Find Your Medication

DiseaseDisease - LinkRx Outreach Medication ListBrand/Generic EquivalentLink to the Brand DrugAvailable strengths offered through Rx OutreachFee per 90 day supplyFee per 180 day supplyFee by Quantity
Heartburn/Acid Reflux/UlcersAcipHex® tabletRabeprazole 20mg$10 for up to 30 tablets
Viral InfectionAcyclovir capsuleZovirax®200mg$20
Viral InfectionAcyclovir tabletZovirax®400mg, 800mg$20
Blood Pressure / HeartNifedipine ER tabletNifediac CC®30mg, 60mg$50$95
DermatologyAlclometasone Dipropionate CreamAclovate®15gm$15 per tube
OsteoporosisAlendronate tabletFosamax®70mg (Once a week dosage)$25 (limit 12)$45 (limit 24)
GoutAllopurinol tabletZyloprim®100mg, 300mg$20
AnxietyAlprazolam tablet (CS)Xanax®0.25mg, 0.5mg, 1mg, 2mg$9 for up to 90 tabletsN/A
Parkinson’sAmantadine tabletN/A100mg$30N/A
Heartheart diseaseAmiodarone tabletCordarone® or Pacerone®200mg$25$45
DepressiondepressionAmitriptyline tabletN/A10mg, 25mg, 50mg, 75mg, 100mg, 150mg$20N/A
Blood Pressure / HeartAmlodipine tabletNorvasc®2.5mg, 5mg, 10mg$20$40
Blood Pressure/HeartAmlodipine/Benazepril capsuleLotrel®5/10mg, 5/20mg, 10/20mgN/AN/A$50 for up to 90 capsules
Alzheimer'sAricept® tabletDonepezil5mg, 10mg$15N/A
Alzheimer'sAricept® tabletDonepezil23mgFor Rx Outreach patients that received a prescription for Aricept 23mg in 2013; you are eligible to continue to receive Aricept 23mg for $25 in 2014. Patients can either submit refills or a new prescription.
Blood Pressure / HeartAtenolol/Chlorthalidone tabletTenoretic®50/25mg, 100/25mg$20
Blood Pressure / HeartAtenolol tabletTenormin®25mg, 50mg, 100mg$9$18
Cholesterol / TriglyceridesAtorvastatin tabletLipitor®10mg, 20mg, 40mg, 80mg$25$45
Immunosuppressant/ ArthritisAzathioprine tabletImuran®50mg$20 for up to 90 tablets
AllergiesAzelastine nasal sprayAstelin®137mcg$30 per nasal spray
Muscle RelaxerBaclofen tabletN/A10mg, 20mg$15N/A
DiarrheaBalsalazide Disodium capsuleColazal®750mg$40 for up to 90 capsules
EpilepsyBanzel®Rufinamide200mg 400mg tablets, 40mg/mL Oral Suspension N/AN/ARefer to the Forms Tab for information
Blood Pressure / HeartBenazepril/HCTZ tabletLotensin HCT®5/6.25mg, 10/12.5mg, 20/12.5mg, 20/25mg$25$45
Blood Pressure / HeartBenazepril tabletLotensin®5mg, 10mg, 20mg, 40mg$20
Parkinson'sBenztropine tabletN/A0.5mg, 1mg, 2mg$20
DermatologyBetamethasone Dipropionate Cream, AugmentedDiprolene® AF15gm$25 per tube
ProstateBicalutamide tabletCasodex®50mg$35$65
Blood Pressure / HeartBisoprolol/HCTZ tabletZiac®2.5/6.25mg, 5/6.25mg, 10/6.25mg$20
DiabetesBlood Glucose Monitor (Prodigy AutoCode™)N/AN/AN/AN/AOne Free Monitor Annually (no prescription required)
