brand new day · albuterol sulfate oral syrup 1 2 mg/5 ml brand new day ... this is an abbreviated...

H E A LT H C A R E Y O U C A N F E E L G O O D A B O U T

brand new day

2017 Medication Summary Plan 25 Classic Care


brand new day

2017 Medication Summary Plan 25 Classic Care 1HO838_2017 Druglist_025 Only

DRUG NAME DRUG TIER

acetaminophen-codeine 1 120 mg-12 mg/5 ml solution 120-12 mg/5 mlacetaminophen-codeine oral solution 1 300 mg-30 mg /12.5 mlacetaminophen-codeine oral tablet 1 300-15 mg, 300-30 mgacetaminophen-codeine oral tablet 1 300-60 mgacetylcysteine solution 2 100 mg/ml (10 %), 200 mg/ml (20 %)acyclovir oral capsule 1 200 mgacyclovir oral suspension 2 200 mg/5 mlacyclovir oral tablet 1 400 mg, 800 mgacyclovir topical ointment 5 % 2ADACEL(TDAP ADOLESN/ADULT)(PF) 3 INTRAMUSCULAR SUSPENSION 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 MLadapalene topical cream 2 0.1 %adapalene topical gel 2 0.1 %ADCIRCA ORAL TABLET 5 20 MG

DRUG NAME DRUG TIER

ADVAIR DISKUS INHALATION BLISTER WITH 3 DEVICE 100-50 MCG/DOSE, 250-50 MCG/DOSE, 500-50 MCG/DOSEADVAIR HFA INHALATION HFA AEROSOL 3 INHALER 115-21 MCG/ACTUATION, 230-21 MCG/ACTUATION, 45-21 MCG/ACTUATIONafeditab cr oral tablet extended release 1 30 mg, 60 mgAFINITOR DISPERZ ORAL TABLET FOR 5 SUSPENSION 2 MG, 3 MG, 5 MGAFINITOR ORAL TABLET 5 10 MGAFINITOR ORAL TABLET 5 2.5 MG, 5 MG, 7.5 MGala-cort topical cream 1 1 %ala-scalp topical lotion 2 2 %ALBENZA ORAL TABLET 5 200 MGalbuterol sulfate inhalation solution for 1 nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 5 mg/mlalbuterol sulfate oral syrup 1 2 mg/5 ml

Brand New Day 2017 Medication Summary Plan 25 Classic CareAbout this list:This is an abbreviated list of commonly prescribed medications covered by your Brand New Day Health Plan. This is not a complete list of medications offered. For copay information, please reference the drug tier that corresponds with your prescribed medication. Please refer to the summary of benefits for the plan you have chosen which can be found in your enrollment book or on the Brand New Day web site. If you are have Medicare and Medi-Cal, your copays are the following: Tier 1 =$0, Tier 2 = $1.20, Tier 3 = $3.30, Tier 4 = $3.30, Tier 5 = $3.30, Tier 6 = $0. For a complete and updated list of available drugs, go to www.BNDHMO.com and click on the Member Tab, or call Member Services 866-255-4795; PTY 866-321-5955. The complete drug list will also note if there are any restrictions to the medications.This list of drugs is subject to change. In general, you must use network pharmacies to use your prescription drug benefit.


brand new day

2 Brand New Day HO838_2017 Druglist_025 Only

DRUG NAME DRUG TIER DRUG NAME DRUG TIER

albuterol sulfate oral tablet 2 2 mg, 4 mgalbuterol sulfate oral tablet extended 2 release 12 hr 4 mg, 8 mgalendronate oral solution 2 70 mg/75 mlalendronate oral tablet 1 10 mg, 40 mg, 5 mgalendronate oral tablet 1 35 mg, 70 mgallopurinol oral tablet 1 100 mg, 300 mgALPHAGAN P OPHTHALMIC DROPS 3 0.1 %alprazolam oral tablet 1 0.25 mg, 0.5 mg, 1 mgalprazolam oral tablet 1 2 mgAMINO ACIDS 15 % INTRAVENOUS 4 PARENTERAL SOLUTION 15 %amiodarone oral tablet 1 200 mg, 400 mgamitriptyline oral tablet 1 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mgamlodipine oral tablet 1 10 mg, 2.5 mg, 5 mgamlodipine-benazepril oral capsule 1 10-20 mg, 10-40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mgammonium lactate topical cream 1 12 %ammonium lactate topical lotion 1 12 %amoxicillin oral capsule 1 250 mg, 500 mgamoxicillin oral suspension for reconstitution 1 125 mg/5 ml, 200 mg/5 ml, 250 mg/5 ml, 400 mg/5 ml

amoxicillin oral tablet 1 500 mg, 875 mgamoxicillin oral tablet,chewable 1 125 mg, 250 mgamoxicillin-pot clavulanate oral suspension 2 for reconstitution 200-28.5 mg/5 ml, 250-62.5 mg/5 ml, 400-57 mg/5 ml, 600-42.9 mg/5 mlamoxicillin-pot clavulanate oral tablet 1 250-125 mg, 500-125 mg, 875-125 mgamoxicillin-pot clavulanate oral tablet 1 extended release 12 hr 1,000-62.5 mgamoxicillin-pot clavulanate oral tablet, 1 chewable 200-28.5 mg, 400-57 mganagrelide oral capsule 2 0.5 mg, 1 mganastrozole oral tablet 1 1 mgANDRODERM TRANSDERMAL PATCH 3 24 HOUR 2 MG/24 HOUR, 4 MG/24 HRANDROGEL TRANSDERMAL GEL IN 3 METERED-DOSE PUMP 20.25 MG/1.25 GRAM (1.62 %)ANDROGEL TRANSDERMAL GEL IN PACKET 3 1.62 % (20.25 MG/1.25 GRAM), 1.62 % (40.5 MG/2.5 GRAM)APRISO ORAL CAPSULE,EXTENDED RELEASE 3 24HR 0.375 GRAMASACOL HD ORAL TABLET,DELAYED RELEASE 3 (DR/EC) 800 MGASTAGRAF XL ORAL CAPSULE, EXTENDED 4 RELEASE 24HR 0.5 MG, 1 MG, 5 MGatenolol oral tablet 1 100 mg, 25 mg, 50 mgatorvastatin oral tablet 1 10 mg, 20 mg, 40 mg, 80 mgatovaquone-proguanil oral tablet 2 250-100 mg, 62.5-25 mg


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ATRIPLA ORAL TABLET 5 600-200-300 MGatropine injection syringe 1 0.05 mg/ml, 0.1 mg/mlaubra oral tablet 1 0.1-20 mg-mcgaviane oral tablet 1 0.1-20 mg-mcgazathioprine oral tablet 1 50 mgazelastine nasal aerosol, spray 2 137 mcg (0.1 %)azelastine ophthalmic drops 2 0.05 %azithromycin intravenous recon soln 2 500 mgazithromycin oral packet 2 1 gramazithromycin oral suspension for 2 reconstitution 100 mg/5 ml, 200 mg/5 mlazithromycin oral tablet 250 mg, 1 250 mg (6 pack), 500 mg, 600 mgBD INSULIN SYR 0.5 ML 31GX5/16” 0.5 ML 1 31 GAUGE X 5/16BD INSULIN SYR 1 ML 31GX5/16” 1 ML 1 31 GAUGE X 5/16benazepril oral tablet 1 10 mg, 20 mg, 40 mg, 5 mgbenztropine oral tablet 1 0.5 mg, 1 mg, 2 mgbicalutamide oral tablet 1 50 mgbimatoprost ophthalmic drops 2 0.03 %blisovi 24 fe oral tablet 1 1 mg-20 mcg (24)/75 mg (4)blisovi fe 1.5/30 (28) oral tablet 1 1.5 mg-30 mcg (21)/75 mg (7)

blisovi fe 1/20 (28) oral tablet 1 1 mg-20 mcg (21)/75 mg (7)BOOSTRIX TDAP INTRAMUSCULAR 3 SUSPENSION 2.5-8-5 LF-MCG-LF/0.5MLBOOSTRIX TDAP INTRAMUSCULAR 3 SYRINGE 2.5-8-5 LF-MCG-LF/0.5MLbrimonidine ophthalmic drops 2 0.15 %brimonidine ophthalmic drops 1 0.2 %budesonide oral capsule, delayed, 5 extend release 3 mgBUNAVAIL BUCCAL FILM 3 2.1-0.3 MGBUNAVAIL BUCCAL FILM 3 4.2-0.7 MG, 6.3-1 MGbuprenorphine hcl sublingual tablet 2 2 mg, 8 mgbuprenorphine-naloxone sublingual tablet 2 2-0.5 mg, 8-2 mgbupropion hcl oral tablet 1 100 mg, 75 mgbupropion hcl oral tablet extended release 1 100 mg, 150 mg, 200 mgbupropion hcl oral tablet extended release 1 24 hr 150 mg, 300 mgbuspirone oral tablet 1 10 mg, 15 mg, 30 mg, 5 mg, 7.5 mgbutalbital-acetaminophen-caff oral capsule 1 50-325-40 mgbutalbital-acetaminophen-caff oral tablet 1 50-325-40 mgcalcipotriene scalp solution 2 0.005 %calcipotriene topical cream 2 0.005 %calcipotriene topical ointment 2 0.005 %


