maintenance drug list 2016 010116 - health net for

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HEALTH NET MAINTENANCE DRUG LIST 2016 BRAND NAME GENERIC NAME ABILIFY SOL 1MG/ML ARIPIPRAZOLE ORAL SOLUTION 1 MG/ML ABILIFY TAB 10MG ARIPIPRAZOLE TAB 10 MG ABILIFY TAB 15MG ARIPIPRAZOLE TAB 15 MG ABILIFY TAB 20MG ARIPIPRAZOLE TAB 20 MG ABILIFY TAB 2MG ARIPIPRAZOLE TAB 2 MG ABILIFY TAB 30MG ARIPIPRAZOLE TAB 30 MG ABILIFY TAB 5MG ARIPIPRAZOLE TAB 5 MG ABILIFY DISC TAB 10MG ARIPIPRAZOLE ORALLY DISINTEGRATING TAB 10 MG ABILIFY DISC TAB 15MG ARIPIPRAZOLE ORALLY DISINTEGRATING TAB 15 MG ACARBOSE TAB 100MG ACARBOSE TAB 100 MG ACARBOSE TAB 25MG ACARBOSE TAB 25 MG ACARBOSE TAB 50MG ACARBOSE TAB 50 MG ACCOLATE TAB 10MG ZAFIRLUKAST TAB 10 MG ACCOLATE TAB 20MG ZAFIRLUKAST TAB 20 MG ACCUPRIL TAB 10MG QUINAPRIL HCL TAB 10 MG ACCUPRIL TAB 20MG QUINAPRIL HCL TAB 20 MG ACCUPRIL TAB 40MG QUINAPRIL HCL TAB 40 MG ACCUPRIL TAB 5MG QUINAPRIL HCL TAB 5 MG ACCURETIC TAB 10-12.5 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10-12.5 MG ACCURETIC TAB 20-12.5 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MG ACCURETIC TAB 20-25MG QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-25 MG ACEBUTOLOL CAP 200MG ACEBUTOLOL HCL CAP 200 MG ACEBUTOLOL CAP 400MG ACEBUTOLOL HCL CAP 400 MG ACETAZOLAMID CAP 500MG ER ACETAZOLAMIDE CAP SR 12HR 500 MG ACETAZOLAMID TAB 125MG ACETAZOLAMIDE TAB 125 MG ACETAZOLAMID TAB 250MG ACETAZOLAMIDE TAB 250 MG ACETEST TAB TABLETS ACETONE (URINE) TEST TAB ACID REDUCER TAB 150MG RANITIDINE HCL TAB 150 MG ACID REDUCER TAB 20MG FAMOTIDINE TAB 20 MG ACIPHEX SPR CAP 10MG RABEPRAZOLE SODIUM CAPSULE SPRINKLE DR 10 MG ACIPHEX SPR CAP 5MG RABEPRAZOLE SODIUM CAPSULE SPRINKLE DR 5 MG ACTONEL TAB 35MG RISEDRONATE SODIUM TAB 35 MG ACTONEL TAB 5MG RISEDRONATE SODIUM TAB 5 MG ACTOPLUS MET TAB XR PIOGLITAZONE HCL-METFORMIN HCL TAB SR 24HR 30-1000 MG ACTOPLUS MET TAB XR PIOGLITAZONE HCL-METFORMIN HCL TAB SR 24HR 15-1000 MG ADALAT CC TAB 30MG ER NIFEDIPINE TAB SR 24HR 30 MG ADALAT CC TAB 60MG ER NIFEDIPINE TAB SR 24HR 60 MG ADALAT CC TAB 90MG ER NIFEDIPINE TAB SR 24HR 90 MG ADVAIR DISKU AER 100/50 FLUTICASONE-SALMETEROL AER POWDER BA 100-50 MCG/DOSE ADVAIR DISKU AER 250/50 FLUTICASONE-SALMETEROL AER POWDER BA 250-50 MCG/DOSE ADVAIR DISKU AER 500/50 FLUTICASONE-SALMETEROL AER POWDER BA 500-50 MCG/DOSE ADVAIR HFA AER 115/21 FLUTICASONE-SALMETEROL INHAL AEROSOL 115-21 MCG/ACT ADVAIR HFA AER 230/21 FLUTICASONE-SALMETEROL INHAL AEROSOL 230-21 MCG/ACT ADVAIR HFA AER 45/21 FLUTICASONE-SALMETEROL INHAL AEROSOL 45-21 MCG/ACT ADVICOR TAB 1000-20 NIACIN-LOVASTATIN TAB SR 24HR 1000-20 MG ADVICOR TAB 1000-40 NIACIN-LOVASTATIN TAB SR 24HR 1000-40 MG ADVICOR TAB 500-20MG NIACIN-LOVASTATIN TAB SR 24HR 500-20 MG ADVICOR TAB 750-20MG NIACIN-LOVASTATIN TAB SR 24HR 750-20 MG AEROSPAN AER 80MCG FLUNISOLIDE HFA INHAL AEROSOL 80 MCG/ACT AGGRENOX CAP 25-200MG ASPIRIN-DIPYRIDAMOLE CAP SR 12HR 25-200 MG ALBUTEROL AER 90MCG ALBUTEROL INAHLED AEROSOL 90 MCG/ACT ALBUTEROL NEB 0.083% ALBUTEROL SULFATE SOLN NEBU 0.083% (2.5 MG/3ML) ALBUTEROL NEB 0.5% ALBUTEROL SULFATE SOLN NEBU 0.5% (5 MG/ML) ALBUTEROL NEB 0.63MG/3 ALBUTEROL SULFATE SOLN NEBU 0.63 MG/3ML (BASE EQUIV) ALBUTEROL NEB 1.25MG/3 ALBUTEROL SULFATE SOLN NEBU 1.25 MG/3ML (BASE EQUIV) List is subject to change 1 rev. 12/23/15

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Page 1: Maintenance Drug List 2016 010116 - Health Net for

HEALTH NET MAINTENANCE DRUG LIST 2016

BRAND NAME GENERIC NAMEABILIFY SOL 1MG/ML ARIPIPRAZOLE ORAL SOLUTION 1 MG/MLABILIFY TAB 10MG ARIPIPRAZOLE TAB 10 MGABILIFY TAB 15MG ARIPIPRAZOLE TAB 15 MGABILIFY TAB 20MG ARIPIPRAZOLE TAB 20 MGABILIFY TAB 2MG ARIPIPRAZOLE TAB 2 MGABILIFY TAB 30MG ARIPIPRAZOLE TAB 30 MGABILIFY TAB 5MG ARIPIPRAZOLE TAB 5 MGABILIFY DISC TAB 10MG ARIPIPRAZOLE ORALLY DISINTEGRATING TAB 10 MGABILIFY DISC TAB 15MG ARIPIPRAZOLE ORALLY DISINTEGRATING TAB 15 MGACARBOSE TAB 100MG ACARBOSE TAB 100 MGACARBOSE TAB 25MG ACARBOSE TAB 25 MGACARBOSE TAB 50MG ACARBOSE TAB 50 MGACCOLATE TAB 10MG ZAFIRLUKAST TAB 10 MGACCOLATE TAB 20MG ZAFIRLUKAST TAB 20 MGACCUPRIL TAB 10MG QUINAPRIL HCL TAB 10 MGACCUPRIL TAB 20MG QUINAPRIL HCL TAB 20 MGACCUPRIL TAB 40MG QUINAPRIL HCL TAB 40 MGACCUPRIL TAB 5MG QUINAPRIL HCL TAB 5 MGACCURETIC TAB 10-12.5 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10-12.5 MGACCURETIC TAB 20-12.5 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MGACCURETIC TAB 20-25MG QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-25 MGACEBUTOLOL CAP 200MG ACEBUTOLOL HCL CAP 200 MGACEBUTOLOL CAP 400MG ACEBUTOLOL HCL CAP 400 MGACETAZOLAMID CAP 500MG ER ACETAZOLAMIDE CAP SR 12HR 500 MGACETAZOLAMID TAB 125MG ACETAZOLAMIDE TAB 125 MGACETAZOLAMID TAB 250MG ACETAZOLAMIDE TAB 250 MGACETEST TAB TABLETS ACETONE (URINE) TEST TABACID REDUCER TAB 150MG RANITIDINE HCL TAB 150 MGACID REDUCER TAB 20MG FAMOTIDINE TAB 20 MGACIPHEX SPR CAP 10MG RABEPRAZOLE SODIUM CAPSULE SPRINKLE DR 10 MGACIPHEX SPR CAP 5MG RABEPRAZOLE SODIUM CAPSULE SPRINKLE DR 5 MGACTONEL TAB 35MG RISEDRONATE SODIUM TAB 35 MGACTONEL TAB 5MG RISEDRONATE SODIUM TAB 5 MGACTOPLUS MET TAB XR PIOGLITAZONE HCL-METFORMIN HCL TAB SR 24HR 30-1000 MGACTOPLUS MET TAB XR PIOGLITAZONE HCL-METFORMIN HCL TAB SR 24HR 15-1000 MGADALAT CC TAB 30MG ER NIFEDIPINE TAB SR 24HR 30 MGADALAT CC TAB 60MG ER NIFEDIPINE TAB SR 24HR 60 MGADALAT CC TAB 90MG ER NIFEDIPINE TAB SR 24HR 90 MGADVAIR DISKU AER 100/50 FLUTICASONE-SALMETEROL AER POWDER BA 100-50 MCG/DOSEADVAIR DISKU AER 250/50 FLUTICASONE-SALMETEROL AER POWDER BA 250-50 MCG/DOSEADVAIR DISKU AER 500/50 FLUTICASONE-SALMETEROL AER POWDER BA 500-50 MCG/DOSEADVAIR HFA AER 115/21 FLUTICASONE-SALMETEROL INHAL AEROSOL 115-21 MCG/ACTADVAIR HFA AER 230/21 FLUTICASONE-SALMETEROL INHAL AEROSOL 230-21 MCG/ACTADVAIR HFA AER 45/21 FLUTICASONE-SALMETEROL INHAL AEROSOL 45-21 MCG/ACTADVICOR TAB 1000-20 NIACIN-LOVASTATIN TAB SR 24HR 1000-20 MGADVICOR TAB 1000-40 NIACIN-LOVASTATIN TAB SR 24HR 1000-40 MGADVICOR TAB 500-20MG NIACIN-LOVASTATIN TAB SR 24HR 500-20 MGADVICOR TAB 750-20MG NIACIN-LOVASTATIN TAB SR 24HR 750-20 MGAEROSPAN AER 80MCG FLUNISOLIDE HFA INHAL AEROSOL 80 MCG/ACTAGGRENOX CAP 25-200MG ASPIRIN-DIPYRIDAMOLE CAP SR 12HR 25-200 MGALBUTEROL AER 90MCG ALBUTEROL INAHLED AEROSOL 90 MCG/ACTALBUTEROL NEB 0.083% ALBUTEROL SULFATE SOLN NEBU 0.083% (2.5 MG/3ML)ALBUTEROL NEB 0.5% ALBUTEROL SULFATE SOLN NEBU 0.5% (5 MG/ML)ALBUTEROL NEB 0.63MG/3 ALBUTEROL SULFATE SOLN NEBU 0.63 MG/3ML (BASE EQUIV)ALBUTEROL NEB 1.25MG/3 ALBUTEROL SULFATE SOLN NEBU 1.25 MG/3ML (BASE EQUIV)

List is subject to change 1 rev. 12/23/15

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HEALTH NET MAINTENANCE DRUG LIST 2016

BRAND NAME GENERIC NAMEALBUTEROL SYP 2MG/5ML ALBUTEROL SULFATE SYRUP 2 MG/5MLALBUTEROL TAB 2MG ALBUTEROL SULFATE TAB 2 MGALBUTEROL TAB 4MG ALBUTEROL SULFATE TAB 4 MGALBUTEROL TAB 4MG ER ALBUTEROL SULFATE TAB SR 12HR 4 MGALBUTEROL TAB 8MG ER ALBUTEROL SULFATE TAB SR 12HR 8 MGALDACTAZIDE TAB 25/25 SPIRONOLACTONE & HYDROCHLOROTHIAZIDE TAB 25-25 MGALDACTAZIDE TAB 50/50 SPIRONOLACTONE & HYDROCHLOROTHIAZIDE TAB 50-50 MGALDACTONE TAB 100MG SPIRONOLACTONE TAB 100 MGALDACTONE TAB 25MG SPIRONOLACTONE TAB 25 MGALDACTONE TAB 50MG SPIRONOLACTONE TAB 50 MGALENDRONATE SOL 70/75ML ALENDRONATE SODIUM ORAL SOLN 70 MG/75MLALENDRONATE TAB 10MG ALENDRONATE SODIUM TAB 10 MGALENDRONATE TAB 35MG ALENDRONATE SODIUM TAB 35 MGALENDRONATE TAB 5MG ALENDRONATE SODIUM TAB 5 MGALLOPURINOL TAB 100MG ALLOPURINOL TAB 100 MGALLOPURINOL TAB 300MG ALLOPURINOL TAB 300 MGALPHAGAN P SOL 0.1% BRIMONIDINE TARTRATE OPHTH SOLN 0.1%ALPHAGAN P SOL 0.15% BRIMONIDINE TARTRATE OPHTH SOLN 0.15%ALTOPREV TAB 20MG ER LOVASTATIN TAB SR 24HR 20 MGALTOPREV TAB 40MG ER LOVASTATIN TAB SR 24HR 40 MGALTOPREV TAB 60MG ER LOVASTATIN TAB SR 24HR 60 MGALVESCO AER 160MCG CICLESONIDE INHAL AEROSOL 160 MCG/ACTALVESCO AER 80MCG CICLESONIDE INHAL AEROSOL 80 MCG/ACTAMARYL TAB 1MG GLIMEPIRIDE TAB 1 MGAMARYL TAB 2MG GLIMEPIRIDE TAB 2 MGAMARYL TAB 4MG GLIMEPIRIDE TAB 4 MGAMETHYST TAB 90-20MCG LEVONORGESTREL-ETHINYL ESTRADIOL (CONTINUOUS) TAB 90-20 MCGAMILOR/HCTZ TAB 5-50 AMILORIDE & HYDROCHLOROTHIAZIDE TAB 5-50 MGAMILORIDE TAB 5MG AMILORIDE HCL TAB 5 MGAMITIZA CAP 24MCG LUBIPROSTONE CAP 24 MCGAMITIZA CAP 8MCG LUBIPROSTONE CAP 8 MCGAMLODIPINE TAB 10MG AMLODIPINE BESYLATE TAB 10 MGAMLODIPINE TAB 2.5MG AMLODIPINE BESYLATE TAB 2.5 MGAMLODIPINE TAB 5MG AMLODIPINE BESYLATE TAB 5 MGAMTURNIDE150 TAB -5-12.5 ALISKIREN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 150-5-12.5 MGAMTURNIDE300 TAB -10-12.5 ALISKIREN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 300-10-12.5 MGAMTURNIDE300 TAB -10-25MG ALISKIREN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 300-10-25 MGAMTURNIDE300 TAB -5-12.5 ALISKIREN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 300-5-12.5 MGAMTURNIDE300 TAB -5-25MG ALISKIREN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 300-5-25 MGANAGRELIDE CAP 0.5MG ANAGRELIDE HCL CAP 0.5 MGANAGRELIDE CAP 1MG ANAGRELIDE HCL CAP 1 MGANASTROZOLE TAB 1MG ANASTROZOLE TAB 1 MGANGELIQ TAB 0.25-0.5 DROSPIRENONE-ESTRADIOL TAB 0.25-0.5 MGANGELIQ TAB 0.5-1MG DROSPIRENONE-ESTRADIOL TAB 0.5-1 MGANORO ELLIPTA AER 62.5-25 UMECLIDINIUM-VILANTEROL AERO POWD BA 62.5-25 MCG/INHANTARA CAP 30MG FENOFIBRATE MICRONIZED CAP 30 MGANTARA CAP 90MG FENOFIBRATE MICRONIZED CAP 90 MGAPIDRA INJ SOLOSTAR INSULIN GLULISINE SOLN PEN-INJECTOR INJ 100 UNIT/MLAPIDRA INJ U-100 INSULIN GLULISINE INJ 100 UNIT/MLAPLENZIN TAB 174MG BUPROPION HBR TAB SR 24HR 174 MGAPLENZIN TAB 348MG BUPROPION HBR TAB SR 24HR 348 MGAPLENZIN TAB 522MG BUPROPION HBR TAB SR 24HR 522 MGAPRI TABLETS DESOGESTREL & ETHINYL ESTRADIOL TAB 0.15 MG-30 MCGAPTIOM TAB 200MG ESLICARBAZEPINE ACETATE TAB 200 MGAPTIOM TAB 400MG ESLICARBAZEPINE ACETATE TAB 400 MG

List is subject to change 2 rev. 12/23/15

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HEALTH NET MAINTENANCE DRUG LIST 2016

BRAND NAME GENERIC NAMEAPTIOM TAB 600MG ESLICARBAZEPINE ACETATE TAB 600 MGAPTIOM TAB 800MG ESLICARBAZEPINE ACETATE TAB 800 MGARANELLE TAB NORETHINDRONE-ETH ESTRADIOL TAB 0.5-35/1-35/0.5-35 MG-MCGARAVA TAB 10MG LEFLUNOMIDE TAB 10 MGARAVA TAB 20MG LEFLUNOMIDE TAB 20 MGARCAPTA CAP 75MCG INDACATEROL MALEATE INHAL POWDER CAP 75 MCG (BASE EQUIV)ARMOUR THYROID TAB 120MG THYROID TAB 120 MG (2 GRAIN)ARMOUR THYROID TAB 15MG THYROID TAB 15 MG (1/4 GRAIN)ARMOUR THYROID TAB 180MG THYROID TAB 180 MG (3 GRAIN)ARMOUR THYROID TAB 240MG THYROID TAB 240 MG (4 GRAIN)ARMOUR THYROID TAB 300MG THYROID TAB 300 MG (5 GRAIN)ARMOUR THYROID TAB 30MG THYROID TAB 30 MG (1/2 GRAIN)ARMOUR THYROID TAB 60MG THYROID TAB 60 MG (1 GRAIN)ARMOUR THYROID TAB 90MG THYROID TAB 90 MG (1 1/2 GRAIN)ARNUITY ELLIPTA FLUTICASONE FUROATE AEROSOL 100 MCG/ACT ARNUITY ELLIPTA FLUTICASONE FUROATE AEROSOL 200 MCG/ACT

AROMASIN TAB 25MG EXEMESTANE TAB 25 MGASMANEX 120 AER 220MCG MOMETASONE FUROATE INHAL POWD 220 MCG/INH ASMANEX 30 AER 110MCG MOMETASONE FUROATE INHAL POWD 110 MCG/INHATACAND TAB 16MG CANDESARTAN CILEXETIL TAB 16 MGATACAND TAB 32MG CANDESARTAN CILEXETIL TAB 32 MGATACAND TAB 4MG CANDESARTAN CILEXETIL TAB 4 MGATACAND TAB 8MG CANDESARTAN CILEXETIL TAB 8 MGATACAND HCT TAB 16-12.5 CANDESARTAN CILEXETIL-HYDROCHLOROTHIAZIDE TAB 16-12.5 MGATACAND HCT TAB 32-12.5 CANDESARTAN CILEXETIL-HYDROCHLOROTHIAZIDE TAB 32-12.5 MGATACAND HCT TAB 32-25MG CANDESARTAN CILEXETIL-HYDROCHLOROTHIAZIDE TAB 32-25 MGATELVIA TAB RISEDRONATE SODIUM TAB DELAYED RELEASE 35 MGATENOLOL TAB 100MG ATENOLOL TAB 100 MGATENOLOL TAB 25MG ATENOLOL TAB 25 MGATENOLOL TAB 50MG ATENOLOL TAB 50 MGATROVENT HFA AER 17MCG IPRATROPIUM BROMIDE HFA INHAL AEROSOL 17 MCG/ACTAVALIDE TAB 150-12.5 IRBESARTAN-HYDROCHLOROTHIAZIDE TAB 150-12.5 MGAVALIDE TAB 300-12.5 IRBESARTAN-HYDROCHLOROTHIAZIDE TAB 300-12.5 MGAVANDAMET TAB 2-1000 MG ROSIGLITAZONE MALEATE-METFORMIN HCL TAB 2-1000 MGAVANDAMET TAB 2-500 MG ROSIGLITAZONE MALEATE-METFORMIN HCL TAB 2-500 MGAVANDAMET TAB 4-1000 MG ROSIGLITAZONE MALEATE-METFORMIN HCL TAB 4-1000 MGAVANDAMET TAB 4-500 MG ROSIGLITAZONE MALEATE-METFORMIN HCL TAB 4-500 MGAVANDARYL TAB 4-1 MG ROSIGLITAZONE MALEATE-GLIMEPIRIDE TAB 4-1 MG AVANDARYL TAB 4-2 MG ROSIGLITAZONE MALEATE-GLIMEPIRIDE TAB 4-2 MG AVANDARYL TAB 4-4 MG ROSIGLITAZONE MALEATE-GLIMEPIRIDE TAB 4-4 MG AVANDARYL TAB 8-2 MG ROSIGLITAZONE MALEATE-GLIMEPIRIDE TAB 8-2 MG AVANDIA TAB 2 MG ROSIGLITAZONE MALEATE TAB 2 MGAVANDIA TAB 4 MG ROSIGLITAZONE MALEATE TAB 4 MGAVANDIA TAB 8 MG ROSIGLITAZONE MALEATE TAB 8 MGAVAPRO TAB 150MG IRBESARTAN TAB 150 MGAVAPRO TAB 300MG IRBESARTAN TAB 300 MGAVAPRO TAB 75MG IRBESARTAN TAB 75 MGAVODART CAP 0.5MG DUTASTERIDE CAP 0.5 MGAXID CAP 300MG NIZATIDINE CAP 300 MGAZASAN TAB 100MG AZATHIOPRINE TAB 100 MGAZASAN TAB 75 MG AZATHIOPRINE TAB 75 MGAZATHIOPRINE TAB 50MG AZATHIOPRINE TAB 50 MGAZILECT TAB 0.5MG RASAGILINE MESYLATE TAB 0.5 MG (BASE EQUIV)AZILECT TAB 1MG RASAGILINE MESYLATE TAB 1 MG (BASE EQUIV)AZOPT SUS 1% OP BRINZOLAMIDE OPHTH SUSP 1%

