Oral Medications
| Naprelan |
375mg & 500mg Tabs |
60 Tabs |
| Lofena |
25mg Tabs |
60 Tabs |
| Meloxicam |
5mg & 10mg Caps |
30-60 Tabs |
| Vimovo |
375mg & 500mg Tabs |
60 Tabs |
| Methocarbamol |
1000mg |
90 Tabs |
| Gralise |
300, 600, 900mg |
60 Tabs |
| Dolobid |
250 mg Tabs |
90 Tabs |
| Journavyx |
50mg Tabs |
60 Tabs |
| Relafen |
100mg Tabs |
60 Tabs |
| Relistor |
($0 if covered) |
Topical Medications - Pain Relief
| Ztlido |
1.8% Patch |
60 Patches |
| Diclofenac |
2% Solution |
224mL |
| Methylene |
10% Cream |
120g |
| Lidocaine |
4% Patch |
60 Patches |
| Lidocaine |
5% Patch |
30 Patches |
| Doxepin |
5% Cream |
60g |
Antifungal Medications
| Jubila |
10% Solution |
4&8mL |
| Tavabarole |
5% Solution |
10mL |
| Oxiconazole |
1% Cream |
60g |
| Naftin |
2% Gel & Cream |
60g |
| Ciclopirox |
0.77% Gel |
100g |
| Ketoconazole |
2% Foam |
60g |
| Ertaczo |
2% Cream |
60g |
Topical Steroids
| Diflorasone |
0.5% Cream |
60g |
| Hydrocortisone |
2.5% Solution |
60mL |
| Amcinonide |
0.1% Cream |
60g |
| Halcinonide |
0.1% Cream |
120g |
July 2025