drug name requirements/limits analgesics - anti ... ipecac syp antiemetics antihistamines...

PA - Prior Authorization QL - Quantity Limits ST - Step Therapy B/D - Covered under Medicare B or D LA - Limited Access

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FIDELIS_OTC eff 01/01/2018 For 002 Dual advantage and 016

Medicaid Advantage Plus members only Drug Name Requirements/Limits

ANALGESICS - ANTI-INFLAMMATORY NONSTEROIDAL AN ibuprofen cap 200 mg

ibuprofen dro 50/1.25

ibuprofen jr chw 100mg

ibuprofen tab 200 mg

ANALGESICS - NONNARCOTIC ETHANOLAMIN DER apapgesic tab

MISC ANALGESICS acephen sup 325mg

acephen sup 650mg

acetamin elx 160/5ml

acetamin liq 500/15ml

acetaminophen cap 500 mg

acetaminophen chew tab 80 mg

acetaminophen liquid 160 mg/5ml

acetaminophen soln 100 mg/ml

acetaminophen soln 160 mg/5ml

acetaminophen suppos 120 mg

acetaminophen tab 325 mg

acetaminophen tab cr 650 mg

acetaminophn sus 160/5ml

acetaminophn tab 500mg

APAP 500 LIQ 500/5ML

apap melt tab 80mg

LOW DOSE ASA TAB 81MG

pain relief dro 80/0.8ml

TRIAMINIC SYP INFANT

NONSTEROIDAL AN ASCRIPTIN TAB

aspirin chw 81mg

aspirin low chw 81mg

aspirin low tab 81mg ec

aspirin sup 325mg

aspirin suppos 300 mg

aspirin suppos 600 mg

aspirin tab delayed release 325 mg

aspirin tab delayed release 500 mg

buffered asa tab 325mg

eq aspirin tab 325mg


2

Drug Name Requirements/Limits

ANTACIDS ANTACIDS AND AB almacone chw

almacone dbl sus strength

almacone sus

alum hydrox sus 320/5ml

aluminum hydroxide gel susp 600 mg/5ml

ant&anti-gas chw 1000-60

antacid plus sus

antacid sus

cal antacid chw 1000mg

calcium anta chw 500mg

calcium anta chw 750mg

calcium carbonate (antacid) tab 648 mg

calcium rich sus antacid

DI-GEL SUS

foam antacid chw 80-20mg

foam antacid sus

GAVISCON CHW

GAVISCON SUS

heartbrn ant chw 160-105

MAALOX QUICK CHW DISSOLVE

magnesium oxide tab 400 mg

maox tab 420mg

MYLANTA ULTR CHW MINT

RI-MAG PLUS SUS

RI-MAG SUS 540/5ML

ri-mox plus sus

sodium bicarbonate tab 650 mg

ANTIDIABETICS ANTIHYPOGLYC MI dex4 glucose gel 40%

GLUCOSE CHW 4-.006GM

GLUCOSE CHW 4GM

ANTIDIARRHEALS ANTIDIARRHEAL bismuth subsalicylate chew tab 262 mg

KAOLIN/PECT SUS

KAOPECTATE LIQ REGULAR

loperamide hcl liq 1 mg/5ml (0.2 mg/ml)

loperamide hcl tab 2 mg

pink bismuth sus 262/15ml

pink bismuth sus 525/15ml

pink bismuth tab 262mg


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ANTIDOTES AND SPECIFIC ANTAGONISTS EMETICS IPECAC SYP

ANTIEMETICS ANTIHISTAMINES dimenhydrinate tab 50 mg

meclizine hcl chew tab 25 mg

meclizine hcl tab 12.5 mg

meclizine hcl tab 25 mg

ANTIHISTAMINES 2ND GEN ANTIHIS cetirizine hcl chew tab 5 mg

cetirizine hcl chew tab 10 mg

cetirizine hcl oral soln 1 mg/ml (5 mg/5ml)

cetirizine hcl tab 10 mg

cetirizine tab 5mg

CLARITIN CHW 5MG

CLARITIN RDT TAB 5MG

fexofenadine sus 30mg/5ml

loratadine syp 5mg/5ml

loratadine tab 10 mg

loratadine tab 10mg

ETHANOLAMIN DER clemastine fumarate tab 1.34 mg (1 mg base

equiv)

diphenhydram syp 12.5/5ml

diphenhydramine hcl cap 25 mg

diphenhydramine hcl cap 50 mg

diphenhydramine hcl elixir 12.5 mg/5ml

diphenhydramine hcl liquid 12.5 mg/5ml

diphenhydramine hcl tab 25 mg

PROPYLAMIN DERI CHLOR-TRIMET SYP 2MG/5ML

chlorpheniramine maleate tab 4 mg

COUGH/COLD/ALLERGY 2ND GEN ANTIHIS cetirizine-pseudoephedrine tab sr 12hr 5-120 mg

