Drug rider $3/$12/$25
Your drug benefit provides coverage for Tier 1 medications for a $3 copayment, Tier 2 medications for a $12 copayment and Tier 3 medications for a $25 copayment. Go to our Drug Formulary for a definition of Tier 1, Tier 2 and Tier 3.
Note that some drugs require prior authorization (PA) or step therapy (ST), and certain clinical criteria must be met prior to coverage. Refer to Some Drugs Require Prior Authorization for more details. The members' rider has specific information regarding the mail order copayment.
Blue Care Network requires that prescriptions for Tier 1 drugs be automatically filled with the generic equivalent, if available. The brand-name version can be dispensed if the member pays the difference between the cost of the brand and generic versions in addition to the required Tier 2 copayment. The following table identifies the tier for some of our more commonly prescribed drugs.
The following table lists the tier and copay for some of our more commonly prescribed drugs. Click on a letter in the index below to find Brand Name drugs beginning with that letter.
| Brand Name | Generic Name | Generic Available | PA / ST |
Tier | Copay |
|---|---|---|---|---|---|
| - A - | [ Return to Top ] | ||||
| Abilify | aripiprazole | No | 2 | $12 | |
| Abilify Discmelt | aripiprazole | No | 2 | $12 | |
| Accolate | zafirlukast | Yes | 1 | $3 | |
| Accuneb | albuterol sulfate | Yes | 1 | $3 | |
| Accupril | quinapril hcl | Yes | 1 | $3 | |
| Accuretic | quinapril/hydrochlorothiazide | Yes | 1 | $3 | |
| Accutane | isotretinoin | Yes | 1 | $3 | |
| Aceon | perindopril erbumine | Yes | 1 | $3 | |
| Acetasol | acetic acid/hydrocortisone | Yes | 1 | $3 | |
| Aciphex | rabeprazole sodium | No | PA | 3 | $25 |
| Aclovate | alclometasone dipropionate | Yes | 1 | $3 | |
| Actimmune | interferon gamma-1b,recomb. | No | 2 | $12 | |
| Actiq | fentanyl citrate | Yes | PA | 1 | $3 |
| Activella | estradiol/noreth ac | Yes | 1 | $3 | |
| Actonel | risedronate sodium | No | ST | 2 | $12 |
| Actonel With Calcium | risedron sod/calcium carbonate | No | ST | 2 | $12 |
| Actoplus Met | pioglitazone hcl/metformin hcl | No | ST | 2 | $12 |
| Actos | pioglitazone hcl | No | ST | 2 | $12 |
| Acular | ketorolac tromethamine | Yes | 1 | $3 | |
| Acular LS | ketorolac tromethamine | Yes | 1 | $3 | |
| Acuvail | ketorolac tromethamine | No | 3 | $25 | |
| Aczone | dapsone | No | 3 | $25 | |
| Adalat CC | nifedipine | Yes | 1 | $3 | |
| Adcirca | tadalafil | No | PA | 3 | $25 |
| Adderall | amphet asp/amphet/d-amphet | Yes | 1 | $3 | |
| Adderall XR | amphet asp/amphet/d-amphet | Yes | 1 | $3 | |
| Adipex-P | phentermine hcl | Yes | PA | 1 | $3 |
| Adoxa | doxycycline monohydrate | Yes | PA | 1 | $3 |
| Adoxa CK | doxycycline monohy/skin clnsr9 | No | 3 | $25 | |
| Adoxa TT | doxycycline monohy/skin clnsr9 | No | PA | 3 | $25 |
| Advair Diskus | fluticasone/salmeterol | No | 2 | $12 | |
| Advair HFA | fluticasone/salmeterol | No | 2 | $12 | |
| Advicor | niacin/lovastatin | No | PA | 3 | $25 |
| Aerobid | flunisolide/menthol | No | 3 | $25 | |
| Aerobid-M | flunisolide/menthol | No | 3 | $25 | |
| Afinitor | everolimus | No | PA | 2 | $12 |
| Aggrenox | aspirin/dipyridamole | No | 3 | $25 | |
| Akne-Mycin | erythromycin base | No | 3 | $25 | |
| Alamast | pemirolast potassium | No | 3 | $25 | |
| Albenza | albendazole | No | 3 | $25 | |
| Aldactazide 50/50 | spironolact/hydrochlorothiazid | Yes | 1 | $3 | |
| Aldactone | spironolactone | Yes | 1 | $3 | |
| Aldara | imiquimod | Yes | 1 | $3 | |
| Aldomet | methyldopa | Yes | 1 | $3 | |
| Aldoril | methyldopa/hydrochlorothiazide | Yes | 1 | $3 | |
| Alesse | levonorgestrel-eth estra | Yes | 1 | $3 | |
| Alferon N | interferon alfa-n3 | No | 2 | $12 | |
| Alinia | nitazoxanide | No | 2 | $12 | |
| Alkeran | melphalan | No | 2 | $12 | |
| Allanderm-T | trypsin/balsam peru/castor oil | Yes | 1 | $3 | |
| Allanenzyme | papain/urea | Yes | 1 | $3 | |
| Allanhist PDX | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Allantan | phenylephrine/chlor-tan | Yes | 1 | $3 | |
| Allegra | fexofenadine hcl | Yes | 1 | $3 | |
| Allegra ODT | fexofenadine hcl | No | ST | 3 | $25 |
| Allegra Susp | fexofenadine hcl | No | ST | 3 | $25 |
| Allegra-D 12 Hour | p-ephed hcl/fexofenadine hcl | Yes | ST | 1 | $3 |
| Allegra-D 24 Hour | p-ephed hcl/fexofenadine hcl | No | ST | 2 | $12 |
| Alocril | nedocromil sodium | No | 2 | $12 | |
| Alomide | lodoxamide tromethamine | No | 2 | $12 | |
| Alora | estradiol | No | 2 | $12 | |
| Alphagan | brimonidine tartrate | Yes | 1 | $3 | |
| Alphagan P | brimonidine tartrate | Yes | 1 | $3 | |
| Alrex | loteprednol etabonate | No | 3 | $25 | |
| Altabax | retapamulin | No | 3 | $25 | |
| Altace Capsules | ramipril | Yes | 1 | $3 | |
| Altace Tablets | ramipril | No | PA | 3 | $25 |
| Altoprev | lovastatin | No | PA | 3 | $25 |
| Alupent | metaproterenol sulfate | Yes | 1 | $3 | |
| Alvesco | ciclesonide | No | 1 | $3 | |
| Amaryl | glimepiride | Yes | 1 | $3 | |
| Ambi 60-580 | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Ambi 80/780 | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Ambien | zolpidem tartrate | Yes | 1 | $3 | |
| Ambien CR | zolpidem tartrate | Yes | PA | 1 | $3 |
| Amcinonide | amcinonide | Yes | 1 | $3 | |
| Amerge | naratriptan hcl | Yes | ST | 1 | $3 |
| Aminocaproic Acid | aminocaproic acid | Yes | 1 | $3 | |
| Amitiza | lubiprostone | No | PA | 3 | $25 |
| Amoxil | amoxicillin trihydrate | Yes | 1 | $3 | |
| Amphet Asp/Amphet/D-Amphet XR | amphet asp/amphet/d-amphet | Yes | PA | 1 | $3 |
| Ampyra | fampridine (4-aminopyridine) | No | PA | 3 | $25 |
| Amrix | cyclobenzaprine hcl | No | 3 | $25 | |
| Anadrol-50 | oxymetholone | No | PA | 3 | $25 |
| Anafranil | clomipramine hcl | Yes | 1 | $3 | |
| Anagrelide HCl | anagrelide hcl | Yes | 1 | $3 | |
| Analpram HC | hc acetate/pramoxine hcl | Yes | 1 | $3 | |
| Anamantle HC | lidocaine hcl/hc | Yes | 1 | $3 | |
| Anaplex DM | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Anaspaz | hyoscyamine sulfate | Yes | 1 | $3 | |
| Ancobon | flucytosine | No | 2 | $12 | |
| Androderm | testosterone | No | 2 | $12 | |
| Androgel | testosterone | No | 3 | $25 | |
| Androxy | fluoxymesterone | Yes | 1 | $3 | |
| Angeliq | estradiol/drospirenone | No | 3 | $25 | |
| Antabuse | disulfiram | No | 2 | $12 | |
| Antara | fenofibrate,micronized | No | 3 | $25 | |
| Antivert | meclizine hcl | Yes | 1 | $3 | |
| Anzemet | dolasetron mesylate | No | 3 | $25 | |
| Apexicon E | diflorasone diacetate/emoll | No | 3 | $25 | |
| Aphthasol | amlexanox | No | 3 | $25 | |
| Apidra | insulin glulisine | No | 2 | $12 | |
| Aplenzin | buproprion hbr | No | PA | 3 | $25 |
| Apokyn | apomorphine hcl | No | 2 | $12 | |
| Apresoline | hydralazine hcl | Yes | 1 | $3 | |
| Apriso | mesalamine | No | 3 | $25 | |
| Aptivus | tipranavir | No | 2 | $12 | |
| Aquachloral | chloral hydrate | Yes | 1 | $3 | |
| Aralen | chloroquine phosphate | Yes | 1 | $3 | |
| Aranesp | darbepoetin alfa in albumn sol | No | PA | 3 | $25 |
| Arava | leflunomide | Yes | 1 | $3 | |
| Arcalyst | rilonacept | No | PA | 2 | $12 |
| Aricept | donepezil hcl | Yes | 1 | $3 | |
| Aricept ODT | donepezil hcl | Yes | 1 | $3 | |
| Arimidex | anastrozole | Yes | PA | 1 | $3 |
| Arixtra | fondaparinux sodium | No | 3 | $25 | |
| Armour Thyroid | thyroid | No | 3 | $25 | |
| Aromasin | exemestane | No | PA | 2 | $12 |
| Artane | trihexyphenidyl hcl | Yes | 1 | $3 | |
| Arthrotec 50 | diclofenac sodium/misoprostol | No | PA | 3 | $25 |
| Arthrotec 75 | diclofenac sodium/misoprostol | No | PA | 3 | $25 |
| Asacol | mesalamine | No | 2 | $12 | |
| Asacol HD | mesalamine | No | 2 | $12 | |
| Asendin | amoxapine | Yes | 1 | $3 | |
| Asmanex | mometasone furoate | No | 1 | $3 | |
| Aspirin | aspirin | No | 2 | $12 | |
| Astelin | azelastine hcl | Yes | 1 | $3 | |
| Astepro | azelastine hcl | No | 2 | $12 | |
| Atacand | candesartan cilexetil | No | PA | 3 | $25 |
| Atacand HCT | candesartan/hydrochlorothiazid | No | PA | 3 | $25 |
| Atarax | hydroxyzine | Yes | 1 | $3 | |
| Ativan | lorazepam | Yes | 1 | $3 | |
| Atripla | efavirenz/emtricitab/tenofovir | No | 2 | $12 | |
| Atropine Sulfate | atropine sulfate | Yes | 1 | $3 | |
| Atrovent | ipratropium bromide | Yes | 1 | $3 | |
| Atrovent HFA | ipratropium bromide | No | 2 | $12 | |
| Augmentin | amox tr/potassium clavulanate | Yes | 1 | $3 | |
| Augmentin XR | amox tr/potassium clavulanate | Yes | 1 | $3 | |
| Auralgan | aa/antpy/bcaine/polico/al acet | Yes | 1 | $3 | |
| Avalide | irbesartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Avandamet | rosiglitazone/metformin hcl | No | PA | 3 | $25 |
| Avandaryl | rosiglitazone maleate/glimepir | No | PA | 3 | $25 |
| Avandia | rosiglitazone maleate | No | PA | 3 | $25 |
| Avapro | irbesartan | No | PA | 3 | $25 |
| AVC | sulfanilamide | No | 3 | $25 | |
| Avelox | moxifloxacin hcl | No | 2 | $12 | |
| Avinza | morphine sulfate | No | 3 | $25 | |
| Avita | tretinoin | Yes | 1 | $3 | |
| Avodart | dutasteride | No | 2 | $12 | |
| Avonex | interferon beta-1a | No | 2 | $12 | |
| Axert | almotriptan malate | No | ST | 3 | $25 |
| Axid (Rx Only) | nizatidine | Yes | 1 | $3 | |
| Azasite | azithromycin | No | 3 | $25 | |
| Azelex | azelaic acid | No | 3 | $25 | |
| Azilect | rasagiline mesylate | No | 3 | $25 | |
| Azmacort | triamcinolone acetonide | No | 1 | $3 | |
| Azopt | brinzolamide | No | 2 | $12 | |
| Azor | amlodipine bes/olmesartan med | No | PA | 3 | $25 |
| - B - | [ Return to Top ] | ||||
| Baciguent | bacitracin | Yes | 1 | $3 | |
| Bactrim/Septra | sulfamethoxazole/trimethoprim | Yes | 1 | $3 | |
| Bactroban Cream | mupirocin calcium | No | 2 | $12 | |
| Bactroban Nasal | mupirocin calcium | No | 2 | $12 | |
| Bactroban Ointment | mupirocin | Yes | 1 | $3 | |
| Banzel | rufinamide | No | 2 | $12 | |
| Baraclude | entecavir | No | 2 | $12 | |
| Beconase AQ | beclomethasone dipropionate | No | ST | 3 | $25 |
| Belladonna W/Phenobarbital | belladonna alkaloids/phenobarb | Yes | 1 | $3 | |
| Bellaspas | ergotamine tart/bellad alk/pb | Yes | 1 | $3 | |
| Benadryl (Rx Only) | diphenhydramine hcl | Yes | 1 | $3 | |
| Benemid | probenecid | Yes | 1 | $3 | |
| Benicar | olmesartan medoxomil | No | ST | 2 | $12 |
