1824 Hooper Ave Toms River, NJ 08753 732-255-4788 Phone 732-255-1816 FAX www.SilvertonRx.com
Terms and Conditions: The $9.99 program covers up to a 9...
Terms and Conditions: The $9.99 program covers up to a 90-day supply of the eligible drugs at commonly dispensed dosages and quantities as determined
New Prescription Plan
by Silverton Pharmacy. Prescription prices for less than a 90-day supply of eligible drugs will be pro-rated and will be priced based on $4.99/30 day supply, or Silverton Pharmacy's usual and customary retail price. Prices for more than a 90-day supply of covered medication will be pro-rated and will be priced
90 Day Generic Drug Supply
based on $9.99/90 day supply. No other discounts apply, for eligible drugs under this program.
Silverton Pharmacy Covered Medications
The list of eligible drugs and quantities are subject to change without notice. Silverton Pharmacy reserves the right to modify or discontinue this program or modify the terms and conditions of this program at any time without notice. Not all manufacturers' products are covered by this program. Physician authorization may be required to change 30-day prescription to 90-day prescription. Only prescriptions initially filled in person at Silverton Pharmacy are eligible for this $9.99 – 90 Day Generic Drug Pricing.
Effective date August 21, 2008
See Terms & Conditions on Page 1 of this document. The list of eligible drugs and quantities are subject to change without notice