Pharmacy Over-the-Counter (OTC) Order Form All Employees Receive Additional 20% Off Listed Prices Every Day (Discount not applicable to Gift Shop items) Flexible Spending Accounts (FSA) cannot be used for OTC orders.

Quantity Category Product Name Compare To Quantity Cost Retail Pharmacy Cost Comparison Allergy Diphenhydramine 25mg Benadryl 100 $4.25 $15.99 Allergy Loratadine 10mg Claritin 30 $4.99 $23.99 Allergy Loratadine w/ D Claritin-D 15 $9.99 $19.99 Allergy Diphenhydramine Liquid 4oz Benadryl Liquid 1 $4.99 $8.29 Allergy Cetirizine 10mg Zyrtec 100 $11.99 $26.99 Allergy Loratadine Chew 5mg Claritin 30 $22.99 $25.00 Chewables Allergy Children’s Cetirizine Liquid Children’s 4 oz $8.99 $10.49 Zyrtec Allergy Xyzal 35 $19.99 $21.99 Allergy Cetirizine D-12 Zyrtec-D 24 $21.99 $23.99 Antifungal Clotrimazole Cream 15g Lotrimin 1 $2.99 $9.19 Antifungal Tinactin Spray 4.6oz - 1 $8.49 $9.51 Antifungal Miconazole 3 Day Vag Monistat 1 $16.99 $21.99 Baby SM Electrolyte Ped 33.8oz Pedialyte 1 $4.99 $6.79 Baby Poly Vi Sol 50mL - 1 $10.99 $11.49 Baby Poly Vi Sol Iron 50mL - 1 $10.99 $11.49 Baby Johnson and Johnson Baby Lotion - 1 $5.49 $6.99 10.2oz Baby Prenatal Tab One-a-Day 100 $11.99 $33.99 Baby Vicks Babyrub 1.76oz - 1 $5.99 $6.99 Behind New Day 1.5mg Plan B 1 $15.00 $49.99 Counter Behind First Response One Step - 2 $12.99 $16.49 Counter CBD Joy Premium CBD Tinct Orange - 1oz $54 450mg CBD Joy Premium CBD Tinct Orange - 1oz $78 900mg Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.

CBD Joy Premium CBD Tinct Orange 1oz $100 1350mg CBD Joy Premium CBD Tinct 450mg - 1 $54 Mint CBD Joy Premium CBD Tinct 900mg - 1 $78.00 Mint CBD Joy Premium CBD Tinct 1350mg - 1 $100 Mint CBD Joy Premium CBD Salve 500mg - 1 $55 CBD Joy Premium CBD Salve 1000mg - 1 $80

CBD Joy Premium CBD Sleep Caps - 30 $90

CBD Joy Premium CBD Pain Caps - 30 $90

CBD Joy Premium CBD 25mg Caps - 30 $75 CBD Joy Premium CBD Gummies #30 - - $44 $44.95 10mg each Cough Cold Cough DM 12hr Liquid Delsum 3oz $8.49 $14.78 Cough Cold Guaifenesin Syrup Robitussin 4oz $2.99 $5.10 Cough Cold Guaifenesin DM Syrup Robitussin DM 4oz $3.99 $7.49 Cough Cold All-Nite Cold/Flu Liquid NyQuil 4oz $5.99 $8.88 Cough Cold Tylenol Cold & Flu - 24 $9.99 $10.23 Cough Cold Guaifenesin ER Mucinex 20 $11.99 $16.99 Cough Cold Honey lemon Cough Drops Halls 30 $2.99 $6.17 Cough Cold Cherry Cough Drops Halls 30 $2.99 $6.17 Cough Cold Mucinex Child - 4oz $9.99 $13.26 Cough Cold Emergen-C Orange - 30 $10.99 $13.49 Cough Cold Airborne - 10 $7.49 $9.89 Cough Cold Cold-eeze Cherry Cough Drops - 24 $7.99 $9.99 Cough Cold Cepacol Extra strength Honey - 16 $4.99 $8.29 Lemon Cough Cold Coricidin HBP - 20 $6.99 $6.99 Ear/Eyes Clear Eyes 0.5oz - 1 $3.99 $6.40 Ear/Eyes Eye Itch Allergy 5mL Zaditor 1 $9.99 $19.59 Ear/Eyes Pataday 5ml $17.99 $19.99 Ear/Eyes Refresh Classic 50 Units $16.99 $17.99 Ear/Eyes Debrox Ear Drops Kit - 1 $7.98 $10.29

Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.

