Drug rider $5/$15/$25
Your drug benefit provides coverage for Tier 1 medications for a $5 copayment, Tier 2 medications for a $15 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, Discmelt | aripiprazole | No | 2 | $15 | |
| Accolate | zafirlukast | No | 2 | $15 | |
| Accuneb | albuterol sulfate | Yes | 1 | $5 | |
| Accupril | quinapril hcl | Yes | 1 | $5 | |
| Accuretic | quinapril/hydrochlorothiazide | Yes | 1 | $5 | |
| Accutane (req Derm Consult) | isotretinoin | Yes | 1 | $5 | |
| Accuzyme, Ethezyme, Gladase | papain/urea | Yes | 1 | $5 | |
| Aceon | perindopril erbumine | Yes | 1 | $5 | |
| Acetasol, HC/vosol, HC | acetic acid/hydrocortisone | Yes | 1 | $5 | |
| Aciphex | rabeprazole sodium | No | PA | 3 | $25 |
| Aclovate | alclometasone dipropionate | Yes | 1 | $5 | |
| Actigall | ursodiol | Yes | 1 | $5 | |
| Actimmune | interferon gamma-1b,recomb. | No | 2 | $15 | |
| Actiq | fentanyl citrate | Yes | PA | 1 | $5 |
| Activella | estradiol/noreth ac | Yes | 1 | $5 | |
| Activella 0.5-0.1mg | estradiol/noreth ac | No | 3 | $25 | |
| Actonel with Calcium | risedron sod/calcium carbonate | No | ST | 2 | $15 |
| Actonel, Weekly, 150mg | risedronate sodium | No | ST | 2 | $15 |
| Actoplus Met | pioglitazone hcl/metformin hcl | No | ST | 3 | $25 |
| Actos | pioglitazone hcl | No | ST | 2 | $15 |
| Acular, LS | ketorolac tromethamine | Yes | 1 | $5 | |
| Acuvail | ketorolac tromethamine | No | 3 | $25 | |
| Aczone | dapsone | No | PA | 3 | $25 |
| Adcirca | tadalafil | No | PA | 3 | $25 |
| Adderall, XR | amphet asp/amphet/d-amphet | Yes | 1 | $5 | |
| Adipex-P | phentermine hcl | Yes | PA | 1 | $5 |
| Adoxa | doxycycline monohydrate | Yes | 1 | $5 | |
| Adoxa 150mg Capsule | doxycycline monohydrate | No | 3 | $25 | |
| Adoxa CK, TT | doxycycline monohy/skin clnsr9 | No | 3 | $25 | |
| Advair | fluticasone/salmeterol | No | 2 | $15 | |
| Advicor | niacin/lovastatin | No | PA | 3 | $25 |
| Aerobid, M | flunisolide/menthol | No | 3 | $25 | |
| Afinitor | everolimus | No | PA | 2 | $15 |
| Aggrenox | aspirin/dipyridamole | No | 3 | $25 | |
| Agrylin | anagrelide hcl | Yes | 1 | $5 | |
| Akne-mycin | erythromycin base | No | 3 | $25 | |
| Alamast | pemirolast potassium | No | 3 | $25 | |
| Albalon | naphazoline hcl | Yes | 1 | $5 | |
| Albenza | albendazole | No | 3 | $25 | |
| Albuterol Nebulizer Soln | albuterol sulfate | Yes | 1 | $5 | |
| Aldactazide | spironolact/hydrochlorothiazid | Yes | 1 | $5 | |
| Aldactone | spironolactone | Yes | 1 | $5 | |
| Aldara | imiquimod | No | 3 | $25 | |
| Aldomet | methyldopa | Yes | 1 | $5 | |
| Aldoril | methyldopa/hydrochlorothiazide | Yes | 1 | $5 | |
| Alesse, Levlite | levonorgestrel-eth estra | Yes | 1 | $5 | |
| Alferon N | interferon alfa-n3 | No | 2 | $15 | |
| Alinia | nitazoxanide | No | 2 | $15 | |
| Alkeran | melphalan | No | 2 | $15 | |
| Allegra | fexofenadine hcl | Yes | 1 | $5 | |
| Allegra ODT, Susp | fexofenadine hcl | No | ST | 3 | $25 |
| Allegra-D 12 Hour | p-ephed hcl/fexofenadine hcl | Yes | ST | 1 | $5 |
| Allegra-D 24 Hour | p-ephed hcl/fexofenadine hcl | No | ST | 2 | $15 |
| Alocril | nedocromil sodium | No | 2 | $15 | |
| Alomide | lodoxamide tromethamine | No | 2 | $15 | |
| Alora | estradiol | No | 2 | $15 | |
| Alphagan, P | brimonidine tartrate | Yes | 1 | $5 | |
| Alrex | loteprednol etabonate | No | 3 | $25 | |
| Altabax | retapamulin | No | 3 | $25 | |
| Altace Capsule | ramipril | Yes | 1 | $5 | |
| Altace Tablet | ramipril | No | PA | 3 | $25 |
| Altoprev | lovastatin | No | PA | 3 | $25 |
| Alupent | metaproterenol sulfate | Yes | 1 | $5 | |
| Alvesco (tier 1-BCN only) | ciclesonide | No | 1 | $5 | |
| Amaryl | glimepiride | Yes | 1 | $5 | |
| Ambien | zolpidem tartrate | Yes | 1 | $5 | |
| Ambien CR | zolpidem tartrate | No | PA | 3 | $25 |
| Amerge | naratriptan hcl | No | ST | 3 | $25 |
| Amicar | aminocaproic acid | Yes | 1 | $5 | |
| Amitiza | lubiprostone | No | PA | 3 | $25 |
| Amoxapine | amoxapine | Yes | 1 | $5 | |
| Amoxil | amoxicillin trihydrate | Yes | 1 | $5 | |
| Ampicillin | ampicillin trihydrate | Yes | 1 | $5 | |
| Amrix | cyclobenzaprine hcl | No | 3 | $25 | |
| Anadrol-50 | oxymetholone | No | PA | 3 | $25 |
| Anafranil | clomipramine hcl | Yes | 1 | $5 | |
| Analpram HC | hc acetate/pramoxine hcl | Yes | 1 | $5 | |
| Anamantle HC | lidocaine hcl/hc | Yes | 1 | $5 | |
| Anaprox, DS | naproxen sodium | Yes | 1 | $5 | |
| Ancobon | flucytosine | No | 2 | $15 | |
| Androderm | testosterone | No | 2 | $15 | |
| Androgel | testosterone | No | 3 | $25 | |
| Androxy 10mg | fluoxymesterone | Yes | 1 | $5 | |
| Angeliq | estradiol/drospirenone | No | 3 | $25 | |
| Annusol HC, Proctocream HC | hydrocortisone | Yes | 1 | $5 | |
| Ansaid | flurbiprofen | Yes | 1 | $5 | |
| Antabuse | disulfiram | No | 2 | $15 | |
| Antara | fenofibrate,micronized | No | 3 | $25 | |
| Antivert | meclizine hcl | Yes | 1 | $5 | |
| Anzemet | dolasetron mesylate | No | 3 | $25 | |
| Apexicon E | diflorasone diacetate/emoll | No | 3 | $25 | |
| Aphthasol | amlexanox | No | 3 | $25 | |
| Apidra | insulin glulisine | No | 2 | $15 | |
| Aplenzin | bupropion hbr | No | PA | 3 | $25 |
| Apokyn | apomorphine hcl | No | 2 | $15 | |
| Apresoline | hydralazine hcl | Yes | 1 | $5 | |
| Apriso | mesalamine | No | 3 | $25 | |
| Aptivus (must be used with Norvir) | tipranavir | No | 2 | $15 | |
| Aralen | chloroquine phosphate | Yes | 1 | $5 | |
| Aranesp | darbepoetin alfa in albumn sol | No | PA | 3 | $25 |
| Arava | leflunomide | Yes | 1 | $5 | |
| Arcalyst | rilonacept | No | PA | 2 | $15 |
| Aricept, ODT | donepezil hcl | No | 2 | $15 | |
| Arimidex | anastrozole | No | 2 | $15 | |
| Aristocort, Kenalog | triamcinolone acetonide | Yes | 1 | $5 | |
| Aristocort, Kenalog 0.5% CR | triamcinolone acetonide | Yes | 1 | $5 | |
| Arixtra | fondaparinux sodium | No | 3 | $25 | |
| Armour Thyroid | thyroid | No | 3 | $25 | |
| Aromasin | exemestane | No | 2 | $15 | |
| Artane | trihexyphenidyl hcl | Yes | 1 | $5 | |
| Arthrotec | diclofenac sodium/misoprostol | No | PA | 3 | $25 |
| Asacol, HD | mesalamine | No | 2 | $15 | |
| Asmanex (tier 1-BCN only) | mometasone furoate | No | 1 | $5 | |
| Aspirin w/codeine | codeine phos/aspirin | Yes | 1 | $5 | |
| Astelin/Astepro nasal spray | azelastine hcl | No | 2 | $15 | |
| Astepro | azelastine hcl | No | 2 | $15 | |
| Atacand | candesartan cilexetil | No | PA | 3 | $25 |
| Atacand HCT | candesartan/hydrochlorothiazid | No | PA | 3 | $25 |
| Atarax, Vistaril | hydroxyzine | Yes | 1 | $5 | |
| Ativan | lorazepam | Yes | 1 | $5 | |
| Atripla | efavirenz/emtricitab/tenofovir | No | 2 | $15 | |
| Atrovent Inhaler | ipratropium bromide | No | 2 | $15 | |
| Atrovent Nasal Spray | ipratropium bromide | Yes | 1 | $5 | |
| Atrovent Soln | ipratropium bromide | Yes | 1 | $5 | |
| Augmentin XR | amox tr/potassium clavulanate | No | 3 | $25 | |
| Augmentin, ES | amox tr/potassium clavulanate | Yes | 1 | $5 | |
| Auralgan | aa/antpy/bcaine/polico/al acet | Yes | 1 | $5 | |
| Avalide | irbesartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Avandamet | rosiglitazone/metformin hcl | No | ST | 3 | $25 |
| Avandaryl | rosiglitazone maleate/glimepir | No | ST | 3 | $25 |
| Avandia | rosiglitazone maleate | No | ST | 2 | $15 |
| Avapro | irbesartan | No | PA | 3 | $25 |
| Avc | sulfanilamide | No | 3 | $25 | |
| Avelox, ABC | moxifloxacin hcl | No | 2 | $15 | |
| Avinza | morphine sulfate | No | 3 | $25 | |
| Avodart | dutasteride | No | 3 | $25 | |
| Avonex | interferon beta-1a | No | 2 | $15 | |
| Axert | almotriptan malate | No | ST | 3 | $25 |
| Axid (Rx only) | nizatidine | Yes | 1 | $5 | |
| Aygestin | norethindrone acetate | Yes | 1 | $5 | |
| Azasite | azithromycin | No | 3 | $25 | |
| Azelex | azelaic acid | No | 3 | $25 | |
| Azilect | rasagiline mesylate | No | 3 | $25 | |
| Azmacort (tier 1-BCN only) | triamcinolone acetonide | No | 1 | $5 | |
| Azopt | brinzolamide | No | 2 | $15 | |
| Azor | amlodipine bes/olmesartan med | No | PA | 3 | $25 |
| Azulfidine, En-tab | sulfasalazine | Yes | 1 | $5 | |
| - B - | [ Return to Top ] | ||||
| Bacitracin | bacitracin | Yes | 1 | $5 | |
| Bactrim, DS, Septra, DS | sulfamethoxazole/trimethoprim | Yes | 1 | $5 | |
| Bactroban Cream, Nasal | mupirocin calcium | No | 2 | $15 | |
| Bactroban Ointment | mupirocin | Yes | 1 | $5 | |
| Banzel | rufinamide | No | 2 | $15 | |
| Baraclude | entecavir | No | 2 | $15 | |
| Beconase AQ | beclomethasone dipropionate | No | ST | 3 | $25 |
| Bellamine/bellaspas | ergotamine tart/bellad alk/pb | Yes | 1 | $5 | |
| Benadryl | diphenhydramine hcl | Yes | 1 | $5 | |
| Benicar, HCT | olmesartan medoxomil | No | ST | 2 | $15 |
| Bentyl | dicyclomine hcl | Yes | 1 | $5 | |
| Benzaclin | clindamycin phosphate/benz per | No | 3 | $25 | |
| Benzamycin | erythromycin base/benz per | Yes | 1 | $5 | |
| Benzashave, Brevoxyl Gel | benzoyl peroxide | Yes | 1 | $5 | |
| Benzoyl Peroxide-Rx | benzoyl peroxide | Yes | 1 | $5 | |
| Bepreve | bepotastine besilate | No | 3 | $25 | |
| Besivance | besifloxacin hydrochloride | No | 3 | $25 | |
| Betagan | levobunolol hcl | Yes | 1 | $5 | |
| Betapace, AF | sotalol hcl | Yes | 1 | $5 | |
| Betaseron | interferon beta-1b | No | 3 | $25 | |
| Betimol | timolol | No | 3 | $25 | |
