Generic Prescription Drug List

PCHC works to offer the most complete list of discount medications in the area.

These discounted medications, sorted by the reason the medication is taken, are available to patients with a prescription written by a PCHC provider. The prices are available to patients with or without insurance.

How to read the chart:

  1. Look for the reason the medication is taken under “Drug Category”
  2. Look for the medication name in the “Drug Name” column. If the medication you take is not listed, ask your provider if you are able to switch medications from the one you are taking to one on this list. (Remember that not all medications can be switched.)
  3. The number under the “30 Day” column is the most of that medication that can be purchased for a 30 day period for the price listed under the next column, “Patient Cost.” If the number 30 is under the “30 Day” column and costs $4, but you take 2 capsules a day, and would need 60 capsules to fill a prescription for one month, the cost would be $8.
  4. The “90 Day” column and related cost column can help you save money by purchasing more medication at once. If you take 30 capsules of medicine and pick it up every month for $4, at the end of three months, that would have cost you $12. This “90 Day” option allows you to pick up 90 capsules of your medication at one time and pay $10 for it, instead of the $12. It is important to read the table carefully, as some prices vary.

If you have any questions about your medications, ask your PCHC pharmacist or call 207-992-4100.

Discount Medication Price List
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> Click here to learn about the Affordable Care Program (ACP) Discount Medications