loratadine d tab 5-120mg

loratadine-d tab 10-240mg

ANTITUSSIVES bl pain reli dro

brotapp dm liq 15-1-5/5

CODITUSS DM SYP


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cold/cgh dm elx 2.5-1-5

COUGH D SYP

cough m syp

daytme cough liq 15/15ml

DEXATREX D ELX CF-NASAL

dextromethorphan-guaifenesin tab 20-400 mg

dextromethorphan-guaifenesin tab sr 12hr 60-1200 mg

DIMETAPP DM LIQ COLD/CGH

DIMETAPP SYP CGH/COLD

ENTEX PAC KIT

honey tussin syp 10mg/5ml

medi-tus ped liq cgh/cold

MUCINEX CGH GRA 5-100MG

mucinex dm liq 20-400

MUCINEX DM TAB 30-600ER

night-time liq child

nighttime d liq cold/flu

PECGEN DMX LIQ 15-125MG

pedia relief dro infant

pediacare liq long-act

robafen cf syp cgh/cld

robitussin liq cgh/cold

ROBITUSSIN LIQ COUGH

robitussin syp 7.5/5ml

safe tussin liq 30

SCOT-TUSSIN LIQ DIBTS/CF

simply cough syp 5mg/5ml

sm tussin syp cgh/cold

sudafed pe sol cold/cgh

triacing cld liq cgh/chld

triacting liq cold/cgh

TRIAMINIC-D SYP

TRISPEC PSE DRO PEDIATRC

TUSNEL-DM DRO PEDIATRC

tussin adult liq cold

tussin cf liq

tussin cold/ cap congesti

tussin cough syp 15mg/5ml

tussin dm liq 100-10/5

tussin dm mx liq 10-200/5

tussin dm syp 100-10/5

VICKS NATURE LIQ CONGEST

ETHANOLAMIN DER PERCOGESIC TAB 12.5-325


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robitussin liq nighttim

EXPECTORANTS ambi 10peh/ tab 400gfn

guaifenesin liquid 100 mg/5ml

guaifenesin tab 200 mg

guaifenesin tab 400 mg

guaifenesin tab sr 12hr 600 mg

guaifenesin tab sr 12hr 1200 mg

liquituss gg liq 200/5ml

MUCINEX D TAB 120-1200

MUCINEX/KIDS GRA 50MG

MUCINEX/KIDS GRA 100MG

pseudoephedrine-guaifenesin tab sr 12hr 60-600 mg

TUSNEL PED DRO 7.5-50

tussin cap sev cong

tussin chest syp 100/5ml

tussin pe syp 30-100/5

MUCOLYTIC AGENT HYPERSAL NEB 3.5%

sodium chloride soln nebu 0.9%

PROPYLAMIN DERI allergy tab sinus-d

cold/allergy elx children

dimaphen elx children

disophrol tab 6-120 cr

LODRANE D CAP 4-60MG

ritifed syp 1.25-30

sudogest tab 4-60mg

tri-afed tab 2.5-60mg

triacting syp cold/all

SYMPATHOMIMETIC suphedrine cap cough/co

DERMATOLOGICALS ANTI-INFLAMMATO hydrocort/ cre aloe 1%

hydrocortisone cream 0.5%

hydrocortisone cream 1%

hydrocortisone lotion 1%

hydrocortisone oint 0.5%

hydrocortisone oint 1%

scalpicin sol 1%

TUCKS OIN 1%

ANTIBACTERIALS bacitracin oin 500/gm


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bacitracin zinc oint 500 unit/gm

DERMATOLOGY, LOCAL ANESTHETICS lidocaine crm 4% - Aspercreme

lidocaine/menthol crm 4/1% - Icy Hot

ANTIVIRALS ABREVA CRE 10%

ASTRINGENTS zinc oxide oint 20%

BASIC OIL/SOLV MINERAL OIL LIGHT

LOCAL ANTI-INFE ACNE MEDICAT LOT 5%

benoxyl 10 lot 10%

BENZAC W GEL 2.5%

benzoyl peroxide gel 5%

benzoyl peroxide gel 10%

ISO-BLU LIQ 50%

SCABICIDES AND lice killing liq max st

lice killing sha 0.33-4%

lice trtmnt liq

lice trtmnt sha 0.3-3%

permethrin creme rinse 1%

permethrin lot 1%

stop lice kit complete

SKIN AND MUCOUS CUTTER AER NATURAL 2 fills per 180 days

CUTTER BACKW AER 25% 2 fills per 180 days

CUTTER BACKW LIQ 25% 2 fills per 180 days

CUTTER LEMON LIQ EUCALYPT 2 fills per 180 days

CUTTER WIPES MIS 7.15% 2 fills per 180 days

OFF FAMILYCR SPR 5% 2 fills per 180 days

REPEL SPORTS LOT 40% 2 fills per 180 days

REPEL TICK AER 15% 2 fills per 180 days

GASTROINTESTINAL AGENTS - MISC. ANTIFLATULANTS gas relief dro 20/0.3ml

sm gas relie chw 80mg

HEMATOPOIETIC AGENTS IRON PREPARATIO FEOSOL TAB 200MG

FERRETTS TAB 325MG

FERREX 150 CAP PLUS

ferric x-150 cap 150mg


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ferrocite tab 324mg

FERROUS FUMA TAB

FERROUS GLUC TAB 225MG

FERROUS GLUC TAB 324MG

ferrous gluconate tab 240 mg (27 mg elemental fe)

ferrous gluconate tab 325 mg

ferrous gluconate tab 325 mg (36 mg elemental fe)

FERROUS SULF SYP 300/5ML

FERROUS SULF TAB 324MG EC

ferrous sulfate elixir 220 mg/5ml (44 mg/5ml

elemental fe)

ferrous sulfate soln 75 mg/0.6ml (15 mg/0.6ml

elemental fe)

ferrous sulfate tab 325 mg (65 mg elemental fe)

ferrous sulfate tab ec 325 mg (65 mg fe equivalent)

iron supplmt dro 15mg/ml

MYKIDZ IRON SUS 15/1.5ML

slow iron tab 160mg cr

slow release tab 45mg

slow release tab 47.5mg

SLOW RELEASE TAB 143MG

VITAMIN B COMP B-12 CAP 3000MCG

B-12 DOTS TAB 500MCG

B-12 LIQ 5000/ML

B-12 LOZ 1000MCG

B-12 LOZ 3000MCG

B-12 TAB 2500MCG

folic acid tab 400 mcg

FOLIC ACID TAB XTRA

foltabs 800 tab

vitamin b12 tab 1000mcg

vitamin b-12 tab 500mcg

HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS ANXIOLYTICS, SE diphenhydramine hcl (sleep) tab 50 mg

sleep aid tab 25mg

ZZZQUIL CAP 25MG

ZZZQUIL LIQ 50MG/30

LAXATIVES CATHARTICS AND bisacodyl tab 5mg ec


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casanthranol-dss cap 30-100 mg

docusate cal cap 240mg

docusate sod liq 50mg/5ml

docusate sod syp 20mg/5ml

docusate sodium cap 100 mg

DOCUSOL MINI ENE

DOCUSOL PLUS ENE 20-283

DULCOLAX SUP 10MG

EQL NATURAL POW FIBER

fiber therap pow 48.57%

fiber therap pow laxative

fiber therap tab 500mg

fiber-caps tab 625mg

FLEET BISACO ENE 10/30ML

hm enema ene r-t-u

HYDROCIL INS POW 95%

HYDROCIL POW 95%

KONSYL POW 60.3%

KONSYL POW 71.67%

KONSYL POW 100%

KONSYL-D POW 52.3%

METAMUCIL POW 58.12%

METAMUCIL POW 63%

milk of magn sus 1200/15

mineral oil

MINERAL OIL HEAVY

MINERAL OIL LIGHT

nat veg lax pow 50%

naturl fiber pow 28.3%



oral saline sol laxative

PHILLIPS TAB 500MG

polyethylene glycol 3350 oral packet

polyethylene glycol 3350 oral powder

psyldex pow 30%

psyllium powder 100%

sb fib lax pow 33%

sb nat fiber pow 49%

senna laxati tab 8.6mg

senna plus tab 8.6-50mg

SENNA SYP

sennosides syrup 8.8 mg/5ml

sennosides tab 187mg

SORBITOL SOL 70%


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MINERALS ELECTROLYTES CATHARTICS AND BEELITH TAB

magbee tab

MULTIVITAMIN CALCIUM/C/D CHW 500MG

REPLACEMENT PR. ca cit/vit d tab 315/250

CA HI-CAL/D TAB 500MG

CAL-QUICK LIQ 500-400

calc citr/d3 tab 200-250

CALC CITRATE TAB 200MG

CALCI-CHEW CHW 1250MG

CALCI-MIX CAP 1250MG

CALCIONATE SYP 1.8GM/5

CALCIUM 500 TAB

calcium 500 tab 500mg

calcium 500 tab +d

calcium 600 mg w/ vitamin d tab

calcium 600 tab +d

calcium 1200 chw

calcium carbonate susp 1250 mg/5ml (500 mg/5ml elemental ca)