| Benicar HCT | olmesartan/hydrochlorothiazide | No | ST | 2 | $12 |
| Bentyl | dicyclomine hcl | Yes | 1 | $3 | |
| Benzaclin | clindamycin phosphate/benz per | No | 3 | $25 | |
| Benzashave | benzoyl peroxide | No | 3 | $25 | |
| Bepreve | bepotastine besilate | No | 3 | $25 | |
| Besivance | besifloxacin hydrochloride | No | 3 | $25 | |
| Betagan | levobunolol hcl | Yes | 1 | $3 | |
| Betapace | sotalol hcl | Yes | 1 | $3 | |
| Betaseron | interferon beta-1b | No | PA | 3 | $25 |
| Beta-Val | betamethasone valerate | Yes | 1 | $3 | |
| Bethanechol | bethanechol chloride | Yes | 1 | $3 | |
| Betimol | timolol | No | 3 | $25 | |
| Betoptic S | betaxolol hcl | No | 2 | $12 | |
| Beyaz | drospir/eth estra/levomefol ca | No | 3 | $25 | |
| Biaxin | clarithromycin | Yes | 1 | $3 | |
| Biaxin XL | clarithromycin | Yes | 1 | $3 | |
| Bicitra | citric acid/potassium citrate | Yes | 1 | $3 | |
| Biltricide | praziquantel | No | 2 | $12 | |
| Blephamide | na sulfacetm/prednisol ac | No | 2 | $12 | |
| Blephamide S.O.P. | na sulfacetm/prednisol ac | No | 2 | $12 | |
| Boniva | ibandronate sodium | No | ST | 3 | $25 |
| Bontril | phendimetrazine tartrate | Yes | PA | 1 | $3 |
| Bontril Slow-Release | phendimetrazine tartrate | Yes | PA | 1 | $3 |
| Bravelle | urofollitropin (fsh) | No | PA | 2 | $12 |
| Brethine | terbutaline sulfate | Yes | 1 | $3 | |
| Brevoxyl-4 | benzoyl peroxide | Yes | 1 | $3 | |
| Brevoxyl-8 | benzoyl peroxide | Yes | 1 | $3 | |
| Bromatane DX | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Bromaxefed DM RF | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Bromfenex | p-ephed hcl/brompheniramin | Yes | 1 | $3 | |
| Bromfenex-PD | p-ephed hcl/brompheniramin | Yes | 1 | $3 | |
| Bromhist-DM | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Bronkids | d-methorphan hb/pe/chlorphenir | Yes | 1 | $3 | |
| Brontuss LA | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Brovana | arformoterol tartrate | No | PA | 3 | $25 |
| Bumex | bumetanide | Yes | 1 | $3 | |
| Bupap | butalbital/acetaminophen | Yes | 1 | $3 | |
| Buspar | buspirone hcl | Yes | 1 | $3 | |
| Butisol Sodium | butabarbital sodium | No | 3 | $25 | |
| Byetta | exenatide | No | PA | 3 | $25 |
| Bystolic | nebivolol hcl | No | PA | 3 | $25 |
| - C - | [ Return to Top ] | ||||
| Caduet | amlodipine/atorvast cal | No | PA | 3 | $25 |
| Calan SR | verapamil hcl | Yes | 1 | $3 | |
| Cambia | diclofenac potassium | No | 3 | $25 | |
| Campral | acamprosate calcium | No | PA | 3 | $25 |
| Canasa | mesalamine | No | 2 | $12 | |
| Cantil | mepenzolate bromide | No | 3 | $25 | |
| Capex Shampoo | fluocinolone acetonide | No | 2 | $12 | |
| Capoten | captopril | Yes | 1 | $3 | |
| Capozide | captopril/hydrochlorothiazide | Yes | 1 | $3 | |
| Carac | fluorouracil | No | 3 | $25 | |
| Carafate | sucralfate | Yes | 1 | $3 | |
| Carbatrol | carbamazepine | No | 3 | $25 | |
| Cardec | phenylephrine hcl/chlor-mal | Yes | 1 | $3 | |
| Cardec DM | d-methorphan hb/pe/chlorphenir | Yes | 1 | $3 | |
| Cardene | nicardipine hcl | Yes | 1 | $3 | |
| Cardene SR | nicardipine hcl | No | 3 | $25 | |
| Cardizem | diltiazem hcl | Yes | 1 | $3 | |
| Cardizem LA | diltiazem hcl | Yes | 1 | $3 | |
| Cardura | doxazosin mesylate | Yes | 1 | $3 | |
| Cardura XL | doxazosin mesylate | No | 3 | $25 | |
| Carmol HC | hydrocortisone acetate/urea | No | 3 | $25 | |
| Carnitor | levocarnitine | Yes | 1 | $3 | |
| Casodex | bicalutamide | Yes | 1 | $3 | |
| Cataflam | diclofenac potassium | Yes | 1 | $3 | |
| Catapres | clonidine hcl | Yes | 1 | $3 | |
| Catapres-TTS 1 | clonidine hcl | Yes | 1 | $3 | |
| Catapres-TTS 2 | clonidine hcl | Yes | 1 | $3 | |
| Catapres-TTS 3 | clonidine hcl | Yes | 1 | $3 | |
| Caverject | alprostadil | No | PA | 2 | $12 |
| Cayston | aztreonam lysine | No | PA | 3 | $25 |
| Ceclor | cefaclor | Yes | 1 | $3 | |
| Ceclor CR | cefaclor | Yes | 1 | $3 | |
| Cedax | ceftibuten dihydrate | No | 3 | $25 | |
| Ceenu | lomustine | No | 2 | $12 | |
| Ceftin | cefuroxime axetil | Yes | 1 | $3 | |
| Cefzil | cefprozil | Yes | 1 | $3 | |
| Celebrex | celecoxib | No | PA | 3 | $25 |
| Celexa | citalopram hydrobromide | Yes | 1 | $3 | |
| Cellcept | mycophenolate mofetil | Yes | 1 | $3 | |
| Celontin | methsuximide | No | 2 | $12 | |
| Cenestin | estrogens,conj.,synthetic a | No | 3 | $25 | |
| Cesamet | nabilone | No | 3 | $25 | |
| Cetrotide | cetrorelix acetate | No | PA | 2 | $12 |
| Chantix | varenicline tartrate | No | 2 | $12 | |
| Chenodal | chenodiol | No | PA | 3 | $25 |
| Chorionic Gonadotropin | gonadotropin,chorionic,human | No | PA | 2 | $12 |
| Cialis | tadalafil | No | PA | 2 | $12 |
| Ciloxan | ciprofloxacin hcl | No | 2 | $12 | |
| Cimzia | certolizumab | No | PA | 3 | $25 |
| Cipro | ciprofloxacin hcl | Yes | 1 | $3 | |
| Cipro HC | ciprofloxacin hcl/hc | No | 2 | $12 | |
| Cipro XR | ciprofloxacin hcl-betaine comb | Yes | PA | 1 | $3 |
| Ciprodex | ciprofloxacin hcl/dexameth | No | 2 | $12 | |
| Clarinex | desloratadine | No | PA | 3 | $25 |
| Clarinex-D 12 Hour | p-ephed sul/desloratadine | No | PA | 3 | $25 |
| Clarinex-D 24 Hour | p-ephed sul/desloratadine | No | PA | 3 | $25 |
| Claritin | loratadine | Yes | 1 | $3 | |
| Claritin-D | p-ephed sul/loratadine | Yes | 1 | $3 | |
| Cleocin | clindamycin hcl | Yes | 1 | $3 | |
| Climara PRO | estradiol/levonorgestrel | No | 3 | $25 | |
| Clinac BPO | benzoyl peroxide | No | 3 | $25 | |
| Clindamax | clindamycin phosphate | Yes | 1 | $3 | |
| Clindesse | clindamycin phosphate | No | 3 | $25 | |
| Clinoril | sulindac | Yes | 1 | $3 | |
| Clobex | clobetasol propionate | No | 3 | $25 | |
| Cloderm | clocortolone pivalate | No | 2 | $12 | |
| Clomid | clomiphene citrate | Yes | 1 | $3 | |
| Clozaril | clozapine | Yes | 1 | $3 | |
| Coartem | artemether/lumefantrine | No | 2 | $12 | |
| Codeine | codeine sulfate | Yes | 1 | $3 | |
| Cofex-DM | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Co-Gesic | hydrocodone bit/acetaminophen | Yes | 1 | $3 | |
| Cognex | tacrine hcl | No | 3 | $25 | |
| Colazal | balsalazide disodium | Yes | 1 | $3 | |
| Col-Benemid | colchicine/probenecid | Yes | 1 | $3 | |
| Colcrys | colchicine | No | 2 | $12 | |
| Coldmist LA | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Colestid | colestipol hcl | Yes | 1 | $3 | |
| Coly-Mycin S | neomycin sulfate/colist sul/hc | No | 3 | $25 | |
| Colyte | sod sulf/sod/nahco3/kcl/peg's | Yes | 1 | $3 | |
| Combigan | brimonidine tartrate/timolol | No | 3 | $25 | |
| Combipatch | estradiol/noreth ac | No | 3 | $25 | |
| Combivent | albuterol sulfate/ipratropium | No | 2 | $12 | |
| Combivir | lamivudine/zidovudine | No | 2 | $12 | |
| Commit | nicotine polacrilex | Yes | 1 | $3 | |
| Compazine | prochlorperazine maleate | Yes | 1 | $3 | |
| Comtan | entacapone | No | 2 | $12 | |
| Concerta | methylphenidate hcl | No | 2 | $12 | |
| Condylox | podofilox | No | 2 | $12 | |
| Constulose | lactulose | Yes | 1 | $3 | |
| Copaxone | glatiramer acetate | No | 2 | $12 | |
| Cophene No.2 TR | pseudoephedrine hcl/chlor-mal | Yes | 1 | $3 | |
| Cordarone | amiodarone hcl | Yes | 1 | $3 | |
| Cordran | flurandrenolide | No | 2 | $12 | |
| Cordran SP | flurandrenolide | No | 2 | $12 | |
| Coreg | carvedilol | Yes | 1 | $3 | |
| Coreg CR | carvedilol phosphate | No | PA | 3 | $25 |
| Corgard | nadolol | Yes | 1 | $3 | |
| Cortef | hydrocortisone | Yes | 1 | $3 | |
| Cortenema | hydrocortisone acetate | Yes | 1 | $3 | |
| Cortifoam | hydrocortisone acetate | No | 2 | $12 | |
| Cortisporin | neomy sulf/polymyx b sulf/hc | Yes | 1 | $3 | |
| Cortisporin-TC | neomy sulf/colist sul/hc/thonz | No | 3 | $25 | |
| Cortone | cortisone acetate | Yes | 1 | $3 | |
| Corzide | nadolol/bendroflumethiazide | Yes | 1 | $3 | |
| Cosopt | timolol maleate/dorzolam hcl | Yes | 1 | $3 | |
| Cough Formula | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Coumadin | warfarin sodium | Yes | 1 | $3 | |
| Covera-HS | verapamil hcl | No | 2 | $12 | |
| Cozaar | losartan potassium | Yes | 1 | $3 | |
| Creon | amylase/lipase/protease | No | 2 | $12 | |
| Creon 10 | amylase/lipase/protease | No | 2 | $12 | |
| Creon 20 | amylase/lipase/protease | No | 2 | $12 | |
| Creon 5 | amylase/lipase/protease | No | 2 | $12 | |
| Crestor | rosuvastatin calcium | No | ST | 2 | $12 |
| Crinone | progesterone,micronized | No | 2 | $12 | |
| Crixivan | indinavir sulfate | No | 2 | $12 | |
| Cuprimine | penicillamine | No | 2 | $12 | |
| Cutivate | fluticasone propionate | No | 3 | $25 | |
| Cyclessa | desogestrel-ethinyl estradiol | Yes | 1 | $3 | |
| Cymbalta | duloxetine hcl | No | PA | 3 | $25 |
| Cytomel | liothyronine sodium | Yes | 1 | $3 | |
| Cytotec | misoprostol | Yes | 1 | $3 | |
| Cytovene | ganciclovir | Yes | 1 | $3 | |
| Cytoxan | cyclophosphamide | Yes | 1 | $3 | |
| Cytra-3 | citric acid/potassium citrate | Yes | 1 | $3 | |
| Cytra-K | citric acid/potassium citrate | Yes | 1 | $3 | |
| - D - | [ Return to Top ] | ||||
| D.H.E.45 | dihydroergotamine mesylate | Yes | 1 | $3 | |
| Dallergy DM | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Dalmane | flurazepam hcl | Yes | 1 | $3 | |
| Danocrine | danazol | Yes | 1 | $3 | |
| Dantrium | dantrolene sodium | Yes | 1 | $3 | |
| Dapsone | dapsone | No | 2 | $12 | |
| Daraprim | pyrimethamine | No | 2 | $12 | |
| Daypro | oxaprozin | Yes | 1 | $3 | |
| Daytrana | methylphenidate | No | 3 | $25 | |
| Ddavp | desmopressin acetate | Yes | 1 | $3 | |
| Decadron | dexamethasone | Yes | 1 | $3 | |
| Deconamine | pseudoephedrine hcl/chlor-mal | Yes | 1 | $3 | |
| Deconamine CX | guaifenesin/p-ephed hcl/hcod | Yes | 1 | $3 | |
| Deconamine SR | pseudoephedrine hcl/chlor-mal | No | 2 | $12 | |
| Delatestryl | testosterone enanthate | No | 2 | $12 | |
| Deltasone | prednisone | Yes | 1 | $3 | |
| Demadex | torsemide | Yes | 1 | $3 | |
| Demerol | meperidine hcl | Yes | 1 | $3 | |
| Demulen | ethynodiol d-ethinyl estradiol | Yes | 1 | $3 | |
| Denavir | penciclovir | No | 3 | $25 | |
| Depakote | divalproex sodium | Yes | 1 | $3 | |
| Depakote ER | divalproex sodium | Yes | 1 | $3 | |
| Depakote Sprinkle | divalproex sodium | Yes | 1 | $3 | |
| Depen | penicillamine | No | 3 | $25 | |
| Depo-Provera | medroxyprogesterone acet | Yes | 1 | $3 | |
| Depo-Subq Provera 104 | medroxyprogesterone acet | No | 2 | $12 | |
