CVS Pharmacy Receipt Example
Wondering what a CVS Pharmacy receipt should look like? This example shows Prescription Co-Pay, Ibuprofen 200mg 100ct and 1 more item for a total of $32.99. Build your own version with your real items, prices, date and store details below.
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 | |
The sale shown here was paid by credit card at a CVS Pharmacy location in Woonsocket, RI 02895 on 06/15/2026, taxed as sales tax at 4.81%. Change any of those details when you build your own.
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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
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