| Drug Name | Covered | Cash |
|---|---|---|
| Clenpiq | $50 | $161 |
| Plenvu | $55 | $85 |
| Sutab | $50 | $60 |
| Suflave | $50 | $60 |
| Suprep | $45 | $45 |
| Gavilyte | $30 | $30 |
| Xifaxan | $0 | - |
| Ibsrela | $0 | - |
| Linzess | $30 | - |
| Trulance | $25 | - |
| Viberzi | $30 | - |
| Lubiprostone #60 tabs | - | $60 |
| Mesalamine .375g, 1.2g | ||
| Mesalamine 4gm/60mL | 7 Supp. | $70 |
| Mesalamine 1000mg | 30 Supp. | $70 |
| Creon - $5 if covered | $5 | - |
| Zenpep - $5 if covered | $5 | - |
| Talicia | $35 | - |
| Voquezna | $25 | - |