list of covered drugs - nevada health...
TRANSCRIPT
List of covered drugs
INTRODUCTION
Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of
practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically
sound and that it supports patient health. This committee reviews and evaluates medications
on the formulary based on safety and efficacy to help maintain clinical integrity in all
therapeutic categories.
FORMULARY DESIGN
Catamaran has chosen a formulary structure which includes most prescription drugs. The
formulary structure features generics (with the lowest co-payments), preferred and non-
preferred brand-name drugs.
Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under
“GENERIC” have the same active ingredient as the brand-name versions but at a lower
cost.
Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs
that will generally have lower co-payments than non-preferred brand name drugs.
Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-
payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the Catamaran formulary to help manage the overall cost of providing
prescription drug benefits. This formulary offers a wide range of medications from which to
choose. We realize that this formulary reference guide may not include every drug from every
manufacturer. However, choosing a generic or preferred drug when it is appropriate can
provide access to the necessary medications to stay healthy, at a cost that is more affordable.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic,
preferred brand-name, and non-preferred brand-name medications. Health plans often design
prescription drug plans to encourage the use of generic and preferred brand-name drugs.
Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as
coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients
may also pay less for generic drugs, or they may be asked to pay the cost difference between
brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version
becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose
to provide coverage only for certain medications, time periods, doses, quantities, or for specific
indications (e.g. they may exclude coverage for medications for unapproved, unproven, or
cosmetic indications). When coverage for medications is provided based on use or quantity,
Catamaran may contact your prescriber’s office for additional information to determine
whether coverage is available under your plan. Patients who are unsure whether these
coverage rules apply for a particular medication can consult their prescription drug benefit
manual or contact a Catamaran Member Services representative to determine specific
coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in
each drug category. The preferred brand name products are listed next, and non-preferred
brand products are listed last.
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design
determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change
pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not
guarantee coverage. To determine the most up-to-date formulary status of your medication, please visit your member website
or call member services at the number listed on your ID card.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
NON PREFERRED
Cefaclor
Cefaclor ER
Cefotetan
April 2015
Cefotetan/Dextrose
Cefoxitin Sodium
ANTI-INFECTIVES
Ceftin
Cefuroxime Sodium
PENICILLINS
Cefuroxime/Dextrose
GENERIC
Mefoxin
amoxicillin
Zinacef
amoxicillin/clavulanate potassium
Zinacef IN Iso-osmotic Diluent
amoxicillin/clavulanate potassium ER
THIRD GENERATION
ampicillin
GENERIC
ampicillin sodium
cefdinir
ampicillin-sulbactam
cefotaxime sodium
dicloxacillin sodium
cefpodoxime proxetil
nafcillin sodium
ceftazidime
oxacillin sodium
ceftriaxone sodium
penicillin v potassium
NON PREFERRED
penicillin G potassium
Cedax
piperacillin sodium/ tazobactam sodium
Cefditoren Pivoxil
piperacillin sodium/tazobactam sodium
Ceftazidime
piperacillin/tazobactam
Ceftazidime/Dextrose
NON PREFERRED
Ceftibuten
Amoxicillin
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin ER
Ceftriaxone/Dextrose
Ampicillin
Claforan
Ampicillin Sodium
Claforan/D5W
Ampicillin-sulbactam
Fortaz
Augmentin
Rocephin
Augmentin ES-600
Spectracef
Augmentin XR
Suprax
Bactocill IN Dextrose
Tazicef
Bicillin C-R
FOURTH GENERATION
Bicillin L-a
GENERIC
Moxatag
cefepime
Nafcillin Sodium
NON PREFERRED
Nallpen Iso-osmotic IN Dextrose
Cefepime
Nallpen/Dextrose
Maxipime
Penicillin G Potassium IN Iso-osmotic Dextrose
Penicillin G Procaine
MACROLIDES
Penicillin G Sodium
GENERIC
Pfizerpen-G
azithromycin
Timentin
clarithromycin
Unasyn
clarithromycin ER
Unasyn Bulk Pack
erythromycin
Zosyn
NON PREFERRED
Azithromycin
CEPHALOSPORIN
Biaxin
FIRST GENERATION
Biaxin XL
GENERIC
Biaxin XL PAC
cefadroxil
Dificid
cefazolin sodium
E.e.s. Granules
cephalexin
E.e.s. 400
NON PREFERRED
Ery-TAB
Ancef
Eryped 200
Cefazolin Sodium
Eryped 400
Cefazolin Sodium/Dextrose
Erythrocin Lactobionate
Cephalexin
Erythrocin Stearate
Keflex
Erythromycin Base
SECOND GENERATION
Erythromycin Ethylsuccinate
GENERIC
PCE
cefaclor
Zithromax
cefoxitin sodium
Zithromax Tri-PAK
cefprozil
Zithromax Z-PAK
cefuroxime axetil
Zmax
cefuroxime sodium
Effective April 1, 2015 v.2 ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.
1
TETRACYCLINES
Gentamicin Sulfate/0.9% Sodium Chloride
Isotonic Gentamicin
GENERIC
Kitabis PAK
demeclocycline HCL
Streptomycin Sulfate
doxycycline
Tobi
doxycycline hyclate
Tobramycin Sulfate/Sodium Chloride
doxycycline hyclate DR
doxycycline monohydrate
SULFONAMIDES
minocycline HCL
minocycline HCL ER
PREFERRED
NON PREFERRED
Sulfisoxizole
Acticlate
NON PREFERRED
Adoxa
Sulfadiazine
Adoxa PAK 1/100
Adoxa PAK 1/150
ANTIMYCOBACTERIAL AGENTS
Adoxa PAK 2/100
GENERIC
Alodox Convenience Kit
ethambutol HCL
Avidoxy DK
isoniazid
Doryx
pyrazinamide
Minocin
rifabutin
Minocin Kit
rifampin
Monodox
PREFERRED
Morgidox 1X100MG
Priftin
Morgidox 2X100MG
Sirturo
Nicazeldoxy 30 Kit
NON PREFERRED
Nicazeldoxy 60 Kit
Capastat Sulfate
Nutridox
Cycloserine
Ocudox
Isoniazid
Solodyn
Myambutol
Tetracycline HCL
Mycobutin
Vibramycin
Paser
Rifadin
QUINOLONES
Rifamate
GENERIC
Rifater
ciprofloxacin
Trecator
ciprofloxacin ER
ciprofloxacin HCL
ANTIFUNGALS
ciprofloxacin I.V.-IN D5W
GENERIC
levofloxacin
fluconazole
levofloxacin IN D5W
fluconazole IN dextrose
moxifloxacin HCL
fluconazole IN NACL
ofloxacin
flucytosine
Ciprofloxacin HCL
griseofulvin microsize
Ofloxacin
griseofulvin ultramicrosize
NON PREFERRED
itraconazole
Avelox
ketoconazole
Avelox Abc Pack
nystatin
Cipro
terbinafine HCL
Cipro I.V.-IN D5W
voriconazole
Cipro XR
PREFERRED
Factive
Cancidas
Levaquin
Mycamine
Noroxin
Noxafil
NON PREFERRED
AMINOGLYCOSIDES
Abelcet
GENERIC
Ambisome
amikacin sulfate
Amphotec
gentamicin sulfate
Amphotericin B
gentamicin sulfate pediatric
Ancobon
gentamicin sulfate/sodium chloride
Diflucan
gentamicin sulfate/0.9% sodium chloride
Eraxis
isotonic gentamicin
Fluconazole IN NACL
neomycin sulfate
Grifulvin V
paromomycin sulfate
Gris-peg
tobramycin
Lamisil
tobramycin sulfate
Onmel
PREFERRED
Sporanox
Tobi Podhaler
Sporanox Pulsepak
NON PREFERRED
Terbinex
Bethkis
Vfend
Effective April 1, 2015
2
Vfend IV
Videx Pediatric
Viracept
ANTIVIRALS
Viread
NON PREFERRED
GENERIC
Acyclovir Sodium
abacavir
Baraclude
abacavir sulfate/lamivudine/zidovudine
Combivir
acyclovir
Copegus
acyclovir sodium
Cytovene
adefovir dipivoxil
Epivir
cidofovir
Epivir HBV
didanosine
Evotaz
entecavir
Famvir
famciclovir
Flumadine
ganciclovir
Foscarnet Sodium
lamivudine
Foscavir
lamivudine/zidovudine
Hepsera
nevirapine
Infergen
nevirapine ER
Prezcobix
ribavirin
Rapivab
rimantadine HCL
Rebetol
stavudine
Retrovir
valacyclovir HCL
Rimantalist
valganciclovir
Sitavig
zidovudine
Trizivir
PREFERRED
Tyzeka
Aptivus
Valcyte
Atripla
Valtrex
Complera
Videx EC
Crixivan
Viekira PAK
Edurant
Viramune
Emtriva
Viramune XR
Epzicom
Virazole
Fuzeon
Vistide
Harvoni
Vitekta
Intelence
Zerit
Invirase
Ziagen
Isentress
Zovirax
Kaletra
Lexiva
ANTIMALARIALS
Moderiba
Moderiba 1200 Dose Pack
GENERIC
Moderiba 800 Dose Pack
atovaquone/proguanil HCL
Nevirapine
chloroquine phosphate
Norvir
hydroxychloroquine sulfate
Olysio
mefloquine HCL
Peg-intron
quinine sulfate
Peg-intron Redipen
Primaquine Phosphate
Peg-intron Redipen PAK 4
PREFERRED
Pegasys
Coartem
Pegasys Proclick
Daraprim
Pegintron
NON PREFERRED
Prezista
Aralen
Relenza Diskhaler
Malarone
Rescriptor
Plaquenil
Retrovir IV Infusion
Qualaquin
Reyataz
Ribasphere
AMEBICIDES
Ribasphere Ribapak
NON PREFERRED
Ribatab
Yodoxin
Selzentry
Sovaldi
ANTHELMINTICS
Stribild
GENERIC
Sustiva
ivermectin
Tamiflu
PREFERRED
Tivicay
Albenza
Triumeq
NON PREFERRED
Truvada
Biltricide
Tybost
Stromectol
Victrelis
Effective April 1, 2015
3
MISC. ANTI-INFECTIVES
Vancomycin HCL IN Dextrose
Vibativ
GENERIC
atovaquone
ANTINEOPLASTICS, ETC
aztreonam
bacitracin
ALKYLATING AGENTS
clindamycin palmitate HCL
GENERIC
clindamycin phosphate
carboplatin
clindamycin phosphate add-vantage
cisplatin
clindamycin phosphate pharmacy bulk package
cyclophosphamide
clindamycin phosphate IN D5W
ifosfamide
clindamycin HCL
melphalan hydrochloride
colistimethate sodium
oxaliplatin
imipenem/cilastatin
temozolomide
linezolid
Lomustine
meropenem
PREFERRED
metronidazole
Alkeran
metronidazole IN NACL 0.79%
Bicnu
polymyxin b sulfate
Busulfex
sulfamethoxazole/trimethoprim
Gleostine
sulfamethoxazole/trimethoprim DS
Gliadel Wafer
tinidazole
Hexalen
trimethoprim
Leukeran
vancomycin HCL
Mustargen
Dapsone
Myleran
PREFERRED
Treanda
Alinia
Valchlor
Cayston
Zanosar
Dalvance
NON PREFERRED
Nebupent
Cisplatin
Orbactiv
Cyclophosphamide
Sivextro
Eloxatin
Tygacil
Ifex
Xifaxan
Ifosfamide
Zyvox
Temodar
NON PREFERRED
Azactam
ANTIBIOTICS
Azactam IN Iso-osmotic Dextrose
GENERIC
Bacitracin
bleomycin sulfate
Bactrim
daunorubicin HCL
Bactrim DS
doxorubicin HCL
Chloramphenicol Sodium Succinate
doxorubicin HCL liposome
Cleocin
epirubicin HCL
Cleocin IN D5W
idarubicin HCL
Cleocin Pediatric Granules
mitomycin
Cleocin Phosphate
mitoxantrone HCL
Clindamycin Phosphate
Doxorubicin HCL
Coly-mycin M
PREFERRED
Cubicin
Daunoxome
Doribax
Valstar
First-vancomycin 25
NON PREFERRED
First-vancomycin 50
Adriamycin
Flagyl
Cosmegen
Flagyl ER
Doxil
Invanz
Ellence
Ketek
Epirubicin HCL
Lincocin
Idamycin PFS
Mepron
Mitomycin
Merrem
Metro IV
ANTINEOPLASTIC ENZYMES
Neutrexin
PREFERRED
Pentam 300
Elspar
Primaxin IV
Erwinaze
Primaxin IV Add-vantage
Oncaspar
Primsol
Sulfamethoxazole/Trimethoprim
ANTIMETABOLITES
Synercid
GENERIC
Tindamax
azacitidine
Vancocin HCL
capecitabine
Vancomycin HCL
cladribine
Effective April 1, 2015
4
cytarabine
Emcyt
cytarabine aqueous
Fareston
decitabine
Faslodex
floxuridine
Firmagon
fludarabine phosphate
Lupron Depot
fluorouracil
Lysodren
gemcitabine HCL
Megestrol Acetate
mercaptopurine
Nilandron
methotrexate
Soltamox
methotrexate sodium
Trelstar
Floxuridine
Trelstar Mixject
PREFERRED
Vantas
Alimta
Xtandi
Arranon
Zoladex
Clolar
Zytiga
Depocyt
NON PREFERRED
Folotyn
Arimidex
Purixan
Aromasin
Tabloid
Casodex
Trexall
Femara
NON PREFERRED
Megace Oral
Cytarabine
Dacogen
IMMUNOMODULATORS
Fludara
GENERIC
Fludarabine Phosphate
azathioprine
Gemcitabine
cyclosporine
Gemzar
cyclosporine modified
Purinethol
mycophenolate mofetil
Vidaza
mycophenolic acid DR
Xeloda
sirolimus
tacrolimus
ANGIOGENESIS INHIBITORS
PREFERRED
PREFERRED
Azasan
Avastin
Pomalyst
Cyramza
Rapamune
Zaltrap
Revlimid
Thalomid
ANTIBODIES
NON PREFERRED
Astagraf XL
PREFERRED
Atgam
Adcetris
Cellcept
Arzerra
Cellcept Intravenous
Bexxar
Cyclosporine Modified
Erbitux
Imuran
Gazyva
Myfortic
Herceptin
Neoral
Kadcyla
Nulojix
Keytruda
Prograf
Perjeta
Sandimmune
Rituxan
Simulect
Vectibix
Thymoglobulin
Yervoy
Zortress
Zevalin Y-90
NON PREFERRED
MITOTIC INHIBITORS
Blincyto
Opdivo
GENERIC
docetaxel
HORMONAL AGENTS
etoposide
paclitaxel
GENERIC
vincristine sulfate
anastrozole
vinorelbine tartrate
bicalutamide
Docetaxel
exemestane
PREFERRED
flutamide
Abraxane
letrozole
Docefrez
leuprolide acetate
Etopophos
megestrol acetate
Halaven
tamoxifen citrate
Ixempra Kit
PREFERRED
Jevtana
Depo-provera
Marqibo
Eligard
Effective April 1, 2015
5
Teniposide
CELLULAR IMMUNOTHERAPY
NON PREFERRED
PREFERRED
Etoposide
Provenge
Navelbine
Paclitaxel
ANTINEOPLASTICS MISC.
Taxotere
GENERIC
Vinblastine Sulfate
dacarbazine
hydroxyurea
ENZYME INHIBITORS
tretinoin
PREFERRED
PREFERRED
Afinitor
Actimmune
Afinitor Disperz
Alferon N
Bosulif
Intron A
Caprelsa
Intron-a
Cometriq
Intron-a W/Diluent
Gilotrif
Matulane
Gleevec
Photofrin
Iclusig
Proleukin
Imbruvica
Sylatron
Inlyta
Synribo
Istodax
Targretin
Jakafi
Theracys
Kyprolis
Tice Bcg
Mekinist
Trisenox
Nexavar
Uvadex
Sprycel
NON PREFERRED
Stivarga
Dacarbazine
Sutent
Hydrea
Tafinlar
Nipent
Tarceva
Tasigna
CHEMOTHERAPY RESCUE
Torisel
GENERIC
Tykerb
amifostine
Velcade
dexrazoxane
Votrient
leucovorin calcium
Xalkori
mesna
Zelboraf
PREFERRED
Zolinza
Fusilev
Zydelig
Totect
Zykadia
Voraxaze
NON PREFERRED
NON PREFERRED
Beleodaq
Calcium Folinate
Farydak
Ethyol
Ibrance
Leucovorin Calcium
Lenvima 10MG Daily Dose
Mesnex
Lenvima 14MG Daily Dose
Zinecard
Lenvima 20MG Daily Dose
Lenvima 24MG Daily Dose
CHEMOTHERAPY ADJUNCTS
Lynparza
PREFERRED
Elitek
TOPOISOMERASE I INHIBITOR
Kepivance
GENERIC
irinotecan
ANTINEOPLASTIC COMBO
topotecan HCL
NON PREFERRED
NON PREFERRED
Ifosfamide/Mesna
Camptosar
Hycamtin
CARDIOVASCULAR DRUGS
Irinotecan
PHOSPHODIESTERASE INHBTR
Topotecan HCL
GENERIC
milrinone lactate
RADIOPHARMACEUTICALS
milrinone IN dextrose
PREFERRED
Bexxar 131 Iodine
CARDIAC GLYCOSIDES
Metastron
GENERIC
Quadramet
digoxin
NON PREFERRED
NON PREFERRED
Xofigo
Digoxin
Lanoxin
Effective April 1, 2015
6
Lanoxin Pediatric
Toprol XL
Trandate
ANTIANGINAL AGENTS
Zebeta
GENERIC
CALCIUM CHANNEL BLOCKERS
isosorbide dinitrate
isosorbide dinitrate ER
GENERIC
isosorbide mononitrate
amlodipine besylate
isosorbide mononitrate ER
diltiazem CD
nitroglycerin
diltiazem HCL
nitroglycerin lingual
diltiazem HCL ER
nitroglycerin transdermal
felodipine ER
nitroglycerin IN dextrose 5%
isradipine
nitroglycerin IN 5% dextrose
nicardipine HCL
Nitroglycerin Lingual
nifedipine
PREFERRED
nifedipine ER
Dilatrate SR
nimodipine
Nitro-bid
nisoldipine
Nitrostat
verapamil HCL
Ranexa
verapamil HCL ER
NON PREFERRED
verapamil HCL SR
Imdur
Verapamil HCL
Isordil Titradose
NON PREFERRED
Isosorbide Dinitrate
Adalat CC
Nitro-dur
Calan
Nitroglycerin
Calan SR
Nitroglycerin IN Dextrose 5%
Cardene I.v.
Nitrolingual Pumpspray
Cardene IV
Nitromist
Cardene SR
Nitronal
Cardizem
Cardizem CD
BETA BLOCKERS
Cardizem LA
Cleviprex
GENERIC
Dilacor XR
acebutolol HCL
Diltiazem HCL
atenolol
Hypertenipine-2.5
betaxolol HCL
Isoptin SR
bisoprolol fumarate
Nisoldipine
carvedilol
Nisoldipine ER
esmolol HCL
Norvasc
labetalol HCL
Nymalize
metoprolol succinate ER
Procardia
metoprolol tartrate
Procardia XL
nadolol
Sular
pindolol
Tiazac
propranolol HCL
Verelan
propranolol HCL ER
Verelan PM
sotalol HCL
sotalol HCL (AF)
ANTIARRHYTHMICS
PREFERRED
Bystolic
GENERIC
Coreg CR
adenosine
NON PREFERRED
amiodarone HCL
Betapace
disopyramide phosphate
Betapace AF
flecainide acetate
Brevibloc
ibutilide fumarate
Coreg
lidocaine HCL
Corgard
lidocaine HCL IN D5W
Hemangeol
lidocaine HCL/dextrose
Hypertenevide-12.5
mexiletine HCL
Inderal LA
propafenone HCL
Inderal XL
propafenone HCL ER
Innopran XL
quinidine gluconate CR
Kerlone
quinidine gluconate ER
Levatol
quinidine sulfate
Lopressor
Quinidine Sulfate
Propranolol HCL
PREFERRED
Sectral
Tikosyn
Sotylize
NON PREFERRED
Tenormin
Adenocard
Timolol Maleate
Amiodarone HCL
Effective April 1, 2015
7
Cordarone
hydralazine HCL
Corvert
methyldopa
Lidocaine HCL
minoxidil
Multaq
prazosin HCL
Nexterone
terazosin HCL
Norpace
PREFERRED
Norpace CR
Demser
Procainamide HCL
Dibenzyline
Quinidine Gluconate
NON PREFERRED
Quinidine Sulfate ER
Cardura
Rythmol
Catapres
Rythmol SR
Catapres-tts-1
Xylocaine
Catapres-tts-2
Catapres-tts-3
ACE INHIBITORS
Corlopam
Inspra
GENERIC
Methyldopate HCL
benazepril HCL
Minipress
captopril
Nitropress
enalapril maleate
Phentolamine Mesylate
enalaprilat
Reserpine
fosinopril sodium
Tenex
lisinopril
Vecamyl
moexipril HCL
perindopril erbumine
ANTIHYPERTENSIVE COMBO
quinapril HCL
ramipril
GENERIC
trandolapril
amlodipine besylate/benazepril hydrochloride
NON PREFERRED
amlodipine besylate/benazepril HCL
Accupril
amlodipine besylate/valsartan
Aceon
amlodipine/valsartan/hctz
Altace
atenolol/chlorthalidone
Epaned
benazepril HCL/hydrochlorothiazide
Lotensin
bisoprolol fumarate/hydrochlorothiazide
Mavik
candesartan cilexetil/hydrochlorothiazide
Prinivil
enalapril maleate/hydrochlorothiazide
Univasc
fosinopril sodium/hydrochlorothiazide
Vasotec
irbesartan/hydrochlorothiazide
Zestril
lisinopril/hydrochlorothiazide
losartan potassium/hydrochlorothiazide
ANGIOTENSIN RCPTR BLOCKER
metoprolol/hydrochlorothiazide
moexipril/hydrochlorothiazide
GENERIC
nadolol/bendroflumethiazide
candesartan cilexetil
quinapril/hydrochlorothiazide
eprosartan mesylate
telmisartan/amlodipine
irbesartan
telmisartan/hydrochloroth
losartan potassium
telmisartan/hydrochlorothiazide
telmisartan
trandolapril/verapamil HCL
valsartan
trandolapril/verapamil HCL ER
PREFERRED
valsartan/hydrochlorothiazide
Benicar
PREFERRED
NON PREFERRED
Amturnide
Atacand
Azor
Avapro
Benicar HCT
Cozaar
Tekamlo
Diovan
Tekturna HCT
Edarbi
Tribenzor
Micardis
NON PREFERRED
Teveten
Accuretic
Atacand HCT
DIRECT RENIN INHIBITORS
Avalide
PREFERRED
Captopril/Hydrochlorothiazide
Tekturna
Clorpres
Corzide
ANTIHYPERTENSIVES MISC.
Diovan HCT
GENERIC
Dutoprol
clonidine HCL
Edarbyclor
doxazosin mesylate
Exforge
eplerenone
Exforge HCT
fenoldopam mesylate
Hypertensolol
guanfacine HCL
Effective April 1, 2015
8
Hyzaar
dobutamine HCL/D5W
Lopressor HCT
dobutamine/dextrose 5%
Lotensin HCT
dopamine HCL
Lotrel
dopamine HCL-dextrose 5%
Lytensopril Kit
dopamine HCL/dextrose 5%
Lytensopril-90
dopamine/D5W
Lytensopril-90 Kit
ephedrine sulfate
Methyldopa/Hydrochlorothiazide
midodrine HCL
Micardis HCT
norepinephrine bitartrate
Propranolol/Hydrochlorothiazide
phenylephrine HCL
Tarka
PREFERRED
Tenoretic 100
Auvi-q
Tenoretic 50
Epipen 2-PAK
Teveten HCT
Epipen-JR 2-PAK
Twynsta
NON PREFERRED
Uniretic
Adrenaclick
Vaseretic
Adrenalin
Zestoretic
Dobutamine/Dextrose 5%
Ziac
Dopamine HCL
Epinephrine
DIURETICS
Epinephrine HCL
Levophed
GENERIC
Northera
acetazolamide
Phenylephrine HCL
acetazolamide sodium
Vazculep
acetazolamide ER
amiloride HCL
ANTIHYPERLIPIDEMICS
amiloride/hydrochlorothiazide
bumetanide
GENERIC
chlorothiazide
atorvastatin calcium
chlorothiazide sodium
cholestyramine
furosemide
cholestyramine light
hydrochlorothiazide
colestipol HCL
indapamide
colestipol HCL for oral suspension
mannitol
fenofibrate
methazolamide
fenofibrate micronized
metolazone
fenofibric acid DR
spironolactone
fluvastatin
spironolactone/hydrochlorothiazide
gemfibrozil
torsemide
lovastatin
triamterene/hydrochlorothiazide
niacin ER
Acetazolamide
omega-3-acid ethyl esters
Chlorothiazide
pravastatin sodium
Chlorthalidone
simvastatin
Triamterene/Hydrochlorothiazide
PREFERRED
NON PREFERRED
Crestor
Aldactazide
Fenofibrate
Aldactone
Juxtapid
Demadex
Lipofen
Diamox
Liptruzet
Diuril
Simcor
Dyazide
Vascepa
Dyrenium
Vytorin
Edecrin
Welchol
Furosemide
Zetia
Introl
NON PREFERRED
Lasix
Advicor
Maxzide
Altoprev
Maxzide-25
Antara
Methyclothiazide
Colestid
Microzide
Colestid Flavored
Neptazane
Fenofibric Acid
Sodium Diuril
Fenoglide
Sodium Edecrin
Fibricor
Torsemide
Kynamro
Zaroxolyn
Lescol
Lescol XL
VASOPRESSORS
Lipitor
Livalo
GENERIC
Lofibra
dobutamine HCL
Effective April 1, 2015
9
Lopid
tretinoin microsphere P.M.
Lovaza
Claravis
Mevacor
Zenatane
Niacor
PREFERRED
Niaspan
Acanya
Pravachol
Atralin
Questran
Epiduo
Questran Light
Ziana
Tricor
NON PREFERRED
Triglide
Absorica
Trilipix
Aczone
Zocor
Akne-mycin
Avar
CARDIOVASCULAR - MISC.
Avar LS
Avar LS Cleanser
GENERIC
Avar-e LS
amlodipine besylate/atorvastatin calcium
Azelex
epoprostenol sodium
Benzac Ac Wash
papaverine HCL
Benzac W Wash
sildenafil
Benzaclin
sildenafil citrate
Benzaclin With P.M.
PREFERRED
Benzamycin
Adcirca
Benzamycinpak
Adempas
Benzefoam
Caverject
Benzefoamultra
Caverject Impulse
Benziq
Cialis
Benziq LS
Letairis
Clarifoam EF
Muse
Cleocin-t
Opsumit
Clindacin Etz
Remodulin
Clindacin PAC
Tracleer
Clindagel
Tyvaso
Clindap-t
Tyvaso Refill
Clinoin
Tyvaso Starter
Differin
Veletri
Duac
Ventavis
Erygel
Viagra
Evoclin
NON PREFERRED
Fabior
Bidil
Inova
Caduet
Inova 4/1 Acne Control Therapy
Flolan
Inova 8/2 Acne Control Therapy
Levitra
Klaron
Natrecor
Lavoclen-4 Creamy Wash
Orenitram
Lavoclen-8 Creamy Wash
Revatio
Neuac Kit
Staxyn
Nuox
Stendra
Onexton
Plexion
DERMATOLOGICALS
Plexion Cleanser
ACNE PRODUCTS
Plexion Cleansing Cloths
GENERIC
Prascion Ra With Sunscreens
adapalene
Retin-a
benzoyl peroxide
Retin-a Micro
benzoyl peroxide SHORT contact
Retin-a Micro P.M.
clindamycin phosphate
Riax
clindamycin/benzoyl peroxide
Rosanil
erythromycin
Rosula
erythromycin/benzoyl peroxide
Sodium Sulfacetamide/Sulfur
sodium sulfacetamide
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
sodium sulfacetamide/sulfur
Sodium Sulfacetamide/Sulfur IN Urea
sodium sulfacetamide/sulfur cleanser
Sulfoam
sodium sulfacetamide/sulfur cleansing cloths
Sumadan Kit
sodium sulfacetamide/sulfur green
Sumadan Wash
sodium sulfacetamide/sulfur w/sunscreen
Sumadan XLT
sodium sulfacetamide/sulfur wash
Sumaxin
sulfacetamide sodium
Sumaxin CP Kit
sulfacetamide sodium/sulfur cleanser
Sumaxin Ts
tretinoin
Sumaxin Wash
tretinoin microsphere
Tretin-x
Effective April 1, 2015
10
Triseon
Loprox
Vanoxide-HC
Loprox Shampoo
Veltin
Lotrisone
Zacare 4% Kit
Luzu
Zacare 8% Kit
Mentax
Naftin
ROSACEA AGENTS
Nizoral
Oxistat
GENERIC
Pediaderm AF Complete Kit
metronidazole
Pedipirox-4 Nail
Doxycycline
Penlac Nail Lacquer
PREFERRED
Vusion
Finacea
Xolegel
Mirvaso
Xolegel Corepak
Oracea
Xolegel Duo/Head & Shoulders
NON PREFERRED
Xolegel Duo/Xolex
Metrocream
Metrogel
ANTIVIRALS - TOPICAL
Metrolotion
Noritate
GENERIC
Rosadan Kit
acyclovir
Soolantra
PREFERRED
Denavir
ANALGESICS - TOPICAL
NON PREFERRED
Lidovir
NON PREFERRED
Xerese
A.a.g.c. Kit IN Teroderm
Zovirax
Equipto-baclofen
ANTI-INFLAMMATORY AGENTS
ANTIBIOTICS - TOPICAL
GENERIC
GENERIC
diclofenac sodium
mupirocin
PREFERRED
mupirocin calcium
Voltaren
Centany
NON PREFERRED
NON PREFERRED
Dipentocaine
Altabax
Emvoren
Bactroban
Equipto-naproxen
Centany AT
Extardol
Cortisporin
Flector
Gentamicin Sulfate
Innoprax-5
Neo-synalar
K.b.g.l. IN Teroderm Cream
Neo-synalar Kit
Ketorolac 2% Gel
Lidoprofen
ANTIFUNGALS - TOPICAL
Novoclair
GENERIC
Nuvya
ciclopirox
Pennsaid
ciclopirox nail lacquer
Vopac
ciclopirox olamine
Vopac GB
clotrimazole
Vopac Kt
clotrimazole/betamethasone dipropionate
Zyvodol
econazole nitrate
ketoconazole
ANTIPRURITICS
nystatin
NON PREFERRED
nystatin/triamcinolone
Prudoxin
PREFERRED
Zonalon
Nystatin
Nystatin Foreign
ANTIPSORIATICS
NON PREFERRED
Ciclodan Cream Kit
GENERIC
Ciclodan Solution Kit
acitretin
Ciclopirox Topical Solution Kit
calcipotriene
Cnl8 Nail Kit
methoxsalen
Ecoza
Calcitriol
Ertaczo
PREFERRED
Exelderm
Tazorac
Extina
8-mop
Halotin
NON PREFERRED
Jublia
Cosentyx
Kerydin
Cosentyx Sensoready Pen
Ketodan Kit
Dovonex
Lamisil Spray
Dritho-creme HP
Effective April 1, 2015
11
Oxsoralen Ultra
Clocortolone Pivalate P.M.
