2014 oregon’s health co-op drug formulary · oregon’s health co-op drug formulary. ......

2014 OREGON’S HEALTH CO-OP

DRUG FORMULARYLIST OF COVERED PRESCRIPTION DRUGS

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LIST OF COVERED PRESCRIPTION DRUGS

INTRODUCTIONPharmacy BenefitThe right prescription drug can be a critical part of maintaining your health or helping you recover from an illness, condition or surgery.

Oregon’s Health CO-OP is pleased to offer a prescription drug benefit that includes an extensive list of covered drugs and a large network of pharmacies where you can fill prescriptions.

The names of the drugs we cover are gathered into a list called a formulary. You may know that health insurance companies select which drugs will be on their formulary.

The Pharmacy and Therapeutics Committee is responsible for selecting the medicines included on the formulary. The committee includes pharmacists, primary care providers and specialists who are actively involved in patient care.

Members of this committee review and evaluate medications. Their goal is to create a formulary with medications that are:

• Safe

• Effective

• Affordable

The committee puts each formulary drug into a category (Tier): generic, preferred brand, non-preferred brand and specialty. The category determines your out-of-pocket costs. Depending on the type of drug, you’ll be responsible for either a flat copayment or an percentage of the drug’s cost.

The formulary can help your providers choose effective medications while being aware of your out-of-pocket expense.

The committee also decides in what ways, if any, a medication’s use will be restricted. This can involve extra review before approving your medication for plan coverage. For example, certain pain medications may have restrictions, so specific diagnoses, relevant medical history, effective alternative therapies and other useful information may be reviewed.

The formulary takes effect on January 1 of each year, but it’s revised periodically throughout the year.

For the most up-to-date information about medications covered by your pharmacy benefit, visit the Oregon’s Health CO-OP website at www.ohcoop.org.

Or contact the Enrollment and Customer Service department:

• Toll-free:1-855-722-8207

• Portlandmetroarea:503-488-2833

• TTY/TDD:1-800-735-2900or711

• Email:[email protected]

Customer service hours are 7 a.m.-6 p.m. Monday –Friday. Closed holidays.

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2014 OREGON’S HEALTH CO-OP FORMULARY

Use the Formulary to Help Contain CostsOregon’s Health CO-OP formulary includes a wide range of medications. The great majority of these medications require either a co-payment (flat fee) or coinsurance (percentage cost sharing). A small number of drugs used for preventive care are available at no cost to you. Examples are vaccines and birth control pills.

Information on your share of the prescription costs is available on the Summary of Coverage for your plan, in your member handbook and on our website, www.ohcoop.org.

If you’d like your medical practitioners to consider cost when choosing safe and effective drugs for you, be sure to let them know. Choosing generics whenever medically appropriate can help lower your out-of-pocket costs.

Generic DrugsWhat is a generic drug? It contains the same active ingredient as the related brand-name drug and becomes available after the patent for a brand-name drug expires. The federal Food and Drug Administration (FDA) approves generic drugs after testing them to make sure they are equivalent to the brand drugs in effectiveness and safety.

An example is Lipitor®, a cholesterol-lowering drug. This common brand-name drug became available in 2011 as a generic drug, under the name atorvastatin. Atorvastatin is chemically identical to Lipitor®. The generic version, atorvastatin, costs much less than Lipitor® and carries a lower copayment.

Restrictions on the Formulary DrugsSome covered drugs may have special rules related to their use. These rules may include:

• Prior Authorization (PA):Ifproviderswanttoprescribeadrugmarked“PA”intheformulary,theymustsendaPriorAuthorizationRequesttoOregon’sHealthCO-OPbeforeyoucanfillyourprescription.Oregon’sHealthCO-OPcannotpayfortheprescriptionunlesstherequestisapproved.

• Quantity Limits (QL): Fordrugsmarked“QL,”welimittheamountofthedrugwe’llpayfor.Iftheprescribedamountisgreaterthanthelimit,yourprovidermustsendaPriorAuthorizationRequesttoOregon’sHealthCO-OP.

• Step Therapy (ST): Sometimesweaskyoutotryotherdrugsbeforewecoveradrugmarked“ST.”SupposeDrugAandDrugBbothtreatyourmedicalcondition.WemaynotcoverDrugBbeforeyoutryDrugA.IfDrugAhasharmfulsideeffectsordoesn’tworkforyou,we’llcoverDrugB.

Drugs Not Listed in the FormularyDrugs usually are not covered unless they are in the formulary. However, if your provider believes a drug outside of our formulary is the best drug for you, the provider can submit a Formulary Exception Request Form to us.

Usually, we’ll approve exception requests only if other formulary drugs would be less effective in treating your condition or would cause side effects that could hurt you.

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Search the FormularyYou can search for a drug in the formulary in two ways:

1. By medical condition

The drugs are organized into categories that match the type of medical conditions each drug treats. For example, drugs to treat heart conditions are listed under the category “cardiovascular medications.”

If you know what a drug is used for, start by looking for its category in the table of contents.

Then check the category for the name of your drug.

2. Alphabetically

If you’re not sure which category a drug is in, look for the drug in the index that begins on page 129.

The number next to the drug shows which page has information on the drug. Turn to that page and find the name of your drug in the first column.

Note: If the formulary includes only generic versions of a drug, this means that Oregon’s Health CO-OP does not cover the brand-name drug.

Formulary UpdatesThe formulary is updated about every two months. Generally, drugs on the formulary will not change during the year unless:

• Thesamemedicationbecomesavailableingenericform.

• TheFDAdeemsadrugtobeunsafe.

• Thedrug’smanufacturerremovesthedrugfromthemarket.

Oregon’s Health CO-OP FormularyThe formulary begins on Page 1. It provides information about the drugs that Oregon’s Health CO-OP covers.

If you have trouble finding your drug in the list, turn to the Index that begins on page 122.

• Thefirst columnofthechartliststhedrugname.

• Thesecond columnofthechartliststhestrengthanddosageform

• Thethird columnofthechartlistsifthedrugisgenericorbrandname.

• Thefourth columnofthechartliststhedrug’sTierlevel.

o Tier1=Genericdrug

o Tier2=Preferredbrandnamedrug

o Tier3=Non-preferredbrandnamedrug

o Tier4=Specialtydrug

o Tier5=Drugsatnocosttoyou

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• Thefifth columnofthechartshowsspecialrules,ifany,relatedtothedrug’scoverage.

The formulary charts use the following abbreviations:

PA: The drug requires prior authorization.

QL: The drug has a quantity limit for each prescription.

ST: You may be required to try other drugs to treat your condition before we’ll cover this drug.

• Thesixth columnofthechartshowsadrugisamaintenancemedicationifmarked“X”.Whenrefillingmaintenancedrugs,youcanobtainuptoa90-daysupplyatnearlyallofournetworkretailpharmacies.

For more informationFor the most up-to-date information about medications covered by your pharmacy benefit, visit the Oregon’s Health CO-OP website at www.ohcoop.org or call the Enrollment and Customer Service department toll-free at 1-855-722-8207, in the Portland metro area at 503-488-2833 or TTY/TDD at 1-800-735-2900 or 711.

Customer service hours are 7 a.m.-6 p.m. Monday –Friday. 9 a.m.-1 p.m. Saturday. Closed holidays.

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INDEXANALGESICS - DRUGS TO TREAT PAIN ..... 1COX-2 INHIBITORS ......................................................... 1NONSTEROIDAL ANTIINFLAMMATORY DRUGS ........ 1OPIOIDS .......................................................................... 3SALICYLATES .................................................................. 7OTHERS ........................................................................... 8

ANTIANEMIA AGENTS ................................................ 8IRON PREPARATIONS ................................................... 8

ANTIBACTERIALS - DRUGS TO TREAT BACTERIAL INFECTIONS ................................9AMINOGLYCOSIDES ....................................................... 9BETA-LACTAM ................................................................. 9CEPHALOSPRORINS ...................................................10CHLORAMPHENICOL ..................................................11MACROLIDES ................................................................12PENICILLINS .................................................................12QUINOLONES ...............................................................14SULFONAMIDES ...........................................................14TETRACYCLINES...........................................................14OTHERS .........................................................................15

ANTICOAGULANTS - DRUGS TO TREAT OR PREVENT BLOOD CLOTS .................... 16ANTICOAGULANTS ......................................................16

ANTICONVULSANTS - DRUGS TO TREAT SEIZURES ................................................................. 17BARBITURATES ............................................................17BENZODIAZEPINES .....................................................17HYDANTOINS ................................................................18SUCCINIMIDES .............................................................18OTHERS .........................................................................18

ANTIDEPRESSANTS - DRUGS TO TREAT DEPRESSION .......................................................... 21MONOAMINE OXIDASE INHIBITORS .........................21SELECTINVE SEROTONIN REUPTAKE INHIBITORS 21SELECTIVE SEROTOMIN AND NOREPI INHIBITORS 22TRYCYCLICS ..................................................................23TRYCYCLICS COMBO AGENTS ...................................25OTHERS .........................................................................25

ANTIDOTES ......................................................................26ANTIDOTES ...................................................................26

ANTIGOUT AGENTS - DRUGS TO TREAT GOUT ........................................................................26ANTIGOUT AGENTS .....................................................26

ANTIHEMORRHAGIC AGENTS - DRUGS TO PREVENT BLEEDING .......................................27ANTIHEMORRHAGIC AGENTS ....................................27

ANTIHISTAMINE .............................................................27FIRST GENERATION .....................................................27SECOND GENERATION ...............................................27OTHERS .........................................................................28

ANTI-INFECTIVE AGENTS - DRUGS TO TREAT INFECTIONS ........................................28ANTHELMINTICS ..........................................................28ANTIFUNGALS ..............................................................29ANTITUBERCULOSIS ...................................................30AMEBICIDES ..................................................................30ANTIMALARIALS ...........................................................30ANTIPROTOZOALS ......................................................31OTHERS .........................................................................31URINARY TRACT ...........................................................31VAGINAL ANTIBACTERIALS ........................................31VAGINAL ANTIFUNGALS .............................................32VAGINAL OTHERS ........................................................32

ANTIMIGRAINE AGENTS - DRUGS TO TREAT MIGRAINE HEADACHES ...............32ABORTIVE ......................................................................32

ANTINEOPLASTIC AGENTS ..................................33ANTINEOPLASTIC AGENTS ........................................33

ANTIPARKINSON AGENTS ......................................38ANTIPARKINSON AGENTS ..........................................38

ANTIPLATELET AGENTS ....................................... 40ANTIPLATELET AGENTS .............................................40

ANTIPSYCHOTICS ..........................................................41ATYPICALS .....................................................................41CONVENTIONAL ...........................................................43

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ANTIVIRALS .....................................................................44ANTIRETROVIRALS ......................................................44HEPATITIS C PROTEASE INHIBITORS ......................47INTERFERONES............................................................47OTHERS .........................................................................47

ANXIOLYTICS - DRUGS TO TREAT ANXIETY ................................................................ 48ANXIOLYTICS .................................................................48

AUTONOMIC AGENTS ............................................. 50CHOLINERGIC AGENTS ...............................................50OTHERS .........................................................................51

BIPOLAR AGENTS........................................................ 52ANTIMANIA ....................................................................52

BLOOD FORMATION AGENTS ........................... 52BLOOD FORMATION AGENTS ....................................52

BLOOD GLUCOSE REGULATORS - DRUGS TO LOWER BLOOD SUGAR ........................53ANTIDIABETIC AGENTS ...............................................53INSULINS .......................................................................55

CARDIOVASCULAR AGENTS- DRUGS TO TREAT HIGH BLOOD PRESSURE, CHOLESTEROL AND HEART CONDITIONS ........................................................56ALPHA BLOCKERS .......................................................56ALPHA-ADRENERGIC AGONISTS ...............................57ANGIOTENSIN COVERTING ENZYME INHIBITOR ...57ANGIOTENSIN COVERTING ENZYME INHIBITOR COMBO AGENTS ..........................................................58ANGIOTENSIN II BLOCKERS ......................................59ANGIOTENSIN II BLOCKER COMBO AGENTS ..........59ANTIANGINA AGENTS .................................................60ANTIARRHYTHMIC AGENTS .......................................61ANTILIPEMIC AGENTS .................................................62BETA-BLOCKERS ..........................................................64BETA-BLOCKER COMBO .............................................66CALCIUM CHANNEL BLOCKERS ................................66CALCIUM CHANNEL BLOCKER COMBO AGENTS ...68CARDIOTONIC AGENTS ...............................................69DIRECT VASODILATORS ..............................................70DIURETICS.....................................................................70

DIURETICS - POTASSIUM SPARING .........................71PERIPHERAL ADRENERGIC INHIBITORS .................71PULMONARY HYPERTENSION ...................................71RENIN BLOCKERS ........................................................72RENIN BLOCKER COMBO AGENTS ...........................72OTHERS .........................................................................73

CENTRAL NERVOUS SYSTEM AGENTS ........73ADHD ..............................................................................73ANTIDEMENTIA AGENTS ............................................75NARCOLEPSY ................................................................75SEROTININ/NOREPINEPHRINE REUPTAKE INHIBITORS ...................................................................75OTHERS .........................................................................75

CONTRACEPTIVES ......................................................76CONTRACEPTIVES .......................................................76

DERMATOLOGICAL AGENTS - DRUGS TO TREAT SKIN CONDITIONS...........................77ANESTHETICS ...............................................................77ANTI-ACNE AGENTS ....................................................78ANTIBACTERIALS .........................................................78ANTIFUNGALS ..............................................................79ANTI-INFECTIVE AGENTS ...........................................80ANTI-INFLAMMATORY AGENTS .................................81ANTI-VIRALS .................................................................83KERATOLYTIC AGENTS ................................................83OTHERS .........................................................................84PIGMENTING AGENTS .................................................87SCABICIDES AND PEDICULICIDES ............................87

DETERRENTS ...................................................................87ALCOHOL .......................................................................87SMOKING CESSATION AGENTS .................................87OPIOIDS .........................................................................88

DIABETIC SUPPLIES .....................................................88ALCOHOL SWABS ........................................................88CALIBRATION SOLUTION ...........................................88INSULIN SYRINGES ......................................................89LANCET DEVICES .........................................................90LANCETS ........................................................................91METERS .........................................................................91NEEDLES .......................................................................92TEST STRIPS .................................................................92

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EAR-NOSE-MOUTH-THROAT AGENTS .........93EAR ANALGESICS .........................................................93EAR ANTIBACTERIALS .................................................93EAR OTHERS .................................................................93EAR STEROIDS..............................................................94MOUTH ANALGESICS ..................................................94MOUTH ANTIFUNGAL .................................................94MOUTH OTHERS ..........................................................94NASAL AGENTS ............................................................94

ENZYME REPLACEMENT AGENTS ................. 95ENZYME REPLACEMENT AGENTS .............................95OTHERS .........................................................................95

GASTROINTESTINAL AGENTS ........................... 95ANTIDIARRHEA AGENTS .............................................95ANTIEMETICS ...............................................................96ANTI-INFLAMMATORY AGENTS .................................97DIGESTIVE ENZYMES ...................................................97H.PYLORI TREATMENTS ..............................................98HISTAMINE 2 (H2) BLOCKERS ...................................98LAXATIVES .....................................................................99PROTECTANTS .............................................................99PROTON PUMP INHIBITORS (PPIS) .........................99OTHERS .......................................................................100

GENITOURINARY AGENTS .....................................101ALKALINIZING AGENTS .............................................101ANTISPASMODIC AGENTS ........................................101BENIGH PROSTATIC HYPERTROPHY AGENTS ......102IRRIGATION SOLUTIONS ..........................................102PHOSPHATE BINDERS ..............................................102OTHERS .......................................................................103

GOLD COMPOUNDS ................................................ 103GOLD COMPOUNDS ..................................................103

HORMONAL AGENTS .............................................. 103ANDROGENS ...............................................................103ANDROGENS ...............................................................103ANTITHROID AGENTS ...............................................104ESTROGENS ................................................................104GROWTH HORMONE INHIBITORS ..........................105GROWTH HORMONES ..............................................105PARATHYROID ............................................................106PITUITARY ...................................................................107

PROGESTINS ..............................................................107STEROIDS ....................................................................107THYROID AGENTS ......................................................108OTHERS .......................................................................109

IMMUNOLOGICAL AGENTS ................................ 109IMMUNE SUPPRESSANTS ........................................109IMMUNOMODULATORS ............................................111IMMUNE GLOBULIN ..................................................112OTHERS .......................................................................112

METABOLIC BONE DISEASE AGENTS ...........112VITAMIN D ....................................................................112OSTEOPOROSIS TREATMENT .................................113OTHERS .......................................................................114

OPTHTHALMIC AGENTS ........................................ 114ANTI-ALLERGIC AGENTS...........................................114ANTIBACTERIALS .......................................................114ANTIGLAUCOMA AGENTS .........................................115ANTI-INFLAMMATORY AGENTS ...............................116MYDRIATICS ................................................................117NONSTEROIDAL ANTIINFLAMMATORY AGENTS ..117OTHERS .......................................................................117

OTHER THERAPEUTIC AGENTS .........................118OTHER THERAPEUTIC AGENTS ..............................118

PLATELET-REDUCING AGENTS .........................119PLATELET-REDUCING AGENTS ...............................119

PROTECTIVE AGENTS ..............................................119PROTECTIVE AGENTS ...............................................119

RESPIRATORY TRACT AGENTS...........................119ANTILEUKOTIENES ....................................................119ANTITUSSIVES (COUGH SUPRESSANTS) ..............119BRONCHODILATORS .................................................120INHALED STEROIDS ..................................................121OTHERS .......................................................................122

SEDATIVE/HYPNOTICS ........................................... 123SEDATIVE/HYPNOTICS..............................................123

SKELETAL MUSCLE RELAXANTS .................... 123SKELETAL MUSCLE RELAXANTS .............................123

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SOMATOSTATIC AGENTS ..................................... 124SOMATOSTATIC AGENTS ..........................................124

SPECIALIZED OB/GYN AGENTS ...................... 125SPECIALIZED OB/GYN AGENTS ...............................125

THERAPEUTIC NUTRIENTS/MINERALS/ELECTROLYTES .......................................................... 125FLUORIDE AGENTS ....................................................125MINERALS/ELECTROLYTES ......................................125VITAMINS .....................................................................127VACCINES ....................................................................127

INDEX.................................................................................. 129

KEY: QL: QUANTITY LIMIT | PA: PRIOR AUTHORIZATION REQUIRED | ST: STEP THERAPY 1


DRUG NAME DOSAGE/STRENGTH STATUS TIER LEVEL LIMITS MAINTENANCE

ANALGESICS - DRUGS TO TREAT PAIN

COX-2 INHIBITORSCELEBREX CAP 50MG BRAND 3 QL 1/DAY XCELEBREX CAP 100MG BRAND 3 QL 2/DAY XCELEBREX CAP 200MG BRAND 3 QL 2/DAY XCELEBREX CAP 400MG BRAND 3 QL 2/DAY XVIMOVO TAB 375-20MG BRAND 3 XVIMOVO TAB 500-20MG BRAND 3 X

NONSTEROIDAL ANTIINFLAMMATORY DRUGSDICLO/MISOPR TAB 50-0.2MG GENERIC 1 XDICLO/MISOPR TAB 75-0.2MG GENERIC 1 XDICLOFEN POT TAB 50MG GENERIC 1 XDICLOFENAC TAB 100MG ER GENERIC 1 XDICLOFENAC TAB 25MG DR GENERIC 1 XDICLOFENAC TAB 50MG DR GENERIC 1 XDICLOFENAC TAB 75MG DR GENERIC 1 XDIFLUNISAL TAB 500MG GENERIC 1 XETODOLAC CAP 200MG GENERIC 1 XETODOLAC CAP 300MG GENERIC 1 XETODOLAC TAB 400MG GENERIC 1 XETODOLAC TAB 500MG GENERIC 1 XETODOLAC ER TAB 400MG GENERIC 1 XETODOLAC ER TAB 500MG GENERIC 1 XETODOLAC ER TAB 600MG GENERIC 1 XFENOPROFEN TAB 600MG GENERIC 1 XFLURBIPROFEN TAB 100MG GENERIC 1 XFLURBIPROFEN TAB 50MG GENERIC 1 XIBUPROFEN SUS 100/5ML GENERIC 1 IBUPROFEN TAB 400MG GENERIC 1 XIBUPROFEN TAB 600MG GENERIC 1 XIBUPROFEN TAB 800MG GENERIC 1 XINDOMETHACIN CAP 25MG GENERIC 1 XINDOMETHACIN CAP 50MG GENERIC 1 XINDOMETHACIN CAP 75MG ER GENERIC 1 X

KEY: QL: QUANTITY LIMIT | PA: PRIOR AUTHORIZATION REQUIRED | ST: STEP THERAPY2



NONSTEROIDAL ANTIINFLAMMATORY DRUGS - CONTINUEDKETOPROFEN CAP 200MG ER GENERIC 1 XKETOPROFEN CAP 50MG GENERIC 1 XKETOPROFEN CAP 75MG GENERIC 1 XKETOROLAC INJ 30MG/ML GENERIC 4 QL 5DAY/30DAYS KETOROLAC TAB 10MG GENERIC 1 QL 20 TABS OR 5DAY/30DAYS MECLOFEN SOD CAP 100MG GENERIC 1 XMECLOFEN SOD CAP 50MG GENERIC 1 XMEFENAM ACID CAP 250MG GENERIC 1 XMELOXICAM TAB 7.5MG GENERIC 1 QL 1/DAY XMELOXICAM SUS 7.5/5ML GENERIC 1 XMELOXICAM TAB 15MG GENERIC 1 XNABUMETONE TAB 500MG GENERIC 1 XNABUMETONE TAB 750MG GENERIC 1 XNAPROXEN SUS 125/5ML GENERIC 1 XNAPROXEN TAB 250MG GENERIC 1 XNAPROXEN TAB 375MG GENERIC 1 XNAPROXEN TAB 500MG GENERIC 1 XNAPROXEN DR TAB 375MG GENERIC 1 XNAPROXEN DR TAB 500MG GENERIC 1 XNAPROXEN SOD TAB 275MG GENERIC 1 XNAPROXEN SOD TAB 550MG GENERIC 1 XOXAPROZIN TAB 600MG GENERIC 1 XPIROXICAM CAP 10MG GENERIC 1 XPIROXICAM CAP 20MG GENERIC 1 XSULINDAC TAB 150MG GENERIC 1 XSULINDAC TAB 200MG GENERIC 1 XTOLMETIN SOD CAP 400MG GENERIC 1 XTOLMETIN SOD TAB 200MG GENERIC 1 XTOLMETIN SOD TAB 600MG GENERIC 1 XZORVOLEX CAP 18MG BRAND 3 XZORVOLEX CAP 35MG BRAND 3 X




OPIOIDS ABSTRAL SUB 100MCG BRAND 3 PA, QL 4/DAYABSTRAL SUB 200MCG BRAND 3 PA, QL 4/DAYABSTRAL SUB 300MCG BRAND 3 PA, QL 4/DAYABSTRAL SUB 400MCG BRAND 3 PA, QL 4/DAYABSTRAL SUB 600MCG BRAND 3 PA, QL 4/DAYABSTRAL SUB 800MCG BRAND 3 PA, QL 4/DAYAPAP/CAFF/ DIHYDROCOD COMBO TAB GENERIC 1 APAP/CODEINE TAB 300-15MG GENERIC 1 QL 13/DAYAPAP/CODEINE TAB 300-30MG GENERIC 1 QL 13/DAYAPAP/CODEINE TAB 300-60MG GENERIC 1 QL 13/DAYAPAP/CODEINE SOL 120-12/5 GENERIC 1 ASCOMP/COD CAP 30MG GENERIC 1 BUT/APAP/CAF/CODEINE CAP GENERIC 1 BUTORPHANOL SOL 10MG/ML GENERIC 1 QL 2/30DAYSBUTRANS DIS 5MCG/HR BRAND 3 PA, QL 4/28DAYSBUTRANS DIS 10MCG/HR BRAND 3 PA, QL 4/28DAYSBUTRANS DIS 15MCG BRAND 3 PA QL 4/28DAYSBUTRANS DIS 20MCG/HR BRAND 3 PA, QL 4/28DAYSCODEINE SULF TAB 15MG GENERIC 1 CODEINE SULF TAB 30MG GENERIC 1 CODEINE SULF TAB 60MG GENERIC 1 CODEINE SULF SOL 30MG/5ML GENERIC 1 CO-GESIC TAB 5-500MG GENERIC 1 QL 8/DAYCONZIP CAP 100MG BRAND 3 PA, QL 1/DAYCONZIP CAP 200MG BRAND 3 PA, QL 1/DAYCONZIP CAP 300MG BRAND 3 PA, QL 1/DAYENDOCET TAB 5-325MG GENERIC 1 QL 12/DAYENDOCET TAB 7.5-325 GENERIC 1 QL 12/DAYENDOCET TAB 7.5-500M GENERIC 1 QL 8/DAYENDOCET TAB 10-325MG GENERIC 1 QL 12/DAYENDOCET TAB 10-650MG GENERIC 1 QL 6/DAYENDODAN TAB GENERIC 1 EXALGO TAB 32MG BRAND 3 PA, QL 1/DAY




OPIOIDS - CONTINUEDFENTANYL DIS 12MCG/HR GENERIC 1 QL 10/30DAYSFENTANYL DIS 25MCG/HR GENERIC 1 QL 10/30DAYSFENTANYL DIS 50MCG/HR GENERIC 1 QL 10/30DAYSFENTANYL DIS 75MCG/HR GENERIC 1 QL 10/30DAYSFENTANYL DIS 100MCG/H GENERIC 1 QL 10/30/DAYFENTANYL OT LOZ 600MCG GENERIC 1 QL 4/DAYFENTANYL OT LOZ 200MCG GENERIC 1 QL 4/DAYFENTANYL OT LOZ 400MCG GENERIC 1 QL 4/DAYFENTANYL OT LOZ 800MCG GENERIC 1 QL 4/DAYFENTANYL OT LOZ 1200MCG GENERIC 1 QL 4/DAYFENTANYL OT LOZ 1600MCG GENERIC 1 QL 4/DAYFENTORA TAB 100MCG BRAND 3 PA, QL 4/DAYFENTORA TAB 200MCG BRAND 3 PA, QL 4/DAYFENTORA TAB 400MCG BRAND 3 PA, QL 4/DAYFENTORA TAB 600MCG BRAND 3 PA, QL 4/DAYFENTORA TAB 800MCG BRAND 3 PA, QL 4/DAYHYDROCO/APAP TAB 2.5-325 GENERIC 1 HYDROCO/APAP TAB 10-325MG GENERIC 1 QL 12/DAYHYDROCO/APAP TAB 2.5-500 GENERIC 1 QL 8/DAYHYDROCO/APAP TAB 5-300MG GENERIC 1 QL 13/DAYHYDROCO/APAP TAB 7.5-300 GENERIC 1 QL 13/DAYHYDROCO/APAP TAB 7.5-500 GENERIC 1 QL 8/DAYHYDROCO/APAP TAB 10-500MG GENERIC 1 QL 8/DAYHYDROCO/APAP TAB 7.5-650 GENERIC 1 QL 6/DAYHYDROCO/APAP TAB 10-650MG GENERIC 1 QL 6/DAYHYDROCO/APAP TAB 10-660MG GENERIC 1 QL 6/DAYHYDROCO/APAP TAB 7.5-750 GENERIC 1 QL 5/DAYHYDROCO/APAP TAB 10-750MG GENERIC 1 QL 5/DAYHYDROCO/APAP TAB 5-325MG GENERIC 1 QL 12/DAYHYDROCO/APAP TAB 7.5-325 GENERIC 1 QL 12/DAYHYDROCO/APAP TAB 10-300MG GENERIC 1 QL 13/DAYHYDROCO/APAP SOL 7.5-325 GENERIC 1 QL 180ML/DAYHYDROCO/APAP SOL 7.5-500 GENERIC 1 QL 180ML/DAYHYDROCO/APAP SOL 10-325MG GENERIC 1 QL 180ML/DAYHYDROCOD/IBU TAB 2.5-200 GENERIC 1 HYDROCOD/IBU TAB 5-200MG GENERIC 1




OPIOIDS - CONTINUEDHYDROCOD/IBU TAB 7.5-200 GENERIC 1 HYDROCOD/IBU TAB 10-200MG GENERIC 1 HYDROGESIC CAP 5-500MG GENERIC 1 HYDROMORPHON TAB 2MG GENERIC 1 HYDROMORPHON TAB 4MG GENERIC 1 HYDROMORPHON TAB 8MG GENERIC 1 HYDROMORPHON LIQ 1MG/ML GENERIC 1 HYDROMORPHON SUP 3MG GENERIC 1HYDROMORPHON TAB 8MG ER GENERIC 1 PA, QL 1/DAYHYDROMORPHON TAB 12MG ER GENERIC 1 PA, QL 1/DAYHYDROMORPHON TAB 16MG ER GENERIC 1 PA, QL 1/DAYHYDROMORPHON TAB 32MG ER GENERIC 1 PA, QL 1/DAY LAZANDA SPR 100MCG BRAND 3 PALAZANDA SPR 400MCG BRAND 3 PALEVORPHANOL TAB 2MG GENERIC 1 MEPERIDINE TAB 50MG GENERIC 1 MEPERIDINE TAB 100MG GENERIC 1 MEPERIDINE SOL 50MG/5ML GENERIC 1 METHADONE TAB 5MG GENERIC 1 QL 20/DAYMETHADONE TAB 10MG GENERIC 1 QL 10/DAYMETHADONE CON 10MG/ML GENERIC 1 METHADONE SOL 5MG/5ML GENERIC 1 METHADONE SOL 10MG/5ML GENERIC 1 MORPHINE SUL TAB 100MG ER GENERIC 1 QL 3/DAYMORPHINE SUL TAB 15MG GENERIC 1 MORPHINE SUL TAB 30MG GENERIC 1 MORPHINE SUL TAB 15MG ER GENERIC 1 QL 3/DAYMORPHINE SUL TAB 30MG ER GENERIC 1 QL 3/DAYMORPHINE SUL TAB 60MG ER GENERIC 1 QL 3/DAYMORPHINE SUL TAB 200MG ER GENERIC 1 QL 3/DAYMORPHINE SUL SOL 10MG/5ML GENERIC 1 MORPHINE SUL SOL 20MG/5ML GENERIC 1 MORPHINE SUL SOL 20MG/ML GENERIC 1 MORPHINE SUL SUP 5MG GENERIC 1 MORPHINE SUL SUP 10MG GENERIC 1 MORPHINE SUL SUP 20MG GENERIC 1




OPIOIDS - CONTINUEDMORPHINE SUL SUP 30MG GENERIC 1 MORPHINE SUL CAP 10MG ER GENERIC 1 QL 3/DAY MORPHINE SUL CAP 20MG ER GENERIC 1 QL 3/DAYMORPHINE SUL CAP 30MG ER (24 HR) GENERIC 1 QL 1/DAYMORPHINE SUL CAP 30MG ER GENERIC 1 QL 3/DAYMORPHINE SUL CAP 45MG ER (24 HR) GENERIC 1 QL 1/DAYMORPHINE SUL CAP 50MG ER GENERIC 1 QL 3/DAYMORPHINE SUL CAP 60MG ER (24 HR) GENERIC 1 QL 1/DAYMORPHINE SUL CAP 60MG ER GENERIC 1 QL 3/DAYMORPHINE SUL CAP 75MG ER (24 HR) GENERIC 1 QL 1/DAYMORPHINE SUL CAP 80MG ER GENERIC 1 QL 3/DAYMORPHINE SUL CAP 90MG ER (24 HR) GENERIC 1 QL 1/DAYMORPHINE SUL CAP 100MG ER GENERIC 1 QL 3/DAYMORPHINE SUL CAP 120MG ER (24 HR) GENERIC 1 QL 1/DAYNUCYNTA TAB 50MG BRAND 3 PA, QL 6/DAYNUCYNTA TAB 75MG BRAND 3 PA, QL 6/DAYNUCYNTA TAB 100MG BRAND 3 PA, QL 6/DAYNUCYNTA ER TAB 50MG BRAND 3 PA, QL 2/DAYNUCYNTA ER TAB 100MG BRAND 3 PA, QL 2/DAYNUCYNTA ER TAB 150MG BRAND 3 PA, QL 2/DAYNUCYNTA ER TAB 200MG BRAND 3 PA, QL 2/DAYNUCYNTA ER TAB 250MG BRAND 3 PA, QL 2/DAYOXYCOD/APAP CAP 5-500MG GENERIC 1 QL 8/DAYOXYCOD/APAP TAB 2.5-325 GENERIC 1 QL 12/DAYOXYCOD/IBU TAB 5-400MG GENERIC 1 QL 6/DAYOXYCODONE CAP 5MG GENERIC 1 OXYCODONE TAB 5MG GENERIC 1 OXYCODONE TAB 10MG GENERIC 1 OXYCODONE TAB 15MG GENERIC 1 OXYCODONE TAB 20MG GENERIC 1 OXYCODONE TAB 30MG GENERIC 1 OXYCODONE CON 20MG/ML GENERIC 1 OXYCODONE SOL 5MG/5ML GENERIC 1 OXYCONTIN TAB 10MG CR BRAND 3 PA, QL 3/DAYOXYCONTIN TAB 15MG CR BRAND 3 PA, QL 3/DAYOXYCONTIN TAB 20MG CR BRAND 3 PA, QL 3/DAY




OPIOIDS - CONTINUEDOXYCONTIN TAB 30MG CR BRAND 3 PA, QL 3/DAYOXYCONTIN TAB 40MG CR BRAND 3 PA, QL 3/DAYOXYCONTIN TAB 60MG CR BRAND 3 PA, QL 3/DAYOXYCONTIN TAB 80MG CR BRAND 3 PA, QL 3/DAYOXYMORPHONE TAB HCL 5MG GENERIC 1 OXYMORPHONE TAB HCL 10MG GENERIC 1 OXYMORPHONE TAB 5MG ER GENERIC 1 PA, QL 2/DAYOXYMORPHONE TAB 7.5MG ER GENERIC 1 QL 2/DAYOXYMORPHONE TAB 10MG ER GENERIC 1 QL 2/DAYOXYMORPHONE TAB 15MG ER GENERIC 1 QL 2/DAYOXYMORPHONE TAB 20MG ER GENERIC 1 QL 2/DAYOXYMORPHONE TAB 30MG ER GENERIC 1 QL 2/DAYOXYMORPHONE TAB 40MG ER GENERIC 1 QL 2/DAYPENTA/APAP TAB 25-650MG GENERIC 1 QL 6/DAYPENTAZ/NALOX TAB 50-0.5MG GENERIC 1 SUBSYS SL SPRAY 100MCG BRAND 3 PASUBSYS SL SPRAY 200MCG BRAND 3 PASUBSYS SL SPRAY 400MCG BRAND 3 PASUBSYS SL SPRAY 600MCG BRAND 3 PASUBSYS SL SPRAY 800MCG BRAND 3 PASUBSYS SL SPRAY 1200MCG BRAND 3 PASUBSYS SL SPRAY 1600MCG BRAND 3 PATRAMADL/APAP TAB 37.5-325 GENERIC 1 QL 8/DAYTRAMADOL HCL TAB 50MG GENERIC 1 QL 8/DAYTRAMADOL HCL CAP 150MG ER GENERIC 1 QL 1/DAYTRAMADOL HCL TAB 100MG ER GENERIC 1 QL 1/DAYTRAMADOL HCL TAB 200MG ER GENERIC 1 QL 1/DAYTRAMADOL HCL TAB 300MG ER GENERIC 1 QL 1/DAYTREZIX CAP GENERIC 1

SALICYLATESANACIN TAB 81MG EC GENERIC 5* ASPIRIN CHW 81MG GENERIC 5* ASPIRIN SUP 300MG GENERIC 5* ASPIRIN SUP 600MG GENERIC 5* ASPIRIN TAB 325MG GENERIC 5*




SALICYLATES - CONTINUEDASPIRIN TAB 325MG EC GENERIC 5* ASPIRIN TAB 500MG EC GENERIC 5* ASPIRIN ADLT TAB 81MG GENERIC 5* ASPIRTAB M/S TAB 500MG GENERIC 5* BUFFERED ASA TAB 325MG GENERIC 5* BUFFERIN TAB 500MG GENERIC 5* BUT/ASA/CAFF CAP GENERIC 1BUT/ASA/CAFF TAB GENERIC 1CHO MAG TRIS TAB 1000MG GENERIC 1CHO MAG TRIS LIQ 500/5ML GENERIC 1HALFPRIN TAB 162MG EC GENERIC 5* MST 600 TAB GENERIC 1 XORPH/ASA/CAF TAB GENERIC 1SALSALATE TAB 500MG GENERIC 1 XSALSALATE TAB 750MG GENERIC 1 X*OVER-THE-COUNTER ITEMS PROVIDED AS PREVENTATIVE SERVICES AT $0

OTHERSANABAR TAB GENERIC 1 DURAXIN CAP GENERIC 1 FRENADOL TAB GENERIC 1 PRIALT INJ 25MCG/ML BRAND 4 PAPRIALT INJ 100MCG BRAND 4 PA

ANTIANEMIA AGENTS

IRON PREPARATIONSFER-IRON DRO 15MG/ML GENERIC 5* PA FEROSUL ELX 220/5ML GENERIC 5* PA FERROUS SUL LIQ 220/5ML GENERIC 5* PA FERROUS SULF SYP 300/5ML GENERIC 5* PA HEMATINIC/FA TAB GENERIC 1TANDEM F CAP GENERIC 1*OVER-THE-COUNTER ITEMS PROVIDED AS PREVENTATIVE SERVICES AT $0




ANTIBACTERIALS - DRUGS TO TREAT BACTERIAL INFECTIONS

AMINOGLYCOSIDESAMIKACIN INJ 100/2ML GENERIC 4 AMIKACIN INJ 500/2ML GENERIC 4 BETHKIS NEB 300/4ML BRAND 4 ST, QL 224ML/56DAYSGENTAM/NACL INJ 80MG GENERIC 4 GENTAM/NACL INJ 0.9MG/ML GENERIC 4 GENTAM/NACL INJ 100MG GENERIC 4 GENTAM/NACL INJ 60MG GENERIC 4 GENTAM/NACL INJ 1.4MG/ML GENERIC 4 GENTAM/NACL INJ 80MG GENERIC 4 GENTAM/NACL INJ 100MG PB GENERIC 4 GENTAMICIN INJ 10MG/ML GENERIC 4 GENTAMICIN INJ 40MG/ML GENERIC 4 KANAMYCIN INJ 333MG/ML GENERIC 4 NEO-FRADIN SOL 125/5ML BRAND 2 NEOMYCIN TAB 500MG GENERIC 1 STREPTOMYCIN INJ 1GM GENERIC 4 TOBI PODHALR CAP 28MG BRAND 4 QL 224/56DAYSTOBRA/NACL INJ 60/0.9 GENERIC 4 TOBRAMYCIN INJ 80MG/2ML GENERIC 4 TOBRAMYCIN INJ 1.2GM GENERIC 4 TOBRAMYCIN NEB 300/5ML GENERIC 4 QL 280ML/56DAYS

BETA-LACTAMAZTREONAM INJ 1GM GENERIC 4 CAYSTON INH 75MG BRAND 4 PA, QL 1 PKG/56DAYSCEFOTETAN INJ 1GM/10ML GENERIC 4 CEFOTETAN INJ 10G GENERIC 4 CEFOXITIN INJ 1GM GENERIC 4 CEFOXITIN INJ 1GM GENERIC 4 DORIBAX INJ 500MG BRAND 4 IMIPENEM/CIL INJ 250MG GENERIC 4 IMIPENEM/CIL INJ 500MG GENERIC 4 INVANZ INJ 1GM BRAND 4 MEROPENEM INJ 500MG GENERIC 4




CEPHALOSPRORINSCEDAX SUS 90MG/5ML BRAND 3CEFACLOR SUS 125/5ML GENERIC 1CEFACLOR SUS 250/5ML GENERIC 1CEFACLOR SUS 375/5ML GENERIC 1CEFACLOR CAP 250MG GENERIC 1CEFACLOR CAP 500MG GENERIC 1CEFACLOR ER TAB 500MG GENERIC 1CEFADROXIL SUS 250/5ML GENERIC 1CEFADROXIL SUS 500/5ML GENERIC 1CEFADROXIL CAP 500MG GENERIC 1CEFADROXIL TAB 1GM GENERIC 1CEFAZOL/DEX SOL 2GM GENERIC 4CEFAZOLIN INJ 500MG GENERIC 4CEFAZOLIN INJ 1GM GENERIC 4CEFAZOLIN INJ 10GM GENERIC 4CEFDINIR SUS 125/5ML GENERIC 1CEFDINIR SUS 250/5ML GENERIC 1CEFDINIR CAP 300MG GENERIC 1CEFDITOREN TAB 200MG GENERIC 1CEFDITOREN TAB 400MG GENERIC 1CEFEPIME INJ 1GM GENERIC 4CEFEPIME INJ 1GM GENERIC 4CEFEPIME INJ 2GM GENERIC 4CEFEPIME INJ 2GM GENERIC 4CEFOTAXIME INJ 1GM GENERIC 4CEFOTAXIME INJ 2GM GENERIC 4CEFOTAXIME INJ 10GM GENERIC 4CEFPODO PROX SUS 50MG/5ML GENERIC 1CEFPODO PROX SUS 100/5ML GENERIC 1CEFPODOXIME TAB 100MG GENERIC 1CEFPODOXIME TAB 200MG GENERIC 1CEFPROZIL SUS 125/5ML GENERIC 1CEFPROZIL SUS 250/5ML GENERIC 1CEFPROZIL TAB 250MG GENERIC 1CEFPROZIL TAB 500MG GENERIC 1CEFTAZIDIME/ SOL D5W 1GM GENERIC 4




CEPHALOSPRORINS - CONTINUEDCEFTAZIDIME/ SOL D5W 2GM GENERIC 4CEFTIBUTEN CAP 400MG GENERIC 1CEFTIBUTEN SUS 180MG/5ML GENERIC 1CEFTIN SUS 250/5ML BRAND 2CEFTRIAXONE INJ 1GM GENERIC 4CEFTRIAXONE INJ 10GM GENERIC 4CEFTRIAXONE/ INJ DEX 1GM GENERIC 4CEFUROXIME SUS 125/5ML GENERIC 1CEFUROXIME TAB 250MG GENERIC 1CEFUROXIME TAB 500MG GENERIC 1CEPHALEXIN SUS 125/5ML GENERIC 1CEPHALEXIN SUS 250/5ML GENERIC 1CEPHALEXIN CAP 250MG GENERIC 1CEPHALEXIN CAP 500MG GENERIC 1CEPHALEXIN TAB 250MG GENERIC 1CEPHALEXIN TAB 500MG GENERIC 1SUPRAX CHW 100MG BRAND 3SUPRAX CHW 200MG BRAND 3SUPRAX SUS 100/5ML BRAND 3SUPRAX SUS 200/5ML BRAND 3SUPRAX SUS 500/5ML BRAND 3SUPRAX TAB 400MG BRAND 3TAZICEF INJ 1GM GENERIC 4TAZICEF INJ 1GM GENERIC 4TAZICEF INJ 2GM GENERIC 4TAZICEF INJ 2GM GENERIC 4TAZICEF INJ 6GM GENERIC 4TEFLARO INJ 400MG BRAND 4TEFLARO INJ 600MG BRAND 4