calcium carbonate tab 600 mg

calcium carbonate tab 1250 mg (500 mg elemental ca)

calcium carbonate tab 1500 mg (600 mg

elemental ca)

calcium carbonate-cholecalciferol tab 500 mg-200

unit

calcium carbonate-ergocalciferol tab 500mg-200

unit

calcium carbonate-vitamin d tab 600 mg-125 unit

calcium citrate tab 950 mg (200 mg elemental ca)

calcium citrate-vitamin d tab 315 mg-200 unit (elemental ca)

CALCIUM GLUC TAB 500MG

calcium gluconate tab 650 mg

CALCIUM LACT TAB 648MG

CALCIUM LACT TAB 750MG

calcium lactate tab 650 mg

calcium plus chw d/minera

calcium tab 500/d

calcium w/ vitamin d tab 600 mg-200 unit

calcium/d3 tab

calcium/d tab 600-400


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EQL CALCIUM CAP VIT D

hi-cal tab 500mg

mag-sr tab 535mg

MAG-TAB SR TAB 84MG

MAGNEBIND TAB 300

MAGNESIUM CAP 400MG

MAGNESIUM GL TAB 500MG

magnesium gluconate tab 27.5 mg (elemental mg)

magnesium oxide tab 400 mg (241.3 mg

elemental mg)

magnesium oxide tab 500 mg (mg supplement)

MAGNESIUM POW OXIDE

magnesium tab 250mg

MAGNESIUM TAB 500MG

MAGONATE LIQ 1000/5ML

magonate tab 500mg

oys shell+d tab 250-125

oyst shell/d tab 500-125

oyst-cal d tab 250mg

PARVA-CAL TAB 250-100

PARVA-CAL TAB 500MG

PEDIALYTE SOL ADV CARE

PHOS-NAK POW CONCENTR

pot gluconat tab 2.5meq

pot gluconat tab 2meq

POT GLUCONAT TAB 80MG

potassium gluconate tab 550 mg (92 mg equiv k)

potassium tab 99mg

SLOW-MAG TAB

MULTIVITAMINS IRON PREPARATIO GERITOL LIQ TONIC

GERITOL TAB COMPLETE

MULTIVITAMIN b-50 complex tab tr

b-100 complx tab

b-100 tab complex

b-100 tab tr

b-complex tab /vit c

b-complex w/ c & folic acid tab

b-complex w/ folic acid tab

b-stress cap

BIOVOL SYP

centrum kids chw complete

child chew/ chw extra c


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child multiv chw iron

CHILD-MULTI CHW VITAMINS

CHROMIUM PIC TAB 500MCG

complete chw formulat

daily vit tab iron

ellis tonic elx

geri-tonic liq

HONEY BEARS CHW

HONEY BEARS CHW IRON-ZIN

kids vitamin chw complete

KPN PRENATAL TAB

MISSION PREN TAB

MISSION PREN TAB HP

multi-delyn liq

MULTI-DELYN LIQ /IRON

multi-vit/fl dro 0.5mg/ml

multi-vit/fl dro 0.25mg

multi-vit/fl dro /fe 0.25

multi-vitami chw gummies

multivitamin cap

multivitamin cap pls zinc

multivitamin chw children

multivitamin dro pediatrc

multivitamin liq

multivitamin tab daily

MYKIDZ IRON SUS 10MG/2ML

NEPHRO-VITE TAB

ONE DAILY TAB PLUS IRO

poly-vita dro /iron

polyvitamin dro

PRENATAL TAB

PRENATAL TAB IRON

PRONUTRIENTS TAB SUPER B

SCOOBY-DOO CHW

stress form tab /zinc

super b comp tab vit c

TAB-A-VITE TAB WOMENS

thera-plus liq

tri-vita sol

vicon-c cap

VITALETS CHW

vitamin b100 tab complex

vitamins a & d cap

VITAMIN B COMP b-complex tab 50 tr


12


b-complex vitamin cap

b-complex vitamin tab

NASAL AGENTS - SYSTEMIC AND TOPICAL A-ADREN AGON suphedrine tab pe 10mg

A/B-ADREN AGON nasal decon syp 30mg/5ml

NASAL DECONG LIQ 30MG/5ML

pseudoephedr tab 30mg

pseudoephedr tab 60mg

pseudoephedrine hcl tab sr 12hr 120 mg

SUDAFED 24HR TAB 240MG

SUDAFED CHLD LIQ 15MG/5ML

ANTIALLERGIC AG cromolyn sodium nasal aerosol soln 5.2 mg/act

(4%)

CORTICOSTEROIDS triamcinolone acetonide nasal aerosol suspension

55 mcg/act

EENT DRUGS, MIS AYR NASAL DRO 0.65%

NASADROPS DRO 0.9%

saline nasal spray 0.65%

VASOCONSTRICTOR AFRIN MENTHL SPR 0.05%

anefrin nasl spr 0.05%

NUTRIENTS OTHER MISC THER alp high3 cap 600mg

FISH OIL CAP 150MG

FISH OIL CAP 180MG

FISH OIL CAP 875MG

FISH OIL CAP 900MG

FISH OIL CAP 1360MG

FISH OIL CAP 1400MG

FISH OIL EXT CAP 870MG

GNP FISH OIL CAP 840MG

MINICAPS OMG CAP -3 350MG

OMEGA 3 CAP 340MG

OMEGA-3 2100 CAP 1050MG

OMEGA-3 CAP FISH OIL

OMEGA-3 CONC CAP 600MG

omega-3 fatty acids cap 300 mg



13





omega-3 fatty acids cap delayed release 1000 mg

omega-3 fatty acids cap delayed release 1200 mg

PRO NUTRIENT CAP OMEGA3

ra fish oil cap 600mg

RA FISH OIL CAP 1400MG

SALMON OIL- CAP 1000

SUPER TWIN CAP EPA/DHA

SYSTANE CAP 500MG

ULTRA OMEGA CAP 952MG

OPHTHALMIC AGENTS ANTIALLERGIC AG ketotifen fumarate ophth soln 0.025% (base

equiv)