Soriatane
Clodan Kit
Sorilux
Cloderm
Stelara
Cloderm P.M.
Vectical
Cordran
Zithranol
Cordran Tape
Zithranol-rr
Cortalo
Cutivate
ANTISEBORRHEIC AGENTS
Derma-smoothe/FS Body
Derma-smoothe/FS Scalp
GENERIC
Dermasorb HC
selenium sulfide
Dermasorb Ta
sodium sulfacetamide
Dermatop
sodium sulfacetamide wash
Desonate
NON PREFERRED
Desowen
Glycolic Acid
Desowen Cream/Cetaphil Lotion
Glycolic Acid 70% High Purity
Desowen Lotion/Cetaphil Cream
Ovace Plus
Desowen Ointment/Cetaphil Lotion
Ovace Plus Wash
Diflorasone Diacetate
Ovace Wash
Diprolene
Promiseb
Diprolene AF
Promiseb Complete
Elocon
Seb-prev
Epifoam
Selenium Sulfide
First-hydrocortisone
Selrx
Halog
Selsun Shampoo
Halonate
Tersi Foam
Kenalog
TL Triseb
Locoid
Locoid Lipocream
CORTICOSTEROIDS - TOPICAL
Luxiq
GENERIC
Nucort
alclometasone dipropionate
Nuzon
augmented betamethasone dipropionate
Olux
betamethasone dipropionate
Olux-e
betamethasone valerate
Pandel
calcipotriene/betamethasone dipropionate
Pediaderm HC
clobetasol propionate
Pediaderm Ta
clobetasol propionate emollient
Scalacort DK
desonide
Synalar
desoximetasone
Synalar Cream Kit
diflorasone diacetate
Synalar Ointment Kit
fluocinolone acetonide
Synalar Ts
fluocinonide
Taclonex
fluocinonide-e
Temovate
fluticasone propionate
Temovate E
halobetasol propionate
Texacort
hydrocortisone
Topicort
hydrocortisone acetate/aloe
Triamcinolone Acetonide
hydrocortisone butyrate
Trianex
hydrocortisone butyrate (lipid)
Triderma Forte
hydrocortisone butyrate (lipophilic)
U-cort
hydrocortisone valerate
Ultravate
hydrocortisone IN absorbase
Ultravate PAC
mometasone furoate
Ultravate X
prednicarbate
Validerm
triamcinolone acetonide
Vanos
Amcinonide
Verdeso
Apexicon E
Westcort
Desoximetasone
PREFERRED
IMMUNOMODULATING AGENTS
Pramosone
GENERIC
Pramosone E
imiquimod
Tucks Anti-itch
tacrolimus
NON PREFERRED
PREFERRED
Aclovate
Elidel
Ala Scalp
NON PREFERRED
Capex
Aldara
Carmol-HC
Protopic
Clobex
Zyclara
Clocortolone Pivalate
Effective April 1, 2015
12
Zyclara P.M.
Hylira
HPR
DERMATOLOGICALS - MISC.
HPR Plus
HPR Plus Hydrogel Kit
GENERIC
HPR Plus/Mb Hydrogel
ammonium lactate
I-lid Cleanser
episone CRE
Kerafoam
lactic acid
Kerafoam 42
lactic acid e
Keralac
lactic acid w/vitamin e
Keralyt
lidocaine
Keralyt Scalp
lidocaine HCL
K2k Pain Relieving Patch
lidocaine HCL jelly
Lac-hydrin
lidocaine/prilocaine
Latrix XM
lindane
Lidocaine HCL
malathion
Lidocaine/Prilocaine
permethrin
Lidoderm
podofilox
Lycelle
salicylic acid
Mb Hydrogel
salicylic acid cream
Medi-derm/L-RX
salicylic acid lotion
Natroba
sodium hyaluronate
Neosalus
urea
Neosalus CP
urea topical
Neuvaxin
urea IN zinc undecylenate/lactic acid vehicle
Nivatopic Plus
urea 40% nail film
Nuvail
Cem-urea
Ovide
Propa PH Acne Medication Cleanser Maximum Strength
Pliaglis
PREFERRED
Pr Cream
Condylox
Presera
Oxsoralen
Prolida
NON PREFERRED
Pruclair
Aluvea
Prumyx
Anacaine
Pyrogallic Acid
Arnica Flower
Qutenza
Atopiclair
Relyyks
Aurstat Anti-itch Hydrogel
Relyyt
Aurstat Anti-itch Hydrogel Kit
Salex
Benzoin Compound Tincture
Salex Cream
Benzoin Tincture
Salex Lotion
Boric Acid
Salicylic Acid
Capsiderm
Salicylic Acid IN Ammonium Lactate Vehicle
Coal TAR
Salkera
Cocaine HCL
Salvax
Dermasorb XM
Salvax Duo Plus
Drysol
Scar Patch
Elenzapatch
Sinelee
Eletone
Sklice
Eletone Twinpack
Solaice
Elimite
Spinosad
Emla
Sulfurated Lime
Emulsion SB
Supracil
Epiceram
Synera
Ethyl Chloride
Tetrix
Ethyl Chloride/Fine Pinpoint
Tropazone
Ethyl Chloride/Fine Stream
TL-cermide
Ethyl Chloride/Medium Jet Stream
Ulesfia
Ethyl Chloride/Medium Stream
Ultrasal-ER
Ethyl Chloride/Mist
Umecta
Eurax
Umecta Nail Film
Gebauers Pain Ease
Umecta PD
Gebauers Spray And Stretch
Uramaxin
Genadur
Uramaxin GT
Genadur Kit
Uramaxin GT Kit
Gordofilm
Utopic
Gordons Urea
Veregen
Hydro 35
Verrunex
Hydro 40 Foam
Vexa
Hylatopic
Virasal
Hylatopic Plus
Xclair
Effective April 1, 2015
13
Xylocaine
ANDROGENS-ANABOLIC
GENERIC
ENDOCRINE AND METABOLIC
danazol
oxandrolone
CORTICOSTEROIDS
testosterone cypionate
GENERIC
testosterone enanthate
betamethasone sodium phosphate/betamethasone acetate
Testosterone
budesonide
Testosterone P.M.
dexamethasone
PREFERRED
dexamethasone sodium phosphate
Androgel
fludrocortisone acetate
Androgel P.M.
hydrocortisone
Androxy
methylprednisolone
Axiron
methylprednisolone acetate
NON PREFERRED
methylprednisolone dose pack
Anadrol-50
methylprednisolone sodiumsuccinate
Androderm
prednisolone
Android
prednisolone sodium phosphate
Aveed
prednisolone sodium phosphate odt
Depo-testosterone
prednisone
First-testosterone
A-hydrocort
First-testosterone Mc Compounding Kit
Dexamethasone Sodium Phosphate
Fortesta
PREFERRED
Natesto
Uceris
Oxandrin
NON PREFERRED
Striant
Aristospan Intra-articular
Testim
Aristospan Intralesional
Testopel
Betalido
Testred
Celestone
Vogelxo
Celestone-soluspan
Vogelxo P.M.
Cortef
Cortisone Acetate
ESTROGENS
Depo-medrol
GENERIC
Dexamethasone
estradiol
Dexamethasone Intensol
estradiol valerate
Dexlido
estradiol/norethindrone acetate
Dexlido-m
estropipate
Dexpak 10 Day
Jinteli
Dexpak 13 Day
PREFERRED
Dexpak 6 Day
Alora
Doubledex
Cenestin
Dyural-l
Combipatch
Dyural-lm
Duavee
Dyural-40
Enjuvia
Dyural-80
Evamist
Entocort EC
Minivelle
FLO-pred
Premphase
Interarticular Joint Kit
Prempro
Kenalog-10
NON PREFERRED
Kenalog-40
Activella
Marbeta-l
Angeliq
Marbeta-25
Biest/Progesterone
Mardex-25
Climara
Medrol
Climara Pro
Medrol Dosepak
Delestrogen
Millipred
Depo-estradiol
Millipred DP
Divigel
Mlk F4 Kit
Elestrin
Orapred
Estrace
Orapred Odt
Estrasorb
Pediapred
Estrogel
Prednisolone Sodium Phosphate
Estropipate
Prednisone
Femhrt Low Dose
Prednisone Intensol
Menest
Prelone
Menostar
Rayos
Prefest
Solu-cortef
Premarin
Solu-medrol
Vivelle-dot
Veripred 20
Effective April 1, 2015
14
CONTRACEPTIVES
Prometrium
Provera
GENERIC
desogestrel/ethinyl estradiol
ANTIDIABETIC AGENTS
drospirenone/ethinyl estradiol
levonorgestrel
INSULIN
levonorgestrel and ethinyl estradiol
PREFERRED
levonorgestrel/ethinyl estradiol
Lantus
norethindrone
Lantus Solostar
norethindrone acetate/ethinyl estradiol
Novolin N
norethindrone acetate/ethinyl estradiol/ferrous fumarate
Novolin N Relion
norgestimate/ethinyl estradiol
Novolin R
Ogestrel
Novolin R Relion
PREFERRED
Novolin 70/30
Beyaz
Novolin 70/30 Relion
LO Loestrin FE
Novolog
Minastrin 24 FE
Novolog Flexpen
Natazia
Novolog Mix 70/30
Safyral
Novolog Mix 70/30 Prefilled Flexpen
NON PREFERRED
Novolog Penfill
Amethyst
NON PREFERRED
Brevicon-28
Afrezza
Cyclessa
Apidra
Desogen
Apidra Solostar
Ella
Humalog
Estrostep FE
Humalog Kwikpen
Falessa
Humalog Mix 50/50
Femcon FE
Humalog Mix 50/50 Kwikpen
Generess FE
Humalog Mix 75/25
Loestrin FE 1.5/30
Humalog Mix 75/25 Kwikpen
Loestrin FE 1/20
Humulin N
Loestrin 1.5/30-21
Humulin N Kwikpen
Loestrin 1/20-21
Humulin N U-100 Pen
Loseasonique
Humulin R
LO Minastrin FE
Humulin R U-500 (concentrated)
Mircette
Humulin 70/30
Modicon
Humulin 70/30 Kwikpen
Necon 1/50-28
Humulin 70/30 Pen
Necon 10/11-28
Levemir
Nor-QD
Levemir Flexpen
Norinyl 1+35
Levemir Flextouch
Norinyl 1+50
Relion R
Ortho Micronor
Toujeo Solostar
Ortho Tri-cyclen
AMYLIN ANALOGS
Ortho Tri-cyclen LO
PREFERRED
Ortho-cept
Symlinpen 120
Ortho-cyclen
Symlinpen 60
Ortho-novum 1/35
INCRETIN MIMETIC AGENTS
Ortho-novum 7/7/7
PREFERRED
Ovcon-35
Bydureon
Plan B
Byetta
Plan B One-step
Victoza
Quartette
NON PREFERRED
Seasonique
Tanzeum
Tri-norinyl 28
Trulicity
Yasmin 28
SULFONYLUREAS
Yaz
GENERIC
Zovia 1/50e
glimepiride
glipizide
PROGESTINS
glipizide ER
glyburide
GENERIC
glyburide micronized
medroxyprogesterone acetate
tolazamide
norethindrone acetate
Glyburide
progesterone
NON PREFERRED
PREFERRED
Amaryl
Makena
Chlorpropamide
NON PREFERRED
Diabeta
Aygestin
Glucotrol
Megace ES
Glucotrol XL
Progesterone 10% Kit
Glynase
Effective April 1, 2015
15
Tolazamide
Duetact
Tolbutamide
Glucovance
BIGUANIDES
Glyxambi
GENERIC
Jentadueto
metformin HCL
Kazano
metformin HCL ER
Oseni
PREFERRED
Xigduo XR
Riomet
NON PREFERRED
BISPHOSPHONATES
Fortamet
GENERIC
Glucophage
alendronate sodium
Glucophage XR
ibandronate sodium
Glumetza
pamidronate disodium
MEGLITINIDE ANALOGUES
risedronate sodium
GENERIC
zoledronic acid
nateglinide
PREFERRED
repaglinide
Fosamax Plus D
NON PREFERRED
NON PREFERRED
Prandin
Actonel
Starlix
Alendronate Sodium
DIABETIC OTHER
Atelvia
PREFERRED
Binosto
Farxiga
Boniva
Glucagen
Etidronate Disodium
Glucagen Hypokit
Fosamax
Glucagon Emergency Kit
Pamidronate Disodium
Invokana
Reclast
Jardiance
Zoledronic Acid
Proglycem
Zometa
NON PREFERRED
Korlym
CALCITONINS
ALPHA-GLUCOSIDASE INHIBIT
GENERIC
GENERIC
calcitonin salmon
acarbose
calcitonin-salmon
NON PREFERRED
NON PREFERRED
Glyset
Fortical
Precose
Miacalcin
DPP-4 INHIBITORS
PREFERRED
PARATHYROID HORMONE
Januvia
PREFERRED
Onglyza
Forteo
NON PREFERRED
Nesina
RANK LIGAND INHIBITORS
Tradjenta
PREFERRED
INSULIN SENSITIZING AGENT
Xgeva
GENERIC
NON PREFERRED
pioglitazone HCL
Prolia
NON PREFERRED
Actos
CALCIUM REGULATORS - MISC
Avandia
NON PREFERRED
ANTIDIABETIC COMBINATIONS
Ganite
GENERIC
glipizide/metformin HCL
HORMONE RECEPTOR MDLTR
glyburide/metformin HCL
GENERIC
pioglitazone HCL-glimepiride
raloxifene hydrochloride
pioglitazone HCL/metformin HCL
NON PREFERRED
PREFERRED
Evista
Actoplus Met XR
Osphena
Invokamet
Janumet
FERTILITY REGULATORS
Janumet XR
GENERIC
Juvisync
chorionic gonadotropin
Kombiglyze XR
clomiphene citrate
Prandimet
PREFERRED
NON PREFERRED
Bravelle
Actoplus Met
Follistim AQ
Appformin
Repronex
Appformin-d
NON PREFERRED
Avandamet
Gonal-f
Avandaryl
Effective April 1, 2015
16
Gonal-f RFF
PREFERRED
Gonal-f RFF Pen
Stimate
Gonal-f RFF Rediject
NON PREFERRED
Menopur
Ddavp
Ovidrel
Pitressin Synthetic
Vasostrict
LHRH/GNRH AGONIST
CORTICOTROPIN
PREFERRED
Lupron Depot-PED
PREFERRED
Supprelin LA
H.p. Acthar
Synarel
NON PREFERRED
PROLACTIN INHIBITORS
Lupaneta Pack
GENERIC
cabergoline
GNRH/LHRH ANTAGONISTS
PREFERRED
VASOPRESSIN ANTAGONISTS
Cetrotide
PREFERRED
Ganirelix Acetate
Samsca
NON PREFERRED
GROWTH HORMONES
Vaprisol
PREFERRED
Norditropin Cartridge
PROGESTERONE ANTAGONISTS
Norditropin Flexpro
NON PREFERRED
Norditropin Nordiflex Pen
Mifeprex
Nutropin
Nutropin AQ Nuspin 10
METABOLIC MODIFIERS
Nutropin AQ Nuspin 20
GENERIC
Nutropin AQ Nuspin 5
calcitriol
Nutropin AQ Pen
doxercalciferol
NON PREFERRED
levocarnitine
Genotropin
paricalcitol
Genotropin Miniquick
sodium phenylbutyrate
Humatrope
PREFERRED
Humatrope Combo Pack
Aldurazyme
Omnitrope
Carbaglu
Saizen
Cystadane
Saizen Click.easy
Elaprase
Serostim
Fabrazyme
Tev-tropin
Kuvan
Zorbtive
Lumizyme
Myalept
GHRH
Myozyme
NON PREFERRED
Naglazyme
Egrifta
Orfadin
Ravicti
SOMATOMEDINS
Sensipar
NON PREFERRED
Vimizim
Increlex
NON PREFERRED
Ammonul
SOMATOSTATIC AGENTS
Buphenyl
Carnitor
GENERIC
Carnitor SF
octreotide acetate
Hectorol
PREFERRED
Paricalcitol
Sandostatin Lar Depot
Rocaltrol
Signifor
Zemplar
Somatuline Depot
NON PREFERRED
THYROID AGENTS
Sandostatin
Signifor Lar
GENERIC
levothyroxine sodium
GH RECEPTOR ANTAGONISTS
liothyronine sodium
methimazole
PREFERRED
propylthiouracil
Somavert
PREFERRED
Armour Thyroid
POSTERIOR PITUITARY
NON PREFERRED
GENERIC
Cytomel
desmopressin acetate
Levothyroxine Sodium
vasopressin
Nature-throid
Effective April 1, 2015
17
Nature-throid Nt-2.5
hyoscyamine sulfate ER
Synthroid
hyoscyamine sulfate SR
Tapazole
lansoprazole
Thyrolar-1
lansoprazole/amoxicillin/clarithromycin
Thyrolar-1/2
methscopolamine bromide
Thyrolar-1/4
misoprostol
Thyrolar-2
nizatidine
Thyrolar-3
omeprazole
Tirosint
omeprazole/sodium bicarbonate
Triostat
pantoprazole sodium
Westhroid
rabeprazole sodium
Wp Thyroid
ranitidine HCL
sucralfate
GASTROINTESTINAL
Dicyclomine HCL
Esomeprazole Sodium
LAXATIVES
Famotidine
GENERIC
Gastrinex NF
lactulose
PREFERRED
peg 3350/electrolytes
Carafate
peg-3350/electrolytes
Nexium
peg-3350/NACL/NA bicarbonate/KCL
Nexium 24HR
polyethylene glycol 3350
Pylera
PREFERRED
NON PREFERRED
Moviprep
Aciphex
Suclear
Aciphex Sprinkle
Suprep Bowel Prep
Anaspaz
NON PREFERRED
Atropen
Cascara Sagrada
Atropine Sulfate
Colyte-flavor Packs
Axid
Golytely
Belladonna & Opium
Kristalose
Belladonna Alkaloids & Opium
Mineral Oil Heavy
Bentyl
Nulytely/Flavor Packs
Cantil
Osmoprep
Cuvposa
Pcp 100
Cytotec
Prepopik
Deprizine Fusepaq
Dexilant
ANTIDIARRHEALS
Esomeprazole Strontium
GENERIC
Famotidine Premixed
diphenoxylate/atropine
First-lansoprazole
loperamide HCL
First-omeprazole
opium
Gabitidine
opium tincture
Glycate
NON PREFERRED
Helidac
Diphenoxylate/Atropine
Levbid
Fulyzaq
Levsin
Lomotil
Levsin/SL
Motofen
Nexium I.v.
Opium Tincture (paregoric)
Omeclamox-PAK
Restora RX
Omeprazole + Syrspend SF Alka
Rezyst IM
Pamine
Rezyst SB
Pamine Forte
Vsl#3 DS
Pamine FQ
Pepcid
ANTACIDS
Prevacid
NON PREFERRED
Prevacid Solutab
Sodium Bicarbonate
Prevpac
Prilosec
ULCER DRUGS
Propantheline Bromide
GENERIC
Protonix
atropine sulfate
Robinul
cimetidine
Robinul Forte
cimetidine HCL
Scopolamine Hydrobromide
dicyclomine HCL
Sentradine
esomeprazole magnesium
Symax Duotab
esomeprazole sodium
Zantac
famotidine
Zegerid
glycopyrrolate
hyoscyamine sulfate
hyoscyamine sulfate odt
Effective April 1, 2015
18
ANTIEMETICS
Rectiv
Relistor
GENERIC
Renvela
dronabinol
Sevelamer Carbonate
granisetron HCL
NON PREFERRED
meclizine HCL
Actigall
ondansetron odt
Analpram-HC
ondansetron HCL
Analpram-HC Singles
trimethobenzamide HCL
Anusol-HC
PREFERRED
Apriso
Aloxi
Auryxia
Emend
Azulfidine
Sancuso
Azulfidine EN-TABS
Transderm-scop
Colazal
NON PREFERRED
Cortenema
Akynzeo
Dexpanthenol
Anzemet
Dipentum
Cesamet
Eliphos
Diclegis
Entereg
Dimenhydrinate
Entyvio
Granisol
Gastrocrom
Marinol
Gattex
Tigan
Giazo
Zofran
Lidocaine HCL-hydrocortisone Acetate With Aloe
Zofran Odt
Metozolv Odt
Zuplenz
Movantik
Phoslo
DIGESTIVE AIDS
Phoslyra
PREFERRED
Procort
Creon
Proctocort
Pancrelipase
Reglan
Sucraid
Remicade
Viokace
Renagel
NON PREFERRED
Rowasa
Pancreaze
Sfrowasa
Pertzye
Uceris
Ultresa
Urso Forte
Zenpep
Urso 250
Velphoro
GASTROINTESTINAL - MISC.
GENERIC
GENITOURINARY
balsalazide disodium
URINARY ANTI-INFECTIVES
calcium acetate
cromolyn sodium
GENERIC
hydrocort ene 100MG
methenamine hippurate
hydrocortisone
methenamine mandelate
hydrocortisone acetate/lidocaine HCL
nitrofurantoin
hydrocortisone acetate/pramoxine
nitrofurantoin macrocrystals
lactulose
nitrofurantoin monohydrate
lidocaine HCL/hydrocortisone acetate
nitrofurantoin monohydrate/macrocrystals
mesalamine
NON PREFERRED
metoclopramide HCL
Furadantin
sulfasalazine
Hiprex
ursodiol
Macrobid
PREFERRED
Macrodantin
Amitiza
Methenamine Mandelate
Analpram Advanced
Monurol
Asacol HD
Prosed/DS
Canasa
Uretron D/S
Chenodal
Urimar-t
Cimzia
Urogesic-blue
Cimzia Starter Kit
Uroqid #2
Cortifoam
Uta
Delzicol
Fosrenol
URINARY ANTISPASMODICS
Lialda
GENERIC
Linzess
bethanechol chloride
Lotronex
flavoxate HCL
Pentasa
oxybutynin chloride
Proctofoam HC
oxybutynin chloride ER
Effective April 1, 2015
19
tolterodine tartrate
Renacidin
tolterodine tartrate ER
NON PREFERRED
trospium chloride
Avodart
trospium chloride ER
Cardura XL
PREFERRED
Citrolith
Gelnique
Cytra-3
Myrbetriq
Flomax
Oxytrol
Jalyn
Oxytrol For Women
K-phos NO 2
Toviaz
Lithostat
Vesicare
Oracit
NON PREFERRED
Proscar
Detrol
Pyridium
Detrol LA
Shohls Solution Modified
Ditropan XL
Thiola
Enablex
Urocit-k 10
Sanctura
Urocit-k 15
Sanctura XR
Urocit-k 5
Urecholine
Uroxatral
VAGINAL PRODUCTS
HEMATOLOGICAL
GENERIC
HEMATOPOIETIC AGENTS
clindamycin phosphate
GENERIC
metronidazole vaginal
cyanocobalamin
terconazole
folic acid
PREFERRED
folic acid/vitamin b-6/vitamin b-12
Clindesse
sodium ferric gluconate complex/sucrose
Crinone
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Endometrin
Estrace
PREFERRED
Estring
Cerdelga
Vagifem
Cerezyme
NON PREFERRED
Cyanocobalamin
Avc
Droxia
Cleocin
Elelyso
Fem PH
Feraheme
Femring
Ferrex 150 Forte Plus
First-progesterone VGS 100 Compounding Kit
Ferrex 28
First-progesterone VGS 200 Compounding Kit
Leukine
First-progesterone VGS 25 Compounding Kit
Mozobil
First-progesterone VGS 400 Compounding Kit
Nascobal
First-progesterone VGS 50 Compounding Kit
Neulasta
Gynazole-1
Neulasta Delivery Kit
Metrogel-vaginal
Neumega
Nuvessa
Neupogen
Premarin
Nplate
Relagard
Procrit
Terazol 3
Promacta
Terazol 7
Venofer
Vpriv
GENITOURINARY - MISC.
NON PREFERRED
Albafort
GENERIC
Animi-3
alfuzosin HCL ER
Animi-3/Vitamin D
citric acid/sodium citrate
Aranesp Albumin Free
finasteride
B-6 Folic Acid
hydrochloric acid
Biferarx
phenazopyridine HCL
Cenfol
potassium citrate ER
Centratex
potassium citrate-citric acid crystals
Ciferex
potassium citrate/citric acid
Corvite 150
potassium citrate/sodium citrate/citric acid
Divista
sodium citrate/citric acid
Ed Cyte F
tamsulosin HCL
Epogen
tricitrates
Feriva
PREFERRED
Feriva 21/7
Cystagon
Ferivafa
Elmiron
Ferralet 90
Procysbi
Ferrlecit
Rapaflo
Effective April 1, 2015
20
Ferro-plex Hematinic
Heparin Sodium/D5W
Ferrotrin
Heparin Sodium/NACL 0.45%
Folgard RX
Heparin Sodium/Sodium Chloride 0.9%
Folic Acid
Iprivask
Folivane-f
Lovenox
Folivane-plus
Savaysa
Foltrate
Fusion Plus
Granix
HEMOSTATICS
Hematogen Fa
GENERIC
Hematron-AF
aminocaproic acid
Hemocyte Plus
tranexamic acid
Hemocyte-f
NON PREFERRED
Hydroxocobalamin
Amicar
Icar-c Plus
Aminocaproic Acid
Injectafer
Artiss
Integra F
Astringyn
Integra Plus
Cyklokapron
Irospan 24/6
Evicel
Is 24/6
Evithrom
Maxaron Forte
Lysteda
Maxfe
Recothrom
Mircera
Recothrom Spray Kit
Multigen
Thrombin-jmi Diluent
Multigen Folic
Thrombin-jmi Epistaxis
Multigen Plus
Thrombin-jmi Syringe Spray Kit
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
Thrombin-jmi W/Dil Spray P.M. Actuator
Thrombogen
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Tisseel
Natalvirt Flt
HEMATOLOGICAL - MISC.
Nephron Fa
GENERIC
Novaferrum
anagrelide hydrochloride
Omontys
cilostazol
Pre-folic
clopidogrel
Proferrin-forte
dipyridamole
Protectiron
hetastarch 6%/NACL
Tandem F
pentoxifylline ER
Tandem Plus
ticlopidine HCL
Zavesca
PREFERRED
Advate
ANTICOAGULANTS
Aggrenox
GENERIC
Alphanate/Von Willebrand Factor Complex/Human
argatroban
Alphanine SD
enoxaparin sodium
Alprolix
fondaparinux sodium
Benefix
heparin lock
Berinert
heparin lock flush
Brilinta
heparin lock flush for flushing vascular access devices
Corifact
heparin lock flush/NACL for flushing vascular access devices
Effient
Eloctate
heparin sodium
Feiba
heparin sodium dcu
Feiba NF
heparin sodium lock flush
Helixate FS
heparin sodium/sodium chloride 0.9% premix
Hemofil M
heparin sodium/D5W
Humate-p
heparin sodium/NACL 0.9%
Koate-dvi
warfarin sodium
Kogenate FS
PREFERRED
Kogenate FS Bio-set
Eliquis
Monoclate-p
Pradaxa
Mononine
Xarelto
Novoseven
NON PREFERRED
Novoseven Rt
Angiomax
Recombinate
Argatroban
Riastap
Arixtra
Soliris
Coumadin
Tretten
Fragmin
Wilate
Heparin Lock Flush
Xyntha
Heparin Sodium
Effective April 1, 2015
21
Xyntha Solofuse
alprazolam odt
Zontivity
alprazolam ER
NON PREFERRED
buspirone HCL
Activase
chlordiazepoxide HCL
Aggrastat
clorazepate dipotassium
Agrylin
diazepam
Cathflo Activase
droperidol
Firazyr
gene-xene TAB 15MG
Hespan
gene-xene TAB 3.75MG
Hextend
gene-xene TAB 7.5MG
Integrilin
hydroxyzine pamoate
Kalbitor
hydroxyzine HCL
Kinlytic
lorazepam
LMD 10% Dextrose 5%
meprobamate
LMD 10% Sodium Chloride 0.9%
oxazepam
Persantine
Hydroxyzine Pamoate
Plavix
Lorazepam Intensol
Pletal
NON PREFERRED
Protamine Sulfate
Alprazolam Intensol
Reopro
Ativan
Retavase
Diazepam
Retavase Half-kit
Gabavale-5
Tnkase
Gabazolamine
Voluven
Gabazolamine-0.5
Hydroxyzine HCL
MOUTH/THROAT/DENTAL AGENT
Niravam
Sentrazolam AM 0.25
Tranxene T
GENERIC
Valium
cevimeline HCL
Vistaril
chlorhexidine gluconate
Xanax
chlorhexidine gluconate oral rinse
Xanax XR
clotrimazole
lidocaine viscous
ANTIDEPRESSANTS
lidocaine HCL
GENERIC
lidocaine HCL viscous
amitriptyline HCL
nystatin
bupropion HCL
pilocarpine hydrochloride
bupropion HCL ER
pilocarpine HCL
bupropion HCL SR
stannous fluoride oral rinse
bupropion HCL XL
triamcinolone acetonide
citalopram hydrobromide
triamcinolone IN orabase
clomipramine HCL
NON PREFERRED
desipramine HCL
Aquoral
doxepin HCL
Caphosol
duloxetine HCL
Debacterol
escitalopram oxalate
Evoxac
fluoxetine DR
First-bxn Mouthwash
fluoxetine HCL
First-dukes Mouthwash
fluvoxamine maleate
First-marys Mouthwash
fluvoxamine maleate ER
First-mouthwash Blm
imipramine pamoate
Gel-kam Oral Care Rinse
imipramine HCL
Gelclair
mirtazapine
Lta 360 Kit
mirtazapine odt
Nafrinse Daily/Acidulated
nefazodone HCL
Nafrinse Daily/Neutral
nortriptyline HCL
Nafrinse Weekly
paroxetine HCL
Neutrasal
paroxetine HCL ER
Numoisyn
phenelzine sulfate
Orafate
protriptyline HCL
Oravig
sertraline HCL
Peridex
tranylcypromine sulfate
Prevident
trazodone HCL
Prothelial
trimipramine maleate
Salagen
venlafaxine HCL
venlafaxine HCL ER
NEUROLOGY, CNS, PSYCH
Amoxapine
ANTIANXIETY AGENTS
Doxepin HCL
GENERIC
Nefazodone HCL
alprazolam
Effective April 1, 2015
22
Venlafaxine HCL ER
prochlorperazine edisylate
PREFERRED
prochlorperazine maleate
Pristiq
quetiapine fumarate
NON PREFERRED
risperidone
Anafranil
risperidone odt
Aplenzin
thioridazine HCL
Appbutamone
thiothixene
Appbutamone-d
trifluoperazine HCL
Brintellix
ziprasidone HCL
Celexa
Clozapine Odt
Cymbalta
PREFERRED
Desvenlafaxine ER
Abilify
Effexor XR
Abilify Discmelt
Emsam
Abilify Maintena
Fetzima
Latuda
Fetzima Titration Pack
Risperdal Consta
Fluoxetine HCL
Seroquel XR
Forfivo XL
NON PREFERRED
Gaboxetine
Adasuve
Khedezla
Chlorpromazine HCL
Lexapro
Clozaril
Luvox CR
Compazine
Maprotiline HCL
Equetro
Marplan
Fanapt
Nardil
Fanapt Titration Pack
Norpramin
Fazaclo
Nortriptyline HCL
Fluphenazine HCL
Oleptro
Geodon
Pamelor
Haldol
Parnate
Haldol Decanoate 100
Paxil
Haldol Decanoate 50
Paxil CR
Invega
Pexeva
Invega Sustenna
Prozac
Lithium
Prozac Weekly
Lithium Carbonate
Remeron
Lithobid
Remeron Soltab
Loxitane
Sentraflox AM-10
Risperdal
Sentralopram AM-10
Risperdal M-TAB
Sentravil PM-25
Saphris
Sentroxatine
Seroquel
Surmontil
Versacloz
Tofranil
Zyprexa
Tofranil-PM
Zyprexa Relprevv
Trazamine
Zyprexa Zydis
Viibryd
Vivactil
HYPNOTICS
Wellbutrin
GENERIC
Wellbutrin SR
dexmedetomidine HCL
Wellbutrin XL
estazolam
Zoloft
eszopiclone
flurazepam HCL
ANTIPSYCHOTICS
phenobarbital
GENERIC
temazepam
chlorpromazine HCL
triazolam
clozapine
zaleplon
fluphenazine decanoate
zolpidem tartrate
fluphenazine HCL
zolpidem tartrate ER
haloperidol
Flurazepam HCL
haloperidol decanoate
Phenobarbital
haloperidol lactate
PREFERRED
lithium carbonate
Chloral Hydrate
lithium carbonate ER
Hetlioz
loxapine
Rozerem
loxapine succinate
NON PREFERRED
olanzapine
Ambien
olanzapine odt
Ambien CR
perphenazine
Amytal Sodium
prochlorperazine
Belsomra
Effective April 1, 2015
23
Butisol Sodium
ANTICONVULSANTS
Doral
GENERIC
Edluar
carbamazepine
Gabazolpidem-5
carbamazepine ER
Halcion
clonazepam
Intermezzo
clonazepam odt
Lunesta
divalproex sodium
Nembutal Sodium
divalproex sodium DR
Phenobarbital Sodium
divalproex sodium ER
Precedex
ethosuximide
Quazepam
felbamate
Restoril
fosphenytoin sodium
Seconal
gabapentin
Sentrazolpidem PM-5
lamotrigine
Silenor
lamotrigine odt
Sonata
lamotrigine ER
Strazepam
levetiracetam
Zolpimist
levetiracetam ER
oxcarbazepine
ADHD, NARCOLEPSY, ETC.
