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 capsules$4.0042 capsules$10.00
Anaphylaxis
EPINEPHRINE 0.15MG AUTO-INJCT2 pens$20.00
EPINEPHRINE 0.3 MG AUTO-INJEC2 pens$20.00
Antibiotic Treatments
AMOXICILLIN 125MG/5ML SUSP80 ml$4.00
AMOXICILLIN 125MG/5ML SUSP100 ml$4.00
AMOXICILLIN 125MG/5ML SUSP150 ml$4.00
AMOXICILLIN 200MG/5ML SUSP50 ml$4.00
AMOXICILLIN 200MG/5ML SUSP75 ml$4.00
AMOXICILLIN 200MG/5ML SUSP100 ml$4.00
AMOXICILLIN 250MG CAPSULE30 capsules$4.0090 capsules$10.00
AMOXICILLIN 250MG/5ML SUSP80 ml$4.00
AMOXICILLIN 250MG/5ML SUSP100 ml$4.00
AMOXICILLIN 250MG/5ML SUSP150 ml$4.00
AMOXICILLIN 400MG/5ML SUSP50 ml$4.00
AMOXICILLIN 400MG/5ML SUSP75 ml$4.00
AMOXICILLIN 400MG/5ML SUSP100 ml$4.00
AMOXICILLIN 500MG CAPSULE30 capsules$4.0090 capsules$10.00
CEPHALEXIN 250MG CAPSULE28 capsules$4.0084 capsules$10.00
CEPHALEXIN 500MG CAPSULE30 capsules$4.0090 capsules$10.00
CIPROFLOXACIN 0.3% EYE DROP5 ml$4.00
CIPROFLOXACIN 0.3% EYE DROP10 ml$8.00
CIPROFLOXACIN HCL 250MG TAB20 tablets$4.0060 tablets$10.00
CIPROFLOXACIN HCL 500MG TAB20 tablets$4.0060 tablets$10.00
CLINDAMYCIN HCL 150MG CAP30 capsules$4.0090 capsules$10.00
DOXYCYCLINE HYC 100MG CAP20 capsules$20.00
DOXYCYCLINE HYC 100MG TAB20 tablets$20.00
DOXYCYCLINE HYC 50MG CAP20 capsules$20.00
DOXYCYCLINE MON 100MG CAP20 capsules$20.00
DOXYCYCLINE MON 100MG TAB20 tablets$20.00
DOXYCYCLINE MON 75MG TAB20 tablets$20.00
ERYTHROMYCIN EYE OINTMENT3.5 grams$15.00
GENTAMICIN 3MG/ML EYE DROP5 ml$4.00
ISONIAZID 300 MG TAB30 tablets$4.0090 tablets$10.00
NEO/POLY/DEXAMET EYE OINT3.5 grams$4.00
PENICILLIN VK 250MG TAB28 tablets$4.0056 tablets$8.00
PENICILLIN VK 250MG/5ML SOLN100 ml$4.00
PENICILLIN VK 250MG/5ML SOLN200 ml$8.00
PENICILLIN VK 500MG TAB30 tablets$4.00
POLYMYXIN B/TMP EYE DROPS10 ml$4.00
SULFAMETHOXAZOLE/TMP DS TAB20 tablets$4.0060 tablets$10.00
SULFAMETHOXAZOLE/TMP SS TAB28 tablets$4.0084 tablets$10.00
TOBRAMYCIN 0.3% EYE DROPS5 ml$4.00
Anti-Viral
ACYCLOVIR 200MG CAPSULE30 capsules$4.0060 capsules$8.00
ACYCLOVIR 400MG TABLET30 tablets$4.00
Arthritis and Pain
ALLOPURINOL 100MG TABLET30 tablets$4.0090 tablets$10.00
ALLOPURINOL 300MG TABLET30 tablets$4.0090 tablets$10.00
BACLOFEN 10MG TABLET30 tablets$4.0090 tablets$10.00
CYCLOBENZAPRINE 10MG TAB30 tablets$4.0090 tablets$10.00
CYCLOBENZAPRINE 5MG TAB30 tablets$4.0090 tablets$10.00
DEXAMETHASONE 0.5MG TABLET30 tablets$4.0090 tablets$10.00
DEXAMETHASONE 4MG TABLET6 tablets$4.0018 tablets$10.00
IBUPROFEN 400MG TABLET90 tablets$4.00270 tablets$10.00
IBUPROFEN 600MG TABLET60 tablets$4.00180 tablets$10.00
IBUPROFEN 800MG TABLET30 tablets$4.0090 tablets$10.00