Misc. Meclizine 12.5mg Tab Dramamine 100 $7.99 $15.00 Misc. Lice Shampoo 2oz Nix 1 $9.99 $20.99 Misc. Docosanol 10% Cream 2g Abreva 1 $16.99 $22.99 Misc. Midol Complete Tab - 24 $5.99 $7.79 Nasal Saline Nasal Spray Ocean 44 ml $2.99 $6.96 Baby Simply Saline Mist - 1.5 oz $6.49 $6.49 Nasal Neo-synephrine Reg - 15 ml $7.99 $8.46 Nasal Neo-synephrine Xtra stre - 15 ml $8.49 $8.98 Nasal Sudogest Sudafed 30 mg $6.49 $13.99 Nasal Sudogest PE Sudafed PE 10 mg $6.49 $13.99 Nasal Fluticasone Nasal spr Flonase 120 $19.99 $26.99 sprays Nasal Flonase 27.5mcg 60 sprays $16 $16 Nasal Oxymetazoline nasal Afrin 15 ml $7.99 $8.49 Pain/Fever Acetaminophen 325mg Tylenol 100 $2.99 $6.97 Pain/Fever Acetaminophen 500mg Tylenol 100 $3.25 $12.49 Pain/Fever Naproxen 220mg Aleve 50 $6.99 $11.49 Pain/Fever Acetaminophen Liquid 160mg/5ml Tylenol 4 oz $3.25 $8.79 Pain/Fever Aspirin Chew 81mg Ecotrin 36 $1.89 $3.79 Pain/Fever Aspirin EC 81mg Ecotrin 120 $2.99 $7.99 Pain/Fever Aspirin EC 325 mg Ecotrin 100 $3.99 $7.99 Pain/Fever Ibuprofen 200mg Motrin 100 $3.25 $11.29 Pain/Fever Children’s Motrin - 4 oz $5.49 $7.79 Pain/Fever Migraine Relief Excedrin 100 $9.99 $14.08 Migraine Pain/Fever Pain Reliever PM Tylenol PM 100 $7.99 $11.49 Pain/Fever Urinary Pain Relief AZO 30 $8.99 $12.99 Stomach Famotidine 10 mg Pepcid AC 30 $4.99 $7.99 Stomach Loperamide 2 mg Imodium 24 $4.99 $11.99 Stomach Lansoprazole 15 mg Prevacid 30 $12.99 $23.88 Stomach Omeprazole 20 mg Prilosec 28 $16.49 $21.99 Stomach Ant-Acid Chew Tums 150 $3.99 $10.29 Stomach Docusate 100 mg Colace 30 $4.25 $15.99 Stomach polyethelene glyc 7 dose Miralax 4.1 oz $7.49 $10.99 Stomach Fleet Enema Fleet 4.5 oz $2.49 $3.79

Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.

Stomach Bisacodyl 5 mg Dulcolax 25 $2.99 $8.49 Stomach Senna tab 8.6 mg Senokot 100 $5.49 $26.99 Stomach Magnesium Citrate Cherry - 1 bottle $3.25 $3.79 Stomach Magnesium Citrate Lemon - 1 bottle $3.25 $3.79 Stomach Bisamatrol Liquid Pepto Bismol 8 oz $3.99 $7.49 Stomach Gas Free softgel 125 mg Gas-X 30 $5.99 $14.49 Stomach SM Anti-Nausea Liq Cherry Emetrol 4 oz $5.99 $10.99 Supplement Magnesium Oxide 400mg Tab MagOx 120 $8.99 $12.99 Supplement Magnesium Oxide 500mg Tab 100 $7.99 $8.02 Supplement Culturelle - 30 $16.99 $17.49 Supplement Flintstones Complete Chew - 60 $9.49 $9.99 Supplement Zoo Friends Children’s Gummy 60 $8.99 $9.34 Vitamins Supplement Melatonin 5mg Tab - 90 $7.99 $9.67 Supplement Vitamin B-12 500mcg Tab - 100 $7.49 $11.99 Supplement Vitamin D 400 IU Tab - 100 $6.99 $13.99 Supplement Vitamin D 1000 IU Tab - 100 $5.49 $10.79 Supplement Oyst Cal 500 + D 200 (OsCal) Tab Caltrate 300 $12.99 $25.99 Supplement Vitamin C 500mg Tab - 100 $5.25 $9.99 Supplement Ferrous Sulfate 325mg Tab - 100 $4.99 $8.79 Supplement Fish Oil 1000mg - 100 $10.99 $11.50 Supplement Glucosamine 500mg/Chondroitin - 60 $12.99 $22.95 400mg Tab Supplement SM Century Complete Tab Centrum 130 $6.99 $10.49 Supplement SM 4X PROBIOTIC Align 28 $17.49 $26.99 Supplement N/B Folic Acid 0.8mg Tab - 250 $7.99 $11.99 Supplement Vitamin E 400 IU - $8.99 $13.99 Supplement Niacin 100mg Tab - 100 $4.99 $7.49 Supplement SM CO Q-10 100mg Cap - 30 $7.49 $11.19 Supplement One-a-Day Men - 100 $9.99 $10.99 Supplement One-a-Day Women - 100 $9.99 $10.99 Supplement Centrum Silver - 125 $11.99 $19.99 Supply Breathe Right Clear Sm/Med - 30 $11.99 $14.13 Supply Breathe Right Clear Large - 30 $11.99 $14.13

Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.

