medicaid-approved preferred drug list...hoosier care connect medicaid-approved preferred drug list...

Hoosier Care Connect

Medicaid-Approved

Preferred Drug List

Effective May 1, 2021

Legend

In each class, drugs are listed alphabetically by either brand name or generic name.

Brand name drug: Uppercase in bold type

Generic drug: Lowercase in plain type

AL: Age Limit Restrictions

DO: Dose Optimization Program

GR: Gender Restriction

OTC: Over the counter medication available with a prescription. (Prescribers please indicate OTC on the prescription)

PA: Prior authorization is required. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled.

QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month.

SP: Specialty Pharmacy

ST: Step therapy is required. You may need to use one medication before benefits for the use of another medication can be authorized.

Drug Name Reference Notes

*ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS*

*ADHD AGENT - SELECTIVE ALPHA ADRENERGIC AGONISTS***

clonidine hcl er oral tablet extended release 12 hour

Kapvay QL

guanfacine hcl er oral tablet extended release 24 hour

Intuniv QL

*ADHD AGENT - SELECTIVE NOREPINEPHRINE REUPTAKE INHIBITOR***

atomoxetine hcl oral capsule Strattera QL

*AMPHETAMINE MIXTURES***

amphetamine-dextroamphet er oral capsule extended release 24 hour

Adderall XR AL; QL

amphetamine-dextroamphetamine oral tablet

Adderall AL; QL

MYDAYIS ORAL CAPSULE EXTENDED RELEASE 24 HOUR

AL; QL

*AMPHETAMINES***

ADZENYS XR-ODT ORAL TABLET EXTENDED RELEASE DISPERSIBLE

AL; QL

amphetamine er oral suspension extended release

Adzenys ER AL; QL

amphetamine sulfate oral tablet Evekeo AL; QL

dextroamphetamine sulfate er oral capsule extended release 24 hour

Dexedrine AL; QL

dextroamphetamine sulfate oral solution ProCentra AL; QL

dextroamphetamine sulfate oral tablet Zenzedi AL; QL

DYANAVEL XR ORAL SUSPENSION EXTENDED RELEASE

AL; QL

EVEKEO ODT ORAL TABLET DISPERSIBLE

AL

methamphetamine hcl oral tablet Desoxyn AL; QL

PROCENTRA ORAL SOLUTION AL; QL

VYVANSE ORAL CAPSULE AL; QL

VYVANSE ORAL TABLET CHEWABLE 10 MG

AL

VYVANSE ORAL TABLET CHEWABLE 20 MG, 30 MG, 40 MG, 50 MG, 60 MG

AL; QL

2


ZENZEDI ORAL TABLET AL; QL

*ANALEPTICS***

caffeine citrate oral solution

*DOPAMINE AND NOREPINEPHRINE REUPTAKE INHIBITORS (DNRIS)***

SUNOSI ORAL TABLET PA

*STIMULANTS - MISC.***

ADHANSIA XR ORAL CAPSULE EXTENDED RELEASE 24 HOUR

AL; QL

armodafinil oral tablet Nuvigil PA; QL

COTEMPLA XR-ODT ORAL TABLET EXTENDED RELEASE DISPERSIBLE

AL; QL

DAYTRANA TRANSDERMAL PATCH AL; QL

dexmethylphenidate hcl er oral capsule extended release 24 hour

Focalin XR AL; QL

dexmethylphenidate hcl oral tablet Focalin AL; QL

JORNAY PM ORAL CAPSULE EXTENDED RELEASE 24 HOUR

AL; QL

methylphenidate hcl er (cd) oral capsule extended release

AL; QL

methylphenidate hcl er (la) oral capsule extended release 24 hour

Ritalin LA AL; QL

methylphenidate hcl er (xr) oral capsule extended release 24 hour

Aptensio XR AL; QL

methylphenidate hcl er oral tablet extended release

AL; QL

methylphenidate hcl er oral tablet extended release 24 hour

AL; QL

methylphenidate hcl oral solution Methylin AL; QL

methylphenidate hcl oral tablet Ritalin AL; QL

methylphenidate hcl oral tablet chewable AL; QL

modafinil oral tablet 100 mg Provigil PA; DO; QL

modafinil oral tablet 200 mg Provigil PA; QL

QUILLICHEW ER ORAL TABLET CHEWABLE EXTENDED RELEASE 20 MG

AL; QL

QUILLICHEW ER ORAL TABLET CHEWABLE EXTENDED RELEASE 30 MG, 40 MG

AL

QUILLIVANT XR ORAL SUSPENSION RECONSTITUTED ER

3


RELEXXII ORAL TABLET EXTENDED RELEASE

AL; QL

RITALIN LA ORAL CAPSULE EXTENDED RELEASE 24 HOUR

AL; QL

*ALTERNATIVE MEDICINES*

*ALTERNATIVE MEDICINE - ME'S***

gnp melatonin oral tablet chewable VitaJoy Gummies OTC

*AMINOGLYCOSIDES*

*AMINOGLYCOSIDES***

neomycin sulfate oral tablet

paromomycin sulfate oral capsule

tobramycin inhalation nebulization solution Kitabis Pak SP; QL

*ANALGESICS - ANTI-INFLAMMATORY*

*ANTI-TNF-ALPHA - MONOCLONAL ANTIBODIES***

HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT

PA; SP; QL

HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT

PA; SP; QL

HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN-INJECTOR KIT

PA; SP; QL

HUMIRA PEN-PEDIATRIC UC START SUBCUTANEOUS PEN-INJECTOR KIT

PA; SP; QL

HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT

PA; SP; QL

HUMIRA PEN-PSOR/UVEIT STARTER SUBCUTANEOUS PEN-INJECTOR KIT

PA; SP; QL

HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT

PA; SP; QL

*GOLD COMPOUNDS***

RIDAURA ORAL CAPSULE

*NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)***

all day pain relief oral tablet Mediproxen OTC; QL

all day relief oral tablet Mediproxen OTC; QL

CATAFLAM ORAL TABLET

childrens ibuprofen 100 oral suspension Childrens Advil OTC; QL

4


childrens ibuprofen oral suspension Childrens Advil OTC; QL

cvs all day pain relief oral tablet Mediproxen OTC; QL

cvs childrens ibuprofen oral suspension Childrens Advil OTC; QL

cvs ibuprofen childrens oral suspension Childrens Advil OTC; QL

cvs ibuprofen infants oral suspension Infants Advil OTC; QL

cvs ibuprofen oral tablet Provil OTC; QL

cvs naproxen sodium oral tablet Mediproxen OTC; QL

diclofenac potassium oral tablet Cataflam

diclofenac sodium er oral tablet extended release 24 hour

QL

diclofenac sodium oral tablet delayed release

QL

eq ibuprofen childrens oral suspension Childrens Advil OTC; QL

eq ibuprofen oral tablet Provil OTC; QL

eq naproxen sodium oral tablet Mediproxen OTC; QL

eql childrens ibuprofen oral suspension Childrens Advil OTC; QL

eql ibuprofen infants oral suspension Infants Advil OTC; QL

eql ibuprofen oral tablet Provil OTC; QL

eql naproxen sodium oral tablet Mediproxen OTC; QL

etodolac er oral tablet extended release 24 hour

QL

etodolac oral capsule QL

etodolac oral tablet QL

fenoprofen calcium oral capsule Nalfon PA

fenoprofen calcium oral tablet Nalfon

flurbiprofen oral tablet QL

gnp childrens ibuprofen oral suspension Childrens Advil OTC; QL

gnp ibuprofen infants oral suspension Infants Advil OTC; QL

gnp ibuprofen oral tablet Provil OTC; QL

gnp naproxen sodium oral tablet Mediproxen OTC; QL

goodsense ibuprofen childrens oral suspension

Childrens Advil OTC; QL

goodsense ibuprofen infants oral suspension Infants Advil OTC; QL

goodsense ibuprofen oral tablet Provil OTC; QL

goodsense naproxen sodium oral tablet Mediproxen OTC; QL

hm ibuprofen childrens oral suspension Childrens Advil OTC; QL

hm ibuprofen ib oral tablet Provil OTC; QL

hm ibuprofen infants oral suspension Infants Advil OTC; QL

5


hm ibuprofen oral tablet Provil OTC; QL

hm naproxen sodium oral tablet Mediproxen OTC; QL

IBU ORAL TABLET QL

ibu-200 oral tablet Provil OTC; QL

ibuprofen childrens oral suspension Childrens Advil OTC; QL

ibuprofen infants oral suspension Infants Advil OTC; QL

ibuprofen oral suspension Childrens Advil QL

ibuprofen oral tablet 200 mg Provil OTC; QL

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

IBU QL

indomethacin er oral capsule extended release

indomethacin oral capsule

infants ibuprofen oral suspension Infants Advil OTC; QL

ketoprofen er oral capsule extended release 24 hour

QL

ketoprofen oral capsule 25 mg, 75 mg QL

ketoprofen oral capsule 50 mg

ketorolac tromethamine oral tablet QL

kls ibuprofen oral tablet Provil OTC; QL

kls naproxen sodium oral tablet Mediproxen OTC; QL

meclofenamate sodium oral capsule QL

MEDIPROXEN ORAL TABLET OTC; QL

mefenamic acid oral capsule PA; QL

meijer ibuprofen oral tablet Provil OTC; QL

meloxicam oral tablet Mobic QL

nabumetone oral tablet 500 mg Relafen QL

nabumetone oral tablet 750 mg Relafen

naproxen oral suspension Naprosyn

naproxen oral tablet

naproxen sodium oral tablet 220 mg Mediproxen OTC; QL

naproxen sodium oral tablet 275 mg QL

naproxen sodium oral tablet 550 mg Anaprox DS QL

oxaprozin oral tablet Daypro QL

piroxicam oral capsule Feldene QL

PROVIL ORAL TABLET OTC; QL

px all day relief oral tablet Mediproxen OTC; QL

px childrens profen ib oral suspension Childrens Advil OTC; QL

6


px ibuprofen oral tablet Provil OTC; QL

px infants profen ib oral suspension Infants Advil OTC; QL

qc childrens ibuprofen oral suspension Childrens Advil OTC; QL

qc ibuprofen ib oral tablet Provil OTC; QL

qc ibuprofen oral tablet Provil OTC; QL

qc naproxen sodium oral tablet Mediproxen OTC; QL

ra ibuprofen childrens oral suspension Childrens Advil OTC; QL

ra ibuprofen infants oral suspension Infants Advil OTC; QL

ra ibuprofen oral tablet Provil OTC; QL

ra naproxen sodium oral tablet Mediproxen OTC; QL

ra pain relief ibuprofen oral tablet Provil OTC; QL

RELAFEN ORAL TABLET 500 MG QL

RELAFEN ORAL TABLET 750 MG

sb ibuprofen oral tablet Provil OTC; QL

sb infants ibuprofen oral suspension Infants Advil OTC; QL

sb naproxen sodium oral tablet Mediproxen OTC; QL

sm childrens ibuprofen oral suspension Childrens Advil OTC; QL

sm ibuprofen ib oral tablet Provil OTC; QL

sm ibuprofen oral tablet Provil OTC; QL

sm infants ibuprofen oral suspension Infants Advil OTC; QL

sm naproxen sodium oral tablet Mediproxen OTC; QL

sulindac oral tablet QL

tolmetin sodium oral capsule QL

tolmetin sodium oral tablet QL

WAL-PROFEN ORAL TABLET OTC; QL

*PYRIMIDINE SYNTHESIS INHIBITORS***

leflunomide oral tablet Arava

*SOLUBLE TUMOR NECROSIS FACTOR RECEPTOR AGENTS***

ENBREL MINI SUBCUTANEOUS SOLUTION CARTRIDGE

PA; SP; QL

ENBREL SUBCUTANEOUS SOLUTION PA; SP; QL

ENBREL SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED

PA; SP; QL

7


ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; SP; QL

*ANALGESICS - NONNARCOTIC*

*ANALGESICS OTHER***

acetaminophen childrens oral solution AL; OTC

acetaminophen childrens oral suspension Panadol Childrens AL; OTC; QL

acetaminophen extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

acetaminophen infants oral suspension Panadol Childrens AL; OTC; QL

acetaminophen oral liquid Little Remedies for Fever AL; OTC; QL

acetaminophen oral solution AL; OTC

acetaminophen oral suspension Panadol Childrens AL; OTC; QL

acetaminophen oral tablet 325 mg Pharbetol OTC

acetaminophen oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

acetaminophen oral tablet chewable Childrens Medi-Tabs AL; OTC

acetaminophen rectal suppository 120 mg FeverAll Childrens AL; OTC

acetaminophen rectal suppository 650 mg FeverAll Adults OTC

aurophen childrens oral suspension Panadol Childrens AL; OTC; QL

betatemp childrens oral suspension Panadol Childrens AL; OTC; QL

childrens acetaminophen oral suspension Panadol Childrens AL; OTC; QL

childrens apap oral tablet chewable Childrens Medi-Tabs AL; OTC

CHILDRENS MEDI-TABS ORAL TABLET CHEWABLE

AL; OTC

childrens non-aspirin oral suspension Panadol Childrens AL; OTC; QL

childrens non-aspirin oral tablet chewable Childrens Medi-Tabs AL; OTC

childrens pain reliever oral tablet chewable Childrens Medi-Tabs AL; OTC

childrens silapap oral liquid Little Remedies for Fever AL; OTC; QL

childrens tactinal oral tablet chewable Childrens Medi-Tabs AL; OTC

cvs acetaminophen ex st oral liquidMapap Acetaminophen Extra Str

AL; OTC

cvs acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs acetaminophen oral liquidMapap Acetaminophen Extra Str

AL; OTC

cvs childs non-aspirin oral tablet chewable Childrens Medi-Tabs AL; OTC

cvs fever reducing childrens rectal suppository

FeverAll Childrens AL; OTC

cvs infants pain relief drops oral suspension Panadol Childrens AL; OTC; QL

8


cvs non-aspirin childrens oral tablet chewable

Childrens Medi-Tabs AL; OTC

cvs non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs pain & fever childrens oral suspension Panadol Childrens AL; OTC; QL

cvs pain & fever infants oral suspension Panadol Childrens AL; OTC; QL

cvs pain relief childrens oral suspension Panadol Childrens AL; OTC; QL

cvs pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs pain relief oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs pain relief regular st oral tablet Pharbetol OTC

ed-apap oral liquid Little Remedies for Fever AL; OTC; QL

eq acetaminophen oral tablet 325 mg Pharbetol OTC

eq acetaminophen oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

eq pain & fever childrens oral suspension Panadol Childrens AL; OTC; QL

eq pain & fever infants oral suspension Panadol Childrens AL; OTC; QL

eq pain relief/rapid burst oral liquidMapap Acetaminophen Extra Str

AL; OTC

eq pain reliever oral tablet 325 mg Pharbetol OTC

eq pain reliever oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

eql acetaminophen childrens oral suspension

Panadol Childrens AL; OTC; QL

eql acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

eql acetaminophen infants oral suspension Panadol Childrens AL; OTC; QL

FEVERALL ADULTS RECTAL SUPPOSITORY

OTC

FEVERALL CHILDRENS RECTAL SUPPOSITORY

AL; OTC

FEVERALL INFANTS RECTAL SUPPOSITORY

AL; OTC

FEVERALL JUNIOR STRENGTH RECTAL SUPPOSITORY

OTC

gnp acetaminophen oral tablet Pharbetol OTC

gnp infants pain/fever oral suspension Panadol Childrens AL; OTC; QL

gnp pain & fever childrens oral suspension Panadol Childrens AL; OTC; QL

gnp pain & fever infants oral suspension Panadol Childrens AL; OTC; QL

9


gnp pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

gnp pain relief oral tablet Pharbetol OTC

goodsense pain & fever child oral suspension


goodsense pain & fever infants oral suspension


goodsense pain relief extra st oral tabletHealthy Mama Shake That Ache

OTC; QL

goodsense pain relief oral tablet Pharbetol OTC

HEALTHY MAMA SHAKE THAT ACHE ORAL TABLET

OTC; QL

hm pain & fever childrens oral suspension Panadol Childrens AL; OTC; QL

hm pain & fever infants oral suspension Panadol Childrens AL; OTC; QL

hm pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

hm pain reliever oral tablet Pharbetol OTC

infants pain & fever oral suspension Panadol Childrens AL; OTC; QL

kls acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

kls rapid release pain oral tabletHealthy Mama Shake That Ache

OTC; QL

liquid acetaminophen oral liquid Little Remedies for Fever AL; OTC; QL

liquid pain relief oral liquid Little Remedies for Fever AL; OTC; QL

LITTLE REMEDIES FOR FEVER ORAL LIQUID

AL; OTC; QL

MAPAP ACETAMINOPHEN EXTRA STR ORAL LIQUID

AL; OTC

MAPAP CHILDRENS ORAL TABLET CHEWABLE

AL; OTC

mapap oral capsule OTC; QL

mapap oral liquid Little Remedies for Fever AL; OTC; QL

mapap oral tablet Pharbetol OTC

mapap oral tablet chewable Childrens Medi-Tabs AL; OTC

m-pap oral liquid Little Remedies for Fever AL; OTC; QL

non-aspirin childrens oral suspension Panadol Childrens AL; OTC; QL

non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

non-aspirin oral tablet 325 mg Pharbetol OTC

10


non-aspirin oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

pain & fever childrens oral suspension Panadol Childrens AL; OTC; QL

pain & fever infants oral suspension Panadol Childrens AL; OTC; QL

pain relief childrens oral suspension Panadol Childrens AL; OTC; QL

pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

pain relief oral liquidMapap Acetaminophen Extra Str

AL; OTC

pain relief regular strength oral tablet Pharbetol OTC

pain reliever extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

pain reliever oral liquidMapap Acetaminophen Extra Str

AL; OTC

pain reliever oral tablet Pharbetol OTC

pain reliever/fever reducer rectal suppository FeverAll Childrens AL; OTC

PANADOL CHILDRENS ORAL SUSPENSION

AL; OTC; QL

PANADOL INFANTS ORAL SUSPENSION AL; OTC; QL

PEDIACARE CHILDREN ORAL SUSPENSION

AL; OTC; QL

PEDIACARE INFANT FEVER/PAIN ORAL SUSPENSION

AL; OTC; QL

PEDIACARE INFANTS ORAL SUSPENSION

AL; OTC; QL

PHARBETOL EXTRA STRENGTH ORAL TABLET

OTC; QL

PHARBETOL ORAL TABLET OTC

px childrens pain relief oral suspension Panadol Childrens AL; OTC; QL

px pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

qc non-aspirin childrens oral suspension Panadol Childrens AL; OTC; QL

qc non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

qc pain relief childrens oral suspension Panadol Childrens AL; OTC; QL

qc pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

qc pain relief infants oral suspension Panadol Childrens AL; OTC; QL

qc pain relief oral tablet Pharbetol OTC

11


ra acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

ra acetaminophen oral tablet Pharbetol OTC

ra childrens fever/pain oral suspension Panadol Childrens AL; OTC; QL

ra fever reducer/pain reliever oral suspension


ra pain relief acetaminophen oral tablet 325 mg

Pharbetol OTC

ra pain relief acetaminophen oral tablet 500 mg

Healthy Mama Shake That Ache

OTC; QL

ra pain reliever ex st oral liquidMapap Acetaminophen Extra Str

AL; OTC

sb non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

sb non-aspirin oral tablet Pharbetol OTC

sb non-aspirin oral tablet chewable Childrens Medi-Tabs AL; OTC

sb pain reliever childrens oral suspension Panadol Childrens AL; OTC; QL

sb pain reliever ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

sm pain & fever childrens oral suspension Panadol Childrens AL; OTC; QL

sm pain & fever infants oral suspension Panadol Childrens AL; OTC; QL

sm pain relief oral tabletHealthy Mama Shake That Ache

OTC; QL

sm pain reliever ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

sm pain reliever oral tablet Pharbetol OTC

tactinal extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

tactinal oral tablet Pharbetol OTC

*ANALGESICS-SEDATIVES***

BAC ORAL TABLET QL

butalbital-acetaminophen oral tablet Tencon QL

butalbital-apap-caffeine oral capsule Esgic QL

butalbital-apap-caffeine oral tablet Bac QL

butalbital-aspirin-caffeine oral capsule QL

TENCON ORAL TABLET QL

*SALICYLATE COMBINATIONS***

sm aspirin tri-buffered oral tablet Bufferin AL; OTC

tri-buffered aspirin oral tablet Bufferin AL; OTC

12


*SALICYLATES***

adult aspirin regimen oral tablet delayed release

Aspir-Low OTC

aspirin 81 oral tablet chewable St Joseph Low Dose OTC

aspirin 81 oral tablet delayed release Aspir-Low OTC

aspirin adult low dose oral tablet delayed release

Aspir-Low OTC

aspirin adult low strength oral tablet chewable

St Joseph Low Dose OTC

aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

aspirin childrens oral tablet chewable St Joseph Low Dose OTC

aspirin ec adult low strength oral tablet delayed release

Aspir-Low OTC

aspirin ec low dose oral tablet delayed release

Aspir-Low OTC

aspirin ec low strength oral tablet delayed release

Aspir-Low OTC

aspirin ec oral tablet delayed release Aspir-Low OTC

aspirin low dose oral tablet chewable St Joseph Low Dose OTC

aspirin low dose oral tablet delayed release Aspir-Low OTC

aspirin low strength oral tablet chewable St Joseph Low Dose OTC

aspirin oral tablet Bayer Aspirin OTC

aspirin oral tablet chewable St Joseph Low Dose OTC

aspirin oral tablet delayed release EcPirin OTC

ASPIR-LOW ORAL TABLET DELAYED RELEASE

OTC

BAYER ASPIRIN EC LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

BAYER ASPIRIN ORAL TABLET OTC

BAYER LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

childrens aspirin low strength oral tablet chewable


childrens aspirin oral tablet chewable St Joseph Low Dose OTC

cvs aspirin adult low dose oral tablet chewable


cvs aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

cvs aspirin ec oral tablet delayed release Aspir-Low OTC

13


cvs aspirin low dose oral tablet delayed release

Aspir-Low OTC

cvs aspirin low strength oral tablet delayed release

Aspir-Low OTC

cvs aspirin oral tablet Bayer Aspirin OTC

diflunisal oral tablet

ECPIRIN ORAL TABLET DELAYED RELEASE

OTC

eq aspirin adult low dose oral tablet delayed release

Aspir-Low OTC

eq aspirin low dose oral tablet chewable St Joseph Low Dose OTC

eq aspirin oral tablet Bayer Aspirin OTC

eql aspirin ec oral tablet delayed release EcPirin OTC

eql aspirin low dose oral tablet chewable St Joseph Low Dose OTC

eql aspirin low dose oral tablet delayed release

Aspir-Low OTC

gnp adult aspirin low strength oral tablet chewable


gnp aspirin low dose oral tablet delayed release

Aspir-Low OTC

gnp aspirin oral tablet Bayer Aspirin OTC

gnp aspirin oral tablet delayed release EcPirin OTC

goodsense aspirin adult low st oral tablet chewable


goodsense aspirin low dose oral tablet delayed release

Aspir-Low OTC

goodsense aspirin oral tablet Bayer Aspirin OTC

goodsense aspirin oral tablet chewable St Joseph Low Dose OTC

goodsense aspirin oral tablet delayed release

EcPirin OTC

hm adult aspirin oral tablet Bayer Aspirin OTC

hm aspirin ec low dose oral tablet delayed release

Aspir-Low OTC

hm aspirin ec oral tablet delayed release EcPirin OTC

hm aspirin oral tablet Bayer Aspirin OTC

hm aspirin oral tablet chewable St Joseph Low Dose OTC

kls aspirin ec oral tablet delayed release EcPirin OTC

kls aspirin low dose oral tablet delayed release

Aspir-Low OTC

kp aspirin oral tablet delayed release Aspir-Low OTC

14


px aspirin oral tablet Bayer Aspirin OTC

px aspirin oral tablet chewable St Joseph Low Dose OTC

qc aspirin low dose oral tablet chewable St Joseph Low Dose OTC

qc aspirin low dose oral tablet delayed release

Aspir-Low OTC

qc aspirin oral tablet Bayer Aspirin OTC

qc aspirin oral tablet delayed release EcPirin OTC

qc enteric aspirin oral tablet delayed release EcPirin OTC

ra aspirin adult low dose oral tablet chewable


ra aspirin adult low strength oral tablet chewable


ra aspirin childrens oral tablet chewable St Joseph Low Dose OTC

ra aspirin ec adult low st oral tablet delayed release

Aspir-Low OTC

ra aspirin ec oral tablet delayed release EcPirin OTC

ra aspirin oral tablet Bayer Aspirin OTC

sb aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

sb aspirin oral tablet Bayer Aspirin OTC

sb aspirin oral tablet delayed release Aspir-Low OTC

sb childrens aspirin oral tablet chewable St Joseph Low Dose OTC

sb low dose asa ec oral tablet delayed release

Aspir-Low OTC

sm aspirin adult low strength oral tablet chewable


sm aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

sm aspirin ec low strength oral tablet delayed release

Aspir-Low OTC

sm aspirin ec oral tablet delayed release EcPirin OTC

sm aspirin low dose oral tablet chewable St Joseph Low Dose OTC

sm aspirin oral tablet Bayer Aspirin OTC

sm childrens aspirin oral tablet chewable St Joseph Low Dose OTC

ST JOSEPH LOW DOSE ORAL TABLET CHEWABLE

OTC

ST JOSEPH LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

15


*ANALGESICS - OPIOID*

*CODEINE COMBINATIONS***

acetaminophen-codeine #2 oral tablet AL; QL

acetaminophen-codeine #3 oral tablet PA; AL; QL

acetaminophen-codeine #4 oral tablet PA; AL; QL

acetaminophen-codeine oral solution PA; AL; QL

acetaminophen-codeine oral tablet 300-15 mg

AL; QL

acetaminophen-codeine oral tablet 300-30 mg, 300-60 mg

PA; AL; QL

ASCOMP-CODEINE ORAL CAPSULE PA; AL; QL

butalbital-apap-caff-cod oral capsule PA; AL; QL

butalbital-asa-caff-codeine oral capsule Ascomp-Codeine PA; AL; QL

*HYDROCODONE COMBINATIONS***

hydrocodone-acetaminophen oral solution 10-325 mg/15ml

QL

hydrocodone-acetaminophen oral solution 2.5-108 mg/5ml, 5-217 mg/10ml, 7.5-325 mg/15ml

PA; QL

hydrocodone-acetaminophen oral tablet PA; QL

hydrocodone-ibuprofen oral tablet PA; QL

*OPIOID AGONISTS***

codeine sulfate oral tablet PA; AL; QL

fentanyl citrate buccal lozenge on a handle Actiq PA; QL

fentanyl transdermal patch 72 hour Duragesic-12 PA; QL

hydromorphone hcl oral liquid Dilaudid PA; QL

hydromorphone hcl oral tablet Dilaudid PA; QL

meperidine hcl oral solution PA; QL

meperidine hcl oral tablet PA; QL

METHADONE HCL INTENSOL ORAL CONCENTRATE

PA; QL

methadone hcl oral concentrate Methadone HCl Intensol PA; QL

methadone hcl oral solution PA; QL

methadone hcl oral tablet PA; QL

methadone hcl oral tablet soluble Methadose PA; QL

METHADOSE ORAL CONCENTRATE PA; QL

METHADOSE ORAL TABLET SOLUBLE PA; QL

16


METHADOSE SUGAR-FREE ORAL CONCENTRATE

PA; QL

morphine sulfate (concentrate) oral solution PA; QL

morphine sulfate er oral tablet extended release

MS Contin PA; QL

morphine sulfate oral solution PA; QL

morphine sulfate oral tablet 15 mg QL

morphine sulfate oral tablet 30 mg

oxycodone hcl oral capsule PA; QL

oxycodone hcl oral concentrate PA; QL

oxycodone hcl oral solution PA; QL

oxycodone hcl oral tablet PA; QL

tramadol hcl oral tablet Ultram PA; AL; QL

*OPIOID COMBINATIONS***

ENDOCET ORAL TABLET PA; QL

oxycodone-acetaminophen oral tablet Endocet PA; QL

oxycodone-aspirin oral tablet PA; QL

*OPIOID PARTIAL AGONISTS***

buprenorphine hcl sublingual tablet sublingual

QL

buprenorphine hcl-naloxone hcl sublingual tablet sublingual

QL

butorphanol tartrate nasal solution QL

pentazocine-naloxone hcl oral tablet PA; QL

*TRAMADOL COMBINATIONS***

tramadol-acetaminophen oral tablet Ultracet PA; AL; QL

*ANDROGENS-ANABOLIC*

*ANDROGENS***

testosterone cypionate intramuscular solution

Depo-Testosterone PA

testosterone enanthate intramuscular solution

PA

testosterone transdermal gel Vogelxo Pump PA; QL

*ANORECTAL AND RELATED PRODUCTS*

*INTRARECTAL STEROIDS***

hydrocortisone rectal enema Cortenema

17


*RECTAL COMBINATIONS - MISC.***

cvs hemorrhoidal rectal ointment Preparation H OTC

eq hemorrhoidal rectal suppository OTC

gnp hemorrhoidal rectal ointment Preparation H OTC

hemorrhoidal rectal ointment Preparation H OTC

hemorrhoidal rectal suppository OTC

px hemorrhoidal rectal ointment OTC

px hemorrhoidal rectal suppository OTC

qc hemorrhoidal rectal suppository Preparation H OTC

ra hemorrhoidal rectal ointment OTC

sm hemorrhoidal rectal suppository OTC

*RECTAL STEROIDS***

hydrocortisone (perianal) external cream Procto-Med HC QL

PROCTO-MED HC EXTERNAL CREAM QL

PROCTOZONE-HC EXTERNAL CREAM QL

*ANTACIDS*

*ANTACID & SIMETHICONE***

ALMACONE DOUBLE STRENGTH ORAL SUSPENSION

AL; OTC

alum & mag hydroxide-simeth oral suspension 200-200-20 mg/5ml

Mintox OTC

alum & mag hydroxide-simeth oral suspension 400-400-40 mg/5ml

Almacone Double Strength

AL; OTC

antacid advanced oral suspensionAlmacone Double Strength

AL; OTC

antacid anti-gas max strength oral suspension


AL; OTC

antacid anti-gas reg strength oral suspension

Mintox OTC

antacid extra strength oral suspensionAlmacone Double Strength

AL; OTC

antacid fast relief oral suspension Mintox OTC

antacid iii oral suspensionAlmacone Double Strength

AL; OTC

antacid liquid oral suspension Mintox OTC

antacid m oral suspension Mintox OTC

antacid maximum strength oral suspensionAlmacone Double Strength

AL; OTC

antacid oral suspension 200-200-20 mg/5ml Mintox OTC

18


antacid oral suspension 400-400-40 mg/5mlAlmacone Double Strength

AL; OTC

antacid plus anti-gas relief oral suspension 200-200-20 mg/5ml

Mintox OTC

antacid plus anti-gas relief oral suspension 400-400-40 mg/5ml


AL; OTC

antacid regular strength oral suspension Mintox OTC

antacid/anti-gas oral suspensionAlmacone Double Strength

AL; OTC

antacid/simethicone ds oral suspensionAlmacone Double Strength

AL; OTC

comfort gel antacid & anti-gas oral suspension

Mintox OTC

comfort gel antacid anti-gas oral suspensionAlmacone Double Strength

AL; OTC

cvs antacid plus antigas oral suspensionAlmacone Double Strength

AL; OTC

cvs antacid/anti-gas oral suspension 200-200-20 mg/5ml

Mintox OTC

cvs antacid/anti-gas oral suspension 400-400-40 mg/5ml


AL; OTC

eq antacid maximum strength oral suspension


AL; OTC

eq antacid/anti-gas oral suspension Mintox OTC

eql antacid advanced max st oral suspension


AL; OTC

eql antacid/anti-gas oral suspension Mintox OTC

geri-lanta oral suspension Mintox OTC

geri-mox oral suspension Mintox OTC

gnp antacid & anti-gas oral suspension 200-200-20 mg/5ml

Mintox OTC

gnp antacid & anti-gas oral suspension 400-400-40 mg/5ml


AL; OTC

gnp antacid regular strength oral suspension Mintox OTC

hm advanced antacid max st oral suspension


AL; OTC

hm antacid anti-gas ex st oral suspensionAlmacone Double Strength

AL; OTC

hm antacid oral suspension Mintox OTC

MAALOX MAX ORAL SUSPENSION AL; OTC

19


MAALOX MULTI SYMPTOM MAX ST ORAL SUSPENSION

AL; OTC

mag-al plus oral liquid Mintox OTC

mag-al plus xs oral liquidAlmacone Double Strength

AL; OTC

meijer antacid oral suspensionAlmacone Double Strength

AL; OTC

milantex extra strength oral suspensionAlmacone Double Strength

AL; OTC

mintox maximum strength oral suspensionAlmacone Double Strength

AL; OTC

MINTOX ORAL SUSPENSION OTC

MINTOX PLUS ORAL TABLET CHEWABLE

OTC

MYLANTA MAXIMUM STRENGTH ORAL SUSPENSION

AL; OTC

px antacid maximum strength oral suspension


AL; OTC

px antacid regular strength oral suspension Mintox OTC

qc antacid oral suspension Mintox OTC

qc antacid/anti-gas oral suspension 200-200-20 mg/5ml

Mintox OTC

qc antacid/anti-gas oral suspension 400-400-40 mg/5ml


AL; OTC

ra antacid/anti-gas max st oral suspensionAlmacone Double Strength

AL; OTC

ra antacid/anti-gas oral suspension Mintox OTC

ra antacid/gas relief max st oral suspensionAlmacone Double Strength

AL; OTC

sb antacid anti-gas oral suspension Mintox OTC

sm antacid advanced max st oral suspension


AL; OTC

sm antacid advanced oral suspension Mintox OTC

sm antacid anti-gas oral suspension Mintox OTC

sm antacid maximum strength oral suspension


AL; OTC

sm antacid/antigas oral suspension Mintox OTC

*ANTACID COMBINATIONS***

ACID GONE ORAL SUSPENSION AL; OTC

ACID GONE ORAL TABLET CHEWABLE OTC

20


cvs antacid supreme oral suspension OTC

cvs heartburn relief oral tablet chewable Acid Gone OTC

gnp antacid extra strength oral tablet chewable

Acid Gone OTC

heartburn antacid ex st oral tablet chewable Acid Gone OTC

qc heartburn antacid oral tablet chewable Acid Gone OTC

sm foaming antacid oral tablet chewable OTC

*ANTACIDS - ALUMINUM SALTS***

aluminum hydroxide gel oral suspension AL; OTC

*ANTACIDS - BICARBONATE***

sodium bicarbonate oral tablet OTC

*ANTACIDS - CALCIUM SALTS***

antacid calcium oral tablet chewable Cal-Gest Antacid OTC; QL

antacid calcium rich oral tablet chewable Cal-Gest Antacid OTC; QL

antacid extra strength oral tablet chewable Antacid Flavor Chews AL; OTC

ANTACID FLAVOR CHEWS ORAL TABLET CHEWABLE

AL; OTC

antacid maximum oral tablet chewable Tums Ultra 1000 AL; OTC

antacid oral tablet chewable 500 mg Cal-Gest Antacid OTC; QL

antacid oral tablet chewable 750 mg Antacid Flavor Chews AL; OTC

antacid regular strength oral tablet chewable Cal-Gest Antacid OTC; QL

antacid ultra strength oral tablet chewable Tums Ultra 1000 AL; OTC

calcium antacid extra strength oral tablet chewable

Antacid Flavor Chews AL; OTC

calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL

calcium carbonate antacid oral suspension OTC

calcium carbonate antacid oral tablet chewable

Cal-Gest Antacid OTC; QL

calcium carbonate oral tablet chewable Cal-Gest Antacid OTC; QL

CAL-GEST ANTACID ORAL TABLET CHEWABLE

OTC; QL

cvs antacid extra oral tablet chewable Antacid Flavor Chews AL; OTC

cvs antacid extra strength oral tablet chewable


cvs antacid kids oral tablet chewable Antacid Flavor Chews AL; OTC

cvs antacid maximum strength oral tablet chewable

Tums Ultra 1000 AL; OTC

cvs antacid ultra strength oral tablet chewable


21


CVS CHEWY NOT CHALKY FLAVOR ORAL TABLET CHEWABLE

AL; OTC

cvs smooth antacid extra st oral tablet chewable


eq antacid extra strength oral tablet chewable


eq antacid ultra strength oral tablet chewable


eql antacid oral tablet chewable Cal-Gest Antacid OTC; QL

eql antacid ultra strength oral tablet chewable


gnp antacid extra strength oral tablet chewable


gnp antacid oral tablet chewable Cal-Gest Antacid OTC; QL

gnp antacid ultra strength oral tablet chewable


goodsense antacid oral tablet chewable 1000 mg



Cal-Gest Antacid OTC; QL



hm antacid extra strength oral tablet chewable


hm calcium antacid ex st oral tablet chewable


px antacid extra strength oral tablet chewable


px antacid maximum strength oral tablet chewable


px calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL

qc antacid extra strength oral tablet chewable


qc antacid oral tablet chewable Cal-Gest Antacid OTC; QL

qc antacid ultra strength oral tablet chewable Tums Ultra 1000 AL; OTC

ra antacid oral tablet chewable Cal-Gest Antacid OTC; QL

ra antacid ultra strength oral tablet chewable Tums Ultra 1000 AL; OTC

sb antacid extra strength oral tablet chewable


sb antacid oral tablet chewable Cal-Gest Antacid OTC; QL

22


sm calcium antacid ex st oral tablet chewable


sm calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL

sm smooth antacid ex st oral tablet chewable


*ANTACIDS - MAGNESIUM SALTS***

magnesium oxide oral tablet OTC; QL

*ANTHELMINTICS*

*ANTHELMINTICS***

cvs pinworm treatment oral suspension OTC

ivermectin oral tablet Stromectol

pinworm medicine oral suspension OTC

praziquantel oral tablet Biltricide

reeses pinworm medicine oral suspension OTC

*ANTIANGINAL AGENTS*

*NITRATES***

isosorbide dinitrate oral tablet

isosorbide mononitrate er oral tablet extended release 24 hour

isosorbide mononitrate oral tablet

MINITRAN TRANSDERMAL PATCH 24 HOUR

NITRO-BID TRANSDERMAL OINTMENT

NITRO-DUR TRANSDERMAL PATCH 24 HOUR

nitroglycerin sublingual tablet sublingual Nitrostat

nitroglycerin transdermal patch 24 hour Nitro-Dur

*ANTIANXIETY AGENTS*

*ANTIANXIETY AGENTS - MISC.***

buspirone hcl oral tablet QL

hydroxyzine hcl oral syrup QL

hydroxyzine hcl oral tablet QL

hydroxyzine pamoate oral capsule QL

meprobamate oral tablet QL

*BENZODIAZEPINES***

alprazolam er oral tablet extended release 24 hour

Xanax XR QL

23


ALPRAZOLAM INTENSOL ORAL CONCENTRATE

QL

alprazolam oral tablet Xanax QL

alprazolam oral tablet dispersible QL

alprazolam xr oral tablet extended release 24 hour

Xanax XR QL

chlordiazepoxide hcl oral capsule QL

clorazepate dipotassium oral tablet QL

DIAZEPAM INTENSOL ORAL CONCENTRATE

QL

diazepam oral concentrate Diazepam Intensol QL

diazepam oral solution QL

diazepam oral tablet Valium QL

LORAZEPAM INTENSOL ORAL CONCENTRATE

lorazepam oral concentrate LORazepam Intensol

lorazepam oral tablet Ativan QL

oxazepam oral capsule QL

*ANTIARRHYTHMICS*

*ANTIARRHYTHMICS TYPE I-A***

disopyramide phosphate oral capsule Norpace

quinidine gluconate er oral tablet extended release

quinidine sulfate oral tablet

*ANTIARRHYTHMICS TYPE I-B***

mexiletine hcl oral capsule

*ANTIARRHYTHMICS TYPE I-C***

flecainide acetate oral tablet QL

propafenone hcl er oral capsule extended release 12 hour

Rythmol SR

propafenone hcl oral tablet

*ANTIARRHYTHMICS TYPE III***

amiodarone hcl oral tablet Pacerone

PACERONE ORAL TABLET

*ANTIASTHMATIC AND BRONCHODILATOR AGENTS*

*ADRENERGIC COMBINATIONS***

ADVAIR HFA INHALATION AEROSOL QL

24


ANORO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

budesonide-formoterol fumarate inhalation aerosol

Symbicort QL

COMBIVENT RESPIMAT INHALATION AEROSOL SOLUTION

QL

DULERA INHALATION AEROSOL PA; QL

fluticasone-salmeterol inhalation aerosol powder breath activated 100-50 mcg/dose, 250-50 mcg/dose, 500-50 mcg/dose