INDOMETHACIN 25MG CAPSULE60 capsules$4.00180 capsules$10.00
MELOXICAM 15MG TABLET30 tablets$4.0090 tablets$10.00
MELOXICAM 7.5MG TABLET30 tablets$4.0090 tablets$10.00
METHOCARBAMOL 500MG TAB60 tablets$4.00180 tablets$10.00
NAPROXEN 250MG TABLET60 tablets$4.00180 tablets$10.00
NAPROXEN 375MG TABLET60 tablets$4.00180 tablets$10.00
NAPROXEN 500MG TABLET60 tablets$4.00180 tablets$10.00
PREDNISONE 10MG TABLET30 tablets$4.0090 tablets$10.00
PREDNISONE 1MG TABLET30 tablets$4.0090 tablets$10.00
PREDNISONE 2.5MG TABLET30 tablets$4.0090 tablets$10.00
PREDNISONE 20MG TABLET30 tablets$4.0090 tablets$10.00
PREDNISONE 5MG TABLET30 tablets$4.0090 tablets$10.00
Asthma
ALBUTEROL 0.83MG/ML SOLN75 ml$4.00
ALBUTEROL 0.83MG/ML SOLN90 ml$4.00
IPRATROPIUM BR 0.02% SOLN62.5 ml$4.00
IPRATROPIUM BR 0.02% SOLN75 ml$4.00
MONTELUKAST CHEW 4MG TAB30 tablets$10.00
MONTELUKAST CHEW 5MG TAB30 tablets$10.00
MONTELUKAST SOD 10MG TAB30 tablets$10.00
Blood Glucose Monitoring
PRODIGY NO CODING TEST STRIPS50 strips$4.00
PRODIGY POCKET METER KIT1 unit$9.00
PRODIGY TWIST TO P 28G LANCET100 each$2.50
Diabetes
GLIMEPIRIDE 1 MG TABLET30 tablets$4.0090 tablets$10.00
GLIMEPIRIDE 2 MG TABLET30 tablets$4.0090 tablets$10.00
GLIMEPIRIDE 4 MG TABLET30 tablets$4.0090 tablets$10.00
glipiZIDE 10MG TABLET60 tablets$4.00180 tablets$10.00
glipiZIDE 5MG TABLET60 tablets$4.00180 tablets$10.00
glipiZIDE XL 2.5MG TABLET30 tablets$4.0090 tablets$10.00
glipiZIDE XL 5MG TABLET30 tablets$4.0090 tablets$10.00
glyBURIDE 1.25MG TABLET30 tablets$4.0090 tablets$10.00
glyBURIDE 2.5MG TABLET30 tablets$4.0090 tablets$10.00
glyBURIDE 5MG TABLET30 tablets$4.0090 tablets$10.00
glyBURIDE MICRO 3MG TAB30 tablets$4.0090 tablets$10.00
glyBURIDE MICRO 6MG TAB30 tablets$4.0090 tablets$10.00
glyBURIDE-METFORMIN 1.25-25060 tablets$4.00180 tablets$10.00
glyBURIDE-METFORMIN 2.5-50060 tablets$4.00180 tablets$10.00
glyBURIDE-METFORMIN 5-50060 tablets$4.00180 tablets$10.00
METFORMIN HCL 1000MG TAB60 tablets$4.00180 tablets$10.00
METFORMIN HCL 500MG TAB60 tablets$4.00180 tablets$10.00
METFORMIN HCL 850MG TAB60 tablets$4.00180 tablets$10.00
METFORMIN HCL ER 500MG TAB60 tablets$4.00180 tablets$10.00
METFORMIN HCL ER 750MG TAB30 tablets$4.0090 tablets$10.00
NOVOLIN N 100U/ML VIAL10 ml$10.00
NOVOLIN R 100U/ML VIAL10 ml$10.00
PIOGLITAZONE HCL 15MG TAB30 tablets$4.0090 tablets$10.00
PIOGLITAZONE HCL 30MG TAB30 tablets$4.0090 tablets$10.00
PIOGLITAZONE HCL 45MG TAB30 tablets$4.0090 tablets$10.00
Fungal Infections
FLUCONAZOLE 150MG TABLET1 tablets$4.003 tablets$10.00
TERBINAFINE HCL 250MG TAB30 tablets$4.0090 tablets$10.00
Gastrointestinal
DICYCLOMINE 10MG CAPS90 capsules$4.00270 capsules$10.00
