list of covered drugs - volusia

List of covered drugs

INTRODUCTION

Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of

practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically

sound and that it supports patient health. This committee reviews and evaluates medications

on the formulary based on safety and efficacy to help maintain clinical integrity in all

therapeutic categories.

FORMULARY DESIGN

Catamaran has chosen a formulary structure which includes most prescription drugs. The

formulary structure features generics (with the lowest co-payments), preferred and non-

preferred brand-name drugs.

Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under

“GENERIC” have the same active ingredient as the brand-name versions but at a lower

cost.

Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs

that will generally have lower co-payments than non-preferred brand name drugs.

Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-

payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the Catamaran formulary to help manage the overall cost of providing

prescription drug benefits. This formulary offers a wide range of medications from which to

choose. We realize that this formulary reference guide may not include every drug from every

manufacturer. However, choosing a generic or preferred drug when it is appropriate can

provide access to the necessary medications to stay healthy, at a cost that is more affordable.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic,

preferred brand-name, and non-preferred brand-name medications. Health plans often design

prescription drug plans to encourage the use of generic and preferred brand-name drugs.

Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as

coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients

may also pay less for generic drugs, or they may be asked to pay the cost difference between

brand-name drugs and their generic alternatives.

PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version

becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose

to provide coverage only for certain medications, time periods, doses, quantities, or for specific

indications (e.g. they may exclude coverage for medications for unapproved, unproven, or

cosmetic indications). When coverage for medications is provided based on use or quantity,

Catamaran may contact your prescriber’s office for additional information to determine

whether coverage is available under your plan. Patients who are unsure whether these

coverage rules apply for a particular medication can consult their prescription drug benefit

manual or contact a Catamaran Member Services representative to determine specific

coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in

each drug category. The preferred brand name products are listed next, and non-preferred

brand products are listed last.

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design

determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change

pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not

guarantee coverage. To determine the most up-to-date formulary status of your medication, please visit your member website

or call member services at the number listed on your ID card.

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

NON PREFERRED

Cefaclor

Cefaclor ER

Cefotetan

October 2015

Cefotetan/Dextrose

Cefoxitin Sodium

ANTI-INFECTIVES

Ceftin

Cefuroxime Sodium

PENICILLINS

Cefuroxime/Dextrose

GENERIC

Mefoxin

amoxicillin

Zinacef

amoxicillin/clavulanate potassium

THIRD GENERATION

amoxicillin/clavulanate potassium ER

GENERIC

ampicillin

cefdinir

ampicillin sodium

cefixime

ampicillin-sulbactam

cefotaxime sodium

dicloxacillin sodium

cefpodoxime proxetil

nafcillin sodium

ceftazidime

oxacillin sodium

ceftriaxone sodium

penicillin v potassium

NON PREFERRED

penicillin G potassium

Cedax

piperacillin sodium/ tazobactam sodium

Cefditoren Pivoxil

piperacillin sodium/tazobactam sodium

Ceftazidime

piperacillin/tazobactam

Ceftazidime/Dextrose

NON PREFERRED

Ceftibuten

Amoxicillin

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin ER

Ceftriaxone Sodium

Ampicillin

Ceftriaxone/Dextrose

Ampicillin Sodium

Claforan

Ampicillin-sulbactam

Claforan/D5W

Augmentin

Fortaz

Augmentin ES-600

Rocephin

Augmentin XR

Spectracef

Bactocill IN Dextrose

Suprax

Bicillin C-R

Tazicef

Bicillin L-a

FOURTH GENERATION

Moxatag

GENERIC

Nafcillin Sodium

cefepime

Nallpen Iso-osmotic IN Dextrose

NON PREFERRED

Nallpen/Dextrose

Cefepime

Penicillin G Potassium IN Iso-osmotic Dextrose

Maxipime

Penicillin G Procaine

Penicillin G Sodium

MACROLIDES

Pfizerpen-G

GENERIC

Timentin

azithromycin

Unasyn

clarithromycin

Unasyn Bulk Pack

clarithromycin ER

Zosyn

erythromycin

NON PREFERRED

CEPHALOSPORIN

Azithromycin

FIRST GENERATION

Biaxin

GENERIC

Biaxin XL

cefadroxil

Biaxin XL PAC

cefazolin sodium

Dificid

cephalexin

E.e.s. Granules

NON PREFERRED

E.e.s. 400

Ancef

Ery-TAB

Cefazolin Sodium

Eryped 200

Cefazolin Sodium/Dextrose

Eryped 400

Cephalexin

Erythrocin Lactobionate

Keflex

Erythrocin Stearate

SECOND GENERATION

Erythromycin Base

GENERIC

Erythromycin Ethylsuccinate

cefaclor

PCE

cefoxitin sodium

Zithromax

cefprozil

Zithromax Tri-PAK

cefuroxime axetil

Zithromax Z-PAK

cefuroxime sodium

Zmax

Effective October 1, 2015 v.1 ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

1

TETRACYCLINES

NON PREFERRED

Bethkis

GENERIC

Gentamicin Sulfate/0.9% Sodium Chloride

demeclocycline HCL

Isotonic Gentamicin

doxycycline

Kitabis PAK

doxycycline hyclate

Streptomycin Sulfate

doxycycline hyclate DR

Tobi

doxycycline monohydrate

Tobramycin Sulfate/Sodium Chloride

minocycline HCL

minocycline HCL ER

SULFONAMIDES

Tetracycline HCL

NON PREFERRED

PREFERRED

Acticlate

Sulfisoxizole

Adoxa

NON PREFERRED

Adoxa PAK 1/100

Sulfadiazine

Adoxa PAK 1/150

Adoxa PAK 2/100

ANTIMYCOBACTERIAL AGENTS

Alodox Convenience Kit

GENERIC

Avidoxy DK

ethambutol HCL

Doryx

isoniazid

Minocin

pyrazinamide

Minocin Kit

rifabutin

Monodox

rifampin

Morgidox 1X100MG

PREFERRED

Morgidox 2X100MG

Priftin

Nicazeldoxy 30 Kit

Sirturo

Nicazeldoxy 60 Kit

NON PREFERRED

Nutridox

Capastat Sulfate

Ocudox

Cycloserine

Solodyn

Isoniazid

Targadox

Myambutol

Vibramycin

Mycobutin

Paser

QUINOLONES

Rifadin

GENERIC

Rifamate

ciprofloxacin

Rifater

ciprofloxacin ER

Trecator

ciprofloxacin HCL

ciprofloxacin I.V.-IN D5W

ANTIFUNGALS

levofloxacin

GENERIC

levofloxacin IN D5W

fluconazole

moxifloxacin HCL

fluconazole IN dextrose

ofloxacin

fluconazole IN NACL

Ciprofloxacin HCL

flucytosine

Ofloxacin

griseofulvin microsize

NON PREFERRED

griseofulvin ultramicrosize

Avelox

itraconazole

Avelox Abc Pack

ketoconazole

Cipro

nystatin

Cipro I.V.-IN D5W

terbinafine HCL

Cipro XR

voriconazole

Factive

PREFERRED

Levaquin

Cancidas

Moxifloxacin HCL

Mycamine

Noroxin

Noxafil

NON PREFERRED

AMINOGLYCOSIDES

Abelcet

GENERIC

Ambisome

amikacin sulfate

Amphotec

gentamicin sulfate

Amphotericin B

gentamicin sulfate pediatric

Ancobon

gentamicin sulfate/0.9% sodium chloride

Cresemba

isotonic gentamicin

Diflucan

neomycin sulfate

Eraxis

paromomycin sulfate

Fluconazole IN NACL

tobramycin

Grifulvin V

tobramycin sulfate

Gris-peg

PREFERRED

Lamisil

Tobi Podhaler

Onmel

Sporanox

Effective October 1, 2015

2

Sporanox Pulsepak

Truvada

Terbinex

Tybost

Vfend

Videx Pediatric

Vfend IV

Viracept

Viread

ANTIVIRALS

NON PREFERRED

Acyclovir Sodium

GENERIC

Baraclude

abacavir

Combivir

abacavir sulfate/lamivudine/zidovudine

Copegus

acyclovir

Cytovene

acyclovir sodium

Daklinza

adefovir dipivoxil

Epivir

cidofovir

Epivir HBV

didanosine

Evotaz

entecavir

Famvir

famciclovir

Flumadine

ganciclovir

Foscavir

lamivudine

Hepsera

lamivudine/zidovudine

Infergen

nevirapine

Olysio

nevirapine ER

Prezcobix

ribavirin

Rebetol

rimantadine HCL

Retrovir

stavudine

Rimantalist

valacyclovir HCL

Sitavig

valganciclovir

Technivie

zidovudine

Trizivir

PREFERRED

Tyzeka

Aptivus

Valcyte

Atripla

Valtrex

Complera

Victrelis

Crixivan

Videx EC

Edurant

Viekira PAK

Emtriva

Viramune

Epzicom

Viramune XR

Fuzeon

Virazole

Harvoni

Vistide

Intelence

Vitekta

Invirase

Zerit

Isentress

Ziagen

Kaletra

Zovirax

Lexiva

Moderiba

ANTIMALARIALS

Moderiba 1200 Dose Pack

Moderiba 800 Dose Pack

GENERIC

Nevirapine

atovaquone/proguanil HCL

Norvir

chloroquine phosphate

Peg-intron

hydroxychloroquine sulfate

Peg-intron Redipen

mefloquine HCL

Peg-intron Redipen PAK 4

quinine sulfate

Pegasys

Primaquine Phosphate

Pegasys Proclick

PREFERRED

Pegintron

Coartem

Prezista

Daraprim

Rapivab

NON PREFERRED

Relenza Diskhaler

Aralen

Rescriptor

Malarone

Retrovir IV Infusion

Plaquenil

Reyataz

Qualaquin

Ribasphere

Ribasphere Ribapak

AMEBICIDES

Ribatab

NON PREFERRED

Selzentry

Yodoxin

Sovaldi

Stribild

ANTHELMINTICS

Sustiva

GENERIC

Tamiflu

ivermectin

Tivicay

PREFERRED

Triumeq

Albenza


3

NON PREFERRED

Primaxin IV Add-vantage

Biltricide

Primsol

Stromectol

Sulfamethoxazole/Trimethoprim

Synercid

MISC. ANTI-INFECTIVES

Tindamax

Vancocin HCL

GENERIC

Vancomycin HCL

atovaquone

Vancomycin HCL IN Dextrose

aztreonam

Vibativ

bacitracin

Zyvox

clindamycin palmitate HCL

clindamycin phosphate

ANTINEOPLASTICS, ETC

clindamycin phosphate add-vantage

clindamycin phosphate pharmacy bulk package

ALKYLATING AGENTS

clindamycin phosphate IN D5W

GENERIC

clindamycin HCL

carboplatin

colistimethate sodium

cisplatin

imipenem/cilastatin

cyclophosphamide

linezolid

ifosfamide

meropenem

melphalan hydrochloride

metronidazole

oxaliplatin

metronidazole IN NACL 0.79%

temozolomide

polymyxin b sulfate

Lomustine

sulfamethoxazole/trimethoprim

PREFERRED

sulfamethoxazole/trimethoprim DS

Alkeran

tinidazole

Bicnu

trimethoprim

Busulfex

vancomycin HCL

Gleostine

Dapsone

Gliadel Wafer

PREFERRED

Hexalen

Alinia

Leukeran

Cayston

Mustargen

Dalvance

Myleran

Nebupent

Treanda

Orbactiv

Valchlor

Sivextro

Zanosar

Tygacil

NON PREFERRED

Xifaxan

Cisplatin

Zerbaxa

Cyclophosphamide

NON PREFERRED

Eloxatin

Avycaz

Ifex

Azactam

Ifosfamide

Azactam IN Iso-osmotic Dextrose

Temodar

Bacitracin

Bactrim

ANTIBIOTICS

Bactrim DS

GENERIC

Chloramphenicol Sodium Succinate

bleomycin sulfate

Cleocin

daunorubicin HCL

Cleocin IN D5W

doxorubicin HCL

Cleocin Pediatric Granules

doxorubicin HCL liposome

Cleocin Phosphate

epirubicin HCL

Clin-lido

idarubicin HCL

Clindamycin Phosphate

mitomycin

Coly-mycin M

mitoxantrone HCL

Cubicin

Doxorubicin HCL

Doribax

Mitomycin

First-vancomycin 25

PREFERRED

First-vancomycin 50

Daunoxome

Flagyl

Valstar

Flagyl ER

NON PREFERRED

Invanz

Adriamycin

Ketek

Cosmegen

Lincocin

Doxil

Lincomycin/Lidocaine

Ellence

Mepron

Epirubicin HCL

Merrem

Idamycin PFS

Metro IV

Neutrexin

ANTINEOPLASTIC ENZYMES

Pentam 300

PREFERRED

Primaxin IV

Elspar


4

Erwinaze

exemestane

Oncaspar

flutamide

letrozole

ANTIMETABOLITES

leuprolide acetate

megestrol acetate

GENERIC

tamoxifen citrate

azacitidine

PREFERRED

capecitabine

Depo-provera

cladribine

Eligard

cytarabine

Emcyt

cytarabine aqueous

Fareston

decitabine

Faslodex

floxuridine

Firmagon

fludarabine phosphate

Lupron Depot

fluorouracil

Lysodren

gemcitabine HCL

Megestrol Acetate

mercaptopurine

Nilandron

methotrexate

Soltamox

methotrexate sodium

Trelstar

Floxuridine

Trelstar Mixject

PREFERRED

Vantas

Alimta

Xtandi

Arranon

Zoladex

Clolar

Zytiga

Depocyt

NON PREFERRED

Folotyn

Arimidex

Purixan

Aromasin

Tabloid

Casodex

Trexall

Femara

NON PREFERRED

Megace Oral

Cytarabine

Dacogen

IMMUNOMODULATORS

Fludara

Fludarabine Phosphate

GENERIC

Gemcitabine

azathioprine

Gemzar

cyclosporine

Purinethol

cyclosporine modified

Vidaza

mycophenolate mofetil

Xeloda

mycophenolic acid DR

sirolimus

ANGIOGENESIS INHIBITORS

tacrolimus

PREFERRED

PREFERRED

Azasan

Avastin

Pomalyst

Cyramza

Rapamune

Zaltrap

Revlimid

Thalomid

ANTIBODIES

NON PREFERRED

PREFERRED

Astagraf XL

Adcetris

Atgam

Arzerra

Cellcept

Bexxar

Cellcept Intravenous

Erbitux

Cyclosporine Modified

Gazyva

Imuran

Herceptin

Myfortic

Kadcyla

Neoral

Keytruda

Nulojix

Perjeta

Prograf

Rituxan

Sandimmune

Vectibix

Simulect

Yervoy

Thymoglobulin

Zevalin Y-90

Zortress

NON PREFERRED

Blincyto

MITOTIC INHIBITORS

Opdivo

GENERIC

Unituxin

docetaxel

etoposide

HORMONAL AGENTS

paclitaxel

GENERIC

vincristine sulfate

anastrozole

vinorelbine tartrate

bicalutamide


5

Docetaxel

RADIOPHARMACEUTICALS

PREFERRED

PREFERRED

Abraxane

Bexxar 131 Iodine

Docefrez

Metastron

Etopophos

Quadramet

Halaven

NON PREFERRED

Ixempra Kit

Xofigo

Jevtana

Marqibo

CELLULAR IMMUNOTHERAPY

Teniposide

PREFERRED

NON PREFERRED

Provenge

Etoposide

Navelbine

ANTINEOPLASTICS MISC.

Paclitaxel

GENERIC

Taxotere

bexarotene

Vinblastine Sulfate

dacarbazine

hydroxyurea

ENZYME INHIBITORS

tretinoin

PREFERRED

PREFERRED

Afinitor

Actimmune

Afinitor Disperz

Alferon N

Bosulif

Intron A

Caprelsa

Intron A W/Diluent

Cometriq

Matulane

Gilotrif

Photofrin

Gleevec

Proleukin

Ibrance

Sylatron

Iclusig

Synribo

Imbruvica

Theracys

Inlyta

Tice Bcg

Iressa

Trisenox

Istodax

Uvadex

Jakafi

NON PREFERRED

Kyprolis

Dacarbazine

Mekinist

Hydrea

Nexavar

Nipent

Sprycel

Targretin

Stivarga

Sutent

CHEMOTHERAPY RESCUE

Tafinlar

GENERIC

Tarceva

amifostine

Tasigna

dexrazoxane

Torisel

leucovorin calcium

Tykerb

mesna

Velcade

Levoleucovorin Calcium

Votrient

PREFERRED

Xalkori

Fusilev

Zelboraf

Totect

Zolinza

Voraxaze

Zydelig

NON PREFERRED

Zykadia

Calcium Folinate

NON PREFERRED

Ethyol

Beleodaq

Leucovorin Calcium

Farydak

Mesnex

Lenvima 10MG Daily Dose

Zinecard



CHEMOTHERAPY ADJUNCTS


PREFERRED

Lynparza

Elitek

Kepivance

TOPOISOMERASE I INHIBITOR

GENERIC

ANTINEOPLASTIC COMBO

irinotecan

NON PREFERRED

topotecan HCL

Ifosfamide/Mesna

NON PREFERRED

Camptosar

CARDIOVASCULAR DRUGS

Hycamtin

PHOSPHODIESTERASE INHBTR

Irinotecan

Topotecan HCL


6

GENERIC

Inderal LA

milrinone lactate

Inderal XL

milrinone IN dextrose

Innopran XL

Kerlone

CARDIAC GLYCOSIDES

Levatol

Lopressor

GENERIC

Propranolol HCL

digoxin

Sectral

NON PREFERRED

Sotalol Hydrochloride

Digoxin

Sotylize

Lanoxin

Tenormin

Lanoxin Pediatric

Timolol Maleate

Toprol XL

ANTIANGINAL AGENTS

Trandate

GENERIC

Zebeta

isosorbide dinitrate

isosorbide dinitrate ER

CALCIUM CHANNEL BLOCKERS

isosorbide mononitrate

GENERIC

isosorbide mononitrate ER

amlodipine besylate

nitroglycerin

diltiazem CD

nitroglycerin lingual

diltiazem HCL

nitroglycerin transdermal

diltiazem HCL ER

nitroglycerin ER

felodipine ER

nitroglycerin IN dextrose 5%

isradipine

nitroglycerin IN 5% dextrose

nicardipine HCL

Isosorbide Dinitrate

nifedipine

Nitroglycerin Lingual

nifedipine ER

PREFERRED

nimodipine

Dilatrate SR

nisoldipine

Nitro-bid

verapamil HCL

Nitrostat

verapamil HCL ER

Ranexa

verapamil HCL SR

NON PREFERRED

Verapamil HCL

Imdur

NON PREFERRED

Isordil Titradose

Adalat CC

Nitro-dur

Calan

Nitroglycerin

Calan SR

Nitroglycerin IN Dextrose 5%

Cardene I.v.

Nitrolingual Pumpspray

Cardene IV

Nitromist

Cardene SR

Nitronal

Cardizem

Cardizem CD

BETA BLOCKERS

Cardizem LA

GENERIC

Cleviprex

acebutolol HCL

Dilacor XR

atenolol

Diltiazem HCL

betaxolol HCL

Hypertenipine-2.5

bisoprolol fumarate

Nisoldipine

carvedilol

Nisoldipine ER

esmolol HCL

Norvasc

labetalol HCL

Nymalize

metoprolol succinate ER

Procardia

metoprolol tartrate

Procardia XL

nadolol

Sular

pindolol

Tiazac

propranolol HCL

Verelan

propranolol HCL ER

Verelan PM

sotalol HCL

sotalol HCL (AF)

ANTIARRHYTHMICS

PREFERRED

GENERIC

Bystolic

adenosine

Coreg CR

amiodarone HCL

NON PREFERRED

disopyramide phosphate

Betapace

flecainide acetate

Betapace AF

ibutilide fumarate

Brevibloc

lidocaine HCL

Coreg

lidocaine HCL IN D5W

Corgard

lidocaine HCL/dextrose

Hemangeol

mexiletine HCL

Hypertenevide-12.5


7

propafenone HCL

DIRECT RENIN INHIBITORS

propafenone HCL ER

PREFERRED

quinidine gluconate CR

Tekturna

quinidine gluconate ER

quinidine sulfate

ANTIHYPERTENSIVES MISC.

Quinidine Sulfate

GENERIC

PREFERRED

clonidine HCL

Tikosyn

doxazosin

NON PREFERRED

doxazosin mesylate

Adenocard

eplerenone

Amiodarone HCL

fenoldopam mesylate

Cordarone

guanfacine HCL

Corvert

hydralazine HCL

Lidocaine HCL

methyldopa

Multaq

minoxidil

Nexterone

prazosin HCL

Norpace

terazosin HCL

Norpace CR

PREFERRED

Procainamide HCL

Demser

Quinidine Gluconate

Dibenzyline

Quinidine Sulfate ER

NON PREFERRED

Rythmol

Cardura

Rythmol SR

Catapres

Xylocaine

Catapres-tts-1

Catapres-tts-2

ACE INHIBITORS

Catapres-tts-3

GENERIC

Corlopam

benazepril HCL

Inspra

captopril

Methyldopate HCL

enalapril maleate

Minipress

enalaprilat

Nitropress

fosinopril sodium

Phentolamine Mesylate

lisinopril

Reserpine

moexipril HCL

Tenex

perindopril erbumine

Vecamyl

quinapril HCL

ramipril

ANTIHYPERTENSIVE COMBO

trandolapril

GENERIC

NON PREFERRED

amlodipine besylate/benazepril hydrochloride

Accupril

amlodipine besylate/benazepril HCL

Aceon

amlodipine besylate/valsartan

Altace

amlodipine/valsartan/hctz

Epaned

atenolol/chlorthalidone

Lotensin

benazepril HCL/hydrochlorothiazide

Mavik

bisoprolol fumarate/hydrochlorothiazide

Prinivil

candesartan cilexetil/hydrochlorothiazide

Univasc

enalapril maleate/hydrochlorothiazide

Vasotec

fosinopril sodium/hydrochlorothiazide

Zestril

irbesartan/hydrochlorothiazide

lisinopril/hydrochlorothiazide

ANGIOTENSIN RCPTR BLOCKER

losartan potassium/hydrochlorothiazide

GENERIC

metoprolol/hydrochlorothiazide

candesartan cilexetil

moexipril/hydrochlorothiazide

irbesartan

nadolol/bendroflumethiazide

losartan potassium

quinapril/hydrochlorothiazide

telmisartan

telmisartan/amlodipine

valsartan

telmisartan/hydrochloroth

Eprosartan Mesylate

telmisartan/hydrochlorothiazide

PREFERRED

trandolapril/verapamil HCL

Benicar

trandolapril/verapamil HCL ER

NON PREFERRED

valsartan/hydrochlorothiazide

Atacand

PREFERRED

Avapro

Amturnide

Cozaar

Azor

Diovan

Benicar HCT

Edarbi

Tekamlo

Micardis

Tekturna HCT

Teveten

Tribenzor


8

NON PREFERRED

Introl

Accuretic

Lasix

Atacand HCT

Maxzide

Avalide

Maxzide-25

Captopril/Hydrochlorothiazide

Methyclothiazide

Clorpres

Microzide

Corzide

Neptazane

Diovan HCT

Sodium Diuril

Dutoprol

Sodium Edecrin

Edarbyclor

Torsemide

Exforge

Zaroxolyn

Exforge HCT

Hypertensolol

VASOPRESSORS

Hyzaar

GENERIC

Lopressor HCT

dobutamine HCL

Lotensin HCT

dobutamine HCL/D5W

Lotrel

dobutamine/dextrose 5%

Lytensopril Kit

dopamine HCL

Lytensopril-90

dopamine HCL-dextrose 5%

Lytensopril-90 Kit

dopamine HCL/dextrose 5%

Methyldopa/Hydrochlorothiazide

dopamine/D5W

Micardis HCT

ephedrine sulfate

Prestalia

midodrine HCL

Propranolol/Hydrochlorothiazide

norepinephrine bitartrate

Tarka

phenylephrine HCL

Tenoretic 100

PREFERRED

Tenoretic 50

Auvi-q

Teveten HCT

Epipen 2-PAK

Twynsta

Epipen-JR 2-PAK

Uniretic

NON PREFERRED

Vaseretic

Adrenaclick

Zestoretic

Adrenalin

Ziac

Dobutamine/Dextrose 5%

Dopamine HCL

DIURETICS

Epinephrine

GENERIC

Epinephrine HCL

acetazolamide

Levophed

acetazolamide sodium

Northera

acetazolamide ER

Phenylephrine HCL

amiloride HCL

Vazculep

amiloride/hydrochlorothiazide

bumetanide

ANTIHYPERLIPIDEMICS

chlorothiazide

GENERIC

chlorothiazide sodium

atorvastatin calcium

furosemide

cholestyramine

hydrochlorothiazide

cholestyramine light

indapamide

colestipol HCL

mannitol

colestipol HCL for oral suspension

methazolamide

fenofibrate

metolazone

fenofibrate micronized

spironolactone

fenofibric acid DR

spironolactone/hydrochlorothiazide

fluvastatin

torsemide

gemfibrozil

triamterene/hydrochlorothiazide

lovastatin

Acetazolamide

niacin ER

Chlorothiazide

omega-3-acid ethyl esters

Chlorthalidone

pravastatin sodium

Triamterene/Hydrochlorothiazide

simvastatin

NON PREFERRED

Fenofibrate

Aldactazide

Fenofibric Acid

Aldactone

PREFERRED

Demadex

Crestor

Diamox

Juxtapid

Diuril

Lipofen

Dyazide

Liptruzet

Dyrenium

Simcor

Edecrin

Vascepa

Ethacrynate Sodium

Vytorin

Furosemide

Welchol


9

Zetia

GENERIC

NON PREFERRED

adapalene

Advicor

benzoyl peroxide

Altoprev

benzoyl peroxide SHORT contact

Antara


Colestid

clindamycin/benzoyl peroxide

Colestid Flavored

erythromycin

Fenoglide

erythromycin/benzoyl peroxide

Fibricor

sodium sulfacetamide

Kynamro

sodium sulfacetamide/sulfur

Lescol

sodium sulfacetamide/sulfur cleanser

Lescol XL

sodium sulfacetamide/sulfur cleansing cloths

Lipitor

sodium sulfacetamide/sulfur green

Livalo

sodium sulfacetamide/sulfur w/sunscreen

Lofibra

sodium sulfacetamide/sulfur wash

Lopid

sulfacetamide sodium

Lovaza

sulfacetamide sodium/sulfur cleanser

Mevacor

tretinoin

Niacor

tretinoin microsphere

Niaspan

tretinoin microsphere P.M.

Praluent

PREFERRED

Pravachol

Acanya

Questran

Adapalene

Questran Light

Atralin

Tricor

Epiduo

Triglide

Epiduo Forte

Trilipix

Ziana

Zocor

NON PREFERRED

Absorica

CARDIOVASCULAR - MISC.

Aczone

Akne-mycin

GENERIC

Avar

amlodipine besylate/atorvastatin calcium

Avar LS

epoprostenol sodium

Avar LS Cleanser

papaverine HCL

Avar-e LS

sildenafil

Azelex

sildenafil citrate

Benzac Ac Wash

PREFERRED

Benzac W Wash

Adcirca

Benzaclin

Adempas

Benzaclin With P.M.

Caverject

Benzamycin

Caverject Impulse

Benzamycinpak

Cialis

Benzefoam

Letairis

Benzefoamultra

Muse

Benziq

Opsumit

Benziq LS

Remodulin

Clarifoam EF

Tracleer

Cleocin-t

Tyvaso

Clindacin Etz

Tyvaso Refill

Clindacin PAC

Tyvaso Starter

Clindagel

Veletri

Clindap-t

Ventavis

Clinoin

Viagra

Differin

NON PREFERRED

Duac

Bidil

Erygel

Caduet

Evoclin

Corlanor

Fabior

Entresto

Inova

Flolan

Inova 4/1 Acne Control Therapy

Levitra

Inova 8/2 Acne Control Therapy

Natrecor

Klaron

Orenitram

Neuac Kit

Revatio

Nuox

Staxyn

Onexton

Stendra

Plexion

Plexion Cleanser

DERMATOLOGICALS

Plexion Cleansing Cloths

ACNE PRODUCTS

Prascion Ra With Sunscreens

Retin-a


10

Retin-a Micro

nystatin/triamcinolone

Retin-a Micro P.M.

PREFERRED

Riax

Nystatin

Rosanil

Nystatin Foreign

Rosula

NON PREFERRED

Sodium Sulfacetamide/Sulfur

Ciclodan Cream Kit

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

Ciclodan Solution Kit

Sodium Sulfacetamide/Sulfur IN Urea

Ciclopirox Topical Solution Kit

Sulfoam

Cnl8 Nail Kit

Sumadan Kit

Ecoza

Sumadan Wash

Ertaczo

Sumadan XLT

Exelderm

Sumaxin

Exoderm

Sumaxin CP Kit

Extina

Sumaxin Ts

Halotin

Sumaxin Wash

Jublia

Tretin-x

Kerydin

Triseon

Ketodan Kit

Vanoxide-HC

Lamisil Spray

Veltin

Loprox

Zacare 4% Kit

Loprox Shampoo

Zacare 8% Kit

Lotrisone

Luzu

ROSACEA AGENTS

Mentax

Naftin

GENERIC

Nizoral

metronidazole

Oxistat

Doxycycline

Pediaderm AF Complete Kit

PREFERRED

Pedipirox-4 Nail

Finacea

Penlac Nail Lacquer

Mirvaso

Vusion

Oracea

Xolegel

NON PREFERRED

Xolegel Corepak

Metrocream

Xolegel Duo/Head & Shoulders

Metrogel

Xolegel Duo/Xolex

Metrolotion

Noritate

ANTIVIRALS - TOPICAL

Rosadan Kit

Soolantra

GENERIC

acyclovir

ANALGESICS - TOPICAL

PREFERRED

Denavir

NON PREFERRED

NON PREFERRED

A.a.g.c. Kit IN Teroderm

Lidovir

Baclofen

Xerese

Equipto-baclofen

Zovirax

ANTIBIOTICS - TOPICAL

ANTIHISTAMINES-TOPICAL

GENERIC

NON PREFERRED

mupirocin

Allo-pax

mupirocin calcium

Nazirex

NON PREFERRED

Altabax

ANTI-INFLAMMATORY AGENTS

Bactroban

Centany AT

GENERIC

Cortisporin

diclofenac sodium

Gentamicin Sulfate

PREFERRED

Neo-synalar

Voltaren

Neo-synalar Kit

NON PREFERRED

Dermacinrx Lexitral Pharmapak

ANTIFUNGALS - TOPICAL

Dipentocaine

Emvoren

GENERIC

Equipto-naproxen

ciclopirox

Extardol

ciclopirox nail lacquer

Flector

ciclopirox olamine

Innoprax-5

clotrimazole

K.b.g.l. IN Teroderm Cream

clotrimazole/betamethasone dipropionate

Ketorolac 2% Gel

econazole nitrate

Lidoprofen

ketoconazole

Novoclair

naftifine HCL

Nuvya

nystatin


11

Pennsaid

hydrocortisone butyrate

Vopac

hydrocortisone butyrate (lipid)

Vopac GB

hydrocortisone butyrate (lipophilic)

Vopac Kt

hydrocortisone valerate

Zyvodol

hydrocortisone IN absorbase

mometasone furoate

ANTIPRURITICS

prednicarbate

triamcinolone acetonide

NON PREFERRED

Amcinonide

Prudoxin

Desoximetasone

Zonalon

Diflorasone Diacetate

PREFERRED

ANTIPSORIATICS

Pramosone

GENERIC

Pramosone E

acitretin

Tucks Anti-itch

calcipotriene

NON PREFERRED

methoxsalen

Aclovate

Calcitriol

Advanced Allergy Collection Kit

PREFERRED

Ala Scalp

Tazorac

Capex

8-mop

Carmol-HC

NON PREFERRED

Clobex

Cosentyx

Clocortolone Pivalate

Cosentyx Sensoready Pen

Clocortolone Pivalate P.M.

