Available Medications

 

The Eli Lilly products BAQSIMI Nasal Powder and Glucagon Emergency Injection Kit have been added to the formulary.

Losartan HCTZ and Ranitidine are currently unavailable due to a national back order. As these products become available again, we will update this page.

Last updated: 4/23/2020


Select from the options below:

Brand NameGeneric NameTherapeutic ClassManufacturerA_SeniorA_OtherA_MeckA_UndocumentedAvailability
AcyclovirAntiviralGeneric ManufacturerSeniorOtherMeckUndoc
Albuterol nebulizer solution (180ml/month)AsthmaGeneric ManufacturerSeniorOtherMeckUndoc
AlendronateOsteoporosisGeneric ManufacturerSeniorOtherMeckUndoc
AllopurinolGoutGeneric ManufacturerSeniorOtherMeckUndoc
AmiodaroneAntiarrhythmicGeneric ManufacturerSeniorOtherMeckUndoc
AmlodipineAntihypertensive AgentGeneric ManufacturerSeniorOtherMeckUndoc
AmoxicillinAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
Amoxicillin/ClavulanateAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
Aspirin (EC) 81/325mgAntiplatelet, NSAIDGeneric ManufacturerSeniorOtherMeckUndoc
AtorvastatinAntihyperlipidemicGeneric ManufacturerSeniorOtherMeckUndoc
AzithromycinAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
BenztropineParkinson's Disease/DystoniaGeneric ManufacturerSeniorOtherMeckUndoc
BuspironeAntianxietyGeneric ManufacturerSeniotOtherMeckUndoc
Carvedilol immediate releaseAntihypertensive Agent/ Heart FailureGeneric ManufacturerSeniorOtherMeckUndoc
CephalexinAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
CetirizineAntihistamineGeneric ManufacturerSeniorOtherMeckUndoc
CiprofloxacinAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
ClindamycinAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
ClonidineAntihypertensiveGeneric ManufacturerSeniorOtherMeckUndoc
ClopidogrelAntiplateletGeneric ManufacturerSeniorOtherMeckUndoc
CyclobenzaprineMuscle RelaxantGeneric ManufacturerSeniorOtherMeckUndoc
Ferrous Sulfate 325mgMineral, Iron DeficiencyGeneric ManufacturerSeniorOtherMeckUndoc
FluconazoleAntifungalGeneric ManufacturerSeniorOtherMeckUndoc
Folic Acid 1mgVitamin, Folate DeficiencyGeneric ManufacturerSeniorOtherMeckUndoc
FurosemideDiureticGeneric ManufacturerSeniorOtherMeckUndoc
Glipizide IRDiabetesGeneric ManufacturerSeniorOtherMeckUndoc
Haloperidol (Oral only)AntipsychoticGeneric ManufacturerSeniorOtherMeckUndoc
HydralazineAntihypertensive AgentGeneric ManufacturerSeniorOtherMeckUndoc
HydrochlorothiazideAntihypertensive Agent/ DiureticGeneric ManufacturerSeniorOtherMeckUndoc
Hydrocortisone 2.5% (28g/month)Steroid, TopicalGeneric ManufacturerSeniorOtherMeckUndoc
Hydroxyzine HclAntipruriticGeneric ManufacturerSeniorOtherMeckUndoc
Hydroxyzine PamoateInsomnia,Antianxiety, Anti-pruriticGeneric ManufacturerSeniorOtherMeckUndoc
IbuprofenNSAIDGeneric ManufacturerSeniorOtherMeckUndoc
Ipratropium Nebulizer Soln (150ml/month)AsthmaGeneric Manufacturer SeniorOtherMeckUndoc