Supply SM Triple Antibiotic Oint Plus Pain Neosporin w 1 oz $6.49 $12.51 Relief pain relief Supply Band-Aid Flex Fabric Assorted Size - 100 $8.49 $11.99 Supply Band-Aid Sport Strip Extra Wide - 30 $5.75 $6.51 Supply Q-tips Cotton Swabs Flex - 500 $6.49 $7.50 Supply SM Alcohol Pads - 100 $3.25 $5.26 Supply SM Cotton Square - 200 $6.49 $6.74 Supply SM Gauze Pad 2x2 8 Ply - 25 $3.99 $5.54 Supply SM Gauze Pad 4x4 8 Ply - 10 $3.99 $7.50 Supply MK Sponge 4x4 - 25 $3.99 $6.80 Supply SM Tape Waterproof - $3.75 $5.99 Supply 70% Ethyl Rubbing Alcohol - 16 oz $2.89 $2.99 Supply 91% Isopropyl Rubbing Alcohol - 16 oz $2.89 $2.99 Supply Hydrogen Peroxide 3% - 16 oz $2.49 $4.50

Supply Inhaler OptiChamber w/Mask (Sm) - $21.99 $29.99 Supply Inhaler OptiChamber w/Mask - $21.99 $29.99 (Med) Supply Inhaler OptiChamber w/Mask (Lg) - $22.99 $30.99 Supply Compression Stockings Women $11.99 $12.95 Small Supply Compression Stockings Women $10.99 $11.68 Medium Supply Compression Stockings Women $10.99 $11.13 Large Supply OptiChamber Inhaler Spacer - $15.99 $19.99 Topical Capzasin-HP Arthritis - 1.5 oz $13.99 $14.50 Topical Hydrocortisone Cream 1% Cortizone 1 oz $3.49 $4.59 Topical Hibiclens - 8 oz $9.49 $9.99 Topical Mederma Gel - 20 gm $17.99 $18.99 Topical Anbesol Gel Max Strength - .33 oz $7.99 $8.76 Topical Blistex - .15 oz $1.69 $1.69 Topical Gold Bond Foot Powder - 4 oz $5.99 $5.99 Topical Aveeno Moist Lotion pump - 12 oz $8.99 $9.49 Topical Petroleum Jelly Vaseline 13 oz $3.99 $4.19 Topical Aquaphor - 1.75 oz $4.99 $4.99 Topical Muscle Rub Icy Hot 3 oz $7.99 $8.49

Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.

Topical Calamine Lotion Caladryl 6 oz $6.99 $8.59 Topical Vicks Vaporub - 1.76 oz $6.99 $7.49 Topical Ivy Dry 6 oz $8.99 $9.99 Topical Ultrathon Insent Repellent Lotion 2 oz $10.99 $11.99 Topical Aspercreme Foot - 4 oz $12.99 $13.99

Gift Shop USB Wall Charger $4.99 Gift Shop Earbuds $9.99 Gift Shop 3ft Lightning cable (Apple) $6.99 Gift Shop 10ft Lightning cable (Apple) $9.99 Gift Shop 10ft Micro USB cable (Android) $7.99 Gift Shop USB-C Cable $6.99 Gift Shop AMC Tickets $10.00 Gift Shop Showcase Tickets $10.00 Gift Shop LGH Men's Jacket (M-3XL) $64.99 Gift Shop LGH Women's Jacket (XS-3XL) $64.99

Gift Shop LGH Men's Vest Blue (M-3XL) $54.99 Gift Shop LGH Men's Vest Black (M-3XL) $54.99 Gift Shop LGH Women's Vest Blue (XS-3XL) $54.99 Gift Shop LGH Women's Vest Black (XS-3XL) $54.99 Gift Shop Blistex $2.79 Gift Shop Stayfree Maxipads $3.99 Gift Shop Tampax 10ct $5.49 Gift Shop Toothbrush $1.99 Gift Shop Travel size toothpaste $1.99 Gift Shop Travel size deodorant men's $1.99 Gift Shop Travel size deodorant Women's $1.99 Gift Shop Floss $2.49 Gift Shop ID Badge clip $4.99 Ear/Eyes Pataday 5ml $17.99 $19.99

Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.

Employee Name: ______Order Date: ______Campus/Location: ______Employee ID: ______Department: ______Phone/Ext: ______Fax completed form to the Circle Health Pharmacy at 978-788-7805 Employees at offsite locations must have a credit card on file with the pharmacy or payroll deduction set up prior to ordering. Expect delivery within 24 hours.