CVS Pharmacy Receipt Example
This is a sample CVS Pharmacy receipt showing Prescription — Amoxicillin, Prescription — Lisinopril, with a total of $25.14. 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 — Amoxicillin | 1 | $14.99 |
| Prescription — Lisinopril | 1 | $9.00 |
| Total (incl. tax) | $25.14 | |
This CVS Pharmacy example reflects a credit card purchase in Boston, MA 02118 on 06/15/2026, with sales tax at 4.81% and a $25.14 total. Yours can use any items, currency, tax rate, date and payment method you like.
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PHARMACY RECEIPT
CVS Pharmacy
910 Health Plaza Drive
Boston, MA 02118
(303) 555-0155
06/15/2026 13:42 · Receipt #292829
| Item | Qty | Price | Total |
|---|---|---|---|
| Prescription — Amoxicillin | 1 | $14.99 | $14.99 |
| Prescription — Lisinopril | 1 | $9.00 | $9.00 |
Your health, our priority.
292829