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calcitriol intravenous solution 2 1 mcg/mlcalcitriol oral capsule 1 0.25 mcg, 0.5 mcgcalcitriol oral solution 2 1 mcg/mlcalcium acetate oral capsule 2 667 mgcarbamazepine oral capsule, er multiphase 2 12 hr 100 mg, 200 mg, 300 mgcarbamazepine oral suspension 2 100 mg/5 mlcarbamazepine oral tablet 1 200 mgcarbamazepine oral tablet extended 2 release 12 hr 100 mg, 200 mg, 400 mgcarbamazepine oral tablet, 1 chewable 100 mgcarbidopa-levodopa oral tablet 1 10-100 mg, 25-100 mg, 25-250 mgcarbidopa-levodopa oral tablet extended 2 release 25-100 mg, 50-200 mgcartia xt oral capsule,extended release 1 24hr 120 mg, 180 mg, 240 mg, 300 mgcarvedilol oral tablet 1 12.5 mg, 25 mg, 3.125 mg, 6.25 mgCAYSTON INHALATION SOLUTION FOR 5 NEBULIZATION 75 MG/MLcefadroxil oral capsule 1 500 mgcefadroxil oral suspension for reconstitution 2 250 mg/5 ml, 500 mg/5 mlcefadroxil oral tablet 1 1 gramcefdinir oral capsule 2 300 mgcefdinir oral suspension for reconstitution 2 125 mg/5 ml, 250 mg/5 ml

cefprozil oral suspension for reconstitution 2 125 mg/5 ml, 250 mg/5 mlcefprozil oral tablet 2 250 mg, 500 mgcefuroxime axetil oral tablet 2 250 mg, 500 mgcephalexin oral capsule 1 250 mg, 500 mgcephalexin oral capsule 2 750 mgcephalexin oral suspension for reconstitution 1 125 mg/5 ml, 250 mg/5 mlcephalexin oral tablet 1 250 mg, 500 mgCHANTIX ORAL TABLET 3 0.5 MG, 1 MGCHANTIX STARTING MONTH BOX ORAL 3 TABLETS, DOSE PACK 0.5 MG (11)- 1 MG (42)chlorhexidine gluconate mucous membrane 1 mouthwash 0.12 %CIMZIA POWDER FOR RECONST 5 SUBCUTANEOUS KIT 400 MG (200 MG X 2 VIALS)CIMZIA SUBCUTANEOUS SYRINGE KIT 5 400 MG/2 ML (200 MG/ML X 2)ciprofloxacin hcl oral tablet 1 100 mg, 250 mg, 500 mg, 750 mgcitalopram oral solution 2 10 mg/5 mlcitalopram oral tablet 1 10 mg, 20 mg, 40 mgclarithromycin oral suspension for 2 reconstitution 125 mg/5 ml, 250 mg/5 mlclarithromycin oral tablet 2 250 mg, 500 mgclarithromycin oral tablet extended release 2 24 hr 500 mgclindamycin hcl oral capsule 1 150 mg, 300 mg, 75 mg


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clindamycin phosphate topical 2 gel 1 %clindamycin phosphate topical 2 lotion 1 %clindamycin phosphate topical 2 solution 1 %clindamycin phosphate topical 1 swab 1 %CLINIMIX 5%-D20W(SULFITE-FREE) 4 INTRAVENOUS PARENTERAL SOLUTION 5 %CLINIMIX E 4.25%/D25W SUL FREE 4 INTRAVENOUS PARENTERAL SOLUTION 4.25 %CLINIMIX E 5%/D15W SULFIT FREE 4 INTRAVENOUS PARENTERAL SOLUTION 5 %CLINIMIX E 5%/D20W SULFIT FREE 4 INTRAVENOUS PARENTERAL SOLUTION 5 %CLINISOL SF 15 % INTRAVENOUS 4 PARENTERAL SOLUTION 15 %clobetasol 0.05% cream 2 0.05 %clobetasol scalp solution 2 0.05 %clobetasol topical foam 2 0.05 %clobetasol topical gel 2 0.05 %clobetasol topical lotion 2 0.05 %clobetasol topical ointment 2 0.05 %clobetasol topical shampoo 2 0.05 %clobetasol-emollient topical 2 cream 0.05 %clonidine hcl oral tablet 1 0.1 mg, 0.2 mg, 0.3 mgclopidogrel oral tablet 2 300 mg

clopidogrel oral tablet 1 75 mgclotrimazole mucous membrane 2 troche 10 mgclotrimazole topical 1 cream 1 %clotrimazole topical 2 solution 1 %clotrimazole-betamethasone topical 2 cream 1-0.05 %clotrimazole-betamethasone topical 2 lotion 1-0.05 %clozapine oral tablet 2 100 mgclozapine oral tablet 2 200 mgclozapine oral tablet 2 25 mg, 50 mgclozapine oral tablet, disintegrating 2 100 mg, 12.5 mg, 150 mg, 200 mg, 25 mgCOLCRYS ORAL TABLET 3 0.6 MGCOMBIVENT RESPIMAT INHALATION 3 MIST 20-100 MCG/ACTUATIONCOMPLERA ORAL TABLET 5 200-25-300 MGconstulose oral solution 1 10 gram/15 mlCOPAXONE SUBCUTANEOUS SYRINGE 5 20 MG/ML, 40 MG/MLcormax scalp solution 2 0.05 %CREON ORAL CAPSULE, DELAYED RELEASE 3 (DR/EC) 12,000-38,000 -60,000 UNIT, 24,000-76,000 -120,000 UNIT, 3,000-9,500- 15,000 UNIT, 36,000-114,000- 180,000 UNIT, 6,000-19,000 -30,000 UNIT


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CUPRIMINE ORAL CAPSULE 5 250 MGcyclobenzaprine oral tablet 1 10 mg, 5 mgcyclosporine modified oral capsule 2 100 mg, 25 mg, 50 mgcyclosporine modified oral solution 2 100 mg/mlDALIRESP ORAL TABLET 3 500 MCGdapsone oral tablet 2 100 mg, 25 mgdelyla (28) oral tablet 1 0.1-20 mg-mcgDELZICOL DR 400 MG CAPSULE 3 400 MGDELZICOL ORAL CAPSULE, 3 DELAYED RELEASE(DR/EC) 400 MGDEPEN TITRATABS ORAL TABLET 5 250 MGDEPO-PROVERA INTRAMUSCULAR 4 SOLUTION 400 MG/MLdesmopressin injection solution 2 4 mcg/mldesmopressin nasal solution 2 0.1 mg/ml (refrigerate)desmopressin nasal spray,non-aerosol 2 10 mcg/spray (0.1 ml)desmopressin oral tablet 2 0.1 mg, 0.2 mgdesonide topical cream 2 0.05 %desonide topical ointment 2 0.05 %dextroamphetamine oral capsule, 2 extended release 10 mg, 15 mg, 5 mgdextroamphetamine oral tablet 2 10 mg, 5 mg

dextroamphetamine-amphetamine 2 oral capsule,extended release 24hr 10 mg, 15 mg, 5 mgdextroamphetamine-amphetamine 2 oral capsule,extended release 24hr 20 mg, 25 mg, 30 mgdextroamphetamine-amphetamine 1 oral tablet 10 mg, 12.5 mg, 15 mg, 20 mg, 30 mg, 5 mg, 7.5 mgdextrose 5 % in water (d5w) intravenous 2 parenteral solution dextrose 5 %-lactated ringers intravenous 2 parenteral solution diclofenac sodium oral tablet extended 1 release 24 hr 100 mgdiclofenac sodium oral tablet,delayed 1 release (dr/ec) 25 mg, 50 mg, 75 mgdicloxacillin oral capsule 1 250 mg, 500 mgdicyclomine oral capsule 1 10 mgdicyclomine oral solution 1 10 mg/5 mldicyclomine oral tablet 1 20 mgDILANTIN ORAL CAPSULE 1 30 MGdiltiazem 24hr er 180 mg cap 1 180 mgdiltiazem 24hr er 360 mg cap 1 360 mgdiltiazem hcl intravenous recon soln 1 100 mgdiltiazem hcl intravenous solution 1 5 mg/mldiltiazem hcl oral capsule, extended 1 release 180 mg, 360 mg, 420 mgdiltiazem hcl oral capsule,extended 2 release 12 hr 120 mg, 60 mg, 90 mg


