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through Walmart Mail Service (“Walmart Mail Service”), as set forth below in Section 5. 2. dosages. Higher dosages cost more. You may obtain a list of generic drugs and The Program applies only to certain generic drugs at commonly prescribed dosages. Higher dosages cost more. You may obtain a list of generic drugs and dosages covered under the
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GENERIC Y/N MEDICATION STRENGTH QTY PRICE Subscribe to monthly newsletter for FREE SHIPPING (normally $3) TOTAL USD: Pay by Check USA Only Cardholder’s Name Cardholder’s Address City State Zip Credit Card Number Expiration Date (MM/YY) Pay by Credit or Debit Card I will make a payment by check, and mail it to: 7107 Industrial Rd, Florence ...
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