| Brand Name | Generic Name | Dispensing Limits | Therapeutic Class | Drug Manufacturer | Statewide Availability | Mecklenburg County Availability |
|---|---|---|---|---|---|---|
| Acyclovir | Antiviral | Generic Mfr | Yes | Yes | ||
| Albuterol HFA Inhaler | 1 unit/month | Asthma | Generic Mfr | Yes | Yes | |
| Albuterol Nebulizer Soln | 180 ml/month | Asthma | Generic Mfr | Yes | Yes | |
| Combivent Respimat | Albuterol/Ipratropium Inhaler | COPD | Boehringer | No | Yes | |
| Alendronate | Osteoporosis | Generic Mfr | Yes | Yes | ||
| Allopurinol | Gout | Generic Mfr | Yes | Yes | ||
| Amiodarone | Antiarrhythmic | Generic Mfr | Yes | Yes | ||
| Amitriptyline | Antidepressant | Generic Mfr | Yes | Yes | ||
| Amlodipine | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Amoxicillin | Antibiotic | Generic Mfr | Yes | Yes | ||
| Amoxicillin/Clavulanate | Antibiotic | Generic Mfr | Yes | Yes | ||
| Anastrozole | Oncology | Generic Mfr | Yes | Yes | ||
| Aripiprazole (Oral) | Antipsychotic | Generic Mfr | Yes | Yes | ||
| Abilify Maintena Injection | Aripiprazole (Injection) | Antipsychotic | Otsuka | No | Yes | |
| Aspirin (EC) (81, 325mg only) | Antiplatelet, NSAID | Generic Mfr | Yes | Yes | ||
| Atomoxetine | ADHD | Generic Mfr | Yes | Yes | ||
| Atorvastatin | Antihyperlipidemic | Generic Mfr | Yes | Yes | ||
| azelastine 0.1% NS | 1 unit/month | Allergic Rhinitis | Generic Mfr | Yes | Yes | |
| Azithromycin | Antibiotic | Generic Mfr | Yes | Yes | ||
| Benztropine | Parkinson’s Disease/Dystonia | Generic Mfr | Yes | Yes | ||
| bismuth subsalicylate 262mg | 14 day treatment | Gastrointestinal Health | Generic Mfr | Yes | Yes | |
| brimonidine (0.2% only) | Ophthalmic/ Eye drops | Generic Mfr | Yes | Yes | ||
| Simbrinza 1%/0.2% | Brinzolamide/Brimonidine Tartrate | Ophthalmic/ Eye drops | Alcon | Yes | Yes | |
| Bupropion (SR or XL only) | Antidepressant | Generic Mfr | Yes | Yes | ||
| Buspirone | Antianxiety | Generic Mfr | Yes | Yes | ||
| Invokana | Canagliflozin | Diabetes | Janssen | Yes | Yes | |
| Invokamet | Canagliflozin / Metformin | Diabetes | Janssen | Yes | Yes | |
| Carbamazepine ER (Tablets only) | Anticonvulsant/Bipolar Disorder | Generic Mfr | Yes | Yes | ||
| Carvedilol (IR only) | Antihypertensive Agent/ Heart Failure | Generic Mfr | Yes | Yes | ||
| cefdinir | Antibiotic | Generic Mfr | Yes | Yes | ||
| celecoxib | NSAID | Generic Mfr | Yes | Yes | ||
| Cephalexin | Antibiotic | Generic Mfr | Yes | Yes | ||
| Cetirizine | 30 tablets/month | Antihistamine | Generic Mfr | Yes | Yes | |
| Ciprofloxacin | Antibiotic | Generic Mfr | Yes | Yes | ||
| Citalopram | Antidepressant | Generic Mfr | Yes | Yes | ||
| clarithromycin | 14 day treatment | Antibiotic | Generic Mfr | Yes | Yes | |
| Clindamycin | Antibiotic | Generic Mfr | Yes | Yes | ||
| clobetasol topical | 30 g/month | Steroid Topical | Generic Mfr | Yes | Yes | |
| Clonidine | Antihypertensive | Generic Mfr | Yes | Yes | ||
