$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
ACNE (ORAL)
DOXYCYCLINE HYCLATE 20mg, 50mg, 100mg Tablets
DOXYCYCLINE MONOHYDRATE 100mg Tablets
MINOCYCLINE 50mg, 100mg Capsules
SPIRONOLACTONE 25mg, 50mg, 100mg Tablets
ANTIVIRAL
ACYCLOVIR 5% Ointment
VALACYCLOVIR 500mg, 1000mg Tablets
ANALGESICS (TOPICAL)
LIDOCAINE-PRILOCAINE 2.5% / 2.5% Cream
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
COMBINATIONS
CLOTRIMAZOLE-BETAMETHASONE Cream
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
ROSACEA
METRONIDAZOLE 0.75% Cream
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
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
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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

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!