EENT DRUGS, MIS artifi tears dro 1-0.3%

artifi tears oin op

artifi tears sol 1.4% op

artificial sol tears

ARTIFICIAL SOL TEARS OP

eye drops dro 0.5-0.9%

HYPOTEARS SOL 1-1%

ISOPTO TEARS SOL 0.5% OP

lubricant oin eye

lubricating sol 0.5%

lubricnt eye dro 0.4-0.3%

lubricnt gel dro 0.25-0.3

MURO 128 SOL 2% OP

pure & gentl dro 0.3%

REFRESH DRY DRO 1-1%

REFRESH LIQU DRO 1% OP

REFRESH OPTI DRO 0.5-0.9%

sodium chloride hypertonic ophth oint 5%

sodium chloride hypertonic ophth soln 5%

SYSTANE GEL 0.3%

TEARS AGAIN GEL NGHT/DAY

THERATEARS SOL OP

MISC. EENT DRUGS-TERM2005 MURINE SOL OP

VASOCONSTRICTOR allergy eye dro op

OTIC AGENTS CORTICOSTEROIDS


14


cortic-nd dro

EENT ANTI-INFEC earwax remv sol 6.5% ot

PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC. MISC AUTONOMIC nicotine polacrilex gum 2 mg

nicotine polacrilex gum 4 mg

nicotine polacrilex lozenge 2 mg

nicotine polacrilex lozenge 4 mg

NICOTINE TD DIS 7MG/24HR

NICOTINE TD DIS 14MG/24H

NICOTINE TD DIS 21MG/24H

ULCER DRUGS HIST H2-ANTAG cimetidine tab 200 mg

famotidine tab 10 mg

ranitidine hcl tab 75 mg

ranitidine hcl tab 150 mg

PPI lansoprazole cap delayed release 15 mg

OMEPRAZOLE TAB 20MG

PRILOSEC OTC TAB 20MG

VAGINAL PRODUCTS ANTIFUNGALS clotrimazole tab 100mg va

clotrimazole vaginal cream 1%

miconazole 3 cre 4%

miconazole 7 cre 2%

miconazole 7 sup 100mg

VITAMINS VITAMIN A vitamin a cap 10000unt

VITAMIN A TAB 8000UNIT

VITAMIN B COMP BIOTIN POW

biotin tab 300 mcg

niacin cap cr 500 mg

niacin tab 50 mg

niacin tab 100mg

niacin tab 500 mg

niacin tab cr 500 mg

niacinamide tab 500 mg

pyridoxine hcl tab 25 mg



15



thiamine hcl tab 50 mg

thiamine hcl tab 100 mg

thiamine mononitrate tab 100 mg

VITAMIN C ascorbic acid cap cr 500 mg

ascorbic acid chew tab 500 mg

ascorbic acid syrup 500 mg/5ml

ascorbic acid tab 250 mg

ascorbic acid tab 1000 mg

ascorbic acid tab cr 500 mg

vitamin c chw 250mg

vitamin c tab 500mg

VITAMIN D cholecalciferol cap 1000 unit

cholecalciferol cap 2000 unit



cholecalciferol chew tab 2000 unit

cholecalciferol chew tab 5000 unit

cholecalciferol oral liquid 400 unit/ml

cholecalciferol tab 1000 unit

ergocalciferol soln 8000 unit/ml

THERA-D TAB 4000UNIT

VITAMIN D2 TAB 2000UNIT

vitamin d3 cap 400unit

VITAMIN D3 CAP 4000UNIT

vitamin d3 tab 400unit

vitamin d3 tab 50000unt

VITAMIN E vitamin e cap 400 unit

16

Index

A ABREVA CRE 10% .............................. 6

acephen sup 325mg ........................... 1 acephen sup 650mg ........................... 1

acetamin elx 160/5ml ......................... 1 acetamin liq 500/15ml ........................ 1

acetaminophen cap 500 mg ................ 1 acetaminophen chew tab 80 mg .......... 1

acetaminophen liquid 160 mg/5ml ....... 1

acetaminophen soln 100 mg/ml ........... 1 acetaminophen soln 160 mg/5ml ......... 1

acetaminophen suppos 120 mg ........... 1 acetaminophen tab 325 mg ................. 1

acetaminophen tab cr 650 mg ............. 1 acetaminophn sus 160/5ml ................. 1

acetaminophn tab 500mg ................... 1 ACNE MEDICAT LOT 5% ..................... 6

AFRIN MENTHL SPR 0.05% ................ 12 allergy eye dro op ............................. 13

allergy tab sinus-d ............................. 5 almacone chw ................................... 2

almacone dbl sus strength .................. 2 almacone sus .................................... 2

alp high3 cap 600mg ......................... 12

alum hydrox sus 320/5ml ................... 2 aluminum hydroxide gel susp 600

mg/5ml ............................................ 2 ambi 10peh/ tab 400gfn ..................... 5

anefrin nasl spr 0.05% ...................... 12 ant&anti-gas chw 1000-60 .................. 2

antacid plus sus ................................. 2 antacid sus ....................................... 2

APAP 500 LIQ 500/5ML ....................... 1 apap melt tab 80mg ........................... 1

apapgesic tab .................................... 1 artifi tears dro 1-0.3% ....................... 13

artifi tears oin op .............................. 13 artifi tears sol 1.4% op ...................... 13

artificial sol tears .............................. 13

ARTIFICIAL SOL TEARS OP ................. 13 ascorbic acid cap cr 500 mg ............... 15

ascorbic acid chew tab 500 mg ........... 15 ascorbic acid syrup 500 mg/5ml ......... 15

ascorbic acid tab 1000 mg ................. 15 ascorbic acid tab 250 mg ................... 15

ascorbic acid tab cr 500 mg ............... 15

ASCRIPTIN TAB .................................. 1 aspirin chw 81mg ............................... 1

aspirin low chw 81mg ......................... 1 aspirin low tab 81mg ec ...................... 1

aspirin sup 325mg .............................. 1 aspirin suppos 300 mg ........................ 1

aspirin suppos 600 mg ........................ 1 aspirin tab delayed release 325 mg ...... 1

aspirin tab delayed release 500 mg ...... 1

AYR NASAL DRO 0.65% .................... 12 B b-100 complx tab ............................. 10 b-100 tab complex ........................... 10

b-100 tab tr .................................... 10 B-12 CAP 3000MCG ............................ 7