DiabetesBlood Glucose Strips, No Coding (Prodigy™)N/ABox of 50N/AN/A$15 per box (no prescription required)
OphthalmicBrimonidine Tartrate 0.2% SolutionN/A0.2%/10ml dropper$15 per dropper
AllergyBudesonide nasal sprayRhinocort®8.6g/32mcg$62 per nasal spray
DepressiondepressionBupropion HCL tabletWellbutrin®Wellbutrin®75mg$40N/A
DepressiondepressionBupropion HCL tabletWellbutrin®Wellbutrin®100mg$40 for up to 90 tabletsN/A
DepressiondepressionBupropion HCL SRWellbutrin SR®100mg, 150mg, 200mg$65N/A
DepressiondepressionBupropion HCL XLWellbutrin XL®150mg, 300mg$65N/A
AnxietyBuspirone tabletN/A5mg, 10mg, 15mg$20N/A
AnxietyBuspirone tabletN/A30mg$35N/A
Blood Pressure/HeartCandesartan Cilexetil tabletAtacand®4mg, 8mg, 16mg$30 for up to 30 tablets
Blood Pressure/HeartCandesartan Cilexetil tabletAtacand®32mg$40 for up to 30 tablets
Blood Pressure/HeartCandesartan Cilexetil-HCTZ tabletAtacand HCT®16/12.5mg$35 for up to 90 tablets
Blood Pressure/HeartCandesartan Cilexetil-HCTZ tabletAtacand HCT®32/12.5mg, 32/25mg$45 for up to 90 tablets
Blood Pressure / HeartCaptopril tabletCapoten®12.5mg, 25mg, 50mg, 100mgN/AN/A$40 for up to 90 tablets
SeizuresCarbamazepine ER tabletTegretol XR® 200mg, 400mg$25 for up to 90 tablets
SeizuresseizuresCarbamazepine tabletTegretol®200mg$25 for up to 90 tablets
Parkinson'sCarbidopa / Levodopa SR tabletSinemet CR®25/100mg, 50/200mg$45$85
Parkinson'sCarbidopa / Levodopa tabletSinemet®10/100mg, 25/100mg, 25/250mg$45$85
Blood Pressure/HeartCarvedilol tabletCoreg®3.125mg, 6.25mg, 12.5mg, 25mg$20
Arthritis/PainCelecoxib capsuleCelebrex®50mg, 100mg$25 for up to 30 capsules
Arthritis/PainCelecoxib capsuleCelebrex®200mg$50 for up to 30 capsules
Arthritis/PainCelecoxib capsuleCelebrex®400mg$75 for up to 30 capsules
AllergyCetirizine HCl tablet OTCZyrtec® OTC10mg (no prescription required)$20 for 200 tablets
PsychosisChlorpromazine HCL tabletN/A10mg, 25mg, 50mg, 100mg, 200mg$35N/A
Blood Pressure / HeartChlorthalidone tabletN/A25mg, 50mg$30$55
Bloodintermittent claudicationCilostazol tabletPletal®50mg, 100mg$30$55
DepressiondepressionCitalopram tabletCelexa®10mg, 20mg, 40mg$20N/A
Anti-infectiveClindamycin HCL capsuleCleocin®150mg$45$85
Seizures / Anxiety / InsomniaseizuresClonazepam tablet (CS)Klonopin®0.5mg$9 for up to 90 tabletsN/A
Seizures / Anxiety / InsomniaseizuresClonazepam tablet (CS)Klonopin®1mg, 2mg$10 for up to 90 tabletsN/A
Blood Pressure / HeartClonidine HCL tabletCatapres®0.1mg, 0.2mg, 0.3mg$20
Blood/HeartClopidogrel TabletPlavix®75mg$20 for up to 90 tablets
Muscle SpasmsspasmCyclobenzaprine tabletN/A5mg, 10mg$25N/A
Anxiety / SeizuresDiazepam tablet (CS)Valium®2mg, 5mg, 10mg$8 for up to 90 tabletsN/A
Arthritis / PainarthritisDiclofenac EC tabletN/A50mg, 75mg$25N/A
Arthritis / PainDiclofenac ER tabletVoltaren XR®100mg$40N/A
Irritable Bowel SyndromeDicyclomine capsuleBentyl®10mg$20
Irritable Bowel SyndromeDicyclomine tabletBentyl®20mg$20
HeartDigoxin tabletLanoxin®0.125mg, 0.25mg$35 for up to 90 tablets
Blood Pressure / HeartDiltiazem ER capsule (24hr) (Dilt-XR)Dilacor XR®120mg, 180mg, 240mg$40 for up to 90 capsules
Blood Pressure / HeartDiltiazem ER capsule (Dilt-CD)Cardizem CD®120mg, 180mg, 240mg, 300mg$40 for up to 90 capsules
DiarrheaDiphenoxylate/Atropine tablet (CS)Lomotil® or Lonox®2.5/0.025mg$35N/A
SeizuresDivalproex NA DR tabletDepakote®125mg, 250mg, 500mg$35$65
Irritable Bowel SyndromeDonnatal® elixir (CS) Mint or GrapeN/A16.2/0.1037/0.0194/0.0065mg$0*

*Supported through a partnership
N/A
Irritable Bowel SyndromeDonnatal® tablet (CS)N/A16.2/0.1037/0.0194/0.0065mg$0*

*Supported through a partnership
N/A
OphthalmicDorzolamide HCl 2% SolutionTrusopt®10ml dropper$15 per dropper
OphthalmicDorzolamide/Timolol SolutionCosopt®2%/0.5% 10ml dropper$15 per dropper
Blood Pressure / HeartDoxazosin Mesylate tabletCardura®1mg, 2mg, 4mg, 8mg$35 for 90 tablets
DepressiondepressionDoxepin capsuleN/A10mg, 25mg, 50mg, 75mg, 100mg$25N/A
Blood Pressure / HeartEnalapril/HCTZ tabletVaseretic®5/12.5mg, 10/25mg$20
Blood Pressure / HeartEnalapril Maleate tabletVasotec®2.5mg, 5mg, 10mg, 20mg$20
DepressionEscitalopram tabletLexapro®5mg, 10mg, 20mg$20
HormonesEstradiol tabletEstrace®0.5mg, 1mg, 2 mg$20
HormonesEstropipate tabletOgen®0.625(0.75mg), 1.25(1.5mg)$20
InsomniaEszopiclone tablet (CS)Lunesta®1mg, 2mg, 3mg$40 for up to 90 tabletsN/AN/A
Arthritis / PainEtodolac capsuleN/A200mg, 300mg$40 for up to 90 capsulesN/A
Arthritis / PainEtodolac tabletN/A400mg, 500mg$40 for up to 90 tabletsN/A
Heartburn / Acid Reflux / UlcersFamotidine tabletPepcid®20mg, 40mg$20
Blood Pressure/HeartFelodipine ER TabletPlendil® ER2.5mg, 5mg$40 up to 90 tablets
Blood Pressure/HeartFelodipine ER TabletPlendil® ER10mg$70 up to 90 tablets
Cholesterol/TriglyceridesFenofibrate tabletTricor®48mg$55$95
Cholesterol/TriglyceridesFenofibrate tabletTricor®145mg$55 for up to 30 tablets
Cholesterol/TriglyceridesFenofibrate tabletN/A54mg, 160mg$55$95
Cholesterol/TriglyceridesFenofibrate, micronized capsuleLofibra® (micronized)134mg$70N/A
Iron SupplementFerrous Sulfate EC tabletN/A325mg (no prescription required)$12 for 200 tablets
Prostateheart diseaseFinasteride tabletProscar®Proscar®5mg$25$45
HeartFlecainide Acetate tabletN/A100mg, 150mg$35 for up to 90 tablets
AntifungalFluconazole tabletDiflucan®100mg, 200mg$35 for up to 30 tablets
DepressiondepressionFluoxetine capsuleProzac®10mg, 20mg, 40mg$15N/A
AllergyFluticasone nasal sprayFlonase®50mcg$15 per nasal spray
