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/Day Supply
BladderOxybutynin tablet5mg$20
AsthmaZafirlukast tabletAccolate®10mg, 20mg N/AN/A$30 for 60 tablets
Blood Pressure / HeartQuinapril tabletAccupril®5mg, 10mg, 20mg, 40mg$30$55
Blood Pressure/Fluid RetentionQuinapril/HCTZ tabletAccuretic®10/12.5mg, 20/12.5mg, 20/25mg$30 for up to 90 tablets
DermatologyAlclometasone Dipropionate CreamAclovate®15gm$15 per tube
OsteoporosisRisedronate Sodium tabletActonel® 35mg (once a week dosage)$50 per pack of 4 tablets
OsteoporosisRisedronate Sodium tabletActonel® 35mg (once a week dosage)$75 per pack of 12 tablets
OsteoporosisRisedronate Sodium tabletActonel® 150mg (once a month dosage)$80 per dosage
DiabetesPioglitazone HCL tabletActos®15mg, 30mg, 45mg$25N/A
AllergiesKetotifen Fumerate OTC SolutionAlaway®0.025%/5mL (no prescription required)$9 per dropper
AsthmaProAir® RespiClick Powder InhalerAlbuterol Sulfate0.65g (200 inhalations)$35 per inhaler canister
Blood Pressure/Fluid RetentionSpironolactone/HCTZ tabletAldactazide®25mg/25mg$20 for up to 90 tablets
Blood Pressure/Fluid RetentionSpironolactone tabletAldactone®25mg$20
ProstateUroxatral® tabletAlfuzosin HCl ER10mg$0 supported through a partnershipN/A
CancerPanretin® gel 0.1%Alitretinoin60gmN/AN/A$40 per tube
AllergiesFexofenadine OTC tabletAllegra® OTC60mg, 180mg (no prescription required)$40 for 100 tablets
Blood Pressure / HeartRamipril capsuleAltace®1.25mg, 2.5mg, 5mg, 10mg$25$45
CancerHexalen capsuleAltretamine50mg$40 for a 30-day SupplyN/A
DiabetesdiabetesGlimepiride tabletAmaryl®Amaryl®1mg, 2mg, 4mg$20
InsomniaZolpidem ER tablet (CS)Ambien CR®Ambien®6.25mg, 12.5mg$45 for up to 30 tabletsN/A
InsomniaZolpidem tablet (CS)Ambien®Ambien®5mg, 10mg$30N/A
Heart ArrhythmiasPacerone® tabletAmiodarone100mg, 200mg, 400mg$25$45
Arthritis / PainarthritisNaproxen Sodium tabletAnaprox® DS550mg$25N/A
NauseaMeclizine HCL tablet12.5mg, 25mg$30$55
Rheumatoid Arthritis/Ulcerative ColitisSulfasalazine DR tabletAzulfidine EN-tabs500mg$20 for up to 90 tablets
Alzheimer’sDonepezil tabletAricept®5mg, 10mg$15N/A
CancerAnastrozole tabletArimidex®1mgN/AN/A$30 for up to 90 tablets
AllergiesAzelastine nasal sprayAstelin®137mcg$30 per nasal spray
Blood Pressure/Fluid RetentionCandesartan Cilexetil-HCTZ tabletAtacand HCT®16/12.5mg$35 for up to 90 tablets
Blood Pressure/Fluid RetentionCandesartan Cilexetil-HCTZ tabletAtacand HCT®32/12.5mg, 32/25mg$45 for up to 90 tablets
Blood Pressure/HeartCandesartan Cilexetil tabletAtacand®32mg$40 for up to 30 tablets
Blood Pressure/HeartCandesartan Cilexetil tabletAtacand®4mg, 8mg, 16mg$30 for up to 30 tablets
AnxietyLorazepam tablet (CS)Ativan®0.5mg$25N/A
AnxietyLorazepam tablet (CS)Ativan®1mg, 2mg$30N/A
Blood Pressure/Fluid RetentionIrbesartan/HCTZ tabletAvalide®150mg/12.5mg, 300mg/12.5mg$30$55
Blood Pressure / HeartIrbesartan tabletAvapro®75mg, 150mg, 300mg$30$55
ProstateDutasteride capsuleAvodart®0.5mg$40 for up to 30 capsules
Anti-infectiveSulfamethoxazole/Trimethoprim DSBactrim® DS or Septra® DS800mg/160mg$20
Irritable Bowel SyndromeDicyclomine capsuleBentyl®10mg$20
Irritable Bowel SyndromeDicyclomine tabletBentyl®20mg$20
Blood Pressure / HeartVerapamil tabletCalan®40mg, 80mg, 120mg$20
Blood Pressure / HeartVerapamil SR tabletCalan-SR® or Isoptin-SR®120mg, 180mg, 240mg$25$40
Blood Pressure / HeartCaptopril tabletCapoten®12.5mg, 25mg, 50mg, 100mgN/AN/A$40 for up to 90 tablets
UlcersSucralfate tabletCarafate®1gm$30 for up to 120 tablets
Blood Pressure / HeartDiltiazem ER capsule (Dilt-CD)Cardizem CD®120mg, 180mg, 240mg, 300mg$40 for up to 90 capsules
Blood Pressure / HeartDoxazosin Mesylate tabletCardura®1mg, 2mg, 4mg, 8mg$35 for 90 tablets
Prostate CancerBicalutamide tabletCasodex®50mg$35$65
Blood Pressure / HeartClonidine HCL tabletCatapres®0.1mg, 0.2mg, 0.3mg$20
Blood Pressure / HeartClonidine patchCatapres-TTS® -30.3mg/day$80 per pack of 4
