Pfizer Zero Cost Prescription Drug List - Caremark

Alzheimer's Disease Aricept

Anticoagulants Eliquis

Anti-Convulsants Celontin Cerebyx Dilantin Lyrica Neurontin Zarontin

Antidepressants Effexor XR Pristiq

Anti-Diarrheals Lomotil

Anti-Fungal Diflucan Kerydin Vfend

Antihistamines Vistaril

Anti-Infectives Azulfidine Azulfidine Entab Bacitracin Bicillin C-R Bicillin L-A Cleocin HCI Cleocin Pediatric Cleocin Phosphate IV Cleocin T Cleocin Vaginal Cream Cleocin Vaginal Ovules Cortisporin Eraxis Flagyl Flagyl 375 Flagyl ER Lincocin Mycobutin Neosporin G.U. Irrigant Penicillin G Procaine Pfizerpen Septra Silvadene Synercid Tygacil

Pfizer Zero Cost Prescription Drug List

This list highlights the Pfizer prescription drugs that are covered at 100 percent when dispensed through a pharmacy under Pfizer-sponsored prescription drug coverage for colleagues and retirees. To ensure 100 percent coverage, remember to ask your physician to write the prescription as "dispense as written" to ensure there is no substitution with a non-Pfizer medication and fill your prescription at a participating in-network pharmacy. Note: Pfizer medications that are covered under your medical plan coverage are not covered by the Pfizer Zero Cost Prescription Drug List.

This list is subject to change as new medications are added and some are removed. If you have a question about coverage for a specific Pfizer medication, please contact your prescription drug administrator.

Unasyn Vibramycin Viracept Zithromax Zmax Zosyn Zyvox

Anti-Inflammatory Steroids Cortef Depo-Medrol Medrol Solu-Cortef Solu-Medrol

Anti-Obesity (Weight Loss) Didrex

Anti-Virals Viracept

Arthritis Drugs Arthrotec Celebrex Daypro Feldene

Atopic Dermatitis Eucrisa

Cancer Treatments Aromasin Bavencio Besponsa Bosulif Camptosar Docetaxel Doxorubicin Ellence Emcyt Ibrance Idamycin PFS Inlyta Sutent Torisel Kit Xalkori Xtandi

Cardiovascular Accupril Accuretic Aldactazide Aldactone Altace Calan

Calan SR Cardura Cardura XL Cordarone Corgard Corvert Corzide Inspra Minipress Nitrostat Norpace Norpace CR Norvasc Procardia Prostin VR Pediatric Revatio Tikosyn Zinecard

Cholesterol Lowering Caduet Colestid Colestid Flavored Lipitor Lopid

Chronic Obstructive Pulmonary Disease Spiriva

Contraceptives Depo-Provera Depo-SubQ Provera 104

Cough and Cold Tessalon Tussigon

Crohn's Disease Inflectra

Diabetic Therapy Glucotrol Glucotrol XL Glynase Prestab Glyset

Estrogen Replacement Depo-Estradiol Estring Menest

Gastrointestinal/Anti-Ulcer Cytotec Nexium? 24HR* Protonix

Growth Hormone Genotropin

Hematology/Oncology BeneFix Neumega Xyntha

Hemostatics Cyklokapron Fragmin Gelfoam Heparin Sodium Injection Thrombi-GEL Thrombin-JMI Thrombi-PAD

Hormones (Misc.) R-Gene 10 Somavert Synarel

Hormone Therapies Cytomel Duavee Levoxyl Premarin Premphase Prempro Provera Synarel Tapazole

Immunosuppressants Rapamune

Impotence Caverject Viagra

Incontinence Detrol Detrol LA Toviaz

Mental Health Drugs Geodon Nardil Xanax Zoloft

Migraine Alsuma Relpax

Continued on back

Miscellaneous Atgam Elelyso Quillichew ER Quillivant XR Trecator

Muscle Relaxant Skelaxin

Narcotic Analgesics Avinza Embeda Troxyca ER

Nausea/Vomiting Tigan

Neurological Analgesics Lyrica

Ophthalmic Cortisporin Cortisporin Otic Gelfilm Neosporin Ophthalmic Phospholine Iodide Viroptic Xalatan

Otic Cortisporin Otic

Oxytocics Hemabate Prepidil Prostin E2 Vaginal Supp

Pain, Inflammation, Arthritis and Psoriasis Inflectra Xeljanz

Progesterone Replacement Depo-Provera

Sleeping Agent Halcion Sonata

Smoking Cessation Chantix Nicotrol Inhaler Nicotrol NS

Testosterone Replacement Depo-Testosterone

Topical Anti-Inflammatory Flector

Vaccinations Prevnar 13 Trumenba

Greenstone Generic Drugs

When filling a prescription for a generic medication, ask your pharmacist if a Greenstone generic is available.

Generic Drug Name Alprazolam Alprazolam XR Amlodipine Atorvastatin Calcium Tablets Azithromycin Cabergoline Celecoxib Clindamycin Colestipol Desvenlafaxine Diclofenac Sodium/Misoprostol Diphenox/Atrop Diphenoxylate HCI Dofetilide Capsules Doxazosin Mesylate Doxycycline Hyclate Eletriptan Eplerenone Ethosuxumide Exemestane Fluconazole Fluorometholone Gabapentin Gatifloxacin Gentamicin Glipizide XL Hydrocortisone Tablets Ketorolac Latanoprost Levobunolol HCl Linezolid Medroxyprogesterone Methylprednisolone

Brand Name Xanax Xanax XR Norvasc Lipitor Zithromax Dostinex Celebrex Cleocin Colestid Pristiq Arthrotec Lomotil Lomotil Tikosyn Cardura Vibramycin Relpax Inspra Zarontin Aromasin Diflucan FML Neurontin Zymaxid Genoptic Glucotrol XL Cortef Acular LS Xalatan Betagan Zyvox Provera Medrol

Generic Drug Name Misoprostol MPA USP Nadolol Nifedipine (10mg Caps) Nitroglycerin Oxaprozin Caplets Phenelzine Phenytoin Oral

Suspension, USP Piroxicam Polymyxin Prazosin Prednisolone Acetate Quinapril HCl Quinapril HCTZ Rifabutin Risedronate Sodium Sertraline Sildenafil Tablets Sirolimus Spironolactone Sucralfate Tablets Sulfacetamide Sulfasalazine Sulfasalazine DR Tazarotene Timolol Maleate Tolterodine Tartrate Tabs Trandolapril Verapamil HCL Triazolam Trifluridine Ophthalmic

Solution Venlafaxine Voriconazole Ziprasidone

Brand Name Cytotec Depo-Provera Contraceptive Corgard Procardia Nitrostat Daypro Nardil Dilantin

Feldene Polytrim Minipress Pred Forte Accupril Accuretic Mycobutin Atelvia Zoloft Revatio Rapamune Aldactone Carafate Bleph-10 Azulfidine Azulfidine EN Tazorac Timoptic Detrol IR Tarka (Trandolapril/Verapamil ER) Halcion VIROPTIC? Ophthalmic

Solution Effexor XR Vfend Geodon

* Nexium? 24HR is an over-the-counter product available at no cost if purchased with a prescription at a network pharmacy.

This communication comes to you from Pfizer Human Resources. The utmost care has been taken to provide accurate information. However, in the event there is a conflict between the information you read here and the official Plan document, the official Plan document will control.

September 2017

3.PF-H-434A.109

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