maintenance medication drug list - express scripts · pdf file1 | p a g e maintenance...

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1 | Page Maintenance Medication Drug List Drug Level_100952_Updated July 2014 The Express Scripts Maintenance Drug List contains medications that are generally taken on a long-term or maintenance basis for conditions such as high blood pressure or high cholesterol. Through the Express Scripts PharmacySM home delivery, you can get up to a 90-day supply of your medications for the same cost as two 30-day fills at a participating retail pharmacy. For the PPO Plan only: You may purchase maintenance medications from a participating retail pharmacy three times, after which you must use the home delivery pharmacy for the medications to be covered under the PPO Plan. If you continue to purchase your maintenance medications at a retail pharmacy after the third fill, you will be responsible for the entire cost of the medication. Note: This list (1) does not include all maintenance medications, (2) is subject to change, (3) may include medications not covered by your health plan and (4) may include medications that are subject to additional coverage rules as determined by your health plan.

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1 | P a g e

Maintenance Medication Drug List Drug Level_100952_Updated July 2014

1ST CHOICE LANCETS

1ST TIER UNIFINE PENTIPS

1ST TIER UNILET COMFORTOUCH

2TEK

3M NEXCARE STOMASEAL

ACARBOSE

The Express Scripts Maintenance Drug List contains medications that are generally taken on a long-term or maintenance basis for conditions such as high blood pressure or high cholesterol. Through the Express Scripts PharmacySM home delivery, you can get up to a 90-day supply of your medications for the same cost as two 30-day fills at a participating retail pharmacy. For the PPO Plan only: You may purchase maintenance medications from a participating retail pharmacy three times, after which you must use the home delivery pharmacy for the medications to be covered under the PPO Plan. If you continue to purchase your maintenance medications at a retail pharmacy after the third fill, you will be responsible for the entire cost of the medication. Note: This list (1) does not include all maintenance medications, (2) is subject to change, (3) may include medications not covered by your health plan and (4) may include medications that are subject to additional coverage rules as determined by your health plan.

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

1ST CHOICE LANCETS

1ST TIER UNIFINE PENTIPS

1ST TIER UNILET COMFORTOUCH

2TEK

3M NEXCARE STOMASEAL A ACARBOSE

ACCESS SET

ACCOLATE

ACCU-CHEK

ACCU-CHEK ACTIVE

ACCU-CHEK AVIVA

ACCU-CHEK AVIVA PLUS

ACCU-CHEK COMFORT CURVE

ACCU-CHEK COMPACT

ACCU-CHEK COMPACT BLUE CONTROL

ACCU-CHEK COMPACT PLUS CONTROL

ACCU-CHEK FASTCLIX

ACCU-CHEK IIM MONITOR

ACCU-CHEK NANO SMARTVIEW

ACCU-CHEK RAPID D

ACCU-CHEK SMARTVIEW

ACCU-CHEK SOFTCLIX

ACCU-CHEK SPIRIT

ACCU-CHEK VOICEMATE

ACCUPRIL

ACCURETIC

ACCUTREND GLUCOSE

ACEBUTOLOL HCL

ACEON

ACETAZOLAMIDE

ACETEST REAGENT

ACIPHEX

ACIPHEX SPRINKLE

ACTIGALL

ACTI-LANCE

ACTIVE FE

ACTIVE LIFE CLOSED-END POUCH

ACTIVE LIFE CONVEX

ACTIVE LIFE DRAINABLE POUCH

ACTIVE LIFE STOMA CAP

ACTIVE LIFE UROSTOMY POUCH

ACTIVE OB

ACTIVELLA

ACTONEL

ACTOPLUS MET

ACTOPLUS MET XR

ACTOS

ACURA CONTROL SOLUTION

ACURA CONTROL SOLUTION LOW

ACURA CONTROL SOLUTION NORMAL

ACURA METER KIT

ACURA PLUS

ACURA STARTER KIT

ACURA TEST STRIPS

ADALAT CC

ADAPT

ADAPT BARRIER

ADAPT BARRIER RING

ADAPT CONVEX BARRIER

ADAPT PASTE

ADAPT STOMA POWDER

ADEMPAS

ADENOCARD

ADENOSINE

ADHESIVE BARRIERS

ADJUSTABLE LANCING DEVICE

ADVAIR DISKUS

ADVAIR HFA

ADVANCE

ADVANCE INTUITION

ADVANCED AM/PM

ADVANCED LANCING DEVICE

ADVANCED TRAVEL LANCETS

ADVICOR

ADVOCATE BLOOD GLUCOSE MONITOR

ADVOCATE CONTROL SOLUTION

ADVOCATE DUO

ADVOCATE LANCET

ADVOCATE LANCING DEVICE

ADVOCATE PEN NEEDLES

ADVOCATE RAPID-SAFE

ADVOCATE REDI-CODE

ADVOCATE REDI-CODE DUO

ADVOCATE REDI-CODE+ CTRL SOLN

ADVOCATE SYRINGES

ADVOCATE TEST STRIP

AEROSPAN

AFEDITAB CR

AGAMATRIX AMP

AGAMATRIX CONTROL

AGGRASTAT

AGGRENOX

AGRYLIN

AIMSCO MINI ULTRA-THIN II

AIMSCO ULTRA THIN II

AIRAVITE

ALBUTEROL SULFATE

ALCOHOL

ALCOHOL PREP

ALCOHOL PREP PAD

ALCOHOL WIPES

ALDACTAZIDE

ALDACTONE

ALENDRONATE SODIUM

ALFUZOSIN HCL

ALKALINE BATTERIES

ALLKARE PROTECT BARRIER WIPE

ALORA

ALPHAGAN P

ALPROSTADIL

ALTACE

ALTAVERA

ALTERNATE SITE LANCET

ALTERNATE SITE LANCING DEVICE

ALTOPREV

ALVESCO

ALYACEN

ALZ-NAC

AMANTADINE HCL

AMARYL

AMETHIA

AMETHIA LO

AMETHYST

AMILORIDE HCL

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

AMILORIDE HCL W/HCTZ

AMINOBENZOATE POTASSIUM

AMINOPHYLLINE

AMIODARONE HCL

AMITRIPTYLINE HCL

AMITRIPTYLINE-PERPHENAZINE

AMLODIPINE BESYLATE

AMLODIPINE BESYLATE-BENAZEPRIL

AMLODIPINE-ATORVASTATIN

AMOXAPINE

AMTURNIDE

AMYL NITRITE

ANAFRANIL

ANAGRELIDE HYDROCHLORIDE

ANAPROX

ANAPROX DS

ANASTROZOLE

ANIMI-3

ANIMI-3 WITH VITAMIN D

ANORO ELLIPTA

ANSAID

ANTARA

APIDRA

APLENZIN

APPBUTAMONE

APPBUTAMONE-D

APPFORMIN

APPFORMIN-D

APRACLONIDINE HCL

APRI

APTIOM

AQUA LANCE LANCING DEVICE

AQUASOL A

ARANELLE

AREDIA

ARICEPT

ARICEPT ODT

ARIMIDEX

ARMOUR THYROID

AROMASIN

ARTHROTEC

ASCENSIA BREEZE 2

ASCORBIC ACID

ASMANEX

ASPIRIN E.C.

