your 2020 prescription drug list · 2 days ago · 3 understanding your prescription drug list...

This Prescription Drug List (PDL) is accurate as of August 1, 2020 and is subject to change after this date.

Your 2020 Prescription Drug ListFreedom Life Insurance Company of America, National Foundation Life Insurance Company, and Enterprise Life Insurance Company

Effective August 1, 2020

2

Understanding your Prescription Drug List (PDL)

What is a PDL?This document is a list of the most commonly prescribed medications. It includes both brand-name and generic prescription medications approved by the Food and Drug Administration (FDA). Medications are listed by common categories or classes and placed in tiers.

About this PDLWhere differences exist between this PDL and your benefit plan documents, the benefit plan documents rule. This PDL is not a complete list of medications, and not all medications listed may be covered by your plan.

How do I use my PDL?You and your doctor can consult the PDL to help you select the most cost-effective prescription medications. This guide tells you if a medication is generic or a brand-name, and if there are coverage requirements or limits. Bring this list with you when you see your doctor. If your medication is not listed here, please visit your plan’s member website or call the toll-free member phone number on your health plan ID card.

What are tiers?Tiers are the different cost levels for medications. Each tier is assigned a cost range and may affect how much you pay when you fill a prescription. See page 5 for more information.

3

Understanding your Prescription Drug List (continued)

When does the PDL change?PDL changes typically occur 2-3 times per year. However, changes that have a positive impact for you — such as coverage for new medications or cost savings — may occur at any time. You can log in to the member website listed on your ID card at any time to check your medication coverage and lower-cost options.

Are all medications covered?Some categories of medications may not be covered. Please review your benefit plan documents to confirm if any medications are excluded from your plan. You can log in to the member website listed on your ID card at any time to check your medication coverage. Talk to your doctor to see if there are lower-cost options or over-the-counter medications available.

4

Medication tips

What is the difference between brand-name and generic medications?Generic medications contain the same active ingredients (what makes the medication work) as brand-name medications, but they often cost less. Once the patent for a brand-name medication ends, the FDA can approve a generic version with the same active ingredients. These types of medications are known as generic medications. Sometimes, the same company that makes a brand-name medication also makes the generic version.

What if my doctor writes a brand-name prescription?If your doctor gives you a prescription for a brand-name medication, ask if a generic equivalent or lower-cost option is available and could be right for you. Generic medications are usually your lowest-cost option, but not always.

Over-the-counter (OTC) medicationsAn OTC medication may be the right treatment option for some conditions. Talk to your doctor about available OTC options. Even though these medications may not be covered by your pharmacy benefit, they may cost less than a prescription medication.

What if I am taking a specialty medication?Specialty medications are high-cost and are used to treat rare or complex conditions that require additional care and support. For most plans, these medications are managed through the specialty pharmacy program. Take advantage of personalized support designed to help you get the most out of your treatment plan. Visit the member website listed on your ID card or call the toll-free phone number on your ID card to learn more.

Please note, not all specialty medications are listed here. If you’re taking a specialty medication that is on a higher tier, call the toll-free phone number on your ID card to talk with a pharmacist about finding lower-cost options.

5

Reading your PDL

The PDL gives you choices so you and your doctor can determine your best course of treatment. In this PDL, brand-name medications are shown in UPPERCASE and generic medications in lowercase.

Tier information.Using lower-tier medications can help you pay your lowest out-of-pocket cost. Your plan may have multiple or no tiers. Please note: If you have a high deductible plan, the tier cost levels may apply once you have met your deductible.

In the chart below, overall value indicates medications’ effectiveness and safety, cost, and the availability of alternative medications to treat the same or similar medical condition(s).

Drug Tier Includes Helpful Tips

Tier 1 $ Lower-cost Medications that provide the highest overall value. Mostly generic drugs. Some brand-name drugs may also be included.

Use Tier 1 drugs for the lowest out-of-pocket costs.

Tier 2 $$ Mid-range cost Medications that provide good overall value. Mainly preferred brand-name drugs.

Use Tier 2 drugs, instead of Tier 3, to help reduce your out-of-pocket costs.

Tier 3 $$$ Highest-cost Medications that provide the lowest overall value.

Ask your doctor if a Tier 1 or Tier 2 option could work for you.

6

Questions

For the most current list of covered medications or if you have questions:

Call the toll-free member phone number on your ID card.

Visit your plan’s member website listed on your ID card to:

• View your pharmacy benefit and coverage information, including prescription history

• View medication interactions and side effects

• Locate a participating retail pharmacy by ZIP code

• Look up possible lower-cost medication alternatives

• Compare medication pricing and options

Table of Contents

Analgesics - Drugs to Treat Pain, Inflammation, and Muscle and Joint Conditions............................................ 9Anesthetics - Drugs for Numbing...................................................................................................................... 12Anti-Addiction/Substance Abuse Treatment Agents - Drugs for Overdose or Deterrence................................12Antibacterials - Drugs to Treat Bacterial Infections........................................................................................... 13Anticonvulsants - Drugs to Treat Seizures........................................................................................................ 15Antidementia Agents - Drugs to Treat Alzheimer's Disease and Dementia...................................................... 17Antidepressants - Drugs to Treat Depression................................................................................................... 17Antiemetics - Drugs to Treat Nausea and Vomiting.......................................................................................... 19Antifungals - Drugs to Treat Fungal Infections.................................................................................................. 19Antigout Agents - Drugs to Treat Gout.............................................................................................................. 20Anti-inflammatory Agents - Drugs to Treat Inflammation.................................................................................. 21Antimigraine Agents - Drugs to Treat Migraines............................................................................................... 21Antimyasthenic Agents - Drugs to Treat Myasthenia Gravis.............................................................................22Antimycobacterials - Drugs to Treat Infections..................................................................................................22Antineoplastics.................................................................................................................................................. 22Antineoplastics - Drugs to Treat Cancer........................................................................................................... 22Antiparasitics - Drugs to Treat Parasitic Infections............................................................................................25Antiparkinson Agents - Drugs to Treat Parkinson's Disease.............................................................................26Antipsychotics - Drugs to Treat Mood Disorders...............................................................................................27Antivirals - Drugs to Treat Viral Infections......................................................................................................... 27Anxiolytics - Drugs to Treat Anxiety.................................................................................................................. 30Bipolar Agents - Drugs to Treat Mood Disorders.............................................................................................. 30Blood Glucose Regulators - Drugs to Regulate Blood Sugar............................................................................30Blood Products/Modifiers/Volume Expanders - Drugs to Treat Blood Disorders.............................................. 33Cardiovascular Agents...................................................................................................................................... 34Cardiovascular Agents - Drugs to Treat Heart and Circulation Conditions....................................................... 35Central Nervous System Agents - Drugs to Treat Nerve Conditions................................................................ 40Dental and Oral Agents - Drugs to Treat Mouth and Throat Conditions........................................................... 42Dermatological Agents - Drugs to Treat Skin Conditions.................................................................................. 42Electrolytes/Minerals/Metals/Vitamins...............................................................................................................47Gastrointestinal Agents - Drugs to Treat Bowel, Intestine and Stomach Conditions........................................ 50Genetic or Enzyme Disorder: Replacement, Modifiers, Treatment................................................................... 52Genitourinary Agents - Drugs to Treat Bladder, Genital and Kidney Conditions...............................................52Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal) - Drugs to Regulate Hormones..................... 53Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary) - Drugs to Regulate Hormones.....................54Hormonal Agents, Stimulant/Replacement/Modifying (Prostaglandins) - Drugs to Regulate Hormones.......... 54Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers) - Drugs to Regulate Hormones..........................................................................................................................................................55Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid) - Drugs to Replace Thyroid Hormones.......... 59Hormonal Agents, Suppressant (Adrenal) - Drugs to Regulate Hormones.......................................................60Hormonal Agents, Suppressant (Pituitary) - Drugs to Regulate Hormones...................................................... 60Hormonal Agents, Suppressant (Thyroid) - Drugs to Suppress Thyroid Hormones......................................... 60Immunological Agents - Drugs that Stimulate or Suppress the Immune System..............................................60Inflammatory Bowel Disease Agents - Drugs to Treat Inflammatory Bowel Disease........................................61Metabolic Bone Disease Agents - Drugs to Treat Bone Conditions..................................................................62Metabolic Bone Disease Agents - Other........................................................................................................... 63Miscellaneous Therapeutic Agents................................................................................................................... 63Ophthalmic Agents - Drugs to Treat Eye Conditions.........................................................................................67Otic Agents - Drugs to Treat Ear Conditions..................................................................................................... 70Respiratory Tract Agents...................................................................................................................................70Respiratory Tract/Pulmonary Agents - Drugs to Treat Allergies, Cough, Cold and Lung Conditions............... 70

7

Skeletal Muscle Relaxants - Drugs to Treat Muscle Tension and Spasm.........................................................74Sleep Disorder Agents - Drugs for Sedation and Sleep.................................................................................... 75

8

Drug Name Drug Tier Notes

Analgesics - Drugs to Treat Pain, Inflammation, and Muscle and Joint Conditions

Analgesics - Miscellaneous Analgesics

ALLZITAL 3

BUPAP 3

butalbital-acetaminophen capsule 50-300 mg oral

1

BUTALBITAL-ACETAMINOPHEN CAPSULE 50-300 MG ORAL

3

butalbital-acetaminophen oral tablet

1

butalbital-apap-caffeine 1

butalbital-aspirin-caffeine

1

duraxin 1

ESGIC 3

FIORICET 3

FIORINAL 3

MEDI-DERM-RX 3

MEDROX-RX 3

tencon 1

TURPENTINE EXTERNAL

3

VANATOL LQ 3

VANATOL S 3

VTOL LQ 3

ZEBUTAL 3

Nonsteroidal Anti-Inflammatory Drugs - Pain/Anti-Inflammatory Drugs

ARTHROTEC 3


CELEBREX 3

celecoxib oral 1

DAYPRO 3

DICLOFENAC EPOLAMINE

3

diclofenac potassium 1

diclofenac sodium er 1

diclofenac sodium oral 1

diclofenac sodium transdermal gel 1 %

1

diclofenac sodium transdermal solution

1

diclofenac-misoprostol 1

diflunisal oral 1

EC-NAPROSYN 3

ec-naproxen 1

etodolac 1

etodolac er 1

FELDENE 3

fenoprofen calcium oral 1

fenortho 1

FLECTOR 3

flurbiprofen oral 1

ibu 1

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

1

INDOCIN 3

indomethacin er 1

INDOMETHACIN ORAL CAPSULE 20 MG

3

indomethacin oral capsule 25 mg, 50 mg

1

ketoprofen er 1

ketoprofen oral 1

ketorolac tromethamine oral

1

LICART 3

SP= Specialty.Tier 1 or Specialty Tier 1: Your lowest cost medications; Tier 2 or Specialty Tier 2 :Your mid-range cost medications; and Tier 3 or Specialty Tier 3: Your highest cost medications.

9


LODINE 3

meclofenamate sodium oral

1

mefenamic acid oral 1

meloxicam oral 1

MOBIC 3

nabumetone oral 1

NALFON 3

NAPRELAN 3

NAPROSYN ORAL SUSPENSION

3

naproxen dr 1

naproxen oral 1

naproxen sodium er 1

naproxen sodium oral tablet 275 mg, 550 mg

1

oxaprozin 1

PENNSAID 3

piroxicam oral 1

QMIIZ ODT 3

RELAFEN DS 3

salsalate oral 1

SPRIX 3

sulindac oral 1

TIVORBEX 3

tolmetin sodium 1

VIVLODEX 3

VOLTAREN 3

ZIPSOR 3

ZORVOLEX 3

Opioid Analgesics, Long-acting - Opioid Pain Relievers

BELBUCA 2

buprenorphine transdermal

1

BUTRANS 3

CONZIP 3


DOLOPHINE 3

DURAGESIC-100 3

DURAGESIC-12 3

DURAGESIC-25 3

DURAGESIC-50 3

DURAGESIC-75 3

fentanyl 1

hydrocodone bitartrate er

1

hydromorphone hcl er 1

HYSINGLA ER 2

levorphanol tartrate oral 1

methadone hcl intensol 1

methadone hcl oral 1

methadose oral concentrate 10 mg/ml

1

methadose oral tablet soluble

1

methadose sugar-free 1

morphine sulfate er beads

1

morphine sulfate er oral tablet extended release

1

MS CONTIN 3

NUCYNTA ER 3

OXYCODONE HCL ER 3

OXYCONTIN 2

oxymorphone hcl er 1

TRAMADOL HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR 100 MG, 200 MG, 300 MG

3

tramadol hcl er oral capsule extended release 24 hour 150 mg

1

XTAMPZA ER 2

ZOHYDRO ER 3


10


Opioid Analgesics, Short-acting - Opioid Pain Relievers

ABSTRAL 3

acetaminophen-codeine

1

acetaminophen-codeine #2

1


1


1

ACTIQ 3

APADAZ 3

apap-caff-dihydrocodeine

1

ARYMO ER 3

ascomp-codeine 1

BENZHYDROCODONE-ACETAMINOPHEN

3

butalbital-apap-caff-cod 1

butalbital-asa-caff-codeine

1

butorphanol tartrate nasal

1

carisoprodol-aspirin-codeine

1

codeine sulfate oral tablet 30 mg, 60 mg

1

DILAUDID ORAL 3

DVORAH 3

endocet 1

fentanyl citrate buccal lozenge on a handle

1

FENTANYL CITRATE BUCCAL TABLET

3

FENTORA 3

FIORICET/CODEINE 3

FIORINAL/CODEINE #3

3


hydrocodone-acetaminophen oral solution 10-325 mg/15ml, 7.5-325 mg/15ml

1

hydrocodone-acetaminophen oral tablet

1

hydrocodone-ibuprofen 1

hydromorphone hcl oral 1

hydromorphone hcl rectal

1

KADIAN 3

LAZANDA 3

lorcet 1

lorcet hd 1

lorcet plus oral tablet 7.5-325 mg

1

LORTAB 3

meperidine hcl oral 1

morphine sulfate (concentrate) oral solution 100 mg/5ml, 20 mg/ml

1

morphine sulfate er oral capsule extended release 24 hour

1

morphine sulfate oral 1

morphine sulfate rectal 1

NALOCET 3

NORCO 3

NUCYNTA 3

OXAYDO 3

oxycodone hcl oral capsule

1

oxycodone hcl oral concentrate 100 mg/5ml

1

oxycodone hcl oral solution

1


11


oxycodone hcl oral tablet

1

oxycodone-acetaminophen

1

oxycodone-aspirin 1

oxymorphone hcl 1

pentazocine-naloxone hcl

1

PERCOCET 3

PRIMLEV 3

PROLATE 3

ROXICODONE 3

SUBSYS 3

tramadol hcl er (biphasic)

1

tramadol hcl er oral tablet extended release 24 hour

1

tramadol hcl oral 1

tramadol-acetaminophen

1

TREZIX 3

TYLENOL WITH CODEINE #3 ORAL TABLET 300-30 MG

3

ULTRACET 3

ULTRAM 3

Anesthetics - Drugs for Numbing

Local Anesthetics

lidocaine external ointment

1

lidocaine external patch 5 %

1

lidocaine hcl external solution

1

lidocaine hcl urethral/mucosal

1

lidocaine-prilocaine external cream

1


LIDODERM 3

pramox 1

premium lidocaine 1

ZTLIDO 3

Anti-Addiction/Substance Abuse Treatment Agents - Drugs for Overdose or Deterrence

Alcohol Deterrents/Anti-craving - Antidotes/Deterrents/Protectants

LUCEMYRA 3

naltrexone hcl oral 1

Opioid Dependence Treatments - Antidotes/Deterrents/Protectants

BUNAVAIL 3

buprenorphine hcl sublingual

1

buprenorphine hcl-naloxone hcl

1

SUBOXONE 3

ZUBSOLV 2

Opioid Reversal Agents - Antidotes/Deterrents/Protectants

EVZIO 3

naloxone hcl injection solution

1

NALOXONE HCL INJECTION SOLUTION AUTO-INJECTOR

3

naloxone hcl injection solution cartridge

1


12


naloxone hcl injection solution prefilled syringe

1

NARCAN 2

Antibacterials - Drugs to Treat Bacterial Infections

Aminoglycosides - Antibiotics

ARIKAYCE 3 SP

gentamicin sulfate external

1

neomycin sulfate oral 1

paromomycin sulfate oral

1

Antibacterials, Other - Antibiotics

AEMCOLO 3

ALCOHOL PREP PADS EXTERNAL 70 %

3

ALTABAX 3

arzol silver nit applicators

1

BENZALKONIUM CHLORIDE EXTERNAL SOLUTION

3

benzalkonium chloride external solution 50 %

1

BETADINE OPHTHALMIC PREP

3

CENTANY 3

CENTANY AT 3

CLEOCIN ORAL 3

CLEOCIN VAGINAL CREAM

3

CLEOCIN VAGINAL SUPPOSITORY

2

clindamycin hcl oral 1


clindamycin palmitate hcl

1

clindamycin phosphate vaginal

1

CLINDESSE 3

colistimethate sodium (cba)

1

COLY-MYCIN M 3

FEM PH 3

FIRVANQ 3

FLAGYL 3

GLUTARALDEHYDE EXTERNAL

3

grafco silver nit applicator

1

HIPREX 3

iodine tincture external tincture 2 %

1

linezolid oral 1

MACROBID 3

MACRODANTIN 3

mafenide acetate external

1

methenamine hippurate 1

methenamine mandelate oral

1

METROCREAM 3

METROGEL 3

METROLOTION 3

metronidazole external 1

metronidazole oral 1

metronidazole vaginal 1

MONUROL 3

mupirocin calcium 1

mupirocin external 1

NEO-SYNALAR EXTERNAL KIT

3

nitrofurantoin 1


13


nitrofurantoin macrocrystal oral

1

nitrofurantoin monohydrate macrocrystals

1

NORITATE 3

NUVESSA 3

PRIMSOL 3

rosadan external cream 1

rosadan external gel 1

silver nitrate external 1

SIVEXTRO ORAL 3

SOLOSEC 3

SULFAMYLON 3

tinidazole oral 1

trimethoprim oral 1

VANCOCIN 3

VANCOCIN HCL 3

vancomycin hcl oral 1

vandazole 1

XENLETA ORAL 3

ZYVOX ORAL 3

Beta-Lactam, Cephalosporins - Antibiotics

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefditoren pivoxil 1

cefixime 1

cefpodoxime proxetil 1

cefprozil 1

cefuroxime axetil 1

cephalexin 1

KEFLEX 3

SUPRAX 3


Beta-Lactam, Penicillins - Antibiotics

amoxicillin 1

amoxicillin-potassium clavulanate er

1

amoxicillin-potassium clavulanate oral

1

ampicillin 1

AUGMENTIN 3

AUGMENTIN ES-600 3

dicloxacillin sodium 1

penicillin v potassium 1

Macrolides - Antibiotics

azithromycin oral 1

clarithromycin er 1

clarithromycin oral 1

DIFICID 3

E.E.S. 400 3

E.E.S. GRANULES 3

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

ERYTHROCIN STEARATE

3

erythromycin base 1

erythromycin ethylsuccinate oral

1

erythromycin oral 1

ZITHROMAX ORAL 3

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

Quinolones - Antibiotics

BAXDELA ORAL 3

CIPRO 3

ciprofloxacin hcl oral 1

levofloxacin oral 1


14


MOXEZA 2

moxifloxacin hcl (2x day)

1

moxifloxacin hcl ophthalmic

1

moxifloxacin hcl oral 1

ofloxacin oral 1

VIGAMOX 3

XEPI 3

Sulfonamides - Antibiotics

BACTRIM 3

BACTRIM DS 3

BLEPH-10 3

SILVADENE 3

silver sulfadiazine external

1

ssd 1

sulfacetamide sodium ophthalmic

1

sulfadiazine oral 1

sulfamethoxazole-trimethoprim oral

1

sulfatrim pediatric 1

Tetracyclines - Antibiotics

ACTICLATE 3

avidoxy 1

AVIDOXY DK 3

coremino 1

demeclocycline hcl 1

DORYX 3

DORYX MPC 3

doxycycline 1

doxycycline hyclate oral 1

doxycycline monohydrate oral

1


MINOCYCLINE HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR

3

minocycline hcl er oral tablet extended release 24 hour

1

minocycline hcl oral 1

MINOLIRA 3

mondoxyne nl 1

MORGIDOX COMBINATION

3

morgidox oral 1

NUTRIDOX 3

NUZYRA ORAL 3

ORACEA 3

SEYSARA 3

SOLODYN 3

TARGADOX 3

tetracycline hcl oral 1

VIBRAMYCIN 3

XIMINO 3

Anticonvulsants - Drugs to Treat Seizures

Anticonvulsants, Other - Seizure Control Drugs

BRIVIACT ORAL 3

DIACOMIT 3 SP

EPIDIOLEX 3 SP

KEPPRA ORAL 3

KEPPRA XR 3

levetiracetam er 1

levetiracetam oral 1

NAYZILAM 3

phenobarbital oral tablet

1

roweepra 1


15


roweepra xr 1

SPRITAM 3

XCOPRI 3

XCOPRI (250 MG DAILY DOSE)

3

XCOPRI (350 MG DAILY DOSE)

