humana 2015 drug list changes rx4 drug movement tier changes.pdf · humana 2015 drug list changes...
TRANSCRIPT
Humana 2015 Drug List Changes
Rx4 Drug MovementDrug Movement - The drugs below will be moving effective January 01, 2015. For copayment Level
information and possible lower cost alternatives visit Humana.com.
NF = Non Formulary (Drug is not covered on the formulary)NOTE: For Commercial Fully-Insured and Individual policies issued in Texas, Louisiana, and Puerto Rico:
formulary changes are effective on a plan's renewal date.Drug Name From ToDosage Alternatives
ABILIFY 4 NFTablet olanzapine; quetiapine; risperidone
ABILIFY 4 NFSolution olanzapine; quetiapine; risperidone
ABILIFY DISCMELT 4 NFTablet, Rapid Dissolve olanzapine; risperidone; clozapine
ACAMPROSATE 4 3Tablet, Delayed Release (E.C.)
ACARBOSE 3 2Tablet
ACCOLATE 3 NFTablet montelukast; zafirlukast
ACCU-CHEK AVIVA PLUS METER 2 1Misc
ACCU-CHEK COMPACT PLUS CONTROL 2 1Solution
ACCUNEB 3 NFSolution for Nebulization albuterol sulfate; levalbuterol HCl
ACCUPRIL 3 NFTablet lisinopril; benazepril; quinapril
ACCURETIC 3 NFTablet quinapril-hydrochlorothiazide; lisinopril-hydrochlorothiazide; enalapril-hydrochlorothiazide
ACCUTREND GLUCOSE CONTROL 2 1Solution
ACEON 3 NFTablet perindopril erbumine; lisinopril; benazepril
ACETAZOLAMIDE 3 4Powder CONSULT YOUR PHYSICIAN
ACETIC ACID-ALUMINUM ACETATE 2 3Drops CONSULT YOUR PHYSICIAN
ACETYLCYSTEINE 2 3Solution CONSULT YOUR PHYSICIAN
ACIPHEX 3 NFTablet, Delayed Release (E.C.) omeprazole; pantoprazole; lansoprazole
ACTIGALL 4 NFCapsule ursodiol
ACTIQ 4 NFLozenge on a Handle morphine; hydromorphone; oxycodone
ACTIVE OB 4 NFCapsule Prenatal vitamins (generics)
ACTIVELLA 3 NFTablet Mimvey; Mimvey Lo
ACTONEL 3 NFTablet alendronate; ibandronate
ACTOPLUS MET 3 NFTablet pioglitazone-metformin
ACTOS 3 NFTablet pioglitazone
ACULAR 3 NFDrops diclofenac sodium; ketorolac; flurbiprofen sodium
Page 1 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesACULAR LS 3 NFDrops diclofenac sodium; ketorolac;
flurbiprofen sodium
ACURA METER KIT 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ACURA PLUS 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ACURA STARTER KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ACURA TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
ACUVAIL (PF) 3 NFDropperette diclofenac sodium; ketorolac; flurbiprofen sodium
ACYCLOVIR 2 3Ointment acyclovir; valacyclovir; famciclovir
ACYCLOVIR 2 3Ointment CONSULT YOUR PHYSICIAN
ADALAT CC 3 NFTablet Sustained Release amlodipine; felodipine; nifedipine
ADAPALENE 2 3Gel tretinoin (topical)
ADCIRCA 4 NFTablet CONSULT YOUR PHYSICIAN
ADDERALL 3 NFTablet Amphetamine Salt Combo; dextroamphetamine;
methylphenidate
ADDERALL 3 NFTablet CONSULT YOUR PHYSICIAN
ADEFOVIR 2 4Tablet CONSULT YOUR PHYSICIAN
ADOXA 4 NFCapsule doxycycline monohydrate; minocycline
ADVAIR DISKUS 2 NFDisk with Device Symbicort; Dulera
ADVAIR HFA 2 NFHFA Aerosol Inhaler Symbicort; Dulera
ADVICOR 3 NFTab, Multiphasic Release 24 hr fluvastatin; lovastatin; atorvastatin
ADVOCATE BLOOD GLUCOSE MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ADVOCATE REDI-CODE 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ADVOCATE REDI-CODE 3 NFStrip CONSULT YOUR PHYSICIAN
ADVOCATE REDI-CODE GLU MONITOR 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ADVOCATE REDI-CODE+ 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ADVOCATE REDI-CODE+ 3 NFStrip CONSULT YOUR PHYSICIAN
ADVOCATE TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
AFEDITAB CR 1 2Tablet Sustained Release felodipine; nifedipine; nisoldipine
Page 2 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesAGAMATRIX AMP GLUC MONITOR SYS 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
AGAMATRIX AMP TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
AGGRENOX 2 3Cap, Multiphasic Release 12 hr clopidogrel; cilostazol; dipyridamole
AGRYLIN 4 NFCapsule anagrelide
AK-PENTOLATE 1 NFDrops cyclopentolate; atropine
ALA-CORT 3 NFCream hydrocortisone
ALA-SCALP 2 NFLotion hydrocortisone
ALBENZA 2 3Tablet Stromectol; metronidazole
ALBUTEROL SULFATE 1 3Tablet CONSULT YOUR PHYSICIAN
ALBUTEROL SULFATE 3 1Solution for Nebulization
ALCAINE 3 NFDrops CONSULT YOUR PHYSICIAN
ALCLOMETASONE 2 3Cream hydrocortisone
ALCLOMETASONE 2 3Ointment hydrocortisone
ALDACTAZIDE 3 NFTablet spironolacton-hydrochlorothiaz; amiloride-hydrochlorothiazide; triamterene-hydrochlorothiazid
ALDACTONE 3 NFTablet spironolactone; eplerenone
ALDARA 3 NFCream in Packet imiquimod; fluorouracil
ALLEGRA 3 NFTablet cetirizine; fexofenadine; desloratadine
ALLEGRA-D 24 HOUR 3 NFTablet Sustained Release 24 hr cetirizine; fexofenadine; desloratadine
ALPHAGAN P 2 NFDrops brimonidine
ALPHAGAN P 3 NFDrops brimonidine
ALREX 3 NFDrops, Suspension prednisolone acetate; prednisolone sodium phosphate;
dexamethasone sodium phosphate
ALSUMA 3 NFPen Injector sumatriptan succinate; rizatriptan; naratriptan
ALTACE 3 NFCapsule ramipril; lisinopril; benazepril
ALTOPREV 4 NFTablet Sustained Release 24 hr fluvastatin; lovastatin; atorvastatin
ALUVEA 3 NFCream urea
AMANTADINE HCL 2 3Capsule carbidopa-levodopa; pramipexole; ropinirole
AMANTADINE HCL 3 4Powder carbidopa-levodopa; pramipexole; ropinirole
AMARYL 3 NFTablet glimepiride
AMBIEN 3 NFTablet zolpidem; zaleplon; eszopiclone
AMBIEN CR 3 NFTablet, Multiphasic Release zolpidem; zaleplon; eszopiclone
AMCINONIDE 2 3Ointment fluocinolone; fluocinonide; betamethasone dipropionate
Page 3 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesAMERGE 3 NFTablet sumatriptan succinate;
rizatriptan; naratriptan
AMINOCAPROIC ACID 3 4Solution Consult your physician
AMINOCAPROIC ACID 3 4Tablet Consult your physician
AMIODARONE 2 1Tablet
AMPHETAMINE SALT COMBO 2 3Tablet dexmethylphenidate methylphenidate; Vyvanse
AMPICILLIN 1 2Capsule CONSULT YOUR PHYSICIAN
AMPICILLIN 1 2Suspension for Reconstitution CONSULT YOUR PHYSICIAN
AMPYRA 4 NFTablet Sustained Release 12 hr Avonex; Tecfidera; Copaxone
ANAFRANIL 4 NFCapsule amitriptyline; desipramine; nortriptyline
ANAGRELIDE 2 3Capsule clopidogrel; dipyridamole; ticlopidine
ANALPRAM E 3 NFKit, Cream & Towelette hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
ANALPRAM-HC 3 NFCream hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
ANALPRAM-HC SINGLES 3 NFCream hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
ANAPROX 3 NFTablet naproxen; meloxicam; ibuprofen
ANAPROX DS 3 NFTablet naproxen; meloxicam; ibuprofen
ANASPAZ 3 NFTablet, Rapid Dissolve HyoMax-SL; hyoscyamine sulfate
ANASTROZOLE 1 2Tablet Consult your physician
ANCOBON 3 NFCapsule CONSULT YOUR PHYSICIAN
ANDRODERM 3 NFPatch 24 hr Androgel
ANDROID 3 4Capsule Androgel
ANSAID 3 NFTablet flurbiprofen; meloxicam; ibuprofen
ANTABUSE 3 NFTablet disulfiram; acamprosate
ANTARA 3 NFCapsule fenofibrate; gemfibrozil
ANTIPYRINE-BENZOCAINE 1 3Drops CONSULT YOUR PHYSICIAN
ANTIVERT 3 NFTablet meclizine hcl
ANUCORT-HC 1 2Suppository hydrocortisone sup
APIDRA 3 NFSolution Humalog
APIDRA SOLOSTAR 3 NFInsulin Pen Humalog Kwikpen
APLENZIN 3 4Tablet Sustained Release 24 hr bupropion HCl; Budeprion SR; Budeprion XL
APOMORPHINE 3 4Powder CONSULT YOUR PHYSICIAN
APTIVUS 3 4Capsule CONSULT YOUR PHYSICIAN
APTIVUS 3 4Solution CONSULT YOUR PHYSICIAN
Page 4 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesAQUORAL 3 NFAerosol, Spray CONSULT YOUR PHYSICIAN
ARAVA 4 NFTablet leflunomide
ARICEPT 3 NFTablet donepezil; galantamine; rivastigmine tartrate
ARICEPT ODT 3 NFTablet, Rapid Dissolve donepezil; galantamine; rivastigmine tartrate
ARIMIDEX 3 NFTablet anastrozole
ARIXTRA 4 NFSyringe fondaparinux; enoxaparin
AROMASIN 3 NFTablet exemestane
ASACOL 3 NFTablet, Delayed Release (E.C.) balsalazide; sulfasalazine; Apriso
ASACOL HD 3 NFTablet, Delayed Release (E.C.) balsalazide; sulfasalazine; Apriso
ASSURE 4 METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ASSURE 4 STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
ASSURE PLATINUM 3 NFStrip CONSULT YOUR PHYSICIAN
ASSURE PLATINUM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ASSURE PRO BLOOD GLUCOSE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ASSURE PRO TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
ASTELIN 3 NFAerosol, Spray azelastine
ATACAND 3 NFTablet losartan; irbesartan; lisinopril
ATACAND HCT 3 NFTablet losartan-hydrochlorothiazide; irbesartan-hydrochlorothiazide;
lisinopril-hydrochlorothiazide
ATIVAN 3 NFTablet lorazepam; alprazolam; oxazepam
ATOPICLAIR 3 NFCream CONSULT YOUR PHYSICIAN
ATRALIN 3 NFGel tretinoin (topical); tretinoin microsphere
ATRIPLA 3 4Tablet CONSULT YOUR PHYSICIAN
ATROPINE-CARE 1 NFDrops atropine; cyclopentolate
ATROVENT 3 NFSpray, Non-Aerosol ipratropium bromide; fluticasone; azelastine
AUGMENTIN 3 NFSuspension for Reconstitution amoxicillin; amoxicillin-pot clavulanate
AUGMENTIN 3 NFTablet amoxicillin; amoxicillin-pot clavulanate
AUGMENTIN ES-600 3 NFSuspension for Reconstitution amoxicillin; amoxicillin-pot clavulanate
AUGMENTIN XR 2 NFTablet Sustained Release 12 hr amoxicillin; amoxicillin-pot clavulanate
AUTOJECT 2 INJECTION DEVICE 2 3Insulin Pen CONSULT YOUR PHYSICIAN
Page 5 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesAUTOLET LITE CLINISAFE DEVICE 1 3Misc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
AUTOLET MINI 1 3Kit CONSULT YOUR PHYSICIAN
AUTOLET MKII CLINISAFE DEVICE 1 3Misc CONSULT YOUR PHYSICIAN
AUTOPEN 1 TO 16 UNITS 1 3Insulin Pen CONSULT YOUR PHYSICIAN
AUTOPEN 1 TO 21 UNITS 2 3Insulin Pen CONSULT YOUR PHYSICIAN
AUTOPEN 2 TO 32 UNITS 1 3Insulin Pen CONSULT YOUR PHYSICIAN
AUTOPEN 2 TO 42 UNITS 1 3Insulin Pen CONSULT YOUR PHYSICIAN
AVALIDE 3 NFTablet losartan-hydrochlorothiazide; irbesartan-hydrochlorothiazide;
lisinopril-hydrochlorothiazide
AVAPRO 3 NFTablet losartan; irbesartan; lisinopril
AVAR LS 3 NFCleanser sulfacetamide sodium-sulfur
AVAR-E LS 3 NFCream sulfacetamide sodium-sulfur
AVELOX 3 NFTablet ciprofloxacin; levofloxacin; moxifloxacin
AVELOX ABC PACK 3 NFTablet ciprofloxacin; levofloxacin; moxifloxacin
AVINZA 3 NFCap, Multiphasic Release 24 hr morphine; fentanyl; Opana ER
AVITA 2 NFCream tretinoin (topical); tretinoin microsphere
AVITA 3 NFGel tretinoin (topical); tretinoin microsphere
AVODART 2 NFCapsule finasteride
AXID 3 NFSolution ranitidine HCl; famotidine; nizatidine
AYGESTIN 3 NFTablet norethindrone acetate
AZATHIOPRINE 1 2Tablet sulfasalazine
AZELASTINE 2 3Spray, Non-Aerosol fluticasone; flunisolide
AZILECT 2 3Tablet selegiline HCl
AZOPT 3 NFDrops, Suspension dorzolamide
AZOR 3 NFTablet amlodipine-benazepril; amlodipine; losartan
AZULFIDINE 3 NFTablet sulfasalazine
AZULFIDINE EN-TABS 3 NFTablet, Delayed Release (E.C.) sulfasalazine
BACTRIM 3 NFTablet sulfamethoxazole-trimethoprim
BACTRIM DS 3 NFTablet sulfamethoxazole-trimethoprim
BACTROBAN 3 NFCream mupirocin; mupirocin calcium
BACTROBAN 3 NFOintment mupirocin; mupirocin calcium
BECONASE AQ 3 NFSpray, Non-Aerosol fluticasone; flunisolide; Nasonex
BENAZEPRIL-HYDROCHLOROTHIAZIDE 1 2Tablet lisinopril-hydrochlorothiazide; enalapril-hydrochlorothiazide
BENICAR 3 NFTablet losartan; irbesartan; candesartan
Page 6 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesBENICAR HCT 3 NFTablet losartan-hydrochlorothiazide;
irbesartan-hydrochlorothiazide; lisinopril-hydrochlorothiazide
BENTYL 3 NFCapsule dicyclomine; HyoMax-SL; hyoscyamine sulfate
BENTYL 3 NFTablet dicyclomine; HyoMax-SL; hyoscyamine sulfate
BENZAC AC 3 NFGel benzoyl peroxide
BENZACLIN 3 NFGel clindamycin-benzoyl peroxide; Acanya
BENZACLIN PUMP 3 4Gel clindamycin-benzoyl peroxide
BENZAMYCIN 3 NFGel clindamycin-benzoyl peroxide; Acanya
BENZEFOAM 3 NFFoam benzoyl peroxide
BENZEFOAM ULTRA 3 NFFoam benzoyl peroxide
BEPREVE 3 NFDrops epinastine; azelastine; cromolyn
BETAGAN 3 NFDrops timolol maleate; levobunolol; carteolol
BETAMETHASONE DIPROPIONATE 3 2Ointment
BETAPACE 3 NFTablet sotalol; Sorine
BETAPACE AF 3 NFTablet Sotalol AF
BG-STAR 3 NFStrip CONSULT YOUR PHYSICIAN
BIAFINE EMULSION 3 NFEmulsion CONSULT YOUR PHYSICIAN
BIAXIN 3 NFSuspension for Reconstitution clarithromycin; azithromycin; erythromycin
BIAXIN 3 NFTablet clarithromycin; azithromycin; erythromycin
BIAXIN XL 3 NFTablet Sustained Release 24 hr clarithromycin; azithromycin; erythromycin
BIAXIN XL PAK 3 NFTablet Sustained Release 24 hr clarithromycin; azithromycin; erythromycin
BIFERA RX 2 NFTablet CONSULT YOUR PHYSICIAN
BIONIME RIGHTEST GM300 SYSTEM 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
BIONIME RIGHTEST TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
BLEPH-10 3 NFDrops sulfacetamide sodium
BLOOD GLUCOSE MONITORING 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
BLOOD GLUCOSE TEST 1 NFStrip CONSULT YOUR PHYSICIAN
BLOOD-GLUCOSE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 7 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesBLOOD-GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
B-NEXA 2 NFTablet Prenatal Vitamins, Generic
BONIVA 3 NFTablet alendronate; ibandronate
BREEZE 2 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
BREEZE 2 TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
BREO ELLIPTA 3 NFDisk with Device Symbicort; Dulera
BREVICON (28) 3 NFTablet Balziva (28); Cyclafem (28)