List is subject to change 3 rev. 12/23/15

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HEALTH NET MAINTENANCE DRUG LIST 2016

BRAND NAME GENERIC NAMEAZOR TAB 10-20MG AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 10-20 MGAZOR TAB 10-40MG AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 10-40 MGAZOR TAB 5-20MG AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 5-20 MGAZOR TAB 5-40MG AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 5-40 MGAZULFIDINE TAB 500MG SULFASALAZINE TAB 500 MGAZULFIDINE TAB 500MG EN SULFASALAZINE TAB DELAYED RELEASE 500 MGBANZEL SUS 40MG/ML RUFINAMIDE SUSP 40 MG/MLBANZEL TAB 200MG RUFINAMIDE TAB 200 MGBANZEL TAB 400MG RUFINAMIDE TAB 400 MGBAYER BREEZE MIS 2 TEST GLUCOSE BLOOD TEST DISKBAYER CONTOR TES BLD GLUC GLUCOSE BLOOD TEST STRIPBD NEEDLE MIS 23GX1.25 NEEDLE (DISP) 23 X 1-1/4"BD NEEDLE MIS 30G X 1" NEEDLE (DISP) 30 X 1"BD NEEDLES MIS 25GX7/8" NEEDLE (DISP) 25 X 7/8"BENAZEP/HCTZ TAB 5-6.25 BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 5-6.25 MGBENAZEPRIL TAB 5MG BENAZEPRIL HCL TAB 5 MGBENICAR TAB 20MG OLMESARTAN MEDOXOMIL TAB 20 MGBENICAR TAB 40MG OLMESARTAN MEDOXOMIL TAB 40 MGBENICAR TAB 5MG OLMESARTAN MEDOXOMIL TAB 5 MGBENICAR HCT TAB 20-12.5 OLMESARTAN MEDOXOMIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MGBENICAR HCT TAB 40-12.5 OLMESARTAN MEDOXOMIL-HYDROCHLOROTHIAZIDE TAB 40-12.5 MGBENICAR HCT TAB 40-25MG OLMESARTAN MEDOXOMIL-HYDROCHLOROTHIAZIDE TAB 40-25 MGBENZTROPINE TAB 0.5MG BENZTROPINE MESYLATE TAB 0.5 MGBENZTROPINE TAB 1MG BENZTROPINE MESYLATE TAB 1 MGBENZTROPINE TAB 2MG BENZTROPINE MESYLATE TAB 2 MGBETAGAN SOL 0.5% OP LEVOBUNOLOL HCL OPHTH SOLN 0.5%BETAXOLOL SOL 0.5% OP BETAXOLOL HCL OPHTH SOLN 0.5%BETIMOL SOL 0.25% TIMOLOL OPHTH SOLN 0.25%BETIMOL SOL 0.5% TIMOLOL OPHTH SOLN 0.5%BETOPTIC-S SUS 0.25% OP BETAXOLOL HCL OPHTH SUSP 0.25%BEYAZ TAB DROSPIRENONE-ETHINYL ESTRAD-LEVOMEFOLATE TAB 3-0.02-0.451 MGBIDIL TAB ISOSORBIDE DINITRATE-HYDRALAZINE HCL TAB 20-37.5 MGBINOSTO TAB 70MG ALENDRONATE SODIUM EFFERVESCENT TAB 70 MGBISOPRL/HCTZ TAB 10/6.25 BISOPROLOL & HYDROCHLOROTHIAZIDE TAB 10-6.25 MGBISOPRL/HCTZ TAB 2.5/6.25 BISOPROLOL & HYDROCHLOROTHIAZIDE TAB 2.5-6.25 MGBISOPRL/HCTZ TAB 5-6.25MG BISOPROLOL & HYDROCHLOROTHIAZIDE TAB 5-6.25 MGBISOPROL FUM TAB 10MG BISOPROLOL FUMARATE TAB 10 MGBISOPROL FUM TAB 5MG BISOPROLOL FUMARATE TAB 5 MGBONIVA TAB 150MG IBANDRONATE SODIUM TAB 150 MG (BASE EQUIVALENT)BREO ELLIPTA INH 100-25 FLUTICASONE FUROATE-VILANTEROL AERO POWD BA 100-25 MCG/INHBRILINTA TAB 90MG TICAGRELOR TAB 90 MGBRIMONIDINE SOL 0.2% OP BRIMONIDINE TARTRATE OPHTH SOLN 0.2%BRINTELLIX TAB 10MG VORTIOXETINE HBR TAB 10 MG (BASE EQUIV)BRINTELLIX TAB 20MG VORTIOXETINE HBR TAB 20 MG (BASE EQUIV)BRINTELLIX TAB 5MG VORTIOXETINE HBR TAB 5 MG (BASE EQUIV)BRISDELLE CAP 7.5MG PAROXETINE MESYLATE CAP 7.5 MG (BASE EQUIV)BROVANA NEB 15MCG ARFORMOTEROL TARTRATE SOLN NEBU 15 MCG/2ML (BASE EQUIV)BUDEPRION TAB 100MG SR BUPROPION HCL TAB SR 12HR 100 MGBUDEPRION TAB 150MG SR BUPROPION HCL TAB SR 12HR 150 MGBUDEPRION XL TAB 300MG BUPROPION HCL TAB SR 24HR 300 MGBUDESONIDE SUS 0.25MG/2 BUDESONIDE INHALATION SUSP 0.25 MG/2MLBUDESONIDE SUS 0.5MG/2 BUDESONIDE INHALATION SUSP 0.5 MG/2MLBUPROPION TAB 200MG SR BUPROPION HCL TAB SR 12HR 200 MGBUPROPN HCL TAB 150MG XL BUPROPION HCL TAB SR 24HR 150 MGBYSTOLIC TAB 10MG NEBIVOLOL HCL TAB 10 MG (BASE EQUIVALENT)

List is subject to change 4 rev. 12/23/15

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BRAND NAME GENERIC NAMEBYSTOLIC TAB 2.5MG NEBIVOLOL HCL TAB 2.5 MG (BASE EQUIVALENT)BYSTOLIC TAB 20MG NEBIVOLOL HCL TAB 20 MG (BASE EQUIVALENT)BYSTOLIC TAB 5MG NEBIVOLOL HCL TAB 5 MG (BASE EQUIVALENT)CADUET TAB 10-10MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 10-10 MGCADUET TAB 10-20MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 10-20 MGCADUET TAB 10-40MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 10-40 MGCADUET TAB 10-80MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 10-80 MGCADUET TAB 2.5-10MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 2.5-10 MGCADUET TAB 2.5-20MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 2.5-20 MGCADUET TAB 2.5-40MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 2.5-40 MGCADUET TAB 5-10MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 5-10 MGCADUET TAB 5-20MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 5-20 MGCADUET TAB 5-40MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 5-40 MGCADUET TAB 5-80MG AMLODIPINE BESYLATE-ATORVASTATIN CALCIUM TAB 5-80 MGCALAN TAB 120MG VERAPAMIL HCL TAB 120 MGCALAN TAB 80MG VERAPAMIL HCL TAB 80 MGCALAN SR TAB 120MG VERAPAMIL HCL TAB CR 120 MGCALAN SR TAB 180MG VERAPAMIL HCL TAB CR 180 MGCALAN SR TAB 240MG VERAPAMIL HCL TAB CR 240 MGCALC ACETATE CAP 667MG CALCIUM ACETATE (PHOSPHATE BINDER) CAP 667 MG (169 MG CA)CALC ACETATE TAB 667MG CALCIUM ACETATE (PHOSPHATE BINDER) TAB 667 MGCALCITRIOL CAP 0.25MCG CALCITRIOL CAP 0.25 MCGCALCITRIOL CAP 0.5MCG CALCITRIOL CAP 0.5 MCGCALCITRIOL SOL 1MCG/ML CALCITRIOL ORAL SOLN 1 MCG/MLCAMRESE TAB LEVONORG-ETH EST TAB 0.15-0.03MG(84) & ETH EST TAB 0.01MG(7)CAMRESE LO TAB LEVONORG-ETH EST TAB 0.1-0.02MG(84) & ETH EST TAB 0.01MG(7)CAPTOPR/HCTZ TAB 25-15MG CAPTOPRIL & HYDROCHLOROTHIAZIDE TAB 25-15 MGCAPTOPR/HCTZ TAB 25-25MG CAPTOPRIL & HYDROCHLOROTHIAZIDE TAB 25-25 MGCAPTOPR/HCTZ TAB 50-15MG CAPTOPRIL & HYDROCHLOROTHIAZIDE TAB 50-15 MGCAPTOPR/HCTZ TAB 50-25MG CAPTOPRIL & HYDROCHLOROTHIAZIDE TAB 50-25 MGCAPTOPRIL TAB 100MG CAPTOPRIL TAB 100 MGCAPTOPRIL TAB 12.5MG CAPTOPRIL TAB 12.5 MGCAPTOPRIL TAB 25MG CAPTOPRIL TAB 25 MGCAPTOPRIL TAB 50MG CAPTOPRIL TAB 50 MGCARB/LEVO TAB 10-100MG CARBIDOPA & LEVODOPA ORALLY DISINTEGRATING TAB 10-100 MGCARB/LEVO TAB 25-100MG CARBIDOPA & LEVODOPA ORALLY DISINTEGRATING TAB 25-100 MGCARB/LEVO TAB 25-250MG CARBIDOPA & LEVODOPA ORALLY DISINTEGRATING TAB 25-250 MGCARBAMAZEPIN CAP 100MG ER CARBAMAZEPINE CAP SR 12HR 100 MGCARBAMAZEPIN CAP 200MG ER CARBAMAZEPINE CAP SR 12HR 200 MGCARBAMAZEPIN CAP 300MG ER CARBAMAZEPINE CAP SR 12HR 300 MGCARBAMAZEPIN CHW 100MG CARBAMAZEPINE CHEW TAB 100 MGCARDENE SR CAP 30MG NICARDIPINE HCL CAP SR 12HR 30 MGCARDENE SR CAP 60MG NICARDIPINE HCL CAP SR 12HR 60 MGCARDIZEM CD CAP 360MG/24 DILTIAZEM HCL COATED BEADS CAP SR 24HR 360 MGCARDIZEM LA TAB 120MG DILTIAZEM HCL COATED BEADS TAB SR 24HR 120 MGCARDIZEM LA TAB 180MG DILTIAZEM HCL COATED BEADS TAB SR 24HR 180 MGCARDIZEM LA TAB 240MG DILTIAZEM HCL COATED BEADS TAB SR 24HR 240 MGCARDIZEM LA TAB 300MG/24 DILTIAZEM HCL COATED BEADS TAB SR 24HR 300 MGCARDIZEM LA TAB 360MG DILTIAZEM HCL COATED BEADS TAB SR 24HR 360 MGCARDIZEM LA TAB 420MG/24 DILTIAZEM HCL COATED BEADS TAB SR 24HR 420 MGCARDURA TAB 1MG DOXAZOSIN MESYLATE TAB 1 MGCARDURA TAB 2MG DOXAZOSIN MESYLATE TAB 2 MGCARDURA TAB 4MG DOXAZOSIN MESYLATE TAB 4 MGCARDURA TAB 8MG DOXAZOSIN MESYLATE TAB 8 MGCARDURA XL TAB 4MG DOXAZOSIN MESYLATE TAB SR 24 HR 4 MG (BASE EQUIV)

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BRAND NAME GENERIC NAMECARDURA XL TAB 8MG DOXAZOSIN MESYLATE TAB SR 24 HR 8 MG (BASE EQUIV)CARTEOLOL SOL 1% OP CARTEOLOL HCL OPHTH SOLN 1%CELONTIN CAP 300MG METHSUXIMIDE CAP 300 MGCENESTIN TAB 0.3MG ESTROGENS, CONJUGATED SYNTHETIC A TAB 0.3 MGCENESTIN TAB 0.45MG ESTROGENS, CONJUGATED SYNTHETIC A TAB 0.45 MGCENESTIN TAB 0.625MG ESTROGENS, CONJUGATED SYNTHETIC A TAB 0.625 MGCENESTIN TAB 0.9MG ESTROGENS, CONJUGATED SYNTHETIC A TAB 0.9 MGCENESTIN TAB 1.25MG ESTROGENS, CONJUGATED SYNTHETIC A TAB 1.25 MGCERDELGA CAP 84MG ELIGLUSTAT TARTRATE CAP 84 MG (BASE EQUIVALENT)CEVIMELINE CAP 30MG CEVIMELINE HCL CAP 30 MGCHLOROTHIAZ TAB 250MG CHLOROTHIAZIDE TAB 250 MGCHLOROTHIAZ TAB 500MG CHLOROTHIAZIDE TAB 500 MGCHLORPROPAM TAB 100MG CHLORPROPAMIDE TAB 100 MGCHLORPROPAM TAB 250MG CHLORPROPAMIDE TAB 250 MGCHLORTHALID TAB 100MG CHLORTHALIDONE TAB 100 MGCHLORTHALID TAB 25MG CHLORTHALIDONE TAB 25 MGCHLORTHALID TAB 50MG CHLORTHALIDONE TAB 50 MGCHOLESTYRAM POW 4GM CHOLESTYRAMINE POWDER 4 GM/DOSECHOLESTYRAM POW 4GM CHOLESTYRAMINE POWDER PACKETS 4 GMCHOLESTYRAM POW 4GM LITE CHOLESTYRAMINE LIGHT POWDER 4 GM/DOSECHOLESTYRAM POW 4GM LITE CHOLESTYRAMINE LIGHT POWDER PACKETS 4 GMCILOSTAZOL TAB 100MG CILOSTAZOL TAB 100 MGCILOSTAZOL TAB 50MG CILOSTAZOL TAB 50 MGCIMETIDINE SOL 300/5ML CIMETIDINE HCL SOLN 300 MG/5MLCIMETIDINE TAB 300MG CIMETIDINE TAB 300 MGCIMETIDINE TAB 400MG CIMETIDINE TAB 400 MGCIMETIDINE TAB 800MG CIMETIDINE TAB 800 MGCITALOPRAM SOL 10MG/5ML CITALOPRAM HYDROBROMIDE ORAL SOLN 10 MG/5MLCITALOPRAM TAB 10MG CITALOPRAM HYDROBROMIDE TAB 10 MG (BASE EQUIV)CITALOPRAM TAB 20MG CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV)CITALOPRAM TAB 40MG CITALOPRAM HYDROBROMIDE TAB 40 MG (BASE EQUIV)CLARINEX SYP 0.5MG/ML DESLORATADINE SYRUP 0.5 MG/MLCLARINEX TAB 5MG DESLORATADINE TAB 5 MGCLARINEX RDT TAB 2.5MG DESLORATADINE TAB ORALLY DISINTEGRATING 2.5 MGCLARINEX RDT TAB 5MG DESLORATADINE TAB ORALLY DISINTEGRATING 5 MGCLIMARA PRO DIS WEEKLY ESTRADIOL-LEVONORGESTREL TD PATCH WEEKLY 0.045-0.015 MG/DAYCLONIDINE DIS 0.1/24HR CLONIDINE HCL TD PATCH WEEKLY 0.1 MG/24HRCLONIDINE DIS 0.2/24HR CLONIDINE HCL TD PATCH WEEKLY 0.2 MG/24HRCLONIDINE DIS 0.3/24HR CLONIDINE HCL TD PATCH WEEKLY 0.3 MG/24HRCLONIDINE TAB 0.1MG CLONIDINE HCL TAB 0.1 MGCLONIDINE TAB 0.1MG ER CLONIDINE HCL TAB SR 12HR 0.1 MGCLONIDINE TAB 0.2MG CLONIDINE HCL TAB 0.2 MGCLONIDINE TAB 0.3MG CLONIDINE HCL TAB 0.3 MGCLOPIDOGREL TAB 75MG CLOPIDOGREL BISULFATE TAB 75 MG (BASE EQUIV)CLORPRES TAB 0.1-15MG CLONIDINE & CHLORTHALIDONE TAB 0.1-15 MGCLORPRES TAB 0.2-15MG CLONIDINE & CHLORTHALIDONE TAB 0.2-15 MGCLORPRES TAB 0.3-15MG CLONIDINE & CHLORTHALIDONE TAB 0.3-15 MGCOLESTID GRA 5GM COLESTIPOL HCL GRANULES 5 GMCOLESTID POW 5GM COLESTIPOL HCL GRANULE PACKETS 5 GMCOLESTID TAB 1GM COLESTIPOL HCL TAB 1 GMCOMBIGAN SOL 0.2/0.5% BRIMONIDINE TARTRATE-TIMOLOL MALEATE OPHTH SOLN 0.2-0.5%COMBIPATCH DIS .05/.14 ESTRADIOL-NORETHINDRONE ACE TD PTTW 0.05-0.14 MG/DAYCOMBIPATCH DIS .05/.25 ESTRADIOL-NORETHINDRONE ACE TD PTTW 0.05-0.25 MG/DAYCOMBIVENT AER IPRATROPIUM-ALBUTEROL AEROSOL 18-103 MCG/ACT (20-120MCG/ACT)COMBIVENT AER RESPIMAT IPRATROPIUM-ALBUTEROL INHAL AEROSOL SOLN 20-100 MCG/ACT

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BRAND NAME GENERIC NAMECOMTAN TAB 200MG ENTACAPONE TAB 200 MGCORDARONE TAB 200MG AMIODARONE HCL TAB 200 MGCOREG TAB 12.5MG CARVEDILOL TAB 12.5 MGCOREG TAB 25MG CARVEDILOL TAB 25 MGCOREG TAB 3.125MG CARVEDILOL TAB 3.125 MGCOREG TAB 6.25MG CARVEDILOL TAB 6.25 MGCOREG CR CAP 10MG CARVEDILOL PHOSPHATE CAP SR 24HR 10 MGCOREG CR CAP 20MG CARVEDILOL PHOSPHATE CAP SR 24HR 20 MGCOREG CR CAP 40MG CARVEDILOL PHOSPHATE CAP SR 24HR 40 MGCOREG CR CAP 80MG CARVEDILOL PHOSPHATE CAP SR 24HR 80 MGCORLANOR TAB 5 MG IVABRADINE HCL TAB 5 MGCORLANOR TAB 7.5 MG IVABRADINE HCL TAB 7.5 MGCOSOPT SOL 2-0.5%OP DORZOLAMIDE HCL-TIMOLOL MALEATE OPHTH SOLN 22.3-6.8 MG/MLCOSOPT PF SOL DORZOLAMIDE HCL-TIMOLOL MALEATE OPHTH SOL 22.3-6.8 MG/ML PFCOZAAR TAB 100MG LOSARTAN POTASSIUM TAB 100 MGCOZAAR TAB 25MG LOSARTAN POTASSIUM TAB 25 MGCOZAAR TAB 50MG LOSARTAN POTASSIUM TAB 50 MGCREON CAP 12000UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 12000-38000-60000 UNITCREON CAP 24000UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 24000-76000-120000 UNITCREON CAP 3000UNIT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 3000-9500-15000 UNITCREON CAP 36000UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 36000-114000-180000 UNITCREON CAP 6000UNIT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 6000-19000-30000 UNITCRESTOR TAB 10MG ROSUVASTATIN CALCIUM TAB 10 MGCRESTOR TAB 20MG ROSUVASTATIN CALCIUM TAB 20 MGCRESTOR TAB 40MG ROSUVASTATIN CALCIUM TAB 40 MGCRESTOR TAB 5MG ROSUVASTATIN CALCIUM TAB 5 MGCROMOLYN SOD CON 100/5ML CROMOLYN SODIUM ORAL CONC 100 MG/5MLCROMOLYN SOD NEB 20MG/2ML CROMOLYN SODIUM SOLN NEBU 20 MG/2MLCRONO SYR MIS 10ML SYRINGE/NEEDLE (DISP) 10 ML 19G X 1-1/2"CRONO SYR MIS 20ML SYRINGE/NEEDLE (DISP) 20 ML 19G X 1-1/2"CRYSELLE-28 TAB 28 TABS NORGESTREL & ETHINYL ESTRADIOL TAB 0.3 MG-30 MCGCUVPOSA SOL 1MG/5ML GLYCOPYRROLATE ORAL SOLN 1 MG/5MLCYCLESSA PAK DESOGEST-ETHIN EST TAB 0.1-0.025/0.125-0.025/0.15-0.025MG-MGCYCLOSET TAB 0.8MG BROMOCRIPTINE MESYLATE TAB 0.8 MG (BASE EQUIVALENT)CYMBALTA CAP 20MG DULOXETINE HCL ENTERIC COATED PELLETS CAP 20 MGCYMBALTA CAP 30MG DULOXETINE HCL ENTERIC COATED PELLETS CAP 30 MGCYMBALTA CAP 60MG DULOXETINE HCL ENTERIC COATED PELLETS CAP 60 MGCYTOTEC TAB 100MCG MISOPROSTOL TAB 100 MCGCYTOTEC TAB 200MCG MISOPROSTOL TAB 200 MCGDALIRESP TAB 500MCG ROFLUMILAST TAB 500 MCGDEPAKENE CAP 250MG VALPROIC ACID CAP 250 MGDEPAKENE SYP 250/5ML VALPROATE SODIUM SYRUP 250 MG/5ML (BASE EQUIV)DEPAKOTE TAB 125MG DR DIVALPROEX SODIUM TAB DELAYED RELEASE 125 MGDEPAKOTE TAB 250MG DR DIVALPROEX SODIUM TAB DELAYED RELEASE 250 MGDEPAKOTE TAB 500MG DR DIVALPROEX SODIUM TAB DELAYED RELEASE 500 MGDEPAKOTE ER TAB 250MG DIVALPROEX SODIUM TAB SR 24 HR 250 MGDEPAKOTE ER TAB 500MG DIVALPROEX SODIUM TAB SR 24 HR 500 MGDEPAKOTE SPR CAP 125MG DIVALPROEX SODIUM CAP SPRINKLE 125 MGDESO/ETHINYL TAB ESTRADIO DESOGEST-ETH ESTRAD & ETH ESTRAD TAB 0.15-0.02/0.01 MG(21/5)DESOGEN-28 TAB DESOGESTREL & ETHINYL ESTRADIOL TAB 0.15 MG-30 MCGDESVENLAFAX TAB 100MG ER DESVENLAFAXINE TAB SR 24HR 100 MGDESVENLAFAX TAB 100MG ER DESVENLAFAXINE FUMARATE TAB SR 24HR 100 MG (BASE EQUIV)DESVENLAFAX TAB 50MG ER DESVENLAFAXINE TAB SR 24HR 50 MGDESVENLAFAX TAB 50MG ER DESVENLAFAXINE FUMARATE TAB SR 24HR 50 MG (BASE EQUIV)DETROL TAB 1MG TOLTERODINE TARTRATE TAB 1 MG