3

Calcium Channel Modifying Agents - Seizure Control Drugs

CELONTIN 3

ethosuximide oral 1

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

Gamma-Aminobutyric Acid (GABA) Augmenting Agents - Seizure Control Drugs

clobazam 1

DIASTAT ACUDIAL 3

DIASTAT PEDIATRIC 3

diazepam rectal 1

gabapentin oral 1

GABITRIL 3

MYSOLINE 3

NEURONTIN 3

ONFI 3

phenobarbital oral elixir 1

phenobarbital oral solution

1

primidone oral 1

SABRIL 3 SP

SYMPAZAN 3

tiagabine hcl 1

valproic acid oral 1

VALTOCO 10 MG DOSE

3


VALTOCO 15 MG DOSE

3

VALTOCO 20 MG DOSE

3

VALTOCO 5 MG DOSE

3

vigabatrin 1 SP

vigadrone 1 SP

Glutamate Reducing Agents - Seizure Control Drugs

felbamate 1

FELBATOL 3

FYCOMPA 3

LAMICTAL 3

LAMICTAL ODT 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

lamotrigine oral 1

lamotrigine starter kit-blue

1

lamotrigine starter kit-green

1

lamotrigine starter kit-orange

1

QUDEXY XR 3

subvenite 1

subvenite starter kit-blue

1

subvenite starter kit-green

1

subvenite starter kit-orange

1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TROKENDI XR 3


16


Sodium Channel Agents - Seizure Control Drugs

APTIOM 3

BANZEL 3

carbamazepine er 1

carbamazepine oral 1

CARBATROL 3

DILANTIN 3

DILANTIN INFATABS 3

epitol 1

oxcarbazepine 1

OXTELLAR XR 3

PEGANONE 3

PHENYTEK 3

phenytoin infatabs 1

phenytoin oral suspension 125 mg/5ml

1

phenytoin oral tablet chewable

1

phenytoin sodium extended

1

TEGRETOL 3

TEGRETOL-XR 3

TRILEPTAL 3

VIMPAT ORAL 3

Antidementia Agents - Drugs to Treat Alzheimer's Disease and Dementia

Cholinesterase Inhibitors - Alzheimer's Disease and Dementia Drugs

ARICEPT 3

donepezil hcl 1

EXELON 3

galantamine hydrobromide

1


galantamine hydrobromide er

1

RAZADYNE 3

RAZADYNE ER 3

rivastigmine 1

rivastigmine tartrate 1

N-methyl-D-aspartate (NMDA) Receptor Antagonist - Alzheimer's Disease and Dementia Drugs

memantine hcl er 1

memantine hcl oral solution 2 mg/ml

1

memantine hcl oral tablet

1

NAMENDA 3

NAMENDA TITRATION PAK

3

NAMENDA XR 3

NAMENDA XR TITRATION PACK

3

Antidepressants - Drugs to Treat Depression

Antidepressants, Other - Antidepressants

APLENZIN 3

bupropion hcl er (sr) 1

bupropion hcl er (xl) oral tablet extended release 24 hour 150 mg, 300 mg

1

BUPROPION HCL ER (XL) ORAL TABLET EXTENDED RELEASE 24 HOUR 450 MG

2

bupropion hcl oral 1

chlordiazepoxide-amitriptyline

1

FORFIVO XL 3


17


mirtazapine oral 1

olanzapine-fluoxetine hcl

1

perphenazine-amitriptyline

1

REMERON 3

REMERON SOLTAB 3

SPRAVATO (56 MG DOSE)

3 SP

SPRAVATO (84 MG DOSE)

3 SP

SYMBYAX 3

WELLBUTRIN SR 3

WELLBUTRIN XL 3

Monoamine Oxidase Inhibitors - Antidepressants

EMSAM 3

MARPLAN 3

NARDIL 3

PARNATE 3

phenelzine sulfate oral 1

tranylcypromine sulfate 1

SSRI/SNRI (Selective Serotonin Reuptake Inhibitors/Serotonin and Norepinephrine Reuptake Inhibitors)

BRISDELLE 3

CELEXA 3

citalopram hydrobromide

1

DESVENLAFAXINE ER

3

desvenlafaxine succinate er

1

EFFEXOR XR 3

escitalopram oxalate 1

FETZIMA 3

FETZIMA TITRATION 3


fluoxetine hcl (pmdd) 1

fluoxetine hcl oral 1

fluvoxamine maleate 1

fluvoxamine maleate er 1

LEXAPRO 3

maprotiline hcl 1

nefazodone hcl 1

paroxetine hcl 1

paroxetine hcl er 1

paroxetine mesylate 1

PAXIL CR 3

PAXIL ORAL SUSPENSION

2

PAXIL ORAL TABLET 3

PEXEVA 3

PRISTIQ 3

PROZAC 3

SARAFEM 3

sertraline hcl oral 1

trazodone hcl oral 1

TRINTELLIX 3

venlafaxine hcl 1

venlafaxine hcl er 1

VIIBRYD 3

VIIBRYD STARTER PACK

3

ZOLOFT 3

Tricyclics - Antidepressants

amitriptyline hcl oral 1

amoxapine 1

ANAFRANIL 3

clomipramine hcl oral 1

desipramine hcl oral 1

doxepin hcl oral capsule

1

doxepin hcl oral concentrate

1


18


imipramine hcl oral 1

imipramine pamoate 1

NORPRAMIN 3

nortriptyline hcl oral 1

PAMELOR 3

protriptyline hcl 1

trimipramine maleate oral

1

Antiemetics - Drugs to Treat Nausea and Vomiting

Antiemetics, Other - Nausea and Vomiting Drugs

BONJESTA 3

compro 1

DICLEGIS 3

doxylamine-pyridoxine 1

metoclopramide hcl oral solution 5 mg/5ml

1

metoclopramide hcl oral tablet dispersible 10 mg

1

perphenazine oral 1

prochlorperazine 1

scopolamine 1

TIGAN ORAL 3

TRANSDERM SCOP (1.5 MG)

3

TRANSDERM-SCOP (1.5 MG)

3

trimethobenzamide hcl oral

1

Emetogenic Therapy Adjuncts - Nausea and Vomiting Drugs

AKYNZEO ORAL 3

ANZEMET 3

aprepitant 1

dronabinol 1


EMEND ORAL CAPSULE 80 MG

3

EMEND ORAL SUSPENSION RECONSTITUTED

3

EMEND TRI-PACK 3

granisetron hcl oral 1

MARINOL 3

ondansetron hcl oral 1

ondansetron odt 1

SANCUSO 3

SYNDROS 3

VARUBI (180 MG DOSE)

3

ZOFRAN 3

ZUPLENZ 3

Antifungals - Drugs to Treat Fungal Infections

Antifungals - Fungal Infection Drugs

ANCOBON 3

BIO-STATIN ORAL CAPSULE

3

bio-statin oral powder 1

ciclodan 1

ciclopirox 1

ciclopirox olamine external

1

ciclopirox treatment 1

CRESEMBA ORAL 3

dermazene 1

DIFLUCAN 3

econazole nitrate external

1

ECOZA 3

ERTACZO 3

EXELDERM 3

exoderm external lotion 1


19


EXTINA 3

fluconazole oral 1

flucytosine oral 1

griseofulvin microsize oral

1

griseofulvin ultramicrosize

1

GYNAZOLE-1 3

hydrocortisone-iodoquinol

1

itraconazole oral 1

JUBLIA 3

KERYDIN 3

ketoconazole external 1

ketoconazole oral 1

ketodan external foam 1

LOPROX EXTERNAL CREAM

3

LOPROX EXTERNAL KIT 0.77 %

3

LOPROX EXTERNAL SHAMPOO

3

LOPROX EXTERNAL SUSPENSION

3

LULICONAZOLE 3

LUZU 3

MENTAX 3

miconazole 3 vaginal suppository

1

MICONAZOLE-ZINC OXIDE-PETROLAT

3

naftifine hcl 1

NAFTIN 3

NATACYN 2

NOXAFIL ORAL 3

nyamyc 1

nystatin external 1

nystatin oral 1

nystatin-triamcinolone 1


nystop 1

ORAVIG 3

oxiconazole nitrate 1

OXISTAT 3

posaconazole 1

SPORANOX 3

SPORANOX PULSEPAK

3

SULCONAZOLE NITRATE

3

terbinafine hcl oral 1

terconazole 1

TOLSURA 3

VFEND 3

voriconazole oral 1

VUSION 3

XOLEGEL 3

XOLEGEL COREPAK 3

XOLEGEL DUO/HEAD & SHOULDERS

3

XOLEGEL DUO/XOLEX

3

Antigout Agents - Drugs to Treat Gout

Antigout Agents - Gout Drugs

allopurinol oral 1

COLCHICINE ORAL CAPSULE

3

colchicine tablet 0.6 mg oral

1

colchicine tablet 0.6 mg oral

3

colchicine-probenecid 1

COLCRYS 2

febuxostat 1

GLOPERBA 3

MITIGARE 3

probenecid 1


20


ULORIC 3

ZYLOPRIM 3

Anti-inflammatory Agents - Drugs to Treat Inflammation

Glucocorticoids - Drugs to Treat Inflammation

anucort-hc 1

ANUSOL-HC RECTAL 3

hemmorex-hc 1

hemorrhoidal-hc rectal suppository 25 mg

1

hydrocortisone acetate rectal

1

PROCTOCORT RECTAL

3

Antimigraine Agents - Drugs to Treat Migraines

Antimigraine Agents, Other

CAMBIA 3

Ergot Alkaloids - Migraine Drugs

CAFERGOT 3

D.H.E. 45 3

dihydroergotamine mesylate injection

1

dihydroergotamine mesylate nasal

1

ERGOMAR 3

ergotamine-caffeine 1

MIGERGOT 3

MIGRANAL 3

Prophylactic - Migraine Drugs

AIMOVIG 2


AJOVY SUBCUTANEOUS SOLUTION AUTO-INJECTOR

3

EMGALITY 2

EMGALITY (300 MG DOSE)

2

NURTEC 3

REYVOW 3

UBRELVY 3

Serotonin (5-HT) 1b/1d Receptor Agonists - Migraine Drugs

almotriptan malate 1

AMERGE 3

eletriptan hydrobromide 1

FROVA 3

frovatriptan succinate 1

IMITREX 3

IMITREX STATDOSE REFILL

3

IMITREX STATDOSE SYSTEM

3

MAXALT 3

MAXALT-MLT 3

naratriptan hcl 1

ONZETRA XSAIL 3

RELPAX 3

rizatriptan benzoate 1

sumatriptan nasal 1

sumatriptan succinate oral

1

sumatriptan succinate refill

1

sumatriptan succinate subcutaneous

1

sumatriptan-naproxen sodium

1

TOSYMRA 3


21


TREXIMET 3

ZEMBRACE SYMTOUCH

3

zolmitriptan oral 1

ZOMIG 3

ZOMIG ZMT 3

Antimyasthenic Agents - Drugs to Treat Myasthenia Gravis

Parasympathomimetics - Myasthenia Gravis Drugs

GUANIDINE HCL 3

MESTINON 3

pyridostigmine bromide er

1

pyridostigmine bromide oral

1

Antimycobacterials - Drugs to Treat Infections

Antimycobacterials, Other - Miscellaneous Anti-Infectives

dapsone oral 1

MYCOBUTIN 3

PRETOMANID 3

rifabutin 1

Antituberculars - Tuberculosis Drugs

cycloserine oral 1

ethambutol hcl oral 1

isoniazid oral 1

MYAMBUTOL 3

PASER 3

PRIFTIN 3

pyrazinamide oral 1

RIFADIN ORAL 3

RIFAMATE 3


rifampin oral 1

RIFATER 3

SIRTURO 3

TRECATOR 3

Antineoplastics

Alkylating Agents

QINLOCK 3 SP

RETEVMO 3 SP

TABRECTA 3 SP

Antineoplastics - Drugs to Treat Cancer

Alkylating Agents - Chemotherapy Agents

ALKERAN ORAL 3 SP

cyclophosphamide oral 1

GLEOSTINE 3 SP

LEUKERAN 2

MATULANE 2 SP

melphalan 1 SP

MYLERAN 2

TEMODAR ORAL 3 SP

temozolomide 1 SP

VALCHLOR 3 SP

Antiandrogens - Hormone Suppressants

abiraterone acetate 1 SP

bicalutamide 1

CASODEX 3

ERLEADA 3 SP

flutamide 1

nilutamide 1 SP

NUBEQA 3 SP

XTANDI 3 SP

YONSA 3 SP

ZYTIGA 3 SP


22


Antiangiogenic Agents - Chemotherapy Agents

POMALYST 3 SP

REVLIMID 2 SP

THALOMID 2 SP

Antiestrogens/Modifiers - Chemotherapy Agents

EMCYT 2

FARESTON 3

SOLTAMOX 3

tamoxifen citrate oral 1

toremifene citrate 1

Antimetabolites - Chemotherapy Agents

capecitabine 1 SP

DROXIA 3

HYDREA 3

hydroxyurea oral 1

mercaptopurine oral 1

PURIXAN 3 SP

SIKLOS 3

TABLOID 2 SP

XELODA 3 SP

Antineoplastics, Other - Chemotherapy Agents

COPIKTRA 3 SP

INREBIC 3 SP

KISQALI (200 MG DOSE)

3 SP


3 SP


3 SP

KISQALI FEMARA (400 MG DOSE)

3 SP


KISQALI FEMARA (600 MG DOSE)

3 SP

KISQALI FEMARA(200 MG DOSE)

3 SP

KOSELUGO 3 SP

leucovorin calcium oral 1

LONSURF 3 SP

LORBRENA 3 SP

NINLARO 3 SP

PIQRAY (200 MG DAILY DOSE)

3 SP


3 SP


3 SP

ROZLYTREK 3 SP

SYNRIBO 3 SP

TAZVERIK 3 SP

VERZENIO 3 SP

XPOVIO (100 MG ONCE WEEKLY)

3 SP


3 SP


3 SP

XPOVIO (80 MG TWICE WEEKLY)

3 SP

ZOLINZA 2 SP

Aromatase Inhibitors, 3rd Generation - Chemotherapy Agents

anastrozole oral 1

ARIMIDEX 3

AROMASIN 3

exemestane 1

FEMARA 3

letrozole oral 1


23


Enzyme Inhibitors - Chemotherapy Agents

BALVERSA 3 SP

etoposide oral 1 SP

HYCAMTIN ORAL 3 SP

PEMAZYRE 3 SP

RUBRACA 2 SP

TALZENNA 3 SP

ZEJULA 2 SP

Molecular Target Inhibitors - Chemotherapy Agents

AFINITOR DISPERZ 3 SP

AFINITOR ORAL TABLET 10 MG

2 SP

AFINITOR ORAL TABLET 2.5 MG, 5 MG, 7.5 MG

3 SP

ALECENSA 3 SP

ALUNBRIG 3 SP

AYVAKIT 3 SP

BOSULIF 3 SP

BRAFTOVI 3 SP

BRUKINSA 3 SP

CABOMETYX 2 SP

CALQUENCE 3 SP

CAPRELSA 2 SP

COMETRIQ (100 MG DAILY DOSE) ORAL KIT 1 X 80 & 1 X 20 MG

3 SP

COMETRIQ (140 MG DAILY DOSE) ORAL KIT 1 X 80 & 3 X 20 MG

3 SP

COMETRIQ (60 MG DAILY DOSE)

3 SP

COTELLIC 3 SP


DAURISMO 3 SP

ERIVEDGE 2 SP

erlotinib hcl 1 SP

everolimus oral tablet 2.5 mg, 5 mg, 7.5 mg

1 SP

FARYDAK 3 SP

GILOTRIF 3 SP

GLEEVEC 3 SP

IBRANCE 3 SP

ICLUSIG 3 SP

IDHIFA 3 SP

imatinib mesylate 1 SP

IMBRUVICA 3 SP

INLYTA 3 SP

IRESSA 3 SP

JAKAFI 2 SP

LENVIMA (10 MG DAILY DOSE)

3 SP


3 SP


3 SP


3 SP


3 SP


3 SP


3 SP


3 SP

LYNPARZA 2 SP

MEKINIST 2 SP

MEKTOVI 3 SP

NERLYNX 3 SP

NEXAVAR 2 SP

ODOMZO 3 SP

RYDAPT 3 SP


24


SPRYCEL 2 SP

STIVARGA 3 SP

SUTENT 2 SP

TAFINLAR 2 SP

TAGRISSO 3 SP

TARCEVA 3 SP

TASIGNA 3 SP

TIBSOVO 3 SP

TUKYSA 3 SP

TURALIO 3 SP

TYKERB 2 SP

VENCLEXTA 3 SP

VENCLEXTA STARTING PACK

3 SP

VITRAKVI 3 SP

VIZIMPRO 3 SP

VOTRIENT 3 SP

XALKORI 2 SP

XOSPATA 3 SP

ZELBORAF 3 SP

ZYDELIG 3 SP

ZYKADIA 3 SP

Retinoids - Chemotherapy Agents

bexarotene 1 SP

PANRETIN 3

TARGRETIN 3 SP

tretinoin oral 1 SP

Treatment Adjuncts - Supportive Chemotherapy Drugs

MESNEX ORAL 3 SP

Antiparasitics - Drugs to Treat Parasitic Infections

Anthelmintics - Worm Infection Drugs

albendazole oral 1


ALBENZA 3

BILTRICIDE 3

EGATEN 3

EMVERM 2

ivermectin oral 1

praziquantel oral 1

SKLICE 3

STROMECTOL 3

Antiprotozoals - Protozoal Infection Drugs

ALINIA 2

ARAKODA 3

atovaquone oral 1

atovaquone-proguanil hcl

1

BENZNIDAZOLE 3

chloroquine phosphate oral

1

COARTEM 3

DARAPRIM 3 SP

hydroxychloroquine sulfate oral

1

IMPAVIDO 3

KRINTAFEL 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NEBUPENT 3

pentamidine isethionate inhalation

1

PLAQUENIL 2

primaquine phosphate 1

pyrimethamine oral 1 SP

QUALAQUIN 3

quinine sulfate oral 1


25


Pediculicides/Scabicides - Scabies and Lice Drugs

crotan 1

ELIMITE 3

lindane 1

malathion 1

NATROBA 3

OVIDE 3

permethrin external 1

spinosad 1

SULFURATED LIME 3

Antiparkinson Agents - Drugs to Treat Parkinson's Disease

Anticholinergics - Parkinson's Disease Drugs

benztropine mesylate oral

1

trihexyphenidyl hcl 1

Antiparkinson Agents - Parkinson's Disease Drugs

NOURIANZ 3

Antiparkinson Agents, Other - Parkinson's Disease Drugs

amantadine hcl oral 1

COMTAN 3

entacapone 1

GOCOVRI 3

OSMOLEX ER 3

TASMAR 3

tolcapone 1

Dopamine Agonists - Parkinson's Disease Drugs

APOKYN 2 SP


bromocriptine mesylate oral

1

KYNMOBI 3 SP

MIRAPEX 3

MIRAPEX ER 3

NEUPRO 3

PARLODEL 3

pramipexole dihydrochloride

1

pramipexole dihydrochloride er

1

REQUIP XL 3

ropinirole hcl 1

ropinirole hcl er 1

Dopamine Precursors/L-Amino Acid Decarboxylase Inhibitors - Parkinson's Disease Drugs

carbidopa oral 1

carbidopa-levodopa 1

carbidopa-levodopa er 1

carbidopa-levodopa-entacapone

1

DUOPA 3

LODOSYN 3

RYTARY 3

SINEMET 3

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

Monoamine Oxidase B (MAO-B) Inhibitors - Parkinson's Disease Drugs

AZILECT 3


26


rasagiline mesylate oral 1

selegiline hcl oral 1

XADAGO 3

ZELAPAR 3

Antipsychotics - Drugs to Treat Mood Disorders

1st Generation/Typical - Mood Disorder Drugs

ADASUVE 3

chlorpromazine hcl oral 1

fluphenazine hcl oral 1

haloperidol lactate oral 1

haloperidol oral 1

loxapine succinate 1

molindone hcl 1

pimozide 1

prochlorperazine maleate oral

1

thioridazine hcl oral 1

thiothixene 1

trifluoperazine hcl 1

2nd Generation/Atypical - Mood Disorder Drugs

ABILIFY 3

aripiprazole 1

CAPLYTA 3

FANAPT 3

FANAPT TITRATION PACK

3

GEODON ORAL 3

INVEGA 3

LATUDA 3

NUPLAZID 3

olanzapine oral 1

paliperidone er 1

quetiapine fumarate 1


quetiapine fumarate er 1

REXULTI 3

RISPERDAL 3

risperidone 1

SAPHRIS 2

SECUADO 3

SEROQUEL 3

SEROQUEL XR 3

VRAYLAR 3

ziprasidone hcl 1

ZYPREXA ORAL 3

ZYPREXA ZYDIS 3

Treatment-Resistant - Mood Disorder Drugs

clozapine 1

CLOZARIL 3

VERSACLOZ 3

Antivirals - Drugs to Treat Viral Infections

Anti-Cytomegalovirus (CMV) Agents - Miscellaneous Antiviral Drugs

PREVYMIS ORAL 3 SP

VALCYTE 3

valganciclovir hcl 1

ZIRGAN 3

Anti-hepatitis B (HBV) Agents - Hepatitis B Drugs

adefovir dipivoxil 1 SP

BARACLUDE 3 SP

entecavir 1 SP

EPIVIR HBV ORAL SOLUTION

2 SP

EPIVIR HBV ORAL TABLET

3 SP

HEPSERA 3 SP


27


lamivudine oral tablet 100 mg

1 SP

VEMLIDY 3 SP

Anti-hepatitis C (HCV) Agents, Direct Acting Agents - Hepatitis C Drugs

EPCLUSA 2 SP

HARVONI 2 SP

LEDIPASVIR-SOFOSBUVIR

3 SP

MAVYRET 2 SP

SOFOSBUVIR-VELPATASVIR

3 SP

SOVALDI 3 SP

VIEKIRA PAK 3 SP

VOSEVI 2 SP

ZEPATIER 3 SP

Anti-hepatitis C (HCV) Agents, Other - Hepatitis C Drugs

INTRON A 3 SP

PEGASYS 2 SP

PEGASYS PROCLICK 2 SP

PEGINTRON 3 SP

ribavirin oral 1 SP

SYLATRON SUBCUTANEOUS KIT 200 MCG, 300 MCG

3 SP

Antiherpetic Agents - Herpes Drugs

acyclovir external 1

acyclovir oral 1

DENAVIR 3

famciclovir oral 1

SITAVIG 3

trifluridine 1

valacyclovir hcl oral 1

VALTREX 3


XERESE 3

ZOVIRAX EXTERNAL 3

ZOVIRAX ORAL SUSPENSION

3

Anti-HIV Agents, Integrase Inhibitors (INSTI) - HIV Drugs

DOVATO 2

GENVOYA 3

ISENTRESS 2

ISENTRESS HD 2

STRIBILD 3

TIVICAY 2

TRIUMEQ 2

TYBOST 2

Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) - HIV Drugs

ATRIPLA 3

COMPLERA 2

DELSTRIGO 3

EDURANT 2

efavirenz 1

INTELENCE 2

JULUCA 2

nevirapine 1

nevirapine er 1

ODEFSEY 3

PIFELTRO 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

VIRAMUNE 3

VIRAMUNE XR 3


28


Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors (NRTI) - HIV Drugs

abacavir sulfate 1

abacavir sulfate-lamivudine

1

abacavir-lamivudine-zidovudine

1

BIKTARVY 3

CIMDUO 2

COMBIVIR 3

DESCOVY 3

didanosine 1

EMTRIVA 2

EPIVIR 3

EPZICOM 3

lamivudine oral solution 1

lamivudine oral tablet 150 mg, 300 mg

1

lamivudine-zidovudine 1

RETROVIR ORAL 3

stavudine 1

TEMIXYS 3

tenofovir disoproxil fumarate

1

TRIZIVIR 3

TRUVADA 2

VIREAD ORAL POWDER

2

VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG

2

VIREAD ORAL TABLET 300 MG

3

ZIAGEN 3

zidovudine 1


Anti-HIV Agents, Other - HIV Drugs

FUZEON 2

SELZENTRY 2

Anti-HIV Agents, Protease Inhibitors - HIV Drugs

APTIVUS 2

atazanavir sulfate 1

CRIXIVAN 2

EVOTAZ 2

fosamprenavir calcium 1

INVIRASE 2

KALETRA ORAL SOLUTION

3

KALETRA ORAL TABLET

2

LEXIVA ORAL SUSPENSION

2

LEXIVA ORAL TABLET 3

lopinavir-ritonavir 1

NORVIR ORAL PACKET

2

NORVIR ORAL SOLUTION

2

NORVIR ORAL TABLET

3

PREZCOBIX 2

PREZISTA 2

REYATAZ ORAL CAPSULE

3

REYATAZ ORAL PACKET

2

ritonavir 1

SYMTUZA 3

VIRACEPT 2

Anti-influenza Agents

FAVIPIRAVIR 3


29


Anti-Influenza Agents - Flu Drugs

oseltamivir phosphate oral

1

RELENZA DISKHALER 3

rimantadine hcl 1

TAMIFLU 3

XOFLUZA (40 MG DOSE)

