Walgreens Zero Copay

Due to regular updates, this document may not be all encompassing. It may or may
not be a complete list of the drugs covered under the $0 copay program. Some drugs
listed may have recently dropped off the list before this document could be updated.
To be certain your drug is covered, call the toll-free pharmacy number on your
member ID card.

Asthma - Medications METAPROTERENOL SULFATE INSPIREASE

ADVAIR DISKUS MONTELUKAST SODIUM LITEAIRE
ADVAIR HFA PROAIR RESPICLICK MASK VORTEX
ALBUTEROL SULFATE PULMICORT FLEXHALER MICROCHAMBER
ALBUTEROL SULFATE ER SPIRIVA HANDIHALER MICROSPACER
ALBUTEROL SULFATE HFA SPIRIVA RESPIMAT OPTICHAMBER
AMINOPHYLLINE STIOLTO RESPIMAT OPTICHAMBER
ANORO ELLIPTA STRIVERDI RESPIMAT OPTIHALER
ARNUITY ELLIPTA SYMBICORT PANDA MASK
ASTHMANEFRIN REFILL TERBUTALINE SULFATE POCKET CHAMBER
BREO ELLIPTA THEOPHYLLINE POCKET SPACE
BUDESONIDE THEOPHYLLINE ER PRO COMFORT
COMBIVENT RESPIMAT THEOPHYLLINE PROCARE
CROMOLYN SODIUM ETHYLENEDIAMINE EP RITEFLO
DIFIL-G FORTE WIXELA INHUB VALVD HOLDNG
ELIXOPHYLLIN XOLAIR VORTEX VALVED
EPHEDRINE HCL ZAFIRLUKAST WATCHHALER
FLOVENT DISKUS Asthma - Spacers Blood Pressure
FLOVENT HFA AEROCHAMBER ACEBUTOLOL HCL
FLUNISOLIDE ANHYDROUS AEROCHAMBER PLUS ACETAZOLAMIDE
FLUTICASONE PROPIONATE/ AEROCHAMBER Z ACETAZOLAMIDE ER
SALMETEROL AEROVENT ACETAZOLAMIDE SODIUM
INCRUSE ELLIPTA ARIAL AFEDITAB CR
IPRATROPIUM BROMIDE BREATHE EASE AMILORIDE HCL
IPRATROPIUM BROMIDE/ BREATHERITE AMILORIDE/
ALBUTEROL SULFATE CLEVER CHOICE HYDROCHLOROTHIAZIDE
ISOPROTERENOL COMPACT SPACE AMLODIPINE BESYLATE
HYDROCHLORIDE EASIVENT AMLODIPINE BESYLATE/
ISUPREL FLEXICHAMBER BENAZEPRIL HCL
LEVALBUTEROL HCL INSPIRACHAMBER AMLODIPINE BESYLATE/
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Blood Pressure (cont.) INDAPAMIDE SPIRONOLACTONE/
BENAZEPRIL HYDROCHLORIDE IRBESARTAN HYDROCHLOROTHIAZIDE
AMLODIPINE BESYLATE/ IRBESARTAN/ TAZTIA XT
VALSARTAN HYDROCHLOROTHIAZIDE TELMISARTAN
AMLODIPINE/OLMESARTAN ISRADIPINE TELMISARTAN/AMLODIPINE
MEDOXOMIL LABETALOL HYDROCHLORIDE TELMISARTAN/
AMLODIPINE/VALSARTAN/HCTZ LISINOPRIL HYDROCHLOROTHIAZIDE
ATENOLOL LISINOPRIL/ TERAZOSIN HCL
ATENOLOL/CHLORTHALIDONE HYDROCHLOROTHIAZIDE TERAZOSIN HYDROCHLORIDE
BENAZEPRIL HCL LOSARTAN POTASSIUM TIADYLT ER
BENAZEPRIL HCL/ LOSARTAN POTASSIUM/ TORSEMIDE
HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE TRANDOLAPRIL
BETAXOLOL HCL MATZIM LA TRANDOLAPRIL/VERAPAMIL HCL
BISOPROLOL FUMARATE METHAZOLAMIDE ER
BISOPROLOL FUMARATE/ METHYLDOPA TRIAMTERENE/
HYDROCHLOROTHIAZIDE METOLAZONE HYDROCHLOROTHIAZIDE
BUMETANIDE METOPROLOL SUCCINATE ER VALSARTAN
CANDESARTAN CILEXETIL METOPROLOL TARTRATE VALSARTAN/
CANDESARTAN CILEXETIL/ METOPROLOL/ HYDROCHLOROTHIAZIDE
HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE VERAPAMIL HCL
CAPTOPRIL MINOXIDIL VERAPAMIL HCL CR
CARTIA XT MOEXIPRIL HCL VERAPAMIL HCL ER
CARVEDILOL NADOLOL VERAPAMIL HCL SR
CHLOROTHIAZIDE SODIUM NICARDIPINE HCL VERAPAMIL HYDROCHLORIDE ER
CHLORTHALIDONE NIFEDIPINE WATER TABS
CLONIDINE HCL NIFEDIPINE ER Diabetes - Insulin Pen Needles
CLONIDINE HYDROCHLORIDE NIMODIPINE 1ST TIER UNIFINE
DILTIAZEM HCL NISOLDIPINE ER ASSURE ID
