Available Medications

B

BAVENCIO®

(avelumab) injection

BeneFIX®

Coagulation Factor IX (Recombinant)

Co-pay Savings Program

BESPONSA™

(inotuzumab ozogamicin, for injection, for intravenous use)

Co-pay Savings Program

BOSULIF®

(bosutinib) tablets

Co-pay Savings Program

BRAFTOVI®

(encorafenib) capsules

Co-pay Savings Program

C

CELONTIN®

(methsuximide) capsules, USP

CIBINQO™

(abrocitinib) tablets

Co-pay Savings Program

CUTAQUIG®

(Immune Globulin Subcutaneous (Human) - hipp)

Co-pay Savings Program

CYTOMEL®

(liothyronine sodium) tablets

D

DAURISMO™

(glasdegib) tablets

Co-pay Savings Program

DEPO®-ESTRADIOL

(estradiol cypionate) injection, USP

DUAVEE™

(conjugated estrogens/bazedoxifene) tablets

Co-pay Savings Program

E

ELELYSO™

(taliglucerase alfa) for injection

Co-pay Savings Program

ELIQUIS®

(apixaban tablets)

ESTRING®

(estradiol vaginal ring)

Co-pay Savings Program

EUCRISA®

(crisaborole) ointment 2%

Co-pay Savings Program

I

IBRANCE®

(palbociclib) capsules

Co-pay Savings Program

INFLECTRA®

(infliximab-dyyb) for injection

Co-pay Savings Program

INLYTA®

(axitinib) tablets

Co-pay Savings Program

L

LORBRENA®

(lorlatinib) tablets

Co-pay Savings Program

M

MEKTOVI®

(binimetinib) tablets

Co-pay Savings Program

MYFEMBREE®

(relugolix, estradiol, and norethindrone acetate) tablets

Co-pay Savings Program

MYLOTARG™

(gemtuzumab ozogamicin) for injection

Co-pay Savings Program

N

NEURONTIN®

(gabapentin)

NITROSTAT®

(nitroglycerin) sublingual tablet

NIVESTYM®

(filgrastim-aafi) injection

Co-pay Savings Program

NORPACE® CR

(disopyramide phosphate)

Nurtec®

ODT (rimegepant)

Co-pay Savings Program

NYVEPRIA™

(pegfilgrastim-apgf) injection

Co-pay Savings Program

O

Oxbryta®

ODT (voxelotor)

Co-pay Savings Program

P

PANZYGA®

(immune globulin intravenous, human - ifas)

Co-pay Savings Program

PREMARIN®

(conjugated estrogens) Vaginal Cream

Co-pay Savings Program

PREMARIN®

(conjugated estrogens) tablets, USP

Co-pay Savings Program

PREMPHASE®

(conjugated estrogens plus medroxyprogesterone acetate) tablets

PREMPRO®

(conjugated estrogens/medroxyprogesterone acetate) tablets

PREVNAR 13®

Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein]

PREVNAR 20™

(Pneumococcal 20-valent Conjugate Vaccine)

R

RETACRIT®

(epoetin alfa-epbx) injection

RUXIENCE™

(rituximab-pvvr) injection

Co-pay Savings Program

S

SOMAVERT®

(pegvisomant) for injection

Co-pay Savings Program

SYNAREL®

(nafarelin acetate) nasal solution

T

TALZENNA®

(talazoparib) capsules

Co-pay Savings Program

TESSALON®

(benzonatate) capsules, USP

TIKOSYN®

(dofetilide) capsules

TRAZIMERA™

(trastuzumab-qyyp) for injection

Co-pay Savings Program

TRECATOR®

(ethionamide) tablets

TRUMENBA®

(Meningococcal Group B Vaccine)

V

VIZIMPRO®

(dacomitinib) tablets

Co-pay Savings Program

VYNDAMAX®

(tafamidis) capsules

Co-pay Savings Program

VYNDAQEL®

(tafamidis meglumine) capsules

Co-pay Savings Program

X

XALKORI®

(crizotinib) capsules

Co-pay Savings Program

XELJANZ®

(tofacitinib) tablets

Co-pay Savings Program

XELJANZ® (tofacitinib)

oral solution

Co-pay Savings Program

XELJANZ® XR

(tofacitinib) extended-release tablets

Co-pay Savings Program

XYNTHA®

Antihemophilic Factor (Recombinant)

Co-pay Savings Program

Z

ZARONTIN®

(ethosuximide)

ZIRABEV™

(bevacizumab-bvzr) injection

Co-pay Savings Program

Back

B

C

D

E

I

L

M

N

O

P

R

S

T

V

X

Z

Can’t find your patient’s medication?