HNE Formulary Lookup
Search
Formulary Booklet
Formulary Search
Welcome to HNE’s Pharmacy Coverage!
Most of our Plans have prescription drug coverage. If you’re looking for information about your HNE prescription drug coverage, you’ve come to the right place!
Formulary Type
HNE
MassHealth
Search By:
Drug Name
select
-- Please Select a Drug Name --
Abilify 10/15/20/30mg
Abilify 2mg/5mg
Abilify Maintena
Ablavar
Abstral
Accolate
Accu-Chek Test Strips
Accuneb
Accuretic
Accutane
Accuzume
acebutolol
acetaminophen/ isometheptene/ dichloralphenazone
acetaminophen/butalbital
acetaminophen/butalbital/caffeine
acetaminophen/butalbital/caffeine/codeine
acetaminophen/codeine
acetazolamide
acetic acid/ ricinoleic acid/ oxyquinoline sulfate
acetic acid/hydrocortisone
acetohexamide
acetylcyesteine
Aciphex
Aclaro PD 4% Emulsion
Actemra
Acthar H.P.
Actimmune
Actiq
Activella
Actonel
Actoplus met
Actoplus met XR
Actos
Acular LS
acyclovir
Adalat CC
adapalene .1% cream/gel
Adcetris
Adcirca
Adderall
Adderall XR
Adipex-P
Adrenaclick
adriamycin
Advair Diskus
Advair HFA
Advicor
Aerobid
Aerobid-M
Aerochamber
Afinitor
Agenerase
Aggrenox
Agrylin
Akineton
Akne-Mycin
Akurza 6%
Alagesic LQ
Alamast
Alaway OTC
Albenza
albuterol soln
albuterol sulfate SR
Aldara
Aldurazyme
alendronate
alfuzosin
Alimta
Alinia
Alkeran
Allegra Allergy ODT
Allegra suspension
Allegra tabs
Allegra-D 12 hour
Allegra-D 24 hour
allopurinol
Alocril
Alodox
Alomide
Aloxi
Alphagan P
Alphanine
alprazolam
Alrex
Alsuma Kit
Altabax
Altace
altavera
Altoprev
Alupent
Alvesco
alyacen
amantadine
Amaryl
Ambien
Ambien CR
Amerge
Amethyst
Amicar
amiloride/ HCTZ
aminocaproic acid
amiodarone HCl
Amitiza
amitriptyline
AmLactin
amlodipine besylate
amlodipine besylate/benazepril
amlodipine/atorvastatin
amoxapine
amoxicillin
amoxicillin trihydrate
amoxicillin/potassium clavulanate
amoxicillin/potassium clavulanate ER
amoxicillin/potassium clavulanate suspension
amphetamine-dextroamphetamine ER caps
amphetamine-dextroamphetamine tabs
ampicillin
Ampyra
Amrix
Amturnide
Anascorp
anastrazole
Androderm
Androgel
Angeliq
Antabuse
anthralin
Antivert
Anusol-HC
Anzemet
APAP/dichloralphenazone/isomtheptene
Apidra
Aplenzin
Apokyn
apraclonidine
Apri
Apriso
Aptivus
Aquasol A
Aquoral Spray
aranelle
Aranesp
Arava
Arcalyst
Arcapta Cap Neohaler
Aredia
Arestin
Aricept
Aridol
Arimidex
Aristocort A
Arixtra
Armour thyroid
Aromasin
Arranon
Asacol
Asacol HD
Ascensia Test Strips
Asmanex
aspirin/butalbital/caffeine
Astelin Nasal Spray
Astepro
Atacand
Atacand HCT
Atelvia
atenolol
atenolol/chlorthalidone
Ativan
atorvastatin
atovaquone-proguanil hcl
Atralin gel
Atridox
Atripla
atropine sulfate
atropine sulfate, hyoscyamine sulfate, phenobarbital, scopolamine hydrobromide
Atrovent HFA
Atrovent Nebulizer Solution
Atryn
Aubagio
Augmentin
Augmentin Suspension
Augmentin XR
Auralgan solution
Aurax solution
Avage
Avalide
Avandamet
Avandaryl
Avandia
Avapro
Avar
Avastin
Avelox
aviane
Avinza
Avodart
Avonex
Axert
Axiron
Azasan
Azasite Eye Drops
azathioprine
azelastine
azelastine nasal spray
Azelex
Azilect
azithromycin
Azopt
Azor
Azulfidine
B Nexa
baclofen
Bactrim
Bactrim DS
Bactroban Cream
Bactroban Nasal
Bactroban Ointment
balsalazide disodium
Banzel
Banzel suspension
Baraclude
Bayer Contor Test Strips
BD pen needles
Beclovent
Beconase AQ
benazepril hcl
bendroflumethiazide/nadolol
Benicar
Benicar HCT
Benlysta
Benzaclin Care Kit
Benzaclin Gel
benzonatate
benzoyl peroxide
benzoyl peroxide cleanser
benzoyl peroxide/aloe
benzoyl peroxide/urea
benzphetamine
benztropine
benztropine Injections
Bepreve drops
Berinert
Besivance
betamethasome dipropionate
betamethasome dipropionate lotion
betamethasone diprop. Aug.
betamethasone dipropionate
betamethasone valerate
Betapace
Betaseron
betaxolol
bethanecol
Betoptic S
Bexxar
Beyaz
Biaxin XL
bicalutamide
BiferaRx
Biltricide
Binosto
Biothrax
bisoprolol
bisoprolol/HCTZ
Blephamide Drops or Vasocidin
Blephamide Ointment
Boniva
Boniva (IV)
Botox
Bravelle
briellyn
Brilinta
brimonidine
brimonidine tartrate
bromfenac
Bromfenex PD
bromocriptine
brompheniramine/pseudoephedrine
Brovana Solution
budeprion hcl
budesonide
budesonide respules
bumetanide
buprenorphine
buprenorphine/naloxone
buproban
bupropion
bupropion HCI
bupropion HCL
bupropion SR
bupropion XL
Buspar
buspirone
butalbital/aspirin/codeine/caffeine
Butrans Dis
Bydureon
Byetta
Bystolic
cabergoline
Caduet
Cafergot
Calan
Calan SR
calcipotriene
calcitriol
calcitriol ointment
calcium acetate caps
calcium acetate tabs
Caldolor
Camila
Campral
Camrese Lo
Canasa
candesartan-hctz
Capitrol
captopril
captopril/HCTZ
Carafate
carbachol
Carbaglu
carbamazepin
carbamazepine
carbamazepine, chewable
Carbatrol
carbidopa-levodopa-entacapone
carbidopa/levodopa
carbidopa/levodopa SR
Cardene IV
Cardizem
Cardizem CD
Cardizem LA
Cardura
Cardura XL
carisoprodol 250mg
carisoprodol 350mg
Carnitor
carteolol
cartia XT
carvedilol
Casodex
Catapres
Catapres-TTS
Caverject
Cayston Inhaler
caziant
Cedax
Ceenu
cefaclor
cefadroxil
cefdinir
Cefepime Inj.
cefpodoxime
cefprozil
Ceftin
cefuroxime
Celebrex
Celexa
Cellcept
Celontin
Cenestin
Centany
Centratex
cephalexin
Cerefolin NAC
Cerezyme
Cesamet
cesia
cetirizine OTC
Cetraxal .2% Solution
Cetrotide
Chantix
Chemet
cheratussin
chlopropamide
chloral hydrate
chlordiazepoxide
chlorhexidine gluconate
chloroquine phosphate
chlorpheniramine
chlorpromazine
chlorthalidone
cholestyramine powder
choline magnesium trisalicylate
Cialis
Cibalith-S
Ciclodan
ciclopirox gel
ciclopirox shampoo
ciclopirox solution kit
cilostazol
Ciloxin ophth solution
cimetidine
Cimzia
Cinryze
Cipro
Cipro XR
CiproDex
ciprofloxacin
ciprofloxacin hcl ophth solution
ciprofloxacin HCL otic solution .2%
citalopram
Citranatal
Clarinex
Clarinex Reditabs
Clarinex-D 12hr
Clarinex-D 24HR
clarithromycin
Claritin Ophthalmic
Claritin OTC
clemastine fumarate
Cleocin
Climara
Climara Pro
clindamycin
Clindamycin Phosph-Benzoyl Peroxide
clindamycin phosphate
clindamycin vaginal cream
clindamycin/benzoyl
Clindareach 1% Kit
clobetasol propionate
clobetasol propionate lotion .05%
clobetasol propionate shampoo .05%
Clobex lotion .05%
Clobex shampoo .05%
Clomid
clomiphene citrate
clomipramine
clonazepam
clonidine hcl tab
clonidine hcl TD
clonidine/chlorthalidone
clopidogrel
clorazepate
clotrimazole
clotrimazole troche
clotrimazole/ betamethasone lotion
clotrimazole/betamethasone cream
clozapine
Clozaril
CNL Nail Kit
Coartem
codeine
codeine/ promethazine
codeine/ pseudoephedrine/ guaifenesin
codeine/guaifenesin
Colazal
Colcrys
Colestid Flavored Granules
colestipol granules
Combigan
Combipatch
Combivent
Combivir
Combunox
Cometriq Kit
Complete Natal DHA
Complete-RF Prenatal
Completenate
Comtan
Comvax
Concept DHA
Concerta
Condylox
Conzip
Copaxone
Coreg
Coreg CR
Corifact
cortamox-pramoxine/hc/cloroxylenol
Cortane-B Lotion
Cortef
cortisone acetate
Cortone
Corzide
Cosopt
Cosopt PF
Coumadin
Cozaar
Creon
Crestor
Crinone
Crixivan
Crolom
cromolyn
cromolyn sodium
cryselle-28
Cuprimine
Cuvposa
cyanocobalamin
Cyclafem 1/35
Cyclafem 7/7/7
Cyclessa
cyclobenzaprine
Cyclobenzaprine Cream
Cyclogyl
cyclopentolate
cyclophosphamide
Cycloset
cyclosporine
Cymbalta
cyproheptadine
Cytomel
Cytoxan IV
Dacogen
Daliresp
danazol
Dantrium
dantrolene sodium
dapsone
Daraprim
Darvocet-N
Daytrana patch
Dazidox
DDAVP
DDAVP Nasal Spray
Decadron Phos
Deconamine
Deconamine SR
Delzicol
Demadex
Denavir
Depakene
Depakote
Depakote ER
Depakote Sprinkles
Deplin
Depo-Provera Injection
Dermasmooth/FS
Dermatop
desipramine
desloratadine
desloratadine ODT
desmopressin
desmopressin nasal spray
Desogen
desogestrel & ethinyl estradiol
desogestrel-ethinyl estradiol (triphasic)
desonide
Desonil Plus
desoximetasone cream
Desoxyn
Detrol
Detrol LA
dexamethasone
dexamethasone Na phosphate
dexamethasone/neomycin/polymixin B
Dexedrine
Dexilant
dexmethylphenidate
dextroamphetamine sulfate
dextroamphetamine sulfate ER
DHT
Diamox Sequels
Diastat
diazepam
diclofenac sodium
diclofenac sodium eye drop
dicloxacillin sodium
dicyclomine HCI
didanosine
Didrex
diethylstilbestrol diphosphate
Differin .1% cream/gel
Differin .1% lotion
Differin .3% gel
Dificid
diflunisal
Digex NF
digoxin
dihydorergotamine mesylate
Dilantin
Dilatrate-SR
Dilaudid
diltiazem hcl caps SR
diltiazem hcl tab
diltiazem hcl tabs SR
diltiazem SR
Dimetane-DC
Diovan
Diovan HCT
Dipentum
diphenhydramine
diphenoxylate HCI/atropine sulfate
dipivefrin HCI
Diprolene
Diprolene AF Cream
dipyridamole
disopyramide
disopyramide SR
disulfiram
Ditropan
Ditropan XL
divalproex sodium
Divigel
donepezil
Donnatal
dornase alfa
Doryx
dorzolamide
dorzolmide
Dovonex
doxazosin mesylate
doxepin
doxycycline
doxycycline hyclate
doxycycline monohydrate caps
Doxytex
Drithocreme
Drithro-Scalp
Drithrocreme HP
dronabinol
drospirenone-ethinyl estradiol
Drysol
Drysol Dabamatic
Duac
Duac CS
Duetact
Duexis
Dulera
DuoNeb
Duragesic
Durezol
Dutoprol
Dyazide
Dynacin
Dysport
EC-Naprosyn
econazole nitrate
Edarbi
Edarbyclor
Edecrin
Edex
Edluar
Edurant
Effer-K
Effexor
Effexor XR
Effient
Efudex Cream
Egrifta
Elaprase
Eldopaque Forte
Elestat
Elestrin
Elidel
Eligard syringe
Eliphos
Eliquis
Ella
Elmiron
Elocon
Eloxatin
Emadine
Embeda
Emcyt
Emend
Emend (IV)
emoquette
Emsam
Emtriva
Enablex
enalapril
Enbrel
endocet
Engerix-B
Enjuvia
enoxaparin
enpresse-28
entacapone
Entereg
Entocort EC
Epi-pen/Epi-pen Jr
epinastine hcl
epinephrine injection
Epivir
eplerenone
Epogen
eprosartan mesylate
Epzicom
Ergomar
Erivedge
Errin
Ery-Tab
Eryped
Eryped Chewable
erythromycin
erythromycin estolate
erythromycin stearate
erythromycin/benzoyl peroxide
erythromycin/sulfisoxazole
escitalopram
Esgic-Plus
Estrace
Estrace Vaginal Cream
Estraderm Dis
estradiol
estradiol transdermal
estradiol/norethindrone acetate
Estratab
Estratest H.S.
Estring
Estrogel
estropipate
Estrostep FE
ethedent
ethinyl estradiol/norethindrone
ethinyl estradiol/norethindrone acetate
ethinyl estradiol/norgestimate
ethinyl/ estradiol/ norgestimate
ethosuximide
ethynodiol diacet & eth estrad
etidronate
etodolac
etodolac ER
Euflexxa
Eurax
Evamist Spray
Evista
Evoclin
Exalgo
Exelon Capsules
exemestane
Exforge
Exforge HCT
Exjade
Extavia
Extina Foam
Eylea
Fabrazyme
Factive
famciclovir
famotidine
Famvir
Fanapt
Fansidar
Faslodex
Fazaclo
Fedahist
felbamate
Felbatol
felodipine
Femara
Femcap
Femcon FE
Femhrt
Femring
fenofibrate
fenofibrate (generic Tricor)
Fenoglide
fenoprofen
fentanyl lozenge
fentanyl transdermal
Fentora
Feraheme
Feriva
Ferriprox
fexofenadine tabs
Fibricor
Finacea
finasteride
finasteride (generic Propecia)
Fioricet
Fiorinal
Firazyr
Firmagon
First Omeprazole Kit
First Progesterone
First-Testosterone MC
Flavored Colytely
Flector Patch
Flexeril
Flextra DS
Flolan
Flomax
Flonase
Flovent Diskus
Flovent HFA
Flucelvax
fluconazole
fludrocortisone acetate
Flumist
flunisolide 29 mcg
flunisolide nasal spray
fluocinolone acetonide
fluocinonide
fluoride
fluoride sodium
fluorometholone
fluorouracil, topical
fluoxetine
fluoxetine delayed release
fluphenazine
flurazepam
flurbiprofen
flutamide
fluticasone
fluvastatin sodium
fluvoxamine
fluvoxamine SR
Fluzone
FML Liquiflm Suspension
Focalin
Focalin XR
Folbecal
