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*All products, trademarks, brand names, and logos are the property of their respective companies. All generic products listed above are eligible for the $10/$45 Program; however, this list may not include all eligible products. **Products in the "Other" category may be in limited supply.

*Patients must meet the eligibility requirements of the $10 /$45 Program. Commercially insured covered patients pay no more than $10 per medication. Commercially insured, uncovered patients pay $45 per uncovered medication and may receive a substitute medication with prescriber permission. The $10/$45 Program has specific eligibility requirements, including transferring a prescription to a participating pharmacy to be filled. Patient's prescriptions may be filled at any pharmacy of the patient's choice. The $10/$45 Program is only available through participating network pharmacies.

The patient is not eligible for participation in the $10/$45 Program if any portion of the dispensed products is submitted towards any state or federally funded programs, including but not limited to Medicare, Medicaid, Medigap, VA, DOD or Tricare and where prohibited by law. MD2RX reserves the right to rescind, revoke, or amend this offer at any time. ©2021 MD2Rx Pharmacy January 2021

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