Drug rider 50%

Your drug benefit requires a 50% copayment for all covered prescription drugs. Drugs in Tier 1, Tier 2 and Tier 3 are all included in this benefit. 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, SolutionaripiprazoleNo250%
Abstralfentanyl citrateNoPA350%
Acanyaclindamycin phos/benzoyl peroxNo350%
Accolate zafirlukastYes150%
Accunebalbuterol sulfateYes150%
Accuprilquinapril hclYes150%
Accureticquinapril/hydrochlorothiazideYes150%
Accutane (Req Derm Consult) isotretinoinYes150%
Accuzyme, Ethezyme, Gladasepapain/ureaYes150%
Aceonperindopril erbumineYes150%
Acetasol, HC/Vosol, HCacetic acid/hydrocortisoneYes150%
Aciphexrabeprazole sodiumNoPA350%
Aclovatealclometasone dipropionateYes150%
ActigallursodiolYes150%
Actimmuneinterferon gamma-1b,recomb.No250%
Actiqfentanyl citrateYesPA150%
Activellaestradiol/noreth acYes150%
Actonel, Weekly, 150MGrisedronate sodiumNoST250%
Actoplus Metpioglitazone hcl/metformin hclNoST250%
Actoplus Met XRpioglitazone hcl/metformin hclNoST350%
Actospioglitazone hclNoST250%
Acular, LSketorolac tromethamineYes150%
Acuvailketorolac tromethamineNo350%
AczonedapsoneNo350%
AdcircatadalafilNoPA350%
Adderallamphet asp/amphet/d-amphetYes150%
Adderall XR (Brand)amphet asp/amphet/d-amphetNoPA150%
Adipex-Pphentermine hclYesPA150%
Adoxadoxycycline monohydrateYesPA150%
Adoxa 150MG Capsuledoxycycline monohydrateNoPA350%
AdrenaclickepinephrineYes150%
Adrenalin ChlorideepinephrineNo250%
Advairfluticasone/salmeterolNo250%
Advicorniacin/lovastatinNoPA350%
Aerobid, Mflunisolide/mentholNo350%
AfinitoreverolimusNoPA250%
Ageneraseamprenavir/vitamin e/prop glyNo250%
Aggrenoxaspirin/dipyridamoleNo350%
Agrylinanagrelide hclYes150%
Akinetonbiperiden hclNo250%
Akne-Mycinerythromycin baseNo350%
Albalonnaphazoline hclYes150%
AlbenzaalbendazoleNo350%
Albuterol Nebulizer Solnalbuterol sulfateYes150%
Alcaineproparacaine hclYes150%
Alcortin Ahydrocortisone/iodoquin/aloe#2No350%
Aldactazidespironolact/hydrochlorothiazidYes150%
AldactonespironolactoneYes150%
AldaraimiquimodYes150%
Aldex ANdoxylamine succinateNo350%
Aldex-CTphenylephrine/dp-hydram tanNo350%
AldometmethyldopaYes150%
Aldorilmethyldopa/hydrochlorothiazideYes150%
Alenaze-Dphenylephrine/brompheniramineYes150%
Alesse, Levlitelevonorgestrel-eth estraYes150%
Alferon Ninterferon alfa-n3No250%
AlinianitazoxanideNo250%
AlkeranmelphalanNo250%
Alocrilnedocromil sodiumNo250%
Alomidelodoxamide tromethamineNo250%
Aloquiniodoquinol/aloe polysacchar #1No350%
AloraestradiolNo250%
Alpainacetaminophen/phenyltolx citYes150%
Alphagan P 0.1%brimonidine tartrateNo250%
Alphagan, Pbrimonidine tartrateYes150%
Alrexloteprednol etabonateNo350%
Alsumasumatriptan succinateYesPA150%
AltabaxretapamulinNo350%
Altace CapsuleramiprilYes150%
Altace TabletramiprilNoPA350%
AltoprevlovastatinNoPA350%
Alupentmetaproterenol sulfateYes150%
AluveaureaNo350%
AlvescociclesonideNo150%
AmarylglimepirideYes150%
Ambienzolpidem tartrateYes150%
Ambien CRzolpidem tartrateYesPA150%
Amergenaratriptan hclYesST150%
AmericainebenzocaineNo250%
Amicaraminocaproic acidYes150%
AmitizalubiprostoneNoPA350%
Amoxilamoxicillin trihydrateYes150%
Ampicillinampicillin trihydrateYes150%
Ampyrafampridine (4-aminopyridine)NoPA350%
Amrixcyclobenzaprine hclYesPA150%
Amturnidealiskiren/amlodipine/hctzNoST350%
AnacainebenzocaineNo250%
Anadrol-50oxymetholoneNoPA350%
Anafranilclomipramine hclYes150%
Analpram Advancedhc/pramox/diosmin#1/alo#1/pcosNo350%
Analpram HChc acetate/pramoxine hclYes150%
Anamantle HClidocaine hcl/hcYes150%
AnanabromelainsNo350%
Anaprox, DSnaproxen sodiumYes150%
AncobonflucytosineYes150%
AndrodermtestosteroneNo250%
Androgel, 1.62%testosteroneNo250%
Androxy 10MGfluoxymesteroneYes150%
Anexiahydrocodone bit/acetaminophenYes150%
Anexsia/Lorcet Plushydrocodone bit/acetaminophenYes150%
Angeliqestradiol/drospirenoneNo350%
Annusol HC, Proctocream HChydrocortisoneYes150%
AnsaidflurbiprofenYes150%
AntabusedisulfiramYes150%
Antarafenofibrate,micronizedNo350%
Antivertmeclizine hclYes150%
Anusol HChydrocortisone acetateYes150%
Anzemetdolasetron mesylateNo350%
Apexicon Ediflorasone diacetate/emollNo350%
Apidrainsulin glulisineNo250%
Aplenzinbuproprion hbrNoPA350%
Apokynapomorphine hclNo250%
Apresazidehydralazine/hydrochlorothiazidYes150%
Apresolinehydralazine hclYes150%
AprisomesalamineNo350%
Aptivus(Must Be Used With Norvir)tipranavirNo250%
Aquachloralchloral hydrateNo250%
Aralenchloroquine phosphateYes150%
Aranespdarbepoetin alfa in albumn solNoPA350%
AravaleflunomideYes150%
ArcalystrilonaceptNoPA250%
Arcapta Neohalerindacaterol maleateNo350%
Aricept 23MGdonepezil hclNoST350%
Aricept, ODTdonepezil hclYes150%
ArimidexanastrozoleYesPA150%
Aristocort, Kenalogtriamcinolone acetonideYes150%
Arixtra fondaparinux sodiumYes150%
AromasinexemestaneYesPA150%
Artanetrihexyphenidyl hclYes150%
Arthrotecdiclofenac sodium/misoprostolNoPA350%
AsacolmesalamineNo250%
Asacol HDmesalamineNo250%
AsendinamoxapineYes150%
Asmanexmometasone furoateNo150%
Aspirin w/Codeinecodeine phos/aspirinYes150%
Astelin Nasal Sprayazelastine hclYes150%
Astepro Nasal Sprayazelastine hclNo250%
Astringynferric subsulfateNo350%
Atacandcandesartan cilexetilNoPA350%
Atacand, HCTcandesartan/hydrochlorothiazidNoPA350%
Atarax, VistarilhydroxyzineYes150%
Atelviarisedronate sodiumNoPA350%
AtivanlorazepamYes150%
Atriplaefavirenz/emtricitab/tenofovirNo250%
Atropine Sulfateatropine sulfate/pfYes150%
Atrovent Inhaleripratropium bromideNo250%
Atrovent Nasal Sprayipratropium bromideYes150%
Atrovent Soln ipratropium bromideYes150%
Augmentin, ES, XRamox tr/potassium clavulanateYes150%
Auralganaa/antpy/bcaine/polico/al acetYes150%
Avalideirbesartan/hydrochlorothiazideNoPA350%
Avandametrosiglitazone/metformin hclNoST350%
Avandarylrosiglitazone maleate/glimepirNoPA350%
Avandiarosiglitazone maleateNoST350%
AvaproirbesartanNoPA350%
AvcsulfanilamideNo350%
Avelox, ABCmoxifloxacin hclNo250%
Avinzamorphine sulfateNo350%
AvodartdutasterideNo250%
Avonexinterferon beta-1aNo250%
Avonex Administration Packinterferon beta-1a/albuminNo250%
Axertalmotriptan malateNoST350%
Axid (Rx Only)nizatidineYes150%
Axid SolutionnizatidineYes150%
AxirontestosteroneNoPA350%
Aygestinnorethindrone acetateYes150%
AzasiteazithromycinNo350%
Azelexazelaic acidNo350%
Azilectrasagiline mesylateNo250%
AzoptbrinzolamideNo250%
Azoramlodipine bes/olmesartan medNoPA350%
Azulfidine En-TabsulfasalazineYes150%
Azulfidine TabsulfasalazineYes150%
- B -[ Return to Top ]
BacitracinbacitracinYes150%
Bacminfe fumarate/fa/mv-mn/seNo350%
Bactocilloxacillin sodiumNo250%
Bactrim, DS, Septra, DSsulfamethoxazole/trimethoprimYes150%
Bactroban Cream, Nasalmupirocin calciumNo250%
Bactroban OintmentmupirocinYes150%
Bal-Care DHApnv81/sod iron edta& ps/fa/om3Yes150%
BanzelrufinamideNo250%
BaracludeentecavirNo250%
Baros Granulessimethicone/sod bicarb/ttaNo350%
Beconase AQbeclomethasone dipropionateNoST350%
Bellamine/Bellaspasergotamine tart/bellad alk/pbYes150%
Benadryldiphenhydramine hclYes150%
Benicarolmesartan medoxomilNoST250%
Benicar HCTolmesartan/hydrochlorothiazideNoST250%
Bensal HPbenzoic acid/salicylic acidNo250%
Bentyldicyclomine hclYes150%
Benzac W, AC, Washbenzoyl peroxideYes150%
Benzaclinclindamycin phosphate/benz perNo350%
Benzamycinerythromycin base/benz perYes150%
Benzoyl Peroxide Rx Onlybenzoyl peroxideYes150%
Beprevebepotastine besilateNo350%
Besivancebesifloxacin hydrochlorideNo350%
Betadinepovidone-iodineNo250%
Betaganlevobunolol hclYes150%
Betapace, AFsotalol hclYes150%
Betaseroninterferon beta-1bNoPA350%
BetimoltimololNo350%
Betoptic Sbetaxolol hclNo250%
Betoptic Solnbetaxolol hclYes150%
Beyazdrospir/eth estra/levomefol caNo350%
Biaxin, XLclarithromycinYes150%
Bifera RXiron ps/iron hem poly/fa/b12No350%
BiltricidepraziquantelNo250%
Biodec-Dmdm hb/p-ephed hcl/carbinoxYes150%
Bleph-10sulfacetamide sodiumYes150%
Bleph-10, Sodium Sulamydesulfacetamide sodiumYes150%
Blephamide Drops, Ointna sulfacetm/prednisol acNo250%
Blocadrentimolol maleateYes150%
Bonisarastrontium gluconate/b6-b12-faNo350%
Bonivaibandronate sodiumNoST350%
Bontrilphendimetrazine tartrateYesPA150%
Bravelleurofollitropin (fsh)NoPA250%
Brethineterbutaline sulfateYes150%
Brevoxyl Gelbenzoyl peroxideYes150%
BrilintaticagrelorNoST350%
Brofedp-ephed hcl/brompheniraminNo350%
Bromdaybromfenac sodiumNo350%
Broncodurguaifenesin/theophyllineNo250%
Brovanaarformoterol tartrateNoPA350%
BumexbumetanideYes150%
Bupapbutalbital/acetaminophenYes150%
Buphenylsodium phenylbutyrateNo250%
Busparbuspirone hclYes150%
Butisol Sodiumbutabarbital sodiumNo350%
ButransbuprenorphineNoPA350%
ByettaexenatideNoPA350%
Bystolicnebivolol hclNoPA350%
- C -[ Return to Top ]