3

XOFLUZA (80 MG DOSE)

3

Anxiolytics - Drugs to Treat Anxiety

Anxiolytics, Other - Anxiety Drugs

buspirone hcl oral 1

hydroxyzine hcl oral 1

meprobamate 1

Benzodiazepines - Anxiety Drugs

alprazolam er 1

alprazolam intensol 1

alprazolam oral 1

alprazolam xr 1

ATIVAN ORAL 3

chlordiazepoxide hcl 1

clonazepam oral 1

clorazepate dipotassium

1

diazepam intensol 1

diazepam oral 1

DORAL 3

estazolam 1

HALCION 3

KLONOPIN 3

lorazepam intensol 1

lorazepam oral concentrate 2 mg/ml

1

lorazepam oral tablet 1


midazolam hcl oral 1

oxazepam 1

quazepam 1

RESTORIL ORAL CAPSULE 22.5 MG

3

temazepam oral capsule 22.5 mg

1

TRANXENE-T 3

triazolam 1

VALIUM 3

XANAX 3

XANAX XR 3

Bipolar Agents - Drugs to Treat Mood Disorders

Mood Stabilizers - Mood Disorder Drugs

DEPAKOTE 3

DEPAKOTE ER 3

DEPAKOTE SPRINKLES

3

divalproex sodium er 1

divalproex sodium oral 1

EQUETRO 3

lithium 1

lithium carbonate er 1

lithium carbonate oral 1

LITHOBID 3

Blood Glucose Regulators - Drugs to Regulate Blood Sugar

Antidiabetic Agents - Diabetic Drugs

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN 3

ADLYXIN STARTER PACK

3


30


ALOGLIPTIN BENZOATE

3

ALOGLIPTIN-METFORMIN HCL

3

ALOGLIPTIN-PIOGLITAZONE

3

AMARYL 3

AVANDIA 3

BYDUREON 2

BYDUREON BCISE AUTOINJECTOR

2

BYETTA 10 MCG PEN 2

BYETTA 5 MCG PEN 2

CYCLOSET 3

DUETACT 3

FARXIGA 2

FORTAMET 3

glimepiride 1

glipizide er 1

glipizide oral 1

glipizide xl 1

glipizide-metformin hcl 1

GLUCOTROL 3

GLUCOTROL XL 3

GLUMETZA 3

glyburide micronized 1

glyburide oral 1

glyburide-metformin 1

GLYNASE 3

GLYSET 3

GLYXAMBI 2

INVOKAMET 3

INVOKAMET XR 3

INVOKANA 3

JANUMET 2

JANUMET XR 2

JANUVIA 2

JARDIANCE 2


JENTADUETO 2

JENTADUETO XR 2

KAZANO 3

KOMBIGLYZE XR 3

metformin hcl er 1

metformin hcl er (mod) 1

metformin hcl er (osm) 1

metformin hcl oral 1

miglitol 1

nateglinide 1

NESINA 3

ONGLYZA 3

OSENI 3

OZEMPIC 2

pioglitazone hcl 1

pioglitazone hcl-glimepiride

1

pioglitazone hcl-metformin hcl

1

PRECOSE 3

QTERN 3

repaglinide 1

RIOMET 3

RIOMET ER 3

RYBELSUS 2

SEGLUROMET 3

SOLIQUA 2

STARLIX 3

STEGLATRO 3

STEGLUJAN 3

SYMLINPEN 120 3

SYMLINPEN 60 3

SYNJARDY 2

SYNJARDY XR 2

tolbutamide 1

TRADJENTA 2

TRIJARDY XR 2


31


TRULICITY 2

VICTOZA 2

XIGDUO XR 2

XULTOPHY 3

Glycemic Agents - Diabetic Drugs

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

GLUCAGEN HYPOKIT 3

GLUCAGON EMERGENCY KIT

2

GVOKE HYPOPEN SUBCUTANEOUS SOLUTION AUTO-INJECTOR 0.5 MG/0.1ML, 1 MG/0.2ML

2

GVOKE PFS 2

PROGLYCEM 3

Insulins - Diabetic Drugs

ADMELOG 3

ADMELOG SOLOSTAR

3

AFREZZA 3

APIDRA SOLOSTAR 3

APIDRA VIAL 3

BASAGLAR KWIKPEN 3

FIASP 3

FIASP FLEXTOUCH 3

FIASP PENFILL 3

HUMALOG KWIKPEN 2

HUMALOG MIX 50/50 KWIKPEN

2

HUMALOG MIX 50/50 VIAL

2

HUMALOG MIX 75/25 KWIKPEN

2


HUMALOG MIX 75/25 VIAL

2

HUMALOG U-100 JUNIOR KWIKPEN

2

HUMALOG VIAL 2

HUMULIN 70/30 KWIKPEN

2

HUMULIN 70/30 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R U-500 KWIKPEN

2

HUMULIN R U-500 VIAL

2

HUMULIN R VIAL 2

INSULIN ASP PROT & ASP FLEXPEN

2

INSULIN ASPART 2

INSULIN ASPART FLEXPEN

2

INSULIN ASPART PENFILL

2

INSULIN ASPART PROT & ASPART

2

INSULIN LISPRO 2

INSULIN LISPRO (1 UNIT DIAL)

2

INSULIN LISPRO JUNIOR KWIKPEN

2

INSULIN LISPRO PROT & LISPRO

2

LANTUS SOLOSTAR 2

LANTUS U-100 VIAL 2

LEVEMIR U-100 FLEXTOUCH

2

LEVEMIR U-100 VIAL 2

NOVOLIN 70/30 FLEXPEN

2

NOVOLIN 70/30 FLEXPEN RELION

2


32


NOVOLIN 70/30 RELION

2

NOVOLIN 70/30 VIAL 2

NOVOLIN N FLEXPEN 2

NOVOLIN N FLEXPEN RELION

2

NOVOLIN N RELION 2

NOVOLIN N VIAL 2

NOVOLIN R FLEXPEN 2

NOVOLIN R FLEXPEN RELION

2

NOVOLIN R RELION 2

NOVOLIN R VIAL 2

NOVOLOG FLEXPEN 2

NOVOLOG MIX 70/30 FLEXPEN

2

NOVOLOG MIX 70/30 VIAL

2

NOVOLOG PENFILL 2

NOVOLOG U-100 VIAL 2

TOUJEO MAX SOLOSTAR

2

TOUJEO SOLOSTAR 2

TRESIBA 2

TRESIBA FLEXTOUCH

2

Blood Products/Modifiers/Volume Expanders - Drugs to Treat Blood Disorders

Anticoagulants - Blood Thinners

ACD-A NOCLOT-50 3

anticoagulant cit dext soln a

1

ANTICOAGULANT SODIUM CITRATE

3

ARIXTRA 3 SP

ELIQUIS 2


ELIQUIS DVT/PE STARTER PACK

2

enoxaparin sodium 1 SP

fondaparinux sodium 1 SP

FRAGMIN 3 SP

heparin sodium (porcine)

1

heparin sodium (porcine) pf

1

jantoven 1

LOVENOX 3 SP

PRADAXA 2

SAVAYSA 3

TRICITRASOL 3

warfarin sodium oral 1

XARELTO 2

XARELTO STARTER PACK

2

ZONTIVITY 3

Blood Formation Modifiers - Blood Formation Drugs

AGRYLIN 3

anagrelide hcl 1

ARANESP (ALBUMIN FREE)

2 SP

DOPTELET 3 SP

EPOGEN 3 SP

FULPHILA 3 SP

GRANIX 3 SP

LEUKINE 3 SP

MOZOBIL 2 SP

MULPLETA 2 SP

NEULASTA 3 SP

NEUPOGEN 3 SP

NIVESTYM 2 SP

OXBRYTA 3 SP

PROCRIT 3 SP


33


PROMACTA 3 SP

RETACRIT 2 SP

UDENYCA 3 SP

ZARXIO 2 SP

ZIEXTENZO 3 SP

Hemostasis Agents - Drugs to Stop Bleeding

ADVATE 3 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

ALPHANATE/VWF COMPLEX/HUMAN

3 SP

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR 3

aminocaproic acid oral 1

BENEFIX 2 SP

COAGADEX 3 SP

CORIFACT 2 SP

ELOCTATE 3 SP

FEIBA 2 SP

HEMLIBRA 3 SP

HEMOFIL M 3 SP

HUMATE-P 3 SP

IDELVION 3 SP

IXINITY 3 SP

KOATE 3 SP

KOATE-DVI 3 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

LYSTEDA 3

MONONINE 2 SP

monsels ferric subsulfate

1

NOVOSEVEN RT 2 SP

NUWIQ 3 SP

PROFILNINE 2 SP


PROFILNINE SD 2 SP

REBINYN 3 SP

RECOMBINATE 3 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

3

RIXUBIS 3 SP

TAVALISSE 3 SP

THROMBIN-JMI EPISTAXIS

3

THROMBIN-JMI EXTERNAL KIT

3

THROMBOGEN 3

tranexamic acid oral 1

TRETTEN 3 SP

VONVENDI 3 SP

WILATE 2 SP

XYNTHA 3 SP

XYNTHA SOLOFUSE 3 SP

Platelet Modifying Agents - Platelet Modifying Drugs

AGGRENOX 3

aspirin-dipyridamole er 1

BRILINTA 2

CABLIVI 3 SP

cilostazol 1

clopidogrel bisulfate oral

1

dipyridamole oral 1

EFFIENT 3

PLAVIX 3

prasugrel hcl 1

Cardiovascular Agents

Cardiovascular Agents, Other

NEXLIZET 3


34


Cardiovascular Agents - Drugs to Treat Heart and Circulation Conditions

Alpha-adrenergic Agonists - Blood Pressure Drugs

CATAPRES 3

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

clonidine hcl oral 1

guanfacine hcl 1

methyldopa 1

midodrine hcl 1

NORTHERA 3 SP

Alpha-adrenergic Blocking Agents - Blood Pressure Drugs

CARDURA 3

DIBENZYLINE 3

doxazosin mesylate oral

1

MINIPRESS 3

phenoxybenzamine hcl oral

1

prazosin hcl oral 1

Angiotensin II Receptor Antagonists - Blood Pressure Drugs

ATACAND 3

AVAPRO 3

BENICAR 3

candesartan cilexetil 1

COZAAR 3

DIOVAN 3

EDARBI 3


irbesartan 1

losartan potassium oral 1

MICARDIS 3

olmesartan medoxomil oral

1

telmisartan 1

valsartan 1

Angiotensin-Converting Enzyme (ACE) Inhibitors - Blood Pressure Drugs

ACCUPRIL 3

ALTACE 3

benazepril hcl oral 1

captopril oral 1

enalapril maleate oral 1

EPANED 3

fosinopril sodium 1

lisinopril oral 1

LOTENSIN 3

moexipril hcl 1

perindopril erbumine 1

PRINIVIL 3

QBRELIS 3

quinapril hcl 1

ramipril 1

trandolapril 1

VASOTEC 3

ZESTRIL 3

Antiarrhythmics - Heart Regulation Drugs

amiodarone hcl oral 1

BETAPACE 3

BETAPACE AF 3

disopyramide phosphate

1

dofetilide 1


35


flecainide acetate 1

mexiletine hcl oral 1

MULTAQ 3

NORPACE 3

NORPACE CR 2

PACERONE ORAL TABLET 100 MG, 400 MG

3

pacerone oral tablet 200 mg

1

propafenone hcl 1

propafenone hcl er 1

quinidine gluconate er 1

quinidine sulfate 1

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

TIKOSYN 3

Beta-adrenergic Blocking Agents - Blood Pressure Drugs

acebutolol hcl oral 1

atenolol oral 1

betaxolol hcl oral 1

bisoprolol fumarate 1

BYSTOLIC 2

carvedilol 1

carvedilol phosphate er 1

COREG 3

COREG CR 3

CORGARD 3

HEMANGEOL 3

INDERAL LA 3

INDERAL XL 3

INNOPRAN XL 3

KAPSPARGO SPRINKLE

3


labetalol hcl oral 1

LOPRESSOR 3

metoprolol succinate er 1

metoprolol tartrate oral 1

nadolol oral 1

pindolol 1

propranolol hcl er 1

propranolol hcl oral 1

TENORMIN 3

timolol maleate oral 1

TOPROL XL 3

Calcium Channel Blocking Agents - Blood Pressure Drugs

ADALAT CC ORAL TABLET EXTENDED RELEASE 24 HOUR 60 MG

3

amlodipine besylate oral

1

CALAN SR 3

CARDIZEM 3

CARDIZEM CD 3

CARDIZEM LA 3

cartia xt 1

diltiazem hcl er beads 1

diltiazem hcl er coated beads

1

diltiazem hcl er oral capsule extended release 12 hour

1

diltiazem hcl oral 1

dilt-xr 1

felodipine er 1

isradipine 1

KATERZIA 3

matzim la 1

nicardipine hcl oral 1

nifedipine er 1


36


nifedipine er osmotic release

1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NORVASC 3

NYMALIZE 3

PROCARDIA 3

PROCARDIA XL 3

SULAR 3

taztia xt 1

tiadylt er 1

TIAZAC 3

verapamil hcl er 1

verapamil hcl oral 1

VERELAN 3

VERELAN PM 3

Cardiovascular Agents, Other - Miscellaneous Cardiac Drugs

ACCURETIC 3

ALDACTAZIDE 3

aliskiren fumarate 1

amiloride-hydrochlorothiazide

1

amlodipine besylate-benazepril hcl

1

amlodipine besylate-valsartan

1

amlodipine-atorvastatin 1

amlodipine-olmesartan 1

amlodipine-valsartan-hctz

1

ATACAND HCT 3

atenolol-chlorthalidone 1

AVALIDE 3

AZOR 3


benazepril-hydrochlorothiazide

1

BENICAR HCT 3

BIDIL 3

bisoprolol-hydrochlorothiazide

1

CADUET 3

candesartan cilexetil-hctz

1

captopril-hydrochlorothiazide

1

CONSENSI 3

CORLANOR 3

DEMSER 3

digitek 1

digox 1

digoxin oral 1

DIOVAN HCT 3

DUTOPROL 3

DYAZIDE 3

EDARBYCLOR 3

enalapril-hydrochlorothiazide

1

ENTRESTO 2

EXFORGE 3

EXFORGE HCT 3

fosinopril sodium-hctz 1

HYZAAR 3

irbesartan-hydrochlorothiazide

1

isoxsuprine hcl oral 1

LANOXIN ORAL 2

lisinopril-hydrochlorothiazide

1

LOPRESSOR HCT 3

losartan potassium-hctz 1

LOTENSIN HCT 3

LOTREL 3


37


MAXZIDE 3

MAXZIDE-25 3

methyldopa-hydrochlorothiazide

1

metoprolol-hydrochlorothiazide

1

MICARDIS HCT 3

olmesartan medoxomil-hctz

1

olmesartan-amlodipine-hctz

1

pentoxifylline er 1

PRESTALIA 3

propranolol-hctz 1

quinapril-hydrochlorothiazide

1

RANEXA 3

ranolazine er 1

spironolactone-hctz 1

TARKA 3

TEKTURNA 2

TEKTURNA HCT 2

telmisartan-amlodipine 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

trandolapril-verapamil hcl er

1

triamterene-hctz 1

TRIBENZOR 3

TWYNSTA 3

valsartan-hydrochlorothiazide

1

VASERETIC 3

VECAMYL 3

VYNDAMAX 3 SP

VYNDAQEL 3 SP

ZESTORETIC 3


ZIAC 3

Diuretics, Carbonic Anhydrase Inhibitors - Cardiac Drugs

KEVEYIS 3 SP

methazolamide oral 1

Diuretics, Loop - Cardiac Drugs

bumetanide oral 1

BUMEX 3

EDECRIN 3

ethacrynic acid 1

furosemide oral 1

LASIX 3

torsemide 1

Diuretics, Potassium-sparing - Cardiac Drugs

ALDACTONE 3

amiloride hcl oral 1

CAROSPIR 3

DYRENIUM 3

eplerenone 1

INSPRA 3

spironolactone oral 1

triamterene oral 1

Diuretics, Thiazide - Cardiac Drugs

chlorothiazide oral 1

chlorthalidone 1

DIURIL 3

hydrochlorothiazide oral

1

indapamide 1

metolazone 1


38


Dyslipidemics, Fibric Acid Derivatives - Cholesterol Control Drugs

ANTARA 3

fenofibrate micronized 1

fenofibrate oral 1

fenofibric acid 1

FENOGLIDE 3

FIBRICOR 3

gemfibrozil oral 1

LIPOFEN 3

LOPID 3

TRICOR 3

TRILIPIX 3

Dyslipidemics, HMG CoA Reductase Inhibitors - Cholesterol Control Drugs

ALTOPREV 3

atorvastatin calcium oral

1

CRESTOR 3

EZALLOR SPRINKLE 3

FLOLIPID 3

fluvastatin sodium 1

fluvastatin sodium er 1

LESCOL XL 3

LIPITOR 3

LIVALO 3

lovastatin 1

PRAVACHOL 3

pravastatin sodium 1

rosuvastatin calcium 1

simvastatin oral 1

ZOCOR ORAL TABLET 10 MG, 20 MG, 40 MG, 80 MG

3


ZYPITAMAG 3

Dyslipidemics, Other - Miscellaneous Cholesterol Control Drugs

cholestyramine light 1

cholestyramine oral 1

colesevelam hcl 1

COLESTID 3

COLESTID FLAVORED

3

colestipol hcl 1

ezetimibe 1

ezetimibe-simvastatin 1

JUXTAPID 3 SP

LOVAZA 3

NEXLETOL 3

niacin (antihyperlipidemic)

1

niacin er (antihyperlipidemic)

1

niacor 1

NIASPAN 3

omega-3-acid ethyl esters

1

PRALUENT 2

prevalite 1

QUESTRAN 3

QUESTRAN LIGHT 3

REPATHA 2

REPATHA PUSHTRONEX SYSTEM

2

REPATHA SURECLICK

2

VASCEPA 3

VYTORIN 3

WELCHOL 3

ZETIA 3


39


Vasodilators, Direct-acting Arterial - Chest Pain Drugs

hydralazine hcl oral 1

minoxidil oral 1

Vasodilators, Direct-acting Arterial/Venous - Chest Pain Drugs

DILATRATE-SR 3

GONITRO 3

ISORDIL TITRADOSE 3

isosorbide dinitrate 1

isosorbide mononitrate 1

isosorbide mononitrate er

1

minitran 1

NITRO-BID 3

NITRO-DUR 3

nitroglycerin sublingual 1

nitroglycerin transdermal

1

nitroglycerin translingual

1

NITROLINGUAL 3

NITROMIST 3

NITROSTAT 3

nitro-time 1

RECTIV 3

Central Nervous System Agents - Drugs to Treat Nerve Conditions

Attention Deficit Hyperactivity Disorder Agents, Amphetamines - ADHD Drugs

ADDERALL 3

ADDERALL XR 3


ADZENYS ER 3

ADZENYS XR-ODT 3

AMPHETAMINE ER 3

amphetamine sulfate 1

amphetamine-dextroamphetamine

1

amphetamine-dextroamphetamine er

1

DESOXYN 3

DEXEDRINE 3

dextroamphetamine sulfate

1

dextroamphetamine sulfate er

1

DYANAVEL XR 3

EVEKEO 3

EVEKEO ODT 3

methamphetamine hcl 1

MYDAYIS 3

PROCENTRA 3

VYVANSE 2

ZENZEDI 3

Attention Deficit Hyperactivity Disorder Agents, Non-amphetamines - ADHD Drugs

ADHANSIA XR 3

APTENSIO XR 3

atomoxetine hcl 1

clonidine hcl er 1

CONCERTA 3

COTEMPLA XR-ODT 3

DAYTRANA 3

dexmethylphenidate hcl 1

dexmethylphenidate hcl er

1

FOCALIN 3

FOCALIN XR 3


40


guanfacine hcl er 1

INTUNIV 3

JORNAY PM 3

KAPVAY 3

metadate er 1

METHYLIN 3

methylphenidate hcl er 1

methylphenidate hcl er (cd)

1

methylphenidate hcl er (la)

1

METHYLPHENIDATE HCL ER (XR)

3

methylphenidate hcl oral

1

QUILLICHEW ER 3

QUILLIVANT XR 3

relexxii 1

RITALIN 3

RITALIN LA 3

STRATTERA 3

Central Nervous System, Other - Miscellaneous Central Nervous System Drugs

AUSTEDO 3 SP

caffeine citrate oral 1

GRALISE 3

GRALISE STARTER 3

HORIZANT 3

INGREZZA 3 SP

NAMZARIC 2

NUEDEXTA 3

RILUTEK 3

riluzole 1

tetrabenazine 1 SP

TIGLUTIK 3 SP

XENAZINE 3 SP


Fibromyalgia Agents - Drugs to Treat Muscle and Soft Tissue Pain

CYMBALTA 3

DRIZALMA SPRINKLE 3

duloxetine hcl oral 1

LYRICA 3

LYRICA CR 3

pregabalin oral 1

SAVELLA 3

SAVELLA TITRATION PACK

3

Multiple Sclerosis Agents - Multiple Sclerosis Drugs

AMPYRA 3 SP

AUBAGIO 3 SP

AVONEX PEN 2 SP

AVONEX PREFILLED 2 SP

BETASERON 2 SP

COPAXONE 2 SP

dalfampridine er 1 SP

EXTAVIA 3 SP

GILENYA 3 SP

glatiramer acetate 1 SP

glatopa 1 SP

MAVENCLAD (10 TABS)

3 SP

MAVENCLAD (4 TABS)

3 SP

MAVENCLAD (5 TABS)

3 SP

MAVENCLAD (6 TABS)

3 SP

MAVENCLAD (7 TABS)

3 SP

MAVENCLAD (8 TABS)

3 SP

MAVENCLAD (9 TABS)