BRIMONIDINE TARTRATE (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
BROMDAY 3 NFDrops diclofenac sodium; ketorolac; flurbiprofen sodium
BROMDAY TWINPACK 3 NFDrops diclofenac sodium; ketorolac; flurbiprofen sodium
BUPHENYL 4 NFPowder Buphenyl tablet
BUPIVACAINE (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
BUPIVACAINE (BULK) 3 4Powder PLEASE CONSULT PHYSICIAN
BUPROPION HCL 1 2Tablet sertraline; paroxetine HCl; venlafaxine
BUTISOL 2 3Elixir CONSULT YOUR PHYSICIAN
BUTISOL 2 3Tablet CONSULT YOUR PHYSICIAN
BUTRANS 3 NFPatch Weekly PLEASE CONSULT PHYSICIAN
BYSTOLIC 3 NFTablet atenolol; metoprolol tartrate; carvedilol
CADUET 3 NFTablet atorvastatin; lovastatin; simvastatin
CAFCIT 3 NFSolution caffeine citrated
CAFERGOT 3 NFTablet Migergot; dihydroergotamine
CAFFEINE CITRATED 3 4Solution No alternatives needed - coverage updated
CALAN 3 NFTablet verapamil
CALAN SR 3 NFTablet Sustained Release verapamil
CALCITRIOL (BULK) 3 4Crystals CONSULT YOUR PHYSICIAN
CAMPRAL 3 NFTablet, Delayed Release (E.C.) disulfiram; acamprosate
CAPTOPRIL 1 2Tablet benazepril; enalapril maleate; lisinopril
CARAFATE 3 NFSuspension misoprostol; sucralfate
CARAFATE 3 NFTablet misoprostol; sucralfate
CARBAMAZEPINE 3 2Suspension
CARBATROL 3 NFCap, Multiphasic Release 12 hr carbamazepine
CARBIDOPA-LEVODOPA 2 1Tablet
CARBIDOPA-LEVODOPA 3 2Tablet Sustained Release
Page 8 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesCARDIOTEK-RX (BIOPERINE) 2 NFTablet CONSULT YOUR PHYSICIAN
CARDIZEM 3 NFTablet diltiazem HCl
CARDIZEM CD 3 NFCapsule, Sust. Release 24 hr Cartia XT; DILT-CD; Diltia XT
CARDIZEM LA 3 NFTablet Sustained Release 24 hr Cartia XT; DILT-CD; Diltia XT
CARDURA 3 NFTablet doxazosin; prazosin; terazosin
CARESENS N 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CARESENS N 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CARESENS N TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
CARESENS N VOICE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CARESENS N VOICE 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CARMOL HC 3 NFCream Consult your physician
CARNITOR 3 NFSolution Carnitor Sugar-Free; levocarnitine; levocarnitine (with
sugar)
CARNITOR 3 NFTablet Carnitor Sugar-Free; levocarnitine; levocarnitine (with
sugar)
CARTEOLOL 2 1Drops
CASODEX 3 NFTablet bicalutamide
CATAFLAM 3 NFTablet diclofenac; naproxen; ibuprofen
CATAPRES 3 NFTablet clonidine; guanfacine; methyldopa
CATAPRES-TTS-1 3 NFPatch Weekly clonidine; guanfacine; methyldopa
CATAPRES-TTS-2 3 NFPatch Weekly clonidine; guanfacine; methyldopa
CATAPRES-TTS-3 3 NFPatch Weekly clonidine; guanfacine; methyldopa
CAVAN-EC SOD DHA 2 3Combo Pack, Tablet & Cap,DR Prenatal Vitamins, Generic
CEDAX 2 NFCapsule cefdinir; ceftibuten; cefditoren pivoxil
CEDAX 3 NFSuspension for Reconstitution cefdinir; ceftibuten; cefditoren pivoxil
CEFDITOREN PIVOXIL 2 3Tablet cefdinir
CEFPODOXIME 2 3Suspension for Reconstitution cefdinir
CEFPROZIL 3 2Suspension for Reconstitution
CEFPROZIL 3 2Tablet
CEFTIBUTEN 2 3Capsule cefdinir
CEFTIBUTEN 2 3Suspension for Reconstitution cefdinir
CEFTIN 3 NFTablet cefuroxime axetil; cefprozil; cefdinir
Page 9 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesCELEXA 3 NFTablet citalopram; escitalopram oxalate;
sertraline
CELLCEPT 3 NFCapsule mycophenolate mofetil
CELLCEPT 3 NFSuspension for Reconstitution mycophenolate mofetil
CELLCEPT 3 NFTablet mycophenolate mofetil
CENTANY 3 NFOintment mupirocin; mupirocin calcium
CEPHALEXIN 2 1Capsule
CEREFOLIN 3 NFTablet L-Methyl-MC; Metafolbic
CEREFOLIN NAC 3 NFTablet Metafolbic Plus; L-Methyl-MC NAC; ALZ-NAC
CEREFOLIN NAC (ALGAL OIL) 4 NFTablet Lmefol Ca-acetyl-meB12-algal; Metafolbic Plus RF
CETRAXAL 3 NFDropperette ciprofloxacin; ofloxacin
CHLORPROMAZINE 3 2Tablet
CHOICEDM CLARUS 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CHOICEDM CLARUS 3 NFStrip CONSULT YOUR PHYSICIAN
CHOICEDM G20 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CHOICEDM G20 3 NFStrip CONSULT YOUR PHYSICIAN
CHOLESTYRAMINE (WITH SUGAR) 2 3Powder colestipol
CHOLESTYRAMINE (WITH SUGAR) 2 3Powder in Packet colestipol
CHOLESTYRAMINE LIGHT 2 3Powder in Packet colestipol
CHOLESTYRAMINE LIGHT 2 3Powder colestipol
CICLODAN 2 3Cream CONSULT YOUR PHYSICIAN
CICLOPIROX-VITE-NAIL LACQ REMO 3 NFKit CONSULT YOUR PHYSICIAN
CILOXAN 2 3Ointment ciprofloxacin; ofloxacin
CILOXAN 3 NFDrops ciprofloxacin; ofloxacin; gatifloxacin
CIMETIDINE 1 3Tablet ranitidine HCl
CIMZIA 4 NFSyringe Kit Humira; Enbrel; Remicade
CIMZIA STARTER KIT 4 NFSyringe Kit Humira; Enbrel; Remicade
CIPRO 2 NFSuspension, Microcapsule Recon
ciprofloxacin; levofloxacin; moxifloxacin
CIPRO 3 NFTablet ciprofloxacin; levofloxacin; moxifloxacin
CIPRO HC 3 NFDrops, Suspension ciprofloxacin; ofloxacin; levofloxacin
CIPRO XR 3 NFTab, Multiphasic Release 24 hr ciprofloxacin; levofloxacin; moxifloxacin
CIPRODEX 2 3Drops, Suspension neomycin-polymyxin-HC; ofloxacin; ciprofloxacin
CIPROFLOXACIN 2 1Drops
Page 10 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesCIPROFLOXACIN (MIXTURE) 2 3Tab, Multiphasic Release 24 hr ciprofloxacin; levofloxacin;
moxifloxacin
CITRANATAL 90 DHA (NEW FORMULA 2 NFCombo Pack Prenatal Vitamins, Generic
CITRANATAL ASSURE 2 NFCombo Pack Prenatal Vitamins, Generic
CITRANATAL B-CALM (FE GLUC) 2 NFTablet, Sequential Prenatal Vitamins, Generic
CITRANATAL DHA (NEW FORMULA) 2 NFCombo Pack Prenatal Vitamins, Generic
CITRANATAL HARMONY 3 NFCapsule Prenatal Vitamins, Generic
CITRANATAL RX (NEW FORMULA) 3 NFTablet Prenatal Vitamins, Generic
CLARIFOAM EF 3 NFFoam sulfacetamide sodium-sulfur
CLARINEX 3 NFTablet cetirizine ; fexofenadine ; desloratadine
CLARINEX 3 NFTablet, Rapid Dissolve cetirizine ; fexofenadine ; desloratadine
CLARITHROMYCIN 3 2Tablet Sustained Release 24 hr
CLENIA EMOLLIENT 3 NFCream sulfacetamide sodium-sulfur
CLEOCIN 3 NFRecon Soln clindamycin palmitate HCl
CLEOCIN 3 NFCream clindamycin phosphate; Clindesse
CLEOCIN 3 NFCapsule clindamycin HCl
CLEOCIN T 3 NFGel clindamycin phosphate
CLEOCIN T 3 NFLotion clindamycin phosphate
CLEOCIN T 3 NFSolution clindamycin phosphate
CLEOCIN T 3 NFSwab clindamycin phosphate
CLEVER CHEK BLOOD GLUCOSE 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CLEVER CHEK BLOOD GLUCOSE SYST 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CLEVER CHOICE BLOOD GLUC SYS 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CLEVER CHOICE GLUCOSE MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CLEVER CHOICE MICRO 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CLEVER CHOICE MICRO TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
CLEVER CHOICE PRO 3 NFStrip CONSULT YOUR PHYSICIAN
CLEVER CHOICE PRO 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 11 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesCLEVER CHOICE TALK GLUCOSE SYS 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
CLEVER CHOICE TALK TEST 3 NFStrip CONSULT YOUR PHYSICIAN
CLEVER CHOICE TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
CLEVER CHOICE VOICE+ TEST 3 NFStrip CONSULT YOUR PHYSICIAN
CLIMARA 3 NFPatch Weekly Menostar; estradiol patch
CLINDACIN ETZ 2 3Swab erythromycin with ethanol
CLINDAGEL 3 4Gel clindamycin phosphate
CLINDAMYCIN PHOSPHATE 2 3Lotion erythromycin with ethanol
CLOBETASOL-EMOLLIENT 2 1Cream
CLOBEX 2 3Spray, Non-Aerosol clobetasol cream; clobetasol oint
CLOBEX 3 NFLotion clobetasol propionate; fluocinonide; alclometasone
CLOBEX 3 NFShampoo clobetasol propionate; fluocinonide; alclometasone
CLOMIPRAMINE 2 4Capsule amitriptyline; nortriptyline; doxepin
CLONAZEPAM 3 2Tablet, Rapid Dissolve
CLOZAPINE 2 3Tablet olanzapine; quetiapine; risperidone
CLOZARIL 4 NFTablet clozapine; olanzapine; quetiapine
COLAZAL 3 NFCapsule sulfasalazine; Apriso; balsalazide
COLESTID 3 NFGranules Cholestyramine Light; colestipol; Prevalite
COLESTID 3 NFPacket Cholestyramine Light; colestipol; Prevalite
COLESTID 3 NFTablet Cholestyramine Light; colestipol; Prevalite
COLESTID FLAVORED 3 NFGranules Cholestyramine Light; colestipol; Prevalite
COLESTIPOL 2 3Granules colestipol
COLYTE WITH FLAVOR PACKS 2 NFRecon Soln PEG-3350 with flavor packs; TriLyte With Flavor Packets
COMBIGAN 2 3Drops brimonidine + timolol maleate
COMBIVENT RESPIMAT 3 NFAerosol CONSULT YOUR PHYSICIAN
COMBIVIR 4 NFTablet lamivudine-zidovudine
COMFORT PAC-IBUPROFEN 3 1Kit
COMFORT PAC-MELOXICAM 3 2Kit
COMPAZINE 3 NFSuppository prochlorperazine; promethazine
COMPAZINE 3 NFTablet prochlorperazine; promethazine
COMPLERA 3 4Tablet CONSULT YOUR PHYSICIAN
COMPLETENATE 2 1Tablet, Chewable
COMPRO 1 2Suppository Consult your physician
Page 12 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesCOMTAN 3 NFTablet entacapone
CONCEPT DHA 2 NFCapsule Prenatal Vitamins, Generic
CONCEPT OB 1 NFCapsule Prenatal Vitamins, Generic
CONCERTA 3 NFTablet Extended Rel 24 hr methylphenidate; Metadate ER; dexmethylphenidate
CONDYLOX 3 NFSolution podofilox; tretinoin (topical)
CONTOUR LINK 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CONTOUR METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CONTOUR NEXT EZ METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CONTOUR NEXT METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CONTOUR NEXT STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
CONTOUR NEXT USB METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
CONTOUR TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
CONTOUR USB 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
COPAXONE 4 NFSyringe Kit CONSULT YOUR PHYSICIAN
COPEGUS 4 NFTablet ribavirin
CORDARONE 3 NFTablet amiodarone; Pacerone; Multaq
CORDRAN 2 4Cream Cordran (lotion)
COREG 3 NFTablet carvedilol; labetalol; bisoprolol fumarate
CORGARD 3 NFTablet nadolol; propranolol; timolol maleate
CORTEF 3 NFTablet CONSULT YOUR PHYSICIAN
CORTENEMA 3 NFEnema HYDROCORTISONE 100 MG ENEMA
CORTISPORIN 3 NFSolution neomycin-polymyxin-HC
CORVITE 150 2 NFTablet Prental Vitamins, Generic
CORZIDE 3 NFTablet nadolol-bendroflumethiazide
COSOPT 3 NFDrops dorzolamide-timolol
COZAAR 3 NFTablet losartan; irbesartan; candesartan
CROMOLYN 2 1Drops
CUTIVATE 3 NFCream fluticasone; mometasone; hydrocortisone butyrate
Page 13 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesCUTIVATE 4 NFLotion fluticasone; mometasone;
hydrocortisone butyrate
CYCLESSA (28) 3 NFTablet Velivet Triphasic Regimen (28); Viorele (28)
CYCLOGYL 3 NFDrops cyclopentolate; atropine
CYMBALTA 3 NFCapsule, Delayed Release(E.C.) duloxetine; venlafaxine; desvenlafaxine fumarate
CYTOTEC 3 NFTablet misoprostol
CYTRA-3 1 2Solution Cytra-2; Cytra-K
D.H.E.45 4 NFSolution dihydroergotamine; Ergomar
DANTRIUM 3 NFCapsule dantrolene
DAYPRO 3 NFTablet oxaprozin; naproxen; ibuprofen
DDAVP 4 NFTablet desmopressin
DDAVP 4 NFSolution desmopressin
DDAVP 3 NFSolution desmopressin
DDAVP 3 NFAerosol, Spray desmopressin
DELZICOL 3 NFCapsule, Delayed Release(E.C.) sulfasalazine; Apriso; balsalazide
DEMADEX 3 NFTablet furosemide; bumetanide; torsemide
DEMEROL 3 NFTablet meperidine; morphine; oxycodone
DENAVIR 3 NFCream acyclovir; famciclovir; valacyclovir
DEPAKENE 3 NFSolution valproic acid; divalproex; Stavzor
DEPAKENE 4 NFCapsule valproic acid; divalproex; Stavzor
DEPAKOTE 3 NFTablet, Delayed Release (E.C.) valproic acid; divalproex; Stavzor
DEPAKOTE ER 3 NFTablet Sustained Release 24 hr valproic acid; divalproex; Stavzor
DEPAKOTE SPRINKLES 3 NFCapsule, Sprinkle divalproex
DEPLIN 3 NFTablet levomefolate calcium; L-Methylfolate
DEPLIN (ALGAL OIL) 3 NFCapsule L-Methylfolate Forte; L-Methylfolate Formula
DEPO-PROVERA 3 NFSuspension medroxyprogesterone inj; Depo-SubQ provera 104
DEPO-PROVERA 3 NFSyringe medroxyprogesterone inj; Depo-SubQ provera 104
DERMA-SMOOTHE/FS BODY OIL 3 NFOil FLUOCINOLONE 0.01% BODY OIL
DERMA-SMOOTHE/FS SCALP OIL 3 NFOil FLUOCINOLONE 0.01% BODY OIL
DERMATOP 3 NFCream prednicarbate
DERMATOP 3 NFOintment prednicarbate
DERMOTIC OIL 3 NFDrops fluocinolone acetonide oil
DESMOPRESSIN 3 4Solution CONSULT YOUR PHYSICIAN
DESOGEN 3 NFTablet Reclipsen (28); Apri
DESONIDE 2 3Cream hydrocortisone
DESONIDE 2 3Ointment hydrocortisone
Page 14 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesDESOWEN 3 NFCream desonide; hydrocortisone;
dexamethasone
DESOWEN 3 NFLotion desonide; hydrocortisone; dexamethasone
DESOXYN 3 NFTablet methamphetamine; dextroamphetamine;
methylphenidate
DESVENLAFAXINE 2 3Tablet Sustained Release 24 hr venlafaxine; desvenlafaxine fumarate; duloxetine hcl
DETROL 3 NFTablet oxybutynin chloride; oxybutynin chloride ER; tolterodine
DETROL LA 3 NFCapsule, Sust. Release 24 hr oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
DEXAMETHASONE 1 2Solution CONSULT YOUR PHYSICIAN
DEXAMETHASONE INTENSOL 1 2Drops CONSULT YOUR PHYSICIAN
DEXAMETHASONE SODIUM PHOSPHATE 1 2Drops CONSULT YOUR PHYSICIAN
DEXCOM G4 RECEIVER PEDIATRIC 4 NFMisc CONSULT YOUR PHYSICIAN
DEXEDRINE SPANSULE 3 NFCapsule, Sustained Release dextroamphetamine; Amphetamine Salt Combo;
methylphenidate
DEXPAK 13 DAY 2 3Tablets, Dose Pack CONSULT YOUR PHYSICIAN
DEXTROAMPHETAMINE 2 3Tablet methylphenidate; Metadate ER; Vyvanse
DEXTROAMPHETAMINE-AMPHETAMINE 3 NFCapsule, Sust. Release 24 hr methylphenidate; Metadate ER; dexmethylphenidate
DIABETA 3 NFTablet glyburide; glipizide; glimepiride
