Restricciones en los descuentos - Inside Rx

Restricciones en los descuentos

Inside Rx cubre miles de medicamentos. Solamente unos pocos medicamentos y concentraciones tienen restricciones en los descuentos. Estas tablas enumeran todos los medicamentos con restricciones adicionales.

Restricciones en la edad se refiere a los medicamentos para los cuales nuestros descuentos no son disponibles si tienes 65 años o más.

Restricciones en los beneficios se refiere a los medicamentos para los cuales nuestros descuentos no son disponibles si tienes cobertura con un beneficio financiado por fondos federales o estatales, como Medicare, Medicaid, o Tricare.

Estas restricciones no se aplican a las mascotas.

Medicamentos con restricciones en la edad y en los beneficios

Nombre del medicamento Concentración(es)
Advair HFA CFC free 115 mcg-21 mcg/inh
CFC free 230 mcg-21 mcg/inh
CFC free 45 mcg-21 mcg/inh
Anoro Ellipta 62.5 mcg-25 mcg/inh
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
Incruse Ellipta 62.5 mcg (0.0625 mg)/inh
Trelegy Ellipta 60 blisters of 100mcg/62.5mcg/25mcg/inh

Medicamentos con restricciones en los beneficios

Nombre del medicamento Concentración(es)
Absorica 10 mg
20 mg
25 mg
30 mg
35 mg
40 mg
Absorica LD micronized 16 mg
micronized 24 mg
micronized 32 mg
micronized 8 mg
Accu-Chek FastClix lancets 102 count of 30 gauge
Accu-Chek Guide test strips 50 count
100 count
Aczone 60.0g of 7.5%
90.0g of 7.5%
Adalat CC 30 mg
60 mg
90 mg
Addyi 100 mg
Adzenys ER 1.25mg/ml of 360ml
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
Afstyla 1000 unit
1500 unit
2000 unit
2500 unit
250 unit
3000 unit
500 unit
AirDuo RespiClick 113 mcg-14 mcg/inh
232 mcg-14 mcg/inh
55 mcg-14 mcg/inh
Aklief 0.005% cream
Alvesco 6.1g of CFCfree80mcg/inh
Alvesco HFA CFC free 160 mcg/inh
CFC free 80 mcg/inh
Amitiza 24 mcg
8 mcg
Amzeeq 4% foam
Apidra 10ml vial of 100 units/ml
Apidra SoloStar Pen 5 pens (3ml/pen) of 100 units/ml
Arakoda 100 mg
Auryxia 210 mg
Avonex Pen 30 mcg/0.5 mL
Avonex Prefilled Syringe 30 mcg/0.5 mL
AzaSite 1%
Balcoltra with iron 20 mcg-100 mcg
Basaglar KwikPen 5 KwikPens (3ml/KwikPen) of 100 units/ml
Baxdela 300 mg (package)
450 mg (package)
10.0ea of 450mg
Baqsimi 3 mg
Betimol 5.0mL of hemihydrate0.25%
5.0mL of hemihydrate0.5%
Beyaz 28 tablets of 3 mg/0.02 mg/0.451 mg
Binosto 70 MG
Bonjesta 20-20mg
Breztri 120 inhalations of 160mcg/9mcg/4.8mcg
Brilinta (ticagrelor) 60 mg
90 mg
BromSite 0.075%
Bydureon BCise 4 pens of 2MG/0.85ML
Bydureon Pen 2 mg
Bynfezia 2500 mcg/ml
Caduet 10 mg-10 mg
10 mg-20 mg
10 mg-40 mg
10 mg-80 mg
5 mg-10 mg
5 mg-20 mg
5 mg-40 mg
5 mg-80 mg
Cambia potassium 50 mg
Capex 0.01% 120ml (shampoo)
Celebrex 100 mg
200 mg
400 mg
50 mg
Cequa 60 vials of 0.09%
CeQur Simplicity 10 patches of 2 units
