The savings you want on the prescriptions you need.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The savings you want on the prescriptions you need."

Transcription

1 The savings you want on the prescriptions you need. This program can save you money on more than 5,000 medications. For more information on the Prescription Savings Club, speak with your pharmacist or visit: GoodNeighborPharmacy.com Use it at thousands of participating locations from coast to coast. Get to know your neighbor.

2 Join the Good Neighbor Pharmacy Prescription Savings Club and pay as low as $ 4.99 on more than 300 generic medications! Now you can enjoy great cost-savings on name brand and generic medications, along with the customer service and personalized care that only a locally-owned pharmacy can offer. Just show your Prescription Savings Club card at any participating Good Neighbor Pharmacy nationwide. What is the Good Neighbor Pharmacy Prescription Savings Club? Through the Good Neighbor Pharmacy Prescription Savings Club, you can save on more than 5,000 name brand and generic medications at your locally-owned participating Good Neighbor Pharmacy. Your club card is good at over 4,000 participating locations across the country. Who can enroll? Our program is open to people of all ages. And it s ideal for people without prescription drug benefits or those with inadequate coverage. No prior authorization is required; simply show your card and enjoy great savings. People who receive healthcare benefits from Medicare, Medicaid or TRICARE are not eligible. Is there an annual membership fee as part of the program? There is a $ 9.99 annual membership fee for the program. Is this program the same as an insurance benefit? No. This program is not an insurance benefit. This program is a Prescription Savings Club that offers voluntary enrollment, requires an annual membership fee and provides exclusive discounts on prescription medications. How much will my medications cost? As a member, you will receive exclusive discounts on many of your brand-name prescription medications. In addition, more than 300 generic prescription medications are available to you at the following low costs: 30-day supply of one medication: $ day supply of one medication: $10.99 Day s supply is limited by specific metric quantities based upon commonly prescribed dosing. What types of medications are offered for as low as $ 4.99? The Prescription Savings Club offers many popular medications for: Allergies Antifungal Treatments Arthritis and Pain High Blood Pressure High Cholesterol Diabetes Gastrointestinal Health Skin Conditions Antibiotic Treatments Antiviral Treatments Asthma and COPD Heart Health Cough and Cold Eye Care Mental Health Thyroid Conditions To find out if your medications are covered, ask the pharmacist at your local Good Neighbor Pharmacy. How do I enroll? Enrollment is easy! Simply fill out the form below and give it to your Good Neighbor Pharmacy pharmacist. Or, visit GoodNeighborPharmacy.com/ PrescriptionSavingsClub. Your personalized Prescription Savings Club card will be mailed to your home within a couple weeks of initial enrollment. Your annual membership fee will be automatically added to the price of your first prescription. Start saving today! Join the Good Neighbor Pharmacy Prescription Savings Club today and start enjoying big savings on many of the medications you need. MALE NAME ADDRESS FEMALE CITY STATE ZIP PHONE # SIGNATURE DOB Prescription Savings Club

3 INTRODUCTION The Prescription Savings Club provides its members with significant savings on prescription medications. The medications listed are available in metric quantities of commonly prescribed doses in up to 30-day and 90-day supplies. It is recommended that you share this list of medications with your physician. Specifically, ask your physician if a generic alternative is available and clinically appropriate for you. This list is subject to change. A Acyclovir 200mg Albuterol 0.083% nebulizer solution... 75ml 225ml Albuterol 2mg/5ml syrup ml 360ml Allopurinol 100mg Allopurinol 300mg Amlodipine 2.5mg Amlodipine 5mg Amlodipine 10mg Amoxicillin 125mg/5ml... 80ml 240ml Amoxicillin 125mg/5ml ml 300ml Amoxicillin 125mg/5ml ml 450ml Amoxicillin 200mg/5ml... 50ml 150ml Amoxicillin 200mg/5ml ml 300ml Amoxicillin 200mg/5ml... 75ml 225ml Amoxicillin 250mg Amoxicillin 250mg/5ml ml 300ml Amoxicillin 250mg/5ml ml 450ml Amoxicillin 250mg/5ml... 80ml 240ml Amoxicillin 400mg/5ml ml 300ml Amoxicillin 400mg/5ml... 50ml 150ml Amoxicillin 400mg/5ml... 75ml 225ml Amoxicillin 500mg Antipyrine/Benzocaine otic... 10ml 30ml Atenolol 100mg Atenolol 25mg Atenolol 50mg Atenolol-Chlorthalidone 100mg-25mg $9.00/30 day Albuterol 0.5% nebulizer solution... 20ml 60ml B Baclofen 10mg Benazepril 10mg Benazepril 20mg Benazepril 40mg Benazepril 5mg Benzonatate 100mg Benztropine 2mg Bisoprolol-HCTZ 2.5mg-6.25mg Bisoprolol-HCTZ 5mg-6.25mg Bisoprolol-HCTZ 10mg-6.25mg Bumetanide 0.5mg Bumetanide 1mg Buspirone 10mg Buspirone 5mg C Carvedilol 12.5mg Carvedilol 25mg Carvedilol 3.125mg Carvedilol 6.25mg Cephalexin 250mg Cephalexin 500mg Chlorhexidine Gluconate 0.12% solution ml 1419ml Ciprofloxacin 250mg Ciprofloxacin 500mg Citalopram 20mg Citalopram 40mg Clonidine 0.1mg Clonidine 0.2mg Cyclobenzaprine 10mg Cyclobenzaprine 5mg D Dexamethasone 0.5mg Dexamethasone 0.75mg Dexamethasone 4mg Diclofenac DR 75mg Dicyclomine 10mg Dicyclomine 20mg E Enalapril 10mg Enalapril 2.5mg Enalapril 20mg Enalapril 5mg Enalapril-HCTZ 5mg-12.5mg Erythromycin ophthalmic ointment gm 10.5gm Estradiol 0.5mg Estradiol 1mg Estradiol 2mg Ethedent 0.25mg chewable F Famotidine 20mg Fluconazole 150mg Fluoxetine 10mg Fluoxetine 10mg tablet Fluoxetine 20mg Fluoxetine 40mg Folic Acid 1mg Furosemide 20mg Furosemide 40mg Furosemide 80mg G Gentamicin 0.1% cream... 15gm 45gm Gentamicin 0.1% ointment... 15gm 45gm Gentamicin 0.3% ophthalmic solution... 5ml 15ml Glimepiride 1mg Glimepiride 2mg Glimepiride 4mg Glipizide 10mg Glipizide 5mg Glyburide 2.5mg Glyburide 5mg Glyburide, micronized 3mg Glyburide, micronized 6mg Guanfacine 1mg H Haloperidol 0.5mg Haloperidol 1mg Haloperidol 2mg Hydralazine 10mg Hydralazine 25mg Hydrochlorothiazide (HCTZ) 12.5mg Hydrochlorothiazide (HCTZ) 25mg Hydrochlorothiazide (HCTZ) 50mg Hydrocortisone 1% cream... 30gm 90gm Hydrocortisone 2.5% cream... 30gm 90gm

