Rx Partnership Affiliate Clinic Formulary
Generics listed in (parentheses) are only available as brand name.Updated 7/1/2026
| Disease Category | Brand Name | Generic Name | Dosage Form | Available Strengths | Drug Class | Manufacturer (Brand or Generic-GPO) |
|---|---|---|---|---|---|---|
| Analgesic | Mobic | Meloxicam | Tab | 7.5mg, 15mg | Analgesic, Nonopioid; Nonsteroidal Anti-inflammatory Drug (NSAID) | GPO |
| Analgesic | Naprosyn | Naproxen | Tab | 500mg | Analgesic, Nonopioid; Nonsteroidal Anti-inflammatory Drug (NSAID) | GPO |
| Cardiovascular | Norvasc | Amlodipine Besylate | Tab | 5mg, 10mg | Antihypertensive; Calcium Channel Blocker, Dihydropyridine | GPO |
| Cardiovascular | Lipitor | Atorvastatin | Tab | 10mg, 20mg, 40mg | Antilipemic Agent; HMG CoA Reductase Inhibitor | GPO |
| Cardiovascular | Coreg | Carvedilol | Tab | 3.125mg, 6.25mg, 12.5mg | Antihypertensive; Beta-Blocker with Alpha-Blocking Activity | GPO |
| Cardiovascular | TriCor | Fenofibrate | Tab | 145mg | Antilipemic Agent; Fibric Acid | GPO |
| Cardiovascular | Lasix | Furosemide | Tab | 20mg, 40mg, 80mg | Antihypertensive; Diuretic, Loop | GPO |
| Cardiovascular | Microzide | Hydrochlorothiazide | Cap and Tab (25mg) | 12.5mg, 25mg | Antihypertensive; Diuretic, Thiazide | GPO |
| Cardiovascular | Zestril | Lisinopril | Tab | 5mg, 10mg, 20mg | Antihypertensive; Angiotensin-Converting Enzyme (ACE) Inhibitor | GPO |
| Cardiovascular | Cozaar | Losartan Potassium | Tab | 25mg, 50mg, 100mg | Antihypertensive; Angiotensin II Receptor Blocker (ARB) | GPO |
| Cardiovascular | Lopressor | Metoprolol Tartrate | Tab | 25mg, 50mg | Antihypertensive; Beta-Blocker, Beta-1 Selective | GPO |
| Cardiovascular | Crestor | Rosuvastatin | Tab | 5mg, 10mg, 20mg, 40mg | Antilipemic Agent; HMG CoA Reductase Inhibitor | GPO |
| Cardiovascular | Verquvo | (Vericiguat) | Tab | 2.5mg, 5mg, 10mg | Soluble Guanylate Cyclase (sGC) Stimulator | MER |
| Cardiovascular | Tikosyn | (Dofetilide) | Cap | 0.125mg, 0.250mg, 0.500mg | Antiarrhythmic Agent; Class III | PFZ |
| Diabetes | Glucophage | Metformin | Tab | 500mg, 1000mg | Antidiabetic Agent; Biguanide | GPO |
| Diabetes | Glucophage ER | Metformin ER | Tab | 500mg | Antidiabetic Agent; Biguanide | GPO |
| Diabetes | Glucotrol | Glipizide | Tab | 5mg, 10mg | Antidiabetic Agent; Sulfonylurea | GPO |
| Diabetes | Janumet | (Sitagliptin/Metformin) | Tab | 50/500mg, 50/1000mg | Antidiabetic Agent; Biguanide/Dipeptidyl Peptidase (DPP-IV) Inhibitor | MER |
| Diabetes | Janumet XR | (Sitagliptin/Metformin ER) | Tab | 50/500mg, 50/1000mg, 100/1000mg | Antidiabetic Agent; Biguanide/Dipeptidyl Peptidase (DPP-IV) Inhibitor | MER |
| Diabetes | Januvia | (Sitagliptin) | Tab | 25mg, 50mg, 100mg | Antidiabetic Agent; Dipeptidyl Peptidase (DPP-IV) Inhibitor | MER |
| Gastrointestinal | Emend | (Aprepitant) | Pack (2 Cap) | 80mg | Antiemetic | MER |
| Gastrointestinal | Emend Combo Pack | (Aprepitant) | Pack (3 Cap) | 80mg & 125mg | Antiemetic | MER |
| Gastrointestinal | Pepcid | Famotidine | Tab | 20mg, 40mg | Histamine H2 Antagonist | GPO |
| Gastrointestinal | Prilosec | Omeprazole | Cap | 20mg, 40mg | Proton Pump Inhibitor (PPI) | GPO |
| Hormone Therapy | Duavee | (Bazedoxifen/conjugated estrogens) | Tab | 0.45/20mg | Estrogen Derivative; Selective Estrogen Receptor Modulator (SERM) | PFZ |
