list of covered drugs - ohio department of administrative...
TRANSCRIPT
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
NON PREFERRED
Cefaclor
Cefaclor ER
Cefotetan
January 2015
Cefotetan/Dextrose
Cefoxitin Sodium
ANTI-INFECTIVES
Ceftin
Cefuroxime Sodium
PENICILLINS
Cefuroxime/Dextrose
GENERIC
Mefoxin
amoxicillin
Zinacef
amoxicillin/clavulanate potassium
Zinacef IN Iso-osmotic Dextrose
amoxicillin/clavulanate potassium ER
Zinacef IN Iso-osmotic Diluent
ampicillin
THIRD GENERATION
ampicillin sodium
GENERIC
ampicillin-sulbactam
cefdinir
dicloxacillin sodium
cefotaxime sodium
nafcillin sodium
cefpodoxime proxetil
oxacillin sodium
ceftazidime
penicillin v potassium
ceftriaxone sodium
penicillin G potassium
NON PREFERRED
piperacillin sodium/ tazobactam sodium
Cedax
piperacillin sodium/tazobactam sodium
Cefditoren Pivoxil
piperacillin/tazobactam
Ceftazidime
NON PREFERRED
Ceftazidime/Dextrose
Amoxicillin
Ceftibuten
Amoxicillin ER
Ceftriaxone IN Iso-osmotic Dextrose
Ampicillin
Ceftriaxone/Dextrose
Ampicillin Sodium
Claforan
Ampicillin-sulbactam
Claforan/D5W
Augmentin
Fortaz
Augmentin ES-600
Rocephin
Augmentin XR
Spectracef
Bactocill IN Dextrose
Suprax
Bicillin C-R
Tazicef
Bicillin L-a
FOURTH GENERATION
Moxatag
GENERIC
Nafcillin Sodium
cefepime
Nallpen Iso-osmotic IN Dextrose
NON PREFERRED
Nallpen/Dextrose
Cefepime
Penicillin G Potassium IN Iso-osmotic Dextrose
Maxipime
Penicillin G Procaine
Penicillin G Sodium
MACROLIDES
Pfizerpen-G
GENERIC
Timentin
azithromycin
Unasyn
clarithromycin
Unasyn Bulk Pack
clarithromycin ER
Zosyn
erythromycin
NON PREFERRED
CEPHALOSPORIN
Azithromycin
FIRST GENERATION
Biaxin
GENERIC
Biaxin XL
cefadroxil
Biaxin XL PAC
cefazolin sodium
Dificid
cephalexin
E.e.s. Granules
NON PREFERRED
E.e.s. 400
Ancef
Ery-TAB
Cefazolin Sodium
Eryped 200
Cefazolin Sodium/Dextrose
Eryped 400
Cephalexin
Erythrocin Lactobionate
Keflex
Erythrocin Stearate
SECOND GENERATION
Erythromycin Base
GENERIC
Erythromycin Ethylsuccinate
cefaclor
PCE
cefoxitin sodium
Zithromax
cefprozil
Zithromax Tri-PAK
cefuroxime axetil
Zithromax Z-PAK
cefuroxime sodium
Zmax
Effective January 1, 2015 v.1
©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization. 1
TETRACYCLINES
NON PREFERRED
Bethkis
GENERIC
Gentamicin Sulfate/0.9% Sodium Chloride
demeclocycline HCL
Isotonic Gentamicin
doxycycline
Streptomycin Sulfate
doxycycline hyclate
Tobi
doxycycline hyclate DR
Tobramycin Sulfate/Sodium Chloride
doxycycline monohydrate
minocycline HCL
SULFONAMIDES
minocycline HCL ER
NON PREFERRED
PREFERRED
Acticlate
Sulfisoxizole
Adoxa
NON PREFERRED
Adoxa PAK 1/100
Sulfadiazine
Adoxa PAK 1/150
Adoxa PAK 2/100
ANTIMYCOBACTERIAL AGENTS
Alodox Convenience Kit
GENERIC
Avidoxy DK
ethambutol HCL
Doryx
isoniazid
Dynacin
pyrazinamide
Minocin
rifabutin
Minocin Kit
rifampin
Monodox
PREFERRED
Morgidox 1X100MG
Priftin
Morgidox 2X100MG
Seromycin
Nicazeldoxy 30 Kit
Sirturo
Nicazeldoxy 60 Kit
NON PREFERRED
Nutridox
Capastat Sulfate
Ocudox
Cycloserine
Oraxyl
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
Ofloxacin
griseofulvin microsize
NON PREFERRED
griseofulvin ultramicrosize
Avelox
itraconazole
Avelox Abc Pack
ketoconazole
Cipro
nystatin
Cipro I.V.-IN D5W
terbinafine HCL
Cipro XR
voriconazole
Factive
PREFERRED
Levaquin
Cancidas
Noroxin
Mycamine
Noxafil
AMINOGLYCOSIDES
NON PREFERRED
GENERIC
Abelcet
amikacin sulfate
Ambisome
gentamicin sulfate
Amphotec
gentamicin sulfate pediatric
Amphotericin B
gentamicin sulfate/sodium chloride
Ancobon
gentamicin sulfate/0.9% sodium chloride
Diflucan
isotonic gentamicin
Eraxis
neomycin sulfate
Fluconazole IN NACL
paromomycin sulfate
Grifulvin V
tobramycin
Gris-peg
tobramycin sulfate
Lamisil
PREFERRED
Onmel
Tobi Podhaler
Sporanox
Sporanox Pulsepak
Effective January 1, 2015
2
Terbinex
Viracept
Vfend
Viread
Vfend IV
NON PREFERRED
Acyclovir Sodium
ANTIVIRALS
Baraclude
Combivir
GENERIC
Copegus
abacavir
Cytovene
abacavir sulfate/lamivudine/zidovudine
Epivir
acyclovir
Epivir HBV
acyclovir sodium
Famvir
adefovir dipivoxil
Flumadine
cidofovir
Foscarnet Sodium
didanosine
Foscavir
entecavir
Hepsera
famciclovir
Infergen
ganciclovir
Rebetol
lamivudine
Retrovir
lamivudine/zidovudine
Rimantalist
nevirapine
Sitavig
nevirapine ER
Triumeq
ribavirin
Trizivir
rimantadine HCL
Tyzeka
stavudine
Valtrex
valacyclovir HCL
Videx EC
zidovudine
Viramune
PREFERRED
Viramune XR
Aptivus
Virazole
Atripla
Vistide
Complera
Zerit
Crixivan
Ziagen
Edurant
Zovirax
Emtriva
Epzicom
ANTIMALARIALS
Fuzeon
Incivek
GENERIC
Intelence
atovaquone/proguanil HCL
Invirase
chloroquine phosphate
Isentress
hydroxychloroquine sulfate
Kaletra
mefloquine HCL
Lexiva
quinine sulfate
Moderiba
PREFERRED
Moderiba 1200 Dose Pack
Coartem
Moderiba 800 Dose Pack
Daraprim
Nevirapine
Primaquine Phosphate
Norvir
NON PREFERRED
Olysio
Aralen
Peg-intron
Malarone
Peg-intron Redipen
Plaquenil
Peg-intron Redipen PAK 4
Qualaquin
Pegasys
Pegasys Proclick
AMEBICIDES
Prezista
NON PREFERRED
Relenza Diskhaler
Yodoxin
Rescriptor
Retrovir IV Infusion
ANTHELMINTICS
Reyataz
PREFERRED
Ribasphere
Albenza
Ribasphere Ribapak
Stromectol
Ribatab
NON PREFERRED
Selzentry
Biltricide
Sovaldi
Stribild
MISC. ANTI-INFECTIVES
Sustiva
GENERIC
Tamiflu
atovaquone
Tivicay
aztreonam
Truvada
bacitracin
Valcyte
clindamycin palmitate HCL
Victrelis
clindamycin phosphate
Videx Pediatric
clindamycin phosphate add-vantage
Effective January 1, 2015
3
clindamycin phosphate pharmacy bulk package
melphalan hydrochloride
clindamycin phosphate IN D5W
oxaliplatin
clindamycin HCL
temozolomide
colistimethate sodium
Lomustine
imipenem/cilastatin
PREFERRED
meropenem
Alkeran
metronidazole
Bicnu
metronidazole IN NACL 0.79%
Busulfex
polymyxin b sulfate
Gliadel Wafer
sulfamethoxazole/trimethoprim
Hexalen
sulfamethoxazole/trimethoprim DS
Leukeran
tinidazole
Mustargen
trimethoprim
Myleran
vancomycin HCL
Treanda
Dapsone
Valchlor
PREFERRED
Zanosar
Alinia
NON PREFERRED
Cayston
Carboplatin
Dalvance
Ceenu
Nebupent
Cisplatin
Tygacil
Cyclophosphamide
Xifaxan
Eloxatin
Zyvox
Ifex
NON PREFERRED
Ifosfamide
Azactam
Temodar
Azactam IN Iso-osmotic Dextrose
Bacitracin
ANTIBIOTICS
Bactrim
GENERIC
Bactrim DS
bleomycin sulfate
Chloramphenicol Sodium Succinate
daunorubicin HCL
Cleocin
doxorubicin HCL
Cleocin IN D5W
doxorubicin HCL liposome
Cleocin Pediatric Granules
epirubicin HCL
Cleocin Phosphate
idarubicin HCL
Clindamycin Phosphate
mitomycin
Coly-mycin M
mitoxantrone HCL
Cubicin
PREFERRED
Doribax
Daunoxome
First-vancomycin 25
Valstar
First-vancomycin 50
NON PREFERRED
Flagyl
Adriamycin
Flagyl ER
Cosmegen
Invanz
Doxil
Ketek
Ellence
Lincocin
Epirubicin HCL
Mepron
Idamycin PFS
Merrem
Metro IV
ANTINEOPLASTIC ENZYMES
Neutrexin
PREFERRED
Orbactiv
Elspar
Pentam 300
Erwinaze
Primaxin IV
Oncaspar
Primaxin IV Add-vantage
Primsol
ANTIMETABOLITES
Sivextro
GENERIC
Sulfamethoxazole/Trimethoprim
azacitidine
Synercid
capecitabine
Tindamax
cladribine
Vancocin HCL
cytarabine
Vancomycin HCL
cytarabine aqueous
Vancomycin HCL IN Dextrose
decitabine
Vibativ
floxuridine
fludarabine phosphate
ANTINEOPLASTICS, ETC
fluorouracil
ALKYLATING AGENTS
gemcitabine HCL
GENERIC
mercaptopurine
carboplatin
methotrexate
cisplatin
methotrexate sodium
ifosfamide
Effective January 1, 2015
4
PREFERRED
Trelstar Mixject
Alimta
Vantas
Arranon
Xtandi
Clolar
Zoladex
Depocyt
Zytiga
Folotyn
NON PREFERRED
Purixan
Arimidex
Tabloid
Aromasin
Trexall
Casodex
NON PREFERRED
Femara
Cytarabine
Megace Oral
Dacogen
Fludara
IMMUNOMODULATORS
Fludarabine Phosphate
GENERIC
Gemcitabine
azathioprine
Gemzar
cyclosporine
Purinethol
cyclosporine modified
Vidaza
mycophenolate mofetil
Xeloda
mycophenolic acid DR
sirolimus
ANGIOGENESIS INHIBITORS
tacrolimus
PREFERRED
PREFERRED
Avastin
Azasan
Cyramza
Pomalyst
Zaltrap
Rapamune
Revlimid
ANTIBODIES
Thalomid
NON PREFERRED
PREFERRED
Astagraf XL
Adcetris
Atgam
Arzerra
Cellcept
Bexxar
Cellcept Intravenous
Erbitux
Cyclosporine Modified
Gazyva
Imuran
Herceptin
Myfortic
Kadcyla
Neoral
Perjeta
Nulojix
Rituxan
Prograf
Vectibix
Sandimmune
Yervoy
Simulect
Zevalin Y-90
Thymoglobulin
NON PREFERRED
Zortress
Keytruda
MITOTIC INHIBITORS
HORMONAL AGENTS
GENERIC
GENERIC
etoposide
anastrozole
paclitaxel
bicalutamide
vincristine sulfate
exemestane
vinorelbine tartrate
flutamide
PREFERRED
letrozole
Abraxane
leuprolide acetate
Docefrez
megestrol acetate
Etopophos
tamoxifen citrate
Halaven
PREFERRED
Ixempra Kit
Depo-provera
Jevtana
Eligard
Marqibo
Emcyt
Taxotere
Fareston
Teniposide
Faslodex
Vumon
Firmagon
NON PREFERRED
Lupron Depot
Docetaxel
Lysodren
Etoposide
Megestrol Acetate
Navelbine
Nilandron
Paclitaxel
Soltamox
Vinblastine Sulfate
Trelstar Depot
Trelstar Depot Mixject
ENZYME INHIBITORS
Trelstar LA
Trelstar LA Mixject
Effective January 1, 2015
5
PREFERRED
Sylatron
Afinitor
Synribo
Afinitor Disperz
Targretin
Bosulif
Theracys
Caprelsa
Tice Bcg
Cometriq
Trisenox
Gilotrif
Uvadex
Gleevec
NON PREFERRED
Iclusig
Dacarbazine
Imbruvica
Hydrea
Inlyta
Nipent
Istodax
Jakafi
CHEMOTHERAPY RESCUE
Kyprolis
GENERIC
Mekinist
amifostine
Nexavar
dexrazoxane
Sprycel
leucovorin calcium
Stivarga
mesna
Sutent
PREFERRED
Tafinlar
Fusilev
Tarceva
Totect
Tasigna
Voraxaze
Torisel
NON PREFERRED
Tykerb
Calcium Folinate
Velcade
Ethyol
Votrient
Leucovorin Calcium
Xalkori
Mesnex
Zelboraf
Zinecard
Zolinza
Zykadia
CHEMOTHERAPY ADJUNCTS
NON PREFERRED
PREFERRED
Beleodaq
Elitek
Zydelig
Kepivance
TOPOISOMERASE I INHIBITOR
ANTINEOPLASTIC COMBO
GENERIC
NON PREFERRED
irinotecan
Ifosfamide/Mesna
topotecan HCL
NON PREFERRED
CARDIOVASCULAR DRUGS
Camptosar
PHOSPHODIESTERASE INHBTR
Hycamtin
GENERIC
Irinotecan
milrinone lactate
Topotecan HCL
milrinone IN dextrose
RADIOPHARMACEUTICALS
CARDIAC GLYCOSIDES
PREFERRED
GENERIC
Bexxar 131 Iodine
digoxin
Metastron
NON PREFERRED
Quadramet
Digoxin
NON PREFERRED
Lanoxin
Xofigo
Lanoxin Pediatric
CELLULAR IMMUNOTHERAPY
ANTIANGINAL AGENTS
PREFERRED
GENERIC
Provenge
isosorbide dinitrate
isosorbide dinitrate ER
ANTINEOPLASTICS MISC.
isosorbide mononitrate
GENERIC
isosorbide mononitrate ER
dacarbazine
nitroglycerin
hydroxyurea
nitroglycerin lingual
tretinoin
nitroglycerin transdermal
PREFERRED
nitroglycerin IN dextrose 5%
Actimmune
nitroglycerin IN 5% dextrose
Alferon N
PREFERRED
Intron-a
Dilatrate SR
Intron-a W/Diluent
Nitro-bid
Matulane
Nitrostat
Photofrin
Ranexa
Proleukin
Effective January 1, 2015
6
NON PREFERRED
Verapamil HCL
Imdur
NON PREFERRED
Isordil Titradose
Adalat CC
Isosorbide Dinitrate
Calan
Nitro-dur
Calan SR
Nitroglycerin
Cardene I.v.
Nitroglycerin IN Dextrose 5%
Cardene IV
Nitroglycerin Lingual
Cardene SR
Nitrolingual Pumpspray
Cardizem
Nitromist
Cardizem CD
Nitronal
Cardizem LA
Cleviprex
BETA BLOCKERS
Dilacor XR
Diltiazem HCL
GENERIC
Hypertenipine-2.5
acebutolol HCL
Isoptin SR
atenolol
Isradipine
betaxolol HCL
Nisoldipine
bisoprolol fumarate
Nisoldipine ER
carvedilol
Norvasc
esmolol HCL
Nymalize
labetalol HCL
Procardia
metoprolol succinate ER
Procardia XL
metoprolol tartrate
Sular
nadolol
Tiazac
pindolol
Verelan
propranolol HCL
Verelan PM
propranolol HCL ER
sotalol HCL
ANTIARRHYTHMICS
sotalol HCL (AF)
PREFERRED
GENERIC
Bystolic
adenosine
Coreg CR
amiodarone HCL
NON PREFERRED
disopyramide phosphate
Betapace
flecainide acetate
Betapace AF
ibutilide fumarate
Brevibloc
lidocaine HCL
Coreg
lidocaine HCL IN D5W
Corgard
lidocaine HCL/dextrose
Hemangeol
mexiletine HCL
Hypertenevide-12.5
propafenone HCL
Inderal LA
propafenone HCL ER
Inderal XL
quinidine gluconate CR
Innopran XL
quinidine gluconate ER
Kerlone
quinidine sulfate
Levatol
Quinidine Sulfate
Lopressor
PREFERRED
Propranolol HCL
Tikosyn
Sectral
NON PREFERRED
Tenormin
Adenocard
Timolol Maleate
Amiodarone HCL
Toprol XL
Cordarone
Trandate
Corvert
Zebeta
Lidocaine HCL
Multaq
CALCIUM CHANNEL BLOCKERS
Nexterone
Norpace
GENERIC
Norpace CR
amlodipine besylate
Procainamide HCL
diltiazem CD
Quinidine Gluconate
diltiazem HCL
Quinidine Sulfate ER
diltiazem HCL ER
Rythmol
felodipine ER
Rythmol SR
nicardipine HCL
Tambocor
nifedipine
Xylocaine
nifedipine ER
nimodipine
ACE INHIBITORS
nisoldipine
verapamil HCL
GENERIC
verapamil HCL ER
benazepril HCL
verapamil HCL SR
captopril
Effective January 1, 2015
7
enalapril maleate
Nitropress
enalaprilat
Phentolamine Mesylate
fosinopril sodium
Reserpine
lisinopril
Tenex
moexipril HCL
Vecamyl
perindopril erbumine
quinapril HCL
ANTIHYPERTENSIVE COMBO
ramipril
GENERIC
trandolapril
amlodipine besylate/benazepril hydrochloride
NON PREFERRED
amlodipine besylate/benazepril HCL
Accupril
atenolol/chlorthalidone
Aceon
benazepril HCL/hydrochlorothiazide
Altace
bisoprolol fumarate/hydrochlorothiazide
Epaned
candesartan cilexetil/hydrochlorothiazide
Lotensin
enalapril maleate/hydrochlorothiazide
Mavik
fosinopril sodium/hydrochlorothiazide
Prinivil
irbesartan/hydrochlorothiazide
Univasc
lisinopril/hydrochlorothiazide
Vasotec
losartan potassium/hydrochlorothiazide
Zestril
metoprolol/hydrochlorothiazide
moexipril/hydrochlorothiazide
ANGIOTENSIN RCPTR BLOCKER
nadolol/bendroflumethiazide
GENERIC
quinapril/hydrochlorothiazide
candesartan cilexetil
telmisartan/amlodipine
eprosartan mesylate
telmisartan/hydrochloroth
irbesartan
telmisartan/hydrochlorothiazide
losartan potassium
valsartan/hydrochlorothiazide
telmisartan
PREFERRED
valsartan
Amturnide
PREFERRED
Azor
Benicar
Benicar HCT
NON PREFERRED
Exforge
Atacand
Exforge HCT
Avapro
Tarka
Cozaar
Tekamlo
Diovan
Tekturna HCT
Edarbi
Tribenzor
Micardis
NON PREFERRED
Teveten
Accuretic
Atacand HCT
DIRECT RENIN INHIBITORS
Avalide
Captopril/Hydrochlorothiazide
PREFERRED
Clorpres
Tekturna
Corzide
Diovan HCT
ANTIHYPERTENSIVES MISC.
Dutoprol
GENERIC
Edarbyclor
clonidine HCL
Hypertensolol
doxazosin mesylate
Hyzaar
eplerenone
Lopressor HCT
fenoldopam mesylate
Lotensin HCT
guanfacine HCL
Lotrel
hydralazine HCL
Lytensopril Kit
methyldopa
Lytensopril-90
minoxidil
Lytensopril-90 Kit
prazosin HCL
Methyldopa/Hydrochlorothiazide
terazosin HCL
Micardis HCT
PREFERRED
Propranolol/Hydrochlorothiazide
Demser
Tenoretic 100
Dibenzyline
Tenoretic 50
NON PREFERRED
Teveten HCT
Cardura
Twynsta
Catapres
Uniretic
Catapres-tts-1
Vaseretic
Catapres-tts-2
Zestoretic
Catapres-tts-3
Ziac
Corlopam
Inspra
DIURETICS
Methyldopate HCL
Minipress
Effective January 1, 2015
8
GENERIC
Northera
acetazolamide
Phenylephrine HCL
acetazolamide sodium
acetazolamide ER
ANTIHYPERLIPIDEMICS
amiloride HCL
GENERIC
amiloride/hydrochlorothiazide
atorvastatin calcium
bumetanide
cholestyramine
chlorothiazide
cholestyramine light
chlorothiazide sodium
colestipol HCL
furosemide
colestipol HCL for oral suspension
hydrochlorothiazide
fenofibrate
indapamide
fenofibrate micronized
mannitol
fenofibric acid DR
methazolamide
fluvastatin
metolazone
gemfibrozil
spironolactone
lovastatin
spironolactone/hydrochlorothiazide
niacin ER
torsemide
omega-3-acid ethyl esters
triamterene/hydrochlorothiazide
pravastatin sodium
Chlorothiazide
simvastatin
Chlorthalidone
PREFERRED
Triamterene/Hydrochlorothiazide
Crestor
NON PREFERRED
Fenofibrate
Acetazolamide
Juxtapid
Aldactazide
Lipofen
Aldactone
Liptruzet
Demadex
Simcor
Diamox
Vascepa
Diuril
Vytorin
Dyazide
Welchol
Dyrenium
Zetia
Edecrin
NON PREFERRED
Furosemide
Advicor
Introl
Altoprev
Lasix
Antara
Maxzide
Colestid
Maxzide-25
Colestid Flavored
Methyclothiazide
Fenofibric Acid
Microzide
Fenoglide
Neptazane
Fibricor
Sodium Diuril
Kynamro
Sodium Edecrin
Lescol
Torsemide
Lescol XL
Zaroxolyn
Lipitor
Livalo
VASOPRESSORS
Lofibra
GENERIC
Lopid
dobutamine HCL
Lovaza
dobutamine HCL/D5W
Mevacor
dobutamine/dextrose 5%
Niacor
dopamine HCL
Niaspan
dopamine HCL-dextrose 5%
Pravachol
dopamine HCL/dextrose 5%
Questran
dopamine/D5W
Questran Light
ephedrine sulfate
Tricor
midodrine HCL
Triglide
norepinephrine bitartrate
Trilipix
phenylephrine HCL
Zocor
PREFERRED
Auvi-q
CARDIOVASCULAR - MISC.
Epipen 2-PAK
GENERIC
Epipen-JR 2-PAK
amlodipine besylate/atorvastatin calcium
NON PREFERRED
epoprostenol sodium
Adrenaclick
papaverine HCL
Adrenalin
sildenafil
Dobutamine/Dextrose 5%
sildenafil citrate
Dopamine HCL
PREFERRED
Epinephrine
Adcirca
Levophed
Adempas
Effective January 1, 2015
9
Caverject
Benzefoam
Caverject Impulse
Benzefoamultra
Cialis
Benziq
Edex
Benziq LS
Letairis
Clarifoam EF
Muse
Cleocin-t
Opsumit
Clindacin Etz
Remodulin
Clindacin PAC
Tracleer
Clindagel
Tyvaso
Differin
Tyvaso Refill
Duac
Tyvaso Starter
Erygel
Veletri
Evoclin
Ventavis
Fabior
Viagra
Inova
NON PREFERRED
Inova 4/1 Acne Control Therapy
Bidil
Inova 8/2 Acne Control Therapy
Caduet
Klaron
Flolan
Lavoclen-4 Creamy Wash
Levitra
Lavoclen-8 Creamy Wash
Natrecor
Neuac Kit
Orenitram
Nuox
Revatio
Plexion
Staxyn
Plexion Cleanser
Stendra
Plexion Cleansing Cloths
Retin-a
DERMATOLOGICALS
Retin-a Micro
Retin-a Micro P.M.
ACNE PRODUCTS
Riax
GENERIC
Rosanil
adapalene
Sodium Sulfacetamide/Sulfur
benzoyl peroxide
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
benzoyl peroxide SHORT contact
Sodium Sulfacetamide/Sulfur IN Urea
clindamycin phosphate
Sulfoam
clindamycin/benzoyl peroxide
Sumadan Kit
erythromycin
Sumadan Wash
erythromycin/benzoyl peroxide
Sumadan XLT
sodium sulfacetamide
Sumaxin
sodium sulfacetamide/sulfur
Sumaxin CP Kit
sodium sulfacetamide/sulfur cleanser
Sumaxin Ts
sodium sulfacetamide/sulfur cleansing cloths
Sumaxin Wash
sodium sulfacetamide/sulfur green
Tretin-x
sodium sulfacetamide/sulfur w/sunscreen
Vanoxide-HC
sodium sulfacetamide/sulfur wash
Veltin
sulfacetamide sodium
Zacare 4% Kit
sulfacetamide sodium/sulfur cleanser
Zacare 8% Kit
tretinoin
tretinoin microsphere
ROSACEA AGENTS
tretinoin microsphere P.M.
GENERIC
Claravis
metronidazole
PREFERRED
PREFERRED
Acanya
Finacea
Atralin
Mirvaso
Epiduo
Oracea
Ziana
NON PREFERRED
NON PREFERRED
Metrocream
Absorica
Metrogel
Aczone
Metrolotion
Akne-mycin
Noritate
Avar
Rosadan Kit
Avar LS
Avar LS Cleanser
ANTIBIOTICS - TOPICAL
Avar-e LS
GENERIC
Azelex
mupirocin
Benzac Ac Wash
mupirocin calcium
Benzac W Wash
Centany
Benzaclin
NON PREFERRED
Benzaclin With P.M.
Altabax
Benzamycin
Bactroban
Benzamycinpak
Effective January 1, 2015
10
Centany AT
K.b.g.l. IN Teroderm Cream
Cortisporin
Lidoprofen
Gentamicin Sulfate
Pennsaid
Neo-synalar
Vopac
Neo-synalar Kit
Vopac GB
Vopac Kt
ANTIFUNGALS - TOPICAL
ANTIPRURITICS
GENERIC
ciclopirox
NON PREFERRED
ciclopirox nail lacquer
Prudoxin
ciclopirox olamine
Zonalon
clotrimazole
clotrimazole/betamethasone dipropionate
ANTIPSORIATICS
econazole nitrate
GENERIC
ketoconazole
acitretin
nystatin
calcipotriene
nystatin/triamcinolone
methoxsalen
PREFERRED
Calcitriol
Nystatin
PREFERRED
Nystatin Domestic
Tazorac
Nystatin Foreign
8-mop
NON PREFERRED
NON PREFERRED
Ciclodan Cream Kit
Dovonex
Ciclodan Solution Kit
Dritho-creme HP
Ciclopirox Topical Solution Kit
Oxsoralen Ultra
Cnl8 Nail Kit
Soriatane
Ecoza
Sorilux
Ertaczo
Stelara
Exelderm
Vectical
Extina
Zithranol
Halotin
Zithranol-rr
Jublia
Kerydin
ANTISEBORRHEIC AGENTS
Ketodan Kit
GENERIC
Lamisil Spray
selenium sulfide
Loprox
sodium sulfacetamide
Loprox Shampoo
sodium sulfacetamide wash
Lotrisone
NON PREFERRED
Luzu
Glycolic Acid
Mentax
Glycolic Acid 70% High Purity
Naftin
Ovace Plus
Nizoral
Ovace Plus Wash
Oxistat
Ovace Wash
Pediaderm AF Complete Kit
Promiseb
Pedipirox-4 Nail
Promiseb Complete
Penlac Nail Lacquer
Seb-prev
Vusion
Selenium Sulfide
Xolegel
Selrx
Xolegel Corepak
Selsun Shampoo
Xolegel Duo/Head & Shoulders
Sodium Sulfacetamide/Urea
Xolegel Duo/Xolex
Tersi Foam
TL Triseb
ANTIVIRALS - TOPICAL
GENERIC
CORTICOSTEROIDS - TOPICAL
acyclovir
GENERIC
PREFERRED
alclometasone dipropionate
Denavir
amcinonide
NON PREFERRED
augmented betamethasone dipropionate
Lidovir
betamethasone dipropionate
Xerese
betamethasone valerate
Zovirax
calcipotriene/betamethasone dipropionate
clobetasol propionate
ANTI-INFLAMMATORY AGENTS
clobetasol propionate emollient
GENERIC
desonide
diclofenac sodium
desoximetasone
PREFERRED
diflorasone diacetate
Voltaren
fluocinolone acetonide
NON PREFERRED
fluocinonide
Flector
fluocinonide emollient base
Effective January 1, 2015
11
fluocinonide-e
Taclonex
fluticasone propionate
Temovate
halobetasol propionate
Temovate E
hydrocortisone
Texacort
hydrocortisone acetate/aloe
Topicort
hydrocortisone butyrate
Triamcinolone Acetonide
hydrocortisone butyrate (lipid)
Trianex
hydrocortisone butyrate (lipophilic)
U-cort
hydrocortisone valerate
Ultravate
hydrocortisone IN absorbase
Ultravate PAC
mometasone furoate
Ultravate X
prednicarbate
Vanos
triamcinolone acetonide
Verdeso
Apexicon E
Westcort
Desoximetasone
PREFERRED
IMMUNOMODULATING AGENTS
Pramosone
GENERIC
Pramosone E
imiquimod
Tucks Anti-itch
PREFERRED
NON PREFERRED
Elidel
Aclovate
Protopic
Ala Scalp
NON PREFERRED
Amcinonide
Aldara
Capex
Zyclara
Carmol-HC
Zyclara P.M.
