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