$24 or less in 24 hours
For each qualifying dermatology medication
FREE DELIVERY
NO PRIOR-AUTHORIZATION
ALL PATIENTS ELIGIBLE
(medicare, medicaid, commercial or no insurance)
PRESCRIBE
CENTRAL PHARMACY
121 KENT AVE
BROOKLYN, NY 11249
P : (929) 397-0331 *
F : (929) 397-0332
NPI : 100341933
* Text or Call
PRO PHARMACY
71 E OLD COUNTRY RD
HICKSVILLE, NY 11801
P : (516) 719-5919 *
F : (516) 719-5920
NPI : 101351035
* Text or Call
CONFIRM
DELIVER
GENERIC FORMULARY
ACNE (TOPICAL)
ADAPALENE 0.1% Gel
ADAPALENE-BP 0.1/2.5% Gel
BP 2.5%, 5%, 10% Gel
BP 5%, 10% Wash
CLINDAMYCIN-BP 1/5% Gel
CLINDAMYCIN 1% Gel
CLINDAMYCIN 1% Pledgets
CLINDAMYCIN 1% Solution
DOXYCYCLINE HYCLATE 20mg, 50mg, 100mg Tablets
DOXYCYCLINE MONOHYDRATE 100mg Tablets
ERYTHROMYCIN 2% Gel
MINOCYCLINE 50mg, 100mg Capsules
SPIRONOLACTONE 25mg, 50mg, 100mg Tablets
TRETINOIN 0.025% Cream
TRETINOIN 0.05% Cream
ADAPALENE-BP 0.1/2.5% Gel
BP 2.5%, 5%, 10% Gel
BP 5%, 10% Wash
CLINDAMYCIN-BP 1/5% Gel
CLINDAMYCIN 1% Gel
CLINDAMYCIN 1% Pledgets
CLINDAMYCIN 1% Solution
DOXYCYCLINE HYCLATE 20mg, 50mg, 100mg Tablets
DOXYCYCLINE MONOHYDRATE 100mg Tablets
ERYTHROMYCIN 2% Gel
MINOCYCLINE 50mg, 100mg Capsules
SPIRONOLACTONE 25mg, 50mg, 100mg Tablets
TRETINOIN 0.025% Cream
TRETINOIN 0.05% Cream
ACNE (ORAL)
DOXYCYCLINE HYCLATE 20mg, 50mg, 100mg Tablets
DOXYCYCLINE MONOHYDRATE 100mg Tablets
MINOCYCLINE 50mg, 100mg Capsules
SPIRONOLACTONE 25mg, 50mg, 100mg Tablets
DOXYCYCLINE MONOHYDRATE 100mg Tablets
MINOCYCLINE 50mg, 100mg Capsules
SPIRONOLACTONE 25mg, 50mg, 100mg Tablets
ANTIVIRAL
ACYCLOVIR 5% Ointment
VALACYCLOVIR 500mg, 1000mg Tablets
VALACYCLOVIR 500mg, 1000mg Tablets
ANALGESICS (TOPICAL)
LIDOCAINE-PRILOCAINE 2.5% / 2.5% Cream
LIDOCAINE 5% Ointment
LIDOCAINE 5% Ointment
ANTIFUNGAL
CICLOPIROX 0.77% Cream
CICLOPIROX 0.77% Gel
CICLOPIROX 8% Nail Solution
CLOTRIMAZOLE 1% Solution
ECONAZOLE 1% Cream
FLUCONAZOLE 100mg, 150mg, 200mg Tablets
KETOCONAZOLE 2% Cream
KETOCONAZOLE 2% Shampoo
NYSTATIN Cream, Ointment, Powder
SELENIUM SULFIDE 2.5% Lotion
TERBINAFINE 250mg Tablets
CICLOPIROX 0.77% Gel
CICLOPIROX 8% Nail Solution
CLOTRIMAZOLE 1% Solution
ECONAZOLE 1% Cream
FLUCONAZOLE 100mg, 150mg, 200mg Tablets
KETOCONAZOLE 2% Cream
KETOCONAZOLE 2% Shampoo
NYSTATIN Cream, Ointment, Powder
SELENIUM SULFIDE 2.5% Lotion
TERBINAFINE 250mg Tablets
COMBINATIONS
CLOTRIMAZOLE-BETAMETHASONE Cream
NYSTATIN-TRIAMCINOLONE Cream
NYSTATIN-TRIAMCINOLONE Ointment
NYSTATIN-TRIAMCINOLONE Cream
NYSTATIN-TRIAMCINOLONE Ointment
MISCELLANEOUS
AMMONIUM LACTATE 12% Cream
AMMONIUM LACTATE 12% Lotion