| Betoptic S | betaxolol hcl | No | 2 | $15 | |
| Betoptic Soln | betaxolol hcl | Yes | 1 | $5 | |
| Biaxin, XL | clarithromycin | Yes | 1 | $5 | |
| Bidil | isosorb dinit/hydralazine hcl | No | 2 | $15 | |
| Biltricide | praziquantel | No | 2 | $15 | |
| Bleph-10, Sodium Sulamyde | sulfacetamide sodium | Yes | 1 | $5 | |
| Blephamide Drops, Oint | na sulfacetm/prednisol ac | No | 2 | $15 | |
| Blocadren | timolol maleate | Yes | 1 | $5 | |
| Boniva | ibandronate sodium | No | ST | 3 | $25 |
| Bontril | phendimetrazine tartrate | Yes | PA | 1 | $5 |
| Bravelle | urofollitropin (fsh) | No | 2 | $15 | |
| Brethine | terbutaline sulfate | Yes | 1 | $5 | |
| Bromfed, PD, DM | p-ephed hcl/brompheniramin | Yes | 1 | $5 | |
| Brovana | arformoterol tartrate | No | PA | 3 | $25 |
| Bumex | bumetanide | Yes | 1 | $5 | |
| Bupap | butalbital/acetaminophen | Yes | 1 | $5 | |
| Buspar | buspirone hcl | Yes | 1 | $5 | |
| 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 |
| Cafergot | ergotamine tartrate/caffeine | Yes | 1 | $5 | |
| Calan SR/Isoptin SR | verapamil hcl | Yes | 1 | $5 | |
| Calciferol | ergocalciferol | Yes | 1 | $5 | |
| Campral | acamprosate calcium | No | PA | 3 | $25 |
| Canasa | mesalamine | No | 2 | $15 | |
| Cantil | mepenzolate bromide | No | 3 | $25 | |
| Capex Shampoo | fluocinolone acetonide | No | 2 | $15 | |
| Capoten | captopril | Yes | 1 | $5 | |
| Capozide | captopril/hydrochlorothiazide | Yes | 1 | $5 | |
| Carac | fluorouracil | No | 3 | $25 | |
| Carafate, Susp | sucralfate | Yes | 1 | $5 | |
| Carbatrol | carbamazepine | No | 3 | $25 | |
| Cardene | nicardipine hcl | Yes | 1 | $5 | |
| Cardene SR | nicardipine hcl | No | 3 | $25 | |
| Cardizem LA | diltiazem hcl | No | 3 | $25 | |
| Cardizem, SR, CD | diltiazem hcl | Yes | 1 | $5 | |
| Cardura | doxazosin mesylate | Yes | 1 | $5 | |
| Cardura XL | doxazosin mesylate | No | 3 | $25 | |
| Carmol HC | hydrocortisone acetate/urea | No | 3 | $25 | |
| Carnitor | levocarnitine | Yes | 1 | $5 | |
| Casodex | bicalutamide | Yes | 1 | $5 | |
| Cataflam | diclofenac potassium | Yes | 1 | $5 | |
| Catapres | clonidine hcl | Yes | 1 | $5 | |
| Catapres-TTS | clonidine hcl | No | 2 | $15 | |
| Caverject | alprostadil | No | PA | 2 | $15 |
| Ceclor, ER | cefaclor | Yes | 1 | $5 | |
| Cedax | ceftibuten dihydrate | No | 3 | $25 | |
| Ceenu | lomustine | No | 2 | $15 | |
| Ceftin | cefuroxime axetil | Yes | 1 | $5 | |
| Cefzil | cefprozil | Yes | 1 | $5 | |
| Celebrex | celecoxib | No | PA | 3 | $25 |
| Celexa | citalopram hydrobromide | Yes | 1 | $5 | |
| Cellcept | mycophenolate mofetil | Yes | 1 | $5 | |
| Cellcept Susp | mycophenolate mofetil | No | 2 | $15 | |
| Celontin | methsuximide | No | 2 | $15 | |
| Cenestin | estrogens,conj.,synthetic a | No | 3 | $25 | |
| Cesamet | nabilone | No | 3 | $25 | |
| Cetrotide | cetrorelix acetate | No | 2 | $15 | |
| Chantix | varenicline tartrate | No | 2 | $15 | |
| Chloral Hydrate | chloral hydrate | Yes | 1 | $5 | |
| Chlorpromazine HCL | chlorpromazine hcl | Yes | 1 | $5 | |
| Cialis | tadalafil | No | PA | 2 | $15 |
| Ciloxan Drops | ciprofloxacin hcl | Yes | 1 | $5 | |
| Ciloxan Oint | ciprofloxacin hcl | No | 2 | $15 | |
| Cimzia Syringe | certolizumab | No | PA | 3 | $25 |
| Cipro | ciprofloxacin hcl | Yes | 1 | $5 | |
| Cipro 500mg | ciprofloxacin hcl | No | 2 | $15 | |
| Cipro HC | ciprofloxacin hcl/hc | No | 2 | $15 | |
| Cipro XR | ciprofloxacin hcl-betaine comb | Yes | PA | 1 | $5 |
| Ciprodex | ciprofloxacin hcl/dexameth | No | 2 | $15 | |
| Clarifoam EF | sulfacetamide sodium/sulfur | No | 3 | $25 | |
| Clarinex (all) | desloratadine | No | PA | 3 | $25 |
| Claritin, Alavert(OTC) | loratadine | Yes | 1 | $5 | |
| Claritin-d 12hr, 24hr(OTC) | p-ephed sul/loratadine | Yes | 1 | $5 | |
| Cleocin | clindamycin hcl | Yes | 1 | $5 | |
| Cleocin T | clindamycin phosphate | Yes | 1 | $5 | |
| Cleocin Vag Cream | clindamycin phosphate | Yes | 1 | $5 | |
| Cleocin Vaginal Ovules | clindamycin phosphate | No | 3 | $25 | |
| Climara | estradiol | Yes | 1 | $5 | |
| Climara Pro | estradiol/levonorgestrel | No | 3 | $25 | |
| Clinac BPO | benzoyl peroxide | No | 3 | $25 | |
| Clindesse | clindamycin phosphate | No | 3 | $25 | |
| Clinoril | sulindac | Yes | 1 | $5 | |
| Clobex, Spray | clobetasol propionate | No | 3 | $25 | |
| Cloderm | clocortolone pivalate | No | 2 | $15 | |
| Clomid | clomiphene citrate | Yes | 1 | $5 | |
| Clozaril | clozapine | Yes | 1 | $5 | |
| CNL 8 | ciclopirox/nail lacquer removr | Yes | 1 | $5 | |
| Coartem | artemether/lumefantrine | No | 2 | $15 | |
| Codeine Sulfate | codeine sulfate(g) | Yes | 1 | $5 | |
| Cogentin | benztropine mesylate | Yes | 1 | $5 | |
| Cognex | tacrine hcl | No | 3 | $25 | |
| Colazal | balsalazide disodium | Yes | 1 | $5 | |
| Colbenemid | colchicine/probenecid | Yes | 1 | $5 | |
| Colchicine | colchicine | Yes | 1 | $5 | |
| Colestid | colestipol hcl | Yes | 1 | $5 | |
| Colestid Flavored | colestipol hcl | No | 3 | $25 | |
| Coly-mycin S | neomycin sulfate/colist sul/hc | No | 3 | $25 | |
| Colyte | sod sulf/sod/nahco3/kcl/peg's | Yes | 1 | $5 | |
| Combigan | brimonidine tartrate/timolol | No | 3 | $25 | |
| Combipatch | estradiol/noreth ac | No | 3 | $25 | |
| Combivent | albuterol sulfate/ipratropium | No | 2 | $15 | |
| Combivir | lamivudine/zidovudine | No | 2 | $15 | |
| Commit Lozenge OTC | nicotine polacrilex | Yes | 1 | $5 | |
| Compazine | prochlorperazine maleate | Yes | 1 | $5 | |
| Comtan | entacapone | No | 2 | $15 | |
| Concerta | methylphenidate hcl | No | 2 | $15 | |
| Condylox Gel | podofilox | No | 2 | $15 | |
| Condylox Soln | podofilox | Yes | 1 | $5 | |
| Copaxone | glatiramer acetate | No | 2 | $15 | |
| Copegus | ribavirin | Yes | PA | 1 | $5 |
| Cordarone | amiodarone hcl | Yes | 1 | $5 | |
| Cordran, Tape, SP | flurandrenolide | No | 2 | $15 | |
| Coreg | carvedilol | Yes | 1 | $5 | |
| Coreg CR | carvedilol phosphate | No | PA | 3 | $25 |
| Corgard | nadolol | Yes | 1 | $5 | |
| Cortef, Hydrocortisone | hydrocortisone | Yes | 1 | $5 | |
| Cortenema | hydrocortisone acetate | Yes | 1 | $5 | |
| Corticosteroids | see chapter 7c | Yes | 1 | $5 | |
| Cortifoam | hydrocortisone acetate | No | 2 | $15 | |
| Cortisone Acetate | cortisone acetate | Yes | 1 | $5 | |
| Cortisporin | neomy sulf/polymyx b sulf/hc | Yes | 1 | $5 | |
| Cortisporin-TC | neomy sulf/colist sul/hc/thonz | No | 3 | $25 | |
| Corzide | nadolol/bendroflumethiazide | Yes | 1 | $5 | |
| Cosopt | timolol maleate/dorzolam hcl | Yes | 1 | $5 | |
| Coumadin | warfarin sodium | Yes | 1 | $5 | |
| Covera-HS | verapamil hcl | No | 2 | $15 | |
| Cozaar | losartan potassium | No | ST | 2 | $15 |
| Creon | amylase/lipase/protease | No | 2 | $15 | |
| Crestor | rosuvastatin calcium | No | ST | 2 | $15 |
| Crinone | progesterone,micronized | No | 2 | $15 | |
| Crixivan | indinavir sulfate | No | 2 | $15 | |
| Cuprimine | penicillamine | No | 2 | $15 | |
| Cutivate | fluticasone propionate | Yes | 1 | $5 | |
| Cutivate Lotion | fluticasone propionate | No | 3 | $25 | |
| Cyanocobalamin Inj | cyanocobalamin | Yes | 1 | $5 | |
| Cyclessa | desogestrel-ethinyl estradiol | Yes | 1 | $5 | |
| Cyclocort | amcinonide | Yes | 1 | $5 | |
| Cyclogyl | cyclopentolate hcl | Yes | 1 | $5 | |
| Cymbalta | duloxetine hcl | No | PA | 3 | $25 |
| Cytomel | liothyronine sodium | Yes | 1 | $5 | |
| Cytotec | misoprostol | Yes | 1 | $5 | |
| Cytovene | ganciclovir | Yes | 1 | $5 | |
| Cytoxan | cyclophosphamide | Yes | 1 | $5 | |
| Cytra-2, 3, K | citric acid/potassium citrate | Yes | 1 | $5 | |
| - D - | [ Return to Top ] | ||||
| D.H.E.45 | dihydroergotamine mesylate | Yes | 1 | $5 | |
| Dalmane | flurazepam hcl | Yes | 1 | $5 | |
| Danocrine | danazol | Yes | 1 | $5 | |
| Dantrium | dantrolene sodium | Yes | 1 | $5 | |
| Dapsone | dapsone | Yes | 1 | $5 | |
| Daraprim | pyrimethamine | No | 2 | $15 | |
| Darvocet-N | propoxyphene hcl/acetaminophen | Yes | 1 | $5 | |
| Darvon | propoxyphene hcl | Yes | 1 | $5 | |
| Darvon Compound | propoxyphene hcl/asa/caffeine | Yes | 1 | $5 | |
| Darvon-N | propoxyphene napsyl | No | 3 | $25 | |
| Daypro | oxaprozin | Yes | 1 | $5 | |
| Daytrana | methylphenidate | No | 3 | $25 | |
| DDAVP Soln/Spray | desmopressin acetate | Yes | 1 | $5 | |
| DDAVP Tabs | desmopressin acetate | Yes | 1 | $5 | |
| Decadron | dexamethasone | Yes | 1 | $5 | |
| Decadron Opth | dexamethasone sod phosphate | Yes | 1 | $5 | |
| Deconamine CX, SrR | guaifenesin/p-ephed hcl/hcod | Yes | 1 | $5 | |
| Deconamine Syrup, SR | pseudoephedrine hcl/chlor-mal | Yes | 1 | $5 | |
| Delatestryl | testosterone enanthate | No | 2 | $15 | |
| Demadex | torsemide | Yes | 1 | $5 | |
| Demerol | meperidine hcl | Yes | 1 | $5 | |
| Demulen | ethynodiol d-ethinyl estradiol | Yes | 1 | $5 | |
| Denavir | penciclovir | No | 3 | $25 | |
| Depakene | valproate sodium | Yes | 1 | $5 | |
| Depakote, ER | divalproex sodium | Yes | 1 | $5 | |
| Depen | penicillamine | No | 3 | $25 | |
| Depo-provera 150mg | medroxyprogesterone acet | Yes | 1 | $5 | |
| Depo-provera 400mg | medroxyprogesterone acet | No | 2 | $15 | |
| Depo-subq Provera 104 | medroxyprogesterone acet | No | 2 | $15 | |
| Depo-testosterone | testosterone cypionate | Yes | 1 | $5 | |
| Dermacort, Hytone (Rx only) | hydrocortisone | Yes | 1 | $5 | |
