Drug rider $5/$12/$25
Your drug benefit provides coverage for Tier 1 medications for a $5 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, Discmelt, Solution | aripiprazole | No | 2 | $12 | |
| Abstral | fentanyl citrate | No | PA | 3 | $25 |
| Acanya | clindamycin phos/benzoyl perox | No | 3 | $25 | |
| Accolate | zafirlukast | Yes | 1 | $5 | |
| 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 | $12 | |
| Actiq | fentanyl citrate | Yes | PA | 1 | $5 |
| Activella | estradiol/noreth ac | Yes | 1 | $5 | |
| Actonel, Weekly, 150MG | risedronate sodium | No | ST | 2 | $12 |
| Actoplus Met | pioglitazone hcl/metformin hcl | No | ST | 2 | $12 |
| Actoplus Met XR | pioglitazone hcl/metformin hcl | No | ST | 3 | $25 |
| Actos | pioglitazone hcl | No | ST | 2 | $12 |
| Acular, LS | ketorolac tromethamine | Yes | 1 | $5 | |
| Acuvail | ketorolac tromethamine | No | 3 | $25 | |
| Aczone | dapsone | No | 3 | $25 | |
| Adcirca | tadalafil | No | PA | 3 | $25 |
| Adderall | amphet asp/amphet/d-amphet | Yes | 1 | $5 | |
| Adderall XR (Brand) | amphet asp/amphet/d-amphet | No | PA | 1 | $5 |
| Adipex-P | phentermine hcl | Yes | PA | 1 | $5 |
| Adoxa | doxycycline monohydrate | Yes | PA | 1 | $5 |
| Adoxa 150MG Capsule | doxycycline monohydrate | No | PA | 3 | $25 |
| Adrenaclick | epinephrine | Yes | 1 | $5 | |
| Adrenalin Chloride | epinephrine | No | 2 | $12 | |
| Advair | fluticasone/salmeterol | No | 2 | $12 | |
| Advicor | niacin/lovastatin | No | PA | 3 | $25 |
| Aerobid, M | flunisolide/menthol | No | 3 | $25 | |
| Afinitor | everolimus | No | PA | 2 | $12 |
| Agenerase | amprenavir/vitamin e/prop gly | No | 2 | $12 | |
| Aggrenox | aspirin/dipyridamole | No | 3 | $25 | |
| Agrylin | anagrelide hcl | Yes | 1 | $5 | |
| Akineton | biperiden hcl | No | 2 | $12 | |
| Akne-Mycin | erythromycin base | No | 3 | $25 | |
| Albalon | naphazoline hcl | Yes | 1 | $5 | |
| Albenza | albendazole | No | 3 | $25 | |
| Albuterol Nebulizer Soln | albuterol sulfate | Yes | 1 | $5 | |
| Alcaine | proparacaine hcl | Yes | 1 | $5 | |
| Alcortin A | hydrocortisone/iodoquin/aloe#2 | No | 3 | $25 | |
| Aldactazide | spironolact/hydrochlorothiazid | Yes | 1 | $5 | |
| Aldactone | spironolactone | Yes | 1 | $5 | |
| Aldara | imiquimod | Yes | 1 | $5 | |
| Aldex AN | doxylamine succinate | No | 3 | $25 | |
| Aldex-CT | phenylephrine/dp-hydram tan | No | 3 | $25 | |
| Aldomet | methyldopa | Yes | 1 | $5 | |
| Aldoril | methyldopa/hydrochlorothiazide | Yes | 1 | $5 | |
| Alenaze-D | phenylephrine/brompheniramine | Yes | 1 | $5 | |
| Alesse, Levlite | levonorgestrel-eth estra | Yes | 1 | $5 | |
| Alferon N | interferon alfa-n3 | No | 2 | $12 | |
| Alinia | nitazoxanide | No | 2 | $12 | |
| Alkeran | melphalan | No | 2 | $12 | |
| Alocril | nedocromil sodium | No | 2 | $12 | |
| Alomide | lodoxamide tromethamine | No | 2 | $12 | |
| Aloquin | iodoquinol/aloe polysacchar #1 | No | 3 | $25 | |
| Alora | estradiol | No | 2 | $12 | |
| Alpain | acetaminophen/phenyltolx cit | Yes | 1 | $5 | |
| Alphagan P 0.1% | brimonidine tartrate | No | 2 | $12 | |
| Alphagan, P | brimonidine tartrate | Yes | 1 | $5 | |
| Alrex | loteprednol etabonate | No | 3 | $25 | |
| Alsuma | sumatriptan succinate | Yes | PA | 1 | $5 |
| 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 | |
| Aluvea | urea | No | 3 | $25 | |
| Alvesco | ciclesonide | No | 1 | $5 | |
| Amaryl | glimepiride | Yes | 1 | $5 | |
| Ambien | zolpidem tartrate | Yes | 1 | $5 | |
| Ambien CR | zolpidem tartrate | Yes | PA | 1 | $5 |
| Amerge | naratriptan hcl | Yes | ST | 1 | $5 |
| Americaine | benzocaine | No | 2 | $12 | |
| Amicar | aminocaproic acid | Yes | 1 | $5 | |
| Amitiza | lubiprostone | No | PA | 3 | $25 |
| Amoxil | amoxicillin trihydrate | Yes | 1 | $5 | |
| Ampicillin | ampicillin trihydrate | Yes | 1 | $5 | |
| Ampyra | fampridine (4-aminopyridine) | No | PA | 3 | $25 |
| Amrix | cyclobenzaprine hcl | Yes | PA | 1 | $5 |
| Amturnide | aliskiren/amlodipine/hctz | No | ST | 3 | $25 |
| Anacaine | benzocaine | No | 2 | $12 | |
| Anadrol-50 | oxymetholone | No | PA | 3 | $25 |
| Anafranil | clomipramine hcl | Yes | 1 | $5 | |
| Analpram Advanced | hc/pramox/diosmin#1/alo#1/pcos | No | 3 | $25 | |
| Analpram HC | hc acetate/pramoxine hcl | Yes | 1 | $5 | |
| Anamantle HC | lidocaine hcl/hc | Yes | 1 | $5 | |
| Anana | bromelains | No | 3 | $25 | |
| Anaprox, DS | naproxen sodium | Yes | 1 | $5 | |
| Ancobon | flucytosine | Yes | 1 | $5 | |
| Androderm | testosterone | No | 2 | $12 | |
| Androgel, 1.62% | testosterone | No | 2 | $12 | |
| Androxy 10MG | fluoxymesterone | Yes | 1 | $5 | |
| Anexia | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Anexsia/Lorcet Plus | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Angeliq | estradiol/drospirenone | No | 3 | $25 | |
| Annusol HC, Proctocream HC | hydrocortisone | Yes | 1 | $5 | |
| Ansaid | flurbiprofen | Yes | 1 | $5 | |
| Antabuse | disulfiram | Yes | 1 | $5 | |
| Antara | fenofibrate,micronized | No | 3 | $25 | |
| Antivert | meclizine hcl | Yes | 1 | $5 | |
| Anusol HC | hydrocortisone acetate | Yes | 1 | $5 | |
| Anzemet | dolasetron mesylate | No | 3 | $25 | |
| Apexicon E | diflorasone diacetate/emoll | No | 3 | $25 | |
| Apidra | insulin glulisine | No | 2 | $12 | |
| Aplenzin | buproprion hbr | No | PA | 3 | $25 |
| Apokyn | apomorphine hcl | No | 2 | $12 | |
| Apresazide | hydralazine/hydrochlorothiazid | Yes | 1 | $5 | |
| Apresoline | hydralazine hcl | Yes | 1 | $5 | |
| Apriso | mesalamine | No | 3 | $25 | |
| Aptivus(Must Be Used With Norvir) | tipranavir | No | 2 | $12 | |
| Aquachloral | chloral hydrate | No | 2 | $12 | |
| 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 | $12 |
| Arcapta Neohaler | indacaterol maleate | No | 3 | $25 | |
| Aricept 23MG | donepezil hcl | No | ST | 3 | $25 |
| Aricept, ODT | donepezil hcl | Yes | 1 | $5 | |
| Arimidex | anastrozole | Yes | PA | 1 | $5 |
| Aristocort, Kenalog | triamcinolone acetonide | Yes | 1 | $5 | |
| Arixtra | fondaparinux sodium | Yes | 1 | $5 | |
| Aromasin | exemestane | Yes | PA | 1 | $5 |
| Artane | trihexyphenidyl hcl | Yes | 1 | $5 | |
| Arthrotec | diclofenac sodium/misoprostol | No | PA | 3 | $25 |
| Asacol | mesalamine | No | 2 | $12 | |
| Asacol HD | mesalamine | No | 2 | $12 | |
| Asendin | amoxapine | Yes | 1 | $5 | |
| Asmanex | mometasone furoate | No | 1 | $5 | |
| Aspirin w/Codeine | codeine phos/aspirin | Yes | 1 | $5 | |
| Astelin Nasal Spray | azelastine hcl | Yes | 1 | $5 | |
| Astepro Nasal Spray | azelastine hcl | No | 2 | $12 | |
| Astringyn | ferric subsulfate | No | 3 | $25 | |
| Atacand | candesartan cilexetil | No | PA | 3 | $25 |
| Atacand, HCT | candesartan/hydrochlorothiazid | No | PA | 3 | $25 |
| Atarax, Vistaril | hydroxyzine | Yes | 1 | $5 | |
| Atelvia | risedronate sodium | No | PA | 3 | $25 |
| Ativan | lorazepam | Yes | 1 | $5 | |
| Atripla | efavirenz/emtricitab/tenofovir | No | 2 | $12 | |
| Atropine Sulfate | atropine sulfate/pf | Yes | 1 | $5 | |
| Atrovent Inhaler | ipratropium bromide | No | 2 | $12 | |
| Atrovent Nasal Spray | ipratropium bromide | Yes | 1 | $5 | |
| Atrovent Soln | ipratropium bromide | Yes | 1 | $5 | |
| Augmentin, ES, XR | 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 | PA | 3 | $25 |
| Avandia | rosiglitazone maleate | No | ST | 3 | $25 |
| Avapro | irbesartan | No | PA | 3 | $25 |
| Avc | sulfanilamide | No | 3 | $25 | |
| Avelox, ABC | moxifloxacin hcl | No | 2 | $12 | |
| Avinza | morphine sulfate | No | 3 | $25 | |
| Avodart | dutasteride | No | 2 | $12 | |
| Avonex | interferon beta-1a | No | 2 | $12 | |
| Avonex Administration Pack | interferon beta-1a/albumin | No | 2 | $12 | |
| Axert | almotriptan malate | No | ST | 3 | $25 |
| Axid (Rx Only) | nizatidine | Yes | 1 | $5 | |
| Axid Solution | nizatidine | Yes | 1 | $5 | |
| Axiron | testosterone | No | PA | 3 | $25 |
| Aygestin | norethindrone acetate | Yes | 1 | $5 | |
| Azasite | azithromycin | No | 3 | $25 | |
| Azelex | azelaic acid | No | 3 | $25 | |
| Azilect | rasagiline mesylate | No | 2 | $12 | |
| Azopt | brinzolamide | No | 2 | $12 | |
| Azor | amlodipine bes/olmesartan med | No | PA | 3 | $25 |
| Azulfidine En-Tab | sulfasalazine | Yes | 1 | $5 | |
| Azulfidine Tab | sulfasalazine | Yes | 1 | $5 | |
| - B - | [ Return to Top ] | ||||
| Bacitracin | bacitracin | Yes | 1 | $5 | |
| Bacmin | fe fumarate/fa/mv-mn/se | No | 3 | $25 | |
| Bactocill | oxacillin sodium | No | 2 | $12 | |
| Bactrim, DS, Septra, DS | sulfamethoxazole/trimethoprim | Yes | 1 | $5 | |
| Bactroban Cream, Nasal | mupirocin calcium | No | 2 | $12 | |
| Bactroban Ointment | mupirocin | Yes | 1 | $5 | |
| Bal-Care DHA | pnv81/sod iron edta& ps/fa/om3 | Yes | 1 | $5 | |
| Banzel | rufinamide | No | 2 | $12 | |
| Baraclude | entecavir | No | 2 | $12 | |
| Baros Granules | simethicone/sod bicarb/tta | No | 3 | $25 | |
| 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 | olmesartan medoxomil | No | ST | 2 | $12 |
| Benicar HCT | olmesartan/hydrochlorothiazide | No | ST | 2 | $12 |
| Bensal HP | benzoic acid/salicylic acid | No | 2 | $12 | |
| Bentyl | dicyclomine hcl | Yes | 1 | $5 | |
| Benzac W, AC, Wash | benzoyl peroxide | Yes | 1 | $5 | |
| Benzaclin | clindamycin phosphate/benz per | No | 3 | $25 | |
| Benzamycin | erythromycin base/benz per | Yes | 1 | $5 | |
| Benzoyl Peroxide Rx Only | benzoyl peroxide | Yes | 1 | $5 | |
| Bepreve | bepotastine besilate | No | 3 | $25 | |
| Besivance | besifloxacin hydrochloride | No | 3 | $25 | |
| Betadine | povidone-iodine | No | 2 | $12 | |
| Betagan | levobunolol hcl | Yes | 1 | $5 | |
| Betapace, AF | sotalol hcl | Yes | 1 | $5 | |
| Betaseron | interferon beta-1b | No | PA | 3 | $25 |
| Betimol | timolol | No | 3 | $25 | |
| Betoptic S | betaxolol hcl | No | 2 | $12 | |
| Betoptic Soln | betaxolol hcl | Yes | 1 | $5 | |
| Beyaz | drospir/eth estra/levomefol ca | No | 3 | $25 | |
| Biaxin, XL | clarithromycin | Yes | 1 | $5 | |
| Bifera RX | iron ps/iron hem poly/fa/b12 | No | 3 | $25 | |
| Biltricide | praziquantel | No | 2 | $12 | |
| Biodec-Dm | dm hb/p-ephed hcl/carbinox | Yes | 1 | $5 | |
| Bleph-10 | sulfacetamide sodium | Yes | 1 | $5 | |
| Bleph-10, Sodium Sulamyde | sulfacetamide sodium | Yes | 1 | $5 | |
| Blephamide Drops, Oint | na sulfacetm/prednisol ac | No | 2 | $12 | |
| Blocadren | timolol maleate | Yes | 1 | $5 | |
| Bonisara | strontium gluconate/b6-b12-fa | No | 3 | $25 | |
| Boniva | ibandronate sodium | No | ST | 3 | $25 |
| Bontril | phendimetrazine tartrate | Yes | PA | 1 | $5 |
| Bravelle | urofollitropin (fsh) | No | PA | 2 | $12 |
| Brethine | terbutaline sulfate | Yes | 1 | $5 | |
| Brevoxyl Gel | benzoyl peroxide | Yes | 1 | $5 | |
| Brilinta | ticagrelor | No | ST | 3 | $25 |
| Brofed | p-ephed hcl/brompheniramin | No | 3 | $25 | |
| Bromday | bromfenac sodium | No | 3 | $25 | |
| Broncodur | guaifenesin/theophylline | No | 2 | $12 | |
| Brovana | arformoterol tartrate | No | PA | 3 | $25 |
| Bumex | bumetanide | Yes | 1 | $5 | |
| Bupap | butalbital/acetaminophen | Yes | 1 | $5 | |
| Buphenyl | sodium phenylbutyrate | No | 2 | $12 | |
| Buspar | buspirone hcl | Yes | 1 | $5 | |
| Butisol Sodium | butabarbital sodium | No | 3 | $25 | |
