Avoid High Medication Costs

Ask your doctor to choose a drug from this covered list.

Drug Formulary Alphabetical (pdf)
Special 90-Day Drug Formulary (pdf)

 

$5

30-day supply of generic drugs

$12

90-day supply of certain generic drugs*

$15

30-day supply of brand-name drugs that are not available generically

*90-day formulations and dosages may vary and are at the discretion of the pharmacy.

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Drug NameTrade NameBrand NameSupplyCategoryAgent ClassKeywords
acarbosePRECOSEGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
acebutololSECTRALGeneric30 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
acetaminophen/butalbital/caffeineGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHeadache Therapy
acetaminophen/codeineTYLENOL #3, TYLENOL #4Generic30 daysAutonomic and CNS Drugs;Neurology and PsychCombination Narcotic;Analgesics
acetaminophen/hydrocodoneVICODIN, LORTAB, LORCET, LORTAB, NORCOGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychCombination Narcotic;Analgesics
acetaminophen/oxycodonePERCOCET, ENDOCETGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychCombination Narcotic;Analgesics
acetazolamideDIAMOXGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants;Oral Drugs for Glaucoma
acetic acid/HC oticACETASOL HCGeneric30 daysEar, Nose and Throat MedicationsMiscellaneous Otic Preparations
acyclovir 200mg caps, 400mgZOVIRAXGeneric30 days or 90 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
acyclovir 800mgZOVIRAXGeneric30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
acyclovir (susp.)ZOVIRAXGeneric30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
ADVAIR (Diskus, HFA)ADVAIR DISKUS, ADVAIR HFABrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
AEROCHAMBER or equivalent (spacer)Brand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Agents
albuterol (inhaler, inhalation solution)PROVENTILGeneric30 daysRespiratory, Allergy, Cough and ColdInhaled Beta Agonists;Beta Agonists Oral
albuterol (nebul. Sol, syrup, tablet)PROVENTILGeneric30 daysRespiratory, Allergy, Cough and ColdInhaled Beta Agonists;Beta Agonists OralAsthma
alclometasoneACLOVATEGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
alendronateFOSAMAXGeneric30 days or 90 daysMusculoskeletal and RheumatologyOsteoporosis Therapy;Miscellaneous Agents
allopurinol (tab)ZYLOPRIMGeneric30 days or 90 daysMusculoskeletal and RheumatologyGout Therapy
ALPHAGAN-PBrand Name30 daysOphthalmologyMiscellaneous Opthalmologics
alprazolamXANAX, NIRAVAM, XANAX, XANAX XRGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnxiolyticsAnxiety, Panic Disorders
Alprazoplam ER (tabs)XANAX XRGeneric30 days
ALREXBrand Name30 daysOphthalmologySteroids
amantadineSYMMETRELGeneric30 daysAnti-Infectives;Autonomic and CNS Drugs;Neurology and PsychMiscellaneous Antivirals/Antiparkinsonism Drugs
amilorideMIDAMORGeneric30 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
amiloride/hctzGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
amiodaroneCORDARONE, PACERONEGeneric30 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
amitriptylineELAVILGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychTricyclic Antidepressant Agents
amlodipineNORVASCGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsCalcium Channel Blockers (Dihydropyridines)
amoxicillin/clavunate (All dosage forms except XR)AUGMENTINGeneric30 daysAnti-InfectivesPenicillinsinfection
amphetamine saltsADDERALLGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Psychotherapeutic AgentsADHD
amphetamine salts combo-XR (cap)ADDERALL-XRGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Psychotherapeutic Agents
ampicillinPRINCIPENGeneric30 daysAnti-InfectivesPenicillinsinfection
anastrozoleARIMIDEXGeneric30 days or 90 daysAntineoplastic and Immunosuppressant DrugsAntiestrogens
ANORO (inhalation powder)ANORO ELLIPTABrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary AgentsCOPD
apraclonidine ophth.IOPIDINEGeneric30 daysOphthalmologySympathomimetics
aripiprazole (tab)ABILIFYGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antipsychotics
ARNUITYARNUITYBrand Name30 days
ASACOLBrand Name30 daysGastroenterologyMiscellaneous Gastrointestinal Agents
ASMANEXBrand Name30 daysRespiratory, Allergy, Cough and ColdInhaled Corticosteroids
atenololTENORMINGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta BlockersHeart, Angina, Hypertension
atenolol/chlorthalidoneTENORETICGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta Blockers and Thiazide and Related Diureticsheart
atomoxetine (caps)STRATTERAGeneric30 days
atorvastatin (tab)LIPITORGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering Agentsheart, cholesterol
atropine ophth.Generic30 daysOphthalmologyCycloplegic Mydriatics
ATROVENT HFABrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
azathioprine (tab)AZASAN, IMURANGeneric30 daysAntineoplastic and Immunosuppressant DrugsImmunosuppressant Drugs;Miscellaneous Rheumatological Agents
azithromycin (powder, susp, tab)ZITHROMAX, ZPAKGeneric30 daysAnti-InfectivesMacrolidesinfection
AZOPTBrand Name30 daysOphthalmologyOther Glaucoma Drugs
bacitracin (ophth.)Generic30 daysOphthalmologyAntibiotics
bacitracin/neomycin /polymyxin/HC ophth.Generic30 daysOphthalmologySteroid-Antibiotic Combinations
baclofenLIORESAL, GABLOFENGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyMuscle Relaxants and Antispasmodic Agents
balsalazide disodiumGeneric30 daysGastroenterologyMiscellaneous Gastrointestinal Agents
balziva 0.04/0.035mgGeneric30 daysObstetrics and GynecologyOral Contraceptives and Related agents
Bayer Contour Next (Glucose test strips - provided at cost)Brand Name30 daysDiabetes Care Supplies
Bayer Contour Next EZ (Glucometer)Brand Name30 daysDiabetes Care Supplies
Bayer MicroLancets (Lancets)Brand Name30 daysDiabetes Care Supplies
benazeprilLOTENSINGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsACE Inhibitorsheart
benzonatateTESSALONGeneric30 daysRespiratory, Allergy, Cough and ColdAntitussives
benzoyl peroxide (gel, liq)Generic30 daysDermatologicals/Topical TherapyTherapy for AcneSkin
benzoyl peroxide w/ erythromycin (gel)BENZAMYCIN, BENZAMYCIN PAKGeneric30 daysDermatologicals/Topical TherapyTherapy for AcneSkin
benztropineCOGENTINGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
betamethasone (augmented) (crm, oint)Generic30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
betamethasone (crm, oint)Generic30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
betamethasone (lotion)Generic30 days
betamethasone/clotrimazole (crm, oint)LOTRISONEGeneric30 daysDermatologicals/Topical TherapyTopical AntifungalsSkin
bethanecholURECHOLINEGeneric30 daysUrologicalsCholinergic Stimulants
BETIMOLBrand Name30 daysOphthalmologyBeta Blockers
bisoprololZEBETAGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
bisoprolol/hctzZIACGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsOther Antihypertensive Combinationsheart
BLEPHAMIDEBrand Name30 daysOphthalmologySteroid-Sulfonamide Combinations
BREOBREOBrand Name30 days
brimonidineGeneric30 daysOphthalmologySympathomimetics
bromocriptinePARLODELGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
budesonide (nebul sol)PULMICORT, RHINOCORT, ENTOCORT ECGeneric30 daysRespiratory, Allergy, Cough and ColdInhaled CorticosteroidsAllergies
bumetanideBUMEXGeneric30 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
bupropionWELLBUTRINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
bupropion-SRWELLBUTRIN-SRGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Diagnostics and Miscellaneous AgentsMiscellaneous Antidepressants
bupropion-XLWELLBUTRIN-XLGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
buspironeBUSPARGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnxiolytics
cabergolineDOSTINEXGeneric30 daysEndocrine/DiabetesMiscellaneous Agents
calcipotriene (crm, ointm, soln)CALCITRENE, DOVONEX, SORILUXGeneric30 daysDermatologicals/Topical TherapyAntipsoriatic;AntiseborrheicSkin
calcitonin sprayMIACALCIN, FORTICALGeneric30 daysEndocrine/DiabetesMiscellaneous Agents;Osteoporosis Therapy
calcium acetatePHOSLO, ELIPHOS, PHOSLYRAGeneric30 daysVitamins, Hematinics and ElectrolytesOther Electrolytes
camila 0.35mgERRIN, JOLIVETTE, LYZA, NOR-QD, NORA-BE, ORTHO MICRONORGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentsnor-q-d, errin, jolivette, heather
CAPEX 0.01% (shampoo)Brand Name30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
captoprilCAPOTENGeneric30 daysCardiovascular, Hypertension and LipidsACE Inhibitorsheart
captopril/hctzCAPOZIDEGeneric30 daysCardiovascular, Hypertension and LipidsOther Antihypertensive Combinationsheart
carbamazepineTEGRETOLGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
carbamazepine-srTEGRETOL-XRGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
carbidopa/levodopaSINEMET, PARCOPAGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
carbidopa/levodopa-srSINEMET-CRGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
carisoprodolSOMAGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMuscle Relaxants and Antispasmodic AgentsMuscle Injuries
carisoprodol/aspirinSOMA COMPOUNDGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyMuscle Relaxants and Antispasmodic Agents
carteolol ophthalmicOCUPRESSGeneric30 daysOphthalmologyBeta Blockers
carvedilol (tablet)COREGGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta BlockersHeart, Hypertension, Heart Failure
cefaclorCECLOR, RANICLORGeneric30 daysAnti-InfectivesCephalosporins, Second Generationinfection
cefadroxilDURICEFGeneric30 daysAnti-InfectivesCephalosporins, First Generationinfection
cefdinirOMNICEFGeneric30 daysAnti-InfectivesAntibioticsinfection,
cefpodoximeVANTINGeneric30 daysAnti-InfectivesCephalosporins, Third Generationinfection
cefuroximeCEFTIN, KEFUROX, ZINACEFGeneric30 daysAnti-InfectivesCephalosporins, Second Generationinfection
celecoxibCELEBREXGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDS-specific COX II Inhibitors
cephalexinKEFLEXGeneric30 daysAnti-InfectivesCephalosporins, First Generationinfection
CHANTIXBrand Name30 daysDiagnostics and Miscellaneous AgentsSmoking Deterrents
chlorhexidine gluconatePERIDEXGeneric30 daysEar, Nose and Throat MedicationsMiscellaneous Agents
chloroquineARALEN PHOSPHATEGeneric30 daysAnti-InfectivesAntimalarialsinfection
chlorpromazineTHORAZINEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychPhenothiazines
chlorthalidoneTHALITONE, HYGROTONGeneric30 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
cholestyramineQUESTRAN, PREVALITEGeneric30 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering Agentsheart
cholestyramine liteQUESTRAN LIGHTGeneric30 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering Agentsheart
ciclopirox (crm, gel, lotion)PENLAC, LOPROXGeneric30 daysDermatologicals/Topical TherapyTopical AntifungalsSkin
cilostazol (tab)PLETALGeneric30 days or 90 days
cimetidine 300mg, 400mg, 800mgTAGAMETGeneric30 daysGastroenterologyH2 Antagonists
ciprofloxacinCIPRO, CIPRO XR, PROQUIN XR, CIPRO I.V., CIPRO CYSTITIS PACKGeneric30 daysAnti-InfectivesFluoroquinolones;Antibioticsinfection
citalopram 20, 40mgCELEXAGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychSelective Serotonin Reuptake Inhibitors (SSRIs)Depression
clarithromycin (susp, tab)BIAXINGeneric30 daysAnti-InfectivesMacrolidesinfection
CLEOCIN 100mg (vaginal suppos.)Brand Name30 daysObstetrics and GynecologyAntibiotics
clindamycin (cap, cream, gel, lotion, solution)CLEOCINGeneric30 daysAnti-InfectivesMiscellaneous Anti-Infectives;Therapy for Acneinfection
clobetasol 0.05% 0.05%TEMOVATEGeneric30 days
clomipheneCLOMIDGeneric30 daysObstetrics and GynecologyOvulatory Stimulants;Drugs to Treat Infertility;IVF Agents
clomipramineANAFRANILGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychTricyclic Antidepressant Agents
clonazepamKLONOPIN, KLONOPIN WAFERGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsantsSeizure, Panic Attack
clonidine (patch)CATAPRESGeneric30 daysCardiovascular, Hypertension and LipidsAdrenergic Antagonists and Related DrugsHeart, Hypertension
clonidine (tab)CATAPRESGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAdrenergic Antagonists and Related DrugsHeart, Hypertension
clopidogrel 75mg (tab)PLAVIXGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAntiplateletheart
clotrimazoleLOTRIMINE, DESENEXGeneric30 daysDermatologicals/Topical TherapyAntifungal AgentsSkin
colchicine (12 tabs/month) 0.6mg (tab)Generic30 days