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BRAND NAME GENERIC NAMEDETROL TAB 2MG TOLTERODINE TARTRATE TAB 2 MGDETROL LA CAP 2MG TOLTERODINE TARTRATE CAP SR 24HR 2 MGDETROL LA CAP 4MG TOLTERODINE TARTRATE CAP SR 24HR 4 MGDEXILANT CAP 30MG DR DEXLANSOPRAZOLE CAP DELAYED RELEASE 30 MGDEXILANT CAP 60MG DR DEXLANSOPRAZOLE CAP DELAYED RELEASE 60 MGDIABETA TAB 1.25MG GLYBURIDE TAB 1.25 MGDIABETA TAB 2.5MG GLYBURIDE TAB 2.5 MGDIABETA TAB 5MG GLYBURIDE TAB 5 MGDIGOXIN SOL 50MCG/ML DIGOXIN ORAL SOLN 0.05 MG/MLDIGOXIN TAB 0.125MG DIGOXIN TAB 125 MCG (0.125 MG)DIGOXIN TAB 0.25MG DIGOXIN TAB 250 MCG (0.25 MG)DILANTIN CAP 100MG PHENYTOIN SODIUM EXTENDED CAP 100 MGDILANTIN CAP 30MG PHENYTOIN SODIUM EXTENDED CAP 30 MGDILANTIN CHW 50MG PHENYTOIN CHEW TAB 50 MGDILANTIN-125 SUS 125/5ML PHENYTOIN SUSP 125 MG/5MLDILTIAZEM CAP 120MG ER DILTIAZEM HCL COATED BEADS CAP SR 24HR 120 MGDILTIAZEM CAP 120MG ER DILTIAZEM HCL CAP SR 24HR 120 MGDILTIAZEM CAP 120MG ER DILTIAZEM HCL CAP SR 12HR 120 MGDILTIAZEM CAP 180MG ER DILTIAZEM HCL COATED BEADS CAP SR 24HR 180 MGDILTIAZEM CAP 180MG ER DILTIAZEM HCL CAP SR 24HR 180 MGDILTIAZEM CAP 240MG ER DILTIAZEM HCL COATED BEADS CAP SR 24HR 240 MGDILTIAZEM CAP 240MG ER DILTIAZEM HCL CAP SR 24HR 240 MGDILTIAZEM CAP 300MG ER DILTIAZEM HCL COATED BEADS CAP SR 24HR 300 MGDILTIAZEM CAP 60MG ER DILTIAZEM HCL CAP SR 12HR 60 MGDILTIAZEM CAP 90MG ER DILTIAZEM HCL CAP SR 12HR 90 MGDILTIAZEM TAB 120MG DILTIAZEM HCL TAB 120 MGDILTIAZEM TAB 30MG DILTIAZEM HCL TAB 30 MGDILTIAZEM TAB 60MG DILTIAZEM HCL TAB 60 MGDILTIAZEM TAB 90MG DILTIAZEM HCL TAB 90 MGDIOVAN TAB 160MG VALSARTAN TAB 160 MGDIOVAN TAB 320MG VALSARTAN TAB 320 MGDIOVAN TAB 40MG VALSARTAN TAB 40 MGDIOVAN TAB 80MG VALSARTAN TAB 80 MGDIOVAN HCT TAB 160-12.5 VALSARTAN-HYDROCHLOROTHIAZIDE TAB 160-12.5 MGDIOVAN HCT TAB 160-25MG VALSARTAN-HYDROCHLOROTHIAZIDE TAB 160-25 MGDIOVAN HCT TAB 320-12.5 VALSARTAN-HYDROCHLOROTHIAZIDE TAB 320-12.5 MGDIOVAN HCT TAB 320-25MG VALSARTAN-HYDROCHLOROTHIAZIDE TAB 320-25 MGDIOVAN HCT TAB 80/12.5 VALSARTAN-HYDROCHLOROTHIAZIDE TAB 80-12.5 MG

DIPENTUM CAP 250MG OLSALAZINE SODIUM CAP 250 MGDIPYRIDAMOLE TAB 25MG DIPYRIDAMOLE TAB 25 MGDIPYRIDAMOLE TAB 50MG DIPYRIDAMOLE TAB 50 MGDIPYRIDAMOLE TAB 75MG DIPYRIDAMOLE TAB 75 MGDIURIL SUS 250/5ML CHLOROTHIAZIDE SUSP 250 MG/5MLDIVIGEL GEL 0.25MG ESTRADIOL TD GEL 0.25 MG/0.25GM (0.1%)DIVIGEL GEL 0.5MG ESTRADIOL TD GEL 0.5 MG/0.5GM (0.1%)DIVIGEL GEL 1MG/GM ESTRADIOL TD GEL 1 MG/GM (0.1%)DONEPEZIL TAB 10MG DONEPEZIL HYDROCHLORIDE TAB 10 MGDONEPEZIL TAB 10MG ODT DONEPEZIL HYDROCHLORIDE ORALLY DISINTEGRATING TAB 10 MGDONEPEZIL TAB 5MG DONEPEZIL HYDROCHLORIDE TAB 5 MGDONEPEZIL TAB 5MG ODT DONEPEZIL HYDROCHLORIDE ORALLY DISINTEGRATING TAB 5 MGDONEPEZIL TAB HCL 23MG DONEPEZIL HYDROCHLORIDE TAB 23 MGDUAVEE TAB 0.45-20 CONJUGATED ESTROGENS-BAZEDOXIFENE TAB 0.45-20 MG

DULERA AEROSOL 100-5MCGMOMETASONE FUROATE-FORMOTEROL FUMARATE AEROSOL 100-5 MCG/ACT

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BRAND NAME GENERIC NAME

DULERA AEROSOL 200-5MCGMOMETASONE FUROATE-FORMOTEROL FUMARATE AEROSOL 200-5 MCG/ACT

DUTOPROL TAB 100-12.5 METOPROLOL & HYDROCHLOROTHIAZIDE TAB SR 24HR 100-12.5 MGDUTOPROL TAB 25-12.5 METOPROLOL & HYDROCHLOROTHIAZIDE TAB SR 24HR 25-12.5 MGDUTOPROL TAB 50-12.5 METOPROLOL & HYDROCHLOROTHIAZIDE TAB SR 24HR 50-12.5 MGDYAZIDE CAP 37.5-25 TRIAMTERENE & HYDROCHLOROTHIAZIDE CAP 37.5-25 MGDYRENIUM CAP 100MG TRIAMTERENE CAP 100 MGDYRENIUM CAP 50MG TRIAMTERENE CAP 50 MGEDARBI TAB 40MG AZILSARTAN MEDOXOMIL TAB 40 MGEDARBI TAB 80MG AZILSARTAN MEDOXOMIL TAB 80 MGEDARBYCLOR TAB 40-12.5 AZILSARTAN MEDOXOMIL-CHLORTHALIDONE TAB 40-12.5 MGEDARBYCLOR TAB 40-25MG AZILSARTAN MEDOXOMIL-CHLORTHALIDONE TAB 40-25 MGEFFEXOR XR CAP 150MG VENLAFAXINE HCL CAP SR 24HR 150 MG (BASE EQUIVALENT)EFFEXOR XR CAP 37.5MG VENLAFAXINE HCL CAP SR 24HR 37.5 MG (BASE EQUIVALENT)EFFEXOR XR CAP 75MG VENLAFAXINE HCL CAP SR 24HR 75 MG (BASE EQUIVALENT)EFFIENT TAB 10MG PRASUGREL HCL TAB 10 MG (BASE EQUIV)EFFIENT TAB 5MG PRASUGREL HCL TAB 5 MG (BASE EQUIV)ELDEPRYL CAP 5MG SELEGILINE HCL CAP 5 MGELESTRIN GEL 0.06% ESTRADIOL GEL 0.06% (0.52 MG/0.87 GM METERED-DOSE PUMP)EMSAM DIS 12MG/24H SELEGILINE TD PATCH 24HR 12 MG/24HREMSAM DIS 6MG/24HR SELEGILINE TD PATCH 24HR 6 MG/24HREMSAM DIS 9MG/24HR SELEGILINE TD PATCH 24HR 9 MG/24HRENABLEX TAB 15MG DARIFENACIN HYDROBROMIDE TAB SR 24HR 15 MG (BASE EQUIV)ENABLEX TAB 7.5MG DARIFENACIN HYDROBROMIDE TAB SR 24HR 7.5 MG (BASE EQUIV)ENALAPRIL/HCTZ TAB 10-25MG ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE TAB 10-25 MGENALAPRIL/HCTZ TAB 5-12.5MG ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE TAB 5-12.5 MGENALAPRIL TAB 10MG ENALAPRIL MALEATE TAB 10 MGENALAPRIL TAB 2.5MG ENALAPRIL MALEATE TAB 2.5 MGENALAPRIL TAB 20MG ENALAPRIL MALEATE TAB 20 MGENALAPRIL TAB 5MG ENALAPRIL MALEATE TAB 5 MGENJUVIA TAB 0.3MG ESTROGENS, CONJUGATED SYNTHETIC B TAB 0.3 MGENJUVIA TAB 0.45MG ESTROGENS, CONJUGATED SYNTHETIC B TAB 0.45 MGENJUVIA TAB 0.625MG ESTROGENS, CONJUGATED SYNTHETIC B TAB 0.625 MGENJUVIA TAB 0.9MG ESTROGENS, CONJUGATED SYNTHETIC B TAB 0.9 MGENJUVIA TAB 1.25MG ESTROGENS, CONJUGATED SYNTHETIC B TAB 1.25 MGENPRESSE-28 TAB LEVONORGESTREL-ETH ESTRA TAB 0.05-30/0.075-40/0.125-30MG-MCGENTRESTO TAB 24-26 MG SACUBITRIL-VALSARTAN TAB 24-26 MGENTRESTO TAB 49-51 MG SACUBITRIL-VALSARTAN TAB 49-51 MGENTRESTO TAB 97-103 MG SACUBITRIL-VALSARTAN TAB 97-103 MGEQUETRO CAP 100MG CARBAMAZEPINE (ANTIPSYCHOTIC) CAP SR 12HR 100 MGEQUETRO CAP 200MG CARBAMAZEPINE (ANTIPSYCHOTIC) CAP SR 12HR 200 MGEQUETRO CAP 300MG CARBAMAZEPINE (ANTIPSYCHOTIC) CAP SR 12HR 300 MGERGOLOID MES TAB 1MG ORAL ERGOLOID MESYLATES TAB 1 MGESCITALOPRAM TAB 10MG ESCITALOPRAM OXALATE TAB 10 MG (BASE EQUIV)ESCITALOPRAM TAB 20MG ESCITALOPRAM OXALATE TAB 20 MG (BASE EQUIV)ESCITALOPRAM TAB 5MG ESCITALOPRAM OXALATE TAB 5 MG (BASE EQUIV)ESOMEPRAZOLE CAP 24.65MG ESOMEPRAZOLE STRONTIUM CAP DELAYED RELEASE 24.65 MGESOMEPRAZOLE CAP 49.3MG ESOMEPRAZOLE STRONTIUM CAP DELAYED RELEASE 49.3 MGESTRACE VAG CRE 0.1MG/GM ESTRADIOL VAGINAL CREAM 0.1 MG/GMESTRADIOL DIS 0.025MG ESTRADIOL TD PATCH WEEKLY 0.025 MG/24HRESTRADIOL DIS 0.0375MG ESTRADIOL TD PATCH WEEKLY 0.0375 MG/24HR (37.5 MCG/24HR)ESTRADIOL DIS 0.05MG ESTRADIOL TD PATCH WEEKLY 0.05 MG/24HRESTRADIOL DIS 0.06MG ESTRADIOL TD PATCH WEEKLY 0.06 MG/24HRESTRADIOL DIS 0.075MG ESTRADIOL TD PATCH WEEKLY 0.075 MG/24HRESTRADIOL DIS 0.1MG ESTRADIOL TD PATCH WEEKLY 0.1 MG/24HR

List is subject to change 9 rev. 12/23/15

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BRAND NAME GENERIC NAMEESTRADIOL TAB 0.5MG ESTRADIOL TAB 0.5 MGESTRADIOL TAB 1MG ESTRADIOL TAB 1 MGESTRADIOL TAB 2MG ESTRADIOL TAB 2 MGESTRASORB EMU ESTRADIOL TRANSDERMAL EMULSION 4.35 MG/1.74GMESTRING MIS 2MG ESTRADIOL VAGINAL RING 2 MG (7.5 MCG/24HRS)ESTROGEL GEL ESTRADIOL GEL 0.06% (0.75 MG/1.25 GM METERED-DOSE PUMP)ESTROPIPATE TAB 0.75MG ESTROPIPATE TAB 0.75 MGESTROPIPATE TAB 1.5MG ESTROPIPATE TAB 1.5 MGESTROPIPATE TAB 3MG ESTROPIPATE TAB 3 MGESTROSTEP FE TAB NORETHINDRONE AC-ETHINYL ESTRAD-FE TAB 1-20/1-30/1-35 MG-MCGEVAMIST SPR 1.53MG ESTRADIOL TRANSDERMAL SPRAY 1.53 MG/SPRAYEVISTA TAB 60MG RALOXIFENE HCL TAB 60 MGEXELON CAP 1.5MG RIVASTIGMINE TARTRATE CAP 1.5 MGEXELON CAP 3MG RIVASTIGMINE TARTRATE CAP 3 MGEXELON CAP 4.5MG RIVASTIGMINE TARTRATE CAP 4.5 MGEXELON CAP 6MG RIVASTIGMINE TARTRATE CAP 6 MGEXELON DIS 13.3/24 RIVASTIGMINE TD PATCH 24HR 13.3 MG/24HREXELON DIS 4.6MG/24 RIVASTIGMINE TD PATCH 24HR 4.6 MG/24HREXELON DIS 9.5MG/24 RIVASTIGMINE TD PATCH 24HR 9.5 MG/24HREXELON SOL 2MG/ML RIVASTIGMINE TARTRATE SOLN 2 MG/MLEXFORGE TAB 10-160MG AMLODIPINE BESYLATE-VALSARTAN TAB 10-160 MGEXFORGE TAB 10-320MG AMLODIPINE BESYLATE-VALSARTAN TAB 10-320 MGEXFORGE TAB 5-160MG AMLODIPINE BESYLATE-VALSARTAN TAB 5-160 MGEXFORGE TAB 5-320MG AMLODIPINE BESYLATE-VALSARTAN TAB 5-320 MGEXFORGEH/10- TAB 160-12.5 AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 10-160-12.5 MGEXFORGEH/10- TAB 160-25 AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 10-160-25 MGEXFORGEH/10- TAB 320-25 AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 10-320-25 MGEXFORGEH/5- TAB 160-12.5 AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 5-160-12.5 MGEXFORGEH/5- TAB 160-25 AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 5-160-25 MGFAMOTIDINE SUS 40MG/5ML FAMOTIDINE FOR SUSP 40 MG/5MLFAMOTIDINE TAB 40MG FAMOTIDINE TAB 40 MGFARESTON TAB 60MG TOREMIFENE CITRATE TAB 60 MG (BASE EQUIVALENT)FARXIGA TAB 10MG DAPAGLIFLOZIN PROPANEDIOL TAB 10 MG (BASE EQUIVALENT)FARXIGA TAB 5MG DAPAGLIFLOZIN PROPANEDIOL TAB 5 MG (BASE EQUIVALENT)FELBATOL SUS 600/5ML FELBAMATE SUSP 600 MG/5MLFELBATOL TAB 400MG FELBAMATE TAB 400 MGFELBATOL TAB 600MG FELBAMATE TAB 600 MGFELODIPINE TAB 10MG ER FELODIPINE TAB SR 24HR 10 MGFELODIPINE TAB 2.5MG ER FELODIPINE TAB SR 24HR 2.5 MGFELODIPINE TAB 5MG ER FELODIPINE TAB SR 24HR 5 MGFEMHRT TAB 0.5-2.5 NORETHINDRONE ACETATE-ETHINYL ESTRADIOL TAB 0.5 MG-2.5 MCGFEMRING MIS 0.05/24H ESTRADIOL ACETATE VAGINAL RING 0.05 MG/24HRFEMRING MIS 0.1MG/24 ESTRADIOL ACETATE VAGINAL RING 0.1 MG/24HRFENOFIBRATE CAP 130MG FENOFIBRATE MICRONIZED CAP 130 MGFENOFIBRATE CAP 134MG FENOFIBRATE MICRONIZED CAP 134 MGFENOFIBRATE CAP 150MG FENOFIBRATE CAP 150 MGFENOFIBRATE CAP 200MG FENOFIBRATE MICRONIZED CAP 200 MGFENOFIBRATE CAP 43MG FENOFIBRATE MICRONIZED CAP 43 MGFENOFIBRATE CAP 50MG FENOFIBRATE CAP 50 MGFENOFIBRATE CAP 67MG FENOFIBRATE MICRONIZED CAP 67 MGFENOFIBRATE TAB 160MG FENOFIBRATE TAB 160 MGFENOFIBRATE TAB 54MG FENOFIBRATE TAB 54 MGFENOGLIDE TAB 120MG FENOFIBRATE TAB 120 MGFENOGLIDE TAB 40MG FENOFIBRATE TAB 40 MGFERRIC CITRA TAB 210MG FERRIC CITRATE TAB 1 GM (210 MG FERRIC IRON)