CHLORAMPHENICOLCHLORAMPHEN INJ 1GM GENERIC 4




MACROLIDESAZITHROMYCIN TAB 250MG GENERIC 1 AZITHROMYCIN TAB 500MG GENERIC 1 AZITHROMYCIN TAB 600MG GENERIC 1 AZITHROMYCIN SUS 100/5ML GENERIC 1 AZITHROMYCIN SUS 200/5ML GENERIC 1 AZITHROMYCIN POW 1GM PAK GENERIC 1 CLARITHROMYC TAB 250MG GENERIC 1 CLARITHROMYC TAB 500MG GENERIC 1 CLARITHROMYC TAB 500MG ER GENERIC 1 CLARITHROMYC SUS 125/5ML GENERIC 1 CLARITHROMYC SUS 250/5ML GENERIC 1 DIFICID TAB 200MG BRAND 3 PA, QL 2/DAY AND 10DAYS/30DAYSE.E.S. 400 TAB 400MG GENERIC 1 E.S.P. SUS 200-600 GENERIC 1 ERY-TAB TAB 250MG EC BRAND 2 ERY-TAB TAB 333MG EC BRAND 2 ERY-TAB TAB 500MG EC BRAND 2 ERYPED SUS 200/5ML BRAND 2 ERYTHROCIN TAB 250MG BRAND 2 ERYTHROMYCIN TAB 250MG BS GENERIC 1 ERYTHROMYCIN TAB 500MG BS GENERIC 1 ERYTHROMYCIN CAP 250MG EC GENERIC 1 KETEK TAB 300MG BRAND 3 KETEK TAB 400MG BRAND 3 PCE TAB 500MG EC BRAND 3

PENICILLINSAMOX-POT CLA TAB ER GENERIC 1AMOX/K CLAV TAB 250MG GENERIC 1AMOX/K CLAV TAB 500MG GENERIC 1AMOX/K CLAV TAB 875MG GENERIC 1AMOX/K CLAV CHW 200MG GENERIC 1AMOX/K CLAV CHW 400MG GENERIC 1AMOX/K CLAV SUS 200/5ML GENERIC 1AMOX/K CLAV SUS 250/5ML GENERIC 1




PENICILLINS - CONTINUEDAMOX/K CLAV SUS 400/5ML GENERIC 1AMOX/K CLAV SUS 600/5ML GENERIC 1AMOXICILLIN CAP 250MG GENERIC 1AMOXICILLIN CAP 500MG GENERIC 1AMOXICILLIN TAB 500MG GENERIC 1AMOXICILLIN TAB SR 775MG GENERIC 1AMOXICILLIN TAB 875MG GENERIC 1AMOXICILLIN CHW 125MG GENERIC 1AMOXICILLIN CHW 250MG GENERIC 1AMOXICILLIN SUS 125/5ML GENERIC 1AMOXICILLIN SUS 200/5ML GENERIC 1AMOXICILLIN SUS 250/5ML GENERIC 1AMOXICILLIN SUS 400/5ML GENERIC 1AMP-SULBACTA INJ 1.5GM GENERIC 4AMPICILLIN CAP 250MG GENERIC 1AMPICILLIN CAP 500MG GENERIC 1AMPICILLIN SUS 125/5ML GENERIC 1AMPICILLIN SUS 250/5ML GENERIC 1AUGMENTIN SUS 125/5ML BRAND 2BICILLIN L-A INJ 600000 BRAND 4BICILLIN L-A INJ 1200000 BRAND 4BICILLIN L-A INJ 2400000 BRAND 4DICLOXACILL CAP 250MG GENERIC 1DICLOXACILL CAP 500MG GENERIC 1NAFCILLIN INJ 1GM GENERIC 4NAFCILLIN INJ 10GM GENERIC 4OXACILLIN INJ 1GM GENERIC 4OXACILLIN INJ 10GM GENERIC 4PEN G SOD INJ 5000000 GENERIC 4PENICILLN GK INJ 5MU GENERIC 4PENICILLN GK INJ 20MU GENERIC 4PENICILLN VK TAB 250MG GENERIC 1PENICILLN VK TAB 500MG GENERIC 1PENICILLN VK SOL 125/5ML GENERIC 1PENICILLN VK SOL 250/5ML GENERIC 1PIPER/TAZOBA INJ 2-0.25GM GENERIC 4TIMENTIN INJ 3.1GM BRAND 4




QUINOLONESCIPROFLOXACIN SUS 250MG/5 GENERIC 1CIPROFLOXACIN SUS 500MG/5 GENERIC 1CIPROFLOXACN TAB 500MG ER GENERIC 1CIPROFLOXACN TAB 100MG GENERIC 1CIPROFLOXACN TAB 1000MG GENERIC 1CIPROFLOXACN TAB 250MG GENERIC 1CIPROFLOXACN TAB 500MG GENERIC 1CIPROFLOXACN TAB 750MG GENERIC 1FACTIVE TAB 320MG BRAND 3LEVOFLOXACIN TAB 250MG GENERIC 1LEVOFLOXACIN TAB 500MG GENERIC 1LEVOFLOXACIN TAB 750MG GENERIC 1LEVOFLOXACIN SOL 25MG/ML GENERIC 1MOXIFLOXACIN TAB 400MG GENERIC 1NOROXIN TAB 400MG BRAND 3OFLOXACIN TAB 200MG GENERIC 1OFLOXACIN TAB 300MG GENERIC 1OFLOXACIN TAB 400MG GENERIC 1

SULFONAMIDESSMZ-TMP TAB 400-80MG GENERIC 1SMZ-TMP SUS GENERIC 1SMZ/TMP DS TAB 800-160 GENERIC 1SULFADIAZINE TAB 500MG GENERIC 1SULFASALAZIN TAB 500MG GENERIC 1SULFASALAZIN TAB 500MG DR GENERIC 1

TETRACYCLINESAVIDOXY TAB 100MG GENERIC 1DEMECLOCYCL TAB 150MG GENERIC 1DEMECLOCYCL TAB 300MG GENERIC 1DOXYCYC MONO TAB 50MG GENERIC 1DOXYCYC MONO TAB 75MG GENERIC 1DOXYCYC MONO TAB 150MG GENERIC 1DOXYCYCL HYC CAP 100MG GENERIC 1DOXYCYCL HYC TAB 75MG DR GENERIC 1




TETRACYCLINES - CONTINUEDDOXYCYCL HYC TAB 100MG DR GENERIC 1DOXYCYCL HYC TAB 150MG DR GENERIC 1DOXYCYCL HYC CAP 100MG GENERIC 1DOXYCYCLINE CAP 75MG GENERIC 1DOXYCYCLINE CAP 150MG GENERIC 1DOXYCYCLINE TAB 20MG GENERIC 1MINOCYCLINE CAP 50MG GENERIC 1MINOCYCLINE CAP 75MG GENERIC 1MINOCYCLINE CAP 100MG GENERIC 1MINOCYCLINE TAB 50MG GENERIC 1MINOCYCLINE TAB 75MG GENERIC 1MINOCYCLINE TAB 100MG GENERIC 1MINOCYCLINE TAB 45MG ER GENERIC 1MINOCYCLINE TAB 90MG ER GENERIC 1MINOCYCLINE TAB 135MG ER GENERIC 1ORACEA CAP 40MG BRAND 3TETRACYCLINE CAP 250MG GENERIC 1TETRACYCLINE CAP 500MG GENERIC 1VIBRAMYCIN SYP 50MG/5ML BRAND 2

OTHERSCLINDAMYCIN CAP 75MG GENERIC 1 CLINDAMYCIN CAP 150MG GENERIC 1 CLINDAMYCIN CAP 300MG GENERIC 1 CLINDAMYCIN SOL 75MG/5ML GENERIC 1 COLISTIMETH INJ 150MG GENERIC 4 CUBICIN SOL 500MG BRAND 4 LINCOCIN INJ 300MG/ML BRAND 4 POLYMYXIN B INJ 500000 GENERIC 4 VANCOMYCIN CAP 125MG GENERIC 1 VANCOMYCIN CAP 250MG GENERIC 1 VANCOMYCIN INJ 10GM GENERIC 4 XIFAXAN TAB 200MG BRAND 3 QL 9/FILLXIFAXAN 550MG BRAND 3 PA QL 2/DAY XZYVOX TAB 600MG BRAND 3 PAZYVOX SUS 100MG/5M BRAND 3 PA




ANTICOAGULANTS - DRUGS TO TREAT OR PREVENT BLOOD CLOTS

ANTICOAGULANTSELIQUIS TAB 2.5MG BRAND 3 QL 2/DAY XELIQUIS TAB 5MG BRAND 3 QL 2/DAY XENOXAPARIN INJ 30/0.3ML GENERIC 4 QL 20 INJ./30DAYSENOXAPARIN INJ 40MG/0.4ML QL 20 INJ./30DAYSENOXAPARIN INJ 60MG/0.6ML QL 20 INJ./30DAYS ENOXAPARIN INJ 80MG/08ML QL 20 INJ./30DAYS ENOXAPARIN INJ 100MG/ML QL 20 INJ./30DAYSENOXAPARIN INJ 120/0.8 GENERIC 4 QL 20 INJ./30DAYS ENOXAPARIN INJ 150MG/ML GENERIC 4 QL 20 INJ./30DAYSFONDAPARINUX SOL 2.5/0.5 GENERIC 4 QL 10/30DAYSFONDAPARINUX SOL 5.0/0.4 GENERIC 4 QL 10/30DAYSFONDAPARINUX SOL 7.5/0.6 GENERIC 4 QL 10/30DAYSFONDAPARINUX SOL 10/0.8 GENERIC 4 QL 10/30DAYSFRAGMIN INJ 10000/ML BRAND 4 QL 10/30DAYSFRAGMIN INJ 2500/0.2 BRAND 4 QL 10/30DAYSHEP SOD/NACL INJ 1000UNIT GENERIC 4 HEP SOD/NACL INJ 25000UNT GENERIC 4 HEP SOD/NACL INJ 25000UNT GENERIC 4 HEPARIN SOD INJ 1000/ML GENERIC 4 HEPARIN SOD INJ 5000/ML GENERIC 4 HEPARIN SOD INJ 10000/ML GENERIC 4 HEPARIN SOD INJ 10000/ML GENERIC 4 HEPARIN SOD INJ 20000/ML GENERIC 4 JANTOVEN TAB 1MG GENERIC 1 XJANTOVEN TAB 2MG GENERIC 1 XJANTOVEN TAB 2.5MG GENERIC 1 XJANTOVEN TAB 3MG GENERIC 1 XJANTOVEN TAB 4MG GENERIC 1 XJANTOVEN TAB 5MG GENERIC 1 XJANTOVEN TAB 6MG GENERIC 1 XJANTOVEN TAB 7.5MG GENERIC 1 XJANTOVEN TAB 10MG GENERIC 1 XPRADAXA CAP 75MG BRAND 3 QL 2/DAY X




ANTICOAGULANTS - CONTINUEDPRADAXA CAP 150MG BRAND 3 QL 2/DAY XXARELTO TAB 10MG BRAND 3 QL 35/6MONTHS XXARELTO TAB 15MG BRAND 3 QL 42/30DAYS XXARELTO TAB 20MG BRAND 3 QL 1/DAY X

ANTICONVULSANTS - DRUGS TO TREAT SEIZURES

BARBITURATESPHENOBARB TAB 15MG GENERIC 1 XPHENOBARB TAB 16.2MG GENERIC 1 XPHENOBARB TAB 30MG GENERIC 1 XPHENOBARB TAB 32.4MG GENERIC 1 XPHENOBARB TAB 60MG GENERIC 1 XPHENOBARB TAB 64.8MG GENERIC 1 XPHENOBARB TAB 97.2MG GENERIC 1 XPHENOBARB TAB 100MG GENERIC 1 XPHENOBARB ELX 20MG/5ML GENERIC 1 XPRIMIDONE TAB 50MG GENERIC 1 XPRIMIDONE TAB 250MG GENERIC 1 X

BENZODIAZEPINESONFI TAB 5MG BRAND 3 PA XONFI TAB 10MG BRAND 3 PA XONFI TAB 20MG BRAND 3 PA XONFI SUS 2.5MG/ML BRAND 3 PA XCLONAZEPAM TAB 0.5MG GENERIC 1 QL 3/DAY XCLONAZEPAM TAB 1MG GENERIC 1 QL 3/DAY XCLONAZEPAM TAB 2MG GENERIC 1 QL 3/DAY XCLONAZEP ODT TAB 0.125MG GENERIC 1 QL 3/DAY XCLONAZEP ODT TAB 0.25MG GENERIC 1 QL 3/DAY XCLONAZEP ODT TAB 0.5MG GENERIC 1 QL 3/DAY XCLONAZEP ODT TAB 1MG GENERIC 1 QL 3/DAY XCLONAZEP ODT TAB 2MG GENERIC 1 X




HYDANTOINSDILANTIN CAP 30MG BRAND 2 XFOSPHENYTOIN INJ 100/2ML GENERIC 4PEGANONE TAB 250MG BRAND 2 XPHENYTOIN CHW 50MG GENERIC 1 XPHENYTOIN SUS 125/5ML GENERIC 1 XPHENYTOIN EX CAP 100MG GENERIC 1 XPHENYTOIN EX CAP 200MG GENERIC 1 XPHENYTOIN EX CAP 300MG GENERIC 1 X

SUCCINIMIDESCELONTIN CAP 300MG BRAND 2 XETHOSUXIMIDE CAP 250MG GENERIC 1 XETHOSUXIMIDE SOL 250/5ML GENERIC 1 X

OTHERSAPTIOM TAB 200MG BRAND 3 ST, QL 1/DAY XAPTIOM TAB 400MG BRAND 3 ST, QL 1/DAY XAPTIOM TAB 600MG BRAND 3 ST, QL 1/DAY XAPTIOM TAB 800MG BRAND 3 ST, QL 1/DAY XBANZEL TAB 200MG BRAND 3 PA XBANZEL TAB 400MG BRAND 3 PA XBANZEL SUS 40MG/ML BRAND 3 PA XCARBAMAZEPIN TAB 200MG GENERIC 1 XCARBAMAZEPIN CAP 100MG ER GENERIC 1 XCARBAMAZEPIN CAP 200MG ER GENERIC 1 XCARBAMAZEPIN CAP 300MG ER GENERIC 1 XCARBAMAZEPIN TAB 200MG ER GENERIC 1 XCARBAMAZEPIN TAB 400MG ER GENERIC 1 XCARBAMAZEPIN CHW 100MG GENERIC 1 XCARBAMAZEPIN SUS 100/5ML GENERIC 1 XDIVALPROEX TAB 125MG DR GENERIC 1 XDIVALPROEX TAB 250MG DR GENERIC 1 XDIVALPROEX TAB 500MG DR GENERIC 1 XDIVALPROEX CAP 125MG GENERIC 1 XDIVALPROEX TAB 250MG ER GENERIC 1 XDIVALPROEX TAB 500MG ER GENERIC 1 X




OTHERS - CONTINUEDFELBAMATE TAB 400MG GENERIC 1 XFELBAMATE TAB 600MG GENERIC 1 XFELBAMATE SUS 600/5ML GENERIC 1 XFYCOMPA TAB 2MG BRAND 3 PA, QL 1/DAY XFYCOMPA TAB 4MG BRAND 3 PA, QL 1/DAY XFYCOMPA TAB 6MG BRAND 3 PA, QL 1/DAY XFYCOMPA TAB 8MG BRAND 3 PA, QL 1/DAY XFYCOMPA TAB 10MG BRAND 3 PA, QL 1/DAY XFYCOMPA TAB 12MG BRAND 3 PA, QL 1/DAY XGABAPENTIN CAP 100MG GENERIC 1 XGABAPENTIN CAP 300MG GENERIC 1 XGABAPENTIN CAP 400MG GENERIC 1 XGABAPENTIN TAB 600MG GENERIC 1 XGABAPENTIN TAB 800MG GENERIC 1 XGABAPENTIN SOL 250/5ML GENERIC 1 XGABITRIL TAB 12MG BRAND 2 XGABITRIL TAB 16MG BRAND 2 XHORIZANT TAB 300MG BRAND 3 QL 1/DAY XHORIZANT TAB 600MG BRAND 3 QL 2/DAY XLAMOTRIGINE TAB 25MG GENERIC 1 XLAMOTRIGINE TAB 100MG GENERIC 1 XLAMOTRIGINE TAB 150MG GENERIC 1 XLAMOTRIGINE TAB 200MG GENERIC 1 XLAMOTRIGINE CHW 5MG GENERIC 1 XLAMOTRIGINE CHW 25MG GENERIC 1 XLAMOTRIGINE TAB 25MG ER GENERIC 1 XLAMOTRIGINE TAB 50MG ER GENERIC 1 XLAMOTRIGINE TAB 100MG ER GENERIC 1 XLAMOTRIGINE TAB 200MG ER GENERIC 1 XLAMOTRIGINE TAB 250MG ER GENERIC 1 XLAMOTRIGINE TAB 300MG ER GENERIC 1 XLEVETIRACETA TAB 250MG GENERIC 1 XLEVETIRACETA TAB 500MG GENERIC 1 XLEVETIRACETA TAB 750MG GENERIC 1 XLEVETIRACETA TAB 1000MG GENERIC 1 XLEVETIRACETA SOL 100MG/ML GENERIC 1 X




OTHERS - CONTINUEDLEVETIRACETA TAB 500MG ER GENERIC 1 XLEVETIRACETA TAB 750MG ER GENERIC 1 XLYRICA CAP 25MG BRAND 3 ST, QL 3/DAY XLYRICA CAP 50MG BRAND 3 ST, QL 3/DAY XLYRICA CAP 75MG BRAND 3 ST, QL 3/DAY XLYRICA CAP 100MG BRAND 3 ST, QL 3/DAY XLYRICA CAP 150MG BRAND 3 ST, QL 3/DAY XLYRICA CAP 200MG BRAND 3 ST, QL 3/DAY XLYRICA CAP 225MG BRAND 3 ST, QL 2/DAY XLYRICA CAP 300MG BRAND 3 ST, QL 2/DAY XLYRICA SOL 20MG/ML BRAND 3 ST XMAGNESIUM SU INJ 50% GENERIC 4 OXCARBAZEPIN TAB 150MG GENERIC 1 XOXCARBAZEPIN TAB 300MG GENERIC 1 XOXCARBAZEPIN TAB 600MG GENERIC 1 XOXCARBAZEPIN SUS 300MG/5M GENERIC 1 XPOTIGA TAB 50MG BRAND 3 PA, QL 3/DAY XPOTIGA TAB 200MG BRAND 3 PA, QL 3/DAY XPOTIGA TAB 300MG BRAND 3 PA, QL 3/DAY XPOTIGA TAB 400MG BRAND 3 PA, QL 3/DAY XSABRIL TAB 500MG BRAND 3 PA XSABRIL POW 500MG BRAND 3 PA XTEGRETOL-XR TAB 100MG BRAND 3 XTIAGABINE TAB 2MG GENERIC 1 XTIAGABINE TAB 4MG GENERIC 1 XTOPIRAGEN TAB 25MG GENERIC 1 XTOPIRAGEN TAB 50MG GENERIC 1 XTOPIRAGEN TAB 100MG GENERIC 1 XTOPIRAGEN TAB 200MG GENERIC 1 XTOPIRAMATE CAP 15MG GENERIC 1 XTOPIRAMATE CAP 25MG GENERIC 1 XVALPROIC ACD CAP 250MG GENERIC 1 XVALPROIC ACD SYP 250/5ML GENERIC 1 X




OTHERS - CONTINUEDVIMPAT TAB 50MG BRAND 3 XVIMPAT TAB 100MG BRAND 3 XVIMPAT TAB 150MG BRAND 3 XVIMPAT TAB 200MG BRAND 3 XVIMPAT SOL 10MG/ML BRAND 3 XZONISAMIDE CAP 25MG GENERIC 1 XZONISAMIDE CAP 50MG GENERIC 1 XZONISAMIDE CAP 100MG GENERIC 1 X

ANTIDEPRESSANTS - DRUGS TO TREAT DEPRESSION

MONOAMINE OXIDASE INHIBITORSEMSAM DIS 6MG/24HR BRAND 3 PA, QL 1/DAY XEMSAM DIS 9MG/24HR BRAND 3 PA, QL 1/DAY XEMSAM DIS 12MG/24H BRAND 3 PA, QL 1/DAY XMARPLAN TAB 10MG BRAND 2 XPHENELZINE TAB 15MG GENERIC 1 XTRANYLCYPROM TAB 10MG GENERIC 1 X

SELECTINVE SEROTONIN REUPTAKE INHIBITORSBRINTELLIX TAB 5MG BRAND 3 PA XBRINTELLIX TAB 10MG BRAND 3 PA XBRINTELLIX TAB 20MG BRAND 3 PA XCITALOPRAM TAB 10MG GENERIC 1 QL 1/DAY XCITALOPRAM TAB 20MG GENERIC 1 QL 1/DAY XCITALOPRAM TAB 40MG GENERIC 1 QL 1/DAY XCITALOPRAM SOL 10MG/5ML GENERIC 1 XESCITALOPRAM TAB 5MG GENERIC 1 XESCITALOPRAM TAB 10MG GENERIC 1 XESCITALOPRAM TAB 20MG GENERIC 1 XESCITALOPRAM SOL 5MG/5ML GENERIC 1 XFLUOXETINE CAP 10MG GENERIC 1 XFLUOXETINE CAP 20MG GENERIC 1 XFLUOXETINE CAP 40MG GENERIC 1 X




SELECTINVE SEROTONIN REUPTAKE INHIBITORS - CONTINUEDFLUOXETINE TAB 10MG GENERIC 1 XFLUOXETINE TAB 20MG GENERIC 1 XFLUOXETINE TAB 60MG GENERIC 1 XFLUOXETINE SOL 20MG/5ML GENERIC 1 XFLUOXETINE CAP 90MG DR GENERIC 1 XFLUVOXAMINE TAB 25MG GENERIC 1 XFLUVOXAMINE TAB 50MG GENERIC 1 XFLUVOXAMINE TAB 100MG GENERIC 1 XFLUVOXAMINE CAP 100MG ER GENERIC 1 XFLUVOXAMINE CAP 150MG ER GENERIC 1 XOLANZA/FLUOX CAP 3-25MG GENERIC 1 XOLANZA/FLUOX CAP 6-25MG GENERIC 1 XOLANZA/FLUOX CAP 6-50MG GENERIC 1 XOLANZA/FLUOX CAP 12-25MG GENERIC 1 XOLANZA/FLUOX CAP 12-50MG GENERIC 1 XPAROXETIN ER TAB 12.5MG GENERIC 1 XPAROXETIN ER TAB 37.5MG GENERIC 1 XPAROXETINE TAB 10MG GENERIC 1 XPAROXETINE TAB 20MG GENERIC 1 XPAROXETINE TAB 30MG GENERIC 1 XPAROXETINE TAB 40MG GENERIC 1 XPAROXETINE TAB 25MG ER GENERIC 1 XPAXIL SUS 10MG/5ML BRAND 2 XSERTRALINE TAB 25MG GENERIC 1 XSERTRALINE TAB 50MG GENERIC 1 XSERTRALINE TAB 100MG GENERIC 1 XSERTRALINE CON 20MG/ML GENERIC 1 X

SELECTIVE SEROTOMIN AND NOREPI INHIBITORSDESVENLAFAXINE 50MG ER TAB GENERIC 1 QL 1/DAY XDESVENLAFAXINE 100MG ER TAB GENERIC 1 QL 1/DAY XDESVENLAFAX FUMAR TAB 50MG ER GENERIC 1 QL 1/DAY XDESVENLAFAX FUMAR TAB 100MG ER GENERIC 1 QL 1/DAY XDULOXETINE CAP 20MG GENERIC 1 QL 2/DAY XDULOXETINE CAP 30MG GENERIC 1 QL 1/DAY XDULOXETINE CAP 60MG GENERIC 1 QL 2/DAY X




SELECTIVE SEROTOMIN AND NOREPI INHIBITORS - CONTINUEDFETZIMA CAP 20MG BRAND 3 QL 1/DAY XFETZIMA CAP 40MG BRAND 3 QL 1/DAY XFETZIMA CAP 80MG BRAND 3 QL 1/DAY XFETZMA CAP 120MG BRAND 3 QL 1/DAY XFETZIMA CAP TITRATION BRAND 3KHEDEZLA TAB 50MG ER BRAND 3 QL 1/DAY XKHEDEZLA TAB 100MG ER BRAND 3 QL 1/DAY XPRISTIQ TAB 50MG BRAND 3 QL 1/DAY XPRISTIQ TAB 100MG BRAND 3 QL 1/DAY XVENLAFAXINE TAB 25MG GENERIC 1 XVENLAFAXINE TAB 37.5MG GENERIC 1 XVENLAFAXINE TAB 50MG GENERIC 1 XVENLAFAXINE TAB 75MG GENERIC 1 XVENLAFAXINE TAB 100MG GENERIC 1 XVENLAFAXINE CAP 37.5MG GENERIC 1 XVENLAFAXINE CAP 75MG ER GENERIC 1 QL 1/DAY XVENLAFAXINE CAP 150MG ER GENERIC 1 QL 1/DAY XVENLAFAXINE TAB 37.5 ER GENERIC 1 QL 1/DAY XVENLAFAXINE TAB 75MG ER GENERIC 1 QL 1/DAY XVENLAFAXINE TAB 150MG ER GENERIC 1 QL 1/DAY XVENLAFAXINE TAB 225MG ER GENERIC 1 QL 1/DAY X

TRYCYCLICSAMITRIPTYLIN TAB 10MG GENERIC 1 XAMITRIPTYLIN TAB 25MG GENERIC 1 XAMITRIPTYLIN TAB 50MG GENERIC 1 XAMITRIPTYLIN TAB 75MG GENERIC 1 XAMITRIPTYLIN TAB 100MG GENERIC 1 XAMITRIPTYLIN TAB 150MG GENERIC 1 XAMOXAPINE TAB 25MG GENERIC 1 XAMOXAPINE TAB 50MG GENERIC 1 XAMOXAPINE TAB 100MG GENERIC 1 XAMOXAPINE TAB 150MG GENERIC 1 XCLOMIPRAMINE CAP 25MG GENERIC 1 XCLOMIPRAMINE CAP 50MG GENERIC 1 XCLOMIPRAMINE CAP 75MG GENERIC 1 X




TRYCYCLICS - CONTINUEDDESIPRAMINE TAB 10MG GENERIC 1 XDESIPRAMINE TAB 25MG GENERIC 1 XDESIPRAMINE TAB 50MG GENERIC 1 XDESIPRAMINE TAB 75MG GENERIC 1 XDESIPRAMINE TAB 100MG GENERIC 1 XDESIPRAMINE TAB 150MG GENERIC 1 XDOXEPIN HCL CAP 10MG GENERIC 1 XDOXEPIN HCL CAP 25MG GENERIC 1 XDOXEPIN HCL CAP 50MG GENERIC 1 XDOXEPIN HCL CAP 75MG GENERIC 1 XDOXEPIN HCL CAP 100MG GENERIC 1 XDOXEPIN HCL CAP 150MG GENERIC 1 XDOXEPIN HCL CON 10MG/ML GENERIC 1 XIMIPRAM HCL TAB 10MG GENERIC 1 XIMIPRAM HCL TAB 25MG GENERIC 1 XIMIPRAM HCL TAB 50MG GENERIC 1 XIMIPRAM PAM CAP 75MG GENERIC 1 XIMIPRAM PAM CAP 100MG GENERIC 1 XIMIPRAM PAM CAP 125MG GENERIC 1 XIMIPRAM PAM CAP 150MG GENERIC 1 XMAPROTILINE TAB 25MG GENERIC 1 XMAPROTILINE TAB 50MG GENERIC 1 XMAPROTILINE TAB 75MG GENERIC 1 XNORTRIPTYLIN CAP 10MG GENERIC 1 XNORTRIPTYLIN CAP 25MG GENERIC 1 XNORTRIPTYLIN CAP 50MG GENERIC 1 XNORTRIPTYLIN CAP 75MG GENERIC 1 XNORTRIPTYLIN SOL 10MG/5ML GENERIC 1 XPROTRIPTYLIN TAB 5MG GENERIC 1 XPROTRIPTYLIN TAB 10MG GENERIC 1 XTRIMIPRAMINE CAP 25MG GENERIC 1 XTRIMIPRAMINE CAP 50MG GENERIC 1 XTRIMIPRAMINE CAP 100MG GENERIC 1 X




TRYCYCLICS COMBO AGENTSCDP/AMITRIP TAB 5-12.5MG GENERIC 1 XCDP/AMITRIP TAB 10-25MG GENERIC 1 XPERPHEN/AMIT TAB 2-10MG GENERIC 1 XPERPHEN/AMIT TAB 2-25MG GENERIC 1 XPERPHEN/AMIT TAB 4-10MG GENERIC 1 XPERPHEN/AMIT TAB 4-25MG GENERIC 1 XPERPHEN/AMIT TAB 4-50MG GENERIC 1 X

OTHERSBUDEPRION TAB 100MG SR GENERIC 1 QL 2/DAY XBUDEPRION TAB 150MG SR GENERIC 1 QL 2/DAY XBUDEPRION XL TAB 150MG GENERIC 1 QL 1/DAY XBUDEPRION XL TAB 300MG GENERIC 1 QL 1/DAY XBUPROPION TAB 75MG GENERIC 1 XBUPROPION TAB 100MG GENERIC 1 XBUPROPION TAB 200MG SR GENERIC 1 QL 2/DAY XMIRTAZAPINE TAB 7.5MG GENERIC 1 XMIRTAZAPINE TAB 15MG GENERIC 1 XMIRTAZAPINE TAB 30MG GENERIC 1 XMIRTAZAPINE TAB 45MG GENERIC 1 XMIRTAZAPINE TAB 15MG ODT GENERIC 1 XMIRTAZAPINE TAB 30MG ODT GENERIC 1 XMIRTAZAPINE TAB 45MG ODT GENERIC 1 XNEFAZODONE TAB 50MG GENERIC 1 XNEFAZODONE TAB 100MG GENERIC 1 XNEFAZODONE TAB 150MG GENERIC 1 XNEFAZODONE TAB 200MG GENERIC 1 XNEFAZODONE TAB 250MG GENERIC 1 XTRAZODONE TAB 50MG GENERIC 1 XTRAZODONE TAB 100MG GENERIC 1 XTRAZODONE TAB 150MG GENERIC 1 XTRAZODONE TAB 300MG GENERIC 1 XVIIBRYD TAB 10MG BRAND 3 ST, QL 1/DAY XVIIBRYD TAB 20MG BRAND 3 ST, QL 1/DAY XVIIBRYD TAB 40MG BRAND 3 ST, QL 1/DAY XVIIBRYD KIT BRAND 3 ST, QL 1/DAY




ANTIDOTES

ANTIDOTESACETYLCYST SOL 10% GENERIC 1 ACETYLCYST SOL 20% GENERIC 1 CA-DTPA SOL 1000MG GENERIC 1 CHEMET CAP 100MG BRAND 3 CUPRIMINE CAP 250MG BRAND 2 DEPEN TITRA TAB 250MG BRAND 3 EXJADE TAB 125MG BRAND 4 PAEXJADE TAB 250MG BRAND 4 PAEXJADE TAB 500MG BRAND 4 PAFERRIPROX TAB 500MG BRAND 4 PAKIONEX POW USP GENERIC 1 LEUCOVOR CA TAB 5MG GENERIC 1 LEUCOVOR CA TAB 10MG GENERIC 1 LEUCOVOR CA TAB 15MG GENERIC 1 LEUCOVOR CA TAB 25MG GENERIC 1 N-ACETYL-L- CAP CYSTEINE GENERIC 1 PROTAMINE SU SOL 10MG/ML GENERIC 4 SPS SUS 15GM/60 GENERIC 1 SYPRINE CAP 250MG BRAND 2 VORAXAZE INJ 1000UNIT BRAND 4 ZN-DTPA SOL 1000MG GENERIC 1

ANTIGOUT AGENTS - DRUGS TO TREAT GOUT

ANTIGOUT AGENTSALLOPURINOL TAB 100MG GENERIC 1 XALLOPURINOL TAB 300MG GENERIC 1 XCOLCRYS TAB 0.6MG BRAND 2 KRYSTEXXA INJ 8MG/ML BRAND 4 PA PROBENECID TAB 500MG GENERIC 1 XPROBEN/COLCH TAB 500-0.5 GENERIC 1 XULORIC TAB 40MG BRAND 3 PA XULORIC TAB 80MG BRAND 3 PA X




ANTIHEMORRHAGIC AGENTS - DRUGS TO PREVENT BLEEDING

ANTIHEMORRHAGIC AGENTSAMINOCAPR AC TAB 500MG GENERIC 1AMINOCAPR AC TAB 1000MG GENERIC 1AMINOCAPR AC SYP 25% GENERIC 1TRANEX ACID TAB 650MG GENERIC 1TRANEXAMIC INJ ACID GENERIC 4

ANTIHISTAMINE

FIRST GENERATIONALI-FLEX TAB 50-500MG GENERIC 1ALPAIN TAB GENERIC 1DOLOGESIC TAB 30-500MG GENERIC 1RESPA-BR TAB 11MG GENERIC 1RHINOFLEX TAB 50-650MG GENERIC 1ZFLEX TAB GENERIC 1ZGESIC TAB 66-600MG GENERIC 1

SECOND GENERATIONCLARINEX SYP 0.5MG/ML BRAND 3 CLARINEX-D TAB 2.5-120 BRAND 3 CLARINEX-D TAB 5-240MG BRAND 3 DESLORATADIN TAB 5MG GENERIC 1 QL 1/DAYDESLORATADIN TAB 2.5 ODT GENERIC 1 DESLORATADIN TAB 5MG ODT GENERIC 1 FEXOFENADINE TAB 60MG GENERIC 1 FEXOFENADINE/ PSEUDOEPHEDRINE 60 - 120MG SR GENERIC 1FEXOFENADINE/ PSEUDOEPHEDRINE 180-240MG SR GENERIC 1LEVOCETIRIZI TAB 5MG GENERIC 1 QL 1/DAYLEVOCETIRIZI SOL 2.5/5ML GENERIC 1 PSEUDOEPHEDRINE 30MG GENERIC 1




SECOND GENERATION - CONTINUEDPSEUDOEPHEDRINE 60MG GENERIC 1PSEUDOEPHEDRINE 120MG ER TABS GENERIC 1PSEUDOEPHEDRINE 15MG/5ML GENERIC 1PSEUDOEPHEDRINE 30MG/5ML GENERIC 1

OTHERSARBINOXA TAB 4MG GENERIC 1ARBINOXA LIQ 4MG/5ML GENERIC 1BROMPHENIRAM CHW 12MG GENERIC 1CLEMASTINE TAB 2.68MG GENERIC 1CLEMASTINE SYP 0.5/5ML GENERIC 1CYPROHEPTAD TAB 4MG GENERIC 1CYPROHEPTAD SYP 2MG/5ML GENERIC 1DEXCHLORPHEN SYP 2MG/5ML GENERIC 1DIPHENHYDRAM CAP 50MG GENERIC 1DIPHENHYDRAM INJ 50MG/ML GENERIC 1DIPHENHYDRAM ELX 12.5/5ML GENERIC 1DYTUSS SYP 12.5/5ML GENERIC 1ENTRE-B SUS 6-10MG/5 GENERIC 1PROTID TAB CR GENERIC 1RESCON-JR TAB GENERIC 1

ANTI-INFECTIVE AGENTS - DRUGS TO TREAT INFECTIONS

ANTHELMINTICSALBENZA TAB 200MG BRAND 2BILTRICIDE TAB 600MG BRAND 2PIN-X SUS 50MG/ML GENERIC 1SKLICE LOT 0.5% BRAND 3STROMECTOL TAB 3MG BRAND 2




ANTIFUNGALSABELCET INJ 5MG/ML BRAND 4 CANCIDAS INJ 50MG BRAND 4 PACANCIDAS INJ 70MG BRAND 4 PAERAXIS INJ 100MG BRAND 4 PAFLUCONAZOLE TAB 50MG GENERIC 1 FLUCONAZOLE TAB 100MG GENERIC 1 FLUCONAZOLE TAB 150MG GENERIC 1 FLUCONAZOLE TAB 200MG GENERIC 1 FLUCONAZOLE SUS 10MG/ML GENERIC 1 FLUCONAZOLE SUS 40MG/ML GENERIC 1 FLUCYTOSINE CAP 250MG GENERIC 1 FLUCYTOSINE CAP 500MG GENERIC 1 GRISEOFULVIN TAB MICR 500 GENERIC 1 GRISEOFULVIN SUS 125/5ML GENERIC 1 GRISEOFULVIN TAB ULTR 125 GENERIC 1GRISEOFULVIN TAB ULTR 250 GENERIC 1 ITRACONAZOLE CAP 100MG GENERIC 1 KETOCONAZOLE TAB 200MG GENERIC 1 LAMISIL GRA 125MG BRAND 2 QL 1/DAYLAMISIL GRA 187.5MG BRAND 2 QL 1/DAYMYCAMINE INJ 50MG BRAND 4 PAMYCAMINE INJ 100MG BRAND 4 PANOXAFIL INJ 300MG/16.7ML BRAND 4 PANOXAFIL SUS 40MG/ML BRAND 3 PANOXAFIL TAB 100MG BRAND 3 PA XNYSTATIN TAB 500000 GENERIC 1 NYSTATIN SUS 100000 GENERIC 1 SPORANOX SOL 10MG/ML BRAND 2 TERBINAFINE TAB 250MG GENERIC 1 QL 84DAYS/6MONTHSVORICONAZOLE SUS 40MG/ML GENERIC 1VORICONAZOLE TAB 50MG GENERIC 1 VORICONAZOLE TAB 200MG GENERIC 1




ANTITUBERCULOSISCAPASTAT SUL INJ 1GM BRAND 4CYCLOSERINE CAP 250MG GENERIC 1DAPSONE TAB 25MG GENERIC 1 XDAPSONE TAB 100MG GENERIC 1 XETHAMBUTOL TAB 100MG GENERIC 1ETHAMBUTOL TAB 400MG GENERIC 1ISONARIF CAP GENERIC 1 ISONIAZID TAB 100MG GENERIC 1 XISONIAZID TAB 300MG GENERIC 1 XISONIAZID SYP 50MG/5ML GENERIC 1 XPASER GRA 4GM BRAND 3PRIFTIN TAB 150MG BRAND 3PYRAZINAMIDE TAB 500MG GENERIC 1RIFABUTIN CAP 150MG GENERIC 1RIFAMPIN CAP 150MG GENERIC 1RIFAMPIN CAP 300MG GENERIC 1RIFATER TAB BRAND 3SIRTURO TAB 100MG BRAND 4 PATRECATOR TAB 250MG BRAND 3

AMEBICIDESPAROMOMYCIN CAP 250MG GENERIC 1YODOXIN TAB 210MG BRAND 2YODOXIN TAB 650MG BRAND 2

ANTIMALARIALSATOVAQ/PROGU TAB 62.5-25 GENERIC 1 ATOVAQ/PROGU TAB 250-100 GENERIC 1 CHLOROQUINE TAB 250MG GENERIC 1 QL 84/60DAYSCHLOROQUINE TAB 500MG GENERIC 1 COARTEM TAB 20-120MG BRAND 2 DARAPRIM TAB 25MG BRAND 2 HYDROXYCHLOR TAB 200MG GENERIC 1 MEFLOQUINE TAB 250MG GENERIC 1 PRIMAQUINE TAB 26.3MG GENERIC 1 QUALAQUIN CAP 324MG GENERIC 1




ANTIPROTOZOALSALINIA TAB 500MG BRAND 2 QL 6/FILLALINIA SUS 100MG/5M BRAND 2 QL 150ML/FILLATOVAQUONE SUS 750/5ML GENERIC 1METRONIDAZOL CAP 375MG GENERIC 1 METRONIDAZOL TAB 250MG GENERIC 1 METRONIDAZOL TAB 500MG GENERIC 1 NEBUPENT INH 300MG BRAND 3 NEUTREXIN INJ 25MG BRAND 4 TINIDAZOLE TAB 250MG GENERIC 1 TINIDAZOLE TAB 500MG GENERIC 1

OTHERSTYGACIL INJ 50MG BRAND 4 PA

URINARY TRACTHYOPHEN TAB GENERIC 1MACRODANTIN CAP 25MG BRAND 3METHENAM HIP TAB 1GM GENERIC 1METHENAM MAN TAB 500MG GENERIC 1METHENAM MAN TAB 1GM GENERIC 1MONUROL PAK GRANULES BRAND 3NITROFUR MAC CAP 50MG GENERIC 1NITROFUR MAC CAP 100MG GENERIC 1NITROFURANTN SUS 25MG/5ML GENERIC 1PHOSPHASAL TAB GENERIC 1PRIMSOL SOL 50MG/5ML BRAND 3TRIMETHOPRIM TAB 100MG GENERIC 1USTELL CAP GENERIC 1

VAGINAL ANTIBACTERIALSCLEOCIN SUP 100MG BRAND 2METRONIDAZOL GEL 0.75%VAG GENERIC 1




VAGINAL ANTIFUNGALSGYNAZOLE-1 CRE 2% BRAND 2MICONAZOLE 3 SUP 200MG GENERIC 1NYSTATIN VAG TAB 100000 GENERIC 1TERCONAZOLE SUP 80MG GENERIC 1TERCONAZOLE CRE 0.4% GENERIC 1TERCONAZOLE CRE 0.8% GENERIC 1

VAGINAL OTHERSACID JELLY GEL VAG/APPL GENERIC 1AVC CRE 15% BRAND 2

ANTIMIGRAINE AGENTS - DRUGS TO TREAT MIGRAINE HEADACHES

ABORTIVEANOLOR 300 CAP GENERIC 1 AXERT TAB 6.25MG BRAND 3 ST, QL 12/30DAYSAXERT TAB 12.5MG BRAND 3 ST, QL 12/30DAYSBUPAP TAB 50-650MG GENERIC 1 BUT/APAP/CAF TAB GENERIC 1 BUTAL/APAP TAB 50-325MG GENERIC 1 CAFERGOT TAB 1-100MG BRAND 2 QL 1/DAYDIHYDROERGOT INJ 1MG/ML GENERIC 1 QL 1 PKG/30DAYSDIHYDROERGOT SPR 4MG/ML GENERIC 1 QL 1 PKG/30DAYSERGOLOID MES TAB 1MG ORAL GENERIC 1 ERGOMAR SUB 2MG BRAND 2 FROVA TAB 2.5MG BRAND 3 ST, QL 9/30DAYSMIGERGOT SUP 2/100 BRAND 2 NARATRIPTAN TAB 1MG GENERIC 1 QL 9/30DAYSNARATRIPTAN TAB 2.5MG GENERIC 1 QL 9/30DAYSRELPAX TAB 20MG BRAND 3 ST, QL 9/30DAYSRELPAX TAB 40MG BRAND 3 ST, QL 9/30DAYSRIZATRIPTAN TAB 5MG GENERIC 1 QL 9/30DAYSRIZATRIPTAN TAB 10MG GENERIC 1 QL 9/30DAYSRIZATRIPTAN TAB 5MG GENERIC 1 QL 9/30DAYS