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DRUG NAME DRUG TIER DRUG NAME DRUG TIERdiltiazem hcl oral capsule,extended 1 release 24hr 120 mg, 240 mg, 300 mgdiltiazem hcl oral tablet 1 120 mg, 30 mg, 60 mg, 90 mgdilt-xr oral capsule,ext release 1 degradable 120 mg, 180 mg, 240 mgdiphenoxylate-atropine oral liquid 1 2.5-0.025 mg/5 mldiphenoxylate-atropine oral tablet 1 2.5-0.025 mgdivalproex oral capsule, sprinkle 2 125 mgdivalproex oral tablet extended 2 release 24 hr 250 mg, 500 mgdivalproex oral tablet,delayed release 1 (dr/ec) 125 mg, 250 mg, 500 mgdonepezil oral tablet 1 10 mg, 5 mgdonepezil oral tablet 2 23 mgdonepezil oral tablet, 1 disintegrating 10 mg, 5 mgdorzolamide-timolol ophthalmic 1 drops 22.3-6.8 mg/mldoxazosin oral tablet 1 1 mg, 2 mg, 4 mg, 8 mgdoxy-100 intravenous recon soln 2 100 mgdoxycycline hyclate intravenous recon soln 2 100 mgdoxycycline hyclate oral capsule 2 100 mg, 50 mgdoxycycline hyclate oral tablet 2 100 mgdoxycycline hyclate oral tablet 1 20 mgdrospirenone-ethinyl estradiol oral tablet 2 3-0.02 mg, 3-0.03 mg

DROXIA ORAL CAPSULE 3 200 MG, 300 MG, 400 MGEFFIENT ORAL TABLET 3 10 MG, 5 MGELIGARD (3 MONTH) SUBCUTANEOUS 4 SYRINGE 22.5 MGELIGARD (4 MONTH) SUBCUTANEOUS 4 SYRINGE 30 MGELIGARD (6 MONTH) SUBCUTANEOUS 4 SYRINGE 45 MGELIGARD SUBCUTANEOUS 4 SYRINGE 7.5 MG (1 MONTH)eliphos oral tablet 2 667 mgELMIRON ORAL CAPSULE 4 100 MGenalapril maleate oral tablet 1 10 mg, 2.5 mg, 20 mg, 5 mgENBREL SUBCUTANEOUS RECON SOLN 5 25 MG (1 ML)ENBREL SUBCUTANEOUS SYRINGE 5 25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML)ENBREL SURECLICK SUBCUTANEOUS PEN 5 INJECTOR 50 MG/ML (0.98 ML)endocet oral tablet 1 10-325 mgendocet oral tablet 1 5-325 mgendocet oral tablet 1 7.5-325 mgENGERIX-B (PF) INTRAMUSCULAR SYRINGE 3 20 MCG/MLENGERIX-B PEDIATRIC (PF) INTRAMUSCULAR 3 SUSPENSION 10 MCG/0.5 MLENGERIX-B PEDIATRIC (PF) INTRAMUSCULAR 3 SYRINGE 10 MCG/0.5 MLenoxaparin subcutaneous solution 2 300 mg/3 ml


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enoxaparin subcutaneous syringe 2 100 mg/ml, 120 mg/0.8 ml, 30 mg/0.3 ml, 40 mg/0.4 ml, 60 mg/0.6 ml, 80 mg/0.8 mlenoxaparin subcutaneous syringe 5 150 mg/mlenpresse oral tablet 1 50-30 (6)/75-40 (5)/125-30(10)enulose oral solution 1 10 gram/15 mlENVARSUS XR ORAL TABLET EXTENDED 4 RELEASE 24 HR 0.75 MG, 1 MG, 4 MGepinephrine injection auto-injector 2 0.15 mg/0.15 ml, 0.3 mg/0.3 mlEPIPEN 2-PAK INJECTION AUTO-INJECTOR 3 0.3 MG/0.3 MLEPIPEN JR 2-PAK INJECTION AUTO-INJECTOR 3 0.15 MG/0.3 MLepitol oral tablet 1 200 mgeplerenone oral tablet 2 25 mg, 50 mgEPOGEN 10,000 UNITS/ML VIAL SDV, P/F, 3 OUTER 10,000 UNIT/MLEPOGEN INJECTION SOLUTION 3 2,000 UNIT/ML, 20,000 UNIT/2 ML, 20,000 UNIT/ML, 3,000 UNIT/ML, 4,000 UNIT/MLEPZICOM ORAL TABLET 5 600-300 MGerythromycin ophthalmic ointment 1 5 mg/gram (0.5 %)escitalopram oxalate oral solution 2 5 mg/5 mlescitalopram oxalate oral tablet 1 10 mg, 20 mg, 5 mgESTRACE VAGINAL CREAM 3 0.01 % (0.1 MG/GRAM)estradiol oral tablet 1 0.5 mg, 1 mg, 2 mg

estradiol transdermal patch semiweekly 2 0.025 mg/24 hr, 0.0375 mg/24 hr, 0.05 mg/24 hr, 0.075 mg/24 hr, 0.1 mg/24 hrestradiol transdermal patch weekly 2 0.025 mg/24 hr, 0.0375 mg/24 hr, 0.05 mg/24 hr, 0.06 mg/24 hr, 0.075 mg/24 hr, 0.1 mg/24 hrexemestane oral tablet 2 25 mgEXJADE ORAL TABLET, DISPERSIBLE 5 125 MG, 250 MG, 500 MGfalmina (28) oral tablet 1 0.1-20 mg-mcgfamciclovir oral tablet 2 125 mg, 250 mg, 500 mgfenofibrate oral tablet 1 120 mg, 160 mg, 40 mg, 54 mgfinasteride oral tablet 1 5 mgflecainide oral tablet 1 100 mg, 150 mg, 50 mgfluconazole oral suspension for reconstitution 1 10 mg/ml, 40 mg/mlfluconazole oral tablet 1 100 mg, 150 mg, 200 mg, 50 mgfluocinonide 0.05% cream 2 0.05 %fluocinonide topical gel 2 0.05 %fluocinonide topical ointment 2 0.05 %fluocinonide topical solution 2 0.05 %fluocinonide-e topical cream 2 0.05 %fluorouracil topical cream 5 0.5 %


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fluorouracil topical cream 2 5 %fluorouracil topical solution 2 2 %, 5 %fluoxetine oral capsule 1 10 mg, 20 mg, 40 mgfluoxetine oral capsule, delayed release 2 (dr/ec) 90 mgfluoxetine oral solution 1 20 mg/5 ml (4 mg/ml)fluoxetine oral tablet 1 10 mg, 20 mgflutamide oral capsule 2 125 mgfluticasone nasal spray, suspension 1 50 mcg/actuationfurosemide injection solution 2 10 mg/mlfurosemide injection syringe 1 10 mg/mlfurosemide oral solution 1 10 mg/ml, 40 mg/5 ml (8 mg/ml)furosemide oral tablet 1 20 mg, 40 mg, 80 mggabapentin oral capsule 1 100 mg, 300 mg, 400 mggabapentin oral solution 2 250 mg/5 mlgabapentin oral tablet 1 600 mg, 800 mgGARDASIL (PF) INTRAMUSCULAR SUSPENSION 3 20-40-40-20 MCG/0.5 MLGARDASIL (PF) INTRAMUSCULAR SYRINGE 3 20-40-40-20 MCG/0.5 MLgavilyte-c oral recon soln 2 240-22.72-6.72 -5.84 gramgavilyte-g oral recon soln 2 236-22.74-6.74 -5.86 gram

gemfibrozil oral tablet 1 600 mggenerlac oral solution 1 10 gram/15 mlgengraf oral capsule 2 100 mg, 25 mggengraf oral solution 2 100 mg/mlGENOTROPIN MINIQUICK SUBCUTANEOUS 4 SYRINGE 0.2 MG/0.25 MLGENOTROPIN MINIQUICK SUBCUTANEOUS 5 SYRINGE 0.4 MG/0.25 ML, 0.6 MG/0.25 ML, 0.8 MG/0.25 ML, 1 MG/0.25 ML, 1.2 MG/0.25 ML, 1.4 MG/0.25 ML, 1.6 MG/0.25 ML, 1.8 MG/0.25 ML, 2 MG/0.25 MLGENOTROPIN SUBCUTANEOUS CARTRIDGE 5 12 MG/ML (36 UNIT/ML), 5 MG/ML (15 UNIT/ML)gentak ophthalmic ointment 1 0.3 % (3 mg/gram)gentamicin injection solution 1 40 mg/mlgentamicin ophthalmic drops 1 0.3 %gentamicin ophthalmic ointment 1 0.3 % (3 mg/gram)gianvi (28) oral tablet 2 3-0.02 mggildess 24 fe oral tablet 1 1 mg-20 mcg (24)/75 mg (4)glimepiride oral tablet 1 1 mg, 2 mgglimepiride oral tablet 1 4 mgglipizide oral tablet 1 10 mgglipizide oral tablet 1 5 mg