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BRAND NAME GENERIC NAMEFETZIMA CAP 120MG LEVOMILNACIPRAN HCL CAP SR 24HR 120 MG (BASE EQUIVALENT)FETZIMA CAP 20MG LEVOMILNACIPRAN HCL CAP SR 24HR 20 MG (BASE EQUIVALENT)FETZIMA CAP 40MG LEVOMILNACIPRAN HCL CAP SR 24HR 40 MG (BASE EQUIVALENT)FETZIMA CAP 80MG LEVOMILNACIPRAN HCL CAP SR 24HR 80 MG (BASE EQUIVALENT)FIBRICOR TAB 105MG FENOFIBRIC ACID TAB 105 MGFIBRICOR TAB 35MG FENOFIBRIC ACID TAB 35 MGFINGERSTIX MIS LANCETS LANCETSFLAVOXATE TAB 100MG FLAVOXATE HCL TAB 100 MGFLECAINIDE TAB 100MG FLECAINIDE ACETATE TAB 100 MGFLECAINIDE TAB 150MG FLECAINIDE ACETATE TAB 150 MGFLECAINIDE TAB 50MG FLECAINIDE ACETATE TAB 50 MGFLOVENT DISK AER 100MCG FLUTICASONE PROPIONATE AER POW BA 100 MCG/BLISTERFLOVENT DISK AER 250MCG FLUTICASONE PROPIONATE AER POW BA 250 MCG/BLISTERFLOVENT DISK AER 50MCG FLUTICASONE PROPIONATE AER POW BA 50 MCG/BLISTERFLOVENT HFA AER 110MCG FLUTICASONE PROPIONATE HFA INHAL AER 110 MCG/ACT (125/VALVE)FLOVENT HFA AER 220MCG FLUTICASONE PROPIONATE HFA INHAL AER 220 MCG/ACT (250/VALVE)FLOVENT HFA AER 44MCG FLUTICASONE PROPIONATE HFA INHAL AERO 44 MCG/ACT (50/VALVE)FLUOXETINE CAP 10MG FLUOXETINE HCL CAP 10 MGFLUOXETINE CAP 10MG FLUOXETINE HCL (PMDD) CAP 10 MGFLUOXETINE CAP 20MG FLUOXETINE HCL CAP 20 MGFLUOXETINE CAP 20MG FLUOXETINE HCL (PMDD) CAP 20 MGFLUOXETINE CAP 40MG FLUOXETINE HCL CAP 40 MGFLUOXETINE SOL 20MG/5ML FLUOXETINE HCL SOLUTION 20 MG/5MLFLUOXETINE TAB 10MG FLUOXETINE HCL TAB 10 MGFLUOXETINE TAB 20MG FLUOXETINE HCL TAB 20 MGFLUOXETINE TAB 60MG FLUOXETINE HCL TAB 60 MGFLUVOXAMINE CAP 100MG ER FLUVOXAMINE MALEATE CAP SR 24HR 100 MGFLUVOXAMINE CAP 150MG ER FLUVOXAMINE MALEATE CAP SR 24HR 150 MGFLUVOXAMINE TAB 100MG FLUVOXAMINE MALEATE TAB 100 MGFLUVOXAMINE TAB 25MG FLUVOXAMINE MALEATE TAB 25 MGFLUVOXAMINE TAB 50MG FLUVOXAMINE MALEATE TAB 50 MGFORADIL CAP AEROLIZE FORMOTEROL FUMARATE INHAL CAP 12 MCGFORFIVO XL TAB 450MG BUPROPION HCL TAB SR 24HR 450 MGFOSAMAX TAB 70MG ALENDRONATE SODIUM TAB 70 MGFOSAMAX + D TAB 70-2800 ALENDRONATE SODIUM-CHOLECALCIFEROL TAB 70-2800 MG-UNITFOSAMAX + D TAB 70-5600 ALENDRONATE SODIUM-CHOLECALCIFEROL TAB 70-5600 MG-UNITFOSINOP/HCTZ TAB 10/12.5 FOSINOPRIL SODIUM & HYDROCHLOROTHIAZIDE TAB 10-12.5 MGFOSINOP/HCTZ TAB 20/12.5 FOSINOPRIL SODIUM & HYDROCHLOROTHIAZIDE TAB 20-12.5 MGFOSINOPRIL TAB 10MG FOSINOPRIL SODIUM TAB 10 MGFOSINOPRIL TAB 20MG FOSINOPRIL SODIUM TAB 20 MGFOSINOPRIL TAB 40MG FOSINOPRIL SODIUM TAB 40 MGFOSRENOL CHW 1000MG LANTHANUM CARBONATE CHEW TAB 1000 MGFOSRENOL CHW 500MG LANTHANUM CARBONATE CHEW TAB 500 MGFOSRENOL CHW 750MG LANTHANUM CARBONATE CHEW TAB 750 MGGABITRIL TAB 12MG TIAGABINE HCL TAB 12 MGGABITRIL TAB 16MG TIAGABINE HCL TAB 16 MGGABITRIL TAB 2MG TIAGABINE HCL TAB 2 MGGABITRIL TAB 4MG TIAGABINE HCL TAB 4 MGGALANTAMINE CAP 16MG ER GALANTAMINE HYDROBROMIDE CAP SR 24HR 16 MGGALANTAMINE CAP 24MG ER GALANTAMINE HYDROBROMIDE CAP SR 24HR 24 MGGALANTAMINE CAP 8MG ER GALANTAMINE HYDROBROMIDE CAP SR 24HR 8 MGGALANTAMINE SOL 4MG/ML GALANTAMINE HYDROBROMIDE ORAL SOLN 4 MG/MLGALANTAMINE TAB 12MG GALANTAMINE HYDROBROMIDE TAB 12 MGGALANTAMINE TAB 4MG GALANTAMINE HYDROBROMIDE TAB 4 MGGALANTAMINE TAB 8MG GALANTAMINE HYDROBROMIDE TAB 8 MG

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BRAND NAME GENERIC NAMEGELNIQUE GEL 10% OXYBUTYNIN CHLORIDE TD GEL 10%GELNIQUE GEL 3% OXYBUTYNIN TD GEL 3% (28 MG/ACT METERED-DOSE PUMP)GENERESS FE CHW NORETHINDRONE & ETHINYL ESTRADIOL-FE CHEW TAB 0.8 MG-25 MCGGEODON CAP 20MG ZIPRASIDONE HCL CAP 20 MGGEODON CAP 40MG ZIPRASIDONE HCL CAP 40 MGGEODON CAP 60MG ZIPRASIDONE HCL CAP 60 MGGEODON CAP 80MG ZIPRASIDONE HCL CAP 80 MGGIANVI TAB 3-0.02MG DROSPIRENONE-ETHINYL ESTRADIOL TAB 3-0.02 MGGLIP/METFORM TAB 2.5-250M GLIPIZIDE-METFORMIN HCL TAB 2.5-250 MGGLIP/METFORM TAB 2.5-500M GLIPIZIDE-METFORMIN HCL TAB 2.5-500 MGGLIP/METFORM TAB 5-500MG GLIPIZIDE-METFORMIN HCL TAB 5-500 MGGLUCOPHAGE TAB 1000MG METFORMIN HCL TAB 1000 MGGLUCOPHAGE TAB 500MG METFORMIN HCL TAB 500 MGGLUCOPHAGE TAB 500MG XR METFORMIN HCL TAB SR 24HR 500 MGGLUCOPHAGE TAB 750MG XR METFORMIN HCL TAB SR 24HR 750 MGGLUCOPHAGE TAB 850MG METFORMIN HCL TAB 850 MGGLUCOTROL TAB 10MG GLIPIZIDE TAB 10 MGGLUCOTROL TAB 5MG GLIPIZIDE TAB 5 MGGLUCOTROL XL TAB 10MG GLIPIZIDE TAB SR 24HR 10 MGGLUCOTROL XL TAB 2.5MG GLIPIZIDE TAB SR 24HR 2.5 MGGLUCOTROL XL TAB 5MG GLIPIZIDE TAB SR 24HR 5 MGGLUCOVANCE TAB 1.25-250 GLYBURIDE-METFORMIN TAB 1.25-250 MGGLUCOVANCE TAB 2.5-500 GLYBURIDE-METFORMIN TAB 2.5-500 MGGLUCOVANCE TAB 5-500MG GLYBURIDE-METFORMIN TAB 5-500 MGGLYNASE TAB 1.5MG GLYBURIDE MICRONIZED TAB 1.5 MGGLYNASE TAB 3MG GLYBURIDE MICRONIZED TAB 3 MGGLYNASE TAB 6MG GLYBURIDE MICRONIZED TAB 6 MGGLYSET TAB 100MG MIGLITOL TAB 100 MGGLYSET TAB 25MG MIGLITOL TAB 25 MGGLYSET TAB 50MG MIGLITOL TAB 50 MGGLYXAMBI TAB 10-5 MG EMPAGLIFLOZIN-LINAGLIPTIN TAB 10-5 MGGLYXAMBI TAB 25-5 MG EMPAGLIFLOZIN-LINAGLIPTIN TAB 25-5 MGGRALISE TAB 300MG GABAPENTIN (PHN) TAB 300 MGGRALISE TAB 600MG GABAPENTIN (PHN) TAB 600 MGGUANFACINE TAB 1MG GUANFACINE HCL TAB 1 MGGUANFACINE TAB 2MG GUANFACINE HCL TAB 2 MGHORIZANT TAB 300MG GABAPENTIN ENACARBIL TAB CR 300 MGHORIZANT TAB 600MG GABAPENTIN ENACARBIL TAB CR 600 MGHUMALOG INJ 100/ML INSULIN LISPRO (HUMAN) INJ 100 UNIT/MLHUMALOG INJ 100/ML INSULIN LISPRO (HUMAN) SOLN CARTRIDGE 100 UNIT/MLHUMALOG KWIK INJ 100/ML INSULIN LISPRO (HUMAN) SOLN PEN-INJECTOR 100 UNIT/MLHUMALOG KWIK INJ 200/ML INSULIN LISPRO (HUMAN) SOLN PEN-INJECTOR 200 UNIT/MLHUMALOG MIX INJ 50/50 INSULIN LISPRO PROT & LISPRO (HUMAN) INJ 100 UNIT/ML (50-50)HUMALOG MIX INJ 50/50KWP INSULIN LISPRO PROT & LISPRO SUS PEN-INJ 100 UNIT/ML (50-50)HUMALOG MIX INJ 75/25KWP INSULIN LISPRO PROT & LISPRO SUS PEN-INJ 100 UNIT/ML (75-25)HUMALOG MIX SUS 75/25 INSULIN LISPRO PROT & LISPRO (HUMAN) INJ 100 UNIT/ML (75-25)HUMULIN INJ 70/30 INSULIN ISOPHANE & REGULAR (HUMAN) INJ 100 UNIT/ML (70-30)HUMULIN N INJ U-100 INSULIN ISOPHANE (HUMAN) INJ 100 UNIT/MLHUMULIN N PN INJ U-100 INSULIN ISOPHANE (HUMAN) SUSP PEN-INJECTOR 100 UNIT/MLHUMULIN PEN INJ 70/30 INSULIN ISOPHANE & REGULAR SUSP PEN-INJ 100 UNIT/ML (70-30)HUMULIN R INJ U-100 INSULIN REGULAR (HUMAN) INJ 100 UNIT/MLHUMULIN R INJ U-500 INSULIN REGULAR (HUMAN) INJ 500 UNIT/MLHYDRALAZINE TAB 100MG HYDRALAZINE HCL TAB 100 MGHYDRALAZINE TAB 10MG HYDRALAZINE HCL TAB 10 MGHYDRALAZINE TAB 25MG HYDRALAZINE HCL TAB 25 MG

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BRAND NAME GENERIC NAMEHYDRALAZINE TAB 50MG HYDRALAZINE HCL TAB 50 MGHYDROCHLOROT CAP 12.5MG HYDROCHLOROTHIAZIDE CAP 12.5 MGHYDROCHLOROT TAB 12.5MG HYDROCHLOROTHIAZIDE TAB 12.5 MGHYDROCHLOROT TAB 25MG HYDROCHLOROTHIAZIDE TAB 25 MGHYDROCHLOROT TAB 50MG HYDROCHLOROTHIAZIDE TAB 50 MGHYZAAR TAB 100-12.5 LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE TAB 100-12.5 MGHYZAAR TAB 100-25 LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE TAB 100-25 MGHYZAAR TAB 50-12.5 LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE TAB 50-12.5 MGINCRUSE ELLIPTA UMECLIDINIUM BR AERO POWD BREATH ACT 62.5 MCG/INH INDAPAMIDE TAB 1.25MG INDAPAMIDE TAB 1.25 MGINDAPAMIDE TAB 2.5MG INDAPAMIDE TAB 2.5 MGINNOPRAN XL CAP 120MG PROPRANOLOL HCL SUSTAINED-RELEASE BEADS CAP SR 24HR 120 MGINNOPRAN XL CAP 80MG PROPRANOLOL HCL SUSTAINED-RELEASE BEADS CAP SR 24HR 80 MGINSPRA TAB 25MG EPLERENONE TAB 25 MGINSPRA TAB 50MG EPLERENONE TAB 50 MGINSULIN SYRG MIS 0.3/28G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 28 X 1/2"INSULIN SYRG MIS 0.3/29G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 29 GINSULIN SYRG MIS 0.3/29G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 29 X 1/2"INSULIN SYRG MIS 0.3/29G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 29 X 7/16"INSULIN SYRG MIS 0.3/29G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 29 X 1"INSULIN SYRG MIS 0.3/30G INSULIN SYRINGE (DISP) U-100 0.3 MLINSULIN SYRG MIS 0.3/30G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 30 GINSULIN SYRG MIS 0.3/30G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 30 X 3/8"INSULIN SYRG MIS 0.3/30G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 30 X 5/16"INSULIN SYRG MIS 0.3/30G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 30 X 1/2"INSULIN SYRG MIS 0.3/30G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 30 X 7/16"INSULIN SYRG MIS 0.3/31G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 31 X 15/64"INSULIN SYRG MIS 0.3/31G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 31 X 5/16"INSULIN SYRG MIS 0.3/31G INSULIN SYRINGE/NEEDLE U-100 0.3 ML 31 X 3/8"INSULIN SYRG MIS 0.5/27G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 27 X 1/2"INSULIN SYRG MIS 0.5/28G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 28 X 5/16"INSULIN SYRG MIS 0.5/28G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 28 X 1/2"INSULIN SYRG MIS 0.5/29G INSULIN SYRINGE (DISP) U-100 1/2 MLINSULIN SYRG MIS 0.5/29G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 29 GINSULIN SYRG MIS 0.5/29G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 29 X 7/16"INSULIN SYRG MIS 0.5/29G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 29 X 5/16"INSULIN SYRG MIS 0.5/29G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 29 X 1/2"INSULIN SYRG MIS 0.5/30G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 30 GINSULIN SYRG MIS 0.5/30G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 30 X 3/8"INSULIN SYRG MIS 0.5/30G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 30 X 7/16"INSULIN SYRG MIS 0.5/30G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 30 X 5/16"INSULIN SYRG MIS 0.5/30G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 30 X 1/2"INSULIN SYRG MIS 0.5/31G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 31 X 5/16"INSULIN SYRG MIS 0.5/31G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 31 X 3/8"INSULIN SYRG MIS 0.5/31G INSULIN SYRINGE/NEEDLE U-100 1/2 ML 31 X 15/64"INSULIN SYRG MIS 1ML INSULIN SYRINGE (DISP) U-100 1 MLINSULIN SYRG MIS 1ML/25G INSULIN SYRINGE/NEEDLE U-40 1 ML 25 X 5/8"INSULIN SYRG MIS 1ML/25G INSULIN SYRINGE/NEEDLE U-100 1 ML 25 X 5/8"INSULIN SYRG MIS 1ML/25G INSULIN SYRINGE/NEEDLE U-100 1 ML 25 X 1"INSULIN SYRG MIS 1ML/26G INSULIN SYRINGE/NEEDLE U-100 1 ML 26 X 1/2"INSULIN SYRG MIS 1ML/27G INSULIN SYRINGE/NEEDLE U-100 1 ML 27 X 1/2"INSULIN SYRG MIS 1ML/27G INSULIN SYRINGE/NEEDLE U-100 1 ML 27 X 5/8"INSULIN SYRG MIS 1ML/28G INSULIN SYRINGE/NEEDLE U-100 1 ML 28 X 5/16"INSULIN SYRG MIS 1ML/28G INSULIN SYRINGE/NEEDLE U-100 1 ML 28 X 1/2"INSULIN SYRG MIS 1ML/29G INSULIN SYRINGE/NEEDLE U-100 1 ML 29 G

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BRAND NAME GENERIC NAMEINSULIN SYRG MIS 1ML/29G INSULIN SYRINGE/NEEDLE U-100 1 ML 29 X 7/16"INSULIN SYRG MIS 1ML/29G INSULIN SYRINGE/NEEDLE U-100 1 ML 29 X 1/2"INSULIN SYRG MIS 1ML/29G INSULIN SYRINGE/NEEDLE U-100 1 ML 29 X 5/16"INSULIN SYRG MIS 1ML/30G INSULIN SYRINGE/NEEDLE U-100 1 ML 30 GINSULIN SYRG MIS 1ML/30G INSULIN SYRINGE/NEEDLE U-100 1 ML 30 X 5/16"INSULIN SYRG MIS 1ML/30G INSULIN SYRINGE/NEEDLE U-100 1 ML 30 X 7/16"INSULIN SYRG MIS 1ML/30G INSULIN SYRINGE/NEEDLE U-100 1 ML 30 X 1/2"INSULIN SYRG MIS 1ML/30G INSULIN SYRINGE/NEEDLE U-100 1 ML 30 X 3/8"INSULIN SYRG MIS 1ML/31G INSULIN SYRINGE/NEEDLE U-100 1 ML 31 X 3/8"INSULIN SYRG MIS 1ML/31G INSULIN SYRINGE/NEEDLE U-100 1 ML 31 X 5/16"INSULIN SYRG MIS 1ML/31G INSULIN SYRINGE/NEEDLE U-100 1 ML 31 X 15/64"INSULIN SYRG MIS 2/27.5G INSULIN SYRINGE/NEEDLE U-100 2 ML 27.5 X 5/8"INSULIN SYRG MIS 2ML/29G INSULIN SYRINGE/NEEDLE U-100 2 ML 29 X 1/2"INSUPEN SENS MIS 32GX8MM INSULIN PEN NEEDLE 32 G X 8 MMINTUNIV TAB 1MG GUANFACINE HCL TAB SR 24HR 1 MG (BASE EQUIV)INTUNIV TAB 2MG GUANFACINE HCL TAB SR 24HR 2 MG (BASE EQUIV)INTUNIV TAB 3MG GUANFACINE HCL TAB SR 24HR 3 MG (BASE EQUIV)INTUNIV TAB 4MG GUANFACINE HCL TAB SR 24HR 4 MG (BASE EQUIV)INVEGA TAB 1.5MG PALIPERIDONE TAB SR 24HR 1.5 MGINVEGA TAB 3MG PALIPERIDONE TAB SR 24HR 3 MGINVEGA TAB 6MG PALIPERIDONE TAB SR 24HR 6 MGINVEGA TAB 9MG PALIPERIDONE TAB SR 24HR 9 MGINVOKAMET TAB 150-1000 CANAGLIFLOZIN-METFORMIN HCL TAB 150-1000 MGINVOKAMET TAB 150-500 CANAGLIFLOZIN-METFORMIN HCL TAB 150-500 MGINVOKAMET TAB 50-1000 CANAGLIFLOZIN-METFORMIN HCL TAB 50-1000 MGINVOKAMET TAB 50-500MG CANAGLIFLOZIN-METFORMIN HCL TAB 50-500 MGINVOKANA TAB 100MG CANAGLIFLOZIN TAB 100 MGINVOKANA TAB 300MG CANAGLIFLOZIN TAB 300 MGIPRATROPIUM SOL 0.02%INH IPRATROPIUM BROMIDE INHAL SOLN 0.02%IPRATROPIUM SPR 0.03% IPRATROPIUM BROMIDE NASAL SOLN 0.03% (21 MCG/SPRAY)IPRATROPIUM SPR 0.06% IPRATROPIUM BROMIDE NASAL SOLN 0.06% (42 MCG/SPRAY)IPRATROPIUM/ SOL ALBUTER IPRATROPIUM-ALBUTEROL NEBU SOLN 0.5-2.5(3) MG/3MLISO CARBACHO SOL 1.5% OP CARBACHOL OPHTH SOLN 1.5%ISO CARBACHO SOL 3% OP CARBACHOL OPHTH SOLN 3%ISOPTO CARP SOL 1% OP PILOCARPINE HCL OPHTH SOLN 1%ISOPTO CARP SOL 2% OP PILOCARPINE HCL OPHTH SOLN 2%ISOPTO CARP SOL 4% OP PILOCARPINE HCL OPHTH SOLN 4%ISOXSUPRINE TAB 10MG ISOXSUPRINE HCL TAB 10 MGISOXSUPRINE TAB HCL 20MG ISOXSUPRINE HCL TAB 20 MGISRADIPINE CAP 2.5MG ISRADIPINE CAP 2.5 MGISRADIPINE CAP 5MG ISRADIPINE CAP 5 MGISTALOL SOL 0.5% OP TIMOLOL MALEATE OPHTH SOLN 0.5% (ONCE-DAILY)JALYN CAP DUTASTERIDE-TAMSULOSIN HCL CAP 0.5-0.4 MGJANUMET TAB 50-1000 SITAGLIPTIN-METFORMIN HCL TAB 50-1000 MGJANUMET TAB 50-500MG SITAGLIPTIN-METFORMIN HCL TAB 50-500 MGJANUMET XR TAB 100-1000 SITAGLIPTIN-METFORMIN HCL TAB SR 24HR 100-1000 MGJANUMET XR TAB 50-1000 SITAGLIPTIN-METFORMIN HCL TAB SR 24HR 50-1000 MGJANUMET XR TAB 50-500MG SITAGLIPTIN-METFORMIN HCL TAB SR 24HR 50-500 MGJANUVIA TAB 100MG SITAGLIPTIN PHOSPHATE TAB 100 MG (BASE EQUIV)JANUVIA TAB 25MG SITAGLIPTIN PHOSPHATE TAB 25 MG (BASE EQUIV)JANUVIA TAB 50MG SITAGLIPTIN PHOSPHATE TAB 50 MG (BASE EQUIV)JARDIANCE TAB 10MG EMPAGLIFLOZIN TAB 10 MGJARDIANCE TAB 25MG EMPAGLIFLOZIN TAB 25 MGJENTADUETO TAB 2.5-1000 LINAGLIPTIN-METFORMIN HCL TAB 2.5-1000 MGJENTADUETO TAB 2.5-500 LINAGLIPTIN-METFORMIN HCL TAB 2.5-500 MG

