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Kids and the Wal-Mart Generic Drug Plan

Expert Pediatrics Q&A

By , About.com Guide

Updated March 15, 2011

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Q. Can my child take any of the medications on the new Wal-Mart generic drug plan?

A. Now that Wal-Mart is offering a one month supply of some generic drugs for only $4 in select areas, many parents, especially those who don't have a prescription drug plan that pays for low cost generics, are wondering if Wal-Mart includes any pediatric medications...

Unfortunately, many of the medications on the Wal-Mart generic drug program are for adults.

There are some that are sometimes used in pediatrics though, including (but not limited to):

  • Albuterol Neb Solution and Syrup for asthma attacks
  • Amoxicillin (Amoxil) for strep throat, ear infections, sinus infections, etc.
  • Antipyrine, benzocaine ear drops for ear pain
  • Bacitracin ophthalmic ointment
  • Bactrim susp and tablets for UTIs, etc.
  • Cephalexin capsules
  • Clonidine tablets
  • Dexamethasone tablets for croup, asthma, poison ivy, etc.
  • Erythromycin ophthalmic ointment
  • Fluoxetine (Prozac) capsules for depression
  • Gentamicin ophthalmic solution
  • Hydrocortisone cream for eczema and itchy rashes
  • Methylyprednisone tablets and dosepak for croup, asthma, poison ivy, etc.
  • Nystatin cream and ointment for yeast infections
  • Penicillin VK for strep throat
  • generic Polytrim ophthalmic solution
  • Prednisone for croup, asthma, poison ivy, etc.
  • Tobramycin ophthalmic solution
  • Triamcinolone cream and ointment for eczema and itchy rashes
Keep in mind that because of the high incidence of resistance, many of these antibiotics have been replaced by newer medications. This is especially true for the ophthalmic or eye medications.

Other commonly used generic drugs that aren't on the Wal-Mart drug plan, but may still save you money versus non-generic, brand name medicines, include:

Generic Antibiotics

In addition to Amoxicillin, there are quite a few generic antibiotics available these days. Unfortunately, not all of them are available in a suspension form for younger kids.
  • Amoxicillin/Clavulanate Acid (Augmentin ES)
  • Azithromycin (Zithromax)
  • Cefadroxil (Duricef)
  • Cefdinir (Omnicef)
  • Cefprozil (Cefzil)
  • Cefuroxime (Ceftin) tablets only
  • Cephalexin (Keflex)
  • Cepodoxime (Vantin) tablets only
  • Clarithromycin (Biaxin)
  • Clindamycin (Cleocin)
  • Erythromycin (E.E.S.)
  • Minocycline (Minocin)
  • Mupirocin (Bactroban) ointment only

Generic Eczema Medicines

Newer eczema medicines, such as Elidel and Protopic, aren't available as generics yet. Fortunately, most steroid medicines used to treat eczema flares are available as generics, including:
  • Fluticasone 0.05% cream (Cutivate)
  • Hydrocortizone Valerate 0.2% cream (Westcort)
  • Mometasone Furoate 0.1% (Elocon)
  • Triamcinolone cream and ointment 0.1% (TAC)

Other Generic Medicines

Other drugs that are commonly used in pediatrics, in addition to the ones that are on the Wal-Mart generic drug plan include:
  • Ciclopirox cream and susp (Loprox) antifungal
  • Cyproheptadine (Periactin)
  • Econazole nitrate cream (Spectazole) antifungal
  • Fluconazole (Diflucan)
  • Neosporin ophthalmic ointment
  • Ofloxacin 0.3% ophthalmic soln (Ocuflox)
  • Polythylene Glycol (for constipation)
  • Prednisolone (Prelone)
  • Ondansetron (Zofran) - nausea and vomiting
  • Ofloxacin (Floxin otic drops)

Generic Allergy and Asthma Medicines

Since kids typically have both allergies and asthma and need to be treated with multiple medications for good control of their symptoms, parents usually appreciate any help with the expense of these medications. Unfortunately, now that Allegra, Claritin, and Zyrtec went over-the-counter, many insurance companies stopped paying for prescription allergy medicines and there are few if any generic asthma medications, especially asthma controller medicines. Generic allergy and asthma medications do include:
  • Albuterol neb soln
  • Budesonide (Pulmicort Respules)
  • Flunisolide Nasal Spray (Nasarel)
  • Fluticasone Nasal Spray (Flonase)

Generic Acne Medicines

Many teens are prescribed 2 or 3 medicines to help get their acne under control, which can get expensive. Although there are many newer medications, like Benzaclin, Tazorac, and Retin A Micro gel, you might ask your pediatrician if you could start your child's treatment with older medicines that are now generic, including:
  • Adapalene (Differin gel)
  • Erythromycin/Benzoyl Peroxide gel (Benzamycin)
  • Tretinion cream (Retin A)
Minocycline (Minocin) is an oral generic antibiotic that is also typically used to treat children with acne.

Generic ADHD Medicines

The newer ADHD medicines, including Vyvanse, Concerta, Focalin XR, and Strattera, are good examples of when it can pay to go with a non-generic medication, since they offer a very real benefit of working for 10 to 12 hours versus the generics, which have to be taken at least twice a day:
  • D-Amphetamine Salt Combo (Adderall)
  • D-Amphetamine Salt Combo (Adderall XR)
  • Dexmethylphenidate (Focalin)
  • Dextroamphetamine (Dexedrine)
  • Methylin ER (Ritalin SR)
  • Methylphenidate (Ritalin)
  • Methylphenidate CR

Non-Generic Drugs

More expensive, and sometimes newer, medicines that your pediatrician may be prescribing lately can include:
  • Advair Diskus and Advair HFA
  • Azmacort
  • Ciprodex
  • Clarinex
  • Flovent HFA
  • Nasonex
  • Asmanex
  • Rhinocort Aqua
  • Singulair
  • Vigamox
  • Xopenex and Xopenex HFA
  • Zymar
  • Retin-A micro
  • Epiduo
  • Tamiflu

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