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.
Currently Available Medications
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.
***All maintenance prescriptions should be written for a 90 day supply. We do not carry controlled substances.***
Finasteride
1mg, 5mg
Generic Manufacturer
Benign Prostatic Hyperplasia (BPH) Treatment
5-Alpha Reductase Inhibitor
—
Sulfasalazine
500mg
Generic Manufacturer
Gastrointestinal Agent
5-Aminosalicylic Acid Derivative
—
Sulfasalazine DR
500mg
Generic Manufacturer
Gastrointestinal Agent
5-Aminosalicylic Acid Derivative
—
Ondansetron
4mg, 8mg
Generic Manufacturer
Antiemetic Agent
5-HT3 Receptor Agonist
90 tabs for 90 days
Ondansetron ODT
4mg, 8mg
Generic Manufacturer
Antiemetic Agent
5-HT3 Receptor Agonist
90 tabs for 90 days
Sodium Bicarbonate
650mg
Generic Manufacturer
Electrolyte Supplement
Alkalinizing agent
—
Terbinafine
250mg
Generic Manufacturer
Antifungal Agent
Allylamine
—
Tamsulosin
0.4mg
Generic Manufacturer
Benign Prostatic Hyperplasia (BPH) Treatment
Alpha 1 Adrenergic Blocker
—
Clonidine
0.1mg, 0.2mg, 0.3mg
Generic Manufacturer
Antihypertensive
Alpha 2 Adrenergic
—
Epinephrine Auto-Injector
0.15mg, 0.3mg
Generic Manufacturer
Sympathomimetic Agent
Alpha and Beta Agonist
2-Pack for 60 days
Doxazosin
1mg, 2mg, 4mg, 8mg
Generic Manufacturer
Antihypertensive
Alpha1 Blocker
NEW
Prazosin
1mg, 2mg, 5mg
Generic Manufacturer
Antihypertensive
Alpha1 Blocker
—
Donepezil
5mg, 10mg
Generic Manufacturer
Behavioral Health
Alzheimer Agent-Acetylcholinesterase Inhibitor
—
Memantine
5mg, 10mg
Generic Manufacturer
Behavioral Health
Alzheimer Agent-NMDA Receptor Antagonist
—
Amoxicillin
250mg, 500mg, 875mg
Generic Manufacturer
Antibiotic
Aminopenicillin
—
Amoxicillin/ Clavulanic Acid
500mg/125mg, 875mg/125mg
Generic Manufacturer
Antibiotic
Aminopenicillin
—
Benazepril
5mg, 10mg, 20mg, 40mg
Generic Manufacturer
Antihypertensive
Angiotensin Converting Enzyme Inhibitor (ACE)
—
Enalapril
2.5mg, 5mg, 10mg, 20mg
Generic Manufacturer
Antihypertensive
Angiotensin Converting Enzyme Inhibitor (ACE)
—
Lisinopril
2.5mg, 5mg, 10mg, 20mg, 30mg, 40mg
Generic Manufacturer
Antihypertensive
Angiotensin Converting Enzyme Inhibitor (ACE)
—
Irbesartan
AVAPRO®
150mg, 300mg
Sanofi
Antihypertensive
Angiotensin II Receptor Antagonist (ARB)
—
Losartan
25mg, 50mg, 100mg
Generic Manufacturer
Antihypertensive
Angiotensin II Receptor Antagonist (ARB)
—
Olmesartan
5mg, 20mg, 40mg
Generic Manufacturer
Antihypertensive
Angiotensin II Receptor Antagonist (ARB)
—
Valsartan
40mg, 80mg, 160mg, 320mg
Generic Manufacturer
Antihypertensive
Angiotensin II Receptor Antagonist (ARB)
—
Calcium Carbonate
500mg
Generic Manufacturer
Gastrointestinal Agent
Antacid
NEW
Mupirocin Topical Ointment
2%
Generic Manufacturer
Topical Agent
Anti-infective Agent
3 Tubes per 90 days
Buspirone
5mg, 7.5mg, 10mg, 15mg, 30mg
Generic Manufacturer
Behavioral Health
Antianxiety
—
Bacitracin Topical Ointment
500u/gm
Generic Manufacturer
Topical Agent
Antibiotic
NEW Max 3 Tubes per 90 days
Polymyxin B-TMP
10,000U/1mg
Generic Manufacturer
Ophthalmic Agent
Antibiotic
—
Umeclidinium Bromide
INCRUSE ELLIPTA®
62.5mcg
GlaxoSmithKline
Respiratory Agent Inhalant
Anticholinergic – Long Acting
—
Lamotrigine
LAMICTAL XR
25mg, 50mg, 100mg, 200mg, 250mg, 300mg
GlaxoSmithKline
Anticonvulsant
Anticonvulsant
—
Lamotrigine
LAMICTAL®
25mg, 100mg, 150mg, 200mg
GlaxoSmithKline
Anticonvulsant
Anticonvulsant
—
Carbamazepine
100mg, 200mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant
NEW
Carbamazepine ER
100mg, 200mg, 400mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant
—
Levetiracetam
250mg, 500mg, 750mg, 1000mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant
—
Oxcarbazepine
150mg, 300mg, 600mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant
—
Topiramate