| Hormone Therapy | Premarin Tablets | (Conjugated estrogens) | Tab | 0.3mg, 0.45mg, 0.625mg, 0.9mg, 1.25mg | Estrogen Derivative | PFZ |
| Hormone Therapy | Premarin Vaginal Cream Tube | (Conjugated estrogens) | Tube (30 Grams) | 0.625mg/30mg | Estrogen Derivative | PFZ |
| Hormone Therapy | Premphase | (Conjugated estrogens/medroxyprogesterone acetate) | Tab | 0.625/5mg | Estrogen/Progestin | PFZ |
| Hormone Therapy | Prempro | (Conjugated estrogens/medroxyprogesterone acetate) | Tab | 0.3/1.5mg, 0.45/1.5mg, 0.625/2.5mg, 0.625/5mg | Estrogen/Progestin | PFZ |
| Infectious Disease (Anti-fungal) | Mepron Suspension | (Atovaquone) | Oz (8) | 750mg/5mL 210mL | Antiprotozoal | GSK |
| Infectious Disease (Antibiotic) | Malarone 100s | (Atovaquone/proguanil) | Tab | 250mg/100mg, Ped 62.5mg/25mg | Antimalarial Agent | GSK |
| Infectious Disease (Antiviral, Influenza) | Relenza Inhalation Powder | (Zanamivir) | Blisters (20) | Antiviral Agent; Neuraminidase Inhibitor | GSK | |
| Infectious Disease (COVID-19) | Lagevrio | (Molnupiravir) | Cap | 200mg | Antiviral Agent | MER |
| Infectious Disease (HIV) | Delstrigo | (Doravirine/lamivudine/tenofovir) | Tab | 100/300/300mg | Antiretroviral; Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) | MER |
| Infectious Disease (HIV) | Isentress | (Raltegravir) | Tab | 100mg (chewable), 400mg | Antiretroviral; Integrase Inhibitor | MER |
| Infectious Disease (HIV) | Pifeltro | (Doravirine) | Tab | 100mg | Antiretroviral; Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) | MER |
| Mental Health | Cymbalta | Duloxetine | Tab | 20mg, 30mg, 60mg | Antidepressant; Serotonin/Norepinephrine Reuptake Inhibitor (SNRI) | GPO |
| Mental Health | Lexapro | Escitalopram | Tab | 5mg, 10mg, 20mg | Antidepressant; Selective Serotonin Reuptake Inhibitor (SSRI) | GPO |
| Mental Health | Prozac | Fluoxetine | Tab | 10mg, 20mg, 40mg | Antidepressant; Selective Serotonin Reuptake Inhibitor (SSRI) | GPO |
| Mental Health | Zoloft | Sertraline HCL | Tab | 25mg, 50mg, 100mg | Antidepressant; Selective Serotonin Reuptake Inhibitor (SSRI) | GPO |
| Mental Health | Desyrel | Trazodone | Tab | 50mg, 100mg | Antidepressant; Serotonin Reuptake Inhibitor/Antagonist | GPO |
| Mental Health | Effexor | Venlafaxine HCL ER | Cap | 37.5mg, 75mg, 150mg | Antidepressant; Serotonin/Norepinephrine Reuptake Inhibitor (SNRI) | GPO |
| Mental Health/Smoking Cessation | Wellbutrin SR | Bupropion SR | Tab | 150mg | Antidepressant; Dopamine/Norepinephrine-Reuptake Inhibitor; Smoking Cessation Aid | GPO |
| Musculoskeletal | Flexeril | Cyclobenzaprine | Tab | 10mg | Skeletal Muscle Relaxant | GPO |
| Neurological (Migraine) | Nurtec ODT | (Rimegepant) | Tab | 75mg | Antimigraine Agent; Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist | PFZ |
| Neurological (Migraine) | Zavzpret Nasal Spray | (Zavegepant) | Pack (6 Blisters) | 10mg | Antimigraine Agent; Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist | PFZ |
| Neurological (Migraine) | Topamax | Topiramate | Tab | 25mg, 50mg | Antiseizure Agent; Antimigraine | GPO |
| Neurological (Seizure) | Keppra | Levetiracetam | Tab | 500mg | Antiseizure Agent | GPO |
| Neurological (Seizure) | Depakote DR | (Divalproex DR) | Tab | 125mg, 250mg, *500mg (*currently unavailable) | Antiseizure Agent; Histone Deacetylase Inhibitor | ABB |