DILTIAZEM HCL ER OLMESARTAN MEDOXOMIL AUTOSHIELD
DILT-XR OLMESARTAN BD PEN NEEDLES
DOXAZOSIN MESYLATE MEDOXOMIL/AMLODIPINE/ CAREFINE
ENALAPRIL MALEATE HYDROCHLOROTHIAZIDE CARETOUCH
ENALAPRIL MALEATE/ OLMESARTAN MEDOXOMIL/ CLICKFINE
HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE COMFORT EZ
ENALAPRILAT OSMITROL EASY COMFORT
EPINEPHRINE HCL PERINDOPRIL ERBUMINE EASY TOUCH
EPLERENONE PINDOLOL FIFTY50
EPROSARTAN MESYLATE PRAZOSIN HYDROCHLORIDE H-E-B IN CONTROL UNIFINE
ESMOLOL HCL PROPRANOLOL HCL HM ULTICARE
ETHACRYNATE SODIUM PROPRANOLOL HCL ER INSULIN PEN
FELODIPINE ER QUINAPRIL HCL INSULIN SYRINGES
FOSINOPRIL SODIUM QUINAPRIL/ INSUPEN
FOSINOPRIL SODIUM/ HYDROCHLOROTHIAZIDE INSUPEN SENSITIVE
HYDROCHLOROTHIAZIDE RAMIPRIL INSUPEN ULTRAFINE
FUROSEMIDE SORINE LITETOUCH
GUANFACINE HCL SOTALOL HCL MAXICOMFORT
HYDRALAZINE HCL SOTALOL HCL AF MM PENTIPS
HYDROCHLOROTHIAZIDE SPIRONOLACTONE NOVOFINE
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Diabetes - Insulin TRUPLUS EZETIMIBE
Pen Needles (cont.) Diabetes - Medications FENOFIBRATE
NOVOFINE AUTOCOVER ACARBOSE FENOFIBRATE MICRONIZED
NOVOFINE PLUS GLIMEPIRIDE FENOFIBRIC ACID DR
NOVOTWIST GLIPIZIDE FLUVASTATIN
PEN NEEDLES GLIPIZIDE ER FLUVASTATIN SODIUM ER
PEN NEEDLES GLIPIZIDE XL GEMFIBROZIL
PENTIPS GLIPIZIDE/METFORMIN LOVASTATIN
PREVENT SAFE HYDROCHLORIDE NIACIN ER
PRO COMFORT GLYBURIDE OMEGA-3-ACID ETHYL ESTERS
RA PEN NEEDLES GLYBURIDE MICRONIZED PRAVASTATIN SODIUM
RELION PEN GLYBURIDE/METFORMIN PREVALITE
SURE COMFORT HYDROCHLORIDE ROSUVASTATIN CALCIUM
SURE-FINE METFORMIN HYDROCHLORIDE SIMVASTATIN
ULTICARE MIC METFORMIN HYDROCHLORIDE VASCEPA
ULTICARE PEN NEEDLES ER (generic of GLUCOPHAGE) Smoking Cessation
ULTILET PEN NATEGLINIDE BUPROPION HYDROCHLORIDE
UNIFINE PENTIPS PIOGLITAZONE HCL ER (SR)
Diabetes - Insulins PIOGLITAZONE HCL/METFORMIN CHANTIX
ADMELOG SOLOSTAR HCL CHANTIX STARTING MONTH PAK
BASAGLAR KWIKPEN PIOGLITAZONE HCL-GLIMEPIRIDE Weight (Loss) Management
HUMALOG REPAGLINIDE ALLI
HUMALOG KWIKPEN Diabetes - Syringes BELVIQ
HUMALOG MIX 50/50 INSULIN SYRG MIS 0.3/29G BELVIQ XR
HUMALOG MIX 50/50 KWIKPEN INSULIN SYRG MIS 0.3/30G BENZPHETAMINE HCL
HUMALOG MIX 75/25 INSULIN SYRG MIS 0.3/31G CONTRAVE
HUMALOG MIX 75/25 KWIKPEN INSULIN SYRG MIS 0.5/29G DIETHYLPROPION HCL
HUMULIN 70/30 KWIKPEN INSULIN SYRG MIS 0.5/30G DIETHYLPROPION HCL ER
HUMULIN N KWIKPEN INSULIN SYRG MIS 0.5/31G PHENDIMETRAZINE TARTRATE
HUMULIN R U-500 INSULIN SYRG MIS 1ML/29G PHENTERMINE HYDROCHLORIDE
(CONCENTRATED) INSULIN SYRG MIS 1ML/30G QSYMIA
LANTUS INSULIN SYRG MIS 1ML/31G SAXENDA
NOVOLIN 70/30 INSULIN SYRG MIS 29GX1/2” XENICAL
NOVOLIN N Diabetes - Test Strips
NOVOLIN R RELION BLOOD GLUCOS TES
TOUJEO SOLOSTAR TRUE METRIX TES GLUCOSE
Diabetes - Kits TRUETEST TES
TRUE METRIX KIT AIR TRUETEST TES BLD GLUC
TRUE METRIX KIT METER TRUETRACK TES
TRUETRACK KIT SYSTEM TRUETRACK TES BLD GLUC
Diabetes - Lancets High Cholesterol
COMFORT ASSURED AMLODIPINE BESYLATE/
LANCET ULTRA ATORVASTATIN CALCIUM
LANCETS ATORVASTATIN CALCIUM
LANCETS MICRO THIN CHOLESTYRAMINE
LANCETS SUPER THIN CHOLESTYRAMINE LIGHT
SUPER THIN COLESEVELAM HYDROCHLORIDE
THIN LANCETS COLESTIPOL HCL
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