folic acid
Follistim
Follistim/Anatagon Kit
fondaparinux
Foradil Aerolizer
Forfivo XL
fortamet XR
Forteo
Fortesta Gel
fortical
Fortovase
Fosamax
Fosamax plus D
fosinopril
Fosrenol
Fragmin
Freestyle Freedom Lite Meter
Freestyle Lite Meter
Freestyle Test Strips
Frova
Fulyzaq
Furadantin suspension
furosemide
Furoxone
Fusion Plus
Fuzeon
gabapentin
Gabitril
galantamine
Gammagard
Gamunex
ganciclovir
Ganirelix
Gardasil
Gastrinex NF
Gastrocrom
Gattex
Gel-Kam
Gel-One
Gelnique 10% gel
Gelnique 3% gel
gemfibrozil
Genotropin
gentamicin
gentamycin ophthalmic
Geodon
Geodon Injectable
gianvi
Giazo
Gildess FE 1.5/30
Gildess FE 1/20
Gilenya
Glassia
Gleevec
glimepiride
glipizide
glipizide XL
glipizide/ metformin
GlucaGen
Glucagon
Glucophage
Glucophage XR
Glucotrol XL
Glumetza, extended release
glyburide
glyburide, micronized
glycolax
Glyquin XM
Glyset
gold sodium thiomalate
Gonal-F
Gralise
Gralise Starter Pack
gramcidin/neomycin/polymyxin
granisetron
Grifulvin V
griseofulvin microsize
griseofulvin ultramicro
guaifenesin SR
guaifenesin/phenylephrine
guaifenesin/phenylephrine (Crantex LA)
guanfacine
Haldol Injection
Halflytely
halobetasol
haloperidol injections
Havrix
heather
Hectorol
Helixate
heparin
Hepsera
Hexalen
Histerlin LA
Hizentra
Horizant
Humalog
Humalog Mix 75/25
Humalog Pen
Humatrope
Humegon
Humidifier
Humira
Humira starter kit
Humulin
Humulin 70/30
Humulin N
Humulin N Pen
Humulin R
hydralazine
Hydro ear drops
hydrochlorothiazide
hydrocodone and chlorpheniramine
hydrocodone-ibuprofen
hydrocodone/acetaminophen
hydrocodone/homatropine
hydrocortisone
hydrocortisone acetate
hydrocortisone acetate/lidocaine
hydrocortisone butyrate
hydrocortisone valerate
hydrocortisone/neomycin/polymixin B
hydrocortosone iodoquinol
Hydromet
hydromorphone
hydroxychloroquine sulfate
hydroxyurea
hydroxyzine
hyoscyamine sulfate
hyoscyamine sulfate SR
hypercare
Hytekerol
Hytrin
Hyzaar
ibandronate
Ibudone
ibuprofen
IC Kit
Iclusig
Ilaris Injection
imipramine
imipramine pamoate
Imitrex
Imitrex injectable
Imitrex intranasal
Imovax
Implanon
imquimod
Imuran
Incivek
Increlex
indapamide
Inderal LA
indocin injection
indomethacin
indomethacin SR
Infanrix
Inlyta
Innohep
Innopran XL
Inova
Insanrix
Inspra
Insulin, all Lilly products
Insulin, all Novo products
Intelence
Intermezzo
Intron A
Introvale
Intuniv
Invega Sustenna Suspension
Invega Tab SR
Invirase
Invokana
iophen c-nr
ipratropium inhalation solution
ipratropium/albuterol inhalation
Iprivask injection
Iquix 1.5%
irbesartan
irbesartan/HCTZ
Iressa
Iron Dextran
Isentress
isoniazid
Isopto Atropine
isosorbide dinitrate
isosorbide dinitrate SL
isosorbide dinitrate SR
isosorbide mononitrate
isotretinoin
Istodax Injection
itraconazole
Ixiaro
Jakafi
Jalyn
Janumet
Janumet XR
Januvia
janya
Jentadueto
Jetrea
Jinteli
jolessa
jolivette
junel
junel fe
Juvisync
Juxtapid
K-Dur
Kadcyla
Kadian
Kalbitor
Kaletra
Kalydeco
Kapidex
Kapvay
Kapvay Dose Pack
kariva
Kazano
kelnor 1/35
Kemadrin
Keppra
Keppra XR
Keralyt 6% Gel
Ketek
ketoconazole
ketoconazole foam
Ketodan
ketoprofen
ketoprofen ER
ketorolac
ketorolac tromethamine
Ketostix
ketotifen OTC
Kineret
Klonopin
Klonopin Wafer
Klor-Con
Kogenate
Kombiglyze XR
Korlym
Krystexxa
Kuvan
Kynamro
Kyprolis
Kytril Injection
Kytril Solution
Kytril tablets
l-hyoscamine sulfate SR
labetolol
Lac-Hydrin
lactulose
Lamictal
Lamictal ODT
Lamictal XR
Lamictal XR Kit
Lamisil
Lamisil Spray
lamivudine
lamivudine/zidovudine
lamotrigine
lamotrigine chewable
lamotrigine SR
Lamprene
Lancets
Lanoxin
lansoprazole
lansoprazole susp
Lantus
Lantus Solostar
Lastacaft
latanoprost
Latisse
Latuda
Lavoclen Creamy Wash
Lazanda Spray
leena
leflunomide
Lescol
Lescol XL
lessina-28
Letairis
letrozole
leucovorin calcium
