RX BENEFITS

RX BENEFITS

We provide an extensive formulary of available prescription medications available. We've sorted those by condition for you to find the medications you need.

ADHD
  • MIXED AMPHETAMINE 10,15,20,30MG: Adderall Tabs
  • CLONIDINE 0.1, 0.2, 0.3MG: Catapres
  • GUANFACINE 1,2MG: Tenex
ALZHEIMER’S
  • DONEPEZIL 5,10MG: Aricept
  • MEMANTINE 5,10MG: Namenda
ANTIBIOTICS
  • AMOXICILLIN 250,500MG: Amoxil
  • AMOXICILLIN/CLAV 875/125MG: Augmentin
  • AZITHROMYCIN 250MG: Z-pak
  • CEPHALEXIN 250,500MG: Keflex
  • CIPROFLOXACIN 250,500,750MG: Cipro
  • CLINDAMYCIN 150,3000MG: Cleocin
  • DOXYCYCLINE 50,100,MG: Vibratab
  • LEVOFLOXACIN 250,500,750MG: Levaquin
  • METRONIDAZOLE 250,500MG: Flagyl
  • PENICILLIN 250,500MG: Pen-Vee K
  • TRIMETH/SULFA SS&DS: Septra/Bactrim
ANTIBIOTICS - PEDIATRIC LIQUID
  • AMOXICILLIN 250MG/5ML (sizes: 80ML,100ML,150ML): Amoxil
  • AMOXICILLIN 400MG/5ML (sizes: 75ML,100ML): Amoxil
  • AMOXCILLIN/Clav 400MG/5ML (sizes: 50ML,75ML,100ML): Augmentin
  • AMOXCILLIN/Clav ES 600MG/5ML (sizes: 75ML,125ML,200ML): Augmentin ES
  • AZITHROMYCIN 100MG/5ML (size: 15ML): Zithromax
  • AZITHROMYCIN 200MG/5ML (sizes: 15ML,22.5ML,30ML): Zithromax
  • CEFDINIR 125MG/5ML (sizes: 60ML,100ML): Omnicef
  • CEFDINIR 250MG/5ML (sizes: 60ML,100ML): Omnicef
  • FLUCONAZOLE 10MG/ML - 35ML: Diflucan
  • FLUCONAZOLE 40MG/ML - 35ML: Diflucan
ANTIBIOTIC TOPICAL
  • MUPIROCIN ointment: Bactroban
  • SILVER SULFADIAZINE: Silvadene
ANTICHOLINERGIC
  • BENZTROPINE 0.5,1,2MG: Cogentin
  • HYOSCYAMINE 0.125MG: Levsin Oral or SL
ANTICOAGULANT/ANTI-PLATELET
  • CLOPIDOGREL 75MG: Daily Plavix
  • ASPIRIN 81MG: Daily
  • WARFARIN 1,2,2.5,3,4,5,6,7.5,10MG: Coumadin
ANTICONVULSANTS
  • GABAPENTIN 100,300,400,600,800MG: Neurontin
  • LAMOTRIGINE 25,100,150,200MG: Lamictal
  • LEVETIRACETAM Tablets 250,500,750,1000mg: Keppra
  • PHENYTOIN 100MG: Dilantin
  • PRIMIDONE 50,250MG: Mysoline
  • TOPIRAMATE 25,50,100,200MG: Topamax
ANTIDEPRESSANT
  • AMITRIPTYLINE 10,25,50MG: Elavil
  • NORTIPTYLINE 10,25,50MG: Pamelor
  • CITALOPRAM10,20,40MG: Celexa
  • ESCITALOPRAM 10,20MG: Lexapro
  • FLUOXETINE 10,20MG: Prozac
  • SERTRALINE 25,50,100MG: Zoloft
  • VENLAFAXINE-ER 37.5,75,150MG: Effexor XR
  • DULOXETINE 20,30,60MG: Cymbalta
  • TRAZODONE 50,100,150MG: Desyrel
  • BUPROPION SR 100,150MG: Wellbutrin SR
  • BUPROPION XL 150,300MG: Wellbutrin XL
  • MIRTAZAPINE 15,20,45MG: Remeron
