Formulary
Generic | Branded Equivalent | Category |
ACYCLOVIR | ZOVIRAX | Anti-infectives |
ALBUTEROL INHALATION AERSOL | PROAIR HFA | Respiratory |
ALBUTEROL SULFATE | VENTOLIN | Respiratory |
ALENDRONATE SODIUM | FOSAMAX | Musculoskeletal |
ALLOPURINOL | ZYLOPRIM | Anti-Gout |
AMIODARONE | CORDARONE | Anti-arrhythmic |
AMYTRIPTYLINE | ELAVIL | Anti-depressant |
AMLODIPINE | NORVASC | Cardiovascular |
AMLODIPINE/BENAZEPRIL | LOTREL | Cardiovascular |
APRI 28 DAY | APRI | OB/GYN |
ARIPIPRAZOLE | ABILIFY | Central Nervous System |
ARIPIPRAZOLE | ABILIFY | Anti-psychotic |
ASPIRIN EC | ECOTRIN | Anti-inflammatory/ Analgesics |
ATENOLOL | TENORMIN | Cadiovascular |
ATENOLOL/CHLORTHALIDONE | TENORETIC | Cardiovascular |
ATORVASTATIN CALCIUM | LIPITOR | Cadiovascular |
AUGMENTED BETAMETHASONE | DIPROLENE AF | Topical Agents |
BACLOFEN | LIORESAL | Musculoskelatal |
BENAZEPRIL | LOTENSIL | Cardiovascular |
BACLOFEN HCL | LIORESAL | Musculoskelatal |
BENAZEPRIL HCL/HCTZ | LOTENSIL HCT | Cardiovascular |
BUPROPION SR | WELLBUTRIN SR | Smoking Aid |
BUPROPION XL | WELLBUTRIN XL | Central Nervous System |
BUSPIRONE HCL | BUSPAR | Anti-anxiety |
CALCIUM CARBONATE W/ VIT D3 CHEW | CALCIUM CARBONATE | Dietary Supplements |
CALCIUM CARBONATE W/ VIT D3 TAB | CALCIUM CARBONATE | Dietary Supplements |
CAPTOPRIL | CAPOTEN | Cardiovascular |
CAPTOPRIL/HCTZ | CAPOZIDE | Cardiovascular |
CARBIDOPA/LEVODOPA | SINEMET | Anti-parkinson |
CARVEDILOL | COREG | Cardiovascular |
CELECOXIB | CELEBREX | Anti-inflammatory/ Analgesics |
CETIRIZINE | ZYRTEC | Respiratory |
CILOSTAZOLE | PLETAL | Cardiovascular |
CITALOPRAM | CELEXA | Central Nervous System |
CLONIDINE | CATAPRES | Cardiovascular |
CLOPIDOGREL | PLAVIX | Cardiovascular |
CLOTRIMAZOLE | LOTRIMIN | Anti-fungal |
CYANOCOBALAMIN | CYANOCOBALAMIN | Dietary Supplement |
CYCLOBENZAPRINE | FLEXERIL | Musculoskeletal |
DICLOFENAC SODIUM | VOLTAREN | Anti-inflammatory/ Analgesics |
DICYCLOMINE | BENTYL | Anti-cholinergic |
DIGOXIN | LANOXIN | Anti-arrhythmic |
DILTIAZEM CD ER | CARDIZEM CD | Cardiovascular |
DIMENHYDRINATE | DRAMAMINE | Nausea & Vomiting |
DIPYRIDAMOLE | PERSANTINE | Cardiovascular |
DIVALPROEX DR | DEPAKOTE SR | Anti-convulsant |
DONEPEZIL | ARICEPT | Anti-dementia |
DOXYCYCLINE | MONODOX | Anti-Infectives |
DULOXETINE | CYMBALTA | Central Nervous System |
ENALAPRIL MALEATE | VASOTEC | Cardiovascular |
ENALAPRIL MALEATE/HCTZ | VASERETIC | Cardiovascular |
ERGOCALCIFEROL | VITAMIN D | Dietary Supplements |
ESCITALOPRAM OXALATE | LEXAPRO | Central Nervous System |
ESOMEPRAZOLE | NEXIUM | Gastrointestinal |
ESTRADIOL PATCH | VIVELLE-DOT/ALORA/MINIVELLE | Endocrine |
ESTRADIOLE TAB | ESTRACE | Endocrine |
ESTRADIOLE/NORETHINDRONE ACETATE | ACTIVELLA | Endocrine |
EZETIMIBE | ZETIA | Cholesterol |
EZETIMIBE | ZETIA | Anti-lipemic/ Cardiovascular |
FAMOTIDINE | PEPCID | Gastrointestinal |
