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Select Drug List for Municipalities

2017

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This document is the complete ConnectiCare pharmacy drug list, or formulary, that is covered by your employer-sponsored plan for municipalities. This drug list is effective for plan year 2017. It is updated monthly and the last update was on Apr. 1, 2017. The list is subject to change as new drugs come to market or are removed from the market. Please check the Pharmacy Center on connecticare.com for the most up-to-date drug list covered by your plan.

What is the Select Drug List? It’s a list of covered drugs — both generic and brand-name drugs — selected by ConnectiCare in consultation with a team of health care providers. It includes the prescription therapies believed to be a necessary part of a quality treatment program. ConnectiCare will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a ConnectiCare network pharmacy and other plan rules are followed.

How do I use the formulary? To search for your drug within the formulary, please refer to the:

x Table of Contents on page 1 and look for your drug under the therapeutic classsections; or

x Index, which starts on page 102, and look for your drug and the corresponding page.

This formulary will tell you what tier your drug is in. A drug tier is a group of medications included within a similar price range. Check your benefit summary to see what your cost-share is for the drugs in each tier.

Tier What drugs are included Tier 0 Drugs covered under health care reform Tier 1 Generic drugs Tier 2 Preferred brand-name drugs Tier 3 Non-preferred brand name drugs

If your doctor prescribes a drug that is not listed, please contact ConnectiCare for further information on coverage of the product in question. If it’s appropriate, ask your doctor about a generic medication or a more affordable alternative that is included in the drug list. Refer to your benefit summary by logging in on connecticare.com to determine actual cost-share amounts applicable to your plan.

What are generic drugs and brand-name drugs? A generic drug is approved by the U.S. Food and Drug Administration (FDA) as having the same active ingredient as the brand-name drug. Generally, generic drugs cost less than brand-name drugs.

This formulary differentiates between the two kinds of drugs by how they are presented on the list:

x generic drugs are italicized and spelled out in lowercase lettersx brand-name drugs are not italicized and spelled out in uppercase letters

Under your plan, a pharmacist will fill a generic drug for a prescription whenever a generic is available. For the most part, this will happen even if your prescription is written for a brand-name drug. But you or your doctor can specifically instruct the pharmacist to fill the prescription with a brand-name drug. When this happens, you may pay more and the cost will depend on your plan benefits. Please refer to your plan documents for details.

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Are there any limitations on my coverage? Some covered drugs may have additional requirements or limits on coverage. These are indicated in the formulary with initials after their names. Here is a key to the limitations and how you will see them noted in the formulary:

Preauthorization (PA) Some drugs require preauthorization. This means that you or your doctor will need to get approval from us before you fill your prescriptions. If you don’t get approval, the drug may not be covered and you may be responsible for the entire cost of the medication.

Preauthorization requests can be faxed to the ConnectiCare Pharmacy Services Department at 1-800-249-1367 by the prescribing physician’s office. A form for submitting a request can be found on connecticare.com. If we deny a preauthorization request, we will notify you and your doctor in writing with the reason and information on how to appeal.

Some drugs that require preauthorization must be filled at a specialty pharmacy. Please refer to the “limited availability” section below for more information.

Quantity limits (QL) For certain medications, ConnectiCare limits the amount of the drug that we will cover. For example, ConnectiCare covers MAXALT (or its generic version, rizatriptan) for 9 tablets per 30 days. This may be in addition to a standard one-month or three-month supply.

Step therapy (ST) In some cases, ConnectiCare requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B.

Limited availability (LA) Drugs labeled “LA” for “limited availability” must be filled by ConnectiCare’s preferred specialty pharmacy, Accredo, and are limited to a 30-day supply. These drugs are prescription medications used to treat complex conditions and often require special storage, handling and close monitoring by you, your doctor or pharmacist. For more information, please visit accredo.com.

Over the counter (OTC) ConnectiCare does not cover over-the-counter drugs unless they are listed in this formulary and have been prescribed by a doctor. The formulary notes which drugs have any additional requirements or limits.

Affordable Care Act (ACA) This refers to the preventive guidelines of the federal Affordable Care Act, also known as health care reform. Drugs marked “ACA” may be free to you if they are prescribed under the preventive care guidelines of the ACA. You will not have to pay any copayment, coinsurance or anything toward your deductible. More information on ACA-covered drugs is available here.

Can I get my prescriptions delivered to my home? Our pharmacy benefit manager, Express Scripts, provides convenient home delivery by mail. Home delivery may save you money if you refill drugs every month and think you will be on the same drug(s) for six months or longer.

Home delivery is as safe as going to your local pharmacy. Express Scripts pharmacists check every order for accuracy and are available 24/7 to answer your questions. To

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compare costs and sign up for home delivery, visit express-scripts.com or call Express Scripts at 1-877-603-1032.

How do I contact someone at ConnectiCare? To reach Member Services:

x Call 1-800-251-7722 (TTY: 1-800-833-8134) Monday-Thursday, 8 a.m. to 6 p.m., andFriday from 8 a.m. to 5 p.m.

x Send a secure message by logging into connecticare.com.x For general questions only, email us at [email protected]. Please do not use this

address to send any personal, confidential or medical information, such as member ID,Social Security number or medical information. This is a regular email address that isnot secure.

To reach Provider Services: x Call 1-800-828-3407 Monday-Thursday, 8 a.m. to 6 p.m., and Friday from 9 a.m. to 5

p.m. x For preauthorization requests or any medical management issue, call 1-800-562-6833

Monday-Friday from 8 a.m. to 5 p.m. x Use our website at connecticare.com/providers to check benefit eligibility and claims

status, review medical criteria and find forms.

If you need to mail us anything, send to: ConnectiCare Attention: Pharmacy Department 175 Scott Swamp Road P.O. Box 4050 Farmington, CT 06034-4050

More contact information is available at connecticare.com.

Accessibility and Nondiscrimination Notice: ConnectiCare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ConnectiCare does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

ConnectiCare: • Provides free aids and services to people with disabilities to communicate effectively

with us including qualified interpreters and information in alternate formats. • Provides free language services to people whose primary language is not English,

including translated documents and oral interpretation.

If you need these services, contact The Committee for Civil Rights.

If you believe that ConnectiCare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:

The Committee for Civil Rights ConnectiCare 175 Scott Swamp Road Farmington, CT 06032 1-800-251-7722 (TTY: 1-800-833-8134)

You can file a grievance in person at 175 Scott Swamp Road, Farmington, CT, or by mail or fax (860) 674-2232. If you need help filing a grievance, The Committee for Civil Rights is

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available to help you. You can also file a civil rights complaint with the U.S, Department of Health and Human Services, Office for Civil Rights, electronically through the Office of Civil Rights Complaint Portal, available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, DC 20201 1-800-368-1019 (TTY: 800-537-7697)

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-251-7722 (TTY: 1-800-833-8134).

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-251-7722 (TTY: 1-800-833-8134).

UWAGA: Je eli mówisz po polsku, mo esz skorzysta z bezp atnej pomocy j zykowej. Zadzwo pod numer 1-800-251-7722 (TTY: 1-800-833-8134).

注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-251-7722 (TTY: 1-800-833-8134)。

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-251-7722 (TTY: 1-800-833-8134).

ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-251-7722 (ATS: 1-800-833-8134).

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-251-7722 (TTY: 1-800-833-8134).

: , . 1-800-251-7722 ( : 1-800-833-8134).

CHÚ Ý: Nếu b n nói Tiếng Vi t, có các d ch v h tr ngôn ng mi n phí dành cho b n. G i số 1-800-251-7722 (TTY: 1-800-833-8134).

ت إذا :ملحوظة دث كن ر تتح ة اذك إن ،اللغ اعدة خدمات ف ة المس ر اللغوي ك تتواف ان ل ل .بالمج رقم اتص -251-800-1 بم) 7722 اتف رق م ھ م الص .(8134-833-800-1 :والبك

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-251-7722 (TTY: 1-800-833-8134)번으로 전화해 주십시오.

KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-800-251-7722 (TTY: 1-800-833-8134).

यान द: यिद आप िहदंी बोलते ह तो आपके िलए मु त म भाषा सहायता सेवाएं उपल ध ह। 1-800-251-7722 (TTY:1-800-833-8134) पर कॉल कर।

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-251-7722 (TTY: 1-800-833-8134).

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: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-800-251-7722 (TTY: 1-800-833-8134).

របយ័តន៖ េបើសិនជាអនកនិយាយ ភាសាែខមរ, េសវាជំនួយែផនកភាសា េដាយមិនគិតឈន លួ គឺអាចមានសំរាប់បំេរអីនក។ ចូរ ទូរស័ពទ 1-800-251-7722 (TTY: 1-800-833-8134)។

સચુના: જો તમે ગજુરાતી બોલતા હો, તો િન:શુ ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલ ધ છે. ફોન કરો 1-800-251-7722 (TTY: 1-800-833-8134).

Intro Rev. 2.28.17

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Table of Contents

Anti - Infectives .................................................................................................................................................... 3 Antineoplastic & Immunosuppressant Drugs .................................................................................................... 11 Autonomic & Cns Drugs, Neurology & Psych .................................................................................................. 16 Cardiovascular, Hypertension & Lipids ............................................................................................................. 30 Dermatologicals/Topical Therapy ...................................................................................................................... 39 Diagnostics & Miscellaneous Agents ................................................................................................................ 48 Ear, Nose & Throat Medications........................................................................................................................ 50 Endocrine/Diabetes ............................................................................................................................................ 51 Gastroenterology ................................................................................................................................................ 65 Immunology, Vaccines & Biotechnology .......................................................................................................... 70 Musculoskeletal & Rheumatology ..................................................................................................................... 74 Obstetrics & Gynecology ................................................................................................................................... 75 Ophthalmology ................................................................................................................................................... 81 Respiratory, Allergy, Cough & Cold ................................................................................................................. 84 Urologicals ......................................................................................................................................................... 89 Vitamins, Hematinics & Electrolytes ................................................................................................................. 91 Index ................................................................................................................................................................. 102

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List of Abbreviations ACA: Affordable Care Act. LA: Limited Availability. This prescription may be available only at certain pharmacies. For more information, please call Customer Service. OTC: Over the Counter. An OTC drug is a non-prescription drug. PA: Prior Authorization. The Plan requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval before you fill your prescriptions. If you don’t get approval, we may not cover the drug. QL: Quantity Limit. For certain drugs, the Plan limits the amount of the drug that we will cover. ST: Step Therapy. In some cases, the Plan requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B.

This Formulary List is subject to change. 3

Drug Name Tier Restrictions / Limits

Anti - Infectives Antifungal Agents ABELCET 3 PA

AMBISOME 3 PA

amphotericin b 1 PA

ANCOBON 3

CANCIDAS 3 PA

clotrimazole 1

CRESEMBA INTRAVENOUS

3 PA

CRESEMBA ORAL 3 QL

DIFLUCAN 3

ERAXIS(WATER DILUENT)

3 PA

fluconazole 1

fluconazole in dextrose(iso-o)

1 PA

flucytosine 1

griseofulvin microsize

1

griseofulvin ultramicrosize

1

GRIS-PEG (ULTRAMICROSIZE)

3

itraconazole 1 PA; QL

ketoconazole 1

LAMISIL ORAL GRANULES IN PACKET

3 PA

LAMISIL ORAL TABLET

3

MYCAMINE 3 PA

NOXAFIL INTRAVENOUS

3 PA


NOXAFIL ORAL 3

nystatin 1

ONMEL 3 PA

ORAVIG 3 ST; QL

SPORANOX 3 PA; QL

SPORANOX PULSEPAK

3 PA; QL

terbinafine hcl 1

VFEND 3 QL

VFEND IV 3 PA

voriconazole intravenous

1 PA

voriconazole oral 1 QL

Antivirals abacavir 1

abacavir-lamivudine 1

abacavir-lamivudine-zidovudine

1

acyclovir 1

acyclovir sodium 1 PA

adefovir 1

amantadine hcl 1

APTIVUS 3

ATRIPLA 3

BARACLUDE 3

cidofovir 1 PA

COMBIVIR 3

COMPLERA 3

CRIXIVAN 2

CYTOVENE 3 LA

DAKLINZA 3 PA; LA

DESCOVY 3



didanosine 1

EDURANT 3

EMTRIVA 2

entecavir 1

EPCLUSA 3 PA; LA

EPIVIR 3

EPIVIR HBV ORAL SOLUTION

2

EPIVIR HBV ORAL TABLET

3

EPZICOM 3

EVOTAZ 3

famciclovir 1

FAMVIR 3

FLUMADINE 3

foscarnet 1 PA

FOSCAVIR 3 PA

FUZEON 3 PA; LA

ganciclovir sodium 1 PA; LA

GENVOYA 3

HARVONI 3 PA; LA; QL

HEPSERA 3

INTELENCE 3

INVIRASE 2

ISENTRESS ORAL POWDER IN PACKET

3

ISENTRESS ORAL TABLET

2

ISENTRESS ORAL TABLET,CHEWABLE

2

KALETRA ORAL SOLUTION

3


KALETRA ORAL TABLET

2

lamivudine 1

lamivudine-zidovudine

1

LEXIVA 3

lopinavir-ritonavir 1

nevirapine 1

NORVIR 2

ODEFSEY 3

OLYSIO 2 PA; LA

oseltamivir 1 QL

PREZCOBIX 3

PREZISTA 3

RAPIVAB 3 PA

RELENZA DISKHALER

2 QL

RESCRIPTOR 2

RETROVIR INTRAVENOUS

3 PA; LA

RETROVIR ORAL 3

REYATAZ ORAL CAPSULE

2

REYATAZ ORAL POWDER IN PACKET

3

ribavirin 1

rimantadine 1

SELZENTRY 3

SITAVIG 3 PA

SOVALDI 2 PA; LA

stavudine 1

STRIBILD 3

SUSTIVA 2



SYNAGIS 3 PA; QL

TAMIFLU ORAL CAPSULE

3 QL

TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION

2 QL

TECHNIVIE 3 PA; LA

TIVICAY 3

TRIUMEQ 3

TRIZIVIR 3

TRUVADA 3

TYBOST 3

TYZEKA 3

valacyclovir 1

VALCYTE ORAL RECON SOLN

3

VALCYTE ORAL TABLET

3 QL

valganciclovir oral recon soln

1

valganciclovir oral tablet

1 QL

VALTREX 3

VEMLIDY 3

VIDEX 2 GRAM PEDIATRIC

2

VIDEX EC 3

VIEKIRA PAK 3 PA; LA; QL

VIEKIRA XR 3 PA; LA

VIRACEPT 2

VIRAMUNE 3

VIRAMUNE XR 3

VIRAZOLE 3 PA


VIREAD ORAL POWDER

3

VIREAD ORAL TABLET

2

VITEKTA 3

ZEPATIER 2 PA; LA

ZERIT 3

ZIAGEN ORAL SOLUTION

2

ZIAGEN ORAL TABLET

3

zidovudine 1

ZOVIRAX 3

Cephalosporins AVYCAZ 3 PA

CEDAX 3

cefaclor 1

cefadroxil 1

cefazolin 1

cefazolin in dextrose (iso-os) intravenous piggyback 1 gram/50 ml, 2 gram/50 ml

1

CEFAZOLIN IN DEXTROSE (ISO-OS) INTRAVENOUS PIGGYBACK 2 GRAM/100 ML

3

cefdinir 1

cefditoren pivoxil 1

cefepime 1 PA

CEFEPIME IN DEXTROSE 5 %

3

cefepime in dextrose,iso-osm

1 PA



cefixime 1 QL

CEFOTAN 3 PA

cefotaxime 1 PA

cefotetan 1 PA

CEFOTETAN IN DEXTROSE, ISO-OSM

3 PA

cefoxitin 1 PA

cefoxitin in dextrose, iso-osm

1 PA

cefpodoxime 1 QL

cefprozil 1

ceftazidime 1 PA

CEFTAZIDIME IN D5W

3 PA

ceftibuten 1

CEFTIN 3

ceftriaxone in dextrose,iso-os

1 PA

ceftriaxone injection recon soln 1 gram, 10 gram, 2 gram, 250 mg, 500 mg

1 PA

CEFTRIAXONE INJECTION RECON SOLN 100 GRAM

3 PA

ceftriaxone intravenous

1 PA

cefuroxime axetil 1

cefuroxime sodium 1 PA

cephalexin 1

DAXBIA 3 PA

FORTAZ 3 PA

FORTAZ IN DEXTROSE 5 %

3 PA


KEFLEX 3

MAXIPIME 3 PA

MEFOXIN IN DEXTROSE (ISO-OSM)

3 PA

SPECTRACEF 3

SUPRAX 3 QL

TAZICEF 3 PA

TEFLARO 3 PA

ZERBAXA 3 PA

ZINACEF 3 PA

ZINACEF IN STERILE WATER

3 PA

Erythromycins & Other Macrolides azithromycin intravenous

1 PA

azithromycin oral 1

BIAXIN 3

clarithromycin 1

DIFICID 3 PA; QL

e.e.s. 400 1

E.E.S. GRANULES 3

ERYPED 200 2

ERYPED 400 2

ery-tab oral tablet,delayed release (dr/ec) 250 mg, 333 mg

1

ERY-TAB ORAL TABLET,DELAYED RELEASE (DR/EC) 500 MG

2

ERYTHROCIN 3 PA

erythrocin (as stearate)

1



erythromycin 1

erythromycin ethylsuccinate

1

PCE 3

ZITHROMAX INTRAVENOUS

3 PA

ZITHROMAX ORAL

3

ZITHROMAX TRI-PAK

3

ZITHROMAX Z-PAK

3

ZMAX 3

Miscellaneous Antiinfectives ALBENZA 3

ALINIA 3 QL

amikacin 1

atovaquone 1 PA

atovaquone-proguanil

1 PA

AZACTAM 3 PA

AZACTAM IN DEXTROSE (ISO-OSM)

3 PA

aztreonam 1 PA

baciim 1 PA

bacitracin 1 PA

BETHKIS 3

BILTRICIDE 3

CAPASTAT 3 PA

CAYSTON 3 PA

chloramphenicol sod succinate

1 PA

chloroquine phosphate

1 PA


CLEOCIN IN 5 % DEXTROSE

3 PA

CLEOCIN INJECTION

3 PA

CLEOCIN INTRAVENOUS

3 PA

CLEOCIN ORAL 3

CLIN SINGLE USE 3 PA

clindamycin hcl 1

clindamycin in 5 % dextrose

1 PA

clindamycin palmitate hcl

1

clindamycin pediatric

1

clindamycin phosphate

1 PA

COARTEM 3 PA

colistin (colistimethate na)

1 PA

COLY-MYCIN M PARENTERAL

3 PA

CYCLOSERINE 3

DALVANCE 3 PA

dapsone 1

DARAPRIM 2 PA

EMVERM 3

ethambutol 1

FLAGYL 3

FLAGYL ER 3

gentamicin 1



gentamicin in nacl (iso-osm) intravenous piggyback 100 mg/100 ml, 60 mg/50 ml, 70 mg/50 ml, 80 mg/100 ml, 80 mg/50 ml, 90 mg/100 ml

1

GENTAMICIN IN NACL (ISO-OSM) INTRAVENOUS PIGGYBACK 100 MG/50 ML, 120 MG/100 ML

3

gentamicin sulfate (ped) (pf)

1

gentamicin sulfate (pf) intravenous solution 100 mg/10 ml

1

GENTAMICIN SULFATE (PF) INTRAVENOUS SOLUTION 60 MG/6 ML

3

hydroxychloroquine 1

imipenem-cilastatin 1 PA

IMPAVIDO 3 PA

INVANZ 3 PA

isoniazid injection 1 PA

isoniazid oral 1

ivermectin 1

KETEK 3

KITABIS PAK 3

linezolid intravenous 1 PA

linezolid oral 1 QL

linezolid-0.9% sodium chloride

1 PA


MALARONE 3 PA

MALARONE PEDIATRIC

3 PA

mefloquine 1 PA

MEPRON 3 PA

meropenem 1 PA

MERREM 3 PA

metro i.v. 1 PA

metronidazole 1

metronidazole in nacl (iso-os)

1 PA

MYAMBUTOL 3

MYCOBUTIN 3

NEBUPENT 3

neomycin 1

ORBACTIV 3 PA

paromomycin 1

PASER 3

PENTAM 3 PA

PLAQUENIL 3

polymyxin b sulfate 1 PA

PRIFTIN 2

PRIMAQUINE 2

PRIMAXIN IV 3 PA

pyrazinamide 1

QUALAQUIN 3 PA

quinine sulfate 1

rifabutin 1

RIFADIN INTRAVENOUS

3 PA

RIFADIN ORAL 3

RIFAMATE 3

rifampin intravenous 1 PA



rifampin oral 1

RIFATER 3

SIRTURO 3

SIVEXTRO INTRAVENOUS

3 PA

SIVEXTRO ORAL 3

STREPTOMYCIN 3 PA

STROMECTOL 3

SYNERCID 3

TIGECYCLINE 3

TINDAMAX 3 QL

tinidazole 1 QL

TOBI 3

TOBI PODHALER 3

tobramycin in 0.225 % nacl

1

tobramycin in 0.9 % nacl

1

tobramycin sulfate 1

TOBRAMYCIN WITH NEBULIZER

3

TRECATOR 3

TYGACIL 3 PA

XIFAXAN 3

ZYVOX INTRAVENOUS

3 PA

ZYVOX ORAL 3 QL

Penicillins amoxicillin oral capsule

1

amoxicillin oral suspension for reconstitution

1


amoxicillin oral tablet

1

AMOXICILLIN ORAL TABLET, ER MULTIPHASE 24 HR

3

amoxicillin oral tablet,chewable

1

amoxicillin-pot clavulanate

1

ampicillin 1

ampicillin sodium 1 PA

ampicillin-sulbactam 1 PA

AUGMENTIN ES-600

3

AUGMENTIN ORAL SUSPENSION FOR RECONSTITUTION 125-31.25 MG/5 ML

2

AUGMENTIN ORAL SUSPENSION FOR RECONSTITUTION 250-62.5 MG/5 ML

3

AUGMENTIN ORAL TABLET

3

AUGMENTIN XR 3

BICILLIN C-R 3 PA

BICILLIN L-A 3

dicloxacillin 1

MOXATAG 3

nafcillin 1 PA

nafcillin in dextrose iso-osm

1 PA

oxacillin 1 PA



oxacillin in dextrose(iso-osm)

1 PA

PENICILLIN G POT IN DEXTROSE

3 PA

penicillin g potassium

1 PA

penicillin g procaine 1 PA

penicillin g sodium 1 PA

penicillin v potassium

1

pfizerpen-g 1 PA

piperacillin-tazobactam

1 PA

UNASYN 3 PA

ZOSYN 3 PA

ZOSYN IN DEXTROSE (ISO-OSM)

3 PA

Quinolones AVELOX 3

AVELOX ABC PACK

2

AVELOX IN NACL (ISO-OSMOTIC)

3 PA

CIPRO 3

CIPRO IN D5W 3 PA

CIPRO XR 3

ciprofloxacin 1

ciprofloxacin (mixture)

1

ciprofloxacin hcl 1

ciprofloxacin in 5 % dextrose

1 PA

ciprofloxacin lactate 1 PA


FACTIVE 3

LEVAQUIN 3

levofloxacin in d5w 1 PA

levofloxacin intravenous

1 PA

levofloxacin oral 1

moxifloxacin 1

MOXIFLOXACIN-SOD.ACE,SUL-WATER

3 PA

ofloxacin 1

Sulfa's & Related Agents BACTRIM 3

BACTRIM DS 3

sulfadiazine 1

sulfamethoxazole-trimethoprim intravenous

1 PA

sulfamethoxazole-trimethoprim oral

1

sulfatrim 1

Tetracyclines ACTICLATE 3 PA

ADOXA 3 PA

avidoxy 1

AVIDOXY DK 3 PA

demeclocycline 1

DORYX 3 PA

DORYX MPC 3 PA

doxy-100 1 PA

doxycycline hyclate 1

doxycycline monohydrate oral capsule

1



DOXYCYCLINE MONOHYDRATE ORAL CAPSULE,IR - DELAY REL,BIPHASE

3 PA

doxycycline monohydrate oral suspension for reconstitution

1

doxycycline monohydrate oral tablet

1

MINOCIN 3 PA

minocycline oral capsule

1

minocycline oral tablet

1

minocycline oral tablet extended release 24 hr

1 PA

mondoxyne nl 1

MONODOX 3 PA

ORACEA 3 PA

SOLODYN 3 PA

TARGADOX 3 PA

tetracycline 1

VIBRAMYCIN ORAL CAPSULE

3

VIBRAMYCIN ORAL SUSPENSION FOR RECONSTITUTION

3

VIBRAMYCIN ORAL SYRUP

2

Urinary Tract Agents FURADANTIN 3


HIPREX 3

MACROBID 3

MACRODANTIN 3

methenamine hippurate

1

methenamine mandelate

1

MONUROL 3 QL

nitrofurantoin 1

nitrofurantoin macrocrystal

1

nitrofurantoin monohyd/m-cryst

1

PRIMSOL 3

trimethoprim 1

Vancomycin VANCOCIN 3

vancomycin 1

VANCOMYCIN IN DEXTROSE 5 %

3

VIBATIV 3 PA

Antineoplastic & Immunosuppressant Drugs

Adjunctive Agents amifostine crystalline

1 PA; LA

dexrazoxane hcl 1 PA; LA

ELITEK 3 PA; LA

ETHYOL 3 PA; LA

KEPIVANCE 3 PA; LA

leucovorin calcium injection

1 PA; LA

leucovorin calcium oral

1



mesna 1 PA; LA

MESNEX INTRAVENOUS

3 PA; LA

MESNEX ORAL 3

VISTOGARD 3 PA

VORAXAZE 3 PA

XGEVA 3 QL

ZINECARD (AS HCL)

3 PA; LA

Antineoplastic & Immunosuppressant Drugs

ABRAXANE 3 PA; LA

ADCETRIS 3 PA

adriamycin intravenous solution 10 mg/5 ml, 20 mg/10 ml, 50 mg/25 ml

1 PA; LA

adriamycin intravenous solution 2 mg/ml

1 LA

adrucil 1 PA; LA

AFINITOR 3 PA; LA

AFINITOR DISPERZ

3 PA; LA

ALECENSA 3 PA; LA

ALIMTA 3 PA; LA

ALKERAN INTRAVENOUS

3 PA; LA

ALKERAN ORAL 2

anastrozole 1

ARIMIDEX 3

AROMASIN 3

ARRANON 3 PA; LA

ARZERRA 3 PA; LA


ASTAGRAF XL 3

AVASTIN 3 PA; LA

azacitidine 1 PA; LA

AZASAN 3

azathioprine 1

azathioprine sodium 1 PA

BELEODAQ 3 PA

BENDEKA 3 PA; LA

bexarotene 1 PA

bicalutamide 1

BICNU 3 PA; LA

bleo 15k 1 PA

bleomycin 1 PA; LA

BLINCYTO 3 PA

BOSULIF 3 PA; LA; QL

BUSULFEX 3 PA; LA

CABOMETYX 3 PA; LA

CAMPTOSAR 3 PA; LA

capecitabine 1 PA; LA

CAPRELSA 3 PA; QL

carboplatin 1 PA; LA

CASODEX 3

CELLCEPT 3

CELLCEPT INTRAVENOUS

3 PA; LA

cisplatin 1 PA; LA

cladribine 1 PA; LA

CLOLAR 3 PA; LA

COMETRIQ 3 PA

COSMEGEN 3 PA; LA

COTELLIC 3 PA; LA



cyclophosphamide intravenous

1 PA; LA

CYCLOPHOSPHAMIDE ORAL

3

cyclosporine intravenous

1 PA; LA

cyclosporine modified

1

cyclosporine oral 1

CYRAMZA 3 PA

cytarabine 1 PA; LA

cytarabine (pf) 1 PA; LA

dacarbazine 1 PA; LA

DACOGEN 3 PA; LA

DARZALEX 3 PA; LA

daunorubicin 1 PA; LA

decitabine 1 PA; LA

DOCEFREZ 3 PA; LA

docetaxel 1 PA; LA

DOXIL 3 PA; LA

doxorubicin 1 PA; LA

doxorubicin, peg-liposomal

1 PA

DROXIA 2

ELIGARD 3 LA

ELIGARD (3 MONTH)

3 LA

ELIGARD (4 MONTH)

3 LA

ELIGARD (6 MONTH)

3 LA

ELLENCE 3 PA; LA

EMCYT 3

EMPLICITI 3 PA; LA


ENVARSUS XR 3

epirubicin 1 PA; LA

ERBITUX 3 PA; LA

ERIVEDGE 3 PA; LA; QL

ERWINAZE 3 PA; LA

ETOPOPHOS 3 PA; LA

etoposide intravenous

1 PA; LA

etoposide oral 1

EVOMELA 3 PA

exemestane 1

FARESTON 2

FARYDAK 3 PA; LA

FASLODEX 3 PA

FEMARA 3

FIRMAGON KIT W DILUENT SYRINGE

3 PA

floxuridine 1 PA; LA

fludarabine 1 PA; LA

fluorouracil 1 PA; LA

flutamide 1

FOLOTYN 3 PA; LA

GAZYVA 3 PA; LA

gemcitabine 1 PA; LA

GEMZAR 3 PA; LA

gengraf 1

GILOTRIF 3 PA; LA; QL

GLEEVEC 3 PA; LA

GLEOSTINE 3

GLIADEL WAFER 3

HALAVEN 3 PA; LA

HERCEPTIN 3 PA; LA



HEXALEN 3

HYCAMTIN 3 PA; LA

HYDREA 3

hydroxyurea 1

IBRANCE 3 PA; LA; QL

ICLUSIG 3 PA

IDAMYCIN PFS 3 PA; LA

idarubicin 1 PA; LA

IFEX 3 PA; LA

ifosfamide 1 PA; LA

ifosfamide-mesna 1 PA; LA

imatinib 1 PA; LA

IMBRUVICA 3 PA; QL

IMLYGIC 3 PA; LA

IMURAN 3

INLYTA 3 PA; LA; QL

IODOPEN 3 PA

IRESSA 3 PA

irinotecan intravenous solution 100 mg/5 ml, 40 mg/2 ml

1 PA; LA

irinotecan intravenous solution 500 mg/25 ml

1 LA

ISTODAX 3 PA; LA

IXEMPRA 3 PA; LA

JAKAFI 3 PA; LA; QL

JEVTANA 3 PA; LA

KADCYLA 3 PA; LA

KEYTRUDA 3 PA

KYPROLIS 3 PA; LA

LARTRUVO 3 PA; LA


LENVIMA 3 PA; LA

letrozole 1

LEUKERAN 2

leuprolide 1

lipodox 1 PA; LA

LONSURF 3 PA; LA

LUPRON DEPOT 3

LUPRON DEPOT (3 MONTH)

3


3


3

LUPRON DEPOT-PED

3

LUPRON DEPOT-PED (3 MONTH)

3

LYNPARZA 3 PA; LA

LYSODREN 3

MARQIBO 3 PA

MATULANE 2

MEGACE 3

MEGACE ES 3

megestrol 1

MEKINIST 3 PA; LA; QL

melphalan hcl 1 PA; LA

mercaptopurine 1

methotrexate sodium 1

methotrexate sodium (pf)

1

mitomycin 1 PA; LA

mitoxantrone 1 PA; LA

MUSTARGEN 3 PA; LA



mycophenolate mofetil

1

mycophenolate mofetil hcl

1 LA

mycophenolate sodium

1

MYFORTIC 3

MYLERAN 2

NAVELBINE 3 PA; LA

NEORAL 3

NEXAVAR 3 PA; LA

NILANDRON 3

nilutamide 1

NINLARO 3 PA; LA

NIPENT 3 PA; LA

NULOJIX 3 PA; LA

octreotide acetate 1 PA

ODOMZO 3 PA; LA; QL

ONCASPAR 3 PA; LA

OPDIVO 3 PA

oxaliplatin 1 PA; LA

paclitaxel 1 PA; LA

PERJETA 3 PA; LA

PHOTOFRIN 3 PA; LA

PROGRAF INTRAVENOUS

3 PA; LA

PROGRAF ORAL 3

PURIXAN 3

RAPAMUNE ORAL SOLUTION

2

RAPAMUNE ORAL TABLET

3

RHEUMATREX 3

RITUXAN 3 PA; LA


RUBRACA 3 PA

SANDIMMUNE INTRAVENOUS

3 PA

SANDIMMUNE ORAL CAPSULE

3

SANDIMMUNE ORAL SOLUTION

2

SANDOSTATIN 3 PA

SANDOSTATIN LAR DEPOT

3 PA; LA; QL

SIGNIFOR 3 PA; LA

SIGNIFOR LAR 3 PA; LA; QL

SIMULECT 3 PA; LA

sirolimus 1

SOLTAMOX 0 ACA

SOMATULINE DEPOT

3 PA

SPRYCEL 3 PA; LA

STIVARGA 3 PA; LA; QL

SUTENT 3 PA; LA; QL

SYLVANT 3 PA; LA

SYNRIBO 3 PA

TABLOID 2

tacrolimus 1

TAFINLAR 3 PA; LA; QL

TAGRISSO 3 PA; LA

tamoxifen 0 ACA

TARCEVA 3 PA; LA; QL

TARGRETIN ORAL

3 PA

TARGRETIN TOPICAL

2

TASIGNA 3 PA; LA

TAXOTERE 3 PA; LA



TECENTRIQ 3 LA

TEMODAR 3 PA; LA

temozolomide 1 PA; LA

TENIPOSIDE 3

THALOMID 3 PA; LA; QL

thiotepa 1 PA; LA

toposar 1 PA; LA

topotecan 1 PA; LA

TORISEL 3 PA; LA

TREANDA 3 PA; LA

TRELSTAR 3 PA; LA

tretinoin (chemotherapy)

1

TREXALL 3

TRISENOX 3 PA; LA

TYKERB 3 PA; LA; QL

UNITUXIN 3 PA; LA

VECTIBIX 3 PA; LA

VELCADE 3 PA; LA

VENCLEXTA 3 PA

VENCLEXTA STARTING PACK

3 PA

VIDAZA 3 PA; LA

vinblastine 1 PA; LA

vincasar pfs 1 PA; LA

vincristine 1 PA; LA

vinorelbine 1 PA; LA

VOTRIENT 3 PA; LA

XALKORI 3 PA; LA; QL

XELODA 3 PA; LA

XTANDI 3 PA; LA; QL

YERVOY 3 PA; LA


YONDELIS 3 PA; LA

ZALTRAP 3 PA; LA

ZANOSAR 3 PA; LA

ZELBORAF 3 PA; LA; QL

ZEVALIN (Y-90) 3 PA; LA

ZOLADEX 3 LA

ZOLINZA 3 PA; LA

ZORTRESS 3 PA; LA

ZYDELIG 3 PA

ZYKADIA 3 PA; LA

ZYTIGA 3 PA; LA; QL

Autonomic & Cns Drugs, Neurology & Psych

Anticonvulsants APTIOM 3

BANZEL 3

BRIVIACT INTRAVENOUS

3 PA

BRIVIACT ORAL 3

carbamazepine 1

CARBATROL 3

CELONTIN 2

CEREBYX 3 PA

clonazepam 1

DEPACON 3 PA

DEPAKENE 3

DEPAKOTE 3

DEPAKOTE ER 3

DEPAKOTE SPRINKLES

3

DIASTAT 2

DIASTAT ACUDIAL

3



diazepam 1

DILANTIN 2

DILANTIN EXTENDED

3

DILANTIN INFATABS

3

DILANTIN-125 3

divalproex 1

epitol 1

EQUETRO 3

ethosuximide 1

felbamate 1

FELBATOL 3

fosphenytoin 1 PA

FYCOMPA 3

gabapentin 1

GABITRIL ORAL TABLET 12 MG, 16 MG

2

GABITRIL ORAL TABLET 2 MG, 4 MG

3

GRALISE 3 ST

GRALISE 30-DAY STARTER PACK

3 ST

KEPPRA INTRAVENOUS

3 PA

KEPPRA ORAL 3

KEPPRA XR 3

KLONOPIN 3

LAMICTAL 3

LAMICTAL ODT 3

LAMICTAL ODT STARTER (BLUE)

3


LAMICTAL ODT STARTER (GREEN)

3

LAMICTAL ODT STARTER (ORANGE)

3

LAMICTAL STARTER (BLUE) KIT

3 PA

LAMICTAL STARTER (GREEN) KIT

3 PA

LAMICTAL STARTER (ORANGE) KIT

3 PA

LAMICTAL XR 3 PA

LAMICTAL XR STARTER (BLUE)

3 PA

LAMICTAL XR STARTER (GREEN)

3 PA

LAMICTAL XR STARTER (ORANGE)

3 PA

lamotrigine oral tablet

1

lamotrigine oral tablet disintegrating, dose pk

1

lamotrigine oral tablet extended release 24hr

1 PA

lamotrigine oral tablet, chewable dispersible

1

lamotrigine oral tablet,disintegrating

1

levetiracetam intravenous

1 PA



levetiracetam oral 1

LYRICA 3 PA

MYSOLINE 3

NEURONTIN 3

ONFI 3

oxcarbazepine 1

OXTELLAR XR 3 ST

PEGANONE 3

phenobarbital 1

PHENYTEK 3

phenytoin 1

phenytoin sodium 1 PA

phenytoin sodium extended

1

POTIGA 3

primidone 1

QUDEXY XR 3 PA

roweepra 1

SABRIL 3

SPRITAM 3

TEGRETOL 3

TEGRETOL XR 3

tiagabine 1

TOPAMAX 3

topiramate oral capsule, sprinkle

1

TOPIRAMATE ORAL CAPSULE,SPRINKLE,ER 24HR

3

topiramate oral tablet

1

TRILEPTAL 3

TROKENDI XR 3 PA


valproate sodium 1 PA

valproic acid 1

valproic acid (as sodium salt)

1

VIMPAT INTRAVENOUS

3 PA

VIMPAT ORAL 3

ZARONTIN 3

ZONEGRAN 3

zonisamide 1

Antiparkinsonism Agents APOKYN 3 PA; LA; QL

AZILECT 3

benztropine injection 1 PA

benztropine oral 1

bromocriptine 1

carbidopa 1

carbidopa-levodopa 1

carbidopa-levodopa-entacapone

1

COGENTIN 3 PA

COMTAN 3

DUOPA 3

ELDEPRYL 3

entacapone 1

LODOSYN 3

MIRAPEX 3

MIRAPEX ER 3

NEUPRO 3

PARLODEL 3

pramipexole 1

rasagiline 1



REQUIP ORAL TABLET 0.25 MG, 0.5 MG, 1 MG, 2 MG

3

REQUIP ORAL TABLET 3 MG, 4 MG, 5 MG

3 QL

REQUIP XL 3 PA

ropinirole oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg

1

ropinirole oral tablet 3 mg, 4 mg, 5 mg

1 QL

ropinirole oral tablet extended release 24 hr

1

RYTARY 3

selegiline hcl 1

SINEMET 3

SINEMET CR 3

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

TASMAR 3

tolcapone 1

trihexyphenidyl 1

ZELAPAR 3

Migraine & Cluster Headache Therapy

almotriptan malate 1 QL

ALSUMA 3 PA; QL

AMERGE 3 QL


AXERT 3 QL

CAFERGOT 3

D.H.E.45 3

dihydroergotamine injection

1

dihydroergotamine nasal

1 QL

ERGOMAR 3

ergotamine-caffeine 1

FROVA 3 QL

frovatriptan 1 QL

IMITREX 3 QL

IMITREX STATDOSE KIT REFILL

3 QL

IMITREX STATDOSE PEN

3 QL

isometh-dichloral-acetaminophn

1

isomethepten-caf-acetaminophen

1

MAXALT 3 QL

MAXALT-MLT 3 QL

migergot 1

MIGRALAM 3

MIGRANAL 3 QL

naratriptan 1 QL

nodolor 1

PRODRIN 3

RELPAX 3 ST; QL

rizatriptan 1 QL

sumatriptan 1 QL

sumatriptan succinate

1 QL



SUMAVEL DOSEPRO

3 PA

TREXIMET 3 PA; QL

ZECUITY 3 PA; QL

zolmitriptan 1 QL

ZOMIG NASAL 2 QL

ZOMIG ORAL 3 QL

ZOMIG ZMT 3 QL

Miscellaneous Neurological Therapy AMPYRA 3 PA; LA; QL

ARICEPT ORAL TABLET 10 MG, 5 MG

3

ARICEPT ORAL TABLET 23 MG

3 PA

donepezil oral tablet 1

donepezil oral tablet,disintegrating

1 PA

EXELON 3 PA

galantamine 1 PA

HORIZANT 3 ST; QL

KEVEYIS 3 PA

memantine oral solution

1 PA

memantine oral tablet

1 PA

MEMANTINE ORAL TABLETS,DOSE PACK

3 PA

NAMENDA 3 PA

NAMENDA TITRATION PAK

2 PA

NAMENDA XR 3 PA

NAMZARIC 3 PA


NUEDEXTA 3 PA; QL

RAZADYNE 3 PA

RAZADYNE ER 3 PA

rivastigmine 1 PA

rivastigmine tartrate 1 PA

tetrabenazine 1 PA; LA

TYSABRI 3 PA; LA

XENAZINE 3 PA; LA

Muscle Relaxants & Antispasmodic Therapy

AMRIX 3 PA; QL

baclofen 1

carisoprodol 1

carisoprodol-asa-codeine

1

carisoprodol-aspirin 1

chlorzoxazone 1

cyclobenzaprine 1

DANTRIUM INTRAVENOUS

3 PA

DANTRIUM ORAL 3

dantrolene 1

FEXMID 3 PA

LORZONE 3

meprobamate 1

MESTINON 3

MESTINON TIMESPAN

3

metaxall 1

metaxalone 1

methocarbamol injection

1 PA

methocarbamol oral 1



orphenadrine citrate injection

1 PA

orphenadrine citrate oral

1

PARAFON FORTE DSC

3

pyridostigmine bromide

1

regonol 1 PA

revonto 1 PA

ROBAXIN INJECTION

2 PA

ROBAXIN ORAL 3

ROBAXIN-750 3

RYANODEX 3 PA

SKELAXIN 3

SOMA 3

tizanidine 1

ZANAFLEX 3

Narcotic Analgesics ABSTRAL 3 PA; QL

acetaminophen-caff-dihydrocod

1

acetaminophen-codeine

1

ACTIQ 3 PA; QL

ALLZITAL 3

ascomp with codeine 1

aspirin-caffeine-dihydrocodein

1

ASTRAMORPH-PF INJECTION SOLUTION 0.5 MG/ML

3 PA


astramorph-pf injection solution 1 mg/ml

1 PA

BELBUCA 3 PA; QL

BUPAP 3

BUPRENEX 3 PA

buprenorphine hcl injection

1 PA

buprenorphine hcl sublingual

1

butalbital compound w/codeine

1

butalbital-acetaminop-caf-cod

1

butalbital-acetaminophen

1

butalbital-acetaminophen-caff

1

butalbital-aspirin-caffeine

1

BUTRANS 2 QL

capacet 1

CAPITAL WITH CODEINE

2

codeine sulfate 1

codeine-butalbital-asa-caff

1

DEMEROL 3

DEMEROL (PF) INJECTION SOLUTION 100 MG/2 ML, 25 MG/0.5 ML, 75 MG/1.5 ML

3

demerol (pf) injection solution 100 mg/ml

1



DEMEROL (PF) INJECTION SYRINGE

3

DILAUDID 3

DILAUDID (PF) INJECTION SOLUTION

3 PA

DILAUDID (PF) INJECTION SYRINGE

3

DILAUDID-HP (PF)

