Rx Partnership AMP Clinic Formulary

Available brand or generic medication name in (parentheses).
Medication with a * need ADDITIONAL APPROVAL.

Updated 7/1/2026


Disease CategoryBrand NameGeneric NameDosage FormAvailable StrengthsDrug Class
AnalgesicAdvil(Ibuprofen)Tab600mg, 800mgNonsteroidal Anti-inflammatory Drug (NSAID)
AnalgesicMobic(Meloxicam)Tab7.5mg, 15mgNonsteroidal Anti-inflammatory Drug (NSAID)
AnalgesicAleve(Naproxen)Tab500mgNonsteroidal Anti-inflammatory Drug (NSAID)
CardiovascularNorvasc(Amlodipine Besylate)Tab5mg, 10mgCalcium Channel Blocker, Dihydropyridine
CardiovascularTenormin(Atenolol)Tab25mg, 50mgAntihypertensive; Beta-Blocker, Beta-1 Selective
CardiovascularLipitor(Atorvastatin)Tab10mg, 20mg, 40mgAntilipemic Agent; HMG-CoA Reductase Inhibitor
CardiovascularCoreg(Carvedilol)Tab3.125mg, 6.25mg, 12.5mg, 25mgAntihypertensive; Beta-Blocker With Alpha-Blocking Activity
CardiovascularCatapres(Clonidine HCL)Tab0.1mg, 0.2mg, 0.3mgAntihypertensive; Alpha 2-Adrenergic Agonist
CardiovascularPlavix(Clopidigrel)Tab75mgAntiplatelet Agent; P2Y12 receptor inhibitor
CardiovascularZetia(Ezetimibe)Tab10mgAntilipemic agent; Cholesterol absorption inhibitor
CardiovascularTricor(Fenofibrate)Tab145mgAntilipemic Agent; Fibric Acid
CardiovascularLasix(Furosemide)Tab20mg, 40mg, 80mgAntihypertensive; Diuretic, Loop
CardiovascularHydralazine(Hydralazine)Tab25mgAntihypertensive; Vasodilator
CardiovascularMicrozide(Hydrochlorothiazide)12.5 (Cap) 25 (Tab)12.5mg, 25mgAntihypertensive; Diuretic, Thiazide
CardiovascularPrinvil(Lisinopril)Tab5mg, 10mg, 20mgAntihypertensive; Angiotensin-Converting Enzyme (ACE) Inhibitor
CardiovascularCozaar(Losartan Potassium)Tab25mg, 50mg, 100mgAntihypertensive; Angiotensin II Receptor Blocker (ARB)
CardiovascularLopressor(Metoprolol Tartrate)Tab25mg, 50mg, 100mgAntihypertensive; Beta-Blocker, Beta-1 Selective
CardiovascularCrestor(Rosuvastatin)Tab5mg, 10mg, 20mg, 40mgAntilipemic Agent; HMG-CoA Reductase Inhibitor
CardiovascularZocor(Simvastatin)Tab10mg, 40mgAntilipemic Agent; HMG-CoA Reductase Inhibitor
CardiovascularAldactone(Spironolactone)Tab25mg, 50mgAntihypertensive; Diuretic, Potassium Sparing; Aldosterone Receptor Antagonist
CardiovascularCalan(Verapamil HCL)Tab80mg, 120mgCalcium Channel Blocker, Nondihydropyridine
CardiovascularCoumadin(Warfarin)Tab1mg, 5mgAnticoagulant; Vitamin K Antagonist
Diabetes(Janumet) Sitagliptin/MetforminTab50/500mg, 50/1000mgAntidiabetic Agent; Biguanide/Dipeptidyl Peptidase (DPP-IV) Inhibitor
Diabetes(Janumet XR)Sitagliptin/Metformin ERTab50/500mg, 50/1000mg, 100/1000mgAntidiabetic Agent; Biguanide/Dipeptidyl Peptidase (DPP-IV) Inhibitor
Diabetes(Januvia)SitagliptinTab25mg, 50mg, 100mgAntidiabetic Agent; Dipeptidyl Peptidase (DPP-IV) Inhibitor
DiabetesGlucotrol(Glipizide)Tab5mg, 10mgAntidiabetic Agent; Sulfonylurea
DiabetesGlucophage(Metformin HCL)Tab500mg, 1000mgAntidiabetic Agent; Biguanide
DiabetesGlucophage ER(Metformin HCL ER)Tab500mgAntidiabetic Agent; Biguanide
GastrointestinalPepcid(Famotidine)Tab20mg, 40mgHistamine H2 Antagonist
GastrointestinalPrilosec(Omeprazole)Tab20mg, 40mgProton Pump Inhibitor (PPI)
GastrointestinalProtonix(Pantoprazole SOD DR)Tab20mg, 40mgProton Pump Inhibitor (PPI)
GoutZyloprim(Allopurinol)Tab100mg, 300mgAntigout Agent; Xanthine Oxidase Inhibitor
Hormone Therapy(Premarin)Conjugated estrogensTab0.3mg, 0.625mg, 0.9mg, 1.25mg
Estrogen Derivative
Hormone Therapy(Premarin Vaginal Cream)Conjugated estrogensTube (30 Grams)0.625mg
Estrogen Derivative
Hormone Therapy(Prempro)Conjugated estrogens / Medroxyprogesterone acetateTab0.625/2.5mg, 0.625/5mg
Estrogen/Progestin
Mental HealthElavil(Amitriptyline HCL)Tab25mgAntidepressant; Tricyclic
Mental HealthAbilify(Aripiprazole)Tab2mg, 5mg, 10mgAntipsychotic, Atypical (2nd Generation)
Mental HealthWellbutrin(Bupropion HCL SR)Tab100mg, 150mgAntidepressant; Smoking Cessation Aid; Dopamine/Norepinephrine-Reuptake Inhibitor