Clobex
Clocortolone Pivalate
DERMATOLOGICALS - MISC.
Clocortolone Pivalate P.M.
GENERIC
Clodan Kit
ammonium lactate
Cloderm
episone CRE
Cloderm P.M.
lactic acid
Cordran
lactic acid e
Cordran Tape
lactic acid w/vitamin e
Cutivate
lidocaine
Derma-smoothe/FS Body
lidocaine HCL
Derma-smoothe/FS Body Oil
lidocaine HCL jelly
Derma-smoothe/FS Scalp
lidocaine/prilocaine
Derma-smoothe/FS Scalp Oil
lindane
Dermasorb HC
malathion
Dermasorb Ta
permethrin
Dermatop
podofilox
Desonate
salicylic acid
Desowen
salicylic acid cream
Desowen Cream/Cetaphil Lotion
salicylic acid lotion
Desowen Lotion/Cetaphil Cream
sodium hyaluronate
Desowen Ointment/Cetaphil Lotion
urea
Diflorasone Diacetate
urea topical
Diprolene
urea IN zinc undecylenate/lactic acid vehicle
Diprolene AF
urea 40% nail film
Elocon
Cem-urea
Epifoam
PREFERRED
First-hydrocortisone
Condylox
Halog
Oxsoralen
Halonate
NON PREFERRED
Kenalog
Aluvea
Locoid
Anacaine
Locoid Lipocream
Arnica Flower
Luxiq
Atopiclair
Nucort
Aurstat
Nuzon
Aurstat Anti-itch Hydrogel
Olux
Aurstat Anti-itch Hydrogel Kit
Olux-e
Benzoin Compound Tincture
Pandel
Benzoin Tincture
Pediaderm HC
Boric Acid
Pediaderm Ta
Coal TAR
Scalacort DK
Cocaine HCL
Synalar
Dermasorb XM
Synalar Cream Kit
Drysol
Synalar Ointment Kit
Elenzapatch
Synalar Ts
Effective January 1, 2015
12
Eletone
Umecta
Eletone Twinpack
Umecta Nail Film
Elimite
Umecta PD
Emla
Uramaxin
Emulsion SB
Uramaxin GT
Epiceram
Uramaxin GT Kit
Ethyl Chloride
Utopic
Ethyl Chloride/Fine Pinpoint
Veregen
Ethyl Chloride/Fine Stream
Vexa
Ethyl Chloride/Medium Jet Stream
Virasal
Ethyl Chloride/Medium Stream
Witch Hazel
Ethyl Chloride/Mist
Xclair
Eurax
Xerac Ac
Gebauers Pain Ease
Xylocaine
Gebauers Spray And Stretch
Genadur
ENDOCRINE AND METABOLIC
Genadur Kit
CORTICOSTEROIDS
Gordofilm
GENERIC
Gordons Urea
betamethasone sodium phosphate/betamethasone acetate
Hydro 35
Hydro 40 Foam
budesonide
Hylatopic
dexamethasone
Hylatopic Plus
dexamethasone sodium phosphate
Hylira
fludrocortisone acetate
HPR
hydrocortisone
HPR Plus
methylprednisolone
HPR Plus/Mb Hydrogel
methylprednisolone acetate
Kerafoam
methylprednisolone dose pack
Kerafoam 42
methylprednisolone sodiumsuccinate
Keralac
prednisolone
Keralyt
prednisolone sodium phosphate
Keralyt Scalp
prednisone
Lac-hydrin
A-hydrocort
Latrix XM
Dexamethasone Sodium Phosphate
Lidocaine HCL
PREFERRED
Lidocaine/Prilocaine
Uceris
Lidoderm
NON PREFERRED
Lycelle
Aristospan Intra-articular
Mb Hydrogel
Aristospan Intralesional
Medi-derm/L-RX
Celestone
Natroba
Celestone-soluspan
Neosalus
Cortef
Neosalus CP
Cortisone Acetate
Nivatopic Plus
Depo-medrol
Nuvail
Dexamethasone
Ovide
Dexamethasone Intensol
Pliaglis
Dexpak 10 Day
Pr Cream
Dexpak 13 Day
Presera
Dexpak 6 Day
Pruclair
Entocort EC
Prumyx
FLO-pred
Pyrogallic Acid
Interarticular Joint Kit
Qutenza
Kenalog-10
Salex
Kenalog-40
Salex Cream
Medrol
Salex Lotion
Medrol Dosepak
Salicylic Acid
Millipred
Salicylic Acid IN Ammonium Lactate Vehicle
Millipred DP
Salkera
Orapred
Salvax
Orapred Odt
Salvax Duo Plus
Pediapred
Sklice
Prednisolone Sodium Phosphate
Spinosad
Prednisone
Sulfurated Lime
Prednisone Intensol
Synera
Prelone
Tetrix
Rayos
Tropazone
Solu-cortef
TL-cermide
Solu-medrol
Ulesfia
Veripred 20
Ultrasal-ER
Effective January 1, 2015
13
ANDROGENS-ANABOLIC
GENERIC
desogestrel/ethinyl estradiol
GENERIC
drospirenone/ethinyl estradiol
danazol
levonorgestrel
oxandrolone
levonorgestrel and ethinyl estradiol
testosterone cypionate
levonorgestrel/ethinyl estradiol
testosterone enanthate
norethindrone
Testosterone
norethindrone acetate/ethinyl estradiol
Testosterone P.M.
norethindrone acetate/ethinyl estradiol/ferrous fumarate
PREFERRED
norgestimate/ethinyl estradiol
Androgel
Ogestrel
Androgel P.M.
PREFERRED
Androxy
Beyaz
Axiron
Loestrin 24 FE
NON PREFERRED
Lomedia 24 FE
Anadrol-50
LO Loestrin FE
Androderm
Minastrin 24 FE
Android
Natazia
Aveed
Safyral
Depo-testosterone
NON PREFERRED
First-testosterone
Amethyst
First-testosterone Mc Compounding Kit
Brevicon-28
Fortesta
Cyclessa
Oxandrin
Desogen
Striant
Ella
Testim
Estrostep FE
Testopel
Falessa
Testred
Femcon FE
Vogelxo
Generess FE
Vogelxo P.M.
Loestrin FE 1.5/30
Loestrin FE 1/20
ESTROGENS
Loestrin 1.5/30-21
GENERIC
Loestrin 1/20-21
estradiol
Loseasonique
estradiol valerate
LO Minastrin FE
estradiol/norethindrone acetate
Mircette
estropipate
Modicon
Jinteli
Necon 1/50-28
PREFERRED
Necon 10/11-28
Alora
Nor-QD
Cenestin
Nordette-28
Combipatch
Norinyl 1+35
Enjuvia
Norinyl 1+50
Evamist
Ortho Micronor
Minivelle
Ortho Tri-cyclen
Premphase
Ortho Tri-cyclen LO
Prempro
Ortho-cept
Vivelle-dot
Ortho-cyclen
NON PREFERRED
Ortho-novum 1/35
Activella
Ortho-novum 7/7/7
Angeliq
Ovcon-35
Climara
Plan B
Climara Pro
Plan B One-step
Delestrogen
Quartette
Depo-estradiol
Seasonique
Divigel
Tri-norinyl 28
Duavee
Yasmin 28
Elestrin
Yaz
Estrace
Zovia 1/50e
Estrasorb
Estrogel
PROGESTINS
Estropipate
GENERIC
Femhrt Low Dose
medroxyprogesterone acetate
Menest
norethindrone acetate
Menostar
progesterone
Prefest
PREFERRED
Premarin
Makena
NON PREFERRED
CONTRACEPTIVES
Aygestin
Effective January 1, 2015
14
Megace ES
BIGUANIDES
Prometrium
GENERIC
Provera
metformin HCL
metformin HCL ER
ANTIDIABETIC AGENTS
PREFERRED
Riomet
INSULIN
NON PREFERRED
PREFERRED
Fortamet
Lantus
Glucophage
Lantus Solostar
Glucophage XR
Novolin N
Glumetza
Novolin N Relion
MEGLITINIDE ANALOGUES
Novolin R
GENERIC
Novolin R Relion
nateglinide
Novolin 70/30
repaglinide
Novolin 70/30 Relion
NON PREFERRED
Novolog
Prandin
Novolog Flexpen
Starlix
Novolog Mix 70/30
DIABETIC OTHER
Novolog Mix 70/30 Prefilled Flexpen
PREFERRED
Novolog Penfill
Glucagen
NON PREFERRED
Glucagen Hypokit
Apidra
Glucagon Emergency Kit
Apidra Solostar
Invokana
Humalog
Proglycem
Humalog Kwikpen
NON PREFERRED
Humalog Mix 50/50
Farxiga
Humalog Mix 50/50 Kwikpen
Jardiance
Humalog Mix 75/25
Korlym
Humalog Mix 75/25 Kwikpen
ALPHA-GLUCOSIDASE INHIBIT
Humulin N
GENERIC
Humulin N Kwikpen
acarbose
Humulin N U-100 Pen
NON PREFERRED
Humulin R
Glyset
Humulin R U-500 (concentrated)
Precose
Humulin 70/30
DPP-4 INHIBITORS
Humulin 70/30 Kwikpen
PREFERRED
Humulin 70/30 Pen
Januvia
Levemir
Onglyza
Levemir Flexpen
NON PREFERRED
Levemir Flextouch
Nesina
Relion R
Tradjenta
AMYLIN ANALOGS
INSULIN SENSITIZING AGENT
PREFERRED
GENERIC
Symlinpen 120
pioglitazone HCL
Symlinpen 60
NON PREFERRED
INCRETIN MIMETIC AGENTS
Actos
PREFERRED
Avandia
Bydureon
ANTIDIABETIC COMBINATIONS
Byetta
GENERIC
Victoza
glipizide/metformin HCL
NON PREFERRED
glyburide/metformin HCL
Tanzeum
pioglitazone HCL-glimepiride
SULFONYLUREAS
pioglitazone HCL/metformin HCL
GENERIC
PREFERRED
glimepiride
Actoplus Met XR
glipizide
Janumet
glipizide ER
Janumet XR
glyburide
Juvisync
glyburide micronized
Kombiglyze XR
tolazamide
Prandimet
Glyburide
NON PREFERRED
NON PREFERRED
Actoplus Met
Amaryl
Appformin
Chlorpropamide
Appformin-d
Diabeta
Avandamet
Glucotrol
Avandaryl
Glucotrol XL
Duetact
Glynase
Glucovance
Tolazamide
Invokamet
Tolbutamide
Effective January 1, 2015
15
Jentadueto
Ovidrel
Kazano
Oseni
LHRH/GNRH AGONIST
PREFERRED
BISPHOSPHONATES
Lupron Depot-PED
GENERIC
Supprelin LA
alendronate sodium
Synarel
ibandronate sodium
NON PREFERRED
pamidronate disodium
Lupaneta Pack
risedronate sodium
zoledronic acid
GNRH/LHRH ANTAGONISTS
PREFERRED
PREFERRED
Fosamax Plus D
Cetrotide
NON PREFERRED
Ganirelix Acetate
Actonel
Alendronate Sodium
GROWTH HORMONES
Atelvia
PREFERRED
Binosto
Norditropin Cartridge
Boniva
Norditropin Flexpro
Etidronate Disodium
Norditropin Nordiflex Pen
Fosamax
Nutropin
Pamidronate Disodium
Nutropin AQ Nuspin 10
Reclast
Nutropin AQ Nuspin 20
Zoledronic Acid
Nutropin AQ Nuspin 5
Zometa
Nutropin AQ Pen
NON PREFERRED
CALCITONINS
Genotropin
GENERIC
Genotropin Miniquick
calcitonin salmon
Humatrope
calcitonin-salmon
Humatrope Combo Pack
NON PREFERRED
Omnitrope
Fortical
Saizen
Miacalcin
Saizen Click.easy
Serostim
PARATHYROID HORMONE
Tev-tropin
PREFERRED
Zorbtive
Forteo
GHRH
RANK LIGAND INHIBITORS
NON PREFERRED
PREFERRED
Egrifta
Xgeva
NON PREFERRED
SOMATOMEDINS
Prolia
NON PREFERRED
Increlex
CALCIUM REGULATORS - MISC
NON PREFERRED
SOMATOSTATIC AGENTS
Ganite
GENERIC
octreotide acetate
HORMONE RECEPTOR MDLTR
PREFERRED
GENERIC
Sandostatin Lar Depot
raloxifene hydrochloride
Signifor
NON PREFERRED
Somatuline Depot
Evista
NON PREFERRED
Osphena
Sandostatin
FERTILITY REGULATORS
GH RECEPTOR ANTAGONISTS
GENERIC
PREFERRED
chorionic gonadotropin
Somavert
clomiphene citrate
PREFERRED
POSTERIOR PITUITARY
Bravelle
GENERIC
Follistim AQ
desmopressin acetate
Repronex
vasopressin
NON PREFERRED
PREFERRED
Gonal-f
Stimate
Gonal-f RFF
NON PREFERRED
Gonal-f RFF Pen
Ddavp
Gonal-f RFF Rediject
Pitressin Synthetic
Menopur
Effective January 1, 2015
16
CORTICOTROPIN
Tirosint
Triostat
PREFERRED
Westhroid
H.p. Acthar
Westhroid-p
Wp Thyroid
PROLACTIN INHIBITORS
GENERIC
GASTROINTESTINAL
cabergoline
LAXATIVES
VASOPRESSIN ANTAGONISTS
GENERIC
PREFERRED
lactulose
Samsca
peg 3350/electrolytes
NON PREFERRED
peg-3350/electrolytes
Vaprisol
peg-3350/NACL/NA bicarbonate/KCL
polyethylene glycol 3350
PROGESTERONE ANTAGONISTS
PREFERRED
Halflytely Bowel Prep/Flavor Packs
NON PREFERRED
Moviprep
Mifeprex
Suclear
Suprep Bowel Prep
METABOLIC MODIFIERS
NON PREFERRED
GENERIC
Cascara Sagrada
calcitriol
Colyte-flavor Packs
doxercalciferol
Golytely
levocarnitine
Kristalose
paricalcitol
Mineral Oil Heavy
sodium phenylbutyrate
Nulytely/Flavor Packs
PREFERRED
Osmoprep
Aldurazyme
Prepopik
Carbaglu
Cystadane
ANTIDIARRHEALS
Elaprase
GENERIC
Fabrazyme
diphenoxylate/atropine
Kuvan
loperamide HCL
Lumizyme
opium
Myalept
opium tincture
Myozyme
NON PREFERRED
Naglazyme
Diphenoxylate/Atropine
Orfadin
Fulyzaq
Ravicti
Lomotil
Sensipar
Motofen
Vimizim
Opium Tincture (paregoric)
NON PREFERRED
Restora RX
Ammonul
Rezyst IM
Buphenyl
Rezyst SB
Carnitor
Vsl#3 DS
Carnitor SF
Hectorol
ANTACIDS
Rocaltrol
Zemplar
NON PREFERRED
Sodium Bicarbonate
THYROID AGENTS
ULCER DRUGS
GENERIC
levothyroxine sodium
GENERIC
liothyronine sodium
atropine sulfate
methimazole
cimetidine
propylthiouracil
cimetidine HCL
PREFERRED
dicyclomine HCL
Armour Thyroid
esomeprazole sodium
NON PREFERRED
famotidine
Cytomel
glycopyrrolate
Levothyroxine Sodium
hyoscyamine sulfate
Nature-throid
hyoscyamine sulfate odt
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
Effective January 1, 2015
17
omeprazole/sodium bicarbonate
PREFERRED
pantoprazole sodium
Aloxi
rabeprazole sodium
Emend
ranitidine HCL
Sancuso
sucralfate
Transderm-scop
Dicyclomine HCL
NON PREFERRED
Esomeprazole Sodium
Anzemet
Famotidine
Cesamet
Gastrinex NF
Diclegis
PREFERRED
Dimenhydrinate
Carafate
Granisol
Nexium
Marinol
Nexium 24HR
Tigan
Pylera
Zofran
NON PREFERRED
Zofran Odt
Aciphex
Zuplenz
Aciphex Sprinkle
Anaspaz
DIGESTIVE AIDS
Atropen
PREFERRED
Atropine Sulfate
Creon
Axid
Pancrelipase
Belladonna & Opium
Sucraid
Belladonna Alkaloids & Opium
Viokace
Bentyl
NON PREFERRED
Cantil
Pancreaze
Cuvposa
Pertzye
Cytotec
Ultresa
Deprizine Fusepaq
Zenpep
Dexilant
Digex NF
GASTROINTESTINAL - MISC.
Esomeprazole Strontium
GENERIC
Famotidine Premixed
balsalazide disodium
First-lansoprazole
calcium acetate
First-omeprazole
cromolyn sodium
Gabitidine
hydrocort ene 100MG
Glycate
hydrocortisone
Helidac
hydrocortisone acetate/lidocaine HCL
Levbid
hydrocortisone acetate/pramoxine
Levsin
lactulose
Levsin/SL
lidocaine HCL/hydrocortisone acetate
Nexium I.v.
mesalamine
Omeclamox-PAK
metoclopramide HCL
Omeprazole + Syrspend SF Alka
sulfasalazine
Pamine
ursodiol
Pamine Forte
PREFERRED
Pamine FQ
Amitiza
Pepcid
Analpram Advanced
Prevacid
Asacol HD
Prevacid Solutab
Canasa
Prevpac
Chenodal
Prilosec
Cimzia
Propantheline Bromide
Cimzia Starter Kit
Protonix
Cortifoam
Robinul
Delzicol
Robinul Forte
Fosrenol
Scopolamine Hydrobromide
Lialda
Sentradine
Linzess
Symax Duotab
Lotronex
Zantac
Pentasa
Zegerid
Proctofoam HC
Rectiv
ANTIEMETICS
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
Effective January 1, 2015
18
Apriso
Vesicare
Azulfidine
NON PREFERRED
Azulfidine EN-TABS
Detrol
Colazal
Detrol LA
Cortenema
Ditropan XL
Dexpanthenol
Enablex
Dipentum
Sanctura
Eliphos
Sanctura XR
Entereg
Urecholine
Entyvio
Gastrocrom
VAGINAL PRODUCTS
Gattex
GENERIC
Giazo
clindamycin phosphate
Lidocaine HCL-hydrocortisone Acetate With Aloe
metronidazole vaginal
Metozolv Odt
terconazole
Phoslo
PREFERRED
Phoslyra
Clindesse
Procort
Crinone
Proctocort
Endometrin
Reglan
Estrace
Remicade
Estring
Renagel
Vagifem
Rowasa
NON PREFERRED
Sfrowasa
Avc
Urso Forte
Cleocin
Urso 250
Fem PH
Velphoro
Femring
First-progesterone VGS 100 Compounding Kit
GENITOURINARY
First-progesterone VGS 200 Compounding Kit
First-progesterone VGS 25 Compounding Kit
URINARY ANTI-INFECTIVES
First-progesterone VGS 400 Compounding Kit
GENERIC
First-progesterone VGS 50 Compounding Kit
methenamine hippurate
Gynazole-1
methenamine mandelate
Metrogel-vaginal
nitrofurantoin
Premarin
nitrofurantoin macrocrystals
Relagard
nitrofurantoin monohydrate
Terazol 3
nitrofurantoin monohydrate/macrocrystals
Terazol 7
NON PREFERRED
Furadantin
GENITOURINARY - MISC.
Hiprex
GENERIC
Macrobid
alfuzosin HCL ER
Macrodantin
citric acid/sodium citrate
Methenamine Mandelate
finasteride
Monurol
hydrochloric acid
Prosed/DS
phenazopyridine HCL
Urelle
potassium citrate ER
Uretron D/S
potassium citrate-citric acid crystals
Urex
tamsulosin HCL
Uribel
PREFERRED
Urimar-t
Cystagon
Urogesic-blue
Elmiron
Uroqid #2
Procysbi
Rapaflo
URINARY ANTISPASMODICS
Renacidin
GENERIC
NON PREFERRED
bethanechol chloride
Avodart
flavoxate HCL
Cardura XL
oxybutynin chloride
Citrolith
oxybutynin chloride ER
Cytra-3
tolterodine tartrate
Flomax
tolterodine tartrate ER
Jalyn
trospium chloride
K-phos NO 2
trospium chloride ER
Lithostat
PREFERRED
Oracit
Gelnique
Proscar
Myrbetriq
Pyridium
Oxytrol
Shohls Solution Modified
Oxytrol For Women
Thiola
Toviaz
Effective January 1, 2015
19
Tricitrates
Integra Plus
Urocit-k 10
Irospan 24/6
Urocit-k 15
Is 24/6
Urocit-k 5
Maxaron Forte
Uroxatral
Maxfe
Multigen
HEMATOLOGICAL
Multigen Folic
Multigen Plus
HEMATOPOIETIC AGENTS
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
GENERIC
cyanocobalamin
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
folic acid
folic acid/vitamin b-6/vitamin b-12
Natalvirt Flt
sodium ferric gluconate complex/sucrose
Nephron Fa
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Novaferrum
Omontys
PREFERRED
Pre-folic
Cerezyme
Proferrin-forte
Cyanocobalamin
Protectiron
Droxia
Tandem F
Elelyso
Tandem Plus
Feraheme
Zavesca
Ferrex 150 Forte Plus
Ferrex 28
ANTICOAGULANTS
Leukine
GENERIC
Mozobil
argatroban
Nascobal
enoxaparin sodium
Neulasta
fondaparinux sodium
Neumega
heparin lock
Neupogen
heparin lock flush
Nplate
heparin lock flush for flushing vascular access devices
Procrit
heparin lock flush/NACL for flushing vascular access devices
Promacta
Venofer
heparin sodium
Vpriv
heparin sodium dcu
NON PREFERRED
heparin sodium lock flush
Albafort
heparin sodium/sodium chloride 0.9% premix
Animi-3
heparin sodium/D5W
Animi-3/Vitamin D
heparin sodium/NACL 0.9%
Aranesp Albumin Free
warfarin sodium
B-6 Folic Acid
PREFERRED
Biferarx
Eliquis
Cenfol
Pradaxa
Centratex
Xarelto
Cerdelga
NON PREFERRED
Corvite 150
Angiomax
Divista
Argatroban
Ed Cyte F
Arixtra
Epogen
Coumadin
Feriva
Fragmin
Ferivafa
Heparin Lock Flush
Ferralet 90
Heparin Sodium
Ferrlecit
Heparin Sodium/D5W
Ferro-plex Hematinic
Heparin Sodium/NACL 0.45%
Ferrotrin
Heparin Sodium/Sodium Chloride 0.9%
Folgard RX
Iprivask
Folic Acid
Lovenox
Folivane-f
Folivane-plus
HEMOSTATICS
Foltrate
GENERIC
Fusion Plus
aminocaproic acid
Granix
tranexamic acid
Hematogen Fa
NON PREFERRED
Hematron-AF
Amicar
Hemocyte Plus
Aminocaproic Acid
Hemocyte-f
Artiss
Hydroxocobalamin
Astringyn
Icar-c Plus
Cyklokapron
Injectafer
Evicel
Integra F
Evithrom
Effective January 1, 2015
20
Lysteda
Tnkase
Recothrom
Trental
Recothrom Spray Kit
Voluven
Thrombin-jmi Diluent
Zontivity
Thrombin-jmi Epistaxis
Thrombin-jmi Syringe Spray Kit
MOUTH/THROAT/DENTAL AGENT
Thrombin-jmi W/Dil Spray P.M. Actuator
Thrombogen
GENERIC
Tisseel
cevimeline HCL
Trasylol
chlorhexidine gluconate
chlorhexidine gluconate oral rinse
HEMATOLOGICAL - MISC.
clotrimazole
GENERIC
lidocaine viscous
anagrelide hydrochloride
lidocaine HCL
cilostazol
lidocaine HCL viscous
clopidogrel
nystatin
dipyridamole
pilocarpine hydrochloride
hetastarch 6%/NACL
pilocarpine HCL
pentoxifylline ER
stannous fluoride oral rinse
ticlopidine HCL
triamcinolone acetonide
PREFERRED
triamcinolone IN orabase
Advate
NON PREFERRED
Aggrenox
Aquoral
Alphanate/Von Willebrand Factor Complex/Human
Caphosol
Alphanine SD
Debacterol
Alprolix
Evoxac
Benefix
First-bxn Mouthwash
Berinert
First-dukes Mouthwash
Brilinta
First-marys Mouthwash
Corifact
First-mouthwash Blm
Effient
Gel-kam Oral Care Rinse
Feiba NF
Gelclair
Helixate FS
Lta 360 Kit
Hemofil M
Nafrinse Daily/Acidulated
Humate-p
Nafrinse Daily/Neutral
Koate-dvi
Nafrinse Weekly
Kogenate FS
Neutrasal
Kogenate FS Bio-set
Numoisyn
Monoclate-p
Orafate
Mononine
Oravig
Novoseven
Peridex
Novoseven Rt
Prevident
Recombinate
Prothelial
Riastap
Salagen
Soliris
Tretten
NEUROLOGY, CNS, PSYCH
Wilate
ANTIANXIETY AGENTS
Xyntha
GENERIC
Xyntha Solofuse
alprazolam
NON PREFERRED
alprazolam odt
Activase
alprazolam ER
Aggrastat
buspirone HCL
Agrylin
chlordiazepoxide HCL
Cathflo Activase
clorazepate dipotassium
Firazyr
diazepam
Hespan
droperidol
Hextend
gene-xene TAB 15MG
Integrilin
gene-xene TAB 3.75MG
Kalbitor
gene-xene TAB 7.5MG
Kinlytic
hydroxyzine pamoate
LMD 10% Dextrose 5%
hydroxyzine HCL
LMD 10% Sodium Chloride 0.9%
lorazepam
Persantine
meprobamate
Plavix
oxazepam
Pletal
Hydroxyzine Pamoate
Protamine Sulfate
NON PREFERRED
Reopro
Alprazolam Intensol
Retavase
Ativan
Retavase Half-kit
Diazepam
Effective January 1, 2015
21
Diazepam Intensol
Lexapro
Gabavale-5
Luvox CR
Gabazolamine
Maprotiline HCL
Gabazolamine-0.5
Marplan
Hydroxyzine HCL
Nardil
Lorazepam Intensol
Norpramin
Niravam
Nortriptyline HCL
Sentrazolam AM 0.25
Oleptro
Tranxene T
Pamelor
Valium
Parnate
Vistaril
Paxil
Xanax
Paxil CR
Xanax XR
Pexeva
Prozac
ANTIDEPRESSANTS
Prozac Weekly
Remeron
GENERIC
Remeron Soltab
amitriptyline HCL
Sentraflox AM-10
bupropion HCL
Sentralopram AM-10
bupropion HCL ER
Sentravil PM-25
bupropion HCL SR
Sentroxatine
bupropion HCL XL
Surmontil
citalopram hydrobromide
Tofranil
clomipramine HCL
Tofranil-PM
desipramine HCL
Trazamine
doxepin HCL
Venlafaxine HCL ER
duloxetine HCL
Viibryd
escitalopram oxalate
Vivactil
fluoxetine DR
Wellbutrin
fluoxetine HCL
Wellbutrin SR
fluvoxamine maleate
Wellbutrin XL
fluvoxamine maleate ER
Zoloft
imipramine pamoate
imipramine HCL
ANTIPSYCHOTICS
mirtazapine
mirtazapine odt
GENERIC
nefazodone HCL
chlorpromazine HCL
nortriptyline HCL
clozapine
paroxetine HCL
fluphenazine decanoate
paroxetine HCL ER
fluphenazine HCL
phenelzine sulfate
haloperidol
protriptyline HCL
haloperidol decanoate
sertraline HCL
haloperidol lactate
tranylcypromine sulfate
lithium carbonate
trazodone HCL
lithium carbonate ER
trimipramine maleate
loxapine
venlafaxine HCL
loxapine succinate
venlafaxine HCL ER
olanzapine
Amoxapine
olanzapine odt
Doxepin HCL
perphenazine
Nefazodone HCL
prochlorperazine
PREFERRED
prochlorperazine edisylate
Pristiq
prochlorperazine maleate
NON PREFERRED
quetiapine fumarate
Anafranil
risperidone
Aplenzin
risperidone odt
Appbutamone
thioridazine HCL
Appbutamone-d
thiothixene
Brintellix
trifluoperazine HCL
Celexa
ziprasidone HCL
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
Effective January 1, 2015
22
Clozapine Odt
ADHD, NARCOLEPSY, ETC.