| Derma-Smoothe/FS | fluocinolone acetonide | No | 3 | $25 | |
| Dermatop | prednicarbate | Yes | 1 | $3 | |
| Desferal | deferoxamine mesylate | Yes | 1 | $3 | |
| Desogen | desogestrel-ethinyl estradiol | Yes | 1 | $3 | |
| Desonate | desonide | No | ST | 3 | $25 |
| Desowen | desonide | Yes | 1 | $3 | |
| Desoxyn | methamphetamine hcl | Yes | 1 | $3 | |
| Desquam-E | benzoyl peroxide | Yes | 1 | $3 | |
| Desquam-X | benzoyl peroxide | Yes | 1 | $3 | |
| Desquam-X 10 | benzoyl peroxide | Yes | 1 | $3 | |
| Desyrel | trazodone hcl | Yes | 1 | $3 | |
| Detrol | tolterodine tartrate | No | 2 | $12 | |
| Detrol LA | tolterodine tartrate | No | 2 | $12 | |
| Dexilant | dexlansoprazole | No | PA/ST | 3 | $25 |
| Dextrostat | d-amphetamine sulfate | Yes | 1 | $3 | |
| Diabeta | glyburide | Yes | 1 | $3 | |
| Diabinese | chlorpropamide | Yes | 1 | $3 | |
| Diamox | acetazolamide | Yes | 1 | $3 | |
| Diastat | diazepam | No | 2 | $12 | |
| Didrex | benzphetamine hcl | Yes | PA | 1 | $3 |
| Didronel | etidronate disodium | Yes | 1 | $3 | |
| Differin | adapalene | Yes | 1 | $3 | |
| Diflucan | fluconazole | Yes | 1 | $3 | |
| Dilantin | phenytoin | Yes | 1 | $3 | |
| Dilantin Chew Tab | phenytoin | No | 2 | $12 | |
| Dilatrate-SR | isosorbide dinitrate | No | 2 | $12 | |
| Dilaudid | hydromorphone hcl | Yes | 1 | $3 | |
| Diovan | valsartan | No | PA | 3 | $25 |
| Diovan HCT | valsartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Dipentum | olsalazine sodium | No | 3 | $25 | |
| Diprolene | betamet diprop/prop gly | Yes | 1 | $3 | |
| Diprolene AF | betamet diprop/prop gly | Yes | 1 | $3 | |
| Diprosone | betamethasone dipropionate | Yes | 1 | $3 | |
| Disalcid | salsalate | Yes | 1 | $3 | |
| Dispas | hyoscyamine sulfate | Yes | 1 | $3 | |
| Ditropan | oxybutynin chloride | Yes | 1 | $3 | |
| Ditropan XL | oxybutynin chloride | Yes | 1 | $3 | |
| Diuril | chlorothiazide | Yes | 1 | $3 | |
| Divigel | estradiol | No | 3 | $25 | |
| Dm-Guai | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Dolobid | diflunisal | Yes | 1 | $3 | |
| Domeboro | acetic acid/aluminum acetate | Yes | 1 | $3 | |
| Donnatal | belladonna alkaloids/phenobarb | Yes | 3 | $25 | |
| Doral | quazepam | No | 3 | $25 | |
| Doryx | doxycycline hyclate | Yes | 1 | $3 | |
| Dostinex | cabergoline | Yes | 1 | $3 | |
| Dovonex Cream | calcipotriene | No | 2 | $12 | |
| Dovonex Ointment | calcipotriene | Yes | 1 | $3 | |
| Dovonex Solution | calcipotriene | Yes | 1 | $3 | |
| Drithocreme HP | anthralin | Yes | 1 | $3 | |
| Dritho-Scalp | anthralin | No | 2 | $12 | |
| Droxia | hydroxyurea | No | 2 | $12 | |
| D-Tab | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Duac | clindamycin phosphate/benz per | No | 3 | $25 | |
| Duac CS | clindamycin phosphate/benz per | No | 3 | $25 | |
| Duetact | pioglitazone/glimepiride | No | ST | 2 | $12 |
| Dulera | mometasone/formoterol | No | 2 | $12 | |
| Duoneb | ipratropium/albuterol sulfate | Yes | 1 | $3 | |
| Durezol | difluprednate | No | 3 | $25 | |
| Duricef | cefadroxil hydrate | Yes | 1 | $3 | |
| Dyazide | triamterene/hydrochlorothiazid | Yes | 1 | $3 | |
| Dynacirc | isradipine | Yes | 1 | $3 | |
| Dynacirc CR | isradipine | No | 3 | $25 | |
| Dynapen | dicloxacillin sodium | Yes | 1 | $3 | |
| Dyrenium | triamterene | No | 2 | $12 | |
| - E - | [ Return to Top ] | ||||
| E.E.S. 200 | erythromycin ethylsuccinate | Yes | 1 | $3 | |
| Ed-A-Hist DM | d-methorphan hb/pe/chlorphenir | Yes | 1 | $3 | |
| Edecrin | ethacrynic acid | No | 2 | $12 | |
| Edex | alprostadil | No | PA | 3 | $25 |
| Edluar | zolpidem tartrate | No | PA | 3 | $25 |
| Effexor | venlafaxine hcl | Yes | 1 | $3 | |
| Effexor XR | venlafaxine hcl | Yes | 1 | $3 | |
| Effient | prasugrel hydrochloride | No | 2 | $12 | |
| Efudex | fluorouracil/adhesive bandage | No | 3 | $25 | |
| Elavil | amitriptyline hcl | Yes | 1 | $3 | |
| Eldepryl | selegiline hcl | No | 2 | $12 | |
| Elestat | epinastine hcl | No | 3 | $25 | |
| Elestrin | estradiol | No | 3 | $25 | |
| Elidel | pimecrolimus | No | PA | 2 | $12 |
| Eligard | leuprolide acetate | No | 3 | $25 | |
| Elimite | permethrin | Yes | 1 | $3 | |
| Ella | ulipristal acetate | No | 3 | $25 | |
| Elmiron | pentosan polysulfate sodium | No | 2 | $12 | |
| Elocon | mometasone furoate | Yes | 1 | $3 | |
| Emadine | emedastine difumarate | No | 3 | $25 | |
| Embeda | morphine sulfate/naltrexone | No | 3 | $25 | |
| Emcyt | estramustine phosphate sodium | No | 2 | $12 | |
| Emend | aprepitant | No | 2 | $12 | |
| Emla | lidocaine/prilocaine | Yes | 1 | $3 | |
| Empirin | codeine phos/aspirin | Yes | 1 | $3 | |
| Emsam | selegiline | No | 3 | $25 | |
| Emtriva | emtricitabine | No | 2 | $12 | |
| Enablex | darifenacin hydrobromide | No | 3 | $25 | |
| Enbrel | etanercept | No | PA | 2 | $12 |
| Endaroid | hc acetate/pramoxine hcl | Yes | 1 | $3 | |
| Endometrin | progesterone, micronized | No | 2 | $12 | |
| Enjuvia | estrogens,conj.,synthetic b | No | 3 | $25 | |
| Entex LA | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Entocort EC | budesonide | No | 3 | $25 | |
| Epiduo | adapalene/benzoyl peroxide | No | 3 | $25 | |
| Epipen | epinephrine | No | 2 | $12 | |
| Epipen Jr. | epinephrine | No | 2 | $12 | |
| Epitol | carbamazepine | Yes | 1 | $3 | |
| Epivir | lamivudine | No | 2 | $12 | |
| Epivir HBV | lamivudine | No | 2 | $12 | |
| Epogen | epoetin alfa | PA | 3 | $25 | |
| Epzicom | abacavir sulfate/lamivudine | No | 2 | $12 | |
| Equetro | carbamazepine | No | 3 | $25 | |
| Ergomar | ergotamine tartrate | No | 2 | $12 | |
| Ergotamine-Caffeine | ergotamine tartrate/caffeine | Yes | 1 | $3 | |
| Ertaczo | sertaconazole nitrate | No | 3 | $25 | |
| Eryped | erythromycin ethylsuccinate | Yes | 1 | $3 | |
| Erythrocin Stearate | erythromycin stearate | Yes | 1 | $3 | |
| Erythromycin | erythromycin base | Yes | 1 | $3 | |
| Erythromycin-Benzoyl Peroxide | erythromycin base/benz per | Yes | 1 | $3 | |
| Esgic | butalbital/acetaminophen | Yes | 1 | $3 | |
| Eskalith CR | lithium carbonate | Yes | 1 | $3 | |
| Estrace | estradiol | No | 3 | $25 | |
| Estraderm | estradiol | No | 2 | $12 | |
| Estradiol | estradiol | Yes | 1 | $3 | |
| Estradiol TDS | estradiol | Yes | 1 | $3 | |
| Estradiol Transdermal Patch | estradiol | Yes | 1 | $3 | |
| Estrasorb | estradiol | No | 3 | $25 | |
| Estring | estradiol | No | 2 | $12 | |
| Estrogel | estradiol | No | 3 | $25 | |
| Estrogen & Methyltestosterone | estrogen,ester/me-testosterone | Yes | 1 | $3 | |
| Estrostep Fe | noreth a-et estra/fe fumarate | Yes | 1 | $3 | |
| Eulexin | flutamide | Yes | 1 | $3 | |
| Eurax | crotamiton | No | 2 | $12 | |
| Evamist | estradiol transdermal spray | No | 3 | $25 | |
| Evista | raloxifene hcl | No | 2 | $12 | |
| Evoclin | clindamycin phosphate | Yes | 1 | $3 | |
| Evoxac | cevimeline hcl | No | 3 | $25 | |
| Exalgo | hydromorphone hcl | No | PA | 3 | $25 |
| Exelderm | sulconazole nitrate | No | 3 | $25 | |
| Exelon | rivastigmine tartrate | Yes | 1 | $3 | |
| Exforge | amlodipine/valsartan | No | PA | 3 | $25 |
| Exforge HCT | amlodipine/valsartan/hctz | No | PA | 3 | $25 |
| Exjade | deferasirox | No | PA | 3 | $25 |
| Extavia | interferon beta-1b | No | 3 | $25 | |
| Extendryl G | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Extina | ketoconazole | No | 3 | $25 | |
| - F - | [ Return to Top ] | ||||
| Factive | gemifloxacin mesylate | No | 3 | $25 | |
| Famotidine | famotidine | Yes | 1 | $3 | |
| Famvir | famciclovir | Yes | 1 | $3 | |
| Fanapt | iloperidone | No | 3 | $25 | |
| Fareston | toremifene citrate | No | 2 | $12 | |
| Faslodex | fulvestrant | No | 2 | $12 | |
| Fazaclo | clozapine | No | 3 | $25 | |
| Felbatol | felbamate | No | 2 | $12 | |
| Feldene | piroxicam | Yes | 1 | $3 | |
| Femara | letrozole | No | PA | 2 | $12 |
| Femcon Fe | noreth-ethinyl estradiol/iron | No | 3 | $25 | |
| Femhrt | ethinyl estradiol/noreth ac | No | 2 | $12 | |
| Femring | estradiol acetate | No | 3 | $25 | |
| Femtrace | estradiol acetate | No | 3 | $25 | |
| Fenoglide | fenofibrate | No | 3 | $25 | |
| Fentanyl | fentanyl | Yes | 1 | $3 | |
| Fentora | fentanyl citrate | No | PA | 3 | $25 |
| Fertinex | urofollitropin (fsh) | No | PA | 2 | $12 |
| Fexmid | cyclobenzaprine hcl | No | 3 | $25 | |
| Fibricor | fenofibric acid | Yes | 1 | $3 | |
| Finacea | azelaic acid | No | 3 | $25 | |
| Fioricet | butalb/acetaminophen/caffeine | Yes | 1 | $3 | |
| Fioricet W/ Codeine | codeine/butalbut/acetamin/caff | Yes | 1 | $3 | |
| Fiorinal | butalbital/aspirin/caffeine | Yes | 1 | $3 | |
| Fiorinal W/Codeine #3 | codeine/butalbital/asa/caffein | Yes | 1 | $3 | |
| Flagyl | metronidazole | Yes | 1 | $3 | |
| Flagyl ER | metronidazole | No | 2 | $12 | |
| Flector | diclofenac epolamine | No | PA | 3 | $25 |
| Flexeril | cyclobenzaprine hcl | Yes | 1 | $3 | |
| Flomax | tamsulosin hcl | Yes | 1 | $3 | |
| Flonase | fluticasone propionate | Yes | 1 | $3 | |
| Florinef | fludrocortisone acetate | Yes | 1 | $3 | |
| Flovent Diskus | fluticasone propionate | No | 1 | $3 | |
| Flovent HFA | fluticasone propionate | No | 1 | $3 | |
| Floxin | ofloxacin | Yes | 1 | $3 | |
| Flumadine | rimantadine hcl | Yes | 1 | $3 | |
| Fluorouracil | fluorouracil | Yes | 1 | $3 | |
| Fml | fluorometholone | Yes | 1 | $3 | |
| Fml Forte | fluorometholone | No | 2 | $12 | |
| Fml S.O.P. | fluorometholone | No | 2 | $12 | |
| Focalin | dexmethylphenidate hcl | Yes | 1 | $3 | |
| Focalin XR | dexmethylphenidate hcl | No | 3 | $25 | |
| Folic Acid | folic acid | Yes | 1 | $3 | |
| Follistim AQ | follitropin beta,recomb | No | PA | 3 | $25 |
| Foradil | formoterol fumarate | No | 2 | $12 | |
| Fortamet | metformin hcl | No | 3 | $25 | |
| Forteo | teriparatide | No | PA | 3 | $25 |
| Fosamax | alendronate sodium | Yes | 1 | $3 | |
| Fosamax Plus D | alendronate sodium/vitamin d3 | No | ST | 3 | $25 |
| Fosrenol | lanthanum carbonate | No | 3 | $25 | |
| Fragmin | dalteparin sodium,porcine | No | 3 | $25 | |
| Frova | frovatriptan succinate | No | ST | 3 | $25 |
| Fuzeon | enfuvirtide | No | 2 | $12 | |
| - G - | [ Return to Top ] | ||||
| Gabapentin | gabapentin | Yes | 1 | $3 | |
| Gabitril | tiagabine hcl | No | 2 | $12 | |
| Galzin | zinc acetate | No | 3 | $25 | |
| Ganirelix | ganirelix acetate | No | PA | 2 | $12 |