3 PA

diskets 1

DOLOPHINE 3

DURAGESIC 3

duramorph (pf) 1 PA

EMBEDA 3

endocet 1

ESGIC 3

EXALGO ER 3 ST; QL

fentanyl citrate 1 PA; QL

fentanyl citrate (pf) 1 PA

fentanyl transdermal patch 72 hour 100 mcg/hr, 12 mcg/hr, 25 mcg/hr, 50 mcg/hr, 75 mcg/hr

1

FENTANYL TRANSDERMAL PATCH 72 HOUR 37.5 MCG/HOUR, 62.5 MCG/HOUR, 87.5 MCG/HOUR

3

FENTORA 3 PA; QL

FIORICET 3

FIORICET WITH CODEINE

3


FIORINAL 3

FIORINAL-CODEINE #3

3

HYCET 3

hydrocodone-acetaminophen

1

hydrocodone-ibuprofen

1

hydromorphone (pf) 1 PA

hydromorphone injection solution 1 mg/ml, 4 mg/ml

1

hydromorphone injection solution 2 mg/ml

1 PA

HYDROMORPHONE INJECTION SYRINGE 0.5 MG/0.5 ML

3

hydromorphone injection syringe 1 mg/ml, 2 mg/ml, 4 mg/ml

1

hydromorphone oral liquid

1

hydromorphone oral tablet

1

hydromorphone oral tablet extended release 24 hr

1 QL

hydromorphone rectal

1

HYSINGLA ER 3

IBUDONE 3

ibuprofen-oxycodone 1 QL

INFUMORPH P/F 3 PA

KADIAN 3 ST



LAZANDA 3 PA; QL

levorphanol tartrate 1

lorcet (hydrocodone) 1

lorcet hd 1

lorcet plus 1

lortab 10-325 1

lortab 5-325 1

lortab 7.5-325 1

LORTAB ELIXIR 3

margesic 1

marten-tab 1

meperidine 1

meperidine (pf) 1

methadone injection 1 PA

methadone oral 1

methadose 1

morphine (pf) 1 PA

morphine (pf) in 0.9 % nacl

1

morphine concentrate

1

morphine injection 1 PA

MORPHINE INTRAMUSCULAR

3

morphine intravenous cartridge 10 mg/ml, 2 mg/ml, 4 mg/ml

1 PA

MORPHINE INTRAVENOUS CARTRIDGE 8 MG/ML

3


morphine intravenous pt controlled analgesia syring

1 PA

morphine intravenous solution 10 mg/ml, 100 mg/4 ml, 25 mg/ml, 250 mg/10 ml, 50 mg/ml

1 PA

MORPHINE INTRAVENOUS SOLUTION 4 MG/ML, 8 MG/ML

3 PA

MORPHINE INTRAVENOUS SYRINGE 10 MG/ML, 8 MG/ML

3 PA

morphine intravenous syringe 2 mg/ml, 4 mg/ml

1 PA

morphine oral 1

morphine rectal 1

MS CONTIN 3

NORCO 3

OPANA 3

OPANA ER 2

OXAYDO 3 PA

oxycodone oral capsule

1

oxycodone oral concentrate

1

oxycodone oral solution

1

oxycodone oral tablet

1



OXYCODONE ORAL TABLET,ORAL ONLY,EXT.REL.12 HR

3 PA; QL

oxycodone-acetaminophen

1

oxycodone-aspirin 1

OXYCONTIN 2 QL

oxymorphone 1

PERCOCET 3

PRIMLEV 3

reprexain 1

ROXICODONE 3

SUBSYS 3 PA; QL

SYNALGOS-DC 3

tencon 1

TREZIX 3

TYLENOL-CODEINE #3

3

TYLENOL-CODEINE #4

3

VANATOL LQ 3

verdrocet 1

vicodin 1

vicodin es 1

vicodin hp 1

XARTEMIS XR 3 PA

XODOL 10/300 3

XODOL 5/300 3

XODOL 7.5/300 3

XTAMPZA ER 3 PA

xylon 10 1

zamicet 1


zebutal 1

ZOHYDRO ER 3 PA; QL

Non-Narcotic Analgesics ANAPROX DS 3

ARTHROTEC 50 3 PA

ARTHROTEC 75 3 PA

aspir-81 0 ACA; OTC

aspirin 0 ACA; OTC

aspirin low dose 0 ACA; OTC

aspir-low 0 ACA; OTC

aspir-trin 0 ACA; OTC

bayer aspirin 0 ACA; OTC

BUNAVAIL 3 QL

buprenorphine-naloxone

1 PA

butorphanol tartrate injection

1 PA

butorphanol tartrate nasal

1 QL

CALDOLOR 3 PA

CAMBIA 3 PA; QL

CELEBREX 3 QL

celecoxib 1 QL

children's aspirin 0 ACA; OTC

choline,magnesium salicylate

1

CONZIP 3 ST

DAYPRO 3

diclofenac potassium 1

diclofenac sodium oral

1

diclofenac sodium topical drops

1 QL



diclofenac sodium topical gel

1

diclofenac-misoprostol

1

diflunisal 1

DISALCID 3

dologesic (w-phenyltoloxamine)

1

DUEXIS 3 PA; QL

DYLOJECT 3 PA

e.c. prin 0 ACA; OTC

EC-NAPROSYN 3

ecotrin 0 ACA; OTC

ecotrin low strength 0 ACA; OTC

enteric coated aspirin

0 ACA; OTC

etodolac 1

EVZIO 3 QL

FELDENE 3

fenoprofen 1

FLECTOR 3

flurbiprofen 1

ibuprofen 1

INDOCIN ORAL 2

INDOCIN RECTAL 3

indomethacin 1

ketoprofen 1

ketorolac 1 QL

klofensaid ii 1 QL

lite coat aspirin 0 ACA; OTC

LODINE 3

meclofenamate 1

mefenamic acid 1


meloxicam 1

MOBIC 3

nabumetone 1

nalbuphine 1 PA

naloxone 1

naltrexone 1

NAPRELAN CR 3

NAPROSYN 3

naproxen 1

naproxen sodium 1

NARCAN 3 QL

NUCYNTA 3

NUCYNTA ER 3

oxaprozin 1

PENNSAID 3

pentazocine-naloxone

1

piroxicam 1

PONSTEL 3

REVIA 3

salsalate 1

SPRIX 3 ST; QL

SUBOXONE 2 QL

sulindac 1

TALWIN 3 PA

TIVORBEX 3 PA

tolmetin 1

TRAMADOL ORAL CAPSULE,ER BIPHASE 24 HR 17-83

3 PA



TRAMADOL ORAL CAPSULE,ER BIPHASE 24 HR 25-75

3 PA

tramadol oral tablet 1

tramadol oral tablet extended release 24 hr

1

tramadol oral tablet, er multiphase 24 hr

1

tramadol-acetaminophen

1

ULTRACET 3

ULTRAM 3

ULTRAM ER 3

VIMOVO 3 PA

VIVITROL 3 QL

VOLTAREN 3

VOLTAREN-XR 3

ZIPSOR 3 PA

ZORVOLEX 2 PA

ZUBSOLV 3

Psychotherapeutic Drugs ABILIFY 3 QL

ABILIFY MAINTENA

3 QL

ADASUVE 3

ADDERALL 3

ADDERALL XR 3

ADZENYS XR-ODT

3

alprazolam 1

alprazolam intensol 1

AMBIEN 3


AMBIEN CR 3

amitriptyline 1

amitriptyline-chlordiazepoxide

1

amoxapine 1

ANAFRANIL 3

APLENZIN 3 PA

APTENSIO XR 3

aripiprazole oral solution

1

aripiprazole oral tablet

1 QL

aripiprazole oral tablet,disintegrating

1 QL

ARISTADA 3 QL

armodafinil 1 PA; QL

ATIVAN 3

BELSOMRA 3 PA; QL

BRINTELLIX 3 ST

BRISDELLE 3

bupropion hcl 1

buspirone 1

BUTISOL 3

CELEXA 3

chlordiazepoxide hcl 1

chlorpromazine injection

1 PA

chlorpromazine oral 1

citalopram 1

clomipramine 1

clonidine hcl 1

clorazepate dipotassium

1

clozapine oral tablet 1



clozapine oral tablet,disintegrating 100 mg, 12.5 mg, 25 mg

1

CLOZAPINE ORAL TABLET,DISINTEGRATING 150 MG, 200 MG

3

CLOZARIL 3

CONCERTA 3

CYMBALTA 3

DAYTRANA 3

desipramine 1

DESOXYN 3

DESVENLAFAXINE

3 ST

DESVENLAFAXINE FUMARATE

3 ST

dexedrine 1

DEXEDRINE SPANSULE

3

dexmethylphenidate 1

dextroamphetamine 1

dextroamphetamine-amphetamine

1

diazepam injection 1 PA

diazepam intensol 1

diazepam oral 1

DORAL 3

doxepin 1

duloxetine 1

DYANAVEL XR 3

EDLUAR 3 PA

EFFEXOR XR 3


EMSAM 3

ergoloid 1

escitalopram oxalate 1

estazolam 1

eszopiclone 1 QL

EVEKEO 3

FANAPT 3 ST; QL

FAZACLO 3

FETZIMA 3 ST

flumazenil 1 PA

fluoxetine oral capsule

1

fluoxetine oral capsule,delayed release(dr/ec)

1 QL

fluoxetine oral solution

1

fluoxetine oral tablet 10 mg, 20 mg

1

FLUOXETINE ORAL TABLET 60 MG

3 ST

fluphenazine decanoate

1

fluphenazine hcl injection

1 PA

fluphenazine hcl oral 1

flurazepam 1

fluvoxamine 1

FOCALIN 3

FOCALIN XR 3

FORFIVO XL 3 PA

GEODON INTRAMUSCULAR

2 PA



GEODON ORAL 3 QL

guanfacine 1

guanidine 1

HALCION 3

HALDOL 3 PA

HALDOL DECANOATE

3

haloperidol 1

haloperidol decanoate

1

haloperidol lactate injection

1 PA

haloperidol lactate oral

1

HETLIOZ 3 PA; LA

imipramine hcl 1

imipramine pamoate 1

INTERMEZZO 3

INTUNIV ER 3

INVEGA 3 QL

INVEGA SUSTENNA

3 QL

INVEGA TRINZA 3

IRENKA 3 PA

KAPVAY 3

KHEDEZLA 3 ST

LATUDA 3 ST; QL

LEXAPRO 3

lithium carbonate 1

lithium citrate 1

LITHOBID 3

lorazepam 1

lorazepam intensol 1


loxapine succinate 1

LUNESTA 3 QL

maprotiline 1

MARPLAN 3

METADATE CD 3

metadate er 1

methamphetamine 1

METHYLIN 3

methylphenidate 1

mirtazapine 1

modafinil 1 PA; QL

molindone 1

NARDIL 3

nefazodone 1

NORPRAMIN 3

nortriptyline 1

NUPLAZID 3 PA; LA

NUVIGIL 3 PA; QL

olanzapine 1 QL

olanzapine-fluoxetine

1

ORAP 3

oxazepam 1

paliperidone 1 QL

PAMELOR 3

PARNATE 3

paroxetine hcl 1

PAXIL CR 3

PAXIL ORAL SUSPENSION

2

PAXIL ORAL TABLET

3

perphenazine 1



perphenazine-amitriptyline

1

PEXEVA 3 ST

phenelzine 1

pimozide 1

PRISTIQ 2 ST; QL

procentra 1

protriptyline 1

PROVIGIL 3 PA; QL

PROZAC 3

PROZAC WEEKLY 3 ST; QL

quazepam 1

quetiapine oral tablet 100 mg, 200 mg, 25 mg, 300 mg

1 QL

quetiapine oral tablet 400 mg, 50 mg

1

quetiapine oral tablet extended release 24 hr

1 QL

QUILLICHEW ER 3

QUILLIVANT XR 3

REMERON 3

REMERON SOLTAB

3

RESTORIL 3

REXULTI 3 PA

RISPERDAL 3

RISPERDAL CONSTA

3 QL

RISPERDAL M-TAB

3 QL

risperidone oral solution

1


risperidone oral tablet

1

risperidone oral tablet,disintegrating

1 QL

RITALIN 3

RITALIN LA 3

ROZEREM 3 QL

SAPHRIS (BLACK CHERRY)

3 ST; QL

SARAFEM 3 ST

seconal sodium 1

SEROQUEL ORAL TABLET 100 MG, 200 MG, 25 MG, 300 MG

3 QL

SEROQUEL ORAL TABLET 400 MG, 50 MG

3

SEROQUEL XR 3 QL

sertraline 1

SILENOR 3 PA

SONATA 3

STRATTERA 3

SURMONTIL 3

SYMBYAX 3

temazepam 1

thioridazine 1

thiothixene 1

TOFRANIL 3

TRANXENE T-TAB

3

tranylcypromine 1

trazodone 1

triazolam 1

trifluoperazine 1



trimipramine 1

TRINTELLIX 3 ST

VALIUM 3

venlafaxine 1

VERSACLOZ 3

VIIBRYD ORAL TABLET

2 ST

VIIBRYD ORAL TABLETS,DOSE PACK

3 ST

VRAYLAR 3 PA; QL

VYVANSE 3

WELLBUTRIN 3

WELLBUTRIN SR 3

WELLBUTRIN XL 3

XANAX 3

XANAX XR 3

XYREM 3 PA; LA

zaleplon 1

zenzedi oral tablet 10 mg, 5 mg

1

ZENZEDI ORAL TABLET 15 MG, 2.5 MG, 20 MG, 30 MG, 7.5 MG

3

ziprasidone hcl 1 QL

ZOLOFT 3

zolpidem 1

ZOLPIMIST 3 PA

ZYPREXA 3 QL

ZYPREXA RELPREVV

3

ZYPREXA ZYDIS 3 QL


Cardiovascular, Hypertension & Lipids

Antiarrhythmic Agents amiodarone 1

BETAPACE 3

BETAPACE AF 3

CORDARONE 3

disopyramide phosphate

1

dofetilide 1

flecainide 1

mexiletine 1

MULTAQ 3

NORPACE 3

NORPACE CR ORAL CAPSULE, EXTENDED RELEASE 100 MG

2

NORPACE CR ORAL CAPSULE, EXTENDED RELEASE 150 MG

3

pacerone 1

procainamide 1 PA

propafenone 1

quinidine gluconate injection

1 PA

quinidine gluconate oral

1

quinidine sulfate 1

RYTHMOL 3

RYTHMOL SR 3

sotalol af 1

SOTALOL INTRAVENOUS

3 PA



sotalol oral 1

SOTYLIZE 3

TIKOSYN 3

Antihypertensive Therapy ACCUPRIL 3

ACCURETIC 3

acebutolol 1

ACEON 3

ADALAT CC 3

afeditab cr 1

ALDACTAZIDE 3

ALDACTONE 3

ALTACE 3

amiloride 1

amiloride-hydrochlorothiazide

1

amlodipine 1

amlodipine-benazepril

1

amlodipine-olmesartan

1

amlodipine-valsartan

1

amlodipine-valsartan-hcthiazid

1

ATACAND 3

ATACAND HCT 3

atenolol 1

atenolol-chlorthalidone

1

AVALIDE 3

AVAPRO 3

AZOR 3


benazepril 1

benazepril-hydrochlorothiazide

1

BENICAR 3

BENICAR HCT 3

betaxolol 1

BIDIL 3

bisoprolol fumarate 1

bisoprolol-hydrochlorothiazide

1

BREVIBLOC 3

BREVIBLOC IN NACL (ISO-OSM)

3

bumetanide injection 1 PA

bumetanide oral 1

BYSTOLIC 2

BYVALSON 3

CALAN 3

CALAN SR 3

candesartan 1

candesartan-hydrochlorothiazid

1

captopril 1

captopril-hydrochlorothiazide

1

CARDENE IV 3 PA

CARDENE IV IN DEXTROSE

3

CARDENE IV IN SODIUM CHLORIDE

3

CARDIZEM 3

CARDIZEM CD 3



CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HR 120 MG

2

CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HR 180 MG, 240 MG, 300 MG, 360 MG, 420 MG

3

CARDURA 3

CARDURA XL 3 ST

cartia xt 1

carvedilol 1

CATAPRES 3

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

chlorothiazide 1

chlorothiazide sodium

1 PA

chlorthalidone 1

CLEVIPREX INTRAVENOUS EMULSION 25 MG/50 ML

3 PA

CLEVIPREX INTRAVENOUS EMULSION 50 MG/100 ML

3

clonidine 1

clonidine hcl 1

clorpres oral tablet 0.1-15 mg, 0.2-15 mg

1


CLORPRES ORAL TABLET 0.3-15 MG

3

COREG 3

COREG CR 2

CORGARD 3

CORLOPAM 3 PA

CORZIDE 3

COZAAR 3

DEMADEX 3

DEMSER 3

DIBENZYLINE 3

diltiazem 1

dilt-xr 1

DIOVAN 3

DIOVAN HCT 3

DIURIL 3

DIURIL IV 3 PA

doxazosin 1

DUTOPROL 2

DYAZIDE 3

DYRENIUM 3

EDARBI 3 PA

EDARBYCLOR 3 PA

EDECRIN 3

enalapril maleate 1

enalaprilat 1 PA

enalapril-hydrochlorothiazide

1

EPANED 3 PA

eplerenone 1

epoprostenol (glycine)

1 PA; LA



eprosartan 1

esmolol 1

ethacrynate sodium 1 PA

ethacrynic acid 1

EXFORGE 3

EXFORGE HCT 3

felodipine 1

FLOLAN 3 PA; LA

fosinopril 1

fosinopril-hydrochlorothiazide

1

furosemide injection 1 PA

furosemide oral 1

guanfacine 1

HEMANGEOL 3

hydralazine injection 1 PA

hydralazine oral 1

hydrochlorothiazide 1

HYZAAR 3

indapamide 1

INDERAL LA 3

INDERAL XL 3

INNOPRAN XL 2

INSPRA 3

irbesartan 1

irbesartan-hydrochlorothiazide

1

isradipine 1

labetalol intravenous

1 PA

labetalol oral 1

LASIX 3

LEVATOL 3


lisinopril 1

lisinopril-hydrochlorothiazide

1

LOPRESSOR 3

LOPRESSOR HCT 3

losartan 1

losartan-hydrochlorothiazide

1

LOTENSIN 3

LOTENSIN HCT 3

LOTREL 3

matzim la 1

MAVIK 3

MAXZIDE 3

MAXZIDE-25MG 3

methyclothiazide 1

methyldopa 1

methyldopa-hydrochlorothiazide

1

methyldopate 1 PA

metolazone 1

metoprolol succinate 1

METOPROLOL SU-HYDROCHLOROTHIAZ

3 PA

metoprolol ta-hydrochlorothiaz

1

metoprolol tartrate intravenous

1 PA

metoprolol tartrate oral

1

MICARDIS 3

MICARDIS HCT 3

MICROZIDE 3



MINIPRESS 3

minoxidil 1

moexipril 1

moexipril-hydrochlorothiazide

1

nadolol 1

nadolol-bendroflumethiazide

1

nicardipine intravenous

1 PA

nicardipine oral 1

nifedical xl 1

nifedipine 1

nimodipine 1 PA

nisoldipine 1

NORVASC 3

NYMALIZE 3 PA

olmesartan 1

olmesartan-amlodipin-hcthiazid

1

olmesartan-hydrochlorothiazide

1

ORENITRAM 3 PA; LA

papaverine 1 PA

perindopril erbumine

1

phenoxybenzamine 1

phentolamine 1

pindolol 1

prazosin 1

PRESTALIA 3 PA

PRINIVIL 3

PROCARDIA 3

PROCARDIA XL 3


propranolol intravenous

1 PA

propranolol oral 1

propranolol-hydrochlorothiazid

1

QBRELIS 3 PA

quinapril 1

quinapril-hydrochlorothiazide

1

ramipril 1

REMODULIN 3 PA; LA

reserpine 1

SECTRAL 3

SODIUM EDECRIN

3 PA

spironolactone 1

spironolacton-hydrochlorothiaz

1

SULAR 3

TARKA 3

taztia xt 1

TEKTURNA 3 ST

TEKTURNA HCT 3 ST

telmisartan 1

telmisartan-amlodipine

1

telmisartan-hydrochlorothiazid

1

TENEX 3

TENORETIC 100 3

TENORETIC 50 3

TENORMIN 3

terazosin 1

TIAZAC 3



timolol maleate 1

TOPROL XL 3

torsemide 1

trandolapril 1

trandolapril-verapamil

1

triamterene-hydrochlorothiazid

1

TRIBENZOR 3

TWYNSTA 3

UPTRAVI 3 PA; LA

valsartan 1

valsartan-hydrochlorothiazide

1

VASERETIC 3

VASOTEC 3

veletri 1 PA; LA

verapamil intravenous

1 PA

verapamil oral 1

VERELAN 3

VERELAN PM 3

ZEBETA 3

ZESTORETIC 3

ZESTRIL 3

ZIAC 3

Cardiac Glycosides digitek 1

digox 1

digoxin injection 1 PA

digoxin oral 1

LANOXIN INJECTION

3 PA


LANOXIN ORAL 3

LANOXIN PEDIATRIC

3 PA

Coagulation Therapy ADVATE 3 PA; LA

AFSTYLA 3 PA; LA

AGGRENOX 3

ALPHANATE 3 PA; LA

ALPHANINE SD 3 PA; LA

AMICAR 3

aminocaproic acid 1 PA

ANGIOMAX 3

ARGATROBAN IN 0.9 % SOD CHLOR

3 PA

ARIXTRA 3

aspirin-dipyridamole 1

BEBULIN 3 PA; LA

BENEFIX 3 PA; LA

bivalirudin 1

BRILINTA 2

CEPROTIN (BLUE BAR)

3 PA; LA

CEPROTIN (GREEN BAR)

3 PA; LA

cilostazol 1

clopidogrel 1

CORIFACT 3 PA; LA

COUMADIN 3

CYKLOKAPRON 3 PA

dipyridamole 1

DURLAZA 3 PA

EFFIENT 2

ELIQUIS 2 QL



ELOCTATE 3 PA; LA

enoxaparin 1

FEIBA NF 3 PA; LA

fondaparinux 1

FRAGMIN 3

HELIXATE FS 3 PA; LA

HEMOFIL M HIGH 3 PA; LA

HEMOFIL M LOW 3 PA; LA

HEMOFIL M MID 3 PA; LA

HEMOFIL M SUPER HIGH

3 PA; LA

hep flush-10 (pf) 1

heparin (porcine) 1

heparin (porcine) in 5 % dex intravenous parenteral solution 12,500 unit/250 ml

1

heparin (porcine) in 5 % dex intravenous parenteral solution 20,000 unit/500 ml (40 unit/ml), 25,000 unit/250 ml(100 unit/ml), 25,000 unit/500 ml (50 unit/ml)

1 PA

heparin (porcine) in nacl (pf)

1 PA

heparin flush 1

heparin flush(porcine)-0.9nacl

1

heparin lock flush 1

heparin lock flush (porcine)

1


heparin lockflush(porcine)(pf)

1

HEPARIN(PORCINE) IN 0.45% NACL INTRAVENOUS PARENTERAL SOLUTION 12,500 UNIT/250 ML

3

heparin(porcine) in 0.45% nacl intravenous parenteral solution 25,000 unit/250 ml, 25,000 unit/500 ml

1 PA

heparin, porcine (pf) 1

HUMATE-P 3 PA; LA

IPRIVASK 3 PA; QL

jantoven 1

KCENTRA 3 PA

KOATE 3 PA; LA

KOATE-DVI 3 PA; LA

KOGENATE FS 3 PA; LA

KOVALTRY 3 PA; LA

LOVENOX SUBCUTANEOUS SOLUTION

3 PA

LOVENOX SUBCUTANEOUS SYRINGE

3

MEPHYTON 2

MONOCLATE-P 3 PA; LA

monoject prefill (pf) 1

MONONINE 3 PA; LA

NOVOSEVEN RT 3 PA; LA

NPLATE 3 PA; LA

pentoxifylline 1



PERSANTINE 3

PHYTONADIONE (VITAMIN K1)

3 PA

PLAVIX 3

PRADAXA 3 QL

PROFILNINE 3 PA; LA

PROMACTA 3 PA; LA

protamine 1 PA

RECOMBINATE 3 PA; LA

RIASTAP 3 PA; LA

RIXUBIS 3 PA; LA

SAVAYSA 3

ticlopidine 1

tranexamic acid 1 PA

TRETTEN 3 PA; LA

vitamin k 1 PA

vitamin k1 1 PA

VONVENDI 3 PA; LA

warfarin 1

WILATE 3 PA; LA

XARELTO 2

XYNTHA 3 PA; LA

XYNTHA SOLOFUSE

3 PA; LA

ZONTIVITY 3 PA

Lipid/Cholesterol Lowering Agents ALTOPREV 3 ST

amlodipine-atorvastatin

1

ANTARA 3

atorvastatin 1

CADUET 3


cholestyramine (with sugar)

1

cholestyramine light 1

COLESTID 3

COLESTID FLAVORED

3

colestipol 1

CRESTOR 3

ezetimibe 1 QL

fenofibrate micronized

1

fenofibrate nanocrystallized

1

FENOFIBRATE ORAL CAPSULE

3

fenofibrate oral tablet

1

fenofibric acid 1

fenofibric acid (choline)

1

FENOGLIDE 3 ST

FIBRICOR 3 ST

fluvastatin 1

gemfibrozil 1

JUXTAPID 3 PA; QL

KYNAMRO 3 PA; LA

LESCOL 3

LESCOL XL 3

LIPITOR 3

LIPOFEN 3

LIVALO 3 ST; QL

LOFIBRA 3 ST

LOPID 3

lovastatin 1



LOVAZA 3 PA

niacin 1

NIACOR 3

NIASPAN EXTENDED-RELEASE

3

omega-3 acid ethyl esters

1 PA

PRALUENT PEN 2 PA; LA; QL

PRALUENT SYRINGE

2 PA; LA; QL

PRAVACHOL 3 ST

pravastatin 1

prevalite 1

QUESTRAN 3

QUESTRAN LIGHT

3

REPATHA PUSHTRONEX

2 PA; LA; QL

REPATHA SURECLICK

2 PA; LA; QL

REPATHA SYRINGE

2 PA; LA; QL

rosuvastatin 1

simvastatin 1

TRICOR 3

TRIGLIDE 3 ST

TRILIPIX 3

VASCEPA 3 PA

VYTORIN 10-10 3 ST

VYTORIN 10-20 3 ST

VYTORIN 10-40 3 ST

VYTORIN 10-80 3 ST

WELCHOL 2


ZETIA 3 QL

ZOCOR 3 ST

Miscellaneous Cardiovascular Agents

CORLANOR 3 PA; QL

ENTRESTO 2 PA

NATRECOR 3 PA

RANEXA 2

VECAMYL 3

Nitrates DILATRATE-SR 2

GONITRO 3

ISOCHRON 3

ISORDIL 3

ISORDIL TITRADOSE

3

isosorbide dinitrate 1

isosorbide mononitrate

1

MINITRAN 3

nitro-bid 1

NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.1 MG/HR, 0.2 MG/HR, 0.4 MG/HR, 0.6 MG/HR

3

NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.3 MG/HR, 0.8 MG/HR

2



nitroglycerin in 5 % dextrose intravenous solution 100 mg/250 ml (400 mcg/ml), 200 mg/500 ml (400 mcg/ml), 50 mg/250 ml (200 mcg/ml)

1 PA

nitroglycerin in 5 % dextrose intravenous solution 25 mg/250 ml (100 mcg/ml), 50 mg/500 ml (100 mcg/ml)

1

nitroglycerin intravenous

1 PA

nitroglycerin oral 1

nitroglycerin sublingual

1

nitroglycerin transdermal

1

nitroglycerin translingual

1

NITROLINGUAL 3

NITROMIST 3

NITRONAL 3 PA

NITROSTAT 3

nitro-time 1

Dermatologicals/Topical Therapy Antipsoriatic / Antiseborrheic acitretin 1

ANALPRAM-HC 3

calcipotriene 1 QL

calcipotriene-betamethasone

1 QL

calcitrene 1 QL

calcitriol 1 QL

COAL TAR 3


COSENTYX 2 PA; LA

COSENTYX (2 SYRINGES)

2 PA; LA

COSENTYX PEN 2 PA; LA

COSENTYX PEN (2 PENS)

2 PA; LA

DOVONEX 3 ST; QL

drithocreme hp 1

ENSTILAR 3 PA; QL

EPIFOAM 3

hydrocortisone-pramoxine

1

OVACE 3

OVACE PLUS SHAMPOO

3

OVACE PLUS TOPICAL CLEANSER,EXTENDED RELEASE

3

OVACE PLUS TOPICAL CREAM

3

OVACE PLUS TOPICAL FOAM

3 PA

OVACE PLUS TOPICAL LOTION

3

OVACE PLUS WASH

3

PRAMOSONE 3

PRAMOSONE E 3

PROMISEB COMPLETE

3

seb-prev 1

selenium sulfide 1

SELRX 3

SORIATANE 3



SORILUX 3 ST; QL

STELARA 2 PA; LA; QL

sulfacetamide sodium

1

TACLONEX 3 QL

TALTZ AUTOINJECTOR

3 PA; LA

TALTZ AUTOINJECTOR (2 PACK)

3 PA; LA

TALTZ AUTOINJECTOR (3 PACK)

3 PA; LA

TALTZ SYRINGE 3 PA; LA

TALTZ SYRINGE (2 PACK)

3 PA; LA

TALTZ SYRINGE (3 PACK)

3 PA; LA

TERSI FOAM 3

VECTICAL 3 QL

ZITHRANOL 3

ZITHRANOL-RR 3

Burn Therapy SILVADENE 3

silver sulfadiazine 1

ssd 1

thermazene 1

Keratolytics BENSAL HP 3

INOVA 4-1 3

INOVA 8-2 3

KERALYT RX 3

KERALYT SCALP COMPLETE

3


PODOCON 3

POTASSIUM HYDROXIDE

3

salacyn 1

SALEX 3

salicylic acid 1

salicylic acid er-ceramides

1

SALKERA 3

salvax 1

SALVAX DUO PLUS

3

ULTRASAL-ER 3

VIRASAL 3

Miscellaneous Dermatologicals 8-MOP 2

ALUVEA 3

ATOPICLAIR 3

ATRAPRO CP 3

avo cream 1

BIAFINE EMULSION

3

bp-50% urea 1

CARAC 3

cem-urea 1

CONDYLOX TOPICAL GEL

2

CONDYLOX TOPICAL SOLUTION

3

CORTANE-B 3

DERMASORB XM COMPLETE KIT

3

diclofenac sodium 1



doxepin 1 PA

EFUDEX 3

eletone 1

ELIDEL 3 QL

emulsion sb 1

EPICERAM 3

EUCRISA 3 PA

FLUOROPLEX 3

FLUOROURACIL TOPICAL CREAM 0.5 %

3

fluorouracil topical cream 5 %

1

fluorouracil topical solution

1

GORDONS UREA 3

hpr 1

hpr plus hydrogel 1

HPR PLUS-MB HYDROGEL

3

HYDRO 35 3

HYDRO 40 3

IODOFLEX 3

IODOSORB 3

KERAFOAM 3

KERALAC 3

lactic acid 1

lactic acid e 1

latrix 1

LEVULAN 3

LOUTREX 3

luxamend 1

mb hydrogel 1


mb hydrogel (cyclomethicone)

1

methoxsalen 1

NEOSALUS 3

OXSORALEN 3

OXSORALEN ULTRA

3

PANRETIN 3

PICATO 3 QL

podofilox 1

PRESERA 3

PROMISEB 3

PROTOPIC 3 QL

pruclair 1

prudoxin 1 PA

prumyx 1

prutect 1

QUTENZA 3 PA

rea lo 39 1

rea lo 40 1

REGRANEX 3 PA

remeven 1

RYNODERM 3

silver nitrate 1

silver nitrate applicators

1

SOLARAZE 3

sonafine 1

tacrolimus 1 QL

TOLAK 3

TROPAZONE LOTION

3

U-CORT 3



UMECTA TOPICAL EMULSION

3

umecta topical foam 1

URAMAXIN 3

urea 1

urea nail stick 1

urea-hyaluronate sodium

1

ure-k 1

UTOPIC 3

UVADEX 3 PA

VALCHLOR 3 PA; LA; QL

VEREGEN 3

XCLAIR 3

ZONALON 3 PA

Therapy For Acne ABSORICA 3 PA

ACANYA 3

ACZONE 3

adapalene topical cream

1

adapalene topical gel

1

adapalene topical gel with pump

1

ADAPALENE TOPICAL LOTION

3

amnesteem 1

ATRALIN 3

AVAR LS TOPICAL CLEANSER

3

AVAR LS TOPICAL FOAM

3 PA


AVAR LS TOPICAL PADS, MEDICATED

3

avar topical cleanser 1

AVAR TOPICAL FOAM

3 PA

AVAR TOPICAL PADS, MEDICATED

3

AVAR-E GREEN 3

AVAR-E LS 3

avita topical cream 1

AVITA TOPICAL GEL

3

AZELEX 2

BENZACLIN 3

BENZACLIN PUMP

3

BENZAMYCIN 3

BENZAMYCINPAK

2

BENZEFOAM 3

BENZEFOAM ULTRA

3

benzepro 1

BENZEPRO (MICROSPHERES)

3

benzoyl peroxide 1

bp 10-1 1

bpo 1

claravis 1

cleansing wash 1

CLEOCIN T 3

CLINDACIN ETZ 3

clindacin p 1



CLINDACIN PAC 3

CLINDAGEL 3


1

clindamycin-benzoyl peroxide

1

clindamycin-tretinoin

1

DIFFERIN 3

DUAC 3

EPIDUO 2

EPIDUO FORTE 3 PA

ery pads 1

erygel 1

erythromycin with ethanol

1

erythromycin-benzoyl peroxide

1

EVOCLIN 3

FABIOR 3

FINACEA 3

INOVA 3

METROCREAM 3

METROGEL 3

METROLOTION 3

metronidazole 1

MIRVASO 3

myorisan 1

neuac 1

NEUAC KIT 3

NORITATE 2

NUOX 3

ONEXTON 3 PA


PACNEX 3

PLEXION 3

PLEXION CLEANSING CLOTHS

3

PR BENZOYL PEROXIDE

3

RETIN-A 3

RETIN-A MICRO 3

RETIN-A MICRO PUMP

3

rosadan topical cream

1

rosadan topical gel 1

ROSADAN TOPICAL KIT, CLEANSER AND GEL

3

ROSADAN TOPICAL KIT,CLEANSER AND CREAM

3

ROSANIL 3

ROSULA 3 PA

rosula cleansing cloths

1 PA

SOOLANTRA 3

ss 10-2 1

sss 10-5 1

sulfacetamide sodium-sulfur

1

sulfacetamide sod-sulfur-urea

1

sulfacetamide-sulfur-cleansr23

1

sulfacleanse 8-4 1



sulfact na-sul-avobnz-otn-ocsa

1

SUMADAN 3

SUMADAN XLT 3

SUMAXIN 3

SUMAXIN CP 3

SUMAXIN TS 3

TAZORAC 3

tretinoin 1

tretinoin microspheres

1

TRETIN-X 3

TRETIN-X CREAM KIT

3 PA

VANOXIDE-HC 3

VELTIN 3

zenatane 1

zencia 1

ZIANA 3

Topical Anesthetics ANASTIA 3 PA

BUCALSEP 3

EMLA 3

ethyl chloride 1

glydo 1

lidocaine 1

lidocaine (pf) 1

lidocaine hcl injection solution

1

lidocaine hcl injection syringe

1 PA

lidocaine hcl laryngotracheal

1


lidocaine hcl mucous membrane

1

lidocaine hcl topical 1

lidocaine hcl-hydrocortison ac

1

lidocaine viscous 1

lidocaine-epinephrine

1 PA

lidocaine-prilocaine 1

LIDOCAINE-TETRACAINE

3

LIDODERM 3

lido-k 1

lidopin topical cream 3 %

1

LIDOPIN TOPICAL CREAM 3.25 %

3

LIDORX 3

LIDOVEX 3

lta pre-attached 1

NOVACORT (WITH ALOE)

3 PA

NUMBONEX 3 PA

PLIAGLIS 3

SYNERA 3

XYLOCAINE 3

XYLOCAINE-EPINEPHRINE

3 PA

XYLOCAINE-MPF 3

ZINGO 3 PA

Topical Antibacterials ALCORTIN A 3 PA

ALOQUIN 3 PA

ALTABAX 3



BACTROBAN 3

CENTANY 3

CENTANY AT 3

CORTISPORIN 2

DERMASORB AF COMPLETE KIT

3

dermazene 1

gentamicin 1

hydrocortisone-iodoquinol-aloe

1

iodoquinol-hc 1

KLARON 3

lugols 1

mupirocin 1

mupirocin calcium 1

NEO-SYNALAR 3

NEO-SYNALAR KIT

3

SILVRSTAT 3

sulfacetamide sodium (acne)

1

SULFAMYLON 3

VYTONE 3

Topical Antifungals ALA-QUIN 3

ciclodan 1

CICLODAN KIT 3

ciclopirox 1

ciclopirox-ure-camph-menth-euc

1

clotrimazole 1

clotrimazole-betamethasone

1


CNL 8 NAIL 3 PA

econazole 1

ECOZA 3 PA; QL

ERTACZO 3

EXELDERM 3

EXODERM 3

EXTINA 3

JUBLIA 3 PA

KERYDIN 3 PA

ketoconazole 1

LOPROX 3

LOPROX (AS OLAMINE)

3

LOTRISONE 3

LUZU 3 PA; QL

MENTAX 3

naftifine 1

NAFTIN 3

NIZORAL 3

nyamyc 1

nyata 1

NYATA (WITH CURATIN)

3

nystatin 1

nystatin-triamcinolone

1

nystop 1

oxiconazole 1

OXISTAT 3

PEDIADERM AF 3

PENLAC 3

TRIACETIN 3

TRIPLE DYE 3



VUSION 3 PA; QL

XOLEGEL 3

Topical Antivirals acyclovir 1

DENAVIR 3

XERESE 3

ZOVIRAX 3

Topical Corticosteroids ala-cort 1

ALA-SCALP 3

alclometasone 1

amcinonide 1

ANUSOL-HC 3

apexicon e 1

AQUA GLYCOLIC HC

3

betamethasone dipropionate

1

betamethasone valerate

1

betamethasone, augmented

1

CAPEX 3

clobetasol scalp 1 PA

clobetasol topical cream

1 PA

clobetasol topical foam

1 PA; QL

clobetasol topical gel

1 PA

clobetasol topical lotion

1 PA

clobetasol topical ointment

1 PA


clobetasol topical shampoo

1 PA

clobetasol topical spray,non-aerosol

1 PA

clobetasol-emollient topical cream

1 PA

clobetasol-emollient topical foam

1 PA; QL

CLOBEX 3 PA

CLOCORTOLONE PIVALATE

3 PA

clodan 1 PA

CLODAN KIT 3

CLODERM 3 PA

CORDRAN 3 PA

CORDRAN TAPE LARGE ROLL

3 PA; QL

cormax 1 PA

CUTIVATE 3

DERMA-SMOOTHE/FS BODY OIL

3

DERMA-SMOOTHE/FS SCALP OIL

3

DERMASORB HC COMPLETE KIT

3

DERMASORB TA COMPLETE KIT

3

DERMATOP 3

DESONATE 3

desonide 1

DESOWEN 3

desoximetasone 1

diflorasone 1



DIPROLENE 3

DIPROLENE AF 3

ELOCON 3

fluocinolone 1

fluocinolone and shower cap

1

fluocinonide 1

fluocinonide-e 1

flurandrenolide 1

fluticasone 1

halobetasol propionate

1

HALOG 3

hydrocortisone 1

hydrocortisone butyrate

1

hydrocortisone butyr-emollient

1

hydrocortisone valerate

1

hydrocortisone-min oil-wht pet

1

KENALOG 3

LOCOID 3

LOCOID LIPOCREAM

3

LUXIQ 3

mometasone 1

NUCORT 3

OLUX 3 PA; QL

OLUX-E 3 PA; QL

PANDEL 3

PEDIADERM HC 3

PEDIADERM TA 3


prednicarbate 1

PROCTOCORT 3

PSORCON 3 PA

scalacort 1

SCALACORT DK 3

SYNALAR 3

SYNALAR CREAM KIT

3

SYNALAR OINTMENT KIT

3

SYNALAR TS 3

TEMOVATE 3

TEXACORT 3

TOPICORT TOPICAL CREAM

3

TOPICORT TOPICAL GEL

3

TOPICORT TOPICAL OINTMENT

3

TOPICORT TOPICAL SPRAY,NON-AEROSOL

2

triamcinolone acetonide

1

trianex 1

triderm 1

TRIDESILON 3

ULTRAVATE 3

ULTRAVATE X 3

VANOS 3 ST

VERDESO 3 ST

Topical Enzymes SANTYL 3



Topical Scabicides / Pediculicides ELIMITE 3

EURAX 2

lindane 1

malathion 1

NATROBA 3

OVIDE 3

permethrin 1

SKLICE 3

spinosad 1

ULESFIA 3

Diagnostics & Miscellaneous Agents Antidotes ATROPEN 3 PA

DUODOTE 3

Irrigating Solutions lactated ringers 1

neomycin-polymyxin b gu

1 PA

NEOSPORIN GU IRRIGANT

3

PHYSIOLYTE 3

PHYSIOSOL IRRIGATION

3

ringers 1

SORBITOL 3

SORBITOL-MANNITOL

3

tis-u-sol pentalyte 1

VASHE WOUND THERAPY

3

Miscellaneous Agents acamprosate 1


acetic acid 1

ACTONEL 3

ADAGEN 3 PA

AGRYLIN 3

alendronate 1

AMPHADASE 3 PA

anagrelide 1

ANTABUSE 3

ARALAST NP 3 PA; LA

bd posiflush saline blunt cann

1

bd pre-filled normal saline

1

BUPHENYL 3 PA

caffeine citrate 1

CARBAGLU 3 LA

CARNITOR (SUGAR-FREE)