Drug Name30 dayPatient Cost90 dayPatient Cost
Allergies, Cold and Flu
BENZONATATE 100MG CAPSULE14$4.0042$10.00
Anaphylaxis
EPINEPHRINE 0.15MG AUTO-INJCT2$20.00
EPINEPHRINE 0.3 MG AUTO-INJEC2$20.00
Antibiotic Treatments
AMOXICILLIN 125MG/5ML SUSP80$4.00
AMOXICILLIN 125MG/5ML SUSP100$4.00
AMOXICILLIN 125MG/5ML SUSP150$4.00
AMOXICILLIN 200MG/5ML SUSP50$4.00
AMOXICILLIN 200MG/5ML SUSP75$4.00
AMOXICILLIN 200MG/5ML SUSP100$4.00
AMOXICILLIN 250MG CAPSULE30$4.0090$10.00
AMOXICILLIN 250MG/5ML SUSP80$4.00
AMOXICILLIN 250MG/5ML SUSP100$4.00
AMOXICILLIN 250MG/5ML SUSP150$4.00
AMOXICILLIN 400MG/5ML SUSP50$4.00
AMOXICILLIN 400MG/5ML SUSP75$4.00
AMOXICILLIN 400MG/5ML SUSP100$4.00
AMOXICILLIN 500MG CAPSULE30$4.0090$10.00
CEPHALEXIN 250MG CAPSULE28$4.0084$10.00
CEPHALEXIN 500MG CAPSULE30$4.0090$10.00
CIPROFLOXACIN 0.3% EYE DROP5$4.00
CIPROFLOXACIN 0.3% EYE DROP10$8.00
CIPROFLOXACIN HCL 250MG TAB20$4.0060$10.00
CIPROFLOXACIN HCL 500MG TAB20$4.0060$10.00
CLINDAMYCIN HCL 150MG CAP30$4.0090$10.00
ERYTHROMYCIN EYE OINTMENT3.5$15.00
GENTAMICIN 3MG/ML EYE DROP5$4.00
ISONIAZID 300 MG TAB30$4.0090$10.00
NEO/POLY/DEXAMET EYE OINT3.5$4.00
PENICILLIN VK 250MG TAB28$4.0056$8.00
PENICILLIN VK 250MG/5ML SOLN100$4.00
PENICILLIN VK 250MG/5ML SOLN200$8.00
POLYMYXIN B/TMP EYE DROPS10$4.00
SULFAMETHOXAZOLE/TMP DS TAB20$4.0060$10.00
SULFAMETHOXAZOLE/TMP SS TAB28$4.0084$10.00
TOBRAMYCIN 0.3% EYE DROPS5$4.00
Anti-Viral
ACYCLOVIR 200MG CAPSULE30$4.0060$8.00
ACYCLOVIR 400MG TABLET30$4.00
Arthritis and Pain
ALLOPURINOL 100MG TABLET30$4.0090$10.00
ALLOPURINOL 300MG TABLET30$4.0090$10.00
BACLOFEN 10MG TABLET30$4.0090$10.00
CYCLOBENZAPRINE 10MG TAB30$4.0090$10.00
CYCLOBENZAPRINE 5MG TAB30$4.0090$10.00
DEXAMETHASONE 0.5MG TABLET30$4.0090$10.00
DEXAMETHASONE 4MG TABLET6$4.0018$10.00
IBUPROFEN 400MG TABLET90$4.00270$10.00
IBUPROFEN 600MG TABLET60$4.00180$10.00
IBUPROFEN 800MG TABLET30$4.0090$10.00
INDOMETHACIN 25MG CAPSULE60$4.00180$10.00
MELOXICAM 15MG TABLET30$4.0090$10.00
MELOXICAM 7.5MG TABLET30$4.0090$10.00
METHOCARBAMOL 500MG TAB60$4.00180$10.00
NAPROXEN 250MG TABLET60$4.00180$10.00
NAPROXEN 375MG TABLET60$4.00180$10.00
NAPROXEN 500MG TABLET60$4.00180$10.00
PREDNISONE 10MG TABLET30$4.0090$10.00
PREDNISONE 1MG TABLET30$4.0090$10.00
PREDNISONE 2.5MG TABLET30$4.0090$10.00
PREDNISONE 20MG TABLET30$4.0090$10.00
PREDNISONE 5MG TABLET30$4.0090$10.00
Asthma
ALBUTEROL 0.83MG/ML SOLN75$4.00
ALBUTEROL 0.83MG/ML SOLN90$4.00
IPRATROPIUM BR 0.02% SOLN62.5$4.00
IPRATROPIUM BR 0.02% SOLN75$4.00
Diabetes
GLIMEPIRIDE 1 MG TABLET30$4.0090$10.00
GLIMEPIRIDE 2 MG TABLET30$4.0090$10.00
GLIMEPIRIDE 4 MG TABLET30$4.0090$10.00