B-12 DOTS TAB 500MCG ..................... 7 B-12 LIQ 5000/ML .............................. 7

B-12 LOZ 1000MCG ............................ 7 B-12 LOZ 3000MCG ............................ 7

B-12 TAB 2500MCG ............................ 7 b-50 complex tab tr .......................... 10

bacitracin oin 500/gm ......................... 5 bacitracin zinc oint 500 unit/gm ........... 6

b-complex tab /vit c ......................... 10

b-complex tab 50 tr .......................... 11 b-complex vitamin cap ...................... 12

b-complex vitamin tab ...................... 12 b-complex w/ c & folic acid tab .......... 10

b-complex w/ folic acid tab ................ 10 BEELITH TAB ..................................... 9

benoxyl 10 lot 10% ............................ 6 BENZAC W GEL 2.5% ......................... 6

benzoyl peroxide gel 10% ................... 6 benzoyl peroxide gel 5% ..................... 6

BIOTIN POW .................................... 14 biotin tab 300 mcg ........................... 14

BIOVOL SYP .................................... 10 bisacodyl tab 5mg ec .......................... 7

bismuth subsalicylate chew tab 262 mg 2

bl pain reli dro ................................... 3 brotapp dm liq 15-1-5/5 ..................... 3

b-stress cap .................................... 10 buffered asa tab 325mg ...................... 1

C ca cit/vit d tab 315/250 ...................... 9

CA HI-CAL/D TAB 500MG .................... 9

17

cal antacid chw 1000mg ..................... 2 calc citr/d3 tab 200-250 ..................... 9

CALC CITRATE TAB 200MG ................. 9 CALCI-CHEW CHW 1250MG ................. 9

CALCI-MIX CAP 1250MG ..................... 9 CALCIONATE SYP 1.8GM/5 .................. 9

calcium 1200 chw .............................. 9 CALCIUM 500 TAB .............................. 9

calcium 500 tab +d ............................ 9 calcium 500 tab 500mg ...................... 9

calcium 600 mg w/ vitamin d tab ......... 9 calcium 600 tab +d ............................ 9

calcium anta chw 500mg .................... 2 calcium anta chw 750mg .................... 2

calcium carbonate (antacid) tab 648 mg 2

calcium carbonate susp 1250 mg/5ml (500 mg/5ml elemental ca) ................. 9

calcium carbonate tab 1250 mg (500 mg elemental ca) .................................... 9

calcium carbonate tab 1500 mg (600 mg elemental ca) .................................... 9

calcium carbonate tab 600 mg ............. 9 calcium carbonate-cholecalciferol tab 500

mg-200 unit ...................................... 9 calcium carbonate-ergocalciferol tab

500mg-200 unit ................................. 9 calcium carbonate-vitamin d tab 600 mg-

125 unit ............................................ 9 calcium citrate tab 950 mg (200 mg

elemental ca) .................................... 9

calcium citrate-vitamin d tab 315 mg-200 unit (elemental ca) ...................... 9

CALCIUM GLUC TAB 500MG ................ 9 calcium gluconate tab 650 mg ............. 9

CALCIUM LACT TAB 648MG ................. 9 CALCIUM LACT TAB 750MG ................. 9

calcium lactate tab 650 mg ................. 9 calcium plus chw d/minera .................. 9

calcium rich sus antacid ...................... 2 calcium tab 500/d .............................. 9

calcium w/ vitamin d tab 600 mg-200 unit .................................................. 9

CALCIUM/C/D CHW 500MG ................. 9 calcium/d tab 600-400 ....................... 9

calcium/d3 tab .................................. 9

CAL-QUICK LIQ 500-400 ..................... 9 casanthranol-dss cap 30-100 mg ......... 8

centrum kids chw complete ................ 10

cetirizine hcl chew tab 10 mg ............... 3 cetirizine hcl chew tab 5 mg ................ 3

cetirizine hcl oral soln 1 mg/ml (5 mg/5ml) ........................................... 3

cetirizine hcl tab 10 mg ....................... 3 cetirizine tab 5mg .............................. 3

cetirizine-pseudoephedrine tab sr 12hr 5-120 mg ............................................. 3

child chew/ chw extra c ..................... 10 child multiv chw iron ......................... 11

CHILD-MULTI CHW VITAMINS ............ 11 chlorpheniramine maleate tab 4 mg ..... 3

CHLOR-TRIMET SYP 2MG/5ML.............. 3 cholecalciferol cap 1000 unit .............. 15

cholecalciferol cap 2000 unit .............. 15

cholecalciferol cap 5000 unit .............. 15 cholecalciferol cap 50000 unit ............ 15

cholecalciferol chew tab 2000 unit ...... 15 cholecalciferol chew tab 5000 unit ...... 15

cholecalciferol oral liquid 400 unit/ml .. 15 cholecalciferol tab 1000 unit .............. 15

CHROMIUM PIC TAB 500MCG............. 11 cimetidine tab 200 mg ...................... 14

CLARITIN CHW 5MG ........................... 3 CLARITIN RDT TAB 5MG ...................... 3

clemastine fumarate tab 1.34 mg (1 mg base equiv) ....................................... 3

clotrimazole tab 100mg va ................ 14 clotrimazole vaginal cream 1% .......... 14

CODITUSS DM SYP ............................. 3

cold/allergy elx children ...................... 5 cold/cgh dm elx 2.5-1-5 ...................... 4

complete chw formulat...................... 11 cortic-nd dro .................................... 14

COUGH D SYP .................................... 4 cough m syp ...................................... 4

cromolyn sodium nasal aerosol soln 5.2 mg/act (4%) ................................... 12

CUTTER AER NATURAL ........................ 6 CUTTER BACKW AER 25% ................... 6

CUTTER BACKW LIQ 25% .................... 6 CUTTER LEMON LIQ EUCALYPT ............ 6

CUTTER WIPES MIS 7.15% .................. 6 D daily vit tab iron ............................... 11

daytme cough liq 15/15ml ................... 4 dex4 glucose gel 40% ......................... 2

DEXATREX D ELX CF-NASAL ................ 4

18

dextromethorphan-guaifenesin tab 20-400 mg ............................................ 4

dextromethorphan-guaifenesin tab sr 12hr 60-1200 mg .............................. 4

DI-GEL SUS ...................................... 2 dimaphen elx children ........................ 5

dimenhydrinate tab 50 mg .................. 3 DIMETAPP DM LIQ COLD/CGH ............. 4