Wixela Inhub QL

fluticasone-salmeterol inhalation aerosol powder breath activated 113-14 mcg/act

AirDuo RespiClick 113/14





ipratropium-albuterol inhalation solution

STIOLTO RESPIMAT INHALATION AEROSOL SOLUTION

QL

TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED

PA; QL

WIXELA INHUB INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

*ANTI-INFLAMMATORY AGENTS***

cromolyn sodium inhalation nebulization solution

*BETA ADRENERGICS***

albuterol sulfate er oral tablet extended release 12 hour

albuterol sulfate hfa inhalation aerosol solution

ProAir HFA QL

albuterol sulfate inhalation nebulization solution

QL

albuterol sulfate oral syrup

albuterol sulfate oral tablet

BROVANA INHALATION NEBULIZATION SOLUTION

QL

levalbuterol hcl inhalation nebulization solution

Xopenex QL

levalbuterol tartrate inhalation aerosol Xopenex HFA QL

25


PROAIR RESPICLICK INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

SEREVENT DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

STRIVERDI RESPIMAT INHALATION AEROSOL SOLUTION

QL

terbutaline sulfate oral tablet

*BRONCHODILATORS - ANTICHOLINERGICS***

ATROVENT HFA INHALATION AEROSOL SOLUTION

QL

INCRUSE ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

ipratropium bromide inhalation solution QL

LONHALA MAGNAIR REFILL KIT INHALATION SOLUTION

QL

LONHALA MAGNAIR STARTER KIT INHALATION SOLUTION

QL

SEEBRI NEOHALER INHALATION CAPSULE

QL

SPIRIVA HANDIHALER INHALATION CAPSULE

QL

SPIRIVA RESPIMAT INHALATION AEROSOL SOLUTION

QL

TUDORZA PRESSAIR INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

YUPELRI INHALATION SOLUTION QL

*LEUKOTRIENE RECEPTOR ANTAGONISTS***

montelukast sodium oral packet Singulair QL

montelukast sodium oral tablet Singulair QL

montelukast sodium oral tablet chewable Singulair QL

zafirlukast oral tablet Accolate QL

*STEROID INHALANTS***

ALVESCO INHALATION AEROSOL SOLUTION

QL

26


ARNUITY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

ASMANEX (120 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED

QL


QL


QL


QL


QL

ASMANEX HFA INHALATION AEROSOL QL

budesonide inhalation suspension Pulmicort QL

FLOVENT DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

FLOVENT HFA INHALATION AEROSOL QL

PULMICORT FLEXHALER INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

QVAR REDIHALER INHALATION AEROSOL BREATH ACTIVATED

QL

*XANTHINES***

theophylline er oral tablet extended release 12 hour

theophylline er oral tablet extended release 24 hour

theophylline oral solution

*ANTICOAGULANTS*

*COUMARIN ANTICOAGULANTS***

JANTOVEN ORAL TABLET

warfarin sodium oral tablet Jantoven

27


*DIRECT FACTOR XA INHIBITORS***

ELIQUIS DVT/PE STARTER PACK ORAL TABLET THERAPY PACK

QL

ELIQUIS ORAL TABLET

*HEPARINS AND HEPARINOID-LIKE AGENTS***

heparin sodium (porcine) injection solution

heparin sodium (porcine) pf injection solution

*LOW MOLECULAR WEIGHT HEPARINS***

enoxaparin sodium injection solution Lovenox SP; QL

enoxaparin sodium subcutaneous solution Lovenox SP; QL

*ANTICONVULSANTS*

*ANTICONVULSANTS - BENZODIAZEPINES***

clobazam oral suspension Onfi QL

clobazam oral tablet Onfi QL

clonazepam oral tablet KlonoPIN QL

clonazepam oral tablet dispersible QL

diazepam rectal gel Diastat Pediatric QL

SYMPAZAN ORAL FILM PA; QL

*ANTICONVULSANTS - MISC.***

carbamazepine er oral capsule extended release 12 hour

Carbatrol QL

carbamazepine er oral tablet extended release 12 hour

TEGretol-XR QL

carbamazepine oral suspension TEGretol QL

carbamazepine oral tablet Epitol QL

carbamazepine oral tablet chewable QL

EPIDIOLEX ORAL SOLUTION PA; SP

EPITOL ORAL TABLET QL

gabapentin oral capsule Neurontin QL

gabapentin oral solution Neurontin QL

gabapentin oral tablet Neurontin QL

LAMICTAL XR ORAL KIT QL

lamotrigine er oral tablet extended release 24 hour

LaMICtal XR QL

lamotrigine oral kit LaMICtal ODT

28


lamotrigine oral tablet Subvenite QL

lamotrigine oral tablet chewable LaMICtal QL

lamotrigine oral tablet dispersible LaMICtal ODT QL

lamotrigine starter kit-blue oral kit Subvenite Starter Kit-Blue QL

lamotrigine starter kit-green oral kitSubvenite Starter Kit-Green

QL

lamotrigine starter kit-orange oral kitSubvenite Starter Kit-Orange

QL

levetiracetam er oral tablet extended release 24 hour

Keppra XR QL

levetiracetam oral solution Keppra

levetiracetam oral tablet Keppra QL

oxcarbazepine oral suspension Trileptal QL

oxcarbazepine oral tablet Trileptal QL

OXTELLAR XR ORAL TABLET EXTENDED RELEASE 24 HOUR

QL

pregabalin oral capsule Lyrica QL

pregabalin oral solution Lyrica QL

primidone oral tablet Mysoline

ROWEEPRA ORAL TABLET QL

SUBVENITE ORAL TABLET QL

SUBVENITE STARTER KIT-BLUE ORAL KIT

QL

SUBVENITE STARTER KIT-GREEN ORAL KIT

QL

SUBVENITE STARTER KIT-ORANGE ORAL KIT

QL

topiramate er oral capsule er 24 hour sprinkle

Qudexy XR QL

topiramate oral capsule sprinkle Topamax Sprinkle QL

topiramate oral tablet Topamax QL

TROKENDI XR ORAL CAPSULE EXTENDED RELEASE 24 HOUR

zonisamide oral capsule Zonegran QL

*CARBAMATES***

felbamate oral suspension Felbatol

felbamate oral tablet Felbatol

*GABA MODULATORS***

tiagabine hcl oral tablet Gabitril

29


*HYDANTOINS***

DILANTIN ORAL CAPSULE

PHENYTOIN INFATABS ORAL TABLET CHEWABLE

phenytoin oral suspension Dilantin

phenytoin oral tablet chewable Phenytoin Infatabs

phenytoin sodium extended oral capsule Dilantin

phenytoin sodium powder

*SUCCINIMIDES***

ethosuximide oral capsule Zarontin

ethosuximide oral solution Zarontin

*VALPROIC ACID***

divalproex sodium er oral tablet extended release 24 hour

Depakote ER

divalproex sodium oral capsule delayed release sprinkle

Depakote Sprinkles

divalproex sodium oral tablet delayed release

Depakote

valproic acid oral capsule QL

valproic acid oral solution

*ANTIDEPRESSANTS*

*ALPHA-2 RECEPTOR ANTAGONISTS (TETRACYCLICS)***

mirtazapine oral tablet QL

mirtazapine oral tablet dispersible Remeron SolTab QL

*ANTIDEPRESSANTS - MISC.***

APLENZIN ORAL TABLET EXTENDED RELEASE 24 HOUR

QL

bupropion hcl er (sr) oral tablet extended release 12 hour

Wellbutrin SR QL

bupropion hcl er (xl) oral tablet extended release 24 hour

Wellbutrin XL QL

bupropion hcl oral tablet QL

FORFIVO XL ORAL TABLET EXTENDED RELEASE 24 HOUR

QL

maprotiline hcl oral tablet QL

30


*MONOAMINE OXIDASE INHIBITORS (MAOIS)***

EMSAM TRANSDERMAL PATCH 24 HOUR

PA; QL

MARPLAN ORAL TABLET QL

phenelzine sulfate oral tablet Nardil QL

tranylcypromine sulfate oral tablet Parnate QL

*N-METHYL-D-ASPARTIC ACID (NMDA) RECEPTOR ANTAGONISTS***

SPRAVATO (56 MG DOSE) NASAL SOLUTION THERAPY PACK

SP; AL; QL

SPRAVATO (84 MG DOSE) NASAL SOLUTION THERAPY PACK

SP; AL; QL

*SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS)***

citalopram hydrobromide oral solution QL

citalopram hydrobromide oral tablet CeleXA QL

escitalopram oxalate oral solution QL

escitalopram oxalate oral tablet Lexapro QL

fluoxetine hcl oral capsule 10 mg PROzac DO; QL

fluoxetine hcl oral capsule 20 mg, 40 mg PROzac QL

fluoxetine hcl oral capsule delayed release QL

fluoxetine hcl oral solution QL

fluoxetine hcl oral tablet QL

fluvoxamine maleate er oral capsule extended release 24 hour

QL

fluvoxamine maleate oral tablet QL

paroxetine hcl er oral tablet extended release 24 hour

Paxil CR AL; QL

paroxetine hcl oral tablet Paxil AL; QL

PAXIL ORAL SUSPENSION AL; QL

PEXEVA ORAL TABLET AL; QL

sertraline hcl oral concentrate Zoloft QL

sertraline hcl oral tablet Zoloft QL

*SEROTONIN MODULATORS***

nefazodone hcl oral tablet QL

trazodone hcl oral tablet QL

TRINTELLIX ORAL TABLET QL

31


VIIBRYD ORAL TABLET QL

VIIBRYD STARTER PACK ORAL KIT

*SEROTONIN-NOREPINEPHRINE REUPTAKE INHIBITORS (SNRIS)***

desvenlafaxine er oral tablet extended release 24 hour

QL

desvenlafaxine succinate er oral tablet extended release 24 hour

Pristiq QL

duloxetine hcl oral capsule delayed release particles

Cymbalta QL

FETZIMA ORAL CAPSULE EXTENDED RELEASE 24 HOUR

QL

FETZIMA TITRATION ORAL CAPSULE ER 24 HOUR THERAPY PACK

AL; QL

venlafaxine hcl er oral capsule extended release 24 hour

Effexor XR QL

venlafaxine hcl er oral tablet extended release 24 hour

QL

venlafaxine hcl oral tablet QL

*TRICYCLIC AGENTS***

amitriptyline hcl oral tablet QL

amoxapine oral tablet

clomipramine hcl oral capsule Anafranil QL

desipramine hcl oral tablet QL

doxepin hcl oral capsule QL

doxepin hcl oral concentrate QL

imipramine hcl oral tablet QL

imipramine pamoate oral capsule QL

nortriptyline hcl oral capsule Pamelor QL

nortriptyline hcl oral solution QL

protriptyline hcl oral tablet QL

trimipramine maleate oral capsule QL

*ANTIDIABETICS*

*ALPHA-GLUCOSIDASE INHIBITORS***

acarbose oral tablet 100 mg Precose

acarbose oral tablet 25 mg, 50 mg Precose QL

32


*ANTIDIABETIC - AMYLIN ANALOGS***

SYMLINPEN 120 SUBCUTANEOUS SOLUTION PEN-INJECTOR

PA

SYMLINPEN 60 SUBCUTANEOUS SOLUTION PEN-INJECTOR

PA

*BIGUANIDES***

metformin hcl er oral tablet extended release 24 hour

metformin hcl oral tablet

*DIABETIC OTHER - COMBINATIONS***

cvs glucose oral tablet chewable Dex4 OTC

DEX4 GLUCOSE ORAL TABLET CHEWABLE

OTC

DEX4 NATURALS ORAL TABLET CHEWABLE

OTC

DEX4 ORAL TABLET CHEWABLE OTC

DEX4 POUCH PACK ORAL TABLET CHEWABLE

OTC

glucose instant energy oral tablet chewable Dex4 OTC

glucose oral tablet chewable Dex4 OTC

glucose-vitamin c oral tablet chewable Dex4 OTC

gnp glucose oral tablet chewable Dex4 OTC

goodsense glucose oral tablet chewable Dex4 OTC

hm glucose oral tablet chewable Dex4 OTC

hy-vee glucose oral tablet chewable Dex4 OTC

kroger glucose oral tablet chewable Dex4 OTC

leader glucose oral tablet chewable Dex4 OTC

longs glucose oral tablet chewable Dex4 OTC

meijer glucose oral tablet chewable Dex4 OTC

preferred plus glucose oral tablet chewable Dex4 OTC

px glucose oral tablet chewable Dex4 OTC

ra glucose oral tablet chewable Dex4 OTC

RELION GLUCOSE ORAL TABLET CHEWABLE

OTC

sm glucose oral tablet chewable Dex4 OTC

SMART SENSE GLUCOSE ORAL TABLET CHEWABLE

OTC

33


tgt glucose oral tablet chewable Dex4 OTC

up & up glucose oral tablet chewable Dex4 OTC

value plus glucose oral tablet chewable Dex4 OTC

walgreens glucose oral tablet chewable Dex4 OTC

*DIABETIC OTHER***

cvs glucose bits oral tablet chewable OTC

cvs glucose oral gel Gluco Burst OTC

cvs glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

cvs soft glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

DEX4 QUICK DISSOLVE GLUCOSE ORAL TABLET CHEWABLE

OTC

GLUCAGEN HYPOKIT INJECTION SOLUTION RECONSTITUTED

QL

GLUCO BURST ORAL GEL OTC

glucose oral gel Gluco Burst OTC

glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

GLUTOSE 15 ORAL GEL OTC



gnp glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

gnp quick dissolve glucose oral tablet chewable

Dex4 Quick Dissolve Glucose

OTC

leader quick dissolve glucose oral tablet chewable

Dex4 Quick Dissolve Glucose

OTC

RELION GLUCOSE ORAL GEL OTC

sm glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

SWEET CHEEKS ORAL GEL OTC

value plus glucose oral gel Gluco Burst OTC

walgreens glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

*DIPEPTIDYL PEPTIDASE-4 (DPP-4) INHIBITORS***

JANUVIA ORAL TABLET PA; QL

34


*DIPEPTIDYL PEPTIDASE-4 INHIBITOR-BIGUANIDE COMBINATIONS***

JANUMET ORAL TABLET PA; QL

JANUMET XR ORAL TABLET EXTENDED RELEASE 24 HOUR

PA; QL

*HUMAN INSULIN***

ADMELOG SOLOSTAR SUBCUTANEOUS SOLUTION PEN-INJECTOR

QL

ADMELOG SUBCUTANEOUS SOLUTION QL

BASAGLAR KWIKPEN SUBCUTANEOUS SOLUTION PEN-INJECTOR

QL

HUMALOG MIX 50/50 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

QL

HUMALOG MIX 50/50 SUBCUTANEOUS SUSPENSION

QL

HUMALOG MIX 75/25 SUBCUTANEOUS SUSPENSION

PA; QL

HUMULIN 70/30 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

HUMULIN 70/30 SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN N KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

HUMULIN N SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN R INJECTION SOLUTION OTC; QL

HUMULIN R U-500 (CONCENTRATED) SUBCUTANEOUS SOLUTION

PA; QL

HUMULIN R U-500 KWIKPEN SUBCUTANEOUS SOLUTION PEN-INJECTOR

PA; QL

insulin asp prot & asp flexpen subcutaneous suspension pen-injector

NovoLOG Mix 70/30 FlexPen

QL

insulin aspart flexpen subcutaneous solution pen-injector

NovoLOG FlexPen QL

insulin aspart penfill subcutaneous solution cartridge

NovoLOG PenFill QL

insulin aspart prot & aspart subcutaneous suspension

NovoLOG Mix 70/30 QL

35


insulin aspart subcutaneous solution NovoLOG QL

insulin lispro (1 unit dial) subcutaneous solution pen-injector

Admelog SoloStar QL

insulin lispro junior kwikpen subcutaneous solution pen-injector

HumaLOG Junior KwikPen

QL

insulin lispro prot & lispro subcutaneous suspension pen-injector

HumaLOG Mix 75/25 KwikPen

QL

insulin lispro subcutaneous solution Admelog QL

NOVOLIN 70/30 FLEXPEN RELION SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN 70/30 FLEXPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN 70/30 RELION SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN 70/30 SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN N FLEXPEN RELION SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN N FLEXPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN N RELION SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN N SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN R FLEXPEN INJECTION SOLUTION PEN-INJECTOR

OTC; QL

NOVOLIN R FLEXPEN RELION INJECTION SOLUTION PEN-INJECTOR

OTC; QL

NOVOLIN R INJECTION SOLUTION OTC; QL

NOVOLIN R RELION INJECTION SOLUTION

OTC; QL

SEMGLEE SUBCUTANEOUS SOLUTION QL

SEMGLEE SUBCUTANEOUS SOLUTION PEN-INJECTOR

QL

*INCRETIN MIMETIC AGENTS (GLP-1 RECEPTOR AGONISTS)***

OZEMPIC (0.25 OR 0.5 MG/DOSE) SUBCUTANEOUS SOLUTION PEN-INJECTOR

PA; QL

36


OZEMPIC (1 MG/DOSE) SUBCUTANEOUS SOLUTION PEN-INJECTOR

PA; QL

VICTOZA SUBCUTANEOUS SOLUTION PEN-INJECTOR

PA; QL

*MEGLITINIDE ANALOGUES***

nateglinide oral tablet PA; QL

repaglinide oral tablet PA

*SODIUM-GLUCOSE CO-TRANSPORTER 2 (SGLT2) INHIBITORS***

JARDIANCE ORAL TABLET PA

*SODIUM-GLUCOSE CO-TRANSPORTER 2 INHIBITOR-BIGUANIDE COMB***

SYNJARDY ORAL TABLET PA; QL

SYNJARDY XR ORAL TABLET EXTENDED RELEASE 24 HOUR

PA; QL

*SULFONYLUREA-BIGUANIDE COMBINATIONS***

glipizide-metformin hcl oral tablet

glyburide-metformin oral tablet

*SULFONYLUREAS***

glimepiride oral tablet Amaryl

glipizide er oral tablet extended release 24 hour

Glucotrol XL

glipizide oral tablet

glipizide xl oral tablet extended release 24 hour

Glucotrol XL

glyburide micronized oral tablet Glynase

glyburide oral tablet

*SULFONYLUREA-THIAZOLIDINEDIONE COMBINATIONS***

pioglitazone hcl-glimepiride oral tablet Duetact PA; QL

*THIAZOLIDINEDIONE-BIGUANIDE COMBINATIONS***

pioglitazone hcl-metformin hcl oral tablet Actoplus Met PA; QL

*THIAZOLIDINEDIONES***

pioglitazone hcl oral tablet Actos PA; QL

37


*ANTIDIARRHEAL/PROBIOTIC AGENTS*

*ANTIDIARRHEAL/PROBIOTIC AGENTS - MISC.***

bismatrol maximum strength oral suspensionKaopectate Extra Strength

AL; OTC

bismatrol oral suspension Kaopectate AL; OTC; QL

bismatrol oral tablet chewable Soothe AL; OTC

bismuth oral tablet chewable Soothe AL; OTC

bismuth subsalicylate oral suspension Kaopectate AL; OTC; QL

bismuth subsalicylate oral tablet chewable Soothe AL; OTC

cvs anti-diarrheal oral suspension Kaopectate AL; OTC; QL

cvs bismuth oral tablet chewable Soothe AL; OTC

cvs stomach relief max st oral suspensionKaopectate Extra Strength

AL; OTC

cvs stomach relief oral suspension 525 mg/15ml

Kaopectate Extra Strength

AL; OTC

cvs stomach relief oral suspension 525 mg/30ml

Kaopectate AL; OTC; QL

cvs stomach relief oral tablet Kaopectate AL; OTC

cvs stomach relief oral tablet chewable Soothe AL; OTC

diarrhea oral suspension Kaopectate AL; OTC; QL

diotame instydose oral suspension Kaopectate AL; OTC; QL

eq pink-bismuth oral tablet chewable Soothe AL; OTC

eq stomach relief oral suspension Kaopectate AL; OTC; QL

eql stomach relief oral suspension Kaopectate AL; OTC; QL

eql stomach relief oral tablet chewable Soothe AL; OTC

geri-pectate oral suspension Kaopectate AL; OTC; QL

gnp pink bismuth oral tablet Kaopectate AL; OTC

gnp pink bismuth oral tablet chewable Soothe AL; OTC

gnp stomach relief max st oral suspensionKaopectate Extra Strength

AL; OTC

gnp stomach relief oral suspension Kaopectate AL; OTC; QL

goodsense stomach relief oral suspension 1050 mg/30ml


AL; OTC

goodsense stomach relief oral suspension 525 mg/30ml


goodsense stomach relief oral tablet chewable

Soothe AL; OTC

38


hm stomach relief max strength oral suspension


AL; OTC

hm stomach relief oral suspension Kaopectate AL; OTC; QL

hm stomach relief oral tablet chewable Soothe AL; OTC

hm stomach relief ultra oral suspensionKaopectate Extra Strength

AL; OTC

KAOPECTATE EXTRA STRENGTH ORAL SUSPENSION

AL; OTC

KAOPECTATE ORAL SUSPENSION AL; OTC; QL

KAOPECTATE ORAL TABLET AL; OTC

medi-bismuth oral tablet chewable Soothe AL; OTC

peptic relief oral tablet chewable Soothe AL; OTC

pink bismuth maximum strength oral suspension


AL; OTC

pink bismuth oral suspension Kaopectate AL; OTC; QL

px stomach relief max st oral suspensionKaopectate Extra Strength

AL; OTC

px stomach relief oral suspension Kaopectate AL; OTC; QL

px stomach relief oral tablet chewable Soothe AL; OTC

qc diarrhea relief oral suspension Kaopectate AL; OTC; QL

qc pink bismuth oral suspension Kaopectate AL; OTC; QL

qc pink bismuth oral tablet Kaopectate AL; OTC

qc pink bismuth oral tablet chewable Soothe AL; OTC

ra stomach relief oral suspension Kaopectate AL; OTC; QL

sb bismuth oral tablet Kaopectate AL; OTC

sm stomach relief oral suspension Kaopectate AL; OTC; QL

sm stomach relief oral tablet Kaopectate AL; OTC

sm stomach relief oral tablet chewable Soothe AL; OTC

SOOTHE MAXIMUM STRENGTH ORAL SUSPENSION

AL; OTC

SOOTHE ORAL SUSPENSION AL; OTC; QL

SOOTHE ORAL TABLET AL; OTC

SOOTHE ORAL TABLET CHEWABLE AL; OTC

stomach relief extra strength oral suspension


AL; OTC

stomach relief oral suspension 525 mg/15mlKaopectate Extra Strength

AL; OTC

stomach relief oral suspension 525 mg/30ml, 527 mg/30ml


39


stomach relief oral tablet chewable Soothe AL; OTC

stomach relief plus oral suspensionKaopectate Extra Strength

AL; OTC

stomach relief ultra oral suspensionKaopectate Extra Strength

AL; OTC

*ANTIPERISTALTIC AGENTS***

anti-diarrheal oral capsule Imodium A-D OTC; QL

anti-diarrheal oral tablet Imodium A-D OTC; QL

cvs anti-diarrheal oral capsule Imodium A-D OTC; QL

cvs anti-diarrheal oral tablet Imodium A-D OTC; QL

diamode oral tablet Imodium A-D OTC; QL

diphenoxylate-atropine oral liquid

diphenoxylate-atropine oral tablet Lomotil

eq anti-diarrheal oral capsule Imodium A-D OTC; QL

eq anti-diarrheal oral tablet Imodium A-D OTC; QL

eql anti-diarrheal oral tablet Imodium A-D OTC; QL

gnp anti-diarrheal oral capsule Imodium A-D OTC; QL

gnp anti-diarrheal oral tablet Imodium A-D OTC; QL

hm anti-diarrheal oral tablet Imodium A-D OTC; QL

kls anti-diarrheal oral tablet Imodium A-D OTC; QL

loperamide hcl oral capsule Imodium A-D QL

loperamide hcl oral liquid OTC; QL

loperamide hcl oral tablet Imodium A-D OTC; QL

meijer anti-diarrheal oral tablet Imodium A-D OTC; QL

qc anti-diarrheal oral tablet Imodium A-D OTC; QL

ra anti-diarrheal oral tablet Imodium A-D OTC; QL

sb anti-diarrhea oral tablet Imodium A-D OTC; QL

sm anti-diarrheal oral capsule Imodium A-D OTC; QL

sm anti-diarrheal oral tablet Imodium A-D OTC; QL

*ANTIDOTES AND SPECIFIC ANTAGONISTS*

*BENZODIAZEPINE ANTAGONISTS***

flumazenil intravenous solution

*OPIOID ANTAGONISTS***

naloxone hcl injection solution QL

naloxone hcl injection solution cartridge QL

naloxone hcl injection solution prefilled syringe

QL

40


naltrexone hcl oral tablet

NARCAN NASAL LIQUID QL

*ANTIEMETICS*

*5-HT3 RECEPTOR ANTAGONISTS***

ondansetron hcl oral tablet QL

ondansetron oral tablet dispersible QL

*ANTIEMETICS - ANTICHOLINERGIC***

cvs motion sickness ii oral tablet Travel-Ease OTC

cvs motion sickness relief oral tablet chewable

Bonine OTC

eql motion sickness relief oral tablet Travel-Ease OTC

gnp motion sickness relief oral tablet Travel-Ease OTC

hm motion sickness relief oral tablet Travel-Ease OTC

meclizine hcl oral tablet

meclizine hcl oral tablet chewable Bonine OTC

motion sickness relief oral tablet chewable Bonine OTC

motion-time oral tablet chewable Bonine OTC

ra motion sickness relief oral tablet chewable

Bonine OTC

sm motion sickness oral tablet Travel-Ease OTC

TRAVEL-EASE ORAL TABLET OTC

trimethobenzamide hcl oral capsule Tigan

WAL-DRAM II ORAL TABLET OTC

*ANTIFUNGALS*

*ANTIFUNGALS***

flucytosine oral capsule Ancobon PA

griseofulvin microsize oral suspension

griseofulvin ultramicrosize oral tablet

nystatin oral tablet

terbinafine hcl oral tablet LamISIL QL

*IMIDAZOLES***

ketoconazole oral tablet

*TRIAZOLES***

fluconazole oral suspension reconstituted Diflucan

fluconazole oral tablet Diflucan

itraconazole oral capsule Sporanox PA

41


voriconazole oral suspension reconstituted Vfend PA

voriconazole oral tablet Vfend PA

*ANTIHISTAMINES*

*ANTIHISTAMINES - ALKYLAMINES***

aller-chlor oral tablet Wal-finate AL; OTC

allergy oral tablet Wal-finate AL; OTC

allergy relief oral tablet Wal-finate AL; OTC

chlorhist oral tablet Wal-finate AL; OTC

chlorpheniramine maleate oral tablet Wal-finate AL; OTC

cvs allergy relief oral tablet Wal-finate AL; OTC

DIABETIC TUSSIN ALLERGY ORAL SYRUP

AL; OTC

ed chlorped jr oral syrup Diabetic Tussin Allergy AL; OTC

eq chlortabs oral tablet Wal-finate AL; OTC

eql allergy oral tablet Wal-finate AL; OTC

gnp allergy relief oral tablet Wal-finate AL; OTC

hm allergy relief oral tablet Wal-finate AL; OTC

pharbechlor oral tablet Wal-finate AL; OTC

qc allergy relief 4-hour oral tablet Wal-finate AL; OTC

qc chlor-pheniramine oral tablet Wal-finate AL; OTC

ra allergy relief oral tablet Wal-finate AL; OTC

ra chlorpheniramine maleate oral tablet Wal-finate AL; OTC

sb chlorpheniramine oral tablet Wal-finate AL; OTC

sm allergy 4 hour oral tablet Wal-finate AL; OTC

WAL-FINATE ORAL TABLET AL; OTC

*ANTIHISTAMINES - ETHANOLAMINES***

aler-cap oral capsule Banophen AL; OTC; QL

alertab oral tablet Alka-Seltzer Plus Allergy AL; OTC

ALKA-SELTZER PLUS ALLERGY ORAL TABLET

AL; OTC

allergy childrens oral liquid Banophen OTC; QL

allergy relief childrens oral liquid Banophen OTC; QL

allergy relief oral capsule Banophen AL; OTC; QL

allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

anti-hist allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

BANOPHEN ORAL CAPSULE 25 MG AL; OTC; QL

42


BANOPHEN ORAL CAPSULE 50 MG AL; OTC

BANOPHEN ORAL LIQUID OTC; QL

BANOPHEN ORAL TABLET AL; OTC

carbinoxamine maleate oral solution AL

carbinoxamine maleate oral tablet AL

complete allergy medicine oral capsule Banophen AL; OTC; QL

complete allergy medicine oral tablet Alka-Seltzer Plus Allergy AL; OTC

complete allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

cvs allergy oral capsule Banophen AL; OTC; QL

cvs allergy relief adult oral liquid Banophen OTC; QL

cvs allergy relief childrens oral liquid Banophen OTC; QL

cvs allergy relief oral capsule Banophen AL; OTC; QL

cvs allergy relief oral liquid Banophen OTC; QL

cvs allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

cvs childrens allergy oral liquid Banophen OTC; QL

diphen oral tablet Alka-Seltzer Plus Allergy AL; OTC

diphenhist oral capsule Banophen AL; OTC; QL

diphenhydramine hcl oral capsule 25 mg Banophen AL; OTC; QL

diphenhydramine hcl oral capsule 50 mg Banophen AL; OTC

diphenhydramine hcl oral liquid Banophen OTC; QL

diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy AL; OTC

dye-free allergy relief oral liquid Banophen OTC; QL

eq allergy relief childrens oral liquid Banophen OTC; QL

eq allergy relief oral capsule Banophen AL; OTC; QL

eq allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

eql allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

eql allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

eql childrens allergy oral liquid Banophen OTC; QL

geri-dryl oral liquid Banophen OTC; QL

geri-dryl oral tablet Alka-Seltzer Plus Allergy AL; OTC

gnp allergy antihistamine oral liquid Banophen OTC; QL

gnp allergy oral capsule Banophen AL; OTC; QL

gnp allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

gnp allergy relief oral capsule Banophen AL; OTC; QL

gnp allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

gnp childrens allergy oral liquid Banophen OTC; QL

h-e-b childrens allergy oral liquid Banophen OTC; QL

43


hm allergy relief childrens oral liquid Banophen OTC; QL

hm allergy relief oral capsule Banophen AL; OTC; QL

hm allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

kls allergy medicine oral tablet Alka-Seltzer Plus Allergy AL; OTC

kp diphenhydramine hcl oral capsule Banophen AL; OTC

MEDI-PHEDRYL ORAL CAPSULE AL; OTC; QL

meijer antihistamine allergy oral capsule Banophen AL; OTC; QL

NARAMIN ORAL LIQUID OTC; QL

pharbedryl oral capsule 25 mg Banophen AL; OTC; QL

pharbedryl oral capsule 50 mg Banophen AL; OTC

px allergy oral capsule Banophen AL; OTC; QL

px allergy oral liquid Banophen OTC; QL

px allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

qc allergy childrens oral liquid Banophen OTC; QL

qc allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

qc complete allergy medicine oral tablet Alka-Seltzer Plus Allergy AL; OTC

ra allergy medication oral capsule Banophen AL; OTC; QL

ra allergy medication oral liquid Banophen OTC; QL

ra allergy medication oral tablet Alka-Seltzer Plus Allergy AL; OTC

ra allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

ra allergy relief childrens oral liquid Banophen OTC; QL

ra allergy relief oral capsule Banophen AL; OTC; QL

ra complete allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

RA DIPHEDRYL ALLERGY ORAL LIQUID OTC; QL

sb allergy medicine oral liquid Banophen OTC; QL

sb allergy medicine oral tablet Alka-Seltzer Plus Allergy AL; OTC

sb allergy oral capsule Banophen AL; OTC; QL

siladryl allergy oral liquid Banophen OTC; QL

sm allergy relief childrens oral liquid Banophen OTC; QL

sm allergy relief oral capsule Banophen AL; OTC; QL

sm allergy relief oral liquid Banophen OTC; QL

sm allergy relief oral tablet Alka-Seltzer Plus Allergy AL; OTC

total allergy oral tablet Alka-Seltzer Plus Allergy AL; OTC

WAL-DRYL ALLERGY CHILDRENS ORAL LIQUID

OTC; QL

WAL-DRYL ALLERGY ORAL CAPSULE AL; OTC; QL

WAL-DRYL ALLERGY ORAL LIQUID OTC; QL

44


WAL-DRYL ALLERGY ORAL TABLET AL; OTC

*ANTIHISTAMINES - NON-SEDATING***

24hr allergy relief oral tablet KLS Aller-Fex OTC; QL

ALAVERT ORAL TABLET DISPERSIBLE OTC; QL

ALLEGRA ALLERGY CHILDRENS ORAL TABLET DISPERSIBLE

PA; OTC

aller-ease oral tablet Wal-Fex Allergy OTC; QL

allergy 24-hr oral tablet KLS Aller-Fex OTC; QL

allergy childrens oral syrup Wal-itin AL; OTC; QL

allergy rel child (loratadine) oral solution Wal-itin AL; OTC; QL

allergy relief child oral syrup Wal-itin AL; OTC; QL

allergy relief childrens oral syrup Wal-itin AL; OTC; QL

allergy relief oral tablet KLS AllerClear OTC; QL

allergy relief oral tablet dispersible Alavert OTC; QL

childrens loratadine oral solution Wal-itin AL; OTC; QL

childrens loratadine oral syrup Wal-itin AL; OTC; QL

cvs allergy relief childrens oral suspension Allegra Allergy Childrens AL; OTC; QL

