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 - INVOKANA™
(canagliflozin) Tablets - LEVAQUIN®
(levofloxacin) Tablets/Oral Solution
- NUCYNTA®
(tapentadol)
immediate-release oral tablets C-II - NUCYNTA ER®
(tapentadol extended-release oral tablets) - PREZISTA®
(darunavir) Oral Suspension - 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 - XARELTO®
(rivaroxaban) - ZYTIGA®
(abiraterone acetate) Tablets
The following products will be shipped directly to the healthcare provider’s office for dispensing:
- ACIPHEX®
(rabeprazole sodium) - BETIMOL®
(timolol ophthalmic solution) 0.25% - BETIMOL®
(timolol ophthalmic solution) 0.5% - DOXIL® †
(doxorubicin HCL liposome injection)
for intravenous infusion - HALDOL® Decanoate
(haloperidol) For IM Injection Only - HALDOL®
brand of haloperidol Injection
(For Immediate Release)
- INVEGA® SUSTENNA® †
(paliperidone palmitate)
Extended-Release Injectable Suspension - Natrecor®
(nesiritide) for Injection - ORTHOVISC®
High Molecular Weight Hyaluronan - PARAFON FORTE® DSC
(chlorzoxazone) Caplets - REMICADE® †
(infliximab) for IV Injection - 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.
- EDURANT®
(rilpivirne) Tablets - INTELENCE®
(etravirine) Tablets - INVEGA®†
(paliperidone) Extended-Release Tablets - PANCREAZE®
(pancrelipase) Delayed-Release Capsules
- 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®, PROCRIT®, REMICADE®, RISPERDAL®, RISPERDAL ®CONSTA®, SIMPONI®, SPORANOX®, SPORANOX® ORAL SOLUTION