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glipizide oral tablet extended release 24hr 1 10 mgglipizide oral tablet extended release 24hr 1 2.5 mg, 5 mgGLUCAGEN HYPOKIT INJECTION RECON 3 SOLN 1 MGGLUCAGON EMERGENCY KIT (HUMAN) 4 INJECTION KIT 1 MGhaloperidol oral tablet 1 0.5 mg, 1 mg, 10 mg, 2 mg, 20 mg, 5 mgHAVRIX (PF) INTRAMUSCULAR SUSPENSION 3 1,440 ELISA UNIT/MLHAVRIX (PF) INTRAMUSCULAR SYRINGE 3 720 ELISA UNIT/0.5 MLHUMATROPE INJECTION CARTRIDGE 5 12 MG (36 UNIT), 24 MG (72 UNIT), 6 MG (18 UNIT)HUMATROPE INJECTION RECON SOLN 5 5 (15 UNIT) MGHUMIRA PEDIATRIC CROHN’S START 5 SUBCUTANEOUS SYRINGE KIT 40 MG/0.8 ML, 40 MG/0.8 ML (6 PACK)HUMIRA PEN CROHN’S-UC-HS START 5 SUBCUTANEOUS PEN INJECTOR KIT 40 MG/0.8 MLHUMIRA PEN SUBCUTANEOUS PEN 5 INJECTOR KIT 40 MG/0.8 MLHUMIRA SUBCUTANEOUS SYRINGE KIT 5 10 MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 MLhydralazine injection solution 1 20 mg/mlhydralazine oral tablet 1 10 mg, 100 mg, 25 mg, 50 mghydrochlorothiazide oral capsule 1 12.5 mghydrochlorothiazide oral tablet 1 12.5 mg, 25 mg, 50 mghydrocodone-acetaminophen oral solution 2 7.5-325 mg/15 ml

hydrocodone-acetaminophen oral tablet 2 10-300 mg, 5-300 mg, 7.5-300 mghydrocodone-acetaminophen oral tablet 2 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mghydrocortisone topical cream 1 1 %, 2.5 %hydrocortisone topical lotion 1 2.5 %hydrocortisone topical ointment 1 1 %, 2.5 %hydroxychloroquine oral tablet 2 200 mghydroxyurea oral capsule 1 500 mghydroxyzine hcl intramuscular solution 2 25 mg/ml, 50 mg/mlhydroxyzine hcl oral solution 1 10 mg/5 mlhydroxyzine hcl oral tablet 1 10 mg, 25 mg, 50 mghydroxyzine pamoate oral capsule 1 100 mg, 25 mg, 50 mgibandronate intravenous solution 2 3 mg/3 mlibandronate oral tablet 1 150 mgibuprofen oral suspension 1 100 mg/5 mlibuprofen oral tablet 1 400 mg, 600 mg, 800 mgimiquimod topical cream in packet 2 5 %indomethacin oral capsule 1 25 mgindomethacin oral capsule 1 50 mgindomethacin oral capsule, extended 2 release 75 mg


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INSULIN SYRINGE-NEEDLE U-100 SYRINGE 1 1 ML 29 GAUGE X 1/2”, 1/2 ML 28 GAUGEINTRALIPID INTRAVENOUS EMULSION 4 20 %, 30 %INTRON A INJECTION RECON SOLN 5 10 MILLION UNIT (1 ML), 18 MILLION UNIT (1 ML), 50 MILLION UNIT (1 ML)INTRON A INJECTION SOLUTION 5 6 MILLION UNIT/MLintrovale oral tablets,dose pack, 1 3 month 0.15-30 mg-mcgINVANZ INJECTION RECON SOLN 4 1 GRAMipratropium bromide nasal spray, 1 non-aerosol 0.03 %ipratropium bromide nasal spray, 1 non-aerosol 0.06 %irbesartan oral tablet 1 150 mg, 300 mg, 75 mgISENTRESS ORAL POWDER IN PACKET 3 100 MGISENTRESS ORAL TABLET 5 400 MGISENTRESS ORAL TABLET, CHEWABLE 3 100 MG, 25 MGisoniazid oral solution 2 50 mg/5 mlisoniazid oral tablet 1 100 mg, 300 mgisosorbide mononitrate oral tablet 1 10 mg, 20 mgisosorbide mononitrate oral tablet extended 1 release 24 hr 120 mg, 30 mg, 60 mgJAKAFI ORAL TABLET 5 10 MG, 15 MG, 20 MG, 25 MG, 5 MGjantoven oral tablet 1 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg

JANUMET ORAL TABLET 3 50-1,000 MG, 50-500 MGJANUMET XR ORAL TABLET, ER MULTIPHASE 3 24 HR 100-1,000 MG, 50-1,000 MG, 50-500 MGJANUVIA ORAL TABLET 3 100 MG, 25 MG, 50 MGjunel fe 1.5/30 (28) oral tablet 1 1.5 mg-30 mcg (21)/75 mg (7)junel fe 1/20 (28) oral tablet 1 1 mg-20 mcg (21)/75 mg (7)junel fe 24 oral tablet 1 1 mg-20 mcg (24)/75 mg (4)ketoconazole oral tablet 2 200 mgketoconazole topical cream 2 2 %ketoconazole topical shampoo 1 2 %ketorolac ophthalmic drops 1 0.4 %, 0.5 %klor-con 10 oral tablet extended release 1 10 meqklor-con m10 tablet 1 10 meqklor-con m15 oral tablet,er particles/crystals 1 15 meqklor-con m20 oral tablet,er particles/crystals 1 20 meqklor-con sprinkle oral capsule, extended 2 release 10 meq, 8 meqKUVAN ORAL TABLET,SOLUBLE 5 100 MGlactulose oral solution 1 10 gram/15 mllamotrigine oral tablet 1 100 mg, 150 mg, 200 mg, 25 mg


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lamotrigine oral tablet extended release 2 24hr 100 mg, 200 mg, 25 mg, 250 mg, 300 mg, 50 mglamotrigine oral tablet, chewable 1 dispersible 25 mg, 5 mgLANTUS SOLOSTAR SUBCUTANEOUS INSULIN 6 PEN 100 UNIT/ML (3 ML)LANTUS SUBCUTANEOUS SOLUTION 6 100 UNIT/MLlarin fe 1.5/30 (28) oral tablet 1 1.5 mg-30 mcg (21)/75 mg (7)larin fe 1/20 (28) oral tablet 1 1 mg-20 mcg (21)/75 mg (7)latanoprost ophthalmic drops 1 0.005 %LATUDA ORAL TABLET 5 120 MG, 20 MG, 40 MG, 60 MG, 80 MGleflunomide oral tablet 2 10 mg, 20 mglessina oral tablet 1 0.1-20 mg-mcgletrozole oral tablet 1 2.5 mgleucovorin calcium 200 mg vial sdv, 2 p/f, latex-free 200 mgleucovorin calcium injection recon soln 2 100 mg, 350 mgleucovorin calcium oral tablet 1 10 mg, 15 mg, 25 mg, 5 mgLEUKERAN ORAL TABLET 4 2 MGleuprolide subcutaneous kit 2 1 mg/0.2 mllevetiracetam intravenous solution 1 500 mg/5 mllevetiracetam oral solution 1 100 mg/mllevetiracetam oral tablet 1 1,000 mg, 250 mg, 500 mg, 750 mg

levetiracetam oral tablet extended 1 release 24 hr 500 mg, 750 mglevocetirizine oral solution 2 2.5 mg/5 mllevocetirizine oral tablet 1 5 mglevofloxacin intravenous solution 2 25 mg/mllevofloxacin oral solution 2 250 mg/10 mllevofloxacin oral tablet 1 250 mg, 500 mg, 750 mglevonest (28) oral tablet 1 50-30 (6)/75-40 (5)/125-30(10)levonor-eth estrad 1 0.15-0.03 outer 0.15-0.03 mglevonorgestrel-ethinyl estrad oral tablet 1 0.1-20 mg-mcglevonorgestrel-ethinyl estrad oral tablets, 1 dose pack,3 month 0.15-30 mg-mcglevonorg-eth estrad triphasic oral tablet 2 50-30 (6)/75-40 (5)/125-30(10)levora-28 oral tablet 1 0.15-0.03 mglevothyroxine intravenous recon soln 5 100 mcglevothyroxine oral tablet 1 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcglidocaine 2% viscous soln 1 2 %lidocaine hcl injection solution 1 20 mg/ml (2 %)lidocaine hcl mucous membrane gel 1 2 %lidocaine hcl mucous membrane solution 1 2 %, 4 % (40 mg/ml)


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lidocaine topical adhesive patch, 2 medicated 5 %lidocaine topical ointment 2 5 %liothyronine oral tablet 1 25 mcg, 5 mcg, 50 mcglisinopril oral tablet 1 10 mg, 2.5 mg, 20 mg, 30 mg, 40 mg, 5 mglisinopril-hydrochlorothiazide oral tablet 1 10-12.5 mg, 20-12.5 mg, 20-25 mglithium carbonate oral capsule 1 150 mg, 300 mg, 600 mglithium carbonate oral tablet 1 300 mglithium carbonate oral tablet extended 1 release 300 mg, 450 mglomedia 24 fe oral tablet 1 1 mg-20 mcg (24)/75 mg (4)lorazepam oral tablet 1 0.5 mg, 1 mglorazepam oral tablet 1 2 mglorcet (hydrocodone) oral tablet 2 5-325 mglorcet plus oral tablet 2 7.5-325 mgloryna (28) oral tablet 2 3-0.02 mglosartan oral tablet 1 100 mg, 25 mg, 50 mglosartan-hydrochlorothiazide oral tablet 1 100-12.5 mg, 100-25 mg, 50-12.5 mglovastatin oral tablet 1 10 mg, 20 mg, 40 mgLUMIGAN OPHTHALMIC DROPS 3 0.01 %LUPRON DEPOT (3 MONTH) INTRAMUSCULAR 5 SYRINGE KIT 11.25 MG, 22.5 MG

