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.