ANTIESTROGEN
  • TAMOXIFEN 10,20MG: Nolvadex
  • LETROZOLE 2.5MG: Femara
  • ANASTROZOLE 1MG: ArimIdex
ANTIFUNGAL
  • CLOTRIMAZOLE 1%: Lotrimin
  • MICONAZOLE 2%: Micatin
  • TERBINAFINE 250MG: Lamisil
ANTIVIRAL
  • ACYCLOVIR 400,800MG: Zovirax
  • VALCYCLOVIR 500,1000MG: Valtrex
CARDIAC
  • AMIODARONE 200MG: Cordarone
  • ISOSORBIDE MN 30,60MG: Imdur
  • NITROGLYCERIN 0.4MG: Nitrostat
  • CARVEDILOL (all strengths): Coreg
  • METOPROLOL TARTRATE – 25,50,100MG Lopressor
  • METOPROLOL SUCCINATE ER – 25,50,100MG: Toprol XL
  • SOTALOL 80,120MG: Betapace
  • DILTIAZEM – CD 120,180,240,300MG: Cardizem “CD”
  • FUROSEMIDE 20,40,80MG: Lasix
COUGH
  • PROMETHAZINE/Codeine: Phenergan/cod
  • GUAIFENESIN/Codeine: Robitussin AC
  • BENZONATATE 100,200MG: Tessalon
DERMATOLOGY
  • PREDNISONE 5,10,20,50MG: Sterapred DS
  • PERMETHRIN crème rinse: NIX crème rinse
  • HYDROCORTISONE 2.5% ointment
  • HYDROXYZINE 10,25,50MG: Atarax
  • TRIAMCINOLONE cr/oint: Kenalog
  • Augmented Betameth dip cream: Diprolene
  • MOMETASONE cr/oint (mid potency): Elocon
  • METHYLPREDISOLONE 4MG Dosepack: Medrol Dosepack
DIABETES TYPE-2
  • METFORMIN 500,850,1000MG: Glucophage
  • METFORMIN ER 500MG: Glucophage XR
  • GLIMEPIRIDE 1,2,4MG: Amaryl
  • GLIPIZIDE 5,10,MG: Glucotrol
  • GLIPIZIDE XL 2.5,5,10MG: Glucotrol-XL
  • PIOGLITAZONE 15,30,45MG: Actos
  • BLOOD GLUCOSE: MONITOR/STRIPS/LANCETS
  • SYRINGES 30,50,100 Units
  • PEN NEEDLES 100’
GASTRO
  • DICYCLOMINE 10,20MG: Bentyl
  • FAMOTIDINE 20,40MG: Pepcid
  • OMEPRAZOLE 20,40MG: Prilosec
  • PANTOPRAZOLE 20,40MG: Protonix
  • METOCLOPRAMIDE 5,10MG: Reglan
  • ONDANSETRON 4,8MG: Zofran Tabs
  • ONDANSETRON-ODT 4,8MG: Zofran-ODT
  • PROCHLORPERAZINE 5,10MG: Compazine
  • PROMETHAZINE 12.5,25MG: Phenergan
  • MECLIZINE 12.5,25MG: Antivert
  • LACTULOSE Syrup: Chronulac
  • POLYETHYLENE GLYCOL 255MG: Miralax
GOUT
  • INDOMETHACIN 25,50MG: Indocin
  • NAPROXEN 250,375,500MG: Naprosyn
  • PREDNISONE 15,10,20,50MG: Sterapred DS
  • ALLOPURINOL 100,300MG: Zyloprim
HEENT- EYE
  • GENTAMICIN eye drops: Garamycin
  • OFLOXACIN eye drops: Ocuflox
  • CIPROFLOXACIN: Ciloxan
  • TOBRAMYCIN: Tobrex
  • NEO/POLY/DEX eye ointment: Maxitrol ointment
  • TRIMETH/POLY drops: PolyTrim
  • KETOTIFEN EYE drops: Zatidor/Alaway
HEENT - GLAUCOMA
  • DORZOLAMIDE drops: Trusopt
  • TIMOLOL OPTH drops: Timoptic plain
  • DORZOLAMIDE + TIMOLOL: CoSopt
