The following products are available using our retail pharmacy card. The card will be mailed directly to the patient. The patient can take the card, along with a valid prescription from their healthcare provider, to a retail pharmacy of their choice to receive the medication.
- AXERT®
(almotriptan malate tablets) - CONCERTA® †
(methylphenidate HCI)
Extended-release Tablets CII - DITROPAN XL®
(oxybutynin chloride)
Extended Release Tablets - DURAGESIC® †
(FENTANYL TRANSDERMAL SYSTEM) CII - ELMIRON® -100 mg
(pentosan polysulfate sodium) Capsules - FLEXERIL®
(cyclobenzaprine HCl) TABLETS
- LEVAQUIN®
(levofloxacin) Tablets/Oral Solution - NUCYNTA™
(tapentadol)
immediate-release oral tablets C-II - Razadyne®
galantamine HBr Tablets and Oral Solution - Razadyne® ER
galantamine HBr
EXTENDED-RELEASE CAPSULES - SIMPONI™ †
(golimumab) Injection,
Solution for subcutaneous use - SPORANOX® †
(ITRACONAZOLE) CAPSULES
- TOPAMAX®
(topiramate capsules) Sprinkle Capsules - TOPAMAX®
(topiramate) Tablets - ULTRACET®
(tramadol hydrochloride/
acetaminophen tablets) - ULTRAM®
(tramadol hydrochloride tablets) - ULTRAM® ER
(tramadol HCL) Extended-Release Tablets
The following products will be shipped directly to the healthcare provider’s office for dispensing:
- ACIPHEX®
(rabeprazole sodium) - ALAMAST®
(pemirolast potassium
ophthalmic solution) 0.1% - BETIMOL®
(timolol ophthalmic solution) 0.25% - BETIMOL®
(timolol ophthalmic solution) 0.5% - BIAFINE®
Topical Emulsion - DOXIL® †
(doxorubicin HCL liposome injection)
for intravenous infusion - ERTACZO®
(sertaconazole nitrate) cream 2% - GRIFULVIN V®
(griseofulvin tablets) microsize Tablets - HALDOL® Decanoate
(haloperidol) For IM Injection Only
- HALDOL®
brand of haloperidol Injection
(For Immediate Release) - INVEGA® SUSTENNA™ †
(paliperidone palmitate)
Extended-Release Injectable Suspension - IQUIX®
(levofloxacin ophthalmic solution) 1.5% - LEUSTATIN® †
(cladribine) Injection For Intravenous Infusion Only - Natrecor®
(nesiritide) for Injection - ORTHOVISC®
High Molecular Weight Hyaluronan - PANCREASE® MT
brand of PANCRELIPASE ENTERIC COATED MICROTABLETS Capsules - PARAFON FORTE® DSC
(chlorzoxazone) Caplets
- QUIXIN®
(levofloxacin ophthalmic solution) 0.5% - REMICADE® †
(infliximab) for IV Injection - RETIN-A®
(tretinoin) Cream, Gel or Micro - Risperdal® Consta® †
(RISPERIDONE)
LONG-ACTING INJECTION - SPORANOX® †
(itraconazole) Oral Solution - STELARA™
(ustekinumab) Injection For subcutaneous use - Terazol® 3
(terconazole)
VAGINAL CREAM or SUPPOSITORIES - Terazol® 7
(terconazole) VAGINAL CREAM - UVADEX®
(Methoxsalen) STERILE SOLUTION
The following products can be provided either by using our retail pharmacy card or shipped directly to the healthcare provider's office. The healthcare provider can make that selection when completing the application.
- INTELENCE™
(etravirine) Tablets - INVEGA® †
(paliperidone) Extended-Release Tablets - PREZISTA®
(darunavir) Tablets
- PROCRIT® †
(Epoetin alfa) FOR INJECTION - RISPERDAL® †
(risperidone) M-TAB®
orally disintegrating tablets - RISPERDAL® †
(risperidone) tablets/ oral solution
† Please see full U.S. prescribing information, including Black Box warning for: CONCERTA®, DOXIL®, DURAGESIC®, INVEGA®, INVEGA® SUSTENNA™, LEUSTATIN®, PROCRIT®, REMICADE®, RISPERDAL®, RISPERDAL ®CONSTA®, SIMPONI™, SPORANOX®, SPORANOX® ORAL SOLUTION