| Gelnique | oxybutynin chloride | No | 3 | $25 | |
| Gengraf | cyclosporine, modified | Yes | 1 | $3 | |
| Genotropin | somatropin | No | PA | 2 | $12 |
| Gentamicin Sulfate | gentamicin sulfate | Yes | 1 | $3 | |
| Geodon | ziprasidone hcl | No | 2 | $12 | |
| GFN 1200/DM 60 | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| GFN 595/PSE 48 Tab | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| GFN 600-Phenylephrine 20 | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Gianvi | ethinyl estradiol/drospirenone | Yes | 1 | $3 | |
| Gilenya | fingolimod hydrochloride | No | PA | 3 | $25 |
| Gleevec | imatinib mesylate | No | 2 | $12 | |
| Glucagen | glucagon,human recombinant | No | 2 | $12 | |
| Glucophage | metformin hcl | Yes | 1 | $3 | |
| Glucophage XR | metformin hcl | Yes | 1 | $3 | |
| Glucotrol | glipizide | Yes | 1 | $3 | |
| Glucotrol XL | glipizide | Yes | 1 | $3 | |
| Glucovance | glyburide/metformin hcl | Yes | 1 | $3 | |
| Glumetza | metformin hcl | No | 3 | $25 | |
| Glyset | miglitol | No | 3 | $25 | |
| Golytely | peg 3350/na sulf,bicarb,cl/kcl | Yes | 1 | $3 | |
| Gonal-F | follitropin alpha,recomb | No | PA | 2 | $12 |
| Gonal-F RFF | follitropin alpha,recomb | No | PA | 2 | $12 |
| Granulex | trypsin/balsam peru/castor oil | Yes | 1 | $3 | |
| Grifulvin V | griseofulvin,microsize | No | 2 | $12 | |
| Griseofulvin | griseofulvin,microsize | Yes | 1 | $3 | |
| Gris-Peg | griseofulvin ultramicrosize | No | 2 | $12 | |
| Guaifen PE | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Guaifenesin DM | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Guaifenesin W/Dextromethorphan | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Guaifenesin-Dextromethorphan | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Guaifenesin-Phenylephrine | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Guaifenesin-Phenylephrine HCl | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Guaifenesin-Pseudo | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Guaifenesin-Pseudoephedrine | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Guaiphen-PD | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Guiadex PD | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Gynazole-1 | butoconazole nitrate | No | 3 | $25 | |
| - H - | [ Return to Top ] | ||||
| Halcion | triazolam | Yes | 1 | $3 | |
| Haldol | haloperidol | Yes | 1 | $3 | |
| Halflytely | bisac/nacl/nahco3/kcl/peg 3350 | No | 3 | $25 | |
| Halog | halcinonide | No | 3 | $25 | |
| Hectorol | doxercalciferol | No | 3 | $25 | |
| Helidac | tetracyc hcl/bis ss/metronid | No | 2 | $12 | |
| Heparin Sodium | heparin sodium,porcine | Yes | 1 | $3 | |
| Hepsera | adefovir dipivoxil | No | 2 | $12 | |
| Hexalen | altretamine | No | 2 | $12 | |
| Hiprex | methenamine hippurate | Yes | 1 | $3 | |
| Humalog | insulin lispro,human rec.anlog | No | 2 | $12 | |
| Humalog Mix 50/50 | insulin lispro,human rec.anlog | No | 2 | $12 | |
| Humalog Mix 75/25 | insulin lispro,human rec.anlog | No | 2 | $12 | |
| Humatrope | somatropin | No | PA | 3 | $25 |
| Humira | adalimumab | No | PA | 2 | $12 |
| Humulin 70/30 | humulin | No | 2 | $12 | |
| Humulin N | nph, human insulin isophane | No | 2 | $12 | |
| Humulin R | insulin regular human rec | No | 2 | $12 | |
| Hycamtin | topotecan hcl | No | PA | 2 | $12 |
| Hydrea | hydroxyurea | Yes | 1 | $3 | |
| Hydrocodone/Acetaminophen | hydrocodone bit/acetaminophen | Yes | 1 | $3 | |
| Hydrocortisone | hydrocortisone | Yes | 1 | $3 | |
| Hydrodiuril | hydrochlorothiazide | Yes | 1 | $3 | |
| Hygroton | chlorthalidone | Yes | 1 | $3 | |
| Hyospaz | hyoscyamine sulfate | Yes | 1 | $3 | |
| Hypercare | aluminum chloride | Yes | 1 | $3 | |
| Hyzaar | losartan/hydrochlorothiazide | Yes | 1 | $3 | |
| - I - | [ Return to Top ] | ||||
| Imdur | isosorbide mononitrate | Yes | 1 | $3 | |
| Imitrex | sumatriptan succinate | Yes | 1 | $3 | |
| Imuran | azathioprine | Yes | 1 | $3 | |
| Increlex | mecasermin | No | PA | 3 | $25 |
| Inderal | propranolol hcl | Yes | 1 | $3 | |
| Inderide | propranolol/hydrochlorothiazide | Yes | 1 | $3 | |
| Indocin | indomethacin | Yes | 1 | $3 | |
| Infergen | interferon alfacon-1 | No | PA | 2 | $12 |
| Innohep | tinzaparin sodium,porcine | No | 3 | $25 | |
| Innopran XL | propranolol hcl | No | 3 | $25 | |
| Inspra | eplerenone | Yes | 1 | $3 | |
| Intal | cromolyn sodium | Yes | 1 | $3 | |
| Intelence | etravirine | No | 2 | $12 | |
| Intron A | interferon alfa-2b,recomb. | No | PA | 2 | $12 |
| Intuniv | guanfacine hcl | No | PA | 3 | $25 |
| Invega | paliperidone | No | PA | 3 | $25 |
| Invirase | saquinavir mesylate | No | 2 | $12 | |
| Ionamin | phentermine resin | No | PA | 2 | $12 |
| Iophen Dm | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Iopidine | apraclonidine hcl | Yes | 1 | $3 | |
| Iquix | levofloxacin | No | 3 | $25 | |
| Iressa | gefitinib | No | PA | 2 | $12 |
| Isentress | raltegravir potassium | No | 2 | $12 | |
| Ismo | isosorbide mononitrate | Yes | 1 | $3 | |
| Isopto Carbachol | carbachol | No | 2 | $12 | |
| Isopto Homatropine | homatropine hbr | Yes | 1 | $3 | |
| Isopto Hyoscine | scopolamine hydrobromide | No | 2 | $12 | |
| Isordil | isosorbide dinitrate | Yes | 1 | $3 | |
| Istalol | timolol maleate | No | 2 | $12 | |
| - J - | [ Return to Top ] | ||||
| Jalyn | dutasteride/tamsulosin hcl | No | ST | 3 | $25 |
| Janumet | sitagliptin phos/metformin hcl | No | PA | 3 | $25 |
| Januvia | sitagliptin phosphate | No | PA | 3 | $25 |
| - K - | [ Return to Top ] | ||||
| Kadian | morphine sulfate | No | 3 | $25 | |
| Kaletra | ritonavir/lopinavir | No | 2 | $12 | |
| Kaochlor-EFF | potassium chloride/pot bicarb | No | 3 | $25 | |
| Keflex | cephalexin monohydrate | Yes | 1 | $3 | |
| Kenalog | triamcinolone acetonide | Yes | 1 | $3 | |
| Keppra | levetiracetam | Yes | 1 | $3 | |
| Keppra XR | levetiracetam | No | 3 | $25 | |
| Kerlone | betaxolol hcl | Yes | 1 | $3 | |
| Ketek | telithromycin | No | 3 | $25 | |
| Kineret | anakinra | No | PA | 3 | $25 |
| Klonopin | clonazepam | Yes | 1 | $3 | |
| Klor-Con | potassium chloride | Yes | 1 | $3 | |
| K-Phos Neutral | phosphorus #1 | Yes | 1 | $3 | |
| Kuvan | sapropterin dihydrochloride | No | PA | 2 | $12 |
| Kytril | granisetron hcl | Yes | 1 | $3 | |
| - L - | [ Return to Top ] | ||||
| Lacrisert | hydroxypropyl cellulose | No | 2 | $12 | |
| Lactulose | lactulose | Yes | 1 | $3 | |
| Lamictal | lamotrigine | Yes | 1 | $3 | |
| Lamictal ODT | lamotrigine | No | 3 | $25 | |
| Lamictal ODT (Blue) | lamotrigine | No | 3 | $25 | |
| Lamictal ODT (Green) | lamotrigine | No | 3 | $25 | |
| Lamictal ODT (Orange) | lamotrigine | No | 3 | $25 | |
| Lamictal XR | lamotrigine | No | 3 | $25 | |
| Lamictal XR (Blue) | lamotrigine | No | 3 | $25 | |
| Lamictal XR (Green) | lamotrigine | No | 3 | $25 | |
| Lamictal XR (Orange) | lamotrigine | No | 3 | $25 | |
| Lamisil | terbinafine hcl | Yes | 1 | $3 | |
| Lanoxin | digoxin | Yes | 1 | $3 | |
| Lantus | insulin glargine,hum.rec.anlog | No | 2 | $12 | |
| Lariam | mefloquine hcl | Yes | 1 | $3 | |
| Lasix | furosemide | Yes | 1 | $3 | |
| Lescol | fluvastatin sodium | No | PA | 3 | $25 |
| Lescol XL | fluvastatin sodium | No | PA | 3 | $25 |
| Letairis | ambrisentan | No | PA | 2 | $12 |
| Leukeran | chlorambucil | No | 2 | $12 | |
| Leukine | sargramostim | No | 2 | $12 | |
| Leuprolide Acetate | leuprolide acetate | Yes | 1 | $3 | |
| Levaquin | levofloxacin | No | 3 | $25 | |
| Levatol | penbutolol sulfate | No | 3 | $25 | |
| Levemir | insulin detemir | No | 2 | $12 | |
| Levitra | vardenafil hcl | No | PA | 3 | $25 |
| Levsin | hyoscyamine sulfate | Yes | 1 | $3 | |
| Lexapro | escitalopram oxalate | No | ST | 2 | $12 |
| Lexiva | fosamprenavir calcium | No | 2 | $12 | |
| Lialda | mesalamine | No | 3 | $25 | |
| Librax | clidinium br/chlordiazepoxide | Yes | 1 | $3 | |
| Librium | chlordiazepoxide hcl | Yes | 1 | $3 | |
| Lidex | fluocinonide | Yes | 1 | $3 | |
| Lidex-E | fluocinonide | Yes | 1 | $3 | |
| Lidocaine | lidocaine hcl | Yes | 1 | $3 | |
| Lidocaine Hcl Viscous | lidocaine hcl | Yes | 1 | $3 | |
| Lidoderm | lidocaine | No | 3 | $25 | |
| Limbitrol | amitrip hcl/chlordiazepoxide | Yes | 1 | $3 | |
| Lindane | lindane | No | 2 | $12 | |
| Lioresal | baclofen | Yes | 1 | $3 | |
| Lipitor | atorvastatin calcium | No | PA | 3 | $25 |
| Lipofen | fenofibrate | No | 3 | $25 | |
| Liquadd | d-amphetamine sulfate | No | PA | 3 | $25 |
| Lithium Carbonate | lithium carbonate | Yes | 1 | $3 | |
| Lithium Citrate | lithium citrate | Yes | 1 | $3 | |
| Livalo | pitavastatin calcium | No | PA | 3 | $25 |
| Lo Loestrin Fe | noreth a-et estra/fe fumarate | No | 3 | $25 | |
| Lo/Ovral | norgestrel-ethinyl estradiol | Yes | 1 | $3 | |
| Locoid | hydrocortisone butyrate | Yes | 1 | $3 | |
| Lodine | etodolac | Yes | 1 | $3 | |
| Loestrin | noreth a-et estra/fe fumarate | Yes | 1 | $3 | |
| Loestrin 24 Fe | noreth a-et estra/fe fumarate | No | 3 | $25 | |
| Lofibra | fenofibrate,micronized | Yes | 1 | $3 | |
| Lohist 12D | p-ephed hcl/brompheniramin | Yes | 1 | $3 | |
| Lohist-PD | p-ephed hcl/brompheniramin | Yes | 1 | $3 | |
| Lomotil | diphenoxylate hcl/atrop sulf | Yes | 1 | $3 | |
| Loniten | minoxidil | Yes | 1 | $3 | |
| Lopid | gemfibrozil | Yes | 1 | $3 | |
| Lopressor | metoprolol tartrate | Yes | 1 | $3 | |
| Lopressor HCT | metoprolol/hydrochlorothiazide | Yes | 1 | $3 | |
| Loprox | ciclopirox | Yes | 1 | $3 | |
| Lortab | hydrocodone bit/acetaminophen | Yes | 1 | $3 | |
| Loseasonique | l-norgest-eth estr/ethin estra | No | 3 | $25 | |
| Lotemax | loteprednol etabonate | No | 3 | $25 | |
| Lotensin | benazepril hcl | Yes | 1 | $3 | |
| Lotensin HCT | benazepril/hydrochlorothiazide | Yes | 1 | $3 | |
| Lotrel | amlodipine besylate/benazepril | Yes | 1 | $3 | |
| Lotrimin | clotrimazole | Yes | 1 | $3 | |
| Lotrisone | clotrimazole/betamet diprop | Yes | 1 | $3 | |
| Lotronex | alosetron hcl | No | PA | 3 | $25 |
| Lovaza | omega-3 acid ethyl esters | No | 3 | $25 | |
| Lovenox | enoxaparin sodium | Yes | 1 | $3 | |
| Loxitane | loxapine succinate | Yes | 1 | $3 | |
| Lozol | indapamide | Yes | 1 | $3 | |
| Ludiomil | maprotiline hcl | Yes | 1 | $3 | |
| Lumigan | bimatoprost | No | 2 | $12 | |
| Luminial | phenobarbital | Yes | 1 | $3 | |