FENOFIBRATE | LOFIBRA | Cardiovascular |
FERROUS GLUCONATE | FERROUS GLUCONATE | Dietary Supplements |
FERROUS SULFATE | FERROUS SULFATE | Dietary Supplements |
FERROUS SULFATE | FER-IN-SOL | Dietary Supplements |
FLECAINIDE | FLECAINIDE ACETATE | Cardiovascular |
FLUOXETINE | PROZAC | Central Nervous System |
FLUCTICASONE SPRAY | FLONASE | Respiratory |
FOLIC ACID | FOLIC ACID | Dietary Supplements |
FOSINOPRIL SODIUM | MONOPRIL | Cardiovascular |
FOSINOPRIL SODIUM/HCTZ | MONOPRIL HCT | Cardiovascular |
FUROSEMIDE | LASIX | Cardiovascular |
GABAPENTIN | NEURONTIN | Central Nervous System |
GLIMEPIRIDE | AMARYL | Endocrine |
GLIPIZIDE | GLUCOTROL | Endocrine |
GLIPIZIDE XL | GLUCOTROL XL | Endocrine |
GLYBURIDE | MICRONASE | Endocrine |
HYDROCHLOROTHIAZIDE | HYDRODIURIL | Cardiovascular |
HYDROCORTISONE | HYTONE | Topical agents |
HYDROXYCHLOROQUINE | HYDROXYCHLOROQUINE SULFATE | Anti-infectives |
IBUPROFEN | MOTRIN | Anti-inflammatory/ Analgesics |
IPRATROPIUM/ALBUTEROL | DUONEB | Respiratory |
IRBESARTAN | AVAPRO | Cardiovascular |
JUNEL FE | GILDESS FE | OB/GYN |
LAMOTRIGINE | LAMICTAL | Anti-convulsant |
LANCET 28G | LANCET 28G | Diabetes |
LEVETIRACETAM | KEPPRA | Anti-convulsant |
LEVOCETIRIZINE | XYZAL | Anti-histamine |
LEVOTHYROXINE SODIUM | SYNTHROID | Endocrine |
LISINOPRIL | ZESTRIL | Cardiovascular |
LISINOPRIL/HCTZ | ZESTORETIC | Cardiovascular |
LORATADINE | CLARITIN | Respiratory |
LOSARTAN POTASSIUM | COZAAR | Cardiovascular |
LOSARTAN POTASSIUM HYDROCHLOROTHIAZIDE | HYZAAR | Cardiovascular |
LOVASTATIN | MEVACOR | Cholesterol |
LOVASTATIN | MEVACOR | Cardiovascular |
MECLIZINE | ANTIVERT | Anti-histamine |
MEDROXYPROGESTERONE ACETATE | PROVERA | Endocrine |
MELOXICAM | MOBIC | Anti-inflammatory/ Analgesics |
METFORMIN | GLUCOPHAGE | Endocrine |
METFORMIN ER | GLUCOPHAGE XR | Endocrine |
METOPROLOL SUCCINATE ER | TOPROLXL | Cardiovascular |
METOPROLOLTARTRATE | METOPROLOL TARTRATE | Cardiovascular |
MIRTAZAPINE | REMERON | Anti-depressant |
MOEXIPRIL HCL | UNIVASC | Cardiovascular |
MONTELUKAST | SINGULAIR | Respiratory |
MONTELUKAST CHEW TAB | SINGULAIR | Respiratory |
MULTI W/ FLUORIDE | MULTI W/ FLUORIDE | Dietary Supplement |
MULTI W/ FLUORIDE & IRON | MULTI W/ FLUORIDE & IRON | Dietary Supplement |
NAPROXEN | NAPROSYN | Anti-inflammatory/ Analgesics |
NIKKI | YAZ | OB/GYN |
OLMESARTAN MEDOXOMIL | BENICAR | Cardiovascular |
OLMESARTAN/HCTZ | BENICAR HCT | Anti-hypertensize/Diuretic |
OMEPRAZOLE DR | PRILOSEC | Gastrointestinal |
ONDANSETRON HCL | ZOFRAN | Nausea & Vomiting |
ONDANSETRON ODT | ZOFRAN ODT | Nausea & Vomiting |
OSELTAMIVIR | TAMIFLU | Anti-Infectives |
OXYBUTYNIN | DITROPAN | Anti-spasmodic/ Urinary |
PANTOPRAZOLE SODIUM | PROTONIX | Gastrointestinal |
PEG-3350 AND ELECTROLYTES | GOLYTELY | Gastrointestinal |
PEG-3350 AND ELECTROLYTES | TRILYTE | Gastrointestinal |