Dovonex

Clodan Kit

Dritho-creme HP

Cloderm

Oxsoralen Ultra

Cloderm P.M.

Soriatane

Cordran

Sorilux

Cordran Tape

Stelara

Cortalo

Vectical

Cutivate

Zithranol

Derma Silkrx Sds PAK

Zithranol-rr

Derma-smoothe/FS Body

Derma-smoothe/FS Scalp

ANTISEBORRHEIC AGENTS

Dermasorb HC

GENERIC

Dermasorb Ta

selenium sulfide

Dermatop


Desonate

sodium sulfacetamide wash

Desowen

NON PREFERRED

Desowen Cream/Cetaphil Lotion

Glycolic Acid

Desowen Lotion/Cetaphil Cream

Glycolic Acid 70% High Purity

Desowen Ointment/Cetaphil Lotion

Ovace Plus

Diprolene

Ovace Plus Wash

Diprolene AF

Ovace Wash

Elocon

Promiseb

Epifoam

Promiseb Complete

First-hydrocortisone

Seb-prev

Halog

Selrx

Halonate

Tersi Foam

Kenalog

TL Triseb

Locoid

Locoid Lipocream

CORTICOSTEROIDS - TOPICAL

Luxiq

GENERIC

Nucort

alclometasone dipropionate

Nuzon

augmented betamethasone dipropionate

Olux

betamethasone dipropionate

Olux-e

betamethasone valerate

Pandel

calcipotriene/betamethasone dipropionate

Pediaderm HC

clobetasol propionate

Pediaderm Ta

clobetasol propionate emollient

Scalacort DK

desonide

Synalar

desoximetasone

Synalar Cream Kit

fluocinolone acetonide

Synalar Ointment Kit

fluocinonide

Synalar Ts

fluocinonide-e

Taclonex

fluticasone propionate

Temovate

halobetasol propionate

Temovate E

hydrocortisone

Texacort

hydrocortisone acetate/aloe

Topicort


12

Triamcinolone Acetonide

Drysol

Trianex

Elenzapatch

Triderma Forte

Eletone

Ultravate

Eletone Twinpack

Ultravate PAC

Elimite

Ultravate X

Emla

Validerm

Emulsion SB

Vanos

Epiceram

Verdeso

Ethyl Chloride

Westcort

Ethyl Chloride/Fine Pinpoint

Ethyl Chloride/Fine Stream

IMMUNOMODULATING AGENTS

Ethyl Chloride/Medium Jet Stream

Ethyl Chloride/Medium Stream

GENERIC

Ethyl Chloride/Mist

imiquimod

Eurax

tacrolimus

Gebauers Pain Ease

PREFERRED

Gebauers Spray And Stretch

Elidel

Genadur

NON PREFERRED

Genadur Kit

Aldara

Gordofilm

Protopic

Gordons Urea

Zyclara

Hydro 35

Zyclara P.M.

Hydro 40 Foam

Hylatopic

DERMATOLOGICALS - MISC.

Hylatopic Plus

GENERIC

Hylira

ammonium lactate

HPR

episone CRE

HPR Plus

lactic acid

HPR Plus Hydrogel Kit

lactic acid e

HPR Plus/Mb Hydrogel

lactic acid w/vitamin e

Kerafoam

lidocaine

Kerafoam 42

lidocaine HCL

Keralac

lidocaine HCL jelly

Keralyt

lidocaine/prilocaine

Keralyt Scalp

lindane

K2k Pain Relieving Patch

malathion

Lac-hydrin

permethrin

Latrix XM

podofilox

Lidocaine And Tetracaine Cream

salicylic acid

Lidocaine HCL

salicylic acid cream

Lidocaine/Prilocaine

salicylic acid lotion

Lidoderm

sodium hyaluronate

Lidothol

urea

Livixil PAK

urea topical

Lycelle

urea IN zinc undecylenate/lactic acid vehicle

Mb Hydrogel

urea 40% nail film

Medi-derm/L-RX

PREFERRED

Megrix

Condylox

Natroba

Oxsoralen

Neosalus

NON PREFERRED

Neosalus CP

Acuicyn Daily Eyelid & Eyelash Cleanser

Neuvaxin

Aluvea

Nivatopic Plus

Anacaine

Nuvail

Arnica Flower

Ovide

Atopiclair

Pliaglis

Aurstat Anti-itch Hydrogel

Pr Cream

Aurstat Anti-itch Hydrogel Kit

Presera

Avenova

Prolida

Benzoin Compound Tincture

Pruclair

Benzoin Tincture

Prumyx

Boric Acid

Pyrogallic Acid

Capsiderm

Qutenza

Coal TAR

Relyyt

Cocaine HCL

Salex

Copasil

Salex Cream

Dermacinrx Duopatch Pharmapak

Salex Lotion

Dermacinrx Neurotral Pharmapak

Salicylic Acid

Dermacinrx Surgical Pharmapak

Salicylic Acid IN Ammonium Lactate Vehicle

Dermasorb XM

Salkera


13

Salvax

Dyural-lm

Salvax Duo Plus

Dyural-40

Scar Patch

Dyural-80

Sinelee

Entocort EC

Sklice

FLO-pred

Solaice

Interarticular Joint Kit

Soothee

Kenalog-10

Spinosad

Kenalog-40

Sulfurated Lime

K10-lido

Supracil

K40-lido

Synera

Marbeta-l

Tetrix

Marbeta-25

Tropazone

Mardex-25

Ulesfia

Medrol

Ultrasal-ER

Medrol Dosepak

Umecta

Methylprednisolone

Umecta Nail Film

Methylprednisolone PF

Umecta PD

Methylprednisolone/Lidocaine

Uramaxin

Millipred

Uramaxin GT

Millipred DP

Uramaxin GT Kit

Mlk F4 Kit

Utopic

Orapred

Veregen

Orapred Odt

Verrunex

Pediapred

Vexa

Prednisolone Sodium Phosphate

Virasal

Prednisone

Xylocaine

Prednisone Intensol

Xyphex

Pro-c-dure 1 Kit

Pro-c-dure 2 Kit

ENDOCRINE AND METABOLIC

Pro-c-dure 3 Kit

Pro-c-dure 4 Kit

CORTICOSTEROIDS

Rayos

GENERIC

Solu-cortef

betamethasone sodium phosphate/betamethasone acetate

Solu-medrol

Triamcinolone

budesonide

Triamcinolone PF

dexamethasone

Triamcinolone/Lidocaine

dexamethasone sodium phosphate

Veripred 20

fludrocortisone acetate

hydrocortisone

ANDROGENS-ANABOLIC

methylprednisolone

methylprednisolone acetate

GENERIC

methylprednisolone dose pack

danazol

methylprednisolone sodiumsuccinate

oxandrolone

prednisolone

testosterone cypionate

prednisolone sodium phosphate

testosterone enanthate

prednisolone sodium phosphate odt

Testosterone

prednisone

Testosterone P.M.

Dexamethasone Sodium Phosphate

PREFERRED

PREFERRED

Androgel

Uceris

Androgel P.M.

NON PREFERRED

Androxy

Aristospan Intra-articular

Axiron

Aristospan Intralesional

NON PREFERRED

Beta Inject Kit

Anadrol-50

Betalido

Androderm

Betamethasone SP

Android

Celestone-soluspan

Aveed

Cortef

Depo-testosterone

Cortisone Acetate

First-testosterone

Depo-medrol

First-testosterone Mc Compounding Kit

Dexamethasone

Fortesta

Dexamethasone Intensol

Natesto

Dexlido

Oxandrin

Dexlido-m

Striant

Dexpak 10 Day

Testim

Dexpak 13 Day

Testone Cik

Dexpak 6 Day

Testopel

Doubledex

Testred

Dyural-l

Vogelxo


14

Vogelxo P.M.

Generess FE

Loestrin FE 1.5/30

ESTROGENS

Loestrin FE 1/20

Loestrin 1.5/30-21

GENERIC

Loestrin 1/20-21

estradiol

Loseasonique

estradiol valerate

LO Minastrin FE

estradiol/norethindrone acetate

Mircette

estropipate

Modicon

norethindrone acetate/ethinyl estradiol

Necon 1/50-28

PREFERRED

Necon 10/11-28

Alora

Nor-QD

Cenestin

Norinyl 1+35

Combipatch

Norinyl 1+50

Duavee

Ortho Evra

Enjuvia

Ortho Micronor

Evamist

Ortho Tri-cyclen

Minivelle

Ortho Tri-cyclen LO

Premphase

Ortho-cept

Prempro

Ortho-cyclen

NON PREFERRED

Ortho-novum 1/35

Activella

Ortho-novum 7/7/7

Angeliq

Ovcon-35

Biest/Progesterone

Plan B

Climara

Plan B One-step

Climara Pro

Quartette

Delestrogen

Seasonique

Depo-estradiol

Tri-norinyl 28

Divigel

Yasmin 28

Elestrin

Yaz

Estrace

Zovia 1/50e

Estradiol

Estrasorb

PROGESTINS

Estrogel

Estropipate

GENERIC

Femhrt Low Dose

medroxyprogesterone acetate

Menest

megestrol acetate

Menostar

norethindrone acetate

Prefest

progesterone

Premarin

Megestrol Acetate

Vivelle-dot

PREFERRED

Makena

CONTRACEPTIVES

NON PREFERRED

Aygestin

GENERIC

Medroxyprogesterone/Lidocaine

desogestrel/ethinyl estradiol

Megace ES

drospirenone/ethinyl estradiol

Progesterone 10% Kit

levonorgestrel

Prometrium

levonorgestrel and ethinyl estradiol

Provera

levonorgestrel/ethinyl estradiol

norethindrone

ANTIDIABETIC AGENTS

norethindrone & ethinyl estradiol ferrous fumarate

norethindrone acetate/ethinyl estradiol

INSULIN

norethindrone acetate/ethinyl estradiol/ferrous fumarate

PREFERRED

norgestimate/ethinyl estradiol

Lantus

Levonorgestrel

Lantus Solostar

PREFERRED

Novolin N

Beyaz

Novolin N Relion

LO Loestrin FE

Novolin R

Minastrin 24 FE

Novolin R Relion

Natazia

Novolin 70/30

Nuvaring

Novolin 70/30 Relion

Safyral

Novolog

NON PREFERRED

Novolog Flexpen

Brevicon-28

Novolog Mix 70/30

Cyclessa

Novolog Mix 70/30 Prefilled Flexpen

Desogen

Novolog Penfill

Ella

NON PREFERRED

Estrostep FE

Afrezza

Falessa

Apidra

Femcon FE

Apidra Solostar

Humalog


15

Humalog Kwikpen

Glucagon Emergency Kit

Humalog Mix 50/50

Invokana

Humalog Mix 50/50 Kwikpen

Jardiance

Humalog Mix 75/25

Proglycem

Humalog Mix 75/25 Kwikpen

NON PREFERRED

Humulin N

Korlym

Humulin N Kwikpen

ALPHA-GLUCOSIDASE INHIBIT

Humulin N U-100 Pen

GENERIC

Humulin R

acarbose

Humulin R U-500 (concentrated)

NON PREFERRED

Humulin 70/30

Glyset

Humulin 70/30 Kwikpen

Precose

Humulin 70/30 Pen

DPP-4 INHIBITORS

Levemir

PREFERRED

Levemir Flexpen

Januvia

Levemir Flextouch

Onglyza

Relion R

NON PREFERRED

Toujeo Solostar

Nesina

AMYLIN ANALOGS

Tradjenta

PREFERRED

INSULIN SENSITIZING AGENT

Symlinpen 120

GENERIC

Symlinpen 60

pioglitazone HCL

INCRETIN MIMETIC AGENTS

NON PREFERRED

PREFERRED

Actos

Bydureon

Avandia

Byetta

ANTIDIABETIC COMBINATIONS

Victoza

GENERIC

NON PREFERRED

glipizide/metformin HCL

Tanzeum

glyburide/metformin HCL

Trulicity

pioglitazone HCL-glimepiride

SULFONYLUREAS

pioglitazone HCL/metformin HCL

GENERIC

PREFERRED

glimepiride

Actoplus Met XR

glipizide

Invokamet

glipizide ER

Janumet

glyburide

Janumet XR

glyburide micronized

Kombiglyze XR

tolazamide

Prandimet

Glyburide

Xigduo XR

NON PREFERRED

NON PREFERRED

Amaryl

Actoplus Met

Chlorpropamide

Appformin

Diabeta

Appformin-d

Glucotrol

Avandamet

Glucotrol XL

Avandaryl

Glynase

Duetact

Tolazamide

Glucovance

Tolbutamide

Glyxambi

BIGUANIDES

Jentadueto

GENERIC

Kazano

metformin HCL

Oseni

metformin HCL ER

PREFERRED

BISPHOSPHONATES

Riomet

GENERIC

NON PREFERRED

alendronate sodium

Fortamet

ibandronate sodium

Glucophage

pamidronate disodium

Glucophage XR

risedronate sodium

Glumetza

risedronate sodium DR

MEGLITINIDE ANALOGUES

zoledronic acid

GENERIC

PREFERRED

nateglinide

Fosamax Plus D

repaglinide

NON PREFERRED

NON PREFERRED

Actonel

Prandin

Alendronate Sodium

Starlix

Atelvia

DIABETIC OTHER

Binosto

PREFERRED

Boniva

Farxiga

Etidronate Disodium

Glucagen Hypokit


16

Fosamax

PREFERRED

Pamidronate Disodium

Norditropin Cartridge

Reclast

Norditropin Flexpro

Zoledronic Acid

Norditropin Nordiflex Pen

Zometa

Nutropin AQ Nuspin 10


CALCITONINS


Nutropin AQ Pen

GENERIC

NON PREFERRED

calcitonin salmon

Genotropin

calcitonin-salmon

Genotropin Miniquick

NON PREFERRED

Humatrope

Fortical

Humatrope Combo Pack

Miacalcin

Omnitrope

Saizen

PARATHYROID HORMONE

Saizen Click.easy

PREFERRED

Serostim

Forteo

Tev-tropin

NON PREFERRED

Zomacton

Natpara

Zorbtive

RANK LIGAND INHIBITORS

GHRH

PREFERRED

NON PREFERRED

Xgeva

Egrifta

NON PREFERRED

Prolia

SOMATOMEDINS

NON PREFERRED

CALCIUM REGULATORS - MISC

Increlex

NON PREFERRED

Ganite

SOMATOSTATIC AGENTS

GENERIC

HORMONE RECEPTOR MDLTR

octreotide acetate

GENERIC

PREFERRED

raloxifene hydrochloride

Sandostatin Lar Depot

NON PREFERRED

Signifor

Evista

Somatuline Depot

Osphena

NON PREFERRED

Sandostatin

FERTILITY REGULATORS

Signifor Lar

GENERIC

chorionic gonadotropin

GH RECEPTOR ANTAGONISTS

clomiphene citrate

PREFERRED

PREFERRED

Somavert

Bravelle

Follistim AQ

POSTERIOR PITUITARY

Repronex

GENERIC

NON PREFERRED

desmopressin acetate

Gonal-f

vasopressin

Gonal-f RFF

PREFERRED

Gonal-f RFF Pen

Stimate

Gonal-f RFF Rediject

NON PREFERRED

Menopur

Ddavp

Ovidrel

Pitressin Synthetic

Vasostrict

LHRH/GNRH AGONIST

PREFERRED

CORTICOTROPIN

Lupron Depot-PED

PREFERRED

Supprelin LA

H.p. Acthar

Synarel

NON PREFERRED

PROLACTIN INHIBITORS

Lupaneta Pack

GENERIC

GNRH/LHRH ANTAGONISTS

cabergoline

PREFERRED

VASOPRESSIN ANTAGONISTS

Cetrotide

Ganirelix Acetate

PREFERRED

Samsca

GROWTH HORMONES

NON PREFERRED

Vaprisol


17

PROGESTERONE ANTAGONISTS

PREFERRED

Moviprep

NON PREFERRED

Suclear

Mifeprex

Suprep Bowel Prep

NON PREFERRED

METABOLIC MODIFIERS

Cascara Sagrada

GENERIC

Colyte-flavor Packs

calcitriol

Golytely

doxercalciferol

Kristalose

levocarnitine

Mineral Oil Heavy

paricalcitol

Nulytely/Flavor Packs

sodium phenylbutyrate

Osmoprep

Paricalcitol

Pcp 100

PREFERRED

Prepopik

Aldurazyme

Carbaglu

ANTIDIARRHEALS

Cystadane

GENERIC

Elaprase

diphenoxylate/atropine

Fabrazyme

loperamide HCL

Kuvan

opium

Lumizyme

opium tincture

Myalept

NON PREFERRED

Myozyme

Diphenoxylate/Atropine

Naglazyme

Fulyzaq

Orfadin

Lomotil

Ravicti

Motofen

Sensipar

Opium Tincture (paregoric)

Vimizim

Restora RX

NON PREFERRED

Rezyst IM

Ammonul

Rezyst SB

Buphenyl

Vsl#3 DS

Carnitor

Carnitor SF

ANTACIDS

Hectorol

Rocaltrol

NON PREFERRED

Zemplar

Sodium Bicarbonate

THYROID AGENTS

ULCER DRUGS

GENERIC

GENERIC

levothyroxine sodium

atropine sulfate

liothyronine sodium

cimetidine

methimazole

cimetidine HCL

propylthiouracil

dicyclomine HCL

PREFERRED

esomeprazole magnesium

Armour Thyroid

esomeprazole sodium

NON PREFERRED

famotidine

Cytomel

glycopyrrolate

Levothyroxine Sodium

hyoscyamine sulfate

Nature-throid

hyoscyamine sulfate odt

Nature-throid Nt-2.5

hyoscyamine sulfate ER

Synthroid

hyoscyamine sulfate SR

Tapazole

lansoprazole

Thyrolar-1

lansoprazole/amoxicillin/clarithromycin

Thyrolar-1/2

methscopolamine bromide

Thyrolar-1/4

misoprostol

Thyrolar-2

nizatidine

Thyrolar-3

omeprazole

Tirosint

omeprazole/sodium bicarbonate

Triostat

pantoprazole sodium

Westhroid

rabeprazole sodium

Wp Thyroid

ranitidine HCL

sucralfate

GASTROINTESTINAL

Dicyclomine HCL

Esomeprazole Sodium

LAXATIVES

Famotidine

GENERIC

PREFERRED

lactulose

Carafate

peg 3350/electrolytes

Pylera

peg-3350/electrolytes

NON PREFERRED

peg-3350/NACL/NA bicarbonate/KCL

Aciphex

polyethylene glycol 3350


18

Aciphex Sprinkle

Zofran Odt

Anaspaz

Zuplenz

Atropen

Atropine Sulfate

DIGESTIVE AIDS

Axid

PREFERRED

Belladonna & Opium

Creon

Belladonna Alkaloids & Opium

Pancrelipase

Bentyl

Sucraid

Cantil

Viokace

Cuvposa

NON PREFERRED

Cytotec

Pancreaze

Deprizine Fusepaq

Pertzye

Dexilant

Ultresa

Esomeprazole Strontium

Zenpep

Famotidine Premixed

First-lansoprazole

GASTROINTESTINAL - MISC.

First-omeprazole

GENERIC

Gabitidine

alosetron hydrochloride

Gastrinex NF

balsalazide disodium

Glycate

calcium acetate

Helidac

cromolyn sodium

Levbid

hydrocort ene 100MG

Levsin

hydrocortisone

Levsin/SL

hydrocortisone acetate/lidocaine HCL

Nexium

hydrocortisone acetate/pramoxine

Nexium I.v.

lactulose

Omeclamox-PAK

lidocaine HCL/hydrocortisone acetate

Omeprazole + Syrspend SF Alka

mesalamine

Pamine

metoclopramide odt

Pamine Forte

metoclopramide HCL

Pamine FQ

sulfasalazine

Pepcid

ursodiol

Prevacid

PREFERRED

Prevacid Solutab

Amitiza

Prevpac

Analpram Advanced

Prilosec

Asacol HD

Propantheline Bromide

Canasa

Protonix

Chenodal

Robinul

Cimzia

Robinul Forte

Cimzia Starter Kit

Scopolamine Hydrobromide

Cortifoam

Sentradine

Delzicol

Symax Duotab

Fosrenol

Zantac

Lialda

Zegerid

Linzess

Movantik

ANTIEMETICS

Pentasa

GENERIC

Proctofoam HC

dronabinol

Rectiv

granisetron HCL

Relistor

meclizine HCL

Renvela

ondansetron odt

Sevelamer Carbonate

ondansetron HCL

NON PREFERRED

trimethobenzamide HCL

Actigall

PREFERRED

Analpram-HC

Aloxi

Analpram-HC Singles

Emend

Anusol-HC

Sancuso

Apriso

Transderm-scop

Auryxia

NON PREFERRED

Azulfidine

Akynzeo

Azulfidine EN-TABS

Anzemet

Cholbam

Cesamet

Colazal

Diclegis

Cortenema

Dimenhydrinate

Dexpanthenol

Granisol

Dipentum

Marinol

Eliphos

Tigan

Entereg

Zofran

Entyvio


19

Gastrocrom

VAGINAL PRODUCTS

Gattex

GENERIC

Giazo


Lidocaine HCL-hydrocortisone Acetate With Aloe

metronidazole vaginal

Lotronex

terconazole

Metozolv Odt

PREFERRED

Phoslo

Clindesse

Phoslyra

Crinone

Procort

Endometrin

Proctocort

Estrace

Reglan

Estring

Remicade

Vagifem

Renagel

NON PREFERRED

Rowasa

Avc

Sfrowasa

Cleocin

Uceris

Fem PH

Urso Forte

Femring

Urso 250

First-progesterone VGS 100 Compounding Kit

Velphoro



GENITOURINARY



URINARY ANTI-INFECTIVES

Gynazole-1

GENERIC

Metrogel-vaginal

methenamine hippurate

Nuvessa

methenamine mandelate

Premarin

nitrofurantoin

Relagard

nitrofurantoin macrocrystals

Terazol 3

nitrofurantoin monohydrate

Terazol 7

nitrofurantoin monohydrate/macrocrystals

NON PREFERRED

GENITOURINARY - MISC.

Furadantin

GENERIC

Hiprex

alfuzosin HCL ER

Macrobid

citric acid/sodium citrate

Macrodantin

finasteride

Methenamine Mandelate

hydrochloric acid

Monurol

phenazopyridine HCL

Prosed/DS

potassium citrate ER

Uretron D/S

potassium citrate-citric acid crystals

Urimar-t

potassium citrate/citric acid

Urogesic-blue

potassium citrate/sodium citrate/citric acid

Uroqid #2

sodium citrate/citric acid

Uta

tamsulosin HCL

tricitrates

URINARY ANTISPASMODICS

PREFERRED

GENERIC

Cystagon

bethanechol chloride

Elmiron

flavoxate HCL

Procysbi

oxybutynin chloride

Rapaflo

oxybutynin chloride ER

Renacidin

tolterodine tartrate

NON PREFERRED

tolterodine tartrate ER

Avodart

trospium chloride

Cardura XL

trospium chloride ER

Cytra-3

PREFERRED

Flomax

Gelnique

Jalyn

Myrbetriq

K-phos NO 2

Oxytrol

Lithostat

Oxytrol For Women

Oracit

Toviaz

Proscar

Vesicare

Pyridium

NON PREFERRED

Shohls Solution Modified

Detrol

Thiola

Detrol LA

Urocit-k 10

Ditropan XL

Urocit-k 15

Enablex

Urocit-k 5

Sanctura

Uroxatral

Sanctura XR

Urecholine

HEMATOLOGICAL


20

HEMATOPOIETIC AGENTS

Irospan 24/6

Is 24/6

GENERIC

Maxaron Forte

cyanocobalamin

Maxfe

folic acid

Mircera

folic acid/vitamin b-6/vitamin b-12

Multigen

sodium ferric gluconate complex/sucrose

Multigen Folic

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

Multigen Plus

PREFERRED

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa

Cerdelga

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

Cerezyme

Cyanocobalamin

Natalvirt Flt

Droxia

Nephron Fa

Elelyso

Novaferrum

Feraheme

Omontys

Ferrex 150 Forte Plus

Pre-folic

Ferrex 28

Proferrin-forte

Leukine

Protectiron

Mozobil

Tandem F

Nascobal

Tandem Plus

Neulasta

Zavesca

Neulasta Delivery Kit

Neumega

ANTICOAGULANTS

Neupogen

GENERIC

Nplate

argatroban

Procrit

enoxaparin sodium

Promacta

fondaparinux sodium

Venofer

heparin lock

Vpriv

heparin lock flush

NON PREFERRED

heparin lock flush for flushing vascular access devices

Abaneu-SL

heparin lock flush/NACL for flushing vascular access devices

Albafort

Animi-3

heparin sodium

Animi-3/Vitamin D

heparin sodium dcu

Aranesp Albumin Free

heparin sodium lock flush

B-6 Folic Acid

heparin sodium/sodium chloride 0.9% premix

Biferarx

heparin sodium/D5W

Cenfol

heparin sodium/NACL 0.9%

Centratex

warfarin sodium

Ciferex

PREFERRED

Corvite 150

Eliquis

Divista

Pradaxa

Ed Cyte F

Xarelto

Epogen

Xarelto Starter Pack

Feriva

NON PREFERRED

Feriva 21/7

Angiomax

Ferivafa

Argatroban

Ferralet 90

Arixtra

Ferrlecit

Bivalirudin

Ferro-plex Hematinic

Coumadin

Ferrotrin

Fragmin

Focalgin Dss

Heparin Lock Flush

Folgard RX

Heparin Sodium

Folic Acid

Heparin Sodium/D5W

Folivane-f

Heparin Sodium/NACL 0.45%

Folivane-plus

Heparin Sodium/Sodium Chloride 0.9%

Foltrate

Iprivask

Fusion Plus

Lovenox

Granix

Savaysa

Hematogen Fa

Hematron-AF

HEMOSTATICS

Hemocyte Plus

GENERIC

Hemocyte-f

aminocaproic acid

Hydroxocobalamin

tranexamic acid

Icar-c Plus

NON PREFERRED

Infed

Amicar

Injectafer

Aminocaproic Acid

Integra F

Artiss

Integra Plus

Astringyn


21

Cyklokapron

LMD 10% Sodium Chloride 0.9%

Evicel

Persantine

Evithrom

Plavix

Lysteda

Pletal

Recothrom

Protamine Sulfate

Recothrom Spray Kit

Reopro

Thrombin-jmi Diluent

Retavase

Thrombin-jmi Epistaxis

Retavase Half-kit

Thrombin-jmi Syringe Spray Kit

Tnkase

Thrombin-jmi W/Dil Spray P.M. Actuator

Voluven

Thrombogen

Tisseel

MOUTH/THROAT/DENTAL AGENT

Tisseel VH

GENERIC

HEMATOLOGICAL - MISC.

cevimeline HCL

GENERIC

chlorhexidine gluconate

anagrelide hydrochloride

chlorhexidine gluconate oral rinse

cilostazol

clotrimazole

clopidogrel

lidocaine viscous

dipyridamole

lidocaine HCL

hetastarch 6%/NACL

lidocaine HCL viscous

pentoxifylline ER

nystatin

ticlopidine HCL

pilocarpine hydrochloride

Aspirin/Dipyridamole

pilocarpine HCL

PREFERRED

stannous fluoride oral rinse

Advate


Aggrenox

triamcinolone IN orabase

Alphanate/Von Willebrand Factor Complex/Human

NON PREFERRED

Alphanine SD

Aquoral

Alprolix

Caphosol

Benefix

Debacterol

Berinert

Evoxac

Brilinta

First-bxn Mouthwash

Corifact

First-dukes Mouthwash

Effient

First-marys Mouthwash

Eloctate

First-mouthwash Blm

Feiba

Gel-kam Oral Care Rinse

Feiba NF

Gelclair

Helixate FS

Lta 360 Kit

Hemofil M

Nafrinse Daily/Acidulated

Humate-p

Nafrinse Daily/Neutral

Koate-dvi

Nafrinse Weekly

Kogenate FS

Neutrasal

Kogenate FS Bio-set

Numoisyn

Monoclate-p

Orafate

Mononine

Oravig

Novoseven

Peridex

Novoseven Rt

Prevident

Recombinate

Prothelial

Riastap

Salagen

Soliris

Tretten

NEUROLOGY, CNS, PSYCH

Wilate

ANTIANXIETY AGENTS

Xyntha

GENERIC

Xyntha Solofuse

alprazolam

Zontivity

alprazolam odt

NON PREFERRED

alprazolam ER

Activase

buspirone HCL

Aggrastat

chlordiazepoxide HCL

Agrylin

clorazepate dipotassium

Cathflo Activase

diazepam

Firazyr

droperidol

Hespan

gene-xene TAB 15MG

Hextend

gene-xene TAB 3.75MG

Integrilin

gene-xene TAB 7.5MG

Kalbitor

hydroxyzine pamoate

Kengreal

hydroxyzine HCL

Kinlytic

lorazepam

LMD 10% Dextrose 5%

meprobamate


22

oxazepam

Emsam

Hydroxyzine Pamoate

Fetzima

Lorazepam Intensol

Fetzima Titration Pack

NON PREFERRED

Fluoxetine HCL

Alprazolam Intensol

Forfivo XL

Ativan

Gaboxetine

Diazepam

Irenka

Gabavale-5

Khedezla

Gabazolamine

Lexapro

Gabazolamine-0.5

Luvox CR

Hydroxyzine HCL

Maprotiline HCL

Niravam

Marplan

Sentrazolam AM 0.25

Nardil

Tranxene T

Norpramin

Valium

Oleptro

Vistaril

Pamelor

Xanax

Parnate

Xanax XR

Paxil

Paxil CR

ANTIDEPRESSANTS

Pexeva

Prozac

GENERIC

Prozac Weekly

amitriptyline HCL

Remeron

bupropion HCL

Remeron Soltab

bupropion HCL ER

Sentraflox AM-10

bupropion HCL SR

Sentralopram AM-10

bupropion HCL XL

Sentravil PM-25

citalopram hydrobromide

Sentroxatine

clomipramine HCL

Surmontil

desipramine HCL

Tofranil

doxepin HCL

Tofranil-PM

duloxetine HCL

Trazamine

escitalopram oxalate

Viibryd

fluoxetine DR

Vivactil

fluoxetine HCL

Wellbutrin

fluvoxamine maleate

Wellbutrin SR

fluvoxamine maleate ER

Wellbutrin XL

imipramine pamoate

Zoloft

imipramine HCL

mirtazapine

ANTIPSYCHOTICS

mirtazapine odt

nefazodone HCL

GENERIC

nortriptyline HCL

aripiprazole

paroxetine HCL

chlorpromazine HCL

paroxetine HCL ER

clozapine

phenelzine sulfate

fluphenazine decanoate

protriptyline HCL

fluphenazine HCL

sertraline HCL

haloperidol

tranylcypromine sulfate

haloperidol decanoate

trazodone HCL

haloperidol lactate

venlafaxine HCL

lithium carbonate

venlafaxine HCL ER

lithium carbonate ER

Amoxapine

loxapine

Doxepin HCL

loxapine succinate

Nefazodone HCL

olanzapine

Nortriptyline HCL

olanzapine odt

Venlafaxine HCL ER

perphenazine

PREFERRED

prochlorperazine

Pristiq

prochlorperazine edisylate

NON PREFERRED

prochlorperazine maleate

Anafranil

quetiapine fumarate

Aplenzin

risperidone

Appbutamone

risperidone odt

Appbutamone-d

thioridazine HCL

Brintellix

thiothixene

Celexa

trifluoperazine HCL

Cymbalta

ziprasidone HCL

Desvenlafaxine ER

Clozapine Odt

Duloxetine HCL

PREFERRED

Effexor XR

Abilify Discmelt


23

Abilify Maintena

Quazepam

Latuda

Restoril

Risperdal Consta

Seconal

Seroquel XR

Sentrazolpidem PM-5

NON PREFERRED

Silenor

Abilify

Sonata

Adasuve

Strazepam

Chlorpromazine HCL

Zolpimist

Clozaril

Compazine

ADHD, NARCOLEPSY, ETC.