ASSURA

ASSURA 2PC DRAINABLE

ASSURA 2PC IRRIGATION SLEEVE

ASSURA AC

ASSURA CONVEX

ASSURA CUT-TO-FIT

ASSURA EASICLOSE DRAINABLE

ASSURA EXTRA

ASSURA FLANGE

ASSURA FLANGE CONVEX

ASSURA IRRIGATION FACE PLATE

ASSURA LIGHT EASICLOSE DRAIN

ASSURA NON-CONVEX DRAINABLE

ASSURA OSTOMY BELT

ASSURA PEDIATRIC POUCH

ASSURA POUCH

ASSURA STANDARD WEAR

ASSURA TWO-PIECE URO MINICAP

ASSURA WOUND MANAGER

ASSURE 4

ASSURE DOSE

ASSURE HAEMOLANCE PLUS

ASSURE ID INSULIN SAFETY

ASSURE LANCE

ASSURE PLATINUM

ASSURE PRO

ATABEX EC

ATACAND

ATACAND HCT

ATELVIA

ATENOLOL

ATENOLOL W/CHLORTHALIDONE

ATORVASTATIN CALCIUM

ATROPEN

ATROVENT

ATROVENT HFA

AUBRA

AURORA HEALTHCARE LANCETS

AURORA SUPER THIN LANCETS

AUTOJECT 2

AUTO-LANCET

AUTOLET IMPRESSION

AUTOLET LANCING DEVICE

AUTOLET LITE CLINISAFE

AUTOLET MINI

AUTOLET MKII CLINISAFE

AUTOLET PLATFORMS

AUTOPEN

AVAPRO

AVIANE

AVODART

AXID ORAL SOLUTION

AXID PULVULE

AYGESTIN

AZILECT

AZOPT

AZOR

AZULFIDINE

AZURETTE B BACMIN

BAL-CARE DHA

BAL-CARE DHA ESSENTIAL

BALZIVA

BANISH II

BANZEL

BARDIC ADAPTER-TUBING

B-D AUTO INJECTOR

BD AUTOSHIELD PEN NEEDLE

BD ECLIPSE

BD INSULIN PEN NEEDLE UF MINI

B-D INSULIN SYRINGE

BD INSULIN SYRINGE MF

BD INTEGRA NEEDLE

BD INTEGRA SYRINGE

B-D MAGNI-GUIDE MAGNIFIER

BD MICROTAINER LANCET

BD NANO PEN NEEDLE

B-D NEEDLES

B-D PRECISIONGLIDE NEEDLE

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

B-D SAFE CLIP

B-D SAFETYGLIDE

B-D ULTRA FINE LANCETS

BECONASE AQ

BENAZEPRIL HCL

BENAZEPRIL HCL-HCTZ

BENICAR

BENICAR HCT

BENZTROPINE MESYLATE

BETAGAN

BETAPACE

BETAPACE AF

BETAXOLOL HCL

BETIMOL

BETOPTIC S

BEYAZ

BG-STAR

BICALUTAMIDE

BIDIL

BIFERA RX

BINOSTO

BISOPROLOL FUMARATE

BISOPROLOL FUMARATE/HCTZ

BLOOD GLUCOSE

BLOOD GLUCOSE MONITORING

BLOOD GLUCOSE STRIPS

BLOOD GLUCOSE TEST

BLOOD-GLUCOSE CONTROL

BLOXIVERZ

B-NEXA

BONIVA

B-PLEX

B-PLEX PLUS

BREEZE 2

BREO ELLIPTA

BREVIBLOC

BREVICON

BRIELLYN

BRILINTA

BRIMONIDINE TARTRATE

BRINTELLIX

BRISDELLE

BROMOCRIPTINE MESYLATE

BRONCOMAR-1

BUDEPRION SR

BUDEPRION XL

BUDESONIDE

BULLSEYE MINI SAFETY LANCETS

BUMETANIDE

BUPROPION HCL

BUPROPION HCL XL

BUPROPION SR

BYDUREON

BYETTA BYSTOLIC C

CADUET

CAFFEINE & SODIUM BENZOATE

CALAFOL RX

CALAN

CALAN SR

CALCIJEX

CALCITONIN-SALMON

CALCITRIOL

CALCIUM PNV

CALDOLOR

CAMILA

CAMRESE

CAMRESE LO

CANDESARTAN CILEXETIL

CANDESARTAN-HYDROCHLOROTHIAZID

CAPASTAT SULFATE

CAPTOPRIL

CAPTOPRIL/HYDROCHLOROTHIAZIDE

CARAFATE

CARBAMAZEPINE

CARBAMAZEPINE ER

CARBAMAZEPINE XR

CARBATROL

CARBIDOPA

CARBIDOPA/LEVODOPA

CARBIDOPA-LEVODOPA ER

CARBIDOPA-LEVODOPA-ENTACAPONE

CARDENE

CARDENE SR

CARDIOTEK RX

CARDIZEM

CARDIZEM CD

CARDIZEM LA

CARDURA

CARDURA XL

CAREONE

CARESENS

CARESENS N

CARESENS N VOICE

CARTEOLOL HCL

CARTIA XT

CARTRIDGE

CARTRIDGE PUMP

CARTRIDGE STAMPED

CARVEDILOL

CASODEX

CATAFLAM

CATAPRES

CATAPRES-TTS

CATHETER W-CAIR CLAMP NON-VENT

CAVAN ONE OMEGA

CAVAN-ALPHA KIT

CAVAN-EC SOD DHA

CAVAN-FOLATE DHA

CAVAN-FOLATE OB

CAVAN-HEME OB

CAVAN-HEME OMEGA

CAVAN-X

CAVERJECT

CAZIANT

CELEBREX

CELEXA

CELONTIN

CENESTIN

CENFOL

CENOLATE

CENTRATEX

CEREBYX

CEREFOLIN

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

CEREFOLIN NAC

CETIRIZINE HCL

CHATEAL

CHEK-STIX

CHEMSTRIP

CHEMSTRIP 10 WITH SG

CHEMSTRIP 2 GP

CHEMSTRIP 50B

CHEMSTRIP 7

CHEMSTRIP 9

CHEMSTRIP BG DIARY

CHEMSTRIP K

CHEMSTRIP UGK

CHLOROTHIAZIDE

CHLORPROPAMIDE

CHLORTHALIDONE

CHOICEDM G20

CHOICE-OB + DHA

CHOICE-TABS

CHOLESTYRAMINE

CHOLESTYRAMINE LIGHT

CHOLINE MAG TRISALICYLATE

CHROMAGEN

CIALIS

CILOSTAZOL

CIMETIDINE

CITALOPRAM HBR

CITRANATAL 90 DHA

CITRANATAL ASSURE

CITRANATAL B-CALM

CITRANATAL DHA

CITRANATAL HARMONY

CITRANATAL RX

CLARINEX

CLARINEX-D 12 HOUR

CLARINEX-D 24 HOUR

CLEO 90 INFUSION SET

CLEVER CHEK BLOOD GLUCOSE SYST

CLEVER CHEK CONTROL SOLUTION

CLEVER CHEK LANCETS

CLEVER CHEK TEST STRIPS

CLEVER CHOICE

CLEVER CHOICE MICRO

CLEVER CHOICE MICRO TEST STRIP

CLEVER CHOICE PRO

CLEVER CHOICE TEST STRIPS

CLEVIPREX

CLICKFINE

CLIMARA

CLIMARA PRO

CLINISTIX REAGENT

CLINITEST REAGENT

CLINORIL

CLOMIPRAMINE HCL

CLONIDINE HCL

CLOPIDOGREL

CLORPRES

CLOSED POUCH/DEODOR FILM/FLNG

CLOSED-END POUCH

C-NATE DHA

COAGUCHEK

COGENTIN

COLESTID

COLESTIPOL HCL

COLOPLAST

COLOPLAST PASTE

COLOPLAST RING

COLOPLAST SKIN BARRIER

COLOR LANCETS

COMBIGAN

COMBIPATCH

COMBISTIX REAGENT

COMBIVENT

COMBIVENT RESPIMAT

COMFORT

COMFORT EZ

COMFORT LANCETS

COMFORT SHORT

COMPLETE NATAL DHA

COMPLETENATE

COMPLETE-RF PRENATAL

COMTAN

CONCEPT DHA

CONCEPT OB

CONTACT DETACH INFUSION SET

CONTOUR

CONTOUR I

CONTOUR LINK

CONTOUR NEXT

CONTOUR NEXT CONTROL SOLUTION

CONTOUR NEXT EZ

CONTOUR NEXT LINK

CONTOUR NEXT USB

CONTOUR USB

CONTROL

CONTROL SOLUTION

CONVATEC NIGHT DRAIN CONTAINER

CONVATEC NIGHT DRAINAGE TUBING

CONVEX SYN BARR W-FLOAT FLANGE

COPD

CORDARONE

COREG

COREG CR

CORENATE-DHA

CORGARD

CORLOPAM

CORVERT

CORVITA

CORVITE

CORVITE FE

CORZIDE

COSOPT

COSOPT PF

COVERA-HS

COZAAR

CPL DRAINABLE POUCH

CREON

CRESTOR

CRINONE

CROMOLYN SODIUM

CUPRIMINE

CURITY ALCOHOL PREPS

CYCLAFEM

CYCLESSA

CYCLOSERINE

CYCLOSET

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

CYMBALTA

CYSTOSCOPY-IRRIGATION SET

CYTOMEL CYTOTEC D

DAILYVITE

DALIRESP

DASETTA

DAYPRO

DAYSEE

DELESTROGEN

DEMADEX

DEMSER

DEMULEN

DEPACON

DEPAKENE

DEPAKOTE

DEPAKOTE ER

DEPAKOTE SPRINKLE

DEPEN

DEPLIN

DEPLIN-ALGAL OIL

DEPO-ESTRADIOL

DEPO-PROVERA

DEPO-SUBQ PROVERA

DESIPRAMINE HCL

DESLORATADINE

DESOGEN

DESOGESTREL-ETHINYL ESTRADIOL

DESVENLAFAXINE ER

DESVENLAFAXINE FUMARATE ER