DIMETAPP SYP CGH/COLD .................. 4 diphenhydram syp 12.5/5ml................ 3

diphenhydramine hcl (sleep) tab 50 mg 7 diphenhydramine hcl cap 25 mg .......... 3

diphenhydramine hcl cap 50 mg .......... 3 diphenhydramine hcl elixir 12.5 mg/5ml 3

diphenhydramine hcl liquid 12.5 mg/5ml

....................................................... 3 diphenhydramine hcl tab 25 mg ........... 3

disophrol tab 6-120 cr ........................ 5 docusate cal cap 240mg ..................... 8

docusate sod liq 50mg/5ml ................. 8 docusate sod syp 20mg/5ml ................ 8

docusate sodium cap 100 mg .............. 8 DOCUSOL MINI ENE ........................... 8

DOCUSOL PLUS ENE 20-283 ............... 8 DULCOLAX SUP 10MG ........................ 8

E earwax remv sol 6.5% ot ................... 14

ellis tonic elx .................................... 11 ENTEX PAC KIT .................................. 4

eq aspirin tab 325mg ......................... 1

EQL CALCIUM CAP VIT D ................... 10 EQL NATURAL POW FIBER ................... 8

ergocalciferol soln 8000 unit/ml .......... 15 eye drops dro 0.5-0.9% ..................... 13

F famotidine tab 10 mg ........................ 14

FEOSOL TAB 200MG ........................... 6 FERRETTS TAB 325MG ........................ 6

FERREX 150 CAP PLUS ....................... 6 ferric x-150 cap 150mg ...................... 6

ferrocite tab 324mg ........................... 7 FERROUS FUMA TAB .......................... 7

FERROUS GLUC TAB 225MG ................ 7 FERROUS GLUC TAB 324MG ................ 7

ferrous gluconate tab 240 mg (27 mg

elemental fe) ..................................... 7 ferrous gluconate tab 325 mg .............. 7

ferrous gluconate tab 325 mg (36 mg

elemental fe) ..................................... 7 FERROUS SULF SYP 300/5ML ............... 7

FERROUS SULF TAB 324MG EC ............ 7 ferrous sulfate elixir 220 mg/5ml (44

mg/5ml elemental fe) ......................... 7 ferrous sulfate soln 75 mg/0.6ml (15

mg/0.6ml elemental fe) ...................... 7 ferrous sulfate tab 325 mg (65 mg

elemental fe) ..................................... 7 ferrous sulfate tab ec 325 mg (65 mg fe

equivalent) ........................................ 7 fexofenadine sus 30mg/5ml ................. 3

fiber therap pow 48.57% .................... 8 fiber therap pow laxative ..................... 8

fiber therap tab 500mg ....................... 8

fiber-caps tab 625mg ......................... 8 FISH OIL CAP 1360MG ...................... 12

FISH OIL CAP 1400MG ...................... 12 FISH OIL CAP 150MG ........................ 12

FISH OIL CAP 180MG ........................ 12 FISH OIL CAP 875MG ........................ 12

FISH OIL CAP 900MG ........................ 12 FISH OIL EXT CAP 870MG ................. 12

FLEET BISACO ENE 10/30ML ............... 8 foam antacid chw 80-20mg ................. 2

foam antacid sus ................................ 2 folic acid tab 400 mcg ......................... 7

FOLIC ACID TAB XTRA ........................ 7 foltabs 800 tab .................................. 7

G gas relief dro 20/0.3ml ....................... 6 GAVISCON CHW ................................. 2

GAVISCON SUS ................................. 2 GERITOL LIQ TONIC ......................... 10

GERITOL TAB COMPLETE ................... 10 geri-tonic liq .................................... 11

GLUCOSE CHW 4-.006GM ................... 2 GLUCOSE CHW 4GM ........................... 2

GNP FISH OIL CAP 840MG ................. 12 guaifenesin liquid 100 mg/5ml ............. 5

guaifenesin tab 200 mg ...................... 5 guaifenesin tab 400 mg ...................... 5

guaifenesin tab sr 12hr 1200 mg .......... 5 guaifenesin tab sr 12hr 600 mg ........... 5

H heartbrn ant chw 160-105 ................... 2 hi-cal tab 500mg .............................. 10

hm enema ene r-t-u ........................... 8

19

HONEY BEARS CHW .......................... 11 HONEY BEARS CHW IRON-ZIN ........... 11

honey tussin syp 10mg/5ml ................ 4 HYDROCIL INS POW 95% ................... 8

HYDROCIL POW 95% ......................... 8 hydrocort/ cre aloe 1% ....................... 5

hydrocortisone cream 0.5% ................ 5 hydrocortisone cream 1% ................... 5

hydrocortisone lotion 1% .................... 5 hydrocortisone oint 0.5% .................... 5

hydrocortisone oint 1% ...................... 5 HYPERSAL NEB 3.5% ......................... 5

HYPOTEARS SOL 1-1% ...................... 13 I ibuprofen cap 200 mg ........................ 1

ibuprofen dro 50/1.25 ........................ 1 ibuprofen jr chw 100mg ...................... 1

ibuprofen tab 200 mg ......................... 1 IPECAC SYP ....................................... 3

iron supplmt dro 15mg/ml .................. 7 ISO-BLU LIQ 50% .............................. 6

ISOPTO TEARS SOL 0.5% OP ............. 13 K KAOLIN/PECT SUS ............................. 2 KAOPECTATE LIQ REGULAR ................. 2

ketotifen fumarate ophth soln 0.025% (base equiv) ..................................... 13

kids vitamin chw complete ................. 11 KONSYL POW 100% ........................... 8

KONSYL POW 60.3% .......................... 8

KONSYL POW 71.67% ........................ 8 KONSYL-D POW 52.3% ....................... 8

KPN PRENATAL TAB ........................... 11 L lansoprazole cap delayed release 15 mg ...................................................... 14

lice killing liq max st ........................... 6 lice killing sha 0.33-4% ...................... 6

lice trtmnt liq .................................... 6 lice trtmnt sha 0.3-3% ....................... 6

lidocaine crm 4% - Aspercreme ........... 6 lidocaine/menthol crm 4/1% - Icy Hot .. 6

liquituss gg liq 200/5ml ...................... 5 LODRANE D CAP 4-60MG .................... 5

loperamide hcl liq 1 mg/5ml (0.2 mg/ml)

....................................................... 2 loperamide hcl tab 2 mg ..................... 2

loratadine d tab 5-120mg ................... 3

loratadine syp 5mg/5ml ...................... 3 loratadine tab 10 mg .......................... 3

loratadine tab 10mg ........................... 3 loratadine-d tab 10-240mg .................. 3