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BRAND NAME GENERIC NAMEJENTADUETO TAB 2.5-850 LINAGLIPTIN-METFORMIN HCL TAB 2.5-850 MGJINTELI TAB 1MG-5MCG NORETHINDRONE ACETATE-ETHINYL ESTRADIOL TAB 1 MG-5 MCGJOLESSA TAB LEVONORGESTREL & ETHINYL ESTRADIOL (91-DAY) TAB 0.15-0.03 MGJUNEL FE TAB 1.5/30 NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1.5 MG-30 MCGJUVISYNC TAB 100-10MG SITAGLIPTIN-SIMVASTATIN TAB 100-10 MGJUVISYNC TAB 100-20MG SITAGLIPTIN-SIMVASTATIN TAB 100-20 MGJUVISYNC TAB 100-40MG SITAGLIPTIN-SIMVASTATIN TAB 100-40 MGJUVISYNC TAB 50-10MG SITAGLIPTIN-SIMVASTATIN TAB 50-10 MGJUVISYNC TAB 50-20MG SITAGLIPTIN-SIMVASTATIN TAB 50-20 MGJUVISYNC TAB 50-40MG SITAGLIPTIN-SIMVASTATIN TAB 50-40 MGKAPVAY MIS 0.1&0.2 CLONIDINE HCL TAB SR 12HR THERAPY PACK 0.1 & 0.2 MGKAZANO 12.5- TAB 1000MG ALOGLIPTIN-METFORMIN HCL TAB 12.5-1000 MGKAZANO 12.5- TAB 500MG ALOGLIPTIN-METFORMIN HCL TAB 12.5-500 MGKELNOR TAB 1/35 ETHYNODIOL DIACETATE & ETHINYL ESTRADIOL TAB 1 MG-35 MCGKERLONE TAB 10MG BETAXOLOL HCL TAB 10 MGKERLONE TAB 20MG BETAXOLOL HCL TAB 20 MGKOMBIGLYZE TAB 2.5-1000 SAXAGLIPTIN-METFORMIN HCL TAB SR 24HR 2.5-1000 MGKOMBIGLYZE TAB 5-1000MG SAXAGLIPTIN-METFORMIN HCL TAB SR 24HR 5-1000 MGKOMBIGLYZE TAB 5-500MG SAXAGLIPTIN-METFORMIN HCL TAB SR 24HR 5-500 MGLABETALOL TAB 100MG LABETALOL HCL TAB 100 MGLABETALOL TAB 200MG LABETALOL HCL TAB 200 MGLABETALOL TAB 300MG LABETALOL HCL TAB 300 MGLAMICTAL CHW 2MG LAMOTRIGINE TAB CHEWABLE DISPERSIBLE 2 MGLAMICTAL ODT TAB 100MG LAMOTRIGINE ORALLY DISINTEGRATING TAB 100 MGLAMICTAL ODT TAB 200MG LAMOTRIGINE ORALLY DISINTEGRATING TAB 200 MGLAMICTAL ODT TAB 25MG LAMOTRIGINE ORALLY DISINTEGRATING TAB 25 MGLAMICTAL ODT TAB 50MG LAMOTRIGINE ORALLY DISINTEGRATING TAB 50 MGLAMICTAL XR TAB 100MG LAMOTRIGINE TAB SR 24HR 100 MGLAMICTAL XR TAB 200MG LAMOTRIGINE TAB SR 24HR 200 MGLAMICTAL XR TAB 250MG LAMOTRIGINE TAB SR 24HR 250 MGLAMICTAL XR TAB 25MG LAMOTRIGINE TAB SR 24HR 25 MGLAMICTAL XR TAB 300MG LAMOTRIGINE TAB SR 24HR 300 MGLAMICTAL XR TAB 50MG LAMOTRIGINE TAB SR 24HR 50 MGLAMOTRIGINE CHW 25MG LAMOTRIGINE TAB CHEWABLE DISPERSIBLE 25 MGLAMOTRIGINE CHW 5MG LAMOTRIGINE TAB CHEWABLE DISPERSIBLE 5 MGLAMOTRIGINE TAB 100MG LAMOTRIGINE TAB 100 MGLAMOTRIGINE TAB 150MG LAMOTRIGINE TAB 150 MGLAMOTRIGINE TAB 200MG LAMOTRIGINE TAB 200 MGLAMOTRIGINE TAB 25MG LAMOTRIGINE TAB 25 MGLANOXIN TAB 0.0625MG DIGOXIN TAB 62.5 MCG (0.0625 MG)LANOXIN TAB 0.1875MG DIGOXIN TAB 187.5 MCG (0.1875 MG)LANSOPRAZOLE CAP 30MG DR LANSOPRAZOLE CAP DELAYED RELEASE 30 MGLANTUS INJ 100/ML INSULIN GLARGINE INJ 100 UNIT/MLLANTUS INJ SOLOSTAR INSULIN GLARGINE SOLN PEN-INJECTOR 100 UNIT/MLLATUDA TAB 120MG LURASIDONE HCL TAB 120 MGLATUDA TAB 20MG LURASIDONE HCL TAB 20 MGLATUDA TAB 40MG LURASIDONE HCL TAB 40 MGLATUDA TAB 60MG LURASIDONE HCL TAB 60 MGLATUDA TAB 80MG LURASIDONE HCL TAB 80 MGLESCOL CAP 20MG FLUVASTATIN SODIUM CAP 20 MGLESCOL CAP 40MG FLUVASTATIN SODIUM CAP 40 MGLESCOL XL TAB 80MG FLUVASTATIN SODIUM TAB SR 24 HR 80 MGLETROZOLE TAB 2.5MG LETROZOLE TAB 2.5 MGLEVALBUTEROL NEB 0.31MG LEVALBUTEROL HCL SOLN NEBU 0.31 MG/3ML (BASE EQUIV)LEVALBUTEROL NEB 0.63MG LEVALBUTEROL HCL SOLN NEBU 0.63 MG/3ML (BASE EQUIV)

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BRAND NAME GENERIC NAMELEVALBUTEROL NEB 1.25/0.5 LEVALBUTEROL HCL SOLN NEBU CONC 1.25 MG/0.5ML (BASE EQUIV)LEVALBUTEROL NEB 1.25MG LEVALBUTEROL HCL SOLN NEBU 1.25 MG/3ML (BASE EQUIV)LEVATOL TAB 20MG PENBUTOLOL SULFATE TAB 20 MGLEVEMIR INJ INSULIN DETEMIR INJ 100 UNIT/MLLEVEMIR INJ FLEXTOUC INSULIN DETEMIR SOLN PEN-INJECTOR 100 UNIT/MLLEVETIRACETA SOL 100MG/ML LEVETIRACETAM ORAL SOLN 100 MG/MLLEVETIRACETA TAB 1000MG LEVETIRACETAM TAB 1000 MGLEVETIRACETA TAB 250MG LEVETIRACETAM TAB 250 MGLEVETIRACETA TAB 500MG LEVETIRACETAM TAB 500 MGLEVETIRACETA TAB 500MG ER LEVETIRACETAM TAB SR 24HR 500 MGLEVETIRACETA TAB 750MG LEVETIRACETAM TAB 750 MGLEVETIRACETA TAB 750MG ER LEVETIRACETAM TAB SR 24HR 750 MGLEVOBUNOLOL SOL 0.25% OP LEVOBUNOLOL HCL OPHTH SOLN 0.25%LEVOCARNITIN SOL 1GM/10ML LEVOCARNITINE ORAL SOLN 1 GM/10ML (10%)LEVOCARNITIN TAB 330MG LEVOCARNITINE TAB 330 MGLEVONOR/ETHI TAB 0.1-0.02 LEVONORGESTREL & ETHINYL ESTRADIOL TAB 0.1 MG-20 MCGLEVONOR/ETHI TAB ESTRADIO LEVONORGESTREL & ETHINYL ESTRADIOL TAB 0.15 MG-30 MCGLEXAPRO SOL 5MG/5ML ESCITALOPRAM OXALATE SOLN 5 MG/5ML (BASE EQUIV)LINZESS CAP 145MCG LINACLOTIDE CAP 145 MCGLINZESS CAP 290MCG LINACLOTIDE CAP 290 MCGLIOTHYRONINE TAB 25MCG LIOTHYRONINE SODIUM TAB 25 MCGLIOTHYRONINE TAB 50MCG LIOTHYRONINE SODIUM TAB 50 MCGLIOTHYRONINE TAB 5MCG LIOTHYRONINE SODIUM TAB 5 MCGLIPITOR TAB 10MG ATORVASTATIN CALCIUM TAB 10 MG (BASE EQUIVALENT)LIPITOR TAB 20MG ATORVASTATIN CALCIUM TAB 20 MG (BASE EQUIVALENT)LIPITOR TAB 40MG ATORVASTATIN CALCIUM TAB 40 MG (BASE EQUIVALENT)LIPITOR TAB 80MG ATORVASTATIN CALCIUM TAB 80 MG (BASE EQUIVALENT)LIPTRUZET TAB 10-10MG EZETIMIBE-ATORVASTATIN TAB 10-10 MGLIPTRUZET TAB 10-20MG EZETIMIBE-ATORVASTATIN TAB 10-20 MGLIPTRUZET TAB 10-40MG EZETIMIBE-ATORVASTATIN TAB 10-40 MGLIPTRUZET TAB 10-80MG EZETIMIBE-ATORVASTATIN TAB 10-80 MGLISINOP/HCTZ TAB 10-12.5 LISINOPRIL & HYDROCHLOROTHIAZIDE TAB 10-12.5 MGLISINOP/HCTZ TAB 20-12.5 LISINOPRIL & HYDROCHLOROTHIAZIDE TAB 20-12.5 MGLISINOP/HCTZ TAB 20-25MG LISINOPRIL & HYDROCHLOROTHIAZIDE TAB 20-25 MGLISINOPRIL TAB 2.5MG LISINOPRIL TAB 2.5 MGLISINOPRIL TAB 30MG LISINOPRIL TAB 30 MGLISINOPRIL TAB 40MG LISINOPRIL TAB 40 MGLITHIUM SOL 8MEQ/5ML LITHIUM ORAL SOLUTION 8 MEQ/5MLLITHIUM CARB CAP 150MG LITHIUM CARBONATE CAP 150 MGLITHIUM CARB CAP 300MG LITHIUM CARBONATE CAP 300 MGLITHIUM CARB CAP 600MG LITHIUM CARBONATE CAP 600 MGLITHIUM CARB TAB 300MG LITHIUM CARBONATE TAB 300 MGLITHIUM CARB TAB 300MG ER LITHIUM CARBONATE TAB CR 300 MGLITHIUM CARB TAB 450MG ER LITHIUM CARBONATE TAB CR 450 MGLIVALO TAB 1MG PITAVASTATIN CALCIUM TAB 1 MG (BASE EQUIV)LIVALO TAB 2MG PITAVASTATIN CALCIUM TAB 2 MG (BASE EQUIV)LIVALO TAB 4MG PITAVASTATIN CALCIUM TAB 4 MG (BASE EQUIV)LO LOESTRIN TAB NORETHIN-ETH ESTRADIOL-FE TAB 1 MG-10 MCG (24)/10 MCG (2)LO MINASTRIN PAK FE NORETHIN-ETH ESTRAD-FE CHEW/TAB 1 MG-10 MCG/10 MCG PACKLODOSYN TAB 25MG CARBIDOPA TAB 25 MGLOESTRIN 21 TAB 1.5/30 NORETHINDRONE ACE & ETHINYL ESTRADIOL TAB 1.5 MG-30 MCGLOESTRIN 24 TAB FE NORETHINDRONE ACE-ETHINYL ESTRADIOL-FE TAB 1 MG-20 MCG (24)LOPID TAB 600MG GEMFIBROZIL TAB 600 MGLOPRESS HCT TAB 100-25MG METOPROLOL & HYDROCHLOROTHIAZIDE TAB 100-25 MGLOPRESS HCT TAB 50-25MG METOPROLOL & HYDROCHLOROTHIAZIDE TAB 50-25 MG

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BRAND NAME GENERIC NAMELOPRESSOR TAB 100MG METOPROLOL TARTRATE TAB 100 MGLOPRESSOR TAB 50MG METOPROLOL TARTRATE TAB 50 MGLOTENSIN TAB 10MG BENAZEPRIL HCL TAB 10 MGLOTENSIN TAB 20MG BENAZEPRIL HCL TAB 20 MGLOTENSIN TAB 40MG BENAZEPRIL HCL TAB 40 MGLOTENSIN HCT TAB 10-12.5 BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 10-12.5 MGLOTENSIN HCT TAB 20-12.5 BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 20-12.5 MGLOTENSIN HCT TAB 20-25MG BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 20-25 MGLOTREL CAP 10-20MG AMLODIPINE BESYLATE-BENAZEPRIL HCL CAP 10-20 MGLOTREL CAP 10-40MG AMLODIPINE BESYLATE-BENAZEPRIL HCL CAP 10-40 MGLOTREL CAP 2.5-10MG AMLODIPINE BESYLATE-BENAZEPRIL HCL CAP 2.5-10 MGLOTREL CAP 5-10MG AMLODIPINE BESYLATE-BENAZEPRIL HCL CAP 5-10 MGLOTREL CAP 5-20MG AMLODIPINE BESYLATE-BENAZEPRIL HCL CAP 5-20 MGLOTREL CAP 5-40MG AMLODIPINE BESYLATE-BENAZEPRIL HCL CAP 5-40 MGLOTRONEX TAB 0.5MG ALOSETRON HCL TAB 0.5 MG (BASE EQUIV)LOTRONEX TAB 1MG ALOSETRON HCL TAB 1 MG (BASE EQUIV)LOVASTATIN TAB 10MG LOVASTATIN TAB 10 MGLOVAZA CAP 1GM OMEGA-3-ACID ETHYL ESTERS CAP 1 GM LOXAPINE CAP 10MG LOXAPINE SUCCINATE CAP 10 MGLOXAPINE CAP 25MG LOXAPINE SUCCINATE CAP 25 MGLOXAPINE CAP 50MG LOXAPINE SUCCINATE CAP 50 MGLOXAPINE CAP 5MG LOXAPINE SUCCINATE CAP 5 MGLUER-LOK SYR MIS 1ML/20G SYRINGE/NEEDLE (DISP) 1 ML 20 X 1"LUFYLLIN TAB 200MG DYPHYLLINE TAB 200 MGLUFYLLIN TAB 400MG DYPHYLLINE TAB 400 MGLUMIGAN SOL 0.01% BIMATOPROST OPHTH SOLN 0.01%LUMIGAN SOL 0.03% BIMATOPROST OPHTH SOLN 0.03%MARPLAN TAB 10MG ISOCARBOXAZID TAB 10 MGMAVIK TAB 1MG TRANDOLAPRIL TAB 1 MGMAVIK TAB 2MG TRANDOLAPRIL TAB 2 MGMAVIK TAB 4MG TRANDOLAPRIL TAB 4 MGMAXZIDE-25 TAB TRIAMTERENE & HYDROCHLOROTHIAZIDE TAB 37.5-25 MGMENEST TAB 0.3MG ESTERIFIED ESTROGENS TAB 0.3 MGMENEST TAB 0.625MG ESTERIFIED ESTROGENS TAB 0.625 MGMENEST TAB 1.25MG ESTERIFIED ESTROGENS TAB 1.25 MGMENEST TAB 2.5MG ESTERIFIED ESTROGENS TAB 2.5 MGMENOSTAR DIS 14MCG ESTRADIOL TD PATCH WEEKLY 14 MCG/24HRMETAPROTEREN SYP 10MG/5ML METAPROTERENOL SULFATE SYRUP 10 MG/5MLMETAPROTEREN TAB 10MG METAPROTERENOL SULFATE TAB 10 MGMETAPROTEREN TAB 20MG METAPROTERENOL SULFATE TAB 20 MGMETFORMIN TAB 500MG ER METFORMIN HCL TAB SR 24HR OSMOTIC 500 MGMETFORMIN ER TAB 1000MG METFORMIN HCL TAB SR 24HR OSMOTIC 1000 MGMETHAZOLAMID TAB 25MG METHAZOLAMIDE TAB 25 MGMETHAZOLAMID TAB 50MG METHAZOLAMIDE TAB 50 MGMETHIMAZOLE TAB 10MG METHIMAZOLE TAB 10 MGMETHIMAZOLE TAB 5MG METHIMAZOLE TAB 5 MGMETHYCLOTHIA TAB 5MG METHYCLOTHIAZIDE TAB 5 MGMETHYLD/HCTZ TAB 250/15 METHYLDOPA & HYDROCHLOROTHIAZIDE TAB 250-15 MGMETHYLD/HCTZ TAB 250/25 METHYLDOPA & HYDROCHLOROTHIAZIDE TAB 250-25 MGMETHYLDOPA TAB 250MG METHYLDOPA TAB 250 MGMETHYLDOPA TAB 500MG METHYLDOPA TAB 500 MGMETIPRANOLOL SOL 0.3% OPH METIPRANOLOL OPHTH SOLN 0.3%METOLAZONE TAB 10MG METOLAZONE TAB 10 MGMETOLAZONE TAB 2.5MG METOLAZONE TAB 2.5 MGMETOLAZONE TAB 5MG METOLAZONE TAB 5 MG

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BRAND NAME GENERIC NAMEMETOPRL/HCTZ TAB 100-50MG METOPROLOL & HYDROCHLOROTHIAZIDE TAB 100-50 MGMETOPROL TAR TAB 25MG METOPROLOL TARTRATE TAB 25 MGMEVACOR TAB 20MG LOVASTATIN TAB 20 MGMEVACOR TAB 40MG LOVASTATIN TAB 40 MGMEXILETINE CAP 150MG MEXILETINE HCL CAP 150 MGMEXILETINE CAP 200MG MEXILETINE HCL CAP 200 MGMEXILETINE CAP 250MG MEXILETINE HCL CAP 250 MGMIACALCIN SPR 200/ACT CALCITONIN (SALMON) NASAL SOLN 200 UNIT/ACTMIMVEY TAB 1-0.5MG ESTRADIOL & NORETHINDRONE ACETATE TAB 1-0.5 MGMIMVEY LO TAB 0.5-0.1 ESTRADIOL & NORETHINDRONE ACETATE TAB 0.5-0.1 MGMINASTRIN 24 CHW FE NORETHINDRONE ACE-ETH ESTRADIOL-FE CHEW TAB 1 MG-20 MCG (24)MINIPRESS CAP 1MG PRAZOSIN HCL CAP 1 MGMINIPRESS CAP 2MG PRAZOSIN HCL CAP 2 MGMINIPRESS CAP 5MG PRAZOSIN HCL CAP 5 MGMINOXIDIL TAB 10MG MINOXIDIL TAB 10 MGMINOXIDIL TAB 2.5MG MINOXIDIL TAB 2.5 MGMIRAPEX ER TAB 0.375MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 0.375 MGMIRAPEX ER TAB 0.75MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 0.75 MGMIRAPEX ER TAB 1.5MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 1.5 MGMIRAPEX ER TAB 2.25MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 2.25 MGMIRAPEX ER TAB 3.75MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 3.75 MGMIRAPEX ER TAB 3MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 3 MGMIRAPEX ER TAB 4.5MG PRAMIPEXOLE DIHYDROCHLORIDE TAB SR 24HR 4.5 MGMIRTAZAPINE TAB 7.5MG MIRTAZAPINE TAB 7.5 MGMULTAQ TAB 400MG DRONEDARONE HCL TAB 400 MG (BASE EQUIVALENT)MYRBETRIQ TAB 25MG MIRABEGRON TAB SR 24 HR 25 MGMYRBETRIQ TAB 50MG MIRABEGRON TAB SR 24 HR 50 MGNADOLOL TAB 20MG NADOLOL TAB 20 MGNADOLOL TAB 40MG NADOLOL TAB 40 MGNADOLOL TAB 80MG NADOLOL TAB 80 MGNADOLOL/BEND TAB 40-5MG NADOLOL & BENDROFLUMETHIAZIDE TAB 40-5 MGNADOLOL/BEND TAB 80-5MG NADOLOL & BENDROFLUMETHIAZIDE TAB 80-5 MGNAMENDA SOL 10MG/5ML MEMANTINE HCL ORAL SOLUTION 2 MG/MLNAMENDA TAB 10MG MEMANTINE HCL TAB 10 MGNAMENDA TAB 5MG MEMANTINE HCL TAB 5 MGNAMENDA XR CAP 14MG MEMANTINE HCL CAP SR 24HR 14 MGNAMENDA XR CAP 21MG MEMANTINE HCL CAP SR 24HR 21 MGNAMENDA XR CAP 28MG MEMANTINE HCL CAP SR 24HR 28 MGNAMENDA XR CAP 7MG MEMANTINE HCL CAP SR 24HR 7 MGNAMZARIC CAP 14-10MG MEMANTINE HCL-DONEPEZIL HCL CAP SR 24HR 14-10 MG NAMZARIC CAP 28-10MG MEMANTINE HCL-DONEPEZIL HCL CAP SR 24HR 28-10 MG NARDIL TAB 15MG PHENELZINE SULFATE TAB 15 MGNASCOBAL SPR 500MCG CYANOCOBALAMIN NASAL SPRAY 500 MCG/0.1MLNATAZIA TAB ESTRADIOL VALERATE-DIENOGEST TAB 3 MG /2-2 MG/2-3 MG/1 MGNATURE THROI TAB 162.5MG THYROID TAB 162.5 MG (2 1/2 GRAIN)NATURE-THROI TAB 113.75MG THYROID TAB 113.75 MGNATURE-THROI TAB 130MG THYROID TAB 130 MGNATURE-THROI TAB 146.25MG THYROID TAB 146.25 MGNATURE-THROI TAB 16.25MG THYROID TAB 16.25 MGNATURE-THROI TAB 195MG THYROID TAB 195 MGNATURE-THROI TAB 260MG THYROID TAB 260 MGNATURE-THROI TAB 32.5MG THYROID TAB 32.5 MGNATURE-THROI TAB 325MG THYROID TAB 325 MG (5 GRAIN)NATURE-THROI TAB 48.75MG THYROID TAB 48.75 MG (3/4 GRAIN)NATURE-THROI TAB 65MG THYROID TAB 65 MG