DICYCLOMINE 20MG TABLET60 tablets$4.00180 tablets$10.00
FAMOTIDINE 20MG TABLET60 tablets$4.00180 tablets$10.00
FAMOTIDINE 40MG TABLET30 tablets$4.0090 tablets$10.00
LACTULOSE 10GM/15ML SOLN237 ml$4.00
METOCLOPRAMIDE 10MG TAB60 tablets$4.00180 tablets$10.00
METOCLOPRAMIDE 5MG TAB60 tablets$4.00180 tablets$10.00
ONDANSETRON HCL 4MG TABLET20 tablets$4.0060 tablets$10.00
ONDANSETRON HCL 8MG TABLET20 tablets$4.0060 tablets$10.00
ONDANSETRON ODT 4MG TABLET20 tablets$4.0060 tablets$10.00
ONDANSETRON ODT 8MG TABLET20 tablets$4.0060 tablets$10.00
PANTOPRAZOLE 20MG TAB30 tablets$4.0090 tablets$10.00
PANTOPRAZOLE 40MG TAB30 tablets$4.0090 tablets$10.00
PROCHLORPERAZINE 10MG TAB30 tablets$4.0090 tablets$10.00
PROCHLORPERAZINE 5MG TAB30 tablets$4.0090 tablets$10.00
PROMETHAZINE 25MG TABLET12 tablets$4.0036 tablets$10.00
PROMETHAZINE 6.25MG/5 ML S180 ml$4.00
RANITIDINE 150MG TABLET60 tablets$4.00180 tablets$10.00
RANITIDINE 300MG TABLET30 tablets$4.0090 tablets$10.00
Glaucoma and Eye Care
TIMOLOL 0.25% EYEDROPS5 ml$4.00
TIMOLOL 0.5% EYE DROPS5 ml$4.00
TIMOLOL 0.5% EYE DROPS10 ml$8.00
Heart Health and Blood Pressure
AMIODARONE HCL 200MG TAB30 tablets$4.0090 tablets$10.00
AMLODIPINE BESYLATE 10MG TAB30 tablets$4.0090 tablets$10.00
AMLODIPINE BESYLATE 2.5MG TAB30 tablets$4.0090 tablets$10.00
AMLODIPINE BESYLATE 5MG TAB30 tablets$4.0090 tablets$10.00
ATENOLOL 100MG TABLET30 tablets$4.0090 tablets$10.00
ATENOLOL 25MG TABLET30 tablets$4.0090 tablets$10.00
ATENOLOL 50MG TABLET30 tablets$4.0090 tablets$10.00
ATORVASTATIN 10MG TAB30 tablets$4.0090 tablets$10.00
ATORVASTATIN 20MG TAB30 tablets$4.0090 tablets$10.00
ATORVASTATIN 40MG TAB30 tablets$4.0090 tablets$10.00
ATORVASTATIN 80MG TAB30 tablets$10.00
BENAZEPRIL HCL 10MG TAB30 tablets$4.0090 tablets$10.00
BENAZEPRIL HCL 20MG TAB30 tablets$4.0090 tablets$10.00
BENAZEPRIL HCL 40MG TAB30 tablets$4.0090 tablets$10.00
BISOPROLOL/HCTZ 10/6.25 TAB30 tablets$4.0090 tablets$10.00
BISOPROLOL/HCTZ 2.5/6.25 TAB30 tablets$4.0090 tablets$10.00
BISOPROLOL/HCTZ 5/6.25 TAB30 tablets$4.0090 tablets$10.00
CARVEDILOL 12.5MG TAB60 tablets$4.00180 tablets$10.00
CARVEDILOL 25MG TAB60 tablets$4.00180 tablets$10.00
CARVEDILOL 3.125MG TAB60 tablets$4.00180 tablets$10.00
CARVEDILOL 6.25MG TAB60 tablets$4.00180 tablets$10.00
CLONIDINE HCL 0.1MG TABLET30 tablets$4.0090 tablets$10.00
CLONIDINE HCL 0.2MG TABLET30 tablets$4.0090 tablets$10.00
CLOPIDOGREL 75MG TAB30 tablets$4.0090 tablets$10.00
DILTIAZEM 30MG TABLET60 tablets$4.00180 tablets$10.00
ENALAPRIL/HCTZ 5-12.5MG TAB30 tablets$4.0090 tablets$10.00
FOSINOPRIL SODIUM 10MG TAB30 tablets$4.0090 tablets$10.00
