Antifungal
*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 |
| FLUCONAZOLE 100MG | DIFLUCAN® | 10 | TABLET |
| FLUCONAZOLE 150MG | DIFLUCAN® | 1 | TABLET |
| FLUCONAZOLE 200MG | DIFLUCAN® | 1 | TABLET |
| NYSTATIN 100000U | NILSTAT® | 15 | OINTMENT |
| NYSTATIN 100000U | NILSTAT® | 15 | CREAM |
| NYSTATIN 100000U | NILSTAT® | 30 | OINTMENT |
| NYSTATIN 100000U | NILSTAT® | 30 | CREAM |
| *† NYSTATIN 100000U | MYCOSTATIN® | 60 | SUSPENSION |
| NYSTATIN/TRIAMCINOLON | MYCOLOG® | 15 | OINTMENT |
| NYSTATIN/TRIAMCINOLON | MYCOLOG II® | 15 | CREAM |
| NYSTATIN/TRIAMCINOLON | MYCOLOG II® | 30 | CREAM |
| *† TERBINAFINE 250MG | LAMISIL® | 30 | TABLET |
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