Medication List

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The Medication Assistance Pharmacy (MAP) helps eligible uninsured South Carolina residents receive free prescription medications by mail. Patients who meet income guidelines can apply at no cost and receive medications shipped directly to their home.

What medications does the Medication Assistance Pharmacy (MAP) offer?

The Medication Assistance Pharmacy offers more than 300 name brand, generic, and over-the-counter medications. Patients, healthcare providers, and community partners can use this page to view the current medication list and stay informed about important medication and program changes.

Medication Updates

Pharmacy News (Updated 10/5/2026)

The Medication Assistance Pharmacy is happy to announce the addition of Novolin 70/30 Flexpen and Novolin N Flexpen to its medication list!

The Medication Assistance Pharmacy is happy to announce the addition of generic Farxiga (dapagliflozin) to its medication list!

Important True Metrix Device Update Click Here to learn more.

Novo has discontinued Zegalogue

Brand name Prozac and Cymbalta will only be available as generic going forward.

Eli Lily has discontinued PROZAC®, CYMBALTA®, and EVISTA®.

New Medications (Updated 10/5/2026)

Novolin 70/30 Flexpen

Novolin N Flexpen

Dapagliflozin (Farxiga)

Medications No Longer on the List (Updated 5/11/2026)

Sevelamer

Zegalogue

Evista

Please consult our Medication List for available medications.

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A prescription is needed for Welvista to provide these products. Maintenance prescriptions should be written for a 90-day supply. Questions? Contact the pharmacy at 803-933-9184.

Meds List – English Meds List – Spanish Meds List – CSV File OTC Med List

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

All maintenance prescriptions should be written for a 90 day supply. We do not carry controlled substances.

Ziprasidone

20mg, 40mg, 60mg, 80mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Second Generation (Atypical)

—

Warfarin Sodium

1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg

Generic Manufacturer

Anticoagulant

Vitamin K Antagonist

—

Vitamin D3

25mcg, 50mcg, 125mcg, 1250mcg

Generic Manufacturer

Supplement Vitamin

Vitamin D3

—

Vitamin D2

1.25mg

Generic Manufacturer

Supplement Vitamin

Vitamin D2

50,000IU ONLY

Vitamin C

500mg

Generic Manufacturer

Supplement Vitamin

Vitamin C

NEW

Vitamin B12

1000mcg

Generic Manufacturer

Supplement Vitamin

Vitamin B12

—

Vericiguat

VERQUVO®

2.5mg, 5mg, 10mg

Merck

Vasodilator

Soluble Guanylate Cyclase Stimulators

NEW

Verapamil

40mg, 80mg, 120mg

Generic Manufacturer

Antihypertensive

Calcium Channel Blocking Agent (Nondihydropyridine CCB)

IMMEDIATE RELEASE ONLY

Venlafaxine HCL

25mg, 37.5mg, 50mg, 75mg

Generic Manufacturer

Behavioral Health

Antidepressant-Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)

—

Venlafaxine ER

37.5mg, 75mg, 150mg

Generic Manufacturer

Behavioral Health

Antidepressant-Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)

—

Valsartan/HCTZ

80/12.5mg, 160/12.5mg, 160/25mg, 320/12.5mg, 320/25mg

Generic Manufacturer

Antihypertensive

Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic

—

Valsartan

40mg, 80mg, 160mg, 320mg

Generic Manufacturer

Antihypertensive

Angiotensin II Receptor Antagonist (ARB)

—

Valacyclovir HCL

500mg, 1000mg

Generic Manufacturer

Antiviral Agent

Antiherpes Virus Agent

—

Umeclidinium Bromide

INCRUSE ELLIPTA®

62.5mcg

GlaxoSmithKline

Respiratory Agent Inhalant

Anticholinergic – Long Acting

—

Umeclidinium /Vilanterol

ANORO ELLIPTA®

62.5/25mcg

GlaxoSmithKline

Respiratory Agent Inhalant

Long Acting Anticholinergic/ Long ActingBeta 2 Agonist

—

Triamterene/Hydrochlorothiazide

37.5-25mg

Generic Manufacturer

Diuretic

Combination Potassium Sparing/ Thiazide Diuretic

—

Triamcinolone Topical Cream

0.1%

Generic Manufacturer

Topical Agent

Glucocorticoid

3 x 80G TUBES PER 90 DAYS

Trazodone

50mg, 100mg, 150mg

Generic Manufacturer

Behavioral Health

Antidepressant-Serotonin Reuptake Inhibitor/ Antagonist

—

Torsemide

5mg, 10mg, 20mg, 100mg

Generic Manufacturer

Diuretic

Loop Diuretic

—

Topiramate

25mg, 50mg, 100mg, 200mg

Generic Manufacturer

Anticonvulsant

—

Tizanidine

2mg, 4mg

Generic Manufacturer

Antispasmodic

Skeletal Muscle Relaxant

—

Timolol Ophthalmic Solution

0.25%, 0.5%

Generic Manufacturer

Ophthalmic Agent

Glaucoma agent – Beta-Blocker

—

Thiamine

100mg

Generic Manufacturer

Supplement Vitamin

Vitamin B 1

—

Tetracycline

500mg

Generic Manufacturer

Antibiotic

Tetracycline Derivative Antibiotic

NEW

Test strips

TRUE METRIX TEST STRIPS®

50 ct

Trividia

Antidiabetic Agent

Diabetic Supplies

—

Terbinafine

250mg

Generic Manufacturer

Antifungal Agent

Allylamine

—

Tamsulosin

0.4mg

Generic Manufacturer

Benign Prostatic Hyperplasia (BPH) Treatment

Alpha 1 Adrenergic Blocker

—

Tamoxifen

10mg, 20mg

Generic Manufacturer

Antineoplastic Agent

Antiestrogen Agent

—

Sumatriptan

25mg, 50mg, 100mg

Generic Manufacturer

Migraine Agent

Serotonin 5HT Agonist (Triptan)

