A pharmacist is available to help you with alternative medication choices. Please feel free to contact a pharmacist, who will work with you and your doctor to see if a lower cost alternative is right for you. You can also contact us toll-free by phone or email us for more information.
| Name of Brand Drug |
Name of Lower Cost Alternative Drug* |
 A-F |
|
| A |
|
| ACCOLATE |
Singulair** |
| ACCUPRIL |
Quinapril |
| ACEON |
Lisinopril, Enalapril or Benazepril** |
| ACIPHEX |
Omeprazole** |
| ADALAT CC |
Nifedipine ext-rel |
| ADDERALL XR |
Dextroamphetamine ext-rel |
| ALLEGRA |
Loratidine** |
| ALLEGRA-D 24 HOUR |
Loratidine + Pseudoephedrine** |
| ALOCRIL |
Cromolyn** |
| ALPHAGAN-P |
Brimonidine |
| ALTACE |
Lisinopril, Enalapril or Benazepril** |
| ALTOPREV |
Lovastatin |
| AMARYL |
Glimepiride |
| AMBIEN CR |
Zolpidem |
| ANTARA |
Fenofibrate |
| ARTHROTEC |
Diclofenac + Misoprostol |
| ASACOL |
Sulfasalazine** |
| ATACAND |
Lisinopril, Enalapril or Benazepril** |
| ATACAND HCT |
Lisinopril + Hydrochlorothiazide** |
| AVALIDE |
Lisinopril + Hydrochlorothiazide** |
| AVAPRO |
Lisinopril, Enalapril or Benazepril** |
| AVINZA |
Morphine sulfate ext-rel |
| AVODART |
Finasteride** |
| B |
|
| BENICAR |
Lisinopril, Enalapril or Benazepril** |
| BETIMOL |
Timolol |
| BUDEPRION SR |
Bupropion ext-rel** |
| BUPROBAN |
Bupropion ext-rel |
| C |
|
| CADUET |
Amlodipine or Simvastatin** |
| CARBATROL |
Carbamazepine |
| CARDIZEM CD |
Diltiazem ext-rel |
| CARTIA XT |
Diltiazem ext-rel |
| CATAPRES-TTS |
Clonidine (oral, rather than patch) |
| CELEBREX |
Ibuprofen, Naproxen or Nabumetone** |
| CLARINEX |
Loratidine** |
| COLESTID |
Colestipol |
| COMBIVENT |
Albuterol + Ipratropium |
| COREG |
Metoprolol or Atenolol** |
| COVERA-HS |
Verapamil ext-rel |
| COZAAR |
Lisinopril, Enalapril or Benazepril** |
| CRESTOR |
Simvastatin or Pravastatin** |
| CYMBALTA |
Depression - citalopram, paroxetine Pain - Gapabentin, amitriptyline** |
| CYTOMEL |
Levothyroxine** |
| D |
|
| DARVOCET |
Hydrocodone / APAP** |
| DARVON COMPOUND-65 |
Hydrocodone / APAP** |
| DETROL |
Oxybutynin** |
| DILT-XR |
Diltiazem ext-rel |
| DIOVAN |
Lisinopril, Enalapril or Benazepril** |
| DITROPAN XL |
Oxybutynin |
| DURAGESIC |
Fentanyl patch |
| DYNACIRC-CR |
Amlodipne** |
| E |
|
| EFFEXOR XR |
Venlafaxine ext-rel |
| ENABLEX |
Oxybutynin** |
| ENDOCET |
Oxycodone / APAP |
| EVOXAC |
Pilocarpine** |
| F |
|
| FAMVIR |
Acyclovir** |
| FLAVOXATE HCL |
Oxybutynin** |
| FLOMAX |
Doxazosin** |
| FLONASE |
Fluticasone |
| FOCALIN XR |
Methylphenidate ext-rel** |
| FORTAMET |
Metformin |
| G-L |
|
| M-S |
|
| M |
|
| MAVIK |
Lisinopril, Enalapril or Benazepril** |
| MAXAIR |
Albuterol** |
| METAGLIP |
Glipizide + Metformin |
| MICARDIS HCT |
Lisinopril + hydrochlorothiazide** |
| MINITRAN |
Nitroglycerin |
| N |
|
| NASACORT |
Fluticasone** |
| NASAREL |
Fluticasone** |
| NASONEX |
Fluticasone** |
| NEXIUM |
Omeprazole** |
| NIASPAN |
Niacin ext-rel** |
| NIFEDIAC CC |
Nifedipine ext-rel |
| NIFEDICAL XL |
Nifedipine ext-rel |
| NITROLINGUAL |
Nitroglycerin sublingual |
| NORCO |
Hydrocodone / APAP |
| NORVASC |
Amlodipine |
| O |
|
| OMACOR |
Gemfibrozil** |
| OXYTROL |
Oxybutinin (oral, rather than patch) |
| P |
|
| PARCOPA |
Carbidopa / Levodopa |
| PAXIL CR |
Paroxetine |
| PENTASA |