Ipratropium/ Albuterol Nebulizer Soln (180ml/month)AsthmaGeneric ManufacturerSeniorOtherMeckUndoc
Isosorbide MononitrateVasodilators/NitratesGeneric ManufacturerSeniorOtherMeckUndoc
LamotrigineAnticonvulsant/BipolarGeneric ManufacturerSeniorOtherMeckUndoc
LisinoprilAntihypertensive AgentGeneric ManufacturerSeniorOtherMeckUndoc
Lisinopril HCTZAntihypertensive AgentGeneric ManufacturerSeniorOtherMeckUndoc
Lithium (capsules only) & IRBipolar DisorderGeneric ManufacturerSeniorOtherMeckUndoc
LoratadineAllergic RhinitisGeneric ManufacturerSeniorOtherMeckUndoc
LosartanAntiypertensiveGeneric ManufacturerSeniorOtherMeckUndoc
MeloxicamNSAIDGeneric ManufacturerSeniorOtherMeckUndoc
MetforminDiabetesGeneric ManufacturerSeniorOtherMeckUndoc
MethimazoleThyroidGeneric ManufacturerSeniorOtherMeckUndoc
Methotrexate (RA) (oral only)Rheumatoid ArthritisGeneric ManufacturerSeniorOtherMeckUndoc
Metoprolol TartrateAntihypertensiveGeneric ManufacturerSeniorOtherMeckUndoc
Metronidazole (oral only)AntibioticGeneric ManufacturerSeniorOtherMeckUndoc
MirtazapineAntidepressantGeneric ManufacturerSeniorOtherMeckUndoc
Montelukast (10mg only)Asthma/AllergiesGeneric ManufacturerSeniorOtherMeckUndoc
Naproxen (500mg)NSAIDGeneric ManufacturerSeniorOtherMeckUndoc
Nystatin (15g/month)Antifungal, TopicalGeneric ManufacturerSeniorOtherMeckUndoc
OndansetronAntiemeticGeneric ManufacturerSeniorOtherMeckUndoc
Penicillin VKAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
Potassium 10mEq, 20mEqHypokalemiaGeneric ManufacturerSeniorOtherMeckUndoc
PrednisoneSteroidGeneric ManufacturerSeniorOtherMeckUndoc
PromethazineAntiemeticGeneric ManufacturerSeniorOtherMeckUndoc
Quetiapine Immediate-ReleaseSchizophrenia, Bipolar, AntipsychoticGeneric ManufacturerSeniorOtherMeckUndoc
SertralineAntidepressantGeneric ManufacturerSeniorOtherMeckUndoc
Sulfamethoxazole/TrimethoprimAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
TimololOphthalmic dropsGeneric Manufacturer SeniorOtherMeckUndoc
TrazodoneAntidepressant, InsomniaGeneric ManufacturerSeniorOtherMeckUndoc
Triamcinolone (80g/month)Steroid, TopicalGeneric ManufacturerSeniorOtherMeckUndoc
Vitamin D2 50,000 IUVitamin, Vit D DeficiencyGeneric ManufacturerSeniorOtherMeckUndoc
Warfarin (coumadin)AnticoagulantGeneric ManufacturerSeniorOtherMeckUndoc
ZiprasidoneAntipsychoticGeneric ManufacturerSeniorOtherMeckUndoc
Proventil HFAAlbuterolAsthmaMerckOtherMeck
CaduetAmlodipine/AtorvastatinAntihypertensive Agent/ AntihyperlipidemicPfizerOtherMeck
StratteraAtomoxetineADHDEli-LillyOtherMeck
AzoptBrinzolamideOphthalmic DropsAlconOtherMeck
SimbrinzaBrinzolamide/Brimonidine TartrateOphthalmic DropsAlconOtherMeck
InvokanaCanagliflozinDiabetesJohnson & JohnsonOtherMeck
Tegretol XRCarbamazepine ERAnticonvulsant/Bipolar DisorderNovartisOtherMeck
CelebrexCelecoxibNSAIDSPfizerOtherMeck
Ciprodex oticCiprofloxacin/Dexamethasone SuspensionOtic dropsAlconOtherMeck
PristiqDesvenlafaxineAntidepressantPfizerOtherMeck
ArthrotecDiclofenac Sodium/MisoprostolNSAIDPfizerOtherMeck