25mg, 50mg, 100mg, 200mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant
—
Phenytoin Chewable tabs
50mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant-Hydantoin
—
Phenytoin Sodium Extended Release
100mg
Generic Manufacturer
Anticonvulsant
Anticonvulsant-Hydantoin
—
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
—
Bupropion HCL
75mg, 100mg
Generic Manufacturer
Behavioral Health
Antidepressant-Dopamine Reuptake Inhibitor
—
Bupropion HCL SR
100mg, 150mg, 200mg
Generic Manufacturer
Behavioral Health
Antidepressant-Dopamine Reuptake Inhibitor
—
Bupropion XL
150mg, 300mg
Generic Manufacturer
Behavioral Health
Antidepressant-Dopamine Reuptake Inhibitor
—
Citalopram
10mg, 20mg, 40mg
Generic Manufacturer
Behavioral Health
Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)
—
Escitalopram
5mg, 10mg, 20mg
Generic Manufacturer
Behavioral Health
Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)
—
Fluoxetine
10mg, 20mg, 40mg
Generic Manufacturer
Behavioral Health
Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)
—
Paroxetine
10mg, 20mg, 30mg, 40mg
Generic Manufacturer
Behavioral Health
Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)
Immediate release only
Sertraline
25mg, 50mg, 100mg
Generic Manufacturer
Behavioral Health
Antidepressant-Selective Serotonin Reuptake Inhibitor(SSRI)
—
Nefazodone HCL
50mg, 100mg, 150mg, 200mg, 250mg
Generic Manufacturer
Behavioral Health
Antidepressant-Serotonin Reuptake Inhibitor/ Antagonist
—
Trazodone
50mg, 100mg, 150mg
Generic Manufacturer
Behavioral Health
Antidepressant-Serotonin Reuptake Inhibitor/ Antagonist
—
Desvenlafaxine Succinate Monohydrate
25mg, 50mg, 100mg
Generic Manufacturer
Behavioral Health
Antidepressant-Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)
—
Duloxetine HCL
20mg, 30mg, 60mg
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)
—
Venlafaxine HCL
25mg, 37.5mg, 50mg, 75mg
Generic Manufacturer
Behavioral Health
Antidepressant-Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)
—
Mirtazapine
7.5mg, 15mg, 30mg, 45mg
Generic Manufacturer
Behavioral Health
Antidepressant-Tetracyclic
—
Amitriptyline HCL
10mg, 25mg, 50mg, 75mg, 100mg, 150mg
Generic Manufacturer
Behavioral Health
Antidepressant-Tricyclic
—
Desipramine
10mg, 25mg, 50mg, 75mg, 100mg, 150mg
Generic Manufacturer
Behavioral Health
Antidepressant-Tricyclic
—
Doxepin
3mg, 6mg, 10mg, 25mg, 50mg, 75mg, 100mg
Generic Manufacturer
Behavioral Health
Antidepressant-Tricyclic
—
Nortriptyline HCL
10mg, 25mg, 50mg, 75mg
Generic Manufacturer
Behavioral Health
Antidepressant-Tricyclic
—
Bismuth
262mg
Generic Manufacturer
Gastrointestinal Agent
Antidiarrheal
NEW
Loperamide
2mg
Generic Manufacturer
Gastrointestinal Agent
Antidiarrheal
—
Tamoxifen
10mg, 20mg
Generic Manufacturer
Antineoplastic Agent
Antiestrogen Agent
—
Miconazole Vaginal Cream
2%
Generic Manufacturer
Vaginal Agent
Antifungal
7 DAY TREATMENT ONLY
Nystatin Topical Cream
100,000u/gm
Generic Manufacturer
Topical Agent
Antifungal
3 X 30G TUBES PER 90 DAYS
Nystatin Topical Powder
100,000u/gm
Generic Manufacturer
Topical Agent
Antifungal
NEW Max 3 Tubes per 90 days
Ketoconazole Cream
2%
Generic Manufacturer
Topical Agent
Antifungal-Cortisol Synthesis Inhibitor
Max 3 Tubes per 90 days
Ketoconazole Shampoo
2%
Generic Manufacturer
Topical Agent
Antifungal-Cortisol Synthesis Inhibitor
Max of 3 bottles per 90 days
Clotrimazole Topical Cream
1%
Generic Manufacturer
Topical Agent
Antifungal-Imidazole Derivative
NEW
Hemorrhoidal Ointment
0.25 %-14 %-74.9 %
Generic Manufacturer
Rectal Agent
Antihemorrhoidal Agent
NEW Max 3 Tubes per 90 days
Acyclovir
200mg, 400mg, 800mg
Generic Manufacturer
Antiviral Agent
Antiherpes Virus Agent
—
Valacyclovir HCL
500mg, 1000mg
Generic Manufacturer
Antiviral Agent
Antiherpes Virus Agent
—
Azelastine Nasal
0.1%