| Butrans | buprenorphine | No | PA | 3 | $25 |
| Byetta | exenatide | No | PA | 3 | $25 |
| Bystolic | nebivolol hcl | No | PA | 3 | $25 |
| - C - | [ Return to Top ] | ||||
| Caduet | amlodipine/atorvastatin | Yes | ST | 1 | $5 |
| Cafergot | ergotamine tartrate/caffeine | No | 2 | $12 | |
| Calan SR/Isoptin SR | verapamil hcl | Yes | 1 | $5 | |
| Calciferol | ergocalciferol | Yes | 1 | $5 | |
| Cambia | diclofenac potassium | No | PA | 3 | $25 |
| Campral | acamprosate calcium | No | PA | 3 | $25 |
| Canasa | mesalamine | No | 2 | $12 | |
| Canges-HC | phenylephrine/hydrocodone/bpm | Yes | 1 | $5 | |
| Cantil | mepenzolate bromide | No | 3 | $25 | |
| Capcof | chlorpheniramine/pe/codeine | No | 3 | $25 | |
| Capex Shampoo | fluocinolone acetonide | No | 2 | $12 | |
| Capoten | captopril | Yes | 1 | $5 | |
| Capozide | captopril/hydrochlorothiazide | Yes | 1 | $5 | |
| Caprelsa | vandetanib | No | PA | 2 | $12 |
| Carac | fluorouracil | No | 3 | $25 | |
| Carafate Tabs | sucralfate | Yes | 1 | $5 | |
| Carafate, Susp | sucralfate | Yes | 1 | $5 | |
| Carbaglu | carglumic acid | No | PA | 2 | $12 |
| Carbatrol | carbamazepine | Yes | 1 | $5 | |
| Carbatuss-12 | car-pen/car-pen tan/pe tan/pe | No | 3 | $25 | |
| Carbex | selegiline hcl | Yes | 1 | $5 | |
| Cardene | nicardipine hcl | Yes | 1 | $5 | |
| Cardene SR | nicardipine hcl | No | 3 | $25 | |
| Cardizem CD | diltiazem hcl | Yes | 1 | $5 | |
| Cardizem LA | diltiazem hcl | Yes | 1 | $5 | |
| Cardizem LA 120MG | 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 | urea | Yes | 1 | $5 | |
| 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 | Yes | 1 | $5 | |
| Caverject | alprostadil | No | PA | 2 | $12 |
| Cayston | aztreonam lysine | No | PA | 3 | $25 |
| Ceclor | cefaclor | Yes | 1 | $5 | |
| Ceclor ER | cefaclor | Yes | 1 | $5 | |
| Cedax | ceftibuten dihydrate | No | 3 | $25 | |
| Ceenu | lomustine | No | 2 | $12 | |
| Ceftin | cefuroxime axetil | Yes | 1 | $5 | |
| Cefzil | cefprozil | Yes | 1 | $5 | |
| Celebrex | celecoxib | No | PA | 3 | $25 |
| Celestone | betamethasone | No | 2 | $12 | |
| Celexa | citalopram hydrobromide | Yes | 1 | $5 | |
| Cellcept | mycophenolate mofetil | Yes | 1 | $5 | |
| Cellcept Suspension | mycophenolate mofetil | No | 2 | $12 | |
| Celontin | methsuximide | No | 2 | $12 | |
| Cenestin | estrogens,conj.,synthetic a | No | 3 | $25 | |
| Centratex | fe fumarate/fa/mv, min comb#15 | No | 3 | $25 | |
| Certuss | guaifenesin/carbetapentane cit | No | 3 | $25 | |
| Cerumenex | triethanolamine | No | 2 | $12 | |
| Cesamet | nabilone | No | 3 | $25 | |
| Cetacaine | tetracaine/benzocaine/butamben | No | 2 | $12 | |
| Cetraxal | ciprofloxacin hcl | No | 3 | $25 | |
| Cetrotide | cetrorelix acetate | No | PA | 2 | $12 |
| Chantix | varenicline tartrate | No | 2 | $12 | |
| Chemet | succimer | No | 2 | $12 | |
| Chenodal | chenodiol | No | PA | 3 | $25 |
| Chloral Hydrate | chloral hydrate | Yes | 1 | $5 | |
| Chlor-Trimeton | chlorpheniramine maleate | Yes | 1 | $5 | |
| Chlorzoxazone | chlorzoxazone | Yes | 1 | $5 | |
| Choline Mag Trisalicylate | chol sal/magnesium salicylate | Yes | 1 | $5 | |
| Chronulac | lactulose | No | 2 | $12 | |
| Cialis | tadalafil | No | PA | 2 | $12 |
| Cialis 5MG | tadalafil | No | PA | 2 | $12 |
| Ciloxan Drops | ciprofloxacin hcl | Yes | 1 | $5 | |
| Ciloxan Oint | ciprofloxacin hcl | No | 2 | $12 | |
| Cimzia Syringe | certolizumab | No | PA | 3 | $25 |
| Cipro | ciprofloxacin hcl | Yes | 1 | $5 | |
| Cipro HC | ciprofloxacin hcl/hc | No | 2 | $12 | |
| Cipro XR | ciprofloxacin hcl-betaine comb | Yes | PA | 1 | $5 |
| Ciprodex | ciprofloxacin hcl/dexameth | No | 2 | $12 | |
| Citracal Prenatal + DHA | pnv4/iron cbn&gluc/fa/doss/dha | No | 3 | $25 | |
| Citracal Prenatal 90+DHA | pnv comb 13/iron cb/fa/dss/dha | No | 3 | $25 | |
| Citranatal 90 DHA | pnv comb 22/iron cb/fa/dss/dha | Yes | 1 | $5 | |
| Citranatal RX | pnv no.22/iron cbn&gluc/fa/dos | Yes | 1 | $5 | |
| Citrate Phosphate Dextrose | citrate-phos-dex solution | No | 3 | $25 | |
| Claravis, Sotret | isotretinoin | Yes | 1 | $5 | |
| Clarifoam EF | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Clarinex (All) | desloratadine | No | PA | 3 | $25 |
| Clarinex-D | p-ephed sul/desloratadine | No | PA | 3 | $25 |
| Claritin, Alavert | loratadine | Yes | 1 | $5 | |
| Claritin-D 12HR, 24HR | p-ephed sul/loratadine | Yes | 1 | $5 | |
| Clenia | sulfacetamide sodium/sulfur | No | 2 | $12 | |
| Cleocin | clindamycin hcl | Yes | 1 | $5 | |
| Cleocin Palmitate | clindamycin palmitate | 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 | |
| Clindagel | clindamycin phosphate | No | 2 | $12 | |
| Clindesse | clindamycin phosphate | No | 3 | $25 | |
| Clinoril | sulindac | Yes | 1 | $5 | |
| Clobex Shampoo, Lotion | clobetasol propionate | Yes | PA | 1 | $5 |
| Clobex Spray | clobetasol propionate | No | 3 | $25 | |
| Cloderm | clocortolone pivalate | No | 2 | $12 | |
| Clomid | clomiphene citrate | Yes | 1 | $5 | |
| Clorpres | clonidine hcl/chlorthalidone | No | 2 | $12 | |
| Clozapine | clozapine | Yes | 1 | $5 | |
| Clozaril | clozapine | Yes | 1 | $5 | |
| Coartem | artemether/lumefantrine | No | 2 | $12 | |
| Cogentin | benztropine mesylate | Yes | 1 | $5 | |
| Colbenemid | colchicine/probenecid | Yes | 2 | $12 | |
| Colcrys | colchicine | No | 2 | $12 | |
| 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 | |
| Colytrol | atrop sulf/scopol hb/hyoscy | Yes | 1 | $5 | |
| Combigan | brimonidine tartrate/timolol | No | 3 | $25 | |
| Combipatch | estradiol/noreth ac | No | 3 | $25 | |
| Combivent | albuterol sulfate/ipratropium | No | 2 | $12 | |
| Combivir | lamivudine/zidovudine | Yes | 1 | $5 | |
| Combunox | ibuprofen/oxycodone hcl | Yes | PA | 1 | $5 |
| Comhist | phenylephrine/p-tlox ci/cp | No | 3 | $25 | |
| Commit Lozenge OTC (Bcn Only) | nicotine polacrilex | Yes | 1 | $5 | |
| Compazine | prochlorperazine maleate | Yes | 1 | $5 | |
| Complera | emtricitab/rilpivirine/tenofov | No | 2 | $12 | |
| Complete-RF Prenatal | prenatal vit 17/iron cb/fa/dss | Yes | 1 | $5 | |
| Comtan | entacapone | No | 2 | $12 | |
| Concerta | methylphenidate hcl | Yes | 1 | $5 | |
| Condylox Gel | podofilox | No | 2 | $12 | |
| Condylox Soln | podofilox | Yes | 1 | $5 | |
| Conex | brompheniramine tannate | No | 3 | $25 | |
| Conpec | guaifenesin/phenylephrine hcl | No | 3 | $25 | |
| Conzip | tramadol hcl | No | PA | 3 | $25 |
| Copaxone | glatiramer acetate | No | 2 | $12 | |
| Copegus | ribavirin | Yes | PA | 1 | $5 |
| Cophene-S | pot guaiaco/p-ephed hcl/hcod | Yes | 1 | $5 | |
| Cordarone | amiodarone hcl | Yes | 1 | $5 | |
| Cordran, Tape, SP | flurandrenolide | No | 2 | $12 | |
| Cordron-HC | p-ephed hcl/hydrocodone/cp | Yes | 1 | $5 | |
| Coreg | carvedilol | Yes | 1 | $5 | |
| Coreg CR | carvedilol phosphate | No | PA | 3 | $25 |
| Corgard | nadolol | Yes | 1 | $5 | |
| Cortane-B | hc/pramoxine hcl/chloroxylenol | No | 2 | $12 | |
| Cortef, Hydrocortisone | hydrocortisone | Yes | 1 | $5 | |
| Cortenema | hydrocortisone acetate | Yes | 1 | $5 | |
| Corticosteroids | see chapter 7c | Yes | 1 | $5 | |
| Cortifoam | hydrocortisone acetate | No | 2 | $12 | |
| 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 | |
| Corvita | iron, carbonyl/fa/c/b-6/b12/zn | Yes | 1 | $5 | |
| 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 | $12 | |
| Cozaar | losartan potassium | Yes | 1 | $5 | |
| Creon | amylase/lipase/protease | No | 2 | $12 | |
| Crestor | rosuvastatin calcium | No | ST | 2 | $12 |
| Cresylate | cresyl ace/ben alc/butanol/ipa | No | 3 | $25 | |
| Crinone | progesterone,micronized | No | 2 | $12 | |
| Crixivan | indinavir sulfate | No | 2 | $12 | |
| Cuprimine | penicillamine | No | 2 | $12 | |
| Cutivate | fluticasone propionate | Yes | 1 | $5 | |
| Cutivate Lotion | fluticasone propionate | No | 3 | $25 | |
| Cuvposa | glycopyrrolate | 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 | |
| Cyclomydril | phenylephrine/cyclopent hcl | No | 3 | $25 | |
| Cycloset | bromocriptine mesylate | No | 3 | $25 | |
| Cyclosporine | cyclosporine, modified | Yes | 1 | $5 | |
| Cymbalta | duloxetine hcl | No | PA | 3 | $25 |
| Cystadane | betaine | No | 2 | $12 | |
| Cystagon | cysteamine bitartrate | No | 2 | $12 | |
| 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 | |
| Daliresp | roflumilast | No | PA | 3 | $25 |
| Dalmane | flurazepam hcl | Yes | 1 | $5 | |
| Danocrine | danazol | Yes | 1 | $5 | |
| Dantrium | dantrolene sodium | Yes | 1 | $5 | |
| Dapsone | dapsone | No | 2 | $12 | |
| Daraprim | pyrimethamine | No | 2 | $12 | |
| Daypro | oxaprozin | Yes | 1 | $5 | |
| Daytrana | methylphenidate | No | 3 | $25 | |
| DDAVP Soln | desmopressin acetate | No | 2 | $12 | |
| DDAVP 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 | |
| De-Chlor HC | phenylephrine/hydrocodone/cp | Yes | 1 | $5 | |
| Declomycin | demeclocycline hcl | Yes | 1 | $5 | |
| Delatestryl | testosterone enanthate | Yes | 1 | $5 | |
| Delestrogen | estradiol valerate | Yes | 1 | $5 | |
| Delos | benzoyl peroxide | No | 3 | $25 | |
| Deltasone | prednisone | Yes | 1 | $5 | |
| Demadex | torsemide | Yes | 1 | $5 | |
| Demerol | meperidine hcl | Yes | 1 | $5 | |
| Demser | metyrosine | No | 2 | $12 | |
| Demulen | ethynodiol d-ethinyl estradiol | Yes | 1 | $5 | |
| Denavir | penciclovir | No | 3 | $25 | |
| Depakene | valproate sodium | Yes | 1 | $5 | |
| Depakote, ER, Sprinkles | 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 | $12 | |
| Depo-Subq Provera 104 | medroxyprogesterone acet | No | 2 | $12 | |
| Dermacort, Hytone (Rx Only) | hydrocortisone | Yes | 1 | $5 | |
| Derma-Smoothe/FS | fluocinolone acetonide | Yes | 1 | $5 | |
| Dermatop | prednicarbate | Yes | 1 | $5 | |
| Dermotic | fluocinolone acetonide oil | 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 | Yes | 1 | $5 | |
| Desyrel | trazodone hcl | Yes | 1 | $5 | |
| Detrol | tolterodine tartrate | No | 2 | $12 | |
| Detrol LA | tolterodine tartrate | No | 2 | $12 | |
| Dexchlorpheniramine Maleate | dexchlorpheniramine maleate | Yes | 1 | $5 | |
| Dexedrine | d-amphetamine sulfate | Yes | 1 | $5 | |
| Dexilant | dexlansoprazole | No | ST | 3 | $25 |
| Dexpak | dexamethasone | Yes | 1 | $5 | |
| Diabeta, Micronase | glyburide | Yes | 1 | $5 | |
| Diabinese | chlorpropamide | Yes | 1 | $5 | |
| Diamox | acetazolamide | Yes | 1 | $5 | |
| Diamox Sequels | acetazolamide | Yes | 1 | $5 | |
| Diastat 2.5MG | diazepam | Yes | 1 | $5 | |
| Diastat Acudial | diazepam | Yes | 1 | $5 | |
| Diazepam | diazepam | No | 2 | $12 | |
| Dibenzyline | phenoxybenzamine hcl | No | 2 | $12 | |
| Dicloxacillin | dicloxacillin sodium | Yes | 1 | $5 | |
| Didrex | benzphetamine hcl | Yes | PA | 1 | $5 |
| Didronel | etidronate disodium | Yes | 1 | $5 | |
| Differin 0.1% Cream, Gel | adapalene | Yes | 1 | $5 | |
| Differin 0.1% Lotion | adapalene | No | 3 | $25 | |
| Differin 0.3% Gel | adapalene | No | 2 | $12 | |
| Dificid | fidaxomicin | No | 3 | $25 | |
| Diflucan | fluconazole | Yes | 1 | $5 | |
| Digesplen Plus | pep/cell/simeth/bile/pancreat | No | 3 | $25 | |
| Digex NF | hyosc sul/phenyltoloxamine cit | No | 2 | $12 | |
| Digoxin Elixir | digoxin | Yes | 1 | $5 | |
| Digoxin Tabs | digoxin | Yes | 1 | $5 | |