3

CARNITOR INTRAVENOUS

3 PA

CARNITOR ORAL 3

cevimeline 1

CHEMET 3

disulfiram 1

etidronate disodium 1

EVOXAC 3

EXJADE 3 PA; LA

FERRIPROX 3

FERRLECIT 3 PA

GLASSIA 3 PA; LA

HYLENEX 3 PA

ic green 1

INCRELEX 3 PA; LA



indocyanine green 1

INFASURF 3

JADENU 3 PA

levocarnitine (with sugar)

1

levocarnitine intravenous

1 PA

levocarnitine oral 1

LIPOCHOL PLUS 3

LITHOSTAT 3

METOPIRONE 3

midodrine 1

monoject 0.9% sodium chloride

1

monoject prefill advanced ns

1 PA

monoject prefill saline flush

1

normal saline flush 1

NORTHERA 3 LA; QL

NUTRESTORE 3

ORFADIN 3 PA

pilocarpine hcl 1

PROLASTIN-C 3 PA

RADIOGARDASE 3

RAVICTI 3 PA; LA

RECLAST 3 PA; LA

RILUTEK 3

riluzole 1

risedronate 1

SALAGEN (PILOCARPINE)

3

SINOGRAFIN 3


sodium chlor 0.9% bacteriostat

1

sodium chloride 0.9 % injection solution

1

sodium chloride 0.9 % injection syringe

1

SODIUM CHLORIDE 0.9 % INJECTION SYRINGE, WITH SWAB CAP

3 PA

sodium chloride 0.9 % intravenous

1

sodium ferric gluconat-sucrose

1 PA

sodium phenylbutyrate

1 PA

SOLIRIS 3 PA; LA

SURVANTA 3

SWABFLUSH 3 PA

SYPRINE 3

syrex sodium chloride 0.9%

1

THIOLA 3

water for irrigation, sterile

1

XURIDEN 3 PA; LA

ZEMAIRA 3 PA; LA

ZOLEDRONIC ACID-MANNITOL-WATER INTRAVENOUS PIGGYBACK

3 LA

zoledronic acid-mannitol-water intravenous solution

1 PA; LA

Smoking Deterrents



buproban 0 ACA

bupropion hcl (smoking deter)

0 ACA

CHANTIX 0 ACA

CHANTIX CONTINUING MONTH BOX

0 ACA

CHANTIX STARTING MONTH BOX

0 ACA

NICODERM CQ 0 ACA; OTC

nicorelief 0 ACA; OTC

nicorette buccal gum 0 ACA; OTC

NICORETTE BUCCAL LOZENGE

0 ACA; OTC

nicotine 0 ACA; OTC

nicotine (polacrilex) 0 ACA; OTC

NICOTROL 0 ACA

NICOTROL NS 0 ACA

nts step 1 0 ACA; OTC

quit 2 buccal gum 0 ACA; OTC

QUIT 2 BUCCAL LOZENGE

0 ACA; OTC

quit 4 buccal gum 0 ACA; OTC

QUIT 4 BUCCAL LOZENGE

0 ACA; OTC

stop smoking aid 0 ACA; OTC

ZYBAN 3

Ear, Nose & Throat Medications Miscellaneous Agents ASTEPRO 3

ATROVENT 3

azelastine 1


BACTROBAN NASAL

3

CLINPRO 5000 3

DEBACTEROL 3

denta 5000 plus 1

dentagel 1

EPISIL 3

fluoridex daily defense

1

FLUORIDEX SENSITIVITY RELIEF

3

GELCLAIR 3

GELX 3

ipratropium bromide 1

MUCOTROL 3

MUGARD 3

olopatadine 1 ST

oralone 1

ORAMAGICRX 3

PATANASE 3 ST

pilocarpine hcl 1

PREVIDENT 3

PREVIDENT 5000 BOOSTER PLUS

3

PREVIDENT 5000 DRY MOUTH

3

PREVIDENT 5000 ENAMEL PROTECT

3

PREVIDENT 5000 PLUS

3

PREVIDENT 5000 SENSITIVE

3

Q-CARE RX Q4 3



SALAGEN (PILOCARPINE)

3

sf 1

sf 5000 plus 1

sodium fluoride 1


1

TYZINE 3

Miscellaneous Otic Preparations acetasol hc 1

acetic acid 1

acetic acid-aluminum acetate

1

CETRAXAL 3

ciprofloxacin hcl 1

DERMOTIC OIL 3

floxin 1

fluocinolone acetonide oil

1

hydrocortisone-acetic acid

1

ofloxacin 1

Otic Steroid / Antibiotic CIPRO HC 3

CIPRODEX 3

COLY-MYCIN S 3

CORTISPORIN-TC 3

neomycin-polymyxin-hc

1

OTOVEL 3

Endocrine/Diabetes Adrenal Hormones ACTHAR H.P. 3 PA; LA; QL


betamethasone acet,sod phos

1

CELESTONE SOLUSPAN

3

CORTEF 3

cortisone 1

CORTROSYN 3 PA

cosyntropin 1 PA

deltasone 1

DEPO-MEDROL 3

dexamethasone 1

dexamethasone intensol

1

dexamethasone sodium phos (pf)

1

dexamethasone sodium phosphate

1

DEXPAK 10 DAY 2

DEXPAK 13 DAY 2

DEXPAK 6 DAY 2

fludrocortisone 1

hydrocortisone 1

KENALOG 3

MEDROL (PAK) 3

MEDROL ORAL TABLET 16 MG, 32 MG, 4 MG, 8 MG

3

MEDROL ORAL TABLET 2 MG

2

methylprednisolone 1

methylprednisolone acetate

1

millipred dp 1

MILLIPRED ORAL SOLUTION

3



millipred oral tablet 1

ORAPRED ODT 3

PEDIAPRED 3

prednisolone 1

prednisolone sodium phosphate

1

prednisone 1

prednisone intensol 1

RAYOS 3


1

TRIESENCE (PF) 3

veripred 20 1

Antithyroid Agents methimazole 1

propylthiouracil 1

SSKI 3

TAPAZOLE 3

Blood Glucose Monitoring Devices & Supplies

ACCU-CHEK AVIVA

2 OTC; QL

ACCU-CHEK AVIVA PLUS TEST STRP

2 OTC; QL

ACCU-CHEK COMPACT TEST

2 OTC; QL

ACCU-CHEK GUIDE

2 OTC

ACCU-CHEK SMARTVIEW TEST STRIP

2 OTC; QL

ACCUTREND GLUCOSE

2 OTC; QL


ADVANCED GLUC METER TEST STRIP

3 ST; OTC

ADVOCATE REDI-CODE

3 ST; OTC; QL

ADVOCATE TEST STRIPS

3 ST; OTC; QL

AGAMATRIX AMP TEST STRIPS

3 ST; OTC

ASSURE 4 STRIPS 3 ST; OTC; QL

ASSURE PLATINUM

3 ST; OTC; QL

ASSURE PRISM MULTI STRIP

3 ST; OTC

BG-STAR 3 ST; OTC; QL

BIONIME RIGHTEST TEST STRIPS

3 ST; OTC; QL

BLOOD GLUCOSE TEST

3 ST; OTC; QL

BREEZE 2 TEST STRIPS

3 ST; OTC; QL

CARESENS N TEST STRIPS

3 ST; OTC

CLEVER CHOICE MICRO TEST STRIP

3 ST; OTC; QL

CLEVER CHOICE PRO

3 ST; OTC; QL

CLEVER CHOICE TEST STRIPS

3 ST; OTC; QL

CLEVER CHOICE VOICE+ TEST

3 ST; OTC; QL

CONTOUR NEXT STRIPS

3 ST; OTC; QL

CONTOUR TEST STRIPS

3 ST; OTC; QL



CONTROL AST TEST

3 ST; OTC; QL

DIATRUE PLUS TEST STRIP

3 ST; OTC

EASY PLUS II TEST

3 ST; OTC

EASY STEP 3 ST; OTC

EASY TALK GLUCOSE TEST

3 ST; OTC; QL

EASY TOUCH TEST STRIP

3 ST; OTC; QL

EASY TRAK GLUCOSE TEST

3 ST; OTC; QL

EASYGLUCO PLUS

3 ST; OTC

EASYGLUCO TEST

3 ST; OTC; QL

EASYMAX 3 ST; OTC; QL

ELEMENT COMPACT TEST STRIPS

3 ST; OTC

ELEMENT TEST STRIPS

3 ST; OTC; QL

EMBRACE BLOOD GLUCOSE SYSTEM

3 ST; OTC; QL

EMBRACE EVO TEST STRIPS

3 ST; OTC

EMBRACE PRO TEST STRIPS

3 ST; OTC

EVENCARE G2 3 ST; OTC; QL

EVENCARE G3 TEST

3 ST; OTC; QL

EVOLUTION TEST STRIPS

3 ST; OTC; QL

EZ SMART PLUS TEST

3 ST; OTC; QL


EZ SMART TEST 3 ST; OTC; QL

FIFTY50 TEST STRIP

3 ST; OTC; QL

FORA D15G 3 ST; OTC; QL

FORA D20 3 ST; OTC; QL

FORA D40-G31 TEST STRIPS

3 PA; OTC; QL

FORA G20 3 ST; OTC; QL

FORA G30A 3 ST; OTC; QL

FORA GD50 TEST STRIPS

3 ST; OTC

FORA TEST STRIP 3 ST; OTC; QL

FORA TN'G VOICE TEST STRIPS

3 PA; OTC

FORA V10 3 ST; OTC

FORA V10-V12-D10-D20 STRIPS

3 ST; OTC

FORA V12 GLUCOSE

3 ST; OTC

FORA V20 3 ST; OTC; QL

FORACARE GD20 3 ST; OTC; QL

FORACARE GD40 3 ST; OTC; QL

FORTISCARE GLUCOSE TEST STRIPS

3 ST; OTC

FREESTYLE INSULINX

2 OTC; QL

FREESTYLE INSULINX TEST STRIPS

2 OTC; QL

FREESTYLE LITE STRIPS

2 OTC; QL

FREESTYLE PRECISION NEO STRIPS

2 OTC

FREESTYLE TEST 2 OTC; QL



GE100 BLOOD GLUCOSE TEST STRIP

3 ST; OTC; QL

GENSTRIP TEST STRIP

3 PA; OTC

GLUCO NAVII TEST STRIP

3 ST; OTC

GLUCOCARD 01 SENSOR PLUS

3 ST; OTC

GLUCOCARD EXPRESSION

3 ST; OTC; QL

GLUCOCARD SHINE TEST STRIPS

3 ST; OTC

GLUCOCARD VITAL SENSOR

3 PA; OTC; QL

GLUCOCARD VITAL TEST STRIPS

3 ST; OTC; QL

GLUCOCOM GLUCOSE

3 ST; OTC; QL

GM100 3 ST; OTC; QL

GMATE TEST STRIPS

3 ST; OTC

HEALTHPRO TEST STRIPS

3 ST; OTC

INFINITY TEST STRIPS

3 ST; OTC; QL

LIBERTY TEST 3 ST; OTC; QL

MICRO BLOOD GLUCOSE

3 ST; OTC

MICRODOT BLOOD GLUCOSE SYSTEM

3 ST; OTC; QL

MYGLUCOHEALTH

3 ST; OTC; QL

NEUTEK 2TEK TEST STRIPS

3 ST; OTC; QL


NOVA MAX GLUCOSE TEST

3 ST; OTC; QL

ON CALL EXPRESS TEST STRIP

3 ST; OTC

ON CALL PLUS TEST STRIP

3 ST; OTC; QL

ON CALL VIVID TEST STRIP

3 ST; OTC; QL

ONETOUCH ULTRA TEST

3 ST; OTC; QL

ONETOUCH VERIO

3 ST; OTC; QL

OPTIUM EZ 3 OTC; QL

OPTIUM TEST 3 OTC; QL

OPTUMRX 3 ST; OTC

PHARMACIST CHOICE

3 ST; OTC; QL

PRECISION PCX PLUS TEST

2 OTC; QL

PRECISION PCX TEST

2 OTC; QL

PRECISION POINT OF CARE TEST

2 OTC; QL

PRECISION Q-I-D TEST

2 OTC; QL

PRECISION XTRA TEST

2 OTC; QL

PREMIUM V10 3 ST; OTC; QL

PRODIGY NO CODING

3 ST; OTC; QL

QUINTET AC 3 ST; OTC

REFUAH PLUS 3 ST; OTC; QL

RELION CONFIRM-MICRO

3 ST; OTC; QL

RELION PRIME TEST STRIPS

3 ST; OTC; QL



REVEAL TEST STRIP

3 ST; OTC; QL

RIGHTEST GS550 TEST STRIPS

3 ST; OTC; QL

SMART SENSE TEST STRIPS

3 ST; OTC

SMARTEST TEST 3 ST; OTC; QL

SOLUS V2 TEST STRIPS

3 ST; OTC; QL

SURE-TEST EASYPLUS MINI

3 ST; OTC; QL

TELCARE TEST STRIPS

3 ST; OTC; QL

TEST N'GO TEST 3 ST; OTC

TRUE METRIX GLUCOSE TEST STRIP

3 ST; OTC

TRUETEST TEST STRIPS

3 ST; OTC

TRUETRACK SMART SYSTEM

3 ST; OTC

TRUETRACK TEST

3 ST; OTC; QL

ULTIMA TEST STRIPS

3 ST; OTC

ULTRATRAK 3 ST; OTC

ULTRATRAK ULTIMATE

3 ST; OTC; QL

UNISTRIP1 TEST STRIP

3 ST; OTC

WAVESENSE JAZZ

3 ST; OTC

WAVESENSE PRESTO

3 ST; OTC; QL

Diabetes, Supplies, & Durable Medical Equipment


ACE AEROSOL CLOUD ENHANCER

3

AEROCHAMBER MINI

3

AEROCHAMBER PLUS FLOW-VU

3

AEROCHAMBER PLUS Z STAT SM MSK

3

AEROTRACH PLUS

3

AEROVENT PLUS 3

BREATHERITE WITH MASK, SMALL

3

CLEVER CHOICE CHAMBER-SM MASK

3

COMPACT SPACE CHAMBER-LRG MASK

3

EASIVENT HOLDING CHAMBER

3

E-Z SPACER 3

FLEXICHAMBER 3

GLUCAGEN DIAGNOSTIC KIT

3 QL

GLUCAGON HCL 3 QL

INSPIRACHAMBER WITH MASK-LARGE

3

INSULIN SYRINGE-NEEDLE U-100

2

LITEAIRE MDI CHAMBER

3



MICROCHAMBER 3

MICROSPACER 3

OPTICHAMBER DIAMOND LG MASK

3

POCKET CHAMBER

3

PRIMEAIRE 3

PROCHAMBER 3

RITEFLO AEROCHAMBER

3

SOLIQUA 100/33 3 PA

VORTEX HOLDING CHAMBER CHILD

3

VORTEX VHC FROG MASK-CHILD

3

VORTEX VHC LADYBUG MASK-TODDLR

3

Glucose Elevating Agents GLUCAGEN HYPOKIT

3 QL

GLUCAGON EMERGENCY KIT (HUMAN)

2 QL

PROGLYCEM 3

Insulin Syringes/Miscellaneous Durable Medical Equ

ACCU-CHEK AVIVA CONNECT METER

0 OTC

ACCU-CHEK AVIVA PLUS METER

0 OTC


ACCU-CHEK COMBO SYSTEM

0

ACCU-CHEK GUIDE GLUCOSE METER

0 OTC

ACCU-CHEK NANO

0 OTC

ACCU-CHEK SMARTVIEW CONTRL SOL

3 OTC

ACCUTREND GLUCOSE CONTROL

3 OTC

ADVANCED GLUCOSE METER

3 OTC

ADVOCATE BLOOD GLUCOSE MONITOR

3 OTC

ADVOCATE REDI-CODE GLU MONITOR

3 OTC

AGAMATRIX AMP GLUC MONITOR SYS

3 OTC

ASSURE PLATINUM

3 OTC

ASSURE PRISM MULTI METER

3 OTC

AUTOJECT 2 INJECTION DEVICE

2 OTC

AUTOPEN 1 TO 21 UNITS

2 OTC

BIONIME RIGHTEST GM300 SYSTEM

3 OTC

BLOOD-GLUCOSE METER

3 OTC

CARESENS N 3 OTC



CARESENS N VOICE

3 OTC

CLEVER CHEK BLOOD GLUCOSE

3 OTC

CLEVER CHOICE GLUCOSE MONITOR

3 OTC

CLEVER CHOICE MICRO

3 OTC

CLEVER CHOICE PRO

3 OTC

CONTOUR LINK 3 PA; OTC

CONTOUR NEXT EZ METER

3 PA; OTC

CONTOUR NEXT METER

3 PA; OTC

CONTOUR NEXT USB METER

3 PA; OTC

CONTROL AST MONITORING SYSTEM

3 OTC

DIATRUE PLUS BLOOD GLUCOSE MET

3 PA; OTC

EASY PLUS II BLOOD GLUCOSE MET

3 OTC

EASY STEP BLOOD GLUCOSE METER

3 OTC

EASY TALK BLOOD GLUCOSE METER

3 OTC

EASY TOUCH GLUCOSE MONITOR

3 OTC

EASY TRAK BLOOD GLUCOSE METER

3 OTC


EASYGLUCO MONITORING SYSTEM

3 OTC; QL

EASYGLUCO PLUS

3 OTC

EASYMAX L BLOOD GLUCOSE METER

3 OTC

EASYMAX NG 3 OTC

EASYMAX V SPEAKING GLUCOSE SYS

3 OTC

EASYMAX V2 BLOOD GLUCOSE METER

3 OTC

ELEMENT COMPACT GLUCOSE METER

3 OTC

ELEMENT COMPACT V GLUCOSE MTR

3 OTC

ELEMENT PLUS BLOOD GLUCOSE KIT

3 OTC

EMBRACE BLOOD GLUCOSE SYSTEM

3 OTC

EMBRACE PRO GLUCOSE METER

3 OTC

ENLITE SYSTEM 3

EVENCARE G2 3 OTC

EVENCARE G3 GLUCOSE METER

3 OTC

EVOLUTION BLOOD GLUCOSE METER

3 OTC

EZ SMART PLUS SYSTEM

3 OTC



EZ SMART SYSTEM

3 OTC

FORA D20 3 OTC

FORA G20 3 OTC

FORA G30A 3 OTC

FORA GD50 BLOOD GLUCOSE SYSTEM

3 OTC

FORA PREMIUM V10 GLUCOSE METER

3 OTC

FORA TEST N'GO VOICE METER

3 OTC

FORA TN'G VOICE METER

3 OTC

FORA V10 3 OTC

FORA V12 BLOOD GLUCOSE SYSTEM

3 OTC

FORA V20 3 OTC

FORA V30A 3 OTC

FORACARE GD20 GLUCOSE METER

3 OTC

FORACARE GD40A GLUCOSE METER

3 OTC

FORACARE GD40B GLUCOSE METER

3 OTC

FORTISCARE BLOOD GLUCOSE SYST

3 OTC

FREESTYLE FLASH SYSTEM

0 OTC

FREESTYLE FREEDOM

0 OTC

FREESTYLE FREEDOM LITE

0 OTC


FREESTYLE INSULINX

0 OTC

FREESTYLE LITE METER

0 OTC

FREESTYLE PRECISION NEO METER

0 OTC

FREESTYLE SIDEKICK II

0 OTC

FREESTYLE SYSTEM KIT

0 OTC

GE100 BLOOD GLUCOSE SYSTEM

3 OTC

GLUCO NAVII GLUCOSE MONITOR

3 OTC

GLUCOCARD 01 METER

3 OTC

GLUCOCARD EXPRESSION

3 OTC

GLUCOCARD SHINE METER

3 OTC

GLUCOCARD VITAL

3 OTC

GLUCOCOM BLOOD GLUCOSE

3 OTC

GM100 3 OTC

GMATE SMART METER

3 OTC

GMATE SMART STARTER

3 OTC

GMATE VOICE METER

3 OTC

HEALTHPRO GLUCOSE MONITOR

3 OTC



HUMAPEN LUXURA HD

3

INFINITY STARTER KIT

3 OTC

JAZZ WIRELESS 2 METER KIT

3 OTC

LANCETS 2 OTC

MICRODOT BLOOD GLUCOSE SYSTEM

3 OTC

MYGLUCOHEALTH

3 OTC

NOVA MAX BLOOD GLUCOSE METER

3 OTC

NOVOPEN ECHO 3

ON CALL EXPRESS METER

3 OTC

ON CALL PLUS METER

3 OTC

ON CALL VIVID METER

3 OTC

ON CALL VIVID PAL METER

3 OTC

ONETOUCH ULTRA2

3 PA; OTC

ONETOUCH ULTRAMINI

3 PA; OTC

ONETOUCH VERIO FLEX

3 PA; OTC

ONETOUCH VERIO IQ METER

3 PA; OTC

ONETOUCH VERIO SYNC

3 PA; OTC

ONETOUCH VERIO SYSTEM

3 PA; OTC

OPTUMRX 3 OTC


PEN NEEDLE 2 OTC

PHARMACIST CHOICE GLUCOSE SYS

3 OTC

PRECISION XTRA MONITOR

0 OTC

PREMIUM BLOOD GLUCOSE MONITOR

3 OTC

PREMIUM V10 3 OTC

PRESTO PRO BLOOD GLUCOSE METER

3 OTC

PRODIGY AUTOCODE METER

3 OTC

PRODIGY AUTOCODE MONITOR SYST

3 OTC

PRODIGY POCKET METER

3 OTC

PRODIGY VOICE GLUCOSE METER

3 OTC

QUINTET BLOOD GLUCOSE METER

3 OTC

REFUAH PLUS GLUCOSE MONITOR

3 OTC; QL

RELION ALL-IN-ONE METER

3 OTC; QL

RELION CONFIRM 3 OTC

RELION MICRO GLUCOSE MONITOR

3 OTC

RELION PRIME METER

3 OTC

REVEAL BLOOD GLUCOSE METER

3 OTC



RIGHTEST GM550 SYSTEM

3 OTC

SMART SENSE MONITORING SYSTEM

3 OTC

SMARTEST EJECT 3 OTC

SMARTEST PERSONA STARTER

3 OTC

SMARTEST PRONTO STARTER

3 OTC

SMARTEST PROTEGE

3 OTC

SNAP INSULIN PUMP CONTROLLER

3

SNAP INSULIN PUMP-INFUSION SET

3

SOLUS V2 AUDIBLE METER

3 OTC

SURE-TEST EASYPLUS MINI METER

3 OTC

T:SLIM 2

T:SLIM G4 3

TELCARE BGM 3 OTC

TELCARE BLOOD GLUCOSE KIT

3 OTC

TEST N'GO BLOOD GLUCOSE SYSTEM

3 OTC

TRUE METRIX GLUCOSE METER

3 PA; OTC

TRUE METRIX GO GLUCOSE METER

3 PA; OTC


TRUE2GO BLOOD GLUCOSE SYSTEM

3 PA; OTC

TRUERESULT BLOOD GLUCOSE SYSTM

3 PA; OTC

TRUETRACK BLOOD GLUCOSE SYSTEM

3 PA; OTC

TRUETRACK SMART SYSTEM

3 PA; OTC

ULTRATRAK GLUCOSE METER

3 OTC

ULTRATRAK ULTIMATE

3 OTC

VGO 20 3

VGO 30 3

VGO 40 3

WAVESENSE AMP 3 OTC

WAVESENSE PRESTO

3 OTC

Insulin Therapy AFREZZA 3 PA

APIDRA 3 PA

APIDRA SOLOSTAR

3 PA

BASAGLAR KWIKPEN

3

HUMALOG 2

HUMALOG KWIKPEN

2

HUMALOG MIX 50-50

2

HUMALOG MIX 50-50 KWIKPEN

2

HUMALOG MIX 75-25

2



HUMALOG MIX 75-25 KWIKPEN

2

HUMULIN 70/30 2

HUMULIN 70/30 KWIKPEN

2

HUMULIN N 2

HUMULIN N KWIKPEN

2

HUMULIN R U-100 2

HUMULIN R U-500 (CONC) KWIKPEN

2

HUMULIN R U-500 (CONCENTRATED)

2

LANTUS 2

LANTUS SOLOSTAR

2

LEVEMIR 2

LEVEMIR FLEXTOUCH

2

NOVOLOG 3 PA

NOVOLOG FLEXPEN

3 PA

NOVOLOG MIX 70-30

3 PA

NOVOLOG MIX 70-30 FLEXPEN

3 PA

NOVOLOG PENFILL

3 PA

RELION NOVOLIN 70/30

3 PA

RELION NOVOLIN N

3 PA

RELION NOVOLIN R

3 PA

TOUJEO SOLOSTAR

2


TRESIBA FLEXTOUCH U-100

2

TRESIBA FLEXTOUCH U-200

2

Miscellaneous Hormones ACTHREL 3 PA

ALDURAZYME 3 PA; LA

ANADROL-50 3 PA

ANDRODERM 3 ST; QL

ANDROGEL TRANSDERMAL GEL IN METERED-DOSE PUMP 12.5 MG/ 1.25 GRAM (1 %)

3 PA; QL

ANDROGEL TRANSDERMAL GEL IN METERED-DOSE PUMP 20.25 MG/1.25 GRAM (1.62 %)

2 PA; QL

ANDROGEL TRANSDERMAL GEL IN PACKET 1 % (25 MG/2.5GRAM), 1 % (50 MG/5 GRAM)

3 PA; QL

ANDROGEL TRANSDERMAL GEL IN PACKET 1.62 % (20.25 MG/1.25 GRAM), 1.62 % (40.5 MG/2.5 GRAM)

2 PA; QL

ANDROID 3 QL

androxy 1 QL



AVEED 3 PA

AXIRON 3 ST

BRAVELLE 2 PA; LA

cabergoline 1

calcitonin (salmon) 1

calcitriol intravenous

1 PA

calcitriol oral 1

CERDELGA 3 PA; LA

CEREZYME 3 PA

CETROTIDE 3 PA; LA

CHORIONIC GONADOTROPIN, HUMAN

3 QL

clomiphene citrate 1

danazol 1

DDAVP NASAL AEROSOL,SPRAY

3

DDAVP NASAL SOLUTION

2

DDAVP ORAL 3

DEPO-TESTOSTERONE

3

desmopressin 1

doxercalciferol intravenous

1 PA

doxercalciferol oral 1

ELAPRASE 3 PA; LA

ELELYSO 3 PA

FABRAZYME 3 PA; LA

FOLLISTIM AQ 2 PA; LA

FORTESTA 3 ST

fortical 1

GANIRELIX 2 PA; LA


GONAL-F 3 PA; LA

GONAL-F RFF 3 PA; LA

GONAL-F RFF REDI-JECT

3 PA; LA

HECTOROL INTRAVENOUS

3 PA

HECTOROL ORAL 3

KORLYM 3 PA

KUVAN 3 PA; LA

LUMIZYME 3 PA; LA

MENOPUR 2 PA; LA

METHITEST 3 QL

methyltestosterone 1 QL

MIACALCIN 3

MYALEPT 3 PA; LA

NAGLAZYME 3 PA; LA

NATESTO 3 ST

NATPARA 3 PA; LA

NOVAREL 3 QL

OVIDREL 3

OXANDRIN 3 PA

oxandrolone 1 PA

pamidronate 1 PA; LA

PARICALCITOL HEMODIALYSIS PORT INJECTION

3 PA

paricalcitol intravenous

1 PA

paricalcitol oral 1

PREGNYL 3 QL

RAYALDEE 3 PA

ROCALTROL 3

SAMSCA 3 PA; LA



SENSIPAR 3

SOMAVERT 3 PA; LA

STIMATE 3

STRENSIQ 3 PA

STRIANT 3 ST; QL

SYNAREL 2 PA

TESTIM 3 ST; QL

TESTONE CIK 3

TESTOPEL 3 ST; LA

testosterone cypionate

1

testosterone enanthate

1

TESTOSTERONE TRANSDERMAL GEL

3 PA; QL

TESTOSTERONE TRANSDERMAL GEL IN METERED-DOSE PUMP 10 MG/0.5 GRAM /ACTUATION

3 ST

testosterone transdermal gel in metered-dose pump 12.5 mg/ 1.25 gram (1 %)

1 PA; QL

testosterone transdermal gel in packet

1 ST; QL

TESTRED 3 QL

VASOSTRICT 3 PA

VIMIZIM 3 PA; LA

VOGELXO 3 ST; QL

VPRIV 3 PA; LA

ZAVESCA 3 PA; LA


ZEMPLAR INTRAVENOUS

3 PA

ZEMPLAR ORAL 3

zoledronic acid 1 PA

ZOLEDRONIC ACID-MANNITOL-WATER

3 LA

ZOMETA 3 PA; LA

Non-Insulin Hypoglycemic Agents acarbose 1

ACTOPLUS MET 3 QL

ACTOPLUS MET XR

3 ST; QL

ACTOS 3 QL

ADLYXIN 3 ST

AMARYL 3

AVANDIA 3 ST; QL

BYDUREON 2 ST; QL

BYETTA 2 ST; QL

chlorpropamide 1

CYCLOSET 3

DIABETA 3

DUETACT 3 ST

FARXIGA 3 ST

FORTAMET 3 PA

glimepiride 1

glipizide 1

glipizide-metformin 1

GLUCOPHAGE 3

GLUCOPHAGE XR 3

GLUCOTROL 3

GLUCOTROL XL 3

GLUCOVANCE 3



GLUMETZA 3 PA

glyburide 1

glyburide micronized

1

glyburide-metformin 1

GLYNASE 3

GLYSET 3

GLYXAMBI 3 PA

INVOKAMET 2 ST

INVOKAMET XR 2 ST

INVOKANA 2 ST

JANUMET 2

JANUMET XR 2

JANUVIA 2

JARDIANCE 2 ST

JENTADUETO 2

JENTADUETO XR 2

KAZANO 3 ST

KOMBIGLYZE XR 3 ST

metformin oral tablet

1

metformin oral tablet extended release 24 hr

1

metformin oral tablet extended release 24hr

1 PA

metformin oral tablet,er gast.retention 24 hr

1 PA

miglitol 1

nateglinide 1

NESINA 3 ST

ONGLYZA 3 ST


OSENI 3 ST

pioglitazone 1 QL

pioglitazone-glimepiride

1 ST

pioglitazone-metformin

1 QL

PRANDIN 3

PRECOSE 3

repaglinide 1

repaglinide-metformin

1

RIOMET 3

STARLIX 3

SYMLINPEN 120 3 ST; QL

SYMLINPEN 60 3 ST; QL

SYNJARDY 2 ST

TANZEUM 3 PA

tolazamide 1

tolbutamide 1

TRADJENTA 2

TRULICITY 3 PA

VICTOZA 2-PAK 2 ST; QL

VICTOZA 3-PAK 2 ST; QL

XIGDUO XR 3 ST

Thyroid Hormones ARMOUR THYROID

2

CYTOMEL 3

LEVO-T 3

LEVOTHYROXINE INTRAVENOUS RECON SOLN 100 MCG

3 PA



levothyroxine intravenous recon soln 200 mcg, 500 mcg

1 PA

levothyroxine oral 1

levoxyl 1

liothyronine intravenous

1 PA

liothyronine oral 1

nature-throid 1

np thyroid 1

SYNTHROID 3

THYROLAR-1 2

THYROLAR-1/2 2

THYROLAR-1/4 2

THYROLAR-2 2

THYROLAR-3 2

TIROSINT 3

TRIOSTAT 3 PA

unithroid 1

westhroid 1

WP THYROID 3

Gastroenterology Antidiarrheals & Antispasmodics anaspaz 1

atropine 1 PA

b-donna 1

belladonna alkaloids-opium

1

belladonna-opium 1

BENTYL INTRAMUSCULAR

3 PA

BENTYL ORAL 3


CANTIL 3

chlordiazepoxide-clidinium

1

CUVPOSA 3 PA; LA

dicyclomine intramuscular

1 PA

dicyclomine oral 1

diphenoxylate-atropine

1

DONNATAL 3

ed-spaz 1

FULYZAQ 3 PA; QL

glycopyrrolate injection

1 PA

glycopyrrolate oral 1

hyoscyamine sulfate 1

hyosyne 1

LEVBID 3

LEVSIN INJECTION

3 PA

LEVSIN ORAL 3

LEVSIN/SL 3

LIBRAX (WITH CLIDINIUM)

3

LOMOTIL 3

loperamide 1

methscopolamine 1

MOTOFEN 3

MYTESI 3 PA; QL

NULEV 3

opium tincture 1

oscimin 1

oscimin sl 1

oscimin sr 1



paregoric 1

phenohytro 1

propantheline 1

ROBINUL 3

ROBINUL FORTE 3

SYMAX DUOTAB 3

symax fastabs 1

symax-sl 1

symax-sr 1

Miscellaneous Gastrointestinal Agents

ACTIGALL 3

AKYNZEO 3 PA; QL

alosetron 1 QL

ALOXI 3 PA

AMITIZA 2 QL

ANA-LEX KIT 3

ANALPRAM E 3

ANALPRAM-HC RECTAL CREAM 1-1 %

2

ANALPRAM-HC RECTAL CREAM 2.5-1 %

3

ANALPRAM-HC SINGLES

3

anucort-hc 1

ANUSOL-HC 3

ANZEMET INTRAVENOUS

3 PA

ANZEMET ORAL 3 ST; QL

aprepitant oral capsule 125 mg

1 QL


aprepitant oral capsule 40 mg, 80 mg

1

aprepitant oral capsule,dose pack

1 QL

APRISO 3

ASACOL HD 2

AURYXIA 3

AZULFIDINE 3

AZULFIDINE EN-TABS

3

balsalazide 1

budesonide 1

calcium acetate 1

CANASA 2

CESAMET 3 PA

CHENODAL 3

CHOLBAM 3

CIMZIA 3 PA; LA; QL

CIMZIA POWDER FOR RECONST

3 PA; LA; QL

COLAZAL 3

colocort 1

COLYTE WITH FLAVOR PACKS

3

COMPAZINE 3

compro 1

constulose 1

CORTENEMA 3

CORTIFOAM 2

CREON 2

cromolyn 1

CYSTADANE 3

DELZICOL 2



DICLEGIS 3 QL

dimenhydrinate 1 PA

DIPENTUM 3

dronabinol 1

droperidol 1 PA

eliphos 1

EMEND INTRAVENOUS

3 PA

EMEND ORAL CAPSULE 125 MG

3 QL

EMEND ORAL CAPSULE 40 MG, 80 MG

3

EMEND ORAL CAPSULE,DOSE PACK

3 QL

EMEND ORAL SUSPENSION FOR RECONSTITUTION

3

ENTOCORT EC 3

ENTYVIO 3 PA; LA

enulose 1

FOSRENOL 3

GASTROCROM 3

GATTEX 30-VIAL 3 PA; LA

gavilyte-c 0 ACA

gavilyte-g 0 ACA

gavilyte-h and bisacodyl

0 ACA

gavilyte-n 0 ACA

generlac 1

GIAZO 3

GOLYTELY 3

granisetron (pf) 1 PA


granisetron hcl intravenous

1 PA

granisetron hcl oral 1 ST; QL

hemmorex-hc 1

hydrocortisone 1

hydrocortisone acetate

1

hydrocortisone-pramox-e-pram#1

1

hydrocortisone-pramoxine

1

INFLECTRA 3 PA; LA

KAYEXALATE 3

KINEVAC 3 PA

kionex 1

kionex (with sorbitol)

1

KRISTALOSE 3

lactulose 1

LIALDA 2

LIDOCAINE HCL-HYDROCORTISON AC RECTAL CREAM 3 %-1 % (7 GRAM)

3

lidocaine hcl-hydrocortison ac rectal cream 3-0.5 %

1

LIDOCAINE HCL-HYDROCORTISON AC RECTAL GEL

3

lidocaine hcl-hydrocortison ac rectal kit

1

lidocaine-hydrocortisone-aloe

1



LINZESS 2 QL

LOTRONEX 3 QL

MAGNEBIND 400 3

MARINOL 3

meclizine 1

MESALAMINE ORAL

3

mesalamine rectal 1

mesalamine with cleansing wipe

1

metoclopramide hcl injection

1 PA

metoclopramide hcl oral

1

METOZOLV ODT 3

MICORT-HC 3

MOVANTIK 3

MOVIPREP 3

NOVACORT 3 PA

NULYTELY WITH FLAVOR PACKS

3

OCALIVA 3 PA; LA

ondansetron 1

ondansetron hcl (pf) 1 PA

ondansetron hcl intravenous

1 PA

ondansetron hcl oral solution

1

ondansetron hcl oral tablet 24 mg

1 QL

ondansetron hcl oral tablet 4 mg, 8 mg

1

ONDANSETRON IN 0.9 % SOD CHLOR

3


OSMOPREP 3

PANCREAZE 3

peg 3350-electrolytes

0 ACA

peg-electrolyte soln 0 ACA

peg-prep 0 ACA

PENTASA 3

PERTZYE 3

PHOSLYRA 3

polyethylene glycol 3350

0 ACA; OTC

pramcort 1

PREPOPIK 3

prochlorperazine 1

prochlorperazine edisylate

1 PA

prochlorperazine maleate

1

PROCORT 3

PROCTOCORT 3

PROCTOFOAM HC 3

procto-med hc 1

procto-pak 1

proctosol hc 1

proctozone-hc 1

RECTIV 3

REGLAN 3

RELISTOR 3 PA

REMICADE 3 PA; LA

RENAGEL 2 QL

RENVELA 2

ROWASA 3

SANCUSO 3 ST; QL



SFROWASA 3

sodium polystyrene sulfonate oral

1

sodium polystyrene sulfonate rectal enema 30 gram/120 ml

1

SODIUM POLYSTYRENE SULFONATE RECTAL ENEMA 50 GRAM/200 ML

3

sps (with sorbitol) 1

SUCRAID 3 PA; LA

sulfasalazine 1

SUPREP BOWEL PREP KIT

3

SUSTOL 3 PA

TIGAN INTRAMUSCULAR

3 PA

TIGAN ORAL 3

TRANSDERM-SCOP

3

trilyte with flavor packets

0 ACA

trimethobenzamide 1

TRULANCE 3 QL

UCERIS 3

URSO 250 3

URSO FORTE 3

ursodiol 1

VARUBI 3 QL

VELPHORO 3 PA

VELTASSA 3 PA

VIBERZI 2


VIOKACE 3

ZENPEP 2

ZOFRAN (AS HYDROCHLORIDE) INTRAVENOUS

3 PA

ZOFRAN (AS HYDROCHLORIDE) ORAL

3

ZOFRAN ODT 3

ZUPLENZ 3 PA; QL

Ulcer Therapy ACIPHEX 3 PA; ST; QL

ACIPHEX SPRINKLE

3 PA; ST; QL

amoxicil-clarithromy-lansopraz

1

CARAFATE 3

cimetidine 1

cimetidine hcl 1

CYTOTEC 3

DEXILANT 3 PA; ST

esomeprazole magnesium

1 PA; QL

esomeprazole sodium

1 PA

ESOMEPRAZOLE STRONTIUM

3 PA

famotidine (pf) 1 PA

famotidine (pf)-nacl (iso-os)

1 PA

famotidine intravenous

1 PA

famotidine oral 1

heartburn treatment 24 hour

1 OTC; QL



lansoprazole oral capsule,delayed release(dr/ec) 15 mg

1 QL

lansoprazole oral capsule,delayed release(dr/ec) 30 mg

1

misoprostol 1

NEXIUM 3 QL

NEXIUM 24HR 1 OTC

NEXIUM IV 3 PA

NEXIUM PACKET 2 PA

nizatidine 1

OMECLAMOX-PAK

3

omeprazole magnesium

1 OTC

omeprazole oral capsule,delayed release(dr/ec)

1

omeprazole oral tablet,delayed release (dr/ec)

1 OTC

omeprazole-sodium bicarbonate

1 PA; ST

pantoprazole intravenous

1 PA

pantoprazole oral 1

PEPCID 3

PREVACID 24HR 1 OTC; QL

PREVACID ORAL CAPSULE,DELAYED RELEASE(DR/EC) 15 MG

3 PA; ST; QL


PREVACID ORAL CAPSULE,DELAYED RELEASE(DR/EC) 30 MG

3 PA; ST

PREVACID SOLUTAB

3 PA; ST

PREVPAC 3

PRILOSEC 3

PRILOSEC OTC 1 OTC

PROTONIX INTRAVENOUS

3 PA

PROTONIX ORAL 3 PA; ST

PYLERA 2

rabeprazole 1 QL

ranitidine hcl injection

1 PA

ranitidine hcl oral 1

sucralfate 1

ZANTAC INJECTION

3 PA

ZANTAC ORAL 3

ZEGERID 3 PA; ST

ZEGERID OTC 1 OTC; QL

Immunology, Vaccines & Biotechnology

Biotechnology Drugs ARANESP (IN POLYSORBATE)

2 QL

EPOGEN 3 QL

GRANIX 3 QL

LEUKINE 3

MIRCERA 3

MOZOBIL 3 PA; LA

NEULASTA 3 QL



NEUPOGEN 2 QL

PROCRIT 2 QL

ZARXIO 3 QL

Growth Hormones EGRIFTA 3 PA

GENOTROPIN 3 PA; LA

GENOTROPIN MINIQUICK

3 PA; LA

HUMATROPE 3 PA; LA

NORDITROPIN FLEXPRO

2 PA; LA

NUTROPIN AQ 3 PA; LA

NUTROPIN AQ NUSPIN

3 PA; LA

OMNITROPE 3 PA; LA

SAIZEN 3 PA; LA

SAIZEN CLICK.EASY

3 PA; LA

SEROSTIM 3 PA; LA

ZOMACTON 3 PA; LA

ZORBTIVE 3 PA; LA

Interferons AUBAGIO 3 PA; LA; QL

AVONEX 2 PA; LA

AVONEX (WITH ALBUMIN)

2 PA; LA; QL

BETASERON 2 PA; LA

COPAXONE SUBCUTANEOUS SYRINGE 20 MG/ML

3 PA; LA; QL

COPAXONE SUBCUTANEOUS SYRINGE 40 MG/ML

2 PA; LA


COPEGUS 3 LA

EXTAVIA SUBCUTANEOUS KIT

3 PA; LA

EXTAVIA SUBCUTANEOUS RECON SOLN

3 LA

GILENYA 2 PA; LA

glatopa 1 PA; LA; QL

LEMTRADA 3 PA

moderiba 1

moderiba dose pack 1

PEGASYS 3 PA; LA

PEGASYS PROCLICK

3 PA; LA

PEGINTRON 3 PA; LA; QL

PEGINTRON REDIPEN

3 PA; LA

PLEGRIDY 2 PA; LA

POMALYST 3 PA; LA

REBETOL 3 LA

REBIF (WITH ALBUMIN)

