FREE DELIVERY
NO PRIOR-AUTHORIZATION
ALL PATIENTS ELIGIBLE

(medicare, medicaid, commercial or no insurance)

PRESCRIBE

See formulary below for participating pharmacies and complete medication list

CONFIRM
DELIVER
OUR FORMULARY

FORMULARY

Retail

TADALAFIL 2.5mg, 5mg, 10mg, 20mg
$30/ month

SILDENAFIL 20mg, 25mg, 50mg, 100mg
$30/ month

ANASTROZOLE TABLETS 1mg
$30

CLOMIPHENE CITRATE 50mg
$30

TESTOSTERONE – CYP 200 mg/ml (10ml Vial)
$59

TESTOSTERONE 1.62% GEL 75g (60 Pumps)
$69

BAYBRIDGE PHARMACY
208-48 CROSS ISL AND PKWY
BAYSIDE, NY 11360
P : (718) 751-9911
F: (718) 751-9922
NPI : 1235732926

CENTRAL PHARMACY
121 KENT AVE
BROOKLYN, NY 11249
P : (929) 397-0331
F : (929) 397-0332
NPI : 1609375930
Effective 9/15/2021, NPI is 1003419334

PRO PHARMACY
71 E OLD COUNTRY RD
HICKSVILLE, NY 11801
P : (516) 719-5919
F : (516) 719-5920
NPI : 1487181012A
Effective 9/15/2021, NPI is 1013510353

Sterile/Non-sterile

TRIMIX-6*
$85
(*Available only at SBH MEDICAL)

TESTOSTERONE IN ATREVIS HYDROGEL*
$95
(*Available only at HEALTHY CHOICE)

SBH MEDICAL
655 Dearborn Park Lane
Worthington, OH 43085
P: (614) 847-6007
F: (614) 847-6015
NPI: 1992752208

THE HEALTHY CHOICE COMPOUNDING PHARMACY
250 Clearbrook Road
Elmsford, NY 10523
P: (914) 238-1700
F: (914) 238-1834

This reference is intended for informational purposes only. Prices may vary at the discretion of the manufacturer or with
high deductible plans. Administered by Sparta Rx LLC, an Optio Rx Company.   April 2021 Sparta Rx Programs (Urology)

FAQS

FOR PATIENTS

Why use Sparta INSTEAD OF MY PHARMACY?
We offer affordable options and we always put our patients first.
Am I eligible?
N/A
What’s the catch?
N/A
What if I have a high copay or deductible?
N/A
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!

FOR PRESCRIBERS

WHY USE SPARTA RX PROGRAMS INSTEAD OF MY PHARMACY?
We offer affordable options and we always put your patients first.
Am I eligible?
N/A
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?
N/A
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!