4 I Ibuprofen 100mg/5ml suspension ml 360ml Ibuprofen 400mg Ibuprofen 600mg Ibuprofen 800mg Indapamide 1.25mg Indapamide 2.5mg Indomethacin 25mg Ipratropium 0.02% nebulizer solution ml 187.5ml Isoniazid 300mg Isosorbide Mononitrate ER 30mg Isosorbide Mononitrate ER 60mg L Lactulose syrup ml 711ml Lamotrigine 25mg Lamotrigine 100mg Lamotrigine 150mg Lamotrigine 200mg Levobunolol 0.5% ophthalmic solution... 5ml 15ml Lidocaine 2% viscous solution ml 300ml Lisinopril 2.5mg Lisinopril 5mg Lisinopril 10mg Lisinopril 20mg Lisinopril 40mg Lisinopril-HCTZ 10mg-12.5mg Lisinopril-HCTZ 20mg-12.5mg Lisinopril-HCTZ 20mg-25mg Lithium Carbonate 300mg Loratadine 10mg Lovastatin 10mg Lovastatin 20mg M Mag 64 64mg Magnesium Oxide 400mg Medroxyprogesterone Acetate 2.5mg Medroxyprogesterone Acetate 5mg Medroxyprogesterone Acetate 10mg Megestrol 20mg Meloxicam 15mg Meloxicam 7.5mg Metformin 1000mg Metformin 500mg Metformin 850mg Metformin ER 500mg Methyldopa 250mg Metoclopramide 5mg Metoclopramide 10mg Metoclopramide syrup... 60ml 180ml Metoprolol Tartrate 100mg Metoprolol Tartrate 25mg Metoprolol Tartrate 50mg N Naproxen 375mg Naproxen 500mg Neomycin/Polymyxin/Dexamethasone 0.1% ophthalmic ointment gm 10.5gm 0.1% ophthalmic suspension... 5ml 15ml Nortriptyline 10mg Nortriptyline 25mg Nystatin cream... 15gm 45gm Nystatin cream... 30gm 90gm P Paroxetine 10mg Paroxetine 20mg Penicillin VK 125mg/5ml ml 300ml Penicillin VK 125mg/5ml ml 600ml Penicillin VK 250mg Penicillin VK 250mg/5ml ml 300ml Phenazopyridine 100mg Polymyxin Sulfate/TMP ophthalmic solution... 10ml 30ml Prednisone 2.5mg tablet Prednisone 5mg tablet Prochlorperazine 5mg Prochlorperazine 10mg Promethazine 25mg tabs Promethazine DM Syrup ml 360ml Promethazine plain syrup ml 540ml Propranolol 10mg Propranolol 20mg Propranolol 40mg R 30-day 90 day Ranitidine 150mg Ranitidine 300mg S Silver Sulfadiazine 1% cream... 50gm 150gm Simvastatin 5mg Simvastatin 10mg Simvastatin 20mg Simvastatin 40mg Simvastatin 80mg SMZ-TMP 200mg-40mg/5ml ml 360ml SMZ-TMP 400mg-80mg SMZ-TMP DS 800mg-160mg Sotalol HCL 80mg Spironolactone 25mg T Terazosin 10mg Terazosin 1mg Terazosin 2mg Terazosin 5mg Terbinafine 250mg Timolol Maleate 0.25% ophthalmic solution... 5ml 15ml Timolol Maleate 0.5% ophthalmic solution... 5ml 15ml Tobramycin 0.3% ophthalmic solution... 5ml 15ml Trazodone 100mg Trazodone 150mg Trazodone 50mg Triamcinolone 0.025% cream... 15gm 45gm Triamcinolone 0.1% cream... 15gm 45gm Triamcinolone 0.1% cream... 80gm 240gm Triamcinolone 0.1% ointment... 15gm 45gm Triamcinolone 0.1% ointment... 80gm 240gm Triamcinolone 0.5% cream... 15gm 45gm Triamterene-HCTZ 37.5mg-25mg (tablets) Triamterene-HCTZ 75mg-50mg Trihexyphenidyl 2mg V Verapamil 120mg Verapamil 80mg Vol-Plus (prenatal)

5 W Warfarin 1mg Warfarin 2mg Warfarin 2.5mg Warfarin 3mg Warfarin 4mg Warfarin 5mg Warfarin 6mg Warfarin 7.5mg Warfarin 10mg Women s Health Available for $ Day for $27.99 Alendronate SOD 35mg Alendronate SOD 70mg Clomiphene 50mg Mononessa 28-Day Trinessa 28-Day Tamoxifen 10mg Tamoxifen 20mg Men s Health Available for $ Day for $27.99 Finasteride 5mg

