Spreadsheet: 05276f1c-1da1-4965-98e4-d629ab8f017d
Sheet: Sheet1

Washtenaw Health Plan Formulary | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5
Brand Name | Generic Name | Drug Class | Specific Therapeutic Description | Plan A | Plan B
Anaprox 275 mg tablet | Naproxen Sodium | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Anaprox DS 550 mg tablet | Naprozen Sodium | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Ansaid  50 mg tablet | [NAME] | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Ansaid 100 mg tablet | [NAME] | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Anturane 200MG capsule | Sulfinpyrazone | Analgesic | Antiarthritic | Use WHP card | Use WHP card
Aspirin w/codeine #4 tablet | Codeine | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Aspirin w/codeine  #3 tablet | Codeine | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Clinoril 150 mg tablet | Sulindac | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Clinoril 200 mg tablet | Sulindac | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Demerol 50 mg tablet | Meperidine HCL | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Demerol 50 mg/ 5 ml syrup | Meperidine HCL | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Demerol 100 mg tablet | Meperidine HCL | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Dilaudid 2 mg tablet | Hydromorphone | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Dilaudid 3 mg suppository | Hydromorphone | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Dilaudid  4 mg tablet | Hydromorphone | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Dilaudid  5 mg/5 ml liquid | Hydromorphone | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative 960 ml/month | Use WHP card; QL narcotic cumulative 960 ml/month
Dilaudid  8 mg tablet | Hydromorphone | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Disalcid 500 mg tablet | Salsalate | Analgesic | Salicylate | Use WHP card | Use WHP card
Disalcid 750 mg tablet | Salsalate | Analgesic | Salicylate | Use WHP card | Use WHP card
Dolobid 250 mg tablet | Diflunisal | Analgesic | Analgesic | Use WHP card | Use WHP card
Dolobid  500 mg tablet | Diflunisal | Analgesic | Analgesic | Use WHP card | Use WHP card
[NAME] mg tablet | Methadone | Analgesic | Narcotic | Use WHP card;QL (30 mg daily) | Use WHP card;QL (30 mg daily)
Dolophine 10 mg tablet | Methadone | Analgesic | Narcotic | Use WHP card;QL (30 mg daily) | Use WHP card;QL (30 mg daily)
Feldene 10 mg capsule | Piroxicam | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
Feldene  20 Feldene | Piroxicam | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
[NAME]  50-325-40 mg tablet | Acetomin/Caffeine/Butalbital | Analgesic | Analgesic | Use WHP card | Use WHP card
Fiorinal  50-325-40 mg capsule | ASA/Caffeine/Butalbital | Analgesic | Analgesic | Use WHP card | Use WHP card
Fiorinal  50-325-40 mg tablet | ASA/Caffeine/Butalbital | Analgesic | Analgesic | Use WHP card | Use WHP card
Fiorinal/Codeine #3 capsule | Codeine/ASA/Caffein/Butalbital | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Flexeril 10 mg tablet | [NAME] | Analgesic | Muscle Relaxants | Use WHP card | Not covered; available at $4 program
Imitrex 25 mg tablet | sumatriptan | Analgesic | Migraine | Use WHP card; QL (9/month) | Use WHP card; QL (9/month)
Imitrex 50 mg tablet | sumatriptan | Analgesic | Migraine | Use WHP card; QL (9/month) | Use WHP card; QL (9/month)
Imitrex 100 mg tablet | sumatriptan | Analgesic | Migraine | Use WHP card; QL (9/month) | Use WHP card; QL (9/month)
Indocin 25 mg capsule | Indomethacin | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Indocin 50 mg capsule | Indomethacin | Analgesic | Non Steroidal | Use WHP card | Use WHP card
[NAME] 10 mg tablet | Baclofen | Analgesic | Muscle Relaxants | Use WHP card | Not covered; available at $4 program
[NAME] 20 mg tablet | Baclofen | Analgesic | Muscle Relaxants | Use WHP card | Not covered; available at $4 program
Lorcet 10/650 TABLET | Hydrocodone/Acetaminophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Lorcet HD capsule | Hydrocodone | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Lorcet Plus 7.5/650 tablet | Hydrocodone/Acetaminophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Lortab 10/500 tablet | Hydrocodone/Acetaminophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Lortab 7.5/500 tablet | Hydrocodone/Acetaminophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Lortab elixer | Hydrocodone/APAP elixer | Analgesic | Narcotic | Use WHP card;QL narcotic cumulative 960 ml/month | Use WHP card;QL narcotic cumulative 960 ml/month
Meclomen 50 mg capsule | Meclofenamate Sodium | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Meclomen 100 mg capsule | Meclofenamate Sodium | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Methotrexate 2.5 mg tablet | Methotrexate Sodium | Analgesic | Antiarthritic | Use WHP card | Use WHP card
Methotrexate 25 mg tablet | Methotrexate Sodium | Analgesic | Antiarthritic | Use WHP card | Use WHP card
Methotrexate 25 mg/ml vial | Methotrexate Sodium | Analgesic | Antiarthritic | Use WHP card | Use WHP card
Motrin 400 mg tablet | Ibuprofen | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
Motrin 600 mg tablet | Ibuprofen | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
Motrin 800 mg tablet | Ibuprofen | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
[NAME] 15 mg tablet | [NAME] | Analgesic | Narcotic | Use WHP card (PA Req'd > 60 mg daily) | Use WHP card (PA Req'd > 60 mg daily)
[NAME] 30 mg tablet | [NAME] | Analgesic | Narcotic | Use WHP card (PA Req'd > 60 mg daily) | Use WHP card (PA Req'd > 60 mg daily)
[NAME] 60 mg tablet | [NAME] | Analgesic | Narcotic | Use WHP card (PA Req'd > 60 mg daily) | Use WHP card (PA Req'd > 60 mg daily)
[NAME] 100 mg tablet | [NAME] | Analgesic | Narcotic | Use WHP card (PA Req'd > 60 mg daily) | Use WHP card (PA Req'd > 60 mg daily)
MSIR 15 mt talet | Morphine sulfate IR | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
MSIR 30 mg tablet | Morphine sulfate IR | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
MSIR 10 mg/5 ml solution | Morphine sulfate IR | Analgesic | Narcotic | Use WHP card: QL narcotic cumulative 960 ml/month | Use WHP card: QL narcotic cumulative 960 ml/month
MSIR 20 mg/5 ml solution | Morphine sulfate IR | Analgesic | Narcotic | Use WHP card: QL (960 ml/month) | Use WHP card: QL (960 ml/month)
Nalfon 600 mg tablet | Fenoprofen Calcium | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Naprosyn 250 mg tablet | Naproxen | Analgesic | Non Steroidal | Use WHP card | Not covered,available at $4 program
Naprosyn 375 mg tablet | Naproxen | Analgesic | Non Steroidal | Use WHP card | Not covered,available at $4 program
Naprosyn 500 mg tablet | Naproxen | Analgesic | Non Steroidal | Use WHP card | Not covered,available at $4 program
Norco 5/325 mg tablet | Hydrocodone/Acetominophin | Analgesic | Narcotic | Use WHP card;QL (180 tabs/month) | Use WHP card;QL (180 tabs/month)
Norco 7.5/325 mg tablet | Hydrocodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
[NAME] 10/325 mg tablet | Hydrocodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Orudis 25 mg capsule | Ketoprofen | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Orudis 50 mg capsule | Ketoprofen | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Orudis 75 mg capsule | Ketoprofen | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Oxycodone | Oxycodone HCL | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Paraflex 250 mg tablet | Chlorzoxazone | Analgesic | Muscle Relaxants | Use WHP card | Use WHP card
Parafon forte DSC 500 mg cpt | Chlorzoxazone | Analgesic | Muscle Relaxants | Use WHP card | Use WHP card
Percocet 2.5/325 tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Percocet 5/325 tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Percocet 7.5/325 tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Percocet 7.5/500 tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Percocet 10/325 tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Percocet 10/650 tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Percodan tablet | Oxycodone/Acetominophin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Roxicodone HCL 5 mg cap/tablet | Oxycodone HCL | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Tolectin 200 mg tablet | [NAME] | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Tolectin DS 400 mg capsule | [NAME] | Analgesic | Non Steroidal | Use WHP card | Use WHP card
Trilisate 500 mg tablet | Choline/Magnesium/Trisalic | Analgesic | Salicylate | Use WHP card | Use WHP card
Trilisate 750 mg tablet | Choline/Magnesium/Trisalic | Analgesic | Salicylate | Use WHP card | Use WHP card
Trilisate 1000 mg talbet | Choline/Magnesium/Trisalic | Analgesic | Salicylate | Use WHP card | Use WHP card
Tylenol w/Codeine #2 tablet | Acetaminophin/Codeine | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Tylenol w/Codeine #3 tablet | Acetaminophin/Codeine | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Tylenol w/Codeine #4 tablet | Acetaminophin/Codeine | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Tylenol w/Codeine elixer | Acetaminophin/Codeine | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Tylox 5/500 capsule | Oxycodone/APAP | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Ultram 50 mg tablet | [NAME] | Analgesic | Analgesic | Use WHP card | Use WHP card
Vicodin 5/500 mg tablet | Hydrocodone/Acetamin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Vicodin ES 7.5/750 mg tablet | Hydrocodone/Acetamin | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Vicoprofen 7.5/200 mg tablet | Hydrocodone/Ibuprofen | Analgesic | Narcotic | Use WHP card; QL narcotic cumulative total 180 tabs/month | Use WHP card; QL narcotic cumulative total 180 tabs/month
Voltaren 25 mg tablet EC | Diclofenac Sodium | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
[NAME] 50 mg tablet EC | Diclofenac Sodium | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
[NAME] 75 mg tablet EC | Diclofenac Sodium | Analgesic | Non Steroidal | Use WHP card | Not covered; available at $4 program
Zyloprim 100 mg tablet | Allopurinol | Analgesic | Antiarthritic | Use WHP card | Not covered; available at $4 program
Zyloprim 300 mg tablet | Allopurinol | Analgesic | Antiarthritic | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | [NAME] | Analgesics | Muscle Relaxants | Use WHP card | Use WHP card
[NAME] 750 mg tablet | [NAME] | Analgesics | Muscle Relaxants | Use WHP card | Use WHP card
Soma 350 mg tablet | Carisoprodol | Analgesics | Muscle Relaxants | Use WHP card | Use WHP card
Soma Compound tablet | Carisoprodol/Aspirin | Analgesics | Muscle Relaxants | Use WHP card | Use WHP card
Banzel 400mg tablet | Rufinamide | Anti-convulsant | Anti-convulsant | Use mihealth card | Not covered
Carbatrol 200mg | [NAME] | Anti-convulsant | Psychotherapeutic | Use mihealth card | Not covered
[NAME] | [NAME] | Anti-convulsant | Psychotherapeutic | Use mihealth card | Not covered
Carbatrol 100mg | [NAME] | Anti-convulsant | Psychotherapeutic | Use mihealth card | Not covered
Amoxil 250 mg capsule | Amoxicillin | Anti-Infective | Penicillin | Use WHP card | Not covered; available at $4 program
Amoxil 250 mg tablet chew | Amoxicillin | Anti-Infective | Penicillin | Use WHP card | Not covered; available at $4 program
Amoxil 250 mg/5ml suspension | Amoxicillin | Anti-Infective | Penicillin | Use WHP card | Not covered; available at $4 program
Amoxil 400 mg/5 ml suspension | Amoxicillin | Anti-Infective | Penicillin | Use WHP card | Not covered; available at $4 program
Amoxil 500 mg capsule/tablet | Amoxicillin | Anti-Infective | Penicillin | Use WHP card | Not covered; available at $4 program
Amoxil 875 mg tablet | Amoxicillin | Anti-Infective | Penicillin | Use WHP card | Not covered; available at $4 program
Augmentin 125 mg chewable tablets | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  125mg/5 ml suspension | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  200mg chewable tablet | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  200 mg/5 ml suspension | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin 250 mg chewable tablet | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  250 mg tablet | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  250 mg/5 ml suspension | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  400 mg chewable tablet | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  400 mg/5 ml suspension | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin 500 mg tablet | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Augmentin  875 mg tablet | Amos/Potassium Clavulanate | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Azulfadine 500 mg tablet | Sulasalaxine | Anti-Infective | Sulfonamide | Use WHP card | Use WHP card
Bactrim 400-800 mg tablet | Sulfamethoxazole//Tri | Anti-Infective | Sulfonamide | Use WHP card | Not covered; available at $4 program
[NAME] tablet | Sulfamethoxazole//Tri | Anti-Infective | Sulfonamide | Use WHP card | Not covered; available at $4 program
Bactrim Pediatric Oral Susp | Sulfamethoxazole//Tri | Anti-Infective | Sulfonamide | Use WHP card | Not covered; available at $4 program
Biaxin 250 mg tablet | Chlarithromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Biaxin 500 mg tablet | Chlarithromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Ceclor 250 mg pulvule | Ceflacor | Anti-Infective | Cephalosporin | Use WHP card | Use WHP card
Ceclor 250 mg/5 ml suspension | Ceflacor | Anti-Infective | Cephalosporin | Use WHP card | Use WHP card
Ceclor 375 mg/5 ml suspension | Ceflacor | Anti-Infective | Cephalosporin | Use WHP card | Use WHP card
Ceclor 500 mg pulvule | Ceflacor | Anti-Infective | Cephalosporin | Use WHP card | Use WHP card
Cipro 250 mg tablet | Ciprofloxacin | Anti-Infective | Quinolone | Use WHP card | Not covered; available at $4 program
Cipro 250 mg/5 ml suspension | Ciprofloxacin | Anti-Infective | Quinolone | Use WHP card | Not covered; available at $4 program
Cipro 500 mg tablet | Ciprofloxacin | Anti-Infective | Quinolone | Use WHP card | Not covered; available at $4 program
Cipro 500 mg/5 ml suspension | Ciprofloxacin | Anti-Infective | Quinolone | Use WHP card | Not covered; available at $4 program
Cipro 750 mg tablet | Ciprofloxacin | Anti-Infective | Quinolone | Use WHP card | Not covered; available at $4 program
Ciprodex 0.3% otic suspension | Ciprofloxacin/Dexamethasone | Anti-Infective | Quinolone | Use WHP card | Use WHP card
[NAME] 150 mg capsule | Clindamycin | Anti-Infective | Miscellaneous | Use WHP card | Use WHP card
Diflucan 150 mg tablet | Fluconazole | Anti-Infective | [NAME] | Use WHP card | Not covered; available at $4 program
Duricef 500 mg capsule | Cefadroxil | Anti-Infective | Cephalosporin | Use WHP card | Use WHP card
Dynapen 250 mg capsule | [NAME] | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Dynapen 500 mg capsule | [NAME] | Anti-Infective | Penicillin | Use WHP card | Use WHP card
EES 400 mg film tab | Erythromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
EES 400 mg/5 ml suspension | Erythromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
E-Mycin 333 mg tablet EC | [NAME] | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Eryc 250 mg capsule | [NAME] | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Eryped 400mg/5 ml granulse | Erythromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Erythrocin 250 mg filmtab | Erythromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Erythrocin 500 mg filmtab | Erythromycin | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Erythromycin 2% solution | [NAME] | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Flagyl 250 mg tablet | Metronidazole | Anti-Infective | Antibacterial | Use WHP card | Use WHP card
Flagyl 500 mg tablet | Metronidazole | Anti-Infective | Antibacterial | Use WHP card | Use WHP card
Gantrisin 500 mg tablet | Sulisoxazole | Anti-Infective | Sulfonamide | Use WHP card | Use WHP card
Grifulvin V 125 mg/5 ml  oral susp | Griseofulvin  Microsize | Anti-Infective | [NAME] | Use WHP card | Use WHP card
Isoniazid 100 mg tablet | Isoniazid | Anti-Infective | TB | Use WHP card | Not covered; available at $4 program
Isoniazid 300 mg tablet | Isoniazid | Anti-Infective | TB | Use WHP card | Not covered; available at $4 program
Keflex 250 mg pulvule | Cephalexin | Anti-Infective | Cephalosporin | Use WHP card | Not covered; available at $4 program
Keflex 250 mg/5ml oral susp | Cephalexin | Anti-Infective | Cephalosporin | Use WHP card | Not covered; available at $4 program
Keflex 500 mg pulvule | Cephalexin | Anti-Infective | Cephalosporin | Use WHP card | Not covered; available at $4 program
[NAME] 250 mg tablet | [NAME] | Anti-Infective | Flouroquinolone | Use WHP card | Use WHP card
Levaquin 500 mg tablet | [NAME] | Anti-Infective | Flouroquinolone | Use WHP card | Use WHP card