DIAMOX SEQUELS 3 NFCapsule, Sustained Release acetazolamide
DIASTAT 3 NFKit Diazepam Rectal Gel System
DIASTAT ACUDIAL 3 NFKit Diazepam Rectal Gel System
DIAZEPAM INTENSOL 1 2Concentrate CONSULT YOUR PHYSICIAN
DICLOFENAC SODIUM 1 2Tablet, Delayed Release (E.C.) meloxicam; diclofenac potassium; ibuprofen
DICLOXACILLIN 1 2Capsule CONSULT YOUR PHYSICIAN
DICYCLOMINE 1 3Solution dicyclomine tablet
DIDRONEL 3 NFTablet etidronate disodium
DIFFERIN 2 NFCream adapalene; tretinoin
DIFFERIN 2 NFGel adapalene; tretinoin
DIFLUCAN 3 NFSuspension for Reconstitution fluconazole
DIFLUCAN 3 NFTablet fluconazole
DIGEX NF 3 NFCapsule dicyclomine; HyoMax-SL; hyoscyamine sulfate
DIGOXIN 1 2Tablet Digox; Lanoxin
DILACOR XR 3 NFCapsule,Degradable Cnt Release
Diltia XT; diltiazem HCl; DILT-XR
DILANTIN EXTENDED 3 NFCapsule phenytoin sodium extended
Page 15 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesDILANTIN INFATABS 3 NFTablet, Chewable phenytoin
DILANTIN-125 3 NFSuspension phenytoin
DILAUDID 3 NFLiquid hydromorphone; morphine; oxycodone
DILAUDID 3 NFTablet hydromorphone; morphine; oxycodone
DILTIAZEM HCL 3 4Powder diltiazem HCl
DIOVAN 2 NFTablet losartan; candesartan; irbesartan
DIOVAN HCT 3 NFTablet losartan-hydrochlorothiazide; irbesartan-hydrochlorothiazide; candesartan-hydrochlorothiazide
DIPHENHYDRAMINE HCL 1 3Elixir CONSULT YOUR PHYSICIAN
DIPROLENE 3 NFLotion betamethasone valerate; clobetasol; desoximetasone
DIPROLENE 3 NFOintment betamethasone valerate; clobetasol; desoximetasone
DIPROLENE AF 3 NFCream betamethasone, augmented; clobetasol; fluocinonide
DIPROLENE AF 3 NFCream mometasone; hydrocortisone butyrate; fluticasone
DIPYRIDAMOLE 2 1Tablet
DISKETS 2 NFTablet, Soluble methadone; morphine; oxycodone
DITROPAN XL 3 NFTablet Extended Rel 24 hr oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
DIVALPROEX 2 3Tablet Sustained Release 24 hr CONSULT YOUR PHYSICIAN
DIVALPROEX 2 3Capsule, Sprinkle CONSULT YOUR PHYSICIAN
DOCOSANOL (BULK) 3 NFPowder CONSULT YOUR PHYSICIAN
DOLOPHINE 2 NFTablet methadone; morphine; oxycodone
DORAL 3 NFTablet quazepam; temazepam; estazolam
DORYX 3 NFTablet, Delayed Release (E.C.) minocycline; doxycycline monohydrate
DORZOLAMIDE-TIMOLOL 2 1Drops
DOVONEX 3 NFCream calcipotriene
DOXYCYCLINE HYCLATE 2 NFCapsule doxycycline monohydrate
DOXYCYCLINE HYCLATE 2 NFTablet doxycycline monohydrate
DOXYCYCLINE HYCLATE 3 NFTablet, Delayed Release (E.C.) doxycycline monohydrate
DRISDOL 3 NFCapsule ergocalciferol (vitamin D2)
DRITHOCREME HP 2 3Cream Consult your physician
DROSPIRENONE-ETHINYL ESTRADIOL 1 2Tablet Consult your physician
DRYSOL DAB-O-MATIC 3 NFSolution Xerac AC
DUAC 3 NFGel, Sustained Release clindamycin-benzoyl peroxide; Acanya
DUET DHA BALANCED 3 NFCombo Pack, Tablet & Cap,DR Prenatal Vitamins, Generic
DUET DHA BALANCED 4 3Combo Pack
Page 16 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesDUETACT 3 NFTablet pioglitazone-glimepiride
DUEXIS 3 NFTablet ibuprofen + famotidine; naproxen + famotidine; ibuprofen +
ranitidine hcl
DULOXETINE HCL (BULK) 3 4Powder venlafaxine hcl
DUONEB 4 NFSolution for Nebulization CONSULT YOUR PHYSICIAN
DURAGESIC 4 NFPatch 72 hr morphine; fentanyl; oxymorphone
DUREZOL 3 NFDrops prednisolone acetate; prednisolone sodium phosphate;
dexamethasone sodium phosphate
DYAZIDE 3 NFCapsule amiloride-hydrochlorothiazide; spironolacton-hydrochlorothiaz; triamterene-hydrochlorothiazid
DYMISTA 2 NFSpray, Non-Aerosol fluticasone; azelastine; flunisolide
DYNACIN 4 NFTablet minocycline
EASY CHECK BLOOD GLUCOSE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY CHECK GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY CHECK TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EASY GLUCO G2 3 NFStrip CONSULT YOUR PHYSICIAN
EASY PLUS 3 NFStrip CONSULT YOUR PHYSICIAN
EASY PLUS BLOOD GLUCOSE KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY PLUS GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY PLUS II BLOOD GLUCOSE MET 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY PLUS II TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EASY STEP 3 NFStrip CONSULT YOUR PHYSICIAN
EASY STEP BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY STEP BLOOD GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY TALK BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 17 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesEASY TALK GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
EASY TALK GLUCOSE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EASY TOUCH 3 NFStrip CONSULT YOUR PHYSICIAN
EASY TRAK BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY TRAK GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASY TRAK GLUCOSE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EASYGLUCO METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYGLUCO MONITORING SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYGLUCO PLUS 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYGLUCO PLUS 3 NFStrip CONSULT YOUR PHYSICIAN
EASYGLUCO TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EASYMAX 3 NFStrip CONSULT YOUR PHYSICIAN
EASYMAX 15 3 NFStrip CONSULT YOUR PHYSICIAN
EASYMAX L BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYMAX L GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYMAX N 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYMAX N BLOOD GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYMAX NG 3 NFKit CONSULT YOUR PHYSICIAN
EASYMAX V GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYMAX V SPEAKING GLUCOSE SYS 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYMAX V2 BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 18 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesEASYMAX V2 GLUCOSE SYSTEM KIT 3 NFKit Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
EASYPLUS R13N 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EASYPLUS V GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ECLIPSE GLUCOSE MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ECLIPSE TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
EC-NAPROSYN 3 NFTablet, Delayed Release (E.C.) naproxen; ibuprofen; meloxicam
EDARBI 3 NFTablet irbesartan; candesartan; losartan
EDARBYCLOR 3 NFTablet irbesartan-hydrochlorothiazide; losartan-hydrochlorothiazide; lisinopril-hydrochlorothiazide
EDURANT 3 4Tablet CONSULT YOUR PHYSICIAN
EFFEXOR XR 3 NFCapsule, Sust. Release 24 hr duloxetine; venlafaxine; desvenlafaxine fumarate
EFUDEX 3 NFCream fluorouracil
ELDEPRYL 3 NFCapsule selegiline HCl
ELEMENT BLOOD GLUCOSE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ELEMENT COMPACT TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
ELEMENT PLUS BLOOD GLUCOSE KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ELEMENT PLUS TEST 3 NFStrip CONSULT YOUR PHYSICIAN
ELEMENT TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
ELESTAT 3 NFDrops epinastine; azelastine
ELMIRON 3 4Capsule phenazopyridine; Phenazopyridine Plus
ELOCON 3 NFSolution mometasone; hydrocortisone butyrate; fluticasone
ELOCON 3 NFCream mometasone; hydrocortisone butyrate; fluticasone
ELOCON 3 NFOintment mometasone; hydrocortisone butyrate; fluticasone
EMBRACE BLOOD GLUCOSE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EMBRACE BLOOD GLUCOSE SYSTEM 3 NFStrip CONSULT YOUR PHYSICIAN
Page 19 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesEMBRACE BLOOD GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
EMBRACE EVO BLOOD GLUCOSE KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EMBRACE EVO TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
EMBRACE PRO GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EMBRACE PRO TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
EMLA 3 NFCream lidocaine-prilocaine
ENABLEX 3 NFTablet Sustained Release 24 hr oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
ENLITE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ENOXAPARIN 3 4Solution Consult Your Physician
ENOXAPARIN 3 4Syringe Consult Your Physician
ENVISION MONITORING SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ENVISION TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
EPIVIR 3 4Solution CONSULT YOUR PHYSICIAN
EPIVIR 3 NFTablet lamivudine
EPIVIR HBV 3 NFTablet lamivudine
EPZICOM 3 4Tablet CONSULT YOUR PHYSICIAN
ERGOLOID 3 4Tablet isoxsuprine; papaverine
ERY-TAB 2 3Tablet, Delayed Release (E.C.) clarithromycin; azithromycin
ERYTHROMYCIN-BENZOYL PEROXIDE 2 3Gel erythromycin with ethanol
ESCAVITE 3 NFTablet, Chewable CONSULT YOUR PHYSICIAN
ESCITALOPRAM OXALATE 3 2Solution
ESGIC 3 NFCapsule butalbital-acetaminophen-caff; Fioricet; Capacet
ESGIC 3 NFTablet butalbital-acetaminophen-caff; Fioricet; Capacet
ESGIC-PLUS 3 NFCapsule butalbital-acetaminophen-caff; Fioricet; Capacet
ESGIC-PLUS 3 NFTablet butalbital-acetaminophen-caff; Fioricet; Capacet
ESTRACE 3 NFTablet estradiiol
ESTROSTEP FE-28 3 NFTablet Gildess FE; Junel FE 1.5/30 (28)
ETHRANE 3 NFGas isoflurane; sevoflurane; Suprane
ETODOLAC 2 3Tablet Sustained Release 24 hr diclofenac sodium; meloxicam
ETODOLAC 1 2Tablet diclofenac sodium; meloxicam
Page 20 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesEVENCARE 3 NFKit Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
EVENCARE G2 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EVENCARE G2 3 NFSolution CONSULT YOUR PHYSICIAN
EVENCARE G2 3 NFStrip CONSULT YOUR PHYSICIAN
EVENCARE G3 TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EVENCARE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EVISTA 3 NFTablet alendronate (for osteoporosis indication); Tamoxifen (for breast
cancer prophylaxis indication)
EVOCLIN 3 NFFoam clindamycin phosphate; clindamycin-benzoyl peroxide; erythromycin-benzoyl peroxide
EVOLUTION BLOOD GLUCOSE METER 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EVOLUTION TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
EVOXAC 3 NFCapsule cevimeline; pilocarpine HCl
EXALGO ER 4 NFTablet Sustained Release 24 hr hydromorphone; morphine; oxymorphone
EXELON 2 3Patch 24 hr rivastigmine tartrate; galantamine; donepezil
EXELON 3 NFCapsule rivastigmine tartrate; galantamine; donepezil
EXFORGE 2 NFTablet losartan; amlodipine; candesartan
EXFORGE HCT 2 NFTablet losartan-hydrochlorothiazide; amlodipine; irbesartan-
hydrochlorothiazide
EXTAVIA 4 NFKit Betaseron
EXTINA 3 NFFoam clindamycin phosphate; clindamycin-benzoyl peroxide; erythromycin-benzoyl peroxide
EXTRA-VIRT PLUS DHA 1 3Capsule Prenatal Vitamins, Generic
EZ SMART PLUS SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EZ SMART PLUS TEST 3 NFStrip CONSULT YOUR PHYSICIAN
EZ SMART SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
EZ SMART TEST 3 NFStrip CONSULT YOUR PHYSICIAN
FABB 2 1Tablet
FAMOTIDINE 1 3Tablet ranitidine HCl
Page 21 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesFAMVIR 3 NFTablet acyclovir; famciclovir; valacyclovir
FANAPT 4 NFTablet risperidone; olanzapine; quetiapine
FANAPT 3 4Tablets, Dose Pack risperidone; quetiapine; olanzapine
FAZACLO 3 NFTablet, Rapid Dissolve clozapine; olanzapine; quetiapine
FELBATOL 4 NFSuspension felbamate
FELBATOL 4 NFTablet felbamate
FELDENE 3 NFCapsule piroxicam; naproxen; ibuprofen
FEM PH 2 NFGel Relagard
FEMARA 4 NFTablet letrozole
FEMCON FE 3 NFTablet, Chewable Zenchent Fe; Wymzya Fe
FEMHRT 1/5 3 NFTablet Jinteli
FENOFIBRATE MICRONIZED 3 2Capsule
FENOFIBRATE NANOCRYSTALLIZED 3 2Tablet
FENOFIBRIC ACID 3 2Tablet
FEROTRINSIC 2 NFCapsule Ferocon; TL Icon; Tricon
FERRALET 90 DUAL-IRON DELIVERY 2 NFTablet FE 90 Plus; NATALVIRT FLT
FEXMID 3 NFTablet cyclobenzaprine; baclofen; tizanidine
FIBRICOR 3 NFTablet fenofibrate; gemfibrozil
FIFTY50 TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
FIORICET WITH CODEINE 3 NFCapsule butalbital-acetaminop-caf-cod
FIORINAL 3 NFCapsule butalbital-aspirin-caffeine; butalbital-acetaminophen-caff
FIORINAL-CODEINE #3 3 NFCapsule Butalbital Compound W/Codeine; Ascomp with Codeine
FIRST-OMEPRAZOLE 3 NFSuspension for Reconstitution omeprazole; pantoprazole; lansoprazole
FLAGYL 3 NFCapsule metronidazole
FLAGYL 3 NFTablet metronidazole
FLEXERIL 3 NFTablet cyclobenzaprine; baclofen; tizanidine
FLOMAX 3 NFCapsule, Sust. Release 24 hr tamsulosin; alfuzosin
FLONASE 3 NFSpray, Suspension fluticasone; flunisolide; Nasonex
FLUARIX 2013-2014 (PF) 4 3Syringe
FLUARIX QUAD 2013-2014 (PF) 4 3Syringe
FLUBLOK 2013-2014 (PF) 3 4Solution CONSULT YOUR PHYSICIAN
FLUCONAZOLE 1 2Tablet CONSULT YOUR PHYSICIAN
FLUMADINE 3 NFTablet rimantadine
FLUOCINOLONE 2 3Oil clobetasol; betamethasone dipropionate
FLUOCINOLONE ACETONIDE OIL 2 3Drops betamethasone dipropionate
Page 22 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesFLUOCINOLONE-SHOWER CAP 2 3Oil consult your physician
FLUOCINONIDE 1 2Cream clobetasol
FLUOCINONIDE 1 4Cream clobetasol
FLUOCINONIDE-EMOLLIENT 1 2Cream clobetasol
FLUOXETINE 1 2Capsule citalopram; escitalopram oxalate; sertraline
FLURBIPROFEN (BULK) 3 4Powder diclofenac sodium (bulk); etodolac (bulk); ibuprofen (bulk)
FLURESS 3 NFDrops CONSULT YOUR PHYSICIAN
FLUTAMIDE 3 2Capsule
FLUTICASONE PROPIONATE (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
FLUVOXAMINE 2 1Tablet
FML LIQUIFILM 3 NFDrops, Suspension sulfacetamide-prednisolone; fluorometholone + sulfacetamide