Clozaril
GENERIC
Compazine
amphetamine/dextroamphetamine
Equetro
caffeine citrate
Fanapt
clonidine HCL ER
Fanapt Titration Pack
dexmethylphenidate HCL
Fazaclo
dexmethylphenidate HCL ER
Fluphenazine HCL
dextroamphetamine sulfate
Geodon
dextroamphetamine sulfate ER
Haldol
doxapram HCL
Haldol Decanoate 100
methamphetamine HCL
Haldol Decanoate 50
methylphenidate hydrochloride
Invega
methylphenidate HCL
Invega Sustenna
methylphenidate HCL CD
Lithium Carbonate
methylphenidate HCL ER
Lithium Citrate
methylphenidate HCL SR
Lithobid
modafinil
Loxitane
Methylphenidate HCL ER
Risperdal
Procentra
Risperdal M-TAB
PREFERRED
Saphris
Daytrana
Seroquel
Intuniv
Versacloz
Nuvigil
Zyprexa
Quillivant XR
Zyprexa Relprevv
Strattera
Zyprexa Zydis
Vyvanse
NON PREFERRED
HYPNOTICS
Adderall
GENERIC
Adderall XR
dexmedetomidine HCL
Cafcit
estazolam
Caffeine/Sodium Benzoate
eszopiclone
Concerta
flurazepam HCL
Desoxyn
phenobarbital
Dexedrine
temazepam
Dopram
triazolam
Focalin
zaleplon
Focalin XR
zolpidem tartrate
Kapvay
zolpidem tartrate ER
Kapvay Dose Pack
Flurazepam HCL
Metadate CD
Phenobarbital
Methylin
PREFERRED
Provigil
Chloral Hydrate
Ritalin
Hetlioz
Ritalin LA
Rozerem
Ritalin SR
NON PREFERRED
Sentramodafin AM-100
Ambien
Zenzedi
Ambien CR
Amytal Sodium
ANTICONVULSANTS
Butisol Sodium
GENERIC
Doral
carbamazepine
Edluar
carbamazepine ER
Gabazolpidem-5
clonazepam
Halcion
clonazepam odt
Intermezzo
divalproex sodium
Lunesta
divalproex sodium DR
Nembutal Sodium
divalproex sodium ER
Phenobarbital Sodium
ethosuximide
Precedex
felbamate
Quazepam
fosphenytoin sodium
Restoril
gabapentin
Seconal
lamotrigine
Sentrazolpidem PM-5
lamotrigine ER
Silenor
levetiracetam
Sonata
levetiracetam ER
Strazepam
oxcarbazepine
Zolpimist
phenytoin
phenytoin sodium
phenytoin sodium extended
Effective January 1, 2015
23
primidone
carbidopa/levodopa odt
tiagabine hydrochloride
carbidopa/levodopa ER
topiramate
entacapone
valproate sodium
pramipexole dihydrochloride
valproic acid
ropinirole ER
zonisamide
ropinirole HCL
PREFERRED
selegiline HCL
Banzel
trihexyphenidyl HCL
Celontin
PREFERRED
Diazepam
Apokyn
Fycompa
Azilect
Lyrica
Mirapex ER
Onfi
NON PREFERRED
Oxtellar XR
Amantadine HCL
Peganone
Carbidopa/Levodopa/Entacapone
Potiga
Cogentin
Tegretol-XR
Comtan
NON PREFERRED
Eldepryl
Aptiom
Lodosyn
Carbatrol
Mirapex
Cerebyx
Neupro
Depacon
Parcopa
Depakene
Parlodel
Depakote
Requip
Depakote ER
Requip XL
Depakote Sprinkles
Sinemet
Diastat Acudial
Sinemet CR
Diastat Pediatric
Stalevo 100
Dilantin
Stalevo 125
Dilantin Infatabs
Stalevo 150
Felbatol
Stalevo 200
Gabitril
Stalevo 50
Keppra
Stalevo 75
Keppra XR
Tasmar
Klonopin
Zelapar
Lamictal
Lamictal Chewable Dispersible
NEUROLOGY, PSYCH - MISC.
Lamictal Odt
GENERIC
Lamictal Starter/Not Taking Carbamazepine
acamprosate calcium DR
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
disulfiram
donepezil HCL
Lamictal Starter/Taking Valproate
fluoxetine
Lamictal XR
galantamine
Levetiracetam
galantamine hydrobromide
Mysoline
olanzapine/fluoxetine
Neurontin
rivastigmine tartrate
Phenytek
PREFERRED
Qudexy XR
Ampyra
Sabril
Avonex
Stavzor
Avonex Pen
Tegretol
Copaxone
Therapentin-60
Gralise
Therapentin-90
Gralise Starter
Topamax
Namenda
Topamax Sprinkle
Namenda Titration PAK
Topiramate ER
Namenda XR
Trileptal
Namenda XR Titration Pack
Trokendi XR
Nuedexta
Vimpat
Rebif
Zarontin
Rebif Rebidose
Zonegran
Rebif Rebidose Titration Pack
Rebif Titration Pack
ANTIPARKINSON AGENTS
Savella
GENERIC
Tecfidera
amantadine HCL
Tecfidera Starter Pack
benztropine mesylate
Xenazine
bromocriptine mesylate
Xyrem
carbidopa
NON PREFERRED
carbidopa/levodopa
Antabuse
Effective January 1, 2015
24
Aricept
Dantrium IV
Aricept Odt
Euflexxa
Aubagio
Fexmid
Betaseron
Flexeril
Brisdelle
Hyalgan
Campral
Lorzone
Chlordiazepoxide/Amitriptyline
Norflex
Ergoloid Mesylates
Parafon Forte DSC
Exelon
Prazolamine
Extavia
Robaxin
Gilenya
Robaxin-750
Horizant
Ryanodex
Orap
Skelaxin
Perphenazine/Amitriptyline
Soma
Razadyne
Supartz
Razadyne ER
Therabenzaprine-60
Sarafem
Therabenzaprine-90
Savella Titration Pack
Therabenzaprine-90-5
Symbyax
Tizanidine Comfort PAC
Tysabri
Zanaflex
NEUROMUSCULAR AGENTS
ANTIMYASTHENIC AGENTS
GENERIC
GENERIC
atracurium besylate
neostigmine methylsulfate
cisatracurium besylate
pyridostigmine bromide
pancuronium bromide
PREFERRED
riluzole
Mestinon Timespan
rocuronium bromide
Prostigmin
vecuronium bromide
NON PREFERRED
NON PREFERRED
Bloxiverz
Anectine
Enlon
Botox
Enlon-plus
Dysport
Guanidine HCL
Myobloc
Mestinon
Nimbex
Regonol
Quelicin
Quelicin 1000
OPHTHALMOLOGY AND OTIC
Rilutek
ANTI-INFECTIVES
Xeomin
GENERIC
Zemuron
bacitracin/polymyxin b
ciprofloxacin HCL
MUSCULOSKELETAL AGENTS
erythromycin
GENERIC
gatifloxacin
baclofen
gentamicin sulfate
carisoprodol
levofloxacin
carisoprodol/aspirin
neomycin/bacitracin/polymyxin
carisoprodol/aspirin/codeine
neomycin/polymyxin/bacitracin zinc
chlorzoxazone
neomycin/polymyxin/gramicidin
cyclobenzaprine HCL
ofloxacin
dantrolene sodium
polymyxin b sulfate/trimethoprim sulfate
metaxalone
sodium sulfacetamide
methocarbamol
sulfacetamide sodium
orphenadrine citrate
tobramycin sulfate
orphenadrine citrate ER
trifluridine
orphenadrine/asa/caffeine
trimethoprim sulfate/polymyxin b sulfate
tizanidine HCL
PREFERRED
Carisoprodol
Besivance
Dantrolene Sodium
Moxeza
PREFERRED
Natacyn
Gablofen
Vigamox
Lioresal Intrathecal
NON PREFERRED
Monovisc
Azasite
Orthovisc
Bacitracin
Synvisc
Betadine Ophthalmic Prep
Synvisc One
Bleph-10
NON PREFERRED
Ciloxan
Amrix
Garamycin
Cyclobenzaprine Comfort PAC
Mitosol
Dantrium
Neosporin
Effective January 1, 2015
25
Ocuflox
PROSTAGLANDINS
Polytrim
GENERIC
Sulfacetamide Sodium
latanoprost
Tobrex
PREFERRED
Viroptic
Lumigan
Zirgan
Travatan Z
Zymaxid
Travoprost
NON PREFERRED
ARTIFICIAL TEAR/LUBRICANT
Rescula
NON PREFERRED
Xalatan
Lacrisert
Zioptan
BETA-BLOCKERS
CYCLOPLEGIC MYDRIATICS
GENERIC
GENERIC
betaxolol HCL
atropine sulfate
carteolol HCL
cyclopentolate HCL
dorzolamide HCL/timolol maleate
homatropine HBR
levobunolol HCL
NON PREFERRED
timolol maleate
Atropine Sulfate
timolol maleate ophthalmic gel forming
Cyclogyl
Metipranolol
Cyclomydril
PREFERRED
Isopto Atropine
Combigan
Isopto Homatropine
NON PREFERRED
Isopto Hyoscine
Betagan
Betimol
DECONGESTANTS
Betoptic-s
GENERIC
Cosopt
phenylephrine HCL
Cosopt PF
NON PREFERRED
Istalol
Mydfrin
Levobunolol HCL
Naphazoline HCL
Timoptic
Timoptic Ocudose
MIOTICS
Timoptic-xe
GENERIC
pilocarpine HCL
OPHTHALMIC STEROIDS
PREFERRED
GENERIC
Phospholine Iodide
dexamethasone sodium phosphate
Pilopine HS
fluorometholone
NON PREFERRED
neomycin/polymyxin/bacitracin/hydrocortisone
Isopto Carbachol
neomycin/polymyxin/dexamethasone
Isopto Carpine
prednisolone acetate
sulfacetamide sodium/prednisolone sodium phosphate
ADRENERGIC AGENTS
tobramycin/dexamethasone
GENERIC
PREFERRED
apraclonidine
Alrex
brimonidine tartrate
FML
NON PREFERRED
Lotemax
Alphagan P
Pred Mild
Iopidine
Retisert
Simbrinza
Tobradex ST
Zylet
IMMUNOMODULATORS
NON PREFERRED
PREFERRED
Blephamide
Restasis
Blephamide S.o.p.
Durezol
LOCAL ANESTHETICS
Flarex
GENERIC
FML Forte
proparacaine HCL
FML Liquifilm
tetracaine HCL
Maxidex
NON PREFERRED
Maxitrol
Akten
Neomycin/Polymyxin/Hydrocortisone
Alcaine
Omnipred
Pred Forte
OPHTHALMICS - MISC.
Pred-G
GENERIC
Pred-G S.o.p.
azelastine HCL
Prednisolone Sodium Phosphate
bromfenac
Tobradex
cromolyn sodium
Vexol
diclofenac sodium
Effective January 1, 2015
26
dorzolamide HCL
PAIN MANAGEMENT
epinastine HCL
ANALGESICS - NONNARCOTIC
flurbiprofen sodium
GENERIC
ketorolac tromethamine
butal/asa/caff
PREFERRED
butalbital/acetaminophen
Bepreve
butalbital/acetaminophen/caffeine
Bromday
butalbital/apap/caffeine
Bromfenac
butalbital/asa/caffeine
Cystaran
choline magnesium trisalicylate
Ilevro
diflunisal
Jetrea
salsalate
Nevanac
Butalbital/Aspirin/Caffeine
Pataday
NON PREFERRED
Patanol
Alagesic LQ
Prolensa
Bupap
NON PREFERRED
Dolgic Plus
Acular
Dologesic
Acular LS
Equagesic
Acuvail
Esgic
Alocril
Esgic-plus
Alomide
Fioricet
Azopt
Fiorinal
Elestat
Levacet
Emadine
Mst 600
Lastacaft
Ofirmev
Ocufen
Orbivan
Optivar
Orbivan CF
Trusopt
Phrenilin Forte
Rhinoflex-650
OTIC AGENTS
Staflex
GENERIC
Tencon
acetic acid
antipyrine/benzocaine
ANALGESICS - OPIOID
fluocinolone acetonide
GENERIC
fluocinolone acetonide ear drops
acetaminophen/codeine
hydrocortisone/acetic acid
acetaminophen/codeine #2
neomycin/polymyxin/hydrocortisone
acetaminophen/codeine #3
neomycin/polymyxin/HC
acetaminophen/codeine #4
ofloxacin
acetaminophen/codeine phosphate
PREFERRED
alfentanil
Ciprodex
buprenorphine HCL
NON PREFERRED
buprenorphine HCL/naloxone HCL
Acetic Acid/Aluminum Acetate
butalbital/acetaminophen/caffeine/codeine
Antipyrine/Benzocaine
butalbital/aspirin/caffeine/codeine
Auralgan
butorphanol tartrate
Cetraxal
codeine sulfate
Cipro HC
fentanyl
Ciprofloxacin
fentanyl citrate oral transmucosal
Coly-mycin S
hydrocodone bitartrate/acetaminophen
Cortisporin
hydrocodone/acetaminophen
Cortisporin-tc
hydrocodone/ibuprofen
Cresylate
hydromorphone HCL
Dermotic
hydromorphone HCL ER
Myoxin
meperidine HCL
Otozin
methadone HCL
Pramotic
morphine sulfate
Vosol HC
morphine sulfate ER
nalbuphine HCL
OXYTOCICS
oxycodone HCL
oxycodone/acetaminophen
GENERIC
oxycodone/aspirin
methylergonovine maleate
oxycodone/ibuprofen
oxytocin
oxymorphone hydrochloride
NON PREFERRED
oxymorphone hydrochloride ER
Cervidil
pentazocine/acetaminophen
Hemabate
pentazocine/naloxone HCL
Pitocin
tramadol hydrochloride/acetaminophen
Prepidil
tramadol HCL
Prostin E2
tramadol HCL ER
Effective January 1, 2015
27
Hydrocodone Bitartrate/Acetaminophen
Theracodophen-low-90
PREFERRED
Theracodophen-325
Butrans
Theracodophen-650
Lazanda
Theracodophen-750
Nucynta
Theratramadol-60
Nucynta ER
Theratramadol-90
Opana ER (crush Resistant)
Tramadol HCL ER
Oxycontin
Trezix
Suboxone
Tylenol/Codeine #3
Zubsolv
Tylenol/Codeine #4
NON PREFERRED
Ultiva
Abstral
Ultracet
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate
Ultram
Actiq
Ultram ER
Alfenta
Vicoprofen
Aspirin-caffeine-dihydrocodeine
Xartemis XR
Avinza
Xodol
Bunavail
Xolox
Buprenex
Zohydro ER
Capital/Codeine
Zolvit
Codeine Sulfate
Zydone
Conzip
Demerol
ANTI-INFLAMMATORY
Dilaudid
GENERIC
Dilaudid-HP
diclofenac potassium
Dolophine
diclofenac sodium DR
Dolophine HCL
diclofenac sodium ER
Duragesic
diclofenac sodium/misoprostol
Exalgo
etodolac
Fentora
etodolac ER
Fioricet/Codeine
flurbiprofen
Fiorinal/Codeine #3
ibuprofen
Hycet
indomethacin
Hydrocodone/Acetaminophen
indomethacin sodium
Hydromorphone HCL
indomethacin ER
Hydromorphone HCL Dosette
ketoprofen
Hydromorphone HCL ER
ketorolac tromethamine
Ibudone
leflunomide
Infumorph 200
mefenamic acid
Infumorph 500
meloxicam
Kadian
nabumetone
Levorphanol Tartrate
naproxen
Liquicet
naproxen sodium
Lorcet Plus
oxaprozin
Lorcet 10/650
piroxicam
Lortab
sulindac
Magnacet
tolmetin sodium
Maxidone
Meclofenamate Sodium
Meperidine HCL
Tolmetin Sodium
Methadone HCL
PREFERRED
Methadose
Arcalyst
Methadose Sugar-free
Celebrex
Morphine Sulfate
Humira
Morphine Sulfate Add-vantage
Humira Pen
MS Contin
Humira Pen-crohns Diseasestarter
Norco
Humira Pen-psoriasis Starter
Opana
Ridaura
Oxecta
Zorvolex
Oxycodone HCL
NON PREFERRED
Percocet
Actemra
Percodan
Anaprox
Primlev
Anaprox DS
Reprexain
Arava
Roxicet
Arthrotec 50
Roxicodone
Arthrotec 75
Rybix Odt
Caldolor
Subsys
Cataflam
Synalgos-dc
Daypro
Talwin
Duexis
Theracodeine-300
Effective January 1, 2015
28
Enbrel
Dihydroergotamine Mesylate
Enbrel Sureclick
Ergomar
EC-naprosyn
Frova
Feldene
Imitrex
Fenoprofen Calcium
Imitrex Statdose Refill
Ibuprofen Comfort PAC
Imitrex Statdose System
Ilaris
Maxalt
Indocin
Maxalt-MLT
Indocin IV
Migergot
Indomethacin
Migral
IC 400
Migranal
IC 800
Sumatriptan
Ketoprofen ER
Sumavel Dosepro
Ketorolac Tromethamine
Treximet
Kineret
Zomig
Meloxicam
Zomig Nasal Spray
Meloxicam Comfort PAC
Zomig ZMT
Mobic
Nalfon
GOUT AGENTS
Naprelan
GENERIC
Naprosyn
allopurinol
Naproxen Comfort PAC
probenecid
Neoprofen
probenecid/colchicine
Orencia
PREFERRED
Otezla
Colcrys
Otrexup
Krystexxa
Ponstel
Uloric
Prastera
NON PREFERRED
Rasuvo
Aloprim
Rheumatrex
Zyloprim
Simponi
Simponi Aria
LOCAL ANESTHETICS-INJ
Sprix
GENERIC
Therafeldamine
bupivacaine HCL
Theraprofen-60
bupivacaine/epinephrine
Theraprofen-800
chloroprocaine HCL
Theraprofen-90
lidocaine HCL
Theraproxen-500
lidocaine/epinephrine
Theraproxen-60
ropivacaine HCL
Theraproxen-90
Tetracaine HCL
Trepadiclofen-25
NON PREFERRED
Trepoxen-250
BD Pudendal/Local Block Tray 1% Lidocaine
Trepoxicam-7.5
Carbocaine
Vimovo
Duocaine
Voltaren-XR
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
Xeljanz
Zipsor
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
MIGRAINE PRODUCTS
GENERIC
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
dihydroergotamine mesylate
naratriptan HCL
Exparel
rizatriptan benzoate
Lidocaine HCL/Dextrose
rizatriptan benzoate odt
Marcaine
sumatriptan succinate
Marcaine W/O Epi
sumatriptan succinate refill
Marcaine/Epinephrine
zolmitriptan
Mepivacaine HCL
zolmitriptan odt
Monoject Bone Marrow Biopsy Prepping Tray
Isometheptene/Caffeine/Acetaminophen
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Sumatriptan Succinate
PREFERRED
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Relpax
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
NON PREFERRED
Alsuma
Naropin
Amerge
Nesacaine
Axert
Nesacaine-mpf
Cafergot
Sensorcaine-mpf/Epinephrine
Cambia
Turkel Paracentesis Procedure Tray/8french
D.h.e. 45
Xylocaine
Effective January 1, 2015
29
Xylocaine-mpf
hydrocodone bitartrate/homatropine methylbromide
Xylocaine-mpf/Epinephrine
hydrocodone polistirex/chlorpheniramine polistirex
Xylocaine/Epinephrine
hydrocodone/homatropine
phenylephrine/guaifenesin
RESPIRATORY, ALLERGY, ETC
promethazine-DM
promethazine/codeine
ANTIHISTAMINES
promethazine/dextromethorphan
GENERIC
sodium chloride
carbinoxamine maleate
PREFERRED
cetirizine HCL
Tussicaps
clemastine fumarate
NON PREFERRED
cyproheptadine HCL
Alahist Ac
desloratadine
Alahist DHC
desloratadine odt
Carbaphen 12
diphenhydramine HCL
Carbaphen 12 PED
levocetirizine dihydrochloride
Clarinex-d 12 HOUR
promethazine HCL
Clarinex-d 24 HOUR
promethazine HCL plain
Cpb Wc
Clemastine Fumarate
Decon-a
NON PREFERRED
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Brompheniramine Tannate
Clarinex
Donatuss Dc
Clarinex Reditabs
Exactuss
Dexchlorpheniramine Maleate
Gilphex TR
Dicopanol Fusepaq
Giltuss
Doxytex
Giltuss PED-c
Ed-chlor-tan
Giltuss TR
Karbinal ER
Hyper-sal
Palgic
Hypersal
Phenergan
J-cof DHC
Respa-BR
J-max DHC
Xyzal
Nebusal
Neotuss Plus
NASAL AGENTS
Panatuss Dxp
GENERIC
Pediatex TD
azelastine HCL
Pediatex TDM
budesonide
Poly-tussin DHC
flunisolide
Relhist
fluticasone propionate
Rescon-JR
ipratropium bromide
Rescon-MX
triamcinolone acetonide
Rezira
Flunisolide
Semprex-d
PREFERRED
Suttar-SF
Dymista
Suttar-2
Nasonex
Tessalon Perles
Phenylephrine HCL
Tussionex Pennkinetic Extended Release
NON PREFERRED
Vituz
Adrenalin
Zonatuss
Astelin
Zutripro
Astepro
Atrovent
ANTIASTHMATIC/COPD AGENTS
Bactroban Nasal
GENERIC
Beconase AQ
albuterol sulfate
Flonase
albuterol sulfate ER
Nasacort AQ
albuterol TAB 4MG
Omnaris
aminophylline
Patanase
budesonide
Qnasl
cromolyn sodium
Rhinocort Aqua
epinephrine HCL
Tyzine
ipratropium bromide
Tyzine Pediatric Nasal Drops
ipratropium bromide/albuterol sulfate
Veramyst
levalbuterol
Zetonna
levalbuterol HCL
montelukast sodium
COUGH/COLD/ALLERGY
terbutaline sulfate
GENERIC
theophylline
acetylcysteine
theophylline CR
benzonatate
theophylline ER
bromphen/pseudoephedrine HCL/dextromethorphan HBR
theophylline/D5W
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Effective January 1, 2015
30
zafirlukast
Glassia
PREFERRED
Infasurf
Anoro Ellipta
Surfaxin
Arcapta Neohaler
Survanta Intratracheal
Asmanex Twisthaler 120 Metered Doses
Asmanex Twisthaler 14 Metered Doses
TOXOIDS
Asmanex Twisthaler 30 Me Tered Doses
Asmanex Twisthaler 30 Metered Doses
PREFERRED
Asmanex Twisthaler 60 Metered Doses
Adacel
Asmanex Twisthaler 7 Metered Doses
Boostrix
Atrovent HFA
Daptacel
Combivent
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Combivent Respimat
Infanrix
Daliresp
Kinrix
Dulera
Pediarix
Foradil Aerolizer
Pentacel
Perforomist
Tenivac
Proair HFA
Tetanus Toxoid Adsorbed
Pulmicort Flexhaler
Tetanus/Diphtheria Toxoids-adsorbed Adult
Qvar
Serevent Diskus
VACCINES
Spiriva Handihaler
Symbicort
PREFERRED
Tudorza Pressair
Acthib
NON PREFERRED
Afluria PF 2012-2013
Accolate
Afluria PF 2013-2014
Accuneb
Afluria PF 2014-2015
Adrenalin
Afluria 2012-2013
Advair Diskus
Afluria 2013-2014
Advair HFA
Afluria 2014-2015
Aerospan
Biothrax
Alvesco
Cervarix
Breo Ellipta
Comvax
Brondil
Engerix-b
Brovana
Fluarix Quadrivalent 2013-2014
Duoneb
Fluarix Quadrivalent 2014-2015
Elixophyllin
Fluarix 2012-2013
Flovent Diskus
Fluarix 2013-2014
Flovent HFA
Fluarix 2014-2015
Isuprel
Flublok 2013-2014
Lufyllin
Flublok 2014-2015
Maxair Autohaler
Flucelvax 2012-2013
Metaproterenol Sulfate
Flucelvax 2013-2014
Proventil HFA
Flucelvax 2014-2015
Pulmicort
Flulaval Quadrivalent 2013-2014
Pulmophylline
Flulaval Quadrivalent 2014-2015
Senophylline
Flulaval 2012-2013
Singulair
Flulaval 2013-2014
Striverdi Respimat
Flulaval 2014-2015
Theo-24
Flumist Nasal Vaccine 2012-2013
Theophylline/D5W
Flumist Quadrivalent
Ventolin HFA
Fluvirin PF 2012-2013
Vospire ER
Fluvirin PF 2013-2014
Xolair
Fluvirin PF 2014-2015
Xopenex
Fluvirin 2012-2013
Xopenex Concentrate
Fluvirin 2013-2014
Xopenex HFA
Fluvirin 2014-2015
Zyflo
Fluzone High-dose PF 2012-2013
Zyflo CR
Fluzone High-dose PF 2013-2014
Fluzone High-dose PF 2014-2015
RESPIRATORY AGENTS - MISC
Fluzone Intradermal
PREFERRED
Fluzone Pediatric PF 2012-2013
Kalydeco
Fluzone Pediatric PF 2013-2014
Prolastin-c
Fluzone PF 2012-2013
Pulmozyme
Fluzone PF 2013-2014
Zemaira
Fluzone PF 2014-2015
NON PREFERRED
Fluzone Quadrivalent 2013-2014
Aralast NP
Fluzone Quadrivalent 2014-2015
Curosurf
Fluzone Split 2012-2013
Effective January 1, 2015
31
Fluzone Split 2013-2014
Mynatal Advance
Fluzone Split 2014-2015
Mynatal Ultracaplet
Gardasil
Obstetrix EC
Havrix
OB-natal One
Hiberix
Perry Prenatal
Imovax Rabies (h.d.c.v.)