Generic Manufacturer
Respiratory Agent Nasal
Antihistamine
—
Ketotifen
0.025%
Generic Manufacturer
Ophthalmic Agent
Antihistamine
—
Benztropine
0.5mg, 1mg, 2mg
Generic Manufacturer
Behavioral Health
Antiparkinson Agent-Anticholinergic
—
Ropinirole HCL
0.25mg, 0.5mg, 1mg, 2mg, 3mg, 4mg, 5mg
Generic Manufacturer
Behavioral Health
Antiparkinson Agent-Dopamine Agonist
—
Ropinirole HCL ER
2mg, 4mg, 6mg, 8mg
Generic Manufacturer
Behavioral Health
Antiparkinson Agent-Dopamine Agonist
—
Lithium
150mg, 300mg, 600mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Antimanic Agent
—
Lithium ER
300mg, 450mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Antimanic Agent
—
Prochlorperazine
5mg, 10mg
Generic Manufacturer
Behavioral Health/Antiemetic Agent
Antipsychotic-First Generation
90 tabs for 90 days
Haloperidol
1mg, 2mg, 5mg, 10mg
Generic Manufacturer
Behavioral Health
Antipsychotic-First Generation (Typical)
—
Aripiprazole
2mg, 5mg, 10mg, 15mg, 20mg, 30mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Second Generation (Atypical)
—
Olanzapine
2.5mg, 5mg, 7.5mg, 10mg, 15mg, 20mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Second Generation (Atypical)
—
Quetiapine
25mg, 50mg, 100mg, 200mg, 300mg, 400mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Second Generation (Atypical)
—
Quetiapine ER
50mg, 150mg, 200mg, 300mg, 400mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Second Generation (Atypical)
—
Risperidone
0.25mg, 0.5mg, 1mg, 2mg, 3mg, 4mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Second Generation (Atypical)
—
Ziprasidone
20mg, 40mg, 60mg, 80mg
Generic Manufacturer
Behavioral Health
Antipsychotic-Second Generation (Atypical)
—
Dicyclomine
10mg, 20mg
Generic Manufacturer
Gastrointestinal Agent
Antispasmodic
—
Methimazole
5mg, 10mg
Generic Manufacturer
Endocrine Agent
Antithyroid Agent
—
Benzonatate
100mg, 200mg
Generic Manufacturer
Cough and Cold Agent
Antitussive
NEW
Acyclovir Ointment
5%
Generic Manufacturer
Topical Agent
Antiviral-Antiherpes Virus Agent
Max 3 Tubes per 90 days
Anastrozole
1mg
Generic Manufacturer
Antineoplastic Agent
Aromatase Inhiobitor
—
Atomoxetine HCL
10mg, 18mg, 25mg, 40mg, 60mg, 80mg, 100mg
Generic Manufacturer
Behavioral Health
Attention Deficit/Hyperactivity Disorder (ADHD) Treatment
—
Metronidazole Topical Gel
0.75%, 1%
Generic Manufacturer
Topical Agent
Atypical Antibiotic, Antiprotozoal, Nitroimidazole, Amebicide
—
Metronidazole Vaginal Gel
0.75%
Generic Manufacturer
Vaginal Agent
Atypical Antibiotic, Antiprotozoal, Nitroimidazole, Amebicide
—
Atenolol
25mg, 50mg, 100mg
Generic Manufacturer
Antihypertensive
Beta Blocking Agent
—
Metoprolol Succinate ER
25mg, 50mg, 100mg, 200mg
Generic Manufacturer
Antihypertensive
Beta Blocking Agent
—
Metoprolol Tartrate
25mg, 50mg, 75mg, 100mg
Generic Manufacturer
Antihypertensive
Beta Blocking Agent
—
Propranolol
10mg, 20mg, 40mg, 60mg, 80mg
Generic Manufacturer
Antihypertensive
Beta Blocking Agent
—
Carvedilol
3.125mg, 6.25mg, 12.5mg, 25mg
Generic Manufacturer
Antihypertensive
Beta Blocking Agent with Alpha-Blocking Activity
—
Labetalol HCL
100mg, 200mg, 300mg
Generic Manufacturer
Antihypertensive
Beta Blocking Agent with Alpha-Blocking Activity
—
Metformin HCL
500mg, 850mg, 1000mg
Generic Manufacturer
Antidiabetic Agent
Biguanide
—
Metformin HCL ER
500mg, 750mg
Generic Manufacturer
Antidiabetic Agent
Biguanide
—
Colestipol
1g
Generic Manufacturer
Antihyperlipidemic
Bile Acid Sequestrant
—
Alendronate
35mg, 70mg
Generic Manufacturer
Osteoporosis Treatment
Bisphosphonate
—
Ipratropium/Albuterol Nebulizer Solution
0.5mg/3mg
Generic Manufacturer
Respiratory Agent Inhalant
Bronchodilator-Anticholinergic/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
Albuterol Sulfate Nebulizer Solution
0.083%
Generic Manufacturer
Respiratory Agent Inhalant