| Derma-smoothe/FS | fluocinolone acetonide | No | 3 | $25 | |
| Dermatop | prednicarbate | Yes | 1 | $5 | |
| Desferal | deferoxamine mesylate | Yes | 1 | $5 | |
| Desogen, Ortho-cept | desogestrel-ethinyl estradiol | Yes | 1 | $5 | |
| Desonate | desonide | No | ST | 3 | $25 |
| Desowen, Tridesilon | desonide | Yes | 1 | $5 | |
| Desoxyn | methamphetamine hcl | No | 2 | $15 | |
| Desyrel | trazodone hcl | Yes | 1 | $5 | |
| Detrol | tolterodine tartrate | No | 2 | $15 | |
| Detrol LA | tolterodine tartrate | No | 2 | $15 | |
| Dexedrine | d-amphetamine sulfate | Yes | 1 | $5 | |
| Diabeta, Micronase | glyburide | Yes | 1 | $5 | |
| Diabinese | chlorpropamide | Yes | 1 | $5 | |
| Diamox, Sequels | acetazolamide | Yes | 1 | $5 | |
| Diastat | diazepam | No | 2 | $15 | |
| Dicloxacillin | dicloxacillin sodium | Yes | 1 | $5 | |
| Didrex | benzphetamine hcl | Yes | PA | 1 | $5 |
| Didronel | etidronate disodium | Yes | 1 | $5 | |
| Differin | adapalene | No | 2 | $15 | |
| Diflucan | fluconazole | Yes | 1 | $5 | |
| Digoxin Elixir | digoxin | No | 2 | $15 | |
| Digoxin Tabs | digoxin | Yes | 1 | $5 | |
| Dilantin | phenytoin sodium extended | Yes | 1 | $5 | |
| Dilantin Chew Tabs | phenytoin | No | 2 | $15 | |
| Dilatrate-SR | isosorbide dinitrate | No | 2 | $15 | |
| Dilaudid | hydromorphone hcl | Yes | 1 | $5 | |
| Dilaudid 4mg | hydromorphone hcl | No | 3 | $25 | |
| Diovan, HCT | valsartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Dipentum | olsalazine sodium | No | 3 | $25 | |
| Diprolene AF, Gel, Cr, Lot, Oint | betamet diprop/prop gly | Yes | 1 | $5 | |
| Diprosone, Maxivate | betamethasone dipropionate | Yes | 1 | $5 | |
| Disalcid, Salflex | salsalate | Yes | 1 | $5 | |
| Ditropan, XL | oxybutynin chloride | Yes | 1 | $5 | |
| Diuril | chlorothiazide | Yes | 1 | $5 | |
| Divigel | estradiol | No | 3 | $25 | |
| Dolobid | diflunisal | Yes | 1 | $5 | |
| Domeboro Otic | acetic acid/aluminum acetate | Yes | 1 | $5 | |
| Donnatal | belladonna alkaloids/phenobarb | Yes | 1 | $5 | |
| Donnatal Extentabs | belladonna alkaloids/phenobarb | No | 3 | $25 | |
| Doral | quazepam | No | 3 | $25 | |
| Doryx | doxycycline hyclate | No | 3 | $25 | |
| Dostinex | cabergoline | Yes | 1 | $5 | |
| Dovonex | calcipotriene | No | 2 | $15 | |
| Dovonex Solution | calcipotriene | Yes | 1 | $5 | |
| Doxycycline Hyclate | doxycycline hyclate | Yes | 1 | $5 | |
| Drithocreme | anthralin | No | 3 | $25 | |
| Dritho-scalp | anthralin | No | 2 | $15 | |
| Droxia | hydroxyurea | No | 2 | $15 | |
| Drysol | aluminum chloride | Yes | 1 | $5 | |
| Duac | clindamycin phosphate/benz per | No | 3 | $25 | |
| Duac CS | clindamycin phosphate/benz per | No | 3 | $25 | |
| Duetact | pioglitazone/glimepiride | No | ST | 3 | $25 |
| Duoneb | ipratropium/albuterol sulfate | Yes | 1 | $5 | |
| Duragesic | fentanyl | Yes | 1 | $5 | |
| Durezol | difluprednate | No | 3 | $25 | |
| Duricef | cefadroxil hydrate | Yes | 1 | $5 | |
| Dygase | amylase/lipase/protease | No | 2 | $15 | |
| Dynacirc | isradipine | Yes | 1 | $5 | |
| Dynacirc CR | isradipine | No | 3 | $25 | |
| Dyrenium | triamterene | No | 2 | $15 | |
| - E - | [ Return to Top ] | ||||
| Ec-naprosyn | naproxen | Yes | 1 | $5 | |
| Edecrin | ethacrynic acid | No | 2 | $15 | |
| Edex | alprostadil | No | PA | 3 | $25 |
| Edluar | zolpidem tartrate | No | PA | 3 | $25 |
| Effexor | venlafaxine hcl | Yes | 1 | $5 | |
| Effexor XR | venlafaxine hcl | No | ST | 2 | $15 |
| Effient | prasugrel hydrochloride | No | 2 | $15 | |
| Efudex | fluorouracil | Yes | 1 | $5 | |
| Efudex Occlusion | fluorouracil/adhesive bandage | No | 3 | $25 | |
| Elavil | amitriptyline hcl | Yes | 1 | $5 | |
| Eldepryl | selegiline hcl | Yes | 1 | $5 | |
| Elestat | epinastine hcl | No | 3 | $25 | |
| Elestrin | estradiol | No | 3 | $25 | |
| Elidel | pimecrolimus | No | ST | 2 | $15 |
| Eligard | leuprolide acetate | No | 3 | $25 | |
| Elimite | permethrin | Yes | 1 | $5 | |
| Elmiron | pentosan polysulfate sodium | No | 2 | $15 | |
| Elocon | mometasone furoate | Yes | 1 | $5 | |
| Emadine | emedastine difumarate | No | 3 | $25 | |
| Embeda | morphine sulfate/naltrexone | No | 3 | $25 | |
| Emcyt | estramustine phosphate sodium | No | 2 | $15 | |
| Emend 80,125mg Capsules | aprepitant | No | 2 | $15 | |
| Emla | lidocaine/prilocaine | Yes | 1 | $5 | |
| Emsam | selegiline | No | 3 | $25 | |
| Emtriva | emtricitabine | No | 2 | $15 | |
| Enablex | darifenacin hydrobromide | No | 3 | $25 | |
| Enbrel | etanercept | No | PA | 2 | $15 |
| Endometrin | progesterone, micronized | No | 2 | $15 | |
| Enjuvia | estrogens,conj.,synthetic b | No | 3 | $25 | |
| Entocort EC | budesonide | No | 3 | $25 | |
| Epiduo | adapalene/benzoyl peroxide | No | 3 | $25 | |
| Epipen, JR | epinephrine | No | 2 | $15 | |
| Epivir | lamivudine | No | 2 | $15 | |
| Epivir HBV | lamivudine | No | 2 | $15 | |
| Epogen | epoetin alfa | No | PA | 3 | $25 |
| Epzicom | abacavir sulfate/lamivudine | No | 2 | $15 | |
| Equetro | carbamazepine | No | 3 | $25 | |
| Ergomar | ergotamine tartrate | No | 2 | $15 | |
| Ertaczo | sertaconazole nitrate | No | 3 | $25 | |
| Erythromycin Topical Soln, Gel | erythromycin base/ethanol | Yes | 1 | $5 | |
| Erythromycin, Stearate, Base | erythromycin base | Yes | 1 | $5 | |
| Eskalith, CR | lithium carbonate | Yes | 1 | $5 | |
| Estrace | estradiol | Yes | 1 | $5 | |
| Estrace Vaginal Cream | estradiol | No | 3 | $25 | |
| Estraderm | estradiol | No | 2 | $15 | |
| Estrasorb | estradiol | No | 3 | $25 | |
| Estratest, H.S. | estrogen,ester/me-testosterone | Yes | 1 | $5 | |
| Estring | estradiol | No | 2 | $15 | |
| Estrogel | estradiol | No | 3 | $25 | |
| Estrostep FE | noreth a-et estra/fe fumarate | Yes | 1 | $5 | |
| Ethambutol | ethambutol hcl | Yes | 1 | $5 | |
| Etrafon | amitriptyline hcl/perphenazine | Yes | 1 | $5 | |
| Eulexin | flutamide | Yes | 1 | $5 | |
| Eurax | crotamiton | No | 2 | $15 | |
| Evamist | estradiol transdermal spray | No | 3 | $25 | |
| Evista | raloxifene hcl | No | 2 | $15 | |
| Evoclin Foam | clindamycin phosphate | No | 3 | $25 | |
| Evoxac | cevimeline hcl | No | 3 | $25 | |
| Exelderm Soln, Cr | sulconazole nitrate | No | 3 | $25 | |
| Exelon | rivastigmine tartrate | No | 2 | $15 | |
| Exforge, HCT | amlodipine/valsartan/hctz | No | PA | 3 | $25 |
| Exjade | deferasirox | No | PA | 3 | $25 |
| Extina | ketoconazole | No | 3 | $25 | |
| - F - | [ Return to Top ] | ||||
| Factive | gemifloxacin mesylate | No | 3 | $25 | |
| Famvir | famciclovir | Yes | 1 | $5 | |
| Fareston | toremifene citrate | No | 2 | $15 | |
| Faslodex | fulvestrant | No | 2 | $15 | |
| Fazaclo | clozapine | No | 3 | $25 | |
| Felbatol | felbamate | No | 2 | $15 | |
| Feldene | piroxicam | Yes | 1 | $5 | |
| Femara | letrozole | No | 2 | $15 | |
| Femcon FE | noreth-ethinyl estradiol/iron | No | 3 | $25 | |
| Femhrt | ethinyl estradiol/noreth ac | No | 2 | $15 | |
| Femring | estradiol acetate | No | 3 | $25 | |
| Femtrace | estradiol acetate | No | 3 | $25 | |
| Fenoglide | fenofibrate | No | 3 | $25 | |
| Fentora | fentanyl citrate | No | PA | 3 | $25 |
| Fertinex | urofollitropin (fsh) | No | 2 | $15 | |
| Fexmid | cyclobenzaprine hcl | No | 3 | $25 | |
| Fibricor | fenofibric acid | Yes | 1 | $5 | |
| Finacea | azelaic acid | No | 3 | $25 | |
| Fioricet w/codeine | codeine/butalbut/acetamin/caff | Yes | 1 | $5 | |
| Fioricet;esgic, Plus | butalb/acetaminophen/caffeine | Yes | 1 | $5 | |
| Fiorinal | butalbital/aspirin/caffeine | Yes | 1 | $5 | |
| Fiorinal w/codeine | codeine/butalbital/asa/caffein | Yes | 1 | $5 | |
| Flagyl | metronidazole | Yes | 1 | $5 | |
| Flagyl ER | metronidazole | No | 2 | $15 | |
| Flector | diclofenac epolamine | No | PA | 3 | $25 |
| Flexeril | cyclobenzaprine hcl | Yes | 1 | $5 | |
| Flomax | tamsulosin hcl | No | 3 | $25 | |
| Flonase | fluticasone propionate | Yes | 1 | $5 | |
| Florinef | fludrocortisone acetate | Yes | 1 | $5 | |
| Flovent HFA, Diskus (tier 1-BCN only) | fluticasone propionate | No | 1 | $5 | |
| Floxin | ofloxacin | Yes | 1 | $5 | |
| Floxin Otic | ofloxacin | Yes | 1 | $5 | |
| Floxin Otic Singles | ofloxacin | No | 3 | $25 | |
| Flumadine | rimantadine hcl | Yes | 1 | $5 | |
| Fluvoxamine Maleate | fluvoxamine maleate | Yes | 1 | $5 | |
| FML | fluorometholone | No | 2 | $15 | |
| Focalin, XR | dexmethylphenidate hcl | No | 3 | $25 | |
| Follistim AQ | follitropin beta,recomb | No | 3 | $25 | |
| Folvite | folic acid | Yes | 1 | $5 | |
| Foradil | formoterol fumarate | No | 2 | $15 | |
| Fortamet | metformin hcl | No | 3 | $25 | |
| Forteo | teriparatide | No | PA | 3 | $25 |
| Fosamax Plus D | alendronate sodium/vitamin d3 | No | ST | 3 | $25 |
| Fosamax, Weekly | alendronate sodium | Yes | 1 | $5 | |
| Fosrenol | lanthanum carbonate | No | 3 | $25 | |
| Fragmin | dalteparin sodium,porcine | No | 3 | $25 | |
| Frova | frovatriptan succinate | No | ST | 3 | $25 |
| Fuzeon | enfuvirtide | No | 2 | $15 | |
| - G - | [ Return to Top ] | ||||
| Gabitril | tiagabine hcl | No | 2 | $15 | |
| Galzin | zinc acetate | No | 3 | $25 | |
| Ganirelix Acetate | ganirelix acetate | No | 2 | $15 | |
| Garamycin | gentamicin sulfate | Yes | 1 | $5 | |
| Gelnique | oxybutynin chloride | No | 3 | $25 | |
| Genotropin | somatropin | No | PA | 3 | $25 |