27 tablets for 90 days

Sulfasalazine DR

500mg

Generic Manufacturer

Gastrointestinal Agent

5-Aminosalicylic Acid Derivative

—

Sulfasalazine

500mg

Generic Manufacturer

Gastrointestinal Agent

5-Aminosalicylic Acid Derivative

—

Sulfamethoxazole/Trimethoprim

400/80mg, 800/160mg

Generic Manufacturer

Antibiotic

Combination Sulfonamide Derivative

—

Sucralfate

Generic Manufacturer

Gastrointestinal Agent

Duodenal Ulcer Agent

—

Spironolactone/HCTZ

25/25mg

Generic Manufacturer

Diuretic

Combination-Potassium Sparing Diuretic/Thiazide Diuretic

—

Spironolactone

25mg, 50mg, 100mg

Generic Manufacturer

Diuretic

Potassium Sparing Diuretic

—

Sodium Bicarbonate

650mg

Generic Manufacturer

Electrolyte Supplement

Alkalinizing agent

—

Sitagliptin Phosphate

JANUVIA®

25mg, 50mg, 100mg

Merck

Antidiabetic Agent

Dipeptidyl Peptidase-4 inhibitor

—

Sitagliptin Phos/Metformin Hcl

JANUMET XR®

50/500mg, 50/1000mg, 100/1000mg

Merck

Antidiabetic Agent

Combination – Dipeptidyl peptidase-4 inhibitor – Biguanide

—

Sitagliptin Phos/Metformin Hcl

JANUMET®

50/500mg, 50/1000mg

Merck

Antidiabetic Agent

Combination – Dipeptidyl peptidase-4 inhibitor – Biguanide

—

Simvastatin

5mg, 10mg, 20mg, 40mg, 80mg

Generic Manufacturer

Antihyperlipidemic

HMG-COA Reductase Inhibitor (statin)

—

Sertraline

25mg, 50mg, 100mg

Generic Manufacturer

Behavioral Health

Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)

—

Senna Plus

8.6/50mg

Generic Manufacturer

Gastrointestinal Agent

Laxative/Stimulant

—

Salmeterol Xinafoate

SEREVENT DISKUS INHALER®

50mcg

GlaxoSmithKline

Respiratory Agent Inhalant

Long – Acting Beta₂ Agonist

—

Rosuvastatin

5mg, 10mg, 20mg, 40mg

Generic Manufacturer

Antihyperlipidemic

HMG-COA Reductase Inhibitor (statin)

—

Ropinirole HCL ER

2mg, 4mg, 6mg, 8mg

Generic Manufacturer

Behavioral Health

Antiparkinson Agent-Dopamine Agonist

—

Ropinirole HCL

0.25mg, 0.5mg, 1mg, 2mg, 3mg, 4mg, 5mg

Generic Manufacturer

Behavioral Health

Antiparkinson Agent-Dopamine Agonist

—

Rizatriptan

5mg, 10mg

Generic Manufacturer

Migraine Agent

Serotonin 5HT Agonist (Triptan)

18 tablets for 90 days

Rivaroxaban

XARELTO®

2.5mg, 10mg, 15mg, 20mg

Johnson & Johnson Pt Asst Foundation

Anticoagulant

Factor Xa Inhibitor

—

Risperidone

0.25mg, 0.5mg, 1mg, 2mg, 3mg, 4mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Second Generation (Atypical)

—

Rimegepant

NURTEC ODT®

75mg

Pfizer

Migraine Agent

Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist

NEW (Requires a signed Attestation form from the Prescriber)

Ramelteon

8mg

Generic Manufacturer

Behavioral Health

Melatonin Receptor Agonist

—

Quetiapine ER

50mg, 150mg, 200mg, 300mg, 400mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Second Generation (Atypical)

—

Quetiapine

25mg, 50mg, 100mg, 200mg, 300mg, 400mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Second Generation (Atypical)

—

Propranolol

10mg, 20mg, 40mg, 60mg, 80mg

Generic Manufacturer

Antihypertensive

Beta Blocking Agent

—

Promethazine HCl

12.5mg, 25mg

Generic Manufacturer

Antiemetic Agent

Phenothiazine (non-selective)

90 tabs for 90 days

Progesterone

100mg, 200mg

Generic Manufacturer

Hormone Therapy

Progestin

—

Prochlorperazine

5mg, 10mg

Generic Manufacturer

Behavioral Health/Antiemetic Agent

Antipsychotic-First Generation

90 tabs for 90 days

Prenatal

27mg/0.8mg

Generic Manufacturer

Supplement Vitamin

Pre-natal Vitamins

—

Prednisone

1mg, 5mg, 10mg, 20mg, 50mg

Generic Manufacturer

Corticosteroid

Glucocorticoids

—

Prednisolone

Generic Manufacturer

Ophthalmic Agent

Corticosteroid

—

Prazosin

1mg, 2mg, 5mg

Generic Manufacturer

Antihypertensive

Alpha1 Blocker

—

Pravastatin

10mg, 20mg, 40mg, 80mg

Generic Manufacturer

Antihyperlipidemic

HMG-COA Reductase Inhibitor (statin)

—

Prasugrel

5mg, 10mg

Generic Manufacturer

Antiplatelet

Platelet P2Y12 Receptor Antagonists

—

Potassium Chloride ER

10meq, 20meq

Generic Manufacturer

Electrolyte Supplement

Potassium

—

Polymyxin B-TMP

10,000U/1mg

Generic Manufacturer

Ophthalmic Agent

Antibiotic

—

Polyethylene Glycol 3350

17gm

Generic Manufacturer

Gastrointestinal Agent

Laxative

NEW (Max of 3 large bottles for 90 days)

Pioglitazone

15mg, 30mg, 45mg

Generic Manufacturer

Antidiabetic Agent

Thiazolidinedione

—

Phenytoin Sodium Extended Release

100mg

Generic Manufacturer

Anticonvulsant

Anticonvulsant-Hydantoin

—

Phenytoin Chewable tabs

50mg

Generic Manufacturer

Anticonvulsant

Anticonvulsant-Hydantoin

—

Pentosan Polysulfate Sodium

ELMIRON®

100mg

Johnson & Johnson Pt Asst Foundation

Renal and Genitourinary Agent

Urinary Analgesic

—

Penicillin VK

500mg

Generic Manufacturer

Antibiotic

Penicillin

NEW

Pen Needles, Insulin Disposable

31G

Generic Manufacturer

Antidiabetic Agent

Diabetic Supplies

FOR NON-NOVO PRODUCTS

Peg-3350 And Electrolytes Powder

Generic Manufacturer

Gastrointestinal Agent

Colon Prep

NEW

Paroxetine

10mg, 20mg, 30mg, 40mg

Generic Manufacturer

Behavioral Health

Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)