FINASTERIDE 1mg Tablets
HYDROQUINONE 2% Cream
HYDROQUINONE 4% Cream
HYPERCARE 20% Solution
MUPIROCIN 2% Ointment
AMMONIUM LACTATE 12% Lotion
FINASTERIDE 1mg Tablets
HYDROQUINONE 2% Cream
HYDROQUINONE 4% Cream
HYPERCARE 20% Solution
MUPIROCIN 2% Ointment
ROSACEA
METRONIDAZOLE 0.75% Cream
SODIUM SULFACETAMIDE 10% Wash
SODIUM SULFACETAMIDE 10% Wash
STEROIDS
ALCLOMETASONE 0.05% Cream
ALCLOMETASONE 0.05% Ointment
BETAMETHASONE DIP AUG 0.05% Cream
BETAMETHASONE DIP AUG 0.05% Ointment
BETAMETHASONE DIP AUG 0.05% Lotion
BETAMETHASONE VALERATE 0.1% Cream, Ointment
BETAMETHASONE VALERATE 0.12% Foam
CLOBETASOL 0.05% Cream
CLOBETASOL 0.05% Ointment
CLOBETASOL 0.05% Foam
CLOBETASOL 0.05% Solution
CLOBETASOL 0.05% Spray
DESONIDE 0.05% Cream
DESONIDE 0.05% Ointment
FLUOCINONIDE 0.05% Cream
FLUOCINONIDE 0.05% Ointment
FLUOCINONIDE 0.05% Solution
FLUOCINONIDE 0.1% Cream
FLUTICASONE 0.05% Cream
FLUTICASONE 0.05% Ointment
HALOBETASOL 0.05% Cream
HALOBETASOL 0.05% Ointment
HYDROCORTISONE VALERATE 0.2% Cream
MOMETASONE 0.1% Cream
MOMETASONE 0.1% Ointment
MOMETASONE 0.1% Solution
TRIAMCINOLONE 0.025%, 0.1%, 0.5% Cream
TRIAMCINOLONE 0.025%, 0.1%, 0.5% Ointment
ALCLOMETASONE 0.05% Ointment
BETAMETHASONE DIP AUG 0.05% Cream
BETAMETHASONE DIP AUG 0.05% Ointment
BETAMETHASONE DIP AUG 0.05% Lotion
BETAMETHASONE VALERATE 0.1% Cream, Ointment
BETAMETHASONE VALERATE 0.12% Foam
CLOBETASOL 0.05% Cream
CLOBETASOL 0.05% Ointment
CLOBETASOL 0.05% Foam
CLOBETASOL 0.05% Solution
CLOBETASOL 0.05% Spray
DESONIDE 0.05% Cream
DESONIDE 0.05% Ointment
FLUOCINONIDE 0.05% Cream
FLUOCINONIDE 0.05% Ointment
FLUOCINONIDE 0.05% Solution
FLUOCINONIDE 0.1% Cream
FLUTICASONE 0.05% Cream
FLUTICASONE 0.05% Ointment
HALOBETASOL 0.05% Cream
HALOBETASOL 0.05% Ointment
HYDROCORTISONE VALERATE 0.2% Cream
MOMETASONE 0.1% Cream
MOMETASONE 0.1% Ointment
MOMETASONE 0.1% Solution
TRIAMCINOLONE 0.025%, 0.1%, 0.5% Cream
TRIAMCINOLONE 0.025%, 0.1%, 0.5% Ointment
The terms of, and medications offered by, Sparta Dermatology are subject to change at the discretion of Sparta Rx, LLC. Trade size dispensed of medications offered at $24 or less may vary. All patients eligible; commercially insured, uninsured, and those with Medicaid/Medicare. April 2021 Sparta Rx Programs (Dermatology)
BRAND FORMULARY
Acne (Oral)
Covered | Not Covered | Cash | |
---|---|---|---|
ABSORICA LD 8, 16, 24, 32mg Tablets | $0 | ||
DORYX MPC 120mg Tablets | $0 | $65 | $65 |
DOXYCYCLINE DR 50, 100, 200mg Tablets | $0 | $25 | $45 |
DOXYCYCLINE DR 150mg Tablets | $0 | ||
DOXYCYCLINE IR 75, 150mg Tablets | $0 | ||
