Enter the Drug Name
Group Number
    
A B C D E F G H I J K L M 
N O P Q R S T U V W X Y Z 


Click On Drug Name Below To View Tier



Hyzaar Oral Tablet
Hypercare External Solution
Hyoscyamine Sulfate Sublingual Tablet Sublingual
Hyoscyamine Sulfate Oral Tablet
Hyoscyamine Sulfate ER Oral Tablet Extended Release 12 Hou
Hyophen Oral Tablet
HyoMax-SR Oral Tablet Extended Release 12 Hou
HyoMax-SL Sublingual Tablet Sublingual
HyoMax-FT Oral Tablet Dispersible
Hylatopic Plus External Cream
Hylatopic External Foam
HydrOXYzine HCl Oral Syrup
HydrOXYzine HCl Oral Solution
Hydromet Oral Syrup
Hydrocortisone-Acetic Acid Otic Solution
Hydrocortisone Valerate External Ointment
Hydrocortisone Valerate External Cream
Hydrocortisone Oral Tablet
Hydrocortisone External Lotion
Hydrocortisone Acetate Rectal Suppository
Hydrocortisone Ace-Pramoxine Rectal Cream
Hydrocortisone Ace-Pramoxine External Cream
Hydrocodone-Ibuprofen Oral Tablet
Hydrocod Polst-Chlorphen Polst Oral Liquid Extended Release
Hydro 40 External Foam
Hydrea Oral Capsule
Hyalgan Intra-articular Solution
Humira Subcutaneous Kit
Humira Pen-Psoriasis Starter Subcutaneous Kit
Humira Pen-Crohns Starter Subcutaneous Kit
Humira Pen Subcutaneous Kit
Humatrope Injection Solution Reconstituted
HumaLOG KwikPen Subcutaneous Solution
Horizant Oral Tablet Extended Release 24 Hou
Hiprex Oral Tablet
Hibiclens External Liquid
Hepsera Oral Tablet
Heparin Sodium (Porcine) Injection Solution
Hemocyte-F Oral Tablet
Hemocyte Plus Oral Capsule
Hectorol Oral Capsule
Hecoria Oral Capsule
Halog External Cream
HALOBETASOL PROP EXT CREAM
HalfLytely with Flavor Packs Oral Kit
HalfLytely Bowel Prep Oral Kit
Halcion Oral Tablet
Hyoscyamine Sulfate Oral Elixir
HydrOXYzine Pamoate Oral Capsule
HydrOXYzine HCl Oral Tablet
Hydroxyurea Oral Capsule
Hydroxychloroquine Sulfate Oral Tablet
HYDROmorphone HCl Oral Tablet
Hydrocortisone-Iodoquinol External Cream
Hydrocortisone Rectal Enema
Hydrocortisone External Ointment
Hydrocortisone External Cream
Hydrocortisone Butyrate External Solution
Hydrocortisone Butyrate External Ointment
Hydrocodone-Ibuprofen Oral Tablet
HYDROCODONE-APAP TAB
Hydrocodone-Acetaminophen Oral Tablet
Hydrocodone-Acetaminophen Oral Solution
Hydrochlorothiazide Oral Tablet
Hydrochlorothiazide Oral Capsule
HydrALAZINE HCl Oral Tablet
Heparin Sodium (Porcine) Injection Solution
Hematogen Forte Oral Capsule
Hematinic Plus Vit/Minerals Oral Tablet
Haloperidol Oral Tablet
Halobetasol Propionate External Ointment


TIER 1 - GENERIC DRUG

TIER 2 - FORMULARY BRAND NAME DRUG

TIER 3 - NONFORMULARY BRAND NAME DRUG*
OR
BRAND NAME DRUG WITH AVAILABLE GENERIC DRUG*

* Sav-Rx will provide the available therapeutic alternative(s) or the available generic alternative(s). If one has not been provided, Sav-Rx recommends that you discuss your treatment with your physician. You may also contact Sav-Rx to discuss possible alternatives that may be suitable for you.


If you can't find your drug, please call we will find it for you.

Co-Payment tier level and formulary status do not indicate coverage and benefit limitations for your plan. Please contact Sav-Rx to confirm your coverage.