| Gentamicin Cr, Oint | gentamicin sulfate | Yes | 1 | $5 | |
| Geodon | ziprasidone hcl | No | 2 | $15 | |
| Gleevec | imatinib mesylate | No | 2 | $15 | |
| Glucagon Emergency Kit | glucagon,human recombinant | No | 2 | $15 | |
| Glucophage, XR | metformin hcl | Yes | 1 | $5 | |
| Glucotrol, XL | glipizide | Yes | 1 | $5 | |
| Glucovance | glyburide/metformin hcl | Yes | 1 | $5 | |
| Glumetza | metformin hcl | No | 3 | $25 | |
| Glycolax | polyethylene glycol 3350 | Yes | 1 | $5 | |
| Glynase | glyburide,micronized | Yes | 1 | $5 | |
| Glyset | miglitol | No | 3 | $25 | |
| Golytely | peg 3350/na sulf,bicarb,cl/kcl | Yes | 1 | $5 | |
| Gonal-f, RFF | follitropin alpha,recomb | No | 2 | $15 | |
| Granulex | trypsin/balsam peru/castor oil | Yes | 1 | $5 | |
| Grifulvin V 500mg | griseofulvin,microsize | No | 2 | $15 | |
| Grifulvin V Susp | griseofulvin,microsize | Yes | 1 | $5 | |
| Gris Peg | griseofulvin ultramicrosize | No | 2 | $15 | |
| Guaifed, Entex Pse | guaifenesin/p-ephed hcl | Yes | 1 | $5 | |
| Guaifed-PD | guaifenesin/phenylephrine hcl | Yes | 1 | $5 | |
| Gynazole-1 | butoconazole nitrate | No | 3 | $25 | |
| - H - | [ Return to Top ] | ||||
| Halcion | triazolam | Yes | 1 | $5 | |
| Haldol | haloperidol | Yes | 1 | $5 | |
| Halfan | halofantrine hcl | No | 3 | $25 | |
| 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 | $15 | |
| Heparin | heparin sodium,porcine | Yes | 1 | $5 | |
| Hepsera | adefovir dipivoxil | No | 2 | $15 | |
| Hexalen | altretamine | No | 2 | $15 | |
| Hiprex/urex | methenamine hippurate | Yes | 1 | $5 | |
| Humabid DM | guaifenesin/d-methorphan hb | Yes | 1 | $5 | |
| Humalog, Mix | insulin npl/insulin lispro | No | 2 | $15 | |
| Humatin | paromomycin sulfate | Yes | 1 | $5 | |
| Humatrope | somatropin | No | PA | 3 | $25 |
| Humira | adalimumab | No | PA | 2 | $15 |
| Humulin 70/30 | humulin | No | 2 | $15 | |
| Humulin N | nph, human insulin isophane | No | 2 | $15 | |
| Humulin R | insulin regular human rec | No | 2 | $15 | |
| Hycamtin | topotecan hcl | No | PA | 2 | $15 |
| Hydrea | hydroxyurea | Yes | 1 | $5 | |
| Hydrodiuril, Microzide | hydrochlorothiazide | Yes | 1 | $5 | |
| Hygroton, Thalitone | chlorthalidone | Yes | 1 | $5 | |
| Hytrin | terazosin hcl | Yes | 1 | $5 | |
| Hyzaar | losartan/hydrochlorothiazide | No | ST | 2 | $15 |
| - I - | [ Return to Top ] | ||||
| Ilotycin | erythromycin base | Yes | 1 | $5 | |
| Imdur | isosorbide mononitrate | Yes | 1 | $5 | |
| Imitrex Injection | sumatriptan succinate | Yes | 1 | $5 | |
| Imitrex Nasal Spray | sumatriptan | Yes | 1 | $5 | |
| Imitrex Tablets | sumatriptan succinate | Yes | 1 | $5 | |
| Imuran | azathioprine | Yes | 1 | $5 | |
| Increlex | mecasermin | No | PA | 3 | $25 |
| Inderal, LA | propranolol hcl | Yes | 1 | $5 | |
| Inderide | propranolol/hydrochlorothiazid | Yes | 1 | $5 | |
| Indocin Suppository | indomethacin | No | 2 | $15 | |
| Indocin, SR | indomethacin | Yes | 1 | $5 | |
| Infergen | interferon alfacon-1 | No | PA | 2 | $15 |
| Inflamase, Forte | prednisolone sod phosphate | Yes | 1 | $5 | |
| Innohep | tinzaparin sodium,porcine | No | 3 | $25 | |
| Innopran XL | propranolol hcl | No | 3 | $25 | |
| Inspra | eplerenone | Yes | 1 | $5 | |
| Intal Solution | cromolyn sodium | Yes | 1 | $5 | |
| Intelence | etravirine | No | 2 | $15 | |
| Intron A | interferon alfa-2b,recomb. | No | 2 | $15 | |
| Intuniv | guanfacine hcl | No | PA | 3 | $25 |
| Invega | paliperidone | No | PA | 3 | $25 |
| Invirase | saquinavir mesylate | No | 2 | $15 | |
| Ionamin | phentermine resin | No | PA | 2 | $15 |
| Iopidine Droperette | apraclonidine hcl | No | 3 | $25 | |
| Iopidine Drops | apraclonidine hcl | Yes | 1 | $5 | |
| Iquix | iquix | No | 3 | $25 | |
| Iressa | gefitinib | No | PA | 2 | $15 |
| Isentress | raltegravir potassium | No | 2 | $15 | |
| Ismo, Monoket | isosorbide mononitrate | Yes | 1 | $5 | |
| Isoniazid | isoniazid | Yes | 1 | $5 | |
| Isopto Atropine | atropine sulfate | Yes | 1 | $5 | |
| Isopto Carbachol | carbachol | No | 2 | $15 | |
| Isopto Homatropine | homatropine hbr | Yes | 1 | $5 | |
| Isopto Hyoscine | scopolamine hydrobromide | No | 2 | $15 | |
| Isordil | isosorbide dinitrate | Yes | 1 | $5 | |
| - J - | [ Return to Top ] | ||||
| 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 | $15 | |
| Kaochlor-EFF | potassium chloride/pot bicarb | No | 3 | $25 | |
| Kapidex | dexlansoprazole | No | PA/ST | 3 | $25 |
| Kayciel, Kaon-CL, Kaon Liquid | potassium chloride | Yes | 1 | $5 | |
| Kayexalate | sodium polystyrene sulfonate | Yes | 1 | $5 | |
| Keflex | cephalexin monohydrate | Yes | 1 | $5 | |
| Keflex 750mg | cephalexin monohydrate | No | 3 | $25 | |
| Keppra | levetiracetam | Yes | 1 | $5 | |
| Keppra XR | levetiracetam | No | 3 | $25 | |
| Kerlone | betaxolol hcl | Yes | 1 | $5 | |
| Ketek | telithromycin | No | 3 | $25 | |
| Ketoprofen | ketoprofen | Yes | 1 | $5 | |
| Kineret | anakinra | No | PA | 3 | $25 |
| Klonopin, Wafer | clonazepam | Yes | 1 | $5 | |
| K-lor, Klor-con | potassium chloride | Yes | 1 | $5 | |
| K-lyte, Klor-con/EF | potassium bicarbonate/cit ac | Yes | 1 | $5 | |
| K-phos Neutral | phosphorus #1 | Yes | 1 | $5 | |
| K-tab, K-dur, Slow-k, Kaon Cl | potassium chloride | Yes | 1 | $5 | |
| Kuvan | sapropterin dihydrochloride | No | PA | 2 | $15 |
| Kytril | granisetron hcl | Yes | 1 | $5 | |
| - L - | [ Return to Top ] | ||||
| Lacrisert | hydroxypropyl cellulose | No | 2 | $15 | |
| Lactulose | lactulose | Yes | 1 | $5 | |
| Lamictal ODT, XR | lamotrigine | No | 3 | $25 | |
| Lamictal, Dispertabs | lamotrigine | Yes | 1 | $5 | |
| Lamisil Granules | terbinafine hcl | No | PA | 3 | $25 |
| Lamisil Tablets | terbinafine hcl | Yes | 1 | $5 | |
| Lantus | insulin glargine,hum.rec.anlog | No | 2 | $15 | |
| Lapase | amylase/lipase/protease | No | 2 | $15 | |
| Lariam | mefloquine hcl | Yes | 1 | $5 | |
| Lasix | furosemide | Yes | 1 | $5 | |
| Lescol, XL | fluvastatin sodium | No | PA | 3 | $25 |
| Letairis | ambrisentan | No | PA | 2 | $15 |
| Leucovorin | leucovorin calcium | Yes | 1 | $5 | |
| Leukeran | chlorambucil | No | 2 | $15 | |
| Leukine | sargramostim | No | 2 | $15 | |
| Levaquin | levofloxacin | No | 3 | $25 | |
| Levatol | penbutolol sulfate | No | 3 | $25 | |
| Levbid | hyoscyamine sulfate | Yes | 1 | $5 | |
| Levemir | insulin detemir | No | 2 | $15 | |
| Levitra | vardenafil hcl | No | PA | 3 | $25 |
| Levothyroxine | levothyroxine sodium | Yes | 1 | $5 | |
| Levsin, SL | hyoscyamine sulfate | Yes | 1 | $5 | |
| Levsinex | hyoscyamine sulfate | Yes | 1 | $5 | |
| Lexapro | escitalopram oxalate | No | ST | 2 | $15 |
| Lexiva | fosamprenavir calcium | No | 2 | $15 | |
| Lexxel | enalapril maleate/felodipine | No | 3 | $25 | |
| Lialda | mesalamine | No | 3 | $25 | |
| Librax | clidinium br/chlordiazepoxide | Yes | 1 | $5 | |
| Libritabs | chlordiazepoxide | No | 3 | $25 | |
| Librium | chlordiazepoxide hcl | Yes | 1 | $5 | |
| Lidex, E | fluocinonide | Yes | 1 | $5 | |
| Lidoderm Patch | lidocaine | No | 3 | $25 | |
| Limbitrol, DS | amitrip hcl/chlordiazepoxide | Yes | 1 | $5 | |
| Lindane | lindane | Yes | 1 | $5 | |
| Lioresal | baclofen | Yes | 1 | $5 | |
| Lipitor | atorvastatin calcium | No | PA | 3 | $25 |
| Lipofen | fenofibrate | No | 3 | $25 | |
| Lipram-ul20 | amylase/lipase/protease | No | 2 | $15 | |
| Lithium Citrate | lithium citrate | Yes | 1 | $5 | |
| Lithobid | lithium carbonate | Yes | 1 | $5 | |
| Livalo | pitavastatin | No | PA | 3 | $25 |
| Lo/ovral | norgestrel-ethinyl estradiol | Yes | 1 | $5 | |
| Locoid Cm, Oint, Soln | hydrocortisone butyrate | Yes | 1 | $5 | |
| Locoid Lipocream | hydrocortisone butyrate/emoll | Yes | 1 | $5 | |
| Locoid Lotion | hydrocortisone butyrate | No | 3 | $25 | |
| Lodine, XL | etodolac | Yes | 1 | $5 | |
| Loestrin 24 FE | noreth a-et estra/fe fumarate | No | 3 | $25 | |
| Loestrin, FE | noreth a-et estra/fe fumarate | Yes | 1 | $5 | |
| Lofibra | fenofibrate | Yes | 1 | $5 | |
| Lomotil | diphenoxylate hcl/atrop sulf | Yes | 1 | $5 | |
| Loniten | minoxidil | Yes | 1 | $5 | |
| Lopid | gemfibrozil | Yes | 1 | $5 | |
| Lopressor, HCT | metoprol/hydrochlorothiazide | Yes | 1 | $5 | |
| Loprox Cr, Lotion, Gel | ciclopirox olamine | Yes | 1 | $5 | |
| Loprox Shampoo | ciclopirox | Yes | 1 | $5 | |
| Loseasonique | l-norgest-eth estr/ethin estra | No | 3 | $25 | |
| Lotemax | loteprednol etabonate | No | 3 | $25 | |
| Lotensin, HCT | benazepril/hydrochlorothiazide | Yes | 1 | $5 | |
| Lotrel | amlodipine besylate/benazepril | Yes | 1 | $5 | |
| Lotrel 5/40, 10/40 | amlodipine besylate/benazepril | No | 2 | $15 | |
| Lotrimin | clotrimazole | Yes | 1 | $5 | |
| Lotrisone Cr, Lotion | clotrimazole/betamet diprop | Yes | 1 | $5 | |
| Lotronex | alosetron hcl | No | PA | 3 | $25 |
| Lovaza | omega-3 acid ethyl esters | No | 3 | $25 | |
| Lovenox | enoxaparin sodium | No | 2 | $15 | |
| Loxitane | loxapine succinate | Yes | 1 | $5 | |
| Lozol | indapamide | Yes | 1 | $5 | |
| Lumigan | bimatoprost | No | 2 | $15 | |
| Lunesta | eszopiclone | No | PA | 3 | $25 |
| Lupron | leuprolide acetate | Yes | 1 | $5 | |
| Lupron Depot, Ped | leuprolide acetate | No | 2 | $15 | |
| Luride | sodium fluoride | Yes | 1 | $5 | |
| Luveris | lutropin alpha | No | 3 | $25 | |