| Dilacor XR | diltiazem hcl | Yes | 1 | $5 | |
| Dilantin | phenytoin sodium extended | Yes | 1 | $5 | |
| Dilantin Chew Tabs | phenytoin | No | 2 | $12 | |
| Dilatrate-SR | isosorbide dinitrate | No | 2 | $12 | |
| Dilaudid | hydromorphone hcl | Yes | 1 | $5 | |
| Dilaudid-5 | hydromorphone hcl | No | 2 | $12 | |
| Dilex-G 400 | guaifenesin/dyphylline | Yes | 1 | $5 | |
| Diovan | valsartan | No | PA | 3 | $25 |
| Diovan HCT | valsartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Dipentum | olsalazine sodium | No | 3 | $25 | |
| Diprolene AF, Gel, Cr, Lot | betamet diprop/prop gly | Yes | 1 | $5 | |
| Diprolene Ointment | betamet diprop/prop gly | Yes | 1 | $5 | |
| Diprosone, Maxivate | betamethasone dipropionate | Yes | 1 | $5 | |
| Disalcid, Salflex | salsalate | Yes | 1 | $5 | |
| Ditropan | oxybutynin chloride | Yes | 1 | $5 | |
| Ditropan XL | oxybutynin chloride | Yes | 1 | $5 | |
| Diuril | chlorothiazide | Yes | 1 | $5 | |
| Divigel | estradiol | No | 3 | $25 | |
| Dolgic Plus | butalb/acetaminophen/caffeine | No | 3 | $25 | |
| Dolobid | diflunisal | Yes | 1 | $5 | |
| Dologesic | acetaminophen/phenyltolx cit | No | 3 | $25 | |
| Donnamar | hyoscyamine sulfate | No | 2 | $12 | |
| Donnatal | belladonna alkaloids/phenobarb | Yes | 1 | $5 | |
| Doral | quazepam | No | 3 | $25 | |
| Doryx | doxycycline hyclate | Yes | PA | 1 | $5 |
| Doryx 150MG | doxycycline hyclate | No | PA | 3 | $25 |
| Dostinex | cabergoline | Yes | 1 | $5 | |
| Dovonex Cream | calcipotriene | No | 2 | $12 | |
| Dovonex Oint, Soln | calcipotriene | Yes | 1 | $5 | |
| Doxycycline | doxycycline monohydrate | Yes | 1 | $5 | |
| Dramamine | dimenhydrinate | Yes | 1 | $5 | |
| Drithocreme HP | anthralin | Yes | 1 | $5 | |
| Dritho-Scalp | anthralin | No | 2 | $12 | |
| Drocon-CS | p-ephed hcl/hydrocodone/bpm | Yes | 1 | $5 | |
| Drotuss | guaifen/p-ephed hcl/hcod/cp | Yes | 1 | $5 | |
| Droxia | hydroxyurea | No | 2 | $12 | |
| Drysol | aluminum chloride | Yes | 1 | $5 | |
| Duac | clindamycin phosphate/benz per | No | 3 | $25 | |
| Duet DHA | pnv2/iron bg hcl suc-p/fa/om-3 | Yes | 1 | $5 | |
| Duet Stuart Natal | pnv/iron fum&bis-gly/fa/asp | No | 3 | $25 | |
| Duetact | pioglitazone/glimepiride | No | ST | 2 | $12 |
| Duexis | ibuprofen/famotidine | No | PA | 3 | $25 |
| Dulera | mometasone/formoterol | No | 2 | $12 | |
| Duoneb | ipratropium/albuterol sulfate | Yes | 1 | $5 | |
| Duotan PD | pseudoephed tan/dexchlor tan | No | 3 | $25 | |
| Duragesic | fentanyl | Yes | 1 | $5 | |
| Duramax | guaifen/d-methorphan hb/pe | No | 3 | $25 | |
| Durasal | salicylic acid | Yes | 1 | $5 | |
| Durezol | difluprednate | No | 3 | $25 | |
| Duricef | cefadroxil hydrate | Yes | 1 | $5 | |
| Dutoprol | metoprolol succinate/hctz | No | PA | 3 | $25 |
| Dygase | amylase/lipase/protease | Yes | 1 | $5 | |
| Dynacirc | isradipine | Yes | 1 | $5 | |
| Dynacirc CR | isradipine | No | 3 | $25 | |
| Dyphylline GG | guaifenesin/dyphylline | Yes | 1 | $5 | |
| Dyrenium | triamterene | No | 2 | $12 | |
| Dytan-HC | phenylephrine/hcod tan/dpha | Yes | 1 | $5 | |
| - E - | [ Return to Top ] | ||||
| E.E.S. | erythromycin ethylsuccinate | Yes | 1 | $5 | |
| EC-Naprosyn | naproxen | Yes | 1 | $5 | |
| Edarbi | azilsartan medoxomil | No | PA | 3 | $25 |
| Edarbyclor | azilsartan med/chlorthalidone | No | PA | 3 | $25 |
| Edecrin | ethacrynic acid | No | 2 | $12 | |
| Edex | alprostadil | No | PA | 3 | $25 |
| Edluar | zolpidem tartrate | No | PA | 3 | $25 |
| Edurant | rilpivirine hydrochloride | No | 2 | $12 | |
| Effexor | venlafaxine hcl | Yes | 1 | $5 | |
| Effexor XR | venlafaxine hcl | Yes | 1 | $5 | |
| Effient | prasugrel hydrochloride | No | 2 | $12 | |
| Efudex | fluorouracil | Yes | 1 | $5 | |
| Efudex Occlusion | fluorouracil/adhesive bandage | No | 3 | $25 | |
| Egrifta | tesamorelin acetate | No | PA | 3 | $25 |
| Elavil | amitriptyline hcl | Yes | 1 | $5 | |
| Eldepryl | selegiline hcl | No | 2 | $12 | |
| Eldercaps | multivitamins w-minerals | Yes | 1 | $5 | |
| Elestat | epinastine hcl | Yes | 1 | $5 | |
| Elestrin | estradiol | No | 3 | $25 | |
| Elidel | pimecrolimus | No | PA | 2 | $12 |
| Eligard | leuprolide acetate | No | 3 | $25 | |
| Elimite | permethrin | Yes | 1 | $5 | |
| Elixophyllin | theophylline anhydrous | No | 2 | $12 | |
| Ella | ulipristal acetate | No | 3 | $25 | |
| Elmiron | pentosan polysulfate sodium | No | 2 | $12 | |
| Elocon | mometasone furoate | Yes | 1 | $5 | |
| Emadine | emedastine difumarate | No | 3 | $25 | |
| Emcyt | estramustine phosphate sodium | No | 2 | $12 | |
| Emend 80,125MG Capsules | aprepitant | No | 2 | $12 | |
| Emla | lidocaine/prilocaine | Yes | 1 | $5 | |
| Emsam | selegiline | No | 3 | $25 | |
| Emtriva | emtricitabine | No | 2 | $12 | |
| Enablex | darifenacin hydrobromide | No | 3 | $25 | |
| Enbrel | etanercept | No | PA | 2 | $12 |
| Endometrin | progesterone, micronized | No | 2 | $12 | |
| Enjuvia | estrogens,conj.,synthetic b | No | 2 | $12 | |
| Entocort EC | budesonide | Yes | 1 | $5 | |
| Enzymax | pancreatin | No | 2 | $12 | |
| Epiduo | adapalene/benzoyl peroxide | No | 3 | $25 | |
| Epifoam | hc acetate/pramoxine hcl | No | 2 | $12 | |
| Epipen, JR | epinephrine | No | 2 | $12 | |
| Epivir | lamivudine | Yes | 1 | $5 | |
| Epivir HBV | lamivudine | No | 2 | $12 | |
| Epogen | epoetin alfa | No | PA | 3 | $25 |
| Epzicom | abacavir sulfate/lamivudine | No | 2 | $12 | |
| Ergomar | ergotamine tartrate | No | 2 | $12 | |
| Eritrogen | feso4ex/c/b12/lv-stm/if/fa | No | 3 | $25 | |
| Ertaczo | sertaconazole nitrate | No | 3 | $25 | |
| Erymax | erythromycin base | Yes | 1 | $5 | |
| Eryped | erythromycin ethylsuccinate | Yes | 1 | $5 | |
| Ery-Tab | erythromycin base | No | 2 | $12 | |
| Erythromycin | erythromycin ethylsuccinate | Yes | 1 | $5 | |
| Esgic-Plus | acetaminophen/caffeine/butalb | Yes | 1 | $5 | |
| Eskalith | lithium carbonate | 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 | $12 | |
| Estrasorb | estradiol | No | 3 | $25 | |
| Estratest, H.S. | estrogen,ester/me-testosterone | Yes | 1 | $5 | |
| Estring | estradiol | No | 2 | $12 | |
| Estrogel | estradiol | No | 3 | $25 | |
| Estrogens | first-line therapy when appropriate | Yes | 1 | $5 | |
| Estrostep Fe | noreth a-et estra/fe fumarate | Yes | 1 | $5 | |
| Ethambutol | ethambutol hcl | Yes | 1 | $5 | |
| Ethezyme | papain/urea | No | 2 | $12 | |
| Ethmozine | moricizine hcl | No | 2 | $12 | |
| Ethyl Chloride | ethyl chloride | Yes | 1 | $5 | |
| Etrafon | amitriptyline hcl/perphenazine | Yes | 1 | $5 | |
| Eudal-Sr | guaifenesin/p-ephed hcl | Yes | 1 | $5 | |
| Eulexin | flutamide | Yes | 1 | $5 | |
| Eurax | crotamiton | No | 2 | $12 | |
| Evamist | estradiol transdermal spray | No | 3 | $25 | |
| Evista | raloxifene hcl | No | 2 | $12 | |
| Evoclin Foam | clindamycin phosphate | Yes | 1 | $5 | |
| Evoxac | cevimeline hcl | No | 3 | $25 | |
| Exalgo | hydromorphone hcl | No | PA | 3 | $25 |
| Exelderm Soln, Cr | sulconazole nitrate | No | 3 | $25 | |
| Exelon | rivastigmine tartrate | Yes | 1 | $5 | |
| Exforge, HCT | amlodipine/valsartan | No | PA | 3 | $25 |
| Exjade | deferasirox | No | PA | 3 | $25 |
| Exoderm | sodium thiosulfate/sal acid | Yes | 1 | $5 | |
| Extavia | interferon beta-1b | No | 3 | $25 | |
| Extina | ketoconazole | No | 3 | $25 | |
| - F - | [ Return to Top ] | ||||
| Factive | gemifloxacin mesylate | No | 3 | $25 | |
| Famvir | famciclovir | Yes | 1 | $5 | |
| Fanapt | iloperidone | No | 3 | $25 | |
| Fanatrex | gabapentin | No | 2 | $12 | |
| Fareston | toremifene citrate | No | 2 | $12 | |
| Faslodex | fulvestrant | No | 3 | $25 | |
| Fazaclo | clozapine | No | 3 | $25 | |
| Felbatol | felbamate | Yes | 1 | $5 | |
| Feldene | piroxicam | Yes | 1 | $5 | |
| Femara | letrozole | Yes | 1 | $5 | |
| Femhrt | norethind ac/ethinyl estradiol | Yes | 1 | $5 | |
| Femhrt 0.5MG-2.5MCG | ethinyl estradiol/noreth ac | No | 2 | $12 | |
| Femring | estradiol acetate | No | 3 | $25 | |
| Femtrace | estradiol acetate | No | 3 | $25 | |
| Fenofibrate | fenofibrate | Yes | 1 | $5 | |
| Fenoglide | fenofibrate | No | 3 | $25 | |
| Fentora | fentanyl citrate | No | PA | 3 | $25 |
| Feocyte FA | fe/vit c/vit b12/fa/vit b6/cu | No | 3 | $25 | |
| Ferraplus 90 | iron/fa/b12/c/docusate sodium | Yes | 1 | $5 | |
| Ferriprox | deferiprone | No | PA | 3 | $25 |
| Ferrocite Plus | iron/fa/vitamin b comp w-c/min | Yes | 1 | $5 | |
| Ferromar | ferrous fumarate | No | 3 | $25 | |
| Fertinex | urofollitropin (fsh) | No | PA | 2 | $12 |
| Fetrin | ferrous fumarate/vit c/b12-if | No | 3 | $25 | |
| Fexmid | cyclobenzaprine hcl | Yes | 1 | $5 | |
| 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 | |
| Firazyr | icatibant acetate | No | PA | 3 | $25 |
| First-Progesterone | progesterone | No | 2 | $12 | |
| Flagyl | metronidazole | Yes | 1 | $5 | |
| Flagyl ER | metronidazole | No | 2 | $12 | |
| Flarex | fluorometholone acetate | No | 2 | $12 | |
| Flector Patch | diclofenac epolamine | No | PA | 3 | $25 |
| Flexeril | cyclobenzaprine hcl | Yes | 1 | $5 | |
| Flextra-650 | acetaminophen/phenyltolx cit | Yes | 1 | $5 | |
| Flomax | tamsulosin hcl | Yes | 1 | $5 | |
| Flonase | fluticasone propionate | Yes | 1 | $5 | |
| Flo-Pred | prednisolone acetate | No | 3 | $25 | |
| Florinef | fludrocortisone acetate | Yes | 1 | $5 | |
| Flovent Hfa, Diskus | fluticasone propionate | No | 1 | $5 | |
| Floxin | ofloxacin | Yes | 1 | $5 | |
| Floxin Otic | ofloxacin | Yes | 1 | $5 | |
| Flumadine | rimantadine hcl | Yes | 1 | $5 | |
| Fluocinolone Acetonide | fluocinolone/shower cap | Yes | 1 | $5 | |
| Fluoxetine HCL | fluoxetine hcl | No | 3 | $25 | |
| Fluphenazine HCL | fluphenazine hcl | Yes | 1 | $5 | |
| Fluvoxamine Maleate | fluvoxamine maleate | Yes | 1 | $5 | |
| Fml | fluorometholone | Yes | 1 | $5 | |
| Fml Forte, S.O.P. | fluorometholone | No | 2 | $12 | |
| Focalin | dexmethylphenidate hcl | Yes | 1 | $5 | |
| Focalin XR | dexmethylphenidate hcl | No | 3 | $25 | |
| Folbecal | ca carbonate/vit b12/fa/vit b6 | Yes | 1 | $5 | |
| Folcaps Omega-3 | pnv ca#37/iron cb,as,gl/fa/om3 | Yes | 1 | $5 | |
| Follistim AQ | follitropin beta,recomb | No | PA | 3 | $25 |
| Folmor | fa/pyridox hcl/vit b12/mv-ao5 | No | 3 | $25 | |
| Folpace RX | mgox/e ac succ/b-12/fa/b6 | No | 3 | $25 | |
| Foltrate | cyanocobalamin/folic acid | No | 3 | $25 | |
| Folvite | folic acid | Yes | 1 | $5 | |
| Folysine | lysine/vitamin b complex/fa | No | 3 | $25 | |
| Foradil | formoterol fumarate | No | 2 | $12 | |
| Fortamet | metformin hcl | Yes | 1 | $5 | |
| Fortavit | mv/dietary 4/dna/rna | No | 3 | $25 | |
| Forteo | teriparatide | No | PA | 3 | $25 |
| Fortesta | testosterone | No | PA | 3 | $25 |
| Fosamax | alendronate sodium | Yes | 1 | $5 | |
| 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 |
| Fumatinic | ferrous fumarate/vit c/b12-if | Yes | 1 | $5 | |
| Furosemide | furosemide | Yes | 1 | $5 | |
| Fuzeon | enfuvirtide | No | 2 | $12 | |
| - G - | [ Return to Top ] | ||||
| Gabapentin | gabapentin | No | 2 | $12 | |
| Gabitril | tiagabine hcl | No | 2 | $12 | |
| Galzin | zinc acetate | No | 3 | $25 | |
| Ganirelix Acetate | ganirelix acetate | No | PA | 2 | $12 |
| Gantrisin Susp | sulfisoxazole acetyl | No | 2 | $12 | |
