Products

Find a participating product to find out if you might be eligible.


BELSOMRA® (suvorexant) C-IV 

DELSTRIGO™ (doravirine, lamivudine, and tenofovir disoproxil fumarate) tablets, for oral use [available for expedited request]

DIFICID® (fidaxomicin) for oral suspension 40 mg/mL [available for expedited request]

DIFICID® (fidaxomicin) tablets [available for expedited request]

EMEND® (aprepitant) 80 mg capsules BiPack [available for expedited request]

EMEND® (aprepitant) 80 mg, 125 mg capsules [available for expedited request]

EMEND® (aprepitant) for Oral Suspension 125 mg [available for expedited request]

EMEND® (fosaprepitant) for Injection 150 mg (for use with in-patients in a hospital setting)

EMEND® (fosaprepitant) for Injection 150 mg (for use with patients in an out-patient setting)

GARDASIL®9 (Human Papillomavirus 9-valent Vaccine, Recombinant) 

ISENTRESS® (raltegravir) 400 mg film-coated and 25 mg and 100 mg chewable Tablets [available for expedited request]

ISENTRESS® HD (raltegravir) 600 mg Tablets [available for expedited request]

JANUMET® (sitagliptin and metformin HCI) Tablets

JANUMET® XR (sitagliptin and metformin HCI extended-release) Tablets 

JANUVIA® (sitagliptin) Tablets

KEYTRUDA® (pembrolizumab) Injection [liquid formulation] 100 mg

LAGEVRIO™ (molnupiravir) 200 mg capsules [Use Expedited Request]

M-M-R® II (Measles, Mumps, and Rubella Virus Vaccine Live) 

NOXAFIL® (posaconazole) delayed-release tablets 100 mg

NOXAFIL® (posaconazole) Injection (18 mg/mL) for Intravenous Use

NOXAFIL® (posaconazole) oral suspension, 40 mg/mL

PIFELTRO™ (doravirine) tablets, for oral use [available for expedited request]

PNEUMOVAX®23 (Pneumococcal Vaccine Polyvalent) 

PREVYMIS™ (letermovir) 240 mg Tablets

PRIMAXIN® I.V. (imipenem and cilastatin for injection) 

RECARBRIO™ (imipenem, cilastatin, and relebactam) for injection, for intravenous use

RECOMBIVAX HB® [Hepatitis B Vaccine (Recombinant)] 

STROMECTOL® (ivermectin) Tablets

VAQTA® (Hepatitis A Vaccine, Inactivated) 

VARIVAX® (Varicella Virus Vaccine Live) 

VAXNEUVANCE™ (Pneumococcal 15-valent conjugate vaccine) 

VERQUVO® (vericiguat) 2.5 mg, 5 mg, 10 mg tablets

WELIREG™ (belzutifan) 40 mg Tablets

ZEPATIER® (elbasvir and grazoprevir) 

ZERBAXA® (ceftolozane and tazobactam) for Injection for Intravenous Use 

ZINPLAVA™ (bezlotoxumab) Injection 25 mg/mL

ZOLINZA® (vorinostat capsules, for oral use) 100 mg [available for expedited request]

BELSOMRA®  (suvorexant) C-IV 

DELSTRIGO™  (doravirine, lamivudine, and tenofovir disoproxil fumarate) tablets, for oral use [available for expedited request]

DIFICID®  (fidaxomicin) for oral suspension 40 mg/mL [available for expedited request]

DIFICID®  (fidaxomicin) tablets [available for expedited request]

EMEND®  (aprepitant) 80 mg capsules BiPack [available for expedited request]

EMEND®  (aprepitant) 80 mg, 125 mg capsules [available for expedited request]

EMEND®  (aprepitant) for Oral Suspension 125 mg [available for expedited request]

EMEND®  (fosaprepitant) for Injection 150 mg (for use with in-patients in a hospital setting)

EMEND®  (fosaprepitant) for Injection 150 mg (for use with patients in an out-patient setting)

GARDASIL®9  (Human Papillomavirus 9-valent Vaccine, Recombinant) 

ISENTRESS® (raltegravir) 400 mg film-coated and 25 mg and 100 mg chewable Tablets [available for expedited request]

ISENTRESS® HD (raltegravir) 600 mg Tablets [available for expedited request]

JANUMET® (sitagliptin and metformin HCI) Tablets

JANUMET® XR (sitagliptin and metformin HCI extended-release) Tablets 

JANUVIA® (sitagliptin) Tablets

KEYTRUDA® (pembrolizumab) Injection [liquid formulation] 100 mg

LAGEVRIO™ (molnupiravir) 200 mg capsules [Use Expedited Request]

M-M-R® II (Measles, Mumps, and Rubella Virus Vaccine Live) 

NOXAFIL® (posaconazole) delayed-release tablets 100 mg

NOXAFIL® (posaconazole) Injection (18 mg/mL) for Intravenous Use

NOXAFIL® (posaconazole) oral suspension, 40 mg/mL

PIFELTRO™ (doravirine) tablets, for oral use [available for expedited request]

PNEUMOVAX®23 (Pneumococcal Vaccine Polyvalent) 

PREVYMIS™ (letermovir) 240 mg Tablets

PRIMAXIN® I.V. (imipenem and cilastatin for injection) 

RECARBRIO™ (imipenem, cilastatin, and relebactam) for injection, for intravenous use

RECOMBIVAX HB® [Hepatitis B Vaccine (Recombinant)] 

STROMECTOL® (ivermectin) Tablets

VAQTA® (Hepatitis A Vaccine, Inactivated) 

VARIVAX® (Varicella Virus Vaccine Live) 

VAXNEUVANCE™ (Pneumococcal 15-valent conjugate vaccine) 

VERQUVO® (vericiguat) 2.5 mg, 5 mg, 10 mg tablets

WELIREG™ (belzutifan) 40 mg Tablets

ZEPATIER® (elbasvir and grazoprevir) 

ZERBAXA® (ceftolozane and tazobactam) for Injection for Intravenous Use 

ZINPLAVA™ (bezlotoxumab) Injection 25 mg/mL

ZOLINZA® (vorinostat capsules, for oral use) 100 mg [available for expedited request]