DETROL

DETROL LA

DEX4 GLUCOSE

DEX4 GLUCOSE BITS

DEXFERRUM

DEXILANT

DEXTROSE-LACT RINGERS-KCL

DIABETA

DIABETIC.COM STARTER

DIAL-A-FLO MICRODRIP SET

DIALYVITE

DIALYVITE 800 WITH IRON

DIALYVITE SUPREME D

DIAMOX SEQUELS

DIASCREEN 10

DIASCREEN 1B REAGENT

DIASCREEN 1G REAGENT

DIASCREEN 1K REAGENT

DIASCREEN 2GK REAGENT

DIASCREEN 2GP

DIASCREEN 3 REAGENT

DIASCREEN 4NL REAGENT

DIASCREEN 4OBL

DIASCREEN 4PH

DIASCREEN 5

DIASCREEN 6

DIASCREEN 7

DIASCREEN 8

DIASCREEN 9

DIASTIX REAGENT

DIATRUE

DIATRUE PLUS

DIATX ZN

DIBENZYLINE

DICLOFENAC POTASSIUM

DICLOFENAC SODIUM

DICLOFENAC SODIUM-MISOPROSTOL

DIDGET

DIDRONEL

DIFIL-G

DIFLUNISAL

DIGOXIN

DILACOR XR

DILANTIN

DILATRATE-SR

DILEX-G

DILT-CD

DILTIA XT

DILTIAZEM 24HR CD

DILTIAZEM ER

DILTIAZEM HCL

DILT-XR

DILTZAC ER

DIOVAN

DIOVAN HCT

DIPYRIDAMOLE

DISOPYRAMIDE PHOSPHATE

DITROPAN XL

DIURIL

DIURIL SODIUM

DIVALPROEX SODIUM

DIVALPROEX SODIUM ER

DIVIGEL

DOCOSAVIT

DONEPEZIL HCL

DORZOLAMIDE HCL

DORZOLAMIDE-TIMOLOL

DOXAZOSIN MESYLATE

DOXEPIN HCL

DRAIN POUCH/REPLACE DEODOR FLT

DRAINABLE MINI-POUCH W-FLANGE

DRAINABLE POUCH

DRAINABLE POUCH CLAMP

DRAINABLE POUCH W/FILTR&FLANGE

DRAINABLE POUCH WITH FLANGE

DRISDOL

DROPLET LANCETS

DROPLET LANCING DEVICE

DROSPIRENONE-ETHINYL ESTRADIOL

DUALVIT F

DUALVIT OB

DUALVIT PLUS

DUET DHA

DUET DHA BALANCED

DUET DHA COMPLETE

DUET DHA EC

DUETACT

DUEXIS

DULEEK-DP 15

DULEEK-DP 7.5

DULEEK-MET NEW

DULERA

DULOXETINE HCL

DUOLOCK CURVED TAIL CLOSURE

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

DUONEB

DURAHESIVE MOLDABLE CONVEX

DUTOPROL

DYAZIDE

DY-G LIQUID

DYLIX

DYMISTA

DYNACIRC CR

DY-O-DERM

DYPHYLLINE-GG DYRENIUM E

EAKIN COHESIVE

EAKIN COHESIVE SEALS

EAKIN COHESIVE SLIMS

EASICLOSE WIDE OUTLET

EASY CHECK

EASY CHECK TEST STRIP

EASY CLICK

EASY COMFORT

EASY COMFORT INSULIN SYRINGE

EASY COMFORT PEN NEEDLES

EASY PLUS II

EASY PRO PLUS

EASY STEP

EASY TALK

EASY TOUCH

EASY TOUCH ALCOHOL PREP PADS

EASY TOUCH INSULIN SAFETY

EASY TOUCH LANCING DEVICE

EASY TRAK

EASYGLUCO

EASYMAX

EASYMAX L

EASYMAX N

EASYMAX NG

EASYMAX SPEAKING

EASYMAX V

EASYMAX V2

EASYPLUS

EASYPLUS R13N

EASYPLUS V

ECLIPSE

ECLIPSE CONTROL SOLUTION

EC-NAPROSYN

ED CYTE F

EDARBI

EDARBYCLOR

EDECRIN

EDECRIN SODIUM

EDEX

EFFER-K

EFFEXOR XR

EFFIENT

ELDEPRYL

ELDERCAPS

ELEMENT BLOOD GLUCOSE METER

ELEMENT COMPACT

ELEMENT COMPACT CONTROL SOLN

ELEMENT CONTROL SOLUTION

ELEMENT PLUS

ELEMENT PLUS CONTROL SOLUTION

ELEMENT TEST STRIPS

ELESTRIN

ELITE OB

ELITE-OB

ELITE-OB 400

ELIXOPHYLLIN

EMBRACE

EMBRACE EVO

EMBRACE GLUCOSE CONTROL LOW

EMBRACE PRO

EMOQUETTE

ENABLEX

ENALAPRIL MALEATE

ENALAPRIL MALEATE/HCTZ

ENALAPRILAT

ENJUVIA

ENLITE

ENLITE GLUCOSE SENSOR

ENLITE SERTER

ENLYTE

ENPRESSE

ENSKYCE

ENTACAPONE

ENVISION

EPANED

EPIFLUR

EPIKLOR

EPITOL

EPLERENONE

EPROSARTAN MESYLATE

EQUETRO

ERGOCALCIFEROL

ERRIN

ESCAVITE

ESCAVITE D

ESCAVITE LQ

ESCITALOPRAM OXALATE

ESMOLOL HCL

ESOMEPRAZOLE SODIUM

ESOMEPRAZOLE STRONTIUM

ESTARYLLA

ESTEEM CLOSED POUCH

ESTEEM DRAINABLE POUCH

ESTEEM SYNERGY

ESTEEM SYNERGY CLOSED POUCH

ESTEEM SYNERGY DRAINABLE POUCH

ESTRACE

ESTRADERM

ESTRADIOL

ESTRADIOL VALERATE

ESTRADIOL-NORETHINDRONE ACETAT

ESTRASORB

ESTRING

ESTROGEL

ESTROPIPATE

ESTROSTEP FE

ETHAMBUTOL HCL

ETHOSUXIMIDE

ETIDRONATE DISODIUM

ETODOLAC

ETODOLAC ER

EVAMIST

EVENCARE

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

EVENCARE G2

EVENCARE G3

EVISTA

EVOLUTION BLOOD GLUCOSE METER

EVOLUTION CONTROL SOLUTION

EVOLUTION TEST STRIPS

EXEL HUBER NEEDLE

EXEL HYPODERMIC NEEDLE

EXEL INSULIN SYRINGE

EXEL MTI DRAWING NEEDLE

EXELON

EXEMESTANE

EXFORGE

EXFORGE HCT

EXPRESS MED STARTER

EXTRA COLOSTOMY POUCH

EXTRA OPEN-END DRAIN

EXTRA SECURITY POUCH

EXTRA-VIRT PLUS DHA

E-Z JECT LANCETS

EZ SMART

EZ SMART LANCETS

EZ SMART PLUS EZ-VAC F

FABB

FAC-X

FALMINA

FAMOTIDINE

FARXIGA

FAST TAKE

FE 90 PLUS

FE C

FECAL COLLECTOR

FECAL COLLECTOR, DRAINABLE

FELDENE

FELODIPINE ER

FEMARA

FEMCON FE

FEMECAL OB

FEMHRT

FEMRING

FEMTRACE

FENOFIBRATE

FENOFIBRIC ACID

FENOGLIDE

FENOLDOPAM MESYLATE

FENOPROFEN CALCIUM

FERAHEME

FERIVA

FERIVAFA

FEROCON

FEROTRIN

FEROTRINSIC

FERRALET 90

FERRAPLUS 90

FERREX 150 FORTE

FERREX 150 FORTE PLUS

FERREX 28

FERRLECIT

FERROCITE PLUS

FERROGELS FORTE

FETRIN

FETZIMA

FIBRICOR

FIFTY50 RESERVOIR

FIFTY50 SAFETY SEAL LANCETS

FIFTY50 TEST STRIP

FILTER NEEDLE

FILTER REPLACEMENT

FILTER SECURITY CLOSED POUCH

FILTRODOR POUCH FILTER

FINASTERIDE

FINE 30 UNIVERSAL LANCETS

FINGERSTIX

FLAVOXATE HCL

FLECAINIDE ACETATE

FLEXI-SEAL FMS

FLEXI-TRAK ANCHORING DEVICE

FLEXLINK PLUS INFUSION SET

FLEXTEND SKIN BARRIER

FLOMAX

FLONASE

FLOVENT DISKUS

FLOVENT HFA

FLOW-EZE

FLUNISOLIDE

FLUOR-A-DAY

FLUORIDE

FLUOXETINE DR

FLUOXETINE HCL

FLURBIPROFEN

FLUTAMIDE

FLUTICASONE PROPIONATE

FLUVASTATIN SODIUM

FLUVOXAMINE MALEATE

FOCALGIN-B

FOLASTIN

FOLBALIN PLUS

FOLBECAL

FOLBEE

FOLBEE PLUS

FOLBIC

FOLBIC RF

FOLCAL DHA

FOLCAPS

FOLCAPS CARE ONE

FOLCAPS OMEGA-3

FOLGARD RX

FOLIC ACID

FOLIC ACID-CYANCOBAL-PYRIDOXIN

FOLINATAL PLUS B

FOLITAB

FOLIVANE-F

FOLIVANE-OB

FOLIVANE-PLUS

FOLIVANE-PRX DHA NF

FOLPACE RX

FOLPLEX 2.2

FOLTANX

FOLTANX RF

FOLTRATE

FOLTRIN

FOLTX

FORA D10

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

FORA D15

FORA D15C

FORA D15G

FORA D15Z

FORA D20

FORA G20

FORA G30A

FORA G71A

FORA G90

FORA LANCETS

FORA LANCING DEVICE

FORA V10

FORA V12

FORA V20

FORA V22

FORA V30A

FORACARE

FORACARE GD20

FORACARE GD40

FORACARE GD40A

FORACARE GD40B

FORFIVO XL

FORTAMET

FORTAVIT