CerefolinNAC Vitamin B12, Folate, and Acetylcysteine
CitraNatal 90 DHA 30 day of 90mg/1mg/300mg
CitraNatal Assure 1mg Folic Acid (30 day supply per kit)
CitraNatal B-Calm 1mg Folic Acid (30 day supply per kit)
CitraNatal Bloom 90 mg/1 mg/50 mg
CitraNatal DHA Prenatal Multivitamins with Folic Acid 1 mg
CitraNatal Harmony Prenatal Multivitamins with Folic Acid 1 mg and Docusate
CitraNatal Rx Prenatal Multivitamins with Folic Acid 1 mg and Docusate
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%
Clobex 0.05% 118ml (shampoo)
0.05% 59ml (spray)
0.05% 125ml (spray)
Colchicine 0.6 mg (caplets)
Colcrys 0.6 mg
Combivent Respimat 100 mcg-20 mcg/inh
Conjupri 2.5mg Tablet
5mg Tablet
Consensi 2.5-200 mg
5-200 mg
10-200 mg
Contrave 90 mg-8 mg
Cosopt PF 2%-0.5% preservative-free
Cotempla XR-ODT 17.3 mg/24 hr
25.9 mg/24 hr
8.6 mg/24 hr
Crestor 10 mg
20 mg
40 mg
5 mg
Deplin 15 mg
7.5 mg
Dermasorb HC 295.8ml of 2%
Dermasorb TA two 3 oz tube of 0.1%
DesOwen 0.05% 59g (lotion)
0.05% 118g (lotion)
Dexilant 30 mg
60 mg
Differin 0.3% 45g (gel w/pump)
0.1% 45g (cream)
0.1% 59ml (lotion)
Dilantin 100 mg
30 mg
Divigel 1.25 mg gel packet
0.75 mg gel packet
1 mg/packet
0.5 mg/packet
0.25 mg/packet
Doryx MPC 120 mg
Duavee 0.45mg/20mg
Dyanavel XR 2.5 mg/mL
Dymista 137 mcg-50 mcg/inh
Emgality Prefilled Pen 1.0mL of 120mg/mL
Emgality Prefilled Syringe 1.0mL of 120mg/mL
Endari 1 packets (5g/packet)
60 packets (5g/packet)
Epiduo 0.1%-2.5% 45g (gel w/pump)
Epiduo Forte 45g of 0.3%-2.5%
60g of 0.3%-2.5%
Epiduo Pump 45.0g of 0.1%-2.5%
EstroGel Pump 50g of 0.06%
Eurax 10% 60g (lotion)
10% 454g (lotion)
Evamist 1.53 mg/spray
Eysuvis 0.25%
Fabior 100.0g of 0.1%
50.0g of 0.1%
Farxiga 10 mg
5 mg
Flarex acetate 0.1%
Flector Patch 1.3%
Flolipid 20 MG/5 ML oral susp
40 MG/5 ML oral susp
Foltx Vitamin B Complex with Folic Acid
Forfivo XL 450 mg/24 hours
Gel-One 10 mg/mL
Genotropin 5 mg (cartridge)
12 mg (cartridge)
7 MiniQuick devices of 0.2mg
7 MiniQuick devices of 0.4mg
7 MiniQuick devices of 0.6mg
7 MiniQuick devices of 0.8mg
7 MiniQuick devices of 1mg
7 MiniQuick devices of 1.2mg
7 MiniQuick devices of 1.4mg
7 MiniQuick devices of 1.6mg
7 MiniQuick devices of 1.8mg
7 MiniQuick devices of 2mg
Glucagon Emergency Kit 1 mg
Glucocard Expression Test Strip 50 count
Glucocard Vital Sensor 50 count
Glyxambi 10 mg-5 mg
25 mg-5 mg
Gralise 300 mg/24 hours
600 mg/24 hours
Grastek 2800 BAU
Gynazole-1 2%
Halog 0.1% 60g (cream)
0.1% 30g (ointment)
0.1% 60g (ointment)
0.1% solution
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
Humatrope 12 mg
24 mg
5 mg (Vial)
6 mg
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
Hyalgan 10 mg/mL
Hymovis 8 mg/mL
Ilumya 1.0mL of 100mg/mL
Inbrija 60 capsules of 42mg
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
