Rite Aid Receipt Example

This is a sample Rite Aid receipt showing Prescription Co-Pay, Cold & Flu Relief and 1 more item, with a total of $38.76. Use it as a reference for what a real Rite Aid receipt looks like — then make your own with your items, prices, date and store details.

What's on this receipt

ItemQtyPrice
Prescription Co-Pay1$12.00
Cold & Flu Relief1$9.99
Multivitamin 100ct1$14.99
Total (incl. tax)$38.76

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SALES RECEIPT

Rite Aid

910 Health Plaza Drive

Camp Hill, PA 17011

(303) 555-0155

06/15/2026 13:42 · Receipt #920222

Store # 100Reg 1
ItemQtyPriceTotal
Prescription Co-Pay1$12.00$12.00
Cold & Flu Relief1$9.99$9.99
Multivitamin 100ct1$14.99$14.99
Subtotal$36.98
Sales Tax (4.81%)$1.78
TOTAL$38.76
Payment MethodCredit •••• 4821

Your health, our priority.

920222