| Garamycin | gentamicin sulfate | Yes | 1 | $5 | |
| Garimide | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Gastrinex | cell/amy/lip/prote/p-tlox/hyos | Yes | 1 | $5 | |
| Gastrocrom | cromolyn sodium | Yes | 1 | $5 | |
| Gelclair | pot sor/hy-ethylcel/pvp/hyalur | No | 2 | $12 | |
| Gel-Kam | stannous fluoride | Yes | 1 | $5 | |
| Gelnique | oxybutynin chloride | No | 3 | $25 | |
| Genepatuss | guaifen/d-methorphan hb/pe/cp | Yes | 1 | $5 | |
| Generess FE | noreth-ethinyl estradiol/iron | No | 2 | $12 | |
| Genhemat | fe fum/doss na/c/e/b12-if/fa | Yes | 1 | $5 | |
| Genotropin | somatropin | No | PA | 2 | $12 |
| Gentamicin Cr, Oint | gentamicin sulfate | Yes | 1 | $5 | |
| Gentex HC | guaifenesin/phenylephrine/hcod | No | 3 | $25 | |
| Gentex La | guaifenesin/phenylephrine hcl | No | 3 | $25 | |
| Geocillin | carbenicillin indanyl sodium | No | 2 | $12 | |
| Geodon | ziprasidone hcl | No | 2 | $12 | |
| Geref | sermorelin acetate | No | 2 | $12 | |
| Gilenya | fingolimod hydrochloride | No | PA | 3 | $25 |
| Gleevec | imatinib mesylate | No | 2 | $12 | |
| Glucagen | glucagon,human recombinant | No | 2 | $12 | |
| Glucagon Emergency Kit | glucagon,human recombinant | No | 2 | $12 | |
| Glucophage | metformin hcl | Yes | 1 | $5 | |
| Glucophage XR | metformin hcl | Yes | 1 | $5 | |
| Glucotrol | glipizide | 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 | |
| Golytely Packet | peg 3350/na sulf,bicarb,cl/kcl | No | 2 | $12 | |
| Gonal-F | follitropin alpha,recomb | No | 2 | $12 | |
| Gralise | gabapentin | No | PA | 3 | $25 |
| Granulex | trypsin/balsam peru/castor oil | Yes | 1 | $5 | |
| Grifulvin V 500MG | griseofulvin,microsize | No | 2 | $12 | |
| Grifulvin V Susp | griseofulvin,microsize | Yes | 1 | $5 | |
| Gris Peg | griseofulvin ultramicrosize | No | 2 | $12 | |
| Guanidine HCL | guanidine hcl | Yes | 1 | $5 | |
| Guiaolex HC | guaifenesin/phenylephrine/hcod | Yes | 1 | $5 | |
| Gynazole-1 | butoconazole nitrate | No | 3 | $25 | |
| Gynodiol | estradiol | No | 2 | $12 | |
| - 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 | |
| Halflytely-Bisacodyl | bisac/nacl/nahco3/kcl/peg 3350 | No | 3 | $25 | |
| Halog | halcinonide | No | 3 | $25 | |
| Haloperidol Decanoate | haloperidol decanoate | Yes | 1 | $5 | |
| Hc Acetate/Pramoxine HCL | hc acetate/pramoxine hcl | Yes | 1 | $5 | |
| Hectorol | doxercalciferol | No | 3 | $25 | |
| Helidac | tetracyc hcl/bis ss/metronid | No | 2 | $12 | |
| Hematogen FA | fe fumarate/vit c/vit b12/fa | Yes | 1 | $5 | |
| Hematron-AF | iron,carb/dss/b12if/fa/mv-mn | No | 3 | $25 | |
| Heparin | heparin sodium,porcine | Yes | 1 | $5 | |
| Heparin Sodium | heparin sodium,porcine/pf | No | 3 | $25 | |
| Hepsera | adefovir dipivoxil | No | 2 | $12 | |
| Hexalen | altretamine | No | 2 | $12 | |
| Hiprex/Urex | methenamine hippurate | Yes | 1 | $5 | |
| Histacol LA | phenylephrine/cpmm/bellad alk | Yes | 1 | $5 | |
| Histex PD | carbinoxamine maleate | Yes | 1 | $5 | |
| Histinex HC | phenylephrine/hydrocodone/cp | Yes | 1 | $5 | |
| Hivid | zalcitabine | No | 2 | $12 | |
| Horizant | gabapentin enacarbil | No | PA | 3 | $25 |
| Humabid DM | guaifenesin/d-methorphan hb | Yes | 1 | $5 | |
| Humalog, Mix | insulin lispro,human rec.anlog | No | 2 | $12 | |
| Humatin | paromomycin sulfate | Yes | 1 | $5 | |
| 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 |
| Hycet | hydrocodone bit/acetaminophen | No | 2 | $12 | |
| Hycotuss | guaifenesin/hydrocodone bit | Yes | 1 | $5 | |
| Hydrea | hydroxyurea | Yes | 1 | $5 | |
| Hydrochlorothiazide | hydrochlorothiazide | Yes | 1 | $5 | |
| Hydrocodone Bit/Acetaminophen | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Hydrocortisone | hydrocortisone acetate | Yes | 1 | $5 | |
| Hydrodiuril, Microzide | hydrochlorothiazide | Yes | 1 | $5 | |
| Hygroton, Thalitone | chlorthalidone | Yes | 1 | $5 | |
| Hyperrho S-D | rho(d) immune globulin | No | 2 | $12 | |
| Hyper-Sal | sodium cl for inhalation | Yes | 1 | $5 | |
| Hytrin | terazosin hcl | Yes | 1 | $5 | |
| Hyzaar | losartan/hydrochlorothiazide | Yes | 1 | $5 | |
| - I - | [ Return to Top ] | ||||
| Iberet-Folic 500 | ferrous sulfate/fa/vit bcomp&c | Yes | 1 | $5 | |
| Ib-Stat | hyoscyamine sulfate | No | 2 | $12 | |
| 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 | |
| Imodium | loperamide hcl | Yes | 1 | $5 | |
| Imuran | azathioprine | Yes | 1 | $5 | |
| Incivek | telaprevir | No | PA | 2 | $12 |
| Increlex | mecasermin | No | PA | 3 | $25 |
| Inderal | propranolol hcl | Yes | 1 | $5 | |
| Inderal LA | propranolol hcl | Yes | 1 | $5 | |
| Inderide | propranolol/hydrochlorothiazide | Yes | 1 | $5 | |
| Indocin | indomethacin | No | 2 | $12 | |
| Indocin Suppository | indomethacin | No | 2 | $12 | |
| Indocin, SR | indomethacin | Yes | 1 | $5 | |
| Infergen | interferon alfacon-1 | No | PA | 2 | $12 |
| Inflamase, Forte | prednisolone sod phosphate | Yes | 1 | $5 | |
| Innopran XL | propranolol hcl | No | 3 | $25 | |
| Inspra | eplerenone | Yes | 1 | $5 | |
| Intal Solution | cromolyn sodium | Yes | 1 | $5 | |
| Integra F | iron fum & ps cmp/fa/vit c/b3 | Yes | 1 | $5 | |
| Integra Plus | iron fum & p/fa/vit b & c no.9 | Yes | 1 | $5 | |
| 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 |
| Iopidine Droperette | apraclonidine hcl | No | 3 | $25 | |
| Iopidine Drops | apraclonidine hcl | Yes | 1 | $5 | |
| Iplex | mecasermin rinfabate/pf | No | PA | 3 | $25 |
| Iprivask | desirudin | No | 3 | $25 | |
| Irofol | iron/folic acid | No | 3 | $25 | |
| Irospan | iron bisgly & ps/fa/b&c#12/suc | No | 3 | $25 | |
| Isentress | raltegravir potassium | No | 2 | $12 | |
| Ismo, Monoket | isosorbide mononitrate | Yes | 1 | $5 | |
| Isometheptene-Caff-Acetaminoph | isometheptene/acetaminoph/caff | Yes | 1 | $5 | |
| Isoniazid | isoniazid | Yes | 1 | $5 | |
| Isopto Atropine | atropine sulfate | Yes | 1 | $5 | |
| Isopto Carbachol | carbachol | Yes | 1 | $5 | |
| Isopto Carpine | pilocarpine hcl | No | 2 | $12 | |
| Isopto Homatropine | homatropine hbr | Yes | 1 | $5 | |
| Isopto Hyoscine | scopolamine hydrobromide | No | 2 | $12 | |
| Isordil | isosorbide dinitrate | Yes | 1 | $5 | |
| Istalol | timolol maleate | No | 2 | $12 | |
| - J - | [ Return to Top ] | ||||
| Jakafi | ruxolitinib phosphate | No | PA | 3 | $25 |
| Jalyn | dutasteride/tamsulosin hcl | No | ST | 2 | $12 |
| Janumet | sitagliptin phos/metformin hcl | No | PA | 3 | $25 |
| Januvia | sitagliptin phosphate | No | PA | 3 | $25 |
| - K - | [ Return to Top ] | ||||
| Kadian | morphine sulfate | Yes | 1 | $5 | |
| Kadian 200MG | morphine sulfate | No | 3 | $25 | |
| Kaletra | ritonavir/lopinavir | No | 2 | $12 | |
| Kaochlor-EFF | potassium chloride/pot bicarb | No | 3 | $25 | |
| Kapvay | clonidine hcl | No | PA | 3 | $25 |
| Kayciel, Kaon-Cl, Kaon Liquid | potassium chloride | Yes | 1 | $5 | |
| Kayexalate | sodium polystyrene sulfonate | Yes | 1 | $5 | |
| K-Dur, Slow-K | potassium chloride | Yes | 1 | $5 | |
| Keflex | cephalexin monohydrate | Yes | 1 | $5 | |
| Keflex 750MG | cephalexin monohydrate | No | 3 | $25 | |
| Kemadrin | procyclidine hcl | No | 2 | $12 | |
| Kenalog | triamcinolone acetonide | Yes | 1 | $5 | |
| Keppra | levetiracetam | Yes | 1 | $5 | |
| Keppra XR | levetiracetam | Yes | 1 | $5 | |
| Keralac | urea | Yes | 1 | $5 | |
| Keralyt Scalp | salicylic acid | No | 3 | $25 | |
| Kerlone | betaxolol hcl | Yes | 1 | $5 | |
| Kerol | urea/lactic ac/zn undecylenate | Yes | 1 | $5 | |
| Ketek | telithromycin | No | 3 | $25 | |
| Ketoconazole | ketoconazole | Yes | 1 | $5 | |
| Ketoprofen | ketoprofen | Yes | 1 | $5 | |
| Kineret | anakinra | No | PA | 3 | $25 |
| Klonopin, Wafer | clonazepam | Yes | 1 | $5 | |
| Klor-Con | potassium chloride | Yes | 1 | $5 | |
| K-Lyte DS | pot bicarb/potassium cit/ca | No | 3 | $25 | |
| K-Lyte, Klor-Con/EF | potassium bicarbonate/cit ac | Yes | 1 | $5 | |
| Kombiglyze XR | saxagliptin hcl/metformin hcl | No | PA | 3 | $25 |
| Kuvan | sapropterin dihydrochloride | No | PA | 2 | $12 |
| Kytril | granisetron hcl | Yes | 1 | $5 | |
| - L - | [ Return to Top ] | ||||
| Lacrisert | hydroxypropyl cellulose | No | 2 | $12 | |
| Lactulose | lactulose | Yes | 1 | $5 | |
| Lamictal Dispertabs | lamotrigine | Yes | 1 | $5 | |
| Lamictal ODT | lamotrigine | No | 3 | $25 | |
| Lamictal Tabs | lamotrigine | Yes | 1 | $5 | |
| Lamictal XR | lamotrigine | No | 3 | $25 | |
| Lamisil Granules | terbinafine hcl | No | PA | 3 | $25 |
| Lamisil Tablets | terbinafine hcl | Yes | 1 | $5 | |
| Lanoxicaps | digoxin | No | 3 | $25 | |
| Lanoxin | digoxin | No | 2 | $12 | |
| Lantus | insulin glargine,hum.rec.anlog | No | 2 | $12 | |
| Lantus Solostar | insulin glargine,hum.rec.anlog | No | 2 | $12 | |
| Lapase | amylase/lipase/protease | Yes | 1 | $5 | |
| Lariam | mefloquine hcl | Yes | 1 | $5 | |
| Lasix | furosemide | Yes | 1 | $5 | |
| Lastacaft | alcaftadine | No | 3 | $25 | |
| Latuda | lurasidone hcl | No | 3 | $25 | |
| Lazanda | fentanyl citrate | No | PA | 3 | $25 |
| Lescol, XL | fluvastatin sodium | No | PA | 3 | $25 |
| Letairis | ambrisentan | No | PA | 2 | $12 |
| Leucovorin | leucovorin calcium | Yes | 1 | $5 | |
| Leukeran | chlorambucil | No | 2 | $12 | |
| Leukine | sargramostim | No | 2 | $12 | |
| Levacet | asa/sal-amide/apap/caffein | No | 2 | $12 | |
| Levaquin | levofloxacin | Yes | 1 | $5 | |
| Levatol | penbutolol sulfate | No | 3 | $25 | |
| Levbid | hyoscyamine sulfate | Yes | 1 | $5 | |
| Levemir | insulin detemir | No | 2 | $12 | |
| 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 | $12 |
| Lexiva | fosamprenavir calcium | No | 2 | $12 | |
| 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 | |
| Lidocaine-HC | hydrocortisone ac/lidocaine | Yes | 1 | $5 | |
| Lidocaine-Prilocaine | lidocaine/prilocaine | Yes | 1 | $5 | |
| Lidocort | hc acetate/lidocaine hcl | No | 3 | $25 | |
| Lidoderm Patch | lidocaine | No | 3 | $25 | |
| Lidosite | lidocaine hcl/epinephrine | No | 2 | $12 | |
| Limbitrol, DS | amitrip hcl/chlordiazepoxide | Yes | 1 | $5 | |
| Lindane | lindane | Yes | 1 | $5 | |
| Lioresal | baclofen | Yes | 1 | $5 | |
| Lipitor | atorvastatin calcium | Yes | ST | 1 | $5 |
| Lipofen | fenofibrate | No | 3 | $25 | |
| Lithium Carbonate | lithium carbonate | Yes | 1 | $5 | |
| Lithium Citrate | lithium citrate | Yes | 1 | $5 | |
| Lithobid | lithium carbonate | Yes | 1 | $5 | |
| Lithostat | acetohydroxamic acid | No | 2 | $12 | |
| Livalo | pitavastatin calcium | No | ST | 3 | $25 |
| Lo Loestrin Fe | noreth a-et estra/fe fumarate | No | 3 | $25 | |
| Lo/Ovral | norgestrel-ethinyl estradiol | Yes | 1 | $5 | |
| Locoid Cr, Oint, Soln | hydrocortisone butyrate | Yes | 1 | $5 | |
| Locoid Lipocream | hydrocortisone butyrate/emoll | Yes | 1 | $5 | |
| Locoid Lotion | hydrocortisone butyrate | No | 3 | $25 | |
| Lodine | etodolac | Yes | 1 | $5 | |
| Lodine XL | etodolac | Yes | 1 | $5 | |
| Lodosyn | carbidopa | No | 2 | $12 | |
| 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,micronized | Yes | 1 | $5 | |
| Lomotil | diphenoxylate hcl/atrop sulf | Yes | 1 | $5 | |
| Loniten | minoxidil | Yes | 1 | $5 | |
| Lopid | gemfibrozil | Yes | 1 | $5 | |
| Lopressor | metoprolol tartrate | Yes | 1 | $5 | |