Arthritis/PainCelecoxib capsuleCelebrex®200mg, 400mg$35 for up to 30 capsules
Arthritis/PainCelecoxib capsuleCelebrex®50mg, 100mg$15 for up to 30 capsules
DepressiondepressionCitalopram tabletCelexa®10mg, 20mg, 40mg$20N/A
ImmunosuppressantMycophenolate Mofetil TabletCellCept®500mg$65 for up to 180 tablets
ImmunosuppressantMycophenolate Mofetil CapsuleCellCept®250mg$65 for up to 180 capsules
Cholesterol/TriglyceridesPrevalite® PowderCholestyramine4g/5.5g dose packetN/AN/A$25 for a carton of 42 packets
Cholesterol/
Triglycerides
Prevalite® PowderCholestyramine4g/5.5g dose packet$35 for a carton of 60 packets
Cholesterol/
Triglycerides
Prevalite® PowderCholestyramine4g/5.5g powder can (231g)$25 per can
AllergiesLoratadine OTC tabletClaritin® OTC10mg (no prescription required)$10 per bottle of 100 tablets (minimum 2 bottles)
Anti-infectiveClindamycin HCL capsuleCleocin®150mg$45$85
Ulcerative ColitisBalsalazide Disodium capsuleColazal®750mg$40 for up to 90 capsules
Blood Pressure/HeartCarvedilol tabletCoreg®3.125mg, 6.25mg, 12.5mg, 25mg$20
OphthalmicDorzolamide/Timolol SolutionCosopt®2%/0.5% 10ml dropper$15 per dropper
Blood ThinnerJantoven® (Warfarin) tabletCoumadin1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg$25N/A
Blood Pressure / HeartLosartan Potassium tabletCozaar®25mg, 50mg, 100mg$20$40
DepressionDuloxetine HCL DR capsuleCymbalta®20mg, 30mg, 60mg$45N/A
ThyroidLiothyronine Sodium tabletCytomel®5mcg, 25mcg$15 for up to 30 tablets
ThyroidLiothyronine Sodium tabletCytomel®50mcg$20 for up to 30 tablets
SeizuresValproic Acid capsuleDepakene®250mg$35$65
SeizuresDivalproex SOD ER tabletDepakote ER®500mg$95 for up to 90 tablets
SeizuresDivalproex SOD ER tabletDepakote ER®250mg$65 for up to 90 tablets
SeizuresDivalproex NA DR tabletDepakote®125mg, 250mg, 500mg$35$65
BladderTolterodine Tartrate tabletDetrol®1mg, 2mg$30 for up to 30 tablets
AntifungalFluconazole tabletDiflucan®100mg, 200mg$35 for up to 30 tablets
HeartLanoxin® tabletDigoxin0.125mg, 0.25mg$0 supported through a partnership There are limited openings for this program. When the program is full, it will be closed to new enrollments. Existing customers will be able to receive refills.N/A
HeartLanoxin® tabletDigoxin.0625mg, .1875mg$0 supported through a partnershipN/A
Blood Pressure / HeartDiltiazem ER capsule (24hr) (Dilt-XR)Dilacor XR®120mg, 180mg, 240mg$40 for up to 90 capsules
SeizuresseizuresPhenytoin Sodium ER capsuleDilantin®Dilantin®100mg$20 for up to 180 capsules
Blood Pressure/Fluid RetentionValsartan/HCTZ tabletDiovan HCT®80/12.5mg, 160/12.5mg, 160/25mg, 320/12.5mg, 320/25mg$35$65
HypertensionValsartan tabletDiovan®40mg, 80mg$30 for 90 tablets
HypertensionValsartan tabletDiovan®160mg, 320mg$40 for 90 tablets
DermatologyBetamethasone Dipropionate 0.05% Cream, AugmentedDiprolene® AF15gm$25 per tube
BladderOxybutynin Chloride ER tabletDitropan XL®5mg, 10mg, 15mg$45$85
Alzheimer'sAricept® tabletDonepezil23mg$25N/A
Respiratory Disease/AsthmaIpratropium/Albuterol Inhalation SolutionDuoNeb®0.5-3(2.5)mg/3mL vial$25 for up to 90 vials
Blood Pressure/Fluid RetentionTriamterene/HCTZ capsuleDyazide®37.5/25mg$20
DepressiondepressionVenlafaxine ER capsuleEffexor XR®37.5mg, 75mg, 150mg$45N/A
DermatologyMometasone Furoate CreamElocon®15gm$15 per tube
DermatologyMometasone Furoate OintmentElocon®15gm$15 per tube
ConstipationLactulose Oral SolutionEnulose®10gm/15mL (473ml)$10 per bottle
HormonesEstradiol tabletEstrace®0.5mg, 1mg, 2 mg$20
OsteoporosisRaloxifene tabletEvista®60mg$65 for up to 30 tablets
Oral Health/Dry MouthCevimeline HCl capsuleEvoxac®30mg$80 for up to 90 capsules
Alzheimer’s, dementiaRivastigmine tartrate capsuleExelon®1.5mg, 3mg, 4.5mg, 6mg$50 for up to 60 capsules
Blood Pressure/Fluid RetentionAmlodipine/Valsartan/HCTZ tabletExforge HCT®5/160/12.5mg, 5/160/25mg, 10/160/12.5mg, 10/160/25mg, 10/320/25mgN/AN/A$60 for up to 30 tablets
Blood Pressure/HeartAmlodipine/Valsartan tabletExforge®5/160mg, 5/320mg, 10/160mg, 10/320mgN/AN/A$25 for up to 30 tablets
