| Category | Medication | Max. |
|---|---|---|
| Antibiotics | Amoxicillin 250mg capsule | 60 |
| Antibiotics | Amoxicillin 500mg capsule | 60 |
| Antibiotics | Amoxicillin 250mg/5ml, 150ml | 300ml |
| Antibiotics | Amoxicillin 400mg/5ml, 200ml | 200ml |
| Antibiotics | Azithromycin 250mg 5 day pack | 2 |
| Antibiotics | Azithromycin 500mg 3 day pack | 2 |
| Antibiotics | Cephalexin 250mg capsule | 60 |
| Antibiotics | Cephalexin 500mg capsule | 60 |
| Antibiotics | Ciprofloxacin 250mg tablet | 60 |
| Antibiotics | Ciprofloxacin 500mg tablet | 30 |
| Antibiotics | Clindamycin 150mg capsule | 60 |
| Antibiotics | Dicloxacillin 250mg capsule | 28 |
| Antibiotics | Penicillin VK 250mg tablet | 120 |
| Antibiotics | Penicillin VK 500mg tablet | 60 |
| Antibiotics | SMZ-TMP 400mg/80mg tablet | 30 |
| Antibiotics | SMZ-TMP 800mg/160mg tablet | 60 |
| Pain and Inflammation | Allopurinol 100mg tablet | 30 |
| Pain and Inflammation | Allopurinol 300mg tablet | 30 |
| Pain and Inflammation | Baclofen 10mg tablet | 30 |
| Pain and Inflammation | Cyclobenzaprine 10mg tablet | 90 |
| Pain and Inflammation | Dexamethasone 0.5mg tablet | 60 |
| Pain and Inflammation | Dexamethasone 0.75mg tablet | 30 |
| Pain and Inflammation | Dexamethasone 4mg tablet | 40 |
| Pain and Inflammation | Diclofenac Sodium 50mg tablet | 30 |
| Pain and Inflammation | Ibuprofen 400mg tablet | 120 |
| Pain and Inflammation | Ibuprofen 600mg tablet | 120 |
| Pain and Inflammation | Ibuprofen 800mg tablet | 90 |
| Pain and Inflammation | Meloxicam 7.5mg tablet | 30 |
| Pain and Inflammation | Meloxicam 15mg tablet | 30 |
| Pain and Inflammation | Naproxen 250mg tablet | 60 |
| Pain and Inflammation | Naproxen 375mg tablet | 60 |
| Pain and Inflammation | Naproxen 500mg tablet | 60 |
| Topical Medications | Silver Sulfadiazine Cream 50gm | 50gm |
| Topical Medications | Triamcinolone 0.1% Cream 15gm | 30gm |
| Topical Medications | Triamcinolone 0.1% Cream 30gm | 30gm |
| Topical Medications | Triamcinolone 0.1% Cream 80gm | 80gm |
| Topical Medications | Triamcinolone 0.1% Oint. 15mg | 30gm |
| Topical Medications | Triamcinolone 0.1% Oint. 80gm | 80gm |
| Thyroid Medications | Levothyroxine – all formulary strengths | 30 |
| Heart and Blood Pressure | Amolidipine 5mg tablet | 30 |
| Heart and Blood Pressure | Amlodipine 10mg tablet | 60 |
| Heart and Blood Pressure | Atenolol 25mg tablet | 60 |
| Heart and Blood Pressure | Atenolol 50mg tablet | 60 |
| Heart and Blood Pressure | Atenolol 100mg tablet | 60 |
| Heart and Blood Pressure | Benazepril 5mg | 30 |
| Heart and Blood Pressure | Benazepril 10mg | 30 |
| Heart and Blood Pressure | Benazepril 20mg | 30 |
| Heart and Blood Pressure | Benazepril 40mg | 30 |
| Heart and Blood Pressure | Bisoprolol/HCTZ 2.5/6.25 mg tablet | 30 |
| Heart and Blood Pressure | Bisoprolol/HCTZ 5/6.25 mg tablet | 30 |
