Label Keys

Statewide- Patients in all NC Counties

Meck- Mecklenburg County Patients

Medication Updates

Nortriptyline has been added to the formulary. 4/18/2024

Pen Needles(31g,6mm) are now available mailed only to a patient’s home address. 4/8/2024

Due to a nationwide shortage, Eli Lilly has placed Trulicity 1.5 and Trulicity 4.5 on back order until further notice. 2/15/2024

We have added two Merck products to our formulary: Lagevrio, an antiviral and Verquvo, for heart failure. 2/5/2024

Currently, there is a short-term backorder on Naltrexone. 2/1/2024

We currently have a limited supply of Breyna in stock. We will continue to dispense this medication until our stock is depleted. 1/16/2024

As of July 1, 2022, all brand name medications are available to patients with no documentation(NO SSN/ITIN). The only exception is Pfizer medications. A valid ID will still be necessary to obtain those products.

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Available Medications

Brand NameGeneric NameDispensing LimitsTherapeutic ClassDrug ManufacturerStatewide AvailabilityMecklenburg County Availability
AcyclovirAntiviralGeneric MfrYesYes
Albuterol HFA Inhaler1 unit/monthAsthmaGeneric MfrYesYes
Albuterol Nebulizer Soln180 ml/monthAsthmaGeneric MfrYesYes
Combivent RespimatAlbuterol/Ipratropium InhalerCOPDBoehringerNoYes
AlendronateOsteoporosisGeneric MfrYesYes
AllopurinolGoutGeneric MfrYesYes
AmiodaroneAntiarrhythmicGeneric MfrYesYes
AmitriptylineAntidepressantGeneric MfrYesYes
AmlodipineAntihypertensive AgentGeneric MfrYesYes
AmoxicillinAntibioticGeneric MfrYesYes
Amoxicillin/ClavulanateAntibioticGeneric MfrYesYes
AnastrozoleOncologyGeneric MfrYesYes
AripiprazoleAntipsychoticGeneric MfrYesYes
Abilify Maintena Injection
(1 month)
AripiprazoleAntipsychoticOtsukaNoYes
Aspirin (EC) (81, 325mg only)Antiplatelet, NSAIDGeneric MfrYesYes
StratteraAtomoxetineADHDEli-LillyYesYes
AtorvastatinAntihyperlipidemicGeneric MfrYesYes
AzithromycinAntibioticGeneric MfrYesYes
BenztropineParkinson's Disease/DystoniaGeneric MfrYesYes
Bupropion (SR or XL only)AntidepressantGeneric MfrYesYes
BuspironeAntianxietyGeneric MfrYesYes
InvokametCanagliflozin / MetforminDiabetesJanssenYesYes
InvokanaCanagliflozinDiabetesJanssenYesYes
Carbamazepine ERAnticonvulsant/Bipolar DisorderGeneric MfrYesYes
Carvedilol (IR only)Antihypertensive Agent/
Heart Failure
Generic MfrYesYes
CephalexinAntibioticGeneric MfrYesYes
Cetirizine30 tablets/monthAntihistamineGeneric MfrYesYes
CiprofloxacinAntibioticGeneric MfrYesYes
CitalopramAntidepressantGeneric MfrYesYes
ClindamycinAntibioticGeneric MfrYesYes
ClonidineAntihypertensiveGeneric MfrYesYes
ClopidogrelAntiplateletGeneric MfrYesYes
ClozarilClozapineAntipsychoticTevaNoYes
ColcrysColchicineGoutTakedaNoYes
CyclobenzaprineMuscle RelaxantGeneric MfrYesYes
RestasisCyclosporine OphthalmicOphthalmic DropsAllerganNoYes
Depakote DR / Depakote ERDivalproex SodiumAnticonvulsant/BipolarAbbVieYesYes
