Discount Restrictions
Inside Rx covers thousands of medications. Only a few medications and strengths have discount restrictions. These tables list all medications with additional restrictions.
Age Restrictions refers to medications where our discounts are not available if you are 65 or older.
Benefit Restrictions refers to medications where our discounts are not available if you are covered by a federal or state funded benefit, such as Medicare, Medicaid, or Tricare.
These restrictions do not apply to pets.
Medications with Age and Benefit Restrictions
Medication Name | Strength(s) |
---|---|
Arnuity Ellipta | furoate 50 mcg |
furoate 100 mcg | |
furoate 200 mcg | |
Breo Ellipta | 100 mcg-25 mcg/inh |
200 mcg-25 mcg/inh | |
Flovent Diskus | 100 mcg |
250 mcg | |
50 mcg | |
Flovent HFA | CFC free 110 mcg/inh |
CFC free 220 mcg/inh | |
CFC free 44 mcg/inh |
Medications with Benefit Restrictions
Medication Name | Strength(s) |
---|---|
Accu-Chek FastClix lancets | 102 count of 30 gauge |
Accu-Chek Guide test strips | 50 count |
100 count | |
Addyi | 100 mg |
Adzenys XR-ODT | 12.5 mg |
15.7 mg | |
18.8 mg | |
3.1 mg | |
6.3 mg | |
9.4 mg | |
Afrezza | 12 units |
4 units | |
8 units | |
Afrezza 4 unit (90)- 8 unit (90) | 4 units- 8 units |
Afrezza 8 unit (90)- 12 unit (90) | 8 units-12 units |
Afrezza Titration Pack | 4 units-8 units-12 units |
Alvesco | 6.1g of CFCfree80mcg/inh |
Alvesco HFA | CFC free 160 mcg/inh |
CFC free 80 mcg/inh | |
Amitiza | 24 mcg |
8 mcg | |
Apidra | 10ml vial of 100 units/ml |
Apidra SoloStar Pen | 5 pens (3ml/pen) of 100 units/ml |
Basaglar KwikPen | 5 KwikPens (3ml/KwikPen) of 100 units/ml |
Baqsimi | 3 mg |
Beyaz | 28 tablets of 3 mg/0.02 mg/0.451 mg |
Bonjesta | 20-20mg |
Brilinta (ticagrelor) | 60 mg |
90 mg | |
Bydureon BCise | 4 pens of 2MG/0.85ML |
Bydureon Pen | 2 mg |
CerefolinNAC | Vitamin B12, Folate, and Acetylcysteine |
Climara | 4 once-weekly patches of 0.025mg/day |
4 once-weekly patches of 0.05mg/day | |
4 once-weekly patches of 0.075mg/day | |
4 once-weekly patches of 0.1mg/day | |
4 once-weekly patches of 0.0375mg/day | |
4 once-weekly patches of 0.06mg/day | |
Climara Pro Patch | 45-15/24H |
Clindesse | 2% |
Colchicine | 0.6 mg (caplets) |
Contrave | 90 mg-8 mg |
Crestor | 10 mg |
20 mg | |
40 mg | |
5 mg | |
Dermasorb HC | 295.8ml of 2% |
Dermasorb TA | two 3 oz tube of 0.1% |
Dilantin | 100 mg |
30 mg | |
Dyanavel XR | 2.5 mg/mL |
5 mg tablet | |
10 mg tablet | |
15 mg tablet | |
20 mg tablet | |
Dymista | 137 mcg-50 mcg/inh |
Emgality Prefilled Pen | 1.0mL of 120mg/mL |
Emgality Prefilled Syringe | 1.0mL of 120mg/mL |
EstroGel Pump | 50g of 0.06% |
Evamist | 1.53 mg/spray |
Farxiga | 10 mg |
5 mg | |
Glucagon Emergency Kit | 1 mg |
Glyxambi | 10 mg-5 mg |
25 mg-5 mg | |
Hemady | 20 mg tablet |
