Medication
Out-of-pocket price
Amethia Lo Generic
pack
Up to $
120
/month
Amethyst
pack
Up to $
70
/month
Balziva
pack
Up to $
45
/month
Blisovi FE 1/20
pack
Up to $
20
/month
Brand Yaz
pack
Up to $
190
/month
Medication
Out-of-pocket price
Cimetidine
Tablets
Up to $
100
/month
Dexlansoprazole DR
Tablets
Up to $
420
/month
Esomeprazole DR
Tablets
Up to $
35
/month
Lansoprazole DR
Tablets
Up to $
30
/month
Omeprazole and Sodium Carbonate
Tablets
Up to $
105
/month
Medication
Out-of-pocket price
Alomide
Up to $
235
/month
Alrex
Up to $
29
/month
Azelastine 0.15%
Up to $
72
/month
Azelastine 0.1%
Up to $
29
/month
Azelastine Hydrochloride Ophthalmic Solution
Up to $
25
/month
Medication
Out-of-pocket price
Bupropion
Up to $
30
/month
Buspirone
Up to $
26
/month
Citalopram
Up to $
35
/month
Duloxetine DR
Up to $
25
/month
Escitalopram
Up to $
19
/month
Medication
Out-of-pocket price
Advair Diskus
Inhaler
Up to $
700
/month
Advair HFA
Inhaler
Up to $
670
/month
Albuterol Sulfate HFA
Inhaler
Up to $
80
/month
Asmanex HFA
Inhaler
Up to $
280
/month
Beclomethasone Dipropionate HFA
Inhaler
Up to $
360
/month
Medication
Out-of-pocket price
Amethia Lo Generic
pack
Up to $
120
/month
Amethyst
pack
Up to $
70
/month
Annovera
ring
Up to $
2030
/month
Balziva
pack
Up to $
45
/month
Blisovi FE 1/20
pack
Up to $
20
/month
Medication
Out-of-pocket price
Valacyclovir
Tablets
Up to $
45
/month
Medication
Out-of-pocket price
Basaglar, Lantus
Pen/Syringe
Up to $
4500
/month
Glimepiride
Tablet
Up to $
40
/month
Glipizide
Tablet
Up to $
60
/month
Glyburide
Tablet
Up to $
155
/month
Humalog
Pen/Syringe
Up to $
1300
/month
Medication
Out-of-pocket price
Betamethasone valerate
Cream or ointment
Up to $
72
/month
Betamethasone Diproprionate
Cream
Up to $
75
/month
Cephalexin
Tablet or suspension
Up to $
30
/month
Clobetasol Proprionate
Foam, cream, or ointment
Up to $
240
/month
Desonide
Cream
Up to $
90
/month
Medication
Out-of-pocket price
My Way
pill
Up to $
25
/month
Medication
Out-of-pocket price
Sprintec
pack
Up to $
65
/month
Xulane Patch
box (3 patches)
Up to $
175
/month
Nuvaring
ring
Up to $
170
/month
SubQ Depo Provera
syringe
Up to $
330
/month
Norethindrone 5 mg
Tablets
Up to $
315
/month
Medication
Out-of-pocket price
Spironolactone
Tablets
Up to $
40
/month
Minoxidil
Up to $
50
/month
Medication
Out-of-pocket price
Valacyclovir (acute)
tablets
Up to $
45
/month
Valacyclovir (preventive)
Tablets
Up to $
30
/month
Medication
Out-of-pocket price
Atorvastatin
tablets
Up to $
25
/month
Colesevelam
tablets
Up to $
350
/month
Ezetimibe
tablets
Up to $
33
/month
Ezetimibe and Simvastatin
tablets
Up to $
180
/month
Fenofibrate
tablets
Up to $
40
/month
Medication
Out-of-pocket price
Latisse
Bottle
Up to $
215
/month
Bimatoprost ophthalmic solution, 0.03%
Bottle
Up to $
110
/month
Medication
Out-of-pocket price
Activella
Pill
Up to $
400
/month
Alora
Patch
Up to $
205
/month
Angeliq
Pill
Up to $
290
/month
Brisdelle
capsule
Up to $
320
/month
Climara
Patch
Up to $
215
/month
Medication
Out-of-pocket price
Frovatriptan
Tablet
Up to $
600
/month
Propranolol
Tablet
Up to $
70
/month
Sumatriptan
Syringe or tablet
Up to $
380
/month
Timolol
Tablet
Up to $
150
/month
Topiramate
Tablet
Up to $
45
/month
Medication
Out-of-pocket price
Terbinafine
Tablet
Up to $
28
/month
Ciclopirox Topical Solution
Bottle
Up to $
35
/month
Jublia
Bottle
Up to $
680
/month
Medication
Out-of-pocket price
Amethia Lo Generic
pack
Up to $
120
/month
Amethyst
pack
Up to $
70
/month
Balziva
pack
Up to $
45
/month
Blisovi FE 1/20
pack
Up to $
20
/month
Brand Yaz
pack
Up to $
190
/month
Medication
Out-of-pocket price
Nicotine Patch
Patch
Up to $
120
/month
Nicotine Patch Bundle
Patch
Up to $
260
/month
Varenicline
Tablet
Up to $
500
/month
Zyban
Tablet
Up to $
35
/month
Medication
Out-of-pocket price
Levothryoxine
tablets
Up to $
20
/month
Synthroid
tablet
Up to $
20
/month
Medication
Out-of-pocket price
Bupropion SR
Tablet
Up to $
60
/month
Contrave ER
Pill
Up to $
750
/month
Metformin (for weight-loss)
Tablet
Up to $
57
/month
Mounjaro
Pen/Syringe
Up to $
1500
/month
Ozempic
Pen/Syringe
Up to $
4000
/month