$4, 30-day $10, 90-day

$4, 30-day $10, 90-day $4 Prescriptions - Choose from hundreds of generic drugs and over the counter medications. Free Home Delivery Mailed right to your home Free shipping Prescription Program includes up to a 30-day supply

More information

Retail Prescription Program Drug List

Retail Prescription Program Drug List Retail Prescription Program Drug List Price Matters New Men s Health Category Convenience Free Home Delivery Our 4 prescriptions have saved our customers over 3 billion The program is available to everyone,

More information

Home Delivery Prescription Program Drug List

Home Delivery Prescription Program Drug List Home Delivery Prescription Program Drug List Low-cost prescriptions, right in your mailbox. Now you can have your generic prescriptions mailed right to your home, no matter where you live. Because we think

More information

Your Guide to Saving Money on Prescriptions

Your Guide to Saving Money on Prescriptions Your Guide to Saving Money on Prescriptions Low-cost prescriptions make a difference At Walmart, we don t think you should have to choose between groceries and the medicines you need. Our $4 prescriptions

More information

FEATURED GENERIC DRUG LIST

FEATURED GENERIC DRUG LIST FREE 30 DAY SUPPLY ON SELECT PRENATALS AND FLUORIDE SUPPLEMENTS Annual enrollment fee of $10 per family applies. SM *** -- A -- ACYCLOVIR 400 MG TABLET 60 180 ALBUTEROL SULFATE 2 MG/5 ML SYRUP 90 270 ALBUTEROL

More information

$10.00 PRESCRIPTION PROGRAM DETAILS

$10.00 PRESCRIPTION PROGRAM DETAILS $10.00 PRESCRIPTION PROGRAM DETAILS 1. The $10.00 program applies only to certain generic drugs at commonly prescribed 90 day usage dosages. (See list). 2. The Program may change without notification and

More information

PREFERRED GENERIC DRUG LIST

PREFERRED GENERIC DRUG LIST These discount programs are NOT health insurance policies and are not intended as a substitute for insurance. The programs do not qualify as a minimum creditable coverage under Massachusetts law or where

More information

Club Members save even more with the $4 Plus Plan!

Club Members save even more with the $4 Plus Plan! Club Members save even more with the $4 Plus Plan! ITEM DESCRIPTION Acephen Supp 650MG 12 Acetam Tab 325MG 30 90 Acyclovir Cap 200MG 30 90 Albuterol Syr 2MG/5ML 120 360 Albuterol Sulfate Nebulizer Ud Sol

More information

Directory of Generic Medications Eligible for Rx Savings Program Flat Fees

Directory of Generic Medications Eligible for Rx Savings Program Flat Fees Directory of Generic Medications Eligible for Rx Savings Program Flat Fees CONNECTICUT VERSION If you re already enrolled in the FREE* Rx Savings Program, use this guide to find your best choices. And,

More information

Generic Pharmacy Discount

Generic Pharmacy Discount Generic Pharmacy Discount 83 Park Place Blvd Suite 101 Clearwater, FL 33759 Fourth Quarter 2014 727.461.6044 800.314.0088 Pharmacies Generic Discount Program Information Enclosed information provided

More information

FREE ORAL ANTIBIOTICS

FREE ORAL ANTIBIOTICS Publix FREE ORAL ANTIBIOTICS Just bring in your prescription for one of the oral antibiotics listed to your neighborhood Publix Pharmacy and receive it FREE, up to a 14 day supply. Amoxicillin Cephalexin

More information

PREFERRED GENERIC DRUG LIST

PREFERRED GENERIC DRUG LIST ALLERGIES & COLD AND FLU Preferred generic drugs MARCH 2013 supply* for $5 supply* for $10 and $15 * The day supply is based upon the average dispensing patterns for the specific drug and strength. 90-

More information

612 Program Midtown Express Pharmacy

612 Program Midtown Express Pharmacy ALENDRONATE SOD TAB 35MG (max 1 per week) $37.00 $70.00 ALENDRONATE SOD TAB 70MG (max 1 per week) $37.00 $70.00 ALLOPURINOL TAB 100MG $20.00 $38.00 ALLOPURINOL TAB 300MG $20.00 $38.00 AMITRIPTYLINE TAB

More information

Drug Cost Estimates Generics

Drug Cost Estimates Generics Cost Estimates Generics Note: The retail pharmacy prices displayed below are estimates only. The actual price of your prescription W/ CODEINE TAB 300-30 MG ACYCLOVIR TAB 400 MG ALBUTEROL INHAL AEROSOL

More information

Pharmacy Savings Program

Pharmacy Savings Program Pharmacy Savings Program SELECT GENERICS DRUG LIST The Pharmacy Savings Program provides you with savings on select generic medications included on this list. The prices for these select generic medications

More information

Members enjoy more Pharmacy savings *

Members enjoy more Pharmacy savings * Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000IU are $ 0 for a 30-day

More information

Value-Priced Medication List

Value-Priced Medication List Value-Priced Medication List In addition to the discounts on thousands of brand-name and most other generic medications that Walgreens Prescription Savings Club members enjoy, club members receive greater

More information

Members enjoy more Pharmacy savings *

Members enjoy more Pharmacy savings * Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000IU are $ 0 for a 30-day

More information

UnitedHealthcare Group Medicare Advantage (PPO)

UnitedHealthcare Group Medicare Advantage (PPO) Your Plan Explained UnitedHealthcare Group Medicare Advantage (PPO) UHEX11MP3230855_001 Y0066_100616_09113 Your Medicare. This brochure explains your Medicare Advantage plan, a type of health plan also

More information

Members enjoy more Pharmacy savings *

Members enjoy more Pharmacy savings * Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000IU are $ 0 for a 30-day

More information

If your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price.

If your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price. If your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price. FREE SHIPPING TO AL, CT, DE, FL, GA, IN, KS, MA, MO, MS, NC, NH,

More information

Medicare Part D. Take Control of Your Prescription Drug Costs. Inside: information you need to enroll.