| Luvox Cr | fluvoxamine maleate | No | ST | 3 | $25 |
| Luxiq | betamethasone valerate | No | 3 | $25 | |
| Lybrel | levonorgestrel-eth estra | No | 2 | $15 | |
| Lyrica | pregabalin | No | PA | 3 | $25 |
| Lysodren | mitotane | No | 2 | $15 | |
| - M - | [ Return to Top ] | ||||
| Macrobid | nitrofurantoin/nitrofuran mac | Yes | 1 | $5 | |
| Macrodantin | nitrofurantoin macrocrystal | Yes | 1 | $5 | |
| Magnacet | oxycodone hcl/acetaminophen | No | 3 | $25 | |
| Malarone | atovaquone/proguanil hcl | No | 2 | $15 | |
| Mandelamine | methenamine mandelate | Yes | 1 | $5 | |
| Maprotiline HCL | maprotiline hcl | Yes | 1 | $5 | |
| Marinol | dronabinol | Yes | 1 | $5 | |
| Marplan | isocarboxazid | No | 3 | $25 | |
| Matulane | procarbazine hcl | No | 2 | $15 | |
| Mavik | trandolapril | Yes | 1 | $5 | |
| Maxair Autohaler | pirbuterol acetate | No | 2 | $15 | |
| Maxalt, MLT | rizatriptan benzoate | No | ST | 2 | $15 |
| Maxaquin | lomefloxacin hcl | No | 3 | $25 | |
| Maxidex | dexamethasone | No | 3 | $25 | |
| Maxitrol | neo/polymyx b sulf/dexameth | Yes | 1 | $5 | |
| Maxzide, Dyazide | triamterene/hydrochlorothiazid | Yes | 1 | $5 | |
| Mebaral | mephobarbital | Yes | 1 | $5 | |
| Mebaral 50mg | mephobarbital | No | 2 | $15 | |
| Meclomen | meclofenamate sodium | Yes | 1 | $5 | |
| Medrol, Dosepak | methylprednisolone | Yes | 1 | $5 | |
| Megace | megestrol acetate | Yes | 1 | $5 | |
| Megace ES | megestrol acetate | No | 3 | $25 | |
| Mellaril | thioridazine hcl | Yes | 1 | $5 | |
| Menest | estrogens,esterified | No | 3 | $25 | |
| Menopur | menotropins | No | 3 | $25 | |
| Menostar | estradiol | No | 3 | $25 | |
| Mentax | butenafine hcl | No | 3 | $25 | |
| Mephyton | phytonadione | No | 2 | $15 | |
| Mepron | atovaquone | No | 2 | $15 | |
| Meridia | sibutramine hcl m-hydrate | No | PA | 3 | $25 |
| Mesnex | mesna | No | 2 | $15 | |
| Mestinon | pyridostigmine bromide | Yes | 1 | $5 | |
| Mestinon Timespan, Syrup | pyridostigmine bromide | No | 2 | $15 | |
| Metadate CD | methylphenidate hcl | No | 2 | $15 | |
| Metaglip | glipizide/metformin hcl | Yes | 1 | $5 | |
| Metaproterenol Soln | metaproterenol sulfate | Yes | 1 | $5 | |
| Methadone | methadone hcl | Yes | 1 | $5 | |
| Methergine | methylergonovine maleate | No | 2 | $15 | |
| Methitest | methyltestosterone | No | 3 | $25 | |
| Methotrexate | methotrexate sodium/pf | Yes | 1 | $5 | |
| Methylin Chew, Soln | methylphenidate hcl | No | 3 | $25 | |
| Metozolv ODT | metoclopramide hcl | No | 3 | $25 | |
| Metrocream, Gel, Lotion | metronidazole | Yes | 1 | $5 | |
| Metrogel 1% | metronidazole/skin cleanser | No | 2 | $15 | |
| Metrogel-vaginal | metronidazole | Yes | 1 | $5 | |
| Mevacor | lovastatin | Yes | 1 | $5 | |
| Mexitil | mexiletine hcl | Yes | 1 | $5 | |
| Miacalcin Nasal Spray | calcitonin,salmon,synthetic | Yes | 1 | $5 | |
| Miacalcin Vial | calcitonin,salmon,synthetic | No | 2 | $15 | |
| Micardis, HCT | telmisartan/hydrochlorothiazid | No | PA | 3 | $25 |
| Micro-k | potassium chloride | Yes | 1 | $5 | |
| Midamor | amiloride hcl | Yes | 1 | $5 | |
| Midrin | isometheptene/apap/dichlphen | Yes | 1 | $5 | |
| Migranal | dihydroergotamine mesylate | No | 2 | $15 | |
| Miltown, Equanil | meprobamate | Yes | 1 | $5 | |
| Minipress | prazosin hcl | Yes | 1 | $5 | |
| Minocin, Dynacin | minocycline hcl | Yes | 1 | $5 | |
| Mirapex | pramipexole di-hcl | No | 2 | $15 | |
| Mircette | desog-et estra/ethin estra | Yes | 1 | $5 | |
| Moban | molindone hcl | No | 2 | $15 | |
| Mobic | meloxicam | Yes | 1 | $5 | |
| Modicon | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Moduretic | amiloride/hydrochlorothiazide | Yes | 1 | $5 | |
| Monistat-derm | miconazole nitrate | Yes | 1 | $5 | |
| Monodox | doxycycline monohydrate | Yes | 1 | $5 | |
| Monopril, HCT | fosinopril/hydrochlorothiazide | Yes | 1 | $5 | |
| Monurol | fosfomycin tromethamine | No | 3 | $25 | |
| Motrin | ibuprofen | Yes | 1 | $5 | |
| Moviprep | peg3350/sod sul/nacl/asb/c/kcl | No | 3 | $25 | |
| Moxatag | amoxicillin trihydrate | No | 3 | $25 | |
| Ms Contin/Oramorph SR | morphine sulfate | Yes | 1 | $5 | |
| MSIR | morphine sulfate | Yes | 1 | $5 | |
| Mucomyst | acetylcysteine | Yes | 1 | $5 | |
| Multaq | dronedarone hydrochloride | No | 3 | $25 | |
| Muse | alprostadil | No | PA | 2 | $15 |
| Mycelex Troche | clotrimazole | Yes | 1 | $5 | |
| Mycobutin | rifabutin | No | 2 | $15 | |
| Mycostatin | nystatin | Yes | 1 | $5 | |
| Mydriacyl | tropicamide | Yes | 1 | $5 | |
| Myfortic | mycophenolate sodium | No | 3 | $25 | |
| Myleran | busulfan | No | 2 | $15 | |
| Mysoline | primidone | Yes | 1 | $5 | |
| Mytelase | ambenonium chloride | No | 3 | $25 | |
| - N - | [ Return to Top ] | ||||
| Naftin | naftifine hcl | No | 3 | $25 | |
| Nalfon | fenoprofen calcium | No | 2 | $15 | |
| Namenda, Soln | memantine hcl | No | 2 | $15 | |
| Naprelan | naproxen sodium | No | 3 | $25 | |
| Naprelan Cr Dosepak | naproxen sodium | No | 3 | $25 | |
| Naprosyn | naproxen | Yes | 1 | $5 | |
| Nardil | phenelzine sulfate | No | 2 | $15 | |
| Nasacort AQ | triamcinolone acetonide | No | ST | 2 | $15 |
| Nasalide | flunisolide 0.025% spray | Yes | 1 | $5 | |
| Nasarel | flunisolide | Yes | 1 | $5 | |
| Nascobal Spray | cyanocobalamin | No | 3 | $25 | |
| Nasonex | mometasone furoate | No | ST | 3 | $25 |
| Natacyn | natamycin | No | 2 | $15 | |
| Naturetin-5 | bendroflumethiazide | No | 3 | $25 | |
| Navane | thiothixene | Yes | 1 | $5 | |
| Nebupent Aerosol | pentamidine isethionate | No | 2 | $15 | |
| Necon 10/11 | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Neomycin | neomycin sulfate | Yes | 1 | $5 | |
| Neoral | cyclosporine, modified | Yes | 1 | $5 | |
| Neosporin Ophth Soln | neomycin/gramicidin/polymyxn b | Yes | 1 | $5 | |
| Neosporin Opth Oint | neomy sulf/bacitra/polymyxin b | Yes | 1 | $5 | |
| Neo-synephrine | phenylephrine hcl | Yes | 1 | $5 | |
| Neulasta | pegfilgrastim | No | 3 | $25 | |
| Neumega | oprelvekin | No | 2 | $15 | |
| Neupogen | filgrastim | No | 2 | $15 | |
| Neurontin | gabapentin | Yes | 1 | $5 | |
| Neurontin Solution | gabapentin | No | 2 | $15 | |
| Nevanac | nepafenac | No | 3 | $25 | |
| Nexavar | sorafenib tosylate | No | PA | 2 | $15 |
| Nexium | esomeprazole mag trihydrate | No | PA/ST | 3 | $25 |
| Niaspan | niacin | No | 2 | $15 | |
| Nicotine Gum, Nicorette | nicotine polacrilex | Yes | 1 | $5 | |
| Nicotine Patch | nicotine | Yes | 1 | $5 | |
| Nicotrol, NS | nicotine | No | 3 | $25 | |
| Niferex Gold | iron aspgly&ps/c/b12/fa/ca/suc | No | 3 | $25 | |
| Nilandron | nilutamide | No | 2 | $15 | |
| Nimotop | nimodipine | Yes | 1 | $5 | |
| Niravam | alprazolam | Yes | 1 | $5 | |
| Nitorglycerin Patch | nitroglycerin | Yes | 1 | $5 | |
| Nitro-bid Ointment | nitroglycerin | No | 2 | $15 | |
| Nitroglycerin Sa Cap | nitroglycerin | Yes | 1 | $5 | |
| Nitrolingual Spray | nitroglycerin | No | 2 | $15 | |
| Nitrostat | nitroglycerin | No | 2 | $15 | |
| Nizoral | ketoconazole | Yes | 1 | $5 | |
| Nizoral Cream | ketoconazole | Yes | 1 | $5 | |
| Nizoral Shampoo 2% | ketoconazole | Yes | 1 | $5 | |
| Nordette, Levlen | levonorgestrel-eth estra | Yes | 1 | $5 | |
| Norditropin Nordiflex | somatropin | No | PA | 3 | $25 |
| Norflex | orphenadrine citrate | Yes | 1 | $5 | |
| Norgesic, Forte | orphenadrine/aspirin/caffeine | Yes | 1 | $5 | |
| Norinyl 1/35, Ortho-novum 1/35 | norethindrone-mestranol | Yes | 1 | $5 | |
| Norinyl 1/50, Ortho-novum 1/50 | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Noritate | metronidazole | No | 3 | $25 | |
| Normodyne | labetalol hcl | Yes | 1 | $5 | |
| Noroxin | norfloxacin | No | 3 | $25 | |
| Norpace | disopyramide phosphate | Yes | 1 | $5 | |
| Norpace Cr | disopyramide phosphate | No | 2 | $15 | |
| Norpramin | desipramine hcl | Yes | 1 | $5 | |
| Norvasc | amlodipine besylate | Yes | 1 | $5 | |
| Norvir | ritonavir | No | 2 | $15 | |
| Novarel, Pregnyl, Profasi | gonadotropin,chorionic,human | No | 2 | $15 | |
| Novolin | insulin regular human rec | No | 2 | $15 | |
| Novolog | insulin aspart | No | 2 | $15 | |
| Noxafil | posaconazole | No | 2 | $15 | |
| Nucynta | tapentadol hydrochloride | No | PA | 3 | $25 |
| Nulytely | sod sulf/sod/nahco3/kcl/peg's | Yes | 1 | $5 | |
| Numorphan | oxymorphone hcl | No | 3 | $25 | |
| Nutropin, Aq, Nuspin | somatropin | No | PA | 2 | $15 |
| Nuvaring | etonogestrel/ethinyl estradiol | No | 3 | $25 | |
| Nuvigil | armodafinil | No | PA | 3 | $25 |
| Nystatin | nystatin | Yes | 1 | $5 | |
| Nystatin W/triamcinolone | nystatin/triamcinolone | Yes | 1 | $5 | |
| - O - | [ Return to Top ] | ||||
| Ocufen | flurbiprofen sodium | Yes | 1 | $5 | |
| Ocuflox | ofloxacin | Yes | 1 | $5 | |
| Ocupress | carteolol hcl | Yes | 1 | $5 | |
| Ogen, Ortho-est | estropipate | Yes | 1 | $5 | |
| Olux | clobetasol propionate | Yes | 1 | $5 | |
| Olux-E | clobetasol propionate/emoll | No | 3 | $25 | |
| Omeprazole OTC | omeprazole | Yes | 1 | $5 | |
| Omnaris | ciclesonide | No | ST | 3 | $25 |
| Omnicef | cefdinir | Yes | 1 | $5 | |
| Omnitrope | somatropin | No | PA | 3 | $25 |
| Onglyza | saxagliptin hydrochloride | No | PA | 3 | $25 |
| Onsolis | fentanyl citrate | No | PA | 3 | $25 |
| Opana, ER | oxymorphone hcl | No | PA | 3 | $25 |