Leukeran
Leukine
levalbuterol hcl soln
Levaquin
Levemir
Levemir Flex pen
Levemir vials
levetiracetam
levetiracetam ER
Levitra
levobunolol
levocarnitine
levocetirizine
levofloxacin
levofloxacin solution .5%
levono
levonorgestrel & eth estradiol
levonorgestrel & ethinyl estradiol (continuous)
levonorgestrel-ethinyl estradiol (91 day)
levonorgestrel-ethinyl estradiol (triphasic)
Levora
Levorphanol
Levothroid
levothyroxine
Levoxyl
Levsin
Lexapro
Lexiva
Lexiva susp
Lexxel
Lialda
lidocaine HCI
lidocaine HCI viscous
lidocaine/prilocaine 2.5/2.5
Lidoderm
Lidoprofen cream
Lidovir
lindane
Linzess
liothyronine
Lipitor
Liquid Pred
lisinopril
lisinopril/ hydrochlorothiazide
lithium
lithium carbonate
Lithobid
Livalo
Livostin
Lo/Ovral
Loestrin
Lomotil
lomustine
loperamide OTC
Lopidine
Lopressor HCT
Loprox Gel
Loprox Shampoo
loratadine D OTC
loratadine OTC
lorazepam
losartan potassium
losartan/HCTZ
Loseasonique
Lotemax
Lotemax Ointment
Lotensin
Lotrel
Lotrimin AF
Lotrisone Cream
Lotrisone Lotion
Lotronex
lovastatin
Lovaza
Lovenox
low-ogestrel
loxapine
Lucentis
Lumigan
Lunesta
Lupron Depot Kit
Lupron Depot-Pediatric Kit
Lustra
lutera
Luveris
Luvox
Luvox CR
Lybrel
Lyrica
Lyrica solution
Lysodren
Lysteda
Lytensopril
Makena
Malarone
maprotiline
Marinol
marlissa
Matulane
Mavik
Maxair/ Maxair Autohaler
Maxalt
Maxalt MLT
Maxidex
Maxzide
mebendazole
meclizine
meclofenamate
Medrol
medroxyprogesterone acetate injection
Mefenamic acid
mefloquine
Megace ES
megestrol acetate
meloxicam
Menest
Menopur
meperidine
mephobarbital
Mephyton
Mepron
mercaptopurine
mesalamine rectal
Mesnex
Mestinon Timespan
mestranol/norethindrone
Metadate CD
Metandren
metaproterenol
metaproterenol neb soln
metaxalone
metformin
metformin ER
methadone
methamphetamine tabs
methazolamide
methenamine hippurate
methenamine mandelate
methenamine/ phenyl salicylate/ atropine sulfate/
Methergine
methimazole
methocarbamol
methotrexate
methotrexate injection
Methscopolamine bromide
methyldopa
methylergonovine maleate
methylphenidate
methylphenidate CR
methylphenidate ER tabs
methylphenidate hcl SR cap
methylphenidate hcl SR tab
methylprednisolone
metipranolol
metoclopramide
metolazone
metoprolol
metoprolol XL
metoprolol/hctz
Metozolv ODT
MetroCreme
Metrodin
MetroGel
Metrogel Vaginal
metronidazole
Mevacor
mexiletine HCl
Miacalcin Nasal Spray
Micardis
Micardis HCT
microgestin 1.5/30
microgestin 1/20
Microgestin FE
midodrine
Migranal Nasal Spray
Migrin-A
Minirin
Minocin
minocycline caps
minocycline hcl SR
minocycline tabs
minoxidil
Mintezol
Miralax
Mirapex
Mirapex ER
Mirena
mirtazapine
misoprostol
Mobic
modafinil
moexipril
moexipril/ HCTZ
mometasone furoate
Monodox capsules
mononessa
montelukast
Morgidox Kit
morphine sulfate
morphine sulfate cap SR
morphine sulfate tabs SR
Moviprep
Moxatag
Mozobil
MS Contin
Multaq
multivitamins/folic acid
mupirocin
mupirocin ca cream
MUSE
Myambutol
Mycobutin
mycophenolate
Myfortic
Myleran
Myobloc
Myozyme
Myrbetriq
Mysoline
myzilra
nabumetone
nadolol
Naftin Cream
Naftin Gel
naltrexone
Namenda
naphazoline HCI
Naproderm 15%
naproxen
naproxen ec
naproxen sodium
naratriptan
Nardil
Nasacort AQ
Nasalide
Nasarel
nascobal
Nasonex
Natroba
Navane
Nebupent
Necon
nefazodone
Nembutal
Neobenz
neomycin sulfate
Neoral
Nephrocap
Nephrocaps QT
Nesina
Nestabs FA
Neulasta
Neupogen
Neupro Patch
Neurontin
Neutra-Phos
Neutra-Phos K
Nevanac
nevirapine suspension
nevirapine tabs
Nexa Select Cap
Nexavar
Nexium
Next Choice 0.75mg
Next Choice 1.5mg
Niacor
Niaspan
nicardipine
Nicotine Polacrilex Gum
Nicotine Polacrilex Lozenge
Nicotine PT24 Patch
Nicotrol Inhaler RX
Nicotrol Nasal Spray RX
Nicotrol Patch RX
nifedipine
nifedipine ER
Nilandron
nimopipine
Niron Komplete
nisoldipine