| Heart and Blood Pressure | Bisoprolol/HCTZ 10/6.25 mg tablet | 30 |
| Heart and Blood Pressure | Carvedilol 3.125mg tablet | 60 |
| Heart and Blood Pressure | Carvedilol 6.25mg tablet | 60 |
| Heart and Blood Pressure | Carvedilol 12.5mg tablet | 60 |
| Heart and Blood Pressure | Carvedilol 25mg tablet | 60 |
| Heart and Blood Pressure | Clonidine 0.1mg tablet | 90 |
| Heart and Blood Pressure | Clonidine 0.2mg tablet | 90 |
| Heart and Blood Pressure | Clonidine 0.3mg tablet | 90 |
| Heart and Blood Pressure | Digoxin 125mcg tablet | 30 |
| Heart and Blood Pressure | Digoxin 250mcg tablet | 30 |
| Heart and Blood Pressure | Diltiazem 60mg tablet | 60 |
| Heart and Blood Pressure | Diltiazem 90mg tablet | 30 |
| Heart and Blood Pressure | Diltiazem 120mg tablet | 30 |
| Heart and Blood Pressure | Doxazosin 1mg tablet | 60 |
| Heart and Blood Pressure | Doxazosin 2mg tablet | 30 |
| Heart and Blood Pressure | Doxazosin 8mg tablet | 30 |
| Heart and Blood Pressure | Fosinopril 10mg tablet | 30 |
| Heart and Blood Pressure | Fosinopril 20mg tablet | 30 |
| Heart and Blood Pressure | Fosinopril 40mg tablet | 30 |
| Heart and Blood Pressure | Furosemide 20mg tablet | 120 |
| Heart and Blood Pressure | Furosemide 40mg tablet | 120 |
| Heart and Blood Pressure | Furosemide 80mg tablet | 120 |
| Heart and Blood Pressure | Guanfacine 1mg tablet | 60 |
| Heart and Blood Pressure | Hydralazine 10mg tablet | 120 |
| Heart and Blood Pressure | Hydralazine 25mg tablet | 120 |
| Heart and Blood Pressure | Hydralazine 50mg tablet | 120 |
| Heart and Blood Pressure | Hydralazine 100mg tablet | 120 |
| Heart and Blood Pressure | Hydrochlorothiazide 25mg tablet | 120 |
| Heart and Blood Pressure | Hydrochlorothiazide 50mg tablet | 120 |
| Heart and Blood Pressure | Indapamide 1.25mg tablet | 30 |
| Heart and Blood Pressure | Indapamide 2.5mg tablet | 30 |
| Heart and Blood Pressure | Isosorbide Mononitrate 30mg tablet | 30 |
| Heart and Blood Pressure | Lisinopril/HCTZ 10/12.5 tablet | 60 |
| Heart and Blood Pressure | Lisinopril/HCTZ 20/12.5 tablet | 60 |
| Heart and Blood Pressure | Lisinopril/HCTZ 20/25 tablet | 60 |
| Heart and Blood Pressure | Lisinopril 5mg tablet | 60 |
| Heart and Blood Pressure | Lisinopril 10mg tablet | 60 |
| Heart and Blood Pressure | Lisinopril 20mg tablet | 60 |
| Heart and Blood Pressure | Lisinopril 30mg tablet | 60 |
| Heart and Blood Pressure | Lisinopril 40mg tablet | 60 |
| Heart and Blood Pressure | Losartan 25mg | 30 |
| Heart and Blood Pressure | Losartan 50mg | 30 |
| Heart and Blood Pressure | Losartan 100mg | 30 |
| Heart and Blood Pressure | Losartan/HCTZ 50-12.5mg | 30 |
| Heart and Blood Pressure | Metoprolol Tartrate 25mg tablet | 60 |
| Heart and Blood Pressure | Metoprolol Tartrate 50mg tablet | 60 |
| Heart and Blood Pressure | Metoprolol Tartrate 100mg tablet | 60 |