cvs allergy relief childrens oral syrup Wal-itin AL; OTC; QL

cvs allergy relief oral tablet KLS Aller-Fex OTC; QL

cvs allergy relief oral tablet dispersible Alavert OTC; QL

eq allergy childrens oral syrup Wal-itin AL; OTC; QL

eq allergy relief childrens oral syrup Wal-itin AL; OTC; QL

eq allergy relief oral tablet KLS Aller-Fex OTC; QL

eql aller-ease oral tablet KLS Aller-Fex OTC; QL

eql allergy relief oral tablet KLS AllerClear OTC; QL

fexofenadine hcl oral tablet Wal-Fex Allergy OTC; QL

gnp allergy relief oral tablet KLS Aller-Fex OTC; QL

gnp loratadine childrens oral solution Wal-itin AL; OTC; QL

gnp loratadine oral syrup Wal-itin AL; OTC; QL

gnp loratadine oral tablet KLS AllerClear OTC; QL

goodsense aller-ease oral tablet KLS Aller-Fex OTC; QL

goodsense allergy relief oral tablet KLS AllerClear OTC; QL

hm allergy relief oral tablet dispersible Alavert OTC; QL

hm fexofenadine hcl oral tablet KLS Aller-Fex OTC; QL

hm loratadine childrens oral syrup Wal-itin AL; OTC; QL

hm loratadine oral tablet KLS AllerClear OTC; QL

45


KLS ALLERCLEAR ORAL TABLET OTC; QL

KLS ALLER-FEX ORAL TABLET OTC; QL

loradamed oral tablet KLS AllerClear OTC; QL

loratadine childrens oral syrup Wal-itin AL; OTC; QL

loratadine oral capsule Claritin OTC; QL

loratadine oral syrup Wal-itin AL; OTC; QL

loratadine oral tablet KLS AllerClear OTC; QL

meijer loratadine oral syrup Wal-itin AL; OTC; QL

px allergy relief loratadine oral tablet KLS AllerClear OTC; QL

px allergy relief oral tablet KLS Aller-Fex OTC; QL

qc allergy relief childrens oral syrup Wal-itin AL; OTC; QL

qc allergy relief oral tablet KLS Aller-Fex OTC; QL

qc allergy relief oral tablet dispersible Alavert OTC; QL

qc fexofenadine hydrochloride oral tablet KLS Aller-Fex OTC; QL

qc loratadine allergy relief oral tablet KLS AllerClear OTC; QL

ra allergy relief (loratadine) oral tablet KLS AllerClear OTC; QL

ra allergy relief oral tablet KLS Aller-Fex OTC; QL

ra loratadine oral syrup Wal-itin AL; OTC; QL

ra loratadine oral tablet KLS AllerClear OTC; QL

sb loratadine oral syrup Wal-itin AL; OTC; QL

sb loratadine oral tablet KLS AllerClear OTC; QL

sm allergy childrens oral syrup Wal-itin AL; OTC; QL

sm allergy relief oral tablet dispersible Alavert OTC; QL

sm childrens loratadine oral syrup Wal-itin AL; OTC; QL

sm fexofenadine hcl oral tablet Wal-Fex Allergy OTC; QL

sm loratadine allergy relief oral tablet dispersible

Alavert OTC; QL

sm loratadine oral syrup Wal-itin AL; OTC; QL

sm loratadine oral tablet KLS AllerClear OTC; QL

WAL-FEX ALLERGY ORAL TABLET OTC; QL

WAL-ITIN CHILDRENS ORAL SOLUTION AL; OTC; QL

WAL-ITIN ORAL SYRUP AL; OTC; QL

WAL-ITIN ORAL TABLET OTC; QL

WAL-ITIN ORAL TABLET DISPERSIBLE OTC; QL

*ANTIHISTAMINES - PHENOTHIAZINES***

promethazine hcl oral solution AL

46


promethazine hcl oral syrup AL

promethazine hcl oral tablet 12.5 mg, 50 mg AL

promethazine hcl oral tablet 25 mg AL; QL

promethazine hcl rectal suppository Promethegan AL

PROMETHEGAN RECTAL SUPPOSITORY AL

*ANTIHISTAMINES - PIPERIDINES***

cyproheptadine hcl oral syrup

cyproheptadine hcl oral tablet

*ANTIHYPERLIPIDEMICS*

*BILE ACID SEQUESTRANTS***

cholestyramine light oral packet Prevalite

cholestyramine light oral powder Prevalite

cholestyramine oral packet Questran

cholestyramine oral powder Questran

colestipol hcl oral granules Colestid

colestipol hcl oral packet Colestid

colestipol hcl oral tablet Colestid

PREVALITE ORAL PACKET

PREVALITE ORAL POWDER

*FIBRIC ACID DERIVATIVES***

fenofibrate micronized oral capsule QL

fenofibrate oral capsule QL

fenofibrate oral tablet QL

fenofibric acid oral capsule delayed release Trilipix QL

gemfibrozil oral tablet Lopid

*HMG COA REDUCTASE INHIBITORS***

atorvastatin calcium oral tablet 10 mg, 20 mg, 40 mg

Lipitor DO; QL

atorvastatin calcium oral tablet 80 mg Lipitor QL

lovastatin oral tablet 10 mg, 20 mg DO; QL

lovastatin oral tablet 40 mg QL

pravastatin sodium oral tablet 10 mg DO; QL

pravastatin sodium oral tablet 20 mg, 40 mg Pravachol DO; QL

pravastatin sodium oral tablet 80 mg QL

simvastatin oral tablet 10 mg, 20 mg, 40 mg Zocor DO; QL

simvastatin oral tablet 5 mg DO; QL

47


simvastatin oral tablet 80 mg Zocor PA; QL

*NICOTINIC ACID DERIVATIVES***

niacin (antihyperlipidemic) oral tablet Niacor OTC; QL

NIACOR ORAL TABLET PA; QL

*PCSK9 INHIBITORS***

REPATHA PUSHTRONEX SYSTEM SUBCUTANEOUS SOLUTION CARTRIDGE

PA; QL

REPATHA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; QL

REPATHA SURECLICK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; QL

*ANTIHYPERTENSIVES*

*ACE INHIBITOR & CALCIUM CHANNEL BLOCKER COMBINATIONS***

amlodipine besy-benazepril hcl oral capsule QL

*ACE INHIBITORS & THIAZIDE/THIAZIDE-LIKE***

benazepril-hydrochlorothiazide oral tablet QL

captopril-hydrochlorothiazide oral tablet QL

enalapril-hydrochlorothiazide oral tablet Vaseretic QL

fosinopril sodium-hctz oral tablet QL

lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg

Zestoretic DO; QL

lisinopril-hydrochlorothiazide oral tablet 20-12.5 mg, 20-25 mg

Zestoretic QL

quinapril-hydrochlorothiazide oral tablet Accuretic QL

*ACE INHIBITORS***

benazepril hcl oral tablet Lotensin QL

captopril oral tablet QL

enalapril maleate oral tablet Vasotec QL

fosinopril sodium oral tablet QL

lisinopril oral tablet 10 mg, 2.5 mg, 5 mg Zestril DO; QL

lisinopril oral tablet 20 mg Prinivil DO; QL

lisinopril oral tablet 30 mg, 40 mg Zestril QL

moexipril hcl oral tablet

perindopril erbumine oral tablet QL

quinapril hcl oral tablet Accupril QL

48


ramipril oral capsule Altace QL

trandolapril oral tablet

*ADRENOLYTICS-CENTRAL & THIAZIDE/THIAZIDE-LIKE COMB***

methyldopa-hydrochlorothiazide oral tablet

*ANGIOTENSIN II RECEPTOR ANTAG & THIAZIDE/THIAZIDE-LIKE***

candesartan cilexetil-hctz oral tablet Atacand HCT QL

irbesartan-hydrochlorothiazide oral tablet Avalide QL

losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg

Hyzaar QL

losartan potassium-hctz oral tablet 50-12.5 mg

Hyzaar DO; QL

valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 80-12.5 mg

Diovan HCT DO; QL

valsartan-hydrochlorothiazide oral tablet 160-25 mg, 320-12.5 mg, 320-25 mg

Diovan HCT QL

*ANGIOTENSIN II RECEPTOR ANTAGONISTS***

candesartan cilexetil oral tablet Atacand QL

irbesartan oral tablet 150 mg, 75 mg Avapro DO; QL

irbesartan oral tablet 300 mg Avapro QL

losartan potassium oral tablet Cozaar QL

valsartan oral tablet Diovan QL

*ANTIADRENERGICS - CENTRALLY ACTING***

clonidine hcl oral tablet QL

clonidine transdermal patch weekly 0.1 mg/24hr

Catapres-TTS-1 DO; QL


Catapres-TTS-2 DO; QL


Catapres-TTS-3 QL

guanfacine hcl oral tablet QL

methyldopa oral tablet

*ANTIADRENERGICS - PERIPHERALLY ACTING***

doxazosin mesylate oral tablet Cardura QL

prazosin hcl oral capsule Minipress

49


terazosin hcl oral capsule QL

*BETA BLOCKER & DIURETIC COMBINATIONS***

atenolol-chlorthalidone oral tablet Tenoretic 100

bisoprolol-hydrochlorothiazide oral tablet Ziac

metoprolol-hydrochlorothiazide oral tablet QL

propranolol-hctz oral tablet

*VASODILATORS***

hydralazine hcl oral tablet

minoxidil oral tablet

*ANTI-INFECTIVE AGENTS - MISC.*

*ANTI-INFECTIVE AGENTS - MISC.***

metronidazole oral capsule Flagyl

metronidazole oral tablet

tinidazole oral tablet QL

trimethoprim oral tablet

*ANTI-INFECTIVE MISC. - COMBINATIONS***

sulfamethoxazole-trimethoprim oral suspension

Sulfatrim Pediatric

sulfamethoxazole-trimethoprim oral tablet Bactrim

SULFATRIM PEDIATRIC ORAL SUSPENSION

*GLYCOPEPTIDES***

vancomycin hcl oral capsule Vancocin PA

*LEPROSTATICS***

dapsone oral tablet

*LINCOSAMIDES***

clindamycin hcl oral capsule Cleocin

clindamycin palmitate hcl oral solution reconstituted

Cleocin

*OXAZOLIDINONES***

linezolid oral suspension reconstituted Zyvox PA; QL

linezolid oral tablet Zyvox PA; QL

*URINARY ANTI-INFECTIVES***

methenamine hippurate oral tablet Hiprex

nitrofurantoin macrocrystal oral capsule Macrodantin

50


nitrofurantoin monohyd macro oral capsule Macrobid

*ANTIMALARIALS*

*ANTIMALARIAL COMBINATIONS***

atovaquone-proguanil hcl oral tablet Malarone

*ANTIMALARIALS***

chloroquine phosphate oral tablet

hydroxychloroquine sulfate oral tablet Plaquenil QL

mefloquine hcl oral tablet QL

primaquine phosphate oral tablet

*ANTIMYASTHENIC/CHOLINERGIC AGENTS*

*ANTIMYASTHENIC/CHOLINERGIC AGENTS***

guanidine hcl oral tablet

pyridostigmine bromide er oral tablet extended release

Mestinon

pyridostigmine bromide oral solution Mestinon

pyridostigmine bromide oral tablet Mestinon

*ANTIMYCOBACTERIAL AGENTS*

*ANTIMYCOBACTERIAL AGENTS***

ethambutol hcl oral tablet Myambutol

isoniazid oral syrup

isoniazid oral tablet

PRIFTIN ORAL TABLET

pyrazinamide oral tablet

rifabutin oral capsule Mycobutin

rifampin oral capsule

*ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES*

*ALKYLATING AGENTS***

MYLERAN ORAL TABLET SP

*ANTIANDROGENS***

bicalutamide oral tablet Casodex

flutamide oral capsule

*ANTIESTROGENS***

tamoxifen citrate oral tablet

51


*ANTIMETABOLITES***

mercaptopurine oral tablet

methotrexate oral tablet

methotrexate sodium (pf) injection solution

methotrexate sodium injection solution

methotrexate sodium injection solution reconstituted

methotrexate sodium oral tablet

TABLOID ORAL TABLET

TREXALL ORAL TABLET

*ANTINEOPLASTIC - BCR-ABL KINASE INHIBITORS***

imatinib mesylate oral tablet Gleevec PA; SP; QL

*ANTINEOPLASTIC - EGFR INHIBITORS***

IRESSA ORAL TABLET PA; SP; QL

*ANTINEOPLASTICS MISC.***

hydroxyurea oral capsule Hydrea

*AROMATASE INHIBITORS***

anastrozole oral tablet Arimidex QL

exemestane oral tablet Aromasin QL

letrozole oral tablet Femara QL

*ESTROGENS-ANTINEOPLASTIC***

EMCYT ORAL CAPSULE PA; SP

*FOLIC ACID ANTAGONISTS RESCUE AGENTS***

leucovorin calcium oral tablet

*MITOTIC INHIBITORS***

etoposide oral capsule SP

*NITROGEN MUSTARDS***

cyclophosphamide oral capsule SP

LEUKERAN ORAL TABLET

melphalan oral tablet Alkeran SP

*PROGESTINS-ANTINEOPLASTIC***

hydroxyprogesterone caproate intramuscular solution

PA; SP

megestrol acetate oral suspension PA

52


megestrol acetate oral tablet PA

*RETINOIDS***

tretinoin oral capsule

*URINARY TRACT PROTECTIVE AGENTS***

MESNEX ORAL TABLET PA

*ANTIPARKINSON AND RELATED THERAPY AGENTS*

*ANTIPARKINSON ANTICHOLINERGICS***

benztropine mesylate oral tablet

trihexyphenidyl hcl oral solution

trihexyphenidyl hcl oral tablet

*ANTIPARKINSON DOPAMINERGICS***

amantadine hcl oral capsule QL

amantadine hcl oral syrup QL

amantadine hcl oral tablet

bromocriptine mesylate oral capsule Parlodel

bromocriptine mesylate oral tablet Parlodel

*ANTIPARKINSON MONOAMINE OXIDASE INHIBITORS***

selegiline hcl oral capsule

selegiline hcl oral tablet

*LEVODOPA COMBINATIONS***

carbidopa-levodopa er oral tablet extended release

carbidopa-levodopa oral tablet Sinemet

carbidopa-levodopa oral tablet dispersible

carbidopa-levodopa-entacapone oral tablet Stalevo 200

*NONERGOLINE DOPAMINE RECEPTOR AGONISTS***

pramipexole dihydrochloride oral tablet Mirapex QL

ropinirole hcl oral tablet

*PERIPHERAL COMT INHIBITORS***

entacapone oral tablet Comtan

53


*ANTIPSYCHOTICS/ANTIMANIC AGENTS*

*ANTIMANIC AGENTS***

lithium carbonate er oral tablet extended release

lithium carbonate oral capsule

lithium carbonate oral tablet

lithium oral solution

*ANTIPSYCHOTICS - MISC.***

EQUETRO ORAL CAPSULE EXTENDED RELEASE 12 HOUR

PA; QL

LATUDA ORAL TABLET 120 MG, 20 MG, 40 MG, 80 MG

AL; QL

LATUDA ORAL TABLET 60 MG AL

NUPLAZID ORAL CAPSULE SP; QL

NUPLAZID ORAL TABLET SP; QL

VRAYLAR ORAL CAPSULE

VRAYLAR ORAL CAPSULE THERAPY PACK

ziprasidone hcl oral capsule Geodon AL; QL

ziprasidone mesylate intramuscular solution reconstituted

Geodon

*BENZISOXAZOLES***

FANAPT ORAL TABLET QL

FANAPT TITRATION PACK ORAL TABLET

INVEGA SUSTENNA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

AL; QL

INVEGA TRINZA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

AL; QL

paliperidone er oral tablet extended release 24 hour 1.5 mg

Invega

paliperidone er oral tablet extended release 24 hour 3 mg, 6 mg, 9 mg

Invega QL

PERSERIS SUBCUTANEOUS PREFILLED SYRINGE

RISPERDAL CONSTA INTRAMUSCULAR SUSPENSION RECONSTITUTED ER

AL; QL

risperidone oral solution RisperDAL QL

risperidone oral tablet RisperDAL QL

54


risperidone oral tablet dispersible QL

*BUTYROPHENONES***

HALDOL DECANOATE INTRAMUSCULAR SOLUTION 100 MG/ML

AL; QL

HALDOL DECANOATE INTRAMUSCULAR SOLUTION 50 MG/ML

AL

HALDOL INJECTION SOLUTION PA; AL

haloperidol decanoate intramuscular solution 100 mg/ml

Haldol Decanoate AL; QL

haloperidol decanoate intramuscular solution 50 mg/ml

Haldol Decanoate AL

haloperidol lactate injection solution Haldol AL

haloperidol lactate oral concentrate

haloperidol oral tablet QL

*DIBENZODIAZEPINES***

clozapine oral tablet Clozaril QL

clozapine oral tablet dispersible QL

VERSACLOZ ORAL SUSPENSION

*DIBENZO-OXEPINO PYRROLES***

asenapine maleate sublingual tablet sublingual 10 mg, 5 mg

Saphris QL

asenapine maleate sublingual tablet sublingual 2.5 mg

Saphris

*DIBENZOTHIAZEPINES***

quetiapine fumarate er oral tablet extended release 24 hour 150 mg, 50 mg

SEROquel XR

quetiapine fumarate er oral tablet extended release 24 hour 200 mg, 300 mg, 400 mg

SEROquel XR QL

quetiapine fumarate oral tablet SEROquel QL

*DIBENZOXAZEPINES***

ADASUVE INHALATION AEROSOL POWDER BREATH ACTIVATED

loxapine succinate oral capsule QL

*DIHYDROINDOLONES***

molindone hcl oral tablet

*PHENOTHIAZINES***

chlorpromazine hcl injection solution

chlorpromazine hcl oral tablet QL

COMPRO RECTAL SUPPOSITORY

55


fluphenazine decanoate injection solution AL

fluphenazine hcl injection solution AL

fluphenazine hcl oral concentrate

fluphenazine hcl oral elixir

fluphenazine hcl oral tablet QL

perphenazine oral tablet 16 mg

perphenazine oral tablet 2 mg, 4 mg, 8 mg QL

prochlorperazine maleate oral tablet

prochlorperazine rectal suppository Compro

thioridazine hcl oral tablet QL

trifluoperazine hcl oral tablet QL

*QUINOLINONE DERIVATIVES***

ABILIFY MAINTENA INTRAMUSCULAR PREFILLED SYRINGE

AL; QL

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION RECONSTITUTED ER

AL; QL

ABILIFY MYCITE MAINTENANCE KIT ORAL TABLET

ABILIFY MYCITE ORAL TABLET

ABILIFY MYCITE STARTER KIT ORAL TABLET

aripiprazole oral solution QL

aripiprazole oral tablet Abilify QL

aripiprazole oral tablet dispersible QL

ARISTADA INITIO INTRAMUSCULAR PREFILLED SYRINGE

AL; QL

ARISTADA INTRAMUSCULAR PREFILLED SYRINGE

AL; QL

REXULTI ORAL TABLET AL; QL

*THIENBENZODIAZEPINES***

olanzapine intramuscular solution reconstituted

ZyPREXA

olanzapine oral tablet ZyPREXA QL

olanzapine oral tablet dispersible ZyPREXA Zydis QL

ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION RECONSTITUTED

AL

*THIOXANTHENES***

thiothixene oral capsule QL

56


*ANTIVIRALS*

*ANTIRETROVIRAL COMBINATIONS***

abacavir sulfate-lamivudine oral tablet Epzicom SP; QL

abacavir-lamivudine-zidovudine oral tablet Trizivir SP; QL

BIKTARVY ORAL TABLET SP; QL

CIMDUO ORAL TABLET SP; QL

DOVATO ORAL TABLET SP

emtricitabine-tenofovir df oral tablet Truvada SP; QL

EVOTAZ ORAL TABLET SP; QL

GENVOYA ORAL TABLET SP; QL

JULUCA ORAL TABLET PA; SP; QL

lamivudine-zidovudine oral tablet Combivir SP; QL

lopinavir-ritonavir oral solution Kaletra SP; QL

PREZCOBIX ORAL TABLET SP; QL

STRIBILD ORAL TABLET SP; QL

TEMIXYS ORAL TABLET SP; QL

TRIUMEQ ORAL TABLET SP; QL

*ANTIRETROVIRALS - CCR5 ANTAGONISTS (ENTRY INHIBITOR)***

SELZENTRY ORAL SOLUTION SP; QL

SELZENTRY ORAL TABLET SP; QL

*ANTIRETROVIRALS - FUSION INHIBITORS***

FUZEON SUBCUTANEOUS SOLUTION RECONSTITUTED

PA; SP; QL

*ANTIRETROVIRALS - INTEGRASE INHIBITORS***

ISENTRESS HD ORAL TABLET SP; QL

ISENTRESS ORAL PACKET SP; QL

ISENTRESS ORAL TABLET SP; QL

ISENTRESS ORAL TABLET CHEWABLE SP; QL

TIVICAY ORAL TABLET SP; QL

*ANTIRETROVIRALS - PROTEASE INHIBITORS***

APTIVUS ORAL CAPSULE PA; SP; QL

APTIVUS ORAL SOLUTION PA; SP; QL

atazanavir sulfate oral capsule Reyataz SP; QL

57


NORVIR ORAL SOLUTION SP; QL

PREZISTA ORAL SUSPENSION SP; QL

PREZISTA ORAL TABLET SP; QL

REYATAZ ORAL PACKET SP; QL

ritonavir oral tablet Norvir SP; QL

*ANTIRETROVIRALS - RTI-NON-NUCLEOSIDE ANALOGUES***

EDURANT ORAL TABLET SP; QL

INTELENCE ORAL TABLET PA; SP; QL

nevirapine er oral tablet extended release 24 hour

Viramune XR SP; QL

nevirapine oral suspension Viramune SP; QL

nevirapine oral tablet SP; QL

PIFELTRO ORAL TABLET SP; QL

*ANTIRETROVIRALS - RTI-NUCLEOSIDE ANALOGUES-PURINES***

abacavir sulfate oral solution Ziagen SP; QL

abacavir sulfate oral tablet Ziagen SP; QL

*ANTIRETROVIRALS - RTI-NUCLEOSIDE ANALOGUES-PYRIMIDINES***

emtricitabine oral capsule Emtriva SP; QL

EMTRIVA ORAL SOLUTION SP; QL

lamivudine oral solution Epivir SP; QL

lamivudine oral tablet Epivir SP; QL

*ANTIRETROVIRALS - RTI-NUCLEOSIDE ANALOGUES-THYMIDINES***

stavudine oral capsule SP; QL

zidovudine oral capsule Retrovir SP; QL

zidovudine oral syrup Retrovir SP; QL

zidovudine oral tablet SP

*ANTIRETROVIRALS - RTI-NUCLEOTIDE ANALOGUES***

tenofovir disoproxil fumarate oral tablet Viread PA; SP; QL

VIREAD ORAL POWDER PA; SP; QL

VIREAD ORAL TABLET PA; SP; QL

58


*ANTIRETROVIRALS ADJUVANTS***

TYBOST ORAL TABLET SP; QL

*CMV AGENTS***

valganciclovir hcl oral solution reconstituted Valcyte SP

valganciclovir hcl oral tablet Valcyte SP

*HEPATITIS B AGENTS***

adefovir dipivoxil oral tablet Hepsera PA; SP

BARACLUDE ORAL SOLUTION PA; SP

entecavir oral tablet Baraclude PA; SP; QL

EPIVIR HBV ORAL SOLUTION PA; SP; QL

lamivudine oral tablet Epivir HBV PA; SP; QL

*HERPES AGENTS - PURINE ANALOGUES***

acyclovir oral capsule

acyclovir oral suspension Zovirax

acyclovir oral tablet

valacyclovir hcl oral tablet Valtrex QL

*HERPES AGENTS - THYMIDINE ANALOGUES***

famciclovir oral tablet QL

*INFLUENZA AGENTS***

rimantadine hcl oral tablet

*NEURAMINIDASE INHIBITORS***

oseltamivir phosphate oral capsule Tamiflu QL

oseltamivir phosphate oral suspension reconstituted

Tamiflu QL

RELENZA DISKHALER INHALATION AEROSOL POWDER BREATH ACTIVATED

QL

*PA ENDONUCLEASE INHIBITORS***

XOFLUZA (40 MG DOSE) ORAL TABLET THERAPY PACK

QL

XOFLUZA (80 MG DOSE) ORAL TABLET THERAPY PACK

QL

*BETA BLOCKERS*

*ALPHA-BETA BLOCKERS***

carvedilol oral tablet Coreg QL

labetalol hcl oral tablet

59


*BETA BLOCKERS CARDIO-SELECTIVE***

acebutolol hcl oral capsule

atenolol oral tablet Tenormin

betaxolol hcl oral tablet

bisoprolol fumarate oral tablet

metoprolol succinate er oral tablet extended release 24 hour

Toprol XL

metoprolol tartrate oral tablet 100 mg, 50 mg Lopressor QL

metoprolol tartrate oral tablet 25 mg, 37.5 mg, 75 mg

*BETA BLOCKERS NON-SELECTIVE***

HEMANGEOL ORAL SOLUTION

INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 HOUR

PA

INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 HOUR

PA

nadolol oral tablet Corgard

pindolol oral tablet

propranolol hcl er oral capsule extended release 24 hour

Inderal LA

propranolol hcl oral solution

propranolol hcl oral tablet

SORINE ORAL TABLET

sotalol hcl (af) oral tablet Betapace AF

sotalol hcl oral tablet Sorine

timolol maleate oral tablet

*CALCIUM CHANNEL BLOCKERS*

*CALCIUM CHANNEL BLOCKERS***

AFEDITAB CR ORAL TABLET EXTENDED RELEASE 24 HOUR 30 MG

DO; QL

AFEDITAB CR ORAL TABLET EXTENDED RELEASE 24 HOUR 60 MG

QL

amlodipine besylate oral tablet 10 mg Norvasc QL

amlodipine besylate oral tablet 2.5 mg, 5 mg Norvasc DO; QL

CARTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG

DO; QL

60


CARTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 300 MG

QL

diltiazem hcl er beads oral capsule extended release 24 hour 120 mg, 180 mg, 240 mg

Taztia XT DO; QL

diltiazem hcl er beads oral capsule extended release 24 hour 300 mg, 360 mg

Taztia XT QL

diltiazem hcl er beads oral capsule extended release 24 hour 420 mg

Tiadylt ER QL

diltiazem hcl er coated beads oral capsule extended release 24 hour 120 mg, 180 mg, 240 mg

Cartia XT DO; QL

diltiazem hcl er coated beads oral capsule extended release 24 hour 300 mg

Cartia XT QL

diltiazem hcl er coated beads oral capsule extended release 24 hour 360 mg

Cardizem CD QL

diltiazem hcl er oral capsule extended release 24 hour 120 mg, 180 mg

DO; QL

diltiazem hcl er oral capsule extended release 24 hour 240 mg

QL

diltiazem hcl oral tablet 120 mg Cardizem QL

diltiazem hcl oral tablet 30 mg, 60 mg Cardizem DO; QL

diltiazem hcl oral tablet 90 mg QL

dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg

DO; QL

dilt-xr oral capsule extended release 24 hour 240 mg

QL

felodipine er oral tablet extended release 24 hour 10 mg

QL

felodipine er oral tablet extended release 24 hour 2.5 mg, 5 mg

DO; QL

isradipine oral capsule QL

nicardipine hcl oral capsule QL

nifedipine er oral tablet extended release 24 hour 30 mg

Afeditab CR DO; QL


Afeditab CR QL


QL

nifedipine er osmotic release oral tablet extended release 24 hour 30 mg

Procardia XL DO; QL

nifedipine er osmotic release oral tablet extended release 24 hour 60 mg, 90 mg

Procardia XL QL

61


nifedipine oral capsule Procardia QL

TAZTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG

DO; QL

TAZTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 300 MG, 360 MG

QL

TIADYLT ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG

DO; QL

TIADYLT ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR 300 MG, 360 MG, 420 MG

QL

verapamil hcl er oral capsule extended release 24 hour 100 mg

Verelan PM DO; QL

verapamil hcl er oral capsule extended release 24 hour 120 mg, 180 mg

Verelan DO; QL


Verelan PM QL


Verelan QL

verapamil hcl er oral tablet extended release Calan SR QL

verapamil hcl oral tablet QL

*CARDIOTONICS*

*CARDIAC GLYCOSIDES***

DIGITEK ORAL TABLET

DIGOX ORAL TABLET

digoxin oral solution

digoxin oral tablet Digitek

LANOXIN ORAL TABLET

*CARDIOVASCULAR AGENTS - MISC.*

*PULMONARY HYPERTENSION - ENDOTHELIN RECEPTOR ANTAGONISTS***

ambrisentan oral tablet Letairis PA; SP; QL

*PULMONARY HYPERTENSION - PHOSPHODIESTERASE INHIBITORS***

ALYQ ORAL TABLET PA; SP; QL

sildenafil citrate oral tablet Revatio PA; SP; QL

62


tadalafil (pah) oral tablet Alyq PA; SP; QL

*CEPHALOSPORINS*

*CEPHALOSPORINS - 1ST GENERATION***

cefadroxil oral capsule

cefadroxil oral suspension reconstituted

cefadroxil oral tablet

cephalexin oral capsule Keflex

cephalexin oral suspension reconstituted

cephalexin oral tablet

*CEPHALOSPORINS - 2ND GENERATION***

cefaclor er oral tablet extended release 12 hour

cefaclor oral capsule

cefaclor oral suspension reconstituted

cefprozil oral suspension reconstituted

cefprozil oral tablet

cefuroxime axetil oral tablet 250 mg

cefuroxime axetil oral tablet 500 mg QL

*CEPHALOSPORINS - 3RD GENERATION***

cefdinir oral capsule QL

cefdinir oral suspension reconstituted QL

cefpodoxime proxetil oral suspension reconstituted

cefpodoxime proxetil oral tablet

*CHEMICALS*

*BULK CHEMICALS - HY'S***

hydroxyprogesterone caproate powder

*SOLVENTS***

cvs alcohol solution OTC

cvs isopropyl alcohol solution OTC

cvs rubbing alcohol solution OTC

eql isopropyl alcohol solution OTC

eql isopropyl rubbing alcohol solution OTC

gnp isopropyl alcohol solution OTC

goodsense isopropyl alcohol solution OTC

63


hm isopropyl alcohol solution OTC

isopropanol solution OTC

isopropyl alcohol (rubbing) solution OTC

isopropyl alcohol solution OTC

isopropyl alcohol, rubbing solution OTC

ra isopropyl alcohol solution OTC

ra isopropyl rubbing alcohol solution OTC

rubbing alcohol solution OTC

sm alcohol solution OTC

sm isopropyl alcohol solution OTC

*CONTRACEPTIVES*

*BIPHASIC CONTRACEPTIVES - ORAL***

AZURETTE ORAL TABLET AL; QL

BEKYREE ORAL TABLET AL; QL

desogestrel-ethinyl estradiol oral tablet Azurette AL; QL

KARIVA ORAL TABLET AL; QL

PIMTREA ORAL TABLET AL; QL

SIMLIYA ORAL TABLET AL; QL

viorele oral tablet Azurette AL; QL

VOLNEA ORAL TABLET AL; QL

*COMBINATION CONTRACEPTIVES - ORAL***

AFIRMELLE ORAL TABLET AL; QL

ALTAVERA ORAL TABLET AL; QL

alyacen 1/35 oral tablet Cyclafem 1/35 AL; QL

APRI ORAL TABLET AL; QL

AUBRA EQ ORAL TABLET AL; QL

AUBRA ORAL TABLET AL; QL

AUROVELA 1.5/30 ORAL TABLET AL; QL

AUROVELA 1/20 ORAL TABLET AL; QL

AUROVELA 24 FE ORAL TABLET AL; QL

AUROVELA FE 1.5/30 ORAL TABLET AL; QL

AUROVELA FE 1/20 ORAL TABLET AL; QL

AVIANE ORAL TABLET AL; QL

AYUNA ORAL TABLET AL; QL

BALZIVA ORAL TABLET AL; QL

64


BLISOVI 24 FE ORAL TABLET AL; QL

BLISOVI FE 1.5/30 ORAL TABLET AL; QL

BLISOVI FE 1/20 ORAL TABLET AL; QL

briellyn oral tablet Balziva AL; QL

CHARLOTTE 24 FE ORAL TABLET CHEWABLE

AL; QL

CHATEAL EQ ORAL TABLET AL; QL

CHATEAL ORAL TABLET AL; QL

CRYSELLE-28 ORAL TABLET AL; QL

CYCLAFEM 1/35 ORAL TABLET AL; QL

CYRED EQ ORAL TABLET AL; QL

CYRED ORAL TABLET AL; QL

DASETTA 1/35 ORAL TABLET AL; QL

DELYLA ORAL TABLET AL; QL

desogestrel-ethinyl estradiol oral tablet Apri AL; QL

drospiren-eth estrad-levomefol oral tablet Tydemy AL; QL

drospirenone-ethinyl estradiol oral tablet Ocella AL; QL

ELINEST ORAL TABLET AL; QL

EMOQUETTE ORAL TABLET AL; QL

ENSKYCE ORAL TABLET AL; QL

ESTARYLLA ORAL TABLET AL; QL

ethynodiol diac-eth estradiol oral tablet Kelnor 1/35 AL; QL

FALMINA ORAL TABLET AL; QL

FEMYNOR ORAL TABLET AL; QL

GEMMILY ORAL CAPSULE AL; QL

HAILEY 1.5/30 ORAL TABLET AL; QL

HAILEY 24 FE ORAL TABLET AL; QL

HAILEY FE 1.5/30 ORAL TABLET AL; QL

HAILEY FE 1/20 ORAL TABLET AL; QL

ISIBLOOM ORAL TABLET AL; QL

JASMIEL ORAL TABLET AL; QL

JULEBER ORAL TABLET AL; QL

JUNEL 1.5/30 ORAL TABLET AL; QL

JUNEL 1/20 ORAL TABLET AL; QL

JUNEL FE 1.5/30 ORAL TABLET AL; QL

JUNEL FE 1/20 ORAL TABLET AL; QL

JUNEL FE 24 ORAL TABLET AL; QL

65


KAITLIB FE ORAL TABLET CHEWABLE AL; QL

KALLIGA ORAL TABLET AL; QL

KELNOR 1/35 ORAL TABLET AL; QL

KELNOR 1/50 ORAL TABLET AL; QL

KURVELO ORAL TABLET AL; QL

LARIN 1.5/30 ORAL TABLET AL; QL

LARIN 1/20 ORAL TABLET AL; QL

LARIN 24 FE ORAL TABLET AL; QL

LARIN FE 1.5/30 ORAL TABLET AL; QL

LARIN FE 1/20 ORAL TABLET AL; QL

LARISSIA ORAL TABLET AL; QL

LAYOLIS FE ORAL TABLET CHEWABLE AL; QL

LESSINA ORAL TABLET AL; QL

levonorgestrel-ethinyl estrad oral tablet Afirmelle AL; QL

LEVORA 0.15/30 (28) ORAL TABLET AL; QL

LILLOW ORAL TABLET AL; QL

LOESTRIN 1.5/30 (21) ORAL TABLET AL; QL

LOESTRIN 1/20 (21) ORAL TABLET AL; QL

LOESTRIN FE 1.5/30 ORAL TABLET AL; QL

LOESTRIN FE 1/20 ORAL TABLET AL; QL

LORYNA ORAL TABLET AL; QL

LOW-OGESTREL ORAL TABLET AL; QL

LO-ZUMANDIMINE ORAL TABLET AL; QL

LUTERA ORAL TABLET AL; QL

marlissa oral tablet Altavera AL; QL

MERZEE ORAL CAPSULE AL; QL

MICROGESTIN 1.5/30 ORAL TABLET AL; QL

MICROGESTIN 1/20 ORAL TABLET AL; QL

MICROGESTIN 24 FE ORAL TABLET AL; QL

MICROGESTIN FE 1.5/30 ORAL TABLET AL; QL

MICROGESTIN FE 1/20 ORAL TABLET AL; QL

MILI ORAL TABLET AL; QL

MONO-LINYAH ORAL TABLET AL; QL

NECON 0.5/35 (28) ORAL TABLET AL; QL

NIKKI ORAL TABLET AL; QL

norethin ace-eth estrad-fe oral capsule Gemmily AL; QL

norethin ace-eth estrad-fe oral tablet Aurovela Fe 1.5/30 AL; QL

66


norethin ace-eth estrad-fe oral tablet chewable

Charlotte 24 Fe AL; QL

norethindrone acet-ethinyl est oral tablet Aurovela 1/20 AL; QL

norethin-eth estradiol-fe oral tablet chewable Wymzya Fe AL; QL

norgestimate-eth estradiol oral tablet Estarylla AL; QL

NORTREL 0.5/35 (28) ORAL TABLET AL; QL

NORTREL 1/35 (21) ORAL TABLET AL; QL

NORTREL 1/35 (28) ORAL TABLET AL; QL

NYMYO ORAL TABLET AL; QL

OCELLA ORAL TABLET AL; QL

ORSYTHIA ORAL TABLET AL; QL

PHILITH ORAL TABLET AL; QL

PIRMELLA 1/35 ORAL TABLET AL; QL

PORTIA-28 ORAL TABLET AL; QL

PREVIFEM ORAL TABLET AL; QL

RECLIPSEN ORAL TABLET AL; QL

SPRINTEC 28 ORAL TABLET AL; QL

SRONYX ORAL TABLET AL; QL

SYEDA ORAL TABLET AL; QL

TARINA 24 FE ORAL TABLET AL; QL

TARINA FE 1/20 EQ ORAL TABLET AL; QL

TARINA FE 1/20 ORAL TABLET AL; QL

TYDEMY ORAL TABLET AL; QL

VESTURA ORAL TABLET AL; QL

VIENVA ORAL TABLET AL; QL

VYFEMLA ORAL TABLET AL; QL

VYLIBRA ORAL TABLET AL; QL

WERA ORAL TABLET AL; QL

WYMZYA FE ORAL TABLET CHEWABLE AL; QL

ZARAH ORAL TABLET AL; QL

ZOVIA 1/35 (28) ORAL TABLET AL; QL

ZOVIA 1/35E (28) ORAL TABLET AL; QL

ZUMANDIMINE ORAL TABLET AL; QL

*COMBINATION CONTRACEPTIVES - TRANSDERMAL***

XULANE TRANSDERMAL PATCH WEEKLY

AL; QL

67


ZAFEMY TRANSDERMAL PATCH WEEKLY

AL; QL

*COMBINATION CONTRACEPTIVES - VAGINAL***

ELURYNG VAGINAL RING AL; QL

etonogestrel-ethinyl estradiol vaginal ring EluRyng AL; QL

*CONTINUOUS CONTRACEPTIVES - ORAL***

AMETHYST ORAL TABLET AL; QL

levonorgestrel-ethinyl estrad oral tablet Amethyst AL; QL

*EMERGENCY CONTRACEPTIVES***

AFTERA ORAL TABLET OTC; QL

ECONTRA EZ ORAL TABLET OTC; QL

ECONTRA ONE-STEP ORAL TABLET OTC; QL

ELLA ORAL TABLET QL

levonorgestrel oral tablet Aftera OTC; QL

MY CHOICE ORAL TABLET OTC; QL

MY WAY ORAL TABLET OTC; QL

NEW DAY ORAL TABLET OTC; QL

OPCICON ONE-STEP ORAL TABLET OTC; QL

OPTION 2 ORAL TABLET OTC; QL

PREVENTEZA ORAL TABLET OTC; QL

REACT ORAL TABLET OTC; QL

TAKE ACTION ORAL TABLET OTC; QL

*EXTENDED-CYCLE CONTRACEPTIVES - ORAL***

AMETHIA ORAL TABLET AL; QL

ASHLYNA ORAL TABLET AL; QL

CAMRESE LO ORAL TABLET AL; QL

CAMRESE ORAL TABLET AL; QL

DAYSEE ORAL TABLET AL; QL

FAYOSIM ORAL TABLET AL; QL

ICLEVIA ORAL TABLET AL; QL

INTROVALE ORAL TABLET AL; QL

JAIMIESS ORAL TABLET AL; QL

JOLESSA ORAL TABLET AL; QL

levonorgest-eth est & eth est oral tablet Fayosim AL; QL

68


levonorgest-eth estrad 91-day oral tablet Camrese Lo AL; QL

LOJAIMIESS ORAL TABLET AL; QL

RIVELSA ORAL TABLET AL; QL

SETLAKIN ORAL TABLET AL; QL

SIMPESSE ORAL TABLET AL; QL

*PROGESTIN CONTRACEPTIVES - INJECTABLE***

medroxyprogesterone acetate intramuscular suspension

Depo-Provera AL; QL

medroxyprogesterone acetate intramuscular suspension prefilled syringe

Depo-Provera AL

*PROGESTIN CONTRACEPTIVES - ORAL***

CAMILA ORAL TABLET AL

DEBLITANE ORAL TABLET AL

ERRIN ORAL TABLET AL

HEATHER ORAL TABLET AL

INCASSIA ORAL TABLET AL

JENCYCLA ORAL TABLET AL

LYLEQ ORAL TABLET AL

LYZA ORAL TABLET AL

NORA-BE ORAL TABLET AL

norethindrone oral tablet Camila AL

NORLYDA ORAL TABLET AL

NORLYROC ORAL TABLET AL

SHAROBEL ORAL TABLET AL

TULANA ORAL TABLET AL

*TRIPHASIC CONTRACEPTIVES - ORAL***

alyacen 7/7/7 oral tablet Cyclafem 7/7/7 AL; QL

ARANELLE ORAL TABLET AL; QL

CAZIANT ORAL TABLET AL; QL

CYCLAFEM 7/7/7 ORAL TABLET AL; QL

DASETTA 7/7/7 ORAL TABLET AL; QL

ENPRESSE-28 ORAL TABLET AL; QL

LEENA ORAL TABLET AL; QL

LEVONEST ORAL TABLET AL; QL

levonorg-eth estrad triphasic oral tablet Enpresse-28 AL; QL

69


norgestim-eth estrad triphasic oral tablet Tri Femynor AL; QL

NORTREL 7/7/7 ORAL TABLET AL; QL

NYLIA 7/7/7 ORAL TABLET AL; QL

PIRMELLA 7/7/7 ORAL TABLET AL; QL

TILIA FE ORAL TABLET AL; QL

TRI FEMYNOR ORAL TABLET AL; QL

TRI-ESTARYLLA ORAL TABLET AL; QL

TRI-LEGEST FE ORAL TABLET AL; QL

TRI-LINYAH ORAL TABLET AL; QL

TRI-LO-ESTARYLLA ORAL TABLET AL; QL

TRI-LO-MARZIA ORAL TABLET AL; QL

TRI-LO-MILI ORAL TABLET AL; QL

TRI-LO-SPRINTEC ORAL TABLET AL; QL

TRI-MILI ORAL TABLET AL; QL

TRINESSA (28) ORAL TABLET AL; QL

TRI-NYMYO ORAL TABLET AL; QL

TRI-PREVIFEM ORAL TABLET AL; QL

TRI-SPRINTEC ORAL TABLET AL; QL

TRIVORA (28) ORAL TABLET AL; QL

TRI-VYLIBRA LO ORAL TABLET AL; QL

TRI-VYLIBRA ORAL TABLET AL; QL

VELIVET ORAL TABLET AL; QL

*CORTICOSTEROIDS*

*GLUCOCORTICOSTEROIDS***

budesonide oral capsule delayed release particles

Entocort EC QL

DECADRON ORAL TABLET

DEXAMETHASONE INTENSOL ORAL CONCENTRATE

dexamethasone oral elixir

dexamethasone oral solution

dexamethasone oral tablet Decadron

dexamethasone oral tablet therapy pack TaperDex 6-Day

hydrocortisone oral tablet Cortef

methylprednisolone oral tablet Medrol

methylprednisolone oral tablet therapy pack Medrol

MILLIPRED ORAL TABLET

70


prednisolone oral solution QL

prednisolone oral syrup QL

prednisolone sodium phosphate oral solution 10 mg/5ml

prednisolone sodium phosphate oral solution 15 mg/5ml, 20 mg/5ml, 25 mg/5ml

QL

prednisolone sodium phosphate oral solution 6.7 (5 base) mg/5ml

Pediapred QL

prednisolone sodium phosphate oral tablet dispersible

Orapred ODT QL

PREDNISONE INTENSOL ORAL CONCENTRATE

prednisone oral solution

prednisone oral tablet

prednisone oral tablet therapy pack

TAPERDEX 6-DAY ORAL TABLET THERAPY PACK

*MINERALOCORTICOIDS***

fludrocortisone acetate oral tablet

*COUGH/COLD/ALLERGY*

*ANTITUSSIVE - NONNARCOTIC***

benzonatate oral capsule Tessalon Perles

cough dm oral suspension extended release Delsym OTC

cvs cough dm oral suspension extended release

Delsym OTC

dextromethorphan polistirex er oral suspension extended release

Delsym OTC

eq cough dm oral suspension extended release

Delsym OTC

gnp cough dm er oral suspension extended release

Delsym OTC

hm cough dm oral suspension extended release

Delsym OTC

ra cough dm oral suspension extended release

Delsym OTC

*ANTITUSSIVE - OPIOID***

hydrocodone-homatropine oral syrup Hycodan AL

hydrocodone-homatropine oral tablet AL

hydromet oral syrup Hycodan AL

71


*ANTITUSSIVE-EXPECTORANT***

altarussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

biocotron oral liquid Diabetic Tussin DM AL; OTC; QL

chest congestion relief dm oral syrup Robafen DM Cough Clear AL; OTC; QL

childrens cough oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

childrens mucus relief cough oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cough & chest congestion dm oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cough/chest congestion dm oral syrup Robafen DM Cough Clear AL; OTC; QL