| Clopidogrel | Antiplatelet | Generic Mfr | Yes | Yes | ||
| clotrimazole 1% topical | 30 g/month | Antifungal Topical | Generic Mfr | Yes | Yes | |
| Clozapine | Antipsychotic | Generic Mfr | Yes | Yes | ||
| Colchicine | Gout | Generic Mfr | Yes | Yes | ||
| Cyclobenzaprine | Muscle Relaxant | Generic Mfr | Yes | Yes | ||
| Restasis | Cyclosporine Ophthalmic | Ophthalmic Drops | Allergan | No | Yes | |
| digoxin (125 and 250 mcg only) | Antiarrhythmic/Heart Failure | Generic Mfr | Yes | Yes | ||
| diltiazem ER (Cardizem CD equivalent) | Antihypertensive Agent/Atrial Fibrillation | Generic Mfr | Yes | Yes | ||
| Depakote DR/Depakote ER | Divalproex Sodium | Anticonvulsant/Bipolar | AbbVie | Yes | Yes | |
| donepezil | Dementia | Generic Mfr | Yes | Yes | ||
| dorzolamide/timolol (22.3/6.8 only) | Ophthalmic/ Eye drops | Generic Mfr | Yes | Yes | ||
| Doxycycline Hyclate 100mg (capsules only) | Antibiotic | Generic Mfr | Yes | Yes | ||
| Multaq | Dronedarone | Antiarrhythmic | Sanofi | Yes | Yes | |
| Trulicity | Dulaglutide | Diabetes | Eli-Lilly | Yes | Yes | |
| Duloxetine | Antidepressant | Generic Mfr | Yes | Yes | ||
| emtricitabine/tenofovir | HIV PrEP | Generic Mfr | Yes | Yes | ||
| Lovenox | Enoxaparin | Anticoagulant | Sanofi | Yes | Yes | |
| Erythromycin 0.5% Ophthalmic Ointment | Ophthalmic/Eye ointment | Generic Mfr | Yes | Yes | ||
| Escitalopram | Antidepressant | Generic Mfr | Yes | Yes | ||
| estradiol (oral AND vaginal cream) | Hormone Therapy | Generic Mfr | Yes | Yes | ||
| Premarin | Estrogens Conjugated | Women’s Health | Pfizer | No | Yes | |
| Premarin Vaginal Cream | Estrogens Conjugated | Women’s Health | Pfizer | No | Yes | |
| Prempro | Estrogens Conjugated/ Medroxyprogesterone | Women’s Health | Pfizer | No | Yes | |
| Premphase | Estrogens Conjugated/ Medroxyprogesterone | Women’s Health | Pfizer | No | Yes | |
| Ezetimibe | Antihyperlipidemic | Generic Mfr | Yes | Yes | ||
| famotidine | GERD | Generic Mfr | Yes | Yes | ||
| Ferrous Sulfate (325mg only) | Mineral, Iron Deficiency | Generic Mfr | Yes | Yes | ||
| finasteride | BPH | Generic Mfr | Yes | Yes | ||
| Fluconazole | Antifungal | Generic Mfr | Yes | Yes | ||
| Fluoxetine | Antidepressant | Generic Mfr | Yes | Yes | ||
| Arnuity Ellipta | Fluticasone Furoate | COPD/Asthma | GSK | Yes | Yes | |
| Trelegy Ellipta | Fluticasone furoate /Umeclidinium/Vilanterol | COPD/Asthma | GSK | Yes | Yes | |
| Breo Ellipta | Fluticasone Furoate/Vilanterol | COPD/Asthma | GSK | Yes | Yes | |
| Fluticasone Nasal Spray | 1 unit/month | Steroid | Generic Mfr | Yes | Yes | |
| Fluvoxamine | Antidepressant | Generic Mfr | Yes | Yes | ||
| Folic Acid (1 mg only) | Vitamin, Folate Deficiency | Generic Mfr | Yes | Yes | ||
| Furosemide | Diuretic | Generic Mfr | Yes | Yes | ||
| Glipizide (IR and ER) | Diabetes | Generic Mfr | Yes | Yes | ||
| Haloperidol (oral only) | Antipsychotic | Generic Mfr | Yes | Yes | ||