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BRAND NAME GENERIC NAMENATURE-THROI TAB 81.25MG THYROID TAB 81.25 MGNATURE-THROI TAB 97.5MG THYROID TAB 97.5 MGNECON TAB 1/50-28 NORETHINDRONE & MESTRANOL TAB 1 MG-50 MCGNECON TAB 10/11-28 NORETHINDRONE-ETH ESTRADIOL TAB 0.5-35/1-35 MG-MCG (10/11)NEFAZODONE TAB 100MG NEFAZODONE HCL TAB 100 MGNEFAZODONE TAB 150MG NEFAZODONE HCL TAB 150 MGNEFAZODONE TAB 200MG NEFAZODONE HCL TAB 200 MG

NEFAZODONE TAB 250MG NEFAZODONE HCL TAB 250 MG

NEFAZODONE TAB 50MG NEFAZODONE HCL TAB 50 MG

NESINA TAB 12.5MG ALOGLIPTIN BENZOATE TAB 12.5 MG (BASE EQUIV)

NESINA TAB 25MG ALOGLIPTIN BENZOATE TAB 25 MG (BASE EQUIV)

NESINA TAB 6.25MG ALOGLIPTIN BENZOATE TAB 6.25 MG (BASE EQUIV)

NEUPRO DIS 1MG/24HR ROTIGOTINE TD PATCH 24HR 1 MG/24HRNEUPRO DIS 2MG/24HR ROTIGOTINE TD PATCH 24HR 2 MG/24HRNEUPRO DIS 3MG/24HR ROTIGOTINE TD PATCH 24HR 3 MG/24HRNEUPRO DIS 4MG/24HR ROTIGOTINE TD PATCH 24HR 4 MG/24HRNEUPRO DIS 6MG/24HR ROTIGOTINE TD PATCH 24HR 6 MG/24HRNEUPRO DIS 8MG/24HR ROTIGOTINE TD PATCH 24HR 8 MG/24HRNEURONTIN CAP 100MG GABAPENTIN CAP 100 MGNEURONTIN CAP 300MG GABAPENTIN CAP 300 MGNEURONTIN CAP 400MG GABAPENTIN CAP 400 MGNEURONTIN SOL 250/5ML GABAPENTIN ORAL SOLN 250 MG/5MLNEURONTIN TAB 600MG GABAPENTIN TAB 600 MGNEURONTIN TAB 800MG GABAPENTIN TAB 800 MGNEXICLON XR SUS 0.09/ML CLONIDINE HCL EXTENDED RELEASE SUSP 0.09 MG/ML (BASE EQUIV)NEXICLON XR TAB 0.17MG CLONIDINE HCL TAB SR 24HR 0.17 MG (BASE EQUIVALENT)NEXIUM CAP 20MG ESOMEPRAZOLE MAGNESIUM CAP DELAYED RELEASE 20 MG NEXIUM CAP 40MG ESOMEPRAZOLE MAGNESIUM CAP DELAYED RELEASE 40 MG

NEXIUM GRA 10MG DRESOMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PACKET 10 MG

NEXIUM GRA 2.5MG DRESOMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PACK 2.5 MG

NEXIUM GRA 20MG DRESOMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PACKET 20 MG

NEXIUM GRA 40MG DRESOMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PACKET 40 MG

NEXIUM GRA 5MG DRESOMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PACKET 5 MG

NIASPAN TAB 1000 ER NIACIN TAB CR 1000 MG (ANTIHYPERLIPIDEMIC)NIASPAN TAB 500MG ER NIACIN TAB CR 500 MG (ANTIHYPERLIPIDEMIC)NIASPAN TAB 750MG ER NIACIN TAB CR 750 MG (ANTIHYPERLIPIDEMIC)NICARDIPINE CAP 20MG NICARDIPINE HCL CAP 20 MGNICARDIPINE CAP 30MG NICARDIPINE HCL CAP 30 MGNIFEDIPINE CAP 20MG NIFEDIPINE CAP 20 MGNISOLDIPINE TAB 17MG ER NISOLDIPINE TAB SR 24HR 17 MGNISOLDIPINE TAB 20MG NISOLDIPINE TAB SR 24HR 20 MGNISOLDIPINE TAB 25.5MG NISOLDIPINE TAB SR 24HR 25.5 MGNISOLDIPINE TAB 30MG NISOLDIPINE TAB SR 24HR 30 MGNISOLDIPINE TAB 34MG ER NISOLDIPINE TAB SR 24HR 34 MGNISOLDIPINE TAB 40MG NISOLDIPINE TAB SR 24HR 40 MGNISOLDIPINE TAB 8.5MG ER NISOLDIPINE TAB SR 24HR 8.5 MGNIZATIDINE CAP 150MG NIZATIDINE CAP 150 MGNIZATIDINE SOL 15MG/ML NIZATIDINE ORAL SOLN 15 MG/MLNORETH/ETHIN TAB 1/20 NORETHINDRONE ACE & ETHINYL ESTRADIOL TAB 1 MG-20 MCGNORETH/ETHIN TAB FE 1/20 NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1 MG-20 MCGNORETHINDRON TAB 0.35MG NORETHINDRONE TAB 0.35 MG

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BRAND NAME GENERIC NAMENORPACE CAP 100MG DISOPYRAMIDE PHOSPHATE CAP 100 MGNORPACE CAP 100MG CR DISOPYRAMIDE PHOSPHATE CAP SR 12HR 100 MGNORPACE CAP 150MG DISOPYRAMIDE PHOSPHATE CAP 150 MGNORPACE CAP 150MG CR DISOPYRAMIDE PHOSPHATE CAP SR 12HR 150 MGNORTREL TAB 0.5/35 NORETHINDRONE & ETHINYL ESTRADIOL TAB 0.5 MG-35 MCGNORTREL TAB 1/35 NORETHINDRONE & ETHINYL ESTRADIOL TAB 1 MG-35 MCGNORTREL TAB 7/7/7 NORETHINDRONE-ETH ESTRADIOL TAB 0.5-35/0.75-35/1-35 MG-MCGNOVOFINE MIS 30GX8MM INSULIN PEN NEEDLE 30 G X 8 MM (1/3" OR 5/16")NOVOFINE MIS 32GX6MM INSULIN PEN NEEDLE 32 G X 6 MM (1/4")NOVOFINE PLS MIS 32GX4MM INSULIN PEN NEEDLE 32 G X 4 MM (5/32")NOVOLOG INJ 100/ML INSULIN ASPART INJ 100 UNIT/MLNOVOLOG INJ FLEXPEN INSULIN ASPART SOLN PEN-INJECTOR 100 UNIT/MLNOVOLOG INJ PENFILL INSULIN ASPART SOLN CARTRIDGE 100 UNIT/MLNOVOLOG MIX INJ 70/30 INSULIN ASPART PROT & ASPART (HUMAN) INJ 100 UNIT/ML (70-30)NOVOLOG MIX INJ FLEXPEN INSULIN ASPART PROT & ASPART SUS PEN-INJ 100 UNIT/ML (70-30)NOVOTWIST MIS 32GX5MM INSULIN PEN NEEDLE 32 G X 5 MM (1/5" OR 3/16")NUEDEXTA CAP 20-10MG DEXTROMETHORPHAN HBR-QUINIDINE SULFATE CAP 20-10 MGNUVARING MIS ETONOGESTREL-ETHINYL ESTRADIOL VA RING 0.120-0.015 MG/24HRNUVIGIL TAB 200MG ARMODAFINIL TAB 200 MGOCELLA TAB 3-0.03MG DROSPIRENONE-ETHINYL ESTRADIOL TAB 3-0.03 MGOGESTREL TAB NORGESTREL & ETHINYL ESTRADIOL TAB 0.5 MG-50 MCGOLEPTRO TAB 24HR150 TRAZODONE HCL TAB SR 24HR 150 MGOLEPTRO TAB 24HR300 TRAZODONE HCL TAB SR 24HR 300 MGOMEGA-3-ACID CAP 1GM OMEGA-3-ACID ETHYL ESTERS CAP 1 GMOMEPRA/BICAR CAP 20-1100 OMEPRAZOLE-SODIUM BICARBONATE CAP 20-1100 MGONGLYZA TAB 2.5MG SAXAGLIPTIN HCL TAB 2.5 MG (BASE EQUIV)ONGLYZA TAB 5MG SAXAGLIPTIN HCL TAB 5 MG (BASE EQUIV)ORAP TAB 1MG PIMOZIDE TAB 1 MGORAP TAB 2MG PIMOZIDE TAB 2 MGORTHO TRI- TAB CYCLN LO NORGESTIMATE-ETH ESTRAD TAB 0.18-25/0.215-25/0.25-25 MG-MCGOSENI TAB 12.5-15 ALOGLIPTIN-PIOGLITAZONE TAB 12.5-15 MGOSENI TAB 12.5-30 ALOGLIPTIN-PIOGLITAZONE TAB 12.5-30 MGOSENI TAB 12.5-45 ALOGLIPTIN-PIOGLITAZONE TAB 12.5-45 MGOSENI TAB 25-15MG ALOGLIPTIN-PIOGLITAZONE TAB 25-15 MGOSENI TAB 25-30MG ALOGLIPTIN-PIOGLITAZONE TAB 25-30 MGOSENI TAB 25-45MG ALOGLIPTIN-PIOGLITAZONE TAB 25-45 MGOVCON-35 TAB NORETHINDRONE & ETHINYL ESTRADIOL TAB 0.4 MG-35 MCGOXCARBAZEPIN SUS 300MG/5M OXCARBAZEPINE SUSP 300 MG/5ML (60 MG/ML)OXCARBAZEPIN TAB 150MG OXCARBAZEPINE TAB 150 MGOXCARBAZEPIN TAB 300MG OXCARBAZEPINE TAB 300 MGOXCARBAZEPIN TAB 600MG OXCARBAZEPINE TAB 600 MGOXTELLAR XR TAB 150MG OXCARBAZEPINE TAB SR 24HR 150 MGOXTELLAR XR TAB 300MG OXCARBAZEPINE TAB SR 24HR 300 MGOXTELLAR XR TAB 600MG OXCARBAZEPINE TAB SR 24HR 600 MGOXYBUTYNIN SYP 5MG/5ML OXYBUTYNIN CHLORIDE SYRUP 5 MG/5MLOXYBUTYNIN TAB 10MG ER OXYBUTYNIN CHLORIDE TAB SR 24HR 10 MGOXYBUTYNIN TAB 15MG ER OXYBUTYNIN CHLORIDE TAB SR 24HR 15 MGOXYBUTYNIN TAB 5MG OXYBUTYNIN CHLORIDE TAB 5 MGOXYBUTYNIN TAB 5MG ER OXYBUTYNIN CHLORIDE TAB SR 24HR 5 MGOXYTROL/WOMN DIS 3.9MG/24 OXYBUTYNIN TD PATCH TWICE WEEKLY 3.9 MG/24HRPACERONE TAB 100MG AMIODARONE HCL TAB 100 MGPACERONE TAB 400MG AMIODARONE HCL TAB 400 MGPANCREAZE CAP 10500UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 10500-25000-43750 UNITPANCREAZE CAP 16800UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 16800-40000-70000 UNITPANCREAZE CAP 21000UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 21000-37000-61000 UNIT

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BRAND NAME GENERIC NAMEPANCREAZE CAP 4200UNIT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 4200-10000-17500 UNITPANCRELIPASE CAP 5000UNIT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 5000-17000-27000 UNITPANTOPRAZOLE TAB 20MG PANTOPRAZOLE SODIUM EC TAB 20 MG (BASE EQUIV)PANTOPRAZOLE TAB 40MG PANTOPRAZOLE SODIUM EC TAB 40 MG (BASE EQUIV)PARLODEL CAP 5MG BROMOCRIPTINE MESYLATE CAP 5 MGPARLODEL TAB 2.5MG BROMOCRIPTINE MESYLATE TAB 2.5 MGPARNATE TAB 10MG TRANYLCYPROMINE SULFATE TAB 10 MGPAROXETIN ER TAB 37.5MG PAROXETINE HCL TAB SR 24HR 37.5 MGPAROXETINE TAB 10MG PAROXETINE HCL TAB 10 MGPAROXETINE TAB 20MG PAROXETINE HCL TAB 20 MGPAROXETINE TAB 30MG PAROXETINE HCL TAB 30 MGPAROXETINE TAB 40MG PAROXETINE HCL TAB 40 MGPAXIL SUS 10MG/5ML PAROXETINE HCL ORAL SUSP 10 MG/5ML (BASE EQUIV)PAXIL CR TAB 12.5MG PAROXETINE HCL TAB SR 24HR 12.5 MGPAXIL CR TAB 25MG PAROXETINE HCL TAB SR 24HR 25 MGPEGANONE TAB 250MG ETHOTOIN TAB 250 MGPEN NEEDLES MIS 29GX12.7 INSULIN PEN NEEDLE 29 G X 12.7 MMPERFOROMIST NEB 20MCG FORMOTEROL FUMARATE SOLN NEBU 20 MCG/2MLPERINDOPRIL TAB 2MG PERINDOPRIL ERBUMINE TAB 2 MGPERINDOPRIL TAB 4MG PERINDOPRIL ERBUMINE TAB 4 MGPERINDOPRIL TAB 8MG PERINDOPRIL ERBUMINE TAB 8 MGPERTZYE CAP PANCRELIPASE (LIP-PROT-AMYL) DR CAP 8000-28750-30250 UNITPERTZYE CAP PANCRELIPASE (LIP-PROT-AMYL) DR CAP 16000-57500-60500 UNITPEXEVA TAB 10MG PAROXETINE MESYLATE TAB 10 MG (BASE EQUIV)PEXEVA TAB 20MG PAROXETINE MESYLATE TAB 20 MG (BASE EQUIV)PEXEVA TAB 30MG PAROXETINE MESYLATE TAB 30 MG (BASE EQUIV)PEXEVA TAB 40MG PAROXETINE MESYLATE TAB 40 MG (BASE EQUIV)PHENYTEK CAP 200MG PHENYTOIN SODIUM EXTENDED CAP 200 MGPHENYTEK CAP 300MG PHENYTOIN SODIUM EXTENDED CAP 300 MGPHOSLYRA SOL CALCIUM ACETATE (PHOSPHATE BINDER) ORAL SOLN 667 MG/5MLPHOSPHOLINE SOL 0.125%OP ECHOTHIOPHATE IODIDE OPHTH FOR SOLN 0.125%PILOCARPINE TAB 5MG PILOCARPINE HCL TAB 5 MGPILOCARPINE TAB 7.5MG PILOCARPINE HCL TAB 7.5 MGPILOPINE HS GEL 4% OP PILOCARPINE HCL OPHTH GEL 4%PINDOLOL TAB 10MG PINDOLOL TAB 10 MGPINDOLOL TAB 5MG PINDOLOL TAB 5 MGPIOGLIT/GLIM TAB 30-2MG PIOGLITAZONE HCL-GLIMEPIRIDE TAB 30-2 MGPIOGLIT/GLIM TAB 30-4MG PIOGLITAZONE HCL-GLIMEPIRIDE TAB 30-4 MGPIOGLITA/MET TAB 15-500MG PIOGLITAZONE HCL-METFORMIN HCL TAB 15-500 MGPIOGLITA/MET TAB 15-850MG PIOGLITAZONE HCL-METFORMIN HCL TAB 15-850 MGPIOGLITAZONE TAB 15MG PIOGLITAZONE HCL TAB 15 MG (BASE EQUIV)PIOGLITAZONE TAB 30MG PIOGLITAZONE HCL TAB 30 MG (BASE EQUIV)PIOGLITAZONE TAB 45MG PIOGLITAZONE HCL TAB 45 MG (BASE EQUIV)PRAMIPEXOLE TAB 0.125MG PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125 MGPRAMIPEXOLE TAB 0.25MG PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25 MGPRAMIPEXOLE TAB 0.5MG PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.5 MGPRAMIPEXOLE TAB 0.75MG PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.75 MGPRAMIPEXOLE TAB 1.5MG PRAMIPEXOLE DIHYDROCHLORIDE TAB 1.5 MGPRAMIPEXOLE TAB 1MG PRAMIPEXOLE DIHYDROCHLORIDE TAB 1 MGPRANDIMET TAB 1-500MG REPAGLINIDE-METFORMIN HCL TAB 1-500 MGPRANDIMET TAB 2-500MG REPAGLINIDE-METFORMIN HCL TAB 2-500 MG

PRANDIN TAB 0.5MG REPAGLINIDE TAB 0.5 MG

PRANDIN TAB 1MG REPAGLINIDE TAB 1 MG

PRANDIN TAB 2MG REPAGLINIDE TAB 2 MG

PRAVACHOL TAB 20MG PRAVASTATIN SODIUM TAB 20 MG

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BRAND NAME GENERIC NAMEPRAVACHOL TAB 40MG PRAVASTATIN SODIUM TAB 40 MGPRAVACHOL TAB 80MG PRAVASTATIN SODIUM TAB 80 MGPRAVASTATIN TAB 10MG PRAVASTATIN SODIUM TAB 10 MGPREFEST TAB ESTRADIOL TAB 1 MG(15)/ESTRAD-NORGESTIMATE TAB 1-0.09MG(15)PREMARIN TAB 0.3MG ESTROGENS, CONJUGATED TAB 0.3 MGPREMARIN TAB 0.45MG ESTROGENS, CONJUGATED TAB 0.45 MGPREMARIN TAB 0.625MG ESTROGENS, CONJUGATED TAB 0.625 MGPREMARIN TAB 0.9MG ESTROGENS, CONJUGATED TAB 0.9 MGPREMARIN TAB 1.25MG ESTROGENS, CONJUGATED TAB 1.25 MGPREMARIN VAG CRE 0.625MG ESTROGENS, CONJUGATED VAGINAL CREAM 0.625 MG/GMPREMPHASE TAB CONJ EST 0.625(14)/CONJ EST-MEDROXYPRO AC TAB 0.625-5MG(14)PREMPRO TAB .625-2.5 CONJUGATED ESTROGEN-MEDROXYPROGEST ACE TAB 0.625-2.5 MGPREMPRO TAB 0.3-1.5 CONJUGATED ESTROGEN-MEDROXYPROGEST ACE TAB 0.3-1.5 MGPREMPRO TAB 0.45-1.5 CONJUGATED ESTROGEN-MEDROXYPROGEST ACE TAB 0.45-1.5 MGPREMPRO TAB 0.625-5 CONJUGATED ESTROGEN-MEDROXYPROGEST ACE TAB 0.625-5 MGPRESTALIA TAB 14-10 MG PERINDOPRIL ARGININE-AMLODIPINE BESYLATE TAB 14-10 MG PRESTALIA TAB 3.5-2.5 MG PERINDOPRIL ARGININE-AMLODIPINE BESYLATE TAB 3.5-2.5 MG PRESTALIA TAB7-5 MG PERINDOPRIL ARGININE-AMLODIPINE BESYLATE TAB 7-5 MG PREVACID TAB 15MG STB LANSOPRAZOLE TAB DELAYED REL. ORALLY DISINTEGRATING 15 MGPREVACID TAB 30MG STB LANSOPRAZOLE TAB DELAYED REL. ORALLY DISINTEGRATING 30 MGPRILOSEC CAP 10MG OMEPRAZOLE CAP DELAYED RELEASE 10 MGPRILOSEC CAP 20MG OMEPRAZOLE CAP DELAYED RELEASE 20 MGPRILOSEC CAP 40MG OMEPRAZOLE CAP DELAYED RELEASE 40 MGPRILOSEC POW 10MG OMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PKT 10 MGPRILOSEC POW 2.5MG OMEPRAZOLE MAGNESIUM FOR DELAYED RELEASE SUSP PKT 2.5 MGPRIMIDONE TAB 250MG PRIMIDONE TAB 250 MGPRIMIDONE TAB 50MG PRIMIDONE TAB 50 MGPRINIVIL TAB 10MG LISINOPRIL TAB 10 MGPRINIVIL TAB 20MG LISINOPRIL TAB 20 MGPRINIVIL TAB 5MG LISINOPRIL TAB 5 MGPROBEN/COLCH TAB 500-0.5 COLCHICINE W/ PROBENECID TAB 0.5-500 MGPROCARDIA CAP 10MG NIFEDIPINE CAP 10 MGPROCARDIA XL TAB 30MG CR NIFEDIPINE TAB SR 24HR OSMOTIC 30 MGPROCARDIA XL TAB 60MG CR NIFEDIPINE TAB SR 24HR OSMOTIC 60 MGPROCARDIA XL TAB 90MG CR NIFEDIPINE TAB SR 24HR OSMOTIC 90 MGPRODIGY MIS 29GX1/2" INSULIN PEN NEEDLE 29 G X 13 MM (1/2")PROPAFENONE TAB 300MG PROPAFENONE HCL TAB 300 MGPROPRAN/HCTZ TAB 40/25 PROPRANOLOL & HYDROCHLOROTHIAZIDE TAB 40-25 MGPROPRAN/HCTZ TAB 80/25 PROPRANOLOL & HYDROCHLOROTHIAZIDE TAB 80-25 MGPROPRANOLOL CAP 120MG ER PROPRANOLOL HCL CAP SR 24HR 120 MGPROPRANOLOL CAP 160MG ER PROPRANOLOL HCL CAP SR 24HR 160 MGPROPRANOLOL CAP 60MG ER PROPRANOLOL HCL CAP SR 24HR 60 MGPROPRANOLOL CAP 80MG ER PROPRANOLOL HCL CAP SR 24HR 80 MGPROPRANOLOL SOL 20MG/5ML PROPRANOLOL HCL ORAL SOLN 20 MG/5MLPROPRANOLOL SOL 40MG/5ML PROPRANOLOL HCL ORAL SOLN 40 MG/5MLPROPRANOLOL TAB 10MG PROPRANOLOL HCL TAB 10 MGPROPRANOLOL TAB 20MG PROPRANOLOL HCL TAB 20 MGPROPRANOLOL TAB 40MG PROPRANOLOL HCL TAB 40 MGPROPRANOLOL TAB 60MG PROPRANOLOL HCL TAB 60 MGPROPRANOLOL TAB 80MG PROPRANOLOL HCL TAB 80 MGPROPYLTHIOUR TAB 50MG PROPYLTHIOURACIL TAB 50 MGPROSCAR TAB 5MG FINASTERIDE TAB 5 MGPROTONIX PAK PANTOPRAZOLE SODIUM FOR DELAYED RELEASE SUSP PAKT 40 MGPROZAC WEEKL CAP 90MG FLUOXETINE HCL CAP DELAYED RELEASE 90 MGPTS PANELS TES KETONE KETONE BLOOD TEST STRIP

