2019 Pfizer Zero Cost Prescription Drug List

2019 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 eligible participants. To ensure 100 percent coverage, remember to fill your prescription at a 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.

Alzheimer's Disease Aricept Anticoagulants Eliquis Anticonvulsants Celontin Cerebyx Dilantin Neurontin Zarontin Antidepressants Effexor XR Pristiq Anti-Diarrheals Lomotil Antifungal Diflucan Kerydin Vfend Antihistamines Vistaril Anti-Infectives Azulfidine Azulfidine Entab Bacitracin for Injection Bicillin C-R Bicillin L-A Cleocin Cortisporin Eraxis Flagyl Flagyl 375 Lincocin Mycobutin Penicillin G Procaine Pfizerpen

Anti-Infectives (cont'd) Silvadene Synercid I.V. Tygacil Unasyn Vibramycin Zithromax Zosyn Zyvox Anti-Inflammatory Steroids Cortef Depo-Medrol Medrol Solu-Cortef Solu-Medrol Antivirals Viracept

Arthritis Drugs Arthrotec Celebrex Daypro Feldene Atopic Dermatitis Eucrisa Auto-Immune Conditions Inflectra IXIFI for Injection Xeljanz Cancer Treatments Aromasin Bavencio Besponsa for Injection Bosulif Camptosar Docetaxel Injection

Cancer Treatments (cont'd) Doxorubicin Hydrochloride Ellence Emcyt Ibrance Idamycin PFS Inlyta Sutent Torisel Xalkori Xtandi Cardiovascular Accupril Accuretic Aldactazide Aldactone Altace Calan Calan SR Cardura Cardura XL Corgard Corvert Corzide Inspra Minipress Nitrostat Norpace Norpace CR Norvasc Procardia Prostin VR Pediatric

Revatio

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

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Cardiovascular (cont'd) Tikosyn Zinecard Cholesterol Lowering Caduet Colestid Lipitor Lopid Chronic Obstructive Pulmonary Disease Spiriva Handi Haler Contraceptives Depo-Provera Depo-SubQ Provera 104 Cough and Cold Tessalon Diabetic Therapy Glucotrol Glucotrol XL Glynase Prestab Glyset Estrogen Replacement Depo-Estradiol Estring Menest Gastrointestinal/Antiulcer Cytotec Nexium? 24HR* Protonix Growth Hormone Genotropin Hematology/Oncology BeneFix Nivestym Retacrit Injection Xyntha

Hemostatics Cyklokapron Fragmin Gel-Flow NT Gelfoam Heparin Sodium Injection Thrombi-GEL Thrombi-PAD Thrombin-JMI Hormone (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 Relpax Miscellaneous Atgam Elelyso Quillichew ER Quillivant XR Trecator Muscle Relaxant Skelaxin

Narcotic Analgesics Embeda Nausea/Vomiting Tigan Neurological Analgesics Lyrica Lyrica CR Ophthalmic Cortisporin Gelfilm Neosporin Ophthalmic Phospholine Iodide Viroptic Xalatan Oxytocics Hemabate Prepidil Prostin E2 Progesterone Replacement Depo-Provera Sleeping Agent Halcion Sonata

Smoking Cessation Chantix Nicotrol Inhaler Nicotrol NS Testosterone Replacement Depo-Testosterone Topical Anti-Inflammatory Flector Patch Vaccinations Prevnar 13 Trumenba

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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 Besylate and Atorvastatin Calcium Atazanavir Sulfate Atorvastatin Calcium Azithromycin Cabergoline Celecoxib Clindamycin Colestipol Dapsone Gel Desvenlafaxine Diclofenac Sodium/Misoprostol Diphenoxylate Hydrochloride/ Atropine Sulfate Dofetilide Doxazosin Mesylate Doxycycline Hyclate Eletriptan Eplerenone Ethosuxumide Exemestane Fluconazole Fluorometholone Gatifloxacin Gentamicin Glipizide XL Hydrocortisone Ketorolac Latanoprost Levobunolol HCl Linezolid Medroxyprogesterone Acetate Injectable Suspension Medroxyprogesterone Acetate Tablets Methylprednisolone

Brand Name Xanax Xanax XR

Caduet

Reyataz Lipitor Zithromax Dostinex Celebrex Cleocin Colestid Aczone Pristiq Arthrotec

Lomotil

Tikosyn Cardura Vibramycin Hyclate Relpax Inspra Zarontin Aromasin Diflucan FML Zymaxid Genoptic Glucotrol XL Cortef Acular LS Xalatan Betagan Zyvox

Depo-Provera

Provera

Medrol

Generic Drug Name

Brand Name

Nadolol

Corgard

Nifedipine

Procardia

Nitroglycerin

Nitrostat

Oxaprozin

Daypro

Phenelzine

Nardil

Phenytoin Oral Suspension, USP Dilantin -125

Phenytoin Tablets

INFATABS Dilantin

Piroxicam

Feldene

Polymyxin B. Sulfate and Trimethoprim

Polytrim

Prazosin

Minipress

Prednisolone Acetate

Pred Forte

Quinapril HCI/ Hydrochlorothiazide

Accuretic

Rifabutin

Mycobutin

Risedronate Sodium

Actonel

Risedronate Sodium DR

Atelvia

Sertraline

Zoloft

Sildenafil

Revatio

Sildenafil Citrate

Viagra

Silver Sulfadiazine

Silvadine

Sirolimus

Rapamune

Spironolactone and Hydrochlorothiazide

Aldactazide

Sucralfate

Carafate

Sulfacetamide

Bleph-10

Sulfasalazine

Azulfidine

Sulfasalazine DR

Azulfidine EN-TABS

Tazarotene

Tazorac

Timolol Maleate

Timoptic

Tolterodine Tartrate

Detrol IR

Tolterodine Tartrate ER

Detrol LA

Trandolapril/Verapamil Hydrochloride ER

Tarka

Triazolam

Halcion

Voriconazole

Vfend

Misoprostol

Cytotec

Ziprasidone

Geodon

This list is current as of August 1, 2018, for coverage effective January 1, 2019. It does not reflect any changes (additions or removals) after August 1, 2018. Pfizer reserves the right to change this list. Because this list covers medications co-branded or co-marketed with other companies, medications may be removed from no-cost coverage as these agreements expire. If a medication is due to be removed from no-cost coverage during a calendar year because of a mid-year expiration, Pfizer will generally maintain the no-cost coverage until the end of the calendar year. New Pfizer medications and Greenstone generic medications are generally added to no-cost coverage during a plan year. As this list may change from year to year, if you have a question about coverage for a specific medication, please contact your prescription drug administrator.

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 2018

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3.PF-H-434A.110

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