glipiZIDE 10MG TABLET60$4.00180$10.00
glipIZIDE 5MG TABLET60$4.00180$10.00
glipiZIDE XL 2.5MG TABLET30$4.0090$10.00
glipiZIDE XL 5MG TABLET30$4.0090$10.00
glyBURIDE 1.25MG TABLET30$4.0090$10.00
glyBURIDE 2.5MG TABLET30$4.0090$10.00
glyBURIDE 5MG TABLET30$4.0090$10.00
glyBURIDE MICRO 3MG TAB30$4.0090$10.00
glyBURIDE MICRO 6MG TAB30$4.0090$10.00
glyBURIDE-METFORMIN 1.25-25060$4.00180$10.00
glyBURIDE-METFORMIN 2.5-50060$4.00180$10.00
glyBURIDE-METFORMIN 5-50060$4.00180$10.00
METFORMIN HCL 1000MG TAB60$4.00180$10.00
METFORMIN HCL 500MG TAB60$4.00180$10.00
METFORMIN HCL 850MG TAB60$4.00180$10.00
METFORMIN HCL ER 500MG TAB60$4.00180$10.00
METFORMIN HCL ER 750MG TAB30$4.0090$10.00
PIOGLITAZONE HCL 15MG TAB30$4.0090$10.00
PIOGLITAZONE HCL 30MG TAB30$4.0090$10.00
PIOGLITAZONE HCL 45MG TAB30$4.0090$10.00
Fungal Infections
FLUCONAZOLE 150MG TABLET1$4.003$10.00
TERBINAFINE HCL 250MG TAB30$4.0090$10.00
Gastrointestinal
DICYCLOMINE 10MG CAPS90$4.00270$10.00
DICYCLOMINE 20MG TABLET60$4.00180$10.00
ENULOSE 10 GM/15 ML SOLU237$4.00
FAMOTIDINE 20MG TABLET60$4.00180$10.00
FAMOTIDINE 40MG TABLET30$4.0090$10.00
GENERLAC 10 GM/15ML SOLUTI237$4.00
LACTULOSE 10GM/15ML SOLN237$4.00
METOCLOPRAMIDE 10MG TAB60$4.00180$10.00
METOCLOPRAMIDE 5MG TAB60$4.00180$10.00
ONDANSETRON HCL 4MG TABLET20$4.0060$10.00
ONDANSETRON HCL 8MG TABLET20$4.0060$10.00
ONDANSETRON ODT 4MG TABLET20$4.0060$10.00
ONDANSETRON ODT 8MG TABLET20$4.0060$10.00
PANTOPRAZOLE 20MG TAB30$4.0090$10.00
PANTOPRAZOLE 40MG TAB30$4.0090$10.00
PROCHLORPERAZINE 10MG TAB30$4.0090$10.00
PROCHLORPERAZINE 5MG TAB30$4.0090$10.00
PROMETHAZINE 25MG TABLET12$4.0036$10.00
PROMETHAZINE 6.25MG/5 ML S180$4.00
RANITIDINE 150MG TABLET60$4.00180$10.00
RANITIDINE 300MG TABLET30$4.0090$10.00
Glaucoma and Eye Care
LEVOBUNOLOL 0.5% EYE DROPS15$10.00
TIMOLOL 0.25% EYEDROPS5$4.00
TIMOLOL 0.5% EYE DROPS5$4.00
TIMOLOL 0.5% EYE DROPS10$8.00
Heart Health and Blood
AMIODARONE HCL 200MG TAB30$4.0090$10.00
AMLODIPINE BESYLATE 10MG TAB30$4.0090$10.00
AMLODIPINE BESYLATE 2.5MG TAB30$4.0090$10.00
AMLODIPINE BESYLATE 5MG TAB30$4.0090$10.00
ATENOLOL 100MG TABLET30$4.0090$10.00
ATENOLOL 25MG TABLET30$4.0090$10.00
ATENOLOL 50MG TABLET30$4.0090$10.00
ATORVASTATIN 10MG TAB30$4.0090$10.00
ATORVASTATIN 20MG TAB30$4.0090$10.00
ATORVASTATIN 40MG TAB30$4.0090$10.00
ATORVASTATIN 80MG TAB30$10.00
BENAZEPRIL HCL 10MG TAB30$4.0090$10.00
BENAZEPRIL HCL 20MG TAB30$4.0090$10.00
BENAZEPRIL HCL 40MG TAB30$4.0090$10.00
BISOPROLOL/HCTZ 10/6.25 TAB30$4.0090$10.00
BISOPROLOL/HCTZ 2.5/6.25 TAB30$4.0090$10.00
BISOPROLOL/HCTZ 5/6.25 TAB30$4.0090$10.00