phenytoin
GENERIC
phenytoin sodium
amphetamine/dextroamphetamine
phenytoin sodium extended
caffeine citrate
primidone
clonidine HCL ER
tiagabine hydrochloride
dexmethylphenidate HCL
topiramate
dexmethylphenidate HCL ER
valproate sodium
dextroamphetamine sulfate
valproic acid
dextroamphetamine sulfate ER
zonisamide
doxapram HCL
PREFERRED
guanfacine ER
Banzel
methamphetamine HCL
Celontin
methylphenidate hydrochloride
Diazepam
methylphenidate HCL
Fycompa
methylphenidate HCL CD
Lyrica
methylphenidate HCL ER
Onfi
methylphenidate HCL SR
Oxtellar XR
modafinil
Peganone
Methylphenidate HCL ER
Potiga
Procentra
Tegretol-XR
PREFERRED
NON PREFERRED
Daytrana
Aptiom
Nuvigil
Carbatrol
Quillivant XR
Cerebyx
Strattera
Depacon
Vyvanse
Depakene
NON PREFERRED
Depakote
Adderall
Depakote ER
Adderall XR
Depakote Sprinkles
Cafcit
Diastat Acudial
Caffeine/Sodium Benzoate
Diastat Pediatric
Concerta
Dilantin
Desoxyn
Dilantin Infatabs
Dexedrine
Dilantin-125
Dopram
Felbatol
Evekeo
Gabitril
Focalin
Keppra
Focalin XR
Keppra XR
Intuniv
Klonopin
Kapvay
Lamictal
Kapvay Dose Pack
Lamictal Chewable Dispersible
Metadate CD
Lamictal Odt
Methylin
Lamictal Starter/Not Taking Carbamazepine
Provigil
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Ritalin
Lamictal Starter/Taking Valproate
Ritalin LA
Lamictal XR
Ritalin SR
Levetiracetam
Sentramodafin AM-100
Mysoline
Zenzedi
Neurontin
Effective April 1, 2015
24
Phenytek
galantamine
Qudexy XR
galantamine hydrobromide
Sabril
olanzapine/fluoxetine
Stavzor
rivastigmine tartrate
Tegretol
Galantamine Hydrobromide
Therapentin-60
PREFERRED
Therapentin-90
Ampyra
Topamax
Aubagio
Topamax Sprinkle
Avonex
Topiramate ER
Avonex Pen
Trileptal
Betaseron
Trokendi XR
Brisdelle
Vimpat
Copaxone
Zarontin
Gilenya
Zonegran
Gralise
Gralise Starter
ANTIPARKINSON AGENTS
Namenda
Namenda Titration PAK
GENERIC
Namenda XR
amantadine HCL
Namenda XR Titration Pack
benztropine mesylate
Nuedexta
bromocriptine mesylate
Plegridy
carbidopa
Plegridy Starter Pack
carbidopa/levodopa
Rebif
carbidopa/levodopa odt
Rebif Rebidose
carbidopa/levodopa ER
Rebif Rebidose Titration Pack
entacapone
Rebif Titration Pack
pramipexole dihydrochloride
Savella
pramipexole dihydrochloride ER
Tecfidera
ropinirole ER
Tecfidera Starter Pack
ropinirole HCL
Tysabri
selegiline HCL
Xenazine
trihexyphenidyl HCL
Xyrem
Carbidopa/Levodopa/Entacapone
NON PREFERRED
PREFERRED
Antabuse
Apokyn
Aricept
Azilect
Aricept Odt
Mirapex ER
Campral
NON PREFERRED
Chlordiazepoxide/Amitriptyline
Amantadine HCL
Exelon
Cogentin
Extavia
Comtan
Horizant
Duopa
Lemtrada
Eldepryl
Orap
Lodosyn
Perphenazine/Amitriptyline
Mirapex
Razadyne
Neupro
Razadyne ER
Parcopa
Sarafem
Parlodel
Savella Titration Pack
Requip
Symbyax
Requip XL
Rytary
NEUROMUSCULAR AGENTS
Sinemet
Sinemet CR
GENERIC
Stalevo 100
atracurium besylate
Stalevo 125
cisatracurium besylate
Stalevo 150
pancuronium bromide
Stalevo 200
riluzole
Stalevo 50
rocuronium bromide
Stalevo 75
vecuronium bromide
Tasmar
NON PREFERRED
Zelapar
Anectine
Botox
NEUROLOGY, PSYCH - MISC.
Dysport
Myobloc
GENERIC
Nimbex
acamprosate calcium DR
Quelicin
disulfiram
Quelicin 1000
donepezil HCL
Rilutek
ergoloid mesylates
Xeomin
fluoxetine
Effective April 1, 2015
25
Zemuron
ANTI-INFECTIVES
GENERIC
MUSCULOSKELETAL AGENTS
bacitracin/polymyxin b
GENERIC
ciprofloxacin HCL
baclofen
erythromycin
carisoprodol
gatifloxacin
carisoprodol/aspirin
gentamicin sulfate
carisoprodol/aspirin/codeine
levofloxacin
chlorzoxazone
neomycin/bacitracin/polymyxin
cyclobenzaprine HCL
neomycin/polymyxin/bacitracin zinc
dantrolene sodium
neomycin/polymyxin/gramicidin
metaxalone
ofloxacin
methocarbamol
polymyxin b sulfate/trimethoprim sulfate
orphenadrine citrate
sodium sulfacetamide
orphenadrine citrate ER
sulfacetamide sodium
orphenadrine/asa/caffeine
tobramycin sulfate
tizanidine HCL
trifluridine
Carisoprodol
trimethoprim sulfate/polymyxin b sulfate
Dantrolene Sodium
PREFERRED
PREFERRED
Besivance
Gablofen
Moxeza
Lioresal Intrathecal
Natacyn
Monovisc
Vigamox
Orthovisc
NON PREFERRED
Synvisc
Azasite
Synvisc One
Bacitracin
NON PREFERRED
Betadine Ophthalmic Prep
Amrix
Bleph-10
Cyclobenzaprine Comfort PAC
Ciloxan
Dantrium
Garamycin
Dantrium IV
Mitosol
Euflexxa
Neosporin
Fexmid
Ocuflox
Gel-one
Polytrim
Hyalgan
Sulfacetamide Sodium
Lorzone
Tobrex
Norflex
Viroptic
Parafon Forte DSC
Zirgan
Prazolamine
Zymaxid
Robaxin
Robaxin-750
ARTIFICIAL TEAR/LUBRICANT
Ryanodex
NON PREFERRED
Skelaxin
Lacrisert
Soma
Supartz
BETA-BLOCKERS
Therabenzaprine-60
GENERIC
Therabenzaprine-90
betaxolol HCL
Therabenzaprine-90-5
carteolol HCL
Tizanidine Comfort PAC
dorzolamide HCL/timolol maleate
Zanaflex
levobunolol HCL
timolol maleate
ANTIMYASTHENIC AGENTS
timolol maleate ophthalmic gel forming
GENERIC
Metipranolol
neostigmine methylsulfate
PREFERRED
pyridostigmine bromide
Combigan
PREFERRED
NON PREFERRED
Mestinon Timespan
Betagan
Prostigmin
Betimol
NON PREFERRED
Betoptic-s
Bloxiverz
Cosopt
Enlon
Cosopt PF
Enlon-plus
Istalol
Guanidine HCL
Levobunolol HCL
Mestinon
Timoptic
Neostigmine Methylsulfate
Timoptic Ocudose
Regonol
Timoptic-xe
OPHTHALMOLOGY AND OTIC
OPHTHALMIC STEROIDS
Effective April 1, 2015
26
GENERIC
GENERIC
dexamethasone sodium phosphate
pilocarpine HCL
fluorometholone
PREFERRED
neomycin/polymyxin/bacitracin/hydrocortisone
Phospholine Iodide
neomycin/polymyxin/dexamethasone
Pilopine HS
prednisolone acetate
NON PREFERRED
sulfacetamide sodium/prednisolone sodium phosphate
Isopto Carbachol
tobramycin/dexamethasone
Isopto Carpine
PREFERRED
Alrex
ADRENERGIC AGENTS
FML
GENERIC
Lotemax
apraclonidine
Ozurdex
brimonidine tartrate
Pred Mild
NON PREFERRED
Retisert
Alphagan P
Tobradex ST
Iopidine
Zylet
Simbrinza
NON PREFERRED
Blephamide
IMMUNOMODULATORS
Blephamide S.o.p.
PREFERRED
Durezol
Restasis
Flarex
FML Forte
LOCAL ANESTHETICS
FML Liquifilm
GENERIC
Maxidex
proparacaine HCL
Maxitrol
tetracaine HCL
Neomycin/Polymyxin/Hydrocortisone
NON PREFERRED
Omnipred
Akten
Pred Forte
Alcaine
Pred-G
Pred-G S.o.p.
OPHTHALMICS - MISC.
Prednisolone Sodium Phosphate
GENERIC
Tobradex
azelastine HCL
Vexol
bromfenac
cromolyn sodium
PROSTAGLANDINS
diclofenac sodium
GENERIC
dorzolamide HCL
latanoprost
epinastine HCL
PREFERRED
flurbiprofen sodium
Lumigan
ketorolac tromethamine
Travatan Z
PREFERRED
Travoprost
Bepreve
NON PREFERRED
Cystaran
Rescula
Ilevro
Xalatan
Jetrea
Zioptan
Nevanac
Pataday
CYCLOPLEGIC MYDRIATICS
Patanol
GENERIC
Pazeo
atropine sulfate
Prolensa
cyclopentolate HCL
NON PREFERRED
homatropine HBR
Acular
NON PREFERRED
Acular LS
Atropine Sulfate
Acuvail
Cyclogyl
Alocril
Cyclomydril
Alomide
Isopto Atropine
Azopt
Isopto Homatropine
Elestat
Isopto Hyoscine
Emadine
Lastacaft
DECONGESTANTS
Ocufen
GENERIC
Optivar
phenylephrine HCL
Trusopt
NON PREFERRED
Mydfrin
OTIC AGENTS
Naphazoline HCL
GENERIC
acetic acid
MIOTICS
antipyrine/benzocaine
fluocinolone acetonide
Effective April 1, 2015
27
fluocinolone acetonide ear drops
acetaminophen/codeine #2
hydrocortisone/acetic acid
acetaminophen/codeine #3
neomycin/polymyxin/hydrocortisone
acetaminophen/codeine #4
neomycin/polymyxin/HC
acetaminophen/codeine phosphate
ofloxacin
alfentanil
PREFERRED
buprenorphine HCL
Ciprodex
buprenorphine HCL/naloxone HCL
NON PREFERRED
butalbital/acetaminophen/caffeine/codeine
Acetic Acid/Aluminum Acetate
butalbital/aspirin/caffeine/codeine
Antipyrine/Benzocaine
butorphanol tartrate
Auralgan
codeine sulfate
Cetraxal
fentanyl
Cipro HC
fentanyl citrate oral transmucosal
Ciprofloxacin
hydrocodone bitartrate/acetaminophen
Coly-mycin S
hydrocodone/acetaminophen
Cortisporin
hydrocodone/ibuprofen
Cortisporin-tc
hydromorphone HCL
Cresylate
hydromorphone HCL ER
Dermotic
meperidine HCL
Myoxin
methadone HCL
Otozin
morphine sulfate
Pramotic
morphine sulfate ER
Vosol HC
nalbuphine HCL
oxycodone HCL
OXYTOCICS
oxycodone/acetaminophen
oxycodone/aspirin
oxycodone/ibuprofen
GENERIC
oxymorphone hydrochloride
methylergonovine maleate
oxymorphone hydrochloride ER
oxytocin
pentazocine/acetaminophen
NON PREFERRED
pentazocine/naloxone HCL
Cervidil
tramadol hydrochloride/acetaminophen
Hemabate
tramadol HCL
Pitocin
tramadol HCL ER
Prepidil
Fentanyl
Prostin E2
Hydrocodone Bitartrate/Acetaminophen
Hydrocodone/Acetaminophen
PAIN MANAGEMENT
PREFERRED
ANALGESICS - NONNARCOTIC
Butrans
GENERIC
Lazanda
butalbital/acetaminophen
Nucynta
butalbital/acetaminophen/caffeine
Nucynta ER
butalbital/apap/caffeine
Opana ER (crush Resistant)
butalbital/aspirin/caffeine
Oxycodone HCL ER
choline magnesium trisalicylate
Oxycontin
diflunisal
Suboxone
salsalate
Zubsolv
Butalbital/Aspirin/Caffeine
NON PREFERRED
NON PREFERRED
Abstral
Alagesic LQ
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate
Bupap
Actiq
Choline Magnesium Trisalicylate
Alfenta
Disalcid
Aspirin-caffeine-dihydrocodeine
Dolgic Plus
Avinza
Dologesic
Bunavail
Equagesic
Buprenex
Esgic
Capital/Codeine
Esgic-plus
Codeine Sulfate
Fioricet
Conzip
Fiorinal
Demerol
Levacet
Dilaudid
Ofirmev
Dilaudid-HP
Phrenilin Forte
Dolophine
Rhinoflex-650
Dolophine HCL
Staflex
Duragesic
Tencon
Embeda
Exalgo
ANALGESICS - OPIOID
Fentora
GENERIC
Fioricet/Codeine
acetaminophen/codeine
Fiorinal/Codeine #3
Effective April 1, 2015
28
Hycet
flurbiprofen
Hydromorphone HCL
ibuprofen
Hydromorphone HCL Dosette
indomethacin
Hydromorphone HCL ER
indomethacin sodium
Hysingla ER
indomethacin ER
Ibudone
ketoprofen
Infumorph 200
ketorolac tromethamine
Infumorph 500
leflunomide
Kadian
mefenamic acid
Levorphanol Tartrate
meloxicam
Liquicet
nabumetone
Lorcet Plus
naproxen
Lorcet 10/650
naproxen sodium
Lortab
naproxen sodium ER
Magnacet
oxaprozin
Maxidone
piroxicam
Meperidine HCL
sulindac
Methadone HCL
tolmetin sodium
Methadose
Meclofenamate Sodium
Methadose Sugar-free
Tolmetin Sodium
Morphine Sulfate
PREFERRED
Morphine Sulfate Add-vantage
Arcalyst
MS Contin
Humira
Norco
Humira Pediatric Crohns Disease Starter Pack
Opana
Humira Pen
Oxecta
Humira Pen-crohns Diseasestarter
Oxycodone HCL
Humira Pen-psoriasis Starter
Percocet
Ridaura
Percodan
Zorvolex
Primlev
NON PREFERRED
Reprexain
Actemra
Roxicet
Anaprox
Roxicodone
Anaprox DS
Subsys
Arava
Synalgos-dc
Arthrotec 50
Synapryn Fusepaq
Arthrotec 75
Talwin
Caldolor
Theracodeine-300
Cataflam
Theracodophen-low-90
Celebrex
Theracodophen-325
Daypro
Theracodophen-650
Duexis
Theracodophen-750
Enbrel
Theratramadol-60
Enbrel Sureclick
Theratramadol-90
EC-naprosyn
Tramadol HCL ER
Feldene
Trezix
Fenoprofen Calcium
Tylenol/Codeine #3
Ibuprofen Comfort PAC
Tylenol/Codeine #4
Ilaris
Ultiva
Indocin
Ultracet
Indocin IV
Ultram
Indomethacin
Ultram ER
IC 400
Vicoprofen
IC 800
Xartemis XR
Ketoprofen ER
Xodol
Ketorocaine-l
Xolox
Ketorocaine-lm
Zohydro ER
Ketorolac Tromethamine
Zolvit
Kineret
Zydone
Meloxicam
Meloxicam Comfort PAC
ANTI-INFLAMMATORY
Mobic
Nalfon
GENERIC
Naprelan
celecoxib
Naprosyn
diclofenac potassium
Naproxen Comfort PAC
diclofenac sodium DR
Neoprofen
diclofenac sodium ER
Orencia
diclofenac sodium/misoprostol
Otezla
etodolac
Otrexup
etodolac ER
Ponstel
Effective April 1, 2015
29
Prastera
NON PREFERRED
Rasuvo
Aloprim
Rheumatrex
Colchicine
Simponi
Mitigare
Simponi Aria
Zyloprim
Sprix
Therafeldamine
LOCAL ANESTHETICS-INJ
Theraprofen-60
GENERIC
Theraprofen-800
bupivacaine HCL
Theraprofen-90
bupivacaine/epinephrine
Theraproxen-500
chloroprocaine HCL
Theraproxen-60
lidocaine HCL
Theraproxen-90
lidocaine/epinephrine
Trepadiclofen-25
ropivacaine
Trepoxen-250
ropivacaine HCL
Trepoxicam-7.5
Tetracaine HCL
Vimovo
NON PREFERRED
Voltaren-XR
Articadent Dental
Xeljanz
BD Pudendal/Local Block Tray 1% Lidocaine
Zipsor
Carbocaine
Citanest Forte Dental
MIGRAINE PRODUCTS
Citanest Plain Dental
GENERIC
Duocaine
dihydroergotamine mesylate
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
naratriptan HCL
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
rizatriptan benzoate
rizatriptan benzoate odt
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
sumatriptan succinate
sumatriptan succinate refill
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
zolmitriptan
zolmitriptan odt
Exparel
Isometheptene/Caffeine/Acetaminophen
Lidocaine HCL/Dextrose
Sumatriptan Succinate
Marcaine
PREFERRED
Marcaine W/O Epi
Relpax
Marcaine/Epinephrine
NON PREFERRED
Marlido-25
Alsuma
Mepivacaine HCL
Amerge
Monoject Bone Marrow Biopsy Prepping Tray
Axert
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Cafergot
Cambia
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
D.h.e. 45
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Dihydroergotamine Mesylate
Ergomar
Naropin
Frova
Nesacaine
Imitrex
Nesacaine-mpf
Imitrex Statdose Refill
Sensorcaine-mpf/Epinephrine
Imitrex Statdose System
Turkel Paracentesis Procedure Tray/8french
Maxalt
Xylocaine
Maxalt-MLT
Xylocaine-mpf
Migergot
Xylocaine-mpf/Epinephrine
Migral
Xylocaine/Epinephrine
Migranal
Sumatriptan
RESPIRATORY, ALLERGY, ETC
Sumavel Dosepro
ANTIHISTAMINES
Treximet
GENERIC
Zomig
carbinoxamine maleate
Zomig Nasal Spray
cetirizine HCL
Zomig ZMT
clemastine fumarate
cyproheptadine HCL
GOUT AGENTS
desloratadine
GENERIC
desloratadine odt
allopurinol
diphenhydramine HCL
probenecid
levocetirizine dihydrochloride
probenecid/colchicine
promethazine HCL
PREFERRED
promethazine HCL plain
Colcrys
Clemastine Fumarate
Krystexxa
Uloric
Effective April 1, 2015
30
NON PREFERRED
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Brompheniramine Tannate
Donatuss Dc
Clarinex
Exactuss
Clarinex Reditabs
Gilphex TR
Dexchlorpheniramine Maleate
Giltuss
Dicopanol Fusepaq
Giltuss PED-c
Doxytex
Giltuss TR
Karbinal ER
Hyper-sal
Palgic
Hypersal
Phenergan
J-cof DHC
Respa-BR
J-max DHC
Xyzal
Nebusal
Neotuss Plus
NASAL AGENTS
Obredon
GENERIC
Panatuss Dxp
azelastine HCL
Pediatex TD
budesonide
Pediatex TDM
flunisolide
Relhist
fluticasone propionate
Rescon-JR
ipratropium bromide
Rescon-MX
olopatadine HCL
Rezira
triamcinolone acetonide
Semprex-d
Flunisolide
Suttar-SF
PREFERRED
Suttar-2
Dymista
Tessalon Perles
Nasonex
Tussionex Pennkinetic Extended Release
Phenylephrine HCL
Vituz
NON PREFERRED
Zonatuss
Adrenalin
Zutripro
Astelin
Astepro
ANTIASTHMATIC/COPD AGENTS
Atrovent
GENERIC
Bactroban Nasal
albuterol sulfate
Beconase AQ
albuterol sulfate ER
Flonase
albuterol TAB 4MG
Nasacort AQ
aminophylline
Omnaris
budesonide
Patanase
epinephrine HCL
Qnasl
ipratropium bromide
Qnasl Childrens
ipratropium bromide/albuterol sulfate
Rhinocort Aqua
levalbuterol
Tyzine
levalbuterol HCL
Tyzine Pediatric Nasal Drops
montelukast sodium
Veramyst
terbutaline sulfate
Zetonna
theophylline
theophylline CR
COUGH/COLD/ALLERGY
theophylline ER
GENERIC
theophylline/D5W
acetylcysteine
zafirlukast
benzonatate
Cromolyn Sodium
bromphen/pseudoephedrine HCL/dextromethorphan HBR
PREFERRED
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Anoro Ellipta
hydrocodone bitartrate/homatropine methylbromide
Arcapta Neohaler
hydrocodone polistirex/chlorpheniramine polistirex
Asmanex HFA
hydrocodone/homatropine
Asmanex Twisthaler 120 Metered Doses
phenylephrine/guaifenesin
Asmanex Twisthaler 14 Metered Doses
promethazine-DM
Asmanex Twisthaler 30 Me Tered Doses
promethazine/codeine
Asmanex Twisthaler 30 Metered Doses
promethazine/dextromethorphan
Asmanex Twisthaler 60 Metered Doses
sodium chloride
Asmanex Twisthaler 7 Metered Doses
PREFERRED
Atrovent HFA
Tussicaps
Combivent
NON PREFERRED
Combivent Respimat
Carbaphen 12
Daliresp
Carbaphen 12 PED
Dulera
Clarinex-d 12 HOUR
Foradil Aerolizer
Clarinex-d 24 HOUR
Perforomist
Cpb Wc
Proair HFA
Decon-a
Effective April 1, 2015
31
Pulmicort Flexhaler
Pentacel
Qvar
Tenivac
Serevent Diskus
Tetanus Toxoid Adsorbed
Spiriva Handihaler
Tetanus/Diphtheria Toxoids-adsorbed Adult
Spiriva Respimat
Symbicort
VACCINES
Tudorza Pressair
NON PREFERRED
PREFERRED
Accolate
Acthib
Accuneb
Afluria PF 2012-2013
Advair Diskus
Afluria PF 2013-2015
Advair HFA
Afluria PF 2015-2015
Aerospan
Afluria 2012-2013
Alvesco
Afluria 2013-2015
Arnuity Ellipta
Afluria 2015-2015
Breo Ellipta
Bexsero
Brovana
Biothrax
Duoneb
Cervarix
Elixophyllin
Comvax
Flovent Diskus
Engerix-b
Flovent HFA
Fluarix Quadrivalent 2013-2015
Incruse Ellipta
Fluarix Quadrivalent 2015-2015
Isuprel
Fluarix 2013-2015
Lufyllin
Fluarix 2015-2015
Maxair Autohaler
Flublok 2013-2015
Metaproterenol Sulfate
Flublok 2015-2015
Proventil HFA
Flucelvax 2013-2015
Pulmicort
Flucelvax 2015-2015
Pulmophylline
Flulaval Quadrivalent 2013-2015
Senophylline
Flulaval Quadrivalent 2015-2015
Singulair
Flulaval 2013-2015
Striverdi Respimat
Flulaval 2015-2015
Theo-24
Flumist Nasal Vaccine 2012-2013
Theophylline/D5W
Flumist Quadrivalent
Ventolin HFA
Fluvirin PF 2013-2015
Vospire ER
Fluvirin PF 2015-2015
Xolair
Fluvirin 2013-2015
Xopenex
Fluvirin 2015-2015
Xopenex Concentrate
Fluzone High-dose PF 2013-2015
Xopenex HFA
Fluzone High-dose PF 2015-2015
Zyflo
Fluzone Intradermal
Zyflo CR
Fluzone Intradermal Quadrivalent
Fluzone Pediatric PF 2013-2015
RESPIRATORY AGENTS - MISC
Fluzone PF 2013-2015
PREFERRED
Fluzone PF 2015-2015
Aralast NP
Fluzone Quadrivalent 2013-2015
Kalydeco
Fluzone Quadrivalent 2015-2015
Prolastin-c
Fluzone Split 2013-2015
Pulmozyme
Fluzone Split 2015-2015
Zemaira
Gardasil
NON PREFERRED
Gardasil 9
Curosurf
Havrix
Esbriet
Hiberix
Glassia
Imovax Rabies (h.d.c.v.)
