First Fill prescription drug list

These drugs are approved for use with SAIF's voluntary First Fill pharmacy benefit. Some have quantity limits and some restrictions may apply. 

Acetaminophen*

Antibacterials

Antiretrovirals

Antivirals

Codeine/apap**

Cyclobenzaprine**

Hydrocodone apap-325 mg**

Ibuprofen*

Morphine IR**

Naproxen*

Oxycodone 5 mg**

Oxycodone/apap 5-325 mg**

Tramadol**

Silver sulfadiazine cream

Temazepam**

Zolpidem**

*Over-the-counter and prescription-strength medications are covered with a provider's prescription.

**Only generic medication is covered if a generic option is available.