colestipolCOLESTIDGeneric30 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering Agentsheart
COMBIPATCH 0.05, 0.14Brand Name30 daysObstetrics and GynecologyEstrogen Combinations
COMBIVENTCOMBIVENT, DUONEBBrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
CREONBrand Name30 daysGastroenterologyDigestive Enzymes
CRINONE (gel)CRINONE, PROMETRIUM, ENDOMETRINBrand Name30 daysObstetrics and GynecologyProgestins
cromolyn (nebul soln)INTALGeneric30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
cromolyn 4% (Opth drops)Generic30 days
cyclobenzaprineFLEXERILGeneric30 days or 90 daysMusculoskeletal and RheumatologyMuscle Relaxants and Antispasmodic AgentsMuscle Pain, Spasms
cyclopentolate ophth.AK-PENTOLATE, CYCLOGYL, CYLATE, OCU-PENTOLATE, PENTOLAIRGeneric30 daysOphthalmologyCycloplegic Mydriatics
cyclosporine (cap)NEORAL, GENGRAF, SANDIMMUNEGeneric30 daysAntineoplastic and Immunosuppressant DrugsImmunosuppressant Drugs
cyproheptadinePERIACTINGeneric30 daysRespiratory, Allergy, Cough and ColdAntihistamines
danazolDANOCRINEGeneric30 daysEndocrine/DiabetesAndrogens
DELZICOL (cap)Brand Name30 days
dermotic ear (drops)Generic30 days
desipramineNORPRAMINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychTricyclic Antidepressant Agents
desmopressinDDAVPGeneric30 daysEndocrine/DiabetesMiscellaneous Agents
desonideDESONATEGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
desoximetasoneTOPICORTGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
dexamethasoneDECADRONGeneric30 daysEndocrine/DiabetesCorticosteroids;Adrenal Hormones
diazepam (tab, gel)VALIUMGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants/Muscle Relaxants and Antispasmodic Agents;Anxiolytics
diclofenac (tab)VOLTAREN, ZORVOLEXGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDS
diclofenac gel 1%Generic30 days
dicloxacillinGeneric30 daysAnti-InfectivesPenicillinsinfection
dicyclomine 10, 20mgBENTYLGeneric30 days or 90 daysGastroenterology;UrologicalsAntispasmodics;Anticholinergics
diflorasoneAPEXICON, MAXIFLOR, PSORCONGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
diflunisalDOLOBIDGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDS
digoxin (tab)LANOXINGeneric30 daysCardiovascular, Hypertension and LipidsCardiac Glycosidesheart
diltiazem 30, 60, 90, 120mg (tab)CARDIZEMGeneric30 daysCardiovascular, Hypertension and LipidsCalcium Channel Blockers (Non-Dihydropyridines)
diltiazem-CDCARDIZEM-CDGeneric30 daysCardiovascular, Hypertension and LipidsCalcium Channel Blockers (Non-Dihydropyridines)heart
dipyridamolePERSANTINEGeneric30 daysCardiovascular, Hypertension and LipidsAntiplatelet Drugsheart
disopyramideNORPACEGeneric30 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
divalproex sodiumDEPAKOTEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
divalproex-ERDEPAKOTE-ERGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
donepezil (tab)ARICEPTGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Neurological Therapy
dorzolamideTRUSOPTGeneric30 daysOphthalmologyOther Glaucoma Drugs
dorzolamide/timololCOSOPTGeneric30 daysOphthalmologyOther Glaucoma Drugs
doxazosinCARDURAGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAdrenergic Antagonists and Related Drugs;Benign Prostatic Hyperplasia Therapyheart
doxepin (caps & liquid)SINEQUANGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychTricyclic Antidepressant Agents
doxycyclineDORYX, MONODOX, ORACEAGeneric30 daysAnti-InfectivesTetracyclinesinfection
DULERABrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
duloxetineCYMBALTAGeneric30 days
econazole 1% (cream)Generic30 days
ELIQUIS (tab)Brand Name30 days
emoquette 0.15/0.03mgORTHO-CEPT
APRI, AZURETTE, CAZIANT, CESIA, CYCLESSA, DESOGEN, EMOQUETTE, KARIVA, MIRCETTE, ORTHO-CEPT, RECLIPSEN, SOLIA, VELIVET, VIORELE
Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related Agents
enalaprilVASOTECGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsACE Inhibitorsheart
enalapril/hctzVASERETICGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsOther Antihypertensive Combinationsheart
ENBREL PFS/MINI/SURECLICK (injectable)Brand Name30 days
enpresse-28TRIPHASIL-28, TRI-LEVLEN-28Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentstriphasic,trivora-28
epinephrine auto-injectorEPIPENGeneric30 daysRespiratory, Allergy, Cough and ColdAdrenergics
epinephrine auto-injector jr.EPIPEN-JRGeneric30 daysRespiratory, Allergy, Cough and ColdAdrenergics
erythromycin (caps, gel, ophth ointm, susp, tab)E.E.S. GRANULES, E.E.S.-200, E.E.S.-400, E.E.S.-400 FILMTAB, ERY-TAB, ERYC, ERYPED, ERYPED 200, ERYPED 400Generic30 daysAnti-Infectives;Dermatologicals/Topical TherapyMacrolides;Therapy for Acne;AntibioticsSkin
erythromycin/sulfisoxazolePEDIAZOLE, ERYZOLE, SULFIMYCINGeneric30 daysAnti-InfectivesMacrolidesinfection
escitalopram (tab)LEXAPROGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychSelective Serotonin Reuptake Inhibitors (SSRIs)
estradiol (crm, patch)CLIMARA, VIVELLE, ESTRACE, ESTRADERM, FEMTRACE, GYNODIOLGeneric30 daysObstetrics and GynecologyOsteoporosis Therapy;Estrogens
estradiol (tab)ESTRACEGeneric30 days or 90 daysObstetrics and GynecologyOsteoporosis Therapy;Estrogens
estrogen/methyltestosteroneGeneric30 daysObstetrics and GynecologyAndrogens
estropipate 0.75, 1.5mg (tab)OGEN 0.625, OGEN 1.25, OGEN 2.5, ORTHO-ESTGeneric30 daysMusculoskeletal and Rheumatology;Obstetrics and GynecologyOsteoporosis Therapy
ethambutolMYAMBUTOLGeneric30 daysAnti-InfectivesAntimycobacterialsinfection
ethosuximideZARONTINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
etodolacLODINEGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDS
ezetimibeZETIAGeneric30 days or 90 days
famciclovirFAMVIRGeneric30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
famotidine 40mgPEPCIDGeneric30 days or 90 daysGastroenterologyH2 Antagonists
fenofibrate (tab)TRICOR, LIPOFEN, FENOGLIDEGeneric30 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering AgentsHeart, Cholesterol
fentanylDURAGESIC, FENTORA, ONSOLISGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNarcotic Analgesics
finasteridePROSCAR, PROPECIA, PROSCARGeneric30 days or 90 daysUrologicalsBenign Prostatic Hyperplasia TherapyBenign Prostatic Hyperplasia (BPH)