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BRAND NAME GENERIC NAMEPULMICORT INH 180MCG BUDESONIDE INHAL AERO POWD 180 MCG/ACT (BREATH ACTIVATED)PULMICORT INH 90MCG BUDESONIDE INHAL AERO POWD 90 MCG/ACT (BREATH ACTIVATED)PULMICORT SUS 1MG/2ML BUDESONIDE INHALATION SUSP 1 MG/2MLQUARTETTE TAB LEVONOR-ETH EST TAB 0.15-0.02/0.025/0.03 MG &ETH EST 0.01 MGQUDEXY XR CAP 100/24HR TOPIRAMATE CAP ER 24HR SPRINKLE 100 MGQUDEXY XR CAP 150/24HR TOPIRAMATE CAP ER 24HR SPRINKLE 150 MGQUDEXY XR CAP 200/24HR TOPIRAMATE CAP ER 24HR SPRINKLE 200 MGQUDEXY XR CAP 25/24HR TOPIRAMATE CAP ER 24HR SPRINKLE 25 MGQUDEXY XR CAP 50/24HR TOPIRAMATE CAP ER 24HR SPRINKLE 50 MGQUETIAPINE TAB 100MG QUETIAPINE FUMARATE TAB 100 MGQUETIAPINE TAB 200MG QUETIAPINE FUMARATE TAB 200 MGQUETIAPINE TAB 25MG QUETIAPINE FUMARATE TAB 25 MGQUETIAPINE TAB 300MG QUETIAPINE FUMARATE TAB 300 MGQUETIAPINE TAB 400MG QUETIAPINE FUMARATE TAB 400 MGQUETIAPINE TAB 50MG QUETIAPINE FUMARATE TAB 50 MGQUINIDINE GL TAB 324MG CR QUINIDINE GLUCONATE TAB CR 324 MGQUINIDINE SUL TAB 200MG QUINIDINE SULFATE TAB 200 MGQUINIDINE SUL TAB 300MG QUINIDINE SULFATE TAB 300 MGQUINIDINE SUL TAB 300MG ER QUINIDINE SULFATE TAB CR 300 MGQVAR AER 40MCG BECLOMETHASONE DIPROPIONATE INHAL AERO SOLN 40 MCG/ACTQVAR AER 80MCG BECLOMETHASONE DIPROPIONATE INHAL AERO SOLN 80 MCG/ACTRABEPRAZOLE TAB 20MG RABEPRAZOLE SODIUM EC TAB 20 MGRAMIPRIL CAP 1.25MG RAMIPRIL CAP 1.25 MGRAMIPRIL CAP 10MG RAMIPRIL CAP 10 MGRAMIPRIL CAP 2.5MG RAMIPRIL CAP 2.5 MGRAMIPRIL CAP 5MG RAMIPRIL CAP 5 MGRANEXA TAB 1000MG RANOLAZINE TAB SR 12HR 1000 MGRANEXA TAB 500MG RANOLAZINE TAB SR 12HR 500 MGRANITIDINE CAP 150MG RANITIDINE HCL CAP 150 MGRANITIDINE CAP 300MG RANITIDINE HCL CAP 300 MGRANITIDINE SYP 75MG/5ML RANITIDINE HCL SYRUP 15 MG/ML (75 MG/5ML)RANITIDINE TAB 300MG RANITIDINE HCL TAB 300 MGRAPAFLO CAP 4MG SILODOSIN CAP 4 MGRAPAFLO CAP 8MG SILODOSIN CAP 8 MGREGLAN 10 MG METOCLOPRAMIDE 10 MGRELION KETON TES ACETONE (URINE) TEST STRIPREMERON TAB 15MG MIRTAZAPINE TAB 15 MGREMERON TAB 30MG MIRTAZAPINE TAB 30 MGREMERON TAB 45MG MIRTAZAPINE TAB 45 MGREMERON SLTB TAB 15MG MIRTAZAPINE ORALLY DISINTEGRATING TAB 15 MGREMERON SLTB TAB 30MG MIRTAZAPINE ORALLY DISINTEGRATING TAB 30 MGREMERON SLTB TAB 45MG MIRTAZAPINE ORALLY DISINTEGRATING TAB 45 MGRENAGEL TAB 400MG SEVELAMER HCL TAB 400 MGRENAGEL TAB 800MG SEVELAMER HCL TAB 800 MGRENVELA PAK 0.8GM SEVELAMER CARBONATE PACKET 0.8 GMRENVELA PAK 2.4GM SEVELAMER CARBONATE PACKET 2.4 GMREQUIP TAB 0.25MG ROPINIROLE HYDROCHLORIDE TAB 0.25 MGREQUIP TAB 0.5MG ROPINIROLE HYDROCHLORIDE TAB 0.5 MGREQUIP TAB 1MG ROPINIROLE HYDROCHLORIDE TAB 1 MGREQUIP TAB 2MG ROPINIROLE HYDROCHLORIDE TAB 2 MGREQUIP TAB 3MG ROPINIROLE HYDROCHLORIDE TAB 3 MGREQUIP TAB 4MG ROPINIROLE HYDROCHLORIDE TAB 4 MGREQUIP TAB 5MG ROPINIROLE HYDROCHLORIDE TAB 5 MGREQUIP XL TAB 12MG ROPINIROLE HYDROCHLORIDE TAB SR 24HR 12 MG REQUIP XL TAB 2MG ROPINIROLE HYDROCHLORIDE TAB SR 24HR 2 MG

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BRAND NAME GENERIC NAMEREQUIP XL TAB 4MG ROPINIROLE HYDROCHLORIDE TAB SR 24HR 4 MG REQUIP XL TAB 6MG ROPINIROLE HYDROCHLORIDE TAB SR 24HR 6 MG REQUIP XL TAB 8MG ROPINIROLE HYDROCHLORIDE TAB SR 24HR 8 MG RESCULA SOL 0.15% UNOPROSTONE ISOPROPYL OPHTH SOLN 0.15%RESERPINE TAB 0.1MG RESERPINE TAB 0.1 MGRESERPINE TAB 0.25MG RESERPINE TAB 0.25 MGRESTASIS EMU 0.05% CYCLOSPORINE (OPHTH) EMULSION 0.05%REVATIO SUS 10MG/ML SILDENAFIL CITRATE FOR SUSPENSION 10 MG/MLREXULTI TAB 0.25MG BREXPIPRAZOLE TAB 0.25 MGREXULTI TAB 0.5MG BREXPIPRAZOLE TAB 0.5 MGREXULTI TAB 1 MG BREXPIPRAZOLE TAB 1 MGREXULTI TAB 2 MG BREXPIPRAZOLE TAB 2 MGREXULTI TAB 3 MG BREXPIPRAZOLE TAB 3 MGREXULTI TAB 4 MG BREXPIPRAZOLE TAB 4 MGRHEUMATREX TAB 2.5MG METHOTREXATE SODIUM TAB 2.5 MGRIDAURA CAP 3MG AURANOFIN CAP 3 MGRILUTEK TAB 50MG RILUZOLE TAB 50 MGRIOMET SOL METFORMIN HCL ORAL SOLN 500 MG/5MLRISEDRONATE TAB 150MG RISEDRONATE SODIUM TAB 150 MGRISPERIDONE SOL 1MG/ML RISPERIDONE SOLN 1 MG/MLRISPERIDONE TAB 0.25 ODT RISPERIDONE ORALLY DISINTEGRATING TAB 0.25 MGRISPERIDONE TAB 0.25MG RISPERIDONE TAB 0.25 MGRISPERIDONE TAB 0.5MG RISPERIDONE TAB 0.5 MGRISPERIDONE TAB 0.5MG OD RISPERIDONE ORALLY DISINTEGRATING TAB 0.5 MGRISPERIDONE TAB 1MG RISPERIDONE TAB 1 MGRISPERIDONE TAB 1MG ODT RISPERIDONE ORALLY DISINTEGRATING TAB 1 MGRISPERIDONE TAB 2MG RISPERIDONE TAB 2 MGRISPERIDONE TAB 2MG ODT RISPERIDONE ORALLY DISINTEGRATING TAB 2 MGRISPERIDONE TAB 3MG RISPERIDONE TAB 3 MGRISPERIDONE TAB 3MG ODT RISPERIDONE ORALLY DISINTEGRATING TAB 3 MGRISPERIDONE TAB 4MG RISPERIDONE TAB 4 MGRISPERIDONE TAB 4MG ODT RISPERIDONE ORALLY DISINTEGRATING TAB 4 MGRYTARY CAP CARBIDOPA & LEVODOPA CAP CR RYTARY CAP CARBIDOPA & LEVODOPA CAP CR 48.75-195 MG RYTARY CAP CARBIDOPA & LEVODOPA CAP CR 61.25-245 MG RYTARY CAP 23.75-95 CARBIDOPA & LEVODOPA CAP CR 23.75-95 MG RYTARY CAP 23.75-95 CARBIDOPA & LEVODOPA CAP CR 23.75-95 MG RYTARY CAP 48.75-195 MG CARBIDOPA & LEVODOPA CAP CR 48.75-195 MG RYTARY CAP 61.25-245 MG CARBIDOPA & LEVODOPA CAP CR 61.25-245 MGRYTHMOL TAB 150MG PROPAFENONE HCL TAB 150 MGRYTHMOL TAB 225MG PROPAFENONE HCL TAB 225 MGRYTHMOL SR CAP 225MG PROPAFENONE HCL CAP SR 12HR 225 MGRYTHMOL SR CAP 325MG PROPAFENONE HCL CAP SR 12HR 325 MGRYTHMOL SR CAP 425MG PROPAFENONE HCL CAP SR 12HR 425 MGSAFYRAL TAB DROSPIRENONE-ETHINYL ESTRAD-LEVOMEFOLATE TAB 3-0.03-0.451 MGSANCTURA TAB 20MG TROSPIUM CHLORIDE TAB 20 MGSANCTURA XR CAP 60MG TROSPIUM CHLORIDE CAP SR 24HR 60 MGSARAFEM TAB 10MG FLUOXETINE HCL (PMDD) TAB 10 MGSARAFEM TAB 20MG FLUOXETINE HCL (PMDD) TAB 20 MGSAVELLA TAB 100MG MILNACIPRAN HCL TAB 100 MGSAVELLA TAB 12.5MG MILNACIPRAN HCL TAB 12.5 MGSAVELLA TAB 25MG MILNACIPRAN HCL TAB 25 MG

SAVELLA TAB 50MG MILNACIPRAN HCL TAB 50 MGSELEGILINE TAB 5MG SELEGILINE HCL TAB 5 MGSEREVENT DIS AER 50MCG SALMETEROL XINAFOATE AER POW BA 50 MCG/DOSE (BASE EQUIV)

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BRAND NAME GENERIC NAMESEROQUEL XR TAB 150MG QUETIAPINE FUMARATE TAB SR 24HR 150 MGSEROQUEL XR TAB 200MG QUETIAPINE FUMARATE TAB SR 24HR 200 MGSEROQUEL XR TAB 300MG QUETIAPINE FUMARATE TAB SR 24HR 300 MGSEROQUEL XR TAB 400MG QUETIAPINE FUMARATE TAB SR 24HR 400 MGSEROQUEL XR TAB 50MG QUETIAPINE FUMARATE TAB SR 24HR 50 MGSEVELAMER TAB 800MG SEVELAMER CARBONATE TAB 800 MGSIMBRINZA SUS 1-0.2% BRINZOLAMIDE-BRIMONIDINE TARTRATE OPHTH SUSP 1-0.2%SIMCOR TAB 1000-20 NIACIN-SIMVASTATIN TAB SR 24HR 1000-20 MGSIMCOR TAB 1000-40 NIACIN-SIMVASTATIN TAB SR 24HR 1000-40 MGSIMCOR TAB 500-20MG NIACIN-SIMVASTATIN TAB SR 24HR 500-20 MGSIMCOR TAB 500-40MG NIACIN-SIMVASTATIN TAB SR 24HR 500-40 MGSIMCOR TAB 750-20MG NIACIN-SIMVASTATIN TAB SR 24HR 750-20 MGSINEMET TAB 10-100MG CARBIDOPA & LEVODOPA TAB 10-100 MGSINEMET TAB 25-100MG CARBIDOPA & LEVODOPA TAB 25-100 MGSINEMET TAB 25-250MG CARBIDOPA & LEVODOPA TAB 25-250 MGSINEMET CR TAB 25-100MG CARBIDOPA & LEVODOPA TAB CR 25-100 MGSINEMET CR TAB 50-200MG CARBIDOPA & LEVODOPA TAB CR 50-200 MGSINGULAIR CHW 4MG MONTELUKAST SODIUM CHEW TAB 4 MG (BASE EQUIV)SINGULAIR CHW 5MG MONTELUKAST SODIUM CHEW TAB 5 MG (BASE EQUIV)SINGULAIR GRA 4MG MONTELUKAST SODIUM ORAL GRANULES PACKET 4 MG (BASE EQUIV)SINGULAIR TAB 10MG MONTELUKAST SODIUM TAB 10 MG (BASE EQUIV)SOLTAMOX SOL 10MG/5ML TAMOXIFEN CITRATE ORAL SOLN 10 MG/5ML (BASE EQUIVALENT)

SOTALOL AF TAB 120MG SOTALOL HCL (AFIB/AFL) TAB 120 MGSOTALOL AF TAB 160MG SOTALOL HCL (AFIB/AFL) TAB 160 MGSOTALOL AF TAB 80MG SOTALOL HCL (AFIB/AFL) TAB 80 MGSOTALOL HCL TAB 120MG SOTALOL HCL TAB 120 MGSOTALOL HCL TAB 160MG SOTALOL HCL TAB 160 MGSOTALOL HCL TAB 240MG SOTALOL HCL TAB 240 MGSOTALOL HCL TAB 80MG SOTALOL HCL TAB 80 MGSPIRIVA CAP HANDIHLR TIOTROPIUM BROMIDE MONOHYDRATE INHAL CAP 18 MCGSPRINTEC 28 TAB 28 DAY NORGESTIMATE & ETHINYL ESTRADIOL TAB 0.25 MG-35 MCGSTALEVO 100 TAB CARBIDOPA-LEVODOPA-ENTACAPONE TABS 25-100-200 MGSTALEVO 125 TAB CARBIDOPA-LEVODOPA-ENTACAPONE TABS 31.25-125-200 MGSTALEVO 150 TAB CARBIDOPA-LEVODOPA-ENTACAPONE TABS 37.5-150-200 MGSTALEVO 200 TAB CARBIDOPA-LEVODOPA-ENTACAPONE TABS 50-200-200 MGSTALEVO 50 TAB CARBIDOPA-LEVODOPA-ENTACAPONE TABS 12.5-50-200 MGSTALEVO 75 TAB CARBIDOPA-LEVODOPA-ENTACAPONE TABS 18.75-75-200 MGSTARLIX TAB 120MG NATEGLINIDE TAB 120 MGSTARLIX TAB 60MG NATEGLINIDE TAB 60 MGSTAVZOR CAP 125MG VALPROIC ACID CAP DELAYED RELEASE 125 MGSTAVZOR CAP 250MG VALPROIC ACID CAP DELAYED RELEASE 250 MGSTAVZOR CAP 500MG VALPROIC ACID CAP DELAYED RELEASE 500 MGSTIOLTO RESPIMAT TIOTROPIUM BR-OLODATEROL INHAL AERO SOLNSTRATTERA CAP 100MG ATOMOXETINE HCL CAP 100 MG (BASE EQUIV)STRATTERA CAP 10MG ATOMOXETINE HCL CAP 10 MG (BASE EQUIV)STRATTERA CAP 18MG ATOMOXETINE HCL CAP 18 MG (BASE EQUIV)STRATTERA CAP 25MG ATOMOXETINE HCL CAP 25 MG (BASE EQUIV)STRATTERA CAP 40MG ATOMOXETINE HCL CAP 40 MG (BASE EQUIV)STRATTERA CAP 60MG ATOMOXETINE HCL CAP 60 MG (BASE EQUIV)STRATTERA CAP 80MG ATOMOXETINE HCL CAP 80 MG (BASE EQUIV)STRIVERDI RESPIMAT OLODATEROL HCL INHAL AEROSOL SOLN 2.5 MCG/ACT (BASE EQUIV)SUCRAID SOL 8500/ML SACROSIDASE SOLN 8500 UNIT/MLSUCRALFATE SUS 1GM/10ML SUCRALFATE SUSP 1 GM/10MLSUCRALFATE TAB 1GM SUCRALFATE TAB 1 GM