| Lopressor HCT | metoprolol/hydrochlorothiazide | Yes | 1 | $5 | |
| Loprox | ciclopirox | Yes | 1 | $5 | |
| Loratadine | loratadine | Yes | 1 | $5 | |
| Lorcet-Hd | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Lorct 10-650 | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Lorzone | chlorzoxazone | No | 3 | $25 | |
| Loseasonique | l-norgest-eth estr/ethin estra | Yes | 1 | $5 | |
| Lotemax | loteprednol etabonate | No | 3 | $25 | |
| Lotensin | benazepril hcl | Yes | 1 | $5 | |
| Lotensin HCT | benazepril/hydrochlorothiazide | Yes | 1 | $5 | |
| Lotrel | amlodipine besylate/benazepril | Yes | 1 | $5 | |
| 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 | Yes | 1 | $5 | |
| Lovenox 300MG/3ML | enoxaparin sodium | No | 2 | $12 | |
| Loxitane | loxapine succinate | Yes | 1 | $5 | |
| Lozol | indapamide | Yes | 1 | $5 | |
| Lufyllin | dyphylline | No | 2 | $12 | |
| Lumigan | bimatoprost | No | 2 | $12 | |
| Lunesta | eszopiclone | No | PA | 3 | $25 |
| Lupron | leuprolide acetate | Yes | 1 | $5 | |
| Lupron Depot | leuprolide acetate | No | 2 | $12 | |
| Lupron Depot-Ped | leuprolide acetate | No | 2 | $12 | |
| Luride | sodium fluoride | Yes | 1 | $5 | |
| Luveris | lutropin alpha | No | PA | 3 | $25 |
| Luvox CR | fluvoxamine maleate | No | ST | 3 | $25 |
| Luxiq | betamethasone valerate | No | 3 | $25 | |
| Lybrel | levonorgestrel-eth estra | Yes | 1 | $5 | |
| 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 | $5 | |
| Macrodantin | nitrofurantoin macrocrystal | Yes | 1 | $5 | |
| Magan | magnesium salicylate | No | 2 | $12 | |
| Magnacet | oxycodone hcl/acetaminophen | No | 3 | $25 | |
| Magnebind 400 RX | calcium carbonate/mag carb/fa | No | 3 | $25 | |
| Malarone | atovaquone/proguanil hcl | Yes | 1 | $5 | |
| Mandelamine | methenamine mandelate | Yes | 1 | $5 | |
| Maprotiline HCL | maprotiline hcl | Yes | 1 | $5 | |
| Marinol | dronabinol | Yes | 1 | $5 | |
| Mavik | trandolapril | Yes | 1 | $5 | |
| Maxair Autohaler | pirbuterol acetate | No | 3 | $25 | |
| Maxalt, MLT | rizatriptan benzoate | No | ST | 2 | $12 |
| Maxaquin | lomefloxacin hcl | No | 3 | $25 | |
| Maxidex | dexamethasone | No | 3 | $25 | |
| Maxidone | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Maxitrol | neo/polymyx b sulf/dexameth | Yes | 1 | $5 | |
| Maxzide, Dyazide | triamterene/hydrochlorothiazid | Yes | 1 | $5 | |
| Meclomen | meclofenamate sodium | Yes | 1 | $5 | |
| Medent-PE | guaifenesin/phenylephrine hcl | No | 3 | $25 | |
| Medrol | methylprednisolone | 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 | |
| M-End PE | brompheniramin/pe/codeine phos | No | 3 | $25 | |
| 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 | |
| Mesnex Tabs | mesna | No | 2 | $12 | |
| Mestinon | pyridostigmine bromide | Yes | 1 | $5 | |
| Mestinon Timespan, Syrup | pyridostigmine bromide | No | 2 | $12 | |
| Metadate CD | methylphenidate hcl | No | 2 | $12 | |
| Metaglip | glipizide/metformin hcl | Yes | 1 | $5 | |
| Metaproterenol Soln | metaproterenol sulfate | Yes | 1 | $5 | |
| Methadone | methadone hcl | Yes | 1 | $5 | |
| Methergine | methylergonovine maleate | Yes | 1 | $5 | |
| Methitest | methyltestosterone | No | PA | 3 | $25 |
| Methotrexate | methotrexate sodium/pf | Yes | 1 | $5 | |
| Methylin Chew | methylphenidate hcl | No | 3 | $25 | |
| Methylin Soln | methylphenidate hcl | Yes | 1 | $5 | |
| Metoclopramide HCL | metoclopramide hcl | No | 2 | $12 | |
| Metozolv Odt | metoclopramide hcl | No | 3 | $25 | |
| Metrocream, Gel, Lotion | metronidazole | Yes | 1 | $5 | |
| Metrogel Topical 1% | metronidazole | No | 2 | $12 | |
| Metrogel-Vaginal | metronidazole | Yes | 1 | $5 | |
| Metvixia | methyl aminolevulinate hcl | No | 3 | $25 | |
| Mevacor | lovastatin | Yes | 1 | $5 | |
| Mexitil | mexiletine hcl | Yes | 1 | $5 | |
| Miacalcin Injection | calcitonin,salmon,synthetic | No | 2 | $12 | |
| Miacalcin Nasal Spray | calcitonin,salmon,synthetic | Yes | 1 | $5 | |
| Micardis | telmisartan | No | PA | 3 | $25 |
| 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 | |
| Migergot | ergotamine tartrate/caffeine | No | 2 | $12 | |
| Migranal | dihydroergotamine mesylate | No | 2 | $12 | |
| Millipred | prednisolone | Yes | 1 | $5 | |
| Miltown, Equanil | meprobamate | Yes | 1 | $5 | |
| Minipress | prazosin hcl | Yes | 1 | $5 | |
| Minizide | prazosin hcl/polythiazide | No | 3 | $25 | |
| Minocin, Dynacin | minocycline hcl | Yes | 1 | $5 | |
| Mintezol | thiabendazole | No | 2 | $12 | |
| Mirapex | pramipexole di-hcl | Yes | 1 | $5 | |
| Mirapex Er | pramipexole di-hcl | No | PA | 3 | $25 |
| Mircette | desog-et estra/ethin estra | Yes | 1 | $5 | |
| Moban | molindone hcl | No | 2 | $12 | |
| Mobic | meloxicam | Yes | 1 | $5 | |
| Modicon | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Moduretic | amiloride/hydrochlorothiazide | Yes | 1 | $5 | |
| Monistat 3 | miconazole nitrate | Yes | 1 | $5 | |
| Monistat-Derm | miconazole nitrate | Yes | 1 | $5 | |
| Monodox | doxycycline monohydrate | Yes | 1 | $5 | |
| Monoject Insulin Syringe | syringe w-ndl, disp,insul,1ml | Yes | 1 | $5 | |
| Monopril, HCT | fosinopril/hydrochlorothiazide | Yes | 1 | $5 | |
| Monurol | fosfomycin tromethamine | No | 3 | $25 | |
| Morphine Sulfate | morphine sulfate | Yes | 1 | $5 | |
| Motofen | difenoxin hcl/atropine sulfate | 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 | |
| Moxeza | moxifloxacin hcl | No | 2 | $12 | |
| Ms Contin/Oramorph SR | morphine sulfate | Yes | 1 | $5 | |
| Msir | morphine sulfate | Yes | 1 | $5 | |
| Mucomyst | acetylcysteine | Yes | 1 | $5 | |
| Multaq | dronedarone hydrochloride | No | 2 | $12 | |
| Multichew | multivit, iron, min #4, fa | No | 3 | $25 | |
| Muse | alprostadil | No | PA | 2 | $12 |
| Mycelex Troche | clotrimazole | Yes | 1 | $5 | |
| Mycobutin | rifabutin | No | 2 | $12 | |
| Mycostatin | nystatin | Yes | 1 | $5 | |
| Mydriacyl | tropicamide | Yes | 1 | $5 | |
| Myfortic | mycophenolate sodium | No | 3 | $25 | |
| Mylocel | hydroxyurea | No | 3 | $25 | |
| Mynatal | prenatal vit/fe fumarate/fa | Yes | 1 | $5 | |
| Mysoline | primidone | Yes | 1 | $5 | |
| Mytelase | ambenonium chloride | No | 3 | $25 | |
| - N - | [ Return to Top ] | ||||
| Naftin | naftifine hcl | No | 3 | $25 | |
| Nalbuphine HCL | nalbuphine hcl | Yes | 1 | $5 | |
| Nalfon | fenoprofen calcium | No | 2 | $12 | |
| Nalfrx | pseudoeph/pyril/dexchlor tann | No | 3 | $25 | |
| Namenda, Soln | memantine hcl | No | 2 | $12 | |
| Naprelan | naproxen sodium | No | 3 | $25 | |
| Naprosyn | naproxen | Yes | 1 | $5 | |
| Nardil | phenelzine sulfate | Yes | 1 | $5 | |
| Nasacort AQ | triamcinolone acetonide | Yes | ST | 1 | $5 |
| Nasalide | flunisolide 0.025% spray | Yes | 1 | $5 | |
| Nasarel | flunisolide | Yes | 1 | $5 | |
| Nasatab LA | guaifenesin/p-ephed hcl | Yes | 1 | $5 | |
| Nascobal Gel | cyanocobalamin | No | 3 | $25 | |
| Nascobal Spray | cyanocobalamin | No | 3 | $25 | |
| Nasex-G | guaifenesin/phenylephrine hcl | Yes | 1 | $5 | |
| Nasonex | mometasone furoate | No | ST | 3 | $25 |
| Nasop, 12 | phenylephrine tannate | No | 3 | $25 | |
| Natacaps | pnv w-o ca no3/fe fumarate/fa | Yes | 1 | $5 | |
| Natachew | pv w-o cal/ferrous fumarate/fa | Yes | 1 | $5 | |
| Natacyn | natamycin | No | 2 | $12 | |
| Natafort | pnv without ca no.9/iron/fa | No | 3 | $25 | |
| Natazia | estradiol valerate/dienogest | No | 3 | $25 | |
| Natelle C | pnv w-o ca.1/fe bisgly/fa | Yes | 1 | $5 | |
| Natroba | spinosad | No | 3 | $25 | |
| Naturetin-5 | bendroflumethiazide | No | 3 | $25 | |
| Navane | thiothixene | Yes | 1 | $5 | |
| Nebupent Aerosol | pentamidine isethionate | No | 2 | $12 | |
| Necon 10/11 | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Neevo | pnv with ca8/iron/fa/lm-folate | Yes | 1 | $5 | |
| Neevo DHA | pnv#79/iron/fa/lmfolate ca/dha | Yes | 3 | $25 | |
| Neo-Fradin | neomycin sulfate | No | 2 | $12 | |
| 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 | |
| Neotic | antipyrine/benzocaine/zinc ac | No | 3 | $25 | |
| Neotuss-D | guaifen/dm hb/p-ephedrine/cp | No | 3 | $25 | |
| Nephron FA | fe fumarate/doss/fa/bcomp&c | Yes | 1 | $5 | |
| Nephro-Vite RX | folic acid/vitamin b comp w-c | Yes | 1 | $5 | |
| Neptazane | methazolamide | Yes | 1 | $5 | |
| Nestabs | pnv comb.no.86/iron bisgly/fa | No | 3 | $25 | |
| Nestabs DHA | pnv #87/iron bisgly/fa/dha | No | 3 | $25 | |
| Neulasta | pegfilgrastim | No | 3 | $25 | |
| Neumega | oprelvekin | No | 2 | $12 | |
| Neupogen | filgrastim | No | 2 | $12 | |
| Neurin-Sl | cyanocobalamin/mecobalamin | No | 3 | $25 | |
| Neurontin | gabapentin | Yes | 1 | $5 | |
| Nevanac | nepafenac | No | 3 | $25 | |
| Nexa Select | pnv80/iron fumarate/fa/dss/dha | No | 3 | $25 | |
| Nexavar | sorafenib tosylate | No | PA | 2 | $12 |
| Nexiclon XR | clonidine hcl | No | PA | 3 | $25 |
| Nexium | esomeprazole mag trihydrate | No | PA | 3 | $25 |
| Niacor | niacin | No | 2 | $12 | |
| Niaspan | niacin | No | 2 | $12 | |
| Nicotine Gum, Nicorette | nicotine polacrilex | Yes | 1 | $5 | |
| Nicotine Patch | nicotine | Yes | 1 | $5 | |
| Nicotrol, NS | nicotine | No | 3 | $25 | |
| Nifedipine | nifedipine | Yes | 1 | $5 | |
| Niferex, Forte, Gold | iron aspgly&ps/c/b12/fa/ca/suc | Yes | 1 | $5 | |
| Nilandron | nilutamide | No | 2 | $12 | |
| Nimotop | nimodipine | Yes | 1 | $5 | |
| Niravam | alprazolam | Yes | 1 | $5 | |
| Nitro-Bid Ointment | nitroglycerin | No | 2 | $12 | |
| Nitro-Dur | nitroglycerin | No | 3 | $25 | |
| Nitrofurantoin | nitrofurantoin | Yes | 1 | $5 | |
| Nitroglycerin Patch | nitroglycerin | Yes | 1 | $5 | |
| Nitroglycerin Sa Cap | nitroglycerin | Yes | 1 | $5 | |
| Nitromist | nitroglycerin | No | 3 | $25 | |
| Nitrostat | nitroglycerin | No | 2 | $12 | |
| Nizoral, Cr, Shampoo 2% | ketoconazole | Yes | 1 | $5 | |
| Noctec | chloral hydrate | Yes | 1 | $5 | |
| Norco | hydrocodone bit/acetaminophen | 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 | $12 | |
| Norpramin | desipramine hcl | Yes | 1 | $5 | |
| Norvasc | amlodipine besylate | Yes | 1 | $5 | |
| Norvir | ritonavir | No | 2 | $12 | |
| Novacort | hc acetate/pramox hcl/aloe ps | No | 2 | $12 | |
| Novaferrum | iron ps cmplx/fa/vit b12/vit c | No | 3 | $25 | |
| Novarel, Pregnyl, Profasi | gonadotropin,chorionic,human | No | PA | 2 | $12 |
| Novasus | hydrocodone tannate/chlor-tan | No | 2 | $12 | |
| Novolin | insulin regular human rec | No | 2 | $12 | |
| Novolog | insulin aspart | No | 2 | $12 | |
| Novolog Mix | insuln asp prt/insulin aspart | No | 2 | $12 | |
| Noxafil | posaconazole | No | 2 | $12 | |
| Nucort | hydrocortisone acetate/alo ver | Yes | 1 | $5 | |
| Nucynta | tapentadol hydrochloride | No | PA | 3 | $25 |
| Nucynta ER | tapentadol hcl | No | PA | 3 | $25 |
| Nuedexta | dextromethorphan hbr/quinidine | No | PA | 2 | $12 |
| Nu-Iron-V | fe ps cmplx/cal/e/fa/multivit | No | 3 | $25 | |
| Nulytely | sod sulf/sod/nahco3/kcl/peg's | Yes | 1 | $5 | |
| Nuox | benzoyl peroxide/sulfur | Yes | 1 | $5 | |
| Nutracare | prenatal vitamins/iron/fa | No | 3 | $25 | |
| Nutricap | folic acid/mv,fe,other min | No | 3 | $25 | |
| Nutrifac ZX | folic acid/multivits-min | Yes | 1 | $5 | |
| Nutrivit | iron/lysine/vit b comp/fa | No | 3 | $25 | |
