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.
Hydrocodone apap-325 mg**
Oxycodone 5 mg**
Oxycodone/apap 5-325 mg**
Silver sulfadiazine cream
*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.