3 PA; LA

REBIF REBIDOSE 3 PA; LA

REBIF TITRATION PACK

3 PA; LA

REVLIMID 3 PA; LA

ribasphere 1 LA

ribasphere ribapak 1 LA

ribavirin 1 LA

SYLATRON 3 PA; LA

TECFIDERA 2 PA; LA

ZINBRYTA 3 PA; LA

Interleukins



ACTIMMUNE 2 PA; LA

ALDARA 3 QL

ALFERON N 2 PA; LA

ARCALYST 3 PA; LA

ILARIS (PF) 3 PA; LA

imiquimod 1 QL

INTRON A 2 PA; LA

KINERET 3 PA; QL

PROLEUKIN 3 PA; LA

ZYCLARA TOPICAL CREAM IN METERED-DOSE PUMP 2.5 %

3

ZYCLARA TOPICAL CREAM IN METERED-DOSE PUMP 3.75 %

3 QL

ZYCLARA TOPICAL CREAM IN PACKET

3 QL

Vaccines & Miscellaneous Immunologicals

ACTHIB (PF) 0 ACA

ADACEL(TDAP ADOLESN/ADULT)(PF)

0 ACA

AFLURIA 2015-2016

0 ACA

AFLURIA 2015-2016 (PF)

0 ACA

AFLURIA 2016-2017

0 ACA

AFLURIA 2016-2017 (PF)

0 ACA

AFLURIA QUAD 2016-2017 (PF)

0 ACA


ATGAM 3 PA; LA

BCG VACCINE, LIVE (PF)

0 PA; ACA; LA

BEXSERO 0 ACA

BIOTHRAX 0 PA; ACA

BIVIGAM 3 PA; LA

BOOSTRIX TDAP 0 ACA

CARIMUNE NF NANOFILTERED

3 PA; LA

CERVARIX VACCINE (PF)

0 ACA

CUVITRU 3 PA; LA

DAPTACEL (DTAP PEDIATRIC) (PF)

0 ACA

DYSPORT 3 PA; LA

ENGERIX-B (PF) 0 ACA

ENGERIX-B PEDIATRIC (PF)

0 ACA

EZ FLU 2015-16 (FLUVIRIN) (PF)

0 ACA

EZ FLU 2015-16(FLUCELVAX)(PF)

0 ACA

EZ FLU 2016-17 (AFLURIA) (PF)

0 ACA

EZ FLU 2016-17 (FLUVIRIN) (PF)

0 ACA

EZ FLU16-17(FLUZON QD PED)(PF)

0 ACA

FLEBOGAMMA DIF

3 PA; LA

FLUAD 2016-2017 (65 YR UP)(PF)

0 ACA

FLUARIX QUAD 2015-2016 (PF)

0 ACA



FLUARIX QUAD 2016-2017 (PF)

0 ACA

FLUBLOK 2015-2016 (PF)

0 ACA

FLUBLOK 2016-2017 (PF)

0 ACA

FLUCELVAX 2015-2016 (PF)

0 ACA

FLUCELVAX QUAD 2016-2017 (PF)

0 ACA

FLULAVAL QUAD 2015-2016

0 ACA

FLULAVAL QUAD 2016-2017

0 ACA

FLULAVAL QUAD 2016-2017 (PF)

0 ACA

FLUMIST QUAD 2015-2016

2

FLUMIST QUAD 2016-2017

2

FLUVIRIN 2015-2016

0 ACA

FLUVIRIN 2015-2016 (PF)

0 ACA

FLUVIRIN 2016-2017

0 ACA

FLUVIRIN 2016-2017 (PF)

0 ACA

FLUZONE 2015-2016

0 ACA

FLUZONE HIGH-DOSE 2015-16 (PF)

0 ACA

FLUZONE HIGH-DOSE 2016-17 (PF)

0 ACA

FLUZONE INTRADERM QUAD 2015-16

0 ACA


FLUZONE INTRADERM QUAD 2016-17

0 ACA

FLUZONE QUAD 2015-2016

0 ACA

FLUZONE QUAD 2015-2016 (PF)

0 ACA

FLUZONE QUAD 2016-2017

0 ACA

FLUZONE QUAD 2016-2017 (PF)

0 ACA

FLUZONE QUAD PEDI 2015-16 (PF)

0 ACA

FLUZONE QUAD PEDI 2016-17 (PF)

0 ACA

GAMMAGARD LIQUID

3 PA

GARDASIL (PF) 0 ACA

GARDASIL 9 (PF) 0 ACA

GRASTEK 3 PA

HAVRIX (PF) 0 ACA

HEPAGAM B 3 PA; LA

HIBERIX (PF) 0 ACA

HYPERHEP B S/D INTRAMUSCULAR SOLUTION

2 PA; LA

HYPERHEP B S/D INTRAMUSCULAR SYRINGE

3 PA; LA

HYPERHEP B S-D NEONATAL

3 PA; LA

HYPERRAB S/D (PF)

3 LA

INFANRIX (DTAP) (PF)

0 ACA

IPOL 0 ACA

KINRIX (PF) 0 ACA



MENACTRA (PF) 0 ACA

MENHIBRIX (PF) 0 ACA

MENOMUNE - A/C/Y/W-135

0 ACA

MENOMUNE - A/C/Y/W-135 (PF)

0 ACA

MENVEO A-C-Y-W-135-DIP (PF)

0 ACA

M-M-R II (PF) 0 ACA

MYOBLOC 3 PA; LA

NABI-HB 3 PA; LA

ORALAIR 3 PA; LA

PEDIARIX (PF) 0 ACA

PEDVAX HIB (PF) 0 ACA

PENTACEL (PF) 0 ACA

PENTACEL ACTHIB COMPONENT (PF)

0 ACA

PNEUMOVAX 23 0 ACA

PREVNAR 13 (PF) 0 ACA

PROQUAD (PF) 0 ACA

QUADRACEL (PF) 0 ACA

RAGWITEK 3 PA

RECOMBIVAX HB (PF)

0 ACA

ROTARIX 0 ACA

ROTATEQ VACCINE

0 ACA

TENIVAC (PF) 0 ACA

TETANUS,DIPHTHERIA TOX PED(PF)

0 ACA

TETANUS-DIPHTHERIA TOXOIDS-TD

0 ACA


THYMOGLOBULIN

3 PA; LA

TRUMENBA 0 ACA

TWINRIX (PF) 0 ACA

VAQTA (PF) 0 ACA

VARIVAX (PF) 0 ACA

VARIZIG 0 PA; ACA

XEOMIN 3 PA; LA

ZOSTAVAX (PF) 0 ACA

Musculoskeletal & Rheumatology Gout Therapy allopurinol 1

allopurinol sodium 1

aloprim 1 PA

COLCHICINE 3

COLCRYS 2

KRYSTEXXA 3 PA; LA

MITIGARE 3

probenecid 1

probenecid-colchicine

1

ULORIC 3

ZURAMPIC 3 PA

ZYLOPRIM 3

Osteoporosis Therapy ACTONEL ORAL TABLET 150 MG, 5 MG

3

ACTONEL ORAL TABLET 35 MG

3 QL

alendronate oral solution

1

alendronate oral tablet 10 mg, 5 mg

1



alendronate oral tablet 35 mg, 70 mg

1 QL

ATELVIA 3

BINOSTO 3

BONIVA INTRAVENOUS

3 PA; LA

BONIVA ORAL 3 ST; QL

EVISTA 3

FORTEO 2

FOSAMAX 3 QL

FOSAMAX PLUS D ORAL TABLET 70 MG- 2,800 UNIT

3 QL

FOSAMAX PLUS D ORAL TABLET 70 MG- 5,600 UNIT

3

ibandronate intravenous

1 PA; LA

ibandronate oral 1 QL

PROLIA 3 PA; LA; QL

raloxifene 0 ACA

risedronate oral tablet 150 mg, 5 mg

1

risedronate oral tablet 35 mg

1 QL

risedronate oral tablet,delayed release (dr/ec)

1

Other Rheumatologicals ACTEMRA 2 PA; LA

ARAVA 3

BENLYSTA 3 PA; LA

CUPRIMINE 2

DEPEN TITRATABS

3


ENBREL 2 PA; LA; QL

ENBREL SURECLICK

2 PA; LA; QL

HUMIRA 2 PA; LA; QL

HUMIRA PEDIATRIC CROHN'S START

2 PA; LA; QL

HUMIRA PEN CROHN'S-UC-HS START

2 PA; LA; QL

HUMIRA PEN PSORIASIS-UVEITIS

2 PA; LA; QL

leflunomide 1

ORENCIA 2 PA; LA

ORENCIA (WITH MALTOSE)

2 PA; LA

ORENCIA CLICKJECT

2 PA; LA

OTEZLA 2 PA; LA

OTEZLA STARTER

2 PA; LA

OTREXUP (PF) 3 PA

RASUVO (PF) 3 PA

RIDAURA 2

SAVELLA 2

SIMPONI 3 PA; LA; QL

SIMPONI ARIA 3 PA; LA; QL

XELJANZ 2 PA; LA; QL

XELJANZ XR 2 PA; LA

Obstetrics & Gynecology Diaphragms And Other Non-Oral Contraceptives

CAYA CONTOURED

0 ACA; QL



LILETTA 0 ACA; LA

WIDE-SEAL DIAPHRAGM

0 ACA

Estrogens & Progestins ACTIVELLA 3

ALORA 3

amabelz 1

ANGELIQ 3

AYGESTIN 3

camila 0 ACA; QL

CLIMARA 3

CLIMARA PRO 3

COMBIPATCH 2

covaryx 1

covaryx h.s. 1

CRINONE 3

deblitane 0 ACA; QL

DELESTROGEN 3

DEPO-ESTRADIOL 3 PA

DEPO-PROVERA INTRAMUSCULAR SOLUTION

3

DEPO-PROVERA INTRAMUSCULAR SUSPENSION

0 ACA; QL

DEPO-PROVERA INTRAMUSCULAR SYRINGE

0 ACA; QL

DEPO-SUBQ PROVERA 104

0 ACA; QL

DIVIGEL 3 QL

DUAVEE 2

eemt 1

eemt hs 1


ELESTRIN 3 QL

ENDOMETRIN 3 PA

ENJUVIA 3

errin 0 ACA; QL

ESTRACE ORAL 3

ESTRACE VAGINAL

2

estradiol 1

estradiol valerate 1

estradiol-norethindrone acet

1

ESTRING 2 QL

ESTROGEL 3

estrogens-methyltestosterone

1

estropipate 1

EVAMIST 2

FEMHRT LOW DOSE

3

FEMRING 3 QL

fyavolv 1

heather 0 ACA; QL

hydroxyprogesterone caproate

1

jencycla 0 ACA; QL

jevantique lo 1

jinteli 1

jolivette 0 ACA; QL

lopreeza 1

lyza 0 ACA; QL

MAKENA 2

medroxyprogesterone intramuscular

0 ACA; QL



medroxyprogesterone oral

1

MENEST 3

MENOSTAR 3

mimvey 1

mimvey lo 1

MINIVELLE 3

nora-be 0 ACA; QL

norethindrone (contraceptive)

0 ACA; QL

norethindrone acetate

1

norethindrone ac-eth estradiol

1

norlyroc 0 ACA; QL

NOR-QD 0 ACA; QL

ORTHO MICRONOR

0 ACA; QL

PREFEST 3

PREMARIN INJECTION

3 PA

PREMARIN ORAL 2

PREMARIN VAGINAL

2

PREMPHASE 2

PREMPRO 2

progesterone 1

progesterone micronized

1

PROMETRIUM 3

PROVERA 3

sharobel 0 ACA; QL

VAGIFEM 3

VIVELLE-DOT 3


yuvafem 1

Miscellaneous Ob/Gyn AVC VAGINAL 3

CERVIDIL 3

CLEOCIN VAGINAL CREAM

3

CLEOCIN VAGINAL SUPPOSITORY

2


1

CLINDESSE 3

fem ph 1

GYNAZOLE-1 3

isoxsuprine 1

LUPANETA PACK (1 MONTH)

3

LUPANETA PACK (3 MONTH)

3

LYSTEDA 3

METROGEL VAGINAL

3

metronidazole 1

miconazole-3 1

NEXPLANON 0 ACA

NUVARING 0 ACA; QL

NUVESSA 3

OSPHENA 3

PREPIDIL 3

PROSTIN E2 3

RELAGARD 3

TERAZOL 3 3

TERAZOL 7 3

terconazole 1



tranexamic acid 1

vandazole 1

VCF CONTRACEPTIVE FILM

0 ACA; OTC

xulane 0 ACA; QL

Oral Contraceptives & Related Agents

AFTERA 0 ACA; OTC; QL

altavera (28) 0 ACA; QL

alyacen 1/35 (28) 0 ACA; QL

alyacen 7/7/7 (28) 0 ACA; QL

amethia 0 ACA; QL

amethia lo 0 ACA; QL

amethyst 0 ACA; QL

apri 0 ACA; QL

aranelle (28) 0 ACA; QL

ashlyna 0 ACA; QL

aubra 0 ACA; QL

aviane 0 ACA; QL

azurette (28) 0 ACA; QL

balziva (28) 0 ACA; QL

bekyree (28) 0 ACA; QL

BEYAZ 0 ACA; QL

blisovi 24 fe 0 ACA; QL

blisovi fe 1.5/30 (28) 0 ACA; QL

blisovi fe 1/20 (28) 0 ACA; QL

BREVICON (28) 0 ACA; QL

briellyn 0 ACA; QL

camrese 0 ACA; QL

camrese lo 0 ACA; QL

caziant (28) 0 ACA; QL


chateal 0 ACA; QL

cryselle (28) 0 ACA; QL

cyclafem 1/35 (28) 0 ACA; QL

cyclafem 7/7/7 (28) 0 ACA; QL

CYCLESSA (28) 0 ACA; QL

cyred 0 ACA; QL

dasetta 1/35 (28) 0 ACA; QL

dasetta 7/7/7 (28) 0 ACA; QL

daysee 0 ACA; QL

delyla (28) 0 ACA; QL

desog-e.estradiol/e.estradiol

0 ACA; QL

DESOGEN 0 ACA; QL

desogestrel-ethinyl estradiol

0 ACA; QL

drospirenone-e.estradiol-lm.fa

0 ACA; QL

drospirenone-ethinyl estradiol

0 ACA; QL

econtra ez 0 ACA; OTC; QL

elinest 0 ACA; QL

ELLA 0 ACA; QL

emoquette 0 ACA; QL

enpresse 0 ACA; QL

enskyce 0 ACA

estarylla 0 ACA; QL

ESTROSTEP FE-28 0 ACA; QL

ethynodiol diac-eth estradiol

0 ACA; QL

fallback solo 0 ACA; OTC; QL

falmina (28) 0 ACA; QL



FEMCON FE 0 ACA; QL

femynor 0 ACA; QL

GENERESS FE 0 ACA; QL

gianvi (28) 0 ACA; QL

gildagia 0 ACA; QL

gildess 1.5/30 (21) 0 ACA; QL

gildess 1/20 (21) 0 ACA; QL

gildess 24 fe 0 ACA; QL

gildess fe 1.5/30 (28) 0 ACA; QL

gildess fe 1/20 (28) 0 ACA; QL

introvale 0 ACA; QL

jolessa 0 ACA; QL

juleber 0 ACA; QL

junel 1.5/30 (21) 0 ACA; QL

junel 1/20 (21) 0 ACA; QL

junel fe 1.5/30 (28) 0 ACA; QL

junel fe 1/20 (28) 0 ACA; QL

junel fe 24 0 ACA; QL

kaitlib fe 0 ACA; QL

kariva (28) 0 ACA; QL

kelnor 1/35 (28) 0 ACA; QL

kimidess (28) 0 ACA; QL

kurvelo 0 ACA; QL

l norgest/e.estradiol-e.estrad

0 ACA; QL

larin 1.5/30 (21) 0 ACA; QL

larin 1/20 (21) 0 ACA; QL

larin 24 fe 0 ACA; QL

larin fe 1.5/30 (28) 0 ACA; QL

larin fe 1/20 (28) 0 ACA; QL

larissia 0 ACA; QL

layolis fe 0 ACA; QL


leena 28 0 ACA; QL

lessina 0 ACA; QL

levonest (28) 0 ACA; QL

levonorgestrel 0 ACA; OTC; QL

levonorgestrel-ethinyl estrad

0 ACA; QL

levonorg-eth estrad triphasic

0 ACA; QL

levora-28 0 ACA; QL

LO LOESTRIN FE 0 ACA; QL

LOESTRIN 1.5/30 (21)

0 ACA; QL

LOESTRIN 1/20 (21)

0 ACA; QL

LOESTRIN FE 1.5/30 (28-DAY)

0 ACA; QL

LOESTRIN FE 1/20 (28-DAY)

0 ACA; QL

lomedia 24 fe 0 ACA; QL

loryna (28) 0 ACA; QL

LOSEASONIQUE 0 ACA; QL

low-ogestrel (28) 0 ACA; QL

lutera (28) 0 ACA; QL

marlissa 0 ACA; QL

microgestin 1.5/30 (21)

0 ACA; QL

microgestin 1/20 (21)

0 ACA; QL

MICROGESTIN 24 FE

0 ACA; QL

microgestin fe 1.5/30 (28)

0 ACA; QL

microgestin fe 1/20 (28)

0 ACA; QL



MINASTRIN 24 FE 0 ACA; QL

MIRCETTE (28) 0 ACA; QL

mono-linyah 0 ACA; QL

mononessa (28) 0 ACA; QL

my way 0 ACA; OTC; QL

myzilra 0 ACA; QL

NATAZIA 0 ACA; QL

necon 0.5/35 (28) 0 ACA; QL

necon 1/35 (28) 0 ACA; QL

necon 1/50 (28) 0 ACA; QL

necon 10/11 (28) 0 ACA; QL

necon 7/7/7 (28) 0 ACA; QL

next choice one dose 0 ACA; OTC; QL

nikki (28) 0 ACA; QL

noreth-ethinyl estradiol-iron

0 ACA; QL

norethindrone ac-eth estradiol

0 ACA; QL

norethindrone-e.estradiol-iron

0 ACA; QL

norgestimate-ethinyl estradiol

0 ACA; QL

NORINYL 1/35 (28) 0 ACA; QL

NORINYL 1+50 (28)

0 ACA; QL

nortrel 0.5/35 (28) 0 ACA; QL

nortrel 1/35 (21) 0 ACA; QL

nortrel 1/35 (28) 0 ACA; QL

nortrel 7/7/7 (28) 0 ACA; QL

ocella 0 ACA; QL

ogestrel (28) 0 ACA; QL


opcicon one-step 0 ACA; OTC; QL

option 2 0 ACA; OTC; QL

orsythia 0 ACA; QL

ORTHO TRI-CYCLEN (28)

0 ACA; QL

ORTHO TRI-CYCLEN LO (28)

0 ACA; QL

ORTHO-CYCLEN (28)

0 ACA; QL

ORTHO-NOVUM 1/35 (28)

0 ACA; QL

ORTHO-NOVUM 7/7/7 (28)

0 ACA; QL

OVCON-35 (28) 0 ACA; QL

philith 0 ACA; QL

pimtrea (28) 0 ACA; QL

pirmella 0 ACA; QL

PLAN B ONE-STEP

0 ACA; QL

portia 0 ACA; QL

previfem 0 ACA; QL

QUARTETTE 0 ACA; QL

quasense 0 ACA; QL

rajani 0 ACA; QL

react 0 ACA; OTC; QL

reclipsen (28) 0 ACA; QL

SAFYRAL 0 ACA; QL

SEASONIQUE 0 ACA; QL

setlakin 0 ACA; QL

sprintec (28) 0 ACA; QL

sronyx 0 ACA; QL

syeda 0 ACA; QL



TAKE ACTION 0 ACA; OTC; QL

tarina fe 1/20 (28) 0 ACA; QL

TAYTULLA 0 ACA; QL

tilia fe 0 ACA; QL

tri-estarylla 0 ACA; QL

tri-legest fe 0 ACA; QL

tri-linyah 0 ACA; QL

tri-lo-estarylla 0 ACA; QL

tri-lo-marzia 0 ACA; QL

tri-lo-sprintec 0 ACA; QL

trinessa (28) 0 ACA; QL

trinessa lo 0 ACA; QL

TRI-NORINYL (28) 0 ACA; QL

tri-previfem (28) 0 ACA; QL

tri-sprintec (28) 0 ACA; QL

trivora (28) 0 ACA; QL

velivet triphasic regimen (28)

0 ACA; QL

vestura (28) 0 ACA; QL

vienva 0 ACA; QL

viorele (28) 0 ACA; QL

vyfemla (28) 0 ACA; QL

wera (28) 0 ACA; QL

wymzya fe 0 ACA; QL

YASMIN (28) 0 ACA; QL

YAZ (28) 0 ACA; QL

zarah 0 ACA; QL

zenchent (28) 0 ACA; QL

zenchent fe 0 ACA; QL

zovia 1/35e (28) 0 ACA; QL

zovia 1/50e (28) 0 ACA; QL


Oxytocics methergine 1

methylergonovine 1

Ophthalmology Antibiotics ak-poly-bac 1

AZASITE 3

bacitracin 1

bacitracin-polymyxin b

1

BESIVANCE 3

BETADINE OPHTHALMIC PREP

3

CILOXAN 3

ciprofloxacin hcl 1

erythromycin 1

gatifloxacin 1

gentak 1

gentamicin 1

levofloxacin 1

MOXEZA 3

NATACYN 3

neomycin-bacitracin-polymyxin

1

neomycin-polymyxin-gramicidin

1

neo-polycin 1

NEOSPORIN (NEO-POLYM-GRAMICID)

3

OCUFLOX 3



ofloxacin 1

polycin 1

polymyxin b sulf-trimethoprim

1

POLYTRIM 3

tobramycin 1

TOBREX 3

VIGAMOX 3

ZYMAXID 3

Antivirals trifluridine 1

VIROPTIC 3

ZIRGAN 3

Beta-Blockers BETAGAN 3

betaxolol 1

BETIMOL 3

BETOPTIC S 3

carteolol 1

ISTALOL 3

levobunolol 1

metipranolol 1

timolol maleate 1

TIMOPTIC 3

TIMOPTIC OCUDOSE (PF)

2

TIMOPTIC-XE 3

Cholinesterase Inhibitor Miotics PHOSPHOLINE IODIDE

2

Cycloplegic Mydriatics atropine 1


CYCLOGYL 3

cyclopentolate 1

homatropaire 1

homatropine hbr 1

ISOPTO ATROPINE

3

MYDRIACYL 3

PAREMYD 3

tropicamide 1

Direct Acting Miotics ISOPTO CARPINE 3

MIOCHOL-E 3

pilocarpine hcl 1

Miscellaneous Ophthalmologics acuicyn 1

AKTEN (PF) 3

ALCAINE 3

ALOCRIL 3

ALOMIDE 2

altacaine 1

altafluor 1

AVENOVA 3

azelastine 1

BEPREVE 3

cromolyn 1

CYSTARAN 3

ELESTAT 3

EMADINE 3

epinastine 1

EYLEA 3 PA; LA

flucaine 1



fluorescein-benoxinate

1

fluorescein-proparacaine

1

flurox 1

JETREA (PF) 3 PA

LACRISERT 3

LASTACAFT 3

LUCENTIS 3 PA

MACUGEN 3 PA; LA

olopatadine 1

OMIDRIA 3

PATADAY 2

PATANOL 3

PAZEO 2

proparacaine 1

RESTASIS 2 QL

RESTASIS MULTIDOSE

2

tetcaine 1

tetracaine hcl 1

tetracaine hcl (pf) 1

TETRAVISC 3

TETRAVISC FORTE

3

VISUDYNE 3 PA; LA

VITRASE 3 PA

XIIDRA 3

Non-Steroidal Anti-Inflammatory Agents

ACULAR 3

ACULAR LS 3

ACUVAIL (PF) 3


bromfenac 1

BROMSITE 3

diclofenac sodium 1

flurbiprofen sodium 1

ILEVRO 3

ketorolac 1

NEVANAC 3

OCUFEN 3

PROLENSA 3

Oral Drugs For Glaucoma acetazolamide 1

acetazolamide sodium

1 PA

DIAMOX SEQUELS

3

methazolamide 1

NEPTAZANE 3

Other Glaucoma Drugs AZOPT 3

COMBIGAN 3

COSOPT 3

COSOPT (PF) 3

dorzolamide 1

dorzolamide-timolol 1

latanoprost 1

LUMIGAN 2 ST

miostat 1 PA

MITOSOL 3

RESCULA 3

SIMBRINZA 3

TRAVATAN Z 3 ST



travoprost (benzalkonium)

1

TRUSOPT 3

XALATAN 3

ZIOPTAN (PF) 3 ST

Steroid-Antibiotic Combinations MAXITROL 3

neomycin-bacitracin-poly-hc

1

neomycin-polymyxin b-dexameth

1

neomycin-polymyxin-hc

1

neo-polycin hc 1

PRED-G 2

PRED-G S.O.P. 2

TOBRADEX 3

TOBRADEX ST 3

tobramycin-dexamethasone

1

ZYLET 2

Steroids ALREX 3 QL

dexamethasone sodium phosphate

1

DUREZOL 3

FLAREX 3

fluorometholone 1

FML FORTE 3

FML LIQUIFILM 3

FML S.O.P. 3

ILUVIEN 3

LOTEMAX 3


MAXIDEX 3

OMNIPRED 3

PRED FORTE 3

PRED MILD 2

prednisolone acetate 1

prednisolone sodium phosphate

1

RETISERT 3 LA

VEXOL 2

Steroid-Sulfonamide Combinations BLEPHAMIDE 2

BLEPHAMIDE S.O.P.

2

sulfacetamide-prednisolone

1

Sulfonamides BLEPH-10 3

sulfacetamide sodium

1

Sympathomimetics ALPHAGAN P OPHTHALMIC DROPS 0.1 %

2

ALPHAGAN P OPHTHALMIC DROPS 0.15 %

3

apraclonidine 1

brimonidine 1

IOPIDINE 3

Vasoconstrictor Decongestants CYCLOMYDRIL 3

naphazoline 1

phenylephrine hcl 1

Respiratory, Allergy, Cough & Cold



Antihistamine & Antiallergenic Agents

ADRENACLICK 3 QL

adrenalin 1 PA

ADYPHREN 3 QL

ADYPHREN AMP 3 QL

ADYPHREN AMP II

3

ADYPHREN II 3

arbinoxa 1

AUVI-Q 3 PA; QL

carbinoxamine maleate

1

CLARINEX ORAL SYRUP

3 PA

CLARINEX ORAL TABLET

3 PA; QL

clemastine 1

cyproheptadine 1

desloratadine 1 PA; QL

diphenhydramine hcl 1

EPINEPHRINE HCL (PF)

3 PA

EPINEPHRINE INJECTION AUTO-INJECTOR

2 QL

epinephrine injection solution

1 PA

epinephrine injection syringe

1 PA

EPIPEN 2-PAK 2 QL

EPIPEN JR 2-PAK 2 QL

EPISNAP 3

hydroxyzine hcl intramuscular

1 PA


hydroxyzine hcl oral 1

hydroxyzine pamoate

1

KARBINAL ER 3

levocetirizine 1

phenadoz 1

PHENERGAN INJECTION

3

phenergan rectal 1

promethazine 1

promethegan 1

VISTARIL 3

XYZAL 3

Cough & Cold Therapy benzonatate 1

BROMFED DM 3

brompheniramine-pseudoeph-dm

1

CAPCOF 3

centergy 1

cheratussin ac 1

cheratussin dac 1

CLARINEX-D 12 HOUR

3 PA; QL

codeine-guaifenesin 1

CODITUSSIN AC 3

CODITUSSIN DAC 3

FLOWTUSS 3 PA

g tussin ac 1

guaiatussin ac 1

guaifenesin ac 1

guaifenesin dac 1

HISTEX-AC 3



HYCOFENIX 3 PA

hydrocodone-chlorpheniramine

1

hydrocodone-cpm-pseudoephed

1

hydrocodone-homatropine

1

hydromet 1

iophen c-nr 1

lortuss ex 1

MAR-COF BP 3

MAR-COF CG 3

m-clear wc 1

M-END MAX D 3

M-END PE 3

NINJACOF-XG 3

OBREDON 3

pe-guai 1

phenylhistine dh 1

poly-tussin 1

POLY-TUSSIN AC 3

poly-tussin d 1

promethazine vc-codeine

1

promethazine-codeine

1

promethazine-dm 1

promethazine-phenyleph-codeine

1

promethazine-phenylephrine

1

PRO-RED AC (W/ DEXCHLORPHENIR)

3

relcof c 1


RESPA-AR 3

REZIRA 3

r-tanna 1

rydex 1

SEMPREX-D 3

TESSALON PERLES

3

tusnel c 1

TUSNEL PEDIATRIC

3

TUSSICAPS 3

tussigon 1

TUSSIONEX PENNKINETIC ER

3

TUZISTRA XR 3 PA

virtussin ac 1

virtussin dac 1

VITUZ 3 PA

ZODRYL AC 25 3

ZODRYL AC 30 3

ZODRYL AC 35 3

ZODRYL AC 40 3

ZODRYL AC 50 3

ZODRYL AC 60 3

ZODRYL AC 80 3

ZODRYL DAC 25 3

ZODRYL DAC 30 3

ZODRYL DAC 35 3

ZODRYL DAC 40 3

ZODRYL DAC 50 3

ZODRYL DAC 60 3

ZODRYL DAC 80 3

ZODRYL DEC 25 3



ZODRYL DEC 30 2

ZODRYL DEC 35 3

ZODRYL DEC 40 3

ZODRYL DEC 50 3

ZODRYL DEC 60 3

ZODRYL DEC 80 3

Z-TUSS AC 3

ZUTRIPRO 3

Pulmonary Agents ACCOLATE 3

acetylcysteine 1

ADCIRCA 3 PA; LA

ADEMPAS 3 PA; LA

ADRENALIN 3

ADVAIR DISKUS 2 QL

ADVAIR HFA 2 QL

AEROSPAN 3

albuterol sulfate 1

ALVESCO 3

ANORO ELLIPTA 2

ARCAPTA NEOHALER

3

ARNUITY ELLIPTA

2

ASMANEX HFA 3 QL

ASMANEX TWISTHALER

3 QL

ATROVENT HFA 2

BECONASE AQ 3 ST

BERINERT 3 PA; LA

BEVESPI AEROSPHERE

3

BREO ELLIPTA 2


BROVANA 3

budesonide inhalation

1 QL

budesonide nasal 1

CHILDREN'S NASACORT

2 ST; OTC

CINQAIR 3 PA; LA

CINRYZE 3 PA; LA

COMBIVENT RESPIMAT

2

cromolyn 1

CUROSURF 3

DALIRESP 3 QL

DULERA 2

DYMISTA 3 ST

ELIXOPHYLLIN 3

ESBRIET 3 PA; LA

FIRAZYR 3 PA; LA; QL

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

flunisolide 1

fluticasone 1

FORADIL AEROLIZER

3

HYPER-SAL 3

INCRUSE ELLIPTA

3

ipratropium bromide 1

ipratropium-albuterol

1

KALBITOR 3 PA; LA

KALYDECO 3 PA; LA; QL

LETAIRIS 2 PA; LA; QL

levalbuterol hcl 1



LEVALBUTEROL TARTRATE

3

metaproterenol 1

mometasone 1

montelukast 1

NASACORT 2 ST; OTC

nasal allergy 1 OTC

NASONEX 3

NEBUSAL 3

NUCALA 3 PA; LA

OFEV 3 PA; LA

OMNARIS 3 ST

OPSUMIT 3 PA; LA

ORKAMBI 3 PA; LA

PERFOROMIST 3

PROAIR HFA 2

PROAIR RESPICLICK

2

PROVENTIL HFA 2

PULMICORT 3 QL

PULMICORT FLEXHALER

2

pulmosal 1

PULMOZYME 2

QNASL 3 ST

QVAR 2

REVATIO INTRAVENOUS

3 PA; LA; QL

REVATIO ORAL SUSPENSION FOR RECONSTITUTION

3 PA; LA

REVATIO ORAL TABLET

3 PA; LA; QL


RHINOCORT AQUA

3 ST

RUCONEST 3 PA; LA

SEEBRI NEOHALER

3

SEREVENT DISKUS

2

sildenafil intravenous

1 PA; QL

sildenafil oral 1 PA; LA; QL

SINGULAIR 3

sodium chloride 1

SPIRIVA RESPIMAT

2

SPIRIVA WITH HANDIHALER

2

STIOLTO RESPIMAT

3

STRIVERDI RESPIMAT

3

SURFAXIN 3

SYMBICORT 2

terbutaline 1

THEO-24 3

theochron 1

theophylline 1

TRACLEER 3 ST; LA; QL


1

TUDORZA PRESSAIR

2

TYVASO 3

TYVASO REFILL KIT

3



TYVASO STARTER KIT

3 LA; QL

UTIBRON NEOHALER

3

VENTAVIS 3 PA; LA

VENTOLIN HFA 2

VERAMYST 2

XOLAIR 3 PA; LA

XOPENEX 3

XOPENEX CONCENTRATE

3

XOPENEX HFA 2

zafirlukast 1

ZETONNA 3 ST

ZYFLO 3

ZYFLO CR 3 PA

Urologicals Anticholinergics & Antispasmodics darifenacin 1

DETROL 3

DETROL LA 3

DITROPAN XL 3 ST

ENABLEX 3

flavoxate 1

GELNIQUE 3 ST

MYRBETRIQ 2 ST

oxybutynin chloride 1

OXYTROL 3 ST

tolterodine 1

TOVIAZ 3 ST

trospium 1 ST

VESICARE 2 ST


Benign Prostatic Hyperplasia (Bph) Therapy

alfuzosin 1

AVODART 3 QL

CIALIS 2 QL

dutasteride 1 QL

dutasteride-tamsulosin

1

finasteride 1 QL

FLOMAX 3 QL

JALYN 3

PROSCAR 3 QL

RAPAFLO 2 ST

tamsulosin 1 QL

UROXATRAL 3

Cholinergic Stimulants bethanechol chloride 1

URECHOLINE 3

Miscellaneous Urologicals alprostadil 1 PA

azuphen mb 1

CAVERJECT 3 QL

CAVERJECT IMPULSE

3 QL

CIALIS 2 QL

CYSTAGON 3 PA

cytra k crystals 1

cytra-2 1

cytra-3 1

cytra-k 1

EDEX 3 QL

ELMIRON 3



hyolev mb 1

hyophen 1

INDIOMIN MB 3

K-PHOS NO 2 3

K-PHOS ORIGINAL

3

LEVITRA 2 QL

methen-sod phos-meth blue-hyos

1

MUSE 3 QL

ORACIT 3

PAPAVERINE-ALPROSTADIL-WATER

3

PAPAV-PHENTOLAM-ALPROST-WATER

3

PAPAV-PHENTOLAMINE IN WATER

3

PHENTOLAM-ALPROSTADIL IN WATER

3

phosphasal 1

pot,sodium citrate-citric acid

1

potassium citrate 1

potassium citrate-citric acid

1

PROCYSBI 3 PA; LA

PROSTIN VR PEDIATRIC

3 PA

RENACIDIN 3

SHOHL'S MODIFIED

3


sodium citrate-citric acid

1

STAXYN 3 QL

STENDRA 3 QL

tricitrates 1

ur n-c 1

uramit mb 1

URELLE 3

uretron d-s 1

URIBEL 3

urimar-t 1

urin ds 1

uro-458 1

uro-blue 1

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urogesic-blue 1

uro-l 1

urolet mb 1

uro-mp 1

urophen mb 1

UROQID-ACID NO.2

3

uryl 1

ustell 1

UTA 3

utira-c 1

VIAGRA 3 QL

virtrate-2 1

virtrate-3 1

virtrate-k 1



Urinary Anesthetics phenazopyridine 1

PYRIDIUM 3

Vitamins, Hematinics & Electrolytes Electrolytes CALCIUM GLUCONATE IN D5W

3

EFFER-K ORAL TABLET, EFFERVESCENT 10 MEQ, 20 MEQ

3

effer-k oral tablet, effervescent 25 meq

1

GALZIN 3

GLYCOPHOS 3 PA

k-effervescent 1

klor-con 1

klor-con 10 1

klor-con 8 1

klor-con m10 1

klor-con m15 1

klor-con m20 1

klor-con sprinkle 1

KLOR-CON/25 2

klor-con/ef 1

k-phos-neutral 1

k-sol 1

K-TAB ORAL TABLET EXTENDED RELEASE 10 MEQ, 20 MEQ

3


k-tab oral tablet extended release 8 meq

1

lugols 1

NORMOSOL-R 3 PA

phospha 250 neutral 1

POTABA 3 PA

potassium acetate 1 PA

potassium bicarb and chloride

1

potassium bicarb-citric acid

1

potassium chlorid-d5-0.45%nacl

1 PA

potassium chloride in 0.9%nacl

1 PA

potassium chloride in 5 % dex

1 PA

potassium chloride in lr-d5

1 PA

potassium chloride intravenous piggyback 10 meq/100 ml, 20 meq/100 ml, 30 meq/100 ml, 40 meq/100 ml

1 PA

potassium chloride intravenous piggyback 10 meq/50 ml, 20 meq/50 ml

1

potassium chloride intravenous solution

1 PA

potassium chloride oral

1

potassium chloride-0.45 % nacl

1 PA



potassium chloride-d5-0.2%nacl intravenous parenteral solution 10 meq/l, 20 meq/l, 40 meq/l

1 PA

potassium chloride-d5-0.2%nacl intravenous parenteral solution 30 meq/l

1

potassium chloride-d5-0.3%nacl

1 PA

potassium chloride-d5-0.9%nacl

1 PA

potassium phosphate m-/d-basic

1 PA

sodium chloride 1

sodium chloride 0.45 %

1

sodium chloride 3 % 1

sodium chloride 5 % 1

sodium phosphate 1 PA

strong iodine 1

virt-phos 250 neutral 1

Miscellaneous Vitamins, Hematinics, & Electrolytes

FORTAVIT 3

ISOLYTE S PH 7.4 3 PA

ISOLYTE-S 3 PA

NORMOSOL-R PH 7.4

3 PA

PLASMA-LYTE 148

3 PA

PLASMA-LYTE A 3 PA

Vitamins & Hematinics


ACTIVE FE 3

ACTIVE OB 3

ANIMI-3 WITH VITAMIN D

3

ATABEX EC 3

b complete 0 ACA; OTC

b complex 0 ACA; OTC

b complex 100 1 PA

b complex-vitamin b12

0 ACA; OTC

b complex-vitamin c-folic acid

0 ACA; OTC

b-50 complex 0 ACA; OTC

BACMIN 3

balanced b-100 0 ACA; OTC

balanced b-100 complex

0 ACA; OTC

balanced b-50 0 ACA; OTC

bal-care dha 1

BAL-CARE DHA ESSENTIAL

3

b-complex with vitamin c

0 ACA; OTC

BIFERA RX 3

CADEAU DHA 3

calcium pnv 1

calcium-folic acid-vitamin d

1

CARDIOTEK-RX (BIOPERINE)

3

centratex 1

chewable multivit-a,b,d,e,k,zn

1

children's iron 1 OTC

choice-tabs 1



ciferex 1

CITRANATAL (DUAL-IRON)

3

CITRANATAL 90 DHA (ALGAL OIL)

3

CITRANATAL ASSURE

3

CITRANATAL B-CALM (FE GLUC)

3

CITRANATAL DHA (ALGAL OIL)

3

CITRANATAL HARMONY (IRON FUM)

3

classic prenatal 0 ACA; OTC

c-nate dha 1

complete natal dha 1

completenate 1

complex b-100 0 ACA; OTC

CONCEPT DHA 3

CONCEPT OB 3

corvita 1

corvita 150 1

CORVITE 3

CORVITE 150 3

CORVITE FE 3

CORVITE FREE 3

cyanocobalamin (vitamin b-12)

1

dialyvite 1

DIALYVITE 3000 3

DIALYVITE 5000 3

dialyvite 800 0 ACA; OTC

DIALYVITE 800 WITH IRON

3


DIALYVITE SUPREME D

3

dothelle dha 1

DRISDOL 3

DUET DHA BALANCED

3

DUET DHA WITH OMEGA-3

3

DURACHOL 3

ELDERCAPS 3

elite-ob 1

ENLYTE (FERROUS GLYCINE)

3

ergocalciferol (vitamin d2)

1

ESCAVITE 3

ESCAVITE D 3

ESCAVITE LQ 3

EXPECTA PRENATAL

2 OTC

EXTRA-VIRT PLUS DHA

3

FA-8 3 OTC

fe c plus 1

FERAHEME 3 PA

fer-iron 1 OTC

FERIVA 21-7 TABLET

3

FERIVA FA (SUMALATE)

3

ferocon 1

FERRALET 90 DUAL-IRON DELIVERY

3



ferraplus 90 1

ferrex 150 forte 1

ferrex 150 forte plus 1

ferrex 28 1

ferrocite plus 1

ferrogels forte 1

ferrous sulfate 1 OTC

FLORIVA 3

FLORIVA (FLUORIDE-VITAMIN D3)

3

FLORIVA PLUS 3

FLUORABON 3

FLUOR-A-DAY 3

fluor-a-day (with xylitol) oral tablet,chewable 0.25 mg f (0.55 mg)-236.79mg, 0.5 mg f (1.1 mg)-236.79 mg

0 ACA

fluor-a-day (with xylitol) oral tablet,chewable 1 mg f (2.2 mg)-236.79 mg

1

FLUORITAB ORAL DROPS

3

fluoritab oral tablet,chewable 0.5 mg fluoride (1.1 mg)

0 ACA

fluoritab oral tablet,chewable 1 mg fluoride (2.2 mg)