Pr Natal 400
Influenza A (h1n1) Monovalent 2009
Pr Natal 400 EC
Ipol Inactivated IPV
Pr Natal 430
Ixiaro
Pr Natal 430 EC
M-m-r II W/Diluent 10 Dose
Prenatabs RX
Medical Provider EZ Flu Shot 2014-2015
Prenatal Ad
Menactra
Prenatal Vitamins
Menhibrix
Prenatal-u
Menomune-a/C/Y/W-135
Quflora Pediatric
Menveo
Taron-prex
Pedvax HIB
Tricare
Pneumovax 23
Trinate
Pneumovax 23/1 Dose
Vinate C
Pneumovax 23/5 Dose
Vinate Care
Prevnar 13
Vinate GT
Proquad
Vinate IC
Rabavert
Vinate II
Recombivax HB
Vinate M
Rotarix
Vinate One
Rotateq
Vinate Pn Care
Twinrix
Vitafol-OB
Typhim VI
NON PREFERRED
Vaqta
Adrenal C Formula
Varivax
Albafort
Vivotif Berna
Atabex EC
Yf-vax
Atabex Prenatal
Zostavax
B-nexa
NON PREFERRED
Bacmin
Bcg Vaccine
Bal-care DHA
Bal-care DHA Essential
VITAMINS
Cavan-alpha Kit
Citranatal Assure
VITAMINS
Citranatal B-calm
GENERIC
Citranatal DHA
ascorbic acid
Citranatal Harmony
ergocalciferol
Citranatal RX
phytonadione
Citranatal 90 DHA
thiamine HCL
Cod Liver Oil
vitamin c 222MG
Concept DHA
vitamin d
Concept OB
vitamin k1
Corvite
PREFERRED
Crnatal
Mephyton
Dialyvite Supreme D
NON PREFERRED
Dialyvite 3000
Aquasol A Parenteral
Dialyvite 5000
Decara
Dialyvite/Zinc
Drisdol
Diatx ZN
Pyridoxine HCL
Duet DHA
Vitamin K1
Duet DHA Balanced
Wheat Germ
Duet DHA EC
Duet DHA 400
MULTIVITAMINS
Duet DHA 400EC
GENERIC
Duet DHA 430
b-complex
Duet DHA 430EC
b-complex 100
Escavite
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Escavite D
CO-natal Fa
Folcaps Omega 3
Elite-OB
Folet DHA
Folbecal
Folet One
Inatal Advance
Folgard OS
Inatal GT
Folivane-prx DHA NF
Inatal Ultra
Folivane-OB
M-vit
Fortavit
Macnatal CN DHA
Gesticare DHA
Mission Prenatal HP
M.v.i. Adult
Effective January 1, 2015
32
M.v.i. Pediatric
Strovite
M.v.i.-12 Without Vitamin K
Strovite Forte
Marnatal-f
Strovite One
Moms Choice RX
Supervite
Mykidz Iron Fl
Supervite EC
Mynatal
Support-500
Natachew
Synagex
Natafort
Synatek
Natalvirt CA
Taron-bc
Natalvirt 90 DHA
Taron-c DHA
Natalvit
Taron-duo EC
Natelle One
Tri-VI-flor
Neevo DHA
Tricare Prenatal Compleat
Nephplex RX
Tricare Prenatal DHA One
Nephro-vite RX
Triveen-duo DHA
Nephrocaps
Triveen-prx RNF
Nephrocaps QT
Triveen-ten
Nestabs
Triveen-u
Nestabs Abc
TL G-FOL OS
Nestabs DHA
Udamin
Newgen
Udamin SP
Nexa Plus
Vemavite-prx 2
Nexa Select
Vinacal
Nicadan
Vinacal B
Nicazel
Vinate AZ Extra
Nicazel Forte
Vinate Calcium
Nicomide
Vinate DHA
Nutricap
Vinate DHA RF
Nutrivit
Vita-pren
O-CAL Fa
Vitafol
O-CAL Prenatal
Vitafol Ultra
Obstetrix DHA
Vitafol-nano
OB Complete
Vitafol-ob+dha
OB Complete One
Vitafol-one
OB Complete Petite
Vitafol-plus
OB Complete Premier
Vitafol-pn
OB Complete 400
Vital-d RX
OB Complete/DHA
Vitamedmd One RX/Quatrefolic
Paire OB
Vitamedmd Plus RX/Quatre Folic
Poly-VI-flor
Vitamedmd Redichew RX
Poly-VI-flor/Iron
Vitamedmd Redichew RX/Quatrefolic
Prefera OB
Vitapearl
Prefera OB + DHA
Vitaroca Plus
Preferaob One
Viva CT Prenatal
Prefol-DHA
Viva DHA
Prenata
Zatean-pn
Prenate
Zatean-pn DHA
Prenate AM
Zatean-pn Plus
Prenate DHA
Zatean-CH
Prenate Elite
Prenate Enhance
MEDICAL DEVICES
Prenate Essential
DIABETIC SUPPLIES
Prenate Mini
PREFERRED
Prenate Pixie
Accu-chek Fastclix Lancets
Prenate Restore
Accu-chek Multiclix Lancets
Prenate Star
Accu-chek Safe-t-pro Lancets
Prenexa
Accu-chek Safe-t-pro Pluslancets
Preque 10
Accu-chek Soft Touch Lancets
Protect Plus
Accu-chek Softclix Lancets
Protectbone
Advocate Lancets
Protectnatal
Advocate Safety Lancets
Provida OB
Agamatrix Ultra-thin Lancets 33G
R-natal OB
Assure Haemolance Plus High Flow 18G
Renatabs
Assure Haemolance Plus Low Flow 25G
Renatabs With Iron
Assure Haemolance Plus Micro Flow 28G
Renax
Assure Haemolance Plus Normal Flow 21G
Req 49+
Assure Haemolance Plus Pediatric Blade
Select-ob+dha
Assure Lance Lancets
Select-OB
Assure Lancets
Siderol
Effective January 1, 2015
33
Aurora Lancet Super Thin 30G
E-z Ject Lancets Super Thin 30G
Aurora Lancet Thin 23G
E-z Ject Lancets Thin 26G
AF Lancets Super Thin
E-z Ject Lancets 21G
AT Last Lancets
E-ZJECT Lancets Micro-thin 33G
Bayer Microlet Lancets
Easy Touch Lancets 21G/Pressure Activated
Bullseye Safety Lancets
Easy Touch Lancets 23G/Pressure Activated
BD Insulin Syringe LUER-LOK/U-100/1ML
Easy Touch Lancets 26G/Pressure Activated
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Easy Touch Lancets 28G/Pressure Activated
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Easy Touch Lancets 28G/Twist
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Easy Touch Lancets 30G/Pressure Activated
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Easy Touch Lancets 30G/Twist
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Easy Touch Lancets 32G/Pressure Activated
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Easy Touch Lancets 32G/Twist
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Easy Touch Lancets 33G/Twist
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Easy Touch Safety Lancets21G/Pressure Activated
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Easy Touch Safety Lancets23G/Pressure Activated
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Easy Touch Safety Lancets26G/Button Activated
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Easy Touch Safety Lancets26G/Pressure Activated
BD Insulin Syringe Slip Tip/U-100/1ML
Easy Touch Safety Lancets28G/Button Activated
BD Insulin Syringe U-40/1ML/25G X 5/8"
Easy Touch Safety Lancets28G/Pressure Activated
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Easy Twist & CAP Lancets
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Easytest II Lancets
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Easytest Lancets
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Embrace Lancets Ultra Thin 30G
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
EZ Smart Blood Glucose Lancets
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
EZ-lets Lancets 21G
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
EZ-lets Lancets 23G
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
EZ-lets Lancets 26G Super-soft
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
EZ-lets Lancets 28G Ultra-soft
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
EZ-lets Lancets 30G
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Fasttake Test Strips
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Fifty50 Safety Seal Lancets 30G
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Fifty50 Safety Seal Lancets 32G
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Fine 30
Fingerstix Lancets
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Fora Lancets
Freestyle Lancets
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Freestyle Unistick II Lancets
Gentle-let GP Lancets
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Gentle-let Lancets General Purpose Style/Fine Point
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Gentle-let Lancets General Purpose Style/Medium Point
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Gentle-let Lancets Safety Style/Fine Point
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Gentle-let Lancets Safety Style/Medium Point
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Glucocom Lancets 28G
BD Lancet Ultrafine 30G
Glucocom Lancets 30G
BD Lancet Ultrafine 33G
Glucocom Lancets 33G
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Glucosource Lancets
Gmate Lancets 30G
BD Microtainer Lancets
H&h Thinlet Lancets 26G
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
H&h Thinlet Super Thin Lancets 30G
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Haemolance
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Haemolance Low Flow Lancets
BD Pen Needle/Ultrafine/29G X 12.7MM
Haemolance Plus
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Haemolance Plus High Flow
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Haemolance Plus Low Flow
Careone Lancet Thin
Haemolance Plus Max Flow
Careone Lancet Ultra Thin
Haemolance Plus Pediatric Flow
Cleanlet Lancets 28G
Hy-vee Lancets
Clever Chek Lancets Ultrathin
Lancets
Clever Chek Lancets Ultrathin 30G
Lancets Bullseye Safety
Coaguchek Lancets
Lancets Safety Seal 21G
Comfort Lancets
Lancets Safety Seal 26G
Diastar Easy Test II Lancets 30G
Lancets Safety Seal 28G
Diastar Easy Test Lancets30G
Lancets Safety Seal 30G
Droplet Lancets Ultra Thin 30G
Lancets Thin
Drug Mart On-the-go Lancets Gentle 30G
Lancets Twist Top
Drug Mart Unilet Lancets Super Thin 30G
Lancets Ultra Fine
Drug Mart Unilet Lancets Ultra Thin 28G
Lancets Ultra Thin
E-z Ject Lancets
Lancets 26G Twist Top
E-z Ject Lancets Color
Lancets 28G
E-z Ject Lancets Super Thin
Effective January 1, 2015
34
Lancets 30G
Onetouch Ultrasoft Lancets
Lancets 30G Twist Top
Onetouch Verio Control Solution High
Lancets 31G Twist Top
Onetouch Verio IQ Blood Glucose Monitoring System
Liberty Control Solution High
Onetouch Verio Mid Control Solution
Liberty Control Solution Normal
Onetouch Verio Sync Bloodglucose Monitoring System
Liberty Glucose Control Level 1
Onetouch Verio Test Strips
Liberty Glucose Control Level 2
Pen Needles 29G X 12MM
Liberty Glucose Control Mid
Pen Needles 29GX1/2"
Liberty Glucose Control Normal
Pen Needles 30GX5/16"
Liberty Mini Lancing Device
Pen Needles 31G X 1/4" SHORT
Liberty Next Generation Blood Glucose Monitor
Pen Needles 31G X 3/16"
Liberty Next Generation Blood Glucose Test Strips
Pen Needles 31G X 6MM
Lifescan Unistik II Lancets
Pen Needles 31GX5/16"
Lifescan Unistik 2 Deep Penetration
Perfect Lancets 30G
Litetouch Lancets Micro Thin 33G
Perfect Pressure Activated Safety Lancets 28G
Live Better Lancet Super Thin 30G
Pharmacy Counter Lancets
Live Better Lancet Ultra Thin 28G
Precision Thin Lancets
Medisense Thin Lancets
Precision Thins GP Lancet
Medlance Plus Extra Lancets 21G
Precision Ultra Lancet
Medlance Plus Lancets
Prodigy Pressure Activated Safety Lancets
Medlance Plus Lancets Lite 25G
Prodigy Twist Top Lancets
Medlance Plus Lite Lancets 25G
Pss Select GP Lancets
Medlance Plus Special Lancets 0.8MM
Pss Select Safety Lancets
Medlance Plus Superlite 30G
Px Lancets Ultra Thin
Medlance Plus Superlite 30G/Comfort Max
Qc Lancets Super Thin
Medlance Plus Universal Lancets 21G
Qc Lancets Ultra Thin
Medlance Plus/Lite 25G
Relion Lancets
Medlance/Extra
Relion Lancets Micro-thin33G
Medlance/Lite
Relion Lancets Standard 21G
Medlance/Universal
Relion Lancets Thin 26G
Meijer Super Thin Lancets
Relion Lancets Ultra-thin30G
Microlet Lancets
Relion Thin Lancets
Microtainer Safety Flow Lancet/Sterile/Single-use
Relion Ultra Thin Lancets
Monolet Lancets
Relion Ultra Thin Lancets30G
Monolet Opd Lancets
Relion Ultra Thin Plus Lancets 32G
Monolettor Safety Lancets
Relion Ultra Thin Plus Lancets 33G
Myglucohealth Mgh Softlance Lancets 30G
Renew Advanced Lancing Cartridge Refills
Netgroup Lancets
Rexall Lancets Ultra Thin
Nova Safety Lancets 23G
Rightest Gl300 Lancets
Nova Safety Lancets 28G
Safe-t-lance Low Flow 25G
Nova Sureflex Lancets
Safe-t-lance Normal Flow 21G
Novofine Autocover 30GX8MM
Safe-t-lance Plus Safety Lancet High Flow
Novofine 30GX8MM
Safe-t-lance Plus Safety Lancet Low Flow
Novofine 32GX6MM
Safe-t-lance Plus Safety Lancet Normal Flow
Novotwist 30GX8MM
Safety Lancet 2MM
Novotwist 32GX5MM
Safety Lancet 21G/Pressure Activated
On Call Lancets
Safety Lancet 28G/Pressure Activated
On Call Plus Lancets
Safety Lancets
Onetouch Basic System
Safety Lancets 21G
Onetouch Basic/Profile Test Strips
Safety Lancets 28G
Onetouch Club Lancets Fine Point
Safety Let Lancets
Onetouch Combo Pack
Safety Seal Lancets 28G
Onetouch Delica Lancets Extra Fine 33G
Safety Seal Lancets 30G
Onetouch Delica Lancets Fine 30G
Shopko On-the-go Comfort Lancets 30G
Onetouch Delica Lancing Device
Shopko Unilet Lancets Super Thin 30G
Onetouch Finepoint Lancets
Shopko Unilet Lancets Ultra Thin 28G
Onetouch Lancets
Single-let
Onetouch Ping Meter Remote
Smart Diabetes Vantage Universal Lancets 30G
Onetouch Profile System
Smart Sense Color Lancets Universal 33G
Onetouch Suresoft Lancing Device/18G
Smart Sense Standard Lancets Universal 21G
Onetouch Suresoft Lancing Device/21G
Smart Sense Super Thin Lancets Universal 30G
Onetouch Suresoft Lancing Device/28G
Smart Sense Thin Lancets Universal 26G
Onetouch Ultra Blue
Smartest Lancets 28G
Onetouch Ultra Control
Solus V2 Pressure Activated Safety Lancets 28G
Onetouch Ultra Mini
Solus V2 Twist Lancets 30G
Onetouch Ultra System Kit
Sterilance TL
Onetouch Ultra 2
Sure-lance Flat Lancets
Onetouch Ultralink System (hex)
Sure-lance Lancets 26G
Onetouch Ultralink System (DEC)
Sure-lance Thin Lancets 28G
Onetouch Ultrasmart
Sure-lance Ultra Thin Lancets
Effective January 1, 2015
35
Sure-touch Lancets Universal
Agamatrix Presto Test Strips
Surelite Lancets
Ascensia Autodisc Test Strips
Surestep Pro Test Strips
Assure II
Surestep Test Strips
Assure II Check Strip
Techlite AST Lancets
Assure II Test Strips
Techlite Lancets
Assure Platinum Test Strips
Techlite Lancets 30G
Assure Pro Test Strips
Thinlets GP Lancets
Assure 3 Test Strips
Thinlets Lancet
Assure 4 Test Strips
Trueplus Lancets 26G
AT Last Test Strips
Trueplus Lancets 28G
Bayer Breeze 2 Test Disc
Trueplus Lancets 28G Super Thin
Bayer Contour Blood Glucose Test Strips
Trueplus Lancets 30G
Bayer Contour Next Blood Glucose Test
Trueplus Lancets 30G Ultra Thin
Bg Star Blood Glucose Test
Trueplus Lancets 33G
Bioscanner Glucose Test Strips
Trueplus Lancets 33G Micro Thin
Blood Glucose Test Strips
Trueplus Safety Lancets 28G
Blood Glucose Test Strips Premium
Ulticare Thin Lancets 30G
Careone Blood Glucose Test Strips/Premium
Ultilet Basic Lancets 30G
Careone Blood Glucose Test Strips/Value
Ultilet Classic Lancets
Caresens N Blood Glucose Test Strips
Ultilet Lancets
Choice DM Fora G20 Test Strips
Ultilet Lancets 33G
Clever Chek Auto-code Test Strips
Ultilet Safety Lancets 23G
Clever Chek Auto-code Voice Test Strips
Ultra-thin II Auto Lancet
Clever Chek Test Strips
Ultra-thin II Lancets 28G
Clever Choice Auto-code Pro Test Strips
Ultra-thin II Lancets 30G
Clever Choice Micro Test Strips
Ultra-thin II Safety Autolancets 26G
Control AST
Unilet Comfortouch Lancet
Control Test Strips
Unilet Excelite
CVS Advanced Glucose Meter Test Strips
Unilet Excelite II
Duo-care Test Strips
Unilet G.p. Lancet
Easy Step Test Strips
Unilet G.p. Superlite Lancet
Easy Touch Glucose Test Strips
Unilet GP 28 Ultra Thin
Easy Touch Healthpro Glucose Test Strips
Unilet Lancet
Easygluco
Unilet Superlite Lancet
Easymax Test Strips
Unistik 3 Gentle
Easymax 15 Test Strips
Universal 1 Lancets Thin 26G
Easypro Blood Glucose Test Strips
Universal 1 Lancets Ultra Thin 30G
Easypro Plus
Valumark Lancet Super Thin 30G
Eclipse Test Strips
Valumark Lancet Ultra Thin 28G
Element Plus Test Strips
Vida Mia Unilet Lancets Super Thin 30G
Element Test Strips
Vida Mia Unilet Lancets Ultra Thin 28G
Embrace Blood Glucose Test Strips
Vitalet Pro Lancets
Embrace Evo Blood Glucosetest Strips
Vitalet Pro Plus Lancets
Embrace Pro Blood Glucosetest Strips
W&f Lancets Colored 21G
Envision Autocode Test Strips
W&f Lancets 26G
Eql Truetrack Test
Walgreens Lancets
Evencare + Blood Glucose Test Strip
Walgreens Thin Lancets
Evencare Blood Glucose Test Strip
Walgreens Ultra Thin Lancets
Evencare G2 Test Strips
1ST Choice Lancets Super Thin
Evencare G3 Test Strips
1ST Choice Lancets Thin
Evolution Autocode
1ST Choice Lancets Ultra Thin
Exactech R-s-G Test Strips
NON PREFERRED
Exactech Test Strips
Accu-chek Active Strips
EZ Smart Blood Glucose Test Strips
Accu-chek Aviva
EZ Smart Plus Blood Glucose Test Strips
Accu-chek Aviva Plus
Fifty50 Glucose Test Strip 2.0
Accu-chek Comfort Curve Test Strips
Fora D10 Blood Glucose Test Strips
Accu-chek Compact Plus
Fora D15c Blood Glucose Test Strips
Accu-chek Compact Test Drum
Fora D15z Blood Glucose Test Strips
Accu-chek Smartview Strips
Fora D15G Blood Glucose Test Strips
Accutrend Glucose
Fora D20 Blood Glucose Test Strips
Acura Blood Glucose Test Strips
Fora GD20 Test Strips
Advance Intuition Test Strips
Fora G20 Blood Glucose Test Strips
Advance Micro-draw Test Strips
Fora G30a Blood Glucose Test Strips
Advocate Redi-code
Fora G71a Blood Glucose Test Strips
Advocate Redi-code+ Test Strips
Fora G90 Blood Glucose Test Strips
Advocate Test Strips
Fora V10 Blood Glucose Test Strips
Agamatrix Amp NO Code Test Strips
Fora V12 Blood Glucose Test Strips
Agamatrix Jazz Test Strips
Fora V20 Blood Glucose Test Strips
Agamatrix Keynote Test Strips
Fora V22 Blood Glucose Test Strips
Effective January 1, 2015
36
Fora V30a Blood Glucose Test Strips
Truetest Blood Glucose T Est
Foracare GD40
Truetest Blood Glucose T Est Strips
Foracare Premium V10 Teststrips
Truetest Strips
Foracare Test N Go Test Strips
Truetrack Blood Glucose Test
Freestyle Insulinx Blood Glucose Test
Truetrack Test
Freestyle Insulinx Blood Glucose Test Strips
Ultima Test Strips
Freestyle Lite Test Strips
Ultratrak Pro Test Strips
Freestyle Test Strips
Ultratrak Ultimate Test Strips
Gluco Perfect 3 Test Strips
Unistrip1 Generic
Glucocard Expression Blood Glucose Test Strips
Victory Agm-4000 Test Strips
Glucocard Vital Test Strips
Vocal Point Blood Glucose Test Strips
Glucocard X-sensor
Wavesense Presto Test Strips
Glucocard 01 Sensor
Glucocard 01 Test Strips
MEDICAL DEVICES - MISC
Glucocom Test Strips
PREFERRED
Glucolab Test Strips
Aerochamber Mini Aerosol Chamber
Gluconavii Blood Glucose Test Strips
Aerochamber MV
Gmate Blood Glucose Test Strips
Aerochamber Plus Flow VU
Infinity Blood Glucose Test Strips
Aerochamber Plus Flow-VU
Insulin Syringe/0.5ML/30G X 5/16"
Aerochamber Plus Flow-VU/Large Mask
Maxima Blood Glucose Teststrips
Aerochamber Plus Flow-VU/Mask
Microdot Test Strips
Aerochamber Plus Flow-VU/Medium Mask
Myglucohealth Blood Glucose Test
Aerochamber Plus Flow-VU/Small Mask
Neutek 2tek Test Strips
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Nexgen Test Strips
Aerochamber Z-stat Plus/Flowsignal
Nova Max Glucose Test Strips
Aerochamber Z-stat Plus/Large Mask
On Call Express Blood Glucose Test Strips
Aerochamber Z-stat Plus/Medium Mask
On Call Plus Blood Glucose Test
Aerochamber Z-stat Plus/Small Mask
On Call Vivid Blood Glucose Test
Aerochamber/Flowsignal
On Call Vivid Blood Glucose Test Strips
Arial Chamber
Optium Test Strips
Breatherite
Optiumez Test Strips
Breatherite Collapsible Adult Spacer W/Mask
Optumrx Blood Glucose Test
Breatherite Collapsible Child Spacer W/Mask
Pharmacist Choice Autocode Blood Glucose Test Strips
Breatherite Collapsible Infant Spacer W/Mask
Pocketchem EZ Blood Glucose Test Strips
Breatherite Collapsible Small Child Spacer W/Mask
Precision Point Of Care Test Strips
Breatherite Collapsible Spacer W/ Neonate Mask
Precision PCX
Breatherite Rigid Spacer W/Mask
Precision PCX Plus Test Strips
Breatherite W/Large Mask
Precision QID Test Strips
Breatherite W/Medium Mask
Precision Sof-tact Test Strips
Breatherite W/Small Mask
Precision XTRA Blood Glucose Test Strips
E-z Spacer
Prestige Test Strips
E-z Spacer The Body Guards Pack
Prodigy NO Coding Blood Glucose Test Strips
Easivent
Pts Panels Glucose Test
Easivent/Mask-large
Quicktek Test Strips
Easivent/Mask-medium
Quintet Ac Blood Glucose Test Strips
Easivent/Mask-small
Quintet Blood Glucose Test Strips
Inspirease Bags
Refuah Plus Blood Glucosetest Strips
Inspirease Drug Delivery System
Relion Blood Glucose Teststrips
Inspirease Mouthpiece
Relion Confirm/Micro Test Strips
Inspirease Reservoir Bags
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Liteaire
Relion Prime Blood Glucose Test Strips
Mask Vortex/Baby Whirl Duckling
Relion Ultima Blood Glucose Test Strips
Mask Vortex/Child/Frog
Relion Ultima Test Strips
Mask Vortex/Spinner The Duck
Reveal Blood Glucose Test
Mask Vortex/Toddler/Lady Bug
Rexall Blood Glucose Test Strips
Microchamber
Rightest GS100 Blood Glucose Test Strips
Microspacer
Rightest GS300 Blood Glucose Test Strips
Nessi Spacer/Large Mask
Rightest GS550 Blood Glucose Test Strips
Nessi Spacer/Mouthpiece
Smart Diabetes Xpres Blood Glucose Test Strips
Nessi Spacer/Small/MED Mask
Smart Sense Premium Bloodglucose Strips
Optichamber Advantage
Smart Sense Value Blood Glucose Strips
Optichamber Diamond
Smartest Blood Glucose Test Strips
Optichamber Diamond/Largeface Mask
Solus V2 Audible Test
Optichamber Diamond/Medium Face Mask
Supreme Test Strips
Optichamber Diamond/Smallface Mask
Sure Edge Blood Glucose Test Strips
Optihaler
Sure-test Easyplus Mini Blood Glucose Test Strips
Optihaler MDI Drug Delivery System
Surechek Blood Glucose Test Strips
Panda Mask Large
Telcare Blood Glucose Test Strips
True Metrix Blood Glucosetest Strips
Effective January 1, 2015
37
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Vortex Valved Holding Chamber
Watchhaler
MISCELLANEOUS
PREFERRED
Chemet
Exjade
NON PREFERRED
Ferriprox
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective January 1, 2015 v.1
©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization. 38
Index
A
Acular LS, 27
Afluria PF 2013-2014, 31
Acura Blood Glucose Test Strips, 36
Afluria PF 2014-2015, 31
A-hydrocort, 13
Acuvail, 27
Agamatrix Amp NO Code Test Strips, 36
abacavir, 3
acyclovir, 3, 11
Agamatrix Jazz Test Strips, 36
abacavir sulfate/lamivudine/zidovudine, 3
acyclovir sodium, 3
Agamatrix Keynote Test Strips, 36
Abelcet, 2
Acyclovir Sodium, 3
Agamatrix Presto Test Strips, 36
Abilify, 22
Aczone, 10
Agamatrix Ultra-thin Lancets 33G, 33
Abilify Discmelt, 22
Adacel, 31
Aggrastat, 21
Abilify Maintena, 22
Adalat CC, 7
Aggrenox, 21
Abraxane, 5
adapalene, 10
Agrylin, 21
Absorica, 10
Adasuve, 22
Akne-mycin, 10
Abstral, 28
Adcetris, 5
Akten, 26