Sulfasalazine** |
| PLENDIL |
Felodipine |
| PLETAL |
Cilostazole |
| PRANDIN |
Glimepiride or Glipizide** |
| PREVACID |
Omeprazole** |
| PREVALITE |
Cholestyramine |
| PRILOSEC |
Omeprazole |
| PROCARDIA XL |
Nifedipine ext-rel |
| PROSCAR |
Finasteride |
| PROTONIX |
Pantoprazole
| PROZAC |
Fluoxetine |
| Q |
|
| QUINARETIC |
Quinapril + HCTZ |
| R |
|
| RHINOCORT AQUA |
Fluticasone** |
| ROZEREM |
Zolpidem** |
| S |
|
| SARAFEM |
Fluoxetine |
| SANCTURA |
Oxybutynin** |
| SONATA |
Zolpidem** |
| SPIRIVA HANDIHALER |
Ipratropium |
| STARLIX |
Glimepiride or Glipizide** |
| SULAR |
Amlodipine** |
| T-Z |
|
*Please consult your Plan Formulary for cost detail for these medications.
**Not all alternative drugs are generically available; the Brand alternatives are bolded in the text.
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We offer our members a unique Patient Assistance Program (PAP). This program allows us to work with members to help find financial or pharmaceutical assistance with medications through the coverage gap, commonly known as the "donut hole." Most of the assistance received is in the form of medications that are free or of limited cost to the member. Members may contact us before or during the gap for a review of their medications to determine if there are any gap options. Usually, the assistance available is dependent on the number of people in the household and the total household monthly income.
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Commonly referred to as the $4 Generic Drug Programs, they are intended to help customers save money on their generic prescription drugs and live better, healthier lives. Wal-mart, Sam's Club, and Target pharmacies are providing these programs while agreeing to share your prescription drug profiles with your physician and health plan in order to keep track of any potential problems or interactions that may arise with your medication regimens. To find out if your prescription drugs are included on any of the $4 generics programs, you can visit each respective pharmacy website where a list of medication is provided or you may also call or visit those pharmacies for a copy of the list of medications included on the $4 generics program or for more information.
The pricing is as follows, you can expect to pay $4 for a 30 day-supply and $10 for a 90 day-supply (certain medications may be higher in price, that information will be indicated on the list of drugs in the program provided by each pharmacy). We are passing this important information along to you because we would like to see you get the medications you need, at prices you can afford and help you to stay out of the prescription drug coverage gap longer.
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Some drug manufacturers offer assistance for people in the drug benefit gap. You may qualify for this assistance based on your income and assets. Patient assistance programs may be available for drugs you are taking. You will need to apply for assistance. For more information, please click the web link below and proceed to Pharmaceutical Assistance program, then select the alphabet letter of drug to see any available programs.
Official Medicare Pharmaceutical Assistance Program 
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