[NAME] 750 mg tablet | [NAME] | Anti-infective | Flouroquinolone | Use WHP card | Use WHP card
Macrodantin 25 mg capsule | Nitrofurantoin macrocrystals | Anti-infective | Urinary Tract Anti-infective | Use WHP card | Use WHP card
Macrodantin 50 mg capsule | Nitrofurantoin macrocrystals | Anti-infective | Urinary Tract Anti-infective | Use WHP card | Use WHP card
Macrodantin 100  mg capsule | Nitrofurantoin macrocrystals | Anti-infective | Urinary Tract Anti-infective | Use WHP card | Use WHP card
Metro-vaginal 0.75% gel | Metronidazole | Anti-Infective | Vaginal | Use WHP card | Use WHP card
Minocin  50 mg pelletized cap | Minocycline | Anti-Infective | Tetracycline | Use WHP card | Use WHP card
Minocin 100 mg pelletized cap | Minocycline | Anti-Infective | Tetracycline | Use WHP card | Use WHP card
Penicillin VK 250 mg tablet | Penicillin V | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Penicliin VK 250 mg/5 ml liquid | Penicillin V | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Peniclllin VK 500 mg tablet | Penicillin V | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Peridex 0.12% liquid | Chlorhexidene | Anti-Infective | Miscellaneous | Use WHP card | Use WHP card
Plaquenil 200 mg tablet | Hydroxychloroquine | Anti-Infective | [NAME] | Use WHP card | Use WHP card
Principen 250 mg capsule | Ampicillin | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Principen 250 mg/5 ml susp | Ampicillin | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Principen 500 mg capsule | Ampicillin | Anti-Infective | Penicillin | Use WHP card | Use WHP card
Proloprim 100 mg tablet | Trimethoprim | Anti-Infective | Miscellaneous | Use WHP card | Use WHP card
Proloprim 200 mg tablet | Trimethoprim | Anti-Infective | Miscellaneous | Use WHP card | Use WHP card
Sumycin  125 mg/5 ml oral susp | Tetracycline | Anti-Infective | Tetracycline | Use WHP card | Not covered; available at $4 program
Sumycin 500 mg capsule | Tetracycline | Anti-Infective | Tetracycline | Use WHP card | Not covered; available at $4 program
Sumycin V 250 mg capsule | Tetracycline | Anti-Infective | Tetracycline | Use WHP card | Not covered; available at $4 program
Trimpex 100 mg tablet | Trimethoprem | Anti-Infective | Urinary Tract Agents | Use WHP card | Use WHP card
[NAME]   50 mg capsule | [NAME] | Anti-Infective | Tetracycline | Use WHP card | Not covered
[NAME]  100 mg capsule | [NAME] | Anti-Infective | Tetracycline | Use WHP card | Not covered
Vibra-tabs 100 mg tablet | [NAME] | Anti-Infective | Tetracycline | Use WHP card | Not covered
Zithromax 200 mg/5 ml susp | [NAME] | Anti-Infective | Macrolides | Use WHP card | Use WHP card
Zithromax 250 mg tablets | [NAME] | Anti-Infective | Macrolides | Use WHP card;QL (6 pills) | Use WHP card;QL (6 pills)
[NAME] 200 mg capsule | Acyclovir | Anti-Infective | Antiviral | Use WHP card | Not covered,available at $4 program
[NAME] 400 mg tablet | Acyclovir | Anti-Infective | Antiviral | Use WHP card | Use WHP card
Zovirax 5% ointment | Acyclovir | Anti-Infective | Antiviral | Use WHP card | Not covered
[NAME] 800 mg tablet | Acyclovir | Anti-Infective | Antiviral | Use WHP card | Use WHP card
Cardec-DM drops | D-Methorpan/P-Ephedrine | Bronchal | Cough & Cold | Use WHP card | Use WHP card
[NAME] | Spacer | Bronchial | Asthma/COPD | Use WHP card, QL (1/year) | Use WHP card, QL (1/year)
Allegra 60 mg capsulet/tablet | Fexofenadine | Bronchial | Antihistamine | Use WHP card | Not covered
Alupent 0.6% solution | Metaproterenol | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Alupent 10 mg tablet | Metaproterenol | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Alupent 10 mg/5 ml syrup | Metaproterenol | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Alupent 20 mg tablet | Metaproterenol | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Alupent 5% Solution | Metaproterenol | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
[NAME] syrup | Codeine | Bronchial | Antihist/Antitussive | Use WHP card | Use WHP card
Aminophylline  100 mg tablet | Aminophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Aminophylline 5 mg/5 ml liquid | Aminophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Aminophylline 200 mg tablet | Aminophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Atarax 10 mg tablet | Hydroxyzine | Bronchial | Antihistamine | Use WHP card | Use WHP card
Atarax 25 mg tablet | Hydroxyzine | Bronchial | Antihistamine | Use WHP card | Use WHP card
Atarax  50 mg tablet | Hydroxyzine | Bronchial | Antihistamine | Use WHP card | Use WHP card
Atrovent 0.02% Solution | Ipatropium Bromide | Bronchial | Asthma/COPD | Use WHP card | Not covered;available at $4 program
Atrovent  HFA [NAME] | Ipratropium Bromide | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Benadryl 50 mg capsule | Diphenhydramine | Bronchial | Antihistamine | Use WHP card | Not covered;OTC
Chlor-Trimeton 4 mg tablet | Chlorpheniramine Maleate | Bronchial | Antihistamine | Use WHP card | Not covered; OTC
Chlor-Trimeton 8 mg tablet | Chlorpheniramine Maleate | Bronchial | Antihistamine | Use WHP card | Not covered; OTC
Claritin OTC 10 mg rapdis | Loratadine OTC | Bronchial | Antihistamine | Use WHP card | Not covered; OTC
Claritin OTC 10 mg tablet | Loratadine OTC | Bronchial | Antihistamine | Use WHP card | Not covered; OTC
Claritin OTC 5 mg/5 ml syrup | Loratadine OTC | Bronchial | Antihistamine | Use WHP card | Not covered; OTC
[NAME] elixer | Guaifen/Cod/Phenylep | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Elixophyllin 80 mg/15 ml elixer | Theophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Entex PSE 400-120 mg SR cap | Guaifenesin/P-Ephedring | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Entex PSE 600-60 mg SR cap | Guaifenesin/P-Ephedring | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Epipen 0.3 mg injection | Epinephrine | Bronchial | Anaphylaxis Therapy | use WHP card; QL (2 injections/rx) | Use WHP card; QL (2 injections/rx)
[NAME] mg injection | Epinephrine | Bronchial | Anaphylaxis Therapy | use WHP card; QL (2 injections/rx) | Use WHP card; QL (2 injections/rx)
Flonase Nasal Spray | Fluticasone Proprionate | Bronchial | Nasal Corticosteroid | Use WHP card | Use WHP card
Flovent HFA  110 mcg inhaler | Fluticasone Proprionate | Bronchial | Inhaled Glucocorticoid | Use WHP card | Use WHP card
Flovent HFA 220 [NAME] | Fluticasone Proprionate | Bronchial | Inhaled Glucocorticoid | Use WHP card; PA Req'd | Use WHP card; PA Req'd
Histussin HD solution | Guaifenesin/Phenyephrine/Hcon | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Hycodan syrup | Hydrocodone/Homatrop | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Intal Nebulizer solution | [NAME] | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Lufyllin 100 mg/15 ml elixer | Dyphylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Lufyllin 200 mg tablet | Dyphylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
[NAME] mg tablet | Guaifenesin | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Periactin 2mg/5 ml syrup | Cyproheptadine | Bronchial | Antihistamine | Use WHP card | Use WHP card
Periactin 4 mg tablet | Cyproheptadine | Bronchial | Antihistamine | Use WHP card | Use WHP card
Phenergan 6.25 mg/5 ml syrup | [NAME] | Bronchial | Antihistamine | Use WHP card | Not covered,available at $4 program
Phenergan 25 mg tablet | [NAME] | Bronchial | Antihistamine | Use WHP card | Not covered,available at $4 program
Phenergan 12.5 mg suppository | [NAME] | Bronchial | Antihistamine | Use WHP card | Use WHP card
Phenergan 25 mg suppository | [NAME] | Bronchial | Antihistamine | Use WHP card | Use WHP card
[NAME] 50 mg suppository | [NAME] | Bronchial | Antihistamine | Use WHP card | Use WHP card
[NAME] syrup | Promethazine/Phenyl.codeine | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Phenergan w/Codeine syrup | Promethazine/Cod. | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Phenergan DM syrup | Promethazine/D-meth | Bronchial | Cough & Cold | Use WHP card | Use WHP card
[NAME] ml syrup | Dexchlorpheniramine | Bronchial | Antihistamine | Use WHP card | Use WHP card
Polarmine 6 mg repetab | Dexchlorpheniramine | Bronchial | Antihistamine | Use WHP card | Use WHP card
ProAir HFA inhaler 90 mcg | Albuterol HFA | Bronchial | Asthma/COPD | Use WHP card;QL (2/month) | Use WHP card;QL (2/month)
QVAR 40 [NAME] | Beclomethasone Dipropionate | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
QVAR 80 [NAME] | Beclomethasone Dipropionate | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
Robitussin AC syrup | Codeine/Guaifenesin | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Robitussin DAC syrup | Codeine/P-ephedrine/Guaif | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Robitussin DM syrup | Dextromethorphan/Guaifenesin | Bronchial | Cough & Cold | Use WHP card | Not covered; OTC
Rynatan tablet | Phenylephrine/Pyrila | Bronchial | Cough & Cold | Use WHP card | Use WHP card
Singulair 10 mg tablet | Montelukast | Bronchial | Asthma | Use WHP card | Use WHP card
Singulair 4 mg chew tab | Montelukast | Bronchial | Asthma | Use WHP card | Use WHP card
Singulair 5 mg chew tab | Montelukast | Bronchial | Asthma | Use WHP card | Use WHP card
Tavist 1.34 mg tablet | Clemastine Fumarate | Bronchial | Antihistamine | Use WHP card | Use WHP card
Tavist 2.68 mg tablet | Clemastine Fumarate | Bronchial | Antihistamine | Use WHP card | Use WHP card
Tessalon Perle 100 mg cap | Benzonatate | Bronchial | Cough & Cold | Use WHP card | Use WHP card
[NAME] 100 mg tablet SA | Theophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
[NAME] 200 mg tablet SA | Theophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
[NAME] 300 mg tablet SA | Theophylline | Bronchial | Asthma/COPD | Use WHP card | Use WHP card
[NAME] mg/ml solution | Albuterol | Bronchial | Asthma/COPD | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Albuterol | Bronchial | Asthma/COPD | Use WHP card | Not covered; available at $4 program
[NAME] ml solution | Albuterol | Bronchial | Asthma/COPD | Use WHP card | Not covered; available at $4 program
Vistaril 25 mg capsule | Hydroxyzine Pamoate | Bronchial | Antihistamine | Use WHP card | Use WHP card
Vistaril 50 mg capsule | Hydroxyzine Pamoate | Bronchial | Antihistamine | Use WHP card | Use WHP card
Vistaril 100 mg capsule | Hydroxyzine Pamoate | Bronchial | Antihistamine | Use WHP card | Use WHP card
Zyrtec OTC 10 mg tablet | Ceterizine | Bronchial | Antihistamine | Use WHP card | Not covered; OTC
Adalat 10 mg capsule | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Adalat 20 mg capsule | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
[NAME] 30 mg tablet SA | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
[NAME] 60 mg tablet SA | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
[NAME] 90 mg tablet SA | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Aldactazide 25/25 mg tablet | Spironolactone/HCTZ | Cardiovascular | Diuretics, K+ sparing | Use WHP card | Use WHP card
Aldactone 25 mg tablet | Spironolactone | Cardiovascular | Diuretics, K+ sparing | Use WHP card | Use WHP card
Aldactone 50 mg tablet | Spironolactone | Cardiovascular | Diuretics, K+ sparing | Use WHP card | Use WHP card
Aldactone 75 mg tablet | Spironolactone | Cardiovascular | Diuretics, K+ sparing | Use WHP card | Use WHP card
Aldactone 100 mg tablet | Spironolactone | Cardiovascular | Diuretics, K+ sparing | Use WHP card | Use WHP card
Aldomet 125 mg tablet | Methyldopa | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Aldomet 250 mg tablet | Methyldopa | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Aldomet 500 mg tablet | Methyldopa | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Aldoril-15  mg tablet | Methyldopa/Hydrochlorothiazide | Cardiovascular | [NAME]/diuretic | Use WHP card | Use WHP card
Aldoril-25 mg tablet | Methyldopa/Hydrochlorothiazide | Cardiovascular | [NAME]/diuretic | Use WHP card | Use WHP card
Apresoline  10 mg tablet | [NAME] | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Apresoline  25 mg tablet | [NAME] | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Apresoline 50 mg tablet | [NAME] | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Use WHP card
Apresoline 100 mg tablet | [NAME] | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Use WHP card
[NAME]  5 mg tablet | Timolol Maleate | Cardiovascular | Cardiovascular | Use WHP card | Use WHP card
[NAME] 10 mg tablet | Timolol Maleate | Cardiovascular | Cardiovascular | Use WHP card | Use WHP card
[NAME] 20 mg tablet | Timolol Maleate | Cardiovascular | Cardiovascular | Use WHP card | Use WHP card
Bumex 0.5 mg tablet | Bumetanide | Cardiovascular | Diuretics/Loop | Use WHP card | Not covered; available at $4 program
Bumex 1 mg tablet | Bumetanide | Cardiovascular | Diuretics/Loop | Use WHP card | Not covered; available at $4 program
Bumex 2 mg tablet | Bumetanide | Cardiovascular | Diuretics/Loop | Use WHP card | Not covered; available at $4 program
Calan  40 mg tablet | [NAME] | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Calan  80 mg tablet | [NAME] | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Calan 120 mg tablet | [NAME] | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Calan SR 120 mg caplet | [NAME] | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Calan SR 180 mg caplet | [NAME] | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Calan SR 240MG caplet SA | [NAME] | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Capoten  12.5 mg tablet | Captopril | Cardiovascular | ACE Inhibitor | Use mihealth card | Not covered; available at $4 program
Capoten  25 mg tablet | Captopril | Cardiovascular | ACE Inhibitor | Use mihealth card | Not covered; available at $4 program
Capoten 50 mg tablet | Captopril | Cardiovascular | ACE Inhibitor | Use mihealth card | Not covered; available at $4 program
Capoten 100 mg tablet | Captopril | Cardiovascular | ACE Inhibitor | Use mihealth card | Not covered; available at $4 program
Cardene 20 mg capsule | Nicardipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
[NAME] mg capsule | Nicardipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem 30 mg tablet | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Not covered; available at $4 program
Cardizem 60 mg tablet | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Not covered; available at $4 program
Cardizem 90 mg tablet | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Not covered; available at $4 program
Cardizem 120 mg tablet | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Not covered; available at $4 program
Cardizem  CD 120 mg cap SR 24 hour | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem  CD 180 mg cap SR 24 hour | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem  CD 240 mg cap SR 24 hour | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem  CD 300 mg cap SR 24 hour | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem  SR   60 mg capsule | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem SR   90 mg capsule | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardizem  SR 120 mg capsule | Diltiazem | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Cardura 1 mg tablet | Doxazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Doxazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
[NAME] 4 mg tablet | Doxazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
[NAME] 8 mg tablet | Doxazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
Catapres 0.1 mg tablet | Clonidine | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Catapres 0.2 mg tablet | Clonidine | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Catapres 0.3 mg tablet | Clonidine | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Cordarone 200 mg tablet | Amiodarone | Cardiovascular | Anti-Arrhythmics | Use WHP card | Use WHP card
Coreg 3.125 mg tablet | Carvedilol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Coreg 6.25 mg tablet | Carvedilol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Coreg 12.5 mg tablet | Carvedilol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Carvedilol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Corgard 20 mg tablet | Nadolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Corgard 40 mg tablet | Nadolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Corgard 80 mg tablet | Nadolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Corgard 120 mg tablet | Nadolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Corgard 160 mg tablet | Nadolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
[NAME] | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME]  2.5 mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME]mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME]  5 mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME] 6 mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME]  7.5mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