Intrarosa 6.5 mg
Inveltys 2.8ml of 1%
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 (evening dose) 100 mg/24 hr
(evening dose) 20 mg/24 hr
(evening dose) 40 mg/24 hr
(evening dose) 60 mg/24 hr
(evening dose) 80 mg/24 hr
Kitabis Pak 5.0mL of 60mg/mL
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)
Lexette 50.0g of 0.05%
Licart 1.3%
Livalo 1 mg
2 mg
4 mg
Lyrica 20 mg/mL (oral solution)
50 mg
75 mg
100 mg
150 mg
200 mg
225 mg
300 mg
Lyrica CR 82.5 mg
165 mg
330 mg
Lyumjev 10 ml of 100 units/ml
Lyumjev Kwikpen 3 ml of 100 units/ml
3 ml of 200 units/ml
Macrobid macrocrystals-monohydrate 100 mg
Macrodantin macrocrystals 100 mg
macrocrystals 25 mg
macrocrystals 50 mg
Makena Auto-Injector 1.1mL of 275mg/1.1mL
Metanx Vitamin B Complex
MetroCream 45g of 0.75% (cream)
MetroGel 1%
MetroGel Pump 1%
Mirvaso 0.33% 30g (gel)
0.33% 30g (gel w/pump)
Mirvaso Pump 30.0g of 0.33%
Mitigare 0.6 mg
Myrbetriq ER 50mg tablet
25mg tablet
8 MG/ML SUSP
Naprelan 750 750 mg (as sodium)
Narcan 4 mg/0.1 mL
Natesto 11g of 5.5mg/0.122g
7.32g of 5.5mg/0.122g
NeevoDHA Prenatal Multivitamins with Vitamin B Complex, Vitamin C and Minerals with L-Methylfolate
Nexium 10 mg (package)
2.5 mg (package)
20 mg (package)
40 mg (package)
5 mg (package)
20 mg
40 mg
Nityr 10 mg
5 mg
2 mg
Nocdurna 27.7 mcg
55.3 mcg
Nucala 100 mg vial
100 mg/ml syringe
100 mg/ml autoinjector
OB Complete Premier Tablet
One SoftGel
Petitie SoftGel
with DHA
Caplet
Odactra 12 SQ-HDM
Omeclamox-Pak 20mg/500mg/500mg
Omnitrope 5.8 mg vial
10 mg/1.5 ml
5 mg/1.5 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
Oracea 40 mg
Oralair 30 SL tablets of 300 IR
Osphena 60 mg
Otrexup 10 mg/0.4 mL
12.5 mg/0.4 mL
15 mg/0.4 mL
17.5 mg/0.4 mL
20 mg/0.4 mL
22.5 mg/0.4 mL
25 mg/0.4 mL
Oxtellar XR 150 mg
300 mg
600 mg
Pancreaze 10,500 units-61,500 units-35,500 units
16,800 units-98,400 units-56,800 units
21,000 units-83,900 units-54,700 units
2600 units-10,850 units-6200 units
4200 units-24,600 units-14,200 units
37000 units
Phoslyra 667 MG/5 ML Solution
Plegridy 125 mcg/0.5 mL
63 and 94 mcg
Plegridy Pen 125 mcg/0.5 mL
63 and 94 mcg
Pradaxa 110 mg
150 mg
75 mg
Praluent Pen 75 mg/ml
150 mg/ml
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
PrimaCare Prenatal Multivitamins with Folic Acid 1 mg
Pristiq 100 mg
25 mg
50 mg
ProAir RespiClick 90 mcg/inh
Protonix 40 mg (oral suspension)
20 mg
40 mg
Pulmicort Flexhaler 180 mcg/inh
90 mcg/inh
Qbrexza 2.4%
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
Ragwitek 12 Amb a 1-U
Rasuvo 10 mg/0.2 mL
12.5 mg/0.25 mL
15 mg/0.3 mL
17.5 mg/0.35 mL
20 mg/0.4 mL
22.5 mg/0.45 mL
25 mg/0.5 mL
30 mg/0.6 mL
7.5 mg/0.15 mL
Rayaldee 30 mcg
Reditrex 10 MG/0.4 ML
12.5 MG/0.5 ML
15 MG/0.6 ML
17.5 MG/0.7 ML
20 MG/0.8 ML
22.5 MG/0.9 ML
25 MG/ML