3 SP


41


MAYZENT 3 SP

MAYZENT STARTER PACK

3 SP

PLEGRIDY 3 SP

PLEGRIDY STARTER PACK

3 SP

REBIF 3 SP

REBIF REBIDOSE 3 SP

REBIF REBIDOSE TITRATION PACK

3 SP

REBIF TITRATION PACK

3 SP

TECFIDERA 2 SP

VUMERITY 3 SP

VUMERITY (STARTER)

3 SP

ZEPOSIA 3 SP

ZEPOSIA 7-DAY STARTER PACK

3 SP

ZEPOSIA STARTER KIT

3 SP

Dental and Oral Agents - Drugs to Treat Mouth and Throat Conditions

cevimeline hcl 1

EVOXAC 3

pilocarpine hcl oral 1

SALAGEN 3

Dermatological Agents - Drugs to Treat Skin Conditions

ABSORICA 3

ABSORICA LD 3

ACANYA 3

acitretin 1

ACZONE EXTERNAL GEL 5 %

3

ACZONE EXTERNAL GEL 7.5 %

2


ADAPALENE EXTERNAL SOLUTION

3

adapalene-benzoyl peroxide

1

AKLIEF 3

ALA SCALP 3

ala-cort external cream 2.5 %

1

alclometasone dipropionate

1

ALDARA 3

ALEVAMAX 3

ALTRENO 3

amcinonide 1

AMELUZ 3

amnesteem 1

AMZEEQ 3

APEXICON E 3

ARAZLO 3

ARTISS 3

ATRALIN 3

avar cleanser 1

AVAR LS CLEANSER 3

AVAR-E EMOLLIENT 3

AVAR-E GREEN 3

AVAR-E LS 3

avita 1

azelaic acid external 1

AZELEX 3

balsam peru-castor oil 1

BENZACLIN 3

BENZACLIN WITH PUMP

3

BENZAMYCIN 3

BENZIQ WASH 3

BENZOIN 3

benzoin compound 1


42


benzoyl peroxide-erythromycin

1

beser external lotion 1

betamethasone dipropionate aug

1

betamethasone dipropionate external

1

betamethasone valerate external

1

blanche 1

bp 10-1 1

bp cleansing wash 1

BRYHALI 3

calcipotriene 1

calcipotriene-betameth diprop external ointment

1

calcipotriene-betameth diprop suspension 0.005-0.064 % external

1

CALCIPOTRIENE-BETAMETH DIPROP SUSPENSION 0.005-0.064 % EXTERNAL

3

CALCITRENE 3

calcitriol external 1

CAPEX 3

CARAC 3

cerovel 1

claravis 1

CLEOCIN-T 3

CLINDACIN ETZ EXTERNAL KIT

3

clindacin etz external swab

1

CLINDACIN PAC 3

clindacin-p 1

CLINDAGEL 3

clindamycin phos-benzoyl perox

1


clindamycin phosphate external foam

1

clindamycin phosphate external lotion

1

clindamycin phosphate external solution

1

clindamycin phosphate external swab

1

CLINDAMYCIN PHOSPHATE GEL 1 % EXTERNAL

3

clindamycin phosphate gel 1 % external

1

clindamycin-tretinoin 1

clobetasol prop emollient base

1

clobetasol propionate e 1

clobetasol propionate emulsion

1

clobetasol propionate external

1

CLOBEX 3

CLOBEX SPRAY 3

clocortolone pivalate 1

CLODAN EXTERNAL KIT

3

clodan external shampoo

1

CLODERM 3

clotrimazole-betamethasone

1

COAL TAR EXTERNAL 3

CONDYLOX 3

CORDRAN 3

CORTANE-B 3

CORTISPORIN 3

COSENTYX (300 MG DOSE)

3 SP

COSENTYX 150 MG/ML

3 SP


43


COSENTYX SENSOREADY (300 MG)

3 SP

COSENTYX SENSOREADY PEN

3 SP

CUTIVATE 3

dapsone external gel 5 %

1

DAPSONE GEL 7.5 % EXTERNAL

3

DERMA-SMOOTHE/FS BODY

3

DERMA-SMOOTHE/FS SCALP

3

DESONATE 3

desonide external 1

DESOWEN 3

desoximetasone external

1

diclofenac sodium transdermal gel 3 %

1

diflorasone diacetate 1

DIPROLENE 3

DIPROLENE AF 3

DOVONEX 3

doxepin hcl external 1

DRYSOL 3

DUOBRII 3

DUPIXENT SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 SP

EFUDEX 3

ELIDEL 3

ENSTILAR 3

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

EPIQUIN MICRO 3

ery 1


ERYGEL 3

erythromycin external 1

ESKATA 3

EUCRISA 2

EVOCLIN 3

FABIOR 3

FINACEA 3

fluocinolone acetonide body

1

fluocinolone acetonide external

1

fluocinolone acetonide scalp

1

fluocinonide emulsified base

1

fluocinonide external 1

FLUOROPLEX 3

FLUOROURACIL EXTERNAL CREAM 0.5 %

2

fluorouracil external cream 5 %

1

fluorouracil external solution

1

flurandrenolide 1

fluticasone propionate external

1

formaldehyde external solution 10 %

1

FORMALDEHYDE EXTERNAL SOLUTION 37 %

3

GENADUR EXTERNAL 3

GORDOFILM 3

halcinonide 1

halobetasol propionate external cream

1

HALOBETASOL PROPIONATE EXTERNAL FOAM

3


44


halobetasol propionate external ointment

1

HALOG EXTERNAL CREAM

3

HALOG EXTERNAL OINTMENT

3

HALUCORT 3

HYDRO 40 3

hydrocortisone ace-pramoxine external cream 2.5-1 %

1

hydrocortisone butyr lipo base

1

hydrocortisone butyrate 1

hydrocortisone external cream 2.5 %

1

hydrocortisone external lotion 2.5 %

1

hydrocortisone external ointment 1 %, 2.5 %

1

hydrocortisone valerate 1

hydroquinone external cream

1

hydroquinone time release

1

HYLATOPIC PLUS EXTERNAL CREAM

3

ILUMYA 3 SP

imiquimod external 1

IMIQUIMOD PUMP 3

IMPOYZ 3

INOVA 3

INOVA 4/1 ACNE CONTROL THERAPY

3

INOVA 8/2 ACNE CONTROL THERAPY

3

isotretinoin oral 1

KENALOG EXTERNAL 3

KERALAC 3

KERALYT SCALP 3


KLARON 3

LATRIX XM 3

LEVULAN KERASTICK 3

LEXETTE 3

LOCOID 3

LOCOID LIPOCREAM 3

LUXIQ 3

melpaque hp 1

methoxsalen rapid 1

methyl salicylate external liquid

1

MIRVASO 2

mometasone furoate external

1

myorisan 1

NEO-SYNALAR EXTERNAL CREAM

3

neuac external gel 1

NEUAC EXTERNAL KIT

3

nolix 1

NUCORT 3

NUVAIL 3

OLUX 3

OLUX-E 3

ONEXTON 3

OVACE PLUS EXTERNAL CREAM

3

OVACE PLUS EXTERNAL LOTION

3

OVACE PLUS EXTERNAL SHAMPOO

3

OVACE PLUS WASH 3

OVACE WASH 3

OXSORALEN ULTRA 3

PANDEL 3

PICATO 3

pimecrolimus 1


45


PLEXION 3

PLEXION CLEANSER 3

PLEXION CLEANSING CLOTH

3

podocon 1

podofilox external 1

pramosone external cream 1-1 %

1

PRAMOSONE EXTERNAL CREAM 1-2.5 %

3

PRAMOSONE EXTERNAL LOTION

3

PRAMOSONE EXTERNAL OINTMENT

3

prednicarbate 1

PROMISEB 3

PROTOPIC 3

PRUDOXIN 3

PSORCON 3

PYROGALLIC ACID 3

QBREXZA 3

REFISSA 3

REGRANEX 3

remergent hq 1

REMIGEN 3

RENOVA 3

RENOVA PUMP 3

RETIN-A 3

RETIN-A MICRO 3

RETIN-A MICRO PUMP EXTERNAL GEL 0.04 %, 0.1 %

3

RETIN-A MICRO PUMP EXTERNAL GEL 0.06 %, 0.08 %

2

RHOFADE 3

ROSADAN EXTERNAL KIT

3


salicylic acid external cream

1

salicylic acid external lotion

1

salicylic acid external solution 26 %

1

salimez 1

SALVAX DUO PLUS 3

SANTYL 3

SCALACORT DK 3

selenium sulfide external lotion

1

selenium sulfide external shampoo 2.25 %

1

SERNIVO 3

SILIQ 3 SP

sodium hyaluronate external

1

sodium sulfacetamide 1

sodium sulfacetamide wash liquid 10 % external

1

SODIUM SULFACETAMIDE WASH LIQUID 10 % EXTERNAL

3

SOOLANTRA 2

SORIATANE 3

SORILUX 3

sss 10-5 1

sulfacetamide sodium (acne)

1

sulfacetamide sodium external

1

sulfacetamide sodium-sulfur

1

sulfacetamide sod-sulfur wash

1

sulfacetamide-sulfur in urea

1


46


sulfacleanse 8/4 1

sulfamez wash 1

SUMADAN 3

SUMADAN WASH 3

SUMADAN XLT 3

SUMAXIN 3

SUMAXIN CP 3

SUMAXIN WASH 3

SYNALAR 3

SYNALAR (CREAM) 3

SYNALAR (OINTMENT)

3

SYNALAR TS 3

TACLONEX 3

tacrolimus external ointment

1

TALTZ 3 SP

tazarotene external 1

TAZORAC 3

TEMOVATE 3

TEXACORT 3

TISSEEL 3

tl hydroquinone 1

TOLAK 3

TOPICORT 3

TOPICORT SPRAY 3

tovet external foam 1

TREMFYA 2 SP

tretinoin (emollient) 1

tretinoin external 1

tretinoin microsphere 1

tretinoin microsphere pump

1

triamcinolone acetonide external

1

trianex 1

TRI-CHLOR 3

triderm 1


TRIDESILON 3

TRI-LUMA 3

ULTRAVATE 3

UMECTA MOUSSE 3

URAMAXIN 3

urea external cream 40 %, 41 %, 45 %, 47 %

1

urea external lotion 1

urea external suspension

1

urea nail 1

urea-c40 1

uremez-40 1

UTOPIC 3

VANIQA 3

VANOS 3

VECTICAL 3

VELTIN 3

VENELEX 3

VERDESO 3

VEREGEN 3

ZACARE 3

zaclir cleansing 1

zenatane 1

ZIANA 3

ZONALON 3

ZYCLARA 3

ZYCLARA PUMP 3

Dermatological Agents - Skin Agents

ZILXI 3

Electrolytes/Minerals/Metals/Vitamins

Electrolyte/Mineral Replacement - Vitamin, Mineral and Body Fluid Deficiency Drugs

CARBAGLU 2 SP


47


CARNITOR ORAL 3

CARNITOR SF 3

cytra k crystals 1

EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ, 20 MEQ

3

effer-k oral tablet effervescent 25 meq

1

ENDARI 3

FLORIVA ORAL LIQUID

3

FLUORABON 2

fluoritab 1

FLURA-DROPS 2

folic acid oral tablet 1 mg

1

GALZIN 3

GLYTACTIN BETTERMILK 15

3

GLYTACTIN BETTERMILK DE-LITE

3

GLYTACTIN BUILD 10PE

3

GLYTACTIN BUILD 20/20 PKU

3

GLYTACTIN RESTORE 10

3

GLYTACTIN RESTORE 5

3

GLYTACTIN RESTORE LITE 10

3

GLYTACTIN RESTORE LITE 10PE

3

GLYTACTIN RTD 10 3

GLYTACTIN RTD 15 3

GLYTACTIN RTD LITE 15

3

GLYTACTIN SWIRL 15PE

3

hematinic/folic acid 1


hemocyte-f 1

KETOVIE 3

KETOVIE PEPTIDE 3

klor-con 1

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-con sprinkle 1

klor-con/ef 1

K-PHOS 3

K-PHOS NO 2 3

K-PHOS-NEUTRAL 3

k-prime 1

K-TAB 3

levocarnitine oral solution

1

levocarnitine oral tablet 1

levocarnitine sf 1

ludent 1

nafrinse 1

nafrinse drops 1

ORACIT 3

PHENACTIN AA PLUS 3

phospha 250 neutral 1

phosphorous 1

phospho-trin 250 neutral

1

pot bicarb-pot chloride 1

potassium bicarbonate oral

1

potassium chloride crys er

1

potassium chloride er 1

potassium chloride oral 1

potassium citrate er 1

potassium citrate-citric acid

1


48


PURAMINO DHA/ARA 3

sod citrate-citric acid 1

sodium fluoride oral 1

taron-crystals 1

tricitrates 1

TYLACTIN RESTORE 5PE

3

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

virt-phos 250 neutral 1

Electrolyte/Mineral/Metal Modifiers

CHEMET 3

clovique 1 SP

deferasirox 1

EXJADE 3

FERRIPROX 3

JADENU 3

JADENU SPRINKLE 3

JYNARQUE 3 SP

kionex 1

LOKELMA 3

SAMSCA ORAL TABLET 15 MG

2 SP

SAMSCA ORAL TABLET 30 MG

3 SP

sodium polystyrene sulfonate

1

sps 1

SYPRINE 3 SP

tolvaptan 1 SP

trientine hcl 1 SP

VELTASSA 3

Phosphate Binders - Phosphate-Removing Agents

AURYXIA 3


calcium acetate (phos binder)

1

calcium acetate oral tablet 667 mg

1

FOSRENOL 3

lanthanum carbonate 1

PHOSLYRA 3

RENAGEL 3

RENVELA 3

sevelamer carbonate 1

sevelamer hcl 1

VELPHORO 3

Vitamins

3232a infant formula 1

aminobenzoate potassium

1

CALCIFOL 3

calcium-folic acid plus d 1

cyanocobalamin injection solution 1000 mcg/ml

1

CYANOCOBALAMIN INJECTION SOLUTION 2000 MCG/ML

3

DRISDOL 3

ERGOCAL 3

ergocalciferol oral capsule

1

MAGNEBIND 400 3

MEPHYTON 3

n-acetyl-l-cysteine oral 1

NASCOBAL 3

phytonadione oral 1

POTABA 3

vitamin d (ergocalciferol) oral capsule 1.25 mg (50000 ut)

1

WHEAT GERM OIL 3


49


Gastrointestinal Agents - Drugs to Treat Bowel, Intestine and Stomach Conditions

Antispasmodics, Gastrointestinal - Stomach and Intestine Drugs

ANASPAZ 3

belladonna alkaloids-opium

1

chlordiazepoxide-clidinium

1

CUVPOSA 3

dicyclomine hcl oral 1

ed-spaz 1

GLYCATE 3

glycopyrrolate oral tablet 1 mg, 2 mg

1

GLYCOPYRROLATE ORAL TABLET 1.5 MG

3

hyoscyamine sulfate er 1

hyoscyamine sulfate oral

1

hyoscyamine sulfate sl 1

hyoscyamine sulfate sublingual

1

hyosyne 1

LEVBID 3

LEVSIN ORAL 3

LEVSIN/SL 3

LIBRAX 3

methscopolamine bromide oral

1

NULEV 3

oscimin 1

oscimin sr 1

propantheline bromide oral

1


SYMAX DUOTAB 3

symax-sl 1

symax-sr 1

Gastrointestinal Agents, Other - Miscellaneous Gastrointestinal Drugs

ACTIGALL 3

amoxicill-clarithro-lansopraz

1

CHENODAL 3 SP

cromolyn sodium oral 1

diphenoxylate-atropine 1

ENTEREG 3

GASTROCROM 3

GATTEX 3 SP

LOMOTIL 3

metoclopramide hcl oral tablet

1

metoclopramide hcl oral tablet dispersible 5 mg

1

MOTEGRITY 3

MOTOFEN 3

MOVANTIK 2

MYALEPT 3 SP

MYTESI 3

OCALIVA 3 SP

OMECLAMOX-PAK 2

opium 1

PYLERA 2

REGLAN 3

RELISTOR 3

SODIUM BICARBONATE ORAL POWDER

3

SYMPROIC 2

TRULANCE 3


50


URSO 250 3

URSO FORTE 3

ursodiol oral 1

XERMELO 3 SP

ZELNORM 3

Histamine2 (H2) receptor Antagonists - Ulcer and Stomach Acid Drugs

cimetidine hcl 1

cimetidine oral 1

famotidine oral suspension reconstituted

1

nizatidine oral solution 1

Irritable Bowel Syndrome Agents - Bowel Treatment Drugs

alosetron hcl 1

AMITIZA 3

LINZESS 2

LOTRONEX 3

TALICIA 3

VIBERZI 3

XIFAXAN 3

Laxatives - Drugs to treat Constipation

cascara sagrada oral fluid extract

1

CLENPIQ 3

constulose 1

enulose 1

gavilyte-c 1

gavilyte-g 1

gavilyte-h 1

gavilyte-n with flavor pack

1

generlac 1


GOLYTELY 3

KRISTALOSE ORAL PACKET 20 GM

3

lactulose 1

lactulose encephalopathy

1

mineral oil heavy oral 1

MOVIPREP 3

NULYTELY WITH FLAVOR PACKS

3

OSMOPREP 3

PCP 100 3

peg 3350-kcl-na bicarb-nacl

1

peg-3350/electrolytes 1

peg-prep 1

PLENVU 3

SUPREP BOWEL PREP KIT

3

trilyte 1

Protectants - Ulcer and Stomach Acid Drugs

CARAFATE 3

CYTOTEC 3

misoprostol oral 1

sucralfate oral 1

Proton Pump Inhibitors - Ulcer and Stomach Acid Drugs

ACIPHEX 3

ACIPHEX SPRINKLE 3

DEXILANT 2

esomeprazole magnesium oral packet

1

lansoprazole oral tablet delayed release dispersible

1

NEXIUM ORAL PACKET

3


51


omeprazole oral capsule delayed release

1

omeprazole-sodium bicarbonate oral packet

1

pantoprazole sodium oral

1

PREVACID SOLUTAB 3

PRILOSEC 3

PROTONIX ORAL 3

RABEPRAZOLE SODIUM ORAL CAPSULE SPRINKLE

3

rabeprazole sodium oral tablet delayed release

1

ZEGERID ORAL PACKET

3

Genetic or Enzyme Disorder: Replacement, Modifiers, Treatment

BUPHENYL 3 SP

CERDELGA 3 SP

CHOLBAM 3 SP

CREON 2

CYSTADANE 3 SP

CYSTAGON 3 SP

GALAFOLD 3 SP

KUVAN 2 SP

miglustat 1 SP

nitisinone 1 SP

NITYR 3 SP

ORFADIN 3 SP

PALYNZIQ 3 SP

PANCREAZE 3

PERTZYE 3

PROCYSBI 3 SP

RAVICTI 3 SP


sodium phenylbutyrate oral

1 SP

STRENSIQ 2 SP

SUCRAID 3 SP

TEGSEDI 3 SP

VIOKACE 3

XURIDEN 3 SP

ZAVESCA 3 SP

ZENPEP 2

Genitourinary Agents - Drugs to Treat Bladder, Genital and Kidney Conditions

Antispasmodics, Urinary - Bladder Control Drugs

darifenacin hydrobromide er

1

DETROL 3

DETROL LA 3

DITROPAN XL 3

ENABLEX ORAL TABLET EXTENDED RELEASE 24 HOUR 7.5 MG

3

flavoxate hcl 1

GELNIQUE 3

hyophen 1

me/naphos/mb/hyo1 1

MYRBETRIQ 2

oxybutynin chloride er 1

oxybutynin chloride oral 1

phosphasal 1

solifenacin succinate 1

tolterodine tartrate 1

tolterodine tartrate er 1

TOVIAZ 3

trospium chloride 1

trospium chloride er 1


52


URELLE 3

uretron d/s 1

URIBEL 3

URIMAR-T 3

urin ds 1

URO-458 3

UROGESIC-BLUE 3

uro-mp 1

URYL 3

ustell 1

uticap 1

utira-c 1

utrona-c 1

VESICARE 3

vilamit mb 1

VILEVEV MB 3

Benign Prostatic Hypertrophy Agents - Prostate Drugs

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3

dutasteride oral 1

dutasteride-tamsulosin hcl

1

finasteride oral tablet 5 mg

1

FLOMAX 3

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

terazosin hcl 1

UROXATRAL 3


Genitourinary Agents, Other - Miscellaneous Bladder, Genital, and Kidney Conditions Drugs

bethanechol chloride oral

1

CERVIDIL 3

CUPRIMINE 3 SP

DEPEN TITRATABS 2 SP

ELMIRON 2

LITHOSTAT 3

penicillamine oral 1 SP

phenazo oral tablet 200 mg

1

phenazopyridine hcl oral tablet 100 mg, 200 mg

1

PHEXXI 3

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM 3

THIOLA 3 SP

THIOLA EC 3 SP

Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal) - Drugs to Regulate Hormones

Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal) - Hormone Replacement/Modifying Drugs

ACTHAR 2 SP

CORTEF 3

cortisone acetate oral 1

DECADRON 3

DEXABLISS 3


53


dexamethasone intensol

1

dexamethasone oral 1

DXEVO 11-DAY 3

EMFLAZA 3 SP

fludrocortisone acetate oral

1

HIDEX 6-DAY 3

hydrocortisone oral 1

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

3

MEDROL ORAL TABLET 2 MG

2

MEDROL ORAL TABLET THERAPY PACK

3

methylprednisolone oral

1

MILLIPRED 2

MILLIPRED DP 3

MILLIPRED DP 12-DAY

3

ORAPRED ODT 3

PEDIAPRED 3

prednisolone oral solution

1

prednisolone sodium phosphate oral

1

prednisone intensol 1

prednisone oral 1

RAYOS 3

TAPERDEX 12-DAY 3

TAPERDEX 6-DAY 3

TAPERDEX 7-DAY 3


Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary) - Drugs to Regulate Hormones

Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary) - Hormone Replacement/Modifying Drugs

DDAVP 3

DDAVP RHINAL TUBE 2

desmopressin ace spray refrig

1

desmopressin acetate injection

1

desmopressin acetate oral

1

desmopressin acetate spray

1

NOCDURNA 3

STIMATE 3

Hormonal Agents, Stimulant/Replacement/Modifying (Prostaglandins) - Drugs to Regulate Hormones

Hormonal Agents, Stimulant/Replacement/Modifying (Prostaglandins) - Hormone Replacement/Modifying Drugs

KORLYM 3 SP


54


Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers) - Drugs to Regulate Hormones