Equetro

GENERIC

Fanapt

amphetamine/dextroamphetamine

Fanapt Titration Pack

caffeine citrate

Fazaclo

clonidine HCL ER

Fluphenazine HCL

dexmethylphenidate HCL

Geodon

dexmethylphenidate HCL ER

Haldol

dextroamphetamine sulfate

Haldol Decanoate 100

dextroamphetamine sulfate ER

Haldol Decanoate 50

doxapram HCL

Invega

guanfacine ER

Invega Sustenna

methamphetamine HCL

Invega Trinza

methylphenidate hydrochloride

Lithium

methylphenidate HCL

Lithium Carbonate

methylphenidate HCL CD

Lithobid

methylphenidate HCL ER

Loxitane

methylphenidate HCL SR

Rexulti

modafinil

Risperdal

Methylphenidate HCL ER

Risperdal M-TAB

PREFERRED

Saphris

Daytrana

Seroquel

Nuvigil

Versacloz

Quillivant XR

Zyprexa

Strattera

Zyprexa Relprevv

Vyvanse

Zyprexa Zydis

NON PREFERRED

Adderall

HYPNOTICS

Adderall XR

GENERIC

Aptensio XR

dexmedetomidine HCL

Cafcit

estazolam

Caffeine/Sodium Benzoate

eszopiclone

Concerta

flurazepam HCL

Desoxyn

phenobarbital

Dexedrine

temazepam

Dopram

triazolam

Evekeo

zaleplon

Focalin

zolpidem tartrate

Focalin XR

zolpidem tartrate ER

Intuniv

Flurazepam HCL

Kapvay

Phenobarbital

Kapvay Dose Pack

PREFERRED

Metadate CD

Chloral Hydrate

Methylin

Hetlioz

Procentra

Rozerem

Provigil

NON PREFERRED

Ritalin

Ambien

Ritalin LA

Ambien CR

Ritalin SR

Amytal Sodium

Sentramodafin AM-100

Belsomra

Zenzedi

Butisol Sodium

Doral

ANTICONVULSANTS

Edluar

GENERIC

Gabazolpidem-5

carbamazepine

Halcion

carbamazepine ER

Intermezzo

clonazepam

Lunesta

clonazepam odt

Nembutal Sodium

divalproex sodium

Phenobarbital Sodium

divalproex sodium DR

Precedex

divalproex sodium ER


24

ethosuximide

Trileptal

felbamate

Trokendi XR

fosphenytoin sodium

Vimpat

gabapentin

Zarontin

lamotrigine

Zonegran

lamotrigine odt

lamotrigine ER

ANTIPARKINSON AGENTS

levetiracetam

GENERIC

levetiracetam ER

amantadine HCL

oxcarbazepine

benztropine mesylate

phenytoin

bromocriptine mesylate

phenytoin sodium

carbidopa

phenytoin sodium extended

carbidopa/levodopa

primidone

carbidopa/levodopa odt

tiagabine hydrochloride

carbidopa/levodopa ER

topiramate

entacapone

valproate sodium

pramipexole dihydrochloride

valproic acid

pramipexole dihydrochloride ER

zonisamide

ropinirole ER

PREFERRED

ropinirole HCL

Banzel

selegiline HCL

Celontin

tolcapone

Diazepam

trihexyphenidyl HCL

Fycompa

Carbidopa/Levodopa/Entacapone

Lyrica

PREFERRED

Onfi

Apokyn

Oxtellar XR

Azilect

Peganone

NON PREFERRED

Potiga

Amantadine HCL

Tegretol-XR

Cogentin

NON PREFERRED

Comtan

Aptiom

Duopa

Carbatrol

Eldepryl

Cerebyx

Lodosyn

Depacon

Mirapex

Depakene

Mirapex ER

Depakote

Neupro

Depakote ER

Parcopa

Depakote Sprinkles

Parlodel

Diastat Acudial

Requip

Diastat Pediatric

Requip XL

Dilantin

Rytary

Dilantin Infatabs

Sinemet

Dilantin-125

Sinemet CR

Fanatrex Fusepaq

Stalevo 100

Felbatol

Stalevo 125

Gabitril

Stalevo 150

Keppra

Stalevo 200

Keppra XR

Stalevo 50

Klonopin

Stalevo 75

Lamictal

Tasmar

Lamictal Chewable Dispersible

Zelapar

Lamictal Odt

Lamictal Starter/Not Taking Carbamazepine

NEUROLOGY, PSYCH - MISC.

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

GENERIC

acamprosate calcium DR

Lamictal Starter/Taking Valproate

disulfiram

Lamictal XR

donepezil HCL

Levetiracetam

ergoloid mesylates

Mysoline

fluoxetine

Neurontin

galantamine

Phenytek

galantamine hydrobromide

Qudexy XR

memantine HCL

Sabril

memantine HCL titration PAK

Stavzor

olanzapine/fluoxetine

Tegretol

rivastigmine tartrate

Therapentin-60

Galantamine Hydrobromide

Therapentin-90

PREFERRED

Topamax

Ampyra

Topamax Sprinkle

Topiramate ER


25

Aubagio

carisoprodol/aspirin

Avonex

carisoprodol/aspirin/codeine

Avonex Pen

chlorzoxazone

Betaseron

cyclobenzaprine HCL

Brisdelle

dantrolene sodium

Copaxone

metaxalone

Gilenya

methocarbamol

Gralise

orphenadrine citrate

Gralise Starter

orphenadrine citrate ER

Namenda

orphenadrine/asa/caffeine

Namenda XR

tizanidine HCL

Namenda XR Titration Pack

Carisoprodol

Nuedexta

Dantrolene Sodium

Plegridy

PREFERRED

Plegridy Starter Pack

Gablofen

Rebif

Lioresal Intrathecal

Rebif Rebidose

Monovisc

Rebif Rebidose Titration Pack

Orthovisc

Rebif Titration Pack

Synvisc

Savella

Synvisc One

Tecfidera

NON PREFERRED

Tecfidera Starter Pack

Amrix

Tysabri

Cyclobenzaprine Comfort PAC

Xenazine

Dantrium

Xyrem

Dantrium IV

NON PREFERRED

Euflexxa

Antabuse

Fexmid

Aricept

Gel-one

Aricept Odt

Hyalgan

Campral

Lorzone

Chlordiazepoxide/Amitriptyline

Metaxalone

Exelon

Norflex

Extavia

Parafon Forte DSC

Horizant

Prazolamine

Lemtrada

Robaxin

Namenda Titration PAK

Robaxin-750

Namzaric

Ryanodex

Orap

Skelaxin

Perphenazine/Amitriptyline

Soma

Razadyne

Supartz

Razadyne ER

Tabradol Fusepaq

Sarafem

Therabenzaprine-60

Savella Titration Pack

Therabenzaprine-90

Symbyax

Therabenzaprine-90-5

Tizanidine Comfort PAC

NEUROMUSCULAR AGENTS

Zanaflex

GENERIC

ANTIMYASTHENIC AGENTS

atracurium besylate

cisatracurium besylate

GENERIC

pancuronium bromide

neostigmine methylsulfate

riluzole

pyridostigmine bromide

rocuronium bromide

PREFERRED

vecuronium bromide

Prostigmin

NON PREFERRED

NON PREFERRED

Anectine

Bloxiverz

Botox

Enlon

Dysport

Enlon-plus

Myobloc

Guanidine HCL

Nimbex

Mestinon

Quelicin

Mestinon Timespan

Quelicin 1000

Neostigmine Methylsulfate

Rilutek

Regonol

Xeomin

Zemuron

OPHTHALMOLOGY AND OTIC

ANTI-INFECTIVES

MUSCULOSKELETAL AGENTS

GENERIC

GENERIC

bacitracin/polymyxin b

baclofen

ciprofloxacin HCL

carisoprodol

erythromycin


26

gatifloxacin

sulfacetamide sodium/prednisolone sodium phosphate

gentamicin sulfate

tobramycin/dexamethasone

levofloxacin

PREFERRED

neomycin/bacitracin/polymyxin

Alrex

neomycin/polymyxin/bacitracin zinc

FML

neomycin/polymyxin/gramicidin

Lotemax

ofloxacin

Ozurdex

polymyxin b sulfate/trimethoprim sulfate

Pred Mild


Retisert

sulfacetamide sodium

Tobradex ST

tobramycin sulfate

Zylet

trifluridine

NON PREFERRED

trimethoprim sulfate/polymyxin b sulfate

Blephamide

PREFERRED

Blephamide S.o.p.

Besivance

Durezol

Moxeza

Flarex

Natacyn

FML Forte

Vigamox

FML Liquifilm

NON PREFERRED

Maxidex

Azasite

Maxitrol

Bacitracin

Neomycin/Polymyxin/Hydrocortisone

Betadine Ophthalmic Prep

Omnipred

Bleph-10

Pred Forte

Ciloxan

Pred-G

Garamycin

Pred-G S.o.p.

Mitosol

Prednisolone Sodium Phosphate

Neosporin

Tobradex

Ocuflox

Vexol

Polytrim

Sulfacetamide Sodium

PROSTAGLANDINS

Tobrex

GENERIC

Viroptic

latanoprost

Zirgan

Bimatoprost

Zymaxid

PREFERRED

Lumigan

ARTIFICIAL TEAR/LUBRICANT

Travatan Z

NON PREFERRED

Travoprost

Lacrisert

NON PREFERRED

Rescula

BETA-BLOCKERS

Xalatan

Zioptan

GENERIC

betaxolol HCL

CYCLOPLEGIC MYDRIATICS

carteolol HCL

dorzolamide HCL/timolol maleate

GENERIC

levobunolol HCL

atropine sulfate

timolol maleate

cyclopentolate HCL

timolol maleate ophthalmic gel forming

homatropine HBR

Metipranolol

NON PREFERRED

PREFERRED

Atropine Sulfate

Combigan

Cyclogyl

NON PREFERRED

Cyclomydril

Betagan

Isopto Atropine

Betimol

Isopto Homatropine

Betoptic-s

Isopto Hyoscine

Cosopt

Cosopt PF

DECONGESTANTS

Istalol

GENERIC

Levobunolol HCL

phenylephrine HCL

Timoptic

NON PREFERRED

Timoptic Ocudose

Mydfrin

Timoptic-xe

Naphazoline HCL

OPHTHALMIC STEROIDS

MIOTICS

GENERIC

GENERIC

dexamethasone sodium phosphate

pilocarpine HCL

fluorometholone

PREFERRED

neomycin/polymyxin/bacitracin/hydrocortisone

Phospholine Iodide

neomycin/polymyxin/dexamethasone

NON PREFERRED

prednisolone acetate

Isopto Carbachol


27

Isopto Carpine

NON PREFERRED

Acetic Acid/Aluminum Acetate

ADRENERGIC AGENTS

Antipyrine/Benzocaine

Auralgan

GENERIC

Cetraxal

apraclonidine

Cipro HC

brimonidine tartrate

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Alphagan P

Cortisporin

Iopidine

Cortisporin-tc

Simbrinza

Cresylate

Dermotic

IMMUNOMODULATORS

Myoxin

PREFERRED

Otozin

Restasis

Pramotic

Vosol HC

LOCAL ANESTHETICS

GENERIC

OXYTOCICS

proparacaine HCL

tetracaine HCL

GENERIC

NON PREFERRED

methylergonovine maleate

Akten

oxytocin

Alcaine

NON PREFERRED

Cervidil

OPHTHALMICS - MISC.

Hemabate

GENERIC

Pitocin

azelastine HCL

Prepidil

bromfenac

Prostin E2

cromolyn sodium

diclofenac sodium

PAIN MANAGEMENT

dorzolamide HCL

epinastine HCL

ANALGESICS - NONNARCOTIC

flurbiprofen sodium

GENERIC

ketorolac tromethamine

butalbital/acetaminophen

PREFERRED

butalbital/acetaminophen/caffeine

Bepreve

butalbital/apap/caffeine

Cystaran

butalbital/aspirin/caffeine

Ilevro

choline magnesium trisalicylate

Jetrea

diflunisal

Nevanac

salsalate

Pataday

NON PREFERRED

Patanol

Bupap

Pazeo

Choline Magnesium Trisalicylate

Prolensa

Disalcid

NON PREFERRED

Dolgic Plus

Acular

Dologesic

Acular LS

Equagesic

Acuvail

Esgic

Alocril

Fioricet

Alomide

Fiorinal

Azopt

Levacet

Elestat

Ofirmev

Emadine

Phrenilin Forte

Lastacaft

Rhinoflex-650

Ocufen

Staflex

Optivar

Tencon

Trusopt

Vanatol LQ

OTIC AGENTS

ANALGESICS - OPIOID

GENERIC

GENERIC

acetic acid

acetaminophen/codeine

antipyrine/benzocaine

acetaminophen/codeine #2

fluocinolone acetonide


fluocinolone acetonide ear drops


hydrocortisone/acetic acid

acetaminophen/codeine phosphate

neomycin/polymyxin/hydrocortisone

alfentanil

neomycin/polymyxin/HC

buprenorphine HCL

ofloxacin

buprenorphine HCL/naloxone HCL

PREFERRED

butalbital/acetaminophen/caffeine/codeine

Ciprodex

butalbital/aspirin/caffeine/codeine


28

butorphanol tartrate

Ionsys

codeine sulfate

Kadian

fentanyl

Levorphanol Tartrate

fentanyl citrate oral transmucosal

Liquicet

hydrocodone bitartrate/acetaminophen

Lorcet Plus

hydrocodone/acetaminophen

Lorcet 10/650

hydrocodone/ibuprofen

Lortab

hydromorphone HCL

Magnacet

hydromorphone HCL ER

Maxidone

meperidine HCL

Meperidine HCL

methadone HCL

Methadone HCL

morphine sulfate

Methadose

morphine sulfate ER

Methadose Sugar-free

nalbuphine HCL

Morphine Sulfate

oxycodone HCL

Morphine Sulfate Add-vantage

oxycodone/acetaminophen

MS Contin

oxycodone/aspirin

Norco

oxycodone/ibuprofen

Opana

oxymorphone hydrochloride

Oxecta

oxymorphone hydrochloride ER

Oxycodone HCL

pentazocine/acetaminophen

Percocet

pentazocine/naloxone HCL

Percodan

tramadol hydrochloride/acetaminophen

Primlev

tramadol HCL

Reprexain

tramadol HCL ER

Roxicet

Fentanyl

Roxicodone

Hydrocodone Bitartrate/Acetaminophen

Subsys

Hydrocodone/Acetaminophen

Synalgos-dc

Morphine Sulfate ER

Synapryn Fusepaq

PREFERRED

Talwin

Butrans

Theracodeine-300

Lazanda

Theracodophen-low-90

Nucynta

Theracodophen-325

Nucynta ER

Theracodophen-650

Opana ER (crush Resistant)

Theracodophen-750

Oxycodone HCL ER

Theratramadol-60

Oxycontin

Theratramadol-90

Suboxone

Tramadol HCL ER

Zubsolv

Trezix

NON PREFERRED

Tylenol/Codeine #3

Abstral

Tylenol/Codeine #4

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Ultiva

Actiq

Ultracet

Alfenta

Ultram

Aspirin-caffeine-dihydrocodeine

Ultram ER

Avinza

Vicoprofen

Bunavail

Xartemis XR

Buprenex

Xodol

Capital/Codeine

Xolox

Codeine Sulfate

Zamicet

Conzip

Zohydro ER

Demerol

Zydone

Dilaudid

Dilaudid-HP

ANTI-INFLAMMATORY

Dolophine

GENERIC

Dolophine HCL

celecoxib

Duragesic

diclofenac potassium

Embeda

diclofenac sodium DR

Exalgo

diclofenac sodium ER

Fentora

diclofenac sodium/misoprostol

Fioricet/Codeine

etodolac

Fiorinal/Codeine #3

etodolac ER

Hycet

flurbiprofen

Hydromorphone HCL

ibuprofen

Hydromorphone HCL Dosette

indomethacin

Hydromorphone HCL ER

indomethacin ER

Hysingla ER

ketoprofen

Ibudone

ketorolac tromethamine

Infumorph 200

leflunomide

Infumorph 500


29

mefenamic acid

Simponi Aria

meloxicam

Sprix

nabumetone

Therafeldamine

naproxen

Theraprofen-60

naproxen sodium

Theraprofen-800

naproxen sodium ER

Theraprofen-90

oxaprozin

Theraproxen-500

piroxicam

Theraproxen-60

sulindac

Theraproxen-90

tolmetin sodium

Tivorbex

Meclofenamate Sodium

Trepadiclofen-25

Tolmetin Sodium

Trepoxen-250

PREFERRED

Trepoxicam-7.5

Arcalyst

Vimovo

Humira

Voltaren-XR

Humira Pediatric Crohns Disease Starter Pack

Xeljanz

Humira Pen

Zipsor

Humira Pen-crohns Diseasestarter

Humira Pen-psoriasis Starter

MIGRAINE PRODUCTS

Ridaura

GENERIC

Zorvolex

almotriptan malate

NON PREFERRED

dihydroergotamine mesylate

Actemra

naratriptan HCL

Anaprox

rizatriptan benzoate

Anaprox DS

rizatriptan benzoate odt

Arava

sumatriptan succinate

Arthrotec 50

sumatriptan succinate refill

Arthrotec 75

zolmitriptan

Caldolor

zolmitriptan odt

Cataflam

Dihydroergotamine Mesylate

Celebrex

Isometheptene/Caffeine/Acetaminophen

Daypro

Sumatriptan Succinate

Derma Silkrx Anodynexa PAK

PREFERRED

Dermacinrx Inflammatral PAK

Relpax

Duexis

NON PREFERRED

Dyloject

Alsuma

Enbrel

Amerge

Enbrel Sureclick

Axert

EC-naprosyn

Cafergot

Feldene

Cambia

Fenoprofen Calcium

D.h.e. 45

Ibuprofen Comfort PAC

Ergomar

Ilaris

Frova

Indocin

Imitrex

Indomethacin

Imitrex Statdose Refill

Indomethacin Sodium

Imitrex Statdose System

IC 400

Maxalt

IC 800

Maxalt-MLT

Ketoprofen ER

Migergot

Ketorocaine-l

Migral

Ketorocaine-lm

Migranal

Ketorolac Tromethamine

Sumatriptan

Kineret

Sumavel Dosepro

Meloxicam

Treximet

Meloxicam Comfort PAC

Zomig

Mobic

Zomig Nasal Spray

Nalfon

Zomig ZMT

Naprelan

Naprosyn

GOUT AGENTS

Naproxen

GENERIC

Naproxen Comfort PAC

allopurinol

Neoprofen

probenecid

Orencia

probenecid/colchicine

Otezla

PREFERRED

Otrexup

Colcrys

Ponstel

Krystexxa

Prastera

Uloric

Rasuvo

NON PREFERRED

Rheumatrex

Aloprim

Simponi


30

Colchicine

Clarinex Reditabs

Mitigare

Dexchlorpheniramine Maleate

Zyloprim

Dicopanol Fusepaq

Doxytex

LOCAL ANESTHETICS-INJ

Karbinal ER

Palgic

GENERIC

Phenergan

bupivacaine HCL

Respa-BR

bupivacaine/epinephrine

Xyzal

chloroprocaine HCL

lidocaine HCL

NASAL AGENTS

lidocaine/epinephrine

ropivacaine

GENERIC

ropivacaine HCL

azelastine HCL

Tetracaine HCL

budesonide

NON PREFERRED

flunisolide

Articadent Dental

fluticasone propionate

BD Pudendal/Local Block Tray 1% Lidocaine

ipratropium bromide

Carbocaine

olopatadine HCL

Citanest Forte Dental


Citanest Plain Dental

Flunisolide

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

PREFERRED

Dymista

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

Nasonex

Phenylephrine HCL

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH

NON PREFERRED

Adrenalin

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH

Astelin

Astepro

Exparel

Atrovent

Lidocaine HCL/Dextrose

Bactroban Nasal

Marcaine

Beconase AQ

Marcaine W/O Epi

Flonase

Marcaine/Epinephrine

Nasacort AQ

Marlido-25

Omnaris

Mepivacaine HCL

Patanase

Monoject Bone Marrow Biopsy Prepping Tray

Qnasl

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

Qnasl Childrens

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

Rhinocort Aqua

Tyzine

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

Tyzine Pediatric Nasal Drops

Veramyst

Naropin

Zetonna

Nesacaine

Nesacaine-mpf

COUGH/COLD/ALLERGY

Sensorcaine-mpf/Epinephrine

GENERIC

Turkel Paracentesis Procedure Tray/8french

acetylcysteine

Xylocaine

benzonatate

Xylocaine-mpf

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Xylocaine-mpf/Epinephrine

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Xylocaine/Epinephrine

hydrocodone bitartrate/homatropine methylbromide

hydrocodone polistirex/chlorpheniramine polistirex

RESPIRATORY, ALLERGY, ETC

hydrocodone/homatropine

ANTIHISTAMINES

phenylephrine/guaifenesin

GENERIC

promethazine-DM

carbinoxamine maleate

promethazine/codeine

cetirizine HCL

promethazine/dextromethorphan

clemastine fumarate

sodium chloride

cyproheptadine HCL

PREFERRED

desloratadine

Tussicaps

desloratadine odt

Tuzistra XR

diphenhydramine HCL

NON PREFERRED

levocetirizine dihydrochloride

Carbaphen 12

promethazine HCL

Carbaphen 12 PED

promethazine HCL plain

Clarinex-d 12 HOUR

Clemastine Fumarate

Clarinex-d 24 HOUR

NON PREFERRED

Codar AR

Brompheniramine

Cpb Wc

Brompheniramine Tannate

Decon-a

Clarinex


31

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Symbicort

Tudorza Pressair

Exactuss

NON PREFERRED

Gilphex TR

Accolate

Giltuss

Advair Diskus

Giltuss PED-c

Advair HFA

Giltuss TR

Aerospan

Hyper-sal

Alvesco

Hypersal

Arnuity Ellipta

Nebusal

Breo Ellipta

Neotuss Plus

Brovana

Obredon

Duoneb

Panatuss Dxp

Elixophyllin

Pediatex TD

Flovent Diskus

Pediatex TDM

Flovent HFA

Relhist

Incruse Ellipta

Rescon-JR

Isuprel

Rescon-MX

Lufyllin

Rezira

Maxair Autohaler

Semprex-d

Metaproterenol Sulfate

Suttar-SF

Proventil HFA

Suttar-2

Pulmicort

Tessalon Perles

Pulmophylline

Tussionex Pennkinetic Extended Release

Senophylline

Vituz

Singulair

Zonatuss

Stiolto Respimat

Zutripro

Striverdi Respimat

Theo-24

ANTIASTHMATIC/COPD AGENTS

Theophylline/D5W

GENERIC

Ventolin HFA

albuterol sulfate

Vospire ER

albuterol sulfate ER

Xolair

albuterol TAB 4MG

Xopenex

aminophylline

Xopenex Concentrate

budesonide

Xopenex HFA

epinephrine HCL

Zyflo

ipratropium bromide

Zyflo CR

ipratropium bromide/albuterol sulfate

levalbuterol

RESPIRATORY AGENTS - MISC

levalbuterol HCL

PREFERRED

montelukast sodium

Aralast NP

terbutaline sulfate

Esbriet

theophylline

Kalydeco

theophylline CR

Prolastin-c

theophylline ER

Pulmozyme

zafirlukast

Zemaira

Cromolyn Sodium

NON PREFERRED

PREFERRED

Curosurf

Anoro Ellipta

Glassia

Arcapta Neohaler

Infasurf

Asmanex HFA

Ofev

Asmanex Twisthaler 120 Metered Doses

Orkambi


Surfaxin


Survanta Intratracheal



TOXOIDS

Atrovent HFA

Combivent Respimat

PREFERRED

Daliresp

Adacel

Dulera

Boostrix

Foradil Aerolizer

Daptacel

Perforomist

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Proair HFA

Infanrix

Proair Respiclick

Kinrix

Pulmicort Flexhaler

Pediarix

Qvar

Pentacel

Serevent Diskus

Quadracel

Spiriva Handihaler

Tenivac

Spiriva Respimat

Tetanus Toxoid Adsorbed


32

Tetanus/Diphtheria Toxoids-adsorbed

Menomune-a/C/Y/W-135

Tetanus/Diphtheria Toxoids-adsorbed Adult

Menveo

Pedvax HIB

VACCINES

Pneumovax 23

Pneumovax 23/1 Dose

Pneumovax 23/5 Dose

PREFERRED

Prevnar 13

Acthib

Proquad

Afluria PF 2012-2013

Rabavert


Recombivax HB


Rotarix


Rotateq

Afluria 2012-2013

Trumenba

Afluria 2013-2014

Twinrix

Afluria 2014-2015

Typhim VI

Afluria 2015-2016

Vaqta

Bcg Vaccine

Varivax

Bexsero

Vivotif Berna

Biothrax

Yf-vax

Cervarix

Zostavax

Comvax

Engerix-b

VITAMINS

Fluarix Quadrivalent 2013-2014


VITAMINS


GENERIC

Fluarix 2013-2014

ascorbic acid

Fluarix 2014-2015

ergocalciferol

Flublok 2013-2014

phytonadione

Flublok 2014-2015

thiamine HCL

Flublok 2015-2016

vitamin c 222MG

Flucelvax 2013-2014

vitamin d

Flucelvax 2014-2015

vitamin k1

Flucelvax 2015-2016

PREFERRED

Flulaval Quadrivalent 2013-2014

Mephyton


NON PREFERRED


Aquasol A Parenteral

Flulaval 2013-2014

Drisdol

Flulaval 2014-2015

Pyridoxine HCL

Flumist Quadrivalent

Vitamin K1

Fluvirin PF 2013-2014

Wheat Germ

Fluvirin PF 2014-2015

Fluvirin 2013-2014

MULTIVITAMINS

Fluvirin 2014-2015

GENERIC

Fluvirin 2015-2016

b-complex

Fluzone High-dose PF 2013-2014

b-complex 100


niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper


Prenatal Vitamins

Fluzone Intradermal

NON PREFERRED

Fluzone Intradermal Quadrivalent

Adrenal C Formula

Fluzone Intradermal Quadrivalent 2015-2016

Albafort

Fluzone Pediatric PF 2013-2014

Atabex EC

Fluzone PF 2013-2014

Bacmin

Fluzone PF 2014-2015

Bal-care DHA

Fluzone Quadrivalent 2013-2014

Bal-care DHA Essential


Citranatal Assure


Citranatal B-calm

Fluzone Split 2013-2014

Citranatal DHA


Citranatal Harmony


Citranatal RX

Gardasil

Citranatal 90 DHA

Gardasil 9

Cod Liver Oil

Havrix

Concept DHA

Hiberix

Concept OB

Imovax Rabies (h.d.c.v.)