| Lunesta | eszopiclone | No | PA | 3 | $25 |
| Lupron Depot | leuprolide acetate | No | 2 | $12 | |
| Lupron Depot-Ped | leuprolide acetate | No | 2 | $12 | |
| Luride | sodium fluoride | Yes | 1 | $3 | |
| Luveris | lutropin alpha | No | PA | 3 | $25 |
| Luvox | fluvoxamine maleate | Yes | 1 | $3 | |
| Luvox CR | fluvoxamine maleate | No | ST | 3 | $25 |
| Luxiq | betamethasone valerate | No | 3 | $25 | |
| Lybrel | levonorgestrel-eth estra | No | 2 | $12 | |
| Lyrica | pregabalin | No | PA | 3 | $25 |
| Lysodren | mitotane | No | 2 | $12 | |
| Lysteda | tranexamic acid | No | 3 | $25 | |
| - M - | [ Return to Top ] | ||||
| Macrobid | nitrofurantoin | Yes | 1 | $3 | |
| Macrodantin | nitrofurantoin macro | Yes | 1 | $3 | |
| Magnacet | oxycodone hcl/acetaminophen | No | 3 | $25 | |
| Malarone | atovaquone/proguanil hcl | No | 2 | $12 | |
| Mandelamine | methenamine mandelate | Yes | 1 | $3 | |
| Marinol | dronabinol | Yes | 1 | $3 | |
| Marlexate | sodium polystyrene sulfonate | Yes | 1 | $3 | |
| Marplan | isocarboxazid | No | 3 | $25 | |
| Matulane | procarbazine hcl | No | 2 | $12 | |
| Mavik | trandolapril | Yes | 1 | $3 | |
| Maxair Autohaler | pirbuterol acetate | No | 2 | $12 | |
| Maxalt | rizatriptan benzoate | No | ST | 2 | $12 |
| Maxalt MLT | rizatriptan benzoate | No | ST | 2 | $12 |
| Maxidex | dexamethasone | No | 3 | $25 | |
| Maxitrol | neo/polymyx b sulf/dexameth | Yes | 1 | $3 | |
| Maxzide | triamterene/hydrochlorothiazid | Yes | 1 | $3 | |
| Mebaral | mephobarbital | Yes | 1 | $3 | |
| Meclomen | meclofenamate sodium | Yes | 1 | $3 | |
| Medrol | methylprednisolone | Yes | 1 | $3 | |
| Megace | megestrol acetate | Yes | 1 | $3 | |
| Megace ES | megestrol acetate | No | 3 | $25 | |
| Mellaril | thioridazine hcl | Yes | 1 | $3 | |
| Menest | estrogens,esterified | No | 3 | $25 | |
| Menopur | menotropins | No | PA | 3 | $25 |
| Menostar | estradiol | No | 3 | $25 | |
| Mentax | butenafine hcl | No | 3 | $25 | |
| Mephyton | phytonadione | No | 2 | $12 | |
| Mepron | atovaquone | No | 2 | $12 | |
| Mesalamine | mesalamine | Yes | 1 | $3 | |
| Mesnex | mesna | No | 2 | $12 | |
| Mestinon | pyridostigmine bromide | Yes | 1 | $3 | |
| Mestinon 180Mg | pyridostigmine bromide | No | 2 | $12 | |
| Mestinon Syrup | pyridostigmine bromide | No | 2 | $12 | |
| Metadate CD | methylphenidate hcl | No | 2 | $12 | |
| Metaglip | glipizide/metformin hcl | Yes | 1 | $3 | |
| Methadone | methadone hcl | Yes | 1 | $3 | |
| Methadone Intensol | methadone hcl | Yes | 1 | $3 | |
| Methergine | methylergonovine maleate | No | 2 | $12 | |
| Methitest | methyltestosterone | No | PA | 3 | $25 |
| Methotrexate | methotrexate sodium/pf | Yes | 1 | $3 | |
| Methylin | methylphenidate hcl | Yes | 1 | $3 | |
| Methylin ER | methylphenidate hcl | Yes | 1 | $3 | |
| Metozolv ODT | metoclopramide hcl | No | 3 | $25 | |
| Metrogel | metronidazole | No | 2 | $12 | |
| Mevacor | lovastatin | Yes | 1 | $3 | |
| Mexitil | mexiletine hcl | Yes | 1 | $3 | |
| Miacalcin | calcitonin,salmon,synthetic | Yes | 1 | $3 | |
| Micardis | telmisartan | No | PA | 3 | $25 |
| Micardis HCT | telmisartan/hydrochlorothiazid | No | PA | 3 | $25 |
| Micro-K | potassium chloride | Yes | 1 | $3 | |
| Micronase | glyburide,micronized | Yes | 1 | $3 | |
| Midamor | amiloride hcl | Yes | 1 | $3 | |
| Midrin | isometheptene/apap/dichlphen | Yes | 1 | $3 | |
| Migranal | dihydroergotamine mesylate | No | 2 | $12 | |
| Miltown | meprobamate | Yes | 1 | $3 | |
| Minipres | prazosin hcl | Yes | 1 | $3 | |
| Minocin | minocycline hcl | Yes | 1 | $3 | |
| Mintex | pseudoephedrine hcl/chlor-mal | Yes | 1 | $3 | |
| Mirapex | pramipexole di-hcl | Yes | 1 | $3 | |
| Mirapex ER | pramipexole di-hcl | No | PA | 3 | $25 |
| Mircette | desog-et estra/ethin estra | Yes | 1 | $3 | |
| Mobic | meloxicam | Yes | 1 | $3 | |
| Modicon | norethindrone-ethinyl estrad | Yes | 1 | $3 | |
| Moduertic | amiloride/hydrochlorothiazide | Yes | 1 | $3 | |
| Monopril | fosinopril sodium | Yes | 1 | $3 | |
| Monopril HCT | fosinopril/hydrochlorothiazide | Yes | 1 | $3 | |
| Monurol | fosfomycin tromethamine | No | 3 | $25 | |
| Motrin (Rx Only) | ibuprofen | Yes | 1 | $3 | |
| Moviprep | peg3350/sod sul/nacl/asb/c/kcl | No | 3 | $25 | |
| Moxatag | amoxicillin trihydrate | No | 3 | $25 | |
| MS Contin | morphine sulfate | Yes | 1 | $3 | |
| MSIR | morphine sulfate | Yes | 1 | $3 | |
| Mucomyst | acetylcysteine | Yes | 1 | $3 | |
| Multaq | dronedarone hydrochloride | No | 2 | $12 | |
| Muse | alprostadil | No | PA | 2 | $12 |
| Myambutol | ethambutol hcl | Yes | 1 | $3 | |
| Mycobutin | rifabutin | No | 2 | $12 | |
| Mycolog | nystatin/triamcin | Yes | 1 | $3 | |
| Mycostatin | nystatin | Yes | 1 | $3 | |
| Myfortic | mycophenolate sodium | No | 3 | $25 | |
| Myleran | busulfan | No | 2 | $12 | |
| Mysoline | primidone | Yes | 1 | $3 | |
| Mytelase | ambenonium chloride | No | 3 | $25 | |
| - N - | [ Return to Top ] | ||||
| Naftin | naftifine hcl | No | 3 | $25 | |
| Naltrexone | naltrexone hcl | Yes | 1 | $3 | |
| Namenda | memantine hcl | No | 2 | $12 | |
| Naphazoline HCl | naphazoline hcl | Yes | 1 | $3 | |
| Naprelan | naproxen sodium | No | 3 | $25 | |
| Naprelan CR Dosepak | naproxen sodium | No | 3 | $25 | |
| Naprosyn | naproxen sodium | Yes | 1 | $3 | |
| Naprosyn DS | naproxen | Yes | 1 | $3 | |
| Nardil | phenelzine sulfate | No | 2 | $12 | |
| Nasacort AQ | triamcinolone acetonide | No | ST | 2 | $12 |
| Nasalide | flunisolide 0.025% spray | Yes | 1 | $3 | |
| Nasarel | flunisolide | Yes | 1 | $3 | |
| Nascobal | cyanocobalamin | No | 3 | $25 | |
| Nasonex | mometasone furoate | No | ST | 3 | $25 |
| Natacyn | natamycin | No | 2 | $12 | |
| Natazia | estradiol valerate/dienogest | No | 3 | $25 | |
| Navane | thiothixene | Yes | 1 | $3 | |
| Nazarin | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Nebupent | pentamidine isethionate | No | 2 | $12 | |
| Necon 10/11 | norethindrone-ethinyl estrad | Yes | 1 | $3 | |
| Neobenz Micro | benzoyl peroxide microspheres | Yes | 1 | $3 | |
| Neomycin Sulfate | neomycin sulfate | Yes | 1 | $3 | |
| Neomycin/Polymyxin/Gramicidin | neomycin/gramicidin/polymyxn b | Yes | 1 | $3 | |
| Neomycin-Bacitracin-Poly-Hc | neomy sulf/polymyx b sulf/hc | Yes | 1 | $3 | |
| Neomycin-Bacitracin-Polymyxin | neomy sulf/bacitra/polymyxin b | Yes | 1 | $3 | |
| Neoral | cyclosporine | No | 2 | $12 | |
| Neulasta | pegfilgrastim | No | 3 | $25 | |
| Neumega | oprelvekin | No | 2 | $12 | |
| Neupogen | filgrastim | No | 2 | $12 | |
| Neurontin | gabapentin | No | 2 | $12 | |
| Nevanac | nepafenac | No | 3 | $25 | |
| Nexavar | sorafenib tosylate | No | PA | 2 | $12 |
| Nexium | esomeprazole mag trihydrate | No | PA/ST | 3 | $25 |
| Niaspan | niacin | No | 2 | $12 | |
| Niazid | isoniazid | Yes | 1 | $3 | |
| Nicotine | nicotine | Yes | 1 | $3 | |
| Nicotine Patch | nicotine | Yes | 1 | $3 | |
| Nicotine Polacrilex | nicotine polacrilex | Yes | 1 | $3 | |
| Nicotrol | nicotine | No | 3 | $25 | |
| Nicotrol NS | nicotine | No | 3 | $25 | |
| Nifediac CC | nifedipine | Yes | 1 | $3 | |
| Niferex Gold | iron aspgly&ps/c/b12/fa/ca/suc | No | 3 | $25 | |
| Nilandron | nilutamide | No | 2 | $12 | |
| Nimotop | nimodipine | Yes | 1 | $3 | |
| Niravam | alprazolam | Yes | 1 | $3 | |
| Nitro-Bid | nitroglycerin | No | 2 | $12 | |
| Nitro-Dur | nitroglycerin | Yes | 1 | $3 | |
| Nitroglycerin | nitroglycerin | Yes | 1 | $3 | |
| Nitroglycerin Transdermal | nitroglycerin | Yes | 1 | $3 | |
| Nitrolingual | nitroglycerin | No | 2 | $12 | |
| Nitromist | nitroglycerin | No | 2 | $12 | |
| Nitrostat | nitroglycerin | No | 2 | $12 | |
| Nizoral | ketoconazole | Yes | 1 | $3 | |
| Nolvadex | tamoxifen citrate | Yes | 1 | $3 | |
| Nordette | levonorgestrel-eth estra | Yes | 1 | $3 | |
| Norditropin | somatropin | No | PA | 3 | $25 |
| Norditropin Nordiflex | somatropin | No | PA | 3 | $25 |
| Norethindrone Acetate | norethindrone acetate | Yes | 1 | $3 | |
| Norflex | orphenadrine citrate | Yes | 1 | $3 | |
| Noritate | metronidazole | No | 3 | $25 | |
| Noroxin | norfloxacin | No | 3 | $25 | |
| Norpace | disopyramide phosphate | Yes | 1 | $3 | |
| Norpace CR | disopyramide phosphate | No | 2 | $12 | |
| Norpramin | desipramine hcl | Yes | 1 | $3 | |
| Nortuss-Ex | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Norvac | amlodipine besylate | Yes | 1 | $3 | |
| Norvir | ritonavir | No | 2 | $12 | |
| Novolin | insulin regular human rec | No | 2 | $12 | |
| Novolin 70-30 | insulin regular human rec | No | 2 | $12 | |
| Novolin R | insulin regular human rec | No | 2 | $12 | |
| Novolog | insulin aspart | No | 2 | $12 | |
| Novolog Mix 70/30 | insuln asp prt/insulin aspart | No | 2 | $12 | |
| Noxafil | posaconazole | No | 2 | $12 | |
| Nucynta | tapentadol hydrochloride | No | PA | 3 | $25 |
| Nutropin | somatropin | No | PA | 2 | $12 |
| Nutropin AQ | somatropin | No | PA | 2 | $12 |
| Nutropin AQ Nuspin | somatropin | No | PA | 2 | $12 |
| Nuvaring | etonogestrel/ethinyl estradiol | No | 3 | $25 | |
| Nuvigil | armodafinil | No | PA | 3 | $25 |
| Nystop | nystatin | Yes | 1 | $3 | |
| Ny-Tannic | phenylephrine/chlor-tan | Yes | 1 | $3 | |
| - O - | [ Return to Top ] | ||||
| Ocufen | flurbiprofen sodium | Yes | 1 | $3 | |
| Ocupres | carteolol hcl | Yes | 1 | $3 | |
| Oforta | fludarabine phosphate | No | 2 | $12 | |
| Ogen | estropipate | Yes | 1 | $3 | |
| Oleptro ER | trazodone hcl | No | PA | 3 | $25 |
| Olux | clobetasol propionate | Yes | 1 | $3 | |
| Olux-E | clobetasol propionate/emoll | No | 3 | $25 | |
| Omeprazole OTC | omeprazole | Yes | 1 | $3 | |
| Omnaris | ciclesonide | No | ST | 3 | $25 |
| Omnicef | cefdinir | Yes | 1 | $3 | |
| Omnitrope | somatropin | No | PA | 3 | $25 |
| Onglyza | saxagliptin hydrochloride | No | PA | 3 | $25 |
| Onsolis | fentanyl citrate | No | PA | 3 | $25 |
| Opana | oxymorphone hcl | Yes | PA | 1 | $3 |
| Opana ER | oxymorphone hcl | No | PA | 3 | $25 |
| Optipranolol | metipranolol | Yes | 1 | $3 | |
| Optivar | azelastine hcl | Yes | 1 | $3 | |
| Oracea | doxycycline monohydrate | No | PA | 3 | $25 |
| Orap | pimozide | No | 2 | $12 | |
| Orapred | prednisolone sod phosphate | Yes | 1 | $3 | |
| Orapred ODT | prednisolone sod phosphate | No | 3 | $25 | |