HumaLOG Junior KwikPen | 3.0mL of 100units/mL |
Humalog KwikPen (Concentrated) | 200 units/mL |
Humalog Mix 50/50 | 50 units-50 units/mL |
Humalog Mix 50/50 KwikPen | 5 KwikPens (3ml/KwikPen) of 100 units/ml |
Humalog Mix 75/25 | 10ml vial |
Humalog Mix 75/25 KwikPen | 5 KwikPens (3ml/KwikPen) of 100 units/ml |
Humalog U-100 | 100 units/ml |
Humalog U-100 KwikPen | 3ml of 100 units/ml |
Humulin 70/30 | 10ml vial |
Humulin 70/30 KwikPen | 5 KwikPens (3ml/KwikPen) of 100 units/ml |
Humulin N | human recombinant 100 units/mL |
Humulin N KwikPen | 5 KwikPens (3ml/KwikPen) of 100 units/ml |
Humulin R | 10 ml vial of 100 units/ml |
Hymovis | 8 mg/mL |
24 mg/3ml syringe | |
Insulin Glargine YFGN | 10 ml of 100 units/ml vial |
3 ml of 100 units/ml pen | |
Insulin Lispro | 10 ml of 100 units/ml |
Insulin Lispro Junior Kwikpen | 3 ml of 100 units/ml |
Insulin Lispro Protamine Mix | 3 ml of 25/75 units/ml |
Jardiance | 10 mg |
25 mg | |
Jentadueto | 2.5 mg-1000 mg |
2.5 mg-500 mg | |
2.5 mg-850 mg | |
Jentadueto XR | 2.5 mg-1000 mg |
5 mg-1000 mg | |
Jornay PM | 20 mg capsule |
40 mg capsule | |
60 mg capsule | |
80 mg capsule | |
100 mg capsule | |
Kloxxado | 8 mg nasal spray |
Kombiglyze XR | 1000 mg-2.5 mg |
1000 mg-5 mg | |
500 mg-5 mg | |
Kristalose | 10 g |
20 g | |
Lantus | 10ml vial |
Lantus Solostar Pen | 5 pens (3ml/pen) of 100 units/ml |
Levoxyl | 25 mcg (0.025 mg) |
50 mcg (0.05 mg) | |
75 mcg (0.075 mg) | |
88 mcg (0.088 mg) | |
100 mcg (0.1 mg) | |
112 mcg (0.112 mg) | |
125 mcg (0.125 mg) | |
137 mcg (0.137 mg) | |
150 mcg (0.15 mg) | |
175 mcg (0.175 mg) | |
200 mcg (0.2 mg) | |
Lyumjev | 10 ml of 100 units/ml |
Lyumjev Kwikpen | 3 ml of 100 units/ml |
3 ml of 200 units/ml | |
Myrbetriq ER | 50mg tablet |
25mg tablet | |
8 MG/ML SUSP | |
Narcan | 4 mg/0.1 mL |
Nexium | 10 mg (package) |
2.5 mg (package) | |
20 mg (package) | |
40 mg (package) | |
5 mg (package) | |
20 mg | |
40 mg | |
OneTouch Ultra Test Strips | 25 count |
50 count | |
100 count | |
OneTouch Verio Test Strips | 25 count |
50 count | |
100 count | |
Onglyza | 2.5 mg |
5 mg | |
Osphena | 60 mg |
Otrexup | 20 mg/0.4 mL |
Pradaxa | 110 mg |
150 mg | |
75 mg | |
Premarin Vaginal | 0.625 mg/g |
Premarin | 0.3 mg |
0.45 mg | |
0.625 mg | |
0.9 mg | |
1.25 mg | |
Premphase | 0.625-5mg |
Prempro | 0.3 mg-1.5 mg |
0.45 mg-1.5 mg | |
0.625 mg-2.5 mg | |
0.625 mg-5 mg | |
Prenate | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate DHA | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate Elite | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate Enhance with DHA | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate Essential | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate Mini with DHA | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate Pixie | Prenatal Multivitamins with Folic Acid 1 mg |