ABORTIVE - CONTINUEDRIZATRIPTAN TAB 10MG GENERIC 1 QL 9/30DAYSSUMATRIPTAN SPR 5MG/ACT GENERIC 1 QL 6/30DAYSSUMATRIPTAN SPR 20MG/ACT GENERIC 1 QL 6/30DAYSSUMATRIPTAN TAB 25MG GENERIC 1 QL 9/30DAYSSUMATRIPTAN TAB 50MG GENERIC 1 QL 9/30DAYSSUMATRIPTAN TAB 100MG GENERIC 1 QL 9/30DAYSSUMATRIPTAN INJ 4MG/0.5 GENERIC 1 QL 3 PKG/30DAYSSUMATRIPTAN INJ 6MG/0.5 GENERIC 1 QL 3 PKG/30DAYSTREXIMET TAB 85-500MG BRAND 3 ST, QL 9/30DAYSZEBUTAL CAP GENERIC 1 ZOLMITRIPTAN TAB 2.5MG GENERIC 1 QL 12/30DAYSZOLMITRIPTAN TAB 5MG GENERIC 1 QL 12/30DAYSZOLMITRIPTAN ODT TAB 2.5 MG GENERIC 1 QL 12/30DAYSZOLMITRIPTAN ODT TAB 5MG GENERIC 1 QL 12/30DAYSZOMIG SPR 2.5MG BRAND 3 ST, QL 12/30DAYSZOMIG SPR 5MG BRAND 3 ST, QL 12/30DAYS

ANTINEOPLASTIC AGENTS

ANTINEOPLASTIC AGENTSABRAXANE INJ 100MG BRAND 4 PAADCETRIS INJ 50MG BRAND 4 PAADRIAMYCIN INJ 2MG/ML GENERIC 4 AFINITOR DIS TAB 2MG BRAND 4 PAAFINITOR DIS TAB 3MG BRAND 4 PAAFINITOR DIS TAB 5MG BRAND 4 PAAFINITOR TAB 2.5MG BRAND 4 PA, QL 1/DAYAFINITOR TAB 5MG BRAND 4 PA, QL 2/DAYAFINITOR TAB 7.5MG BRAND 4 PA, QL 1/DAYAFINITOR TAB 10MG BRAND 4 PA, QL 1/DAYALFERON N INJ 5MU/ML BRAND 4 PAALIMTA INJ 100MG BRAND 4 PAALKERAN TAB 2MG BRAND 4 PAALKERAN INJ 50MG GENERIC 4 PA




ANTINEOPLASTIC AGENTS - CONTINUEDANASTROZOLE TAB 1MG GENERIC 1 XARRANON INJ 5MG/ML BRAND 4 PAARZERRA CON 100/5ML BRAND 4 PAAVASTIN INJ BRAND 4 PAAZACITIDINE INJ 100MG GENERIC 4 PABEXXAR CON 14MG/ML BRAND 4 PABICALUTAMIDE TAB 50MG GENERIC 1 BOSULIF TAB 100MG BRAND 4 PA, QL 1/DAYBOSULIF TAB 500MG BRAND 4 PA, QL 1/DAYBUSULFEX INJ 6MG/ML BRAND 4 PACAMPATH INJ 30MG/ML BRAND 4 PACAPECITABINE TAB 150MG GENERIC 4 PACAPECITABINE TAB 500MG GENERIC 4 PACAPRELSA TAB 100MG BRAND 4 PA, QL 1/DAYCAPRELSA TAB 300MG BRAND 4 PA, QL 1/DAYCOMETRIQ KIT 60MG BRAND 4 PACOMETRIQ KIT 100MG BRAND 4 PACOMETRIQ KIT 140MG BRAND 4 PACYCLOPHOSPH TAB 25MG GENERIC 1 CYCLOPHOSPH TAB 50MG GENERIC 1 DECITABINE INJ 50MG GENERIC 4 PADOCETAXEL INJ 20MG/ML GENERIC 4 PADOXORUBICIN INJ 2MG/ML GENERIC 4 DROXIA CAP 200MG BRAND 2 XDROXIA CAP 300MG BRAND 2 XDROXIA CAP 400MG BRAND 2 XELIGARD INJ 7.5MG BRAND 4 PA, QL 1/30DAYSELIGARD INJ 22.5MG BRAND 4 PA, QL 1/90DAYSELIGARD INJ 30MG BRAND 4 PA, QL 1/4MONTHSELIGARD INJ 45MG BRAND 4 PA, QL 1/6MONTHSELSPAR INJ 10000UNT BRAND 4 PAEMCYT CAP 140MG BRAND 4 ERBITUX INJ 100MG BRAND 4 PAERIVEDGE CAP 150MG BRAND 4 PAETOPOPHOS INJ 100MG BRAND 4 ETOPOSIDE CAP 50MG GENERIC 1




ANTINEOPLASTIC AGENTS - CONTINUEDEXEMESTANE TAB 25MG GENERIC 1 FARESTON TAB 60MG BRAND 4 FASLODEX INJ 250MG BRAND 4 PAFIRMAGON INJ 80MG GENERIC 4 PA, QL 2/YRFIRMAGON INJ 120MG GENERIC 4 PA, QL 1/28DAYSFLUTAMIDE CAP 125MG GENERIC 1 GILOTRIF TAB 20MG BRAND 4 PAGILOTRIF TAB 30MG BRAND 4 PAGILOTRIF TAB 40MG BRAND 4 PAGLEEVEC TAB 100MG BRAND 4 PA, QL 1/DAYGLEEVEC TAB 400MG BRAND 4 PA, QL 1/DAYHALAVEN INJ 1MG/2ML BRAND 4 PAHERCEPTIN INJ 440MG BRAND 4 PAHEXALEN CAP 50MG BRAND 4 HYCAMTIN CAP 0.25MG BRAND 4 PAHYCAMTIN CAP 1MG BRAND 4 PAHYCAMTIN INJ 4MG GENERIC 4 PAHYDROXYUREA CAP 500MG GENERIC 1 ICLUSIG TAB 15MG BRAND 4 PA, QL 3/DAYICLUSIG TAB 45MG BRAND 4 PAIMBRUVICA CAP 140MG BRAND 4 PAINLYTA TAB 1MG BRAND 4 PA, QL 1/DAYINLYTA TAB 5MG BRAND 4 PA, QL 1/DAYINTRON-A INJ 25MU BRAND 4 PAINTRON-A INJ 10MU BRAND 4 PAINTRON-A INJ 50MU BRAND 4 PAIRESSA TAB 250MG BRAND 4 PA, QL 1/DAYIRINOTECAN INJ 40MG/2ML GENERIC 4 PAJAKAFI TAB 5MG BRAND 4 PAJAKAFI TAB 10MG BRAND 4 PAJAKAFI TAB 15MG BRAND 4 PAJAKAFI TAB 20MG BRAND 4 PAJAKAFI TAB 25MG BRAND 4 PAJEVTANA INJ 60/1.5ML BRAND 4 PAKADCYLA INJ 160MG BRAND 4 PA




ANTINEOPLASTIC AGENTS - CONTINUEDLETROZOLE TAB 2.5MG GENERIC 1 XLEUKERAN TAB 2MG BRAND 4 LEUPROLIDE INJ 1MG/0.2 GENERIC 4 QL 1/28DAYSLOMUSTINE CAP 10MG GENERIC 4LOMUSTINE CAP 40MG GENERIC 4LOMUSTINE CAP 100MG GENERIC 4LUPANETA KIT 3.75-5 BRAND 4 PALUPANETA KIT 11.25-5 BRAND 4 PALUPR DEP-PED INJ 11.25MG BRAND 4 PA, QL 1/28DAYSLUPR DEP-PED INJ 15MG BRAND 4 PA, QL 1/28DAYSLUPRON DEPOT INJ 3.75MG BRAND 4 PA, QL 1/28DAYSLUPRON DEPOT INJ 7.5MG BRAND 4 PA, QL 1/28DAYSLUPRON DEPOT INJ 11.25MG BRAND 4 PA, QL 1/90DAYSLUPRON DEPOT INJ 22.5MG BRAND 4 PA, QL 1/90DAYSLUPRON DEPOT INJ 30MG BRAND 4 PA, QL 1/6MONTHSLUPRON DEPOT INJ 45MG BRAND 4 PA, QL 1/6MONTHSLYSODREN TAB 500MG BRAND 4 MATULANE CAP 50MG BRAND 4 PAMEGESTROL AC TAB 20MG GENERIC 1 MEGESTROL AC TAB 40MG GENERIC 1 MEGESTROL AC SUS 40MG/ML GENERIC 1 MEKINIST TAB 0.5MG BRAND 4 PAMEKINIST TAB 2MG BRAND 4 PAMERCAPTOPUR TAB 50MG GENERIC 1 METHOTREXATE TAB 2.5MG GENERIC 1 METHOTREXATE INJ 1GM GENERIC 1 MITOXANTRON INJ 2MG/ML GENERIC 4 MYLERAN TAB 2MG BRAND 4 PANEXAVAR TAB 200MG BRAND 4 PA, QL 4/DAYNILANDRON TAB 150MG BRAND 4 ONTAK INJ 150/ML BRAND 4 PAPERJETA INJ 420/14ML BRAND 4 PAPOMALYST CAP 1MG BRAND 4 PA, QL 1/DAYPOMALYST CAP 2MG BRAND 4 PA, QL 1/DAYPOMALYST CAP 3MG BRAND 4 PA, QL 1/DAYPOMALYST CAP 4MG BRAND 4 PA, QL 1/DAY




ANTINEOPLASTIC AGENTS - CONTINUEDPROLEUKIN INJ 22MU BRAND 4 PAREVLIMID CAP 2.5MG BRAND 4 PAREVLIMID CAP 5MG BRAND 4 PAREVLIMID CAP 10MG BRAND 4 PAREVLIMID CAP 15MG BRAND 4 PAREVLIMID CAP 25MG BRAND 4 PARHEUMATREX TAB 2.5MG BRAND 3 RITUXAN INJ 100MG BRAND 4 PASOLTAMOX SOL 10MG/5ML BRAND 5 SPRYCEL TAB 20MG BRAND 4 PASPRYCEL TAB 50MG BRAND 4 PASPRYCEL TAB 70MG BRAND 4 PASPRYCEL TAB 80MG BRAND 4 PASPRYCEL TAB 100MG BRAND 4 PASPRYCEL TAB 140MG BRAND 4 PASTIVARGA TAB 40MG BRAND 4 PASUPPRELIN LA KIT 50MG BRAND 4 PA, QL 1/YRSUTENT CAP 12.5MG BRAND 4 PA, QL 1/DAYSUTENT CAP 25MG BRAND 4 PA, QL 1/DAYSUTENT CAP 37.5MG BRAND 4 PA, QL 1/DAYSUTENT CAP 50MG BRAND 4 PA, QL 1/DAYSYLATRON KIT 296MCG BRAND 4 PASYLATRON KIT 444MCG BRAND 4 PASYLATRON KIT 888MCG BRAND 4 PASYNRIBO INJ 3.5MG BRAND 4 PATABLOID TAB 40MG BRAND 4 TAFINLAR CAP 50MG BRAND 4 PATAFINLAR CAP 75MG BRAND 4 PATAMOXIFEN TAB 10MG GENERIC 5 XTAMOXIFEN TAB 20MG GENERIC 5 XTARCEVA TAB 25MG BRAND 4 PA, QL 1/DAYTARCEVA TAB 100MG BRAND 4 PA, QL 1/DAYTARCEVA TAB 150MG BRAND 4 PA, QL 1/DAYTARGRETIN CAP 75MG BRAND 4 PATASIGNA CAP 150MG BRAND 4 PATASIGNA CAP 200MG BRAND 4 PATAXOTERE INJ 20/0.5ML BRAND 4 PA




ANTINEOPLASTIC AGENTS - CONTINUEDTEMODAR INJ 100MG BRAND 4 PATEMOZOLOMIDE 5MG GENERIC 4 PATEMOZOLOMIDE 20MG GENERIC 4 PATEMOZOLOMIDE 100MG GENERIC 4 PATEMOZOLOMIDE 140MG GENERIC 4 PATEMOZOLOMIDE 180MG GENERIC 4 PATEMOZOLOMIDE 250MG GENERIC 4 PATORISEL SOL 25MG/ML BRAND 4 PATRELSTAR DEP INJ 3.75MG BRAND 4 PA, QL 1/28DAYSTRELSTAR LA INJ 11.25MG BRAND 4 PA, QL 1/90DAYSTREXALL TAB 5MG BRAND 3 TREXALL TAB 7.5MG BRAND 3 TREXALL TAB 10MG BRAND 3 TREXALL TAB 15MG BRAND 3 TYKERB TAB 250MG BRAND 4 PA, QL 5/DAYVANTAS KIT 50MG BRAND 4 PA, QL 1/DAYVECTIBIX INJ 100MG BRAND 4 PAVELCADE INJ 3.5MG BRAND 4 PAVOTRIENT TAB 200MG BRAND 4 PA, QL 4/DAYXALKORI CAP 200MG BRAND 4 PA, QL 1/DAYXALKORI CAP 250MG BRAND 4 PA, QL 1/DAYXTANDI CAP 40MG BRAND 4 PA, QL 4/DAYYERVOY INJ 50MG BRAND 4 PAZANOSAR INJ 1GM BRAND 4 ZELBORAF TAB 240MG BRAND 4 PAZOLINZA CAP 100MG BRAND 4 PAZYTIGA TAB 250MG BRAND 4 PA, QL 4/DAY

ANTIPARKINSON AGENTS

ANTIPARKINSON AGENTSAMANTADINE CAP 100MG GENERIC 1 XAMANTADINE TAB 100MG GENERIC 1 XAMANTADINE SYP 50MG/5ML GENERIC 1 XAPOKYN INJ BRAND 4 PA




ANTIPARKINSON AGENTS - CONTINUED AZILECT TAB 0.5MG BRAND 3 PA, QL 1/DAY XAZILECT TAB 1MG BRAND 3 PA, QL 1/DAY XBENZTROPINE TAB 0.5MG GENERIC 1 XBENZTROPINE TAB 1MG GENERIC 1 XBENZTROPINE TAB 2MG GENERIC 1 XBROMOCRIPTIN CAP 5MG GENERIC 1 XBROMOCRIPTIN TAB 2.5MG GENERIC 1 XCARBIDOPA TAB 25MG GENERIC 1 XCARB/LEVO TAB 10-100MG GENERIC 1 XCARB/LEVO TAB 25-100MG GENERIC 1 XCARB/LEVO TAB 25-250MG GENERIC 1 XCARB/LEVO TAB 10-100MG GENERIC 1 XCARB/LEVO TAB 25-100MG GENERIC 1 XCARB/LEVO TAB 25-250MG GENERIC 1 XCARB/LEVO 50 TAB /ENTACAP GENERIC 1 XCARB/LEVO 75 TAB /ENTACAP GENERIC 1 XCARB/LEVO100 TAB /ENTACAP GENERIC 1 XCARB/LEVO125 TAB /ENTACAP GENERIC 1 XCARB/LEVO150 TAB /ENTACAP GENERIC 1 XCARB/LEVO200 TAB /ENTACAP GENERIC 1 XENTACAPONE TAB 200MG GENERIC 1 XMIRAPEX ER TAB 0.375MG BRAND 3 QL 1/DAY XMIRAPEX ER TAB 0.75MG BRAND 3 QL 1/DAY XMIRAPEX ER TAB 1.5MG BRAND 3 QL 1/DAY XMIRAPEX ER TAB 2.25MG BRAND 3 QL 1/DAY XMIRAPEX ER TAB 3MG BRAND 3 QL 1/DAY XMIRAPEX ER TAB 3.75MG BRAND 3 QL 1/DAY XMIRAPEX ER TAB 4.5MG BRAND 3 QL 1/DAY XNEUPRO DIS 1MG BRAND 3 XNEUPRO DIS 2MG BRAND 3 XNEUPRO DIS 3MG BRAND 3 XNEUPRO DIS 4MG BRAND 3 XNEUPRO DIS 6MG BRAND 3 XNEUPRO DIS 8MG/24HR BRAND 3 XPRAMIPEXOLE TAB 0.125MG GENERIC 1 QL 3/DAY X




ANTIPARKINSON AGENTS - CONTINUEDPRAMIPEXOLE TAB 0.25MG GENERIC 1 QL 3/DAY XPRAMIPEXOLE TAB 0.5MG GENERIC 1 QL 3/DAY XPRAMIPEXOLE TAB 0.75MG GENERIC 1 QL 3/DAY XPRAMIPEXOLE TAB 1MG GENERIC 1 QL 3/DAY XPRAMIPEXOLE TAB 1.5MG GENERIC 1 QL 3/DAY XROPINIROLE TAB 0.25MG GENERIC 1 XROPINIROLE TAB 0.5MG GENERIC 1 XROPINIROLE TAB 1MG GENERIC 1 XROPINIROLE TAB 2MG GENERIC 1 XROPINIROLE TAB 3MG GENERIC 1 XROPINIROLE TAB 4MG GENERIC 1 XROPINIROLE TAB 5MG GENERIC 1 XROPINIROLE TAB 2MG ER GENERIC 1 XROPINIROLE TAB 4MG ER GENERIC 1 XROPINIROLE TAB 6MG ER GENERIC 1 XROPINIROLE TAB 8MG ER GENERIC 1 XROPINIROLE TAB 12MG ER GENERIC 1 XSELEGILINE CAP 5MG GENERIC 1 XSELEGILINE TAB 5MG GENERIC 1 XTASMAR TAB 100MG BRAND 3 QL 3/DAY XTRIHEXYPHEN TAB 2MG GENERIC 1 XTRIHEXYPHEN TAB 5MG GENERIC 1 XTRIHEXYPHEN ELX 0.4MG/ML GENERIC 1 X

ANTIPLATELET AGENTS

ANTIPLATELET AGENTSAGGRENOX CAP 25-200MG BRAND 2 XBRILINTA TAB 90MG BRAND 3 XCILOSTAZOL TAB 50MG GENERIC 1 XCILOSTAZOL TAB 100MG GENERIC 1 XCLOPIDOGREL TAB 75MG GENERIC 1 XCLOPIDOGREL TAB 300MG GENERIC 1 XDIPYRIDAMOLE TAB 25MG GENERIC 1 XDIPYRIDAMOLE TAB 50MG GENERIC 1 X




ANTIPLATELET AGENTS - CONTINUEDDIPYRIDAMOLE TAB 75MG GENERIC 1 XEFFIENT TAB 5MG BRAND 3 XEFFIENT TAB 10MG BRAND 3 XPENTOXIFYLLI TAB 400MG ER GENERIC 1 XTICLOPIDINE TAB 250MG GENERIC 1 X

ANTIPSYCHOTICS

ATYPICALSABILIFY DISC TAB 10MG BRAND 3 ST, QL 2/DAY XABILIFY DISC TAB 15MG BRAND 3 ST, QL 2/DAY XABILIFY TAB 2MG BRAND 3 ST, QL 1/DAY XABILIFY TAB 5MG BRAND 3 ST, QL 1/DAY XABILIFY TAB 10MG BRAND 3 ST, QL 1/DAY XABILIFY TAB 15MG BRAND 3 ST, QL 1/DAY XABILIFY TAB 20MG BRAND 3 ST, QL 1/DAY XABILIFY TAB 30MG BRAND 3 ST, QL 1/DAY XABILIFY SOL 1MG/ML BRAND 3 ST, QL 30/DAY XCLOZAPINE TAB 25MG GENERIC 1 CLOZAPINE TAB 50MG GENERIC 1 CLOZAPINE TAB 100MG GENERIC 1 CLOZAPINE TAB 200MG GENERIC 1 CLOZAPINE TAB 12.5/ODT GENERIC 1 CLOZAPINE TAB 25MG ODT GENERIC 1 CLOZAPINE TAB 100/ODT GENERIC 1 FANAPT TAB 1MG BRAND 3 ST, QL 2/DAY FANAPT TAB 2MG BRAND 3 ST, QL 2/DAY FANAPT TAB 4MG BRAND 3 ST, QL 2/DAY FANAPT TAB 6MG BRAND 3 ST, QL 2/DAY FANAPT TAB 8MG BRAND 3 ST, QL 2/DAY FANAPT TAB 10MG BRAND 3 ST, QL 2/DAY FANAPT TAB 12MG BRAND 3 ST, QL 2/DAY FANAPT PAK BRAND 3 ST, QL 1 PAK/6MONTHSINVEGA SUST INJ 39/0.25 BRAND 3 ST INVEGA SUST INJ 78/0.5ML BRAND 3 ST INVEGA SUST INJ 117/0.75 BRAND 3 ST




ATYPICALS - CONTINUEDINVEGA SUST INJ 156MG/ML BRAND 3 ST INVEGA SUST INJ 234/1.5 BRAND 3 ST INVEGA TAB 1.5MG BRAND 3 ST, QL 1/DAY XINVEGA TAB 3MG BRAND 3 ST, QL 1/DAY XINVEGA TAB 6MG BRAND 3 ST, QL 2/DAY XINVEGA TAB 9MG BRAND 3 ST, QL 1/DAY XLATUDA TAB 20MG BRAND 3 ST, QL 1/DAY XLATUDA TAB 40MG BRAND 3 ST, QL 1/DAY XLATUDA TAB 80MG BRAND 3 ST, QL 1/DAY XLATUDA TAB 120MG BRAND 3 ST, QL 1/DAY XOLANZAPINE TAB 2.5MG GENERIC 1 QL 1/DAY XOLANZAPINE TAB 5MG GENERIC 1 QL 1/DAY XOLANZAPINE TAB 7.5MG GENERIC 1 QL 1/DAY XOLANZAPINE TAB 10MG GENERIC 1 QL 1/DAY XOLANZAPINE TAB 15MG GENERIC 1 QL 1/DAY XOLANZAPINE TAB 20MG GENERIC 1 XOLANZAPINE TAB 5MG ODT GENERIC 1 QL 2/DAY XOLANZAPINE TAB 10MG ODT GENERIC 1 QL 1/DAY XOLANZAPINE TAB 15MG ODT GENERIC 1 QL 1/DAY XOLANZAPINE TAB 20MG ODT GENERIC 1 QL 2/DAY XQUETIAPINE TAB 25MG GENERIC 1 QL 3/DAY XQUETIAPINE TAB 50MG GENERIC 1 QL 3/DAY XQUETIAPINE TAB 100MG GENERIC 1 QL 3/DAY XQUETIAPINE TAB 200MG GENERIC 1 QL 3/DAY XQUETIAPINE TAB 300MG GENERIC 1 QL 2/DAY XQUETIAPINE TAB 400MG GENERIC 1 QL 2/DAY XRISPERIDONE TAB 0.25MG GENERIC 1 XRISPERIDONE TAB 0.5MG GENERIC 1 XRISPERIDONE TAB 1MG GENERIC 1 XRISPERIDONE TAB 2MG GENERIC 1 XRISPERIDONE TAB 3MG GENERIC 1 XRISPERIDONE TAB 4MG GENERIC 1 XRISPERIDONE SOL 1MG/ML GENERIC 1 XRISPERIDONE TAB 0.25 ODT GENERIC 1 XRISPERIDONE TAB 0.5MG OD GENERIC 1 XRISPERIDONE TAB 1MG ODT GENERIC 1 X




ATYPICALS - CONTINUEDRISPERIDONE TAB 2MG ODT GENERIC 1 XRISPERIDONE TAB 3MG ODT GENERIC 1 XRISPERIDONE TAB 4MG ODT GENERIC 1 XSAPHRIS SUB 5MG BRAND 3 ST, QL 2/DAY XSAPHRIS SUB 10MG BRAND 3 ST, QL 2/DAY XSEROQUEL XR TAB 50MG BRAND 3 ST, QL 2/DAY XSEROQUEL XR TAB 150MG BRAND 3 ST, QL 1/DAY XSEROQUEL XR TAB 200MG BRAND 3 ST, QL 1/DAY XSEROQUEL XR TAB 300MG BRAND 3 ST, QL 2/DAY XSEROQUEL XR TAB 400MG BRAND 3 ST, QL 2/DAY XVERSACLOZ SUS 50MG/ML BRAND 2 STZIPRASIDONE CAP 20MG GENERIC 1 QL 2/DAY XZIPRASIDONE CAP 40MG GENERIC 1 QL 2/DAY XZIPRASIDONE CAP 60MG GENERIC 1 QL 2/DAY XZIPRASIDONE CAP 80MG GENERIC 1 QL 2/DAY X

CONVENTIONALADASUVE NH 10MG BRAND 3CHLORPROMAZ TAB 10MG GENERIC 1 XCHLORPROMAZ TAB 25MG GENERIC 1 XCHLORPROMAZ TAB 50MG GENERIC 1 XCHLORPROMAZ TAB 100MG GENERIC 1 XCHLORPROMAZ TAB 200MG GENERIC 1 XCOMPAZINE SUP 25MG GENERIC 1 XFLUPHENAZINE TAB 1MG GENERIC 1 XFLUPHENAZINE TAB 2.5MG GENERIC 1 XFLUPHENAZINE TAB 5MG GENERIC 1 XFLUPHENAZINE TAB 10MG GENERIC 1 XFLUPHENAZINE CON 5MG/ML GENERIC 1 XFLUPHENAZINE ELX 2.5/5ML GENERIC 1 XHALOPERIDOL TAB 0.5MG GENERIC 1 XHALOPERIDOL TAB 1MG GENERIC 1 XHALOPERIDOL TAB 2MG GENERIC 1 XHALOPERIDOL TAB 5MG GENERIC 1 XHALOPERIDOL TAB 10MG GENERIC 1 XHALOPERIDOL TAB 20MG GENERIC 1 X




CONVENTIONAL - CONTINUEDHALOPERIDOL CON 2MG/ML GENERIC 1 XLOXAPINE CAP 5MG GENERIC 1 XLOXAPINE CAP 10MG GENERIC 1 XLOXAPINE CAP 25MG GENERIC 1 XLOXAPINE CAP 50MG GENERIC 1 XORAP TAB 1MG BRAND 3 PA XORAP TAB 2MG BRAND 3 PA XPERPHENAZINE TAB 2MG GENERIC 1 XPERPHENAZINE TAB 4MG GENERIC 1 XPERPHENAZINE TAB 8MG GENERIC 1 XPERPHENAZINE TAB 16MG GENERIC 1 XPROCHLORPER TAB 5MG GENERIC 1 XPROCHLORPER TAB 10MG GENERIC 1 XTHIORIDAZINE TAB 10MG GENERIC 1 XTHIORIDAZINE TAB 25MG GENERIC 1 XTHIORIDAZINE TAB 50MG GENERIC 1 XTHIORIDAZINE TAB 100MG GENERIC 1 XTHIOTHIXENE CAP 1MG GENERIC 1 XTHIOTHIXENE CAP 2MG GENERIC 1 XTHIOTHIXENE CAP 5MG GENERIC 1 XTHIOTHIXENE CAP 10MG GENERIC 1 XTRIFLUOPERAZ TAB 1MG GENERIC 1 XTRIFLUOPERAZ TAB 2MG GENERIC 1 XTRIFLUOPERAZ TAB 5MG GENERIC 1 XTRIFLUOPERAZ TAB 10MG GENERIC 1 X

ANTIVIRALS

ANTIRETROVIRALSABACAVIR TAB 300MG GENERIC 1 XABACAV/LAMIV/ZIDOVUD TAB GENERIC 1 XAPTIVUS CAP 250MG BRAND 2 XAPTIVUS SOL BRAND 2 XATRIPLA TAB BRAND 2 X




ANTIRETROVIRALS - CONTINUEDCOMPLERA TAB BRAND 2 XCRIXIVAN CAP 200MG BRAND 2 XCRIXIVAN CAP 400MG BRAND 2 XDIDANOSINE CAP 125MG GENERIC 1 XDIDANOSINE CAP 200MG GENERIC 1 XDIDANOSINE CAP 250MG GENERIC 1 XDIDANOSINE CAP 400MG GENERIC 1 XEDURANT TAB 25MG BRAND 2 XEMTRIVA CAP 200MG BRAND 2 XEMTRIVA SOL 10MG/ML BRAND 2 XEPIVIR SOL 10MG/ML BRAND 2 XEPIVIR HBV SOL 5MG/ML BRAND 2 XEPZICOM TAB 600-300 BRAND 2 XFUZEON INJ 90MG BRAND 4 INTELENCE TAB 25MG BRAND 2 XINTELENCE TAB 100MG BRAND 2 XINTELENCE TAB 200MG BRAND 2 XINVIRASE CAP 200MG BRAND 2 XINVIRASE TAB 500MG BRAND 2 XISENTRESS TAB 400MG BRAND 2 XISENTRESS CHW 25MG BRAND 2 XISENTRESS CHW 100MG BRAND 2 XISENTRESS POW 100MG BRAND 2 XKALETRA TAB 100-25MG BRAND 2 XKALETRA TAB 200-50MG BRAND 2 XKALETRA SOL BRAND 2 XLAMIVUD/ZIDO TAB 150-300 GENERIC 1 XLAMIVUDINE TAB 150MG GENERIC 1 XLAMIVUDINE TAB 300MG GENERIC 1 QL 1/DAY XLEXIVA TAB 700MG BRAND 2 XLEXIVA SUS 50MG/ML BRAND 2 XNEVIRAPINE TAB 200MG GENERIC 1 XNEVIRAPINE TAB 400MG ER GENERIC 1 XNEVIRAPINE SUS 50MG/5ML GENERIC 1 XNORVIR CAP 100MG BRAND 2 XNORVIR TAB 100MG BRAND 2 X




ANTIRETROVIRALS - CONTINUEDNORVIR SOL 80MG/ML BRAND 2 XPREZISTA TAB 75MG BRAND 2 XPREZISTA TAB 150MG BRAND 2 XPREZISTA TAB 400MG BRAND 2 XPREZISTA TAB 600MG BRAND 2 XPREZISTA TAB 800MG BRAND 2 XPREZISTA SUS 100MG/ML BRAND 2 XRESCRIPTOR TAB 100 MG BRAND 2 XRESCRIPTOR TAB 200MG BRAND 2 XREYATAZ CAP 100MG BRAND 2 XREYATAZ CAP 150MG BRAND 2 XREYATAZ CAP 200MG BRAND 2 XREYATAZ CAP 300MG BRAND 2 XSELZENTRY TAB 150MG BRAND 2 XSELZENTRY TAB 300MG BRAND 2 XSTAVUDINE CAP 15MG GENERIC 1 XSTAVUDINE CAP 20MG GENERIC 1 XSTAVUDINE CAP 30MG GENERIC 1 XSTAVUDINE CAP 40MG GENERIC 1 XSTAVUDINE SOL 1MG/ML GENERIC 1 XSTRIBILD TAB BRAND 2 XSUSTIVA CAP 50MG BRAND 2 XSUSTIVA CAP 200MG BRAND 2 XSUSTIVA TAB 600MG BRAND 2 XTIVICAY TAB 50MG BRAND 2 XTRUVADA TAB 200-300 BRAND 2 XVIDEX SOL 2GM BRAND 2 XVIRACEPT TAB 250MG BRAND 2 XVIRACEPT TAB 625MG BRAND 2 XVIRAMUNE XR TAB 100MG BRAND 2 XVIREAD TAB 150MG BRAND 2 QL 1/DAY XVIREAD TAB 200MG BRAND 2 XVIREAD TAB 250MG BRAND 2 XVIREAD TAB 300MG BRAND 2 XVIREAD POW 40MG/GM BRAND 2 X




ANTIRETROVIRALS - CONTINUEDZIAGEN SOL 20MG/ML BRAND 2 XZIDOVUDINE CAP 100MG GENERIC 1 XZIDOVUDINE TAB 300MG GENERIC 1 XZIDOVUDINE SYP 50MG/5ML GENERIC 1 X

HEPATITIS C PROTEASE INHIBITORSINCIVEK TAB 375MG BRAND 4 PA, QL 6/DAYOLYSIO CAP 150MG BRAND 4 PA, QL 1/DAY, 84/LIFESOVALDI TAB 400MG BRAND 4 PA, QL 1/DAY, 84/LIFEVICTRELIS CAP 200MG BRAND 4 PA, QL 12/DAY

INTERFERONESINFERGEN INJ 15MCG BRAND 4 PAPEG-INTRON KIT 50MCG RP BRAND 4 PAPEG-INTRON KIT 80MCG BRAND 4 PAPEG-INTRON KIT 120 RP BRAND 4 PAPEG-INTRON KIT 150MCG BRAND 4 PAPEGASYS INJ 180MCG/M BRAND 4 PA, QL 4ML/28DAYSPEGASYS INJ PROCLICK BRAND 4 PA, QL 2ML/28DAYSPEGASYS INJ BRAND 4 PA, QL 2ML/28DAYS

OTHERSACYCLOVIR CAP 200MG GENERIC 1 ACYCLOVIR TAB 400MG GENERIC 1 ACYCLOVIR TAB 800MG GENERIC 1 ACYCLOVIR SUS 200/5ML GENERIC 1 ADEFOVIR 10MG TAB GENERIC 1 PA, QL 1/DAYBARACLUDE TAB 0.5MG BRAND 4 PA, QL 1/DAYBARACLUDE TAB 1MG BRAND 4 PA, QL 1/DAYBARACLUDE SOL .05MG/ML BRAND 4 PA, QL 20ML/DAYCIDOFOVIR INJ 75MG/ML GENERIC 4 FAMCICLOVIR TAB 125MG GENERIC 1 FAMCICLOVIR TAB 250MG GENERIC 1 FAMCICLOVIR TAB 500MG GENERIC 1 FOSCARNET INJ 24MG/ML GENERIC 4




OTHERS - CONTINUEDRELENZA MIS DISKHALE BRAND 2 QL 1/30DAYSRIBASPHERE CAP 200MG GENERIC 1 PA, QL 7/DAYRIBASPHERE TAB 200MG GENERIC 1 PA, QL 7/DAYRIBASPHERE TAB 400MG GENERIC 1 PARIBASPHERE TAB 600MG GENERIC 1 PARIBATAB PAK 1000/DAY GENERIC 1 PARIMANTADINE TAB 100MG GENERIC 1 SITAVIG TAB 50MG BRAND 3 QL 2/30DAYSSYNAGIS INJ 50MG BRAND 4 PATAMIFLU CAP 30MG BRAND 2 QL 40/YRTAMIFLU CAP 45MG BRAND 2 QL 20/YRTAMIFLU CAP 75MG BRAND 2 QL 20/YRTAMIFLU SUS 6MG/ML BRAND 2 QL 120ML/YRTAMIFLU SUS 12MG/ML BRAND 2 QL 240ML/YRTYZEKA TAB 600MG BRAND 4 PA, QL 1/DAYVALACYCLOVIR TAB 500MG GENERIC 1 VALACYCLOVIR TAB 1GM GENERIC 1 VALCYTE TAB 450MG BRAND 4 VALCYTE SOL 50MG/ML BRAND 4

ANXIOLYTICS - DRUGS TO TREAT ANXIETY

ANXIOLYTICSALPRAZOLAM TAB 0.25MG GENERIC 1 ALPRAZOLAM TAB 0.5MG GENERIC 1 ALPRAZOLAM TAB 1MG GENERIC 1 ALPRAZOLAM TAB 2MG GENERIC 1 ALPRAZOLAM CON 1 MG/ML BRAND 2 ALPRAZOLAM TAB 0.25 ODT GENERIC 1 ALPRAZOLAM TAB 0.5MG OD GENERIC 1 ALPRAZOLAM TAB 1MG ODT GENERIC 1 ALPRAZOLAM TAB 2MG ODT GENERIC 1 ALPRAZOLAM TAB 0.5MG ER GENERIC 1 ALPRAZOLAM TAB 1MG ER GENERIC 1 ALPRAZOLAM TAB 2MG ER GENERIC 1 ALPRAZOLAM TAB 3MG ER GENERIC 1




ANXIOLYTICS - CONTINUEDBUSPIRONE TAB 5MG GENERIC 1 BUSPIRONE TAB 7.5MG GENERIC 1 BUSPIRONE TAB 10MG GENERIC 1 BUSPIRONE TAB 15MG GENERIC 1 BUSPIRONE TAB 30MG GENERIC 1 CHLORAL HYDR SYP 500/5ML GENERIC 1 CHLORDIAZEP CAP 5MG GENERIC 1 CHLORDIAZEP CAP 10MG GENERIC 1 CHLORDIAZEP CAP 25MG GENERIC 1 CLORAZ DIPOT TAB 3.75MG GENERIC 1 QL 3/DAYCLORAZ DIPOT TAB 7.5MG GENERIC 1 QL 3/DAYCLORAZ DIPOT TAB 15MG GENERIC 1 QL 3/DAYDIAZEPAM TAB 2MG GENERIC 1 QL 3/DAYDIAZEPAM TAB 5MG GENERIC 1 QL 3/DAYDIAZEPAM TAB 10MG GENERIC 1 QL 3/DAYDIAZEPAM CON 5MG/ML BRAND 2 DIAZEPAM SOL 1MG/ML GENERIC 1 DIAZEPAM GEL 2.5MG GENERIC 1DIAZEPAM GEL 10MG GENERIC 1DIAZEPAM GEL 20MG GENERIC 1ESTAZOLAM TAB 1MG GENERIC 1 ESTAZOLAM TAB 2MG GENERIC 1 FLURAZEPAM CAP 15MG GENERIC 1 FLURAZEPAM CAP 30MG GENERIC 1 LORAZEPAM TAB 0.5MG GENERIC 1 QL 3/DAYLORAZEPAM TAB 1MG GENERIC 1 QL 3/DAYLORAZEPAM TAB 2MG GENERIC 1 QL 3/DAYLORAZEPAM CON 2MG/ML GENERIC 1 MEPROBAMATE TAB 200MG GENERIC 1 MEPROBAMATE TAB 400MG GENERIC 1 MIDAZOLAM SYP 2MG/ML GENERIC 1 OXAZEPAM CAP 10MG GENERIC 1 OXAZEPAM CAP 15MG GENERIC 1 OXAZEPAM CAP 30MG GENERIC 1




ANXIOLYTICS - CONTINUEDTEMAZEPAM CAP 7.5MG GENERIC 1 TEMAZEPAM CAP 15MG GENERIC 1 TEMAZEPAM CAP 22.5MG GENERIC 1 TEMAZEPAM CAP 30MG GENERIC 1 TRIAZOLAM TAB 0.125MG GENERIC 1 TRIAZOLAM TAB 0.25MG GENERIC 1

AUTONOMIC AGENTS

CHOLINERGIC AGENTSBETHANECHOL TAB 5MG GENERIC 1 BETHANECHOL TAB 10MG GENERIC 1 BETHANECHOL TAB 25MG GENERIC 1 BETHANECHOL TAB 50MG GENERIC 1 CEVIMELINE CAP 30MG GENERIC 1 XDONEPEZIL TAB 5MG GENERIC 1 XDONEPEZIL TAB 10MG GENERIC 1 XDONEPEZIL TAB 23MG GENERIC 1 XDONEPEZIL TAB 5MG ODT GENERIC 1 XDONEPEZIL TAB 10MG ODT GENERIC 1 XEXELON DIS 4.6MG/24 BRAND 2 QL 1/DAY XEXELON DIS 9.5MG/24 BRAND 2 QL 1/DAY XEXELON DIS 13.3/24 BRAND 2 QL 1/DAY XEXELON SOL 2MG/ML BRAND 2 XGALANTAMINE TAB 4MG GENERIC 1 XGALANTAMINE TAB 8MG GENERIC 1 XGALANTAMINE TAB 12MG GENERIC 1 XGALANTAMINE SOL 4MG/ML GENERIC 1 XGALANTAMINE CAP 8MG ER GENERIC 1 QL 1/DAY XGALANTAMINE CAP 16MG ER GENERIC 1 QL 1/DAY XGALANTAMINE CAP 24MG ER GENERIC 1 QL 1/DAY XGUANIDINE TAB 125MG GENERIC 1 MESTINON TAB TIMESPAN BRAND 2 MESTINON SYP 60MG/5ML BRAND 2




CHOLINERGIC - CONTINUEDMYTELASE TAB 10MG BRAND 3 PILOCARPINE TAB 5MG GENERIC 1 XPILOCARPINE TAB 7.5MG GENERIC 1 XPROSTIGMIN TAB 15MG BRAND 2 PYRIDOSTIGM TAB 60MG GENERIC 1 RIVASTIGMINE CAP 1.5MG GENERIC 1 XRIVASTIGMINE CAP 3MG GENERIC 1 XRIVASTIGMINE CAP 4.5MG GENERIC 1 XRIVASTIGMINE CAP 6MG GENERIC 1 X

OTHERSBELLA/OPIUM SUP 16.2-30 GENERIC 1 QL 1/6MONTHSBELLA/OPIUM SUP 16.2-60 GENERIC 1 QL 1/6MONTHSBELLADONNA TIN 30/100ML GENERIC 1 XCANTIL TAB 25MG BRAND 3 COLIDROPS DRO 0.125/ML GENERIC 1 DICYCLOMINE CAP 10MG GENERIC 1 DICYCLOMINE TAB 20MG GENERIC 1 DICYCLOMINE SOL 10MG/5ML GENERIC 1 ED-SPAZ TAB 0.125MG GENERIC 1 XGLYCOPYRROL TAB 1MG GENERIC 1 GLYCOPYRROL TAB 2MG GENERIC 1 HYOMAX-SL SUB 0.125MG GENERIC 1 XHYOSCYAMINE TAB 0.125MG GENERIC 1 XHYOSCYAMINE TAB 0.375 SR GENERIC 1 XHYOSCYAMINE ELX 0.125/5 GENERIC 1 XIPRATROPIUM SPR 0.03% GENERIC 1 QL 2/30DAYS XIPRATROPIUM SPR 0.06% GENERIC 1 QL 2/30DAYS XMETHSCOPOLAM TAB 2.5MG GENERIC 1 METHSCOPOLAM TAB 5MG GENERIC 1 PROPANTHELIN TAB 15MG GENERIC 1




BIPOLAR AGENTS

ANTIMANIALITHIUM CARB CAP 150MG GENERIC 1 XLITHIUM CARB CAP 300MG GENERIC 1 XLITHIUM CARB CAP 600MG GENERIC 1 XLITHIUM CARB TAB 300MG GENERIC 1 XLITHIUM CARB TAB 300MG ER GENERIC 1 XLITHIUM CARB TAB 450MG ER GENERIC 1 XLITHIUM CITR SOL 8MEQ/5ML GENERIC 1 X

BLOOD FORMATION AGENTS

BLOOD FORMATION AGENTSARANESP INJ 200MCG BRAND 4 PAARANESP INJ 500MCG BRAND 4 PAEPOGEN INJ 2000/ML BRAND 4 PAGRANIX INJ 300/0.5ML BRAND 4 PA GRANIX INJ 480/0.8ML BRAND 4 PAEPOGEN INJ 3000/ML BRAND 4 PAEPOGEN INJ 4000/ML BRAND 4 PAEPOGEN INJ 10000/ML BRAND 4 PAEPOGEN INJ 20000/ML BRAND 4 PALEUKINE INJ 500 MCG BRAND 4 PALEUKINE INJ 250MCG BRAND 4 PAMOZOBIL INJ BRAND 4 PANEULASTA INJ 6MG/0.6M BRAND 4 PA, QL 0.6ML/30DAYSNEUMEGA INJ 5MG BRAND 4 PANEUPOGEN INJ 300MCG BRAND 4 PANEUPOGEN INJ 300/0.5 BRAND 4 PANEUPOGEN INJ 480/0.8 BRAND 4 PANPLATE INJ 250MCG BRAND 4 PAPROCRIT INJ 40000/ML BRAND 4 PAPROMACTA TAB 12.5MG BRAND 4 PA, QL 1/DAYPROMACTA TAB 25MG BRAND 4 PA, QL 1/DAYPROMACTA TAB 50MG BRAND 4 PA, QL 1/DAYPROMACTA TAB 75MG BRAND 4 PA, QL 1/DAY