LUPRON DEPOT (4 MONTH) INTRAMUSCULAR 5 SYRINGE KIT 30 MGLUPRON DEPOT (6 MONTH) INTRAMUSCULAR 5 SYRINGE KIT 45 MGLUPRON DEPOT INTRAMUSCULAR SYRINGE 5 KIT 3.75 MG, 7.5 MGlutera (28) oral tablet 1 0.1-20 mg-mcgLYRICA ORAL CAPSULE 3 100 MG, 150 MG, 200 MG, 225 MG, 25 MG, 300 MG, 50 MG, 75 MGLYRICA ORAL SOLUTION 3 20 MG/MLmalathion topical lotion 2 0.5 %marlissa oral tablet 1 0.15-0.03 mgmatzim la oral tablet extended release 24 hr 2 180 mg, 240 mg, 300 mg, 360 mg, 420 mgmeclizine oral tablet 1 12.5 mg, 25 mgmedroxyprogesterone intramuscular 1 suspension 150 mg/mlmedroxyprogesterone oral tablet 1 10 mg, 2.5 mg, 5 mgmefloquine oral tablet 1 250 mgmegestrol oral tablet 1 20 mg, 40 mgmeloxicam oral suspension 2 7.5 mg/5 mlmeloxicam oral tablet 1 15 mg, 7.5 mgmemantine oral solution 2 2 mg/mlmemantine oral tablet 2 10 mg, 5 mgmemantine oral tablets, 2 dose pack 5-10 mg


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MENACTRA (PF) INTRAMUSCULAR SOLUTION 3 4 MCG/0.5 MLMENVEO A-C-Y-W-135-DIP (PF) 3 INTRAMUSCULAR KIT 10-5 MCG/0.5 MLmercaptopurine oral tablet 2 50 mgMESTINON ORAL SYRUP 5 60 MG/5 MLmetformin oral tablet 1 1,000 mgmetformin oral tablet 1 500 mgmetformin oral tablet 1 850 mgmetformin oral tablet extended release 24 hr 1 500 mgmetformin oral tablet extended release 24 hr 1 750 mgmetformin oral tablet extended release 24hr 2 1,000 mgmethocarbamol oral tablet 1 500 mg, 750 mgmethotrexate sodium oral tablet 1 2.5 mgmethylphenidate cd 20 mg cap 2 20 mgmethylphenidate cd 40 mg cap 2 40 mgmethylphenidate oral capsule, 2 er biphasic 30-70 10 mg, 50 mg, 60 mgmethylphenidate oral capsule, 2 er biphasic 30-70 30 mgmethylphenidate oral capsule, 2 er biphasic 50-50 20 mg, 40 mgmethylphenidate oral solution 10 mg/5 ml, 5 mg/5 ml 2methylphenidate oral tablet 1 10 mg, 20 mg, 5 mg

methylphenidate oral tablet extended 2 release 10 mg, 20 mgmethylphenidate oral tablet extended 2 release 24hr 18 mg, 27 mg, 54 mgmethylphenidate oral tablet extended 2 release 24hr 36 mgmethylprednisolone oral tablet 2 16 mg, 32 mg, 4 mg, 8 mgmethylprednisolone oral tablets, 2 dose pack 4 mgmetoclopramide hcl injection solution 1 5 mg/mlmetoclopramide hcl oral solution 1 5 mg/5 mlmetoclopramide hcl oral tablet 1 10 mg, 5 mgmetoprolol succinate oral tablet extended 1 release 24 hr 100 mg, 200 mg, 25 mg, 50 mgmetoprolol tartrate intravenous solution 1 5 mg/5 mlmetoprolol tartrate intravenous syringe 1 5 mg/5 mlmetoprolol tartrate oral tablet 1 100 mg, 25 mg, 50 mgmetronidazole oral capsule 2 375 mgmetronidazole oral tablet 1 250 mg, 500 mgmetronidazole topical cream 2 0.75 %metronidazole topical gel 2 0.75 %, 1 %metronidazole topical lotion 2 0.75 %metronidazole vaginal gel 2 0.75 %microgestin fe 1.5/30 (28) oral tablet 1 1.5 mg-30 mcg (21)/75 mg (7)


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microgestin fe 1/20 (28) oral tablet 1 1 mg-20 mcg (21)/75 mg (7)minitran transdermal patch 24 hour 1 0.1 mg/hr, 0.2 mg/hr, 0.6 mg/hrcminitran transdermal patch 24 hour 1 0.4 mg/hrminocycline oral capsule 1 100 mg, 50 mg, 75 mgminocycline oral tablet 2 100 mg, 50 mg, 75 mgmononessa (28) oral tablet 1 0.25-35 mg-mcgmontelukast oral granules in packet 2 4 mgmontelukast oral tablet 1 10 mgmontelukast oral tablet, 1 chewable 4 mg, 5 mgmorphine 10 mg/ml carpuject 2 10 mg/mlmorphine 2 mg/ml carpuject 2 2 mg/mlmorphine 4 mg/ml syringe p/f, 2 latex-free 4 mg/mlmorphine 8 mg/ml syringe 2 8 mg/mlmorphine concentrate oral solution 1 100 mg/5 ml (20 mg/ml)morphine intravenous syringe 2 10 mg/ml, 2 mg/ml, 4 mg/ml, 8 mg/mlmorphine oral solution 1 10 mg/5 mlmorphine oral solution 1 20 mg/5 ml (4 mg/ml)MORPHINE ORAL TABLET 4 15 MGMORPHINE ORAL TABLET 4 30 MG

morphine oral tablet extended release 2 100 mg, 200 mgmorphine oral tablet extended release 1 15 mgmorphine oral tablet extended release 1 30 mgmorphine oral tablet extended release 1 60 mgMOXEZA OPHTHALMIC DROPS, VISCOUS 3 0.5 %multivit-fluor 0.25 mg/ml drop 1 0.25 mg/mlmycophenolate mofetil oral capsule 2 250 mgmycophenolate mofetil oral suspension 5 for reconstitution 200 mg/mlmycophenolate mofetil oral tablet 2 500 mgnabumetone oral tablet 1 500 mg, 750 mgNAMENDA XR ORAL CAP,SPRINKLE, 3 ER 24HR DOSE PACK 7-14-21-28 MGNAMENDA XR ORAL CAPSULE,SPRINKLE, 3 ER 24HR 14 MG, 21 MG, 28 MG, 7 MGnaproxen oral suspension 1 125 mg/5 mlnaproxen oral tablet 1 250 mg, 375 mg, 500 mgnaproxen oral tablet, delayed release 1 (dr/ec) 375 mg, 500 mgneomycin oral tablet 2 500 mgneomycin-polymyxin b-dexameth 1 ophthalmic drops, suspension 3.5mg/ml-10,000 unit/ml-0.1 %neomycin-polymyxin b-dexameth 1 ophthalmic ointment 3.5 mg/g-10,000 unit/g-0.1 %


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neomycin-polymyxin-hc 2 ophthalmic drops, suspension 3.5-10,000-10 mg-unit-mg/mlneomycin-polymyxin-hc otic drops, 2 suspension 3.5-10,000-1 mg/ml-unit/ml-%neomycin-polymyxin-hc otic solution 2 3.5-10,000-1 mg/ml-unit/ml-%NEULASTA SUBCUTANEOUS SYRINGE 5 6 MG/0.6MLNEUPOGEN INJECTION SOLUTION 5 300 MCG/ML, 480 MCG/1.6 MLNEUPOGEN INJECTION SYRINGE 5 300 MCG/0.5 ML, 480 MCG/0.8 MLNEXAVAR ORAL TABLET 5 200 MGnifedical xl oral tablet extended release 24hr 1 30 mg, 60 mgnifedipine er 30 mg tablet f/c 1 30 mgnifedipine er 60 mg tablet f/c 1 60 mgnifedipine oral tablet extended release 24hr 1 30 mg, 60 mgnifedipine oral tablet extended release 24hr 1 90 mgnikki (28) oral tablet 2 3-0.02 mgNITRO-BID TRANSDERMAL OINTMENT 1 2 %nitrofurantoin macrocrystal oral capsule 2 100 mg, 25 mg, 50 mgnitrofurantoin monohyd/m-cryst oral capsule 2 100 mgnitroglycerin intravenous solution 1 50 mg/10 ml (5 mg/ml)nitroglycerin transdermal patch 24 hour 1 0.1 mg/hr, 0.2 mg/hr, 0.6 mg/hrnitroglycerin transdermal patch 24 hour 1 0.4 mg/hr