Caduetamlodipine/atorvastatinYesST150%
Cafergotergotamine tartrate/caffeineNo250%
Calan SR/Isoptin SRverapamil hclYes150%
CalciferolergocalciferolYes150%
Cambiadiclofenac potassiumNoPA350%
Campralacamprosate calciumNoPA350%
CanasamesalamineNo250%
Canges-HCphenylephrine/hydrocodone/bpmYes150%
Cantilmepenzolate bromideNo350%
Capcofchlorpheniramine/pe/codeineNo350%
Capex Shampoofluocinolone acetonideNo250%
CapotencaptoprilYes150%
Capozidecaptopril/hydrochlorothiazideYes150%
CaprelsavandetanibNoPA250%
CaracfluorouracilNo350%
Carafate TabssucralfateYes150%
Carafate, SuspsucralfateYes150%
Carbaglucarglumic acidNoPA250%
CarbatrolcarbamazepineYes150%
Carbatuss-12car-pen/car-pen tan/pe tan/peNo350%
Carbexselegiline hclYes150%
Cardenenicardipine hclYes150%
Cardene SRnicardipine hclNo350%
Cardizem CDdiltiazem hclYes150%
Cardizem LAdiltiazem hclYes150%
Cardizem LA 120MGdiltiazem hclNo350%
Cardizem, SR, CDdiltiazem hclYes150%
Carduradoxazosin mesylateYes150%
Cardura XLdoxazosin mesylateNo350%
CarmolureaYes150%
Carmol HChydrocortisone acetate/ureaNo350%
CarnitorlevocarnitineYes150%
CasodexbicalutamideYes150%
Cataflamdiclofenac potassiumYes150%
Catapresclonidine hclYes150%
Catapres-TTSclonidine hclYes150%
CaverjectalprostadilNoPA250%
Caystonaztreonam lysineNoPA350%
CeclorcefaclorYes150%
Ceclor ERcefaclorYes150%
Cedaxceftibuten dihydrateNo350%
CeenulomustineNo250%
Ceftincefuroxime axetilYes150%
CefzilcefprozilYes150%
CelebrexcelecoxibNoPA350%
CelestonebetamethasoneNo250%
Celexacitalopram hydrobromideYes150%
Cellceptmycophenolate mofetilYes150%
Cellcept Suspensionmycophenolate mofetilNo250%
CelontinmethsuximideNo250%
Cenestinestrogens,conj.,synthetic aNo350%
Centratexfe fumarate/fa/mv, min comb#15No350%
Certussguaifenesin/carbetapentane citNo350%
CerumenextriethanolamineNo250%
CesametnabiloneNo350%
Cetacainetetracaine/benzocaine/butambenNo250%
Cetraxalciprofloxacin hclNo350%
Cetrotidecetrorelix acetateNoPA250%
Chantixvarenicline tartrateNo250%
ChemetsuccimerNo250%
ChenodalchenodiolNoPA350%
Chloral Hydratechloral hydrateYes150%
Chlor-Trimetonchlorpheniramine maleateYes150%
ChlorzoxazonechlorzoxazoneYes150%
Choline Mag Trisalicylatechol sal/magnesium salicylateYes150%
ChronulaclactuloseNo250%
CialistadalafilNoPA250%
Cialis 5MGtadalafilNoPA250%
Ciloxan Dropsciprofloxacin hclYes150%
Ciloxan Ointciprofloxacin hclNo250%
Cimzia SyringecertolizumabNoPA350%
Ciprociprofloxacin hclYes150%
Cipro HCciprofloxacin hcl/hcNo250%
Cipro XRciprofloxacin hcl-betaine combYesPA150%
Ciprodexciprofloxacin hcl/dexamethNo250%
Citracal Prenatal + DHApnv4/iron cbn&gluc/fa/doss/dhaNo350%
Citracal Prenatal 90+DHApnv comb 13/iron cb/fa/dss/dhaNo350%
Citranatal 90 DHApnv comb 22/iron cb/fa/dss/dhaYes150%
Citranatal RXpnv no.22/iron cbn&gluc/fa/dosYes150%
Citrate Phosphate Dextrosecitrate-phos-dex solutionNo350%
Claravis, SotretisotretinoinYes150%
Clarifoam EFsulfacetamide sodium/sulfurYes150%
Clarinex (All)desloratadineNoPA350%
Clarinex-Dp-ephed sul/desloratadineNoPA350%
Claritin, AlavertloratadineYes150%
Claritin-D 12HR, 24HRp-ephed sul/loratadineYes150%
Cleniasulfacetamide sodium/sulfurNo250%
Cleocinclindamycin hclYes150%
Cleocin Palmitateclindamycin palmitateYes150%
Cleocin Tclindamycin phosphateYes150%
Cleocin Vag Creamclindamycin phosphateYes150%
Cleocin Vaginal Ovulesclindamycin phosphateNo350%
ClimaraestradiolYes150%
Climara Proestradiol/levonorgestrelNo350%
Clindagelclindamycin phosphateNo250%
Clindesseclindamycin phosphateNo350%
ClinorilsulindacYes150%
Clobex Shampoo, Lotionclobetasol propionateYesPA150%
Clobex Sprayclobetasol propionateNo350%
Clodermclocortolone pivalateNo250%
Clomidclomiphene citrateYes150%
Clorpresclonidine hcl/chlorthalidoneNo250%
ClozapineclozapineYes150%
ClozarilclozapineYes150%
Coartemartemether/lumefantrineNo250%
Cogentinbenztropine mesylateYes150%
Colbenemidcolchicine/probenecidYes250%
ColcryscolchicineNo250%
Colestidcolestipol hclYes150%
Colestid Flavoredcolestipol hclNo350%
Coly-Mycin Sneomycin sulfate/colist sul/hcNo350%
Colytesod sulf/sod/nahco3/kcl/peg'sYes150%
Colytrolatrop sulf/scopol hb/hyoscyYes150%
Combiganbrimonidine tartrate/timololNo350%
Combipatchestradiol/noreth acNo350%
Combiventalbuterol sulfate/ipratropiumNo250%
Combivirlamivudine/zidovudineYes150%
Combunoxibuprofen/oxycodone hclYesPA150%
Comhistphenylephrine/p-tlox ci/cpNo350%
Commit Lozenge OTC (Bcn Only)nicotine polacrilexYes150%
Compazineprochlorperazine maleateYes150%
Compleraemtricitab/rilpivirine/tenofovNo250%
Complete-RF Prenatalprenatal vit 17/iron cb/fa/dssYes150%
ComtanentacaponeNo250%
Concertamethylphenidate hclYes150%
Condylox GelpodofiloxNo250%
Condylox SolnpodofiloxYes150%
Conexbrompheniramine tannateNo350%
Conpecguaifenesin/phenylephrine hclNo350%
Conziptramadol hclNoPA350%
Copaxoneglatiramer acetateNo250%
CopegusribavirinYesPA150%
Cophene-Spot guaiaco/p-ephed hcl/hcodYes150%
Cordaroneamiodarone hclYes150%
Cordran, Tape, SPflurandrenolideNo250%
Cordron-HCp-ephed hcl/hydrocodone/cpYes150%
CoregcarvedilolYes150%
Coreg CRcarvedilol phosphateNoPA350%
CorgardnadololYes150%
Cortane-Bhc/pramoxine hcl/chloroxylenolNo250%
Cortef, HydrocortisonehydrocortisoneYes150%
Cortenemahydrocortisone acetateYes150%
Corticosteroidssee chapter 7cYes150%
Cortifoamhydrocortisone acetateNo250%
Cortisone Acetatecortisone acetateYes150%
Cortisporinneomy sulf/polymyx b sulf/hcYes150%
Cortisporin-TCneomy sulf/colist sul/hc/thonzNo350%
Corvitairon, carbonyl/fa/c/b-6/b12/znYes150%
Corzidenadolol/bendroflumethiazideYes150%
Cosopttimolol maleate/dorzolam hclYes150%
Coumadinwarfarin sodiumYes150%
Covera-Hsverapamil hclNo250%
Cozaarlosartan potassiumYes150%
Creonamylase/lipase/proteaseNo250%
Crestorrosuvastatin calciumNoST250%
Cresylatecresyl ace/ben alc/butanol/ipaNo350%
Crinoneprogesterone,micronizedNo250%
Crixivanindinavir sulfateNo250%
CupriminepenicillamineNo250%
Cutivatefluticasone propionateYes150%
Cutivate Lotionfluticasone propionateNo350%
CuvposaglycopyrrolateNo350%
Cyanocobalamin InjcyanocobalaminYes150%
Cyclessadesogestrel-ethinyl estradiolYes150%
CyclocortamcinonideYes150%
Cyclogylcyclopentolate hclYes150%
Cyclomydrilphenylephrine/cyclopent hclNo350%
Cyclosetbromocriptine mesylateNo350%
Cyclosporinecyclosporine, modifiedYes150%
Cymbaltaduloxetine hclNoPA350%
CystadanebetaineNo250%
Cystagoncysteamine bitartrateNo250%
Cytomelliothyronine sodiumYes150%
CytotecmisoprostolYes150%
CytoveneganciclovirYes150%
CytoxancyclophosphamideYes150%
Cytra-2, 3, Kcitric acid/potassium citrateYes150%
- D -[ Return to Top ]
D.H.E.45dihydroergotamine mesylateYes150%
DaliresproflumilastNoPA350%
Dalmaneflurazepam hclYes150%
DanocrinedanazolYes150%
Dantriumdantrolene sodiumYes150%
DapsonedapsoneNo250%
DaraprimpyrimethamineNo250%
DayprooxaprozinYes150%
DaytranamethylphenidateNo350%
DDAVP Solndesmopressin acetateNo250%
DDAVP Spraydesmopressin acetateYes150%
DDAVP Tabsdesmopressin acetateYes150%
DecadrondexamethasoneYes150%
Decadron Opthdexamethasone sod phosphateYes150%
De-Chlor HCphenylephrine/hydrocodone/cpYes150%
Declomycindemeclocycline hclYes150%
Delatestryltestosterone enanthateYes150%
Delestrogenestradiol valerateYes150%
Delosbenzoyl peroxideNo350%
DeltasoneprednisoneYes150%
DemadextorsemideYes150%
Demerolmeperidine hclYes150%
DemsermetyrosineNo250%
Demulenethynodiol d-ethinyl estradiolYes150%
DenavirpenciclovirNo350%
Depakenevalproate sodiumYes150%
Depakote, ER, Sprinklesdivalproex sodiumYes150%
DepenpenicillamineNo350%
Depo-Provera 150MGmedroxyprogesterone acetYes150%
Depo-Provera 400MGmedroxyprogesterone acetNo250%
Depo-Subq Provera 104medroxyprogesterone acetNo250%
Dermacort, Hytone (Rx Only)hydrocortisoneYes150%
Derma-Smoothe/FSfluocinolone acetonideYes150%
DermatopprednicarbateYes150%
Dermoticfluocinolone acetonide oilYes150%
Desferaldeferoxamine mesylateYes150%
Desogen, Ortho-Ceptdesogestrel-ethinyl estradiolYes150%
DesonatedesonideNoST350%
Desowen, TridesilondesonideYes150%
Desoxynmethamphetamine hclYes150%
Desyreltrazodone hclYes150%
Detroltolterodine tartrateNo250%
Detrol LAtolterodine tartrateNo250%
Dexchlorpheniramine Maleatedexchlorpheniramine maleateYes150%
Dexedrined-amphetamine sulfateYes150%
DexilantdexlansoprazoleNoST350%
DexpakdexamethasoneYes150%
Diabeta, MicronaseglyburideYes150%
DiabinesechlorpropamideYes150%
DiamoxacetazolamideYes150%
Diamox SequelsacetazolamideYes150%
Diastat 2.5MGdiazepamYes150%
Diastat AcudialdiazepamYes150%
DiazepamdiazepamNo250%
Dibenzylinephenoxybenzamine hclNo250%
Dicloxacillindicloxacillin sodiumYes150%
Didrexbenzphetamine hclYesPA150%
Didroneletidronate disodiumYes150%
Differin 0.1% Cream, GeladapaleneYes150%
Differin 0.1% LotionadapaleneNo350%