Bronchodilator-Beta2-Adrenergic Agonist
Max of 3x60ct boxes
Rimegepant
NURTEC ODT®
75mg
Pfizer
Migraine Agent
Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist
NEW (Requires a signed Attestation form from the Prescriber)
Amlodipine Besylate
2.5mg, 5mg, 10mg
Generic Manufacturer
Antihypertensive
Calcium Channel Blocking Agent (CCB)
—
Nifedipine ER
30mg, 60mg, 90mg
Generic Manufacturer
Antihypertensive
Calcium Channel Blocking Agent (CCB)
—
Diltiazem ER/XL
120mg,180mg, 240mg
Generic Manufacturer
Antihypertensive
Calcium Channel Blocking Agent (Nondihydropyridine CCB)
Dilt-XR 24h release generic only
Diltiazem HCL
30mg, 60mg, 90mg
Generic Manufacturer
Antihypertensive
Calcium Channel Blocking Agent (Nondihydropyridine CCB)
—
Verapamil
40mg, 80mg, 120mg
Generic Manufacturer
Antihypertensive
Calcium Channel Blocking Agent (Nondihydropyridine CCB)
IMMEDIATE RELEASE ONLY
Digoxin
0.125mg, 0.25mg
Generic Manufacturer
Antiarrhythmic
Cardiac Glycoside
—
Cephalexin
250mg, 500mg
Generic Manufacturer
Antibiotic
Cephalosporin-1st Generation
—
Cefdinir
300mg
Generic Manufacturer
Antibiotic
Cephalosporin-3rd Generation
—
Lubiprostone
8mcg, 24mcg
Generic Manufacturer
Gastrointestinal Agent
Chloride Channel Activator
—
Ezetimibe
10mg
Generic Manufacturer
Antihyperlipidemic
Cholesterol Adsorption Inhibitor
—
Dronedarone
MULTAQ®
400mg
Sanofi
Antiarrhythmic
Class III
—
Amiodarone
100mg, 200mg, 400mg
Generic Manufacturer
Antiarrhythmic
Class III
—
Colchicine
0.6mg
Generic Manufacturer
Gout Agent
Colchicum autumnale alkaloid
—
Peg-3350 And Electrolytes Powder
Generic Manufacturer
Gastrointestinal Agent
Colon Prep
NEW
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
—
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
—
Ezetimibe/Simvastatin
10mg-10mg, 10mg-20mg, 10mg-40mg, 10-80mg
Generic Manufacturer
Antihyperlipidemic
Combination Cholesterol Adsorption Inhibitor/ HMG-COA Reductase Inhibitor
—
Fluticasone/ Vilanterol
BREO ELLIPTA®
50/25mcg, 100/25mcg, 200/25mcg
GlaxoSmithKline
Respiratory Agent Inhalant
Combination Corticosteroid/ Long Acting Beta Agonist
—
Fluticasone/Umeclidnium/Vilanterol
TRELEGY ELLIPTA®
100mcg/62.5mcg/25mcg, 200mcg/62.5mcg/25mcg
GlaxoSmithKline
Respiratory Agent Inhalant
Combination Corticosteroid/Anticholinergic/ Long Acting Beta Agonist
—
Triamterene/Hydrochlorothiazide
37.5-25mg
Generic Manufacturer
Diuretic
Combination Potassium Sparing/ Thiazide Diuretic
—
Sulfamethoxazole/Trimethoprim
400/80mg, 800/160mg
Generic Manufacturer
Antibiotic
Combination Sulfonamide Derivative
—
Benazepril/HCTZ
10/12.5mg, 20/12.5mg, 20/25mg
Generic Manufacturer
Antihypertensive
Combination-ACE Inhibitor/Thiazide Diuretic
—
Enalapril/HCTZ
5/12.5mg, 10/25mg
Generic Manufacturer
Antihypertensive
Combination-ACE Inhibitor/Thiazide Diuretic
—
Lisinopril/HCTZ
10/12.5mg, 20/12.5mg, 20/25mg
Generic Manufacturer
Antihypertensive
Combination-ACE Inhibitor/Thiazide Diuretic
—
Irbesartan/HCTZ
AVALIDE®
150/12.5mg, 300/12.5mg
Sanofi
Antihypertensive
Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic
—
Losartan/ HCTZ
50/12.5mg, 100/12.5mg, 100/25mg
Generic Manufacturer
Antihypertensive
Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic
—
Olmesartan/HCTZ
20/12.5mg, 40/12.5mg, 40/25mg
Generic Manufacturer
Antihypertensive
Combination-Angiotensin II Receptor Antagonist (ARB)/ Thiazide Diuretic
—
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
—
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
Spironolactone/HCTZ
25/25mg
Generic Manufacturer
Diuretic
Combination-Potassium Sparing Diuretic/Thiazide Diuretic
—
Fluticasone Furoate
ARNUITY ELLIPTA®
50mcg, 100mcg, 200mcg
GlaxoSmithKline
Respiratory Agent Inhalant
Corticosteroid
—
Loteprednol
EYSUVIS®
0.25%
Alcon
Ophthalmic Agent
Corticosteroid
NEW
Loteprednol
INVELTYS®
1%
Alcon
