Employee Drug Formulary

Click here to download our list of available generics and preferred brand name medications covered by our insurance

DRMC Employee Drug Formulary

 

Delta Regional Medical Center In-house Pharmacy Prescription Copays


 

 

Up to 30 day Supply

31-90 Day Supply

Generic

$4.00 Copay or 10%, whichever is greater

$15.00

Preferred Brand

$12.00 Copay or 15%, whichever is greater

$35.00

Non-Preferred Brand

$32.50 Copay or 30%, whichever is greater

$50.00











Emergency Medications List

May be filled at other retail pharmacies after hours and on weekends

 

Penicillins

Scabicides and pediculicides

Cephalosporins

Antifungals

Macrolide antibiotics

Antiviral

Tetracyclines

Antimalarial

Fluoroquinolones

Amebicides

Aminoglycosides

Anthelmintics

Sulfonamides

Anti-infectives, misc

Antitubercular

Analgesic narcotic

Vaginal anti-infectives

Antibiotics

Topical antivirals

Ophthalmic anti-infectives

Optic anti-infectives

Throat anti-infectives

Topical antibiotics

Topical antifungals

Last Updated: 1/13/2016