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BRAND NAME GENERIC NAME

SYMBICORT AER 160-4.5BUDESONIDE-FORMOTEROL FUMARATE DIHYD AEROSOL 160-4.5 MCG/ACT

SYMBICORT AER 80-4.5 BUDESONIDE-FORMOTEROL FUMARATE DIHYD AEROSOL 80-4.5 MCG/ACT

SYMBYAX CAP 12-25MG OLANZAPINE-FLUOXETINE HCL CAP 12-25 MGSYMBYAX CAP 12-50MG OLANZAPINE-FLUOXETINE HCL CAP 12-50 MGSYMBYAX CAP 3-25MG OLANZAPINE-FLUOXETINE HCL CAP 3-25 MGSYMBYAX CAP 6-25MG OLANZAPINE-FLUOXETINE HCL CAP 6-25 MGSYMBYAX CAP 6-50MG OLANZAPINE-FLUOXETINE HCL CAP 6-50 MGSYNJARDY TAB 12.5-1000 MG EMPAGLIFLOZIN-METFORMIN HCL TAB 12.5-1000 MGSYNJARDY TAB 12.5-500 MG EMPAGLIFLOZIN-METFORMIN HCL TAB 12.5-500 MGSYNJARDY TAB 5-1000 MG EMPAGLIFLOZIN-METFORMIN HCL TAB 5-1000 MGSYNJARDY TAB 5-500 MG EMPAGLIFLOZIN-METFORMIN HCL TAB 5-500 MGSYNTHROID TAB 100MCG LEVOTHYROXINE SODIUM TAB 100 MCGSYNTHROID TAB 112MCG LEVOTHYROXINE SODIUM TAB 112 MCGSYNTHROID TAB 125MCG LEVOTHYROXINE SODIUM TAB 125 MCGSYNTHROID TAB 137MCG LEVOTHYROXINE SODIUM TAB 137 MCGSYNTHROID TAB 150MCG LEVOTHYROXINE SODIUM TAB 150 MCGSYNTHROID TAB 175MCG LEVOTHYROXINE SODIUM TAB 175 MCGSYNTHROID TAB 200MCG LEVOTHYROXINE SODIUM TAB 200 MCGSYNTHROID TAB 25MCG LEVOTHYROXINE SODIUM TAB 25 MCGSYNTHROID TAB 300MCG LEVOTHYROXINE SODIUM TAB 300 MCGSYNTHROID TAB 50MCG LEVOTHYROXINE SODIUM TAB 50 MCGSYNTHROID TAB 75MCG LEVOTHYROXINE SODIUM TAB 75 MCGSYNTHROID TAB 88MCG LEVOTHYROXINE SODIUM TAB 88 MCGTAMOXIFEN TAB 10MG TAMOXIFEN CITRATE TAB 10 MG (BASE EQUIVALENT)TAMOXIFEN TAB 20MG TAMOXIFEN CITRATE TAB 20 MG (BASE EQUIVALENT)TAMSULOSIN CAP 0.4MG TAMSULOSIN HCL CAP 0.4 MGTARKA TAB 1-240 CR TRANDOLAPRIL-VERAPAMIL HCL TAB CR 1-240 MGTARKA TAB 2-180 CR TRANDOLAPRIL-VERAPAMIL HCL TAB CR 2-180 MGTARKA TAB 2-240 CR TRANDOLAPRIL-VERAPAMIL HCL TAB CR 2-240 MGTARKA TAB 4-240 CR TRANDOLAPRIL-VERAPAMIL HCL TAB CR 4-240 MGTASMAR TAB 100MG TOLCAPONE TAB 100 MGTEGRETOL SUS 100/5ML CARBAMAZEPINE SUSP 100 MG/5MLTEGRETOL TAB 200MG CARBAMAZEPINE TAB 200 MGTEGRETOL-XR TAB 100MG CARBAMAZEPINE TAB SR 12HR 100 MGTEGRETOL-XR TAB 200MG CARBAMAZEPINE TAB SR 12HR 200 MGTEGRETOL-XR TAB 400MG CARBAMAZEPINE TAB SR 12HR 400 MGTEKAMLO TAB 150-10MG ALISKIREN-AMLODIPINE TAB 150-10 MGTEKAMLO TAB 150-5MG ALISKIREN-AMLODIPINE TAB 150-5 MGTEKAMLO TAB 300-10MG ALISKIREN-AMLODIPINE TAB 300-10 MGTEKAMLO TAB 300-5MG ALISKIREN-AMLODIPINE TAB 300-5 MGTEKTURNA TAB 150MG ALISKIREN FUMARATE TAB 150 MG (BASE EQUIVALENT)TEKTURNA TAB 300MG ALISKIREN FUMARATE TAB 300 MG (BASE EQUIVALENT)TEKTURNA HCT TAB 150-12.5 ALISKIREN-HYDROCHLOROTHIAZIDE TAB 150-12.5 MGTEKTURNA HCT TAB 150-25MG ALISKIREN-HYDROCHLOROTHIAZIDE TAB 150-25 MGTEKTURNA HCT TAB 300-12.5 ALISKIREN-HYDROCHLOROTHIAZIDE TAB 300-12.5 MGTEKTURNA HCT TAB 300-25MG ALISKIREN-HYDROCHLOROTHIAZIDE TAB 300-25 MGTELMIS/AMLOD TAB 40-10MG TELMISARTAN-AMLODIPINE TAB 40-10 MGTELMIS/AMLOD TAB 40-5MG TELMISARTAN-AMLODIPINE TAB 40-5 MGTELMIS/AMLOD TAB 80-10MG TELMISARTAN-AMLODIPINE TAB 80-10 MGTELMIS/AMLOD TAB 80-5MG TELMISARTAN-AMLODIPINE TAB 80-5 MGTELMISA/HCTZ TAB 40-12.5 TELMISARTAN-HYDROCHLOROTHIAZIDE TAB 40-12.5 MGTELMISA/HCTZ TAB 80-12.5 TELMISARTAN-HYDROCHLOROTHIAZIDE TAB 80-12.5 MGTELMISA/HCTZ TAB 80-25MG TELMISARTAN-HYDROCHLOROTHIAZIDE TAB 80-25 MGTELMISARTAN TAB 20MG TELMISARTAN TAB 20 MG

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BRAND NAME GENERIC NAMETELMISARTAN TAB 40MG TELMISARTAN TAB 40 MGTELMISARTAN TAB 80MG TELMISARTAN TAB 80 MGTENORETIC TAB 100 ATENOLOL & CHLORTHALIDONE TAB 100-25 MGTENORETIC TAB 50 ATENOLOL & CHLORTHALIDONE TAB 50-25 MGTERAZOSIN CAP 10MG TERAZOSIN HCL CAP 10 MGTERAZOSIN CAP 1MG TERAZOSIN HCL CAP 1 MGTERAZOSIN CAP 2MG TERAZOSIN HCL CAP 2 MGTERAZOSIN CAP 5MG TERAZOSIN HCL CAP 5 MGTERBUTALINE TAB 2.5MG TERBUTALINE SULFATE TAB 2.5 MGTERBUTALINE TAB 5MG TERBUTALINE SULFATE TAB 5 MGTERUMO SYRIN MIS SYRINGE/NEEDLE (DISP) 3 ML 23 X 1/2"TEVETEN TAB 400MG EPROSARTAN MESYLATE TAB 400 MGTEVETEN TAB 600MG EPROSARTAN MESYLATE TAB 600 MGTEVETEN HCT TAB 600-12.5 EPROSARTAN MESYLATE-HYDROCHLOROTHIAZIDE TAB 600-12.5 MGTEVETEN HCT TAB 600-25MG EPROSARTAN MESYLATE-HYDROCHLOROTHIAZIDE TAB 600-25 MGTHEO-24 CAP 100MG CR THEOPHYLLINE CAP SR 24HR 100 MGTHEO-24 CAP 200MG CR THEOPHYLLINE CAP SR 24HR 200 MGTHEO-24 CAP 300MG CR THEOPHYLLINE CAP SR 24HR 300 MGTHEO-24 CAP 400MG ER THEOPHYLLINE CAP SR 24HR 400 MGTHEOPHYLLINE ELX 80/15ML THEOPHYLLINE ELIXIR 80 MG/15MLTHEOPHYLLINE SOL 80/15ML THEOPHYLLINE SOLN 80 MG/15MLTHEOPHYLLINE TAB 100MG CR THEOPHYLLINE TAB SR 12HR 100 MGTHEOPHYLLINE TAB 200MG CR THEOPHYLLINE TAB SR 12HR 200 MGTHEOPHYLLINE TAB 300MG CR THEOPHYLLINE TAB SR 12HR 300 MGTHEOPHYLLINE TAB 400MG ER THEOPHYLLINE TAB SR 24HR 400 MGTHEOPHYLLINE TAB 450MG ER THEOPHYLLINE TAB SR 12HR 450 MGTHEOPHYLLINE TAB 600MG ER THEOPHYLLINE TAB SR 24HR 600 MGTHIOTHIXENE CAP 10MG THIOTHIXENE CAP 10 MGTHIOTHIXENE CAP 1MG THIOTHIXENE CAP 1 MGTHIOTHIXENE CAP 2MG THIOTHIXENE CAP 2 MGTHIOTHIXENE CAP 5MG THIOTHIXENE CAP 5 MGTHYROLAR-1 TAB 60MG LIOTRIX (T3-T4) TAB 60 MG (12.5-50 MCG)THYROLAR-1/2 TAB 30MG LIOTRIX (T3-T4) TAB 30 MG (6.25-25 MCG)THYROLAR-1/4 TAB 15MG LIOTRIX (T3-T4) TAB 15 MG (3.1-12.5 MCG)THYROLAR-2 TAB 120MG LIOTRIX (T3-T4) TAB 120 MG (25-100 MCG)THYROLAR-3 TAB 180MG LIOTRIX (T3-T4) TAB 180 MG (37.5-150 MCG)TIAZAC CAP 120MG/24 DILTIAZEM HCL EXTENDED RELEASE BEADS CAP SR 24HR 120 MGTIAZAC CAP 180MG/24 DILTIAZEM HCL EXTENDED RELEASE BEADS CAP SR 24HR 180 MGTIAZAC CAP 240MG/24 DILTIAZEM HCL EXTENDED RELEASE BEADS CAP SR 24HR 240 MGTIAZAC CAP 300MG/24 DILTIAZEM HCL EXTENDED RELEASE BEADS CAP SR 24HR 300 MGTIAZAC CAP 360MG/24 DILTIAZEM HCL EXTENDED RELEASE BEADS CAP SR 24HR 360 MGTIAZAC CAP 420MG/24 DILTIAZEM HCL EXTENDED RELEASE BEADS CAP SR 24HR 420 MGTICLOPIDINE TAB 250MG TICLOPIDINE HCL TAB 250 MGTIMOLOL MAL SOL 0.25% OP TIMOLOL MALEATE OPHTH SOLN 0.25%TIMOLOL MAL SOL 0.5% OP TIMOLOL MALEATE OPHTH SOLN 0.5%TIMOLOL MAL TAB 10MG TIMOLOL MALEATE TAB 10 MGTIMOLOL MAL TAB 20MG TIMOLOL MALEATE TAB 20 MGTIMOLOL MAL TAB 5MG TIMOLOL MALEATE TAB 5 MGTIMOPTIC OCU SOL 0.25% OP TIMOLOL MALEATE PRESERVATIVE FREE OPHTH SOLN 0.25%TIMOPTIC OCU SOL 0.5% OP TIMOLOL MALEATE PRESERVATIVE FREE OPHTH SOLN 0.5%TIMOPTIC-XE SOL 0.25% OP TIMOLOL MALEATE OPHTH GEL FORMING SOLN 0.25%TIMOPTIC-XE SOL 0.5% OP TIMOLOL MALEATE OPHTH GEL FORMING SOLN 0.5%TIROSINT CAP 100MCG LEVOTHYROXINE SODIUM CAP 100 MCGTIROSINT CAP 112MCG LEVOTHYROXINE SODIUM CAP 112 MCGTIROSINT CAP 125MCG LEVOTHYROXINE SODIUM CAP 125 MCG

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BRAND NAME GENERIC NAMETIROSINT CAP 137MCG LEVOTHYROXINE SODIUM CAP 137 MCGTIROSINT CAP 13MCG LEVOTHYROXINE SODIUM CAP 13 MCGTIROSINT CAP 150MCG LEVOTHYROXINE SODIUM CAP 150 MCGTIROSINT CAP 25MCG LEVOTHYROXINE SODIUM CAP 25 MCGTIROSINT CAP 50MCG LEVOTHYROXINE SODIUM CAP 50 MCGTIROSINT CAP 75MCG LEVOTHYROXINE SODIUM CAP 75 MCGTIROSINT CAP 88MCG LEVOTHYROXINE SODIUM CAP 88 MCGTOLAZAMIDE TAB 250MG TOLAZAMIDE TAB 250 MGTOLAZAMIDE TAB 500MG TOLAZAMIDE TAB 500 MGTOLBUTAMIDE TAB 500MG TOLBUTAMIDE TAB 500 MGTOOMEY SYRIN MIS 70ML SYRINGE (DISPOSABLE) 70 MLTOPIRAMATE CAP 15MG TOPIRAMATE SPRINKLE CAP 15 MGTOPIRAMATE CAP 25MG TOPIRAMATE SPRINKLE CAP 25 MGTOPIRAMATE TAB 100MG TOPIRAMATE TAB 100 MGTOPIRAMATE TAB 200MG TOPIRAMATE TAB 200 MGTOPIRAMATE TAB 25MG TOPIRAMATE TAB 25 MG

TOPIRAMATE TAB 50MG TOPIRAMATE TAB 50 MGTOPROL XL TAB 100MG METOPROLOL SUCCINATE TAB SR 24HR 100 MGTOPROL XL TAB 200MG METOPROLOL SUCCINATE TAB SR 24HR 200 MGTOPROL XL TAB 25MG METOPROLOL SUCCINATE TAB SR 24HR 25 MGTOPROL XL TAB 50MG METOPROLOL SUCCINATE TAB SR 24HR 50 MGTOVIAZ TAB 4MG FESOTERODINE FUMARATE TAB SR 24HR 4 MGTOVIAZ TAB 8MG FESOTERODINE FUMARATE TAB SR 24HR 8 MGTRADJENTA TAB 5MG LINAGLIPTIN TAB 5 MGTRAVATAN Z DRO 0.004% TRAVOPROST OPHTH SOLN 0.004% (BENZALKONIUM FREE) (BAK FREE)TRAVOPROST DRO 0.004% TRAVOPROST OPHTH SOLN 0.004%TRAZODONE TAB 100MG TRAZODONE HCL TAB 100 MGTRAZODONE TAB 150MG TRAZODONE HCL TAB 150 MGTRAZODONE TAB 300MG TRAZODONE HCL TAB 300 MGTRAZODONE TAB 50MG TRAZODONE HCL TAB 50 MGTRENTAL TAB 400MG CR PENTOXIFYLLINE TAB CR 400 MGTRIAMT/HCTZ CAP 50-25MG TRIAMTERENE & HYDROCHLOROTHIAZIDE CAP 50-25 MGTRIAMT/HCTZ TAB 75-50MG TRIAMTERENE & HYDROCHLOROTHIAZIDE TAB 75-50 MGTRIBENZOR 20-5-12.5MG TAB OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 20-5-12.5 MGTRIBENZOR 40-10-12.5MG TAB OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 40-10-12.5 MGTRIBENZOR 40-10-25MG TAB OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 40-10-25 MGTRIBENZOR 40-5-12.5MG TAB OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 40-5-12.5 MGTRIBENZOR 40-5-25MG TAB OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 40-5-25 MGTRICOR TAB 145MG FENOFIBRATE TAB 145 MGTRICOR TAB 48MG FENOFIBRATE TAB 48 MGTRIGLIDE TAB 50MG FENOFIBRATE TAB 50 MGTRIHEXYPHEN ELX 0.4MG/ML TRIHEXYPHENIDYL HCL ELIXIR 0.4 MG/MLTRIHEXYPHEN TAB 2MG TRIHEXYPHENIDYL HCL TAB 2 MGTRIHEXYPHEN TAB 5MG TRIHEXYPHENIDYL HCL TAB 5 MGTRILIPIX CAP 135MG CHOLINE FENOFIBRATE CAP DR 135 MG (FENOFIBRIC ACID EQUIV)TRILIPIX CAP 45MG CHOLINE FENOFIBRATE CAP DR 45 MG (FENOFIBRIC ACID EQUIV)TRI-SPRINTEC TAB NORGESTIMATE-ETH ESTRAD TAB 0.18-35/0.215-35/0.25-35 MG-MCGTROKENDI XR CAP 100MG TOPIRAMATE CAP SR 24HR 100 MGTROKENDI XR CAP 200MG TOPIRAMATE CAP SR 24HR 200 MGTROKENDI XR CAP 25MG TOPIRAMATE CAP SR 24HR 25 MGTROKENDI XR CAP 50MG TOPIRAMATE CAP SR 24HR 50 MGTRUSOPT SOL 2% OP DORZOLAMIDE HCL OPHTH SOLN 2%

TUDORZA PRES AER 400/ACT ACLIDINIUM BROMIDE AEROSOL POWD BREATH ACTIVATED 400 MCG/ACT

ULORIC TAB 40MG FEBUXOSTAT TAB 40 MG

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BRAND NAME GENERIC NAMEULORIC TAB 80MG FEBUXOSTAT TAB 80 MGULTRESA CAP 13800UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 13800-27600-27600 UNITULTRESA CAP 20700UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 20700-41400-41400 UNITULTRESA CAP 23000UNT PANCRELIPASE (LIP-PROT-AMYL) DR CAP 23000-46000-46000 UNITUNIFINE PNTP MIS 29GX12MM INSULIN PEN NEEDLE 29 G X 12 MM (1/2")UNIFINE PNTP MIS 31GX5MM INSULIN PEN NEEDLE 31 G X 5 MM (3/16")UNIFINE PNTP MIS 31GX6MM INSULIN PEN NEEDLE 31 G X 6 MM (1/4")UNIFINE PNTP MIS 31GX8MM INSULIN PEN NEEDLE 31 G X 8 MM (1/3" OR 5/16")UNIRETIC TAB 15-12.5 MOEXIPRIL-HYDROCHLOROTHIAZIDE TAB 15-12.5 MGUNIRETIC TAB 15-25MG MOEXIPRIL-HYDROCHLOROTHIAZIDE TAB 15-25 MGUNIRETIC TAB 7.5-12.5 MOEXIPRIL-HYDROCHLOROTHIAZIDE TAB 7.5-12.5 MGUNIVASC TAB 15MG MOEXIPRIL HCL TAB 15 MGUNIVASC TAB 7.5MG MOEXIPRIL HCL TAB 7.5 MGUROXATRAL TAB 10MG ALFUZOSIN HCL TAB SR 24HR 10 MGURSODIOL CAP 300MG URSODIOL CAP 300 MGURSODIOL TAB 250MG URSODIOL TAB 250 MGURSODIOL TAB 500MG URSODIOL TAB 500 MGVAGIFEM TAB 10MCG ESTRADIOL VAGINAL TAB 10 MCGVASCEPA CAP 1GM ICOSAPENT ETHYL CAP 1 GMVELPHORO CHW 500MG SUCROFERRIC OXYHYDROXIDE CHEW TAB 500 MGVENLAFAXINE TAB 100MG VENLAFAXINE HCL TAB 100 MGVENLAFAXINE TAB 150MG ER VENLAFAXINE HCL TAB SR 24HR 150 MG (BASE EQUIVALENT)VENLAFAXINE TAB 225MG ER VENLAFAXINE HCL TAB SR 24HR 225 MG (BASE EQUIVALENT)VENLAFAXINE TAB 25MG VENLAFAXINE HCL TAB 25 MGVENLAFAXINE TAB 37.5 ER VENLAFAXINE HCL TAB SR 24HR 37.5 MG (BASE EQUIVALENT)VENLAFAXINE TAB 37.5MG VENLAFAXINE HCL TAB 37.5 MGVENLAFAXINE TAB 50MG VENLAFAXINE HCL TAB 50 MGVENLAFAXINE TAB 75MG VENLAFAXINE HCL TAB 75 MG

VENLAFAXINE TAB 75MG ER VENLAFAXINE HCL TAB SR 24HR 75 MG (BASE EQUIVALENT)VERAPAMIL TAB 40MG VERAPAMIL HCL TAB 40 MGVERELAN CAP 120MG SR VERAPAMIL HCL CAP SR 24HR 120 MGVERELAN CAP 180MG VERAPAMIL HCL CAP SR 24HR 180 MGVERELAN CAP 240MG SR VERAPAMIL HCL CAP SR 24HR 240 MGVERELAN CAP 360MG SR VERAPAMIL HCL CAP SR 24HR 360 MGVERELAN PM CAP 100MG VERAPAMIL HCL CAP SR 24HR 100 MGVERELAN PM CAP 200MG VERAPAMIL HCL CAP SR 24HR 200 MGVERELAN PM CAP 300MG VERAPAMIL HCL CAP SR 24HR 300 MGVESICARE TAB 10MG SOLIFENACIN SUCCINATE TAB 10 MGVESICARE TAB 5MG SOLIFENACIN SUCCINATE TAB 5 MGVIIBRYD TAB 10MG VILAZODONE HCL TAB 10 MGVIIBRYD TAB 20MG VILAZODONE HCL TAB 20 MGVIIBRYD TAB 40MG VILAZODONE HCL TAB 40 MGVIOKACE TAB PANCRELIPASE (LIP-PROT-AMYL) TAB 10440-39150-39150 UNITVIOKACE TAB PANCRELIPASE (LIP-PROT-AMYL) TAB 20880-78300-78300 UNITVIVELLE-DOT DIS 0.025MG ESTRADIOL TD PATCH TWICE WEEKLY 0.025 MG/24HRVIVELLE-DOT DIS 0.0375MG ESTRADIOL TD PATCH TWICE WEEKLY 0.0375 MG/24HRVIVELLE-DOT DIS 0.05MG ESTRADIOL TD PATCH TWICE WEEKLY 0.05 MG/24HRVIVELLE-DOT DIS 0.075MG ESTRADIOL TD PATCH TWICE WEEKLY 0.075 MG/24HRVIVELLE-DOT DIS 0.1MG ESTRADIOL TD PATCH TWICE WEEKLY 0.1 MG/24HRVYTORIN TAB 10-10MG EZETIMIBE-SIMVASTATIN TAB 10-10 MGVYTORIN TAB 10-20MG EZETIMIBE-SIMVASTATIN TAB 10-20 MGVYTORIN TAB 10-40MG EZETIMIBE-SIMVASTATIN TAB 10-40 MGWELCHOL PAK 3.75GM COLESEVELAM HCL PACKET FOR SUSP 3.75 GMWELCHOL TAB 625MG COLESEVELAM HCL TAB 625 MGWELLBUTRIN TAB 100MG BUPROPION HCL TAB 100 MG

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BRAND NAME GENERIC NAMEWELLBUTRIN TAB 75MG BUPROPION HCL TAB 75 MGXALATAN SOL 0.005% LATANOPROST OPHTH SOLN 0.005%XIGDUO XR TAB 10-1000 DAPAGLIFLOZIN-METFORMIN 10-1000 XIGDUO XR TAB 10-500 DAPAGLIFLOZIN-METFORMIN 10-500 XIGDUO XR TAB 5-1000 DAPAGLIFLOZIN-METFORMIN 5-1000 XIGDUO XR TAB 5-500 DAPAGLIFLOZIN-METFORMIN 5-500 XULANE DIS 150-35 NORELGESTROMIN-ETHINYL ESTRADIOL TD PTWK 150-35 MCG/24HRXYZAL SOLUTION LEVOCETIRIZINE DIHYDROCHLORIDE SOLN 2.5 MG/5ML (0.5 MG/ML)

List is subject to change 30 rev. 12/23/15