| Hydralazine | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Hydrochlorothiazide | Antihypertensive Agent/ Diuretic | Generic Mfr | Yes | Yes | ||
| Hydrocortisone 2.5% (Cream or Ointment Only) | 30 g/month | Steroid, Topical | Generic Mfr | Yes | Yes | |
| Hydroxyzine Hcl | Antipruritic | Generic Mfr | Yes | Yes | ||
| Hydroxyzine Pamoate | Insomnia,Antianxiety, Anti-pruritic | Generic Mfr | Yes | Yes | ||
| ibandronate | Osteoporosis | Generic Mfr | Yes | Yes | ||
| Ibuprofen (400, 600, 800 mg only) | NSAID | Generic Mfr | Yes | Yes | ||
| Humulin 70/30, N, R | Insulin | Diabetes | Eli-Lilly | Yes | Yes | |
| Toujeo / Toujeo Max | Insulin Glargine | Diabetes | Sanofi | Yes | Yes | |
| Basaglar / Lantus | Insulin Glargine (Pens Only) | Diabetes | Eli-Lilly | Yes | Yes | |
| Soliqua | Insulin Glargine / Lixisenatide | Diabetes | Sanofi | Yes | Yes | |
| Humalog | Insulin lispro | Diabetes | Eli-Lilly | Yes | Yes | |
| Humalog Mix 75/25 | Insulin protamine/lispro | Diabetes | Eli-Lilly | Yes | Yes | |
| Ipratropium / Albuterol Neb Soln | 180 ml/month | Asthma | Generic Mfr | Yes | Yes | |
| Ipratropium Neb Soln | 150 ml/month | Asthma | Generic Mfr | Yes | Yes | |
| Avapro | Irbesartan | Antohypertensive | Sanofi | Yes | Yes | |
| Avalide | Irbesartan/HCTZ | Antihypertensive | Sanofi | Yes | Yes | |
| Isosorbide Mononitrate | Vasodilators/Nitrates | Generic Mfr | Yes | Yes | ||
| Sporanox | Itraconazole | Antifungal | Janssen | Yes | Yes | |
| Lamotrigine (IR Only) | Anticonvulsant/Bipolar | Generic Mfr | Yes | Yes | ||
| Latanoprost 0.005% ophth susp | Ophthalmic/Eye drops | Generic Mfr | Yes | Yes | ||
| Arava | Leflunomide | Rheumatoid Arthritis | Sanofi | Yes | Yes | |
| levetiracetam | Anticonvulsant | Generic Mfr | Yes | Yes | ||
| Levofloxacin | Antibiotic | Generic Mfr | Yes | Yes | ||
| Synthroid | Levothyroxine | Thyroid | AbbVie | Yes | Yes | |
| Linzess | Linaclotide | Irritable Bowel Syndrome | Forest Labs | No | Yes | |
| Lisinopril | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Lisinopril HCTZ | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Lithium (IR Capsules, ER Tablets) | Bipolar Disorder | Generic Mfr | Yes | Yes | ||
| Loratadine | 30 tablets/month | Allergic Rhinitis | Generic Mfr | Yes | Yes | |
| Losartan | Antiypertensive | Generic Mfr | Yes | Yes | ||
| Losartan/HCTZ | Antiypertensive | Generic Mfr | Yes | Yes | ||
| Eysuvis 0.25% | Loteprednol Etabonate | Ophthalmic/Eye Drops | Alcon | Yes | Yes | |
| Inveltys 1% | Loteprednol Etabonate | Ophthalmic/Eye Drops | Alcon | Yes | Yes | |
| lurasidone | Antidepressant/Antipsychotic/Bipolar Disorder | Generic Mfr | Yes | Yes | ||
| Medroxyprogesterone (oral only) | Women’s Health | Generic Mfr | Yes | Yes | ||
| Meloxicam | NSAID | Generic Mfr | Yes | Yes | ||
| memantine | Dementia | Generic Mfr | Yes | Yes | ||
| Metformin (IR and ER) | Diabetes | Generic Mfr | Yes | Yes | ||
| Methimazole | Thyroid | Generic Mfr | Yes | Yes | ||
| Methotrexate (oral only) | Rheumatoid Arthritis | Generic Mfr | Yes | Yes | ||
| Methylprednisolone (4mg Dose Pack Only) | Steroid | Generic Mfr | Yes | Yes | ||
| metoclopramide | Gastrointestinal Health | Generic Mfr | Yes | Yes | ||
| metoprolol (succinate & tartrate) | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Metronidazole (Oral) | Antibiotic | Generic Mfr | Yes | Yes | ||
| metronidazole vaginal gel | Antibiotic Topical | Generic Mfr | Yes | Yes | ||
| Mirtazapine | Antidepressant | Generic Mfr | Yes | Yes | ||
| Montelukast (10mg only) | Asthma/Allergies | Generic Mfr | Yes | Yes | ||
| Mupirocin (ointment only) | 22 g/month | Antibiotic, Topical | Generic Mfr | Yes | Yes | |
| Naltrexone (oral only) | Substance Use | Generic Mfr | Yes | Yes | ||
| Naproxen (500mg only) | NSAID | Generic Mfr | Yes | Yes | ||
| Neomycin/polymyxin B/ hydrocortisone Otic Suspension | Otic/Ear drops | Generic Mfr | Yes | Yes | ||
| Rhopressa 0.02% | Netarsudil | Ophthalmic/Eye drops | Alcon | Yes | Yes | |
| Rocklatan 0.02%/0.005% | Netarsudil and Latanoprost | Ophthalmic/Eye drops | Alcon | Yes | Yes | |
| Nitrofurantoin Mono/ Micro 100mg (Macrobid) | Antibiotic | Generic Mfr | Yes | Yes | ||
| nitroglycerin SL (0.4mg only) | Heart Failure | Generic Mfr | Yes | Yes | ||
| Nortriptyline | Antidepressant | Generic Mfr | Yes | Yes | ||
| Nystatin | 15 g/month | Antifungal, Topical | Generic Mfr | Yes | Yes | |
| Ofloxacin 0.3% ophthalmic suspension | Ophthalmic/Eye drops | Generic Mfr | Yes | Yes | ||
| Olanzapine (Oral only) | Antipsychotic | Eli-Lilly | Yes | Yes | ||
| olmesartan | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Omeprazole (20mg & 40mg only) | GERD | Generic Mfr | Yes | Yes | ||
| Ondansetron (not ODT) | 30 tablets/month | Antiemetic | Generic Mfr | Yes | Yes | |
| oseltamivir | Walk-in’s only | Antiviral | Generic Mfr | No | Yes | |
| Oxcarbazepine | Anticonvulsant | Generic Mfr | Yes | Yes | ||
| Invega Hafyera Injection (6 month) | Paliperidone (Injection only) | Antipsychotic | Janssen | Yes | Yes | |
| Invega Sustenna Injection (1 month) | Paliperidone (Injection only) | Antipsychotic | Janssen | Yes | Yes | |
| Invega Trinza Injection (3 month) | Paliperidone (Injection only) | Antipsychotic | Janssen | Yes | Yes | |
| Creon | pancrelipase | Pancreatic Enzymes | Abbvie | No | Yes | |
| Paroxetine | Antidepressant | Generic Mfr | Yes | Yes | ||
| Penicillin VK | Antibiotic | Generic Mfr | Yes | Yes | ||
| Elmiron | Pentosan Polysulfate Sodium | Cystitis Pain | Janssen | Yes | Yes | |
| Perphenazine | Antipsychotic | Generic Mfr | Yes | Yes | ||
| Phenytoin | Anticonvulsant | Generic Mfr | Yes | Yes | ||
| polyethylene glycol & electrolytes (GaviLyte) | Gastrointestinal Health | Generic Mfr | Yes | Yes | ||
| polyethylene glycol 3350 (Miralax) | Bowel Prep Only | Gastrointestinal Health | Generic Mfr | Yes | Yes | |