| Neurological (Seizure) | Depakote ER | (Divalproex ER) | Tab | 250mg, *500mg (*currently unavailable) | Antiseizure Agent; Histone Deacetylase Inhibitor | ABB |
| Neurological (Seizure) | Depakote Sprinkle Capsules | (Divalproex sprinkle) | Cap | 125mg | Antiseizure Agent; Histone Deacetylase Inhibitor | ABB |
| Neurological (Seizure) | Lamictal | (Lamotrigine) | Tab | 25mg (chewable), 100mg, 150mg, 200mg | Antiseizure Agent | GSK |
| Respiratory | Arnuity Ellipta | (Fluticasone furoate) | Inhaler (30 Blisters) | 50mcg, 100mcg, 200mcg | Corticosteroid, Inhalant | GSK |
| Respiratory | Breo Ellipta | (Fluticasone furoate/vilanterol) | Diskus (14 or 30 Blisters) | 100/25mcg, 200/25mcg | Beta 2 Agonist, Long Acting; Corticosteriod, Inhalant | GSK |
| Respiratory | Incruse Ellipta | (Umeclidinium bromide) | Diskus (30 Blisters) | 62.5mcg | Anticholinergic Agent; Long Acting | GSK |
| Respiratory | Serevent Diskus | (Salmeterol) | Diskhaler (60 Blisters) | 50mcg | Beta 2 Agonist, Long-Acting | GSK |
| Respiratory | Singular | Montelukast | Tab | 10mg | Leukotriene Receptor Antagonist | GPO |
| Respiratory | Trelegy Ellipta | (Fluticasone furoate, umeclidinium and vilanterol) | Inhaler (60 Blisters) | 100mcg, 200mcg | Anticholinergic Agent; Beta 2 Agonist, Long Acting | GSK |
| Respiratory | Anoro Ellipta | (Umeclidinium bromide/vilanterol) | Diskus (60 Blisters) | 62.5/25mcg | Anticholinergic Agent; Beta 2 Agonist, Long Acting | GSK |
| Thyroid | Synthroid | (Levothyroxine) | Tab | 25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcg | Thyroid product | ABB |
| Vaccine | Gardasil 9 | (9-valent HPV vaccine) | Syringe (Tray of 10) | 0.5mL | Vaccine, Inactivated | MER-VAC |
| Vaccine | M-M-R II Vaccine with Diluent | (Measles, mumps, and rubella virus vaccine live) | Vial (Tray of 10) | 0.5mL | Vaccine, Live | MER-VAC |
| Vaccine | Pneumovax 23 | Pneumococcal (conjugate and polysaccharide) | Syringe (Tray of 10) | 0.5mL | Vaccine, Inactivated | MER-VAC |
| Vaccine | Recombivax HB | (Hepatitis B vaccine (recombinant) | Syringe (Tray of 10) | 10mcg/mL | Vaccine, Inactivated | MER-VAC |
| Vaccine | Recombivax HB | (Hepatitis B vaccine (recombinant) | Vial (One Vial) | 40mcg/mL | Vaccine, Inactivated | MER-VAC |
| Vaccine | Vaqta (Hep A Vaccine) | (Hepatitis A vaccine inactivated) | Syringe (Tray of 10) | 50U/1mL | Vaccine, Inactivated | MER-VAC |
| Vaccine | Varivax Vaccine with Diluent | (Varicella virus vaccine) | Vial (Tray of 10) | 0.5mL | Vaccine, Live | MER-VAC |
| Vaccine | Vaxneuvance | (Pneumococcal 15-valent conjugate vaccine) | Syringe (Tray of 10) | 0.5mL | Vaccine, Inactivated | MER-VAC |
| Vaccine | Abrysvo | (Respiratory Syncytial Virus vaccine) | Vial (One Vial) | 0.5mL | Vaccine, Inactivated | PFZ |
| Vaccine | Comirnaty | (COVID 19 vaccine, mRNA) | Syringe (Tray of 10) | 0.5mL | Vaccine, Live | PFZ |
| Vaccine | Penbraya | (Meningococcal Groups A, B, C, W, and Y vaccine) | Vial (Tray of 5) | 0.5mL | Vaccine, Inactivated | PFZ |
| Vaccine | Prevnar-20 | (Pneumococcal 20-valent Conjugate vaccine) | Syringe (Tray of 10) | 0.5mL | Vaccine, Inactivated | PFZ |
| Vaccine | Trumenba | (Meningococcal Group B vaccine) | Syringe (Tray of 5) | 0.5mL | Vaccine, Inactivated | PFZ |
| Vaccine | Sterile Diluent | Vials (Tray of 10) | 0.7mL | MER-VAC |