| Heart and Blood Pressure | Nitroglycerin 0.4mg SL tablets | 25 |
| Heart and Blood Pressure | Propranolol 10mg | 60 |
| Heart and Blood Pressure | Propranolol 20mg | 60 |
| Heart and Blood Pressure | Propranolol 40mg | 30 |
| Heart and Blood Pressure | Rosuvastatin 5mg | 30 |
| Heart and Blood Pressure | Rosuvastatin 10mg | 30 |
| Heart and Blood Pressure | Rosuvastatin 20mg | 30 |
| Heart and Blood Pressure | Rosuvastatin 4mg | 30 |
| Heart and Blood Pressure | Sotalol 80mg tablet | 60 |
| Heart and Blood Pressure | Spironolactone 25mg tablet | 60 |
| Heart and Blood Pressure | Spironolactone 50mg tablet | 60 |
| Heart and Blood Pressure | Spironolactone 100mg tablet | 60 |
| Heart and Blood Pressure | Terazosin 1mg capsule | 60 |
| Heart and Blood Pressure | Terazosin 2mg capsule | 60 |
| Heart and Blood Pressure | Terazosin 5mg capsule | 60 |
| Heart and Blood Pressure | Triamterene/HCTZ 37.5/25 tablet | 60 |
| Heart and Blood Pressure | Triamterene/HCTZ 75/50 tablet | 60 |
| Heart and Blood Pressure | Verapamil SR 180mg tablet | 30 |
| Heart and Blood Pressure | Verapamil SR 240mg tablet | 30 |
| Heart and Blood Pressure | Warfarin-all strengths | 30 |
| Antivirals | Acyclovir 400mg tablets | 30 |
| Vitamins and Minerals | Folic Acid 1mg tablets | 150 |
| Vitamins and Minerals | Magnesium 250mg tablets | 60 |
| Vitamins and Minerals | Prenatal Vitamins | 30 |
| Asthma and COPD | Advair Diskus 100mcg-50mcg, $10.00 | 60 |
| Asthma and COPD | Advair Diskus 250mcg-50mcg, $10,00 | 60 |
| Asthma and COPD | Advair Diskus 500mcg-50mcg, $10.00 | 60 |
| Asthma and COPD | Proair Inhaler $10.00 | #1 |
| Allergy and Cold | Cetirizine 10mg tablet | 30 |
| Allergy and Cold | Guaifenesin 100mg/5ml | 240ml |
| Allergy and Cold | Guaifenesin DM | 240ml |
| Allergy and Cold | Hydroxyzine 10mg tablet | 120 |
| Allergy and Cold | Hydroxyzine 25mg tablet | 60 |
| Allergy and Cold | Hydroxyzine 50mg tablet | 60 |
| Allergy and Cold | Loratadine 10mg tablet | 30 |
| Cholesterol | Atorvastatin- all strengths | 30 |
| Cholesterol | Lovastatin 10mg tablet | 30 |
| Cholesterol | Lovastatin 20mg tablet | 30 |
| Cholesterol | Lovastatin 40mg tablet | 30 |
| Cholesterol | Pravastatin 10mg tablet | 30 |
| Cholesterol | Pravastatin 20mg tablet | 30 |
| Cholesterol | Pravastatin 40mg tablet | 30 |
| Cholesterol | Pravastatin 80mg tablet | 30 |
| Cholesterol | Simvastatin 10mg tablet | 30 |
| Cholesterol | Simvastatin 20mg tablet | 30 |
| Cholesterol | Simvastatin 40mg tablet | 30 |
| Cholesterol | Simvastatin 80mg tablet | 30 |
| Eye Preparations | Alphagan P 0.15% | 5ml |
| Eye Preparations | Ciprofloxacin Soln. 0.3% 5ml | 5ml |
| Eye Preparations | Fluoromethalone Soln. 0.1% 5ml | 5ml |
| Eye Preparations | Gentamicin Soln. 0.3% 5ml | 5ml |
| Eye Preparations | Maxidex Soln. | 5ml |