| Oravig | miconazole | No | 3 | $25 | |
| Oraxyl | doxycycline hyclate | No | 3 | $25 | |
| Orfadin | nitisinone | No | 2 | $12 | |
| Oridus | ketoprofen | Yes | 1 | $3 | |
| Orinase | tolbutamide | Yes | 1 | $3 | |
| Orphenadrine Compound | orphenadrine/aspirin/caffeine | Yes | 1 | $3 | |
| Orphenadrine Compound Forte | orphenadrine/aspirin/caffeine | Yes | 1 | $3 | |
| Ortho Evra | ethinyl estradiol/norelgest | No | 2 | $12 | |
| Ortho Micronor | norethindrone | Yes | 1 | $3 | |
| Ortho Tri-Cyclen | norgestimate-ethinyl estradiol | Yes | 1 | $3 | |
| Ortho Tri-Cyclen Lo | norgestimate-ethinyl estradiol | No | 2 | $12 | |
| Ortho-Cyclen | norgestimate-ethinyl estradiol | Yes | 1 | $3 | |
| Ortho-Novum 1/35 | norethindrone-mestranol | Yes | 1 | $3 | |
| Ortho-Novum 1/50 | norethindrone-ethinyl estrad | Yes | 1 | $3 | |
| Ortho-Novum 7/7/7 | norethindrone-ethinyl estrad | Yes | 1 | $3 | |
| Ortho-Prefest | estradiol/norgestimate | No | 3 | $25 | |
| Osmoprep | naphos m-b m-h/na phos,di-ba | No | 3 | $25 | |
| Ovcon | norethindrone-ethinyl estrad | Yes | 1 | $3 | |
| Ovcon-50 | norethindrone-ethinyl estrad | No | 3 | $25 | |
| Ovide | malathion | Yes | 1 | $3 | |
| Ovidrel | hcg alpha,recombinant | No | PA | 2 | $12 |
| Ovral | norgestrel-ethinyl estradiol | Yes | 1 | $3 | |
| Oxandrin | oxandrolone | Yes | PA | 1 | $3 |
| Oxistat | oxiconazole nitrate | No | 3 | $25 | |
| Oxsoralen-Ultra | methoxsalen, rapid | No | 2 | $12 | |
| Oxycodone HCl | oxycodone hcl | Yes | 1 | $3 | |
| OxyContin | oxycodone hcl | No | PA | 3 | $25 |
| Oxytrol | oxybutynin | No | 3 | $25 | |
| - P - | [ Return to Top ] | ||||
| Pamelor | nortriptyline hcl | Yes | 1 | $3 | |
| Pancreaze | lipase/protease/amylase | No | 3 | $25 | |
| Pandel | hydrocortisone probutate | No | 3 | $25 | |
| Panmist S | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Panretin | alitretinoin | No | 2 | $12 | |
| Parafon Forte | chlorzoxazone | Yes | 1 | $3 | |
| Paregoric | paregoric | Yes | 1 | $3 | |
| Paremyd | hydroxyamphetamine/tropicamide | No | 3 | $25 | |
| Parlodel | bromocriptine mesylate | Yes | 1 | $3 | |
| Paromomycin Sulfate | paromomycin sulfate | Yes | 1 | $3 | |
| Pataday | olopatadine hcl | No | 3 | $25 | |
| Patanase | olopatadine hcl | No | 3 | $25 | |
| Patanol | olopatadine hcl | No | 2 | $12 | |
| Pavabid | papaverine hcl | Yes | 1 | $3 | |
| Paxil | paroxetine hcl | Yes | 1 | $3 | |
| Paxil CR | paroxetine hcl | Yes | 1 | $3 | |
| PCE | erythromycin base | No | 3 | $25 | |
| Pediazole | ery e-succ/sulfisoxazole | Yes | 1 | $3 | |
| Peganone | ethotoin | No | 2 | $12 | |
| Pegasys | peginterferon alfa-2a | No | PA | 2 | $12 |
| Peg-Intron | peginterferon alfa-2b | No | PA | 2 | $12 |
| Pen VK | penicillin v potassium | Yes | 1 | $3 | |
| Penlac | ciclopirox | Yes | 1 | $3 | |
| Pennsaid | diclofenac sodium | No | PA | 3 | $25 |
| Pentasa | mesalamine | No | 2 | $12 | |
| Penthrane | pentazocine hcl/acetaminophen | Yes | 1 | $3 | |
| Pentolair | cyclopentolate hcl | Yes | 1 | $3 | |
| Peranex HC | hc acetate/lidocaine hcl | No | 3 | $25 | |
| Percocet | oxycodone hcl/acetaminophen | Yes | 1 | $3 | |
| Percodan | oxycodone hcl/aspirin | Yes | 1 | $3 | |
| Perforomist | formoterol fumarate | No | PA | 3 | $25 |
| Periactin | cyproheptadine hcl | Yes | 1 | $3 | |
| Peridex | chlorhexidine gluconate | Yes | 1 | $3 | |
| Persantine | dipyridamole | Yes | 1 | $3 | |
| Pexeva | paroxetine mesylate | No | PA | 3 | $25 |
| Phenavent | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Phenavent Ped | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Phenergan | promethazine hcl | Yes | 1 | $3 | |
| Phenergan VC | phenylephrine hcl/prometh hcl | Yes | 1 | $3 | |
| Phenergan VC-Codeine | codeine/promethazine hcl | Yes | 1 | $3 | |
| Phenergan-Codeine | codeine/promethazine hcl | Yes | 1 | $3 | |
| Phenylephrine HCl | phenylephrine hcl | Yes | 1 | $3 | |
| Phenylephrine-Guaifenesin | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| P-Hist DM | d-methorphan hb/p-epd hcl/bpm | Yes | 1 | $3 | |
| Phoslo | calcium acetate | Yes | 1 | $3 | |
| Phospholine Iodide | echothiophate iodide | No | 2 | $12 | |
| Phrenilin Forte | butalbital/acetaminophen | No | 2 | $12 | |
| Pilocarpine HCl | pilocarpine hcl | Yes | 1 | $3 | |
| Pilopine HS | pilocarpine hcl | No | 2 | $12 | |
| Plan B | levonorgestrel | Yes | 1 | $3 | |
| Plan B One-Step | levonorgestrel | No | 3 | $25 | |
| Plaquenil | hydroxychloroquine sulfate | Yes | 1 | $3 | |
| Plavix | clopidogrel bisulfate | No | 2 | $12 | |
| Plendil ER | felodipine | Yes | 1 | $3 | |
| Pletal | cilostazol | Yes | 1 | $3 | |
| Plexion | sulfacetamide sodium/sulfur | Yes | 1 | $3 | |
| Podofilox | podofilox | Yes | 1 | $3 | |
| Polaramine | dexchlorpheniramine maleate | Yes | 1 | $3 | |
| Polycitra | sod/potass/k cit/sod cit/ca | Yes | 1 | $3 | |
| Polyethylene Glycol | polyethylene glycol 3350 | Yes | 1 | $3 | |
| Polymyxin B Sul-Trimethoprim | polymyxin b sulfate/tmp | Yes | 1 | $3 | |
| Poly-Pred | neomy sulf/polymyx b sulf/pred | No | 2 | $12 | |
| Polysporin | bacitracin/polymyxin b sulfate | Yes | 1 | $3 | |
| Poly-Vi-Flor | fluoride ion/multivitamins | Yes | 1 | $3 | |
| Ponstel | mefenamic acid` | Yes | 1 | $3 | |
| Potassium Bicarbonate/Cit Ac | potassium bicarbonate/cit ac | Yes | 1 | $3 | |
| Potassium Chloride | potassium chloride | Yes | 1 | $3 | |
| Potassium Citrate | potassium citrate | Yes | 1 | $3 | |
| Pradaxa | dabigatran etexilate mesylate | No | PA | 3 | $25 |
| Pramosone | hc acetate/pramoxine hcl | Yes | 1 | $3 | |
| Prandimet | repaglinide/metformin hcl | No | PA | 3 | $25 |
| Prandin | repaglinide | No | 2 | $12 | |
| Prascion FC | sulfacetamide sodium/sulfur | Yes | 1 | $3 | |
| Pravachol | pravastatin sodium | Yes | 1 | $3 | |
| Precose | acarbose | Yes | 1 | $3 | |
| Pred Forte | prednisolone acetate | Yes | 1 | $3 | |
| Pred Mild | prednisolone acetate | No | 2 | $12 | |
| Pred-G | gentamicin/prednisol ac | No | 3 | $25 | |
| Prelone | prednisolone | Yes | 1 | $3 | |
| Premarin | estrogens,conjugated | No | 2 | $12 | |
| Premphase | estrogen,con/m-progest acet | No | 2 | $12 | |
| Prempro | estrogen,con/m-progest acet | No | 2 | $12 | |
| Prenatal Advantage | prenatal vit/iron,carb/doss/fa | Yes | 1 | $3 | |
| Prevacid | lansoprazole | Yes | ST | 1 | $3 |
| Prevacid Naprapac | lansoprazole/naproxen | No | PA | 3 | $25 |
| Prevacid Solutab | lansoprazole | Yes | PA | 1 | $3 |
| Prevident | sodium fluoride | Yes | 1 | $3 | |
| Prevpac | lansoprazole/amox tr/clarith | No | 2 | $12 | |
| Prezista | darunavir ethanolate | No | 2 | $12 | |
| Priftin | rifapentine | No | 3 | $25 | |
| Prilosec | omeprazole | Yes | 1 | $3 | |
| Prilosec 40Mg | omeprazole | Yes | PA | 1 | $3 |
| Prilosec OTC | omeprazole magnesium | No | 1 | $3 | |
| Primaquine | primaquine phosphate | No | 2 | $12 | |
| Principen | ampicillin trihydrate | Yes | 1 | $3 | |
| Prinivil | lisinopril | Yes | 1 | $3 | |
| Prinzide | lisinopril/hydrochlorothiazide | Yes | 1 | $3 | |
| Pristiq | desvenlafaxine succinate | No | ST | 3 | $25 |
| Proair HFA | albuterol | No | 2 | $12 | |
| Proamatine | midodrine hcl | Yes | 1 | $3 | |
| Procardia | nifedipine | Yes | 1 | $3 | |
| Procardia XL | nifedipine | Yes | 1 | $3 | |
| Prochieve | progesterone,micronized | No | 2 | $12 | |
| Procrit | epoetin alfa | No | PA | 2 | $12 |
| Proctocort | hydrocortisone acetate | Yes | 1 | $3 | |
| Proctocream-HC | hydrocortisone | Yes | 1 | $3 | |
| Profasi | gonadotropin,chorionic,human | No | PA | 2 | $12 |
| Progesterone In Oil | progesterone | Yes | 1 | $3 | |
| Prograf | tacrolimus anhydrous | Yes | 1 | $3 | |
| Prolixin | fluphenazine hcl | Yes | 1 | $3 | |
| Promacta | eltrombopag olamine | No | PA | 2 | $12 |
| Promethazine-DM | d-methorphan hb/prometh hcl | Yes | 1 | $3 | |
| Prometrium | progesterone,micronized | No | 2 | $12 | |
| Pronestyl | procainamide hcl | Yes | 1 | $3 | |
| Propantheline Bromide | propantheline bromide | Yes | 1 | $3 | |
| Propine | dipivefrin hcl | No | 2 | $12 | |
| Proquin XR | ciprofloxacin hcl | No | PA | 3 | $25 |
| Proscar | finasteride | Yes | 1 | $3 | |
| Prosom | estazolam | Yes | 1 | $3 | |
| Prostigmin | neostigmine bromide | No | 2 | $12 | |
| Protonix | pantoprazole sodium | Yes | PA | 1 | $3 |
| Protopic | tacrolimus | No | ST | 3 | $25 |
| Proventil HFA | albuterol | No | 3 | $25 | |
| Proventil Tablets | albuterol sulfate | Yes | 1 | $3 | |
| Provera | medroxyprogesterone acet | Yes | 1 | $3 | |
| Provigil | modafinil | No | PA | 2 | $12 |
| Prozac | fluoxetine hcl | Yes | 1 | $3 | |
| Prozac Weekly | fluoxetine hcl | Yes | 1 | $3 | |
| Prudoxin | doxepin hcl | No | 2 | $12 | |
| Pscorcon | diflorasone diacetate | Yes | 1 | $3 | |
| PSE BPM | p-ephed hcl/brompheniramin | Yes | 1 | $3 | |
| Pseudoephedrine W/Guaifenesin | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Pseudoephedrine-Guaifenesin | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Pseudovent 400 | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Psorcon | diflorasone diacetate | Yes | 1 | $3 | |
| PTU | propylthiouracil | Yes | 1 | $3 | |
| Pulmicort | budesonide | No | 1 | $3 | |
| Pulmicort Soln | budesonide | Yes | 1 | $3 | |
| Pulmozyme | dornase alfa | No | 2 | $12 | |
| Purinethol | mercaptopurine | Yes | 1 | $3 | |
| Pylera | bismuth/metronid/tetracycline | No | 3 | $25 | |
| Pyrazinamide | pyrazinamide | Yes | 1 | $3 | |
| Pyridium | phenazopyridine hcl | Yes | 1 | $3 | |
| - Q - | [ Return to Top ] | ||||
| Qualaquin | quinine sulfate | No | 3 | $25 | |
| Questran | cholestyramine | Yes | 1 | $3 | |
| Questran Light | cholestyramine | Yes | 1 | $3 | |
| Quinidine Gluconate | quinidine gluconate | Yes | 1 | $3 | |
| Quinidine Sulfate | quinidine sulfate | Yes | 1 | $3 | |
| Quintex | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Quixin | levofloxacin | Yes | 1 | $3 | |
| QVAR | beclomethasone dipropionate | No | 1 | $3 | |
| - R - | [ Return to Top ] | ||||
| Radiogardase | prussian blue | No | 2 | $12 | |
| Ranexa | ranolazine | No | PA | 3 | $25 |
| Raniclor | cefaclor | No | 3 | $25 | |
| Rapaflo | silodosin | No | 3 | $25 | |
| Rapamune | sirolimus | No | 2 | $12 | |
| Razadyne | galantamine hydrobromide | Yes | 1 | $3 | |
| Razadyne ER | galantamine hydrobromide | Yes | 1 | $3 | |