Ophthalmic Agent
Corticosteroid
NEW
Fluticasone Propionate
50mcg/spray
Generic Manufacturer
Respiratory Agent Nasal
Corticosteroid
—
Ketorolac
0.5%
Generic Manufacturer
Ophthalmic Agent
Corticosteroid
—
Prednisolone
1%
Generic Manufacturer
Ophthalmic Agent
Corticosteroid
—
Multivitamin with Folic Acid
400mcg
Generic Manufacturer
Supplement Vitamin
Daily Multivitamin
—
Needles, Insulin Disposable
NOVOFINE NEEDLES®
32G
Novo Nordisk
Antidiabetic Agent
Diabetic Supplies
ONLY AVAILABLE FOR NOVO NORDISK PRODUCTS
Glucometer
TRUE METRIX GLUCOMETER®
1 System
Trividia
Antidiabetic Agent
Diabetic Supplies
—
Test strips
TRUE METRIX TEST STRIPS®
50 ct
Trividia
Antidiabetic Agent
Diabetic Supplies
—
Lancets, Insulin Disposable
30G
Generic Manufacturer
Antidiabetic Agent
Diabetic Supplies
—
Lancing Device
Generic Manufacturer
Antidiabetic Agent
Diabetic Supplies
—
Pen Needles, Insulin Disposable
31G
Generic Manufacturer
Antidiabetic Agent
Diabetic Supplies
FOR NON-NOVO PRODUCTS
Sitagliptin Phosphate
JANUVIA®
25mg, 50mg, 100mg
Merck
Antidiabetic Agent
Dipeptidyl Peptidase-4 inhibitor
—
Leflunomide
ARAVA®
20mg
Sanofi
Immunosuppressant Agent
Disease Modifying Antirheumatic
—
Azathioprine
50mg
Generic Manufacturer
Immunosuppressant Agent
Disease Modifying Antirheumatic
—
Methotrexate
2.5mg
Generic Manufacturer
Immunosuppressant Agent
Disease Modifying Antirheumatic
—
Hydroxychloroquine
200mg
Generic Manufacturer
Immunosuppressant Agent
Disease Modifying Antirheumatic/Antimalarial
—
Sucralfate
1g
Generic Manufacturer
Gastrointestinal Agent
Duodenal Ulcer Agent
—
Estradiol
0.5mg, 1mg, 2mg
Generic Manufacturer
Hormone Therapy
Estrogens Oral
—
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
Guaifenesin ER
600mg
Generic Manufacturer
Cough and Cold Agent
Expectorant
NEW
Apixaban
ELIQUIS®
2.5mg, 5mg
BMS
Anticoagulant
Factor Xa Inhibitor
—
Rivaroxaban
XARELTO®
2.5mg, 10mg, 15mg, 20mg
Johnson & Johnson Pt Asst Foundation
Anticoagulant
Factor Xa Inhibitor
—
Fenofibrate
48mg, 54mg, 67mg, 134mg, 145mg, 160mg, 200mg
Generic Manufacturer
Antihyperlipidemic
Fibric Acid Derivative
—
Gemfibrozil
600mg
Generic Manufacturer
Antihyperlipidemic
Fibric Acid Derivative
—
Ciprofloxacin
250mg, 500mg, 750mg
Generic Manufacturer
Antibiotic
Fluoroquinolone
—
Ciprofloxacin Ophthalmic
0.3%
Generic Manufacturer
Ophthalmic Agent
Fluoroquinolone
—
Levofloxacin
250mg, 500mg, 750mg
Generic Manufacturer
Antibiotic
Fluoroquinolone
—
Ofloxacin Ophthalmic Solution
0.3%
Generic Manufacturer
Ophthalmic Agent
Fluoroquinolone
NEW
Ofloxacin Otic Solution
0.3%
Generic Manufacturer
Ophthalmic Agent
Fluoroquinolone
NEW
Folic Acid
1mg
Generic Manufacturer
Supplement Vitamin
Folate
—
Gabapentin
100mg, 300mg, 400mg, 600mg, 800mg
Generic Manufacturer
Anticonvulsant
GABA analog
—
Metoclopramide
5mg, 10mg
Generic Manufacturer
Gastrointestinal Agent
GI Stimulant
—
Timolol Ophthalmic Solution
0.25%, 0.5%
Generic Manufacturer
Ophthalmic Agent
Glaucoma agent – Beta-Blocker
—
Dorzolamide Hydrochloride Ophthalmic Solution
2%
Generic Manufacturer
Ophthalmic Agent
Glaucoma agent – Carbonic Anhydrase Inhibitor
—
Brinzolamide/Brimonidine Tartrate
SIMBRINZA®
1%/0.2%
Alcon
Ophthalmic Agent
Glaucoma Agent – Carbonic Anhydrase Inhibitor/Alpha2 Agonist
NEW
Latanoprost Ophthalmic
0.005%
Generic Manufacturer
Ophthalmic Agent
Glaucoma agent – Prostaglandin Analogue
—
Netarsudil
RHOPRESSA®
0.02%
Alcon
Ophthalmic Agent
Glaucoma Agent – Rho Kinase Inhibitor
NEW
Netarsudil and Latanoprost
ROCKLATAN®
0.02%/0.005%
Alcon
Ophthalmic Agent
Glaucoma Agent – Rho Kinase Inhibitor/Prostaglandin Analogue
NEW
Brimonidine Ophthalmic
0.2%
Generic Manufacturer
Ophthalmic Agent
Glaucoma Agent-Alpha2 Agonist
—
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
—
Betamethasone Topical Cream
0.05%
Generic Manufacturer
Topical Agent