sodium
FOCALIN 3 NFTablet methylphenidate; Metadate ER; dexmethylphenidate
FOCALIN XR 3 NFCapsule, Multiphasic Rel.50-50 methylphenidate; Metadate ER; dexmethylphenidate
FOLBECAL 2 1Tab, Multiphasic Release 24 hr
FOLGARD OS 3 NFTablet Calcium-Folic Acid-Vitamin D; folic acid; TL G-Fol OS
FOLGARD RX 2 NFTablet CONSULT YOUR PHYSICIAN
FOLTRATE 1 NFTablet CONSULT YOUR PHYSICIAN
FOLTX 3 NFTablet CONSULT YOUR PHYSICIAN
FONDAPARINUX 3 4Syringe enoxaparin
FORA D10 3 NFStrip CONSULT YOUR PHYSICIAN
FORA D15C 3 NFStrip CONSULT YOUR PHYSICIAN
FORA D15G 3 NFStrip CONSULT YOUR PHYSICIAN
FORA D15Z 3 NFStrip CONSULT YOUR PHYSICIAN
FORA D20 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA D20 3 NFStrip CONSULT YOUR PHYSICIAN
FORA G20 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA G20 3 NFStrip CONSULT YOUR PHYSICIAN
FORA G30A 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA G30A 3 NFStrip CONSULT YOUR PHYSICIAN
FORA G71A 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 23 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesFORA G71A 3 NFStrip CONSULT YOUR PHYSICIAN
FORA G90 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA G90 3 NFStrip CONSULT YOUR PHYSICIAN
FORA TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
FORA V10 3 NFStrip CONSULT YOUR PHYSICIAN
FORA V10 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V12 BLOOD GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V12 BLOOD GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V12 GLUCOSE 3 NFStrip CONSULT YOUR PHYSICIAN
FORA V20 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V20 3 NFStrip CONSULT YOUR PHYSICIAN
FORA V22 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V22 3 NFStrip CONSULT YOUR PHYSICIAN
FORA V30A 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V30A 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORA V30A 3 NFStrip CONSULT YOUR PHYSICIAN
FORACARE GD20 3 NFStrip CONSULT YOUR PHYSICIAN
FORACARE GD20 GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORACARE GD40 3 NFStrip CONSULT YOUR PHYSICIAN
FORACARE GD40A GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORACARE GD40B GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FORANE 3 NFLiquid isoflurane; sevoflurane; Suprane
FORMADON 3 2Solution
FORTAMET 3 NFTablet Extended Rel 24 hr metformin, extended release (generic for Glucophage XR)
Page 24 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesFORTESTA 3 NFGel in Metered-dose Pump Androgel
FORTICAL 3 NFSpray, Non-Aerosol calcitonin (salmon)
FOSAMAX 3 NFTablet alendronate; PEG-3350 with flavor packs
FREESTYLE FLASH SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE FREEDOM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE FREEDOM LITE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE INSULINX 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE INSULINX 3 NFStrip CONSULT YOUR PHYSICIAN
FREESTYLE INSULINX TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
FREESTYLE LANCETS 1 NFMisc CONSULT YOUR PHYSICIAN
FREESTYLE LITE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE LITE STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
FREESTYLE SIDEKICK II 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE SYSTEM KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
FREESTYLE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
FURADANTIN 3 NFSuspension nitrofurantoin; nitrofurantoin macrocrystal
G-4 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
G-4 TEST 3 NFStrip CONSULT YOUR PHYSICIAN
GABAPENTIN (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
GABITRIL 4 NFTablet tiagabine
GASTROCROM 4 NFSolution cromolyn
GASTROGRAFIN 3 NFSolution MD-Gastroview; Cystografin; Cystografin-Dilute
GATIFLOXACIN 2 3Drops ciprofloxacin; ofloxacin
GDRIVE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 25 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesGE100 BLOOD GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
GE100 BLOOD GLUCOSE TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
GELNIQUE 2 NFGel in Metered-dose Pump oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
GELNIQUE 2 NFGel in Packet oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
GENTAK 1 2Ointment erythromycin
GENTLE DRAW LANCING DEVICE 3 1Misc
GEODON 3 NFCapsule ziprasidone HCl; olanzapine; quetiapine
GESTICARE DHA 3 2Combo Pack, Tab MP 24hr & Cap
GLUCAGEN 4 3Recon Soln
GLUCO NAVII GLUCOSE MONITOR 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCO NAVII TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
GLUCOCARD 01 METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOCARD 01 SENSOR 3 NFStrip CONSULT YOUR PHYSICIAN
GLUCOCARD 01-MINI 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOCARD EXPRESSION 3 NFStrip CONSULT YOUR PHYSICIAN
GLUCOCARD EXPRESSION 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOCARD EXPRESSION 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOCARD VITAL 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOCARD VITAL SENSOR 3 NFStrip CONSULT YOUR PHYSICIAN
GLUCOCOM BLOOD GLUCOSE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOCOM GLUCOSE 3 NFStrip CONSULT YOUR PHYSICIAN
GLUCOLAB 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GLUCOLAB 3 NFStrip CONSULT YOUR PHYSICIAN
GLUCOPHAGE 3 NFTablet metformin
GLUCOPHAGE XR 3 NFTablet Sustained Release 24 hr metformin, extended release
Page 26 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesGLUCOSOURCE 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
GLUCOTROL 3 NFTablet glipizide; glyburide; glimepiride
GLUCOTROL XL 3 NFTablet Extended Rel 24 hr glipizide ER
GLUCOVANCE 3 NFTablet glyburide-metformin
GLUTOSE 15 3 NFGel dextrose; Gluco Burst; Dex4 Glucose
GLUTOSE 45 3 NFGel dextrose; Gluco Burst; Dex4 Glucose
GLYCOPYRROLATE 3 2Tablet
GLYNASE 3 NFTablet glyburide; glimepiride; glipizide
GM100 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GM100 3 NFStrip CONSULT YOUR PHYSICIAN
GMATE TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
GMATE VOICE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GMATE VOICE STARTER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
GOLYTELY 2 NFRecon Soln polyethylene glycol 3350; PEG-3350 with flavor packs
GRANISETRON 4 2Tablet
GRIFULVIN V 3 NFTablet griseofulvin microsize
GRIS-PEG (ULTRAMICROSIZE) 3 NFTablet griseofulvin microsize
HALCION 3 NFTablet triazolam; quazepam; temazepam
HALOBETASOL PROPIONATE 2 3Ointment clobetasol
HALOBETASOL PROPIONATE 2 3Cream clobetasol
HALOPERIDOL 1 2Tablet CONSULT YOUR PHYSICIAN
HECORIA 2 3Capsule CONSULT YOUR PHYSICIAN
HECTOROL 4 NFCapsule ergocalciferol (vit d2)
HEMANGEOL 3 NFSolution nadolol; propranolol; timolol maleate
HEMATRON-AF 2 NFTablet Sustained Release 24 hr TL-Hem 150; Hemax
HEMENATAL OB 3 2Tablet
HEMOCYTE-F 1 NFTablet Centratex; Hematinic/Folic Acid
HEMOCYTE-PLUS 3 NFCapsule Centratex; Hematinic/Folic Acid
HEPARIN (PORCINE) 3 4Powder Consult Your Physician
HEPSERA 4 NFTablet adefovir
HIPREX 3 NFTablet Phosphasal; UR N-C; Urin DS
Page 27 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesHUMATROPE 4 NFCartridge Genotropin Miniquick; Nutropin
AQ, Nutropin
HYCET 3 NFSolution hydrocodone-acetaminophen; hydrocodone-ibuprofen; acetaminophen-codeine
HYDREA 3 NFCapsule hydroxyurea
HYDRO 40 3 NFFoam urea
HYDROCORTISONE ACETATE 1 2Suppository ProctoCream-HC; Proctozone-HC
HYDROCORTISONE BUTYR-EMOLLIENT 2 3Cream triamcinolone acetonide
HYDROCORTISONE VALERATE 2 3Cream triamcinolone acetonide
HYDROMORPHONE 3 2Liquid
HYDROQUINONE (BULK) 3 4Powder Consult your physician
HYDROXOCOBALAMIN 4 3Solution
HYDROXYUREA 2 1Capsule
HYLATOPIC 3 NFFoam CONSULT YOUR PHYSICIAN
HYLATOPIC PLUS 3 NFCream CONSULT YOUR PHYSICIAN
HYLATOPIC PLUS 3 NFFoam CONSULT YOUR PHYSICIAN
HYPER-SAL 3 NFSolution for Nebulization sodium chloride; Pulmosal; NebuSal
HYZAAR 3 NFTablet irbesartan-hydrochlorothiazide; losartan-hydrochlorothiazide; lisinopril-hydrochlorothiazide
IBG-STAR 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
IBUDONE 2 NFTablet hydrocodone-ibuprofen; acetaminophen-codeine;
hydrocodone-acetaminophen
ICAR-C PLUS 2 NFTablet NF; FE C Plus
ILEVRO 3 NFDrops, Suspension diclofenac sodium; ketorolac; flurbiprofen sodium
ILOTYCIN 1 NFOintment erythromycin
IMDUR 3 NFTablet Sustained Release 24 hr isosorbide dinitrate; isosorbide mononitrate; nitroglycerin
IMIQUIMOD (BULK) 3 4Powder Consult your physician
IMITREX 3 NFSolution sumatriptan; rizatriptan; naratriptan
IMITREX 3 NFSpray, Non-Aerosol sumatriptan; rizatriptan; naratriptan
IMITREX 3 NFTablet sumatriptan; rizatriptan; naratriptan
IMITREX STATDOSE KIT REFILL 4 NFCartridge sumatriptan; rizatriptan; naratriptan
IMITREX STATDOSE PEN 4 NFPen Injector sumatriptan; rizatriptan; naratriptan
IMURAN 3 NFTablet azathioprine
Page 28 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesINDERAL LA 4 NFCapsule,Sustained Action 24 hr nadolol; propranolol; timolol
maleate
INDOCIN 3 4Suppository indomethacin; meloxicam; naproxen
INFINITY METER KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
INFINITY STARTER KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
INFINITY TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
INNOPRAN XL 3 4Capsule, Sust. Release 24 hr propranolol
INSPRA 3 NFTablet eplerenone
INSTA-GLUCOSE 3 NFGel dextrose; Gluco Burst; Dex4 Glucose
INTEGRA F 1 NFCapsule Folivane-F
INTEGRA PLUS 1 NFCapsule Folivane-Plus
INTELENCE 3 4Tablet CONSULT YOUR PHYSICIAN
INTUNIV ER 3 NFTablet Sustained Release 24 hr clonidine; guanfacine
INVEGA 4 NFTablet Extended Rel 24 hr risperidone; olanzapine; quetiapine
INVIRASE 3 4Capsule CONSULT YOUR PHYSICIAN
INVIRASE 3 4Tablet CONSULT YOUR PHYSICIAN
IODOQUINOL-HC 2 3Cream CONSULT YOUR PHYSICIAN
IOPIDINE 3 NFDrops apraclonidine
IPRATROPIUM-ALBUTEROL 1 2Solution for Nebulization CONSULT YOUR PHYSICIAN
ISONIAZID 2 3Solution CONSULT YOUR PHYSICIAN
ISONIAZID 3 4Powder CONSULT YOUR PHYSICIAN
ISOPTO ATROPINE 3 NFDrops atropine
ISOPTO CARPINE 2 NFDrops pilocarpine HCl
ISOPTO HOMATROPINE 3 NFDrops homatropine HBr
ISORDIL TITRADOSE 2 NFTablet isosorbide dinitrate; isosorbide mononitrate; nitroglycerin
ISOSORBIDE MONONITRATE 2 1Tablet
ITRACONAZOLE 4 3Capsule
JALYN 2 NFCap, Multiphasic Release 24 hr finasteride + Tamsulosin
KADIAN 4 NFCapsule, Sust. Release Pellets morphine; Fentanyl; Opana ER
KALETRA 3 4Solution CONSULT YOUR PHYSICIAN
KALETRA 3 4Tablet CONSULT YOUR PHYSICIAN
KAPVAY 3 NFTablet Sustained Release 12 hr clonidine ER; guanfacine
KARBINAL ER 3 NFSuspension, Sust.Release 12 hr cetirizine; fexofenadine; desloratadine
KAYEXALATE 3 NFPowder sodium polystyrene sulfonate; sodium polystyrene (sorb free)
Page 29 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesKAZANO 3 NFTablet Janumet; Kombiglyze XR;
Jentadueto
K-EFFERVESCENT 1 2Tablet, Effervescent potassium chloride
KEFLEX 3 NFCapsule cephalexin
KEPPRA 4 NFSolution levetiracetam
KEPPRA 4 NFTablet levetiracetam
KEPPRA XR 4 NFTablet Sustained Release 24 hr levetiracetam ER
KERALYT RX 3 NFGel salicylic acid
KEROL 3 NFSuspension urea
KETAMINE (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
KETOPROFEN (BULK) 3 4Powder diclofenac sodium (bulk); etodolac (bulk); ibuprofen (bulk)
KEYNOTE 3 NFStrip CONSULT YOUR PHYSICIAN
KEYNOTE BLOOD GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
KEYNOTE PRO BLOOD GLUCOSE SYST 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
KIONEX 2 3Suspension consult your physician
KLARON 3 NFSuspension clindamycin-benzoyl peroxide; Acanya
KLONOPIN 3 NFTablet clonazepam
KLOR-CON 2 NFTablet Sustained Release potassium chloride
KLOR-CON 10 2 NFTablet Sustained Release potassium chloride; Klor-Con M10
KLOR-CON/EF 1 2Tablet, Effervescent potassium chloride
K-PHOS-NEUTRAL 3 NFTablet potassium chloride
K-TAB 3 NFTablet Sustained Release potassium chloride
LAC-HYDRIN 3 NFCream ammonium lactate
LAC-HYDRIN 3 NFLotion ammonium lactate; LAClotion
LAMICTAL 4 NFTablet lamotrigine
LAMICTAL ODT 3 4Tablet, Rapid Dissolve lamotrigine
LAMICTAL STARTER (BLUE) KIT 3 NFTablets, Dose Pack lamotrigine
LAMICTAL STARTER (ORANGE) KIT 3 NFTablets, Dose Pack lamotrigine
LAMICTAL XR 4 NFTablet Extended Rel 24 hr lamotrigine ER
LAMOTRIGINE 4 3Tablet Extended Rel 24 hr
LASIX 3 NFTablet furosemide; bumetanide; torsemide
LASTACAFT 3 NFDrops epinastine; azelastine
LATUDA 3 NFTablet ziprasidone HCl; olanzapine; quetiapine
LESCOL 3 NFCapsule simvastatin; pravastatin; lovastatin
LESCOL XL 3 NFTablet Sustained Release 24 hr fluvastatin; lovastatin; atorvastatin
Page 30 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesLEUCOVORIN CALCIUM 3 2Tablet
LEUCOVORIN CALCIUM (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
LEUCOVORIN CALCIUM (BULK) 3 4Powder leucovorin calcium
LEUKERAN 2 3Tablet Consult your physician
LEUPROLIDE 4 3Kit
LEVAQUIN 3 NFSolution levofloxacin; ciprofloxacin; moxifloxacin
LEVAQUIN 3 NFTablet levofloxacin; ciprofloxacin; moxifloxacin
LEVBID 3 NFTablet Sustained Release 12 hr dicyclomine; HyoMax-SL; hyoscyamine sulfate
LEVETIRACETAM 3 2Solution
LEVOBUNOLOL 2 1Drops
LEVOFLOXACIN 2 3Drops ciprofloxacin; ofloxacin
LEVOFLOXACIN (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