  • LATANOPROST drops: Xalatan
  • BRIMONIDINE .2%: Alphagan
HEENT – EAR
  • NEO/POLY/DEX EYE drops: Maxitrol
  • OFLOXACIN EYE drops
HEENT – MOUTH
  • LIDOCAINE VISCOUS: Xylocaine visc
HEENT - ALLERGY
  • CETIRIZINE 10MG: Zyrtec
  • LORATADINE 10MG: Claritin
  • FLUTICASONE nasal spray: Flonase
  • IPRATROPIUM NASAL SPRAY 0.03%,0.06%: Atrovent Nasal Spray
  • MONTELUKAST 4,5,10MG: Singulair
HYPERLIPIDEMIA
  • SIMVASTATIN 5,10,20,40MG: Zocor
  • ATORVASTATIN 10,20,40,80MG: Lipitor
  • ROSUVASTATIN 5,10,20,40MG: Crestor
  • FENOFIBRATE 48,145MG: Tricor
  • GEMFIBROZIL 600MG: Lopid
HYPERTENSION
  • HCTZ 12.5,25MG: HydroDiuril
  • SPIRONOLACTONE 25,50,100MG: Aldactone
  • TRIAMTERENE/HCTZ 37.5/25 TABS: Maxzide – 25 Tabs
  • LISINOPRIL 2.5,5,10,20,30,40MG: Prinivil/Zestril
  • LISINOPRIL/HCTZ (all strengths): Zestoretic
  • QUINAPRIL 5,10,20,40MG: Accupril
  • RAMIPRIL 1.25,2.5,5,10MG: Altace
  • AMLODIPINE 2.5,5,10MG: Norvasc
  • DILTIAZEM-CD 120,180,240,300MG: Cardizem “CD”
  • VERAPAMIL ER 120,180,240MG: Calan SR
  • LOSARTAN 25,50,100MG: Cozaar
  • IRBESARTAN 75,150,300MG: Avapro
  • IRBESARTAN/HCTZ: Avalide
  • OLMESARTAN 5,20,40mg: Benicar
HYPERTENSION – BBs
  • ATENOLOL 25,50,100MG: Tenormin
  • METOPROLOL 25,50,100MG: Lopressor
  • METOPROLOL ER 25,50,100MG: Toprol-XL
  • PROPRANOLOL 10,20,40,80MG: Inderal
  • CARVEDILOL 3.125,6.25,12.5,25MG BID: Coreg
HYPERTENSION – Sympatholytic
  • CLONIDINE 0.1, 0.2, 0.3MG: Catapres
  • GUANFACINE 1,2MG: Tenex
MEN’S HEALTH
  • FINASTERIDE 5MG: Proscar
  • DUTASTERIDE: Avodart
  • ALFUZOSIN 10MG: Uroxatral
  • TAMSULOSIN 0.4MG: Flomax
  • TERAZOSIN 1,2,5,10MG: Hytrin
  • SILDENAFIL 25,50,100MG (max 8 per month): Viagra
  • TADALAFIL 10,20MG (max 8 per month): Cialis
MENTAL HEALTH
  • ALPRAZOLAM 0.25,0.5,1,2MG: Xanax
  • DIAZEPAM 2,5,10MG: Valium
  • CLONAZEPAM 0.5,1,2MG: Klonopin
  • BUSPIRONE 5,10,15,30MG: Buspar
  • CHLORDIAZEPOXIDE 5,10,25MG: Librium
  • LITHIUM 300MG: LithoBid, Eskalith
  • OLANZAPINE 2.5,5,7.5,10MG: Zyprexa
  • RISPERIDONE 0.25,0.5,1,2,3,4MG: Risperdal
  • QUETIAPINE 25,50,100,200,300MG: Seroquel
  • TEMAZEPAM 15,30MG: Restoril
  • ZOLPIDEM 5,10MG: Ambien
  • HYDROXYZINE PAMOATE 25,50MG: Vistaril
MIGRAINE
  • SUMATRIPTAN 25,50,100MG: Imitrex
  • RIZATRIPTAN 5,10MG: Maxalt
  • RIZATRIPTAN ODT 5,10MG: Maxalt MLT
  • AMITRIPTYLINE 10,20,50MG: Elavil
  • NORTRIPTYLINE 10,25,50MG: Pamelor
  • METOPROLOL 25,50,100MG: Lopressor