NITROSTAT SUBLINGUAL TABLET 3 0.3 MG, 0.4 MG, 0.6 MGNORDITROPIN FLEXPRO SUBCUTANEOUS 5 PEN INJECTOR 10 MG/1.5 ML (6.7 MG/ML), 15 MG/1.5 ML (10 MG/ML), 30 MG/3 ML (10 MG/ML), 5 MG/1.5 ML (3.3 MG/ML)norethindrone-e.estradiol-iron oral tablet 1 1 mg-20 mcg (24)/75 mg (4)norg-ee 0.18-0.215-0.25/0.035 3x28 day 1 regimen 0.18/0.215/0.25 mg-35 mcg (28)norgestimate-ethinyl estradiol oral tablet 1 0.18/0.215/0.25 mg-25 mcgNORVIR ORAL CAPSULE 3 100 MGNORVIR ORAL SOLUTION 3 80 MG/MLNORVIR ORAL TABLET 3 100 MGNOVOLOG FLEXPEN SUBCUTANEOUS 6 INSULIN PEN 100 UNIT/MLNOVOLOG PENFILL SUBCUTANEOUS 6 CARTRIDGE 100 UNIT/MLNOVOLOG SUBCUTANEOUS SOLUTION 6 100 UNIT/MLNUTRILIPID INTRAVENOUS EMULSION 4 20 %NUTROPIN AQ NUSPIN SUBCUTANEOUS 5 PEN INJECTOR 10 MG/2 ML (5 MG/ML), 20 MG/2 ML (10 MG/ML), 5 MG/2 ML (2.5 MG/ML)NUTROPIN AQ SUBCUTANEOUS 5 CARTRIDGE 10 MG/2 ML (5 MG/ML), 20 MG/2 ML (10 MG/ML)nyamyc topical powder 1 100,000 unit/gramnystatin oral suspension 1 100,000 unit/mlnystatin oral tablet 1 500,000 unit


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nystatin topical cream 1 100,000 unit/gramnystatin topical ointment 1 100,000 unit/gramnystatin topical powder 1 100,000 unit/gramnystop topical powder 1 100,000 unit/gramocella oral tablet 2 3-0.03 mgofloxacin ophthalmic drops 1 0.3 %ofloxacin otic drops 2 0.3 %olanzapine intramuscular recon soln 2 10 mgolanzapine oral tablet 2 10 mg, 15 mg, 2.5 mg, 20 mg, 5 mg, 7.5 mgolanzapine oral tablet, disintegrating 2 10 mg, 15 mg, 20 mg, 5 mgolopatadine ophthalmic drops 2 0.1 %OLYSIO ORAL CAPSULE 5 150 MGomeprazole oral capsule, delayed release 1 (dr/ec) 10 mg, 20 mg, 40 mgOMNITROPE SUBCUTANEOUS CARTRIDGE 5 10 MG/1.5 ML (6.7 MG/ML), 5 MG/1.5 ML (3.3 MG/ML)OMNITROPE SUBCUTANEOUS RECON SOLN 5 5.8 MGondansetron oral tablet, 1 disintegrating 4 mg, 8 mgORENCIA SUBCUTANEOUS SYRINGE 5 125 MG/MLORFADIN ORAL CAPSULE 5 10 MG, 2 MG, 5 MGORFADIN ORAL SUSPENSION 5 4 MG/ML

orsythia oral tablet 1 0.1-20 mg-mcgoxybutynin chloride oral syrup 1 5 mg/5 mloxybutynin chloride oral tablet 1 5 mgoxybutynin chloride oral tablet extended 1 release 24hr 10 mg, 15 mg, 5 mgoxycodone oral concentrate 2 20 mg/mloxycodone oral solution 2 5 mg/5 mloxycodone oral tablet 1 10 mg, 5 mgoxycodone oral tablet 1 15 mg, 20 mg, 30 mgoxycodone-acetaminophen oral solution 1 5-325 mg/5 mloxycodone-acetaminophen oral tablet 1 10-325 mgoxycodone-acetaminophen oral tablet 1 2.5-325 mg, 5-325 mgoxycodone-acetaminophen oral tablet 1 7.5-325 mgOXYCONTIN ORAL TABLET,ORAL ONLY, 3 EXT.REL.12 HR 10 MG, 15 MG, 20 MG, 30 MG, 40 MG, 60 MGOXYCONTIN ORAL TABLET,ORAL ONLY, 3 EXT.REL.12 HR 80 MGpacerone oral tablet 1 100 mg, 200 mg, 400 mgpantoprazole oral tablet, delayed release 1 (dr/ec) 20 mg, 40 mgparoxetine hcl oral tablet 1 10 mg, 20 mg, 30 mg, 40 mgparoxetine hcl oral tablet extended release 2 24 hr 12.5 mg, 25 mg, 37.5 mgPATADAY OPHTHALMIC DROPS 4 0.2 %


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PAXIL ORAL SUSPENSION 4 10 MG/5 MLpeg 3350-electrolytes oral recon soln 1 236-22.74-6.74 -5.86 gramPEGASYS PROCLICK SUBCUTANEOUS PEN 5 INJECTOR 135 MCG/0.5 ML, 180 MCG/0.5 MLPEGASYS SUBCUTANEOUS SOLUTION 5 180 MCG/MLPEGASYS SUBCUTANEOUS SYRINGE 5 180 MCG/0.5 MLpenicillin v potassium oral recon soln 1 125 mg/5 ml, 250 mg/5 mlpenicillin v potassium oral tablet 1 250 mg, 500 mgperiogard mucous membrane 1 mouthwash 0.12 %permethrin topical cream 2 5 %perphenazine oral tablet 2 16 mg, 2 mg, 4 mg, 8 mgphenadoz rectal suppository 2 12.5 mgphenytoin sodium extended oral capsule 1 100 mg, 200 mg, 300 mgPHOSLYRA ORAL SOLUTION 4 667 MG (169 MG CALCIUM)/5 MLpioglitazone oral tablet 1 15 mg, 30 mg, 45 mgpnv prenatal plus multivit tab s/f, 3 gluten-free 27 mg iron- 1 mgpolyethylene glycol 3350 oral powder 1 17 gram/dosePOMALYST ORAL CAPSULE 5 1 MG, 2 MG, 3 MG, 4 MGportia oral tablet 1 0.15-0.03 mgpotassium chlorid-d5-0.45% nacl intravenous 1 parenteral solution 10 meq/l, 20 meq/l, 30 meq/l, 40 meq/l

potassium chloride in 0.9%nacl intravenous 1 parenteral solution 20 meq/l, 40 meq/lpotassium chloride intravenous piggyback 1 10 meq/100 ml, 20 meq/100 ml, 40 meq/100 mlpotassium chloride intravenous solution 1 2 meq/mlpotassium chloride oral capsule, extended 1 release 10 meq, 8 meqpotassium chloride oral liquid 2 20 meq/15 ml, 40 meq/15 mlpotassium chloride oral tablet extended 1 release 8 meqpotassium chloride oral tablet, 1 er particles/crystals 10 meqpotassium chloride oral tablet, 1 er particles/crystals 20 meqpotassium chloride-0.45 % nacl intravenous 2 parenteral solution 20 meq/lpotassium chloride-d5-0.2% nacl intravenous 1 parenteral solution 20 meq/lpotassium chloride-d5-0.9% nacl intravenous 1 parenteral solution 20 meq/l, 40 meq/lpotassium citrate oral tablet extended release 2 10 meq (1,080 mg), 15 meq, 5 meq (540 mg)potassium cl 1 10 meq/50 ml sol 10 meq/50 mlpotassium cl 1 20 meq/50 ml sol 20 meq/50 mlpotassium cl er 1 10 meq tablet f/c 10 meqpramipexole oral tablet 1 0.125 mg, 0.25 mg, 0.5 mg, 0.75 mg, 1 mg, 1.5 mgpravastatin oral tablet 1 10 mg, 20 mg, 40 mg, 80 mgprednisolone acetate ophthalmic drops, 2 suspension 1 %


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prednisolone sodium phosphate oral solution 2 15 mg/5 ml (3 mg/ml), 25 mg/5 ml (5 mg/ml), 5 mg base/5 ml (6.7 mg/5 ml)prednisone oral solution 1 5 mg/5 mlprednisone oral tablet 1 1 mg, 10 mg, 2.5 mg, 20 mg, 5 mg, 50 mgPREMARIN INJECTION RECON SOLN 3 25 MGPREMARIN ORAL TABLET 3 0.3 MG, 0.45 MG, 0.625 MG, 0.9 MG, 1.25 MGPREMARIN VAGINAL CREAM 3 0.625 MG/GRAMPREMPHASE ORAL TABLET 3 0.625 MG (14)/ 0.625MG-5MG(14)PREMPRO ORAL TABLET 3 0.3-1.5 MG, 0.45-1.5 MG, 0.625-2.5 MG, 0.625-5 MGprenatal vitamin plus low iron oral tablet 3 27 mg iron- 1 mgprevifem oral tablet 1 0.25-35 mg-mcgPREZISTA ORAL SUSPENSION 4 100 MG/MLPREZISTA ORAL TABLET 3 150 MG, 75 MGPREZISTA ORAL TABLET 5 600 MG, 800 MGPROAIR HFA INHALATION HFA AEROSOL 3 INHALER 90 MCG/ACTUATIONPROAIR RESPICLICK INHALATION AEROSOL 3 POWDR BREATH ACTIVATED 90 MCG/ACTUATIONprochlorperazine maleate oral tablet 1 10 mg, 5 mgPROCRIT INJECTION SOLUTION 3 10,000 UNIT/ML, 2,000 UNIT/ML, 3,000 UNIT/ML, 4,000 UNIT/ML