CARVEDILOL 12.5MG TAB60$4.00180$10.00
CARVEDILOL 25MG TAB60$4.00180$10.00
CARVEDILOL 3.125MG TAB60$4.00180$10.00
CARVEDILOL 6.25MG TAB60$4.00180$10.00
CLONIDINE HCL 0.1MG TABLET30$4.0090$10.00
CLONIDINE HCL 0.2MG TABLET30$4.0090$10.00
CLOPIDOGREL 75MG TAB30$4.0090$10.00
DILTIAZEM 30MG TABLET60$4.00180$10.00
ENALAPRIL/HCTZ 5-12.5MG TAB30$4.0090$10.00
FOSINOPRIL SODIUM 10MG TAB30$4.0090$10.00
FOSINOPRIL SODIUM 20MG TAB30$4.0090$10.00
FUROSEMIDE 20MG TABLET30$4.0090$10.00
FUROSEMIDE 40MG TABLET30$4.0090$10.00
FUROSEMIDE 80MG TABLET30$4.0090$10.00
GUANFACINE 1MG TABLET30$4.0090$10.00
GUANFACINE 2MG TABLET30$4.0090$10.00
HYDRALAZINE 10MG TABLET30$4.0090$10.00
HYDRALAZINE 25MG TABLET30$4.0090$10.00
HYDRALAZINE 50MG TABLET30$4.0090$10.00
HYDROCHLOROTHIAZIDE 12.5MG CA30$4.0090$10.00
HYDROCHLOROTHIAZIDE 12.5MG TB30$4.0090$10.00
HYDROCHLOROTHIAZIDE 25MG TAB30$4.0090$10.00
HYDROCHLOROTHIAZIDE 50MG TAB30$4.0090$10.00
INDAPAMIDE 1.25MG TABLET30$4.0090$10.00
INDAPAMIDE 2.5MG TABLET30$4.0090$10.00
LISINOPRIL 10MG TAB30$4.0090$10.00
LISINOPRIL 2.5MG TAB30$4.0090$10.00
LISINOPRIL 20MG TAB30$4.0090$10.00
LISINOPRIL 30MG TAB30$4.0090$10.00
LISINOPRIL 40MG TAB30$4.0090$10.00
LISINOPRIL 5MG TAB30$4.0090$10.00
LISINOPRIL-HCTZ 10-12.5 TAB30$4.0090$10.00
LISINOPRIL-HCTZ 20-12.5 TAB30$4.0090$10.00
LISINOPRIL-HCTZ 20-25 TAB30$4.0090$10.00
LOSARTAN POT 100MG TAB30$4.0090$10.00
LOSARTAN POT 25MG TAB30$4.0090$10.00
LOSARTAN POT 50MG TAB30$4.0090$10.00
LOSARTAN-HCTZ 100-12.5MG TAB30$4.0090$10.00
LOSARTAN-HCTZ 100-25MG TAB30$4.0090$10.00
LOSARTAN-HCTZ 50-12.5MG TAB30$4.0090$10.00
LOVASTATIN 10MG TAB30$4.0090$10.00
LOVASTATIN 20MG TAB30$4.0090$10.00
METOPROLOL TART 100MG TAB60$4.00180$10.00
METOPROLOL TART 25MG TAB60$4.00180$10.00
METOPROLOL TART 50MG TAB60$4.00180$10.00
QUINAPRIL 10MG TABLET30$4.0090$10.00
QUINAPRIL 20MG TABLET30$4.0090$10.00
QUINAPRIL 5MG TABLET30$4.0090$10.00
SIMVASTATIN 10MG TABLET30$4.0090$10.00
SIMVASTATIN 20MG TABLET30$4.0090$10.00
SIMVASTATIN 40MG TABLET30$4.0090$10.00
SIMVASTATIN 5MG TABLET30$4.0090$10.00
SOTALOL 80MG TABLET30$4.0090$10.00
SPIRONOLACTONE 25MG TABLET30$4.0090$10.00
TERAZOSIN 10MG CAPSULE30$4.0090$10.00
TERAZOSIN 1MG CAPSULE30$4.0090$10.00
TERAZOSIN 2MG CAPSULE30$4.0090$10.00
TERAZOSIN 5MG CAPSULE30$4.0090$10.00
TORSEMIDE 20 MG TABLET30$4.0090$10.00
TRIAMTERENE/HCTZ 37.5-25 CAP30$4.0090$10.00
TRIAMTERENE/HCTZ 37.5-25 TAB30$4.0090$10.00
VERAPAMIL 120MG TABLET30$4.0090$10.00
VERAPAMIL 80MG TABLET30$4.0090$10.00
WARFARIN SODIUM 10MG TAB30$4.00
WARFARIN SODIUM 1MG TAB30$4.0090$10.00
WARFARIN SODIUM 2.5MG TAB30$4.0090$10.00
WARFARIN SODIUM 2MG TAB30$4.0090$10.00