  • METOPROLOL ER 25,50,100MG: Toprol-XL
  • PROPRANOLOL 10,20,40,80MG: Inderal
  • TOPIRAMATE 25,50,100,200MG: Topamax
OAB
  • OXYBUTYNIN 5MG: Ditropan
  • OXYBUTYNIN ER 10,15MG:  Ditropan XL
OSTEOPOROSIS
  • ALENDRONATE 35,70MG: Fosamax
  • VITAMIN D 50,000 IU: Drisdol
  • CALCIUM CARBONATE: OS-CAL
  • CALCIUM CITRATE: Citracal
PAIN MANAGEMENT
  • CYCLOBENZAPRINE 5,10MG: Flexeril
  • ORPHENADRINE ER: 100mg: Norflex
  • BACLOFEN 10,20MG: Lioresal
  • TIZANIDINE 2,4MG: Zanaflex
  • METHOCARBAMOL 500,750MG: Robaxin
  • IBUPROFEN 200,400,600,800MG: Motrin
  • MELOXICAM 7.5,15MG: Mobic
  • NAPROXEN 250,375,500MG: Naprosyn
  • GABAPENTIN 100,300,400,600MG: Neurontin
  • DULOXETINE 20,30,60MG: Cymbalta
  • CELECOXIB 100mg, 200mg: Celebrex
  • DICLOFENAC 1% Gel: Voltaren Gel
PAIN
  • OPIOIDS (MAX=120MME): Follow Clinic Opioid Policy
  • CODEINE/ACETAMINOPHEN #3: Tylenol #3
  • HYDRO/APAP 5/325,7.5/325,10/325: Norco
  • OXYCODONE 5,10,15MG IR Tabs: OXY-IR
  • TRAMADOL 50MG: Ultram
  • MORPHINE IR 15,30MG: MSIR
PAIN (RLS)
  • ROPINIROLE .25,.5,1,2,3,4MG: Requip
  • PRAMIPEXOLE 0.125,0.25,0.5,0.75,1,1.5mg: Mirapex
PARKINSONS
  • BENZTROPINE 0.5,1,2MG: Cogentin
  • CARBIDOPA/LEVODOPA 25/100MG: Sinemet
  • ROPINIROLE .25,.5,1,2,3,4MG: Requip
  • PRAMIPEXOLE (All Strengths): Mirapex
RHEUMATOID ARTHRITIS
  • METHOTREXATE 2.5MG
  • FOLIC ACID 1MG
RESPIRATORY
  • ALBUTEROL MDI KIT 8MG MAX: Ventolin
  • ALBUTEROL NEB SOLN 2.5MG: Ventolin soln
  • IPRATROPIUM NEB SOLN: Atrovent
  • ALBUTEROL/IPRATROPIUM: Duoneb
THYROID
  • LEVOTHYROXINE (All Strengths): Synthroid
WOMEN’S HEALTH
  • ESTRADIOL 0.5,1,2MG: Estrace
  • NORETHINDRONE-ETHINYL ESTRADIOL: Microgestin/Ortho-Novum
  • NORGESTREL-ETHINYL ESTRADIOL: Cryselle
  • LEVONORGESTREL-ETHINYL ESTRADIOL: Nordette, Orsythia
  • TRI-ESTARYLLA: Tri-Sprintec
  • PRENATAL VITAMINS PNV: Prenatal Plus
  • MICONAZOLE VAG CR/SUPPS: Monistat
  • CLOTRIMAZOLE VAG CR: Gyne-Lotrimin cream
  • FLUCONAZOLE 150MG: Diflucan
  • MEDROXYPROGESTERONE 150MG/ML Vial:  Depo-Provera
UTI PAIN
  • PHENAZOPYRIDINE 100MG (max 6 tablets): Pyridium
VITAMINS/SUPPLMENTS
  • VITAMIN B-1 100MG
  • VITAMIN B-2 100MG
  • VITAMIN B-6 50MG
  • VITAMIN B-12 500,1000MG
  • VITAMIN C 500MG
  • VITAMIN D 1000,2000,5000IU
  • DAILY-VITE MULTIVITAMIN
  • MAGNESIUM OXIDE 400MG
  • VITAMIN D 400IU/ml Drops
  • FERROUS SULFATE 325MG: Iron Supplement

Revised:  2/10/21