Corvite

Ipol Inactivated IPV

Crnatal

Ixiaro

Dialyvite Supreme D

M-m-r II

Dialyvite 3000

Medical Provider EZ Flu Shot 2014-2015

Dialyvite 5000

Menactra

Dialyvite/Zinc

Menhibrix

Diatx ZN


33

Duet DHA Balanced

Prenate AM

Duet DHA 400

Prenate DHA

Duet DHA 400EC

Prenate Elite

Duet DHA 430

Prenate Enhance

Duet DHA 430EC

Prenate Essential

Enbrace HR

Prenate Mini

Escavite

Prenate Pixie

Escavite D

Prenate Restore

Floriva

Prenate Star

Focalgin CA

Preque 10

Focalgin 90 DHA

Protect Plus

Folcaps Omega 3

Protectbone

Folet DHA

Protectnatal

Folet One

Provida DHA

Folgard OS

Provida OB

Folivane-prx DHA NF

R-natal OB

Folivane-OB

Renatabs

Fortavit

Renatabs With Iron

Gesticare DHA

Req 49+

M.v.i. Adult

Select-ob+dha

M.v.i. Pediatric

Select-OB

M.v.i.-12 Without Vitamin K

Siderol

Marnatal-f

Strovite

Moms Choice RX

Strovite Forte

Mykidz Iron Fl

Strovite One

Mynatal

Supervite

Natachew

Supervite EC

Natafort

Support-500

Natalvirt CA

Synagex

Natalvirt 90 DHA

Synatek

Natalvit

Taron-bc

Natelle One

Taron-c DHA

Neevo DHA

Texavite LQ

Nephplex RX

Tri-VI-flor

Nephro-vite RX

Tricare Prenatal Compleat

Nephrocaps

Tricare Prenatal DHA One

Nephrocaps QT

Triveen-duo DHA

Nestabs

Triveen-prx RNF

Nestabs Abc

TL G-FOL OS

Nestabs DHA

Udamin

Newgen

Udamin SP

Nexa Plus

Vemavite-prx 2

Nicadan

Vinacal B

Nicazel

Vinate AZ Extra

Nicazel Forte

Vinate Calcium

Nicomide

Vinate DHA

Niva-plus

Vinate DHA RF

Nutricap

Vita-pren

Nutrivit

Vitafol

O-CAL Fa

Vitafol Ultra

O-CAL Prenatal

Vitafol-nano

Obstetrix DHA

Vitafol-ob+dha

Ocuvel

Vitafol-one

OB Complete

Vitafol-pn

OB Complete One

Vital-d RX

OB Complete Petite

Vitamedmd One RX/Quatrefolic

OB Complete Premier

Vitamedmd Plus RX/Quatre Folic

OB Complete 400

Vitamedmd Redichew RX

OB Complete/DHA

Vitamedmd Redichew RX/Quatrefolic

Paire OB

Vitapearl

Poly-VI-flor

Vitaroca Plus

Poly-VI-flor FS

Viva DHA

Poly-VI-flor/Iron

Zatean-pn

Prefera OB

Zatean-pn DHA

Prefera OB + DHA

Zatean-pn Plus

Preferaob +dha

Zatean-CH

Preferaob One

Prefol-DHA

MEDICAL DEVICES

Prenata

Prenate


34

DIABETIC SUPPLIES

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

PREFERRED

BD Microtainer Lancets

Accu-chek Fastclix Lancets

BD Pen Needle/Mini/Ultrafine/31G X 3/16"

Accu-chek Multiclix Lancets

BD Pen Needle/Nano/Ultra Fine/32G X 4MM

Accu-chek Safe-t-pro Lancets

BD Pen Needle/SHORT/Ultrafine/31G X 5/16"

Accu-chek Safe-t-pro Pluslancets

BD Pen Needle/Ultrafine/29G X 12.7MM

Accu-chek Soft Touch Lancets

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM

Accu-chek Softclix Lancets

BD Pen Needles SHORT/Ultrafine/31G X 5/16"

Advocate Lancets

Careone Lancet Thin

Advocate Lancets 30G

Careone Lancet Ultra Thin

Advocate Safety Lancets

Cleanlet Lancets 28G

Advocate Safety Lancets 26G

Clever Chek Lancets Ultrathin

Agamatrix Ultra-thin Lancets 33G

Clever Chek Lancets Ultrathin 30G

Assure Haemolance Plus High Flow 18G

Coaguchek Lancets

Assure Haemolance Plus Low Flow 25G

Comfort Lancets

Assure Haemolance Plus Micro Flow 28G

Diastar Easy Test II Lancets 30G

Assure Haemolance Plus Normal Flow 21G

Diastar Easy Test Lancets30G

Assure Haemolance Plus Pediatric Blade

Droplet Lancets Ultra Thin 30G

Assure Lance Lancets

Drug Mart On-the-go Lancets Gentle 30G

Assure Lance Lancets 21G

Drug Mart Unilet Lancets Super Thin 30G

Assure Lance Plus Safety Lancets 25G

Drug Mart Unilet Lancets Ultra Thin 28G

Assure Lance Plus Safety Lancets 30G

E-z Ject Lancets

Assure Lancets

E-z Ject Lancets Color

Aurora Lancet Super Thin 30G

E-z Ject Lancets Super Thin

Aurora Lancet Thin 23G

E-z Ject Lancets Super Thin 30G

AF Lancets Super Thin

E-z Ject Lancets Thin 26G

AT Last Lancets

E-z Ject Lancets 21G

Bayer Microlet Lancets

E-ZJECT Lancets Micro-thin 33G

Bullseye Safety Lancets

Easy Touch Lancets 21G/Pressure Activated

BD Insulin Syringe LUER-LOK/U-100/1ML


BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"


BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"

Easy Touch Lancets 26G/Pull-top

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"

Easy Touch Lancets 26G/Twist

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"


BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"


BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"


BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"

Easy Touch Lancets 30G/Button-activated

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"


BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"


BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"


BD Insulin Syringe Safetyglide/1ML/29G X 1/2"


BD Insulin Syringe Slip Tip/U-100/1ML


BD Insulin Syringe U-40/1ML/25G X 5/8"


BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"


BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"

Easy Touch Safety Lancets21G/Pressure Activated

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"


BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"

Easy Touch Safety Lancets26G/Button Activated

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"


BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"

Easy Touch Safety Lancets28G/Button Activated

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"


BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"

Easy Twist & CAP Lancets


Easytest II Lancets


Easytest Lancets


Embrace Lancets Ultra Thin 30G

BD Insulin Syringe Ultrafine/1ML/30G X 1/2"

EZ Smart Blood Glucose Lancets

BD Insulin Syringe Ultrafine/1ML/31G X 5/16"

EZ-lets Lancets 21G

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"

EZ-lets Lancets 23G

EZ-lets Lancets 26G Super-soft

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"

EZ-lets Lancets 28G Ultra-soft

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"

EZ-lets Lancets 30G

Fasttake Compact Monitoring System

BD Insulin Syringe/U-100/0.5ML/30G X 1/2"

Fasttake Test Strips

BD Insulin Syringe/U-100/1ML/27G X 1/2"

Fifty50 Safety Seal Lancets 30G


Fifty50 Safety Seal Lancets 32G

BD Insulin Syringe/U-100/2ML/27.5G X 5/8"

Fine 30


Fingerstix Lancets

BD Lancet Ultrafine 30G

Fora Lancets

BD Lancet Ultrafine 33G

Freestyle Lancets

Freestyle Unistick II Lancets

Gentle-let GP Lancets


35

Gentle-let Lancets General Purpose Style/Fine Point

Nova Sureflex Lancets

Gentle-let Lancets General Purpose Style/Medium Point

Novofine Autocover 30GX8MM

Gentle-let Lancets Safety Style/Fine Point

Novofine 30GX8MM

Gentle-let Lancets Safety Style/Medium Point

Novofine 32GX6MM

Glucocom Lancets 28G

Novotwist 30GX8MM


Novotwist 32GX5MM


On Call Lancets

Glucose Control Normal

On Call Plus Lancets

Glucose Control Solution

Onetouch Basic System

Glucosource Lancets

Onetouch Basic/Profile Test Strips

Gmate Lancets 30G

Onetouch Club Lancets Fine Point

H&h Thinlet Lancets 26G

Onetouch Combo Pack

H&h Thinlet Super Thin Lancets 30G

Onetouch Delica Lancets Extra Fine 33G

Haemolance

Onetouch Delica Lancets Fine 30G

Haemolance Low Flow Lancets

Onetouch Finepoint Lancets

Haemolance Plus

Onetouch Lancets

Haemolance Plus High Flow

Onetouch Ping Meter Remote

Haemolance Plus Low Flow

Onetouch Profile System

Haemolance Plus Max Flow

Onetouch Ultra Blue

Haemolance Plus Pediatric Flow

Onetouch Ultra Control

Hy-vee Lancets

Onetouch Ultra Mini

IN Touch Sterile Lancets 30G

Onetouch Ultra System Kit

Lancets

Onetouch Ultra 2

Lancets Bullseye Safety

Onetouch Ultralink System (hex)

Lancets Safety Seal 21G

Onetouch Ultralink System (DEC)


Onetouch Ultrasmart


Onetouch Ultrasoft Lancets


Onetouch Verio

Lancets Thin

Onetouch Verio Control Solution High

Lancets Twist Top

Onetouch Verio IQ Blood Glucose Monitoring System

Lancets Ultra Fine

Onetouch Verio Mid Control Solution

Lancets Ultra Thin

Onetouch Verio Sync Bloodglucose Monitoring System

Lancets 26G Twist Top

Onetouch Verio Test Strips

Lancets 28G

Pen Needles 29G X 12MM

Lancets 30G

Pen Needles 29GX1/2"



Lancets 30G/Twist Top

Pen Needles 31G X 1/4" SHORT


Pen Needles 31G X 3/16"

Lancets 33G Universal Design

Pen Needles 31G X 6MM

Liberty Glucose Control Mid


Liberty Glucose Control Normal

Perfect Lancets 30G

Liberty Medical Lancets 30G

Perfect Pressure Activated Safety Lancets 28G

Lifescan Unistik II Lancets

Pharmacy Counter Lancets

Lifescan Unistik 2 Deep Penetration

Precision Thin Lancets

Litetouch Lancets Micro Thin 33G

Precision Thins GP Lancet

Live Better Lancet Super Thin 30G

Precision Ultra Lancet

Live Better Lancet Ultra Thin 28G

Prodigy Pressure Activated Safety Lancets

Medisense Thin Lancets

Prodigy Twist Top Lancets

Medlance Plus Extra Lancets 21G

Pss Select GP Lancets

Medlance Plus Lancets

Pss Select Safety Lancets

Medlance Plus Lancets Lite 25G

Px Lancets Ultra Thin

Medlance Plus Lite Lancets 25G

Qc Lancets Super Thin

Medlance Plus Special Lancets 0.8MM

Qc Lancets Ultra Thin

Medlance Plus Superlite 30G

Relion Lancets Micro-thin33G

Medlance Plus Superlite 30G/Comfort Max

Relion Lancets Standard 21G

Medlance Plus Universal Lancets 21G

Relion Lancets Thin 26G

Medlance Plus/Lite 25G

Relion Lancets Ultra-thin30G

Medlance/Extra

Relion Thin Lancets

Medlance/Lite

Relion Ultra Thin Lancets

Medlance/Universal

Relion Ultra Thin Lancets30G

Meijer Super Thin Lancets

Relion Ultra Thin Plus Lancets 32G

Microlet Lancets

Relion Ultra Thin Plus Lancets 33G

Microtainer Safety Flow Lancet/Sterile/Single-use

Renew Advanced Lancing Cartridge Refills

Monolet Lancets

Rexall Lancets Ultra Thin

Monolet Opd Lancets

Rightest Gl300 Lancets

Monolettor Safety Lancets

Safe-t-lance Low Flow 25G

Myglucohealth Mgh Softlance Lancets 30G

Safe-t-lance Normal Flow 21G

Netgroup Lancets

Safe-t-lance Plus Safety Lancet High Flow

Nova Safety Lancets 23G

Safe-t-lance Plus Safety Lancet Low Flow

Nova Safety Lancets 28G

Safe-t-lance Plus Safety Lancet Normal Flow


36

Safety Lancet 2MM

Unistik Safety Lancets 30G

Safety Lancet 21G/Pressure Activated

Unistik 3 Gentle

Safety Lancet 28G/Pressure Activated

Universal 1 Lancets Thin 26G

Safety Lancets

Universal 1 Lancets Ultra Thin 30G

Safety Lancets 21G

Valumark Lancet Super Thin 30G

Safety Lancets 28G

Valumark Lancet Ultra Thin 28G

Safety Let Lancets

Vida Mia Unilet Lancets Super Thin 30G

Safety Seal Lancets 28G

Vida Mia Unilet Lancets Ultra Thin 28G

Safety Seal Lancets 30G

Vitalet Pro Lancets

Shopko On-the-go Comfort Lancets 30G

Vitalet Pro Plus Lancets

Shopko Unilet Lancets Super Thin 30G

W&f Lancets Colored 21G

Shopko Unilet Lancets Ultra Thin 28G

W&f Lancets 26G

Single-let

Walgreens Lancets

Smart Diabetes Vantage Universal Lancets 30G

Walgreens Thin Lancets

Smart Sense Color Lancets Universal 33G

Walgreens Ultra Thin Lancets

Smart Sense Standard Lancets Universal 21G

1ST Choice Lancets Super Thin

Smart Sense Super Thin Lancets Universal 30G

1ST Choice Lancets Thin

Smart Sense Thin Lancets Universal 26G

1ST Choice Lancets Ultra Thin

Smartest Lancets 28G

NON PREFERRED

Solus V2 Pressure Activated Safety Lancets 28G

Accu-chek Active Strips

Solus V2 Twist Lancets 30G

Accu-chek Aviva

Sterilance TL

Accu-chek Aviva Plus

Sure-lance Flat Lancets

Accu-chek Comfort Curve Test Strips

Sure-lance Lancets 26G

Accu-chek Compact Plus

Sure-lance Thin Lancets 28G

Accu-chek Compact Test Drum

Sure-lance Ultra Thin Lancets

Accu-chek Smartview Strips

Sure-touch Lancets Universal

Accutrend Glucose

Surelite Lancets

Acura Blood Glucose Test Strips

Surestep Glucose Control

Advance Intuition Test Strips

Surestep Glucose Control Solution

Advance Micro-draw Test Strips

Surestep Pro High Glucosecontrol

Advocate Redi-code

Surestep Pro Low Glucose Control

Advocate Redi-code+ Test Strips

Surestep Pro Normal Glucose Control

Advocate Test Strips

Surestep Pro Test Strips

Agamatrix Amp NO Code Test Strips

Surestep Test Strips

Agamatrix Jazz Test Strips

Techlite AST Lancets

Agamatrix Keynote Test Strips

Techlite Lancets

Agamatrix Presto Test Strips

Techlite Lancets 30G

Ascensia Autodisc Test Strips

Thinlets GP Lancets

Assure II

Thinlets Lancet

Assure II Check Strip

Trueplus Lancets 26G

Assure II Test Strips


Assure Platinum Test Strips

Trueplus Lancets 28G Super Thin

Assure Prism Multi Test Strips


Assure Pro Test Strips

Trueplus Lancets 30G Ultra Thin

Assure 3 Test Strips


Assure 4 Test Strips

Trueplus Lancets 33G Micro Thin

AT Last Test Strips

Trueplus Safety Lancets 28G

Bayer Breeze 2 Test Disc

Ulticare Thin Lancets 30G

Bayer Contour Blood Glucose Test Strips

Ultilet Basic Lancets 30G

Bayer Contour Next Blood Glucose Test

Ultilet Classic Lancets

Bg Star Blood Glucose Test

Ultilet Lancets

Bioscanner Glucose Test Strips

Ultilet Lancets 33G

Blood Glucose Test Strips

Ultilet Safety Lancets 23G

Blood Glucose Test Strips Premium

Ultra-thin II Auto Lancet

Careone Blood Glucose Test Strips/Premium

Ultra-thin II Lancets 28G

Careone Blood Glucose Test Strips/Value

Ultra-thin II Lancets 30G

Caresens N Blood Glucose Test Strips

Ultra-thin II Safety Autolancets 26G

Choice DM Fora G20 Test Strips

Unilet Comfortouch Lancet

Clever Chek Auto-code Test Strips

Unilet Excelite

Clever Chek Auto-code Voice Test Strips

Unilet Excelite II

Clever Chek Test Strips

Unilet G.p. Lancet

Clever Choice Auto-code Pro Test Strips

Unilet G.p. Superlite Lancet

Clever Choice Micro Test Strips

Unilet GP 28 Ultra Thin

Control AST

Unilet Lancet

Control Test Strips

Unilet Lancets Micro-thin33G

CVS Advanced Glucose Meter Test Strips

Unilet Lancets Super-thin30G

Duo-care Test Strips

Unilet Lancets Ultra-thin 28G

Easy Step Test Strips

Unilet Superlite Lancet

Easy Touch Glucose Test Strips

Unistik Safety Lancets 28G

Easy Touch Healthpro Glucose Test Strips


37

Easygluco

Optium Test Strips

Easygluco Plus

Optiumez Test Strips

Easymax Test Strips

Optumrx Blood Glucose Test

Easymax 15 Test Strips

Pharmacist Choice Autocode Blood Glucose Test Strips

Easypro Blood Glucose Test Strips

Pocketchem EZ Blood Glucose Test Strips

Easypro Plus

Precision Point Of Care Test Strips

Element Test Strips

Precision PCX

Embrace Blood Glucose Test Strips

Precision PCX Plus Test Strips

Embrace Evo Blood Glucosetest Strips

Precision QID Test Strips

Embrace Pro Blood Glucosetest Strips

Precision Sof-tact Test Strips

Eql Truetrack Test

Precision XTRA Blood Glucose Test Strips

Evencare + Blood Glucose Test Strip

Prestige Test Strips

Evencare Blood Glucose Test Strip

Prodigy NO Coding Blood Glucose Test Strips

Evencare G2 Test Strips

Pts Panels Glucose Test

Evencare G3 Test Strips

Quicktek Test Strips

Evolution Autocode

Quintet Ac Blood Glucose Test Strips

Exactech R-s-G Test Strips

Quintet Blood Glucose Test Strips

Exactech Test Strips

Refuah Plus Blood Glucosetest Strips

EZ Smart Blood Glucose Test Strips

Relion Blood Glucose Teststrips

EZ Smart Plus Blood Glucose Test Strips

Relion Confirm/Micro Test Strips

Fifty50 Glucose Test Strip 2.0

Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"

Fora D10 Blood Glucose Test Strips

Relion Prime Blood Glucose Test Strips

Fora D15c Blood Glucose Test Strips

Relion Ultima Blood Glucose Test Strips

Fora D15z Blood Glucose Test Strips

Relion Ultima Test Strips

Fora D15G Blood Glucose Test Strips

Reveal Blood Glucose Test

Fora D20 Blood Glucose Test Strips

Rexall Blood Glucose Test Strips

Fora GD20 Test Strips

Rightest GS100 Blood Glucose Test Strips

Fora GD50 Blood Glucose Test Strips


Fora G20 Blood Glucose Test Strips


Fora G30a Blood Glucose Test Strips

Smart Diabetes Xpres Blood Glucose Test Strips

Fora G71a Blood Glucose Test Strips

Smart Sense Premium Bloodglucose Strips

Fora G90 Blood Glucose Test Strips

Smart Sense Value Blood Glucose Strips

Fora Test N' Go Blood Glucose Test Strips

Smartest Blood Glucose Test Strips

Fora V10 Blood Glucose Test Strips

Solus V2 Audible Test


Supreme Test Strips


Sure Edge Blood Glucose Test Strips


Sure-test Easyplus Mini Blood Glucose Test Strips

Fora V30a Blood Glucose Test Strips

Surechek Blood Glucose Test Strips

Foracare GD40

Telcare Blood Glucose Test Strips

Foracare Premium V10 Teststrips

True Metrix Blood Glucosetest Strips

Foracare Test N Go Test Strips

True Metrix Self Monitoring Blod Glucose Strips

Fortiscare Blood Glucose Test Strip

Truetest Blood Glucose T Est

Freestyle Insulinx Blood Glucose Test

Truetest Blood Glucose T Est Strips

Freestyle Insulinx Blood Glucose Test Strips

Truetest Strips

Freestyle Lite Test Strips

Truetrack Blood Glucose Test

Freestyle Test Strips

Truetrack Test

Gluco Perfect 3 Test Strips

Ultima Test Strips

Glucocard Expression Blood Glucose Test Strips

Ultratrak Pro Test Strips

Glucocard Shine Test Strips

Ultratrak Ultimate Test Strips

Glucocard Vital Test Strips

Unistrip1 Generic

Glucocard X-sensor

Victory Agm-4000 Test Strips

Glucocard 01 Sensor Plus

Vocal Point Blood Glucose Test Strips

Glucocard 01 Sensor Plus Test Strips

Wavesense Presto Test Strips

Glucocom Test Strips

Gluconavii Blood Glucose Test Strips

Gmate Blood Glucose Test Strips

MEDICAL DEVICES - MISC

Infinity Blood Glucose Test Strips

PREFERRED

Insulin Syringe/0.5ML/30G X 5/16"

Aerochamber Mini Aerosol Chamber

IN Touch Blood Glucose Test Strips

Aerochamber MV

Liberty Next Generation Blood Glucose Test Strips

Aerochamber Plus Flow VU

Maxima Blood Glucose Teststrips

Aerochamber Plus Flow-VU

Microdot Test Strips

Aerochamber Plus Flow-VU/Large Mask

Myglucohealth Blood Glucose Test

Aerochamber Plus Flow-VU/Mask

Neutek 2tek Test Strips

Aerochamber Plus Flow-VU/Medium Mask

Nexgen Test Strips

Aerochamber Plus Flow-VU/Small Mask

Nova Max Glucose Test Strips

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU

On Call Express Blood Glucose Test Strips

Aerochamber Z-stat Plus/Flowsignal

On Call Plus Blood Glucose Test

Aerochamber Z-stat Plus/Large Mask

On Call Vivid Blood Glucose Test

On Call Vivid Blood Glucose Test Strips


38

Aerochamber Z-stat Plus/Medium Mask

Aerochamber Z-stat Plus/Small Mask

Aerochamber/Flowsignal

Aerovent Plus Holding Chamber/Collapsible

Arial Chamber

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Mask Vortex/Baby Whirl Duckling

Mask Vortex/Child/Frog

Mask Vortex/Spinner The Duck

Mask Vortex/Toddler/Lady Bug

Microchamber

Microspacer

Nessi Spacer/Large Mask

Nessi Spacer/Mouthpiece

Nessi Spacer/Small/MED Mask

Optichamber Advantage

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optihaler

Optihaler MDI Drug Delivery System

Panda Mask Large

Panda Mask Medium

Panda Mask Small

Pediatric Panda Mask

Pocket Chamber

Pocket Spacer

Riteflo

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

PREFERRED

Chemet

Exjade

Jadenu

NON PREFERRED

Ferriprox

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective October 1, 2015 v.1 ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

