Professional Documents
Culture Documents
These discount programs are NOT health insurance policies and are not intended as a substitute for
insurance. The programs do not qualify as a minimum creditable coverage under Massachusetts law or
where prohibited by law. The programs only provide for discounts on health services from participating
pharmacies, and the range of the discounts will vary depending on the health services received. The
programs do not make payments to pharmacies of health care services. Members are required to pay for
all health care services, but will receive a discount from the contracted pharmacies. Except in the states
of California, Utah, and Washington, these are custom-branded programs, provided and administered by
Medical Security Card Company, LLC, (MSC), 4911 E. Broadway Boulevard, Tucson, AZ 85711, 1-866435-7958, www.scriptsave.com and marketed by Kmart.
These programs are not available in all states and the terms of each program may vary from state to
state. Each program is governed by the applicable terms of the membership agreement provided upon
activation and made available at www.KmartPrescriptionSavingsClub.com. MSC is not responsible for
providing or guaranteeing pharmacy services or for the quality of such rendered services. Participating
pharmacies are subject to change without notice and are not available in all areas. The program contracts
are not protected by any state guaranty fund.2
An annual fee of $10 is payable at the time of initial enrollment and enrollment renewal. The program, as
well as the prices and the list of covered drugs, can be modified at any time without notice.
2
Notwithstanding the above, the programs, as described above and available in the states of California,
Utah, and Washington, are custom-branded and operated directly by Kmart. The applicable terms
relating to any such Kmart custom-branded and operated program shall also be available at www.
KmartPrescriptionSavingsClub.com. MSC may participate or assist in the administration of such
programs.
your
e for
hom
family
th
heal
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
14
42
30
90
*The day supply is based upon the average dispensing patterns for the specific drug and
strength. 30-day supply price starts at $5. 90-day supply price starts at $10.
30
90
100
300
30
90b
30a
90d
90
270b
aSelect
drugs for a 30-Day Supply are priced at $10; bSelect drugs for a 90-Day Supply
are priced at $15; cSelect drugs for a 90-Day Supply are priced at $20; dSelect drugs for
a 90-Day Supply are priced at $30.
Select Womens and Mens Health prescription medications are available in up to a 30day supply for $12.00 each or in up to a 90-day supply for $36.00 each (see last page).
Prices may be different in Puerto Rico. Please see your Kmart Pharmacist.
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
120
360
28
84b
16a
48c
30
90b
180
540b
14
42
LORATADINE 10 MG TAB
30
90
20
60b
12
36
15
45b
12
36
30
90b
20
60b
30
90b
180
540b
100
300b
20
60
30
90b
28
84b
30
90b
20
60b
30
90
150
450b
ASPIRIN 81 MG TAB
120
360b
100
300b
BACLOFEN 10 MG TAB
30
90
150
450b
BACLOFEN 20 MG TAB
30
90
100
300
30
90
20
60b
30
90
28
84b
DIBUCAINE 1 % OINT
30
90b
28
84b
90
270b
30
90b
60
180b
30
90b
30
90b
2
your home for family health
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30
90
GLYBURIDE,MICRONIZED 6 MG TAB
30
90
MELOXICAM 15 MG TAB
30
90
60a
180d
60
180b
60a
180d
60
180b
90
270b
60
180b
60
180b
30
90b
60
180
60
180
ASTHMA
120
360b
60
180
75
225b
60a
180d
75
225b
FUNGAL INFECTIONS
1
3b
DIABETES
GLIMEPIRIDE 1 MG TAB
30
90
GASTROINTESTINAL HEALTH
GLIMEPIRIDE 2 MG TAB