FORTICAL

FOSAMAX

FOSAMAX PLUS D

FOSINOPRIL SODIUM

FOSINOPRIL-HYDROCHLOROTHIAZIDE

FOSPHENYTOIN SODIUM

FREESTYLE CONTROL SOLUTION

FREESTYLE FLASH SYSTEM

FREESTYLE FREEDOM

FREESTYLE FREEDOM LITE

FREESTYLE INSULINX

FREESTYLE INSULINX TEST STRIPS

FREESTYLE LANCETS

FREESTYLE LITE METER

FREESTYLE LITE STRIPS

FREESTYLE LITE TEST STRIPS

FREESTYLE NAVIGATOR

FREESTYLE PRECISION

FREESTYLE SIDEKICK II

FREESTYLE SYSTEM

FREESTYLE TEST STRIPS

FREESTYLE UNISTIK 2

FUMATINIC

FUROSEMIDE

FUSION PLUS G G-4

GABAPENTIN

GABITRIL

GABOXETINE

GALANTAMINE

GANITE

GASTROCROM

GE100 BLOOD GLUCOSE SYSTEM

GE100 BLOOD GLUCOSE TEST STRIP

GE100 CONTROL SOLUTION NORMAL

GELNIQUE

GEMFIBROZIL

GENERESS FE

GENTLE DRAW

GESTICARE

GESTICARE DHA

GIANVI

GILDAGIA

GILDESS

GILDESS FE

GLIMEPIRIDE

GLIPIZIDE

GLIPIZIDE ER

GLIPIZIDE XL

GLIPIZIDE-METFORMIN

GLUCO BURST

GLUCO NAVII

GLUCO SHOT

GLUCOCARD 01

GLUCOCARD 01 CONTROL

GLUCOCARD 01 SENSOR

GLUCOCARD 01-MINI

GLUCOCARD EXPRESSION

GLUCOCARD VITAL

GLUCOCARD VITAL SENSOR

GLUCOCARD X-METER

GLUCOCARD X-METER CONTROL

GLUCOCARD X-SENSOR

GLUCOCOM

GLUCOCOM AUTOLINK

GLUCOCOM BLOOD GLUCOSE

GLUCOCOM CONTROL SOLUTION

GLUCOCOM GLUCOSE

GLUCOCOM LANCETS

GLUCOLAB

GLUCOLAB CONTROL

GLUCOLET 2

GLUCOPHAGE

GLUCOPHAGE XR

GLUCOPRO

GLUCOSE

GLUCOSE BITS

GLUCOSE CONTROL

GLUCOSE CONTROL SOLUTION

GLUCOSE GEL

GLUCOSE TEST STRIP

GLUCOSOURCE

GLUCOSTIX REAGENT

GLUCOTROL

GLUCOTROL XL

GLUCOVANCE

GLUMETZA

GLUTOFAC-ZX

GLUTOSE

GLYBURIDE

GLYBURIDE MICRONIZED

GLYBURIDE-METFORMIN HCL

GLYNASE

GLYSET

GMATE

GMATE CONTROL SOLUTION

GMATE LANCING DEVICE

GMATE TEST STRIPS

GMATE VOICE METER

GOLD SODIUM THIOMALATE

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GOOD NEIGH STARTER

GUANABENZ ACETATE

GUANFACINE HCL

GUARDIAN REAL-TIME

GUARDIAN RT CHARGER

GUARDIAN RT STARTER KIT

GUARDIAN RT SYSTEM

GUARDIAN TEST PLUG

GUARDIAN TRANSMITTER TAPE H HAEMOLANCE

HAEMOLANCE PLUS

HAEMOLANCE, RETRACTABLE

HEALTHPRO GLUCOSE CONTROL SOLN

HEALTHPRO GLUCOSE MONITOR

HEALTHPRO TEST STRIPS

HEALTHY ACCENTS AUTOLET

HEALTHY ACCENTS UNIFINE PENTIP

HEALTHY ACCENTS UNILET LANCET

HEATHER

HEMA-COMBISTIX

HEMANGEOL

HEMATINIC PLUS

HEMATINIC WITH FOLIC ACID

HEMATOGEN

HEMATOGEN FA

HEMATOGEN FORTE

HEMATRON

HEMATRON-AF

HEMAX

HEMENATAL OB

HEMENATAL OB + DHA

HEMETAB

HEMOCYTE PLUS

HEMOCYTE-F

HOLLIHESIVE SKIN BARRIER

HUMALOG

HUMALOG MIX 50-50

HUMALOG MIX 75-25

HUMAPEN LUXURA HD

HUMAPEN MEMOIR

HUMULIN 70/30 KWIKPEN

HUMULIN 70-30

HUMULIN N

HUMULIN N KWIKPEN

HUMULIN R

HYDRALAZINE HCL

HYDROCHLORIC ACID

HYDROCHLOROTHIAZIDE

HYDROXOCOBALAMIN

HYDROXYCHLOROQUINE SULFATE

HYPERTENSOLOL

HYPODERMIC NEEDLE

HYPOLANCE HYZAAR I

IBANDRONATE SODIUM

IBG-STAR

IBUPROFEN

IBUTILIDE FUMARATE

ICAR-C PLUS

ICAR-C PLUS SR

IFEREX 150 FORTE

ILE-SORB

IMDUR

IMIPRAMINE HCL

IMIPRAMINE PAMOATE

IN CONTROL PEN NEEDLE

INATAL ADVANCE

INATAL GT

INATAL ULTRA

INCONTROL

INCONTROL LANCING DEVICE

INCONTROL SUPER THIN LANCETS

INCONTROL ULTRA THIN LANCETS

INDAPAMIDE

INDERAL LA

INDERAL XL

INDOCIN

INDOCIN I.V.

INDOMETHACIN

INFANATE BALANCE

INFANATE DHA

INFED

INFINITY

INFINITY CONTROL SOLUTION

INFINITY TEST STRIPS

INFUSION SET

INFUVITE

INFUVITE ADULT

INJECT EASE LANCETS

INJECTAFER

INNOPRAN XL

INNOVO

INSET 30 TUBING

INSPRA

INSTACLEAN

INSTA-GLUCOSE

INSUL-CAP

INSUL-EZE

INSULIN CARTRIDGE

INSULIN PEN NEEDLE

INSULIN- SYRINGE

INSUMED

INSUPEN

INTEGRA F

INTEGRA PLUS

INTEGRILIN

INTRAVENOUS,ARTERIAL & BLOOD

INTROVALE

INVACARE LANCETS

INVOKANA

IODOPEN

IOPIDINE

IPRATROPIUM BROMIDE

IPRATROPIUM-ALBUTEROL

IRBESARTAN

IRON

IROSPAN

IRRIGATION SET

IRRIGATION SLEEVE

ISOCHRON

ISONARIF

ISONIAZID

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ISOPROPANOL

ISOPROPYL ALCOHOL

ISOPTIN S.R.

ISOPTO CARBACHOL

ISOPTO CARPINE

ISORDIL

ISOSORBIDE DINITRATE

ISOSORBIDE MONONITRATE

ISOXSUPRINE HCL

ISRADIPINE

ISTALOL

IV ADMINISTRATION SET

IV PREP WIPES J JALYN

JANUMET

JANUMET XR

JANUVIA

JAY-PHYL

JENCYCLA

JENTADUETO

JEVANTIQUE

JINTELI

JOLESSA

JOLIVETTE

JUNEL

JUNEL FE

JUVISYNC K K EFFERVESCENT

KARAYA

KARAYA DRAINABLE OSTOMY POUCH

KARAYA PASTE TUBE

KARAYA SEAL CLOSED STOMA POUCH

KARIVA

KAZANO

KELNOR 1-35

KEPPRA

KEPPRA XR

KERR STARTER

KETOCARE

KETO-DIASTIX REAGENT

KETONE

KETOPROFEN

KETOSTIX REAGENT

KEYNOTE

KEYNOTE PRO

KHEDEZLA

KINNEY BRAND LANCETS

KINRAY

KLOR-CON

KLOR-CON M

KLOR-CON-EF

KOMBIGLYZE XR

K-TAB KURVELO L

LABETALOL HCL

LABSTIX REAGENT STRIPS

LACTOCAL-F

LAMICTAL

LAMICTAL ODT

LAMICTAL XR

LAMOTRIGINE

LANCET

LANCET DEVICE

LANCETS,THIN

LANCING DEVICE

LANCING SYSTEM

LANOXIN

LANOXIN PEDIATRIC

LANSOPRAZOLE

LANTUS

LANTUS SOLOSTAR

LARIN

LARIN FE

LASIX

LATANOPROST

LEENA

LESCOL

LESCOL XL

LESSINA

LETAIRIS

LETROZOLE

LEVACET

LEVATOL

LEVEMIR

LEVEMIR FLEXTOUCH

LEVETIRACETAM

LEVETIRACETAM-NACL

LEVITRA

LEVOBUNOLOL HCL

LEVOCETIRIZINE DIHYDROCHLORIDE

LEVOMEFOLA-NAC-MECOBALM-AGAL

LEVOMEFOLATE CACLIUM-ALGAL

LEVOMEFOLATE CALCIUM-ALGAL

LEVOMEFOLATE DHA

LEVOMEFOLATEPNV

LEVOMEFOL-PYRIDOXAL-MEC-ALGAL

LEVONEST

LEVONORGESTREL-ETH ESTRADIOL

LEVONORG-ETH ESTRAD ETH ESTRAD

LEVORA

LEVOTHYROXINE SODIUM

LEVOXYL

LEXAPRO

LIBERTY CONTROL SOLUTION

LIBERTY LEV 1 GLUCOSE CONTROL

LIBERTY LEV 2 GLUCOSE CONTROL

LIBERTY MONITOR

LIBERTY TEST STRIP

LIDOCAINE HCL

LIDOCAINE HCL IN DEXTROSE

LIFE MEDICAL STARTER

LIFESCAN

LIFESHIELD BLUNT CANNULA

LIOTHYRONINE SODIUM

LIPITOR

LIPOFEN

LIPTRUZET

LISINOPRIL

LISINOPRIL-HCTZ

LITE TOUCH

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LITTLE ONES ACTIVE LIFE POUCH