Immediate release only

Pantoprazole Sodium DR

20mg, 40mg

Generic Manufacturer

Gastrointestinal Agent

Proton Pump Inhibitor

—

Oxybutynin ER

5mg, 10mg, 15mg

Generic Manufacturer

Renal and Genitourinary Agent

Urinary Anticholinergic

—

Oxybutynin

5mg

Generic Manufacturer

Renal and Genitourinary Agent

Urinary Antispasmodic Agent

NEW (Only 5mg tablets)

Oxcarbazepine

150mg, 300mg, 600mg

Generic Manufacturer

Anticonvulsant

—

Ondansetron ODT

4mg, 8mg

Generic Manufacturer

Antiemetic Agent

5-HT3 Receptor Agonist

90 tabs for 90 days

Ondansetron

4mg, 8mg

Generic Manufacturer

Antiemetic Agent

5-HT3 Receptor Agonist

90 tabs for 90 days

Omeprazole DR

10mg, 20mg, 40mg

Generic Manufacturer

Gastrointestinal Agent

Proton Pump Inhibitor

—

Omega-3 Acid Ethyl Esters

1 g

Generic Manufacturer

Antihyperlipidemic

Omega 3 fatty acids

—

Olmesartan/HCTZ

20/12.5mg, 40/12.5mg, 40/25mg

Generic Manufacturer

Antihypertensive

Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic

—

Olmesartan

5mg, 20mg, 40mg

Generic Manufacturer

Antihypertensive

Angiotensin II Receptor Antagonist (ARB)

—

Olanzapine

2.5mg, 5mg, 7.5mg, 10mg, 15mg, 20mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Second Generation (Atypical)

—

Ofloxacin Otic Solution

0.3%

Generic Manufacturer

Ophthalmic Agent

Fluoroquinolone

NEW

Ofloxacin Ophthalmic Solution

0.3%

Generic Manufacturer

Ophthalmic Agent

Fluoroquinolone

NEW

Nystatin Topical Powder

100,000u/gm

Generic Manufacturer

Topical Agent

Antifungal

NEW Max 3 Tubes per 90 days

Nystatin Topical Cream

100,000u/gm

Generic Manufacturer

Topical Agent

Antifungal

3 X 30G TUBES PER 90 DAYS

Nortriptyline HCL

10mg, 25mg, 50mg, 75mg

Generic Manufacturer

Behavioral Health

Antidepressant-Tricyclic

—

Nitroglycerin SL

0.4mg

Generic Manufacturer

Sublingual Agent

Vasodilator-Nitrate

—

Nitrofurantoin Mono-MCR

100mg

Generic Manufacturer

Antibiotic

Miscellaneous/Nitrofurans

—

Nifedipine ER

30mg, 60mg, 90mg

Generic Manufacturer

Antihypertensive

Calcium Channel Blocking Agent (CCB)

—

Nicotine Patches

7mg, 14mg, 21mg

Generic Manufacturer

Transdermal Agent

Smoking Cessation-Nicotine Replacement Agent

—

Netarsudil and Latanoprost

ROCKLATAN®

0.02%/0.005%

Alcon

Ophthalmic Agent

Glaucoma Agent – Rho Kinase Inhibitor/Prostaglandin Analogue

NEW

Netarsudil

RHOPRESSA®

0.02%

Alcon

Ophthalmic Agent

Glaucoma Agent – Rho Kinase Inhibitor

NEW

Nefazodone HCL

50mg, 100mg, 150mg, 200mg, 250mg

Generic Manufacturer

Behavioral Health

Antidepressant-Serotonin Reuptake Inhibitor/ Antagonist

—

Needles, Insulin Disposable

NOVOFINE NEEDLES®

32G

Novo Nordisk

Antidiabetic Agent

Diabetic Supplies

ONLY AVAILABLE FOR NOVO NORDISK PRODUCTS

Naproxen DR

500mg

Generic Manufacturer

Antiinflammatory Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Naproxen

250mg, 375mg, 500mg, 550mg

Generic Manufacturer

Antiinflammatory Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Mupirocin Topical Ointment