acamprosate calcium DR, 24
Adcirca, 9
Ala Scalp, 12
Acanya, 10
Adderall, 23
Alagesic LQ, 27
acarbose, 15
Adderall XR, 23
Alahist Ac, 30
Accolate, 31
adefovir dipivoxil, 3
Alahist DHC, 30
Accu-chek Active Strips, 36
Adempas, 9
Albafort, 20, 32
Accu-chek Aviva, 36
Adenocard, 7
Albenza, 3
Accu-chek Aviva Plus, 36
adenosine, 7
albuterol sulfate, 30
Accu-chek Comfort Curve Test Strips, 36
Adoxa, 2
albuterol sulfate ER, 30
Accu-chek Compact Plus, 36
Adoxa PAK 1/100, 2
albuterol TAB 4MG, 30
Accu-chek Compact Test Drum, 36
Adoxa PAK 1/150, 2
Alcaine, 26
Accu-chek Fastclix Lancets, 33
Adoxa PAK 2/100, 2
alclometasone dipropionate, 11
Accu-chek Multiclix Lancets, 33
Adrenaclick, 9
Aldactazide, 9
Accu-chek Safe-t-pro Lancets, 33
Adrenal C Formula, 32
Aldactone, 9
Accu-chek Safe-t-pro Pluslancets, 33
Adrenalin, 9, 30, 31
Aldara, 12
Accu-chek Smartview Strips, 36
Adriamycin, 4
Aldurazyme, 17
Accu-chek Soft Touch Lancets, 33
Advair Diskus, 31
alendronate sodium, 16
Accu-chek Softclix Lancets, 33
Advair HFA, 31
Alendronate Sodium, 16
Accuneb, 31
Advance Intuition Test Strips, 36
Alfenta, 28
Accupril, 8
Advance Micro-draw Test Strips, 36
alfentanil, 27
Accuretic, 8
Advate, 21
Alferon N, 6
Accutrend Glucose, 36
Advicor, 9
alfuzosin HCL ER, 19
acebutolol HCL, 7
Advocate Lancets, 33
Alimta, 5
Aceon, 8
Advocate Redi-code, 36
Alinia, 4
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28
Advocate Redi-code+ Test Strips, 36
Alkeran, 4
Advocate Safety Lancets, 33
allopurinol, 29
acetaminophen/codeine, 27
Advocate Test Strips, 36
Alocril, 27
acetaminophen/codeine #2, 27
Aerochamber Mini Aerosol Chamber, 37
Alodox Convenience Kit, 2
acetaminophen/codeine #3, 27
Aerochamber MV, 37
Alomide, 27
acetaminophen/codeine #4, 27
Aerochamber Plus Flow VU, 37
Aloprim, 29
acetaminophen/codeine phosphate, 27
Aerochamber Plus Flow-VU, 37
Alora, 14
acetazolamide, 9
Aerochamber Plus Flow-VU/Large Mask, 37
Aloxi, 18
Acetazolamide, 9
Alphagan P, 26
acetazolamide ER, 9
Aerochamber Plus Flow-VU/Mask, 37
Alphanate/Von Willebrand Factor Complex/Human, 21
acetazolamide sodium, 9
Aerochamber Plus Flow-VU/Medium Mask, 37
acetic acid, 27
Alphanine SD, 21
Acetic Acid/Aluminum Acetate, 27
Aerochamber Plus Flow-VU/Small Mask, 37
alprazolam, 21
acetylcysteine, 30
alprazolam ER, 21
Aciphex, 18
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 37
Alprazolam Intensol, 21
Aciphex Sprinkle, 18
alprazolam odt, 21
acitretin, 11
Aerochamber Z-stat Plus/Flowsignal, 37
Alprolix, 21
Aclovate, 12
Aerochamber Z-stat Plus/Large Mask, 37
Alrex, 26
Actemra, 28
Aerochamber Z-stat Plus/Medium Mask, 37
Alsuma, 29
Acthib, 31
Altabax, 10
Acticlate, 2
Aerochamber Z-stat Plus/Small Mask, 37
Altace, 8
Actigall, 18
Aerochamber/Flowsignal, 37
Altoprev, 9
Actimmune, 6
Aerospan, 31
Aluvea, 12
Actiq, 28
AF Lancets Super Thin, 34
Alvesco, 31
Activase, 21
Afinitor, 6
amantadine HCL, 24
Activella, 14
Afinitor Disperz, 6
Amantadine HCL, 24
Actonel, 16
Afluria 2012-2013, 31
Amaryl, 15
Actoplus Met, 15
Afluria 2013-2014, 31
Ambien, 23
Actoplus Met XR, 15
Afluria 2014-2015, 31
Ambien CR, 23
Actos, 15
Afluria PF 2012-2013, 31
Ambisome, 2
Acular, 27
amcinonide, 11
Antara, 9
21G, 33
Amcinonide, 12
antipyrine/benzocaine, 27
Assure Haemolance Plus Pediatric Blade, 33
Amerge, 29
Antipyrine/Benzocaine, 27
Amethyst, 14
Anusol-HC, 18
Assure II, 36
Amicar, 20
Anzemet, 18
Assure II Check Strip, 36
amifostine, 6
Apexicon E, 12
Assure II Test Strips, 36
amikacin sulfate, 2
Apidra, 15
Assure Lance Lancets, 33
amiloride HCL, 9
Apidra Solostar, 15
Assure Lancets, 33
amiloride/hydrochlorothiazide, 9
Aplenzin, 22
Assure Platinum Test Strips, 36
aminocaproic acid, 20
Apokyn, 24
Assure Pro Test Strips, 36
Aminocaproic Acid, 20
Appbutamone, 22
Astagraf XL, 5
aminophylline, 30
Appbutamone-d, 22
Astelin, 30
amiodarone HCL, 7
Appformin, 15
Astepro, 30
Amiodarone HCL, 7
Appformin-d, 15
Astringyn, 20
Amitiza, 18
apraclonidine, 26
AT Last Lancets, 34
amitriptyline HCL, 22
Apriso, 19
AT Last Test Strips, 36
amlodipine besylate, 7
Aptiom, 24
Atabex EC, 32
amlodipine besylate/atorvastatin calcium, 9
Aptivus, 3
Atabex Prenatal, 32
Aquasol A Parenteral, 32
Atacand, 8
amlodipine besylate/benazepril HCL, 8
Aquoral, 21
Atacand HCT, 8
amlodipine besylate/benazepril hydrochloride, 8
Aralast NP, 31
Atelvia, 16
Aralen, 3
atenolol, 7
ammonium lactate, 12
Aranesp Albumin Free, 20
atenolol/chlorthalidone, 8
Ammonul, 17
Arava, 28
Atgam, 5
Amoxapine, 22
Arcalyst, 28
Ativan, 21
amoxicillin, 1
Arcapta Neohaler, 31
Atopiclair, 12
Amoxicillin, 1
argatroban, 20
atorvastatin calcium, 9
Amoxicillin ER, 1
Argatroban, 20
atovaquone, 3
amoxicillin/clavulanate potassium, 1
Arial Chamber, 37
atovaquone/proguanil HCL, 3
amoxicillin/clavulanate potassium ER, 1
Aricept, 25
atracurium besylate, 25
amphetamine/dextroamphetamine, 23
Aricept Odt, 25
Atralin, 10
Amphotec, 2
Arimidex, 5
Atripla, 3
Amphotericin B, 2
Aristospan Intra-articular, 13
Atropen, 18
ampicillin, 1
Aristospan Intralesional, 13
atropine sulfate, 17, 26
Ampicillin, 1
Arixtra, 20
Atropine Sulfate, 18, 26
ampicillin sodium, 1
Armour Thyroid, 17
Atrovent, 30
Ampicillin Sodium, 1
Arnica Flower, 12
Atrovent HFA, 31
ampicillin-sulbactam, 1
Aromasin, 5
Aubagio, 25
Ampicillin-sulbactam, 1
Arranon, 5
augmented betamethasone dipropionate, 11
Ampyra, 24
Arthrotec 50, 28
Amrix, 25
Arthrotec 75, 28
Augmentin, 1
Amturnide, 8
Artiss, 20
Augmentin ES-600, 1
Amytal Sodium, 23
Arzerra, 5
Augmentin XR, 1
Anacaine, 12
Asacol HD, 18
Auralgan, 27
Anadrol-50, 14
Ascensia Autodisc Test Strips, 36
Aurora Lancet Super Thin 30G, 34
Anafranil, 22
ascorbic acid, 32
Aurora Lancet Thin 23G, 34
anagrelide hydrochloride, 21
Asmanex Twisthaler 120 Metered Doses, 31
Aurstat, 12
Analpram Advanced, 18
Aurstat Anti-itch Hydrogel, 12
Analpram-HC, 18
Asmanex Twisthaler 14 Metered Doses, 31
Aurstat Anti-itch Hydrogel Kit, 12
Analpram-HC Singles, 18
Auvi-q, 9
Anaprox, 28
Asmanex Twisthaler 30 Me Tered Doses, 31
Avalide, 8
Anaprox DS, 28
Avandamet, 15
Anaspaz, 18
Asmanex Twisthaler 30 Metered Doses, 31
Avandaryl, 15
anastrozole, 5
Avandia, 15
Ancef, 1
Asmanex Twisthaler 60 Metered Doses, 31
Avapro, 8
Ancobon, 2
Avar, 10
Androderm, 14
Asmanex Twisthaler 7 Metered Doses, 31
Avar LS, 10
Androgel, 14
Avar LS Cleanser, 10
Androgel P.M., 14
Aspirin-caffeine-dihydrocodeine, 28
Avar-e LS, 10
Android, 14
Assure 3 Test Strips, 36
Avastin, 5
Androxy, 14
Assure 4 Test Strips, 36
Avc, 19
Anectine, 25
Assure Haemolance Plus High Flow 18G, 33
Aveed, 14
Angeliq, 14
Avelox, 2
Angiomax, 20
Assure Haemolance Plus Low Flow 25G, 33
Avelox Abc Pack, 2
Animi-3, 20
Avidoxy DK, 2
Animi-3/Vitamin D, 20
Assure Haemolance Plus Micro Flow 28G, 33
Avinza, 28
Anoro Ellipta, 31
Avodart, 19
Antabuse, 24
Assure Haemolance Plus Normal Flow
Avonex, 24
Avonex Pen, 24
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 34
Lidocaine, 29
Axert, 29
Beconase AQ, 30
Axid, 18
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 34
Beleodaq, 6
Axiron, 14
Belladonna & Opium, 18
Aygestin, 14
BD Insulin Syringe Slip Tip/U-100/1ML, 34
Belladonna Alkaloids & Opium, 18
azacitidine, 4
benazepril HCL, 7
Azactam, 4
BD Insulin Syringe U-40/1ML/25G X 5/8", 34
benazepril HCL/hydrochlorothiazide, 8
Azactam IN Iso-osmotic Dextrose, 4
Benefix, 21
Azasan, 5
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34
Benicar, 8
Azasite, 25
Benicar HCT, 8
azathioprine, 5
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34
Bentyl, 18
azelastine HCL, 26, 30
Benzac Ac Wash, 10
Azelex, 10
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34
Benzac W Wash, 10
Azilect, 24
Benzaclin, 10
azithromycin, 1
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34
Benzaclin With P.M., 10
Azithromycin, 1
Benzamycin, 10
Azopt, 27
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 34
Benzamycinpak, 10
Azor, 8
Benzefoam, 10
aztreonam, 3
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 34
Benzefoamultra, 10
Azulfidine, 19
Benziq, 10
Azulfidine EN-TABS, 19
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 34
Benziq LS, 10
B
Benzoin Compound Tincture, 12
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34
Benzoin Tincture, 12
B-6 Folic Acid, 20
benzonatate, 30
b-complex, 32
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 34
benzoyl peroxide, 10
b-complex 100, 32
benzoyl peroxide SHORT contact, 10
B-nexa, 32
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34
benztropine mesylate, 24
bacitracin, 3
Bepreve, 27
Bacitracin, 4, 25
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34
Berinert, 21
bacitracin/polymyxin b, 25
Besivance, 25
baclofen, 25
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 34
Betadine Ophthalmic Prep, 25
Bacmin, 32
Betagan, 26
Bactocill IN Dextrose, 1
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 34
betamethasone dipropionate, 11
Bactrim, 4
betamethasone sodium phosphate/betamethasone acetate, 13
Bactrim DS, 4
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34
Bactroban, 10
betamethasone valerate, 11
Bactroban Nasal, 30
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34
Betapace, 7
Bal-care DHA, 32
Betapace AF, 7
Bal-care DHA Essential, 32
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34
Betaseron, 25
balsalazide disodium, 18
betaxolol HCL, 7, 26
Banzel, 24
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34
bethanechol chloride, 19
Baraclude, 3
Bethkis, 2
Bayer Breeze 2 Test Disc, 36
BD Insulin Syringe/U-100/1ML/27G X 1/2", 34
Betimol, 26
Bayer Contour Blood Glucose Test Strips, 36
Betoptic-s, 26
BD Insulin Syringe/U-100/1ML/28G X 1/2", 34
Bexxar, 5
Bayer Contour Next Blood Glucose Test, 36
Bexxar 131 Iodine, 6
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 34
Beyaz, 14
Bayer Microlet Lancets, 34
Bg Star Blood Glucose Test, 36
Bcg Vaccine, 32
BD Insulin Syringe/U-100/2ML/29G X 1/2", 34
Biaxin, 1
BD Insulin Syringe LUER-LOK/U-100/1ML, 34
Biaxin XL, 1
BD Lancet Ultrafine 30G, 34
Biaxin XL PAC, 1
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 34
BD Lancet Ultrafine 33G, 34
bicalutamide, 5
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 34
Bicillin C-R, 1
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 34
Bicillin L-a, 1
BD Microtainer Lancets, 34
Bicnu, 4
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 34
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34
Bidil, 10
Biferarx, 20
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 34
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34
Biltricide, 3
Binosto, 16
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 34
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34
Bioscanner Glucose Test Strips, 36
Biothrax, 31
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 34
BD Pen Needle/Ultrafine/29G X 12.7MM, 34
bisoprolol fumarate, 7
bisoprolol fumarate/hydrochlorothiazide, 8
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 34
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34
bleomycin sulfate, 4
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 34
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34
Bleph-10, 25
Blephamide, 26
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 34
BD Pudendal/Local Block Tray 1%
Blephamide S.o.p., 26
Blood Glucose Test Strips, 36
Butrans, 28
Careone Lancet Thin, 34
Blood Glucose Test Strips Premium, 36
Bydureon, 15
Careone Lancet Ultra Thin, 34
Bloxiverz, 25
Byetta, 15
Caresens N Blood Glucose Test Strips, 36
Boniva, 16
Bystolic, 7
Boostrix, 31
C
carisoprodol, 25
Boric Acid, 12
Carisoprodol, 25
cabergoline, 17
Bosulif, 6
carisoprodol/aspirin, 25
Caduet, 10
Botox, 25
carisoprodol/aspirin/codeine, 25
Cafcit, 23
Bravelle, 16
Carmol-HC, 12
Cafergot, 29
Breatherite, 37
Carnitor, 17
caffeine citrate, 23
Breatherite Collapsible Adult Spacer W/Mask, 37
Carnitor SF, 17
Caffeine/Sodium Benzoate, 23
carteolol HCL, 26
Calan, 7
Breatherite Collapsible Child Spacer W/Mask, 37
carvedilol, 7
Calan SR, 7
Cascara Sagrada, 17
calcipotriene, 11
Breatherite Collapsible Infant Spacer W/Mask, 37
Casodex, 5
calcipotriene/betamethasone dipropionate, 11
Cataflam, 28
Breatherite Collapsible Small Child Spacer W/Mask, 37
Catapres, 8
calcitonin salmon, 16
Catapres-tts-1, 8
calcitonin-salmon, 16
Breatherite Collapsible Spacer W/ Neonate Mask, 37
Catapres-tts-2, 8
Calcitriol, 11
Catapres-tts-3, 8
calcitriol, 17
Breatherite Rigid Spacer W/Mask, 37
Cathflo Activase, 21
calcium acetate, 18
Breatherite W/Large Mask, 37
Cavan-alpha Kit, 32
Calcium Folinate, 6
Breatherite W/Medium Mask, 37
Caverject, 10
Caldolor, 28
Breatherite W/Small Mask, 37
Caverject Impulse, 10
Cambia, 29
Breo Ellipta, 31
Cayston, 4
Campral, 25
Brevibloc, 7
Cedax, 1
Camptosar, 6
Brevicon-28, 14
Ceenu, 4
Canasa, 18
Brilinta, 21
cefaclor, 1
Cancidas, 2
brimonidine tartrate, 26
Cefaclor, 1
candesartan cilexetil, 8
Brintellix, 22
Cefaclor ER, 1
candesartan cilexetil/hydrochlorothiazide, 8
Brisdelle, 25
cefadroxil, 1
Bromday, 27
cefazolin sodium, 1
Cantil, 18
bromfenac, 26
Cefazolin Sodium, 1
Capastat Sulfate, 2
Bromfenac, 27
Cefazolin Sodium/Dextrose, 1
capecitabine, 4
bromocriptine mesylate, 24
cefdinir, 1
Capex, 12
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 30
Cefditoren Pivoxil, 1
Caphosol, 21
cefepime, 1
Capital/Codeine, 28
Brompheniramine Tannate, 30
Cefepime, 1
Caprelsa, 6
Brondil, 31
cefotaxime sodium, 1
captopril, 7
Brovana, 31
Cefotetan, 1
Captopril/Hydrochlorothiazide, 8
budesonide, 13, 30(2)
Cefotetan/Dextrose, 1
Carafate, 18
Bullseye Safety Lancets, 34
cefoxitin sodium, 1
Carbaglu, 17
bumetanide, 9
Cefoxitin Sodium, 1
carbamazepine, 23
Bunavail, 28
cefpodoxime proxetil, 1
carbamazepine ER, 23
Bupap, 27
cefprozil, 1
Carbaphen 12, 30
Buphenyl, 17
ceftazidime, 1
Carbaphen 12 PED, 30
bupivacaine HCL, 29
Ceftazidime, 1
Carbatrol, 24
bupivacaine/epinephrine, 29
Ceftazidime/Dextrose, 1
carbidopa, 24
Buprenex, 28
Ceftibuten, 1
carbidopa/levodopa, 24
buprenorphine HCL, 27
Ceftin, 1
carbidopa/levodopa ER, 24
buprenorphine HCL/naloxone HCL, 27
Ceftriaxone IN Iso-osmotic Dextrose, 1
carbidopa/levodopa odt, 24
bupropion HCL, 22
ceftriaxone sodium, 1
Carbidopa/Levodopa/Entacapone, 24
bupropion HCL ER, 22
Ceftriaxone/Dextrose, 1
carbinoxamine maleate, 30
bupropion HCL SR, 22
cefuroxime axetil, 1
Carbocaine, 29
bupropion HCL XL, 22
cefuroxime sodium, 1
carboplatin, 4
buspirone HCL, 21
Cefuroxime Sodium, 1
Carboplatin, 4
Busulfex, 4
Cefuroxime/Dextrose, 1
Cardene I.v., 7
butal/asa/caff, 27
Celebrex, 28
Cardene IV, 7
butalbital/acetaminophen, 27
Celestone, 13
Cardene SR, 7
butalbital/acetaminophen/caffeine, 27
Celestone-soluspan, 13
Cardizem, 7
butalbital/acetaminophen/caffeine/codeine, 27
Celexa, 22
Cardizem CD, 7
Cellcept, 5
Cardizem LA, 7
butalbital/apap/caffeine, 27
Cellcept Intravenous, 5
Cardura, 8
butalbital/asa/caffeine, 27
Celontin, 24
Cardura XL, 19
Butalbital/Aspirin/Caffeine, 27
Cem-urea, 12
Careone Blood Glucose Test Strips/Premium, 36
butalbital/aspirin/caffeine/codeine, 27
Cenestin, 14
Butisol Sodium, 23
Cenfol, 20
Careone Blood Glucose Test Strips/Value, 36
butorphanol tartrate, 27
Centany, 10
Centany AT, 11
Citranatal DHA, 32
clotrimazole/betamethasone dipropionate, 11
Centratex, 20
Citranatal Harmony, 32
cephalexin, 1
Citranatal RX, 32
clozapine, 22
Cephalexin, 1
citric acid/sodium citrate, 19
Clozapine Odt, 23
Cerdelga, 20
Citrolith, 19
Clozaril, 23
Cerebyx, 24
cladribine, 4
Cnl8 Nail Kit, 11
Cerezyme, 20
Claforan, 1
CO-natal Fa, 32
Cervarix, 31
Claforan/D5W, 1
Coaguchek Lancets, 34
Cervidil, 27
Claravis, 10
Coal TAR, 12
Cesamet, 18
Clarifoam EF, 10
Coartem, 3
cetirizine HCL, 30
Clarinex, 30
Cocaine HCL, 12
Cetraxal, 27
Clarinex Reditabs, 30
Cod Liver Oil, 32
Cetrotide, 16
Clarinex-d 12 HOUR, 30
codeine sulfate, 27
cevimeline HCL, 21
Clarinex-d 24 HOUR, 30
Codeine Sulfate, 28
Chemet, 38
clarithromycin, 1
Cogentin, 24
Chenodal, 18
clarithromycin ER, 1
Colazal, 19
Chloral Hydrate, 23
Cleanlet Lancets 28G, 34
Colcrys, 29
Chloramphenicol Sodium Succinate, 4
clemastine fumarate, 30
Colestid, 9
chlordiazepoxide HCL, 21
Clemastine Fumarate, 30
Colestid Flavored, 9
Chlordiazepoxide/Amitriptyline, 25
Cleocin, 4, 19
colestipol HCL, 9
chlorhexidine gluconate, 21
Cleocin IN D5W, 4
colestipol HCL for oral suspension, 9
chlorhexidine gluconate oral rinse, 21
Cleocin Pediatric Granules, 4
colistimethate sodium, 4
chloroprocaine HCL, 29
Cleocin Phosphate, 4
Coly-mycin M, 4
chloroquine phosphate, 3
Cleocin-t, 10
Coly-mycin S, 27
chlorothiazide, 9
Clever Chek Auto-code Test Strips, 36
Colyte-flavor Packs, 17
Chlorothiazide, 9
Clever Chek Auto-code Voice Test Strips, 36
Combigan, 26
chlorothiazide sodium, 9
Combipatch, 14
chlorpromazine HCL, 22
Clever Chek Lancets Ultrathin, 34
Combivent, 31
Chlorpromazine HCL, 22
Clever Chek Lancets Ultrathin 30G, 34
Combivent Respimat, 31
Chlorpropamide, 15
Clever Chek Test Strips, 36
Combivir, 3
Chlorthalidone, 9
Clever Choice Auto-code Pro Test Strips, 36
Cometriq, 6
chlorzoxazone, 25
Comfort Lancets, 34
Choice DM Fora G20 Test Strips, 36
Clever Choice Micro Test Strips, 36
Compazine, 23
cholestyramine, 9
Cleviprex, 7
Complera, 3
cholestyramine light, 9
Climara, 14
Comtan, 24
choline magnesium trisalicylate, 27
Climara Pro, 14
Comvax, 31
chorionic gonadotropin, 16
Clindacin Etz, 10
Concept DHA, 32
Cialis, 10
Clindacin PAC, 10
Concept OB, 32
Ciclodan Cream Kit, 11
Clindagel, 10
Concerta, 23
Ciclodan Solution Kit, 11
clindamycin HCL, 4
Condylox, 12
ciclopirox, 11
clindamycin palmitate HCL, 3
Control AST, 36
ciclopirox nail lacquer, 11
clindamycin phosphate, 3, 10, 19
Control Test Strips, 36
ciclopirox olamine, 11
Clindamycin Phosphate, 4
Conzip, 28
Ciclopirox Topical Solution Kit, 11
clindamycin phosphate add-vantage, 3
Copaxone, 24
cidofovir, 3
clindamycin phosphate IN D5W, 4
Copegus, 3
cilostazol, 21
clindamycin phosphate pharmacy bulk package, 4
Cordarone, 7
Ciloxan, 25
Cordran, 12
cimetidine, 17
clindamycin/benzoyl peroxide, 10
Cordran Tape, 12
cimetidine HCL, 17
Clindesse, 19
Coreg, 7
Cimzia, 18
clobetasol propionate, 11
Coreg CR, 7
Cimzia Starter Kit, 18
clobetasol propionate emollient, 11
Corgard, 7
Cipro, 2
Clobex, 12
Corifact, 21
Cipro HC, 27
Clocortolone Pivalate, 12
Corlopam, 8
Cipro I.V.-IN D5W, 2
Clocortolone Pivalate P.M., 12
Cortef, 13
Cipro XR, 2
Clodan Kit, 12
Cortenema, 19
Ciprodex, 27
Cloderm, 12
Cortifoam, 18
ciprofloxacin, 2
Cloderm P.M., 12
Cortisone Acetate, 13
Ciprofloxacin, 27
Clolar, 5
Cortisporin, 11, 27
ciprofloxacin ER, 2
clomiphene citrate, 16
Cortisporin-tc, 27
ciprofloxacin HCL, 2, 25
clomipramine HCL, 22
Corvert, 7
ciprofloxacin I.V.-IN D5W, 2
clonazepam, 23
Corvite, 32
cisatracurium besylate, 25
clonazepam odt, 23
Corvite 150, 20
cisplatin, 4
clonidine HCL, 8
Corzide, 8
Cisplatin, 4
clonidine HCL ER, 23
Cosmegen, 4
citalopram hydrobromide, 22
clopidogrel, 21
Cosopt, 26
Citranatal 90 DHA, 32
clorazepate dipotassium, 21
Cosopt PF, 26
Citranatal Assure, 32
Clorpres, 8
Coumadin, 20
Citranatal B-calm, 32
clotrimazole, 11, 21
Cozaar, 8
Cpb Wc, 30
demeclocycline HCL, 2
Dialyvite/Zinc, 32
Creon, 18
Demerol, 28
Diamox, 9
Crestor, 9
Demser, 8
Diastar Easy Test II Lancets 30G, 34
Cresylate, 27
Denavir, 11
Diastar Easy Test Lancets30G, 34
Crinone, 19
Depacon, 24
Diastat Acudial, 24
Crixivan, 3
Depakene, 24
Diastat Pediatric, 24
Crnatal, 32
Depakote, 24
Diatx ZN, 32
cromolyn sodium, 18, 26, 30
Depakote ER, 24
diazepam, 21
Cubicin, 4
Depakote Sprinkles, 24
Diazepam, 21, 24
Curosurf, 31
Depo-estradiol, 14
Diazepam Intensol, 22
Cutivate, 12
Depo-medrol, 13
Dibenzyline, 8
Cuvposa, 18
Depo-provera, 5
Diclegis, 18
CVS Advanced Glucose Meter Test Strips, 36
Depo-testosterone, 14
diclofenac potassium, 28
Depocyt, 5
diclofenac sodium, 11, 26
cyanocobalamin, 20
Deprizine Fusepaq, 18
diclofenac sodium DR, 28
Cyanocobalamin, 20
Derma-smoothe/FS Body, 12
diclofenac sodium ER, 28
Cyclessa, 14
Derma-smoothe/FS Body Oil, 12
diclofenac sodium/misoprostol, 28
Cyclobenzaprine Comfort PAC, 25
Derma-smoothe/FS Scalp, 12
dicloxacillin sodium, 1
cyclobenzaprine HCL, 25
Derma-smoothe/FS Scalp Oil, 12
Dicopanol Fusepaq, 30
Cyclogyl, 26
Dermasorb HC, 12
dicyclomine HCL, 17
Cyclomydril, 26
Dermasorb Ta, 12
Dicyclomine HCL, 18
cyclopentolate HCL, 26
Dermasorb XM, 12
didanosine, 3
Cyclophosphamide, 4
Dermatop, 12
Differin, 10
Cycloserine, 2
Dermotic, 27
Dificid, 1
cyclosporine, 5
desipramine HCL, 22
diflorasone diacetate, 11
cyclosporine modified, 5
desloratadine, 30
Diflorasone Diacetate, 12
Cyclosporine Modified, 5
desloratadine odt, 30
Diflucan, 2
Cyklokapron, 20
desmopressin acetate, 16
diflunisal, 27
Cymbalta, 22
Desogen, 14
Digex NF, 18
cyproheptadine HCL, 30
desogestrel/ethinyl estradiol, 14
digoxin, 6
Cyramza, 5
Desonate, 12
Digoxin, 6
Cystadane, 17
desonide, 11
dihydroergotamine mesylate, 29
Cystagon, 19
Desowen, 12
Dihydroergotamine Mesylate, 29
Cystaran, 27
Desowen Cream/Cetaphil Lotion, 12
Dilacor XR, 7
cytarabine, 4
Desowen Lotion/Cetaphil Cream, 12
Dilantin, 24
Cytarabine, 5
Desowen Ointment/Cetaphil Lotion, 12
Dilantin Infatabs, 24
cytarabine aqueous, 4
desoximetasone, 11
Dilatrate SR, 6
Cytomel, 17
Desoximetasone, 12
Dilaudid, 28
Cytotec, 18
Desoxyn, 23
Dilaudid-HP, 28
Cytovene, 3
Desvenlafaxine ER, 22
diltiazem CD, 7
Cytra-3, 19
Detrol, 19
diltiazem HCL, 7
D
Detrol LA, 19
Diltiazem HCL, 7
dexamethasone, 13
diltiazem HCL ER, 7
D.h.e. 45, 29
Dexamethasone, 13
Dimenhydrinate, 18
dacarbazine, 6
Dexamethasone Intensol, 13
Diovan, 8
Dacarbazine, 6
dexamethasone sodium phosphate, 13, 26
Diovan HCT, 8
Dacogen, 5
Dipentum, 19
Daliresp, 31
Dexamethasone Sodium Phosphate, 13
diphenhydramine HCL, 30
Dalvance, 4
Dexchlorpheniramine Maleate, 30