PROCRIT INJECTION SOLUTION 5 20,000 UNIT/MLPROCRIT INJECTION SOLUTION 5 40,000 UNIT/MLprocto-med hc rectal cream 1 2.5 %procto-pak rectal cream 1 1 %proctosol hc rectal cream 2 2.5 %proctozone-hc rectal cream 2 2.5 %progesterone micronized oral capsule 2 100 mg, 200 mgPROGRAF INTRAVENOUS SOLUTION 4 5 MG/MLpromethazine oral tablet 1 12.5 mg, 25 mg, 50 mgpromethazine rectal suppository 2 12.5 mg, 25 mg, 50 mgpromethegan rectal suppository 2 25 mg, 50 mgpropafenone oral capsule, extended release 2 12 hr 225 mg, 325 mg, 425 mgpropafenone oral tablet 1 150 mg, 225 mg, 300 mgpropantheline oral tablet 2 15 mgpropranolol intravenous solution 1 1 mg/mlpropranolol oral capsule,extended release 2 24 hr 120 mg, 160 mg, 60 mg, 80 mgpropranolol oral solution 1 20 mg/5 ml (4 mg/ml), 40 mg/5 ml (8 mg/ml)propranolol oral tablet 1 10 mg, 20 mg, 40 mg, 60 mg, 80 mgPROSOL 20 % INTRAVENOUS PARENTERAL 4 SOLUTION


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PULMOZYME INHALATION SOLUTION 5 1 MG/MLPURIXAN ORAL SUSPENSION 5 20 MG/MLpyridostigmine bromide oral tablet 2 60 mgpyridostigmine bromide oral tablet 2 extended release 180 mgquasense oral tablets,dose pack, 1 3 month 0.15-30 mg-mcgquetiapine oral tablet 1 100 mg, 200 mg, 25 mg, 300 mg, 400 mg, 50 mgQVAR INHALATION AEROSOL 3 40 MCG/ACTUATION, 80 MCG/ACTUATIONramipril oral capsule 1 1.25 mg, 10 mg, 2.5 mg, 5 mgranitidine hcl 1 50 mg/2 ml vial sdv 50 mg/2 ml (25 mg/ml)ranitidine hcl injection solution 1 25 mg/mlranitidine hcl oral capsule 1 150 mg, 300 mgranitidine hcl oral syrup 1 15 mg/mlranitidine hcl oral tablet 1 150 mg, 300 mgRECOMBIVAX HB (PF) INTRAMUSCULAR 3 SUSPENSION 10 MCG/ML, 40 MCG/MLRECOMBIVAX HB (PF) INTRAMUSCULAR 3 SYRINGE 10 MCG/ML, 5 MCG/0.5 MLRECOMBIVAX HB 5 MCG/0.5 ML VL OUTER, 3 P/F, SDV 5 MCG/0.5 MLRENVELA ORAL POWDER IN PACKET 3 0.8 GRAM, 2.4 GRAMRENVELA ORAL TABLET 3 800 MGRESTASIS OPHTHALMIC DROPPERETTE 3 0.05 %

REVLIMID ORAL CAPSULE 5 10 MG, 15 MG, 2.5 MG, 20 MG, 25 MG, 5 MGREYATAZ ORAL CAPSULE 5 150 MG, 200 MG, 300 MGREYATAZ ORAL POWDER IN PACKET 5 50 MGrifampin intravenous recon soln 2 600 mgrifampin oral capsule 2 150 mg, 300 mgrisperidone oral solution 1 1 mg/mlrisperidone oral tablet 1 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mgrisperidone oral tablet, disintegrating 2 0.25 mg, 0.5 mg, 1 mg, 2 mgrisperidone oral tablet, disintegrating 2 3 mg, 4 mgrizatriptan oral tablet 1 10 mg, 5 mgrizatriptan oral tablet, disintegrating 1 10 mg, 5 mgropinirole oral tablet 1 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mgropinirole oral tablet extended release 2 24 hr 12 mg, 2 mg, 4 mg, 6 mg, 8 mgROZEREM ORAL TABLET 3 8 MGSAIZEN CLICK.EASY SUBCUTANEOUS 5 CARTRIDGE 8.8 MG/1.5 ML (FNL)SAIZEN SUBCUTANEOUS RECON SOLN 5 5 MG, 8.8 MGSENSIPAR ORAL TABLET 3 30 MGSENSIPAR ORAL TABLET 5 60 MG, 90 MGSEROQUEL XR ORAL TABLET EXTENDED 4 RELEASE 24 HR 300 MG


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SEROQUEL XR ORAL TABLET EXTENDED 5 RELEASE 24 HR 400 MGSEROSTIM SUBCUTANEOUS RECON SOLN 5 4 MG, 5 MG, 6 MGsertraline oral concentrate 2 20 mg/mlsertraline oral tablet 1 100 mg, 25 mg, 50 mgsetlakin oral tablets, dose pack, 1 3 month 0.15-30 mg-mcgsildenafil intravenous solution 5 10 mg/12.5 mlsildenafil oral tablet 2 20 mgsilver sulfadiazine topical cream 1 1 %simvastatin oral tablet 1 10 mg, 20 mg, 40 mg, 5 mgsimvastatin oral tablet 1 80 mgsodium chloride 0.45 % intravenous 2 parenteral solution 0.45 %sodium chloride 0.9 % intravenous 1 parenteral solution 0.9 %sodium chloride intravenous 1 parenteral solution 2.5 meq/mlsodium chloride irrigation solution 1 0.9 %sodium fluoride oral tablet 1 1 mg fluoride (2.2 mg)SOLTAMOX ORAL SOLUTION 4 10 MG/5 MLSOVALDI ORAL TABLET 5 400 MGSPIRIVA RESPIMAT INHALATION MIST 3 1.25 MCG/ACTUATION, 2.5 MCG/ACTUATIONSPIRIVA WITH HANDIHALER INHALATION 3 CAPSULE, W/INHALATION DEVICE 18 MCG

spironolactone oral tablet 1 100 mg, 25 mg, 50 mgsprintec (28) oral tablet 1 0.25-35 mg-mcgSPRITAM ORAL TABLET FOR SUSPENSION 4 1,000 MGSPRITAM ORAL TABLET FOR SUSPENSION 4 250 MG, 500 MG, 750 MGSPRYCEL ORAL TABLET 5 100 MG, 140 MG, 50 MG, 70 MG, 80 MGSPRYCEL ORAL TABLET 5 20 MGsronyx oral tablet 1 0.1-20 mg-mcgssd topical cream 1 1 %STRATTERA ORAL CAPSULE 3 10 MG, 100 MG, 18 MG, 25 MG, 40 MG, 60 MG, 80 MGSTRIBILD ORAL TABLET 5 150-150-200-300 MGSUBOXONE SUBLINGUAL FILM 4 12-3 MG, 8-2 MGSUBOXONE SUBLINGUAL FILM 4 2-0.5 MG, 4-1 MGsulfamethoxazole-trimethoprim intravenous 2 solution 400-80 mg/5 mlsulfamethoxazole-trimethoprim oral 2 suspension 200-40 mg/5 mlsulfamethoxazole-trimethoprim oral tablet 1 400-80 mg, 800-160 mgsulfasalazine oral tablet 1 500 mgsulfasalazine oral tablet, delayed release 1 (dr/ec) 500 mgsumatriptan 4 mg/0.5 ml inject latex-free 2 4 mg/0.5 mlsumatriptan succinate oral tablet 1 100 mg, 25 mg, 50 mg