Prenate Restore | Prenatal Multivitamins with Folic Acid 1 mg |
Pristiq | 100 mg |
25 mg | |
50 mg | |
ProAir RespiClick | 90 mcg/inh |
Pulmicort Flexhaler | 180 mcg/inh |
90 mcg/inh | |
Qnasl | 40 mcg/inh |
80 mcg/inh | |
QuilliChew ER | 20 mg/24 hr |
30 mg/24 hr | |
40 mg/24 hr | |
Quillivant XR | 300 mg/60 ml |
600 mg/120 ml | |
750 mg/150 ml | |
900 mg/180 ml | |
Qvar Redihaler | 80 mcg |
40 mcg | |
Relion True Metrix | 50 test strips |
100 test strips | |
Ryaltris | 665-25 MCG Spray |
Safyral | 28 tablets of 3mg/0.03mg/0.451mg |
Segluromet | 2.5-1,000 mg tablet |
2.5-500 mg tablet | |
7.5-1,000 mg tablet | |
7.5-500 mg tablet | |
Simbrinza | 1%-0.2% |
Slynd | 4 mg |
Steglatro | 15 mg tablet |
5 mg tablet | |
Steglujan | 15-100 mg tablet |
5-100 mg tablet | |
Suprep Bowel Prep Kit | 1.6 g-3.13 g-17.5 g/177 mL |
Sutab | 1.479g/0.225g/0.188g |
Symbicort | 80 mcg-4.5 mcg/inh (120 doses) |
160 mcg-4.5 mcg/inh (120 doses) | |
Synjardy | 12.5 mg-1000 mg |
12.5 mg-500 mg | |
5 mg-1000 mg | |
5 mg-500 mg | |
Synjardy XR | 10 mg-1000 mg |
12.5 mg-1000 mg | |
25 mg-1000 mg | |
5 mg-1000 mg | |
Tazorac | 0.05% cream |
0.05% gel | |
0.1% cream | |
0.1% gel | |
Tirosint | 13 mcg |
25 mcg | |
50 mcg | |
75 mcg | |
88 mcg | |
100 mcg | |
112 mcg | |
125 mcg | |
137 mcg | |
150 mcg | |
175 mcg | |
200 mcg | |
Tirosint SOL | 13 mcg/ml |
25 mcg/ml | |
50 mcg/ml | |
75 mcg/ml | |
88 mcg/ml | |
100 mcg/ml | |
112 mcg/ml | |
125 mcg/ml | |
137 mcg/ml | |
150 mcg/ml | |
175 mcg/ml | |
200 mcg/ml | |
Toujeo Max SoloStar | 3.0mL of 300units/mL |
Toujeo SoloStar | 3 pens (1.5 ml/pens) of 300 units/ml |
Tradjenta | 5 mg |
Tri-Luma | 0.01%-4%-0.05% |
Triluron | 20 mg/2 ml syringe |
Trijardy XR | 5mg/2.5mg/1000mg |
12.5mg/2.5mg/1000mg | |
10mg/5mg/1000mg | |
25mg/5mg/1000mg | |
Trintellix | 10 mg |
20 mg | |
5 mg | |
True Metrix Test Strips | 100 glucose test strips |
50 glucose test strips | |
25 glucose test strips | |
Trulicity Pen | 0.75 mg/0.5 mL |
1.5 mg/0.5 mL | |
3 mg/0.5 mL | |
4.5 mg/0.5 mL | |
Vascepa | 0.5 g |
1 g | |
Verkazia | 0.1% |
Vgo | 20units/24hrs |
30units/24hrs | |
40units/24hrs | |
Viagra | 100 mg |
50 mg | |
25 mg | |
VSL#3 | 60 capsules of 112.5 billion CFU |
30 packets of 450 billion CFU | |
VSL#3 DS | 20 packets of 900 billion CFU |
Vyvanse | 10 mg |
20 mg | |
30 mg | |
40 mg | |
50 mg | |
60 mg | |
70 mg | |
Xofluza | 2 tablets of 20mg |
40mg tablet | |
80mg tablet | |
Xyosted | 0.5mL of enanthate100mg/0.5mL |
0.5mL of enanthate50mg/0.5mL | |
0.5mL of enanthate75mg/0.5mL | |
Yasmin | 28 tablets of 3mg/0.03mg |
Yaz | 28 tablets of 3mg/0.02mg |
Zilxi | 1.5% foam |
Zioptan | 0.0015% |
Zoloft | 25 mg |
50 mg | |
100 mg | |
20 mg/mL (oral solution) | |
Zolpimist | 5 mg spray |