FOSINOPRIL SODIUM 20MG TAB30 tablets$4.0090 tablets$10.00
FUROSEMIDE 20MG TABLET30 tablets$4.0090 tablets$10.00
FUROSEMIDE 40MG TABLET30 tablets$4.0090 tablets$10.00
FUROSEMIDE 80MG TABLET30 tablets$4.0090 tablets$10.00
GUANFACINE 1MG TABLET30 tablets$4.0090 tablets$10.00
GUANFACINE 2MG TABLET30 tablets$4.0090 tablets$10.00
HYDRALAZINE 100MG TABLET30 tablets$4.0090 tablets$10.00
HYDRALAZINE 10MG TABLET30 tablets$4.0090 tablets$10.00
HYDRALAZINE 25MG TABLET30 tablets$4.0090 tablets$10.00
HYDRALAZINE 50MG TABLET30 tablets$4.0090 tablets$10.00
HYDROCHLOROTHIAZIDE 12.5MG CA30 capsules$4.0090 capsules$10.00
HYDROCHLOROTHIAZIDE 12.5MG TB30 tablets$4.0090 tablets$10.00
HYDROCHLOROTHIAZIDE 25MG TAB30 tablets$4.0090 tablets$10.00
HYDROCHLOROTHIAZIDE 50MG TAB30 tablets$4.0090 tablets$10.00
INDAPAMIDE 1.25MG TABLET30 tablets$4.0090 tablets$10.00
INDAPAMIDE 2.5MG TABLET30 tablets$4.0090 tablets$10.00
LISINOPRIL 10MG TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL 2.5MG TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL 20MG TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL 30MG TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL 40MG TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL 5MG TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL-HCTZ 10-12.5 TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL-HCTZ 20-12.5 TAB30 tablets$4.0090 tablets$10.00
LISINOPRIL-HCTZ 20-25 TAB30 tablets$4.0090 tablets$10.00
LOSARTAN POT 100MG TAB30 tablets$4.0090 tablets$10.00
LOSARTAN POT 25MG TAB30 tablets$4.0090 tablets$10.00
LOSARTAN POT 50MG TAB30 tablets$4.0090 tablets$10.00
LOSARTAN-HCTZ 100-12.5MG TAB30 tablets$4.0090 tablets$10.00
LOSARTAN-HCTZ 100-25MG TAB30 tablets$4.0090 tablets$10.00
LOSARTAN-HCTZ 50-12.5MG TAB30 tablets$4.0090 tablets$10.00
LOVASTATIN 10MG TAB30 tablets$4.0090 tablets$10.00
LOVASTATIN 20MG TAB30 tablets$4.0090 tablets$10.00
METOPROLOL TART 100MG TAB60 tablets$4.00180 tablets$10.00
METOPROLOL TART 25MG TAB60 tablets$4.00180 tablets$10.00
METOPROLOL TART 50MG TAB60 tablets$4.00180 tablets$10.00
QUINAPRIL 10MG TABLET30 tablets$4.0090 tablets$10.00
QUINAPRIL 20MG TABLET30 tablets$4.0090 tablets$10.00
QUINAPRIL 5MG TABLET30 tablets$4.0090 tablets$10.00
SIMVASTATIN 10MG TABLET30 tablets$4.0090 tablets$10.00
SIMVASTATIN 20MG TABLET30 tablets$4.0090 tablets$10.00
SIMVASTATIN 40MG TABLET30 tablets$4.0090 tablets$10.00
SIMVASTATIN 5MG TABLET30 tablets$4.0090 tablets$10.00
SOTALOL 80MG TABLET30 tablets$4.0090 tablets$10.00
SPIRONOLACTONE 25MG TABLET30 tablets$4.0090 tablets$10.00
TERAZOSIN 10MG CAPSULE30 capsules$4.0090 capsules$10.00
TERAZOSIN 1MG CAPSULE30 capsules$4.0090 capsules$10.00