CancerLetrozole tabletFemara®2.5mg$30$55
NutritionalFolgard® tablet (OTC)Dietary Supplement2000 IU vitamin D3/800 mcg folic acid/ 12 mg vitamin B6/120 mcg vitamin B12
(no prescription required)
$25 for 60 tablets
NutritionalFolgard OS® tabletRx Dietary Supplement500 mg calcium/1.1 mg folic acid
300 I.U. vitamin D3/12.5 mg vitamin B6
250 mcg vitamin B12/100 mg magnesium/1.5 mg boron
$22 for 60 tablets
NutritionalFolgard RX® tabletRx Dietary Supplement2.2 mg folic acid/25 mg vitamin B6/
1 mg vitamin B12
$30 for 90 tablets
ProstateTamsulosin capsuleFlomax®0.4mg$30$55
AllergiesFluticasone nasal sprayFlonase®50mcg$15 per nasal spray
OsteoporosisFortical® Nasal SprayCalcitonin-salmon (rDNA origin)2200 IU/ml (3.7mL bottle)$45 per bottle
OsteoporosisAlendronate tabletFosamax®70mg (Once a week dosage)$20 (limit 12)$40 (limit 24)
Breast CancerAndroxy™ tablet (CS)Fluoxymesterone10mg$40N/A
PsychosisZiprasidone capsuleGeodon®20mg, 40mg, 60mg, 80mg$65 for up to 90 capsulesN/A
DiabetesdiabetesMetformin HCL ER tabletGlucophage XR®500mg, 750mg$20
DiabetesdiabetesMetformin HCL tabletGlucophage®Glucophage®500mg, 850mg, 1000mg$20
DiabetesdiabetesGlipizide ER tabletGlucotrol XL®2.5mg, 5mg, 10mg$35$65
DiabetesdiabetesGlipizide tabletGlucotrol®5mg, 10mg$20
DiabetesGlyburide/Metformin tabletGlucovance®1.25/250mg, 2.5/500mg, 5/500mg$30$55
DiabetesdiabetesGlyburide, micronized tabletGlynase® PresTab®1.5mg, 3mg, 6mg$20
Cancer /Sickle Cell / PsoriasisHydroxyurea capsuleHydrea®500mg$25 for up to 90 capsulesN/A
Arthritis/MalariaPlaquenil® tabletHydroxychloroquine200mg.
$0 supported through a partnership. There are limited openings for this program. When the program is full, it will be closed to new enrollments. Existing customers will be able to receive refills.
Blood Pressure/Fluid RetentionLosartan/HCTZ tabletHyzaar®50/12.5mg, 100/12.5mg, 100/25mg$25$45
MigrainesSumatriptan Succ tabletImitrex®50mg$35 for up to 54 tabletsN/A
MigrainesSumatriptan Succ tabletImitrex®25mg$35 for up to 72 tabletsN/A
MigrainesSumatriptan Succ tabletImitrex®100mg$35 for up to 27 tabletsN/A
Immunosuppressant/ ArthritisAzathioprine tabletImuran®50mg$20 for up to 90 tablets
HypertensionPropranolol HCL ER capsuleInderal® LA60mg, 80mg, 120mg, 160mgN/AN/A$45 for up to 90 capsules
ADHDGuanfacine ER tabletIntuniv®1mg, 2mg, 3mg, 4mg$50 for up to 60 tablets
TuberculosistuberculosisIsoniazid tabletIsoniazid/INH®Isoniazid/INH®300mg$20
SeizuresLevetiracetam ER tabletKeppra XR®500mg, 750mg$80 for up to 180 tablets
SeizuresLevetiracetam tabletKeppra®1000mg$20 for up to 90 tablets
SeizuresLevetiracetam tabletKeppra®250mg, 500mg 750mg$50$95
Anxiety/SeizuresseizuresClonazepam tablet (CS)Klonopin®0.5mg$9 for up to 90 tabletsN/A
Anxiety/SeizuresseizuresClonazepam tablet (CS)Klonopin®1mg, 2mg$10 for up to 90 tabletsN/A
Seizures/Bipolar DisorderLamotrigine tabletLamictal®25mg, 100mg, 150mg, 200mg$30$55
HeartDigoxin tabletLanoxin®0.125mg, 0.25mg$35 for up to 90 tablets
Blood Pressure/Fluid RetentionFurosemide tabletLasix®20mg, 40mg, 80mg$9$18
ThyroidLevothyroxine tabletLevoxyl® or Synthroid®25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg$20
DepressionEscitalopram tabletLexapro®5mg$15N/A
DepressionLexapro®tabletEscitalopram10mg, 20mg$15N/A
PainLidocaine 5% patchLidoderm®5% of lidocaine per patch$99 for box of 30 patches
Cholesterol / TriglyceridesAtorvastatin tabletLipitor®10mg, 20mg, 40mg, 80mg$25$45
Bipolar DisorderLithium Carbonate ER tabletLithobid ER®150mg$35N/A
Cholesterol/TriglyceridesFenofibrate, micronized capsuleLofibra® (micronized)134mg$70N/A
DiarrheaDiphenoxylate/Atropine tablet (CS)Lomotil® or Lonox®2.5/0.025mg$35N/A
Cholesterol / Triglyceridesheart diseaseGemfibrozil tabletLopid®600mg$30$55
Blood Pressure / HeartMetoprolol Tartrate tabletLopressor®25mg, 50mg, 100mg$20
ObesityBelviq® tablet (CS)Lorcaserin HCl10mgRefer to patient forms for Information.
