CVS Pharmacy Receipt Example
This is a sample CVS Pharmacy receipt showing Prescription Co-Pay, Ibuprofen 200mg 100ct and 1 more item, with a total of $32.99. Use it as a reference for what a real CVS Pharmacy receipt looks like — then make your own with your items, prices, date and store details.
What's on this receipt
| Item | Qty | Price |
|---|---|---|
| Prescription Co-Pay | 1 | $10.00 |
| Ibuprofen 200mg 100ct | 1 | $8.99 |
| Vitamin D3 | 1 | $12.49 |
| Total (incl. tax) | $32.99 | |
This CVS Pharmacy example reflects a credit card purchase in Woonsocket, RI 02895 on 06/15/2026, with sales tax at 4.81% and a $32.99 total. Yours can use any items, currency, tax rate, date and payment method you like.
Make your own in under a minute
Makecepeit lets you customize every field — business name, address, items, quantities, prices, tax, payment method and date — with a live preview, then download as a PDF or high-resolution PNG. No design skills needed.
PHARMACY RECEIPT
CVS Pharmacy
910 Health Plaza Drive
Woonsocket, RI 02895
(303) 555-0155
06/15/2026 13:42 · Receipt #855399
| Item | Qty | Price | Total |
|---|---|---|---|
| Prescription Co-Pay | 1 | $10.00 | $10.00 |
| Ibuprofen 200mg 100ct | 1 | $8.99 | $8.99 |
| Vitamin D3 | 1 | $12.49 | $12.49 |
Your health, our priority.
855399