LITTLE ONES CLOSED-END POUCH

LITTLE ONES DRAINABLE POUCH

LITTLE ONES SKIN BARRIER

LITTLE ONES UROSTOMY POUCH

LIVALO

L-MEFOLATE-PYRIDOX-MECOBALAMIN

L-METHYL-B6-B12

L-METHYLFOLATE CA P-5-P ME-CBL

L-METHYLFOLATE CALCIUM

L-METHYLFOLATE FORMULA

L-METHYLFOLATE FORTE

L-METHYLFOLATE PNV DHA

L-METHYLFOLATE-MECOBALAMIN-NAC

L-METHYL-MC

LMTHF-PYRIDOXINE-CYANOCOBAL

LO LOESTRIN FE

LO MINASTRIN FE

LODOSYN

LOESTRIN

LOESTRIN 24 FE

LOESTRIN FE

LOFIBRA

LOMEDIA 24 FE

LONG STARTER

LOOP OSTOMY BRIDGE, STERILE

LOPID

LOPRESSOR

LOPRESSOR HCT

LO-PROFILE UROSTOMY POUCH

LORYNA

LOSARTAN POTASSIUM

LOSARTAN-HYDROCHLOROTHIAZIDE

LOSEASONIQUE

LOTENSIN

LOTENSIN HCT

LOTREL

LOVASTATIN

LOVAZA

LOZI-FLUR

LS PLUM PRIMARY SET-OL

LUDENT FLUORIDE

LUER-LOK SYRINGE

LUFYLLIN

LUFYLLIN-GG

LUMIGAN

LUTERA

LUVOX CR

LYBREL

LYTENSOPRIL LYZA M

M.V.I. ADULT

M.V.I. PEDIATRIC

M.V.I.-12

M9CLEANER-DECRYSTALLIZER

MACNATAL CN DHA

MACUTEK

MAGELLAN INSULIN SAFETY SYRNG

MAGELLAN INSULIN SYRINGE

MAJOR COMFORT

MANIFOLD 111-SL

MANNITOL

MAPROTILINE HCL

MARLISSA

MARNATAL-F

MARTINIC

MATERNITY

MATZIM LA

MAVIK

MAX BLOOD GLUCOSE METER

MAX GLUCOSE CONTROL SOLUTION

MAX GLUCOSE TEST STRIPS

MAXARON FORTE

MAXI-COMFORT

MAXIMA

MAXINATE

MAXZIDE

MECLOFENAMATE SODIUM

MEDICAL ADHESIVE

MEDI-JECTOR VISION

MEDI-LANCE

MEDISENSE

MEDISENSE GLUCOSE KETONE CONTR

MEDISENSE THIN LANCETS

MEDLANCE PLUS

MEDLANCE PLUS SPECIAL BLADE

MEDROXYPROGESTERONE ACETATE

MEDTRONIC REMOTE CONTROL

MEFENAMIC ACID

MEIJER STARTER

MELOXICAM

MEMANTINE HCL

MENEST

MENOSTAR

MEPHYTON

MESTINON

METAFOLBIC

METAFOLBIC PLUS

METAFOLBIC PLUS RF

METANX

METAPROTERENOL SULFATE

METFORMIN HCL

METFORMIN HCL ER

METHAZOLAMIDE

METHIMAZOLE

METHYCLOTHIAZIDE

METHYL SALICYLATE

METHYLDOPA

METHYLDOPA/HYDROCHLOROTHIAZIDE

METHYLDOPATE HCL

METIPRANOLOL

METOLAZONE

METOPROLOL SUCCINATE

METOPROLOL TARTRATE

METOPROLOL-HYDROCHLOROTHIAZIDE

MEVACOR

MEXILETINE HCL

MIACALCIN

MICARDIS

MICARDIS HCT

MICRO

MICRO THIN LANCETS

MICRODERM

MICRODERM PLUS

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

MICRODOT

MICROGESTIN

MICROGESTIN FE

MICROHESIVE STOMA PASTE

MICRO-K

MICROLET

MICROZIDE

MIDAMOR

MIMVEY

MIMVEY LO

MINASTRIN 24 FE

MINI LANCING DEVICE

MINI ULTRA-THIN II

MINI UROSTOMY POUCH

MINILINK REAL-TIME TRANSMITTER

MINIMED

MINIMED RESERVOIR

MINIPRESS

MINIVELLE

MINOXIDIL

MIO INFUSION SET

MIOCHOL-E

MI-OMEGA NF

MIOSTAT

MIRAPEX

MIRAPEX ER

MIRCETTE

MIRTAZAPINE

MISOPROSTOL

MOBIC

MODICON

MOEXIPRIL HCL

MOEXIPRIL-HYDROCHLOROTHIAZIDE

MONOJECT

MONOJECT BLOOD COLLECTION

MONOJECT INSULIN SYRINGE

MONOJECTOR LANCET DEVICE

MONOKET

MONOLET LANCETS

MONOLET THIN LANCETS

MONO-LINYAH

MONONESSA

MONTELUKAST SODIUM

MOTRIN

MST 600

MULTAQ

MULTI-B-PLUS

MULTICHEW

MULTIGEN

MULTIGEN FOLIC

MULTIGEN PLUS

MULTI-LANCET DEVICE

MULTINATAL PLUS

MULTI-NATE 30 DHA

MULTI-NATE DHA EXTRA

MULTISTIX

MULTISTIX 10 SG

MULTISTIX 5

MULTISTIX 7

MULTISTIX 8 SG

MULTISTIX 9

MULTISTIX 9 SG

MULTIVITAMIN W/FLUORIDE & IRON

MULTIVITAMIN WITH FLUORIDE

MULTIVITAMINS

MULTIVITAMINS-A,B,D,E,K,ZN

MUSE

MVC-FLUORIDE

M-VIT

MYAMBUTOL

MYCOBUTIN

MYFERON-150 FORTE

MYGLUCOHEALTH

MYGLUCOHEALTH CONTROL SOLUTION

MYGLUCOHEALTH LANCETS

MYKIDZ IRON FL

MYNATAL

MYNATAL ADVANCE

MYNATAL PLUS

MYNATAL-Z

MYNATE 90 PLUS

MYNEPHROCAPS

MYOCHRYSINE

MYSOLINE

MYZILRA N

NABUMETONE

NADOLOL

NADOLOL-BENDROFLUMETHIAZIDE

NALFON

NAMENDA

NAMENDA XR

NAPRELAN

NAPRELAN CR DOSEPAK

NAPROSYN

NAPROXEN

NAPROXEN SODIUM

NASACORT AQ

NASCOBAL

NASONEX

NATA KOMPLETE

NATACHEW

NATAFORT

NATAL-V RX

NATALVIRT 90 DHA

NATALVIRT CA

NATALVIRT FLT

NATALVIT

NATAZIA

NATELLE ONE

NATELLE-EZ

NATRECOR

NATURA CLOSED POUCH

NATURA DRAINABLE POUCH

NATURA DURAHESIVE SKIN BARRIER

NATURA STOMAHESIVE SKN BARRIER

NATURE-THROID

NAVARRO STARTER

NAVATAB + DHA

NECON

NEEDLES

NEEVO

NEEVO DHA

NEFAZODONE HCL

NEOPROFEN

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NEOSTIGMINE BROMIDE

NEOSTIGMINE METHYLSULFATE

NEO-SYNEPHRINE

NEPHPLEX RX

NEPHROCAPS

NEPHROCAPS QT

NEPHRON FA

NEPHRO-VITE RX

NEPTAZANE

NESINA

NESTABS

NESTABS ABC

NESTABS DHA

NEUPRO

NEURIN-SL

NEURONTIN

NEUTEK 2TEK TEST STRIPS

NEW IMAGE

NEW IMAGE CLOSED MINI-POUCH

NEW IMAGE CLOSED POUCH

NEW IMAGE COLOSTOMY-ILEO KIT

NEW IMAGE DRAINABLE KIT

NEW IMAGE DRAINABLE MINI-POUCH

NEW IMAGE DRAINABLE POUCH

NEW IMAGE FLEXTEND

NEW IMAGE FLEXWEAR

NEW IMAGE IRRIGATION SLEEVE

NEW IMAGE KIT

NEW IMAGE SKIN BARRIER

NEW IMAGE SKIN BARRIER-FLANGE

NEW IMAGE UROSTOMY

NEW IMAGE UROSTOMY KIT

NEW IMAGE UROSTOMY POUCH

NEWGEN

NEWTEK

NEXA PLUS

NEXA SELECT

NEXICLON XR

NEXIUM RX

NEXTERONE

NIACIN ER

NIACOR

NIASPAN

NICARDIPINE HCL

NICOMIDE

NICOTINAMIDE

NICOTINAMIDE ZCF

NIFEDIAC CC

NIFEDICAL XL

NIFEDIPINE

NIFEDIPINE ER

NIFEREX-150 FORTE

NIGHT DRAIN ADAPTER

NILANDRON

NIMODIPINE

NIRON KOMPLETE

NISOLDIPINE

NITROPRESS

NIZATIDINE

NO STING SKIN PREP

NOKOR ADMIX NEEDLE

NOKOR NEEDLE

NONVENTED T-U-R SET

NORA-BE

NORDETTE

NORETHINDRONE ACETATE

NORETHINDRONE-ETHIN ESTRADIOL

NORGESTIMATE-ETHINYL ESTRADIOL

NORGESTREL-ETHINY ESTRA

NORINYL

NORPACE

NORPACE CR

NORPRAMIN

NOR-Q-D

NORTREL

NORTRIPTYLINE HCL

NORVASC

NOVA MAX BLOOD GLUCOSE METER

NOVA SAFETY LANCETS

NOVA SUREFLEX

NOVAFERRUM

NOVAMAX PLUS

NOVAMAX PLUS GLU-KET

NOVOFINE

NOVOFINE AUTOCOVER

NOVOLIN 70-30

NOVOLIN N

NOVOLIN R

NOVOLOG

NOVOLOG FLEXPEN

NOVOLOG MIX 70-30

NOVOPEN 3

NOVOPEN ECHO

NOVOPEN JR

NOVOTWIST

NP THYROID

NULECIT

NUTRICAP

NUTRIPORT BALLOON

NUTRI-TAB OB

NUTRI-TAB OB + DHA

NUVARING NYMALIZE O

O.A.D.