Differin 0.3% GeladapaleneNo250%
DificidfidaxomicinNo350%
DiflucanfluconazoleYes150%
Digesplen Pluspep/cell/simeth/bile/pancreatNo350%
Digex NFhyosc sul/phenyltoloxamine citNo250%
Digoxin ElixirdigoxinYes150%
Digoxin TabsdigoxinYes150%
Dilacor XRdiltiazem hclYes150%
Dilantinphenytoin sodium extendedYes150%
Dilantin Chew TabsphenytoinNo250%
Dilatrate-SRisosorbide dinitrateNo250%
Dilaudidhydromorphone hclYes150%
Dilaudid-5hydromorphone hclNo250%
Dilex-G 400guaifenesin/dyphyllineYes150%
DiovanvalsartanNoPA350%
Diovan HCTvalsartan/hydrochlorothiazideNoPA350%
Dipentumolsalazine sodiumNo350%
Diprolene AF, Gel, Cr, Lotbetamet diprop/prop glyYes150%
Diprolene Ointmentbetamet diprop/prop glyYes150%
Diprosone, Maxivatebetamethasone dipropionateYes150%
Disalcid, SalflexsalsalateYes150%
Ditropanoxybutynin chlorideYes150%
Ditropan XLoxybutynin chlorideYes150%
DiurilchlorothiazideYes150%
DivigelestradiolNo350%
Dolgic Plusbutalb/acetaminophen/caffeineNo350%
DolobiddiflunisalYes150%
Dologesicacetaminophen/phenyltolx citNo350%
Donnamarhyoscyamine sulfateNo250%
Donnatalbelladonna alkaloids/phenobarbYes150%
DoralquazepamNo350%
Doryxdoxycycline hyclateYesPA150%
Doryx 150MGdoxycycline hyclateNoPA350%
DostinexcabergolineYes150%
Dovonex CreamcalcipotrieneNo250%
Dovonex Oint, SolncalcipotrieneYes150%
Doxycyclinedoxycycline monohydrateYes150%
DramaminedimenhydrinateYes150%
Drithocreme HPanthralinYes150%
Dritho-ScalpanthralinNo250%
Drocon-CSp-ephed hcl/hydrocodone/bpmYes150%
Drotussguaifen/p-ephed hcl/hcod/cpYes150%
DroxiahydroxyureaNo250%
Drysolaluminum chlorideYes150%
Duacclindamycin phosphate/benz perNo350%
Duet DHApnv2/iron bg hcl suc-p/fa/om-3Yes150%
Duet Stuart Natalpnv/iron fum&bis-gly/fa/aspNo350%
Duetactpioglitazone/glimepirideNoST250%
Duexisibuprofen/famotidineNoPA350%
Duleramometasone/formoterolNo250%
Duonebipratropium/albuterol sulfateYes150%
Duotan PDpseudoephed tan/dexchlor tanNo350%
DuragesicfentanylYes150%
Duramaxguaifen/d-methorphan hb/peNo350%
Durasal salicylic acidYes150%
DurezoldifluprednateNo350%
Duricefcefadroxil hydrateYes150%
Dutoprolmetoprolol succinate/hctzNoPA350%
Dygaseamylase/lipase/proteaseYes150%
DynacircisradipineYes150%
Dynacirc CRisradipineNo350%
Dyphylline GGguaifenesin/dyphyllineYes150%
DyreniumtriamtereneNo250%
Dytan-HCphenylephrine/hcod tan/dphaYes150%
- E -[ Return to Top ]
E.E.S.erythromycin ethylsuccinateYes150%
EC-NaprosynnaproxenYes150%
Edarbiazilsartan medoxomilNoPA350%
Edarbyclorazilsartan med/chlorthalidoneNoPA350%
Edecrinethacrynic acidNo250%
EdexalprostadilNoPA350%
Edluarzolpidem tartrateNoPA350%
Edurantrilpivirine hydrochlorideNo250%
Effexorvenlafaxine hclYes150%
Effexor XRvenlafaxine hclYes150%
Effientprasugrel hydrochlorideNo250%
EfudexfluorouracilYes150%
Efudex Occlusionfluorouracil/adhesive bandageNo350%
Egriftatesamorelin acetateNoPA350%
Elavilamitriptyline hclYes150%
Eldeprylselegiline hclNo250%
Eldercapsmultivitamins w-mineralsYes150%
Elestatepinastine hclYes150%
ElestrinestradiolNo350%
ElidelpimecrolimusNoPA250%
Eligardleuprolide acetateNo350%
ElimitepermethrinYes150%
Elixophyllintheophylline anhydrousNo250%
Ellaulipristal acetateNo350%
Elmironpentosan polysulfate sodiumNo250%
Eloconmometasone furoateYes150%
Emadineemedastine difumarateNo350%
Emcytestramustine phosphate sodiumNo250%
Emend 80,125MG CapsulesaprepitantNo250%
Emlalidocaine/prilocaineYes150%
EmsamselegilineNo350%
EmtrivaemtricitabineNo250%
Enablexdarifenacin hydrobromideNo350%
EnbreletanerceptNoPA250%
Endometrinprogesterone, micronizedNo250%
Enjuviaestrogens,conj.,synthetic bNo250%
Entocort ECbudesonideYes150%
EnzymaxpancreatinNo250%
Epiduoadapalene/benzoyl peroxideNo350%
Epifoamhc acetate/pramoxine hclNo250%
Epipen, JRepinephrineNo250%
EpivirlamivudineYes150%
Epivir HBVlamivudineNo250%
Epogenepoetin alfaNoPA350%
Epzicomabacavir sulfate/lamivudineNo250%
Ergomarergotamine tartrateNo250%
Eritrogenfeso4ex/c/b12/lv-stm/if/faNo350%
Ertaczosertaconazole nitrateNo350%
Erymaxerythromycin baseYes150%
Erypederythromycin ethylsuccinateYes150%
Ery-Taberythromycin baseNo250%
Erythromycinerythromycin ethylsuccinateYes150%
Esgic-Plusacetaminophen/caffeine/butalbYes150%
Eskalithlithium carbonateYes150%
Eskalith CRlithium carbonateYes150%
EstraceestradiolYes150%
Estrace Vaginal CreamestradiolNo350%
EstradermestradiolNo250%
EstrasorbestradiolNo350%
Estratest, H.S.estrogen,ester/me-testosteroneYes150%
EstringestradiolNo250%
EstrogelestradiolNo350%
Estrogensfirst-line therapy when appropriateYes150%
Estrostep Fenoreth a-et estra/fe fumarateYes150%
Ethambutolethambutol hclYes150%
Ethezymepapain/ureaNo250%
Ethmozinemoricizine hclNo250%
Ethyl Chlorideethyl chlorideYes150%
Etrafonamitriptyline hcl/perphenazineYes150%
Eudal-Srguaifenesin/p-ephed hclYes150%
EulexinflutamideYes150%
EuraxcrotamitonNo250%
Evamistestradiol transdermal sprayNo350%
Evistaraloxifene hclNo250%
Evoclin Foamclindamycin phosphateYes150%
Evoxaccevimeline hclNo350%
Exalgohydromorphone hclNoPA350%
Exelderm Soln, Crsulconazole nitrateNo350%
Exelonrivastigmine tartrateYes150%
Exforge, HCTamlodipine/valsartanNoPA350%
ExjadedeferasiroxNoPA350%
Exodermsodium thiosulfate/sal acidYes150%
Extaviainterferon beta-1bNo350%
ExtinaketoconazoleNo350%
- F -[ Return to Top ]
Factivegemifloxacin mesylateNo350%
FamvirfamciclovirYes150%
FanaptiloperidoneNo350%
FanatrexgabapentinNo250%
Farestontoremifene citrateNo250%
FaslodexfulvestrantNo350%
FazacloclozapineNo350%
FelbatolfelbamateYes150%
FeldenepiroxicamYes150%
FemaraletrozoleYes150%
Femhrtnorethind ac/ethinyl estradiolYes150%
Femhrt 0.5MG-2.5MCGethinyl estradiol/noreth acNo250%
Femringestradiol acetateNo350%
Femtraceestradiol acetateNo350%
FenofibratefenofibrateYes150%
FenoglidefenofibrateNo350%
Fentorafentanyl citrateNoPA350%
Feocyte FAfe/vit c/vit b12/fa/vit b6/cuNo350%
Ferraplus 90iron/fa/b12/c/docusate sodiumYes150%
FerriproxdeferiproneNoPA350%
Ferrocite Plusiron/fa/vitamin b comp w-c/minYes150%
Ferromarferrous fumarateNo350%
Fertinexurofollitropin (fsh)NoPA250%
Fetrinferrous fumarate/vit c/b12-ifNo350%
Fexmidcyclobenzaprine hclYes150%
Fibricorfenofibric acidYes150%
Finaceaazelaic acidNo350%
Fioricet w/Codeinecodeine/butalbut/acetamin/caffYes150%
Fioricet;Esgic, Plusbutalb/acetaminophen/caffeineYes150%
Fiorinalbutalbital/aspirin/caffeineYes150%
Fiorinal w/Codeinecodeine/butalbital/asa/caffeinYes150%
Firazyricatibant acetateNoPA350%
First-ProgesteroneprogesteroneNo250%
FlagylmetronidazoleYes150%
Flagyl ERmetronidazoleNo250%
Flarexfluorometholone acetateNo250%
Flector Patchdiclofenac epolamineNoPA350%
Flexerilcyclobenzaprine hclYes150%
Flextra-650acetaminophen/phenyltolx citYes150%
Flomaxtamsulosin hclYes150%
Flonasefluticasone propionateYes150%
Flo-Predprednisolone acetateNo350%
Florineffludrocortisone acetateYes150%
Flovent Hfa, Diskusfluticasone propionateNo150%
FloxinofloxacinYes150%
Floxin OticofloxacinYes150%
Flumadinerimantadine hclYes150%
Fluocinolone Acetonidefluocinolone/shower capYes150%
Fluoxetine HCLfluoxetine hclNo350%
Fluphenazine HCLfluphenazine hclYes150%
Fluvoxamine Maleatefluvoxamine maleateYes150%
FmlfluorometholoneYes150%
Fml Forte, S.O.P.fluorometholoneNo250%
Focalindexmethylphenidate hclYes150%
Focalin XRdexmethylphenidate hclNo350%
Folbecal ca carbonate/vit b12/fa/vit b6Yes150%
Folcaps Omega-3pnv ca#37/iron cb,as,gl/fa/om3Yes150%
Follistim AQfollitropin beta,recombNoPA350%
Folmorfa/pyridox hcl/vit b12/mv-ao5No350%
Folpace RXmgox/e ac succ/b-12/fa/b6No350%
Foltratecyanocobalamin/folic acidNo350%
Folvitefolic acidYes150%
Folysinelysine/vitamin b complex/faNo350%
Foradilformoterol fumarateNo250%
Fortametmetformin hclYes150%
Fortavitmv/dietary 4/dna/rnaNo350%
ForteoteriparatideNoPA350%
FortestatestosteroneNoPA350%
Fosamaxalendronate sodiumYes150%
Fosamax Plus Dalendronate sodium/vitamin d3NoST350%
Fosrenollanthanum carbonateNo350%
Fragmindalteparin sodium,porcineNo350%
Frovafrovatriptan succinateNoST350%
Fumatinicferrous fumarate/vit c/b12-ifYes150%
FurosemidefurosemideYes150%
FuzeonenfuvirtideNo250%
- G -[ Return to Top ]
GabapentingabapentinNo250%
Gabitriltiagabine hclNo250%
Galzinzinc acetateNo350%
Ganirelix Acetateganirelix acetateNoPA250%
Gantrisin Suspsulfisoxazole acetylNo250%
Garamycingentamicin sulfateYes150%
Garimidesulfacetamide sodium/sulfurYes150%
Gastrinexcell/amy/lip/prote/p-tlox/hyosYes150%
Gastrocromcromolyn sodiumYes150%
Gelclairpot sor/hy-ethylcel/pvp/hyalurNo250%
Gel-Kamstannous fluorideYes150%
Gelniqueoxybutynin chlorideNo350%
Genepatussguaifen/d-methorphan hb/pe/cpYes150%
Generess FEnoreth-ethinyl estradiol/ironNo250%
Genhematfe fum/doss na/c/e/b12-if/faYes150%
GenotropinsomatropinNoPA250%
Gentamicin Cr, Ointgentamicin sulfateYes150%