[NAME] 10 mg tablet | Warfarin Sodium | Cardiovascular | Anticoagulant | Use WHP card | Not covered; available at $4 program
Cozaar 25 mg tablet | Losartan | Cardiovascular | [NAME] receptor blocker | Use WHP card | Use WHP card
Cozaar 50 mg tablet | Losartan | Cardiovascular | [NAME] receptor blocker | Use WHP card | Use WHP card
Cozaar 100 mg tablet | Losartan | Cardiovascular | [NAME] receptor blocker | Use WHP card | Use WHP card
Diamox 125 mg tablet | Acetazolamide | Cardiovascular | Diuretic,Carbonic Anhydrase | Use WHP card | Use WHP card
Diamox 250 mg tablet | Acetazolamide | Cardiovascular | Diuretic,Carbonic Anhydrase | Use WHP card | Use WHP card
Diuril 250 mg tablet | Chlorothiazide | Cardiovascular | Diuretic, thiazide | Use WHP card | Use WHP card
Diuril 500 mg tablet | Chlorothiazide | Cardiovascular | Diuretic, thiazide | Use WHP card | Use WHP card
Dyazide 37.5/25 capsule | HCTZ/Triameterene | Cardiovascular | Diretics, K+ sparing | Use WHP card | Not covered; available at $4 program
Dyazide 50/25 capsule | HCTZ/Triameterene | Cardiovascular | Diretics, K+ sparing | Use WHP card | Not covered; available at $4 program
Enduron 2.5 mg tablet | Methyclothiazide | Cardiovascular | Diuretic/Thiazide | Use WHP card | Use WHP card
Enduron 5 mg tablet | Methyclothiazide | Cardiovascular | Diuretic/Thiazide | Use WHP card | Use WHP card
Hydergine 1 mg tablet | Ergoloid mesylates | Cardiovascular | Vasodilator | Use WHP card | Use WHP card
Hydrodiuril 25 mg tablet | Hydrochlorothiazide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
Hydrodiuril 50 mg tablet | Hydrochlorothiazide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
Hygroton 25 mg tablet | Chlorthalidone | Cardiovascular | Diuretic, thiazide | Use WHP card | Use WHP card
Hygroton 50 mg tablet | Chlorthalidone | Cardiovascular | Diuretic, thiazide | Use WHP card | Use WHP card
Hytrin 1 mg capsule | Terazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
Hytrin10 mg capsule | Terazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
Hytrin 2 mg capsule | Terazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
Hytrin 5 mg capsule | Terazosin | Cardiovascular | [NAME] | Use WHP card | Not covered; available at $4 program
Hyzaar 50-12.5 mg capsules | Losartan/HCTZ | Cardiovascular | ARB/Diuretic | Use WHP card | Use WHP card
Hyzaar 100-12.5 mg capsules | Losartan/HCTZ | Cardiovascular | ARB/Diuretic | Use WHP card | Use WHP card
Hyzaar 100-25 mg capsules | Losartan/HCTZ | Cardiovascular | ARB/Diuretic | Use WHP card | Use WHP card
Imdur 120 mg tablet | [NAME] | Cardiovascular | Coronary Vasodilator | Use WHP card | Not covered; available at $4 program
Imdur 30 mg tablet | [NAME] | Cardiovascular | Coronary Vasodilator | Use WHP card | Not covered; available at $4 program
Imdur 60 mg tablet | [NAME] | Cardiovascular | Coronary Vasodilator | Use WHP card | Not covered; available at $4 program
Inderal 10 mg tablet | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Inderal  20 mg tablet | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Inderal 40 mg tablet | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Inderal 60 mg tablet | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered
Inderal 80 mg tablet | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Inderal LA   80 mg capsule | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Use WHP card
Inderal LA 120 mg capsule SA | Propranolol | Cardiovascular | Beta Blocker | Use WHP card | Use WHP card
IsordilL  2.5 mg tablet SL | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
IsordilL 5 mg tablet | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
IsordilL  5 mg tablet SL | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Isordil10 mg tablet | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Isordil 20 mg tablet | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
IsordilL 30 mg tablet | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Isordil 40 mg tablet SA | Isosorbide Dinitrate | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
KCL 20 meq/15 ml liquid | Potassium Chloride | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
K-Dur 20 meq tab SR | Potassium Chloride | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
Klor-con 8 meq tablet SA | Potassium Chloride | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
K-Tab 10 meq tablet SA | Potassium Chloride | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
K-Lyte 25 meq tablet eff | Potassium Bicarbonate/Cit AC | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
Lanoxin 0.05 mg/ml elixer | Digoxin | Cardiovascular | Digitalis Glycoside | Use WHP card | Use WHP card
Lanoxin 0.125 mg tablet | Digoxin | Cardiovascular | Digitalis Glycoside | Use WHP card | Use WHP card
Lanoxin 0.25 mg tablet | Digoxin | Cardiovascular | Digitalis Glycoside | Use WHP card | Use WHP card
[NAME] | Digoxin | Cardiovascular | Digitalis Glycoside | Use WHP card | Use WHP card
[NAME] mg/ml  solution | Furosemide | Cardiovascular | Diuretic, thiazide | Use WHP card | Use WHP card
[NAME] 20 mg tablet | Furosemide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Furosemide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Furosemide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
Loniten 2.5  mg tablet | Minoxidil | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Use WHP card
Loniten 10 mg tablet | Minoxidil | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Use WHP card
Lopid 600 mg tablet | Gemfibrozil | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Lopressor  25 mg tablet | Metoprolol Tartrate | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Lopressor 50 mg tablet | Metoprolol Tartrate | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Lopressor 100 mg tablet | Metoprolol Tartrate | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Lozol 1.25 mg tablet | Indapamide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
Lozol 2.5 mg tablet | Indapamide | Cardiovascular | Diuretic, thiazide | Use WHP card | Not covered; available at $4 program
Maxzide 25 mg tablet | HCTZ/Triameterene | Cardiovascular | Diretics, K+ sparing | Use WHP card | Not covered; available at $4.00 prpgram
Maxzide 50/75 mg tablet | HCTZ/Triameterene | Cardiovascular | Diretics, K+ sparing | Use WHP card | Not covered; available at $4.00 prpgram
Mevacor 10 mg tablet | [NAME] | Cardiovascular | Cholestrol lowering | Use WHP card | Use WHP card
Mevacor20 mg tablet | [NAME] | Cardiovascular | Cholestrol lowering | Use WHP card | Use WHP card
Mevacor 40 mg tablet | [NAME] | Cardiovascular | Cholestrol lowering | Use WHP card | Use WHP card
Mexitil 150 mg capsule | Mexiletine | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Mexitil 200 mg capsule | Mexiletine | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Mexitil 250 mg capsule | Mexiletine | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Micro-K 10 meq extencaps | Potassium Chloride | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
Minipress 1 mg capsule | [NAME] HCL | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | not covered; available at $4 program
Minipress 2 mg capsule | [NAME] HCL | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | not covered; available at $4 program
Minipress 5 mg capsule | [NAME] HCL | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | not covered; available at $4 program
Moduretic 5/50 tablet | HCTZ/Amiloride | Cardiovascular | Diuretics, K= Sparing | Use WHP card | Use WHP card
Neptazane 25 mg tablet | Methazolamide | Cardiovascular | Diuretic, Carbonic Anhydrase | Use WHP card | Use WHP card
Neptazane 50 mg tablet | Methazolamide | Cardiovascular | Diuretic, Carbonic Anhydrase | Use WHP card | Use WHP card
[NAME]% ointment | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Nitroglycerine 2.5 mg caps SA | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Nitroglycerine 6.5 mg caps SA | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Nitroglycerine 9 mg caps SA | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Nitrostat 0.3 mg tablet SL | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Nitrostat 0.4 mg tablet SL | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Nitrostat 0.6 mg tablet SL | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Norpace 100 mg capsule | Disopyramide | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Norpace 150 mg capsule | Disopyramide | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Norvasc 2.5 mg tablet | Amlodipine | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered,available at $4 program
Norvasc 5 mg tablet | Amlodipine | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered,available at $4 program
Norvasc 10 mg tablet | Amlodipine | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered,available at $4 program
Pavabid 150 mg capsule SA | Papaverne | Cardiovascular | Peripheral Vasodilator | Use WHP card | Use WHP card
Plavix 75 mg tablet | Clopidogrel | Cardiovascular | Antiplatelet | Use WHP card | Use WHP card
Procainamide 750 mg tablet | Procainamide HCL | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Procardia 10 mg capsule | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Procardia 20 mg capsule | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Procardia XL 30 mg tablet | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Procardia XL 60 mg tablet | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Procardia XL 90 mg tablet | Nifedipine | Cardiovascular | Calcium Channel Blocker | Use WHP card | Use WHP card
Questran Light powder | Cholestyramine/Aspar | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Questran powder | Cholestyramine/Aspar | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Quinaglute 324 mg tablet | Quinidine Gluconate | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Quinidex  300 mg tablet | Quinidine Sulfate | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Quinidine 200 mg tablet | Quinidine Sulfate | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Quinidine 300 mg tablet | Quinidine Sulfate | Cardiovascular | Antiarrhythmic | Use WHP card | Use WHP card
Sectral 200 mg capsule | Acebutolol | Cardiovascular | Beta Blocker | Use WHP card | Use WHP card
Sectral 400 mg capsule | Acebutolol | Cardiovascular | Beta Blocker | Use WHP card | Use WHP card
Slow-K 8 meq tablet | Potassium Chloride | Cardiovascular | Potassium Supplements | Use WHP card | Use WHP card
Tenex 1 mg tablet | Guanfacine HCL | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Tenex 2 mg tablet | Guanfacine HCL | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Not covered; available at $4 program
Tenoretic 50/25 mg tablet | Atenolol/Chlorthalicone | Cardiovascular | Beta Blocker + Diuretic | Use WHP card | Not covered; available at $4 program
Tenoretic 100/25 mg tablet | Atenolol/Chlorthalicone | Cardiovascular | Beta Blocker + Diuretic | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Atenolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Tenormin 50 mg tablet | Atenolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Tenormin 100 mg tablet | Atenolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Transderm-Nitro Patch .1 mg/hr | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Transderm-Nitro Patch .2 mg/hr | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
Transderm-Nitro Patch .4 mg/hr | Nitroglycerin | Cardiovascular | Coronary Vasodilator | Use WHP card | Use WHP card
[NAME] 10 mg tablet | Isoxsuprine | Cardiovascular | Peripheral Vasodilator | Use WHP card | Use WHP card
Vasodilan 20 mg tablet | Isoxsuprine | Cardiovascular | Peripheral Vasodilator | Use WHP card | Use WHP card
Vasotec 2.5 mg tablet | Enalapril Maleate | Cardiovascular | ACE Inhibitor | Use WHP card | Not covered; available at $4 program
Vasotec 5 mg tablet | Enalapril Maleate | Cardiovascular | ACE Inhibitor | Use WHP card | Not covered; available at $4 program
Vasotec  10 mg tablet | Enalapril Maleate | Cardiovascular | ACE Inhibitor | Use WHP card | Not covered; available at $4 program
Vasotec 20 mg tablet | Enalapril Maleate | Cardiovascular | ACE Inhibitor | Use WHP card | Not covered; available at $4 program
Visken 5 mg tablet | Pindolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Visken 10 mg tablet | Pindolol | Cardiovascular | Beta Blocker | Use WHP card | Not covered; available at $4 program
Wytensin 4 mg tablet | [NAME] | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Use WHP card
Wytensin 8 ng tablet | [NAME] | Cardiovascular | Antihypertensives, [NAME] | Use WHP card | Use WHP card
Zestoretic 10-12.5  mg tablet | Lisinopril/HCTZ | Cardiovascular | ACE Inhibitor/Diuretic | Use WHP card | Not covered; available at $4 program
Zestoretic 20-12.5 mg tablet | Lisinopril/HCTZ | Cardiovascular | ACE Inhibitor/Diuretic | Use WHP card | Not covered; available at $4 program
Zestoretic 20-25 mg tablet | Lisinopril/HCTZ | Cardiovascular | ACE Inhibitor/Diuretic | Use WHP card | Not covered; available at $4 program
Zestril 2.5 mg tablet | Lisinopril | Cardiovascular | Ace Inhibitor | Use WHP card | Not covered,available at $4 program
Zestril 5 mg tablet | Lisinopril | Cardiovascular | Ace Inhibitor | Use WHP card | Not covered; available at $4 program
Zestril 10 mg tablet | Lisinopril | Cardiovascular | Ace Inhibitor | Use WHP card | Not covered; available at $4 program
Zestril 20 mg tablet | Lisinopril | Cardiovascular | Ace Inhibitor | Use WHP card | Not covered; available at $4 program
Zestril 30 mg tablet | Lisinopril | Cardiovascular | Ace Inhibitor | Use WHP card | Not covered; available at $4 program
Zocor 5 mg tablet | Simvastatin | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Zocor 10 mg tablet | Simvastatin | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Zocor 20 mg tablet | Simvastatin | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Zocor 40 mg tablet | Simvastatin | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Zocor 80 mg tablet | Simvastatin | Cardiovascular | Lipotropic | Use WHP card | Use WHP card
Alkeran 2 mg tablet | Melphalan | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Arimidex 1 mg tablet | Anastrozole | Chemotherapy | Antineoplastic | Use WHP card | Not covered
[NAME] 25 mg tablet | Exemestane | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Casodex 50 mg tablet | Bicalutamide | Chemotherapy | Antiandrogenic Agent | Use WHP card | Not covered
Ceenu 10 mg capsule | Lomustine | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Ceenu 40 mg capsule | Lomustine | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Ceenu 100 mg capsule | Lomustine | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Ceenu dose Pack | Lomustine | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Cytoxan 25 mg tablet | Cyclophosphamide | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Cytoxan 50 mg tablet | Cyclophosphamide | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Droxiz 200 mg capsule | Hydroxyurea | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
[NAME] mg capsule | Hydroxyurea | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
[NAME] mg capsule | Hydroxyurea | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Emcyt 140 mg capsule | Estramustine/phos/sod | Chemotherapy | Antineoplastic | Use WHP card | Not covered
[NAME] capsule | Flutamide | Chemotherapy | Antiandrogenic Agent | Use WHP card | Not covered
Fareston 60 mg tablet | [NAME] | Chemotherapy | Selective Estrogen Receptor | Use WHP card | Not covered
[NAME] mg tablet | Letrozole | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Gleevec 100 mg tablet | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Gleevec 400 mg tablet | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Hexalen 50 mg capsule | [NAME] | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Iressa 250 mg tablet | Gefitinib | Chemotherapy | Antineoplastic | Use WHP card | Not covered
[NAME] mg tablet | Chlorambucil | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Lysodren 500 mg tablet | Mitotane | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Matulane 50 mg capsule | Procarbazine HCL | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Megace 20 mg tablet | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Megace 40 mg tablet | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Mesnex 400 mg tablet | Mesna | Chemotherapy | Rescue/Antidote | Use WHP card | Not covered
Nexavar 200 mg tablet | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Nilandron 150 mg tablet | Nilutamide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Nolvadex 10 mg tablet | Tamoxifen | Chemotherapy | Selective Estrogen Receptor | Use WHP card | Not covered
Nolvadex 20 mg tablet | Tamoxifen | Chemotherapy | Selective Estrogen Receptor | Use WHP card | Not covered
[NAME]  50 mg tablet | [NAME] | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