Blood / HeartFolic Acid tabletN/A1mg$20
AnticoagulantFragmin® SyringeDalteparin Sodium Injection2500 IU/0.2mL
5000 IU/0.2mL
$50 for up to 30 syringes
Blood Pressure / HeartFurosemide tabletLasix®20mg, 40mg, 80mg$9$18
SeizuresseizuresGabapentin capsuleNeurontin®100mg, 300mg, 400mgN/AN/A$25 for up to 270 capsules
Seizures / PainGabapentin tabletNeurontin®600mg, 800mgN/AN/A$45 for up to 270 tablets
Cholesterol / Triglyceridesheart diseaseGemfibrozil tabletLopid®600mg$30$55
DiabetesdiabetesGlimepiride tabletAmaryl®Amaryl®1mg, 2mg, 4mg$20
DiabetesdiabetesGlipizide ER tabletGlucotrol XL®2.5mg, 5mg, 10mg$35$65
DiabetesdiabetesGlipizide tabletGlucotrol®5mg, 10mg$20
DiabetesdiabetesGlyburide, micronized tabletGlynase® PresTab®1.5mg, 3mg, 6mg$20
DiabetesGlyburide/Metformin tabletGlucovance®1.25/250mg, 2.5/500mg, 5/500mg$30$55
DiabetesdiabetesGlyburide tabletN/A1.25mg, 2.5mg, 5mg$20
PsychosisHaloperidol tabletN/A0.5mg, 1mg, 2mg, 5mg$25N/A
CancerHexalen capsuleAltretamine50mg$40 for a 30-day SupplyN/A
Blood Pressure / HeartHydralazine tabletN/A10mg, 25mg, 50mg$25$45
Blood Pressure / HeartHydrochlorothiazide capsuleN/A12.5mg$20
Blood Pressure / HeartHydrochlorothiazide tabletN/A25mg, 50mg$20
Allergy/Arthritis/ Hormones/AsthmaHydrocortisone tabletN/A5mg$15 for up to 90 tablets
Allergy/Arthritis/ Hormones/AsthmaHydrocortisone tabletN/A10mg$25 for up to 90 tablets
Arthritis / MalariaHydroxychloroquine tabletPlaquenil®200mg$22 for up to 30 tablets
Cancer /Sickle Cell / PsoriasisHydroxyurea capsuleHydrea®500mg$25 for up to 90 capsulesN/A
AllergyHydroxyzine HCL tabletN/A25mg, 50mg$25N/A
AllergyHydroxyzine pamoate capsuleN/A25mg, 50mg$25N/A
ArthritisarthritisIbuprofen tabletN/A400mg, 600mg, 800mg$20N/A
Blood Pressure / HeartIndapamide tabletN/A1.25mg, 2.5mg$20
DiabetesdiabetesInsulin Syringes (Prodigy®)N/A28G 12.7mm – 1cc, 31G 8mm – 1/2cc, 31G 8mm – 1/3cc
$13 for a box of 100
Pulmonary Disease/AsthmaIpratropium/Albuterol Inhalation SolutionDuoNeb®0.5-3(2.5)mg/3mL vial$25 for up to 90 vials
Blood Pressure / HeartIrbesartan/HCTZ tabletAvalide®150mg/12.5mg, 300mg/12.5mg$30$55
Blood Pressure / HeartIrbesartan tabletAvapro®75mg, 150mg, 300mg$30$55
TuberculosistuberculosisIsoniazid tabletIsoniazid/INH®Isoniazid/INH®300mg$20
Angina / Heartheart diseaseIsosorbide Mononitrate ER tabletN/A30mg, 60mg 120mg$20
Angina / Heartheart diseaseIsosorbide Mononitrate tabletMonoket®10mg, 20mg$20
Blood Pressure / HeartLabetalol HCL tabletN/A100mg, 200mg, 300mg$30 for up to 90 tabs
SeizuresLamotrigine tabletLamictal®25mg, 100mg, 150mg, 200mg$30$55
DiabetesdiabetesLancets 28G, Twist Top (Prodigy™)N/ABox of 100 (minimum order - 2 boxes)N/AN/A$5 per box - minimum order $10 (no prescription required)