cvs chest congest/cough child oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cvs cough & chest congestion oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cvs cough/chest dm childrens oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cvs dm maximum adult oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cvs tussin dm max st oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

cvs tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

DELSYM CGH/CHEST CONG DM CHILD ORAL LIQUID

AL; OTC

DELSYM COUGH/CHEST CONGEST DM ORAL LIQUID

AL; OTC

dextromethorphan-guaifenesin oral liquid Diabetic Tussin DM AL; OTC; QL

dextromethorphan-guaifenesin oral syrup Robafen DM Cough Clear AL; OTC; QL

diabetic siltussin-dm oral liquid Diabetic Tussin DM AL; OTC; QL

DIABETIC TUSSIN DM ORAL LIQUID AL; OTC; QL

DIABETIC TUSSIN FOR CHILDREN ORAL LIQUID

AL; OTC; QL

eq cough childrens oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

eq tussin dm cough/chest oral syrup Robafen DM Cough Clear AL; OTC; QL

eq tussin dm max adult oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

eq tussin dm max daytime oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

eql tussin dm cough/chest cong oral syrup Robafen DM Cough Clear AL; OTC; QL

72


geri-tussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

GILTUSS COUGH & CHEST CHILDREN ORAL LIQUID

AL; OTC; QL

GILTUSS COUGH & CHEST ORAL LIQUID AL; OTC; QL

GILTUSS DIABETIC COUGH & COLD ORAL LIQUID

AL; OTC; QL

GILTUSS HONEY CGH/CHEST CONGES ORAL LIQUID

AL; OTC; QL

GILTUSS HONEY CGH/CHST CHILD ORAL LIQUID

AL; OTC; QL

gnp mucus relief dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

gnp tussin dm cough oral liquid Diabetic Tussin DM AL; OTC; QL

gnp tussin dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

gnp tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

goodsense tussin dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

guaiasorb dm oral liquid Diabetic Tussin DM AL; OTC; QL

guaiatussin ac oral syrup AL; QL

guaicon dms oral syrup Robafen DM Cough Clear AL; OTC; QL

guaifenesin-dm oral syrup Robafen DM Cough Clear AL; OTC; QL

hm adult tussin cough & chest oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

hm mucus relief cough children oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

hm tussin adult dm oral liquid Diabetic Tussin DM AL; OTC; QL

intense cough reliever oral liquid AL; OTC

maxi-tuss g oral liquid Diabetic Tussin DM AL; OTC; QL

medi-tussin dm double strength oral liquid AL; OTC

medi-tussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

MUCINEX CHILDRENS FREEFROM ORAL LIQUID

AL; OTC

MUCINEX COUGH CHILDRENS ORAL LIQUID

AL; OTC

MUCINEX FAST-MAX DM MAX ORAL LIQUID

AL; OTC

mucus & cough relief childrens oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

73


mucus relief cough childrens oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

mucus relief dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

mucus relief dm oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

neotuss oral liquid AL; OTC

PEDIACARE COUGH/CONGESTION ORAL LIQUID

AL; OTC

px tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

qc mucus & cough relief child oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

qc mucus relief dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

qc tussin dm cough/congestion oral liquid Diabetic Tussin DM AL; OTC; QL

ra tussin cgh/chest congest dm oral liquid Diabetic Tussin DM AL; OTC; QL

ra tussin cough dm sugar free oral syrup Robafen DM Cough Clear AL; OTC; QL

ra tussin cough oral liquid Diabetic Tussin DM AL; OTC; QL

ra tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

ROBAFEN DM CGH/CHEST CONGEST ORAL LIQUID

AL; OTC; QL

ROBAFEN DM COUGH CLEAR ORAL SYRUP

AL; OTC; QL

ROBAFEN DM COUGH ORAL LIQUID AL; OTC; QL

ROBITUSSIN COUGH+CHEST CONG DM ORAL LIQUID

AL; OTC

SAFE TUSSIN DM ORAL LIQUID AL; OTC; QL

siltussin dm das oral liquid Diabetic Tussin DM AL; OTC; QL

siltussin-dm alcohol free oral syrup Robafen DM Cough Clear AL; OTC; QL

sm mucus relief cough children oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

sm tussin cough/chest congest oral syrup Robafen DM Cough Clear AL; OTC; QL

sm tussin dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

sm tussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

SORBUGEN NR ORAL LIQUID AL; OTC; QL

tusnel diabetic oral liquid Diabetic Tussin DM AL; OTC; QL

tussin dm cough + chest oral liquid Diabetic Tussin DM AL; OTC; QL

tussin dm max adult oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

74


tussin dm max oral liquidDelsym Cgh/Chest Cong DM Child

AL; OTC

tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

tussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

WAL-TUSSIN COUGH/CHEST DM ORAL SYRUP

AL; OTC; QL

WAL-TUSSIN DM CGH/CHEST CONG ORAL LIQUID

AL; OTC; QL

*DECONGESTANT & ANTIHISTAMINE***

ALAVERT ALLERGY/SINUS ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

allergy relief d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC

allergy relief d-12 oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC

allergy relief d-24 oral tablet extended release 24 hour


allergy relief/nasal decongest oral tablet extended release 24 hour


allergy relief-d oral tablet extended release 12 hour


allergy relief-d oral tablet extended release 24 hour


allergy/congestion relief oral tablet extended release 12 hour


cvs allergy relief d oral tablet extended release 12 hour

Wal-Fex D Allergy & Congestion

AL; OTC; QL

cvs allergy relief-d oral tablet extended release 24 hour


cvs allergy relief-d12 oral tablet extended release 12 hour


eql allergy/congestion relief oral tablet extended release 24 hour


fexofenadine-pseudoephed er oral tablet extended release 12 hour

Wal-Fex D Allergy & Congestion

AL; OTC; QL

gnp allergy & congestion oral tablet extended release 24 hour


gnp allergy/congestion relief oral tablet extended release 24 hour


hm allergy & congestion oral tablet extended release 12 hour


75


hm allergy relief/nasal decong oral tablet extended release 24 hour


KLS ALLERCLEAR D-12HR ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

KLS ALLERCLEAR D-24HR ORAL TABLET EXTENDED RELEASE 24 HOUR

AL; OTC

loratadine-d 12hr oral tablet extended release 12 hour


loratadine-d 24hr oral tablet extended release 24 hour


meijer allergy relief-d oral tablet extended release 12 hour


promethazine vc oral syrup AL; QL

promethazine-phenylephrine oral syrup AL; QL

px allergy relief d (loratid) oral tablet extended release 12 hour


px allergy relief d oral tablet extended release 24 hour


qc loratadine-d oral tablet extended release 24 hour


ra allergy relf & nasal decong oral tablet extended release 24 hour


ra allergy/congestion relief oral tablet extended release 12 hour


ra lorata-d oral tablet extended release 24 hour


sb allergy relief/nasal decong oral tablet extended release 24 hour


sm loratadine d 12hr oral tablet extended release 12 hour


sm lorata-dine d oral tablet extended release 24 hour


WAL-FEX D ALLERGY & CONGESTION ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC; QL

