Reduced Price Formularies

Looking to find a ballpark price of a medication? Click on "GoodRX," recommended by Consumer Reports Magazine, to check numerous local prices for brand and generic drugs in your area. (NOTE:"$4 lists" prices are also included in the GoodRx search results. Coupons printed off this site can provide substantial savings for patients. A phone app is also available. Patients can also use this app & webpage)

SC Medicaid & Managed Care Formularies

Plain Medicaid (click here for Prior Authorization (PA) form for SC Medicaid; for Durable Medical Equipment (DME) questions, call Megan who covers Anderson County @ 803-898-2880)

Absolute Total Care

Blue Choice HealthPlan Medicaid

First Choice /Select Health

WellCare

Molina

Advicare

The above six managed-care SC Medicaid plans all use the same prior authorization form that can be found here.

Georgia Medicaid

Georgia Medicaid formulary can be accessed here.

Reduced Price Formularies- Commercial Pharmacies

Bi-Lo - 30-day ($4) and 90-day ($10) programs. This program, unlike many others, has no enrollment fee. BiLo now provides free antibiotics, childrens vitamins, and prenatal vitamins.

CVS - 90-day program of generics for $11.99. No fee to set up an account, but the privacy statement allows potential sharing of personal health information.

Sams Club - Offers the same $4 list of medications as WalMart. Sams Club offers free home meds delivery by mail. (See Walmart link below). In order to purchase medications at Sams Club, one must have an active membership.

Target - All pharmacies located within Target stores are now operated by CVS. See CVS link for details of programs offered.

Walgreens -Patient payment may be $5, $10 or $15 for a 30 day supply depending on the Tier of the medication. For 90 day supplies, the payment is also Tier related and is $10, $20 , or $30. There is a $20 individual enrollment or $35 family enrollment fee. Main page for the pharmacy is located here.

WalMart - 30-day program ($4) and 90-day program ($10) available.

***Note that WalMart has historically honored $4 prescriptions on other pharmacy's $4 list (that aren't on WalMart's list) if the patient asks the pharmacist and the patient brings a printout showing the med on another store's list (YMMV) ***

Additional Formularies and Resources

Anderson Free Clinic Formulary is no longer available online. To call the pharmacy there directly, call (864) 512-7817

AnMed Health Patient Assistance Fund (used to be known as 'Chaplain's Fund): This fund can sometimes help on a one time basis with acute care meds or to tide patients over until they can get a back up plan for obtaining their chronic meds. Call the patient advocate office and ask for Shelley Stone, x 1240 (or 864-512-1240 from outside the AnMed Health system) to start the process. Once approved, patients pick up a voucher for the med at the welcome desk at the main campus and it is filled free at the Anderson Free Clinic.

PAI Formulary (for AnMed Health Employee Insurance)

NeedyMeds (High Paperwork: Pharmaceutical Company Rx Sites). Click on the top L search box to find how to obtain a medicine.

AdhereRx (previously Physicians Pharmacy Alliance)- For Medicaid, Medicare/Medicaid, or Medicare Part D patients on >7 chronic meds, or 1 HIV med, this is a home delivery pharmacy program that provides an initial home visit and thorough med review. Free home delivery of meds, with synchronized refills, is provided- helping patients without transportation. Physicians receive a report of their patient's compliance statistics. (Program is also available to Medicaid patients on any number of meds with the selected diagnoses of HIV, Hep C, RA, or MS.)

Rx Outreach (Low Paperwork: 180 days for $20, has income requirements)

Veterans Administration- with a VA clinic in our community (and many of our graduates' communities), here are the direct links to important pharmacy benefit sites:

VA formulary - can search for specific medication in the search box on this page for the VA.

VA medication information- for patients and families to get information on their medications and other services within the VA system.

TAP line- for challenges for patients getting through the maze of the VA system, there's a patient help line called the TAP line that they can call at 888-651-2683 for assistance.

WelVista - For uninsured patients who meet income criteria, this is useful for obtaining all types of medications (including those not on $4 lists). Especially useful for insulin, inhalers, antipsychotics, or Plavix. Low Paperwork (just write the Rx and give to patient; medications are mailed directly to the patient)

Need to Find Out Whether a Specific Drug is on a Specific Insurance Formulary? Use the following site: www.fingertipformulary.com. You will need to set up a registration number and password (free), but then you can sign in, input a medication name, state, and insurance plan and find out if it's covered, and at what level of copay. There is now a version for your smartphone as well.

What about short-period supplies, such as transition from inpatient to outpatient?

Need a bridge medication (a medication to use to carry the patient for one month until they get enrolled in an assistance program, Welvista, The Free Clinic, or obtain insurance)?

Free Trial Cards provide 30 days for free! (One card per lifetime)- Just remember, this is a bandage meant to help them until they can obtain a reliable source for their medications. Ensure they are in the process of obtaining a reliable source first! These offers change rapidly- this list is accurate as of 5/11/22, and is not exhaustive. To see if a medication offers a free trial card simply Google the medication name and “free trial card”.

Anticoagulants:

Eliquis: On dashboard in Epic at AnMed Health

Xarelto: On dashboard in Epic at AnMed Health

Antiplatelet:

Brilinta: AstraZeneca Coupons For US Healthcare Professionals (azmedcoupons.com)

Diabetes:

Farxiga: AstraZeneca Coupons For US Healthcare Professionals (azmedcoupons.com)

Invokana: Invokana - Patient Support - Janssen CarePath Trial Offer | Janssen CarePath

Heart Failure:

Entresto: https://www.entresto.com/financial-support? utm_source=google&utm_medium=cpc&utm_campaign=sitelink&utm_term=Save%20on%20ENTREST O&gclid=EAIaIQobChMIgZyXpdPX9wIVVG1vBB2SGgBqEAAYASABEgLky_D_BwE&gclsrc=aw.ds

Hyperkalemia:

Lokelma: AstraZeneca Coupons For US Healthcare Professionals (azmedcoupons.com)

Inhalers:

Stiolto Respimat (tiotropium/olodaterol): https://www.bihospital2home.com/(only for patients discharging from the hospital)

Spiriva Respimat (tiotropium): https://www.bihospital2home.com/ (only for patients discharging from the hospital)

GSK is offering providers Free Trial Cards for Trelegy! https://www.gskforyou.com/programs/gsk- coupons-free-trials/