LEVSIN 3 NFTablet dicyclomine; HyoMax-SL; hyoscyamine sulfate
LEVSIN/SL 3 NFTablet, Sublingual dicyclomine; HyoMax-SL; hyoscyamine sulfate
LEVULAN 3 4Solution consult your physician
LEXAPRO 3 NFSolution citalopram; escitalopram oxalate; sertraline
LEXAPRO 3 NFTablet citalopram; escitalopram oxalate; sertraline
LEXIVA 2 4Suspension CONSULT YOUR PHYSICIAN
LEXIVA 3 4Tablet CONSULT YOUR PHYSICIAN
LIBERTY BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
LIBERTY BLOOD GLUCOSE MONITOR 3 1Misc
LIBERTY TEST 1 NFStrip CONSULT YOUR PHYSICIAN
LIBRAX (WITH CLIDINIUM) 4 NFCapsule chlordiazepoxide-clidinium
LIDOCAINE HCL 2 1Gel
LIDOCAINE HCL 2 1Jelly in Applicator
LIDOCAINE-PRILOCAINE 3 2Cream
LIDOCAINE-PRILOCAINE 3 2Kit
LIDODERM 3 NFAdhesive Patch, Medicated lidocaine ointment; gabapentin
LIPITOR 3 NFTablet atorvastatin; pravastatin; lovastatin
LIPTRUZET 3 NFTablet atorvastatin; pravastatin; lovastatin
LITHIUM CARBONATE 2 1Tablet Sustained Release
LITHOBID 3 NFTablet Sustained Release lithium carbonate
Page 31 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesLIVALO 3 NFTablet atorvastatin; pravastatin;
lovastatin
L-METHYLFOLATE 2 3Tablet folic acid
L-METHYLFOLATE FORTE 3 NFCapsule folic acid
LOCOID 3 NFCream hydrocortisone butyrate; mometasone; fluticasone
LOCOID 3 NFOintment hydrocortisone butyrate; mometasone; fluticasone
LOCOID 3 NFSolution hydrocortisone butyrate; mometasone; fluticasone
LOCOID LIPOCREAM 2 NFCream hydrocortisone butyrate; mometasone; fluticasone
LODOSYN 3 NFTablet carbidopa-levodopa
LOESTRIN 24 FE 3 NFTablet Minastrin 24 Fe; Gildess Fe
LOESTRIN FE 1/20 (28) 3 NFTablet Microgestin FE 1/20 (28); Gildess FE; Junel FE 1/20 (28)
LOMOTIL 3 NFTablet diphenoxylate-atropine
LO-OVRAL (28) 3 NFTablet Elinest; Cryselle (28)
LOPID 3 NFTablet fenofibrate; gemfibrozil
LOPRESSOR 3 NFTablet atenolol; metoprolol tartrate; bisoprolol fumarate
LOPRESSOR HCT 3 NFTablet atenolol-chlorthalidone; metoprolol ta-hydrochlorothiaz; bisoprolol-hydrochlorothiazide
LOPROX 3 NFGel ciclopirox
LOPROX 3 NFShampoo ciclopirox
LORAZEPAM INTENSOL 3 2Concentrate
LORCET 10/650 3 NFTablet hydrocodone-acetaminophen; hydrocodone-ibuprofen; acetaminophen-codeine
LORCET PLUS 3 NFTablet hydrocodone-acetaminophen; hydrocodone-ibuprofen; acetaminophen-codeine
LORTAB 3 NFTablet hydrocodone-acetaminophen; hydrocodone-ibuprofen; acetaminophen-codeine
LOSEASONIQUE 3 NFTablet, Dose Pack, 3 Months Daysee; Camrese Lo
LOTEMAX 3 NFDrops, Suspension prednisolone acetate; prednisolone sodium phosphate;
dexamethasone sodium phosphate
LOTEMAX 3 NFOintment prednisolone acetate; prednisolone sodium phosphate;
dexamethasone sodium phosphate
LOTENSIN 3 NFTablet benazepril; quinapril; enalapril maleate
Page 32 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesLOTENSIN HCT 3 NFTablet benazepril-hydrochlorothiazide;
enalapril-hydrochlorothiazide; lisinopril-hydrochlorothiazide
LOTREL 3 NFCapsule amlodipine; lisinopril; benazepril
LOTRISONE 3 NFCream clotrimazole-betamethasone
LOVAZA 2 NFCapsule fenofibrate; fenofibric acid; gemfibrozil
LOVENOX 4 NFSyringe enoxaparin; Fragmin
LOVENOX 4 NFSolution enoxaparin; Fragmin
LOXAPINE SUCCINATE 1 2Capsule CONSULT YOUR PHYSICIAN
LOXITANE 3 NFCapsule loxapine succinate
LTA PRE-ATTACHED 3 NFSolution lidocaine HCl
LUMIGAN 2 3Drops latanoprost; travoprost
LUNESTA 3 NFTablet zolpidem; zaleplon; eszopiclone
LUVOX CR 3 NFCapsule, Sust. Release 24 hr fluvoxamine; fluoxetine; paroxetine HCl
LUXIQ 3 NFFoam betamethasone valerate (foam); desoximetasone; fluocinonide
LYRICA 3 NFCapsule gabapentin
LYSODREN 2 4Tablet Consult your physician
LYSTEDA 3 NFTablet tranexamic acid
MACNATAL CN DHA 3 2Capsule
MACROBID 3 NFCapsule nitrofurantoin; nitrofurantoin macrocrystal
MACRODANTIN 3 NFCapsule nitrofurantoin; nitrofurantoin macrocrystal
MALARONE 3 NFTablet atovaquone-proguanil
MALARONE PEDIATRIC 3 NFTablet atovaquone-proguanil
MARGESIC 1 NFCapsule butalbital-acetaminophen-caff
MARINOL 4 NFCapsule CONSULT YOUR PHYSICIAN
MARLEXATE 2 3Powder Consult your physician
MARTEN-TAB 1 NFTablet butalbital-acetaminophen-caff
MAVIK 3 NFTablet trandolapril; quinapril; lisinopril
MAXAIR AUTOHALER 3 NFAerosol Breath Activated ProAir HFA; Ventolin HFA; Proventil HFA
MAXALT 3 NFTablet sumatriptan; rizatriptan; naratriptan
MAXALT-MLT 3 NFTablet, Rapid Dissolve sumatriptan; rizatriptan; naratriptan
MAXIMA 3 NFStrip CONSULT YOUR PHYSICIAN
MAXITROL 3 NFOintment neomycin-polymyxin-dexameth
MAXZIDE 3 NFTablet amiloride-hydrochlorothiazide; spironolacton-hydrochlorothiaz; triamterene-hydrochlorothiazid
Page 33 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesMAXZIDE-25MG 3 NFTablet amiloride-hydrochlorothiazide;
spironolacton-hydrochlorothiaz; triamterene-hydrochlorothiazid
MEDISENSE 3 NFCombo Pack CONSULT YOUR PHYSICIAN
MEDISENSE GLUCOSE KETONE 3 NFCombo Pack CONSULT YOUR PHYSICIAN
MEDROL 3 NFTablet CONSULT YOUR PHYSICIAN
MEDROL (PAK) 3 NFTablets, Dose Pack CONSULT YOUR PHYSICIAN
MEGACE 3 NFSuspension megestrol
MELOXICAM 1 2Tablet meloxicam 7.5mg tablet; diclofenac sodium; ibuprofen
MELOXICAM (BULK) 3 4Powder diclofenac sodium (bulk); etodolac (bulk); ibuprofen (bulk)
MENTAX 3 NFCream ketoconazole; econazole; ciclopirox
MESTINON 4 NFTablet pyridostigmine bromide
METADATE CD 3 NFCapsule, Multiphasic Rel.30-70 methylphenidate; Metadate ER; dexmethylphenidate
METANX 3 NFTablet Foltanx RF; L-Methyl-B6-B12
METANX (ALGAL OIL) 3 NFCapsule Foltanx RF; L-Methyl-B6-B12
METHADOSE 3 NFConcentrate morphine; methadone
METHOTREXATE SODIUM 1 2Tablet Consult your physician
METHOXSALEN RAPID 4 3Capsule
METHYLERGONOVINE 1 2Tablet CONSULT YOUR PHYSICIAN
METHYLIN 3 NFSolution methylphenidate
METHYLPHENIDATE 3 2Tablet Sustained Release
METHYLPHENIDATE 3 4Powder CONSULT YOUR PHYSICIAN
METROCREAM 3 NFCream metronidazole
METROGEL 2 NFGel metronidazole
METROGEL VAGINAL 2 NFGel metronidazole
METROLOTION 3 NFLotion metronidazole
MEVACOR 3 NFTablet lovastatin; pravastatin; atorvastatin
MIACALCIN 3 NFSpray, Non-Aerosol calcitonin (salmon)
MICARDIS 3 NFTablet losartan; irbesartan; candesartan
MICARDIS HCT 3 NFTablet losartan-hydrochlorothiazide; irbesartan-hydrochlorothiazide; candesartan-hydrochlorothiazide
MICRO BLOOD GLUCOSE 3 NFStrip CONSULT YOUR PHYSICIAN
MICRO BLOOD GLUCOSE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
MICRODOT BLOOD GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 34 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesMICRODOT BLOOD GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
MICRODOT BLOOD GLUCOSE SYSTEM 3 NFStrip CONSULT YOUR PHYSICIAN
MICRODOT XTRA BLOOD GLUCOSE 3 NFStrip CONSULT YOUR PHYSICIAN
MICROZIDE 3 NFCapsule chlorothiazide; indapamide; hydrochlorothiazide
MIGRANAL 4 NFSpray, Non-Aerosol dihydroergotamine; Ergomar
MILLIPRED 1 3Tablet CONSULT YOUR PHYSICIAN
MILLIPRED DP 2 3Tablets, Dose Pack CONSULT YOUR PHYSICIAN
MIMYX 3 NFCream CONSULT YOUR PHYSICIAN
MINIPRESS 3 NFCapsule doxazosin; prazosin; terazosin
MINOCIN 4 NFCapsule minocycline
MINOCIN 3 NFCapsule minocycline
MINOCYCLINE 3 4Powder CONSULT YOUR PHYSICIAN
MINOXIDIL 2 1Tablet
MIRAPEX 3 NFTablet pramipexole; ropinirole
MIRCETTE (28) 3 NFTablet Azurette (28); Pimtrea (28)
MISOPROSTOL 1 2Tablet PLEASE CONSULT PHYSICIAN
MOBIC 3 NFSuspension meloxicam; diclofenac
MOBIC 3 NFTablet meloxicam; diclofenac
MODAFINIL 4 NFTablet Nuvigil
MODICON (28) 3 NFTablet Balziva (28); Cyclafem (28)
MOMETASONE FUROATE (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
MONODOX 3 NFCapsule doxycycline monohydrate
MONODOX 4 NFCapsule doxycycline monohydrate
MONOJECT LUER-LOCK TIP 2 NFSyringe CONSULT YOUR PHYSICIAN
MONOJECT REGULAR LUER 2 NFSyringe CONSULT YOUR PHYSICIAN
MONOKET 3 NFTablet isosorbide dinitrate; isosorbide mononitrate; nitroglycerin
MONTELUKAST 1 2Tablet, Chewable CONSULT YOUR PHYSICIAN
MONTELUKAST 1 2Tablet CONSULT YOUR PHYSICIAN
MORPHINE 3 4Cap, Multiphasic Release 24 hr morphine; fentanyl; Opana ER
MORPHINE 3 4Capsule, Sust. Release Pellets morphine; fentanyl; Opana ER
MORPHINE (BULK) 3 4Powder PLEASE CONSULT PHYSICIAN
MORPHINE CONCENTRATE 3 NFSyringe morphine; Fentanyl; Opana ER
MOVIPREP 3 NFPowder in Packet Suclear; PEG-3350 with flavor packs; Suprep
MOXEZA 2 3Drops, Viscous ciprofloxacin; ofloxacin; gatifloxacin
MS CONTIN 4 NFTablet Sustained Release morphine; Fentanyl; Opana ER
MYAMBUTOL 3 NFTablet ethambutol
MYDRIACYL 3 NFDrops tropicamide
Page 35 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesMYFORTIC 3 NFTablet, Delayed Release (E.C.) mycophenolate sodium
MYGLUCOHEALTH 3 NFStrip CONSULT YOUR PHYSICIAN
MYGLUCOHEALTH 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
MYORISAN 3 4Capsule Consult your physician
MYRBETRIQ 3 NFTablet Sustained Release 24 hr tolterodine; trospium
MYSOLINE 3 NFTablet primidone
NABUMETONE, MICRONIZED (BULK) 3 4Powder PLEASE CONSULT PHYSICIAN
NADOLOL 2 3Tablet propranolol
NAFTIN 4 3Gel
NAMENDA 2 3Solution CONSULT YOUR PHYSICIAN
NAMENDA 2 3Tablet CONSULT YOUR PHYSICIAN
NAMENDA TITRATION PAK 2 3Tablets, Dose Pack CONSULT YOUR PHYSICIAN
NAPRELAN CR 3 NFTab, Multiphasic Release 24 hr naproxen; diclofenac; ibuprofen
NAPROSYN 3 NFSuspension naproxen; diclofenac; ibuprofen
NAPROSYN 3 NFTablet naproxen; diclofenac; ibuprofen
NAPROXEN 2 1Suspension
NARATRIPTAN 3 2Tablet
NARDIL 3 NFTablet phenelzine; tranylcypromine; Marplan
NASACORT AQ 3 NFAerosol, Spray fluticasone; flunisolide; Nasonex
NASCOBAL 2 3Spray, Non-Aerosol CONSULT YOUR PHYSICIAN
NATALVIRT 90 DHA 3 2Combo Pack
NATALVIRT CA 3 2Combo Pack
NATEGLINIDE 3 2Tablet
NATROBA 3 NFSuspension spinosad; permethrin; lindane
NEBUSAL 3 2Solution for Nebulization
NEEVO DHA 3 NFCapsule Prenatal Vitamins, Generic
NEEVODHA (WITH ALGAL OIL) 2 3Capsule Prenatal Vitamins, Generic
NEOMYCIN-POLYMYXIN B GU 2 4Solution CONSULT YOUR PHYSICIAN
NEOMYCIN-POLYMYXIN-GRAMICIDIN 1 2Drops ciprofloxacin; ofloxacin
NEORAL 3 NFSolution cyclosporine modified
NEORAL 3 NFCapsule cyclosporine modified
NEOSPORIN GU IRRIGANT 3 NFSolution neomycin-polymyxin B GU
NEPHROCAPS 3 NFCapsule Renal Caps; Reno Caps; Triphrocaps
NEPHRO-VITE RX 3 NFTablet Rena-Vite Rx; Vol-Care Rx
NEPTAZANE 2 NFTablet methazolamide; acetazolamide
NESINA 3 NFTablet Januvia; Onglyza; Tradjenta
NESTABS DHA 2 NFCombo Pack Prenatal Vitamins, Generic
NEURONTIN 3 NFCapsule gabapentin
Page 36 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesNEURONTIN 3 NFSolution gabapentin
NEURONTIN 3 NFTablet gabapentin
NEUTEK 2TEK TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
NEVANAC 3 NFDrops, Suspension diclofenac sodium; ketorolac; flurbiprofen sodium
NEXA SELECT 3 NFCapsule Prenatal Vitamins, Generic
NEXIUM 3 NFCapsule, Delayed Release(E.C.) omeprazole; pantoprazole; lansoprazole
NIASPAN EXTENDED-RELEASE 3 NFTablet Sustained Release 24 hr niacin
NILANDRON 3 4Tablet Consult your physician
NIRAVAM 3 NFTablet, Rapid Dissolve alprazolam; lorazepam; oxazepam
NITRO-DUR 3 NFPatch 24 hr nitroglycerin
NITROGLYCERIN 1 2Capsule, Sustained Release Nitrostat
NITROLINGUAL 3 NFSpray, Non-Aerosol Nitrostat; nitroglycerin
NITROMIST 3 NFAerosol, Spray Nitrostat; nitroglycerin
NITRO-TIME 1 2Capsule, Sustained Release nitroglycerin
NIVATOPIC PLUS 3 2Cream
NIZORAL 3 NFShampoo ketoconazole
NODOLOR 1 3Capsule Migragesic IDA
NORCO 3 NFTablet hydrocodone-acetaminophen; hydrocodone-ibuprofen; acetaminophen-codeine
NORDETTE (28) 3 NFTablet Aviane; Lessina
NORDITROPIN FLEXPRO 4 NFPen Injector Genotropin; Nutropin / Nutropin AQ
NORINYL 1+35 (28) 3 NFTablet Balziva (28); Cyclafem (28)
NORITATE 3 4Cream metronidazole
NORPACE 3 NFCapsule quinidine sulfate; quinidine gluconate
NORPRAMIN 3 NFTablet amitriptyline; desipramine; nortriptyline
NOR-QD 3 NFTablet Camila; Errin
NORTRIPTYLINE 1 3Solution doxepin oral concentrate
NORVASC 3 NFTablet amlodipine; felodipine; nifedipine
NORVIR 2 4Solution CONSULT YOUR PHYSICIAN
NORVIR 3 4Capsule CONSULT YOUR PHYSICIAN
NORVIR 3 4Tablet CONSULT YOUR PHYSICIAN
NOTUSS-NX 3 NFLiquid cetirizine; fexofenadine; desloratadine
NOTUSS-NXD 3 NFLiquid cetirizine; fexofenadine; desloratadine
NOVA MAX BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 37 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesNOVA MAX GLUCOSE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
NOVOLIN 70/30 3 NFSuspension Humulin 70/30; Humulin 70/30 KwikPen
NOVOLIN N 3 NFSuspension Humulin N; Humulin N KwikPen
NOVOLIN R 3 NFSolution Humulin R
NOVOLOG 2 NFSolution Humalog; Humalog KwikPen
NOVOLOG FLEXPEN 2 NFInsulin Pen Humalog; Humalog KwikPen
NOVOLOG MIX 70-30 2 NFSolution Humalog Mix 75-25; Humalog Mix 75-25 KwikPen
NOVOLOG MIX 70-30 FLEXPEN 2 NFInsulin Pen Humalog Mix 75-25; Humalog Mix 75-25 KwikPen
NOVOLOG PENFILL 2 NFCartridge Humalog; Humalog KwikPen
NOVOPEN 3 1 NFInsulin Pen CONSULT YOUR PHYSICIAN
NOVOPEN 3 PENMATE 1 NFInsulin Pen CONSULT YOUR PHYSICIAN
NOVOPEN ECHO 2 NFInsulin Pen CONSULT YOUR PHYSICIAN
NOVOPEN JR 1 NFInsulin Pen CONSULT YOUR PHYSICIAN
NUCYNTA ER 3 NFTablet Sustained Release 12 hr morphine; oxymorphone; Fentanyl
NULYTELY WITH FLAVOR PACKS 2 NFRecon Soln PEG-3350 with flavor packs
NYSTATIN 2 3Powder CONSULT YOUR PHYSICIAN
OB COMPLETE 3 2Tablet, Chewable
OB COMPLETE 3 NFTablet Prenatal Vitamins, Generic
OBSTETRIX EC 3 1Tablet, Delayed Release (E.C.)