DurezolDifluprednate Ophthalmic EmulsionOphthalmic DropsAlconOtherMeck
Depakote / Depakote ERDivalproexAnticonvulsant/BipolarAbbVieOtherMeck
TrusoptDorzolamideOphthalmic DropsMerckOtherMeck
CymbaltaDuloxetineAntidepressantEli-LillyOtherMeck
Relpax (6 tabs/month)EletriptanMigrainePfizerOtherMeck
InspraEplerenoneHeart FailurePfizerOtherMeck
Omeprazole (20mg and 40mg)GERDGeneric ManufacturerSeniorOtherMeckUndoc
PremarinEstrogens ConjugatedWomen's HealthPfizerOtherMeck
Premarin Vaginal Cream (30g/90 days)Estrogens ConjugatedWomen's HealthPfizerOtherMeck
PremproEstrogens Conjugated/MedroxyprogesteroneWomen's HealthPfizerOtherMeck
PremphaseEstrogens Conjugated/MedroxyprogesteroneWomen's HealthPfizerOtherMeck
ZetiaEzetimibeAntihyperlipidemicMerckOtherMeck
VytorinEzetimibe/SimvastatinAntihyperlipidemicMerckOtherMeck
ToviazFesoterodineOveractive BladderPfizerOtherMeck
ProzacFluoxetineAntidepressantEli-LillyOtherMeck
Glucagon Emergency Injection KitGlucagonDiabetesEli-LillyOtherMeck
Humulin 70/30, N, RInsulinDiabetesEli-LillyOtherMeck
BasaglarInsulin GlargineDiabetesEli-LillyOtherMeck
HumalogInsulin lisproDiabetesEli-LillyOtherMeck
Humalog Mix 75/25Insulin protamine/lisproDiabetesEli-LillyOtherMeck
SporanoxItraconazoleAntifungalJohnson & JohnsonOtherMeck
LevofloxacinAntibioticGeneric ManufacturerSeniorOtherMeckUndoc
SynthroidLevothyroxineThyroidAbbVieOtherMeck
MedroxyprogesteroneWomen's HealthGeneric ManufacturerSeniorOtherMeckUndoc
Depo-Provera Contraceptive InjectionMedroxyprogesterone acetate injectable suspensionBirth ControlPfizerOtherMeck
SkelaxinMetaxaloneSkeletal Muscle RelaxantPfizerOtherMeck
Asmanex TwisthalerMometasoneAsthmaMerckOtherMeck
NasonexMometasoneAllergic RhinitisMerckOtherMeck
DuleraMometasone/FormoterolAsthmaMerckOtherMeck
VigamoxMoxifloxacinOphthalmic DropsAlconOtherMeck
Mupirocin (ointment only)Antibiotic, TopicalGeneric ManufacturerSeniorOtherMeckUndoc
IlevroNepafenac Ophthalmic SolnEye CareAlconOtherMeckUndoc
Zyprexa (not Zydis)OlanzapineAntipsychoticEli-LillyOtherMeck
SymbyaxOlanzapine/FluoxetineAntidepressant, AntipsychoticEli-LillyOtherMeck
PatadayOlopatadine,Ophthalmic Solution Eye CareAlconOtherMeck
PazeoOlopatadine HydrochlorideEye CareAlconOtherMeckUndoc
TrileptalOxcarbazepineAnticonvulsantNovartisOtherMeck
ElmironPentosan Polysulfate SodiumCystitis PainJohnson & JohnsonOtherMeck
DilantinPhenytoinAnticonvulsantPfizerOtherMeck
EvistaRaloxifeneOsteoprosisEli-LillyOtherMeck
RisperdalRisperidoneAntipsychoticJohnson & JohnsonOtherMeck
XareltoRivroxabanAnticoagulantJohnson & JohnsonOtherMeck
Maxalt / Maxalt MLTRizatriptanMigraineMerckOtherMeck
JanuviaSitagliptinDiabetesMerckOtherMeck
Janumet / Janumet XRSitagliptin/MetforminDiabetesMerckOtherMeck
Detrol / Detrol LATolterodineOveractive BladderPfizerOtherMeck
TopiramateAntiseizure, MigraineGeneric ManufacturerSeniorOtherMeckUndoc
Travatan ZTravoprost OphthalmicOphthalmic DropsAlconOtherMeck
ChantixVareniclineSmoking CessationPfizerOtherMeck