Gentex HCguaifenesin/phenylephrine/hcodNo350%
Gentex Laguaifenesin/phenylephrine hclNo350%
Geocillincarbenicillin indanyl sodiumNo250%
Geodonziprasidone hclNo250%
Gerefsermorelin acetateNo250%
Gilenyafingolimod hydrochlorideNoPA350%
Gleevecimatinib mesylateNo250%
Glucagenglucagon,human recombinantNo250%
Glucagon Emergency Kitglucagon,human recombinantNo250%
Glucophagemetformin hclYes150%
Glucophage XRmetformin hclYes150%
GlucotrolglipizideYes150%
Glucotrol XLglipizideYes150%
Glucovanceglyburide/metformin hclYes150%
Glumetzametformin hclNo350%
Glycolaxpolyethylene glycol 3350Yes150%
Glynaseglyburide,micronizedYes150%
GlysetmiglitolNo350%
Golytelypeg 3350/na sulf,bicarb,cl/kclYes150%
Golytely Packetpeg 3350/na sulf,bicarb,cl/kclNo250%
Gonal-Ffollitropin alpha,recombNo250%
GralisegabapentinNoPA350%
Granulextrypsin/balsam peru/castor oilYes150%
Grifulvin V 500MGgriseofulvin,microsizeNo250%
Grifulvin V Suspgriseofulvin,microsizeYes150%
Gris Peggriseofulvin ultramicrosizeNo250%
Guanidine HCLguanidine hclYes150%
Guiaolex HCguaifenesin/phenylephrine/hcodYes150%
Gynazole-1butoconazole nitrateNo350%
GynodiolestradiolNo250%
- H -[ Return to Top ]
HalciontriazolamYes150%
HaldolhaloperidolYes150%
Halfanhalofantrine hclNo350%
Halflytelybisac/nacl/nahco3/kcl/peg 3350No350%
Halflytely-Bisacodylbisac/nacl/nahco3/kcl/peg 3350No350%
HaloghalcinonideNo350%
Haloperidol Decanoatehaloperidol decanoateYes150%
Hc Acetate/Pramoxine HCLhc acetate/pramoxine hclYes150%
HectoroldoxercalciferolNo350%
Helidactetracyc hcl/bis ss/metronidNo250%
Hematogen FAfe fumarate/vit c/vit b12/faYes150%
Hematron-AFiron,carb/dss/b12if/fa/mv-mnNo350%
Heparinheparin sodium,porcineYes150%
Heparin Sodiumheparin sodium,porcine/pfNo350%
Hepseraadefovir dipivoxilNo250%
HexalenaltretamineNo250%
Hiprex/Urexmethenamine hippurateYes150%
Histacol LAphenylephrine/cpmm/bellad alkYes150%
Histex PDcarbinoxamine maleateYes150%
Histinex HCphenylephrine/hydrocodone/cpYes150%
HividzalcitabineNo250%
Horizantgabapentin enacarbilNoPA350%
Humabid DMguaifenesin/d-methorphan hbYes150%
Humalog, Mixinsulin lispro,human rec.anlogNo250%
Humatinparomomycin sulfateYes150%
HumatropesomatropinNoPA350%
HumiraadalimumabNoPA250%
Humulin 70/30humulinNo250%
Humulin Nnph, human insulin isophaneNo250%
Humulin Rinsulin regular human recNo250%
Hycamtintopotecan hclNoPA250%
Hycethydrocodone bit/acetaminophenNo250%
Hycotussguaifenesin/hydrocodone bitYes150%
HydreahydroxyureaYes150%
HydrochlorothiazidehydrochlorothiazideYes150%
Hydrocodone Bit/Acetaminophenhydrocodone bit/acetaminophenYes150%
Hydrocortisonehydrocortisone acetateYes150%
Hydrodiuril, MicrozidehydrochlorothiazideYes150%
Hygroton, ThalitonechlorthalidoneYes150%
Hyperrho S-Drho(d) immune globulinNo250%
Hyper-Salsodium cl for inhalationYes150%
Hytrinterazosin hclYes150%
Hyzaarlosartan/hydrochlorothiazideYes150%
- I -[ Return to Top ]
Iberet-Folic 500ferrous sulfate/fa/vit bcomp&cYes150%
Ib-Stathyoscyamine sulfateNo250%
Ilotycinerythromycin baseYes150%
Imdurisosorbide mononitrateYes150%
Imitrex Injectionsumatriptan succinateYes150%
Imitrex Nasal SpraysumatriptanYes150%
Imitrex Tabletssumatriptan succinateYes150%
Imodiumloperamide hclYes150%
ImuranazathioprineYes150%
IncivektelaprevirNoPA250%
IncrelexmecaserminNoPA350%
Inderalpropranolol hclYes150%
Inderal LApropranolol hclYes150%
Inderidepropranolol/hydrochlorothiazideYes150%
IndocinindomethacinNo250%
Indocin SuppositoryindomethacinNo250%
Indocin, SRindomethacinYes150%
Infergeninterferon alfacon-1NoPA250%
Inflamase, Forteprednisolone sod phosphateYes150%
Innopran XLpropranolol hclNo350%
InspraeplerenoneYes150%
Intal Solutioncromolyn sodiumYes150%
Integra Firon fum & ps cmp/fa/vit c/b3Yes150%
Integra Plusiron fum & p/fa/vit b & c no.9Yes150%
IntelenceetravirineNo250%
Intron Ainterferon alfa-2b,recomb.NoPA250%
Intunivguanfacine hclNoPA350%
InvegapaliperidoneNoPA350%
Invirasesaquinavir mesylateNo250%
Ionaminphentermine resinNoPA250%
Iopidine Droperetteapraclonidine hclNo350%
Iopidine Dropsapraclonidine hclYes150%
Iplexmecasermin rinfabate/pfNoPA350%
IprivaskdesirudinNo350%
Irofoliron/folic acidNo350%
Irospaniron bisgly & ps/fa/b&c#12/sucNo350%
Isentressraltegravir potassiumNo250%
Ismo, Monoketisosorbide mononitrateYes150%
Isometheptene-Caff-Acetaminophisometheptene/acetaminoph/caffYes150%
IsoniazidisoniazidYes150%
Isopto Atropineatropine sulfateYes150%
Isopto CarbacholcarbacholYes150%
Isopto Carpinepilocarpine hclNo250%
Isopto Homatropinehomatropine hbrYes150%
Isopto Hyoscinescopolamine hydrobromideNo250%
Isordilisosorbide dinitrateYes150%
Istaloltimolol maleateNo250%
- J -[ Return to Top ]
Jakafiruxolitinib phosphateNoPA350%
Jalyndutasteride/tamsulosin hclNoST250%
Janumetsitagliptin phos/metformin hclNoPA350%
Januviasitagliptin phosphateNoPA350%
- K -[ Return to Top ]
Kadianmorphine sulfateYes150%
Kadian 200MGmorphine sulfateNo350%
Kaletraritonavir/lopinavirNo250%
Kaochlor-EFFpotassium chloride/pot bicarbNo350%
Kapvayclonidine hclNoPA350%
Kayciel, Kaon-Cl, Kaon Liquidpotassium chlorideYes150%
Kayexalatesodium polystyrene sulfonateYes150%
K-Dur, Slow-Kpotassium chlorideYes150%
Keflexcephalexin monohydrateYes150%
Keflex 750MGcephalexin monohydrateNo350%
Kemadrinprocyclidine hclNo250%
Kenalogtriamcinolone acetonideYes150%
KeppralevetiracetamYes150%
Keppra XRlevetiracetamYes150%
KeralacureaYes150%
Keralyt Scalpsalicylic acidNo350%
Kerlonebetaxolol hclYes150%
Kerolurea/lactic ac/zn undecylenateYes150%
KetektelithromycinNo350%
KetoconazoleketoconazoleYes150%
KetoprofenketoprofenYes150%
KineretanakinraNoPA350%
Klonopin, WaferclonazepamYes150%
Klor-Conpotassium chlorideYes150%
K-Lyte DSpot bicarb/potassium cit/caNo350%
K-Lyte, Klor-Con/EFpotassium bicarbonate/cit acYes150%
Kombiglyze XRsaxagliptin hcl/metformin hclNoPA350%
Kuvansapropterin dihydrochlorideNoPA250%
Kytrilgranisetron hclYes150%
- L -[ Return to Top ]
Lacriserthydroxypropyl celluloseNo250%
LactuloselactuloseYes150%
Lamictal DispertabslamotrigineYes150%
Lamictal ODTlamotrigineNo350%
Lamictal TabslamotrigineYes150%
Lamictal XRlamotrigineNo350%
Lamisil Granulesterbinafine hclNoPA350%
Lamisil Tabletsterbinafine hclYes150%
LanoxicapsdigoxinNo350%
LanoxindigoxinNo250%
Lantusinsulin glargine,hum.rec.anlogNo250%
Lantus Solostarinsulin glargine,hum.rec.anlogNo250%
Lapaseamylase/lipase/proteaseYes150%
Lariammefloquine hclYes150%
LasixfurosemideYes150%
LastacaftalcaftadineNo350%
Latudalurasidone hclNo350%
Lazandafentanyl citrateNoPA350%
Lescol, XLfluvastatin sodiumNoPA350%
LetairisambrisentanNoPA250%
Leucovorinleucovorin calciumYes150%
LeukeranchlorambucilNo250%
LeukinesargramostimNo250%
Levacetasa/sal-amide/apap/caffeinNo250%
LevaquinlevofloxacinYes150%
Levatolpenbutolol sulfateNo350%
Levbidhyoscyamine sulfateYes150%
Levemirinsulin detemirNo250%
Levitravardenafil hclNoPA350%
Levothyroxinelevothyroxine sodiumYes150%
Levsin, SLhyoscyamine sulfateYes150%
Levsinexhyoscyamine sulfateYes150%
Lexaproescitalopram oxalateNoST250%
Lexivafosamprenavir calciumNo250%
Lexxelenalapril maleate/felodipineNo350%
LialdamesalamineNo350%
Libraxclidinium br/chlordiazepoxideYes150%
LibritabschlordiazepoxideNo350%
Libriumchlordiazepoxide hclYes150%
Lidex, EfluocinonideYes150%
Lidocaine-HChydrocortisone ac/lidocaineYes150%
Lidocaine-Prilocainelidocaine/prilocaineYes150%
Lidocorthc acetate/lidocaine hclNo350%
Lidoderm PatchlidocaineNo350%
Lidositelidocaine hcl/epinephrineNo250%
Limbitrol, DSamitrip hcl/chlordiazepoxideYes150%
LindanelindaneYes150%
LioresalbaclofenYes150%
Lipitoratorvastatin calciumYesST150%
LipofenfenofibrateNo350%
Lithium Carbonatelithium carbonateYes150%
Lithium Citratelithium citrateYes150%
Lithobidlithium carbonateYes150%
Lithostatacetohydroxamic acidNo250%
Livalopitavastatin calciumNoST350%
Lo Loestrin Fenoreth a-et estra/fe fumarateNo350%
Lo/Ovralnorgestrel-ethinyl estradiolYes150%
Locoid Cr, Oint, Solnhydrocortisone butyrateYes150%
Locoid Lipocreamhydrocortisone butyrate/emollYes150%
Locoid Lotionhydrocortisone butyrateNo350%
LodineetodolacYes150%
Lodine XLetodolacYes150%
LodosyncarbidopaNo250%
Loestrin 24 Fenoreth a-et estra/fe fumarateNo350%
Loestrin, Fenoreth a-et estra/fe fumarateYes150%
Lofibrafenofibrate,micronizedYes150%
Lomotildiphenoxylate hcl/atrop sulfYes150%
LonitenminoxidilYes150%
LopidgemfibrozilYes150%
Lopressormetoprolol tartrateYes150%
Lopressor HCTmetoprolol/hydrochlorothiazideYes150%
LoproxciclopiroxYes150%
LoratadineloratadineYes150%
Lorcet-Hdhydrocodone bit/acetaminophenYes150%
Lorct 10-650hydrocodone bit/acetaminophenYes150%
LorzonechlorzoxazoneNo350%
Loseasoniquel-norgest-eth estr/ethin estraYes150%
Lotemaxloteprednol etabonateNo350%