nitrofurantion, macro
nitrofurantoin suspension
nitrofurantoin, dual release
nitroglycerin paste
nitroglycerin patch
nitroglycerin SL
nitroglycerin spray
Nitromist Spray
Nitrostat
nizatidine
Nizoral Shampoo
Nonoxynol 9
Nor QD
Nora-Be
Norditropin
norethindrone
norgestrel & ethinyl estradiol
norgestrel/ethinyl estradiol
norgestrel/ethinyl/estradiol
Noritate
Norpramin
Northyx
Nortrel
nortriptyline
Norvasc
Norvir
Novarel
Novolin
Novolin 70/30
Novolin N
Novolin R
Novolog
Novolog Mix 70/30
Novolog Penfill
Novoseven
Noxafil
Nplate
Nucynta
Nucynta ER
Nuedexta
Nulojix
Nulytely
Nutropin
Nutropin AQ
Nuvaring
Nuvigil
nystatin
nystatin vaginal
O-Cal FA
OB Complete Cap Petit
Obstetrix-100
ocella
Ofirmev
ofloxacin
ofloxacin ophthalmic
ofloxacin otic
Oforta
Ogestrel
olanzapine
olanzapine inj
olanzapine ODT
olanzapine/fluoxetine
Oleptro
Olux
omeprazole capsules (RX)
omeprazole tablets (OTC)
omeprazole-sodium bicarbonate
Omnaris
Omnicef
Omnipred
Omnitrope
Omontys
ondansetron HCI
ondansetron HCI (injectable)
One Touch Test Strips
Onfi
Onglyza
Onmel
Onsolis
Opana
Optivar
Oracea
Orap
Oravig
Orbivan CF
Orencia
Orfadin
orphenadrine/aspirin/caffeine
Orsythia
Ortho Cyclen
Ortho Tri Cyclen
Ortho Tri Cyclen Lo
Ortho-Cept
Ortho-Evra Patch
Ortho-Novum
Orthovisc
oscion cleanser
Oseni
Osmoprep
Otobiotic
Otosporin Otic
Ovcon-35
Ovcon-50
Ovidrel
Oxandrin
oxandrolone
oxaprozin
oxazepam
oxcarbazepine
Oxecta
Oxistat Cream
Oxistat Lotion
Oxsoralen Lotion
Oxtellar XR
oxybutinin
oxybutynin XL
oxycodone
oxycodone CR
oxycodone HCl
oxycodone HCl, controlled release
oxycodone HCl, controlled release (eq to Oxycontin)
oxycodone/acetaminophen
oxycodone/ibuprofen
Oxycontin
oxymorphone hydrochloride
oxymorphone hydrochloride ER
oxytocin
Oxytrol
Pamelor
Pamine
Panafil
Pancrease MT
Pancreaze
pantoprazole
Paptase Foam
Parlodel
Parnate
paromomycin
paroxetine
paroxetine ER
Pataday
Patanase
Patanol
Paxil
Paxil CR
Pediarix
Pedipirox-4 Kit Nail
PEG-Intron
PEG/NaSO4/NaHCO3/NaCl/KCl
Pegasys
penicillin v potassium
Penlac
Pennsaid solution
Pentasa
pentoxifylline
Pepcid Suspension
Pepcid Tabs
Percocet
Perforomist
pergolide mesylate
Periostat
Perlane
permethrin
perphenazine
Pexeva
phenazopyridine HCI
phenelzine
phentermine hcl
phenytoin
phenytoin, extended release
philith
Phisohex
Phoslo
Phoslyra
Phospholine Iodide
Picato
pilocarpine HCL
Pilopine HS
pindolol
pioglitazone
pioglitazone hcl-glimepiride
pioglitazone hcl-metformin hcl
piroxicam
Plan B 0.75mg
Plan B One Step 1.5mg
Plaquenil
Plavix
Pneumovax 23
PNV OB+DHA
Poly Vi Flor
Poly Vi Flor/ Iron
Polycitra
polyethylene glycol
polymyxin B sulfate/bacitracin
polymyxin/bacitracin
Polysporin
Pomalyst
portia-28
potassium chloride
potassium citrate/ sodium citrate/ citric acid
Potiga
PR Natal 400
Pradaxa
Pramasone Ointment
pramipexole
pramoxine-HC ointment
Prandimet
Prandin
Pravachol
pravastatin
prazosin
Precision Meter
Precision Test Strips
Precose
Pred Mild
Pred-G
Predforte 1%
Prednicarbate
prednisolone
prednisolone 1%
prednisolone acetate 1%
prednisone
Premarin
Premarin Vaginal Cream
Premphase
Prempro
Prempro Low Dose
Prenaplus
Prenatabs FA
Prenatabs RX
Prenatal 19
Prenatal AD
Prenatal Plus
Prenatal Plus/FE
Prenatal Vitamins Plus
Prenatal vitamins, OTC Generics
Prenatal Vitamins, Select Rx Generic
Prenatal-U
Prenate DHA Cap
Prenate Elite Tab
Prenate Plus
Prentif Cervical Cap
Prepopik Pak
Prevacid
Prevacid Solutab
prevaid
previfem
Prevnar
PrevPac
Prezista
Prilosec
Prilosec OTC
Prilosec Powder
primaquine phosphate
primidone
Prinivil
Pristiq
Proair HFA
probenecid
probenecid/ colchicine
procainamide
Procardia XL
Procentra
Prochieve
prochlorperazine
Procrit
Proctofoam HC
Profasi HP
progesterone caps
Prograf
Prolastin
Prolia
Promacta