MINOLIRA 105mg,135mg Tablet | $0 | ||
OKEBO 75mg Capsules | $10 | $50 | $75 |
SEYSARA 60, 100, 150mg Tablets | $15 | $125 | |
TARGADOX 50mg Tablets | $7 | ||
XIMINO 45, 90, 135mg Capsules | $7 |
ACNE (TOPICAL)
Covered | Not Covered | Cash | |
---|---|---|---|
ADAPALENE 0.1% Swabs | $0 | ||
AKLIEF 0.005% Cream | $0 | $75 | |
AMZEEQ 4% Foam | $35 | $75 | |
CLINDAGEL 1% Gel | $25 | $65 | $65 |
EPIDUO FORTE 0.3% / 2.5% Gel | $0 | $75 | $75 |
FABIOR 0.1% Foam | $0 | $65 | $65 |
ONEXTON 1.2% / 3.75% Gel | $25 | $65 | $65 |
RETIN-A MICRO 0.06%, 0.08% Gel | $25 | $65 | $65 |
RIAX 9.5% Foam | $0 | $45 | |
TAZORAC 0.1% Cream, Gel | $35 | $125 | |
TAZORAC 0.05% Cream, Gel | $35 | $125 | |
VELTIN 1.2% / 0.025% Gel | $35 | ||
ZIANA 1.2% / 0.025% Gel | $25 |
ANTIFUNGAL
Covered | Not Covered | Cash | |
---|---|---|---|
ECOZA 1% Foam | $25 | Max Limit | |
EXELDERM 1% Cream, Solution | $0 | Max Limit | |
JUBLIA 10% Solution | $25 | $65 | $65 |
KERYDIN 5% Solution | $25 | ||
LUZU 1% Cream | $25 | ||
OXISTAT 1% Lotion | $25 | ||
SELRX 2.3% Shampoo | $20 | $75 | |
TAVABOROLE 5% Solution | $0 | Max Limit | |
XOLEGEL 2% Gel | $35 |
ANTINEOPLASTIC
Covered | Not Covered | Cash | |
---|---|---|---|
FLUOROURACIL 5% Cream | $0 | $0 | $45 |
FLUOROPLEX 1% Cream | $35 |
ANTIVIRAL
Covered | Not Covered | Cash | |
---|---|---|---|
ZOVIRAX 5% Cream | $250 |
COMBINATIONS
Covered | Not Covered | Cash | |
---|---|---|---|
DUOBRII 0.01%/0.045% Lotion | $25 | $65 | $65 |
ENSTILAR 0.005%/0.064% Foam | $25 | $75 | |
TRI-LUMA Cream | $35 | $125 | $125 |
VYTONE 1.9%/1% Cream | $0 | $45 |
MISCELLANEOUS
Covered | Not Covered | Cash | |
---|---|---|---|
ALTABAX 1% Ointment | $35 | ||
HUMIRA Injection | $5 | ||
HYCLODEX 0.012% | $0 | ||
OTEZLA 30mg Tablets | $0 | ||
PROMISEB Cream | $0 | ||
QBREXZA 2.4% Clot | $35 | ||
VEREGEN 15% Ointment | $0 |
MOISTURIZERS
Covered | Not Covered | Cash | |
---|---|---|---|
AATOPADERM Cream | $0 | ||
ENTTY Spray Emulsion | $0 | ||
MIMYX Cream | $0 | $45 | |
PENLEN Spray Emulsion | $0 | ||
HYLAGUARD Cream | $0 |
NON-STEROIDS
Covered | Not Covered | Cash | |
---|---|---|---|
ELIDEL 1% Cream | $25 | $65 | $65 |
EUCRISA 2% Ointment | $10 | $100 | |
SORILUX 0.005% Foam | $0 | $65 | $65 |
ROSACEA
Covered | Not Covered | Cash | |
---|---|---|---|
DOXYCYCLINE 40mg Capsules | $0 | ||
FINACEA 15% Foam | $20 | Max Limit | |
MIRVASO 0.33% Gel | $35 | Max Limit | |
NORITATE 1% Cream | $25 | ||
ORACEA 40mg Capsules | $35 | $75 | $75 |
PLEXION Cleanser, Cream, Lotion | $0 | $45 | |
PLEXION Cloth | $0 | $45 | |
RHOFADE 1% Cream | $0 | Max Limit | |