Generic Manufacturer

Topical Agent

Anti-infective Agent

3 Tubes per 90 days

Multivitamin with Folic Acid

400mcg

Generic Manufacturer

Supplement Vitamin

Daily Multivitamin

—

Montelukast

10mg

Generic Manufacturer

Respiratory Agent Oral

Leukotriene Modifier

—

Mirtazapine

7.5mg, 15mg, 30mg, 45mg

Generic Manufacturer

Behavioral Health

Antidepressant-Tetracyclic

—

Miconazole Vaginal Cream

Generic Manufacturer

Vaginal Agent

Antifungal

7 DAY TREATMENT ONLY

Metronidazole Vaginal Gel

0.75%

Generic Manufacturer

Vaginal Agent

Atypical Antibiotic, Antiprotozoal, Nitroimidazole, Amebicide

—

Metronidazole Topical Gel

0.75%, 1%

Generic Manufacturer

Topical Agent

Atypical Antibiotic, Antiprotozoal, Nitroimidazole, Amebicide

—

Metronidazole

250mg, 500mg

Generic Manufacturer

Antibiotic

Oral Atypical Antibiotic, Antiprotozoal, Nitroimidazole, Amebicide

—

Metoprolol Tartrate

25mg, 50mg, 75mg, 100mg

Generic Manufacturer

Antihypertensive

Beta Blocking Agent

—

Metoprolol Succinate ER

25mg, 50mg, 100mg, 200mg

Generic Manufacturer

Antihypertensive

Beta Blocking Agent

—

Metoclopramide

5mg, 10mg

Generic Manufacturer

Gastrointestinal Agent

GI Stimulant

—

Methylprednisolone dose pack

4mg

Generic Manufacturer

Corticosteroid

Glucocorticoids

—

Methylprednisolone

4mg

Generic Manufacturer

Corticosteroid

Glucocorticoids

—

Methotrexate

2.5mg

Generic Manufacturer

Immunosuppressant Agent

Disease Modifying Antirheumatic

—

Methocarbamol

500mg, 750mg

Generic Manufacturer

Antispasmodic

Skeletal Muscle Relaxant

NEW

Methimazole

5mg, 10mg

Generic Manufacturer

Endocrine Agent

Antithyroid Agent

—

Metformin HCL ER

500mg, 750mg

Generic Manufacturer

Antidiabetic Agent

Biguanide

—

Metformin HCL

500mg, 850mg, 1000mg

Generic Manufacturer

Antidiabetic Agent

Biguanide

—

Memantine

5mg, 10mg

Generic Manufacturer

Behavioral Health

Alzheimer Agent-NMDA Receptor Antagonist

—

Meloxicam

7.5mg, 15mg

Generic Manufacturer

Antiinflammatory Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Melatonin

1mg, 3mg, 5mg

Generic Manufacturer

Behavioral Health

Sleep Hormone

—

Medroxyprogesterone

2.5mg, 5mg, 10mg

Generic Manufacturer

Hormone Therapy

Progestin

—

Meclizine

12.5mg, 25mg

Generic Manufacturer

Antiemetic Agent

Piperazine Derivative/Histamine H1-Antagonsit 1st Generation

—

Magnesium Oxide

400mg

Generic Manufacturer

Electrolyte Supplement

Mineral

—

Lubiprostone

8mcg, 24mcg

Generic Manufacturer

Gastrointestinal Agent

Chloride Channel Activator

—

Loteprednol

EYSUVIS®

0.25%

Alcon

Ophthalmic Agent

Corticosteroid

NEW

Loteprednol

INVELTYS®

Alcon

Ophthalmic Agent

Corticosteroid

NEW

Losartan/ HCTZ

50/12.5mg, 100/12.5mg, 100/25mg

Generic Manufacturer

Antihypertensive

Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic

—

Losartan

25mg, 50mg, 100mg

Generic Manufacturer

Antihypertensive

Angiotensin II Receptor Antagonist (ARB)

—

Loratadine

10mg

Generic Manufacturer

Antihistamine

Histamine H1-Antagonist 2nd Generation

—

Loperamide

2mg

Generic Manufacturer

Gastrointestinal Agent

Antidiarrheal

—

Lithium ER

300mg, 450mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Antimanic Agent

—

Lithium

150mg, 300mg, 600mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Antimanic Agent

—

Lisinopril/HCTZ

10/12.5mg, 20/12.5mg, 20/25mg

Generic Manufacturer

Antihypertensive

Combination-ACE Inhibitor/Thiazide Diuretic

—

Lisinopril

2.5mg, 5mg, 10mg, 20mg, 30mg, 40mg

Generic Manufacturer

Antihypertensive

Angiotensin Converting Enzyme Inhibitor (ACE)

—

Levothyroxine Sodium

SYNTHROID®

25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg

Abbvie

Endocrine Agent

Thyroid Replacement Therapy

—

Levofloxacin

250mg, 500mg, 750mg

Generic Manufacturer

Antibiotic

Fluoroquinolone

—

Levetiracetam

250mg, 500mg, 750mg, 1000mg

Generic Manufacturer

Anticonvulsant

—

Leflunomide

ARAVA®

20mg

Sanofi

Immunosuppressant Agent

Disease Modifying Antirheumatic

—

Latanoprost Ophthalmic

0.005%

Generic Manufacturer

Ophthalmic Agent

Glaucoma agent – Prostaglandin Analogue

—

Lancing Device

Generic Manufacturer

Antidiabetic Agent

Diabetic Supplies

—

Lancets, Insulin Disposable

30G

Generic Manufacturer

Antidiabetic Agent

Diabetic Supplies

—

Lamotrigine

LAMICTAL XR

25mg, 50mg, 100mg, 200mg, 250mg, 300mg

GlaxoSmithKline

Anticonvulsant

—

Lamotrigine

LAMICTAL®

25mg, 100mg, 150mg, 200mg

GlaxoSmithKline

Anticonvulsant

—

Labetalol HCL

100mg, 200mg, 300mg

Generic Manufacturer

Antihypertensive

Beta Blocking Agent with Alpha-Blocking Activity

—

Ketotifen

0.025%

Generic Manufacturer

Ophthalmic Agent

Antihistamine

—

Ketorolac

0.5%

Generic Manufacturer

Ophthalmic Agent

Corticosteroid

—

Ketoconazole Shampoo

Generic Manufacturer

Topical Agent

Antifungal-Cortisol Synthesis Inhibitor

Max of 3 bottles per 90 days

Ketoconazole Cream

Generic Manufacturer

Topical Agent

Antifungal-Cortisol Synthesis Inhibitor

Max 3 Tubes per 90 days

Isosorbide Mononitrate ER

30mg, 60mg, 120mg

Generic Manufacturer

Antihypertensive

Vasodilator-Nitrate

—

Isosorbide Dinitrate

5mg, 10mg, 20mg, 30mg

Generic Manufacturer

Antihypertensive

Vasodilator-Nitrate

—

Irbesartan/HCTZ

AVALIDE®

150/12.5mg, 300/12.5mg

Sanofi

Antihypertensive

Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic

—

Irbesartan

AVAPRO®

150mg, 300mg

Sanofi

Antihypertensive

Angiotensin II Receptor Antagonist (ARB)

—

Ipratropium/Albuterol Nebulizer Solution

0.5mg/3mg

Generic Manufacturer

Respiratory Agent Inhalant

Bronchodilator-Anticholinergic/Beta2-Adrenergic Agonist

Max of 3x60ct boxes

Insulin Regular

HUMULIN R 100U/ML (vial)®

100 Units/ml

Lilly

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Regular

NOVOLIN R 100 UNITS/ML (vial)®

100 Units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Lispro/ Lispro Protamine

HUMALOG MIX 50/50 INJECTION (kwikpen)®

50/50 Units/ml

Lilly

Antidiabetic Agent

Insulin – Intermediate Acting

—

Insulin Lispro/ Lispro Protamine

HUMALOG MIX 75/25 INJECTION (vial, kwikpen)®

75/25 Units/ml

Lilly

Antidiabetic Agent

Insulin – Intermediate Acting

—

Insulin Lispro

ADMELOG (vials/Solostar)®

100 units/ml

Sanofi

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Lispro

HUMALOG 100U/ML INJECTION (vial, kwikpen)®

100 Units/ml

Lilly

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Isophane NPH/Regular

HUMULIN 70/30 (vial, kwikpen)®

70/30 Units/ml

Lilly

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Isophane NPH/Regular

NOVOLIN 70/30 (vial, flexpen)®

70/30 Units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Isophane (NPH)