diphenoxylate/atropine, 17
danazol, 14
Dexedrine, 23
Diphenoxylate/Atropine, 17
Dantrium, 25
Dexilant, 18
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 31
Dantrium IV, 25
dexmedetomidine HCL, 23
dantrolene sodium, 25
dexmethylphenidate HCL, 23
Diprolene, 12
Dantrolene Sodium, 25
dexmethylphenidate HCL ER, 23
Diprolene AF, 12
Dapsone, 4
Dexpak 10 Day, 13
dipyridamole, 21
Daptacel, 31
Dexpak 13 Day, 13
disopyramide phosphate, 7
Daraprim, 3
Dexpak 6 Day, 13
disulfiram, 24
daunorubicin HCL, 4
Dexpanthenol, 19
Ditropan XL, 19
Daunoxome, 4
dexrazoxane, 6
Diuril, 9
Daypro, 28
dextroamphetamine sulfate, 23
divalproex sodium, 23
Daytrana, 23
dextroamphetamine sulfate ER, 23
divalproex sodium DR, 23
Ddavp, 16
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 30
divalproex sodium ER, 23
Debacterol, 21
Divigel, 14
Decara, 32
Divista, 20
decitabine, 4
dobutamine HCL, 9
Diabeta, 15
Decon-a, 30
dobutamine HCL/D5W, 9
Dialyvite 3000, 32
Delestrogen, 14
dobutamine/dextrose 5%, 9
Dialyvite 5000, 32
Delzicol, 18
Dobutamine/Dextrose 5%, 9
Dialyvite Supreme D, 32
Demadex, 9
Docefrez, 5
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 29
Eclipse Test Strips, 36
Docetaxel, 5
econazole nitrate, 11
Dolgic Plus, 27
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 29
Ecoza, 11
Dologesic, 27
Ed Cyte F, 20
Dolophine, 28
Durezol, 26
Ed-chlor-tan, 30
Dolophine HCL, 28
Dutoprol, 8
Edarbi, 8
Donatuss Dc, 30
Dyazide, 9
Edarbyclor, 8
donepezil HCL, 24
Dymista, 30
Edecrin, 9
dopamine HCL, 9
Dynacin, 2
Edex, 10
Dopamine HCL, 9
Dyrenium, 9
Edluar, 23
dopamine HCL-dextrose 5%, 9
Dysport, 25
Edurant, 3
dopamine HCL/dextrose 5%, 9
E
Effexor XR, 22
dopamine/D5W, 9
Effient, 21
E-z Ject Lancets, 34
Dopram, 23
Egrifta, 16
E-z Ject Lancets 21G, 34
Doral, 23
Elaprase, 17
E-z Ject Lancets Color, 34
Doribax, 4
Eldepryl, 24
E-z Ject Lancets Super Thin, 34
Doryx, 2
Elelyso, 20
E-z Ject Lancets Super Thin 30G, 34
dorzolamide HCL, 27
Element Plus Test Strips, 36
E-z Ject Lancets Thin 26G, 34
dorzolamide HCL/timolol maleate, 26
Element Test Strips, 36
E-z Spacer, 37
Dovonex, 11
Elenzapatch, 12
E-z Spacer The Body Guards Pack, 37
doxapram HCL, 23
Elestat, 27
E-ZJECT Lancets Micro-thin 33G, 34
doxazosin mesylate, 8
Elestrin, 14
E.e.s. 400, 1
doxepin HCL, 22
Eletone, 13
E.e.s. Granules, 1
Doxepin HCL, 22
Eletone Twinpack, 13
Easivent, 37
doxercalciferol, 17
Elidel, 12
Easivent/Mask-large, 37
Doxil, 4
Eligard, 5
Easivent/Mask-medium, 37
doxorubicin HCL, 4
Elimite, 13
Easivent/Mask-small, 37
doxorubicin HCL liposome, 4
Eliphos, 19
Easy Step Test Strips, 36
doxycycline, 2
Eliquis, 20
Easy Touch Glucose Test Strips, 36
doxycycline hyclate, 2
Elite-OB, 32
Easy Touch Healthpro Glucose Test Strips, 36
doxycycline hyclate DR, 2
Elitek, 6
doxycycline monohydrate, 2
Elixophyllin, 31
Easy Touch Lancets 21G/Pressure Activated, 34
Doxytex, 30
Ella, 14
Drisdol, 32
Ellence, 4
Easy Touch Lancets 23G/Pressure Activated, 34
Dritho-creme HP, 11
Elmiron, 19
dronabinol, 18
Elocon, 12
Easy Touch Lancets 26G/Pressure Activated, 34
droperidol, 21
Eloxatin, 4
Droplet Lancets Ultra Thin 30G, 34
Elspar, 4
Easy Touch Lancets 28G/Pressure Activated, 34
drospirenone/ethinyl estradiol, 14
Emadine, 27
Droxia, 20
Embrace Blood Glucose Test Strips, 36
Easy Touch Lancets 28G/Twist, 34
Drug Mart On-the-go Lancets Gentle 30G, 34
Embrace Evo Blood Glucosetest Strips, 36
Easy Touch Lancets 30G/Pressure Activated, 34
Drug Mart Unilet Lancets Super Thin 30G, 34
Embrace Lancets Ultra Thin 30G, 34
Easy Touch Lancets 30G/Twist, 34
Embrace Pro Blood Glucosetest Strips, 36
Easy Touch Lancets 32G/Pressure Activated, 34
Drug Mart Unilet Lancets Ultra Thin 28G, 34
Emcyt, 5
Easy Touch Lancets 32G/Twist, 34
Drysol, 12
Emend, 18
Easy Touch Lancets 33G/Twist, 34
Duac, 10
Emla, 13
Easy Touch Safety Lancets21G/Pressure Activated, 34
Duavee, 14
Emsam, 22
Duet DHA, 32
Emtriva, 3
Easy Touch Safety Lancets23G/Pressure Activated, 34
Duet DHA 400, 32
Emulsion SB, 13
Duet DHA 400EC, 32
Enablex, 19
Easy Touch Safety Lancets26G/Button Activated, 34
Duet DHA 430, 32
enalapril maleate, 8
Duet DHA 430EC, 32
enalapril maleate/hydrochlorothiazide, 8
Easy Touch Safety Lancets26G/Pressure Activated, 34
Duet DHA Balanced, 32
enalaprilat, 8
Duet DHA EC, 32
Enbrel, 29
Easy Touch Safety Lancets28G/Button Activated, 34
Duetact, 15
Enbrel Sureclick, 29
Duexis, 28
Endometrin, 19
Easy Touch Safety Lancets28G/Pressure Activated, 34
Dulera, 31
Engerix-b, 31
duloxetine HCL, 22
Enjuvia, 14
Easy Twist & CAP Lancets, 34
Duo-care Test Strips, 36
Enlon, 25
Easygluco, 36
Duocaine, 29
Enlon-plus, 25
Easymax 15 Test Strips, 36
Duoneb, 31
enoxaparin sodium, 20
Easymax Test Strips, 36
Duragesic, 28
entacapone, 24
Easypro Blood Glucose Test Strips, 36
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 29
entecavir, 3
Easypro Plus, 36
Entereg, 19
Easytest II Lancets, 34
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 29
Entocort EC, 13
Easytest Lancets, 34
Entyvio, 19
EC-naprosyn, 29
Envision Autocode Test Strips, 36
Ethyl Chloride/Medium Stream, 13
Femcon FE, 14
Epaned, 8
Ethyl Chloride/Mist, 13
Femhrt Low Dose, 14
ephedrine sulfate, 9
Ethyol, 6
Femring, 19
Epiceram, 13
Etidronate Disodium, 16
fenofibrate, 9
Epiduo, 10
etodolac, 28
Fenofibrate, 9
Epifoam, 12
etodolac ER, 28
fenofibrate micronized, 9
epinastine HCL, 27
Etopophos, 5
Fenofibric Acid, 9
Epinephrine, 9
etoposide, 5
fenofibric acid DR, 9
epinephrine HCL, 30
Etoposide, 5
Fenoglide, 9
Epipen 2-PAK, 9
Euflexxa, 25
fenoldopam mesylate, 8
Epipen-JR 2-PAK, 9
Eurax, 13
Fenoprofen Calcium, 29
epirubicin HCL, 4
Evamist, 14
fentanyl, 27
Epirubicin HCL, 4
Evencare + Blood Glucose Test Strip, 36
fentanyl citrate oral transmucosal, 27
episone CRE, 12
Evencare Blood Glucose Test Strip, 36
Fentora, 28
Epivir, 3
Evencare G2 Test Strips, 36
Feraheme, 20
Epivir HBV, 3
Evencare G3 Test Strips, 36
Feriva, 20
eplerenone, 8
Evicel, 20
Ferivafa, 20
Epogen, 20
Evista, 16
Ferralet 90, 20
epoprostenol sodium, 9
Evithrom, 20
Ferrex 150 Forte Plus, 20
eprosartan mesylate, 8
Evoclin, 10
Ferrex 28, 20
Epzicom, 3
Evolution Autocode, 36
Ferriprox, 38
Eql Truetrack Test, 36
Evoxac, 21
Ferrlecit, 20
Equagesic, 27
Exactech R-s-G Test Strips, 36
Ferro-plex Hematinic, 20
Equetro, 23
Exactech Test Strips, 36
Ferrotrin, 20
Eraxis, 2
Exactuss, 30
Fetzima, 22
Erbitux, 5
Exalgo, 28
Fetzima Titration Pack, 22
ergocalciferol, 32
Exelderm, 11
Fexmid, 25
Ergoloid Mesylates, 25
Exelon, 25
Fibricor, 9
Ergomar, 29
exemestane, 5
Fifty50 Glucose Test Strip 2.0, 36
Ertaczo, 11
Exforge, 8
Fifty50 Safety Seal Lancets 30G, 34
Erwinaze, 4
Exforge HCT, 8
Fifty50 Safety Seal Lancets 32G, 34
Ery-TAB, 1
Exjade, 38
Finacea, 10
Erygel, 10
Exparel, 29
finasteride, 19
Eryped 200, 1
Extavia, 25
Fine 30, 34
Eryped 400, 1
Extina, 11
Fingerstix Lancets, 34
Erythrocin Lactobionate, 1
EZ Smart Blood Glucose Lancets, 34
Fioricet, 27
Erythrocin Stearate, 1
EZ Smart Blood Glucose Test Strips, 36
Fioricet/Codeine, 28
erythromycin, 1, 10, 25
EZ Smart Plus Blood Glucose Test Strips, 36
Fiorinal, 27
Erythromycin Base, 1
Fiorinal/Codeine #3, 28
Erythromycin Ethylsuccinate, 1
EZ-lets Lancets 21G, 34
Firazyr, 21
erythromycin/benzoyl peroxide, 10
EZ-lets Lancets 23G, 34
Firmagon, 5
Escavite, 32
EZ-lets Lancets 26G Super-soft, 34
First-bxn Mouthwash, 21
Escavite D, 32
EZ-lets Lancets 28G Ultra-soft, 34
First-dukes Mouthwash, 21
escitalopram oxalate, 22
EZ-lets Lancets 30G, 34
First-hydrocortisone, 12
Esgic, 27
F
First-lansoprazole, 18
Esgic-plus, 27
First-marys Mouthwash, 21
Fabior, 10
esmolol HCL, 7
First-mouthwash Blm, 21
Fabrazyme, 17
esomeprazole sodium, 17
First-omeprazole, 18
Factive, 2
Esomeprazole Sodium, 18
First-progesterone VGS 100 Compounding Kit, 19
Falessa, 14
Esomeprazole Strontium, 18
famciclovir, 3
estazolam, 23
First-progesterone VGS 200 Compounding Kit, 19
famotidine, 17
Estrace, 14, 19
Famotidine, 18
estradiol, 14
First-progesterone VGS 25 Compounding Kit, 19
Famotidine Premixed, 18
estradiol valerate, 14
Famvir, 3
estradiol/norethindrone acetate, 14
First-progesterone VGS 400 Compounding Kit, 19
Fanapt, 23
Estrasorb, 14
Fanapt Titration Pack, 23
Estring, 19
First-progesterone VGS 50 Compounding Kit, 19
Fareston, 5
Estrogel, 14
Farxiga, 15
estropipate, 14
First-testosterone, 14
Faslodex, 5
Estropipate, 14
First-testosterone Mc Compounding Kit, 14
Fasttake Test Strips, 34
Estrostep FE, 14
Fazaclo, 23
eszopiclone, 23
First-vancomycin 25, 4
Feiba NF, 21
ethambutol HCL, 2
First-vancomycin 50, 4
felbamate, 23
ethosuximide, 23
Flagyl, 4
Felbatol, 24
Ethyl Chloride, 13
Flagyl ER, 4
Feldene, 29
Ethyl Chloride/Fine Pinpoint, 13
Flarex, 26
felodipine ER, 7
Ethyl Chloride/Fine Stream, 13
flavoxate HCL, 19
Fem PH, 19
Ethyl Chloride/Medium Jet Stream, 13
flecainide acetate, 7
Femara, 5
Flector, 11
Fluzone High-dose PF 2013-2014, 31
fosinopril sodium/hydrochlorothiazide, 8
Flexeril, 25
Fluzone High-dose PF 2014-2015, 31
fosphenytoin sodium, 23
FLO-pred, 13
Fluzone Intradermal, 31
Fosrenol, 18
Flolan, 10
Fluzone Pediatric PF 2012-2013, 31
Fragmin, 20
Flomax, 19
Fluzone Pediatric PF 2013-2014, 31
Freestyle Insulinx Blood Glucose Test, 37
Flonase, 30
Fluzone PF 2012-2013, 31
Flovent Diskus, 31
Fluzone PF 2013-2014, 31
Freestyle Insulinx Blood Glucose Test Strips, 37
Flovent HFA, 31
Fluzone PF 2014-2015, 31
floxuridine, 4
Fluzone Quadrivalent 2013-2014, 31
Freestyle Lancets, 34
Fluarix 2012-2013, 31
Fluzone Quadrivalent 2014-2015, 31
Freestyle Lite Test Strips, 37
Fluarix 2013-2014, 31
Fluzone Split 2012-2013, 31
Freestyle Test Strips, 37
Fluarix 2014-2015, 31
Fluzone Split 2013-2014, 32
Freestyle Unistick II Lancets, 34
Fluarix Quadrivalent 2013-2014, 31
Fluzone Split 2014-2015, 32
Frova, 29
Fluarix Quadrivalent 2014-2015, 31
FML, 26
Fulyzaq, 17
Flublok 2013-2014, 31
FML Forte, 26
Furadantin, 19
Flublok 2014-2015, 31
FML Liquifilm, 26
furosemide, 9
Flucelvax 2012-2013, 31
Focalin, 23
Furosemide, 9
Flucelvax 2013-2014, 31
Focalin XR, 23
Fusilev, 6
Flucelvax 2014-2015, 31
Folbecal, 32
Fusion Plus, 20
fluconazole, 2
Folcaps Omega 3, 32
Fuzeon, 3
fluconazole IN dextrose, 2
Folet DHA, 32
Fycompa, 24
fluconazole IN NACL, 2
Folet One, 32
G
Fluconazole IN NACL, 2
Folgard OS, 32
gabapentin, 23
flucytosine, 2
Folgard RX, 20
Gabavale-5, 22
Fludara, 5
folic acid, 20
Gabazolamine, 22
fludarabine phosphate, 4
Folic Acid, 20
Gabazolamine-0.5, 22
Fludarabine Phosphate, 5
folic acid/vitamin b-6/vitamin b-12, 20
Gabazolpidem-5, 23
fludrocortisone acetate, 13
Folivane-f, 20
Gabitidine, 18
Flulaval 2012-2013, 31
Folivane-OB, 32
Gabitril, 24
Flulaval 2013-2014, 31
Folivane-plus, 20
Gablofen, 25
Flulaval 2014-2015, 31
Folivane-prx DHA NF, 32
Gaboxetine, 22
Flulaval Quadrivalent 2013-2014, 31
Follistim AQ, 16
galantamine, 24
Flulaval Quadrivalent 2014-2015, 31
Folotyn, 5
galantamine hydrobromide, 24
Flumadine, 3
Foltrate, 20
ganciclovir, 3
Flumist Nasal Vaccine 2012-2013, 31
fondaparinux sodium, 20
Ganirelix Acetate, 16
Flumist Quadrivalent, 31
Fora D10 Blood Glucose Test Strips, 36
Ganite, 16
flunisolide, 30
Fora D15c Blood Glucose Test Strips, 36
Garamycin, 25
Flunisolide, 30
Fora D15G Blood Glucose Test Strips, 36
Gardasil, 32
fluocinolone acetonide, 11, 27
Gastrinex NF, 18
fluocinolone acetonide ear drops, 27
Fora D15z Blood Glucose Test Strips, 36
Gastrocrom, 19
fluocinonide, 11
Fora D20 Blood Glucose Test Strips, 36
gatifloxacin, 25
fluocinonide emollient base, 11
Fora G20 Blood Glucose Test Strips, 36
Gattex, 19
fluocinonide-e, 12
Fora G30a Blood Glucose Test Strips, 36
Gazyva, 5
fluorometholone, 26
Fora G71a Blood Glucose Test Strips, 36
Gebauers Pain Ease, 13
fluorouracil, 4
Fora G90 Blood Glucose Test Strips, 36
Gebauers Spray And Stretch, 13
fluoxetine, 24
Fora GD20 Test Strips, 36
Gel-kam Oral Care Rinse, 21
fluoxetine DR, 22
Fora Lancets, 34
Gelclair, 21
fluoxetine HCL, 22
Fora V10 Blood Glucose Test Strips, 36
Gelnique, 19
Fluoxetine HCL, 22
Fora V12 Blood Glucose Test Strips, 36
Gemcitabine, 5
fluphenazine decanoate, 22
Fora V20 Blood Glucose Test Strips, 36
gemcitabine HCL, 4
fluphenazine HCL, 22
Fora V22 Blood Glucose Test Strips, 36
gemfibrozil, 9
Fluphenazine HCL, 23
Fora V30a Blood Glucose Test Strips, 37
Gemzar, 5
flurazepam HCL, 23
Foracare GD40, 37
Genadur, 13
Flurazepam HCL, 23
Foracare Premium V10 Teststrips, 37
Genadur Kit, 13
flurbiprofen, 28
Foracare Test N Go Test Strips, 37
gene-xene TAB 15MG, 21
flurbiprofen sodium, 27
Foradil Aerolizer, 31
gene-xene TAB 3.75MG, 21
flutamide, 5
Forfivo XL, 22
gene-xene TAB 7.5MG, 21
fluticasone propionate, 12, 30
Fortamet, 15
Generess FE, 14
fluvastatin, 9
Fortavit, 32
Genotropin, 16
Fluvirin 2012-2013, 31
Fortaz, 1
Genotropin Miniquick, 16
Fluvirin 2013-2014, 31
Forteo, 16
gentamicin sulfate, 2, 25
Fluvirin 2014-2015, 31
Fortesta, 14
Gentamicin Sulfate, 11
Fluvirin PF 2012-2013, 31
Fortical, 16
gentamicin sulfate pediatric, 2
Fluvirin PF 2013-2014, 31
Fosamax, 16
gentamicin sulfate/0.9% sodium chloride, 2
Fluvirin PF 2014-2015, 31
Fosamax Plus D, 16
fluvoxamine maleate, 22
Foscarnet Sodium, 3
Gentamicin Sulfate/0.9% Sodium Chloride, 2
fluvoxamine maleate ER, 22
Foscavir, 3
Fluzone High-dose PF 2012-2013, 31
fosinopril sodium, 8
gentamicin sulfate/sodium chloride, 2
Gentle-let GP Lancets, 34
Gralise Starter, 24
hetastarch 6%/NACL, 21
Gentle-let Lancets General Purpose Style/Fine Point, 34
granisetron HCL, 18
Hetlioz, 23
Granisol, 18
Hexalen, 4
Gentle-let Lancets General Purpose Style/Medium Point, 34
Granix, 20
Hextend, 21
Grifulvin V, 2
Hiberix, 32
Gentle-let Lancets Safety Style/Fine Point, 34
Gris-peg, 2
Hiprex, 19
griseofulvin microsize, 2
homatropine HBR, 26
Gentle-let Lancets Safety Style/Medium Point, 34
griseofulvin ultramicrosize, 2
Horizant, 25
guanfacine HCL, 8
HPR, 13
Geodon, 23
Guanidine HCL, 25
HPR Plus, 13
Gesticare DHA, 32
Gynazole-1, 19
HPR Plus/Mb Hydrogel, 13
Giazo, 19
H
Humalog, 15
Gilenya, 25
Humalog Kwikpen, 15
H&h Thinlet Lancets 26G, 34
Gilotrif, 6
Humalog Mix 50/50, 15
H&h Thinlet Super Thin Lancets 30G, 34
Gilphex TR, 30
Humalog Mix 50/50 Kwikpen, 15
H.p. Acthar, 17
Giltuss, 30
Humalog Mix 75/25, 15
Haemolance, 34
Giltuss PED-c, 30
Humalog Mix 75/25 Kwikpen, 15
Haemolance Low Flow Lancets, 34
Giltuss TR, 30
Humate-p, 21
Haemolance Plus, 34
Glassia, 31
Humatrope, 16
Haemolance Plus High Flow, 34
Gleevec, 6
Humatrope Combo Pack, 16
Haemolance Plus Low Flow, 34
Gliadel Wafer, 4
Humira, 28
Haemolance Plus Max Flow, 34
glimepiride, 15
Humira Pen, 28
Haemolance Plus Pediatric Flow, 34
glipizide, 15
Humira Pen-crohns Diseasestarter, 28
Halaven, 5
glipizide ER, 15
Humira Pen-psoriasis Starter, 28
Halcion, 23
glipizide/metformin HCL, 15
Humulin 70/30, 15
Haldol, 23
Glucagen, 15
Humulin 70/30 Kwikpen, 15
Haldol Decanoate 100, 23
Glucagen Hypokit, 15
Humulin 70/30 Pen, 15
Haldol Decanoate 50, 23
Glucagon Emergency Kit, 15
Humulin N, 15
Halflytely Bowel Prep/Flavor Packs, 17
Gluco Perfect 3 Test Strips, 37
Humulin N Kwikpen, 15
halobetasol propionate, 12
Glucocard 01 Sensor, 37
Humulin N U-100 Pen, 15
Halog, 12
Glucocard 01 Test Strips, 37
Humulin R, 15
Halonate, 12
Glucocard Expression Blood Glucose Test Strips, 37
Humulin R U-500 (concentrated), 15
haloperidol, 22
Hy-vee Lancets, 34
haloperidol decanoate, 22
Glucocard Vital Test Strips, 37
Hyalgan, 25
haloperidol lactate, 22
Glucocard X-sensor, 37
Hycamtin, 6
Halotin, 11
Glucocom Lancets 28G, 34
Hycet, 28
Havrix, 32
Glucocom Lancets 30G, 34
hydralazine HCL, 8
Hectorol, 17
Glucocom Lancets 33G, 34
Hydrea, 6
Helidac, 18
Glucocom Test Strips, 37
Hydro 35, 13
Helixate FS, 21
Glucolab Test Strips, 37
Hydro 40 Foam, 13
Hemabate, 27
Gluconavii Blood Glucose Test Strips, 37
hydrochloric acid, 19
Hemangeol, 7
Glucophage, 15
hydrochlorothiazide, 9
Hematogen Fa, 20
Glucophage XR, 15
hydrocodone bitartrate/acetaminophen, 27
Hematron-AF, 20
Glucosource Lancets, 34
Hemocyte Plus, 20
Glucotrol, 15
Hydrocodone Bitartrate/Acetaminophen, 28
Hemocyte-f, 20
Glucotrol XL, 15
Hemofil M, 21
Glucovance, 15
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 30
heparin lock, 20
Glumetza, 15
heparin lock flush, 20
glyburide, 15
hydrocodone bitartrate/homatropine methylbromide, 30
Heparin Lock Flush, 20
Glyburide, 15
heparin lock flush for flushing vascular access devices, 20
glyburide micronized, 15
hydrocodone polistirex/chlorpheniramine polistirex, 30
glyburide/metformin HCL, 15
heparin lock flush/NACL for flushing vascular access devices, 20
Glycate, 18
hydrocodone/acetaminophen, 27
Glycolic Acid, 11
Hydrocodone/Acetaminophen, 28
heparin sodium, 20
Glycolic Acid 70% High Purity, 11
hydrocodone/homatropine, 30
Heparin Sodium, 20
glycopyrrolate, 17
hydrocodone/ibuprofen, 27
heparin sodium dcu, 20
Glynase, 15
hydrocort ene 100MG, 18
heparin sodium lock flush, 20
Glyset, 15
hydrocortisone, 12, 13, 18
heparin sodium/D5W, 20
Gmate Blood Glucose Test Strips, 37
hydrocortisone acetate/aloe, 12
Heparin Sodium/D5W, 20
Gmate Lancets 30G, 34
hydrocortisone acetate/lidocaine HCL, 18
Heparin Sodium/NACL 0.45%, 20
Golytely, 17
hydrocortisone acetate/pramoxine, 18
heparin sodium/NACL 0.9%, 20
Gonal-f, 16
hydrocortisone butyrate, 12
Heparin Sodium/Sodium Chloride 0.9%, 20
Gonal-f RFF, 16
hydrocortisone butyrate (lipid), 12
Gonal-f RFF Pen, 16
hydrocortisone butyrate (lipophilic), 12
heparin sodium/sodium chloride 0.9% premix, 20
Gonal-f RFF Rediject, 16
hydrocortisone IN absorbase, 12
Gordofilm, 13
hydrocortisone valerate, 12
Hepsera, 3
Gordons Urea, 13
hydrocortisone/acetic acid, 27
Herceptin, 5
Gralise, 24
hydromorphone HCL, 27
Hespan, 21
Hydromorphone HCL, 28
Infasurf, 31
Istodax, 6
Hydromorphone HCL Dosette, 28
Infergen, 3
Isuprel, 31
hydromorphone HCL ER, 27
Infinity Blood Glucose Test Strips, 37
itraconazole, 2
Hydromorphone HCL ER, 28
Influenza A (h1n1) Monovalent 2009, 32
Ixempra Kit, 5
Hydroxocobalamin, 20
Infumorph 200, 28
Ixiaro, 32
hydroxychloroquine sulfate, 3
Infumorph 500, 28
J
hydroxyurea, 6
Injectafer, 20
J-cof DHC, 30
hydroxyzine HCL, 21
Inlyta, 6
J-max DHC, 30
Hydroxyzine HCL, 22
Innopran XL, 7
Jakafi, 6
hydroxyzine pamoate, 21
Inova, 10
Jalyn, 19
Hydroxyzine Pamoate, 21
Inova 4/1 Acne Control Therapy, 10
Janumet, 15
Hylatopic, 13
Inova 8/2 Acne Control Therapy, 10
Janumet XR, 15
Hylatopic Plus, 13
Inspirease Bags, 37
Januvia, 15
Hylira, 13
Inspirease Drug Delivery System, 37
Jardiance, 15
hyoscyamine sulfate, 17
Inspirease Mouthpiece, 37
Jentadueto, 16
hyoscyamine sulfate ER, 17
Inspirease Reservoir Bags, 37
Jetrea, 27
hyoscyamine sulfate odt, 17
Inspra, 8
Jevtana, 5
hyoscyamine sulfate SR, 17
Insulin Syringe/0.5ML/30G X 5/16", 37
Jinteli, 14
Hyper-sal, 30
Integra F, 20
Jublia, 11
Hypersal, 30
Integra Plus, 20
Juvisync, 15
Hypertenevide-12.5, 7
Integrilin, 21
Juxtapid, 9
Hypertenipine-2.5, 7
Intelence, 3
K
Hypertensolol, 8
Interarticular Joint Kit, 13
Hyzaar, 8
Intermezzo, 23
K-phos NO 2, 19
I
Introl, 9
K.b.g.l. IN Teroderm Cream, 11
Intron-a, 6
Kadcyla, 5
ibandronate sodium, 16
Intron-a W/Diluent, 6
Kadian, 28
Ibudone, 28
Intuniv, 23
Kalbitor, 21
ibuprofen, 28
Invanz, 4
Kaletra, 3
Ibuprofen Comfort PAC, 29
Invega, 23
Kalydeco, 31
ibutilide fumarate, 7
Invega Sustenna, 23
Kapvay, 23
IC 400, 29
Invirase, 3
Kapvay Dose Pack, 23
IC 800, 29
Invokamet, 15
Karbinal ER, 30
Icar-c Plus, 20
Invokana, 15
Kazano, 16
Iclusig, 6
Iopidine, 26
Keflex, 1
Idamycin PFS, 4
Ipol Inactivated IPV, 32
Kenalog, 12
idarubicin HCL, 4
ipratropium bromide, 30(2)
Kenalog-10, 13
Ifex, 4
ipratropium bromide/albuterol sulfate, 30
Kenalog-40, 13
ifosfamide, 4
Iprivask, 20
Kepivance, 6
Ifosfamide, 4
irbesartan, 8
Keppra, 24
Ifosfamide/Mesna, 6
irbesartan/hydrochlorothiazide, 8
Keppra XR, 24
Ilaris, 29
irinotecan, 6
Kerafoam, 13
Ilevro, 27
Irinotecan, 6
Kerafoam 42, 13
Imbruvica, 6
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20
Keralac, 13
Imdur, 7
Keralyt, 13
imipenem/cilastatin, 4
Irospan 24/6, 20
Keralyt Scalp, 13
imipramine HCL, 22
Is 24/6, 20
Kerlone, 7
imipramine pamoate, 22
Isentress, 3
Kerydin, 11
imiquimod, 12
Isometheptene/Caffeine/Acetaminophen, 29
Ketek, 4
Imitrex, 29
ketoconazole, 2, 11
Imitrex Statdose Refill, 29
isoniazid, 2
Ketodan Kit, 11
Imitrex Statdose System, 29
Isoniazid, 2
ketoprofen, 28
Imovax Rabies (h.d.c.v.), 32
Isoptin SR, 7
Ketoprofen ER, 29
Imuran, 5
Isopto Atropine, 26
ketorolac tromethamine, 27, 28
Inatal Advance, 32
Isopto Carbachol, 26
Ketorolac Tromethamine, 29
Inatal GT, 32
Isopto Carpine, 26
Keytruda, 5
Inatal Ultra, 32
Isopto Homatropine, 26
Khedezla, 22
Incivek, 3
Isopto Hyoscine, 26
Kineret, 29
Increlex, 16
Isordil Titradose, 7
Kinlytic, 21
indapamide, 9
isosorbide dinitrate, 6
Kinrix, 31
Inderal LA, 7
Isosorbide Dinitrate, 7
Klaron, 10
Inderal XL, 7
isosorbide dinitrate ER, 6
Klonopin, 24
Indocin, 29
isosorbide mononitrate, 6
Koate-dvi, 21
Indocin IV, 29
isosorbide mononitrate ER, 6
Kogenate FS, 21
indomethacin, 28
isotonic gentamicin, 2
Kogenate FS Bio-set, 21
Indomethacin, 29
Isotonic Gentamicin, 2
Kombiglyze XR, 15
indomethacin ER, 28
Isradipine, 7
Korlym, 15
indomethacin sodium, 28
Istalol, 26
Kristalose, 17
Infanrix, 31
Krystexxa, 29
Levacet, 27
Lipofen, 9
Kuvan, 17
levalbuterol, 30
Liptruzet, 9
Kynamro, 9
levalbuterol HCL, 30
Liquicet, 28
Kyprolis, 6
Levaquin, 2
lisinopril, 8
L
Levatol, 7
lisinopril/hydrochlorothiazide, 8
Levbid, 18
Liteaire, 37
labetalol HCL, 7
Levemir, 15
Litetouch Lancets Micro Thin 33G, 35
Lac-hydrin, 13
Levemir Flexpen, 15
lithium carbonate, 22
Lacrisert, 26
Levemir Flextouch, 15
Lithium Carbonate, 23
lactic acid, 12
levetiracetam, 23
lithium carbonate ER, 22
lactic acid e, 12
Levetiracetam, 24
Lithium Citrate, 23
lactic acid w/vitamin e, 12