| Potassium (10mEq, 20mEq tablet only) | Hypokalemia | Generic Mfr | Yes | Yes | ||
| Prednisolone Acetate 1% ophthalmic suspension | Ophthalmic/Eye drops | Generic Mfr | Yes | Yes | ||
| Prednisone | Steroid | Generic Mfr | Yes | Yes | ||
| Progesterone (micronized) | Hormone Therapy | Generic Mfr | Yes | Yes | ||
| Promethazine | 90 tablets/month | Antiemetic | Generic Mfr | Yes | Yes | |
| propranolol (IR only) | Antihypertensive Agent | Generic Mfr | Yes | Yes | ||
| Quetiapine (IR only) | Schizophrenia, Bipolar, Antipsychotic | Generic Mfr | Yes | Yes | ||
| Risperidone | Antipsychotic | Generic Mfr | Yes | Yes | ||
| Xarelto | Rivaroxaban | Anticoagulant | Janssen | Yes | Yes | |
| Rizatriptan | 12 tablets/month | Migraine | Generic Mfr | Yes | Yes | |
| rosuvastatin | Antihyperlipidemic | Generic Mfr | Yes | Yes | ||
| Entresto | Sacubitril/Valsartan | Heart Failure | Novartis | No | Yes | |
| Sertraline | Antidepressant | Generic Mfr | Yes | Yes | ||
| Sevelamer HCl | Hyperphosphatemia (CKD) | Generic Mfr | Yes | Yes | ||
| Januvia | Sitagliptin | Excludes NC Medicaid Eligible Individuals | Diabetes | Merck | Yes | Yes |
| Janumet / Janumet XR | Sitagliptin/Metformin | Excludes NC Medicaid Eligible Individuals | Diabetes | Merck | Yes | Yes |
| Solifenacin | Overactive Bladder | Generic Mfr | Yes | Yes | ||
| Spironolactone | Heart failure/Diuretic | Generic Mfr | Yes | Yes | ||
| Sulfamethoxazole/ Trimethoprim | Antibiotic | Generic Mfr | Yes | Yes | ||
| sumatriptan (oral only) | Migraine | Generic Mfr | Yes | Yes | ||
| tacrolimus | Organ Transplant | Generic Mfr | Yes | Yes | ||
| tamsulosin | BPH | Generic Mfr | Yes | Yes | ||
| terbinafine | Antifungal | Generic Mfr | Yes | Yes | ||
| tetracycline | 14 day treatment | Antibiotic | Generic Mfr | Yes | Yes | |
| Timolol | Ophthalmic drops | Generic Mfr | Yes | Yes | ||
| Spiriva Respimat | Tiotropium | COPD | Boehringer | No | Yes | |
| Topiramate | Antiseizure, Migraine | Generic Mfr | Yes | Yes | ||
| torsemide | Diuretic | Generic Mfr | Yes | Yes | ||
| Trazodone | Antidepressant, Insomnia | Generic Mfr | Yes | Yes | ||
| Triamcinolone 0.025, 0.1, 0.5% (Cream or Ointment Only) | 30 g/month | Steroid, Topical | Generic Mfr | Yes | Yes | |
| Incruse Ellipta | Umeclidinium | COPD/Asthma | GSK | Yes | Yes | |
| Anoro Ellipta | Umeclidinium/Vilanterol | COPD/Asthma | GSK | Yes | Yes | |
| valacyclovir | Antiviral | Generic Mfr | Yes | Yes | ||
| varenicline | Alliance Health Catchment Area Only (Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, Wake) | Tobacco Cessation | Generic Mfr | No | Yes | |
| Venlafaxine XR (Capsules only) | Antidepressant | Generic Mfr | Yes | Yes | ||
| Vitamin D2 (ergocalciferol) (50,000 IU only) | 8 capsules/month | Vitamin, Vit D Deficiency | Generic Mfr | Yes | Yes | |
| Warfarin | Anticoagulant | Generic Mfr | Yes | Yes | ||
| Ziprasidone | Antipsychotic | Generic Mfr | Yes | Yes |