Revlimid 5 mg capsule | Lenalidomide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Revlimid 10 mg capsule | Lenalidomide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Revlimid 15 mg capsule | Lenalidomide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Revlimid 25 mg capsule | Lenalidomide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Revlimid 30 mg capsule | Lenalidomide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Sprycel 20 mg tablet | Dasatinib | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Sprycel 50 mg tablet | Dasatinib | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Sprycel 70 mg tablet | Dasatinib | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Sutent 12.5 mg capsule | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Sutent 25 mg capsule | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Sutent 50 mg capsule | [NAME] | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Tarceva 25 mg tablet | Erlotinib HCL | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Tarceva 100 mg tablet | Erlotinib HCL | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Tarceva 150 mg tablet | Erlotinib HCL | Chemotherapy | Antineoplastic | Use WHP card | Not covered
[NAME] 75 mg soft gel | Bexarotene | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Temodar 5 mg capsule | Temozolomide | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Temodar 20 mg capsule | Temozolomide | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Temodar 100 mg capsule | Temozolomide | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Temodar 250 mg capsule | Temozolomide | Chemotherapy | Alkylating Agent | Use WHP card | Not covered
Trexall 5 mg tablet | Methotrexate Sodium | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
Trexall 7.5 mg tablet | Methotrexate Sodium | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
Trexall 10 mg tablet | Methotrexate Sodium | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
Trexall 15 mg tablet | Methotrexate Sodium | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
Vepesid 50 mg capsule | Etoposide | Chemotherapy | Antineoplastic | Use WHP card | Not covered
Vesanoid 10 mg capsule | Tretinoin | Chemotherapy | Antineoplastic | Use WHP card | Not covered
[NAME] 150 mg tablet | Capecitabine | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
[NAME] 500 mg tablet | Capecitabine | Chemotherapy | Anti-Metabolite | Use WHP card | Not covered
Zolinza 100 mg capsule | Vorinostat | Chemotherapy | Antineoplastic | Use mihealth card | Not covered
A/T/S 2% gel | [NAME] | Dermatologic | Anti-Infective | Use WHP card | Use WHP card
A/T/S 2% topical solution | [NAME] | Dermatologic | Anti-Infective | Use WHP card | Use WHP card
[NAME] solution | Clindamycin | Dermatologic | Anti-Infective | Use WHP card | Use WHP card
Aristocort A 0.025% cream/ointment | Triamcinolone/Acetonide/L.S.B. | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Aristocort A 0.1% cream/ointment | Triamcinolone/Acetonide/L.S.B. | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Aristocort  A 0.5% cream/ointment | Triamcinolone/Acetonide/L.S.B. | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Condylox 0.5% solution | Podofilox | Dermatological | Miscellaneous | Use WHP card | Use WHP card
Desonide 0.05% ointment | Desonide | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Des-owen 0.05% cream | Desonide | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Diprosone 0.05% cream | Betamethasone | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Diprosone 0.05 pc lotion | Betamethasone | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Diprosone 0.05 pc ointment | Betamethasone | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Elimite 5% cream | Permethrin | Dermatological | Antiparasitic | Use WHP card | Use WHP card
Hytone 2.5% ointment | Hydrocortisone | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Hytone 2.5 pc cream | Hydrocortisone | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Hytone 2.5 pc lotion | Hydrocortisone | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Kenalog-Orabase 0.1% paste | Triamcinolone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
[NAME] mg tablet | Terbinafine | Dermatological | [NAME] | Use WHP card | Not covered; available at $4 program
Lidex 0.05% cream | Fluocinonide | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Lidex  0.05% gel | Fluocinonide | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Lidex 0.05% ointment | Fluocinonide | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Lidex 0.05% solution | Fluocinonide | Dermatological | Corticosteroid | Use WHP card | Not covered; available at $4 program
Lidex -E 0.05% cream | Fluocinonide/Emollient | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Lotrimin  1% cream | Clotrimazole | Dermatological | [NAME] | use WHP card | Not covered; OTC
Lotrimin 1% solution | Clotrimazole | Dermatological | [NAME] | use WHP card | Not covered; OTC
Lotrisone cream | Betamethasone/Clotrimazole | Dermatological | Anti-fungal | Use WHP card | Use WHP card
Lotrisone lotion | Betamethasone/Clotrimazole | Dermatological | Anti-fungal | Use WHP card | Use WHP card
Metro gel/lotion/cream 0.75% | Metronidazole | Dermatological | Rosacea agent | Use WHP card | Use WHP card
Mycolog II cream | Nystatin/Triamcinolone | Dermatological | [NAME] | Use WHP card | Use WHP card
Mycolog II ointment | Nystatin/Triamcinolone | Dermatological | [NAME] | Use WHP card | Use WHP card
[NAME] 100.000 u/gm cream | [NAME] | Dermatological | [NAME] | Use WHP card | Not covered,available at $4 program
Mycostatin 100,000 u/ml susp | [NAME] | Dermatological | [NAME] | Use WHP card | Use WHP card
Mycostatin 500,000 oral tab | [NAME] | Dermatological | [NAME] | Use WHP card | Use WHP card
Selsun 2.5% shampoo | Selenium Sulfide | Dermatological | Miscellaneous | Use WHP card | Use WHP card
Silvadene 1% cream | Silver Sulfadizaine | Dermatological | Anti-infective | Use WHP card | Not covered; available at $4 program
Synalar 0.01% solution | Fluocinolone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Synalar 0.025% cream | Fluocinolone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Synalar 0.025% ointment | Fluocinolone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Temovate 0.05% cream | Clobetasol | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Temovate 0.05% ointment | Clobetasol | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Temovate 0.05% solution | Clobetasol | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Topicort 0.25% cream | Desoximetasone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
[NAME] 0.25 PC ointment | Desoximetasone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Topicort LP 0.05% PC cream | Desoximetasone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Valisone 0.1 PC cream | Betamethasone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Valisone 0.1 PC lotion | Betamethasone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Valisone 0.1 PC ointment | Betamethasone | Dermatological | Corticosteroid | Use WHP card | Use WHP card
Bacitracin ointment | Bacitracin | Dermatology | Anti-Infective | Use WHP card | Use WHP card
[NAME] blood glucose strips | Blood glucose strips | Diabetes | Supplies | Use WHP card; QL (100/month) | Use WHP card; QL (100/month)
[NAME] lancets | Lancets | Diabetes | Supplies | Use WHP card | Use WHP card
[NAME] | Glucometer | Diabetes | Supplies | [NAME]  [PHONE] for a free meter | [NAME]  [PHONE] for a free meter
Bayer Contour blood glucose strips | Blood glucose strips | Diabetes | Supplies | Use WHP card; QL (100/month) | Use WHP card; QL (100/month)
Bayer Contour Lancets | Lancets | Diabetes | Supplies | Use WHP card | Use WHP card
[NAME] blood glucose strips | Blood glucose strips | Diabetes | Supplies | Use WHP card; QL (100/month) | Use WHP card; QL (100/month)
[NAME] | Glucometer | Diabetes | Supplies | [NAME]  [PHONE] for a free meter | [NAME]  [PHONE] for a free meter
Bayer Contour Next Lancets | Lancets | Diabetes | Supplies | Use WHP card | Use WHP card
B-D Insulin syringes  .5 cc | [NAME] | Diabetes | Supplies | Use WHP card | Use WHP card
B-D Insulin Syringes 1 cc | [NAME] | Diabetes | Supplies | Use WHP card | Use WHP card
Diabenese 100 mg tablet | Chlorpropamide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Diabenese 250 mg tablet | Chlorpropamide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Diabeta 1.25 mg tablet | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Diabeta 2.5 mg tablet | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Diabeta 5 mg tablet | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
[NAME] | Glucagon | Diabetes | Hyperglycemic | use WHP card;QL (1 kit/rx) | use WHP card;QL (1 kit/rx)
Glucophage 1000 mg tablet | Metformin | Diabetes | Biguanide | Use WHP card | Not covered; available at $4 program
Glucophage 500 mg tablet | Metformin | Diabetes | Biguanide | Use WHP card | Not covered; available at $4 program
Glucophage 850 mg tablet | Metformin | Diabetes | Biguanide | Use WHP card | Not covered; available at $4 program
Glucophage ER 500 mg tablet | Metformin ER | Diabetes | Biguanide | Use WHP card | Not covered; available at $4 program
Glucophage ER 750 mg tablet | Metformin ER | Diabetes | Biguanide | Use WHP card | Not covered; available at $4 program
Glucotrol 5 mg tablet | Glipizide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Glucotrol 10 mg tablet | Glipizide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Glynase 1.5 mg prestab | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Glynase 3 mg prestab | Glyburide Micronized | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Glynase 6 mg prestab | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Humalin 50/50 100 u/ml vial | Insulin/Human Regular | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Humalog U-100  ml vial | [NAME] | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Humalog Mix  75/25 ml vial | [NAME] | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Humulin 70/30 ml vial | [NAME] | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Humulin L 100 u/ml vial | Insulin ZN Human | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Humulin N  U-100 ml vial | [NAME] | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Humulin R 100  U-100 vial | [NAME]. Human | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Lantus Insulin 100 IU/ml vial | [NAME] | Diabetes | Insulin | Use WHP card | Use WHP card
Micronase 1.25 mg tablet | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Micronase 2.5 mg tablet | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Micronase 5 mg tablet | Glyburide | Diabetes | Sulfonylureas | Use WHP card | Not covered; available at $4 program
Novolin 70/30 | NPH/Regular | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Novolin N 100 u/ml vial | NPH Human | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Novolog 100 u/ml vial | [NAME] | Diabetes | Insulin | Use WHP card;QL (3 vials/month) | Use WHP card;QL (3 vials/month)
Antivert 12.5 mg tablet | Meclizine | Gastrointestinal | Anti-Nausea | Use WHP card | Use WHP card
Antivert 25 mg tablet | Meclizine | Gastrointestinal | Anti-Nausea | Use WHP card | Use WHP card
Anucort-HC 25MG Suppository | Hydrocortisone | Gastrointestinal | Rectal Prep | Use WHP card | Use WHP card
Bentyl 10 mg capsule | Dicyclomine | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Not covered; available at $4 program
Bentyl 20 mg tablet | Dicyclomine | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Not covered; available at $4 program
Carafate 1gm tablet | Sucralfate | Gastrointestinal | anti-Ulcer | Use WHP card | Use WHP card
[NAME] 10 gm/15 ml syrup | Lactulose | Gastrointestinal | laxative | Use WHP card | Use WHP card
Colace 50 mg capsule | Docusate sodium | Gastrointestinal | laxative | Use WHP card | Not covered:OTC
Colace liquid/syrup | Docusate sodium | Gastrointestinal | laxative | Use WHP card | Not covered:OTC
[NAME] | [NAME] | Gastrointestinal | laxative | Use WHP card | Use WHP card
Compazine  5 mg tablet | Prochlorperazine | Gastrointestinal | Anti-Nausea | Use WHP card | Not covered; available at $4 program
Compazine 10 mg tablet | Prochlorperazine | Gastrointestinal | Anti-Nausea | Use WHP card | Not covered; available at $4 program
Donnatal Elixer | [NAME] | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
Imodium AD 1 mg/5 ml liquid | Loperamide HCL | Gastrointestinal | Antidiarrheal | use WHP card | Not covered; OTC
Immodium AD 2 mg caplet | Loperamide HCL | Gastrointestinal | Antidiarrheal | use WHP card | Not covered; OTC
Levsin 0.125 mg tablet SL | [NAME] | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
Levsin 0.375 MG capsule SA | [NAME] | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
Levsin 0.375 mg tablet SA | [NAME] | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
[NAME] 0.375 mg capsule SA | [NAME] | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
Librax capsule | Clidinium/CL-Br/CDP | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
Lomotil Liquid | Diphenoxylate | Gastrointestinal | Antidiarrheal | Use WHP card | Use WHP card
Lomotil tablet | Diphenoxylate | Gastrointestinal | Antidiarrheal | Use WHP card | Use WHP card
Maalox liquid | [NAME]. Hydrox | Gastrointestinal | Antacid | Use WHP card | Not covered; OTC
[NAME] | Psyllium Husk | Gastrointestinal | Laxative | Use WHP card | Not covered; OTC
Mylanta liquid | Magnesium/Calcium | Gastrointestinal | Antacid | Use WHP card | Not covered; OTC
Pepcid 10 mg tablet | Famotidine | Gastrointestinal | H-2 Antagonist | Use WHP card | Not covered; OTC
Pepcid 20 mg tablet | Famotidine | Gastrointestinal | H-2 Antagonist | Use WHP card | Not covered,available at $4 program
Pericolace capsule | Docusate Sodium | Gastrointestinal | Laxative | Use WHP card | Not covered;OTC
Prilosec 20 mg capsule | Omeprazole | Gastrointestinal | Proton Pump Inhibitor | Use WHP card | Use WHP card
[NAME] capsule | Omeprazole | Gastrointestinal | Proton Pump Inhibitor | Use WHP card | Use WHP card
Probanthine 15 mg tablet | [NAME] | Gastrointestinal | Antispasmotic/Anticholinergics | Use WHP card | Use WHP card
[NAME] mg tablet | Metoclopramide | Gastrointestinal | Anti-nausea | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Metoclopramide | Gastrointestinal | Anti-nausea | Use WHP card | Not covered; available at $4 program
Tagamet 200 mg tablet | Cimetadine | Gastrointestinal | H-2 Antagonist | Use WHP card | Not covered;OTC
Tagamet 300 mg tablet | Cimetadine | Gastrointestinal | H-2 Antagonist | Use WHP card | Use WHP card
Tagamet 300 mg/5 ml liquid | Cimetadine | Gastrointestinal | H-2 Antagonist | Use WHP card | Use WHP card
Tagamet 400 mg tablet | Cimetadine | Gastrointestinal | H-2 Antagonist | Use WHP card | Use WHP card
Zantac 75 mg tablet | Ranitidine | Gastrointestinal | H-2 Antagonist | Use WHP card | Not covered; available at $4 program
Zantac  150 mg tablet | Ranitidine | Gastrointestinal | H-2 Antagonist | Use WHP card | Not covered; available at $4 program
Zantac  300  mg tablet | Ranitidine | Gastrointestinal | H-2 Antagonist | Use WHP card | Not covered; available at $4 program
Combivir 150-300mg | Lamivudine/Zidovudine | HIV specific | Antiviral | Use mihealth card
Aptivus 250mg | Tipranavir | HIV-specific | Antiviral,nonpeptide prote/inhi | Use mihealth card | Not covered
[NAME]/ml solution | Tipranavir/Vitamin E TPGS | HIV-specific | Antiviral,nonpeptide prote/inhi | Use mihealth card | Not covered
Atripla 600-200mg | Efavirenz/Emtricitab/Teno | HIV-specific | Antiviral | Use mihealth card | Not covered
Crixivan 200mg | Indinavir Sulfate | HIV-specific | Antiviral | Use mihealth card | Not covered
Crixivan 400mg | Indinavir Sulfate | HIV-specific | Antiviral | Use mihealth card | Not covered
Crixivan 100mg | Indinavir Sulfate | HIV-specific | Antiviral | Use mihealth card | Not covered
Edurant 25 mg tablet | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Emtric/Rilpiv/Teno 200-25-300 tab | Emtric/Rilpiv/Teno | HIV-specific | ARTV CMB Nucleoside | Use mihealth card | Not covered
Emtriva 200mg capsule | Emtricitabine | HIV-specific | Antiviral | Use mihealth card | Not covered
[NAME] 10mg/ml | Emtricitabine | HIV-specific | Antiviral | Use mihealth card | Not covered
Epivir 150mg tablet | Lamivudine | HIV-specific | Antiviral | Use mihealth card | Not covered
Epivir solution 10mg/ml | Lamivudine | HIV-specific | Antiviral | Use mihealth card | Not covered
Epivir 300mg tablet | Lamivudine | HIV-specific | Antiviral | Use mihealth card | Not covered
Epzicom 600-300mg tablet | Abacavir sulfate/lamivudine | HIV-specific | Antiviral | Use mihealth card | Not covered
Fuzeon 90mg kit | Enfuvirtide | HIV-specific | Antiviral | Use mihealth card | Not covered
Intelence 100mg tablet | Etravirine | HIV-specific | Antiviral | Use mihealth card | Not covered