Medicare Part D. Take Control of Your Prescription Drug Costs. Inside: information you need to enroll. 2010 Take Control of Your Prescription Drug Costs Medicare Part D Inside: information you need to enroll. IBPDP3179522_XACE000 C0009_PDP3179522_000 When you are ready to enroll: Call 1-866-804-3860, TTY

More information

SAVINGS GUARANTEED FEEL BETTER. This Program is NOT Insurance. Membership

SAVINGS GUARANTEED FEEL BETTER. This Program is NOT Insurance. Membership FEEL BETTER GUARANTEED SAVINGS This Program is NOT Insurance. Membership fee required ($20 individual or $35 family per year). Persons receiving benefits from Medicare, Medicaid or other government-funded

More information

PROJECT LIST GENERIC PRODUCTS

PROJECT LIST GENERIC PRODUCTS PROJECT LIST GENERIC PRODUCTS Acetylcysteine, Effervescent tablets 200 mg, 600 mg Alendronate sodium, Tablets 10, 70 mg Alfuzosin,Tablets 2.5mg Alfuzosin, ER Tablets 10 mg Ambroxol, Effervescent tablets

More information

MVP HEALTH CARE 2016 MEDICARE ADVANTAGE HEALTH PLANS

MVP HEALTH CARE 2016 MEDICARE ADVANTAGE HEALTH PLANS MVP HEALTH CARE 2016 MEDICARE ADVANTAGE HEALTH PLANS Y0051_2738 08/2015 MVP Health Care: Proudly Serving Medicare Members for Over 30 Years MVP Medicare Advantage is cost-effective. I ve always gotten

More information

The 365-day period begins with the first dispensing transaction for each Ontario Drug Benefit (ODB) recipient on or after October 1, 2015.

The 365-day period begins with the first dispensing transaction for each Ontario Drug Benefit (ODB) recipient on or after October 1, 2015. Ontario Public Drug Programs, Ministry of Health and Long-Term Care Chronic-use Medications List by In accordance with subsection 18 (11.1) of Ontario Regulation 201/96 made under the Ontario Drug Benefit

More information

CORNELL UNIVERSITY HOSPITAL FOR ANIMALS DRUG RETAIL PRICE LIST

CORNELL UNIVERSITY HOSPITAL FOR ANIMALS DRUG RETAIL PRICE LIST CORNELL UNIVERSITY HOSPITAL FOR ANIMALS DRUG RETAIL PRICE LIST NOTIFY YOUR PHARMACIST AND VETERINARIAN OF ALL MEDICATIONS YOUR PET IS TAKING AND ASK HOW TO AVOID HARMFUL DRUG INTERACTIONS ORAL MEDICATIONS

More information

BlueSaver Generic Preventive Care Drug Program List

BlueSaver Generic Preventive Care Drug Program List An independent licensee of the Blue Cross and Blue Shield Association. BlueSaver Generic Preventive Care Drug Program List Preventive care drugs are drugs that can help keep you from developing a health

More information

Palliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers

Palliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers Palliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers Important Notes: Last Updated: May 11, 2015 Pharmacists must submit a claim on PharmaNet at the time of purchase to enable coverage.

More information

BC Cancer Agency & Canadian Cancer Society Financial Support Drug Program (FSDP) for Cancer Patients. Drug Benefit List. Updated February 15, 2016

BC Cancer Agency & Canadian Cancer Society Financial Support Drug Program (FSDP) for Cancer Patients. Drug Benefit List. Updated February 15, 2016 BC Cancer Agency & Canadian Cancer Society Financial Support Drug Program (FSDP) for Cancer Patients Drug Benefit List Updated February 15, 2016 The FSDP will operate following rules established by the

More information

Attachment E Annual ESTIMATED Usage based on 2007 volumes

Attachment E Annual ESTIMATED Usage based on 2007 volumes Description Quantity # Orders Dept ABILIFY 10MG TABLET 660 22 Children's Vil. ABILIFY 15MG TABLET 150 4 Children's Vil. ABILIFY 20MG TABLET 300 10 Children's Vil. ABILIFY 5MG TABLET 840 20 Children's Vil.

More information

. ก ก 1. Actifed tab/syr. Triprolidine : should be stored in tight, light-resistant Pseudoepedrine : Triprolidine (p.25) Pseudoepedrine (p.

. ก ก 1. Actifed tab/syr. Triprolidine : should be stored in tight, light-resistant Pseudoepedrine : Triprolidine (p.25) Pseudoepedrine (p. ก ก. 2553 (p.807) 3. Adrenaline inj. 1mg/ml (Epinephrine inj.) ( Druginfor. p.629) 4. Aminophylline/ Theophylline inj. (Drug infor. Ed. 11 th p.1339) 5. Amlodipine + HCTZ (Moduretic). ก ก 1. Actifed tab/syr.

More information

Each un coated tablet contains: Nimesulide. Each un coated tablet contains: Nimesulide Paracetamol

Each un coated tablet contains: Nimesulide. Each un coated tablet contains: Nimesulide Paracetamol Sr No. Generic Name Composition Claim 1 Tabs. 100/ 2 + Para Tabs. 3 + Tizanidine Tabs. 4 + Tabs. 5 +Serratio Tabs. 6 +Serratio Tabs. 7 Aceclo Tabs. IP 8 Aceclo + Para Tabs. 9 Aceclo + Para + Chlorzoxazone

More information

SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions

SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions With Dickinson College s Value Based Insurance Design (VBID) If you have an ongoing condition, you can live well. You will need to

More information

Community and Mail Service Pharmacy

Community and Mail Service Pharmacy RESEARCH Comparison of Costs of Community and Mail Service Pharmacy Norman V. Carroll, Ilia Brusilovsky, Bryan York, and Robert Oscar ABSTRACT Objective: To compare the costs of prescriptions dispensed

More information

CareATC Generic Formulary Medications Available (2015)

