Diabetes
*Due to state laws, these drugs are not covered under the 30-day program in MN and WI; however, they have been competitively priced. Please ask your pharmacist for specific pricing in these states.
†Due to state laws, these drugs are not covered under the 90-day program in MN and WI; however, they have been competitively priced. Please ask your pharmacist for specific pricing in these states.
$4 prescriptions are for up to a 30-day supply at commonly prescribed dosages. List subject to change.
| GENERIC NAME | BRAND NAME | QTY | FORM |
| * CHLORPROPAMIDE 100MG | DIABINESE® | 30 | TABLET |
| GLIMEPIRIDE 1MG | AMARYL® | 30 | TABLET |
| GLIMEPIRIDE 2MG | AMARYL® | 30 | TABLET |
| GLIMEPIRIDE 4MG | AMARYL® | 30 | TABLET |
| GLIPIZIDE 5MG | GLUCOTROL® | 30 | TABLET |
| GLIPIZIDE 10MG | GLUCOTROL® | 60 | TABLET |
| † GLIPIZIDE ER 5MG | GLUCOTROL XL® | 30 | TABLET |
| GLYBURIDE 2.5MG | MICRONASE® | 30 | TABLET |
| † GLYBURIDE 5MG | DIABETA® | 30 | TABLET |
| GLYBURIDE MCR 3MG | GLYNASE PRESTAB® | 30 | TABLET |
| GLYBURIDE MCR 6MG | GLYNASE PRESTAB® | 30 | TABLET |
| METFORMIN 500MG | GLUCOPHAGE® | 60 | TABLET |
| METFORMIN 850MG | GLUCOPHAGE® | 60 | TABLET |
| † METFORMIN 1000MG | GLUCOPHAGE® | 60 | TABLET |
| METFORMIN ER 500MG | GLUCOPHAGE XR® | 60 | TABLET |
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