OphthalmicLatanoprost 0.005% SolutionXalatan®2.5ml dropper$45 (limit 3)N/A
Rheumatoid ArthritisLeflunomide tabletArava®10mg, 20mg$50N/A
CancerLetrozole tabletFemara®2.5mg$30$55
SeizuresLevetiracetam ER tabletKeppra XR®500mg, 750mg$80 for up to 180 tablets
SeizuresLevetiracetam tabletKeppra®250mg, 500mg 750mg$50$95
SeizuresLevetiracetam tabletKeppra®1000mg$20 for up to 90 tablets
AllergyLevocetirizine tabletXyzal®5mg$35$65
ThyroidLevothyroxine tabletLevoxyl® or Synthroid®25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg$20
Blood Pressure / HeartLisinopril/HCTZ tabletZestoretic® or Prinzide®10/12.5mg, 20/12.5mg, 20/25mg$9$18
Blood Pressure / HeartLisinopril tabletZestril® or Prinivil®2.5mg, 5mg, 10mg, 20mg, 30mg, 40mg$9$18
Bipolar DisorderLithium Carbonate capsuleN/A300mg$10 for up to 270 capsulesN/A
AnxietyLorazepam tablet (CS)Ativan®0.5mg$25N/A
AnxietyLorazepam tablet (CS)Ativan®1mg, 2mg$30N/A
Blood Pressure / HeartLosartan Potassium tabletCozaar®25mg, 50mg, 100mg$25$45
Blood Pressure / HeartLosartan/HCTZ tabletHyzaar®50/12.5mg, 100/12.5mg, 100/25mg$25$45
Cholesterol / Triglyceridesheart diseaseLovastatin tabletN/A10mg, 20mg, 40mg$9$18
NauseaMeclizine HCL tabletAntivert®12.5mg, 25mg$30$55
HormonesMedroxyprogesterone tabletProvera®2.5mg, 5mg, 10mg$15N/A
Arthritis / PainarthritisMeloxicam tabletMobic®7.5mg, 15mg$20N/A
DiabetesdiabetesMetformin HCL ER tabletGlucophage XR®500mg, 750mg$20
DiabetesdiabetesMetformin HCL tabletGlucophage®Glucophage®500mg, 850mg, 1000mg$20
Cancer / Rheumatoid ArthritisMethotrexate tabletN/A2.5mg$20 per 12 tabletsN/A
Nausea / StomachMetoclopramide HCL tabletReglan®5mg, 10mg$20 (1 fill only:no refills)N/A
Blood Pressure / HeartMetolazone tabletZaroxolyn®2.5mg, 5mg$35$65
Blood Pressure / HeartMetoprolol Tartrate tabletLopressor®25mg, 50mg, 100mg$20
HypotensionMidodrine HCl tabletN/A2.5mg, 5mg, 10mg$35 for up to 90 tablets
Anti-infectiveMinocycline capsuleMinocin / Dynacin®50mg, 75mg, 100mg$45$85
DermatologyMometasone Furoate CreamElocon®15gm$15 per tube
DermatologyMometasone Furoate OintmentElocon®15gm$15 per tube
AsthmaMontelukast Sodium tabletSingulair®10mg, 5mg chewable$40 for up to 90 tablets
DepressiondepressionMirtazapine tabletRemeron®15mg, 30mg, 45mg$30N/A
ImmunosuppressantMycophenolate Mofetil CapsuleCellCept®250mg$65 for up to 180 capsules
ImmunosuppressantMycophenolate Mofetil TabletCellCept®500mg$65 for up to 180 tablets
Arthritis / PainarthritisNabumetone tabletN/A500mg, 750mg$40N/A
Arthritis / PainarthritisNaproxen Sodium tabletAnaprox® DS550mg$25N/A
ArthritisarthritisNaproxen tabletNaprosyn®250mg, 375mg, 500mg$20N/A