BLOOD GLUCOSE REGULATORS - DRUGS TO LOWER BLOOD SUGAR

ANTIDIABETIC AGENTSACARBOSE TAB 25MG GENERIC 1 QL 3/DAY XACARBOSE TAB 50MG GENERIC 1 QL 3/DAY XACARBOSE TAB 100MG GENERIC 1 QL 3/DAY XACTOPLUS MET TAB XR BRAND 3 QL 2/DAY XAVANDIA TAB 2MG BRAND 3 QL 1/DAY XAVANDIA TAB 4MG BRAND 3 QL 1/DAY XAVANDIA TAB 8MG BRAND 3 QL 1/DAY XBYDUREON INJ 2MG BRAND 3 XBYETTA INJ 5MCG BRAND 3 QL 1 PKG/30DAYS XBYETTA INJ 10MCG BRAND 3 QL 1 PKG/30DAYS XCHLORPROPAM TAB 100MG GENERIC 1 XCHLORPROPAM TAB 250MG GENERIC 1 XCYCLOSET TAB 0.8MG BRAND 3 QL 1/DAY XFARXIGA TAB 5MG BRAND 3 QL 1/DAY XFARXIGA TAB 10MG BRAND 3 QL 1/DAY XGLIMEPIRIDE TAB 1MG GENERIC 1 QL 2/DAY XGLIMEPIRIDE TAB 2MG GENERIC 1 QL 2/DAY XGLIMEPIRIDE TAB 4MG GENERIC 1 QL 2/DAY XGLIP/METFORM TAB 2.5-250M GENERIC 1 QL 2/DAY XGLIP/METFORM TAB 2.5-500M GENERIC 1 QL 2/DAY XGLIP/METFORM TAB 5-500MG GENERIC 1 QL 4/DAY XGLIPIZIDE TAB 5MG GENERIC 1 QL 3/DAY XGLIPIZIDE TAB 10MG GENERIC 1 QL 3/DAY XGLIPIZIDE ER TAB 2.5MG GENERIC 1 QL 1/DAY XGLIPIZIDE ER TAB 5MG GENERIC 1 QL 1/DAY XGLIPIZIDE ER TAB 10MG GENERIC 1 QL 1/DAY XGLUCAGEN INJ HYPOKIT BRAND 3 XGLYB/METFORM TAB 1.25-250 GENERIC 1 QL 2/DAY XGLYB/METFORM TAB 2.5-500 GENERIC 1 QL 2/DAY XGLYB/METFORM TAB 5-500MG GENERIC 1 QL 4/DAY XGLYBURID MCR TAB 1.5MG GENERIC 1 QL 1/DAY XGLYBURID MCR TAB 3MG GENERIC 1 QL 1/DAY XGLYBURID MCR TAB 6MG GENERIC 1 QL 2/DAY XGLYBURIDE TAB 1.25MG GENERIC 1 QL 1/DAY X




ANTIDIABETIC AGENTS - CONTINUEDGLYBURIDE TAB 2.5MG GENERIC 1 QL 1/DAY XGLYBURIDE TAB 5MG GENERIC 1 QL 4/DAY XGLYSET TAB 25MG BRAND 3 QL 3/DAY XGLYSET TAB 50MG BRAND 3 QL 3/DAY XGLYSET TAB 100MG BRAND 3 QL 3/DAY XINVOKANA TAB 100MG BRAND 3 XINVOKANA TAB 300MG BRAND 3 XJANUMET XR TAB 50-500MG BRAND 3 QL 2/DAY XJANUMET XR TAB 50-1000 BRAND 3 QL 2/DAY XJANUMET XR TAB 100-1000 BRAND 3 QL 2/DAY XJANUVIA TAB 25MG BRAND 3 QL 1/DAY XJANUVIA TAB 50MG BRAND 3 QL 1/DAY XJANUVIA TAB 100MG BRAND 3 QL 1/DAY XJENTADUETO TAB 2.5-500 BRAND 3 QL 2/DAY XJENTADUETO TAB 2.5-850 BRAND 3 QL 2/DAY XJENTADUETO TAB 2.5-1000 BRAND 3 QL 2/DAY XJUVISYNC TAB 50-10MG BRAND 3 QL 1/DAY XJUVISYNC TAB 50-20MG BRAND 3 QL 1/DAY XJUVISYNC TAB 50-40MG BRAND 3 QL 1/DAY XJUVISYNC TAB 100-10MG BRAND 3 QL 1/DAY XJUVISYNC TAB 100-20MG BRAND 3 QL 1/DAY XJUVISYNC TAB 100-40MG BRAND 3 QL 1/DAY XKAZANO 12.5 - 500MG BRAND 3 QL 2/DAY XKAZANO 12.5 - 1000MG BRAND 3 QL 2/DAY XKOMBIGLYZE TAB 2.5-1000 BRAND 3 QL 1/DAY XKOMBIGLYZE TAB 5-500MG BRAND 3 QL 1/DAY XKOMBIGLYZE TAB 5-1000MG BRAND 3 QL 1/DAY XKORLYM TAB 300MG BRAND 4 PAMETFORMIN TAB 500MG GENERIC 1 QL 3/DAY XMETFORMIN TAB 850MG GENERIC 1 QL 3/DAY XMETFORMIN TAB 1000MG GENERIC 1 QL 2/DAY XMETFORMIN TAB 500MG ER GENERIC 1 QL 2/DAY XMETFORMIN TAB 750MG ER GENERIC 1 QL 2/DAY XMETFORMIN ER TAB 1000MG GENERIC 1 QL 2/DAY XNATEGLINIDE TAB 60MG GENERIC 1 QL 3/DAY XNATEGLINIDE TAB 120MG GENERIC 1 QL 3/DAY X




ANTIDIABETIC AGENTS - CONTINUEDNESINA 6.25MG BRAND 3 QL 1/DAY XNESINA 12.5MG BRAND 3 QL 1/DAY XNESINA 25MG BRAND 3 QL 1/DAY XONGLYZA TAB 2.5MG BRAND 3 QL 1/DAY XONGLYZA TAB 5MG BRAND 3 QL 1/DAY XOSENI 12.5 - 15MG BRAND 3 QL 1/DAY XOSENI 12.5 - 30MG BRAND 3 QL 1/DAY XOSENI 12.5 - 45MG BRAND 3 QL 1/DAY XOSENI 25 - 15MG BRAND 3 QL 1/DAY XOSENI 25 - 30MG BRAND 3 QL 1/DAY XOSENI 25 - 45MG BRAND 3 QL 1/DAY XPIOGLIT/GLIM TAB 30-2MG GENERIC 1 QL 1/DAY XPIOGLIT/GLIM TAB 30-4MG GENERIC 1 QL 1/DAY XPIOGLITA/MET TAB 15-500MG GENERIC 1 QL 3/DAY XPIOGLITA/MET TAB 15-850MG GENERIC 1 QL 3/DAY XPIOGLITAZONE TAB 15MG GENERIC 1 QL 1/DAY XPIOGLITAZONE TAB 30MG GENERIC 1 QL 1/DAY XPIOGLITAZONE TAB 45MG GENERIC 1 QL 1/DAY XPRANDIMET TAB 1-500MG BRAND 3 QL 2/DAY XPRANDIMET TAB 2-500MG BRAND 3 QL 2/DAY XREPAGLINIDE TAB 0.5MG GENERIC 1 QL 4/DAY XREPAGLINIDE TAB 1MG GENERIC 1 QL 4/DAY XREPAGLINIDE TAB 2MG GENERIC 1 QL 4/DAY XRIOMET SOL BRAND 3 XSYMLIN INJ 600MCG BRAND 3 XSYMLINPEN 60 INJ 1000MCG BRAND 3 XSYMLNPEN 120 INJ 1000MCG BRAND 3 XTOLAZAMIDE TAB 250MG GENERIC 1 QL 2/DAY XTOLAZAMIDE TAB 500MG GENERIC 1 QL 2/DAY XTOLBUTAMIDE TAB 500MG GENERIC 1 QL 6/DAY XTRADJENTA TAB 5MG BRAND 3 XVICTOZA INJ 18MG/3ML BRAND 3 QL 3PKG/30DAYS X

INSULINSAPIDRA INJ SOLOSTAR BRAND 3 XAPIDRA INJ U-100 BRAND 3 XHUMALOG INJ KWIK BRAND 3 X




INSULINS - CONTINUEDHUMALOG INJ 100/ML BRAND 3 XHUMALOG MIX INJ 75/25KWP BRAND 3 XHUMALOG MIX INJ 50/50 BRAND 3 XHUMALOG MIX INJ 50/50KWP BRAND 3 XHUMALOG MIX SUS 75/25 BRAND 3 XHUMULIN INJ 70/30 BRAND 3 XHUMULIN INJ 70/30 KWP BRAND 3 XHUMULIN N INJ U-100 BRAND 3 XHUMULIN N INJ U-100 KWP BRAND 3 XHUMULIN R INJ U-500 BRAND 3 XLANTUS INJ 100/ML BRAND 2 XLANTUS INJ SOLOSTAR BRAND 3 XLEVEMIR INJ BRAND 2 XLEVEMIR INJ FLEXPEN BRAND 3 XNOVOLOG INJ 100/ML BRAND 2 XNOVOLOG MIX INJ 70/30 BRAND 2 XNOVOLOG INJ PENFILL BRAND 3 X

CARDIOVASCULAR AGENTS- DRUGS TO TREAT HIGH BLOOD PRESSURE, CHOLESTEROL AND HEART CONDITIONS

ALPHA BLOCKERSDOXAZOSIN TAB 1MG GENERIC 1 XDOXAZOSIN TAB 2MG GENERIC 1 XDOXAZOSIN TAB 4MG GENERIC 1 XDOXAZOSIN TAB 8MG GENERIC 1 XPRAZOSIN HCL CAP 1MG GENERIC 1 XPRAZOSIN HCL CAP 2MG GENERIC 1 XPRAZOSIN HCL CAP 5MG GENERIC 1 XTERAZOSIN CAP 1MG GENERIC 1 XTERAZOSIN CAP 2MG GENERIC 1 XTERAZOSIN CAP 5MG GENERIC 1 XTERAZOSIN CAP 10MG GENERIC 1 X




ALPHA-ADRENERGIC AGONISTSCLONIDINE TAB 0.1MG GENERIC 1 XCLONIDINE TAB 0.2MG GENERIC 1 XCLONIDINE TAB 0.3MG GENERIC 1 XCLONIDINE DIS 0.1/24HR GENERIC 1 XCLONIDINE DIS 0.2/24HR GENERIC 1 XCLONIDINE DIS 0.3/24HR GENERIC 1 XGUANFACINE TAB 1MG GENERIC 1 XGUANFACINE TAB 2MG GENERIC 1 XMETHYLDOPA TAB 250MG GENERIC 1 XMETHYLDOPA TAB 500MG GENERIC 1 XMETHYLDOPATE INJ 250/5ML GENERIC 4 MIDODRINE TAB 2.5MG GENERIC 1 MIDODRINE TAB 5MG GENERIC 1 MIDODRINE TAB 10MG GENERIC 1

ANGIOTENSIN COVERTING ENZYME INHIBITORBENAZEPRIL TAB 5MG GENERIC 1 XBENAZEPRIL TAB 10MG GENERIC 1 XBENAZEPRIL TAB 20MG GENERIC 1 XBENAZEPRIL TAB 40MG GENERIC 1 XCAPTOPRIL TAB 12.5MG GENERIC 1 XCAPTOPRIL TAB 25MG GENERIC 1 XCAPTOPRIL TAB 50MG GENERIC 1 XCAPTOPRIL TAB 100MG GENERIC 1 XENALAPRIL TAB 2.5MG GENERIC 1 XENALAPRIL TAB 5MG GENERIC 1 XENALAPRIL TAB 10MG GENERIC 1 XENALAPRIL TAB 20MG GENERIC 1 XFOSINOPRIL TAB 10MG GENERIC 1 XFOSINOPRIL TAB 20MG GENERIC 1 XFOSINOPRIL TAB 40MG GENERIC 1 XLISINOPRIL TAB 2.5MG GENERIC 1 XLISINOPRIL TAB 5MG GENERIC 1 XLISINOPRIL TAB 10MG GENERIC 1 XLISINOPRIL TAB 20MG GENERIC 1 XLISINOPRIL TAB 30MG GENERIC 1 XLISINOPRIL TAB 40MG GENERIC 1 X




ANGIOTENSIN COVERTING ENZYME INHIBITOR - CONTINUEDMOEXIPRIL TAB 7.5MG GENERIC 1 XMOEXIPRIL TAB 15MG GENERIC 1 XPERINDOPRIL TAB 2MG GENERIC 1 XPERINDOPRIL TAB 4MG GENERIC 1 XPERINDOPRIL TAB 8MG GENERIC 1 XQUINAPRIL TAB 5MG GENERIC 1 XQUINAPRIL TAB 10MG GENERIC 1 XQUINAPRIL TAB 20MG GENERIC 1 XQUINAPRIL TAB 40MG GENERIC 1 XRAMIPRIL CAP 1.25MG GENERIC 1 XRAMIPRIL CAP 2.5MG GENERIC 1 XRAMIPRIL CAP 5MG GENERIC 1 XRAMIPRIL CAP 10MG GENERIC 1 XTRANDOLAPRIL TAB 1MG GENERIC 1 XTRANDOLAPRIL TAB 2MG GENERIC 1 XTRANDOLAPRIL TAB 4MG GENERIC 1 X

ANGIOTENSIN COVERTING ENZYME INHIBITOR COMBO AGENTSBENAZEP/HCTZ TAB 5-6.25 GENERIC 1 XBENAZEP/HCTZ TAB 10-12.5 GENERIC 1 XBENAZEP/HCTZ TAB 20-12.5 GENERIC 1 XBENAZEP/HCTZ TAB 20-25MG GENERIC 1 XCAPTOPR/HCTZ TAB 25-15MG GENERIC 1 XCAPTOPR/HCTZ TAB 25-25MG GENERIC 1 XCAPTOPR/HCTZ TAB 50-15MG GENERIC 1 XCAPTOPR/HCTZ TAB 50-25MG GENERIC 1 XENALAPR/HCTZ TAB 5-12.5MG GENERIC 1 XENALAPR/HCTZ TAB 10-25MG GENERIC 1 XFOSINOP/HCTZ TAB 10/12.5 GENERIC 1 XFOSINOP/HCTZ TAB 20/12.5 GENERIC 1 XLISINOP/HCTZ TAB 10-12.5 GENERIC 1 XLISINOP/HCTZ TAB 20-12.5 GENERIC 1 XLISINOP/HCTZ TAB 20-25MG GENERIC 1 XMOEXIPR/HCTZ TAB 7.5-12.5 GENERIC 1 XMOEXIPR/HCTZ TAB 15-12.5 GENERIC 1 X




ANGIOTENSIN COVERTING ENZYME INHIBITOR COMBO AGENTS - CONTINUEDMOEXIPR/HCTZ TAB 15-25MG GENERIC 1 XQNAPRIL/HCTZ TAB 10-12.5 GENERIC 1 XQNAPRIL/HCTZ TAB 20-12.5 GENERIC 1 XQNAPRIL/HCTZ TAB 20-25MG GENERIC 1 X

ANGIOTENSIN II BLOCKERSBENICAR TAB 5MG BRAND 3 QL 1/DAY XBENICAR TAB 20MG BRAND 3 QL 1/DAY XBENICAR TAB 40MG BRAND 3 QL 1/DAY XCANDESARTAN TAB 4MG GENERIC 1 XCANDESARTAN TAB 8MG GENERIC 1 XCANDESARTAN TAB 16MG GENERIC 1 XCANDESARTAN TAB 32MG GENERIC 1 XEDARBI TAB 40MG BRAND 3 XEDARBI TAB 80MG BRAND 3 XEPROSART MES TAB 600MG GENERIC 1 XIRBESARTAN TAB 75MG GENERIC 1 QL 1/DAY XIRBESARTAN TAB 150MG GENERIC 1 QL 1/DAY XIRBESARTAN TAB 300MG GENERIC 1 QL 1/DAY XLOSARTAN POT TAB 25MG GENERIC 1 QL 1/DAY XLOSARTAN POT TAB 50MG GENERIC 1 QL 1/DAY XLOSARTAN POT TAB 100MG GENERIC 1 QL 1/DAY XTELMISARTAN TAB 20MG GENERIC 1 XTELMISARTAN TAB 40MG GENERIC 1 XTELMISARTAN TAB 80MG GENERIC 1 XTEVETEN TAB 400MG BRAND 3 XVALSARTAN TAB 40MG GENERIC 1 XVALSARTAN TAB 80MG GENERIC 1 XVALSARTAN TAB 160MG GENERIC 1 XVALSARTAN TAB 320MG GENERIC 1 X

ANGIOTENSIN II BLOCKER COMBO AGENTSBENICAR HCT TAB 20-12.5 BRAND 3 XBENICAR HCT TAB 40-12.5 BRAND 3 XBENICAR HCT TAB 40-25MG BRAND 3 X




ANGIOTENSIN II BLOCKER COMBO AGENTS - CONTINUEDCANDESA/HCTZ TAB 16-12.5 GENERIC 1 XCANDESA/HCTZ TAB 32-12.5 GENERIC 1 XCANDESA/HCTZ TAB 32-25MG GENERIC 1 XEDARBYCLOR TAB 40-12.5MG BRAND 3 XEDARBYCLOR TAB 40-25MG BRAND 3 XIRBESAR/HCTZ TAB 150-12.5 GENERIC 1 XIRBESAR/HCTZ TAB 300-12.5 GENERIC 1 XLOSARTAN/HCT TAB 50-12.5 GENERIC 1 XLOSARTAN/HCT TAB 100-12.5 GENERIC 1 XLOSARTAN/HCT TAB 100-25 GENERIC 1 XTELMISA/HCTZ TAB 40-12.5 GENERIC 1 XTELMISA/HCTZ TAB 80-12.5 GENERIC 1 XTELMISA/HCTZ TAB 80-25 GENERIC 1 XTEVETEN HCT TAB 600-12.5 BRAND 3 XTEVETEN HCT TAB 600-25MG BRAND 3 XVALSART/HCTZ TAB 80-12.5 GENERIC 1 XVALSART/HCTZ TAB 160-12.5 GENERIC 1 XVALSART/HCTZ TAB 160-25MG GENERIC 1 XVALSART/HCTZ TAB 320-12.5 GENERIC 1 XVALSART/HCTZ TAB 320-25MG GENERIC 1 X

ANTIANGINA AGENTSAMYL NITRITE INH 0.3ML GENERIC 1 BIDIL TAB BRAND 3 XDILATRATE SR CAP 40MG BRAND 2 XISOCHRON TAB 40MG CR GENERIC 1 XISOSORB DIN TAB 5MG GENERIC 1 XISOSORB DIN TAB 10MG GENERIC 1 XISOSORB DIN TAB 20MG GENERIC 1 XISOSORB DIN TAB 30MG GENERIC 1 XISOSORB DIN SUB 2.5MG GENERIC 1 XISOSORB DIN SUB 5MG GENERIC 1 XISOSORB MONO TAB 10MG GENERIC 1 XISOSORB MONO TAB 20MG GENERIC 1 XISOSORB MONO TAB 30MG ER GENERIC 1 X




ANTIANGINA AGENTS - CONTINUEDISOSORB MONO TAB 60MG ER GENERIC 1 XISOSORB MONO TAB 120MG ER GENERIC 1 XMINITRAN DIS 0.1MG/HR GENERIC 1 XMINITRAN DIS 0.2MG/HR GENERIC 1 XMINITRAN DIS 0.4MG/HR GENERIC 1 XMINITRAN DIS 0.6MG/HR GENERIC 1 XNITRO-BID OIN 2% BRAND 2 XNITRO-DUR DIS 0.3MG/HR BRAND 2 XNITRO-DUR DIS 0.8MG/HR BRAND 2 XNITROGLYCERIN SPRAY GENERIC 1 XNITROSTAT SUB 0.3MG BRAND 2 XNITROSTAT SUB 0.4MG BRAND 2 XNITROSTAT SUB 0.6MG BRAND 2 XRANEXA TAB 500MG BRAND 3 PA XRANEXA TAB 1000MG BRAND 3 PA X

ANTIARRHYTHMIC AGENTSAMIODARONE TAB 200MG GENERIC 1 XAMIODARONE TAB 400MG GENERIC 1 XDISOPYRAMIDE CAP 100MG GENERIC 1 XDISOPYRAMIDE CAP 150MG GENERIC 1 XFLECAINIDE TAB 50MG GENERIC 1 XFLECAINIDE TAB 100MG GENERIC 1 XFLECAINIDE TAB 150MG GENERIC 1 XMEXILETINE CAP 150MG GENERIC 1 XMEXILETINE CAP 200MG GENERIC 1 XMEXILETINE CAP 250MG GENERIC 1 XMULTAQ TAB 400MG BRAND 3 PA XPACERONE TAB 100MG BRAND 2 XPROCAINAMIDE INJ 100MG/ML GENERIC 4 XPROCAINAMIDE INJ 500MG/ML GENERIC 4 XPROPAFENONE TAB 150MG GENERIC 1 XPROPAFENONE TAB 225MG GENERIC 1 XPROPAFENONE TAB 300MG GENERIC 1 XPROPAFENONE CAP 225MG ER GENERIC 1 X




ANTIARRHYTHMIC AGENTS - CONTINUEDPROPAFENONE CAP 325MG ER GENERIC 1 XPROPAFENONE CAP 425MG SR GENERIC 1 XQUINIDINE GL TAB 324MG CR GENERIC 1 XQUINIDINE SU TAB 200MG GENERIC 1 XQUINIDINE SU TAB 300MG GENERIC 1 XQUINIDINE SU TAB 300MG ER GENERIC 1 XTIKOSYN CAP 250MCG BRAND 3 XTIKOSYN CAP 500MCG BRAND 3 X

ANTILIPEMIC AGENTSALTOPREV TAB 20MG ER BRAND 3 XALTOPREV TAB 40MG ER BRAND 3 XALTOPREV TAB 60MG ER BRAND 3 XANTARA CAP 30MG BRAND 3 XANTARA CAP 90MG BRAND 3 XATORVASTATIN TAB 10MG GENERIC 1 QL 1/DAY XATORVASTATIN TAB 20MG GENERIC 1 QL 1/DAY XATORVASTATIN TAB 40MG GENERIC 1 QL 1/DAY XATORVASTATIN TAB 80MG GENERIC 1 QL 1/DAY XCOLESTIPOL TAB 1GM GENERIC 1 XCOLESTIPOL GRA 5GM GENERIC 1 XCHOLESTY LIGHT POW 4GM GENERIC 1 XCRESTOR TAB 5MG BRAND 3 XCRESTOR TAB 10MG BRAND 3 XCRESTOR TAB 20MG BRAND 3 XCRESTOR TAB 40MG BRAND 3 XFENOFIBRIC CAP 45MG GENERIC 1 XFENOFIBRIC CAP 135MG GENERIC 1 XFENOFIBRATE TAB 48MG GENERIC 1 X FENOFIBRATE TAB 54MG GENERIC 1 XFENOFIBRATE TAB 145MG GENERIC 1 XFENOFIBRATE TAB 160MG GENERIC 1 XFENOFIBRATE CAP 43MG GENERIC 1 XFENOFIBRATE CAP 50MG GENERIC 1 XFENOFIBRATE CAP 67MG GENERIC 1 XFENOFIBRATE CAP 130MG GENERIC 1 XFENOFIBRATE CAP 134MG GENERIC 1 X




ANTILIPEMIC AGENTS - CONTINUEDFENOFIBRATE CAP 150MG GENERIC 1 XFENOFIBRATE CAP 200MG GENERIC 1 XFENOFIBRIC TAB 35MG GENERIC 1 XFENOFIBRIC TAB 105MG GENERIC 1 XFLUVASTATIN CAP 20MG GENERIC 1 XFLUVASTATIN CAP 40MG GENERIC 1 XGEMFIBROZIL TAB 600MG GENERIC 1 XJUXAPID CAP 5MG BRAND 4 PAJUXAPID CAP 10MG BRAND 4 PAJUXAPID CAP 20MG BRAND 4 PAKYNAMRO INJ 200MG/ML BRAND 4 PA LIPOFEN CAP 50MG BRAND 3 XLIPOFEN CAP 150MG BRAND 3 XLIPTRUZET TAB 10-10MG BRAND 3 XLIPTRUZET TAB 10-20MG BRAND 3 XLIPTRUZET TAB 10-40MG BRAND 3 XLIPTRUZET TAB 10-80MG BRAND 3 XLIVALO TAB 1MG BRAND 3 XLOVASTATIN TAB 10MG GENERIC 1 XLOVASTATIN TAB 20MG GENERIC 1 XLOVASTATIN TAB 40MG GENERIC 1 XNIACOR TAB 500MG GENERIC 1 XNIACIN TAB 500MG ER GENERIC 1 XNIACIN TAB 750MG ER GENERIC 1 XNIACIN TAB 1000MG ER GENERIC 1 XOMEGA-3-ACID CAP 1GM GENERIC 1 XPRAVASTATIN TAB 10MG GENERIC 1 XPRAVASTATIN TAB 20MG GENERIC 1 XPRAVASTATIN TAB 40MG GENERIC 1 XPRAVASTATIN TAB 80MG GENERIC 1 XSIMCOR TAB 500-20MG BRAND 3 XSIMCOR TAB 500-40MG BRAND 3 XSIMCOR TAB 750-20MG BRAND 3 XSIMCOR TAB 1000-20 BRAND 3 XSIMCOR TAB 1000-40 BRAND 3 XSIMVASTATIN TAB 5MG GENERIC 1 XSIMVASTATIN TAB 10MG GENERIC 1 X




ANTILIPEMIC AGENTS - CONTINUEDSIMVASTATIN TAB 20MG GENERIC 1 XSIMVASTATIN TAB 40MG GENERIC 1 XSIMVASTATIN TAB 80MG GENERIC 1 XVASCEPA CAP 1GM BRAND 3 XVYTORIN TAB 10-10MG BRAND 3 QL 1/DAY XVYTORIN TAB 10-20MG BRAND 3 QL 1/DAY XVYTORIN TAB 10-40MG BRAND 3 QL 1/DAY XVYTORIN TAB 10-80MG BRAND 3 QL 1/DAY XWELCHOL TAB 625MG BRAND 3 PA, QL 6/DAY XWELCHOL PAK 3.75GM BRAND 3 PA, QL 1/DAY XZETIA TAB 10MG BRAND 3 QL 1/DAY X

BETA-BLOCKERSACEBUTOLOL CAP 200MG GENERIC 1 XACEBUTOLOL CAP 400MG GENERIC 1 XATENOLOL TAB 25MG GENERIC 1 XATENOLOL TAB 50MG GENERIC 1 XATENOLOL TAB 100MG GENERIC 1 XBETAXOLOL TAB 10MG GENERIC 1 XBETAXOLOL TAB 20MG GENERIC 1 XBISOPROL FUM TAB 5MG GENERIC 1 XBISOPROL FUM TAB 10MG GENERIC 1 XBYSTOLIC TAB 2.5MG BRAND 2 XBYSTOLIC TAB 5MG BRAND 2 XBYSTOLIC TAB 10MG BRAND 2 XBYSTOLIC TAB 20MG BRAND 2 XCARVEDILOL TAB 3.125MG GENERIC 1 XCARVEDILOL TAB 6.25MG GENERIC 1 XCARVEDILOL TAB 12.5MG GENERIC 1 XCARVEDILOL TAB 25MG GENERIC 1 XCOREG CR CAP 10MG BRAND 3 XCOREG CR CAP 20MG BRAND 3 XCOREG CR CAP 40MG BRAND 3 XCOREG CR CAP 80MG BRAND 3 X




BETA-BLOCKERS - CONTINUEDLABETALOL TAB 100MG GENERIC 1 XLABETALOL TAB 200MG GENERIC 1 XLABETALOL TAB 300MG GENERIC 1 XLEVATOL TAB 20MG BRAND 3 XMETOPROL TAR TAB 25MG GENERIC 1 XMETOPROL TAR TAB 50MG GENERIC 1 XMETOPROL TAR TAB 100MG GENERIC 1 XMETOPROLOL TAB 25MG ER GENERIC 1 XMETOPROLOL TAB 50MG ER GENERIC 1 XMETOPROLOL TAB 100MG ER GENERIC 1 XMETOPROLOL TAB 200MG ER GENERIC 1 XNADOLOL TAB 20MG GENERIC 1 XNADOLOL TAB 40MG GENERIC 1 XNADOLOL TAB 80MG GENERIC 1 XPINDOLOL TAB 5MG GENERIC 1 XPINDOLOL TAB 10MG GENERIC 1 XPROPRANOLOL TAB 10MG GENERIC 1 XPROPRANOLOL TAB 20MG GENERIC 1 XPROPRANOLOL TAB 40MG GENERIC 1 XPROPRANOLOL TAB 60MG GENERIC 1 XPROPRANOLOL TAB 80MG GENERIC 1 XPROPRANOLOL CAP 60MG ER GENERIC 1 XPROPRANOLOL CAP 80MG ER GENERIC 1 XPROPRANOLOL CAP 120MG ER GENERIC 1 XPROPRANOLOL CAP 160MG ER GENERIC 1 XPROPRANOLOL SOL 20MG/5ML GENERIC 1 XPROPRANOLOL SOL 40MG/5ML GENERIC 1 XSOTALOL TAB 80MG GENERIC 1 XSOTALOL TAB 120MG GENERIC 1 XSOTALOL TAB 160MG GENERIC 1 XSOTALOL TAB 240MG GENERIC 1 XTIMOLOL MAL TAB 5MG GENERIC 1 XTIMOLOL MAL TAB 10MG GENERIC 1 XTIMOLOL MAL TAB 20MG GENERIC 1 X




BETA-BLOCKER COMBOATENOL/CHLOR TAB 50-25MG GENERIC 1 XATENOL/CHLOR TAB 100-25MG GENERIC 1 XBISOPRL/HCTZ TAB 2.5/6.25 GENERIC 1 XBISOPRL/HCTZ TAB 5-6.25MG GENERIC 1 XBISOPRL/HCTZ TAB 10/6.25MG GENERIC 1 XDUTOPROL TAB 25-12.5 BRAND 2 XDUTOPROL TAB 50-12.5 BRAND 2 XDUTOPROL TAB 100-12.5 BRAND 2 XMETOPRL/HCTZ TAB 50-25MG GENERIC 1 XMETOPRL/HCTZ TAB 100-25MG GENERIC 1 XMETOPRL/HCTZ TAB 100-50MG GENERIC 1 XNADOLOL/BEND TAB 40-5MG GENERIC 1 XNADOLOL/BEND TAB 80-5MG GENERIC 1 XPROPRAN/HCTZ TAB 40/25 GENERIC 1 XPROPRAN/HCTZ TAB 80/25 GENERIC 1 X

CALCIUM CHANNEL BLOCKERSAFEDITAB TAB 30MG CR GENERIC 1 XAFEDITAB TAB 60MG CR GENERIC 1 XAMLODIPINE TAB 2.5MG GENERIC 1 XAMLODIPINE TAB 5MG GENERIC 1 XAMLODIPINE TAB 10MG GENERIC 1 XCARTIA XT CAP 120/24HR GENERIC 1 XCARTIA XT CAP 180/24HR GENERIC 1 XCARTIA XT CAP 240/24HR GENERIC 1 XCARTIA XT CAP 300/24HR GENERIC 1 XDILTIAZEM TAB 30MG GENERIC 1 XDILTIAZEM TAB 60MG GENERIC 1 XDILTIAZEM TAB 90MG GENERIC 1 XDILTIAZEM TAB 120MG GENERIC 1 XDILTIAZEM CAP 60MG ER GENERIC 1 XDILTIAZEM CAP 90MG ER GENERIC 1 XDILTIAZEM CAP 120MG ER GENERIC 1 XDILTIAZEM CAP 120MG ER GENERIC 1 XDILTIAZEM CAP 180MG ER GENERIC 1 X




CALCIUM CHANNEL BLOCKERS - CONTINUEDDILTIAZEM CAP 240MG ER GENERIC 1 XDILTIAZEM CAP 420MG/24 GENERIC 1 XDILTZAC CAP 120MG/24 GENERIC 1 XDILTZAC CAP 180MG/24 GENERIC 1 XDILTZAC CAP 240MG/24 GENERIC 1 XDILTZAC CAP 300MG/24 GENERIC 1 XDILTZAC CAP 360MG/24 GENERIC 1 XFELODIPINE TAB 2.5MG ER GENERIC 1 XFELODIPINE TAB 5MG ER GENERIC 1 XFELODIPINE TAB 10MG ER GENERIC 1 XISRADIPINE CAP 2.5MG GENERIC 1 XISRADIPINE CAP 5MG GENERIC 1 XMATZIM LA TAB 180MG/24 GENERIC 1 XMATZIM LA TAB 240MG/24 GENERIC 1 XMATZIM LA TAB 300MG/24 GENERIC 1 XMATZIM LA TAB 360MG/24 GENERIC 1 XMATZIM LA TAB 420MG/24 GENERIC 1 XNICARDIPINE CAP 20MG GENERIC 1 XNICARDIPINE CAP 30MG GENERIC 1 XNIFEDIAC CC TAB 90MG ER GENERIC 1 XNIFEDICAL XL TAB 30MG GENERIC 1 XNIFEDICAL XL TAB 60MG GENERIC 1 XNIFEDIPINE CAP 10MG GENERIC 1 XNIFEDIPINE CAP 20MG GENERIC 1 XNIMODIPINE CAP 30MG GENERIC 1 XNISOLDIPINE TAB 8.5MG ER GENERIC 1 XNISOLDIPINE TAB 17MG ER GENERIC 1 XNISOLDIPINE TAB 20MG GENERIC 1 XNISOLDIPINE TAB 25.5MG GENERIC 1 XNISOLDIPINE TAB 30MG GENERIC 1 XNISOLDIPINE TAB 34MG ER GENERIC 1 XNISOLDIPINE TAB 40MG GENERIC 1 XNYMALIZE SOL 60/20ML BRAND 4 PAVERAPAMIL TAB 40MG GENERIC 1 XVERAPAMIL TAB 80MG GENERIC 1 XVERAPAMIL TAB 120MG GENERIC 1 X




CALCIUM CHANNEL BLOCKERS - CONTINUEDVERAPAMIL TAB 120MG ER GENERIC 1 XVERAPAMIL TAB 180MG ER GENERIC 1 XVERAPAMIL TAB 240MG ER GENERIC 1 XVERAPAMIL CAP 100MG ER GENERIC 1 XVERAPAMIL CAP 120MG ER GENERIC 1 XVERAPAMIL CAP 180MG ER GENERIC 1 XVERAPAMIL CAP 200MG ER GENERIC 1 XVERAPAMIL CAP 240MG ER GENERIC 1 XVERAPAMIL CAP 300MG ER GENERIC 1 XVERAPAMIL CAP 360MG SR GENERIC 1 X

CALCIUM CHANNEL BLOCKER COMBO AGENTSAMLOD/ATORVA TAB 2.5-10MG GENERIC 1 XAMLOD/ATORVA TAB 2.5-20MG GENERIC 1 XAMLOD/ATORVA TAB 2.5-40MG GENERIC 1 XAMLOD/ATORVA TAB 5-10MG GENERIC 1 XAMLOD/ATORVA TAB 5-20MG GENERIC 1 XAMLOD/ATORVA TAB 5-40MG GENERIC 1 XAMLOD/ATORVA TAB 5-80MG GENERIC 1 XAMLOD/ATORVA TAB 10-10MG GENERIC 1 XAMLOD/ATORVA TAB 10-20MG GENERIC 1 XAMLOD/ATORVA TAB 10-40MG GENERIC 1 XAMLOD/ATORVA TAB 10-80MG GENERIC 1 XAMLOD/BENAZP CAP 2.5-10MG GENERIC 1 XAMLOD/BENAZP CAP 5-10MG GENERIC 1 XAMLOD/BENAZP CAP 5-20MG GENERIC 1 XAMLOD/BENAZP CAP 5-40MG GENERIC 1 XAMLOD/BENAZP CAP 10-20MG GENERIC 1 XAMLOD/BENAZP CAP 10-40MG GENERIC 1 XAMTURNIDE 150 TAB -5-12.5MG BRAND 3 XAMTURNIDE 300 TAB-5-12.5MG BRAND 3 XAMTURNIDE 300 TAB-5-25MG BRAND 3 XAMTURNIDE 300 TAB-10-12.5 BRAND 3 XAMTURNIDE 300 TAB-10-25MG BRAND 3 XAZOR TAB 5-20MG BRAND 3 XAZOR TAB 5-40MG BRAND 3 X




CALCIUM CHANNEL BLOCKER COMBO AGENTS - CONTINUEDAZOR TAB 10-20MG BRAND 3 XAZOR TAB 10-40MG BRAND 3 XEXFORGE TAB 5-160MG BRAND 3 XEXFORGE TAB 5-320MG BRAND 3 XEXFORGE TAB 10-160MG BRAND 3 XEXFORGE TAB 10-320MG BRAND 3 XEXFORGEH/5- TAB 160-12.5 BRAND 3 XEXFORGEH/5- TAB 160-25 BRAND 3 XEXFORGEH/10- TAB 160-12.5 BRAND 3 XEXFORGEH/10- TAB 160-25 BRAND 3 XEXFORGEH/10- TAB 320-25 BRAND 3 XMETHYLD/HCTZ TAB 250/15 GENERIC 1 XMETHYLD/HCTZ TAB 250/25 GENERIC 1 XTARKA TAB 1-240 CR BRAND 3 XTARKA TAB 2-180 CR BRAND 3 XTARKA TAB 2-240 CR BRAND 3 XTARKA TAB 4-240 CR BRAND 3 XTELMIS/AMLOD TAB 40-5MG GENERIC 1 XTELMIS/AMLOD TAB 40-10MG GENERIC 1 XTELMIS/AMLOD TAB 80-5MG GENERIC 1 XTELMIS/AMLOD TAB 80-10MG GENERIC 1 XTRIBENZOR20- TAB 5-12.5MG BRAND 3 XTRIBENZOR40- TAB 5-12.5MG BRAND 3 XTRIBENZOR40- TAB 5-25MG BRAND 3 XTRIBENZOR40- TAB 10-12.5 BRAND 3 XTRIBENZOR40- TAB 10-25MG BRAND 3 X

CARDIOTONIC AGENTSDIGOXIN TAB 0.125MG GENERIC 1 XDIGOXIN TAB 0.25MG GENERIC 1 XDIGOXIN SOL 50MCG/ML GENERIC 1 X




DIRECT VASODILATORSHYDRALAZINE TAB 10MG GENERIC 1 XHYDRALAZINE TAB 25MG GENERIC 1 XHYDRALAZINE TAB 50MG GENERIC 1 XHYDRALAZINE TAB 100MG GENERIC 1 XMINOXIDIL TAB 2.5MG GENERIC 1 XMINOXIDIL TAB 10MG GENERIC 1 X

DIURETICSACETAZOLAMID TAB 125MG GENERIC 1 XACETAZOLAMID TAB 250MG GENERIC 1 XACETAZOLAMID CAP 500MG ER GENERIC 1 XAMILOR/HCTZ TAB 5-50 GENERIC 1 XBUMETANIDE TAB 0.5MG GENERIC 1 XBUMETANIDE TAB 1MG GENERIC 1 XBUMETANIDE TAB 2MG GENERIC 1 XCHLOROTHIAZ TAB 250MG GENERIC 1 XCHLOROTHIAZ TAB 500MG GENERIC 1 XCHLORTHALID TAB 25MG GENERIC 1 XCHLORTHALID TAB 50MG GENERIC 1 XFUROSEMIDE TAB 20MG GENERIC 1 XFUROSEMIDE TAB 40MG GENERIC 1 XFUROSEMIDE TAB 80MG GENERIC 1 XFUROSEMIDE SOL 8MG/ML GENERIC 1 XFUROSEMIDE SOL 10MG/ML GENERIC 1 XHYDROCHLOROT CAP 12.5MG GENERIC 1 XHYDROCHLOROT TAB 12.5MG GENERIC 1 XHYDROCHLOROT TAB 25MG GENERIC 1 XHYDROCHLOROT TAB 50MG GENERIC 1 XINDAPAMIDE TAB 1.25MG GENERIC 1 XINDAPAMIDE TAB 2.5MG GENERIC 1 XMETHAZOLAMID TAB 25MG GENERIC 1 XMETHAZOLAMID TAB 50MG GENERIC 1 XMETHYCLOTHIA TAB 5MG GENERIC 1 XMETOLAZONE TAB 2.5MG GENERIC 1 XMETOLAZONE TAB 5MG GENERIC 1 X




DIURETICS - CONTINUEDMETOLAZONE TAB 10MG GENERIC 1 XSOD EDECRIN INJ 50MG BRAND 4 TORSEMIDE TAB 5MG GENERIC 1 XTORSEMIDE TAB 10MG GENERIC 1 XTORSEMIDE TAB 20MG GENERIC 1 XTORSEMIDE TAB 100MG GENERIC 1 XTRIAMT/HCTZ CAP 37.5-25 GENERIC 1 XTRIAMT/HCTZ TAB 37.5-25 GENERIC 1 XTRIAMT/HCTZ TAB 75-50MG GENERIC 1 X

DIURETICS - POTASSIUM SPARING AMILORIDE TAB 5MG GENERIC 1 XDYRENIUM CAP 50MG BRAND 2 XDYRENIUM CAP 100MG BRAND 2 XEPLERENONE TAB 25MG GENERIC 1 XEPLERENONE TAB 50MG GENERIC 1 XSPIRONO/HCTZ TAB 25/25 GENERIC 1 XSPIRONOLACT TAB 25MG GENERIC 1 XSPIRONOLACT TAB 50MG GENERIC 1 XSPIRONOLACT TAB 100MG GENERIC 1 X

PERIPHERAL ADRENERGIC INHIBITORSRESERPINE TAB 0.1MG GENERIC 1 XRESERPINE TAB 0.25MG GENERIC 1 X

PULMONARY HYPERTENSIONADCIRCA TAB 20MG BRAND 4 PA, QL 2/DAYADEMPAS TAB 0.5MG BRAND 4 PAADEMPAS TAB 1MG BRAND 4 PAADEMPAS TAB 1.5MG BRAND 4 PAADEMPAS TAB 2MG BRAND 4 PAADEMPAS TAB 2.5MG BRAND 4 PA CIALIS TAB 2.5MG BRAND 3 PA CIALIS TAB 5MG BRAND 3 PA




PULMONARY HYPERTENSION - CONTINUED EPOPROSTENOL INJ 0.5MG GENERIC 4 PA EPOPROSTENOL INJ 1.5MG GENERIC 4 PA LETAIRIS TAB 5MG BRAND 4 PA, QL 1/DAY LETAIRIS TAB 10MG BRAND 4 PA, QL 1/DAY OPSUMIT TAB 10MG BRAND 4 PA REMODULIN INJ 1MG/ML BRAND 4 PA REMODULIN INJ 2.5MG/ML BRAND 4 PA REMODULIN INJ 5MG/ML BRAND 4 PA REMODULIN INJ 10MG/ML BRAND 4 PA SILDENAFIL TAB 20MG GENERIC 1 PA, QL 3/DAY XTRACLEER TAB 62.5MG BRAND 4 PA, QL 2/DAY TRACLEER TAB 125MG BRAND 4 PA, QL 2/DAY TYVASO START SOL 0.6MG/ML BRAND 4 PA, QL 1/30DAYS VENTAVIS SOL 10MCG/ML BRAND 4 PA, QL 5ML/DAY VENTAVIS SOL 20MCG/ML BRAND 4 PA, QL 3ML/DAY