Glucocorticoid
NEW Max 3 Tubes per 90 days
Clobetasol Topical Ointment
0.05%
Generic Manufacturer
Topical Agent
Glucocorticoid
NEW Max 3 Tubes per 90 days
Hydrocortisone Topical Cream
1%, 2.5%
Generic Manufacturer
Topical Agent
Glucocorticoid
3 X 30G TUBES PER 90 DAYS
Triamcinolone Topical Cream
0.1%
Generic Manufacturer
Topical Agent
Glucocorticoid
3 x 80G TUBES PER 90 DAYS
Methylprednisolone
4mg
Generic Manufacturer
Corticosteroid
Glucocorticoids
—
Methylprednisolone dose pack
4mg
Generic Manufacturer
Corticosteroid
Glucocorticoids
—
Prednisone
1mg, 5mg, 10mg, 20mg, 50mg
Generic Manufacturer
Corticosteroid
Glucocorticoids
—
Glucose Chewable Tablet
4g
Generic Manufacturer
Hypoglycemic Agent
Glucose Elevating Agent
Max of 60 ct per 90 days
Diphenhydramine
25mg, 50mg
Generic Manufacturer
Antihistamine
Histamine H1-Antagonist 1st Generation
—
Hydroxyzine HCl
10mg, 25mg, 50mg
Generic Manufacturer
Antihistamine
Histamine H1-Antagonist 1st Generation
—
Hydroxyzine Pamoate
25mg, 50mg, 100mg
Generic Manufacturer
Antihistamine
Histamine H1-Antagonist 1st Generation
—
Cetirizine
5mg, 10mg
Generic Manufacturer
Antihistamine
Histamine H1-Antagonist 2nd Generation
—
Loratadine
10mg
Generic Manufacturer
Antihistamine
Histamine H1-Antagonist 2nd Generation
—
Famotidine
10mg, 20mg, 40mg
Generic Manufacturer
Gastrointestinal Agent
Histamine H2-Antagonist
—
Atorvastatin Calcium
10mg, 20mg, 40mg, 80mg
Generic Manufacturer
Antihyperlipidemic
HMG-COA Reductase Inhibitor (statin)
—
Pravastatin
10mg, 20mg, 40mg, 80mg
Generic Manufacturer
Antihyperlipidemic
HMG-COA Reductase Inhibitor (statin)
—
Rosuvastatin
5mg, 10mg, 20mg, 40mg
Generic Manufacturer
Antihyperlipidemic
HMG-COA Reductase Inhibitor (statin)
—
Simvastatin
5mg, 10mg, 20mg, 40mg, 80mg
Generic Manufacturer
Antihyperlipidemic
HMG-COA Reductase Inhibitor (statin)
—
Estrogens, Conjugated Vaginal
PREMARIN VAGINAL CREAM®
30 gm tube
Pfizer
Vaginal Agent
Hormone-Estrogens
Requires a signed Attestation form from the Prescriber
Estradiol Patches
0.025mg, 0.0375mg, 0.05mg, 0.075mg, 0.1mg
Generic Manufacturer
Transdermal Agent
Hormone-Estrogens
Twice Weekly Patches
Estradiol Vaginal Cream
0.1%
Generic Manufacturer
Vaginal Agent
Hormone-Estrogens
—
Estradiol Vaginal Tablet Insert
10mcg
Generic Manufacturer
Vaginal Agent
Hormone-Estrogens
—
Imiquimod Cream
5%
Generic Manufacturer
Topical Agent
Immune Response Modifier-Imidazoquinolone
—
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 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 Aspart Protamine/ Aspart
NOVOLOG MIX 70/30 (vial, flexpen)®
70/30Units/ml
Novo Nordisk
Antidiabetic Agent
Insulin – Intermediate Acting
—
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 Detemir
LEVEMIR 100 UNITS/ML (vial)®
100 Units/ml
Novo Nordisk
Antidiabetic Agent
Insulin – Long Acting
VIALS ONLY
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 Degludec
TRESIBA FLEXTOUCH®
100 units/ml, 200 units/ml
Novo Nordisk
Antidiabetic Agent
Insulin – Long 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 Lispro
ADMELOG (vials/Solostar)®
100 units/ml
Sanofi
Antidiabetic Agent
Insulin – Short Acting
—
Insulin Glulisine
APIDRA (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 Regular
HUMULIN R 100U/ML (vial)®
100 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 Regular
NOVOLIN R 100 UNITS/ML (vial)®
100 Units/ml
Novo Nordisk
Antidiabetic Agent
Insulin – Short Acting
—
Insulin Aspart
NOVOLOG 100 UNITS/ML (vial, flexpen)®
100 Units/ml
Novo Nordisk
Antidiabetic Agent
Insulin – Short Acting
—
Ferrous Sulfate
325mg
Generic Manufacturer
Supplement Trace Element
Iron
—
Polyethylene Glycol 3350
17gm
Generic Manufacturer
Gastrointestinal Agent
Laxative
NEW (Max of 3 large bottles for 90 days)
Bisacodyl
5mg
Generic Manufacturer
Gastrointestinal Agent
Laxative/Stimulant