OBTREX 3 1Tablet
OBTREX DHA 2 NFCombo Pack, Tablet & Cap,DR Prenatal Vitamins, Generic
OCUFEN 3 NFDrops diclofenac sodium; ketorolac; flurbiprofen sodium
OCUFLOX 3 NFDrops ofloxacin; ciprofloxacin; levofloxacin
OGEN 2.5 3 NFTablet estropipate
OLUX 3 NFFoam clobetasol (foam); desoximetasone; fluocinonide
OLUX-E 3 NFFoam clobetasol (foam); desoximetasone; fluocinonide
OMEGA-3 ACID ETHYL ESTERS 2 3Capsule fenofibrate; fenofibric acid; gemfibrozil
OMNARIS 3 NFSpray, Non-Aerosol fluticasone; flunisolide; Nasonex
OMNIPRED 3 NFDrops, Suspension prednisolone acetate; prednisolone sodium phosphate;
dexamethasone sodium phosphate
OMNITROPE 4 NFRecon Soln Genotropin Miniquick; Nutropin AQ, Nutropin
OMNITROPE 4 NFCartridge Genotropin Miniquick; Nutropin AQ, Nutropin
Page 38 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesON CALL EXPRESS METER 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
ON CALL EXPRESS METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ON CALL EXPRESS TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
ON CALL PLUS METER 3 NFKit CONSULT YOUR PHYSICIAN
ON CALL PLUS METER 3 NFMisc CONSULT YOUR PHYSICIAN
ON CALL PLUS TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
ON CALL VIVID METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ON CALL VIVID METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ON CALL VIVID PAL METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ON CALL VIVID PAL METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ON CALL VIVID TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
ONE TOUCH DELICA LANC DEVICE 1 NFKit CONSULT YOUR PHYSICIAN
ONE TOUCH DELICA LANCETS 1 NFMisc CONSULT YOUR PHYSICIAN
ONE TOUCH SURESOFT LANCING DEV 1 NFMisc CONSULT YOUR PHYSICIAN
ONE TOUCH ULTRA 2 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ONE TOUCH ULTRA SMART 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ONE TOUCH ULTRA SYSTEM KIT 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ONE TOUCH ULTRA TEST 3 NFStrip CONSULT YOUR PHYSICIAN
ONE TOUCH ULTRALINK 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ONE TOUCH ULTRAMINI 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ONE TOUCH ULTRASOFT LANCETS 1 NFMisc CONSULT YOUR PHYSICIAN
ONE TOUCH VERIO 3 NFStrip CONSULT YOUR PHYSICIAN
ONE TOUCH VERIO IQ METER 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 39 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesONE TOUCH VERIO IQ METER 1 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
ONE TOUCH VERIO SYNC 2 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ONFI 3 4Tablet CONSULT YOUR PHYSICIAN
OPANA 3 NFTablet morphine; oxycodone; hydromorphone
OPANA ER 3 NFTablet Sustained Release 12 hr morphine; Fentanyl; Opana ER
OPTICHAMBER ADVANTAGE-SML MSK 1 2Device CONSULT YOUR PHYSICIAN
OPTICHAMBER DIAMOND-LG MSK 1 2Device CONSULT YOUR PHYSICIAN
OPTICHAMBER DIAMOND-MED MSK 1 2Device CONSULT YOUR PHYSICIAN
OPTICHAMBER DIAMOND-SML MSK 1 2Device CONSULT YOUR PHYSICIAN
OPTIUM EZ 3 NFStrip CONSULT YOUR PHYSICIAN
OPTIUM TEST 3 NFStrip CONSULT YOUR PHYSICIAN
OPTIVAR 3 NFDrops epinastine; azelastine
OPTUMRX 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
OPTUMRX 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
OPTUMRX 3 NFStrip CONSULT YOUR PHYSICIAN
ORAPRED ODT 3 NFTablet, Rapid Dissolve CONSULT YOUR PHYSICIAN
ORBIVAN 3 NFCapsule butalbital-acetaminophen-caff
ORENCIA 4 NFSyringe Humira; Enbrel; Remicade
ORTHO MICRONOR 3 NFTablet Camila; Errin
ORTHO TRI-CYCLEN (28) 3 NFTablet Necon 7/7/7 (28); Nortrel 7/7/7 (28)
ORTHO-CEPT (28) 3 NFTablet Reclipsen (28); Apri
ORTHO-CYCLEN (28) 3 NFTablet Mononessa (28); Sprintec (28)
ORTHO-NOVUM 1/35 (28) 3 NFTablet Necon 1/35 (28); Nortrel 1/35 (28)
ORTHO-NOVUM 7/7/7 (28) 3 NFTablet Necon 7/7/7 (28); Nortrel 7/7/7 (28)
OSENI 3 NFTablet CONSULT YOUR PHYSICIAN
OVACE 3 NFCleanser sulfacetamide sodium (acne)
OVACE PLUS SHAMPOO 3 NFShampoo sulfacetamide sodium
OVIDE 3 NFLotion malathion; permethrin; lindane
OXYBUTYNIN CHLORIDE 3 4Powder Consult your physician
OXYCONTIN 3 NFTablet Sustained Release 12 hr morphine; Fentanyl; Opana ER
OXYTROL 2 NFPatch Semiweekly oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
PACERONE 2 1Tablet
Page 40 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesPACNEX 3 NFCleanser benzoyl peroxide
PAMELOR 4 NFCapsule amitriptyline; desipramine; nortriptyline
PAMINE 2 NFTablet methscopolamine
PAMINE FORTE 3 NFTablet methscopolamine
PANCREAZE 3 NFCapsule, Delayed Release(E.C.) Viokase 16; Viokase 8; Zenpep
PARAFON FORTE DSC 3 NFTablet chlorzoxazone
PARCOPA 3 NFTablet, Rapid Dissolve carbidopa-levodopa
PARLODEL 3 NFCapsule bromocriptine
PARLODEL 3 NFTablet bromocriptine
PARNATE 3 NFTablet phenelzine; tranylcypromine; Marplan
PATADAY 2 NFDrops epinastine; azelastine
PATANASE 3 NFSpray, Non-Aerosol azelastine
PATANOL 3 NFDrops epinastine; azelastine
PAXIL 3 NFTablet paroxetine; escitalopram oxalate; sertraline
PAXIL CR 3 NFTablet Sustained Release 24 hr paroxetine; escitalopram oxalate; sertraline
PEDIAPRED 3 NFSolution CONSULT YOUR PHYSICIAN
PENLET PLUS BLOOD SAMPLER 1 NFKit CONSULT YOUR PHYSICIAN
PENNSAID 3 NFDrops PLEASE CONSULT PHYSICIAN
PEPCID 3 NFSuspension famotidine; ranitidine HCl
PEPCID 3 NFTablet famotidine; ranitidine HCl
PERCOCET 3 4Tablet oxycodone-acetaminophen; hydrocodone-acetaminophen;
acetaminophen-codeine
PERCOCET 3 NFTablet oxycodone-acetaminophen; hydrocodone-acetaminophen;
acetaminophen-codeine
PERCODAN 3 NFTablet oxycodone-acetaminophen; hydrocodone-acetaminophen;
acetaminophen-codeine
PERFOROMIST 3 4Solution for Nebulization Foradil Aerolizer; Serevent Diskus
PERIDEX 3 NFMouthwash chlorhexidine gluconate
PERMETHRIN 2 3Cream CONSULT YOUR PHYSICIAN
PERPHENAZINE 2 3Tablet fluphenazine HCl; thioridazine; chlorpromazine
PERSANTINE 3 NFTablet dipyridamole; cilostazol
PEXEVA 3 NFTablet paroxetine HCl; fluoxetine; sertraline
PHARMACIST CHOICE 3 NFStrip CONSULT YOUR PHYSICIAN
PHARMACIST CHOICE GLUCOSE SYS 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 41 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesPHENADOZ 1 3Suppository ondansetron
PHENELZINE 3 2Tablet
PHENOBARBITAL 1 2Elixir CONSULT YOUR PHYSICIAN
PHENYTEK 3 NFCapsule phenytoin sodium extended
PHENYTOIN 2 1Suspension
PHOSLO 3 NFCapsule calcium acetate; sevelamer carbonate
PHOSPHA 250 NEUTRAL 1 2Tablet K-Phos Original
PICATO 3 NFGel imiquimod; fluorouracil
PILOCARPINE HCL 3 2Tablet
PIOGLITAZONE 3 1Tablet
PIOGLITAZONE-GLIMEPIRIDE 2 3Tablet CONSULT YOUR PHYSICIAN
PLAN B ONE-STEP 3 NFTablet Next Choice One Dose; My Way
PLAQUENIL 3 NFTablet hydroxychloroquine
PLAVIX 3 NFTablet clopidogrel; ticlopidine; Effient
PLETAL 3 NFTablet cilostazol; dipyridamole
PNV OB+DHA 3 2Combo Pack
POLYTRIM 3 NFDrops polymyxin B sulf-trimethoprim
PONSTEL 3 NFCapsule meloxicam; diclofenac; naproxen
POTASSIUM CHLORIDE 3 4Powder potassium chloride
POTIGA 3 4Tablet CONSULT YOUR PHYSICIAN
PRAMOSONE 2 3Cream hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
PRAMOSONE 2 3Lotion hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
PRAMOSONE 2 NFCream hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
PRAMOSONE E 2 3Cream hydrocortisone-pramox-E-pram#1; hydrocortisone-
pramoxine
PRANDIN 2 NFTablet repaglinide; nateglinide
PRAVACHOL 3 NFTablet pravastatin; lovastatin; simvastatin
PRAVASTATIN 1 2Tablet atorvastatin; lovastatin; simvastatin
PRECISION 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
PRECISION GLUCOSE/KETONE CONTR 3 NFCombo Pack CONSULT YOUR PHYSICIAN
PRECISION PCX PLUS TEST 3 NFStrip CONSULT YOUR PHYSICIAN
PRECISION PCX TEST 3 NFStrip CONSULT YOUR PHYSICIAN
PRECISION POINT OF CARE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
Page 42 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesPRECISION Q-I-D TEST 3 NFStrip CONSULT YOUR PHYSICIAN
PRECISION XTRA MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
PRECISION XTRA TEST 3 NFStrip CONSULT YOUR PHYSICIAN
PRECOSE 3 NFTablet acarbose
PRED FORTE 3 NFDrops, Suspension prednisolone acetate; prednisolone sodium phosphate;
dexamethasone sodium phosphate
PREDNISOLONE ACETATE 1 2Drops, Suspension CONSULT YOUR PHYSICIAN
PREDNISONE 2 1Solution
PREFERA-OB 2 NFTablet Prenatal Vitamins, Generic
PREFERA-OB ONE 3 NFCapsule Prenatal Vitamins, Generic
PREFERA-OB PLUS DHA 2 NFCombo Pack Prenatal Vitamins, Generic
PRELONE 1 NFSolution CONSULT YOUR PHYSICIAN
PREMIUM BLOOD GLUCOSE MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
PREMIUM V10 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
PREMIUM V10 3 NFStrip CONSULT YOUR PHYSICIAN
PRENA1 3 2Capsule
PRENA1 CHEW (QUATREFOLIC) 3 2Tablet, Chewable
PRENA1 PLUS 3 2Combo Pack
PRENAISSANCE 90 DHA 4 2Combo Pack
PRENATA 3 1Tablet, Chewable
PRENATABS FA 1 NFTablet Prenatal Vitamins, Generic
PRENATABS RX 1 NFTablet Prenatal Vitamins, Generic
PRENATE AM 4 3Tablet
PRENEXA 3 NFCapsule Prenatal Vitamins, Generic
PRESTO PRO BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
PREVACID 3 NFCapsule, Delayed Release(E.C.) omeprazole; pantoprazole; lansoprazole
PREVALITE 2 3Powder colestipol
PREVALITE 2 3Powder in Packet colestipol
PREVPAC 3 NFCombo Pack amoxicil-clarithromy-lansopraz
PREZISTA 3 4Suspension CONSULT YOUR PHYSICIAN
PREZISTA 3 4Tablet CONSULT YOUR PHYSICIAN
PRIFTIN 2 3Tablet CONSULT YOUR PHYSICIAN
Page 43 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesPRILOSEC 3 NFCapsule, Delayed Release(E.C.) omeprazole; pantoprazole;
lansoprazole
PRINIVIL 3 NFTablet lisinopril; quinapril; enalapril maleate
PRINZIDE 3 NFTablet lisinopril-hydrochlorothiazide; quinapril-hydrochlorothiazide; enalapril-hydrochlorothiazide
PROCARDIA 3 NFCapsule amlodipine; nicardipine; nifedipine
PROCARDIA XL 3 NFTablet Extended Rel 24 hr felodipine; nifedipine; nisoldipine
PROCHLORPERAZINE 2 3Suppository Consult your physician
PROCTOCORT 3 NFCream Anucort-HC
PROCTOCORT 3 NFSuppository Hemril-30; hydrocortisone acetate (supp); Anusol-HC supp
PROCTO-PAK 3 2Cream
PRODIGY AUTOCODE METER 3 1Kit
PRODIGY AUTOCODE PRO 3 1Kit
PRODIGY CONTROL SOLUTION, LOW 1 3Solution CONSULT YOUR PHYSICIAN
PRODIGY POCKET METER 3 1Kit
PRODIGY POCKET PRO 3 1Kit
PRODIGY VOICE GLUCOSE METER 3 1Kit
PRODIGY VOICE PRO 3 1Kit
PRODRIN 3 NFTablet butalbital-acetaminophen-caff
PROGESTERONE MICRONIZED 3 2Capsule
PROGLYCEM 3 4Suspension dextrose; glucose; TRUEplus Glucose
PROGRAF 3 NFCapsule tacrolimus
PROLENSA 3 NFDrops diclofenac sodium; ketorolac; flurbiprofen sodium
PROMETHAZINE 1 3Suppository ondansetron
PROMETHAZINE (BULK) 1 3Powder CONSULT YOUR PHYSICIAN
PROMETHEGAN 2 3Suppository ondansetron
PROMETRIUM 3 NFCapsule progesterone micronized
PROPRANOLOL 1 2Solution propranolol
PROSCAR 3 NFTablet finasteride
PROSED/DS (ATROPINE FREE) 3 NFTablet Phosphasal; UR N-C; Urin DS
PROTONIX 3 NFTablet, Delayed Release (E.C.) omeprazole; pantoprazole; lansoprazole
PROVERA 3 NFTablet medroxyprogesterone tablet
PROVIDA OB 3 2Capsule
PROVIGIL 4 NFTablet Nuvigil
PROZAC 3 NFCapsule fluoxetine; paroxetine; escitalopram oxalate
PROZAC WEEKLY 3 NFCapsule, Delayed Release(E.C.) fluoxetine; paroxetine; escitalopram oxalate
Page 44 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesPULMICORT 4 NFSuspension for Nebulization budesonide
PURINETHOL 3 NFTablet mercaptopurine
PYLERA 3 4Capsule Consult your physician
PYRIDIUM 3 NFTablet phenazopyridine
PYRIDOXINE 4 NFSolution CONSULT YOUR PHYSICIAN
QUALAQUIN 3 NFCapsule quinine sulfate
QUESTRAN 2 NFPowder Cholestyramine Light; colestipol; Prevalite
QUINIDINE GLUCONATE 2 4Tablet Sustained Release quinidine sulfate; disopyramide; Norpace CR
QUINTET AC 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
QUINTET AC 3 NFStrip CONSULT YOUR PHYSICIAN
QUINTET BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
QUINTET GLUCOSE TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
RABEPRAZOLE 3 2Tablet, Delayed Release (E.C.)
