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CVS Pharmacy Receipt Generator

Create a CVS Pharmacy receipt (infamously long!) with health, beauty, and ExtraBucks Rewards.

Independent, customizable template. Makecepeit is not affiliated with, endorsed by, or issued by CVS Pharmacy. Receipts you create are for lawful records, personal mockups and authorized use only — not a proof of purchase.

Common uses for a cvs pharmacy receipt

  • Pharmacy reimbursement claims
  • FSA/HSA eligible item documentation
  • Replace a lost CVS receipt
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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
ItemQtyPriceTotal
Tylenol Extra Strength 100ct1$11.79$11.79
CVS Health Bandages 30ct1$4.29$4.29
Cetaphil Cleanser 16oz1$15.49$15.49
CVS Gold Emblem Trail Mix1$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

What's on a CVS Pharmacy receipt

This cvs pharmacy receipt template opens pre-filled with CVS Pharmacy (1 CVS Dr, Woonsocket, RI 02895) and 4 sample items totalling $40.19. It shows prescriptions, items and co-pays, with Tax set to 7% on a thermal-style layout. Every field is editable — change the business details, items, prices, tax rate and currency, upload your own logo, then download as a PDF or PNG.

Sample items

  • Tylenol Extra Strength 100ct$11.79
  • CVS Health Bandages 30ct$4.29
  • Cetaphil Cleanser 16oz$15.49
  • CVS Gold Emblem Trail Mix$5.99
Subtotal
$37.56
Tax (7%)
$2.63
Total
$40.19

How to make a CVS Pharmacy receipt

  1. Open the CVS Pharmacy template — it loads with sample items and Tax already filled in.
  2. Edit the business details, line items, prices, date and payment method to match what you need.
  3. Sign in with a free account to download a print-ready PDF or high-resolution PNG — this is a Pro template, so a free account's export carries the watermark.

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 print-ready PDF or image file.

CVS Pharmacy receipt help

Lost your CVS Pharmacy receipt or need a copy? These guides show how to find, reprint or replace it — and recreate one for your records.

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