CVS Pharmacy Receipt Example
Here's what a CVS Pharmacy receipt looks like: Prescription — Amoxicillin, Prescription — Lisinopril, totalling $25.14. Copy the layout and swap in your own items, prices, date and store details to make one that matches your purchase.
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%. Yours can use any items, currency, tax rate, date and payment method you like.
Make your own in under a minute
Every field on this receipt is editable in Makecepeit: business name, address, items, quantities, prices, tax, payment method and date. Watch the live preview update as you type, then export a PDF or high-resolution PNG.
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
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