RENIN BLOCKERSTEKTURNA TAB 150MG BRAND 3 XTEKTURNA TAB 300MG BRAND 3 X

RENIN BLOCKER COMBO AGENTSTEKAMLO TAB 150-5MG BRAND 3 XTEKAMLO TAB 150-10MG BRAND 3 XTEKAMLO TAB 300-5MG BRAND 3 XTEKAMLO TAB 300-10MG BRAND 3 XTEKTURNA HCT TAB 150-12.5 BRAND 3 XTEKTURNA HCT TAB 150-25MG BRAND 3 XTEKTURNA HCT TAB 300-12.5 BRAND 3 XTEKTURNA HCT TAB 300-25MG BRAND 3 XVALTURNA TAB 150-160 BRAND 3 XVALTURNA TAB 300-320 BRAND 3 X




OTHERSDIBENZYLINE CAP 10MG BRAND 4 PA PROGLYCEM SUS 50MG/ML BRAND 2 XVECAMYL TAB 2.5MG BRAND 4 PA

CENTRAL NERVOUS SYSTEM AGENTS

ADHDAMPHETAMINE TAB 5MG GENERIC 1 QL 3/DAY XAMPHETAMINE TAB 7.5MG GENERIC 1 QL 3/DAY XAMPHETAMINE TAB 10MG GENERIC 1 QL 3/DAY XAMPHETAMINE TAB 12.5MG GENERIC 1 QL 3/DAY XAMPHETAMINE TAB 15MG GENERIC 1 QL 3/DAY XAMPHETAMINE TAB 20MG GENERIC 1 QL 3/DAY XAMPHETAMINE TAB 30MG GENERIC 1 QL 3/DAY XAMPHETAMINE CAP 5MG ER GENERIC 1 QL 1/DAY XAMPHETAMINE CAP 10MG ER GENERIC 1 QL 1/DAY XAMPHETAMINE CAP 15MG ER GENERIC 1 QL 1/DAY XAMPHETAMINE CAP 20MG ER GENERIC 1 QL 1/DAY XAMPHETAMINE CAP 25MG ER GENERIC 1 QL 1/DAY XAMPHETAMINE CAP 30MG ER GENERIC 1 QL 1/DAY XCLONIDINE TAB 0.1MG GENERIC 1 QL 1/DAY XDAYTRANA DIS 10MG/9HR BRAND 3 QL 1/DAY XDAYTRANA DIS 15MG/9HR BRAND 3 QL 1/DAY XDAYTRANA DIS 20MG/9HR BRAND 3 QL 1/DAY XDAYTRANA DIS 30MG/9HR BRAND 3 QL 1/DAY XDEXMETHYLPH TAB 2.5MG GENERIC 1 XDEXMETHYLPH TAB 5MG GENERIC 1 XDEXMETHYLPH TAB 10MG GENERIC 1 XDEXMETHYLPH CAP 15MG ER GENERIC 1 QL 1/DAY XDEXMETHYLPH CAP 30MG ER GENERIC 1 QL 1/DAY XDEXMETHYLPH CAP 40MG ER GENERIC 1 QL 1/DAY XDEXTROAMPHET TAB 5MG GENERIC 1 XDEXTROAMPHET TAB 10MG GENERIC 1 XDEXTROAMPHET CAP 5MG ER GENERIC 1 XDEXTROAMPHET CAP 10MG ER GENERIC 1 X




ADHD - CONTINUEDDEXTROAMPHET CAP 15MG ER GENERIC 1 XFOCALIN XR CAP 5MG BRAND 3 QL 1/DAY XFOCALIN XR CAP 10MG BRAND 3 QL 1/DAY XFOCALIN XR CAP 20MG BRAND 3 QL 1/DAY XFOCALIN XR CAP 25MG BRAND 3 QL 1/DAY XFOCALIN XR CAP 35MG BRAND 3 QL 1/DAY XINTUNIV TAB 1MG BRAND 3 QL 1/DAY XINTUNIV TAB 2MG BRAND 3 QL 1/DAY XINTUNIV TAB 3MG BRAND 3 QL 1/DAY XINTUNIV TAB 4MG BRAND 3 QL 1/DAY XKAPVAY MIS 0.1&0.2 PAK BRAND 3 XMETADATE TAB 20MG ER GENERIC 1 XMETHAMPHETAM TAB 5MG GENERIC 1 QL 3/DAY XMETHYLPHENID CAP 10MG GENERIC 1 XMETHYLPHENID CAP 50MG GENERIC 1 XMETHYLPHENID CAP 60MG GENERIC 1 XMETHYLPHENID TAB 5MG GENERIC 1 XMETHYLPHENID TAB 10MG GENERIC 1 XMETHYLPHENID TAB 20MG GENERIC 1 XMETHYLPHENID TAB 10MG ER GENERIC 1 XMETHYLPHENID TAB 18MG ER GENERIC 1 QL 1/DAY XMETHYLPHENID TAB 27MG ER GENERIC 1 QL 1/DAY XMETHYLPHENID TAB 36MG ER GENERIC 1 QL 1/DAY XMETHYLPHENID TAB 54MG ER GENERIC 1 QL 1/DAY XMETHYLPHENID SOL 5MG/5ML GENERIC 1 XMETHYLPHENID SOL 10MG/5ML GENERIC 1 XSTRATTERA CAP 10MG BRAND 3 QL 1/DAY XSTRATTERA CAP 18MG BRAND 3 QL 1/DAY XSTRATTERA CAP 25MG BRAND 3 QL 1/DAY XSTRATTERA CAP 40MG BRAND 3 QL 1/DAY XSTRATTERA CAP 60MG BRAND 3 QL 1/DAY XSTRATTERA CAP 80MG BRAND 3 QL 1/DAY XSTRATTERA CAP 100MG BRAND 3 QL 1/DAY XVYVANSE CAP 20MG BRAND 3 QL 1/DAY XVYVANSE CAP 30MG BRAND 3 QL 1/DAY X




ADHD - CONTINUEDVYVANSE CAP 40MG BRAND 3 QL 1/DAY XVYVANSE CAP 50MG BRAND 3 QL 1/DAY XVYVANSE CAP 60MG BRAND 3 QL 1/DAY XVYVANSE CAP 70MG BRAND 3 QL 1/DAY X

ANTIDEMENTIA AGENTSNAMENDA TAB 5MG BRAND 3 XNAMENDA TAB 10MG BRAND 3 XNAMENDA TAB 5-10MG BRAND 3 NAMENDA SOL 10MG/5ML BRAND 3 XNAMENDA XR CAP 7MG BRAND 3 XNAMENDA XR CAP 14MG BRAND 3 XNAMENDA XR CAP 21MG BRAND 3 XNAMENDA XR CAP 28MG BRAND 3 X

NARCOLEPSYMODAFINIL TAB 100MG GENERIC 1 QL 1/DAY XMODAFINIL TAB 200MG GENERIC 1 QL 1/DAY XNUVIGIL TAB 50MG BRAND 3 ST, QL 2/DAY XNUVIGIL TAB 150MG BRAND 3 ST, QL 1/DAY XNUVIGIL TAB 200MG BRAND 3 ST, QL 1/DAY XNUVIGIL TAB 250MG BRAND 3 ST, QL 1/DAY X

SEROTININ/NOREPINEPHRINE REUPTAKE INHIBITORSSAVELLA TAB 12.5MG BRAND 3 QL 2/DAY XSAVELLA TAB 25MG BRAND 3 QL 2/DAY XSAVELLA TAB 50MG BRAND 3 QL 2/DAY XSAVELLA TAB 100MG BRAND 3 QL 2/DAY X

OTHERSNUEDEXTA CAP 20-10MG BRAND 3 PA, QL 2/DAY XRILUZOLE TAB 50MG GENERIC 4 PAXENAZINE TAB 12.5MG BRAND 4 PA, QL 8/DAYXENAZINE TAB 25MG BRAND 4 PA, QL 4/DAY




CONTRACEPTIVES

CONTRACEPTIVESALYACEN TAB 1/35 GENERIC 5 XALYACEN TAB 7/7/7 GENERIC 5 XAMETHIA TAB GENERIC 5 XAMETHIA LO TAB GENERIC 5 XAMETHYST TAB 90-20MCG GENERIC 5 XAPRI TAB GENERIC 5 XARANELLE TAB GENERIC 5 XAVIANE TAB GENERIC 5 XAZURETTE TAB 28 DAY GENERIC 5 XBALZIVA TAB GENERIC 5 XBEYAZ TAB BRAND 5 XCAMILA TAB 0.35MG GENERIC 5 XCAZIANT PAK GENERIC 5 XCHATEAL TAB 0.15/30 GENERIC 5 XCRYSELLE-28 TAB 28 TABS GENERIC 5 XDAYSEE TAB GENERIC 5 XDROSPIR/ETHI TAB 3-0.03MG GENERIC 5 XELLA TAB 30MG BRAND 5 QL 3/30DAYS ENPRESSE-28 TAB GENERIC 5 XESTARYLLA TAB 0.25-35 GENERIC 5 XGENERESS FE CHEW BRAND 5 XGIANVI TAB 3-0.02MG GENERIC 5 XGILDESS TAB 1/20 GENERIC 5 XGILDESS TAB 1.5/30 GENERIC 5 XGILDESS FE TAB 1/20 GENERIC 5 XGILDESS FE TAB 1.5/30 GENERIC 5 XJOLESSA TAB GENERIC 5 XKELNOR TAB 1/35 GENERIC 5 XLEVONORGESTR TAB 0.75MG GENERIC 5 QL 6/30DAYS LOESTRIN 24 TAB FE BRAND 5 XLO LOESTRIN TAB BRAND 5 XLOMEDIA 24 TAB FE BRAND 5 XLO MINASTRIN FE CHEW BRAND 5 XMEDROXYPR AC INJ 150MG/ML GENERIC 5 X




CONTRACEPTIVES - CONTINUEDMINASTRIN 24 FE CHEW TAB BRAND 5 XNATAZIA TAB BRAND 5 XNECON TAB 0.5/35 GENERIC 5 XNECON TAB 1/50-28 GENERIC 5 XNECON TAB 10/11-28 GENERIC 5 XNEXPLANON IMP 68MG BRAND 5 XNEXT CHOICE TAB 0.75MG GENERIC 5 QL 3/DAY NORGEST/ETHI TAB ESTRADIO GENERIC 5 XNUVARING MIS BRAND 5 XOGESTREL TAB GENERIC 5 XORSYTHIA TAB GENERIC 5 XORTHO TRI CYCLN LO TAB BRAND 5 XQUARTETTE TAB BRAND 5 XSAFYRAL TAB BRAND 5 XSKYLA IUD 13.5MG BRAND 5 XTILIA FE TAB GENERIC 5 XXULANE DIS 150-35 GENERIC 5 XZENCHENT FE CHW 0.4MG-35 GENERIC 5 XZOVIA 1/50E TAB GENERIC 5 X

DERMATOLOGICAL AGENTS - DRUGS TO TREAT SKIN CONDITIONS

ANESTHETICSCOCAINE HCL SOL 4% GENERIC 1 COCAINE HCL SOL 10% GENERIC 1 ETHYL CHLOR AER MIST GENERIC 1 LIDO/PRILOCN CRE 2.5-2.5% GENERIC 1 LIDOCAINE OIN 5% GENERIC 1 LIDOCAINE SOL 4% GENERIC 1 LIDOCAINE CRE 3% GENERIC 1 LIDOCAINE GEL 2% GENERIC 1 LIDOCAINE LOT 3% GENERIC 1 LIDOCAINE 5% PATCH GENERIC 1 QL 3/DAYPRAMOX GEL 1% GENERIC 1 SYNERA DIS 70-70MG BRAND 3




ANTI-ACNE AGENTSADAPALENE GEL 0.3% GENERIC 1AMNESTEEM CAP 10MG GENERIC 1AMNESTEEM CAP 20MG GENERIC 1AMNESTEEM CAP 40MG GENERIC 1ATRALIN GEL 0.05% BRAND 3AVITA CRE 0.025% GENERIC 1AVITA GEL 0.025% GENERIC 1CLARAVIS CAP 30MG GENERIC 1DIFFERIN LOT 0.1% BRAND 3 EPIDUO GEL 0.1-2.5% BRAND 3 FABIOR AER 0.1% BRAND 3TRETIN-X CRE KIT 0.05% BRAND 3TRETIN-X CRE 0.075% BRAND 3TRETIN-X CRE 0.0375% BRAND 3TRETINOIN CAP 10MG GENERIC 1 TRETINOIN CRE 0.05% GENERIC 1TRETINOIN CRE 0.1% GENERIC 1TRETINOIN GEL 0.01% GENERIC 1TRETINOIN GEL 0.04% GENERIC 1TRETINOIN GEL 0.1% GENERIC 1

ANTIBACTERIALSACANYA GEL 1.2-2.5% BRAND 3ALTABAX OIN 1% BRAND 3CENTANY OIN 2% GENERIC 1CLINDACIN MIS ETZ 1% GENERIC 1CLINDAMAX GEL 1% GENERIC 1CLINDAMAX LOT 10MG/ML GENERIC 1CLINDAMY/BEN GEL 1-5% GENERIC 1CLINDAMYCIN CRE 2% VAG GENERIC 1CLINDAMYCIN SOL 1% GENERIC 1CLINDAMYCIN AER 1% GENERIC 1CLINDAREACH KIT 1% GENERIC 1ERY PAD 2% GENERIC 1ERYTHROMYCIN SOL 2% GENERIC 1




ANTIBACTERIALS - CONTINUEDERYTHROMYCIN GEL 2% GENERIC 1ERYTHROMYCIN GEL /BENZOYL GENERIC 1GENTAMICIN CRE 0.1% GENERIC 1GENTAMICIN OIN 0.1% GENERIC 1METRONIDAZOL CRE 0.75% GENERIC 1METRONIDAZOL GEL 0.75% GENERIC 1METRONIDAZOL GEL 1% GENERIC 1METRONIDAZOL LOT 0.75% GENERIC 1MEXAR WASH LIQ 10% GENERIC 1MUPIROCIN CA CRE 2% GENERIC 1OVACE PLUS CRE 10% BRAND 3SOD SULFACET PAD 10% GENERIC 1SOD SULFACET SHA 10% GENERIC 1SULFACETAMID SUS 10% GENERIC 1

ANTIFUNGALSCLOTRIM/BETA CRE DIPROP GENERIC 1CLOTRIM/BETA LOT DIPROP GENERIC 1CLOTRIMAZOLE SOL 1% GENERIC 1CLOTRIMAZOLE CRE 1% GENERIC 1ECONAZOLE CRE 1% GENERIC 1ERTACZO CRE 2% BRAND 3EXELDERM SOL 1% BRAND 2EXELDERM CRE 1% BRAND 2KETOCONAZOLE CRE 2% GENERIC 1KETOCONAZOLE AER 2% GENERIC 1KETOCONAZOLE SHA 2% GENERIC 1NAFTIN CRE 1% BRAND 3NAFTIN GEL 1% BRAND 3NYAMYC POW 100000 GENERIC 1NYSTATIN CRE 100000 GENERIC 1NYSTATIN OIN 100000 GENERIC 1OXISTAT CRE 1% BRAND 2OXISTAT LOT 1% BRAND 2




ANTI-INFECTIVE AGENTSBENZALKONIUM SOL 17% GENERIC 1BENZALKONIUM SOL 50% GENERIC 1BENZEPRO AER 5.3% GENERIC 1BENZEPRO SC AER 9.8% GENERIC 1BENZIQ WASH LIQ 5.25% GENERIC 1BENZOYL PER GEL 10% GENERIC 1BENZOYL PER LOT 3% GENERIC 1BENZOYL PER LOT 6% GENERIC 1BENZOYL PER LOT 9% GENERIC 1BENZOYL PER PAD 3% GENERIC 1BENZOYL PER PAD 6% GENERIC 1BENZOYL PER PAD 9% GENERIC 1BPO CLOTHS MIS 3% GENERIC 1BPO CLOTHS MIS 6% GENERIC 1BPO CLOTHS MIS 9% GENERIC 1CHLORHEX GLU SOL 20% GENERIC 1LAVOCLEN-4 LIQ CREM WSH GENERIC 1LAVOCLEN-8 LIQ CREM WSH GENERIC 1LUGOLS SOL STRONG GENERIC 1MAFENIDE ACE PAK 5% GENERIC 1PHISOHEX LIQ 3% BRAND 3SELENIUM SUL LOT 2.5% GENERIC 1SELENIUM SUL SHA 2.25% GENERIC 1SILVER NITRA SOL 0.5% GENERIC 1SILVER NITRA SOL 10% GENERIC 1SILVER NITRA SOL 25% GENERIC 1SILVER NITRA SOL 50% GENERIC 1SILVER NITRA OIN 10% GENERIC 1SILVER SULFA CRE 1% GENERIC 1SOD HYPOCHLR SOL 5% GENERIC 1SULFAMYLON CRE 85MG/GM BRAND 3ZACLIR LOT 8% GENERIC 1




ANTI-INFLAMMATORY AGENTSALA CORT CRE 1% GENERIC 1ALCLOMETASON CRE 0.05% GENERIC 1ALCLOMETASON OIN 0.05% GENERIC 1ALPHATREX GEL 0.05% GENERIC 1AMCINONIDE CRE 0.1% GENERIC 1AMCINONIDE LOT 0.1% GENERIC 1AMCINONIDE OIN 0.1% GENERIC 1 APEXICON OIN 0.05% GENERIC 1APEXICON E CRE 0.05% GENERIC 1AUG BETAMET CRE 0.05% GENERIC 1AUG BETAMET LOT 0.05% GENERIC 1AUG BETAMET OIN 0.05% GENERIC 1BETAMETH DIP CRE 0.05% GENERIC 1BETAMETH DIP LOT 0.05% GENERIC 1BETAMETH DIP OIN 0.05% GENERIC 1BETAMETH VAL CRE 0.1% GENERIC 1BETAMETH VAL AER 0.12% GENERIC 1BETAMETH VAL LOT 0.1% GENERIC 1BETAMETH VAL OIN 0.1% GENERIC 1CALCIPOTRIEN/BETAMETH OIN GENERIC 1CAPEX SHA 0.01% BRAND 3CLOBETASOL SOL 0.05% GENERIC 1CLOBETASOL CRE 0.05% GENERIC 1CLOBETASOL AER 0.05% GENERIC 1CLOBETASOL GEL 0.05% GENERIC 1CLOBETASOL LOT 0.05% GENERIC 1CLOBETASOL OIN 0.05% GENERIC 1CLOBETASOL SHA 0.05% GENERIC 1CLOBEX SPR 0.05% BRAND 3COLOCORT ENE 100MG GENERIC 1CLOCORTOLONE CRE PIV 0.1% GENERIC 1CORDRAN LOT 0.05% BRAND 3CORTALO GEL 2% GENERIC 1CORTIFOAM AER 90MG BRAND 2CORTISPORIN CRE 0.5% BRAND 3CORTISPORIN OIN 1% BRAND 3DESONIDE CRE 0.05% GENERIC 1




ANTI-INFLAMMATORY AGENTS - CONTINUEDDESONIDE LOT 0.05% GENERIC 1DESONIDE OIN 0.05% GENERIC 1DESOXIMETAS CRE 0.05% GENERIC 1DESOXIMETAS CRE 0.25% GENERIC 1DESOXIMETAS GEL 0.05% GENERIC 1DESOXIMETAS OIN 0.05% GENERIC 1DESOXIMETAS OIN 0.25% GENERIC 1DICLOFENAC GEL 3% GENERIC 1DIFLORASONE CRE 0.05% GENERIC 1FLECTOR DIS 1.3% BRAND 3 QL 2/DAY, 15 DAYS/FILLFLUOCIN ACET SOL 0.01% GENERIC 1FLUOCIN ACET CRE 0.01% GENERIC 1FLUOCIN ACET CRE 0.025% GENERIC 1FLUOCIN ACET OIN 0.025% GENERIC 1FLUOCIN ACET OIL SCALP GENERIC 1FLUOCINONIDE SOL 0.05% GENERIC 1FLUOCINONIDE CRE 0.1% GENERIC 1FLUOCINONIDE CRE 0.05% GENERIC 1FLUOCINONIDE GEL 0.05% GENERIC 1FLUOCINONIDE OIN 0.05% GENERIC 1FLUTICASONE CRE 0.05% GENERIC 1FLUTICASONE LOT 0.05% GENERIC 1FLUTICASONE OIN 0.005% GENERIC 1HALAC KIT GENERIC 1HALOBETASOL CRE 0.05% GENERIC 1HALOBETASOL OIN 0.05% GENERIC 1HALOG CRE 0.1% BRAND 3HALOG OIN 0.1% BRAND 3HC BUTYRATE SOL 0.1% GENERIC 1HC BUTYRATE CRE 0.1% GENERIC 1HC BUTYRATE OIN 0.1% GENERIC 1HC VALERATE CRE 0.2% GENERIC 1HC VALERATE OIN 0.2% GENERIC 1HYDROCORT CRE 2.5% GENERIC 1HYDROCORT LOT 2.5% GENERIC 1HYDROCORT OIN 1% GENERIC 1HYDROCORT OIN 2.5% GENERIC 1




ANTI-INFLAMMATORY AGENTS - CONTINUEDKENALOG AER SPRAY BRAND 3LOCOID LOT 0.1% BRAND 2MOMETASONE SOL 0.1% GENERIC 1MOMETASONE CRE 0.1% GENERIC 1MOMETASONE OIN 0.1% GENERIC 1PRAMCORT CRE 1-1% GENERIC 1PRAMOSONE LOT 1% BRAND 3PRAMOSONE LOT 2.5% BRAND 3PREDNICARBAT CRE 0.1% GENERIC 1PREDNICARBAT OIN 0.1% GENERIC 1PROCTOCREAM CRE HC 2.5% GENERIC 1SCALACORT LOT 2% GENERIC 1TACLONEX SUS BRAND 3TOPICORT SPR 0.25% BRAND 3TRIAMCINOLON CRE 0.025% GENERIC 1TRIAMCINOLON CRE 0.1% GENERIC 1TRIAMCINOLON CRE 0.5% GENERIC 1TRIAMCINOLON LOT 0.025% GENERIC 1TRIAMCINOLON LOT 0.1% GENERIC 1TRIAMCINOLON OIN 0.025% GENERIC 1TRIAMCINOLON OIN 0.1% GENERIC 1TRIAMCINOLON OIN 0.5% GENERIC 1TRIANEX OIN 0.05% GENERIC 1U-CORT CRE 1% GENERIC 1ULTRAVATE KIT PAC BRAND 3VOLTAREN GEL 1% BRAND 3

ANTI-VIRALS ACYCLOVIR OIN 5% GENERIC 1 DENAVIR CRE 1% BRAND 3 ZOVIRAX CRE 5% BRAND 3

KERATOLYTIC AGENTSALICLEN SHA 6% GENERIC 1AVAR CLEANSE EMU 10-5% GENERIC 1AVAR-E GREEN CRE 10-5% GENERIC 1




KERATOLYTIC AGENTS - CONTINUEDBP 10-1 EMU GENERIC 1BP CLEANSING EMU 10-4% GENERIC 1CEM-UREA SOL 45% GENERIC 1CEROVEL GEL 40% GENERIC 1CEROVEL LOT 40% GENERIC 1LATRIX SUS 50% GENERIC 1PRASCION FC PAD 10-5% GENERIC 1PRASCION RA CRE 10-5% GENERIC 1REMEVEN CRE 50% GENERIC 1SALACYN CRE 6% GENERIC 1SALACYN LOT 6% GENERIC 1SALICYLIC AER 6% GENERIC 1SALICYLIC AC GEL 6% GENERIC 1SALICYLIC AC AER 6% GENERIC 1SOD SUL/SULF LIQ WASH GENERIC 1SOD SUL/SULF LIQ 9-4.5% GENERIC 1SOD SUL/SULF SUS 8-4% GENERIC 1SOD SUL/SULF AER 10-5% GENERIC 1SOD SUL/SULF PAD 10-4% GENERIC 1SOD SUL/SULF GEL 10-5% GENERIC 1SOD SUL/SULF EMU 10-5% GENERIC 1U-KERA E CRE 40% GENERIC 1UMECTA MOUSS AER 40% GENERIC 1URAMAXIN AER 20% GENERIC 1UREA CRE 39% GENERIC 1UREA CRE 45% GENERIC 1UREA LOT 45% GENERIC 1UREA 40% SUS NAIL GENERIC 1UREA NAIL GEL 45% GENERIC 1

OTHERSACITRETIN CAP 10MG GENERIC 1 ACZONE GEL 5% BRAND 3ADAPALENE CRE 0.1% GENERIC 1 ADAPALENE GEL 0.1% GENERIC 1 ALPHAQUIN HP CRE 4% GENERIC 1

*PLEASE REFER TO YOUR PLAN BENEFIT DOCUMENT FOR TIER LEVEL.




OTHERS - CONTINUED AMMONIUM LAC CRE 12% GENERIC 1 AMMONIUM LAC LOT 12% GENERIC 1 ANALPRAM-HC LOT 2.5% BRAND 2 AZELEX CRE 20% BRAND 3 BENZOIN TIN NF GENERIC 1 BENZOIN CMPD TIN GENERIC 1 CALCIPOTRIEN SOL 0.005% GENERIC 1 CALCIPOTRIEN CRE 0.005% GENERIC 1 CALCIPOTRIEN OIN 0.005% GENERIC 1 CALCITRIOL OIN 3MCG/GM GENERIC 1 CARAC CRE 0.5% BRAND 3 CICLODAN SOL 8% GENERIC 1 CICLODAN CRE 0.77% GENERIC 1 CICLOPIROX GEL 0.77% GENERIC 1CICLOPIROX SUS 0.77% GENERIC 1 CICLOPIROX SHA 1% GENERIC 1 COAL TAR SOL 20% GENERIC 1 COAL TAR OIN 1% GENERIC 1 CONDYLOX GEL 0.5% BRAND 2 DRITHO-CREME CRE HP 1% GENERIC 1 DRITHO-SCALP CRE 0.5% BRAND 3 ELIDEL CRE 1% BRAND 3 QL 30GM/DAYEXODERM LOT 25-1% GENERIC 1 FINACEA GEL 15% BRAND 3 FLUOROURACIL CRE 5% GENERIC 1 FLUOROURACIL DRO 2% GENERIC 1 FLUOROURACIL DRO 5% GENERIC 1 FORMA-RAY SOL 20% GENERIC 1 FORMADON SOL GENERIC 1 FORMALDEHYDE SOL 37% GENERIC 1 GLUTARALDEHY SOL 25% GENERIC 1 HC PRAMOXINE CRE 1-1% GENERIC 1 HYALURONATE GEL 0.2% GENERIC 1 HYDROQUINONE GEL 4%/SUNS GENERIC 1 HYPERCARE SOL 20% GENERIC 1 IMIQUIMOD CRE 5% GENERIC 1





OTHERS - CONTINUED LACTIC ACID LOT 10% GENERIC 1 LIDAZONE CRE GENERIC 1 LIDO-HYDRO GEL 2.8-0.55 GENERIC 1 LIDOCAINE/HC KIT 2-2% GENERIC 1 LIDOCAINE/HC KIT 3%-1% GENERIC 1 LIDOCAINE/HC KIT 3-2.5% GENERIC 1 LIDOCAINE/HC KIT 3%-0.5%, GEL KIT GENERIC 1LIDOCAINE/HC KIT 3% - 1% GEL KIT GENERIC 1LIDOCAINE/HC KIT 3-2.5% GEL KIT GENERIC 1MENTAX CRE 1% BRAND 2 NYSTAT/TRIAM CRE GENERIC 1 NYSTAT/TRIAM OIN GENERIC 1 OXSORALEN LOT 1% BRAND 3 PAPANRETIN GEL 0.1% BRAND 2 PICATO GEL 0.015% BRAND 3 PICATO GEL 0.05% BRAND 3 PODOCON SOL 25% GENERIC 1 PODOFILOX SOL 0.5% GENERIC 1 PROCTOFOAM AER HC 1% BRAND 2 PROTOPIC OIN 0.03% BRAND 3 QL 30GM/DAYPROTOPIC OIN 0.1% BRAND 3 QL 30GM/DAYPRUDOXIN CRE 5% GENERIC 1 RECTIV OIN 0.4% BRAND 3 PAREGRANEX GEL 0.01% BRAND 3 PA, QL 60GM/30DAYSSANTYL OIN 250/GM BRAND 3 QL 30GM/30DAYSTARGRETIN GEL 1% BRAND 4 PATAZORAC CRE 0.05% BRAND 3 TAZORAC CRE 0.1% BRAND 3 TAZORAC GEL 0.05% BRAND 3 TAZORAC GEL 0.1% BRAND 3 TRIPLE DYE LIQ GENERIC 1 VALCHLOR GEL BRAND 4 PAVELTIN GEL BRAND 3 VEREGEN OIN 15% BRAND 2 WITCH HAZEL LIQ USP GENERIC 1 Z-PRAM KIT 2.35-1% GENERIC 1





PIGMENTING AGENTS8-MOP CAP 10MG BRAND 4METHOXSALEN CAP 10MG GENERIC 4

SCABICIDES AND PEDICULICIDESACTICIN CRE 5% GENERIC 1EURAX CRE 10% BRAND 2EURAX LOT 10% BRAND 2LINDANE SHA 1% GENERIC 1LINDANE LOT 1% GENERIC 1MALATHION LOT 0.5% GENERIC 1NATROBA SUS 0.9% BRAND 3ULESFIA LOT 5% BRAND 3

DETERRENTS

ALCOHOLACAMPROSATE TAB 333MG GENERIC 1 QL 6/DAYDISULFIRAM TAB 250MG GENERIC 1DISULFIRAM TAB 500MG GENERIC 1

SMOKING CESSATION AGENTSBUPROBAN TAB 150MG GENERIC 5 QL 120/YRCHANTIX TAB 0.5MG BRAND 5 QL 120/YRCHANTIX TAB 1MG BRAND 5 QL 120/YRCHANTIX PAK 0.5& 1MG BRAND 5 QL 120/YRNICOTINE DIS 7MG/24HR GENERIC 5 QL 120/YRNICOTINE DIS 14MG/24H GENERIC 5 QL 120/YRNICOTINE DIS 21MG/24HR GENERIC 5 QL 120/YRNICOTINE GUM 2MG CINN GENERIC 5 QL 120/YRNICOTINE GUM 4MG CINN GENERIC 5 QL 120/YRNICOTINE LOZ 2MG MINT GENERIC 5 QL 120/YRNICOTINE LOZ 4MG MINT GENERIC 5 QL 120/YRNICOTINE SYS KIT TRANSDER GENERIC 5 QL 120/YRNICOTROL INH BRAND 5 QL 120/YR





OPIOIDSBUPREN/NALOX SUB 2-0.5MG GENERIC 1 QL 3/DAYBUPREN/NALOX SUB 8-2MG GENERIC 1 QL 3/DAYBUPRENORPHIN SUB 2MG GENERIC 1 QL 3/DAYBUPRENORPHIN SUB 8MG GENERIC 1 QL 3/DAYNALOXONE INJ 0.4MG/ML GENERIC 4 NALTREXONE TAB 50MG GENERIC 1 SUBOXONE MIS 2-0.5MG BRAND 2 QL 3/DAYSUBOXONE MIS 4-1MG BRAND 2 QL 3/DAYSUBOXONE MIS 8-2MG BRAND 2 QL 3/DAYSUBOXONE MIS 12-3MG BRAND 2 QL 2/DAYVIVITROL INJ 380MG BRAND 4 PA

DIABETIC SUPPLIES

ALCOHOL SWABSWEBCOL PREP PAD MEDIUM BRAND 1/5*

CALIBRATION SOLUTION ACCU-CHEK LIQ BRAND 1/5* QL 1/YRAGAMATRIX SOL BRAND 1/5* QL 1/YRBAYER LIQ BRAND 1/5* QL 1/YRCONTROL SOL GENERIC 1/5* QL 1/YREASY SOL BRAND 1/5* QL 1/YREMBRACE SOLLOW BRAND 1/5* QL 1/YRENVISION SOL BRAND 1/5* QL 1/YRFORA CONTROL SOL BRAND 1/5* QL 1/YRFREESTYLE LIQ BRAND 1/5* QL 1/YRGLUC CONTROL SOL MISC BRAND 1/5* QL 1/YRGLUCOCARD LIQ BRAND 1/5* QL 1/YRMICRODOT CON SOL BRAND 1/5* QL 1/YRONETOUCH SOL BRAND 1/5* QL 1/YRPRECISION LIQCONTROL BRAND 1/5* QL 1/YRPRESTIGE GLU BRAND 1/5* QL 1/YR





CALIBRATION SOLUTION - CONTINUEDPRODIGY SOL BRAND 1/5* QL 1/YRSOLO V2 SOL BRAND 1/5* PA, QL 1/YRTRUECONTROL LIQ BRAND 1/5* QL 1/YRTRUETEST LIQ BRAND 1/5* QL 1/YRTRUETRACK LIQGLUCOSE BRAND 1/5* QL 1/YRVOCAL POINT SOLCNT BRAND 1/5* PA, QL 1/YR

INSULIN SYRINGESINSULIN SYRG MIS 1ML/28G GENERIC 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/28G GENERIC 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/25G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/27G GENERIC 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/27G GENERIC 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/25G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/28G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 2ML/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/25G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/27G BRAND 1/5* QL 200/MONTH




INSULIN SYRINGES - CONTINUEDINSULIN SYRG MIS 2/27.5G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/26G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/28G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/28G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/31G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 1ML/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.5/29G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/30G BRAND 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/29G GENERIC 1/5* QL 200/MONTHINSULIN SYRG MIS 0.3/30G BRAND 1/5* QL 200/MONTH

LANCET DEVICES ACCU-CHEK LANCET DEVICES BRAND 1/5* QL 1/6MONTHSADVOCATE MIS LANC DEV BRAND 1/5* PA, QL 1/6MONTHSBAYER MICRLT MIS LANC DVC BRAND 1/5* QL 1/6MONTHSBD LANCET MIS DEVICE BRAND 1/5* QL 1/6MONTHSFORA MIS LANCING BRAND 1/5* QL 1/6MONTHSLANCET DEVICE MIS LANCING GENERIC 1/5* QL 1/6MONTHS




LANCET DEVICES - CONTINUEDONETOUCH MIS LANC DEV BRAND 1/5* QL 1/6MONTHSPRODIGY MIS LANC DEV BRAND 1/5* QL 1/6MONTHSSOFTCLIX LAN MIS DEVICE BRAND 1/5* QL 1/6MONTHSSOLO V2 MIS DEVICE BRAND 1/5* PA, QL 1/6MONTHS

LANCETS ACCU-CHEK MIS MLTICLIX BRAND 1/5* QL 200/30DAYSAGAMATRIX BRAND 1/5* QL 200/30DAYSBAYER MIS LANCETS BRAND 1/5* QL 200/30DAYSBD LANCET BRAND 1/5* QL 200/30DAYSFORA MIS LANCETS BRAND 1/5* QL 200/30DAYSFREESTYLE LANCETS BRAND 1/5* QL 200/30DAYSLANCETS MIS GENERIC 1/5* QL 200/30DAYSLIFESCAN MIS UNISTIK2 BRAND 1/5* QL 200/30DAYSONETOUCH LANCETS BRAND 1/5* QL 200/30DAYSPRECISION LANCETS BRAND 1/5* QL 200/30DAYSPRODIGY LANCETS BRAND 1/5* QL 200/30DAYSRELION LANCETS BRAND 1/5* QL 200/30DAYSSOLO V2 TWST MIS LANCETS BRAND 1/5* PA, QL 200/30DAYS

METERS ACCU-CHEK KIT BRAND 1/5* QL 1/YRACCU-CHEK KIT VOICEMAT BRAND 1/5* PA, QL 1/YRAGAMATRIX KIT BRAND 1/5* QL 1/YRBAYER KIT BRAND 1/5* QL 1/YRBLOOD GL MIS MONITOR BRAND 1/5* QL 1/YRBLOOD GLUC METER GENERIC 1/5* QL 1/YREASY MONITOR BRAND 1/5* QL 1/YREASY TALK SYSTEM BRAND 1/5* PA, QL 1/YREASYMAX V KIT SYSTEM BRAND 1/5* PA, QL 1/YREMBRACE MIS BRAND 1/5* QL 1/YRFORA KIT BRAND 1/5* QL 1/YRFORA V MIS BRAND 1/5* PA, QL 1/YRFREESTYLE KIT BRAND 1/5* QL 1/YRGLUCOCARD KIT BRAND 1/5* QL 1/YRMICRODOT KIT SYSTEM BRAND 1/5* QL 1/YR




METERS - CONTINUEDONETOUCH KIT BRAND 1/5* QL 1/YRPRECISION KIT BRAND 1/5* QL 1/YRPRESTIG METER BRAND 1/5* QL 1/YRPRODIGY KIT VOICEPRO BRAND 1/5* PA, QL 1/YRPRODIGY AUTO KIT METER BRAND 1/5* QL 1/YRPRODIGY VOIC KIT METER BRAND 1/5* PA, QL 1/YRRELION KIT MONITOR BRAND 1/5* QL 1/YRSOLO V2 KIT SYSTEM BRAND 1/5* PA, QL 1/YRTRUE CARE KIT STARTER BRAND 1/5* QL 1/YRTRUE2GO KIT BRAND 1/5* QL 1/YRTRUERESULT KIT BRAND 1/5* QL 1/YRTRUETRACK KIT MONITOR BRAND 1/5* QL 1/YRVOCAL POINT MIS SYSTEM BRAND 1/5* PA, QL 1/YR

NEEDLES1ST TIER UNI MIS 29GX12MM BRAND 1/5* QL 200/30DAYS 1ST TIER UNI MIS 31GX5MM BRAND 1/5* QL 200/30DAYS 1ST TIER UNI MIS 31GX6MM BRAND 1/5* QL 200/30DAYS 1ST TIER UNI MIS 31GX8MM BRAND 1/5* QL 200/30DAYS 1ST TIER UNI MIS 32GX4MM BRAND 1/5* QL 200/30DAYS AUTOSHIELD MIS 29X3/16” BRAND 1/5* QL 200/30DAYS AUTOSHIELD MIS 29X5/16” BRAND 1/5* QL 200/30DAYS AUTOSHIELD MIS 30GX3/16 BRAND 1/5* QL 200/30DAYS BD PEN NEEDL MIS 29GX1/2” BRAND 1/5* QL 200/30DAYS EASQL TOUCH MIS 32GX5MM BRAND 1/5* QL 200/30DAYS EASQL TOUCH MIS 32GX6MM BRAND 1/5* QL 200/30DAYS INSUPEN SENS MIS 32GX8MM BRAND 1/5* QL 200/30DAYS INSUPEN ULTR MIS 30GX8MM BRAND 1/5* QL 200/30DAYS PRODIGQL MIS 29GX1/2” BRAND 1/5* QL 200/30DAYS

TEST STRIPSACCU-CHEK TEST STRIP BRAND 1/5* QL 200/30DAYSACCUTREND TES GLUCOSE BRAND 1/5* QL 200/30DAYSACURA TEST STRIP BRAND 1/5* QL 200/30DAYSADVANCE TEST STRIP BRAND 1/5* QL 200/30DAYSADVOCATE TEST STRIPS BRAND 1/5* PA, QL 200/30DAYS




TEST STRIPS - CONTINUEDAGAMATRIX TEST STRIP BRAND 1/5* QL 200/30DAYSBAYER TEST STRIPS BRAND 1/5* QL 200/30DAYSBD TEST MIS BRAND 1/5* QL 200/30DAYSCLEVER CHEK TES VOICE BRAND 1/5* PA, QL 200/30DAYSEASY TEST STRIP BRAND 1/5* QL 200/30DAYSEMBRACE TES BLD GLUC BRAND 1/5* QL 200/30DAYSFORA TEST STRIPS BRAND 1/5* QL 200/30DAYSFORA V TEST STRIP BRAND 1/5* PA, QL 200/30DAYSFREESTYLE TEST STRIP BRAND 1/5* QL 200/30DAYSGLUCOCARD TEST STRIP BRAND 1/5* QL 200/30DAYSGLUCOSE TEST STRIPS MISC GENERIC 1/5* QL 200/30DAYSMICRODOT TES BRAND 1/5* QL 200/30DAYSONETOUCH TEST STRIP BRAND 1/5* QL 200/30DAYSPRECISION TEST STRIP BRAND 1/5* QL 200/30DAYSPRODIGY TES BLD GLUC BRAND 1/5* QL 200/30DAYSRELION BLOOD TES GLUCOSE BRAND 1/5* QL 200/30DAYSSOLO V2 TES BRAND 1/5* PA, QL 200/30DAYSTRUETEST TES BRAND 1/5* QL 200/30DAYSTRUETRACK TES BLD GLUC BRAND 1/5* QL 200/30DAYS

EAR-NOSE-MOUTH-THROAT AGENTS

EAR ANALGESICSANTIPY/BENZO SOL OTIC GENERIC 1OTICIN DRO 1-0.1% GENERIC 1OTOZIN DRO GENERIC 1

EAR ANTIBACTERIALSCIPROFLOXACN SOL 0.2% GENERIC 1OFLOXACIN DRO 0.3%OTIC GENERIC 1

EAR OTHERSACETIC ACID SOL 2% OTIC GENERIC 1




EAR STEROIDSACETASOL HC SOL OTIC GENERIC 1CIPRO HC SUS OTIC BRAND 3CIPRODEX SUS 0.3-0.1% BRAND 2COLY-MYCIN S SUS OTIC BRAND 3FLUOCIN ACET OIL 0.01% GENERIC 1NEO/POLY/HC SUS 1% OTIC GENERIC 1NEO/POLY/HC SOL 1% OTIC GENERIC 1

MOUTH ANALGESICSAPHTHASOL PST 5% BRAND 3LIDOCAINE SOL 2% VISC GENERIC 1LIDOCAINE SOL 4% GENERIC 1

MOUTH ANTIFUNGALCLOTRIMAZOLE TRO 10MG GENERIC 1ORAVIG TAB 50MG BRAND 3

MOUTH OTHERSCHLORHEX GLU SOL 0.12% GENERIC 1ORALONE PST 0.1% GENERIC 1

NASAL AGENTSAZELASTINE SPR 0.1% GENERIC 1 QL 2/30DAYSAZELASTINE SPR 0.15% GENERIC 1 QL 2/30DAYSBACTROBAN OIN NASAL 2% BRAND 3BECONASE AQ SUS 0.042% BRAND 3 QL 1/30DAYSBUDESONIDE SUS 32MCG GENERIC 1 QL 1/30DAYSDYMISTA SPR 137-50 BRAND 3FLUNISOLIDE SPR 0.025% GENERIC 1 QL 1/30DAYSFLUNISOLIDE SPR 29MCG GENERIC 1 QL 1/30DAYSFLUTICASONE SPR 50MCG GENERIC 1 QL 1/30DAYSNASONEX SPR 50MCG/AC BRAND 2 QL 1/30DAYSOMNARIS SPR BRAND 3 QL 1/30DAYSPATANASE SPR 0.6% BRAND 3 QL 1/30DAYSQNASL AER 80MCG BRAND 3 QL 1/30DAYSSPRIX SPR 15.75MG BRAND 3