NEW
Senna Plus
8.6/50mg
Generic Manufacturer
Gastrointestinal Agent
Laxative/Stimulant
—
Montelukast
10mg
Generic Manufacturer
Respiratory Agent Oral
Leukotriene Modifier
—
Clindamycin
150mg, 300mg
Generic Manufacturer
Antibiotic
Lincosamide
—
Salmeterol Xinafoate
SEREVENT DISKUS INHALER®
50mcg
GlaxoSmithKline
Respiratory Agent Inhalant
Long – Acting Beta₂ Agonist
—
Umeclidinium /Vilanterol
ANORO ELLIPTA®
62.5/25mcg
GlaxoSmithKline
Respiratory Agent Inhalant
Long Acting Anticholinergic/ Long ActingBeta 2 Agonist
—
Bumetanide
0.5mg, 1mg, 2mg
Generic Manufacturer
Antihypertensive
Loop Diuretic
—
Furosemide
20mg, 40mg, 80mg
Generic Manufacturer
Diuretic
Loop Diuretic
—
Torsemide
5mg, 10mg, 20mg, 100mg
Generic Manufacturer
Diuretic
Loop Diuretic
—
Fidaxomicin
DIFICID®
200mg
Merck
Antibiotic
Macrolide
NEW
Azithromycin
250mg, 500mg
Generic Manufacturer
Antibiotic
Macrolide
—
Clarithromycin
250mg, 500mg
Generic Manufacturer
Antibiotic
Macrolide
—
Erythromycin Ophthalmic Ointment
0.5%
Generic Manufacturer
Ophthalmic Agent
Macrolide
NEW
Ramelteon
8mg
Generic Manufacturer
Behavioral Health
Melatonin Receptor Agonist
—
Magnesium Oxide
400mg
Generic Manufacturer
Electrolyte Supplement
Mineral
—
Nitrofurantoin Mono-MCR
100mg
Generic Manufacturer
Antibiotic
Miscellaneous/Nitrofurans
—
Acetaminophen
325mg, 500mg, 650mg
Generic Manufacturer
Analgesic
Non-Opiod Analgesic/Antipyretics
—
Celecoxib
50mg, 100mg, 200mg, 400mg
Generic Manufacturer
Antiinflammatory Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Diclofenac Sodium DR
25mg, 50mg, 75mg, 100mg
Generic Manufacturer
Antiinflammatory Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Diclofenac Sodium Gel
1%
Generic Manufacturer
Topical Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Ibuprofen
400mg, 600mg, 800mg
Generic Manufacturer
Antiinflammatory Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Meloxicam
7.5mg, 15mg
Generic Manufacturer
Antiinflammatory Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Naproxen
250mg, 375mg, 500mg, 550mg
Generic Manufacturer
Antiinflammatory Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Naproxen DR
500mg
Generic Manufacturer
Antiinflammatory Agent
Nonsteroidal Anti-Inflammatory (NSAID)
—
Omega-3 Acid Ethyl Esters
1 g
Generic Manufacturer
Antihyperlipidemic
Omega 3 fatty acids
—
Metronidazole
250mg, 500mg
Generic Manufacturer
Antibiotic
Oral Atypical Antibiotic, Antiprotozoal, Nitroimidazole, Amebicide
—
Penicillin VK
500mg
Generic Manufacturer
Antibiotic
Penicillin
NEW
Promethazine HCl
12.5mg, 25mg
Generic Manufacturer
Antiemetic Agent
Phenothiazine (non-selective)
90 tabs for 90 days
Calcium Acetate
667mg
Generic Manufacturer
Electrolyte Supplement
Phosphate Binder
—
Cilostazol
50mg, 100mg
Generic Manufacturer
Antiplatelet
Phosphodiesterase-3 Enzyme Inhibitor
—
Meclizine
12.5mg, 25mg
Generic Manufacturer
Antiemetic Agent
Piperazine Derivative/Histamine H1-Antagonsit 1st Generation
—
Clopidogrel bisulfate
75mg
Generic Manufacturer
Antiplatelet
Platelet P2Y12 Receptor Antagonists
—
Prasugrel
5mg, 10mg
Generic Manufacturer
Antiplatelet
Platelet P2Y12 Receptor Antagonists
—
Potassium Chloride ER
10meq, 20meq
Generic Manufacturer
Electrolyte Supplement
Potassium
—
Spironolactone
25mg, 50mg, 100mg
Generic Manufacturer
Diuretic
Potassium Sparing Diuretic
—
Prenatal
27mg/0.8mg
Generic Manufacturer
Supplement Vitamin
Pre-natal Vitamins
—
Medroxyprogesterone
2.5mg, 5mg, 10mg
Generic Manufacturer
Hormone Therapy
Progestin
—
Progesterone
100mg, 200mg
Generic Manufacturer
Hormone Therapy
Progestin
—
Esomeprazole DR
20mg, 40mg
Generic Manufacturer
Gastrointestinal Agent
Proton Pump Inhibitor
—
Omeprazole DR
10mg, 20mg, 40mg
Generic Manufacturer
Gastrointestinal Agent
Proton Pump Inhibitor
—
Pantoprazole Sodium DR
20mg, 40mg
Generic Manufacturer