flavoxateURISPASGeneric30 daysUrologicalsAnticholinergics and Antispasmodics
flecainideTAMBOCORGeneric30 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
FLOVENT (Diskus, HFA)Brand Name30 daysRespiratory, Allergy, Cough and ColdInhaled Corticosteroids
fluconazole (oral suspension, tab)DIFLUCANGeneric30 daysAnti-InfectivesAntifungal Agents;Vaginal Antifungalsinfection
fludrocortisoneFLORINEF ACETATEGeneric30 daysEndocrine/DiabetesAdrenal Hormones
flunisolide (nasal spray)NASARELGeneric30 daysEar, Nose and Throat MedicationsIntranasal Steroids
fluocinonide 0.05%LIDEXGeneric30 days
fluocinonide 0.05% (crm, ointm, soln)LIDEX, VANOSGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
fluoride oral supplementsGeneric30 daysVitamins, Hematinics and ElectrolytesVitamins and Hematinics
fluoride oral supplements (chewables, drops)Generic30 days or 90 daysVitamins, Hematinics and ElectrolytesVitamins and Hematinics
fluorometholone (ophth. ointm & susp.)FMLGeneric30 daysOphthalmologySteroids
fluorouracil (crm, top. soln)Generic30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
fluoxetine (capsule)PROZACGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychSelective Serotonin Reuptake Inhibitors (SSRIs)Depression
fluphenazineGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychPhenothiazines
flurazepamDALMANEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHypnotic Agents
flurbiprofenANSAIDGeneric30 daysMusculoskeletal and RheumatologyNSAIDS
fluticasone (inhaler, nasal spray, cream, ointment)FLONASE, FLOVENT, CUTIVATEGeneric30 daysDermatologicals/Topical Therapy;Ear, Nose and Throat Medications;Respiratory, Allergy, Cough and ColdIntranasal SteroidsRhinitis, Skin
fluvoxamineLUVOXGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychSelective Serotonin Reuptake Inhibitors (SSRIs)
folic acid 1mgFA-8, FOLACIN-800Generic30 days or 90 daysVitamins, Hematinics and ElectrolytesVitamins and Hematinics
furosemideLASIX, LASIX, DIAQUA-2, LO-AQUAGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsThiazide and Related DiureticsHeart, Hypertension
gabapentinNEURONTINGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsantsSeizures
ganciclovirGeneric30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
gemfibrozilLOPIDGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering Agentsheart, cholesterol
gentamicin (crm, ophth, oint, soln)GENTAK, GARAMYCINGeneric30 daysAnti-Infectives;Dermatologicals/Topical Therapy;OphthalmologyAntibioticsEyes, Skin
glimepirideAMARYLGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
glipizideGLIPIZIDEGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
glipizide-XLGLUCOTROL-XLGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
GLUCAGON KITGeneric30 daysEndocrine/DiabetesGlucose Elevating Agents
glyburideGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
glyburide micronizedGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
griseofulvin v (susp, tab)GRIFULVINGeneric30 daysAnti-InfectivesAntifungal Agentsinfection
guaifenesin/codeineGeneric30 daysRespiratory, Allergy, Cough and ColdAntitussive Combinations
guanfacine (tab)TENEXGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Cardiovascular, Hypertension and LipidsMiscellaneous Psychotherapeutic Agents;Adrenergic Antagonists and Related Drugsblood pressure; ADHD; hypertension
Guanfacine ER (tabs)INTUNIV ERGeneric30 days
H.Pylori 14-day Triple Therapy Amox/Clarithomycin/LansoprazoleGeneric30 daysGastroenterologyOther Ulcer Therapy
haloperidol (tab)HALDOLGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychPhenothiazines
heparinGeneric30 daysVitamins, Hematinics and ElectrolytesAnticoagulants - Heparin
homatropineGeneric30 daysOphthalmologyCycloplegic Mydriatics
homatropine/hydrocodone (syr)TUSSIGONGeneric30 daysRespiratory, Allergy, Cough and ColdAntitussive Combinations
HUMIRA PFS/PEN (injectable)Brand Name30 days
hydralazineAPRESOLINEGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsVasodilatorsheart
hydrochlorothiazideDIURILGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsThiazide and Related DiureticsHeart, Hypertension
hydrocortisone 2.5% (lotion)Generic30 days
hydrocortisone (tab, suppository)Generic30 daysDermatologicals/Topical Therapy;Respiratory, Allergy, Cough and ColdTopical Corticosteroids;Antipsoriatic;Antiseborrheic;Miscellaneous Gastrointestinal AgentsSkin
hydrocortisone/iodoquinol 1%-1% (cream)DERMAZENEGeneric30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
hydrocortisone/pramoxineANALPRAM, HC PRAMOXINE, NOVACORT, PRAMOSONE, PROCTOFOAM HC, RECTOCORT HC, PRAMCORTGeneric30 daysDermatologicals/Topical TherapyMiscellaneous Gastrointestinal AgentsSkin
hydromorphoneDILAUDIDGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNarcotics
hydroquinone (crm)Generic30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
hydroxychloroquinePLAQUENILGeneric30 daysAnti-InfectivesAntimalarials;Miscellaneous Rheumatological Agentsinfection
hydroxyurea (cap)DROXIAGeneric30 days
hydroxyzineATARAX, VISTARIL, HYZINEGeneric30 daysRespiratory, Allergy, Cough and ColdAntihistamines
hyoscyamineGeneric30 daysGastroenterologyAnticholinergics and Antispasmodics
hyoscyamine-erGeneric30 daysGastroenterologyAnticholinergics and Antispasmodics
ibuprofen 400mg, 600mg, 800mg (tab)MOTRINGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychNSAIDSInflammation
imipramineTOFRANILGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychTricyclic Antidepressant Agents
imiquimod (Limit: 12 packets/30 days)ALDARA, ZYCLARAGeneric30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin Growths
INCRUSE Ellipta (inhalation powder)INCRUSEBrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary AgentsCOPD
indapamideLOZOLGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
indomethacin, indomethacin-er 25mg, 50mg, 75mgINDOCINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNSAIDS
ipratropium (neb. sol)ATROVENTGeneric30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
isoniazidNYDRAZIDGeneric30 daysAnti-InfectivesAntimycobacterialsinfection
isosorbide dinitrateDILATRATE-SRGeneric30 daysCardiovascular, Hypertension and LipidsLong Acting Nitratesheart
isosorbide mononitrate 30mg, 60mg, 120mgIMDURGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsLong Acting Nitratesheart