OB + DHA

OB COMPLETE

OB COMPLETE DHA

OB COMPLETE ONE

OB COMPLETE PETITE

OB COMPLETE PREMIER

OB-NATAL ONE

OBSTETRIX DHA

OBSTETRIX EC

OBTREX

OBTREX DHA

O-CAL FA

O-CAL PRENATAL

OCELLA

ODOR ELIMINATOR

OGEN

OGESTREL

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OLEPTRO ER

OMEPRAZOLE

OMEPRAZOLE-SODIUM BICARBONATE

OMNARIS

OMNIPOD

ON CALL EXPRESS CONTROL SOLN

ON CALL EXPRESS METER

ON CALL EXPRESS TEST STRIP

ON CALL LANCET

ON CALL LANCING DEVICE

ON CALL PLUS CONTROL

ON CALL PLUS LANCET

ON CALL PLUS LANCING DEVICE

ON CALL PLUS METER

ON CALL PLUS TEST STRIP

ON CALL VIVID CONTROL

ON CALL VIVID METER

ON CALL VIVID PAL

ON CALL VIVID TEST STRIP

ONE TOUCH BASIC SYSTEM

ONE TOUCH DELICA

ONE TOUCH GLUCOSE CONTROL SOLN

ONE TOUCH LANCETS

ONE TOUCH SURESOFT

ONE TOUCH TEST STRIPS

ONE TOUCH ULTRA

ONE TOUCH ULTRA 2

ONE TOUCH ULTRA CONTROL SOLN

ONE TOUCH ULTRA SMART

ONE TOUCH ULTRA SYSTEM

ONE TOUCH ULTRA TEST STRIPS

ONE TOUCH ULTRALINK

ONE TOUCH ULTRAMINI

ONE TOUCH VERIO

ONE TOUCH VERIO IQ

ONE TOUCH VERIO SYNC

ONGLYZA

ON-THE-GO

OPSUMIT

OPTIPRANOLOL

OPTIUM

OPTIUM EZ

OPTUMRX

ORENITRAM ER

ORSINI INSULIN SYRINGE

ORSYTHIA

ORTHO EVRA

ORTHO MICRONOR

ORTHO TRI-CYCLEN

ORTHO TRI-CYCLEN LO

ORTHO-CEPT

ORTHO-CYCLEN

ORTHO-NOVUM

ORTHO-PREFEST

OSENI

OSMITROL

OSPHENA

OSTOMY BELT

OSTOMY PASTE

OSTOMY PROTECTIVE POWDER

OVCON

OXAPROZIN

OXCARBAZEPINE

OXTELLAR XR

OXYBUTYNIN CHLORIDE

OXYBUTYNIN CHLORIDE ER OXYTROL P

PACERONE

PAIRE OB PLUS DHA

PAMELOR

PAMIDRONATE DISODIUM

PANCREAZE

PANCRELIPASE

PANTOPRAZOLE SODIUM

PAPAVERINE HCL

PARADIGM

PARADIGM INFUSION

PARADIGM REAL-TIME

PARADIGM REMOTE CONTROL

PARADIGM SILHOUETTE

PARCOPA

PARLODEL

PAROXETINE HCL

PASER

PAXIL

PAXIL CR

PCA CONT INF MINI-BORE

PCA MINI-BORE

PCA SET

PEGANONE

PEN- NEEDLE

PENICILLAMINE(D-)