1

FLURA-DROPS 3

focalgin 90 dha 1

focalgin ca 1

focalgin dss 1


folbecal 1

folbee 1

folbee ar 1

folbee plus 1

folbic 1

FOLET DHA 3

FOLET ONE 3

FOLGARD OS 3

FOLGARD RX 3

folic acid injection 1 PA

FOLIC ACID ORAL CAPSULE

3 OTC

folic acid oral tablet 1 mg

1

folic acid oral tablet 400 mcg, 800 mcg

0 ACA; OTC

folic acid-vit b6-vit b12

1

folivane-f 1

folivane-ob 1

folivane-plus 1

folplex 2.2 1

foltabs 800 0 ACA; OTC

FOLTRATE 3

full spectrum b-vitamin c

0 ACA; OTC

FUSION PLUS 3

hematinic plus vit/minerals

1

hematinic/folic acid 1

hematogen 1

hematogen fa 1

hematogen forte 1

HEMATRON-AF 3



HEMAX 3

hemenatal ob 1

hemenatal ob + dha 1

hemetab 1

HEMOCYTE-F 3

HEMOCYTE-PLUS 3

hydroxocobalamin 1 PA

ICAR-C PLUS 3

iferex 150 forte 1

infed 1 PA

INFUVITE ADULT 3 PA

INFUVITE PEDIATRIC

3 PA

INJECTAFER 3

INTEGRA F 3

INTEGRA PLUS 3

IROSPAN 24/6 3

kobee 0 ACA; OTC

KOSHER PRENATAL PLUS IRON

3

kpn 0 ACA; OTC

levomefolate dha 1

lozi-flur 1

ludent fluoride oral tablet,chewable 0.25 mg fluorid (0.55 mg), 0.5 mg fluoride (1.1 mg)

0 ACA

ludent fluoride oral tablet,chewable 1 mg fluoride (2.2 mg)

1

m.v.i. adult 1 PA

M.V.I. PEDIATRIC 2 PA


M.V.I.-12 (WITHOUT VITAMIN K)

3 PA

macnatal cn dha 1

MARNATAL-F 3

MAXARON FORTE

3

MAXFE (FOLATE-DOCUSATE)

3

MAXINATE 3

MULTICHEW 3

multi-delyn with iron 1 OTC

multigen folic 1

multigen plus 1

multi-vit with fluoride-iron

1

multi-vitamin with fluoride oral drops

0 ACA

multi-vitamin with fluoride oral tablet,chewable 0.25 mg, 0.5 mg

0 ACA

multi-vitamin with fluoride oral tablet,chewable 1 mg

1

multivitamins with fluoride oral tablet,chewable 0.25 mg, 0.5 mg

0 ACA

multivitamins with fluoride oral tablet,chewable 1 mg

1

mvc-fluoride oral tablet,chewable 0.25 mg, 0.5 mg

0 ACA



mvc-fluoride oral tablet,chewable 1 mg

1

M-VIT 3

myferon 150 forte 1

MYKIDZ IRON FLUORIDE

3

mynatal 1

mynatal advance 1

mynatal plus 1

mynatal-z 1

mynate 90 plus 1

mynephrocaps 1

NASCOBAL 3

NATACHEW (FE BIS-GLYCINATE)

3

NATELLE ONE 3

natural b-100 complex

0 ACA; OTC

NEEVODHA (WITH ALGAL OIL)

3

nephplex rx 1

NEPHROCAPS 3

NEPHROCAPS QT 3

NEPHRON FA 3

NEPHRO-VITE 3 OTC

nephro-vite rx 1

NESTABS 3

NESTABS ABC 3

NESTABS DHA 3

NEURIN-SL 3

newgen 1

NEXA PLUS 3


NEXAVIR 3 PA

NICOMIDE 3

NICOMIDE (SELENIUM-CHROMIUM)

3

NIVA-FOL 3

NIVA-PLUS 3

NUFERA 3

NUTRICAP 3

OB COMPLETE 3

OB COMPLETE GOLD

3

OB COMPLETE ONE

3

OB COMPLETE PETITE

3

OB COMPLETE PREMIER

3

OB COMPLETE WITH DHA

3

obstetrix dha 1

OBSTETRIX EC 3

OBSTETRIX ONE 3

OBTREX DHA 3

O-CAL FA 3

O-CAL PRENATAL

3

ONE A DAY WOMEN'S PRENATAL DHA

3 OTC

ONE DAILY PRENATAL ORAL COMBO PACK 28 MG IRON- 800 MCG

3 OTC



one daily prenatal oral combo pack 28-800-440 mg-mcg-mg

0 ACA; OTC

ortho d 1

PAIRE OB PLUS DHA

3

PED MULTIVITAMINS-A,B,D,E,K,ZN

3

perry prenatal 0 ACA; OTC

pnv 29-1 1

pnv ob+dha 1

pnv-dha 1

pnv-dha + docusate 1

pnv-ferrous fumarate-docu-fa

1

pnv-omega 1

pnv-select 1

pnv-vp-u 1

poly-iron 150 forte 1

POLY-VI-FLOR 3

POLY-VI-FLOR FS 3

POLY-VI-FLOR WITH IRON

3

poly-vita (iron) 1 OTC

poly-vitamin with iron

1 OTC

pr natal 400 1

pr natal 400 ec 1

pr natal 430 1

pr natal 430 ec 1

PREFERA-OB 3

PREFERA-OB ONE 3

PREFERA-OB PLUS DHA

3


prena1 chew 1

prena1 pearl 1

prenaissance 1

prenaissance next 1

prenaissance plus 1

PRENATA 3

prenatabs fa 1

prenatabs rx 1

PRENATAL + DHA 2 OTC

prenatal complete 0 ACA; OTC

prenatal formula 0 ACA; OTC

prenatal one daily 0 ACA; OTC

prenatal oral tablet 28 mg iron- 800 mcg

0 ACA; OTC

PRENATAL ORAL TABLET 28-800 MG-MCG

3 OTC

prenatal plus 1

prenatal plus (calcium carb)

1

PRENATAL PLUS DHA

3

prenatal vit#96-ferrous fum-fa

0 ACA; OTC

prenatal vitamin 0 ACA; OTC

prenatal vitamin plus low iron

1

prenatal vitamin with minerals

0 ACA; OTC

prenatal-u 1

PRENATE AM 3

PRENATE CHEWABLE

3



PRENATE DHA (FERR ASP GLYCIN)

3

PRENATE ELITE (IRON ASP GLYC)

3

PRENATE ENHANCE

3

PRENATE ESSENTIAL(IRON-ASP-GL)

3

PRENATE MINI (FERR ASP GLYCIN)

3

PRENATE PIXIE 3

PRENATE RESTORE

3

PRENATE STAR 3

preplus 1

PREQUE 10 3

pretab 1

PRIMACARE 3

PROFERRIN-FORTE

3

PROTECT IRON 3

PROVIDA DHA 3

PROVIDA OB 3

PURALOR CI 3

PUREFE OB PLUS 3

PUREFE PLUS 3

purevit dualfe plus 1

QUFLORA FE 3

QUFLORA PEDIATRIC

3

QUFLORA PEDIATRIC DROPS

3


relnate dha 1

renal caps 1

RENAL VITAMIN 3 OTC

RENAL-VITE 3 OTC

rena-vite 0 ACA; OTC

rena-vite rx 1

reno caps 1

REVESTA 3

RIGHT STEP PRENATAL VITAMINS

3 OTC

R-NATAL OB 3

rulavite dha 1

SELECT-OB 3

SELECT-OB (FOLIC ACID)

3

SELECT-OB + DHA

3

se-natal 19 1

se-natal 19 (with docusate)

1

se-tan plus 1

sodium fluoride oral drops

0 ACA

sodium fluoride oral tablet,chewable 0.25 mg fluorid (0.55 mg), 0.5 mg fluoride (1.1 mg)

0 ACA

sodium fluoride oral tablet,chewable 1 mg fluoride (2.2 mg)

1

SOFTGELS MULTIVIT-A,B,D,E,K,ZN

3

stress formula 0 ACA; OTC



stress formula with iron

0 ACA; OTC

stress formula with iron(sulf)

0 ACA; OTC

STROVITE FORTE 3

STROVITE ONE 3

super b complex-vitamin c

0 ACA; OTC

super b maxi complex

0 ACA; OTC

super b-50 complex plus

0 ACA; OTC

super quints 0 ACA; OTC

super quints b-50 0 ACA; OTC

superplex-t 0 ACA; OTC

SUPERVITE 3

SUPERVITE (EC) 3

TANDEM PLUS 3

taron forte 1

taron-c dha 1

taron-prex prenatal-dha

1

TEXAVITE LQ 3 PA

THRIVITE RX 3

thrivite-19 1

tl gard rx 1

tl g-fol os 1

tl icon 1

tl-hem 150 1

total b/c 0 ACA; OTC

TRICARE 2

TRICARE PRENATAL

3


TRICARE PRENATAL DHA ONE

3

TRICARE PRENATAL WITH DHA

3

tricon 1

TRIFERIC 3 PA

trigels-f forte 1

trinatal gt 1

trinatal rx 1 1

trinate 1

triphrocaps 1

triple vitamin with fluoride

0 ACA

TRISTART DHA 3

tri-tabs dha 1

triveen-duo dha 1

TRI-VI-FLOR 3

tri-vit with fluoride and iron

1

tri-vitamin with fluoride

0 ACA

trust natal dha 1

UDAMIN SP 3

ultimatecare one 1

ultimatecare one nf 1

ultra b-100 complex 0 ACA; OTC

v-c forte 1

vemavite-prx-2 1

VENOFER 3 PA

vic-forte 1

vinate care 1

vinate dha 1



VINATE DHA RF 3

vinate ii 1

vinate m 1

vinate one 1

vinate ultra 1

virt-advance 1

virt-c dha 1

VIRT-CAPS 3

virt-gard 1

virt-nate 1

virt-nate dha 1

virt-pn 1

virt-pn dha 1

virt-pn plus 1

VIRTPREX 3

virt-select 1

virt-vite 1

virt-vite forte 1

virt-vite gt 1

VIRT-VITE PLUS 3

vit 3 1

vit b complex-folic acid

0 ACA; OTC

VITA-BEE WITH C 3 OTC

VITAFOL 3

VITAFOL FE+ (WITH DOCUSATE)

3

VITAFOL GUMMIES

3

VITAFOL NANO 3

VITAFOL ULTRA 3

VITAFOL-OB 3


VITAFOL-OB+DHA

3

VITAFOL-ONE 3

VITAL-D RX 3

VITAMAX 2

VITAMED MD ONE RX

3

VITAMED MD PLUS RX

3

VITAMEDMD REDICHEW RX

3

vitamin b complex 0 ACA; OTC

vitamins a,c,d and fluoride

0 ACA

VITAMINS B COMPLEX

2 OTC

VITAPEARL 3

VITA-RESPA 3

vol-care rx 1

vol-nate 1

vol-plus 1

vol-tab rx 1

vp-ch plus 1

vp-ch-pnv 1

vp-ggr-b6 1

vp-heme ob 1

vp-heme one 1

VP-PNV-DHA 3

vp-vite rx 1

wee care 1 OTC

zatean-ch 1

zatean-pn dha 1

zatean-pn plus 1

zavara 1



zingiber 1

zolate 1


Index 8 8-MOP .................................. 41 A abacavir .................................. 3 abacavir-lamivudine ............... 3 abacavir-lamivudine-

zidovudine .......................... 3 ABELCET .............................. 3 ABILIFY .............................. 26 ABILIFY MAINTENA ........ 26 ABRAXANE ........................ 12 ABSORICA .......................... 42 ABSTRAL ............................ 21 acamprosate .......................... 48 ACANYA ............................. 42 acarbose ................................ 64 ACCOLATE......................... 88 ACCU-CHEK AVIVA ......... 52 ACCU-CHEK AVIVA

CONNECT METER ........ 56 ACCU-CHEK AVIVA PLUS

METER ............................ 57 ACCU-CHEK AVIVA PLUS

TEST STRP ...................... 52 ACCU-CHEK COMBO

SYSTEM .......................... 57 ACCU-CHEK COMPACT

TEST ................................ 52 ACCU-CHEK GUIDE ......... 52 ACCU-CHEK GUIDE

GLUCOSE METER ......... 57 ACCU-CHEK NANO .......... 57 ACCU-CHEK SMARTVIEW

CONTRL SOL ................. 57 ACCU-CHEK SMARTVIEW

TEST STRIP .................... 52 ACCUPRIL .......................... 31 ACCURETIC ....................... 31 ACCUTREND GLUCOSE .. 52 ACCUTREND GLUCOSE

CONTROL ....................... 57 ACE AEROSOL CLOUD

ENHANCER .................... 56 acebutolol ............................. 31 ACEON ................................ 31 acetaminophen-caff-

dihydrocod ........................ 21

acetaminophen-codeine ........ 21 acetasol hc ............................ 51 acetazolamide ....................... 84 acetazolamide sodium .......... 84 acetic acid ....................... 48, 51 acetic acid-aluminum acetate 51 acetylcysteine ....................... 88 ACIPHEX ............................. 70 ACIPHEX SPRINKLE......... 70 acitretin ................................. 39 ACTEMRA .......................... 76 ACTHAR H.P. ..................... 51 ACTHIB (PF) ....................... 73 ACTHREL............................ 62 ACTICLATE ........................ 10 ACTIGALL .......................... 66 ACTIMMUNE ..................... 72 ACTIQ .................................. 21 ACTIVE FE .......................... 93 ACTIVE OB ......................... 93 ACTIVELLA........................ 77 ACTONEL ..................... 48, 75 ACTOPLUS MET ................ 64 ACTOPLUS MET XR ......... 64 ACTOS ................................. 64 acuicyn.................................. 83 ACULAR.............................. 84 ACULAR LS ........................ 84 ACUVAIL (PF) .................... 84 acyclovir ........................... 3, 46 acyclovir sodium .................... 3 ACZONE .............................. 42 ADACEL(TDAP

ADOLESN/ADULT)(PF) 73 ADAGEN ............................. 48 ADALAT CC ....................... 31 adapalene .............................. 42 ADAPALENE ...................... 42 ADASUVE ........................... 26 ADCETRIS .......................... 12 ADCIRCA ............................ 88 ADDERALL ........................ 26 ADDERALL XR .................. 26 adefovir ................................... 3 ADEMPAS ........................... 88 ADLYXIN ............................ 64 ADOXA................................ 10

ADRENACLICK ................. 86 adrenalin ............................... 86 ADRENALIN ....................... 88 adriamycin ............................ 12 adrucil ................................... 12 ADVAIR DISKUS ............... 88 ADVAIR HFA ...................... 88 ADVANCED GLUC METER

TEST STRIP ..................... 53 ADVANCED GLUCOSE

METER ............................. 57 ADVATE .............................. 35 ADVOCATE BLOOD

GLUCOSE MONITOR .... 57 ADVOCATE REDI-CODE .. 53 ADVOCATE REDI-CODE

GLU MONITOR .............. 57 ADVOCATE TEST STRIPS 53 ADYPHREN ........................ 86 ADYPHREN AMP ............... 86 ADYPHREN AMP II ........... 86 ADYPHREN II ..................... 86 ADZENYS XR-ODT ........... 26 AEROCHAMBER MINI ..... 56 AEROCHAMBER PLUS

FLOW-VU ........................ 56 AEROCHAMBER PLUS Z

STAT SM MSK ................ 56 AEROSPAN ......................... 88 AEROTRACH PLUS ........... 56 AEROVENT PLUS .............. 56 afeditab cr ............................. 31 AFINITOR ........................... 12 AFINITOR DISPERZ .......... 12 AFLURIA 2015-2016 .......... 73 AFLURIA 2015-2016 (PF) .. 73 AFLURIA 2016-2017 .......... 73 AFLURIA 2016-2017 (PF) .. 73 AFLURIA QUAD 2016-2017

(PF) ................................... 73 AFREZZA ............................ 61 AFSTYLA ............................ 35 AFTERA ............................... 79 AGAMATRIX AMP GLUC

MONITOR SYS ............... 57 AGAMATRIX AMP TEST

STRIPS ............................. 53


AGGRENOX ....................... 35 AGRYLIN ............................ 48 ak-poly-bac ........................... 82 AKTEN (PF) ........................ 83 AKYNZEO........................... 67 ala-cort .................................. 46 ALA-QUIN .......................... 45 ALA-SCALP ........................ 46 ALBENZA ............................. 7 albuterol sulfate .................... 88 ALCAINE ............................ 83 alclometasone ....................... 46 ALCORTIN A ...................... 45 ALDACTAZIDE .................. 31 ALDACTONE ..................... 31 ALDARA ............................. 73 ALDURAZYME .................. 62 ALECENSA ......................... 12 alendronate ..................... 49, 76 ALFERON N........................ 73 alfuzosin ............................... 90 ALIMTA .............................. 12 ALINIA .................................. 7 ALKERAN ........................... 12 allopurinol ............................ 75 allopurinol sodium................ 75 ALLZITAL........................... 21 almotriptan malate ................ 19 ALOCRIL............................. 83 ALOMIDE ........................... 83 aloprim ................................. 75 ALOQUIN ............................ 45 ALORA ................................ 77 alosetron ............................... 67 ALOXI ................................. 67 ALPHAGAN P ............... 85, 86 ALPHANATE ...................... 35 ALPHANINE SD ................. 35 alprazolam ............................ 26 alprazolam intensol .............. 26 alprostadil ............................. 91 ALREX................................. 85 ALSUMA ............................. 19 ALTABAX ........................... 45 altacaine ................................ 83 ALTACE .............................. 31 altafluor ................................ 83 altavera (28).......................... 79 ALTOPREV ......................... 37

ALUVEA.............................. 41 ALVESCO............................ 88 alyacen 1/35 (28) .................. 79 alyacen 7/7/7 (28) ................. 79 amabelz ................................. 77 amantadine hcl ........................ 3 AMARYL ............................. 64 AMBIEN .............................. 26 AMBIEN CR ........................ 26 AMBISOME .......................... 3 amcinonide ........................... 46 AMERGE ............................. 19 amethia ................................. 79 amethia lo ............................. 79 amethyst................................ 79 AMICAR .............................. 35 amifostine crystalline ........... 11 amikacin ................................. 7 amiloride ............................... 31 amiloride-hydrochlorothiazide

.......................................... 31 aminocaproic acid................. 35 amiodarone ........................... 30 AMITIZA ............................. 67 amitriptyline ......................... 26 amitriptyline-chlordiazepoxide

.......................................... 26 amlodipine ............................ 31 amlodipine-atorvastatin ........ 37 amlodipine-benazepril .......... 31 amlodipine-olmesartan ......... 31 amlodipine-valsartan ............ 31 amlodipine-valsartan-hcthiazid

.......................................... 31 amnesteem ............................ 42 amoxapine ............................ 26 amoxicil-clarithromy-lansopraz

.......................................... 70 amoxicillin .............................. 9 AMOXICILLIN ..................... 9 amoxicillin-pot clavulanate .... 9 AMPHADASE ..................... 49 amphotericin b ........................ 3 ampicillin ................................ 9 ampicillin sodium ................... 9 ampicillin-sulbactam .............. 9 AMPYRA ............................. 20 AMRIX ................................. 20 ANADROL-50 ..................... 62

ANAFRANIL ....................... 26 anagrelide ............................. 49 ANA-LEX KIT ..................... 67 ANALPRAM E .................... 67 ANALPRAM-HC ........... 39, 67 ANALPRAM-HC SINGLES67 ANAPROX DS ..................... 24 anaspaz ................................. 66 ANASTIA ............................. 44 anastrozole ............................ 12 ANCOBON ............................ 3 ANDRODERM .................... 62 ANDROGEL ........................ 62 ANDROID ............................ 62 androxy ................................. 62 ANGELIQ ............................ 77 ANGIOMAX ........................ 35 ANIMI-3 WITH VITAMIN D

.......................................... 93 ANORO ELLIPTA ............... 88 ANTABUSE ......................... 49 ANTARA ............................. 37 anucort-hc ............................. 67 ANUSOL-HC ................. 46, 67 ANZEMET ........................... 67 apexicon e ............................. 46 APIDRA ............................... 61 APIDRA SOLOSTAR .......... 61 APLENZIN ........................... 26 APOKYN ............................. 18 apraclonidine ........................ 86 aprepitant .............................. 67 apri ........................................ 79 APRISO ................................ 67 APTENSIO XR .................... 26 APTIOM ............................... 16 APTIVUS ............................... 3 AQUA GLYCOLIC HC ....... 46 ARALAST NP ...................... 49 aranelle (28) .......................... 79 ARANESP (IN

POLYSORBATE) ............ 71 ARAVA ................................ 76 arbinoxa ................................ 86 ARCALYST ......................... 73 ARCAPTA NEOHALER ..... 88 ARGATROBAN IN 0.9 %

SOD CHLOR .................... 36 ARICEPT ............................. 20


ARIMIDEX .......................... 12 aripiprazole ........................... 26 ARISTADA .......................... 26 ARIXTRA ............................ 36 armodafinil ........................... 26 ARMOUR THYROID ......... 65 ARNUITY ELLIPTA ........... 88 AROMASIN......................... 12 ARRANON .......................... 12 ARTHROTEC 50 ................. 24 ARTHROTEC 75 ................. 24 ARZERRA ........................... 12 ASACOL HD ....................... 67 ascomp with codeine ............ 21 ashlyna .................................. 79 ASMANEX HFA ................. 88 ASMANEX TWISTHALER 88 aspir-81 ................................. 24 aspirin ................................... 24 aspirin low dose .................... 24 aspirin-caffeine-dihydrocodein

.......................................... 21 aspirin-dipyridamole ............ 36 aspir-low ............................... 24 aspir-trin ............................... 24 ASSURE 4 STRIPS ............. 53 ASSURE PLATINUM ... 53, 57 ASSURE PRISM MULTI

METER ............................ 57 ASSURE PRISM MULTI

STRIP ............................... 53 ASTAGRAF XL .................. 12 ASTEPRO ............................ 50 astramorph-pf ....................... 21 ASTRAMORPH-PF ............. 21 ATABEX EC........................ 93 ATACAND .......................... 31 ATACAND HCT ................. 31 ATELVIA............................. 76 atenolol ................................. 31 atenolol-chlorthalidone......... 31 ATGAM ............................... 73 ATIVAN............................... 26 ATOPICLAIR ...................... 41 atorvastatin ........................... 37 atovaquone ............................. 7 atovaquone-proguanil ............. 7 ATRALIN ............................ 42 ATRAPRO CP ..................... 41

ATRIPLA ............................... 3 ATROPEN............................ 48 atropine ........................... 66, 83 ATROVENT ........................ 50 ATROVENT HFA ............... 88 AUBAGIO............................ 72 aubra ..................................... 79 AUGMENTIN ........................ 9 AUGMENTIN ES-600 ........... 9 AUGMENTIN XR ................. 9 AURYXIA............................ 67 AUTOJECT 2 INJECTION

DEVICE ........................... 57 AUTOPEN 1 TO 21 UNITS 57 AUVI-Q ................................ 86 AVALIDE ............................ 31 AVANDIA ........................... 64 AVAPRO.............................. 31 avar ....................................... 42 AVAR ................................... 42 AVAR LS ............................. 42 AVAR-E GREEN................. 42 AVAR-E LS ......................... 42 AVASTIN ............................ 12 AVC VAGINAL .................. 78 AVEED ................................ 62 AVELOX.............................. 10 AVELOX ABC PACK ......... 10 AVELOX IN NACL (ISO-

OSMOTIC) ....................... 10 AVENOVA .......................... 83 aviane.................................... 79 avidoxy ................................. 10 AVIDOXY DK..................... 10 avita ...................................... 43 AVITA.................................. 43 avo cream ............................. 41 AVODART .......................... 90 AVONEX ............................. 72 AVONEX (WITH ALBUMIN)

.......................................... 72 AVYCAZ ............................... 5 AXERT ................................. 19 AXIRON .............................. 62 AYGESTIN .......................... 77 azacitidine ............................. 12 AZACTAM ............................ 7 AZACTAM IN DEXTROSE

(ISO-OSM) ......................... 7

AZASAN .............................. 12 AZASITE ............................. 82 azathioprine .......................... 12 azathioprine sodium .............. 12 azelastine ........................ 50, 84 AZELEX ............................... 43 AZILECT ............................. 18 azithromycin ........................... 6 AZOPT ................................. 84 AZOR ................................... 31 aztreonam ............................... 7 AZULFIDINE ...................... 67 AZULFIDINE EN-TABS .... 67 azuphen mb ........................... 91 azurette (28) .......................... 79 B b complete ............................ 93 b complex ............................. 93 b complex 100 ...................... 93 b complex-vitamin b12 ......... 93 b complex-vitamin c-folic acid

.......................................... 93 b-50 complex ........................ 93 baciim ..................................... 7 bacitracin .......................... 7, 82 bacitracin-polymyxin b ......... 82 baclofen ................................ 20 BACMIN .............................. 93 BACTRIM ............................ 10 BACTRIM DS ...................... 10 BACTROBAN ..................... 45 BACTROBAN NASAL ....... 50 balanced b-100 ...................... 93 balanced b-100 complex ....... 93 balanced b-50 ........................ 94 bal-care dha .......................... 94 BAL-CARE DHA

ESSENTIAL ..................... 94 balsalazide ............................ 67 balziva (28) ........................... 79 BANZEL .............................. 16 BARACLUDE ........................ 3 BASAGLAR KWIKPEN ..... 61 bayer aspirin ......................... 24 BCG VACCINE, LIVE (PF) 73 b-complex with vitamin c ..... 94 bd posiflush saline blunt cann

.......................................... 49 bd pre-filled normal saline .... 49


b-donna ................................. 66 BEBULIN............................. 36 BECONASE AQ .................. 88 bekyree (28).......................... 79 BELBUCA ........................... 21 BELEODAQ ........................ 12 belladonna alkaloids-opium . 66 belladonna-opium ................. 66 BELSOMRA ........................ 26 benazepril ............................. 31 benazepril-hydrochlorothiazide

.......................................... 31 BENDEKA ........................... 12 BENEFIX ............................. 36 BENICAR ............................ 31 BENICAR HCT ................... 31 BENLYSTA ......................... 76 BENSAL HP ........................ 40 BENTYL .............................. 66 BENZACLIN ....................... 43 BENZACLIN PUMP ........... 43 BENZAMYCIN ................... 43 BENZAMYCINPAK ........... 43 BENZEFOAM ..................... 43 BENZEFOAM ULTRA ....... 43 benzepro ............................... 43 BENZEPRO

(MICROSPHERES) ......... 43 benzonatate ........................... 86 benzoyl peroxide .................. 43 benztropine ........................... 18 BEPREVE ............................ 84 BERINERT .......................... 88 BESIVANCE ....................... 82 BETADINE OPHTHALMIC

PREP ................................ 82 BETAGAN ........................... 83 betamethasone acet,sod phos 51 betamethasone dipropionate . 46 betamethasone valerate ........ 46 betamethasone, augmented... 46 BETAPACE ......................... 30 BETAPACE AF ................... 30 BETASERON ...................... 72 betaxolol ......................... 31, 83 bethanechol chloride ............ 91 BETHKIS ............................... 7 BETIMOL ............................ 83 BETOPTIC S........................ 83

BEVESPI AEROSPHERE ... 88 bexarotene ............................ 12 BEXSERO ............................ 73 BEYAZ ................................. 79 BG-STAR ............................. 53 BIAFINE EMULSION......... 41 BIAXIN .................................. 6 bicalutamide ......................... 12 BICILLIN C-R ....................... 9 BICILLIN L-A ....................... 9 BICNU.................................. 12 BIDIL ................................... 31 BIFERA RX ......................... 94 BILTRICIDE .......................... 7 BINOSTO ............................. 76 BIONIME RIGHTEST

GM300 SYSTEM ............. 57 BIONIME RIGHTEST TEST

STRIPS ............................. 53 BIOTHRAX ......................... 73 bisoprolol fumarate............... 31 bisoprolol-hydrochlorothiazide

.......................................... 31 bivalirudin ............................ 36 BIVIGAM ............................ 73 bleo 15k ................................ 12 bleomycin ............................. 12 BLEPH-10 ............................ 85 BLEPHAMIDE .................... 85 BLEPHAMIDE S.O.P. ......... 85 BLINCYTO .......................... 12 blisovi 24 fe .......................... 79 blisovi fe 1.5/30 (28) ............ 79 blisovi fe 1/20 (28) ............... 79 BLOOD GLUCOSE TEST .. 53 BLOOD-GLUCOSE METER

.......................................... 57 BONIVA .............................. 76 BOOSTRIX TDAP............... 73 BOSULIF ............................. 12 bp 10-1 .................................. 43 bp-50% urea ......................... 41 bpo ........................................ 43 BRAVELLE ......................... 62 BREATHERITE WITH

MASK, SMALL ............... 56 BREEZE 2 TEST STRIPS ... 53 BREO ELLIPTA .................. 88 BREVIBLOC ....................... 31

BREVIBLOC IN NACL (ISO-OSM) ................................ 31

BREVICON (28) .................. 79 briellyn .................................. 79 BRILINTA ........................... 36 brimonidine ........................... 86 BRINTELLIX ....................... 26 BRISDELLE ......................... 26 BRIVIACT ........................... 16 BROMFED DM ................... 86 bromfenac ............................. 84 bromocriptine ....................... 18 brompheniramine-pseudoeph-

dm ..................................... 86 BROMSITE .......................... 84 BROVANA .......................... 88 BUCALSEP .......................... 44 budesonide ...................... 67, 88 bumetanide ........................... 31 BUNAVAIL ......................... 24 BUPAP ................................. 21 BUPHENYL ......................... 49 BUPRENEX ......................... 21 buprenorphine hcl ................. 21 buprenorphine-naloxone ....... 24 buproban ............................... 50 bupropion hcl ........................ 26 bupropion hcl (smoking deter)

.......................................... 50 buspirone .............................. 26 BUSULFEX ......................... 12 butalbital compound w/codeine

.......................................... 21 butalbital-acetaminop-caf-cod

.......................................... 21 butalbital-acetaminophen ..... 21 butalbital-acetaminophen-caff

.......................................... 21 butalbital-aspirin-caffeine ..... 21 BUTISOL ............................. 26 butorphanol tartrate .............. 24 BUTRANS ........................... 21 BYDUREON ........................ 64 BYETTA .............................. 64 BYSTOLIC ........................... 31 BYVALSON ........................ 31 C cabergoline ........................... 62 CABOMETYX ..................... 12


CADEAU DHA.................... 94 CADUET .............................. 37 CAFERGOT ......................... 19 caffeine citrate ...................... 49 CALAN ................................ 32 CALAN SR .......................... 32 calcipotriene ......................... 39 calcipotriene-betamethasone 39 calcitonin (salmon) ............... 62 calcitrene .............................. 39 calcitriol .......................... 39, 62 calcium acetate ..................... 67 CALCIUM GLUCONATE IN

D5W ................................. 92 calcium pnv .......................... 94 calcium-folic acid-vitamin d 94 CALDOLOR ........................ 24 CAMBIA .............................. 24 camila ................................... 77 CAMPTOSAR ..................... 12 camrese ................................. 79 camrese lo ............................. 79 CANASA ............................. 67 CANCIDAS ........................... 3 candesartan ........................... 32 candesartan-hydrochlorothiazid

.......................................... 32 CANTIL ............................... 66 capacet .................................. 21 CAPASTAT ........................... 7 CAPCOF .............................. 86 capecitabine .......................... 12 CAPEX ................................. 46 CAPITAL WITH CODEINE

.......................................... 22 CAPRELSA ......................... 12 captopril ................................ 32 captopril-hydrochlorothiazide

.......................................... 32 CARAC ................................ 41 CARAFATE ......................... 70 CARBAGLU ........................ 49 carbamazepine ...................... 16 CARBATROL ...................... 16 carbidopa .............................. 18 carbidopa-levodopa .............. 18 carbidopa-levodopa-

entacapone ........................ 18 carbinoxamine maleate ......... 86

carboplatin ............................ 12 CARDENE IV ...................... 32 CARDENE IV IN

DEXTROSE ..................... 32 CARDENE IV IN SODIUM

CHLORIDE ...................... 32 CARDIOTEK-RX

(BIOPERINE) .................. 94 CARDIZEM ......................... 32 CARDIZEM CD................... 32 CARDIZEM LA ................... 32 CARDURA .......................... 32 CARDURA XL .................... 32 CARESENS N ...................... 57 CARESENS N TEST STRIPS

.......................................... 53 CARESENS N VOICE ........ 57 CARIMUNE NF

NANOFILTERED............ 73 carisoprodol .......................... 20 carisoprodol-asa-codeine ...... 20 carisoprodol-aspirin .............. 20 CARNITOR.......................... 49 CARNITOR (SUGAR-FREE)

.......................................... 49 carteolol ................................ 83 cartia xt ................................. 32 carvedilol .............................. 32 CASODEX ........................... 12 CATAPRES.......................... 32 CATAPRES-TTS-1 .............. 32 CATAPRES-TTS-2 .............. 32 CATAPRES-TTS-3 .............. 32 CAVERJECT ....................... 91 CAVERJECT IMPULSE ..... 91 CAYA CONTOURED ......... 77 CAYSTON ............................. 7 caziant (28) ........................... 79 CEDAX .................................. 5 cefaclor ................................... 5 cefadroxil ................................ 5 cefazolin ................................. 5 cefazolin in dextrose (iso-os) . 5 CEFAZOLIN IN DEXTROSE

(ISO-OS) ............................ 5 cefdinir.................................... 5 cefditoren pivoxil ................... 5 cefepime ................................. 5

CEFEPIME IN DEXTROSE 5 % ......................................... 6

cefepime in dextrose,iso-osm . 6 cefixime .................................. 6 CEFOTAN .............................. 6 cefotaxime .............................. 6 cefotetan ................................. 6 CEFOTETAN IN

DEXTROSE, ISO-OSM ..... 6 cefoxitin .................................. 6 cefoxitin in dextrose, iso-osm . 6 cefpodoxime ........................... 6 cefprozil .................................. 6 ceftazidime ............................. 6 CEFTAZIDIME IN D5W ....... 6 ceftibuten ................................ 6 CEFTIN .................................. 6 ceftriaxone .............................. 6 CEFTRIAXONE .................... 6 ceftriaxone in dextrose,iso-os . 6 cefuroxime axetil .................... 6 cefuroxime sodium ................. 6 CELEBREX ......................... 24 celecoxib ............................... 24 CELESTONE SOLUSPAN .. 52 CELEXA .............................. 27 CELLCEPT .......................... 12 CELLCEPT INTRAVENOUS

.......................................... 12 CELONTIN .......................... 16 cem-urea ............................... 41 CENTANY ........................... 45 CENTANY AT ..................... 45 centergy ................................ 86 centratex ............................... 94 cephalexin ............................... 6 CEPROTIN (BLUE BAR) ... 36 CEPROTIN (GREEN BAR) 36 CERDELGA ......................... 62 CEREBYX ........................... 16 CEREZYME ......................... 62 CERVARIX VACCINE (PF)

.......................................... 73 CERVIDIL ........................... 78 CESAMET ........................... 67 CETRAXAL ......................... 51 CETROTIDE ........................ 62 cevimeline ............................. 49 CHANTIX ............................ 50


CHANTIX CONTINUING MONTH BOX .................. 50

CHANTIX STARTING MONTH BOX .................. 50

chateal................................... 79 CHEMET ............................. 49 CHENODAL ........................ 67 cheratussin ac ....................... 87 cheratussin dac ..................... 87 chewable multivit-a,b,d,e,k,zn

.......................................... 94 children's aspirin ................... 25 children's iron ....................... 94 CHILDREN'S NASACORT 88 chloramphenicol sod succinate

............................................ 7 chlordiazepoxide hcl ............ 27 chlordiazepoxide-clidinium .. 66 chloroquine phosphate............ 7 chlorothiazide ....................... 32 chlorothiazide sodium .......... 32 chlorpromazine ..................... 27 chlorpropamide..................... 64 chlorthalidone ....................... 32 chlorzoxazone....................... 20 choice-tabs ............................ 94 CHOLBAM .......................... 67 cholestyramine (with sugar) . 37 cholestyramine light ............. 37 choline,magnesium salicylate

.......................................... 25 CHORIONIC

GONADOTROPIN, HUMAN ........................... 62

CIALIS ........................... 90, 91 ciclodan ................................ 45 CICLODAN KIT.................. 45 ciclopirox .............................. 45 ciclopirox-ure-camph-menth-

euc .................................... 45 cidofovir ................................. 3 ciferex ................................... 94 cilostazol............................... 36 CILOXAN ............................ 82 cimetidine ............................. 70 cimetidine hcl ....................... 70 CIMZIA ................................ 67 CIMZIA POWDER FOR

RECONST ........................ 67

CINQAIR ............................. 88 CINRYZE ............................. 88 CIPRO .................................. 10 CIPRO HC ............................ 51 CIPRO IN D5W ................... 10 CIPRO XR ............................ 10 CIPRODEX .......................... 51 ciprofloxacin ......................... 10 ciprofloxacin (mixture)......... 10 ciprofloxacin hcl ....... 10, 51, 82 ciprofloxacin in 5 % dextrose

.......................................... 10 ciprofloxacin lactate ............. 10 cisplatin ................................ 12 citalopram ............................. 27 CITRANATAL (DUAL-

IRON) ............................... 94 CITRANATAL 90 DHA

(ALGAL OIL) .................. 94 CITRANATAL ASSURE .... 94 CITRANATAL B-CALM (FE

GLUC) .............................. 94 CITRANATAL DHA

(ALGAL OIL) .................. 94 CITRANATAL HARMONY

(IRON FUM) .................... 94 cladribine .............................. 12 claravis.................................. 43 CLARINEX .......................... 86 CLARINEX-D 12 HOUR .... 87 clarithromycin ........................ 6 classic prenatal ..................... 94 cleansing wash ...................... 43 clemastine ............................. 86 CLEOCIN ......................... 7, 78 CLEOCIN IN 5 %

DEXTROSE ....................... 7 CLEOCIN T ......................... 43 CLEVER CHEK BLOOD

GLUCOSE........................ 57 CLEVER CHOICE

CHAMBER-SM MASK... 56 CLEVER CHOICE

GLUCOSE MONITOR .... 57 CLEVER CHOICE MICRO 57 CLEVER CHOICE MICRO

TEST STRIP..................... 53 CLEVER CHOICE PRO 53, 57

CLEVER CHOICE TEST STRIPS ............................. 53

CLEVER CHOICE VOICE+ TEST ................................. 53

CLEVIPREX ........................ 32 CLIMARA ............................ 77 CLIMARA PRO ................... 77 CLIN SINGLE USE ............... 7 CLINDACIN ETZ ................ 43 clindacin p ............................ 43 CLINDACIN PAC ............... 43 CLINDAGEL ....................... 43 clindamycin hcl ...................... 7 clindamycin in 5 % dextrose .. 7 clindamycin palmitate hcl ....... 7 clindamycin pediatric ............. 7 clindamycin phosphate .... 7, 43,

78 clindamycin-benzoyl peroxide

.......................................... 43 clindamycin-tretinoin ........... 43 CLINDESSE ......................... 78 CLINPRO 5000 .................... 50 clobetasol .............................. 46 clobetasol-emollient ............. 46 CLOBEX .............................. 47 CLOCORTOLONE

PIVALATE ....................... 47 clodan ................................... 47 CLODAN KIT ...................... 47 CLODERM ........................... 47 CLOLAR .............................. 13 clomiphene citrate ................ 62 clomipramine ........................ 27 clonazepam ........................... 16 clonidine ............................... 32 clonidine hcl ................... 27, 32 clopidogrel ............................ 36 clorazepate dipotassium ........ 27 clorpres ................................. 32 CLORPRES .......................... 32 clotrimazole ...................... 3, 45 clotrimazole-betamethasone . 45 clozapine ............................... 27 CLOZAPINE ........................ 27 CLOZARIL .......................... 27 c-nate dha .............................. 94 CNL 8 NAIL ......................... 45 COAL TAR .......................... 39


COARTEM ............................ 7 codeine sulfate ...................... 22 codeine-butalbital-asa-caff ... 22 codeine-guaifenesin .............. 87 CODITUSSIN AC................ 87 CODITUSSIN DAC ............. 87 COGENTIN ......................... 18 COLAZAL ........................... 67 COLCHICINE ...................... 75 COLCRYS ........................... 75 COLESTID........................... 37 COLESTID FLAVORED .... 37 colestipol .............................. 37 colistin (colistimethate na) ..... 7 colocort ................................. 67 COLY-MYCIN M

PARENTERAL .................. 7 COLY-MYCIN S ................. 51 COLYTE WITH FLAVOR

PACKS ............................. 67 COMBIGAN ........................ 84 COMBIPATCH .................... 77 COMBIVENT RESPIMAT . 88 COMBIVIR ............................ 3 COMETRIQ ......................... 13 COMPACT SPACE

CHAMBER-LRG MASK 56 COMPAZINE....................... 67 COMPLERA .......................... 3 complete natal dha ................ 94 completenate......................... 94 complex b-100 ...................... 94 compro .................................. 67 COMTAN............................. 18 CONCEPT DHA .................. 94 CONCEPT OB ..................... 94 CONCERTA ........................ 27 CONDYLOX ....................... 41 constulose ............................. 67 CONTOUR LINK ................ 57 CONTOUR NEXT EZ

METER ............................ 57 CONTOUR NEXT METER 57 CONTOUR NEXT STRIPS . 53 CONTOUR NEXT USB

METER ............................ 57 CONTOUR TEST STRIPS .. 53 CONTROL AST

MONITORING SYSTEM 57

CONTROL AST TEST ........ 53 CONZIP................................ 25 COPAXONE ........................ 72 COPEGUS ............................ 72 CORDARONE ..................... 30 CORDRAN .......................... 47 CORDRAN TAPE LARGE

ROLL................................ 47 COREG ................................ 32 COREG CR .......................... 32 CORGARD .......................... 32 CORIFACT .......................... 36 CORLANOR ........................ 38 CORLOPAM ........................ 32 cormax .................................. 47 CORTANE-B ....................... 41 CORTEF ............................... 52 CORTENEMA ..................... 67 CORTIFOAM ...................... 67 cortisone ............................... 52 CORTISPORIN .................... 45 CORTISPORIN-TC ............. 51 CORTROSYN ...................... 52 corvita ................................... 94 corvita 150 ............................ 94 CORVITE ............................. 94 CORVITE 150 ...................... 94 CORVITE FE ....................... 94 CORVITE FREE .................. 94 CORZIDE ............................. 32 COSENTYX ......................... 39 COSENTYX (2 SYRINGES)

.......................................... 39 COSENTYX PEN ................ 39 COSENTYX PEN (2 PENS) 39 COSMEGEN ........................ 13 COSOPT ............................... 84 COSOPT (PF)....................... 84 cosyntropin ........................... 52 COTELLIC ........................... 13 COUMADIN ........................ 36 covaryx ................................. 77 covaryx h.s............................ 77 COZAAR.............................. 32 CREON ................................ 67 CRESEMBA .......................... 3 CRESTOR ............................ 37 CRINONE ............................ 77 CRIXIVAN ............................ 3

cromolyn ................... 67, 84, 88 cryselle (28) .......................... 79 CUPRIMINE ........................ 76 CUROSURF ......................... 88 CUTIVATE .......................... 47 CUVITRU ............................ 73 CUVPOSA ........................... 66 cyanocobalamin (vitamin b-12)