39

Index

A

13

Chamber/Collapsible, 39

Acular, 28

AF Lancets Super Thin, 35

A.a.g.c. Kit IN Teroderm, 11

Acular LS, 28

Afinitor, 6

abacavir, 3

Acura Blood Glucose Test Strips, 37

Afinitor Disperz, 6

abacavir sulfate/lamivudine/zidovudine, 3

Acuvail, 28

Afluria 2012-2013, 33

Abaneu-SL, 21

acyclovir, 3, 11

Afluria 2013-2014, 33

Abelcet, 2

acyclovir sodium, 3

Afluria 2014-2015, 33

Abilify, 24

Acyclovir Sodium, 3

Afluria 2015-2016, 33

Abilify Discmelt, 23

Aczone, 10

Afluria PF 2012-2013, 33

Abilify Maintena, 24

Adacel, 32

Afluria PF 2013-2014, 33

Abraxane, 6

Adalat CC, 7

Afluria PF 2014-2015, 33

Absorica, 10

adapalene, 10

Afluria PF 2015-2016, 33

Abstral, 29

Adapalene, 10

Afrezza, 15

acamprosate calcium DR, 25

Adasuve, 24

Agamatrix Amp NO Code Test Strips, 37

Acanya, 10

Adcetris, 5

Agamatrix Jazz Test Strips, 37

acarbose, 16

Adcirca, 10

Agamatrix Keynote Test Strips, 37

Accolate, 32

Adderall, 24

Agamatrix Presto Test Strips, 37

Accu-chek Active Strips, 37

Adderall XR, 24

Agamatrix Ultra-thin Lancets 33G, 35

Accu-chek Aviva, 37

adefovir dipivoxil, 3

Aggrastat, 22

Accu-chek Aviva Plus, 37

Adempas, 10

Aggrenox, 22

Accu-chek Comfort Curve Test Strips, 37

Adenocard, 8

Agrylin, 22

Accu-chek Compact Plus, 37

adenosine, 7

Akne-mycin, 10

Accu-chek Compact Test Drum, 37

Adoxa, 2

Akten, 28

Accu-chek Fastclix Lancets, 35

Adoxa PAK 1/100, 2

Akynzeo, 19

Accu-chek Multiclix Lancets, 35

Adoxa PAK 1/150, 2

Ala Scalp, 12

Accu-chek Safe-t-pro Lancets, 35

Adoxa PAK 2/100, 2

Albafort, 21, 33

Accu-chek Safe-t-pro Pluslancets, 35

Adrenaclick, 9

Albenza, 3

Accu-chek Smartview Strips, 37

Adrenal C Formula, 33

albuterol sulfate, 32

Accu-chek Soft Touch Lancets, 35

Adrenalin, 9, 31

albuterol sulfate ER, 32

Accu-chek Softclix Lancets, 35

Adriamycin, 4

albuterol TAB 4MG, 32

Accupril, 8

Advair Diskus, 32

Alcaine, 28

Accuretic, 9

Advair HFA, 32

alclometasone dipropionate, 12

Accutrend Glucose, 37

Advance Intuition Test Strips, 37

Aldactazide, 9

acebutolol HCL, 7

Advance Micro-draw Test Strips, 37

Aldactone, 9

Aceon, 8

Advanced Allergy Collection Kit, 12

Aldara, 13

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 29

Advate, 22

Aldurazyme, 18

Advicor, 10

alendronate sodium, 16

acetaminophen/codeine, 28

Advocate Lancets, 35

Alendronate Sodium, 16

acetaminophen/codeine #2, 28

Advocate Lancets 30G, 35

Alfenta, 29


Advocate Redi-code, 37

alfentanil, 28


Advocate Redi-code+ Test Strips, 37

Alferon N, 6

acetaminophen/codeine phosphate, 28

Advocate Safety Lancets, 35

alfuzosin HCL ER, 20

acetazolamide, 9

Advocate Safety Lancets 26G, 35

Alimta, 5

Acetazolamide, 9

Advocate Test Strips, 37

Alinia, 4

acetazolamide ER, 9

Aerochamber Mini Aerosol Chamber, 38

Alkeran, 4

acetazolamide sodium, 9

Aerochamber MV, 38

Allo-pax, 11

acetic acid, 28

Aerochamber Plus Flow VU, 38

allopurinol, 30

Acetic Acid/Aluminum Acetate, 28

Aerochamber Plus Flow-VU, 38

almotriptan malate, 30

acetylcysteine, 31

Aerochamber Plus Flow-VU/Large Mask, 38

Alocril, 28

Aciphex, 18

Alodox Convenience Kit, 2

Aciphex Sprinkle, 19

Aerochamber Plus Flow-VU/Mask, 38

Alomide, 28

acitretin, 12

Aerochamber Plus Flow-VU/Medium Mask, 38

Aloprim, 30

Aclovate, 12

Alora, 15

Actemra, 30

Aerochamber Plus Flow-VU/Small Mask, 38

alosetron hydrochloride, 19

Acthib, 33

Aloxi, 19

Acticlate, 2

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 38

Alphagan P, 28

Actigall, 19

Alphanate/Von Willebrand Factor Complex/Human, 22

Actimmune, 6

Aerochamber Z-stat Plus/Flowsignal, 38

Actiq, 29

Aerochamber Z-stat Plus/Large Mask, 38

Alphanine SD, 22

Activase, 22

Aerochamber Z-stat Plus/Medium Mask, 39

alprazolam, 22

Activella, 15

alprazolam ER, 22

Actonel, 16

Aerochamber Z-stat Plus/Small Mask, 39

Alprazolam Intensol, 23

Actoplus Met, 16

Aerochamber/Flowsignal, 39

alprazolam odt, 22

Actoplus Met XR, 16

Aerospan, 32

Alprolix, 22

Actos, 16

Aerovent Plus Holding

Alrex, 27

Acuicyn Daily Eyelid & Eyelash Cleanser,

Alsuma, 30

Androderm, 14

Asmanex Twisthaler 60 Metered Doses, 32

Altabax, 11

Androgel, 14

Altace, 8

Androgel P.M., 14


Altoprev, 10

Android, 14

Aluvea, 13

Androxy, 14

Aspirin-caffeine-dihydrocodeine, 29

Alvesco, 32

Anectine, 26

Aspirin/Dipyridamole, 22

amantadine HCL, 25

Angeliq, 15

Assure 3 Test Strips, 37

Amantadine HCL, 25

Angiomax, 21

Assure 4 Test Strips, 37

Amaryl, 16

Animi-3, 21

Assure Haemolance Plus High Flow 18G, 35

Ambien, 24

Animi-3/Vitamin D, 21

Ambien CR, 24

Anoro Ellipta, 32

Assure Haemolance Plus Low Flow 25G, 35

Ambisome, 2

Antabuse, 26

Amcinonide, 12

Antara, 10

Assure Haemolance Plus Micro Flow 28G, 35

Amerge, 30

antipyrine/benzocaine, 28

Amicar, 21

Antipyrine/Benzocaine, 28

Assure Haemolance Plus Normal Flow 21G, 35

amifostine, 6

Anusol-HC, 19

amikacin sulfate, 2

Anzemet, 19

Assure Haemolance Plus Pediatric Blade, 35

amiloride HCL, 9

Apidra, 15

amiloride/hydrochlorothiazide, 9

Apidra Solostar, 15

Assure II, 37

aminocaproic acid, 21

Aplenzin, 23

Assure II Check Strip, 37

Aminocaproic Acid, 21

Apokyn, 25

Assure II Test Strips, 37

aminophylline, 32

Appbutamone, 23

Assure Lance Lancets, 35

amiodarone HCL, 7

Appbutamone-d, 23

Assure Lance Lancets 21G, 35

Amiodarone HCL, 8

Appformin, 16

Assure Lance Plus Safety Lancets 25G, 35

Amitiza, 19

Appformin-d, 16

amitriptyline HCL, 23

apraclonidine, 28

Assure Lance Plus Safety Lancets 30G, 35

amlodipine besylate, 7

Apriso, 19

amlodipine besylate/atorvastatin calcium, 10

Aptensio XR, 24

Assure Lancets, 35

Aptiom, 25

Assure Platinum Test Strips, 37

amlodipine besylate/benazepril HCL, 8

Aptivus, 3

Assure Prism Multi Test Strips, 37

amlodipine besylate/benazepril hydrochloride, 8

Aquasol A Parenteral, 33

Assure Pro Test Strips, 37

Aquoral, 22

Astagraf XL, 5

amlodipine besylate/valsartan, 8

Aralast NP, 32

Astelin, 31

amlodipine/valsartan/hctz, 8

Aralen, 3

Astepro, 31

ammonium lactate, 13

Aranesp Albumin Free, 21

Astringyn, 21

Ammonul, 18

Arava, 30

AT Last Lancets, 35

Amoxapine, 23

Arcalyst, 30

AT Last Test Strips, 37

amoxicillin, 1

Arcapta Neohaler, 32

Atabex EC, 33

Amoxicillin, 1

argatroban, 21

Atacand, 8

Amoxicillin ER, 1

Argatroban, 21

Atacand HCT, 9

amoxicillin/clavulanate potassium, 1

Arial Chamber, 39

Atelvia, 16

amoxicillin/clavulanate potassium ER, 1

Aricept, 26

atenolol, 7

amphetamine/dextroamphetamine, 24

Aricept Odt, 26

atenolol/chlorthalidone, 8

Amphotec, 2

Arimidex, 5

Atgam, 5

Amphotericin B, 2

aripiprazole, 23

Ativan, 23

ampicillin, 1

Aristospan Intra-articular, 14

Atopiclair, 13

Ampicillin, 1

Aristospan Intralesional, 14

atorvastatin calcium, 9

ampicillin sodium, 1

Arixtra, 21

atovaquone, 4

Ampicillin Sodium, 1

Armour Thyroid, 18

atovaquone/proguanil HCL, 3

ampicillin-sulbactam, 1

Arnica Flower, 13

atracurium besylate, 26

Ampicillin-sulbactam, 1

Arnuity Ellipta, 32

Atralin, 10

Ampyra, 25

Aromasin, 5

Atripla, 3

Amrix, 26

Arranon, 5

Atropen, 19

Amturnide, 8

Arthrotec 50, 30

atropine sulfate, 18, 27

Amytal Sodium, 24

Arthrotec 75, 30

Atropine Sulfate, 19, 27

Anacaine, 13

Articadent Dental, 31

Atrovent, 31

Anadrol-50, 14

Artiss, 21

Atrovent HFA, 32

Anafranil, 23

Arzerra, 5

Aubagio, 26

anagrelide hydrochloride, 22

Asacol HD, 19

augmented betamethasone dipropionate, 12

Analpram Advanced, 19

Ascensia Autodisc Test Strips, 37

Analpram-HC, 19

ascorbic acid, 33

Augmentin, 1

Analpram-HC Singles, 19

Asmanex HFA, 32

Augmentin ES-600, 1

Anaprox, 30


Augmentin XR, 1

Anaprox DS, 30

Auralgan, 28

Anaspaz, 19


Aurora Lancet Super Thin 30G, 35

anastrozole, 5

Aurora Lancet Thin 23G, 35

Ancef, 1


Aurstat Anti-itch Hydrogel, 13

Ancobon, 2

Aurstat Anti-itch Hydrogel Kit, 13

Auryxia, 19

Bayer Microlet Lancets, 35

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35

Auvi-q, 9

Bcg Vaccine, 33

Avalide, 9

BD Insulin Syringe LUER-LOK/U-100/1ML, 35

BD Insulin Syringe/U-100/2ML/29G X 1/2", 35

Avandamet, 16

Avandaryl, 16

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35

BD Lancet Ultrafine 30G, 35

Avandia, 16

BD Lancet Ultrafine 33G, 35

Avapro, 8

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35

Avar, 10

Avar LS, 10

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35

BD Microtainer Lancets, 35

Avar LS Cleanser, 10

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35

Avar-e LS, 10

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35

Avastin, 5

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35

Avc, 20

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35

Aveed, 14

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35

Avelox, 2

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 35

Avelox Abc Pack, 2

BD Pen Needle/Ultrafine/29G X 12.7MM, 35

Avenova, 13

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35

Avidoxy DK, 2

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35

Avinza, 29

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35

Avodart, 20

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 35

Avonex, 26

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35

Avonex Pen, 26

BD Pudendal/Local Block Tray 1% Lidocaine, 31

Avycaz, 4

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35

Axert, 30

Beconase AQ, 31

Axid, 19

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 35

Beleodaq, 6

Axiron, 14

Belladonna & Opium, 19

Aygestin, 15

BD Insulin Syringe Slip Tip/U-100/1ML, 35

Belladonna Alkaloids & Opium, 19

azacitidine, 5

Belsomra, 24

Azactam, 4

BD Insulin Syringe U-40/1ML/25G X 5/8", 35

benazepril HCL, 8

Azactam IN Iso-osmotic Dextrose, 4

benazepril HCL/hydrochlorothiazide, 8

Azasan, 5

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 35

Benefix, 22

Azasite, 27

Benicar, 8

azathioprine, 5

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 35

Benicar HCT, 8

azelastine HCL, 28, 31

Bentyl, 19

Azelex, 10

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 35

Benzac Ac Wash, 10

Azilect, 25

Benzac W Wash, 10

azithromycin, 1

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35

Benzaclin, 10

Azithromycin, 1

Benzaclin With P.M., 10

Azopt, 28


Benzamycin, 10

Azor, 8

Benzamycinpak, 10

aztreonam, 4


Benzefoam, 10

Azulfidine, 19

Benzefoamultra, 10

Azulfidine EN-TABS, 19


Benziq, 10

B

Benziq LS, 10

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35

Benzoin Compound Tincture, 13

B-6 Folic Acid, 21

Benzoin Tincture, 13

b-complex, 33

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35

benzonatate, 31

b-complex 100, 33

benzoyl peroxide, 10

bacitracin, 4

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 35

benzoyl peroxide SHORT contact, 10

Bacitracin, 4, 27

benztropine mesylate, 25

bacitracin/polymyxin b, 26

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35

Bepreve, 28

Baclofen, 11

Berinert, 22

baclofen, 26

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35

Besivance, 27

Bacmin, 33

Beta Inject Kit, 14

Bactocill IN Dextrose, 1

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35

Betadine Ophthalmic Prep, 27

Bactrim, 4

Betagan, 27

Bactrim DS, 4

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35

Betalido, 14

Bactroban, 11

betamethasone dipropionate, 12

Bactroban Nasal, 31

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35

betamethasone sodium phosphate/betamethasone acetate, 14

Bal-care DHA, 33

Bal-care DHA Essential, 33

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35

Betamethasone SP, 14

balsalazide disodium, 19

betamethasone valerate, 12

Banzel, 25

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35

Betapace, 7

Baraclude, 3

Betapace AF, 7

Bayer Breeze 2 Test Disc, 37


Betaseron, 26

Bayer Contour Blood Glucose Test Strips, 37

betaxolol HCL, 7, 27


bethanechol chloride, 20

Bayer Contour Next Blood Glucose Test, 37

Bethkis, 2

Betimol, 27

Brompheniramine Tannate, 31

Captopril/Hydrochlorothiazide, 9

Betoptic-s, 27

Brovana, 32

Carafate, 18

bexarotene, 6

budesonide, 14, 31, 32

Carbaglu, 18

Bexsero, 33

Bullseye Safety Lancets, 35

carbamazepine, 24

Bexxar, 5

bumetanide, 9

carbamazepine ER, 24

Bexxar 131 Iodine, 6

Bunavail, 29

Carbaphen 12, 31

Beyaz, 15

Bupap, 28

Carbaphen 12 PED, 31

Bg Star Blood Glucose Test, 37

Buphenyl, 18

Carbatrol, 25

Biaxin, 1

bupivacaine HCL, 31

carbidopa, 25

Biaxin XL, 1

bupivacaine/epinephrine, 31

carbidopa/levodopa, 25

Biaxin XL PAC, 1

Buprenex, 29

carbidopa/levodopa ER, 25

bicalutamide, 5

buprenorphine HCL, 28

carbidopa/levodopa odt, 25

Bicillin C-R, 1

buprenorphine HCL/naloxone HCL, 28

Carbidopa/Levodopa/Entacapone, 25

Bicillin L-a, 1

bupropion HCL, 23

carbinoxamine maleate, 31

Bicnu, 4

bupropion HCL ER, 23

Carbocaine, 31

Bidil, 10

bupropion HCL SR, 23

carboplatin, 4

Biest/Progesterone, 15

bupropion HCL XL, 23

Cardene I.v., 7

Biferarx, 21

buspirone HCL, 22

Cardene IV, 7

Biltricide, 4

Busulfex, 4

Cardene SR, 7

Bimatoprost, 27

butalbital/acetaminophen, 28

Cardizem, 7

Binosto, 16

butalbital/acetaminophen/caffeine, 28

Cardizem CD, 7

Bioscanner Glucose Test Strips, 37

butalbital/acetaminophen/caffeine/codeine, 28

Cardizem LA, 7

Biothrax, 33

Cardura, 8

bisoprolol fumarate, 7

butalbital/apap/caffeine, 28

Cardura XL, 20

bisoprolol fumarate/hydrochlorothiazide, 8

butalbital/aspirin/caffeine, 28

Careone Blood Glucose Test Strips/Premium, 37

butalbital/aspirin/caffeine/codeine, 28

Bivalirudin, 21

Butisol Sodium, 24

Careone Blood Glucose Test Strips/Value, 37

bleomycin sulfate, 4

butorphanol tartrate, 29

Bleph-10, 27

Butrans, 29

Careone Lancet Thin, 35

Blephamide, 27

Bydureon, 16

Careone Lancet Ultra Thin, 35

Blephamide S.o.p., 27

Byetta, 16

Caresens N Blood Glucose Test Strips, 37

Blincyto, 5

Bystolic, 7

Blood Glucose Test Strips, 37

C

carisoprodol, 26

Blood Glucose Test Strips Premium, 37

Carisoprodol, 26

cabergoline, 17

Bloxiverz, 26

carisoprodol/aspirin, 26

Caduet, 10

Boniva, 16

carisoprodol/aspirin/codeine, 26

Cafcit, 24

Boostrix, 32

Carmol-HC, 12

Cafergot, 30

Boric Acid, 13

Carnitor, 18

caffeine citrate, 24

Bosulif, 6

Carnitor SF, 18

Caffeine/Sodium Benzoate, 24

Botox, 26

carteolol HCL, 27

Calan, 7

Bravelle, 17

carvedilol, 7

Calan SR, 7

Breatherite, 39

Cascara Sagrada, 18

calcipotriene, 12

Breatherite Collapsible Adult Spacer W/Mask, 39

Casodex, 5

calcipotriene/betamethasone dipropionate, 12

Cataflam, 30

Breatherite Collapsible Child Spacer W/Mask, 39

Catapres, 8

calcitonin salmon, 17

Catapres-tts-1, 8

calcitonin-salmon, 17

Breatherite Collapsible Infant Spacer W/Mask, 39

Catapres-tts-2, 8

Calcitriol, 12

Catapres-tts-3, 8

calcitriol, 18

Breatherite Collapsible Small Child Spacer W/Mask, 39

Cathflo Activase, 22

calcium acetate, 19

Caverject, 10

Calcium Folinate, 6

Breatherite Collapsible Spacer W/ Neonate Mask, 39

Caverject Impulse, 10

Caldolor, 30

Cayston, 4

Cambia, 30

Breatherite Rigid Spacer W/Mask, 39

Cedax, 1

Campral, 26

Breatherite W/Large Mask, 39

cefaclor, 1

Camptosar, 6

Breatherite W/Medium Mask, 39

Cefaclor, 1

Canasa, 19

Breatherite W/Small Mask, 39

Cefaclor ER, 1

Cancidas, 2

Breo Ellipta, 32

cefadroxil, 1

candesartan cilexetil, 8

Brevibloc, 7

cefazolin sodium, 1

candesartan cilexetil/hydrochlorothiazide, 8

Brevicon-28, 15

Cefazolin Sodium, 1

Brilinta, 22

Cefazolin Sodium/Dextrose, 1

Cantil, 19

brimonidine tartrate, 28

cefdinir, 1

Capastat Sulfate, 2

Brintellix, 23

Cefditoren Pivoxil, 1

capecitabine, 5

Brisdelle, 26

cefepime, 1

Capex, 12

bromfenac, 28

Cefepime, 1

Caphosol, 22

bromocriptine mesylate, 25

cefixime, 1

Capital/Codeine, 29

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31

cefotaxime sodium, 1

Caprelsa, 6

Cefotetan, 1

Capsiderm, 13

Brompheniramine, 31

Cefotetan/Dextrose, 1

captopril, 8

cefoxitin sodium, 1

ciclopirox, 11

Clindacin PAC, 10

Cefoxitin Sodium, 1

ciclopirox nail lacquer, 11

Clindagel, 10

cefpodoxime proxetil, 1

ciclopirox olamine, 11

clindamycin HCL, 4

cefprozil, 1

Ciclopirox Topical Solution Kit, 11

clindamycin palmitate HCL, 4

ceftazidime, 1

cidofovir, 3

clindamycin phosphate, 4, 10, 20

Ceftazidime, 1

Ciferex, 21

Clindamycin Phosphate, 4

Ceftazidime/Dextrose, 1

cilostazol, 22

clindamycin phosphate add-vantage, 4

Ceftibuten, 1

Ciloxan, 27

clindamycin phosphate IN D5W, 4

Ceftin, 1

cimetidine, 18

clindamycin phosphate pharmacy bulk package, 4

Ceftriaxone IN Iso-osmotic Dextrose, 1

cimetidine HCL, 18

ceftriaxone sodium, 1

Cimzia, 19

clindamycin/benzoyl peroxide, 10

Ceftriaxone Sodium, 1

Cimzia Starter Kit, 19

Clindap-t, 10

Ceftriaxone/Dextrose, 1

Cipro, 2

Clindesse, 20

cefuroxime axetil, 1

Cipro HC, 28

Clinoin, 10

cefuroxime sodium, 1

Cipro I.V.-IN D5W, 2

clobetasol propionate, 12

Cefuroxime Sodium, 1

Cipro XR, 2

clobetasol propionate emollient, 12

Cefuroxime/Dextrose, 1

Ciprodex, 28

Clobex, 12

Celebrex, 30

ciprofloxacin, 2

Clocortolone Pivalate, 12

celecoxib, 29

Ciprofloxacin, 28

Clocortolone Pivalate P.M., 12

Celestone-soluspan, 14

ciprofloxacin ER, 2

Clodan Kit, 12

Celexa, 23

ciprofloxacin HCL, 2, 26

Cloderm, 12

Cellcept, 5

Ciprofloxacin HCL, 2

Cloderm P.M., 12

Cellcept Intravenous, 5

ciprofloxacin I.V.-IN D5W, 2

Clolar, 5

Celontin, 25

cisatracurium besylate, 26

clomiphene citrate, 17

Cenestin, 15

cisplatin, 4

clomipramine HCL, 23

Cenfol, 21

Cisplatin, 4

clonazepam, 24

Centany AT, 11

citalopram hydrobromide, 23

clonazepam odt, 24

Centratex, 21

Citanest Forte Dental, 31

clonidine HCL, 8

cephalexin, 1

Citanest Plain Dental, 31

clonidine HCL ER, 24

Cephalexin, 1

Citranatal 90 DHA, 33

clopidogrel, 22

Cerdelga, 21

Citranatal Assure, 33

clorazepate dipotassium, 22

Cerebyx, 25

Citranatal B-calm, 33

Clorpres, 9

Cerezyme, 21

Citranatal DHA, 33

clotrimazole, 11, 22

Cervarix, 33

Citranatal Harmony, 33

clotrimazole/betamethasone dipropionate, 11

Cervidil, 28

Citranatal RX, 33

Cesamet, 19

citric acid/sodium citrate, 20

clozapine, 23

cetirizine HCL, 31

cladribine, 5

Clozapine Odt, 23

Cetraxal, 28

Claforan, 1

Clozaril, 24

Cetrotide, 17

Claforan/D5W, 1

Cnl8 Nail Kit, 11

cevimeline HCL, 22

Clarifoam EF, 10

Coaguchek Lancets, 35

Chemet, 39

Clarinex, 31

Coal TAR, 13

Chenodal, 19

Clarinex Reditabs, 31

Coartem, 3

Chloral Hydrate, 24

Clarinex-d 12 HOUR, 31

Cocaine HCL, 13

Chloramphenicol Sodium Succinate, 4

Clarinex-d 24 HOUR, 31

Cod Liver Oil, 33

chlordiazepoxide HCL, 22

clarithromycin, 1

Codar AR, 31

Chlordiazepoxide/Amitriptyline, 26

clarithromycin ER, 1

codeine sulfate, 29

chlorhexidine gluconate, 22

Cleanlet Lancets 28G, 35

Codeine Sulfate, 29

chlorhexidine gluconate oral rinse, 22

clemastine fumarate, 31

Cogentin, 25

chloroprocaine HCL, 31

Clemastine Fumarate, 31

Colazal, 19

chloroquine phosphate, 3

Cleocin, 4, 20

Colchicine, 31

chlorothiazide, 9

Cleocin IN D5W, 4

Colcrys, 30

Chlorothiazide, 9

Cleocin Pediatric Granules, 4

Colestid, 10

chlorothiazide sodium, 9

Cleocin Phosphate, 4

Colestid Flavored, 10

chlorpromazine HCL, 23

Cleocin-t, 10

colestipol HCL, 9

Chlorpromazine HCL, 24

Clever Chek Auto-code Test Strips, 37

colestipol HCL for oral suspension, 9

Chlorpropamide, 16