Infasurf
Influenza A (h1n1) Monovalent 2009
Ofev
Ipol Inactivated IPV
Surfaxin
Ixiaro
Survanta Intratracheal
M-m-r II W/Diluent 10 Dose
Medical Provider EZ Flu Shot 2015-2015
TOXOIDS
Menactra
Menhibrix
Menomune-a/C/Y/W-135
PREFERRED
Menveo
Adacel
Pedvax HIB
Boostrix
Pneumovax 23
Daptacel
Pneumovax 23/1 Dose
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Pneumovax 23/5 Dose
Infanrix
Prevnar 13
Kinrix
Proquad
Pediarix
Effective April 1, 2015
32
Rabavert
Vinate IC
Recombivax HB
Vinate II
Rotarix
Vinate M
Rotateq
Vinate One
Trumenba
Vinate Pn Care
Twinrix
Vitafol-OB
Typhim VI
NON PREFERRED
Vaqta
Adrenal C Formula
Varivax
Albafort
Vivotif Berna
Atabex EC
Yf-vax
Bacmin
Zostavax
Bal-care DHA
NON PREFERRED
Bal-care DHA Essential
Bcg Vaccine
Cavan-alpha Kit
Citranatal Assure
VITAMINS
Citranatal B-calm
Citranatal DHA
VITAMINS
Citranatal Harmony
GENERIC
Citranatal RX
ascorbic acid
Citranatal 90 DHA
ergocalciferol
Cod Liver Oil
phytonadione
Concept DHA
thiamine HCL
Concept OB
vitamin c 222MG
Corvite
vitamin d
Crnatal
vitamin k1
Dialyvite Supreme D
PREFERRED
Dialyvite 3000
Mephyton
Dialyvite 5000
NON PREFERRED
Dialyvite/Zinc
Aquasol A Parenteral
Diatx ZN
Decara
Duet DHA Balanced
Drisdol
Duet DHA 400
Pyridoxine HCL
Duet DHA 400EC
Vitamin K1
Duet DHA 430
Wheat Germ
Duet DHA 430EC
Escavite
MULTIVITAMINS
Escavite D
GENERIC
Floriva
b-complex
Folcaps Omega 3
b-complex 100
Folet DHA
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Folet One
CO-natal Fa
Folgard OS
Elite-OB
Folivane-prx DHA NF
Folbecal
Folivane-OB
Inatal Advance
Fortavit
Inatal GT
Gesticare DHA
Inatal Ultra
M.v.i. Adult
M-vit
M.v.i. Pediatric
Macnatal CN DHA
M.v.i.-12 Without Vitamin K
Mission Prenatal HP
Marnatal-f
Mynatal Advance
Moms Choice RX
Mynatal Ultracaplet
Mykidz Iron Fl
Obstetrix EC
Mynatal
OB-natal One
Natachew
Perry Prenatal
Natafort
Pr Natal 400
Natalvirt CA
Pr Natal 400 EC
Natalvirt 90 DHA
Pr Natal 430
Natalvit
Pr Natal 430 EC
Natelle One
Prenatabs RX
Neevo DHA
Prenatal Ad
Nephplex RX
Prenatal Vitamins
Nephro-vite RX
Prenatal-u
Nephrocaps
Quflora Pediatric
Nephrocaps QT
Taron-prex
Nestabs
Tricare
Nestabs Abc
Trinate
Nestabs DHA
Vinate C
Newgen
Vinate Care
Nexa Plus
Vinate GT
Nicadan
Effective April 1, 2015
33
Nicazel
Vinate DHA
Nicazel Forte
Vinate DHA RF
Nicomide
Vita-pren
Nutricap
Vitafol
Nutrivit
Vitafol Ultra
O-CAL Fa
Vitafol-nano
O-CAL Prenatal
Vitafol-ob+dha
Obstetrix DHA
Vitafol-one
Ocuvel
Vitafol-pn
OB Complete
Vital-d RX
OB Complete One
Vitamedmd One RX/Quatrefolic
OB Complete Petite
Vitamedmd Plus RX/Quatre Folic
OB Complete Premier
Vitamedmd Redichew RX
OB Complete 400
Vitamedmd Redichew RX/Quatrefolic
OB Complete/DHA
Vitapearl
Paire OB
Vitaroca Plus
Poly-VI-flor
Viva CT Prenatal
Poly-VI-flor FS
Viva DHA
Poly-VI-flor/Iron
Zatean-pn
Prefera OB
Zatean-pn DHA
Prefera OB + DHA
Zatean-pn Plus
Preferaob +dha
Zatean-CH
Preferaob One
Prefol-DHA
MEDICAL DEVICES
Prenata
DIABETIC SUPPLIES
Prenate
PREFERRED
Prenate AM
Accu-chek Fastclix Lancets
Prenate DHA
Accu-chek Multiclix Lancets
Prenate Elite
Accu-chek Safe-t-pro Lancets
Prenate Enhance
Accu-chek Safe-t-pro Pluslancets
Prenate Essential
Accu-chek Soft Touch Lancets
Prenate Mini
Accu-chek Softclix Lancets
Prenate Pixie
Advocate Lancets
Prenate Restore
Advocate Safety Lancets
Prenate Star
Agamatrix Ultra-thin Lancets 33G
Preque 10
Assure Haemolance Plus High Flow 18G
Protect Plus
Assure Haemolance Plus Low Flow 25G
Protectbone
Assure Haemolance Plus Micro Flow 28G
Protectnatal
Assure Haemolance Plus Normal Flow 21G
Provida OB
Assure Haemolance Plus Pediatric Blade
R-natal OB
Assure Lance Lancets
Renatabs
Assure Lance Lancets 21G
Renatabs With Iron
Assure Lance Plus Safety Lancets 25G
Req 49+
Assure Lance Plus Safety Lancets 30G
Select-ob+dha
Assure Lancets
Select-OB
Aurora Lancet Super Thin 30G
Siderol
Aurora Lancet Thin 23G
Strovite
AF Lancets Super Thin
Strovite Forte
AT Last Lancets
Strovite One
Bayer Microlet Lancets
Supervite
Bullseye Safety Lancets
Supervite EC
BD Insulin Syringe LUER-LOK/U-100/1ML
Support-500
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Synagex
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Synatek
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Taron-bc
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Taron-c DHA
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Tri-VI-flor
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Tricare Prenatal Compleat
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Tricare Prenatal DHA One
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Triveen-duo DHA
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Triveen-prx RNF
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
TL G-FOL OS
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Udamin
BD Insulin Syringe Slip Tip/U-100/1ML
Udamin SP
BD Insulin Syringe U-40/1ML/25G X 5/8"
Vemavite-prx 2
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Vinacal
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Vinacal B
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Vinate AZ Extra
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Vinate Calcium
Effective April 1, 2015
34
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Easy Touch Safety Lancets28G/Button Activated
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Easy Touch Safety Lancets28G/Pressure Activated
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Easy Twist & CAP Lancets
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Easytest II Lancets
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Easytest Lancets
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Embrace Lancets Ultra Thin 30G
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
EZ Smart Blood Glucose Lancets
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
EZ-lets Lancets 21G
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
EZ-lets Lancets 23G
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
EZ-lets Lancets 26G Super-soft
EZ-lets Lancets 28G Ultra-soft
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
EZ-lets Lancets 30G
Fasttake Compact Monitoring System
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Fasttake Test Strips
Fifty50 Safety Seal Lancets 30G
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Fifty50 Safety Seal Lancets 32G
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Fine 30
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Fingerstix Lancets
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Fora Lancets
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Freestyle Lancets
BD Lancet Ultrafine 30G
Freestyle Unistick II Lancets
BD Lancet Ultrafine 33G
Gentle-let GP Lancets
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Gentle-let Lancets General Purpose Style/Fine Point
Gentle-let Lancets General Purpose Style/Medium Point
BD Microtainer Lancets
Gentle-let Lancets Safety Style/Fine Point
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Gentle-let Lancets Safety Style/Medium Point
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Glucocom Lancets 28G
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Glucocom Lancets 30G
BD Pen Needle/Ultrafine/29G X 12.7MM
Glucocom Lancets 33G
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Glucose Control Normal
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Glucose Control Solution
Careone Lancet Thin
Glucosource Lancets
Careone Lancet Ultra Thin
Gmate Lancets 30G
Cleanlet Lancets 28G
H&h Thinlet Lancets 26G
Clever Chek Lancets Ultrathin
H&h Thinlet Super Thin Lancets 30G
Clever Chek Lancets Ultrathin 30G
Haemolance
Coaguchek Lancets
Haemolance Low Flow Lancets
Comfort Lancets
Haemolance Plus
Diastar Easy Test II Lancets 30G
Haemolance Plus High Flow
Diastar Easy Test Lancets30G
Haemolance Plus Low Flow
Droplet Lancets Ultra Thin 30G
Haemolance Plus Max Flow
Drug Mart On-the-go Lancets Gentle 30G
Haemolance Plus Pediatric Flow
Drug Mart Unilet Lancets Super Thin 30G
Hy-vee Lancets
Drug Mart Unilet Lancets Ultra Thin 28G
Lancets
E-z Ject Lancets
Lancets Bullseye Safety
E-z Ject Lancets Color
Lancets Safety Seal 21G
E-z Ject Lancets Super Thin
Lancets Safety Seal 26G
E-z Ject Lancets Super Thin 30G
Lancets Safety Seal 28G
E-z Ject Lancets Thin 26G
Lancets Safety Seal 30G
E-z Ject Lancets 21G
Lancets Thin
E-ZJECT Lancets Micro-thin 33G
Lancets Twist Top
Easy Touch Lancets 21G/Pressure Activated
Lancets Ultra Fine
Easy Touch Lancets 23G/Pressure Activated
Lancets Ultra Thin
Easy Touch Lancets 26G/Pressure Activated
Lancets 26G Twist Top
Easy Touch Lancets 26G/Pull-top
Lancets 28G
Easy Touch Lancets 26G/Twist
Lancets 30G
Easy Touch Lancets 28G/Pressure Activated
Lancets 30G Twist Top
Easy Touch Lancets 28G/Pull-top
Lancets 30G/Twist Top
Easy Touch Lancets 28G/Twist
Lancets 31G Twist Top
Easy Touch Lancets 30G/Button-activated
Liberty Glucose Control Mid
Easy Touch Lancets 30G/Pressure Activated
Liberty Glucose Control Normal
Easy Touch Lancets 30G/Pull-top
Lifescan Unistik II Lancets
Easy Touch Lancets 30G/Twist
Lifescan Unistik 2 Deep Penetration
Easy Touch Lancets 32G/Pressure Activated
Litetouch Lancets Micro Thin 33G
Easy Touch Lancets 32G/Pull-top
Live Better Lancet Super Thin 30G
Easy Touch Lancets 32G/Twist
Live Better Lancet Ultra Thin 28G
Easy Touch Lancets 33G/Twist
Medisense Thin Lancets
Easy Touch Safety Lancets21G/Pressure Activated
Medlance Plus Extra Lancets 21G
Easy Touch Safety Lancets23G/Pressure Activated
Medlance Plus Lancets
Easy Touch Safety Lancets26G/Button Activated
Medlance Plus Lancets Lite 25G
Easy Touch Safety Lancets26G/Pressure Activated
Effective April 1, 2015
35
Medlance Plus Lite Lancets 25G
Qc Lancets Super Thin
Medlance Plus Special Lancets 0.8MM
Qc Lancets Ultra Thin
Medlance Plus Superlite 30G
Relion Lancets
Medlance Plus Superlite 30G/Comfort Max
Relion Lancets Micro-thin33G
Medlance Plus Universal Lancets 21G
Relion Lancets Standard 21G
Medlance Plus/Lite 25G
Relion Lancets Thin 26G
Medlance/Extra
Relion Lancets Ultra-thin30G
Medlance/Lite
Relion Thin Lancets
Medlance/Universal
Relion Ultra Thin Lancets
Meijer Super Thin Lancets
Relion Ultra Thin Lancets30G
Microlet Lancets
Relion Ultra Thin Plus Lancets 32G
Microtainer Safety Flow Lancet/Sterile/Single-use
Relion Ultra Thin Plus Lancets 33G
Monolet Lancets
Renew Advanced Lancing Cartridge Refills
Monolet Opd Lancets
Rexall Lancets Ultra Thin
Monolettor Safety Lancets
Rightest Gl300 Lancets
Myglucohealth Mgh Softlance Lancets 30G
Safe-t-lance Low Flow 25G
Netgroup Lancets
Safe-t-lance Normal Flow 21G
Nova Safety Lancets 23G
Safe-t-lance Plus Safety Lancet High Flow
Nova Safety Lancets 28G
Safe-t-lance Plus Safety Lancet Low Flow
Nova Sureflex Lancets
Safe-t-lance Plus Safety Lancet Normal Flow
Novofine Autocover 30GX8MM
Safety Lancet 2MM
Novofine 30GX8MM
Safety Lancet 21G/Pressure Activated
Novofine 32GX6MM
Safety Lancet 28G/Pressure Activated
Novotwist 30GX8MM
Safety Lancets
Novotwist 32GX5MM
Safety Lancets 21G
On Call Lancets
Safety Lancets 28G
On Call Plus Lancets
Safety Let Lancets
Onetouch Basic System
Safety Seal Lancets 28G
Onetouch Basic/Profile Test Strips
Safety Seal Lancets 30G
Onetouch Club Lancets Fine Point
Shopko On-the-go Comfort Lancets 30G
Onetouch Combo Pack
Shopko Unilet Lancets Super Thin 30G
Onetouch Delica Lancets Extra Fine 33G
Shopko Unilet Lancets Ultra Thin 28G
Onetouch Delica Lancets Fine 30G
Single-let
Onetouch Finepoint Lancets
Smart Diabetes Vantage Universal Lancets 30G
Onetouch Lancets
Smart Sense Color Lancets Universal 33G
Onetouch Ping Meter Remote
Smart Sense Standard Lancets Universal 21G
Onetouch Profile System
Smart Sense Super Thin Lancets Universal 30G
Onetouch Ultra Blue
Smart Sense Thin Lancets Universal 26G
Onetouch Ultra Control
Smartest Lancets 28G
Onetouch Ultra Mini
Solus V2 Pressure Activated Safety Lancets 28G
Onetouch Ultra System Kit
Solus V2 Twist Lancets 30G
Onetouch Ultra 2
Sterilance TL
Onetouch Ultralink System (hex)
Sure-lance Flat Lancets
Onetouch Ultralink System (DEC)
Sure-lance Lancets 26G
Onetouch Ultrasmart
Sure-lance Thin Lancets 28G
Onetouch Ultrasoft Lancets
Sure-lance Ultra Thin Lancets
Onetouch Verio
Sure-touch Lancets Universal
Onetouch Verio Control Solution High
Surelite Lancets
Onetouch Verio IQ Blood Glucose Monitoring System
Surestep Glucose Control
Onetouch Verio Mid Control Solution
Surestep Glucose Control Solution
Onetouch Verio Sync Bloodglucose Monitoring System
Surestep Pro High Glucosecontrol
Onetouch Verio Test Strips
Surestep Pro Low Glucose Control
Pen Needles 29G X 12MM
Surestep Pro Normal Glucose Control
Pen Needles 29GX1/2"
Surestep Pro Test Strips
Pen Needles 30GX5/16"
Surestep Test Strips
Pen Needles 31G X 1/4" SHORT
Techlite AST Lancets
Pen Needles 31G X 3/16"
Techlite Lancets
Pen Needles 31G X 6MM
Techlite Lancets 30G
Pen Needles 31GX5/16"
Thinlets GP Lancets
Perfect Lancets 30G
Thinlets Lancet
Perfect Pressure Activated Safety Lancets 28G
Trueplus Lancets 26G
Pharmacy Counter Lancets
Trueplus Lancets 28G
Precision Thin Lancets
Trueplus Lancets 28G Super Thin
Precision Thins GP Lancet
Trueplus Lancets 30G
Precision Ultra Lancet
Trueplus Lancets 30G Ultra Thin
Prodigy Pressure Activated Safety Lancets
Trueplus Lancets 33G
Prodigy Twist Top Lancets
Trueplus Lancets 33G Micro Thin
Pss Select GP Lancets
Trueplus Safety Lancets 28G
Pss Select Safety Lancets
Ulticare Thin Lancets 30G
Px Lancets Ultra Thin
Ultilet Basic Lancets 30G
Effective April 1, 2015
36
Ultilet Classic Lancets
Careone Blood Glucose Test Strips/Value
Ultilet Lancets
Caresens N Blood Glucose Test Strips
Ultilet Lancets 33G
Choice DM Fora G20 Test Strips
Ultilet Safety Lancets 23G
Clever Chek Auto-code Test Strips
Ultra-thin II Auto Lancet
Clever Chek Auto-code Voice Test Strips
Ultra-thin II Lancets 28G
Clever Chek Test Strips
Ultra-thin II Lancets 30G
Clever Choice Auto-code Pro Test Strips
Ultra-thin II Safety Autolancets 26G
Clever Choice Micro Test Strips
Unilet Comfortouch Lancet
Control AST
Unilet Excelite
Control Test Strips
Unilet Excelite II
CVS Advanced Glucose Meter Test Strips
Unilet G.p. Lancet
Duo-care Test Strips
Unilet G.p. Superlite Lancet
Easy Step Test Strips
Unilet GP 28 Ultra Thin
Easy Touch Glucose Test Strips
Unilet Lancet
Easy Touch Healthpro Glucose Test Strips
Unilet Superlite Lancet
Easygluco
Unistik 3 Gentle
Easymax Test Strips
Universal 1 Lancets Thin 26G
Easymax 15 Test Strips
Universal 1 Lancets Ultra Thin 30G
Easypro Blood Glucose Test Strips
Valumark Lancet Super Thin 30G
Easypro Plus
Valumark Lancet Ultra Thin 28G
Eclipse Test Strips
Vida Mia Unilet Lancets Super Thin 30G
Element Plus Test Strips
Vida Mia Unilet Lancets Ultra Thin 28G
Element Test Strips
Vitalet Pro Lancets
Embrace Blood Glucose Test Strips
Vitalet Pro Plus Lancets
Embrace Evo Blood Glucosetest Strips
W&f Lancets Colored 21G
Embrace Pro Blood Glucosetest Strips
W&f Lancets 26G
Envision Autocode Test Strips
Walgreens Lancets
Eql Truetrack Test
Walgreens Thin Lancets
Evencare + Blood Glucose Test Strip
Walgreens Ultra Thin Lancets
Evencare Blood Glucose Test Strip
1ST Choice Lancets Super Thin
Evencare G2 Test Strips
1ST Choice Lancets Thin
Evencare G3 Test Strips
1ST Choice Lancets Ultra Thin
Evolution Autocode
NON PREFERRED
Exactech R-s-G Test Strips
Accu-chek Active Strips
Exactech Test Strips
Accu-chek Aviva
EZ Smart Blood Glucose Test Strips
Accu-chek Aviva Plus
EZ Smart Plus Blood Glucose Test Strips
Accu-chek Comfort Curve Test Strips
Fifty50 Glucose Test Strip 2.0
Accu-chek Compact Plus
Fora D10 Blood Glucose Test Strips
Accu-chek Compact Test Drum
Fora D15c Blood Glucose Test Strips
Accu-chek Smartview Strips
Fora D15z Blood Glucose Test Strips
Accutrend Glucose
Fora D15G Blood Glucose Test Strips
Acura Blood Glucose Test Strips
Fora D20 Blood Glucose Test Strips
Advance Intuition Test Strips
Fora GD20 Test Strips
Advance Micro-draw Test Strips
Fora GD50 Blood Glucose Test Strips
Advocate Redi-code
Fora G20 Blood Glucose Test Strips
Advocate Redi-code+ Test Strips
Fora G30a Blood Glucose Test Strips
Advocate Test Strips
Fora G71a Blood Glucose Test Strips
Agamatrix Amp NO Code Test Strips
Fora G90 Blood Glucose Test Strips
Agamatrix Jazz Test Strips
Fora Test N' Go Blood Glucose Test Strips
Agamatrix Keynote Test Strips
Fora V10 Blood Glucose Test Strips
Agamatrix Presto Test Strips
Fora V12 Blood Glucose Test Strips
Ascensia Autodisc Test Strips
Fora V20 Blood Glucose Test Strips
Assure II
Fora V22 Blood Glucose Test Strips
Assure II Check Strip
Fora V30a Blood Glucose Test Strips
Assure II Test Strips
Foracare GD40
Assure Platinum Test Strips
Foracare Premium V10 Teststrips
Assure Prism Multi Test Strips
Foracare Test N Go Test Strips
Assure Pro Test Strips
Fortiscare Blood Glucose Test Strip
Assure 3 Test Strips
Freestyle Insulinx Blood Glucose Test
Assure 4 Test Strips
Freestyle Insulinx Blood Glucose Test Strips
AT Last Test Strips
Freestyle Lite Test Strips
Bayer Breeze 2 Test Disc
Freestyle Test Strips
Bayer Contour Blood Glucose Test Strips
Gluco Perfect 3 Test Strips
Bayer Contour Next Blood Glucose Test
Glucocard Expression Blood Glucose Test Strips
Bg Star Blood Glucose Test
Glucocard Shine Test Strips
Bioscanner Glucose Test Strips
Glucocard Vital Test Strips
Blood Glucose Test Strips
Glucocard X-sensor
Blood Glucose Test Strips Premium
Glucocard 01 Sensor Plus
Careone Blood Glucose Test Strips/Premium
Glucocard 01 Sensor Plus Test Strips
Effective April 1, 2015
37
Glucocom Test Strips
Glucolab Test Strips
Gluconavii Blood Glucose Test Strips
MEDICAL DEVICES - MISC
Gmate Blood Glucose Test Strips
PREFERRED
Infinity Blood Glucose Test Strips
Aerochamber Mini Aerosol Chamber
Insulin Syringe/0.5ML/30G X 5/16"
Aerochamber MV
Liberty Next Generation Blood Glucose Test Strips
Aerochamber Plus Flow VU
Maxima Blood Glucose Teststrips
Aerochamber Plus Flow-VU
Microdot Test Strips
Aerochamber Plus Flow-VU/Large Mask
Myglucohealth Blood Glucose Test
Aerochamber Plus Flow-VU/Mask
Neutek 2tek Test Strips
Aerochamber Plus Flow-VU/Medium Mask
Nexgen Test Strips
Aerochamber Plus Flow-VU/Small Mask
Nova Max Glucose Test Strips
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
On Call Express Blood Glucose Test Strips
Aerochamber Z-stat Plus/Flowsignal
On Call Plus Blood Glucose Test
Aerochamber Z-stat Plus/Large Mask
On Call Vivid Blood Glucose Test
Aerochamber Z-stat Plus/Medium Mask
On Call Vivid Blood Glucose Test Strips
Aerochamber Z-stat Plus/Small Mask
Optium Test Strips
Aerochamber/Flowsignal
Optiumez Test Strips
Aerovent Plus Holding Chamber/Collapsible
Optumrx Blood Glucose Test
Arial Chamber
Pharmacist Choice Autocode Blood Glucose Test Strips
Breatherite
Pocketchem EZ Blood Glucose Test Strips
Breatherite Collapsible Adult Spacer W/Mask
Precision Point Of Care Test Strips
Breatherite Collapsible Child Spacer W/Mask
Precision PCX
Breatherite Collapsible Infant Spacer W/Mask
Precision PCX Plus Test Strips
Breatherite Collapsible Small Child Spacer W/Mask
Precision QID Test Strips
Breatherite Collapsible Spacer W/ Neonate Mask
Precision Sof-tact Test Strips
Breatherite Rigid Spacer W/Mask
Precision XTRA Blood Glucose Test Strips
Breatherite W/Large Mask
Prestige Test Strips
Breatherite W/Medium Mask
Prodigy NO Coding Blood Glucose Test Strips
Breatherite W/Small Mask
Pts Panels Glucose Test
E-z Spacer
Quicktek Test Strips
E-z Spacer The Body Guards Pack
Quintet Ac Blood Glucose Test Strips
Easivent
Quintet Blood Glucose Test Strips
Easivent/Mask-large
Refuah Plus Blood Glucosetest Strips
Easivent/Mask-medium
Relion Blood Glucose Teststrips
Easivent/Mask-small
Relion Confirm/Micro Test Strips
Inspirachamber/Anti-static Valved/Mouthpiece
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Inspirachamber/Soothermask/Inspiramask/Medium
Relion Prime Blood Glucose Test Strips
Inspirachamber/Soothermask/Inspiramask/Small
Relion Ultima Blood Glucose Test Strips
Inspirease Bags
Relion Ultima Test Strips
Inspirease Drug Delivery System
Reveal Blood Glucose Test
Inspirease Mouthpiece
Rexall Blood Glucose Test Strips
Inspirease Reservoir Bags
Rightest GS100 Blood Glucose Test Strips
Liteaire
Rightest GS300 Blood Glucose Test Strips
Mask Vortex/Baby Whirl Duckling
Rightest GS550 Blood Glucose Test Strips
Mask Vortex/Child/Frog
Smart Diabetes Xpres Blood Glucose Test Strips
Mask Vortex/Spinner The Duck
Smart Sense Premium Bloodglucose Strips
Mask Vortex/Toddler/Lady Bug
Smart Sense Value Blood Glucose Strips
Microchamber
Smartest Blood Glucose Test Strips
Microspacer
Solus V2 Audible Test
Nessi Spacer/Large Mask
Supreme Test Strips
Nessi Spacer/Mouthpiece
Sure Edge Blood Glucose Test Strips
Nessi Spacer/Small/MED Mask
Sure-test Easyplus Mini Blood Glucose Test Strips
Optichamber Advantage
Surechek Blood Glucose Test Strips
Optichamber Diamond
Telcare Blood Glucose Test Strips
Optichamber Diamond/Largeface Mask
True Metrix Blood Glucosetest Strips
Optichamber Diamond/Medium Face Mask
True Metrix Self Monitoring Blod Glucose Strips
Optichamber Diamond/Smallface Mask
Truetest Blood Glucose T Est
Optihaler
Truetest Blood Glucose T Est Strips
Optihaler MDI Drug Delivery System
Truetest Strips
Panda Mask Large
Truetrack Blood Glucose Test
Panda Mask Medium
Truetrack Test
Panda Mask Small
Ultima Test Strips
Pediatric Panda Mask
Ultratrak Pro Test Strips
Pocket Chamber
Ultratrak Ultimate Test Strips
Pocket Spacer
Unistrip1 Generic
Riteflo
Victory Agm-4000 Test Strips
Vortex Valved Holding Chamber
Vocal Point Blood Glucose Test Strips
Wavesense Presto Test Strips
Effective April 1, 2015
38
Watchhaler
MISCELLANEOUS
PREFERRED
Chemet
Exjade
NON PREFERRED
Ferriprox
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective April 1, 2015 v.2 ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.