Androgens - Hormone Replacement/Modifying Drugs

ANADROL-50 3

ANDRODERM 2

ANDROGEL 3

ANDROGEL PUMP 3

danazol oral 1

DEPO-TESTOSTERONE

3

FORTESTA 3

JATENZO 3

METHITEST 3

methyltestosterone oral 1

NATESTO 3

oxandrolone oral 1

TESTIM 3

TESTOSTERONE CYPIONATE INJECTION

3

testosterone cypionate intramuscular

1

testosterone enanthate intramuscular

1

testosterone transdermal

1

VOGELXO 3

VOGELXO PUMP 3

XYOSTED 3

Estrogens - Hormone Replacement/Modifying Drugs

ACTIVELLA 3

afirmelle 1


ALORA 3

altavera 1

alyacen 1/35 1

alyacen 7/7/7 1

amabelz 1

amethia 1

amethia lo 1

amethyst 1

ANGELIQ 3

ANNOVERA 3

apri 1

aranelle 1

ashlyna 1

aubra 1

aubra eq 1

aurovela 1.5/30 1

aurovela 1/20 1

aurovela 24 fe 1

aurovela fe 1.5/30 1

aurovela fe 1/20 1

aviane 1

ayuna 1

azurette 1

BALCOLTRA 3

balziva 1

bekyree 1

BEYAZ 3

BIJUVA 3

blisovi 24 fe 1

blisovi fe 1.5/30 1

blisovi fe 1/20 1

briellyn 1

camrese 1

camrese lo 1

caziant 1

chateal 1

chateal eq 1


55


CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

covaryx 1

covaryx hs 1

cryselle-28 1

cyclafem 1/35 1

cyclafem 7/7/7 1

cyred 1

cyred eq 1

dasetta 1/35 1

dasetta 7/7/7 1

daysee 1

DELESTROGEN 3

delyla 1

DEPO-ESTRADIOL 3

desogestrel-ethinyl estradiol

1

DIVIGEL 3

dotti 1

drospiren-eth estrad-levomefol

1

drospirenone-ethinyl estradiol

1

DUAVEE 2

eemt 1

eemt hs 1

ELESTRIN 3

elinest 1

eluryng 1

emoquette 1

enpresse-28 1

enskyce 1

est estrogens-methyltest

1

est estrogens-methyltest ds

1


est estrogens-methyltest hs

1

estarylla 1

ESTRACE 3

estradiol oral 1

estradiol transdermal 1

estradiol vaginal 1

estradiol valerate intramuscular

1

estradiol-norethindrone acet

1

ESTRING 3

ESTROGEL 3

ESTROSTEP FE 3

ethynodiol diac-eth estradiol

1

etonogestrel-ethinyl estradiol

1

EVAMIST 3

falmina 1

fayosim 1

FEMHRT LOW DOSE 3

FEMRING 3

femynor 1

fyavolv 1

GENERESS FE 3

gianvi 1

hailey 1.5/30 1

hailey 24 fe 1

hailey fe 1.5/30 1

hailey fe 1/20 1

introvale 1

isibloom 1

jaimiess 1

jasmiel 1

jinteli 1

jolessa 1

juleber 1


56


junel 1.5/30 1

junel 1/20 1

junel fe 1.5/30 1

junel fe 1/20 1

junel fe 24 1

kaitlib fe 1

kalliga 1

kariva 1

kelnor 1/35 1

kelnor 1/50 1

kurvelo 1

larin 1.5/30 1

larin 1/20 1

larin 24 fe 1

larin fe 1.5/30 1

larin fe 1/20 1

larissia 1

layolis fe 1

leena 1

lessina 1

levonest 1

levonorgest-eth est & eth est

1

levonorgest-eth estrad 91-day

1

levonorgestrel-ethinyl estrad

1

levonorg-eth estrad triphasic

1

levora 0.15/30 (28) 1

lillow 1

LO LOESTRIN FE 3

LOESTRIN 1.5/30 (21) 3

LOESTRIN 1/20 (21) 3

LOESTRIN FE 1.5/30 3

LOESTRIN FE 1/20 3

lojaimiess 1

lopreeza 1


loryna 1

LOSEASONIQUE 3

low-ogestrel 1

lo-zumandimine 1

lutera 1

marlissa 1

melodetta 24 fe 1

MENEST 2

MENOSTAR 3

mibelas 24 fe 1

microgestin 1.5/30 1

microgestin 1/20 1

microgestin fe 1.5/30 1

microgestin fe 1/20 1

mili 1

mimvey 1

MINASTRIN 24 FE 3

MINIVELLE 3

MIRCETTE 3

mono-linyah 1

NATAZIA 2

necon 0.5/35 (28) 1

nikki 1

norethin ace-eth estrad-fe

1

norethindrone acet-ethinyl est

1

norethindrone-eth estradiol

1

norethin-eth estradiol-fe 1

norgestimate-eth estradiol

1

norgestimate-ethinyl estradiol triphasic

1

nortrel 0.5/35 (28) 1

nortrel 1/35 (21) 1

nortrel 1/35 (28) 1

nortrel 7/7/7 1


57


NUVARING 3

ocella 1

orsythia 1

philith 1

pimtrea 1

pirmella 1/35 1

pirmella 7/7/7 1

portia-28 1

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem 1

QUARTETTE 3

reclipsen 1

rivelsa 1

SAFYRAL 3

SEASONIQUE 3

setlakin 1

simliya 1

simpesse 1

sprintec 28 1

sronyx 1

syeda 1

tarina 24 fe 1

tarina fe 1/20 1

tarina fe 1/20 eq 1

TAYTULLA 3

tilia fe 1

tri femynor 1

tri-estarylla 1

tri-legest fe 1

tri-linyah 1

tri-lo-estarylla 1

tri-lo-marzia 1

tri-lo-mili 1


tri-lo-sprintec 1

tri-mili 1

tri-previfem 1

tri-sprintec 1

trivora (28) 1

tri-vylibra 1

tri-vylibra lo 1

tydemy 1

VAGIFEM 3

velivet 1

vienva 1

viorele 1

VIVELLE-DOT 3

volnea 1

vyfemla 1

vylibra 1

wera 1

wymzya fe 1

xulane 1

YASMIN 28 3

YAZ 3

yuvafem 1

zarah 1

zovia 1/35e (28) 1

zumandimine 1

Progestins - Hormone Replacement/Modifying Drugs

AYGESTIN 3

camila 1

CRINONE VAGINAL GEL 4 %

3

deblitane 1

DEPO-PROVERA INTRAMUSCULAR SUSPENSION 150 MG/ML

3


58


DEPO-PROVERA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

3

DEPO-SUBQ PROVERA 104

3

ELLA 3

errin 1

heather 1

incassia 1

jencycla 1

levonorgestrel 1

lyza 1

medroxyprogesterone acetate intramuscular

1

medroxyprogesterone acetate oral

1

megestrol acetate oral suspension 40 mg/ml, 625 mg/5ml

1

megestrol acetate oral tablet

1

nora-be 1

norethindrone acetate oral

1

norethindrone oral 1

norlyda 1

norlyroc 1

ORTHO MICRONOR 3

PLAN B ONE-STEP 3

progesterone intramuscular

1

progesterone micronized oral

1

PROMETRIUM 3

PROVERA 3

sharobel 1

SLYND 3

tulana 1


Selective Estrogen Receptor Modifying Agents - Hormone Replacement/Modifying Drugs

EVISTA 3

OSPHENA 3

raloxifene hcl 1

Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid) - Drugs to Replace Thyroid Hormones

Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid) - Thyroid Replacement Drugs

ARMOUR THYROID 3

CYTOMEL 3

euthyrox 1

levo-t 1

levothyroxine sodium oral

1

levoxyl 1

liothyronine sodium oral 1

NATURE-THROID 3

np thyroid 1

SYNTHROID 3

TIROSINT 3

TIROSINT-SOL 3

unithroid 1

WESTHROID 3

WP THYROID 3


59


Hormonal Agents, Suppressant (Adrenal) - Drugs to Regulate Hormones

Hormonal Agents, Suppressant (Adrenal) - Hormone Suppressants

ISTURISA 3 SP

LYSODREN 2

Hormonal Agents, Suppressant (Pituitary) - Drugs to Regulate Hormones

Hormonal Agents, Suppressant (Pituitary) - Hormone Suppressants

BYNFEZIA PEN 3 SP

cabergoline 1

EGRIFTA 3 SP

EGRIFTA SV 3 SP

ELIGARD 3 SP

FIRMAGON 3 SP

FIRMAGON (240 MG DOSE)

3 SP

leuprolide acetate injection

1 SP

octreotide acetate 1 SP

ORIAHNN 3

ORILISSA 2

SANDOSTATIN 3 SP

SIGNIFOR 3 SP

SOMATULINE DEPOT 3 SP

SOMAVERT 3 SP

SYNAREL 2


Hormonal Agents, Suppressant (Thyroid) - Drugs to Suppress Thyroid Hormones

Antithyroid Agents - Thyroid Suppressing Drugs

methimazole oral 1

propylthiouracil oral 1

TAPAZOLE 3

Immunological Agents - Drugs that Stimulate or Suppress the Immune System

Angioedema Agents - Drugs to Treat Swelling Underneath the Skin

BERINERT 3 SP

CINRYZE 3 SP

FIRAZYR 3 SP

HAEGARDA 3 SP

icatibant acetate 1 SP

RUCONEST 3 SP

TAKHZYRO 3 SP

Immune Suppressants - Immune System Drugs

ASTAGRAF XL 3 SP

AZASAN 3

azathioprine oral 1

CELLCEPT 3 SP

CIMZIA PREFILLED KIT

2 SP

CIMZIA STARTER KIT 2 SP

cyclosporine modified 1 SP

cyclosporine oral 1 SP

ENBREL 3 SP


60


ENBREL MINI 3 SP

ENBREL SURECLICK 3 SP

ENVARSUS XR 3 SP

everolimus oral tablet 0.25 mg, 0.5 mg, 0.75 mg

1 SP

gengraf 1 SP

HUMIRA 2 SP

HUMIRA PEDIATRIC CROHNS START

2 SP

HUMIRA PEN 2 SP

HUMIRA PEN-CD/UC/HS STARTER

2 SP

HUMIRA PEN-PS/UV/ADOL HS START

2 SP

IMURAN 3

KINERET 3 SP

methotrexate oral 1

methotrexate sodium 1

methotrexate sodium (pf)

1

mycophenolate mofetil 1 SP

mycophenolate sodium 1 SP

MYFORTIC 3 SP

NEORAL 3 SP

OLUMIANT 3 SP

ORENCIA CLICKJECT 3 SP

ORENCIA SUBCUTANEOUS

3 SP

OTREXUP 3

PROGRAF ORAL 3 SP

RAPAMUNE 3 SP

RASUVO 2

SANDIMMUNE ORAL CAPSULE

3 SP

SANDIMMUNE ORAL SOLUTION

2 SP

SIMPONI 2 SP


sirolimus oral 1 SP

SKYRIZI (150 MG DOSE)

2 SP

STELARA SUBCUTANEOUS

2 SP

tacrolimus oral 1 SP

TREXALL 3

XATMEP 3

XELJANZ 2 SP

XELJANZ XR 2 SP

ZORTRESS 3 SP

Immunomodulators - Immune System Drugs

ACTEMRA ACTPEN 3 SP

ACTEMRA SUBCUTANEOUS

3 SP

ACTIMMUNE 2 SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 SP

BENLYSTA SUBCUTANEOUS

3 SP

KEVZARA 3 SP

leflunomide oral 1

OTEZLA 2 SP

RIDAURA 3 SP

RINVOQ 2 SP

Inflammatory Bowel Disease Agents - Drugs to Treat Inflammatory Bowel Disease

Aminosalicylates - Inflammatory Bowel Disease Drugs

APRISO 2

ASACOL HD 3

balsalazide disodium 1

CANASA 3


61


COLAZAL 3

DELZICOL 3

DIPENTUM 3

LIALDA 3

mesalamine er 1

mesalamine oral 1

mesalamine rectal 1

mesalamine-cleanser 1

PENTASA 3

ROWASA 3

SFROWASA 2

Glucocorticoids - Drugs to Treat Inflammation

ANALPRAM HC 3

ANALPRAM HC SINGLES

3

ANALPRAM-HC 3

ANUSOL-HC EXTERNAL

3

budesonide er 1

budesonide oral 1

colocort 1

CORTENEMA 3

CORTIFOAM 3

ENTOCORT EC 3

hydrocortisone (perianal)

1

hydrocortisone ace-pramoxine external cream 1-1 %

1

hydrocortisone rectal 1

hydrocort-pramoxine (perianal)

1

PROCORT 3

PROCTOCORT EXTERNAL

3

PROCTOFOAM HC 2

procto-med hc 1


procto-pak 1

proctosol hc 1

proctozone-hc 1

UCERIS 3

Sulfonamides - Antibiotics

AZULFIDINE 3

AZULFIDINE EN-TABS 3

sulfasalazine oral 1

Metabolic Bone Disease Agents - Drugs to Treat Bone Conditions

Metabolic Bone Disease Agents - Osteoporosis (Bone Loss) Drugs

ACTONEL 3

alendronate sodium 1

ATELVIA 3

BINOSTO 3

BONIVA ORAL 3

calcitonin (salmon) 1

cinacalcet hcl 1

FORTEO 2 SP

FOSAMAX 3

FOSAMAX PLUS D 3

ibandronate sodium oral

1

MIACALCIN INJECTION

3

RAYALDEE 3

risedronate sodium 1

SENSIPAR 3

TERIPARATIDE (RECOMBINANT)

3 SP

TYMLOS 2 SP


62


Metabolic Bone Disease Agents - Other

calcitriol oral 1

doxercalciferol oral 1

NATPARA 3 SP

paricalcitol oral 1

ROCALTROL 3

ZEMPLAR ORAL 3

Miscellaneous Therapeutic Agents

ACCU-CHEK AVIVA 3

ACCU-CHEK AVIVA CONNECT KIT W/DEVICE

2

ACCU-CHEK AVIVA PLUS

2

ACCU-CHEK COMPACT PLUS CARE KIT

2

ACCU-CHEK COMPACT PLUS CONTROL

3

ACCU-CHEK COMPACT PLUS TEST STRIPS

2

ACCU-CHEK FASTCLIX LANCET KIT

2

ACCU-CHEK GUIDE 2

ACCU-CHEK GUIDE CONTROL

3

ACCU-CHEK MULTICLIX LANCET DEVICE KIT

2

ACCU-CHEK NANO SMARTVIEW KIT W/DEVICE

2

ACCU-CHEK SMARTVIEW CONTROL

3


ACCU-CHEK SMARTVIEW TEST STRIPS

2

ACCU-CHEK SOFTCLIX LANCET DEVICE KIT

2

ACCU-CHEK TENDER 1 INFUSION

3

AJOVY SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

3

ALCOHOL PREP PADS PAD

3

ALCOHOL PREP PADS PAD 70 %

3

aminoamrms 1

aminoreliefrms 1

APPTRIM 3

APPTRIM-D 3

AUTOLET II CLINISAFE

3

AUTOLET LANCING DEVICE

3

AVAILNEX 3

AXONA 3

BOTOX COSMETIC 3 SP

CAMINO PRO COMPLETE/GLYTACTIN

3

CARDIOVID PLUS 3

CARETOUCH CONTROL SOL LEVEL 2

3

CARETOUCH LANCING/EJECTOR

3

CARETOUCH TEST 3

CAYA 3

CEQUR SIMPLICITY 2U

3

CHEMSTRIP UGK 3


63


co q-10 oral capsule 200 mg

1

CONTOUR CONTROL 3

CONTOUR NEXT CONTROL

3

CONTOUR NEXT MONITOR

3

CONTOUR NEXT TEST

3

CONTOUR TEST 3

CORTROSYN 3

cosyntropin 1

DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC)

2

DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC) DEVICE

2

EASIVENT 2

EASYMAX 15 LEVEL 2-3 CONTROL

3

EASYMAX CONTROL 3

EASYMAX CONTROL NORMAL/HIGH

3

EC-RX DHEA 3

ENLITE GLUCOSE SENSOR

3

ENTERAGAM 3

ergoloid mesylates oral 1

FIRDAPSE 3 SP

FLEXICHAMBER ADULT MASK/SMALL

2

FLEXICHAMBER CHILD MASK/LARGE

2


FLEXICHAMBER CHILD MASK/SMALL

2

FORANE 3

FORTISCARE CONTROL

3

FORTISCARE GLUCOSE SYSTEM DEVICE

3

FORTISCARE T1 GLUCOSE SYSTEM

3

FOVEX 3

FREESTYLE LIBRE 14 DAY READER

2

FREESTYLE LIBRE 14 DAY SENSOR

2

FREESTYLE LIBRE READER

2

FREESTYLE LIBRE SENSOR SYSTEM

2

FREESTYLE PRECISION NEO TEST

3

GABADONE 3

GLYTACTIN COMPLETE 10PE

3

GUARDIAN CONNECT TRANSMITTER

3

GUARDIAN LINK 3 TRANSMITTER

3

GUARDIAN REAL-TIME SYSTEM

3

GUARDIAN SENSOR (3)

3

heparin lock flush intravenous solution 10 unit/ml

1

heparin sodium lock flush

1

HUMATROPEN FOR 12MG

3

HUMATROPEN FOR 24MG

3


64


HUMATROPEN FOR 6MG

3

HYPERTENSA 3

INBRIJA 3 SP

INSPIREASE RESERVOIR BAGS

2

INSULIN PEN NEEDLES 29G X 12.7MM , 29G X 12MM , 29G X 5MM , 29G X 8MM , 31G X 5 MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM , 33G X 4 MM

2

INSULIN SYRINGES 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 15/64" 0.3 ML, 31G X 15/64" 0.5 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML

2

IODINE STRONG ORAL

3

isoflurane 1

JIVI 3 SP

KETONE TEST 3

KETOSTIX 3

LANCETS 2

L-CYSTINE 3

LIMBREL 3

LIMBREL250 3

LIMBREL500 3

LISTER-V 3


MAXICOMFORT SYR 27G X 1/2"

2

methergine 1

methylergonovine maleate oral

1

MICRODOT TEST 3

MICROLET NEXT LANCING DEVICE

3

NEUREPA 3

NORDIPEN 5 INJECTION DEVICE

3

NOVOEIGHT 3 SP

NOVOFINE AUTOCOVER PEN NEEDLE

2

NOVOFINE PEN NEEDLE

2

NOVOFINE PLUS PEN NEEDLE

2

NOVOPEN ECHO 3

NOVOTWIST PEN NEEDLE

2

ONETOUCH DELICA LANCING DEV

3

ONETOUCH DELICA PLUS LANCING

3

ONETOUCH ULTRA 2 2

ONETOUCH ULTRA BLUE TEST STRIPS IN VITRO STRIP

2

ONETOUCH ULTRA MINI

2

ONETOUCH VERIO 2

ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE

2

ONETOUCH VERIO IN VITRO SOLUTION HIGH

3

ONETOUCH VERIO IN VITRO STRIP

2


65


ONETOUCH VERIO IQ SYSTEM

2

ONETOUCH VERIO REFLECT KIT W/DEVICE

2

ONETOUCH VERIO REFLECT KIT W/DEVICE

3

ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE

2

PALFORZIA (12 MG DAILY DOSE)

3 SP


3 SP


3 SP


3 SP


3 SP


3 SP


3 SP

PALFORZIA (300 MG MAINTENANCE)

3 SP

PALFORZIA (300 MG TITRATION)

3 SP


3 SP


3 SP


3 SP

PALFORZIA INITIAL ESCALATION

3 SP

PARADIGM REAL-TIME STARTER

3

PERCURA 3

PRECISION LINK 3


PRECISION PCX PLUS TEST

3

PRECISION QID MONITOR

3

PRECISION QID TEST 3

PRECISION SOF-TACT MONITOR

3

PRECISION SOF-TACT TEST

3

PRECISION XTRA BLOOD GLUCOSE

3

PRECISION XTRA DEVICE

3

PRECISION XTRA KETONE

3

PRECISION XTRA KIT 3

PRECISION XTRA MONITOR

3

PROMACTIN AA PLUS 20PE

3

PULMONA 3

RADIOGARDASE 3

RELION BLOOD GLUCOSE TEST

3

RELION ULTIMA TEST 3

RUZURGI 3 SP

SENTRA AM 3

SENTRA PM 3

sevoflurane 1

SHARPS CONTAINER 3

SOF-SENSOR 3

SSKI 3

SURESTEP PRO HIGH GLUCOSE

3

SURESTEP PRO LOW GLUCOSE

3

SURESTEP PRO NORMAL GLUCOSE

3

terrell 1

THERAMINE 3


66


THERAMINE PLUS 3

TL-ICARE 3

TRUE METRIX BLOOD GLUCOSE TEST

3

TRUE METRIX LEVEL 1

3

TRUE METRIX LEVEL 2

3

TRUE METRIX LEVEL 3

3

TRUE METRIX PRO BLOOD GLUCOSE

3

TRUETRACK TEST 3

TRYPTOPHAN ORAL 3

ULTANE 3

UNISTRIP CONTROL IN VITRO SOLUTION LOW

3

VISTOGARD 3

WIDE-SEAL DIAPHRAGM 60

3


3


3


3


3


3


3


3


Ophthalmic Agents - Drugs to Treat Eye Conditions

Ophthalmic Agents, Other - Miscellaneous Eye Drugs

ak-poly-bac 1

AKTEN 3

ALCAINE 3

altacaine 1

altafrin 1

atropine sulfate ophthalmic ointment

1

bacitracin-polymyxin b ophthalmic

1

bacitra-neomycin-polymyxin-hc

1

bimatoprost external 1

BLEPHAMIDE 3

BLEPHAMIDE S.O.P. 3

CEQUA 3

CYCLOGYL 3

cyclopentolate hcl ophthalmic

1

CYSTARAN 3 SP

GELFILM OPHTHALMIC

3

homatropaire 1

HYPOCYN 3

LACRISERT 3

LASTACAFT 3

LATISSE 3

MAXITROL 3

neomycin-bacitracin zn-polymyx

1

neomycin-polymyxin-dexameth ophthalmic ointment

1


67


neomycin-polymyxin-dexameth ophthalmic suspension 3.5-10000-0.1

1

neomycin-polymyxin-gramicidin

1

neomycin-polymyxin-hc ophthalmic

1

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 SP

phenylephrine hcl ophthalmic

1

PHOTREXA-PHOTREXA VISCOUS KIT

3

polycin 1

polymyxin b-trimethoprim

1

POLYTRIM 3

PRED-G 3

PRED-G S.O.P. 3

proparacaine hcl ophthalmic

1

RESTASIS 2

RESTASIS MULTIDOSE

2

RHOPRESSA 2

ROCKLATAN 2

sulfacetamide-prednisolone ophthalmic solution

1

tetracaine hcl ophthalmic

1

TOBRADEX 3

TOBRADEX ST 3

tobramycin-dexamethasone

1

XIIDRA 2

ZYLET 3


Ophthalmic Anti-allergy Agents - Allergy, Infection and Inflammation Drugs

ALOCRIL 3

ALOMIDE 3

azelastine hcl ophthalmic

1

BEPREVE 3

cromolyn sodium ophthalmic

1

CYCLOMYDRIL 3

epinastine hcl 1

olopatadine hcl ophthalmic

1

PAZEO 2

ZERVIATE 3

Ophthalmic Antibiotics - Drugs to treat Eye Infections

AZASITE 3

bacitracin ophthalmic 1

BESIVANCE 3

CILOXAN 3

ciprofloxacin hcl ophthalmic

1

erythromycin ophthalmic

1

gatifloxacin ophthalmic 1

gentak 1

gentamicin sulfate ophthalmic

1

levofloxacin ophthalmic 1

OCUFLOX 3

ofloxacin ophthalmic 1

tobramycin ophthalmic 1

TOBREX 3

ZYMAXID 3


68


Ophthalmic Antiglaucoma Agents - Glaucoma Drugs

acetazolamide er 1

acetazolamide oral 1

ALPHAGAN P 2

apraclonidine hcl 1

AZOPT 2

betaxolol hcl ophthalmic

1

BETIMOL 3

BETOPTIC-S 3

brimonidine tartrate ophthalmic

1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

COSOPT PF 3

DORZOLAMIDE HCL SOLUTION 2 % OPHTHALMIC

3

dorzolamide hcl solution 2 % ophthalmic

1

dorzolamide hcl-timolol mal

1

dorzolamide hcl-timolol mal pf

1

IOPIDINE 3

ISOPTO CARPINE 3

ISTALOL 3

levobunolol hcl 1

PHOSPHOLINE IODIDE

2

pilocarpine hcl ophthalmic

1

SIMBRINZA 2

timolol maleate ophthalmic

1

TIMOPTIC 3

TIMOPTIC OCUDOSE 3


TIMOPTIC-XE 3

TRUSOPT 3

Ophthalmic Anti-Inflammatories - Allergy, Infection and Inflammation Drugs

ACULAR 3

ACULAR LS 3

ACUVAIL 3

ALREX 3

bromfenac sodium (once-daily)