| Nutropin | 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 |
| Nystatin | nystatin | Yes | 1 | $5 | |
| Nystatin w/Triamcinolone | nystatin/triamcin | 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 | |
| Oleptro | trazodone hcl | No | PA | 3 | $25 |
| 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 | oxymorphone hcl | Yes | PA | 1 | $5 |
| Opana Er 7.5, 15MG | oxymorphone hcl | No | PA | 3 | $25 |
| Opana ER 7.5, 15MG | oxymorphone hcl | Yes | 1 | $5 | |
| Optase | trypsin/balsam peru/castor oil | No | 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 |
| Oracit | citric acid/sodium citrate | No | 3 | $25 | |
| Orap | pimozide | No | 2 | $12 | |
| Orapred | prednisolone sod phosphate | Yes | 1 | $5 | |
| Orapred ODT | prednisolone sod phosphate | No | 3 | $25 | |
| Orbivan | butalb/acetaminophen/caffeine | No | 3 | $25 | |
| Orencia | abatacept | No | PA | 3 | $25 |
| Orfadin | nitisinone | No | 3 | $25 | |
| Orinase | tolbutamide | Yes | 1 | $5 | |
| Ortho Evra | ethinyl estradiol/norelgest | No | 2 | $12 | |
| 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 | $12 | |
| Ortho-Cyclen | norgestimate-ethinyl estradiol | Yes | 1 | $5 | |
| Ortho-Novum 7/7/7 | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Osmoglyn | glycerin | No | 2 | $12 | |
| Osmoprep, Visicol | naphos m-b m-h/na phos,di-ba | No | 3 | $25 | |
| Ovace | sulfacetamide sodium | Yes | 1 | $5 | |
| 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 | PA | 2 | $12 |
| Ovral | norgestrel-ethinyl estradiol | Yes | 1 | $5 | |
| Oxalis | oxalic acid | No | 2 | $12 | |
| Oxandrin | oxandrolone | Yes | PA | 1 | $5 |
| Oxiplen | vitamin e/folic acid/zinc/se | No | 2 | $12 | |
| Oxistat | oxiconazole nitrate | No | 3 | $25 | |
| Oxsoralen, Ultra | methoxsalen, rapid | No | 2 | $12 | |
| Oxycodone Immediate Release | oxycodone hcl | Yes | 1 | $5 | |
| Oxycontin | oxycodone hcl | No | PA | 3 | $25 |
| Oxyir | oxycodone hcl | Yes | 1 | $5 | |
| Oxytrol | oxybutynin | No | 3 | $25 | |
| - P - | [ Return to Top ] | ||||
| Pacerone | amiodarone hcl | Yes | 1 | $5 | |
| Pacnex | benzoyl peroxide | Yes | 1 | $5 | |
| Pahomin | belladonna alkaloids | No | 2 | $12 | |
| Palgic | carbinoxamine maleate | Yes | 1 | $5 | |
| Pamelor, Aventyl | nortriptyline hcl | Yes | 1 | $5 | |
| Panafil | papain/urea/chlorophyllin | Yes | 1 | $5 | |
| Pancreaze | lipase/protease/amylase | No | 2 | $12 | |
| Pancrecarb MS | amylase/lipase/protease | No | 3 | $25 | |
| Pandel | hydrocortisone probutate | No | 3 | $25 | |
| Panixine | cephalexin monohydrate | No | 3 | $25 | |
| Panretin | alitretinoin | No | 2 | $12 | |
| Papaverine Caps | papaverine hcl | Yes | 1 | $5 | |
| Papfyll | papain/urea/chlrph cppr cmp so | No | 3 | $25 | |
| 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 | |
| Paser | aminosalicylic acid | No | 2 | $12 | |
| Pataday | olopatadine hcl | No | 3 | $25 | |
| Patanase | olopatadine hcl | No | 3 | $25 | |
| Patanol | olopatadine hcl | No | 2 | $12 | |
| Paxil | paroxetine hcl | Yes | 1 | $5 | |
| Paxil CR | paroxetine hcl | Yes | 1 | $5 | |
| Pediazole | ery e-succ/sulfisoxazole | Yes | 1 | $5 | |
| Pediox-S | chlorpheniramine tannate | No | 3 | $25 | |
| Peganone | ethotoin | No | 2 | $12 | |
| Pegasys | peginterferon alfa-2a | No | PA | 2 | $12 |
| Pegasys Proclick | peginterferon alfa-2a | No | 2 | $12 | |
| Peg-Intron, Redipen | peginterferon alfa-2b | No | PA | 2 | $12 |
| Penicillin VK | penicillin v potassium | Yes | 1 | $5 | |
| Penlac | ciclopirox | Yes | 1 | $5 | |
| Pennsaid | diclofenac sodium | No | PA | 3 | $25 |
| Pentasa | mesalamine | No | 2 | $12 | |
| Pepcid | famotidine | Yes | 1 | $5 | |
| Pepcid (Rx Only) | famotidine | Yes | 1 | $5 | |
| 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 | |
| Permax | pergolide mesylate | No | 2 | $12 | |
| Perphenazine | perphenazine | Yes | 1 | $5 | |
| Persantine | dipyridamole | Yes | 1 | $5 | |
| Pexeva | paroxetine mesylate | No | PA | 3 | $25 |
| Phanasin | guaifenesin | Yes | 1 | $5 | |
| Phanatuss HC | guaifenesin/hydrocodone bit | No | 3 | $25 | |
| Phena-Plus | phenylephrine/pyril mal/cp | No | 3 | $25 | |
| Phena-S | phenylephrine/pyril mal/cp | Yes | 1 | $5 | |
| 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 | |
| Phentermine HCL | phentermine hcl | No | 2 | $12 | |
| Phenydex | guaifen/d-methorphan hb/pe/pyr | No | 3 | $25 | |
| Phenytek | phenytoin sodium extended | Yes | 1 | $5 | |
| Phisohex | hexachlorophene | No | 2 | $12 | |
| Phoslo | calcium acetate | Yes | 1 | $5 | |
| Phoslyra | calcium acetate | No | 3 | $25 | |
| Phospholine Iodide | echothiophate iodide | No | 2 | $12 | |
| Phrenilin | butalbital/acetaminophen | Yes | 1 | $5 | |
| Pilocar, Isopto-Carpine | pilocarpine hcl | Yes | 1 | $5 | |
| Pilopine HS | pilocarpine hcl | No | 2 | $12 | |
| Pima | potassium iodide | No | 2 | $12 | |
| Pindolol | pindolol | Yes | 1 | $5 | |
| Plan B | levonorgestrel | Yes | 1 | $5 | |
| Plaquenil | hydroxychloroquine sulfate | Yes | 1 | $5 | |
| Plavix | clopidogrel bisulfate | No | 2 | $12 | |
| Plendil | felodipine | Yes | 1 | $5 | |
| Pletal | cilostazol | Yes | 1 | $5 | |
| Plexion SCT | sulfacet sod/sulfur/witch haz | Yes | 1 | $5 | |
| Plexion, TS | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Podocon-25 | podophyllum resin | No | 2 | $12 | |
| Polaramine | dexchlorpheniramine maleate | Yes | 1 | $5 | |
| Polycitra | sod/potass/k cit/sod cit/ca | Yes | 1 | $5 | |
| Ponstel | mefenamic acid | Yes | 1 | $5 | |
| Pontocaine | tetracaine hcl | No | 2 | $12 | |
| Pradaxa | dabigatran etexilate mesylate | No | 2 | $12 | |
| Pramosone | hc acetate/pramoxine hcl | Yes | 1 | $5 | |
| Pramosone E | hydrocort ace/pramox hcl/emoll | No | 3 | $25 | |
| Pramosone Oint, Lotion | hc acetate/pramoxine hcl | No | 3 | $25 | |
| Pramox | pramoxine hcl | Yes | 1 | $5 | |
| Prandimet | repaglinide/metformin hcl | No | PA | 3 | $25 |
| Prandin | repaglinide | No | 2 | $12 | |
| Pravachol | pravastatin sodium | Yes | 1 | $5 | |
| Precare | pv w-o vit a/fe fumarate/fa | Yes | 1 | $5 | |
| Pred Forte | prednisolone acetate | Yes | 1 | $5 | |
| Pred Mild | prednisolone acetate | No | 2 | $12 | |
| Pred-G | gentamicin/prednisol ac | No | 3 | $25 | |
| Prednisone | prednisone | Yes | 1 | $5 | |
| Prefera-OB Plus DHA | pn vits.w-o ca #8, iron,fa | Yes | 1 | $5 | |
| Prefera-OB Plus DHA | pnv combo #8/iron/folic ac/dha | Yes | 1 | $5 | |
| Premarin, Cream | estrogens,conjugated | No | 2 | $12 | |
| Prempro/Premphase | estrogen,con/m-progest acet | No | 2 | $12 | |
| Prenaissance | pnv80/iron fumarate/fa/dss/dha | Yes | 1 | $5 | |
| Prenatal 19 | prenatal vit/fe fumarate/fa | Yes | 1 | $5 | |
| Prenatal Low Iron | pnv with ca,no.74/iron/fa | Yes | 1 | $5 | |
| Prenatal Plus, Stuartnatal, Prenaplus | pnv with ca,no.71/iron/fa | Yes | 1 | $5 | |
| Prevacid | lansoprazole | Yes | ST | 1 | $5 |
| Prevacid Solutab | lansoprazole | Yes | ST | 1 | $5 |
| Prevident | sodium fluoride | Yes | 1 | $5 | |
| Prevpac | lansoprazole/amox tr/clarith | No | 2 | $12 | |
| Prezista(Must Be Used With Norvir) | darunavir ethanolate | No | 2 | $12 | |
| Priftin | rifapentine | No | 3 | $25 | |
| Prilosec Suspension | omeprazole magnesium | No | PA | 3 | $25 |
| Prilosec, OTC | omeprazole magnesium | Yes | 1 | $5 | |
| Primsol | trimethoprim | No | 2 | $12 | |
| Prinivil, Zestril | lisinopril | Yes | 1 | $5 | |
| Prinzide, Zestoretic | lisinopril/hydrochlorothiazide | Yes | 1 | $5 | |
| Pristiq | desvenlafaxine succinate | No | ST | 3 | $25 |
| Proair HFA, Ventolin HFA | albuterol | No | 2 | $12 | |
| Proamatine | midodrine hcl | Yes | 1 | $5 | |
| Pro-Banthine 15MG | propantheline bromide | Yes | 1 | $5 | |
| Probenecid | probenecid | Yes | 1 | $5 | |
| Procainamide HCL | procainamide hcl | No | 2 | $12 | |
| Procanbid | procainamide hcl | No | 2 | $12 | |
| Procardia, XL;Adalat CC | nifedipine | Yes | 1 | $5 | |
| Procentra | d-amphetamine sulfate | No | PA | 3 | $25 |
| Pro-Clear Caps | guaifenesin/codeine phos | Yes | 1 | $5 | |
| Procrit | epoetin alfa | No | PA | 2 | $12 |
| Proctocort | hydrocortisone | Yes | 1 | $5 | |
| Proctocort Suppository | hydrocortisone acetate | Yes | 1 | $5 | |
| Proctofoam | pramoxine hcl | Yes | 1 | $5 | |
| Proctofoam-HC | hc acetate/pramoxine hcl | No | 2 | $12 | |
| Procto-Kit | hydrocortisone | No | 2 | $12 | |
| Prodrin | isometheptene/acetaminoph/caff | No | 3 | $25 | |
| Profasi 5000Units | gonadotropin,chorionic,human | No | PA | 2 | $12 |
| Proferrin-Forte | fe heme polypeptide/folic acid | No | 3 | $25 | |
| Progesterone In Oil (Inj) | progesterone | Yes | 1 | $5 | |
| Prograf | tacrolimus anhydrous | Yes | 1 | $5 | |
| Prolex DH | pot guaiaco/hydrocodone bit | Yes | 1 | $5 | |
| Prolixin | fluphenazine hcl | Yes | 1 | $5 | |
| Promacta | eltrombopag olamine | No | PA | 2 | $12 |
| Promar | multivits w-iron,hematinic | No | 3 | $25 | |
| Prometrium | progesterone,micronized | No | 2 | $12 | |
| Pronestyl, SR | procainamide hcl | Yes | 1 | $5 | |
| Propranolol HCL | propranolol hcl | Yes | 1 | $5 | |
| Propylthiouracil | propylthiouracil | Yes | 1 | $5 | |
| Proscar | finasteride | Yes | 1 | $5 | |
| Prosom | estazolam | Yes | 1 | $5 | |
| Prostigmin | neostigmine bromide | No | 2 | $12 | |
| Protect Natal | pnv82/feps/fa/om3/dha/epa/fish | No | 3 | $25 | |
| Protid | phenylephrine/acetaminophn/cp | No | 3 | $25 | |
| Protonix | pantoprazole sodium | Yes | 1 | $5 | |
| Protonix Suspension | pantoprazole sodium | No | ST | 3 | $25 |
| Protopic | tacrolimus | No | ST | 3 | $25 |
| Proventil HFA | albuterol | No | 3 | $25 | |
| Proventil Solution | albuterol sulfate | Yes | 1 | $5 | |
| Provera | medroxyprogesterone acet | Yes | 1 | $5 | |
| Provigil | modafinil | No | PA | 2 | $12 |
| Provocholine | methacholine chloride | No | 2 | $12 | |
| Prozac Weekly | fluoxetine hcl | Yes | PA | 1 | $5 |
| Prozac, Sarafem | fluoxetine hcl | Yes | 1 | $5 | |
| Psorcon E | diflorasone diacetate/emoll | No | 3 | $25 | |
| Psorcon, Florone | diflorasone diacetate | Yes | 1 | $5 | |
| Pulmicort Inh (Tier 1-Bcn Only) | budesonide | No | 1 | $5 | |
| Pulmicort Soln | budesonide | No | 1 | $5 | |
| Pulmozyme | dornase alfa | No | 2 | $12 | |
| Purinethol | mercaptopurine | Yes | 1 | $5 | |
| Pylera | bismuth/metronid/tetracycline | No | 3 | $25 | |
| Pyrazinamide | pyrazinamide | Yes | 1 | $5 | |
| Pyridium | phenazopyridine hcl | Yes | 1 | $5 | |
| Pyril D | phenylephrine/pyrilamine | No | 3 | $25 | |
| Pyrogallic Acid | pyrogallol | No | 2 | $12 | |
| - Q - | [ Return to Top ] | ||||
| Qualaquin | quinine sulfate | No | 3 | $25 | |
| Questran, Questran Light | cholestyramine | Yes | 1 | $5 | |
| Quinidex | quinidine sulfate | Yes | 1 | $5 | |
| Quinidine Gluconate SA | quinidine gluconate | Yes | 1 | $5 | |
| Quinidine Sulfate | quinidine sulfate | Yes | 1 | $5 | |
| Quixin | levofloxacin | Yes | 1 | $5 | |
| Qvar | beclomethasone dipropionate | No | 1 | $5 | |
| - R - | [ Return to Top ] | ||||
| Ranexa | ranolazine | No | PA | 3 | $25 |
| Rapaflo | silodosin | No | 3 | $25 | |
| Rapamune Tabs, Solution | sirolimus | No | 2 | $12 | |
| 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 | $12 |
| Rebetron | ribavirin/interferon a-2b | No | PA | 3 | $25 |