HUMULIN N 100U/ML (vial, kwikpen)®

100 Units/ml

Lilly

Antidiabetic Agent

Insulin – Intermediate Acting

—

Insulin Isophane (NPH)

NOVOLIN N 100 UNITS/ML (vial, flexpen)®

100 Units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Intermediate Acting

—

Insulin Glulisine

APIDRA (vials, Solostar)®

100 units/ml

Sanofi

Antidiabetic Agent

Insulin – Short Acting

—

Insulin Glargine and Lixisenatide

SOLIQUA™ (Solostar)

100 units and 33 mcg/ml

Sanofi

Antidiabetic Agent

Insulin – Long Acting/Glucagon-like Peptide-1 Receptor Agonist

—

Insulin Glargine

BASAGLAR KWIKPEN®

100 Units/ml

Lilly

Antidiabetic Agent

Insulin – Long Acting

—

Insulin Glargine

LANTUS (vials, Solostar)®

100 units/ml

Sanofi

Antidiabetic Agent

Insulin – Long Acting

—

Insulin Glargine

TOUJEO (Solostar 3/pack)®

300 units/ml

Sanofi

Antidiabetic Agent

Insulin – Long Acting

—

Insulin Glargine

TOUJEO MAX (Solostar 2/pack)®

300 units/ml

Sanofi

Antidiabetic Agent

Insulin – Long Acting

—

Insulin Detemir

LEVEMIR 100 UNITS/ML (vial)®

100 Units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Long Acting

VIALS ONLY

Insulin Degludec

TRESIBA FLEXTOUCH®

100 units/ml, 200 units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Long Acting

—

Insulin Aspart Protamine/ Aspart

NOVOLOG MIX 70/30 (vial, flexpen)®

70/30Units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Intermediate Acting

—

Insulin Aspart

NOVOLOG 100 UNITS/ML (vial, flexpen)®

100 Units/ml

Novo Nordisk

Antidiabetic Agent

Insulin – Short Acting

—

Imiquimod Cream

Generic Manufacturer

Topical Agent

Immune Response Modifier-Imidazoquinolone

—

Ibuprofen

400mg, 600mg, 800mg

Generic Manufacturer

Antiinflammatory Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Hydroxyzine Pamoate

25mg, 50mg, 100mg

Generic Manufacturer

Antihistamine

Histamine H1-Antagonist 1st Generation

—

Hydroxyzine HCl

10mg, 25mg, 50mg

Generic Manufacturer

Antihistamine

Histamine H1-Antagonist 1st Generation

—

Hydroxychloroquine

200mg

Generic Manufacturer

Immunosuppressant Agent

Disease Modifying Antirheumatic/Antimalarial

—

Hydrocortisone Topical Cream

1%, 2.5%

Generic Manufacturer

Topical Agent

Glucocorticoid

3 X 30G TUBES PER 90 DAYS

Hydrochlorothiazide

12.5mg, 25mg, 50mg

Generic Manufacturer

Diuretic

Thiazide Diuretic

—

Hydralazine HCl

10mg, 25mg, 50mg, 100mg

Generic Manufacturer

Antihypertensive

Vasodilator

—

Hemorrhoidal Ointment

0.25 %-14 %-74.9 %

Generic Manufacturer

Rectal Agent

Antihemorrhoidal Agent

NEW Max 3 Tubes per 90 days

Haloperidol

1mg, 2mg, 5mg, 10mg

Generic Manufacturer

Behavioral Health

Antipsychotic-First Generation (Typical)

—

Guaifenesin ER

600mg

Generic Manufacturer

Cough and Cold Agent

Expectorant

NEW

Glucose Chewable Tablet

Generic Manufacturer

Hypoglycemic Agent

Glucose Elevating Agent

Max of 60 ct per 90 days

Glucometer

TRUE METRIX GLUCOMETER®

1 System

Trividia

Antidiabetic Agent

Diabetic Supplies

—

Glipizide ER

2.5mg, 5mg, 10mg

Generic Manufacturer

Antidiabetic Agent

Sulfonylurea

—

Glipizide

5mg, 10mg

Generic Manufacturer

Antidiabetic Agent

Sulfonylurea

—

Glimepiride

1mg, 2mg, 4mg

Generic Manufacturer

Antidiabetic Agent

Sulfonylurea

—

Gemfibrozil

600mg

Generic Manufacturer

Antihyperlipidemic

Fibric Acid Derivative

—

Gabapentin

100mg, 300mg, 400mg, 600mg, 800mg

Generic Manufacturer

Anticonvulsant

GABA analog

—

Furosemide

20mg, 40mg, 80mg

Generic Manufacturer

Diuretic

Loop Diuretic

—

Folic Acid

1mg

Generic Manufacturer

Supplement Vitamin

Folate

—

Fluticasone/Umeclidnium/Vilanterol

TRELEGY ELLIPTA®

100mcg/62.5mcg/25mcg, 200mcg/62.5mcg/25mcg

GlaxoSmithKline

Respiratory Agent Inhalant

Combination Corticosteroid/Anticholinergic/ Long Acting Beta Agonist

—

Fluticasone/ Vilanterol

BREO ELLIPTA®

50/25mcg, 100/25mcg, 200/25mcg

GlaxoSmithKline

Respiratory Agent Inhalant

Combination Corticosteroid/ Long Acting Beta Agonist

—

Fluticasone Propionate

50mcg/spray

Generic Manufacturer

Respiratory Agent Nasal

Corticosteroid

—

Fluticasone Furoate

ARNUITY ELLIPTA®

50mcg, 100mcg, 200mcg

GlaxoSmithKline

Respiratory Agent Inhalant

Corticosteroid

—

Fluoxetine

10mg, 20mg, 40mg

Generic Manufacturer

Behavioral Health

Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)