1

BROMSITE 3

dexamethasone sodium phosphate ophthalmic

1

DEXTENZA 3 SP

diclofenac sodium ophthalmic

1

DUREZOL 3

FLAREX 3

fluorometholone 1

flurbiprofen sodium 1

FML 2

FML FORTE 3

FML LIQUIFILM 3

ILEVRO 3

INVELTYS 3

ketorolac tromethamine ophthalmic

1

LOTEMAX 3

LOTEMAX SM 3

loteprednol etabonate 1

MAXIDEX 3

MITOSOL 3

NEVANAC 3

PRED FORTE 3

PRED MILD 3


69


prednisolone acetate ophthalmic

1

prednisolone sodium phosphate ophthalmic

1

PROLENSA 2

Ophthalmic Prostaglandin and Prostamide Analogs - Glaucoma Drugs

bimatoprost ophthalmic 1

latanoprost ophthalmic 1

LUMIGAN 2

TRAVATAN Z 3

travoprost (bak free) 1

VYZULTA 3

XALATAN 3

XELPROS 3

ZIOPTAN 3

Otic Agents - Drugs to Treat Ear Conditions

CETRAXAL 3

ciprofloxacin hcl otic 1

CIPROFLOXACIN-FLUOCINOLONE PF

3

ofloxacin otic 1

OTOVEL 3

Otic Agents - Drugs for the Ear

acetic acid otic 1

CIPRO HC 3

CIPRODEX 2

cortic-nd 1

DERMOTIC 3

exotic-hc 1

flac 1

fluocinolone acetonide otic

1


hydrocortisone-acetic acid

1

neomycin-polymyxin-hc otic

1

OTICIN HC NR 3

PRAMOTIC 3

Respiratory Tract Agents

Respiratory Tract Agents, Other

DUAKLIR PRESSAIR 3

Respiratory Tract/Pulmonary Agents - Drugs to Treat Allergies, Cough, Cold and Lung Conditions

Antihistamines - Drugs to Treat Allergies

azelastine hcl nasal 1

brompheniramine tannate

1

carbinoxamine maleate 1

CLARINEX 3

clemastine fumarate oral tablet 2.68 mg

1

cyproheptadine hcl oral 1

desloratadine oral tablet

1

desloratadine oral tablet dispersible 5 mg

1

dexchlorpheniramine maleate oral

1

diphen oral elixir 1

diphenhydramine hcl oral elixir

1

hydroxyzine pamoate oral

1

KARBINAL ER 3


70


levocetirizine dihydrochloride oral

1

olopatadine hcl nasal 1

PATANASE 3

promethazine hcl oral 1

promethazine hcl rectal 1

promethegan 1

RYCLORA 3

ryvent 1

VISTARIL 3

Anti-Inflammatories, Inhaled Corticosteroids - Asthma/Lung Drugs

ALVESCO 3

ARNUITY ELLIPTA 2

ASMANEX (120 METERED DOSES)

3


3


3


3


3

ASMANEX HFA 3

BECONASE AQ 3

budesonide inhalation 1

FLOVENT DISKUS 2

FLOVENT HFA 2

flunisolide nasal 1

fluticasone propionate nasal

1

mometasone furoate nasal

1

NASONEX 2

OMNARIS 3

PULMICORT FLEXHALER

2


PULMICORT SUSPENSION

3

QNASL 3

QNASL CHILDRENS 3

QVAR REDIHALER 2

XHANCE 3

ZETONNA 3

Antileukotrienes - Asthma/Lung Drugs

ACCOLATE 3

montelukast sodium oral

1

SINGULAIR 3

zafirlukast 1

zileuton er 1

ZYFLO 3

Bronchodilators, Anticholinergic - Asthma/Lung Drugs

ATROVENT HFA 3

INCRUSE ELLIPTA 2

ipratropium bromide inhalation

1

ipratropium bromide nasal

1

LONHALA MAGNAIR REFILL KIT

3

LONHALA MAGNAIR STARTER KIT

3

SEEBRI NEOHALER 3

SPIRIVA HANDIHALER

2

SPIRIVA RESPIMAT 2

TUDORZA PRESSAIR 3

YUPELRI 3

Bronchodilators, Sympathomimetic - Asthma/Lung Drugs

albuterol sulfate er 1


71


albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act inhalation

1

ALBUTEROL SULFATE HFA AEROSOL SOLUTION 108 (90 BASE) MCG/ACT INHALATION

3

albuterol sulfate inhalation

1

albuterol sulfate oral 1

ARCAPTA NEOHALER 3

BROVANA 3

levalbuterol hcl inhalation

1

LEVALBUTEROL HFA INHALATION AEROSOL 45 MCG/ACT

3

metaproterenol sulfate oral

1

PERFOROMIST 3

PROAIR DIGIHALER 3

PROAIR HFA 2

PROAIR RESPICLICK 2

PROVENTIL HFA 3

SEREVENT DISKUS 2

STRIVERDI RESPIMAT

3

terbutaline sulfate oral 1

VENTOLIN HFA 2

XOPENEX 3

XOPENEX CONCENTRATE

3

XOPENEX HFA 3

Cystic Fibrosis Agents - Drugs to treat Cystic Fibrosis

BETHKIS 2 SP


CAYSTON 3 SP

KALYDECO 3 SP

KITABIS PAK 3 SP

ORKAMBI 3 SP

SYMDEKO 3 SP

TOBI NEBULIZER 3 SP

TOBI PODHALER 3 SP

tobramycin nebulization solution 300 mg/5ml inhalation

1 SP

TOBRAMYCIN NEBULIZATION SOLUTION 300 MG/5ML INHALATION

3 SP

TRIKAFTA 3 SP

Mast Cell Stabilizers - Drugs for the Lungs

cromolyn sodium inhalation

1

Phosphodiesterase Inhibitors, Airways Disease - Drugs for the Lungs

DALIRESP 3

difil-g forte 1

ELIXOPHYLLIN 2

THEO-24 3

theophylline 1

theophylline er 1

Pulmonary Antihypertensives - Asthma/Lung Drugs

ADCIRCA 3 SP

ADEMPAS 2 SP

alyq 1 SP

ambrisentan 1 SP

bosentan 1 SP

LETAIRIS 3 SP

OPSUMIT 2 SP

ORENITRAM 3 SP


72


REVATIO ORAL 3 SP

sildenafil citrate oral suspension reconstituted

1 SP

sildenafil citrate oral tablet 20 mg

1 SP

tadalafil (pah) 1 SP

TRACLEER 3 SP

TYVASO 3 SP

TYVASO REFILL 3 SP

TYVASO STARTER 3 SP

UPTRAVI 3 SP

VENTAVIS 3 SP

Pulmonary Fibrosis Agents - Drugs to treat Pulmonary Fibrosis

ESBRIET 3 SP

OFEV 3 SP

Respiratory Tract Agents, Other - Asthma/Lung Drugs

acetylcysteine inhalation

1

ADRENALIN NASAL 3

ADVAIR DISKUS 2

ADVAIR HFA 2

AIRDUO RESPICLICK 113/14

3


3


3

ANORO ELLIPTA 2

azelastine-fluticasone 1

benzonatate 1

BEVESPI AEROSPHERE

3

BREO ELLIPTA 2

bromfed dm 1


BUDESONIDE-FORMOTEROL FUMARATE

3

CLARINEX-D 12 HOUR

3

COMBIVENT RESPIMAT

2

DULERA 3

DYMISTA 2

FASENRA PEN 2 SP

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

1

FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 MCG/ACT, 55-14 MCG/ACT

1

GILPHEX TR 3

GILTUSS TR 3

GRASTEK 3

hydrocodone polst-cpm polst er

1

hydrocodone-homatropine

1

hydromet 1

HYPERSAL 3

ipratropium-albuterol 1

nebusal inhalation nebulization solution 3 %

1

NEBUSAL INHALATION NEBULIZATION SOLUTION 6 %

3

NEOTUSS PLUS 3


73


NUCALA SUBCUTANEOUS SOLUTION AUTO-INJECTOR

2 SP

NUCALA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 SP

ODACTRA 3

ORALAIR 3

ORALAIR ADULT SAMPLE KIT

3

ORALAIR ADULT STARTER PACK

3

ORALAIR CHILDRENS SAMPLE KIT

3

ORALAIR CHILDRENS STARTER PACK

3

promethazine-codeine 1

promethazine-dm 1

promethazine-phenyleph-codeine

1

promethazine-phenylephrine

1

pseudoephedrine-bromphen-dm

1

pulmosal 1

PULMOZYME 2 SP

RAGWITEK 3

ribavirin inhalation 1

SEMPREX-D 3

sodium chloride inhalation

1

STIOLTO RESPIMAT 2

SYMBICORT 2

TESSALON PERLES 3

TRELEGY ELLIPTA 2

TUSSICAPS 3

TUXARIN ER 3

TUZISTRA XR 3


UTIBRON NEOHALER 3

VIRAZOLE 3

wixela inhub 1

Skeletal Muscle Relaxants - Drugs to Treat Muscle Tension and Spasm

Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm

AMRIX 3

baclofen oral 1

carisoprodol oral 1

carisoprodol-aspirin 1

chlorzoxazone 1

cyclobenzaprine hcl er 1

cyclobenzaprine hcl oral

1

DANTRIUM ORAL 3

dantrolene sodium oral 1

FEXMID 3

LORZONE 3

metaxalone 1

methocarbamol oral 1

NORGESIC FORTE 3

orphenadrine citrate er 1

OZOBAX 3

ROBAXIN-750 3

SKELAXIN 3

SOMA 3

tizanidine hcl oral 1

VANADOM 3

ZANAFLEX 3


74


Sleep Disorder Agents - Drugs for Sedation and Sleep

GABA Receptor Modulators - Drugs for Sleeping

AMBIEN 3

AMBIEN CR 3

EDLUAR 3

eszopiclone 1

flurazepam hcl 1

INTERMEZZO 3

LUNESTA 3

RESTORIL ORAL CAPSULE 15 MG, 30 MG, 7.5 MG

3

temazepam oral capsule 15 mg, 30 mg, 7.5 mg

1

zaleplon 1

zolpidem tartrate 1

zolpidem tartrate er 1

ZOLPIMIST 3

Sleep Disorders, Other - Drugs for Sleeping

armodafinil 1

BELSOMRA 3

DAYVIGO 3

doxepin hcl oral tablet 1

HETLIOZ 3 SP

modafinil 1

NUVIGIL 3

PROVIGIL 3

ramelteon 1

ROZEREM 3

SECONAL 3

SILENOR 3

SUNOSI 2


WAKIX 3 SP

XYREM 3 SP


75


76

Index of Drugs

3232a infant formula................. 49abacavir sulfate.........................29abacavir sulfate-lamivudine...... 29abacavir-lamivudine-zidovudine.................................29ABILIFY.....................................27abiraterone acetate................... 22ABSORICA............................... 42ABSORICA LD..........................42ABSTRAL..................................11ACANYA................................... 42acarbose................................... 30ACCOLATE...............................71ACCU-CHEK AVIVA................. 63ACCU-CHEK AVIVA CONNECT KIT W/DEVICE.......63ACCU-CHEK AVIVA PLUS.......63ACCU-CHEK COMPACT PLUS CARE KIT....................... 63ACCU-CHEK COMPACT PLUS CONTROL...................... 63ACCU-CHEK COMPACT PLUS TEST STRIPS................ 63ACCU-CHEK FASTCLIX LANCET KIT............................. 63ACCU-CHEK GUIDE................ 63ACCU-CHEK GUIDE CONTROL................................ 63ACCU-CHEK MULTICLIX LANCET DEVICE KIT...............63ACCU-CHEK NANO SMARTVIEW KIT W/DEVICE...63ACCU-CHEK SMARTVIEW CONTROL................................ 63ACCU-CHEK SMARTVIEW TEST STRIPS...........................63ACCU-CHEK SOFTCLIX LANCET DEVICE KIT...............63ACCU-CHEK TENDER 1 INFUSION.................................63ACCUPRIL................................35ACCURETIC............................. 37ACD-A NOCLOT-50..................33acebutolol hcl............................ 36acetaminophen-codeine............11acetaminophen-codeine #2.......11acetaminophen-codeine #3.......11acetaminophen-codeine #4.......11acetazolamide...........................69acetazolamide er.......................69acetic acid................................. 70acetylcysteine........................... 73ACIPHEX.................................. 51

ACIPHEX SPRINKLE............... 51acitretin..................................... 42ACTEMRA................................ 61ACTEMRA ACTPEN.................61ACTHAR................................... 53ACTICLATE.............................. 15ACTIGALL.................................50ACTIMMUNE............................ 61ACTIQ....................................... 11ACTIVELLA...............................55ACTONEL................................. 62ACTOPLUS MET...................... 30ACTOS......................................30ACULAR................................... 69ACULAR LS.............................. 69ACUVAIL...................................69acyclovir.................................... 28ACZONE................................... 42ADALAT CC..............................36ADAPALENE............................ 42adapalene-benzoyl peroxide.....42ADASUVE.................................27ADCIRCA..................................72ADDERALL............................... 40ADDERALL XR......................... 40adefovir dipivoxil ....................... 27ADEMPAS................................ 72ADHANSIA XR..........................40ADLYXIN...................................30ADLYXIN STARTER PACK...... 30ADMELOG................................ 32ADMELOG SOLOSTAR........... 32ADRENALIN............................. 73ADVAIR DISKUS...................... 73ADVAIR HFA............................ 73ADVATE....................................34ADYNOVATE............................34ADZENYS ER........................... 40ADZENYS XR-ODT.................. 40AEMCOLO................................ 13AFINITOR................................. 24AFINITOR DISPERZ.................24afirmelle.................................... 55AFREZZA..................................32AFSTYLA.................................. 34AGGRENOX............................. 34AGRYLIN.................................. 33AIMOVIG...................................21AIRDUO RESPICLICK 113/14..73AIRDUO RESPICLICK 232/14..73AIRDUO RESPICLICK 55/14....73AJOVY................................ 21, 63AKLIEF......................................42

ak-poly-bac............................... 67AKTEN...................................... 67AKYNZEO.................................19ALA SCALP.............................. 42ala-cort...................................... 42albendazole...............................25ALBENZA..................................25albuterol sulfate.........................72albuterol sulfate er.................... 71albuterol sulfate hfa...................72ALBUTEROL SULFATE HFA... 72ALCAINE...................................67alclometasone dipropionate...... 42ALCOHOL PREP PADS..... 13, 63ALDACTAZIDE......................... 37ALDACTONE............................ 38ALDARA....................................42ALECENSA...............................24alendronate sodium.................. 62ALEVAMAX...............................42ALFERON N............................. 61alfuzosin hcl er.......................... 53ALINIA.......................................25aliskiren fumarate......................37ALKERAN................................. 22allopurinol..................................20ALLZITAL....................................9almotriptan malate.................... 21ALOCRIL...................................68ALOGLIPTIN BENZOATE........ 31ALOGLIPTIN-METFORMIN HCL...........................................31ALOGLIPTIN-PIOGLITAZONE. 31ALOMIDE..................................68ALORA......................................55alosetron hcl..............................51ALPHAGAN P........................... 69ALPHANATE/VWF COMPLEX/HUMAN.................. 34ALPHANINE SD........................34alprazolam................................ 30alprazolam er............................ 30alprazolam intensol................... 30alprazolam xr............................ 30ALPROLIX................................ 34ALREX...................................... 69ALTABAX..................................13altacaine....................................67ALTACE.................................... 35altafrin....................................... 67altavera..................................... 55ALTOPREV...............................39ALTRENO................................. 42

77

ALUNBRIG................................24ALVESCO................................. 71alyacen 1/35..............................55alyacen 7/7/7.............................55alyq........................................... 72amabelz.................................... 55amantadine hcl..........................26AMARYL................................... 31AMBIEN.................................... 75AMBIEN CR.............................. 75ambrisentan.............................. 72amcinonide................................42AMELUZ................................... 42AMERGE.................................. 21amethia..................................... 55amethia lo................................. 55amethyst................................... 55AMICAR.................................... 34amiloride hcl..............................38amiloride-hydrochlorothiazide... 37aminoamrms............................. 63aminobenzoate potassium........ 49aminocaproic acid..................... 34aminoreliefrms.......................... 63amiodarone hcl......................... 35AMITIZA....................................51amitriptyline hcl......................... 18amlodipine besylate.................. 36amlodipine besylate-benazepril hcl............................................. 37amlodipine besylate-valsartan.. 37amlodipine-atorvastatin.............37amlodipine-olmesartan..............37amlodipine-valsartan-hctz......... 37amnesteem............................... 42amoxapine................................ 18amoxicill-clarithro-lansopraz..... 50amoxicillin................................. 14amoxicillin-potassium clavulanate................................14amoxicillin-potassium clavulanate er............................14AMPHETAMINE ER..................40amphetamine sulfate.................40amphetamine-dextroamphetamine.................. 40amphetamine-dextroamphetamine er.............. 40ampicillin................................... 14AMPYRA...................................41AMRIX.......................................74AMZEEQ...................................42ANADROL-50........................... 55

ANAFRANIL..............................18anagrelide hcl............................33ANALPRAM HC........................ 62ANALPRAM HC SINGLES....... 62ANALPRAM-HC........................62ANASPAZ................................. 50anastrozole............................... 23ANCOBON................................19ANDRODERM.......................... 55ANDROGEL..............................55ANDROGEL PUMP.................. 55ANGELIQ.................................. 55ANNOVERA..............................55ANORO ELLIPTA..................... 73ANTARA................................... 39anticoagulant cit dext soln a......33ANTICOAGULANT SODIUM CITRATE...................................33anucort-hc................................. 21ANUSOL-HC.......................21, 62ANZEMET.................................19APADAZ....................................11apap-caff-dihydrocodeine......... 11APEXICON E............................ 42APIDRA SOLOSTAR................ 32APIDRA VIAL............................32APLENZIN................................ 17APOKYN................................... 26APPTRIM.................................. 63APPTRIM-D.............................. 63apraclonidine hcl....................... 69aprepitant.................................. 19apri............................................ 55APRISO.................................... 61APTENSIO XR..........................40APTIOM.................................... 17APTIVUS...................................29ARAKODA................................ 25aranelle..................................... 55ARANESP (ALBUMIN FREE)...33ARAVA......................................61ARAZLO....................................42ARCALYST............................... 61ARCAPTA NEOHALER............ 72ARICEPT.................................. 17ARIKAYCE................................13ARIMIDEX.................................23aripiprazole............................... 27ARIXTRA.................................. 33armodafinil ................................ 75ARMOUR THYROID.................59ARNUITY ELLIPTA...................71AROMASIN...............................23

ARTHROTEC..............................9ARTISS..................................... 42ARYMO ER...............................11arzol silver nit applicators..........13ASACOL HD............................. 61ascomp-codeine........................11ashlyna......................................55ASMANEX (120 METERED DOSES).................................... 71ASMANEX (14 METERED DOSES).................................... 71ASMANEX (30 METERED DOSES).................................... 71ASMANEX (60 METERED DOSES).................................... 71ASMANEX (7 METERED DOSES).................................... 71ASMANEX HFA........................ 71aspirin-dipyridamole er..............34ASTAGRAF XL......................... 60ATACAND.................................35ATACAND HCT........................ 37atazanavir sulfate......................29ATELVIA................................... 62atenolol..................................... 36atenolol-chlorthalidone..............37ATIVAN..................................... 30atomoxetine hcl.........................40atorvastatin calcium.................. 39atovaquone............................... 25atovaquone-proguanil hcl..........25ATRALIN...................................42ATRIPLA................................... 28atropine sulfate......................... 67ATROVENT HFA...................... 71AUBAGIO..................................41aubra.........................................55aubra eq....................................55AUGMENTIN............................ 14AUGMENTIN ES-600............... 14aurovela 1.5/30......................... 55aurovela 1/20............................ 55aurovela 24 fe........................... 55aurovela fe 1.5/30..................... 55aurovela fe 1/20........................ 55AURYXIA.................................. 49AUSTEDO.................................41AUTOLET II CLINISAFE...........63AUTOLET LANCING DEVICE.. 63AVAILNEX................................ 63AVALIDE...................................37AVANDIA.................................. 31AVAPRO................................... 35