30
90
30
90
GLIMEPIRIDE 4 MG TAB
30
90
30
90
GLIPIZIDE 5 MG TAB
30
90
90
270b
GLIPIZIDE 10 MG TAB
60
180
60
180b
30
90b
30
90
30a
90c
100
300b
GLYBURIDE 5 MG TAB
30a
90c
FAMOTIDINE 20 MG TAB
60
180
90c
711b
30
90
FAMOTIDINE 40 MG TAB
30a
30
90
237
3
your home for family health
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
237
711b
30
90
237
711b
30
90
60
180
ATENOLOL 25 MG TAB
30
90
60
180
ATENOLOL 50 MG TAB
30
90
60
180b
30
90
60
180
30
90b
OMEPRAZOLE 20 MG CAP
30
90b
30
90b
30a
90d
30
90b
40
120b
30
90b
30
90
30
90b
100
300b
30
90b
60
180
30
90b
30
90
30a
90d
BUMETANIDE 1 MG TAB
30a
90d
6b
60
180
6b
60
180
15
45b
60
180
15
CARVEDILOL 25 MG TAB
60
180b
15b
30
90
30
90
60
180
30
90
4
your home for family health
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
60
180
30
90
60
180b
30
90
30
90
LISINOPRIL 5 MG TAB
30
90
30
90b
LISINOPRIL 10 MG TAB
30
90
30
90b
LISINOPRIL 20 MG TAB
30
90
30
90b
LISINOPRIL 30 MG TAB
30
90
30
90b
LISINOPRIL 40 MG TAB
30
90
30
90b
30
90
30a
90d
30
90
30a
90d
30a
90c
FUROSEMIDE 20 MG TAB
30
90
30a
90d
FUROSEMIDE 40 MG TAB
30
90
LOVASTATIN 10 MG TAB
30
90
FUROSEMIDE 80 MG TAB
30
90
LOVASTATIN 20 MG TAB
30
90
60a
180d
LOVASTATIN 40 MG TAB
30
90
30
90
60
180
30
90b
60
180
30
90b
60
180b
30
90
30
90b
HYDROCHLOROTHIAZIDE 25 MG TAB
30
90
60
180
HYDROCHLOROTHIAZIDE 50 MG TAB
30
90
60
180
30
90
60
180
5
your home for family health
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
60
180b
30a
90c
30
90b
30a
90c
SIMVASTATIN 10 MG TAB
30
90
30a
90c
SIMVASTATIN 20 MG TAB
30
90
30a
90c
SIMVASTATIN 40 MG TAB
30
90
30a
90c
SIMVASTATIN 80 MG TAB
30
90
SOTALOL 80 MG TAB
30a
90c
30
90b
SPIRONOLACTONE 25 MG TAB
30
90
30a
90c
30
90
30a
90d
30
90
30a
90d
30
90
30a
90d
30
90
60
180
TORSEMIDE 10 MG TAB
30
90b
60
180b
TRIAMTERENE-HCTZ 37.5-25 MG TB
30a
90c
30
90
30
90
30
90
30
90
30a
90c
30a
90c
30
90
30a
90c
30a
90c
30a
90c
30
90
30a
90c
30
90
30a
90c
90a
270c
6
your home for family health
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
90a
270d
90a
270d
30
90b
30
90
30
90b
HALOPERIDOL 1 MG TAB
30
90
473
1419
HALOPERIDOL 2 MG TAB
30
90b
30
90b
90
270b
12
36b
90
270b
DEXAMETHASONE 4 MG TAB
18b
MIRTAZAPINE 15 MG TAB
30
90
100
300b
30
90
18
30
90b
120
360b
30
90b
30
90
30
90b
PREDNISONE 5 MG TAB
30
90
30a
90c
PREDNISONE 10 MG TAB
30
90
30
90b
PREDNISONE 20 MG TAB
30
90
30
90b
SKIN CONDITIONS
30
90b
HYDROCORTISONE 1 % CRM
30
90b
30
90
HYDROCORTISONE 1 % PACKET
30
90b
30
90
30
90b
30
90b
28
84b
ZONISAMIDE 25 MG CAP
30
90b
30
90b
ZONISAMIDE 50 MG CAP
30
90b
15
45b
7
your home for family health
90-day
Supply*
$10, $15 b,
$20c or
$30d
30a
90c
15
45b
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
30
90
30
90b
60
180b
THYROID CONDITIONS
LEVOTHYROXINE 25 MCG TAB
30a
90d
30
90b
30a
90d
30
90b
30a
90d
30
90b
30a
90d
30
90b
30a
90d
30
90b
30a
90d
30
90b
30a
90d
180
540b
30a
90d
PRENATABS RX TAB
30
90b
METHIMAZOLE 5 MG TAB
30
90
30
90b
30
90b
30
90b
180
540b
30
90b
90
270b
30
90b
90
270b
60
180b
90
270b
60
180b
30
90b
180
540
30
90b
CO-NATAL FA TAB
30
90b
30
90b
12
30
90b
8
your home for family health
30-day
Supply*
$5 or $10 a
90-day
Supply*
$10, $15 b,
$20c or
$30d
WOMENS HEALTH
ALENDRONATE SODIUM 5 MG TAB
30
90b
30
90
ESTRADIOL 1 MG TAB
30
90
ESTRADIOL 2 MG TAB
30
90
30
90
MEDROXYPROGESTERONE 5 MG TAB
30
90
MEDROXYPROGESTERONE 10 MG TAB
10
30
30
90b
30-day
Supply
90-day
Supply
30
90
12
12
APRI TABLET
28
84
AVIANE-28 TABLET
28
84
28
84
PREVIFEM TABLET
28
84
60
180
30
90
TRI-PREVIFEM TAB
28
84
30-day
Supply
90-day
Supply
30
90
WOMENS HEALTH
MENS HEALTH
FINASTERIDE 5 MG TAB
A0158_KMART_CLASS_DL_092514
9
your home for family health