WAL-FEX D ALLERGY & CONGESTION ORAL TABLET EXTENDED RELEASE 24 HOUR

AL; OTC; QL

WAL-ITIN D 24 HOUR ORAL TABLET EXTENDED RELEASE 24 HOUR

AL; OTC

WAL-ITIN D ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

76


*EXPECTORANTS***

altarussin oral syrup Diabetic Tussin EX AL; OTC

BUCKLEYS CHEST CONGESTION ORAL LIQUID

AL; OTC

chest congestion childrens oral liquidBuckleys Chest Congestion

AL; OTC

chest congestion relief oral syrup Diabetic Tussin EX AL; OTC

cvs tussin adult chest congest oral liquidBuckleys Chest Congestion

AL; OTC

DIABETIC TUSSIN EX ORAL SYRUP AL; OTC

DIABETIC TUSSIN ORAL LIQUID AL; OTC

eql tussin mucus/chest congest oral liquidBuckleys Chest Congestion

AL; OTC

geri-tussin oral liquidBuckleys Chest Congestion

AL; OTC

gnp tussin mucus & chest cong oral liquidBuckleys Chest Congestion

AL; OTC

guaifenesin oral liquidBuckleys Chest Congestion

AL; OTC

guaifenesin oral solutionBuckleys Chest Congestion

AL; OTC

guaifenesin oral syrup Diabetic Tussin EX AL; OTC

hm tussin adult oral liquidBuckleys Chest Congestion

AL; OTC

MUCINEX FAST-MAX CHEST CONG MS ORAL LIQUID

AL; OTC

mucus & chest congestion oral liquidBuckleys Chest Congestion

AL; OTC

mucus relief chest congestion oral liquidBuckleys Chest Congestion

AL; OTC

mucus+chest congestion oral liquidBuckleys Chest Congestion

AL; OTC

px tussin oral solutionBuckleys Chest Congestion

AL; OTC

qc medifin mucus relief child oral liquidBuckleys Chest Congestion

AL; OTC

qc mucus relief childrens oral liquidBuckleys Chest Congestion

AL; OTC

qc tussin mucus/congestion oral liquidBuckleys Chest Congestion

AL; OTC

ra tussin chest congestion oral syrup Diabetic Tussin EX AL; OTC

77


ra tussin oral syrup Diabetic Tussin EX AL; OTC

ROBAFEN MUCUS/CHEST CONGESTION ORAL LIQUID

AL; OTC

sb cough control oral syrup Diabetic Tussin EX AL; OTC

scot-tussin expectorant oral liquidBuckleys Chest Congestion

AL; OTC

siltussin das oral liquidBuckleys Chest Congestion

AL; OTC

siltussin sa oral syrup Diabetic Tussin EX AL; OTC

sm mucus relief childrens oral liquidBuckleys Chest Congestion

AL; OTC

sm tussin mucus+chest congest oral liquidBuckleys Chest Congestion

AL; OTC

TUSNEL-EX ORAL LIQUID AL; OTC

tussin mucus & chest congest oral liquidBuckleys Chest Congestion

AL; OTC

tussin mucus+chest congestion oral liquidBuckleys Chest Congestion

AL; OTC

tussin mucus+chest congestion oral syrup Diabetic Tussin EX AL; OTC

WAL-TUSSIN CHEST CONGESTION ORAL LIQUID

AL; OTC

*MISC. RESPIRATORY INHALANTS***

sodium chloride inhalation nebulization solution

*MUCOLYTICS***

acetylcysteine inhalation solution

*NON-NARC ANTITUSSIVE-ANTIHISTAMINE***

promethazine-dm oral syrup AL; QL

*OPIOID ANTITUSSIVE-ANTIHISTAMINE***

promethazine-codeine oral solution AL; QL

promethazine-codeine oral syrup AL; QL

*OPIOID ANTITUSSIVE-DECONGESTANT-ANTIHISTAMINE***

promethazine vc/codeine oral syrup AL; QL

promethazine-phenyleph-codeine oral syrup AL; QL

78


*DERMATOLOGICALS*

*ACNE ANTIBIOTICS***

CLINDACIN ETZ EXTERNAL SWAB QL

CLINDACIN-P EXTERNAL SWAB QL

clindamycin phosphate external gel Clindagel QL

clindamycin phosphate external solution QL

clindamycin phosphate external swab Clindacin ETZ QL

ery external pad QL

erythromycin external solution QL

*ACNE COMBINATIONS***

clindamycin phos-benzoyl perox external gel Neuac QL

*ACNE PRODUCTS***

ACCUTANE ORAL CAPSULE PA

acne foaming wash external liquid PanOxyl Foaming Wash AL; OTC

acne medication 10 external gelClean & Clear Persa-Gel Max St

OTC; QL

acne medication 5 external gel OTC; QL

acne treatment external gelClean & Clear Persa-Gel Max St

OTC; QL

acne-clear external gelClean & Clear Persa-Gel Max St

OTC; QL

adapalene external gel Differin QL

AMNESTEEM ORAL CAPSULE PA; QL

AVITA EXTERNAL GEL PA; QL

benzoyl peroxide cleanser external liquid AL; OTC

benzoyl peroxide external gel OTC; QL

benzoyl peroxide wash external liquid PanOxyl Foaming Wash AL; OTC

bp gel external gel OTC; QL

bp wash external liquid PanOxyl Foaming Wash AL; OTC

CERAVE ACNE FOAMING CREAM EXTERNAL LIQUID

AL; OTC

CLARAVIS ORAL CAPSULE PA; QL

CLEAN & CLEAR PERSA-GEL MAX ST EXTERNAL GEL

OTC; QL

CLEARASIL DAILY CLEAR ACNE EXTERNAL CREAM

AL; OTC

cvs acne control cleanser external cream Clearasil Daily Clear Acne AL; OTC

cvs acne external cream Clearasil Daily Clear Acne AL; OTC

79


cvs acne foaming face wash external liquid PanOxyl Foaming Wash AL; OTC

cvs acne treatment external gelClean & Clear Persa-Gel Max St

OTC; QL

cvs advanced 3-in-1 cleanser external liquid Benzac AC Wash AL; OTC

cvs creamy acne face wash external liquidCeraVe Acne Foaming Cream

AL; OTC

cvs foaming acne face wash external liquid PanOxyl Foaming Wash AL; OTC

isotretinoin oral capsule Accutane PA; QL

MYORISAN ORAL CAPSULE PA; QL

PANOXYL CREAMY WASH EXTERNAL LIQUID

AL; OTC

PANOXYL FOAMING WASH EXTERNAL LIQUID

AL; OTC

ra daylogic acne foaming wash external foam

AL; OTC

tretinoin external cream Retin-A PA; QL

tretinoin external gel Retin-A PA; QL

tretinoin microsphere external gel Retin-A Micro QL

ZENATANE ORAL CAPSULE PA; QL

*AGENTS FOR FACIAL WRINKLES - RETINOIDS***

tretinoin (emollient) external cream Refissa QL

*ANTIBIOTIC MIXTURES TOPICAL***

CURAD TRIPLE ANTIBIOTIC EXTERNAL OINTMENT

OTC; QL

cvs antibiotic external ointment Curad Triple Antibiotic OTC; QL

cvs poly bacitracin external ointment Neosporin OTC

double antibiotic external ointment Neosporin OTC

eq triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

gnp triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

hm double antibiotic external ointment Neosporin OTC

hm triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

kp double antibiotic external ointment Neosporin OTC

medi-first triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

px triple external ointment Curad Triple Antibiotic OTC; QL

ra double antibiotic external ointment Neosporin OTC

ra triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

sb triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

80


sm double antibiotic external ointment Neosporin OTC

sm triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

sm triple antibiotic original external ointment Curad Triple Antibiotic OTC; QL

triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

wal-sporin external ointment Neosporin OTC

*ANTIBIOTICS - TOPICAL***

bacitracin external ointment Bacitraycin Plus OTC; QL

bacitracin zinc external ointment OTC; QL

BACITRAYCIN PLUS EXTERNAL OINTMENT

OTC; QL

cvs bacitracin external ointment OTC; QL

cvs bacitracin zinc external ointment OTC; QL

eql bacitracin zinc external ointment OTC; QL

gentamicin sulfate external cream

gentamicin sulfate external ointment

gnp bacitracin zinc external ointment OTC; QL

hm bacitracin zinc external ointment OTC; QL

kp bacitracin zinc external ointment OTC; QL

mupirocin external ointment Centany QL

qc bacitracin external ointment Bacitraycin Plus OTC; QL

ra bacitracin external ointment OTC; QL

ra bacitracin zinc first aid external ointment OTC; QL

sm antibiotic external ointment OTC; QL

*ANTIFUNGALS - TOPICAL COMBINATIONS***

clotrimazole-betamethasone external cream QL

clotrimazole-betamethasone external lotion QL

*ANTIFUNGALS - TOPICAL***

ciclopirox external solution Ciclodan PA; QL

ciclopirox olamine external cream Loprox QL

ciclopirox olamine external suspension Loprox QL

NYAMYC EXTERNAL POWDER QL

nystatin external cream QL

nystatin external ointment QL

nystatin external powder Nyamyc QL

NYSTOP EXTERNAL POWDER QL

81


*ANTI-INFLAMMATORY AGENTS - TOPICAL***

diclofenac sodium external gel Aspercreme Arthritis Pain OTC

diclofenac sodium external solution PA; QL

*ANTINEOPLASTIC ANTIMETABOLITES - TOPICAL***

fluorouracil external cream Efudex QL

fluorouracil external solution PA; QL

*ANTIPSORIATICS***

calcipotriene external cream Dovonex

calcipotriene external ointment Calcitrene QL

calcipotriene external solution

CALCITRENE EXTERNAL OINTMENT QL

*ANTISEBORRHEIC PRODUCTS***

anti-dandruff external shampoo Selsun Blue OTC

cvs anti-dandruff external lotion Selsun Blue OTC

dandruff shampoo external lotion Selsun Blue OTC

eql medicated dandruff external lotion Selsun Blue OTC

selenium sulfide external lotion QL

*ANTIVIRALS - TOPICAL***

ABREVA EXTERNAL CREAM OTC

acyclovir external cream Zovirax PA; QL

acyclovir external ointment Zovirax PA; QL

*BURN PRODUCTS***

silver sulfadiazine external cream SSD

SSD EXTERNAL CREAM

*CORTICOSTEROIDS - TOPICAL***

ala-cort external cream 1 % Aveeno Anti-Itch Max St QL

ala-cort external cream 2.5 % PA; QL

amcinonide external ointment PA; QL

anti-itch maximum strength external cream Aveeno Anti-Itch Max St OTC; QL

AVEENO ANTI-ITCH MAX ST EXTERNAL CREAM

OTC; QL

betamethasone dipropionate aug external cream

Diprolene AF QL

betamethasone dipropionate external lotion QL

betamethasone valerate external cream QL

82


betamethasone valerate external ointment QL

clobetasol prop emollient base external cream

QL

clobetasol propionate e external cream QL

clobetasol propionate external cream Temovate QL

clobetasol propionate external gel QL

clobetasol propionate external ointment Temovate QL

clobetasol propionate external solution QL

CORTIZONE-10 EXTERNAL OINTMENT OTC; QL

CURAD HYDROCORTISONE EXTERNAL CREAM

OTC; QL

cvs anti-itch maximum strength external cream

Aveeno Anti-Itch Max St OTC; QL

cvs cortisone intense healing external cream Aveeno Anti-Itch Max St OTC; QL

cvs cortisone maximum strength external cream


cvs eczema anti-itch external cream Aveeno Anti-Itch Max St OTC; QL

cvs hydrocortisone anti-itch external cream OTC; QL

cvs hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

eq hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

eql anti-itch intensive heal external cream Aveeno Anti-Itch Max St OTC; QL

eql anti-itch maximum strength external cream


eql anti-itch maximum strength external ointment

Cortizone-10 OTC; QL

fluocinonide emulsified base external cream

fluocinonide external cream 0.05 % QL

fluocinonide external cream 0.1 % Vanos PA; QL

fluocinonide external gel QL

fluocinonide external ointment QL

fluocinonide external solution QL

fluticasone propionate external cream QL

fluticasone propionate external ointment QL

gnp hydrocortisone external cream OTC; QL

gnp hydrocortisone max st external ointment Cortizone-10 OTC; QL

gnp hydrocortisone plus external cream Aveeno Anti-Itch Max St OTC; QL

halobetasol propionate external cream QL

halobetasol propionate external ointment QL

83


hydrocortisone anti-itch external cream Aveeno Anti-Itch Max St OTC; QL

hydrocortisone external cream 0.5 % OTC; QL

hydrocortisone external cream 1 % Aveeno Anti-Itch Max St OTC; QL

hydrocortisone external cream 2.5 % QL

hydrocortisone external lotion PA; QL

hydrocortisone external ointment 0.5 % OTC; QL

hydrocortisone external ointment 1 % Cortizone-10 OTC; QL

hydrocortisone external ointment 2.5 % QL

hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

hydrocortisone max st/12 moist external cream


kp hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

kp hydrocortisone max st external ointment Cortizone-10 OTC; QL

mometasone furoate external cream QL

mometasone furoate external ointment QL

mometasone furoate external solution QL

px hydrocream external cream Aveeno Anti-Itch Max St OTC; QL

ra anti-itch maximum strength external cream


ra anti-itch maximum strength external ointment

Cortizone-10 OTC; QL

ra hydrocortisone plus 12 external cream Aveeno Anti-Itch Max St OTC; QL

sb hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

sb hydrocortisone max st external ointment Cortizone-10 OTC; QL

sm hydrocortisone external cream OTC; QL

sm hydrocortisone max st external ointment Cortizone-10 OTC; QL

triamcinolone acetonide external cream QL

triamcinolone acetonide external lotion 0.025 %

PA; QL

triamcinolone acetonide external lotion 0.1 %

QL

triamcinolone acetonide external ointment QL

TRIDERM EXTERNAL CREAM QL

*DIAPER RASH PRODUCTS***

A+D PREVENT EXTERNAL OINTMENT OTC

cvs all-purpose skin protect external ointment

A+D Prevent OTC

84


*EMOLLIENTS***

AMLACTIN EXTERNAL LOTION OTC

ammonium lactate external cream

ammonium lactate external lotion AmLactin OTC

cvs skin treatment external lotion AmLactin OTC

cvs vitamin a&d external ointment Curad Vitamin A & D OTC

gnp vitamin a & d external ointment Curad Vitamin A & D OTC

vitamin a & d external ointment Curad Vitamin A & D OTC

vitamin a&d external ointment Curad Vitamin A & D OTC

vitamins a & d external ointment Curad Vitamin A & D OTC

*IMIDAZOLE-RELATED ANTIFUNGALS - TOPICAL***

antifungal clotrimazole external cream Desenex OTC; QL

antifungal external cream Carrington Antifungal OTC; QL

anti-fungal external cream Desenex OTC; QL

athletes foot (clotrimazole) external cream Desenex OTC; QL

CARRINGTON ANTIFUNGAL EXTERNAL CREAM

OTC; QL

clotrimazole af external cream Desenex OTC; QL

clotrimazole anti-fungal external cream Desenex OTC; QL

clotrimazole athletes foot external cream Desenex OTC; QL

clotrimazole external cream Desenex OTC; QL

clotrimazole external solutionFungiCure Intensive/NailGuard

QL

cvs clotrimazole external cream Desenex OTC; QL

cvs itch relief external cream Desenex OTC; QL

cvs ringworm external cream Desenex OTC; QL

eq antifungal external cream Desenex OTC; QL

eq athletes foot external cream Desenex OTC; QL

eq jock itch external cream Desenex OTC; QL

eql antifungal external cream Desenex OTC; QL

eql athletes foot external cream Desenex OTC; QL

gnp athletes foot external cream Desenex OTC; QL

jock itch external cream Desenex OTC; QL

jock itch relief external cream Desenex OTC; QL

ketoconazole external cream QL

ketoconazole external shampoo QL

kp miconazole nitrate external cream Carrington Antifungal OTC; QL

85


miconazole antifungal external cream Carrington Antifungal OTC; QL

miconazole nitrate external cream Carrington Antifungal OTC; QL

px athletic foot external cream Desenex OTC; QL

ra athletes foot external cream Desenex OTC; QL

ra clotrimazole external cream Desenex OTC; QL

ra jock itch external cream Desenex OTC; QL

REMEDY ANTIFUNGAL EXTERNAL CREAM

OTC; QL

sm antifungal clotrimazole external cream Desenex OTC; QL

sm antifungal miconazole external cream Carrington Antifungal OTC; QL

SOOTHE & COOL INZO ANTIFUNGAL EXTERNAL CREAM

OTC; QL

*IMMUNOMODULATORS IMIDAZOQUINOLINAMINES - TOPICAL***

imiquimod external cream Aldara PA; QL

*KERATOLYTIC/ANTIMITOTIC AGENTS***

podofilox external solution PA

*LOCAL ANESTHETICS - TOPICAL***

capsaicin external cream DermacinRx Penetral OTC

lidocaine external patch Lidoderm PA; QL

lidocaine hcl external solution PA; QL

lidocaine hcl urethral/mucosal external gel

*MACROLIDE IMMUNOSUPPRESSANTS - TOPICAL***

pimecrolimus external cream Elidel PA; AL; QL

tacrolimus external ointment Protopic PA; AL; QL

*ROSACEA AGENTS***

metronidazole external cream Rosadan QL

metronidazole external gel Metrogel QL

metronidazole external lotion MetroLotion QL

ROSADAN EXTERNAL CREAM QL

ROSADAN EXTERNAL GEL QL

*SCABICIDE COMBINATIONS***

cvs lice killing external shampoo Rid Lice Killing Shampoo OTC

eq lice killing max st external shampoo Rid Lice Killing Shampoo OTC

86


eql lice killing max st external shampoo Rid Lice Killing Shampoo OTC

gnp lice treatment external shampoo Rid Lice Killing Shampoo OTC

hm lice killing max st external shampoo Rid Lice Killing Shampoo OTC

lice killing external shampoo Rid Lice Killing Shampoo OTC

lice killing maximum strength external shampoo

Rid Lice Killing Shampoo OTC

ra lice maximum strength external shampoo Rid Lice Killing Shampoo OTC

ra lice solution combination kit OTC

sb lice killing max st external shampoo Rid Lice Killing Shampoo OTC

sm lice killing external shampoo RID OTC; QL

sm lice killing max strength external shampoo

Rid Lice Killing Shampoo OTC

*SCABICIDES & PEDICULICIDES***

bedding spray lice treatment aerosol RID OTC

cvs bedding spray lice treat aerosol RID OTC

cvs lice treatment external liquid Nix Creme Rinse OTC; QL

gnp lice treatment external liquid Nix Creme Rinse OTC; QL

hm lice treatment external liquid Nix Creme Rinse OTC; QL

lice treatment external liquid Nix Creme Rinse OTC; QL

lice treatment external lotion OTC; QL

permethrin external cream Elimite QL

sm bedding lice treatment aerosol RID OTC

sm lice treatment external lotion OTC; QL

spinosad external suspension Natroba

stop lice aerosol RID OTC

*SKIN CLEANSERS***

alcohol wipes external OTC

cvs isopropyl alcohol wipes external OTC

ra isopropyl alcohol wipes external OTC

*TOPICAL ANESTHETIC COMBINATIONS***

lidocaine-prilocaine external cream QL

*TOPICAL STEROID COMBINATIONS***

CORTIZONE-10 INTENSIVE HEALING EXTERNAL CREAM

PA; OTC; QL

CORTIZONE-10 PLUS EXTERNAL CREAM

PA; OTC; QL

87


CORTIZONE-10/ALOE EXTERNAL CREAM

PA; OTC; QL

gnp hydrocortisone/aloe external creamCortizone-10 Intensive Healing

OTC; QL

hm hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

hm hydrocortisone-aloe max st external cream

Cortizone-10 Intensive Healing

OTC; QL

hydrocortisone-aloe external cream OTC; QL

kls hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

kp hydrocortisone-aloe external cream OTC; QL

ra hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

sm hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

sm hydrocortisone-aloe max st external cream

Cortizone-10 Intensive Healing

OTC; QL

*DIAGNOSTIC PRODUCTS*

*DIAGNOSTIC DRUGS***

GLUCAGEN DIAGNOSTIC INJECTION SOLUTION RECONSTITUTED

*DIAGNOSTIC TESTS***

ACCU-CHEK GUIDE IN VITRO STRIP OTC; QL

AZO TEST IN VITRO STRIP OTC

CHEMSTRIP K IN VITRO STRIP OTC; QL

FREESTYLE INSULINX TEST IN VITRO STRIP

OTC; QL

FREESTYLE LITE TEST IN VITRO STRIP OTC; QL

ketone test in vitro strip Chemstrip K OTC; QL

KETOSTIX IN VITRO STRIP OTC; QL

RELION KETONE TEST IN VITRO STRIP OTC; QL

RELION TRUE METRIX TEST STRIPS IN VITRO STRIP

OTC; QL

TRUE METRIX BLOOD GLUCOSE TEST IN VITRO STRIP

OTC; QL

*INFECTION TESTS***

urinary tract infection test in vitro strip OTC

*MULTIPLE URINE TESTS***

CHEMSTRIP UGK IN VITRO STRIP OTC

88


CVS KETONE CARE IN VITRO STRIP OTC

KETO-DIASTIX IN VITRO STRIP OTC

*DIGESTIVE AIDS*

*DIGESTIVE ENZYMES***

CREON ORAL CAPSULE DELAYED RELEASE PARTICLES 12000 UNIT, 24000-76000 UNIT, 6000 UNIT

PA; QL

CREON ORAL CAPSULE DELAYED RELEASE PARTICLES 3000-9500 UNIT, 36000 UNIT

PA

*DIURETICS*

*CARBONIC ANHYDRASE INHIBITORS***

acetazolamide er oral capsule extended release 12 hour

acetazolamide oral tablet

methazolamide oral tablet

*DIURETIC COMBINATIONS***

amiloride-hydrochlorothiazide oral tablet

spironolactone-hctz oral tablet Aldactazide

triamterene-hctz oral capsule

triamterene-hctz oral tablet Maxzide-25

*LOOP DIURETICS***

bumetanide oral tablet Bumex

furosemide oral solution

furosemide oral tablet Lasix

torsemide oral tablet

*POTASSIUM SPARING DIURETICS***

amiloride hcl oral tablet

spironolactone oral tablet Aldactone

*THIAZIDES AND THIAZIDE-LIKE DIURETICS***

chlorthalidone oral tablet

hydrochlorothiazide oral capsule QL

hydrochlorothiazide oral tablet 12.5 mg QL

hydrochlorothiazide oral tablet 25 mg, 50 mg

indapamide oral tablet

metolazone oral tablet

89


*ENDOCRINE AND METABOLIC AGENTS - MISC.*

*BISPHOSPHONATES***

alendronate sodium oral solution

alendronate sodium oral tablet Fosamax QL

*CALCITONINS***

calcitonin (salmon) nasal solution Miacalcin QL

*CARNITINE REPLENISHER - AGENTS***

levocarnitine oral tablet Carnitor

*DOPAMINE RECEPTOR AGONISTS***

cabergoline oral tablet QL

*GROWTH HORMONES***

ZOMACTON (FOR ZOMA-JET 10) SUBCUTANEOUS SOLUTION RECONSTITUTED

PA; SP; QL

ZOMACTON SUBCUTANEOUS SOLUTION RECONSTITUTED

PA; SP; QL

*HYPERPARATHYROID TREATMENT - VITAMIN D ANALOGS***

calcitriol oral capsule Rocaltrol PA

calcitriol oral solution Rocaltrol PA

*SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERMS)***

raloxifene hcl oral tablet Evista

*SOMATOSTATIC AGENTS***

octreotide acetate injection solution PA; SP

*UREA CYCLE DISORDER - AGENTS***

sodium phenylbutyrate oral powder Buphenyl PA; SP; QL

sodium phenylbutyrate oral tablet Buphenyl PA; SP; QL

*VASOPRESSIN***

desmopressin ace spray refrig nasal solution

desmopressin acetate oral tablet DDAVP QL

desmopressin acetate spray nasal solution

*ESTROGENS*

*ESTROGEN & PROGESTIN***

AMABELZ ORAL TABLET

90


estradiol-norethindrone acet oral tablet Amabelz

FYAVOLV ORAL TABLET

JINTELI ORAL TABLET

MIMVEY ORAL TABLET

norethindrone-eth estradiol oral tablet Fyavolv

*ESTROGENS***

estradiol oral tablet Estrace

estradiol transdermal patch weekly Climara QL

*FLUOROQUINOLONES*

*FLUOROQUINOLONES***

ciprofloxacin hcl oral tablet QL

levofloxacin oral solution QL

levofloxacin oral tablet Levaquin QL

ofloxacin oral tablet QL

*GASTROINTESTINAL AGENTS - MISC.*

*ANTIFLATULENTS***

cvs gas relief drops ex st oral liquid Gas-X Infant Drops AL; OTC

cvs gas relief infants oral suspensionLittle Remedies for Tummys

AL; OTC

cvs infants gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

eq infants gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

eql infants gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

gas relief drops infants oral suspensionLittle Remedies for Tummys

AL; OTC

gas relief infants oral liquid Gas-X Infant Drops AL; OTC

gas relief infants oral suspensionLittle Remedies for Tummys

AL; OTC

gas relief oral liquid Gas-X Infant Drops AL; OTC

gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

GAS-X INFANT DROPS ORAL LIQUID AL; OTC

gnp infant gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

hm gas relief infants drops oral suspensionLittle Remedies for Tummys

AL; OTC

91


infants gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

infants simethicone oral suspensionLittle Remedies for Tummys

AL; OTC

LITTLE REMEDIES FOR TUMMYS ORAL SUSPENSION

AL; OTC

MOMMY'S BLISS GAS RELIEF DROPS ORAL SUSPENSION

AL; OTC

PEDIACARE INFANTS GAS RELIEF ORAL SUSPENSION

AL; OTC

px gas relief infants oral suspensionLittle Remedies for Tummys

AL; OTC

sb gas relief oral suspensionLittle Remedies for Tummys

AL; OTC

simeped oral suspensionLittle Remedies for Tummys

AL; OTC

simethicone drops infants oral liquid Gas-X Infant Drops AL; OTC

simethicone oral suspensionLittle Remedies for Tummys

AL; OTC

sm gas relief infants drops oral suspensionLittle Remedies for Tummys

AL; OTC

sm gas relief infants oral suspensionLittle Remedies for Tummys

AL; OTC

*GALLSTONE SOLUBILIZING AGENTS***

ursodiol oral capsule

ursodiol oral tablet Urso 250

*GASTROINTESTINAL STIMULANTS***

metoclopramide hcl oral solution QL

metoclopramide hcl oral tablet Reglan QL

*INFLAMMATORY BOWEL AGENTS***

balsalazide disodium oral capsule Colazal QL

mesalamine er oral capsule extended release 24 hour

Apriso QL

mesalamine rectal enema QL

mesalamine-cleanser rectal kit Rowasa

sulfasalazine oral tablet Azulfidine QL

sulfasalazine oral tablet delayed release Azulfidine EN-tabs QL

92


*INTESTINAL ACIDIFIERS***

enulose oral solution QL

generlac oral solution QL

lactulose encephalopathy oral solution QL

*PHOSPHATE BINDER AGENTS***

calcium acetate (phos binder) oral capsule PhosLo QL

calcium acetate (phos binder) oral tablet Calphron QL

calcium acetate oral tablet Calphron QL

lanthanum carbonate oral tablet chewable Fosrenol QL

sevelamer carbonate oral packet Renvela QL

sevelamer carbonate oral tablet Renvela QL

*GENITOURINARY AGENTS - MISCELLANEOUS*

*5-ALPHA REDUCTASE INHIBITORS***

finasteride oral tablet Proscar QL

*ALPHA 1-ADRENOCEPTOR ANTAGONISTS***

alfuzosin hcl er oral tablet extended release 24 hour

Uroxatral QL

tamsulosin hcl oral capsule Flomax QL

*CITRATES***

pot & sod cit-cit ac oral solution

potassium citrate er oral tablet extended release

Urocit-K 10

*GENITOURINARY IRRIGANTS***

ARGYLE STERILE SALINE IRRIGATION SOLUTION

CURITY STERILE SALINE IRRIGATION SOLUTION

sodium chloride irrigation solution Argyle Sterile Saline

*GOUT AGENTS*

*GOUT AGENT COMBINATIONS***

colchicine-probenecid oral tablet

*GOUT AGENTS***

allopurinol oral tablet Zyloprim

*URICOSURICS***

probenecid oral tablet

93


*HEMATOLOGICAL AGENTS - MISC.*

*C1 INHIBITORS***

HAEGARDA SUBCUTANEOUS SOLUTION RECONSTITUTED

PA; SP; QL

*HEMATORHEOLOGIC AGENTS***

pentoxifylline er oral tablet extended release

*PHOSPHODIESTERASE III INHIBITORS***

cilostazol oral tablet

*PLASMA KALLIKREIN INHIBITORS - MONOCLONAL ANTIBODIES***

TAKHZYRO SUBCUTANEOUS SOLUTION PA; SP; QL

*PLATELET AGGREGATION INHIBITORS***

dipyridamole oral tablet

*QUINAZOLINE AGENTS***

anagrelide hcl oral capsule

*THIENOPYRIDINE DERIVATIVES***

clopidogrel bisulfate oral tablet 300 mg

clopidogrel bisulfate oral tablet 75 mg Plavix QL

*HEMATOPOIETIC AGENTS*

*COBALAMINS***

b-12 oral tablet OTC

b-12 sublingual tablet sublingual OTC

cvs b-12 oral liquid OTC

cvs vitamin b12 oral tablet OTC

cvs vitamin b-12 oral tablet OTC

cyanocobalamin injection solution

kp vitamin b-12 oral tablet OTC

ra vitamin b-12 tr oral tablet extended release

OTC

vitamin b-12 er oral tablet extended release OTC

vitamin b-12 oral liquid OTC

vitamin b-12 oral tablet OTC

vitamin b-12 sublingual tablet sublingual OTC

*CYTOTOXIC AGENTS***

DROXIA ORAL CAPSULE

94


*ERYTHROPOIESIS-STIMULATING AGENTS (ESAS)***

ARANESP (ALBUMIN FREE) INJECTION SOLUTION

PA; SP; QL

ARANESP (ALBUMIN FREE) INJECTION SOLUTION PREFILLED SYRINGE

PA; SP; QL

EPOGEN INJECTION SOLUTION 10000 UNIT/ML, 2000 UNIT/ML, 3000 UNIT/ML, 4000 UNIT/ML

PA; SP

EPOGEN INJECTION SOLUTION 20000 UNIT/ML

PA; SP; QL

RETACRIT INJECTION SOLUTION PA; SP; QL

*FOLIC ACID/FOLATE COMBINATIONS***

fa-vitamin b-6-vitamin b-12 oral tablet

*FOLIC ACID/FOLATES***

folic acid oral tablet

*GRANULOCYTE COLONY-STIMULATING FACTORS (G-CSF)***

NEULASTA ONPRO SUBCUTANEOUS PREFILLED SYRINGE KIT

PA; SP; QL

NEULASTA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

UDENYCA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

ZARXIO INJECTION SOLUTION PREFILLED SYRINGE

PA; SP

*IRON***

BPROTECTED PEDIA IRON ORAL SOLUTION

AL; OTC

cvs iron oral tablet FeroSul OTC

eql iron supplement therapy oral tablet FeroSul OTC

FEROSUL ORAL TABLET OTC

FERREX 150 ORAL CAPSULE OTC

ferric x-150 oral capsule Ferrex 150 OTC

ferrous sulfate oral elixir OTC

ferrous sulfate oral solution BProtected Pedia Iron AL; OTC

ferrous sulfate oral tablet FeroSul OTC

ferrous sulfate oral tablet delayed release OTC

fe-vite iron oral solution BProtected Pedia Iron AL; OTC

95


gnp iron oral tablet Feosol OTC

hm iron oral tablet Feosol OTC

iron (ferrous sulfate) oral tablet FeroSul OTC

iron high-potency oral tablet FeroSul OTC

iron oral tablet FeroSul OTC

iron supplement childrens oral solution BProtected Pedia Iron AL; OTC

kp ferrous sulfate oral tablet FeroSul OTC

myferon 150 oral capsule Ferrex 150 OTC

pc pediatric iron drops oral solution BProtected Pedia Iron AL; OTC

POLY-IRON 150 ORAL CAPSULE OTC

ra iron oral tablet FeroSul OTC

sm iron oral tablet FeroSul OTC

*HEMOSTATICS*

*HEMOSTATICS - SYSTEMIC***

aminocaproic acid oral tablet Amicar QL

tranexamic acid oral tablet Lysteda QL

*HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS*

*ANTIHISTAMINE HYPNOTICS***

cvs sleep aid nighttime oral capsule Unisom Sleepgels OTC

cvs sleep aid nighttime oral tablet Simply Sleep OTC

cvs sleep aid oral tablet Simply Sleep OTC

cvs sleepaid (diphenhydramine) oral tablet Simply Sleep OTC

cvs sleep-aid (doxylamine) oral tablet Unisom SleepTabs OTC

cvs sleep-aid nighttime oral capsule Unisom Sleepgels OTC

cvs ultra sleep oral tablet Unisom SleepTabs OTC

eq nighttime sleep aid max st oral capsule Unisom Sleepgels OTC

eql nighttime sleep aid oral tablet Simply Sleep OTC

eql sleep aid oral capsule Unisom Sleepgels OTC

eql sleep aid oral tablet Unisom SleepTabs OTC

gnp nighttime sleep aid oral tablet Simply Sleep OTC

gnp sleep aid oral tablet Unisom SleepTabs OTC

hm sleep aid oral tablet Unisom SleepTabs OTC

kls sleep aid oral tablet Unisom SleepTabs OTC

night time sleep aid oral tablet Simply Sleep OTC

nighttime sleep aid oral tablet Simply Sleep OTC

qc rest simply oral tablet Simply Sleep OTC

96


qc sleep aid max st oral capsule Unisom Sleepgels OTC

ra nighttime sleep aid oral tablet Simply Sleep OTC

ra sleep aid (diphenhydramine) oral tablet Simply Sleep OTC

ra sleep aid oral capsule Unisom Sleepgels OTC

ra sleep aid oral tablet Unisom SleepTabs OTC

sb sleep oral tablet Simply Sleep OTC

SIMPLY SLEEP ORAL TABLET OTC

sleep aid (diphenhydramine) oral tablet Simply Sleep OTC

sleep aid oral tablet Unisom SleepTabs OTC

sleep ii oral tablet Simply Sleep OTC

sleep tabs oral tablet Simply Sleep OTC

sleep-aid oral tablet Unisom SleepTabs OTC

sm nighttime sleep aid oral tablet Simply Sleep OTC

sm sleep aid oral tablet Unisom SleepTabs OTC

wal-som maximum strength oral capsule Unisom Sleepgels OTC

wal-som oral tablet Unisom SleepTabs OTC

*BARBITURATE HYPNOTICS***

phenobarbital oral elixir QL

phenobarbital oral tablet 100 mg, 15 mg, 60 mg

phenobarbital oral tablet 16.2 mg, 30 mg, 32.4 mg, 64.8 mg, 97.2 mg

QL

phenobarbital powder

*BENZODIAZEPINE HYPNOTICS***

DORAL ORAL TABLET QL

estazolam oral tablet QL

flurazepam hcl oral capsule QL

midazolam hcl (pf) injection solution

midazolam hcl injection solution

midazolam hcl oral syrup

temazepam oral capsule Restoril QL

triazolam oral tablet QL

*HYPNOTICS - TRICYCLIC AGENTS***

doxepin hcl oral tablet Silenor PA; QL

*NON-BENZODIAZEPINE - GABA-RECEPTOR MODULATORS***

EDLUAR SUBLINGUAL TABLET SUBLINGUAL

PA; QL

97


eszopiclone oral tablet Lunesta PA; QL

zaleplon oral capsule QL

zolpidem tartrate er oral tablet extended release

Ambien CR PA; QL

zolpidem tartrate oral tablet Ambien QL

zolpidem tartrate sublingual tablet sublingual PA; QL

ZOLPIMIST ORAL SOLUTION PA; QL

*OREXIN RECEPTOR ANTAGONISTS***

BELSOMRA ORAL TABLET QL

*SELECTIVE MELATONIN RECEPTOR AGONISTS***

HETLIOZ ORAL CAPSULE PA; SP; QL

ramelteon oral tablet Rozerem PA; QL

*LAXATIVES*

*BOWEL EVACUANT COMBINATIONS***

GAVILYTE-C ORAL SOLUTION RECONSTITUTED

QL

GAVILYTE-G ORAL SOLUTION RECONSTITUTED

QL

GAVILYTE-N WITH FLAVOR PACK ORAL SOLUTION RECONSTITUTED

QL

peg 3350-kcl-na bicarb-nacl oral solution reconstituted

GaviLyte-N with Flavor Pack

QL

peg-3350/electrolytes oral solution reconstituted

GaviLyte-G QL

*BULK LAXATIVES***

cvs natural daily fiber oral powder Reguloid AL; OTC

cvs natural fiber supplement oral packet AL; OTC

eql fiber therapy oral powder Metamucil AL; OTC

eql natural fiber oral powder Metamucil AL; OTC

fiber oral powder Metamucil AL; OTC

gnp natural fiber oral powder Reguloid AL; OTC

hm fiber oral powderMetamucil Smooth Texture

AL; OTC

kls natural psyllium fiber oral powderMetamucil Smooth Texture

AL; OTC

konsyl daily fiber oral powder Metamucil AL; OTC

98


METAMUCIL ORAL POWDER AL; OTC

METAMUCIL SMOOTH TEXTURE ORAL POWDER

AL; OTC

natural fiber laxative oral powder AL; OTC

natural fiber oral powderMetamucil Smooth Texture

AL; OTC

natural vegetable fiber oral powder Reguloid AL; OTC

psyldex oral powder AL; OTC

qc natural vegetable oral powder Hydrocil AL; OTC

ra multihealth fiber oral powder Reguloid AL; OTC

REGULOID ORAL POWDER AL; OTC

sb fib lax orange oral powder AL; OTC

sb fiber laxative oral powder Reguloid AL; OTC

sm fiber oral powder Metamucil AL; OTC

WAL-MUCIL ORAL POWDER AL; OTC

*LAXATIVES - MISCELLANEOUS***

CLEARLAX ORAL POWDER OTC

constulose oral solution QL

cvs glycerin adult rectal suppository AL; OTC

cvs glycerin child rectal suppository Pedia-Lax AL; OTC

CVS PURELAX ORAL POWDER OTC

EQ CLEARLAX ORAL POWDER OTC

EQL CLEARLAX ORAL POWDER OTC

gavilax oral powder ClearLax OTC

gentlelax oral powder ClearLax OTC

glycerin (adult) rectal suppository AL; OTC

glycerin (child) rectal suppository AL; OTC

glycerin (infants & children) rectal suppository

AL; OTC

glycerin (pediatric) rectal suppository AL; OTC

glycerin adult rectal suppository AL; OTC

glycerin childrens rectal suppository Pedia-Lax AL; OTC

GLYCOLAX ORAL POWDER OTC

GNP CLEARLAX ORAL POWDER OTC

gnp glycerin (adult) rectal suppository AL; OTC

gnp glycerin child rectal suppository AL; OTC

GOODSENSE CLEARLAX ORAL POWDER

OTC

99


HM CLEARLAX ORAL POWDER OTC

KLS LAXACLEAR ORAL POWDER OTC

lactulose oral solution QL

peg 3350 oral powder ClearLax OTC

polyethylene glycol 3350 oral powder ClearLax OTC

px glycerin rectal suppository AL; OTC

qc natura-lax oral powder ClearLax OTC

ra glycerin adult rectal suppository AL; OTC

ra glycerin child rectal suppository AL; OTC

ra laxative oral powder ClearLax OTC

sb glycerin adult rectal suppository AL; OTC

sb glycerin pediatric rectal suppository AL; OTC

SM CLEARLAX ORAL POWDER OTC

sm glycerin pediatric rectal suppository AL; OTC

SMOOTH LAX ORAL POWDER OTC

*LUBRICANT LAXATIVES***

cvs mineral oil enema rectal enema Fleet Oil OTC

enema mineral oil rectal enema Fleet Oil OTC

hm enema mineral oil rectal enema Fleet Oil OTC

sm mineral oil rectal enema Fleet Oil OTC

*SALINE LAXATIVE MIXTURES***

cvs enema disposable rectal enema Pure & Gentle Enema AL; OTC

cvs enema ready-to-use rectal enema Pure & Gentle Enema AL; OTC

enema disposable rectal enema Pure & Gentle Enema AL; OTC

enema ready-to-use rectal enema Pure & Gentle Enema AL; OTC

enema rectal enema Pure & Gentle Enema AL; OTC

eq enema rectal enema Pure & Gentle Enema AL; OTC

eql ready-to-use enema rectal enema Pure & Gentle Enema AL; OTC

gnp enema rectal enema Pure & Gentle Enema AL; OTC

goodsense enema rectal enema Pure & Gentle Enema AL; OTC

hm enema rectal enema Pure & Gentle Enema AL; OTC

PURE & GENTLE ENEMA RECTAL ENEMA

AL; OTC

qc enema rectal enema Pure & Gentle Enema AL; OTC

ra enema rectal enema Pure & Gentle Enema AL; OTC

ra saline enema rectal enema Pure & Gentle Enema AL; OTC

sm enema rectal enema Pure & Gentle Enema AL; OTC

100


*SALINE LAXATIVES***

CITROMA ORAL SOLUTION OTC

cvs citrate of magnesia oral solution Citroma OTC

cvs magnesium citrate oral solution Citroma OTC

cvs milk of magnesia oral suspension Phillips Milk of Magnesia OTC

eq magnesium citrate oral solution Citroma OTC

eql magnesium citrate oral solution Citroma OTC

eql milk of magnesia oral suspension Phillips Milk of Magnesia OTC

gnp magnesium citrate oral solution Citroma OTC

gnp milk of magnesia oral suspension Phillips Milk of Magnesia OTC

goodsense magnesium citrate oral solution Citroma OTC

hm magnesium citrate oral solution Citroma OTC

hm milk of magnesia oral suspension Phillips Milk of Magnesia OTC

magnesium citrate oral solution Citroma OTC

milk of magnesia concentrate oral suspension

OTC

milk of magnesia oral suspension Phillips Milk of Magnesia OTC

PHILLIPS MILK OF MAGNESIA ORAL SUSPENSION

OTC

px milk of magnesia oral suspension Phillips Milk of Magnesia OTC

qc magnesium citrate oral solution Citroma OTC

qc milk of magnesia oral suspension Phillips Milk of Magnesia OTC

ra milk of magnesia oral suspension Phillips Milk of Magnesia OTC

sb milk of magnesia oral suspension Phillips Milk of Magnesia OTC

sm magnesium citrate oral solution Citroma OTC

sm milk of magnesia oral suspension Phillips Milk of Magnesia OTC

*STIMULANT LAXATIVES***

ALOPHEN ORAL TABLET DELAYED RELEASE

OTC; QL

bisacodyl ec oral tablet delayed release Alophen OTC; QL

bisacodyl laxative rectal suppository The Magic Bullet OTC

bisacodyl rectal suppository The Magic Bullet OTC

CORRECTOL ORAL TABLET DELAYED RELEASE

OTC; QL

cvs bisacodyl oral tablet delayed release Alophen OTC; QL

cvs gentle laxative oral tablet delayed release

Alophen OTC; QL

cvs gentle laxative rectal suppository The Magic Bullet OTC

101


cvs gentle laxative womens oral tablet delayed release

Alophen OTC; QL

cvs senna oral tablet Evac-U-Gen OTC

cvs senna-extra oral tablet Senokot Extra Strength OTC

ducodyl oral tablet delayed release Alophen OTC; QL

eq gentle laxative oral tablet delayed release Alophen OTC; QL

eq natural laxative oral tablet Evac-U-Gen OTC

eql gentle laxative oral tablet delayed release

Alophen OTC; QL

eql laxative maximum strength oral tablet OTC; QL

eql laxative oral tablet delayed release Alophen OTC; QL

eql senna laxative oral tablet Evac-U-Gen OTC

EVAC-U-GEN ORAL TABLET OTC

gentle laxative oral tablet delayed release Alophen OTC; QL

gentle laxative rectal suppository The Magic Bullet OTC

geri-kot oral tablet Evac-U-Gen OTC

GNP BISA-LAX ORAL TABLET DELAYED RELEASE

OTC; QL

gnp gentle laxative rectal suppository The Magic Bullet OTC

gnp senna lax oral tablet Evac-U-Gen OTC

gnp womens gentle laxative oral tablet delayed release

Alophen OTC; QL

goodsense senna laxative oral tablet Evac-U-Gen OTC

goodsense womens laxative oral tablet delayed release

Alophen OTC; QL

hm laxative oral tablet delayed release Alophen OTC; QL

hm senna oral tablet Evac-U-Gen OTC

kp bisacodyl oral tablet delayed release Alophen OTC; QL

kp senna oral tablet Evac-U-Gen OTC

laxative pills oral tablet 15 mg Medi-Lax OTC

laxative pills oral tablet 25 mg OTC; QL

laxative rectal suppository The Magic Bullet OTC

natural senna laxative oral tablet Evac-U-Gen OTC

px laxative oral tablet delayed release Alophen OTC; QL

qc gentle laxative rectal suppository The Magic Bullet OTC

qc natural vegetable laxative oral tablet Evac-U-Gen OTC

qc senna oral tablet Evac-U-Gen OTC

ra fast relief laxative rectal suppository The Magic Bullet OTC

102


ra laxative oral tablet delayed release Alophen OTC; QL

ra womens laxative oral tablet delayed release

Alophen OTC; QL

sb bisacodyl laxative ec oral tablet delayed release

Alophen OTC; QL

sb senna-lax oral tablet Evac-U-Gen OTC

senna laxative oral tablet Evac-U-Gen OTC

senna oral liquid AL; OTC

senna oral syrup AL; OTC

senna oral tablet Evac-U-Gen OTC

senna-lax oral tablet Evac-U-Gen OTC

senna-tabs oral tablet Evac-U-Gen OTC

senna-time oral tablet Evac-U-Gen OTC

sennazon oral syrup AL; OTC

SENNO ORAL TABLET OTC

sm gentle laxative oral tablet delayed release

Alophen OTC; QL

sm laxative maximum strength oral tablet OTC; QL

sm laxative rectal suppository The Magic Bullet OTC

sm senna laxative oral tablet Evac-U-Gen OTC

THE MAGIC BULLET RECTAL SUPPOSITORY

OTC

womans laxative oral tablet delayed release Alophen OTC; QL

womens laxative oral tablet delayed release Alophen OTC; QL

*SURFACTANT LAXATIVES***

cvs stool softener oral capsule 100 mg DOK OTC; QL

cvs stool softener oral capsule 240 mg Surfak AL; OTC

docqlace oral capsule DOK OTC; QL

docu oral liquid OTC

docuprene oral tablet DOK OTC

docusate calcium oral capsule Surfak AL; OTC

docusate sodium oral capsule DOK OTC; QL

docusate sodium oral liquid OTC

docusate sodium oral syrup AL; OTC

docusate sodium oral tablet DOK OTC

DOK ORAL CAPSULE OTC; QL

DOK ORAL TABLET OTC

dss oral capsule DOK OTC; QL

103


DULCOLAX STOOL SOFTENER ORAL CAPSULE

OTC; QL

easy-lax oral capsule DOK OTC; QL

eq stool softener oral capsule DOK OTC; QL

eql stool softener oral capsule DOK OTC; QL

gnp stool softener oral capsule DOK OTC; QL

HEALTHY MAMA MOVE IT ALONG ORAL TABLET

OTC

hm stool softener oral capsule DOK OTC; QL

hm stool softener oral tablet DOK OTC

laxa basic oral capsule DOK OTC; QL

mm stool softener laxative oral capsule DOK OTC; QL

PROMOLAXIN ORAL TABLET OTC

px docusate sodium oral capsule DOK OTC; QL

qc docusate calcium oral capsule Surfak AL; OTC

qc stool softener oral capsule DOK OTC; QL

ra col-rite oral capsule DOK OTC; QL

ra stool softener oral capsule DOK OTC; QL

sb stool softener oral capsule Surfak AL; OTC

silace oral liquid OTC

silace oral syrup AL; OTC

sm docusate calcium oral capsule Surfak AL; OTC

sm stool softener oral capsule 100 mg DOK OTC; QL

sm stool softener oral capsule 240 mg Surfak AL; OTC

sm stool softener oral tablet DOK OTC

stool softener laxative oral capsule DOK OTC; QL

stool softener oral capsule 100 mg DOK OTC; QL

stool softener oral capsule 240 mg Surfak AL; OTC

stool softener oral tablet DOK OTC

SURFAK ORAL CAPSULE AL; OTC

*MACROLIDES*

*AZITHROMYCIN***

azithromycin oral packet Zithromax QL

azithromycin oral suspension reconstituted Zithromax QL

azithromycin oral tablet Zithromax QL

*CLARITHROMYCIN***

clarithromycin er oral tablet extended release 24 hour

104


clarithromycin oral suspension reconstituted

clarithromycin oral tablet

*ERYTHROMYCINS***

E.E.S. 400 ORAL TABLET

ERY-TAB ORAL TABLET DELAYED RELEASE

ERYTHROCIN STEARATE ORAL TABLET

erythromycin base oral capsule delayed release particles

erythromycin base oral tablet

erythromycin base oral tablet delayed release

Ery-Tab

erythromycin ethylsuccinate oral tablet E.E.S. 400

erythromycin oral tablet delayed release Ery-Tab

*MEDICAL DEVICES AND SUPPLIES*

*APPLICATORS,COTTON BALLS,ETC***

alcohol prep padBD Swab Single Use Regular

OTC

alcohol swabs padBD Swab Single Use Regular

OTC

alcohol wipes padBD Swab Single Use Regular

OTC

BD SWAB SINGLE USE REGULAR PAD OTC

BD SWABS SINGLE USE BUTTERFLY PAD

OTC

CURITY ALCOHOL PREPS PAD OTC

CURITY ALCOHOL SWABS PAD OTC

cvs alcohol prep pads padBD Swab Single Use Regular

OTC

cvs prep padBD Swab Single Use Regular

OTC

EASY TOUCH ALCOHOL PREP MEDIUM PAD

OTC

FIFTY50 ALCOHOL PREP PAD OTC

gnp alcohol swabs padBD Swab Single Use Regular

OTC

hm sterile alcohol prep padBD Swab Single Use Regular

OTC

105


qc alcohol swabs padBD Swab Single Use Regular

OTC

RELION ALCOHOL SWABS PAD OTC

saps health care alcohol prep padBD Swab Single Use Regular

OTC

sm alcohol prep padBD Swab Single Use Regular

OTC

ULTICARE ALCOHOL SWABS PAD OTC

ultra-care alcohol prep pads padBD Swab Single Use Regular

OTC

WEBCOL ALCOHOL PREP LARGE PAD OTC

WEBCOL ALCOHOL PREP MEDIUM PAD OTC

*CERVICAL CAPS***

FEMCAP VAGINAL DEVICE

*DIAPHRAGMS***

CAYA VAGINAL DIAPHRAGM

OMNIFLEX DIAPHRAGM VAGINAL DIAPHRAGM

WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM








*GLUCOSE MONITORING TEST SUPPLIES***

1st tier unilet comfortouchAgaMatrix Ultra-Thin Lancets

OTC; QL

ACCU-CHEK AVIVA IN VITRO SOLUTION OTC

ACCU-CHEK GUIDE KIT OTC

106


ACCU-CHEK GUIDE ME KIT OTC

ACCU-CHEK SMARTVIEW CONTROL IN VITRO LIQUID

OTC

ACCUTREND GLUCOSE CONTROL IN VITRO SOLUTION

OTC

acti-lance 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance lite lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance special lancets 17gAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance universal 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

adjustable lancing device Advocate Lancing Device OTC; QL

advanced mobile lancetAgaMatrix Ultra-Thin Lancets

OTC; QL

ADVOCATE LANCING DEVICE OTC; QL

AGAMATRIX ULTRA-THIN LANCETS OTC; QL

aimsco twist lancets 32gAgaMatrix Ultra-Thin Lancets

OTC; QL

AIMSCO TWIST LANCETS 33G OTC; QL

ASSURE HAEMOLANCE PLUS HIGH OTC; QL

ASSURE HAEMOLANCE PLUS LOW OTC; QL

ASSURE HAEMOLANCE PLUS MICRO OTC; QL

ASSURE HAEMOLANCE PLUS NORMAL OTC; QL

ASSURE HAEMOLANCE PLUS PED OTC; QL

ASSURE LANCE LANCETS OTC; QL

ASSURE LANCE LANCETS 21G OTC; QL

ASSURE LANCE PLUS SAFETY 25G OTC; QL

ASSURE LANCE PLUS SAFETY 30G OTC; QL

ASSURE LANCE SAFETY LANCET 28G OTC; QL

aurora lancet super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

aurora lancet thin 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

AUTO-LANCET OTC; QL

AUTO-LANCET MINI OTC; QL

AUTOLET II CLINISAFE KIT OTC

AUTOLET LANCING DEVICE OTC; QL

107


AUTOLET LITE CLINISAFE KIT OTC

AUTOLET LITE STARTER PACK KIT OTC

AUTOLET MINI OTC; QL

AUTOLET PLATFORMS OTC; QL

AUTOLET PLUS OTC; QL

CARDIOCOM LANCING DEVICE OTC; QL

careone advanced lancing dev Advocate Lancing Device OTC; QL

CAREONE LANCET SUPER THIN 30G OTC; QL

careone lancet thin 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

CARESENS LANCETS OTC; QL

CARETOUCH LANCING/EJECTOR OTC; QL

CLEANLET LANCETS 28G OTC; QL

comfort assured lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

comfort assured lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

comfort lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets originalAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets ultra thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets ultra-thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancing device Advocate Lancing Device OTC; QL

cvs ultra thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

DEXCOM G4 PLAT PED RCV/SHARE DEVICE

PA

DEXCOM G4 PLAT PED RECEIVER DEVICE

PA

DEXCOM G4 PLATINUM RCV/SHARE DEVICE

PA

108


DEXCOM G4 PLATINUM RECEIVER DEVICE

PA

DEXCOM G4 PLATINUM TRANSMITTER PA

DEXCOM G4 SENSOR PA

DEXCOM G5 MOB/G4 PLAT SENSOR PA; QL

DEXCOM G5 MOBILE RECEIVER DEVICE PA; QL

DEXCOM G5 MOBILE TRANSMITTER PA; QL

DEXCOM G5 RECEIVER KIT DEVICE PA; QL

DEXCOM G6 RECEIVER DEVICE PA; QL

DEXCOM G6 SENSOR PA; QL

DEXCOM G6 TRANSMITTER PA; QL

DIATHRIVE LANCET ULTRA THIN 30 OTC; QL

DIATHRIVE LANCETS OTC; QL

DIATHRIVE LANCING DEVICE OTC; QL

DROPLET GENTEEL LANCING DEVICE OTC; QL

DROPLET LANCETS ULTRA THIN 30G OTC; QL

DROPLET LANCING DEVICE OTC; QL

DROPLET PERSONAL LANCETS 30G OTC; QL

drug mart lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

DRUG MART LANCING DEVICE OTC; QL

DRUG MART ON-THE-GO LANCET 30G OTC; QL

DRUG MART UNILET LANCETS 28G OTC; QL



easy mini eject lancing device Advocate Lancing Device OTC; QL

EASY TOUCH LANCETS 21G OTC; QL




EASY TOUCH LANCETS 28G/TWIST OTC; QL






EASY TOUCH LANCING DEVICE OTC; QL

109


EASY TOUCH SAFETY LANCETS 21G OTC; QL




embrace lancing device/ejector Advocate Lancing Device OTC; QL

eql color lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

eql color lancets micro 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

eql super thin lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

eql thin lancets 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

E-Z JECT LANCET MICRO-THIN 33G OTC; QL

E-Z JECT LANCET SUPER THIN 30G OTC; QL

E-Z JECT LANCETS OTC; QL

E-Z JECT LANCETS 21G OTC; QL

E-Z JECT LANCETS THIN 26G OTC; QL

EZ-LETS LANCETS 21G OTC; QL




FIFTY50 SAFETY SEAL LANCETS OTC; QL

FIFTY50 UNILET LANCETS 33G OTC; QL

FINE 30 OTC; QL

FORA LANCETS OTC; QL

FORA LANCING DEVICE OTC; QL

freds pharmacy autolet lancing Advocate Lancing Device OTC; QL

freds pharmacy unilet lanc 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

freds pharmacy unilet lanc 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

FREESTYLE CONTROL SOLUTION IN VITRO LIQUID

OTC

FREESTYLE FREEDOM LITE KIT OTC

FREESTYLE INSULINX SYSTEM KIT OTC

FREESTYLE LIBRE 14 DAY READER DEVICE

PA; QL

FREESTYLE LIBRE 14 DAY SENSOR PA; QL

110


FREESTYLE LIBRE 2 READER DEVICE PA; QL

FREESTYLE LIBRE 2 SENSOR PA

FREESTYLE LIBRE READER DEVICE PA; QL

FREESTYLE LIBRE SENSOR SYSTEM PA; QL

FREESTYLE LITE DEVICE OTC

GENTEEL BUTTERFLY TOUCH LANCET OTC; QL

GENTEEL CONTACT TIPS (BLUE) OTC; QL

GENTEEL CONTACT TIPS (CLEAR) OTC; QL

GENTEEL CONTACT TIPS (GREEN) OTC; QL

GENTEEL CONTACT TIPS (ORANGE) OTC; QL

GENTEEL CONTACT TIPS (RAINBOW) OTC; QL

GENTEEL CONTACT TIPS (VIOLET) OTC; QL

GENTEEL CONTACT TIPS (YELLOW) OTC; QL

GENTEEL LANCING KIT (BLUE) KIT OTC

GENTEEL NOZZLES OTC; QL

GENTEEL PLUS LANCING (BLACK) OTC

GENTEEL PLUS LANCING (PURPLE) OTC

GENTEEL PLUS LANCING (WHITE) OTC

GENTEEL PLUS LANCING DEV(BLUE) OTC

GENTEEL PLUS LANCING DEV(PINK) OTC

GENTLE-LET GP LANCETS OTC; QL

GENTLE-LET LANCETS OTC; QL

GENTLE-LET PLATFORMS OTC; QL

GLUCOCOM LANCETS 28G OTC; QL



gnp lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

GOJJI LANCING DEVICE/CLEAR CAP OTC; QL

111


goodsense color lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 26g univAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL


OTC; QL

goodsense lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL


OTC; QL

goodsense lancing device Advocate Lancing Device OTC; QL

HAEMOLANCE OTC; QL

HAEMOLANCE LOW FLOW LANCETS OTC; QL

HAEMOLANCE PLUS OTC; QL

HAEMOLANCE PLUS HIGH FLOW OTC; QL

HAEMOLANCE PLUS LOW FLOW OTC; QL

HAEMOLANCE PLUS MAX FLOW OTC; QL

HAEMOLANCE PLUS PEDIATRIC FLOW OTC; QL

HEALTH CARE LANCING DEVICE OTC; QL

healthy accents lancing device Advocate Lancing Device OTC; QL

healthy accents unilet lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

h-e-b incontrol adv lancing Advocate Lancing Device OTC; QL

h-e-b incontrol lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL


OTC; QL


OTC; QL

HYPOLANCE AST LANCING KIT OTC

HY-VEE LANCETS OTC; QL

hy-vee thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

IN TOUCH LANCING DEVICE OTC; QL

IN TOUCH STERILE LANCETS 30G OTC; QL

kinney lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

112


kinney thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

KROGER AUTOLET LANCING DEVICE OTC; QL

KROGER HEALTHPRO CONTROL HI/LO IN VITRO LIQUID

OTC

KROGER HEALTHPRO LANCET 26G OTC; QL

kroger lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets ultrathin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancing device Advocate Lancing Device OTC; QL

lancet device Advocate Lancing Device OTC; QL

lancet transporter case Autolet Platforms OTC; QL

lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancets super thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

LANCETS ULTRA THIN OTC; QL

lancets ultra thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancing device Advocate Lancing Device OTC; QL

LANZO OTC; QL

leader advanced lancing device Advocate Lancing Device OTC; QL

LIBERTY MINI LANCING DEVICE OTC; QL

lite touch lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

LITE TOUCH LANCING PEN OTC; QL

113


LITETOUCH LANCETS OTC; QL

live better adv lancing device Advocate Lancing Device OTC; QL

live better lancet super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

live better lancet ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

longs lancets standardAgaMatrix Ultra-Thin Lancets

OTC; QL

longs lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

longs lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

medichoice safety lancetAgaMatrix Ultra-Thin Lancets

OTC; QL

medichoice safety lancet extraAgaMatrix Ultra-Thin Lancets

OTC; QL

medichoice safety lancet normAgaMatrix Ultra-Thin Lancets

OTC; QL

MEDISENSE GLUCOSE KETONE CONTR IN VITRO LIQUID

OTC

MEDISENSE HI/MID/LOW CONTROL IN VITRO LIQUID

OTC

MEDISENSE HIGH/LOW CONTROL IN VITRO LIQUID

OTC

MEDISENSE MID CONTROL IN VITRO LIQUID

OTC

MEDLANCE EXTRA 21G OTC; QL

MEDLANCE LITE 25G OTC; QL

MEDLANCE PLUS EXTRA 21G OTC; QL

MEDLANCE PLUS LANCETS OTC; QL

MEDLANCE PLUS LITE 25G OTC; QL

MEDLANCE PLUS SPECIAL 0.8MM OTC; QL

MEDLANCE PLUS SUPERLITE 30G OTC; QL

MEDLANCE PLUS UNIVERSAL 21G OTC; QL

MEDLANCE UNIVERSAL 21G OTC; QL

MEIJER LANCETS OTC; QL

MEIJER LANCETS THIN OTC; QL

MEIJER LANCETS UNIVERSAL 21G OTC; QL



114


MEIJER SUPER THIN LANCETS OTC; QL

mini lancing device Advocate Lancing Device OTC; QL

MM LANCING DEVICE OTC; QL

MM TWIST LANCETS OTC; QL

MONOLET LANCETS OTC; QL

MONOLET OPD LANCETS OTC; QL

MONOLETTOR SAFETY LANCETS OTC; QL

mpd safety lancet 21gAgaMatrix Ultra-Thin Lancets

OTC; QL


OTC; QL


OTC; QL


OTC; QL

multi-lancet device Advocate Lancing Device OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC

MYGLUCOHEALTH LANCETS 30G OTC; QL

NOVA SAFETY LANCETS 23G OTC; QL

NOVA SAFETY LANCETS 28G OTC; QL

NOVA SUREFLEX LANCETS OTC; QL

NOVA SUREFLEX LANCING DEVICE OTC; QL

ONETOUCH DELICA LANCING DEV OTC; QL

ONETOUCH DELICA PLUS LANCING OTC; QL

pc lancets super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

PERFECT LANCETS 28G OTC; QL

PERFECT LANCETS 30G OTC; QL

PHARMACY COUNTER LANCETS OTC; QL

pip lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

pip lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

PRECISION GLUCOSE KETONE CONTR IN VITRO LIQUID

OTC

PRECISION THINS GP LANCETS OTC; QL

preferred plus lancets coloredAgaMatrix Ultra-Thin Lancets

OTC; QL

115


preferred plus lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

PSS SELECT GP LANCETS OTC; QL

PSS SELECT PLATFORMS OTC; QL

PSS SELECT SAFETY LANCETS OTC; QL

px advanced lancing device Advocate Lancing Device OTC; QL

px lancet auto injector Advocate Lancing Device OTC; QL

px lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

px lancets ultra thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

qc advanced lancing device Advocate Lancing Device OTC; QL

qc lancets super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

qc lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

qc unilet lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

qc unilet lancets micro thinAgaMatrix Ultra-Thin Lancets

OTC; QL

RA E-ZJECT LANCETS 28G OTC; QL

RA E-ZJECT LANCETS THIN 26G OTC; QL

RA E-ZJECT LANCETS THIN 28G OTC; QL

RA E-ZJECT LANCETS ULTRA THIN OTC; QL

READYLANCE SAFETY LANCETS OTC; QL

reality lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

reality trigger lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

RELION LANCET DEVICES 30G OTC; QL

RELION LANCETS MICRO-THIN 33G OTC; QL

RELION LANCETS THIN 26G OTC; QL

RELION LANCETS ULTRA-THIN 30G OTC; QL

RELION LANCING DEVICE OTC; QL

RELION LANCING DEVICE KIT OTC; QL

RELION TRUE MET AIR GLUC METER KIT

OTC

RELION ULTRA THIN LANCETS 30G OTC; QL

RELION ULTRA THIN PLUS LANCETS OTC; QL

116


REXALL LANCETS ULTRA THIN 30G OTC; QL

RIGHTEST ALTERNATE SITE ADAPT OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC; QL

RIGHTEST GL300 LANCETS OTC; QL

SAFE-T-LANCE OTC; QL

SAFE-T-LANCE PLUS OTC; QL

SAFETY LANCETS 21G OTC; QL

sb lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

sb lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

select-lite device/lancets kit Autolet II Clinisafe OTC

select-lite lancing device Advocate Lancing Device OTC; QL

SHOPKO AUTOLET LANCING DEVICE OTC; QL

SHOPKO ON-THE-GO LANCETS 30G OTC; QL

SHOPKO UNILET LANCETS 28G OTC; QL

SHOPKO UNILET LANCETS 30G OTC; QL

SIMPLE DIAGNOSTICS LANCING DEV OTC; QL

sm lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

SM TRUEDRAW LANCING DEVICE OTC; QL

SMART SENSE COLOR LANCETS 33G OTC; QL

SMART SENSE STANDARD LANCETS OTC; QL

SMART SENSE SUPER THIN LANCETS OTC; QL

SMART SENSE THIN LANCETS 26G OTC; QL

SMARTEST LANCETS 28G OTC; QL

SOLUS V2 LANCING DEVICE OTC; QL

STERILANCE PA OTC; QL

STERILANCE TL OTC; QL

super thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

sure comfort lancets 18gAgaMatrix Ultra-Thin Lancets

OTC; QL


OTC; QL


OTC; QL


OTC; QL

117



OTC; QL

sure comfort lancing pen Advocate Lancing Device OTC; QL

SURELITE LANCETS OTC; QL

TECHLITE AST LANCETS OTC; QL

TECHLITE LANCETS OTC; QL

TECHLITE LANCETS 30G OTC; QL

tgt lancet micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

tgt lancet thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

tgt lancet ultra thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

tgt lancing device Advocate Lancing Device OTC; QL

THINLETS GP LANCETS OTC; QL

todays health lancing device Advocate Lancing Device OTC; QL

todays health thin lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

todays health thin lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

topcare lancets micro-thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

travel lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

TRAVEL LANCETS ADVANCED 28G OTC; QL

TRUE METRIX AIR GLUCOSE METER KIT OTC

TRUE METRIX LEVEL 1 IN VITRO SOLUTION

OTC


OTC


OTC

TRUE METRIX METER KIT OTC

TRUEDRAW LANCING DEVICE OTC; QL

TRUEPLUS LANCETS 26G OTC; QL




TRUEPLUS SAFETY LANCETS 28G OTC; QL

ULTRA-THIN II AUTO LANCET OTC; QL

118


ULTRA-THIN II LANCETS OTC; QL

UNILET COMFORTOUCH LANCET OTC; QL

UNILET EXCELITE OTC; QL

UNILET EXCELITE II OTC; QL

UNILET G.P. LANCET OTC; QL

UNILET G.P. SUPERLITE LANCET OTC; QL

UNILET GP 28 ULTRA THIN OTC; QL

UNILET LANCET OTC; QL

UNILET MICRO-THIN 33G OTC; QL

UNILET SUPERLITE LANCET OTC; QL

UNILET SUPER-THIN 30G OTC; QL

UNILET ULTRA-THIN 28G OTC; QL

UNISTIK 1 OTC; QL

UNISTIK 2 OTC; QL

UNISTIK 2 COMFORT OTC; QL

UNISTIK 2 EXTRA OTC; QL

UNISTIK 2 NEONATAL OTC; QL

UNISTIK 2 NORMAL OTC; QL

UNISTIK 2 SUPER OTC; QL

UNISTIK 3 OTC; QL

UNISTIK 3 COMFORT OTC; QL

UNISTIK 3 EXTRA OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 NEONATAL OTC; QL

UNISTIK 3 NORMAL OTC; QL

UNISTIK CZT COMFORT OTC; QL

UNISTIK CZT NORMAL OTC; QL

UNISTIK PRO SAFETY LANCET OTC; QL

UNISTIK SAFETY LANCETS 28G OTC; QL

UNISTIK SAFETY LANCETS 30G OTC; QL

UNISTIK TOUCH SAFETY LANC 21G OTC; QL




UNIVERSAL 1 LANCETS THIN 26G OTC; QL

UNIVERSAL 1 LANCETS THIN 33G OTC; QL

UNIVERSAL 1 LANCETS ULTRA THIN OTC; QL

119


value plus lancet standard 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

value plus lancets super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

value plus lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

value plus lancing device Advocate Lancing Device OTC; QL

valumark lancet super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

valumark lancet ultra thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

VIDA MIA AUTOLET LANCING DEV OTC; QL

VIDA MIA UNILET LANCETS 28G OTC; QL

VIDA MIA UNILET LANCETS 30G OTC; QL

VIVAGUARD LANCETS OTC; QL

VIVAGUARD LANCING DEVICE OTC; QL

walgreens adv travel lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

WALGREENS LANCETS OTC; QL

walgreens lancets micro thinAgaMatrix Ultra-Thin Lancets

OTC; QL

walgreens lancets super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

WALGREENS THIN LANCETS OTC; QL

WALGREENS ULTRA THIN LANCETS OTC; QL

*MISC. DEVICES***

folding paddle walkerAcu-Life Crusher/Container

AL; OTC

*NEEDLES & SYRINGES***

BD AUTOSHIELD OTC; QL

BD AUTOSHIELD DUO OTC; QL

BD INSULIN SYR ULTRAFINE II QL

BD INSULIN SYRINGE 25G X 1" 1 ML, 25G X 5/8" 1 ML, 26G X 1/2" 1 ML, 27G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, U-100 1 ML

QL

BD INSULIN SYRINGE 27.5G X 5/8" 2 ML

BD INSULIN SYRINGE HALF-UNIT PA; QL

BD INSULIN SYRINGE MICROFINE QL

BD INSULIN SYRINGE U/F QL

120


BD INSULIN SYRINGE U/F 1/2UNIT QL

BD INSULIN SYRINGE U-500 QL

BD INSULIN SYRINGE ULTRAFINE QL

BD LUER-LOK SYRINGE 20G X 1" 1 ML

BD LUER-LOK SYRINGE 25G X 5/8" 1 ML OTC

BD PEN NEEDLE MICRO U/F OTC; QL

BD PEN NEEDLE MINI U/F OTC; QL

BD PEN NEEDLE NANO 2ND GEN OTC; QL

BD PEN NEEDLE NANO U/F OTC; QL

BD PEN NEEDLE ORIGINAL U/F OTC; QL

BD PEN NEEDLE SHORT U/F OTC; QL

BD SAFETYGLIDE INSULIN SYRINGE29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 30G X 5/16" 0.5 ML, 31G X 15/64" 0.3 ML, 31G X 15/64" 0.5 ML, 31G X 15/64" 1 ML

QL

BD SAFETYGLIDE INSULIN SYRINGE31G X 5/16" 0.3 ML

PA; QL

BD SAFETY-LOK INSULIN SYRINGE QL

BD VEO INSULIN SYR U/F 1/2UNIT PA; QL

BD VEO INSULIN SYRINGE U/F QL

ULTRA FLO INSULIN SYR 1/2 UNIT PA; QL

ULTRA FLO INSULIN SYRINGE PA; QL

*PEAK FLOW METERS***

TRUZONE PEAK FLOW METER DEVICE

*RESPIRATORY THERAPY SUPPLIES***

VORTEX HOLD CHMBR/MASK/CHILD DEVICE

VORTEX HOLD CHMBR/MASK/TODDLER DEVICE

*SPACER/AEROSOL-HOLDING CHAMBERS & SUPPLIES***

AEROVENT PLUS DEVICE QL

POCKET CHAMBER DEVICE QL

*MIGRAINE PRODUCTS*

*CALCITONIN GENE-RELATED PEPTIDE RECEPTOR ANTAG (CGRP)***

NURTEC ORAL TABLET DISPERSIBLE PA; QL

121


*CGRP RECEPTOR ANTAGONISTS - MONOCOLONAL ANTIBODIES***

AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; QL

EMGALITY (300 MG DOSE) SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; QL

EMGALITY SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; QL

EMGALITY SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; QL

*ERGOT COMBINATIONS***

ergotamine-caffeine oral tablet Cafergot

MIGERGOT RECTAL SUPPOSITORY

*SELECTIVE SEROTONIN AGONISTS 5-HT(1)***

naratriptan hcl oral tablet Amerge QL

sumatriptan nasal solution Imitrex PA; QL

sumatriptan succinate oral tablet Imitrex QL

sumatriptan succinate refill subcutaneous solution cartridge

Imitrex STATdose Refill PA; QL

sumatriptan succinate subcutaneous solution

Imitrex PA; QL

sumatriptan succinate subcutaneous solution auto-injector

Imitrex STATdose System PA; QL

sumatriptan succinate subcutaneous solution prefilled syringe

QL

*MINERALS & ELECTROLYTES*

*CALCIUM COMBINATIONS***

CALCITRATE ORAL TABLET OTC

calcium 500 + d oral tablet OTC

calcium 500/d oral tablet RA Hi Cal OTC

calcium 500/d oral tablet chewable OTC

calcium 500+d high potency oral tablet OTC

calcium 500+d oral tablet Oystercal-D OTC

calcium 500+d3 oral tablet Oystercal-D OTC

calcium 600/vitamin d oral tablet OTC

calcium 600/vitamin d oral tablet chewable OTC

calcium 600/vitamin d3 oral tablet Caltrate 600+D3 OTC

122


calcium 600+d high potency oral tablet OTC

calcium 600+d oral tablet OTC

calcium 600+d3 oral tablet OTC

calcium carb-cholecalciferol oral tablet OTC

calcium carbonate-vitamin d oral capsule OTC

calcium carbonate-vitamin d oral tablet OTC

calcium carbonate-vitamin d3 oral tablet OTC

calcium citrate + d oral tablet OTC

calcium citrate + d3 maximum oral tablet Calcitrate OTC

calcium citrate + d3 oral tablet Citracal Petites/Vitamin D OTC

calcium citrate+d3 oral tablet Calcitrate OTC

calcium citrate+d3 petites oral tablet Citracal Petites/Vitamin D OTC

calcium citrate-vitamin d oral tablet Calcitrate OTC

calcium citrate-vitamin d3 oral tablet Calcitrate OTC

calcium high potency/vitamin d oral tablet OTC

calcium oral tablet chewable OTC

calcium plus vitamin d3 oral tablet Caltrate 600+D3 OTC

calcium/c/d oral tablet chewable OTC

calcium+d3 oral tablet Os-Cal Extra D3 OTC

calcium-vitamin d oral tablet Oystercal-D OTC

calcium-vitamin d3 oral capsule OTC

calcium-vitamin d3 oral tablet OTC

citrus calcium/vitamin d oral tablet Citracal Petites/Vitamin D OTC

cvs calcium 600 & vitamin d3 oral tablet Caltrate 600+D3 OTC

cvs oyster shell calcium-vit d oral tablet OTC

eq calcium 500+d oral tablet Oysco 500+D OTC

eq calcium 600+d oral tablet Caltrate 600+D3 OTC

eq calcium citrate+d oral tablet Calcitrate OTC

eql calcium citrate/vitamin d oral tablet Calcitrate OTC

eql calcium citrate/vitamin d3 oral tablet Calcitrate OTC

eql calcium/vitamin d oral tablet OTC

eql calcium/vitamin d3 oral tablet Caltrate 600+D3 OTC

gnp calcium 500 +d3 oral tablet Os-Cal Extra D3 OTC

gnp calcium 600 +d3 oral tablet Caltrate 600+D3 OTC

gnp calcium citrate +d3 oral tablet Calcitrate OTC

hm calcium citrate+d3 petite oral tablet Citracal Petites/Vitamin D OTC

hm calcium citrate+vitamin d oral tablet Calcitrate OTC

123


hm calcium-vitamin d oral tablet Oysco 500+D OTC

kp calcium citrate+d oral tablet Calcitrate OTC

liquid calcium with d3 oral capsule OTC

liquid calcium/vitamin d oral capsule OTC

OYSCO 500+D ORAL TABLET OTC

oyster shell calcium + d oral tablet Oystercal-D OTC

oyster shell calcium + d3 oral tablet Oystercal-D OTC

oyster shell calcium 250+d oral tablet OTC

oyster shell calcium 500 + d oral tablet OTC

oyster shell calcium 500+d oral tablet chewable

OTC

oyster shell calcium plus d oral tablet Oysco 500+D OTC

oyster shell calcium/d oral tablet OTC

oyster shell calcium/d3 oral tablet OTC

oyster shell calcium/vitamin d oral tablet Oysco 500+D OTC

OYSTERCAL-D ORAL TABLET OTC

ra calcium 600/vitamin d-3 oral tablet OTC

ra calcium cit plus vit d-3 oral tablet Calcitrate OTC

ra calcium cit-vit d-3 petites oral tablet Citracal Petites/Vitamin D OTC

RA HI CAL ORAL TABLET OTC

sm calcium 500/vitamin d3 oral tablet OTC

sm calcium 600/vitamin d oral tablet OTC

sm calcium citrate+/vit d3 oral tablet Calcitrate OTC

sm calcium citrate+d3 petite oral tablet Citracal Petites/Vitamin D OTC

sm calcium/vitamin d oral tablet Caltrate 600+D3 OTC

sm calcium-vitamin d oral tablet OTC

sm oyster shell calcium/vit d oral tablet OTC

sm oyster shell calcium/vit d3 oral tablet Oystercal-D OTC

super calcium 600 + d 400 oral tablet OTC

super calcium 600 + d3 oral tablet OTC

*CALCIUM***

calcium carbonate oral tablet OTC

oyster shell calcium oral tablet Oystercal OTC

*FLUORIDE***

NAFRINSE ORAL TABLET CHEWABLE

sodium fluoride oral solution QL

sodium fluoride oral tablet chewable

124


*MAGNESIUM***

MAG64 ORAL TABLET DELAYED RELEASE

OTC; QL

magnesium oral tablet OTC; QL

magnesium oxide oral tablet MAGnesium-Oxide OTC; QL

MAGNESIUM-OXIDE ORAL TABLET OTC; QL

mgo oral tablet MAGnesium-Oxide OTC; QL

*POTASSIUM***

KLOR-CON 10 ORAL TABLET EXTENDED RELEASE

KLOR-CON M10 ORAL TABLET EXTENDED RELEASE



KLOR-CON ORAL PACKET

KLOR-CON ORAL TABLET EXTENDED RELEASE

potassium chloride crys er oral tablet extended release

Klor-Con M10

potassium chloride er oral capsule extended release

potassium chloride er oral tablet extended release

K-Tab

potassium chloride oral packet Klor-Con

potassium chloride oral solution

*ZINC***

ORAZINC ORAL CAPSULE AL; OTC

zinc oral capsule Orazinc AL; OTC

zinc sulfate oral capsule Orazinc AL; OTC

*MISCELLANEOUS THERAPEUTIC CLASSES*

*CHELATING AGENTS***

CLOVIQUE ORAL CAPSULE PA; SP; QL

penicillamine oral tablet Depen Titratabs PA; QL

trientine hcl oral capsule Clovique PA; SP; QL

*CYCLOSPORINE ANALOGS***

cyclosporine modified oral capsule Gengraf SP

125


cyclosporine modified oral solution Gengraf SP

cyclosporine oral capsule SandIMMUNE SP

GENGRAF ORAL CAPSULE SP

GENGRAF ORAL SOLUTION SP

SANDIMMUNE ORAL SOLUTION SP

*INOSINE MONOPHOSPHATE DEHYDROGENASE INHIBITORS***

mycophenolate mofetil oral capsule CellCept SP

mycophenolate mofetil oral suspension reconstituted

CellCept SP

mycophenolate mofetil oral tablet CellCept SP

mycophenolate sodium oral tablet delayed release

Myfortic SP

*MACROLIDE IMMUNOSUPPRESSANTS***

sirolimus oral solution Rapamune SP

sirolimus oral tablet Rapamune SP

tacrolimus oral capsule Prograf SP

*POTASSIUM REMOVING AGENTS***

SPS ORAL SUSPENSION

*PURINE ANALOGS***

azathioprine oral tablet Imuran

*MOUTH/THROAT/DENTAL AGENTS*

*ANESTHETICS TOPICAL ORAL***

lidocaine hcl mouth/throat solution QL

lidocaine viscous hcl mouth/throat solution QL

*ANTI-INFECTIVES - THROAT***

clotrimazole mouth/throat troche QL

nystatin mouth/throat suspension

*ANTISEPTICS - MOUTH/THROAT***

chlorhexidine gluconate mouth/throat solution

Paroex QL

PAROEX MOUTH/THROAT SOLUTION QL

PERIOGARD MOUTH/THROAT SOLUTION

QL

*FLUORIDE DENTAL PRODUCTS***

CAVAREST DENTAL GEL

DENTA 5000 PLUS DENTAL CREAM

126


DENTAGEL DENTAL GEL

sf 5000 plus dental cream Denta 5000 Plus

sf dental gel Cavarest

sodium fluoride 5000 plus dental cream Denta 5000 Plus

sodium fluoride 5000 ppm dental cream Denta 5000 Plus

sodium fluoride dental cream Denta 5000 Plus

sodium fluoride dental gel Cavarest

*SALIVA STIMULANTS***

pilocarpine hcl oral tablet Salagen QL

*STEROIDS - MOUTH/THROAT/DENTAL***

ORALONE MOUTH/THROAT PASTE

triamcinolone acetonide mouth/throat paste Oralone

*MULTIVITAMINS*

*B-COMPLEX W/ C & E + ZN***

advanced stress formula/zinc oral tablet AL; OTC

bec/zinc oral tablet AL; OTC

cvs stress formula/zinc oral tablet AL; OTC

eql stress b-complex c/zinc oral tablet AL; OTC

stress b/zinc oral tablet AL; OTC

stress b-complex/vit c/zinc oral tablet AL; OTC

stress formula/zinc oral tablet AL; OTC

stress plus zinc oral tablet AL; OTC

zinc-vites oral tablet AL; OTC

*B-COMPLEX W/ C & FOLIC ACID***

stress formula oral tablet OTC

*B-COMPLEX W/ MINERALS***

ELDERTONIC ORAL LIQUID OTC

*MULTIPLE VITAMINS W/ CALCIUM***

eql one daily womens oral tabletHM Vita-Mini Multi Complete

OTC

essential one daily multivit oral tabletHM Vita-Mini Multi Complete

OTC

gnp one daily womens health oral tabletHM Vita-Mini Multi Complete

OTC

*MULTIPLE VITAMINS W/ IRON***

daily multiple vitamins/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

127


daily vitamin formula+iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

daily vite multivitamin/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

daily-vitamin/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

gnp one daily plus iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

hm one daily/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

multi-day plus iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

multiple vitamins/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

multivitamin plus iron adult oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