—

Fluconazole

100mg, 150mg, 200mg

Generic Manufacturer

Antifungal Agent

Triazole

—

Finasteride

1mg, 5mg

Generic Manufacturer

Benign Prostatic Hyperplasia (BPH) Treatment

5-Alpha Reductase Inhibitor

—

Fidaxomicin

DIFICID®

200mg

Merck

Antibiotic

Macrolide

NEW

Fesoterodine fumarate

4mg, 8mg

Generic Manufacturer

Renal and Genitourinary Agent

Urinary Anticholinergic

—

Ferrous Sulfate

325mg

Generic Manufacturer

Supplement Trace Element

Iron

—

Fenofibrate

48mg, 54mg, 67mg, 134mg, 145mg, 160mg, 200mg

Generic Manufacturer

Antihyperlipidemic

Fibric Acid Derivative

—

Febuxostat

40mg, 80mg

Generic Manufacturer

Gout Agent

Xanthine Oxidase Inhibitor

—

Famotidine

10mg, 20mg, 40mg

Generic Manufacturer

Gastrointestinal Agent

Histamine H2-Antagonist

—

Ezetimibe/Simvastatin

10mg-10mg, 10mg-20mg, 10mg-40mg, 10-80mg

Generic Manufacturer

Antihyperlipidemic

Combination Cholesterol Adsorption Inhibitor/ HMG-COA Reductase Inhibitor

—

Ezetimibe

10mg

Generic Manufacturer

Antihyperlipidemic

Cholesterol Adsorption Inhibitor

—

Estrogens,Conjugated/ Medroxyprogesterone Acetate

PREMPHASE®

0.625mg and 0.625/5mg

Pfizer

Hormone Therapy

Combination-Estrogen/ Progestin-Oral

Requires a signed Attestation form from the Prescriber

Estrogens,Conjugated/ Medroxyprogesterone Acetate

PREMPRO®

0.3/1.5mg, 0.45/1.5mg, 0.625/2.5mg, 0.625/5mg

Pfizer

Hormone Therapy

Combination-Estrogen/ Progestin-Oral

Requires a signed Attestation form from the Prescriber

Estrogens, Conjugated Vaginal

PREMARIN VAGINAL CREAM®

30 gm tube

Pfizer

Vaginal Agent

Hormone-Estrogens

Requires a signed Attestation form from the Prescriber

Estrogens, Conjugated

PREMARIN®

0.3mg, 0.45mg, 0.625mg, 0.9mg, 1.25mg

Pfizer

Hormone Therapy

Estrogens-Oral

Requires a signed Attestation form from the Prescriber

Estradiol Vaginal Tablet Insert

10mcg

Generic Manufacturer

Vaginal Agent

Hormone-Estrogens

—

Estradiol Vaginal Cream

0.1%

Generic Manufacturer

Vaginal Agent

Hormone-Estrogens

—

Estradiol Patches

0.025mg, 0.0375mg, 0.05mg, 0.075mg, 0.1mg

Generic Manufacturer

Transdermal Agent

Hormone-Estrogens

Twice Weekly Patches

Estradiol

0.5mg, 1mg, 2mg

Generic Manufacturer

Hormone Therapy

Estrogens Oral

—

Esomeprazole DR

20mg, 40mg

Generic Manufacturer

Gastrointestinal Agent

Proton Pump Inhibitor

—

Escitalopram

5mg, 10mg, 20mg

Generic Manufacturer

Behavioral Health

Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)

—

Erythromycin Ophthalmic Ointment

0.5%

Generic Manufacturer

Ophthalmic Agent

Macrolide

NEW

Epinephrine Auto-Injector

0.15mg, 0.3mg

Generic Manufacturer

Sympathomimetic Agent

Alpha and Beta Agonist

2-Pack for 60 days

Enalapril/HCTZ

5/12.5mg, 10/25mg

Generic Manufacturer

Antihypertensive

Combination-ACE Inhibitor/Thiazide Diuretic

—

Enalapril

2.5mg, 5mg, 10mg, 20mg

Generic Manufacturer

Antihypertensive

Angiotensin Converting Enzyme Inhibitor (ACE)

—

Duloxetine HCL

20mg, 30mg, 60mg

Generic Manufacturer

Behavioral Health

Antidepressant-Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)

—

Dulaglutide

TRULICITY®

0.75mg/0.5ml, 1.5mg/0.5ml, 3mg/0.5ml, 4.5mg/0.5ml

Lilly

Antidiabetic Agent

Glucagonlike Peptid 1 Receptor Agonist

—

Dronedarone

MULTAQ®

400mg

Sanofi

Antiarrhythmic

Class III

—

Doxycycline Hyclate

100mg

Generic Manufacturer

Antibiotic

Tetracycline Derivative Antibiotic

—

Doxepin

3mg, 6mg, 10mg, 25mg, 50mg, 75mg, 100mg

Generic Manufacturer

Behavioral Health

Antidepressant-Tricyclic

—

Doxazosin

1mg, 2mg, 4mg, 8mg

Generic Manufacturer

Antihypertensive

Alpha1 Blocker

NEW

Dorzolamide Hydrochloride Ophthalmic Solution

Generic Manufacturer

Ophthalmic Agent

Glaucoma agent – Carbonic Anhydrase Inhibitor

—

Donepezil

5mg, 10mg

Generic Manufacturer

Behavioral Health

Alzheimer Agent-Acetylcholinesterase Inhibitor

—

Docusate

100mg

Generic Manufacturer

Gastrointestinal Agent

Stool Softener

—

Divalproex Sodium

DEPAKOTE DR®

125mg, 250mg, 500mg

Abbvie

Anticonvulsant

Anticonvulsant-Valproic Acid Derivative

—

Divalproex Sodium

DEPAKOTE ER®

250mg, 500mg

Abbvie

Anticonvulsant

Anticonvulsant-Valproic Acid Derivative

—

Divalproex Sodium

DEPAKOTE SPRINKLE®

125mg

Abbvie

Anticonvulsant

Anticonvulsant-Valproic Acid Derivative

—

Diphenhydramine

25mg, 50mg

Generic Manufacturer

Antihistamine

Histamine H1-Antagonist 1st Generation

—

Diltiazem HCL

30mg, 60mg, 90mg

Generic Manufacturer

Antihypertensive

Calcium Channel Blocking Agent (Nondihydropyridine CCB)