TERAZOSIN 2MG CAPSULE30 capsules$4.0090 capsules$10.00
TERAZOSIN 5MG CAPSULE30 capsules$4.0090 capsules$10.00
TORSEMIDE 20 MG TABLET30 tablets$4.0090 tablets$10.00
TRIAMTERENE/HCTZ 37.5-25 CAP30 capsules$4.0090 capsules$10.00
TRIAMTERENE/HCTZ 37.5-25 TAB30 tablets$4.0090 tablets$10.00
VERAPAMIL 120MG TABLET30 tablets$4.0090 tablets$10.00
VERAPAMIL 80MG TABLET30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 10MG TAB30 tablets$4.00
WARFARIN SODIUM 1MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 2.5MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 2MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 3MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 4MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 5MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 6MG TAB30 tablets$4.0090 tablets$10.00
WARFARIN SODIUM 7.5MG TAB30 tablets$4.0090 tablets$10.00
Men’s Health
FINASTERIDE 5MG TABLET30 tablets$9.00
TAMSULOSIN HCL 0.4MG CAP30 capsules$10.00
AMITRIPTYLINE HCL 10MG TAB30 tablets$4.0090 tablets$10.00
AMITRIPTYLINE HCL 25MG TAB30 tablets$4.0090 tablets$10.00
AMITRIPTYLINE HCL 50MG TAB30 tablets$4.0090 tablets$10.00
AMITRIPTYLINE HCL 75MG TAB30 tablets$4.0090 tablets$10.00
BENZTROPINE MES 2MG TAB30 tablets$4.0090 tablets$10.00
BUPROPION 100MG TAB30 tablets$10.00
BUPROPION 75MG TAB30 tablets$10.00
BUPROPION SR 100MG TAB60 tablets$10.00
BUPROPION SR 150MG TAB60 tablets$10.00
BUPROPION SR 200MG TAB60 tablets$20.00
BUSPIRONE HCL 10MG TAB60 tablets$4.00180 tablets$10.00
BUSPIRONE HCL 15MG TAB60 tablets$4.00180 tablets$10.00
BUSPIRONE HCL 5MG TAB60 tablets$4.00180 tablets$10.00
CITALOPRAM HBR 10MG TABLET30 tablets$4.0090 tablets$10.00
CITALOPRAM HBR 20MG TABLET30 tablets$4.0090 tablets$10.00
CITALOPRAM HBR 40MG TABLET30 tablets$4.0090 tablets$10.00
DONEPEZIL 10MG TAB30 tablets$4.0090 tablets$10.00
DONEPEZIL 5MG TAB30 tablets$4.0090 tablets$10.00
ESCITALOPRAM 10MG TAB30 tablets$4.0090 tablets$10.00
ESCITALOPRAM 20MG TAB30 tablets$4.0090 tablets$10.00
ESCITALOPRAM 5MG TAB30 tablets$4.0090 tablets$10.00
FLUOXETINE 10MG CAPSULE30 capsules$4.0090 capsules$10.00
FLUOXETINE 20MG CAPSULE30 capsules$4.0090 capsules$10.00
FLUOXETINE 40MG CAPSULE30 capsules$4.0090 capsules$10.00
FLUPHENAZINE 1MG TABLET30 tablets$4.0090 tablets$10.00
GABAPENTIN 100MG CAP90 capsules$4.00
GABAPENTIN 300MG CAP90 capsules$4.00
HALOPERIDOL 0.5MG TABLET30 tablets$4.0090 tablets$10.00
HYDROXYZINE HCL 25MG TAB30 tablets$4.0090 tablets$10.00
HYDROXYZINE PAM 25MG CAP30 capsules$4.0090 capsules$10.00
HYDROXYZINE PAM 50MG CAP30 capsules$4.0090 capsules$10.00
IMIPRAMINE HCL 10MG TABLET30 tablets$4.0090 tablets$10.00