TrulicityDulaglutideDiabetesEli-LillyYesYes
CymbaltaDuloxetineAntidepressantEli-LillyYesYes
Erythromycin 0.5% Ophthalmic
Ointment
Ophthalmic/Eye ointmentGeneric MfrYesYes
EscitalopramAntidepressantGeneric MfrYesYes
PremarinEstrogens ConjugatedWomen's HealthPfizerYesYes
Premarin Vaginal Cream
Estrogens ConjugatedWomen's HealthPfizerYesYes
PremproEstrogens Conjugated/
Medroxyprogesterone
Women's HealthPfizerYesYes
PremphaseEstrogens Conjugated/
Medroxyprogesterone
Women's HealthPfizerYesYes
EzetimibeAntihyperlipidemicGeneric MfrYesYes
Ferrous Sulfate (325mg only)Mineral, Iron DeficiencyGeneric MfrYesYes
FluconazoleAntifungalGeneric MfrYesYes
ProzacFluoxetineAntidepressantEli-LillyYesYes
Fluticasone Nasal Spray1 unit/monthSteroidGeneric MfrYesYes
Fluticasone/Salmeterol Inhaler
(Diskus only)
COPD/AsthmaGeneric MfrYesYes
FluvoxamineAntidepressantGeneric MfrYesYes
Folic Acid (1 mg only)Vitamin, Folate DeficiencyGeneric MfrYesYes
FurosemideDiureticGeneric MfrYesYes
Glipizide (IR only)DiabetesGeneric MfrYesYes
Baqsimi Nasal PowderGlucagon1 kit/monthDiabetesEli-LillyYesYes
Glucagon Emergency Injection KitGlucagon1 kit/monthDiabetesEli-LillyYesYes
Haloperidol (oral only)AntipsychoticGeneric MfrYesYes
HydralazineAntihypertensive AgentGeneric MfrYesYes
HydrochlorothiazideAntihypertensive Agent/ DiureticGeneric MfrYesYes
Hydrocortisone 2.5% (Cream or Ointment Only)30 g/monthSteroid, TopicalGeneric MfrYesYes
Hydroxyzine HclAntipruriticGeneric MfrYesYes
Hydroxyzine PamoateInsomnia,Antianxiety, Anti-pruriticGeneric MfrYesYes
Ibuprofen (400,600,800mg only)NSAIDGeneric MfrYesYes
Humulin 70/30, N, RInsulinDiabetesEli-LillyYesYes
Basaglar / LantusInsulin Glargine (Pens Only)DiabetesEli-LillyYesYes
Toujeo / Toujeo MaxInsulin GlargineDiabetesSanofiYesYes
SoliquaInsulin Glargine / LixisenatideDiabetesSanofiYesYes
HumalogInsulin lisproDiabetesEli-LillyYesYes
Humalog Mix 75/25Insulin protamine/lisproDiabetesEli-LillyYesYes
Ipratropium Nebulizer Soln
150 ml/monthAsthmaGeneric Mfr YesYes
Ipratropium / Albuterol Nebulizer
Soln
180 ml/monthAsthmaGeneric MfrYesYes
Isosorbide MononitrateVasodilators/NitratesGeneric MfrYesYes
SporanoxItraconazoleAntifungalJanssenYesYes
Lamotrigine (IR Only)Anticonvulsant/BipolarGeneric MfrYesYes
Latanoprost 0.005% ophthalmic
suspension
Ophthalmic/Eye dropsGeneric MfrYesYes
LevofloxacinAntibioticGeneric MfrYesYes
SynthroidLevothyroxineThyroidAbbVieYesYes
LinzessLinaclotideIrritable Bowel SyndromeForest LabsNoYes
LisinoprilAntihypertensive AgentGeneric MfrYesYes
Lisinopril HCTZAntihypertensive AgentGeneric MfrYesYes
Lithium (Capsules only)Bipolar DisorderGeneric MfrYesYes
Loratadine30 tablets/monthAllergic RhinitisGeneric MfrYesYes
LosartanAntiypertensiveGeneric MfrYesYes
AmitizaLubiprostoneIrritable Bowel SyndromeTakedaNoYes
MedroxyprogesteroneWomen's HealthGeneric MfrYesYes
MeloxicamNSAIDGeneric MfrYesYes
MetforminDiabetesGeneric MfrYesYes
MethimazoleThyroidGeneric MfrYesYes
Methotrexate (oral only)Rheumatoid ArthritisGeneric MfrYesYes