39
Index
A
Acular, 27
Afluria 2013-2015, 32
Acular LS, 27
Afluria 2015-2015, 32
A-hydrocort, 14
Acura Blood Glucose Test Strips, 37
Afluria PF 2012-2013, 32
A.a.g.c. Kit IN Teroderm, 11
Acuvail, 27
Afluria PF 2013-2015, 32
abacavir, 3
acyclovir, 3, 11
Afluria PF 2015-2015, 32
abacavir sulfate/lamivudine/zidovudine, 3
acyclovir sodium, 3
Afrezza, 15
Abelcet, 2
Acyclovir Sodium, 3
Agamatrix Amp NO Code Test Strips, 37
Abilify, 23
Aczone, 10
Agamatrix Jazz Test Strips, 37
Abilify Discmelt, 23
Adacel, 32
Agamatrix Keynote Test Strips, 37
Abilify Maintena, 23
Adalat CC, 7
Agamatrix Presto Test Strips, 37
Abraxane, 5
adapalene, 10
Agamatrix Ultra-thin Lancets 33G, 34
Absorica, 10
Adasuve, 23
Aggrastat, 22
Abstral, 28
Adcetris, 5
Aggrenox, 21
acamprosate calcium DR, 25
Adcirca, 10
Agrylin, 22
Acanya, 10
Adderall, 24
Akne-mycin, 10
acarbose, 16
Adderall XR, 24
Akten, 27
Accolate, 32
adefovir dipivoxil, 3
Akynzeo, 19
Accu-chek Active Strips, 37
Adempas, 10
Ala Scalp, 12
Accu-chek Aviva, 37
Adenocard, 7
Alagesic LQ, 28
Accu-chek Aviva Plus, 37
adenosine, 7
Albafort, 20, 33
Accu-chek Comfort Curve Test Strips, 37
Adoxa, 2
Albenza, 3
Accu-chek Compact Plus, 37
Adoxa PAK 1/100, 2
albuterol sulfate, 31
Accu-chek Compact Test Drum, 37
Adoxa PAK 1/150, 2
albuterol sulfate ER, 31
Accu-chek Fastclix Lancets, 34
Adoxa PAK 2/100, 2
albuterol TAB 4MG, 31
Accu-chek Multiclix Lancets, 34
Adrenaclick, 9
Alcaine, 27
Accu-chek Safe-t-pro Lancets, 34
Adrenal C Formula, 33
alclometasone dipropionate, 12
Accu-chek Safe-t-pro Pluslancets, 34
Adrenalin, 9, 31
Aldactazide, 9
Accu-chek Smartview Strips, 37
Adriamycin, 4
Aldactone, 9
Accu-chek Soft Touch Lancets, 34
Advair Diskus, 32
Aldara, 12
Accu-chek Softclix Lancets, 34
Advair HFA, 32
Aldurazyme, 17
Accuneb, 32
Advance Intuition Test Strips, 37
alendronate sodium, 16
Accupril, 8
Advance Micro-draw Test Strips, 37
Alendronate Sodium, 16
Accuretic, 8
Advate, 21
Alfenta, 28
Accutrend Glucose, 37
Advicor, 9
alfentanil, 28
acebutolol HCL, 7
Advocate Lancets, 34
Alferon N, 6
Aceon, 8
Advocate Redi-code, 37
alfuzosin HCL ER, 20
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28
Advocate Redi-code+ Test Strips, 37
Alimta, 5
Advocate Safety Lancets, 34
Alinia, 4
acetaminophen/codeine, 28
Advocate Test Strips, 37
Alkeran, 4
acetaminophen/codeine #2, 28
Aerochamber Mini Aerosol Chamber, 38
allopurinol, 30
acetaminophen/codeine #3, 28
Aerochamber MV, 38
Alocril, 27
acetaminophen/codeine #4, 28
Aerochamber Plus Flow VU, 38
Alodox Convenience Kit, 2
acetaminophen/codeine phosphate, 28
Aerochamber Plus Flow-VU, 38
Alomide, 27
acetazolamide, 9
Aerochamber Plus Flow-VU/Large Mask, 38
Aloprim, 30
Acetazolamide, 9
Alora, 14
acetazolamide ER, 9
Aerochamber Plus Flow-VU/Mask, 38
Aloxi, 19
acetazolamide sodium, 9
Aerochamber Plus Flow-VU/Medium Mask, 38
Alphagan P, 27
acetic acid, 27
Alphanate/Von Willebrand Factor Complex/Human, 21
Acetic Acid/Aluminum Acetate, 28
Aerochamber Plus Flow-VU/Small Mask, 38
acetylcysteine, 31
Alphanine SD, 21
Aciphex, 18
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 38
alprazolam, 22
Aciphex Sprinkle, 18
alprazolam ER, 22
acitretin, 11
Aerochamber Z-stat Plus/Flowsignal, 38
Alprazolam Intensol, 22
Aclovate, 12
Aerochamber Z-stat Plus/Large Mask, 38
alprazolam odt, 22
Actemra, 29
Aerochamber Z-stat Plus/Medium Mask, 38
Alprolix, 21
Acthib, 32
Alrex, 27
Acticlate, 2
Aerochamber Z-stat Plus/Small Mask, 38
Alsuma, 30
Actigall, 19
Aerochamber/Flowsignal, 38
Altabax, 11
Actimmune, 6
Aerospan, 32
Altace, 8
Actiq, 28
Aerovent Plus Holding Chamber/Collapsible, 38
Altoprev, 9
Activase, 22
Aluvea, 13
Activella, 14
AF Lancets Super Thin, 34
Alvesco, 32
Actonel, 16
Afinitor, 6
amantadine HCL, 25
Actoplus Met, 16
Afinitor Disperz, 6
Amantadine HCL, 25
Actoplus Met XR, 16
Afluria 2012-2013, 32
Amaryl, 15
Actos, 16
Ambien, 23
Animi-3, 20
Assure Haemolance Plus High Flow 18G, 34
Ambien CR, 23
Animi-3/Vitamin D, 20
Ambisome, 2
Anoro Ellipta, 31
Assure Haemolance Plus Low Flow 25G, 34
Amcinonide, 12
Antabuse, 25
Amerge, 30
Antara, 9
Assure Haemolance Plus Micro Flow 28G, 34
Amethyst, 15
antipyrine/benzocaine, 27
Amicar, 21
Antipyrine/Benzocaine, 28
Assure Haemolance Plus Normal Flow 21G, 34
amifostine, 6
Anusol-HC, 19
amikacin sulfate, 2
Anzemet, 19
Assure Haemolance Plus Pediatric Blade, 34
amiloride HCL, 9
Apexicon E, 12
amiloride/hydrochlorothiazide, 9
Apidra, 15
Assure II, 37
aminocaproic acid, 21
Apidra Solostar, 15
Assure II Check Strip, 37
Aminocaproic Acid, 21
Aplenzin, 23
Assure II Test Strips, 37
aminophylline, 31
Apokyn, 25
Assure Lance Lancets, 34
amiodarone HCL, 7
Appbutamone, 23
Assure Lance Lancets 21G, 34
Amiodarone HCL, 7
Appbutamone-d, 23
Assure Lance Plus Safety Lancets 25G, 34
Amitiza, 19
Appformin, 16
amitriptyline HCL, 22
Appformin-d, 16
Assure Lance Plus Safety Lancets 30G, 34
amlodipine besylate, 7
apraclonidine, 27
amlodipine besylate/atorvastatin calcium, 10
Apriso, 19
Assure Lancets, 34
Aptiom, 24
Assure Platinum Test Strips, 37
amlodipine besylate/benazepril HCL, 8
Aptivus, 3
Assure Prism Multi Test Strips, 37
amlodipine besylate/benazepril hydrochloride, 8
Aquasol A Parenteral, 33
Assure Pro Test Strips, 37
Aquoral, 22
Astagraf XL, 5
amlodipine besylate/valsartan, 8
Aralast NP, 32
Astelin, 31
amlodipine/valsartan/hctz, 8
Aralen, 3
Astepro, 31
ammonium lactate, 13
Aranesp Albumin Free, 20
Astringyn, 21
Ammonul, 17
Arava, 29
AT Last Lancets, 34
Amoxapine, 22
Arcalyst, 29
AT Last Test Strips, 37
amoxicillin, 1
Arcapta Neohaler, 31
Atabex EC, 33
Amoxicillin, 1
argatroban, 21
Atacand, 8
Amoxicillin ER, 1
Argatroban, 21
Atacand HCT, 8
amoxicillin/clavulanate potassium, 1
Arial Chamber, 38
Atelvia, 16
amoxicillin/clavulanate potassium ER, 1
Aricept, 25
atenolol, 7
amphetamine/dextroamphetamine, 24
Aricept Odt, 25
atenolol/chlorthalidone, 8
Amphotec, 2
Arimidex, 5
Atgam, 5
Amphotericin B, 2
Aristospan Intra-articular, 14
Ativan, 22
ampicillin, 1
Aristospan Intralesional, 14
Atopiclair, 13
Ampicillin, 1
Arixtra, 21
atorvastatin calcium, 9
ampicillin sodium, 1
Armour Thyroid, 17
atovaquone, 4
Ampicillin Sodium, 1
Arnica Flower, 13
atovaquone/proguanil HCL, 3
ampicillin-sulbactam, 1
Arnuity Ellipta, 32
atracurium besylate, 25
Ampicillin-sulbactam, 1
Aromasin, 5
Atralin, 10
Ampyra, 25
Arranon, 5
Atripla, 3
Amrix, 26
Arthrotec 50, 29
Atropen, 18
Amturnide, 8
Arthrotec 75, 29
atropine sulfate, 18, 27
Amytal Sodium, 23
Articadent Dental, 30
Atropine Sulfate, 18, 27
Anacaine, 13
Artiss, 21
Atrovent, 31
Anadrol-50, 14
Arzerra, 5
Atrovent HFA, 31
Anafranil, 23
Asacol HD, 19
Aubagio, 25
anagrelide hydrochloride, 21
Ascensia Autodisc Test Strips, 37
augmented betamethasone dipropionate, 12
Analpram Advanced, 19
ascorbic acid, 33
Analpram-HC, 19
Asmanex HFA, 31
Augmentin, 1
Analpram-HC Singles, 19
Asmanex Twisthaler 120 Metered Doses, 31
Augmentin ES-600, 1
Anaprox, 29
Augmentin XR, 1
Anaprox DS, 29
Asmanex Twisthaler 14 Metered Doses, 31
Auralgan, 28
Anaspaz, 18
Aurora Lancet Super Thin 30G, 34
anastrozole, 5
Asmanex Twisthaler 30 Me Tered Doses, 31
Aurora Lancet Thin 23G, 34
Ancef, 1
Aurstat Anti-itch Hydrogel, 13
Ancobon, 2
Asmanex Twisthaler 30 Metered Doses, 31
Aurstat Anti-itch Hydrogel Kit, 13
Androderm, 14
Auryxia, 19
Androgel, 14
Asmanex Twisthaler 60 Metered Doses, 31
Auvi-q, 9
Androgel P.M., 14
Avalide, 8
Android, 14
Asmanex Twisthaler 7 Metered Doses, 31
Avandamet, 16
Androxy, 14
Avandaryl, 16
Anectine, 25
Aspirin-caffeine-dihydrocodeine, 28
Avandia, 16
Angeliq, 14
Assure 3 Test Strips, 37
Avapro, 8
Angiomax, 21
Assure 4 Test Strips, 37
Avar, 10
Avar LS, 10
100/1ML/28G X 1/2", 34
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35
Avar LS Cleanser, 10
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 34
Avar-e LS, 10
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35
Avastin, 5
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 34
Avc, 20
BD Pen Needle/Ultrafine/29G X 12.7MM, 35
Aveed, 14
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 34
Avelox, 2
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35
Avelox Abc Pack, 2
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 34
Avidoxy DK, 2
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 35
Avinza, 28
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 34
Avodart, 20
BD Pudendal/Local Block Tray 1% Lidocaine, 30
Avonex, 25
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 34
Avonex Pen, 25
Beconase AQ, 31
Axert, 30
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 34
Beleodaq, 6
Axid, 18
Belladonna & Opium, 18
Axiron, 14
BD Insulin Syringe Slip Tip/U-100/1ML, 34
Belladonna Alkaloids & Opium, 18
Aygestin, 15
Belsomra, 23
azacitidine, 4
BD Insulin Syringe U-40/1ML/25G X 5/8", 34
benazepril HCL, 8
Azactam, 4
benazepril HCL/hydrochlorothiazide, 8
Azactam IN Iso-osmotic Dextrose, 4
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34
Benefix, 21
Azasan, 5
Benicar, 8
Azasite, 26
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34
Benicar HCT, 8
azathioprine, 5
Bentyl, 18
azelastine HCL, 27, 31
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34
Benzac Ac Wash, 10
Azelex, 10
Benzac W Wash, 10
Azilect, 25
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35
Benzaclin, 10
azithromycin, 1
Benzaclin With P.M., 10
Azithromycin, 1
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 35
Benzamycin, 10
Azopt, 27
Benzamycinpak, 10
Azor, 8
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35
Benzefoam, 10
aztreonam, 4
Benzefoamultra, 10
Azulfidine, 19
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 35
Benziq, 10
Azulfidine EN-TABS, 19
Benziq LS, 10
B
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35
Benzoin Compound Tincture, 13
Benzoin Tincture, 13
B-6 Folic Acid, 20
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35
benzonatate, 31
b-complex, 33
benzoyl peroxide, 10
b-complex 100, 33
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34
benzoyl peroxide SHORT contact, 10
bacitracin, 4
benztropine mesylate, 25
Bacitracin, 4, 26
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35
Bepreve, 27
bacitracin/polymyxin b, 26
Berinert, 21
baclofen, 26
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35
Besivance, 26
Bacmin, 33
Betadine Ophthalmic Prep, 26
Bactocill IN Dextrose, 1
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35
Betagan, 26
Bactrim, 4
Betalido, 14
Bactrim DS, 4
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35
betamethasone dipropionate, 12
Bactroban, 11
betamethasone sodium phosphate/betamethasone acetate, 14
Bactroban Nasal, 31
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35
Bal-care DHA, 33
betamethasone valerate, 12
Bal-care DHA Essential, 33
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35
Betapace, 7
balsalazide disodium, 19
Betapace AF, 7
Banzel, 24
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35
Betaseron, 25
Baraclude, 3
betaxolol HCL, 7, 26
Bayer Breeze 2 Test Disc, 37
BD Insulin Syringe/U-100/1ML/27G X 1/2", 35
bethanechol chloride, 19
Bayer Contour Blood Glucose Test Strips, 37
Bethkis, 2
BD Insulin Syringe/U-100/1ML/28G X 1/2", 35
Betimol, 26
Bayer Contour Next Blood Glucose Test, 37
Betoptic-s, 26
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35
Bexsero, 32
Bayer Microlet Lancets, 34
Bexxar, 5
Bcg Vaccine, 33
BD Insulin Syringe/U-100/2ML/29G X 1/2", 35
Bexxar 131 Iodine, 6
BD Insulin Syringe LUER-LOK/U-100/1ML, 34
Beyaz, 15
BD Lancet Ultrafine 30G, 35
Bg Star Blood Glucose Test, 37
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 34
BD Lancet Ultrafine 33G, 35
Biaxin, 1
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35
Biaxin XL, 1
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 34
Biaxin XL PAC, 1
BD Microtainer Lancets, 35
bicalutamide, 5
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 34
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35
Bicillin C-R, 1
Bicillin L-a, 1
BD Insulin Syringe Microfine IV/U-
Bicnu, 4
buspirone HCL, 22
Cardene I.v., 7
Bidil, 10
Busulfex, 4
Cardene IV, 7
Biest/Progesterone, 14
butalbital/acetaminophen, 28
Cardene SR, 7
Biferarx, 20
butalbital/acetaminophen/caffeine, 28
Cardizem, 7
Biltricide, 3
butalbital/acetaminophen/caffeine/codeine, 28
Cardizem CD, 7
Binosto, 16
Cardizem LA, 7
Bioscanner Glucose Test Strips, 37
butalbital/apap/caffeine, 28
Cardura, 8
Biothrax, 32
butalbital/aspirin/caffeine, 28
Cardura XL, 20
bisoprolol fumarate, 7
Butalbital/Aspirin/Caffeine, 28
Careone Blood Glucose Test Strips/Premium, 37
bisoprolol fumarate/hydrochlorothiazide, 8
butalbital/aspirin/caffeine/codeine, 28
Butisol Sodium, 24
Careone Blood Glucose Test Strips/Value, 37
bleomycin sulfate, 4
butorphanol tartrate, 28
Bleph-10, 26
Butrans, 28
Careone Lancet Thin, 35
Blephamide, 27
Bydureon, 15
Careone Lancet Ultra Thin, 35
Blephamide S.o.p., 27
Byetta, 15
Caresens N Blood Glucose Test Strips, 37
Blincyto, 5
Bystolic, 7
Blood Glucose Test Strips, 37
C
carisoprodol, 26
Blood Glucose Test Strips Premium, 37
Carisoprodol, 26
cabergoline, 17
Bloxiverz, 26
carisoprodol/aspirin, 26
Caduet, 10
Boniva, 16
carisoprodol/aspirin/codeine, 26
Cafcit, 24
Boostrix, 32
Carmol-HC, 12
Cafergot, 30
Boric Acid, 13
Carnitor, 17
caffeine citrate, 24
Bosulif, 6
Carnitor SF, 17
Caffeine/Sodium Benzoate, 24
Botox, 25
carteolol HCL, 26
Calan, 7
Bravelle, 16
carvedilol, 7
Calan SR, 7
Breatherite, 38
Cascara Sagrada, 18
calcipotriene, 11
Breatherite Collapsible Adult Spacer W/Mask, 38
Casodex, 5
calcipotriene/betamethasone dipropionate, 12
Cataflam, 29
Breatherite Collapsible Child Spacer W/Mask, 38
Catapres, 8
calcitonin salmon, 16
Catapres-tts-1, 8
calcitonin-salmon, 16
Breatherite Collapsible Infant Spacer W/Mask, 38
Catapres-tts-2, 8
Calcitriol, 11
Catapres-tts-3, 8
calcitriol, 17
Breatherite Collapsible Small Child Spacer W/Mask, 38
Cathflo Activase, 22
calcium acetate, 19
Cavan-alpha Kit, 33
Calcium Folinate, 6
Breatherite Collapsible Spacer W/ Neonate Mask, 38
Caverject, 10
Caldolor, 29
Caverject Impulse, 10
Cambia, 30
Breatherite Rigid Spacer W/Mask, 38
Cayston, 4
Campral, 25
Breatherite W/Large Mask, 38
Cedax, 1
Camptosar, 6
Breatherite W/Medium Mask, 38
cefaclor, 1
Canasa, 19
Breatherite W/Small Mask, 38
Cefaclor, 1
Cancidas, 2
Breo Ellipta, 32
Cefaclor ER, 1
candesartan cilexetil, 8
Brevibloc, 7
cefadroxil, 1
candesartan cilexetil/hydrochlorothiazide, 8
Brevicon-28, 15
cefazolin sodium, 1
Brilinta, 21
Cefazolin Sodium, 1
Cantil, 18
brimonidine tartrate, 27
Cefazolin Sodium/Dextrose, 1
Capastat Sulfate, 2
Brintellix, 23
cefdinir, 1
capecitabine, 4
Brisdelle, 25
Cefditoren Pivoxil, 1
Capex, 12
bromfenac, 27
cefepime, 1
Caphosol, 22
bromocriptine mesylate, 25
Cefepime, 1
Capital/Codeine, 28
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31
cefotaxime sodium, 1
Caprelsa, 6
Cefotetan, 1
Capsiderm, 13
Brompheniramine Tannate, 31
Cefotetan/Dextrose, 1
captopril, 8
Brovana, 32
cefoxitin sodium, 1
Captopril/Hydrochlorothiazide, 8
budesonide, 14, 31(2)
Cefoxitin Sodium, 1
Carafate, 18
Bullseye Safety Lancets, 34
cefpodoxime proxetil, 1
Carbaglu, 17
bumetanide, 9
cefprozil, 1
carbamazepine, 24
Bunavail, 28
ceftazidime, 1
carbamazepine ER, 24
Bupap, 28
Ceftazidime, 1
Carbaphen 12, 31
Buphenyl, 17
Ceftazidime/Dextrose, 1
Carbaphen 12 PED, 31
bupivacaine HCL, 30
Ceftibuten, 1
Carbatrol, 24
bupivacaine/epinephrine, 30
Ceftin, 1
carbidopa, 25
Buprenex, 28
Ceftriaxone IN Iso-osmotic Dextrose, 1
carbidopa/levodopa, 25
buprenorphine HCL, 28
ceftriaxone sodium, 1
carbidopa/levodopa ER, 25
buprenorphine HCL/naloxone HCL, 28
Ceftriaxone/Dextrose, 1
carbidopa/levodopa odt, 25
bupropion HCL, 22
cefuroxime axetil, 1
Carbidopa/Levodopa/Entacapone, 25
bupropion HCL ER, 22
cefuroxime sodium, 1
carbinoxamine maleate, 30
bupropion HCL SR, 22
Cefuroxime Sodium, 1
Carbocaine, 30
bupropion HCL XL, 22
Cefuroxime/Dextrose, 1
carboplatin, 4
Celebrex, 29
Cipro XR, 2
clobetasol propionate, 12
celecoxib, 29
Ciprodex, 28
clobetasol propionate emollient, 12
Celestone, 14
ciprofloxacin, 2
Clobex, 12
Celestone-soluspan, 14
Ciprofloxacin, 28
Clocortolone Pivalate, 12
Celexa, 23
ciprofloxacin ER, 2
Clocortolone Pivalate P.M., 12
Cellcept, 5
ciprofloxacin HCL, 2, 26
Clodan Kit, 12
Cellcept Intravenous, 5
Ciprofloxacin HCL, 2
Cloderm, 12
Celontin, 24
ciprofloxacin I.V.-IN D5W, 2
Cloderm P.M., 12
Cem-urea, 13
cisatracurium besylate, 25
Clolar, 5
Cenestin, 14
cisplatin, 4
clomiphene citrate, 16
Cenfol, 20
Cisplatin, 4
clomipramine HCL, 22
Centany, 11
citalopram hydrobromide, 22
clonazepam, 24
Centany AT, 11
Citanest Forte Dental, 30
clonazepam odt, 24
Centratex, 20
Citanest Plain Dental, 30
clonidine HCL, 8
cephalexin, 1
Citranatal 90 DHA, 33
clonidine HCL ER, 24
Cephalexin, 1
Citranatal Assure, 33
clopidogrel, 21
Cerdelga, 20
Citranatal B-calm, 33
clorazepate dipotassium, 22
Cerebyx, 24
Citranatal DHA, 33
Clorpres, 8
Cerezyme, 20
Citranatal Harmony, 33
clotrimazole, 11, 22
Cervarix, 32
Citranatal RX, 33
clotrimazole/betamethasone dipropionate, 11
Cervidil, 28
citric acid/sodium citrate, 20
Cesamet, 19
Citrolith, 20
clozapine, 23
cetirizine HCL, 30
cladribine, 4
Clozapine Odt, 23
Cetraxal, 28
Claforan, 1
Clozaril, 23
Cetrotide, 17
Claforan/D5W, 1
Cnl8 Nail Kit, 11
cevimeline HCL, 22
Claravis, 10
CO-natal Fa, 33
Chemet, 39
Clarifoam EF, 10
Coaguchek Lancets, 35
Chenodal, 19
Clarinex, 31
Coal TAR, 13
Chloral Hydrate, 23
Clarinex Reditabs, 31
Coartem, 3
Chloramphenicol Sodium Succinate, 4
Clarinex-d 12 HOUR, 31
Cocaine HCL, 13
chlordiazepoxide HCL, 22
Clarinex-d 24 HOUR, 31
Cod Liver Oil, 33
Chlordiazepoxide/Amitriptyline, 25
clarithromycin, 1
codeine sulfate, 28
chlorhexidine gluconate, 22
clarithromycin ER, 1
Codeine Sulfate, 28
chlorhexidine gluconate oral rinse, 22
Cleanlet Lancets 28G, 35
Cogentin, 25
chloroprocaine HCL, 30
clemastine fumarate, 30
Colazal, 19
chloroquine phosphate, 3
Clemastine Fumarate, 30
Colchicine, 30
chlorothiazide, 9
Cleocin, 4, 20
Colcrys, 30
Chlorothiazide, 9
Cleocin IN D5W, 4
Colestid, 9
chlorothiazide sodium, 9
Cleocin Pediatric Granules, 4
Colestid Flavored, 9
chlorpromazine HCL, 23
Cleocin Phosphate, 4
colestipol HCL, 9
Chlorpromazine HCL, 23
Cleocin-t, 10
colestipol HCL for oral suspension, 9
Chlorpropamide, 15
Clever Chek Auto-code Test Strips, 37
colistimethate sodium, 4
Chlorthalidone, 9
Clever Chek Auto-code Voice Test Strips, 37
Coly-mycin M, 4
chlorzoxazone, 26
Coly-mycin S, 28
Choice DM Fora G20 Test Strips, 37
Clever Chek Lancets Ultrathin, 35
Colyte-flavor Packs, 18
cholestyramine, 9
Clever Chek Lancets Ultrathin 30G, 35
Combigan, 26
cholestyramine light, 9
Clever Chek Test Strips, 37
Combipatch, 14
choline magnesium trisalicylate, 28
Clever Choice Auto-code Pro Test Strips, 37
Combivent, 31
Choline Magnesium Trisalicylate, 28
Combivent Respimat, 31
chorionic gonadotropin, 16
Clever Choice Micro Test Strips, 37
Combivir, 3
Cialis, 10
Cleviprex, 7
Cometriq, 6
Ciclodan Cream Kit, 11
Climara, 14
Comfort Lancets, 35
Ciclodan Solution Kit, 11
Climara Pro, 14
Compazine, 23
ciclopirox, 11
Clindacin Etz, 10
Complera, 3
ciclopirox nail lacquer, 11
Clindacin PAC, 10
Comtan, 25
ciclopirox olamine, 11
Clindagel, 10
Comvax, 32
Ciclopirox Topical Solution Kit, 11
clindamycin HCL, 4
Concept DHA, 33
cidofovir, 3
clindamycin palmitate HCL, 4
Concept OB, 33
Ciferex, 20
clindamycin phosphate, 4, 10, 20
Concerta, 24
cilostazol, 21
Clindamycin Phosphate, 4
Condylox, 13
Ciloxan, 26
clindamycin phosphate add-vantage, 4
Control AST, 37
cimetidine, 18
clindamycin phosphate IN D5W, 4
Control Test Strips, 37
cimetidine HCL, 18
clindamycin phosphate pharmacy bulk package, 4
Conzip, 28
Cimzia, 19
Copaxone, 25
Cimzia Starter Kit, 19
clindamycin/benzoyl peroxide, 10
Copegus, 3
Cipro, 2
Clindap-t, 10
Cordarone, 8
Cipro HC, 28
Clindesse, 20
Cordran, 12
Cipro I.V.-IN D5W, 2
Clinoin, 10
Cordran Tape, 12
Coreg, 7
D
Dexamethasone, 14
Coreg CR, 7
Dexamethasone Intensol, 14
D.h.e. 45, 30
Corgard, 7
dexamethasone sodium phosphate, 14, 27
dacarbazine, 6
Corifact, 21
Dacarbazine, 6
Corlopam, 8
Dexamethasone Sodium Phosphate, 14
Dacogen, 5
Cortalo, 12
Dexchlorpheniramine Maleate, 31
Daliresp, 31
Cortef, 14
Dexedrine, 24
Dalvance, 4
Cortenema, 19
Dexilant, 18
danazol, 14
Cortifoam, 19
Dexlido, 14
Dantrium, 26
Cortisone Acetate, 14
Dexlido-m, 14
Dantrium IV, 26
Cortisporin, 11, 28
dexmedetomidine HCL, 23
dantrolene sodium, 26
Cortisporin-tc, 28
dexmethylphenidate HCL, 24
Dantrolene Sodium, 26
Corvert, 8
dexmethylphenidate HCL ER, 24
Dapsone, 4
Corvite, 33
Dexpak 10 Day, 14
Daptacel, 32
Corvite 150, 20
Dexpak 13 Day, 14
Daraprim, 3
Corzide, 8
Dexpak 6 Day, 14
daunorubicin HCL, 4
Cosentyx, 11
Dexpanthenol, 19
Daunoxome, 4
Cosentyx Sensoready Pen, 11
dexrazoxane, 6
Daypro, 29
Cosmegen, 4
dextroamphetamine sulfate, 24
Daytrana, 24
Cosopt, 26
dextroamphetamine sulfate ER, 24
Ddavp, 17
Cosopt PF, 26
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31
Debacterol, 22
Coumadin, 21
Decara, 33
Cozaar, 8
decitabine, 5
Cpb Wc, 31
Diabeta, 15
Decon-a, 31
Creon, 19
Dialyvite 3000, 33
Delestrogen, 14
Crestor, 9
Dialyvite 5000, 33
Delzicol, 19
Cresylate, 28
Dialyvite Supreme D, 33
Demadex, 9
Crinone, 20
Dialyvite/Zinc, 33
demeclocycline HCL, 2
Crixivan, 3
Diamox, 9
Demerol, 28
Crnatal, 33
Diastar Easy Test II Lancets 30G, 35
Demser, 8
cromolyn sodium, 19, 27
Diastar Easy Test Lancets30G, 35
Denavir, 11
Cromolyn Sodium, 31
Diastat Acudial, 24
Depacon, 24
Cubicin, 4
Diastat Pediatric, 24
Depakene, 24
Curosurf, 32
Diatx ZN, 33
Depakote, 24
Cutivate, 12
diazepam, 22
Depakote ER, 24
Cuvposa, 18
Diazepam, 22, 24
Depakote Sprinkles, 24
CVS Advanced Glucose Meter Test Strips, 37
Dibenzyline, 8
Depo-estradiol, 14
Diclegis, 19
Depo-medrol, 14
cyanocobalamin, 20
diclofenac potassium, 29
Depo-provera, 5
Cyanocobalamin, 20
diclofenac sodium, 11, 27
Depo-testosterone, 14
Cyclessa, 15
diclofenac sodium DR, 29
Depocyt, 5
Cyclobenzaprine Comfort PAC, 26
diclofenac sodium ER, 29
Deprizine Fusepaq, 18
cyclobenzaprine HCL, 26
diclofenac sodium/misoprostol, 29
Derma-smoothe/FS Body, 12
Cyclogyl, 27
dicloxacillin sodium, 1
Derma-smoothe/FS Scalp, 12
Cyclomydril, 27
Dicopanol Fusepaq, 31
Dermasorb HC, 12
cyclopentolate HCL, 27
dicyclomine HCL, 18
Dermasorb Ta, 12
cyclophosphamide, 4
Dicyclomine HCL, 18
Dermasorb XM, 13
Cyclophosphamide, 4
didanosine, 3
Dermatop, 12
Cycloserine, 2
Differin, 10
Dermotic, 28
cyclosporine, 5
Dificid, 1
desipramine HCL, 22