Clever Chek Auto-code Voice Test Strips, 37

colistimethate sodium, 4

Chlorthalidone, 9

Coly-mycin M, 4

chlorzoxazone, 26

Clever Chek Lancets Ultrathin, 35

Coly-mycin S, 28

Choice DM Fora G20 Test Strips, 37

Clever Chek Lancets Ultrathin 30G, 35

Colyte-flavor Packs, 18

Cholbam, 19

Clever Chek Test Strips, 37

Combigan, 27

cholestyramine, 9

Clever Choice Auto-code Pro Test Strips, 37

Combipatch, 15

cholestyramine light, 9

Combivent Respimat, 32

choline magnesium trisalicylate, 28

Clever Choice Micro Test Strips, 37

Combivir, 3

Choline Magnesium Trisalicylate, 28

Cleviprex, 7

Cometriq, 6

chorionic gonadotropin, 17

Climara, 15

Comfort Lancets, 35

Cialis, 10

Climara Pro, 15

Compazine, 24

Ciclodan Cream Kit, 11

Clin-lido, 4

Complera, 3

Ciclodan Solution Kit, 11

Clindacin Etz, 10

Comtan, 25

Comvax, 33

Cyklokapron, 22

Dermatop, 12

Concept DHA, 33

Cymbalta, 23

Dermotic, 28

Concept OB, 33

cyproheptadine HCL, 31

desipramine HCL, 23

Concerta, 24

Cyramza, 5

desloratadine, 31

Condylox, 13

Cystadane, 18

desloratadine odt, 31

Control AST, 37

Cystagon, 20

desmopressin acetate, 17

Control Test Strips, 37

Cystaran, 28

Desogen, 15

Conzip, 29

cytarabine, 5

desogestrel/ethinyl estradiol, 15

Copasil, 13

Cytarabine, 5

Desonate, 12

Copaxone, 26

cytarabine aqueous, 5

desonide, 12

Copegus, 3

Cytomel, 18

Desowen, 12

Cordarone, 8

Cytotec, 19

Desowen Cream/Cetaphil Lotion, 12

Cordran, 12

Cytovene, 3

Desowen Lotion/Cetaphil Cream, 12

Cordran Tape, 12

Cytra-3, 20

Desowen Ointment/Cetaphil Lotion, 12

Coreg, 7

D

desoximetasone, 12

Coreg CR, 7

Desoximetasone, 12

D.h.e. 45, 30

Corgard, 7

Desoxyn, 24

dacarbazine, 6

Corifact, 22

Desvenlafaxine ER, 23

Dacarbazine, 6

Corlanor, 10

Detrol, 20

Dacogen, 5

Corlopam, 8

Detrol LA, 20

Daklinza, 3

Cortalo, 12

dexamethasone, 14

Daliresp, 32

Cortef, 14

Dexamethasone, 14

Dalvance, 4

Cortenema, 19

Dexamethasone Intensol, 14

danazol, 14

Cortifoam, 19

dexamethasone sodium phosphate, 14, 27

Dantrium, 26

Cortisone Acetate, 14

Dantrium IV, 26

Cortisporin, 11, 28

Dexamethasone Sodium Phosphate, 14

dantrolene sodium, 26

Cortisporin-tc, 28

Dexchlorpheniramine Maleate, 31

Dantrolene Sodium, 26

Corvert, 8

Dexedrine, 24

Dapsone, 4

Corvite, 33

Dexilant, 19

Daptacel, 32

Corvite 150, 21

Dexlido, 14

Daraprim, 3

Corzide, 9

Dexlido-m, 14

daunorubicin HCL, 4

Cosentyx, 12

dexmedetomidine HCL, 24

Daunoxome, 4

Cosentyx Sensoready Pen, 12

dexmethylphenidate HCL, 24

Daypro, 30

Cosmegen, 4

dexmethylphenidate HCL ER, 24

Daytrana, 24

Cosopt, 27

Dexpak 10 Day, 14

Ddavp, 17

Cosopt PF, 27

Dexpak 13 Day, 14

Debacterol, 22

Coumadin, 21

Dexpak 6 Day, 14

decitabine, 5

Cozaar, 8

Dexpanthenol, 19

Decon-a, 31

Cpb Wc, 31

dexrazoxane, 6

Delestrogen, 15

Creon, 19

dextroamphetamine sulfate, 24

Delzicol, 19

Cresemba, 2

dextroamphetamine sulfate ER, 24

Demadex, 9

Crestor, 9

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31

demeclocycline HCL, 2

Cresylate, 28

Demerol, 29

Crinone, 20

Demser, 8

Crixivan, 3

Diabeta, 16

Denavir, 11

Crnatal, 33

Dialyvite 3000, 33

Depacon, 25

cromolyn sodium, 19, 28

Dialyvite 5000, 33

Depakene, 25

Cromolyn Sodium, 32

Dialyvite Supreme D, 33

Depakote, 25

Cubicin, 4

Dialyvite/Zinc, 33

Depakote ER, 25

Curosurf, 32

Diamox, 9

Depakote Sprinkles, 25

Cutivate, 12

Diastar Easy Test II Lancets 30G, 35

Depo-estradiol, 15

Cuvposa, 19

Diastar Easy Test Lancets30G, 35

Depo-medrol, 14

CVS Advanced Glucose Meter Test Strips, 37

Diastat Acudial, 25

Depo-provera, 5

Diastat Pediatric, 25

Depo-testosterone, 14

cyanocobalamin, 21

Diatx ZN, 33

Depocyt, 5

Cyanocobalamin, 21

diazepam, 22

Deprizine Fusepaq, 19

Cyclessa, 15

Diazepam, 23, 25

Derma Silkrx Anodynexa PAK, 30

Cyclobenzaprine Comfort PAC, 26

Dibenzyline, 8

Derma Silkrx Sds PAK, 12

cyclobenzaprine HCL, 26

Diclegis, 19

Derma-smoothe/FS Body, 12

Cyclogyl, 27

diclofenac potassium, 29

Derma-smoothe/FS Scalp, 12

Cyclomydril, 27

diclofenac sodium, 11, 28

Dermacinrx Duopatch Pharmapak, 13

cyclopentolate HCL, 27

diclofenac sodium DR, 29

Dermacinrx Inflammatral PAK, 30

cyclophosphamide, 4

diclofenac sodium ER, 29

Dermacinrx Lexitral Pharmapak, 11

Cyclophosphamide, 4

diclofenac sodium/misoprostol, 29

Dermacinrx Neurotral Pharmapak, 13

Cycloserine, 2

dicloxacillin sodium, 1

Dermacinrx Surgical Pharmapak, 13

cyclosporine, 5

Dicopanol Fusepaq, 31

Dermasorb HC, 12

cyclosporine modified, 5

dicyclomine HCL, 18

Dermasorb Ta, 12

Cyclosporine Modified, 5

Dicyclomine HCL, 18

Dermasorb XM, 13

didanosine, 3

Dovonex, 12

E

Differin, 10

doxapram HCL, 24

E-z Ject Lancets, 35

Dificid, 1

doxazosin, 8

E-z Ject Lancets 21G, 35

Diflorasone Diacetate, 12

doxazosin mesylate, 8

E-z Ject Lancets Color, 35

Diflucan, 2

doxepin HCL, 23

E-z Ject Lancets Super Thin, 35

diflunisal, 28

Doxepin HCL, 23

E-z Ject Lancets Super Thin 30G, 35

digoxin, 7

doxercalciferol, 18

E-z Ject Lancets Thin 26G, 35

Digoxin, 7

Doxil, 4

E-z Spacer, 39

dihydroergotamine mesylate, 30

doxorubicin HCL, 4

E-z Spacer The Body Guards Pack, 39

Dihydroergotamine Mesylate, 30

Doxorubicin HCL, 4

E-ZJECT Lancets Micro-thin 33G, 35

Dilacor XR, 7

doxorubicin HCL liposome, 4

E.e.s. 400, 1

Dilantin, 25

doxycycline, 2

E.e.s. Granules, 1

Dilantin Infatabs, 25

Doxycycline, 11

Easivent, 39

Dilantin-125, 25

doxycycline hyclate, 2

Easivent/Mask-large, 39

Dilatrate SR, 7

doxycycline hyclate DR, 2

Easivent/Mask-medium, 39

Dilaudid, 29

doxycycline monohydrate, 2

Easivent/Mask-small, 39

Dilaudid-HP, 29

Doxytex, 31

Easy Step Test Strips, 37

diltiazem CD, 7

Drisdol, 33

Easy Touch Glucose Test Strips, 37

diltiazem HCL, 7

Dritho-creme HP, 12

Easy Touch Healthpro Glucose Test Strips, 37

Diltiazem HCL, 7

dronabinol, 19

diltiazem HCL ER, 7

droperidol, 22

Easy Touch Lancets 21G/Pressure Activated, 35

Dimenhydrinate, 19

Droplet Lancets Ultra Thin 30G, 35

Diovan, 8

drospirenone/ethinyl estradiol, 15


Diovan HCT, 9

Droxia, 21

Dipentocaine, 11

Drug Mart On-the-go Lancets Gentle 30G, 35


Dipentum, 19

diphenhydramine HCL, 31

Drug Mart Unilet Lancets Super Thin 30G, 35

Easy Touch Lancets 26G/Pull-top, 35

diphenoxylate/atropine, 18

Easy Touch Lancets 26G/Twist, 35

Diphenoxylate/Atropine, 18

Drug Mart Unilet Lancets Ultra Thin 28G, 35


Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32

Drysol, 13


Diprolene, 12

Duac, 10


Diprolene AF, 12

Duavee, 15

Easy Touch Lancets 30G/Button-activated, 35

dipyridamole, 22

Duet DHA 400, 34

Disalcid, 28

Duet DHA 400EC, 34


disopyramide phosphate, 7

Duet DHA 430, 34

disulfiram, 25

Duet DHA 430EC, 34


Ditropan XL, 20

Duet DHA Balanced, 34


Diuril, 9

Duetact, 16


divalproex sodium, 24

Duexis, 30

divalproex sodium DR, 24

Dulera, 32


divalproex sodium ER, 24

duloxetine HCL, 23


Divigel, 15

Duloxetine HCL, 23


Divista, 21

Duo-care Test Strips, 37

Easy Touch Safety Lancets21G/Pressure Activated, 35

dobutamine HCL, 9

Duoneb, 32

dobutamine HCL/D5W, 9

Duopa, 25


dobutamine/dextrose 5%, 9

Duragesic, 29

Dobutamine/Dextrose 5%, 9

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 31

Easy Touch Safety Lancets26G/Button Activated, 35

Docefrez, 6

docetaxel, 5

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 31


Docetaxel, 6

Dolgic Plus, 28

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 31

Easy Touch Safety Lancets28G/Button Activated, 35

Dologesic, 28

Dolophine, 29

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 31


Dolophine HCL, 29

donepezil HCL, 25

Durezol, 27

Easy Twist & CAP Lancets, 35

dopamine HCL, 9

Dutoprol, 9

Easygluco, 38

Dopamine HCL, 9

Dyazide, 9

Easygluco Plus, 38

dopamine HCL-dextrose 5%, 9

Dyloject, 30

Easymax 15 Test Strips, 38

dopamine HCL/dextrose 5%, 9

Dymista, 31

Easymax Test Strips, 38

dopamine/D5W, 9

Dyrenium, 9

Easypro Blood Glucose Test Strips, 38

Dopram, 24

Dysport, 26

Easypro Plus, 38

Doral, 24

Dyural-40, 14

Easytest II Lancets, 35

Doribax, 4

Dyural-80, 14

Easytest Lancets, 35

Doryx, 2

Dyural-l, 14

EC-naprosyn, 30

dorzolamide HCL, 28

Dyural-lm, 14

econazole nitrate, 11

dorzolamide HCL/timolol maleate, 27

Ecoza, 11

Doubledex, 14

Ed Cyte F, 21

Edarbi, 8

Epiduo, 10

Ethyl Chloride/Fine Pinpoint, 13

Edarbyclor, 9

Epiduo Forte, 10

Ethyl Chloride/Fine Stream, 13

Edecrin, 9

Epifoam, 12

Ethyl Chloride/Medium Jet Stream, 13

Edluar, 24

epinastine HCL, 28

Ethyl Chloride/Medium Stream, 13

Edurant, 3

Epinephrine, 9

Ethyl Chloride/Mist, 13

Effexor XR, 23

Epinephrine HCL, 9

Ethyol, 6

Effient, 22

epinephrine HCL, 32

Etidronate Disodium, 16

Egrifta, 17

Epipen 2-PAK, 9

etodolac, 29

Elaprase, 18

Epipen-JR 2-PAK, 9

etodolac ER, 29

Eldepryl, 25

epirubicin HCL, 4

Etopophos, 6

Elelyso, 21

Epirubicin HCL, 4

etoposide, 5

Element Test Strips, 38

episone CRE, 13

Etoposide, 6

Elenzapatch, 13

Epivir, 3

Euflexxa, 26

Elestat, 28

Epivir HBV, 3

Eurax, 13

Elestrin, 15

eplerenone, 8

Evamist, 15

Eletone, 13

Epogen, 21

Evekeo, 24

Eletone Twinpack, 13

epoprostenol sodium, 10

Evencare + Blood Glucose Test Strip, 38

Elidel, 13

Eprosartan Mesylate, 8

Evencare Blood Glucose Test Strip, 38

Eligard, 5

Epzicom, 3

Evencare G2 Test Strips, 38

Elimite, 13

Eql Truetrack Test, 38

Evencare G3 Test Strips, 38

Eliphos, 19

Equagesic, 28

Evicel, 22

Eliquis, 21

Equetro, 24

Evista, 17

Elitek, 6

Equipto-baclofen, 11

Evithrom, 22

Elixophyllin, 32

Equipto-naproxen, 11

Evoclin, 10

Ella, 15

Eraxis, 2

Evolution Autocode, 38

Ellence, 4

Erbitux, 5

Evotaz, 3

Elmiron, 20

ergocalciferol, 33

Evoxac, 22

Elocon, 12

ergoloid mesylates, 25

Exactech R-s-G Test Strips, 38

Eloctate, 22

Ergomar, 30

Exactech Test Strips, 38

Eloxatin, 4

Ertaczo, 11

Exactuss, 32

Elspar, 4

Erwinaze, 5

Exalgo, 29

Emadine, 28

Ery-TAB, 1

Exelderm, 11

Embeda, 29

Erygel, 10

Exelon, 26

Embrace Blood Glucose Test Strips, 38

Eryped 200, 1

exemestane, 5

Embrace Evo Blood Glucosetest Strips, 38

Eryped 400, 1

Exforge, 9

Erythrocin Lactobionate, 1

Exforge HCT, 9

Embrace Lancets Ultra Thin 30G, 35

Erythrocin Stearate, 1

Exjade, 39

Embrace Pro Blood Glucosetest Strips, 38

erythromycin, 1, 10, 26

Exoderm, 11

Erythromycin Base, 1

Exparel, 31

Emcyt, 5

Erythromycin Ethylsuccinate, 1

Extardol, 11

Emend, 19

erythromycin/benzoyl peroxide, 10

Extavia, 26

Emla, 13

Esbriet, 32

Extina, 11

Emsam, 23

Escavite, 34

EZ Smart Blood Glucose Lancets, 35

Emtriva, 3

Escavite D, 34

EZ Smart Blood Glucose Test Strips, 38

Emulsion SB, 13

escitalopram oxalate, 23

EZ Smart Plus Blood Glucose Test Strips, 38

Emvoren, 11

Esgic, 28

Enablex, 20

esmolol HCL, 7

EZ-lets Lancets 21G, 35

enalapril maleate, 8

esomeprazole magnesium, 18


enalapril maleate/hydrochlorothiazide, 8

esomeprazole sodium, 18

EZ-lets Lancets 26G Super-soft, 35

enalaprilat, 8

Esomeprazole Sodium, 18

EZ-lets Lancets 28G Ultra-soft, 35

Enbrace HR, 34

Esomeprazole Strontium, 19


Enbrel, 30

estazolam, 24

F

Enbrel Sureclick, 30

Estrace, 15, 20

Fabior, 10

Endometrin, 20

estradiol, 15

Fabrazyme, 18

Engerix-b, 33

Estradiol, 15

Factive, 2

Enjuvia, 15

estradiol valerate, 15

Falessa, 15

Enlon, 26

estradiol/norethindrone acetate, 15

famciclovir, 3

Enlon-plus, 26

Estrasorb, 15

famotidine, 18

enoxaparin sodium, 21

Estring, 20

Famotidine, 18

entacapone, 25

Estrogel, 15

Famotidine Premixed, 19

entecavir, 3

estropipate, 15

Famvir, 3

Entereg, 19

Estropipate, 15

Fanapt, 24

Entocort EC, 14

Estrostep FE, 15

Fanapt Titration Pack, 24

Entresto, 10

eszopiclone, 24

Fanatrex Fusepaq, 25

Entyvio, 19

Ethacrynate Sodium, 9

Fareston, 5

Epaned, 8

ethambutol HCL, 2

Farxiga, 16

ephedrine sulfate, 9

ethosuximide, 25

Farydak, 6

Epiceram, 13

Ethyl Chloride, 13

Faslodex, 5

Fasttake Compact Monitoring System, 35

First-progesterone VGS 400 Compounding Kit, 20

Flurazepam HCL, 24

flurbiprofen, 29

Fasttake Test Strips, 35


flurbiprofen sodium, 28

Fazaclo, 24

flutamide, 5

Feiba, 22

First-testosterone, 14

fluticasone propionate, 12, 31

Feiba NF, 22

First-testosterone Mc Compounding Kit, 14

fluvastatin, 9

felbamate, 25

Fluvirin 2013-2014, 33

Felbatol, 25

First-vancomycin 25, 4

Fluvirin 2014-2015, 33

Feldene, 30

First-vancomycin 50, 4

Fluvirin 2015-2016, 33

felodipine ER, 7

Flagyl, 4

Fluvirin PF 2013-2014, 33

Fem PH, 20

Flagyl ER, 4

Fluvirin PF 2014-2015, 33

Femara, 5

Flarex, 27

fluvoxamine maleate, 23

Femcon FE, 15

flavoxate HCL, 20

fluvoxamine maleate ER, 23

Femhrt Low Dose, 15

flecainide acetate, 7

Fluzone High-dose PF 2013-2014, 33

Femring, 20

Flector, 11


fenofibrate, 9

Flexichamber, 39


Fenofibrate, 9

FLO-pred, 14

Fluzone Intradermal, 33

fenofibrate micronized, 9

Flolan, 10

Fluzone Intradermal Quadrivalent, 33

Fenofibric Acid, 9

Flomax, 20

Fluzone Intradermal Quadrivalent 2015-2016, 33

fenofibric acid DR, 9

Flonase, 31

Fenoglide, 10

Floriva, 34

Fluzone Pediatric PF 2013-2014, 33

fenoldopam mesylate, 8

Flovent Diskus, 32

Fluzone PF 2013-2014, 33

Fenoprofen Calcium, 30

Flovent HFA, 32

Fluzone PF 2014-2015, 33

fentanyl, 29

floxuridine, 5

Fluzone Quadrivalent 2013-2014, 33

Fentanyl, 29

Floxuridine, 5


fentanyl citrate oral transmucosal, 29

Fluarix 2013-2014, 33


Fentora, 29

Fluarix 2014-2015, 33

Fluzone Split 2013-2014, 33

Feraheme, 21

Fluarix Quadrivalent 2013-2014, 33


Feriva, 21



Feriva 21/7, 21


FML, 27

Ferivafa, 21

Flublok 2013-2014, 33

FML Forte, 27

Ferralet 90, 21

Flublok 2014-2015, 33

FML Liquifilm, 27

Ferrex 150 Forte Plus, 21

Flublok 2015-2016, 33

Focalgin 90 DHA, 34

Ferrex 28, 21

Flucelvax 2013-2014, 33

Focalgin CA, 34

Ferriprox, 39

Flucelvax 2014-2015, 33

Focalgin Dss, 21

Ferrlecit, 21

Flucelvax 2015-2016, 33

Focalin, 24

Ferro-plex Hematinic, 21

fluconazole, 2

Focalin XR, 24

Ferrotrin, 21

fluconazole IN dextrose, 2

Folcaps Omega 3, 34

Fetzima, 23

fluconazole IN NACL, 2

Folet DHA, 34

Fetzima Titration Pack, 23

Fluconazole IN NACL, 2

Folet One, 34

Fexmid, 26

flucytosine, 2

Folgard OS, 34

Fibricor, 10

Fludara, 5

Folgard RX, 21

Fifty50 Glucose Test Strip 2.0, 38

fludarabine phosphate, 5

folic acid, 21

Fifty50 Safety Seal Lancets 30G, 35

Fludarabine Phosphate, 5

Folic Acid, 21

Fifty50 Safety Seal Lancets 32G, 35

fludrocortisone acetate, 14

folic acid/vitamin b-6/vitamin b-12, 21

Finacea, 11

Flulaval 2013-2014, 33

Folivane-f, 21

finasteride, 20

Flulaval 2014-2015, 33

Folivane-OB, 34

Fine 30, 35

Flulaval Quadrivalent 2013-2014, 33

Folivane-plus, 21

Fingerstix Lancets, 35


Folivane-prx DHA NF, 34

Fioricet, 28


Follistim AQ, 17

Fioricet/Codeine, 29

Flumadine, 3

Folotyn, 5

Fiorinal, 28

Flumist Quadrivalent, 33

Foltrate, 21

Fiorinal/Codeine #3, 29

flunisolide, 31

fondaparinux sodium, 21

Firazyr, 22

Flunisolide, 31

Fora D10 Blood Glucose Test Strips, 38

Firmagon, 5

fluocinolone acetonide, 12, 28

Fora D15c Blood Glucose Test Strips, 38

First-bxn Mouthwash, 22

fluocinolone acetonide ear drops, 28

Fora D15G Blood Glucose Test Strips, 38

First-dukes Mouthwash, 22

fluocinonide, 12

First-hydrocortisone, 12

fluocinonide-e, 12

Fora D15z Blood Glucose Test Strips, 38

First-lansoprazole, 19

fluorometholone, 27

Fora D20 Blood Glucose Test Strips, 38

First-marys Mouthwash, 22

fluorouracil, 5

Fora G20 Blood Glucose Test Strips, 38

First-mouthwash Blm, 22

fluoxetine, 25

Fora G30a Blood Glucose Test Strips, 38

First-omeprazole, 19

fluoxetine DR, 23

Fora G71a Blood Glucose Test Strips, 38


fluoxetine HCL, 23

Fora G90 Blood Glucose Test Strips, 38

Fluoxetine HCL, 23

Fora GD20 Test Strips, 38


fluphenazine decanoate, 23

Fora GD50 Blood Glucose Test Strips, 38

fluphenazine HCL, 23


Fluphenazine HCL, 24

Fora Lancets, 35

flurazepam HCL, 24

Fora Test N' Go Blood Glucose Test

Strips, 38

Gebauers Spray And Stretch, 13

Glucose Control Normal, 36

Fora V10 Blood Glucose Test Strips, 38

Gel-kam Oral Care Rinse, 22

Glucose Control Solution, 36


Gel-one, 26

Glucosource Lancets, 36


Gelclair, 22

Glucotrol, 16


Gelnique, 20

Glucotrol XL, 16

Fora V30a Blood Glucose Test Strips, 38

Gemcitabine, 5

Glucovance, 16

Foracare GD40, 38

gemcitabine HCL, 5

Glumetza, 16

Foracare Premium V10 Teststrips, 38

gemfibrozil, 9

glyburide, 16

Foracare Test N Go Test Strips, 38

Gemzar, 5

Glyburide, 16

Foradil Aerolizer, 32

Genadur, 13

glyburide micronized, 16

Forfivo XL, 23

Genadur Kit, 13

glyburide/metformin HCL, 16

Fortamet, 16

gene-xene TAB 15MG, 22

Glycate, 19

Fortavit, 34

gene-xene TAB 3.75MG, 22

Glycolic Acid, 12

Fortaz, 1

gene-xene TAB 7.5MG, 22

Glycolic Acid 70% High Purity, 12

Forteo, 17

Generess FE, 15

glycopyrrolate, 18

Fortesta, 14

Genotropin, 17

Glynase, 16

Fortical, 17

Genotropin Miniquick, 17

Glyset, 16

Fortiscare Blood Glucose Test Strip, 38

gentamicin sulfate, 2, 27

Glyxambi, 16

Fosamax, 17

Gentamicin Sulfate, 11

Gmate Blood Glucose Test Strips, 38

Fosamax Plus D, 16

gentamicin sulfate pediatric, 2

Gmate Lancets 30G, 36

Foscavir, 3

gentamicin sulfate/0.9% sodium chloride, 2

Golytely, 18

fosinopril sodium, 8

Gonal-f, 17

fosinopril sodium/hydrochlorothiazide, 8

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Gonal-f RFF, 17

fosphenytoin sodium, 25

Gonal-f RFF Pen, 17

Fosrenol, 19

Gentle-let GP Lancets, 35

Gonal-f RFF Rediject, 17

Fragmin, 21

Gentle-let Lancets General Purpose Style/Fine Point, 36

Gordofilm, 13

Freestyle Insulinx Blood Glucose Test, 38

Gordons Urea, 13

Gentle-let Lancets General Purpose Style/Medium Point, 36

Gralise, 26

Freestyle Insulinx Blood Glucose Test Strips, 38

Gralise Starter, 26

Gentle-let Lancets Safety Style/Fine Point, 36

granisetron HCL, 19

Freestyle Lancets, 35

Granisol, 19

Freestyle Lite Test Strips, 38

Gentle-let Lancets Safety Style/Medium Point, 36

Granix, 21

Freestyle Test Strips, 38

Grifulvin V, 2

Freestyle Unistick II Lancets, 35

Geodon, 24

Gris-peg, 2

Frova, 30

Gesticare DHA, 34

griseofulvin microsize, 2

Fulyzaq, 18

Giazo, 20

griseofulvin ultramicrosize, 2

Furadantin, 20

Gilenya, 26

guanfacine ER, 24

furosemide, 9

Gilotrif, 6

guanfacine HCL, 8

Furosemide, 9

Gilphex TR, 32

Guanidine HCL, 26

Fusilev, 6

Giltuss, 32

Gynazole-1, 20

Fusion Plus, 21

Giltuss PED-c, 32

H

Fuzeon, 3

Giltuss TR, 32

H&h Thinlet Lancets 26G, 36

Fycompa, 25

Glassia, 32

H&h Thinlet Super Thin Lancets 30G, 36

G

Gleevec, 6

H.p. Acthar, 17

Gleostine, 4

gabapentin, 25

Haemolance, 36

Gliadel Wafer, 4

Gabavale-5, 23

Haemolance Low Flow Lancets, 36

glimepiride, 16

Gabazolamine, 23

Haemolance Plus, 36

glipizide, 16

Gabazolamine-0.5, 23

Haemolance Plus High Flow, 36

glipizide ER, 16

Gabazolpidem-5, 24

Haemolance Plus Low Flow, 36

glipizide/metformin HCL, 16

Gabitidine, 19

Haemolance Plus Max Flow, 36

Glucagen Hypokit, 16

Gabitril, 25

Haemolance Plus Pediatric Flow, 36

Glucagon Emergency Kit, 16

Gablofen, 26

Halaven, 6

Gluco Perfect 3 Test Strips, 38

Gaboxetine, 23

Halcion, 24

Glucocard 01 Sensor Plus, 38

galantamine, 25

Haldol, 24

Glucocard 01 Sensor Plus Test Strips, 38

galantamine hydrobromide, 25

Haldol Decanoate 100, 24

Galantamine Hydrobromide, 25

Haldol Decanoate 50, 24

Glucocard Expression Blood Glucose Test Strips, 38

ganciclovir, 3

halobetasol propionate, 12