Mental HealthBuspar(Buspirone HCL)Tab15mgAntianxiety Agent
Mental HealthCelexa(Citalopram HBR)Tab10mg, 20mg, 40mgAntidepressant; Selective Serotonin Reuptake Inhibitor (SSRI)
Mental HealthCymbalta(Duloxetine)Tab20mg, 30mg, 60mgAntidepressant; Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)
Mental HealthLexapro(Escitalopram)Tab5mg, 10mg, 20mgAntidepressant; Selective Serotonin Reuptake Inhibitor (SSRI)
Mental HealthProzac(Fluoxetine)Tab10mg, 20mg, 40mgAntidepressant; Selective Serotonin Reuptake Inhibitor (SSRI)
Mental HealthRemeron(Mirtazapine)Tab15mg, 30mgAntidepressant; Alpha-2 Antagonist
Mental HealthPaxil(Paroxetine HCL)Tab20mg, 40mgAntidepressant; Selective Serotonin Reuptake Inhibitor (SSRI)
Mental HealthSeroquel(Quetiapine)Tab25mg, 50mg, 100mgAntipsychotic, Atypical (2nd Generation)
Mental HealthRisperdal(Risperidone)Tab0.25mg, 0.5mg, 1mgAntipsychotic, Atypical (2nd Generation)
Mental HealthZoloft(Sertraline HCL)Tab25mg, 50mg, 100mgAntidepressant; Selective Serotonin Reuptake Inhibitor (SSRI)
Mental HealthDesyrel(Trazodone)Tab50mg, 100mgAntidepressant; Serotonin Reuptake Inhibitor/Antagonist
Mental HealthEffexor(Venlafaxine HCL ER)Cap37.5mg, 75mg, 150mgAntidepressant; Serotonin/Norepinephrine Reuptake Inhibitor (SNRI)
Mental Health/Smoking CessationZyban(Bupropion HCL SR)Tab150mg (Zyban)Antidepressant; Smoking Cessation Aid; Dopamine/Norepinephrine-Reuptake Inhibitor
MusculoskeletalFlexeril(Cyclobenzaprine)Tab10mgSkeletal Muscle Relaxant
NeurologicalKeppra(Levetiracetam)Tab500mg, 750mgAnticonvulsant
NeurologicalTopamax(Topiramate)Tab25mg, 50mgAnticonvulsant
Neurological (Migraine)(Nurtec ODT)RimegepantTab75mg Antimigraine Agent; Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist
Neurological (Migraine)Imitrex(Sumatriptan SUCC)Tab50mgAntimigraine Agent; Serotonin 5-HT Receptor Agonist
Neurological (Seizure)(Depakote DR)Divalproex DRTab125mg, 250mg, 500mgAntiseizure Agent; Histone Deacetylase Inhibitor
Neurological (Seizure)(Depakote ER)Divalproex ERTab250mgAntiseizure Agent; Histone Deacetylase Inhibitor
Neurological (Seizure)(Lamictal)LamotrigineTab25mg, 100mg, 150mg, 200mgAntiseizure Agent
OsteoporosisFosamax(Alendronate Sodium)Tab70mgBisphosphonate Derivative
Other Medical ConditionsPlaquenil(Hydroxychloroquine)Tab200mgAminoquinoline (Antimalarial)
Other Medical ConditionsRheumatrex(Methotrexate)Tab2.5mgAntineoplastic Agent, Antimetabolite (Antifolate); Antirheumatic, Immunosuppressant Agent
Other Medical ConditionsKlorCon(Potassium Chloride)Tab10mEqElectrolyte Supplement, Oral
Other Medical ConditionsDeltasone(Prednisone)Tab5mg, 10mgCorticosteroid, Systemic
Other Medical ConditionsRequip(Ropinirole)Tab0.50mg, 1mgAnti-Parkinson's Agent; Dopamine Agonist
Other Medical ConditionsVitamin D(Vitamin D2 50,000 IU)Cap1.25mgVitamin D Analog
ProstateFlomax(Tamsulosin)Cap0.4mgAlpha 1 Blocker
Respiratory(Anoro Ellipta)Umeclidinium bromide / VilanterolDiskus (60 Blisters)62.5mcg/25mcgAnticholinergic Agent; Beta 2 Agonist, Long Acting
Respiratory(Arnuity Ellipta)Fluticasone furoateInhaler (30 Blisters)50mcg, 100mcg, 200mcgCorticosteroid, Inhalant
Respiratory(Breo Ellipta)Fluticasone furoate / VilanterolDiskus (14 or 30 Blisters)100/25mcg, 200/25mcgBeta 2 Agonist, Long Acting; Corticosteriod, Inhalant
Respiratory(Incruse Ellipta)Umeclidinium bromideDiskus (30 Blisters)62.5mcgAnticholinergic Agent; Long Acting
Respiratory(Serevent Diskus)SalmeterolDiskhaler (60 Blisters)50mcgBeta 2 Agonist, Long-Acting
Respiratory(Trelegy Ellipta)Fluticasone furoate, Umeclidinium and VilanterolInhaler (60 Blisters)100mcg/62.5mcg/25mcg, 200mcg/62.5mcg/25mcgAnticholinergic Agent; Beta 2 Agonist, Long Acting
RespiratoryZyrtec(Cetirizine)Tab10mgHistamine H1 Antagonist
RespiratoryAtarax(Hydroxyzine Pamoate)Cap25mgHistamine H1 Antagonist
RespiratorySingulair(Montelukast)Tab10mgLeukotriene Receptor Antagonist
Thyroid(Synthroid)LevothyroxineTab25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcgThyroid product