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 |