promethazine HCI
Prometrium
propafenone
Propecia
propoxyphene
propoxyphene napsylate/acetaminophen
propranolol
propranolol ER
propranolol LA
propranolol/HCTZ
propylthioracil
Proscar
Prosed DS
Protect Plus
Protonix
Protopic
protriptyline
Provenge
Proventil HFA
Provigil
Prozac
Prozac Weekly
Pulmicort Flexhaler
Pulmicort Respules
Pulmozyme
Pylera
pyrazinamide
pyridostigmine BR
QNASL
Qsymia
Qualaquin
Quasense
Questran Powder
quetiapine fumarate
Quillivant
quinapril
quinapril / hydrochlorothiazide
Quinaquin
quinidine gluconate SR
quinidine sulfate
quinine sulfate
Quixin .5%
Qutenza Patch
Qvar
ramipril
Ranexa
ranitidine
Rapaflo
Rapamune
Ravicti
Rayos
Razadyne
Razadyne ER
Rebetol
Rebetron
Rebif
Reclast
reclipsen
Recombinate
Recombivax HB
Refacto
Regenecare
Regranex
Relenza
Relion
Relistor
Relpax
Remergent HQ
Remicade
Remodulin
Renagel
Renova
Renvela
Reprexain
Repronex
Requip
Requip XL
Rescriptor
reserpine
Restasis
Restoril
Restylane-L
Retin-A
Retin-A Micro
Retrovir
Revatio
Revatio injection
Revlimid (limited distribution)
Reyataz
Rezyst
Rhinocort Aqua
ribapak
ribavirin
Rifamate
rifampin
Rilutek
rimantadine
Rinnovi Nail System
Riomet
Risperdal
Risperdal consta
Risperdal M tabs
risperdone ODT/M-Tab
risperidone
Ritalin
Ritalin LA
Ritalin SR
Rituxan
rivastigmine tartrate capsules
rizatriptan
rizatriptan ODT
Rocaltrol
Roche/Lifescan Test Strips
Rogaine
Rondec
Rondec TR
ropinirole
ropinirole sr
Rosac
Rosadan
Rosula
Rotateq
Rowasa Rectal
Roxicet
Roxicodone
Rozerem
Rubinol
Rybix ODT
Rythmol SR
Ryzolt
Sabril
Safyral
Saizen
salacylic acid
salacylic acid cream
Salagen
Salex 6%
salicylic acid 6%
salsalate
Samsca
Sanctura XR
Sancuso
Sandimmune
Sandostatin
Sandostatin LAR
Sansert
Saphris
Sarafem
Savella
SE-Natal 19
Seasonale
Seasonique
secobarbital
Select-OB
Select-OB+DHA pak
selegiline
selenium sulfide
selfemra
Selzentry
Semprex-D
Sensipar
Serevent
Serevent Diskus
Seroquel
Seroquel XR
Serostim
sertraline
Seton ET-EC
Siderol tabs
Signifor
sildenafil
Silenor
silver sulfadiazine
Simcor
Simponi
simvastatin
Sinemet
Singulair
Skelaxin
Skelid
Sklice
Skyla
Slo-Phyllin
sod sulfa 10% - sulfur 4% wash
sodium citrate/ citric acid
sodium polystyrene sulfonate
sodium sulfacetamide/urea
Solaquin Forte
Solesta
solia
Soliris
Solodyn
Soltamox
Soma
Somatuline Syringe
Somavert
Sonata
Sorbitrate
Soriatane CK kit
sotalol
Sotalol Inj
Spectracef
spinosad
Spiriva Handihaler
spironolactone
spironolactone/ HCTZ
Sporanox
Sprintec 28
Sprix Nasal Spray
Sprycel
Sronyx
Stalevo
stavudine
Stavzor
Staxyn
Stelara
Stivarga
Strattera
Striant
Stribild
Suboxone Film
Subsys
Subutex
sucralfate
Sular
sulfacetamide sodium
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim DS
sulfazine EC
sulfinpyrazone
sulfisoxazole
sulfur/Na sulfacetamide
sulindac
sumatriptan
sumatriptan injectable
sumatriptan spray
Sumavel
Supartz
Suprax
Suprenza
Suprep Bowel Prep
Surmontil
Sustiva
Sutent
Syeda
Sylatron
Symbicort
Symbyax
Symlin pen
Synagis
Synalar TS Kit
Synarel
Synera Patch
Synthroid
Synvisc
syringes, insulin
Taclonex
Taclonex Scalp
tacrolimus
Tamiflu
tamoxifen
tamsulosin
Tarceva
Tarka CR Tablets
Tasigna
Tazorac
Tecfidera
Teflaro
Tegretol
Tegretol Chewable
Tegretol XR
Tekamlo
Tekturna
Tekturna HCT
temazepam
Temodar
Tenex
Tenoretic
Tenormin
terazosin
terbinafine
terbutaline
terconazole
Tersi Foam
Teslac
Test Strips-Bayer
Testim
Testosterone
tetracycline
Tev-Tropin
Teveten
Teveten HCT
Thalomid
theophylline
theophylline ER
theophylline SR
Thioguanine
thioridazine
thiothixene
Thyrogen
thyroid
tiagabine
Tiazek ER
ticlopidine
Tilade
tilia FE
timolol
timolol maleate/dorzolam hcl
timolol ophth
Timoptic
Tirosint
tizanidine
TOBI
TOBI PodHalr Cap
Tobradex
Tobradex Opth. Drops
Tobradex Opth. Oint.