Blood Pressure/Fluid RetentionBenazepril/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
Blood Pressure/HeartAmlodipine/Benazepril capsuleLotrel®5/10mg, 5/20mg, 10/20mgN/AN/A$50 for up to 90 capsules
Blood Pressure/HeartAmlodipine/Benazepril capsuleLotrel®10/40mg$12 for up to 30 capsules
AntifungalClotrimazole/Betamethasone CreamLotrisone®15g (1%/0.05%)$15 per tube
TriglyceridesOmega-3-acid ethyl esters capsuleLovaza®1gm$80 for up to 120 capsules
InsomniaEszopiclone tablet (CS)Lunesta®1mg, 2mg, 3mg$40 for up to 90 tabletsN/AN/A
Blood Pressure / HeartTrandolapril tabletMavik®1mg, 2mg, 4mg$30$55
Myasthenia GravisPyridostigmine BR tabletMestinon®60mg$37 for up to 90 tablets
Blood Pressure/Fluid RetentionTriamterene/HCTZ tabletMaxzide®37.5/25mg, 75/50mg$20
Blood Pressure/Fluid RetentionDutoprol tabletMetoprolol Succinate ER/HCTZ25/12.5mg, 50/12.5mg, 100/12.5mg$0 supported through a partnershipN/A
HypertensionTelmisartan tabletMicardis®20mg, 40mg, 80mg$35$65
Anti-infectiveMinocycline capsuleMinocin / Dynacin®50mg, 75mg, 100mg$45$85
Parkinson'sPramipexole TabletMirapex®0.125mg, 0.25mg, 0.5mg, 1mg, 1.5mg $25 up to 180 tablets
Arthritis / PainarthritisMeloxicam tabletMobic®7.5mg, 15mg$20N/A
Angina / Chest Painheart diseaseIsosorbide Mononitrate tabletMonoket®10mg, 20mg$20
SeizuresPrimidone tabletMysoline®50mg$10 for up to 60 tablets
SeizuresPrimidone tabletMysoline®250mg$16 for up to 60 tablets
Irritable Bowel SyndromeDonnatal® tablet (CS)N/A16.2/0.1037/0.0194/0.0065mg$0*

*Supported through a partnership
N/A
Allergies/Arthritis/ Hormones/AsthmaHydrocortisone tabletN/A10mg$25 for up to 90 tablets
Allergies/Arthritis/ Hormones/AsthmaHydrocortisone tabletN/A5mg$15 for up to 90 tablets
Blood Pressure/Fluid RetentionHydrochlorothiazide tabletN/A25mg, 50mg$20
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)
Angina / Chest Painheart diseaseIsosorbide Mononitrate ER tabletN/A30mg, 60mg 120mg$20
Blood Pressure/Fluid RetentionHydrochlorothiazide capsuleN/A12.5mg$20
Blood Pressure / HeartLabetalol HCL tabletN/A100mg, 200mg, 300mg$30 for up to 90 tabs
Blood Pressure / HeartHydralazine tabletN/A10mg, 25mg, 50mg, 100mg$25$45
PsychosisHaloperidol tabletN/A0.5mg, 1mg, 2mg, 5mg$25N/A
DiabetesdiabetesGlyburide tabletN/A1.25mg, 2.5mg, 5mg$20
AnxietyBuspirone tabletN/A5mg, 10mg, 15mg$20N/A
Heart/Potassium ReplacementPotassium CitrateN/A540mg (5mEQ), 1080mg (10mEQ)N/AN/A$15 for up to 90 tablets
Blood / HeartFolic Acid tabletN/A1mg$20
DepressiondepressionVenlafaxine tabletN/A25mg, 37.5mg, 50mg, 75mg, 100mg$45N/A
CancerTamoxifen Citrate tabletN/A10mg, 20mg$25$45
Heart ArrhythmiasFlecainide Acetate tabletN/A50mg, 100mg, 150mg$35 for up to 90 tablets
AsthmaAlbuterol Inhalation Solution 0.083%N/A0.083%/3mL$15 for up to 75 vials
Iron SupplementFerrous Sulfate EC tabletN/A325mg (no prescription required)$6 per bottle of 100 tablets (minimum 2 bottles)
DiabetesdiabetesInsulin Syringes (Prodigy®)N/A28G 12.7mm – 1cc, 31G 8mm – 1/2cc, 31G 8mm – 1/3cc
$13 for a box of 100
DiabetesBlood Glucose Strips, No Coding (Prodigy™)N/ABox of 50N/AN/A$15 per box (no prescription required)
Cholesterol/TriglyceridesFenofibrate tabletN/A54mg, 160mg$55$95
Bipolar DisorderLithium Carbonate capsuleN/A150mg, 300mg$10 for up to 270 capsulesN/A
Ulcerative ColitisSulfasalazine tabletN/A500mg$50$95
Bipolar DisorderLithium Carbonate ER tabletN/A450mg$35N/A
DiabetesBlood Glucose Monitor (Prodigy AutoCode™)N/AN/AN/AN/AOne Free Monitor Annually (no prescription required)
Parkinson’sAmantadine tabletN/A100mg$30N/A
Arthritis / PainEtodolac tabletN/A400mg, 500mg$40 for up to 90 tabletsN/A
Arthritis / PainEtodolac capsuleN/A200mg, 300mg$40 for up to 90 capsulesN/A
Heart/Potassium ReplacementPotassium Chloride ER tabletN/A600mg (8mEQ), 750mg (10mEQ), 1500mg (20mEQ)N/AN/A$25 for up to 90 tablets