RAPAFLO 3 NFCapsule tamsulosin; alfuzosin
RAPAMUNE 3 4Solution CONSULT YOUR PHYSICIAN
RAPAMUNE 3 NFTablet sirolimus
RAPAMUNE 3 4Tablet CONSULT YOUR PHYSICIAN
RAYOS 3 NFTablet, Delayed Release (E.C.) CONSULT YOUR PHYSICIAN
RAZADYNE 3 NFSolution galantamine; rivastigmine tartrate; donepezil
RAZADYNE 3 NFTablet galantamine; rivastigmine tartrate; donepezil
RAZADYNE ER 3 NFCap,24 hr Sust Release Pellets galantamine; rivastigmine tartrate; donepezil
REBETOL 4 NFCapsule ribavirin
RECTACORT-HC 3 2Suppository
REFUAH PLUS 3 NFStrip CONSULT YOUR PHYSICIAN
REFUAH PLUS GLUCOSE MONITOR 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
REGLAN 3 NFTablet metoclopramide HCl; Metozolv ODT
RELAGARD 3 2Gel
RELAGESIC 3 NFTablet Rhinoflex-650
RELION CONFIRM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
RELION CONFIRM-MICRO 3 NFStrip CONSULT YOUR PHYSICIAN
Page 45 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesRELION MICRO GLUCOSE MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
RELION MICRO GLUCOSE MONITOR 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
RELION PRIME 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
RELION PRIME 3 NFStrip CONSULT YOUR PHYSICIAN
RELION ULTIMA 3 NFStrip CONSULT YOUR PHYSICIAN
REMERON 3 NFTablet mirtazapine
REMERON SOLTAB 3 NFTablet, Rapid Dissolve mirtazapine
RENAGEL 4 NFTablet sevelamer carbonate; calcium acetate
RENVELA 4 NFPowder in Packet sevelamer carbonate; calcium acetate
RENVELA 4 NFTablet sevelamer carbonate; calcium acetate
REPAGLINIDE 2 3Tablet nateglinide
REPAN 1 NFTablet butalbital-acetaminophen-caff
REPREXAIN 3 NFTablet hydrocodone-ibuprofen; oxycodone-acetaminophen;
hydrocodone-acetaminophen
REQUIP 3 NFTablet ropinirole; pramipexole
REQUIP XL 3 NFTablet Sustained Release 24 hr ropinirole; pramipexole
RESCRIPTOR 2 4Tablet, Dispersible CONSULT YOUR PHYSICIAN
RESCRIPTOR 3 4Tablet CONSULT YOUR PHYSICIAN
RESCULA 3 NFDrops latanoprost; Lumigan; travoprost
RESTORIL 3 NFCapsule temazepam; quazepam; estazolam
RETIN-A 3 NFCream CONSULT YOUR PHYSICIAN
RETIN-A 3 NFCream tretinoin; adapalene; tretinoin microsphere
RETIN-A 3 NFGel CONSULT YOUR PHYSICIAN
RETIN-A 3 NFGel tretinoin; adapalene; tretinoin microsphere
RETIN-A MICRO 2 NFGel tretinoin; adapalene; tretinoin microsphere
RETIN-A MICRO PUMP 2 NFGel tretinoin; adapalene; tretinoin microsphere
RETROVIR 4 NFTablet zidovudine
RETROVIR 4 NFCapsule zidovudine
RETROVIR 4 NFSyrup zidovudine
REVATIO 4 NFTablet CONSULT YOUR PHYSICIAN
Page 46 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesREVEAL BLOOD GLUCOSE METER 3 NFKit Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
REVEAL TEST STRIP 3 NFStrip CONSULT YOUR PHYSICIAN
REYATAZ 3 4Capsule CONSULT YOUR PHYSICIAN
RHINOCORT AQUA 3 NFSpray, Non-Aerosol fluticasone; flunisolide; Nasonex
RIBAPAK DOSE PACK 4 NFTablets, Dose Pack ribavirin
RIBASPHERE 4 3Capsule
RIBASPHERE 4 3Tablet
RIBAVIRIN 4 3Capsule
RIBAVIRIN 4 3Tablet
RIFADIN 2 NFCapsule rifampin
RIGHTEST GM250S GLUCOSE METER 3 NFMisc CONSULT YOUR PHYSICIAN
RIGHTEST GM260 GLUCOSE METER 3 NFMisc CONSULT YOUR PHYSICIAN
RIGHTEST GM550 SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
RIGHTEST GS550 TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
RIGHTSOURCE BLOOD GLUC METER 3 1Misc
RILUZOLE 4 3Tablet
RISPERDAL 3 NFSolution risperidone
RISPERDAL 3 NFTablet risperidone; olanzapine; quetiapine
RISPERDAL M-TAB 3 NFTablet, Rapid Dissolve risperidone; olanzapine; clozapine
RISPERIDONE 3 2Solution
RITALIN 3 NFTablet methylphenidate; Metadate ER; dexmethylphenidate
RITALIN LA 3 NFCapsule, Multiphasic Rel.50-50 methylphenidate; Metadate ER; dexmethylphenidate
RITALIN SR 3 NFTablet Sustained Release methylphenidate; Metadate ER; dexmethylphenidate
RIZATRIPTAN 3 2Tablet, Rapid Dissolve
ROBAXIN 3 NFTablet methocarbamol; tizanidine; baclofen
ROBAXIN-750 3 NFTablet methocarbamol; tizanidine; baclofen
ROBINUL 3 NFTablet glycopyrrolate; Glycate
ROBINUL FORTE 3 NFTablet glycopyrrolate; Glycate
ROCALTROL 3 NFSolution calcitriol
ROCALTROL 3 NFCapsule calcitriol
ROSADAN 1 3Gel metronidazole
ROXICODONE 3 NFTablet oxycodone; morphine; hydromorphone
RYTHMOL 3 NFTablet flecainide; propafenone
Page 47 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesRYTHMOL SR 3 NFCapsule, Sust. Release 12 hr propafenone
SAIZEN 4 NFRecon Soln Genotropin Miniquick; Nutropin AQ, Nutropin
SAIZEN CLICK.EASY 4 NFCartridge Genotropin Miniquick; Nutropin AQ, Nutropin
SALAGEN 3 NFTablet pilocarpine HCl; cevimeline
SALEX 3 NFCombo Pack salicylic acid
SALEX 3 NFShampoo salicylic acid
SALICYLIC ACID 3 4Powder Consult your physician
SALKERA 3 NFFoam salicylic acid
SANCTURA 3 NFTablet oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
SANCTURA XR 3 NFCapsule, Sust. Release 24 hr oxybutynin chloride; oxybutynin chloride ER; tolterodine ER
SANDIMMUNE 3 NFCapsule cyclosporine
SANDOSTATIN 4 NFSolution octreotide acetate
SAPHRIS 3 4Tablet, Sublingual olanzapine; quetiapine; risperidone
SAPHRIS 3 NFTablet, Sublingual olanzapine; quetiapine; risperidone
SAPHRIS (BLACK CHERRY) 3 4Tablet, Sublingual olanzapine; quetiapine; risperidone
SAPHRIS (BLACK CHERRY) 3 NFTablet, Sublingual olanzapine; quetiapine; risperidone
SARAFEM 3 NFTablet fluoxetine; paroxetine; sertraline
SEASONALE CONTRACEPTIVE 3 NFTablet, Dose Pack, 3 Months CONSULT YOUR PHYSICIAN
SEASONIQUE 2 NFTablet, Dose Pack, 3 Months Daysee; Camrese Lo
SECTRAL 3 NFCapsule acebutolol; atenolol; metoprolol tartrate
SELECT-OB + DHA 3 NFCombo Pack Prenatal Vitamins, Generic
SEROQUEL 3 NFTablet quetiapine; olanzapine; risperidone
SFROWASA 3 NFEnema mesalamine
SIDEKICK BLOOD GLUCOSE SYSTEM 3 1Kit
SILVADENE 3 NFCream silver sulfadiazine
SIMCOR 3 NFTab, Multiphasic Release 24 hr simvastatin; atorvastatin; lovastatin
SINEMET 3 NFTablet carbidopa-levodopa
SINEMET CR 3 NFTablet Sustained Release carbidopa-levodopa
SINGLE USE EZ FLU 2013-14 (PF) 4 3Kit
SINGLE USE EZ FLU 2013-14 (PF) 4 3Syringe Kit
SINGULAIR 3 NFGranules in Packet montelukast
SINGULAIR 3 NFTablet montelukast
SINGULAIR 3 NFTablet, Chewable montelukast
Page 48 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesSKELAXIN 3 NFTablet methocarbamol; tizanidine;
baclofen
SMART CARESENS N 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMART CARESENS N TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
SMART SENSE MONITORING SYSTEM 3 NFMisc CONSULT YOUR PHYSICIAN
SMARTDIABETES VANTAGE 1 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTDIABETES XPRES 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTDIABETES XPRES 3 NFStrip CONSULT YOUR PHYSICIAN
SMARTEST EJECT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST PERSONA GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST PERSONA STARTER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST PRONTO GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST PRONTO STARTER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST PROTEGE 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST SMART CODE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST TALKING METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SMARTEST TEST 3 NFStrip CONSULT YOUR PHYSICIAN
SODIUM CHLORIDE 3 2Solution for Nebulization
SODIUM CHLORIDE 3 4Powder sodium chloride
SODIUM PHENYLBUTYRATE 3 4Powder Consult your physician
SODIUM POLYSTYRENE (SORB FREE) 2 3Suspension Consult your physician
SODIUM POLYSTYRENE SULFONATE 2 3Powder Consult your physician
SODIUM POLYSTYRENE SULFONATE 3 NFEnema sodium polystyrene sulfonate; sodium polystyrene (sorb free)
SOLARAZE 4 NFGel imiquimod; fluorouracil
Page 49 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesSOLODYN 4 NFTablet Sustained Release 24 hr minocycline
SOLUS V2 AUDIBLE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SOLUS V2 AUDIBLE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SOLUS V2 TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
SOMA 3 NFTablet methocarbamol; tizanidine; baclofen
SOMA 4 NFTablet methocarbamol; tizanidine; baclofen
SONAFINE 3 2Emulsion
SONATA 3 NFCapsule zolpidem; zaleplon; eszopiclone
SPORANOX 4 NFCapsule itraconazole
SPORANOX PULSEPAK 4 NFCapsule itraconazole
SPS 2 NFSuspension sodium polystyrene sulfonate; sodium polystyrene (sorb free)
SPS 3 NFEnema sodium polystyrene sulfonate; sodium polystyrene (sorb free)
SSD 3 NFCream silver sulfadiazine
STALEVO 100 3 NFTablet carbidopa-levodopa-entacapone
STALEVO 125 3 NFTablet carbidopa-levodopa-entacapone
STALEVO 150 3 NFTablet carbidopa-levodopa-entacapone
STALEVO 200 3 NFTablet carbidopa-levodopa-entacapone
STALEVO 50 3 NFTablet carbidopa-levodopa-entacapone
STALEVO 75 3 NFTablet carbidopa-levodopa-entacapone
STARLIX 3 NFTablet nateglinide
STRATTERA 3 NFCapsule methylphenidate; Metadate ER; dexmethylphenidate
STRIBILD 3 4Tablet CONSULT YOUR PHYSICIAN
STROMECTOL 3 2Tablet
SUBOXONE 3 NFTablet, Sublingual PLEASE CONSULT PHYSICIAN
SUCRALFATE 3 4Powder PLEASE CONSULT PHYSICIAN
SULAR 3 NFTablet Sustained Release 24 hr felodipine; nifedipine; nisoldipine
SULFACETAMIDE SODIUM 1 3Ointment CONSULT YOUR PHYSICIAN
SULFACETAMIDE SODIUM 3 4Powder CONSULT YOUR PHYSICIAN
SULFACETAMIDE SODIUM-SULFUR 3 2Cleanser
SULFASALAZINE 1 2Tablet, Delayed Release (E.C.) CONSULT YOUR PHYSICIAN
SULFATRIM 3 NFSuspension sulfamethoxazole-trimethoprim
SULFAZINE EC 1 2Tablet, Delayed Release (E.C.) CONSULT YOUR PHYSICIAN
SUMADAN 3 NFCleanser sulfacetamide sodium-sulfur
SUMADAN 3 NFKit sulfacetamide sodium-sulfur
Page 50 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesSUMATRIPTAN (BULK) 3 4Powder sumatriptan succinate (bulk)
SUMATRIPTAN SUCCINATE 4 3Pen Injector
SUMATRIPTAN SUCCINATE 4 3Cartridge
SUMAVEL DOSEPRO 3 4Needle-Free Injector sumatriptan; rizatriptan; naratriptan
SUMAXIN 3 NFCleanser sulfacetamide sodium-sulfur
SUMAXIN 3 NFPads, Medicated sulfacetamide sodium-sulfur
SUMAXIN TS 3 NFSuspension sulfacetamide sodium-sulfur
SUPRAX 2 3Suspension for Reconstitution cefdinir
SUPRAX 2 3Tablet cefdinir
SUPRAX 2 3Tablet, Chewable cefdinir
SURE EDGE 3 NFStrip CONSULT YOUR PHYSICIAN
SURE EDGE BLOOD GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SURECHEK TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
SURESTEP PRO LINEARITY 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SURESTEP PRO TEST 3 NFStrip CONSULT YOUR PHYSICIAN
SURE-TEST EASYPLUS MINI 3 NFStrip CONSULT YOUR PHYSICIAN
SURE-TEST EASYPLUS MINI METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
SUSTIVA 3 4Capsule CONSULT YOUR PHYSICIAN
SUSTIVA 3 4Tablet CONSULT YOUR PHYSICIAN
SYMAX-SL 1 3Tablet, Sublingual hyoscyamine sulfate
SYMBYAX 3 NFCapsule olanzapine-fluoxetine
SYNALAR 3 NFCream fluocinolone; betamethasone valerate; fluocinonide
SYNALAR 3 NFOintment fluocinolone; betamethasone valerate; fluocinonide
SYNALAR 3 NFSolution fluocinolone; betamethasone valerate; fluocinonide
SYNALGOS-DC 3 NFCapsule acetaminophen-codeine; oxycodone-acetaminophen;
hydrocodone-acetaminophen
TACLONEX 4 NFOintment calcipotriene + betamethasone dipropionate
TACLONEX 4 NFSuspension calcipotriene + betamethasone dipropionate
TAMBOCOR 3 NFTablet flecainide; propafenone
TANDEM PLUS 2 NFCapsule Se-Tan Plus; PureVit DualFe Plus
TANZEUM 3 NFPen Injector Bydureon; Victoza; Byetta
TAPAZOLE 3 NFTablet methimazole; propylthiouracil
Page 51 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesTAZORAC 3 NFGel adapalene; tretinoin (topical)
TD GOLD BLOOD GLUCOSE MONITOR 3 NFMisc CONSULT YOUR PHYSICIAN
TD GOLD VOICE GLUCOSE MONITOR 3 NFMisc CONSULT YOUR PHYSICIAN
TEGRETOL 3 NFSuspension carbamazepine
TEGRETOL 3 NFTablet carbamazepine
TEGRETOL XR 3 NFTablet Sustained Release 12 hr carbamazepine XR
TELCARE BLOOD GLUCOSE KIT 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
TELCARE TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
TEMAZEPAM 1 2Capsule CONSULT YOUR PHYSICIAN
TEMODAR 4 NFCapsule TEMOZOLOMIDE
TEMOVATE 3 NFCream clobetasol; betamethasone valerate; fluocinonide
TEMOVATE 3 NFOintment clobetasol; betamethasone valerate; fluocinonide
TEMOVATE E 3 NFCream clobetasol; betamethasone valerate; fluocinonide
TENEX 3 NFTablet guanfacine; clonidine; methyldopa
TENORETIC 100 3 NFTablet atenolol-chlorthalidone; bisoprolol-hydrochlorothiazide; metoprolol ta-hydrochlorothiaz
TENORETIC 50 3 NFTablet atenolol-chlorthalidone; bisoprolol-hydrochlorothiazide; metoprolol ta-hydrochlorothiaz
TENORMIN 3 NFTablet atenolol; metoprolol tartrate; carvedilol
TERAZOL 3 3 NFCream terconazole
TERAZOL 3 3 NFSuppository terconazole
TERAZOL 7 3 NFCream terconazole
TERBINEX 3 NFKit CONSULT YOUR PHYSICIAN
TERCONAZOLE 2 3Suppository CONSULT YOUR PHYSICIAN
TESSALON 3 NFCapsule benzonatate
TESSALON PERLES 3 NFCapsule benzonatate
TEST N'GO BLOOD GLUCOSE SYSTEM 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
TEST N'GO TEST 3 NFStrip CONSULT YOUR PHYSICIAN
TESTIM 2 NFGel Androgel; Axiron
TESTOSTERONE 2 NFGel Androgel
TESTOSTERONE 2 NFGel CONSULT YOUR PHYSICIAN
TETRACYCLINE 1 3Capsule doxycycline monohydrate; minocycline
TETRIX 3 NFCream CONSULT YOUR PHYSICIAN
Page 52 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesTEVETEN 3 NFTablet losartan; irbesartan; lisinopril
TEVETEN HCT 3 NFTablet losartan-hydrochlorothiazide; irbesartan-hydrochlorothiazide;
lisinopril-hydrochlorothiazide
THERMAZENE 2 NFCream silver sulfadiazine
THIAMINE HCL 4 NFSolution CONSULT YOUR PHYSICIAN
THIOTHIXENE 1 2Capsule CONSULT YOUR PHYSICIAN
TIAZAC 3 NFCapsule, Sustained Release Cartia XT; DILT-CD; Diltia XT
TIGAN 3 NFCapsule trimethobenzamide
TIMOPTIC 3 NFDrops timolol maleate; levobunolol; carteolol
TIMOPTIC-XE 3 NFGel Forming Solution timolol maleate; levobunolol; carteolol
TINDAMAX 3 NFTablet metronidazole; tinidazole
TL-SELECT 3 2Capsule
TL-SELECT DHA 3 NFCapsule Prenatal Vitamins, Generic
TOBI 4 NFSolution for Nebulization tobramycin in 0.225 % NaCl; Bethkis; Tobi Podhaler
TOBRADEX 3 NFDrops, Suspension tobramycin-dexamethasone
TOBRAMYCIN (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
TOBRAMYCIN SULFATE (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
TOBREX 3 NFDrops tobramycin