Lotensinbenazepril hclYes150%
Lotensin HCTbenazepril/hydrochlorothiazideYes150%
Lotrelamlodipine besylate/benazeprilYes150%
LotriminclotrimazoleYes150%
Lotrisone Cr, Lotionclotrimazole/betamet dipropYes150%
Lotronexalosetron hclNoPA350%
Lovazaomega-3 acid ethyl estersNo350%
Lovenoxenoxaparin sodiumYes150%
Lovenox 300MG/3MLenoxaparin sodiumNo250%
Loxitaneloxapine succinateYes150%
LozolindapamideYes150%
LufyllindyphyllineNo250%
LumiganbimatoprostNo250%
LunestaeszopicloneNoPA350%
Lupronleuprolide acetateYes150%
Lupron Depotleuprolide acetateNo250%
Lupron Depot-Pedleuprolide acetateNo250%
Luridesodium fluorideYes150%
Luverislutropin alphaNoPA350%
Luvox CRfluvoxamine maleateNoST350%
Luxiqbetamethasone valerateNo350%
Lybrellevonorgestrel-eth estraYes150%
LyricapregabalinNoPA350%
LysodrenmitotaneNo250%
Lystedatranexamic acidNo350%
- M -[ Return to Top ]
MacrobidnitrofurantoinYes150%
Macrodantinnitrofurantoin macrocrystalYes150%
Maganmagnesium salicylateNo250%
Magnacetoxycodone hcl/acetaminophenNo350%
Magnebind 400 RXcalcium carbonate/mag carb/faNo350%
Malaroneatovaquone/proguanil hclYes150%
Mandelaminemethenamine mandelateYes150%
Maprotiline HCLmaprotiline hclYes150%
MarinoldronabinolYes150%
MaviktrandolaprilYes150%
Maxair Autohalerpirbuterol acetateNo350%
Maxalt, MLTrizatriptan benzoateNoST250%
Maxaquinlomefloxacin hclNo350%
MaxidexdexamethasoneNo350%
Maxidonehydrocodone bit/acetaminophenYes150%
Maxitrolneo/polymyx b sulf/dexamethYes150%
Maxzide, Dyazidetriamterene/hydrochlorothiazidYes150%
Meclomenmeclofenamate sodiumYes150%
Medent-PEguaifenesin/phenylephrine hclNo350%
MedrolmethylprednisoloneYes150%
Medrol, DosepakmethylprednisoloneYes150%
Megacemegestrol acetateYes150%
Megace ESmegestrol acetateNo350%
Mellarilthioridazine hclYes150%
M-End PEbrompheniramin/pe/codeine phosNo350%
Menestestrogens,esterifiedNo350%
MenopurmenotropinsNoPA350%
MenostarestradiolNo350%
Mentaxbutenafine hclNo350%
MephytonphytonadioneNo250%
MepronatovaquoneNo250%
Mesnex TabsmesnaNo250%
Mestinonpyridostigmine bromideYes150%
Mestinon Timespan, Syruppyridostigmine bromideNo250%
Metadate CDmethylphenidate hclNo250%
Metaglipglipizide/metformin hclYes150%
Metaproterenol Solnmetaproterenol sulfateYes150%
Methadonemethadone hclYes150%
Metherginemethylergonovine maleateYes150%
MethitestmethyltestosteroneNoPA350%
Methotrexatemethotrexate sodium/pfYes150%
Methylin Chewmethylphenidate hclNo350%
Methylin Solnmethylphenidate hclYes150%
Metoclopramide HCLmetoclopramide hclNo250%
Metozolv Odtmetoclopramide hclNo350%
Metrocream, Gel, LotionmetronidazoleYes150%
Metrogel Topical 1%metronidazoleNo250%
Metrogel-VaginalmetronidazoleYes150%
Metvixiamethyl aminolevulinate hclNo350%
MevacorlovastatinYes150%
Mexitilmexiletine hclYes150%
Miacalcin Injectioncalcitonin,salmon,syntheticNo250%
Miacalcin Nasal Spraycalcitonin,salmon,syntheticYes150%
MicardistelmisartanNoPA350%
Micardis HCTtelmisartan/hydrochlorothiazidNoPA350%
Micro-Kpotassium chlorideYes150%
Midamoramiloride hclYes150%
Midrinisometheptene/apap/dichlphenYes150%
Migergotergotamine tartrate/caffeineNo250%
Migranaldihydroergotamine mesylateNo250%
MillipredprednisoloneYes150%
Miltown, EquanilmeprobamateYes150%
Minipressprazosin hclYes150%
Minizideprazosin hcl/polythiazideNo350%
Minocin, Dynacinminocycline hclYes150%
MintezolthiabendazoleNo250%
Mirapexpramipexole di-hclYes150%
Mirapex Erpramipexole di-hclNoPA350%
Mircettedesog-et estra/ethin estraYes150%
Mobanmolindone hclNo250%
MobicmeloxicamYes150%
Modiconnorethindrone-ethinyl estradYes150%
Modureticamiloride/hydrochlorothiazideYes150%
Monistat 3miconazole nitrateYes150%
Monistat-Dermmiconazole nitrateYes150%
Monodoxdoxycycline monohydrateYes150%
Monoject Insulin Syringesyringe w-ndl, disp,insul,1mlYes150%
Monopril, HCTfosinopril/hydrochlorothiazideYes150%
Monurolfosfomycin tromethamineNo350%
Morphine Sulfatemorphine sulfateYes150%
Motofendifenoxin hcl/atropine sulfateNo350%
MotrinibuprofenYes150%
Movipreppeg3350/sod sul/nacl/asb/c/kclNo350%
Moxatagamoxicillin trihydrateNo350%
Moxezamoxifloxacin hclNo250%
Ms Contin/Oramorph SRmorphine sulfateYes150%
Msirmorphine sulfateYes150%
MucomystacetylcysteineYes150%
Multaqdronedarone hydrochlorideNo250%
Multichewmultivit, iron, min #4, faNo350%
MusealprostadilNoPA250%
Mycelex TrocheclotrimazoleYes150%
MycobutinrifabutinNo250%
MycostatinnystatinYes150%
MydriacyltropicamideYes150%
Myforticmycophenolate sodiumNo350%
MylocelhydroxyureaNo350%
Mynatalprenatal vit/fe fumarate/faYes150%
MysolineprimidoneYes150%
Mytelaseambenonium chlorideNo350%
- N -[ Return to Top ]
Naftinnaftifine hclNo350%
Nalbuphine HCLnalbuphine hclYes150%
Nalfonfenoprofen calciumNo250%
Nalfrxpseudoeph/pyril/dexchlor tannNo350%
Namenda, Solnmemantine hclNo250%
Naprelannaproxen sodiumNo350%
NaprosynnaproxenYes150%
Nardilphenelzine sulfateYes150%
Nasacort AQtriamcinolone acetonideYesST150%
Nasalideflunisolide 0.025% sprayYes150%
NasarelflunisolideYes150%
Nasatab LAguaifenesin/p-ephed hclYes150%
Nascobal GelcyanocobalaminNo350%
Nascobal SpraycyanocobalaminNo350%
Nasex-Gguaifenesin/phenylephrine hclYes150%
Nasonexmometasone furoateNoST350%
Nasop, 12phenylephrine tannateNo350%
Natacapspnv w-o ca no3/fe fumarate/faYes150%
Natachewpv w-o cal/ferrous fumarate/faYes150%
NatacynnatamycinNo250%
Natafortpnv without ca no.9/iron/faNo350%
Nataziaestradiol valerate/dienogestNo350%
Natelle Cpnv w-o ca.1/fe bisgly/faYes150%
NatrobaspinosadNo350%
Naturetin-5bendroflumethiazideNo350%
NavanethiothixeneYes150%
Nebupent Aerosolpentamidine isethionateNo250%
Necon 10/11norethindrone-ethinyl estradYes150%
Neevopnv with ca8/iron/fa/lm-folateYes150%
Neevo DHApnv#79/iron/fa/lmfolate ca/dhaYes350%
Neo-Fradinneomycin sulfateNo250%
Neomycinneomycin sulfateYes150%
Neoralcyclosporine, modifiedYes150%
Neosporin Ophth Solnneomycin/gramicidin/polymyxn bYes150%
Neosporin Opth Ointneomy sulf/bacitra/polymyxin bYes150%
Neo-Synephrinephenylephrine hclYes150%
Neoticantipyrine/benzocaine/zinc acNo350%
Neotuss-Dguaifen/dm hb/p-ephedrine/cpNo350%
Nephron FAfe fumarate/doss/fa/bcomp&cYes150%
Nephro-Vite RXfolic acid/vitamin b comp w-cYes150%
NeptazanemethazolamideYes150%
Nestabspnv comb.no.86/iron bisgly/faNo350%
Nestabs DHApnv #87/iron bisgly/fa/dhaNo350%
NeulastapegfilgrastimNo350%
NeumegaoprelvekinNo250%
NeupogenfilgrastimNo250%
Neurin-Slcyanocobalamin/mecobalaminNo350%
NeurontingabapentinYes150%
NevanacnepafenacNo350%
Nexa Selectpnv80/iron fumarate/fa/dss/dhaNo350%
Nexavarsorafenib tosylateNoPA250%
Nexiclon XRclonidine hclNoPA350%
Nexiumesomeprazole mag trihydrateNoPA350%
NiacorniacinNo250%
NiaspanniacinNo250%
Nicotine Gum, Nicorettenicotine polacrilexYes150%
Nicotine PatchnicotineYes150%
Nicotrol, NSnicotineNo350%
NifedipinenifedipineYes150%
Niferex, Forte, Goldiron aspgly&ps/c/b12/fa/ca/sucYes150%
NilandronnilutamideNo250%
NimotopnimodipineYes150%
NiravamalprazolamYes150%
Nitro-Bid OintmentnitroglycerinNo250%
Nitro-DurnitroglycerinNo350%
NitrofurantoinnitrofurantoinYes150%
Nitroglycerin PatchnitroglycerinYes150%
Nitroglycerin Sa CapnitroglycerinYes150%
NitromistnitroglycerinNo350%
NitrostatnitroglycerinNo250%
Nizoral, Cr, Shampoo 2%ketoconazoleYes150%
Noctecchloral hydrateYes150%
Norcohydrocodone bit/acetaminophenYes150%
Nordette, Levlenlevonorgestrel-eth estraYes150%
Norditropin NordiflexsomatropinNoPA350%
Norflexorphenadrine citrateYes150%
Norgesic, Forteorphenadrine/aspirin/caffeineYes150%
Norinyl 1/35, Ortho-Novum 1/35norethindrone-mestranolYes150%
Norinyl 1/50, Ortho-Novum 1/50norethindrone-ethinyl estradYes150%
NoritatemetronidazoleNo350%
Normodynelabetalol hclYes150%
NoroxinnorfloxacinNo350%
Norpacedisopyramide phosphateYes150%
Norpace CRdisopyramide phosphateNo250%
Norpramindesipramine hclYes150%
Norvascamlodipine besylateYes150%
NorvirritonavirNo250%
Novacorthc acetate/pramox hcl/aloe psNo250%
Novaferrumiron ps cmplx/fa/vit b12/vit cNo350%
Novarel, Pregnyl, Profasigonadotropin,chorionic,humanNoPA250%
Novasushydrocodone tannate/chlor-tanNo250%
Novolininsulin regular human recNo250%
Novologinsulin aspartNo250%
Novolog Mix insuln asp prt/insulin aspartNo250%
NoxafilposaconazoleNo250%
Nucorthydrocortisone acetate/alo verYes150%
Nucyntatapentadol hydrochlorideNoPA350%
Nucynta ERtapentadol hclNoPA350%
Nuedextadextromethorphan hbr/quinidineNoPA250%
Nu-Iron-Vfe ps cmplx/cal/e/fa/multivitNo350%
Nulytelysod sulf/sod/nahco3/kcl/peg'sYes150%
Nuoxbenzoyl peroxide/sulfurYes150%
Nutracareprenatal vitamins/iron/faNo350%
Nutricapfolic acid/mv,fe,other minNo350%
Nutrifac ZXfolic acid/multivits-minYes150%
Nutrivitiron/lysine/vit b comp/faNo350%
NutropinsomatropinNoPA250%
Nutropin AQ NuspinsomatropinNoPA250%