7.5 MG/0.3 ML
Relion True Metrix 50 test strips
100 test strips
Relpax 20 mg
40 mg
Rhofade 30 g of 1%
Riomet 500 mg/5 mL
Riomet ER 500 mg/5 mL
Roszet 5-10 mg tablet
10-10 mg tablet
20-10 mg tablet
40-10 mg tablet
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
Seysara 60 mg
100 mg
150 mg
Simbrinza 1%-0.2%
Slynd 4 mg
Soolantra 1% cream
Sorilux 120.0g of 0.005%
60.0g of 0.005%
Spiriva Respimat 1.25 mcg/inh
2.5 mcg/inh
Spiriva Respimat 60 ACT 4.0g of 2.5mcg/inh
Steglatro 15 mg tablet
5 mg tablet
Steglujan 15-100 mg tablet
5-100 mg tablet
Stendra 50 mg
100 mg
200 mg
Stiolto Respimat 2.5 mcg-2.5 mcg/inh
Striverdi Respimat 2.5 mcg/inh
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)
Symjepi 2 injectors of 0.15 mg
2 injectors of 0.3 mg
Symproic 0.2 mg
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
Techlite Pen Needle 100 count 5/16" of 32 gauge
100 count 5/32" of 32 gauge
100 count 1/4" of 31 gauge
100 count 1/4" of 32 gauge
100 count 1/2" of 29 gauge
Tekturna 150 mg
300 mg
Tekturna HCT 150 mg-12.5 mg
150 mg-25 mg
300 mg-12.5 mg
300 mg-25 mg
Temixys 300 mg-300 mg
Tenoretic 100 100 mg-25 mg
Tenoretic 50 50 mg-25 mg
Tenormin 100 mg
25 mg
50 mg
Tiglutik 600ml of 50/10ML
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
TobraDex ST 0.05%-0.3%
Tosymra 10 mg/inh
Toujeo Max SoloStar 3.0mL of 300units/mL
Toujeo SoloStar 3 pens (1.5 ml/pens) of 300 units/ml
Toviaz 4 mg
8 mg
Tradjenta 5 mg
Tri-Luma 0.01%-4%-0.05%
Triluron 20 mg/2 ml syringe
Tricor 145 mg
48 mg
Trijardy XR 5mg/2.5mg/1000mg
12.5mg/2.5mg/1000mg
10mg/5mg/1000mg
25mg/5mg/1000mg
Trilipix 135 mg
45 mg
Trintellix 10 mg
20 mg
5 mg
Trokendi XR 100 mg
200 mg
25 mg
50 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
TruePlus Pen Needle 32 gauge of 5/32
31 gauge of 5/16
31 gauge of 1/4
31 gauge of 3/16
29 gauge of 1/2
Twirla 120-30 MCG/DAY PATCH
Ultravate 0.05%
Vascepa 0.5 g
1 g
Vectical 3 mcg/g
Veltin 1.2%-0.025%
Vgo 20units/24hrs
30units/24hrs
40units/24hrs
Viagra 100 mg
50 mg
25 mg
Visco-3 25 mg/2.5 ml
VSL#3 60 capsules of 112.5 billion CFU
30 packets of 450 billion CFU
VSL#3 DS 20 packets of 900 billion CFU
Vumerity 231 mg
Vyleesi 0.3mL of 1.75mg/0.3mL
Vyvanse 10 mg
20 mg
30 mg
40 mg
50 mg
60 mg
70 mg
Winlevi 1% cream
Xhance 16ml of 93mcg/inh
Xigduo XR 10 mg-1000 mg
10 mg-500 mg
5 mg-1000 mg
5 mg-500 mg
2.5 mg-1000mg
Xofluza 2 tablets of 20mg
2 tablets of 40mg
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
Yonsa 125 mg
Zejula 100 mg
Zelnorm 6 mg
Zembrace SymTouch 3 mg/0.5 mL
Zerviate 0.24%
Zestoretic 12.5 mg-10 mg
12.5 mg-20 mg
25 mg-20 mg
Zestril 10 mg
2.5 mg
20 mg
30 mg
40 mg
5 mg
Zioptan 0.0015%
Zoloft 25 mg
50 mg
100 mg
20 mg/mL (oral solution)
Zolpimist 4.5mL of 5mg/spray
7.7mL of 5mg/spray
Zyvox 100 mg/5 mL (package)
600 mg