multi-vitamin/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

nat-rul daily-vite+iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

once daily/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

one daily multivitamin/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

one-daily multi-vitamin/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

one-daily/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

qc daily multivitamins/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

sm multiple vitamins/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

stress b complex/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

stress formula/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

tab-a-vite/iron oral tabletTab-A-Vite/Iron/Beta Carotene

AL; OTC

*MULTIPLE VITAMINS W/ MINERALS***

50+ adult eye health oral capsule Amoryn Mood Booster AL; OTC

a thru z advanced adult oral tablet ABC Plus Senior AL; OTC

128


a thru z advanced oral tablet ABC Plus Senior AL; OTC

a thru z high potency oral tablet ABC Plus Senior AL; OTC

a thru z select 50+ advanced oral tablet ABC Plus Senior AL; OTC

a thru z select 50+ mens oral tablet ABC Plus Senior AL; OTC

a thru z select advanced oral tablet ABC Plus Senior AL; OTC

a thru z select oral tablet ABC Plus Senior AL; OTC

a thru z select oral tablet chewable Advanced Multi EA AL; OTC

a thru z select ultimate women oral tablet ABC Plus Senior AL; OTC

a thru z ultimate mens oral tablet ABC Plus Senior AL; OTC

abc plus oral tablet ABC Plus Senior AL; OTC

ABC PLUS SENIOR ADULTS 50+ ORAL TABLET

AL; OTC

ABC PLUS SENIOR ORAL TABLET AL; OTC

actical oral capsule Amoryn Mood Booster AL; OTC

adult gummy oral tablet chewable Advanced Multi EA AL; OTC

advanced eye health oral capsule Amoryn Mood Booster AL; OTC

ADVANCED MULTI EA ORAL TABLET CHEWABLE

AL; OTC

AIRBORNE GUMMIES ORAL TABLET CHEWABLE

AL; OTC

AIRBORNE ORAL TABLET CHEWABLE AL; OTC

AMORYN MOOD BOOSTER ORAL CAPSULE

AL; OTC

antioxidant a/c/e/selenium oral tablet ABC Plus Senior AL; OTC

anti-oxidant formula oral capsule Amoryn Mood Booster AL; OTC

antioxidant formula oral tablet ABC Plus Senior AL; OTC

antioxidant formula/minerals oral capsule Amoryn Mood Booster AL; OTC

antioxidant oral capsule Amoryn Mood Booster AL; OTC

antioxidant protection formula oral tablet ABC Plus Senior AL; OTC

antioxidant vitamins oral tablet ABC Plus Senior AL; OTC

ANTIOXIN 4000 ORAL CAPSULE AL; OTC

biotin plus/calcium/vit d3 oral tablet ABC Plus Senior AL; OTC

body/hair/skin/nails oral capsule Amoryn Mood Booster AL; OTC

BPROTECTED MULTI-VITE ORAL LIQUID AL; OTC

CARRAVITE ORAL TABLET AL; OTC

centavite a-z complete-mineral oral tablet ABC Plus Senior AL; OTC

centravites 50 plus oral tablet ABC Plus Senior AL; OTC

centravites oral tablet ABC Plus Senior AL; OTC

129


century mature oral tablet ABC Plus Senior AL; OTC

century oral tablet ABC Plus Senior AL; OTC

CEROVITE SENIOR ORAL TABLET AL; OTC

certa plus oral tablet ABC Plus Senior AL; OTC

CERTAVITE/ANTIOXIDANTS ORAL TABLET

AL; OTC

companion oral tablet ABC Plus Senior AL; OTC

COMPETE ORAL TABLET AL; OTC

complete daily/lutein oral tablet ABC Plus Senior AL; OTC

complete energy oral tablet ABC Plus Senior AL; OTC

complete multivitamin/mineral oral liquid BProtected Multi-Vite AL; OTC

complete oral tablet ABC Plus Senior AL; OTC

complete pms support complex oral capsule Amoryn Mood Booster AL; OTC

complete senior oral tablet ABC Plus Senior AL; OTC

complete womens oral tablet ABC Plus Senior AL; OTC

coral calcium plus oral capsule Amoryn Mood Booster AL; OTC

cvs daily gummies oral tablet chewable Advanced Multi EA AL; OTC

cvs daily multiple for men oral tablet ABC Plus Senior AL; OTC

cvs daily multiple women 50+ oral tablet ABC Plus Senior AL; OTC

cvs eye health & lutein oral tablet ABC Plus Senior AL; OTC

cvs mens daily gummies oral tablet chewable

Advanced Multi EA AL; OTC

cvs one daily essential oral tablet ABC Plus Senior AL; OTC

cvs one daily womens formula oral tablet ABC Plus Senior AL; OTC

cvs spectravite advanced oral tablet ABC Plus Senior AL; OTC

cvs spectravite senior oral tablet ABC Plus Senior AL; OTC

cvs spectravite ultra mens oral tablet ABC Plus Senior AL; OTC

cvs spectravite womens senior oral tablet ABC Plus Senior AL; OTC

cvs womens active daily oral tablet ABC Plus Senior AL; OTC

cvs womens daily gummies oral tablet chewable


daily betic oral tablet ABC Plus Senior AL; OTC

daily combo multi vitamins oral tablet ABC Plus Senior AL; OTC

daily mens health formula oral tablet ABC Plus Senior AL; OTC

daily multi 50+ oral tablet ABC Plus Senior AL; OTC

daily multi oral tablet ABC Plus Senior AL; OTC

daily multiple vitamins/min oral tablet ABC Plus Senior AL; OTC

daily multivitamin oral capsule Amoryn Mood Booster AL; OTC

130


daily vitamin formula+minerals oral tablet ABC Plus Senior AL; OTC

daily vitamin plus oral capsule Amoryn Mood Booster AL; OTC

daily womens health formula oral tablet ABC Plus Senior AL; OTC

daily-vitamin maximum formula oral tablet ABC Plus Senior AL; OTC

diabetes health formula oral tablet ABC Plus Senior AL; OTC

dialyvite 800/ultra d oral tablet ABC Plus Senior AL; OTC

DOCTORS CHOICE MEN ORAL TABLET AL; OTC

DRY EYE FORMULA ORAL CAPSULE AL; OTC

eq complete multivit adult 50+ oral tablet ABC Plus Senior AL; OTC

eq vision formula 50+ oral capsule Amoryn Mood Booster AL; OTC

eql century mature men 50+ oral tablet ABC Plus Senior AL; OTC

eql century mature oral tablet ABC Plus Senior AL; OTC

eql century mature women 50+ oral tablet ABC Plus Senior AL; OTC

eql century oral tablet ABC Plus Senior AL; OTC

eql one daily mens 50+ advance oral tablet ABC Plus Senior AL; OTC

eql one daily mens health oral tablet ABC Plus Senior AL; OTC

eql one daily womens 50+ adv oral tablet ABC Plus Senior AL; OTC

eql vision formula oral tablet ABC Plus Senior AL; OTC

ESSENTIA ORAL TABLET AL; OTC

essential balance oral tablet ABC Plus Senior AL; OTC

EYE VITAMINS ORAL CAPSULE AL; OTC

eyeprotect oral tablet ABC Plus Senior AL; OTC

EYE-VITES ORAL TABLET AL; OTC

gerivite complete oral tablet ABC Plus Senior AL; OTC

glucoten oral capsule Amoryn Mood Booster AL; OTC

gnp century adult formula oral tablet ABC Plus Senior AL; OTC

gnp century adults 50+ senior oral tablet ABC Plus Senior AL; OTC

gnp century cardio health oral tablet ABC Plus Senior AL; OTC

gnp century mature women's 50+ oral tablet ABC Plus Senior AL; OTC

gnp century oral tablet ABC Plus Senior AL; OTC

gnp century ultimate mens oral tablet ABC Plus Senior AL; OTC

gnp century ultimate womens oral tablet ABC Plus Senior AL; OTC

gnp hair/skin/nails oral tablet ABC Plus Senior AL; OTC

gnp healthy eyes oral tablet ABC Plus Senior AL; OTC

gnp healthy eyes supervision 2 oral capsule Amoryn Mood Booster AL; OTC

gnp healthy eyes supervision oral capsule Amoryn Mood Booster AL; OTC

gnp mega multi for men oral tablet ABC Plus Senior AL; OTC

131


gnp mega multi for women oral tablet ABC Plus Senior AL; OTC

gnp one daily maximum oral tablet ABC Plus Senior AL; OTC

gnp one daily mens health 50+ oral tablet ABC Plus Senior AL; OTC

gnp one daily mens/lycopene oral tablet ABC Plus Senior AL; OTC

gnp one daily womens 50+ oral tablet ABC Plus Senior AL; OTC

gnp one daily womens oral tablet ABC Plus Senior AL; OTC

gnp therapeutic-m oral tablet ABC Plus Senior AL; OTC

hair formula extra strength oral tablet ABC Plus Senior AL; OTC

hair skin and nails formula oral tablet ABC Plus Senior AL; OTC

hair skin nails oral capsule Amoryn Mood Booster AL; OTC

hair vitamins oral tablet ABC Plus Senior AL; OTC

hair/skin/nails oral capsule Amoryn Mood Booster AL; OTC

hair/skin/nails oral tablet ABC Plus Senior AL; OTC

healthy eyes oral tablet ABC Plus Senior AL; OTC

healthy eyes/lutein oral tablet ABC Plus Senior AL; OTC

healthy eyes/lutein-zeaxanthin oral capsule Amoryn Mood Booster AL; OTC

hi-kovite 2-part formula oral tablet ABC Plus Senior AL; OTC

hi-potency multi-vitamin oral tablet ABC Plus Senior AL; OTC

hm antioxidant vitamins oral tablet ABC Plus Senior AL; OTC

hm complete 50+ oral tablet ABC Plus Senior AL; OTC

hm complete women oral tablet ABC Plus Senior AL; OTC

hm multivitamin adult gummy oral tablet chewable


hm womens 50+ advanced daily oral tablet ABC Plus Senior AL; OTC

ICAPS LUTEIN & OMEGA-3 ORAL CAPSULE

AL; OTC

ICAPS MV ORAL TABLET AL; OTC

ICAPS ORAL CAPSULE AL; OTC

i-vite oral tablet ABC Plus Senior AL; OTC

kp adults 50+ daily formula oral tablet ABC Plus Senior AL; OTC

kp adults daily formula oral tablet ABC Plus Senior AL; OTC

kp mens 50+ daily formula oral tablet ABC Plus Senior AL; OTC

kp mens daily formula oral tablet ABC Plus Senior AL; OTC

KP VISION FORMULA ORAL TABLET AL; OTC

KP VISION FORMULA/LUTEIN ORAL TABLET

AL; OTC

kp womens 50+ daily formula oral tablet ABC Plus Senior AL; OTC

kp womens daily formula oral tablet ABC Plus Senior AL; OTC

132


LYSIPLEX PLUS ORAL LIQUID AL; OTC

MACULAR HEALTH FORMULA ORAL CAPSULE

AL; OTC

MACUVITE EYE CARE ORAL TABLET AL; OTC

MACUVITE ORAL TABLET AL; OTC

MACUVITE/LUTEIN ORAL TABLET AL; OTC

magnum-75 oral tablet extended release Endur-VM AL; OTC

maximum daily green oral tablet ABC Plus Senior AL; OTC

mega vm-80 oral tablet ABC Plus Senior AL; OTC

mega-marathon 100 tr oral tablet extended release

Endur-VM AL; OTC

meijer advanced formula oral tablet ABC Plus Senior AL; OTC

mens daily formula/lycopene oral capsule Amoryn Mood Booster AL; OTC

MENS HAIR FORMULA ULTRA MAN ORAL TABLET

AL; OTC

MENS LIFE PACK ORAL TABLET AL; OTC

MILLTRIUM ADVANCED FORMULA ORAL TABLET

AL; OTC

MILLTRIUM CARDIO ORAL TABLET AL; OTC

MILLTRIUM SENIOR ORAL TABLET AL; OTC

multi + omega-3 adult gummies oral tablet chewable


multi adult gummies oral tablet chewable Advanced Multi EA AL; OTC

MULTI COMPLETE ORAL CAPSULE AL; OTC

multi complete/iron oral tablet ABC Plus Senior AL; OTC

multi for her 50+ oral capsule Amoryn Mood Booster AL; OTC

multi for her 50+ oral tablet ABC Plus Senior AL; OTC

multi for her oral capsule Amoryn Mood Booster AL; OTC

multi for her oral tablet ABC Plus Senior AL; OTC

multi for him 50+ oral tablet ABC Plus Senior AL; OTC

MULTI FOR HIM ORAL CAPSULE AL; OTC

MULTI FOR HIM ORAL TABLET AL; OTC

multi vitamin/minerals oral tablet ABC Plus Senior AL; OTC

multi-day plus minerals oral tablet ABC Plus Senior AL; OTC

MULTI-DAY WEIGHT TRIM ORAL TABLET AL; OTC

MULTI-LEAN ORAL TABLET AL; OTC

multiple vit/minerals/no iron oral tablet ABC Plus Senior AL; OTC

multiple vitamins/womens oral tablet ABC Plus Senior AL; OTC

133


multivitamin & mineral oral liquid BProtected Multi-Vite AL; OTC

multivitamin adults 50+ oral tablet ABC Plus Senior AL; OTC

multivitamin adults oral tablet ABC Plus Senior AL; OTC

multivitamin gummies adult oral tablet chewable


multivitamin gummies mens oral tablet chewable


multi-vitamin gummies oral tablet chewable Advanced Multi EA AL; OTC

multivitamin gummies womens oral tablet chewable


multivitamin men 50+ oral tablet ABC Plus Senior AL; OTC

multi-vitamin menopausal oral tablet ABC Plus Senior AL; OTC

multivitamin oral liquid BProtected Multi-Vite AL; OTC

multivitamin women 50+ oral tablet ABC Plus Senior AL; OTC

multivitamin women oral tablet ABC Plus Senior AL; OTC

multivitamin womens 50+ adv oral tablet ABC Plus Senior AL; OTC

multivitamin/extra vitamin d3 oral tablet chewable


multi-vitamin/minerals oral tablet ABC Plus Senior AL; OTC

multivitamins/minerals adult oral liquid BProtected Multi-Vite AL; OTC

myamulti oral tablet ABC Plus Senior AL; OTC

my-vitalife oral capsule Amoryn Mood Booster AL; OTC

ocutabs oral tablet ABC Plus Senior AL; OTC

ocutabs-lutein oral tablet ABC Plus Senior AL; OTC

OCUVITE EXTRA ORAL TABLET AL; OTC

OCUVITE EYE + MULTI ORAL TABLET AL; OTC

OCUVITE EYE HEALTH FORMULA ORAL CAPSULE

AL; OTC

OCUVITE EYE HEATLH GUMMIES ORAL TABLET CHEWABLE

AL; OTC

OCUVITE-LUTEIN ORAL TABLET AL; OTC

one daily 50 plus oral tablet ABC Plus Senior AL; OTC

one daily adults 50+ oral tablet ABC Plus Senior AL; OTC

one daily calcium/iron oral tablet ABC Plus Senior AL; OTC

one daily complete for men oral tablet ABC Plus Senior AL; OTC

one daily complete oral tablet ABC Plus Senior AL; OTC

one daily for men 50+ advanced oral tablet ABC Plus Senior AL; OTC

one daily for men/lycopene oral tablet ABC Plus Senior AL; OTC

134


one daily for women 50+ adv oral tablet ABC Plus Senior AL; OTC

one daily for women oral tablet ABC Plus Senior AL; OTC

one daily healthy weight adv oral tablet ABC Plus Senior AL; OTC

one daily healthy weight oral tablet ABC Plus Senior AL; OTC

one daily maximum oral tablet ABC Plus Senior AL; OTC

one daily mens 50+ multivit oral tablet ABC Plus Senior AL; OTC

one daily mens 50+/lycopene oral tablet ABC Plus Senior AL; OTC

one daily mens health oral tablet ABC Plus Senior AL; OTC

one daily mens oral tablet ABC Plus Senior AL; OTC

one daily multivit/iron-free oral tablet ABC Plus Senior AL; OTC

one daily multivitamin adult oral tablet ABC Plus Senior AL; OTC

one daily multivitamin men oral tablet ABC Plus Senior AL; OTC

one daily multivitamin women oral tablet ABC Plus Senior AL; OTC

one daily multivit-min adult oral tablet ABC Plus Senior AL; OTC

ONE DAILY PLUS IRON ORAL TABLET AL; OTC

one daily plus minerals oral tablet ABC Plus Senior AL; OTC

one daily womens 50 plus oral tablet ABC Plus Senior AL; OTC

one daily womens 50+ oral tablet ABC Plus Senior AL; OTC

one daily/minerals oral tablet ABC Plus Senior AL; OTC

ONE-A-DAY TEEN ADVANTAGE/HER ORAL TABLET

AL; OTC

optic-vites oral tablet ABC Plus Senior AL; OTC

optic-vites with lutein oral tablet ABC Plus Senior AL; OTC

optimum pms oral tablet ABC Plus Senior AL; OTC

OSTEOPRIME ULTRA ORAL TABLET AL; OTC

prevent oral capsule Amoryn Mood Booster AL; OTC

PROSIGHT ORAL TABLET AL; OTC

px advanced formula multivits oral tablet ABC Plus Senior AL; OTC

px complete senior multivits oral tablet ABC Plus Senior AL; OTC

px mens multivitamins oral tablet ABC Plus Senior AL; OTC

qc daily multivit/multimineral oral tablet ABC Plus Senior AL; OTC

qc hair skin & nails oral tablet ABC Plus Senior AL; OTC

qc mens daily multivitamin oral tablet ABC Plus Senior AL; OTC

qc multi-vite 50 & over oral tablet ABC Plus Senior AL; OTC

qc therin-m oral tablet ABC Plus Senior AL; OTC

qc womens daily multivitamin oral tablet ABC Plus Senior AL; OTC

quintabs-m oral tablet ABC Plus Senior AL; OTC

135


ra central-vite mens mature oral tablet ABC Plus Senior AL; OTC

ra central-vite womens mature oral tablet ABC Plus Senior AL; OTC

ra one daily maximum oral tablet ABC Plus Senior AL; OTC

ra one daily mens 50+ w/vit d3 oral tablet ABC Plus Senior AL; OTC

ra one daily mens multi oral tablet ABC Plus Senior AL; OTC

ra one daily mens/vit d-3 oral tablet ABC Plus Senior AL; OTC

RENAPLEX ORAL TABLET AL; OTC

SAVISION ORAL TABLET AL; OTC

senior tabs oral tablet ABC Plus Senior AL; OTC

sentry adult oral tablet ABC Plus Senior AL; OTC

sentry oral tablet ABC Plus Senior AL; OTC

sentry senior oral tablet ABC Plus Senior AL; OTC

sm antioxidant vitamins oral tablet ABC Plus Senior AL; OTC

sm complete 50+ oral tablet ABC Plus Senior AL; OTC

sm complete 50+ ultimate mens oral tablet ABC Plus Senior AL; OTC

sm complete 50+ ultimate women oral tablet ABC Plus Senior AL; OTC

sm complete advanced formula oral tablet ABC Plus Senior AL; OTC

sm complete oral tablet ABC Plus Senior AL; OTC

sm complete senior formula oral tablet ABC Plus Senior AL; OTC

sm daily diet support oral tablet ABC Plus Senior AL; OTC

sm hair/skin/nails oral tablet ABC Plus Senior AL; OTC

sm opti-vitamins oral tablet ABC Plus Senior AL; OTC

stress b-complex/c/zinc oral tablet ABC Plus Senior AL; OTC

STRESSTABS ADVANCED ORAL TABLET

AL; OTC

SUNVITE ACTIVE ADULT 50+ ORAL TABLET

AL; OTC

SUNVITE ADVANCED ORAL TABLET AL; OTC

super antioxidants protector oral capsule Amoryn Mood Booster AL; OTC

super aytinal 50 plus oral tablet ABC Plus Senior AL; OTC

super aytinal oral tablet ABC Plus Senior AL; OTC

super multiple oral capsule Amoryn Mood Booster AL; OTC

super multiple oral tablet ABC Plus Senior AL; OTC

super natrul-100 oral tablet extended release

Endur-VM AL; OTC

SUPER NU-THERA ORAL LIQUID AL; OTC

SUPER NU-THERA ORAL TABLET AL; OTC

super thera vite m oral tablet ABC Plus Senior AL; OTC

136


super vita-mins oral tablet ABC Plus Senior AL; OTC

superior 35 oral tablet extended release Endur-VM AL; OTC

SYSTANE ICAPS AREDS2 ORAL CAPSULE

AL; OTC

TAB-A-VITE ORAL TABLET AL; OTC

thera vital m oral tablet ABC Plus Senior AL; OTC

thera vital-m oral tablet ABC Plus Senior AL; OTC

therabasic-m oral tablet ABC Plus Senior AL; OTC

THERADEX M ORAL TABLET AL; OTC

THERADEX M/BETA CAROTENE ORAL TABLET

AL; OTC

thera-m oral tablet ABC Plus Senior AL; OTC

THERA-MILL M ORAL TABLET AL; OTC

therapeutic formula/hematinics oral tablet ABC Plus Senior AL; OTC

therapeutic m oral tablet ABC Plus Senior AL; OTC

therapeutic-m oral tablet ABC Plus Senior AL; OTC

therapeutic-m/lutein oral tablet ABC Plus Senior AL; OTC

THERATRUM COMPLETE 50 PLUS ORAL TABLET

AL; OTC

THERATRUM COMPLETE ORAL TABLET AL; OTC

theravim-m oral tablet ABC Plus Senior AL; OTC

THRIVE FOR LIFE WOMENS ORAL TABLET

AL; OTC

totalday multiple oral tablet extended release Endur-VM AL; OTC

tropical liquid nutrition oral liquid BProtected Multi-Vite AL; OTC

ultra antioxidant formula oral tablet ABC Plus Senior AL; OTC

ultra freeda oral tablet ABC Plus Senior AL; OTC

ultra freeda/iron oral tablet ABC Plus Senior AL; OTC

ultra multi formula/iron oral capsule Amoryn Mood Booster AL; OTC

ULTRA VITA-TIME ORAL TABLET AL; OTC

ULTRACHOICE ADV FORMULA MATURE ORAL TABLET

AL; OTC

ULTRACHOICE ADVANCED FORMULA ORAL TABLET

AL; OTC

ultra-mega oral tablet extended release Endur-VM AL; OTC

vision formula 2 oral capsule Amoryn Mood Booster AL; OTC

vision formula eye health oral capsule Amoryn Mood Booster AL; OTC

vision formula/lutein oral tablet ABC Plus Senior AL; OTC

137


vision plus oral capsule Amoryn Mood Booster AL; OTC

vision vitamins oral tablet ABC Plus Senior AL; OTC

visivites oral tablet ABC Plus Senior AL; OTC

visivites/lutein oral tablet ABC Plus Senior AL; OTC

vita hair oral tablet ABC Plus Senior AL; OTC

vitabasic complete oral tablet ABC Plus Senior AL; OTC

vitabasic senior oral tablet ABC Plus Senior AL; OTC

vitamins a-d-e/selenium oral tablet ABC Plus Senior AL; OTC

VITATRUM COMPLETE ORAL TABLET AL; OTC

vitatrum oral tablet chewable Advanced Multi EA AL; OTC

VITEYES COMPLETE ORAL CAPSULE AL; OTC

VITRUM SENIOR ORAL TABLET AL; OTC

womens 50+ advanced oral capsule Amoryn Mood Booster AL; OTC

womens daily form/fa/ca/fe oral tablet ABC Plus Senior AL; OTC

womens daily formula oral tablet ABC Plus Senior AL; OTC

WOMENS LIFE PACK ORAL TABLET AL; OTC

womens multi oral capsule Amoryn Mood Booster AL; OTC

womens multivitamin oral tablet ABC Plus Senior AL; OTC

womens one daily oral tablet ABC Plus Senior AL; OTC

YOUR LIFE MULTI MENS 50+ ORAL TABLET

AL; OTC

YOUR LIFE MULTI WOMENS 50+ ORAL TABLET

AL; OTC

*MULTIVITAMINS***

antioxidant formula oral capsule Chlorocaps AL; OTC

anti-oxidant oral tablet One Daily Essential AL; OTC

daily multiple vitamins oral tablet One Daily Essential AL; OTC

daily value multivitamin oral tablet One Daily Essential AL; OTC

daily vitamin oral tablet One Daily Essential AL; OTC

daily vitamins oral tablet One Daily Essential AL; OTC

daily vite oral tablet One Daily Essential AL; OTC

daily vites oral tablet One Daily Essential AL; OTC

daily-vitamin oral tablet One Daily Essential AL; OTC

daily-vite multivitamin oral tablet One Daily Essential AL; OTC

daily-vite oral tablet One Daily Essential AL; OTC

gnp essential one daily oral tablet One Daily Essential AL; OTC

healthy hair/skin/nails oral tablet One Daily Essential AL; OTC

138


multi vitamin daily oral tablet One Daily Essential AL; OTC

multi-day oral tablet One Daily Essential AL; OTC

multiple vitamin-folic acid oral tablet One Daily Essential AL; OTC

multiple vitamins essential oral tablet One Daily Essential AL; OTC

multiple vitamins oral tablet One Daily Essential AL; OTC

multi-vitamin daily oral tablet One Daily Essential AL; OTC

multivitamin iron-free oral tablet One Daily Essential AL; OTC

multi-vitamin oral tablet One Daily Essential AL; OTC

multivitamins oral capsule Chlorocaps AL; OTC

multi-vitamins oral tablet One Daily Essential AL; OTC

mv-one oral capsule Chlorocaps AL; OTC

once daily oral tablet One Daily Essential AL; OTC

ONE DAILY ESSENTIAL ORAL TABLET AL; OTC

one daily oral tablet One Daily Essential AL; OTC

one-daily multi vitamins oral tablet One Daily Essential AL; OTC

one-daily multi-vitamin oral tablet One Daily Essential AL; OTC

qc essentials oral tablet One Daily Essential AL; OTC

sm multiple vitamins essential oral tablet One Daily Essential AL; OTC

STRESSTABS ENERGY ORAL TABLET AL; OTC

TAB-A-VITE/BETA CAROTENE ORAL TABLET

AL; OTC

THERA ORAL TABLET AL; OTC

thera-mill oral tablet One Daily Essential AL; OTC

thera-tabs oral tablet One Daily Essential AL; OTC

THEREMS ORAL TABLET AL; OTC

vit e-vit c-beta carotene oral tablet One Daily Essential AL; OTC

vitalee oral tablet One Daily Essential AL; OTC

vitamin e/folic acid/b-6/b-12 oral capsule Chlorocaps AL; OTC

*PED MULTI VITAMINS W/FL & FE***

multi-vit/iron/fluoride oral solution OTC

multi-vitamin/fluoride/iron oral solution OTC

*PED MULTIPLE VITAMINS W/ MINERALS & C***

ALIVE GUMMIES FOR CHILDREN ORAL TABLET CHEWABLE

AL; OTC

ALIVE MULTI-VITAMIN CHILDRENS ORAL TABLET CHEWABLE

AL; OTC

139


childrens gummies oral tablet chewableAlive Gummies for Children

AL; OTC

complete multi-vitamin oral tablet chewableAlive Gummies for Children

AL; OTC

cvs gummy dinos oral tablet chewableAlive Gummies for Children

AL; OTC

cvs gummy multivitamin kids oral tablet chewable

Alive Gummies for Children

AL; OTC

disney cars gummies oral tablet chewableAlive Gummies for Children

AL; OTC

disney princess gummies oral tablet chewable


AL; OTC

eq multivitamin gummies oral tablet chewable


AL; OTC

eq multivitamins gummy child oral tablet chewable


AL; OTC

eql gummies childrens oral tablet chewableAlive Gummies for Children

AL; OTC

FLINTSTONES GUMMIES BONE BUILD ORAL TABLET CHEWABLE

AL; OTC

GUMMI BEAR MULTIVITAMIN/MIN ORAL TABLET CHEWABLE

AL; OTC

HEALTHY KIDS OVERALL HEALTH ORAL TABLET CHEWABLE

AL; OTC

multivit-min gummies childrens oral tablet chewable


AL; OTC

MVW COMPLETE FORMULATION D3000 ORAL TABLET CHEWABLE

AL; OTC

MVW COMPLETE FORMULATION D5000 ORAL TABLET CHEWABLE

AL; OTC

MVW COMPLETE FORMULATION ORAL TABLET CHEWABLE

AL; OTC

SEA BUDDIES DAILY MULTIPLE ORAL TABLET CHEWABLE

AL; OTC

SMARTY PANTS KIDS COMPLETE ORAL TABLET CHEWABLE

AL; OTC

SPIDER-MAN COMPLETE MULTI-VIT ORAL TABLET CHEWABLE

AL; OTC

SPONGEBOB SQUAREPANTS GUMMIES ORAL TABLET CHEWABLE

AL; OTC

vitachew multiple vitamin oral tablet chewable


AL; OTC

140


zoo friends gummies oral tablet chewableAlive Gummies for Children

AL; OTC

zoo friends gummies plus d oral tablet chewable


AL; OTC

ZOO FRIENDS MULTI GUMMIES ORAL TABLET CHEWABLE

AL; OTC

zoo friends oral tablet chewableAlive Gummies for Children

AL; OTC

*PED MV W/ FLUORIDE***

multivitamin/fluoride oral solution Floriva Plus

multi-vitamin/fluoride oral solution Floriva Plus

multivitamin/fluoride oral tablet chewable Quflora Pediatric OTC

*PED MV W/ IRON***

bite-a-mins/iron oral tablet chewableLand Before Time Multivitamin

AL; OTC

BPROTECTED PEDIA POLY-VITE/FE ORAL SOLUTION

AL; OTC; QL

CEROVITE JR ORAL TABLET CHEWABLE

AL; OTC

child chewable vitamins/iron oral tablet chewable

Land Before Time Multivitamin

AL; OTC

childrens animal shapes oral tablet chewable

Cerovite Jr AL; OTC

childrens multivitamin/iron oral tablet chewable


AL; OTC

childrens vitamins/iron oral tablet chewableLand Before Time Multivitamin

AL; OTC

cvs chewable childrens vitamin oral tablet chewable

Cerovite Jr AL; OTC

cvs childrens complete oral tablet chewable Cerovite Jr AL; OTC

eq complete multivitamin child oral tablet chewable

Cerovite Jr AL; OTC

eql child multivit/minerals oral tablet chewable

Cerovite Jr AL; OTC

FLINTSTONES COMPLETE ORAL TABLET CHEWABLE

AL; OTC

FLINTSTONES W/IRON ORAL TABLET CHEWABLE

AL; OTC

fruity chews/iron oral tablet chewableLand Before Time Multivitamin

AL; OTC

141


gnp childrens chewables/iron oral tablet chewable


AL; OTC

hm animal shapes oral tablet chewable Cerovite Jr AL; OTC

LAND BEFORE TIME MULTIVITAMIN ORAL TABLET CHEWABLE

AL; OTC

little animals plus iron oral tablet chewableLand Before Time Multivitamin

AL; OTC

pc pediatric poly-vita/fe drop oral solutionBProtected Pedia Poly-Vite/Fe

AL; OTC; QL

POLY-VI-SOL/IRON ORAL SOLUTION OTC; QL

poly-vita/iron oral solutionBProtected Pedia Poly-Vite/Fe

AL; OTC; QL

PX CHILDRENS VITAMIN ORAL TABLET CHEWABLE

AL; OTC

qc childrens complete oral tablet chewable Cerovite Jr AL; OTC

qc childrens vitamins/iron oral tablet chewable


AL; OTC

ra vitamins complete childrens oral tablet chewable

Cerovite Jr AL; OTC

sm animal shapes complete oral tablet chewable

Cerovite Jr AL; OTC

ULTRA CHOICE MULTIVITAMIN KIDS ORAL TABLET CHEWABLE

AL; OTC

zoo friends plus iron oral tablet chewableLand Before Time Multivitamin

AL; OTC

*PED VITAMINS ACD W/ FLUORIDE***

adc/f (0.5mg/ml) oral solution OTC

tri-vitamin/fluoride oral solution OTC

tri-vite/fluoride oral solution OTC

vitamins acd-fluoride oral solution OTC

*PEDIATRIC MULTIPLE VITAMINS W/ C & FA***

animal chews oral tablet chewable Bounty Bears/C AL; OTC

bite-a-mins oral tablet chewable Bounty Bears/C AL; OTC

BOUNTY BEARS/C ORAL TABLET CHEWABLE

AL; OTC

childrens chew multivitamin oral tablet chewable

Bounty Bears/C AL; OTC

childrens chewable multi vits oral tablet chewable


142


childrens chewable vitamins oral tablet chewable


childrens multivitamin oral tablet chewable Bounty Bears/C AL; OTC

DINO-LIFE ORAL TABLET CHEWABLE AL; OTC

FLINSTONES GUMMIES OMEGA-3 DHA ORAL TABLET CHEWABLE

AL; OTC

FLINTSTONES PLUS CALCIUM ORAL TABLET CHEWABLE

AL; OTC

FLINTSTONES/MY FIRST ORAL TABLET CHEWABLE

AL; OTC

fruity chews oral tablet chewable Bounty Bears/C AL; OTC

GERBER GROW MIGHTY ORAL TABLET CHEWABLE

AL; OTC

gnp little ones childrens oral tablet chewable Bounty Bears/C AL; OTC

little animals oral tablet chewable Bounty Bears/C AL; OTC

sm animal shapes kids first oral tablet chewable


*PEDIATRIC MULTIPLE VITAMINS W/ EXTRA C & FA***

DINO-LIFE W/EXTRA C ORAL TABLET CHEWABLE

AL; OTC

FLINTSTONES/EXTRA C ORAL TABLET CHEWABLE

AL; OTC

gnp childrens chewables/ex c oral tablet chewable

Dino-Life w/Extra C AL; OTC

LAND BEFORE TIME MULTIVITAMIN ORAL TABLET CHEWABLE

AL; OTC

qc childrens vitamins/extra c oral tablet chewable

Dino-Life w/Extra C AL; OTC

zoo friends plus extra c oral tablet chewable Dino-Life w/Extra C AL; OTC

ZOO FRIENDS/EXTRA C ORAL TABLET CHEWABLE

AL; OTC

*PEDIATRIC MULTIPLE VITAMINS***

BPROTECTED PEDIA POLY-VITE ORAL SOLUTION

AL; OTC

CULTURELLE KIDS COMPLETE ORAL TABLET CHEWABLE

AL; OTC

CULTURELLE KIDS PROBIOTIC-MV ORAL TABLET CHEWABLE

AL; OTC

multivitamin childrens oral tablet chewable Culturelle Kids Complete AL; OTC

143


NOVAMV PEDIATRIC MULTI-VITAMIN ORAL LIQUID

AL; OTC

PEDIAVIT ORAL LIQUID AL; OTC

poly-vita oral solutionBProtected Pedia Poly-Vite

AL; OTC

*PEDIATRIC VITAMINS A & D W/ C***

BPROTECTED PEDIA TRI-VITE ORAL SOLUTION

OTC

*PRENATAL MV & MIN W/FE-FA & COENZYME Q10***

THERANATAL OVAVITE ORAL THERAPY PACK

AL; OTC; QL

*PRENATAL MV & MIN W/FE-FA***

ATABEX ORAL TABLET CHEWABLE AL; OTC; QL

classic prenatal oral tablet AL; OTC; QL

cvs prenatal oral tablet NeoNatal Vitamin AL; OTC; QL

eql prenatal formula oral tablet AL; OTC; QL

gnp prenatal oral tablet AL; OTC; QL

HEALTHY MAMA BE WELL ROUNDED ORAL THERAPY PACK

AL; OTC; QL

hm one daily prenatal oralOne-A-Day Womens Prenatal

AL; OTC; QL

hm prenatal oral tablet AL; OTC; QL

kp prenatal multivitamins oral tablet AL; OTC; QL

kpn prenatal oral tablet AL; OTC; QL

multi prenatal oral tablet NeoNatal Vitamin AL; OTC; QL

NEONATAL VITAMIN ORAL TABLET AL; OTC; QL

NESTABS ORAL TABLET QL

one vite womens oral tablet NeoNatal Vitamin AL; OTC; QL

ONE-A-DAY WOMENS PRENATAL 1 ORAL CAPSULE

AL; OTC; QL

ONE-A-DAY WOMENS PRENATAL ORAL AL; OTC; QL

PERRY PRENATAL ORAL CAPSULE AL; OTC; QL

prenatal 19 oral tablet AL; QL

prenatal complete oral tablet AL; OTC; QL

prenatal formula a-free oral tablet AL; OTC; QL

prenatal formula oral capsule AL; OTC; QL

pre-natal formula oral tablet AL; OTC; QL

prenatal forte oral tablet AL; OTC; QL

144


prenatal low iron oral tablet NeoNatal Vitamin AL; OTC; QL

prenatal multi +dha oral capsule AL; OTC

prenatal one daily oral tablet NeoNatal Vitamin AL; OTC; QL

prenatal oral tablet AL; OTC; QL

prenatal vitamin and mineral oral tablet AL; OTC; QL

prenatal vitamin oral tablet NeoNatal Vitamin AL; OTC; QL

prenatal vitamins oral tablet AL; OTC; QL

prenatal/iron oral tablet AL; OTC; QL

prenatal/omega-3/fa/iron oral capsule Your Life Multi Prenatal AL; OTC; QL

px prenatal multivitamins oral tablet AL; OTC; QL

qc prenatal oral tablet AL; OTC; QL

ra prenatal formula oral tablet AL; OTC; QL

ra prenatal oral tablet AL; OTC; QL

RIGHT STEP PRENATAL ORAL TABLET AL; OTC; QL

sm one daily prenatal oralOne-A-Day Womens Prenatal

AL; OTC; QL

sm prenatal vitamins oral tablet AL; OTC; QL

THERANATAL CORE NUTRITION ORAL TABLET

AL; OTC; QL

VINATE CARE ORAL TABLET CHEWABLE

AL; OTC; QL

YOUR LIFE MULTI PRENATAL ORAL CAPSULE

AL; OTC; QL

*PRENATAL MV & MIN W/FE-FA-CA-OMEGA 3 FISH OIL***

prenatal + complete multi oral therapy pack AL; OTC; QL

*PRENATAL MV & MIN W/FE-FA-DHA***

cadeau dha oral capsule OTC; QL

CENTRUM SPECIALIST PRENATAL ORAL

AL; OTC; QL

cvs prenatal multi+dha oral capsule AL; OTC; QL

cvs womens prenatal+dha oral AL; OTC; QL

ENFAMIL EXPECTA ORAL AL; OTC; QL

prenatal multi +dha oral capsule AL; OTC; QL

PRENATAL MULTIVITAMIN + DHA ORAL AL; OTC; QL

prenatal multivitamin plus dha oral capsule AL; OTC; QL

prenatal+dha oral AL; OTC; QL

145


SIMILAC PRENATAL EARLY SHIELD ORAL

AL; OTC; QL

STUART ONE ORAL CAPSULE AL; OTC; QL

THERANATAL COMPLETE ORAL AL; OTC; QL

THERANATAL ONE ORAL CAPSULE AL; OTC; QL

*PRENATAL MV & MINERALS W/ FA-OMEGA FATTY ACIDS W/O IRON***

cvs prenatal gummy oral tablet chewable AL; OTC; QL

*PRENATAL MV & MINERALS W/FA WITHOUT IRON***

ALIVE PRENATAL ORAL TABLET CHEWABLE

AL; OTC; QL

cvs prenatal gummy oral tablet chewable Alive Prenatal AL; OTC; QL

ONE A DAY PRENATAL ORAL TABLET CHEWABLE

AL; OTC; QL

prenatal + complete multi oral therapy pack AL; OTC; QL

prenatal adult gummy/dha/fa oral tablet chewable

Alive Prenatal AL; OTC; QL

prenatal gummies/dha & fa oral tablet chewable

AL; OTC; QL

*VITAMINS W/ LIPOTROPICS***

multi-vitamin hp/minerals oral capsule OTC

*MUSCULOSKELETAL THERAPY AGENTS*

*CENTRAL MUSCLE RELAXANTS***

baclofen oral tablet QL

carisoprodol oral tablet Soma QL

chlorzoxazone oral tablet QL

cyclobenzaprine hcl oral tablet QL

methocarbamol oral tablet QL

orphenadrine citrate er oral tablet extended release 12 hour

QL

tizanidine hcl oral tablet QL

*DIRECT MUSCLE RELAXANTS***

dantrolene sodium oral capsule Dantrium

*MUSCLE RELAXANT COMBINATIONS***

carisoprodol-aspirin-codeine oral tablet AL; QL

146


*NASAL AGENTS - SYSTEMIC AND TOPICAL*

*NASAL AGENTS - MISC.***

altamist spray nasal solution Ayr OTC

AYR NASAL SOLUTION OTC

AYR SALINE NASAL DROPS NASAL SOLUTION

OTC

BABY AYR SALINE NASAL SOLUTION OTC

cvs saline nasal spray nasal solution Ayr OTC

deep sea nasal spray nasal solution Ayr OTC

eq saline nasal spray nasal solution Ayr OTC

eql saline nasal spray nasal solution Ayr OTC

gnp nasal moisturizing nasal solution Ayr OTC

hm saline nasal spray nasal solution Ayr OTC

nasal moisturizing spray nasal solution Ayr OTC

OCEAN FOR KIDS NASAL SOLUTION OTC

px saline nasal spray nasal solution Ayr OTC

ra saline nasal spray nasal solution Ayr OTC

saline mist spray nasal solution Ayr OTC

saline nasal spray nasal solution Ayr OTC

sb saline nose nasal solution Ayr OTC

sm nasal spray saline nasal solution Ayr OTC

*NASAL ANTICHOLINERGICS***

ipratropium bromide nasal solution QL

*NASAL ANTIHISTAMINES***

azelastine hcl nasal solution QL

*NASAL MAST CELL STABILIZERS***

cromolyn sodium nasal aerosol solution NasalCrom AL; OTC

*NASAL STEROIDS***

allergy relief nasal suspension ClariSpray OTC; QL

allergy spray 24 hour nasal suspension ClariSpray OTC; QL

CLARISPRAY NASAL SUSPENSION OTC; QL

cvs fluticasone propionate nasal suspension ClariSpray OTC; QL

cvs nasal allergy spray nasal aerosol KLS Aller-Cort OTC; QL

eq allergy relief nasal suspension ClariSpray OTC; QL

eq nasal allergy nasal aerosol KLS Aller-Cort OTC; QL

eql fluticasone propionate nasal suspension ClariSpray OTC; QL

147


fluticasone propionate nasal suspension ClariSpray OTC; QL

gnp 24 hour nasal allergy nasal aerosol KLS Aller-Cort OTC; QL

gnp fluticasone propionate nasal suspension ClariSpray OTC; QL

goodsense nasal allergy spray nasal aerosol KLS Aller-Cort OTC; QL

hm allergy relief nasal suspension ClariSpray OTC; QL

KLS ALLER-FLO NASAL SUSPENSION OTC; QL

nasal allergy 24 hour nasal aerosol KLS Aller-Cort OTC; QL

ra nasal allergy nasal aerosol KLS Aller-Cort OTC; QL

sm allergy relief nasal suspension ClariSpray OTC; QL

triamcinolone acetonide nasal aerosol KLS Aller-Cort OTC; QL

*SYSTEMIC DECONGESTANTS***

12 hour decongestant oral tablet extended release 12 hour

Sudafed 12 Hour AL; OTC

12 hour nasal decongestant oral tablet extended release 12 hour


cvs 12 hour nasal decongestant oral tablet extended release 12 hour


cvs nasal decongestant oral tablet SudoGest AL; OTC

decongestant 12hour max st oral tablet extended release 12 hour


decongestant oral tablet SudoGest AL; OTC

eql nasal decongestant oral tablet SudoGest AL; OTC

genaphed oral tablet SudoGest AL; OTC

gnp nasal decongestant oral tablet SudoGest AL; OTC

gnp pseudoephedrine hcl 12 hr oral tablet extended release 12 hour


gnp suphedrin oral liquid Sudafed Childrens AL; OTC

hm nasal decongestant 12 hour oral tablet extended release 12 hour


hm nasal decongestant oral tablet SudoGest AL; OTC

kp pseudoephedrine hcl oral tablet SudoGest AL; OTC

meijer nasal decongestant oral tablet SudoGest AL; OTC

nasal decongestant 12hr oral tablet extended release 12 hour


nasal decongestant max st oral tablet SudoGest AL; OTC

nasal decongestant oral tablet SudoGest AL; OTC

pseudoephedrine hcl er oral tablet extended release 12 hour


pseudoephedrine hcl oral tablet SudoGest AL; OTC

148


px nasal decongestant oral tablet SudoGest AL; OTC

px nasal decongestant oral tablet extended release 12 hour


qc suphedrine maximum strength oral tablet extended release 12 hour


ra suphedrine oral tablet SudoGest AL; OTC

ra suphedrine oral tablet extended release 12 hour


sinus 12 hour oral tablet extended release 12 hour


sinus congestion max strength oral tablet SudoGest AL; OTC

sm nasal decongestant max st oral tablet SudoGest AL; OTC

sm nasal decongestant oral tablet extended release 12 hour


SUDAFED 12 HOUR ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

SUDAFED SINUS CONGESTION 12HR ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

sudogest 12 hour oral tablet extended release 12 hour


SUDOGEST MAXIMUM STRENGTH ORAL TABLET

AL; OTC

SUDOGEST ORAL TABLET AL; OTC

WAL-PHED 12 HOUR ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

WAL-PHED D ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC

WAL-PHED ORAL TABLET AL; OTC

*NEUROMUSCULAR AGENTS*

*BENZATHIAZOLES***

riluzole oral tablet Rilutek PA; SP

*NUTRIENTS*

*CARBOHYDRATES***

GERBER GOOD START WATER ORAL SOLUTION

OTC

GOOD START 5% GLUCOSE WATER ORAL SOLUTION

OTC

SIMILAC GLUCOSE WATER ORAL SOLUTION

OTC

149


*LIPOTROPICS***

inositol oral tablet OTC

*OPHTHALMIC AGENTS*

*ARTIFICIAL TEAR AND LUBRICANT COMBINATIONS***

artificial tears ophthalmic ointment Ultra Fresh PM OTC

artificial tears ophthalmic solution Moisture Eyes OTC

cvs artificial tears ophthalmic solution Moisture Eyes OTC

cvs lubricant drops fast act ophthalmic solution

Systane OTC

cvs lubricant drops long last ophthalmic solution

Systane OTC

cvs lubricant eye drops (pf) ophthalmic solution

Systane Hydration PF OTC

cvs lubricant eye drops ophthalmic solution Systane OTC

cvs lubricating/dry eye ophthalmic solution Refresh Optive OTC

eq artificial tears ophthalmic solution Moisture Eyes OTC

eq lubricant eye drops ophthalmic solution Systane OTC

gnp artificial tears ophthalmic solution OTC

gnp eye drops long lasting ophthalmic solution

Systane OTC

hm lubricating tears ophthalmic solution Systane OTC

lubricant drops/dual-action ophthalmic solution

Refresh Optive OTC

lubricant eye drops ophthalmic solution Systane OTC

lubricating eye drops ophthalmic solution Refresh Optive OTC

px artificial tears ophthalmic solution OTC

ra artificial tears ophthalmic solution Moisture Eyes OTC

ra lubricant eye ophthalmic solution Moisture Eyes OTC

sm lubricant eye drops ophthalmic solution Systane OTC

sm lubricating tears ophthalmic solution Systane OTC

ULTRA FRESH PM OPHTHALMIC OINTMENT

OTC

*ARTIFICIAL TEAR SOLUTIONS***

GENTEAL TEARS OPHTHALMIC SOLUTION

OTC

sm artificial tears ophthalmic solution GenTeal Tears OTC

SOOTHE HYDRATION OPHTHALMIC SOLUTION

OTC

150


SOOTHE XP XTRA PROTECTION OPHTHALMIC SOLUTION

OTC

SYSTANE CONTACTS OPHTHALMIC SOLUTION

OTC

*ARTIFICIAL TEARS AND LUBRICANTS***

artificial tears ophthalmic solution OTC

cvs lubricant drops ophthalmic solution Systane Complete OTC

cvs lubricant eye drops ophthalmic solution Systane Complete OTC

eq restore plus lubricant eye ophthalmic solution

Retaine CMC OTC

eq restore tears ophthalmic solution Ultra Fresh OTC

gnp lubricating plus eye drops ophthalmic solution

Retaine CMC OTC

goodsense lubricating eye drop ophthalmic solution

Retaine CMC OTC

hm lubricating plus ophthalmic solution Retaine CMC OTC

lubricant eye drops ophthalmic solution Systane Complete OTC

lubricant eye drops pf ophthalmic solution Retaine CMC OTC

lubricating plus eye drops ophthalmic solution

Retaine CMC OTC

moisturizing lubricant eye ophthalmic solution

Theratears OTC

ra lubricant eye drops ophthalmic solution Systane Complete OTC

RETAINE CMC OPHTHALMIC SOLUTION OTC

sm lubricating plus ophthalmic solution Retaine CMC OTC

ULTRA FRESH OPHTHALMIC SOLUTION OTC

*BETA-BLOCKERS - OPHTHALMIC COMBINATIONS***

dorzolamide hcl-timolol mal ophthalmic solution

Cosopt QL

*BETA-BLOCKERS - OPHTHALMIC***

betaxolol hcl ophthalmic solution QL

carteolol hcl ophthalmic solution

levobunolol hcl ophthalmic solution

timolol maleate ophthalmic gel forming solution

Timoptic-XE QL

timolol maleate ophthalmic solution 0.25 % Timoptic QL

timolol maleate ophthalmic solution 0.5 % Timoptic

151


*CYCLOPLEGIC MYDRIATICS***

ALTAFRIN OPHTHALMIC SOLUTION

ISOPTO ATROPINE OPHTHALMIC SOLUTION

QL

phenylephrine hcl ophthalmic solution Altafrin

*LYMPHOCYTE FUNCTION-ASSOCIATED ANTIGEN-1 (LFA-1) ANTAG***

XIIDRA OPHTHALMIC SOLUTION PA; QL

*MIOTICS - DIRECT ACTING***

pilocarpine hcl ophthalmic solution Isopto Carpine

*OPHTHALMIC ANTIALLERGIC***

ALAWAY CHILDRENS ALLERGY OPHTHALMIC SOLUTION

OTC; QL

ALAWAY OPHTHALMIC SOLUTION OTC; QL

azelastine hcl ophthalmic solution QL

cromolyn sodium ophthalmic solution QL

cvs allergy eye drops ophthalmic solution Alaway OTC; QL

cvs eye itch relief ophthalmic solution Alaway OTC; QL

epinastine hcl ophthalmic solution QL

eye itch relief ophthalmic solution Alaway OTC; QL

hm eye itch relief ophthalmic solution Alaway OTC; QL

ketotifen fumarate ophthalmic solution Alaway OTC; QL

kp ketotifen fumarate ophthalmic solution Alaway OTC; QL

ra eye itch relief ophthalmic solution Alaway OTC; QL

sm eye itch relief ophthalmic solution Alaway OTC; QL

*OPHTHALMIC ANTIBIOTICS***

bacitracin ophthalmic ointment QL

ciprofloxacin hcl ophthalmic solution Ciloxan

erythromycin ophthalmic ointment

gatifloxacin ophthalmic solution Zymaxid

GENTAK OPHTHALMIC OINTMENT QL

gentamicin sulfate ophthalmic solution QL

levofloxacin ophthalmic solution

moxifloxacin hcl ophthalmic solution Vigamox QL

ofloxacin ophthalmic solution Ocuflox QL

tobramycin ophthalmic solution Tobrex QL

152


*OPHTHALMIC ANTI-INFECTIVE COMBINATIONS***

ak-poly-bac ophthalmic ointment Polycin

bacitracin-polymyxin b ophthalmic ointment Polycin

neomycin-bacitracin zn-polymyx ophthalmic ointment

Neo-Polycin OTC; QL

neomycin-polymyxin-gramicidin ophthalmic solution

QL

NEO-POLYCIN OPHTHALMIC OINTMENT OTC; QL

POLYCIN OPHTHALMIC OINTMENT

polymyxin b-trimethoprim ophthalmic solution

Polytrim QL

*OPHTHALMIC ANTIVIRALS***

trifluridine ophthalmic solution QL

*OPHTHALMIC CARBONIC ANHYDRASE INHIBITORS***

dorzolamide hcl ophthalmic solution Trusopt QL

*OPHTHALMIC DECONGESTANT COMBINATIONS***

allergy eye ophthalmic solution Visine AL; OTC; QL

eye allergy relief ophthalmic solution Visine AL; OTC; QL

VISINE OPHTHALMIC SOLUTION AL; OTC; QL

*OPHTHALMIC NONSTEROIDAL ANTI-INFLAMMATORY AGENTS***

diclofenac sodium ophthalmic solution

flurbiprofen sodium ophthalmic solution

*OPHTHALMIC SELECTIVE ALPHA ADRENERGIC AGONISTS***

apraclonidine hcl ophthalmic solution

brimonidine tartrate ophthalmic solution Alphagan P QL

*OPHTHALMIC STEROID COMBINATIONS***

bacitra-neomycin-polymyxin-hc ophthalmic ointment

Neo-Polycin HC

neomycin-polymyxin-dexameth ophthalmic ointment

Maxitrol

neomycin-polymyxin-dexameth ophthalmic suspension

Maxitrol

153


neomycin-polymyxin-hc ophthalmic suspension

NEO-POLYCIN HC OPHTHALMIC OINTMENT

sulfacetamide-prednisolone ophthalmic solution

QL

tobramycin-dexamethasone ophthalmic suspension

TobraDex QL

*OPHTHALMIC STEROIDS***

dexamethasone sodium phosphate ophthalmic solution

fluorometholone ophthalmic suspension FML Liquifilm

prednisolone acetate ophthalmic suspension Pred Forte

prednisolone sodium phosphate ophthalmic solution

*OPHTHALMIC SULFONAMIDES***

sulfacetamide sodium ophthalmic ointment QL

sulfacetamide sodium ophthalmic solution Bleph-10 QL

*PROSTAGLANDINS - OPHTHALMIC***

latanoprost ophthalmic solution Xalatan QL

*OTIC AGENTS*

*OTIC AGENTS - MISCELLANEOUS***

acetic acid otic solution

CLEARCANAL EARWAX SOFTENER OTIC SOLUTION

AL; OTC

cvs ear drops otic solutionClearcanal Earwax Softener

AL; OTC

cvs ear wax removal system otic solutionClearcanal Earwax Softener

AL; OTC

cvs earwax removal kit otic solutionClearcanal Earwax Softener

AL; OTC

ear drops earwax aid otic solutionClearcanal Earwax Softener

AL; OTC

ear drops otic solutionClearcanal Earwax Softener

AL; OTC

ear wax removal drops otic solutionClearcanal Earwax Softener

AL; OTC

ear wax removal kit otic solutionClearcanal Earwax Softener

AL; OTC

154


ear wax removal system otic solutionClearcanal Earwax Softener

AL; OTC

earwax removal kit otic solutionClearcanal Earwax Softener

AL; OTC

earwax removal otic solutionClearcanal Earwax Softener

AL; OTC

earwax treatment drops otic solutionClearcanal Earwax Softener

AL; OTC

eq ear drops otic solutionClearcanal Earwax Softener

AL; OTC

eq ear wax removal aid otic solutionClearcanal Earwax Softener

AL; OTC

gnp ear drops otic solutionClearcanal Earwax Softener

AL; OTC

gnp earwax removal drops otic solutionClearcanal Earwax Softener

AL; OTC

gnp earwax removal kit otic solutionClearcanal Earwax Softener

AL; OTC

goodsense ear wax kit otic solutionClearcanal Earwax Softener

AL; OTC

goodsense ear wax removal otic solutionClearcanal Earwax Softener

AL; OTC

MURINE EAR OTIC SOLUTION AL; OTC

qc ear wax removal otic solutionClearcanal Earwax Softener

AL; OTC

qc earwax removal kit otic solutionClearcanal Earwax Softener

AL; OTC

qc earwax removal otic solutionClearcanal Earwax Softener

AL; OTC

ra ear drops otic solutionClearcanal Earwax Softener

AL; OTC

ra earwax removal kit otic solutionClearcanal Earwax Softener

AL; OTC

sm ear drops otic solutionClearcanal Earwax Softener

AL; OTC

*OTIC ANTI-INFECTIVES***

ciprofloxacin hcl otic solution Cetraxal PA; QL

ofloxacin otic solution QL

*OTIC STEROID-ANTI-INFECTIVE COMBINATIONS***

neomycin-polymyxin-hc otic solution

155


neomycin-polymyxin-hc otic suspension

*OXYTOCICS*

*OXYTOCICS***

methylergonovine maleate oral tablet Methergine

*PASSIVE IMMUNIZING AND TREATMENT AGENTS*

*ANTIVIRAL MONOCLONAL ANTIBODIES***

SYNAGIS INTRAMUSCULAR SOLUTION PA; SP

*IMMUNE SERUMS***

GAMUNEX-C INJECTION SOLUTION PA; SP

OCTAGAM INTRAVENOUS SOLUTION PA; SP

*PENICILLINS*

*AMINOPENICILLINS***

amoxicillin oral capsule

amoxicillin oral suspension reconstituted QL

amoxicillin oral tablet

amoxicillin oral tablet chewable

ampicillin oral capsule

*NATURAL PENICILLINS***

penicillin v potassium oral solution reconstituted

penicillin v potassium oral tablet

*PENICILLIN COMBINATIONS***

amoxicillin-pot clavulanate er oral tablet extended release 12 hour

QL

amoxicillin-pot clavulanate oral suspension reconstituted

Augmentin

amoxicillin-pot clavulanate oral tablet 250-125 mg


Augmentin


QL

amoxicillin-pot clavulanate oral tablet chewable

QL

*PENICILLINASE-RESISTANT PENICILLINS***

dicloxacillin sodium oral capsule

156


*PHARMACEUTICAL ADJUVANTS*

*SEMI SOLID VEHICLES***

white petrolatum external ointment OTC

*PROGESTINS*

*PROGESTINS***

hydroxyprogesterone caproate intramuscular oil

Makena SP

MAKENA SUBCUTANEOUS SOLUTION AUTO-INJECTOR

SP; QL

medroxyprogesterone acetate oral tablet Provera QL

norethindrone acetate oral tablet Aygestin

progesterone oral capsule Prometrium QL

*PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.*

*ALCOHOL DETERRENTS***

acamprosate calcium oral tablet delayed release

QL

disulfiram oral tablet

*ANTI-CATAPLECTIC AGENTS***

XYREM ORAL SOLUTION PA; SP; QL

*ANTIDEMENTIA AGENT COMBINATIONS***

NAMZARIC ORAL CAPSULE ER 24 HOUR THERAPY PACK

QL

NAMZARIC ORAL CAPSULE EXTENDED RELEASE 24 HOUR

QL

*BENZODIAZEPINES & TRICYCLIC AGENTS***

chlordiazepoxide-amitriptyline oral tablet

*CHOLINOMIMETICS - ACHE INHIBITORS***

donepezil hcl oral tablet Aricept QL

donepezil hcl oral tablet dispersible QL

galantamine hydrobromide er oral capsule extended release 24 hour

Razadyne ER QL

galantamine hydrobromide oral solution QL

galantamine hydrobromide oral tablet QL

rivastigmine tartrate oral capsule QL

157


rivastigmine transdermal patch 24 hour Exelon QL

*FIBROMYALGIA AGENT - SNRIS***

SAVELLA ORAL TABLET PA; QL

SAVELLA TITRATION PACK ORAL PA; QL

*MS AGENTS - PYRIMIDINE SYNTHESIS INHIBITORS***

AUBAGIO ORAL TABLET PA; SP; QL

*MULTIPLE SCLEROSIS AGENTS - INTERFERONS***

AVONEX PEN INTRAMUSCULAR AUTO-INJECTOR KIT

PA; SP

AVONEX PREFILLED INTRAMUSCULAR PREFILLED SYRINGE KIT

PA; SP

REBIF REBIDOSE SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; SP; QL

REBIF REBIDOSE TITRATION PACK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; SP; QL