| Eye Preparations | Ofloxacin Soln. 0.3% 5ml | 5ml |
| Eye Preparations | Polymixin/TMP Soln. 10ml | 10ml |
| Eye Preparations | Prednisolone Acet.Susp. 1% 5ml | 5ml |
| Eye Preparations | Timolol Maleate 0.25% Soln. 5ml | 5ml |
| Eye Preparations | Timolol Maleate 0.5% Soln. 5ml | 5ml |
| Diabetes | Glimepiride 1mg tablet | 60 |
| Diabetes | Glimepiride 2mg tablet | 60 |
| Diabetes | Glimepiride 4mg tablet | 61 |
| Diabetes | Glipizide 5mg tablet | 60 |
| Diabetes | Glipizide 10mg tablet | 60 |
| Diabetes | Glyburide 2.5mg tablet | 60 |
| Diabetes | Glyburide 5mg tablet | 60 |
| Diabetes | Metformin 500mg tablet | 120 |
| Diabetes | Metformin 850mg tablet | 90 |
| Diabetes | Metformin 1000mg tablet | 90 |
| Diabetes | Metformin ER 500mg tablet | 120 |
| Diabetes | Novolin N ($10/vial) | 30ml |
| Diabetes | Novolin R ($10/vial) | 30ml |
| Antifungal Preparations | Fluconzazole 150mg tablet | 1 |
| Antifungal Preparations | Nystatin Cr 15gm | 15gm |
| Antifungal Preparations | Terbinafine 250mg | 30 |
| Gastrointestinal Preparations | Dicyclomine 10mg capsule | 120 |
| Gastrointestinal Preparations | Dicyclomine 20mg tablet | 60 |
| Gastrointestinal Preparations | Famotidine 20mg | 60 |
| Gastrointestinal Preparations | Famotidine 40mg | 60 |
| Gastrointestinal Preparations | Lidocaine 2% Jelly | 30g |
| Gastrointestinal Preparations | Loperamide 2mg capsule | 30 |
| Gastrointestinal Preparations | Metoclopramide 10mg tablet | 120 |
| Gastrointestinal Preparations | Omeprazole 20mg capsule | 60 |
| Gastrointestinal Preparations | Ondansetron 4mg tablet | 30 |
| Gastrointestinal Preparations | Ondansetron 8mg tablet | 15 |
| Gastrointestinal Preparations | Pantoprazole 20mg tablet | 30 |
| Gastrointestinal Preparations | Pantoprazole 40mg tablet | 30 |
| Gastrointestinal Preparations | Prochlorperazine 10mg tablet | 60 |
| Gastrointestinal Preparations | Prochlorperazine 5mg tablet | 30 |
| Gastrointestinal Preparations | Promethazine 25mg tablet | 120 |
| Gastrointestinal Preparations | Ranitidine 150mg tablet | 60 |
| Gastrointestinal Preparations | Ranitidine 300mg tablet | 60 |
| Hormonal Therapy | Anastrazole 1mg | 30 |
| Hormonal Therapy | Estradiol 1mg tablet | 60 |
| Hormonal Therapy | Estradiol 2mg tablet | 30 |
| Hormonal Therapy | Medroxyprogesterone 2.5mg tablet | 30 |
| Hormonal Therapy | Medroxyprogesterone 5mg tablet | 30 |
| Hormonal Therapy | Medroxyprogesterone 10mg tablet | 30 |
| Mental Health / Anticonvulsants | Amitriptyline 10mg tablet | 60 |
| Mental Health / Anticonvulsants | Amitriptyline 25mg tablet | 60 |
| Mental Health / Anticonvulsants | Amitriptyline 50mg tablet | 60 |
| Mental Health / Anticonvulsants | Amitriptyline 75mg tablet | 30 |
| Mental Health / Anticonvulsants | Amitriptyline 100mg tablet | 30 |
| Mental Health / Anticonvulsants | Benztropine 2mg tablet | 60 |