Gastrointestinal Agent
Proton Pump Inhibitor
—
Aspirin
81mg, 325mg
Generic Manufacturer
Antiinflammatory Agent
Salicylate
—
Rizatriptan
5mg, 10mg
Generic Manufacturer
Migraine Agent
Serotonin 5HT Agonist (Triptan)
18 tablets for 90 days
Sumatriptan
25mg, 50mg, 100mg
Generic Manufacturer
Migraine Agent
Serotonin 5HT Agonist (Triptan)
27 tablets for 90 days
Baclofen
5mg, 10mg, 20mg
Generic Manufacturer
Antispasmodic
Skeletal Muscle Relaxant
—
Cyclobenzaprine
5mg, 10mg
Generic Manufacturer
Antispasmodic
Skeletal Muscle Relaxant
NEW
Methocarbamol
500mg, 750mg
Generic Manufacturer
Antispasmodic
Skeletal Muscle Relaxant
NEW
Tizanidine
2mg, 4mg
Generic Manufacturer
Antispasmodic
Skeletal Muscle Relaxant
—
Melatonin
1mg, 3mg, 5mg
Generic Manufacturer
Behavioral Health
Sleep Hormone
—
Nicotine Patches
7mg, 14mg, 21mg
Generic Manufacturer
Transdermal Agent
Smoking Cessation-Nicotine Replacement Agent
—
Canagliflozin
INVOKANA®
100mg,300mg
Johnson & Johnson Pt Asst Foundation
Antidiabetic Agent
Sodium-glucose cotransporter 2 (SGLT2) Inhibitor
—
Dapagliflozin
5mg, 10mg
Generic Manufacturer
Antidiabetic Agent
Sodium-glucose cotransporter 2 (SGLT2) Inhibitor
NEW
Vericiguat
VERQUVO®
2.5mg, 5mg, 10mg
Merck
Vasodilator
Soluble Guanylate Cyclase Stimulators
NEW
Docusate
100mg
Generic Manufacturer
Gastrointestinal Agent
Stool Softener
—
Glimepiride
1mg, 2mg, 4mg
Generic Manufacturer
Antidiabetic Agent
Sulfonylurea
—
Glipizide
5mg, 10mg
Generic Manufacturer
Antidiabetic Agent
Sulfonylurea
—
Glipizide ER
2.5mg, 5mg, 10mg
Generic Manufacturer
Antidiabetic Agent
Sulfonylurea
—
Doxycycline Hyclate
100mg
Generic Manufacturer
Antibiotic
Tetracycline Derivative Antibiotic
—
Tetracycline
500mg
Generic Manufacturer
Antibiotic
Tetracycline Derivative Antibiotic
NEW
Chlorthalidone
25mg, 50mg
Generic Manufacturer
Diuretic
Thiazide Diuretic
—
Hydrochlorothiazide
12.5mg, 25mg, 50mg
Generic Manufacturer
Diuretic
Thiazide Diuretic
—
Pioglitazone
15mg, 30mg, 45mg
Generic Manufacturer
Antidiabetic Agent
Thiazolidinedione
—
Levothyroxine Sodium
SYNTHROID®
25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg
Abbvie
Endocrine Agent
Thyroid Replacement Therapy
—
Fluconazole
100mg, 150mg, 200mg
Generic Manufacturer
Antifungal Agent
Triazole
—
Pentosan Polysulfate Sodium
ELMIRON®
100mg
Johnson & Johnson Pt Asst Foundation
Renal and Genitourinary Agent
Urinary Analgesic
—
Fesoterodine fumarate
4mg, 8mg
Generic Manufacturer
Renal and Genitourinary Agent
Urinary Anticholinergic
—
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)
Hydralazine HCl
10mg, 25mg, 50mg, 100mg
Generic Manufacturer
Antihypertensive
Vasodilator
—
Isosorbide Dinitrate
5mg, 10mg, 20mg, 30mg
Generic Manufacturer
Antihypertensive
Vasodilator-Nitrate
—
Isosorbide Mononitrate ER
30mg, 60mg, 120mg
Generic Manufacturer
Antihypertensive
Vasodilator-Nitrate
—
Nitroglycerin SL
0.4mg
Generic Manufacturer
Sublingual Agent
Vasodilator-Nitrate
—
Thiamine
100mg
Generic Manufacturer
Supplement Vitamin
Vitamin B 1
—
Vitamin B12
1000mcg
Generic Manufacturer
Supplement Vitamin
Vitamin B12
—
Vitamin C
500mg
Generic Manufacturer
Supplement Vitamin
Vitamin C
NEW
Calcitriol
0.25mcg, 0.5mcg
Generic Manufacturer
Supplement Vitamin
Vitamin D Analog
—
Vitamin D2
1.25mg
Generic Manufacturer
Supplement Vitamin
Vitamin D2
50,000IU ONLY
Vitamin D3
25mcg, 50mcg, 125mcg, 1250mcg
Generic Manufacturer
Supplement Vitamin
Vitamin D3
—
Warfarin Sodium
1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg
Generic Manufacturer
Anticoagulant
Vitamin K Antagonist
—
Allopurinol
100mg, 300mg
Generic Manufacturer
Gout Agent
Xanthine Oxidase Inhibitor
—
Febuxostat
40mg, 80mg
Generic Manufacturer
Gout Agent
Xanthine Oxidase Inhibitor
—
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.
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