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sumatriptan succinate subcutaneous 2 cartridge 4 mg/0.5 ml, 6 mg/0.5 mlsumatriptan succinate subcutaneous 2 pen injector 6 mg/0.5 mlsumatriptan succinate subcutaneous 2 solution 6 mg/0.5 mlsumatriptan succinate subcutaneous syringe 2 6 mg/0.5 mlSUTENT ORAL CAPSULE 5 12.5 MG, 25 MG, 37.5 MG, 50 MGSYNAGIS INTRAMUSCULAR SOLUTION 5 50 MG/0.5 MLtacrolimus oral capsule 2 0.5 mg, 1 mg, 5 mgTAMIFLU ORAL CAPSULE 3 30 MGTAMIFLU ORAL CAPSULE 3 45 MGTAMIFLU ORAL CAPSULE 3 75 MGTAMIFLU ORAL SUSPENSION FOR 3 RECONSTITUTION 6 MG/MLtamoxifen oral tablet 1 10 mg, 20 mgtamsulosin oral capsule, extended release 1 24hr 0.4 mgTARCEVA ORAL TABLET 5 100 MG, 25 MGTARCEVA ORAL TABLET 5 150 MGtarina fe 1/20 (28) oral tablet 1 1 mg-20 mcg (21)/75 mg (7)TASIGNA ORAL CAPSULE 5 150 MG, 200 MGtaztia xt oral capsule, extended release 1 120 mg, 180 mg, 240 mg, 300 mg, 360 mgTEKTURNA ORAL TABLET 3 150 MG, 300 MG

terbinafine hcl oral tablet 1 250 mgterconazole vaginal cream 2 0.4 %, 0.8 %terconazole vaginal suppository 2 80 mgtestosterone cypionate intramuscular oil 1 100 mg/ml, 200 mg/mltestosterone transdermal gel in metered-dose 2 pump 1.25 gram/ actuation (1 %)testosterone transdermal gel in packet 2 1 % (25 mg/2.5gram), 1 % (50 mg/5 gram)timolol maleate ophthalmic drops 1 0.25 %, 0.5 %timolol maleate ophthalmic gel forming 2 solution 0.25 %, 0.5 %TOBRADEX OPHTHALMIC OINTMENT 4 0.3-0.1 %TOBRADEX ST OPHTHALMIC DROPS, 3 SUSPENSION 0.3-0.05 %tobramycin-dexamethasone ophthalmic 2 drops,suspension 0.3-0.1 %TOLAK TOPICAL CREAM 4 4 %topiramate oral capsule, sprinkle 2 15 mg, 25 mgtopiramate oral capsule,sprinkle, er 24hr 2 100 mg, 150 mg, 200 mg, 25 mg, 50 mgtopiramate oral tablet 1 100 mg, 200 mg, 25 mg, 50 mgTOUJEO SOLOSTAR SUBCUTANEOUS 6 INSULIN PEN 300 UNIT/ML (1.5 ML)TRACLEER ORAL TABLET 5 125 MG, 62.5 MGTRADJENTA ORAL TABLET 3 5 MGtramadol oral tablet 1 50 mg


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tranexamic acid intravenous solution 2 1,000 mg/10 ml (100 mg/ml)tranexamic acid oral tablet 2 650 mgTRAVASOL 10 % INTRAVENOUS PARENTERAL 4 SOLUTION 10 %trazodone oral tablet 1 100 mg, 150 mg, 300 mg, 50 mgtretinoin topical cream 2 0.025 %, 0.05 %, 0.1 %tretinoin topical gel 2 0.01 %, 0.025 %, 0.05 %TREXALL ORAL TABLET 4 10 MG, 15 MG, 5 MG, 7.5 MGtriamcinolone acetonide dental paste 2 0.1 %triamcinolone acetonide topical cream 1 0.025 %, 0.1 %, 0.5 %triamcinolone acetonide topical lotion 1 0.025 %, 0.1 %triamcinolone acetonide topical ointment 1 0.025 %, 0.1 %, 0.5 %triamterene-hydrochlorothiazid oral capsule 1 37.5-25 mg, 50-25 mgtriamterene-hydrochlorothiazid oral tablet 1 37.5-25 mg, 75-50 mgtrianex topical ointment 2 0.05 %tri-legest fe oral tablet 2 1-20(5)/1-30(7) /1mg-35mcg (9)tri-lo-estarylla oral tablet 1 0.18/0.215/0.25 mg-25 mcgtri-lo-sprintec oral tablet 1 0.18/0.215/0.25 mg-25 mcgtrinessa (28) oral tablet 1 0.18/0.215/0.25 mg-35 mcg (28)tri-previfem (28) oral tablet 1 0.18/0.215/0.25 mg-35 mcg (28)

tri-sprintec (28) oral tablet 1 0.18/0.215/0.25 mg-35 mcg (28)trivora (28) oral tablet 1 50-30 (6)/75-40 (5)/125-30(10)TROKENDI XR ORAL CAPSULE,EXTENDED 4 RELEASE 24HR 100 MG, 200 MG, 25 MG, 50 MGTROPHAMINE 10 % INTRAVENOUS 4 PARENTERAL SOLUTION 10 %trospium oral capsule,extended release 2 24hr 60 mgtrospium oral tablet 2 20 mgTRUVADA ORAL TABLET 5 100-150 MG, 133-200 MG, 167-250 MG, 200-300 MGTWINRIX (PF) INTRAMUSCULAR SUSPENSION 3 720 ELISA UNIT -20 MCG/MLTYKERB ORAL TABLET 5 250 MGTYPHIM VI INTRAMUSCULAR SOLUTION 3 25 MCG/0.5 MLTYPHIM VI INTRAMUSCULAR SYRINGE 3 25 MCG/0.5 MLursodiol oral capsule 2 300 mgursodiol oral tablet 2 250 mg, 500 mgVAGIFEM VAGINAL TABLET 3 10 MCGvalacyclovir oral tablet 2 1 gram, 500 mgvalsartan-hydrochlorothiazide oral tablet 1 160-12.5 mg, 160-25 mg, 320-12.5 mg, 320-25 mg, 80-12.5 mgVAQTA (PF) INTRAMUSCULAR SYRINGE 3 25 UNIT/0.5 ML, 50 UNIT/MLVAQTA 25 UNITS/0.5 ML VIAL SDV, 3 OUTER 25 UNIT/0.5 ML


brand new day



venlafaxine oral capsule,extended release 1 24hr 150 mg, 37.5 mg, 75 mgvenlafaxine oral tablet 1 100 mg, 25 mg, 37.5 mg, 50 mg, 75 mgvenlafaxine oral tablet extended release 2 24hr 150 mg, 37.5 mg, 75 mgVENTOLIN HFA INHALATION HFA AEROSOL 3 INHALER 90 MCG/ACTUATIONverapamil oral capsule, 24 hr er pellet ct 1 100 mg, 200 mg, 300 mgverapamil oral capsule,ext rel. pellets 24 hr 1 120 mg, 180 mg, 240 mg, 360 mgverapamil oral tablet 1 120 mg, 40 mg, 80 mgverapamil oral tablet extended release 1 120 mg, 180 mg, 240 mgVERSACLOZ ORAL SUSPENSION 5 50 MG/MLvestura (28) oral tablet 2 3-0.02 mgvicodin es oral tablet 1 7.5-300 mgvicodin hp oral tablet 1 10-300 mgvicodin oral tablet 1 5-300 mgVICTOZA 3-PAK SUBCUTANEOUS PEN 3 INJECTOR 0.6 MG/0.1 ML (18 MG/3 ML)vienva oral tablet 1 0.1-20 mg-mcgVIGAMOX OPHTHALMIC DROPS 3 0.5 %VIREAD ORAL POWDER 5 40 MG/SCOOP (40 MG/GRAM)VIREAD ORAL TABLET 5 150 MG, 200 MG, 250 MG, 300 MGVOLTAREN TOPICAL GEL 2 1 %

VOTRIENT ORAL TABLET 5 200 MGwarfarin oral tablet 1 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mgwater for irrigation, sterile irrigation solution 1XARELTO ORAL TABLET 3 10 MG, 15 MG, 20 MGXARELTO ORAL TABLETS, DOSE PACK 3 15 MG (42)- 20 MG (9)XIFAXAN ORAL TABLET 5 200 MGXIFAXAN ORAL TABLET 5 550 MGXOLAIR SUBCUTANEOUS RECON SOLN 5 150 MGXTANDI ORAL CAPSULE 5 40 MGzafirlukast oral tablet 2 10 mg, 20 mgzaleplon oral capsule 1 10 mgzaleplon oral capsule 1 5 mgzebutal oral capsule 1 50-325-40 mgZENPEP ORAL CAPSULE, DELAYED RELEASE 3 (DR/EC) 10,000-34,000 -55,000 UNIT, 15,000-51,000 -82,000 UNIT, 20,000-68,000 -109,000 UNIT, 25,000-85,000- 136,000 UNIT, 3,000-10,000- 16,000 UNIT, 40,000-136,000- 218,000 UNIT, 5,000-17,000 -27,000 UNITziprasidone hcl oral capsule 2 20 mg, 40 mg, 60 mg, 80 mgzolpidem oral tablet 1 10 mg, 5 mg


brand new day



zolpidem oral tablet, ext release multiphase 2 12.5 mg, 6.25 mgZOMACTON SUBCUTANEOUS RECON SOLN 5 10 MGZOMACTON SUBCUTANEOUS RECON SOLN 4 5 MGZORBTIVE SUBCUTANEOUS RECON SOLN 5 8.8 MG

ZOSTAVAX (PF) SUBCUTANEOUS SUSPENSION 3 FOR RECONSTITUTION 19,400 UNIT/0.65 MLZUBSOLV SUBLINGUAL TABLET 3 1.4-0.36 MG, 11.4-2.9 MG, 2.9-0.71 MG, 5.7-1.4 MGZUBSOLV SUBLINGUAL TABLET 3 8.6-2.1 MGZYTIGA ORAL TABLET 5 250 MG


brand new day

P.O. Box 93122 Long Beach, CA 90809-9871

866.255.4795 (TTY users call 866.321.5955) www.BrandNewDayHMO.com

brand new day · albuterol sulfate oral syrup 1 2 mg/5 ml brand new day ... this is an abbreviated...

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