TOFRANIL 3 NFTablet imipramine HCl; desipramine; nortriptyline
TOFRANIL-PM 4 NFCapsule imipramine HCl; desipramine; nortriptyline
TOLTERODINE 2 3Tablet oxybutynin chloride; oxybutynin chloride ER
TOPAMAX 4 NFCapsule, Sprinkle topiramate
TOPAMAX 4 NFTablet topiramate
TOPICORT 3 NFCream fluocinonide; desoximetasone; alclometasone
TOPICORT 3 NFGel fluocinonide; desoximetasone; alclometasone
TOPICORT 3 NFOintment fluocinonide; desoximetasone; alclometasone
TOPROL XL 3 NFTablet Sustained Release 24 hr metoprolol succinate; atenolol; metoprolol tartrate
TRANDATE 3 NFTablet carvedilol; labetalol; bisoprolol fumarate
TRANXENE T-TAB 3 NFTablet clorazepate dipotassium; lorazepam; alprazolam
TRAVATAN Z 2 NFDrops latanoprost; Lumigan; travoprost
TRENTAL 3 NFTablet Sustained Release pentoxifylline
TRETINOIN MICROSPHERE 2 3Gel tretinoin (topical)
Page 53 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesTRIBENZOR 3 NFTablet amlodipine; losartan-
hydrochlorothiazide; irbesartan-hydrochlorothiazide
TRICARE PRENATAL DHA ONE 2 NFCapsule Prenatal Vitamins, Generic
TRICOR 3 NFTablet fenofibrate; gemfibrozil
TRILEPTAL 3 NFSuspension oxcarbazepine
TRILEPTAL 4 NFTablet oxcarbazepine
TRILIPIX 3 NFCapsule, Delayed Release(E.C.) fenofibrate; gemfibrozil
TRINATE 1 NFTablet Prenatal Vitamins, Generic
TRI-NORINYL (28) 3 NFTablet Leena 28; Aranelle (28)
TRIZIVIR 3 NFTablet abacavir-lamivudine-zidovudine
TROKENDI XR 3 4Capsule, Sust. Release 24 hr Topiramate
TROPICAMIDE 3 4Powder CONSULT YOUR PHYSICIAN
TROPICAMIDE 1 2Drops CONSULT YOUR PHYSICIAN
TRUE2GO BLOOD GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
TRUECONTROL LEVEL 0 3 1Solution
TRUECONTROL LEVEL 1 3 1Solution
TRUERESULT BLOOD GLUCOSE SYSTM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
TRUETEST HIGH GLUCOSE CONTROL 3 1Solution
TRUETEST LOW GLUCOSE CONTROL 3 1Solution
TRUETEST NORMAL GLUCOSE CNTRL 3 1Solution
TRUETEST TEST STRIPS 1 NFStrip CONSULT YOUR PHYSICIAN
TRUETRACK BLOOD GLUCOSE SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
TRUETRACK GLUCOSE 3 1Solution
TRUETRACK GLUCOSE CONTROL HIGH 3 1Solution
TRUETRACK SMART SYSTEM 3 NFStrip CONSULT YOUR PHYSICIAN
TRUETRACK SMART SYSTEM 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
TRUETRACK TEST 1 NFStrip CONSULT YOUR PHYSICIAN
TRUSOPT 3 NFDrops dorzolamide
TUSNEL PEDIATRIC 3 NFLiquid cetirizine; fexofenadine; desloratadine
TUSSIONEX PENNKINETIC ER 3 NFSuspension, Sust.Release 12 hr chlorpheniramine-hydrocodone; benzonatate
TWYNSTA 3 NFTablet amlodipine; losartan; amlodipine-benazepril
Page 54 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesTYLENOL-CODEINE #3 3 NFTablet oxycodone-acetaminophen;
hydrocodone-acetaminophen; acetaminophen-codeine
TYLENOL-CODEINE #4 3 NFTablet oxycodone-acetaminophen; hydrocodone-acetaminophen;
acetaminophen-codeine
UBIQUINOL (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
ULTANE 3 NFLiquid isoflurane; sevoflurane; Suprane
ULTIMA MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ULTIMA TEST STRIPS 3 NFStrip CONSULT YOUR PHYSICIAN
ULTRACET 3 NFTablet tramadol-acetaminophen; hydrocodone-acetaminophen;
oxycodone-acetaminophen
ULTRAM 3 NFTablet tramadol
ULTRAM ER 3 NFTablet Sustained Release 24 hr tramadol
ULTRATRAK 3 NFStrip CONSULT YOUR PHYSICIAN
ULTRATRAK GLUCOSE METER 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ULTRATRAK GLUCOSE METER 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ULTRATRAK ULTIMATE 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
ULTRATRAK ULTIMATE 3 NFStrip CONSULT YOUR PHYSICIAN
ULTRAVATE 3 NFCream halobetasol propionate; betamethasone, augmented;
clobetasol
ULTRAVATE 3 NFOintment halobetasol propionate; betamethasone, augmented;
clobetasol
ULTRESA 3 4Capsule, Delayed Release(E.C.) Zenpep
UMECTA 3 NFNail Film Suspension urea; Umecta Nail Film Pen
UNIRETIC 3 NFTablet moexipril-hydrochlorothiazide; lisinopril-hydrochlorothiazide; benazepril-hydrochlorothiazide
UNISTIK 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
UNISTIK 2 DEVICE 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
UNISTIK 2 EXTRA 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 55 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesUNISTIK 3 1 NFKit Accu-Chek meter and strips; Nipro
meter and strips; Prodigy meter and strips
UNISTIK 3 COMFORT DEVICE 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
UNISTIK 3 NEONATAL 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
UNISTIK 3 NEONATAL DEVICE 1 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
UNIVASC 3 NFTablet moexipril; enalapril maleate; lisinopril
URAMAXIN 3 NFCream urea
URAMAXIN 3 NFGel urea
URAMAXIN 3 NFLotion urea
URAMAXIN GT 3 NFGel urea
UREA 3 2Cream
URECHOLINE 3 NFTablet bethanechol chloride
URETRON D-S 3 NFTablet Phosphasal; UR N-C; Urin DS
UROCIT-K 10 3 NFTablet Sustained Release potassium citrate; sodium citrate-citric acid; Cytra-K
UROCIT-K 15 3 NFTablet Sustained Release potassium citrate; sodium citrate-citric acid; Cytra-K
UROCIT-K 5 3 NFTablet Sustained Release potassium citrate; sodium citrate-citric acid; Cytra-K
UROGESIC-BLUE 3 NFTablet Phosphasal; UR N-C; Urin DS
UROXATRAL 3 NFTablet Sustained Release 24 hr tamsulosin; alfuzosin
URSO 250 3 NFTablet ursodiol
URSO FORTE 3 NFTablet ursodiol
UTA 3 NFCapsule Phosphasal; UR N-C; Urin DS
VALIUM 3 NFTablet diazepam
VALPROIC ACID 2 1Capsule
VALPROIC ACID (AS SODIUM SALT) 2 1Solution
VALTREX 3 NFTablet valacyclovir; acyclovir; famciclovir
VANCOCIN 4 NFCapsule vancomycin
VANCOMYCIN (BULK) 3 4Powder CONSULT YOUR PHYSICIAN
VANDAZOLE 2 NFGel metronidazole
VASCEPA 3 NFCapsule fenofibrate; gemfibrozil
VASERETIC 3 NFTablet enalapril-hydrochlorothiazide; lisinopril-hydrochlorothiazide; benazepril-hydrochlorothiazide
VASOTEC 3 NFTablet enalapril maleate; benazepril; lisinopril
Page 56 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesVECAMYL 3 4Tablet Consult Your Physician
VECTICAL 3 NFOintment calcipotriene; betamethasone valerate; clobetasol
VEMAVITE-PRX-2 3 2Capsule
VENLAFAXINE 2 1Tablet
VERAMYST 2 NFSpray, Suspension fluticasone; flunisolide; Nasonex
VERDESO 3 4Foam Desonide; hydrocortisone
VEREGEN 2 3Ointment Consult your physician
VERELAN 3 NFCap,24 hr Sust Release Pellets verapamil
VERELAN PM 3 NFCapsule, 24hr ER Pellet CT verapamil
VESICARE 2 NFTablet oxybutynin chloride; trospium; tolterodine
VFEND 4 NFSuspension for Reconstitution voriconazole
VFEND 4 NFTablet voriconazole
V-HIST 3 NFSuspension cetirizine; fexofenadine; desloratadine
VIBRAMYCIN 3 NFCapsule doxycycline monohydrate
VIBRAMYCIN 3 NFSuspension for Reconstitution doxycycline monohydrate
VICOPROFEN 3 NFTablet hydrocodone-ibuprofen; oxycodone-acetaminophen;
hydrocodone-acetaminophen
VICTORY BLOOD GLUCOSE MONITOR 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
VICTORY GLUCOSE TEST 3 NFStrip CONSULT YOUR PHYSICIAN
VIDEX 4 GRAM PEDIATRIC 2 4Recon Soln CONSULT YOUR PHYSICIAN
VIDEX EC 3 NFCapsule, Delayed Release(E.C.) didanosine
VIGAMOX 2 3Drops ciprofloxacin; ofloxacin; gatifloxacin
VIIBRYD 3 NFTablet fluoxetine; paroxetine; escitalopram oxalate
VIIBRYD 3 NFTablets, Dose Pack fluoxetine; paroxetine; escitalopram oxalate
VIMPAT 3 4Solution THIS DRUG NOW REQUIRES UTILIZATION REVIEW. PLEASE
HAVE YOUR PHYSICIAN INITIATE AN AUTHORIZATION REQUEST.
VIMPAT 3 4Tablet THIS DRUG NOW REQUIRES UTILIZATION REVIEW. PLEASE
HAVE YOUR PHYSICIAN INITIATE AN AUTHORIZATION REQUEST.
VIOKACE 3 NFTablet Viokase 16; Viokase 8; Zenpep
VIRACEPT 3 4Tablet CONSULT YOUR PHYSICIAN
VIRAMUNE 3 NFSuspension nevirapine
VIRAMUNE 3 NFTablet nevirapine
Page 57 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesVIRAMUNE XR 3 4Tablet Sustained Release 24 hr CONSULT YOUR PHYSICIAN
VIREAD 3 4Powder CONSULT YOUR PHYSICIAN
VIREAD 3 4Tablet CONSULT YOUR PHYSICIAN
VIROPTIC 3 NFDrops trifluridine
VIRT-PN PLUS 1 2Capsule Prental Vitamins, Generic
VISTARIL 3 NFCapsule hydroxyzine pamoate
VITAFOL NANO 3 NFTablet Prental Vitamins, Generic
VITAFOL-OB 1 2Tablet Prental Vitamins, Generic
VITAFOL-OB+DHA 2 NFCombo Pack Prental Vitamins, Generic
VITAFOL-ONE 3 NFCapsule Prental Vitamins, Generic
VITAMED MD ONE RX 2 NFCapsule Prental Vitamins, Generic
VITAMED MD PLUS RX 2 NFCombo Pack Prental Vitamins, Generic
VITAMEDMD REDICHEW RX (QUAT) 2 NFTablet, Chewable Prental Vitamins, Generic
VITAZOL 2 3Cream metronidazole
VIVA DHA 3 NFCapsule Prental Vitamins, Generic
VIVACTIL 3 NFTablet protriptyline; imipramine HCl; desipramine
VOCAL POINT 3 NFStrip CONSULT YOUR PHYSICIAN
VOLTAREN-XR 4 NFTablet Sustained Release 24 hr diclofenac potassium; meloxicam; ibuprofen
VORICONAZOLE 3 4Suspension for Reconstitution CONSULT YOUR PHYSICIAN
VOSOL-HC 3 NFDrops Acetasol HC
VOSPIRE ER 3 NFTablet Sustained Release 12 hr albuterol sulfate
VP-CH-PNV 3 2Capsule
VP-HEME ONE 1 3Capsule CONSULT YOUR PHYSICIAN
VP-PRECIP 3 NFCapsule Numoisyn
VYTORIN 10-10 3 NFTablet simvastatin; atorvastatin; lovastatin
VYTORIN 10-20 3 NFTablet atorvastatin
VYTORIN 10-40 3 NFTablet atorvastatin
VYTORIN 10-80 3 NFTablet atorvastatin
WAVESENSE AMP 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
WAVESENSE JAZZ 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
WAVESENSE JAZZ 3 NFStrip CONSULT YOUR PHYSICIAN
WAVESENSE PRESTO 3 NFKit Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
WAVESENSE PRESTO 3 NFMisc Accu-Chek meter and strips; Nipro meter and strips; Prodigy meter
and strips
Page 58 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesWAVESENSE PRESTO 3 NFStrip CONSULT YOUR PHYSICIAN
WELCHOL 2 3Powder in Packet colestipol; cholestyramine (with sugar); Cholestyramine Light
WELCHOL 2 3Tablet colestipol; cholestyramine (with sugar); Cholestyramine Light
WELLBUTRIN 3 NFTablet bupropion HCl; Budeprion SR; Budeprion XL
WELLBUTRIN SR 3 NFTablet Sustained Release Budeprion SR; Budeprion XL; bupropion HCl
WELLBUTRIN XL 3 NFTablet Sustained Release 24 hr Budeprion XL; Budeprion SR; bupropion HCl
WESTCORT 3 NFOintment hydrocortisone butyrate; mometasone; fluticasone
XALATAN 3 NFDrops latanoprost; Lumigan; travoprost
XANAX 3 NFTablet alprazolam
XANAX XR 3 NFTablet Sustained Release 24 hr alprazolam ER
XELODA 4 NFTablet capecitabine
XENADERM 3 NFOintment consult your physician
XODOL 10/300 2 NFTablet hydrocodone-acetaminophen; oxycodone-acetaminophen;
acetaminophen-codeine
XODOL 5/300 2 NFTablet hydrocodone-acetaminophen; oxycodone-acetaminophen;
acetaminophen-codeine
XODOL 7.5/300 2 NFTablet hydrocodone-acetaminophen; oxycodone-acetaminophen;
acetaminophen-codeine
XOPENEX 3 NFSolution for Nebulization albuterol sulfate; levalbuterol HCl
XOPENEX CONCENTRATE 3 NFSolution for Nebulization albuterol sulfate; levalbuterol HCl
XYLOCAINE 3 NFSolution lidocaine HCl
XYZAL 3 NFSolution cetirizine; fexofenadine; desloratadine
XYZAL 3 NFTablet cetirizine; fexofenadine; desloratadine
YASMIN (28) 3 NFTablet Gianvi (28); Zarah
YAZ (28) 3 NFTablet Gianvi (28); Zarah
ZANAFLEX 3 NFCapsule tizanidine; baclofen; cyclobenzaprine
ZANAFLEX 3 NFTablet tizanidine; baclofen; cyclobenzaprine
ZANTAC 3 NFSyrup ranitidine HCl; famotidine
ZANTAC 3 NFTablet ranitidine HCl; famotidine
ZARONTIN 3 NFCapsule ethosuximide
ZARONTIN 3 NFSolution ethosuximide
ZAROXOLYN 3 NFTablet metolazone; hydrochlorothiazide; chlorothiazide
Page 59 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesZEBETA 3 NFTablet atenolol; metoprolol tartrate;
bisoprolol fumarate
ZEGERID 3 NFCapsule omeprazole-sodium bicarbonate
ZEGERID 3 NFPacket omeprazole-sodium bicarbonate
ZEMPLAR 3 NFCapsule ergocalciferol (vit d2)
ZENATANE 2 4Capsule consult your physician
ZENZEDI 2 3Tablet dextroamphetamine; methylphenidate; Amphetamine
Salt Combo
ZERIT 4 NFCapsule stavudine
ZERIT 4 NFRecon Soln stavudine
ZESTORETIC 3 NFTablet lisinopril-hydrochlorothiazide; benazepril-hydrochlorothiazide;
enalapril-hydrochlorothiazide
ZESTRIL 3 NFTablet lisinopril; benazepril; enalapril maleate
ZETONNA 2 NFHFA Aerosol Inhaler fluticasone; flunisolide; Nasonex
ZIAC 3 NFTablet atenolol-chlorthalidone; metoprolol ta-hydrochlorothiaz; bisoprolol-hydrochlorothiazide
ZIAGEN 3 4Solution CONSULT YOUR PHYSICIAN
ZIAGEN 4 NFTablet abacavir
ZIDOVUDINE 2 4Tablet CONSULT YOUR PHYSICIAN
ZIDOVUDINE 3 4Capsule CONSULT YOUR PHYSICIAN
ZIDOVUDINE 3 4Syrup CONSULT YOUR PHYSICIAN
ZIOPTAN (PF) 3 NFDropperette latanoprost; Lumigan; travoprost
ZITHROMAX 3 NFSuspension for Reconstitution azithromycin
ZITHROMAX 3 NFTablet azithromycin
ZITHROMAX 3 NFPacket azithromycin
ZITHROMAX TRI-PAK 3 NFTablet azithromycin
ZITHROMAX Z-PAK 3 NFTablet azithromycin
ZOCOR 3 NFTablet simvastatin; atorvastatin; lovastatin
ZOFRAN (AS HYDROCHLORIDE) 3 NFSolution CONSULT YOUR PHYSICIAN
ZOFRAN (AS HYDROCHLORIDE) 3 NFTablet CONSULT YOUR PHYSICIAN
ZOFRAN (AS HYDROCHLORIDE) 4 NFSolution CONSULT YOUR PHYSICIAN
ZOFRAN ODT 3 NFTablet, Rapid Dissolve ondansetron; granisetron
ZOHYDRO ER 3 NFCapsule, Sust. Release 12 hr tramadol; morphine; hydromorphone
ZOLOFT 3 NFConcentrate sertraline; paroxetine; escitalopram oxalate
ZOLOFT 3 NFTablet sertraline; paroxetine; escitalopram oxalate
Page 60 of 61GNHHYKYEN
Drug Name From ToDosage AlternativesZOMIG 3 NFTablet sumatriptan; rizatriptan;
naratriptan
ZOMIG ZMT 3 NFTablet, Rapid Dissolve sumatriptan; rizatriptan; naratriptan
ZONALON 2 NFCream Prudoxin
ZONEGRAN 4 NFCapsule zonisamide
ZONISAMIDE 2 1Capsule
ZORTRESS 3 4Tablet CONSULT YOUR PHYSICIAN
ZOVIRAX 3 4Cream acyclovir; valacyclovir; famciclovir
ZOVIRAX 3 NFCapsule acyclovir; valacyclovir; famciclovir
ZOVIRAX 3 NFSuspension acyclovir; valacyclovir; famciclovir
ZOVIRAX 3 NFTablet acyclovir; valacyclovir; famciclovir
ZOVIRAX 4 NFOintment acyclovir; valacyclovir; famciclovir
ZUBSOLV 3 NFTablet, Sublingual PLEASE CONSULT PHYSICIAN
ZUTRIPRO 3 NFSolution cetirizine; fexofenadine; desloratadine
ZYLET 3 NFDrops, Suspension tobramycin-dexamethasone
ZYLOPRIM 3 NFTablet allopurinol
ZYMAXID 2 NFDrops ciprofloxacin; ofloxacin; levofloxacin
ZYPREXA 4 NFTablet olanzapine; quetiapine; risperidone
ZYPREXA ZYDIS 4 NFTablet, Rapid Dissolve olanzapine; risperidone; clozapine
Page 61 of 61GNHHYKYEN