levetiracetam ER, 23
Lithobid, 23
lactulose, 17, 18
Levitra, 10
Lithostat, 19
Lamictal, 24
levobunolol HCL, 26
Livalo, 9
Lamictal Chewable Dispersible, 24
Levobunolol HCL, 26
Live Better Lancet Super Thin 30G, 35
Lamictal Odt, 24
levocarnitine, 17
Live Better Lancet Ultra Thin 28G, 35
Lamictal Starter/Not Taking Carbamazepine, 24
levocetirizine dihydrochloride, 30
LMD 10% Dextrose 5%, 21
levofloxacin, 2, 25
LMD 10% Sodium Chloride 0.9%, 21
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24
levofloxacin IN D5W, 2
LO Loestrin FE, 14
levonorgestrel, 14
LO Minastrin FE, 14
levonorgestrel and ethinyl estradiol, 14
Locoid, 12
Lamictal Starter/Taking Valproate, 24
levonorgestrel/ethinyl estradiol, 14
Locoid Lipocream, 12
Lamictal XR, 24
Levophed, 9
Lodosyn, 24
Lamisil, 2
Levorphanol Tartrate, 28
Loestrin 1.5/30-21, 14
Lamisil Spray, 11
levothyroxine sodium, 17
Loestrin 1/20-21, 14
lamivudine, 3
Levothyroxine Sodium, 17
Loestrin 24 FE, 14
lamivudine/zidovudine, 3
Levsin, 18
Loestrin FE 1.5/30, 14
lamotrigine, 23
Levsin/SL, 18
Loestrin FE 1/20, 14
lamotrigine ER, 23
Lexapro, 22
Lofibra, 9
Lancets, 34
Lexiva, 3
Lomedia 24 FE, 14
Lancets 26G Twist Top, 34
Lialda, 18
Lomotil, 17
Lancets 28G, 34
Liberty Control Solution High, 35
Lomustine, 4
Lancets 30G, 35
Liberty Control Solution Normal, 35
loperamide HCL, 17
Lancets 30G Twist Top, 35
Liberty Glucose Control Level 1, 35
Lopid, 9
Lancets 31G Twist Top, 35
Liberty Glucose Control Level 2, 35
Lopressor, 7
Lancets Bullseye Safety, 34
Liberty Glucose Control Mid, 35
Lopressor HCT, 8
Lancets Safety Seal 21G, 34
Liberty Glucose Control Normal, 35
Loprox, 11
Lancets Safety Seal 26G, 34
Liberty Mini Lancing Device, 35
Loprox Shampoo, 11
Lancets Safety Seal 28G, 34
Liberty Next Generation Blood Glucose Monitor, 35
lorazepam, 21
Lancets Safety Seal 30G, 34
Lorazepam Intensol, 22
Lancets Thin, 34
Liberty Next Generation Blood Glucose Test Strips, 35
Lorcet 10/650, 28
Lancets Twist Top, 34
Lorcet Plus, 28
Lancets Ultra Fine, 34
lidocaine, 12
Lortab, 28
Lancets Ultra Thin, 34
lidocaine HCL, 7, 12, 21, 29
Lorzone, 25
Lanoxin, 6
Lidocaine HCL, 7, 13
losartan potassium, 8
Lanoxin Pediatric, 6
lidocaine HCL IN D5W, 7
losartan potassium/hydrochlorothiazide, 8
lansoprazole, 17
lidocaine HCL jelly, 12
lansoprazole/amoxicillin/clarithromycin, 17
lidocaine HCL viscous, 21
Loseasonique, 14
Lidocaine HCL-hydrocortisone Acetate With Aloe, 19
Lotemax, 26
Lantus, 15
Lotensin, 8
Lantus Solostar, 15
lidocaine HCL/dextrose, 7
Lotensin HCT, 8
Lasix, 9
Lidocaine HCL/Dextrose, 29
Lotrel, 8
Lastacaft, 27
lidocaine HCL/hydrocortisone acetate, 18
Lotrisone, 11
latanoprost, 26
lidocaine viscous, 21
Lotronex, 18
Latrix XM, 13
lidocaine/epinephrine, 29
lovastatin, 9
Latuda, 22
lidocaine/prilocaine, 12
Lovaza, 9
Lavoclen-4 Creamy Wash, 10
Lidocaine/Prilocaine, 13
Lovenox, 20
Lavoclen-8 Creamy Wash, 10
Lidoderm, 13
loxapine, 22
Lazanda, 28
Lidoprofen, 11
loxapine succinate, 22
leflunomide, 28
Lidovir, 11
Loxitane, 23
Lescol, 9
Lifescan Unistik 2 Deep Penetration, 35
Lta 360 Kit, 21
Lescol XL, 9
Lifescan Unistik II Lancets, 35
Lufyllin, 31
Letairis, 10
Lincocin, 4
Lumigan, 26
letrozole, 5
lindane, 12
Lumizyme, 17
leucovorin calcium, 6
Linzess, 18
Lunesta, 23
Leucovorin Calcium, 6
Lioresal Intrathecal, 25
Lupaneta Pack, 16
Leukeran, 4
liothyronine sodium, 17
Lupron Depot, 5
Leukine, 20
Lipitor, 9
Lupron Depot-PED, 16
leuprolide acetate, 5
Luvox CR, 22
Medlance Plus/Lite 25G, 35
Methylin, 23
Luxiq, 12
Medlance/Extra, 35
methylphenidate HCL, 23
Luzu, 11
Medlance/Lite, 35
methylphenidate HCL CD, 23
Lycelle, 13
Medlance/Universal, 35
methylphenidate HCL ER, 23
Lyrica, 24
Medrol, 13
Methylphenidate HCL ER, 23
Lysodren, 5
Medrol Dosepak, 13
methylphenidate HCL SR, 23
Lysteda, 21
medroxyprogesterone acetate, 14
methylphenidate hydrochloride, 23
Lytensopril Kit, 8
mefenamic acid, 28
methylprednisolone, 13
Lytensopril-90, 8
mefloquine HCL, 3
methylprednisolone acetate, 13
Lytensopril-90 Kit, 8
Mefoxin, 1
methylprednisolone dose pack, 13
M
Megace ES, 15
methylprednisolone sodiumsuccinate, 13
Megace Oral, 5
Metipranolol, 26
M-m-r II W/Diluent 10 Dose, 32
megestrol acetate, 5
metoclopramide HCL, 18
M-vit, 32
Megestrol Acetate, 5
metolazone, 9
M.v.i. Adult, 32
Meijer Super Thin Lancets, 35
metoprolol succinate ER, 7
M.v.i. Pediatric, 33
Mekinist, 6
metoprolol tartrate, 7
M.v.i.-12 Without Vitamin K, 33
meloxicam, 28
metoprolol/hydrochlorothiazide, 8
Macnatal CN DHA, 32
Meloxicam, 29
Metozolv Odt, 19
Macrobid, 19
Meloxicam Comfort PAC, 29
Metro IV, 4
Macrodantin, 19
melphalan hydrochloride, 4
Metrocream, 10
Magnacet, 28
Menactra, 32
Metrogel, 10
Makena, 14
Menest, 14
Metrogel-vaginal, 19
Malarone, 3
Menhibrix, 32
Metrolotion, 10
malathion, 12
Menomune-a/C/Y/W-135, 32
metronidazole, 4, 10
mannitol, 9
Menopur, 16
metronidazole IN NACL 0.79%, 4
Maprotiline HCL, 22
Menostar, 14
metronidazole vaginal, 19
Marcaine, 29
Mentax, 11
Mevacor, 9
Marcaine W/O Epi, 29
Menveo, 32
mexiletine HCL, 7
Marcaine/Epinephrine, 29
meperidine HCL, 27
Miacalcin, 16
Marinol, 18
Meperidine HCL, 28
Micardis, 8
Marnatal-f, 33
Mephyton, 32
Micardis HCT, 8
Marplan, 22
Mepivacaine HCL, 29
Microchamber, 37
Marqibo, 5
meprobamate, 21
Microdot Test Strips, 37
Mask Vortex/Baby Whirl Duckling, 37
Mepron, 4
Microlet Lancets, 35
Mask Vortex/Child/Frog, 37
mercaptopurine, 4
Microspacer, 37
Mask Vortex/Spinner The Duck, 37
meropenem, 4
Microtainer Safety Flow Lancet/Sterile/Single-use, 35
Mask Vortex/Toddler/Lady Bug, 37
Merrem, 4
Matulane, 6
mesalamine, 18
Microzide, 9
Mavik, 8
mesna, 6
midodrine HCL, 9
Maxair Autohaler, 31
Mesnex, 6
Mifeprex, 17
Maxalt, 29
Mestinon, 25
Migergot, 29
Maxalt-MLT, 29
Mestinon Timespan, 25
Migral, 29
Maxaron Forte, 20
Metadate CD, 23
Migranal, 29
Maxfe, 20
Metaproterenol Sulfate, 31
Millipred, 13
Maxidex, 26
Metastron, 6
Millipred DP, 13
Maxidone, 28
metaxalone, 25
milrinone IN dextrose, 6
Maxima Blood Glucose Teststrips, 37
metformin HCL, 15
milrinone lactate, 6
Maxipime, 1
metformin HCL ER, 15
Minastrin 24 FE, 14
Maxitrol, 26
methadone HCL, 27
Mineral Oil Heavy, 17
Maxzide, 9
Methadone HCL, 28
Minipress, 8
Maxzide-25, 9
Methadose, 28
Minivelle, 14
Mb Hydrogel, 13
Methadose Sugar-free, 28
Minocin, 2
meclizine HCL, 18
methamphetamine HCL, 23
Minocin Kit, 2
Meclofenamate Sodium, 28
methazolamide, 9
minocycline HCL, 2
Medi-derm/L-RX, 13
methenamine hippurate, 19
minocycline HCL ER, 2
Medical Provider EZ Flu Shot 2014-2015, 32
methenamine mandelate, 19
minoxidil, 8
Methenamine Mandelate, 19
Mirapex, 24
Medisense Thin Lancets, 35
methimazole, 17
Mirapex ER, 24
Medlance Plus Extra Lancets 21G, 35
methocarbamol, 25
Mircette, 14
Medlance Plus Lancets, 35
methotrexate, 4
mirtazapine, 22
Medlance Plus Lancets Lite 25G, 35
methotrexate sodium, 4
mirtazapine odt, 22
Medlance Plus Lite Lancets 25G, 35
methoxsalen, 11
Mirvaso, 10
Medlance Plus Special Lancets 0.8MM, 35
methscopolamine bromide, 17
misoprostol, 17
Methyclothiazide, 9
Mission Prenatal HP, 32
Medlance Plus Superlite 30G, 35
methyldopa, 8
mitomycin, 4
Medlance Plus Superlite 30G/Comfort Max, 35
Methyldopa/Hydrochlorothiazide, 8
Mitosol, 25
Methyldopate HCL, 8
mitoxantrone HCL, 4
Medlance Plus Universal Lancets 21G, 35
methylergonovine maleate, 27
Mobic, 29
modafinil, 23
Myobloc, 25
neomycin/polymyxin/HC, 27
Moderiba, 3
Myoxin, 27
Neomycin/Polymyxin/Hydrocortisone, 26
Moderiba 1200 Dose Pack, 3
Myozyme, 17
neomycin/polymyxin/hydrocortisone, 27
Moderiba 800 Dose Pack, 3
Myrbetriq, 19
Neoprofen, 29
Modicon, 14
Mysoline, 24
Neoral, 5
moexipril HCL, 8
N
Neosalus, 13
moexipril/hydrochlorothiazide, 8
Neosalus CP, 13
nabumetone, 28
mometasone furoate, 12
Neosporin, 25
nadolol, 7
Moms Choice RX, 33
neostigmine methylsulfate, 25
nadolol/bendroflumethiazide, 8
Monoclate-p, 21
Neotuss Plus, 30
nafcillin sodium, 1
Monodox, 2
Nephplex RX, 33
Nafcillin Sodium, 1
Monoject Bone Marrow Biopsy Prepping Tray, 29
Nephro-vite RX, 33
Nafrinse Daily/Acidulated, 21
Nephrocaps, 33
Nafrinse Daily/Neutral, 21
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 29
Nephrocaps QT, 33
Nafrinse Weekly, 21
Nephron Fa, 20
Naftin, 11
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 29
Neptazane, 9
Naglazyme, 17
Nesacaine, 29
nalbuphine HCL, 27
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 29
Nesacaine-mpf, 29
Nalfon, 29
Nesina, 15
Nallpen Iso-osmotic IN Dextrose, 1
Monolet Lancets, 35
Nessi Spacer/Large Mask, 37
Nallpen/Dextrose, 1
Monolet Opd Lancets, 35
Nessi Spacer/Mouthpiece, 37
Namenda, 24
Monolettor Safety Lancets, 35
Nessi Spacer/Small/MED Mask, 37
Namenda Titration PAK, 24
Mononine, 21
Nestabs, 33
Namenda XR, 24
Monovisc, 25
Nestabs Abc, 33
Namenda XR Titration Pack, 24
montelukast sodium, 30
Nestabs DHA, 33
Naphazoline HCL, 26
Monurol, 19
Netgroup Lancets, 35
Naprelan, 29
Morgidox 1X100MG, 2
Neuac Kit, 10
Naprosyn, 29
Morgidox 2X100MG, 2
Neulasta, 20
naproxen, 28
morphine sulfate, 27
Neumega, 20
Naproxen Comfort PAC, 29
Morphine Sulfate, 28
Neupogen, 20
naproxen sodium, 28
Morphine Sulfate Add-vantage, 28
Neupro, 24
naratriptan HCL, 29
morphine sulfate ER, 27
Neurontin, 24
Nardil, 22
Motofen, 17
Neutek 2tek Test Strips, 37
Naropin, 29
Moviprep, 17
Neutrasal, 21
Nasacort AQ, 30
Moxatag, 1
Neutrexin, 4
Nascobal, 20
Moxeza, 25
Nevanac, 27
Nasonex, 30
moxifloxacin HCL, 2
nevirapine, 3
Natachew, 33
Mozobil, 20
Nevirapine, 3
Natacyn, 25
MS Contin, 28
nevirapine ER, 3
Natafort, 33
Mst 600, 27
Newgen, 33
Natalvirt 90 DHA, 33
Multaq, 7
Nexa Plus, 33
Natalvirt CA, 33
Multigen, 20
Nexa Select, 33
Natalvirt Flt, 20
Multigen Folic, 20
Nexavar, 6
Natalvit, 33
Multigen Plus, 20
Nexgen Test Strips, 37
Natazia, 14
mupirocin, 10
Nexium, 18
nateglinide, 15
mupirocin calcium, 10
Nexium 24HR, 18
Natelle One, 33
Muse, 10
Nexium I.v., 18
Natrecor, 10
Mustargen, 4
Nexterone, 7
Natroba, 13
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 20
niacin ER, 9
Nature-throid, 17
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 32
Nature-throid Nt-2.5, 17
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 20
Navelbine, 5
Niacor, 9
Nebupent, 4
Myalept, 17
Niaspan, 9
Nebusal, 30
Myambutol, 2
Nicadan, 33
Necon 1/50-28, 14
Mycamine, 2
nicardipine HCL, 7
Necon 10/11-28, 14
Mycobutin, 2
Nicazel, 33
Neevo DHA, 33
mycophenolate mofetil, 5
Nicazel Forte, 33
nefazodone HCL, 22
mycophenolic acid DR, 5
Nicazeldoxy 30 Kit, 2
Nefazodone HCL, 22
Mydfrin, 26
Nicazeldoxy 60 Kit, 2
Nembutal Sodium, 23
Myfortic, 5
Nicomide, 33
Neo-synalar, 11
Myglucohealth Blood Glucose Test, 37
nifedipine, 7
Neo-synalar Kit, 11
Myglucohealth Mgh Softlance Lancets 30G, 35
nifedipine ER, 7
neomycin sulfate, 2
Nilandron, 5
neomycin/bacitracin/polymyxin, 25
Mykidz Iron Fl, 33
Nimbex, 25
neomycin/polymyxin/bacitracin zinc, 25
Myleran, 4
nimodipine, 7
neomycin/polymyxin/bacitracin/hydrocortisone, 26
Mynatal, 33
Nipent, 6
Mynatal Advance, 32
Niravam, 22
neomycin/polymyxin/dexamethasone, 26
Mynatal Ultracaplet, 32
nisoldipine, 7
neomycin/polymyxin/gramicidin, 25
Nisoldipine, 7
Novolog Mix 70/30, 15
Omnitrope, 16
Nisoldipine ER, 7
Novolog Mix 70/30 Prefilled Flexpen, 15
Omontys, 20
Nitro-bid, 6
Novolog Penfill, 15
On Call Express Blood Glucose Test Strips, 37
Nitro-dur, 7
Novoseven, 21
nitrofurantoin, 19
Novoseven Rt, 21
On Call Lancets, 35
nitrofurantoin macrocrystals, 19
Novotwist 30GX8MM, 35
On Call Plus Blood Glucose Test, 37
nitrofurantoin monohydrate, 19
Novotwist 32GX5MM, 35
On Call Plus Lancets, 35
nitrofurantoin monohydrate/macrocrystals, 19
Noxafil, 2
On Call Vivid Blood Glucose Test, 37
Nplate, 20
On Call Vivid Blood Glucose Test Strips, 37
nitroglycerin, 6
Nucort, 12
Nitroglycerin, 7
Nucynta, 28
Oncaspar, 4
nitroglycerin IN 5% dextrose, 6
Nucynta ER, 28
ondansetron HCL, 18
nitroglycerin IN dextrose 5%, 6
Nuedexta, 24
ondansetron odt, 18
Nitroglycerin IN Dextrose 5%, 7
Nulojix, 5
Onetouch Basic System, 35
nitroglycerin lingual, 6
Nulytely/Flavor Packs, 17
Onetouch Basic/Profile Test Strips, 35
Nitroglycerin Lingual, 7
Numoisyn, 21
Onetouch Club Lancets Fine Point, 35
nitroglycerin transdermal, 6
Nuox, 10
Onetouch Combo Pack, 35
Nitrolingual Pumpspray, 7
Nutricap, 33
Onetouch Delica Lancets Extra Fine 33G, 35
Nitromist, 7
Nutridox, 2
Nitronal, 7
Nutrivit, 33
Onetouch Delica Lancets Fine 30G, 35
Nitropress, 8
Nutropin, 16
Onetouch Delica Lancing Device, 35
Nitrostat, 6
Nutropin AQ Nuspin 10, 16
Onetouch Finepoint Lancets, 35
Nivatopic Plus, 13
Nutropin AQ Nuspin 20, 16
Onetouch Lancets, 35
nizatidine, 17
Nutropin AQ Nuspin 5, 16
Onetouch Ping Meter Remote, 35
Nizoral, 11
Nutropin AQ Pen, 16
Onetouch Profile System, 35
Nor-QD, 14
Nuvail, 13
Onetouch Suresoft Lancing Device/18G, 35
Norco, 28
Nuvigil, 23
Nordette-28, 14
Nuzon, 12
Onetouch Suresoft Lancing Device/21G, 35
Norditropin Cartridge, 16
Nymalize, 7
Norditropin Flexpro, 16
nystatin, 2, 11, 21
Onetouch Suresoft Lancing Device/28G, 35
Norditropin Nordiflex Pen, 16
Nystatin, 11
norepinephrine bitartrate, 9
Nystatin Domestic, 11
Onetouch Ultra 2, 35
norethindrone, 14
Nystatin Foreign, 11
Onetouch Ultra Blue, 35
norethindrone acetate, 14
nystatin/triamcinolone, 11
Onetouch Ultra Control, 35
norethindrone acetate/ethinyl estradiol, 14
O
Onetouch Ultra Mini, 35
Onetouch Ultra System Kit, 35
O-CAL Fa, 33
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 14
Onetouch Ultralink System (DEC), 35
O-CAL Prenatal, 33
Onetouch Ultralink System (hex), 35
OB Complete, 33
Norflex, 25
Onetouch Ultrasmart, 35
OB Complete 400, 33
norgestimate/ethinyl estradiol, 14
Onetouch Ultrasoft Lancets, 35
OB Complete One, 33
Norinyl 1+35, 14
Onetouch Verio Control Solution High, 35
OB Complete Petite, 33
Norinyl 1+50, 14
OB Complete Premier, 33
Noritate, 10
Onetouch Verio IQ Blood Glucose Monitoring System, 35
OB Complete/DHA, 33
Noroxin, 2
OB-natal One, 32
Norpace, 7
Onetouch Verio Mid Control Solution, 35
Obstetrix DHA, 33
Norpace CR, 7
Onetouch Verio Sync Bloodglucose Monitoring System, 35
Obstetrix EC, 32
Norpramin, 22
octreotide acetate, 16
Northera, 9
Onetouch Verio Test Strips, 35
Ocudox, 2
nortriptyline HCL, 22
Onfi, 24
Ocufen, 27
Nortriptyline HCL, 22
Onglyza, 15
Ocuflox, 26
Norvasc, 7
Onmel, 2
Ofirmev, 27
Norvir, 3
Opana, 28
ofloxacin, 2, 25, 27
Nova Max Glucose Test Strips, 37
Opana ER (crush Resistant), 28
Ofloxacin, 2
Nova Safety Lancets 23G, 35
opium, 17
Ogestrel, 14
Nova Safety Lancets 28G, 35
opium tincture, 17
olanzapine, 22
Nova Sureflex Lancets, 35
Opium Tincture (paregoric), 17
olanzapine odt, 22
Novaferrum, 20
Opsumit, 10
olanzapine/fluoxetine, 24
Novofine 30GX8MM, 35
Optichamber Advantage, 37
Oleptro, 22
Novofine 32GX6MM, 35
Optichamber Diamond, 37
Olux, 12
Novofine Autocover 30GX8MM, 35
Optichamber Diamond/Largeface Mask, 37
Olux-e, 12
Novolin 70/30, 15
Olysio, 3
Novolin 70/30 Relion, 15
Optichamber Diamond/Medium Face Mask, 37
Omeclamox-PAK, 18
Novolin N, 15
omega-3-acid ethyl esters, 9
Novolin N Relion, 15
Optichamber Diamond/Smallface Mask, 37
omeprazole, 17
Novolin R, 15
Omeprazole + Syrspend SF Alka, 18
Novolin R Relion, 15
Optihaler, 37
omeprazole/sodium bicarbonate, 18
Novolog, 15
Optihaler MDI Drug Delivery System, 37
Omnaris, 30
Novolog Flexpen, 15
Optium Test Strips, 37
Omnipred, 26
Optiumez Test Strips, 37
Paire OB, 33
Pentam 300, 4
Optivar, 27
Palgic, 30
Pentasa, 18
Optumrx Blood Glucose Test, 37
Pamelor, 22
pentazocine/acetaminophen, 27
Oracea, 10
pamidronate disodium, 16
pentazocine/naloxone HCL, 27
Oracit, 19
Pamidronate Disodium, 16
Pentetate Calcium Trisodium, 38
Orafate, 21
Pamine, 18
Pentetate Zinc Trisodium, 38
Orap, 25
Pamine Forte, 18
pentoxifylline ER, 21
Orapred, 13
Pamine FQ, 18
Pepcid, 18
Orapred Odt, 13
Panatuss Dxp, 30
Percocet, 28
Oravig, 21
Pancreaze, 18
Percodan, 28
Oraxyl, 2
Pancrelipase, 18
Perfect Lancets 30G, 35
Orbactiv, 4
pancuronium bromide, 25
Perfect Pressure Activated Safety Lancets 28G, 35
Orbivan, 27
Panda Mask Large, 37
Orbivan CF, 27
Panda Mask Medium, 38
Perforomist, 31
Orencia, 29
Panda Mask Small, 38
Peridex, 21
Orenitram, 10
Pandel, 12
perindopril erbumine, 8
Orfadin, 17
pantoprazole sodium, 18
Perjeta, 5
orphenadrine citrate, 25
papaverine HCL, 9
permethrin, 12
orphenadrine citrate ER, 25
Parafon Forte DSC, 25
perphenazine, 22
orphenadrine/asa/caffeine, 25
Parcopa, 24
Perphenazine/Amitriptyline, 25
Ortho Micronor, 14
paricalcitol, 17
Perry Prenatal, 32
Ortho Tri-cyclen, 14
Parlodel, 24
Persantine, 21
Ortho Tri-cyclen LO, 14
Parnate, 22
Pertzye, 18
Ortho-cept, 14
paromomycin sulfate, 2
Pexeva, 22
Ortho-cyclen, 14
paroxetine HCL, 22
Pfizerpen-G, 1
Ortho-novum 1/35, 14
paroxetine HCL ER, 22
Pharmacist Choice Autocode Blood Glucose Test Strips, 37
Ortho-novum 7/7/7, 14
Paser, 2
Orthovisc, 25
Pataday, 27
Pharmacy Counter Lancets, 35
Oseni, 16
Patanase, 30
phenazopyridine HCL, 19
Osmoprep, 17
Patanol, 27
phenelzine sulfate, 22
Osphena, 16
Paxil, 22
Phenergan, 30
Otezla, 29
Paxil CR, 22
phenobarbital, 23
Otozin, 27
PCE, 1
Phenobarbital, 23
Otrexup, 29
Pediaderm AF Complete Kit, 11
Phenobarbital Sodium, 23
Ovace Plus, 11
Pediaderm HC, 12
Phentolamine Mesylate, 8
Ovace Plus Wash, 11
Pediaderm Ta, 12
phenylephrine HCL, 9, 26
Ovace Wash, 11
Pediapred, 13
Phenylephrine HCL, 9, 30
Ovcon-35, 14
Pediarix, 31
phenylephrine/guaifenesin, 30
Ovide, 13
Pediatex TD, 30
Phenytek, 24
Ovidrel, 16
Pediatex TDM, 30
phenytoin, 23
oxacillin sodium, 1
Pediatric Panda Mask, 38
phenytoin sodium, 23
oxaliplatin, 4
Pedipirox-4 Nail, 11
phenytoin sodium extended, 23
Oxandrin, 14
Pedvax HIB, 32
Phoslo, 19
oxandrolone, 14
peg 3350/electrolytes, 17
Phoslyra, 19
oxaprozin, 28
peg-3350/electrolytes, 17
Phospholine Iodide, 26
oxazepam, 21
peg-3350/NACL/NA bicarbonate/KCL, 17
Photofrin, 6
oxcarbazepine, 23
Peg-intron, 3
Phrenilin Forte, 27
Oxecta, 28
Peg-intron Redipen, 3
phytonadione, 32
Oxistat, 11
Peg-intron Redipen PAK 4, 3
pilocarpine HCL, 21, 26
Oxsoralen, 12
Peganone, 24
pilocarpine hydrochloride, 21
Oxsoralen Ultra, 11
Pegasys, 3
Pilopine HS, 26
Oxtellar XR, 24
Pegasys Proclick, 3
pindolol, 7
oxybutynin chloride, 19
Pen Needles 29G X 12MM, 35
pioglitazone HCL, 15
oxybutynin chloride ER, 19
Pen Needles 29GX1/2", 35
pioglitazone HCL-glimepiride, 15
oxycodone HCL, 27
Pen Needles 30GX5/16", 35
pioglitazone HCL/metformin HCL, 15
Oxycodone HCL, 28
Pen Needles 31G X 1/4" SHORT, 35
piperacillin sodium/ tazobactam sodium, 1
oxycodone/acetaminophen, 27
Pen Needles 31G X 3/16", 35
oxycodone/aspirin, 27
Pen Needles 31G X 6MM, 35
piperacillin sodium/tazobactam sodium, 1
oxycodone/ibuprofen, 27
Pen Needles 31GX5/16", 35
piperacillin/tazobactam, 1
Oxycontin, 28
penicillin G potassium, 1
piroxicam, 28
oxymorphone hydrochloride, 27
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Pitocin, 27
oxymorphone hydrochloride ER, 27
Pitressin Synthetic, 16
oxytocin, 27
Penicillin G Procaine, 1
Plan B, 14
Oxytrol, 19
Penicillin G Sodium, 1
Plan B One-step, 14
Oxytrol For Women, 19
penicillin v potassium, 1
Plaquenil, 3
P
Penlac Nail Lacquer, 11
Plavix, 21
Pennsaid, 11
Pletal, 21
paclitaxel, 5
Pentacel, 31
Plexion, 10
Paclitaxel, 5
Plexion Cleanser, 10
Preferaob One, 33
Prolastin-c, 31
Plexion Cleansing Cloths, 10
Prefest, 14
Prolensa, 27
Pliaglis, 13
Prefol-DHA, 33
Proleukin, 6
Pneumovax 23, 32
Prelone, 13
Prolia, 16
Pneumovax 23/1 Dose, 32
Premarin, 14, 19
Promacta, 20
Pneumovax 23/5 Dose, 32
Premphase, 14
promethazine HCL, 30
Pocket Chamber, 38
Prempro, 14
promethazine HCL plain, 30
Pocket Spacer, 38
Prenata, 33
promethazine-DM, 30
Pocketchem EZ Blood Glucose Test Strips, 37
Prenatabs RX, 32
promethazine/codeine, 30
Prenatal Ad, 32
promethazine/dextromethorphan, 30
podofilox, 12
Prenatal Vitamins, 32
Prometrium, 15
Poly-tussin DHC, 30
Prenatal-u, 32
Promiseb, 11
Poly-VI-flor, 33
Prenate, 33
Promiseb Complete, 11
Poly-VI-flor/Iron, 33
Prenate AM, 33
propafenone HCL, 7
polyethylene glycol 3350, 17
Prenate DHA, 33
propafenone HCL ER, 7
polymyxin b sulfate, 4
Prenate Elite, 33
Propantheline Bromide, 18
polymyxin b sulfate/trimethoprim sulfate, 25
Prenate Enhance, 33
proparacaine HCL, 26
Prenate Essential, 33
propranolol HCL, 7
Polytrim, 26
Prenate Mini, 33
Propranolol HCL, 7
Pomalyst, 5
Prenate Pixie, 33
propranolol HCL ER, 7
Ponstel, 29
Prenate Restore, 33
Propranolol/Hydrochlorothiazide, 8
potassium citrate ER, 19
Prenate Star, 33
propylthiouracil, 17
potassium citrate-citric acid crystals, 19
Prenexa, 33
Proquad, 32
Potiga, 24
Prepidil, 27
Proscar, 19
Pr Cream, 13
Prepopik, 17
Prosed/DS, 19
Pr Natal 400, 32
Preque 10, 33
Prostigmin, 25
Pr Natal 400 EC, 32
Presera, 13
Prostin E2, 27
Pr Natal 430, 32
Prestige Test Strips, 37
Protamine Sulfate, 21
Pr Natal 430 EC, 32
Prevacid, 18
Protect Plus, 33
Pradaxa, 20
Prevacid Solutab, 18
Protectbone, 33
pramipexole dihydrochloride, 24
Prevident, 21
Protectiron, 20
Pramosone, 12
Prevnar 13, 32
Protectnatal, 33
Pramosone E, 12
Prevpac, 18
Prothelial, 21
Pramotic, 27
Prezista, 3
Protonix, 18
Prandimet, 15
Priftin, 2
Protopic, 12
Prandin, 15
Prilosec, 18
protriptyline HCL, 22
Prastera, 29
Primaquine Phosphate, 3
Provenge, 6
Pravachol, 9
Primaxin IV, 4
Proventil HFA, 31
pravastatin sodium, 9
Primaxin IV Add-vantage, 4
Provera, 15
Prazolamine, 25
primidone, 24
Provida OB, 33
prazosin HCL, 8
Primlev, 28
Provigil, 23
Pre-folic, 20
Primsol, 4
Prozac, 22
Precedex, 23
Prinivil, 8
Prozac Weekly, 22
Precision PCX, 37
Pristiq, 22
Pruclair, 13
Precision PCX Plus Test Strips, 37
Proair HFA, 31
Prudoxin, 11
Precision Point Of Care Test Strips, 37
probenecid, 29
Prumyx, 13
Precision QID Test Strips, 37
probenecid/colchicine, 29
Pss Select GP Lancets, 35
Precision Sof-tact Test Strips, 37
Procainamide HCL, 7