78

avar cleanser............................ 42AVAR LS CLEANSER.............. 42AVAR-E EMOLLIENT............... 42AVAR-E GREEN.......................42AVAR-E LS............................... 42aviane....................................... 55avidoxy......................................15AVIDOXY DK............................ 15avita.......................................... 42AVODART.................................53AVONEX PEN...........................41AVONEX PREFILLED.............. 41AXONA..................................... 63AYGESTIN................................58ayuna........................................ 55AYVAKIT...................................24AZASAN....................................60AZASITE................................... 68azathioprine.............................. 60azelaic acid............................... 42azelastine hcl...................... 68, 70azelastine-fluticasone............... 73AZELEX.................................... 42AZILECT................................... 26azithromycin..............................14AZOPT...................................... 69AZOR........................................ 37AZULFIDINE............................. 62AZULFIDINE EN-TABS............ 62azurette..................................... 55bacitracin...................................68bacitracin-polymyxin b.............. 67bacitra-neomycin-polymyxin-hc 67baclofen.................................... 74BACTRIM..................................15BACTRIM DS............................15BALCOLTRA.............................55balsalazide disodium.................61balsam peru-castor oil ...............42BALVERSA............................... 24balziva.......................................55BANZEL.................................... 17BAQSIMI ONE PACK............... 32BAQSIMI TWO PACK...............32BARACLUDE............................ 27BASAGLAR KWIKPEN............. 32BAXDELA................................. 14BECONASE AQ........................71bekyree..................................... 55BELBUCA................................. 10belladonna alkaloids-opium...... 50BELSOMRA.............................. 75benazepril hcl............................35

benazepril-hydrochlorothiazide. 37BENEFIX...................................34BENICAR.................................. 35BENICAR HCT..........................37BENLYSTA............................... 61BENZACLIN..............................42BENZACLIN WITH PUMP........ 42BENZALKONIUM CHLORIDE.. 13benzalkonium chloride.............. 13BENZAMYCIN.......................... 42BENZHYDROCODONE-ACETAMINOPHEN...................11BENZIQ WASH.........................42BENZNIDAZOLE...................... 25BENZOIN.................................. 42benzoin compound....................42benzonatate.............................. 73benzoyl peroxide-erythromycin. 43benztropine mesylate................26BEPREVE................................. 68BERINERT................................60beser......................................... 43BESIVANCE............................. 68BETADINE OPHTHALMIC PREP........................................ 13betamethasone dipropionate.... 43betamethasone dipropionate aug............................................ 43betamethasone valerate........... 43BETAPACE...............................35BETAPACE AF......................... 35BETASERON............................41betaxolol hcl........................ 36, 69bethanechol chloride.................53BETHKIS...................................72BETIMOL.................................. 69BETOPTIC-S............................ 69BEVESPI AEROSPHERE.........73bexarotene................................ 25BEYAZ...................................... 55bicalutamide..............................22BIDIL......................................... 37BIJUVA..................................... 55BIKTARVY................................ 29BILTRICIDE.............................. 25bimatoprost......................... 67, 70BINOSTO..................................62BIO-STATIN..............................19bio-statin................................... 19bisoprolol fumarate................... 36bisoprolol-hydrochlorothiazide.. 37blanche..................................... 43BLEPH-10................................. 15

BLEPHAMIDE...........................67BLEPHAMIDE S.O.P................ 67blisovi 24 fe............................... 55blisovi fe 1.5/30......................... 55blisovi fe 1/20............................ 55BONIVA.................................... 62BONJESTA............................... 19bosentan................................... 72BOSULIF...................................24BOTOX COSMETIC................. 63bp 10-1......................................43bp cleansing wash.................... 43BRAFTOVI................................ 24BREO ELLIPTA........................ 73briellyn.......................................55BRILINTA..................................34brimonidine tartrate................... 69BRISDELLE.............................. 18BRIVIACT................................. 15bromfed dm...............................73bromfenac sodium (once-daily).69bromocriptine mesylate.............26brompheniramine tannate......... 70BROMSITE............................... 69BROVANA................................ 72BRUKINSA................................24BRYHALI...................................43budesonide......................... 62, 71budesonide er........................... 62BUDESONIDE-FORMOTEROL FUMARATE....73bumetanide............................... 38BUMEX..................................... 38BUNAVAIL................................ 12BUPAP........................................9BUPHENYL...............................52buprenorphine...........................10buprenorphine hcl..................... 12buprenorphine hcl-naloxone hcl............................................. 12bupropion hcl............................ 17bupropion hcl er (sr)..................17bupropion hcl er (xl).................. 17BUPROPION HCL ER (XL)...... 17buspirone hcl.............................30butalbital-acetaminophen............9BUTALBITAL-ACETAMINOPHEN.....................9butalbital-apap-caff-cod............ 11butalbital-apap-caffeine...............9butalbital-asa-caff-codeine........11butalbital-aspirin-caffeine............ 9butorphanol tartrate...................11

79

BUTRANS.................................10BYDUREON..............................31BYDUREON BCISE AUTOINJECTOR...................... 31BYETTA 10 MCG PEN............. 31BYETTA 5 MCG PEN............... 31BYNFEZIA PEN........................ 60BYSTOLIC................................ 36cabergoline............................... 60CABLIVI.................................... 34CABOMETYX........................... 24CADUET................................... 37CAFERGOT.............................. 21caffeine citrate...........................41CALAN SR................................ 36CALCIFOL................................ 49calcipotriene..............................43calcipotriene-betameth diprop...43CALCIPOTRIENE-BETAMETH DIPROP.................................... 43calcitonin (salmon).................... 62CALCITRENE........................... 43calcitriol............................... 43, 63calcium acetate......................... 49calcium acetate (phos binder)...49calcium-folic acid plus d............ 49CALQUENCE............................24CAMBIA.................................... 21camila........................................58CAMINO PRO COMPLETE/GLYTACTIN......... 63camrese.................................... 55camrese lo................................ 55CANASA................................... 61candesartan cilexetil ................. 35candesartan cilexetil-hctz..........37capecitabine..............................23CAPEX......................................43CAPLYTA..................................27CAPRELSA...............................24captopril .................................... 35captopril-hydrochlorothiazide.... 37CARAC..................................... 43CARAFATE...............................51CARBAGLU.............................. 47carbamazepine......................... 17carbamazepine er..................... 17CARBATROL............................ 17carbidopa.................................. 26carbidopa-levodopa.................. 26carbidopa-levodopa er.............. 26carbidopa-levodopa-entacapone............................... 26

carbinoxamine maleate.............70CARDIOVID PLUS....................63CARDIZEM............................... 36CARDIZEM CD......................... 36CARDIZEM LA..........................36CARDURA................................ 35CARDURA XL...........................53CARETOUCH CONTROL SOL LEVEL 2....................................63CARETOUCH LANCING/EJECTOR................ 63CARETOUCH TEST................. 63carisoprodol.............................. 74carisoprodol-aspirin...................74carisoprodol-aspirin-codeine.....11CARNITOR............................... 48CARNITOR SF..........................48CAROSPIR............................... 38carteolol hcl...............................69cartia xt..................................... 36carvedilol...................................36carvedilol phosphate er.............36cascara sagrada....................... 51CASODEX................................ 22CATAPRES...............................35CATAPRES-TTS-1................... 35CATAPRES-TTS-2................... 35CATAPRES-TTS-3................... 35CAYA........................................ 63CAYSTON.................................72caziant.......................................55cefaclor..................................... 14cefaclor er................................. 14cefadroxil ...................................14cefdinir...................................... 14cefditoren pivoxil ....................... 14cefixime.....................................14cefpodoxime proxetil ................. 14cefprozil .....................................14cefuroxime axetil ....................... 14CELEBREX.................................9celecoxib..................................... 9CELEXA....................................18CELLCEPT............................... 60CELONTIN................................16CENTANY.................................13CENTANY AT........................... 13cephalexin.................................14CEQUA..................................... 67CEQUR SIMPLICITY 2U.......... 63CERDELGA.............................. 52cerovel...................................... 43CERVIDIL................................. 53

CETRAXAL............................... 70cevimeline hcl........................... 42chateal...................................... 55chateal eq................................. 55CHEMET...................................49CHEMSTRIP UGK.................... 63CHENODAL.............................. 50chlordiazepoxide hcl................. 30chlordiazepoxide-amitriptyline...17chlordiazepoxide-clidinium........50chloroquine phosphate..............25chlorothiazide............................38chlorpromazine hcl....................27chlorthalidone............................38chlorzoxazone...........................74CHOLBAM................................ 52cholestyramine..........................39cholestyramine light.................. 39ciclodan.....................................19ciclopirox................................... 19ciclopirox olamine..................... 19ciclopirox treatment...................19cilostazol................................... 34CILOXAN.................................. 68CIMDUO................................... 29cimetidine..................................51cimetidine hcl............................ 51CIMZIA PREFILLED KIT...........60CIMZIA STARTER KIT............. 60cinacalcet hcl............................ 62CINRYZE.................................. 60CIPRO.......................................14CIPRO HC................................ 70CIPRODEX............................... 70ciprofloxacin hcl............ 14, 68, 70CIPROFLOXACIN-FLUOCINOLONE PF................ 70citalopram hydrobromide.......... 18claravis......................................43CLARINEX................................ 70CLARINEX-D 12 HOUR............73clarithromycin............................14clarithromycin er........................14clemastine fumarate..................70CLENPIQ.................................. 51CLEOCIN.................................. 13CLEOCIN-T...............................43CLIMARA.................................. 56CLIMARA PRO......................... 56CLINDACIN ETZ.......................43clindacin etz.............................. 43CLINDACIN PAC...................... 43clindacin-p.................................43

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CLINDAGEL..............................43clindamycin hcl..........................13clindamycin palmitate hcl.......... 13clindamycin phos-benzoyl perox......................................... 43clindamycin phosphate....... 13, 43CLINDAMYCIN PHOSPHATE.. 43clindamycin-tretinoin................. 43CLINDESSE..............................13clobazam...................................16clobetasol prop emollient base. 43clobetasol propionate................43clobetasol propionate e.............43clobetasol propionate emulsion 43CLOBEX................................... 43CLOBEX SPRAY...................... 43clocortolone pivalate................. 43CLODAN................................... 43clodan....................................... 43CLODERM................................ 43clomipramine hcl....................... 18clonazepam...............................30clonidine....................................35clonidine hcl.............................. 35clonidine hcl er.......................... 40clopidogrel bisulfate.................. 34clorazepate dipotassium........... 30clotrimazole-betamethasone.....43clovique.....................................49clozapine...................................27CLOZARIL................................ 27co q-10...................................... 64COAGADEX..............................34COAL TAR................................ 43COARTEM................................ 25codeine sulfate..........................11COLAZAL..................................62COLCHICINE............................20colchicine.................................. 20colchicine-probenecid............... 20COLCRYS.................................20colesevelam hcl........................ 39COLESTID................................ 39COLESTID FLAVORED............39colestipol hcl............................. 39colistimethate sodium (cba)...... 13colocort..................................... 62COLY-MYCIN M....................... 13COMBIGAN.............................. 69COMBIPATCH.......................... 56COMBIVENT RESPIMAT......... 73COMBIVIR................................ 29

COMETRIQ (100 MG DAILY DOSE).......................................24COMETRIQ (140 MG DAILY DOSE).......................................24COMETRIQ (60 MG DAILY DOSE).......................................24COMPLERA..............................28compro...................................... 19COMTAN.................................. 26CONCERTA..............................40CONDYLOX..............................43CONSENSI............................... 37constulose.................................51CONTOUR CONTROL............. 64CONTOUR NEXT CONTROL...64CONTOUR NEXT MONITOR... 64CONTOUR NEXT TEST........... 64CONTOUR TEST......................64CONZIP.................................... 10COPAXONE..............................41COPIKTRA................................23CORDRAN................................43COREG.....................................36COREG CR...............................36coremino................................... 15CORGARD................................36CORIFACT................................34CORLANOR..............................37CORTANE-B.............................43CORTEF................................... 53CORTENEMA........................... 62cortic-nd.................................... 70CORTIFOAM............................ 62cortisone acetate.......................53CORTISPORIN......................... 43CORTROSYN........................... 64COSENTYX (300 MG DOSE)...43COSENTYX 150 MG/ML.......... 43COSENTYX SENSOREADY (300 MG)...................................44COSENTYX SENSOREADY PEN...........................................44COSOPT...................................69COSOPT PF............................. 69cosyntropin................................64COTELLIC................................ 24COTEMPLA XR-ODT............... 40covaryx......................................56covaryx hs.................................56COZAAR................................... 35CREON..................................... 52CRESEMBA..............................19CRESTOR................................ 39

CRINONE................................. 58CRIXIVAN................................. 29cromolyn sodium...........50, 68, 72crotan........................................ 26cryselle-28.................................56CUPRIMINE..............................53CUTIVATE................................ 44CUVPOSA................................ 50cyanocobalamin........................ 49CYANOCOBALAMIN................ 49cyclafem 1/35............................56cyclafem 7/7/7...........................56cyclobenzaprine hcl.................. 74cyclobenzaprine hcl er.............. 74CYCLOGYL.............................. 67CYCLOMYDRIL........................ 68cyclopentolate hcl..................... 67cyclophosphamide.................... 22cycloserine................................ 22CYCLOSET...............................31cyclosporine.............................. 60cyclosporine modified............... 60CYMBALTA...............................41cyproheptadine hcl....................70cyred......................................... 56cyred eq.................................... 56CYSTADANE............................ 52CYSTAGON..............................52CYSTARAN.............................. 67CYTOMEL.................................59CYTOTEC.................................51cytra k crystals.......................... 48D.H.E. 45.................................. 21dalfampridine er........................ 41DALIRESP................................ 72danazol..................................... 55DANTRIUM............................... 74dantrolene sodium.................... 74dapsone.............................. 22, 44DAPSONE................................ 44DARAPRIM............................... 25darifenacin hydrobromide er..... 52dasetta 1/35.............................. 56dasetta 7/7/7............................. 56DAURISMO...............................24DAYPRO.....................................9daysee...................................... 56DAYTRANA.............................. 40DAYVIGO..................................75DDAVP......................................54DDAVP RHINAL TUBE.............54deblitane................................... 58DECADRON............................. 53

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deferasirox................................ 49DELESTROGEN.......................56DELSTRIGO............................. 28delyla.........................................56DELZICOL................................ 62demeclocycline hcl....................15DEMSER...................................37DENAVIR.................................. 28DEPAKOTE.............................. 30DEPAKOTE ER........................ 30DEPAKOTE SPRINKLES......... 30DEPEN TITRATABS.................53DEPO-ESTRADIOL.................. 56DEPO-PROVERA............... 58, 59DEPO-SUBQ PROVERA 104...59DEPO-TESTOSTERONE......... 55DERMA-SMOOTHE/FS BODY.44DERMA-SMOOTHE/FS SCALP...................................... 44dermazene................................ 19DERMOTIC...............................70DESCOVY................................ 29desipramine hcl.........................18desloratadine............................ 70desmopressin ace spray refrig..54desmopressin acetate...............54desmopressin acetate spray..... 54desogestrel-ethinyl estradiol..... 56DESONATE.............................. 44desonide................................... 44DESOWEN............................... 44desoximetasone........................44DESOXYN................................ 40DESVENLAFAXINE ER............18desvenlafaxine succinate er......18DETROL................................... 52DETROL LA.............................. 52DEXABLISS.............................. 53dexamethasone........................ 54dexamethasone intensol........... 54dexamethasone sodium phosphate................................. 69dexchlorpheniramine maleate...70DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC)..............................64DEXEDRINE............................. 40DEXILANT................................ 51dexmethylphenidate hcl............ 40dexmethylphenidate hcl er........ 40DEXTENZA...............................69

dextroamphetamine sulfate.......40dextroamphetamine sulfate er.. 40DIACOMIT................................ 15DIASTAT ACUDIAL.................. 16DIASTAT PEDIATRIC...............16diazepam............................ 16, 30diazepam intensol..................... 30diazoxide...................................32DIBENZYLINE.......................... 35DICLEGIS................................. 19DICLOFENAC EPOLAMINE.......9diclofenac potassium.................. 9diclofenac sodium........... 9, 44, 69diclofenac sodium er................... 9diclofenac-misoprostol................ 9dicloxacillin sodium................... 14dicyclomine hcl..........................50didanosine.................................29DIFICID..................................... 14difil-g forte................................. 72diflorasone diacetate.................44DIFLUCAN................................ 19diflunisal...................................... 9digitek........................................37digox......................................... 37digoxin.......................................37dihydroergotamine mesylate.....21DILANTIN..................................17DILANTIN INFATABS............... 17DILATRATE-SR........................ 40DILAUDID................................. 11diltiazem hcl.............................. 36diltiazem hcl er.......................... 36diltiazem hcl er beads............... 36diltiazem hcl er coated beads... 36dilt-xr......................................... 36DIOVAN.................................... 35DIOVAN HCT............................37DIPENTUM............................... 62diphen....................................... 70diphenhydramine hcl.................70diphenoxylate-atropine..............50DIPROLENE............................. 44DIPROLENE AF........................44dipyridamole..............................34disopyramide phosphate...........35DITROPAN XL.......................... 52DIURIL...................................... 38divalproex sodium..................... 30divalproex sodium er.................30DIVIGEL....................................56dofetilide....................................35DOLOPHINE.............................10

donepezil hcl............................. 17DOPTELET............................... 33DORAL......................................30DORYX..................................... 15DORYX MPC............................ 15DORZOLAMIDE HCL............... 69dorzolamide hcl.........................69dorzolamide hcl-timolol mal...... 69dorzolamide hcl-timolol mal pf.. 69dotti ........................................... 56DOVATO...................................28DOVONEX................................ 44doxazosin mesylate.................. 35doxepin hcl....................18, 44, 75doxercalciferol...........................63doxycycline............................... 15doxycycline hyclate................... 15doxycycline monohydrate......... 15doxylamine-pyridoxine.............. 19DRISDOL.................................. 49DRIZALMA SPRINKLE............. 41dronabinol................................. 19drospiren-eth estrad-levomefol. 56drospirenone-ethinyl estradiol...56DROXIA.................................... 23DRYSOL................................... 44DUAKLIR PRESSAIR............... 70DUAVEE................................... 56DUETACT................................. 31DULERA................................... 73duloxetine hcl............................ 41DUOBRII................................... 44DUOPA..................................... 26DUPIXENT................................44DURAGESIC-100..................... 10DURAGESIC-12....................... 10DURAGESIC-25....................... 10DURAGESIC-50....................... 10DURAGESIC-75....................... 10duraxin........................................ 9DUREZOL.................................69dutasteride................................ 53dutasteride-tamsulosin hcl........ 53DUTOPROL.............................. 37DVORAH...................................11DXEVO 11-DAY........................54DYANAVEL XR.........................40DYAZIDE.................................. 37DYMISTA.................................. 73DYRENIUM...............................38E.E.S. 400.................................14E.E.S. GRANULES................... 14EASIVENT................................ 64

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EASYMAX 15 LEVEL 2-3 CONTROL................................ 64EASYMAX CONTROL.............. 64EASYMAX CONTROL NORMAL/HIGH.........................64EC-NAPROSYN..........................9ec-naproxen................................ 9econazole nitrate.......................19ECOZA......................................19EC-RX DHEA............................64EDARBI.....................................35EDARBYCLOR......................... 37EDECRIN..................................38EDLUAR................................... 75ed-spaz..................................... 50EDURANT.................................28eemt.......................................... 56eemt hs..................................... 56efavirenz................................... 28EFFER-K...................................48effer-k........................................48EFFEXOR XR........................... 18EFFIENT................................... 34EFUDEX................................... 44EGATEN................................... 25EGRIFTA.................................. 60EGRIFTA SV.............................60ELESTRIN................................ 56eletriptan hydrobromide............ 21ELIDEL......................................44ELIGARD.................................. 60ELIMITE.................................... 26elinest........................................56ELIQUIS....................................33ELIQUIS DVT/PE STARTER PACK........................................ 33ELIXOPHYLLIN........................ 72ELLA......................................... 59ELMIRON..................................53ELOCTATE............................... 34eluryng...................................... 56EMCYT..................................... 23EMEND..................................... 19EMEND TRI-PACK................... 19EMFLAZA................................. 54EMGALITY................................21EMGALITY (300 MG DOSE).... 21emoquette................................. 56EMSAM.....................................18EMTRIVA.................................. 29EMVERM.................................. 25ENABLEX................................. 52enalapril maleate.......................35

enalapril-hydrochlorothiazide.... 37ENBREL....................................60ENBREL MINI........................... 61ENBREL SURECLICK.............. 61ENDARI.................................... 48endocet..................................... 11ENLITE GLUCOSE SENSOR...64enoxaparin sodium....................33enpresse-28.............................. 56enskyce.....................................56ENSTILAR................................ 44entacapone............................... 26entecavir................................... 27ENTERAGAM........................... 64ENTEREG.................................50ENTOCORT EC........................62ENTRESTO.............................. 37enulose..................................... 51ENVARSUS XR........................ 61EPANED................................... 35EPCLUSA................................. 28EPIDIOLEX............................... 15EPIDUO.................................... 44EPIDUO FORTE....................... 44EPIFOAM..................................44epinastine hcl............................ 68EPIQUIN MICRO...................... 44epitol......................................... 17EPIVIR...................................... 29EPIVIR HBV..............................27eplerenone................................ 38EPOGEN...................................33EPZICOM..................................29EQUETRO................................ 30ERGOCAL................................ 49ergocalciferol.............................49ergoloid mesylates.................... 64ERGOMAR............................... 21ergotamine-caffeine.................. 21ERIVEDGE............................... 24ERLEADA................................. 22erlotinib hcl................................24errin...........................................59ERTACZO.................................19ery............................................. 44ERYGEL................................... 44ERYPED 200............................ 14ERYPED 400............................ 14ERY-TAB.................................. 14ERYTHROCIN STEARATE...... 14erythromycin................. 14, 44, 68erythromycin base.....................14erythromycin ethylsuccinate......14

ESBRIET...................................73escitalopram oxalate................. 18ESGIC.........................................9ESKATA....................................44esomeprazole magnesium........51est estrogens-methyltest...........56est estrogens-methyltest ds...... 56est estrogens-methyltest hs...... 56estarylla.....................................56estazolam..................................30ESTRACE................................. 56estradiol.................................... 56estradiol valerate.......................56estradiol-norethindrone acet..... 56ESTRING.................................. 56ESTROGEL.............................. 56ESTROSTEP FE.......................56eszopiclone............................... 75ethacrynic acid.......................... 38ethambutol hcl...........................22ethosuximide.............................16ethynodiol diac-eth estradiol..... 56etodolac...................................... 9etodolac er.................................. 9etonogestrel-ethinyl estradiol.... 56etoposide.................................. 24EUCRISA.................................. 44euthyrox.................................... 59EVAMIST.................................. 56EVEKEO................................... 40EVEKEO ODT...........................40everolimus...........................24, 61EVISTA..................................... 59EVOCLIN.................................. 44EVOTAZ....................................29EVOXAC................................... 42EVZIO....................................... 12EXELDERM.............................. 19EXELON................................... 17exemestane.............................. 23EXFORGE................................ 37EXFORGE HCT........................ 37EXJADE.................................... 49exoderm.................................... 19exotic-hc....................................70EXTAVIA...................................41EXTINA..................................... 20EZALLOR SPRINKLE...............39ezetimibe...................................39ezetimibe-simvastatin............... 39FABIOR.....................................44falmina...................................... 56famciclovir................................. 28

