List of $5 Copay Prescription Care Medications
The $5 copay Prescription Care medications for eligible program participants are:
Cardiovascular Disease
- Chlorthalidone
- Hydrochlorothiazide
- Indapamide
- Metolazone
- Furosemide
- Eplerenone
- Spironolactone
- Amiloride and hydrochlorothiazide
- Spironolactone and hydrochlorothiazide
- Triamterene and hydrochlorothiazide
- Benazepril
- Captopril
- Cilazapril
- Enalapril
- Fosinopril
- Lisinopril
- Perindopril
- Quinapril
- Ramipril
- Trandolapril
- Cilazapril and hydrochlorothiazide
- Enalapril and hydrochlorothiazide
- Lisinopril and hydrochlorothiazide
- Perindopril and indapamide
- Quinapril and hydrochlorothiazide
- Ramipril and hydrochlorothiazide
- Candesartan
- Eprosartan
- Irbesartan
- Losartan
- Olmesartan
- Telmisartan
- Ezetimibe
- Cholestyramine
- Colesevelam
- Fenofibrate
- Gemfibrozil
- Evolocumab
- Alirocumab
- Clopidogrel
- Ticagrelor
- Warfarin
- Dabigatran
- Apixaban
- Rivaroxaban
- Edoxaban
- Dalteparin
- Enoxaparin
- Tinzaparin
- Pentoxifylline
- Valsartan
- Candesartan and hydrochlorothiazide
- Eprosartan and hydrochlorothiazide
- Irbesartan and hydrochlorothiazide
- Losartan and hydrochlorothiazide
- Olmesartan and hydrochlorothiazide
- Telmisartan and hydrochlorothiazide
- Valsartan and hydrochlorothiazide
- Telmisartan and amlodipine
- Valsartan and sacubitril
- Amlodipine
- Felodipine
- Nifedipine
- Diltiazem
- Verapamil
- Glyceryl trinitrate (nitroglycerin)
- Isosorbide dinitrate
- Isosorbide mononitrate
- Hydralazine
- Doxazosin
- Prazosin
- Terazosin
- Clonidine
- Methyldopa
- Midodrine
- Acebutolol
- Atenolol
- Bisoprolol
- Metoprolol
- Atenolol and chlorthalidone
- Nadolol
- Pindolol
- Propranolol
- Sotalol
- Timolol
- Carvedilol
- Labetalol
- Ivabradine
- Disopyramide
- Flecainide
- Mexiletine
- Propafenone
- Amiodarone
- Digoxin
- Atorvastatin
- Fluvastatin
- Lovastatin
- Pravastatin
- Rosuvastatin
- Simvastatin
Diabetes
- Metformin
- Metformin and dapagliflozin
- Metformin and empagliflozin
- Metformin and linagliptin
- Metformin and saxagliptin
- Metformin and sitagliptin
- Gliclazide
- Glyburide
- Linagliptin
- Saxagliptin
- Sitagliptin
- Semaglutide
- Lixisenatide
- Canagliflozin
- Dapagliflozin
- Empagliflozin
- Acarbose
- Insulin aspart
- Insulin glulisine
- Insulin lispro
- Insulin regular (Toronto; human)
- Insulin NPH (human)
- Insulin degludec
- Insulin glargine
- Insulin (human) combination regular and NPH
- Insulin combination lispro/lispro protamine
- Glucagon
Mental Health
- Citalopram
- Escitalopram
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Sertraline
- Venlafaxine
- Trazodone
- Amitriptyline
- Clomipramine
- Desipramine
- Doxepin
- Imipramine
- Nortriptyline
- Trimipramine
- Bupropion
- Mirtazapine
- Chlorpromazine
- Flupentixol (flupenthixol)
- Fluphenazine
- Haloperidol
- Levomepromazine (methotrimeprazine)
- Loxapine
- Periciazine (pericyazine)
- Perphenazine
- Pimozide
- Prochlorperazine
- Trifluoperazine
- Zuclopenthixol
- Aripiprazole
- Clozapine
- Lurasidone
- Olanzapine
- Paliperidone
- Quetiapine
- Risperidone
- Ziprasidone
- Carbamazepine
- Lithium
- Valproic acid (including divalproex)
- Phenobarbital
- Buspirone
- Modafinil
- Benztropine
- Amphetamine (mixed salt)
- Dexamphetamine (dextroamphetamine)
- Lisdexamfetamine
- Methylphenidate
- Atomoxetine
- Acamprosate
- Buprenorphine
- Buprenorphine, combinations
- Methadone
- Naltrexone
- Duloxetine
Published date:
November 14, 2023