CholesterolNiacin ER tabletNiaspan® ER500mg$45 for up to 30 tablets
CholesterolNiacor® tabletNiacin500mg$25 for up to 180 tablets
Angina / Chest PainNitroglycerin SA capsuleN/A2.5mg, 6.5mg, 9mg$45$85
Oral ContraceptiveNorethindrone TabletOrtho Micronor®28's (0.35mg)$35$65
Oral ContraceptiveNorethindrone/Ethinyl Estradiol Tablet Ovcon® 3528's (0.4mg/0.035mg)$35$65
HormonesNorethindrone Acetate TabletN/A5mg$75 up to 50 tablets
DepressiondepressionNortriptyline HCL capsulePamelor®10mg, 25mg, 50mg, 75mg$20N/A
AntifungalNystatin TabletN/A500000 units$25 for up to 90 tablets
PsychosisOlanzapine TabletZyprexa®2.5mg, 5mg, 7.5mg 10mg$25 for up to 90 tabletsN/A
PsychosisOlanzapine TabletZyprexa®15mg, 20mg$50 for up to 90 tabletsN/A
Heartburn / Acid Reflux / UlcersOmeprazole capsulePrilosec®10mg, 20mg, 40mg$35$65
NauseaOndansetron ODT tabletZofran ODT®4mg$50 for up to 135 tabletsN/A
NauseaOndansetron ODT tabletZofran ODT®8mg$50 for up to 90 tabletsN/A
NauseaOndansetron tabletZofran ®4mg$50 for up to 135 tabletsN/A
NauseaOndansetron tabletZofran ®8mg$50 for up to 90 tabletsN/A
Turner SyndromeOxandrolone tablet (CS)Oxandrin®2.5mg, 10mg
Requires statement of diagnosis by provider
$50 for up to 30 tabletsN/A
SeizureOxcarbazepine tabletTrileptal®150mg, 300mg, 600mg$60N/A
BladderOxybutynin tablet5mg$20
HeartPacerone® tabletAmiodarone100mg, 200mg, 400mg$25$45
Heartburn/Acid Reflux/UlcersPantoprazole tabletProtonix®20mg, 40mg$20N/A
CancerPanretin® gel 0.1%Alitretinoin60gmN/AN/A$40 per tube
DepressiondepressionParoxetine HCL tabletPaxil® (HCL)10mg, 20mg, 30mg, 40mg$20N/A
BloodPentoxifylline ER tabletTrental®400mg$30$55
SeizuresseizuresPhenytoin Sodium capsuleDilantin®Dilantin®100mg$20 for up to 180 capsules
DiabetesPioglitazone HCL tabletActos®15mg, 30mg, 45mg$25N/A
Blood / HeartPotassium Chloride, PowderKlor-Con® Powder 20mEQ1.5g (20mEQ)N/AN/A$40 for up to 90 packets
Blood / HeartPotassium Chloride, PowderKlor-Con® Powder 25mEQ1.875g (25mEQ)N/AN/A$40 for up to 90 packets
Blood / HeartPotassium CitrateN/A540mg (5mEQ), 1080mg (10mEQ)N/AN/A$15 for up to 90 tablets
Blood / HeartPotassium Chloride ER tabletN/A600mg (8mEQ), 750mg (10mEQ), 1500mg (20mEQ)N/AN/A$25 for up to 90 tablets
Parkinson'sPramipexole TabletMirapex®0.125mg, 0.25mg, 0.5mg, 1mg, 1.5mg $25 up to 180 tablets
Cholesterol / Triglyceridesheart diseasePravastatin tabletPravachol®10mg, 20mg, 40mg, 80mg$25 for up to 90 tablets
Blood Pressure / HeartPrazosin capsuleN/A1mg, 2mg, 5mg$20$40
AsthmaProAir® HFAAlbuterol Sulfate8.5g (200 inhalations)N/AN/A$35 per inhaler canister
HormonesPrednisone tabletN/A1mg, 2.5mg, 5mg, 10mg, 20mg, 50mg$20N/A
Cholesterol/TriglyceridesPrevalite® PowderCholestyramine4g/5.5g dose packetN/AN/A$25 for a carton of 42 packets
