CVS Pharmacy Receipt Generator
Create a CVS Pharmacy receipt (infamously long!) with health, beauty, and ExtraBucks Rewards.
Common uses for a cvs pharmacy receipt
- Pharmacy reimbursement claims
- FSA/HSA eligible item documentation
- Replace a lost CVS receipt
PHARMACY RECEIPT
CVS Pharmacy
1 CVS Dr
Woonsocket, RI 02895
(401) 765-1500
06/11/2026 14:30 · Receipt #281230
RX #7168510
PharmacistCashier: Janet
PickupReady
| Item | Qty | Price | Total |
|---|---|---|---|
| Tylenol Extra Strength 100ct | 1 | $11.79 | $11.79 |
| CVS Health Bandages 30ct | 1 | $4.29 | $4.29 |
| Cetaphil Cleanser 16oz | 1 | $15.49 | $15.49 |
| CVS Gold Emblem Trail Mix | 1 | $5.99 | $5.99 |
Subtotal$37.56
Tax (7%)$2.63
TOTAL$40.19
Payment MethodCredit •••• 4821
ExtraBucks® Earned: $2.00 — Health is everything.
281230
CVS Pharmacy receipt FAQ
Can I customize the items on the CVS Pharmacy receipt?
Yes, you can edit the line items, adjust the tax rate to match your local area, and download a highly realistic PDF or image file.