cyclosporine modified, 5
diflorasone diacetate, 12
desloratadine, 30
Cyclosporine Modified, 5
Diflorasone Diacetate, 12
desloratadine odt, 30
Cyklokapron, 21
Diflucan, 2
desmopressin acetate, 17
Cymbalta, 23
diflunisal, 28
Desogen, 15
cyproheptadine HCL, 30
digoxin, 6
desogestrel/ethinyl estradiol, 15
Cyramza, 5
Digoxin, 6
Desonate, 12
Cystadane, 17
dihydroergotamine mesylate, 30
desonide, 12
Cystagon, 20
Dihydroergotamine Mesylate, 30
Desowen, 12
Cystaran, 27
Dilacor XR, 7
Desowen Cream/Cetaphil Lotion, 12
cytarabine, 5
Dilantin, 24
Desowen Lotion/Cetaphil Cream, 12
Cytarabine, 5
Dilantin Infatabs, 24
Desowen Ointment/Cetaphil Lotion, 12
cytarabine aqueous, 5
Dilantin-125, 24
desoximetasone, 12
Cytomel, 17
Dilatrate SR, 7
Desoximetasone, 12
Cytotec, 18
Dilaudid, 28
Desoxyn, 24
Cytovene, 3
Dilaudid-HP, 28
Desvenlafaxine ER, 23
Cytra-3, 20
diltiazem CD, 7
Detrol, 20
diltiazem HCL, 7
Detrol LA, 20
Diltiazem HCL, 7
dexamethasone, 14
diltiazem HCL ER, 7
droperidol, 22
Activated, 35
Dimenhydrinate, 19
Droplet Lancets Ultra Thin 30G, 35
Easy Touch Lancets 26G/Pressure Activated, 35
Diovan, 8
drospirenone/ethinyl estradiol, 15
Diovan HCT, 8
Droxia, 20
Easy Touch Lancets 26G/Pull-top, 35
Dipentocaine, 11
Drug Mart On-the-go Lancets Gentle 30G, 35
Easy Touch Lancets 26G/Twist, 35
Dipentum, 19
Easy Touch Lancets 28G/Pressure Activated, 35
diphenhydramine HCL, 30
Drug Mart Unilet Lancets Super Thin 30G, 35
diphenoxylate/atropine, 18
Easy Touch Lancets 28G/Pull-top, 35
Diphenoxylate/Atropine, 18
Drug Mart Unilet Lancets Ultra Thin 28G, 35
Easy Touch Lancets 28G/Twist, 35
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32
Easy Touch Lancets 30G/Button-activated, 35
Drysol, 13
Diprolene, 12
Duac, 10
Easy Touch Lancets 30G/Pressure Activated, 35
Diprolene AF, 12
Duavee, 14
dipyridamole, 21
Duet DHA 400, 33
Easy Touch Lancets 30G/Pull-top, 35
Disalcid, 28
Duet DHA 400EC, 33
Easy Touch Lancets 30G/Twist, 35
disopyramide phosphate, 7
Duet DHA 430, 33
Easy Touch Lancets 32G/Pressure Activated, 35
disulfiram, 25
Duet DHA 430EC, 33
Ditropan XL, 20
Duet DHA Balanced, 33
Easy Touch Lancets 32G/Pull-top, 35
Diuril, 9
Duetact, 16
Easy Touch Lancets 32G/Twist, 35
divalproex sodium, 24
Duexis, 29
Easy Touch Lancets 33G/Twist, 35
divalproex sodium DR, 24
Dulera, 31
Easy Touch Safety Lancets21G/Pressure Activated, 35
divalproex sodium ER, 24
duloxetine HCL, 22
Divigel, 14
Duo-care Test Strips, 37
Easy Touch Safety Lancets23G/Pressure Activated, 35
Divista, 20
Duocaine, 30
dobutamine HCL, 9
Duoneb, 32
Easy Touch Safety Lancets26G/Button Activated, 35
dobutamine HCL/D5W, 9
Duopa, 25
dobutamine/dextrose 5%, 9
Duragesic, 28
Easy Touch Safety Lancets26G/Pressure Activated, 35
Dobutamine/Dextrose 5%, 9
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 30
Docefrez, 5
Easy Touch Safety Lancets28G/Button Activated, 35
docetaxel, 5
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 30
Docetaxel, 5
Easy Touch Safety Lancets28G/Pressure Activated, 35
Dolgic Plus, 28
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 30
Dologesic, 28
Easy Twist & CAP Lancets, 35
Dolophine, 28
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 30
Easygluco, 37
Dolophine HCL, 28
Easymax 15 Test Strips, 37
Donatuss Dc, 31
Durezol, 27
Easymax Test Strips, 37
donepezil HCL, 25
Dutoprol, 8
Easypro Blood Glucose Test Strips, 37
dopamine HCL, 9
Dyazide, 9
Easypro Plus, 37
Dopamine HCL, 9
Dymista, 31
Easytest II Lancets, 35
dopamine HCL-dextrose 5%, 9
Dyrenium, 9
Easytest Lancets, 35
dopamine HCL/dextrose 5%, 9
Dysport, 25
EC-naprosyn, 29
dopamine/D5W, 9
Dyural-40, 14
Eclipse Test Strips, 37
Dopram, 24
Dyural-80, 14
econazole nitrate, 11
Doral, 24
Dyural-l, 14
Ecoza, 11
Doribax, 4
Dyural-lm, 14
Ed Cyte F, 20
Doryx, 2
E
Edarbi, 8
dorzolamide HCL, 27
Edarbyclor, 8
E-z Ject Lancets, 35
dorzolamide HCL/timolol maleate, 26
Edecrin, 9
E-z Ject Lancets 21G, 35
Doubledex, 14
Edluar, 24
E-z Ject Lancets Color, 35
Dovonex, 11
Edurant, 3
E-z Ject Lancets Super Thin, 35
doxapram HCL, 24
Effexor XR, 23
E-z Ject Lancets Super Thin 30G, 35
doxazosin mesylate, 8
Effient, 21
E-z Ject Lancets Thin 26G, 35
doxepin HCL, 22
Egrifta, 17
E-z Spacer, 38
Doxepin HCL, 22
Elaprase, 17
E-z Spacer The Body Guards Pack, 38
doxercalciferol, 17
Eldepryl, 25
E-ZJECT Lancets Micro-thin 33G, 35
Doxil, 4
Elelyso, 20
E.e.s. 400, 1
doxorubicin HCL, 4
Element Plus Test Strips, 37
E.e.s. Granules, 1
Doxorubicin HCL, 4
Element Test Strips, 37
Easivent, 38
doxorubicin HCL liposome, 4
Elenzapatch, 13
Easivent/Mask-large, 38
doxycycline, 2
Elestat, 27
Easivent/Mask-medium, 38
Doxycycline, 11
Elestrin, 14
Easivent/Mask-small, 38
doxycycline hyclate, 2
Eletone, 13
Easy Step Test Strips, 37
doxycycline hyclate DR, 2
Eletone Twinpack, 13
Easy Touch Glucose Test Strips, 37
doxycycline monohydrate, 2
Elidel, 12
Easy Touch Healthpro Glucose Test Strips, 37
Doxytex, 31
Eligard, 5
Drisdol, 33
Elimite, 13
Easy Touch Lancets 21G/Pressure Activated, 35
Dritho-creme HP, 11
Eliphos, 19
dronabinol, 19
Eliquis, 21
Easy Touch Lancets 23G/Pressure
Elite-OB, 33
Equipto-naproxen, 11
Evolution Autocode, 37
Elitek, 6
Eraxis, 2
Evotaz, 3
Elixophyllin, 32
Erbitux, 5
Evoxac, 22
Ella, 15
ergocalciferol, 33
Exactech R-s-G Test Strips, 37
Ellence, 4
ergoloid mesylates, 25
Exactech Test Strips, 37
Elmiron, 20
Ergomar, 30
Exactuss, 31
Elocon, 12
Ertaczo, 11
Exalgo, 28
Eloctate, 21
Erwinaze, 4
Exelderm, 11
Eloxatin, 4
Ery-TAB, 1
Exelon, 25
Elspar, 4
Erygel, 10
exemestane, 5
Emadine, 27
Eryped 200, 1
Exforge, 8
Embeda, 28
Eryped 400, 1
Exforge HCT, 8
Embrace Blood Glucose Test Strips, 37
Erythrocin Lactobionate, 1
Exjade, 39
Embrace Evo Blood Glucosetest Strips, 37
Erythrocin Stearate, 1
Exparel, 30
erythromycin, 1, 10, 26
Extardol, 11
Embrace Lancets Ultra Thin 30G, 35
Erythromycin Base, 1
Extavia, 25
Embrace Pro Blood Glucosetest Strips, 37
Erythromycin Ethylsuccinate, 1
Extina, 11
erythromycin/benzoyl peroxide, 10
EZ Smart Blood Glucose Lancets, 35
Emcyt, 5
Esbriet, 32
EZ Smart Blood Glucose Test Strips, 37
Emend, 19
Escavite, 33
EZ Smart Plus Blood Glucose Test Strips, 37
Emla, 13
Escavite D, 33
Emsam, 23
escitalopram oxalate, 22
EZ-lets Lancets 21G, 35
Emtriva, 3
Esgic, 28
EZ-lets Lancets 23G, 35
Emulsion SB, 13
Esgic-plus, 28
EZ-lets Lancets 26G Super-soft, 35
Emvoren, 11
esmolol HCL, 7
EZ-lets Lancets 28G Ultra-soft, 35
Enablex, 20
esomeprazole magnesium, 18
EZ-lets Lancets 30G, 35
enalapril maleate, 8
esomeprazole sodium, 18
F
enalapril maleate/hydrochlorothiazide, 8
Esomeprazole Sodium, 18
Fabior, 10
enalaprilat, 8
Esomeprazole Strontium, 18
Fabrazyme, 17
Enbrel, 29
estazolam, 23
Factive, 2
Enbrel Sureclick, 29
Estrace, 14, 20
Falessa, 15
Endometrin, 20
estradiol, 14
famciclovir, 3
Engerix-b, 32
estradiol valerate, 14
famotidine, 18
Enjuvia, 14
estradiol/norethindrone acetate, 14
Famotidine, 18
Enlon, 26
Estrasorb, 14
Famotidine Premixed, 18
Enlon-plus, 26
Estring, 20
Famvir, 3
enoxaparin sodium, 21
Estrogel, 14
Fanapt, 23
entacapone, 25
estropipate, 14
Fanapt Titration Pack, 23
entecavir, 3
Estropipate, 14
Fareston, 5
Entereg, 19
Estrostep FE, 15
Farxiga, 16
Entocort EC, 14
eszopiclone, 23
Farydak, 6
Entyvio, 19
ethambutol HCL, 2
Faslodex, 5
Envision Autocode Test Strips, 37
ethosuximide, 24
Fasttake Compact Monitoring System, 35
Epaned, 8
Ethyl Chloride, 13
ephedrine sulfate, 9
Ethyl Chloride/Fine Pinpoint, 13
Fasttake Test Strips, 35
Epiceram, 13
Ethyl Chloride/Fine Stream, 13
Fazaclo, 23
Epiduo, 10
Ethyl Chloride/Medium Jet Stream, 13
Feiba, 21
Epifoam, 12
Ethyl Chloride/Medium Stream, 13
Feiba NF, 21
epinastine HCL, 27
Ethyl Chloride/Mist, 13
felbamate, 24
Epinephrine, 9
Ethyol, 6
Felbatol, 24
Epinephrine HCL, 9
Etidronate Disodium, 16
Feldene, 29
epinephrine HCL, 31
etodolac, 29
felodipine ER, 7
Epipen 2-PAK, 9
etodolac ER, 29
Fem PH, 20
Epipen-JR 2-PAK, 9
Etopophos, 5
Femara, 5
epirubicin HCL, 4
etoposide, 5
Femcon FE, 15
Epirubicin HCL, 4
Etoposide, 6
Femhrt Low Dose, 14
episone CRE, 13
Euflexxa, 26
Femring, 20
Epivir, 3
Eurax, 13
fenofibrate, 9
Epivir HBV, 3
Evamist, 14
Fenofibrate, 9
eplerenone, 8
Evekeo, 24
fenofibrate micronized, 9
Epogen, 20
Evencare + Blood Glucose Test Strip, 37
Fenofibric Acid, 9
epoprostenol sodium, 10
Evencare Blood Glucose Test Strip, 37
fenofibric acid DR, 9
eprosartan mesylate, 8
Evencare G2 Test Strips, 37
Fenoglide, 9
Epzicom, 3
Evencare G3 Test Strips, 37
fenoldopam mesylate, 8
Eql Truetrack Test, 37
Evicel, 21
Fenoprofen Calcium, 29
Equagesic, 28
Evista, 16
fentanyl, 28
Equetro, 23
Evithrom, 21
Fentanyl, 28
Equipto-baclofen, 11
Evoclin, 10
fentanyl citrate oral transmucosal, 28
Fentora, 28
Fluarix Quadrivalent 2013-2015, 32
Folet DHA, 33
Feraheme, 20
Fluarix Quadrivalent 2015-2015, 32
Folet One, 33
Feriva, 20
Flublok 2013-2015, 32
Folgard OS, 33
Feriva 21/7, 20
Flublok 2015-2015, 32
Folgard RX, 21
Ferivafa, 20
Flucelvax 2013-2015, 32
folic acid, 20
Ferralet 90, 20
Flucelvax 2015-2015, 32
Folic Acid, 21
Ferrex 150 Forte Plus, 20
fluconazole, 2
folic acid/vitamin b-6/vitamin b-12, 20
Ferrex 28, 20
fluconazole IN dextrose, 2
Folivane-f, 21
Ferriprox, 39
fluconazole IN NACL, 2
Folivane-OB, 33
Ferrlecit, 20
Fluconazole IN NACL, 2
Folivane-plus, 21
Ferro-plex Hematinic, 21
flucytosine, 2
Folivane-prx DHA NF, 33
Ferrotrin, 21
Fludara, 5
Follistim AQ, 16
Fetzima, 23
fludarabine phosphate, 5
Folotyn, 5
Fetzima Titration Pack, 23
Fludarabine Phosphate, 5
Foltrate, 21
Fexmid, 26
fludrocortisone acetate, 14
fondaparinux sodium, 21
Fibricor, 9
Flulaval 2013-2015, 32
Fora D10 Blood Glucose Test Strips, 37
Fifty50 Glucose Test Strip 2.0, 37
Flulaval 2015-2015, 32
Fora D15c Blood Glucose Test Strips, 37
Fifty50 Safety Seal Lancets 30G, 35
Flulaval Quadrivalent 2013-2015, 32
Fora D15G Blood Glucose Test Strips, 37
Fifty50 Safety Seal Lancets 32G, 35
Flulaval Quadrivalent 2015-2015, 32
Finacea, 11
Flumadine, 3
Fora D15z Blood Glucose Test Strips, 37
finasteride, 20
Flumist Nasal Vaccine 2012-2013, 32
Fora D20 Blood Glucose Test Strips, 37
Fine 30, 35
Flumist Quadrivalent, 32
Fora G20 Blood Glucose Test Strips, 37
Fingerstix Lancets, 35
flunisolide, 31
Fora G30a Blood Glucose Test Strips, 37
Fioricet, 28
Flunisolide, 31
Fora G71a Blood Glucose Test Strips, 37
Fioricet/Codeine, 28
fluocinolone acetonide, 12, 27
Fora G90 Blood Glucose Test Strips, 37
Fiorinal, 28
fluocinolone acetonide ear drops, 28
Fora GD20 Test Strips, 37
Fiorinal/Codeine #3, 28
fluocinonide, 12
Fora GD50 Blood Glucose Test Strips, 37
Firazyr, 22
fluocinonide-e, 12
Firmagon, 5
fluorometholone, 27
Fora Lancets, 35
First-bxn Mouthwash, 22
fluorouracil, 5
Fora Test N' Go Blood Glucose Test Strips, 37
First-dukes Mouthwash, 22
fluoxetine, 25
First-hydrocortisone, 12
fluoxetine DR, 22
Fora V10 Blood Glucose Test Strips, 37
First-lansoprazole, 18
fluoxetine HCL, 22
Fora V12 Blood Glucose Test Strips, 37
First-marys Mouthwash, 22
Fluoxetine HCL, 23
Fora V20 Blood Glucose Test Strips, 37
First-mouthwash Blm, 22
fluphenazine decanoate, 23
Fora V22 Blood Glucose Test Strips, 37
First-omeprazole, 18
fluphenazine HCL, 23
Fora V30a Blood Glucose Test Strips, 37
First-progesterone VGS 100 Compounding Kit, 20
Fluphenazine HCL, 23
Foracare GD40, 37
flurazepam HCL, 23
Foracare Premium V10 Teststrips, 37
First-progesterone VGS 200 Compounding Kit, 20
Flurazepam HCL, 23
Foracare Test N Go Test Strips, 37
flurbiprofen, 29
Foradil Aerolizer, 31
First-progesterone VGS 25 Compounding Kit, 20
flurbiprofen sodium, 27
Forfivo XL, 23
flutamide, 5
Fortamet, 16
First-progesterone VGS 400 Compounding Kit, 20
fluticasone propionate, 12, 31
Fortavit, 33
fluvastatin, 9
Fortaz, 1
First-progesterone VGS 50 Compounding Kit, 20
Fluvirin 2013-2015, 32
Forteo, 16
Fluvirin 2015-2015, 32
Fortesta, 14
First-testosterone, 14
Fluvirin PF 2013-2015, 32
Fortical, 16
First-testosterone Mc Compounding Kit, 14
Fluvirin PF 2015-2015, 32
Fortiscare Blood Glucose Test Strip, 37
fluvoxamine maleate, 22
Fosamax, 16
First-vancomycin 25, 4
fluvoxamine maleate ER, 22
Fosamax Plus D, 16
First-vancomycin 50, 4
Fluzone High-dose PF 2013-2015, 32
Foscarnet Sodium, 3
Flagyl, 4
Fluzone High-dose PF 2015-2015, 32
Foscavir, 3
Flagyl ER, 4
Fluzone Intradermal, 32
fosinopril sodium, 8
Flarex, 27
Fluzone Intradermal Quadrivalent, 32
fosinopril sodium/hydrochlorothiazide, 8
flavoxate HCL, 19
Fluzone Pediatric PF 2013-2015, 32
fosphenytoin sodium, 24
flecainide acetate, 7
Fluzone PF 2013-2015, 32
Fosrenol, 19
Flector, 11
Fluzone PF 2015-2015, 32
Fragmin, 21
FLO-pred, 14
Fluzone Quadrivalent 2013-2015, 32
Freestyle Insulinx Blood Glucose Test, 37
Flolan, 10
Fluzone Quadrivalent 2015-2015, 32
Flomax, 20
Fluzone Split 2013-2015, 32
Freestyle Insulinx Blood Glucose Test Strips, 37
Flonase, 31
Fluzone Split 2015-2015, 32
Floriva, 33
FML, 27
Freestyle Lancets, 35
Flovent Diskus, 32
FML Forte, 27
Freestyle Lite Test Strips, 37
Flovent HFA, 32
FML Liquifilm, 27
Freestyle Test Strips, 37
floxuridine, 5
Focalin, 24
Freestyle Unistick II Lancets, 35
Floxuridine, 5
Focalin XR, 24
Frova, 30
Fluarix 2013-2015, 32
Folbecal, 33
Fulyzaq, 18
Fluarix 2015-2015, 32
Folcaps Omega 3, 33
Furadantin, 19
furosemide, 9
Gilenya, 25
griseofulvin microsize, 2
Furosemide, 9
Gilotrif, 6
griseofulvin ultramicrosize, 2
Fusilev, 6
Gilphex TR, 31
guanfacine ER, 24
Fusion Plus, 21
Giltuss, 31
guanfacine HCL, 8
Fuzeon, 3
Giltuss PED-c, 31
Guanidine HCL, 26
Fycompa, 24
Giltuss TR, 31
Gynazole-1, 20
G
Glassia, 32
H
Gleevec, 6
gabapentin, 24
H&h Thinlet Lancets 26G, 35
Gleostine, 4
Gabavale-5, 22
H&h Thinlet Super Thin Lancets 30G, 35
Gliadel Wafer, 4
Gabazolamine, 22
H.p. Acthar, 17
glimepiride, 15
Gabazolamine-0.5, 22
Haemolance, 35
glipizide, 15
Gabazolpidem-5, 24
Haemolance Low Flow Lancets, 35
glipizide ER, 15
Gabitidine, 18
Haemolance Plus, 35
glipizide/metformin HCL, 16
Gabitril, 24
Haemolance Plus High Flow, 35
Glucagen, 16
Gablofen, 26
Haemolance Plus Low Flow, 35
Glucagen Hypokit, 16
Gaboxetine, 23
Haemolance Plus Max Flow, 35
Glucagon Emergency Kit, 16
galantamine, 25
Haemolance Plus Pediatric Flow, 35
Gluco Perfect 3 Test Strips, 37
galantamine hydrobromide, 25
Halaven, 5
Glucocard 01 Sensor Plus, 37
Galantamine Hydrobromide, 25
Halcion, 24
Glucocard 01 Sensor Plus Test Strips, 37
ganciclovir, 3
Haldol, 23
Ganirelix Acetate, 17
Haldol Decanoate 100, 23
Glucocard Expression Blood Glucose Test Strips, 37
Ganite, 16
Haldol Decanoate 50, 23
Garamycin, 26
halobetasol propionate, 12
Glucocard Shine Test Strips, 37
Gardasil, 32
Halog, 12
Glucocard Vital Test Strips, 37
Gardasil 9, 32
Halonate, 12
Glucocard X-sensor, 37
Gastrinex NF, 18
haloperidol, 23
Glucocom Lancets 28G, 35
Gastrocrom, 19
haloperidol decanoate, 23
Glucocom Lancets 30G, 35
gatifloxacin, 26
haloperidol lactate, 23
Glucocom Lancets 33G, 35
Gattex, 19
Halotin, 11
Glucocom Test Strips, 38
Gazyva, 5
Harvoni, 3
Glucolab Test Strips, 38
Gebauers Pain Ease, 13
Havrix, 32
Gluconavii Blood Glucose Test Strips, 38
Gebauers Spray And Stretch, 13
Hectorol, 17
Glucophage, 16
Gel-kam Oral Care Rinse, 22
Helidac, 18
Glucophage XR, 16
Gel-one, 26
Helixate FS, 21
Glucose Control Normal, 35
Gelclair, 22
Hemabate, 28
Glucose Control Solution, 35
Gelnique, 20
Hemangeol, 7
Glucosource Lancets, 35
Gemcitabine, 5
Hematogen Fa, 21
Glucotrol, 15
gemcitabine HCL, 5
Hematron-AF, 21
Glucotrol XL, 15
gemfibrozil, 9
Hemocyte Plus, 21
Glucovance, 16
Gemzar, 5
Hemocyte-f, 21
Glumetza, 16
Genadur, 13
Hemofil M, 21
glyburide, 15
Genadur Kit, 13
heparin lock, 21
Glyburide, 15
gene-xene TAB 15MG, 22
heparin lock flush, 21
glyburide micronized, 15
gene-xene TAB 3.75MG, 22
Heparin Lock Flush, 21
glyburide/metformin HCL, 16
gene-xene TAB 7.5MG, 22
heparin lock flush for flushing vascular access devices, 21
Glycate, 18
Generess FE, 15
Glycolic Acid, 12
Genotropin, 17
heparin lock flush/NACL for flushing vascular access devices, 21
Glycolic Acid 70% High Purity, 12
Genotropin Miniquick, 17
glycopyrrolate, 18
gentamicin sulfate, 2, 26
heparin sodium, 21
Glynase, 15
Gentamicin Sulfate, 11
Heparin Sodium, 21
Glyset, 16
gentamicin sulfate pediatric, 2
heparin sodium dcu, 21
Glyxambi, 16
gentamicin sulfate/0.9% sodium chloride, 2
heparin sodium lock flush, 21
Gmate Blood Glucose Test Strips, 38
heparin sodium/D5W, 21
Gmate Lancets 30G, 35
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Heparin Sodium/D5W, 21
Golytely, 18
Heparin Sodium/NACL 0.45%, 21
Gonal-f, 16
gentamicin sulfate/sodium chloride, 2
heparin sodium/NACL 0.9%, 21
Gonal-f RFF, 17
Gentle-let GP Lancets, 35
Heparin Sodium/Sodium Chloride 0.9%, 21
Gonal-f RFF Pen, 17
Gentle-let Lancets General Purpose Style/Fine Point, 35
Gonal-f RFF Rediject, 17
heparin sodium/sodium chloride 0.9% premix, 21
Gordofilm, 13
Gentle-let Lancets General Purpose Style/Medium Point, 35
Gordons Urea, 13
Hepsera, 3
Gralise, 25
Gentle-let Lancets Safety Style/Fine Point, 35
Herceptin, 5
Gralise Starter, 25
Hespan, 22
granisetron HCL, 19
Gentle-let Lancets Safety Style/Medium Point, 35
hetastarch 6%/NACL, 21
Granisol, 19
Hetlioz, 23
Granix, 21
Geodon, 23
Hexalen, 4
Grifulvin V, 2
Gesticare DHA, 33
Hextend, 22
Gris-peg, 2
Giazo, 19
Hiberix, 32
Hiprex, 19
hydromorphone HCL ER, 28
Infanrix, 32
homatropine HBR, 27
Hydromorphone HCL ER, 29
Infasurf, 32
Horizant, 25
Hydroxocobalamin, 21
Infergen, 3
HPR, 13
hydroxychloroquine sulfate, 3
Infinity Blood Glucose Test Strips, 38
HPR Plus, 13
hydroxyurea, 6
Influenza A (h1n1) Monovalent 2009, 32
HPR Plus Hydrogel Kit, 13
hydroxyzine HCL, 22
Infumorph 200, 29
HPR Plus/Mb Hydrogel, 13
Hydroxyzine HCL, 22
Infumorph 500, 29
Humalog, 15
hydroxyzine pamoate, 22
Injectafer, 21
Humalog Kwikpen, 15
Hydroxyzine Pamoate, 22
Inlyta, 6
Humalog Mix 50/50, 15
Hylatopic, 13
Innopran XL, 7
Humalog Mix 50/50 Kwikpen, 15
Hylatopic Plus, 13
Innoprax-5, 11
Humalog Mix 75/25, 15
Hylira, 13
Inova, 10
Humalog Mix 75/25 Kwikpen, 15
hyoscyamine sulfate, 18
Inova 4/1 Acne Control Therapy, 10
Humate-p, 21
hyoscyamine sulfate ER, 18
Inova 8/2 Acne Control Therapy, 10
Humatrope, 17
hyoscyamine sulfate odt, 18
Inspirachamber/Anti-static Valved/Mouthpiece, 38
Humatrope Combo Pack, 17
hyoscyamine sulfate SR, 18
Humira, 29
Hyper-sal, 31
Inspirachamber/Soothermask/Inspiramask/Medium, 38
Humira Pediatric Crohns Disease Starter Pack, 29
Hypersal, 31
Hypertenevide-12.5, 7
Inspirachamber/Soothermask/Inspiramask/Small, 38
Humira Pen, 29
Hypertenipine-2.5, 7
Humira Pen-crohns Diseasestarter, 29
Hypertensolol, 8
Inspirease Bags, 38
Humira Pen-psoriasis Starter, 29
Hysingla ER, 29
Inspirease Drug Delivery System, 38
Humulin 70/30, 15
Hyzaar, 9
Inspirease Mouthpiece, 38
Humulin 70/30 Kwikpen, 15
I
Inspirease Reservoir Bags, 38
Humulin 70/30 Pen, 15
Inspra, 8
I-lid Cleanser, 13
Humulin N, 15
Insulin Syringe/0.5ML/30G X 5/16", 38
ibandronate sodium, 16
Humulin N Kwikpen, 15
Integra F, 21
Ibrance, 6
Humulin N U-100 Pen, 15
Integra Plus, 21
Ibudone, 29
Humulin R, 15
Integrilin, 22
ibuprofen, 29
Humulin R U-500 (concentrated), 15
Intelence, 3
Ibuprofen Comfort PAC, 29
Hy-vee Lancets, 35
Interarticular Joint Kit, 14
ibutilide fumarate, 7
Hyalgan, 26
Intermezzo, 24
IC 400, 29
Hycamtin, 6
Introl, 9
IC 800, 29
Hycet, 29
Intron A, 6
Icar-c Plus, 21
hydralazine HCL, 8
Intron-a, 6
Iclusig, 6
Hydrea, 6
Intron-a W/Diluent, 6
Idamycin PFS, 4
Hydro 35, 13
Intuniv, 24
idarubicin HCL, 4
Hydro 40 Foam, 13
Invanz, 4
Ifex, 4
hydrochloric acid, 20
Invega, 23
ifosfamide, 4
hydrochlorothiazide, 9
Invega Sustenna, 23
Ifosfamide, 4
hydrocodone bitartrate/acetaminophen, 28
Invirase, 3
Ifosfamide/Mesna, 6
Invokamet, 16
Ilaris, 29
Hydrocodone Bitartrate/Acetaminophen, 28
Invokana, 16
Ilevro, 27
Iopidine, 27
Imbruvica, 6
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31
Ipol Inactivated IPV, 32
Imdur, 7
ipratropium bromide, 31(2)
imipenem/cilastatin, 4
hydrocodone bitartrate/homatropine methylbromide, 31
ipratropium bromide/albuterol sulfate, 31
imipramine HCL, 22
Iprivask, 21
imipramine pamoate, 22
hydrocodone polistirex/chlorpheniramine polistirex, 31
irbesartan, 8
imiquimod, 12
irbesartan/hydrochlorothiazide, 8
Imitrex, 30
hydrocodone/acetaminophen, 28
irinotecan, 6
Imitrex Statdose Refill, 30
Hydrocodone/Acetaminophen, 28
Irinotecan, 6
Imitrex Statdose System, 30
hydrocodone/homatropine, 31
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20
Imovax Rabies (h.d.c.v.), 32
hydrocodone/ibuprofen, 28
Imuran, 5
hydrocort ene 100MG, 19
Irospan 24/6, 21
Inatal Advance, 33
hydrocortisone, 12, 14, 19
Is 24/6, 21
Inatal GT, 33
hydrocortisone acetate/aloe, 12
Isentress, 3
Inatal Ultra, 33
hydrocortisone acetate/lidocaine HCL, 19
Isometheptene/Caffeine/Acetaminophen, 30
Increlex, 17
hydrocortisone acetate/pramoxine, 19
Incruse Ellipta, 32
hydrocortisone butyrate, 12
isoniazid, 2
indapamide, 9
hydrocortisone butyrate (lipid), 12
Isoniazid, 2
Inderal LA, 7
hydrocortisone butyrate (lipophilic), 12
Isoptin SR, 7
Inderal XL, 7
hydrocortisone IN absorbase, 12
Isopto Atropine, 27
Indocin, 29
hydrocortisone valerate, 12
Isopto Carbachol, 27
Indocin IV, 29
hydrocortisone/acetic acid, 28
Isopto Carpine, 27
indomethacin, 29
hydromorphone HCL, 28
Isopto Homatropine, 27
Indomethacin, 29
Hydromorphone HCL, 29
Isopto Hyoscine, 27
indomethacin ER, 29
Hydromorphone HCL Dosette, 29
Isordil Titradose, 7
indomethacin sodium, 29
isosorbide dinitrate, 7
Ketorolac Tromethamine, 29
Lastacaft, 27
Isosorbide Dinitrate, 7
Keytruda, 5
latanoprost, 27
isosorbide dinitrate ER, 7
Khedezla, 23
Latrix XM, 13
isosorbide mononitrate, 7
Kineret, 29
Latuda, 23
isosorbide mononitrate ER, 7
Kinlytic, 22
Lavoclen-4 Creamy Wash, 10
isotonic gentamicin, 2
Kinrix, 32
Lavoclen-8 Creamy Wash, 10
Isotonic Gentamicin, 2
Kitabis PAK, 2
Lazanda, 28
isradipine, 7
Klaron, 10
leflunomide, 29
Istalol, 26
Klonopin, 24
Lemtrada, 25
Istodax, 6
Koate-dvi, 21
Lenvima 10MG Daily Dose, 6
Isuprel, 32
Kogenate FS, 21
Lenvima 14MG Daily Dose, 6
itraconazole, 2
Kogenate FS Bio-set, 21
Lenvima 20MG Daily Dose, 6
ivermectin, 3
Kombiglyze XR, 16
Lenvima 24MG Daily Dose, 6
Ixempra Kit, 5
Korlym, 16
Lescol, 9
Ixiaro, 32
Kristalose, 18
Lescol XL, 9
J
Krystexxa, 30
Letairis, 10
Kuvan, 17
letrozole, 5
J-cof DHC, 31
Kynamro, 9
leucovorin calcium, 6
J-max DHC, 31
Kyprolis, 6
Leucovorin Calcium, 6
Jakafi, 6
L
Leukeran, 4
Jalyn, 20
Leukine, 20
Janumet, 16
labetalol HCL, 7
leuprolide acetate, 5
Janumet XR, 16
Lac-hydrin, 13
Levacet, 28
Januvia, 16
Lacrisert, 26
levalbuterol, 31
Jardiance, 16