Nuvaringetonogestrel/ethinyl estradiolNo350%
NuvigilarmodafinilNoPA350%
NystatinnystatinYes150%
Nystatin w/Triamcinolonenystatin/triamcinYes150%
- O -[ Return to Top ]
Ocufenflurbiprofen sodiumYes150%
OcufloxofloxacinYes150%
Ocupresscarteolol hclYes150%
Ogen, Ortho-EstestropipateYes150%
Oleptrotrazodone hclNoPA350%
Oluxclobetasol propionateYes150%
Olux-Eclobetasol propionate/emollNo350%
Omeprazole OTComeprazoleYes150%
OmnarisciclesonideNoST350%
OmnicefcefdinirYes150%
OmnitropesomatropinNoPA350%
Onglyzasaxagliptin hydrochlorideNoPA350%
Onsolisfentanyl citrateNoPA350%
Opanaoxymorphone hclYesPA150%
Opana Er 7.5, 15MG oxymorphone hclNoPA350%
Opana ER 7.5, 15MG oxymorphone hclYes150%
Optasetrypsin/balsam peru/castor oilNo350%
Opticromcromolyn sodiumYes150%
OptipranololmetipranololYes150%
Optivarazelastine hclYes150%
Oraceadoxycycline monohydrateNoPA350%
Oracitcitric acid/sodium citrateNo350%
OrappimozideNo250%
Orapredprednisolone sod phosphateYes150%
Orapred ODTprednisolone sod phosphateNo350%
Orbivanbutalb/acetaminophen/caffeineNo350%
OrenciaabataceptNoPA350%
OrfadinnitisinoneNo350%
OrinasetolbutamideYes150%
Ortho Evraethinyl estradiol/norelgestNo250%
Ortho Micronor, Nor-QDnorethindroneYes150%
Ortho Tri-Cyclennorgestimate-ethinyl estradiolYes150%
Ortho Tri-Cyclen Lonorgestimate-ethinyl estradiolNo250%
Ortho-Cyclennorgestimate-ethinyl estradiolYes150%
Ortho-Novum 7/7/7norethindrone-ethinyl estradYes150%
OsmoglynglycerinNo250%
Osmoprep, Visicolnaphos m-b m-h/na phos,di-baNo350%
Ovacesulfacetamide sodiumYes150%
Ovcon 35norethindrone-ethinyl estradYes150%
Ovcon-50, Fenorethindrone-ethinyl estradNo350%
OvidemalathionYes150%
Ovidrelhcg alpha,recombinantNoPA250%
Ovralnorgestrel-ethinyl estradiolYes150%
Oxalisoxalic acidNo250%
OxandrinoxandroloneYesPA150%
Oxiplenvitamin e/folic acid/zinc/seNo250%
Oxistatoxiconazole nitrateNo350%
Oxsoralen, Ultramethoxsalen, rapidNo250%
Oxycodone Immediate Releaseoxycodone hclYes150%
Oxycontinoxycodone hclNoPA350%
Oxyiroxycodone hclYes150%
OxytroloxybutyninNo350%
- P -[ Return to Top ]
Paceroneamiodarone hclYes150%
Pacnexbenzoyl peroxideYes150%
Pahominbelladonna alkaloidsNo250%
Palgiccarbinoxamine maleateYes150%
Pamelor, Aventylnortriptyline hclYes150%
Panafilpapain/urea/chlorophyllinYes150%
Pancreazelipase/protease/amylaseNo250%
Pancrecarb MSamylase/lipase/proteaseNo350%
Pandelhydrocortisone probutateNo350%
Panixinecephalexin monohydrateNo350%
PanretinalitretinoinNo250%
Papaverine Capspapaverine hclYes150%
Papfyllpapain/urea/chlrph cppr cmp soNo350%
Parafon Forte DSCchlorzoxazoneYes150%
Parcopacarbidopa/levodopaYes150%
ParegoricparegoricYes150%
Paremydhydroxyamphetamine/tropicamideNo350%
Parlodelbromocriptine mesylateYes150%
Parnatetranylcypromine sulfateYes150%
Paseraminosalicylic acidNo250%
Patadayolopatadine hclNo350%
Patanaseolopatadine hclNo350%
Patanololopatadine hclNo250%
Paxilparoxetine hclYes150%
Paxil CRparoxetine hclYes150%
Pediazoleery e-succ/sulfisoxazoleYes150%
Pediox-Schlorpheniramine tannateNo350%
PeganoneethotoinNo250%
Pegasyspeginterferon alfa-2aNoPA250%
Pegasys Proclickpeginterferon alfa-2aNo250%
Peg-Intron, Redipenpeginterferon alfa-2bNoPA250%
Penicillin VKpenicillin v potassiumYes150%
PenlacciclopiroxYes150%
Pennsaiddiclofenac sodiumNoPA350%
PentasamesalamineNo250%
PepcidfamotidineYes150%
Pepcid (Rx Only)famotidineYes150%
Percocetoxycodone hcl/acetaminophenYes150%
Percodanoxycodone hcl/aspirinYes150%
Perforomistformoterol fumarateNoPA350%
Periactincyproheptadine hclYes150%
Peridexchlorhexidine gluconateYes150%
Periostatdoxycycline hyclateYes150%
Permaxpergolide mesylateNo250%
PerphenazineperphenazineYes150%
PersantinedipyridamoleYes150%
Pexevaparoxetine mesylateNoPA350%
PhanasinguaifenesinYes150%
Phanatuss HCguaifenesin/hydrocodone bitNo350%
Phena-Plusphenylephrine/pyril mal/cpNo350%
Phena-Sphenylephrine/pyril mal/cpYes150%
Phenerganpromethazine hclYes150%
Phenergan DMd-methorphan hb/prometh hclYes150%
Phenergan VCphenylephrine hcl/prometh hclYes150%
Phenergan w/Codeinecodeine/promethazine hclYes150%
PhenobarbitalphenobarbitalYes150%
Phentermine HCLphentermine hclNo250%
Phenydexguaifen/d-methorphan hb/pe/pyrNo350%
Phenytekphenytoin sodium extendedYes150%
PhisohexhexachloropheneNo250%
Phoslocalcium acetateYes150%
Phoslyracalcium acetateNo350%
Phospholine Iodideechothiophate iodideNo250%
Phrenilinbutalbital/acetaminophenYes150%
Pilocar, Isopto-Carpinepilocarpine hclYes150%
Pilopine HSpilocarpine hclNo250%
Pimapotassium iodideNo250%
PindololpindololYes150%
Plan BlevonorgestrelYes150%
Plaquenilhydroxychloroquine sulfateYes150%
Plavixclopidogrel bisulfateNo250%
PlendilfelodipineYes150%
PletalcilostazolYes150%
Plexion SCTsulfacet sod/sulfur/witch hazYes150%
Plexion, TSsulfacetamide sodium/sulfurYes150%
Podocon-25podophyllum resinNo250%
Polaraminedexchlorpheniramine maleateYes150%
Polycitrasod/potass/k cit/sod cit/caYes150%
Ponstel mefenamic acidYes150%
Pontocainetetracaine hclNo250%
Pradaxadabigatran etexilate mesylateNo250%
Pramosonehc acetate/pramoxine hclYes150%
Pramosone Ehydrocort ace/pramox hcl/emollNo350%
Pramosone Oint, Lotionhc acetate/pramoxine hclNo350%
Pramoxpramoxine hclYes150%
Prandimetrepaglinide/metformin hclNoPA350%
PrandinrepaglinideNo250%
Pravacholpravastatin sodiumYes150%
Precarepv w-o vit a/fe fumarate/faYes150%
Pred Forteprednisolone acetateYes150%
Pred Mildprednisolone acetateNo250%
Pred-Ggentamicin/prednisol acNo350%
PrednisoneprednisoneYes150%
Prefera-OB Plus DHApn vits.w-o ca #8, iron,faYes150%
Prefera-OB Plus DHApnv combo #8/iron/folic ac/dhaYes150%
Premarin, Creamestrogens,conjugatedNo250%
Prempro/Premphaseestrogen,con/m-progest acetNo250%
Prenaissancepnv80/iron fumarate/fa/dss/dhaYes150%
Prenatal 19prenatal vit/fe fumarate/faYes150%
Prenatal Low Ironpnv with ca,no.74/iron/faYes150%
Prenatal Plus, Stuartnatal, Prenapluspnv with ca,no.71/iron/faYes150%
PrevacidlansoprazoleYesST150%
Prevacid Solutab lansoprazoleYesST150%
Previdentsodium fluorideYes150%
Prevpaclansoprazole/amox tr/clarithNo250%
Prezista(Must Be Used With Norvir)darunavir ethanolateNo250%
PriftinrifapentineNo350%
Prilosec Suspensionomeprazole magnesiumNoPA350%
Prilosec, OTComeprazole magnesiumYes150%
PrimsoltrimethoprimNo250%
Prinivil, ZestrillisinoprilYes150%
Prinzide, Zestoreticlisinopril/hydrochlorothiazideYes150%
Pristiqdesvenlafaxine succinateNoST350%
Proair HFA, Ventolin HFAalbuterolNo250%
Proamatinemidodrine hclYes150%
Pro-Banthine 15MGpropantheline bromideYes150%
ProbenecidprobenecidYes150%
Procainamide HCLprocainamide hclNo250%
Procanbidprocainamide hclNo250%
Procardia, XL;Adalat CCnifedipineYes150%
Procentrad-amphetamine sulfateNoPA350%
Pro-Clear Caps guaifenesin/codeine phosYes150%
Procritepoetin alfaNoPA250%
ProctocorthydrocortisoneYes150%
Proctocort Suppositoryhydrocortisone acetateYes150%
Proctofoampramoxine hclYes150%
Proctofoam-HChc acetate/pramoxine hclNo250%
Procto-KithydrocortisoneNo250%
Prodrinisometheptene/acetaminoph/caffNo350%
Profasi 5000Unitsgonadotropin,chorionic,humanNoPA250%
Proferrin-Fortefe heme polypeptide/folic acidNo350%
Progesterone In Oil (Inj)progesteroneYes150%
Prograftacrolimus anhydrousYes150%
Prolex DHpot guaiaco/hydrocodone bitYes150%
Prolixinfluphenazine hclYes150%
Promactaeltrombopag olamineNoPA250%
Promarmultivits w-iron,hematinicNo350%
Prometriumprogesterone,micronizedNo250%
Pronestyl, SRprocainamide hclYes150%
Propranolol HCLpropranolol hclYes150%
PropylthiouracilpropylthiouracilYes150%
ProscarfinasterideYes150%
ProsomestazolamYes150%
Prostigminneostigmine bromideNo250%
Protect Natalpnv82/feps/fa/om3/dha/epa/fishNo350%
Protidphenylephrine/acetaminophn/cpNo350%
Protonixpantoprazole sodiumYes150%
Protonix Suspensionpantoprazole sodiumNoST350%
ProtopictacrolimusNoST350%
Proventil HFAalbuterolNo350%
Proventil Solutionalbuterol sulfateYes150%
Proveramedroxyprogesterone acetYes150%
ProvigilmodafinilNoPA250%
Provocholinemethacholine chlorideNo250%
Prozac Weeklyfluoxetine hclYesPA150%
Prozac, Sarafemfluoxetine hclYes150%
Psorcon Ediflorasone diacetate/emollNo350%
Psorcon, Floronediflorasone diacetateYes150%
Pulmicort Inh (Tier 1-Bcn Only)budesonideNo150%
Pulmicort SolnbudesonideNo150%
Pulmozymedornase alfaNo250%
PurinetholmercaptopurineYes150%
Pylerabismuth/metronid/tetracyclineNo350%
PyrazinamidepyrazinamideYes150%
Pyridiumphenazopyridine hclYes150%
Pyril Dphenylephrine/pyrilamineNo350%
Pyrogallic AcidpyrogallolNo250%
- Q -[ Return to Top ]
Qualaquinquinine sulfateNo350%
Questran, Questran LightcholestyramineYes150%
Quinidexquinidine sulfateYes150%
Quinidine Gluconate SAquinidine gluconateYes150%
Quinidine Sulfatequinidine sulfateYes150%