CareATC Generic Formulary Medications Available (2015) Allergic Reactions EPINEPHRINE** Ephinephrine, EpiPen CETIRIZINE 10MG Zyrtec FEXOFENADINE180MG TABS 100ct Allegra Allergies LORATADINE 10MG Claritin MONTELUKAST 4MG 30CT Singulair PROMETHAZINE 25MG AMP

More information

Notice from the Executive Officer: Supporting Sustainability and Access for the Ontario Drug Benefit Program

Notice from the Executive Officer: Supporting Sustainability and Access for the Ontario Drug Benefit Program Ontario Public Drug Programs, Ministry of Health and Long-Term Care Notice from the Executive Officer: Supporting Sustainability and Access for the Ontario Drug Benefit Program Responsible management of

More information

Appendix 4: Guidelines for Prescribing and Administering Drugs:

Appendix 4: Guidelines for Prescribing and Administering Drugs: Appendix 4: Guidelines for Prescribing and Administering Drugs: A midwife may prescribe and administer the following substances in accordance with the guidelines approved by the Board. This list indicates

More information

2016 New Mexico Medicare Advantage Plan Changes

2016 New Mexico Medicare Advantage Plan Changes 2016 New Mexico Medicare Advantage Plan Changes Annual benefits changes for Medicare Advantage plan members will be effective January 1, 2016. Each year, we renew our contract with the Centers for Medicare

More information

July 2015 P & T Updates

July 2015 P & T Updates Commercial Triple Tier 4th Tier Applicable Traditional CORLANOR 3 2 2 tablets per day GLYXAMBI 3 2 1 tablet per day Alternatives carvedilol, bisoprolol, metoprolol succinate, digoxin, hydralazine, isosorbide

More information

Kaiser Permanente Sample Fee List

Kaiser Permanente Sample Fee List Kaiser Permanente Sample Fee List SOUTHERN CALIFORNIA As your partner in health, we want to help you better manage your care. Staying on top of your finances, related to how much you spend on health care,

More information

2016 Step Therapy Criteria

2016 Step Therapy Criteria 2016 Step Therapy Criteria ANGIOTENSIN RECEPTOR BLOCKERS... 8 benazepril... 8 benazepril/amlodipine besylate... 8 benazepril/hctz... 8 captopril... 8 captopril/hctz... 8 enalapril... 8 enalapril maleate/hctz...

More information

Generic Drug Cost Containment in Medicaid: Lessons from Five State MAC Programs

Generic Drug Cost Containment in Medicaid: Lessons from Five State MAC Programs Generic Drug Cost Containment in Medicaid: Lessons from Five State MAC Programs Richard G. Abramson, M.D., Catherine A. Harrington, Pharm. D., Ph.D., Raad Missmar, Susan P. Li, and Daniel N. Mendelson,

More information

Extra Value Drug List. *

Extra Value Drug List. * List. * Brand Diabetes Levemir 100 units/ml Vial 10mL $122.29 Levemir FlexPen 100 units/ml 15mL $203.03 NovoLog 100 units/ml Vial 10mL $116.84 NovoLog FlexPen Syringe 15mL $222.41 NovoLog 100 units/ml

More information

AETNA BETTER HEALTH Prior Authorization guidelines for Step Therapy

AETNA BETTER HEALTH Prior Authorization guidelines for Step Therapy AETNA BETTER HEALTH Prior Authorization guidelines for Step Therapy Definition A form of automated Prior Authorization whereby one or more prerequisite medications, which may or may not be in the same

More information

Member Services A Primary and Urgent Care Concierge Service

Member Services A Primary and Urgent Care Concierge Service Our Medical Membership provides you and your family with medical care within the scope of MDSTAT's Urgent/Primary Care facility. Once active, members can bring their membership card to any MDSTAT clinic

More information

Anti Protozoal. Albendazole Oral Suspension USP Albendazole Tablets USP 400 mg Anti Malarial

Anti Protozoal. Albendazole Oral Suspension USP Albendazole Tablets USP 400 mg Anti Malarial ANTI-INFECTIVES Anti Biotics Levofloxacin Tablets 250, 500, 750 mg Ofloxacin Tablets 200, 400 mg Sparfloxacin Tablets 200 mg Ciprofloxacin Tablets USP 250, 500 mg Ofloxacin & Ornidazole Tablets Nitrofurantoin

More information

Data Analysis Brief. Price Negotiation for the Medicare Drug Program: It is Time to Lower Costs for Seniors

Data Analysis Brief. Price Negotiation for the Medicare Drug Program: It is Time to Lower Costs for Seniors Data Analysis Brief Price Negotiation for the Medicare Drug Program: It is Time to Lower Costs for Seniors The law that established Medicare Part D explicitly prohibits the prescription drug program from

More information

2016 Texas Medicare Advantage Plan Changes

2016 Texas Medicare Advantage Plan Changes 2016 Texas Medicare Advantage Plan Changes Annual benefits changes for Medicare Advantage plan members will be effective January 1, 2016. Each year, we renew our contract with the Centers for Medicare

More information

Pharmacy benefit guide

Pharmacy benefit guide FlexRx SM 4-Tier Pharmacy benefit guide 1 Welcome to FlexRx The NHP FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many common medications

More information

HealthyBlue Select Generics

HealthyBlue Select Generics Certain drugs are considered generic preventive by CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. s Pharmacy Management Team. As a HealthyBlue CDH member, the drugs listed below are not

More information

Vantage Health Plan. Nationwide Coverage. Nationwide Care. Nationwide Service. 2016 OGB Medical Home HMO Plan. OGB Approved. VHP517 R090415 Approved

Vantage Health Plan. Nationwide Coverage. Nationwide Care. Nationwide Service. 2016 OGB Medical Home HMO Plan. OGB Approved. VHP517 R090415 Approved Vantage Health Plan 2016 OGB Medical Home HMO Plan Nationwide Coverage. Nationwide Care. Nationwide Service. VHP517 R090415 Approved OGB Approved Welcome to Vantage Dear OGB Member: Vantage Health Plan