| Rebif | interferon beta-1a/albumin | No | 2 | $12 | |
| Reglan Tab, Solution | metoclopramide hcl | Yes | 1 | $5 | |
| Regranex | becaplermin | No | PA | 3 | $25 |
| Relacon Lax | guaifenesin/d-methorphan hb | Yes | 1 | $5 | |
| Relacon-HC | phenylephrine/hydrocodone/cp | No | 3 | $25 | |
| Relafen | nabumetone | Yes | 1 | $5 | |
| Relamine | glucosam/chondroitin/mv antox5 | No | 3 | $25 | |
| Relenza | zanamivir | No | 2 | $12 | |
| Relistor | methylnaltrexone | No | PA | 2 | $12 |
| Relnate DHA | pnv 11-iron fum-folic acid-om3 | Yes | 1 | $5 | |
| Relpax | eletriptan hydrobromide | No | ST | 3 | $25 |
| Remeron | mirtazapine | Yes | 1 | $5 | |
| Remeron Soltab | mirtazapine | Yes | 1 | $5 | |
| Remodulin | treprostinil sodium | No | 2 | $12 | |
| Renacidin | mag carb/citric acid/g-lactone | No | 2 | $12 | |
| Renagel | sevelamer hcl | No | 2 | $12 | |
| Renate DHA Extra | pnv55/iron b-g su ch-p/fa/om-3 | Yes | 1 | $5 | |
| Renvela Packet 0.8G | sevelamer carbonate | No | 3 | $25 | |
| Renvela Packet 2.4G | sevelamer carbonate | No | 2 | $12 | |
| Renvela Tablet | sevelamer carbonate | No | 2 | $12 | |
| Repliva 21-7 | iron ag&fum/c/fa/mv cmb11/ca-t | Yes | 1 | $5 | |
| Reprexain | hydrocodone/ibuprofen | Yes | 1 | $5 | |
| Repronex | menotropins | No | PA | 2 | $12 |
| Req49+ | mv, min cmb#16/fa/lutein/lycop | No | 3 | $25 | |
| Requip | ropinirole hcl | Yes | 1 | $5 | |
| Requip XL | ropinirole hcl | No | 3 | $25 | |
| Rescriptor | delavirdine mesylate | No | 2 | $12 | |
| Resectisol | mannitol | No | 2 | $12 | |
| Reserpine | reserpine | Yes | 1 | $5 | |
| Respaire-60 | guaifenesin/p-ephed hcl | Yes | 1 | $5 | |
| Respa-PE | guaifenesin/phenylephrine hcl | No | 3 | $25 | |
| Respi-Tann PD | car-b-pen ta/p-epd tan | Yes | 1 | $5 | |
| Restasis | cyclosporine | No | 2 | $12 | |
| Restoril | temazepam | Yes | 1 | $5 | |
| Retin-A Micro | tretinoin microspheres | No | 2 | $12 | |
| Retin-A, Avita | tretinoin | Yes | 1 | $5 | |
| Retrovir | zidovudine | Yes | 1 | $5 | |
| Revatio | sildenafil citrate | No | PA | 2 | $12 |
| Revia | naltrexone hcl | Yes | 1 | $5 | |
| Revlimid | lenalidomide | No | PA | 3 | $25 |
| Reyataz | atazanavir sulfate | No | 2 | $12 | |
| Rezira | p-ephed hcl/hydrocodone bit | No | 3 | $25 | |
| Rheumatrex, Trexall | methotrexate sodium | No | 2 | $12 | |
| Rhinocort Aqua | budesonide | No | ST | 3 | $25 |
| Ribapak | ribavirin | Yes | PA | 1 | $5 |
| Ribavirin | ribavirin | Yes | PA | 1 | $5 |
| Ricobid | phenylephrine/chlor-tan | No | 3 | $25 | |
| Ridaura | auranofin | No | 2 | $12 | |
| Rifadin | rifampin | Yes | 1 | $5 | |
| Rifamate | rifampin/isoniazid | Yes | 1 | $5 | |
| Rifater | rifampin/inh/pyrazinamide | No | 3 | $25 | |
| Rilutek | riluzole | No | 2 | $12 | |
| Rimso-50 | dimethyl sulfoxide | No | 2 | $12 | |
| Riomet | metformin hcl | No | 3 | $25 | |
| Risperdal M-Tab | risperidone | Yes | 1 | $5 | |
| Ritalin La | methylphenidate hcl | Yes | PA | 1 | $5 |
| Ritalin, SR; Methylin, ER | methylphenidate hcl | Yes | 1 | $5 | |
| Robaxin | methocarbamol | Yes | 1 | $5 | |
| Robinul, Forte | glycopyrrolate | Yes | 1 | $5 | |
| Rocaltrol | calcitriol | Yes | 1 | $5 | |
| Roferon-A | interferon alfa-2a,recomb. | No | 2 | $12 | |
| Rosanil | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Rosula Cleanser | sulfacetamide sod/sulfur/urea | Yes | 1 | $5 | |
| Rovin-A DHA | pnv#31/iron,el.&glu/fa/dss/dha | No | 3 | $25 | |
| Rowasa | mesalamine w/cleansing wipes | Yes | 1 | $5 | |
| Rowasa Enema | mesalamine | Yes | 1 | $5 | |
| Roxanol | morphine sulfate | Yes | 1 | $5 | |
| Roxicet | oxycodone hcl/acetaminophen | No | 2 | $12 | |
| Rozerem | ramelteon | No | PA | 3 | $25 |
| Rum-K | potassium chloride | No | 2 | $12 | |
| Rybix ODT | tramadol hcl | No | PA | 3 | $25 |
| Rythmol | propafenone hcl | Yes | 1 | $5 | |
| Rythmol SR | propafenone hcl | Yes | 1 | $5 | |
| Ryzolt | tramadol hcl | Yes | PA | 1 | $5 |
| - S - | [ Return to Top ] | ||||
| Sabril | vigabatrin | No | 2 | $12 | |
| Safyral | drospir/eth estra/levomefol ca | No | 3 | $25 | |
| Saizen | somatropin | No | PA | 3 | $25 |
| Salacyn | salicylic acid | Yes | 1 | $5 | |
| Salagen | pilocarpine hcl | Yes | 1 | $5 | |
| Salex | salicylic acid/ceramides | Yes | 1 | $5 | |
| Salkera | salicylic acid | Yes | 1 | $5 | |
| Samsca | tolvaptan | No | 2 | $12 | |
| Sanctura | trospium chloride | Yes | 1 | $5 | |
| Sanctura XR | trospium chloride | No | 3 | $25 | |
| Sancuso | granisetron | No | ST | 3 | $25 |
| Sandimmune | cyclosporine | No | 2 | $12 | |
| Sandostatin | octreotide acetate | Yes | 1 | $5 | |
| Sandostatin LAR | octreotide acetate | No | PA | 2 | $12 |
| Santyl | collagenase | No | 2 | $12 | |
| 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 | Yes | 1 | $5 | |
| Sectral | acebutolol hcl | Yes | 1 | $5 | |
| Selsun RX | selenium sulfide | Yes | 1 | $5 | |
| Sensipar | cinacalcet hcl | No | 2 | $12 | |
| Serax | oxazepam | Yes | 1 | $5 | |
| 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 | PA | 1 | $5 |
| Siderol | iron/liver ext/vit bcomp&c/min | No | 3 | $25 | |
| Silenor | doxepin hcl | No | PA | 3 | $25 |
| Silvadene | silver sulfadiazine | Yes | 1 | $5 | |
| Silver Nitrate | silver nitrate | No | 2 | $12 | |
| Simcor | niacin/simvastatin | No | ST | 3 | $25 |
| Simetyl | simethicone/bellad alk | No | 3 | $25 | |
| Simponi | golimumab | No | PA | 3 | $25 |
| Sinemet | carbidopa/levodopa | Yes | 1 | $5 | |
| Sinemet, CR | carbidopa/levodopa | Yes | 1 | $5 | |
| Sinequan, Adapin | doxepin hcl | Yes | 1 | $5 | |
| Singulair | montelukast sodium | No | 2 | $12 | |
| Sitrex | guaifenesin/phenylephrine hcl | No | 3 | $25 | |
| Skelaxin | metaxalone | Yes | 1 | $5 | |
| Sodium Chloride | sodium cl for inhalation | Yes | 1 | $5 | |
| Solaraze | diclofenac sodium | No | 3 | $25 | |
| Solodyn 45, 90, 135MG | minocycline hcl | Yes | PA | 1 | $5 |
| Solodyn 55, 65, 80, 105, 115MG | minocycline hcl | No | PA | 3 | $25 |
| Soltamox | tamoxifen citrate | No | 3 | $25 | |
| Soma | carisoprodol | Yes | 1 | $5 | |
| Soma Compound | carisoprodol/aspirin | Yes | 1 | $5 | |
| Soma Compound w/Codeine | codeine phos/carisoprodol/asa | Yes | 1 | $5 | |
| Somatuline Depot | lanreotide acetate | No | 2 | $12 | |
| Somavert | pegvisomant | No | PA | 2 | $12 |
| Sonata | zaleplon | Yes | 1 | $5 | |
| Sorbitol-Mannitol | mannitol/sorbitol solution | No | 2 | $12 | |
| Sorbutuss | guaifen/d-methorphan hb/k cit | No | 3 | $25 | |
| Soriatane | acitretin | No | 2 | $12 | |
| Spacol | belladonna alkaloids | No | 2 | $12 | |
| Spectazole | econazole nitrate | Yes | 1 | $5 | |
| Spectracef | cefditoren pivoxil | Yes | 1 | $5 | |
| Spiriva | tiotropium bromide | No | 2 | $12 | |
| Sporanox Caps | itraconazole | Yes | 1 | $5 | |
| Sporanox Soln | itraconazole | No | 2 | $12 | |
| Sprix | ketorolac tromethamine | No | 3 | $25 | |
| Sprycel | dasatinib | No | PA | 2 | $12 |
| Sski | potassium iodide | Yes | 1 | $5 | |
| Stadol | butorphanol tartrate | Yes | 1 | $5 | |
| Stadol NS | butorphanol tartrate | Yes | 1 | $5 | |
| Stahist | p-ephed hcl/cpmm/atp/scop/hyos | No | 3 | $25 | |
| Stalevo | carbidopa/levodopa/entacapone | No | 2 | $12 | |
| Starlix | nateglinide | Yes | 1 | $5 | |
| Staticin | erythromycin base/ethanol | Yes | 1 | $5 | |
| Statuss Green | pe/p-ephedrine/hcod/pyril/cp | No | 3 | $25 | |
| Stavzor | valproic acid | No | 3 | $25 | |
| Staxyn | vardenafil hcl | No | PA | 3 | $25 |
| Stelazine | trifluoperazine hcl | Yes | 1 | $5 | |
| Stimate | desmopressin acetate | No | 2 | $12 | |
| Strattera | atomoxetine hcl | No | PA | 3 | $25 |
| Striant | testosterone | No | 3 | $25 | |
| Stromectrol - Single Dose | ivermectin | No | 2 | $12 | |
| Suboxone Film | buprenorphine hcl/naloxone hcl | No | PA | 2 | $12 |
| Suboxone Tabs | buprenorphine hcl/naloxone hcl | No | PA | 2 | $12 |
| Sucraid | sacrosidase | No | 2 | $12 | |
| Sular | nisoldipine | Yes | 1 | $5 | |
| Sulfacet-R | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Sulfadiazine | sulfadiazine | Yes | 1 | $5 | |
| Sulfamylon | mafenide acetate | No | 2 | $12 | |
| Sumavel Dosepro | sumatriptan succinate | No | PA | 3 | $25 |
| Sumaxin | sulfacetamide sodium/sulfur | Yes | 1 | $5 | |
| Sumycin | tetracycline hcl | Yes | 1 | $5 | |
| Suprax | cefixime | No | 3 | $25 | |
| Surmontil | trimipramine maleate | Yes | 1 | $5 | |
| Sustiva | efavirenz | No | 2 | $12 | |
| Sutent | sunitinib malate | No | PA | 2 | $12 |
| Sylatron | peginterferon alfa-2b | No | PA | 3 | $25 |
| Symax Duotab | hyoscyamine sulfate | Yes | 1 | $5 | |
| Symbicort | budesonide/formoterol fumarate | No | 2 | $12 | |
| 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 | |
| Synalgos-DC | dihydrocodeine/aspirin/caffein | No | 2 | $12 | |
| Synarel | nafarelin acetate | No | 2 | $12 | |
| Synera | lidocaine/tetracaine | No | 2 | $12 | |
| Syprine | trientine hcl | No | 3 | $25 | |
| - 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 | $12 | |
| Tamoxifen Citrate | tamoxifen citrate | Yes | 1 | $5 | |
| Tapazole | methimazole | Yes | 1 | $5 | |
| Tarceva | erlotinib hcl | No | PA | 2 | $12 |
| Targretin | bexarotene | No | 3 | $25 | |
| Tarka | trandolapril/verapamil hcl | Yes | 1 | $5 | |
| Taron Prenatal | pnv39/iron fumarate/fa/dss/dha | Yes | 1 | $5 | |
| Taron-BC | pnv with ca,no63/iron/fa/b6 | Yes | 1 | $5 | |
| Tasmar | tolcapone | No | 3 | $25 | |
| Tavist Rx (2.68MG, Syrup) | clemastine fumarate | Yes | 1 | $5 | |
| Tazorac | tazarotene | No | 2 | $12 | |
| Tegretol XR 100MG | carbamazepine | No | 2 | $12 | |
| Tegretol, XR | carbamazepine | Yes | 1 | $5 | |
| Tekamlo | aliskiren/amlodipine | No | ST | 3 | $25 |
| Tekturna | aliskiren hemifumarate | No | PA | 3 | $25 |
| Tekturna HCT | aliskiren/hydrochlorothiazide | No | PA | 3 | $25 |
| Temodar | temozolomide | No | 2 | $12 | |
| Temovate Emollient | clobetasol propionate/emoll | Yes | 1 | $5 | |
| 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 | |
| Terramycin w/Polymyxin | oxy-tcn hcl/polymyx b sulf | No | 2 | $12 | |
| Tesamone-100 | testosterone | 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 | eprosartan mesylate | Yes | 1 | $5 | |
| Teveten 400MG | eprosartan mesylate | No | PA | 3 | $25 |
| Teveten HCT | eprosartan/hydrochlorothiazide | No | PA | 3 | $25 |
| Tev-Tropin | somatropin | No | PA | 3 | $25 |
| Texacort | hydrocortisone | No | 2 | $12 | |
| Thalitone | chlorthalidone | No | 2 | $12 | |
| Thalomid | thalidomide | No | 2 | $12 | |
| Theo-24 | theophylline anhydrous | No | 2 | $12 | |
| Theophylline Anhydrous | theophylline anhydrous | Yes | 1 | $5 | |
| Thioguanine | thioguanine | No | 2 | $12 | |
| Thiola | tiopronin | No | 2 | $12 | |
| Thorazine | chlorpromazine hcl | Yes | 1 | $5 | |
| Thyrolar | liotrix | No | 2 | $12 | |
| Tiazac | diltiazem hcl | Yes | 1 | $5 | |
| Ticlid | ticlopidine hcl | Yes | 1 | $5 | |
| Tigan | trimethobenzamide hcl | Yes | 1 | $5 | |
| Tikosyn | dofetilide | No | 2 | $12 | |
| Tilade | nedocromil sodium | Yes | 1 | $5 | |
| Timoptic | timolol maleate | Yes | 1 | $5 | |
| Timoptic - XE | timolol maleate | Yes | 1 | $5 | |
| Tindamax | tinidazole | No | 2 | $12 | |
| Tirosint | levothyroxine sodium | No | 3 | $25 | |
| Tobi | tobramycin/0.25 normal saline | No | 2 | $12 | |