| Rebetol | ribavirin | No | PA | 2 | $12 |
| Rebif | interferon beta-1a/albumin | No | 2 | $12 | |
| Reglan | metoclopramide hcl | Yes | 1 | $3 | |
| Regranex | becaplermin | No | PA | 3 | $25 |
| Relafen | nabumetone | Yes | 1 | $3 | |
| Relenza | zanamivir | No | 2 | $12 | |
| Relistor | methylnaltrexone | No | PA | 2 | $12 |
| Relpax | eletriptan hydrobromide | No | ST | 3 | $25 |
| Remeron | mirtazapine | Yes | 1 | $3 | |
| Remeron Sol Tab | mirtazapine | Yes | 1 | $3 | |
| Renacidin | mag carb/citric acid/g-lactone | No | 2 | $12 | |
| Renagel | sevelamer hcl | No | 2 | $12 | |
| Renvela | sevelamer carbonate | No | 3 | $25 | |
| Repronex | menotropins | No | PA | 2 | $12 |
| Requip | ropinirole hcl | Yes | 1 | $3 | |
| Requip XL | ropinirole hcl | No | 3 | $25 | |
| Rescriptor | delavirdine mesylate | No | 2 | $12 | |
| Reserpine | reserpine | Yes | 1 | $3 | |
| Restasis | cyclosporine | No | 2 | $12 | |
| Restoril | temazepam | Yes | 1 | $3 | |
| Retin-A | tretinoin | Yes | 1 | $3 | |
| Retin-A Micro | tretinoin microspheres | No | 2 | $12 | |
| Retrovir | zidovudine | Yes | 1 | $3 | |
| Revatio | sildenafil citrate | No | PA | 2 | $12 |
| Revlimid | lenalidomide | No | PA | 3 | $25 |
| Reyataz | atazanavir sulfate | No | 2 | $12 | |
| Rhinocort Aqua | budesonide | No | ST | 3 | $25 |
| Ribasphere | ribavirin | Yes | PA | 1 | $3 |
| Ribavirin | ribavirin | Yes | PA | 1 | $3 |
| Ridaura | auranofin | No | 2 | $12 | |
| Rifamate | rifampin/isoniazid | Yes | 1 | $3 | |
| Rifampin | rifampin | Yes | 1 | $3 | |
| Rifater | rifampin/inh/pyrazinamide | No | 3 | $25 | |
| Rilutek | riluzole | No | 2 | $12 | |
| Riomet | metformin hcl | No | 3 | $25 | |
| Risperdal M-Tab | risperidone | Yes | 1 | $3 | |
| Ritalin LA | methylphenidate hcl | No | 3 | $25 | |
| Robaxin | methocarbamol | Yes | 1 | $3 | |
| Robinul | glycopyrrolate | Yes | 1 | $3 | |
| Rocaltrol | calcitriol | Yes | 1 | $3 | |
| Rosula | sulfacetamide sod/sulfur/urea | Yes | 1 | $3 | |
| Roxanol | morphine sulfate | Yes | 1 | $3 | |
| Roxicet | oxycodone hcl/acetaminophen | Yes | 1 | $3 | |
| Rozerem | ramelteon | No | PA | 3 | $25 |
| Ru-Tuss Jr. | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Rybix ODT | tramadol hcl | No | PA | 3 | $25 |
| Rythmol | propafenone hcl | Yes | 1 | $3 | |
| Rythmol SR | propafenone hcl | Yes | 1 | $3 | |
| Ryzolt | tramadol hcl | No | 3 | $25 | |
| - S - | [ Return to Top ] | ||||
| Sabril | vigabatrin | No | 2 | $12 | |
| Saizen | somatropin | No | PA | 3 | $25 |
| Samsca | tolvaptan | No | 2 | $12 | |
| Sanctura | trospium chloride | Yes | 1 | $3 | |
| Sanctura XR | trospium chloride | No | 3 | $25 | |
| Sancuso | granisetron | No | ST | 3 | $25 |
| Sandostatin | octreotide acetate | Yes | PA | 1 | $3 |
| Sandostatin LAR | octreotide acetate | No | PA | 2 | $12 |
| Santyl | collagenase | No | 2 | $12 | |
| Saphris | asenapine | No | 3 | $25 | |
| Sarafem | fluoxetine hcl | No | 3 | $25 | |
| Savella | milnacipran hcl | No | PA | 3 | $25 |
| Seasonale | levonorgestrel-eth estra | Yes | 1 | $3 | |
| Seasonique | l-norgest-eth estr/ethin estra | No | 3 | $25 | |
| Sectral | acebutolol hcl | Yes | 1 | $3 | |
| Selenium Sulfide | selenium sulfide | Yes | 1 | $3 | |
| Selenos | selenium sulfide | Yes | 1 | $3 | |
| Selzentry | maraviroc | No | 2 | $12 | |
| Semprex-D | pseudoephedrine hcl/acrivas | No | ST | 3 | $25 |
| Senatec | lidocaine hcl | Yes | 1 | $3 | |
| Sensipar | cinacalcet hcl | No | 2 | $12 | |
| Serax | oxazepam | Yes | 1 | $3 | |
| Serevent Diskus | salmeterol xinafoate | No | 2 | $12 | |
| Seromycin | cycloserine | No | 2 | $12 | |
| Seroquel | quetiapine fumarate | No | 2 | $12 | |
| Seroquel XR | quetiapine fumarate | No | PA | 3 | $25 |
| Serostim | somatropin | No | PA | 3 | $25 |
| Serzone | nefazodone hcl | Yes | 3 | $25 | |
| Silenor | doxepin hcl | No | PA | 3 | $25 |
| Silvadene | silver sulfadiazine | Yes | 1 | $3 | |
| Simcor | niacin/simvastatin | No | ST | 3 | $25 |
| Simponi | golimumab | No | PA | 3 | $25 |
| Simuc-DM | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Sinemet | carbidopa/levodopa | Yes | 1 | $3 | |
| Sinequan | doxepin hcl | Yes | 1 | $3 | |
| Singulair | montelukast sodium | No | 2 | $12 | |
| Skelaxin | metaxalone | Yes | 1 | $3 | |
| Solaraze | diclofenac sodium | No | 3 | $25 | |
| Solodyn | minocycline hcl | Yes | PA | 1 | $3 |
| Soma | carisoprodol | Yes | 1 | $3 | |
| Soma Compound | carisoprodol/aspirin | Yes | 1 | $3 | |
| Soma Compound W/ Codeine | codeine phos/carisoprodol/asa | Yes | 1 | $3 | |
| Somatuline Depot | lanreotide acetate | No | 2 | $12 | |
| Somavert | pegvisomant | No | PA | 2 | $12 |
| Sonata | zaleplon | Yes | 1 | $3 | |
| Soriatane | acitretin | No | 2 | $12 | |
| Spectazole | econazole nitrate | Yes | 1 | $3 | |
| Spectracef | cefditoren pivoxil | Yes | 1 | $3 | |
| Spiriva | tiotropium bromide | No | 2 | $12 | |
| Sporanox | itraconazole | Yes | 1 | $3 | |
| Sprycel | dasatinib | No | PA | 2 | $12 |
| SSKI | potassium iodide | Yes | 1 | $3 | |
| Stadol | butorphanol tartrate | Yes | 1 | $3 | |
| Stalevo 100 | carbidopa/levodopa/entacapone | No | 2 | $12 | |
| Stalevo 125 | carbidopa/levodopa/entacapone | No | 2 | $12 | |
| Stalevo 150 | carbidopa/levodopa/entacapone | No | 2 | $12 | |
| Stalevo 200 | carbidopa/levodopa/entacapone | No | 2 | $12 | |
| Stalevo 75 | carbidopa/levodopa/entacapone | No | 2 | $12 | |
| Starlix | nateglinide | Yes | 1 | $3 | |
| Stelazine | trifluoperazine hcl | Yes | 1 | $3 | |
| Stimate | desmopressin acetate | No | 2 | $12 | |
| Strattera | atomoxetine hcl | No | PA | 3 | $25 |
| Striant | testosterone | No | 3 | $25 | |
| Stromectol | ivermectin | No | 2 | $12 | |
| Suboxone | buprenorphine hcl/naloxone hcl | No | PA | 2 | $12 |
| Sular | nisoldipine | Yes | 1 | $3 | |
| Sulfacetamide-Prednisolone | na sulfacetm/prednis sp | Yes | 1 | $3 | |
| Sulfacet-R | sulfacetamide sodium/sulfur | Yes | 1 | $3 | |
| Sulfadiazine | sulfadiazine | Yes | 1 | $3 | |
| Sulfamide | sulfacetamide sodium | Yes | 1 | $3 | |
| Sulfasalazine | sulfasalazine | Yes | 1 | $3 | |
| Sulfatol | sulfacetamide sodium/sulfur | Yes | 1 | $3 | |
| Sulfatrim | sulfamethoxazole/trimethoprim | Yes | 1 | $3 | |
| Sulfazine EC | sulfasalazine | Yes | 1 | $3 | |
| Sumatriptan Succinate | sumatriptan succinate | Yes | 1 | $3 | |
| Sumavel Dosepro | sumatriptan succinate | No | PA | 3 | $25 |
| Supervite | lysine hcl/vit b comp/fa/zinc | No | 3 | $25 | |
| Suprax | cefixime | No | 3 | $25 | |
| Surmontil | trimipramine maleate | No | 2 | $12 | |
| Sustiva | efavirenz | No | 2 | $12 | |
| Sutent | sunitinib malate | No | PA | 2 | $12 |
| Su-Tuss DM | guaifenesin/d-methorphan hb | Yes | 1 | $3 | |
| Symbicort | budesonide/formoterol fumarate | No | 2 | $12 | |
| Symbyax | olanzapine/fluoxetine hcl | No | 3 | $25 | |
| Symlin | pramlintide acetate | No | ST | 3 | $25 |
| Symlinpen 60/120 | pramlintide acetate | No | ST | 3 | $25 |
| Symmetrel | amantadine hcl | Yes | 1 | $3 | |
| Synalar | fluocinolone acetonide | Yes | 1 | $3 | |
| Synalgos-DC | dihydrocodeine/aspirin/caffein | No | 2 | $12 | |
| Synarel | nafarelin acetate | No | 2 | $12 | |
| Synthroid | levothyroxine sodium | Yes | 1 | $3 | |
| - T - | [ Return to Top ] | ||||
| Tabloid | thioguanine | No | 2 | $12 | |
| Taclonex | betamet diprop/calcipotriene | No | PA | 3 | $25 |
| Taclonex Scalp | betamet diprop/calcipotriene | No | PA | 3 | $25 |
| Tagamet | cimetidine | Yes | 1 | $3 | |
| Talwin Nx | pentazocine hcl/naloxone hcl | Yes | 1 | $3 | |
| Tambocor | flecainide acetate | Yes | 1 | $3 | |
| Tamiflu | oseltamivir phosphate | No | 2 | $12 | |
| Tapazole | methimazole | Yes | 1 | $3 | |
| Tarceva | erlotinib hcl | No | PA | 2 | $12 |
| Targretin | bexarotene | No | 3 | $25 | |
| Tarka | trandolapril/verapamil hcl | Yes | 1 | $3 | |
| Tasigna | nilotinib hydrochloride | No | 2 | $12 | |
| Tasmar | tolcapone | No | 3 | $25 | |
| Tavist | clemastine fumarate | Yes | 1 | $3 | |
| Tazorac | tazarotene | No | 2 | $12 | |
| Tegretol | carbamazepine | Yes | 1 | $3 | |
| Tegretol XR | carbamazepine | Yes | 1 | $3 | |
| Tekamlo | aliskiren/amlodipine | No | PA | 3 | $25 |
| Tekturna | aliskiren hemifumarate | No | PA | 3 | $25 |
| Tekturna HCT | aliskiren/hydrochlorothiazide | No | PA | 3 | $25 |
| Temodar | temozolomide | No | 2 | $12 | |
| Temovate | clobetasol propionate | Yes | 1 | $3 | |
| Tenex | guanfacine hcl | Yes | 1 | $3 | |
| Tenoretic | atenolol/chlorthalidone | Yes | 1 | $3 | |
| Tenormin | atenolol | Yes | 1 | $3 | |
| Tenuate | diethylpropion hcl | Yes | PA | 1 | $3 |
| Terazosin HCl | terazosin hcl | Yes | 1 | $3 | |
| Tessalon | benztropine mesylate | Yes | 1 | $3 | |
| Testim | testosterone | No | 3 | $25 | |
| Testosterone Cypionate | testosterone cypionate | Yes | 1 | $3 | |
| Testred | methyltestosterone | No | 3 | $25 | |
| Tetracycline HCl | tetracycline hcl | Yes | 1 | $3 | |
| Teveten | eprosartan mesylate | No | PA | 3 | $25 |
| Teveten HCT | eprosartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Tev-Tropin | somatropin | No | PA | 3 | $25 |
| Thalomid | thalidomide | No | 2 | $12 | |
| Theo-24 | theophylline anhydrous | No | 2 | $12 | |
| Theophylline Anhydrous | theophylline anhydrous | Yes | 1 | $3 | |
| Thorazine | chlorpromazine hcl | Yes | 1 | $3 | |
| Thyrolar-1 | liotrix | No | 2 | $12 | |
| Thyrolar-1/2 | liotrix | No | 2 | $12 | |
| Thyrolar-1/4 | liotrix | No | 2 | $12 | |
| Thyrolar-2 | liotrix | No | 2 | $12 | |
| Thyrolar-3 | liotrix | No | 2 | $12 | |
| Ticlid | ticlopidine hcl | Yes | 1 | $3 | |
| Tigan | trimethobenzamide hcl | Yes | 1 | $3 | |
| Tikosyn | dofetilide | No | 2 | $12 | |
| Timoptic | timolol maleate | Yes | 1 | $3 | |
| Tindamax | tinidazole | No | 2 | $12 | |
| Tirosint | levothyroxine sodium | No | 3 | $25 | |
| Tobi | tobramycin/0.25 normal saline | No | 2 | $12 | |
| Tobradex | tobramycin sulfate/dexameth | No | 2 | $12 | |
| Tobramycin Sulfate | tobramycin sulfate | Yes | 1 | $3 | |
| Tobramycin-Dexamethasone | tobramycin sulfate/dexameth | Yes | 1 | $3 | |
| Tofranil | imipramine hcl | Yes | 1 | $3 | |
| Tofranil-PM | imipramine pamoate | Yes | 1 | $3 | |
| Tolectin | tolmetin sodium | Yes | 1 | $3 | |
| Tolinase | tolazamide | Yes | 1 | $3 | |
| Topamax | topiramate | Yes | 1 | $3 | |
| Topicort | desoximetasone | Yes | 1 | $3 | |
