AME Group Elect Rx Customer Service: 1-855-353-2879 Open 8:30AM to 4:30PM M-F Physician Fax: 1-833-353-2879
Elect Rx Drug Formulary January 2022 Personal Importation Program (90-day supplies) Brand Medications Available Through Elect Rx Please call Customer Service if you do not see your Drug listed! Drug Name Actemra Advair Diskus Advair Inhaler Afinitor* Aklief Cream Alecensa* Alomide Alphagan P Alrex Alvesco Anoro Ellipta Apidra Aptiom Arazlo Lotion Arnuity Ellipta Asacol HD Asmanex Astagraf XL Atrovent Aubagio* Avonex Azelex Azilect Azopt Baqsimi Basaglar Benlysta Bepreve Besivance Betoptic S Bevespi Aerosphere Biktarvy* Binosto Blephamide Bosulif* Breo Ellipta Breztri Aerosphere
Brilinta Briviact Bydureon Bystolic Cambia Canasa Cardura XL Cimzia Ciprodex Ear Drops
Drug Name Combigan Combipatch Combivent Complera* Copaxone Corlanor Cortifoam Cosentyx Cosopt PF Creon Crinone Gel Cuprimine Daliresp Daraprim Delstrigo Denavir Cream Descovy* Dexilant Dipentum Divigel Dovato Duaklir Pressair Duavee Dulera Duobrii Dymista Edarbi Edarbyclor Edecrin Edurant Eliquis Elmiron Emcyt Emtriva Enablex Enbrel* Entocort Entresto Entyvio* Envarsus Epiduo Forte Epivir HBV Erleada Esbriet Estring Estrogel Gel
Drug Name Eucrisa Ointment Evotaz Exelon Patches Fareston Farxiga Ferriprox Fetzima FIASP Flovent Flovent HFA Inhaler Forteo Fosamax D Frova Genotropin Genvoya* Gilenya* Gilotrif* Gleostine Glyxambi Grastek Humalog Humatrope Humira* Humulin Ibrance** Imbruvica* Incruse Ellipta Inlyta* Intelence Intrarosa Invega Invirase Invokamet Invokana Iressa* Isentress* Jakafi* Janumet Janumet XR Januvia Jardiance Jentadueto Jublia Topical Solution Juluca* Kaletra* Kazano -
Drug Name Kisqali Kombiglyze XR Kynmobi Lacrisert Lantus Latuda Lenvima Levemir Lexiva* Lialda Linzess Locoid Lipocream Lonsurf Lotemax Eye Drops Lupron Depot Lynparza Mayzent - 0.25MG* Mayzent - 2MG* Mekinst - 0.5MG* Mekinst - 2MG* Mestinon 180MG Migranal Mirvaso Motegrity Multaq Myfembree
Myleran Myrbetriq Natazia Nesina Neulasta Neupogen Neupro Nevanac Nexavar Nexium Packets Nexletol Nexlizet Nextstellis Nitrolingual Nocdurna Norditropin Noritate Novolin Novolog Nubeqa
*This medication will only be dispensed as a one month supply due to the high cost of this medication.
Drug Name Nucala Nuvaring Ocaliva Odefsey Ofev 100MG* Ofev150MG Olumiant* Omnaris Nasal Spray Ongentys Onglyza Opsumit* Oracea Oralair Orencia Orilissa Orthovisc Osphena
Otezla* Oxytrol Ozempic Pentasa Pifeltro Piqray Plaquenil Pradaxa Premarin Prempro Prestalia Prevacid Solutab Prezcobix Prezista* Promacta* Pulmicort Qtern Qvar Inhaler Qvar Redihaler Rebif Relpax Renagel Restasis Rexulti Ridaura Rinvoq Rybelsus Sancuso Santyl Ointment
Drug Name Saphris Savaysa Saxenda Segluromet Selzentry* Serevent Seroquel XR Silenor Simbrinza Simponi* Skyrizi Soliqua Soolantra Soriatane Spiriva Spiriva Respimat Sprycel* Steglatro Steglujan Stelara* Stendra Stiolto Stivarga Stribild* Striverdi Sustiva Sutent - 12.5MG* Sutent - 25MG Sutent - 50MG* Symbicort Inhaler Symtuza* Synarel Synjardy Taclonex Tafinlar* Tagrisso* Taltz* Tarceva* Tasigna* Tasmar Tazorac Cream Tazorac Gel Tecfidera* Tekturna Tivicay* Toujeo Solostar Toviaz
Drug Name Tradjenta Transderm-Scop Travatan Z Trelegy Ellipta Tremfya* Tresiba Tribenzor Trintellix Triumeq* Trizivir Trulicity 0.75mg Trulicity 1.5mg Tudorza Pressair Tykerb Uceris Velphoro Veltassa Vemlidy Verzenio Viberzi Victoza Viibryd Vimpat Viracept Votrient* Vraylar Vyzulta Xadago Xarelto Xeljanz Xeljanz XR Xeloda Xenazine Xenical Xerese Cream Xifaxan - 200MG Xifaxan - 550MG Xigduo XR Xiidra Xtandi Zelapar Zeposia* Ziana Gel Zolinza Zomig Spr Zortress* Zovirax Cream