—

Diltiazem ER/XL

120mg,180mg, 240mg

Generic Manufacturer

Antihypertensive

Calcium Channel Blocking Agent (Nondihydropyridine CCB)

Dilt-XR 24h release generic only

Digoxin

0.125mg, 0.25mg

Generic Manufacturer

Antiarrhythmic

Cardiac Glycoside

—

Dicyclomine

10mg, 20mg

Generic Manufacturer

Gastrointestinal Agent

Antispasmodic

—

Diclofenac Sodium Gel

Generic Manufacturer

Topical Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Diclofenac Sodium DR

25mg, 50mg, 75mg, 100mg

Generic Manufacturer

Antiinflammatory Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Desvenlafaxine Succinate Monohydrate

25mg, 50mg, 100mg

Generic Manufacturer

Behavioral Health

Antidepressant-Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)

—

Desipramine

10mg, 25mg, 50mg, 75mg, 100mg, 150mg

Generic Manufacturer

Behavioral Health

Antidepressant-Tricyclic

—

Dapagliflozin

5mg, 10mg

Generic Manufacturer

Antidiabetic Agent

Sodium-glucose cotransporter 2 (SGLT2) Inhibitor

NEW

Cyclobenzaprine

5mg, 10mg

Generic Manufacturer

Antispasmodic

Skeletal Muscle Relaxant

NEW

Colestipol

Generic Manufacturer

Antihyperlipidemic

Bile Acid Sequestrant

—

Colchicine

0.6mg

Generic Manufacturer

Gout Agent

Colchicum autumnale alkaloid

—

Clotrimazole Topical Cream

Generic Manufacturer

Topical Agent

Antifungal-Imidazole Derivative

NEW

Clopidogrel bisulfate

75mg

Generic Manufacturer

Antiplatelet

Platelet P2Y12 Receptor Antagonists

—

Clonidine

0.1mg, 0.2mg, 0.3mg

Generic Manufacturer

Antihypertensive

Alpha 2 Adrenergic

—

Clobetasol Topical Ointment

0.05%

Generic Manufacturer

Topical Agent

Glucocorticoid

NEW Max 3 Tubes per 90 days

Clindamycin

150mg, 300mg

Generic Manufacturer

Antibiotic

Lincosamide

—

Clarithromycin

250mg, 500mg

Generic Manufacturer

Antibiotic

Macrolide

—

Citalopram

10mg, 20mg, 40mg

Generic Manufacturer

Behavioral Health

Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)

—

Ciprofloxacin Ophthalmic

0.3%

Generic Manufacturer

Ophthalmic Agent

Fluoroquinolone

—

Ciprofloxacin

250mg, 500mg, 750mg

Generic Manufacturer

Antibiotic

Fluoroquinolone

—

Cilostazol

50mg, 100mg

Generic Manufacturer

Antiplatelet

Phosphodiesterase-3 Enzyme Inhibitor

—

Chlorthalidone

25mg, 50mg

Generic Manufacturer

Diuretic

Thiazide Diuretic

—

Cetirizine

5mg, 10mg

Generic Manufacturer

Antihistamine

Histamine H1-Antagonist 2nd Generation

—

Cephalexin

250mg, 500mg

Generic Manufacturer

Antibiotic

Cephalosporin-1st Generation

—

Celecoxib

50mg, 100mg, 200mg, 400mg

Generic Manufacturer

Antiinflammatory Agent

Nonsteroidal Anti-Inflammatory (NSAID)