AllergiesEpinephrine Auto InjectorAdrenaclick0.15mg/0.15ml, 0.3mg/0.3ml$200 for a 2 unit pack
AnxietyChlordiazepoxide capsule (CS)N/A5mg, 10mg, 25mg$15 for up to 180 capsulesN/A
Cholesterol / Triglyceridesheart diseaseLovastatin tabletN/A10mg, 20mg, 40mg$9$18
DepressiondepressionDoxepin capsuleN/A10mg, 25mg, 50mg, 75mg, 100mg$25N/A
DepressiondepressionAmitriptyline tabletN/A10mg, 25mg, 50mg, 75mg, 100mg, 150mg$20N/A
Arthritis / PainarthritisIbuprofen tabletN/A400mg, 600mg, 800mg$20N/A
AllergiesHydroxyzine pamoate capsuleN/A25mg, 50mg$25N/A
Irritable Bowel SyndromeDonnatal® elixir (CS) Mint or GrapeN/A16.2/0.1037/0.0194/0.0065mg$0*

*Supported through a partnership
N/A
Depression / AnxietydepressionTrazodone tabletN/A50mg, 100mg, 150mg$10N/A
Cancer / Rheumatoid ArthritisMethotrexate tabletN/A2.5mg$20 per 12 tabletsN/A
Blood Pressure / HeartTerazosin capsuleN/A1mg, 2mg, 5mg, 10mg$20
Blood Pressure/Fluid RetentionIndapamide tabletN/A1.25mg, 2.5mg$20
AsthmaTheophylline ER tabletN/A100mg, 200mg, 300mg$20 for up to 90 tablets
Muscle RelaxerBaclofen tabletN/A10mg, 20mg$15N/A
Arthritis / PainarthritisDiclofenac EC tabletN/A50mg, 75mg$25N/A
Low Blood PressureMidodrine HCl tabletN/A2.5mg, 5mg, 10mg$35 for up to 90 tablets
AnxietyBuspirone tabletN/A30mg$35N/A
CoughBenzonatate capsuleN/A200mg$15 for up to 30 capsules
Parkinson'sBenztropine tabletN/A0.5mg, 1mg, 2mg$20
Anti-thyroidPropylthiouracil tabletN/A50mgN/AN/A$45 for up to 90 tablets
Blood Pressure / HeartPropranolol tabletN/A10mg, 20mg, 40mg, 80mg$20
Nausea / PsychosisProchlorperazine tabletN/A5mg, 10mg$20
Muscle SpasmsspasmCyclobenzaprine tabletN/A5mg, 10mg$25N/A
OphthalmicBrimonidine Tartrate 0.2% SolutionN/A0.2%/10ml dropper$15 per dropper
Arthritis / PainarthritisNabumetone tabletN/A500mg, 750mg$40N/A
PsychosisChlorpromazine HCL tabletN/A10mg, 25mg, 50mg, 100mg, 200mg$35N/A
Blood Pressure/Fluid RetentionChlorthalidone tabletN/A25mg, 50mg$30$55
Inflammation/AsthmaPrednisone tabletN/A1mg, 2.5mg, 5mg, 10mg, 20mg, 50mg$20N/A
AntifungalNystatin TabletN/A500000 units$25 for up to 90 tablets
Blood Pressure / HeartPrazosin capsuleN/A1mg, 2mg, 5mg$20$40
Endometriosis/Uterine BleedingNorethindrone Acetate TabletN/A5mg$75 up to 50 tablets
Angina / Chest PainNitroglycerin SA capsuleN/A2.5mg, 6.5mg, 9mg$45$85
AllergiesHydroxyzine HCL tabletN/A25mg, 50mg$25N/A
Chronic Renal FailureCalcium acetate tabletN/A667mg$35 for up to 90 tablets
DepressionAmoxapine tabletN/A100mg$32 for up to 30 tabletsN/A
OphthalmicArtificial Tears 1.4% drops (OTC)N/A15 oz bottle (no prescription required)$9 per bottle
Arthritis/PainAspirin EC tablet (OTC)N/A325mg (no prescription required)$7 for a bottle of 100
Blood Thinner/HeartAspirin EC tablet (OTC)N/A81mg (no prescription required)$9 for a bottle of 120
Parkinson’sBromocriptine tabletN/A2.5mg$65 for up to 30 tablets
Arthritis/PainCapsaicin Cream, 0.025% (OTC)N/A60g (no prescription required)$12 per jar
PsychosisFluphenazine tabletN/A10mg$18 for up to 60 tabletsN/A
DepressionFluvoxamine Maleate tabletN/A100mg$12 for up to 30 tabletsN/A
Oral Health/PainLidocaine 2% viscous solutionN/A100ml$7 per bottle
DiarrheaLoperamide capsuleN/A2mg$9 for up to 30 capsules
PsychosisLoxapine capsuleN/A5mg, 10mg$20 for up to 60 capsulesN/A
PsychosisLoxapine capsuleN/A25mg, 50mg$45 for up to 60 capsulesN/A
Vitamins/MineralsMagnesium Oxide tablet (OTC)N/A400mg (no prescription required)$8 for a bottle of 120
HIVZidovudine tabletN/A300mg$30 for up to 60 tablets
Cholesterol/ TriglyceridesNiacin SA capsule (OTC)N/A250mg (no prescription required)$9 for a bottle of 100
Nausea/PsychosisPerphenazine tabletN/A2mg, 4mg$20 for up to 30 tabletsN/A