NASAL AGENTS - CONTINUEDTRIAMCINOLON SPR 55MCG/AC GENERIC 1 QL 1/30DAYSTYZINE PED DRO 0.05% BRAND 3 VERAMYST SPR 27.5MCG BRAND 3 QL 1/30DAYSZETONNA AER 37MCG BRAND 3 QL 1/30DAYS

ENZYME REPLACEMENT AGENTS

ENZYME REPLACEMENT AGENTSCEREZYME INJ 200UNIT BRAND 4 PAELELYSO INJ 200UNIT BRAND 4 PAVIMIZIM INJ 5MG/5ML BRAND 4 PAVPRIV INJ 400UNIT BRAND 4 PA

OTHERSADAGEN INJ 250/ML BRAND 4 PAALDURAZYME INJ 2.9MG/5M BRAND 4 PACYSTAGON CAP 50MG BRAND 4 PACYSTAGON CAP 150MG BRAND 4 PAELAPRASE INJ 6MG/3ML BRAND 4 PAELITEK INJ 1.5MG BRAND 4 PAFABRAZYME INJ 5MG BRAND 4 PAKUVAN POW 100MG BRAND 4 PAKUVAN TAB 100MG BRAND 4 PALUMIZYME INJ 50MG BRAND 4 PANAGLAZYME INJ 1MG/ML BRAND 4 PAPROCYSBI CAPS 25MG, 75MG BRAND 4 PASUCRAID SOL 8500/ML BRAND 4 PA

GASTROINTESTINAL AGENTS

ANTIDIARRHEA AGENTSDIPHEN/ATROP TAB 2.5MG GENERIC 1 DIPHEN/ATROP LIQ 2.5/5 GENERIC 1 FULYZAQ TAB 125MG BRAND 3 PA




ANTIDIARRHEA AGENTS - CONTINUEDLOPERAMIDE CAP 2MG GENERIC 1 MOTOFEN TAB BRAND 3 OPIUM TIN 1% GENERIC 1 PAREGORIC TIN 2MG/5ML GENERIC 1

ANTIEMETICSALOXI INJ 0.25MG/5 BRAND 4 ANZEMET TAB 50MG BRAND 3 QL 5/30DAYSANZEMET TAB 100MG BRAND 3 QL 5/30DAYSANZEMET INJ 20MG/ML BRAND 4 CESAMET CAP 1MG BRAND 3 QL 8/28DAYSDICLEGIS TAB 10-10MG BRAND 3 DRONABINOL CAP 2.5MG GENERIC 1 QL 2/DAYDRONABINOL CAP 5MG GENERIC 1 QL 2/DAYDRONABINOL CAP 10MG GENERIC 1 QL 2/DAYEMEND CAP 40MG BRAND 4 QL 1/DAYEMEND CAP 80MG BRAND 4 QL 1/DAYEMEND CAP 125MG BRAND 4 QL 1/DAYEMEND SOL 150MG BRAND 4 GRANISETRON TAB 1MG GENERIC 1 QL 32/30DAYSGRANISOL SOL 2MG/10ML BRAND 3 QL 2ML/DAYHYDROXYZ HCL TAB 10MG GENERIC 1 HYDROXYZ HCL TAB 25MG GENERIC 1 HYDROXYZ HCL TAB 50MG GENERIC 1 HYDROXYZ HCL SYP 10MG/5ML GENERIC 1 HYDROXYZ PAM CAP 25MG GENERIC 1 HYDROXYZ PAM CAP 50MG GENERIC 1 HYDROXYZ PAM CAP 100MG GENERIC 1 METOCLOPRAM TAB 5MG GENERIC 1 METOCLOPRAM TAB 10MG GENERIC 1 METOCLOPRAM SOL 5MG/5ML GENERIC 1 ONDANSETRON TAB 4MG ODT GENERIC 1 QL 3/DAYONDANSETRON TAB 8MG ODT GENERIC 1 QL 3/DAYONDANSETRON TAB 4MG GENERIC 1 QL 3/DAYONDANSETRON TAB 8MG GENERIC 1 QL 3/DAYONDANSETRON TAB 24MG GENERIC 1 QL 1/DAY




ANTIEMETICS - CONTINUEDONDANSETRON SOL 4MG/5ML GENERIC 1 QL 30ML/DAYPHENADOZ SUP 12.5MG GENERIC 1PHENADOZ SUP 25MG GENERIC 1PROMETHAZINE TAB 12.5MG GENERIC 1PROMETHAZINE TAB 25MG GENERIC 1PROMETHAZINE TAB 50MG GENERIC 1PROMETHAZINE SYP 6.25/5ML GENERIC 1PROMETHEGAN SUP 50MG GENERIC 1TRANSDERM-SC DIS 1.5MG BRAND 3 TRIMETHOBENZ CAP 300MG GENERIC 1

ANTI-INFLAMMATORY AGENTSAPRISO CAP 0.375GM BRAND 2 XASACOL TAB 400MG DR BRAND 2 XASACOL HD TAB 800MG BRAND 2 XBALSALAZIDE CAP 750MG GENERIC 1 XCANASA SUP 1000MG BRAND 2 QL 42/FILL DELZICOL CAP 400MG BRAND 2 XDIPENTUM CAP 250MG BRAND 3 XLIALDA TAB 1.2GM BRAND 2LOTRONEX TAB 0.5MG BRAND 4 PALOTRONEX TAB 1MG BRAND 4 PA MESALAMINE ENE 4GM GENERIC 1MESALAMINE KIT 4GM GENERIC 1 PENTASA CAP 250MG CR BRAND 2 XPENTASA CAP 500MG CR BRAND 2 XROWASA ENE 4GM BRAND 2

DIGESTIVE ENZYMESCREON CAP 3000UNIT BRAND 2 XCREON CAP 6000UNIT BRAND 2 XCREON CAP 12000UNT BRAND 2 XCREON CAP 24000UNT BRAND 2 XPANCREAZE CAP 4200UNIT BRAND 2 XPANCREAZE CAP 10500UNT BRAND 2 X




DIGESTIVE ENZYMES - CONTINUEDPANCREAZE CAP 16800UNT BRAND 2 XPANCREAZE CAP 21000UNT BRAND 2 XPANCRELIPASE CAP 5000UNIT GENERIC 1 XPERTZYE CAP BRAND 3 XPERTZYE CAP BRAND 3 XULTRESA CAP 13800UNT BRAND 3 XULTRESA CAP 20700UNT BRAND 3 XULTRESA CAP 23000UNT BRAND 3 XVIOKACE TAB BRAND 3 XVIOKACE TAB BRAND 3 XZENPEP CAP 3000UNIT BRAND 2 XZENPEP CAP 10000UNT BRAND 2 XZENPEP CAP 15000UNT BRAND 2 XZENPEP CAP 20000UNT BRAND 2 XZENPEP CAP 25000UNT BRAND 2 X

H.PYLORI TREATMENTSLANSOPRAZOLE/AMOXICILLIN/ CLARITHROMYCIN GENERIC 1HELIDAC MIS BRAND 3PYLERA CAP BRAND 3

HISTAMINE 2 (H2) BLOCKERSCIMETIDINE TAB 200MG GENERIC 1 XCIMETIDINE TAB 300MG GENERIC 1 XCIMETIDINE TAB 400MG GENERIC 1 XCIMETIDINE TAB 800MG GENERIC 1 XCIMETIDINE SOL 300/5ML GENERIC 1 XFAMOTIDINE TAB 20MG GENERIC 1 XFAMOTIDINE TAB 40MG GENERIC 1 XFAMOTIDINE SUS 40MG/5ML GENERIC 1 XNIZATIDINE CAP 150MG GENERIC 1 XNIZATIDINE SOL 15MG/ML GENERIC 1 XRANITIDINE CAP 150MG GENERIC 1 XRANITIDINE CAP 300MG GENERIC 1 X




HISTAMINE 2 (H2) BLOCKERS - CONTINUEDRANITIDINE TAB 150MG GENERIC 1 XRANITIDINE TAB 300MG GENERIC 1 XRANITIDINE SYP 75MG/5ML GENERIC 1 X

LAXATIVESCOLYTE/FLAVR SOL PACKS BRAND 2ENULOSE SOL 10GM/15 GENERIC 1GAVILYTE-C SOL GENERIC 1GAVILYTE-G SOL GENERIC 1GAVILYTE-N SOL FLAV PK GENERIC 1GOLYTELY SOL BRAND 2HALFLYTELY KIT FLAV PKS BRAND 2KRISTALOSE PAK 10GM BRAND 3 KRISTALOSE PAK 20GM BRAND 3 MOVIPREP SOL BRAND 2OSMOPREP TAB 1.5GM BRAND 2 POLYETH GLYC POW 3350 NF GENERIC 1SUCLEAR KIT BRAND 2SUPREP BOWEL SOL PREP BRAND 2

PROTECTANTSCARAFATE SUS 1GM/10ML BRAND 2 XMISOPROSTOL TAB 100MCG GENERIC 1 XMISOPROSTOL TAB 200MCG GENERIC 1 XSUCRALFATE TAB 1GM GENERIC 1 X

PROTON PUMP INHIBITORS (PPIS)DEXILANT CAP 30MG DR BRAND 3 QL 1/DAY XDEXILANT CAP 60MG DR BRAND 3 QL 1/DAY XESOMEPRAZOLE CAP 24.65MG GENERIC 1 XESOMEPRAZOLE CAP 49.3MG GENERIC 1 X.LANSOPRAZOLE CAP 15MG DR GENERIC 1 QL 1/DAY XLANSOPRAZOLE CAP 30MG DR GENERIC 1 QL 1/DAY XNEXIUM GRA 10MG DR BRAND 2 QL 1/DAY XNEXIUM CAP 20MG BRAND 2 QL 1/DAY X




PROTON PUMP INHIBITORS (PPIS) - CONTINUEDNEXIUM CAP 40MG BRAND 2 QL 1/DAY XNEXIUM GRA 2.5MG DR BRAND 2 QL 1/DAY XNEXIUM GRA 5MG DR BRAND 2 QL 1/DAY XNEXIUM GRA 20MG DR BRAND 2 QL 1/DAY XNEXIUM GRA 40MG DR BRAND 2 QL 1/DAY XOMEPRA/BICAR CAP 20-1100 GENERIC 1 XOMEPRA/BICAR CAP 40-1100 GENERIC 1 XOMEPRAZOLE CAP 10MG GENERIC 1 QL 1/DAY XOMEPRAZOLE CAP 20MG GENERIC 1 XOMEPRAZOLE CAP 40MG GENERIC 1 XPANTOPRAZOLE TAB 20MG GENERIC 1 QL 1/DAY XPANTOPRAZOLE TAB 40MG GENERIC 1 XRABEPRAZOLE TAB 20MG GENERIC 1 QL 1/DAY XZEGERID POW 20-1680 BRAND 3 QL 1/DAY XZEGERID POW 40-1680 BRAND 3 QL 1/DAY X

OTHERSAMITIZA CAP 8MCG BRAND 3 QL 2/DAY XAMITIZA CAP 24MCG BRAND 3 QL 2/DAY XCASCARA SAGR EXT AROMATIC GENERIC 1 CROMOLYN SOD CON 100/5ML GENERIC 1 ELMIRON CAP 100MG BRAND 2 GATTEX KIT 5MG BRAND 4 PAMECLIZINE TAB 12.5MG GENERIC 1 MECLIZINE TAB 25MG GENERIC 1 RELISTOR KIT 12/0.6ML BRAND 4 PAUNIVERT TAB 32MG GENERIC 1 URSODIOL CAP 300MG GENERIC 1 XURSODIOL TAB 250MG GENERIC 1 XURSODIOL TAB 500MG GENERIC 1 X




GENITOURINARY AGENTS

ALKALINIZING AGENTSCITROLITH TAB BRAND 2CYTRA-2 SOL GENERIC 1CYTRA-3 SYP GENERIC 1K CITRATE SOL CITR ACD GENERIC 1POT CITRATE TAB 540MG GENERIC 1POT CITRATE TAB 1620MG GENERIC 1POT CITRATE TAB 1080MG GENERIC 1TRICITRATES SOL GENERIC 1

ANTISPASMODIC AGENTSENABLEX TAB 7.5MG BRAND 2 XENABLEX TAB 15MG BRAND 2 XFLAVOXATE TAB 100MG GENERIC 1 XGELNIQUE GEL 3% BRAND 3 XGELNIQUE GEL 10% BRAND 3 XMYRBETRIQ TAB 25MG BRAND 3 XMYRBETRIQ TAB 50MG BRAND 3 XOXYBUTYNIN TAB 5MG GENERIC 1 XOXYBUTYNIN SYP 5MG/5ML GENERIC 1 XOXYBUTYNIN TAB 5MG ER GENERIC 1 XOXYBUTYNIN TAB 10MG ER GENERIC 1 XOXYBUTYNIN TAB 15MG ER GENERIC 1 XTOLTERODINE TAB 1MG GENERIC 1 XTOLTERODINE TAB 2MG GENERIC 1 XTOLTERODINE CAP 2MG ER GENERIC 1 XTOLTERODINE CAP 4MG ER GENERIC 1 XTOVIAZ TAB 4MG BRAND 3 XTOVIAZ TAB 8MG BRAND 3 XTROSPIUM CHL CAP 60MG ER GENERIC 1 XTROSPIUM CL TAB 20MG GENERIC 1 XVESICARE TAB 5MG BRAND 3 XVESICARE TAB 10MG BRAND 3 X




BENIGH PROSTATIC HYPERTROPHY AGENTSALFUZOSIN TAB 10MG GENERIC 1 XAVODART CAP 0.5MG BRAND 3 XFINASTERIDE TAB 5MG GENERIC 1 XJALYN CAP BRAND 3 XRAPAFLO CAP 4MG BRAND 3 XRAPAFLO CAP 8MG BRAND 3 XTAMSULOSIN CAP 0.4MG GENERIC 1 X

IRRIGATION SOLUTIONSACETIC ACID SOL 0.25%IRR GENERIC 1GLYCINE SOL 1.5% IRR GENERIC 1SODIUM CHLOR SOL 0.9% IRR GENERIC 1SORBITOL SOL 3% IRR GENERIC 1SORBITOL SOL 3.3% IRR GENERIC 1LACTATED RIN SOL IRRIGAT GENERIC 1NEO/POLY GU SOL 40/ML IR GENERIC 1PHYSIOLYTE SOL GENERIC 1RINGERS IRR SOL GENERIC 1SORBITOL-MAN SOL GENERIC 1

PHOSPHATE BINDERSCALC ACETATE CAP 667MG GENERIC 1 XFOSRENOL CHW 500MG BRAND 2 XFOSRENOL CHW 750MG BRAND 2 XFOSRENOL CHW 1000MG BRAND 2 XRENAGEL TAB 400MG BRAND 3 XRENAGEL TAB 800MG BRAND 3 XRENVELA TAB 800MG BRAND 2 XRENVELA PAK 0.8GM BRAND 2 XRENVELA PAK 2.4GM BRAND 2 XSEVELAMER TAB 800MG GENERIC 1 XVELPHORO CHW 500MG BRAND 3 X




OTHERSPHENAZOPYRID TAB 100MG GENERIC 1 PHENAZOPYRID TAB 200MG GENERIC 1

GOLD COMPOUNDS

GOLD COMPOUNDSRIDAURA CAP 3MG BRAND 3 X

HORMONAL AGENTS

ANDROGENSANDROXY TAB 10MG BRAND 2 XDANAZOL CAP 50MG GENERIC 1 DANAZOL CAP 100MG GENERIC 1 DANAZOL CAP 200MG GENERIC 1 METHITEST TAB 10MG BRAND 2 X

ANDROGENSANDRODERM DIS 2MG/24HR BRAND 3 ST XANDRODERM DIS 4MG/24HR BRAND 3 ST XANDROGEL GEL 1.62% BRAND 2 XDELATESTRYL INJ 200MG/ML BRAND 2 DEPO-TESTOST INJ 200MG/ML BRAND 2FIRST-TESTOS OIN 2% BRAND 2 XFORTESTA GEL 10MG/ACT BRAND 3 ST XOXANDROLONE TAB 2.5MG GENERIC 1 QL 4/DAY OXANDROLONE TAB 10MG GENERIC 1 QL 2/DAY TESTIM GEL 1%(50MG) BRAND 3 XTESTOST CYP INJ 100MG/ML GENERIC 1 TESTOST CYP INJ 200MG/ML GENERIC 1 TESTOST ENAN INJ 200MG/ML GENERIC 1 TESTOSTERONE GEL 1% (50MG) GENERIC 1 X




ANTITHROID AGENTSMETHIMAZOLE TAB 5MG GENERIC 1 XMETHIMAZOLE TAB 10MG GENERIC 1 XPROPYLTHIOUR TAB 50MG GENERIC 1 XSSKI SOL 1GM/ML BRAND 2 X

ESTROGENSALORA DIS 0.025MG BRAND 2 XALORA DIS 0.05MG BRAND 2 XALORA DIS 0.075MG BRAND 2 XALORA DIS 0.1MG BRAND 2 XCENESTIN TAB 0.3MG BRAND 3 XCENESTIN TAB 0.45MG BRAND 3 XCENESTIN TAB 0.625MG BRAND 3 XCENESTIN TAB 0.9MG BRAND 3 XCENESTIN TAB 1.25MG BRAND 3 XCOMBIPATCH DIS .05/.14 BRAND 2 XCOMBIPATCH DIS .05/.25 BRAND 2 XDUAVEE TAB 0.45-20 BRAND 3 XENJUVIA TAB 0.3MG BRAND 2 XENJUVIA TAB 0.45MG BRAND 2 XENJUVIA TAB 0.625MG BRAND 2 XENJUVIA TAB 0.9MG BRAND 2 XENJUVIA TAB 1.25MG BRAND 2 XESTRACE VAG CRE 0.1MG/GM BRAND 2 XESTRA/NORETH TAB 0.5-0.1 GENERIC 1 XESTRA/NORETH TAB 1-0.5MG GENERIC 1 XESTRADIOL TAB 0.5MG GENERIC 1 XESTRADIOL TAB 1MG GENERIC 1 XESTRADIOL TAB 2MG GENERIC 1 XESTRADIOL DIS 0.025MG GENERIC 1 XESTRADIOL DIS 0.0375MG GENERIC 1 XESTRADIOL DIS 0.05MG GENERIC 1 XESTRADIOL DIS 0.06MG GENERIC 1 XESTRADIOL DIS 0.075MG GENERIC 1 XESTRADIOL DIS 0.1MG GENERIC 1 XESTRING MIS 2MG BRAND 2 QL 1/90DAYS X




ESTROGENS - CONTINUEDESTROPIPATE TAB 0.75MG GENERIC 1 XESTROPIPATE TAB 1.5MG GENERIC 1 XESTROPIPATE TAB 3MG GENERIC 1 XFEMRING 0.05MG/24HR BRAND 2 XFEMRING 0.1MG/24HR BRAND 2 XJEVANTIQUE TAB 1MG-5MCG GENERIC 1 XMENEST TAB 0.3MG BRAND 3 XMENEST TAB 0.625MG BRAND 3 XMENEST TAB 1.25MG BRAND 3 XMENEST TAB 2.5MG BRAND 3 XPREFEST TAB BRAND 2 XPREMARIN TAB 0.3MG BRAND 3 XPREMARIN TAB 0.45MG BRAND 3 XPREMARIN TAB 0.625MG BRAND 3 XPREMARIN TAB 0.9MG BRAND 3 XPREMARIN TAB 1.25MG BRAND 3 XPREMARIN VAG CRE 0.625MG BRAND 2 XPREMPHASE TAB BRAND 3 XPREMPRO TAB 0.3-1.5 BRAND 3 XPREMPRO TAB 0.45-1.5 BRAND 3 XPREMPRO TAB .625-2.5 BRAND 3 XPREMPRO TAB 0.625-5 BRAND 3 XVAGIFEM TAB 10MCG BRAND 2 XVIVELLE-DOT DIS 0.0375MG BRAND 2 X

GROWTH HORMONE INHIBITORSSOMAVERT INJ 10MG BRAND 4 PASOMAVERT INJ 15MG BRAND 4 PASOMAVERT INJ 20MG BRAND 4 PA

GROWTH HORMONESEGRIFTA INJ 1MG BRAND 4 PA, QL 1/90DAYSGENOTROPIN INJ 5MG BRAND 4 PAGENOTROPIN INJ 12MG BRAND 4 PAGENOTROPIN INJ 0.2MG BRAND 4 PA




GROWTH HORMONES - CONTINUEDGENOTROPIN INJ 0.4MG BRAND 4 PAGENOTROPIN INJ 0.6MG BRAND 4 PAGENOTROPIN INJ 0.8MG BRAND 4 PAGENOTROPIN INJ 1MG BRAND 4 PAGENOTROPIN INJ 1.2MG BRAND 4 PAGENOTROPIN INJ 1.4MG BRAND 4 PAGENOTROPIN INJ 1.6MG BRAND 4 PAGENOTROPIN INJ 1.8MG BRAND 4 PAGENOTROPIN INJ 2MG BRAND 4 PAHUMATROPE INJ 5MG BRAND 4 PAHUMATROPE INJ 6MG BRAND 4 PAHUMATROPE INJ 12MG BRAND 4 PAHUMATROPE INJ 24MG BRAND 4 PAINCRELEX INJ 40MG/4ML BRAND 4 PANORDITROPIN INJ 5/1.5ML BRAND 4 PANORDITROPIN INJ 10/1.5ML BRAND 4 PANORDITROPIN INJ 15/1.5ML BRAND 4 PANORDITROPIN INJ 30/3ML BRAND 4 PANUTROPIN INJ 10MG BRAND 4 PANUTROPIN AQ INJ NUSPIN 5 BRAND 4 PANUTROPIN AQ INJ 10MG/2ML BRAND 4 PANUTROPIN AQ INJ 20MG/2ML BRAND 4 PAOMNITROPE INJ 5.8MG BRAND 4 PASAIZEN INJ 5MG BRAND 4 PASEROSTIM INJ 4MG BRAND 4 PASEROSTIM INJ 5MG BRAND 4 PASEROSTIM INJ 6MG BRAND 4 PASIGNIFOR INJ 0.3MG/ML BRAND 4 PASIGNIFOR INJ 0.6MG/ML BRAND 4 PASIGNIFOR INJ 0.9MG/ML BRAND 4 PAZORBTIVE INJ 8.8MG BRAND 4 PA

PARATHYROIDSENSIPAR TAB 30MG BRAND 2 XSENSIPAR TAB 60MG BRAND 2 XSENSIPAR TAB 90MG BRAND 2 X




PITUITARYDESMOPRESSIN TAB 0.1MG GENERIC 1 XDESMOPRESSIN TAB 0.2MG GENERIC 1 XDESMOPRESSIN INJ 4MCG/ML GENERIC 4 DESMOPRESSIN SOL 0.01% GENERIC 1 XDESMOPRESSIN SPR 0.01% GENERIC 1 XSTIMATE SOL 1.5MG/ML BRAND 4 PA

PROGESTINSCRINONE GEL 4% VAG BRAND 3 QL 1 PKG/30DAYSCRINONE GEL 8% VAG BRAND 3 QL 1 PKG/30DAYSDEPO-PROVERA INJ 400/ML BRAND 4ENDOMETRIN SUP 100MG BRAND 2MAKENA INJ 250MG/ML BRAND 4 PAMEDROXYPR AC TAB 2.5MG GENERIC 1 XMEDROXYPR AC TAB 5MG GENERIC 1 XMEDROXYPR AC TAB 10MG GENERIC 1 XNORETHIN ACE TAB 5MG GENERIC 1PROGESTERONE CAP 100MG GENERIC 1 XPROGESTERONE CAP 200MG GENERIC 1 X

STEROIDSASMALPRED SOL PLUS GENERIC 1BAYCADRON ELX 0.5/5ML GENERIC 1BUDESONIDE CAP 3MG/24HR GENERIC 1CORTISONE AC TAB 25MG GENERIC 1DEXAMETHASON CON 1MG/ML BRAND 3DEXAMETHASON TAB 0.5MG GENERIC 1DEXAMETHASON TAB 0.75MG GENERIC 1DEXAMETHASON TAB 1MG GENERIC 1DEXAMETHASON TAB 1.5MG GENERIC 1DEXAMETHASON TAB 2MG GENERIC 1DEXAMETHASON TAB 4MG GENERIC 1DEXAMETHASON TAB 6MG GENERIC 1DEXPAK PAK 13 DAY BRAND 2FLUDROCORT TAB 0.1MG GENERIC 1




STEROIDS - CONTINUEDHYDROCORT TAB 5MG GENERIC 1HYDROCORT TAB 10MG GENERIC 1HYDROCORT TAB 20MG GENERIC 1METHYLPRED TAB 4MG GENERIC 1METHYLPRED TAB 8MG GENERIC 1METHYLPRED TAB 16MG GENERIC 1METHYLPRED TAB 32MG GENERIC 1METHYLPRED PAK 4MG GENERIC 1PREDNISONE SOL 5MG/5ML GENERIC 1PREDNISOLONE SOL 15MG/5ML GENERIC 1PREDNISOLONE SOL 25MG/5ML GENERIC 1PREDNISONE TAB 1MG GENERIC 1PREDNISONE TAB 2.5MG GENERIC 1PREDNISONE TAB 5MG GENERIC 1PREDNISONE TAB 10MG GENERIC 1PREDNISONE TAB 20MG GENERIC 1PREDNISONE TAB 50MG GENERIC 1PREDNISONE PAK 5MG GENERIC 1PREDNISONE PAK 10MG GENERIC 1

THYROID AGENTSARMOUR THYRO TAB 15MG BRAND 3 XARMOUR THYRO TAB 30MG BRAND 3 XARMOUR THYRO TAB 60MG BRAND 3 XARMOUR THYRO TAB 90MG BRAND 3 XARMOUR THYRO TAB 120MG BRAND 3 XARMOUR THYRO TAB 180MG BRAND 3 XARMOUR THYRO TAB 240MG BRAND 3 XARMOUR THYRO TAB 300MG BRAND 3 XLEVOTHROID TAB 25MCG GENERIC 1 XLEVOTHROID TAB 50MCG GENERIC 1 XLEVOTHROID TAB 75MCG GENERIC 1 XLEVOTHROID TAB 88MCG GENERIC 1 XLEVOTHROID TAB 100MCG GENERIC 1 XLEVOTHROID TAB 112MCG GENERIC 1 XLEVOTHROID TAB 125MCG GENERIC 1 X




THYROID AGENTS - CONTINUEDLEVOTHROID TAB 137MCG GENERIC 1 XLEVOTHROID TAB 150MCG GENERIC 1 XLEVOTHROID TAB 175MCG GENERIC 1 XLEVOTHROID TAB 200MCG GENERIC 1 XLEVOTHROID TAB 300MCG GENERIC 1 XLEVOTHYROXIN INJ 100MCG GENERIC 1 XLEVOTHYROXIN INJ 200MCG GENERIC 1 XLEVOTHYROXIN INJ 500MCG GENERIC 1 XLIOTHYRONINE TAB 5MCG GENERIC 1 XLIOTHYRONINE TAB 25MCG GENERIC 1 XLIOTHYRONINE TAB 50MCG GENERIC 1 XNATURE-THROI TAB 16.25MG GENERIC 1 XNATURE-THROI TAB 32.5MG GENERIC 1 XNATURE-THROI TAB 65MG GENERIC 1 XNATURE-THROI TAB 130MG GENERIC 1 XNATURE-THROI TAB 195MG GENERIC 1 XTHYROLAR-1/2 TAB 30MG BRAND 3 XTHYROLAR-1 TAB 60MG BRAND 3 XTHYROLAR-2 TAB 120MG BRAND 3 XTHYROLAR-3 TAB 180MG BRAND 3 X

OTHERSCABERGOLINE TAB 0.5MG GENERIC 1 QL #20/30DAYSCOSYNTROPIN INJ 0.25MG GENERIC 4

IMMUNOLOGICAL AGENTS

IMMUNE SUPPRESSANTSACTEMRA INJ 80MG/4ML BRAND 4 PAACTEMRA INJ 162MG/0.9ML BRAND 4 PA, QL 3.6ML/28DAYSAMEVIVE INJ 15MG BRAND 4 PAATGAM INJ 250MG BRAND 4 PAASTAGRAF XL CAP 0.5MG BRAND 4 PA ASTAGRAF XL CAP 1MG BRAND 4 PA




IMMUNE SUPPRESSANTS - CONTINUEDASTAGRAF XL CAP 5MG BRAND 4 PA AZASAN TAB 75 MG BRAND 2 XAZASAN TAB 100MG BRAND 2 XAZATHIOPRINE TAB 50MG GENERIC 1 XBENLYSTA INJ 120MG BRAND 4 PACELLCEPT SUS 200MG/ML BRAND 2 XCELLCEPT IV INJ 500MG BRAND 4 CIMZIA KIT BRAND 4 PA, QL 1 KIT/YR CIMZIA PREFL KIT 200MG/ML BRAND 4 PA, QL 1 KIT/30DAYSCYCLOSPORINE CAP 25MG GENERIC 1 XCYCLOSPORINE CAP 100MG GENERIC 1 XCYCLOSPORINE CAP 25MG MOD GENERIC 1 XCYCLOSPORINE CAP 50MG MOD GENERIC 1 XCYCLOSPORINE SOL MODIFIED GENERIC 1 XENBREL INJ 50MG/ML BRAND 4 PA, QL 4/30DAYSENBREL INJ 25/0.5ML BRAND 4 PA, QL 4/30DAYSENBREL INJ 25MG BRAND 4 PA, QL 2 KITS/30DAYSGENGRAF CAP 100MG GENERIC 1 XHUMIRA KIT 20MG/0.4 BRAND 4 PA, QL 2/28DAYSHUMIRA KIT 40MG/0.8 BRAND 4 PA, QL 2/28DAYSKINERET INJ BRAND 4 PA, QL 1/DAYLEFLUNOMIDE TAB 10MG GENERIC 1 QL 1/DAY XLEFLUNOMIDE TAB 20MG GENERIC 1 QL 1/DAY XMYCOPHENOLAT CAP 250MG GENERIC 1 XMYCOPHENOLAT TAB 500MG GENERIC 1 XMYCOPHENOLIC TAB 180MG GENERIC 1 XMYCOPHENOLIC TAB 360MG GENERIC 1 XNULOJIX INJ 250MG BRAND 4 PAORENCIA INJ 125MG/ML BRAND 4 PA, QL 4/28DAYSORENCIA INJ 250MG BRAND 4 PA, QL 4/28DAYSREMICADE INJ 100MG BRAND 4 PARAPAMUNE TAB 1MG BRAND 2 QL 2/DAY XRAPAMUNE TAB 2MG BRAND 2 QL 2/DAY XRAPAMUNE SOL 1MG/ML BRAND 2 QL 2ML/DAY X




IMMUNE SUPPRESSANTS - CONTINUEDSANDIMMUNE SOL 100MG/ML BRAND 2 XSIMPONI INJ 50MG BRAND 4 PA, QL 1/28DAYS SIMULECT INJ 20MG BRAND 4 SIROLIMUS TAB 0.5MG GENERIC 1 QL 2/DAY XSYLVANT SOL 100MG BRAND 4 PA SYLVANT SOL 400MG BRAND 4 PATACROLIMUS CAP 0.5MG GENERIC 1 XTACROLIMUS CAP 1MG GENERIC 1 XTACROLIMUS CAP 5MG GENERIC 1 XTHYMOGLOBULN INJ 25MG BRAND 4 PAZORTRESS TAB 0.25MG BRAND 3 XZORTRESS TAB 0.5MG BRAND 3 XZORTRESS TAB 0.75MG BRAND 3 X

IMMUNOMODULATORSACTIMMUNE INJ 2MU/0.5 BRAND 4 PAAMPYRA TAB 10MG BRAND 4 PA, QL 2/DAYAUBAGIO TAB 7MG BRAND 4 QL 1/DAYAUBAGIO TAB 14MG BRAND 4 QL 1/DAYAVONEX KIT 30MCG BRAND 4 QL 4/30DAYSAVONEX PREFL KIT 30MCG BRAND 4 QL 1/30DAYSBERINERT INJ 500UNIT BRAND 4 PABETASERON INJ 0.3MG BRAND 4 QL 14/30DAYSCINRYZE SOL 500 UNIT BRAND 4 PACOPAXONE KIT 20MG/ML BRAND 4 QL 1 KIT/30DAYSCOPAXONE INJ 40MG/ML BRAND 4 QL 12SYR/28DAYSFIRAZYR INJ 30MG/3ML BRAND 4 PAGILENYA CAP 0.5MG BRAND 4 QL 1/DAYKALBITOR INJ 10MG/ML BRAND 4 PAREBIF REBIDO SOL TITRATN BRAND 4 SOLIRIS INJ 10MG/ML BRAND 4 PATHALOMID CAP 50MG BRAND 4 PATHALOMID CAP 100MG BRAND 4 PATHALOMID CAP 150MG BRAND 4 PATHALOMID CAP 200MG BRAND 4 PATYSABRI INJ BRAND 4 PA, QL 15ML/28DAYS




IMMUNE GLOBULINBIVIGAM INJ 10% BRAND 4 PACYTOGAM INJ BRAND 4 PAFLEBOGAMMA INJ 5% GENERIC 4 PAGAMMAGARD INJ 1GM/10ML GENERIC 4 PAGAMUNEX INJ 10% BRAND 4 PAHIZENTRA INJ 1GM/5ML BRAND 4 PAOCTAGAM INJ 1GM BRAND 4 PA

OTHERSANTIVENIN KIT LAT MACT GENERIC 4STELARA INJ 90MG/ML BRAND 4 PAXYREM SOL 500MG/ML BRAND 4 PA, QL 540ML/30DAYS

METABOLIC BONE DISEASE AGENTS

VITAMIN DCALCIDOL DRO 8000/ML GENERIC 5* PA CALCITRIOL CAP 0.25MCG GENERIC 1 XCALCITRIOL CAP 0.5MCG GENERIC 1 XCALCITRIOL SOL 1MCG/ML GENERIC 1 XCALCIDOL DRO 8000/ML GENERIC 5* PA CHILD VIT D CHW 400UNIT GENERIC 5* PA CVS VIT D CAP 2000UNIT GENERIC 5* PA D 1000 CAP 1000UNIT GENERIC 5* PA D 1000 CHW 1000UNIT GENERIC 5* PA D3 CAP 400UNIT GENERIC 5* PA D3 TAB 1000UNIT GENERIC 5* PA D3 TAB 2000UNIT GENERIC 5* PA D-400 TAB 400UNIT GENERIC 5* PA DIALYVITE D CAP 5000UNIT GENERIC 5* PA DOXERCALCIF CAP 0.5MCG GENERIC 1 XDOXERCALCIF CAP 1MCG GENERIC 1 XDOXERCALCIF CAP 2.5MCG GENERIC 1 XERGOCALCIFER CAP 50000UNT GENERIC 1 XGNP VIT D TAB 5000UNIT GENERIC 5 PA




VITAMIN D - CONTINUEDTHERA-D TAB 4000UNIT GENERIC 5* PA PARICALCITOL CAP 1 MCG GENERIC 1 QL 15/30D XPARICALCITOL CAP 2 MCG GENERIC 1 QL 15/30D XPARICALCITOL CAP 4 MCG GENERIC 1 QL 15/30D XVITAMIN D2 TAB 400UNIT GENERIC 5* PA XVITAMIN D3 CAP 10000UNT GENERIC 5* PA VITAMIN D3 CAP 50000UNT GENERIC 5* PA VITAMIN D3 TAB 3000UNIT GENERIC 5* PA VITAMIN D3 TAB 50000UNT GENERIC 5* PA *OVER-THE-COUNTER ITEMS PROVIDED AS PREVENTATIVE SERVICES AT $0

OSTEOPOROSIS TREATMENTACTONEL TAB 30MG BRAND 3 QL 1/DAY ACTONEL TAB 35MG BRAND 3 QL 4/28DAYS XACTONEL TAB 5MG BRAND 3 QL 1/DAY XALENDRONATE TAB 5MG GENERIC 1 QL 1/DAY XALENDRONATE TAB 10MG GENERIC 1 QL 1/DAY XALENDRONATE TAB 35MG GENERIC 1 QL 4/28DAYS XALENDRONATE TAB 40MG GENERIC 1 QL 1/DAY XALENDRONATE TAB 70MG GENERIC 1 QL 4/28DAYS XALENDRONATE SOLN 70MG/75ML GENERIC 1 XATELVIA TAB BRAND 3 QL 4/28 DAYS XCALCITONIN SPR 200/ACT GENERIC 1 QL 1 PKG/30DAYS XETIDRON DISD TAB 200MG GENERIC 1 XETIDRON DISD TAB 400MG GENERIC 1 XFORTEO SOL 600/2.4 BRAND 4 PA, QL 1 PKG/30DAYS FOSAMAX + D TAB 70-2800 BRAND 3 QL 4/28DAYS XFOSAMAX + D TAB 70-5600 BRAND 3 QL 4/28DAYS XIBANDRONATE TAB 150MG GENERIC 1 QL 1/28DAYS XIBANDRONATE INJ 3MG/3ML GENERIC 4 QL 1/3MONTHSPAMIDRONATE INJ 30/10ML GENERIC 4 PAPAMIDRONATE INJ 6MG/ML GENERIC 4 PAPAMIDRONATE INJ 90/10ML GENERIC 4 PAPROLIA SOL 60MG/ML BRAND 4 PA, QL 2/YRRALOXIFENE TAB 60MG GENERIC 5 XRISEDRONATE TAB 150MG GENERIC 1 QL 4/28DAYS X




OSTEOPOROSIS TREATMENT - CONTINUEDSKELID TAB 200MG BRAND 3 XGEVA INJ BRAND 4 PA, QL 1.7ML/28DAYSZOLEDRONIC ACID CONC 4MG/5ML GENERIC 4ZOLEDRONIC ACID IV 4MG/100ML GENERIC 4

OTHERSEUFLEXXA INJ 10MG/ML BRAND 4 PAORTHOVISC INJ 15MG/ML BRAND 4 PASUPARTZ INJ 25/2.5ML BRAND 4 PASYNVISC INJ 8MG/ML BRAND 4 PA

OPTHTHALMIC AGENTS

ANTI-ALLERGIC AGENTSALOCRIL SOL 2% BRAND 3ALOMIDE SOL 0.1% OP BRAND 3AZELASTINE DRO 0.05% GENERIC 1BEPREVE DRO 1.5% BRAND 3CROMOLYN SOD SOL 4% OP GENERIC 1EMADINE SOL 0.05% OP BRAND 3EPINASTINE DRO 0.05% GENERIC 1LASTACAFT SOL 0.25% BRAND 3PATADAY SOL 0.2% BRAND 3PATANOL SOL 0.1% OP BRAND 3

ANTIBACTERIALSAK-POLY-BAC OIN OP GENERIC 1BACITRACIN OIN OP GENERIC 1BESIVANCE SUS 0.6% BRAND 3CILOXAN OIN 0.3% OP BRAND 2CIPROFLOXACN SOL 0.3% OP GENERIC 1ERYTHROMYCIN OIN OP GENERIC 1GARAMYCIN OIN 0.3% OP GENERIC 1GATIFLOXACIN SOL 0.5% OP GENERIC 1




ANTIBACTERIALS - CONTINUEDGENTAK SOL 0.3% OP GENERIC 1LEVOFLOXACIN SOL 0.5% GENERIC 1MOXEZA SOL 0.5% BRAND 3NATACYN SUS 5% OP BRAND 3NEO/BAC/POLY OIN OP GENERIC 1NEO/POLY/GRA SOL OP GENERIC 1OFLOXACIN DRO 0.3% OP GENERIC 1SOD SULFACET SOL 10% OP GENERIC 1SULFACET SOD OIN 10% OP GENERIC 1TOBRAMYCIN SOL 0.3% OP GENERIC 1TOBREX OIN 0.3% OP BRAND 2TRIFLURIDINE SOL 1% OP GENERIC 1TRIMETHOPRIM SOL POLYMYXN GENERIC 1VIGAMOX DRO 0.5% BRAND 3ZIRGAN GEL 0.15% BRAND 2

ANTIGLAUCOMA AGENTSALPHAGAN P SOL 0.1% BRAND 2 XAZOPT SUS 1% OP BRAND 2 XBETAXOLOL SOL 0.5% OP GENERIC 1 XBETOPTIC-S SUS 0.25% OP BRAND 2 XBRIMONIDINE SOL 0.15% GENERIC 1 XBRIMONIDINE SOL 0.2% OP GENERIC 1 XCARTEOLOL SOL 1% OP GENERIC 1 XCOMBIGAN SOL 0.2/0.5% BRAND 2 XDORZOL/TIMOL SOL 2-0.5%OP GENERIC 1 XDORZOLAMIDE SOL 2% OP GENERIC 1 XISTALOL SOL 0.5% OP GENERIC 1 XLATANOPROST SOL 0.005% GENERIC 1 XLEVOBUNOLOL SOL 0.25% OP GENERIC 1 XLEVOBUNOLOL SOL 0.5% OP GENERIC 1 XLUMIGAN SOL 0.01% BRAND 3 XLUMIGAN SOL 0.03% BRAND 3 XMETIPRANOLOL SOL 0.3% OPH GENERIC 1 XSIMBRINZA SUS 1-0.2% BRAND 3 X




ANTIGLAUCOMA AGENTS - CONTINUEDTIMOLOL GEL SOL 0.25% OP GENERIC 1 XTIMOLOL MAL SOL 0.25% OP GENERIC 1 XTRAVOPROST DRO 0.004% GENERIC 1 XZIOPTAN DRO 0.0015% BRAND 3 X

ANTI-INFLAMMATORY AGENTSALREX SUS 0.2% BRAND 2BLEPHAMIDE OIN S.O.P. BRAND 2BLEPHAMIDE SUS OP BRAND 2DEXAMETH PHO SOL 0.1% OP GENERIC 1DUREZOL EMU 0.05% BRAND 2FLUOROMETHOL SUS 0.1% OP GENERIC 1FML OIN 0.1% OP BRAND 2FML FORTE SUS 0.25% OP BRAND 2LOTEMAX 0.5% SUS BRAND 3LOTEMAX 0.5% GEL BRAND 3LOTEMAX 0.5% OIN BRAND 3MAXIDEX SUS 0.1% OP BRAND 2NEO/POLY/BAC OIN /HC 1%OP GENERIC 1NEO/POLY/DEX OIN 0.1% OP GENERIC 1NEO/POLY/DEX SUS 0.1% OP GENERIC 1NEO/POLY/HC SUS OP GENERIC 1PRED MILD SUS 0.12% OP BRAND 2PRED SOD PHO SOL 1% OP GENERIC 1PRED-G SUS OP BRAND 2PRED-G S.O.P OIN OP BRAND 2PREDNISOLONE SUS 1% OP GENERIC 1SULF/PRED NA SOL OP GENERIC 1TOBRA/DEXAME SUS 0.3-0.1% GENERIC 1TOBRADEX OIN 0.3-0.1% BRAND 2TOBRADEX ST SUS 0.3-0.05 BRAND 2VEXOL SUS 1% OP BRAND 3ZYLET SUS 0.5-0.3% BRAND 2




MYDRIATICSATROPIN-CARE SOL 1% OP GENERIC 1ATROPINE SUL OIN 1% OP GENERIC 1CYCLOPENTOL SOL 1% OP GENERIC 1CYCLOPENTOL SOL 2% OP GENERIC 1HOMATROPAIRE SOL 5% OP GENERIC 1MYDRAL SOL 0.5% OP GENERIC 1MYDRAL SOL 1% OP GENERIC 1