| Opticrom | cromolyn sodium | Yes | 1 | $5 | |
| Optipranolol | metipranolol | Yes | 1 | $5 | |
| Optivar | azelastine hcl | Yes | 1 | $5 | |
| Oracea | doxycycline monohydrate | No | PA | 3 | $25 |
| Orap | pimozide | No | 2 | $15 | |
| Orapred | prednisolone sod phosphate | Yes | 1 | $5 | |
| Orapred ODT | prednisolone sod phosphate | No | 3 | $25 | |
| Oraxyl | doxycycline hyclate | No | 3 | $25 | |
| Orfadin | nitisinone | No | 2 | $15 | |
| Orinase | tolbutamide | Yes | 1 | $5 | |
| Ortho Evra | ethinyl estradiol/norelgest | No | 2 | $15 | |
| Ortho Micronor, Nor-qd | norethindrone | Yes | 1 | $5 | |
| Ortho Tri-cyclen | norgestimate-ethinyl estradiol | Yes | 1 | $5 | |
| Ortho Tri-cyclen Lo | norgestimate-ethinyl estradiol | No | 2 | $15 | |
| Ortho-cyclen | norgestimate-ethinyl estradiol | Yes | 1 | $5 | |
| Ortho-novum 7/7/7 | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Ortho-prefest | estradiol/norgestimate | No | 3 | $25 | |
| Orudis | ketoprofen | Yes | 1 | $5 | |
| Osmoprep, Visicol | naphos m-b m-h/na phos,di-ba | No | 3 | $25 | |
| Ovcon 35 | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Ovcon-50, FE | norethindrone-ethinyl estrad | No | 3 | $25 | |
| Ovide | malathion | Yes | 1 | $5 | |
| Ovidrel | hcg alpha,recombinant | No | 2 | $15 | |
| Ovral | norgestrel-ethinyl estradiol | Yes | 1 | $5 | |
| Oxandrin | oxandrolone | Yes | PA | 1 | $5 |
| Oxistat | oxiconazole nitrate | No | 3 | $25 | |
| Oxsoralen, Ultra | methoxsalen, rapid | No | 2 | $15 | |
| Oxycodone Immediate Release | oxycodone hcl | Yes | 1 | $5 | |
| Oxycontin | oxycodone hcl | No | PA | 3 | $25 |
| Oxytrol | oxybutynin | No | 3 | $25 | |
| - P - | [ Return to Top ] | ||||
| Pacerone | amiodarone hcl | Yes | 1 | $5 | |
| Pamelor, Aventyl | nortriptyline hcl | Yes | 1 | $5 | |
| Pancrease Mt 4, 10, 16, 20 | amylase/lipase/protease | No | 2 | $15 | |
| Pancrecarb MS | amylase/lipase/protease | No | 3 | $25 | |
| Pancrelipase EC | amylase/lipase/protease | No | 2 | $15 | |
| Pandel | hydrocortisone probutate | No | 3 | $25 | |
| Pangestyme UL 12 | amylase/lipase/protease | No | 2 | $15 | |
| Panretin | alitretinoin | No | 2 | $15 | |
| Papaverine Caps | papaverine hcl | Yes | 1 | $5 | |
| Paraflex, Parafon Forte DSC | chlorzoxazone | Yes | 1 | $5 | |
| Parcopa | carbidopa/levodopa | Yes | 1 | $5 | |
| Paregoric | paregoric | Yes | 1 | $5 | |
| Paremyd | hydroxyamphetamine/tropicamide | No | 3 | $25 | |
| Parlodel | bromocriptine mesylate | Yes | 1 | $5 | |
| Parnate | tranylcypromine sulfate | Yes | 1 | $5 | |
| Pataday | olopatadine hcl | No | 3 | $25 | |
| Patanase | olopatadine hcl | No | 3 | $25 | |
| Patanol | olopatadine hcl | No | 2 | $15 | |
| Paxil, Cr | paroxetine hcl | Yes | 1 | $5 | |
| PCE | erythromycin base | No | 3 | $25 | |
| Pediazole | ery e-succ/sulfisoxazole | Yes | 1 | $5 | |
| Peganone | ethotoin | No | 2 | $15 | |
| Pegasys | peginterferon alfa-2a | No | PA | 2 | $15 |
| Peg-intron, Redipen | peginterferon alfa-2b | No | PA | 2 | $15 |
| Penicillin VK | penicillin v potassium | Yes | 1 | $5 | |
| Penlac | ciclopirox | Yes | 1 | $5 | |
| Pentasa | mesalamine | No | 2 | $15 | |
| Pepcid (Rx only) | famotidine | Yes | 1 | $5 | |
| Peranex HC | hc acetate/lidocaine hcl | No | 3 | $25 | |
| Percocet | oxycodone hcl/acetaminophen | Yes | 1 | $5 | |
| Percodan | oxycodone hcl/aspirin | Yes | 1 | $5 | |
| Perforomist | formoterol fumarate | No | PA | 3 | $25 |
| Periactin | cyproheptadine hcl | Yes | 1 | $5 | |
| Peridex | chlorhexidine gluconate | Yes | 1 | $5 | |
| Periostat | doxycycline hyclate | Yes | 1 | $5 | |
| Perphenazine | perphenazine | Yes | 1 | $5 | |
| Persantine | dipyridamole | Yes | 1 | $5 | |
| Pexeva | paroxetine mesylate | No | PA | 3 | $25 |
| Phenergan | promethazine hcl | Yes | 1 | $5 | |
| Phenergan DM | d-methorphan hb/prometh hcl | Yes | 1 | $5 | |
| Phenergan VC | phenylephrine hcl/prometh hcl | Yes | 1 | $5 | |
| Phenergan w/codeine | codeine/promethazine hcl | Yes | 1 | $5 | |
| Phenobarbital | phenobarbital | Yes | 1 | $5 | |
| Phoslo | calcium acetate | Yes | 1 | $5 | |
| Phospholine Iodide | echothiophate iodide | No | 2 | $15 | |
| Phrenilin | butalbital/acetaminophen | Yes | 1 | $5 | |
| Phrenilin Forte | butalbital/acetaminophen | No | 2 | $15 | |
| Pilocar, Isopto-carpine | pilocarpine hcl | Yes | 1 | $5 | |
| Pilopine HS | pilocarpine hcl | No | 2 | $15 | |
| Pindolol | pindolol | Yes | 1 | $5 | |
| Plan B | levonorgestrel | Yes | 1 | $5 | |
| Plan B One-step | levonorgestrel | No | 3 | $25 | |
| Plaquenil | hydroxychloroquine sulfate | Yes | 1 | $5 | |
| Plavix | clopidogrel bisulfate | No | 2 | $15 | |
| Plendil | felodipine | Yes | 1 | $5 | |
| Pletal | cilostazol | Yes | 1 | $5 | |
| Plexion, TS | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Polaramine | dexchlorpheniramine maleate | Yes | 1 | $5 | |
| Polycitra | sod/potass/k cit/sod cit/ca | Yes | 1 | $5 | |
| Poly-pred | neomy sulf/polymyx b sulf/pred | No | 2 | $15 | |
| Polysporin | bacitracin/polymyxin b sulfate | Yes | 1 | $5 | |
| Polytrim | polymyxin b sulfate/tmp | Yes | 1 | $5 | |
| Poly-vi-flor | fluoride ion/multivitamins | Yes | 1 | $5 | |
| Ponstel | mefenamic acid | No | 2 | $15 | |
| Pramosone Cream | hc acetate/pramoxine hcl | Yes | 1 | $5 | |
| Pramosone Oint, Lotion | hc acetate/pramoxine hcl | No | 3 | $25 | |
| Prandimet | repaglinide/metformin hcl | No | PA | 3 | $25 |
| Prandin | repaglinide | No | 2 | $15 | |
| Pravachol | pravastatin sodium | Yes | 1 | $5 | |
| Precose | acarbose | Yes | 1 | $5 | |
| Pred Forte | prednisolone acetate | Yes | 1 | $5 | |
| Pred Mild | prednisolone acetate | No | 2 | $15 | |
| Pred-g | gentamicin/prednisol ac | No | 3 | $25 | |
| Prednisolone, Tabs, Syrup | prednisolone | Yes | 1 | $5 | |
| Prednisone | prednisone | Yes | 1 | $5 | |
| Premarin Cream | estrogens,conjugated | No | 2 | $15 | |
| Premarin, Premarin Low Dose | estrogens,conjugated | No | 2 | $15 | |
| Prempro, Low Dose/premphase | estrogen,con/m-progest acet | No | 2 | $15 | |
| Prenatal Vits | prenatal vit/iron,carb/doss/fa | Yes | 1 | $5 | |
| Prevacid | lansoprazole | Yes | ST | 1 | $5 |
| Prevacid Naprapac | lansoprazole/naproxen | No | PA | 3 | $25 |
| Prevacid Solutab | lansoprazole | No | PA | 2 | $15 |
| Prevident | sodium fluoride | Yes | 1 | $5 | |
| Prevpac | lansoprazole/amox tr/clarith | No | 2 | $15 | |
| Prezista(must be used with Norvir) | darunavir ethanolate | No | 2 | $15 | |
| Priftin | rifapentine | No | 3 | $25 | |
| Prilosec | omeprazole | Yes | 1 | $5 | |
| Prilosec 40mg | omeprazole | Yes | PA | 1 | $5 |
| Prilosec OTC | omeprazole magnesium | Yes | 1 | $5 | |
| Prilosec Suspension | omeprazole magnesium | No | PA | 3 | $25 |
| Primaquine | primaquine phosphate | No | 2 | $15 | |
| Prinivil, Zestril | lisinopril | Yes | 1 | $5 | |
| Prinzide, Zestoretic | lisinopril/hydrochlorothiazide | Yes | 1 | $5 | |
| Pristiq | desvenlafaxine succinate | No | ST | 3 | $25 |
| Proair, Proventil,Ventolin, HFA | albuterol | No | 2 | $15 | |
| Proamatine | midodrine hcl | Yes | 1 | $5 | |
| Pro-banthine 15mg | propantheline bromide | Yes | 1 | $5 | |
| Probenecid | probenecid | Yes | 1 | $5 | |
| Procardia, Xl;Adalat CC | nifedipine | Yes | 1 | $5 | |
| Procentra | d-amphetamine sulfate | No | PA | 3 | $25 |
| Prochieve | progesterone,micronized | No | 2 | $15 | |
| Procrit | epoetin alfa | No | PA | 2 | $15 |
| Proctocort Suppository | hydrocortisone acetate | Yes | 1 | $5 | |
| Profasi 5000units | gonadotropin,chorionic,human | No | 2 | $15 | |
| Progesterone In Oil (inj) | progesterone | Yes | 1 | $5 | |
| Prograf | tacrolimus anhydrous | Yes | 1 | $5 | |
| Prolixin | fluphenazine hcl | Yes | 1 | $5 | |
| Promacta | eltrombopag olamine | No | PA | 2 | $15 |
| Prometrium | progesterone,micronized | No | 2 | $15 | |
| Pronestyl, SR | procainamide hcl | Yes | 1 | $5 | |
| Propine | dipivefrin hcl | No | 2 | $15 | |
| Propylthiouracil | propylthiouracil | Yes | 1 | $5 | |
| Proquin XR | ciprofloxacin hcl | No | PA | 3 | $25 |
| Proscar | finasteride | Yes | 1 | $5 | |
| Prosom | estazolam | Yes | 1 | $5 | |
| Prostigmin | neostigmine bromide | No | 2 | $15 | |
| Protonix | pantoprazole sodium | Yes | PA | 1 | $5 |
| Protonix Suspension | pantoprazole sodium | No | ST | 3 | $25 |
| Protopic | tacrolimus | No | ST | 3 | $25 |
| Proventil Solution | albuterol sulfate | Yes | 1 | $5 | |
| Provera | medroxyprogesterone acet | Yes | 1 | $5 | |
| Provigil | modafinil | No | PA | 2 | $15 |
| Prozac Weekly | fluoxetine hcl | No | PA | 3 | $25 |
| Prozac, Sarafem | fluoxetine hcl | Yes | 1 | $5 | |
| Psorcon, Florone | diflorasone diacetate | Yes | 1 | $5 | |
| Pulmicort (tier 1-BCN only) | budesonide | No | 1 | $5 | |
| Pulmozyme | dornase alfa | No | 2 | $15 | |
| Purinethol | mercaptopurine | Yes | 1 | $5 | |
| Pylera | bismuth/metronid/tetracycline | No | 3 | $25 | |
| Pyrazinamide | pyrazinamide | Yes | 1 | $5 | |
| Pyridium | phenazopyridine hcl | Yes | 1 | $5 | |
| - Q - | [ Return to Top ] | ||||
| Qualaquin | quinine sulfate | No | 3 | $25 | |
| Questran, Questran Light | cholestyramine | Yes | 1 | $5 | |
| Quibron-t | theophylline anhydrous | No | 3 | $25 | |
| Quinidex | quinidine sulfate | Yes | 1 | $5 | |
| Quinidine Gluconate SA | quinidine gluconate | Yes | 1 | $5 | |