PENLET PLUS BLOOD SAMPLER

PEPCID

PERINDOPRIL ERBUMINE

PERSANTINE

PERTZYE

PEXEVA

PHARMACIST CHOICE

PHENOXYBENZAMINE HCL

PHENYLEPHRINE HCL

PHENYTEK

PHENYTOIN

PHENYTOIN SODIUM

PHILITH

PHLUORIVIT

PHLUORIVIT + FE

PHYSICIANS EZ USE B-12

PHYTONADIONE

PILOCARPINE HCL

PILOPINE HS

PIMTREA

PINDOLOL

PIOGLITAZONE HCL

PIOGLITAZONE-GLIMEPIRIDE

PIOGLITAZONE-METFORMIN

PIRMELLA

PIROXICAM

PLAQUENIL

PLAVIX

PLETAL

PLUMSET MICRODRIP PUMP SET-OL

PLUMSET PRIMARY SET-OL

PNV FOLIC ACID + IRON

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PNV OB+DHA

PNV-DHA

PNV-DHA + DOCUSATE

PNV-DHA PLUS

PNV-FERROUS FUMARATE-DOCU-FA

PNV-FIRST

PNV-IRON

PNV-OMEGA

PNV-SELECT

PNV-TOTAL

POCKETCHEM EZ

PODIAPN

POLY HUB NEEDLE

POLY IRON PN

POLY IRON PN FORTE

POLYFIN

POLYFIN QR

POLY-IRON 150 FORTE

POLYSACCHARIDE IRON FORTE

POLY-VI-FLOR

POLY-VI-FLOR W/IRON

POLY-VITAMIN WITH FLUORIDE

POLYVITAMIN WITH IRON-FLUORIDE

PONSTEL

PORTIA

POT CHLORIDE/DEXTROSE/NS

POTABA

POTASSIUM ACETATE

POTASSIUM BICARBONATE

POTASSIUM CHL-NORMAL SALINE

POTASSIUM CHLORIDE

POTASSIUM CHLORIDE/DEXTROSE

POTASSIUM CHLORIDE-DW5-LR

POUCH CLAMP

POUCHKINS DRAIN TUBE

POUCHKINS DRAINABLE POUCH

POUCHKINS PEDIATRIC BELT

POUCHKINS PREMIE POUCH

POUCHKINS SKIN BARRIER

POUCHKINS UROSTOMY POUCH

PR NATAL 400

PR NATAL 400 EC

PR NATAL 430

PR NATAL 430 EC

PR NATAL 440 EC

PRAMIPEXOLE DI-HCL

PRANDIMET

PRANDIN

PRAVACHOL

PRAVASTATIN SODIUM

PRAZOSIN HCL

PRECISION

PRECISION PCX

PRECISION PCX PLUS

PRECISION POINT OF CARE

PRECISION Q-I-D

PRECISION XTRA

PRECISIONGLIDE

PRECOSE

PREFERA-OB

PREFERA-OB ONE

PREFERA-OB PLUS DHA

PREFEST

PREFOL-DHA

PREMARIN

PREMESIS RX

PREMIER CLOSED MINI-POUCH

PREMIER CLOSED POUCH

PREMIER COLOSTOMY-ILEOSTOMY

PREMIER DRAINABLE MINI-POUCH

PREMIER DRAINABLE POUCH

PREMIER LOCK N ROLL

PREMIER PRE-SIZED MINI-POUCH

PREMIER SKN BARR W-FLOAT FLANG

PREMIER UROSTOMY

PREMIER UROSTOMY POUCH

PREMIER UROSTOMY POUCH/FLANGE

PREMIUM BLOOD GLUCOSE

PREMIUM BLOOD GLUCOSE TEST

PREMIUM DRAINABLE POUCH

PREMIUM SKIN BARRIER

PREMIUM V10

PREMPHASE

PREMPRO

PRENA1

PRENA1 CHEW

PRENA1 PEARL

PRENA1 PLUS

PRENACARE

PRENAFIRST

PRENAISSANCE

PRENAISSANCE 90 DHA

PRENAISSANCE BALANCE

PRENAISSANCE DHA

PRENAISSANCE HARMONY DHA

PRENAISSANCE NEXT

PRENAISSANCE NEXT-B

PRENAISSANCE PLUS

PRENAISSANCE PROMISE

PRENAPLUS

PRENATA

PRENATABS FA

PRENATABS RX

PRENATAL

PRENATAL 19

PRENATAL AD

PRENATAL LOW IRON

PRENATAL MULTIVITAMIN W-IRON

PRENATAL MV & MIN

PRENATAL PLUS

PRENATAL-U

PRENATE

PRENATE AM

PRENATE DHA

PRENATE ELITE

PRENATE ENHANCE

PRENATE ESSENTIAL

PRENATE MINI

PRENATE PLUS

PRENATE RESTORE

PRENATE STAR

PRENEXA

PRENEXA PREMIER

PREPLUS

PREQUE 10

PRESSURE ACTIVATED LANCETS

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PRESTIGE

PRESTIGE METER

PRESTIGE SMART SYSTEM

PRESTIGE SMART SYSTEM IQ

PRESTO PRO

PREVACID RX

PREVALITE

PREVIFEM

PRIFTIN

PRILOSEC RX

PRIMIDONE

PRINIVIL

PRINZIDE

PRISTIQ ER

PROBARIMIN QT

PROCAINAMIDE HCL

PROCARDIA

PROCARDIA XL

PRODIGY

PRODIGY AUTOCODE

PRODIGY AUTOCODE PRO

PRODIGY CONTROL SOLUTION

PRODIGY INSULIN SYRINGE

PRODIGY LANCETS

PRODIGY LANCING DEVICE

PRODIGY NO CODING

PRODIGY PEN NEEDLE

PRODIGY POCKET

PRODIGY PREFERRED

PRODIGY TWIST TOP LANCET

PRODIGY VOICE

PROFERRIN-FORTE

PROGESTERONE

PROMAR

PROMETRIUM

PROPAFENONE HCL

PROPRANOLOL HCL

PROPRANOLOL HCL-HCTZ

PROPYLTHIOURACIL

PROSCAR

PROSTIGMIN

PROSTIN VR PEDIATRIC

PROTECT BONE

PROTECT CARDIO

PROTECT IRON

PROTECT NATAL

PROTECT PLUS

PROTECT PLUS NR

PROTECTIVE BARRIER FILM

PROTECTIVE BARRIER WIPES

PROTONIX

PROTONIX IV

PROTRIPTYLINE HCL

PROVERA

PROVIDA OB

PROZAC

PROZAC WEEKLY

PSV SET

PULMICORT

PULMICORT FLEXHALER

PULMOPHYLLINE

PUREFE OB PLUS

PUREFE PLUS

PUREVIT DUALFE PLUS

PYRAZINAMIDE

PYRIDOSTIGMINE BROMIDE PYRIDOXINE HCL Q

QNASL

Q-TABS

QUARTETTE

QUASENSE

QUDEXY XR

QUESTRAN

QUESTRAN LIGHT

QUFLORA

QUICK-SET PARADIGM

QUINAPRIL

QUINAPRIL-HYDROCHLOROTHIAZIDE

QUINIDINE GLUCONATE

QUINIDINE SULFATE QVAR

R

RABEPRAZOLE SODIUM

RALOXIFENE HCL

RAMIPRIL

RANEXA

RANITIDINE HCL

RAPAFLO

RAZADYNE

RAZADYNE ER

REAPHIRM

RECLIPSEN

REFUAH PLUS

REFUAH PLUS GLUCOSE CONTROL

REGONOL

RELIAMED

RELIAMED MINI LANCING DEVICE

RELIAMED SAFETY SEAL LANCETS

RELIASEAL DISC

RELION

RELION CONFIRM

RELION CONFIRM-MICRO

RELION MICRO

RELION PEN NEEDLES

RELION PRIME

RELION THIN

RELION ULTRA THIN PLUS

RELNATE DHA

REMERON

RENAL CAPS

RENALPREN

RE-NATA 29 OB

RENA-VITE RX

RENAX

RENEW ADVANCED LANCING SYSTEM

RENEW ADVANCED MICRO-LANCETS

RENO CAPS

REOCYTE PLUS

REOPRO

REPAGLINIDE

REPLACEMENT PEDIATRIC MONITOR

REQ49+

REQUIP

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REQUIP XL

RESCULA

RESECTISOL

RESERPINE

RESTASIS

REVEAL BLOOD GLUCOSE METER

REVEAL TEST STRIP

RHINOCORT AQUA

RIDAURA

RIFABUTIN

RIFADIN

RIFAMATE

RIFAMPIN

RIFATER

RIGHTEST CONTROL SOLUTION

RIGHTEST GD500

RIGHTEST GL300 LANCETS

RIGHTEST GM100 SYSTEM

RIGHTEST GM300 SYSTEM

RIGHTEST GM550 SYSTEM

RIGHTEST GS100 TEST STRIPS

RIGHTEST GS300 TEST STRIPS

RIGHTEST GS550 TEST STRIPS

RIGHTSOURCE

RIOMET

RISEDRONATE SODIUM

RIVASTIGMINE

R-NATAL OB

ROCALTROL

ROPINIROLE HCL

RYTHMOL RYTHMOL SR S

SAFESNAP INSULIN SYRINGE

SAFETY LANCETS

SAFETY SEAL LANCETS

SAFETY-LET

SAFYRAL

SALSALATE

SANCTURA

SANCTURA XR

SARAFEM

SEASONALE

SEASONIQUE

SE-CARE

SE-CARE CONCEIVE

SE-CARE GESTURE

SECONDARY IRRIGATION SET

SECTRAL

SELECT-OB

SELECT-OB + DHA

SELEGILINE HCL

SELFEMRA

SE-NATAL 19

SE-NATAL 90

SE-NATAL ONE

SENOPHYLLINE

SEN-SERTER

SENSURA CLICK OSTOMY POUCH

SENSURA EASICLOSE WIDE OUTLET

SENSURA OSTOMY BASE PLATE

SENTROXATINE

SE-PLETE DHA

SEROMYCIN

SERTRALINE HCL

SE-TAN DHA

SE-TAN PLUS

SETONET

SETONET-EC

SEVEN PLUS

SEVEN SYSTEM SENSOR

SHOPRITE VALUE PACK

SIDEKICK

SIDEROL

SILHOUETTE

SIL-SERTER

SIMBRINZA

SIMCOR

SIMVASTATIN

SINEMET

SINEMET CR

SINGLE USE SWAB

SINGLE-LET

SINGULAIR

SIRTURO

SKELID

SKIN BARRIER W-FLOATING FLANGE

SKIN GEL PROTECTIVE DRESSING

SKIN-PREP

SMART SENSE

SMART SENSE LANCETS

SMART SENSE MONITORING SYSTEM

SMART SENSE TEST STRIPS

SMARTDIABETES VANTAGE

SMARTDIABETES XPRES

SMARTEST

SMARTEST EJECT

SMARTEST LANCET

SMARTEST PERSONA

SMARTEST PRONTO

SMARTEST PROTEGE

SMARTEST TEST

SMS GLUCOSE CONTROL

SNAP INSULIN PUMP-INFUSION SET

SOD FERRIC GLUCONATE COMPLEX

SOF-SENSOR

SOF-SERTER

SOFT TOUCH

SOFTCLIX

SOFTFLEX SKIN BARRIER

SOLIA

SOLO V2

SOLO V2 CONTROL SOLUTION

SOLO V2 LANCETS

SOLO V2 LANCING DEVICE

SOLO V2 TEST STRIPS

SOLTAMOX

SOLUS V2

SOLUSET 150X15 I.V. SET-SL

SOLUSET IV PUMP SET

SORINE

SOTALOL

SOTALOL AF

SOTALOL HCL

SPECIAL NEEDLE

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SPIRIVA

SPIRONOLACTONE

SPIRONOLACTONE W/HCTZ

SPRINTEC

SRONYX

STALEVO

STARLIX

STARTER KIT

STAVZOR

STAXYN

STENDRA

STERILANCE TL

STERILE TWO-FER NEEDLE

STOMA CAP W-DEODOR FLTR-FLANGE

STOMA CAP W-MICROPORE ADHESIVE

STOMA CONE W-CONNECTOR UNIT

STOMA IRRIGATOR DRAIN W-FLANGE

STOMA LUBRICANT

STOMA URINE BAG

STOMAHESIVE

STOMAHESIVE PROTECTIVE

STOMAHESIVE SKIN BARRIER

STROVITE

STROVITE ADVANCE

STROVITE FORTE

STROVITE ONE