.......................................... 94 cyclafem 1/35 (28) ................ 79 cyclafem 7/7/7 (28) ............... 79 CYCLESSA (28) .................. 79 cyclobenzaprine .................... 20 CYCLOGYL ........................ 83 CYCLOMYDRIL ................. 86 cyclopentolate ....................... 83 cyclophosphamide ................ 13 CYCLOPHOSPHAMIDE .... 13 CYCLOSERINE ..................... 7 CYCLOSET ......................... 64 cyclosporine .......................... 13 cyclosporine modified .......... 13 CYKLOKAPRON ................ 36 CYMBALTA ........................ 27 cyproheptadine ..................... 86 CYRAMZA .......................... 13 cyred ..................................... 79 CYSTADANE ...................... 67 CYSTAGON ........................ 91 CYSTARAN ......................... 84 cytarabine ............................. 13 cytarabine (pf) ...................... 13 CYTOMEL ........................... 65 CYTOTEC ............................ 70 CYTOVENE ........................... 3 cytra k crystals ...................... 91 cytra-2 ................................... 91 cytra-3 ................................... 91 cytra-k ................................... 91 D D.H.E.45 ............................... 19 dacarbazine ........................... 13 DACOGEN ........................... 13 DAKLINZA ........................... 3 DALIRESP ........................... 88 DALVANCE .......................... 7 danazol .................................. 62 DANTRIUM ......................... 20 dantrolene ............................. 21


dapsone ................................... 7 DAPTACEL (DTAP

PEDIATRIC) (PF)............ 73 DARAPRIM ........................... 7 darifenacin ............................ 90 DARZALEX ........................ 13 dasetta 1/35 (28) ................... 79 dasetta 7/7/7 (28) .................. 79 daunorubicin ......................... 13 DAXBIA ................................ 6 DAYPRO ............................. 25 daysee ................................... 79 DAYTRANA ....................... 27 DDAVP ................................ 62 DEBACTEROL ................... 50 deblitane ............................... 77 decitabine ............................. 13 DELESTROGEN ................. 77 deltasone ............................... 52 delyla (28) ............................ 79 DELZICOL .......................... 67 DEMADEX .......................... 32 demeclocycline ..................... 10 DEMEROL........................... 22 demerol (pf) .......................... 22 DEMEROL (PF) .................. 22 DEMSER .............................. 32 DENAVIR ............................ 46 denta 5000 plus..................... 51 dentagel ................................ 51 DEPACON ........................... 16 DEPAKENE ......................... 16 DEPAKOTE ......................... 17 DEPAKOTE ER ................... 17 DEPAKOTE SPRINKLES .. 17 DEPEN TITRATABS .......... 76 DEPO-ESTRADIOL ............ 77 DEPO-MEDROL ................. 52 DEPO-PROVERA ............... 77 DEPO-SUBQ PROVERA 104

.......................................... 77 DEPO-TESTOSTERONE .... 63 DERMA-SMOOTHE/FS

BODY OIL ....................... 47 DERMA-SMOOTHE/FS

SCALP OIL ...................... 47 DERMASORB AF

COMPLETE KIT ............. 45

DERMASORB HC COMPLETE KIT ............. 47

DERMASORB TA COMPLETE KIT ............. 47

DERMASORB XM COMPLETE KIT ............. 41

DERMATOP ........................ 47 dermazene ............................. 45 DERMOTIC OIL ................. 51 DESCOVY ............................. 4 desipramine .......................... 27 desloratadine ......................... 86 desmopressin ........................ 63 desog-e.estradiol/e.estradiol . 79 DESOGEN ........................... 79 desogestrel-ethinyl estradiol . 79 DESONATE ......................... 47 desonide ................................ 47 DESOWEN .......................... 47 desoximetasone .................... 47 DESOXYN ........................... 27 DESVENLAFAXINE .......... 27 DESVENLAFAXINE

FUMARATE .................... 27 DETROL .............................. 90 DETROL LA ........................ 90 dexamethasone ..................... 52 dexamethasone intensol ........ 52 dexamethasone sodium phos

(pf) .................................... 52 dexamethasone sodium

phosphate .................... 52, 85 dexedrine .............................. 27 DEXEDRINE SPANSULE .. 27 DEXILANT .......................... 70 dexmethylphenidate.............. 27 DEXPAK 10 DAY ............... 52 DEXPAK 13 DAY ............... 52 DEXPAK 6 DAY ................. 52 dexrazoxane hcl .................... 11 dextroamphetamine .............. 27 dextroamphetamine-

amphetamine .................... 27 DIABETA ............................ 64 dialyvite ................................ 94 DIALYVITE 3000 ............... 94 DIALYVITE 5000 ............... 94 dialyvite 800 ......................... 94

DIALYVITE 800 WITH IRON .......................................... 94

DIALYVITE SUPREME D . 94 DIAMOX SEQUELS ........... 84 DIASTAT ............................. 17 DIASTAT ACUDIAL .......... 17 DIATRUE PLUS BLOOD

GLUCOSE MET .............. 57 DIATRUE PLUS TEST STRIP

.......................................... 53 diazepam ......................... 17, 27 diazepam intensol ................. 27 DIBENZYLINE ................... 32 DICLEGIS ............................ 67 diclofenac potassium ............ 25 diclofenac sodium ..... 25, 41, 84 diclofenac-misoprostol ......... 25 dicloxacillin ............................ 9 dicyclomine .......................... 66 didanosine ............................... 4 DIFFERIN ............................ 43 DIFICID ................................. 6 diflorasone ............................ 47 DIFLUCAN ............................ 3 diflunisal ............................... 25 digitek ................................... 35 digox ..................................... 35 digoxin .................................. 35 dihydroergotamine ................ 19 DILANTIN ........................... 17 DILANTIN EXTENDED ..... 17 DILANTIN INFATABS ...... 17 DILANTIN-125 .................... 17 DILATRATE-SR ................. 39 DILAUDID ........................... 22 DILAUDID (PF) .................. 22 DILAUDID-HP (PF) ............ 22 diltiazem ............................... 32 dilt-xr .................................... 32 dimenhydrinate ..................... 67 DIOVAN .............................. 32 DIOVAN HCT ..................... 32 DIPENTUM ......................... 67 diphenhydramine hcl ............ 86 diphenoxylate-atropine ......... 66 DIPROLENE ........................ 47 DIPROLENE AF .................. 47 dipyridamole ......................... 36 DISALCID ........................... 25


diskets ................................... 22 disopyramide phosphate ....... 30 disulfiram ............................. 49 DITROPAN XL ................... 90 DIURIL ................................ 32 DIURIL IV ........................... 32 divalproex ............................. 17 DIVIGEL .............................. 77 DOCEFREZ ......................... 13 docetaxel............................... 13 dofetilide............................... 30 dologesic (w-

phenyltoloxamine) ............ 25 DOLOPHINE ....................... 22 donepezil .............................. 20 DONNATAL ........................ 66 DORAL ................................ 27 DORYX ................................ 10 DORYX MPC ...................... 10 dorzolamide .......................... 85 dorzolamide-timolol ............. 85 dothelle dha .......................... 94 DOVONEX .......................... 39 doxazosin .............................. 33 doxepin ........................... 27, 41 doxercalciferol ...................... 63 DOXIL ................................. 13 doxorubicin........................... 13 doxorubicin, peg-liposomal .. 13 doxy-100............................... 10 doxycycline hyclate .............. 11 doxycycline monohydrate .... 11 DOXYCYCLINE

MONOHYDRATE........... 11 DRISDOL............................. 94 drithocreme hp...................... 39 dronabinol............................. 67 droperidol ............................. 67 drospirenone-e.estradiol-lm.fa

.......................................... 79 drospirenone-ethinyl estradiol

.......................................... 79 DROXIA .............................. 13 DUAC................................... 43 DUAVEE ............................. 77 DUET DHA BALANCED ... 94 DUET DHA WITH OMEGA-3

.......................................... 94 DUETACT ........................... 64

DUEXIS ............................... 25 DULERA .............................. 88 duloxetine ............................. 27 DUODOTE ........................... 48 DUOPA ................................ 18 DURACHOL ........................ 94 DURAGESIC ....................... 22 duramorph (pf) ..................... 22 DUREZOL ........................... 85 DURLAZA ........................... 36 dutasteride ............................ 90 dutasteride-tamsulosin .......... 90 DUTOPROL ......................... 33 DYANAVEL XR ................. 27 DYAZIDE ............................ 33 DYLOJECT .......................... 25 DYMISTA ............................ 88 DYRENIUM ........................ 33 DYSPORT ............................ 73 E e.c. prin ................................. 25 e.e.s. 400 ................................. 6 E.E.S. GRANULES................ 6 EASIVENT HOLDING

CHAMBER ...................... 56 EASY PLUS II BLOOD

GLUCOSE MET .............. 57 EASY PLUS II TEST........... 53 EASY STEP ......................... 53 EASY STEP BLOOD

GLUCOSE METER ......... 57 EASY TALK BLOOD

GLUCOSE METER ......... 57 EASY TALK GLUCOSE

TEST ................................ 53 EASY TOUCH GLUCOSE

MONITOR ....................... 58 EASY TOUCH TEST STRIP

.......................................... 53 EASY TRAK BLOOD

GLUCOSE METER ......... 58 EASY TRAK GLUCOSE

TEST ................................ 53 EASYGLUCO

MONITORING SYSTEM 58 EASYGLUCO PLUS ..... 53, 58 EASYGLUCO TEST ........... 53 EASYMAX .......................... 53

EASYMAX L BLOOD GLUCOSE METER ......... 58

EASYMAX NG .................... 58 EASYMAX V SPEAKING

GLUCOSE SYS ............... 58 EASYMAX V2 BLOOD

GLUCOSE METER ......... 58 EC-NAPROSYN .................. 25 econazole .............................. 45 econtra ez .............................. 79 ecotrin ................................... 25 ecotrin low strength .............. 25 ECOZA ................................. 45 EDARBI ............................... 33 EDARBYCLOR ................... 33 EDECRIN ............................. 33 EDEX ................................... 91 EDLUAR .............................. 27 ed-spaz .................................. 66 EDURANT ............................. 4 eemt ...................................... 77 eemt hs .................................. 77 effer-k ................................... 92 EFFER-K .............................. 92 EFFEXOR XR ...................... 27 EFFIENT .............................. 36 EFUDEX .............................. 41 EGRIFTA ............................. 72 ELAPRASE .......................... 63 ELDEPRYL .......................... 19 ELDERCAPS ....................... 94 ELELYSO ............................ 63 ELEMENT COMPACT

GLUCOSE METER ......... 58 ELEMENT COMPACT TEST

STRIPS ............................. 53 ELEMENT COMPACT V

GLUCOSE MTR .............. 58 ELEMENT PLUS BLOOD

GLUCOSE KIT ................ 58 ELEMENT TEST STRIPS ... 53 ELESTAT ............................. 84 ELESTRIN ........................... 77 eletone ................................... 41 ELIDEL ................................ 41 ELIGARD ............................. 13 ELIGARD (3 MONTH) ....... 13 ELIGARD (4 MONTH) ....... 13 ELIGARD (6 MONTH) ....... 13


ELIMITE .............................. 48 elinest ................................... 79 eliphos .................................. 67 ELIQUIS .............................. 36 ELITEK ................................ 11 elite-ob .................................. 94 ELIXOPHYLLIN ................. 88 ELLA .................................... 79 ELLENCE ............................ 13 ELMIRON ............................ 91 ELOCON .............................. 47 ELOCTATE ......................... 36 EMADINE ........................... 84 EMBEDA ............................. 22 EMBRACE BLOOD

GLUCOSE SYSTEM . 53, 58 EMBRACE EVO TEST

STRIPS ............................. 53 EMBRACE PRO GLUCOSE

METER ............................ 58 EMBRACE PRO TEST

STRIPS ............................. 53 EMCYT ................................ 13 EMEND .......................... 67, 68 EMLA................................... 44 emoquette ............................. 79 EMPLICITI .......................... 13 EMSAM ............................... 27 EMTRIVA .............................. 4 emulsion sb ........................... 41 EMVERM .............................. 7 ENABLEX ........................... 90 enalapril maleate .................. 33 enalaprilat ............................. 33 enalapril-hydrochlorothiazide

.......................................... 33 ENBREL .............................. 76 ENBREL SURECLICK ....... 76 endocet ................................. 22 ENDOMETRIN ................... 77 ENGERIX-B (PF) ................ 73 ENGERIX-B PEDIATRIC

(PF) ................................... 73 ENJUVIA ............................. 77 ENLITE SYSTEM ............... 58 ENLYTE (FERROUS

GLYCINE) ....................... 94 enoxaparin ............................ 36 enpresse ................................ 79

enskyce ................................. 79 ENSTILAR ........................... 39 entacapone ............................ 19 entecavir ................................. 4 enteric coated aspirin ............ 25 ENTOCORT EC................... 68 ENTRESTO.......................... 38 ENTYVIO ............................ 68 enulose .................................. 68 ENVARSUS XR .................. 13 EPANED .............................. 33 EPCLUSA .............................. 4 EPICERAM .......................... 41 EPIDUO ............................... 43 EPIDUO FORTE .................. 43 EPIFOAM ............................ 39 epinastine .............................. 84 epinephrine ........................... 86 EPINEPHRINE .................... 86 EPINEPHRINE HCL (PF) ... 86 EPIPEN 2-PAK .................... 86 EPIPEN JR 2-PAK ............... 86 epirubicin .............................. 13 EPISIL .................................. 51 EPISNAP .............................. 86 epitol ..................................... 17 EPIVIR ................................... 4 EPIVIR HBV .......................... 4 eplerenone ............................ 33 EPOGEN .............................. 71 epoprostenol (glycine) .......... 33 eprosartan ............................. 33 EPZICOM .............................. 4 EQUETRO ........................... 17 ERAXIS(WATER DILUENT)

............................................ 3 ERBITUX ............................. 13 ergocalciferol (vitamin d2) ... 94 ergoloid ................................. 27 ERGOMAR .......................... 19 ergotamine-caffeine .............. 19 ERIVEDGE .......................... 13 errin ...................................... 77 ERTACZO............................ 45 ERWINAZE ......................... 13 ery pads................................. 43 erygel .................................... 43 ERYPED 200 ......................... 6 ERYPED 400 ......................... 6

ery-tab ..................................... 6 ERY-TAB ............................... 7 ERYTHROCIN ...................... 7 erythrocin (as stearate) ........... 7 erythromycin ..................... 7, 82 erythromycin ethylsuccinate ... 7 erythromycin with ethanol .... 43 erythromycin-benzoyl peroxide

.......................................... 43 ESBRIET .............................. 88 ESCAVITE ........................... 95 ESCAVITE D ....................... 95 ESCAVITE LQ .................... 95 escitalopram oxalate ............. 27 ESGIC ................................... 22 esmolol ................................. 33 esomeprazole magnesium ..... 70 esomeprazole sodium ........... 70 ESOMEPRAZOLE

STRONTIUM ................... 70 estarylla ................................. 80 estazolam .............................. 27 ESTRACE ............................ 77 estradiol ................................ 77 estradiol valerate ................... 77 estradiol-norethindrone acet . 77 ESTRING ............................. 77 ESTROGEL .......................... 77 estrogens-methyltestosterone 77 estropipate ............................. 77 ESTROSTEP FE-28 ............. 80 eszopiclone ........................... 27 ethacrynate sodium ............... 33 ethacrynic acid ...................... 33 ethambutol .............................. 7 ethosuximide ......................... 17 ethyl chloride ........................ 44 ethynodiol diac-eth estradiol 80 ETHYOL .............................. 11 etidronate disodium .............. 49 etodolac ................................. 25 ETOPOPHOS ....................... 13 etoposide ............................... 13 EUCRISA ............................. 41 EURAX ................................ 48 EVAMIST ............................ 77 EVEKEO .............................. 27 EVENCARE G2 ............. 53, 58


EVENCARE G3 GLUCOSE METER ............................ 58

EVENCARE G3 TEST ........ 53 EVISTA ................................ 76 EVOCLIN ............................ 43 EVOLUTION BLOOD

GLUCOSE METER ......... 58 EVOLUTION TEST STRIPS

.......................................... 53 EVOMELA .......................... 13 EVOTAZ ................................ 4 EVOXAC ............................. 49 EVZIO .................................. 25 EXALGO ER ....................... 22 EXELDERM ........................ 45 EXELON .............................. 20 exemestane ........................... 13 EXFORGE ........................... 33 EXFORGE HCT .................. 33 EXJADE ............................... 49 EXODERM .......................... 45 EXPECTA PRENATAL ...... 95 EXTAVIA ............................ 72 EXTINA ............................... 45 EXTRA-VIRT PLUS DHA . 95 EYLEA ................................. 84 EZ FLU 2015-16 (FLUVIRIN)

(PF) ................................... 73 EZ FLU 2015-

16(FLUCELVAX)(PF) .... 73 EZ FLU 2016-17 (AFLURIA)

(PF) ................................... 73 EZ FLU 2016-17 (FLUVIRIN)

(PF) ................................... 73 EZ FLU16-17(FLUZON QD

PED)(PF) .......................... 73 EZ SMART PLUS SYSTEM

.......................................... 58 EZ SMART PLUS TEST ..... 53 EZ SMART SYSTEM ......... 58 EZ SMART TEST ................ 54 E-Z SPACER........................ 56 ezetimibe .............................. 37 F FA-8 ..................................... 95 FABIOR ............................... 43 FABRAZYME ..................... 63 FACTIVE ............................. 10 fallback solo ......................... 80

falmina (28) .......................... 80 famciclovir.............................. 4 famotidine ............................. 70 famotidine (pf) ...................... 70 famotidine (pf)-nacl (iso-os) 70 FAMVIR ................................ 4 FANAPT .............................. 27 FARESTON ......................... 13 FARXIGA ............................ 64 FARYDAK ........................... 13 FASLODEX ......................... 13 FAZACLO............................ 27 fe c plus ................................ 95 FEIBA NF ............................ 36 felbamate .............................. 17 FELBATOL.......................... 17 FELDENE ............................ 25 felodipine .............................. 33 fem ph ................................... 78 FEMARA ............................. 13 FEMCON FE ........................ 80 FEMHRT LOW DOSE ........ 77 FEMRING ............................ 77 femynor ................................ 80 fenofibrate ............................ 38 FENOFIBRATE ................... 38 fenofibrate micronized ......... 37 fenofibrate nanocrystallized . 37 fenofibric acid....................... 38 fenofibric acid (choline) ....... 38 FENOGLIDE........................ 38 fenoprofen ............................ 25 fentanyl ................................. 22 FENTANYL ......................... 22 fentanyl citrate ...................... 22 fentanyl citrate (pf) ............... 22 FENTORA............................ 22 FERAHEME ........................ 95 fer-iron .................................. 95 FERIVA 21-7 TABLET ....... 95 FERIVA FA (SUMALATE) 95 ferocon .................................. 95 FERRALET 90 DUAL-IRON

DELIVERY ...................... 95 ferraplus 90 ........................... 95 ferrex 150 forte ..................... 95 ferrex 150 forte plus ............. 95 ferrex 28 ............................... 95 FERRIPROX ........................ 49

FERRLECIT ......................... 49 ferrocite plus ......................... 95 ferrogels forte ....................... 95 ferrous sulfate ....................... 95 FETZIMA ............................. 27 FEXMID ............................... 21 FIBRICOR ............................ 38 FIFTY50 TEST STRIP ......... 54 FINACEA ............................. 43 finasteride ............................. 90 FIORICET ............................ 22 FIORICET WITH CODEINE

.......................................... 22 FIORINAL ........................... 22 FIORINAL-CODEINE #3 .... 22 FIRAZYR ............................. 89 FIRMAGON KIT W

DILUENT SYRINGE ...... 13 FLAGYL ................................ 8 FLAGYL ER .......................... 8 FLAREX ............................... 85 flavoxate ............................... 90 FLEBOGAMMA DIF .......... 73 flecainide .............................. 30 FLECTOR ............................ 25 FLEXICHAMBER ............... 56 FLOLAN .............................. 33 FLOMAX ............................. 90 FLORIVA ............................. 95 FLORIVA (FLUORIDE-

VITAMIN D3) .................. 95 FLORIVA PLUS .................. 95 FLOVENT DISKUS ............ 89 FLOVENT HFA ................... 89 FLOWTUSS ......................... 87 floxin ..................................... 51 floxuridine ............................ 13 FLUAD 2016-2017 (65 YR

UP)(PF) ............................. 73 FLUARIX QUAD 2015-2016

(PF) ................................... 73 FLUARIX QUAD 2016-2017

(PF) ................................... 74 FLUBLOK 2015-2016 (PF) . 74 FLUBLOK 2016-2017 (PF) . 74 flucaine ................................. 84 FLUCELVAX 2015-2016 (PF)

.......................................... 74


FLUCELVAX QUAD 2016-2017 (PF) .......................... 74

fluconazole ............................. 3 fluconazole in dextrose(iso-o) 3 flucytosine .............................. 3 fludarabine ............................ 13 fludrocortisone ..................... 52 FLULAVAL QUAD 2015-

2016 .................................. 74 FLULAVAL QUAD 2016-

2017 .................................. 74 FLULAVAL QUAD 2016-

2017 (PF) .......................... 74 FLUMADINE ........................ 4 flumazenil ............................. 27 FLUMIST QUAD 2015-2016

.......................................... 74 FLUMIST QUAD 2016-2017

.......................................... 74 flunisolide ............................. 89 fluocinolone .......................... 47 fluocinolone acetonide oil .... 51 fluocinolone and shower cap 47 fluocinonide .......................... 47 fluocinonide-e....................... 47 FLUORABON ..................... 95 FLUOR-A-DAY................... 95 fluor-a-day (with xylitol) ...... 95 fluorescein-benoxinate ......... 84 fluorescein-proparacaine ...... 84 fluoridex daily defense ......... 51 FLUORIDEX SENSITIVITY

RELIEF ............................ 51 fluoritab ................................ 95 FLUORITAB ....................... 95 fluorometholone ................... 85 FLUOROPLEX .................... 41 fluorouracil ..................... 13, 41 FLUOROURACIL ............... 41 fluoxetine .............................. 27 FLUOXETINE ..................... 27 fluphenazine decanoate ........ 28 fluphenazine hcl ................... 28 FLURA-DROPS .................. 95 flurandrenolide ..................... 47 flurazepam ............................ 28 flurbiprofen........................... 25 flurbiprofen sodium .............. 84 flurox .................................... 84

flutamide ............................... 13 fluticasone ...................... 47, 89 fluvastatin ............................. 38 FLUVIRIN 2015-2016 ......... 74 FLUVIRIN 2015-2016 (PF) . 74 FLUVIRIN 2016-2017 ......... 74 FLUVIRIN 2016-2017 (PF) . 74 fluvoxamine .......................... 28 FLUZONE 2015-2016 ......... 74 FLUZONE HIGH-DOSE

2015-16 (PF)..................... 74 FLUZONE HIGH-DOSE

2016-17 (PF)..................... 74 FLUZONE INTRADERM

QUAD 2015-16 ................ 74 FLUZONE INTRADERM

QUAD 2016-17 ................ 74 FLUZONE QUAD 2015-2016

.......................................... 74 FLUZONE QUAD 2015-2016

(PF) ................................... 74 FLUZONE QUAD 2016-2017

.......................................... 74 FLUZONE QUAD 2016-2017

(PF) ................................... 74 FLUZONE QUAD PEDI

2015-16 (PF)..................... 74 FLUZONE QUAD PEDI

2016-17 (PF)..................... 74 FML FORTE ........................ 85 FML LIQUIFILM ................ 85 FML S.O.P. .......................... 85 focalgin 90 dha ..................... 95 focalgin ca ............................ 95 focalgin dss ........................... 95 FOCALIN ............................. 28 FOCALIN XR ...................... 28 folbecal ................................. 95 folbee .................................... 95 folbee ar ................................ 95 folbee plus ............................ 95 folbic ..................................... 95 FOLET DHA ........................ 95 FOLET ONE ........................ 95 FOLGARD OS ..................... 95 FOLGARD RX..................... 95 folic acid ......................... 95, 96 FOLIC ACID ........................ 95 folic acid-vit b6-vit b12 ........ 96

folivane-f .............................. 96 folivane-ob ............................ 96 folivane-plus ......................... 96 FOLLISTIM AQ .................. 63 FOLOTYN ........................... 13 folplex 2.2 ............................. 96 foltabs 800 ............................ 96 FOLTRATE .......................... 96 fondaparinux ......................... 36 FORA D15G ......................... 54 FORA D20 ...................... 54, 58 FORA D40-G31 TEST

STRIPS ............................. 54 FORA G20 ...................... 54, 58 FORA G30A ................... 54, 58 FORA GD50 BLOOD

GLUCOSE SYSTEM ....... 58 FORA GD50 TEST STRIPS 54 FORA PREMIUM V10

GLUCOSE METER ......... 58 FORA TEST N'GO VOICE

METER ............................. 58 FORA TEST STRIP ............. 54 FORA TN'G VOICE METER

.......................................... 58 FORA TN'G VOICE TEST

STRIPS ............................. 54 FORA V10 ...................... 54, 58 FORA V10-V12-D10-D20

STRIPS ............................. 54 FORA V12 BLOOD

GLUCOSE SYSTEM ....... 58 FORA V12 GLUCOSE ........ 54 FORA V20 ...................... 54, 58 FORA V30A ......................... 58 FORACARE GD20 .............. 54 FORACARE GD20

GLUCOSE METER ......... 58 FORACARE GD40 .............. 54 FORACARE GD40A

GLUCOSE METER ......... 58 FORACARE GD40B

GLUCOSE METER ......... 58 FORADIL AEROLIZER ...... 89 FORFIVO XL ....................... 28 FORTAMET ......................... 64 FORTAVIT .......................... 93 FORTAZ ................................. 6


FORTAZ IN DEXTROSE 5 % ............................................ 6

FORTEO .............................. 76 FORTESTA .......................... 63 fortical .................................. 63 FORTISCARE BLOOD

GLUCOSE SYST ............. 58 FORTISCARE GLUCOSE

TEST STRIPS .................. 54 FOSAMAX .......................... 76 FOSAMAX PLUS D ............ 76 foscarnet ................................. 4 FOSCAVIR ............................ 4 fosinopril .............................. 33 fosinopril-hydrochlorothiazide

.......................................... 33 fosphenytoin ......................... 17 FOSRENOL ......................... 68 FRAGMIN ........................... 36 FREESTYLE FLASH

SYSTEM .......................... 59 FREESTYLE FREEDOM ... 59 FREESTYLE FREEDOM

LITE ................................. 59 FREESTYLE INSULINX ... 54,

59 FREESTYLE INSULINX

TEST STRIPS .................. 54 FREESTYLE LITE METER 59 FREESTYLE LITE STRIPS 54 FREESTYLE PRECISION

NEO METER ................... 59 FREESTYLE PRECISION

NEO STRIPS.................... 54 FREESTYLE SIDEKICK II 59 FREESTYLE SYSTEM KIT 59 FREESTYLE TEST ............. 54 FROVA ................................ 19 frovatriptan ........................... 19 full spectrum b-vitamin c ..... 96 FULYZAQ ........................... 66 FURADANTIN .................... 11 furosemide ............................ 33 FUSION PLUS ..................... 96 FUZEON ................................ 4 fyavolv .................................. 77 FYCOMPA .......................... 17 G g tussin ac ............................. 87

gabapentin ............................ 17 GABITRIL ........................... 17 galantamine .......................... 20 GALZIN ............................... 92 GAMMAGARD LIQUID .... 74 ganciclovir sodium ................. 4 GANIRELIX ........................ 63 GARDASIL (PF) .................. 74 GARDASIL 9 (PF) ............... 74 GASTROCROM .................. 68 gatifloxacin ........................... 82 GATTEX 30-VIAL .............. 68 gavilyte-c .............................. 68 gavilyte-g .............................. 68 gavilyte-h and bisacodyl ....... 68 gavilyte-n .............................. 68 GAZYVA ............................. 13 GE100 BLOOD GLUCOSE

SYSTEM .......................... 59 GE100 BLOOD GLUCOSE

TEST STRIP..................... 54 GELCLAIR .......................... 51 GELNIQUE .......................... 90 GELX ................................... 51 gemcitabine .......................... 13 gemfibrozil ........................... 38 GEMZAR ............................. 13 GENERESS FE .................... 80 generlac ................................ 68 gengraf .................................. 13 GENOTROPIN .................... 72 GENOTROPIN MINIQUICK

.......................................... 72 GENSTRIP TEST STRIP .... 54 gentak ................................... 82 gentamicin .................. 8, 45, 82 gentamicin in nacl (iso-osm) .. 8 GENTAMICIN IN NACL

(ISO-OSM) ......................... 8 gentamicin sulfate (ped) (pf) .. 8 gentamicin sulfate (pf)............ 8 GENTAMICIN SULFATE

(PF) ..................................... 8 GENVOYA ............................ 4 GEODON ............................. 28 gianvi (28) ............................ 80 GIAZO.................................. 68 gildagia ................................. 80 gildess 1.5/30 (21) ................ 80

gildess 1/20 (21) ................... 80 gildess 24 fe .......................... 80 gildess fe 1.5/30 (28) ............ 80 gildess fe 1/20 (28) ............... 80 GILENYA ............................ 72 GILOTRIF ............................ 13 GLASSIA ............................. 49 glatopa .................................. 72 GLEEVEC ............................ 14 GLEOSTINE ........................ 14 GLIADEL WAFER .............. 14 glimepiride ............................ 64 glipizide ................................ 64 glipizide-metformin .............. 64 GLUCAGEN DIAGNOSTIC

KIT ................................... 56 GLUCAGEN HYPOKIT ...... 56 GLUCAGON EMERGENCY

KIT (HUMAN) ................. 56 GLUCAGON HCL ............... 56 GLUCO NAVII GLUCOSE

MONITOR ....................... 59 GLUCO NAVII TEST STRIP

.......................................... 54 GLUCOCARD 01 METER .. 59 GLUCOCARD 01 SENSOR

PLUS ................................ 54 GLUCOCARD EXPRESSION

.................................... 54, 59 GLUCOCARD SHINE

METER ............................. 59 GLUCOCARD SHINE TEST

STRIPS ............................. 54 GLUCOCARD VITAL ........ 59 GLUCOCARD VITAL

SENSOR ........................... 54 GLUCOCARD VITAL TEST

STRIPS ............................. 54 GLUCOCOM BLOOD

GLUCOSE ........................ 59 GLUCOCOM GLUCOSE .... 54 GLUCOPHAGE ................... 64 GLUCOPHAGE XR ............ 64 GLUCOTROL ...................... 64 GLUCOTROL XL ................ 64 GLUCOVANCE ................... 64 GLUMETZA ........................ 64 glyburide ............................... 64 glyburide micronized ............ 64


glyburide-metformin ............ 64 GLYCOPHOS ...................... 92 glycopyrrolate....................... 66 glydo ..................................... 44 GLYNASE ........................... 64 GLYSET............................... 64 GLYXAMBI ........................ 64 GM100 ........................... 54, 59 GMATE SMART METER .. 59 GMATE SMART STARTER

.......................................... 59 GMATE TEST STRIPS ....... 54 GMATE VOICE METER .... 59 GOLYTELY......................... 68 GONAL-F ............................ 63 GONAL-F RFF .................... 63 GONAL-F RFF REDI-JECT 63 GONITRO ............................ 39 GORDONS UREA ............... 41 GRALISE ............................. 17 GRALISE 30-DAY STARTER

PACK ............................... 17 granisetron (pf) ..................... 68 granisetron hcl ...................... 68 GRANIX .............................. 71 GRASTEK ........................... 74 griseofulvin microsize ............ 3 griseofulvin ultramicrosize ..... 3 GRIS-PEG

(ULTRAMICROSIZE) ...... 3 guaiatussin ac ....................... 87 guaifenesin ac ....................... 87 guaifenesin dac ..................... 87 guanfacine ...................... 28, 33 guanidine .............................. 28 GYNAZOLE-1 ..................... 78 H HALAVEN........................... 14 HALCION ............................ 28 HALDOL ............................. 28 HALDOL DECANOATE .... 28 halobetasol propionate.......... 47 HALOG ................................ 47 haloperidol ............................ 28 haloperidol decanoate ........... 28 haloperidol lactate ................ 28 HARVONI ............................. 4 HAVRIX (PF) ...................... 74

HEALTHPRO GLUCOSE MONITOR ....................... 59

HEALTHPRO TEST STRIPS .......................................... 54

heartburn treatment 24 hour . 70 heather .................................. 77 HECTOROL ......................... 63 HELIXATE FS ..................... 36 HEMANGEOL ..................... 33 hematinic plus vit/minerals .. 96 hematinic/folic acid .............. 96 hematogen ............................ 96 hematogen fa ........................ 96 hematogen forte .................... 96 HEMATRON-AF ................. 96 HEMAX ............................... 96 hemenatal ob......................... 96 hemenatal ob + dha .............. 96 hemetab ................................ 96 hemmorex-hc ........................ 68 HEMOCYTE-F .................... 96 HEMOCYTE-PLUS ............. 96 HEMOFIL M HIGH ............. 36 HEMOFIL M LOW.............. 36 HEMOFIL M MID ............... 36 HEMOFIL M SUPER HIGH36 hep flush-10 (pf) ................... 36 HEPAGAM B....................... 74 heparin (porcine) .................. 36 heparin (porcine) in 5 % dex 36 heparin (porcine) in nacl (pf) 36 heparin flush ......................... 36 heparin flush(porcine)-0.9nacl

.......................................... 36 heparin lock flush ................. 36 heparin lock flush (porcine) . 36 heparin lockflush(porcine)(pf)

.......................................... 36 heparin(porcine) in 0.45% nacl

.......................................... 36 HEPARIN(PORCINE) IN

0.45% NACL .................... 36 heparin, porcine (pf) ............. 36 HEPSERA .............................. 4 HERCEPTIN ........................ 14 HETLIOZ ............................. 28 HEXALEN ........................... 14 HIBERIX (PF) ...................... 74 HIPREX................................ 11

HISTEX-AC ......................... 87 homatropaire ......................... 83 homatropine hbr .................... 83 HORIZANT .......................... 20 hpr ......................................... 41 hpr plus hydrogel .................. 41 HPR PLUS-MB HYDROGEL

.......................................... 41 HUMALOG .......................... 61 HUMALOG KWIKPEN ...... 61 HUMALOG MIX 50-50 ....... 61 HUMALOG MIX 50-50

KWIKPEN ........................ 61 HUMALOG MIX 75-25 ....... 61 HUMALOG MIX 75-25

KWIKPEN ........................ 61 HUMAPEN LUXURA HD .. 59 HUMATE-P ......................... 36 HUMATROPE ..................... 72 HUMIRA .............................. 76 HUMIRA PEDIATRIC

CROHN'S START............ 76 HUMIRA PEN CROHN'S-

UC-HS START ................ 76 HUMIRA PEN PSORIASIS-

UVEITIS ........................... 76 HUMULIN 70/30 ................. 61 HUMULIN 70/30 KWIKPEN

.......................................... 61 HUMULIN N ....................... 61 HUMULIN N KWIKPEN .... 61 HUMULIN R U-100 ............ 61 HUMULIN R U-500 (CONC)

KWIKPEN ........................ 61 HUMULIN R U-500

(CONCENTRATED) ....... 61 HYCAMTIN ......................... 14 HYCET ................................. 22 HYCOFENIX ....................... 87 hydralazine ........................... 33 HYDREA ............................. 14 HYDRO 35 ........................... 41 HYDRO 40 ........................... 41 hydrochlorothiazide .............. 33 hydrocodone-acetaminophen 22 hydrocodone-chlorpheniramine

.......................................... 87 hydrocodone-cpm-

pseudoephed ..................... 87


hydrocodone-homatropine ... 87 hydrocodone-ibuprofen ........ 22 hydrocortisone .......... 47, 52, 68 hydrocortisone acetate .......... 68 hydrocortisone butyrate ........ 47 hydrocortisone butyr-emollient

.......................................... 47 hydrocortisone valerate ........ 47 hydrocortisone-acetic acid.... 51 hydrocortisone-iodoquinol-aloe

.......................................... 45 hydrocortisone-min oil-wht pet

.......................................... 47 hydrocortisone-pramox-e-

pram#1 .............................. 68 hydrocortisone-pramoxine .. 39,

68 hydromet............................... 87 hydromorphone .............. 22, 23 HYDROMORPHONE ......... 22 hydromorphone (pf) ............. 22 hydroxocobalamin ................ 96 hydroxychloroquine ............... 8 hydroxyprogesterone caproate

.......................................... 77 hydroxyurea .......................... 14 hydroxyzine hcl .................... 86 hydroxyzine pamoate ........... 86 HYLENEX ........................... 49 hyolev mb ............................. 91 hyophen ................................ 91 hyoscyamine sulfate ............. 66 hyosyne................................. 66 HYPERHEP B S/D .............. 74 HYPERHEP B S-D

NEONATAL .................... 74 HYPERRAB S/D (PF) ......... 74 HYPER-SAL ........................ 89 HYSINGLA ER ................... 23 HYZAAR ............................. 33 I ibandronate ........................... 76 IBRANCE ............................ 14 IBUDONE ............................ 23 ibuprofen .............................. 25 ibuprofen-oxycodone ........... 23 ic green ................................. 49 ICAR-C PLUS...................... 96 ICLUSIG .............................. 14

IDAMYCIN PFS .................. 14 idarubicin .............................. 14 iferex 150 forte ..................... 96 IFEX ..................................... 14 ifosfamide ............................. 14 ifosfamide-mesna ................. 14 ILARIS (PF) ......................... 73 ILEVRO ............................... 84 ILUVIEN .............................. 85 imatinib ................................. 14 IMBRUVICA ....................... 14 imipenem-cilastatin ................ 8 imipramine hcl ...................... 28 imipramine pamoate ............. 28 imiquimod ............................ 73 IMITREX ............................. 19 IMITREX STATDOSE KIT

REFILL ............................ 19 IMITREX STATDOSE PEN 19 IMLYGIC ............................. 14 IMPAVIDO ............................ 8 IMURAN .............................. 14 INCRELEX .......................... 49 INCRUSE ELLIPTA ............ 89 indapamide ........................... 33 INDERAL LA ...................... 33 INDERAL XL ...................... 33 INDIOMIN MB .................... 91 INDOCIN ............................. 25 indocyanine green................. 49 indomethacin ........................ 25 INFANRIX (DTAP) (PF) ..... 74 INFASURF ........................... 49 infed ...................................... 96 INFINITY STARTER KIT .. 59 INFINITY TEST STRIPS .... 54 INFLECTRA ........................ 68 INFUMORPH P/F ................ 23 INFUVITE ADULT ............. 96 INFUVITE PEDIATRIC ...... 96 INJECTAFER ...................... 96 INLYTA ............................... 14 INNOPRAN XL ................... 33 INOVA ................................. 43 INOVA 4-1 ........................... 40 INOVA 8-2 ........................... 40 INSPIRACHAMBER WITH

MASK-LARGE ................ 56 INSPRA ................................ 33

INSULIN SYRINGE-NEEDLE U-100 ............... 56

INTEGRA F ......................... 96 INTEGRA PLUS .................. 96 INTELENCE .......................... 4 INTERMEZZO ..................... 28 INTRON A ........................... 73 introvale ................................ 80 INTUNIV ER ....................... 28 INVANZ ................................. 8 INVEGA ............................... 28 INVEGA SUSTENNA ......... 28 INVEGA TRINZA ............... 28 INVIRASE ............................. 4 INVOKAMET ...................... 64 INVOKAMET XR ............... 64 INVOKANA ......................... 64 IODOFLEX .......................... 41 IODOPEN ............................. 14 iodoquinol-hc ........................ 45 IODOSORB .......................... 41 iophen c-nr ............................ 87 IOPIDINE ............................. 86 IPOL ..................................... 74 ipratropium bromide ....... 51, 89 ipratropium-albuterol ............ 89 IPRIVASK ............................ 37 irbesartan .............................. 33 irbesartan-hydrochlorothiazide

.......................................... 33 IRENKA ............................... 28 IRESSA ................................ 14 irinotecan .............................. 14 IROSPAN 24/6 ..................... 96 ISENTRESS ........................... 4 ISOCHRON .......................... 39 ISOLYTE S PH 7.4 .............. 93 ISOLYTE-S .......................... 93 isometh-dichloral-

acetaminophn .................... 19 isomethepten-caf-

acetaminophen .................. 19 isoniazid .................................. 8 ISOPTO ATROPINE ........... 83 ISOPTO CARPINE .............. 83 ISORDIL .............................. 39 ISORDIL TITRADOSE ....... 39 isosorbide dinitrate ............... 39 isosorbide mononitrate ......... 39


isoxsuprine ........................... 78 isradipine .............................. 33 ISTALOL ............................. 83 ISTODAX ............................ 14 itraconazole ............................ 3 ivermectin ............................... 8 IXEMPRA ............................ 14 J JADENU .............................. 49 JAKAFI ................................ 14 JALYN ................................. 90 jantoven ................................ 37 JANUMET ........................... 64 JANUMET XR ..................... 64 JANUVIA............................. 64 JARDIANCE ........................ 65 JAZZ WIRELESS 2 METER

KIT ................................... 59 jencycla................................. 77 JENTADUETO .................... 65 JENTADUETO XR.............. 65 JETREA (PF) ....................... 84 jevantique lo ......................... 77 JEVTANA ............................ 14 jinteli..................................... 77 jolessa ................................... 80 jolivette ................................. 77 JUBLIA ................................ 45 juleber ................................... 80 junel 1.5/30 (21) ................... 80 junel 1/20 (21) ...................... 80 junel fe 1.5/30 (28) ............... 80 junel fe 1/20 (28) .................. 80 junel fe 24 ............................. 80 JUXTAPID ........................... 38 K KADCYLA .......................... 14 KADIAN .............................. 23 kaitlib fe................................ 80 KALBITOR .......................... 89 KALETRA ............................. 4 KALYDECO ........................ 89 KAPVAY ............................. 28 KARBINAL ER ................... 86 kariva (28) ............................ 80 KAYEXALATE ................... 68 KAZANO ............................. 65 KCENTRA ........................... 37 k-effervescent ....................... 92

KEFLEX ................................. 6 kelnor 1/35 (28) .................... 80 KENALOG ..................... 47, 52 KEPIVANCE ....................... 12 KEPPRA ............................... 17 KEPPRA XR ........................ 17 KERAFOAM........................ 41 KERALAC ........................... 41 KERALYT RX ..................... 40 KERALYT SCALP