lactic acid, 13
levalbuterol HCL, 31
Jentadueto, 16
lactic acid e, 13
Levaquin, 2
Jetrea, 27
lactic acid w/vitamin e, 13
Levatol, 7
Jevtana, 5
lactulose, 18, 19
Levbid, 18
Jinteli, 14
Lamictal, 24
Levemir, 15
Jublia, 11
Lamictal Chewable Dispersible, 24
Levemir Flexpen, 15
Juvisync, 16
Lamictal Odt, 24
Levemir Flextouch, 15
Juxtapid, 9
Lamictal Starter/Not Taking Carbamazepine, 24
levetiracetam, 24
K
Levetiracetam, 24
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24
levetiracetam ER, 24
K-phos NO 2, 20
Levitra, 10
K.b.g.l. IN Teroderm Cream, 11
levobunolol HCL, 26
K2k Pain Relieving Patch, 13
Lamictal Starter/Taking Valproate, 24
Levobunolol HCL, 26
Kadcyla, 5
Lamictal XR, 24
levocarnitine, 17
Kadian, 29
Lamisil, 2
levocetirizine dihydrochloride, 30
Kalbitor, 22
Lamisil Spray, 11
levofloxacin, 2, 26
Kaletra, 3
lamivudine, 3
levofloxacin IN D5W, 2
Kalydeco, 32
lamivudine/zidovudine, 3
levonorgestrel, 15
Kapvay, 24
lamotrigine, 24
levonorgestrel and ethinyl estradiol, 15
Kapvay Dose Pack, 24
lamotrigine ER, 24
levonorgestrel/ethinyl estradiol, 15
Karbinal ER, 31
lamotrigine odt, 24
Levophed, 9
Kazano, 16
Lancets, 35
Levorphanol Tartrate, 29
Keflex, 1
Lancets 26G Twist Top, 35
levothyroxine sodium, 17
Kenalog, 12
Lancets 28G, 35
Levothyroxine Sodium, 17
Kenalog-10, 14
Lancets 30G, 35
Levsin, 18
Kenalog-40, 14
Lancets 30G Twist Top, 35
Levsin/SL, 18
Kepivance, 6
Lancets 30G/Twist Top, 35
Lexapro, 23
Keppra, 24
Lancets 31G Twist Top, 35
Lexiva, 3
Keppra XR, 24
Lancets Bullseye Safety, 35
Lialda, 19
Kerafoam, 13
Lancets Safety Seal 21G, 35
Liberty Glucose Control Mid, 35
Kerafoam 42, 13
Lancets Safety Seal 26G, 35
Liberty Glucose Control Normal, 35
Keralac, 13
Lancets Safety Seal 28G, 35
Liberty Next Generation Blood Glucose Test Strips, 38
Keralyt, 13
Lancets Safety Seal 30G, 35
Keralyt Scalp, 13
Lancets Thin, 35
lidocaine, 13
Kerlone, 7
Lancets Twist Top, 35
lidocaine HCL, 7, 13, 22, 30
Kerydin, 11
Lancets Ultra Fine, 35
Lidocaine HCL, 8, 13
Ketek, 4
Lancets Ultra Thin, 35
lidocaine HCL IN D5W, 7
ketoconazole, 2, 11
Lanoxin, 6
lidocaine HCL jelly, 13
Ketodan Kit, 11
Lanoxin Pediatric, 7
lidocaine HCL viscous, 22
ketoprofen, 29
lansoprazole, 18
Lidocaine HCL-hydrocortisone Acetate With Aloe, 19
Ketoprofen ER, 29
lansoprazole/amoxicillin/clarithromycin, 18
Ketorocaine-l, 29
lidocaine HCL/dextrose, 7
Ketorocaine-lm, 29
Lantus, 15
Lidocaine HCL/Dextrose, 30
Ketorolac 2% Gel, 11
Lantus Solostar, 15
lidocaine HCL/hydrocortisone acetate, 19
ketorolac tromethamine, 27, 29
Lasix, 9
lidocaine viscous, 22
lovastatin, 9
Maxzide-25, 9
lidocaine/epinephrine, 30
Lovaza, 10
Mb Hydrogel, 13
lidocaine/prilocaine, 13
Lovenox, 21
meclizine HCL, 19
Lidocaine/Prilocaine, 13
loxapine, 23
Meclofenamate Sodium, 29
Lidoderm, 13
loxapine succinate, 23
Medi-derm/L-RX, 13
Lidoprofen, 11
Loxitane, 23
Medical Provider EZ Flu Shot 2015-2015, 32
Lidovir, 11
Lta 360 Kit, 22
Lifescan Unistik 2 Deep Penetration, 35
Lufyllin, 32
Medisense Thin Lancets, 35
Lifescan Unistik II Lancets, 35
Lumigan, 27
Medlance Plus Extra Lancets 21G, 35
Lincocin, 4
Lumizyme, 17
Medlance Plus Lancets, 35
lindane, 13
Lunesta, 24
Medlance Plus Lancets Lite 25G, 35
linezolid, 4
Lupaneta Pack, 17
Medlance Plus Lite Lancets 25G, 36
Linzess, 19
Lupron Depot, 5
Medlance Plus Special Lancets 0.8MM, 36
Lioresal Intrathecal, 26
Lupron Depot-PED, 17
liothyronine sodium, 17
Luvox CR, 23
Medlance Plus Superlite 30G, 36
Lipitor, 9
Luxiq, 12
Medlance Plus Superlite 30G/Comfort Max, 36
Lipofen, 9
Luzu, 11
Liptruzet, 9
Lycelle, 13
Medlance Plus Universal Lancets 21G, 36
Liquicet, 29
Lynparza, 6
lisinopril, 8
Lyrica, 24
Medlance Plus/Lite 25G, 36
lisinopril/hydrochlorothiazide, 8
Lysodren, 5
Medlance/Extra, 36
Liteaire, 38
Lysteda, 21
Medlance/Lite, 36
Litetouch Lancets Micro Thin 33G, 35
Lytensopril Kit, 9
Medlance/Universal, 36
Lithium, 23
Lytensopril-90, 9
Medrol, 14
lithium carbonate, 23
Lytensopril-90 Kit, 9
Medrol Dosepak, 14
Lithium Carbonate, 23
M
medroxyprogesterone acetate, 15
lithium carbonate ER, 23
mefenamic acid, 29
M-m-r II W/Diluent 10 Dose, 32
Lithobid, 23
mefloquine HCL, 3
M-vit, 33
Lithostat, 20
Mefoxin, 1
M.v.i. Adult, 33
Livalo, 9
Megace ES, 15
M.v.i. Pediatric, 33
Live Better Lancet Super Thin 30G, 35
Megace Oral, 5
M.v.i.-12 Without Vitamin K, 33
Live Better Lancet Ultra Thin 28G, 35
megestrol acetate, 5
Macnatal CN DHA, 33
LMD 10% Dextrose 5%, 22
Megestrol Acetate, 5
Macrobid, 19
LMD 10% Sodium Chloride 0.9%, 22
Meijer Super Thin Lancets, 36
Macrodantin, 19
LO Loestrin FE, 15
Mekinist, 6
Magnacet, 29
LO Minastrin FE, 15
meloxicam, 29
Makena, 15
Locoid, 12
Meloxicam, 29
Malarone, 3
Locoid Lipocream, 12
Meloxicam Comfort PAC, 29
malathion, 13
Lodosyn, 25
melphalan hydrochloride, 4
mannitol, 9
Loestrin 1.5/30-21, 15
Menactra, 32
Maprotiline HCL, 23
Loestrin 1/20-21, 15
Menest, 14
Marbeta-25, 14
Loestrin FE 1.5/30, 15
Menhibrix, 32
Marbeta-l, 14
Loestrin FE 1/20, 15
Menomune-a/C/Y/W-135, 32
Marcaine, 30
Lofibra, 9
Menopur, 17
Marcaine W/O Epi, 30
Lomotil, 18
Menostar, 14
Marcaine/Epinephrine, 30
Lomustine, 4
Mentax, 11
Mardex-25, 14
loperamide HCL, 18
Menveo, 32
Marinol, 19
Lopid, 10
meperidine HCL, 28
Marlido-25, 30
Lopressor, 7
Meperidine HCL, 29
Marnatal-f, 33
Lopressor HCT, 9
Mephyton, 33
Marplan, 23
Loprox, 11
Mepivacaine HCL, 30
Marqibo, 5
Loprox Shampoo, 11
meprobamate, 22
Mask Vortex/Baby Whirl Duckling, 38
lorazepam, 22
Mepron, 4
Mask Vortex/Child/Frog, 38
Lorazepam Intensol, 22
mercaptopurine, 5
Mask Vortex/Spinner The Duck, 38
Lorcet 10/650, 29
meropenem, 4
Mask Vortex/Toddler/Lady Bug, 38
Lorcet Plus, 29
Merrem, 4
Matulane, 6
Lortab, 29
mesalamine, 19
Mavik, 8
Lorzone, 26
mesna, 6
Maxair Autohaler, 32
losartan potassium, 8
Mesnex, 6
Maxalt, 30
losartan potassium/hydrochlorothiazide, 8
Mestinon, 26
Maxalt-MLT, 30
Mestinon Timespan, 26
Maxaron Forte, 21
Loseasonique, 15
Metadate CD, 24
Maxfe, 21
Lotemax, 27
Metaproterenol Sulfate, 32
Maxidex, 27
Lotensin, 8
Metastron, 6
Maxidone, 29
Lotensin HCT, 9
metaxalone, 26
Maxima Blood Glucose Teststrips, 38
Lotrel, 9
metformin HCL, 16
Maxipime, 1
Lotrisone, 11
metformin HCL ER, 16
Maxitrol, 27
Lotronex, 19
methadone HCL, 28
Maxzide, 9
Methadone HCL, 29
Minipress, 8
mupirocin calcium, 11
Methadose, 29
Minivelle, 14
Muse, 10
Methadose Sugar-free, 29
Minocin, 2
Mustargen, 4
methamphetamine HCL, 24
Minocin Kit, 2
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21
methazolamide, 9
minocycline HCL, 2
methenamine hippurate, 19
minocycline HCL ER, 2
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21
methenamine mandelate, 19
minoxidil, 8
Methenamine Mandelate, 19
Mirapex, 25
Myalept, 17
methimazole, 17
Mirapex ER, 25
Myambutol, 2
methocarbamol, 26
Mircera, 21
Mycamine, 2
methotrexate, 5
Mircette, 15
Mycobutin, 2
methotrexate sodium, 5
mirtazapine, 22
mycophenolate mofetil, 5
methoxsalen, 11
mirtazapine odt, 22
mycophenolic acid DR, 5
methscopolamine bromide, 18
Mirvaso, 11
Mydfrin, 27
Methyclothiazide, 9
misoprostol, 18
Myfortic, 5
methyldopa, 8
Mission Prenatal HP, 33
Myglucohealth Blood Glucose Test, 38
Methyldopa/Hydrochlorothiazide, 9
Mitigare, 30
Myglucohealth Mgh Softlance Lancets 30G, 36
Methyldopate HCL, 8
mitomycin, 4
methylergonovine maleate, 28
Mitomycin, 4
Mykidz Iron Fl, 33
Methylin, 24
Mitosol, 26
Myleran, 4
methylphenidate HCL, 24
mitoxantrone HCL, 4
Mynatal, 33
methylphenidate HCL CD, 24
Mlk F4 Kit, 14
Mynatal Advance, 33
methylphenidate HCL ER, 24
Mobic, 29
Mynatal Ultracaplet, 33
Methylphenidate HCL ER, 24
modafinil, 24
Myobloc, 25
methylphenidate HCL SR, 24
Moderiba, 3
Myoxin, 28
methylphenidate hydrochloride, 24
Moderiba 1200 Dose Pack, 3
Myozyme, 17
methylprednisolone, 14
Moderiba 800 Dose Pack, 3
Myrbetriq, 20
methylprednisolone acetate, 14
Modicon, 15
Mysoline, 24
methylprednisolone dose pack, 14
moexipril HCL, 8
N
methylprednisolone sodiumsuccinate, 14
moexipril/hydrochlorothiazide, 8
nabumetone, 29
Metipranolol, 26
mometasone furoate, 12
nadolol, 7
metoclopramide HCL, 19
Moms Choice RX, 33
nadolol/bendroflumethiazide, 8
metolazone, 9
Monoclate-p, 21
nafcillin sodium, 1
metoprolol succinate ER, 7
Monodox, 2
Nafcillin Sodium, 1
metoprolol tartrate, 7
Monoject Bone Marrow Biopsy Prepping Tray, 30
Nafrinse Daily/Acidulated, 22
metoprolol/hydrochlorothiazide, 8
Nafrinse Daily/Neutral, 22
Metozolv Odt, 19
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 30
Nafrinse Weekly, 22
Metro IV, 4
Naftin, 11
Metrocream, 11
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 30
Naglazyme, 17
Metrogel, 11
nalbuphine HCL, 28
Metrogel-vaginal, 20
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 30
Nalfon, 29
Metrolotion, 11
Nallpen Iso-osmotic IN Dextrose, 1
metronidazole, 4, 11
Monolet Lancets, 36
Nallpen/Dextrose, 1
metronidazole IN NACL 0.79%, 4
Monolet Opd Lancets, 36
Namenda, 25
metronidazole vaginal, 20
Monolettor Safety Lancets, 36
Namenda Titration PAK, 25
Mevacor, 10
Mononine, 21
Namenda XR, 25
mexiletine HCL, 7
Monovisc, 26
Namenda XR Titration Pack, 25
Miacalcin, 16
montelukast sodium, 31
Naphazoline HCL, 27
Micardis, 8
Monurol, 19
Naprelan, 29
Micardis HCT, 9
Morgidox 1X100MG, 2
Naprosyn, 29
Microchamber, 38
Morgidox 2X100MG, 2
naproxen, 29
Microdot Test Strips, 38
morphine sulfate, 28
Naproxen Comfort PAC, 29
Microlet Lancets, 36
Morphine Sulfate, 29
naproxen sodium, 29
Microspacer, 38
Morphine Sulfate Add-vantage, 29
naproxen sodium ER, 29
Microtainer Safety Flow Lancet/Sterile/Single-use, 36
morphine sulfate ER, 28
naratriptan HCL, 30
Motofen, 18
Nardil, 23
Microzide, 9
Movantik, 19
Naropin, 30
midodrine HCL, 9
Moviprep, 18
Nasacort AQ, 31
Mifeprex, 17
Moxatag, 1
Nascobal, 20
Migergot, 30
Moxeza, 26
Nasonex, 31
Migral, 30
moxifloxacin HCL, 2
Natachew, 33
Migranal, 30
Mozobil, 20
Natacyn, 26
Millipred, 14
MS Contin, 29
Natafort, 33
Millipred DP, 14
Multaq, 8
Natalvirt 90 DHA, 33
milrinone IN dextrose, 6
Multigen, 21
Natalvirt CA, 33
milrinone lactate, 6
Multigen Folic, 21
Natalvirt Flt, 21
Minastrin 24 FE, 15
Multigen Plus, 21
Natalvit, 33
Mineral Oil Heavy, 18
mupirocin, 11
Natazia, 15
nateglinide, 16
Nexa Plus, 33
Noritate, 11
Natelle One, 33
Nexavar, 6
Noroxin, 2
Natesto, 14
Nexgen Test Strips, 38
Norpace, 8
Natrecor, 10
Nexium, 18
Norpace CR, 8
Natroba, 13
Nexium 24HR, 18
Norpramin, 23
Nature-throid, 17
Nexium I.v., 18
Northera, 9
Nature-throid Nt-2.5, 18
Nexterone, 8
nortriptyline HCL, 22
Navelbine, 6
niacin ER, 9
Nortriptyline HCL, 23
Nebupent, 4
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33
Norvasc, 7
Nebusal, 31
Norvir, 3
Necon 1/50-28, 15
Niacor, 10
Nova Max Glucose Test Strips, 38
Necon 10/11-28, 15
Niaspan, 10
Nova Safety Lancets 23G, 36
Neevo DHA, 33
Nicadan, 33
Nova Safety Lancets 28G, 36
nefazodone HCL, 22
nicardipine HCL, 7
Nova Sureflex Lancets, 36
Nefazodone HCL, 22
Nicazel, 34
Novaferrum, 21
Nembutal Sodium, 24
Nicazel Forte, 34
Novoclair, 11
Neo-synalar, 11
Nicazeldoxy 30 Kit, 2
Novofine 30GX8MM, 36
Neo-synalar Kit, 11
Nicazeldoxy 60 Kit, 2
Novofine 32GX6MM, 36
neomycin sulfate, 2
Nicomide, 34
Novofine Autocover 30GX8MM, 36
neomycin/bacitracin/polymyxin, 26
nifedipine, 7
Novolin 70/30, 15
neomycin/polymyxin/bacitracin zinc, 26
nifedipine ER, 7
Novolin 70/30 Relion, 15
neomycin/polymyxin/bacitracin/hydrocortisone, 27
Nilandron, 5
Novolin N, 15
Nimbex, 25
Novolin N Relion, 15
neomycin/polymyxin/dexamethasone, 27
nimodipine, 7
Novolin R, 15
neomycin/polymyxin/gramicidin, 26
Nipent, 6
Novolin R Relion, 15
neomycin/polymyxin/HC, 28
Niravam, 22
Novolog, 15
Neomycin/Polymyxin/Hydrocortisone, 27
nisoldipine, 7
Novolog Flexpen, 15
neomycin/polymyxin/hydrocortisone, 28
Nisoldipine, 7
Novolog Mix 70/30, 15
Neoprofen, 29
Nisoldipine ER, 7
Novolog Mix 70/30 Prefilled Flexpen, 15
Neoral, 5
Nitro-bid, 7
Novolog Penfill, 15
Neosalus, 13
Nitro-dur, 7
Novoseven, 21
Neosalus CP, 13
nitrofurantoin, 19
Novoseven Rt, 21
Neosporin, 26
nitrofurantoin macrocrystals, 19
Novotwist 30GX8MM, 36
neostigmine methylsulfate, 26
nitrofurantoin monohydrate, 19
Novotwist 32GX5MM, 36
Neostigmine Methylsulfate, 26
nitrofurantoin monohydrate/macrocrystals, 19
Noxafil, 2
Neotuss Plus, 31
Nplate, 20
Nephplex RX, 33
nitroglycerin, 7
Nucort, 12
Nephro-vite RX, 33
Nitroglycerin, 7
Nucynta, 28
Nephrocaps, 33
nitroglycerin IN 5% dextrose, 7
Nucynta ER, 28
Nephrocaps QT, 33
nitroglycerin IN dextrose 5%, 7
Nuedexta, 25
Nephron Fa, 21
Nitroglycerin IN Dextrose 5%, 7
Nulojix, 5
Neptazane, 9
nitroglycerin lingual, 7
Nulytely/Flavor Packs, 18
Nesacaine, 30
Nitroglycerin Lingual, 7
Numoisyn, 22
Nesacaine-mpf, 30
nitroglycerin transdermal, 7
Nuox, 10
Nesina, 16
Nitrolingual Pumpspray, 7
Nutricap, 34
Nessi Spacer/Large Mask, 38
Nitromist, 7
Nutridox, 2
Nessi Spacer/Mouthpiece, 38
Nitronal, 7
Nutrivit, 34
Nessi Spacer/Small/MED Mask, 38
Nitropress, 8
Nutropin, 17
Nestabs, 33
Nitrostat, 7
Nutropin AQ Nuspin 10, 17
Nestabs Abc, 33
Nivatopic Plus, 13
Nutropin AQ Nuspin 20, 17
Nestabs DHA, 33
nizatidine, 18
Nutropin AQ Nuspin 5, 17
Netgroup Lancets, 36
Nizoral, 11
Nutropin AQ Pen, 17
Neuac Kit, 10
Nor-QD, 15
Nuvail, 13
Neulasta, 20
Norco, 29
Nuvessa, 20
Neulasta Delivery Kit, 20
Norditropin Cartridge, 17
Nuvigil, 24
Neumega, 20
Norditropin Flexpro, 17
Nuvya, 11
Neupogen, 20
Norditropin Nordiflex Pen, 17
Nuzon, 12
Neupro, 25
norepinephrine bitartrate, 9
Nymalize, 7
Neurontin, 24
norethindrone, 15
nystatin, 2, 11, 22
Neutek 2tek Test Strips, 38
norethindrone acetate, 15
Nystatin, 11
Neutrasal, 22
norethindrone acetate/ethinyl estradiol, 15
Nystatin Foreign, 11
Neutrexin, 4
nystatin/triamcinolone, 11
Neuvaxin, 13
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15
O
Nevanac, 27
O-CAL Fa, 34
nevirapine, 3
Norflex, 26
O-CAL Prenatal, 34
Nevirapine, 3
norgestimate/ethinyl estradiol, 15
OB Complete, 34
nevirapine ER, 3
Norinyl 1+35, 15
OB Complete 400, 34
Newgen, 33
Norinyl 1+50, 15
OB Complete One, 34
OB Complete Petite, 34
Onetouch Verio IQ Blood Glucose Monitoring System, 36
oxandrolone, 14
OB Complete Premier, 34
oxaprozin, 29
OB Complete/DHA, 34
Onetouch Verio Mid Control Solution, 36
oxazepam, 22
OB-natal One, 33
Onetouch Verio Sync Bloodglucose Monitoring System, 36
oxcarbazepine, 24
Obredon, 31
Oxecta, 29
Obstetrix DHA, 34
Onetouch Verio Test Strips, 36
Oxistat, 11
Obstetrix EC, 33
Onexton, 10
Oxsoralen, 13
octreotide acetate, 17
Onfi, 24
Oxsoralen Ultra, 12
Ocudox, 2
Onglyza, 16
Oxtellar XR, 24
Ocufen, 27
Onmel, 2
oxybutynin chloride, 19
Ocuflox, 26
Opana, 29
oxybutynin chloride ER, 19
Ocuvel, 34
Opana ER (crush Resistant), 28
oxycodone HCL, 28
Ofev, 32
Opdivo, 5
Oxycodone HCL, 29
Ofirmev, 28
opium, 18
Oxycodone HCL ER, 28
ofloxacin, 2, 26, 28
opium tincture, 18
oxycodone/acetaminophen, 28
Ofloxacin, 2
Opium Tincture (paregoric), 18
oxycodone/aspirin, 28
Ogestrel, 15
Opsumit, 10
oxycodone/ibuprofen, 28
olanzapine, 23
Optichamber Advantage, 38
Oxycontin, 28
olanzapine odt, 23
Optichamber Diamond, 38
oxymorphone hydrochloride, 28
olanzapine/fluoxetine, 25
Optichamber Diamond/Largeface Mask, 38
oxymorphone hydrochloride ER, 28
Oleptro, 23
oxytocin, 28
olopatadine HCL, 31
Optichamber Diamond/Medium Face Mask, 38
Oxytrol, 20
Olux, 12
Oxytrol For Women, 20
Olux-e, 12
Optichamber Diamond/Smallface Mask, 38
Ozurdex, 27
Olysio, 3
P
Omeclamox-PAK, 18
Optihaler, 38
paclitaxel, 5
omega-3-acid ethyl esters, 9
Optihaler MDI Drug Delivery System, 38
Paclitaxel, 6
omeprazole, 18
Optium Test Strips, 38
Paire OB, 34
Omeprazole + Syrspend SF Alka, 18
Optiumez Test Strips, 38
Palgic, 31
omeprazole/sodium bicarbonate, 18
Optivar, 27
Pamelor, 23
Omnaris, 31
Optumrx Blood Glucose Test, 38
pamidronate disodium, 16
Omnipred, 27
Oracea, 11
Pamidronate Disodium, 16
Omnitrope, 17
Oracit, 20
Pamine, 18
Omontys, 21
Orafate, 22
Pamine Forte, 18
On Call Express Blood Glucose Test Strips, 38
Orap, 25
Pamine FQ, 18
Orapred, 14
Panatuss Dxp, 31
On Call Lancets, 36
Orapred Odt, 14
Pancreaze, 19
On Call Plus Blood Glucose Test, 38
Oravig, 22
Pancrelipase, 19
On Call Plus Lancets, 36
Orbactiv, 4
pancuronium bromide, 25
On Call Vivid Blood Glucose Test, 38
Orencia, 29
Panda Mask Large, 38
On Call Vivid Blood Glucose Test Strips, 38
Orenitram, 10
Panda Mask Medium, 38
Orfadin, 17
Panda Mask Small, 38
Oncaspar, 4
orphenadrine citrate, 26
Pandel, 12
ondansetron HCL, 19
orphenadrine citrate ER, 26
pantoprazole sodium, 18
ondansetron odt, 19
orphenadrine/asa/caffeine, 26
papaverine HCL, 10
Onetouch Basic System, 36
Ortho Micronor, 15
Parafon Forte DSC, 26
Onetouch Basic/Profile Test Strips, 36
Ortho Tri-cyclen, 15
Parcopa, 25
Onetouch Club Lancets Fine Point, 36
Ortho Tri-cyclen LO, 15
paricalcitol, 17
Onetouch Combo Pack, 36
Ortho-cept, 15
Paricalcitol, 17
Onetouch Delica Lancets Extra Fine 33G, 36
Ortho-cyclen, 15
Parlodel, 25
Ortho-novum 1/35, 15
Parnate, 23
Onetouch Delica Lancets Fine 30G, 36
Ortho-novum 7/7/7, 15
paromomycin sulfate, 2
Onetouch Finepoint Lancets, 36
Orthovisc, 26
paroxetine HCL, 22
Onetouch Lancets, 36
Oseni, 16
paroxetine HCL ER, 22
Onetouch Ping Meter Remote, 36
Osmoprep, 18
Paser, 2
Onetouch Profile System, 36
Osphena, 16
Pataday, 27
Onetouch Ultra 2, 36
Otezla, 29
Patanase, 31
Onetouch Ultra Blue, 36
Otozin, 28
Patanol, 27
Onetouch Ultra Control, 36
Otrexup, 29
Paxil, 23
Onetouch Ultra Mini, 36
Ovace Plus, 12
Paxil CR, 23
Onetouch Ultra System Kit, 36
Ovace Plus Wash, 12
Pazeo, 27
Onetouch Ultralink System (DEC), 36
Ovace Wash, 12
PCE, 1
Onetouch Ultralink System (hex), 36
Ovcon-35, 15
Pcp 100, 18
Onetouch Ultrasmart, 36
Ovide, 13
Pediaderm AF Complete Kit, 11
Onetouch Ultrasoft Lancets, 36
Ovidrel, 17
Pediaderm HC, 12
Onetouch Verio, 36
oxacillin sodium, 1
Pediaderm Ta, 12
Onetouch Verio Control Solution High, 36
oxaliplatin, 4
Pediapred, 14
Oxandrin, 14
Pediarix, 32
Pediatex TD, 31
phenylephrine/guaifenesin, 31
Pramosone, 12
Pediatex TDM, 31
Phenytek, 25
Pramosone E, 12
Pediatric Panda Mask, 38
phenytoin, 24
Pramotic, 28
Pedipirox-4 Nail, 11
phenytoin sodium, 24
Prandimet, 16
Pedvax HIB, 32
phenytoin sodium extended, 24
Prandin, 16
peg 3350/electrolytes, 18
Phoslo, 19
Prascion Ra With Sunscreens, 10
peg-3350/electrolytes, 18
Phoslyra, 19
Prastera, 30
peg-3350/NACL/NA bicarbonate/KCL, 18
Phospholine Iodide, 27
Pravachol, 10
Peg-intron, 3
Photofrin, 6
pravastatin sodium, 9
Peg-intron Redipen, 3
Phrenilin Forte, 28
Prazolamine, 26
Peg-intron Redipen PAK 4, 3
phytonadione, 33
prazosin HCL, 8
Peganone, 24
pilocarpine HCL, 22, 27
Pre-folic, 21
Pegasys, 3
pilocarpine hydrochloride, 22
Precedex, 24
Pegasys Proclick, 3
Pilopine HS, 27
Precision PCX, 38
Pegintron, 3
pindolol, 7
Precision PCX Plus Test Strips, 38
Pen Needles 29G X 12MM, 36
pioglitazone HCL, 16
Precision Point Of Care Test Strips, 38
Pen Needles 29GX1/2", 36
pioglitazone HCL-glimepiride, 16
Precision QID Test Strips, 38
Pen Needles 30GX5/16", 36
pioglitazone HCL/metformin HCL, 16
Precision Sof-tact Test Strips, 38
Pen Needles 31G X 1/4" SHORT, 36
piperacillin sodium/ tazobactam sodium, 1
Precision Thin Lancets, 36
Pen Needles 31G X 3/16", 36
Precision Thins GP Lancet, 36
Pen Needles 31G X 6MM, 36
piperacillin sodium/tazobactam sodium, 1
Precision Ultra Lancet, 36
Pen Needles 31GX5/16", 36
piperacillin/tazobactam, 1
Precision XTRA Blood Glucose Test Strips, 38
penicillin G potassium, 1
piroxicam, 29
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Pitocin, 28
Precose, 16
Pitressin Synthetic, 17
Pred Forte, 27
Penicillin G Procaine, 1
Plan B, 15
Pred Mild, 27
Penicillin G Sodium, 1
Plan B One-step, 15
Pred-G, 27
penicillin v potassium, 1
Plaquenil, 3
Pred-G S.o.p., 27
Penlac Nail Lacquer, 11
Plavix, 22
prednicarbate, 12
Pennsaid, 11
Plegridy, 25
prednisolone, 14
Pentacel, 32
Plegridy Starter Pack, 25
prednisolone acetate, 27
Pentam 300, 4
Pletal, 22
prednisolone sodium phosphate, 14
Pentasa, 19
Plexion, 10
Prednisolone Sodium Phosphate, 14, 27
pentazocine/acetaminophen, 28
Plexion Cleanser, 10
prednisolone sodium phosphate odt, 14
pentazocine/naloxone HCL, 28
Plexion Cleansing Cloths, 10
prednisone, 14
Pentetate Calcium Trisodium, 39
Pliaglis, 13
Prednisone, 14
Pentetate Zinc Trisodium, 39
Pneumovax 23, 32
Prednisone Intensol, 14
pentoxifylline ER, 21
Pneumovax 23/1 Dose, 32
Prefera OB, 34
Pepcid, 18
Pneumovax 23/5 Dose, 32
Prefera OB + DHA, 34
Percocet, 29
Pocket Chamber, 38
Preferaob +dha, 34
Percodan, 29
Pocket Spacer, 38
Preferaob One, 34
Perfect Lancets 30G, 36
Pocketchem EZ Blood Glucose Test Strips, 38
Prefest, 14
Perfect Pressure Activated Safety Lancets 28G, 36
Prefol-DHA, 34
podofilox, 13
Prelone, 14
Perforomist, 31
Poly-VI-flor, 34
Premarin, 14, 20
Peridex, 22
Poly-VI-flor FS, 34
Premphase, 14
perindopril erbumine, 8
Poly-VI-flor/Iron, 34
Prempro, 14
Perjeta, 5
polyethylene glycol 3350, 18
Prenata, 34
permethrin, 13
polymyxin b sulfate, 4
Prenatabs RX, 33
perphenazine, 23
polymyxin b sulfate/trimethoprim sulfate, 26
Prenatal Ad, 33
Perphenazine/Amitriptyline, 25
Prenatal Vitamins, 33
Perry Prenatal, 33
Polytrim, 26
Prenatal-u, 33
Persantine, 22
Pomalyst, 5
Prenate, 34
Pertzye, 19
Ponstel, 29
Prenate AM, 34
Pexeva, 23
potassium citrate ER, 20
Prenate DHA, 34
Pfizerpen-G, 1
potassium citrate-citric acid crystals, 20
Prenate Elite, 34
Pharmacist Choice Autocode Blood Glucose Test Strips, 38
potassium citrate/citric acid, 20
Prenate Enhance, 34
potassium citrate/sodium citrate/citric acid, 20
Prenate Essential, 34
Pharmacy Counter Lancets, 36
Prenate Mini, 34
phenazopyridine HCL, 20
Potiga, 24
Prenate Pixie, 34
phenelzine sulfate, 22
Pr Cream, 13
Prenate Restore, 34
Phenergan, 31
Pr Natal 400, 33
Prenate Star, 34
phenobarbital, 23
Pr Natal 400 EC, 33
Prepidil, 28
Phenobarbital, 23
Pr Natal 430, 33
Prepopik, 18
Phenobarbital Sodium, 24
Pr Natal 430 EC, 33
Preque 10, 34
Phentolamine Mesylate, 8
Pradaxa, 21
Presera, 13
phenylephrine HCL, 9, 27
pramipexole dihydrochloride, 25
Prestige Test Strips, 38
Phenylephrine HCL, 9, 31
pramipexole dihydrochloride ER, 25
Prevacid, 18
Prevacid Solutab, 18
Prosed/DS, 19
Qvar, 32
Prevident, 22
Prostigmin, 26
R
Prevnar 13, 32
Prostin E2, 28
R-natal OB, 34
Prevpac, 18
Protamine Sulfate, 22
Rabavert, 33
Prezcobix, 3
Protect Plus, 34
rabeprazole sodium, 18
Prezista, 3
Protectbone, 34
raloxifene hydrochloride, 16
Priftin, 2
Protectiron, 21
ramipril, 8
Prilosec, 18
Protectnatal, 34
Ranexa, 7
Primaquine Phosphate, 3
Prothelial, 22
ranitidine HCL, 18
Primaxin IV, 4
Protonix, 18
Rapaflo, 20
Primaxin IV Add-vantage, 4
Protopic, 12
Rapamune, 5