| Mental Health / Anticonvulsants | Buspirone 5mg tablet | 90 |
| Mental Health / Anticonvulsants | Buspirone 10mg tablet | 90 |
| Mental Health / Anticonvulsants | Carbamazepine 200mg tablet | 120 |
| Mental Health / Anticonvulsants | Citalopram 20mg | 60 |
| Mental Health / Anticonvulsants | Citalopram 40mg | 60 |
| Mental Health / Anticonvulsants | Divalproex Na 125mg tablet | 60 |
| Mental Health / Anticonvulsants | Divalproex Na 250mg tablet | 60 |
| Mental Health / Anticonvulsants | Divalproex Na 500mg tablet | 30 |
| Mental Health / Anticonvulsants | Fluoxetine 10mg capsule | 90 |
| Mental Health / Anticonvulsants | Fluoxetine 20mg capsule | 90 |
| Mental Health / Anticonvulsants | Fluphenazine 5mg tablet | 30 |
| Mental Health / Anticonvulsants | Haloperidol 0.5mg tablet | 30 |
| Mental Health / Anticonvulsants | Haloperidol 1mg tablet | 30 |
| Mental Health / Anticonvulsants | Lithium Carbonate 300mg capsule | 90 |
| Mental Health / Anticonvulsants | Nortriptylline 10mg capsule | 60 |
| Mental Health / Anticonvulsants | Nortriptylline 25mg capsule | 30 |
| Mental Health / Anticonvulsants | Paroxetine 20mg tablet | 30 |
| Mental Health / Anticonvulsants | Paroxetine 40mg tablet | 30 |
| Mental Health / Anticonvulsants | Prochlorperazine 10mg tablet | 30 |
| Mental Health / Anticonvulsants | Risperidone 0.25mg tablet | 60 |
| Mental Health / Anticonvulsants | Risperidone 1 mg tablet | 60 |
| Mental Health / Anticonvulsants | Risperidone 2mg tablet | 60 |
| Mental Health / Anticonvulsants | Risperidone 3mg tablet | 30 |
| Mental Health / Anticonvulsants | Risperidone 4mg tablet | 30 |
| Mental Health / Anticonvulsants | Sertraline 50mg tablet | 60 |
| Mental Health / Anticonvulsants | Sertraline 100mg tablet | 60 |
| Mental Health / Anticonvulsants | Topiramate 25mg | 120 |
| Mental Health / Anticonvulsants | Topiramate 100mg | 60 |
| Mental Health / Anticonvulsants | Trazodone 50mg tablet | 90 |
| Mental Health / Anticonvulsants | Trazodone 100mg tablet | 90 |
| Miscellaneous | Alendronate 35mg tablets | 4 |
| Miscellaneous | Alendronate 70mg tablets | 4 |
| Miscellaneous | Chlorhexidine 0.12% Mouthwash | 473ml |
| Miscellaneous | Lidocaine Viscous 2% Mouthrinse | 200ml |
| Miscellaneous | Prednisone 1mg | 100 |
| Miscellaneous | Prednisone 5mg | 100 |
| Miscellaneous | Prednisone 10mg | 60 |
| Miscellaneous | Prednisone 20mg | 60 |
The UAMS Outpatient Pharmacy four dollar prescription plan allows a patient to purchase a 30 days supply of the listed drugs for $4. Each subsequent 30 day supply will also be available for $4 per 30 day supply. There is a quantity limit on the amount that can be purchased for each 30 day supply. Quantities in excess of these limit will be sold at a prorated price. Exceptions to the price are noted with the drug.
This list can change without notice at any time.