Nausea/PsychosisPerphenazine tabletN/A8mg, 16mg$35 for up to 30 tabletsN/A
Vitamins/MineralsPNV Prenatal Multivitamin Plus Iron & Folic Acid tabletN/A27mg/1mg$9 for up to 30 tablets
EndometriosisProgesterone capsuleN/A100mg, 200mg$30 for up to 36 capsules
DermatologyTriamcinolone cream, 0.1%N/A454g (0.1%)$18 per tube
DermatologyTriamcinolone ointment, 0.1%N/A454g (0.1%)$20 per jar
Parkinson’sTrospium Chloride tabletN/A20mg$50 for up to 60 tablets
Vitamins/MineralsVitamin B Complex capsule (OTC)N/A60mg/60mg/5mg (no prescription required)$16 for a bottle of 100
Vitamins/MineralsVitamin B-6 tablet (OTC)N/A50mg (no prescription required)$11 for a bottle of 100
Vitamins/MineralsVitamin B-6 tablet (OTC)N/A100mg (no prescription required)$7 for a bottle of 100
OsteoporosisVitamin D3 tablet (OTC)(cholecalciferol)N/A400IU (no prescription required)$11 for a bottle of 100
Vitamins/MineralsVitamin D3 capsule (OTC)N/A50,000IU (no prescription required)$15 for 12 capsules
SeizuresQudexy® XR capsuleTopiramate ER25mg, 50mg, 100mg, 150mg, 200mg$50$95
Blood Pressure/HeartEplerenone tabletN/A25mg, 50mg$35 for a 30-day supply
Anxiety/PsychosisTrifluoperazine HCl tabletN/A1mg, 2mg, 5mg, 10mg$50N/A
Alzheimer’sMemantine HCL tabletNamenda®5mg, 10mg$25 for up to 60 tablets
Arthritis/PainarthritisNaproxen tabletNaprosyn®250mg, 375mg, 500mg$20N/A
Seizures / PainGabapentin tabletNeurontin®600mg, 800mgN/AN/A$45 for up to 270 tablets
SeizuresseizuresGabapentin capsuleNeurontin®100mg, 300mg, 400mgN/AN/A$25 for up to 270 capsules
Heartburn/Acid Reflux/UlcersEsomeprazole capsuleNexium®20mg, 40mg$20 for up to 30 capsules
CholesterolNiacor® tabletNiacin500mg$25 for up to 180 tablets
CholesterolNiacin ER tabletNiaspan® ER500mg$45 for up to 30 tablets
Cholesterol/ TriglyceridesNiacin ER tabletNiaspan® ER1000mg$50 for up to 30 tablets
Blood Pressure / HeartNifedipine ER tabletProcardia XL30mg, 60mg, 90mg$50$95
CancerNilandron® tabletNilutamide150mg$0 supported through a partnershipN/A
Blood Pressure / HeartAmlodipine tabletNorvasc®2.5mg, 5mg, 10mg$20$40
AntifungalNyamyc® Topical PowderNystatin100,000U/g (60g bottle)$30 per bottle
HormonesEstropipate tabletOgen®0.625(0.75mg), 1.25(1.5mg)$20
Oral ContraceptiveNorethindrone TabletOrtho Micronor®28's (0.35mg)$35$65
Oral ContraceptivesSprintec® tabletOrtho-Cyclen®28's$35 (limit 3)$65 (limit 6)
Oral ContraceptivesTri-Sprintec® tabletOrtho-Tri-Cyclen®28's$35 (limit 3)$65 (limit 6)
Oral ContraceptiveNorethindrone/Ethinyl Estradiol Tablet Ovcon® 3528's (0.4mg/0.035mg)$35$65
Turner SyndromeOxandrolone tablet (CS)Oxandrin®2.5mg, 10mg
Requires statement of diagnosis by provider
$50 for up to 30 tabletsN/A
DepressiondepressionNortriptyline HCL capsulePamelor®10mg, 25mg, 50mg, 75mg$20N/A
Muscle RelaxerChlorzoxazone tabletParafon Forte® DSC500mg$25 for up to 90 tabletsN/A
DepressiondepressionParoxetine HCL tabletPaxil® (HCL)10mg, 20mg, 30mg, 40mg$20N/A
Heartburn / Acid Reflux / UlcersFamotidine tabletPepcid®20mg, 40mg$20
Blood PressureDibenzyline® capsulePhenoxybenzamine10mg$0 supported through a partnershipN/A
Arthritis / MalariaHydroxychloroquine tabletPlaquenil®200mg$22 for up to 30 tablets
Blood Clot PreventionClopidogrel TabletPlavix®75mg$20 for up to 90 tablets
Blood Pressure/HeartFelodipine ER TabletPlendil® ER10mg$70 up to 90 tablets
Blood Pressure/HeartFelodipine ER TabletPlendil® ER2.5mg, 5mg$40 up to 90 tablets
Heartburn/Acid Reflux/UlcersLansoprazole DR capsulePrevacid®30mg$20 for up to 30 capsules
Blood Clot Preventionintermittent claudicationCilostazol tabletPletal®50mg, 100mg$30$55
ThyroidSSKI® oral solutionPotassium Iodide1g/ml dropper$20 per dropper
ThyroidSSKI® oral solutionPotassium Iodide8 fl. Oz. bottle (237ml)$35 per bottle
DiabetesRepaglinide tabletPrandin® 0.5mg, 1mg, 2mg$40 for up to 90 tablets
