Rite Aid has a similar deal this week. Nexium 42 count is $23.99. It's part of the 40% back in points offer (buy $50 worth of promotion items, get $20 back in points, limit 2). There are $5 coupons in the SmartSource circular, so the cost after Plenti points and coupon is $9.39. For each Plenti card you could get 4 packages, assuming you have 4 coupons and make up the $2.02 to make it an even $100 (easy to do since there are lots of cheap items in the promotion such as Kleenex and candy bars).