Nausea / PsychosisProchlorperazine tabletN/A5mg, 10mg$20
Heartheart diseasePropafenone HCL tabletRythmol®Rythmol®150mg, 225mg, 300mg$40$75
HypertensionPropranolol HCL ER capsuleInderal® LA60mg, 80mg, 120mg, 160mgN/AN/A$45 for up to 90 capsules
Blood Pressure / HeartPropranolol tabletN/A10mg, 20mg, 40mg, 80mg$20
Anti-thyroidPropylthiouracil tabletN/A50mgN/AN/A$45 for up to 90 tablets
PsychosisQuetiapine FumaratetabletSeroquel®25mg, 50mg, 100mg$25 for up to 90 tabletsN/A
PsychosisQuetiapine FumaratetabletSeroquel®200mg, 300mg$40 for up to 90 tabletsN/A
PsychosisQuetiapine FumaratetabletSeroquel®400mg$50 for up to 90 tabletsN/A
Blood Pressure / HeartQuinapril tabletAccupril®5mg, 10mg, 20mg, 40mg$30$55
OsteoporosisRaloxifene tabletEvista®60mg$65 for up to 30 tablets
Blood Pressure / HeartRamipril capsuleAltace®1.25mg, 2.5mg, 5mg, 10mg$25$45
Heartburn / Acid Reflux / UlcersRanitidine tabletZantac®150mg, 300mg$20
DiabetesRepaglinide tabletPrandin® 0.5mg, 1mg, 2mg$40 for up to 90 tablets
PsychosisRisperidone tabletRisperdal®0.25mg, 0.5mg, 1mg, 2mg, 3mg, 4mg$45N/A
Parkinson'sRopinirole HCL tabletRequip®0.25mg, 0.5mg, 1mg, 2mg$45$85
DepressiondepressionSertraline tabletZoloft®25mg, 50mg, 100mg$25N/A
ThyroidSSKI® oral solutionPotassium Iodide1g/ml dropper$20 per dropper
HeartSorine® tabletSotalol HCl80mg, 120mg, 160mg, 240mg$20N/A
Cholesterol / Triglyceridesheart diseaseSimvastatin tabletZocor®Zocor®5mg, 10mg, 20mg, 40mg, 80mg$25$45
Blood Pressure / HeartSpironolactone tabletAldactone®25mg$20
Blood Pressure / HeartSpironolactone/HCTZ tabletN/A25mg/25mg$20 for up to 90 tablets
Oral ContraceptivesSprintec® tabletOrtho-Cyclen®28's$35 (limit 3)$65 (limit 6)
UlcersSucralfate tabletCarafate®1gm$30 for up to 120 tablets
Anti-infectiveSulfamethoxazole/Trimethoprim DSBactrim® DS or Septra® DS800mg/160mg$20
DiarrheaSulfasalazine tabletN/A500mg$50$95
MigrainesSumatriptan Succ tabletImitrex®25mg$35 for up to 72 tabletsN/A
MigrainesSumatriptan Succ tabletImitrex®50mg$35 for up to 54 tabletsN/A
MigrainesSumatriptan Succ tabletImitrex®100mg$35 for up to 27 tabletsN/A
ImmunosuppressantTacrolimus capsulePrograf®0.5mg$60 for up to 90 capsules
ImmunosuppressantTacrolimus capsulePrograf®1mg$75 for up to 90 capsules
CancerTamoxifen Citrate tabletN/A10mg, 20mg$25$45
HypertensionTelmisartan tabletMicardis®20mg, 40mg, 80mg$35$65
ProstateTamsulosin capsuleFlomax®0.4mg$30$55
InsomniaTemazepam capsule (CS)Restoril®15mg, 30mg$16 for up to 90 capsulesN/A
Blood Pressure / HeartTerazosin capsuleN/A1mg, 2mg, 5mg, 10mg$20
AsthmaTheophylline ER tabletN/A100mg, 200mg, 300mg$20 for up to 90 tablets