More information

Dosage Calculations INTRODUCTION. L earning Objectives CHAPTER

Dosage Calculations INTRODUCTION. L earning Objectives CHAPTER CHAPTER 5 Dosage Calculations L earning Objectives After completing this chapter, you should be able to: Solve one-step pharmaceutical dosage calculations. Set up a series of ratios and proportions to

More information

Health Plan & Formulary A Simple Resource to Help You Understand Your Benefits. Comparison Guide

Health Plan & Formulary A Simple Resource to Help You Understand Your Benefits. Comparison Guide Health Plan & Formulary A Simple Resource to Help You Understand Your Benefits Comparison Guide Contents What Does Rx Formulary Mean?... 3 How To Use This Comparison Guide... 3 A Note To Members... 3 Health

More information

Blood Pressure Medication. Barbara Pfeifer Diabetes Programs Manager

Blood Pressure Medication. Barbara Pfeifer Diabetes Programs Manager United Indian Health Services Blood Pressure Medication Titration Program Barbara Pfeifer Diabetes Programs Manager Why a Medication titration program? Despite the many antihypertensive medications available,

More information

NEW SCHEDULE H1 INSERTED IN DRUGS AND COSMETICS RULES :

NEW SCHEDULE H1 INSERTED IN DRUGS AND COSMETICS RULES : LOCOST 85, GIDC Estate, Por-Ramangamdi, N.H.8, Dist. Vadodara - 391 243 Gujarat, India. Tel. No.: (91-265) 2830009 Fax No.: (P.P.) 2831446 E-mail: locost@sify.com Website: www.locostindia.com A Public

More information

2015 Medicare Part D Step Therapy Requirements. Effective: November 01, 2015

2015 Medicare Part D Step Therapy Requirements. Effective: November 01, 2015 2015 Medicare Part D Step Therapy Requirements Effective: November 01, 2015 Formulary ID 15293, Version 17 Last Updated: 10/27/2015 BISPHOSPHONATE THERAPY ACTONEL 30 MG TABLET ACTONEL 35 MG TABLET ACTONEL

More information

1 Manipulation of formulae and dilutions

1 Manipulation of formulae and dilutions 1 Manipulation of formulae and dilutions This first chapter of questions is specifically designed to cover a range of numeracy skills. It will give the user further experience in the skills of addition,

More information

ACKNOWLEDGEMENTS. 13 October 2014 Manila, Philippines

ACKNOWLEDGEMENTS. 13 October 2014 Manila, Philippines ACKNOWLEDGEMENTS The Second Edition of the Drug Price Reference Index (I) was made possible with the hard work, dedication and team effort of the National Center for Pharmaceutical Access and Management

More information

2011 Benefits Guide. Benefits Guide

2011 Benefits Guide. Benefits Guide 2011 Benefits Guide 2012 Benefits Guide Emory Healthcare is proud to be a vital part of the Atlanta community. One of the reasons we are an employer of choice is the rich benefits package that we offer

More information

Medicare Advantage Outreach and Education Bulletin

Medicare Advantage Outreach and Education Bulletin Medicare Advantage Outreach and Education Bulletin Blue Cross and Blue Shield of Georgia 2016 Georgia Medicare Advantage Plan Changes Dear Healthcare Provider, Annual benefits changes for Medicare Advantage

More information

Trinity Clinic Whitehouse Automatic Refill Policy April, 2007

Trinity Clinic Whitehouse Automatic Refill Policy April, 2007 Trinity Clinic Whitehouse Automatic Refill Policy April, 2007 Overview The following pages contain details on how to administer our automatic refill policy. Our intent is to streamline, standardize and

More information

PATIENT CENTRIC MODEL P I LOT DATA ANALYSIS R EPORT

PATIENT CENTRIC MODEL P I LOT DATA ANALYSIS R EPORT PATIENT CENTRIC MODEL P I LOT DATA ANALYSIS R EPORT PREPARED FOR THE ALLIANCE FOR PATIENT MEDICATION SAFETY April 2011 D A V I D A. H O L D F O R D R P H, P H D A S S O C I A T E P R O F E S S O R T I

More information

Generic Medication Prices

Generic Medication Prices Generic Medication Prices By David Belk MD We ve often heard that the cost of generic prescription medications have been rising dramatically in the US; far more than the average rate of inflation. But

More information

Generic Drug Prices: A Canada US Comparison

Generic Drug Prices: A Canada US Comparison Abstract OBJECTIVE. This paper compares the prices of top selling generic drugs in Canada with prices for comparable generic products in the United States. METHODS. We examined the prices of 27 top selling

More information

CONTRACT UPDATE August 10, 2012

CONTRACT UPDATE August 10, 2012 CONTRACT UP August 10, 2012 ADDS SODIUM CHLORIDE INHAL SOL 10% 4MLX60 00487-9010-60 $16.05 NEPHRON PHARMACEUTICALS 08-06-2012 12--2012 ADDS SODIUM CHLORIDE INHAL SOL 7% 4MLX60 00487-9007-60 $16.05 NEPHRON

More information

HEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits

HEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits HEALTH PLAN & FORMULARY COMPARISON GUIDE A Simple Resource to Help You Understand Your s Contents PAGE What Does Rx Formulary Mean?....................................3 How To Use This Comparison Guide.................................3

More information

ALTACE 5 MG CAPSULE $3.88 RAMIPRIL 5 MG CAPSULE $ $23.94 DILTIAZEM 24HR CD 120 MG CAP $29.35 DILTIAZEM 24HR CD 180 MG CAP

ALTACE 5 MG CAPSULE $3.88 RAMIPRIL 5 MG CAPSULE $ $23.94 DILTIAZEM 24HR CD 120 MG CAP $29.35 DILTIAZEM 24HR CD 180 MG CAP National (NADAC) Retail Pharmacies in the US Paid for Brand Name and Generic Medications in Based on the NADAC list for 9, Brand Name Medication ACTOS 15 MG $11.03 PIOGLITAZONE HCL 15 MG ACTOS 30 MG $16.80