| Tobradex Oint | tobramycin sulfate/dexameth | No | 2 | $12 | |
| Tobradex Susp | tobramycin sulfate/dexameth | Yes | 1 | $5 | |
| Tobrex | tobramycin sulfate | Yes | 1 | $5 | |
| Tofranil | imipramine hcl | Yes | 1 | $5 | |
| Tofranil-Pm | imipramine pamoate | Yes | 1 | $5 | |
| Tolazamide | tolazamide | Yes | 1 | $5 | |
| Tolectin, DS | tolmetin sodium | Yes | 1 | $5 | |
| Tolinase | tolazamide | Yes | 1 | $5 | |
| Topamax | topiramate | Yes | 1 | $5 | |
| Topamax Sprinkle | topiramate | Yes | 1 | $5 | |
| Topicort Cr, Gel, Oint | desoximetasone | Yes | 1 | $5 | |
| Topicort 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 | $12 |
| Tradjenta | linagliptin | No | PA | 3 | $25 |
| Transderm-Scop | scopolamine hydrobromide | No | 2 | $12 | |
| Tranxene | clorazepate dipotassium | Yes | 1 | $5 | |
| Travatan, Z | travoprost | No | 2 | $12 | |
| Trecator | ethionamide | No | 3 | $25 | |
| Trelstar Depot, LA | triptorelin pamoate | No | 2 | $12 | |
| Trental | pentoxifylline | Yes | 1 | $5 | |
| Tretinoin | tretinoin/emollient | No | 2 | $12 | |
| Treximet | sumatriptan succ/naproxen sod | No | PA | 3 | $25 |
| Triamcinolone Acetonide | triamcinolone acetonide | Yes | 1 | $5 | |
| Tribenzor | olmesartan med/amlodipine/hctz | No | ST | 3 | $25 |
| Tricor | fenofibrate nanocrystallized | No | 2 | $12 | |
| Triglide | fenofibrate nanocrystallized | No | 3 | $25 | |
| Trileptal | oxcarbazepine | Yes | 1 | $5 | |
| Trileptal Susp | oxcarbazepine | Yes | 1 | $5 | |
| Trilipix | fenofibric acid | No | PA | 3 | $25 |
| Trilisate | choline magnesium trisalicylate | Yes | 1 | $5 | |
| Trimethobenzamide HCL | trimethobenzamide hcl | Yes | 1 | $5 | |
| Trimethoprim | trimethoprim | Yes | 1 | $5 | |
| Tri-Norinyl | norethindrone-ethinyl estrad | Yes | 1 | $5 | |
| Trioxin | chloroxylenol/benzoc/hydrocort | Yes | 1 | $5 | |
| Triphasil, Trilevlen | levonorgestrel-eth estra | Yes | 1 | $5 | |
| Tri-Vi-Flor | fluoride ion/vit a,c&d | Yes | 1 | $5 | |
| Tri-Vit With Fluoride-Iron | fluoride ion/iron/vit a,c&d | Yes | 1 | $5 | |
| Trizivir | abacavir/lamivudine/zidovudine | No | 2 | $12 | |
| Trusopt | dorzolamide hcl | Yes | 1 | $5 | |
| Truvada | emtricitabine/tenofovir | No | 2 | $12 | |
| T-Stat | erythromycin base/ethanol | Yes | 1 | $5 | |
| T-Tanna DM | d-methorp tan/p-epd tan/cp | Yes | 1 | $5 | |
| Tusnel Ped-C | guaifenesin/p-ephed hcl/cod | No | 3 | $25 | |
| Tussar SF | guaifenesin/p-ephed hcl/cod | Yes | 1 | $5 | |
| Tussionex | hydrocodone/chlorphen polis | Yes | 1 | $5 | |
| Tussiorganidin | guaifenesin/codeine phos | Yes | 1 | $5 | |
| Twinject | epinephrine | No | 2 | $12 | |
| Twynsta | telmisartan/amlodipine | No | PA | 3 | $25 |
| Tykerb | lapatinib ditosylate | No | PA | 2 | $12 |
| Tylenol w/Codeine | codeine phos/acetaminophen | Yes | 1 | $5 | |
| Tylox | oxycodone hcl/acetaminophen | Yes | 1 | $5 | |
| Tyvaso | treprostinil | No | PA | 2 | $12 |
| Tyzeka | telbivudine | No | 3 | $25 | |
| Tyzine | tetrahydrozoline hcl | No | 2 | $12 | |
| - U - | [ Return to Top ] | ||||
| Udamin | fa/multivits-min/min aa chel | No | 3 | $25 | |
| Uloric | febuxostat | No | PA | 2 | $12 |
| Ultracet | tramadol hcl/acetaminophen | Yes | 1 | $5 | |
| Ultram | tramadol hcl | Yes | 1 | $5 | |
| Ultram ER | tramadol hcl | Yes | ST | 1 | $5 |
| Ultrase MT | amylase/lipase/protease | No | 2 | $12 | |
| Ultravate | halobetasol propionate | Yes | 1 | $5 | |
| Umecta | urea | Yes | 1 | $5 | |
| Uniphyl | theophylline anhydrous | Yes | 1 | $5 | |
| Uniretic | moexipril/hydrochlorothiazide | Yes | 1 | $5 | |
| Univasc | moexipril hcl | Yes | 1 | $5 | |
| Uramaxin | urea | Yes | 1 | $5 | |
| Urea | urea | Yes | 1 | $5 | |
| Urecholine | bethanechol chloride | Yes | 1 | $5 | |
| Urelle | mth/me blue/salicy/na phos/hyo | No | 2 | $12 | |
| Uretron D-S | mth/me blue/ba/salicy/atp/hyos | No | 2 | $12 | |
| Uribel | mth/me blue/sod phos/phen/hyos | No | 2 | $12 | |
| Urispas | flavoxate hcl | Yes | 1 | $5 | |
| Urisym | mth/me blue/salicy/na phos/hyo | No | 2 | $12 | |
| Uritact-Ec | mth/me blue/ba/salicy/atp/hyos | No | 2 | $12 | |
| Uro Blue | methenamine/hyoscyamine | No | 2 | $12 | |
| Urocit-K | potassium citrate | Yes | 1 | $5 | |
| Urogesic | methen/sod phos/meth blue/hyos | Yes | 1 | $5 | |
| Urogesic-Blue | mth/me blue/salicy/na phos/hyo | Yes | 1 | $5 | |
| Urolene Blue | methylene blue | No | 2 | $12 | |
| Uroxatral | alfuzosin hcl | Yes | 1 | $5 | |
| Urso | ursodiol | Yes | 1 | $5 | |
| Urso Forte | ursodiol | Yes | 1 | $5 | |
| - V - | [ Return to Top ] | ||||
| Vagifem | estradiol | No | 2 | $12 | |
| Valcyte | valganciclovir hydrochloride | No | 2 | $12 | |
| Valisone Cr, Lotion, Oint | betamethasone valerate | Yes | 1 | $5 | |
| Valium | diazepam | Yes | 1 | $5 | |
| Valproic Acid | valproate sodium | Yes | 1 | $5 | |
| Valtrex | valacyclovir hcl | Yes | 1 | $5 | |
| Valturna | aliskiren/valsartan | No | PA | 3 | $25 |
| Vancocin HCL | vancomycin hcl | No | 2 | $12 | |
| Vanos 0.1% Cr | fluocinonide | No | 3 | $25 | |
| Vanoxide-HC | benz perox/hc/skin clnsr no.14 | Yes | 1 | $5 | |
| 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 | |
| Velosef | cephradine | No | 2 | $12 | |
| Veltin | clindamycin/tretinoin | No | PA | 3 | $25 |
| Venlafaxine HCL ER | venlafaxine hcl | Yes | 1 | $5 | |
| Ventavis | iloprost | No | PA | 2 | $12 |
| Vepesid | etoposide | Yes | 1 | $5 | |
| Veramyst | fluticasone furoate | No | ST | 3 | $25 |
| Verdeso | desonide | No | ST | 3 | $25 |
| Veregen | sinecatechins | No | 3 | $25 | |
| Verelan | verapamil hcl | Yes | 1 | $5 | |
| Verelan PM | verapamil hcl | Yes | 1 | $5 | |
| Veripred 20 | prednisolone sod phosphate | Yes | 1 | $5 | |
| Vermox | mebendazole | Yes | 1 | $5 | |
| Vesicare | solifenacin succinate | No | 3 | $25 | |
| Vexol | rimexolone | No | 2 | $12 | |
| Vfend | voriconazole | Yes | 1 | $5 | |
| Viagra | sildenafil citrate | No | PA | 2 | $12 |
| Vibramycin, Vibratabs | doxycycline hyclate | Yes | 1 | $5 | |
| Vicodin ES | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Vicodin, Lortab | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Vicoprofen | hydrocodone/ibuprofen | Yes | 1 | $5 | |
| Victoza | liraglutide | No | PA | 3 | $25 |
| Victrelis | boceprevir | No | PA | 2 | $12 |
| Videx | didanosine | No | 2 | $12 | |
| Videx EC | didanosine | Yes | 1 | $5 | |
| Vigamox | moxifloxacin hcl | No | 2 | $12 | |
| Viibryd | vilazodone hydrochloride | No | PA | 3 | $25 |
| Vimovo | naproxen/esomeprazole mag | No | PA | 3 | $25 |
| Vimpat | lacosamide | No | 2 | $12 | |
| Vinate II | prenatal vitamins/fe bisgly/fa | Yes | 1 | $5 | |
| Viokase | amylase/lipase/protease | No | 2 | $12 | |
| Viracept | nelfinavir mesylate | No | 2 | $12 | |
| Viramune | nevirapine | Yes | 2 | $12 | |
| Viramune XR | nevirapine | No | 3 | $25 | |
| Virazole | ribavirin | No | PA | 2 | $12 |
| Viread | tenofovir disoproxil fumarate | No | 2 | $12 | |
| Viroptic | trifluridine | Yes | 1 | $5 | |
| Vistaril | hydroxyzine pamoate | Yes | 1 | $5 | |
| Vivactil | protriptyline hcl | Yes | 1 | $5 | |
| Vivelle | estradiol | Yes | 1 | $5 | |
| Vivelle-Dot | estradiol | No | 2 | $12 | |
| Vol-Nate | pnv with ca,no.73/iron/fa | Yes | 1 | $5 | |
| Vol-Plus | pnv with ca,no.71/iron/fa | No | 3 | $25 | |
| Vol-Tab Rx | prenatal vit #76/iron,carb/fa | Yes | 1 | $5 | |
| Voltaren | diclofenac sodium | Yes | 1 | $5 | |
| Voltaren Gel | diclofenac sodium | No | PA | 3 | $25 |
| Voltaren-XR | diclofenac sodium | Yes | 1 | $5 | |
| Vopac | codeine phos/acetaminophen | Yes | 1 | $5 | |
| Vospire ER | albuterol sulfate | Yes | 1 | $5 | |
| 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 XL | bupropion hcl | Yes | 1 | $5 | |
| Wellbutrin, SR | bupropion hcl | Yes | 1 | $5 | |
| Westcort | hydrocortisone valerate | Yes | 1 | $5 | |
| - X - | [ Return to Top ] | ||||
| Xalatan | latanoprost | Yes | 1 | $5 | |
| Xalkori | crizotinib | No | PA | 3 | $25 |
| Xanax | alprazolam | No | 2 | $12 | |
| Xanax, XR | alprazolam | Yes | 1 | $5 | |
| Xarelto | rivaroxaban | No | 2 | $12 | |
| 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 | Yes | 1 | $5 | |
| Xifaxan 200MG | rifaximin | No | 3 | $25 | |
| Xifaxan 550MG | rifaximin | No | PA | 3 | $25 |
| Xodol | hydrocodone bit/acetaminophen | Yes | 1 | $5 | |
| Xolegel | 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 | |
| Xpect-HC | guaifenesin/hydrocodone bit | 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 | Yes | 1 | $5 | |
| - Y - | [ Return to Top ] | ||||
| Yasmin 28 | ethinyl estradiol/drospirenone | Yes | 1 | $5 | |
| Yaz | ethinyl estradiol/drospirenone | Yes | 1 | $5 | |
| Yohimbine HCL | yohimbine hcl | Yes | 1 | $5 | |
| - Z - | [ Return to Top ] | ||||
| Zaditor | ketotifen fumarate | Yes | 1 | $5 | |
| Zanaflex Caps | tizanidine hcl | No | PA | 1 | $5 |
| Zanaflex Tabs | tizanidine hcl | Yes | PA | 1 | $5 |
| Zantac (Rx Only) | ranitidine hcl | Yes | 1 | $5 | |
| 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 | Yes | 1 | $5 | |
| Zegerid Packet | omeprazole/sodium bicarbonate | No | PA | 3 | $25 |
| Zegerid RX | omeprazole/sodium bicarbonate | Yes | PA | 1 | $5 |
| Zelapar | selegiline hcl | No | 3 | $25 | |
| Zelboraf | vemurafenib | No | PA | 2 | $12 |
| Zemplar | paricalcitol | No | 3 | $25 | |
| Zenpep | amylase/lipase/protease | No | 2 | $12 | |
| Zeosa | contraceptives,oral | Yes | 1 | $5 | |
| Zerit | stavudine | Yes | 1 | $5 | |
| Zetia | ezetimibe | No | ST | 2 | $12 |
| Ziac | bisoprol/hydrochlorothiazide | Yes | 1 | $5 | |
| Ziagen | abacavir sulfate | No | 2 | $12 | |
| Ziana Gel | clindamycin/tretinoin | No | PA | 3 | $25 |
| Zipsor | diclofenac potassium | No | 3 | $25 | |
| Zirgan | ganciclovir | No | 2 | $12 | |
| Zithranol-RR | anthralin | No | 3 | $25 | |
| Zithromax | azithromycin | Yes | 1 | $5 | |
| Zmax | azithromycin | No | 3 | $25 | |
| Zocor | simvastatin | Yes | 1 | $5 | |
| Zofran | ondansetron hcl | Yes | 1 | $5 | |
| Zofran, ODT | ondansetron | Yes | 1 | $5 | |
| Zoladex | goserelin acetate | No | 2 | $12 | |
| Zolinza | vorinostat | No | PA | 2 | $12 |
| Zoloft | sertraline hcl | Yes | 1 | $5 | |
| Zolpimist | zolpidem tartrate | No | PA | 3 | $25 |
| Zolvit | hydrocodone bit/acetaminophen | No | 3 | $25 | |
| Zomig Nasal Spray | zolmitriptan | No | ST | 3 | $25 |
| Zomig, ZMT | zolmitriptan | No | ST | 3 | $25 |
| Zonalon, Prudoxin | doxepin hcl | No | 2 | $12 | |
| Zonatuss | benzonatate | No | 3 | $25 | |
| Zonegran | zonisamide | Yes | 1 | $5 | |
| Zorbtive | somatropin | No | PA | 3 | $25 |
| Zortress | everolimus | No | 3 | $25 | |
| Zovirax | acyclovir | Yes | 1 | $5 | |
| Zovirax Cream, Oint | acyclovir | No | 2 | $12 | |
| Z-Pram | hc acetate/pramoxine hcl | Yes | 1 | $5 | |
| Zuplenz | ondansetron | No | ST | 3 | $25 |
| Zutripro | p-ephed hcl/hydrocodone/cp | No | 3 | $25 | |
| Zyban | bupropion hcl | Yes | 1 | $5 | |
| 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 | $5 | |
| Zymaxid | gatifloxacin | No | 3 | $25 | |
| Zyprexa, Zydis | olanzapine | Yes | 1 | $5 | |
| Zyrtec | cetirizine hcl | Yes | 1 | $5 | |
| Zyrtec-D | p-ephed hcl/cetirizine hcl | Yes | 1 | $5 | |
| Zytiga | abiraterone acetate | No | PA | 3 | $25 |
| Zyvox | linezolid | No | 2 | $12 | |
page modified 09/23/2011