COMPLETE ..................... 40 KERYDIN ............................ 46 KETEK ................................... 8 ketoconazole ..................... 3, 46 ketoprofen ............................. 25 ketorolac ......................... 25, 84 KEVEYIS ............................. 20 KEYTRUDA ........................ 14 KHEDEZLA ......................... 28 kimidess (28) ........................ 80 KINERET ............................. 73 KINEVAC ............................ 68 KINRIX (PF) ........................ 75 kionex ................................... 68 kionex (with sorbitol) ........... 68 KITABIS PAK ....................... 8 KLARON ............................. 45 klofensaid ii .......................... 25 KLONOPIN.......................... 17 klor-con ................................ 92 klor-con 10 ........................... 92 klor-con 8 ............................. 92 klor-con m10 ........................ 92 klor-con m15 ........................ 92 klor-con m20 ........................ 92 klor-con sprinkle................... 92 KLOR-CON/25 .................... 92 klor-con/ef ............................ 92 KOATE ................................ 37 KOATE-DVI ........................ 37 kobee .................................... 96 KOGENATE FS ................... 37 KOMBIGLYZE XR ............. 65 KORLYM ............................. 63 KOSHER PRENATAL PLUS

IRON ................................ 96 KOVALTRY ........................ 37 K-PHOS NO 2 ...................... 91 K-PHOS ORIGINAL ........... 91

k-phos-neutral ....................... 92 kpn ........................................ 96 KRISTALOSE ...................... 68 KRYSTEXXA ...................... 75 k-sol ...................................... 92 k-tab ...................................... 92 K-TAB .................................. 92 kurvelo .................................. 80 KUVAN ................................ 63 KYNAMRO ......................... 38 KYPROLIS ........................... 14 L l norgest/e.estradiol-e.estrad . 80 labetalol ................................ 33 LACRISERT ........................ 84 lactated ringers ...................... 48 lactic acid .............................. 41 lactic acid e ........................... 41 lactulose ................................ 68 LAMICTAL ......................... 17 LAMICTAL ODT ................ 17 LAMICTAL ODT STARTER

(BLUE) ............................. 17 LAMICTAL ODT STARTER

(GREEN) .......................... 17 LAMICTAL ODT STARTER

(ORANGE) ....................... 17 LAMICTAL STARTER

(BLUE) KIT ..................... 17 LAMICTAL STARTER

(GREEN) KIT .................. 17 LAMICTAL STARTER

(ORANGE) KIT ............... 17 LAMICTAL XR ................... 17 LAMICTAL XR STARTER

(BLUE) ............................. 17 LAMICTAL XR STARTER

(GREEN) .......................... 17 LAMICTAL XR STARTER

(ORANGE) ....................... 17 LAMISIL ................................ 3 lamivudine .............................. 4 lamivudine-zidovudine ........... 4 lamotrigine ...................... 17, 18 LANCETS ............................ 59 LANOXIN ............................ 35 LANOXIN PEDIATRIC ...... 35 lansoprazole .................... 70, 71 LANTUS .............................. 61


LANTUS SOLOSTAR ........ 61 larin 1.5/30 (21) .................... 80 larin 1/20 (21) ....................... 80 larin 24 fe ............................. 80 larin fe 1.5/30 (28) ................ 80 larin fe 1/20 (28) ................... 80 larissia................................... 80 LARTRUVO ........................ 14 LASIX .................................. 33 LASTACAFT ....................... 84 latanoprost ............................ 85 latrix ..................................... 41 LATUDA ............................. 28 layolis fe ............................... 80 LAZANDA........................... 23 leena 28 ................................ 80 leflunomide........................... 76 LEMTRADA ........................ 72 LENVIMA ........................... 14 LESCOL ............................... 38 LESCOL XL ........................ 38 lessina ................................... 80 LETAIRIS ............................ 89 letrozole ................................ 14 leucovorin calcium ............... 12 LEUKERAN ........................ 14 LEUKINE............................. 71 leuprolide .............................. 14 levalbuterol hcl ..................... 89 LEVALBUTEROL

TARTRATE ..................... 89 LEVAQUIN ......................... 10 LEVATOL ........................... 33 LEVBID ............................... 66 LEVEMIR ............................ 61 LEVEMIR FLEXTOUCH ... 61 levetiracetam ........................ 18 LEVITRA ............................. 91 levobunolol ........................... 83 levocarnitine ......................... 49 levocarnitine (with sugar)..... 49 levocetirizine ........................ 86 levofloxacin .................... 10, 82 levofloxacin in d5w .............. 10 levomefolate dha .................. 96 levonest (28) ......................... 80 levonorgestrel ....................... 80 levonorgestrel-ethinyl estrad 80 levonorg-eth estrad triphasic 80

levora-28 ............................... 80 levorphanol tartrate............... 23 LEVO-T................................ 65 levothyroxine ........................ 65 LEVOTHYROXINE ............ 65 levoxyl .................................. 65 LEVSIN ................................ 66 LEVSIN/SL .......................... 66 LEVULAN ........................... 41 LEXAPRO............................ 28 LEXIVA ................................. 4 LIALDA ............................... 68 LIBERTY TEST................... 54 LIBRAX (WITH

CLIDINIUM) ................... 66 lidocaine ............................... 44 lidocaine (pf) ........................ 44 lidocaine hcl ......................... 44 lidocaine hcl-hydrocortison ac

.................................... 44, 68 LIDOCAINE HCL-

HYDROCORTISON AC . 68 lidocaine viscous .................. 44 lidocaine-epinephrine ........... 44 lidocaine-hydrocortisone-aloe

.......................................... 68 lidocaine-prilocaine .............. 44 LIDOCAINE-TETRACAINE

.......................................... 45 LIDODERM ......................... 45 lido-k .................................... 45 lidopin ................................... 45 LIDOPIN .............................. 45 LIDORX ............................... 45 LIDOVEX ............................ 45 LILETTA.............................. 77 lindane .................................. 48 linezolid .................................. 8 linezolid-0.9% sodium chloride

............................................ 8 LINZESS .............................. 68 liothyronine .......................... 65 LIPITOR ............................... 38 LIPOCHOL PLUS ............... 49 lipodox .................................. 14 LIPOFEN.............................. 38 lisinopril................................ 33 lisinopril-hydrochlorothiazide

.......................................... 33

lite coat aspirin ..................... 25 LITEAIRE MDI CHAMBER

.......................................... 56 lithium carbonate .................. 28 lithium citrate ........................ 28 LITHOBID ........................... 28 LITHOSTAT ........................ 49 LIVALO ............................... 38 LO LOESTRIN FE ............... 80 LOCOID ............................... 47 LOCOID LIPOCREAM ....... 47 LODINE ............................... 25 LODOSYN ........................... 19 LOESTRIN 1.5/30 (21) ........ 80 LOESTRIN 1/20 (21) ........... 80 LOESTRIN FE 1.5/30 (28-

DAY) ................................ 80 LOESTRIN FE 1/20 (28-DAY)

.......................................... 80 LOFIBRA ............................. 38 lomedia 24 fe ........................ 80 LOMOTIL ............................ 66 LONSURF ............................ 14 loperamide ............................ 66 LOPID .................................. 38 lopinavir-ritonavir ................... 4 lopreeza ................................. 77 LOPRESSOR ....................... 33 LOPRESSOR HCT .............. 33 LOPROX .............................. 46 LOPROX (AS OLAMINE) .. 46 lorazepam ............................. 28 lorazepam intensol ................ 28 lorcet (hydrocodone) ............ 23 lorcet hd ................................ 23 lorcet plus ............................. 23 lortab 10-325 ........................ 23 lortab 5-325 .......................... 23 lortab 7.5-325 ....................... 23 LORTAB ELIXIR ................ 23 lortuss ex ............................... 87 loryna (28) ............................ 80 LORZONE ........................... 21 losartan ................................. 33 losartan-hydrochlorothiazide 33 LOSEASONIQUE ................ 80 LOTEMAX ........................... 85 LOTENSIN ........................... 33 LOTENSIN HCT .................. 33


LOTREL............................... 33 LOTRISONE ........................ 46 LOTRONEX ........................ 68 LOUTREX ........................... 41 lovastatin .............................. 38 LOVAZA ............................. 38 LOVENOX........................... 37 low-ogestrel (28) .................. 80 loxapine succinate ................ 28 lozi-flur ................................. 96 lta pre-attached ..................... 45 LUCENTIS........................... 84 ludent fluoride ...................... 96 lugols .............................. 45, 92 LUMIGAN ........................... 85 LUMIZYME ........................ 63 LUNESTA ............................ 28 LUPANETA PACK (1

MONTH) .......................... 78 LUPANETA PACK (3

MONTH) .......................... 78 LUPRON DEPOT ................ 14 LUPRON DEPOT (3

MONTH) .......................... 14 LUPRON DEPOT (4

MONTH) .......................... 14 LUPRON DEPOT (6

MONTH) .......................... 14 LUPRON DEPOT-PED ....... 14 LUPRON DEPOT-PED (3

MONTH) .......................... 14 lutera (28) ............................. 80 luxamend .............................. 41 LUXIQ ................................. 47 LUZU ................................... 46 LYNPARZA......................... 14 LYRICA ............................... 18 LYSODREN......................... 14 LYSTEDA ............................ 78 lyza ....................................... 78 M m.v.i. adult ............................ 96 M.V.I. PEDIATRIC ............. 96 M.V.I.-12 (WITHOUT

VITAMIN K) ................... 96 macnatal cn dha .................... 96 MACROBID ........................ 11 MACRODANTIN ................ 11 MACUGEN .......................... 84

MAGNEBIND 400............... 68 MAKENA ............................ 78 MALARONE ......................... 8 MALARONE PEDIATRIC ... 8 malathion .............................. 48 maprotiline............................ 28 MAR-COF BP ...................... 87 MAR-COF CG ..................... 87 margesic................................ 23 MARINOL ........................... 68 marlissa ................................. 80 MARNATAL-F .................... 96 MARPLAN .......................... 28 MARQIBO ........................... 14 marten-tab ............................. 23 MATULANE........................ 14 matzim la .............................. 33 MAVIK ................................ 33 MAXALT ............................. 19 MAXALT-MLT ................... 19 MAXARON FORTE ............ 96 MAXFE (FOLATE-

DOCUSATE) ................... 96 MAXIDEX ........................... 85 MAXINATE ......................... 96 MAXIPIME ............................ 6 MAXITROL ......................... 85 MAXZIDE............................ 33 MAXZIDE-25MG ................ 33 mb hydrogel .......................... 41 mb hydrogel (cyclomethicone)

.......................................... 41 m-clear wc ............................ 87 meclizine .............................. 68 meclofenamate...................... 25 MEDROL ............................. 52 MEDROL (PAK) ................. 52 medroxyprogesterone ........... 78 mefenamic acid..................... 25 mefloquine .............................. 8 MEFOXIN IN DEXTROSE

(ISO-OSM) ......................... 6 MEGACE ............................. 14 MEGACE ES ....................... 14 megestrol .............................. 14 MEKINIST ........................... 14 meloxicam ............................ 25 melphalan hcl ....................... 14 memantine ............................ 20

MEMANTINE ...................... 20 MENACTRA (PF) ................ 75 M-END MAX D ................... 87 M-END PE ........................... 87 MENEST .............................. 78 MENHIBRIX (PF) ............... 75 MENOMUNE - A/C/Y/W-135

.......................................... 75 MENOMUNE - A/C/Y/W-135

(PF) ................................... 75 MENOPUR ........................... 63 MENOSTAR ........................ 78 MENTAX ............................. 46 MENVEO A-C-Y-W-135-DIP

(PF) ................................... 75 meperidine ............................ 23 meperidine (pf) ..................... 23 MEPHYTON ........................ 37 meprobamate ........................ 21 MEPRON ............................... 8 mercaptopurine ..................... 14 meropenem ............................. 8 MERREM ............................... 8 mesalamine ........................... 68 MESALAMINE ................... 68 mesalamine with cleansing

wipe .................................. 68 mesna .................................... 12 MESNEX .............................. 12 MESTINON ......................... 21 MESTINON TIMESPAN .... 21 METADATE CD .................. 28 metadate er ............................ 28 metaproterenol ...................... 89 metaxall ................................ 21 metaxalone ............................ 21 metformin ............................. 65 methadone ............................. 23 methadose ............................. 23 methamphetamine ................. 28 methazolamide ...................... 84 methenamine hippurate ........ 11 methenamine mandelate ....... 11 methen-sod phos-meth blue-

hyos ................................... 91 methergine ............................ 82 methimazole ......................... 52 METHITEST ........................ 63 methocarbamol ..................... 21


methotrexate sodium ............ 14 methotrexate sodium (pf) ..... 15 methoxsalen .......................... 41 methscopolamine .................. 66 methyclothiazide .................. 33 methyldopa ........................... 33 methyldopa-

hydrochlorothiazide .......... 34 methyldopate ........................ 34 methylergonovine ................. 82 METHYLIN ......................... 28 methylphenidate ................... 28 methylprednisolone .............. 52 methylprednisolone acetate .. 52 methyltestosterone ................ 63 metipranolol ......................... 83 metoclopramide hcl .............. 69 metolazone ........................... 34 METOPIRONE .................... 49 metoprolol succinate ............ 34 METOPROLOL SU-

HYDROCHLOROTHIAZ 34 metoprolol ta-hydrochlorothiaz

.......................................... 34 metoprolol tartrate ................ 34 METOZOLV ODT ............... 69 metro i.v. ................................ 8 METROCREAM .................. 43 METROGEL ........................ 43 METROGEL VAGINAL ..... 78 METROLOTION ................. 43 metronidazole ............. 8, 43, 78 metronidazole in nacl (iso-os) 8 mexiletine ............................. 30 MIACALCIN ....................... 63 MICARDIS .......................... 34 MICARDIS HCT ................. 34 miconazole-3 ........................ 78 MICORT-HC ....................... 69 MICRO BLOOD GLUCOSE

.......................................... 54 MICROCHAMBER ............. 56 MICRODOT BLOOD

GLUCOSE SYSTEM . 54, 59 microgestin 1.5/30 (21) ........ 80 microgestin 1/20 (21) ........... 81 MICROGESTIN 24 FE ........ 81 microgestin fe 1.5/30 (28) .... 81 microgestin fe 1/20 (28) ....... 81

MICROSPACER .................. 56 MICROZIDE ........................ 34 midodrine.............................. 49 migergot................................ 19 miglitol ................................. 65 MIGRALAM ........................ 20 MIGRANAL ........................ 20 millipred ............................... 52 MILLIPRED ......................... 52 millipred dp .......................... 52 mimvey ................................. 78 mimvey lo ............................. 78 MINASTRIN 24 FE ............. 81 MINIPRESS ......................... 34 MINITRAN .......................... 39 MINIVELLE ........................ 78 MINOCIN ............................ 11 minocycline .......................... 11 minoxidil .............................. 34 MIOCHOL-E........................ 83 miostat .................................. 85 MIRAPEX ............................ 19 MIRAPEX ER ...................... 19 MIRCERA ............................ 71 MIRCETTE (28) .................. 81 mirtazapine ........................... 28 MIRVASO............................ 43 misoprostol ........................... 71 MITIGARE .......................... 75 mitomycin ............................. 15 MITOSOL ............................ 85 mitoxantrone ......................... 15 M-M-R II (PF) ...................... 75 MOBIC ................................. 25 modafinil .............................. 28 moderiba ............................... 72 moderiba dose pack .............. 72 moexipril .............................. 34 moexipril-hydrochlorothiazide

.......................................... 34 molindone ............................. 28 mometasone .................... 47, 89 mondoxyne nl ....................... 11 MONOCLATE-P ................. 37 MONODOX ......................... 11 monoject 0.9% sodium

chloride ............................. 49 monoject prefill (pf) ............. 37 monoject prefill advanced ns 49

monoject prefill saline flush . 49 mono-linyah .......................... 81 mononessa (28) ..................... 81 MONONINE ........................ 37 montelukast ........................... 89 MONUROL .......................... 11 morphine ............................... 23 MORPHINE ......................... 23 morphine (pf) ........................ 23 morphine (pf) in 0.9 % nacl .. 23 morphine concentrate ........... 23 MOTOFEN ........................... 66 MOVANTIK ........................ 69 MOVIPREP .......................... 69 MOXATAG ............................ 9 MOXEZA ............................. 82 moxifloxacin ......................... 10 MOXIFLOXACIN-

SOD.ACE,SUL-WATER . 10 MOZOBIL ............................ 71 MS CONTIN ........................ 23 MUCOTROL ........................ 51 MUGARD ............................ 51 MULTAQ ............................. 30 MULTICHEW ...................... 96 multi-delyn with iron ............ 96 multigen folic ........................ 97 multigen plus ........................ 97 multi-vit with fluoride-iron ... 97 multi-vitamin with fluoride .. 97 multivitamins with fluoride .. 97 mupirocin .............................. 45 mupirocin calcium ................ 45 MUSE ................................... 91 MUSTARGEN ..................... 15 mvc-fluoride ......................... 97 M-VIT ................................... 97 my way ................................. 81 MYALEPT ........................... 63 MYAMBUTOL ...................... 8 MYCAMINE .......................... 3 MYCOBUTIN ........................ 8 mycophenolate mofetil ......... 15 mycophenolate mofetil hcl ... 15 mycophenolate sodium ......... 15 MYDRIACYL ...................... 83 myferon 150 forte ................. 97 MYFORTIC ......................... 15 MYGLUCOHEALTH .... 54, 59


MYKIDZ IRON FLUORIDE .......................................... 97

MYLERAN .......................... 15 mynatal ................................. 97 mynatal advance ................... 97 mynatal plus ......................... 97 mynatal-z .............................. 97 mynate 90 plus ..................... 97 mynephrocaps....................... 97 MYOBLOC .......................... 75 myorisan ............................... 43 MYRBETRIQ ...................... 90 MYSOLINE ......................... 18 MYTESI ............................... 66 myzilra .................................. 81 N NABI-HB ............................. 75 nabumetone .......................... 25 nadolol .................................. 34 nadolol-bendroflumethiazide 34 nafcillin................................... 9 nafcillin in dextrose iso-osm 10 naftifine ................................ 46 NAFTIN ............................... 46 NAGLAZYME..................... 63 nalbuphine ............................ 25 naloxone ............................... 25 naltrexone ............................. 25 NAMENDA ......................... 20 NAMENDA TITRATION

PAK .................................. 20 NAMENDA XR ................... 20 NAMZARIC......................... 20 naphazoline........................... 86 NAPRELAN CR .................. 25 NAPROSYN ........................ 25 naproxen ............................... 25 naproxen sodium .................. 25 naratriptan............................. 20 NARCAN ............................. 25 NARDIL ............................... 28 NASACORT ........................ 89 nasal allergy.......................... 89 NASCOBAL ........................ 97 NASONEX ........................... 89 NATACHEW (FE BIS-

GLYCINATE) .................. 97 NATACYN .......................... 82 NATAZIA ............................ 81

nateglinide ............................ 65 NATELLE ONE ................... 97 NATESTO ............................ 63 NATPARA ........................... 63 NATRECOR ........................ 38 NATROBA ........................... 48 natural b-100 complex .......... 97 nature-throid ......................... 65 NAVELBINE ....................... 15 NEBUPENT ........................... 8 NEBUSAL............................ 89 necon 0.5/35 (28) .................. 81 necon 1/35 (28) ..................... 81 necon 1/50 (28) ..................... 81 necon 10/11 (28) ................... 81 necon 7/7/7 (28).................... 81 NEEVODHA (WITH ALGAL

OIL) .................................. 97 nefazodone............................ 28 neomycin ................................ 8 neomycin-bacitracin-poly-hc 85 neomycin-bacitracin-

polymyxin ......................... 83 neomycin-polymyxin b gu.... 48 neomycin-polymyxin b-

dexameth .......................... 85 neomycin-polymyxin-

gramicidin ......................... 83 neomycin-polymyxin-hc 51, 85 neo-polycin ........................... 83 neo-polycin hc ...................... 85 NEORAL .............................. 15 NEOSALUS ......................... 41 NEOSPORIN (NEO-POLYM-

GRAMICID) .................... 83 NEOSPORIN GU IRRIGANT

.......................................... 48 NEO-SYNALAR.................. 45 NEO-SYNALAR KIT .......... 45 nephplex rx ........................... 97 NEPHROCAPS .................... 97 NEPHROCAPS QT .............. 97 NEPHRON FA ..................... 97 NEPHRO-VITE.................... 97 nephro-vite rx ....................... 97 NEPTAZANE ...................... 84 NESINA ............................... 65 NESTABS ............................ 97 NESTABS ABC ................... 97

NESTABS DHA ................... 97 neuac ..................................... 43 NEUAC KIT ......................... 43 NEULASTA ......................... 71 NEUPOGEN ......................... 71 NEUPRO .............................. 19 NEURIN-SL ......................... 97 NEURONTIN ....................... 18 NEUTEK 2TEK TEST

STRIPS ............................. 54 NEVANAC ........................... 84 nevirapine ............................... 4 newgen .................................. 97 NEXA PLUS ........................ 97 NEXAVAR ........................... 15 NEXAVIR ............................ 97 NEXIUM .............................. 71 NEXIUM 24HR .................... 71 NEXIUM IV ......................... 71 NEXIUM PACKET .............. 71 NEXPLANON ...................... 78 next choice one dose ............. 81 niacin .................................... 38 NIACOR ............................... 38 NIASPAN EXTENDED-

RELEASE ......................... 38 nicardipine ............................ 34 NICODERM CQ .................. 50 NICOMIDE .......................... 97 NICOMIDE (SELENIUM-

CHROMIUM) .................. 97 nicorelief ............................... 50 nicorette ................................ 50 NICORETTE ........................ 50 nicotine ................................. 50 nicotine (polacrilex) .............. 50 NICOTROL .......................... 50 NICOTROL NS .................... 50 nifedical xl ............................ 34 nifedipine .............................. 34 nikki (28) .............................. 81 NILANDRON ...................... 15 nilutamide ............................. 15 nimodipine ............................ 34 NINJACOF-XG .................... 87 NINLARO ............................ 15 NIPENT ................................ 15 nisoldipine ............................ 34 nitro-bid ................................ 39


NITRO-DUR ........................ 39 nitrofurantoin ........................ 11 nitrofurantoin macrocrystal .. 11 nitrofurantoin monohyd/m-

cryst .................................. 11 nitroglycerin ......................... 39 nitroglycerin in 5 % dextrose 39 NITROLINGUAL ................ 39 NITROMIST ........................ 39 NITRONAL ......................... 39 NITROSTAT ........................ 39 nitro-time .............................. 39 NIVA-FOL ........................... 97 NIVA-PLUS ......................... 97 nizatidine .............................. 71 NIZORAL ............................ 46 nodolor ................................. 20 nora-be .................................. 78 NORCO ................................ 23 NORDITROPIN FLEXPRO 72 noreth-ethinyl estradiol-iron . 81 norethindrone (contraceptive)

.......................................... 78 norethindrone acetate ........... 78 norethindrone ac-eth estradiol

.................................... 78, 81 norethindrone-e.estradiol-iron

.......................................... 81 norgestimate-ethinyl estradiol

.......................................... 81 NORINYL 1/35 (28) ............ 81 NORINYL 1+50 (28) ........... 81 NORITATE .......................... 43 norlyroc ................................ 78 normal saline flush ............... 49 NORMOSOL-R ................... 92 NORMOSOL-R PH 7.4 ....... 93 NORPACE ........................... 30 NORPACE CR ............... 30, 31 NORPRAMIN ...................... 28 NOR-QD .............................. 78 NORTHERA ........................ 49 nortrel 0.5/35 (28) ................ 81 nortrel 1/35 (21) ................... 81 nortrel 1/35 (28) ................... 81 nortrel 7/7/7 (28) .................. 81 nortriptyline .......................... 28 NORVASC ........................... 34 NORVIR................................. 4

NOVA MAX BLOOD GLUCOSE METER ......... 59

NOVA MAX GLUCOSE TEST ................................ 55

NOVACORT ........................ 69 NOVACORT (WITH ALOE)

.......................................... 45 NOVAREL ........................... 63 NOVOLOG .......................... 61 NOVOLOG FLEXPEN ........ 61 NOVOLOG MIX 70-30 ....... 61 NOVOLOG MIX 70-30

FLEXPEN ........................ 61 NOVOLOG PENFILL ......... 62 NOVOPEN ECHO ............... 59 NOVOSEVEN RT ............... 37 NOXAFIL .............................. 3 np thyroid ............................. 65 NPLATE ............................... 37 nts step 1 ............................... 50 NUCALA ............................. 89 NUCORT.............................. 47 NUCYNTA .......................... 25 NUCYNTA ER .................... 25 NUEDEXTA ........................ 20 NUFERA .............................. 97 NULEV ................................ 66 NULOJIX ............................. 15 NULYTELY WITH FLAVOR

PACKS ............................. 69 NUMBONEX ....................... 45 NUOX .................................. 43 NUPLAZID .......................... 28 NUTRESTORE .................... 49 NUTRICAP .......................... 97 NUTROPIN AQ ................... 72 NUTROPIN AQ NUSPIN.... 72 NUVARING ......................... 78 NUVESSA............................ 78 NUVIGIL ............................. 28 nyamyc ................................. 46 nyata ..................................... 46 NYATA (WITH CURATIN)

.......................................... 46 NYMALIZE ......................... 34 nystatin ............................. 3, 46 nystatin-triamcinolone .......... 46 nystop ................................... 46

O OB COMPLETE .................. 97 OB COMPLETE GOLD ...... 98 OB COMPLETE ONE ......... 98 OB COMPLETE PETITE .... 98 OB COMPLETE PREMIER 98 OB COMPLETE WITH DHA

.......................................... 98 OBREDON ........................... 87 obstetrix dha ......................... 98 OBSTETRIX EC .................. 98 OBSTETRIX ONE ............... 98 OBTREX DHA .................... 98 O-CAL FA ............................ 98 O-CAL PRENATAL ............ 98 OCALIVA ............................ 69 ocella ..................................... 81 octreotide acetate .................. 15 OCUFEN .............................. 84 OCUFLOX ........................... 83 ODEFSEY .............................. 4 ODOMZO ............................. 15 OFEV .................................... 89 ofloxacin ................... 10, 51, 83 ogestrel (28) .......................... 81 olanzapine ............................. 28 olanzapine-fluoxetine ........... 29 olmesartan ............................. 34 olmesartan-amlodipin-

hcthiazid ........................... 34 olmesartan-

hydrochlorothiazide .......... 34 olopatadine ..................... 51, 84 OLUX ................................... 47 OLUX-E ............................... 47 OLYSIO ................................. 4 OMECLAMOX-PAK ........... 71 omega-3 acid ethyl esters ..... 38 omeprazole ........................... 71 omeprazole magnesium ........ 71 omeprazole-sodium

bicarbonate ....................... 71 OMIDRIA ............................. 84 OMNARIS ............................ 89 OMNIPRED ......................... 85 OMNITROPE ....................... 72 ON CALL EXPRESS METER

.......................................... 59


ON CALL EXPRESS TEST STRIP ............................... 55

ON CALL PLUS METER ... 59 ON CALL PLUS TEST STRIP

.......................................... 55 ON CALL VIVID METER .. 59 ON CALL VIVID PAL

METER ............................ 59 ON CALL VIVID TEST

STRIP ............................... 55 ONCASPAR ........................ 15 ondansetron .......................... 69 ondansetron hcl .................... 69 ondansetron hcl (pf) ............. 69 ONDANSETRON IN 0.9 %

SOD CHLOR ................... 69 ONE A DAY WOMEN'S

PRENATAL DHA ........... 98 one daily prenatal ................. 98 ONE DAILY PRENATAL .. 98 ONETOUCH ULTRA TEST

.......................................... 55 ONETOUCH ULTRA2........ 59 ONETOUCH ULTRAMINI 59 ONETOUCH VERIO ........... 55 ONETOUCH VERIO FLEX 59 ONETOUCH VERIO IQ

METER ............................ 59 ONETOUCH VERIO SYNC

.......................................... 60 ONETOUCH VERIO

SYSTEM .......................... 60 ONEXTON........................... 43 ONFI..................................... 18 ONGLYZA........................... 65 ONMEL .................................. 3 OPANA ................................ 23 OPANA ER .......................... 24 opcicon one-step ................... 81 OPDIVO ............................... 15 opium tincture ...................... 66 OPSUMIT ............................ 89 OPTICHAMBER DIAMOND

LG MASK ........................ 56 option 2 ................................. 81 OPTIUM EZ ......................... 55 OPTIUM TEST .................... 55 OPTUMRX .................... 55, 60 ORACEA ............................. 11

ORACIT ............................... 91 ORALAIR ............................ 75 oralone .................................. 51 ORAMAGICRX ................... 51 ORAP ................................... 29 ORAPRED ODT .................. 52 ORAVIG ................................ 3 ORBACTIV............................ 8 ORENCIA ............................ 76 ORENCIA (WITH

MALTOSE) ...................... 76 ORENCIA CLICKJECT ...... 76 ORENITRAM ...................... 34 ORFADIN ............................ 49 ORKAMBI ........................... 89 orphenadrine citrate .............. 21 orsythia ................................. 81 ortho d................................... 98 ORTHO MICRONOR .......... 78 ORTHO TRI-CYCLEN (28) 81 ORTHO TRI-CYCLEN LO

(28) ................................... 81 ORTHO-CYCLEN (28) ....... 81 ORTHO-NOVUM 1/35 (28) 81 ORTHO-NOVUM 7/7/7 (28)

.......................................... 81 oscimin ................................. 66 oscimin sl .............................. 66 oscimin sr ............................. 66 oseltamivir .............................. 4 OSENI .................................. 65 OSMOPREP ......................... 69 OSPHENA............................ 78 OTEZLA .............................. 76 OTEZLA STARTER ............ 76 OTOVEL .............................. 51 OTREXUP (PF) ................... 76 OVACE ................................ 40 OVACE PLUS ..................... 40 OVACE PLUS SHAMPOO . 40 OVACE PLUS WASH ......... 40 OVCON-35 (28) ................... 81 OVIDE.................................. 48 OVIDREL ............................ 63 oxacillin ................................ 10 oxacillin in dextrose(iso-osm)

.......................................... 10 oxaliplatin ............................. 15 OXANDRIN ......................... 63

oxandrolone .......................... 63 oxaprozin .............................. 25 OXAYDO ............................. 24 oxazepam .............................. 29 oxcarbazepine ....................... 18 oxiconazole ........................... 46 OXISTAT ............................. 46 OXSORALEN ...................... 41 OXSORALEN ULTRA ........ 41 OXTELLAR XR .................. 18 oxybutynin chloride .............. 90 oxycodone ............................. 24 OXYCODONE ..................... 24 oxycodone-acetaminophen ... 24 oxycodone-aspirin ................ 24 OXYCONTIN ...................... 24 oxymorphone ........................ 24 OXYTROL ........................... 90 P pacerone ................................ 31 paclitaxel ............................... 15 PACNEX .............................. 43 PAIRE OB PLUS DHA ........ 98 paliperidone .......................... 29 PAMELOR ........................... 29 pamidronate .......................... 63 PANCREAZE ....................... 69 PANDEL .............................. 47 PANRETIN .......................... 41 pantoprazole ......................... 71 papaverine ............................. 34 PAPAVERINE-

ALPROSTADIL-WATER .......................................... 91

PAPAV-PHENTOLAM-ALPROST-WATER ......... 91

PAPAV-PHENTOLAMINE IN WATER ....................... 91

PARAFON FORTE DSC ..... 21 paregoric ............................... 66 PAREMYD ........................... 83 paricalcitol ............................ 63 PARICALCITOL ................. 63 PARLODEL ......................... 19 PARNATE ............................ 29 paromomycin .......................... 8 paroxetine hcl ....................... 29 PASER .................................... 8 PATADAY ........................... 84


PATANASE ......................... 51 PATANOL ........................... 84 PAXIL .................................. 29 PAXIL CR ............................ 29 PAZEO ................................. 84 PCE......................................... 7 PED MULTIVITAMINS-

A,B,D,E,K,ZN .................. 98 PEDIADERM AF ................ 46 PEDIADERM HC ................ 47 PEDIADERM TA ................ 47 PEDIAPRED ........................ 52 PEDIARIX (PF) ................... 75 PEDVAX HIB (PF) .............. 75 peg 3350-electrolytes ........... 69 PEGANONE ........................ 18 PEGASYS ............................ 72 PEGASYS PROCLICK ....... 72 peg-electrolyte soln .............. 69 PEGINTRON ....................... 72 PEGINTRON REDIPEN ..... 72 peg-prep ................................ 69 pe-guai .................................. 87 PEN NEEDLE ...................... 60 PENICILLIN G POT IN

DEXTROSE ..................... 10 penicillin g potassium........... 10 penicillin g procaine ............. 10 penicillin g sodium ............... 10 penicillin v potassium........... 10 PENLAC .............................. 46 PENNSAID .......................... 25 PENTACEL (PF) ................. 75 PENTACEL ACTHIB

COMPONENT (PF) ......... 75 PENTAM ............................... 8 PENTASA ............................ 69 pentazocine-naloxone ........... 25 pentoxifylline ....................... 37 PEPCID ................................ 71 PERCOCET ......................... 24 PERFOROMIST .................. 89 perindopril erbumine ............ 34 PERJETA ............................. 15 permethrin ............................ 48 perphenazine......................... 29 perphenazine-amitriptyline... 29 perry prenatal........................ 98 PERSANTINE ..................... 37

PERTZYE ............................ 69 PEXEVA .............................. 29 pfizerpen-g............................ 10 PHARMACIST CHOICE .... 55 PHARMACIST CHOICE

GLUCOSE SYS ............... 60 phenadoz ............................... 86 phenazopyridine ................... 92 phenelzine ............................. 29 phenergan ............................. 86 PHENERGAN ...................... 86 phenobarbital ........................ 18 phenohytro ............................ 66 phenoxybenzamine ............... 34 PHENTOLAM-

ALPROSTADIL IN WATER ............................ 91

phentolamine ........................ 34 phenylephrine hcl ................. 86 phenylhistine dh ................... 87 PHENYTEK ......................... 18 phenytoin .............................. 18 phenytoin sodium ................. 18 phenytoin sodium extended .. 18 philith.................................... 81 PHOSLYRA ......................... 69 phospha 250 neutral.............. 92 phosphasal ............................ 91 PHOSPHOLINE IODIDE .... 83 PHOTOFRIN........................ 15 PHYSIOLYTE ..................... 48 PHYSIOSOL IRRIGATION 48 PHYTONADIONE

(VITAMIN K1) ................ 37 PICATO................................ 41 pilocarpine hcl .......... 49, 51, 83 pimozide ............................... 29 pimtrea (28) .......................... 81 pindolol ................................. 34 pioglitazone .......................... 65 pioglitazone-glimepiride ...... 65 pioglitazone-metformin ........ 65 piperacillin-tazobactam ........ 10 pirmella ................................. 81 piroxicam .............................. 25 PLAN B ONE-STEP ............ 81 PLAQUENIL.......................... 8 PLASMA-LYTE 148 ........... 93 PLASMA-LYTE A .............. 93

PLAVIX ............................... 37 PLEGRIDY .......................... 72 PLEXION ............................. 43 PLEXION CLEANSING

CLOTHS ........................... 43 PLIAGLIS ............................ 45 PNEUMOVAX 23 ................ 75 pnv 29-1 ................................ 98 pnv ob+dha ........................... 98 pnv-dha ................................. 98 pnv-dha + docusate ............... 98 pnv-ferrous fumarate-docu-fa

.......................................... 98 pnv-omega ............................ 98 pnv-select .............................. 98 pnv-vp-u ............................... 98 POCKET CHAMBER .......... 56 PODOCON ........................... 40 podofilox ............................... 41 polycin .................................. 83 polyethylene glycol 3350 ..... 69 poly-iron 150 forte ................ 98 polymyxin b sulfate ................ 8 polymyxin b sulf-trimethoprim

.......................................... 83 POLYTRIM .......................... 83 poly-tussin ............................ 87 POLY-TUSSIN AC .............. 87 poly-tussin d ......................... 87 POLY-VI-FLOR ................... 98 POLY-VI-FLOR FS ............. 98 POLY-VI-FLOR WITH IRON

.......................................... 98 poly-vita (iron) ...................... 98 poly-vitamin with iron .......... 98 POMALYST ......................... 72 PONSTEL ............................. 25 portia ..................................... 81 pot,sodium citrate-citric acid 91 POTABA .............................. 92 potassium acetate .................. 92 potassium bicarb and chloride

.......................................... 92 potassium bicarb-citric acid .. 92 potassium chlorid-d5-

0.45%nacl ......................... 92 potassium chloride ................ 93 potassium chloride in 0.9%nacl

.......................................... 92


potassium chloride in 5 % dex .......................................... 92

potassium chloride in lr-d5 ... 93 potassium chloride-0.45 % nacl

.......................................... 93 potassium chloride-d5-

0.2%nacl ........................... 93 potassium chloride-d5-

0.3%nacl ........................... 93 potassium chloride-d5-

0.9%nacl ........................... 93 potassium citrate ................... 91 potassium citrate-citric acid . 91 POTASSIUM HYDROXIDE

.......................................... 40 potassium phosphate m-/d-

basic .................................. 93 POTIGA ............................... 18 PR BENZOYL PEROXIDE. 43 pr natal 400 ........................... 98 pr natal 400 ec ...................... 98 pr natal 430 ........................... 98 pr natal 430 ec ...................... 98 PRADAXA........................... 37 PRALUENT PEN ................ 38 PRALUENT SYRINGE ....... 38 pramcort ............................... 69 pramipexole .......................... 19 PRAMOSONE ..................... 40 PRAMOSONE E .................. 40 PRANDIN ............................ 65 PRAVACHOL ..................... 38 pravastatin ............................ 38 prazosin ................................ 34 PRECISION PCX PLUS TEST

.......................................... 55 PRECISION PCX TEST ...... 55 PRECISION POINT OF

CARE TEST ..................... 55 PRECISION Q-I-D TEST .... 55 PRECISION XTRA

MONITOR ....................... 60 PRECISION XTRA TEST ... 55 PRECOSE ............................ 65 PRED FORTE ...................... 85 PRED MILD ........................ 85 PRED-G ............................... 85 PRED-G S.O.P. .................... 85 prednicarbate ........................ 47

prednisolone ......................... 52 prednisolone acetate ............. 85 prednisolone sodium phosphate

.................................... 52, 85 prednisone ............................ 52 prednisone intensol ............... 52 PREFERA-OB...................... 98 PREFERA-OB ONE ............ 98 PREFERA-OB PLUS DHA . 98 PREFEST ............................. 78 PREGNYL............................ 63 PREMARIN ......................... 78 PREMIUM BLOOD

GLUCOSE MONITOR .... 60 PREMIUM V10 ............. 55, 60 PREMPHASE ...................... 78 PREMPRO ........................... 78 prena1 chew .......................... 98 prena1 pearl .......................... 98 prenaissance.......................... 98 prenaissance next .................. 98 prenaissance plus .................. 98 PRENATA............................ 98 prenatabs fa........................... 98 prenatabs rx .......................... 98 prenatal ................................. 99 PRENATAL ......................... 99 PRENATAL + DHA ............ 98 prenatal complete ................. 98 prenatal formula ................... 99 prenatal one daily ................. 99 prenatal plus ......................... 99 prenatal plus (calcium carb) . 99 PRENATAL PLUS DHA ..... 99 prenatal vit#96-ferrous fum-fa

.......................................... 99 prenatal vitamin .................... 99 prenatal vitamin plus low iron

.......................................... 99 prenatal vitamin with minerals

.......................................... 99 prenatal-u .............................. 99 PRENATE AM..................... 99 PRENATE CHEWABLE ..... 99 PRENATE DHA (FERR ASP

GLYCIN).......................... 99 PRENATE ELITE (IRON ASP

GLYC) .............................. 99 PRENATE ENHANCE ........ 99

PRENATE ESSENTIAL(IRON-ASP-GL) ................................... 99

PRENATE MINI (FERR ASP GLYCIN) .......................... 99

PRENATE PIXIE ................. 99 PRENATE RESTORE ......... 99 PRENATE STAR ................. 99 PREPIDIL ............................. 78 preplus .................................. 99 PREPOPIK ........................... 69 PREQUE 10 .......................... 99 PRESERA ............................. 41 PRESTALIA ......................... 34 PRESTO PRO BLOOD

GLUCOSE METER ......... 60 pretab .................................... 99 PREVACID .......................... 71 PREVACID 24HR ................ 71 PREVACID SOLUTAB ....... 71 prevalite ................................ 38 PREVIDENT ........................ 51 PREVIDENT 5000 BOOSTER

PLUS ................................ 51 PREVIDENT 5000 DRY

MOUTH ........................... 51 PREVIDENT 5000 ENAMEL

PROTECT ........................ 51 PREVIDENT 5000 PLUS .... 51 PREVIDENT 5000

SENSITIVE ...................... 51 previfem ................................ 81 PREVNAR 13 (PF) .............. 75 PREVPAC ............................ 71 PREZCOBIX .......................... 4 PREZISTA ............................. 4 PRIFTIN ................................. 8 PRILOSEC ........................... 71 PRILOSEC OTC .................. 71 PRIMACARE ....................... 99 PRIMAQUINE ....................... 8 PRIMAXIN IV ....................... 8 PRIMEAIRE ......................... 56 primidone .............................. 18 PRIMLEV ............................. 24 PRIMSOL ............................. 11 PRINIVIL ............................. 34 PRISTIQ ............................... 29 PROAIR HFA ...................... 89


PROAIR RESPICLICK ....... 89 probenecid ............................ 75 probenecid-colchicine .......... 75 procainamide ........................ 31 PROCARDIA ....................... 34 PROCARDIA XL ................ 34 procentra ............................... 29 PROCHAMBER .................. 56 prochlorperazine ................... 69 prochlorperazine edisylate.... 69 prochlorperazine maleate ..... 69 PROCORT ........................... 69 PROCRIT ............................. 71 PROCTOCORT ............. 47, 69 PROCTOFOAM HC ............ 69 procto-med hc ....................... 69 procto-pak............................. 69 proctosol hc .......................... 69 proctozone-hc ....................... 69 PROCYSBI .......................... 91 PRODIGY AUTOCODE

METER ............................ 60 PRODIGY AUTOCODE

MONITOR SYST ............ 60 PRODIGY NO CODING ..... 55 PRODIGY POCKET METER

.......................................... 60 PRODIGY VOICE GLUCOSE

METER ............................ 60 PRODRIN ............................ 20 PROFERRIN-FORTE .......... 99 PROFILNINE....................... 37 progesterone ......................... 78 progesterone micronized ...... 78 PROGLYCEM ..................... 56 PROGRAF ........................... 15 PROLASTIN-C .................... 49 PROLENSA ......................... 84 PROLEUKIN ....................... 73 PROLIA ............................... 76 PROMACTA ........................ 37 promethazine ........................ 86 promethazine vc-codeine...... 87 promethazine-codeine .......... 87 promethazine-dm .................. 87 promethazine-phenyleph-

codeine ............................. 87 promethazine-phenylephrine 87 promethegan ......................... 86