| Quixin | levofloxacin | No | 3 | $25 | |
| Qvar (tier 1-BCN only) | beclomethasone dipropionate | No | 1 | $5 | |
| - R - | [ Return to Top ] | ||||
| Radiogardase | prussian blue | No | 2 | $15 | |
| Ranexa | ranolazine | No | PA | 3 | $25 |
| Raniclor | cefaclor | No | 3 | $25 | |
| Rapaflo | silodosin | No | 3 | $25 | |
| Rapamune Tabs, Solution | sirolimus | No | 2 | $15 | |
| Razadyne Solution | galantamine hydrobromide | Yes | 1 | $5 | |
| Razadyne,ER | galantamine hydrobromide | Yes | 1 | $5 | |
| Rebetol | ribavirin | Yes | PA | 1 | $5 |
| Rebetol Solution | ribavirin | No | PA | 2 | $15 |
| Rebetron | ribavirin/interferon a-2b | No | PA | 3 | $25 |
| Rebif | interferon beta-1a/albumin | No | 2 | $15 | |
| Reglan Tab, Solution | metoclopramide hcl | Yes | 1 | $5 | |
| Regranex | becaplermin | No | PA | 3 | $25 |
| Relafen | nabumetone | Yes | 1 | $5 | |
| Relenza | zanamivir | No | 2 | $15 | |
| Relistor | methylnaltrexone | No | PA | 2 | $15 |
| Relpax | eletriptan hydrobromide | No | ST | 3 | $25 |
| Remeron, Soltab | mirtazapine | Yes | 1 | $5 | |
| Renacidin | mag carb/citric acid/g-lactone | No | 2 | $15 | |
| Renagel | sevelamer hcl | No | 2 | $15 | |
| Renvela Packet 0.8g | sevelamer carbonate | No | 3 | $25 | |
| Renvela Packet 2.4g | sevelamer carbonate | No | 2 | $15 | |
| Renvela Tablet | sevelamer carbonate | No | 2 | $15 | |
| Repronex | menotropins | No | 2 | $15 | |
| Requip | ropinirole hcl | Yes | 1 | $5 | |
| Requip XL | ropinirole hcl | No | 3 | $25 | |
| Rescriptor | delavirdine mesylate | No | 2 | $15 | |
| Reserpine | reserpine | Yes | 1 | $5 | |
| Restasis | cyclosporine | No | 2 | $15 | |
| Restoril | temazepam | Yes | 1 | $5 | |
| Retin-A Micro | tretinoin microspheres | No | 2 | $15 | |
| Retin-A, Avita | tretinoin | Yes | 1 | $5 | |
| Retrovir | zidovudine | Yes | 1 | $5 | |
| Revatio | sildenafil citrate | No | PA | 2 | $15 |
| Revia | naltrexone hcl | Yes | 1 | $5 | |
| Revlimid | lenalidomide | No | PA | 3 | $25 |
| Reyataz | atazanavir sulfate | No | 2 | $15 | |
| Rheumatrex, Trexall | methotrexate sodium | No | 2 | $15 | |
| Rheumatrex, Trexall Injection | methotrexate sodium/pf | Yes | 1 | $5 | |
| Rhinocort Aqua | budesonide | No | ST | 3 | $25 |
| Ridaura | auranofin | No | 2 | $15 | |
| Rifadin | rifampin | Yes | 1 | $5 | |
| Rifamate | rifampin/isoniazid | Yes | 1 | $5 | |
| Rifater | rifampin/inh/pyrazinamide | No | 3 | $25 | |
| Rilutek | riluzole | No | 2 | $15 | |
| Riomet | metformin hcl | No | 3 | $25 | |
| Risperdal M-tab | risperidone | Yes | 1 | $5 | |
| Ritalin La | methylphenidate hcl | No | 3 | $25 | |
| Ritalin, Ritalin-SR; Methylin, ER | methylphenidate hcl | Yes | 1 | $5 | |
| Rms Suppository | morphine sulfate | Yes | 1 | $5 | |
| Robaxin | methocarbamol | Yes | 1 | $5 | |
| Robinul, Forte | glycopyrrolate | Yes | 1 | $5 | |
| Rocaltrol | calcitriol | Yes | 1 | $5 | |
| Rondec, DM | phenylephrine hcl/chlor-mal | Yes | 1 | $5 | |
| Rosula | sulfacetamide sod/sulfur/urea | Yes | 1 | $5 | |
| Rowasa Enema | mesalamine | Yes | 1 | $5 | |
| Roxanol | morphine sulfate | Yes | 1 | $5 | |
| Rozerem | ramelteon | No | PA | 3 | $25 |
| Rynatan, Ped Susp | phenylephrine/chlor-tan | Yes | 1 | $5 | |
| Rythmol | propafenone hcl | Yes | 1 | $5 | |
| Rythmol SR | propafenone hcl | No | 3 | $25 | |
| Ryzolt | tramadol hcl | No | 3 | $25 | |
| - S - | [ Return to Top ] | ||||
| Sabril | vigabatrin | No | 2 | $15 | |
| Saizen | somatropin | No | PA | 2 | $15 |
| Salagen | pilocarpine hcl | Yes | 1 | $5 | |
| Samsca | tolvaptan | No | 2 | $15 | |
| Sanctura, XR | trospium chloride | No | 3 | $25 | |
| Sancuso | granisetron | No | ST | 3 | $25 |
| Sandimmune | cyclosporine | No | 2 | $15 | |
| Sandostatin | octreotide acetate | Yes | PA | 1 | $5 |
| Sandostatin LAR | octreotide acetate | No | PA | 2 | $15 |
| Santyl | collagenase | No | 2 | $15 | |
| Saphris | asenapine | No | 3 | $25 | |
| Sarafem Tablet | fluoxetine hcl | No | 3 | $25 | |
| Savella | milnacipran hcl | No | PA | 3 | $25 |
| Seasonale | levonorgestrel-eth estra | Yes | 1 | $5 | |
| Seasonique | l-norgest-eth estr/ethin estra | No | 3 | $25 | |
| Sectral | acebutolol hcl | Yes | 1 | $5 | |
| Selsun Rx | selenium sulfide | Yes | 1 | $5 | |
| Selzentry | maraviroc | No | 2 | $15 | |
| Semprex-D | pseudoephedrine hcl/acrivas | No | ST | 3 | $25 |
| Sensipar | cinacalcet hcl | No | 2 | $15 | |
| Serax | oxazepam | Yes | 1 | $5 | |
| Serevent Diskus | salmeterol xinafoate | No | 2 | $15 | |
| Seromycin | cycloserine | Yes | 1 | $5 | |
| Seroquel | quetiapine fumarate | No | 2 | $15 | |
| Seroquel XR | quetiapine fumarate | No | PA | 3 | $25 |
| Serostim | somatropin | No | PA | 3 | $25 |
| Serzone | nefazodone hcl | Yes | 3 | $25 | |
| Silvadene | silver sulfadiazine | Yes | 1 | $5 | |
| Simcor | niacin/simvastatin | No | ST | 3 | $25 |
| Simponi | golimumab | No | PA | 3 | $25 |
| Sinemet, Cr | carbidopa/levodopa | Yes | 1 | $5 | |
| Sinequan, Adapin | doxepin hcl | Yes | 1 | $5 | |
| Singulair | montelukast sodium | No | ST | 2 | $15 |
| Skelaxin | metaxalone | No | 2 | $15 | |
| Solaraze | diclofenac sodium | No | 3 | $25 | |
| Solodyn | minocycline hcl | Yes | PA | 1 | $5 |
| Soma | carisoprodol | Yes | 1 | $5 | |
| Soma 250 | carisoprodol | No | 3 | $25 | |
| Soma Compound | carisoprodol/aspirin | Yes | 1 | $5 | |
| Soma Compound w/codeine | codeine phos/carisoprodol/asa | Yes | 1 | $5 | |
| Somatuline Depot | lanreotide acetate | No | 2 | $15 | |
| Somavert | pegvisomant | No | 2 | $15 | |
| Sonata | zaleplon | Yes | 1 | $5 | |
| Soriatane | acitretin | No | 2 | $15 | |
| Spectazole | econazole nitrate | Yes | 1 | $5 | |
| Spectracef | cefditoren pivoxyl | No | 3 | $25 | |
| Spiriva | tiotropium bromide | No | 2 | $15 | |
| Sporanox Caps | itraconazole | Yes | 1 | $5 | |
| Sporanox Soln | itraconazole | No | 2 | $15 | |
| Sprycel | dasatinib | No | PA | 2 | $15 |
| SSKI | potassium iodide | Yes | 1 | $5 | |
| Stadol NS | butorphanol tartrate | Yes | 1 | $5 | |
| Stalevo | carbidopa/levodopa/entacapone | No | 2 | $15 | |
| Starlix | nateglinide | Yes | 1 | $5 | |
| Stelazine | trifluoperazine hcl | Yes | 1 | $5 | |
| Stimate | desmopressin acetate | No | 2 | $15 | |
| Strattera | atomoxetine hcl | No | PA | 3 | $25 |
| Striant | testosterone | No | 3 | $25 | |
| Stromectrol - Single Dose | ivermectin | No | 2 | $15 | |
| Suboxone | buprenorphine hcl/naloxone hcl | No | PA | 2 | $15 |
| Sular | nisoldipine | Yes | 1 | $5 | |
| Sular 8.5, 17, 25.5, 34mg | nisoldipine | No | 3 | $25 | |
| Sulfacet-R | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Sulfadiazine | sulfadiazine | Yes | 1 | $5 | |
| Sumavel Dosepro | sumatriptan | No | PA | 3 | $25 |
| Supervite | lysine hcl/vit b comp/fa/zinc | No | 3 | $25 | |
| Suprax | cefixime | No | 3 | $25 | |
| Surmontil | trimipramine maleate | Yes | 1 | $5 | |
| Surmontil 100mg | trimipramine maleate | No | 2 | $15 | |
| Sustiva | efavirenz | No | 2 | $15 | |
| Sutent | sunitinib malate | No | PA | 2 | $15 |
| Symbicort | budesonide/formoterol fumarate | No | 2 | $15 | |
| Symbyax | olanzapine/fluoxetine hcl | No | 3 | $25 | |
| Symlin | pramlintide acetate | No | ST | 3 | $25 |
| Symmetrel | amantadine hcl | Yes | 1 | $5 | |
| Synalar 0.025% Cream, Oint | fluocinolone acetonide | Yes | 1 | $5 | |
| Synalar Cream, Soln | fluocinolone acetonide | Yes | 1 | $5 | |
| Synalgos-DC | dihydrocodeine/aspirin/caffein | No | 2 | $15 | |
| Synarel | nafarelin acetate | No | 2 | $15 | |
| - T - | [ Return to Top ] | ||||
| Taclonex, Scalp | betamet diprop/calcipotriene | No | PA | 3 | $25 |
| Tagamet (Rx only) | cimetidine | Yes | 1 | $5 | |
| Talacen | pentazocine hcl/acetaminophen | Yes | 1 | $5 | |
| Talwin NX | pentazocine hcl/naloxone hcl | Yes | 1 | $5 | |
| Tambocor | flecainide acetate | Yes | 1 | $5 | |
| Tamiflu Cap, Susp | oseltamivir phosphate | No | 2 | $15 | |
| Tamoxifen Citrate | tamoxifen citrate | Yes | 1 | $5 | |
| Tapazole | methimazole | Yes | 1 | $5 | |
| Tarceva | erlotinib hcl | No | PA | 2 | $15 |
| Targretin Oral, Gel | bexarotene | No | 3 | $25 | |
| Tarka | trandolapril/verapamil hcl | No | 3 | $25 | |
| Tasigna | nilotinib hydrochloride | No | 2 | $15 | |
| Tasmar | tolcapone | No | 3 | $25 | |
| Tavist Rx (2.68mg, Syrup) | clemastine fumarate | Yes | 1 | $5 | |
| Tazorac | tazarotene | No | 2 | $15 | |
| Tegretol, XR | carbamazepine | Yes | 1 | $5 | |
| Tekturna, HCT | aliskiren/hydrochlorothiazide | No | PA | 3 | $25 |
| Temodar | temozolomide | No | 2 | $15 | |
| Temovate, Clobevate | clobetasol propionate | Yes | 1 | $5 | |
| Tenex | guanfacine hcl | Yes | 1 | $5 | |
| Tenoretic | atenolol/chlorthalidone | Yes | 1 | $5 | |
| Tenormin | atenolol | Yes | 1 | $5 | |
| Tenuate | diethylpropion hcl | Yes | PA | 1 | $5 |
| Terazol- 3, 7 | terconazole | Yes | 1 | $5 | |
| Tessalon, Perles | benzonatate | Yes | 1 | $5 | |
| Testim | testosterone | No | 3 | $25 | |
| Testred, Android | methyltestosterone | No | 3 | $25 | |
| Tetracycline | tetracycline hcl | Yes | 1 | $5 | |
| Teveten, HCT | eprosartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Tev-tropin | somatropin | No | PA | 3 | $25 |
| Thalomid | thalidomide | No | 2 | $15 | |
| Theo-24 | theophylline anhydrous | No | 2 | $15 | |
| Theophylline Anhydrous | theophylline anhydrous | Yes | 1 | $5 | |