STROVITE PLUS

SUCRALFATE

SULAR

SULFASALAZINE

SULFASALAZINE DR

SULFAZINE

SULFAZINE EC

SULINDAC

SUPER THIN LANCETS

SUPERVITE

SUPPORT

SURE COMFORT

SURE COMFORT ALCOHOL PREP PADS

SURE COMFORT LANCETS

SURE COMFORT LANCING PEN

SURE EDGE BLOOD GLUCOSE METER

SURE EDGE GLUCOSE CONTROL SOLN

SURE EDGE TEST STRIPS

SURECHEK GLUCOSE CONTROL

SURECHEK TEST STRIPS

SURE-FINE PEN NEEDLES

SUREFLEX

SURE-JECT INSULIN SYRINGE

SURE-LANCE

SURE-PEN

SURE-PREP ALCOHOL PREP PADS

SURESTEP

SURESTEP PRO

SURE-T

SURE-T PARADIGM

SURE-TEST EASYPLUS MINI

SURE-TOUCH

SUR-FIT AUTOLOCK

SUR-FIT AUTOLOCK DRAIN POUCH

SUR-FIT AUTOLOCK DURAHESIVE

SUR-FIT AUTOLOCK INSERTS

SUR-FIT AUTOLOCK POUCH

SUR-FIT AUTOLOCK STOMAHESIVE

SUR-FIT NAT IRRIG FACEPLATE

SUR-FIT NATURA

SUR-FIT NATURA ADAPTOR

SUR-FIT NATURA CLOSED-END PCH

SUR-FIT NATURA CONVEX INSERTS

SUR-FIT NATURA DRAINABLE POUCH

SUR-FIT NATURA DURAHESIVE

SUR-FIT NATURA FLANGE CAP

SUR-FIT NATURA HIGH OUTPUT

SUR-FIT NATURA LITTLE ONES

SUR-FIT NATURA LOW-PRESSURE

SUR-FIT NATURA MINI-POUCH

SUR-FIT NATURA POUCH

SUR-FIT NATURA STOMAHESIVE

SUR-FIT NATURA UROSTOMY POUCH

SUR-FIT-ACT LIFE-TAIL CLOSURES

SURMONTIL

SYEDA

SYMBICORT

SYMLIN

SYMLINPEN 120

SYMLINPEN 60

SYNAGEX SYNTHROID T

T:SLIM

TAMBOCOR

TAMSULOSIN HCL

TANDEM DHA

TANDEM F

TANDEM OB

TANDEM PLUS

TANZEUM

TAPAZOLE

TARKA

TARON FORTE

TARON PRENATAL

TARON-BC

TARON-C DHA

TARON-DUO EC

TAZTIA XT

TECHLITE BLOOD LANCET

TEGRETOL

TEGRETOL XR

TEKAMLO

TEKTURNA

TEKTURNA HCT

TELCARE

TELCARE CONTROL SOLUTION

TELMISARTAN

TELMISARTAN-AMLODIPINE

TELMISARTAN-HYDROCHLOROTHIAZID

TENEX

TENORETIC

TENORMIN

TERAZOSIN HCL

TERBUTALINE SULFATE

TERUMO INSULIN SYRINGE

TERUMO SURGUARD

TEST N'GO

TEST STRIPS

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TEVETEN

TEVETEN HCT

THALASET

THALITONE

THEO-24

THEOCHRON

THEOPHYLLINE ANHYDROUS

THEOPHYLLINE IN 5% DEXTROSE

THERAPEUTIC HEMATINIC

THERAPEUTIC VITAMIN W-MINERALS

THEROBEC

THEROBEC PLUS

THIAMINE HCL

THIN LANCETS

THINPRO INSULIN SYRINGE

THINSET

TIAGABINE HCL

TIAZAC

TICLOPIDINE HCL

TIKOSYN

TILIA FE

TIMOLOL MALEATE

TIMOPTIC

TIMOPTIC-XE

TIROSINT

TL GARD RX

TL ICON

TL NICOTINAMIDE

TL-ASSURE + DHA

TL-ASSURE ONE

TL-CARE DHA

TL-FLUORIVITE

TL-FOL 500

TL-HEM 150

TL-SELECT

TL-SELECT DHA

TOFRANIL

TOFRANIL-PM

TOLAZAMIDE

TOLBUTAMIDE

TOLMETIN SODIUM

TOLTERODINE TARTRATE

TOLTERODINE TARTRATE ER

TOPAMAX

TOPCARE ULTRA COMFORT

TOPCARE UNIVERSAL1 THIN LANCET

TOPIRAGEN

TOPIRAMATE

TOPIRAMATE ER

TOPROL XL

TORSEMIDE

TOVIAZ

TRADE NAME DESCRIPTION

TRADJENTA

TRANDATE

TRANDOLAPRIL

TRANDOLAPRIL-VERAPAMIL

TRANSFER NEEDLE

TRAVATAN Z

TRAVOPROST

TRAZAMINE

TRAZODONE HCL

TRECATOR

TRI RX

TRIADVANCE

TRIAMCINOLONE ACETONIDE

TRIAMTERENE W/HCTZ

TRIBENZOR

TRICARE

TRICARE DHA

TRICARE PRENATAL COMPLEAT

TRICARE PRENATAL DHA ONE

TRICON

TRICOR

TRI-ESTARYLLA

TRIGELS-F FORTE

TRIGLIDE

TRIHEXYPHENIDYL HCL

TRI-LEGEST FE

TRILEPTAL

TRI-LINYAH

TRILIPIX

TRIMESIS RX

TRIMIPRAMINE MALEATE

TRINATAL GT

TRINATAL RX 1

TRINATAL ULTRA

TRINATE

TRINESSA

TRI-NORINYL

TRIOSTAT

TRIPHLUORIVIT

TRIPHROCAPS

TRIPLE-VITAMIN W-FLUORIDE

TRI-PREVIFEM

TRI-SPRINTEC

TRI-TABS DHA

TRIVEEN-DUO DHA

TRIVEEN-ONE

TRIVEEN-PRX RNF

TRIVEEN-TEN

TRIVEEN-U

TRI-VI-FLOR

TRI-VI-FLORO

TRI-VITAMIN WITH FLUORIDE

TRI-VITAMIN WITH IRON-FLUORIDE

TRIVORA

TROKENDI XR

TROSPIUM CHLORIDE

TRUE CARE STARTER

TRUE2GO BLOOD GLUCOSE SYSTEM

TRUECONTROL

TRUEPLUS

TRUEPLUS INSULIN SYRINGE

TRUEPLUS LANCETS

TRUERESULT BLOOD GLUCOSE SYSTM

TRUETEST GLUCOSE CONTROL

TRUETEST TEST STRIPS

TRUETRACK

TRUETRACK BLOOD GLUCOSE SYSTEM

TRUETRACK SMART SYSTEM

TRUSOPT

TRUST NATAL DHA

TUDORZA PRESSAIR

T-U-R SYSTEM W-FLOW POUCH

TWYNSTA

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

U

UDAMIN

UDAMIN SP

ULTICARE

ULTICARE INSULIN SYRINGE

ULTI-LANCE

ULTILET

ULTILET ALCOHOL SWAB

ULTILET BASIC

ULTILET CLASSIC

ULTILET INSULIN SYRINGE

ULTILET LANCETS

ULTILET PEN NEEDLE

ULTILET SAFETY

ULTIMA

ULTIMATE OB DHA

ULTIMATECARE ONE

ULTIMATECARE ONE NF

ULTRA COMFORT

ULTRA THIN LANCETS

ULTRA THIN PLUS LANCETS

ULTRALANCE

ULTRA-THIN II

ULTRATHIN LANCETS

ULTRATLC LANCETS

ULTRATRAK PRO

ULTRATRAK ULTIMATE

ULTRESA

UNIFINE PENTIPS

UNIFINE PENTIPS PLUS

UNILET COMFORTOUCH

UNILET EXCELITE

UNILET EXCELITE II

UNILET GP LANCET

UNILET LANCET

UNILET LANCETS

UNIRETIC

UNISTIK

UNISTIK 2

UNISTIK 2 NORMAL

UNISTIK 3

UNISTIK 3 EXTRA

UNISTIK CZT

UNISTRIP

UNISTRIP1

UNITHROID

UNIVASC

UNIVERSAL 1

URISTIX 4

URISTIX REAGENT

UROSTOMY DRAIN TUBE ADAPTER

UROSTOMY MICRO-POUCH

UROSTOMY MULTI-CHAMBER

UROSTOMY MULTI-CHAMBER POUCH

UROSTOMY POUCH

UROSTOMY POUCH WITH FLANGE

UROXATRAL

URSO

URSO FORTE

URSODIOL V VAGIFEM

VALPROATE SODIUM

VALPROIC ACID

VALSARTAN

VALSARTAN-HYDROCHLOROTHIAZIDE

VALTURNA

VANISHPOINT

VASCULERA

VASERETIC

VASOTEC

VAYAROL

V-C FORTE

VECAMYL

VELIVET

VEMAVITE-PRX 2

VENA-BAL DHA

VENATAL COMPLETE DHA

VENATAL-FA

VENLAFAXINE HCL

VENLAFAXINE HCL ER

VENLAFAXINE HCL ER BRAND

VENOFER

VENOSET

VERAMYST

VERAPAMIL ER

VERAPAMIL ER PM

VERAPAMIL HCL

VERELAN

VERELAN PM

VESICARE

VESTURA

VGO 20

VGO 30

VGO 40

VIAGRA

VI-C FORTE

VICA-FORTE

VICAP FORTE

VICTORY

VICTOZA

VIIBRYD

VIMOVO

VINACAL

VINATE

VINATE AZ

VINATE C

VINATE CALCIUM

VINATE DHA

VINATE DHA RF

VINATE GT

VINATE IC

VINATE II

VINATE ONE

VINATE ULTRA

VINATE-M

VIOKACE

VIORELE

VIRT-BAL DHA

VIRT-BAL DHA PLUS

VIRT-CAPS

VIRT-PN

VIRT-PN DHA

VIRT-PN PLUS

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Maintenance Medication Drug List Drug Level_100952_Updated July 2014

VIRT-SELECT

VIRT-VITE

VIRT-VITE FORTE

VIRT-VITE PLUS

VISI-FLOW IRRIG STARTER SET

VISI-FLOW IRRIGATION SLEEVE

VISI-FLOW IRRIGATOR STOMA CONE

VISI-FLOW SLEEVE TAIL CLOSURES

VISI-FLOW STOMA CONE

VIT 3

VITA S FORTE

VITACIRC-B

VITAFOL

VITAFOL NANO

VITAFOL ULTRA

VITAFOL-OB

VITAFOL-OB+DHA

VITAFOL-ONE

VITAFOL-PLUS

VITAFOL-PN

VITAL-D RX

VITAMAX

VITAMED MD ONE RX

VITAMED MD PLUS RX

VITAMEDMD REDICHEW RX

VITAMIN B COMPLEX

VITAMIN D2

VITAMIN K

VITAMINS A,C,D & FLUORIDE

VITAPEARL

VITA-RESPA

VITASPIRE

VIVA CT

VIVA DHA

VIVACTIL

VIVELLE

VIVELLE- DOT

V-NATAL

V-NATAL DHA

VOCAL POINT

VOCALPOINT GLUCOSE CONTROL

VOL-CARE RX

VOL-NATE

VOL-PLUS

VOL-TAB RX

VOLTAREN-XR

VOSPIRE ER

VP CH ULTRA

VP-CH PLUS

VP-CH-PNV

VP-ERA OB PLUS

VP-GGR-B6

VP-HEME OB

VP-HEME OB + DHA

VP-HEME ONE

VP-PNV-DHA

VYFEMLA

VYNATAL-FA VYTORIN W

WAVESENSE AMP

WAVESENSE CONTROL SOLUTION

WAVESENSE JAZZ

WAVESENSE PRESTO

W-D STARTER

WEBCOL ALCOHOL PREPS

WELCHOL

WELLBUTRIN

WELLBUTRIN SR

WELLBUTRIN XL

WERA

WESTHROID

WESTHROID-P

WINN DIXIE MEDIC

WP THYROID WYMZYA FE X

XALATAN

XPRES

XULANE

XYLOCAINE

XYZAL

YALE NEEDLE

YASMIN

YAZ

YOHIMBINE HCL Z ZAFIRLUKAST

ZANTAC RX

ZARAH

ZARONTIN

ZAROXOLYN

ZATEAN-CH

ZATEAN-PN

ZATEAN-PN DHA

ZATEAN-PN PLUS

ZEBETA

ZEGERID RX

ZELAPAR

ZENCHENT

ZENCHENT FE

ZENPEP

ZEOSA

ZESTORETIC

ZESTRIL

ZETIA

ZETONNA

ZIAC

ZINGIBER

ZIOPTAN

ZIPSOR

ZOCOR

ZOLOFT

ZONEGRAN

ZONISAMIDE

ZONTIVITY

ZORVOLEX

ZOVIA

ZYFLO

ZYFLO CR

ZYRTEC RX

ZYRTEC-D RX