IMIPRAMINE HCL 25MG TABLET30 tablets$4.0090 tablets$10.00
IMIPRAMINE HCL 50MG TABLET30 tablets$4.0090 tablets$10.00
LAMOTRIGINE 100MG TAB60 tablets$4.00180 tablets$10.00
LAMOTRIGINE 25MG TAB60 tablets$4.00180 tablets$10.00
LITHIUM CARBONATE 300MG CAP90 capsules$4.00270 capsules$10.00
MIRTAZAPINE 15MG TAB30 tablets$4.0090 tablets$10.00
MIRTAZAPINE 30MG TAB30 tablets$4.0090 tablets$10.00
NORTRIPTYLINE HCL 10MG CAP30 capsules$4.0090 capsules$10.00
NORTRIPTYLINE HCL 25MG CAP30 capsules$4.0090 capsules$10.00
NORTRIPTYLINE HCL 50MG CAP30 capsules$4.0090 capsules$10.00
OLANZAPINE 10MG TABLET30 tablets$10.00
OLANZAPINE 15MG TABLET30 tablets$10.00
OLANZAPINE 2.5MG TABLET30 tablets$10.00
OLANZAPINE 20MG TABLET30 tablets$10.00
OLANZAPINE 5MG TABLET30 tablets$10.00
OLANZAPINE 7.5MG TABLET30 tablets$10.00
PAROXETINE HCL 10MG TABLET30 tablets$4.0090 tablets$10.00
PAROXETINE HCL 20MG TABLET30 tablets$4.0090 tablets$10.00
PAROXETINE HCL 30MG TABLET30 tablets$4.0090 tablets$10.00
PAROXETINE HCL 40MG TABLET30 tablets$4.0090 tablets$10.00
PRAMIPEXOLE 0.125MG TAB30 tablets$4.0090 tablets$10.00
PRAMIPEXOLE 0.25MG TAB30 tablets$4.0090 tablets$10.00
PRAMIPEXOLE 0.5MG TAB30 tablets$4.0090 tablets$10.00
QUETIAPINE FUM 100MG TAB30 tablets$4.0090 tablets$10.00
QUETIAPINE FUM 25MG TAB30 tablets$4.0090 tablets$10.00
QUETIAPINE FUM 50MG TAB30 tablets$4.0090 tablets$10.00
RISPERIDONE 0.25MG TABLET30 tablets$4.0090 tablets$10.00
RISPERIDONE 0.5MG TABLET30 tablets$4.0090 tablets$10.00
RISPERIDONE 1MG TABLET30 tablets$4.0090 tablets$10.00
RISPERIDONE 2MG TABLET30 tablets$4.0090 tablets$10.00
RISPERIDONE 3MG TABLET30 tablets$4.0090 tablets$10.00
RISPERIDONE 4MG TABLET30 tablets$4.0090 tablets$10.00
SERTRALINE HCL 100MG TAB30 tablets$4.0090 tablets$10.00
SERTRALINE HCL 25MG TABLET30 tablets$4.0090 tablets$10.00
SERTRALINE HCL 50MG TABLET30 tablets$4.0090 tablets$10.00
TOPIRAMATE 100MG TABLET30 tablets$4.0090 tablets$10.00
TOPIRAMATE 200MG TABLET30 tablets$4.0090 tablets$10.00
TOPIRAMATE 25MG TABLET30 tablets$4.0090 tablets$10.00
TOPIRAMATE 50MG TABLET30 tablets$4.0090 tablets$10.00
TRAZODONE 100MG TABLET30 tablets$4.0090 tablets$10.00
TRAZODONE 150MG TABLET30 tablets$4.0090 tablets$10.00
TRAZODONE 50MG TABLET30 tablets$4.0090 tablets$10.00
TRIHEXYPHENIDYL 2MG TAB60 tablets$4.00180 tablets$10.00
VENLAFAXINE HCL 100 MG TAB30 tablets$10.00
VENLAFAXINE HCL 25 MG TAB30 tablets$10.00
VENLAFAXINE HCL 37.5MG TAB30 tablets$10.00
VENLAFAXINE HCL 50 MG TAB30 tablets$10.00
VENLAFAXINE HCL 75 MG TAB30 tablets$10.00
VENLAFAXINE HCL ER 150 MG CAP30 capsules$10.00
VENLAFAXINE HCL ER 37.5MG CAP30 capsules$10.00