tobramycin
Tobrex
tocainide
Tofranil-PM
tolazamide
tolmetin
tolterodine
Topamax
Topicort Cream
Topicort Ointment
topiramate
Toprol
Toprol XL
Toradol
Torecan
torsemide
Toviaz
Tr-Lo-Sprintec
Tracleer
Tradjenta
tramadol
tramadol hcl sr 24hr biphasic release
tramadol SR
tramadol/APAP
trandolapril
trandolapril/verapamil
tranex acid
Transderm Scop
Tranxene
tranylcypromine
Travatan
Travatan-Z
trazodone
Trelstar
Tretin-X
tretinoin capsules
tretinoin cream/gel
tretinoin microsphere
Treximet
Trezix
Tri Vi Flor/Iron
Tri-Luma
Tri-Norinyl
tri-previfem
Tri-Sprintec
Triadvance
triamcinolone acetonide
triamcinolone acetonide/nystatin
triamcinolone nasal
triamterene/hctz capsules
triamterene/hctz tablets
Trianex Ointment
Triaz
triazolam
Tribenzor
tricitrate oral solution
Tricor
trifluoperazine
trifluridine
Triglide
trihexyphenidyl
Trileptal
Trilipix
TriLyte
trimethobenzamide
trimethoprim
trimethoprin sulfate/polymyxin B sulfate
trimipramine
Trinate
TriNessa
tripelenamine
triple vitamins/fluoride
trivora-28
Trizivir
trospium chloride SR
Truetest test strips
Trusopt
Truvada
Tudorza Pressair
Tussionex
Twinject
Twinrix
Twynsta
Tykerb
Tylox
Tysabri
Tyvaso (limited distibution)
Tyzeka
Uceris
Udamin
Ulesfia
Uloric
Ultima Test Strips
Ultram
Ultram ER
Ultrase
Ultravate
Ultravate X Kit
Umecta 40%
Umecta Mousse
Uni-Dur
Uniphyl
Uniretic
Unithroid
Uramaxin GT
urea
urea 40%
urea 40% emulsion
Urea Nail Kit
Urea Nailstick 50%
Urocrit K
UroXatral
ursodiol
V-Go Kit
Vagifem
valacyclovir
Valcyte
Valium
valproic acid
valsartan/HCTZ
Valtrex
Valturna
Vancocin
vancomycin
Vandetanib
Vaniqa
Vanoxide-HC Lotion
Vaqta
Vascazen
Vascepa
Vasotec
Vectibix
Vectical
Velcade
velivet
venlafaxine
venlafaxine ER/SR capsules
Venlafaxine ER/SR tablets
Venofer
Ventavis
Ventolin HFA
Ventolin Rotocap
Veramyst
verapamil
verapamil hcl caps SR
verapamil hcl tabs CR
Veregen
Verelan PM
Vesanoid
Vesicare
Vexol
Vfend
Viagra
Vibativ
Vicodin
Victoza
Victrelis
Vidaza
Videx
Videx EC
Vigamox
Viibryd
Vimovo
Vimpat
Vimpat Injection
Vinate M
Vinate One
Vinate Ultra
vincristine
Viokase
Vira- A
Viracept
Viramune suspension
Viramune tabs
Viramune XR
Viread
vistra
Vitafol-OB
Vitafol-OB Pak+DHA
vitamin B-12
vitamin D
Vivelle-DOT
Vivitrol Injectable Suspension
Vol-Plus
Vol-tab Rx
Voltaren Gel
Voltaren Ophthalmic Solution
Voltaren tab
Voraxaze
voriconazole
Vortex Holding Chamber Mask
Votrient
VPRIV
Vytorin
Vyvanse
warfarin
Welchol
Wellbutrin
Wellbutrin SR
Wellbutrin XL
Westcort
Wilate
Xalatan
Xalkori
Xanax
Xarelto 10mg
Xarelto 15mg & 20mg
Xeljanz
Xeloda
Xenazine (Limited Distribution)
Xenical
Xeomin
Xerese Cream
Xgeva
Xiaflex
Xibrom
Xifaxan
Xifaxan 550mg
xiluteon
Xolair
Xolegel
Xolegel Duo
Xopenex HFA
Xopenex nebulizer solution
Xtandi
Xylocaine
Xyrem
Xyzal
Yasmin 28
Yaz
Yervoy
Yocon
Yodoxin
Zaditor OTC
zafirlukast
zaleplon
Zaltrap
Zanaflex
Zantac
Zavesca
Zazole vaginal supp
Zegerid
Zelapar ODT
Zelboraf
Zemplar
Zenchent
Zeosa
Zerit
Zestoretic
Zestril
Zetia
Zevalin
Zgesic
Ziagen
zidovudine
Zinacef
Zioptan
ziprasidone
Zipsor
Zirgan Gel
Zithranol Shampoo
Zithromax
Zmax
Zocor
Zofran
Zoladex
zoledronic acid 4mg
zoledronic acid 5mg
Zolinza
zolmitriptan
zolmitriptan ODT
Zoloft
zolpidem
zolpidem ER
Zolpimist Spray
Zometa
Zomig
Zomig Nasal Spray
Zomig ZMT
Zonegran
zonisamide
Zorbtive
Zortress
Zostavax
zovia
Zovirax
Zovirax oint/cream
Zuplenz
Zyban
Zyflo
Zyflo CR
Zylet
Zymar
Zymaxid Solution
Zyprexa
Zyprexa Inj
Zyprexa Relprevv
Zyprexa Zydis
Zyrtec OTC
Zyrtec OTC suspension
Zyrtec suspension OTC
Zyrtec-D OTC
Zytiga
Zyvox
OR search by one or more of the following:
Copayment Tier/Status
select
-- Please Select a Copayment --
$0 Copay
Therapeutic Class
select
-- Please Select a Therapeutic Class --
Analgesic
Contraceptives
Vitamins
As of Date
Open the calendar popup.
<<
<
June 2013
>
>>
S
M
T
W
T
F
S
22
26
27
28
29
30
31
1
23
2
3
4
5
6
7
8
24
9
10
11
12
13
14
15
25
16
17
18
19
20
21
22
26
23
24
25
26
27
28
29
27
30
1
2
3
4
5
6