PROMETRIUM ................... 78 PROMISEB .......................... 42 PROMISEB COMPLETE .... 40 propafenone .......................... 31 propantheline ........................ 66 proparacaine ......................... 84 propranolol ........................... 34 propranolol-hydrochlorothiazid

.......................................... 34 propylthiouracil .................... 52 PROQUAD (PF)................... 75 PRO-RED AC (W/

DEXCHLORPHENIR) .... 87 PROSCAR ............................ 90 PROSTIN E2 ........................ 79 PROSTIN VR PEDIATRIC . 91 protamine .............................. 37 PROTECT IRON ................. 99 PROTONIX .......................... 71 PROTOPIC ........................... 42 protriptyline .......................... 29 PROVENTIL HFA ............... 89 PROVERA ........................... 78 PROVIDA DHA................... 99 PROVIDA OB ...................... 99 PROVIGIL ........................... 29 PROZAC .............................. 29 PROZAC WEEKLY ............ 29 pruclair.................................. 42 prudoxin................................ 42 prumyx.................................. 42 prutect ................................... 42 PSORCON............................ 47 PULMICORT ....................... 89 PULMICORT FLEXHALER

.......................................... 89 pulmosal ............................... 89 PULMOZYME ..................... 89 PURALOR CI ...................... 99 PUREFE OB PLUS .............. 99 PUREFE PLUS .................... 99 purevit dualfe plus ................ 99 PURIXAN ............................ 15 PYLERA .............................. 71 pyrazinamide .......................... 8 PYRIDIUM .......................... 92 pyridostigmine bromide ....... 21 Q QBRELIS ............................. 34

Q-CARE RX Q4 ................... 51 QNASL ................................. 89 QUADRACEL (PF) ............. 75 QUALAQUIN ........................ 8 QUARTETTE ....................... 81 quasense ................................ 81 quazepam .............................. 29 QUDEXY XR ....................... 18 QUESTRAN ......................... 38 QUESTRAN LIGHT ............ 38 quetiapine ............................. 29 QUFLORA FE ...................... 99 QUFLORA PEDIATRIC ..... 99 QUFLORA PEDIATRIC

DROPS ............................. 99 QUILLICHEW ER ............... 29 QUILLIVANT XR ............... 29 quinapril ................................ 34 quinapril-hydrochlorothiazide

.......................................... 34 quinidine gluconate .............. 31 quinidine sulfate ................... 31 quinine sulfate ........................ 8 QUINTET AC ...................... 55 QUINTET BLOOD

GLUCOSE METER ......... 60 quit 2 ..................................... 50 QUIT 2 .................................. 50 quit 4 ..................................... 50 QUIT 4 .................................. 50 QUTENZA ........................... 42 QVAR ................................... 89 R rabeprazole ........................... 71 RADIOGARDASE ............... 49 RAGWITEK ......................... 75 rajani ..................................... 81 raloxifene .............................. 76 ramipril ................................. 34 RANEXA ............................. 38 ranitidine hcl ......................... 71 RAPAFLO ............................ 90 RAPAMUNE ........................ 15 RAPIVAB ............................... 4 rasagiline ............................... 19 RASUVO (PF) ...................... 76 RAVICTI .............................. 49 RAYALDEE ......................... 63 RAYOS ................................. 52


RAZADYNE ........................ 20 RAZADYNE ER .................. 20 rea lo 39 ................................ 42 rea lo 40 ................................ 42 react ...................................... 81 REBETOL ............................ 72 REBIF (WITH ALBUMIN) . 72 REBIF REBIDOSE .............. 72 REBIF TITRATION PACK 72 RECLAST ............................ 49 reclipsen (28) ........................ 82 RECOMBINATE ................. 37 RECOMBIVAX HB (PF) .... 75 RECTIV ............................... 69 REFUAH PLUS ................... 55 REFUAH PLUS GLUCOSE

MONITOR ....................... 60 REGLAN .............................. 69 regonol .................................. 21 REGRANEX ........................ 42 RELAGARD ........................ 79 relcof c .................................. 87 RELENZA DISKHALER ...... 4 RELION ALL-IN-ONE

METER ............................ 60 RELION CONFIRM ............ 60 RELION CONFIRM-MICRO

.......................................... 55 RELION MICRO GLUCOSE

MONITOR ....................... 60 RELION NOVOLIN 70/30 .. 62 RELION NOVOLIN N ........ 62 RELION NOVOLIN R ........ 62 RELION PRIME METER ... 60 RELION PRIME TEST

STRIPS ............................. 55 RELISTOR ........................... 69 relnate dha ............................ 99 RELPAX .............................. 20 REMERON .......................... 29 REMERON SOLTAB .......... 29 remeven ................................ 42 REMICADE ......................... 69 REMODULIN ...................... 34 RENACIDIN ........................ 91 RENAGEL ........................... 69 renal caps .............................. 99 RENAL VITAMIN .............. 99 RENAL-VITE ...................... 99

rena-vite ................................ 99 rena-vite rx ........................... 99 reno caps ............................... 99 RENVELA ........................... 69 repaglinide ............................ 65 repaglinide-metformin .......... 65 REPATHA PUSHTRONEX 38 REPATHA SURECLICK .... 38 REPATHA SYRINGE ......... 38 reprexain ............................... 24 REQUIP................................ 19 REQUIP XL ......................... 19 RESCRIPTOR ........................ 4 RESCULA ............................ 85 reserpine ............................... 34 RESPA-AR ........................... 87 RESTASIS............................ 84 RESTASIS MULTIDOSE ... 84 RESTORIL ........................... 29 RETIN-A .............................. 43 RETIN-A MICRO ................ 43 RETIN-A MICRO PUMP .... 44 RETISERT ........................... 85 RETROVIR ............................ 4 REVATIO ............................ 89 REVEAL BLOOD GLUCOSE

METER ............................ 60 REVEAL TEST STRIP ........ 55 REVESTA ............................ 99 REVIA .................................. 25 REVLIMID .......................... 72 revonto .................................. 21 REXULTI ............................. 29 REYATAZ ............................. 4 REZIRA................................ 87 RHEUMATREX .................. 15 RHINOCORT AQUA .......... 89 RIASTAP ............................. 37 ribasphere ............................. 72 ribasphere ribapak ................ 72 ribavirin ............................ 4, 72 RIDAURA ............................ 76 rifabutin .................................. 8 RIFADIN ............................ 8, 9 RIFAMATE............................ 9 rifampin .................................. 9 RIFATER ............................... 9 RIGHT STEP PRENATAL

VITAMINS ...................... 99

RIGHTEST GM550 SYSTEM .......................................... 60

RIGHTEST GS550 TEST STRIPS ............................. 55

RILUTEK ............................. 49 riluzole .................................. 49 rimantadine ............................. 4 ringers ................................... 48 RIOMET ............................... 65 risedronate ...................... 49, 76 RISPERDAL ........................ 29 RISPERDAL CONSTA ....... 29 RISPERDAL M-TAB .......... 29 risperidone ............................ 29 RITALIN .............................. 29 RITALIN LA ........................ 29 RITEFLO AEROCHAMBER

.......................................... 56 RITUXAN ............................ 15 rivastigmine .......................... 20 rivastigmine tartrate .............. 20 RIXUBIS .............................. 37 rizatriptan .............................. 20 R-NATAL OB .................... 100 ROBAXIN ............................ 21 ROBAXIN-750 ..................... 21 ROBINUL ............................ 66 ROBINUL FORTE ............... 66 ROCALTROL ...................... 63 ropinirole .............................. 19 rosadan .................................. 44 ROSADAN ........................... 44 ROSANIL ............................. 44 ROSULA .............................. 44 rosula cleansing cloths .......... 44 rosuvastatin ........................... 38 ROTARIX ............................ 75 ROTATEQ VACCINE ......... 75 ROWASA ............................. 69 roweepra ............................... 18 ROXICODONE .................... 24 ROZEREM ........................... 29 r-tanna ................................... 87 RUBRACA ........................... 15 RUCONEST ......................... 89 rulavite dha ......................... 100 RYANODEX ........................ 21 rydex ..................................... 87 RYNODERM ....................... 42


RYTARY ............................. 19 RYTHMOL .......................... 31 RYTHMOL SR .................... 31 S SABRIL ................................ 18 SAFYRAL ............................ 82 SAIZEN ................................ 72 SAIZEN CLICK.EASY ....... 72 salacyn .................................. 40 SALAGEN (PILOCARPINE)

.................................... 49, 51 SALEX ................................. 40 salicylic acid ......................... 40 salicylic acid er-ceramides ... 40 SALKERA ........................... 40 salsalate ................................ 25 salvax .................................... 40 SALVAX DUO PLUS ......... 40 SAMSCA ............................. 63 SANCUSO ........................... 69 SANDIMMUNE .................. 15 SANDOSTATIN .................. 15 SANDOSTATIN LAR

DEPOT ............................. 15 SANTYL .............................. 48 SAPHRIS (BLACK

CHERRY) ........................ 29 SARAFEM ........................... 29 SAVAYSA ........................... 37 SAVELLA ............................ 76 scalacort ................................ 47 SCALACORT DK ............... 47 SEASONIQUE ..................... 82 seb-prev ................................ 40 seconal sodium ..................... 29 SECTRAL ............................ 34 SEEBRI NEOHALER.......... 89 SELECT-OB ...................... 100 SELECT-OB (FOLIC ACID)

........................................ 100 SELECT-OB + DHA ......... 100 selegiline hcl ......................... 19 selenium sulfide.................... 40 SELRX ................................. 40 SELZENTRY ......................... 4 SEMPREX-D ....................... 87 se-natal 19 .......................... 100 se-natal 19 (with docusate) . 100 SENSIPAR ........................... 63

SEREVENT DISKUS .......... 89 SEROQUEL ......................... 29 SEROQUEL XR................... 29 SEROSTIM .......................... 72 sertraline ............................... 29 se-tan plus ........................... 100 setlakin.................................. 82 sf 51 sf 5000 plus .......................... 51 SFROWASA ........................ 69 sharobel ................................ 78 SHOHL'S MODIFIED ......... 91 SIGNIFOR............................ 15 SIGNIFOR LAR................... 15 sildenafil ............................... 89 SILENOR ............................. 29 SILVADENE........................ 40 silver nitrate .......................... 42 silver nitrate applicators ....... 42 silver sulfadiazine ................. 40 SILVRSTAT ........................ 45 SIMBRINZA ........................ 85 SIMPONI.............................. 76 SIMPONI ARIA ................... 76 SIMULECT .......................... 15 simvastatin ............................ 38 SINEMET ............................. 19 SINEMET CR ...................... 19 SINGULAIR ........................ 89 SINOGRAFIN ...................... 49 sirolimus ............................... 15 SIRTURO ............................... 9 SITAVIG ................................ 4 SIVEXTRO ............................ 9 SKELAXIN .......................... 21 SKLICE ................................ 48 SMART SENSE

MONITORING SYSTEM 60 SMART SENSE TEST

STRIPS ............................. 55 SMARTEST EJECT............. 60 SMARTEST PERSONA

STARTER ........................ 60 SMARTEST PRONTO

STARTER ........................ 60 SMARTEST PROTEGE ...... 60 SMARTEST TEST............... 55 SNAP INSULIN PUMP

CONTROLLER................ 60

SNAP INSULIN PUMP-INFUSION SET ............... 60

sodium chlor 0.9% bacteriostat .......................................... 49

sodium chloride .............. 89, 93 sodium chloride 0.45 % ........ 93 sodium chloride 0.9 % .... 49, 50 SODIUM CHLORIDE 0.9 %

.......................................... 50 sodium chloride 3 % ............. 93 sodium chloride 5 % ............. 93 sodium citrate-citric acid ...... 91 SODIUM EDECRIN ............ 34 sodium ferric gluconat-sucrose

.......................................... 50 sodium fluoride ............. 51, 100 sodium phenylbutyrate ......... 50 sodium phosphate ................. 93 sodium polystyrene sulfonate

.......................................... 69 SODIUM POLYSTYRENE

SULFONATE ................... 70 SOFTGELS MULTIVIT-

A,B,D,E,K,ZN ................ 100 SOLARAZE ......................... 42 SOLIQUA 100/33 ................ 56 SOLIRIS ............................... 50 SOLODYN ........................... 11 SOLTAMOX ........................ 15 SOLUS V2 AUDIBLE

METER ............................. 60 SOLUS V2 TEST STRIPS ... 55 SOMA ................................... 21 SOMATULINE DEPOT ...... 15 SOMAVERT ........................ 63 sonafine ................................. 42 SONATA .............................. 30 SOOLANTRA ...................... 44 SORBITOL ........................... 48 SORBITOL-MANNITOL .... 48 SORIATANE ....................... 40 SORILUX ............................. 40 sotalol ................................... 31 SOTALOL ............................ 31 sotalol af ............................... 31 SOTYLIZE ........................... 31 SOVALDI ............................... 4 SPECTRACEF ....................... 6 spinosad ................................ 48


SPIRIVA RESPIMAT ......... 89 SPIRIVA WITH

HANDIHALER ................ 89 spironolactone ...................... 35 spironolacton-hydrochlorothiaz

.......................................... 35 SPORANOX .......................... 3 SPORANOX PULSEPAK ..... 3 sprintec (28).......................... 82 SPRITAM............................. 18 SPRIX................................... 25 SPRYCEL ............................ 15 sps (with sorbitol) ................. 70 sronyx ................................... 82 ss 10-2 .................................. 44 ssd ......................................... 40 SSKI ..................................... 52 sss 10-5 ................................. 44 STALEVO 100 ..................... 19 STALEVO 125 ..................... 19 STALEVO 150 ..................... 19 STALEVO 200 ..................... 19 STALEVO 50 ....................... 19 STALEVO 75 ....................... 19 STARLIX ............................. 65 stavudine................................. 4 STAXYN .............................. 91 STELARA ............................ 40 STENDRA ........................... 91 STIMATE............................. 63 STIOLTO RESPIMAT ........ 89 STIVARGA .......................... 15 stop smoking aid................... 50 STRATTERA ....................... 30 STRENSIQ ........................... 63 STREPTOMYCIN ................. 9 stress formula ..................... 100 stress formula with iron ...... 100 stress formula with iron(sulf)

........................................ 100 STRIANT ............................. 63 STRIBILD .............................. 5 STRIVERDI RESPIMAT .... 90 STROMECTOL ..................... 9 strong iodine ......................... 93 STROVITE FORTE ........... 100 STROVITE ONE ............... 100 SUBOXONE ........................ 26 SUBSYS ............................... 24

SUCRAID ............................ 70 sucralfate .............................. 71 SULAR ................................. 35 sulfacetamide sodium ..... 40, 85 sulfacetamide sodium (acne) 45 sulfacetamide sodium-sulfur 44 sulfacetamide sod-sulfur-urea

.......................................... 44 sulfacetamide-prednisolone .. 85 sulfacetamide-sulfur-cleansr23

.......................................... 44 sulfacleanse 8-4 .................... 44 sulfact na-sul-avobnz-otn-ocsa

.......................................... 44 sulfadiazine ........................... 10 sulfamethoxazole-trimethoprim

.......................................... 10 SULFAMYLON ................... 45 sulfasalazine ......................... 70 sulfatrim................................ 10 sulindac ................................. 26 SUMADAN .......................... 44 SUMADAN XLT ................. 44 sumatriptan ........................... 20 sumatriptan succinate ........... 20 SUMAVEL DOSEPRO ....... 20 SUMAXIN ........................... 44 SUMAXIN CP ..................... 44 SUMAXIN TS ...................... 44 super b complex-vitamin c . 100 super b maxi complex......... 100 super b-50 complex plus..... 100 super quints......................... 100 super quints b-50 ................ 100 superplex-t .......................... 100 SUPERVITE ...................... 100 SUPERVITE (EC) .............. 100 SUPRAX ................................ 6 SUPREP BOWEL PREP KIT

.......................................... 70 SURE-TEST EASYPLUS

MINI ................................. 55 SURE-TEST EASYPLUS

MINI METER .................. 60 SURFAXIN .......................... 90 SURMONTIL ....................... 30 SURVANTA ........................ 50 SUSTIVA ............................... 5 SUSTOL ............................... 70

SUTENT ............................... 15 SWABFLUSH ...................... 50 syeda ..................................... 82 SYLATRON ......................... 72 SYLVANT ........................... 15 SYMAX DUOTAB .............. 66 symax fastabs ........................ 66 symax-sl ................................ 66 symax-sr ............................... 66 SYMBICORT ....................... 90 SYMBYAX .......................... 30 SYMLINPEN 120 ................ 65 SYMLINPEN 60 .................. 65 SYNAGIS ............................... 5 SYNALAR ........................... 47 SYNALAR CREAM KIT .... 48 SYNALAR OINTMENT KIT

.......................................... 48 SYNALAR TS ...................... 48 SYNALGOS-DC .................. 24 SYNAREL ............................ 63 SYNERA .............................. 45 SYNERCID ............................ 9 SYNJARDY ......................... 65 SYNRIBO ............................. 15 SYNTHROID ....................... 65 SYPRINE ............................. 50 syrex sodium chloride 0.9% . 50 T T

SLIM ................................. 60 SLIM G4 ........................... 60

TABLOID ............................. 15 TACLONEX ......................... 40 tacrolimus ....................... 15, 42 TAFINLAR .......................... 15 TAGRISSO ........................... 15 TAKE ACTION ................... 82 TALTZ AUTOINJECTOR .. 40 TALTZ AUTOINJECTOR (2

PACK) .............................. 40 TALTZ AUTOINJECTOR (3

PACK) .............................. 40 TALTZ SYRINGE ............... 40 TALTZ SYRINGE (2 PACK)

.......................................... 40 TALTZ SYRINGE (3 PACK)

.......................................... 40 TALWIN .............................. 26


TAMIFLU .............................. 5 tamoxifen .............................. 15 tamsulosin............................. 90 TANDEM PLUS ................ 100 TANZEUM .......................... 65 TAPAZOLE ......................... 52 TARCEVA ........................... 16 TARGADOX ....................... 11 TARGRETIN ....................... 16 tarina fe 1/20 (28) ................. 82 TARKA ................................ 35 taron forte ........................... 100 taron-c dha .......................... 100 taron-prex prenatal-dha ...... 100 TASIGNA ............................ 16 TASMAR ............................. 19 TAXOTERE ......................... 16 TAYTULLA......................... 82 TAZICEF ............................... 6 TAZORAC ........................... 44 taztia xt ................................. 35 TECENTRIQ ........................ 16 TECFIDERA ........................ 72 TECHNIVIE........................... 5 TEFLARO .............................. 6 TEGRETOL ......................... 18 TEGRETOL XR ................... 18 TEKTURNA ........................ 35 TEKTURNA HCT ............... 35 TELCARE BGM .................. 60 TELCARE BLOOD

GLUCOSE KIT ................ 60 TELCARE TEST STRIPS ... 55 telmisartan ............................ 35 telmisartan-amlodipine ......... 35 telmisartan-hydrochlorothiazid

.......................................... 35 temazepam ............................ 30 TEMODAR .......................... 16 TEMOVATE ........................ 48 temozolomide ....................... 16 tencon ................................... 24 TENEX ................................. 35 TENIPOSIDE ....................... 16 TENIVAC (PF) .................... 75 TENORETIC 100 ................. 35 TENORETIC 50 ................... 35 TENORMIN ......................... 35 TERAZOL 3 ......................... 79

TERAZOL 7 ......................... 79 terazosin................................ 35 terbinafine hcl ......................... 3 terbutaline ............................. 90 terconazole............................ 79 TERSI FOAM ...................... 40 TESSALON PERLES .......... 87 TEST N'GO BLOOD

GLUCOSE SYSTEM ....... 61 TEST N'GO TEST ............... 55 TESTIM................................ 63 TESTONE CIK .................... 63 TESTOPEL .......................... 63 testosterone ........................... 64 TESTOSTERONE.......... 63, 64 testosterone cypionate .......... 63 testosterone enanthate........... 63 TESTRED ............................ 64 TETANUS,DIPHTHERIA

TOX PED(PF) .................. 75 TETANUS-DIPHTHERIA

TOXOIDS-TD .................. 75 tetcaine.................................. 84 tetrabenazine ......................... 20 tetracaine hcl......................... 84 tetracaine hcl (pf).................. 84 tetracycline ........................... 11 TETRAVISC ........................ 84 TETRAVISC FORTE .......... 84 TEXACORT ......................... 48 TEXAVITE LQ .................. 100 THALOMID ......................... 16 THEO-24 .............................. 90 theochron .............................. 90 theophylline .......................... 90 thermazene............................ 40 THIOLA ............................... 50 thioridazine ........................... 30 thiotepa ................................. 16 thiothixene ............................ 30 THRIVITE RX ................... 100 thrivite-19 ........................... 100 THYMOGLOBULIN ........... 75 THYROLAR-1 ..................... 65 THYROLAR-1/2 .................. 65 THYROLAR-1/4 .................. 65 THYROLAR-2 ..................... 66 THYROLAR-3 ..................... 66 tiagabine ............................... 18

TIAZAC ............................... 35 ticlopidine ............................. 37 TIGAN .................................. 70 TIGECYCLINE ...................... 9 TIKOSYN ............................. 31 tilia fe .................................... 82 timolol maleate ............... 35, 83 TIMOPTIC ........................... 83 TIMOPTIC OCUDOSE (PF)

.......................................... 83 TIMOPTIC-XE ..................... 83 TINDAMAX .......................... 9 tinidazole ................................ 9 TIROSINT ............................ 66 tis-u-sol pentalyte ................. 48 TIVICAY ................................ 5 TIVORBEX .......................... 26 tizanidine .............................. 21 tl gard rx ............................. 100 tl g-fol os ............................. 100 tl icon .................................. 100 tl-hem 150 ........................... 100 TOBI ....................................... 9 TOBI PODHALER ................ 9 TOBRADEX ........................ 85 TOBRADEX ST ................... 85 tobramycin ............................ 83 tobramycin in 0.225 % nacl .... 9 tobramycin in 0.9 % nacl ........ 9 tobramycin sulfate .................. 9 TOBRAMYCIN WITH

NEBULIZER ...................... 9 tobramycin-dexamethasone .. 85 TOBREX .............................. 83 TOFRANIL .......................... 30 TOLAK ................................. 42 tolazamide ............................. 65 tolbutamide ........................... 65 tolcapone ............................... 19 tolmetin ................................. 26 tolterodine ............................. 90 TOPAMAX .......................... 18 TOPICORT ........................... 48 topiramate ............................. 18 TOPIRAMATE .................... 18 toposar .................................. 16 topotecan ............................... 16 TOPROL XL ........................ 35 TORISEL .............................. 16


torsemide .............................. 35 total b/c ............................... 100 TOUJEO SOLOSTAR ......... 62 TOVIAZ ............................... 90 TRACLEER ......................... 90 TRADJENTA ....................... 65 tramadol ................................ 26 TRAMADOL ....................... 26 tramadol-acetaminophen ...... 26 trandolapril ........................... 35 trandolapril-verapamil .......... 35 tranexamic acid .............. 37, 79 TRANSDERM-SCOP .......... 70 TRANXENE T-TAB............ 30 tranylcypromine ................... 30 TRAVATAN Z .................... 85 travoprost (benzalkonium) ... 85 trazodone .............................. 30 TREANDA ........................... 16 TRECATOR ........................... 9 TRELSTAR .......................... 16 TRESIBA FLEXTOUCH U-

100 .................................... 62 TRESIBA FLEXTOUCH U-

200 .................................... 62 tretinoin ................................ 44 tretinoin (chemotherapy) ...... 16 tretinoin microspheres .......... 44 TRETIN-X ........................... 44 TRETIN-X CREAM KIT..... 44 TRETTEN ............................ 37 TREXALL ............................ 16 TREXIMET .......................... 20 TREZIX ................................ 24 TRIACETIN ......................... 46 triamcinolone acetonide 48, 51,

52, 90 triamterene-hydrochlorothiazid

.......................................... 35 trianex ................................... 48 triazolam ............................... 30 TRIBENZOR ....................... 35 TRICARE ........................... 100 TRICARE PRENATAL ..... 100 TRICARE PRENATAL DHA

ONE ................................ 100 TRICARE PRENATAL WITH

DHA ............................... 100 tricitrates ............................... 91

tricon ................................... 100 TRICOR ............................... 38 triderm .................................. 48 TRIDESILON ...................... 48 TRIESENCE (PF) ................ 52 tri-estarylla............................ 82 TRIFERIC .......................... 100 trifluoperazine ...................... 30 trifluridine ............................. 83 trigels-f forte ....................... 100 TRIGLIDE............................ 38 trihexyphenidyl ..................... 19 tri-legest fe ............................ 82 TRILEPTAL ......................... 18 tri-linyah ............................... 82 TRILIPIX ............................. 38 tri-lo-estarylla ....................... 82 tri-lo-marzia .......................... 82 tri-lo-sprintec ........................ 82 trilyte with flavor packets ..... 70 trimethobenzamide ............... 70 trimethoprim ......................... 11 trimipramine ......................... 30 trinatal gt............................. 100 trinatal rx 1 ......................... 100 trinate .................................. 100 trinessa (28) .......................... 82 trinessa lo .............................. 82 TRI-NORINYL (28)............. 82 TRINTELLIX ....................... 30 TRIOSTAT ........................... 66 triphrocaps .......................... 101 TRIPLE DYE ....................... 46 triple vitamin with fluoride. 101 tri-previfem (28) ................... 82 TRISENOX .......................... 16 tri-sprintec (28) ..................... 82 TRISTART DHA ............... 101 tri-tabs dha .......................... 101 TRIUMEQ .............................. 5 triveen-duo dha ................... 101 TRI-VI-FLOR .................... 101 tri-vit with fluoride and iron

........................................ 101 tri-vitamin with fluoride ..... 101 trivora (28) ............................ 82 TRIZIVIR ............................... 5 TROKENDI XR ................... 18 TROPAZONE LOTION ...... 42

tropicamide ........................... 83 trospium ................................ 90 TRUE METRIX GLUCOSE

METER ............................. 61 TRUE METRIX GLUCOSE

TEST STRIP ..................... 55 TRUE METRIX GO

GLUCOSE METER ......... 61 TRUE2GO BLOOD

GLUCOSE SYSTEM ....... 61 TRUERESULT BLOOD

GLUCOSE SYSTM ......... 61 TRUETEST TEST STRIPS . 55 TRUETRACK BLOOD

GLUCOSE SYSTEM ....... 61 TRUETRACK SMART

SYSTEM .................... 55, 61 TRUETRACK TEST ............ 55 TRULANCE ......................... 70 TRULICITY ......................... 65 TRUMENBA ........................ 75 TRUSOPT ............................ 85 trust natal dha ..................... 101 TRUVADA ............................. 5 TUDORZA PRESSAIR ....... 90 tusnel c .................................. 87 TUSNEL PEDIATRIC ......... 87 TUSSICAPS ......................... 87 tussigon ................................. 87 TUSSIONEX PENNKINETIC

ER ..................................... 87 TUZISTRA XR .................... 87 TWINRIX (PF) ..................... 75 TWYNSTA ........................... 35 TYBOST ................................. 5 TYGACIL ............................... 9 TYKERB .............................. 16 TYLENOL-CODEINE #3 .... 24 TYLENOL-CODEINE #4 .... 24 TYSABRI ............................. 20 TYVASO .............................. 90 TYVASO REFILL KIT ........ 90 TYVASO STARTER KIT ... 90 TYZEKA ................................ 5 TYZINE ................................ 51 U UCERIS ................................ 70 U-CORT ............................... 42 UDAMIN SP ...................... 101


ULESFIA ............................. 48 ULORIC ............................... 75 ULTIMA TEST STRIPS ...... 55 ultimatecare one ................. 101 ultimatecare one nf ............. 101 ultra b-100 complex ........... 101 ULTRACET ......................... 26 ULTRAM ............................. 26 ULTRAM ER ....................... 26 ULTRASAL-ER................... 41 ULTRATRAK ...................... 55 ULTRATRAK GLUCOSE

METER ............................ 61 ULTRATRAK ULTIMATE 55,

61 ULTRAVATE ...................... 48 ULTRAVATE X .................. 48 umecta .................................. 42 UMECTA ............................. 42 UNASYN ............................. 10 UNISTRIP1 TEST STRIP ... 55 unithroid ............................... 66 UNITUXIN .......................... 16 UPTRAVI............................. 35 ur n-c .................................... 91 URAMAXIN ........................ 42 uramit mb ............................. 91 urea ....................................... 42 urea nail stick ....................... 42 urea-hyaluronate sodium ...... 42 URECHOLINE .................... 91 ure-k ..................................... 42 URELLE............................... 91 uretron d-s ............................ 91 URIBEL ............................... 91 urimar-t ................................. 91 urin ds ................................... 91 uro-458 ................................. 91 uro-blue ................................ 91 UROCIT-K 10 ...................... 91 UROCIT-K 15 ...................... 91 UROCIT-K 5 ........................ 92 urogesic-blue ........................ 92 uro-l ...................................... 92 urolet mb .............................. 92 uro-mp .................................. 92 urophen mb ........................... 92 UROQID-ACID NO.2 ......... 92 UROXATRAL ..................... 90

URSO 250 ............................ 70 URSO FORTE ...................... 70 ursodiol ................................. 70 uryl........................................ 92 ustell ..................................... 92 UTA ...................................... 92 UTIBRON NEOHALER ...... 90 utira-c.................................... 92 UTOPIC................................ 42 UVADEX ............................. 42 V VAGIFEM ............................ 78 valacyclovir ............................ 5 VALCHLOR ........................ 42 VALCYTE ............................. 5 valganciclovir ......................... 5 VALIUM .............................. 30 valproate sodium .................. 18 valproic acid ......................... 18 valproic acid (as sodium salt)

.......................................... 18 valsartan................................ 35 valsartan-hydrochlorothiazide

.......................................... 35 VALTREX ............................. 5 VANATOL LQ .................... 24 VANCOCIN ......................... 11 vancomycin .......................... 11 VANCOMYCIN IN

DEXTROSE 5 % .............. 11 vandazole .............................. 79 VANOS ................................ 48 VANOXIDE-HC .................. 44 VAQTA (PF) ........................ 75 VARIVAX (PF) ................... 75 VARIZIG.............................. 75 VARUBI ............................... 70 VASCEPA ............................ 38 VASERETIC ........................ 35 VASHE WOUND THERAPY

.......................................... 48 VASOSTRICT ..................... 64 VASOTEC............................ 35 v-c forte .............................. 101 VCF CONTRACEPTIVE

FILM ................................ 79 VECAMYL .......................... 38 VECTIBIX ........................... 16 VECTICAL .......................... 40

VELCADE ........................... 16 veletri .................................... 35 velivet triphasic regimen (28)

.......................................... 82 VELPHORO ......................... 70 VELTASSA .......................... 70 VELTIN ................................ 44 vemavite-prx-2 ................... 101 VEMLIDY .............................. 5 VENCLEXTA ...................... 16 VENCLEXTA STARTING

PACK ............................... 16 venlafaxine ........................... 30 VENOFER .......................... 101 VENTAVIS .......................... 90 VENTOLIN HFA ................. 90 VERAMYST ........................ 90 verapamil .............................. 35 VERDESO ............................ 48 verdrocet ............................... 24 VEREGEN ........................... 42 VERELAN ........................... 35 VERELAN PM ..................... 35 veripred 20 ............................ 52 VERSACLOZ ....................... 30 VESICARE ........................... 90 vestura (28) ........................... 82 VEXOL ................................. 85 VFEND ................................... 3 VFEND IV .............................. 3 VGO 20 ................................ 61 VGO 30 ................................ 61 VGO 40 ................................ 61 VIAGRA ............................... 92 VIBATIV .............................. 11 VIBERZI .............................. 70 VIBRAMYCIN .................... 11 vic-forte .............................. 101 vicodin .................................. 24 vicodin es .............................. 24 vicodin hp ............................. 24 VICTOZA 2-PAK ................ 65 VICTOZA 3-PAK ................ 65 VIDAZA ............................... 16 VIDEX 2 GRAM PEDIATRIC

............................................ 5 VIDEX EC .............................. 5 VIEKIRA PAK ....................... 5 VIEKIRA XR ......................... 5


vienva ................................... 82 VIGAMOX........................... 83 VIIBRYD ............................. 30 VIMIZIM ............................. 64 VIMOVO ............................. 26 VIMPAT............................... 18 vinate care .......................... 101 vinate dha ........................... 101 VINATE DHA RF ............. 101 vinate ii ............................... 101 vinate m .............................. 101 vinate one ........................... 101 vinate ultra .......................... 101 vinblastine ............................ 16 vincasar pfs ........................... 16 vincristine ............................. 16 vinorelbine ............................ 16 VIOKACE ............................ 70 viorele (28) ........................... 82 VIRACEPT ............................ 5 VIRAMUNE .......................... 5 VIRAMUNE XR .................... 5 VIRASAL............................. 41 VIRAZOLE ............................ 5 VIREAD ................................. 5 VIROPTIC ........................... 83 virt-advance ........................ 101 virt-c dha ............................ 101 VIRT-CAPS ....................... 101 virt-gard .............................. 101 virt-nate .............................. 101 virt-nate dha........................ 101 virt-phos 250 neutral ............ 93 virt-pn ................................. 101 virt-pn dha .......................... 101 virt-pn plus ......................... 101 VIRTPREX ........................ 101 virtrate-2 ............................... 92 virtrate-3 ............................... 92 virtrate-k ............................... 92 virt-select ............................ 101 virtussin ac............................ 87 virtussin dac.......................... 87 virt-vite ............................... 101 virt-vite forte ...................... 101 virt-vite gt ........................... 101 VIRT-VITE PLUS ............. 101 VISTARIL ............................ 86 VISTOGARD ....................... 12

VISUDYNE.......................... 84 vit 3 ..................................... 101 vit b complex-folic acid ...... 101 VITA-BEE WITH C .......... 101 VITAFOL ........................... 101 VITAFOL FE+ (WITH

DOCUSATE) ................. 101 VITAFOL GUMMIES ....... 101 VITAFOL NANO .............. 101 VITAFOL ULTRA............. 101 VITAFOL-OB .................... 101 VITAFOL-OB+DHA ......... 101 VITAFOL-ONE ................. 101 VITAL-D RX ..................... 101 VITAMAX ......................... 101 VITAMED MD ONE RX .. 101 VITAMED MD PLUS RX . 101 VITAMEDMD REDICHEW

RX .................................. 101 vitamin b complex .............. 102 vitamin k ............................... 37 vitamin k1 ............................. 37 vitamins a,c,d and fluoride . 102 VITAMINS B COMPLEX . 102 VITAPEARL ...................... 102 VITA-RESPA ..................... 102 VITEKTA ............................... 5 VITRASE ............................. 84 VITUZ .................................. 87 VIVELLE-DOT.................... 78 VIVITROL ........................... 26 VOGELXO ........................... 64 vol-care rx........................... 102 vol-nate ............................... 102 vol-plus ............................... 102 vol-tab rx ............................ 102 VOLTAREN ........................ 26 VOLTAREN-XR.................. 26 VONVENDI ......................... 37 VORAXAZE ........................ 12 voriconazole ........................... 3 VORTEX HOLDING

CHAMBER CHILD ......... 56 VORTEX VHC FROG

MASK-CHILD ................. 56 VORTEX VHC LADYBUG

MASK-TODDLR ............. 56 VOTRIENT .......................... 16 vp-ch plus ........................... 102

vp-ch-pnv ............................ 102 vp-ggr-b6 ............................ 102 vp-heme ob ......................... 102 vp-heme one ....................... 102 VP-PNV-DHA .................... 102 VPRIV .................................. 64 vp-vite rx ............................ 102 VRAYLAR ........................... 30 VUSION ............................... 46 vyfemla (28) ......................... 82 VYTONE .............................. 45 VYTORIN 10-10 .................. 38 VYTORIN 10-20 .................. 38 VYTORIN 10-40 .................. 38 VYTORIN 10-80 .................. 38 VYVANSE ........................... 30 W warfarin ................................. 37 water for irrigation, sterile .... 50 WAVESENSE AMP ............ 61 WAVESENSE JAZZ ............ 55 WAVESENSE PRESTO 55, 61 wee care .............................. 102 WELCHOL ........................... 38 WELLBUTRIN .................... 30 WELLBUTRIN SR .............. 30 WELLBUTRIN XL .............. 30 wera (28) ............................... 82 westhroid .............................. 66 WIDE-SEAL DIAPHRAGM

.......................................... 77 WILATE ............................... 37 WP THYROID ..................... 66 wymzya fe ............................ 82 X XALATAN ........................... 85 XALKORI ............................ 16 XANAX ................................ 30 XANAX XR ......................... 30 XARELTO ........................... 37 XARTEMIS XR ................... 24 XCLAIR ............................... 42 XELJANZ ............................. 76 XELJANZ XR ...................... 76 XELODA .............................. 16 XENAZINE .......................... 20 XEOMIN .............................. 75 XERESE ............................... 46 XGEVA ................................ 12


XIFAXAN .............................. 9 XIGDUO XR........................ 65 XIIDRA ................................ 84 XODOL 10/300 .................... 24 XODOL 5/300 ...................... 24 XODOL 7.5/300 ................... 24 XOLAIR ............................... 90 XOLEGEL ........................... 46 XOPENEX ........................... 90 XOPENEX CONCENTRATE

.......................................... 90 XOPENEX HFA .................. 90 XTAMPZA ER .................... 24 XTANDI............................... 16 xulane ................................... 79 XURIDEN ............................ 50 XYLOCAINE....................... 45 XYLOCAINE-EPINEPHRINE

.......................................... 45 XYLOCAINE-MPF ............. 45 xylon 10 ................................ 24 XYNTHA ............................. 37 XYNTHA SOLOFUSE ........ 37 XYREM ............................... 30 XYZAL ................................ 86 Y YASMIN (28) ...................... 82 YAZ (28) .............................. 82 YERVOY ............................. 16 YONDELIS .......................... 16 yuvafem ................................ 78 Z zafirlukast ............................. 90 zaleplon ................................ 30 ZALTRAP ............................ 16 zamicet ................................. 24 ZANAFLEX ......................... 21 ZANOSAR ........................... 16 ZANTAC .............................. 71 zarah ..................................... 82 ZARONTIN ......................... 18 ZARXIO ............................... 71 zatean-ch............................. 102 zatean-pn dha...................... 102 zatean-pn plus ..................... 102 zavara ................................. 102 ZAVESCA ........................... 64 ZEBETA............................... 35 zebutal .................................. 24

ZECUITY ............................. 20 ZEGERID ............................. 71 ZEGERID OTC .................... 71 ZELAPAR ............................ 19 ZELBORAF ......................... 16 ZEMAIRA ............................ 50 ZEMPLAR ........................... 64 zenatane ................................ 44 zenchent (28) ........................ 82 zenchent fe ............................ 82 zencia .................................... 44 ZENPEP ............................... 70 zenzedi .................................. 30 ZENZEDI ............................. 30 ZEPATIER ............................. 5 ZERBAXA ............................. 6 ZERIT ..................................... 5 ZESTORETIC ...................... 35 ZESTRIL .............................. 35 ZETIA .................................. 38 ZETONNA ........................... 90 ZEVALIN (Y-90) ................. 16 ZIAC ..................................... 35 ZIAGEN ................................. 5 ZIANA.................................. 44 zidovudine .............................. 5 ZINACEF ............................... 6 ZINACEF IN STERILE

WATER .............................. 6 ZINBRYTA .......................... 72 ZINECARD (AS HCL) ........ 12 zingiber ............................... 102 ZINGO.................................. 45 ZIOPTAN (PF) ..................... 85 ziprasidone hcl ...................... 30 ZIPSOR ................................ 26 ZIRGAN ............................... 83 ZITHRANOL ....................... 40 ZITHRANOL-RR ................ 40 ZITHROMAX ........................ 7 ZITHROMAX TRI-PAK ....... 7 ZITHROMAX Z-PAK ........... 7 ZMAX .................................... 7 ZOCOR ................................ 38 ZODRYL AC 25 .................. 87 ZODRYL AC 30 .................. 88 ZODRYL AC 35 .................. 88 ZODRYL AC 40 .................. 88 ZODRYL AC 50 .................. 88

ZODRYL AC 60 .................. 88 ZODRYL AC 80 .................. 88 ZODRYL DAC 25 ............... 88 ZODRYL DAC 30 ............... 88 ZODRYL DAC 35 ............... 88 ZODRYL DAC 40 ............... 88 ZODRYL DAC 50 ............... 88 ZODRYL DAC 60 ............... 88 ZODRYL DAC 80 ............... 88 ZODRYL DEC 25 ................ 88 ZODRYL DEC 30 ................ 88 ZODRYL DEC 35 ................ 88 ZODRYL DEC 40 ................ 88 ZODRYL DEC 50 ................ 88 ZODRYL DEC 60 ................ 88 ZODRYL DEC 80 ................ 88 ZOFRAN (AS

HYDROCHLORIDE) ...... 70 ZOFRAN ODT ..................... 70 ZOHYDRO ER .................... 24 ZOLADEX ........................... 16 zolate ................................... 102 zoledronic acid ...................... 64 zoledronic acid-mannitol-water

.......................................... 50 ZOLEDRONIC ACID-

MANNITOL-WATER .... 50, 64

ZOLINZA ............................. 16 zolmitriptan ........................... 20 ZOLOFT ............................... 30 zolpidem ............................... 30 ZOLPIMIST ......................... 30 ZOMACTON ....................... 72 ZOMETA ............................. 64 ZOMIG ................................. 20 ZOMIG ZMT ........................ 20 ZONALON ........................... 42 ZONEGRAN ........................ 18 zonisamide ............................ 18 ZONTIVITY ......................... 37 ZORBTIVE .......................... 72 ZORTRESS .......................... 16 ZORVOLEX ......................... 26 ZOSTAVAX (PF) ................ 75 ZOSYN ................................. 10 ZOSYN IN DEXTROSE (ISO-

OSM) ................................ 10 zovia 1/35e (28) .................... 82


zovia 1/50e (28) .................... 82 ZOVIRAX ........................ 5, 46 Z-TUSS AC .......................... 88 ZUBSOLV ........................... 26 ZUPLENZ ............................ 70 ZURAMPIC ......................... 75 ZUTRIPRO .......................... 88

ZYBAN ................................ 50 ZYCLARA ........................... 73 ZYDELIG ............................. 16 ZYFLO ................................. 90 ZYFLO CR ........................... 90 ZYKADIA ............................ 16 ZYLET ................................. 85

ZYLOPRIM .......................... 75 ZYMAXID ........................... 83 ZYPREXA ............................ 30 ZYPREXA RELPREVV ...... 30 ZYPREXA ZYDIS ............... 30 ZYTIGA ............................... 16 ZYVOX .................................. 9

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