LOW DOSE ASA TAB 81MG .................. 1 lubricant oin eye .............................. 13

lubricating sol 0.5% ......................... 13 lubricnt eye dro 0.4-0.3% ................. 13

lubricnt gel dro 0.25-0.3 ................... 13 M MAALOX QUICK CHW DISSOLVE .......... 2 magbee tab ....................................... 9

MAGNEBIND TAB 300 ....................... 10 MAGNESIUM CAP 400MG ................... 10

MAGNESIUM GL TAB 500MG .............. 10

magnesium gluconate tab 27.5 mg (elemental mg) ................................ 10

magnesium oxide tab 400 mg .............. 2 magnesium oxide tab 400 mg (241.3 mg

elemental mg) ................................. 10 magnesium oxide tab 500 mg (mg

supplement) .................................... 10 MAGNESIUM POW OXIDE .................. 10

magnesium tab 250mg ..................... 10 MAGNESIUM TAB 500MG ................... 10

MAGONATE LIQ 1000/5ML ................. 10 magonate tab 500mg ....................... 10

mag-sr tab 535mg ........................... 10 MAG-TAB SR TAB 84MG .................... 10

maox tab 420mg ................................ 2

meclizine hcl chew tab 25 mg .............. 3 meclizine hcl tab 12.5 mg ................... 3

meclizine hcl tab 25 mg ...................... 3 medi-tus ped liq cgh/cold .................... 4

METAMUCIL POW 58.12% ................... 8 METAMUCIL POW 63% ........................ 8

miconazole 3 cre 4% ........................ 14 miconazole 7 cre 2% ........................ 14

miconazole 7 sup 100mg ................... 14 milk of magn sus 1200/15 ................... 8

mineral oil ......................................... 8 MINERAL OIL HEAVY ........................... 8

MINERAL OIL LIGHT ....................... 6, 8 MINICAPS OMG CAP -3 350MG .......... 12

MISSION PREN TAB .......................... 11

MISSION PREN TAB HP ..................... 11 MUCINEX CGH GRA 5-100MG .............. 4

MUCINEX D TAB 120-1200 .................. 5

20

mucinex dm liq 20-400 ....................... 4 MUCINEX DM TAB 30-600ER ............... 4

MUCINEX/KIDS GRA 100MG ................ 5 MUCINEX/KIDS GRA 50MG .................. 5

multi-delyn liq .................................. 11 MULTI-DELYN LIQ /IRON ................... 11

multi-vit/fl dro /fe 0.25 ...................... 11 multi-vit/fl dro 0.25mg ...................... 11

multi-vit/fl dro 0.5mg/ml ................... 11 multi-vitami chw gummies ................. 11

multivitamin cap ............................... 11 multivitamin cap pls zinc .................... 11

multivitamin chw children .................. 11 multivitamin dro pediatrc ................... 11

multivitamin liq ................................ 11

multivitamin tab daily ........................ 11 MURINE SOL OP ............................... 13

MURO 128 SOL 2% OP ...................... 13 MYKIDZ IRON SUS 10MG/2ML ............ 11

MYKIDZ IRON SUS 15/1.5ML ............... 7 MYLANTA ULTR CHW MINT .................. 2

N NASADROPS DRO 0.9% ..................... 12

nasal decon syp 30mg/5ml ................ 12 NASAL DECONG LIQ 30MG/5ML .......... 12

nat veg lax pow 50% ......................... 8 naturl fiber pow 28.3% ....................... 8

naturl fiber pow 30.9% ....................... 8 naturl fiber pow 58.6% ....................... 8

NEPHRO-VITE TAB ............................ 11

niacin cap cr 500 mg ......................... 14 niacin tab 100mg .............................. 14

niacin tab 50 mg ............................... 14 niacin tab 500 mg ............................. 14

niacin tab cr 500 mg ......................... 14 niacinamide tab 500 mg .................... 14

nicotine polacrilex gum 2 mg .............. 14 nicotine polacrilex gum 4 mg .............. 14

nicotine polacrilex lozenge 2 mg ......... 14 nicotine polacrilex lozenge 4 mg ......... 14

NICOTINE TD DIS 14MG/24H ............. 14 NICOTINE TD DIS 21MG/24H ............. 14

NICOTINE TD DIS 7MG/24HR ............. 14 nighttime d liq cold/flu ........................ 4

night-time liq child ............................. 4

O OFF FAMILYCR SPR 5% ...................... 6

OMEGA 3 CAP 340MG ........................ 12

OMEGA-3 2100 CAP 1050MG ............. 12 OMEGA-3 CAP FISH OIL .................... 12

OMEGA-3 CONC CAP 600MG .............. 12 omega-3 fatty acids cap 1000 mg ...... 13

omega-3 fatty acids cap 1200 mg ...... 13 omega-3 fatty acids cap 300 mg ........ 12

omega-3 fatty acids cap 435 mg ........ 12 omega-3 fatty acids cap 500 mg ........ 13

omega-3 fatty acids cap delayed release 1000 mg ......................................... 13

omega-3 fatty acids cap delayed release 1200 mg ......................................... 13

OMEPRAZOLE TAB 20MG ................... 14 ONE DAILY TAB PLUS IRO ................. 11

oral saline sol laxative ........................ 8

oys shell+d tab 250-125 ................... 10 oyst shell/d tab 500-125 ................... 10

oyst-cal d tab 250mg ........................ 10 P pain relief dro 80/0.8ml ...................... 1 PARVA-CAL TAB 250-100 .................. 10

PARVA-CAL TAB 500MG .................... 10 PECGEN DMX LIQ 15-125MG ............... 4

pedia relief dro infant ......................... 4 pediacare liq long-act ......................... 4

PEDIALYTE SOL ADV CARE ................ 10 PERCOGESIC TAB 12.5-325 ................. 4

permethrin creme rinse 1% ................. 6 permethrin lot 1% .............................. 6

PHILLIPS TAB 500MG ......................... 8

PHOS-NAK POW CONCENTR .............. 10 pink bismuth sus 262/15ml ................. 2

pink bismuth sus 525/15ml ................. 2 pink bismuth tab 262mg ..................... 2

polyethylene glycol 3350 oral packet .... 8 polyethylene glycol 3350 oral powder ... 8

poly-vita dro /iron ............................ 11 polyvitamin dro ................................ 11

pot gluconat tab 2.5meq ................... 10 pot gluconat tab 2meq ...................... 10