QuixinlevofloxacinYes150%
Qvarbeclomethasone dipropionateNo150%
- R -[ Return to Top ]
RanexaranolazineNoPA350%
RapaflosilodosinNo350%
Rapamune Tabs, SolutionsirolimusNo250%
Razadyne Solutiongalantamine hydrobromideYes150%
Razadyne, ERgalantamine hydrobromideYes150%
RebetolribavirinYesPA150%
Rebetol SolutionribavirinNoPA250%
Rebetronribavirin/interferon a-2bNoPA350%
Rebifinterferon beta-1a/albuminNo250%
Reglan Tab, Solutionmetoclopramide hclYes150%
RegranexbecaplerminNoPA350%
Relacon Laxguaifenesin/d-methorphan hbYes150%
Relacon-HCphenylephrine/hydrocodone/cpNo350%
RelafennabumetoneYes150%
Relamineglucosam/chondroitin/mv antox5No350%
RelenzazanamivirNo250%
RelistormethylnaltrexoneNoPA250%
Relnate DHApnv 11-iron fum-folic acid-om3Yes150%
Relpaxeletriptan hydrobromideNoST350%
RemeronmirtazapineYes150%
Remeron SoltabmirtazapineYes150%
Remodulintreprostinil sodiumNo250%
Renacidinmag carb/citric acid/g-lactoneNo250%
Renagelsevelamer hclNo250%
Renate DHA Extrapnv55/iron b-g su ch-p/fa/om-3Yes150%
Renvela Packet 0.8Gsevelamer carbonateNo350%
Renvela Packet 2.4Gsevelamer carbonateNo250%
Renvela Tabletsevelamer carbonateNo250%
Repliva 21-7iron ag&fum/c/fa/mv cmb11/ca-tYes150%
Reprexainhydrocodone/ibuprofenYes150%
RepronexmenotropinsNoPA250%
Req49+mv, min cmb#16/fa/lutein/lycopNo350%
Requipropinirole hclYes150%
Requip XLropinirole hclNo350%
Rescriptordelavirdine mesylateNo250%
ResectisolmannitolNo250%
ReserpinereserpineYes150%
Respaire-60guaifenesin/p-ephed hclYes150%
Respa-PEguaifenesin/phenylephrine hclNo350%
Respi-Tann PDcar-b-pen ta/p-epd tanYes150%
RestasiscyclosporineNo250%
RestoriltemazepamYes150%
Retin-A Microtretinoin microspheresNo250%
Retin-A, AvitatretinoinYes150%
RetrovirzidovudineYes150%
Revatiosildenafil citrateNoPA250%
Revianaltrexone hclYes150%
RevlimidlenalidomideNoPA350%
Reyatazatazanavir sulfateNo250%
Rezirap-ephed hcl/hydrocodone bitNo350%
Rheumatrex, Trexallmethotrexate sodiumNo250%
Rhinocort AquabudesonideNoST350%
RibapakribavirinYesPA150%
RibavirinribavirinYesPA150%
Ricobidphenylephrine/chlor-tanNo350%
RidauraauranofinNo250%
RifadinrifampinYes150%
Rifamaterifampin/isoniazidYes150%
Rifaterrifampin/inh/pyrazinamideNo350%
RilutekriluzoleNo250%
Rimso-50dimethyl sulfoxideNo250%
Riometmetformin hclNo350%
Risperdal M-TabrisperidoneYes150%
Ritalin Lamethylphenidate hclYesPA150%
Ritalin, SR; Methylin, ERmethylphenidate hclYes150%
RobaxinmethocarbamolYes150%
Robinul, ForteglycopyrrolateYes150%
RocaltrolcalcitriolYes150%
Roferon-Ainterferon alfa-2a,recomb.No250%
Rosanilsulfacetamide sodium/sulfurYes150%
Rosula Cleansersulfacetamide sod/sulfur/ureaYes150%
Rovin-A DHApnv#31/iron,el.&glu/fa/dss/dhaNo350%
Rowasamesalamine w/cleansing wipesYes150%
Rowasa EnemamesalamineYes150%
Roxanolmorphine sulfateYes150%
Roxicetoxycodone hcl/acetaminophenNo250%
RozeremramelteonNoPA350%
Rum-Kpotassium chlorideNo250%
Rybix ODTtramadol hclNoPA350%
Rythmolpropafenone hclYes150%
Rythmol SRpropafenone hclYes150%
Ryzolttramadol hclYesPA150%
- S -[ Return to Top ]
SabrilvigabatrinNo250%
Safyraldrospir/eth estra/levomefol caNo350%
SaizensomatropinNoPA350%
Salacynsalicylic acidYes150%
Salagenpilocarpine hclYes150%
Salexsalicylic acid/ceramidesYes150%
Salkerasalicylic acidYes150%
SamscatolvaptanNo250%
Sancturatrospium chlorideYes150%
Sanctura XRtrospium chlorideNo350%
SancusogranisetronNoST350%
SandimmunecyclosporineNo250%
Sandostatinoctreotide acetateYes150%
Sandostatin LARoctreotide acetateNoPA250%
SantylcollagenaseNo250%
SaphrisasenapineNo350%
Sarafem Tabletfluoxetine hclNo350%
Savellamilnacipran hclNoPA350%
Seasonalelevonorgestrel-eth estraYes150%
Seasoniquel-norgest-eth estr/ethin estraYes150%
Sectralacebutolol hclYes150%
Selsun RXselenium sulfideYes150%
Sensiparcinacalcet hclNo250%
SeraxoxazepamYes150%
Serevent Diskussalmeterol xinafoateNo250%
SeromycincycloserineNo250%
Seroquelquetiapine fumarateNo250%
Seroquel XRquetiapine fumarateNoPA350%
SerostimsomatropinNoPA350%
Serzonenefazodone hclYesPA150%
Sideroliron/liver ext/vit bcomp&c/minNo350%
Silenordoxepin hclNoPA350%
Silvadenesilver sulfadiazineYes150%
Silver Nitratesilver nitrateNo250%
Simcorniacin/simvastatinNoST350%
Simetylsimethicone/bellad alkNo350%
SimponigolimumabNoPA350%
Sinemetcarbidopa/levodopaYes150%
Sinemet, CRcarbidopa/levodopaYes150%
Sinequan, Adapindoxepin hclYes150%
Singulairmontelukast sodiumNo250%
Sitrexguaifenesin/phenylephrine hclNo350%
SkelaxinmetaxaloneYes150%
Sodium Chloridesodium cl for inhalationYes150%
Solarazediclofenac sodiumNo350%
Solodyn 45, 90, 135MGminocycline hclYesPA150%
Solodyn 55, 65, 80, 105, 115MGminocycline hclNoPA350%
Soltamoxtamoxifen citrateNo350%
SomacarisoprodolYes150%
Soma Compoundcarisoprodol/aspirinYes150%
Soma Compound w/Codeinecodeine phos/carisoprodol/asaYes150%
Somatuline Depotlanreotide acetateNo250%
SomavertpegvisomantNoPA250%
SonatazaleplonYes150%
Sorbitol-Mannitolmannitol/sorbitol solutionNo250%
Sorbutussguaifen/d-methorphan hb/k citNo350%
SoriataneacitretinNo250%
Spacolbelladonna alkaloidsNo250%
Spectazoleeconazole nitrateYes150%
Spectracefcefditoren pivoxilYes150%
Spirivatiotropium bromideNo250%
Sporanox CapsitraconazoleYes150%
Sporanox SolnitraconazoleNo250%
Sprixketorolac tromethamineNo350%
SpryceldasatinibNoPA250%
Sskipotassium iodideYes150%
Stadolbutorphanol tartrateYes150%
Stadol NSbutorphanol tartrateYes150%
Stahistp-ephed hcl/cpmm/atp/scop/hyosNo350%
Stalevocarbidopa/levodopa/entacaponeNo250%
StarlixnateglinideYes150%
Staticinerythromycin base/ethanolYes150%
Statuss Greenpe/p-ephedrine/hcod/pyril/cpNo350%
Stavzorvalproic acidNo350%
Staxynvardenafil hclNoPA350%
Stelazinetrifluoperazine hclYes150%
Stimatedesmopressin acetateNo250%
Stratteraatomoxetine hclNoPA350%
StrianttestosteroneNo350%
Stromectrol - Single DoseivermectinNo250%
Suboxone Filmbuprenorphine hcl/naloxone hclNoPA250%
Suboxone Tabsbuprenorphine hcl/naloxone hclNoPA250%
SucraidsacrosidaseNo250%
SularnisoldipineYes150%
Sulfacet-Rsulfacetamide sodium/sulfurYes150%
SulfadiazinesulfadiazineYes150%
Sulfamylonmafenide acetateNo250%
Sumavel Doseprosumatriptan succinateNoPA350%
Sumaxinsulfacetamide sodium/sulfurYes150%
Sumycintetracycline hclYes150%
SupraxcefiximeNo350%
Surmontiltrimipramine maleateYes150%
SustivaefavirenzNo250%
Sutentsunitinib malateNoPA250%
Sylatronpeginterferon alfa-2bNoPA350%
Symax Duotabhyoscyamine sulfateYes150%
Symbicortbudesonide/formoterol fumarateNo250%
Symbyaxolanzapine/fluoxetine hclNo350%
Symlinpramlintide acetateNoST350%
Symmetrelamantadine hclYes150%
Synalar 0.025% Cream, Ointfluocinolone acetonideYes150%
Synalgos-DCdihydrocodeine/aspirin/caffeinNo250%
Synarelnafarelin acetateNo250%
Syneralidocaine/tetracaineNo250%
Syprinetrientine hclNo350%
- T -[ Return to Top ]
Taclonex, Scalpbetamet diprop/calcipotrieneNoPA350%
Tagamet (Rx Only)cimetidineYes150%
Talacenpentazocine hcl/acetaminophenYes150%
Talwin Nxpentazocine hcl/naloxone hclYes150%
Tambocorflecainide acetateYes150%
Tamiflu Cap, Susposeltamivir phosphateNo250%
Tamoxifen Citratetamoxifen citrateYes150%
TapazolemethimazoleYes150%
Tarcevaerlotinib hclNoPA250%
TargretinbexaroteneNo350%
Tarkatrandolapril/verapamil hclYes150%
Taron Prenatalpnv39/iron fumarate/fa/dss/dhaYes150%
Taron-BCpnv with ca,no63/iron/fa/b6Yes150%
TasmartolcaponeNo350%
Tavist Rx (2.68MG, Syrup)clemastine fumarateYes150%
TazoractazaroteneNo250%
Tegretol XR 100MGcarbamazepineNo250%
Tegretol, XRcarbamazepineYes150%
Tekamloaliskiren/amlodipineNoST350%
Tekturnaaliskiren hemifumarateNoPA350%
Tekturna HCTaliskiren/hydrochlorothiazideNoPA350%
TemodartemozolomideNo250%
Temovate Emollientclobetasol propionate/emollYes150%
Temovate, Clobevateclobetasol propionateYes150%
Tenexguanfacine hclYes150%
Tenoreticatenolol/chlorthalidoneYes150%
TenorminatenololYes150%
Tenuatediethylpropion hclYesPA150%
Terazol- 3, 7terconazoleYes150%
Terramycin w/Polymyxinoxy-tcn hcl/polymyx b sulfNo250%
Tesamone-100testosteroneYes150%
Tessalon, PerlesbenzonatateYes150%
TestimtestosteroneNo350%
Testred, AndroidmethyltestosteroneNo350%
Tetracyclinetetracycline hclYes150%
Teveteneprosartan mesylateYes150%
Teveten 400MGeprosartan mesylateNoPA350%
Teveten HCTeprosartan/hydrochlorothiazideNoPA350%
Tev-TropinsomatropinNoPA350%
TexacorthydrocortisoneNo250%
ThalitonechlorthalidoneNo250%
ThalomidthalidomideNo250%
Theo-24theophylline anhydrousNo250%
Theophylline Anhydroustheophylline anhydrousYes150%
ThioguaninethioguanineNo250%
ThiolatioproninNo250%
Thorazinechlorpromazine hclYes150%
ThyrolarliotrixNo250%
Tiazacdiltiazem hclYes150%
Ticlidticlopidine hclYes150%
Tigantrimethobenzamide hclYes150%
TikosyndofetilideNo250%
Tiladenedocromil sodiumYes150%
Timoptictimolol maleateYes150%