—

Cefdinir

300mg

Generic Manufacturer

Antibiotic

Cephalosporin-3rd Generation

—

Carvedilol

3.125mg, 6.25mg, 12.5mg, 25mg

Generic Manufacturer

Antihypertensive

Beta Blocking Agent with Alpha-Blocking Activity

—

Carbamazepine ER

100mg, 200mg, 400mg

Generic Manufacturer

Anticonvulsant

—

Carbamazepine

100mg, 200mg

Generic Manufacturer

Anticonvulsant

NEW

Canagliflozin/ Metformin HCL

INVOKAMET XR®

50/500mg, 150/1000mg, 150/500mg, 50/1000mg

Johnson & Johnson Pt Asst Foundation

Antidiabetic Agent

Combination – Sodium-glucose cotransporter 2 (SGLT2) Inhibitor – Biguanide

—

Canagliflozin/ Metformin HCL

INVOKAMET®

50/500mg, 50/1000mg, 150/500mg, 150/1000mg, 50/500mg

Johnson & Johnson Pt Asst Foundation

Antidiabetic Agent

Combination – Sodium-glucose cotransporter 2 (SGLT2) Inhibitor – Biguanide

—

Canagliflozin

INVOKANA®

100mg,300mg

Johnson & Johnson Pt Asst Foundation

Antidiabetic Agent

Sodium-glucose cotransporter 2 (SGLT2) Inhibitor

—

Calcium Carbonate

500mg

Generic Manufacturer

Gastrointestinal Agent

Antacid

NEW

Calcium Acetate

667mg

Generic Manufacturer

Electrolyte Supplement

Phosphate Binder

—

Calcitriol

0.25mcg, 0.5mcg

Generic Manufacturer

Supplement Vitamin

Vitamin D Analog

—

Buspirone

5mg, 7.5mg, 10mg, 15mg, 30mg

Generic Manufacturer

Behavioral Health

Antianxiety

—

Bupropion XL

150mg, 300mg

Generic Manufacturer

Behavioral Health

Antidepressant-Dopamine Reuptake Inhibitor

—

Bupropion HCL SR

100mg, 150mg, 200mg

Generic Manufacturer

Behavioral Health

Antidepressant-Dopamine Reuptake Inhibitor

—

Bupropion HCL

75mg, 100mg

Generic Manufacturer

Behavioral Health

Antidepressant-Dopamine Reuptake Inhibitor

—

Bumetanide

0.5mg, 1mg, 2mg

Generic Manufacturer

Antihypertensive

Loop Diuretic

—

Brinzolamide/Brimonidine Tartrate

SIMBRINZA®

1%/0.2%

Alcon

Ophthalmic Agent

Glaucoma Agent – Carbonic Anhydrase Inhibitor/Alpha2 Agonist

NEW

Brimonidine Ophthalmic

0.2%

Generic Manufacturer

Ophthalmic Agent

Glaucoma Agent-Alpha2 Agonist

—

Bismuth

262mg

Generic Manufacturer

Gastrointestinal Agent

Antidiarrheal

NEW

Bisacodyl

5mg

Generic Manufacturer

Gastrointestinal Agent

Laxative/Stimulant

NEW

Betamethasone Topical Cream

0.05%

Generic Manufacturer

Topical Agent

Glucocorticoid

NEW Max 3 Tubes per 90 days

Benztropine

0.5mg, 1mg, 2mg

Generic Manufacturer

Behavioral Health

Antiparkinson Agent-Anticholinergic

—

Benzonatate

100mg, 200mg

Generic Manufacturer

Cough and Cold Agent

Antitussive

NEW

Benazepril/HCTZ

10/12.5mg, 20/12.5mg, 20/25mg

Generic Manufacturer

Antihypertensive

Combination-ACE Inhibitor/Thiazide Diuretic

—

Benazepril

5mg, 10mg, 20mg, 40mg

Generic Manufacturer

Antihypertensive

Angiotensin Converting Enzyme Inhibitor (ACE)

—

Baclofen

5mg, 10mg, 20mg

Generic Manufacturer

Antispasmodic

Skeletal Muscle Relaxant

—

Bacitracin Topical Ointment

500u/gm

Generic Manufacturer

Topical Agent

Antibiotic

NEW Max 3 Tubes per 90 days

Azithromycin

250mg, 500mg

Generic Manufacturer

Antibiotic

Macrolide

—

Azelastine Nasal

0.1%

Generic Manufacturer

Respiratory Agent Nasal

Antihistamine

—

Azathioprine

50mg

Generic Manufacturer

Immunosuppressant Agent

Disease Modifying Antirheumatic

—

Atorvastatin Calcium

10mg, 20mg, 40mg, 80mg

Generic Manufacturer

Antihyperlipidemic

HMG-COA Reductase Inhibitor (statin)

—

Atomoxetine HCL

10mg, 18mg, 25mg, 40mg, 60mg, 80mg, 100mg

Generic Manufacturer

Behavioral Health

Attention Deficit/Hyperactivity Disorder (ADHD) Treatment

—

Atenolol

25mg, 50mg, 100mg

Generic Manufacturer

Antihypertensive

Beta Blocking Agent

—

Aspirin

81mg, 325mg

Generic Manufacturer

Antiinflammatory Agent

Salicylate

—

Aripiprazole

2mg, 5mg, 10mg, 15mg, 20mg, 30mg

Generic Manufacturer

Behavioral Health

Antipsychotic-Second Generation (Atypical)

—

Apixaban

ELIQUIS®

2.5mg, 5mg

BMS

Anticoagulant

Factor Xa Inhibitor

—

Anastrozole

1mg

Generic Manufacturer

Antineoplastic Agent

Aromatase Inhiobitor

—

Amoxicillin/ Clavulanic Acid

500mg/125mg, 875mg/125mg

Generic Manufacturer

Antibiotic

Aminopenicillin

—

Amoxicillin

250mg, 500mg, 875mg

Generic Manufacturer

Antibiotic

Aminopenicillin

—

Amlodipine Besylate

2.5mg, 5mg, 10mg

Generic Manufacturer

Antihypertensive

Calcium Channel Blocking Agent (CCB)

—

Amitriptyline HCL

10mg, 25mg, 50mg, 75mg, 100mg, 150mg

Generic Manufacturer

Behavioral Health

Antidepressant-Tricyclic

—

Amiodarone

100mg, 200mg, 400mg

Generic Manufacturer

Antiarrhythmic

Class III

—

Allopurinol

100mg, 300mg

Generic Manufacturer

Gout Agent

Xanthine Oxidase Inhibitor

—

Alendronate

35mg, 70mg

Generic Manufacturer

Osteoporosis Treatment

Bisphosphonate

—

Albuterol Sulfate Nebulizer Solution

0.083%

Generic Manufacturer

Respiratory Agent Inhalant

Bronchodilator-Beta2-Adrenergic Agonist

Max of 3x60ct boxes

Albuterol Sulfate HFA

90mcg

Generic Manufacturer

Respiratory Agent Inhalant

Bronchodilator-Beta2-Adrenergic Agonist

Max of 3 Inhalers per 90 days

Acyclovir Ointment

Generic Manufacturer

Topical Agent

Antiviral-Antiherpes Virus Agent

Max 3 Tubes per 90 days

Acyclovir

200mg, 400mg, 800mg

Generic Manufacturer

Antiviral Agent

Antiherpes Virus Agent

—

Acetaminophen

325mg, 500mg, 650mg

Generic Manufacturer

Analgesic

Non-Opiod Analgesic/Antipyretics

—

Prescription FAQ’s

Prescriptions may be mailed to the Medication Assistance Pharmacy at 121 Greystone Blvd. Columbia, SC 29210. Healthcare providers may also call, fax, or electronically prescribe medications directly to the pharmacy.

If prescriptions are currently filled at another pharmacy, the Medication Assistance Pharmacy may be able to transfer it for you. To request a transfer, please provide the name and number of your current pharmacy, along with the names of medications you would like transferred. Our team will work with your pharmacy to complete the transfer process.

The medication list is reviewed and updated regularly to reflect current medication availability and program changes.

Providers may contact the pharmacy team to discuss available alternatives or formulary options.

No. The Medication Assistance Pharmacy does not dispense controlled substances.

The Medication Assistance Pharmacy ships refrigerated medication in temperature-controlled packaging designed to help maintain the required storage conditions during transit. If you have questions about storing or handling a refrigerated medication, please contact the pharmacy team for assistance 803-933-9184.

No. In addition to medications, MAP offers a variety of health -related products and supplies. Available items may include blood glucose meters, testing strips, and lancets

Yes. In addition to prescription medication, MAP offers certain over-the-counter medications, diabetes testing supplies, and other health-related products. A prescription from a healthcare provider is required for all items dispensed through the Medication Assistance Pharmacy, including over-the-counter and medical supplies.