| Thioguanine | thioguanine | No | 2 | $15 | |
| Thorazine | chlorpromazine hcl | Yes | 1 | $5 | |
| Thyrolar | liotrix | No | 2 | $15 | |
| Tiazac | diltiazem hcl | Yes | 1 | $5 | |
| Ticlid | ticlopidine hcl | Yes | 1 | $5 | |
| Tigan | trimethobenzamide hcl | Yes | 1 | $5 | |
| Tikosyn | dofetilide | No | 2 | $15 | |
| Timoptic - XE | timolol maleate | Yes | 1 | $5 | |
| Timoptic, Istalol | timolol maleate | Yes | 1 | $5 | |
| Tindamax | tinidazole | No | 2 | $15 | |
| Tobi | tobramycin/0.25 normal saline | No | 2 | $15 | |
| Tobradex | tobramycin sulfate/dexameth | Yes | 1 | $5 | |
| Tobradex Oint | tobramycin sulfate/dexameth | No | 2 | $15 | |
| Tobrex | tobramycin sulfate | Yes | 1 | $5 | |
| Tofranil, PM | imipramine hcl, pamoate | Yes | 1 | $5 | |
| Tolectin, DS | tolmetin sodium | Yes | 1 | $5 | |
| Tolinase | tolazamide | Yes | 1 | $5 | |
| Topamax, Sprinkle | topiramate | Yes | 1 | $5 | |
| Topicort Cr, Gel, Oint, Lp | desoximetasone | Yes | 1 | $5 | |
| Toprol XL | metoprolol succinate | Yes | 1 | $5 | |
| Toradol | ketorolac tromethamine | Yes | 1 | $5 | |
| Toviaz | fesoterodine fumarate | No | 3 | $25 | |
| Tracleer | bosentan | No | PA | 2 | $15 |
| Transderm-scop | scopolamine hydrobromide | No | 2 | $15 | |
| Tranxene | clorazepate dipotassium | Yes | 1 | $5 | |
| Tranxene SD | clorazepate dipotassium | No | 3 | $25 | |
| Travatan, Z | travoprost | No | 2 | $15 | |
| Trecator | ethionamide | No | 3 | $25 | |
| Trelstar Depot, LA | triptorelin pamoate | No | 2 | $15 | |
| Trental | pentoxifylline | Yes | 1 | $5 | |
| Treximet | sumatriptan succ/naproxen sod | No | PA | 3 | $25 |
| Triglide | fenofibrate | No | 3 | $25 | |
| Trileptal, Susp | oxcarbazepine | Yes | 1 | $5 | |
| Trilipix | fenofibric acid | No | PA | 3 | $25 |
| Trilisate | chol sal/magnesium salicylate | Yes | 1 | $5 | |
| Trimethoprim | trimethoprim | Yes | 1 | $5 | |
| Tri-nornyl | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Triphasil, Trilevlen | levonorgestrel-eth estra | Yes | 1 | $5 | |
| Tri-vi-flor | fluoride ion/vit a,c&d | Yes | 1 | $5 | |
| Trizivir | abacavir/lamivudine/zidovudine | No | 2 | $15 | |
| Trusopt | dorzolamide hcl | Yes | 1 | $5 | |
| Truvada | emtricitabine/tenofovir | No | 2 | $15 | |
| Tussicaps | hydrocodone/chlorphen polis | No | 2 | $15 | |
| Tussionex | hydrocodone/chlorphen polis | No | 2 | $15 | |
| Tykerb | lapatinib ditosylate | No | PA | 2 | $15 |
| Tylenol w/codeine | codeine phos/acetaminophen | Yes | 1 | $5 | |
| Tylox | oxycodone hcl/acetaminophen | Yes | 1 | $5 | |
| Tyvaso | treprostinil/nebulizer/accesor | No | PA | 2 | $15 |
| Tyzeka | telbivudine | No | 3 | $25 | |
| - U - | [ Return to Top ] | ||||
| Uloric | febuxostat | No | PA | 3 | $25 |
| Ultracet | tramadol hcl/acetaminophen | Yes | 1 | $5 | |
| Ultram | tramadol hcl | Yes | 1 | $5 | |
| Ultram ER 100, 200mg | tramadol hcl | Yes | PA | 1 | $5 |
| Ultram ER 300mg | tramadol hcl | No | PA | 3 | $25 |
| Ultrase MT | amylase/lipase/protease | No | 2 | $15 | |
| Ultravate | halobetasol propionate | Yes | 1 | $5 | |
| Ultravate Pac | halobetasol prop/ammonium lac | No | 3 | $25 | |
| Uniphyl | theophylline anhydrous | Yes | 1 | $5 | |
| Uniretic | moexipril/hydrochlorothiazide | Yes | 1 | $5 | |
| Univasc | moexipril hcl | Yes | 1 | $5 | |
| Urecholine | bethanechol chloride | Yes | 1 | $5 | |
| Uretron D-S | mth/me blue/ba/salicy/atp/hyos | No | 2 | $15 | |
| Urispas | flavoxate hcl | Yes | 1 | $5 | |
| Urocit-K | potassium citrate | Yes | 1 | $5 | |
| Uroxatral | alfuzosin hcl | No | 2 | $15 | |
| Urso | ursodiol | Yes | 1 | $5 | |
| Urso Forte | ursodiol | Yes | 1 | $5 | |
| - V - | [ Return to Top ] | ||||
| Vagifem | estradiol | No | 3 | $25 | |
| Valcyte | valganciclovir hydrochloride | No | 2 | $15 | |
| Valisone Cr, Lotion, Oint | betamethasone valerate | Yes | 1 | $5 | |
| Valium | diazepam | Yes | 1 | $5 | |
| Valtrex | valacyclovir hcl | Yes | 1 | $5 | |
| Valturna | aliskiren/valsartan | No | PA | 3 | $25 |
| Vancocin HCL | vancomycin hcl | No | 2 | $15 | |
| Vanos 0.1% Cr | fluocinonide | No | 3 | $25 | |
| Vantin | cefpodoxime proxetil | Yes | 1 | $5 | |
| Vaseretic | enalapril/hydrochlorothiazide | Yes | 1 | $5 | |
| Vasocidin | na sulfacetm/prednis sp | Yes | 1 | $5 | |
| Vasodilan | isoxsuprine hcl | Yes | 1 | $5 | |
| Vasotec | enalapril maleate | Yes | 1 | $5 | |
| Vectical | calcitriol | No | 3 | $25 | |
| Venlafaxine HCL Er | venlafaxine hcl | No | PA/ST | 2 | $15 |
| Ventavis | iloprost | No | PA | 2 | $15 |
| Vepesid | etoposide | Yes | 1 | $5 | |
| Veramyst | fluticasone furoate | No | ST | 3 | $25 |
| Verdeso | desonide | No | ST | 3 | $25 |
| Veregen | sinecatechins | No | 3 | $25 | |
| Verelan, PM | verapamil hcl | Yes | 1 | $5 | |
| Vermox | mebendazole | Yes | 1 | $5 | |
| Vesanoid | tretinoin | No | 2 | $15 | |
| Vesicare | solifenacin succinate | No | 3 | $25 | |
| Vexol | rimexolone | No | 2 | $15 | |
| Vfend | voriconazole | No | 2 | $15 | |
| Viagra | sildenafil citrate | No | PA | 2 | $15 |
| Vibramycin, Vibratabs | doxycycline hyclate | Yes | 1 | $5 | |
| Vicodin, Lortab | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Vicoprofen | hydrocodone/ibuprofen | Yes | 1 | $5 | |
| Videx | didanosine | No | 2 | $15 | |
| Videx EC | didanosine | Yes | 1 | $5 | |
| Vigamox | moxifloxacin hcl | No | 2 | $15 | |
| Vimpat | lacosamide | No | 2 | $15 | |
| Viokase | amylase/lipase/protease | No | 2 | $15 | |
| Viracept | nelfinavir mesylate | No | 2 | $15 | |
| Viramune | nevirapine | No | 2 | $15 | |
| Viread | tenofovir disoproxil fumarate | No | 2 | $15 | |
| Viroptic | trifluridine | Yes | 1 | $5 | |
| Vivactil | protriptyline hcl | Yes | 1 | $5 | |
| Vivelle | estradiol | Yes | 1 | $5 | |
| Vivelle-dot | estradiol | No | 2 | $15 | |
| Voltaren Gel | diclofenac sodium | No | 3 | $25 | |
| Voltaren, XR | diclofenac sodium | Yes | 1 | $5 | |
| Vospire ER | albuterol sulfate | Yes | 1 | $5 | |
| 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 | $15 | |
| Wellbutrin, SR, XL | bupropion hcl | Yes | 1 | $5 | |
| Westcort | hydrocortisone valerate | Yes | 1 | $5 | |
| - X - | [ Return to Top ] | ||||
| Xalatan | latanoprost | No | 3 | $25 | |
| Xanax, XR | alprazolam | Yes | 1 | $5 | |
| Xeloda | capecitabine | No | 2 | $15 | |
| Xenazine | tetrabenazine | No | PA | 2 | $15 |
| Xenical | orlistat | No | PA | 3 | $25 |
| Xibrom | bromfenac sodium | No | 3 | $25 | |
| Xifaxan | rifaximin | No | 3 | $25 | |
| Xodol | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Xolegel, Corepak | ketoconazole | No | 3 | $25 | |
| Xopenex 1.25mg/0.5ml | levalbuterol hcl | Yes | 1 | $5 | |
| Xopenex HFA | levalbuterol tartrate | No | 3 | $25 | |
| Xopenex Solution | levalbuterol hcl | No | 3 | $25 | |
| Xylocaine (Rx only) | lidocaine hcl | Yes | 1 | $5 | |
| Xylocaine Viscous | lidocaine hcl | Yes | 1 | $5 | |
| Xyrem | sodium oxybate | No | PA | 3 | $25 |
| Xyzal | levocetirizine dihydrochloride | No | PA | 3 | $25 |
| - Y - | [ Return to Top ] | ||||
| Yasmin 28 | ethinyl estradiol/drospirenone | Yes | 1 | $5 | |
| Yaz | ethinyl estradiol/drospirenone | No | 2 | $15 | |
| Yohimbine HCL | yohimbine hcl | Yes | 1 | $5 | |
| - Z - | [ Return to Top ] | ||||
| Zanaflex Caps | tizanidine hcl | No | 3 | $25 | |
| Zanaflex Tabs | tizanidine hcl | Yes | 3 | $25 | |
| Zantac (Rx only) | ranitidine hcl | Yes | 1 | $5 | |
| Zantac Efferdose | ranitidine hcl | No | 3 | $25 | |
| Zarontin | ethosuximide | Yes | 1 | $5 | |
| Zaroxolyn | metolazone | Yes | 1 | $5 | |
| Zavesca | miglustat | No | 3 | $25 | |
| Zebeta | bisoprolol fumarate | Yes | 1 | $5 | |
| Zebutal | butalb/acetaminophen/caffeine | No | 2 | $15 | |
| Zegerid | omeprazole/sodium bicarbonate | No | PA | 3 | $25 |
| Zelapar | selegiline hcl | No | 3 | $25 | |
| Zemplar | paricalcitol | No | 3 | $25 | |
| Zenpep | amylase/lipase/protease | No | 3 | $25 | |
| Zerit | stavudine | Yes | 1 | $5 | |
| Zetia | ezetimibe | No | ST | 2 | $15 |
| Ziac | bisoprol/hydrochlorothiazide | Yes | 1 | $5 | |
| Ziagen | abacavir sulfate | No | 2 | $15 | |
| Ziana Gel | clindamycin/tretinoin | No | PA | 3 | $25 |
| Zithromax | azithromycin | Yes | 1 | $5 | |
| Zmax | azithromycin | No | 3 | $25 | |
| Zocor | simvastatin | Yes | 1 | $5 | |
| Zofran, ODT | ondansetron | Yes | 1 | $5 | |
| Zoladex | goserelin acetate | No | 2 | $15 | |
| Zolinza | vorinostat | No | PA | 2 | $15 |
| Zoloft | sertraline hcl | Yes | 1 | $5 | |
| Zolpimist | zolpidem | No | PA | 3 | $25 |
| Zomig, ZMT, Nasal Spray | zolmitriptan | No | ST | 3 | $25 |
| Zonalon, Prudoxin | doxepin hcl | No | 2 | $15 | |
| Zonegran | zonisamide | Yes | 1 | $5 | |
| Zorbtive | somatropin | No | PA | 3 | $25 |
| Zorprin | aspirin | No | 2 | $15 | |
| Zovirax | acyclovir | Yes | 1 | $5 | |
| Zovirax Cream, Oint | acyclovir | No | 2 | $15 | |
| Zyban | bupropion hcl | Yes | 1 | $5 | |
| Zydone | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Zyflo, Cr | zileuton | No | 3 | $25 | |
| Zylet | tobramycin/lotepred etab | No | 3 | $25 | |
| Zyloprim | allopurinol | Yes | 1 | $5 | |
| Zymar | gatifloxacin | No | 3 | $25 | |
| Zyprexa, Zydis | olanzapine | No | 2 | $15 | |
| Zyrtec, D (OTC) | cetirizine hcl | Yes | 1 | $5 | |
| Zyvox | linezolid | No | 2 | $15 | |
page modified 03/09/2009