Timoptic - XEtimolol maleateYes150%
TindamaxtinidazoleNo250%
Tirosintlevothyroxine sodiumNo350%
Tobitobramycin/0.25 normal salineNo250%
Tobradex Ointtobramycin sulfate/dexamethNo250%
Tobradex Susptobramycin sulfate/dexamethYes150%
Tobrextobramycin sulfateYes150%
Tofranilimipramine hclYes150%
Tofranil-Pmimipramine pamoateYes150%
TolazamidetolazamideYes150%
Tolectin, DStolmetin sodiumYes150%
TolinasetolazamideYes150%
TopamaxtopiramateYes150%
Topamax SprinkletopiramateYes150%
Topicort Cr, Gel, OintdesoximetasoneYes150%
Topicort LPdesoximetasoneYes150%
Toprol XLmetoprolol succinateYes150%
Toradolketorolac tromethamineYes150%
Toviazfesoterodine fumarateNo350%
TracleerbosentanNoPA250%
TradjentalinagliptinNoPA350%
Transderm-Scopscopolamine hydrobromideNo250%
Tranxeneclorazepate dipotassiumYes150%
Travatan, ZtravoprostNo250%
TrecatorethionamideNo350%
Trelstar Depot, LAtriptorelin pamoateNo250%
TrentalpentoxifyllineYes150%
Tretinointretinoin/emollientNo250%
Treximetsumatriptan succ/naproxen sodNoPA350%
Triamcinolone Acetonidetriamcinolone acetonideYes150%
Tribenzorolmesartan med/amlodipine/hctzNoST350%
Tricorfenofibrate nanocrystallizedNo250%
Triglidefenofibrate nanocrystallizedNo350%
TrileptaloxcarbazepineYes150%
Trileptal SuspoxcarbazepineYes150%
Trilipixfenofibric acidNoPA350%
Trilisatecholine magnesium trisalicylateYes150%
Trimethobenzamide HCLtrimethobenzamide hclYes150%
TrimethoprimtrimethoprimYes150%
Tri-Norinylnorethindrone-ethinyl estradYes150%
Trioxinchloroxylenol/benzoc/hydrocortYes150%
Triphasil, Trilevlenlevonorgestrel-eth estraYes150%
Tri-Vi-Florfluoride ion/vit a,c&dYes150%
Tri-Vit With Fluoride-Ironfluoride ion/iron/vit a,c&dYes150%
Trizivirabacavir/lamivudine/zidovudineNo250%
Trusoptdorzolamide hclYes150%
Truvadaemtricitabine/tenofovirNo250%
T-Staterythromycin base/ethanolYes150%
T-Tanna DMd-methorp tan/p-epd tan/cpYes150%
Tusnel Ped-Cguaifenesin/p-ephed hcl/codNo350%
Tussar SFguaifenesin/p-ephed hcl/codYes150%
Tussionexhydrocodone/chlorphen polisYes150%
Tussiorganidinguaifenesin/codeine phosYes150%
TwinjectepinephrineNo250%
Twynstatelmisartan/amlodipineNoPA350%
Tykerblapatinib ditosylateNoPA250%
Tylenol w/Codeinecodeine phos/acetaminophenYes150%
Tyloxoxycodone hcl/acetaminophenYes150%
TyvasotreprostinilNoPA250%
TyzekatelbivudineNo350%
Tyzinetetrahydrozoline hclNo250%
- U -[ Return to Top ]
Udaminfa/multivits-min/min aa chelNo350%
UloricfebuxostatNoPA250%
Ultracettramadol hcl/acetaminophenYes150%
Ultramtramadol hclYes150%
Ultram ERtramadol hclYesST150%
Ultrase MTamylase/lipase/proteaseNo250%
Ultravatehalobetasol propionateYes150%
UmectaureaYes150%
Uniphyltheophylline anhydrousYes150%
Unireticmoexipril/hydrochlorothiazideYes150%
Univascmoexipril hclYes150%
UramaxinureaYes150%
UreaureaYes150%
Urecholinebethanechol chlorideYes150%
Urellemth/me blue/salicy/na phos/hyoNo250%
Uretron D-Smth/me blue/ba/salicy/atp/hyosNo250%
Uribelmth/me blue/sod phos/phen/hyosNo250%
Urispasflavoxate hclYes150%
Urisymmth/me blue/salicy/na phos/hyoNo250%
Uritact-Ecmth/me blue/ba/salicy/atp/hyosNo250%
Uro Bluemethenamine/hyoscyamineNo250%
Urocit-Kpotassium citrateYes150%
Urogesicmethen/sod phos/meth blue/hyosYes150%
Urogesic-Bluemth/me blue/salicy/na phos/hyoYes150%
Urolene Bluemethylene blueNo250%
Uroxatralalfuzosin hclYes150%
UrsoursodiolYes150%
Urso ForteursodiolYes150%
- V -[ Return to Top ]
VagifemestradiolNo250%
Valcytevalganciclovir hydrochlorideNo250%
Valisone Cr, Lotion, Ointbetamethasone valerateYes150%
ValiumdiazepamYes150%
Valproic Acidvalproate sodiumYes150%
Valtrexvalacyclovir hclYes150%
Valturnaaliskiren/valsartanNoPA350%
Vancocin HCLvancomycin hclNo250%
Vanos 0.1% CrfluocinonideNo350%
Vanoxide-HCbenz perox/hc/skin clnsr no.14Yes150%
Vantincefpodoxime proxetilYes150%
Vasereticenalapril/hydrochlorothiazideYes150%
Vasocidinna sulfacetm/prednis spYes150%
Vasodilanisoxsuprine hclYes150%
Vasotecenalapril maleateYes150%
VecticalcalcitriolNo350%
VelosefcephradineNo250%
Veltinclindamycin/tretinoinNoPA350%
Venlafaxine HCL ERvenlafaxine hclYes150%
VentavisiloprostNoPA250%
VepesidetoposideYes150%
Veramystfluticasone furoateNoST350%
VerdesodesonideNoST350%
VeregensinecatechinsNo350%
Verelanverapamil hclYes150%
Verelan PMverapamil hclYes150%
Veripred 20prednisolone sod phosphateYes150%
VermoxmebendazoleYes150%
Vesicaresolifenacin succinateNo350%
VexolrimexoloneNo250%
VfendvoriconazoleYes150%
Viagrasildenafil citrateNoPA250%
Vibramycin, Vibratabsdoxycycline hyclateYes150%
Vicodin EShydrocodone bit/acetaminophenYes150%
Vicodin, Lortabhydrocodone bit/acetaminophenYes150%
Vicoprofenhydrocodone/ibuprofenYes150%
VictozaliraglutideNoPA350%
VictrelisboceprevirNoPA250%
VidexdidanosineNo250%
Videx ECdidanosineYes150%
Vigamoxmoxifloxacin hclNo250%
Viibrydvilazodone hydrochlorideNoPA350%
Vimovonaproxen/esomeprazole magNoPA350%
VimpatlacosamideNo250%
Vinate IIprenatal vitamins/fe bisgly/faYes150%
Viokaseamylase/lipase/proteaseNo250%
Viraceptnelfinavir mesylateNo250%
ViramunenevirapineYes250%
Viramune XRnevirapineNo350%
VirazoleribavirinNoPA250%
Vireadtenofovir disoproxil fumarateNo250%
ViroptictrifluridineYes150%
Vistarilhydroxyzine pamoateYes150%
Vivactilprotriptyline hclYes150%
VivelleestradiolYes150%
Vivelle-DotestradiolNo250%
Vol-Natepnv with ca,no.73/iron/faYes150%
Vol-Pluspnv with ca,no.71/iron/faNo350%
Vol-Tab Rxprenatal vit #76/iron,carb/faYes150%
Voltarendiclofenac sodiumYes150%
Voltaren Geldiclofenac sodiumNoPA350%
Voltaren-XRdiclofenac sodiumYes150%
Vopaccodeine phos/acetaminophenYes150%
Vospire ERalbuterol sulfateYes150%
Votrientpazopanib hydrochlorideNoPA250%
Vusionmiconazole nitrate/zinc oxideNo350%
Vytorinezetimibe/simvastatinNoPA350%
Vyvanselisdexamfetamine dimesylateNoPA350%
- W -[ Return to Top ]
Welcholcolesevelam hclNo250%
Wellbutrin XL bupropion hclYes150%
Wellbutrin, SRbupropion hclYes150%
Westcorthydrocortisone valerateYes150%
- X -[ Return to Top ]
XalatanlatanoprostYes150%
XalkoricrizotinibNoPA350%
XanaxalprazolamNo250%
Xanax, XRalprazolamYes150%
XareltorivaroxabanNo250%
XelodacapecitabineNo250%
XenazinetetrabenazineNoPA250%
XenicalorlistatNoPA350%
Xereseacyclovir/hydrocortisoneNo350%
Xibrombromfenac sodiumYes150%
Xifaxan 200MGrifaximinNo350%
Xifaxan 550MGrifaximinNoPA350%
Xodolhydrocodone bit/acetaminophenYes150%
XolegelketoconazoleNo350%
Xopenex 1.25MG/0.5MLlevalbuterol hclYes150%
Xopenex HFAlevalbuterol tartrateNo350%
Xopenex Solutionlevalbuterol hclNo350%
Xpect-HCguaifenesin/hydrocodone bitNo350%
Xylocaine (Rx Only)lidocaine hclYes150%
Xylocaine Viscouslidocaine hclYes150%
Xyremsodium oxybateNoPA350%
Xyzallevocetirizine dihydrochlorideYes150%
- Y -[ Return to Top ]
Yasmin 28ethinyl estradiol/drospirenoneYes150%
Yazethinyl estradiol/drospirenoneYes150%
Yohimbine HCLyohimbine hclYes150%
- Z -[ Return to Top ]
Zaditorketotifen fumarateYes150%
Zanaflex Capstizanidine hclNoPA150%
Zanaflex Tabstizanidine hclYesPA150%
Zantac (Rx Only)ranitidine hclYes150%
ZarontinethosuximideYes150%
ZaroxolynmetolazoneYes150%
ZavescamiglustatNo350%
Zebetabisoprolol fumarateYes150%
Zebutalbutalb/acetaminophen/caffeineYes150%
Zegerid Packetomeprazole/sodium bicarbonateNoPA350%
Zegerid RXomeprazole/sodium bicarbonateYesPA150%
Zelaparselegiline hclNo350%
ZelborafvemurafenibNoPA250%
ZemplarparicalcitolNo350%
Zenpepamylase/lipase/proteaseNo250%
Zeosacontraceptives,oralYes150%
ZeritstavudineYes150%
ZetiaezetimibeNoST250%
Ziacbisoprol/hydrochlorothiazideYes150%
Ziagenabacavir sulfateNo250%
Ziana Gelclindamycin/tretinoinNoPA350%
Zipsordiclofenac potassiumNo350%
ZirganganciclovirNo250%
Zithranol-RRanthralinNo350%
ZithromaxazithromycinYes150%
ZmaxazithromycinNo350%
ZocorsimvastatinYes150%
Zofranondansetron hclYes150%
Zofran, ODTondansetronYes150%
Zoladexgoserelin acetateNo250%
ZolinzavorinostatNoPA250%
Zoloftsertraline hclYes150%
Zolpimistzolpidem tartrateNoPA350%
Zolvithydrocodone bit/acetaminophenNo350%
Zomig Nasal SprayzolmitriptanNoST350%
Zomig, ZMTzolmitriptanNoST350%
Zonalon, Prudoxindoxepin hclNo250%
ZonatussbenzonatateNo350%
ZonegranzonisamideYes150%
ZorbtivesomatropinNoPA350%
ZortresseverolimusNo350%
ZoviraxacyclovirYes150%
Zovirax Cream, OintacyclovirNo250%
Z-Pramhc acetate/pramoxine hclYes150%
ZuplenzondansetronNoST350%
Zutriprop-ephed hcl/hydrocodone/cpNo350%
Zybanbupropion hclYes150%
ZyclaraimiquimodNo350%
Zydonehydrocodone bit/acetaminophenNo350%
Zyflo, CRzileutonNo350%
Zylettobramycin/lotepred etabNo350%
ZyloprimallopurinolYes150%
ZymaxidgatifloxacinNo350%
Zyprexa, ZydisolanzapineYes150%
Zyrteccetirizine hclYes150%
Zyrtec-Dp-ephed hcl/cetirizine hclYes150%
Zytigaabiraterone acetateNoPA350%
ZyvoxlinezolidNo250%

page modified 09/23/2011