Muscle SpasmsspasmTizanidine HCL tabletZanaflex®Zanaflex®2mg, 4mg$55N/A
BladderTolterodine Tartrate tabletDetrol®1mg, 2mg$30 for up to 30 tablets
SeizuresTopiramate tabletTopamax®25mg, 50mg, 100mg, 200mg$35$65
PainTramadol tablet (CS)Ultram®50mg$7 for up to 90 tabletsN/A
Blood Pressure / HeartTrandolapril tabletMavik®1mg, 2mg, 4mg$30$55
Depression / AnxietydepressionTrazodone tabletN/A50mg$12N/A
Depression / AnxietydepressionTrazodone tabletN/A100mg, 150mg$14N/A
Oral ContraceptivesTri-Sprintec® tabletOrtho-Tri-Cyclen®28's$35 (limit 3)$65 (limit 6)
Blood Pressure / HeartTriamterene/HCTZ capsuleDyazide®37.5/25mg$20
Blood Pressure / HeartTriamterene/HCTZ tabletMaxzide®37.5/25mg, 75/50mg$20
Viral InfectionValacyclovir HCl tabletValtrex®500mg$50 for up to 90 tablets
Viral InfectionValacyclovir HCl tabletValtrex®1gm$75 for up to 90 tablets
SeizuresValproic Acid capsuleDepakene®250mg$35$65
HypertensionValsartan tabletDiovan®40mg, 80mg$30 for 90 tablets
HypertensionValsartan tabletDiovan®160mg, 320mg$40 for 90 tablets
Blood Pressure / HeartValsartan/HCTZ tabletDiovan HCT®80/12.5mg, 160/12.5mg, 160/25mg, 320/12.5mg, 320/25mg$35$65
DepressiondepressionVenlafaxine tabletN/A25mg, 37.5mg, 50mg, 75mg, 100mg$45N/A
DepressiondepressionVenlafaxine ER capsuleEffexor XR®37.5mg, 75mg, 150mg$45N/A
Blood Pressure / HeartVerapamil SR tabletCalan-SR® or Isoptin-SR®120mg, 180mg, 240mg$35$65
Blood Pressure / HeartVerapamil tabletCalan®40mg, 80mg, 120mg$20
Blood / HeartWarfarin tabletJantoven®1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg$25N/A
AsthmaZafirlukast tabletAccolate®10mg, 20mg N/AN/A$30 for 60 tablets
Sleep/insomniaZaleplon capsule (CS)Sonata®5mg, 10mg$35 for up to 90 capsulesN/A
PsychosisZiprasidone capsuleGeodon®20mg, 40mg, 60mg, 80mg$65 for up to 90 capsulesN/A
InsomniaZolpidem tablet (CS)Ambien®Ambien®5mg, 10mg$30N/A
InsomniaZolpidem ER tablet (CS)Ambien CR®Ambien®6.25mg, 12.5mg$45 for up to 30 tabletsN/A
SeizuresZonegran® capsuleZonisamide25mg, 100mg$20 for up to 90 capsules
SeizuresZonisamide capsuleZonegran®25mg, 50mg, 100mg$20 for up to 90 capsules
SeizuresDivalproex SOD ER tabletDepakote ER®250mg$65 for up to 90 tablets
SeizuresDivalproex SOD ER tabletDepakote ER®500mg$95 for up to 90 tablets
DepressionDuloxetine HCL DR capsuleCymbalta®20mg, 30mg, 60mg$65N/A
Bipolar DisorderLithium Carbonate ER tabletLithobid ER®300mg$35N/A
Bipolar DisorderLithium Carbonate ER tabletN/A450mg$35N/A
Blood Pressure/HeartMetoprolol Succinate ER tabletToprol-XL®25mg, 50mg, 100mg$35$65
Blood Pressure/HeartMetoprolol Succinate ER tabletToprol-XL®200mg$45$85
NarcolepsyModafinil tablet (CS)Provigil®100mg, 200mg$80N/A
BladderOxybutynin Chloride ER tabletDitropan XL®5mg, 10mg, 15mg$45$85