Ganirelix Acetate, 17

Halog, 12

Glucocard Shine Test Strips, 38

Ganite, 17

Halonate, 12

Glucocard Vital Test Strips, 38

Garamycin, 27

haloperidol, 23

Glucocard X-sensor, 38

Gardasil, 33

haloperidol decanoate, 23

Glucocom Lancets 28G, 36

Gardasil 9, 33

haloperidol lactate, 23


Gastrinex NF, 19

Halotin, 11


Gastrocrom, 20

Harvoni, 3

Glucocom Test Strips, 38

gatifloxacin, 27

Havrix, 33

Gluconavii Blood Glucose Test Strips, 38

Gattex, 20

Hectorol, 18

Glucophage, 16

Gazyva, 5

Helidac, 19

Glucophage XR, 16

Gebauers Pain Ease, 13

Helixate FS, 22

Hemabate, 28

hydralazine HCL, 8

Idamycin PFS, 4

Hemangeol, 7

Hydrea, 6

idarubicin HCL, 4

Hematogen Fa, 21

Hydro 35, 13

Ifex, 4

Hematron-AF, 21

Hydro 40 Foam, 13

ifosfamide, 4

Hemocyte Plus, 21

hydrochloric acid, 20

Ifosfamide, 4

Hemocyte-f, 21

hydrochlorothiazide, 9

Ifosfamide/Mesna, 6

Hemofil M, 22

hydrocodone bitartrate/acetaminophen, 29

Ilaris, 30

heparin lock, 21

Ilevro, 28

heparin lock flush, 21

Hydrocodone Bitartrate/Acetaminophen, 29

Imbruvica, 6

Heparin Lock Flush, 21

Imdur, 7

heparin lock flush for flushing vascular access devices, 21

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31

imipenem/cilastatin, 4

imipramine HCL, 23

heparin lock flush/NACL for flushing vascular access devices, 21

hydrocodone bitartrate/homatropine methylbromide, 31

imipramine pamoate, 23

imiquimod, 13

heparin sodium, 21

hydrocodone polistirex/chlorpheniramine polistirex, 31

Imitrex, 30

Heparin Sodium, 21

Imitrex Statdose Refill, 30

heparin sodium dcu, 21

hydrocodone/acetaminophen, 29

Imitrex Statdose System, 30

heparin sodium lock flush, 21

Hydrocodone/Acetaminophen, 29

Imovax Rabies (h.d.c.v.), 33

heparin sodium/D5W, 21

hydrocodone/homatropine, 31

Imuran, 5

Heparin Sodium/D5W, 21

hydrocodone/ibuprofen, 29

IN Touch Blood Glucose Test Strips, 38

Heparin Sodium/NACL 0.45%, 21

hydrocort ene 100MG, 19

IN Touch Sterile Lancets 30G, 36

heparin sodium/NACL 0.9%, 21

hydrocortisone, 12, 14, 19

Increlex, 17

Heparin Sodium/Sodium Chloride 0.9%, 21

hydrocortisone acetate/aloe, 12

Incruse Ellipta, 32

hydrocortisone acetate/lidocaine HCL, 19

indapamide, 9

heparin sodium/sodium chloride 0.9% premix, 21

hydrocortisone acetate/pramoxine, 19

Inderal LA, 7

hydrocortisone butyrate, 12

Inderal XL, 7

Hepsera, 3

hydrocortisone butyrate (lipid), 12

Indocin, 30

Herceptin, 5

hydrocortisone butyrate (lipophilic), 12

indomethacin, 29

Hespan, 22

hydrocortisone IN absorbase, 12

Indomethacin, 30

hetastarch 6%/NACL, 22

hydrocortisone valerate, 12

indomethacin ER, 29

Hetlioz, 24

hydrocortisone/acetic acid, 28

Indomethacin Sodium, 30

Hexalen, 4

hydromorphone HCL, 29

Infanrix, 32

Hextend, 22

Hydromorphone HCL, 29

Infasurf, 32

Hiberix, 33

Hydromorphone HCL Dosette, 29

Infed, 21

Hiprex, 20

hydromorphone HCL ER, 29

Infergen, 3

homatropine HBR, 27

Hydromorphone HCL ER, 29

Infinity Blood Glucose Test Strips, 38

Horizant, 26

Hydroxocobalamin, 21

Infumorph 200, 29

HPR, 13

hydroxychloroquine sulfate, 3

Infumorph 500, 29

HPR Plus, 13

hydroxyurea, 6

Injectafer, 21

HPR Plus Hydrogel Kit, 13

hydroxyzine HCL, 22

Inlyta, 6

HPR Plus/Mb Hydrogel, 13

Hydroxyzine HCL, 23

Innopran XL, 7

Humalog, 15

hydroxyzine pamoate, 22

Innoprax-5, 11

Humalog Kwikpen, 16

Hydroxyzine Pamoate, 23

Inova, 10

Humalog Mix 50/50, 16

Hylatopic, 13

Inova 4/1 Acne Control Therapy, 10

Humalog Mix 50/50 Kwikpen, 16

Hylatopic Plus, 13

Inova 8/2 Acne Control Therapy, 10

Humalog Mix 75/25, 16

Hylira, 13

Inspirachamber/Anti-static Valved/Mouthpiece, 39

Humalog Mix 75/25 Kwikpen, 16

hyoscyamine sulfate, 18

Humate-p, 22

hyoscyamine sulfate ER, 18

Inspirachamber/Soothermask/Inspiramask/Medium, 39

Humatrope, 17

hyoscyamine sulfate odt, 18

Humatrope Combo Pack, 17

hyoscyamine sulfate SR, 18

Inspirachamber/Soothermask/Inspiramask/Small, 39

Humira, 30

Hyper-sal, 32

Humira Pediatric Crohns Disease Starter Pack, 30

Hypersal, 32

Inspirease Bags, 39

Hypertenevide-12.5, 7

Inspirease Drug Delivery System, 39

Humira Pen, 30

Hypertenipine-2.5, 7

Inspirease Mouthpiece, 39

Humira Pen-crohns Diseasestarter, 30

Hypertensolol, 9

Inspirease Reservoir Bags, 39

Humira Pen-psoriasis Starter, 30

Hysingla ER, 29

Inspra, 8

Humulin 70/30, 16

Hyzaar, 9

Insulin Syringe/0.5ML/30G X 5/16", 38

Humulin 70/30 Kwikpen, 16

I

Integra F, 21

Humulin 70/30 Pen, 16

Integra Plus, 21

ibandronate sodium, 16

Humulin N, 16

Integrilin, 22

Ibrance, 6

Humulin N Kwikpen, 16

Intelence, 3

Ibudone, 29

Humulin N U-100 Pen, 16

Interarticular Joint Kit, 14

ibuprofen, 29

Humulin R, 16

Intermezzo, 24

Ibuprofen Comfort PAC, 30

Humulin R U-500 (concentrated), 16

Introl, 9

ibutilide fumarate, 7

Hy-vee Lancets, 36

Intron A, 6

IC 400, 30

Hyalgan, 26

Intron A W/Diluent, 6

IC 800, 30

Hycamtin, 6

Intuniv, 24

Icar-c Plus, 21

Hycet, 29

Invanz, 4

Iclusig, 6

Invega, 24

Kadcyla, 5

Lamictal Starter/Taking Valproate, 25

Invega Sustenna, 24

Kadian, 29

Lamictal XR, 25

Invega Trinza, 24

Kalbitor, 22

Lamisil, 2

Invirase, 3

Kaletra, 3

Lamisil Spray, 11

Invokamet, 16

Kalydeco, 32

lamivudine, 3

Invokana, 16

Kapvay, 24

lamivudine/zidovudine, 3

Ionsys, 29

Kapvay Dose Pack, 24

lamotrigine, 25

Iopidine, 28

Karbinal ER, 31

lamotrigine ER, 25

Ipol Inactivated IPV, 33

Kazano, 16

lamotrigine odt, 25

ipratropium bromide, 31, 32

Keflex, 1

Lancets, 36

ipratropium bromide/albuterol sulfate, 32

Kenalog, 12

Lancets 26G Twist Top, 36

Iprivask, 21

Kenalog-10, 14

Lancets 28G, 36

irbesartan, 8

Kenalog-40, 14

Lancets 30G, 36

irbesartan/hydrochlorothiazide, 8

Kengreal, 22


Irenka, 23

Kepivance, 6

Lancets 30G/Twist Top, 36

Iressa, 6

Keppra, 25


irinotecan, 6

Keppra XR, 25

Lancets 33G Universal Design, 36

Irinotecan, 6

Kerafoam, 13

Lancets Bullseye Safety, 36

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21

Kerafoam 42, 13

Lancets Safety Seal 21G, 36

Keralac, 13


Irospan 24/6, 21

Keralyt, 13


Is 24/6, 21

Keralyt Scalp, 13


Isentress, 3

Kerlone, 7

Lancets Thin, 36

Isometheptene/Caffeine/Acetaminophen, 30

Kerydin, 11

Lancets Twist Top, 36

Ketek, 4

Lancets Ultra Fine, 36

isoniazid, 2

ketoconazole, 2, 11

Lancets Ultra Thin, 36

Isoniazid, 2

Ketodan Kit, 11

Lanoxin, 7

Isopto Atropine, 27

ketoprofen, 29

Lanoxin Pediatric, 7

Isopto Carbachol, 27

Ketoprofen ER, 30

lansoprazole, 18

Isopto Carpine, 28

Ketorocaine-l, 30

lansoprazole/amoxicillin/clarithromycin, 18

Isopto Homatropine, 27

Ketorocaine-lm, 30

Isopto Hyoscine, 27

Ketorolac 2% Gel, 11

Lantus, 15

Isordil Titradose, 7

ketorolac tromethamine, 28, 29

Lantus Solostar, 15

isosorbide dinitrate, 7

Ketorolac Tromethamine, 30

Lasix, 9

Isosorbide Dinitrate, 7

Keytruda, 5

Lastacaft, 28

isosorbide dinitrate ER, 7

Khedezla, 23

latanoprost, 27

isosorbide mononitrate, 7

Kineret, 30

Latrix XM, 13

isosorbide mononitrate ER, 7

Kinlytic, 22

Latuda, 24

isotonic gentamicin, 2

Kinrix, 32

Lazanda, 29

Isotonic Gentamicin, 2

Kitabis PAK, 2

leflunomide, 29

isradipine, 7

Klaron, 10

Lemtrada, 26

Istalol, 27

Klonopin, 25

Lenvima 10MG Daily Dose, 6

Istodax, 6

Koate-dvi, 22


Isuprel, 32

Kogenate FS, 22


itraconazole, 2

Kogenate FS Bio-set, 22


ivermectin, 3

Kombiglyze XR, 16

Lescol, 10

Ixempra Kit, 6

Korlym, 16

Lescol XL, 10

Ixiaro, 33

Kristalose, 18

Letairis, 10

J

Krystexxa, 30

letrozole, 5

Kuvan, 18

leucovorin calcium, 6

Jadenu, 39

Kynamro, 10

Leucovorin Calcium, 6

Jakafi, 6

Kyprolis, 6

Leukeran, 4

Jalyn, 20

L

Leukine, 21

Janumet, 16

leuprolide acetate, 5

Janumet XR, 16

labetalol HCL, 7

Levacet, 28

Januvia, 16

Lac-hydrin, 13

levalbuterol, 32

Jardiance, 16

Lacrisert, 27

levalbuterol HCL, 32

Jentadueto, 16

lactic acid, 13

Levaquin, 2

Jetrea, 28

lactic acid e, 13

Levatol, 7

Jevtana, 6

lactic acid w/vitamin e, 13

Levbid, 19

Jublia, 11

lactulose, 18, 19

Levemir, 16

Juxtapid, 9

Lamictal, 25

Levemir Flexpen, 16

K

Lamictal Chewable Dispersible, 25

Levemir Flextouch, 16

Lamictal Odt, 25

levetiracetam, 25

K-phos NO 2, 20

Lamictal Starter/Not Taking Carbamazepine, 25

Levetiracetam, 25

K.b.g.l. IN Teroderm Cream, 11

levetiracetam ER, 25

K10-lido, 14

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25

Levitra, 10

K2k Pain Relieving Patch, 13

levobunolol HCL, 27

K40-lido, 14

Levobunolol HCL, 27

Live Better Lancet Super Thin 30G, 36

M.v.i.-12 Without Vitamin K, 34

levocarnitine, 18

Live Better Lancet Ultra Thin 28G, 36

Macrobid, 20

levocetirizine dihydrochloride, 31

Livixil PAK, 13

Macrodantin, 20

levofloxacin, 2, 27

LMD 10% Dextrose 5%, 22

Magnacet, 29

levofloxacin IN D5W, 2

LMD 10% Sodium Chloride 0.9%, 22

Makena, 15

Levoleucovorin Calcium, 6

LO Loestrin FE, 15

Malarone, 3

levonorgestrel, 15

LO Minastrin FE, 15

malathion, 13

Levonorgestrel, 15

Locoid, 12

mannitol, 9

levonorgestrel and ethinyl estradiol, 15

Locoid Lipocream, 12

Maprotiline HCL, 23

levonorgestrel/ethinyl estradiol, 15

Lodosyn, 25

Marbeta-25, 14

Levophed, 9

Loestrin 1.5/30-21, 15

Marbeta-l, 14

Levorphanol Tartrate, 29

Loestrin 1/20-21, 15

Marcaine, 31

levothyroxine sodium, 18

Loestrin FE 1.5/30, 15

Marcaine W/O Epi, 31

Levothyroxine Sodium, 18

Loestrin FE 1/20, 15

Marcaine/Epinephrine, 31

Levsin, 19

Lofibra, 10

Mardex-25, 14

Levsin/SL, 19

Lomotil, 18

Marinol, 19

Lexapro, 23

Lomustine, 4

Marlido-25, 31

Lexiva, 3

loperamide HCL, 18

Marnatal-f, 34

Lialda, 19

Lopid, 10

Marplan, 23

Liberty Glucose Control Mid, 36

Lopressor, 7

Marqibo, 6

Liberty Glucose Control Normal, 36

Lopressor HCT, 9

Mask Vortex/Baby Whirl Duckling, 39

Liberty Medical Lancets 30G, 36

Loprox, 11

Mask Vortex/Child/Frog, 39

Liberty Next Generation Blood Glucose Test Strips, 38

Loprox Shampoo, 11

Mask Vortex/Spinner The Duck, 39

lorazepam, 22

Mask Vortex/Toddler/Lady Bug, 39

lidocaine, 13

Lorazepam Intensol, 23

Matulane, 6

Lidocaine And Tetracaine Cream, 13

Lorcet 10/650, 29

Mavik, 8

lidocaine HCL, 7, 13, 22, 31

Lorcet Plus, 29

Maxair Autohaler, 32

Lidocaine HCL, 8, 13

Lortab, 29

Maxalt, 30

lidocaine HCL IN D5W, 7

Lorzone, 26

Maxalt-MLT, 30

lidocaine HCL jelly, 13

losartan potassium, 8

Maxaron Forte, 21

lidocaine HCL viscous, 22

losartan potassium/hydrochlorothiazide, 8

Maxfe, 21

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20

Maxidex, 27

Loseasonique, 15

Maxidone, 29

lidocaine HCL/dextrose, 7

Lotemax, 27

Maxima Blood Glucose Teststrips, 38

Lidocaine HCL/Dextrose, 31

Lotensin, 8

Maxipime, 1

lidocaine HCL/hydrocortisone acetate, 19

Lotensin HCT, 9

Maxitrol, 27

lidocaine viscous, 22

Lotrel, 9

Maxzide, 9

lidocaine/epinephrine, 31

Lotrisone, 11

Maxzide-25, 9

lidocaine/prilocaine, 13

Lotronex, 20

Mb Hydrogel, 13

Lidocaine/Prilocaine, 13

lovastatin, 9

meclizine HCL, 19

Lidoderm, 13

Lovaza, 10

Meclofenamate Sodium, 30

Lidoprofen, 11

Lovenox, 21

Medi-derm/L-RX, 13

Lidothol, 13

loxapine, 23

Medical Provider EZ Flu Shot 2014-2015, 33

Lidovir, 11

loxapine succinate, 23

Lifescan Unistik 2 Deep Penetration, 36

Loxitane, 24

Medisense Thin Lancets, 36

Lifescan Unistik II Lancets, 36

Lta 360 Kit, 22

Medlance Plus Extra Lancets 21G, 36

Lincocin, 4

Lufyllin, 32

Medlance Plus Lancets, 36

Lincomycin/Lidocaine, 4

Lumigan, 27

Medlance Plus Lancets Lite 25G, 36

lindane, 13

Lumizyme, 18

Medlance Plus Lite Lancets 25G, 36

linezolid, 4

Lunesta, 24

Medlance Plus Special Lancets 0.8MM, 36

Linzess, 19

Lupaneta Pack, 17

Lioresal Intrathecal, 26

Lupron Depot, 5

Medlance Plus Superlite 30G, 36

liothyronine sodium, 18

Lupron Depot-PED, 17

Medlance Plus Superlite 30G/Comfort Max, 36

Lipitor, 10

Luvox CR, 23

Lipofen, 9

Luxiq, 12

Medlance Plus Universal Lancets 21G, 36

Liptruzet, 9

Luzu, 11

Liquicet, 29

Lycelle, 13

Medlance Plus/Lite 25G, 36

lisinopril, 8

Lynparza, 6

Medlance/Extra, 36

lisinopril/hydrochlorothiazide, 8

Lyrica, 25

Medlance/Lite, 36

Liteaire, 39

Lysodren, 5

Medlance/Universal, 36

Litetouch Lancets Micro Thin 33G, 36

Lysteda, 22

Medrol, 14

Lithium, 24

Lytensopril Kit, 9

Medrol Dosepak, 14

lithium carbonate, 23

Lytensopril-90, 9

medroxyprogesterone acetate, 15

Lithium Carbonate, 24

Lytensopril-90 Kit, 9

Medroxyprogesterone/Lidocaine, 15

lithium carbonate ER, 23

M

mefenamic acid, 30

Lithobid, 24

mefloquine HCL, 3

M-m-r II, 33

Lithostat, 20

Mefoxin, 1

M.v.i. Adult, 34

Livalo, 10

Megace ES, 15

M.v.i. Pediatric, 34

Megace Oral, 5

methylprednisolone, 14

modafinil, 24

megestrol acetate, 5, 15

Methylprednisolone, 14

Moderiba, 3

Megestrol Acetate, 5, 15

methylprednisolone acetate, 14

Moderiba 1200 Dose Pack, 3

Megrix, 13

methylprednisolone dose pack, 14

Moderiba 800 Dose Pack, 3

Meijer Super Thin Lancets, 36

Methylprednisolone PF, 14

Modicon, 15

Mekinist, 6

methylprednisolone sodiumsuccinate, 14

moexipril HCL, 8

meloxicam, 30

Methylprednisolone/Lidocaine, 14

moexipril/hydrochlorothiazide, 8

Meloxicam, 30

Metipranolol, 27

mometasone furoate, 12

Meloxicam Comfort PAC, 30

metoclopramide HCL, 19

Moms Choice RX, 34

melphalan hydrochloride, 4

metoclopramide odt, 19

Monoclate-p, 22

memantine HCL, 25

metolazone, 9

Monodox, 2

memantine HCL titration PAK, 25

metoprolol succinate ER, 7

Monoject Bone Marrow Biopsy Prepping Tray, 31

Menactra, 33

metoprolol tartrate, 7

Menest, 15

metoprolol/hydrochlorothiazide, 8

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 31

Menhibrix, 33

Metozolv Odt, 20

Menomune-a/C/Y/W-135, 33

Metro IV, 4

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 31

Menopur, 17

Metrocream, 11

Menostar, 15

Metrogel, 11

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 31

Mentax, 11

Metrogel-vaginal, 20

Menveo, 33

Metrolotion, 11

Monolet Lancets, 36

meperidine HCL, 29

metronidazole, 4, 11

Monolet Opd Lancets, 36

Meperidine HCL, 29

metronidazole IN NACL 0.79%, 4

Monolettor Safety Lancets, 36

Mephyton, 33

metronidazole vaginal, 20

Mononine, 22

Mepivacaine HCL, 31

Mevacor, 10

Monovisc, 26

meprobamate, 22

mexiletine HCL, 7

montelukast sodium, 32

Mepron, 4

Miacalcin, 17

Monurol, 20

mercaptopurine, 5

Micardis, 8

Morgidox 1X100MG, 2

meropenem, 4

Micardis HCT, 9

Morgidox 2X100MG, 2

Merrem, 4

Microchamber, 39

morphine sulfate, 29

mesalamine, 19

Microdot Test Strips, 38

Morphine Sulfate, 29

mesna, 6

Microlet Lancets, 36

Morphine Sulfate Add-vantage, 29

Mesnex, 6

Microspacer, 39

morphine sulfate ER, 29

Mestinon, 26

Microtainer Safety Flow Lancet/Sterile/Single-use, 36

Morphine Sulfate ER, 29

Mestinon Timespan, 26

Motofen, 18

Metadate CD, 24

Microzide, 9

Movantik, 19

Metaproterenol Sulfate, 32

midodrine HCL, 9

Moviprep, 18

Metastron, 6

Mifeprex, 18

Moxatag, 1

metaxalone, 26

Migergot, 30

Moxeza, 27

Metaxalone, 26

Migral, 30

moxifloxacin HCL, 2

metformin HCL, 16

Migranal, 30

Moxifloxacin HCL, 2

metformin HCL ER, 16

Millipred, 14

Mozobil, 21

methadone HCL, 29

Millipred DP, 14

MS Contin, 29

Methadone HCL, 29

milrinone IN dextrose, 7

Multaq, 8

Methadose, 29

milrinone lactate, 7

Multigen, 21

Methadose Sugar-free, 29

Minastrin 24 FE, 15

Multigen Folic, 21

methamphetamine HCL, 24

Mineral Oil Heavy, 18

Multigen Plus, 21

methazolamide, 9

Minipress, 8

mupirocin, 11

methenamine hippurate, 20

Minivelle, 15

mupirocin calcium, 11

methenamine mandelate, 20

Minocin, 2

Muse, 10

Methenamine Mandelate, 20

Minocin Kit, 2

Mustargen, 4

methimazole, 18

minocycline HCL, 2

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21

methocarbamol, 26

minocycline HCL ER, 2

methotrexate, 5

minoxidil, 8

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21

methotrexate sodium, 5

Mirapex, 25

methoxsalen, 12

Mirapex ER, 25

Myalept, 18

methscopolamine bromide, 18

Mircera, 21

Myambutol, 2

Methyclothiazide, 9

Mircette, 15

Mycamine, 2

methyldopa, 8

mirtazapine, 23

Mycobutin, 2

Methyldopa/Hydrochlorothiazide, 9

mirtazapine odt, 23

mycophenolate mofetil, 5

Methyldopate HCL, 8

Mirvaso, 11

mycophenolic acid DR, 5

methylergonovine maleate, 28

misoprostol, 18

Mydfrin, 27

Methylin, 24

Mitigare, 31

Myfortic, 5

methylphenidate HCL, 24

mitomycin, 4

Myglucohealth Blood Glucose Test, 38

methylphenidate HCL CD, 24

Mitomycin, 4

Myglucohealth Mgh Softlance Lancets 30G, 36

methylphenidate HCL ER, 24

Mitosol, 27

Methylphenidate HCL ER, 24

mitoxantrone HCL, 4

Mykidz Iron Fl, 34

methylphenidate HCL SR, 24

Mlk F4 Kit, 14

Myleran, 4

methylphenidate hydrochloride, 24

Mobic, 30

Mynatal, 34

Myobloc, 26

neomycin sulfate, 2

nifedipine, 7

Myoxin, 28

neomycin/bacitracin/polymyxin, 27

nifedipine ER, 7

Myozyme, 18

neomycin/polymyxin/bacitracin zinc, 27

Nilandron, 5

Myrbetriq, 20

neomycin/polymyxin/bacitracin/hydrocortisone, 27

Nimbex, 26

Mysoline, 25

nimodipine, 7

N

neomycin/polymyxin/dexamethasone, 27

Nipent, 6

neomycin/polymyxin/gramicidin, 27

Niravam, 23

nabumetone, 30

neomycin/polymyxin/HC, 28

nisoldipine, 7

nadolol, 7

Neomycin/Polymyxin/Hydrocortisone, 27

Nisoldipine, 7

nadolol/bendroflumethiazide, 8

neomycin/polymyxin/hydrocortisone, 28

Nisoldipine ER, 7

nafcillin sodium, 1

Neoprofen, 30

Nitro-bid, 7

Nafcillin Sodium, 1

Neoral, 5

Nitro-dur, 7

Nafrinse Daily/Acidulated, 22

Neosalus, 13

nitrofurantoin, 20

Nafrinse Daily/Neutral, 22

Neosalus CP, 13

nitrofurantoin macrocrystals, 20

Nafrinse Weekly, 22

Neosporin, 27

nitrofurantoin monohydrate, 20

naftifine HCL, 11

neostigmine methylsulfate, 26

nitrofurantoin monohydrate/macrocrystals, 20

Naftin, 11

Neostigmine Methylsulfate, 26

Naglazyme, 18

Neotuss Plus, 32

nitroglycerin, 7

nalbuphine HCL, 29

Nephplex RX, 34

Nitroglycerin, 7

Nalfon, 30

Nephro-vite RX, 34

nitroglycerin ER, 7

Nallpen Iso-osmotic IN Dextrose, 1

Nephrocaps, 34

nitroglycerin IN 5% dextrose, 7

Nallpen/Dextrose, 1

Nephrocaps QT, 34

nitroglycerin IN dextrose 5%, 7

Namenda, 26

Nephron Fa, 21

Nitroglycerin IN Dextrose 5%, 7

Namenda Titration PAK, 26

Neptazane, 9

nitroglycerin lingual, 7

Namenda XR, 26

Nesacaine, 31

Nitroglycerin Lingual, 7

Namenda XR Titration Pack, 26

Nesacaine-mpf, 31

nitroglycerin transdermal, 7

Namzaric, 26

Nesina, 16

Nitrolingual Pumpspray, 7

Naphazoline HCL, 27

Nessi Spacer/Large Mask, 39

Nitromist, 7

Naprelan, 30

Nessi Spacer/Mouthpiece, 39

Nitronal, 7

Naprosyn, 30

Nessi Spacer/Small/MED Mask, 39

Nitropress, 8

naproxen, 30

Nestabs, 34

Nitrostat, 7

Naproxen, 30

Nestabs Abc, 34

Niva-plus, 34

Naproxen Comfort PAC, 30

Nestabs DHA, 34

Nivatopic Plus, 13

naproxen sodium, 30

Netgroup Lancets, 36

nizatidine, 18

naproxen sodium ER, 30

Neuac Kit, 10

Nizoral, 11

naratriptan HCL, 30

Neulasta, 21

Nor-QD, 15

Nardil, 23

Neulasta Delivery Kit, 21

Norco, 29

Naropin, 31

Neumega, 21

Norditropin Cartridge, 17

Nasacort AQ, 31

Neupogen, 21

Norditropin Flexpro, 17

Nascobal, 21

Neupro, 25

Norditropin Nordiflex Pen, 17

Nasonex, 31

Neurontin, 25

norepinephrine bitartrate, 9

Natachew, 34

Neutek 2tek Test Strips, 38

norethindrone, 15

Natacyn, 27

Neutrasal, 22

norethindrone & ethinyl estradiol ferrous fumarate, 15

Natafort, 34

Neutrexin, 4

Natalvirt 90 DHA, 34

Neuvaxin, 13

norethindrone acetate, 15

Natalvirt CA, 34

Nevanac, 28

norethindrone acetate/ethinyl estradiol, 15(2)