Intelence 200mg tablet | Etravirine | HIV-specific | Antiviral | Use mihealth card | Not covered
Invirase 200mg capsule | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Invirase 500mg tablet | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Isentress 400mg tablet | Raltegravir Potassium | HIV-specific | Antiviral | Use mihealth card | Not covered
Kaletra 200mg-50mg tablet | Lopinavir/Ritonavir | HIV-specific | Antiviral | Use mihealth card | Not covered
Kaletra 400-100/5 solution | Lopinavir/Ritonavir | HIV-specific | Antiviral | Use mihealth card | Not covered
Kaletra 100mg-25mg | Lopinavir/Ritonavir | HIV-specific | Antiviral | Use mihealth card | Not covered
Lexiva 700mg tablet | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Lexiva 50mg/ml suspension | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Norvir 80mg/ml soln | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Norvir 100mg tablet | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not coverred
Norvir 100mg capsule | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Prezista 600mg tablet | Darunavir Ethanolate | HIV-specific | Antiviral | Use mihealth card | Not covered
Prezista 400mg tablet | Darunavir Ethanolate | HIV-specific | Antiviral | Use mihealth card | Not covered
Prezista 75mg tablet | Darunavir Ethanolate | HIV-specific | Antiviral | Use mihealth card | Not covered
Prezista 150mg tablet | Darunavir Ethanolate | HIV-specific | Antiviral | Use mihealth card | Not covered
Rescriptor 100mg tablet | [NAME] | HIV-specific | non-peptide protease inhibitor | Use mihealth card | Not covered
Rescriptor 200mg tablet | [NAME] | HIV-specific | non-peptide protease inhibitor | Use mihealth card | Not covered
Retrovir 100mg capsule | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Retrovir 10mg/ml syrup | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Retrovir 300mg tablet | [NAME] | HIV-specific | Antiviral | Use mihealth card | Not covered
Reyataz 100mg capsule | [NAME] | HIV-specific | Protease inhibitor | Use mihealth card | Not covered
Reyataz 150mg capsule | [NAME] | HIV-specific | Protease inhibitor | Use mihealth card | Not covered
Reyataz 200mg capsule | [NAME] | HIV-specific | Protease inhibitor | Use mihealth card | Not covered
Reyataz 300mg capsule | [NAME] | HIV-specific | Protease inhibitor | Use mihealth card | Not covered
Selzentry 150 mg tab | Maraviroc | HIV-specific | Antiviral | Use mihealth card | Not covered
Sustiva 50 mg capsule | Efavirenz | HIV-specific | Antiviral | Use mihealth card | Not covered
Sustiva 100 mg capsule | Efavirenz | HIV-specific | Antiviral | Use mihealth card | Not covered
Sustiva 200 mg capsule | Efavirenz | HIV-specific | Antiviral | Use mihealth card | Not covered
Sustiva 600 mg capsule | Efavirenz | HIV-specific | Antiviral | Use mihealth card | Not covered
Trizivir 150-300 mg tablet | Abacavir/Lamivudine/Zidovl | HIV-specific | Antiviral;Nucleoside Analogues | Use mihealth card | Not covered
Truvada 200-300 mg tablet | Emtricitabine/Tenofivir | HIV-specific | Antiviral | Use mihealth card | Not covered
Videx FNL 10 mg/ml sol recon | Didanosine | HIV-specific | Nucleoside analog, RTI | Use mihealth card | Not covered
Videx EC 125 mg capsule | Didanosine | HIV-specific | Nucleoside analog, RTI | Use mihealth card | Not covered
Videx EC 200 mg capsule | Didanosine | HIV-specific | Nucleoside analog, RTI | Use mihealth card | Not covered
Videx EC  250 mg capsule | Didanosine | HIV-specific | Nucleoside analog, RTI | Use mihealth card | Not covered
Videx EC 400 mg capsule | Didanosine | HIV-specific | Nucleoside analog, RTI | Use mihealth card | Not covered
Viracept 50 mg/gm powder | [NAME] | HIV-specific | Antiviral, [NAME] inhibitors | Use mihealth card | Not covered
Viracept 250 mg tablet | [NAME] | HIV-specific | Antiviral, [NAME] inhibitors | Use mihealth card | Not covered
Viracept 625 mg tablet | [NAME] | HIV-specific | Antiviral, [NAME] inhibitors | Use mihealth card | Not covered
Viramune 50 mg/5 ml suspension | Nevirapine | HIV-specific | Antiviral,non-nucleoside,RTI | Use mihealth card | Not covered
Viramune 200 mg tablet | Nevirapine | HIV-specific | Antiviral,non-nucleoside,RTI | Use mihealth card | Not covered
Viramune XR 400 mg tablet | Nevirapine | HIV-specific | Antiviral,non-nucleoside,RTI | Use mihealth card | Not covered
Viread 150 mg tablet | [NAME] | HIV-specific | Antiviral,nucleoside analog, RTI | Use mihealth card | Not covered
Viread 200 mg tablet | [NAME] | HIV-specific | Antiviral,nucleoside analog, RTI | Use mihealth card | Not covered
Viread 250 mg tablet | [NAME] | HIV-specific | Antiviral,nucleoside analog, RTI | Use mihealth card | Not covered
Viread 40 mg/scoop powder | [NAME] | HIV-specific | Antiviral,nucleoside analog, RTI | Use mihealth card | Not covered
Zerit 15 mg capsule | Stavudine | HIV-specific | Antiviral;nucleoside analog, RTI | Use mihealth card | Not covered
Zerit 20 mg capsule | Stavudine | HIV-specific | Antiviral;nucleoside analog, RTI | Use mihealth card | Not covered
Zerit 30 mg capsule | Stavudine | HIV-specific | Antiviral;nucleoside analog, RTI | Use mihealth card | Not covered
[NAME] mg capsule | Stavudine | HIV-specific | Antiviral;nucleoside analog, RTI | Use mihealth card | Not covered
Zerit 1 mg/ml soln recon | Stavudine | HIV-specific | Antiviral;nucleoside analog, RTI | Use mihealth card | Not covered
Ziagen 300 mg tablet | [NAME] | HIV-specific | Antiviral, nucleoside analog,RTI | Use mihealth card | Not covered
Ziagen 20 mg/ml solution | [NAME] | HIV-specific | Antiviral, nucleoside analog,RTI | Use mihealth card | Not covered
[NAME] 30 mg tablet | thyroid | Miscellaneous | Thyroid | Use WHP card | Use WHP card
[NAME] 60 mg tablet | thyroid | Miscellaneous | Thyroid | Use WHP card | Use WHP card
[NAME] 120 mg tablet | thyroid | Miscellaneous | Thyroid | Use WHP card | Use WHP card
Decadron  0.5 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron  0.5 mg/5 ml elixer | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron   0.75 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron  1 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron  1.5 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron  2 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron  4 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Decadron 6 mg tablet | Dexamethasone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
[NAME] mg tablet | Oxybutynin Cl | Miscellaneous | Urinary Tract Agents | Use WHP card | Not covered; available at $4 program
Flu vaccine injection | Flu vaccine | Miscellaneous | Prevention | Use WHP card | Not covered
Fosamax 70 mg tablet | Alendronate sodium | Miscellaneous | CNS Stimulant | Use WHP card; QL (4/month) | Use WHP card; QL (4/month)
Imuran 50 mg tablet | Azathiprine | Miscellaneous | Immunosuppresive | Use WHP card | Use WHP card
[NAME] mg dosepak | Methylprednisone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Orapred 15 mg/5 ml | Prednisolone | Miscellaneous | Corticosteroid | Use WHP card | Use WHP card
Prednisone 1mg tablet | Prednisone | Miscellaneous | Corticosteroid | Use WHP card | Not covered,available at $4 program
Prednisone  2.5 mg tablet | Prednisone | Miscellaneous | Corticosteroid | Use WHP card | Not covered,available at $4 program
Prednisone  5 mg tablet | Prednisone | Miscellaneous | Corticosteroid | Use WHP card | Not covered,available at $4 program
Prednisone 10 mg tablet | Prednisone | Miscellaneous | Corticosteroid | Use WHP card | Not covered,available at $4 program
Prednisone 20 mg tablet | Prednisone | Miscellaneous | Corticosteroid | Use WHP card | Not covered,available at $4 program
Propylthioracil | Propylthioracil | Miscellaneous | Anti-Thyroid | Use WHP card | Use WHP card
Pyridium 100 mg tablet | Phenazopyridine | Miscellaneous | Urinary Tract Agents | Use WHP card | Not covered; available at $4 program
Pyridium 200 mg tablet | Phenazopyridine | Miscellaneous | Urinary Tract Agents | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] 0.075 mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] 0.088 mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] 0.125 mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] 0.175mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
[NAME] mg tablet | Levothyroxine Sodium | Miscellaneous | Thyroid | Use WHP card | Not covered; available at $4 program
Tapazole 5 mg tablet | Methimazole | Miscellaneous | Anti-Thyroid | Use WHP card | Use WHP card
Tapazole 10 mg tablet | Methimazole | Miscellaneous | Anti-Thyroid | Use WHP card | Use WHP card
[NAME] 2% viscous soln | Lidocaine | Miscellaneous | Anesthetic | Use WHP card | Not covered; OTC
Atropine 1% eye drops | Atropine | Opthalmic Agents | Miscellaneous | Use WHP card | Not covered;available at $4 program
[NAME]/gm eye ointment | Bacitracin | Opthalmic Agents | Anti-Infective | Use WHP card | Not covered; available at $4 program
Betagan 0.25% opth drops | Levobunolol | Opthalmic Agents | Glaucoma | Use WHP card | Use WHP card
Betagan 0.5% opth drops | Levobunolol | Opthalmic Agents | Glaucoma | Use WHP card | Use WHP card
Cortisporin  eye drops | Neomycin | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Cortisporin  eye ointment | Neomycin/Bacitracin/Polymixin B | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Decadron  0.1 PC opth drops | Dexamethasone | Opthalmic Agents | Corticosteroid | Use WHP card | Use WHP card
FML Liquifilm 0.1% eye drop | Fluromethalone | Opthalmic Agents | Corticosteroid | Use WHP card | Use WHP card
Garamycin 3 mg/gm opth ointment | Gentamicin Sulfate | Opthalmic Agents | Anti-Infective | Use WHP card | Not covered; available at $4 program
Garamycin 3 mg/ml eye drops | Gentamicin Sulfate | Opthalmic Agents | Anti-Infective | Use WHP card | Not covered; available at $4 program
Garamycin 0.1 % cream | Gentamicin Sulfate | Opthalmic Agents | Anti-Infective | Use WHP card | Not covered; available at $4 program
Garamycin 0.1% ointment | Gentamicin Sulfate | Opthalmic Agents | Anti-Infective | Use WHP card | Not covered; available at $4 program
Ilotycin 5 mg/gm ointment | [NAME] | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
[NAME] eye drops | Atropine | Opthalmic Agents | Miscellaneous | Use WHP card | Not covered; available at $4 program
Maxitrol eye drops | Neomycin/Polymixin/Dexameth | Opthalmic Agents | Anti-Infective/Cortico | Use WHP card | Use WHP card
Maxitrol eye ointment | Neomycin/Polymixin/Dexameth | Opthalmic Agents | Anti-Infective/Cortico | Use WHP card | Use WHP card
Mydriacyl 1% drops | Nystatin/Triamcin | Opthalmic Agents | Dilator | Use WHP card | Use WHP card
Neosporin eye drops | Neomycin/Gramcidin/Polymixin B | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Neosporin Opthalmic ointment | Neomycin/Gramcidin/Polymixin B | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Ocufen 0.03% eye drops | [NAME] | Opthalmic Agents | Non Steroidal | Use WHP card | Use WHP card
Ocuflox 0.3% eye drops | Ofloxacin | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Pilocarpine  0.5% eye drops | Pilocarpine HCL | Opthalmic Agents | Glaucoma | Use WHP card | Not covered,available at $4 program
Pilocarpine 1% eye drops | Pilocarpine HCL | Opthalmic Agents | Glaucoma | Use WHP card | Not covered,available at $4 program
Pilocarpine 2% eye drops | Pilocarpine HCL | Opthalmic Agents | Glaucoma | Use WHP card | Not covered,available at $4 program
Pilocarpine 3% eye drops | Pilocarpine HCL | Opthalmic Agents | Glaucoma | Use WHP card | Not covered,available at $4 program
Pilocarpine 4% eye drops | Pilocarpine HCL | Opthalmic Agents | Glaucoma | Use WHP card | Not covered,available at $4 program
Pilocarpine 6% eye drops | Pilocarpine HCL | Opthalmic Agents | Glaucoma | Use WHP card | Not covered,available at $4 program
Pred forte 1% eye drops | Prednislone Acetate | Opthalmic Agents | Corticosteroid | Use WHP card | Use WHP card
Propine 0.1% eye drops | Dipivefrin | Opthalmic Agents | Glaucoma | Use WHP card | Use WHP card
Sod Sulamyd 10 PC Opth drops | Sulfacetamide sodium | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Sod Sulamyd 10 PC Opth oint | Sulfacetamide sodium | Opthalmic Agents | Anti-Infective | Use WHP card | Use WHP card
Timoptic 0.25%  eye drops | Timolol Maleate | Opthalmic Agents | Glaucoma | Use WHP card | Not covered; available at $4 program
Timoptic 0.5% eye drops | Timolol Maleate | Opthalmic Agents | Glaucoma | Use WHP card | Not covered; available at $4 program
Timoptic Opth ocudose 0.25% | Timolol Maleate | Opthalmic Agents | Glaucoma | Use WHP card | Not covered; available at $4 program
Timoptic Opth ocudose 0.5% | Timolol Maleate | Opthalmic Agents | Glaucoma | Use WHP card | Not covered; available at $4 program
Tobrex  0.3% eye drops | [NAME] | Opthalmic Agents | Anti-Infective | Use WHP card | Not covered; available at $4 program
Xalatan 0.005% eye drops | Lantanoprost | Opthalmic Agents | Glaucoma | use WHP card | Use WHP card
Zaditor eye drops | Ketotifen | Opthalmic Agents | Antihistamine | Use WHP card | Not covered; OTC
Cortisporin ear suspension | Neomycin/HC/Polymix B | Otic Agent | Anti-Infective | Use WHP card | Use WHP card
Cortisporin  Otic solution drops | Neomycin | Otic Agent | Anti-Infective | Use WHP card | Use WHP card
Domeboro Otic drops | Acetic Acid/Aluminum | Otic Agent | Miscellaneous | Use WHP card | Use WHP card
[NAME] drops | Acetic Acid | Otic Agents | Anti-Infective/Cortico | Use WHP card | Use WHP card
Artane 2 mg tablet | [NAME] | Paychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Artane  2 mg/5 ml elixer | [NAME] | Paychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Artane  5 mg tablet | [NAME] | Paychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Abilify 10mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Abilify 15mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Abilify 20mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Abilify 30mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Abilify 5mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Abilify 1mg/ml | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Abilify 2mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] 10mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] 15mg | Aripiprazole | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Adderall 5mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall 10mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall 20mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall 30mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall 7.5mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall 12.5mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall 15mg | [NAME] | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 10mg cap SR 24H | Amphet ASP/Amphet/D-Amph | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall XR 20mg cap SR 24H | Amphet ASP/Amphet/D-Amph | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 30mg cap SR 24H | Amphet ASP/Amphet/D-Amph | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall XR 5mg cap SR 24H | Amphet ASP/Amphet/D-Amph | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 15mg cap SR 24H | Amphet ASP/Amphet/D-Amph | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Adderall XR 25mg cap SR 24H | Amphet ASP/Amphet/D-Amph | Psychotherapeutic | CNS stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
Ambien 5 mg tablet | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card; QL (10/month)
Ambien 10 mg tablet | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card; QL (10/month)
[NAME] 6.25mg | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 12.5mg | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Anafranil 25mg | Clomipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 50mg | Clomipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 75mg | Clomipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Antabuse 250 mg tablet | Disulfiram | Psychotherapeutic | Substance Abuse | Use mihealth card | Use WHP card
Antabuse 500 mg tablet | Disulfiram | Psychotherapeutic | Substance Abuse | Use mihealth card | Use WHP card
Aplenzin 348mg ER | Bupropion HBR | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Aplenzin 522mg ER | Bupropion HBR | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Aplenzin 174mg ER | Bupropion HBR | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Asendin 100mg | Amoxapine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Asendin 150mg | Amoxapine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Asendin 25mg | Amoxapine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Asendin 50mg | Amoxapine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] mg tablet | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
[NAME] | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
[NAME] mg tablet | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Ativan 2mg/ml | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