More information

MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts

MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts Any deviation in practice from this procedure must be discussed with the Community

More information

Bayer HealthCare Patient Assistance Program. Program Guidelines & Application Form

Bayer HealthCare Patient Assistance Program. Program Guidelines & Application Form Program Guidelines & Application Form PROGRAM GUIDELINES The provides medication (listed below) for those in need, who have no prescription drug coverage and limited financial resources. All applications

More information

Scott & White Health Plan Formulary

Scott & White Health Plan Formulary Scott & White Health Plan Formulary 3 rd Qtr 2015 P a g e 2 Table of Contents What is my prescription drug coverage?... 3 What is the Scott & White Health Plan formulary?... 3 How was the formulary created

More information

Bulletin #29. Manitoba Drug Benefits and Interchangeability Formulary Amendments

Bulletin #29. Manitoba Drug Benefits and Interchangeability Formulary Amendments Manitoba Drug Benefits and Interchangeability Formulary Amendments The following changes will be made to the Pharmacare benefit list effective March 1, 2001 Inside This Issue Part 1 Additions pg. 2 Part

More information

Ship to: Payment: Item# Lot# 1.60 1.2 % Menthol 2.6 %; topical ointment Acetaminophen Susp.160mg/5mL, Bott/100mL 0000000100 3BK0215

Ship to: Payment: Item# Lot# 1.60 1.2 % Menthol 2.6 %; topical ointment Acetaminophen Susp.160mg/5mL, Bott/100mL 0000000100 3BK0215 97 060-B Lorimar Drive Mississauga ON LS R8 PHONE:(90) 670-990 FAX:(90) 670-78 ShipDate: 0// Shipper# PTP97- Chest Rub Ointment, Jar/00g 000000008 0/0/ VI-JON INC JAR/00G,7,7-Trimethylbicyclo[..]heptan--one.8

More information

Meaningful Use: Driving Physicians to eprescribing/emr and Pharma Marketing Opportunities

Meaningful Use: Driving Physicians to eprescribing/emr and Pharma Marketing Opportunities Meaningful Use: Driving Physicians to eprescribing/emr and Pharma Marketing Opportunities Devin Paullin EVP, New Business Development Physicians Interactive Dan Pucci Director, Informatics Solutions Allscripts

More information

Medicare Part D Open Enrollment for 2012: Increasing Plan Complexity Highlights Need for Careful Evaluation

Medicare Part D Open Enrollment for 2012: Increasing Plan Complexity Highlights Need for Careful Evaluation Fact Sheet Medicare Part D Open Enrollment for 202: Increasing Plan Complexity Highlights Need for Careful Evaluation Leigh Purvis, MPA, and N. Lee Rucker, MSPH AARP Public Policy Institute Medicare beneficiaries

More information

BACKGROUND. and Computer Engineering, University of Louisville, 4 Professional Pharmacy Consultant, 5 SAS Institute, Inc.

BACKGROUND. and Computer Engineering, University of Louisville, 4 Professional Pharmacy Consultant, 5 SAS Institute, Inc. Use of Text Miner to Automatically Abstract Patient Information from the Pharmacy Order Database Patricia B. Cerrito 1,2, Antonio Badia 3, John C. Cerrito 4, James Cox 5 1 Department of Mathematics, University

More information

Your medicine in your mailbox Aetna Rx Home Delivery mail-order pharmacy

Your medicine in your mailbox Aetna Rx Home Delivery mail-order pharmacy Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Your medicine in your mailbox Aetna Rx Home Delivery mail-order pharmacy www.aetna.com 05.02.308.1-KC C (5/14)

More information

Strength Identification Colour. Form. FCT 200mg White Oval Biconvex. APO-ACEBUTOLOL Acebutolol Tablets hydrochloride

Strength Identification Colour. Form. FCT 200mg White Oval Biconvex. APO-ACEBUTOLOL Acebutolol Tablets hydrochloride Product APO-ACEBUTOLOL Acebutolol hydrochloride APO-ACETAZOLAMIDE Acetazolamide Dosage Form Strength Identification Colour F 200mg 2 D APO-ACYCLOVIR Acyclovir F F 200mg 400mg Blue Pink F 800mg Blue APO-ALPRAZ

More information

Your pharmacy, as near as your mailbox Aetna Rx Home Delivery

Your pharmacy, as near as your mailbox Aetna Rx Home Delivery Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Your pharmacy, as near as your mailbox Aetna Rx Home Delivery www.aetna.com 05.02.308.1-KC B WEB (6/13) Our mail-order

More information

Order No. Date Surgery DRUG ORDER SHEET. Page 1. Quantity Unit Total Ordered Cost Cost. Order No. Date

Order No. Date Surgery DRUG ORDER SHEET. Page 1. Quantity Unit Total Ordered Cost Cost. Order No. Date Order No. Surgery Page 1 Aciclovir 800mg (35) Tabs Aciclovir 400mg (56) Tabs Adrenaline 1:10000 Aerospacer adult Aerospacer child/baby with mask Amitriptiline 10mg Amoxicillin 125/5 syrup 100 mls Amoxicillin

More information

Emit Drugs of Abuse Urine Assays Cross-Reactivity List. Answers for life.

Emit Drugs of Abuse Urine Assays Cross-Reactivity List. Answers for life. Emit Drugs of Abuse Urine Assays Cross-Reactivity List Answers for life. Contents Emit II Plus Amphetamines...4 Emit II Plus Barbiturate...8 Emit II Plus Benzodiazepine... 12 Emit II Plus Cannabinoid...