POT GLUCONAT TAB 80MG ................ 10 potassium gluconate tab 550 mg (92 mg

equiv k) .......................................... 10 potassium tab 99mg ......................... 10

PRENATAL TAB................................. 11

PRENATAL TAB IRON ........................ 11 PRILOSEC OTC TAB 20MG ................. 14

PRO NUTRIENT CAP OMEGA3 ............. 13

21

PRONUTRIENTS TAB SUPER B ............ 11 pseudoephedr tab 30mg .................... 12

pseudoephedr tab 60mg .................... 12 pseudoephedrine hcl tab sr 12hr 120 mg

...................................................... 12 pseudoephedrine-guaifenesin tab sr 12hr

60-600 mg ........................................ 5 psyldex pow 30% .............................. 8

psyllium powder 100% ....................... 8 pure & gentl dro 0.3% ....................... 13

pyridoxine hcl tab 100 mg.................. 15 pyridoxine hcl tab 25 mg ................... 14

pyridoxine hcl tab 50 mg ................... 14 R RA FISH OIL CAP 1400MG .................. 13

ra fish oil cap 600mg ......................... 13 ranitidine hcl tab 150 mg ................... 14

ranitidine hcl tab 75 mg ..................... 14 REFRESH DRY DRO 1-1% .................. 13

REFRESH LIQU DRO 1% OP ............... 13 REFRESH OPTI DRO 0.5-0.9% ............ 13

REPEL SPORTS LOT 40% .................... 6 REPEL TICK AER 15% ......................... 6

RI-MAG PLUS SUS ............................. 2 RI-MAG SUS 540/5ML ........................ 2

ri-mox plus sus .................................. 2 ritifed syp 1.25-30 ............................. 5

robafen cf syp cgh/cld ........................ 4 robitussin liq cgh/cold......................... 4

ROBITUSSIN LIQ COUGH .................... 4

robitussin liq nighttim ......................... 5 robitussin syp 7.5/5ml ........................ 4

S safe tussin liq 30 ............................... 4

saline nasal spray 0.65% ................... 12 SALMON OIL- CAP 1000 ..................... 13

sb fib lax pow 33% ............................ 8 sb nat fiber pow 49% ......................... 8

scalpicin sol 1% ................................. 5 SCOOBY-DOO CHW ........................... 11

SCOT-TUSSIN LIQ DIBTS/CF ............... 4 senna laxati tab 8.6mg ....................... 8

senna plus tab 8.6-50mg .................... 8 SENNA SYP ....................................... 8

sennosides syrup 8.8 mg/5ml .............. 8

sennosides tab 187mg ........................ 8 simply cough syp 5mg/5ml ................. 4

sleep aid tab 25mg ............................ 7

slow iron tab 160mg cr ....................... 7 SLOW RELEASE TAB 143MG ................ 7

slow release tab 45mg ........................ 7 slow release tab 47.5mg ..................... 7

SLOW-MAG TAB ............................... 10 sm gas relie chw 80mg ....................... 6

sm tussin syp cgh/cold ........................ 4 sodium bicarbonate tab 650 mg ........... 2

sodium chloride hypertonic ophth oint 5% ................................................. 13

sodium chloride hypertonic ophth soln 5% ................................................. 13

sodium chloride soln nebu 0.9% .......... 5 SORBITOL SOL 70% ........................... 8

stop lice kit complete .......................... 6

stress form tab /zinc ......................... 11 SUDAFED 24HR TAB 240MG .............. 12

SUDAFED CHLD LIQ 15MG/5ML .......... 12 sudafed pe sol cold/cgh....................... 4

sudogest tab 4-60mg .......................... 5 super b comp tab vit c ...................... 11

SUPER TWIN CAP EPA/DHA ............... 13 suphedrine cap cough/co .................... 5

suphedrine tab pe 10mg ................... 12 SYSTANE CAP 500MG ....................... 13

SYSTANE GEL 0.3% .......................... 13 T TAB-A-VITE TAB WOMENS ................. 11 TEARS AGAIN GEL NGHT/DAY ............ 13

THERA-D TAB 4000UNIT ................... 15

thera-plus liq ................................... 11 THERATEARS SOL OP ....................... 13

thiamine hcl tab 100 mg ................... 15 thiamine hcl tab 50 mg ..................... 15

thiamine mononitrate tab 100 mg ...... 15 triacing cld liq cgh/chld ....................... 4

triacting liq cold/cgh ........................... 4 triacting syp cold/all ........................... 5

tri-afed tab 2.5-60mg ......................... 5 triamcinolone acetonide nasal aerosol

suspension 55 mcg/act ..................... 12 TRIAMINIC SYP INFANT ...................... 1

TRIAMINIC-D SYP .............................. 4 TRISPEC PSE DRO PEDIATRC ............... 4

tri-vita sol ....................................... 11

TUCKS OIN 1% .................................. 5 TUSNEL PED DRO 7.5-50 .................... 5

TUSNEL-DM DRO PEDIATRC ................ 4

22

tussin adult liq cold ............................ 4 tussin cap sev cong ............................ 5

tussin cf liq ....................................... 4 tussin chest syp 100/5ml .................... 5

tussin cold/ cap congesti ..................... 4 tussin cough syp 15mg/5ml ................ 4

tussin dm liq 100-10/5 ....................... 4 tussin dm mx liq 10-200/5 .................. 4

tussin dm syp 100-10/5 ...................... 4 tussin pe syp 30-100/5 ....................... 5

U ULTRA OMEGA CAP 952MG ................ 13

V VICKS NATURE LIQ CONGEST ............. 4

vicon-c cap ...................................... 11

VITALETS CHW ................................. 11 vitamin a cap 10000unt ..................... 14

VITAMIN A TAB 8000UNIT ................. 14 vitamin b100 tab complex ................. 11

vitamin b12 tab 1000mcg ................... 7 vitamin b-12 tab 500mcg .................... 7

vitamin c chw 250mg ........................ 15 vitamin c tab 500mg ......................... 15

VITAMIN D2 TAB 2000UNIT ............... 15 VITAMIN D3 CAP 4000UNIT ............... 15

vitamin d3 cap 400unit ..................... 15 vitamin d3 tab 400unit ...................... 15

vitamin d3 tab 50000unt ................... 15 vitamin e cap 400 unit ...................... 15

vitamins a & d cap............................ 11 Z zinc oxide oint 20% ............................ 6

ZZZQUIL CAP 25MG ........................... 7 ZZZQUIL LIQ 50MG/30 ....................... 7

drug name requirements/limits analgesics - anti ... ipecac syp antiemetics antihistamines...

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