JANUMETBrand Name30 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
JANUMET-XRBrand Name30 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
JANUVIABrand Name30 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
jinteli 1/0.005mgGeneric30 daysObstetrics and GynecologyOral Contraceptives and Related agents
jolivette 0.35mgORTHO-MICRONOR,
AYGESTIN, CAMILA, ERRI, NOR-QD, NORA-BE, ORTHO MICRONOR
Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentsortho-micronor, nor-q-d, errin, camila, heather
junel 1/0.02mg or 1.5/.03mgLOESTRINGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agents
junel-fe 1.5/0.03mgLOESTRIN-FEGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agents
karivaMIRCETTE, APRI, AZURETTE, CAZIANT, CESIA, CYCLESSA, DESOGEN, EMOQUETTE, KARIVA, MIRCETTE, ORTHO-CEPT, RECLIPSEN, SOLIA, VELIVET, VIORELEGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agents
kelnor 1/0.035mgDEMULEN 1/35-28, KELNOR, ZOVIA 1/35, ZOVIA 1/50Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentszovia 1/35
ketoconazole 2% (cream)Generic30 days
ketoconazole (shampoo only)NIZORALGeneric30 daysAnti-Infectives;Dermatologicals/Topical TherapyAntifungal Agents;Topical AntifungalsSkin
ketoprofenACTRON, ORUDISGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDS
ketorolacTORADOLGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and Rheumatology;OphthalmologyNSAIDSEyes
labetololGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
lactulose (syrup)Generic30 days or 90 daysGastroenterologyMiscellaneous Gastrointestinal Agents
lamotrigineLAMICTALGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsantsSeizures
LANTUSBrand Name30 daysEndocrine/DiabetesInsulin Therapy
latanoprost ophth.XALATANGeneric30 days or 90 daysOphthalmologyOther Glaucoma Drugsglaucoma
leenaTRI-NORINYLGeneric30 daysObstetrics and GynecologyOral Contraceptives and Related agentstriphasic
leflunomide (tab)Generic30 days
letrozoleFEMARAGeneric30 days or 90 daysAntineoplastic and Immunosuppressant DrugsAntiestrogens
leuprolide injectionGeneric30 daysAntineoplastic and Immunosuppressant Drugs;Obstetrics and GynecologyDrugs to Treat Infertility;IVF Agents
levetiracetamKEPPRAGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsantsSeizures
levobunolol ophth.BETAGANGeneric30 daysOphthalmologyBeta Blockers
levofloxacinLEVAQUINGeneric30 daysAnti-InfectivesFluoroquinolones;Antibioticsinfection
levothyroxine (tablet)Generic30 days or 90 days
levoxylSYNTHROIDBrand Name30 daysEndocrine/DiabetesAntithyroid Agents
LIALDA (tab)Brand Name30 days
lidocaine (crm, gel, ointm, viscous liq)Generic30 daysDermatologicals/Topical TherapyTopical Anesthetics;Miscellaneous AgentsSkin
lidocaine/prilocaine (top.)EMLAGeneric30 daysDermatologicals/Topical TherapyTopical AnestheticsSkin
lindaneGeneric30 daysDermatologicals/Topical TherapyTopical Scabicides;PediculicidesSkin
liothyronineCYTOMEL, TRIOSTATGeneric30 daysEndocrine/DiabetesThyroid Hormones
lisinoprilPRINIVIL, ZESTRILGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsACE Inhibitors
lisinopril/hctzPRINZIDE, ZESTORETICGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsOther Antihypertensive Combinationsheart
lithium carbonateLITHOBIDGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Psychotherapeutic Agentspsychiatry
lorazepamATIVANGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnxiolyticsAnxiety
losartanCOZAARGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAngiotensin II Receptor Blockers and Renin Inhibitors
losartan/hctzHYZAARGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAngiotensin II Receptor Blockers and Renin Inhibitorsheart
LOTEMAXBrand Name30 daysOphthalmologySteroids
lovastatinMEVACOR, ALTOCORGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering AgentsHeart, High Cholesterol
low-ogestrel 0.3/0.03mgLO/OVRAL-21, CRYSELLE 28, LO/OVRAL-28, LOW-OGESTREL, OGESTREL-28Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentscryselle-28
loxapineLOXITANE, LOXITANE, LOXITANE C, LOXITANE IMGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Psychotherapeutic Agentspsychiatry
mebendazoleVERMOXGeneric30 daysAnti-InfectivesAntiparasiticsinfection
medroxyprogesterone (injectable (90-d), tab(30-d))DEPO-PROVERA, PROVERAGeneric30 days or 90 daysObstetrics and GynecologyProgestins
mefloquineLARIAMGeneric30 daysAnti-InfectivesAntimalarialsinfection
megestrol (tab)MEGACEGeneric30 days or 90 daysObstetrics and GynecologyHormones
meloxicamMOBICGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDSArthritis
memantine (tab)NAMENDAGeneric30 days
meprobamateEQUANIL, MB-TABGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyAnxiolytics
MEPRONBrand Name30 daysAnti-InfectivesAntiparasiticsinfection
mesalamineCANASAGeneric30 daysGastroenterologyMiscellaneous Gastrointestinal Agents
metaproterenol (syr)ALUPENT, METAPRELGeneric30 daysRespiratory, Allergy, Cough and ColdBeta Agonists Oral
metforminFORTAMET, GLUCOPHAGE, GLUCOPHAGE XR, GLUMETZA, RIOMETGeneric30 days or 90 daysEndocrine/DiabetesNon-Insulin Hypoglycemic AgentsDiabetes
methazolamideGLAUCTABS, MZM, NEPTAZANEGeneric30 daysOphthalmologyOral Drugs for Glaucoma
methimazoleNORTHYX, TAPAZOLEGeneric30 days or 90 daysEndocrine/DiabetesAntithyroid Agents
methocarbamolROBAXIN, ROBAXIN-750, CARBACOT, SKELEXGeneric30 daysMusculoskeletal and RheumatologyMuscle Relaxants and Antispasmodic Agents
methotrexate (tab)RHEUMATREX DOSE PACK, TREXALLGeneric30 daysAntineoplastic and Immunosuppressant Drugs;Musculoskeletal and RheumatologyAntimetabolites;Miscellaneous Rheumatological Agents
methyldopaALDOMETGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAdrenergic Antagonists and Related Drugsheart
methylphenidate (IR tabs only)RITALIN, METADATE, METHYLINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Psychotherapeutic AgentsADHD
methylprednisoloneMEDROLGeneric30 daysEndocrine/DiabetesAdrenal Hormones
metoclopramide (syr, tab)METOZOLV ODT, REGLANGeneric30 days or 90 daysGastroenterologyMiscellaneous Gastrointestinal Agents
metolazoneZAROXOLYN, MYKROXGeneric30 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
metoprololLOPRESSORGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta Blockers