Methylprednisolone (4mg Dose Pack Only)SteroidGeneric MfrYesYes
Metoprolol TartrateAntihypertensiveGeneric MfrYesYes
Metronidazole (oral only)AntibioticGeneric MfrYesYes
MirtazapineAntidepressantGeneric MfrYesYes
Montelukast (10mg only)Asthma/AllergiesGeneric MfrYesYes
LagevrioMolnupiravirAntiviralMerckYesYes
Mupirocin (ointment only)22 g/monthAntibiotic, TopicalGeneric MfrYesYes
NaltrexoneSubstance UseGeneric MfrYesYes
Naproxen (500mg only)NSAIDGeneric MfrYesYes
Neomycin/polymyxin B/
hydrocortisone Otic Suspension
Otic/Ear dropsGeneric MfrYesYes
Nitrofurantoin Mono/
Micro 100mg (Macrobid)
AntibioticGeneric MfrYesYes
Nystatin15 g/monthAntifungal, TopicalGeneric MfrYesYes
Ofloxacin 0.3% ophthalmic
suspension
Ophthalmic/Eye dropsGeneric MfrYesYes
Zyprexa (not Zydis)OlanzapineAntipsychoticEli-LillyYesYes
SymbyaxOlanzapine/FluoxetineAntidepressant, AntipsychoticEli-LillyYesYes
Omeprazole (20mg & 40mg only)GERDGeneric MfrYesYes
Ondansetron (not ODT)30 tablets/monthAntiemeticGeneric MfrYesYes
OxcarbazepineAnticonvulsantGeneric MfrYesYes
Invega Hafyera Injection
(6 month)
PaliperidoneAntipsychoticJanssenNoYes
Invega Sustenna Injection
(1 month)
PaliperidoneAntipsychoticJanssenNoYes
Invega Trinza Injection
(3 month)
PaliperidoneAntipsychoticJanssenNoYes
ParoxetineAntidepressantGeneric MfrYesYes
Penicillin VKAntibioticGeneric MfrYesYes
Pen Needles (31g/6mm)Mail to home onlyDiabetesGeneric MfrYesYes
ElmironPentosan Polysulfate
Sodium
Cystitis PainJanssenYesYes
PerphenazineAntipsychoticGeneric MfrYesYes
PhenytoinAnticonvulsantGeneric MfrYesYes
Potassium (10mEq, 20mEq tablet only)HypokalemiaGeneric MfrYesYes
Prednisolone Acetate 1% ophthalmic
suspension
Ophthalmic/Eye dropsGeneric MfrYesYes
PrednisoneSteroidGeneric MfrYesYes
Promethazine90 tablets/monthAntiemeticGeneric MfrYesYes
Quetiapine (IR only)Schizophrenia, Bipolar,
Antipsychotic
Generic MfrYesYes
RisperidoneAntipsychoticGeneric MfrYesYes
XareltoRivaroxabanAnticoagulantJanssenYesYes
Rizatriptan12 tablets/monthMigraineGeneric MfrYesYes
EntrestoSacubitril/ValsartanHeart FailureNovartisNoYes
SertralineAntidepressantGeneric MfrYesYes
JanuviaSitagliptinDiabetesMerckYesYes
Janumet / Janumet XRSitagliptin/MetforminDiabetesMerckYesYes
SolifenacinOveractive BladderGeneric MfrYesYes
SpironolactoneHeart failure/DiureticGeneric MfrYesYes
Sulfamethoxazole/
Trimethoprim
AntibioticGeneric MfrYesYes
TimololOphthalmic dropsGeneric Mfr YesYes
Spiriva Handihaler / RespimatTiotropiumCOPDBoehringer NoYes
TopiramateAntiseizure, MigraineGeneric MfrYesYes
TrazodoneAntidepressant, InsomniaGeneric MfrYesYes
Triamcinolone 0.025, 0.1, 0.5% (Cream or Ointment Only)30 g/monthSteroid, TopicalGeneric MfrYesYes
Venlafaxine XR (Capsules only)AntidepressantGeneric MfrYesYes
VerquvoVericiguatHeart FailureMerckYesYes
Vitamin D2 (ergocalciferol) (50,000 IU only)8 capsules/monthVitamin, Vit D DeficiencyGeneric MfrYesYes
WarfarinAnticoagulantGeneric MfrYesYes
ZiprasidoneAntipsychoticGeneric MfrYesYes