| Toprol XL | metoprolol succinate | Yes | 1 | $3 | |
| Toradol | ketorolac tromethamine | Yes | 1 | $3 | |
| Toviaz | fesoterodine fumarate | No | 3 | $25 | |
| Tracleer | bosentan | No | PA | 2 | $12 |
| Trandate | labetalol hcl | Yes | 1 | $3 | |
| Transderm-Scop | scopolamine hydrobromide | No | 2 | $12 | |
| Tranxene | clorazepate dipotassium | Yes | 1 | $3 | |
| Tranxene SD | clorazepate dipotassium | No | 3 | $25 | |
| Tranylcypromine Sulfate | tranylcypromine sulfate | Yes | 1 | $3 | |
| Travatan | travoprost | No | 2 | $12 | |
| Travatan Z | travoprost | No | 2 | $12 | |
| Trecator | ethionamide | No | 3 | $25 | |
| Trelstar Depot | triptorelin pamoate | No | 2 | $12 | |
| Trelstar LA | triptorelin pamoate | No | 2 | $12 | |
| Trental | pentoxifylline | Yes | 1 | $3 | |
| Tretinoin | tretinoin | Yes | 1 | $3 | |
| Trexall | methotrexate sodium | No | 2 | $12 | |
| Treximet | sumatriptan succ/naproxen sod | No | PA | 3 | $25 |
| Triavil | amitriptyline hcl/perphenazine | Yes | 1 | $3 | |
| Tribenzor | olmesartan med/amlodipine/hctz | No | PA | 3 | $25 |
| Tricor | fenofibrate nanocrystallized | No | 2 | $12 | |
| Tricosal | choline magnesium trisalicylate | Yes | 1 | $3 | |
| Tridesilon | desonide | Yes | 1 | $3 | |
| Trifluridine | trifluridine | Yes | 1 | $3 | |
| Triglide | fenofibrate nanocrystallized | No | 3 | $25 | |
| Trilafon | perphenazine | Yes | 1 | $3 | |
| Trileptal | oxcarbazepine | Yes | 1 | $3 | |
| Trilipix | fenofibric acid | No | PA | 3 | $25 |
| Trilisate | choline magnesium trisalicylate | Yes | 1 | $3 | |
| Trimethoprim | trimethoprim | Yes | 1 | $3 | |
| Trimipramine Maleate | trimipramine maleate | Yes | 1 | $3 | |
| Tri-Norinyl | norethindrone-ethinyl estrad | Yes | 1 | $3 | |
| Triphasil | levonorgestrel-eth estra | Yes | 1 | $3 | |
| Tri-Vit/Fluoride | fluoride ion/vit a,c&d | Yes | 1 | $3 | |
| Tri-Vitamin W/Fluoride | fluoride ion/vit a,c&d | Yes | 1 | $3 | |
| Trizivir | abacavir/lamivudine/zidovudine | No | 2 | $12 | |
| Tropicacyl | tropicamide | Yes | 1 | $3 | |
| Trusopt | dorzolamide hcl | Yes | 1 | $3 | |
| Truvada | emtricitabine/tenofovir | No | 2 | $12 | |
| Tusnel Pediatric | guaifenesin/p-ephed hcl | Yes | 1 | $3 | |
| Tussicaps | hydrocodone/chlorphen polis | No | 2 | $12 | |
| Tussionex | hydrocodone/chlorphen polis | Yes | 1 | $3 | |
| Tussplex DM | d-methorphan hb/pe/chlorphenir | Yes | 1 | $3 | |
| Twynsta | telmisartan/amlodipine | No | PA | 3 | $25 |
| Tykerb | lapatinib ditosylate | No | PA | 2 | $12 |
| Tylenol W/ Codeine | codeine phos/acetaminophen | Yes | 1 | $3 | |
| Tyvaso | treprostinil | No | PA | 2 | $12 |
| Tyzeka | telbivudine | No | 3 | $25 | |
| - U - | [ Return to Top ] | ||||
| Uloric | febuxostat | No | PA | 2 | $12 |
| Ultracet | tramadol hcl/acetaminophen | Yes | 1 | $3 | |
| Ultram | tramadol hcl | Yes | 1 | $3 | |
| Ultram ER | tramadol hcl | Yes | 1 | $3 | |
| Ultravate | halobetasol propionate | Yes | 1 | $3 | |
| Ultravate Pac | halobetasol prop/ammonium lac | No | 3 | $25 | |
| Uniphyl | theophylline anhydrous | Yes | 1 | $3 | |
| Uniretic | moexipril/hydrochlorothiazide | Yes | 1 | $3 | |
| Univasc | moexipril hcl | Yes | 1 | $3 | |
| Uretron D-S | mth/me blue/ba/salicy/atp/hyos | No | 2 | $12 | |
| Urispas | flavoxate hcl | Yes | 1 | $3 | |
| Uroxatral | alfuzosin hcl | No | 2 | $12 | |
| Urso | ursodiol | Yes | 1 | $3 | |
| Urso Forte | ursodiol | Yes | 1 | $3 | |
| Ursodiol | ursodiol | Yes | 1 | $3 | |
| - V - | [ Return to Top ] | ||||
| Vagifem | estradiol | No | 3 | $25 | |
| Valcyte | valganciclovir hydrochloride | No | 2 | $12 | |
| Valium | diazepam | Yes | 1 | $3 | |
| Valproic Acid | valproate sodium | Yes | 1 | $3 | |
| Valtrex | valacyclovir hcl | Yes | 1 | $3 | |
| Valturna | aliskiren/valsartan | No | PA | 3 | $25 |
| Vancocin HCl | vancomycin hcl | No | 2 | $12 | |
| Vandazole | metronidazole | Yes | 1 | $3 | |
| Vanos | fluocinonide | No | 3 | $25 | |
| Vantin | cefpodoxime proxetil | Yes | 1 | $3 | |
| Vasodilan | isoxsuprine hcl | Yes | 1 | $3 | |
| Vasoretic | enalapril/hydrochlorothiazide | Yes | 1 | $3 | |
| Vasotec | enalapril maleate | Yes | 1 | $3 | |
| Vectical | calcitriol | No | 3 | $25 | |
| Ventavis | iloprost | No | PA | 2 | $12 |
| Ventolin HFA | albuterol | No | 2 | $12 | |
| Ventolin Tablets | albuterol sulfate | Yes | 1 | $3 | |
| Vepesid | etoposide | Yes | 1 | $3 | |
| Veramyst | fluticasone furoate | No | ST | 3 | $25 |
| Verdeso | desonide | No | ST | 3 | $25 |
| Veregen | sinecatechins | No | 3 | $25 | |
| Verelan | verapamil hcl | Yes | 1 | $3 | |
| Verelan PM | verapamil hcl | Yes | 1 | $3 | |
| Vermox | mebendazole | Yes | 1 | $3 | |
| Vesanoid | tretinoin | No | 2 | $12 | |
| Vesicare | solifenacin succinate | No | 3 | $25 | |
| Vexol | rimexolone | No | 2 | $12 | |
| Vfend | voriconazole | No | 2 | $12 | |
| Viagra | sildenafil citrate | No | PA | 2 | $12 |
| Vibramycin | doxycycline hyclate | Yes | 1 | $3 | |
| Vicodin | hydrocodone bit/acetaminophen | Yes | 1 | $3 | |
| Vicodin ES | hydrocodone bit/acetaminophen | Yes | 1 | $3 | |
| Vicoprofen | hydrocodone/ibuprofen | Yes | 1 | $3 | |
| Victoza | liraglutide | No | PA | 3 | $25 |
| Videx | didanosine | No | 2 | $12 | |
| Videx EC | didanosine | Yes | 1 | $3 | |
| Vigamox | moxifloxacin hcl | No | 2 | $12 | |
| Vimovo | naproxen/esomeprazole mag | No | PA | 3 | $25 |
| Vimpat | lacosamide | No | 2 | $12 | |
| Viracept | nelfinavir mesylate | No | 2 | $12 | |
| Viramune | nevirapine | No | 2 | $12 | |
| Viread | tenofovir disoproxil fumarate | No | 2 | $12 | |
| Visicol | naphos m-b m-h/na phos,di-ba | No | 3 | $25 | |
| Visken | pindolol | Yes | 1 | $3 | |
| Vistaril | hydroxyzine | Yes | 1 | $3 | |
| Vitamin B12 | cyanocobalamin | Yes | 1 | $3 | |
| Vitamin D | ergocalciferol | Yes | 1 | $3 | |
| Vivactil | protriptyline hcl | Yes | 1 | $3 | |
| Vivelle | estradiol | Yes | 1 | $3 | |
| Vivelle-Dot | estradiol | No | 2 | $12 | |
| Voltaren | diclofenac sodium | Yes | 1 | $3 | |
| Vospire ER | albuterol sulfate | Yes | 1 | $3 | |
| Votrient | pazopanib hydrochloride | No | PA | 2 | $12 |
| Vusion | miconazole nitrate/zinc oxide | No | 3 | $25 | |
| Vytorin | ezetimibe/simvastatin | No | PA | 3 | $25 |
| Vyvanse | lisdexamfetamine dimesylate | No | PA | 3 | $25 |
| - W - | [ Return to Top ] | ||||
| Welchol | colesevelam hcl | No | 2 | $12 | |
| Wellbutrin | bupropion hcl | Yes | 1 | $3 | |
| Wellbutrin SR | bupropion hcl | Yes | 1 | $3 | |
| Wellbutrin XL | bupropion hcl | Yes | 1 | $3 | |
| Wellcovorin | leucovorin calcium | Yes | 1 | $3 | |
| Westcort | hydrocortisone valerate | Yes | 1 | $3 | |
| - X - | [ Return to Top ] | ||||
| Xalatan | latanoprost | No | 2 | $12 | |
| Xanax | alprazolam | Yes | 1 | $3 | |
| Xanax ER | alprazolam | Yes | 1 | $3 | |
| Xedec II | guaifenesin/phenylephrine hcl | Yes | 1 | $3 | |
| Xeloda | capecitabine | No | 2 | $12 | |
| Xenazine | tetrabenazine | No | PA | 2 | $12 |
| Xenical | orlistat | No | PA | 3 | $25 |
| Xerese | acyclovir/hydrocortisone | No | 3 | $25 | |
| Xibrom | bromfenac sodium | No | 3 | $25 | |
| Xifaxan | rifaximin | No | PA | 3 | $25 |
| Xodol 10/300 | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Xodol 5/300 | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Xodol 7.5/300 | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Xolegel | ketoconazole | No | 3 | $25 | |
| Xolegel Corepak | ketoconazole/hydrocortisone | No | 3 | $25 | |
| Xopenex | levalbuterol hcl | Yes | 1 | $3 | |
| Xyrem | sodium oxybate | No | PA | 3 | $25 |
| Xyzal Soln, Tabs | levocetirizine dihydrochloride | Yes | ST | 1 | $3 |
| - Y - | [ Return to Top ] | ||||
| Yasmin 28 | ethinyl estradiol/drospirenone | Yes | 1 | $3 | |
| Yaz | ethinyl estradiol/drospirenone | Yes | 1 | $3 | |
| Yohimbine HCl | yohimbine hcl | Yes | 1 | $3 | |
| - Z - | [ Return to Top ] | ||||
| Zanaflex | tizanidine hcl | No | 3 | $25 | |
| Zantac (Rx Only) | ranitidine hcl | Yes | 1 | $3 | |
| Zarontin | ethosuximide | Yes | 1 | $3 | |
| Zaroxolyn | metolazone | Yes | 1 | $3 | |
| Zavesca | miglustat | No | 3 | $25 | |
| Zazole | terconazole | Yes | 1 | $3 | |
| Zebeta | bisoprolol fumarate | Yes | 1 | $3 | |
| Zebutal | butalb/acetaminophen/caffeine | Yes | 1 | $3 | |
| Zegerid 20Mg (Rx Only) | omeprazole/sodium bicarbonate | Yes | PA | 1 | $3 |
| Zegerid 40Mg | omeprazole/sodium bicarbonate | Yes | PA | 1 | $3 |
| Zemplar | paricalcitol | No | 3 | $25 | |
| Zenpep | amylase/lipase/protease | No | 3 | $25 | |
| Zerit | stavudine | Yes | 1 | $3 | |
| Zestoretic | lisinopril/hydrochlorothiazide | Yes | 1 | $3 | |
| Zestril | lisinopril | Yes | 1 | $3 | |
| Zetacet | sulfacetamide sodium/sulfur | Yes | 1 | $3 | |
| Zetia | ezetimibe | No | ST | 2 | $12 |
| Ziac | bisoprol/hydrochlorothiazide | Yes | 1 | $3 | |
| Ziagen | abacavir sulfate | No | 2 | $12 | |
| Ziana | clindamycin/tretinoin | No | PA | 3 | $25 |
| Zipsor | diclofenac potassium | No | 3 | $25 | |
| Zirgan | ganciclovir | No | 2 | $12 | |
| Zithromax | azithromycin | Yes | 1 | $3 | |
| Zmax | azithromycin | No | 3 | $25 | |
| Zocor | simvastatin | Yes | 1 | $3 | |
| Zofran | ondansetron | Yes | 1 | $3 | |
| Zoladex | goserelin acetate | No | 2 | $12 | |
| Zolinza | vorinostat | No | PA | 2 | $12 |
| Zoloft | sertraline hcl | Yes | 1 | $3 | |
| Zomig | zolmitriptan | No | ST | 3 | $25 |
| Zomig ZMT | zolmitriptan | No | ST | 3 | $25 |
| Zonegran | zonisamide | Yes | 1 | $3 | |
| Zorbtive | somatropin | No | PA | 3 | $25 |
| Zortress | everolimus | No | 2 | $12 | |
| Zovirax | acyclovir | Yes | 1 | $3 | |
| Zovirax Cream/Ointment | acyclovir | No | 2 | $12 | |
| Zuplenz | ondansetron | No | ST | 3 | $25 |
| Zyban | bupropion hcl | Yes | 1 | $3 | |
| Zyclara | imiquimod | No | 3 | $25 | |
| Zydone | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Zyflo CR | zileuton | No | 3 | $25 | |
| Zylet | tobramycin/lotepred etab | No | 3 | $25 | |
| Zyloprim | allopurinol | Yes | 1 | $3 | |
| Zymar | gatifloxacin | No | 3 | $25 | |
| Zymaxid | gatifloxacin | No | 3 | $25 | |
| Zyprexa | olanzapine | No | 2 | $12 | |
| Zyprexa Zydis | olanzapine | No | 2 | $12 | |
| Zyrtec | cetirizine hcl | Yes | 1 | $3 | |
| Zyrtec-D | p-ephed hcl/cetirizine hcl | Yes | 1 | $3 | |
| Zyvox | linezolid | No | 2 | $12 | |
page modified 09/23/2011