Pss Select Safety Lancets, 35
Precision Thin Lancets, 35
Procardia, 7
Pts Panels Glucose Test, 37
Precision Thins GP Lancet, 35
Procardia XL, 7
Pulmicort, 31
Precision Ultra Lancet, 35
Procentra, 23
Pulmicort Flexhaler, 31
Precision XTRA Blood Glucose Test Strips, 37
prochlorperazine, 22
Pulmophylline, 31
prochlorperazine edisylate, 22
Pulmozyme, 31
Precose, 15
prochlorperazine maleate, 22
Purinethol, 5
Pred Forte, 26
Procort, 19
Purixan, 5
Pred Mild, 26
Procrit, 20
Px Lancets Ultra Thin, 35
Pred-G, 26
Proctocort, 19
Pylera, 18
Pred-G S.o.p., 26
Proctofoam HC, 18
pyrazinamide, 2
prednicarbate, 12
Procysbi, 19
Pyridium, 19
prednisolone, 13
Prodigy NO Coding Blood Glucose Test Strips, 37
pyridostigmine bromide, 25
prednisolone acetate, 26
Pyridoxine HCL, 32
prednisolone sodium phosphate, 13
Prodigy Pressure Activated Safety Lancets, 35
Pyrogallic Acid, 13
Prednisolone Sodium Phosphate, 13, 26
Q
prednisone, 13
Prodigy Twist Top Lancets, 35
Qc Lancets Super Thin, 35
Prednisone, 13
Proferrin-forte, 20
Qc Lancets Ultra Thin, 35
Prednisone Intensol, 13
progesterone, 14
Qnasl, 30
Prefera OB, 33
Proglycem, 15
Quadramet, 6
Prefera OB + DHA, 33
Prograf, 5
Qualaquin, 3
Quartette, 14
Relion R, 15
Rifamate, 2
Quazepam, 23
Relion Thin Lancets, 35
rifampin, 2
Qudexy XR, 24
Relion Ultima Blood Glucose Test Strips, 37
Rifater, 2
Quelicin, 25
Rightest Gl300 Lancets, 35
Quelicin 1000, 25
Relion Ultima Test Strips, 37
Rightest GS100 Blood Glucose Test Strips, 37
Questran, 9
Relion Ultra Thin Lancets, 35
Questran Light, 9
Relion Ultra Thin Lancets30G, 35
Rightest GS300 Blood Glucose Test Strips, 37
quetiapine fumarate, 22
Relion Ultra Thin Plus Lancets 32G, 35
Quflora Pediatric, 32
Relion Ultra Thin Plus Lancets 33G, 35
Rightest GS550 Blood Glucose Test Strips, 37
Quicktek Test Strips, 37
Relistor, 18
Quillivant XR, 23
Relpax, 29
Rilutek, 25
quinapril HCL, 8
Remeron, 22
riluzole, 25
quinapril/hydrochlorothiazide, 8
Remeron Soltab, 22
rimantadine HCL, 3
Quinidine Gluconate, 7
Remicade, 19
Rimantalist, 3
quinidine gluconate CR, 7
Remodulin, 10
Riomet, 15
quinidine gluconate ER, 7
Renacidin, 19
risedronate sodium, 16
quinidine sulfate, 7
Renagel, 19
Risperdal, 23
Quinidine Sulfate, 7
Renatabs, 33
Risperdal Consta, 22
Quinidine Sulfate ER, 7
Renatabs With Iron, 33
Risperdal M-TAB, 23
quinine sulfate, 3
Renax, 33
risperidone, 22
Quintet Ac Blood Glucose Test Strips, 37
Renew Advanced Lancing Cartridge Refills, 35
risperidone odt, 22
Quintet Blood Glucose Test Strips, 37
Ritalin, 23
Qutenza, 13
Renvela, 18
Ritalin LA, 23
Qvar, 31
Reopro, 21
Ritalin SR, 23
R
repaglinide, 15
Riteflo, 38
Reprexain, 28
Rituxan, 5
R-natal OB, 33
Repronex, 16
rivastigmine tartrate, 24
Rabavert, 32
Req 49+, 33
rizatriptan benzoate, 29
rabeprazole sodium, 18
Requip, 24
rizatriptan benzoate odt, 29
raloxifene hydrochloride, 16
Requip XL, 24
Robaxin, 25
ramipril, 8
Rescon-JR, 30
Robaxin-750, 25
Ranexa, 6
Rescon-MX, 30
Robinul, 18
ranitidine HCL, 18
Rescriptor, 3
Robinul Forte, 18
Rapaflo, 19
Rescula, 26
Rocaltrol, 17
Rapamune, 5
Reserpine, 8
Rocephin, 1
Rasuvo, 29
Respa-BR, 30
rocuronium bromide, 25
Ravicti, 17
Restasis, 26
ropinirole ER, 24
Rayos, 13
Restora RX, 17
ropinirole HCL, 24
Razadyne, 25
Restoril, 23
ropivacaine HCL, 29
Razadyne ER, 25
Retavase, 21
Rosadan Kit, 10
Rebetol, 3
Retavase Half-kit, 21
Rosanil, 10
Rebif, 24
Retin-a, 10
Rotarix, 32
Rebif Rebidose, 24
Retin-a Micro, 10
Rotateq, 32
Rebif Rebidose Titration Pack, 24
Retin-a Micro P.M., 10
Rowasa, 19
Rebif Titration Pack, 24
Retisert, 26
Roxicet, 28
Reclast, 16
Retrovir, 3
Roxicodone, 28
Recombinate, 21
Retrovir IV Infusion, 3
Rozerem, 23
Recombivax HB, 32
Revatio, 10
Ryanodex, 25
Recothrom, 21
Reveal Blood Glucose Test, 37
Rybix Odt, 28
Recothrom Spray Kit, 21
Revlimid, 5
Rythmol, 7
Rectiv, 18
Rexall Blood Glucose Test Strips, 37
Rythmol SR, 7
Refuah Plus Blood Glucosetest Strips, 37
Rexall Lancets Ultra Thin, 35
S
Reyataz, 3
Reglan, 19
Sabril, 24
Rezira, 30
Regonol, 25
Safe-t-lance Low Flow 25G, 35
Rezyst IM, 17
Relagard, 19
Safe-t-lance Normal Flow 21G, 35
Rezyst SB, 17
Relenza Diskhaler, 3
Safe-t-lance Plus Safety Lancet High Flow, 35
Rheumatrex, 29
Relhist, 30
Rhinocort Aqua, 30
Relion Blood Glucose Teststrips, 37
Safe-t-lance Plus Safety Lancet Low Flow, 35
Rhinoflex-650, 27
Relion Confirm/Micro Test Strips, 37
Riastap, 21
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 37
Safe-t-lance Plus Safety Lancet Normal Flow, 35
Riax, 10
Ribasphere, 3
Relion Lancets, 35
Safety Lancet 21G/Pressure Activated, 35
Ribasphere Ribapak, 3
Relion Lancets Micro-thin33G, 35
Ribatab, 3
Relion Lancets Standard 21G, 35
Safety Lancet 28G/Pressure Activated, 35
ribavirin, 3
Relion Lancets Thin 26G, 35
Ridaura, 28
Relion Lancets Ultra-thin30G, 35
Safety Lancet 2MM, 35
rifabutin, 2
Relion Prime Blood Glucose Test Strips, 37
Safety Lancets, 35
Rifadin, 2
Safety Lancets 21G, 35
Safety Lancets 28G, 35
35
Solodyn, 2
Safety Let Lancets, 35
Shopko Unilet Lancets Super Thin 30G, 35
Soltamox, 5
Safety Seal Lancets 28G, 35
Solu-cortef, 13
Safety Seal Lancets 30G, 35
Shopko Unilet Lancets Ultra Thin 28G, 35
Solu-medrol, 13
Safyral, 14
Solus V2 Audible Test, 37
Saizen, 16
Siderol, 33
Solus V2 Pressure Activated Safety Lancets 28G, 35
Saizen Click.easy, 16
Signifor, 16
Salagen, 21
sildenafil, 9
Solus V2 Twist Lancets 30G, 35
Salex, 13
sildenafil citrate, 9
Soma, 25
Salex Cream, 13
Silenor, 23
Somatuline Depot, 16
Salex Lotion, 13
Simbrinza, 26
Somavert, 16
salicylic acid, 12
Simcor, 9
Sonata, 23
Salicylic Acid, 13
Simponi, 29
Soriatane, 11
salicylic acid cream, 12
Simponi Aria, 29
Sorilux, 11
Salicylic Acid IN Ammonium Lactate Vehicle, 13
Simulect, 5
sotalol HCL, 7
simvastatin, 9
sotalol HCL (AF), 7
salicylic acid lotion, 12
Sinemet, 24
Sovaldi, 3
Salkera, 13
Sinemet CR, 24
Spectracef, 1
salsalate, 27
Single-let, 35
Spinosad, 13
Salvax, 13
Singulair, 31
Spiriva Handihaler, 31
Salvax Duo Plus, 13
sirolimus, 5
spironolactone, 9
Samsca, 17
Sirturo, 2
spironolactone/hydrochlorothiazide, 9
Sanctura, 19
Sitavig, 3
Sporanox, 2
Sanctura XR, 19
Sivextro, 4
Sporanox Pulsepak, 2
Sancuso, 18
Skelaxin, 25
Sprix, 29
Sandimmune, 5
Sklice, 13
Sprycel, 6
Sandostatin, 16
Smart Diabetes Vantage Universal Lancets 30G, 35
Staflex, 27
Sandostatin Lar Depot, 16
Stalevo 100, 24
Saphris, 23
Smart Diabetes Xpres Blood Glucose Test Strips, 37
Stalevo 125, 24
Sarafem, 25
Stalevo 150, 24
Savella, 24
Smart Sense Color Lancets Universal 33G, 35
Stalevo 200, 24
Savella Titration Pack, 25
Stalevo 50, 24
Scalacort DK, 12
Smart Sense Premium Bloodglucose Strips, 37
Stalevo 75, 24
Scopolamine Hydrobromide, 18
stannous fluoride oral rinse, 21
Seasonique, 14
Smart Sense Standard Lancets Universal 21G, 35
Starlix, 15
Seb-prev, 11
stavudine, 3
Seconal, 23
Smart Sense Super Thin Lancets Universal 30G, 35
Stavzor, 24
Sectral, 7
Staxyn, 10
Select-OB, 33
Smart Sense Thin Lancets Universal 26G, 35
Stelara, 11
Select-ob+dha, 33
Stendra, 10
selegiline HCL, 24
Smart Sense Value Blood Glucose Strips, 37
Sterilance TL, 35
selenium sulfide, 11
Stimate, 16
Selenium Sulfide, 11
Smartest Blood Glucose Test Strips, 37
Stivarga, 6
Selrx, 11
Smartest Lancets 28G, 35
Strattera, 23
Selsun Shampoo, 11
Sodium Bicarbonate, 17
Strazepam, 23
Selzentry, 3
sodium chloride, 30
Streptomycin Sulfate, 2
Semprex-d, 30
Sodium Diuril, 9
Striant, 14
Senophylline, 31
Sodium Edecrin, 9
Stribild, 3
Sensipar, 17
sodium ferric gluconate complex/sucrose, 20
Striverdi Respimat, 31
Sensorcaine-mpf/Epinephrine, 29
Stromectol, 3
Sentradine, 18
sodium hyaluronate, 12
Strovite, 33
Sentraflox AM-10, 22
sodium phenylbutyrate, 17
Strovite Forte, 33
Sentralopram AM-10, 22
sodium sulfacetamide, 10, 11, 25
Strovite One, 33
Sentramodafin AM-100, 23
sodium sulfacetamide wash, 11
Suboxone, 28
Sentravil PM-25, 22
sodium sulfacetamide/sulfur, 10
Subsys, 28
Sentrazolam AM 0.25, 22
Sodium Sulfacetamide/Sulfur, 10
Suclear, 17
Sentrazolpidem PM-5, 23
sodium sulfacetamide/sulfur cleanser, 10
Sucraid, 18
Sentroxatine, 22
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10
sucralfate, 18
Serevent Diskus, 31
Sular, 7
Seromycin, 2
sodium sulfacetamide/sulfur cleansing cloths, 10
sulfacetamide sodium, 10, 25
Seroquel, 23
Sulfacetamide Sodium, 26
Seroquel XR, 22
sodium sulfacetamide/sulfur green, 10
sulfacetamide sodium/prednisolone sodium phosphate, 26
Serostim, 16
Sodium Sulfacetamide/Sulfur IN Urea, 10
sertraline HCL, 22
sodium sulfacetamide/sulfur w/sunscreen, 10
sulfacetamide sodium/sulfur cleanser, 10
Sevelamer Carbonate, 18
Sulfadiazine, 2
Sfrowasa, 19
sodium sulfacetamide/sulfur wash, 10
sulfamethoxazole/trimethoprim, 4
Shohls Solution Modified, 19
Sodium Sulfacetamide/Urea, 11
Sulfamethoxazole/Trimethoprim, 4
Shopko On-the-go Comfort Lancets 30G,
Soliris, 21
sulfamethoxazole/trimethoprim DS, 4
sulfasalazine, 18
Tafinlar, 6
tetracaine HCL, 26
Sulfisoxizole, 2
Talwin, 28
Tetracaine HCL, 29
Sulfoam, 10
Tambocor, 7
Tetracycline HCL, 2
Sulfurated Lime, 13
Tamiflu, 3
Tetrix, 13
sulindac, 28
tamoxifen citrate, 5
Tev-tropin, 16
Sumadan Kit, 10
tamsulosin HCL, 19
Teveten, 8
Sumadan Wash, 10
Tandem F, 20
Teveten HCT, 8
Sumadan XLT, 10
Tandem Plus, 20
Texacort, 12
Sumatriptan, 29
Tanzeum, 15
Thalomid, 5
sumatriptan succinate, 29
Tapazole, 17
Theo-24, 31
Sumatriptan Succinate, 29
Tarceva, 6
theophylline, 30
sumatriptan succinate refill, 29
Targretin, 6
theophylline CR, 30
Sumavel Dosepro, 29
Tarka, 8
theophylline ER, 30
Sumaxin, 10
Taron-bc, 33
theophylline/D5W, 30
Sumaxin CP Kit, 10
Taron-c DHA, 33
Theophylline/D5W, 31
Sumaxin Ts, 10
Taron-duo EC, 33
Therabenzaprine-60, 25
Sumaxin Wash, 10
Taron-prex, 32
Therabenzaprine-90, 25
Supartz, 25
Tasigna, 6
Therabenzaprine-90-5, 25
Supervite, 33
Tasmar, 24
Theracodeine-300, 28
Supervite EC, 33
Taxotere, 5
Theracodophen-325, 28
Support-500, 33
Tazicef, 1
Theracodophen-650, 28
Supprelin LA, 16
Tazorac, 11
Theracodophen-750, 28
Suprax, 1
Tecfidera, 24
Theracodophen-low-90, 28
Supreme Test Strips, 37
Tecfidera Starter Pack, 24
Theracys, 6
Suprep Bowel Prep, 17
Techlite AST Lancets, 36
Therafeldamine, 29
Sure Edge Blood Glucose Test Strips, 37
Techlite Lancets, 36
Therapentin-60, 24
Sure-lance Flat Lancets, 35
Techlite Lancets 30G, 36
Therapentin-90, 24
Sure-lance Lancets 26G, 35
Tegretol, 24
Theraprofen-60, 29
Sure-lance Thin Lancets 28G, 35
Tegretol-XR, 24
Theraprofen-800, 29
Sure-lance Ultra Thin Lancets, 35
Tekamlo, 8
Theraprofen-90, 29
Sure-test Easyplus Mini Blood Glucose Test Strips, 37
Tekturna, 8
Theraproxen-500, 29
Tekturna HCT, 8
Theraproxen-60, 29
Sure-touch Lancets Universal, 36
Telcare Blood Glucose Test Strips, 37
Theraproxen-90, 29
Surechek Blood Glucose Test Strips, 37
telmisartan, 8
Theratramadol-60, 28
Surelite Lancets, 36
telmisartan/amlodipine, 8
Theratramadol-90, 28
Surestep Pro Test Strips, 36
telmisartan/hydrochloroth, 8
thiamine HCL, 32
Surestep Test Strips, 36
telmisartan/hydrochlorothiazide, 8
Thinlets GP Lancets, 36
Surfaxin, 31
temazepam, 23
Thinlets Lancet, 36
Surmontil, 22
Temodar, 4
Thiola, 19
Survanta Intratracheal, 31
Temovate, 12
thioridazine HCL, 22
Sustiva, 3
Temovate E, 12
thiothixene, 22
Sutent, 6
temozolomide, 4
Thrombin-jmi Diluent, 21
Suttar-2, 30
Tencon, 27
Thrombin-jmi Epistaxis, 21
Suttar-SF, 30
Tenex, 8
Thrombin-jmi Syringe Spray Kit, 21
Sylatron, 6
Teniposide, 5
Thrombin-jmi W/Dil Spray P.M. Actuator, 21
Symax Duotab, 18
Tenivac, 31
Symbicort, 31
Tenoretic 100, 8
Thrombogen, 21
Symbyax, 25
Tenoretic 50, 8
Thymoglobulin, 5
Symlinpen 120, 15
Tenormin, 7
Thyrolar-1, 17
Symlinpen 60, 15
Terazol 3, 19
Thyrolar-1/2, 17
Synagex, 33
Terazol 7, 19
Thyrolar-1/4, 17
Synalar, 12
terazosin HCL, 8
Thyrolar-2, 17
Synalar Cream Kit, 12
terbinafine HCL, 2
Thyrolar-3, 17
Synalar Ointment Kit, 12
Terbinex, 3
tiagabine hydrochloride, 24
Synalar Ts, 12
terbutaline sulfate, 30
Tiazac, 7
Synalgos-dc, 28
terconazole, 19
Tice Bcg, 6
Synarel, 16
Tersi Foam, 11
ticlopidine HCL, 21
Synatek, 33
Tessalon Perles, 30
Tigan, 18
Synera, 13
Testim, 14
Tikosyn, 7
Synercid, 4
Testopel, 14
Timentin, 1
Synribo, 6
Testosterone, 14
Timolol Maleate, 7
Synthroid, 17
testosterone cypionate, 14
timolol maleate, 26
Synvisc, 25
testosterone enanthate, 14
timolol maleate ophthalmic gel forming, 26
Synvisc One, 25
Testosterone P.M., 14
T
Testred, 14
Timoptic, 26
Tetanus Toxoid Adsorbed, 31
Timoptic Ocudose, 26
Tabloid, 5
Tetanus/Diphtheria Toxoids-adsorbed Adult, 31
Timoptic-xe, 26
Taclonex, 12
Tindamax, 4
tacrolimus, 5
tinidazole, 4
Trepoxen-250, 29
Tray/8french, 29
Tirosint, 17
Trepoxicam-7.5, 29
Tussicaps, 30
Tisseel, 21
Tretin-x, 10
Tussionex Pennkinetic Extended Release, 30
Tivicay, 3
tretinoin, 6, 10
Tizanidine Comfort PAC, 25
tretinoin microsphere, 10
Twinrix, 32
tizanidine HCL, 25
tretinoin microsphere P.M., 10
Twynsta, 8
TL G-FOL OS, 33
Tretten, 21
Tygacil, 4
TL Triseb, 11
Trexall, 5
Tykerb, 6
TL-cermide, 13
Treximet, 29
Tylenol/Codeine #3, 28
Tnkase, 21
Trezix, 28
Tylenol/Codeine #4, 28
Tobi, 2
Tri-norinyl 28, 14
Typhim VI, 32
Tobi Podhaler, 2
Tri-VI-flor, 33
Tysabri, 25
Tobradex, 26
triamcinolone acetonide, 12, 21, 30
Tyvaso, 10
Tobradex ST, 26
Triamcinolone Acetonide, 12
Tyvaso Refill, 10
tobramycin, 2
triamcinolone IN orabase, 21
Tyvaso Starter, 10
tobramycin sulfate, 2, 25
triamterene/hydrochlorothiazide, 9
Tyzeka, 3
Tobramycin Sulfate/Sodium Chloride, 2
Triamterene/Hydrochlorothiazide, 9
Tyzine, 30
tobramycin/dexamethasone, 26
Trianex, 12
Tyzine Pediatric Nasal Drops, 30
Tobrex, 26
triazolam, 23
U
Tofranil, 22
Tribenzor, 8
U-cort, 12
Tofranil-PM, 22
Tricare, 32
Uceris, 13
tolazamide, 15
Tricare Prenatal Compleat, 33
Udamin, 33
Tolazamide, 15
Tricare Prenatal DHA One, 33
Udamin SP, 33
Tolbutamide, 15
Tricitrates, 20
Ulesfia, 13
tolmetin sodium, 28
Tricor, 9
Uloric, 29
Tolmetin Sodium, 28
trifluoperazine HCL, 22
Ulticare Thin Lancets 30G, 36
tolterodine tartrate, 19
trifluridine, 25
Ultilet Basic Lancets 30G, 36
tolterodine tartrate ER, 19
Triglide, 9
Ultilet Classic Lancets, 36
Topamax, 24
trihexyphenidyl HCL, 24
Ultilet Lancets, 36
Topamax Sprinkle, 24
Trileptal, 24
Ultilet Lancets 33G, 36
Topicort, 12
Trilipix, 9
Ultilet Safety Lancets 23G, 36
topiramate, 24
trimethobenzamide HCL, 18
Ultima Test Strips, 37
Topiramate ER, 24
trimethoprim, 4
Ultiva, 28
topotecan HCL, 6
trimethoprim sulfate/polymyxin b sulfate, 25
Ultra-thin II Auto Lancet, 36
Topotecan HCL, 6
Ultra-thin II Lancets 28G, 36
Toprol XL, 7
trimipramine maleate, 22
Ultra-thin II Lancets 30G, 36
Torisel, 6
Trinate, 32
Ultra-thin II Safety Autolancets 26G, 36
torsemide, 9
Triostat, 17
Ultracet, 28
Torsemide, 9
Trisenox, 6
Ultram, 28
Totect, 6
Triumeq, 3
Ultram ER, 28
Toviaz, 19
Triveen-duo DHA, 33
Ultrasal-ER, 13
Tracleer, 10
Triveen-prx RNF, 33
Ultratrak Pro Test Strips, 37
Tradjenta, 15
Triveen-ten, 33
Ultratrak Ultimate Test Strips, 37
tramadol HCL, 27
Triveen-u, 33
Ultravate, 12
tramadol HCL ER, 27
Trizivir, 3
Ultravate PAC, 12
Tramadol HCL ER, 28
Trokendi XR, 24
Ultravate X, 12
tramadol hydrochloride/acetaminophen, 27
Tropazone, 13
Ultresa, 18
trospium chloride, 19
Umecta, 13
Trandate, 7
trospium chloride ER, 19
Umecta Nail Film, 13
trandolapril, 8
True Metrix Blood Glucosetest Strips, 37
Umecta PD, 13
tranexamic acid, 20
Trueplus Lancets 26G, 36
Unasyn, 1
Transderm-scop, 18
Trueplus Lancets 28G, 36
Unasyn Bulk Pack, 1
Tranxene T, 22
Trueplus Lancets 28G Super Thin, 36
Unilet Comfortouch Lancet, 36
tranylcypromine sulfate, 22
Trueplus Lancets 30G, 36
Unilet Excelite, 36
Trasylol, 21
Trueplus Lancets 30G Ultra Thin, 36
Unilet Excelite II, 36
Travatan Z, 26
Trueplus Lancets 33G, 36
Unilet G.p. Lancet, 36
Travoprost, 26
Trueplus Lancets 33G Micro Thin, 36
Unilet G.p. Superlite Lancet, 36
Trazamine, 22
Trueplus Safety Lancets 28G, 36
Unilet GP 28 Ultra Thin, 36
trazodone HCL, 22
Truetest Blood Glucose T Est, 37
Unilet Lancet, 36
Treanda, 4
Truetest Blood Glucose T Est Strips, 37
Unilet Superlite Lancet, 36
Trecator, 2
Truetest Strips, 37
Uniretic, 8
Trelstar Depot, 5
Truetrack Blood Glucose Test, 37
Unistik 3 Gentle, 36
Trelstar Depot Mixject, 5
Truetrack Test, 37
Unistrip1 Generic, 37
Trelstar LA, 5
Trusopt, 27
Univasc, 8
Trelstar LA Mixject, 5
Truvada, 3
Universal 1 Lancets Thin 26G, 36
Trelstar Mixject, 5
Tucks Anti-itch, 12
Universal 1 Lancets Ultra Thin 30G, 36
Trental, 21
Tudorza Pressair, 31
Uramaxin, 13
Trepadiclofen-25, 29
Turkel Paracentesis Procedure
Uramaxin GT, 13
Uramaxin GT Kit, 13
Verapamil HCL, 7
Vitafol-pn, 33
urea, 12
verapamil HCL ER, 7
Vital-d RX, 33
urea 40% nail film, 12
verapamil HCL SR, 7
Vitalet Pro Lancets, 36
urea IN zinc undecylenate/lactic acid vehicle, 12
Verdeso, 12
Vitalet Pro Plus Lancets, 36
Veregen, 13
Vitamedmd One RX/Quatrefolic, 33
urea topical, 12
Verelan, 7
Vitamedmd Plus RX/Quatre Folic, 33
Urecholine, 19
Verelan PM, 7
Vitamedmd Redichew RX, 33
Urelle, 19
Veripred 20, 13
Vitamedmd Redichew RX/Quatrefolic, 33
Uretron D/S, 19
Versacloz, 23
vitamin c 222MG, 32
Urex, 19
Vesicare, 19
vitamin d, 32
Uribel, 19
Vexa, 13
vitamin k1, 32
Urimar-t, 19
Vexol, 26
Vitamin K1, 32
Urocit-k 10, 20
Vfend, 3
Vitapearl, 33
Urocit-k 15, 20
Vfend IV, 3
Vitaroca Plus, 33
Urocit-k 5, 20
Viagra, 10
Vituz, 30
Urogesic-blue, 19
Vibativ, 4
Viva CT Prenatal, 33
Uroqid #2, 19
Vibramycin, 2
Viva DHA, 33
Uroxatral, 20
Vicoprofen, 28
Vivactil, 22
Urso 250, 19
Victory Agm-4000 Test Strips, 37
Vivelle-dot, 14
Urso Forte, 19
Victoza, 15
Vivotif Berna, 32
ursodiol, 18
Victrelis, 3
Vocal Point Blood Glucose Test Strips, 37
Utopic, 13
Vida Mia Unilet Lancets Super Thin 30G, 36
Uvadex, 6
Vogelxo, 14
V
Vida Mia Unilet Lancets Ultra Thin 28G, 36
Vogelxo P.M., 14
Voltaren, 11
Vagifem, 19
Vidaza, 5
Voltaren-XR, 29
valacyclovir HCL, 3
Videx EC, 3
Voluven, 21
Valchlor, 4
Videx Pediatric, 3
Vopac, 11
Valcyte, 3
Vigamox, 25
Vopac GB, 11
Valium, 22
Viibryd, 22
Vopac Kt, 11
valproate sodium, 24
Vimizim, 17
Voraxaze, 6
valproic acid, 24
Vimovo, 29
voriconazole, 2
valsartan, 8
Vimpat, 24
Vortex Valved Holding Chamber, 38
valsartan/hydrochlorothiazide, 8
Vinacal, 33
Vosol HC, 27
Valstar, 4
Vinacal B, 33
Vospire ER, 31
Valtrex, 3
Vinate AZ Extra, 33
Votrient, 6
Valumark Lancet Super Thin 30G, 36
Vinate C, 32
Vpriv, 20
Valumark Lancet Ultra Thin 28G, 36
Vinate Calcium, 33
Vsl#3 DS, 17
Vancocin HCL, 4
Vinate Care, 32
Vumon, 5
vancomycin HCL, 4
Vinate DHA, 33
Vusion, 11
Vancomycin HCL, 4
Vinate DHA RF, 33
Vytorin, 9
Vancomycin HCL IN Dextrose, 4
Vinate GT, 32
Vyvanse, 23
Vanos, 12
Vinate IC, 32
W
Vanoxide-HC, 10
Vinate II, 32
Vantas, 5
W&f Lancets 26G, 36
Vinate M, 32
Vaprisol, 17
W&f Lancets Colored 21G, 36
Vinate One, 32
Vaqta, 32
Walgreens Lancets, 36
Vinate Pn Care, 32
Varivax, 32
Walgreens Thin Lancets, 36
Vinblastine Sulfate, 5
Vascepa, 9
Walgreens Ultra Thin Lancets, 36
vincristine sulfate, 5
Vaseretic, 8
warfarin sodium, 20
vinorelbine tartrate, 5
vasopressin, 16
Watchhaler, 38
Viokace, 18
Vasotec, 8
Wavesense Presto Test Strips, 37
Viracept, 3
Vecamyl, 8
Welchol, 9
Viramune, 3
Vectibix, 5
Wellbutrin, 22
Viramune XR, 3
Vectical, 11
Wellbutrin SR, 22
Virasal, 13
vecuronium bromide, 25
Wellbutrin XL, 22
Virazole, 3
Velcade, 6
Westcort, 12
Viread, 3
Veletri, 10
Westhroid, 17
Viroptic, 26
Velphoro, 19
Westhroid-p, 17
Vistaril, 22
Veltin, 10
Wheat Germ, 32
Vistide, 3
Vemavite-prx 2, 33
Wilate, 21
Vita-pren, 33
venlafaxine HCL, 22
Witch Hazel, 13
Vitafol, 33
venlafaxine HCL ER, 22
Wp Thyroid, 17
Vitafol Ultra, 33
Venlafaxine HCL ER, 22
X
Vitafol-nano, 33
Venofer, 20
Vitafol-OB, 32
Xalatan, 26
Ventavis, 10
Vitafol-ob+dha, 33
Xalkori, 6
Ventolin HFA, 31
Vitafol-one, 33
Xanax, 22
Veramyst, 30
Vitafol-plus, 33
Xanax XR, 22
verapamil HCL, 7
Xarelto, 20
Zevalin Y-90, 5
1
Xartemis XR, 28
Ziac, 8
1ST Choice Lancets Super Thin, 36
Xclair, 13
Ziagen, 3
1ST Choice Lancets Thin, 36
Xeljanz, 29
Ziana, 10
1ST Choice Lancets Ultra Thin, 36
Xeloda, 5
zidovudine, 3
8
Xenazine, 24
Zinacef, 1
Xeomin, 25
Zinacef IN Iso-osmotic Dextrose, 1
8-mop, 11
Xerac Ac, 13
Zinacef IN Iso-osmotic Diluent, 1
Xerese, 11
Zinecard, 6
Xgeva, 16
Zioptan, 26
Xifaxan, 4
ziprasidone HCL, 22
Xodol, 28
Zipsor, 29
Xofigo, 6
Zirgan, 26
Xolair, 31
Zithranol, 11
Xolegel, 11
Zithranol-rr, 11
Xolegel Corepak, 11
Zithromax, 1
Xolegel Duo/Head & Shoulders, 11
Zithromax Tri-PAK, 1
Xolegel Duo/Xolex, 11
Zithromax Z-PAK, 1
Xolox, 28
Zmax, 1
Xopenex, 31
Zocor, 9
Xopenex Concentrate, 31
Zofran, 18
Xopenex HFA, 31
Zofran Odt, 18
Xtandi, 5
Zohydro ER, 28
Xylocaine, 7, 13, 29
Zoladex, 5
Xylocaine-mpf, 30
zoledronic acid, 16
Xylocaine-mpf/Epinephrine, 30
Zoledronic Acid, 16
Xylocaine/Epinephrine, 30
Zolinza, 6
Xyntha, 21
zolmitriptan, 29
Xyntha Solofuse, 21
zolmitriptan odt, 29
Xyrem, 24
Zoloft, 22
Xyzal, 30
zolpidem tartrate, 23
Y
zolpidem tartrate ER, 23
Zolpimist, 23
Yasmin 28, 14
Zolvit, 28
Yaz, 14
Zometa, 16
Yervoy, 5
Zomig, 29
Yf-vax, 32
Zomig Nasal Spray, 29
Yodoxin, 3
Zomig ZMT, 29
Z
Zonalon, 11
Zonatuss, 30
Zacare 4% Kit, 10
Zonegran, 24
Zacare 8% Kit, 10
zonisamide, 24
zafirlukast, 31
Zontivity, 21
zaleplon, 23
Zorbtive, 16
Zaltrap, 5
Zortress, 5
Zanaflex, 25
Zorvolex, 28
Zanosar, 4
Zostavax, 32
Zantac, 18
Zosyn, 1
Zarontin, 24
Zovia 1/50e, 14
Zaroxolyn, 9
Zovirax, 3, 11
Zatean-CH, 33
Zubsolv, 28
Zatean-pn, 33
Zuplenz, 18
Zatean-pn DHA, 33
Zutripro, 30
Zatean-pn Plus, 33
Zyclara, 12
Zavesca, 20
Zyclara P.M., 12
Zebeta, 7
Zydelig, 6
Zegerid, 18
Zydone, 28
Zelapar, 24
Zyflo, 31
Zelboraf, 6
Zyflo CR, 31
Zemaira, 31
Zykadia, 6
Zemplar, 17
Zylet, 26
Zemuron, 25
Zyloprim, 29
Zenpep, 18
Zymaxid, 26
Zenzedi, 23
Zyprexa, 23
Zerit, 3
Zyprexa Relprevv, 23
Zestoretic, 8
Zyprexa Zydis, 23
Zestril, 8
Zytiga, 5
Zetia, 9
Zyvox, 4
Zetonna, 30