VENLAFAXINE HCL ER 75 MG CAP30 capsules$10.00
Other
ALENDRONATE SODIUM 35MG TAB4 tablets$9.00
ALENDRONATE SODIUM 70MG TAB4 tablets$9.00
CHLORHEXIDINE 0.12% RINSE473 ml$4.00
CLOMIPHENE CITRATE 50MG TAB5 tablets$9.0015 tablets$24.00
LIDOCAINE 2% VISCOUS SOLN100 ml$4.00
SUMATRIPTAN SUCC 100MG TAB9 tablets$10.00
SUMATRIPTAN SUCC 25MG TAB9 tablets$10.00
SUMATRIPTAN SUCC 50MG TAB9 tablets$10.00
Skin Conditions
HYDROCORTISONE 1% CREAM15 grams$4.00
HYDROCORTISONE 1% CREAM28.35 grams$4.00
HYDROCORTISONE 1% CREAM28.4 grams$4.00
HYDROCORTISONE 1% OINT28 grams$4.00
HYDROCORTISONE 1% OINT28.4 grams$4.00
HYDROCORTISONE 1% OINT30 grams$4.00
HYDROCORTISONE 2.5% CREAM20 grams$4.00
HYDROCORTISONE 2.5% CREAM28 grams$4.00
HYDROCORTISONE 2.5% CREAM28.35 grams$4.00
HYDROCORTISONE 2.5% CREAM30 grams$4.00
SILVER SULFADIAZINE 1% CRM20 grams$4.00
SILVER SULFADIAZINE 1% CRM25 grams$4.00
SILVER SULFADIAZINE 1% CRM50 grams$10.00
TRIAMCINOLONE 0.025% CRM15 grams$4.00
TRIAMCINOLONE 0.1% CREAM15 grams$4.00
TRIAMCINOLONE 0.1% CREAM30 grams$4.00
TRIAMCINOLONE 0.1% CREAM80 grams$4.00
TRIAMCINOLONE 0.1% OINT15 grams$4.00
TRIAMCINOLONE 0.1% OINT80 grams$4.00
TRIAMCINOLONE 0.5% CREAM15 grams$4.00
Thyroid
LEVOTHYROXINE 100MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 112MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 125MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 150MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 175MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 200MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 25MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 50MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 75MCG TAB30 tablets$4.0090 tablets$10.00
LEVOTHYROXINE 88MCG TAB30 tablets$4.0090 tablets$10.00
Vitamins and Nutritional
FOLIC ACID 1MG TABLET30 tablets$4.0090 tablets$10.00
Women’s Health
ESTRADIOL 0.5MG TABLET30 tablets$4.0090 tablets$10.00
ESTRADIOL 1MG TABLET30 tablets$4.0090 tablets$10.00
ESTRADIOL 2MG TABLET30 tablets$4.0090 tablets$10.00
MEDROXYPROGESTERONE 10MG TAB30 tablets$4.0090 tablets$10.00
MEDROXYPROGESTERONE 2.5MG TAB30 tablets$4.0090 tablets$10.00
MEDROXYPROGESTERONE 5MG TAB30 tablets$4.0090 tablets$10.00
ORTHO TRI-CYCLEN 28 TABLET28 tablets$9.00
ORTHO TRI-CYCLEN LO TABLET28 tablets$9.00
ORTHO-CYCLEN 28 TABLET28 tablets$9.00
PRENATAL TABLET30 tablets$4.0090 tablets$10.00
SPRINTEC 28 DAY TABLET28 tablets$9.00
TRINESSA TABLET28 tablets$9.00
TRI-SPRINTEC 28 TAB28 tablets$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
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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