metoprolol/hctzLOPRESSOR HCTGeneric30 daysCardiovascular, Hypertension and LipidsOther Antihypertensive Combinationsheart
metoprolol-xlTOPROL-XLGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
metronidazole (crm, vag. gel, tab)FLAGYL, METROGELGeneric30 daysAnti-Infectives;Dermatologicals/Topical Therapy;Obstetrics and GynecologyAntiparasitics;Therapy for AcneSkin
mexiletineMEXITILGeneric30 daysOphthalmologyAntiarrhythmic Agents
MicrochamberMICROCHAMBER30 days
microgestin 1/0.02mg or 1.5/0.03mgLOESTRINGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agents
microgestin-fe 1/0.02mg or 1.5/0.03mgLOESTRIN-FEGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agents
minocyclineDYNACIN, MINOCIN, MINOCIN PAC, MYRAC, SOLODYN, VECTRINGeneric30 daysAnti-InfectivesTetracyclinesinfection
minoxidilLONITENGeneric30 daysCardiovascular, Hypertension and LipidsVasodilatorsheart
mirtazapine (tab)REMERONGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
misoprostolCYTOTECGeneric30 daysGastroenterology;Obstetrics and GynecologyProstaglandins
mometasone (crm, lotion, ointment)ELOCONGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
montelukast (chew, tab)SINGULAIRGeneric30 days or 90 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
morphine (IR or ER Tabs only)MS CONTINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNarcotics
mupirocin (ointment only)BACTROBANGeneric30 daysDermatologicals/Topical TherapyTopical AntibacterialsSkin
MYCOBUTINBrand Name30 daysAnti-InfectivesAntimycobacterialsinfection
mycophenolate mofetilCELLCEPTGeneric30 daysAntineoplastic and Immunosuppressant DrugsImmunosuppressant Drugs
nabumetoneRELAFENGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNSAIDS
nadololCORGARDGeneric30 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
naltrexoneREVIAGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNarcotic Antagonists/Opioid Dependence
naproxenNAPROSYN, ALEVEGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychNSAIDSInflammation
naproxen-ecEC-NAPROSYNGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNSAIDS
naratriptanAMERGEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHeadache Therapy
neomycinGeneric30 daysAnti-InfectivesMiscellaneous Anti-Infectivesinfection
Neomycin/Polymixin/Dexameth 0.1% (Ophth drops)MAXITROLGeneric30 days
Neomycin/Polymixin/Dexameth 0.1% (Ophth Oint)MAXITROLGeneric30 days
neomycin/polymyxin/ HC ophth. (crm, ointm, susp )Generic30 daysOphthalmologyAntibiotics
neomycin/polymyxin/gramicidin ophth.Generic30 daysOphthalmologyAntibiotics
nicotine (gum, lozenges, patches)NICODERM, NICORETTE, NICOTROLGeneric30 daysDiagnostics and Miscellaneous AgentsSmoking Deterrents
nifedipinePROCARDIA, NIFEDICALGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsCalcium Channel Blockers (Dihydropyridines)
nitrofurantoinMACROBID, MACRODANTINGeneric30 daysAnti-InfectivesUrinary Tract Agentsinfection
nitroglycerin (ointm, patch, SL, spray)Generic30 daysCardiovascular, Hypertension and LipidsRapid/Long Acting Nitratesheart
norethindroneAYGESTIN, CAMILA, ERRIN, JOLIVETTE, NOR-QD, NORA-BE, ORTHO MICRONOR, HEATHERGeneric30 days or 90 daysObstetrics and GynecologyProgestins
nortrel 7/7/7 (0.5/0.035mg)ORTHO-NOVUM 7/7/7Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentstriphasic
nortriptylinePAMELOR, AVENTYL HCLGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychTricyclic Antidepressant Agents
NOVOLIN 70/30Brand Name30 daysEndocrine/DiabetesInsulin Therapy
NOVOLIN NBrand Name30 daysEndocrine/DiabetesInsulin Therapy
NOVOLIN RBrand Name30 daysEndocrine/DiabetesInsulin Therapy
NOVOLOGBrand Name30 daysEndocrine/DiabetesInsulin Therapy
NUVARINGBrand Name30 daysObstetrics and GynecologyDiaphragms and Other Non-Oral Contraceptives
nystatin (crm, ointm, powd, susp)MYCOSTATIN TOPICAL, NYSTOPGeneric30 daysAnti-Infectives;Dermatologicals/Topical TherapyAntifungal Agents;Topical AntifungalsSkin
nystatin/triamcinoloneMYCOLOGGeneric30 days
ocella 3-0.03mgYASMIN, GIANVI, LORYNA, OCELLA, SYEDA, VESTURA, YASMIN, YAZ, ZARAHGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentssyeda, zarah
ofloxacin (ophth, otic)FLOXIN, OCUFLOXGeneric30 daysEar, Nose and Throat Medications;OphthalmologyFluoroquinolones;Miscellaneous Otic Preparations
orphenadrineNORFLEX, ORPHENATEGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyMuscle Relaxants and Antispasmodic Agents
orphenadrine compoundGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyMuscle Relaxants and Antispasmodic Agents
ORTHO EVRABrand Name30 daysObstetrics and GynecologyDiaphragms and Other Non-Oral Contraceptives
oxcarbazepine (tab)Generic30 days
OXSORALEN-ULTRABrand Name30 daysDermatologicals/Topical Therapy;Diagnostics and Miscellaneous AgentsMiscellaneous DermatologicalsSkin
oxybutyninDITROPANGeneric30 daysUrologicalsAnticholinergics and Antispasmodics
oxybutynin-XLDITROPAN-XLGeneric30 daysUrologicalsAnticholinergics and Antispasmodics
oxycodoneOXYCONTINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNarcotics
oxycodone/acetaminophenENDOCET, PERCOCETGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychCombination Narcotic;Analgesics
oxycodone-ERGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNarcotics
PANCREAZEBrand Name30 daysGastroenterologyDigestive Enzymes
pantoprazolePROTONIXGeneric30 days or 90 daysGastroenterologyProton Pump InhibitorsGERD
paroxetinePAXILGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychSelective Serotonin Reuptake Inhibitors (SSRIs)Depression
peg 3350/electrolytesGeneric30 daysGastroenterologyBowel Evacuants
penicilln vkGeneric30 daysAnti-InfectivesPenicillinsinfection
pentoxifylline-erGeneric30 daysCardiovascular, Hypertension and Lipids;Vitamins, Hematinics and ElectrolytesMiscellaneous Coagulation Agentsheart
permethrinGeneric30 daysDermatologicals/Topical TherapyTopical Scabicides;PediculicidesSkin
perphenazineTRILAFONGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychPhenothiazines
perphenazine/amitriptylineETRAFON, TRIAVILGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
phenazopyridineGeneric30 daysUrologicalsUrinary Anesthetics
phenobarbitalGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
phenytoinDILANTINGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