Cholesterol / Triglyceridesheart diseasePravastatin tabletPravachol®10mg, 20mg, 40mg, 80mg$25 for up to 90 tablets
Heartburn / Acid Reflux / UlcersOmeprazole capsulePrilosec®10mg, 20mg, 40mg$35$65
ImmunosuppressantTacrolimus capsulePrograf®1mg$75 for up to 90 capsules
ImmunosuppressantTacrolimus capsulePrograf®0.5mg$60 for up to 90 capsules
ProstateFinasteride tabletProscar®Proscar®5mg$25$45
Heartburn/Acid Reflux/UlcersPantoprazole tabletProtonix®20mg, 40mg$20N/A
HormonesMedroxyprogesterone tabletProvera®2.5mg, 5mg, 10mg$15N/A
NarcolepsyModafinil tablet (CS)Provigil®100mg, 200mg$80N/A
DepressiondepressionFluoxetine capsuleProzac®10mg, 20mg, 40mg$15N/A
AsthmaBudesonide Inhalation SolutionPulmicort Respules®0.25mg/2mL$32 for up to 10 vials
AsthmaBudesonide Inhalation SolutionPulmicort Respules®0.5mg/2mL$37 for up to 10 vials
Heartburn/Acid Reflux/UlcersAcipHex® tabletRabeprazole 20mg$10 for up to 30 tablets
Nausea / StomachMetoclopramide HCL tabletReglan®5mg, 10mg$20 (1 fill only:no refills)N/A
DepressiondepressionMirtazapine tabletRemeron®15mg, 30mg, 45mg$30N/A
Parkinson’s/Restless LegRopinirole HCL tabletRequip®0.25mg, 0.5mg, 1mg, 2mg$45$85
InsomniaTemazepam capsule (CS)Restoril®15mg, 30mg$16 for up to 90 capsulesN/A
Blood PressureSildenafil Citrate tabletRevatio®20mg$20 for up to 30 tablets
AllergiesBudesonide nasal sprayRhinocort®8.6g/32mcg$62 per nasal spray
PsychosisRisperidone tabletRisperdal®0.25mg, 0.5mg, 1mg, 2mg, 3mg, 4mg$45N/A
Muscle RelaxerMethocarbamol tabletRobaxin®500mg, 750mg$15 for up to 90 tabletsN/A
Chronic Renal Failure/ThyroidCalcitriol capsuleRocaltrol®0.25mcg$17 for up to 30 capsules
Chronic Renal Failure/ThyroidCalcitriol capsuleRocaltrol®0.5mcg$20 for up to 30 capsules
EpilepsyBanzel®Rufinamide200mg 400mg tablets, 40mg/mL Oral Suspension N/AN/ARefer to Patient Forms for information
Heart Arrhythmiasheart diseasePropafenone HCL tabletRythmol®Rythmol®150mg, 225mg, 300mg$40$75
NutritionalFolic Acid 2.2 tabletRx Dietary Supplement2.2 mg folic acid/25 mg vitamin B6/
500 mcg vitamin B12
$9 for 90 tablets
PsychosisQuetiapine FumaratetabletSeroquel®200mg, 300mg$40 for up to 90 tabletsN/A
PsychosisQuetiapine FumaratetabletSeroquel®25mg, 50mg, 100mg$25 for up to 90 tabletsN/A
PsychosisQuetiapine FumaratetabletSeroquel®400mg$50 for up to 90 tabletsN/A
Parkinson'sCarbidopa / Levodopa SR tabletSinemet CR®25/100mg, 50/200mg$45$85
Parkinson'sCarbidopa / Levodopa tabletSinemet®10/100mg, 25/100mg, 25/250mg$45$85
AsthmaMontelukast Sodium tabletSingulair®10mg, 5mg chewable$40 for up to 90 tablets
Sleep/insomniaZaleplon capsule (CS)Sonata®5mg, 10mg$35 for up to 90 capsulesN/A
Heart ArrhythmiasSorine® tabletSotalol HCl80mg, 120mg, 160mg, 240mg$20N/A
Parkinson’sCarbidopa/Levodopa/Entacapone tabletStalevo®12.5/50mg, 18.75/75mg, 25/100mg, 31.25/125mg, 37.5/150mg, 50/200mg$45 for up to 60 tablets
ThyroidMethimazole tabletTapazole®5mg, 10mg$9 for up to 30 tablets
SeizuresCarbamazepine ER tabletTegretol XR®200mg, 400mg$25 for up to 90 tablets
SeizuresseizuresCarbamazepine tabletTegretol®/Epitol®200mg$25 for up to 90 tablets
Blood Pressure/Fluid RetentionAtenolol/Chlorthalidone tabletTenoretic®50/25mg, 100/25mg$20
Blood Pressure / HeartAtenolol tabletTenormin®25mg, 50mg, 100mg$9$18
CoughBenzonatate capsuleTessalon®100mg$12 for up to 30 capsules
SeizuresTopiramate tabletTopamax®25mg, 50mg, 100mg, 200mg$35$65
Blood Pressure/HeartMetoprolol Succinate ER tabletToprol-XL®200mg$45$85
Blood Pressure/HeartMetoprolol Succinate ER tabletToprol-XL®25mg, 50mg, 100mg$35$65
DepressionParnate® tabletTranylcypromine10mg$0 supported through a partnershipN/A
Blood Clot PreventionPentoxifylline ER tabletTrental®400mg$30$55
Blood Pressure/Fluid RetentionDyrenium capsuleTriamterene50mg, 100mg$0 supported through a partnershipN/A