WARFARIN SODIUM 3MG TAB30$4.0090$10.00
WARFARIN SODIUM 4MG TAB30$4.0090$10.00
WARFARIN SODIUM 5MG TAB30$4.0090$10.00
WARFARIN SODIUM 6MG TAB30$4.0090$10.00
WARFARIN SODIUM 7.5MG TAB30$4.0090$10.00
Men’s Health
FINASTERIDE 5MG TABLET30$9.00
Mental Health
AMITRIPTYLINE HCL 10MG TAB30$4.0090$10.00
AMITRIPTYLINE HCL 25MG TAB30$4.0090$10.00
AMITRIPTYLINE HCL 50MG TAB30$4.0090$10.00
AMITRIPTYLINE HCL 75MG TAB30$4.0090$10.00
BENZTROPINE MES 2MG TAB30$4.0090$10.00
BUDEPRION SR 100MG TAB60$10.00
BUDEPRION SR 150MG TAB60$10.00
BUPROPION 100MG TAB30$10.00
BUPROPION 75MG TAB30$10.00
BUPROPION SR 100MG TAB60$10.00
BUPROPION SR 150MG TAB60$10.00
BUPROPION SR 200MG TAB60$20.00
BUSPIRONE HCL 10MG TAB60$4.00180$10.00
BUSPIRONE HCL 5MG TAB60$4.00180$10.00
CITALOPRAM HBR 10MG TABLET30$4.0090$10.00
CITALOPRAM HBR 20MG TABLET30$4.0090$10.00
CITALOPRAM HBR 40MG TABLET30$4.0090$10.00
DONEPEZIL 10MG TAB30$4.0090$10.00
DONEPEZIL 5MG TAB30$4.0090$10.00
ESCITALOPRAM 10MG TAB30$4.0090$10.00
ESCITALOPRAM 20MG TAB30$4.0090$10.00
ESCITALOPRAM 5MG TAB30$4.0090$10.00
FLUOXETINE 10MG CAPSULE30$4.0090$10.00
FLUOXETINE 20MG CAPSULE30$4.0090$10.00
FLUOXETINE 40MG CAPSULE30$4.0090$10.00
FLUPHENAZINE 1MG TABLET30$4.0090$10.00
GABAPENTIN 100MG CAP90$4.00
GABAPENTIN 300MG CAP90$4.00
HALOPERIDOL 0.5MG TABLET30$4.0090$10.00
HYDROXYZINE HCL 25MG TAB30$4.0090$10.00
HYDROXYZINE PAM 25MG CAP30$4.0090$10.00
HYDROXYZINE PAM 50MG CAP30$4.0090$10.00
IMIPRAMINE HCL 10MG TABLET30$4.0090$10.00
IMIPRAMINE HCL 25MG TABLET30$4.0090$10.00
IMIPRAMINE HCL 50MG TABLET30$4.0090$10.00
LAMOTRIGINE 100MG TAB60$4.00180$10.00
LAMOTRIGINE 25MG TAB60$4.00180$10.00
LITHIUM CARBONATE 300MG CAP90$4.00270$10.00
MIRTAZAPINE 15MG TAB30$4.0090$10.00
MIRTAZAPINE 30MG TAB30$4.0090$10.00
NORTRIPTYLINE HCL 10MG CAP30$4.0090$10.00
NORTRIPTYLINE HCL 25MG CAP30$4.0090$10.00
NORTRIPTYLINE HCL 50MG CAP30$4.0090$10.00
PAROXETINE HCL 10MG TABLET30$4.0090$10.00
PAROXETINE HCL 20MG TABLET30$4.0090$10.00
PAROXETINE HCL 30MG TABLET30$4.0090$10.00
PAROXETINE HCL 40MG TABLET30$4.0090$10.00
PRAMIPEXOLE 0.125MG TAB30$4.0090$10.00
PRAMIPEXOLE 0.25MG TAB30$4.0090$10.00
PRAMIPEXOLE 0.5MG TAB30$4.0090$10.00
QUETIAPINE FUM 100MG TAB30$4.0090$10.00
QUETIAPINE FUM 25MG TAB30$4.0090$10.00
QUETIAPINE FUM 50MG TAB30$4.0090$10.00
RISPERIDONE 0.25MG TABLET30$4.0090$10.00
RISPERIDONE 0.5MG TABLET30$4.0090$10.00
RISPERIDONE 1MG TABLET30$4.0090$10.00
RISPERIDONE 2MG TABLET30$4.0090$10.00
RISPERIDONE 3MG TABLET30$4.0090$10.00
RISPERIDONE 4MG TABLET30$4.0090$10.00
SERTRALINE HCL 100MG TAB30$4.0090$10.00
SERTRALINE HCL 25MG TABLET30$4.0090$10.00
