHENIDYL 2MG 60
* The $4 Prescription program is subject to the following restrictions.

This program is available at all Wal-Mart, Sam's Club and Neighborhood Market pharmacies, except in North Dakota (the pharmacies inside North Dakota Wal-Mart stores are leased and operated by third-party providers). $4 prescriptions are for up to a 30-day supply of a covered drug at a commonly prescribed dosage. Your participation in certain prescription-drug plans may entitle you to pay even less than $4 for certain prescriptions. If you are eligible, you will be charged the lowest applicable amount. Certain drugs are priced higher in CA, CO, HI, MN, MT, PA, TN, WI, and WY due to state laws.

The list of covered drugs is subject to change. Not all prescription drugs are covered by this program.

Only prescriptions initially filled in person at a participating pharmacy are eligible for the $4 rate; refills must also be picked up in-store, but may be ordered in person, online or by phone. This program is not available for prescriptions filled by mail order. See your Wal-Mart pharmacist for more information.

http://www.walmart.com/catalog/catal...PageCatId=5431

I find that this list is mostly the same across all places with $4 drugs.