primidone, 24
protriptyline HCL, 22
Rapivab, 3
Primlev, 29
Provenge, 6
Rasuvo, 30
Primsol, 4
Proventil HFA, 32
Ravicti, 17
Prinivil, 8
Provera, 15
Rayos, 14
Pristiq, 23
Provida OB, 34
Razadyne, 25
Proair HFA, 31
Provigil, 24
Razadyne ER, 25
probenecid, 30
Prozac, 23
Rebetol, 3
probenecid/colchicine, 30
Prozac Weekly, 23
Rebif, 25
Procainamide HCL, 8
Pruclair, 13
Rebif Rebidose, 25
Procardia, 7
Prudoxin, 11
Rebif Rebidose Titration Pack, 25
Procardia XL, 7
Prumyx, 13
Rebif Titration Pack, 25
Procentra, 24
Pss Select GP Lancets, 36
Reclast, 16
prochlorperazine, 23
Pss Select Safety Lancets, 36
Recombinate, 21
prochlorperazine edisylate, 23
Pts Panels Glucose Test, 38
Recombivax HB, 33
prochlorperazine maleate, 23
Pulmicort, 32
Recothrom, 21
Procort, 19
Pulmicort Flexhaler, 32
Recothrom Spray Kit, 21
Procrit, 20
Pulmophylline, 32
Rectiv, 19
Proctocort, 19
Pulmozyme, 32
Refuah Plus Blood Glucosetest Strips, 38
Proctofoam HC, 19
Purinethol, 5
Procysbi, 20
Purixan, 5
Reglan, 19
Prodigy NO Coding Blood Glucose Test Strips, 38
Px Lancets Ultra Thin, 36
Regonol, 26
Pylera, 18
Relagard, 20
Prodigy Pressure Activated Safety Lancets, 36
pyrazinamide, 2
Relenza Diskhaler, 3
Pyridium, 20
Relhist, 31
Prodigy Twist Top Lancets, 36
pyridostigmine bromide, 26
Relion Blood Glucose Teststrips, 38
Proferrin-forte, 21
Pyridoxine HCL, 33
Relion Confirm/Micro Test Strips, 38
progesterone, 15
Pyrogallic Acid, 13
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Progesterone 10% Kit, 15
Q
Proglycem, 16
Qc Lancets Super Thin, 36
Relion Lancets, 36
Prograf, 5
Qc Lancets Ultra Thin, 36
Relion Lancets Micro-thin33G, 36
Prolastin-c, 32
Qnasl, 31
Relion Lancets Standard 21G, 36
Prolensa, 27
Qnasl Childrens, 31
Relion Lancets Thin 26G, 36
Proleukin, 6
Quadramet, 6
Relion Lancets Ultra-thin30G, 36
Prolia, 16
Qualaquin, 3
Relion Prime Blood Glucose Test Strips, 38
Prolida, 13
Quartette, 15
Promacta, 20
Quazepam, 24
Relion R, 15
promethazine HCL, 30
Qudexy XR, 25
Relion Thin Lancets, 36
promethazine HCL plain, 30
Quelicin, 25
Relion Ultima Blood Glucose Test Strips, 38
promethazine-DM, 31
Quelicin 1000, 25
promethazine/codeine, 31
Questran, 10
Relion Ultima Test Strips, 38
promethazine/dextromethorphan, 31
Questran Light, 10
Relion Ultra Thin Lancets, 36
Prometrium, 15
quetiapine fumarate, 23
Relion Ultra Thin Lancets30G, 36
Promiseb, 12
Quflora Pediatric, 33
Relion Ultra Thin Plus Lancets 32G, 36
Promiseb Complete, 12
Quicktek Test Strips, 38
Relion Ultra Thin Plus Lancets 33G, 36
Propa PH Acne Medication Cleanser Maximum Strength, 13
Quillivant XR, 24
Relistor, 19
quinapril HCL, 8
Relpax, 30
propafenone HCL, 7
quinapril/hydrochlorothiazide, 8
Relyyks, 13
propafenone HCL ER, 7
Quinidine Gluconate, 8
Relyyt, 13
Propantheline Bromide, 18
quinidine gluconate CR, 7
Remeron, 23
proparacaine HCL, 27
quinidine gluconate ER, 7
Remeron Soltab, 23
propranolol HCL, 7
quinidine sulfate, 7
Remicade, 19
Propranolol HCL, 7
Quinidine Sulfate, 7
Remodulin, 10
propranolol HCL ER, 7
Quinidine Sulfate ER, 8
Renacidin, 20
Propranolol/Hydrochlorothiazide, 9
quinine sulfate, 3
Renagel, 19
propylthiouracil, 17
Quintet Ac Blood Glucose Test Strips, 38
Renatabs, 34
Proquad, 32
Quintet Blood Glucose Test Strips, 38
Renatabs With Iron, 34
Proscar, 20
Qutenza, 13
Renew Advanced Lancing Cartridge Refills, 36
risperidone odt, 23
salsalate, 28
Ritalin, 24
Salvax, 13
Renvela, 19
Ritalin LA, 24
Salvax Duo Plus, 13
Reopro, 22
Ritalin SR, 24
Samsca, 17
repaglinide, 16
Riteflo, 38
Sanctura, 20
Reprexain, 29
Rituxan, 5
Sanctura XR, 20
Repronex, 16
rivastigmine tartrate, 25
Sancuso, 19
Req 49+, 34
rizatriptan benzoate, 30
Sandimmune, 5
Requip, 25
rizatriptan benzoate odt, 30
Sandostatin, 17
Requip XL, 25
Robaxin, 26
Sandostatin Lar Depot, 17
Rescon-JR, 31
Robaxin-750, 26
Saphris, 23
Rescon-MX, 31
Robinul, 18
Sarafem, 25
Rescriptor, 3
Robinul Forte, 18
Savaysa, 21
Rescula, 27
Rocaltrol, 17
Savella, 25
Reserpine, 8
Rocephin, 1
Savella Titration Pack, 25
Respa-BR, 31
rocuronium bromide, 25
Scalacort DK, 12
Restasis, 27
ropinirole ER, 25
Scar Patch, 13
Restora RX, 18
ropinirole HCL, 25
Scopolamine Hydrobromide, 18
Restoril, 24
ropivacaine, 30
Seasonique, 15
Retavase, 22
ropivacaine HCL, 30
Seb-prev, 12
Retavase Half-kit, 22
Rosadan Kit, 11
Seconal, 24
Retin-a, 10
Rosanil, 10
Sectral, 7
Retin-a Micro, 10
Rosula, 10
Select-OB, 34
Retin-a Micro P.M., 10
Rotarix, 33
Select-ob+dha, 34
Retisert, 27
Rotateq, 33
selegiline HCL, 25
Retrovir, 3
Rowasa, 19
selenium sulfide, 12
Retrovir IV Infusion, 3
Roxicet, 29
Selenium Sulfide, 12
Revatio, 10
Roxicodone, 29
Selrx, 12
Reveal Blood Glucose Test, 38
Rozerem, 23
Selsun Shampoo, 12
Revlimid, 5
Ryanodex, 26
Selzentry, 3
Rexall Blood Glucose Test Strips, 38
Rytary, 25
Semprex-d, 31
Rexall Lancets Ultra Thin, 36
Rythmol, 8
Senophylline, 32
Reyataz, 3
Rythmol SR, 8
Sensipar, 17
Rezira, 31
S
Sensorcaine-mpf/Epinephrine, 30
Rezyst IM, 18
Sentradine, 18
Sabril, 25
Rezyst SB, 18
Sentraflox AM-10, 23
Safe-t-lance Low Flow 25G, 36
Rheumatrex, 30
Sentralopram AM-10, 23
Safe-t-lance Normal Flow 21G, 36
Rhinocort Aqua, 31
Sentramodafin AM-100, 24
Safe-t-lance Plus Safety Lancet High Flow, 36
Rhinoflex-650, 28
Sentravil PM-25, 23
Riastap, 21
Sentrazolam AM 0.25, 22
Safe-t-lance Plus Safety Lancet Low Flow, 36
Riax, 10
Sentrazolpidem PM-5, 24
Ribasphere, 3
Sentroxatine, 23
Safe-t-lance Plus Safety Lancet Normal Flow, 36
Ribasphere Ribapak, 3
Serevent Diskus, 32
Ribatab, 3
Seroquel, 23
Safety Lancet 21G/Pressure Activated, 36
ribavirin, 3
Seroquel XR, 23
Ridaura, 29
Serostim, 17
Safety Lancet 28G/Pressure Activated, 36
rifabutin, 2
sertraline HCL, 22
Rifadin, 2
Sevelamer Carbonate, 19
Safety Lancet 2MM, 36
Rifamate, 2
Sfrowasa, 19
Safety Lancets, 36
rifampin, 2
Shohls Solution Modified, 20
Safety Lancets 21G, 36
Rifater, 2
Shopko On-the-go Comfort Lancets 30G, 36
Safety Lancets 28G, 36
Rightest Gl300 Lancets, 36
Safety Let Lancets, 36
Rightest GS100 Blood Glucose Test Strips, 38
Shopko Unilet Lancets Super Thin 30G, 36
Safety Seal Lancets 28G, 36
Safety Seal Lancets 30G, 36
Rightest GS300 Blood Glucose Test Strips, 38
Shopko Unilet Lancets Ultra Thin 28G, 36
Safyral, 15
Saizen, 17
Rightest GS550 Blood Glucose Test Strips, 38
Siderol, 34
Saizen Click.easy, 17
Signifor, 17
Salagen, 22
Rilutek, 25
Signifor Lar, 17
Salex, 13
riluzole, 25
sildenafil, 10
Salex Cream, 13
rimantadine HCL, 3
sildenafil citrate, 10
Salex Lotion, 13
Rimantalist, 3
Silenor, 24
salicylic acid, 13
Riomet, 16
Simbrinza, 27
Salicylic Acid, 13
risedronate sodium, 16
Simcor, 9
salicylic acid cream, 13
Risperdal, 23
Simponi, 30
Salicylic Acid IN Ammonium Lactate Vehicle, 13
Risperdal Consta, 23
Simponi Aria, 30
Risperdal M-TAB, 23
Simulect, 5
salicylic acid lotion, 13
risperidone, 23
simvastatin, 9
Salkera, 13
Sinelee, 13
Sorilux, 12
sumatriptan succinate refill, 30
Sinemet, 25
sotalol HCL, 7
Sumavel Dosepro, 30
Sinemet CR, 25
sotalol HCL (AF), 7
Sumaxin, 10
Single-let, 36
Sotylize, 7
Sumaxin CP Kit, 10
Singulair, 32
Sovaldi, 3
Sumaxin Ts, 10
sirolimus, 5
Spectracef, 1
Sumaxin Wash, 10
Sirturo, 2
Spinosad, 13
Supartz, 26
Sitavig, 3
Spiriva Handihaler, 32
Supervite, 34
Sivextro, 4
Spiriva Respimat, 32
Supervite EC, 34
Skelaxin, 26
spironolactone, 9
Support-500, 34
Sklice, 13
spironolactone/hydrochlorothiazide, 9
Supprelin LA, 17
Smart Diabetes Vantage Universal Lancets 30G, 36
Sporanox, 2
Supracil, 13
Sporanox Pulsepak, 2
Suprax, 1
Smart Diabetes Xpres Blood Glucose Test Strips, 38
Sprix, 30
Supreme Test Strips, 38
Sprycel, 6
Suprep Bowel Prep, 18
Smart Sense Color Lancets Universal 33G, 36
Staflex, 28
Sure Edge Blood Glucose Test Strips, 38
Stalevo 100, 25
Sure-lance Flat Lancets, 36
Smart Sense Premium Bloodglucose Strips, 38
Stalevo 125, 25
Sure-lance Lancets 26G, 36
Stalevo 150, 25
Sure-lance Thin Lancets 28G, 36
Smart Sense Standard Lancets Universal 21G, 36
Stalevo 200, 25
Sure-lance Ultra Thin Lancets, 36
Stalevo 50, 25
Sure-test Easyplus Mini Blood Glucose Test Strips, 38
Smart Sense Super Thin Lancets Universal 30G, 36
Stalevo 75, 25
stannous fluoride oral rinse, 22
Sure-touch Lancets Universal, 36
Smart Sense Thin Lancets Universal 26G, 36
Starlix, 16
Surechek Blood Glucose Test Strips, 38
stavudine, 3
Surelite Lancets, 36
Smart Sense Value Blood Glucose Strips, 38
Stavzor, 25
Surestep Glucose Control, 36
Staxyn, 10
Surestep Glucose Control Solution, 36
Smartest Blood Glucose Test Strips, 38
Stelara, 12
Surestep Pro High Glucosecontrol, 36
Smartest Lancets 28G, 36
Stendra, 10
Surestep Pro Low Glucose Control, 36
Sodium Bicarbonate, 18
Sterilance TL, 36
Surestep Pro Normal Glucose Control, 36
sodium chloride, 31
Stimate, 17
sodium citrate/citric acid, 20
Stivarga, 6
Surestep Pro Test Strips, 36
Sodium Diuril, 9
Strattera, 24
Surestep Test Strips, 36
Sodium Edecrin, 9
Strazepam, 24
Surfaxin, 32
sodium ferric gluconate complex/sucrose, 20
Streptomycin Sulfate, 2
Surmontil, 23
Striant, 14
Survanta Intratracheal, 32
sodium hyaluronate, 13
Stribild, 3
Sustiva, 3
sodium phenylbutyrate, 17
Striverdi Respimat, 32
Sutent, 6
sodium sulfacetamide, 10, 12, 26
Stromectol, 3
Suttar-2, 31
sodium sulfacetamide wash, 12
Strovite, 34
Suttar-SF, 31
sodium sulfacetamide/sulfur, 10
Strovite Forte, 34
Sylatron, 6
Sodium Sulfacetamide/Sulfur, 10
Strovite One, 34
Symax Duotab, 18
sodium sulfacetamide/sulfur cleanser, 10
Suboxone, 28
Symbicort, 32
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10
Subsys, 29
Symbyax, 25
Suclear, 18
Symlinpen 120, 15
sodium sulfacetamide/sulfur cleansing cloths, 10
Sucraid, 19
Symlinpen 60, 15
sucralfate, 18
Synagex, 34
sodium sulfacetamide/sulfur green, 10
Sular, 7
Synalar, 12
Sodium Sulfacetamide/Sulfur IN Urea, 10
sulfacetamide sodium, 10, 26
Synalar Cream Kit, 12
sodium sulfacetamide/sulfur w/sunscreen, 10
Sulfacetamide Sodium, 26
Synalar Ointment Kit, 12
sulfacetamide sodium/prednisolone sodium phosphate, 27
Synalar Ts, 12
sodium sulfacetamide/sulfur wash, 10
Synalgos-dc, 29
Solaice, 13
sulfacetamide sodium/sulfur cleanser, 10
Synapryn Fusepaq, 29
Soliris, 21
Sulfadiazine, 2
Synarel, 17
Solodyn, 2
sulfamethoxazole/trimethoprim, 4
Synatek, 34
Soltamox, 5
Sulfamethoxazole/Trimethoprim, 4
Synera, 13
Solu-cortef, 14
sulfamethoxazole/trimethoprim DS, 4
Synercid, 4
Solu-medrol, 14
sulfasalazine, 19
Synribo, 6
Solus V2 Audible Test, 38
Sulfisoxizole, 2
Synthroid, 18
Solus V2 Pressure Activated Safety Lancets 28G, 36
Sulfoam, 10
Synvisc, 26
Sulfurated Lime, 13
Synvisc One, 26
Solus V2 Twist Lancets 30G, 36
sulindac, 29
T
Soma, 26
Sumadan Kit, 10
Tabloid, 5
Somatuline Depot, 17
Sumadan Wash, 10
Taclonex, 12
Somavert, 17
Sumadan XLT, 10
tacrolimus, 5, 12
Sonata, 24
Sumatriptan, 30
Tafinlar, 6
Soolantra, 11
sumatriptan succinate, 30
Talwin, 29
Soriatane, 12
Sumatriptan Succinate, 30
Tamiflu, 3
tamoxifen citrate, 5
Teveten, 8
tizanidine HCL, 26
tamsulosin HCL, 20
Teveten HCT, 9
TL G-FOL OS, 34
Tandem F, 21
Texacort, 12
TL Triseb, 12
Tandem Plus, 21
Thalomid, 5
TL-cermide, 13
Tanzeum, 15
Theo-24, 32
Tnkase, 22
Tapazole, 18
theophylline, 31
Tobi, 2
Tarceva, 6
theophylline CR, 31
Tobi Podhaler, 2
Targretin, 6
theophylline ER, 31
Tobradex, 27
Tarka, 9
theophylline/D5W, 31
Tobradex ST, 27
Taron-bc, 34
Theophylline/D5W, 32
tobramycin, 2
Taron-c DHA, 34
Therabenzaprine-60, 26
tobramycin sulfate, 2, 26
Taron-prex, 33
Therabenzaprine-90, 26
Tobramycin Sulfate/Sodium Chloride, 2
Tasigna, 6
Therabenzaprine-90-5, 26
tobramycin/dexamethasone, 27
Tasmar, 25
Theracodeine-300, 29
Tobrex, 26
Taxotere, 6
Theracodophen-325, 29
Tofranil, 23
Tazicef, 1
Theracodophen-650, 29
Tofranil-PM, 23
Tazorac, 11
Theracodophen-750, 29
tolazamide, 15
Tecfidera, 25
Theracodophen-low-90, 29
Tolazamide, 16
Tecfidera Starter Pack, 25
Theracys, 6
Tolbutamide, 16
Techlite AST Lancets, 36
Therafeldamine, 30
tolmetin sodium, 29
Techlite Lancets, 36
Therapentin-60, 25
Tolmetin Sodium, 29
Techlite Lancets 30G, 36
Therapentin-90, 25
tolterodine tartrate, 20
Tegretol, 25
Theraprofen-60, 30
tolterodine tartrate ER, 20
Tegretol-XR, 24
Theraprofen-800, 30
Topamax, 25
Tekamlo, 8
Theraprofen-90, 30
Topamax Sprinkle, 25
Tekturna, 8
Theraproxen-500, 30
Topicort, 12
Tekturna HCT, 8
Theraproxen-60, 30
topiramate, 24
Telcare Blood Glucose Test Strips, 38
Theraproxen-90, 30
Topiramate ER, 25
telmisartan, 8
Theratramadol-60, 29
topotecan HCL, 6
telmisartan/amlodipine, 8
Theratramadol-90, 29
Topotecan HCL, 6
telmisartan/hydrochloroth, 8
thiamine HCL, 33
Toprol XL, 7
telmisartan/hydrochlorothiazide, 8
Thinlets GP Lancets, 36
Torisel, 6
temazepam, 23
Thinlets Lancet, 36
torsemide, 9
Temodar, 4
Thiola, 20
Torsemide, 9
Temovate, 12
thioridazine HCL, 23
Totect, 6
Temovate E, 12
thiothixene, 23
Toujeo Solostar, 15
temozolomide, 4
Thrombin-jmi Diluent, 21
Toviaz, 20
Tencon, 28
Thrombin-jmi Epistaxis, 21
Tracleer, 10
Tenex, 8
Thrombin-jmi Syringe Spray Kit, 21
Tradjenta, 16
Teniposide, 6
Thrombin-jmi W/Dil Spray P.M. Actuator, 21
tramadol HCL, 28
Tenivac, 32
tramadol HCL ER, 28
Tenoretic 100, 9
Thrombogen, 21
Tramadol HCL ER, 29
Tenoretic 50, 9
Thymoglobulin, 5
tramadol hydrochloride/acetaminophen, 28
Tenormin, 7
Thyrolar-1, 18
Terazol 3, 20
Thyrolar-1/2, 18
Trandate, 7
Terazol 7, 20
Thyrolar-1/4, 18
trandolapril, 8
terazosin HCL, 8
Thyrolar-2, 18
trandolapril/verapamil HCL, 8
terbinafine HCL, 2
Thyrolar-3, 18
trandolapril/verapamil HCL ER, 8
Terbinex, 2
tiagabine hydrochloride, 24
tranexamic acid, 21
terbutaline sulfate, 31
Tiazac, 7
Transderm-scop, 19
terconazole, 20
Tice Bcg, 6
Tranxene T, 22
Tersi Foam, 12
ticlopidine HCL, 21
tranylcypromine sulfate, 22
Tessalon Perles, 31
Tigan, 19
Travatan Z, 27
Testim, 14
Tikosyn, 7
Travoprost, 27
Testopel, 14
Timentin, 1
Trazamine, 23
Testosterone, 14
Timolol Maleate, 7
trazodone HCL, 22
testosterone cypionate, 14
timolol maleate, 26
Treanda, 4
testosterone enanthate, 14
timolol maleate ophthalmic gel forming, 26
Trecator, 2
Testosterone P.M., 14
Trelstar, 5
Testred, 14
Timoptic, 26
Trelstar Mixject, 5
Tetanus Toxoid Adsorbed, 32
Timoptic Ocudose, 26
Trepadiclofen-25, 30
Tetanus/Diphtheria Toxoids-adsorbed Adult, 32
Timoptic-xe, 26
Trepoxen-250, 30
Tindamax, 4
Trepoxicam-7.5, 30
tetracaine HCL, 27
tinidazole, 4
Tretin-x, 10
Tetracaine HCL, 30
Tirosint, 18
tretinoin, 6, 10
Tetracycline HCL, 2
Tisseel, 21
tretinoin microsphere, 10
Tetrix, 13
Tivicay, 3
tretinoin microsphere P.M., 10
Tev-tropin, 17
Tizanidine Comfort PAC, 26
Tretten, 21
Trexall, 5
Release, 31
urea 40% nail film, 13
Treximet, 30
Twinrix, 33
urea IN zinc undecylenate/lactic acid vehicle, 13
Trezix, 29
Twynsta, 9
Tri-norinyl 28, 15
Tybost, 3
urea topical, 13
Tri-VI-flor, 34
Tygacil, 4
Urecholine, 20
triamcinolone acetonide, 12, 22, 31
Tykerb, 6
Uretron D/S, 19
Triamcinolone Acetonide, 12
Tylenol/Codeine #3, 29
Urimar-t, 19
triamcinolone IN orabase, 22
Tylenol/Codeine #4, 29
Urocit-k 10, 20
triamterene/hydrochlorothiazide, 9
Typhim VI, 33
Urocit-k 15, 20
Triamterene/Hydrochlorothiazide, 9
Tysabri, 25
Urocit-k 5, 20
Trianex, 12
Tyvaso, 10
Urogesic-blue, 19
triazolam, 23
Tyvaso Refill, 10
Uroqid #2, 19
Tribenzor, 8
Tyvaso Starter, 10
Uroxatral, 20
Tricare, 33
Tyzeka, 3
Urso 250, 19
Tricare Prenatal Compleat, 34
Tyzine, 31
Urso Forte, 19
Tricare Prenatal DHA One, 34
Tyzine Pediatric Nasal Drops, 31
ursodiol, 19
tricitrates, 20
U
Uta, 19
Tricor, 10
Utopic, 13
U-cort, 12
Triderma Forte, 12
Uvadex, 6
Uceris, 14, 19
trifluoperazine HCL, 23
V
Udamin, 34
trifluridine, 26
Udamin SP, 34
Vagifem, 20
Triglide, 10
Ulesfia, 13
valacyclovir HCL, 3
trihexyphenidyl HCL, 25
Uloric, 30
Valchlor, 4
Trileptal, 25
Ulticare Thin Lancets 30G, 36
Valcyte, 3
Trilipix, 10
Ultilet Basic Lancets 30G, 36
valganciclovir, 3
trimethobenzamide HCL, 19
Ultilet Classic Lancets, 37
Validerm, 12
trimethoprim, 4
Ultilet Lancets, 37
Valium, 22
trimethoprim sulfate/polymyxin b sulfate, 26
Ultilet Lancets 33G, 37
valproate sodium, 24
Ultilet Safety Lancets 23G, 37
valproic acid, 24
trimipramine maleate, 22
Ultima Test Strips, 38
valsartan, 8
Trinate, 33
Ultiva, 29
valsartan/hydrochlorothiazide, 8
Triostat, 18
Ultra-thin II Auto Lancet, 37
Valstar, 4
Trisenox, 6
Ultra-thin II Lancets 28G, 37
Valtrex, 3
Triseon, 11
Ultra-thin II Lancets 30G, 37
Valumark Lancet Super Thin 30G, 37
Triumeq, 3
Ultra-thin II Safety Autolancets 26G, 37
Valumark Lancet Ultra Thin 28G, 37
Triveen-duo DHA, 34
Ultracet, 29
Vancocin HCL, 4
Triveen-prx RNF, 34
Ultram, 29
vancomycin HCL, 4
Trizivir, 3
Ultram ER, 29
Vancomycin HCL, 4
Trokendi XR, 25
Ultrasal-ER, 13
Vancomycin HCL IN Dextrose, 4
Tropazone, 13
Ultratrak Pro Test Strips, 38
Vanos, 12
trospium chloride, 20
Ultratrak Ultimate Test Strips, 38
Vanoxide-HC, 11
trospium chloride ER, 20
Ultravate, 12
Vantas, 5
True Metrix Blood Glucosetest Strips, 38
Ultravate PAC, 12
Vaprisol, 17
True Metrix Self Monitoring Blod Glucose Strips, 38
Ultravate X, 12
Vaqta, 33
Ultresa, 19
Varivax, 33
Trueplus Lancets 26G, 36
Umecta, 13
Vascepa, 9
Trueplus Lancets 28G, 36
Umecta Nail Film, 13
Vaseretic, 9
Trueplus Lancets 28G Super Thin, 36
Umecta PD, 13
vasopressin, 17
Trueplus Lancets 30G, 36
Unasyn, 1
Vasostrict, 17
Trueplus Lancets 30G Ultra Thin, 36
Unasyn Bulk Pack, 1
Vasotec, 8
Trueplus Lancets 33G, 36
Unilet Comfortouch Lancet, 37
Vazculep, 9
Trueplus Lancets 33G Micro Thin, 36
Unilet Excelite, 37
Vecamyl, 8
Trueplus Safety Lancets 28G, 36
Unilet Excelite II, 37
Vectibix, 5
Truetest Blood Glucose T Est, 38
Unilet G.p. Lancet, 37
Vectical, 12
Truetest Blood Glucose T Est Strips, 38
Unilet G.p. Superlite Lancet, 37
vecuronium bromide, 25
Truetest Strips, 38
Unilet GP 28 Ultra Thin, 37
Velcade, 6
Truetrack Blood Glucose Test, 38
Unilet Lancet, 37
Veletri, 10
Truetrack Test, 38
Unilet Superlite Lancet, 37
Velphoro, 19
Trulicity, 15
Uniretic, 9
Veltin, 11
Trumenba, 33
Unistik 3 Gentle, 37
Vemavite-prx 2, 34
Trusopt, 27
Unistrip1 Generic, 38
venlafaxine HCL, 22
Truvada, 3
Univasc, 8
venlafaxine HCL ER, 22
Tucks Anti-itch, 12
Universal 1 Lancets Thin 26G, 37
Venlafaxine HCL ER, 23
Tudorza Pressair, 32
Universal 1 Lancets Ultra Thin 30G, 37
Venofer, 20
Turkel Paracentesis Procedure Tray/8french, 30
Uramaxin, 13
Ventavis, 10
Uramaxin GT, 13
Ventolin HFA, 32
Tussicaps, 31
Uramaxin GT Kit, 13
Veramyst, 31
Tussionex Pennkinetic Extended
urea, 13
verapamil HCL, 7
Verapamil HCL, 7
Vitafol-one, 34
Xarelto Starter Pack, 21
verapamil HCL ER, 7
Vitafol-pn, 34
Xartemis XR, 29
verapamil HCL SR, 7
Vital-d RX, 34
Xclair, 13
Verdeso, 12
Vitalet Pro Lancets, 37
Xeljanz, 30
Veregen, 13
Vitalet Pro Plus Lancets, 37
Xeloda, 5
Verelan, 7
Vitamedmd One RX/Quatrefolic, 34
Xenazine, 25
Verelan PM, 7
Vitamedmd Plus RX/Quatre Folic, 34
Xeomin, 25
Veripred 20, 14
Vitamedmd Redichew RX, 34
Xerese, 11
Verrunex, 13
Vitamedmd Redichew RX/Quatrefolic, 34
Xgeva, 16
Versacloz, 23
vitamin c 222MG, 33
Xifaxan, 4
Vesicare, 20
vitamin d, 33
Xigduo XR, 16
Vexa, 13
vitamin k1, 33
Xodol, 29
Vexol, 27
Vitamin K1, 33
Xofigo, 6
Vfend, 2
Vitapearl, 34
Xolair, 32
Vfend IV, 3
Vitaroca Plus, 34
Xolegel, 11
Viagra, 10
Vitekta, 3
Xolegel Corepak, 11
Vibativ, 4
Vituz, 31
Xolegel Duo/Head & Shoulders, 11
Vibramycin, 2
Viva CT Prenatal, 34
Xolegel Duo/Xolex, 11
Vicoprofen, 29
Viva DHA, 34
Xolox, 29
Victory Agm-4000 Test Strips, 38
Vivactil, 23
Xopenex, 32
Victoza, 15
Vivelle-dot, 14
Xopenex Concentrate, 32
Victrelis, 3
Vivotif Berna, 33
Xopenex HFA, 32
Vida Mia Unilet Lancets Super Thin 30G, 37
Vocal Point Blood Glucose Test Strips, 38
Xtandi, 5
Xylocaine, 8, 14, 30
Vida Mia Unilet Lancets Ultra Thin 28G, 37
Vogelxo, 14
Xylocaine-mpf, 30
Vogelxo P.M., 14
Xylocaine-mpf/Epinephrine, 30
Vidaza, 5
Voltaren, 11
Xylocaine/Epinephrine, 30
Videx EC, 3
Voltaren-XR, 30
Xyntha, 21
Videx Pediatric, 3
Voluven, 22
Xyntha Solofuse, 22
Viekira PAK, 3
Vopac, 11
Xyrem, 25
Vigamox, 26
Vopac GB, 11
Xyzal, 31
Viibryd, 23
Vopac Kt, 11
Y
Vimizim, 17
Voraxaze, 6
Yasmin 28, 15
Vimovo, 30
voriconazole, 2
Yaz, 15
Vimpat, 25
Vortex Valved Holding Chamber, 38
Yervoy, 5
Vinacal, 34
Vosol HC, 28
Yf-vax, 33
Vinacal B, 34
Vospire ER, 32
Yodoxin, 3
Vinate AZ Extra, 34
Votrient, 6
Z
Vinate C, 33
Vpriv, 20
Vinate Calcium, 34
Vsl#3 DS, 18
Zacare 4% Kit, 11
Vinate Care, 33
Vusion, 11
Zacare 8% Kit, 11
Vinate DHA, 34
Vytorin, 9
zafirlukast, 31
Vinate DHA RF, 34
Vyvanse, 24
zaleplon, 23
Vinate GT, 33
W
Zaltrap, 5
Vinate IC, 33
Zanaflex, 26
W&f Lancets 26G, 37
Vinate II, 33
Zanosar, 4
W&f Lancets Colored 21G, 37
Vinate M, 33
Zantac, 18
Walgreens Lancets, 37
Vinate One, 33
Zarontin, 25
Walgreens Thin Lancets, 37
Vinate Pn Care, 33
Zaroxolyn, 9
Walgreens Ultra Thin Lancets, 37
Vinblastine Sulfate, 6
Zatean-CH, 34
warfarin sodium, 21
vincristine sulfate, 5
Zatean-pn, 34
Watchhaler, 39
vinorelbine tartrate, 5
Zatean-pn DHA, 34
Wavesense Presto Test Strips, 38
Viokace, 19
Zatean-pn Plus, 34
Welchol, 9
Viracept, 3
Zavesca, 21
Wellbutrin, 23
Viramune, 3
Zebeta, 7
Wellbutrin SR, 23
Viramune XR, 3
Zegerid, 18
Wellbutrin XL, 23
Virasal, 13
Zelapar, 25
Westcort, 12
Virazole, 3
Zelboraf, 6
Westhroid, 18
Viread, 3
Zemaira, 32
Wheat Germ, 33
Viroptic, 26
Zemplar, 17
Wilate, 21
Vistaril, 22
Zemuron, 26
Wp Thyroid, 18
Vistide, 3
Zenatane, 10
X
Vita-pren, 34
Zenpep, 19
Vitafol, 34
Xalatan, 27
Zenzedi, 24
Vitafol Ultra, 34
Xalkori, 6
Zerit, 3
Vitafol-nano, 34
Xanax, 22
Zestoretic, 9
Vitafol-OB, 33
Xanax XR, 22
Zestril, 8
Vitafol-ob+dha, 34
Xarelto, 21
Zetia, 9
Zetonna, 31
Zyvox, 4
Zevalin Y-90, 5
1
Ziac, 9
1ST Choice Lancets Super Thin, 37
Ziagen, 3
1ST Choice Lancets Thin, 37
Ziana, 10
1ST Choice Lancets Ultra Thin, 37
zidovudine, 3
8
Zinacef, 1
Zinacef IN Iso-osmotic Diluent, 1
8-mop, 11
Zinecard, 6
Zioptan, 27
ziprasidone HCL, 23
Zipsor, 30
Zirgan, 26
Zithranol, 12
Zithranol-rr, 12
Zithromax, 1
Zithromax Tri-PAK, 1
Zithromax Z-PAK, 1
Zmax, 1
Zocor, 10
Zofran, 19
Zofran Odt, 19
Zohydro ER, 29
Zoladex, 5
zoledronic acid, 16
Zoledronic Acid, 16
Zolinza, 6
zolmitriptan, 30
zolmitriptan odt, 30
Zoloft, 23
zolpidem tartrate, 23
zolpidem tartrate ER, 23
Zolpimist, 24
Zolvit, 29
Zometa, 16
Zomig, 30
Zomig Nasal Spray, 30
Zomig ZMT, 30
Zonalon, 11
Zonatuss, 31
Zonegran, 25
zonisamide, 24
Zontivity, 22
Zorbtive, 17
Zortress, 5
Zorvolex, 29
Zostavax, 33
Zosyn, 1
Zovia 1/50e, 15
Zovirax, 3, 11
Zubsolv, 28
Zuplenz, 19
Zutripro, 31
Zyclara, 12
Zyclara P.M., 13
Zydelig, 6
Zydone, 29
Zyflo, 32
Zyflo CR, 32
Zykadia, 6
Zylet, 27
Zyloprim, 30
Zymaxid, 26
Zyprexa, 23
Zyprexa Relprevv, 23
Zyprexa Zydis, 23
Zytiga, 5
Zyvodol, 11