SERTRALINE HCL 50MG TABLET30$4.0090$10.00
TOPIRAMATE 100MG TABLET30$4.0090$10.00
TOPIRAMATE 200MG TABLET30$4.0090$10.00
TOPIRAMATE 25MG TABLET30$4.0090$10.00
TOPIRAMATE 50MG TABLET30$4.0090$10.00
TRAZODONE 100MG TABLET30$4.0090$10.00
TRAZODONE 150MG TABLET30$4.0090$10.00
TRAZODONE 50MG TABLET30$4.0090$10.00
TRIHEXYPHENIDYL 2MG TAB60$4.00180$10.00
VENLAFAXINE HCL 100 MG TAB30$10.00
VENLAFAXINE HCL 25 MG TAB30$10.00
VENLAFAXINE HCL 37.5MG TAB30$10.00
VENLAFAXINE HCL 50 MG TAB30$10.00
VENLAFAXINE HCL 75 MG TAB30$10.00
VENLAFAXINE HCL ER 150 MG CAP30$10.00
VENLAFAXINE HCL ER 37.5MG CAP30$10.00
VENLAFAXINE HCL ER 75 MG CAP30$10.00
Other
ALENDRONATE SODIUM 35MG TAB4$9.00
ALENDRONATE SODIUM 70MG TAB4$9.00
CHLORHEXIDINE 0.12% RINSE473$4.00
CLOMIPHENE CITRATE 50MG TAB5$9.0015$24.00
LIDOCAINE 2% VISCOUS SOLN100$4.00
SUMATRIPTAN SUCC 100MG TAB9$10.00
SUMATRIPTAN SUCC 25MG TAB9$10.00
SUMATRIPTAN SUCC 50MG TAB9$10.00
Skin Conditions
HYDROCORTISONE 1% CREAM15$4.00
HYDROCORTISONE 1% CREAM28.35$4.00
HYDROCORTISONE 1% CREAM28.4$4.00
HYDROCORTISONE 1% OINT28$4.00
HYDROCORTISONE 1% OINT28.4$4.00
HYDROCORTISONE 1% OINT30$4.00
HYDROCORTISONE 2.5% CREAM20$4.00
HYDROCORTISONE 2.5% CREAM28$4.00
HYDROCORTISONE 2.5% CREAM28.35$4.00
HYDROCORTISONE 2.5% CREAM30$4.00
SILVER SULFADIAZINE 1% CRM25$4.00
SILVER SULFADIAZINE 1% CRM50$10.00
SSD 1% CREAM25$4.00
TRIAMCINOLONE 0.025% CRM15$4.00
TRIAMCINOLONE 0.1% CREAM15$4.00
TRIAMCINOLONE 0.1% CREAM30$4.00
TRIAMCINOLONE 0.1% CREAM80$4.00
TRIAMCINOLONE 0.1% OINT15$4.00
TRIAMCINOLONE 0.1% OINT80$4.00
TRIAMCINOLONE 0.5% CREAM15$4.00
Thyroid
LEVOTHYROXINE 100MCG TAB30$4.0090$10.00
LEVOTHYROXINE 112MCG TAB30$4.0090$10.00
LEVOTHYROXINE 125MCG TAB30$4.0090$10.00
LEVOTHYROXINE 150MCG TAB30$4.0090$10.00
LEVOTHYROXINE 175MCG TAB30$4.0090$10.00
LEVOTHYROXINE 200MCG TAB30$4.0090$10.00
LEVOTHYROXINE 25MCG TAB30$4.0090$10.00
LEVOTHYROXINE 50MCG TAB30$4.0090$10.00
LEVOTHYROXINE 75MCG TAB30$4.0090$10.00
LEVOTHYROXINE 88MCG TAB30$4.0090$10.00
Vitamins and Nutrition
FOLIC ACID 1MG TABLET30$4.0090$10.00
Women’s Health
ESTRADIOL 0.5MG TABLET30$4.0090$10.00
ESTRADIOL 1MG TABLET30$4.0090$10.00
ESTRADIOL 2MG TABLET30$4.0090$10.00
MEDROXYPROGESTERONE 10MG TAB30$4.0090$10.00
MEDROXYPROGESTERONE 2.5MG TAB30$4.0090$10.00
MEDROXYPROGESTERONE 5MG TAB30$4.0090$10.00
ORTHO TRI-CYCLEN 28 TABLET28$9.00
ORTHO TRI-CYCLEN LO TABLET28$9.00
ORTHO-CYCLEN 28 TABLET28$9.00
PRENATAL TABLET30$4.0090$10.00
PREPLUS CA-FE 27 MG-FA1 M30$4.0090$10.00
PREPLUS PRENATAL + IRON30$4.0090$10.00
SPRINTEC 28 DAY TABLET28$9.00
TRINESSA TABLET28$9.00
TRI-SPRINTEC 28 TAB28$9.00