pilocarpine (ophth.)ISOPTO CARPINE, PILOPINE HSGeneric30 daysOphthalmologyDirect Acting Miotics
pindololVISKENGeneric30 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
piroxicamFELDENEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychNSAIDS
podofiloxCONDYLOXGeneric30 daysDermatologicals/Topical Therapy;Diagnostics and Miscellaneous AgentsMiscellaneous DermatologicalsSkin
polymyxin-b & trimethoprimGeneric30 daysOphthalmologyAntibiotics
portia-28 0.15/0.03mgNORDETTE-28Generic30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related agentsaltavera, levora-28
potassium chlorideKLOR-CON, K-DURGeneric30 days or 90 daysVitamins, Hematinics and ElectrolytesMiscellaneous Urologicals;Electrolytes
potassium chloride-erGeneric30 days or 90 daysVitamins, Hematinics and ElectrolytesMiscellaneous Urologicals;Electrolytes
pramipexoleMIRAPEX, MIRAPEX ERGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
PRANDINBrand Name30 daysEndocrine/DiabetesNon-Insulin Hypoglycemic Agents
pravastatinPREVACHOL, PRAVACHOLGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering AgentsHeart, High Cholesterol
prazosinMINIPRESSGeneric30 daysCardiovascular, Hypertension and LipidsAdrenergic Antagonists and Related Drugsheart
prednicarbateDERMATOPGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
prednisolone (oral liquid, ophth. Drop)ORAPRED, PEDIAPRED, PRELONE, PRED FORTEGeneric30 daysEndocrine/Diabetes, OphthalmologySteroids
prednisone (tab)DELTASONEGeneric30 days or 90 daysEndocrine/DiabetesSteroidsSwelling, Allergic Reactions
Pregabalin (caps)LYRICAGeneric30 days
PREMARIN (tab, vag crm)Brand Name30 daysObstetrics and GynecologyOsteoporosis Therapy;Estrogens
PREMPHASEBrand Name30 daysObstetrics and GynecologyEstrogen Combinations
PREMPROBrand Name30 daysObstetrics and GynecologyEstrogen Combinations
prenatal plus vitaminsGeneric30 days or 90 daysVitamins, Hematinics and ElectrolytesVitamins and Hematinics
primidoneMYSOLINEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
probenecidBENEMIDGeneric30 daysMusculoskeletal and RheumatologyGout Therapy
procainamideGeneric30 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
prochlorperazineCOMPAZINEGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and Psych;GastroenterologyAntivertigo and Antiemetic Drugs
PROCTOZONE-HC 2.5% (crm)Brand Name30 days
progesterone 50mg/ml (injection)PROMETRIUMGeneric30 daysObstetrics and GynecologyProgestins
promethazine (syr, tab)PHENERGANGeneric30 daysGastroenterology;Respiratory, Allergy, Cough and ColdAntivertigo and Antiemetic Drugs;Antihistamines
promethazine/codeinePHENERGAN W/ CODEINEGeneric30 daysRespiratory, Allergy, Cough and ColdAntitussive Combinations
promethazine-dmGeneric30 daysRespiratory, Allergy, Cough and ColdAntitussive Combinations
propranololINDERALGeneric30 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
propranolol-ERGeneric30 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
propranolol-LAGeneric30 daysCardiovascular, Hypertension and LipidsBeta Blockersheart
propylthiouracilGeneric30 daysEndocrine/DiabetesAntithyroid Agents
PROVENTIL HFABrand Name30 daysRespiratory, Allergy, Cough and ColdInhaled Beta Agonists
PULMICORT FLEXHALERBrand Name30 daysRespiratory, Allergy, Cough and ColdInhaled Corticosteroids
PULMOZYMEBrand Name30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
pyrazinamideGeneric30 daysAnti-InfectivesAntimycobacterialsinfection
pyridostigmineGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMuscle Relaxants and Antispasmodic Agents
Quetiapine Fum ER (tabs)SEROQUEL XRGeneric30 days
quetiapine fumarateSEROQUELGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antipsychoticspsychiatry
quinidine sulfateGeneric30 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
quinidine sulfate-erGeneric30 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
QVARBrand Name30 daysRespiratory, Allergy, Cough and ColdInhaled Corticosteroids
ramiprilALTACEGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsACE Inhibitorsblood pressure
ranitidine 150, 300mgZANTACGeneric30 days or 90 daysGastroenterologyH2 AntagonistsUlcers, GERD
REGRANEXBrand Name30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
RENAGELBrand Name30 daysDiagnostics and Miscellaneous AgentsMiscellaneous Agents
repaglinide (tab)Generic30 days or 90 days
ribavirin (caps, tabs)COPEGUS, REBETOL, RIBAPAK, RIBASPHERE, RIBATAB, VIRAZOLEGeneric30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
rifampinRIFADIN, RIMACTANEGeneric30 daysAnti-InfectivesAntimycobacterialsinfection
risperidone (tab)RISPERDALGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antipsychotics
rizatriptanMAXALTGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHeadach Therapymigraine; headache
ropiniroleREQUIPGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
rosuvastatinCRESTORGeneric30 days or 90 days
salsalate 500mgSALFLEX, AMIGESICGeneric30 daysGastroenterologySalicylates
SANTYLBrand Name30 daysDermatologicals/Topical TherapyTopical EnzymesSkin
selegilineELDEPRYL, ZELAPARGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
selenium sulfide (lotion)Generic30 daysDermatologicals/Topical TherapyAntipsoriatic;AntiseborrheicSkin
sertralineZOLOFTGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychSelective Serotonin Reuptake Inhibitors (SSRIs)
sevelamer carbonate 800mg tabs 800mg (tab)RENVELAGeneric30 days
silver sulfadiazineSILVADENEGeneric30 daysDermatologicals/Topical TherapyBurn TherapySkin
simvastatinZOCORGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsLipid/Cholesterol Lowering AgentsHeart, High Cholesterol
sodium citrate/citric acid (liq)BICITRA, CYTRA-2, LIQUI-DUAL CITRA, ORACITGeneric30 days or 90 daysUrologicalsMiscellaneous Urologicals
solifenacin (tab)VESICAREGeneric30 days
SOLU-CORTEFBrand Name30 daysEndocrine/DiabetesCorticosteroids
sotalol 80mgBETAPACE, SORINEGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAntiarrhythmic Agentsheart
spironolactone 25mgALDACTONEGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsThiazide and Related DiureticsHeart, Hypertension
spironolactone/hctzALDACTAZIDEGeneric30 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
sprintec 0.25/0.035mgMONONESSA, ORTHO TRI-CYCLEN, ORTHO TRI-CYCLEN LO, ORTHO-CYCLEN, PREVIFEM, SPRINTEC, TRI-LO-SPRINTEC, TRI-PREVIFEM, TRI-SPRINTEC, TRINESSAGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related Agents
sucralfateCARAFATEGeneric30 daysGastroenterologyOther Ulcer Therapy
sulfacetamide sodium 10% ophth.Generic30 daysOphthalmologyAntibiotics
sulfacetamide/prednisoloneGeneric30 daysOphthalmologyAntibiotics
sulfacetamide/sulfur 10%/5% (topical cleanser)Generic30 days
sulfamethoxazole-trimethoprimGeneric30 daysAnti-InfectivesSulfas and Related Agentsinfection
sulfasalazineAZULFIDINE, SULFAZINEGeneric30 daysGastroenterologyMiscellaneous Gastrointestinal Agents;Miscellaneous Rheumatological Agents
sulfasalazine-ecGeneric30 daysGastroenterologyMiscellaneous Gastrointestinal Agents;Miscellaneous Rheumatological Agents
sulindacCLINORILGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;Musculoskeletal and RheumatologyNSAIDS
sumatriptan 9 tabs per 30 days (tabs)IMITREXGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHeadache TherapyMigraines
SUPREP (liq)Brand Name30 days
SYNTHROIDBrand Name30 daysEndocrine/DiabetesAntithyroid Agents
tacrolimus (cap & ointment)PROTOPIC, PROGRAFGeneric30 daysAntineoplastic and Immunosuppressant DrugsImmunosuppressant DrugsTransplant Organ Rejection
TAMIFLUBrand Name30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
tamoxifenSOLTAMOXGeneric30 days or 90 daysAntineoplastic and Immunosuppressant DrugsAntiestrogens
tamsulosinFLOMAXGeneric30 days or 90 daysUrologicalsBenign Prostatic Hyperplasia Therapy
temazepamRESTORILGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHypnotic AgentsInsomnia
tenofovir 300mg (tab)VIREADGeneric30 days
teraconazole vaginalGeneric30 daysObstetrics and GynecologyVaginal Antifungals
terazosinHYTRINGeneric30 days or 90 daysCardiovascular, Hypertension and Lipids;UrologicalsAdrenergic Antagonists and Related Drugs;Benign Prostatic Hyperplasia Therapyheart
terbinafine (tab)LAMISILGeneric30 days or 90 daysAnti-InfectivesAntifungal Agentsinfection
testosterone depotDEPO-TESTOSTERONEGeneric30 daysEndocrine/DiabetesAndrogens
tetracyclineALA-TET, PANMYCIN, SUMYCINGeneric30 daysAnti-InfectivesTetracyclinesinfection
theophyllineGeneric30 daysRespiratory, Allergy, Cough and ColdXanthines
thioridazineMELLARIL, MELLARIL-SGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychPhenothiazines
timolol (sol)BLOCADRENGeneric30 days or 90 daysOphthalmologyBeta Blockers
timolol-xe (ophth.)Generic30 daysOphthalmologyBeta Blockers
tobramycin ophth.Generic30 daysOphthalmologyAntibiotics
tobramycin/dexamethasone ophth. 0.3-0.1%TOBRADEXGeneric30 daysOphthalmologySteroid-Antibiotic Combinations
TOBREX (ophth. ointment)Brand Name30 daysOphthalmologyAntibiotics
tolterodineDETROLGeneric30 daysUrologicalsAnticholinergics and Antispasmodicsbladder, urinary incontinence
topiramateTOPAMAXGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsantsSeizures
torsemideDEMADEXGeneric30 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
tramadolULTRAMGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous AnalgesicsModerate Pain
TRANSDERM-SCOPBrand Name30 daysAutonomic and CNS Drugs;Neurology and PsychAntivertigo and Antiemetic Drugs
trazodoneDESYRELGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
TRELEGY Ellipta (Inhaler)TRELEGYBrand Name30 days
triamcinolone (crm)KENALOGGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
triamcinolone (ointm)ARISTOCORTGeneric30 daysDermatologicals/Topical TherapyTopical CorticosteroidsSkin
triamcinolone/orabaseGeneric30 daysEar, Nose and Throat MedicationsMiscellaneous Agents
triamterene/hctzDYAZIDE, MAXZIDEGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsThiazide and Related Diureticsheart
triazolamHALCIONGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHypnotic Agents
trifluoperazineSTELAZINEGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychPhenothiazines
trifluridine ophth.TRIFLURIDINE, VIROPTICGeneric30 daysOphthalmologyAntivirals
trihexyphenidylARTANE, TRIHEXANEGeneric30 days or 90 daysAutonomic and CNS Drugs;Neurology and PsychAntiparkinsonism Drugs
tri-lo-sprintecORTHO TRICYCLEN-LOGeneric30 days or 90 days
trimethobenzamideTIGAN, TICON, BENZACOTGeneric30 daysAutonomic and CNS Drugs;Neurology and Psych;GastroenterologyAntivertigo and Antiemetic Drugs
trimethoprim/polymyxinGeneric30 daysOphthalmologyAntibiotics
tri-sprintecMONONESSA, ORTHO TRI-CYCLEN, ORTHO TRI-CYCLEN LO, ORTHO-CYCLEN, PREVIFEM, SPRINTEC, TRI-LO-SPRINTEC, TRI-PREVIFEM, TRI-SPRINTEC, TRINESSAGeneric30 days or 90 daysObstetrics and GynecologyOral Contraceptives and Related Agents
urea 40% (crm, gel)URAMAXIN GTGeneric30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
ursodiolACTIGALL, URSOGeneric30 daysGastroenterologyBile Acids
VAGIFEMBrand Name30 daysObstetrics and GynecologyBile Acids
valacyclovirVALTREXGeneric30 daysAnti-InfectivesMiscellaneous Antiviralsinfection; virus
valproic acidDEPAKENE, STAVZOR, DEPACONGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants
valsartanDIOVANGeneric30 days
Valsartan/hctz (tab)DIOVAN/HCTZGeneric30 days
vancomycin injectableGeneric30 daysAnti-InfectivesVancomycininfection
VANOXIDE-HCBrand Name30 daysDermatologicals/Topical TherapyMiscellaneous DermatologicalsSkin
venlafaxine (cap)EFFEXORGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
venlafaxine-ER (cap)EFFEXOR-XRGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychMiscellaneous Antidepressants
VENTOLIN HFAVENTOLIN HFABrand Name30 days
verapamilCALAN, VERELANGeneric30 daysCardiovascular, Hypertension and LipidsCalcium Channel Blockers (Non-Dihydropyridines)
verapamil-erCALAN-SRGeneric30 daysCardiovascular, Hypertension and LipidsCalcium Channel Blockers (Non-Dihydropyridines)heart
VYVANSEBrand Name30 days
warfarinCOUMADINGeneric30 days or 90 daysCardiovascular, Hypertension and LipidsAnticoagulantsHeart, Thrombosis
zafirlukastACCOLATEGeneric30 daysRespiratory, Allergy, Cough and ColdMiscellaneous Pulmonary Agents
ZENPEPBrand Name30 daysGastroenterologyDigestive Enzymes
Ziprasidone (caps)GEODONGeneric30 days
zolpidemAMBIENGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychHypnotic Agentssleep, insomnia
zonisamideZONEGRANGeneric30 daysAutonomic and CNS Drugs;Neurology and PsychAnticonvulsants