[NAME] | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
Ativan 2mg/ml Tubex Syringe | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
[NAME] Tubex Syringe | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
Banzel 200mg tablet | Rufinamide | Psychotherapeutic | Anti-convulsant | Use mihealth card | Not covered
Banzel 40mg/ml suspension | Rufinamide | Psychotherapeutic | Anti-convulsant | Use mihealth card | Not covered
[NAME] mg tablet | [NAME] | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered; available at $4 program
[NAME] mg tablet | [NAME] | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered; available at $4 program
[NAME] 15 mg tablet | [NAME] | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered; available at $4 program
[NAME] 30 mg tablet | [NAME] | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered; available at $4 program
Butisol sodium 30mg/5ml | Butabarbital Sodium | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
[NAME] sodium 30mg | Butabarbital Sodium | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
[NAME] sodium 50mg | Butabarbital Sodium | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Campral 333 mg tablet | Acamprosate calcium | Psychotherapeutic | Substance Abuse | Use mihealth card; PA Req'd (Medicaid) | Not covered
Campral 333 mg tab  Ds pk | Acamprosate calcium | Psychotherapeutic | Substance Abuse | Use mihealth card; PA Req'd (Medicaid) | Not covered
Celexa 10 mg tablet | Citalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Celexa 20 mg tablet | Citalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Celexa 40 mg tablet | Citalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Celexa Solution 10mg/5ml | Citalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
[NAME] 300mg capsule | Methsuximide | Psychotherapeutic | Anti-convulsant | Use mihealth card | Not covered
Cerebyx vial 100mg PE/2 | [NAME] | Psychotherapeutic | Anti-convulsant | use mihealth card | Not covered
Cerebyx vial 500mg PE/10 | [NAME] | Psychotherapeutic | Anti-convulsant | use mihealth card | Not covered
Cibalith-S 8MEQ/5ml | Lithium Citrate | Psychotherapeutic | Bipolar disorder [NAME] | use mihealth card | Not covered
Clozaril 200mg | Colozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Clozaril 50mg | Colozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Clozaril 25mg | Colozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Clozaril 100mg | Colozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Cogentin 0.5 mg tablet | Benztropine Mesylate | Psychotherapeutic | Antiparkinson's | Use mihealth card | Not covered; available at $4 program
Cogentin 1  mg tablet | Benztropine Mesylate | Psychotherapeutic | Antiparkinson's | Use mihealth card | Not covered; available at $4 program
Cogentin 2 mg tablet | Benztropine Mesylate | Psychotherapeutic | Antiparkinson's | Use mihealth card | Not covered; available at $4 program
Cogentin Ampule 2mg/2ml | Benztropine Mesylate | Psychotherapeutic | Antiparkinson's | Use mihealth card | Not covered; available at $4 program
[NAME] 18mg | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 36mg | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 54mg | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 27mg | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Cymbalta 20mg | Duloxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Cymbalta 30mg | Duloxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Cymbalta 60mg | Duloxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Dalmane 15 mg capsule | Flurazepam HCL | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card
Dalmane 30 mg capsule | Flurazepam HCL | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card
[NAME] 10mg/9hr | Methylphenidate | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] | Methylphenidate | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 20mg/9hr | Methylphenidate | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 30mg/9hr | Methylphenidate | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 250mg/cup | Valproate sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakene 250 mg capsule | Valproic Acid | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakene solution 500mg/10ml | Valproate sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakene Syringe 250mg/5ml | Valproate sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakote125 mg tablet EC | Divalproex Sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakote 250 mg tablet EC | Divalproex Sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakote 500 mg tablet EC | Divalproex Sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Depakote ER 500 mg tablet | Divalproex Sodium | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Desyrel  50 mg tablet | Trazadone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
[NAME] 100 mg tablet | Trazadone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Desyrel 150 mg tablet | Trazadone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Desyrel 300mg tablet | Trazadone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Dexedrine 10mg capsule SA | [NAME] sulf | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Dexedrine 15mg capsule SA | [NAME] sulf | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Dexedrine 5mg capsule SA | [NAME] sulf | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Dexedrine 5mg tablet | [NAME] sulf | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Dextrostat 10mg tablet | [NAME] sulf | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME]mg Kit | Diazepam | Psychotherapeutic | Anti-convulsant | Use mihealth card | Not covered
[NAME]mg | Diazepam | Psychotherapeutic | Anti-convulsant | Use mihealth card | Not covered
Diatstat Acudial 12.5-15-20 | Diazepam | Psychotherapeutic | Anti-convulsant | Use mihealth card | Not covered
Diazepam solution 5mg/5ml | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
Diazepam solution 5mg/ml | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
[NAME] 50 mg infatab | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 100 mg kapseal | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME]  125 mg/5 ml susp | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 30mg capsule | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 50mg/ml ampule | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 50mg/ml syringe | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 50mg/ml vial | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 100mg/4ml suspension | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Doral 15mg | Quazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Edluar 10mg SL tablet | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Edluar 5mg SL tablet | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 25mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 37.5mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 50mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 75mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 100mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 37.5mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 75mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 150mg | Venlafaxine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Elavil  10 mg tablet | Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Elavil  25 mg tablet | Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Elavil  50 mg tablet | Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Elavil  75 mg tablet | Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Elavil 100 mg tablet | Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
Elavil 150 mg tablet | Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
[NAME] | Selegiline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] | Selegiline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 12mg/24hr | Selegiline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Equetro 100mg | [NAME] | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Equetro 200mg | [NAME] | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Equetro 300mg | [NAME] | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
[NAME] 300 mg cap/tab | Lithium Carbonate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Eskalith CR 450 mg tab | Lithium Carbonate | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 1mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 10mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 12mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 2mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 4mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 6mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt 8mg tablet | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fanapt Titration Pack 1-2-4-6mg | Iloperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fazaclo 25mg | Clozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fazaclo 100mg | Clozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fazaclo 12.5mg | Clozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fazaclo 150mg ODT | Clozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Fazaclo 200mg ODT | Clozapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME]/ml oral susp | Felbamate | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Felbatol 400mg tablet | Felbamate | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Felbatol 600mg tablet | Felbamate | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Focalin 2.5mg tablet | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin 5mg tablet | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin 10mg tablet | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 5mg CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 5mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 10mg CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 10mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 20mg CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 20mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 15mg CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 15mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 30mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 40mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 25 mg cap CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 25mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 35 mg cap CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 35mg capsule | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Focalin XR 30mg CPMP 50-50 | Dexmethylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 4mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] 12mg tablet | Tiagibine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] 16mg tablet | Tiagibine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME]mg tablet | Tiagibine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] 20mg capsule | Ziprasidone HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME]mg capsule | Ziprasidone HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] | Ziprasidone HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Geodon 80mg capsule | Ziprasidone HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] 20mg vial | Ziprasidone Mesylate | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Halcion 0.125 mg tablet | Triazolam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card
Halcion 0.25 mg tablet | Triazolam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card
Haldol 5 mg/ml ampule | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Haldol 2 mg/ml oral conc | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Haldol 0.5 mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Haldol  1 mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Haldol  2mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Haldol 10mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Haldol  5 mg/ml vial | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Haldol  100 mg/ml ampul | [NAME] decanoate | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Haldol  100 mg/ml vial | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Haldol  50 mg/ml ampul | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Haldol  50 mg/ml vial | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Haldol  5MG TABLET | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Haldol  20 mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered; available at $4 program
Inapsine 2.5 mg/ml ampul | Droperidol | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Inapsine 2.5 mg/ml vial | Droperidol | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Intuniv ER 1mg tablet | Guanfacine HCl | Psychotherapeutic | ADHD Treatment | Use mihealth card; [NAME] 1/day | Not covered
Intuniv ER 2mg tablet | Guanfacine HCl | Psychotherapeutic | ADHD Treatment | Use mihealth card; [NAME] 1/day | Not covered
Intuniv ER 3mg tablet | Guanfacine HCl | Psychotherapeutic | ADHD Treatment | Use mihealth card; [NAME] 1/day | Not covered
Intuniv ER 4mg tablet | Guanfacine HCl | Psychotherapeutic | ADHD Treatment | Use mihealth card; [NAME] 1/day | Not covered
Invega 3mg tablet | Paliperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Invega 6mg tablet | Paliperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Invega 9mg tablet | Paliperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Invega 1.5mg tablet | Paliperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] 117mg syringe | Paliperiodone Palmitate | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 156mg syringe | Paliperidone Palmitate | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 234mg syringe | Paliperidone Palmitate | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 39mg syringe | Paliperidone Palmitate | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 78mg syringe | Paliperidone Palmitate | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] | Clonidine ER | Psychotherapeutic | ADHD Treatment | Use mihealth card | Not covered
[NAME]mg tablet | Clonidine HCl | Psychotherapeutic | ADHD Treatment | Use mihealth card | Not covered
Keppra 250mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Keppra 500mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3000 mg/day)
Keppra 500 mg/ml vial | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Keppra 750mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3000 mg/day)
Keppra 1000mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3000 mg/day)
Keppra 100mg/ml solution | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Keppra XR 500mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Keppra XR 750mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] mg tablet | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME] 0.125mg tab disper | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Klonopin 0.25mg tab disper | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME]mg tab disper | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME]mg tab disper | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
[NAME]mg tab disper | Clonazepam | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Lamictal 5mg tab disper | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal 25mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card (max 500 mg/day)
Lamictal 25mg tab disper | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal 100 mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card (max 500 mg/day)
Lamictal 150mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card (max 500 mg/day)
Lamictal 200mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card (max 500 mg/day)
Lamictal(Blue) 25mg (35) tab ds pk | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal(orange)25(42)-100tab dspk | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT 100mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT 200mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT 25mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT 50mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT [NAME] (Blue) | [NAME] 25(21)-50 | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT [NAME] (Green) | [NAME] 50(42)-100 | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal ODT [NAME] (Orange) | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR 25 mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR 50mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR 100mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR 200mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR 250 mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR 300 mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR Start Kit (Blue) | [NAME] 25(21)-50 | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR Start Kit (Green) | [NAME] 50-100-200 | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lamictal XR Start Kit (Orange) | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Latuda 20mg tablet | Lurasidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Latuda 40mg tablet | Lurasidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Latuda 80mg tablet | Lurasidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] solution | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Mot covered