Affordable Care Program (ACP) Discount Medication List

PCHC patients who are approved for PCHC’s affordable care program can receive discounted costs for their medical visits, as well as for their medications. Patients with ACP receive up to 40% off of their prescription medication costs, and can get medications on the ACP Discount Medications List for free, when they are available from PCHC pharmacies.

To talk to a PCHC Outreach and Enrollment Specialist about the Affordable Care Program, please CLICK HERE for the contact for your health center.

If you are unsure if your medications can be switched to a medications on this list or you have other trouble paying for your medications, please speak with your provider or your pharmacist, or call your PCHC pharmacy at 207-992-4100.

Our ACP discount medication program includes all of the following medications, available at no cost to the patient, to those PCHC patients with active ACP (paperwork completed and on file). These programs require that the first fill be limited to a 30 day supply. Refills after that may be done for 90 day supplies.

Supplies may be limited for these medications, and providers are encouraged to call ahead to the pharmacy to verify amounts in stock.

Affordable Care Program Discount Medications
234.8 KiB
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Direct Relief

Cymbalta (Duloxetine) 20mg, 30mg, 60mg
Ditropan XL (Oxybutinin Extended Release) 5mg
Elmiron (Pentosan) 100mg
Invega (Paliperidone Extended Release) 3mg, 9mg
Levaquin (Levofloxacin) 750mg
Prozac (Fluoxetine) 10mg, 20mg, 40mg
Risperdal (Risperidone) 1mg
Synthroid (Levothyroxine) 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg
Zyprexa (Olanzapine) 2.5mg, 5mg, 7.5mg, 10mg, 15mg, 20mg

Merck

Januvia (Sitagliptin) 25mg, 50mg, 100mg
Proventil (Albuterol) 90mcg/inhalation
Asmanex (Mometasone) 220mcg/inhalation
Nasonex (Mometasone) 50mcg/spray
Maxalt (Rizatriptan) 5mg, 10mg
Maxalt MLT (Rizatriptan Disintegrating Tablets) 5mg, 10mg
Zetia (Ezetimibe) 10mg
Dulera (Mometasone/ Formoterol) 100/5mcg /inhalation, 200/5mcg /inhalation
Janumet (Sitagliptin/ Metformin) 50/500mg, 50/1000mg
Janumet XR (Sitagliptin/ Metformin Extended Release) 50/500mg, 50/1000mg, 100/1000mg

Pfizer

Celebrex (Celecoxib) 100mg, 200mg
Chantix (Varenicline) 0.5mg, 1mg
Depo-Provera (Medroxyprogesterone) 150mg/mL
Lyrica (Pregabalin) 50mg, 75mg, 100mg, 150mg, 225mg
Premarin (Estrogens) 0.3mg, 0.45mg, 0.625mg
Premarin Cream (Estrogens) 0.625mg/g
Prempro (Estrogen/Medroxyprogesterone) 0.30/1.45mg, 0.45/1.45mg
Pristiq (Desvenlafaxine) 50mg, 100mg
Relpax (Eletriptan) 40mg
Viagra (Sildenafil) 50mg, 100mg

Other

Apidra (Insulin Glulisine) 100 units/mL vials
Humalog (Insulin Lispro) 100 units/ml vials and Flexpen
Insulin syringes/some pen needles
Levemir (Insulin Detemir) 100 units/ml vials and Flexpen
Novolog (Insulin Aspart) 100 units/ml vials and Flexpen
Novolin R/Novolin N 100 units/ml vials

Discounted items (some charge applies, contact pharmacy for details)

Prodigy Meter
Prodigy Testing Strips
TrueMetrix Meter
TrueMetrix Testing strips