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