NONSTEROIDAL ANTIINFLAMMATORY AGENTSACUVAIL SOL 0.45% BRAND 3BROMFENAC SOL 0.09% GENERIC 1DICLOFENAC SOL 0.1% OP GENERIC 1FLURBIPROFEN SOL 0.03% OP GENERIC 1KETOROLAC SOL 0.4% GENERIC 1KETOROLAC SOL 0.5% GENERIC 1ILEVRO DRO 0.3% OP BRAND 3NEVANAC SUS 0.1% BRAND 3PROLENSA SOL 0.07% BRAND 3

OTHERSALTACAINE SOL 0.5% OP GENERIC 1 ALTAFRIN SOL 2.5% OP GENERIC 1 ALTAFRIN SOL 10% OP GENERIC 1 APRACLONIDIN SOL 0.5% OP GENERIC 1 CYSTARAN SOL 0.44% BRAND 4 IOPIDINE SOL 1% OP BRAND 2 ISO CARBACHO SOL 1.5% OP BRAND 2 ISO CARBACHO SOL 3% OP BRAND 2 LUCENTIS SOL 0.3MG BRAND 4 PALUCENTIS SOL 0.5MG BRAND 4 PAMACUGEN INJ BRAND 4 PANAPHAZOLINE SOL 0.1% OP GENERIC 1 PARCAINE SOL 0.5% OP GENERIC 1 PHOSPHOLINE SOL 0.125%OP BRAND 2 PILOCARPINE SOL 1% OP GENERIC 1




OTHERS - CONTINUEDPILOCARPINE SOL 2% OP GENERIC 1 PILOCARPINE SOL 4% OP GENERIC 1 PILOPINE HS GEL 4% OP BRAND 2 RESTASIS EMU 0.05% BRAND 3 QL 60/30DAYSVISUDYNE INJ 15MG BRAND 4 PA

OTHER THERAPEUTIC AGENTS

OTHER THERAPEUTIC AGENTSAMMONIUM CHL INJ 5MEQ/ML GENERIC 4 ARCALYST INJ 220MG BRAND 4 PABOTOX INJ 100UNIT BRAND 4 PABOTOX INJ 200UNIT BRAND 4 PABUPHENYL TAB 500MG BRAND 4 PACARBAGLU TAB 200MG BRAND 4 PACYSTADANE POW BRAND 4 PADEMSER CAP 250MG BRAND 4 PAILARIS INJ 180MG BRAND 4 PAIODINE SOL STRONG GENERIC 1 KEPIVANCE INJ 6.25MG BRAND 4 PALECITHIN GRA GENERIC 1 LEVOCARNITIN SOL 1GM/10ML GENERIC 1 LEVOCARNITIN TAB 330MG GENERIC 1 MD-GASTROVIE SOL 66-10% GENERIC 1 METHYLERGON TAB 0.2MG GENERIC 1 MYOBLOC INJ 2500/0.5 BRAND 4 PAORFADIN CAP 2MG BRAND 4 PAORFADIN CAP 5MG BRAND 4 PAORFADIN CAP 10MG BRAND 4 PAPHENYLBUTYRA POW SODIUM GENERIC 4 PARAVICTI LIQ 1.1GM/ML BRAND 4 PASAMSCA TAB 15MG BRAND 4 PAXEOMIN INJ 50 UNIT BRAND 4 PAZAVESCA CAP 100MG BRAND 4 PA




PLATELET-REDUCING AGENTS

PLATELET-REDUCING AGENTSANAGRELIDE CAP 0.5MG GENERIC 1 XANAGRELIDE CAP 1MG GENERIC 1 X

PROTECTIVE AGENTS

PROTECTIVE AGENTSDEXRAZOXANE INJ 500MG GENERIC 4MESNEX TAB 400MG BRAND 4TOTECT INJ 500MG BRAND 4

RESPIRATORY TRACT AGENTS

ANTILEUKOTIENESMONTELUKAST CHW 4MG GENERIC 1 QL 1/DAY XMONTELUKAST CHW 5MG GENERIC 1 QL 1/DAY XMONTELUKAST TAB 10MG GENERIC 1 QL 1/DAY XMONTELUKAST GRA 4MG GENERIC 1 QL 1/DAY XZAFIRLUKAST TAB 10MG GENERIC 1 QL 1/DAY XZAFIRLUKAST TAB 20MG GENERIC 1 QL 1/DAY XZYFLO TAB 600MG BRAND 3 XZYFLO CR TAB 600MG BRAND 3 X

ANTITUSSIVES (COUGH SUPRESSANTS)BENZONATATE CAP 100MG GENERIC 1BENZONATATE CAP 200MG GENERIC 1BIOTUSS LIQ PEDIATRC GENERIC 1BROMFED DM SYP GENERIC 1DESPEC-EXP SYP GENERIC 1DEX-TUSS LIQ 300-10/5 GENERIC 1DM/CPM/PE DRO GENERIC 1DM/PE/CPM DRO GENERIC 1




ANTITUSSIVES (COUGH SUPRESSANTS) - CONTINUEDGILTUSS TR CAP 7-14-288 GENERIC 1GUAIFENSIN SYR AC GENERIC 1HYD POLST-CH LIQ LOR POLS GENERIC 1HYDROCOD/HOM SYP 5-1.5/5 GENERIC 1HYDROCODONE/ TAB HOMATROP GENERIC 1M-CLEAR CAP 200-9MG GENERIC 1M-CLEAR WC LIQ GENERIC 1NORTUSS-EX LIQ 200-20/5 GENERIC 1PE/GUAIFENES DRO 1.5-20MG GENERIC 1PROMETH VC/ SYP CODEINE GENERIC 1PROMETH/COD SYP 6.25-10 GENERIC 1PROMETH VC SYP 6.25-5/5 GENERIC 1PROMETHAZINE SYP DM GENERIC 1TREXBROM LIQ GENERIC 1TRYMINE CG LIQ 225-7.5 GENERIC 1TUSSAFED EX LIQ GENERIC 1

BRONCHODILATORSALBUTEROL TAB 2MG GENERIC 1 XALBUTEROL TAB 4MG GENERIC 1 XALBUTEROL SYP 2MG/5ML GENERIC 1 XALBUTEROL NEB 0.083% GENERIC 1 XALBUTEROL TAB 4MG ER GENERIC 1 XALBUTEROL TAB 8MG ER GENERIC 1 XALBUTEROL NEB 0.5% GENERIC 1 XALBUTEROL NEB 0.63MG/3 GENERIC 1 XALBUTEROL NEB 1.25MG/3 GENERIC 1 XAMINOPHYLLIN TAB 100MG GENERIC 1 XAMINOPHYLLIN TAB 200MG GENERIC 1 XARCAPTA CAP 75MCG BRAND 3 QL 1/DAY XBROVANA NEB 15MCG BRAND 3 PA, QL 4/DAY XCOMBIVENT AER RESPIMAT BRAND 2 QL 2 INHALERS/30DAYS XCOPD TAB 200-200 GENERIC 1 XDIFIL-G 400 TAB GENERIC 1 XDIFIL-G FORT LIQ 100-100 GENERIC 1 X




BRONCHODILATORS - CONTINUEDDYLIX ELX 100/15ML GENERIC 1 XELIXOPHYLLIN ELX 80/15ML BRAND 2 XFORADIL CAP AEROLIZE BRAND 2 QL 2/DAY XIPRATROPIUM/ALBUTER SOL GENERIC 1 XLEVALBUTEROL NEB 0.31MG GENERIC 1 XLEVALBUTEROL NEB 1.25MG GENERIC 1 XLUFYLLIN TAB 200MG BRAND 3 XLUFYLLIN TAB 400MG BRAND 3 XMAXAIR AUTOH AER 200MCG BRAND 3 QL 1/30DAYS XMETAPROTEREN TAB 10MG GENERIC 1 XMETAPROTEREN TAB 20MG GENERIC 1 XMETAPROTEREN SYP 10MG/5ML GENERIC 1 XPROAIR HFA AER BRAND 2 QL 2/30DAYS XPROVENTIL HFA AER BRAND 2 QL 2 INHALER/30 DAYS XSEREVENT DIS AER 50MCG BRAND 2 QL 1/30DAYS XTERBUTALINE TAB 2.5MG GENERIC 1 XTHEOCHRON TAB 100MG CR GENERIC 1 XTHEOCHRON TAB 200MG CR GENERIC 1 XTHEOCHRON TAB 300MG CR GENERIC 1 XTHEOPHYLLINE SOL 80/15ML GENERIC 1 XTHEOPHYLLINE TAB 400MG ER GENERIC 1 XTHEOPHYLLINE TAB 450MG ER GENERIC 1 XTHEOPHYLLINE TAB 600MG ER GENERIC 1VENTOLIN HFA AER BRAND 2 QL 2 INHALER/30 DAYS XXOPENEX HFA AER BRAND 3 QL 2/30DAYS X

INHALED STEROIDSALVESCO AER 80MCG BRAND 3 QL 1 INHALER/30DAYS XALVESCO AER 160MCG BRAND 3 QL 1 INHALER/30DAYS XASMANEX 120 AER 220MCG BRAND 3 QL 2 INHALER/30DAYS XASMANEX 30 AER 110MCG BRAND 3 QL 2 INHALER/30DAYS XBUDESONIDE SUS 0.25MG/2 GENERIC 1 XBUDESONIDE SUS 0.5MG/2 GENERIC 1 XDULERA AER 100-5MCG BRAND 2 XDULERA AER 200-5MCG BRAND 2 X




INHALED STEROIDS - CONTINUEDFLOVENT DISK AER 50MCG BRAND 2 XFLOVENT DISK AER 100MCG BRAND 2 XFLOVENT DISK AER 250MCG BRAND 2 XFLOVENT HFA AER 44MCG BRAND 2 XFLOVENT HFA AER 110MCG BRAND 2 XFLOVENT HFA AER 220MCG BRAND 2 XPULMICORT SUS 1MG/2ML BRAND 2 XPULMICORT INH 90MCG BRAND 2 XPULMICORT INH 180MCG BRAND 2 XQVAR AER 40MCG BRAND 2 XQVAR AER 80MCG BRAND 2 X

OTHERSADVAIR DISKU AER 100/50 BRAND 2 QL 1 DISKU/30DAYS XADVAIR DISKU AER 250/50 BRAND 2 QL 1 DISKU/30DAYS XADVAIR DISKU AER 500/50 BRAND 2 QL 1 DISKU/30DAYS XADVAIR HFA AER 45/21 BRAND 2 QL 1 INHALER/30DAYS XADVAIR HFA AER 115/21 BRAND 2 QL 1 INHALER/30DAYS XADVAIR HFA AER 230/21 BRAND 2 QL 1 INHALER/30DAYS XAMMONIA AROM INH GENERIC 1 ATROVENT HFA AER 17MCG BRAND 2 XAUVI-Q INJ 0.15MG BRAND 2 AUVI-Q INJ 0.3MG BRAND 2 BREO ELLIPTA INH BRAND 3 QL 2/DAY XCAFFEINE CIT SOL 20MG/ML GENERIC 1 COMPOUND 347 LIQ GENERIC 1 CROMOLYN SOD NEB 20MG/2ML GENERIC 1 XDALIRESP TAB 500MCG BRAND 3 XEPIPEN-JR INJ 2-PAK BRAND 2 GLASSIA INJ BRAND 4 PAIPRATROPIUM SOL 0.02%INH GENERIC 1 XISOFLURANE SOL GENERIC 1 KALYDECO TAB 150MG BRAND 4 PA LEVALBUTEROL NEB 0.63MG GENERIC 1 XPERFOROMIST NEB 20MCG BRAND 3 XPROLASTIN INJ 500MG BRAND 4 PA




OTHERS - CONTINUEDPROLASTIN INJ 1000MG BRAND 4 PAPULMOZYME SOL 1MG/ML BRAND 4 QL 150/30DAYSSEVOFLURANE SOL GENERIC 1 SOD CHLORIDE NEB 0.9% GENERIC 1 SODIUM CHLOR NEB 3% GENERIC 1 SODIUM CHLOR NEB 7% GENERIC 1 SODIUM CHLOR NEB 10% GENERIC 1 TERBUTALINE TAB 5MG GENERIC 1 XTUDORZA PRES AER 400/ACT BRAND 3 QL 1/MO XXOLAIR SOL 150MG BRAND 4 PASPIRIVA CAP HANDIHLR BRAND 3 QL 1/DAY XSYMBICORT AER 80-4.5 BRAND 2 QL 1/30DAYS XSYMBICORT AER 160-4.5 BRAND 2 QL 1/30DAYS X

SEDATIVE/HYPNOTICS

SEDATIVE/HYPNOTICSESZOPICLONE TAB 1MG GENERIC 1 QL 1/DAYESZOPICLONE TAB 2MG GENERIC 1 QL 1/DAYESZOPICLONE TAB 3MG GENERIC 1 QL 1/DAYHETLIOZ CAP 20MG BRAND 4 PAROZEREM TAB 8MG BRAND 3 QL 1/DAYTRYPTOPHAN CAP 500MG GENERIC 1 ZALEPLON CAP 5MG GENERIC 1 QL 1/DAYZALEPLON CAP 10MG GENERIC 1 QL 1/DAYZOLPIDEM TAB 5MG GENERIC 1 QL 1/DAYZOLPIDEM TAB 10MG GENERIC 1 QL 1/DAYZOLPIDEM ER TAB 6.25MG GENERIC 1 QL 1/DAYZOLPIDEM ER TAB 12.5MG GENERIC 1 QL 1/DAY

SKELETAL MUSCLE RELAXANTS

SKELETAL MUSCLE RELAXANTSBACLOFEN TAB 10MG GENERIC 1 XBACLOFEN TAB 20MG GENERIC 1 X




SKELETAL MUSCLE RELAXANTS - CONTINUEDCARISOPR/ASA TAB 200-325 GENERIC 1CARISOPRODOL TAB 250MG GENERIC 1CARISOPRODOL TAB 350MG GENERIC 1CARISOPRODOL TAB ASA/COD GENERIC 1CHLORZOXAZON TAB 500MG GENERIC 1CYCLOBENZAPR TAB 5MG GENERIC 1CYCLOBENZAPR TAB 7.5MG GENERIC 1CYCLOBENZAPR TAB 10MG GENERIC 1CYCLOBENZAPR CRE 20MG/GM GENERIC 1DANTROLENE CAP 25MG GENERIC 1DANTROLENE CAP 50MG GENERIC 1DANTROLENE CAP 100MG GENERIC 1METAXALONE TAB 800MG GENERIC 1METHOCARBAM TAB 500MG GENERIC 1METHOCARBAM TAB 750MG GENERIC 1ORPHENADRINE TAB 100MG ER GENERIC 1TIZANIDINE CAP 2MG GENERIC 1TIZANIDINE CAP 4MG GENERIC 1TIZANIDINE CAP 6MG GENERIC 1TIZANIDINE TAB 2MG GENERIC 1TIZANIDINE TAB 4MG GENERIC 1

SOMATOSTATIC AGENTS

SOMATOSTATIC AGENTSOCTREOTIDE INJ 50MCG/ML GENERIC 4 OCTREOTIDE INJ 100MCG GENERIC 4 OCTREOTIDE INJ 1000MCG GENERIC 4 OCTREOTIDE INJ 500MCG GENERIC 4 OCTREOTIDE INJ 1000MCG GENERIC 4 SANDOSTATIN KIT LAR 10MG BRAND 4 PASANDOSTATIN KIT LAR 20MG BRAND 4 PASANDOSTATIN KIT LAR 30MG BRAND 4 PASOMATULINE INJ 60/0.2ML BRAND 4 PASOMATULINE INJ 90/0.3ML BRAND 4 PASOMATULINE INJ 120/.5ML BRAND 4 PA




SPECIALIZED OB/GYN AGENTS

SPECIALIZED OB/GYN AGENTSSYNAREL SOL 2MG/ML BRAND 4 PA

THERAPEUTIC NUTRIENTS/MINERALS/ELECTROLYTES

FLUORIDE AGENTSCAVIRINSE SOL 0.2% GENERIC 1CLINPRO 5000 PST 1.1% GENERIC 1DENTA 5000 CRE PLUS GENERIC 1EASYGEL GEL 0.4%CHRY GENERIC 1EPIFLUR CHW 0.25MG F GENERIC 5* XEPIFLUR CHW 0.5MG F GENERIC 5* XEPIFLUR CHW 1MG F GENERIC 5* XFLUOR-A-DAY DRO 0.125MG GENERIC 5* XFLUOR-A-DAY CHW 0.25MG F BRAND 5* XFLUOR-A-DAY CHW 0.5MG F BRAND 5* XFLUOR-A-DAY CHW 1MG F BRAND 5* PA XFLUORABON DRO BRAND 5* XFLUORIDEX DD PST SENSITIV GENERIC 1FLURA-DROPS DRO 0.25MG F GENERIC 5* XKARIDIUM DRO 0.125MG GENERIC 5* PA XLOZI-FLUR LOZ 1MG F GENERIC 5* XPERIO MED CON 0.63% GENERIC 1SF GEL 1.1% GENERIC 1SOD FLUORIDE DRO 0.5MG/ML GENERIC 5* XSOD FLUORIDE TAB 0.5MG F GENERIC 5* PA X*OVER-THE-COUNTER ITEMS PROVIDED AS PREVENTATIVE SERVICES AT $0

MINERALS/ELECTROLYTESD5W/LYTES INJ #48 GENERIC 4EFFER-K TAB 25MEQ EF GENERIC 1 XEFFER-K TAB 10MEQ BRAND 2 XEFFER-K TAB 20MEQ BRAND 2 X




MINERALS/ELECTROLYTES - CONTINUEDIONOSOL-B/ INJ D5W BRAND 4IONOSOL-MB INJ /D5W BRAND 4ISOLYTE-H INJ /D5W BRAND 4ISOLYTE-P INJ /D5W BRAND 4ISOLYTE-S INJ BRAND 4KCL IN NACL INJ .15-0.45 GENERIC 4KCL/D5W/NACL INJ 0.15/0.2 GENERIC 4KCL/D5W/NACL INJ 0.15/0.2 GENERIC 4KCL/NACL INJ 0.15-0.9 GENERIC 4KLOR-CON POW 20MEQ GENERIC 1 XKLOR-CON 8 TAB 8MEQ ER GENERIC 1 XKLOR-CON M20 TAB 20MEQ ER GENERIC 1 XMAGNEBIND TAB 400 BRAND 2NORMOSOL -R INJ /D5W GENERIC 4NORMOSOL-R INJ PH 7.4 BRAND 4PHOSPHA 250 TAB NEUTRAL GENERIC 1 XPLASMA-LYTE INJ -148 BRAND 4PLASMA-LYTE INJ -A BRAND 4PLASMA-LYTE INJ 56/D5W BRAND 4POT ACETATE INJ 2MEQ/ML GENERIC 4POT ACETATE INJ 4MEQ/ML GENERIC 4POT CHLORIDE CAP 8MEQ ER GENERIC 1 XPOT CHLORIDE CAP 10MEQ ER GENERIC 1 XPOT CHLORIDE LIQ 10% GENERIC 1 XPOT CHLORIDE LIQ 20% SF GENERIC 1 XPOT CHLORIDE INJ 10MEQ GENERIC 4POT CHLORIDE INJ 10MEQ GENERIC 4SOD CHLORIDE INJ 0.45% GENERIC 4SOD CHLORIDE INJ 0.9% GENERIC 4SOD CHLORIDE INJ 3% GENERIC 4SOD CHLORIDE INJ 5% GENERIC 4SOD CHLORIDE INJ 23.4% GENERIC 4SOD CHLORIDE INJ 2.5/ML GENERIC 4ZINC SULFATE CAP 220MG GENERIC 1




VITAMINSCITRANATAL MIS B-CALM BRAND 2CONCEPT OB CAP BRAND 2CYANOCOBALAM INJ 1000MCG GENERIC 1FA-8 CAP 800MCG BRAND 5* XFOLIC ACID TAB 1MG GENERIC 1FOLIC ACID TAB 400MCG GENERIC 5* FOLIC ACID TAB 800MCG GENERIC 5* GESTICARE PAK DHA BRAND 2MEPHYTON TAB 5MG BRAND 2NATAFORT TAB BRAND 2PRENEXA CAP BRAND 2TANDEM OB CAP BRAND 2TRI-VIT/FL DRO 0.25MG GENERIC 1TRI-VIT/FLUO DRO 0.5MG GENERIC 1TRI-ZEL TAB BRAND 2VITAFOL-ONE CAP BRAND 2*OVER-THE-COUNTER ITEMS PROVIDED AS PREVENTATIVE SERVICES AT $0

VACCINESACTHIB INJ BRAND 5ADACEL INJ BRAND 5BOOSTRIX INJ BRAND 5CERVARIX INJ BRAND 5 PACOMVAX INJ BRAND 5DAPTACEL INJ BRAND 5DECAVAC INJ 5-2LF GENERIC 5DIP/TET PED INJ 25-5LFU GENERIC 5FLUCELVAX INJ BRAND 5FLUMIST QUAD SUS BRAND 5 PAFLUVIRIN INJ BRAND 5FLUZONE INJ INTRADRM BRAND 5FLUBLOK INJ BRAND 5 PAFLUZONE HD INJ PF BRAND 5 PAFLUZONE QUAD INJ BRAND 5




VACCINES - CONTINUEDGARDASIL INJ BRAND 5 PAHIBERIX SOL 10-25MCG BRAND 5IMOVAX RABIE INJ 2.5/ML BRAND 5INFANRIX INJ BRAND 5IPOL INJ INACTIVE BRAND 5KINRIX INJ BRAND 5M-M-R II INJ LIVE BRAND 5MENACTRA INJ BRAND 5MENOMUNE INJ A/C/Y/W BRAND 5MENVEO INJ BRAND 5PEDIARIX INJ 0.5ML BRAND 5PEDVAX HIB INJ BRAND 5PENTACEL INJ BRAND 5PNEUMOVAX 23 INJ 25/0.5 BRAND 5PREVNAR 13 INJ BRAND 5PROQUAD INJ BRAND 5RABAVERT INJ BRAND 5RECOMBIVA-HB INJ 40MCG/ML BRAND 5ROTARIX SUS BRAND 5ROTATEQ SUS BRAND 5TET/DIP TOX INJ 2-2 LF GENERIC 5TETANUS TOX INJ 5LF ADS GENERIC 5TRIPEDIA SUS P/F BRAND 5TWINRIX INJ BRAND 5TYPHIM VI INJ BRAND 5VAQTA INJ 25/0.5ML BRAND 5VARIVAX INJ BRAND 5YF-VAX INJ GENERIC 5ZOSTAVAX INJ BRAND 5 PA

129


Symbols

1ST TIER UNI ................................ 928-MOP ............................................. 87

A

ABACAVIR .................................... 44ABACAV/LAMIV/

ZIDOVUD .................................. 44ABELCET ....................................... 29ABILIFY ............................................ 41ABRAXANE .................................. 33ABSTRAL .......................................... 3ACAMPROSATE ........................ 87ACANYA ......................................... 78ACARBOSE ................................... 53ACCU-CHEK .......... 88, 90, 91, 92ACCUTREND ............................... 92ACEBUTOLOL ........................... 64ACETASOL HC .......................... 94ACETAZOLAMID ...................... 70ACETIC ACID ..................... 93, 102ACETYLCYST ............................. 26ACID JELLY .................................. 32ACITRETIN .................................. 84ACTEMRA ................................... 109ACTHIB ......................................... 127ACTICIN ......................................... 87ACTIMMUNE ................................ 111ACTONEL ..................................... 113ACTOPLUS MET ....................... 53ACURA ............................................ 92ACUVAIL ........................................ 117ACYCLOVIR ......................... 47, 83ACZONE ....................................... 84ADACEL ....................................... 127ADAGEN ......................................... 95ADAPALENE ........................ 78, 84ADASUVE ..................................... 43ADCETRIS ..................................... 33ADCIRCA ........................................ 71ADEFOVIR ................................... 47ADEMPAS ....................................... 71ADRIAMYCIN ............................... 33ADVAIR .......................................... 122ADVAIR HFA ............................... 122ADVANCE...................................... 92ADVOCATE.......................... 90, 92

AFEDITAB ...................................... 66AFINITOR ...................................... 33AGAMATRIX ................. 88, 91, 93AGGRENOX ................................ 40AK-POLY-BAC ............................ 114ALA CORT ..................................... 81ALBENZA ...................................... 28ALBUTEROL .............................. 120ALCLOMETASON ...................... 81ALDURAZYME............................ 95ALENDRONATE ........................ 113ALENDRONATE ........................ 113ALFERON ..................................... 33ALFUZOSIN................................ 102ALICLEN ........................................ 83ALI-FLEX ...................................... 27ALIMTA ........................................... 33ALINIA .............................................. 31ALKERAN ...................................... 33ALLOPURINOL ........................... 26ALOCRIL ....................................... 114ALOMIDE...................................... 114ALORA .......................................... 104ALOXI .............................................. 96ALPAIN ............................................ 27ALPHAGAN P ............................... 115ALPHAQUIN HP ......................... 84ALPHATREX .................................. 81ALPRAZOLAM .......................... 48ALREX ............................................. 116ALTABAX ....................................... 78ALTACAINE .................................. 117ALTAFRIN ...................................... 117ALTOPREV .................................... 62ALVESCO ...................................... 121ALYACEN ....................................... 76AMANTADINE ............................. 38AMCINONIDE .............................. 81AMETHIA ....................................... 76AMETHIA LO .............................. 76AMETHYST ................................... 76AMEVIVE..................................... 109AMIKACIN ........................................ 9AMILOR/HCTZ .......................... 70AMILORIDE ................................... 71AMINOCAPR AC ....................... 27AMINOPHYLLIN ....................... 120AMIODARONE ............................ 61

AMITIZA ...................................... 100AMITRIPTYLIN ............................ 23AMLOD/ATORVA ..................... 68AMLOD/BENAZP ...................... 68AMLODIPINE ............................... 66AMMONIA AROM .................. 122AMMONIUM CHL ..................... 118AMMONIUM LAC ..................... 85AMNESTEEM .............................. 78AMOXAPINE ................................ 23AMOXICILLIN .............................. 13AMOX/K CLAV ..................... 12, 13AMOX-POT CLA ....................... 12AMPHETAMINE .......................... 73AMPICILLIN ................................... 13AMP-SULBACTA ......................... 13AMPYRA .......................................... 111AMTURNIDE................................. 68AMYL NITRITE ........................... 60ANABAR ............................................ 8ANACIN ............................................. 7ANAGRELIDE .............................. 119ANALPRAM-HC ......................... 85ANASTROZOLE ....................... 34ANDRODERM ............................ 103ANDROGEL ................................ 103ANDROXY ................................... 103ANOLOR 300 .............................. 32ANTARA ......................................... 62ANTIPY/BENZO ......................... 93ANTIVENIN .................................. 112ANZEMET .................................... 96APAP/CAFF/

DIHYDROCOD COMBO ....... 3APAP/CODEINE ............................ 3APEXICON..................................... 81APEXICON E ................................ 81APHTHASOL ............................... 94APIDRA ........................................... 55APOKYN ......................................... 38APRACLONIDIN ......................... 117APRI .................................................. 76APRISO ............................................ 97APTIOM ........................................... 18APTIVUS ........................................ 44ARANELLE ................................... 76ARANESP ....................................... 52ARBINOXA .................................... 28

130


ARCALYST .................................... 118ARCAPTA ..................................... 120ARMOUR THYRO .................... 108ARRANON .................................... 34ARZERRA ..................................... 34ASACOL ......................................... 97ASACOL HD ................................. 97ASCOMP/COD .............................. 3ASMALPRED .............................. 107ASMANEX 30 .............................. 121ASMANEX 120 ............................ 121ASPIRIN ........................................ 7, 8ASPIRTAB M/S ................................ 8ASTAGRAF XL .................. 109, 110ATELVIA ......................................... 113ATENOL/CHLOR ...................... 66ATENOLOL ................................. 64ATGAM ......................................... 109ATORVASTATIN ......................... 62ATOVAQ/PROGU ..................... 30ATOVAQUONE ........................... 31ATRALIN ........................................ 78ATRIPLA ........................................ 44ATROPIN-CARE ......................... 117ATROPINE SUL ........................... 117ATROVENT HFA ..................... 122AUBAGIO ........................................ 111AUG BETAMET ........................... 81AUGMENTIN ................................. 13AUTOSHIELD ............................... 92AUVI-Q ......................................... 122AVANDIA ........................................ 53AVAR CLEANSE ......................... 83AVAR-E GREEN.......................... 83AVASTIN ........................................ 34AVC ................................................... 32AVIANE ........................................... 76AVIDOXY ........................................ 14AVITA ............................................... 78AVODART .................................... 102AVONEX ......................................... 111AVONEX PREFL ......................... 111AXERT ............................................. 32AZACITIDINE ............................. 34AZASAN ......................................... 110AZATHIOPRINE ......................... 110AZELASTINE...................... 94, 114AZELEX ......................................... 85

AZILECT ........................................ 39AZITHROMYCIN ......................... 12AZOPT ............................................ 115AZOR ....................................... 68, 69AZTREONAM ................................ 9AZURETTE ................................... 76

B

BACITRACIN ............................... 114BACLOFEN ................................. 123BACTROBAN .............................. 94BALSALAZIDE ............................ 97BALZIVA ........................................ 76BANZEL .......................................... 18BARACLUDE ............................... 47BAYCADRON ............................. 107BAYER ....................................... 88, 91BAYER MICRLT ........................... 90BAYER TEST ................................ 93BD ........................................................ 91BD LANCET ................................. 90BD PEN NEEDL ........................... 92BD TEST ......................................... 93BECONASE AQ ......................... 94BELLADONNA............................. 51BELLA/OPIUM ............................. 51BENAZEP/HCTZ ....................... 58BENAZEPRIL ................................ 57BENICAR ........................................ 59BENICAR HCT ............................. 59BENLYSTA ...................................... 110BENZALKONIUM ....................... 80BENZEPRO ................................... 80BENZEPRO SC ........................... 80BENZIQ WASH............................ 80BENZOIN ....................................... 85BENZOIN CMPD ........................ 85BENZONATATE ......................... 119BENZOYL PER ............................ 80BENZTROPINE ........................... 39BEPREVE ....................................... 114BERINERT ....................................... 111BESIVANCE ................................. 114BETAMETH DIP ........................... 81BETAMETH VAL ......................... 81BETASERON ................................. 111BETAXOLOL ....................... 64, 115

BETHANECHOL ......................... 50BETHKIS ............................................. 9BETOPTIC-S ................................ 115BEXXAR ........................................ 34BEYAZ ............................................. 76BICALUTAMIDE ......................... 34BICILLIN L-A ................................. 13BIDIL ................................................. 60BILTRICIDE .................................... 28BIOTUSS ......................................... 119BISOPRL/HCTZ .......................... 66BISOPROL FUM ........................ 64BIVIGAM ......................................... 112BLEPHAMIDE ............................... 116BLOOD GL MIS ........................... 91BLOOD GLUC .............................. 91BOOSTRIX .................................. 127BOSULIF ........................................ 34BOTOX............................................ 118BP 10-1 ............................................. 84BP CLEANSING ......................... 84BPO CLOTHS............................... 80BREO ELLIPTA .......................... 122BRILINTA ....................................... 40BRIMONIDINE .............................. 115BRINTELLIX .................................. 21BROMFED DM ............................ 119BROMFENAC .............................. 117BROMOCRIPTIN ........................ 39BROMPHENIRAM ...................... 28BROVANA .................................... 120BUDEPRION .................................. 25BUDEPRION XL .......................... 25BUDESONIDE............. 94, 107, 121BUFFERED ASA ............................ 8BUFFERIN ......................................... 8BUMETANIDE .............................. 70BUPAP ............................................... 32BUPHENYL .................................... 118BUPREN/NALOX........................ 88BUPRENORPHIN ......................... 88BUPROBAN ................................... 87BUPROPION ................................. 25BUSPIRONE .................................. 49BUSULFEX.................................... 34BUTAL/APAP ................................ 32BUT/APAP/CAF .................... 3, 32BUT/ASA/CAFF ........................... 8

131


BUTORPHANOL ............................ 3BUTRANS .......................................... 3BUTRANS .......................................... 3BYDUREON ................................... 53BYETTA ........................................... 53BYSTOLIC ..................................... 64

C

CABERGOLINE ........................ 109CA-DTPA ........................................ 26CAFERGOT.................................. 32CAFFEINE CIT ......................... 122CALC ACETATE ...................... 102CALCIDOL .................................... 112CALCIPOTRIEN .......................... 85CALCIPOTRIEN/

BETAMETH ................................ 81CALCITONIN ............................... 113CALCITRIOL ........................ 85, 112CAMILA .......................................... 76CAMPATH ..................................... 34CANASA......................................... 97CANCIDAS .................................... 29CANDESA/HCTZ ...................... 60CANDESARTAN.......................... 59CANTIL ............................................ 51CAPASTAT SUL .......................... 30CAPECITABINE .......................... 34CAPEX ............................................. 81CAPRELSA ................................... 34CAPTOPR/HCTZ....................... 58CAPTOPRIL .................................. 57CARAC ............................................ 85CARAFATE ................................... 99CARBAGLU ................................... 118CARBAMAZEPIN ........................ 18CARBIDOPA .................................. 39CARB/LEVO ................................ 39CARB/LEVO 50 ......................... 39CARB/LEVO 75 ......................... 39CARB/LEVO100 ......................... 39CARB/LEVO125 ......................... 39CARB/LEVO150 ......................... 39CARB/LEVO200 ........................ 39CARISOPR/ASA ....................... 124CARISOPRODOL .................... 124CARTEOLOL ............................... 115

CARTIA XT ................................... 66CARVEDILOL ............................. 64CASCARA SAGR ...................... 100CAVIRINSE .................................. 125CAYSTON ......................................... 9CAZIANT ....................................... 76CDP/AMITRIP .............................. 25CEDAX ............................................. 10CEFACLOR .................................... 10CEFACLOR ER ............................ 10CEFADROXIL ............................... 10CEFAZOL/DEX .......................... 10CEFAZOLIN .................................. 10CEFDINIR ........................................ 10CEFDITOREN ............................... 10CEFEPIME ...................................... 10CEFOTAXIME .............................. 10CEFOTETAN .................................. 9CEFOXITIN ...................................... 9CEFPODO PROX ....................... 10CEFPODOXIME .......................... 10CEFPROZIL ................................... 10CEFTAZIDIME/ ...................... 10, 11CEFTIBUTEN ................................. 11CEFTIN ............................................. 11CEFTRIAXONE ............................ 11CEFTRIAXONE/ .......................... 11CEFUROXIME ............................... 11CELEBREX ........................................ 1CELLCEPT .................................... 110CELLCEPT IV .............................. 110CELONTIN ..................................... 18CEM-UREA .................................. 84CENESTIN ................................... 104CENTANY ...................................... 78CEPHALEXIN ................................. 11CEREZYME .................................. 95CEROVEL ..................................... 84CERVARIX ................................... 127CESAMET ..................................... 96CEVIMELINE ............................... 50CHANTIX ....................................... 87CHATEAL ...................................... 76CHEMET ........................................ 26CHILD VIT D ................................ 112CHLORAL HYDR ....................... 49CHLORAMPHEN .......................... 11CHLORDIAZEP .......................... 49

CHLORHEX GLU ................ 80, 94CHLOROQUINE ......................... 30CHLOROTHIAZ .......................... 70CHLORPROMAZ ...................... 43CHLORPROPAM ......................... 53CHLORTHALID ........................... 70CHLORZOXAZON ................. 124CHOLESTY LIGHT ................... 62CHO MAG TRIS ............................. 8CIALIS ............................................... 71CICLODAN.................................... 85CICLOPIROX ............................... 85CIDOFOVIR ................................. 47CILOSTAZOL ............................. 40CILOXAN ...................................... 114CIMETIDINE ................................. 98CIMZIA ........................................... 110CIMZIA PREFL ........................... 110CINRYZE ......................................... 111CIPRODEX ................................... 94CIPROFLOXACIN ....................... 14CIPROFLOXACN ........ 14, 93, 114CIPRO HC ..................................... 94CITALOPRAM ............................... 21CITRANATAL ............................. 127CITROLITH ................................... 101CLARAVIS ..................................... 78CLARINEX .................................... 27CLARINEX-D ............................... 27CLARITHROMYC ....................... 12CLEMASTINE .............................. 28CLEOCIN ........................................ 31CLEVER CHEK ........................... 93CLINDACIN ................................... 78CLINDAMAX ................................ 78CLINDAMY/BEN ........................ 78CLINDAMYCIN ..................... 15, 78CLINDAREACH ........................... 78CLINPRO 5000 ......................... 125CLOBETASOL .............................. 81CLOBEX .......................................... 81CLOCORTOLONE .................... 81CLOMIPRAMINE ........................ 23CLONAZEPAM ............................ 17CLONAZEP ODT ....................... 17CLONIDINE........................... 57, 73CLOPIDOGREL ......................... 40CLORAZ DIPOT ........................ 49

132


CLOTRIMAZOLE .............. 79, 94CLOTRIM/BETA ......................... 79CLOZAPINE .................................. 41COAL TAR .................................... 85COARTEM .................................... 30COCAINE HCL ........................... 77CODEINE SULF ............................. 3CO-GESIC ........................................ 3COLCRYS ....................................... 26COLESTIPOL .............................. 62COLIDROPS .................................. 51COLISTIMETH ............................. 15COLOCORT ................................. 81COLY-MYCIN S ......................... 94COLYTE/FLAVR ....................... 99COMBIGAN .................................. 115COMBIPATCH ............................ 104COMBIVENT ............................. 120COMETRIQ ................................. 34COMPAZINE ............................... 43COMPLERA ................................. 45COMPOUND 347 .................... 122COMVAX ..................................... 127CONCEPT OB........................... 127CONDYLOX ................................. 85CONTROL .................................... 88CONZIP ............................................. 3COPAXONE .................................. 111COPD ............................................. 120CORDRAN ...................................... 81COREG CR ................................... 64CORTALO ...................................... 81CORTIFOAM ................................ 81CORTISONE AC ...................... 107CORTISPORIN .............................. 81COSYNTROPIN ........................ 109CREON............................................ 97CRESTOR ...................................... 62CRINONE ..................................... 107CRIXIVAN ..................................... 45CROMOLYN SOD .. 100, 114, 122CRYSELLE-28 ............................. 76CUBICIN ........................................... 15CUPRIMINE ................................... 26CVS VIT D ..................................... 112CYANOCOBALAM ................. 127CYCLOBENZAPR .................... 124CYCLOPENTOL......................... 117

CYCLOPHOSPH ......................... 34CYCLOSERINE ............................ 30CYCLOSET ................................... 53CYCLOSPORINE ........................ 110CYPROHEPTAD .......................... 28CYSTADANE ................................ 118CYSTAGON .................................. 95CYSTARAN .................................... 117CYTOGAM ................................... 112CYTRA-2 ........................................ 101CYTRA-3 ........................................ 101

D

D3 ....................................................... 112D5W/LYTES ............................... 125D-400 ............................................... 112D 1000 .............................................. 112DALIRESP ..................................... 122DANAZOL ................................... 103DANTROLENE .......................... 124DAPSONE ...................................... 30DAPTACEL .................................. 127DARAPRIM ..................................... 30DAYSEE ........................................... 76DAYTRANA ................................... 73DECAVAC .................................... 127DECITABINE ................................ 34DELATESTRYL ......................... 103DELZICOL .................................... 97DEMECLOCYCL ......................... 14DEMSER ......................................... 118DENAVIR ........................................ 83DENTA 5000 .............................. 125DEPEN TITRA ............................. 26DEPO-PROVERA ..................... 107DEPO-TESTOST...................... 103DESIPRAMINE ............................ 24DESLORATADIN ......................... 27DESMOPRESSIN ....................... 107DESONIDE ............................. 81, 82DESOXIMETAS ........................... 82DESPEC-EXP ............................... 119DESVENLAFAX FUMAR ....... 22DESVENLAFAXINE .................. 22DEXAMETHASON .................. 107DEXAMETH PHO ...................... 116DEXCHLORPHEN ...................... 28

DEXILANT .................................... 99DEXMETHYLPH ......................... 73DEXPAK ........................................ 107DEXRAZOXANE ........................ 119DEXTROAMPHET ............. 73, 74DEX-TUSS ..................................... 119DIALYVITE D................................ 112DIAZEPAM ................................... 49DIAZEPAM ................................... 49DIBENZYLINE .............................. 73DICLEGIS ....................................... 96DICLOFENAC ................. 1, 82, 117DICLOFEN POT ............................. 1DICLO/MISOPR .............................. 1DICLOXACILL .............................. 13DICYCLOMINE ............................ 51DIDANOSINE ............................... 45DIFFERIN ....................................... 78DIFICID ............................................. 12DIFIL-G 400 ............................... 120DIFIL-G FORT ........................... 120DIFLORASONE .......................... 82DIFLUNISAL ...................................... 1DIGOXIN ........................................ 69DIHYDROERGOT ....................... 32DILANTIN ....................................... 18DILATRATE SR ............................ 60DILTIAZEM ........................... 66, 67DILTZAC ........................................ 67DIPENTUM .................................... 97DIPHEN/ATROP ......................... 95DIPHENHYDRAM ........................ 28DIP/TET PED ............................. 127DIPYRIDAMOLE ................. 40, 41DISOPYRAMIDE........................... 61DISULFIRAM ................................. 87DIVALPROEX ............................... 18DM/CPM/PE ................................ 119DM/PE/CPM ................................ 119DOCETAXEL .............................. 34DOLOGESIC ................................ 27DONEPEZIL ................................. 50DONEPEZIL ................................. 50DORIBAX .......................................... 9DORZOLAMIDE ......................... 115DORZOL/TIMOL ...................... 115DOXAZOSIN ................................ 56

133


DOXEPIN HCL ........................... 24DOXERCALCIF........................... 112DOXORUBICIN ........................... 34DOXYCYCL HYC ................. 14, 15DOXYCYCLINE ........................... 15DOXYCYC MONO .................... 14DRITHO-CREME ........................ 85DRITHO-SCALP ......................... 85DRONABINOL ............................. 96DROSPIR/ETHI ............................ 76DROXIA ......................................... 34DUAVEE ....................................... 104DULERA .......................................... 121DURAXIN ........................................... 8DUREZOL ...................................... 116DUTOPROL .................................. 66DYLIX ............................................... 121DYMISTA ....................................... 94DYRENIUM ..................................... 71DYTUSS ........................................... 28

E

EASQL TOUCH .......................... 92EASY ......................................... 88, 91EASYGEL ..................................... 125EASYMAX V ................................. 91EASY TALK .................................... 91EASY TEST ................................... 93ECONAZOLE .............................. 79EDARBI ............................................ 59EDARBYCLOR .............................. 60ED-SPAZ .......................................... 51EDURANT ..................................... 45E.E.S. 400 ........................................ 12EFFER-K ...................................... 125EFFIENT ......................................... 41EGRIFTA ....................................... 105ELAPRASE .................................... 95ELELYSO........................................ 95ELIDEL ............................................ 85ELIGARD ....................................... 34ELIQUIS ........................................... 16ELITEK ............................................ 95ELIXOPHYLLIN ........................... 121ELLA ................................................ 76ELMIRON..................................... 100ELSPAR........................................... 34