More information

ALZHEIMER'S DRUGS. Details. Step 2: Exelon Patch 13.3 mg/24 hour transdermal Exelon Patch 4.6 mg/24 hr transdermal

ALZHEIMER'S DRUGS. Details. Step 2: Exelon Patch 13.3 mg/24 hour transdermal Exelon Patch 4.6 mg/24 hr transdermal ALZHEIMER'S DRUGS Products Affected Step 1: donepezil 10 mg disintegrating tablet donepezil 10 mg tablet donepezil 23 mg tablet donepezil 5 mg disintegrating tablet donepezil 5 mg tablet galantamine 12

More information

First Health Part D Prescription Drug Plan (PDP) S5768 S5674

First Health Part D Prescription Drug Plan (PDP) S5768 S5674 2011 SUMMARY OF BENEFITS First Health Part D Prescription Drug Plan (PDP) S5768 S5674 Y0022_2011_1001_046_25 CMS Approval Date: 09/23/2010 FH11SB25 Section I Introduction to Summary of Benefits Thank you

More information

Berkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013

Berkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013 Berkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013 Access to palliative care drugs out of hours Agreement set up with local community pharmacy s to hold stock of commonly prescribed

More information

Kronologisk listing av trinnprisprodukter etter lanseringstidspunkt. LIS priser er gjeldende for 2011

Kronologisk listing av trinnprisprodukter etter lanseringstidspunkt. LIS priser er gjeldende for 2011 Kronologisk listing av trinnprisprodukter etter lanseringstidspunkt. LIS priser er gjeldende for 2011 LIS AUP (SLVs kalk) Gjeldende trinnpris PRODUSENT PAKNINGSTYPE OG STYRKEGRAD ANT TABLETTER PRIS FOR

More information

Medication review for older hospialized patients

Medication review for older hospialized patients Medication review for older hospialized patients Annemie Somers Ghent University Hospital, Belgium PharmD, PhD Journeé de formation CMP Studiedag MFC 25/10/13 1 Content Medication review: 1. Definition,

More information

Pharmacy. Page 1 of 10

Pharmacy. Page 1 of 10 Department: Pharmacy PP # RX 6007.1 Policy and Procedure Effective Date: August, 2010 Page 1 of 10 Subject/Title: Pharmacy Tech-Check-Tech Program Dates of Review/Revision: Approved By and Title: Director,

More information

ARTICLE 4.03 AMBULANCE SERVICE* Division 1. Generally

ARTICLE 4.03 AMBULANCE SERVICE* Division 1. Generally ARTICLE 4.03 AMBULANCE SERVICE* Division 1. Generally Sec. 4.03.001 Penalty for violation Any person violating the provisions of this article shall be punished as provided in section 1.01.009. Sec. 4.03.002

More information

Background. 1 4/6/2012 Steven Chen, PharmD; Sun Han, PharmD, USC School of Pharmacy

Background. 1 4/6/2012 Steven Chen, PharmD; Sun Han, PharmD, USC School of Pharmacy University of Southern California School of Pharmacy Medication Therapy Intervention & Safety Documentation Program User Manual (v 7.0, last updated 4/6/2012) Steven Chen, Pharm.D., Associate Professor

More information

Prescription Plan FAQ s

Prescription Plan FAQ s Prescription Plan FAQ s What is a specialty medication? Specialty medication is the term used to describe certain medications and a set of services designed to meet the particular needs of people who take

More information

NLPDP Coverage Status Table December 2015. Initial and maintenance fills are limited to a maximum 30 days

NLPDP Coverage Status Table December 2015. Initial and maintenance fills are limited to a maximum 30 days Coverage Table December 2015 02238646 282 MEP TABLET OPEN No 500 0.2103 02234510 282 TABLET OPEN No 500 0.0726 02238645 292 TABLET OPEN No 50 0.1877 02192691 3TC 10 MG/ML SOLUTION OPEN No 240 0.3454 02192683

More information

HEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits

HEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits HEALTH PLAN & FORMULARY COMPARISON GUIDE A Simple Resource to Help You Understand Your s Contents PAGE What Does Rx Formulary Mean?......................... 3 How To Use This Comparison Guide......................

More information

Board Review: Hypertension Cases

Board Review: Hypertension Cases Board Review: Hypertension Cases Cheryl L. Laffer, MD, PhD, FAHA Associate Professor of Medicine, Texas A&M HSC College of Medicine Senior Staff, S&W Nephrology / Hypertension (Remember, I didn t make

More information

Quiz 5 Heart Failure scores (n=163)

Quiz 5 Heart Failure scores (n=163) Quiz 5 Heart Failure summary statistics The correct answers to questions are indicated by *. Students were awarded 2 points for question #3 for either selecting spironolactone or eplerenone. However, the

More information

DRUG FOOD INTERACTIONS

DRUG FOOD INTERACTIONS ANTIHYPERTENSIVES Natural licorice in large amounts can aggravate high blood pressure and can lower potassium levels. Natural licorice should be avoided with all antihypertensive medications. (Read food

More information

Autism Spectrum Disorder Formulation & Resource Guide

Autism Spectrum Disorder Formulation & Resource Guide Autism Spectrum Disorder Formulation & Resource Guide Autism Spectrum Disorder Formulation & Resource Guide Knowledge Changes Everything: Quality. Innovation. Experience. Since 1974. 2015 College Pharmacy

More information

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions Diabetes Mellitus 1 Chapter 43. Diabetes Mellitus, Self-Assessment Questions 1. A 46-year-old man presents for his annual physical. He states that he has been going to the bathroom more frequently than

More information

MICHILD CHILDREN S SPECIAL HEALTH CARE SERVICES (CSHCS) FORMULARY Effective October 2015

MICHILD CHILDREN S SPECIAL HEALTH CARE SERVICES (CSHCS) FORMULARY Effective October 2015 MICHILD CHILDREN S SPECIAL HEALTH CARE SERVICES (CSHCS) FORMULARY Effective October 2015 Provided by EnvisionRxOptions Introduction The Total Health Care (THC) MIChild Children s Special Health Care Services

More information