REBIF SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

REBIF TITRATION PACK SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

*MULTIPLE SCLEROSIS AGENTS - NRF2 PATHWAY ACTIVATORS***

dimethyl fumarate oral capsule delayed release

Tecfidera PA; SP; QL

dimethyl fumarate starter pack oral Tecfidera PA; SP; QL

*MULTIPLE SCLEROSIS AGENTS***

glatiramer acetate subcutaneous solution prefilled syringe 20 mg/ml

Glatopa PA; SP

glatiramer acetate subcutaneous solution prefilled syringe 40 mg/ml

Glatopa PA; SP; QL

GLATOPA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 20 MG/ML

PA; SP

GLATOPA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 40 MG/ML

PA; SP; QL

*N-METHYL-D-ASPARTATE (NMDA) RECEPTOR ANTAGONISTS***

memantine hcl er oral capsule extended release 24 hour

Namenda XR

158


memantine hcl oral solution QL

memantine hcl oral tablet Namenda QL

NAMENDA TITRATION PAK ORAL TABLET

QL

NAMENDA XR TITRATION PACK ORAL CAPSULE EXTENDED RELEASE 24 HOUR

*PHENOTHIAZINES & TRICYCLIC AGENTS***

perphenazine-amitriptyline oral tablet

*POSTHERPETIC NEURALGIA (PHN)/NEUROPATHIC PAIN AGENTS***

GRALISE ORAL TABLET 300 MG PA; DO; QL

GRALISE ORAL TABLET 600 MG PA; QL

*PREMENSTRUAL DYSPHORIC DISORDER (PMDD) AGENTS - SSRIS***

fluoxetine hcl (pmdd) oral tablet QL

*PSEUDOBULBAR AFFECT AGENT COMBINATIONS***

NUEDEXTA ORAL CAPSULE PA; QL

*PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.***

ergoloid mesylates oral tablet QL

pimozide oral tablet QL

*RESTLESS LEG SYNDROME (RLS) AGENTS***

HORIZANT ORAL TABLET EXTENDED RELEASE

PA; QL

*SMOKING DETERRENTS***

bupropion hcl er (smoking det) oral tablet extended release 12 hour

QL

CHANTIX CONTINUING MONTH PAK ORAL TABLET

QL

CHANTIX ORAL TABLET QL

CHANTIX STARTING MONTH PAK ORAL TABLET

QL

cvs nicotine mouth/throat gum KLS Quit4 AL; OTC; QL

cvs nicotine mouth/throat lozenge KLS Quit2 AL; OTC; QL

159


cvs nicotine polacrilex mouth/throat gum KLS Quit2 AL; OTC; QL

cvs nicotine polacrilex mouth/throat lozenge KLS Quit2 AL; OTC; QL

cvs nicotine transdermal patch 24 hour Habitrol AL; OTC; QL

eq nicotine mouth/throat lozenge KLS Quit4 AL; OTC; QL

eq nicotine polacrilex mouth/throat gum KLS Quit2 AL; OTC; QL

eq nicotine polacrilex mouth/throat lozenge KLS Quit2 AL; OTC; QL

eq nicotine step 3 transdermal patch 24 hour Nicoderm CQ AL; OTC; QL

eq nicotine transdermal patch 24 hour Nicoderm CQ AL; OTC; QL

eql nicotine polacrilex mouth/throat lozenge KLS Quit4 AL; OTC; QL

gnp nicotine mini mouth/throat lozenge KLS Quit4 AL; OTC; QL

gnp nicotine mouth/throat gum KLS Quit2 AL; OTC; QL

gnp nicotine polacrilex mouth/throat gum KLS Quit2 AL; OTC; QL

gnp nicotine polacrilex mouth/throat lozenge KLS Quit4 AL; OTC; QL

gnp nicotine transdermal patch 24 hour Habitrol AL; OTC; QL

goodsense nicotine mouth/throat gum KLS Quit4 AL; OTC; QL

goodsense nicotine mouth/throat lozenge KLS Quit2 AL; OTC; QL

HABITROL TRANSDERMAL PATCH 24 HOUR

AL; OTC; QL

hm nicotine polacrilex mouth/throat gum KLS Quit2 AL; OTC; QL

hm nicotine polacrilex mouth/throat lozenge KLS Quit2 AL; OTC; QL

hm nicotine transdermal patch 24 hour Nicoderm CQ AL; OTC; QL

KLS QUIT2 MOUTH/THROAT GUM AL; OTC; QL

KLS QUIT2 MOUTH/THROAT LOZENGE AL; OTC; QL

KLS QUIT4 MOUTH/THROAT GUM AL; OTC; QL

KLS QUIT4 MOUTH/THROAT LOZENGE AL; OTC; QL

NICORELIEF MOUTH/THROAT GUM AL; OTC; QL

nicotine mini mouth/throat lozenge KLS Quit2 AL; OTC; QL

nicotine polacrilex mouth/throat gum KLS Quit2 AL; OTC; QL

nicotine polacrilex mouth/throat lozenge KLS Quit2 AL; OTC; QL

nicotine step 1 transdermal patch 24 hour Habitrol AL; OTC; QL

nicotine step 2 transdermal patch 24 hour Nicoderm CQ AL; OTC; QL

nicotine step 3 transdermal patch 24 hour Nicoderm CQ AL; OTC; QL

nicotine transdermal kit AL; OTC

nicotine transdermal patch 24 hour Nicoderm CQ AL; OTC; QL

px stop smoking aid mouth/throat gum KLS Quit4 AL; OTC; QL

px stop smoking aid mouth/throat lozenge KLS Quit4 AL; OTC; QL

ra mini nicotine mouth/throat lozenge KLS Quit4 AL; OTC; QL

160


ra nicotine gum mouth/throat gum KLS Quit2 AL; OTC; QL

ra nicotine mouth/throat gum KLS Quit4 AL; OTC; QL

ra nicotine polacrilex mouth/throat lozenge KLS Quit4 AL; OTC; QL

ra nicotine transdermal patch 24 hour Habitrol AL; OTC; QL

sm nicotine mouth/throat gum KLS Quit4 AL; OTC; QL

sm nicotine mouth/throat lozenge KLS Quit2 AL; OTC; QL

sm nicotine polacrilex mouth/throat gum KLS Quit2 AL; OTC; QL

sm nicotine polacrilex mouth/throat lozenge KLS Quit4 AL; OTC; QL

sm nicotine transdermal patch 24 hour Habitrol AL; OTC; QL

THRIVE MOUTH/THROAT GUM AL; OTC; QL

*THIENBENZODIAZEPINES & SSRIS***

olanzapine-fluoxetine hcl oral capsule Symbyax AL; QL

*RESPIRATORY AGENTS - MISC.*

*HYDROLYTIC ENZYMES***

PULMOZYME INHALATION SOLUTION PA; SP; QL

*SULFONAMIDES*

*SULFONAMIDES***

sulfadiazine oral tablet

*TETRACYCLINES*

*TETRACYCLINES***

demeclocycline hcl oral tablet

doxycycline monohydrate oral capsule

doxycycline monohydrate oral suspension reconstituted

Vibramycin

minocycline hcl oral capsule Minocin

minocycline hcl oral tablet

MONDOXYNE NL ORAL CAPSULE PA

*THYROID AGENTS*

*ANTITHYROID AGENTS***

methimazole oral tablet Tapazole

propylthiouracil oral tablet

*THYROID HORMONES***

EUTHYROX ORAL TABLET

LEVO-T ORAL TABLET

levothyroxine sodium oral tablet Euthyrox

LEVOXYL ORAL TABLET

liothyronine sodium oral tablet Cytomel

161


SYNTHROID ORAL TABLET

UNITHROID ORAL TABLET

*TOXOIDS*

*TOXOID COMBINATIONS***

ADACEL INTRAMUSCULAR SUSPENSION

AL

BOOSTRIX INTRAMUSCULAR SUSPENSION

AL

DAPTACEL INTRAMUSCULAR SUSPENSION

AL

diphtheria-tetanus toxoids dt intramuscular suspension

AL

INFANRIX INTRAMUSCULAR SUSPENSION

AL

KINRIX INTRAMUSCULAR SUSPENSION AL

PEDIARIX INTRAMUSCULAR SUSPENSION

AL

PENTACEL INTRAMUSCULAR SUSPENSION RECONSTITUTED

AL

QUADRACEL INTRAMUSCULAR SUSPENSION

AL

TDVAX INTRAMUSCULAR SUSPENSION

TENIVAC INTRAMUSCULAR INJECTABLE

AL

tetanus-diphtheria toxoids td intramuscular suspension

TDVAX

*ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS*

*ANTISPASMODICS***

dicyclomine hcl oral capsule

dicyclomine hcl oral solution

dicyclomine hcl oral tablet

*BELLADONNA ALKALOIDS***

hyosyne oral elixir

*H-2 ANTAGONIST-ANTACID COMBINATIONS***

acid controller complete oral tablet chewable Duo Fusion OTC

acid reducer complete oral tablet chewable Duo Fusion OTC

162


cvs dual action complete oral tablet chewable

Duo Fusion OTC

DUO FUSION ORAL TABLET CHEWABLE OTC

eq acid reducer complete oral tablet chewable

Duo Fusion OTC

eql dual action complete oral tablet chewable

Duo Fusion OTC

gnp dual action complete oral tablet chewable

Duo Fusion OTC

px dual action oral tablet chewable Duo Fusion OTC

ra dual action complete oral tablet chewable Duo Fusion OTC

*H-2 ANTAGONISTS***

acid controller max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

acid controller oral tablet Pepcid AC DO; OTC; QL

acid reducer maximum strength oral tabletMM Acid-Pep Maximum Strength

OTC; QL

acid reducer oral tablet Pepcid AC DO; OTC; QL

cvs acid controller max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

cvs acid controller oral tablet Pepcid AC DO; OTC; QL

eq acid reducer oral tablet Pepcid AC DO; OTC; QL

eq famotidine max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

eql heartburn prevention oral tablet 10 mg Pepcid AC DO; OTC; QL

eql heartburn prevention oral tablet 20 mgMM Acid-Pep Maximum Strength

OTC; QL

famotidine maximum strength oral tabletMM Acid-Pep Maximum Strength

OTC; QL

famotidine oral suspension reconstituted PA

famotidine oral tablet 10 mg Pepcid AC DO; OTC; QL

famotidine oral tablet 20 mgMM Acid-Pep Maximum Strength

QL

famotidine oral tablet 40 mg Pepcid QL

gnp acid reducer max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

gnp acid reducer oral tablet Pepcid AC DO; OTC; QL

heartburn relief max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

heartburn relief oral tablet Pepcid AC DO; OTC; QL

163


hm famotidine oral tablet 10 mg Pepcid AC DO; OTC; QL

hm famotidine oral tablet 20 mgMM Acid-Pep Maximum Strength

OTC; QL

kls acid controller max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

nizatidine oral capsule

nizatidine oral solution PA

px acid reducer max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

px acid reducer oral tablet Pepcid AC DO; OTC; QL

qc acid controller max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

qc acid controller oral tablet Pepcid AC DO; OTC; QL

ra acid reducer max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

ra acid reducer oral tablet Pepcid AC DO; OTC; QL

sm acid reducer max st oral tabletMM Acid-Pep Maximum Strength

OTC; QL

sm acid reducer oral tablet Pepcid AC DO; OTC; QL

*MISC. ANTI-ULCER***

sucralfate oral tablet Carafate

*PROTON PUMP INHIBITOR-ANTACID COMBINATIONS***

cvs omeprazole-sod bicarbonate oral capsule

Zegerid OTC; QL

omeprazole-sodium bicarbonate oral capsule

Zegerid OTC; QL

*PROTON PUMP INHIBITORS***

acid reducer oral capsule delayed release OTC

cvs esomeprazole magnesium oral capsule delayed release

NexIUM 24HR OTC; QL

cvs lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

cvs omeprazole oral capsule delayed release

OTC

cvs omeprazole oral tablet delayed release OTC

eq lansoprazole oral capsule delayed release


eq omeprazole magnesium oral capsule delayed release

OTC

164


eq omeprazole oral tablet delayed release OTC

eq omeprazole oral tablet delayed release dispersible

OTC

eql lansoprazole oral capsule delayed release


eql omeprazole oral tablet delayed release OTC

esomeprazole magnesium oral capsule delayed release

NexIUM 24HR OTC; QL

gnp esomeprazole magnesium oral capsule delayed release

NexIUM 24HR OTC; QL

gnp lansoprazole oral capsule delayed release


gnp omeprazole oral tablet delayed release OTC

goodsense lansoprazole oral capsule delayed release


hm esomeprazole magnesium dr oral capsule delayed release

NexIUM 24HR OTC; QL

hm lansoprazole oral capsule delayed release


hm omeprazole oral tablet delayed release OTC

kls esomeprazole magnesium oral capsule delayed release

NexIUM 24HR OTC; QL

kls lansoprazole oral capsule delayed release


kls omeprazole oral tablet delayed release OTC

kp omeprazole magnesium oral capsule delayed release

OTC

lansoprazole oral capsule delayed release Prevacid 24HR OTC; QL

NEXIUM 24HR CLEAR MINIS ORAL CAPSULE DELAYED RELEASE

OTC; QL

NEXIUM 24HR ORAL CAPSULE DELAYED RELEASE

OTC; QL

NEXIUM 24HR ORAL TABLET DELAYED RELEASE

OTC; QL

omeprazole magnesium oral capsule delayed release

OTC

omeprazole oral capsule delayed release

PA; Preferred for Members less than 6 years of age. PA required for members greater than 6.

omeprazole oral tablet delayed release OTC

165


PREVACID 24HR ORAL CAPSULE DELAYED RELEASE

OTC; QL

PRILOSEC OTC ORAL TABLET DELAYED RELEASE

OTC; QL

px omeprazole oral tablet delayed release OTC

qc lansoprazole oral capsule delayed release


qc omeprazole magnesium oral capsule delayed release

OTC

ra esomeprazole magnesium oral capsule delayed release

NexIUM 24HR OTC; QL

ra omeprazole oral tablet delayed release OTC

sb omeprazole oral tablet delayed release OTC

sm esomeprazole magnesium oral capsule delayed release

NexIUM 24HR OTC; QL

sm lansoprazole oral capsule delayed release


sm omeprazole oral tablet delayed release OTC

*QUATERNARY ANTICHOLINERGICS***

glycopyrrolate oral tablet

*ULCER DRUGS - PROSTAGLANDINS***

misoprostol oral tablet Cytotec

*URINARY ANTISPASMODICS*

*URINARY ANTISPASMODIC - ANTIMUSCARINIC (ANTICHOLINERGIC)***

darifenacin hydrobromide er oral tablet extended release 24 hour

Enablex QL

oxybutynin chloride er oral tablet extended release 24 hour

oxybutynin chloride oral syrup

oxybutynin chloride oral tablet QL

OXYTROL FOR WOMEN TRANSDERMAL PATCH TWICE WEEKLY

OTC; QL

tolterodine tartrate er oral capsule extended release 24 hour

Detrol LA QL

tolterodine tartrate oral tablet Detrol QL

166


trospium chloride er oral capsule extended release 24 hour

QL

trospium chloride oral tablet QL

*URINARY ANTISPASMODICS - CHOLINERGIC AGONISTS***

bethanechol chloride oral tablet

*URINARY ANTISPASMODICS - DIRECT MUSCLE RELAXANTS***

flavoxate hcl oral tablet

*VACCINES*

*BACTERIAL VACCINES***

ACTHIB INTRAMUSCULAR SOLUTION RECONSTITUTED

AL

BEXSERO INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

AL; QL

HIBERIX INJECTION SOLUTION RECONSTITUTED

AL

MENACTRA INTRAMUSCULAR INJECTABLE

AL; QL

MENQUADFI INTRAMUSCULAR INJECTABLE

AL; QL

MENVEO INTRAMUSCULAR SOLUTION RECONSTITUTED

AL; QL

PEDVAX HIB INTRAMUSCULAR SUSPENSION

AL

PNEUMOVAX 23 INJECTION INJECTABLE

AL

PREVNAR 13 INTRAMUSCULAR SUSPENSION

AL; QL

TRUMENBA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

AL; QL

*VIRAL VACCINE COMBINATIONS***

M-M-R II INJECTION SOLUTION RECONSTITUTED

AL

PROQUAD SUBCUTANEOUS SUSPENSION RECONSTITUTED

AL

TWINRIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

AL

*VIRAL VACCINES***

AFLURIA QUADRIVALENT INTRAMUSCULAR SUSPENSION

QL

167


AFLURIA QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

ENGERIX-B INJECTION SUSPENSION AL

FLUAD INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

FLUAD QUADRIVALENT INTRAMUSCULAR PREFILLED SYRINGE

QL

FLUARIX QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

FLUBLOK QUADRIVALENT INTRAMUSCULAR SOLUTION PREFILLED SYRINGE

QL

FLUCELVAX QUADRIVALENT INTRAMUSCULAR SUSPENSION

QL

FLUCELVAX QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

FLULAVAL QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

FLUMIST QUADRIVALENT NASAL SUSPENSION

QL

FLUZONE HIGH-DOSE QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION

QL

FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

QL

GARDASIL 9 INTRAMUSCULAR SUSPENSION

AL

GARDASIL 9 INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

AL

HAVRIX INTRAMUSCULAR SUSPENSION AL

HEPLISAV-B INTRAMUSCULAR SOLUTION PREFILLED SYRINGE

RECOMBIVAX HB INJECTION SUSPENSION

AL

SHINGRIX INTRAMUSCULAR SUSPENSION RECONSTITUTED

AL; QL

168


VAQTA INTRAMUSCULAR SUSPENSION AL

VARIVAX SUBCUTANEOUS INJECTABLE AL

*VAGINAL AND RELATED PRODUCTS*

*IMIDAZOLE-RELATED ANTIFUNGALS***

3 day vaginal vaginal cream Gyne-Lotrimin 3 OTC

clotrimazole 3 vaginal cream Gyne-Lotrimin 3 OTC

clotrimazole vaginal cream Gyne-Lotrimin OTC

clotrimazole-7 vaginal cream Gyne-Lotrimin OTC

cvs miconazole 1 combo pack vaginal kit Monistat 1 Combo Pack OTC

cvs miconazole 1 combo-wipes vaginal kit OTC

cvs miconazole 3 combo pack vaginal kitMonistat 3 Combination Pack

OTC

cvs miconazole 3 combo-supp vaginal kitMonistat 3 Combination Pack

OTC

cvs miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

cvs tioconazole 1 vaginal ointment Monistat 1-Day OTC

eq miconazole 7 day treatment vaginal cream

Monistat 7 Simply Cure OTC

eql miconazole 3 vaginal kitMonistat 3 Combination Pack

OTC

eql miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

eql tioconazole-1 vaginal ointment Monistat 1-Day OTC

gnp clotrimazole 3 vaginal cream Gyne-Lotrimin 3 OTC

gnp miconazole 3 vaginal kitMonistat 3 Combination Pack

OTC

gnp miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

miconazole 1 vaginal kit Monistat 1 Combo Pack OTC

miconazole 3 combo pack app vaginal kitMonistat 3 Combo Pack App

OTC

miconazole 3 combo pack vaginal kitMonistat 3 Combination Pack

OTC

miconazole 3 combo-supp vaginal kitMonistat 3 Combination Pack

OTC

miconazole 3 vaginal suppository

miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

miconazole 7 vaginal suppository OTC

miconazole nitrate vaginal cream Monistat 7 Simply Cure OTC

169


px miconazole 3-day combo vaginal kitMonistat 3 Combination Pack

OTC

qc 3 day vaginal cream Monistat 3 OTC

qc miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

ra clotrimazole 7 vaginal cream Gyne-Lotrimin OTC

ra miconazole 3 combo pack vaginal kitMonistat 3 Combination Pack

OTC

ra miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

ra tioconazole 1 vaginal ointment Monistat 1-Day OTC

sm 3-day vaginal vaginal cream Gyne-Lotrimin 3 OTC

sm clotrimazole vaginal vaginal cream Gyne-Lotrimin OTC

sm miconazole 3 vaginal kitMonistat 3 Combination Pack

OTC

sm miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

sm miconazole 7 vaginal suppository OTC

sm tioconazole-1 vaginal ointment Monistat 1-Day OTC

terconazole vaginal cream 0.4 %

terconazole vaginal cream 0.8 % QL

terconazole vaginal suppository QL

tioconazole-1 vaginal ointment Monistat 1-Day OTC

*VAGINAL ANTI-INFECTIVES***

CLEOCIN VAGINAL SUPPOSITORY

clindamycin phosphate vaginal cream Cleocin

metronidazole vaginal gel Vandazole

VANDAZOLE VAGINAL GEL

*VAGINAL ESTROGENS***

estradiol vaginal tablet Yuvafem

YUVAFEM VAGINAL TABLET

*VASOPRESSORS*

*ANAPHYLAXIS THERAPY AGENTS***

epinephrine injection solution auto-injector EpiPen Jr 2-Pak QL

SYMJEPI INJECTION SOLUTION PREFILLED SYRINGE

QL

*VASOPRESSORS***

midodrine hcl oral tablet

170


*VITAMINS*

*BIOTIN***

biotin 5000 oral capsule Meribin AL; OTC

biotin maximum strength oral capsule Meribin AL; OTC

biotin oral capsule Meribin AL; OTC

cvs biotin oral capsule Meribin AL; OTC

eql biotin oral capsule Meribin AL; OTC

gnp biotin oral capsule Meribin AL; OTC

hm biotin oral capsule Meribin AL; OTC

MERIBIN ORAL CAPSULE AL; OTC

sm biotin oral capsule Meribin AL; OTC

super biotin oral capsule Meribin AL; OTC

*VITAMIN A***

a-10000 oral capsule AL; OTC

cvs vitamin a oral capsule AL; OTC

gnp vitamin a oral capsule AL; OTC

natural vitamin a oral capsule AL; OTC

px vitamin a oral capsule AL; OTC

ra vitamin a oral capsule AL; OTC

vitamin a oral capsule AL; OTC

*VITAMIN B-1***

b-1 high potency oral tablet AL; OTC

b1 oral tablet AL; OTC

b-1 oral tablet AL; OTC

cvs b-1 oral tablet AL; OTC

gnp vitamin b-1 oral tablet AL; OTC

hm vitamin b1 oral tablet AL; OTC

qc vitamin b1 oral tablet AL; OTC

ra vitamin b-1 oral tablet AL; OTC

sm vitamin b1 oral tablet AL; OTC

thiamine hcl oral tablet AL; OTC

thiamine mononitrate oral tablet AL; OTC

vitamin b-1 oral tablet AL; OTC

*VITAMIN B-2***

b2 oral tablet AL; OTC


cvs vitamin b-2 oral tablet AL; OTC

171


vitamin b-2 oral tablet AL; OTC

*VITAMIN B-3***

ENDUR-ACIN ORAL TABLET EXTENDED RELEASE

OTC

hm niacin oral tablet extended release Endur-Acin OTC

hm niacin tr oral tablet extended release Endur-Acin OTC

kp niacin oral tablet OTC

niacin er oral tablet extended release OTC

niacin oral tablet OTC

niacinamide oral tablet OTC

plain niacin oral tablet OTC

ra niacin oral tablet OTC

ra no flush niacin oral tablet OTC

*VITAMIN B-6***

b6 natural oral tablet AL; OTC


cvs b6 oral tablet AL; OTC

eql b-6 oral tablet AL; OTC

gnp vitamin b-6 oral tablet AL; OTC

kp vitamin b-6 oral tablet AL; OTC

pyridoxine hcl oral tablet 25 mg OTC

pyridoxine hcl oral tablet 50 mg AL; OTC

qc vitamin b6 oral tablet AL; OTC

ra vitamin b-6 oral tablet AL; OTC

sm vitamin b6 oral tablet AL; OTC

sm vitamin b-6 oral tablet AL; OTC

vitamin b6 oral tablet AL; OTC

vitamin b-6 oral tablet 100 mg, 50 mg AL; OTC

vitamin b-6 oral tablet 25 mg OTC

yl vitamin b-6 oral tablet AL; OTC

*VITAMIN C***

acerola c-500 oral tablet chewable Sunkist Vitamin C AL; OTC

ascorbic acid oral tablet AL; OTC

BPROTECTED VITAMIN C ORAL LIQUID AL; OTC

c 1000 oral tablet AL; OTC

c 250 oral tablet AL; OTC

c 500 oral tablet PureWay-C AL; OTC

172


c 500 oral tablet chewable Sunkist Vitamin C AL; OTC

c 500/rose hips oral tablet PureWay-C AL; OTC

c-1000 oral tablet AL; OTC

c-1000 oral tablet extended release Endur-C AL; OTC

c-1000 sr oral tablet extended release Endur-C AL; OTC

c-1000/rose hips oral tablet AL; OTC

c-1000/rose hips sr oral tablet extended release

Endur-C AL; OTC

c-1500/rose hips sr oral tablet extended release

AL; OTC

c-250 oral tablet AL; OTC

c-500 oral tablet PureWay-C AL; OTC

c-500 oral tablet chewable Sunkist Vitamin C AL; OTC

c-500 oral tablet extended release Endur-C AL; OTC

c-500 sr oral tablet extended release Endur-C AL; OTC

c-500/rose hips oral tablet PureWay-C AL; OTC

c-chewable oral tablet chewable Sunkist Vitamin C AL; OTC

cvs chewable c with rose hips oral tablet chewable

Sunkist Vitamin C AL; OTC

cvs vitamin c oral tablet PureWay-C AL; OTC

cvs vitamin c-rose hips oral tablet PureWay-C AL; OTC

ENDUR-C ORAL TABLET EXTENDED RELEASE

AL; OTC

eql vitamin c oral tablet PureWay-C AL; OTC

eql vitamin c/rose hips oral tablet PureWay-C AL; OTC

fruit c 500 oral tablet chewable Sunkist Vitamin C AL; OTC

gnp vitamin c oral tablet PureWay-C AL; OTC

gnp vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

gnp vitamin c oral tablet extended release Endur-C AL; OTC

gnp vitamin c w/rose hips oral tablet PureWay-C AL; OTC

gnp vitamin c/rose hips oral tablet AL; OTC

hm vitamin c oral tablet AL; OTC

hm vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

hm vitamin c tr oral tablet extended release Endur-C AL; OTC

meijer c oral tablet PureWay-C AL; OTC

natural c/rose hips oral tablet AL; OTC

PUREWAY-C ORAL TABLET AL; OTC

px vitamin c oral tablet PureWay-C AL; OTC

173


qc vitamin c oral tablet PureWay-C AL; OTC

qc vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

qc vitamin c with rose hips oral tablet PureWay-C AL; OTC

ra vitamin c cr oral tablet extended release Endur-C AL; OTC

ra vitamin c oral tablet AL; OTC

ra vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

ra vitamin c/acerola oral tablet chewable Sunkist Vitamin C AL; OTC

ra vitamin c/rose hips oral tablet PureWay-C AL; OTC

sb vitamin c oral tablet PureWay-C AL; OTC

sm chewable c oral tablet chewable Sunkist Vitamin C AL; OTC

sm chewable vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

sm vit c/rose hips oral tablet AL; OTC

sm vitamin c cr oral tablet extended release Endur-C AL; OTC

sm vitamin c oral tablet PureWay-C AL; OTC

sm vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

sm vitamin c/rose hips oral tablet PureWay-C AL; OTC

SUNKIST VITAMIN C ORAL TABLET CHEWABLE

AL; OTC

vitamin c er oral tablet extended release Endur-C AL; OTC

vitamin c immune health oral tablet chewable


vitamin c oral liquid BProtected Vitamin C AL; OTC

vitamin c oral tablet AL; OTC

vitamin c oral tablet chewable Sunkist Vitamin C AL; OTC

vitamin c plus wild rose hips oral tablet chewable


vitamin c/bioflavonoids/rosehp oral tablet PureWay-C AL; OTC

vitamin c/natural rose hips oral tablet AL; OTC

vitamin c/rose hips oral tablet PureWay-C AL; OTC

vitamin c/rose hips tr oral tablet extended release

Endur-C AL; OTC

vitamin c-acerola oral tablet PureWay-C AL; OTC

vitamin c-acerola oral tablet chewable Sunkist Vitamin C AL; OTC

vitamin c-rose hips er oral tablet extended release

Endur-C AL; OTC

vitamin c-rose hips oral tablet PureWay-C AL; OTC

vitamin c-rose hips oral tablet chewable Sunkist Vitamin C AL; OTC

174


vitamin c-rose hips tr oral tablet extended release

Endur-C AL; OTC

yl vitamin c oral tablet PureWay-C AL; OTC

yl vitamin c-rose hips oral tablet PureWay-C AL; OTC

*VITAMIN D***

aqueous vitamin d oral liquid BProtected Pedia D-Vite AL; OTC; QL

BPROTECTED PEDIA D-VITE ORAL LIQUID

AL; OTC; QL

CALCIDOL ORAL SOLUTION AL; OTC

cvs d3 oral capsule Pronutrients Vitamin D3 OTC

cvs vitamin d3 oral tablet chewableKids First Vitamin D3 Gummies

AL; OTC

d 1000 oral capsule Pronutrients Vitamin D3 OTC

d 1000 oral tablet Vitamin D-1000 Max St OTC

d 1000 oral tablet chewableKids First Vitamin D3 Gummies

AL; OTC

d 400 oral tablet OTC

d 400 oral tablet chewable Healthy Kids Vitamin D3 OTC

d-1000 extra strength oral tablet Vitamin D-1000 Max St OTC

d3 adult oral tablet chewableKids First Vitamin D3 Gummies

AL; OTC

d3 high potency oral capsule Pronutrients Vitamin D3 OTC

d3 high potency oral tablet OTC

d3-1000 oral capsule Pronutrients Vitamin D3 OTC

d3-1000 oral tablet Vitamin D-1000 Max St OTC

d-400 oral tablet OTC

delta d3 oral tablet OTC

d-vite pediatric oral liquid BProtected Pedia D-Vite AL; OTC; QL

eql vitamin d3 gummies oral tablet chewableKids First Vitamin D3 Gummies

AL; OTC

eql vitamin d3 oral capsule Pronutrients Vitamin D3 OTC

ergocalciferol oral capsule Drisdol

ergocalciferol oral solution Calcidol AL; OTC

gnp d 2000 oral tablet chewableKids First Vitamin D3 Gummies

AL; OTC

gnp vitamin d oral tablet Vitamin D-1000 Max St OTC

gnp vitamin d3 extra strength oral tablet Vitamin D-1000 Max St OTC

gnp vitamin d-400 oral tablet OTC

hm vitamin d oral tablet OTC

175


KIDS FIRST VITAMIN D3 GUMMIES ORAL TABLET CHEWABLE

AL; OTC

kp vitamin d3 oral capsule Pronutrients Vitamin D3 OTC

pharmacist choice d-vitamin oral liquid BProtected Pedia D-Vite AL; OTC; QL

ra vitamin d-3 oral tablet Vitamin D-1000 Max St OTC

sm vitamin d oral tablet OTC

sm vitamin d3 oral tablet Vitamin D-1000 Max St OTC

VITAJOY DAILY D GUMMIES ORAL TABLET CHEWABLE

AL; OTC

vitamin d (cholecalciferol) oral capsule Pronutrients Vitamin D3 OTC

vitamin d (cholecalciferol) oral tablet Vitamin D-1000 Max St OTC

vitamin d (ergocalciferol) oral capsule Drisdol

vitamin d high potency oral capsule Pronutrients Vitamin D3 OTC

vitamin d infant oral liquid BProtected Pedia D-Vite AL; OTC; QL

vitamin d oral liquid BProtected Pedia D-Vite AL; OTC; QL

vitamin d oral tablet Vitamin D-1000 Max St OTC

VITAMIN D-1000 MAX ST ORAL TABLET OTC

vitamin d2 oral tablet OTC

vitamin d3 adult gummies oral tablet chewable

Kids First Vitamin D3 Gummies

AL; OTC

vitamin d3 gummies adult oral tablet chewable


AL; OTC

vitamin d3 gummies oral tablet chewableKids First Vitamin D3 Gummies

AL; OTC

vitamin d3 oral capsule OTC

vitamin d-3 oral capsule Pronutrients Vitamin D3 OTC

vitamin d3 oral liquid BProtected Pedia D-Vite AL; OTC; QL

vitamin d3 oral tablet Vitamin D-1000 Max St OTC

vitamin d3 oral tablet chewable 10 mcg (400 unit)

Healthy Kids Vitamin D3 OTC

vitamin d3 oral tablet chewable 25 mcg (1000 ut)


AL; OTC

vitamin d-400 oral tablet OTC

*VITAMIN E***

aqueous vitamin e oral solution SoluVita E AL; OTC

cvs e oral capsule AL; OTC

cvs vitamin e oral capsule AL; OTC

e 1000 oral capsule AL; OTC

e1000 oral capsule AL; OTC

176


e-1000 oral capsule AL; OTC

e200 oral capsule AL; OTC

e-200 oral capsule AL; OTC

e400 mixed oral capsule Ester-E AL; OTC

e400 oral capsule Ester-E AL; OTC

e-400 oral capsule Ester-E AL; OTC

e-400-clear oral capsule Ester-E AL; OTC

eql vitamin e oral capsule Ester-E AL; OTC

ESTER-E ORAL CAPSULE AL; OTC

gnp vitamin e oral capsule Ester-E AL; OTC

hm e vitamin oral capsule Ester-E AL; OTC

hm vitamin e oral capsule Ester-E AL; OTC

kp vitamin e oral capsule AL; OTC

natural vitamin e oral capsule AL; OTC

px vitamin e oral capsule Ester-E AL; OTC

qc vitamin e oral capsule Ester-E AL; OTC

ra natural vitamin e oral capsule Ester-E AL; OTC

ra vitamin e natural oral capsule AL; OTC

ra vitamin e oral capsule AL; OTC

sm vitamin e oral capsule AL; OTC

vitamin e blend oral capsule Ester-E AL; OTC

vitamin e complex oral capsule AL; OTC

vitamin e high potency oral capsule Ester-E AL; OTC

vitamin e oral capsule AL; OTC

vitamin e water soluble oral capsule AL; OTC

vitamin e/d-alpha natural oral capsule Ester-E AL; OTC

vitamin e/d-alpha oral capsule AL; OTC

vitamin e-200 oral capsule AL; OTC

vitamin e-400 oral capsule Ester-E AL; OTC

yl vitamin e oral capsule Ester-E AL; OTC

*VITAMIN K***

phytonadione oral tablet Mephyton

177

medicaid-approved preferred drug list...hoosier care connect medicaid-approved preferred drug list...

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