SOOLANTRA 1% Cream | $0 | $75 | $75 |
STEROIDS
Covered | Not Covered | Cash | |
---|---|---|---|
ALA-SCALP 2% Lotion | $0 | $35 | |
APEXICON 0.05% Cream | $0 | ||
BRYHALI 0.01% Lotion | $25 | $65 | $65 |
CORDRAN 0.05% Cream, Lotion, Ointment | $35 | ||
CORDRAN Tape | $35 | $150 | |
DESONIDE 0.05% Gel | $0 | ||
FLURANDRENOLIDE 0.05% Ointment | $0 | $0 | $45 |
HALOG 0.1% Cream, Ointment, Solution | $0 | Max Limit | |
HC BUTYRATE 0.1% Lotion | $0 | $0 | $45 |
IMPOYZ 0.025% Cream | $0 | ||
LEXETTE 0.05% Foam | $0 | $65 | $65 |
NOLIX 0.05% Cream, Lotion | $0 | $45 | |
PANDEL 0.1% Cream | $0 | ||
SERNIVO 0.05% Spray | $0 | ||
TRIANEX 0.05% Ointment | $0 | ||
TRIAMCINOLONE 0.05% Ointment | $0 | $0 | $45 |
ULTRAVATE 0.05% Lotion | $0 | Max Limit | |
VERDESO 0.05% Foam | $35 |
SUPPLEMENTS
Covered | Not Covered | Cash | |
---|---|---|---|
NICAPRIN Tablets | $0 | $45 | |
ORTHO DF 1mg/3,775 IU Capsules | $0 | ||
PRODIGEN Probiotic Capsules | $0 | ||
ZELAC Priobiotic Capsules | $0 | ||
PROBICHEW | $0 |
1. COMMERCIAL INS. (COVERED)
2. COMMERCIAL INS. (NOT COVERED)
3. UNINSURED
2. COMMERCIAL INS. (NOT COVERED)
3. UNINSURED
FAQS
FOR PATIENTS
Why use Sparta INSTEAD OF MY PHARMACY?
With us, there are no surprises. $24 or less in 24 hours!
Am I eligible?
Yes! Everyone is eligible – the uninsured, commercially insured, and those with medicare/medicaid.
What’s the catch?
There is none! It’s free! No membership. No sign-up. No pre-qualification.
What if I have a high copay or deductible?
No problem! We guarantee your out-of-pocket expense will never exceed $24!
My doctor just sent in a prescription, now what?
Hang tight – we will call or text you shortly to confirm your information and schedule delivery. Feel free to contact us too!
When and where do I get my medication?
You will receive your medication within 24 hours – we hand-deliver to most areas of New York, New Jersey, and Connecticut!
FOR PRESCRIBERS
Why use Sparta Rx Programs INSTEAD OF MY PHARMACY?
With us, there are no surprises. $24 or less in 24 hours!
Am I eligible?
Yes! Everyone is eligible – the uninsured, commercially insured, and those with medicare/medicaid.
What’s the catch?
There is none! It’s free! No membership. No sign-up. No pre-qualification.
What if I have a high copay or deductible?
No problem! We guarantee your patient’s out-of-pocket expense will never exceed $24!
My doctor just sent in a prescription, now what?
Hang tight – we will call or text you shortly to confirm your information and schedule delivery. Feel free to contact us too!