EMADINE ...................................... 114EMBRACE ....................... 88, 91, 93EMCYT .......................................... 34EMEND ........................................... 96EMSAM ............................................ 21EMTRIVA ...................................... 45ENABLEX ...................................... 101ENALAPR/HCTZ ....................... 58ENALAPRIL................................... 57ENBREL .......................................... 110ENDOCET........................................ 3ENDODAN........................................ 3ENDOMETRIN .......................... 107ENJUVIA ...................................... 104ENOXAPARIN ............................... 16ENPRESSE-28 .............................. 76ENTACAPONE ............................ 39ENTRE-B ........................................ 28ENULOSE ....................................... 99ENVISION ...................................... 88EPIDUO ........................................... 78EPIFLUR ........................................ 125EPINASTINE ................................ 114EPIPEN-JR ................................... 122EPIVIR ............................................. 45EPIVIR HBV ................................... 45EPLERENONE .............................. 71EPOGEN ........................................ 52EPOPROSTENOL ..................... 72EPROSART MES......................... 59EPZICOM ..................................... 45ERAXIS ............................................ 29ERBITUX ........................................ 34ERGOCALCIFER ....................... 112ERGOLOID MES ........................ 32ERGOMAR .................................... 32ERIVEDGE .................................... 34ERTACZO ...................................... 79ERY .................................................... 78ERYPED ............................................ 12ERY-TAB .......................................... 12ERYTHROCIN ............................... 12ERYTHROMYCIN 12, 78, 79, 114ESCITALOPRAM ......................... 21ESOMEPRAZOLE ..................... 99E.S.P. .................................................. 12ESTARYLLA .................................. 76ESTAZOLAM .............................. 49

ESTRACE VAG.......................... 104ESTRADIOL ................................ 104ESTRA/NORETH ..................... 104ESTRING ...................................... 104ESTROPIPATE ........................... 105ESZOPICLONE ......................... 123ETHAMBUTOL ........................... 30ETHOSUXIMIDE .......................... 18ETHYL CHLOR ........................... 77ETIDRON DISD ........................... 113ETODOLAC ..................................... 1ETODOLAC ER.............................. 1ETOPOPHOS .............................. 34ETOPOSIDE ................................ 34EUFLEXXA .................................. 114EURAX............................................. 87EXALGO ........................................... 3EXELDERM .................................. 79EXELON ......................................... 50EXEMESTANE ............................ 35EXFORGE ..................................... 69EXFORGEH/5- ........................... 69EXFORGEH/10- .......................... 69EXJADE ......................................... 26EXODERM ..................................... 85

F

FABIOR ........................................... 78FABRAZYME ............................... 95FACTIVE ......................................... 14FAMCICLOVIR ........................... 47FAMOTIDINE ............................... 98FANAPT ........................................... 41FARESTON ................................... 35FARXIGA ........................................ 53FASLODEX ................................... 35FELBAMATE ................................. 19FELODIPINE ................................. 67FEMRING ..................................... 105FENOFIBRATE ................... 62, 63FENOFIBRIC ................................ 62FENOFIBRIC ................................ 63FENOPROFEN ............................... 1FENTANYL ..................................... 4FENTANYL OT ............................. 4FENTORA ....................................... 4FER-IRON ......................................... 8FEROSUL .......................................... 8

134


FERRIPROX .................................. 26FERROUS SUL ................................ 8FERROUS SULF............................. 8FETZIMA ....................................... 23FETZMA ........................................ 23FEXOFENADINE ....................... 27FEXOFENADINE/

PSEUDOEPHEDRINE ............ 27FINACEA ....................................... 85FINASTERIDE ............................ 102FIRAZYR ......................................... 111FIRMAGON ................................... 35FIRST-TESTOS ......................... 103FLAVOXATE ............................... 101FLEBOGAMMA ......................... 112FLECAINIDE ................................. 61FLECTOR ...................................... 82FLOVENT .................................... 122FLOVENT HFA ......................... 122FLUBLOK ..................................... 127FLUCELVAX ............................... 127FLUCONAZOLE ........................ 29FLUCYTOSINE ............................ 29FLUDROCORT .......................... 107FLUNISOLIDE ............................. 94FLUOCIN ACET................. 82, 94FLUOCINONIDE ........................ 82FLUORABON ............................. 125FLUOR-A-DAY .......................... 125FLUORIDEX DD ....................... 125FLUOROMETHOL ................... 116FLUOROURACIL ....................... 85FLUOXETINE ....................... 21, 22FLUPHENAZINE ........................ 43FLURA-DROPS .......................... 125FLURAZEPAM ............................ 49FLURBIPROFEN ..................... 1, 117FLUTAMIDE .................................. 35FLUTICASONE ................... 82, 94FLUVASTATIN ............................. 63FLUVIRIN ..................................... 127FLUVOXAMINE.......................... 22FLUZONE .................................... 127FLUZONE HD ............................ 127FLUZONE QUAD .................... 127FML .................................................. 116FML FORTE ................................. 116FOCALIN XR .............................. 74

FOLIC ACID ............................... 127FONDAPARINUX ......................... 16FORA ................................ 90, 91, 93FORA CONTROL ..................... 88FORADIL ........................................ 121FORA V ................................... 91, 93FORMADON ................................ 85FORMALDEHYDE ..................... 85FORMA-RAY ................................ 85FORTEO ........................................ 113FORTESTA .................................. 103FOSAMAX + D ........................... 113FOSCARNET .............................. 47FOSINOP/HCTZ ........................ 58FOSINOPRIL ................................. 57FOSPHENYTOIN ......................... 18FOSRENOL ................................ 102FRAGMIN ........................................ 16FREESTYLE .................. 88, 91, 93FRENADOL ..................................... 8FROVA ............................................ 32FULYZAQ ...................................... 95FUROSEMIDE .............................. 70FUZEON ....................................... 45FYCOMPA ...................................... 19

G

GABAPENTIN ............................... 19GABITRIL ........................................ 19GALANTAMINE .......................... 50GAMMAGARD ............................ 112GAMUNEX .................................... 112GARAMYCIN ............................... 114GARDASIL ................................... 128GATIFLOXACIN ........................ 114GATTEX ....................................... 100GAVILYTE-C ................................ 99GAVILYTE-G ................................ 99GAVILYTE-N ................................ 99GELNIQUE .................................... 101GEMFIBROZIL ............................ 63GENERESS FE ............................ 76GENGRAF ..................................... 110GENOTROPIN .................. 105, 106GENTAK ......................................... 115GENTAMICIN .......................... 9, 79GENTAM/NACL ............................ 9GESTICARE ................................ 127

GIANVI ............................................ 76GILDESS ......................................... 76GILDESS FE .................................. 76GILENYA ......................................... 111GILOTRIF ....................................... 35GILTUSS TR ................................ 120GLASSIA ....................................... 122GLEEVEC ...................................... 35GLIMEPIRIDE ............................... 53GLIPIZIDE ...................................... 53GLIPIZIDE ER............................... 53GLIP/METFORM ....................... 53GLUCAGEN .................................. 53GLUC CONTROL ...................... 88GLUCOCARD ............... 88, 91, 93GLUCOSE TEST STRIPS ........ 93GLUTARALDEHY ....................... 85GLYB/METFORM ...................... 53GLYBURIDE .......................... 53, 54GLYBURID MCR .......................... 53GLYCINE ....................................... 102GLYCOPYRROL ........................... 51GLYSET .......................................... 54GNP VIT D ..................................... 112GOLYTELY .................................... 99GRANISETRON .......................... 96GRANISOL .................................... 96GRANIX .......................................... 52GRISEOFULVIN ........................... 29GUAIFENSIN .............................. 120GUANFACINE .............................. 57GUANIDINE ................................... 50GYNAZOLE-1 .............................. 32

H

HALAC ............................................ 82HALAVEN ...................................... 35HALFLYTELY ............................... 99HALFPRIN ......................................... 8HALOBETASOL .......................... 82HALOG ............................................ 82HALOPERIDOL .................. 43, 44HC BUTYRATE ............................ 82HC PRAMOXINE ........................ 85HC VALERATE ............................ 82HELIDAC ........................................ 98HEMATINIC/FA ............................. 8

135


HEPARIN SOD ............................... 16HEP SOD/NACL .......................... 16HERCEPTIN .................................. 35HETLIOZ ...................................... 123HEXALEN ...................................... 35HIBERIX ......................................... 128HIZENTRA ..................................... 112HOMATROPAIRE ....................... 117HORIZANT .................................... 19HUMALOG ........................... 55, 56HUMALOG MIX .......................... 56HUMATROPE ............................. 106HUMIRA ........................................... 110HUMULIN ....................................... 56HUMULIN N................................... 56HUMULIN R ................................... 56HYALURONATE .......................... 85HYCAMTIN ................................... 35HYD POLST-CH ....................... 120HYDRALAZINE ........................... 70HYDROCHLOROT .................... 70HYDROCO/APAP ........................ 4HYDROCOD/HOM ................. 120HYDROCOD/IBU ..................... 4, 5HYDROCODONE/ .................. 120HYDROCORT ..................... 82, 108HYDROGESIC ................................ 5HYDROMORPHON ..................... 5HYDROQUINONE ..................... 85HYDROXYCHLOR ...................... 30HYDROXYUREA ......................... 35HYDROXYZ HCL ....................... 96HYDROXYZ PAM ....................... 96HYOMAX-SL ................................. 51HYOPHEN ....................................... 31HYOSCYAMINE ........................... 51HYPERCARE ................................. 85

I

IBANDRONATE .......................... 113IBUPROFEN ...................................... 1ICLUSIG ........................................... 35ILARIS .............................................. 118ILEVRO ........................................... 117IMBRUVICA ................................... 35IMIPENEM/CIL .............................. 9

IMIPRAM HCL ............................. 24IMIPRAM PAM ............................ 24IMIQUIMOD .................................. 85IMOVAX RABIE ........................ 128INCIVEK ......................................... 47INCRELEX ................................... 106INDAPAMIDE ................................ 70INDOMETHACIN ........................... 1INFANRIX ..................................... 128INFERGEN .................................... 47INLYTA ............................................. 35INSULIN SYRG ..................... 89, 90INSUPEN SENS ............................ 92INSUPEN ULTR ............................ 92INTELENCE ................................ 45INTRON-A ..................................... 35INTUNIV ........................................ 74INVANZ.............................................. 9INVEGA .................................. 41, 42INVIRASE ...................................... 45INVOKANA .................................. 54IODINE ............................................ 118IONOSOL-B/ ............................. 126IONOSOL-MB ........................... 126IOPIDINE ........................................ 117IPOL ................................................ 128IPRATROPIUM ..................... 51, 122IRBESAR/HCTZ .......................... 60IRBESARTAN................................. 59IRESSA ............................................. 35IRINOTECAN ............................... 35ISENTRESS ................................... 45ISO CARBACHO ........................ 117ISOCHRON ................................... 60ISOFLURANE ............................. 122ISOLYTE-H .................................. 126ISOLYTE-P .................................. 126ISOLYTE-S .................................. 126ISONARIF ...................................... 30ISONIAZID .................................... 30ISOSORB DIN ............................... 60ISOSORB MONO ................ 60, 61ISRADIPINE .................................... 67ISTALOL ......................................... 115ITRACONAZOLE ...................... 29

J

JAKAFI ............................................ 35JALYN ............................................ 102JANTOVEN ................................... 16JANUMET XR ............................ 54JANUVIA ....................................... 54JENTADUETO ............................ 54JEVANTIQUE ............................ 105JEVTANA ...................................... 35JOLESSA ....................................... 76JUVISYNC .................................... 54JUXAPID ......................................... 63

K

KADCYLA ...................................... 35KALBITOR ...................................... 111KALETRA...................................... 45KALYDECO ................................. 122KANAMYCIN ................................... 9KAPVAY ......................................... 74KARIDIUM .................................... 125KAZANO....................................... 54K CITRATE .................................... 101KCL/D5W/NACL ..................... 126KCL IN NACL ............................. 126KCL/NACL .................................. 126KELNOR ......................................... 76KENALOG ..................................... 83KEPIVANCE .................................. 118KETEK .............................................. 12KETOCONAZOLE ........... 29, 79KETOPROFEN ............................... 2KETOROLAC ......................... 2, 117KHEDEZLA ................................... 23KINERET ......................................... 110KINRIX ........................................... 128KIONEX .......................................... 26KLOR-CON ................................. 126KLOR-CON 8 ............................. 126KLOR-CON M20 ...................... 126KOMBIGLYZE ............................. 54KORLYM ........................................ 54KRISTALOSE ................................. 99KRYSTEXXA ................................. 26KUVAN ............................................. 95KYNAMRO .................................... 63

136


L

LABETALOL ................................. 65LACTATED RIN ......................... 102LACTIC ACID .............................. 86LAMISIL .......................................... 29LAMIVUDINE .............................. 45LAMIVUD/ZIDO ....................... 45LAMOTRIGINE ............................ 19LANCET DEVICE ...................... 90LANCETS ....................................... 91LANSOPRAZOLE...................... 99LANTUS .......................................... 56LASTACAFT ............................... 114LATANOPROST ......................... 115LATRIX ........................................... 84LATUDA ......................................... 42LAVOCLEN-4 ............................. 80LAVOCLEN-8 ............................. 80LAZANDA ....................................... 5LECITHIN ....................................... 118LEFLUNOMIDE .......................... 110LETAIRIS ......................................... 72LETROZOLE ............................... 36LEUCOVOR CA ......................... 26LEUKERAN .................................... 36LEUKINE ......................................... 52LEUPROLIDE ............................... 36LEVALBUTEROL ............. 121, 122LEVATOL ...................................... 65LEVEMIR ........................................ 56LEVETIRACETA .................. 19, 20LEVOBUNOLOL ........................ 115LEVOCARNITIN ........................ 118LEVOCETIRIZI ........................... 27LEVOFLOXACIN ................ 14, 115LEVONORGESTR ..................... 76LEVORPHANOL .......................... 5LEVOTHROID .................. 108, 109LEVOTHYROXIN ..................... 109LEXIVA .......................................... 45LIALDA ............................................ 97LIDAZONE .................................... 86LIDOCAINE .......................... 77, 94LIDOCAINE/HC ......................... 86LIDOCAINE/HC KIT ................ 86LIDO-HYDRO .............................. 86LIDO/PRILOCN .......................... 77

LIFESCAN ...................................... 91LINCOCIN ...................................... 15LINDANE ........................................ 87LIOTHYRONINE ....................... 109LIPOFEN ........................................ 63LIPTRUZET ................................... 63LISINOP/HCTZ ........................... 58LISINOPRIL ................................... 57LITHIUM CARB ........................... 52LITHIUM CITR ............................. 52LIVALO ........................................... 63LOCOID .......................................... 83LOESTRIN 24 .............................. 76LO LOESTRIN ............................. 76LOMEDIA 24 ............................... 76LO MINASTRIN FE ................... 76LOMUSTINE ................................. 36LOPERAMIDE .............................. 96LORAZEPAM .............................. 49LOSARTAN/HCT........................ 60LOSARTAN POT ........................ 59LOTEMAX .................................... 116LOTRONEX .................................. 97LOVASTATIN ................................ 63LOXAPINE .................................... 44LOZI-FLUR .................................. 125LUCENTIS ...................................... 117LUFYLLIN ...................................... 121LUGOLS ......................................... 80LUMIGAN ....................................... 115LUMIZYME ................................... 95LUPANETA ..................................... 36LUPR DEP-PED ............................ 36LUPRON DEPOT ........................ 36LYRICA ............................................ 20LYSODREN .................................... 36

M

MACRODANTIN ......................... 31MACUGEN .................................... 117MAFENIDE ACE ........................ 80MAGNEBIND .............................. 126MAGNESIUM SU ......................... 20MAKENA ...................................... 107MALATHION ................................ 87MAPROTILINE ........................... 24MARPLAN ...................................... 21

MATULANE .................................. 36MATZIM LA ................................. 67MAXAIR AUTOH ....................... 121MAXIDEX ...................................... 116M-CLEAR .................................... 120M-CLEAR WC ........................... 120MD-GASTROVIE ........................ 118MECLIZINE ................................. 100MECLOFEN SOD ......................... 2MEDROXYPR AC .............. 76, 107MEFENAM ACID .......................... 2MEFLOQUINE ............................ 30MEGESTROL AC ....................... 36MEKINIST ....................................... 36MELOXICAM .................................. 2MENACTRA ............................... 128MENEST ....................................... 105MENOMUNE .............................. 128MENTAX ........................................ 86MENVEO ..................................... 128MEPERIDINE .................................. 5MEPHYTON ................................ 127MEPROBAMATE ....................... 49MERCAPTOPUR ......................... 36MEROPENEM ................................. 9MESALAMINE ............................. 97MESNEX ......................................... 119MESTINON ................................... 50METADATE .................................. 74METAPROTEREN ...................... 121METAXALONE ......................... 124METFORMIN .............................. 54METFORMIN ER ....................... 54METHADONE ............................... 5METHAMPHETAM ................... 74METHAZOLAMID ..................... 70METHENAM HIP ......................... 31METHENAM MAN ..................... 31METHIMAZOLE ....................... 104METHITEST ............................... 103METHOCARBAM .................... 124METHOTREXATE ..................... 36METHOXSALEN ........................ 87METHSCOPOLAM .................... 51METHYCLOTHIA ....................... 70METHYLD/HCTZ ...................... 69METHYLDOPA ............................ 57

137


METHYLDOPATE ...................... 57METHYLERGON........................ 118METHYLPHENID ....................... 74METHYLPRED ........................... 108METIPRANOLOL ...................... 115METOCLOPRAM ...................... 96METOLAZONE ................... 70, 71METOPRL/HCTZ ...................... 66METOPROLOL ........................... 65METOPROL TAR ....................... 65METRONIDAZOL .............. 31, 79MEXAR WASH............................. 79MEXILETINE................................. 61MICONAZOLE 3 ....................... 32MICRODOT ........................... 91, 93MICRODOT CON ..................... 88MIDAZOLAM .............................. 49MIDODRINE .................................. 57MIGERGOT ................................... 32MINASTRIN 24 FE .................... 77MINITRAN ...................................... 61MINOCYCLINE ............................ 15MINOXIDIL .................................... 70MIRAPEX ER ................................ 39MIRTAZAPINE ............................. 25MISOPROSTOL .......................... 99MITOXANTRON ........................ 36M-M-R II ....................................... 128MODAFINIL .................................. 75MOEXIPR/HCTZ ............... 58, 59MOEXIPRIL ................................... 58MOMETASONE ......................... 83MONTELUKAST ........................ 119MONUROL .................................... 31MORPHINE SUL ....................... 5, 6MOTOFEN ................................... 96MOVIPREP .................................... 99MOXEZA ....................................... 115MOXIFLOXACIN ........................ 14MOZOBIL ...................................... 52MST 600 ............................................ 8MULTAQ .......................................... 61MUPIROCIN CA.......................... 79MYCAMINE .................................. 29MYCOPHENOLAT .................... 110MYCOPHENOLIC ...................... 110MYDRAL ......................................... 117MYLERAN ..................................... 36

MYOBLOC .................................... 118MYRBETRIQ ................................. 101MYTELASE .................................... 51

N

NABUMETONE .............................. 2N-ACETYL-L- ............................. 26NADOLOL .................................... 65NADOLOL/BEND...................... 66NAFCILLIN..................................... 13NAFTIN ........................................... 79NAGLAZYME .............................. 95NALOXONE ................................. 88NALTREXONE ............................ 88NAMENDA .................................... 75NAMENDA XR ............................ 75NAPHAZOLINE .......................... 117NAPROXEN ..................................... 2NAPROXEN DR ............................. 2NAPROXEN SOD .......................... 2NARATRIPTAN ............................ 32NASONEX .................................... 94NATACYN ...................................... 115NATAFORT ................................. 127NATAZIA ........................................ 77NATEGLINIDE ............................ 54NATROBA ..................................... 87NATURE-THROI ....................... 109NEBUPENT ..................................... 31NECON ........................................... 77NEFAZODONE .......................... 25NEO/BAC/POLY ........................ 115NEO-FRADIN .................................. 9NEOMYCIN ...................................... 9NEO/POLY/BAC ........................ 116NEO/POLY/DEX ....................... 116NEO/POLY/GRA ....................... 115NEO/POLY GU ......................... 102NEO/POLY/HC .................. 94, 116NESINA .......................................... 55NEULASTA .................................... 52NEUMEGA ..................................... 52NEUPOGEN .................................. 52NEUPRO ......................................... 39NEUTREXIN .................................. 31NEVANAC ..................................... 117NEVIRAPINE ................................ 45NEXAVAR ...................................... 36

NEXIUM ................................. 99, 100NEXPLANON .............................. 77NEXT CHOICE ........................... 77NIACIN ............................................ 63NIACOR .......................................... 63NICARDIPINE ............................... 67NICOTINE ..................................... 87NICOTINE SYS ............................ 87NICOTROL ................................... 87NIFEDIAC CC .............................. 67NIFEDICAL XL ........................... 67NIFEDIPINE ................................... 67NILANDRON ................................ 36NIMODIPINE ................................. 67NISOLDIPINE ............................... 67NITRO-BID ..................................... 61NITRO-DUR ................................... 61NITROFURANTN ........................ 31NITROFUR MAC ......................... 31NITROGLYCERIN ........................ 61NITROSTAT ................................... 61NIZATIDINE .................................. 98NORDITROPIN .......................... 106NORETHIN ACE ...................... 107NORGEST/ETHI ........................ 77NORMOSOL -R ........................ 126NORMOSOL-R ......................... 126NOROXIN ....................................... 14NORTRIPTYLIN ......................... 24NORTUSS-EX ............................ 120NORVIR .................................. 45, 46NOVOLOG ................................... 56NOVOLOG MIX ......................... 56NOXAFIL ....................................... 29NPLATE .......................................... 52NUCYNTA ......................................... 6NUCYNTA ER ................................. 6NUEDEXTA ................................... 75NULOJIX ........................................ 110NUTROPIN .................................. 106NUTROPIN AQ ......................... 106NUVARING .................................... 77NUVIGIL .......................................... 75NYAMYC ........................................ 79NYMALIZE .................................... 67NYSTATIN .............................. 29, 79NYSTATIN VAG ........................... 32NYSTAT/TRIAM ......................... 86

138


O

OCTAGAM .................................... 112OCTREOTIDE ........................... 124OFLOXACIN ................. 14, 93, 115OGESTREL ................................... 77OLANZA/FLUOX ..................... 22OLANZAPINE ............................ 42OLYSIO .......................................... 47OMEGA-3-ACID ........................ 63OMEPRA/BICAR ...................... 100OMEPRAZOLE ......................... 100OMNARIS ..................................... 94OMNITROPE ............................. 106ONDANSETRON ............... 96, 97ONETOUCH .......... 88, 91, 92, 93ONFI .................................................. 17ONGLYZA .................................... 55ONTAK ............................................ 36OPIUM ............................................. 96OPSUMIT ....................................... 72ORACEA ......................................... 15ORALONE .................................... 94ORAP .............................................. 44ORAVIG ......................................... 94ORENCIA ....................................... 110ORFADIN ....................................... 118ORPH/ASA/CAF .......................... 8ORPHENADRINE ...................... 124ORSYTHIA ..................................... 77ORTHO TRI CYCLN LO ........ 77ORTHOVISC ................................ 114OSENI ............................................. 55OSMOPREP .................................. 99OTICIN ............................................ 93OTOZIN .......................................... 93OVACE PLUS ............................... 79OXACILLIN .................................... 13OXANDROLONE..................... 103OXAPROZIN ................................... 2OXAZEPAM ................................ 49OXCARBAZEPIN ........................ 20OXISTAT ......................................... 79OXSORALEN............................... 86OXYBUTYNIN .............................. 101OXYCOD/APAP ............................ 6OXYCOD/IBU ................................. 6OXYCODONE ................................ 6

OXYCONTIN ............................ 6, 7OXYMORPHONE ......................... 7

P

PACERONE .................................... 61PAMIDRONATE .......................... 113PANCREAZE ........................ 97, 98PANCRELIPASE ........................... 98PANRETIN ...................................... 86PANTOPRAZOLE .................... 100PARCAINE ..................................... 117PAREGORIC .................................. 96PARICALCITOL .......................... 113PAROMOMYCIN ........................ 30PAROXETINE ............................... 22PAROXETIN ER .......................... 22PASER .............................................. 30PATADAY ....................................... 114PATANASE .................................... 94PATANOL ...................................... 114PAXIL ............................................... 22PCE .................................................... 12PEDIARIX ..................................... 128PEDVAX HIB ............................... 128PEGANONE ................................... 18PEGASYS ....................................... 47PEG-INTRON .............................. 47PE/GUAIFENES ........................ 120PEN G SOD .................................... 13PENICILLN GK ............................. 13PENICILLN VK ............................. 13PENTA/APAP .................................. 7PENTACEL .................................. 128PENTASA ....................................... 97PENTAZ/NALOX .......................... 7PENTOXIFYLLI ............................ 41PERFOROMIST ........................ 122PERINDOPRIL .............................. 58PERIO MED ................................ 125PERJETA ........................................ 36PERPHEN/AMIT ......................... 25PERPHENAZINE ........................ 44PERTZYE ....................................... 98PHENADOZ .................................. 97PHENAZOPYRID ...................... 103PHENELZINE ................................ 21PHENOBARB ................................. 17

PHENYLBUTYRA ........................ 118PHENYTOIN .................................. 18PHENYTOIN EX .......................... 18PHISOHEX ..................................... 80PHOSPHA 250 ........................... 126PHOSPHASAL ............................... 31PHOSPHOLINE ............................ 117PHYSIOLYTE .............................. 102PICATO ........................................... 86PILOCARPINE ............... 51, 117, 118PILOPINE HS ................................ 118PINDOLOL .................................... 65PIN-X ................................................ 28PIOGLITA/MET ......................... 55PIOGLITAZONE ........................ 55PIOGLIT/GLIM .......................... 55PIPER/TAZOBA ........................... 13PIROXICAM ..................................... 2PLASMA-LYTE .......................... 126PNEUMOVAX 23 ..................... 128PODOCON ................................... 86PODOFILOX ................................ 86POLYETH GLYC ......................... 99POLYMYXIN B .............................. 15POMALYST ................................... 36POT ACETATE ......................... 126POT CHLORIDE ....................... 126POT CITRATE ............................. 101POTIGA .......................................... 20PRADAXA ................................. 16, 17PRAMCORT .................................. 83PRAMIPEXOLE ................... 39, 40PRAMOSONE .............................. 83PRAMOX ........................................ 77PRANDIMET ................................ 55PRASCION FC ............................ 84PRASCION RA ............................ 84PRAVASTATIN.............................. 63PRAZOSIN HCL .......................... 56PRECISION ............. 88, 91, 92, 93PRED-G ........................................... 116PRED-G S.O.P .............................. 116PRED MILD .................................... 116PREDNICARBAT ......................... 83PREDNISOLONE .............. 108, 116PREDNISONE ............................. 108PRED SOD PHO .......................... 116PREFEST ...................................... 105

139


PREMARIN ................................... 105PREMARIN VAG ....................... 105PREMPHASE ............................... 105PREMPRO .................................... 105PRENEXA .................................... 127PRESTIG ......................................... 92PRESTIGE ...................................... 88PREVNAR 13 ............................... 128PREZISTA ...................................... 46PRIALT ................................................ 8PRIFTIN ........................................... 30PRIMAQUINE ............................... 30PRIMIDONE ................................... 17PRIMSOL ......................................... 31PRISTIQ ........................................... 23PROAIR HFA ................................. 121PROBEN/COLCH ...................... 26PROBENECID ............................... 26PROCAINAMIDE ......................... 61PROCHLORPER ......................... 44PROCRIT ........................................ 52PROCTOCREAM ....................... 83PROCTOFOAM .......................... 86PROCYSBI ...................................... 95PRODIGQL .................................... 92PRODIGY ................. 89, 91, 92, 93PRODIGY AUTO ........................ 92PRODIGY VOIC .......................... 92PROGESTERONE ................... 107PROGLYCEM ............................... 73PROLASTIN ....................... 122, 123PROLENSA ................................... 117PROLEUKIN .................................. 37PROLIA ........................................... 113PROMACTA .................................. 52PROMETHAZINE ............. 97, 120PROMETH/COD ...................... 120PROMETHEGAN ........................ 97PROMETH VC ........................... 120PROMETH VC/ ........................ 120PROPAFENONE .................. 61, 62PROPANTHELIN .......................... 51PROPRAN/HCTZ ....................... 66PROPRANOLOL ........................ 65PROPYLTHIOUR ....................... 104PROQUAD ................................... 128PROSTIGMIN ................................ 51PROTAMINE SU .......................... 26

PROTID ........................................... 28PROTOPIC .................................... 86PROTRIPTYLIN .......................... 24PROVENTIL HFA ....................... 121PRUDOXIN ..................................... 86PSEUDOEPHEDRINE ........ 27, 28PULMICORT ............................... 122PULMOZYME ............................ 123PYLERA ........................................... 98PYRAZINAMIDE ......................... 30PYRIDOSTIGM .............................. 51

Q

QNAPRIL/HCTZ ........................ 59QNASL ........................................... 94QUALAQUIN................................ 30QUARTETTE ............................... 77QUETIAPINE ............................... 42QUINAPRIL ................................... 58QUINIDINE GL ............................ 62QUINIDINE SU ............................. 62QVAR ............................................. 122

R

RABAVERT .................................. 128RABEPRAZOLE ........................ 100RALOXIFENE .............................. 113RAMIPRIL ....................................... 58RANEXA .......................................... 61RANITIDINE .......................... 98, 99RAPAFLO ..................................... 102RAPAMUNE ................................... 110RAVICTI .......................................... 118REBIF REBIDO .............................. 111RECOMBIVA-HB ....................... 128RECTIV ........................................... 86REGRANEX ................................... 86RELENZA ..................................... 48RELION .................................... 91, 92RELION BLOOD ........................ 93RELISTOR .................................... 100RELPAX ........................................... 32REMEVEN .................................... 84REMICADE .................................... 110REMODULIN ................................ 72RENAGEL .................................... 102RENVELA .................................... 102

REPAGLINIDE ............................. 55RESCON-JR ................................. 28RESCRIPTOR ............................... 46RESERPINE ..................................... 71RESPA-BR ....................................... 27RESTASIS ........................................ 118REVLIMID ...................................... 37REYATAZ....................................... 46RHEUMATREX ............................ 37RHINOFLEX ................................. 27RIBASPHERE ................................ 48RIBATAB ......................................... 48RIDAURA ...................................... 103RIFABUTIN ..................................... 30RIFAMPIN ....................................... 30RIFATER ......................................... 30RILUZOLE ..................................... 75RIMANTADINE ........................... 48RINGERS IRR .............................. 102RIOMET ......................................... 55RISEDRONATE ........................... 113RISPERIDONE ..................... 42, 43RITUXAN ........................................ 37RIVASTIGMINE ............................ 51RIZATRIPTAN ....................... 32, 33ROPINIROLE ............................... 40ROTARIX ...................................... 128ROTATEQ .................................... 128ROWASA ........................................ 97ROZEREM ................................... 123

S

SABRIL ............................................. 20SAFYRAL ....................................... 77SAIZEN ......................................... 106SALACYN ..................................... 84SALICYLIC ................................... 84SALICYLIC AC ........................... 84SALSALATE .................................... 8SAMSCA ......................................... 118SANDIMMUNE ............................. 111SANDOSTATIN .......................... 124SANTYL .......................................... 86SAPHRIS ......................................... 43SAVELLA ....................................... 75SCALACORT ............................... 83SELEGILINE ................................. 40SELENIUM SUL ........................... 80

140


SELZENTRY ................................ 46SENSIPAR ..................................... 106SEREVENT .................................... 121SEROQUEL XR .......................... 43SEROSTIM ................................... 106SERTRALINE ................................ 22SEVELAMER .............................. 102SEVOFLURANE ....................... 123SF ..................................................... 125SIGNIFOR..................................... 106SILDENAFIL ................................. 72SILVER NITRA ............................. 80SILVER SULFA ............................. 80SIMBRINZA ................................... 115SIMCOR .......................................... 63SIMPONI .......................................... 111SIMULECT ...................................... 111SIMVASTATIN ...................... 63, 64SIROLIMUS ..................................... 111SIRTURO ......................................... 30SITAVIG .......................................... 48SKELID ............................................ 114SKLICE ............................................ 28SKYLA .............................................. 77SMZ-TMP ....................................... 14SMZ/TMP DS ............................... 14SOD CHLORIDE .............. 123, 126SOD EDECRIN .............................. 71SOD FLUORIDE ....................... 125SOD HYPOCHLR ....................... 80SODIUM CHLOR ............. 102, 123SOD SULFACET ................. 79, 115SOD SUL/SULF ......................... 84SOFTCLIX LAN .......................... 91SOLIRIS ............................................ 111SOLO V2 ................ 89, 91, 92, 93SOLO V2 TWST ......................... 91SOLTAMOX .................................. 37SOMATULINE ........................... 124SOMAVERT ................................ 105SORBITOL ................................... 102SORBITOL-MAN ...................... 102SOTALOL ...................................... 65SOVALDI ....................................... 47SPIRIVA .......................................... 123SPIRONO/HCTZ ......................... 71SPIRONOLACT ........................... 71

SPORANOX .................................. 29SPRIX ............................................... 94SPRYCEL ........................................ 37SPS ..................................................... 26SSKI ................................................. 104STAVUDINE .................................. 46STELARA ....................................... 112STIMATE ...................................... 107STIVARGA ..................................... 37STRATTERA ................................ 74STREPTOMYCIN ........................... 9STRIBILD........................................ 46STROMECTOL ........................... 28SUBOXONE .................................. 88SUBSYS SL ........................................ 7SUCLEAR ....................................... 99SUCRAID ........................................ 95SUCRALFATE .............................. 99SULFACETAMID ......................... 79SULFACET SOD ......................... 115SULFADIAZINE ............................ 14SULFAMYLON ............................ 80SULFASALAZIN .......................... 14SULF/PRED NA .......................... 116SULINDAC ........................................ 2SUMATRIPTAN ............................ 33SUPARTZ ....................................... 114SUPPRELIN .................................... 37SUPRAX ............................................ 11SUPREP BOWEL ......................... 99SUSTIVA ........................................ 46SUTENT .......................................... 37SYLATRON ................................... 37SYLVANT ........................................ 111SYMBICORT ............................... 123SYMLIN .......................................... 55SYMLINPEN 60 .......................... 55SYMLNPEN 120 .......................... 55SYNAGIS ........................................ 48SYNAREL ..................................... 125SYNERA .......................................... 77SYNRIBO ........................................ 37SYNVISC ........................................ 114SYPRINE .......................................... 26

T

TABLOID ......................................... 37TACLONEX .................................. 83TACROLIMUS ............................... 111TAFINLAR...................................... 37TAMIFLU ....................................... 48TAMOXIFEN ................................ 37TAMSULOSIN ............................. 102TANDEM F ....................................... 8TANDEM OB .............................. 127TARCEVA ....................................... 37TARGRETIN .......................... 37, 86TARKA ............................................. 69TASIGNA ........................................ 37TASMAR ........................................ 40TAXOTERE ................................... 37TAZICEF .......................................... 11TAZORAC ..................................... 86TEFLARO ........................................ 11TEGRETOL-XR .......................... 20TEKAMLO ..................................... 72TEKTURNA ................................... 72TEKTURNA HCT ........................ 72TELMISA/HCTZ ........................ 60TELMIS/AMLOD ....................... 69TELMISARTAN ............................ 59TEMAZEPAM .............................. 50TEMODAR .................................... 38TEMOZOLOMIDE .................... 38TERAZOSIN ................................. 56TERBINAFINE .............................. 29TERBUTALINE ................... 121, 123TERCONAZOLE ....................... 32TESTIM ......................................... 103TESTOST CYP .......................... 103TESTOST ENAN ...................... 103TESTOSTERONE .................... 103TETANUS TOX ......................... 128TET/DIP TOX ............................ 128TETRACYCLINE ......................... 15TEVETEN ...................................... 59TEVETEN HCT .......................... 60THALOMID .................................... 111THEOCHRON .............................. 121THEOPHYLLINE ......................... 121

141


THERA-D ....................................... 113THIORIDAZINE .......................... 44THIOTHIXENE ........................... 44THYMOGLOBULN ..................... 111THYROLAR-1 ............................. 109THYROLAR-1/2 ........................ 109THYROLAR-2 ............................ 109THYROLAR-3 ............................ 109TIAGABINE ................................... 20TICLOPIDINE ................................ 41TIKOSYN ........................................ 62TILIA FE ......................................... 77TIMENTIN ...................................... 13TIMOLOL GEL ........................... 116TIMOLOL MAL .................. 65, 116TINIDAZOLE ................................. 31TIVICAY ......................................... 46TIZANIDINE ............................... 124TOBI PODHALR ............................ 9TOBRADEX .................................. 116TOBRA/DEXAME ..................... 116TOBRADEX ST ........................... 116TOBRAMYCIN ....................... 9, 115TOBRA/NACL ................................ 9TOBREX ......................................... 115TOLAZAMIDE ........................... 55TOLBUTAMIDE .......................... 55TOLMETIN SOD ........................... 2TOLTERODINE ........................... 101TOPICORT .................................... 83TOPIRAGEN ................................. 20TOPIRAMATE ............................. 20TORISEL ......................................... 38TORSEMIDE .................................. 71TOTECT ......................................... 119TOVIAZ .......................................... 101TRACLEER .................................... 72TRADJENTA ............................... 55TRAMADL/APAP .......................... 7TRAMADOL HCL ......................... 7TRANDOLAPRIL ........................ 58TRANEX ACID ............................ 27TRANEXAMIC ............................ 27TRANSDERM-SC ....................... 97TRANYLCYPROM ...................... 21TRAVOPROST ............................ 116TRAZODONE ............................. 25TRECATOR ................................... 30

TRELSTAR DEP .......................... 38TRELSTAR LA ............................. 38TRETINOIN .................................. 78TRETIN-X ...................................... 78TREXALL....................................... 38TREXBROM ................................ 120TREXIMET .................................... 33TREZIX .............................................. 7TRIAMCINOLON ............... 83, 95TRIAMT/HCTZ ........................... 71TRIANEX ........................................ 83TRIAZOLAM ................................ 50TRIBENZOR20- .......................... 69TRIBENZOR40- .......................... 69TRICITRATES .............................. 101TRIFLUOPERAZ ....................... 44TRIFLURIDINE ............................. 115TRIHEXYPHEN ........................... 40TRIMETHOBENZ ...................... 97TRIMETHOPRIM ................. 31, 115TRIMIPRAMINE .......................... 24TRIPEDIA...................................... 128TRIPLE DYE .................................. 86TRI-VIT/FL ................................. 127TRI-VIT/FLUO .......................... 127TRI-ZEL ........................................ 127TROSPIUM CHL.......................... 101TROSPIUM CL ............................. 101TRUE2GO ...................................... 92TRUE CARE .................................. 92TRUECONTROL ........................ 89TRUERESULT ............................... 92TRUETEST ............................ 89, 93TRUETRACK ................ 89, 92, 93TRUVADA ..................................... 46TRYPTOPHAN ........................... 123TUDORZA ................................... 123TUSSAFED EX .......................... 120TWINRIX ...................................... 128TYGACIL ......................................... 31TYKERB ........................................... 38TYPHIM VI ................................... 128TYSABRI .......................................... 111TYVASO START ......................... 72TYZEKA ........................................ 48TYZINE PED ................................ 95

U

U-CORT .......................................... 83U-KERA E ...................................... 84ULESFIA ......................................... 87ULORIC ........................................... 26ULTRAVATE .................................. 83ULTRESA ........................................ 98UMECTA MOUSS ...................... 84UNIVERT ...................................... 100URAMAXIN .................................. 84UREA ............................................... 84UREA 40% ................................... 84UREA NAIL .................................. 84URSODIOL .................................. 100USTELL ............................................ 31

V

VAGIFEM ..................................... 105VALACYCLOVIR ....................... 48VALCHLOR ................................... 86VALCYTE ...................................... 48VALPROIC ACD ......................... 20VALSARTAN ................................. 59VALSART/HCTZ........................ 60VALTURNA .................................... 72VANCOMYCIN ............................. 15VANTAS .......................................... 38VAQTA .......................................... 128VARIVAX ...................................... 128VASCEPA ...................................... 64VECAMYL ..................................... 73VECTIBIX ....................................... 38VELCADE ...................................... 38VELPHORO ................................ 102VELTIN ............................................ 86VENLAFAXINE ........................... 23VENTAVIS ...................................... 72VENTOLIN HFA ......................... 121VERAMYST ................................... 95VERAPAMIL .......................... 67, 68VEREGEN ...................................... 86VERSACLOZ ............................... 43VESICARE ..................................... 101VEXOL ............................................ 116VIBRAMYCIN ................................ 15VICTOZA...................................... 55VICTRELIS ................................... 47

142


VIDEX ............................................. 46VIGAMOX ..................................... 115VIIBRYD ........................................... 25VIMIZIM .......................................... 95VIMOVO ............................................ 1VIMPAT ............................................ 21VIOKACE ....................................... 98VIRACEPT .................................... 46VIRAMUNE XR ........................... 46VIREAD .......................................... 46VISUDYNE ...................................... 118VITAFOL-ONE ......................... 127VITAMIN D2.................................. 113VITAMIN D3.................................. 113VIVELLE-DOT .......................... 105VIVITROL ...................................... 88VOCAL POINT ........................... 89VOLTAREN ................................... 83VORAXAZE ................................. 26VORICONAZOLE ..................... 29VOTRIENT .................................... 38VPRIV ............................................... 95VYTORIN ...................................... 64VYVANSE ............................. 74, 75

W

WEBCOL PREP ........................... 88WELCHOL.................................... 64WITCH HAZEL ............................ 86

X

XALKORI ........................................ 38XARELTO ....................................... 17XENAZINE .................................... 75XEOMIN ......................................... 118XGEVA ........................................... 114XIFAXAN ........................................ 15XIFAXAN ........................................ 15XOLAIR ......................................... 123XOPENEX HFA ........................... 121XTANDI ........................................... 38XULANE ......................................... 77XYREM ............................................ 112

Y

YERVOY ......................................... 38YF-VAX......................................... 128YODOXIN ...................................... 30

Z

ZACLIR ........................................... 80ZAFIRLUKAST ............................ 119ZALEPLON ................................. 123ZANOSAR ..................................... 38ZAVESCA ...................................... 118ZEBUTAL ....................................... 33ZEGERID ...................................... 100ZELBORAF ................................... 38ZENCHENT FE .......................... 77

ZENPEP .......................................... 98ZETIA ............................................. 64ZETONNA .................................... 95ZFLEX............................................. 27ZGESIC ........................................... 27ZIAGEN ......................................... 47ZIDOVUDINE .............................. 47ZINC SULFATE ......................... 126ZIOPTAN ........................................ 116ZIPRASIDONE ............................ 43ZIRGAN .......................................... 115ZN-DTPA ........................................ 26ZOLEDRONIC ACID ............... 114ZOLEDRONIC ACID ............... 114ZOLINZA ....................................... 38ZOLPIDEM .................................. 123ZOLPIDEM ER .......................... 123ZOMIG ............................................ 33ZONISAMIDE ................................ 21ZORBTIVE ................................... 106ZORTRESS ..................................... 111ZORVOLEX .................................... 2ZOSTAVAX ................................. 128ZOVIA 1/50E ............................... 77ZOVIRAX ....................................... 83Z-PRAM .......................................... 86ZYFLO ............................................ 119ZYFLO CR .................................... 119ZYLET ............................................. 116ZYTIGA .......................................... 38ZYVOX ............................................ 15

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OHC-ALL-RX-PRESCFORMULARY-100 1.14 REV10.14

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