Cholesterol/TriglyceridesFenofibrate tabletTricor®145mg$55 for up to 30 tablets
Cholesterol/TriglyceridesFenofibrate tabletTricor®48mg$55$95
Seizures/Bipolar DisorderOxcarbazepine tabletTrileptal®150mg, 300mg, 600mg$30N/A
Cholesterol/TriglyceridesFenofibric acid DR capsuleTrilipix®135mg$60 for up to 30 capsules
OphthalmicDorzolamide HCl 2% SolutionTrusopt®10ml dropper$15 per dropper
PainTramadol/Acetaminophen tablet (CS) Ultracet®37.5mg/325mg$30 for up to 120 tabletsN/A
PainTramadol tablet (CS)Ultram®50mg$7 for up to 90 tabletsN/A
PainTramadol HCl ER tablet (CS)Ultram® ER100mg, 200mg$40 for up to 30 tabletsN/A
PainTramadol HCl ER tablet (CS)Ultram® ER300mg$60 for up to 30 tabletsN/A
DermatologyHalobetasol Prop ointment, 0.05%Ultravate®15g $35 per tube
BladderBethanechol tabletUrecholine®5mg, 10mg, 25mg$25 N/A
BladderBethanechol tabletUrecholine®50mg$45N/A
ProstateAlfuzosin ER tabletUroxatral®10mg$35 for up to 90 tablets
Anxiety / SeizuresDiazepam tablet (CS)Valium®2mg, 5mg, 10mg$8 for up to 90 tabletsN/A
Viral InfectionValacyclovir HCl tabletValtrex®1gm$75 for up to 90 tablets
Viral InfectionValacyclovir HCl tabletValtrex®500mg$50 for up to 90 tablets
Blood Pressure/Fluid RetentionEnalapril/HCTZ tabletVaseretic®5/12.5mg, 10/25mg$20
Blood Pressure / HeartEnalapril Maleate tabletVasotec®2.5mg, 5mg, 10mg, 20mg$20
Low TestosteroneTestosterone Gel packet (CS)Vogelxo®50mg (5g of gel per packet)$75 for a carton of 30 packetsN/A
Low TestosteroneTestosterone Gel tube (CS)Vogelxo®50mg (5g of gel per tube)$75 for a carton of 30 tubesN/A
Low TestosteroneTestosterone Gel pump (CS)Vogelxo®75g pump - 2 pumps per carton
(12.5mg per pump actuation)
$95 for a carton of 2 pumpsN/A
Arthritis / PainDiclofenac ER tabletVoltaren XR®100mg$40N/A
DepressiondepressionBupropion HCL SRWellbutrin SR®100mg, 150mg, 200mg$65N/A
DepressiondepressionBupropion HCL XLWellbutrin XL®150mg, 300mg$65N/A
DepressiondepressionBupropion HCL tabletWellbutrin®Wellbutrin®75mg$40N/A
DepressiondepressionBupropion HCL tabletWellbutrin®Wellbutrin®100mg$40 for up to 90 tabletsN/A
OphthalmicLatanoprost 0.005% SolutionXalatan®2.5ml dropper$45 (limit 3)N/A
AnxietyAlprazolam tablet (CS)Xanax®0.25mg, 0.5mg, 1mg, 2mg$9 for up to 90 tabletsN/A
Respiratory Disease/AsthmaLevalbuterol SolutionXopenex®1.25mg/3mL$55 for up to 24 vials
AllergiesLevocetirizine tabletXyzal®5mg$35$65
Muscle SpasmsspasmTizanidine HCL tabletZanaflex®Zanaflex®2mg, 4mg$55N/A
Heartburn / Acid Reflux / UlcersRanitidine tabletZantac®150mg, 300mg$20
Blood Pressure/Fluid RetentionMetolazone tabletZaroxolyn®2.5mg, 5mg$35$65
Blood Pressure/Fluid RetentionLisinopril/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
Blood Pressure/Fluid RetentionBisoprolol/HCTZ tabletZiac®2.5/6.25mg, 5/6.25mg, 10/6.25mg$20
Cholesterol / Triglyceridesheart diseaseSimvastatin tabletZocor®Zocor®5mg, 10mg, 20mg, 40mg, 80mg$20$35
NauseaOndansetron tabletZofran ®8mg$50 for up to 90 tabletsN/A
NauseaOndansetron tabletZofran ®4mg$50 for up to 135 tabletsN/A
NauseaOndansetron ODT tabletZofran ODT®8mg$50 for up to 90 tabletsN/A
NauseaOndansetron ODT tabletZofran ODT®4mg$50 for up to 135 tabletsN/A
DepressiondepressionSertraline tabletZoloft®25mg, 50mg, 100mg$25N/A
SeizuresZonisamide capsuleZonegran®50mg$20 for up to 90 capsules
SeizuresZonegran® capsuleZonisamide25mg, 100mg$20 for up to 90 capsules
Viral InfectionAcyclovir capsuleZovirax®200mg$20
Viral InfectionAcyclovir tabletZovirax®400mg, 800mg$20
GoutAllopurinol tabletZyloprim®100mg, 300mg$20
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
AllergiesCetirizine HCl tablet OTCZyrtec® OTC10mg (no prescription required)$10 per bottle of 100 tablets (minimum purchase of $20 for 2 bottles)