PEG-PREP + BISACODYL | GAVILYTE-H/BISACODYL | Gastrointestinal |
PERINDOPRIL | ACION | Cardiovascular |
PIOGLITAZONE HCI | ACTOS | Type 2 Diabetes |
POTASSIUM CHLORIDE ER | KLOR-CON | Dietary Supplements |
PRASUGREL | EFFIENT | Stroke |
PRAVASTATIN | PRAVACHOL | Cardiovascular |
PRENATAL MULTI | PRENATAL MULTI | Dietary Supplement |
PRIMIDONE | MYSOLINE | Central Nervous System |
PROCHLORPERAZINE | COMPAZINE | Nausea & Vomiting |
PROMETHAZINE HCL | PHENERGAN | Nausea & Vomiting |
PROPRANOLOL | INDERAL | Cardiovascular |
QUETIAPINE | SEROQUEL | Anti-psychotic |
QUINAPRIL HCL | ACCUPRIL | Cardiovascular |
QUINAPRIL HCL/HCTZ | ACCURETIC | Cardiovascular |
RALOXIFENE | EVISTA | Endocrine |
RAMIPRIL | ALTACE | Cardiovascular |
RAMIPRIL | ALTACE | Anti-hypertensize |
RANITIDINE | ZANTAC | Gastrointestinal |
RISPERIDONE | RISPERDAL | Anti-psychotic |
ROPINIROLE | REQUIP | Anti-parkinson |
ROSUVASTATIN CALCIUM | CRESTOR | Cardiovascular |
SERTRALINE | ZOLOFT | Central Nervous System |
SIMVASTATIN | ZOCOR | Cardiovascular |
SPRINTEC | PREVIFEM | OB/GYN |
SUMATRIPTAN TAB | IMITREX | Central Nervous System |
TAMSULOSIN | FLOMAX | Miscellaneous agents |
TIZANIDINE HYDROCHLORIDE | ZANAFLEX | Musculoskeletal |
TOPIRAMATE | TOPAMAX | Anti-convulsant |
TRANDOLAPRIL | MAVIK | Cardiovascular |
TRAZODONE | DESYREL | Central Nervous System |
TRI-SPRINTEC | TRIPREVIFEM | OB/GYN |
TRIAMTERENE/HCTZ | MAXZIDE | Cardiovascular |
TRUE METRIX METER | TRUE METRIX METER | Diabetes |
TRUE METRIX TEST STRIPS | TRUE METRIX TEST STRIPS | Diabetes |
VALSARTAN | DIOVAN | Cardiovascular |
VALSARTAN/HYDROCHLOROTHIAZIDE | DIOVAN | Cardiovascular |
VENLAFAXINE | EFFEXOR | Central Nervous System |
VENLAFAXINE ER | EFFEXOR XR | Central Nervous System |
VITAMIN D3/CHOLECALCIFEROL | VITAMIN D | Dietary Supplements |
WARFARIN SODIUM | COUMADIN | Cardiovascular |
WIXELA | ADVAIR DISCUS | Respiratory |
XULANE | XULANE | OB/GYN |
PHYSICIANS: Please e-prescribe to HomeMed Pharmacy, NCPDP#: 1533517
Please prescribe at least a 90-Day Supply when applicable.
Generic only, Brand Name are for reference only and are NOT covered.
Medications will be mailed within 48 hours of receipt of prescription - and delivered within 10 business days.
This program is free to employees who opt-in.
A list of medications covered by the supplemental plan will be provided for you to review with your physician.
A new prescription must be provided by your physician to HomeMed for each applicable medication.
HomeMed will not contact you for payment as the services is free of charge.
HomeMed pharmacists are available to provide medication counseling M-F, 9am-5pm ET.
Only medications specifically stated on the list are eligible for this program. No substitutions (e.g. manufacture, dosage, strength, form).
HomeMed reserves the right to add or remove medications from the covered list at its discretion.