Natalvirt Flt, 21

nevirapine, 3

Natalvit, 34

Nevirapine, 3

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

Natazia, 15

nevirapine ER, 3

nateglinide, 16

Newgen, 34

Norflex, 26

Natelle One, 34

Nexa Plus, 34

norgestimate/ethinyl estradiol, 15

Natesto, 14

Nexavar, 6

Norinyl 1+35, 15

Natpara, 17

Nexgen Test Strips, 38

Norinyl 1+50, 15

Natrecor, 10

Nexium, 19

Noritate, 11

Natroba, 13

Nexium I.v., 19

Noroxin, 2

Nature-throid, 18

Nexterone, 8

Norpace, 8

Nature-throid Nt-2.5, 18

niacin ER, 9

Norpace CR, 8

Navelbine, 6

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33

Norpramin, 23

Nazirex, 11

Northera, 9

Nebupent, 4

Niacor, 10

nortriptyline HCL, 23

Nebusal, 32

Niaspan, 10

Nortriptyline HCL, 23

Necon 1/50-28, 15

Nicadan, 34

Norvasc, 7

Necon 10/11-28, 15

nicardipine HCL, 7

Norvir, 3

Neevo DHA, 34

Nicazel, 34

Nova Max Glucose Test Strips, 38

nefazodone HCL, 23

Nicazel Forte, 34

Nova Safety Lancets 23G, 36

Nefazodone HCL, 23

Nicazeldoxy 30 Kit, 2

Nova Safety Lancets 28G, 36

Nembutal Sodium, 24

Nicazeldoxy 60 Kit, 2

Nova Sureflex Lancets, 36

Neo-synalar, 11

Nicomide, 34

Novaferrum, 21

Neo-synalar Kit, 11

Novoclair, 11

olanzapine odt, 23

Optichamber Diamond, 39

Novofine 30GX8MM, 36

olanzapine/fluoxetine, 25

Optichamber Diamond/Largeface Mask, 39

Novofine 32GX6MM, 36

Oleptro, 23

Novofine Autocover 30GX8MM, 36

olopatadine HCL, 31

Optichamber Diamond/Medium Face Mask, 39

Novolin 70/30, 15

Olux, 12

Novolin 70/30 Relion, 15

Olux-e, 12

Optichamber Diamond/Smallface Mask, 39

Novolin N, 15

Olysio, 3

Novolin N Relion, 15

Omeclamox-PAK, 19

Optihaler, 39

Novolin R, 15

omega-3-acid ethyl esters, 9

Optihaler MDI Drug Delivery System, 39

Novolin R Relion, 15

omeprazole, 18

Optium Test Strips, 38

Novolog, 15

Omeprazole + Syrspend SF Alka, 19

Optiumez Test Strips, 38

Novolog Flexpen, 15

omeprazole/sodium bicarbonate, 18

Optivar, 28

Novolog Mix 70/30, 15

Omnaris, 31

Optumrx Blood Glucose Test, 38

Novolog Mix 70/30 Prefilled Flexpen, 15

Omnipred, 27

Oracea, 11

Novolog Penfill, 15

Omnitrope, 17

Oracit, 20

Novoseven, 22

Omontys, 21

Orafate, 22

Novoseven Rt, 22

On Call Express Blood Glucose Test Strips, 38

Orap, 26

Novotwist 30GX8MM, 36

Orapred, 14

Novotwist 32GX5MM, 36

On Call Lancets, 36

Orapred Odt, 14

Noxafil, 2

On Call Plus Blood Glucose Test, 38

Oravig, 22

Nplate, 21

On Call Plus Lancets, 36

Orbactiv, 4

Nucort, 12

On Call Vivid Blood Glucose Test, 38

Orencia, 30

Nucynta, 29

On Call Vivid Blood Glucose Test Strips, 38

Orenitram, 10

Nucynta ER, 29

Orfadin, 18

Nuedexta, 26

Oncaspar, 5

Orkambi, 32

Nulojix, 5

ondansetron HCL, 19

orphenadrine citrate, 26

Nulytely/Flavor Packs, 18

ondansetron odt, 19

orphenadrine citrate ER, 26

Numoisyn, 22

Onetouch Basic System, 36

orphenadrine/asa/caffeine, 26

Nuox, 10

Onetouch Basic/Profile Test Strips, 36

Ortho Evra, 15

Nutricap, 34

Onetouch Club Lancets Fine Point, 36

Ortho Micronor, 15

Nutridox, 2

Onetouch Combo Pack, 36

Ortho Tri-cyclen, 15

Nutrivit, 34

Onetouch Delica Lancets Extra Fine 33G, 36

Ortho Tri-cyclen LO, 15

Nutropin AQ Nuspin 10, 17

Ortho-cept, 15


Onetouch Delica Lancets Fine 30G, 36

Ortho-cyclen, 15


Onetouch Finepoint Lancets, 36

Ortho-novum 1/35, 15

Nutropin AQ Pen, 17

Onetouch Lancets, 36

Ortho-novum 7/7/7, 15

Nuvail, 13

Onetouch Ping Meter Remote, 36

Orthovisc, 26

Nuvaring, 15

Onetouch Profile System, 36

Oseni, 16

Nuvessa, 20

Onetouch Ultra 2, 36

Osmoprep, 18

Nuvigil, 24

Onetouch Ultra Blue, 36

Osphena, 17

Nuvya, 11

Onetouch Ultra Control, 36

Otezla, 30

Nuzon, 12

Onetouch Ultra Mini, 36

Otozin, 28

Nymalize, 7

Onetouch Ultra System Kit, 36

Otrexup, 30

nystatin, 2, 11, 22

Onetouch Ultralink System (DEC), 36

Ovace Plus, 12

Nystatin, 11

Onetouch Ultralink System (hex), 36

Ovace Plus Wash, 12

Nystatin Foreign, 11

Onetouch Ultrasmart, 36

Ovace Wash, 12

nystatin/triamcinolone, 11

Onetouch Ultrasoft Lancets, 36

Ovcon-35, 15

O

Onetouch Verio, 36

Ovide, 13

Onetouch Verio Control Solution High, 36

Ovidrel, 17

O-CAL Fa, 34

oxacillin sodium, 1

O-CAL Prenatal, 34

Onetouch Verio IQ Blood Glucose Monitoring System, 36

oxaliplatin, 4

OB Complete, 34

Oxandrin, 14

OB Complete 400, 34

Onetouch Verio Mid Control Solution, 36

oxandrolone, 14

OB Complete One, 34

Onetouch Verio Sync Bloodglucose Monitoring System, 36

oxaprozin, 30

OB Complete Petite, 34

oxazepam, 23

OB Complete Premier, 34

Onetouch Verio Test Strips, 36

oxcarbazepine, 25

OB Complete/DHA, 34

Onexton, 10

Oxecta, 29

Obredon, 32

Onfi, 25

Oxistat, 11

Obstetrix DHA, 34

Onglyza, 16

Oxsoralen, 13

octreotide acetate, 17

Onmel, 2

Oxsoralen Ultra, 12

Ocudox, 2

Opana, 29

Oxtellar XR, 25

Ocufen, 28

Opana ER (crush Resistant), 29

oxybutynin chloride, 20

Ocuflox, 27

Opdivo, 5

oxybutynin chloride ER, 20

Ocuvel, 34

opium, 18

oxycodone HCL, 29

Ofev, 32

opium tincture, 18

Oxycodone HCL, 29

Ofirmev, 28

Opium Tincture (paregoric), 18

Oxycodone HCL ER, 29

ofloxacin, 2, 27, 28

Opsumit, 10

oxycodone/acetaminophen, 29

Ofloxacin, 2

Optichamber Advantage, 39

oxycodone/aspirin, 29

olanzapine, 23

oxycodone/ibuprofen, 29

Pen Needles 29GX1/2", 36

piperacillin sodium/ tazobactam sodium, 1

Oxycontin, 29


oxymorphone hydrochloride, 29

Pen Needles 31G X 1/4" SHORT, 36

piperacillin sodium/tazobactam sodium, 1

oxymorphone hydrochloride ER, 29

Pen Needles 31G X 3/16", 36

piperacillin/tazobactam, 1

oxytocin, 28

Pen Needles 31G X 6MM, 36

piroxicam, 30

Oxytrol, 20


Pitocin, 28

Oxytrol For Women, 20

penicillin G potassium, 1

Pitressin Synthetic, 17

Ozurdex, 27

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Plan B, 15

P

Plan B One-step, 15

Penicillin G Procaine, 1

Plaquenil, 3

paclitaxel, 5

Penicillin G Sodium, 1

Plavix, 22

Paclitaxel, 6

penicillin v potassium, 1

Plegridy, 26

Paire OB, 34

Penlac Nail Lacquer, 11

Plegridy Starter Pack, 26

Palgic, 31

Pennsaid, 12

Pletal, 22

Pamelor, 23

Pentacel, 32

Plexion, 10

pamidronate disodium, 16

Pentam 300, 4

Plexion Cleanser, 10

Pamidronate Disodium, 17

Pentasa, 19

Plexion Cleansing Cloths, 10

Pamine, 19

pentazocine/acetaminophen, 29

Pliaglis, 13

Pamine Forte, 19

pentazocine/naloxone HCL, 29

Pneumovax 23, 33

Pamine FQ, 19

Pentetate Calcium Trisodium, 39

Pneumovax 23/1 Dose, 33

Panatuss Dxp, 32

Pentetate Zinc Trisodium, 39

Pneumovax 23/5 Dose, 33

Pancreaze, 19

pentoxifylline ER, 22

Pocket Chamber, 39

Pancrelipase, 19

Pepcid, 19

Pocket Spacer, 39

pancuronium bromide, 26

Percocet, 29

Pocketchem EZ Blood Glucose Test Strips, 38

Panda Mask Large, 39

Percodan, 29

Panda Mask Medium, 39

Perfect Lancets 30G, 36

podofilox, 13

Panda Mask Small, 39

Perfect Pressure Activated Safety Lancets 28G, 36

Poly-VI-flor, 34

Pandel, 12

Poly-VI-flor FS, 34

pantoprazole sodium, 18

Perforomist, 32

Poly-VI-flor/Iron, 34

papaverine HCL, 10

Peridex, 22

polyethylene glycol 3350, 18

Parafon Forte DSC, 26

perindopril erbumine, 8

polymyxin b sulfate, 4

Parcopa, 25

Perjeta, 5

polymyxin b sulfate/trimethoprim sulfate, 27

paricalcitol, 18

permethrin, 13

Paricalcitol, 18

perphenazine, 23

Polytrim, 27

Parlodel, 25

Perphenazine/Amitriptyline, 26

Pomalyst, 5

Parnate, 23

Persantine, 22

Ponstel, 30

paromomycin sulfate, 2

Pertzye, 19

potassium citrate ER, 20

paroxetine HCL, 23

Pexeva, 23

potassium citrate-citric acid crystals, 20

paroxetine HCL ER, 23

Pfizerpen-G, 1

potassium citrate/citric acid, 20

Paser, 2

Pharmacist Choice Autocode Blood Glucose Test Strips, 38

potassium citrate/sodium citrate/citric acid, 20

Pataday, 28

Patanase, 31

Pharmacy Counter Lancets, 36

Potiga, 25

Patanol, 28

phenazopyridine HCL, 20

Pr Cream, 13

Paxil, 23

phenelzine sulfate, 23

Pradaxa, 21

Paxil CR, 23

Phenergan, 31

Praluent, 10

Pazeo, 28

phenobarbital, 24

pramipexole dihydrochloride, 25

PCE, 1

Phenobarbital, 24

pramipexole dihydrochloride ER, 25

Pcp 100, 18

Phenobarbital Sodium, 24

Pramosone, 12

Pediaderm AF Complete Kit, 11

Phentolamine Mesylate, 8

Pramosone E, 12

Pediaderm HC, 12

phenylephrine HCL, 9, 27

Pramotic, 28

Pediaderm Ta, 12

Phenylephrine HCL, 9, 31

Prandimet, 16

Pediapred, 14

phenylephrine/guaifenesin, 31

Prandin, 16

Pediarix, 32

Phenytek, 25

Prascion Ra With Sunscreens, 10

Pediatex TD, 32

phenytoin, 25

Prastera, 30

Pediatex TDM, 32

phenytoin sodium, 25

Pravachol, 10

Pediatric Panda Mask, 39

phenytoin sodium extended, 25

pravastatin sodium, 9

Pedipirox-4 Nail, 11

Phoslo, 20

Prazolamine, 26

Pedvax HIB, 33

Phoslyra, 20

prazosin HCL, 8

peg 3350/electrolytes, 18

Phospholine Iodide, 27

Pre-folic, 21

peg-3350/electrolytes, 18

Photofrin, 6

Precedex, 24

peg-3350/NACL/NA bicarbonate/KCL, 18

Phrenilin Forte, 28

Precision PCX, 38

Peg-intron, 3

phytonadione, 33

Precision PCX Plus Test Strips, 38

Peg-intron Redipen, 3

pilocarpine HCL, 22, 27

Precision Point Of Care Test Strips, 38

Peg-intron Redipen PAK 4, 3

pilocarpine hydrochloride, 22

Precision QID Test Strips, 38

Peganone, 25

pindolol, 7

Precision Sof-tact Test Strips, 38

Pegasys, 3

pioglitazone HCL, 16

Precision Thin Lancets, 36

Pegasys Proclick, 3

pioglitazone HCL-glimepiride, 16

Precision Thins GP Lancet, 36

Pegintron, 3

pioglitazone HCL/metformin HCL, 16

Precision Ultra Lancet, 36

Pen Needles 29G X 12MM, 36

Precision XTRA Blood Glucose Test Strips, 38

Procainamide HCL, 8

Prudoxin, 12

Procardia, 7

Prumyx, 13

Precose, 16

Procardia XL, 7

Pss Select GP Lancets, 36

Pred Forte, 27

Procentra, 24

Pss Select Safety Lancets, 36

Pred Mild, 27

prochlorperazine, 23

Pts Panels Glucose Test, 38

Pred-G, 27

prochlorperazine edisylate, 23

Pulmicort, 32

Pred-G S.o.p., 27

prochlorperazine maleate, 23

Pulmicort Flexhaler, 32

prednicarbate, 12

Procort, 20

Pulmophylline, 32

prednisolone, 14

Procrit, 21

Pulmozyme, 32

prednisolone acetate, 27

Proctocort, 20

Purinethol, 5

prednisolone sodium phosphate, 14

Proctofoam HC, 19

Purixan, 5

Prednisolone Sodium Phosphate, 14, 27

Procysbi, 20

Px Lancets Ultra Thin, 36

prednisolone sodium phosphate odt, 14

Prodigy NO Coding Blood Glucose Test Strips, 38

Pylera, 18

prednisone, 14

pyrazinamide, 2

Prednisone, 14

Prodigy Pressure Activated Safety Lancets, 36

Pyridium, 20

Prednisone Intensol, 14

pyridostigmine bromide, 26

Prefera OB, 34

Prodigy Twist Top Lancets, 36

Pyridoxine HCL, 33

Prefera OB + DHA, 34

Proferrin-forte, 21

Pyrogallic Acid, 13

Preferaob +dha, 34

progesterone, 15

Q

Preferaob One, 34

Progesterone 10% Kit, 15

Qc Lancets Super Thin, 36

Prefest, 15

Proglycem, 16

Qc Lancets Ultra Thin, 36

Prefol-DHA, 34

Prograf, 5

Qnasl, 31

Premarin, 15, 20

Prolastin-c, 32

Qnasl Childrens, 31

Premphase, 15

Prolensa, 28

Quadracel, 32

Prempro, 15

Proleukin, 6

Quadramet, 6

Prenata, 34

Prolia, 17

Qualaquin, 3

Prenatal Vitamins, 33

Prolida, 13

Quartette, 15

Prenate, 34

Promacta, 21

Quazepam, 24

Prenate AM, 34

promethazine HCL, 31

Qudexy XR, 25

Prenate DHA, 34

promethazine HCL plain, 31

Quelicin, 26

Prenate Elite, 34

promethazine-DM, 31

Quelicin 1000, 26

Prenate Enhance, 34

promethazine/codeine, 31

Questran, 10

Prenate Essential, 34

promethazine/dextromethorphan, 31

Questran Light, 10

Prenate Mini, 34

Prometrium, 15

quetiapine fumarate, 23

Prenate Pixie, 34

Promiseb, 12

Quicktek Test Strips, 38

Prenate Restore, 34

Promiseb Complete, 12

Quillivant XR, 24

Prenate Star, 34

propafenone HCL, 8

quinapril HCL, 8

Prepidil, 28

propafenone HCL ER, 8

quinapril/hydrochlorothiazide, 8

Prepopik, 18

Propantheline Bromide, 19

Quinidine Gluconate, 8

Preque 10, 34

proparacaine HCL, 28

quinidine gluconate CR, 8

Presera, 13

propranolol HCL, 7

quinidine gluconate ER, 8

Prestalia, 9

Propranolol HCL, 7

quinidine sulfate, 8

Prestige Test Strips, 38

propranolol HCL ER, 7

Quinidine Sulfate, 8

Prevacid, 19

Propranolol/Hydrochlorothiazide, 9

Quinidine Sulfate ER, 8

Prevacid Solutab, 19

propylthiouracil, 18

quinine sulfate, 3

Prevident, 22

Proquad, 33

Quintet Ac Blood Glucose Test Strips, 38

Prevnar 13, 33

Proscar, 20

Quintet Blood Glucose Test Strips, 38

Prevpac, 19

Prosed/DS, 20

Qutenza, 13

Prezcobix, 3

Prostigmin, 26

Qvar, 32

Prezista, 3

Prostin E2, 28

R

Priftin, 2

Protamine Sulfate, 22

Prilosec, 19

Protect Plus, 34

R-natal OB, 34

Primaquine Phosphate, 3

Protectbone, 34

Rabavert, 33

Primaxin IV, 4

Protectiron, 21

rabeprazole sodium, 18

Primaxin IV Add-vantage, 4

Protectnatal, 34

raloxifene hydrochloride, 17

primidone, 25

Prothelial, 22

ramipril, 8

Primlev, 29

Protonix, 19

Ranexa, 7

Primsol, 4

Protopic, 13

ranitidine HCL, 18

Prinivil, 8

protriptyline HCL, 23

Rapaflo, 20

Pristiq, 23

Provenge, 6

Rapamune, 5

Pro-c-dure 1 Kit, 14

Proventil HFA, 32

Rapivab, 3


Provera, 15

Rasuvo, 30


Provida DHA, 34

Ravicti, 18


Provida OB, 34

Rayos, 14

Proair HFA, 32

Provigil, 24

Razadyne, 26

Proair Respiclick, 32

Prozac, 23

Razadyne ER, 26

probenecid, 30

Prozac Weekly, 23

Rebetol, 3

probenecid/colchicine, 30

Pruclair, 13

Rebif, 26

Rebif Rebidose, 26

Retin-a Micro, 11

Rosadan Kit, 11

Rebif Rebidose Titration Pack, 26

Retin-a Micro P.M., 11

Rosanil, 11

Rebif Titration Pack, 26

Retisert, 27

Rosula, 11

Reclast, 17

Retrovir, 3

Rotarix, 33

Recombinate, 22

Retrovir IV Infusion, 3

Rotateq, 33

Recombivax HB, 33

Revatio, 10

Rowasa, 20

Recothrom, 22

Reveal Blood Glucose Test, 38

Roxicet, 29

Recothrom Spray Kit, 22

Revlimid, 5

Roxicodone, 29

Rectiv, 19

Rexall Blood Glucose Test Strips, 38

Rozerem, 24

Refuah Plus Blood Glucosetest Strips, 38

Rexall Lancets Ultra Thin, 36

Ryanodex, 26

Rexulti, 24

Rytary, 25

Reglan, 20

Reyataz, 3

Rythmol, 8

Regonol, 26

Rezira, 32

Rythmol SR, 8

Relagard, 20

Rezyst IM, 18

S

Relenza Diskhaler, 3

Rezyst SB, 18

Sabril, 25

Relhist, 32

Rheumatrex, 30

Safe-t-lance Low Flow 25G, 36

Relion Blood Glucose Teststrips, 38

Rhinocort Aqua, 31

Safe-t-lance Normal Flow 21G, 36

Relion Confirm/Micro Test Strips, 38

Rhinoflex-650, 28

Safe-t-lance Plus Safety Lancet High Flow, 36

Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

Riastap, 22

Riax, 11

Safe-t-lance Plus Safety Lancet Low Flow, 36

Relion Lancets Micro-thin33G, 36

Ribasphere, 3

Relion Lancets Standard 21G, 36

Ribasphere Ribapak, 3

Safe-t-lance Plus Safety Lancet Normal Flow, 36

Relion Lancets Thin 26G, 36

Ribatab, 3

Relion Lancets Ultra-thin30G, 36

ribavirin, 3

Safety Lancet 21G/Pressure Activated, 37

Relion Prime Blood Glucose Test Strips, 38

Ridaura, 30

rifabutin, 2

Safety Lancet 28G/Pressure Activated, 37

Relion R, 16

Rifadin, 2

Relion Thin Lancets, 36

Rifamate, 2

Safety Lancet 2MM, 37

Relion Ultima Blood Glucose Test Strips, 38

rifampin, 2

Safety Lancets, 37

Rifater, 2

Safety Lancets 21G, 37

Relion Ultima Test Strips, 38

Rightest Gl300 Lancets, 36

Safety Lancets 28G, 37

Relion Ultra Thin Lancets, 36

Rightest GS100 Blood Glucose Test Strips, 38

Safety Let Lancets, 37

Relion Ultra Thin Lancets30G, 36

Safety Seal Lancets 28G, 37

Relion Ultra Thin Plus Lancets 32G, 36


Safety Seal Lancets 30G, 37

Relion Ultra Thin Plus Lancets 33G, 36

Safyral, 15

Relistor, 19


Saizen, 17

Relpax, 30

Saizen Click.easy, 17

Relyyt, 13

Rilutek, 26

Salagen, 22

Remeron, 23

riluzole, 26

Salex, 13

Remeron Soltab, 23

rimantadine HCL, 3

Salex Cream, 13

Remicade, 20

Rimantalist, 3

Salex Lotion, 13

Remodulin, 10

Riomet, 16

salicylic acid, 13

Renacidin, 20

risedronate sodium, 16

Salicylic Acid, 13

Renagel, 20

risedronate sodium DR, 16

salicylic acid cream, 13

Renatabs, 34

Risperdal, 24

Salicylic Acid IN Ammonium Lactate Vehicle, 13

Renatabs With Iron, 34

Risperdal Consta, 24

Renew Advanced Lancing Cartridge Refills, 36

Risperdal M-TAB, 24

salicylic acid lotion, 13

risperidone, 23

Salkera, 13

Renvela, 19

risperidone odt, 23

salsalate, 28

Reopro, 22

Ritalin, 24

Salvax, 14

repaglinide, 16

Ritalin LA, 24

Salvax Duo Plus, 14

Reprexain, 29

Ritalin SR, 24

Samsca, 17

Repronex, 17

Riteflo, 39

Sanctura, 20

Req 49+, 34

Rituxan, 5

Sanctura XR, 20

Requip, 25

rivastigmine tartrate, 25

Sancuso, 19

Requip XL, 25

rizatriptan benzoate, 30

Sandimmune, 5

Rescon-JR, 32

rizatriptan benzoate odt, 30

Sandostatin, 17

Rescon-MX, 32

Robaxin, 26

Sandostatin Lar Depot, 17

Rescriptor, 3

Robaxin-750, 26

Saphris, 24

Rescula, 27

Robinul, 19

Sarafem, 26

Reserpine, 8

Robinul Forte, 19

Savaysa, 21

Respa-BR, 31

Rocaltrol, 18

Savella, 26

Restasis, 28

Rocephin, 1

Savella Titration Pack, 26

Restora RX, 18

rocuronium bromide, 26

Scalacort DK, 12

Restoril, 24

ropinirole ER, 25

Scar Patch, 14

Retavase, 22

ropinirole HCL, 25

Scopolamine Hydrobromide, 19

Retavase Half-kit, 22

ropivacaine, 31

Seasonique, 15

Retin-a, 10

ropivacaine HCL, 31

Seb-prev, 12

Seconal, 24

Universal 30G, 37

Stalevo 50, 25

Sectral, 7

Smart Sense Thin Lancets Universal 26G, 37

Stalevo 75, 25

Select-OB, 34

stannous fluoride oral rinse, 22

Select-ob+dha, 34

Smart Sense Value Blood Glucose Strips, 38

Starlix, 16

selegiline HCL, 25

stavudine, 3

selenium sulfide, 12

Smartest Blood Glucose Test Strips, 38

Stavzor, 25

Selrx, 12

Smartest Lancets 28G, 37

Staxyn, 10

Selzentry, 3

Sodium Bicarbonate, 18

Stelara, 12

Semprex-d, 32

sodium chloride, 31

Stendra, 10

Senophylline, 32

sodium citrate/citric acid, 20

Sterilance TL, 37

Sensipar, 18

Sodium Diuril, 9

Stimate, 17

Sensorcaine-mpf/Epinephrine, 31

Sodium Edecrin, 9

Stiolto Respimat, 32

Sentradine, 19

sodium ferric gluconate complex/sucrose, 21

Stivarga, 6

Sentraflox AM-10, 23

Strattera, 24

Sentralopram AM-10, 23

sodium hyaluronate, 13

Strazepam, 24

Sentramodafin AM-100, 24

sodium phenylbutyrate, 18

Streptomycin Sulfate, 2

Sentravil PM-25, 23

sodium sulfacetamide, 10, 12, 27

Striant, 14

Sentrazolam AM 0.25, 23

sodium sulfacetamide wash, 12

Stribild, 3

Sentrazolpidem PM-5, 24

sodium sulfacetamide/sulfur, 10

Striverdi Respimat, 32

Sentroxatine, 23

Sodium Sulfacetamide/Sulfur, 11

Stromectol, 4

Serevent Diskus, 32

sodium sulfacetamide/sulfur cleanser, 10

Strovite, 34

Seroquel, 24

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite Forte, 34

Seroquel XR, 24

Strovite One, 34

Serostim, 17

sodium sulfacetamide/sulfur cleansing cloths, 10

Suboxone, 29

sertraline HCL, 23

Subsys, 29

Sevelamer Carbonate, 19

sodium sulfacetamide/sulfur green, 10

Suclear, 18

Sfrowasa, 20

Sodium Sulfacetamide/Sulfur IN Urea, 11

Sucraid, 19

Shohls Solution Modified, 20

sodium sulfacetamide/sulfur w/sunscreen, 10

sucralfate, 18

Shopko On-the-go Comfort Lancets 30G, 37

Sular, 7

sodium sulfacetamide/sulfur wash, 10

sulfacetamide sodium, 10, 27

Shopko Unilet Lancets Super Thin 30G, 37

Solaice, 14

Sulfacetamide Sodium, 27

Soliris, 22

sulfacetamide sodium/prednisolone sodium phosphate, 27

Shopko Unilet Lancets Ultra Thin 28G, 37

Solodyn, 2

Soltamox, 5

sulfacetamide sodium/sulfur cleanser, 10

Siderol, 34

Solu-cortef, 14

Sulfadiazine, 2

Signifor, 17

Solu-medrol, 14

sulfamethoxazole/trimethoprim, 4

Signifor Lar, 17

Solus V2 Audible Test, 38

Sulfamethoxazole/Trimethoprim, 4

sildenafil, 10

Solus V2 Pressure Activated Safety Lancets 28G, 37

sulfamethoxazole/trimethoprim DS, 4

sildenafil citrate, 10

sulfasalazine, 19

Silenor, 24

Solus V2 Twist Lancets 30G, 37

Sulfisoxizole, 2

Simbrinza, 28

Soma, 26

Sulfoam, 11

Simcor, 9

Somatuline Depot, 17

Sulfurated Lime, 14

Simponi, 30

Somavert, 17

sulindac, 30

Simponi Aria, 30

Sonata, 24

Sumadan Kit, 11

Simulect, 5

Soolantra, 11

Sumadan Wash, 11

simvastatin, 9

Soothee, 14

Sumadan XLT, 11

Sinelee, 14

Soriatane, 12

Sumatriptan, 30

Sinemet, 25

Sorilux, 12

sumatriptan succinate, 30

Sinemet CR, 25

sotalol HCL, 7

Sumatriptan Succinate, 30

Single-let, 37

sotalol HCL (AF), 7

sumatriptan succinate refill, 30

Singulair, 32

Sotalol Hydrochloride, 7

Sumavel Dosepro, 30

sirolimus, 5

Sotylize, 7

Sumaxin, 11

Sirturo, 2

Sovaldi, 3

Sumaxin CP Kit, 11

Sitavig, 3

Spectracef, 1

Sumaxin Ts, 11

Sivextro, 4

Spinosad, 14

Sumaxin Wash, 11

Skelaxin, 26

Spiriva Handihaler, 32

Supartz, 26

Sklice, 14

Spiriva Respimat, 32

Supervite, 34

Smart Diabetes Vantage Universal Lancets 30G, 37

spironolactone, 9

Supervite EC, 34

spironolactone/hydrochlorothiazide, 9

Support-500, 34

Smart Diabetes Xpres Blood Glucose Test Strips, 38

Sporanox, 2

Supprelin LA, 17

Sporanox Pulsepak, 3

Supracil, 14

Smart Sense Color Lancets Universal 33G, 37

Sprix, 30

Suprax, 1

Sprycel, 6

Supreme Test Strips, 38

Smart Sense Premium Bloodglucose Strips, 38

Staflex, 28

Suprep Bowel Prep, 18

Stalevo 100, 25

Sure Edge Blood Glucose Test Strips, 38

Smart Sense Standard Lancets Universal 21G, 37

Stalevo 125, 25

Sure-lance Flat Lancets, 37

Stalevo 150, 25

Sure-lance Lancets 26G, 37

Smart Sense Super Thin Lancets

Stalevo 200, 25

Sure-lance Thin Lancets 28G, 37

Sure-lance Ultra Thin Lancets, 37

Tecfidera Starter Pack, 26

Theracodophen-325, 29

Sure-test Easyplus Mini Blood Glucose Test Strips, 38

Techlite AST Lancets, 37


Techlite Lancets, 37


Sure-touch Lancets Universal, 37

Techlite Lancets 30G, 37

Theracodophen-low-90, 29

Surechek Blood Glucose Test Strips, 38

Technivie, 3

Theracys, 6

Surelite Lancets, 37

Tegretol, 25

Therafeldamine, 30

Surestep Glucose Control, 37

Tegretol-XR, 25

Therapentin-60, 25

Surestep Glucose Control Solution, 37

Tekamlo, 8

Therapentin-90, 25

Surestep Pro High Glucosecontrol, 37

Tekturna, 8

Theraprofen-60, 30

Surestep Pro Low Glucose Control, 37

Tekturna HCT, 8

Theraprofen-800, 30

Surestep Pro Normal Glucose Control, 37

Telcare Blood Glucose Test Strips, 38

Theraprofen-90, 30

telmisartan, 8

Theraproxen-500, 30

Surestep Pro Test Strips, 37

telmisartan/amlodipine, 8

Theraproxen-60, 30

Surestep Test Strips, 37

telmisartan/hydrochloroth, 8

Theraproxen-90, 30

Surfaxin, 32

telmisartan/hydrochlorothiazide, 8

Theratramadol-60, 29

Surmontil, 23

temazepam, 24

Theratramadol-90, 29

Survanta Intratracheal, 32

Temodar, 4

thiamine HCL, 33

Sustiva, 3

Temovate, 12

Thinlets GP Lancets, 37

Sutent, 6

Temovate E, 12

Thinlets Lancet, 37

Suttar-2, 32

temozolomide, 4

Thiola, 20

Suttar-SF, 32

Tencon, 28

thioridazine HCL, 23

Sylatron, 6

Tenex, 8

thiothixene, 23

Symax Duotab, 19

Teniposide, 6

Thrombin-jmi Diluent, 22

Symbicort, 32

Tenivac, 32

Thrombin-jmi Epistaxis, 22

Symbyax, 26

Tenoretic 100, 9

Thrombin-jmi Syringe Spray Kit, 22

Symlinpen 120, 16

Tenoretic 50, 9

Thrombin-jmi W/Dil Spray P.M. Actuator, 22

Symlinpen 60, 16

Tenormin, 7

Synagex, 34

Terazol 3, 20

Thrombogen, 22

Synalar, 12

Terazol 7, 20

Thymoglobulin, 5

Synalar Cream Kit, 12

terazosin HCL, 8

Thyrolar-1, 18

Synalar Ointment Kit, 12

terbinafine HCL, 2

Thyrolar-1/2, 18

Synalar Ts, 12

Terbinex, 3

Thyrolar-1/4, 18

Synalgos-dc, 29

terbutaline sulfate, 32

Thyrolar-2, 18

Synapryn Fusepaq, 29

terconazole, 20

Thyrolar-3, 18

Synarel, 17

Tersi Foam, 12

tiagabine hydrochloride, 25

Synatek, 34

Tessalon Perles, 32

Tiazac, 7

Synera, 14

Testim, 14

Tice Bcg, 6

Synercid, 4

Testone Cik, 14

ticlopidine HCL, 22

Synribo, 6

Testopel, 14

Tigan, 19

Synthroid, 18

Testosterone, 14

Tikosyn, 8

Synvisc, 26

testosterone cypionate, 14

Timentin, 1

Synvisc One, 26

testosterone enanthate, 14

Timolol Maleate, 7

T

Testosterone P.M., 14

timolol maleate, 27

Testred, 14

timolol maleate ophthalmic gel forming, 27

Tabloid, 5

Tetanus Toxoid Adsorbed, 32

Tabradol Fusepaq, 26

Tetanus/Diphtheria Toxoids-adsorbed, 33

Timoptic, 27

Taclonex, 12

Timoptic Ocudose, 27

tacrolimus, 5, 13

Tetanus/Diphtheria Toxoids-adsorbed Adult, 33

Timoptic-xe, 27

Tafinlar, 6

Tindamax, 4

Talwin, 29

tetracaine HCL, 28

tinidazole, 4

Tamiflu, 3

Tetracaine HCL, 31

Tirosint, 18

tamoxifen citrate, 5

Tetracycline HCL, 2

Tisseel, 22

tamsulosin HCL, 20

Tetrix, 14

Tisseel VH, 22

Tandem F, 21

Tev-tropin, 17

Tivicay, 3

Tandem Plus, 21

Teveten, 8

Tivorbex, 30

Tanzeum, 16

Teveten HCT, 9

Tizanidine Comfort PAC, 26

Tapazole, 18

Texacort, 12

tizanidine HCL, 26

Tarceva, 6

Texavite LQ, 34

TL G-FOL OS, 34

Targadox, 2

Thalomid, 5

TL Triseb, 12

Targretin, 6

Theo-24, 32

Tnkase, 22

Tarka, 9

theophylline, 32

Tobi, 2

Taron-bc, 34

theophylline CR, 32

Tobi Podhaler, 2

Taron-c DHA, 34

theophylline ER, 32

Tobradex, 27

Tasigna, 6

Theophylline/D5W, 32

Tobradex ST, 27

Tasmar, 25

Therabenzaprine-60, 26

tobramycin, 2

Taxotere, 6

Therabenzaprine-90, 26

tobramycin sulfate, 2, 27

Tazicef, 1

Therabenzaprine-90-5, 26

Tobramycin Sulfate/Sodium Chloride, 2

Tazorac, 12

Theracodeine-300, 29

tobramycin/dexamethasone, 27

Tecfidera, 26

Tobrex, 27

Triamterene/Hydrochlorothiazide, 9

Tyvaso Refill, 10

Tofranil, 23

Trianex, 13

Tyvaso Starter, 10

Tofranil-PM, 23

triazolam, 24

Tyzeka, 3

tolazamide, 16

Tribenzor, 8

Tyzine, 31

Tolazamide, 16

Tricare Prenatal Compleat, 34

Tyzine Pediatric Nasal Drops, 31

Tolbutamide, 16

Tricare Prenatal DHA One, 34

U

tolcapone, 25

tricitrates, 20

Uceris, 14, 20

tolmetin sodium, 30

Tricor, 10

Udamin, 34

Tolmetin Sodium, 30

Triderma Forte, 13

Udamin SP, 34

tolterodine tartrate, 20

trifluoperazine HCL, 23

Ulesfia, 14

tolterodine tartrate ER, 20

trifluridine, 27

Uloric, 30

Topamax, 25

Triglide, 10

Ulticare Thin Lancets 30G, 37

Topamax Sprinkle, 25

trihexyphenidyl HCL, 25

Ultilet Basic Lancets 30G, 37

Topicort, 12

Trileptal, 25

Ultilet Classic Lancets, 37

topiramate, 25

Trilipix, 10

Ultilet Lancets, 37

Topiramate ER, 25

trimethobenzamide HCL, 19

Ultilet Lancets 33G, 37

topotecan HCL, 6

trimethoprim, 4

Ultilet Safety Lancets 23G, 37

Topotecan HCL, 6

trimethoprim sulfate/polymyxin b sulfate, 27

Ultima Test Strips, 38

Toprol XL, 7

Ultiva, 29

Torisel, 6

Triostat, 18

Ultra-thin II Auto Lancet, 37

torsemide, 9

Trisenox, 6

Ultra-thin II Lancets 28G, 37

Torsemide, 9

Triseon, 11

Ultra-thin II Lancets 30G, 37

Totect, 6

Triumeq, 3

Ultra-thin II Safety Autolancets 26G, 37

Toujeo Solostar, 16

Triveen-duo DHA, 34

Ultracet, 29

Toviaz, 20

Triveen-prx RNF, 34

Ultram, 29

Tracleer, 10

Trizivir, 3

Ultram ER, 29

Tradjenta, 16

Trokendi XR, 25

Ultrasal-ER, 14

tramadol HCL, 29

Tropazone, 14

Ultratrak Pro Test Strips, 38

tramadol HCL ER, 29

trospium chloride, 20

Ultratrak Ultimate Test Strips, 38

Tramadol HCL ER, 29

trospium chloride ER, 20

Ultravate, 13

tramadol hydrochloride/acetaminophen, 29

True Metrix Blood Glucosetest Strips, 38

Ultravate PAC, 13

True Metrix Self Monitoring Blod Glucose Strips, 38

Ultravate X, 13

Trandate, 7

Ultresa, 19

trandolapril, 8

Trueplus Lancets 26G, 37

Umecta, 14

trandolapril/verapamil HCL, 8


Umecta Nail Film, 14

trandolapril/verapamil HCL ER, 8

Trueplus Lancets 28G Super Thin, 37

Umecta PD, 14

tranexamic acid, 21


Unasyn, 1

Transderm-scop, 19

Trueplus Lancets 30G Ultra Thin, 37

Unasyn Bulk Pack, 1

Tranxene T, 23


Unilet Comfortouch Lancet, 37

tranylcypromine sulfate, 23

Trueplus Lancets 33G Micro Thin, 37

Unilet Excelite, 37

Travatan Z, 27

Trueplus Safety Lancets 28G, 37

Unilet Excelite II, 37

Travoprost, 27

Truetest Blood Glucose T Est, 38

Unilet G.p. Lancet, 37

Trazamine, 23

Truetest Blood Glucose T Est Strips, 38

Unilet G.p. Superlite Lancet, 37

trazodone HCL, 23

Truetest Strips, 38

Unilet GP 28 Ultra Thin, 37

Treanda, 4

Truetrack Blood Glucose Test, 38

Unilet Lancet, 37

Trecator, 2

Truetrack Test, 38

Unilet Lancets Micro-thin33G, 37

Trelstar, 5

Trulicity, 16

Unilet Lancets Super-thin30G, 37

Trelstar Mixject, 5

Trumenba, 33

Unilet Lancets Ultra-thin 28G, 37

Trepadiclofen-25, 30

Trusopt, 28

Unilet Superlite Lancet, 37

Trepoxen-250, 30

Truvada, 3

Uniretic, 9

Trepoxicam-7.5, 30

Tucks Anti-itch, 12

Unistik 3 Gentle, 37

Tretin-x, 11

Tudorza Pressair, 32

Unistik Safety Lancets 28G, 37

tretinoin, 6, 10

Turkel Paracentesis Procedure Tray/8french, 31

Unistik Safety Lancets 30G, 37

tretinoin microsphere, 10

Unistrip1 Generic, 38

tretinoin microsphere P.M., 10

Tussicaps, 31

Unituxin, 5

Tretten, 22

Tussionex Pennkinetic Extended Release, 32

Univasc, 8

Trexall, 5

Universal 1 Lancets Thin 26G, 37

Treximet, 30

Tuzistra XR, 31

Universal 1 Lancets Ultra Thin 30G, 37

Trezix, 29

Twinrix, 33

Uramaxin, 14

Tri-norinyl 28, 15

Twynsta, 9

Uramaxin GT, 14

Tri-VI-flor, 34

Tybost, 3

Uramaxin GT Kit, 14

Triamcinolone, 14

Tygacil, 4

urea, 13

triamcinolone acetonide, 12, 22, 31

Tykerb, 6

urea 40% nail film, 13

Triamcinolone Acetonide, 13

Tylenol/Codeine #3, 29

urea IN zinc undecylenate/lactic acid vehicle, 13

triamcinolone IN orabase, 22

Tylenol/Codeine #4, 29

Triamcinolone PF, 14

Typhim VI, 33

urea topical, 13

Triamcinolone/Lidocaine, 14

Tysabri, 26

Urecholine, 20

triamterene/hydrochlorothiazide, 9

Tyvaso, 10

Uretron D/S, 20

Urimar-t, 20

Verelan, 7

Vitekta, 3

Urocit-k 10, 20

Verelan PM, 7

Vituz, 32

Urocit-k 15, 20

Veripred 20, 14

Viva DHA, 34

Urocit-k 5, 20

Verrunex, 14

Vivactil, 23

Urogesic-blue, 20

Versacloz, 24

Vivelle-dot, 15

Uroqid #2, 20

Vesicare, 20

Vivotif Berna, 33

Uroxatral, 20

Vexa, 14

Vocal Point Blood Glucose Test Strips, 38

Urso 250, 20

Vexol, 27

Urso Forte, 20

Vfend, 3

Vogelxo, 14

ursodiol, 19

Vfend IV, 3

Vogelxo P.M., 15

Uta, 20

Viagra, 10

Voltaren, 11

Utopic, 14

Vibativ, 4

Voltaren-XR, 30

Uvadex, 6

Vibramycin, 2

Voluven, 22

V

Vicoprofen, 29

Vopac, 12

Victory Agm-4000 Test Strips, 38

Vopac GB, 12

Vagifem, 20

Victoza, 16

Vopac Kt, 12

valacyclovir HCL, 3

Victrelis, 3

Voraxaze, 6

Valchlor, 4

Vida Mia Unilet Lancets Super Thin 30G, 37

voriconazole, 2

Valcyte, 3

Vortex Valved Holding Chamber, 39

valganciclovir, 3

Vida Mia Unilet Lancets Ultra Thin 28G, 37

Vosol HC, 28

Validerm, 13

Vospire ER, 32

Valium, 23

Vidaza, 5

Votrient, 6

valproate sodium, 25

Videx EC, 3

Vpriv, 21

valproic acid, 25

Videx Pediatric, 3

Vsl#3 DS, 18

valsartan, 8

Viekira PAK, 3

Vusion, 11

valsartan/hydrochlorothiazide, 8

Vigamox, 27

Vytorin, 9

Valstar, 4

Viibryd, 23

Vyvanse, 24

Valtrex, 3

Vimizim, 18

W

Valumark Lancet Super Thin 30G, 37

Vimovo, 30

Valumark Lancet Ultra Thin 28G, 37

W&f Lancets 26G, 37

Vimpat, 25

Vanatol LQ, 28

W&f Lancets Colored 21G, 37

Vinacal B, 34

Vancocin HCL, 4

Walgreens Lancets, 37

Vinate AZ Extra, 34

vancomycin HCL, 4

Walgreens Thin Lancets, 37

Vinate Calcium, 34

Vancomycin HCL, 4

Walgreens Ultra Thin Lancets, 37

Vinate DHA, 34

Vancomycin HCL IN Dextrose, 4

warfarin sodium, 21

Vinate DHA RF, 34

Vanos, 13

Watchhaler, 39

Vinblastine Sulfate, 6

Vanoxide-HC, 11

Wavesense Presto Test Strips, 38

vincristine sulfate, 5

Vantas, 5

Welchol, 9

vinorelbine tartrate, 5

Vaprisol, 17

Wellbutrin, 23

Viokace, 19

Vaqta, 33

Wellbutrin SR, 23

Viracept, 3

Varivax, 33

Wellbutrin XL, 23

Viramune, 3

Vascepa, 9

Westcort, 13

Viramune XR, 3

Vaseretic, 9

Westhroid, 18

Virasal, 14

vasopressin, 17

Wheat Germ, 33

Virazole, 3

Vasostrict, 17

Wilate, 22

Viread, 3

Vasotec, 8

Wp Thyroid, 18

Viroptic, 27

Vazculep, 9

X

Vistaril, 23

Vecamyl, 8

Vistide, 3

Xalatan, 27

Vectibix, 5

Vita-pren, 34

Xalkori, 6

Vectical, 12

Vitafol, 34

Xanax, 23

vecuronium bromide, 26

Vitafol Ultra, 34

Xanax XR, 23

Velcade, 6

Vitafol-nano, 34

Xarelto, 21

Veletri, 10

Vitafol-ob+dha, 34

Xarelto Starter Pack, 21

Velphoro, 20

Vitafol-one, 34

Xartemis XR, 29

Veltin, 11

Vitafol-pn, 34

Xeljanz, 30

Vemavite-prx 2, 34

Vital-d RX, 34

Xeloda, 5

venlafaxine HCL, 23

Vitalet Pro Lancets, 37

Xenazine, 26

venlafaxine HCL ER, 23

Vitalet Pro Plus Lancets, 37

Xeomin, 26

Venlafaxine HCL ER, 23

Vitamedmd One RX/Quatrefolic, 34

Xerese, 11

Venofer, 21

Vitamedmd Plus RX/Quatre Folic, 34

Xgeva, 17

Ventavis, 10

Vitamedmd Redichew RX, 34

Xifaxan, 4

Ventolin HFA, 32

Vitamedmd Redichew RX/Quatrefolic, 34

Xigduo XR, 16

Veramyst, 31

vitamin c 222MG, 33

Xodol, 29

verapamil HCL, 7

vitamin d, 33

Xofigo, 6

Verapamil HCL, 7

vitamin k1, 33

Xolair, 32

verapamil HCL ER, 7

Vitamin K1, 33

Xolegel, 11

verapamil HCL SR, 7

Vitapearl, 34

Xolegel Corepak, 11

Verdeso, 13

Vitaroca Plus, 34

Xolegel Duo/Head & Shoulders, 11

Veregen, 14

Xolegel Duo/Xolex, 11

Zithromax Tri-PAK, 1

Xolox, 29

Zithromax Z-PAK, 1

Xopenex, 32

Zmax, 1

Xopenex Concentrate, 32

Zocor, 10

Xopenex HFA, 32

Zofran, 19

Xtandi, 5

Zofran Odt, 19

Xylocaine, 8, 14, 31

Zohydro ER, 29

Xylocaine-mpf, 31

Zoladex, 5

Xylocaine-mpf/Epinephrine, 31

zoledronic acid, 16

Xylocaine/Epinephrine, 31

Zoledronic Acid, 17

Xyntha, 22

Zolinza, 6

Xyntha Solofuse, 22

zolmitriptan, 30

Xyphex, 14

zolmitriptan odt, 30

Xyrem, 26

Zoloft, 23

Xyzal, 31

zolpidem tartrate, 24

Y

zolpidem tartrate ER, 24

Zolpimist, 24

Yasmin 28, 15

Zomacton, 17

Yaz, 15

Zometa, 17

Yervoy, 5

Zomig, 30

Yf-vax, 33

Zomig Nasal Spray, 30

Yodoxin, 3

Zomig ZMT, 30

Z

Zonalon, 12

Zonatuss, 32

Zacare 4% Kit, 11

Zonegran, 25

Zacare 8% Kit, 11

zonisamide, 25

zafirlukast, 32

Zontivity, 22

zaleplon, 24

Zorbtive, 17

Zaltrap, 5

Zortress, 5

Zamicet, 29

Zorvolex, 30

Zanaflex, 26

Zostavax, 33

Zanosar, 4

Zosyn, 1

Zantac, 19

Zovia 1/50e, 15

Zarontin, 25

Zovirax, 3, 11

Zaroxolyn, 9

Zubsolv, 29

Zatean-CH, 34

Zuplenz, 19

Zatean-pn, 34

Zutripro, 32

Zatean-pn DHA, 34

Zyclara, 13

Zatean-pn Plus, 34

Zyclara P.M., 13

Zavesca, 21

Zydelig, 6

Zebeta, 7

Zydone, 29

Zegerid, 19

Zyflo, 32

Zelapar, 25

Zyflo CR, 32

Zelboraf, 6

Zykadia, 6

Zemaira, 32

Zylet, 27

Zemplar, 18

Zyloprim, 31

Zemuron, 26

Zymaxid, 27

Zenpep, 19

Zyprexa, 24

Zenzedi, 24

Zyprexa Relprevv, 24

Zerbaxa, 4

Zyprexa Zydis, 24

Zerit, 3

Zytiga, 5

Zestoretic, 9

Zyvodol, 12

Zestril, 8

Zyvox, 4

Zetia, 10

1

Zetonna, 31

Zevalin Y-90, 5

1ST Choice Lancets Super Thin, 37

Ziac, 9

1ST Choice Lancets Thin, 37

Ziagen, 3

1ST Choice Lancets Ultra Thin, 37

Ziana, 10

8

zidovudine, 3

Zinacef, 1

8-mop, 12

Zinecard, 6

Zioptan, 27

ziprasidone HCL, 23

Zipsor, 30

Zirgan, 27

Zithranol, 12

Zithranol-rr, 12

Zithromax, 1

list of covered drugs - volusia

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