Formulary

Below is a list of some of the top drugs included in tier 1 of the ValuScript formulary available under the plan. This list represents a sampling for some of the prescription drugs that are available under your plan at discounted rates – many of which are less than $5.00. The manufacturer, drug form, dosage and/or quantity for the particular drug dispensed by your pharmacist may impact its pricing. Please check the drug look-up tool for the best pricing available.

ACETAMINOPHEN-CODEINE #2

ACYCLOVIR CAPS

ALLOPURINOL TABS

ALPRAZOLAM TABS

AMITRIPTYLINE HCL TABS

AMLODIPINE BESYLATE TABS

AMOXICILLIN CAPS

ATENOLOL TABS

ATORVASTATIN CALCIUM TABS

BACLOFEN TABS 10MG

BENAZEPRIL HCL TABS

BENZONATATE CAPS

BENZTROPINE MESYLATE TABS

BUSPIRONE HCL TABS

CARBIDOPA-LEVODOPA TABS

CARISOPRODOL TABS

CARVEDILOL TABS

CEPHALEXIN CAPS

CILOSTAZOL TABS

CIPROFLOXACIN HCL TABS

CITALOPRAM HYDROBROMIDE TABS

CLINDAMYCIN HCL CAPS

CLONAZEPAM TABS

CLONIDINE HCL TABS

CLOPIDOGREL BISULFATE TABS

CYCLOBENZAPRINE HCL TABS

DELTASONE TABS

DIAZEPAM TABS

DONEPEZIL HCL TABS

ENDOCET TABS

ESCITALOPRAM OXALATE TABS

ESTRADIOL TABS

FAMOTIDINE TABS

FINASTERIDE TABS

FLUOXETINE HCL CAPS

FOLIC ACID TABS

 

FUROSEMIDE TABS

GABAPENTIN CAPS

GEMFIBROZIL TABS

GLIMEPIRIDE TABS

GLIPIZIDE TABS

GLYBURIDE TABS

GLYBURIDE-METFORMIN TABS

GUANFACINE HCL TABS

HYDRALAZINE HCL TABS

HYDROCHLOROTHIAZIDE CAPS

HYDROCHLOROTHIAZIDE TABS

HYDROCODONE-ACETAMINOPHEN TABS

HYDROMORPHONE HCL TABS

HYDROXYZINE HCL TABS

HYDROXYZINE PAMOATE CAPS

IBU TABS

IMIPRAMINE HCL

INDOMETHACIN CAPS

LISINOPRIL TABS

LISINOPRIL-HYDROCHLOROTHIAZIDE TABS

LITHIUM CARBONATE CAPS

LORAZEPAM TABS

LOSARTAN POTASSIUM TABS

LOSARTAN POTASSIUM-HCTZ TABS

LOVASTATIN TABS

MEGESTROL ACETATE TABS

MELOXICAM TABS

MEMANTINE HCL TABS

METFORMIN HCL TABS

METHADONE HCL TABS

METHIMAZOLE TABS

METOCLOPRAMIDE HCL TABS

METOPROLOL TARTRATE TABS

MINOXIDIL TABS

MIRTAZAPINE TABS

MONTELUKAST SODIUM TABS

NAPROXEN TABS

NORTRIPTYLINE HCL CAPS

ONDANSETRON HCL TABS

OXYCODONE HCL TABS

PAROXETINE HCL TABS

PENICILLIN V POTASSIUM TABS

PHENDIMETRAZINE TARTRATE TABS

PIOGLITAZONE HCL TABS

PRAMIPEXOLE DIHYDROCHLORIDE TABS

PRAVASTATIN SODIUM TABS

PREDNISONE TABS

PROCHLORPERAZINE MALEATE TABS

PROMETHAZINE HCL TABS

PROPRANOLOL HCL TABS

QUETIAPINE FUMARATE TABS

QUINAPRIL HCL TABS

RAMIPRIL CAPS

RANITIDINE HCL TABS

RISPERIDONE TABS

ROPINIROLE HCL TABS

SERTRALINE HCL TABS

SIMVASTATIN TABS

SPIRONOLACTONE TABS

SULFAMETHOXAZOLE-TRIMETHOPRIM TABS

TAMSULOSIN HCL CAPS

TEMAZEPAM CAPS

TIZANIDINE HCL TABS

TOPIRAMATE TABS

TORSEMIDE TABS

TRAMADOL HCL TABS

TRAZODONE HCL TABS

TRIAMTERENE-HCTZ TABS

VERAPAMIL HCL TABS

ZONISAMIDE CAPS

To save a copy of this Formulary, click here.

Contact us

Call Us

800-314-2069

Location

16633 Dallas Parkway
Suite 320
Addison, TX 75001

Email Us

info@valuscript.com

Get in touch