Lexapro 10mg tablet | Escitalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Lexapro 20mg tablet | Escitalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Lexapro 5mg tablet | Escitalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Lexapro 5mg/5ml solution | Escitalopram | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Librium  5 mg capsule | Chlordiazepoxide HCL | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Librium 10 mg capsule | Chlordiazepoxide HCL | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Librium 25 mg capsule | Chlordiazepoxide HCL | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Limbitrol 12.5/5 mg tablet | Chlordiazepoxide/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
[NAME] mg tablet | Chlordiazepoxide/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Lithotabs 150 mg capsule | Lithium Carbonate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Lithotabs 300 mg tablet | Lithium Carbonate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Lithotabs 450 mg tablet | Lithium Carbonate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Lorazepam Intensol 2mg/ml | Lorazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Not covered
Loxitane  5 mg capsule | Loxapine Succinate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Loxitane 10 mg capsule | Loxapine Succinate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Loxitane 25 mg capsule | Loxapine Succinate | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Loxitane 50 mg capsule | Loxapine Succinate | Psychotherapeutic | Antipsychotic | Use WHP card | Use WHP card
Ludiomil 25mg tablet | Maprotiline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Ludiomil 50mg tablet | Maprotiline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Ludiomil 75mg tablet | Maprotiline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Luminal 15mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Luminal 30mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Lunesta 3mg tablet | Eszopiclone | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Lunesta 2mg tablet | Eszopiclone | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Lunesta 1mg tablet | Eszopiclone | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Luvox 100mg tablet | Fluvoxamine Maleate | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Luvox 25mg tablet | Fluvoxamine maleate | Psychotherapeutic | Antidepressant | Use mihealth card | not covered
Luvox 50mg tablet | Fluvoxamine maleate | Psychotherapeutic | Antidepressant | Use mihealth card | not covered
Luvox CR 100mg tablet | Fluvoxamine maleate | Psychotherapeutic | Antidepressant | Use mihealth card | not covered
Luvox CR 150mg tablet | Fluvoxamine maleate | Psychotherapeutic | Antidepressant | Use mihealth card | not covered
Lyrica 25mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card;max 3 caps/day use higher strength | Not covered
Lyrica 50mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card;max 3 caps/day use higher strength | Not covered
Lyrica 75mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card;max 2 caps/day use higher strength | Not covered
Lyrica 100mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card;max 3 caps/day use higher strength | Not covered
Lyrica 150mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card;max 3 caps/day use higher strength | Not covered
Lyrica 200mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card; [NAME] 600 mg/day | Not covered
Lyrica 300mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card; [NAME] 600 mg/day | Not covered
Lyrica 225mg capsule | Pregalbin | Psychotherapeutic | Anticonvulsant | Use mihealth card; [NAME] 600 mg/day | Not covered
Marplan 10mg tablet | Isocarboxazid | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Mebaral 100mg tablet | Mephobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Mebaral 32mg tablet | Mephobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Mebaral 50mg tablet | Mephobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Mellaril 100mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Mellaril 10mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Mellaril 25mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Mellaril 50mg tablet | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate CD 10mg CPMP 30-70 | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate CD 20mg CPMP 30-70 | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate CD 30mg CPMP 30-70 | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate CD 40mg CPMP 30-70 | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate CD 50mg CPMP 30-70 | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate CD 60mg CPMP 30-70 | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Metadate ER 10mg tablet SA | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME]mg tab chew | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME]mg tab chew | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 10mg tab chew | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] solution | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] solution | Methylphenidate HCL | Psychotherapeutic | CNS Stimulant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Miltown 200mg tablet | Meprobamate | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Miltown 400mg tablet | Meprobamate | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Mirtazapine 7.5mg tablet | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Moban 10mg tablet | Molindone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Moban 25mg tablet | Molindone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Moban 5mg tablet | Molindone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Moban 50mg tablet | Molindone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Mysoline 50 mg tablet | Primidone | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Mysoline 250 mg tablet | Primidone | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Nardil 15 mg tablet | Phenelzine Sulfate | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] capsule | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
[NAME] mg capsule | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
[NAME] mg capsule | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
[NAME] oral conc | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Navane 20 mg capsule | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
[NAME] 10 mg capsule | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Neurontin 100 mg capsule | Gabapentin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3600 mg/day)
Neurontin 300 mg capsule | Gabapentin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3600 mg/day)
Neurontin 400 mg capsule | Gabapentin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3600 mg/day)
Neurontin 600 mg capsule | Gabapentin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Neurontin 800 mg capsule | Gabapentin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Neurontin 250mg/5ml soln | Gabapentin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card ([NAME] 3600 mg/day)
Niravam 0.25mg tab rapdis | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Niravam 0.5mg tab rapdis | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Niravam 1mg tab rapdis | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Niravam 2mg tab rapdis | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Norpramin 10mg tablet | Desipramine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 100mg tablet | Desipramine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 150mg tablet | Desipramine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 25mg tablet | Desipramine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 50mg tablet | Desipramine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 75mg tablet | Desipramine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 10 mg tablet | Desipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 25 mg tablet | Desipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 50 mg tablet | Desipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 75 mg tablet | Desipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Norpramin 100 mg tablet | Desipramine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Nuvigil 50mg tablet | Armodafinil | Psychotherapeutic | Wakefulness promoting agent | Use mihealth card; PA Req'd (Medicaid) | Not covered
Nuvigil 150mg tablet | Armodafinil | Psychotherapeutic | Wakefulness promoting agent | Use mihealth card; PA Req'd (Medicaid) | Not covered
Nuvigil 250mg tablet | Armodafinil | Psychotherapeutic | Wakefulness promoting agent | Use mihealth card; PA Req'd (Medicaid) | Not covered
Oleptro ER 150 mg tab SR 24H | Trazodone HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Oleptro ER 300 mg tab SR 24H | Trazodone HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Orap 1mg tablet | Pimozide | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Orap 2mg tablet | Pimozide | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Pamelor 10 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Pamelor 25 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Pamelor 50 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Pamelor 75 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Pamelor 10mg/5ml soln | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Parnate 10mg tablet | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Paxil 10 mg tablet | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Paxil 20 mg tablet | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Paxil 30 mg tablet | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Paxil 40 mg tablet | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered,available at $4 program
Paxil 10 mg/5ml oral susp | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Paxil CR 25 mg tab SR 24H | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Paxil CR 12.5 mg tab SR 24H | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Paxil CR 37.5 mg tab SR 24H | Paroxetine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Peganone 250mg tablet | Ethotoin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Pexeva 10mg tablet | Paroxetine Mesylate | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Pexeva 20mg tablet | Paroxetine Mesylate | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Pexeva 30mg tablet | Paroxetine Mesylate | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Pexeva 40mg tablet | Paroxetine Mesylate | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Phenobarbital 15 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Phenobarbital 20 mg/5 ml elixer | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Phenobarbital 30 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Phenobarbital 60 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Phenobarbital 100 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Phenobarbital 16.2 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Phenobarbital 32.4 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Phenobarbital 64.8 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Phenobarbital 97.2 mg tablet | Phenobarbital | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Phenytek 300mg capsule | [NAME] extended | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Phenytek 200mg capsule | [NAME] extended | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Pristiq 50mg tab SR 24H | Desvenlafaxine succinate | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Pristiq 100mg tab SR 24H | Desvenlafaxine succinate | Psychotherapeutic | Antidepressant | Antidepressant | Not covered
Prolixin 1 mg tablet | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered,available at $4 program
Prolixin 2.5 mg tablet | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered,available at $4 program
Prolixin 5 mg tablet | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered,available at $4 program
Prolixin/Permital 10mg tablet | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Prolixin 5 mg/ml oral conc | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use miheatlh card | Not covered
Prolixin 2.5 mg/5ml elixir | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Prolixin 2.5 mg/ml vial | Fluphenazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 25 mg/ml vial | [NAME] | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Prosom 1mg tablet | Estazolam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Prosom 2mg tablet | Estazolam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
[NAME] | Modafinal | Psychotherapeutic | Wakefulness promoting agent | Use mihealth card;PA Req'd (Medicaid) | Not covered
[NAME]mg tablet | Modafinal | Psychotherapeutic | Wakefulness promoting agent | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 40 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 60 mg tablet | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 90 mg capsule DR | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 20 mg/5ml soln | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
[NAME] 10 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
[NAME] 20 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered; available at $4 program
[NAME] 15 mg tablet | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
[NAME] 30 mg tablet | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
[NAME] 45 mg tablet | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
[NAME] 15 mg tab dis LN | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 30 mg tab dis LN | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 45 mg tab dis LN | Mirtazapine | Psychotherapeutic | Antidepressant | Use mihealth card;PA Req'd (Medicaid) | Not covered
Restoril 15 mg capsule | Temazepam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card
Restoril 30 mg capsule | Temazepam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Use WHP card
Restoril 7.5 mg capsule | Temazepam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Restoril 22.5 mg capsule | Temazepam | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Revia 50 mg tablet | Naltrexone | Psychotherapeutic | Substance Abuse | Use mihealth card | Not covered
Risperdal 0.25mg tablet | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Risperdal 0.5 mg tablet | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Risperdal 1mg tablet | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
[NAME]mg tablet | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Risperdal 3mg tablet | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Risperdal 4mg tablet | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Risperdal 1mg/ml soln | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Risperdal 1mg tab dis LN | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME]mg tab dis LN | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Risperdal 0.5 mg tab dis LN | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Risperdal 3mg tab rap dis | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Risperdal 4mg tab rap dis | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] | Risperidone Microspheres | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 37.5 mg/2 ml | Risperidone Microspheres | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 50 mg/2 ml | Risperidone Microspheres | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
[NAME] 12.5 mg/2 ml | Risperidone Microspheres | Psychotherapeutic | Antipsychotic | Use mihealth card; LTC only | Not covered
Risperdal 0.25 mg tab rapdis | Risperidone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Ritalin 5 mg tablet | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Use WHP card
Ritalin 10 mg tablet | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Use WHP card
Ritalin 20 mg tablet | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Use WHP card
Ritalin-SR 20 mg tablet SA | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Use WHP card
[NAME] mg cpmp 50-50 | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Ritalin LA 20 mg cpmp 50-50 | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 30 mg cpmp 50-50 | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] mg cpmp 50-50 | Methylphenidate | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
[NAME] 8 mg tab | Ramelteon | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Sabril 500 mg powder packet | Vigabatrin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Sabril 500 mg tablet | Vigabatrin | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] mg tablet SL | Asenapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] 10 mg tablet SL | Asenapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Sarafem 10 mg tab | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Sarafem 15 mg tab | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Sarafem 20 mg tab | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Seconal sodium 100 mg cap | Secobarbital sodium | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Serax 10 mg capsule | Oxazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Serax 15 mg capsule | Oxazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
[NAME] 30 mg capsule | Oxazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Seroquel 25 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel 50 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel 100 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel 200 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel 300 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel 400 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel XR 50 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel XR 150 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel XR 200 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel XR 300 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Seroquel XR 400 mg tab | Quetiapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Serzone 50 mg tab | Nefazodone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Serzone 100 mg tab | Nefazodone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Serzone 150 mg tab | Nefazodone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Serzone 200 mg tab | Nefazodone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Serzone 250 mg tab | Nefazodone | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Silenor 3mg tab | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Silenor 6 mg tab | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Sinemet 10/100 tablet | Carbidopa/Levadopa | Psychotherapeutic | Antiparkinson's | Use WHP card | Use WHP card
Sinemet 25/100 tablet | Carbidopa/Levadopa | Psychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Sinemet 25/250 tablet | Carbidopa/Levadopa | Psychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Sinequan 10 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Sinequan 10 mg/ml oral conc | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Sinequan 25 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Sinequan 50 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Sinequan 75 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Sinequan 100 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Sinequan 150 mg capsule | [NAME] | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Somnote 500 mg capsule | Chloral Hydrate | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Sonata 5 mg capsule | Zaleplon | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Sonata 10 mg capsule | Zaleplon | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card; PA Req'd (Medicaid) | Not covered
Stavzor 125 mg capsule DR | Valproic Acid | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Stavzor 250 mg capsule DR | Valproic Acid | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Stavzor 500 mg capsule | Valproic Acid | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Stelazine 1 mg tablet | Trifluoperazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
[NAME] | Trifluoperazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Stelazine 5 mg tablet | Trifluoperazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Stelazine 10 mg tablet | Trifluoperazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Strattera 10 mg capsule | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Straterra 18 mg capsule | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Straterra 25 mg capsule | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Straterra 40 mg capsules | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Straterra 60 mg capsules | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Straterra 80 mg capsules | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Straterra 100 mg capsules | Atomoxetine HCL | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Suboxone 2 mg-0.5 mg tab SL | Buprenorphine/Naloxone | Psychotherapeutic | Substance Abuse | Use mihealth card; PA Req'd (Medicaid) | Not covered
Suboxone 8 mg-2 mg tab SL | Buprenorphine/Naloxone | Psychotherapeutic | Substance Abuse | Use mihealth card; PA Req'd (Medicaid) | Not covered
Surmontil 25 mg capsule | Trimipramine maleate | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Surmontil 50 mg capsule | Trimipramine maleate | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Surmontil 100 mg capsule | Trimipramine maleate | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Not covered
Symbax 6 mg-25 mg capsule | Olanzapine/Fluoxetine HCL | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Symbax 6 mg-50 mg capsule | Olanzapine/Fluoxetine HCL | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Symbax 12 mg-25 mg capsule | Olanzapine/Fluoxetine HCL | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Symbax 12mg-50 mg capsule | Olanzapine/Fluoxetine HCL | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Symbax 3 mg-25 mg capsule | Olanzapine/Fluoxetine HCL | Psychotherapeutic | Bipolar disorder [NAME] | Use mihealth card | Not covered
Symmetrel 100 mg tablet | Amantadine | Psychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Symmetrel 50 mg/5 ml syrup | Amantadine | Psychotherapeutic | Antiparkinson's | Use mihealth card | Use WHP card
Tegretol 100 mg tab chew | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered; available at $4 program
Tegretol 200 mg tablet | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered; available at $4 program
Tegretol 100 mg/5 ml | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Tegretol 200 mg/10 ml | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Use WHP card
Tegretol XR 100 mg tab | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Tegretol XR 200 mg tab | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Tegretol XR 400 mg tab | [NAME] | Psychotherapeutic | Anticonvulsant | Use mihealth care | Not covered
Thorazine 10 mg tablet | Chlorpromazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Thorazine 25 mg tablet | Chlorpromazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Thorazine 50 mg tablet | Chlorpromazine HCL | Psychotherapeutic | Antipsychotic | Use mihealth card | Use WHP card
Thorazine 100 mg tablet | Topiramate | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Thorazine 200 mg tablet | Topiramate | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Thorazine 25 mg/ml ampule | Topiramate | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Tofranil 10 mg tablet | Clorazepate | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Tofranil 25 mg tablet | Clorazepate | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Tofranil 50 mg tablet | Clorazepate | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Tofranil-PM 75 mg capsule | Perphenazine/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Tofranil-PM 100 mg capsule | Perphenazine/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Tofranil-PM 125 mg capsule | Perphenazine/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Tofranil-PM 150 mg capsule | Perphenazine/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Topamax 25 mg tablet | Perphenazine/Amitriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Topamax 50 mg tablet | Perphenazine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Topamax 100 mg tablet | Perphenazine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Topamax 200 mg tablet | Perphenazine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Topamax 15 mg cap sprink | Perphenazine | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Topamax 25 mg cap sprink | Oxcarbazepine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Tranxene 3.75 mg tablet | Oxcarbazepine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] 7.5 mg tablet | Oxcarbazepine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
[NAME] 15 mg tablet | Oxcarbazepine | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Triavil/Etrafon 2-10 mg tablet | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Triavil/Etrafon 2-25 mg tablet | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Triavil/Etrafon 4-10 mg tablet | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Triavil/Etrafon 4-25 mg tablet | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Triavil/Etrafon 4-50 mg tablet | Diazepam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Trilafon 2 mg tablet | Buspirone | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
[NAME] mg tablet | Venlafaxine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Trilafon 8 mg tablet | Venlafaxine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Trilafon 16 mg tablet | Venlafaxine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Trileptal 150 mg tablet | Venlafaxine HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Trileptal 300 mg tablet | Protriptyline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Trileptal 300 mg/5 ml | Vilazodone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Trileptal 600 mg tablet | Vilazodone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Valium 2 mg tablet | Vilazodone | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Valium 5 mg tablet | Lacosamide | Psychotherapeutic | Anticonvulsant | Use mihealth card, use 1st line agents 1st | Not covered
Valium 5 mg/ml vial | Lacosamide | Psychotherapeutic | Anticonvulsant | Use mihealth card, use 1st line agents 1st | Not covered
Valium 5 mg/ml Disp syringe | Lacosamide | Psychotherapeutic | Anticonvulsant | Use mihealth card, use 1st line agents 1st | Not covered
Valium 10 mg tablet | Lacosamide | Psychotherapeutic | Anticonvulsant | Use mihealth card, use 1st line agents 1st | Not covered
Vanspar 7.5 mg tablet | Lacosamide | Psychotherapeutic | Anticonvulsant | Use mihealth card, use 1st line agents 1st | Not covered
Venlafaxine HCL ER 37.5 mg tab | Protriptyline HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Ue WHP card
Venlafaxine HCL ER 75 mg tab | Proptriptyline HCL | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Venlafaxine HCL ER 150 mg tab | Lisdexamfetamine Dimesyla | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Venlafaxine HCL ER 225 mg tab | Lisdexamfetamine Dimesyla | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Vivactil* | Lisdexamfetamine Dimesyla | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Viibryd 10 mg tablet | Lisdexamfetamine Dimesyla | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Viibryd 20 mg tablet | Lisdexamfetamine Dimesyla | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Viibryd 40 mg tablet | Lisdexamfetamine Dimesyla | Psychotherapeutic | CNS Stimulants | Use mihealth card; PA Req'd (Medicaid) | Not covered
Vimpat 10 mg/ml solution | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Use WHP card
Vimpat 50 mg tablet | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card; PA Req'd (Medicaid) | Use WHP card
Vimbat 100 mg tablet | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Vimbat 150 mg tablet | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Vimbat 200 mg tablet | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Vivactil 5 mg tablet | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Vivactil 10 mg tablet | Bupropion | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Vyvanse 20 mg capsule | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Vyvanse 30 mg capsule | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Vyvanse 40 mg capsule | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Vyvanse 50 mg capsule | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card | Use WHP card
Vyvanse 60 mg capsule | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Vyvanse 70 mg capsule | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Wellbutrin 75 mg tablet | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Wellbutrin 100 mg tablet | Alprazolam | Psychotherapeutic | Anti-Anxiety | Use mihealth card; PA Req'd (Medicaid) | Not covered
Wellbutrin SR 100 mg tablet | Ethosuximide | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Wellbutrin SR 150 mg tablet | Ethosuximide | Psychotherapeutic | Anticonvulsant | Use mihealth card | Not covered
Wellbutrin SR 200 mg tablet | Sertraline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Wellbutrin XL 150 mg tab SR 24H | Sertraline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Wellbutrin XL  300 mg tab SR 24 H | Sertraline | Psychotherapeutic | Antidepressant | Use mihealth card | Use WHP card
Xanax 0.25 mg tablet | Sertraline | Psychotherapeutic | Antidepressant | Use mihealth card | Not covered
Xanax 0.5 mg tablet | [NAME] | Psychotherapeutic | Sedative/Hypnotic | Use mihealth card | Not covered
Xanax 1 mg tablet | Zonisamide | Psychotherapeutic | Anticonvulsant | Use WHP card | Not covered
Xanax 2 mg tablet | Zonisamide | Psychotherapeutic | Anticonvulsant | Use WHP card | Not covered
Xanax XR 0.5 mg tab SR 24 H | Zonisamide | Psychotherapeutic | Anticonvulsant | Use WHP card | Not covered
Xanax XR 1 mg tab SR 24 H | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Xanax XR 2 mg tab SR 24 H | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Xanax XR 3 mg tab SR 24 H | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] mg capsule | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] ml syrup | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Zoloft 25 mg tablet | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] 50 mg tablet | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card;LTC ONLY | Not covered
Zoloft 100 mg tablet | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card;LTC ONLY | Not covered
Zoloft 20 mg/ml oral conc | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card;LTC ONLY | Not covered
Zolpimist 5 mg oral spray | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card;LTC ONLY | Not covered
Zonegran 25 mg capsule | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Zonegran 50 mg capsule | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Zonegran 100 mg capsule | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
Zyprexa 2.5 mg tablet | Olanzapine | Psychotherapeutic | Antipsychotic | Use mihealth card | Not covered
[NAME] mg tablet | Chloral Hydrate | sedative hypnotic | non-barbiturate | Use mihealth card | Not covered
Zyprexa 7.5 mg tablet | Iron/Multiv/Min | Vitamin Supplements | Miscellaneous | Use WHP card | Use WHP card
Zyprexa 10 mg tablet | Vitamin B Comp w/c | Vitamin Supplements | Miscellaneous | Use WHP card | Not covered;OTC
Zyprexa 15 mg tablet | Folic Acid | Vitamin Supplements | CNS Stimulant | Use WHP card | Not covered; available at $4 program
Zyprexa 20 mg tablet | Prenatal Vitamins W/Fe Fumarate,FA | Vitamin Supplements | Prenatal Vitamins | Use WHP card | Not covered,available at $4 program
Zyprexa 10 mg vial | Prenatal Vit w/ Fe Fumarate, FA | Vitamin Supplements | Prenatal | Use WHP card | Not covered,available at $4 program
[NAME] 210 mg vial | Ergocalciferol | Vitamin Supplements | Vitamin D | Use WHP card | Use WHP card
[NAME] 300 mg vial | Miconazole nitrate | Women' health | [NAME] | Use WHP card | Use WHP card
[NAME] 405 mg vial | Estropipate | Women' health | Estrogen | Use WHP card | Use WHP card
[NAME] mg tab disper | Estropipate | Women' health | Estrogen | Use WHP card | Use WHP card
[NAME] 10 mg tab disper | Estropipate | Women' health | Estrogen | Use WHP card | Use WHP card
[NAME] 15 mg tab disper | [NAME] | Women's Health | Estrogen | Use WHP card | Not covered; available at $4 program
[NAME] 20 mg tab disper | [NAME] | Women's Health | Estrogen | Use WHP card | Not covered; available at $4 program
Noctec 500mg/5ml syrup | [NAME] | Women's Health | Estrogen | Use WHP card | Not covered; available at $4 program
B-Complex Vitamin [NAME] | Medroxyprogesterone | Women's Health | Progesterone | Use WHP card | Not covered,available at $4 program
Berocca tablet | Medroxyprogesterone | Women's Health | Progesterone | Use WHP card | Not covered,available at $4 program
Folic Acid 1 mg tablet | Medroxyprogesterone | Women's Health | Progesterone | Use WHP card | Not covered,available at $4 program
Natal Care | Ethinyl estradiol/Norgest | Women's Health | Oral Contraceptive | Use WHP card | Not covered
Prenatal Vitamins | Norgestimate/ethinyl estrad | Women's Health | Oral Contraceptive | Use WHP | Not covered
Vitamin D 50000 iu capsule
Monistat-3 vaginal suppository
Ogen 0.625 mg tablet
Ogen 1.25 mg tablet
Ogen 3 mg tablet
Estrace 0.5 mg tablet
Estrace 1 mg tablet
Estrace 2 mg tablet
Provera 2.5 mg tablet
Provera   5 mg tablet
Provera 10 mg tablet
Sprintec tablet
Tri-sprintec tablet