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These drugs are within the same therapeutic class and may provide you a choice of other medications that could be prescribed by your doctor to save you money.  Prices are subject to change and quantities may vary. Your medication may or may not be in the tier shown.

 

Formulary $10 List

Drug Name
AMOXICILLIN CAP 250MG - 30 CAP
AMOXICILLIN CAP 500MG - 30 CAP
AMOXICILLIN CHW 125MG - 10 TAB
AMOXICILLIN CHW 200MG - 10 TAB
AMOXICILLIN CHW 400MG - 20 TAB
AMOXICILLIN SUS 125/5ML - 150 ML
AMOXICILLIN SUS 200/5ML - 100 ML
AMOXICILLIN SUS 400/5ML - 100 ML
AMOXIL CAP 250MG - 30 CAP
AMOXIL CAP 500MG - 30 CAP
AMOXIL DRO 50MG/ML - 30 ML
AMOXIL SUS 250/5ML - 150 ML
AMOXIL TAB 500MG - 12 TAB
AMOXIL TAB 875MG - 1 TAB
AMPICILLIN CAP 250MG - 40 CAP
BACTRIM DS TAB 800-160 - 20 TAB
CEFAZOLIN INJ 1GM - 1 ML
CEPHALEXIN CAP 250MG - 28 CAP
CEPHALEXIN SUS 125/5ML - 100 ML
CIPRO SUS 5G/100ML - 1 ML
CIPRO TAB 250MG - 14 TAB
CIPROFLOXACN TAB 250MG - 14 TAB
CLARITHROMYC SUS 125/5ML - 14 ML
CLINDAMYCIN CAP 150MG - 4 CAP
CLINDAMYCIN INJ 150MG/ML - 12 ML
DAPSONE TAB 100MG - 30 TAB
DOXYCYCL HYC CAP 100MG - 20 CAP
DOXYCYCL HYC CAP 50MG - 30 CAP
DOXYCYCL HYC TAB 100MG - 20 TAB
E.E.S. 400 TAB 400MG - 30 TAB
ERYTHROCIN TAB 250MG - 40 TAB
ERYTHROCIN TAB 500MG - 30 TAB
ERYTHROM ETH SUS 200/5ML - 150 ML
ERYTHROM ETH TAB 400MG - 30 TAB
ERYTHROMYCIN CAP 250MG EC - 30 CAP
ERYTHROMYCIN TAB 250MG - 40 TAB
ERYTHROMYCIN TAB BS 500MG - 6 TAB
FLAGYL TAB 500MG - 14 TAB
GENTAMICIN INJ 40MG/ML - 6 ML
ISONIAZID TAB 100MG - 90 TAB
ISONIAZID TAB 300MG - 30 TAB
MEBENDAZOLE CHW 100MG - 1 TAB
METRON/NACL INJ 500MG - 100 ML
METRONIDAZOL TAB 250MG - 21 TAB
PENICILLN VK SOL 125/5ML - 200 ML
PENICILLN VK SOL 250/5ML - 200 ML
PENICILLN VK TAB 250MG - 30 TAB
PRINCIPEN CAP 250MG - 30 CAP
SEPTRA DS TAB 800-160 - 30 TAB
SMZ/TMP DS TAB 800-160 - 20 TAB
SMZ-TMP DS TAB 800-160 - 18 TAB
SMZ-TMP TAB 400-80MG - 30 TAB
TETRACYCLINE CAP 250MG - 30 CAP
TOBRAMYCIN INJ 40MG/ML - 6 ML
TRIMOX CAP 250MG - 30 CAP
TRIMOX CAP 500MG - 30 CAP
TRIMOX SUS 250/5ML - 100 ML
VANCOMYCIN INJ 1000MG - 1 ML
VANCOMYCIN INJ 500MG - 1 ML
VEETIDS SOL 250/5ML - 200 ML
VEETIDS TAB 250MG - 30 TAB
ZOSYN SOL 4G-0.50G - 2 ML

Formulary $20 List
Drug Name      
AMIKACIN INJ 500/2ML - 6 ML
AMOXICILLIN CHW 250MG - 30 TAB
AMOXICILLIN SUS 250/5ML - 300 ML
AMOXICILLIN TAB 500MG - 30 TAB
AMOXICILLIN TAB 875MG - 20 TAB
AMOXIL SUS 400/5ML - 100 ML
AMPICILLIN CAP 500MG - 40 CAP
AMPICILLIN SUS 250/5ML - 200 ML
CEFTIN TAB 250MG - 6 TAB
CEFTRIAXONE INJ 1GM - 1 ML
CEFTRIAXONE INJ 250MG - 1 ML
CEPHALEXIN CAP 500MG - 30 CAP
CIPRO TAB 500MG - 20 TAB
CIPRO TAB 750MG - 20 TAB
CIPROFLOXACN TAB 100MG - 6 TAB
CIPROFLOXACN TAB 500MG - 20 TAB
CIPROFLOXACN TAB 750MG - 20 TAB
CLEOCIN PHOS INJ 300MG - 7 ML
DAPSONE TAB 25MG - 60 TAB
E.E.S. 200 SUS 200/5ML - 300 ML
ERY-TAB TAB 250MG EC - 60 TAB
ERY-TAB TAB 333MG EC - 30 TAB
ERY-TAB TAB 500MG EC - 30 TAB
ERYTHROM EST SUS 250/5ML - 145 ML
ERYTHROM ETH SUS 400/5ML - 150 ML
ETHAMBUTOL TAB 100MG - 30 TAB
GANTRIS PED SUS 500/5ML - 150 ML
KEFLEX CAP 500MG - 28 CAP
METRONIDAZOL TAB 500MG - 14 TAB
MINTEZOL CHW 500MG - 12 TAB
MYAMBUTOL TAB 100MG - 30 TAB
NEOMYCIN TAB 500MG - 6 TAB
PENICILLN VK TAB 500MG - 28 TAB
PRINCIPEN CAP 500MG - 28 CAP
PRINCIPEN SUS 250/5ML - 150 ML
STREPTOMYCIN INJ 1GM - 2 ML
SULFISOXAZOL TAB 0.5GM - 30 TAB
SUMYCIN TAB 250MG - 60 TAB
TEQUIN TAB 400MG - 1 TAB
TETRACYCLINE CAP 500MG - 60 CAP
TINDAMAX TAB 500MG - 4 TAB
TRIMETHOPRIM TAB 100MG - 30 TAB
VEETIDS SOL 125/5ML - 300 ML
VEETIDS TAB 500MG - 40 TAB