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famotidine................................. 51FANAPT....................................27FANAPT TITRATION PACK..... 27FARESTON.............................. 23FARXIGA.................................. 31FARYDAK................................. 24FASENRA PEN.........................73FAVIPIRAVIR............................29fayosim......................................56febuxostat................................. 20FEIBA........................................34felbamate.................................. 16FELBATOL................................16FELDENE................................... 9felodipine er.............................. 36FEM PH.................................... 13FEMARA................................... 23FEMHRT LOW DOSE...............56FEMRING................................. 56femynor..................................... 56fenofibrate................................. 39fenofibrate micronized...............39fenofibric acid............................39FENOGLIDE............................. 39fenoprofen calcium......................9fenortho.......................................9fentanyl..................................... 10fentanyl citrate...........................11FENTANYL CITRATE...............11FENTORA.................................11FERRIPROX............................. 49FETZIMA...................................18FETZIMA TITRATION...............18FEXMID.................................... 74FIASP........................................32FIASP FLEXTOUCH.................32FIASP PENFILL........................ 32FIBRICOR.................................39FINACEA.................................. 44finasteride................................. 53FIORICET................................... 9FIORICET/CODEINE................11FIORINAL................................... 9FIORINAL/CODEINE #3........... 11FIRAZYR...................................60FIRDAPSE................................ 64FIRMAGON...............................60FIRMAGON (240 MG DOSE)... 60FIRVANQ.................................. 13flac............................................ 70FLAGYL.................................... 13FLAREX.................................... 69flavoxate hcl.............................. 52

flecainide acetate...................... 36FLECTOR................................... 9FLEXICHAMBER ADULT MASK/SMALL........................... 64FLEXICHAMBER CHILD MASK/LARGE...........................64FLEXICHAMBER CHILD MASK/SMALL........................... 64FLOLIPID.................................. 39FLOMAX................................... 53FLORIVA...................................48FLOVENT DISKUS................... 71FLOVENT HFA......................... 71fluconazole................................20flucytosine................................. 20fludrocortisone acetate..............54flunisolide.................................. 71fluocinolone acetonide........ 44, 70fluocinolone acetonide body..... 44fluocinolone acetonide scalp.....44fluocinonide...............................44fluocinonide emulsified base.....44FLUORABON............................48fluoritab..................................... 48fluorometholone........................ 69FLUOROPLEX..........................44FLUOROURACIL......................44fluorouracil ................................ 44fluoxetine hcl............................. 18fluoxetine hcl (pmdd).................18fluphenazine hcl........................ 27FLURA-DROPS........................ 48flurandrenolide.......................... 44flurazepam hcl...........................75flurbiprofen.................................. 9flurbiprofen sodium................... 69flutamide................................... 22fluticasone propionate.........44, 71fluticasone-salmeterol............... 73FLUTICASONE-SALMETEROL..........................73fluvastatin sodium..................... 39fluvastatin sodium er................. 39fluvoxamine maleate................. 18fluvoxamine maleate er.............18FML...........................................69FML FORTE..............................69FML LIQUIFILM........................ 69FOCALIN.................................. 40FOCALIN XR............................ 40folic acid.................................... 48fondaparinux sodium.................33FORANE................................... 64

FORFIVO XL.............................17formaldehyde............................ 44FORMALDEHYDE.................... 44FORTAMET.............................. 31FORTEO................................... 62FORTESTA...............................55FORTISCARE CONTROL........ 64FORTISCARE GLUCOSE SYSTEM................................... 64FORTISCARE T1 GLUCOSE SYSTEM................................... 64FOSAMAX................................ 62FOSAMAX PLUS D.................. 62fosamprenavir calcium.............. 29fosinopril sodium....................... 35fosinopril sodium-hctz............... 37FOSRENOL.............................. 49FOVEX......................................64FRAGMIN................................. 33FREESTYLE LIBRE 14 DAY READER................................... 64FREESTYLE LIBRE 14 DAY SENSOR...................................64FREESTYLE LIBRE READER..64FREESTYLE LIBRE SENSOR SYSTEM................................... 64FREESTYLE PRECISION NEO TEST................................ 64FROVA......................................21frovatriptan succinate................21FULPHILA.................................33furosemide................................ 38FUZEON................................... 29fyavolv.......................................56FYCOMPA................................ 16GABADONE..............................64gabapentin................................ 16GABITRIL..................................16GALAFOLD...............................52galantamine hydrobromide....... 17galantamine hydrobromide er... 17GALZIN..................................... 48GASTROCROM........................50gatifloxacin................................ 68GATTEX....................................50gavilyte-c...................................51gavilyte-g...................................51gavilyte-h...................................51gavilyte-n with flavor pack.........51GELFILM...................................67GELNIQUE............................... 52gemfibrozil .................................39GENADUR................................ 44

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GENERESS FE........................ 56generlac.................................... 51gengraf......................................61gentak....................................... 68gentamicin sulfate............... 13, 68GENVOYA................................ 28GEODON.................................. 27gianvi.........................................56GILENYA.................................. 41GILOTRIF................................. 24GILPHEX TR.............................73GILTUSS TR.............................73glatiramer acetate..................... 41glatopa...................................... 41GLEEVEC................................. 24GLEOSTINE............................. 22glimepiride.................................31glipizide..................................... 31glipizide er.................................31glipizide xl................................. 31glipizide-metformin hcl.............. 31GLOPERBA.............................. 20GLUCAGEN HYPOKIT............. 32GLUCAGON EMERGENCY KIT............................................ 32GLUCOTROL............................31GLUCOTROL XL...................... 31GLUMETZA.............................. 31GLUTARALDEHYDE................ 13glyburide................................... 31glyburide micronized................. 31glyburide-metformin.................. 31GLYCATE................................. 50glycopyrrolate............................50GLYCOPYRROLATE................50GLYNASE................................. 31GLYSET....................................31GLYTACTIN BETTERMILK 15. 48GLYTACTIN BETTERMILK DE-LITE.................................... 48GLYTACTIN BUILD 10PE........ 48GLYTACTIN BUILD 20/20 PKU...........................................48GLYTACTIN COMPLETE 10PE......................................... 64GLYTACTIN RESTORE 10...... 48GLYTACTIN RESTORE 5........ 48GLYTACTIN RESTORE LITE 10.............................................. 48GLYTACTIN RESTORE LITE 10PE......................................... 48GLYTACTIN RTD 10................ 48GLYTACTIN RTD 15................ 48

GLYTACTIN RTD LITE 15........48GLYTACTIN SWIRL 15PE........48GLYXAMBI................................31GOCOVRI................................. 26GOLYTELY............................... 51GONITRO................................. 40GORDOFILM............................ 44grafco silver nit applicator......... 13GRALISE.................................. 41GRALISE STARTER.................41granisetron hcl.......................... 19GRANIX.................................... 33GRASTEK.................................73griseofulvin microsize................20griseofulvin ultramicrosize.........20guanfacine hcl...........................35guanfacine hcl er.......................41GUANIDINE HCL......................22GUARDIAN CONNECT TRANSMITTER........................ 64GUARDIAN LINK 3 TRANSMITTER........................ 64GUARDIAN REAL-TIME SYSTEM................................... 64GUARDIAN SENSOR (3)......... 64GVOKE HYPOPEN...................32GVOKE PFS............................. 32GYNAZOLE-1........................... 20HAEGARDA..............................60hailey 1.5/30..............................56hailey 24 fe................................56hailey fe 1.5/30..........................56hailey fe 1/20.............................56halcinonide................................44HALCION.................................. 30halobetasol propionate........44, 45HALOBETASOL PROPIONATE.......................... 44HALOG..................................... 45haloperidol................................ 27haloperidol lactate.....................27HALUCORT.............................. 45HARVONI..................................28heather......................................59HEMANGEOL........................... 36hematinic/folic acid....................48HEMLIBRA................................34hemmorex-hc............................ 21hemocyte-f................................ 48HEMOFIL M.............................. 34hemorrhoidal-hc........................ 21heparin lock flush...................... 64heparin sodium (porcine).......... 33

heparin sodium (porcine) pf...... 33heparin sodium lock flush......... 64HEPSERA.................................27HETLIOZ...................................75HIDEX 6-DAY........................... 54HIPREX.....................................13homatropaire.............................67HORIZANT................................41HUMALOG KWIKPEN.............. 32HUMALOG MIX 50/50 KWIKPEN................................. 32HUMALOG MIX 50/50 VIAL......32HUMALOG MIX 75/25 KWIKPEN................................. 32HUMALOG MIX 75/25 VIAL......32HUMALOG U-100 JUNIOR KWIKPEN................................. 32HUMALOG VIAL....................... 32HUMATE-P............................... 34HUMATROPEN FOR 12MG..... 64HUMATROPEN FOR 24MG..... 64HUMATROPEN FOR 6MG....... 65HUMIRA....................................61HUMIRA PEDIATRIC CROHNS START......................61HUMIRA PEN........................... 61HUMIRA PEN-CD/UC/HS STARTER................................. 61HUMIRA PEN-PS/UV/ADOL HS START................................ 61HUMULIN 70/30 KWIKPEN...... 32HUMULIN 70/30 VIAL...............32HUMULIN N KWIKPEN............ 32HUMULIN N VIAL..................... 32HUMULIN R U-500 KWIKPEN..32HUMULIN R U-500 VIAL.......... 32HUMULIN R VIAL..................... 32HYCAMTIN............................... 24hydralazine hcl.......................... 40HYDREA................................... 23HYDRO 40................................ 45hydrochlorothiazide...................38hydrocodone bitartrate er..........10hydrocodone polst-cpm polst er...............................................73hydrocodone-acetaminophen... 11hydrocodone-homatropine........ 73hydrocodone-ibuprofen............. 11hydrocortisone.............. 45, 54, 62hydrocortisone (perianal).......... 62hydrocortisone ace-pramoxine............................................ 45, 62hydrocortisone acetate..............21

85

hydrocortisone butyr lipo base.. 45hydrocortisone butyrate............ 45hydrocortisone valerate.............45hydrocortisone-acetic acid........ 70hydrocortisone-iodoquinol.........20hydrocort-pramoxine (perianal).62hydromet................................... 73hydromorphone hcl................... 11hydromorphone hcl er............... 10hydroquinone............................ 45hydroquinone time release........45hydroxychloroquine sulfate....... 25hydroxyurea.............................. 23hydroxyzine hcl......................... 30hydroxyzine pamoate................70HYLATOPIC PLUS................... 45hyophen.................................... 52hyoscyamine sulfate................. 50hyoscyamine sulfate er............. 50hyoscyamine sulfate sl..............50hyosyne.....................................50HYPERSAL...............................73HYPERTENSA..........................65HYPOCYN................................ 67HYSINGLA ER..........................10HYZAAR................................... 37ibandronate sodium.................. 62IBRANCE.................................. 24ibu............................................... 9ibuprofen..................................... 9icatibant acetate........................60ICLUSIG....................................24IDELVION................................. 34IDHIFA...................................... 24ILEVRO.....................................69ILUMYA.....................................45imatinib mesylate...................... 24IMBRUVICA.............................. 24imipramine hcl...........................19imipramine pamoate................. 19imiquimod..................................45IMIQUIMOD PUMP...................45IMITREX................................... 21IMITREX STATDOSE REFILL..21IMITREX STATDOSE SYSTEM................................... 21IMPAVIDO................................ 25IMPOYZ.................................... 45IMURAN....................................61INBRIJA.................................... 65incassia..................................... 59INCRUSE ELLIPTA.................. 71indapamide............................... 38

INDERAL LA............................. 36INDERAL XL............................. 36INDOCIN.....................................9INDOMETHACIN........................ 9indomethacin...............................9indomethacin er.......................... 9INGREZZA................................41INLYTA..................................... 24INNOPRAN XL..........................36INOVA.......................................45INOVA 4/1 ACNE CONTROL THERAPY................................. 45INOVA 8/2 ACNE CONTROL THERAPY................................. 45INREBIC................................... 23INSPIREASE RESERVOIR BAGS........................................ 65INSPRA.....................................38INSULIN ASP PROT & ASP FLEXPEN..................................32INSULIN ASPART.................... 32INSULIN ASPART FLEXPEN... 32INSULIN ASPART PENFILL.....32INSULIN ASPART PROT & ASPART....................................32INSULIN LISPRO......................32INSULIN LISPRO (1 UNIT DIAL).........................................32INSULIN LISPRO JUNIOR KWIKPEN................................. 32INSULIN LISPRO PROT & LISPRO.....................................32INSULIN PEN NEEDLES..........65INSULIN SYRINGES................ 65INTELENCE..............................28INTERMEZZO...........................75INTRON A.................................28introvale.................................... 56INTUNIV....................................41INVEGA.................................... 27INVELTYS.................................69INVIRASE................................. 29INVOKAMET.............................31INVOKAMET XR.......................31INVOKANA............................... 31IODINE STRONG..................... 65iodine tincture............................13IOPIDINE.................................. 69ipratropium bromide.................. 71ipratropium-albuterol................. 73irbesartan.................................. 35irbesartan-hydrochlorothiazide..37IRESSA.....................................24

ISENTRESS..............................28ISENTRESS HD....................... 28isibloom.....................................56isoflurane.................................. 65isoniazid.................................... 22ISOPTO CARPINE................... 69ISORDIL TITRADOSE.............. 40isosorbide dinitrate....................40isosorbide mononitrate..............40isosorbide mononitrate er......... 40isotretinoin.................................45isoxsuprine hcl.......................... 37isradipine...................................36ISTALOL................................... 69ISTURISA................................. 60itraconazole...............................20ivermectin..................................25IXINITY..................................... 34JADENU....................................49JADENU SPRINKLE.................49jaimiess..................................... 56JAKAFI......................................24JALYN.......................................53jantoven.................................... 33JANUMET................................. 31JANUMET XR........................... 31JANUVIA...................................31JARDIANCE..............................31jasmiel.......................................56JATENZO..................................55jencycla..................................... 59JENTADUETO.......................... 31JENTADUETO XR.................... 31jinteli ..........................................56JIVI............................................65jolessa.......................................56JORNAY PM............................. 41JUBLIA......................................20juleber....................................... 56JULUCA.................................... 28junel 1.5/30............................... 57junel 1/20.................................. 57junel fe 1.5/30........................... 57junel fe 1/20.............................. 57junel fe 24................................. 57JUXTAPID.................................39JYNARQUE.............................. 49KADIAN.....................................11kaitlib fe.....................................57KALETRA..................................29kalliga........................................57KALYDECO.............................. 72KAPSPARGO SPRINKLE.........36

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KAPVAY....................................41KARBINAL ER.......................... 70kariva........................................ 57KATERZIA................................ 36KAZANO................................... 31KEFLEX.................................... 14kelnor 1/35................................ 57kelnor 1/50................................ 57KENALOG.................................45KEPPRA................................... 15KEPPRA XR............................. 15KERALAC................................. 45KERALYT SCALP.....................45KERYDIN.................................. 20ketoconazole.............................20ketodan..................................... 20KETONE TEST......................... 65ketoprofen................................... 9ketoprofen er...............................9ketorolac tromethamine........ 9, 69KETOSTIX................................ 65KETOVIE.................................. 48KETOVIE PEPTIDE.................. 48KEVEYIS...................................38KEVZARA................................. 61KINERET.................................. 61kionex........................................49KISQALI (200 MG DOSE).........23KISQALI (400 MG DOSE).........23KISQALI (600 MG DOSE).........23KISQALI FEMARA (400 MG DOSE).......................................23KISQALI FEMARA (600 MG DOSE).......................................23KISQALI FEMARA(200 MG DOSE).......................................23KITABIS PAK............................ 72KLARON................................... 45KLONOPIN............................... 30klor-con..................................... 48klor-con 10................................ 48klor-con m10............................. 48KLOR-CON M15....................... 48klor-con m20............................. 48klor-con sprinkle........................48klor-con/ef................................. 48KOATE......................................34KOATE-DVI...............................34KOGENATE FS........................ 34KOMBIGLYZE XR.....................31KORLYM...................................54KOSELUGO..............................23KOVALTRY...............................34

K-PHOS.................................... 48K-PHOS NO 2...........................48K-PHOS-NEUTRAL.................. 48k-prime...................................... 48KRINTAFEL.............................. 25KRISTALOSE........................... 51K-TAB....................................... 48kurvelo...................................... 57KUVAN......................................52KYNMOBI................................. 26labetalol hcl............................... 36LACRISERT..............................67lactulose....................................51lactulose encephalopathy......... 51LAMICTAL................................ 16LAMICTAL ODT........................16LAMICTAL STARTER...............16LAMICTAL XR.......................... 16lamivudine...........................28, 29lamivudine-zidovudine.............. 29lamotrigine................................ 16lamotrigine er............................ 16lamotrigine starter kit-blue.........16lamotrigine starter kit-green...... 16lamotrigine starter kit-orange.... 16LANCETS................................. 65LANOXIN.................................. 37lansoprazole..............................51lanthanum carbonate................ 49LANTUS SOLOSTAR............... 32LANTUS U-100 VIAL................ 32larin 1.5/30................................ 57larin 1/20................................... 57larin 24 fe.................................. 57larin fe 1.5/30............................ 57larin fe 1/20............................... 57larissia.......................................57LASIX........................................38LASTACAFT............................. 67latanoprost................................ 70LATISSE................................... 67LATRIX XM............................... 45LATUDA....................................27layolis fe.................................... 57LAZANDA................................. 11L-CYSTINE............................... 65LEDIPASVIR-SOFOSBUVIR.... 28leena......................................... 57leflunomide................................61LENVIMA (10 MG DAILY DOSE).......................................24LENVIMA (12 MG DAILY DOSE).......................................24

LENVIMA (14 MG DAILY DOSE).......................................24LENVIMA (18 MG DAILY DOSE).......................................24LENVIMA (20 MG DAILY DOSE).......................................24LENVIMA (24 MG DAILY DOSE).......................................24LENVIMA (4 MG DAILY DOSE).......................................24LENVIMA (8 MG DAILY DOSE).......................................24LESCOL XL.............................. 39lessina.......................................57LETAIRIS.................................. 72letrozole.................................... 23leucovorin calcium.................... 23LEUKERAN...............................22LEUKINE...................................33leuprolide acetate......................60levalbuterol hcl.......................... 72LEVALBUTEROL HFA..............72LEVBID..................................... 50LEVEMIR U-100 FLEXTOUCH.32LEVEMIR U-100 VIAL...............32levetiracetam.............................15levetiracetam er........................ 15levobunolol hcl.......................... 69levocarnitine..............................48levocarnitine sf.......................... 48levocetirizine dihydrochloride....71levofloxacin......................... 14, 68levonest.....................................57levonorgest-eth est & eth est.... 57levonorgest-eth estrad 91-day.. 57levonorgestrel........................... 59levonorgestrel-ethinyl estrad.....57levonorg-eth estrad triphasic.....57levora 0.15/30 (28)....................57levorphanol tartrate................... 10levo-t......................................... 59levothyroxine sodium................ 59levoxyl....................................... 59LEVSIN..................................... 50LEVSIN/SL................................50LEVULAN KERASTICK............ 45LEXAPRO................................. 18LEXETTE.................................. 45LEXIVA..................................... 29LIALDA......................................62LIBRAX..................................... 50LICART....................................... 9lidocaine....................................12

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lidocaine hcl.............................. 12lidocaine hcl urethral/mucosal...12lidocaine-prilocaine................... 12LIDODERM............................... 12lillow.......................................... 57LIMBREL...................................65LIMBREL250.............................65LIMBREL500.............................65lindane...................................... 26linezolid..................................... 13LINZESS................................... 51liothyronine sodium................... 59LIPITOR.................................... 39LIPOFEN...................................39lisinopril ..................................... 35lisinopril-hydrochlorothiazide.....37LISTER-V..................................65lithium........................................30lithium carbonate.......................30lithium carbonate er.................. 30LITHOBID................................. 30LITHOSTAT.............................. 53LIVALO..................................... 39LO LOESTRIN FE.....................57LOCOID.................................... 45LOCOID LIPOCREAM.............. 45LODINE.....................................10LODOSYN................................ 26LOESTRIN 1.5/30 (21)..............57LOESTRIN 1/20 (21).................57LOESTRIN FE 1.5/30............... 57LOESTRIN FE 1/20.................. 57lojaimiess.................................. 57LOKELMA................................. 49LOMOTIL.................................. 50LONHALA MAGNAIR REFILL KIT............................................ 71LONHALA MAGNAIR STARTER KIT...........................71LONSURF.................................23LOPID....................................... 39lopinavir-ritonavir.......................29lopreeza.................................... 57LOPRESSOR............................36LOPRESSOR HCT................... 37LOPROX................................... 20lorazepam................................. 30lorazepam intensol....................30LORBRENA.............................. 23lorcet......................................... 11lorcet hd.................................... 11lorcet plus..................................11LORTAB....................................11

loryna........................................ 57LORZONE.................................74losartan potassium....................35losartan potassium-hctz............ 37LOSEASONIQUE..................... 57LOTEMAX.................................69LOTEMAX SM.......................... 69LOTENSIN................................ 35LOTENSIN HCT........................37loteprednol etabonate............... 69LOTREL.................................... 37LOTRONEX.............................. 51lovastatin...................................39LOVAZA....................................39LOVENOX.................................33low-ogestrel...............................57loxapine succinate.................... 27lo-zumandimine.........................57LUCEMYRA.............................. 12ludent........................................ 48LULICONAZOLE.......................20LUMIGAN..................................70LUNESTA................................. 75lutera......................................... 57LUXIQ....................................... 45LUZU.........................................20LYNPARZA............................... 24LYRICA..................................... 41LYRICA CR...............................41LYSODREN.............................. 60LYSTEDA..................................34lyza............................................59MACROBID...............................13MACRODANTIN....................... 13mafenide acetate...................... 13MAGNEBIND 400..................... 49MALARONE..............................25malathion.................................. 26maprotiline hcl...........................18MARINOL..................................19marlissa.....................................57MARPLAN.................................18MATULANE.............................. 22matzim la...................................36MAVENCLAD (10 TABS)..........41MAVENCLAD (4 TABS)............41MAVENCLAD (5 TABS)............41MAVENCLAD (6 TABS)............41MAVENCLAD (7 TABS)............41MAVENCLAD (8 TABS)............41MAVENCLAD (9 TABS)............41MAVYRET.................................28MAXALT....................................21

MAXALT-MLT........................... 21MAXICOMFORT SYR 27G X 1/2"............................................65MAXIDEX..................................69MAXITROL................................67MAXZIDE.................................. 38MAXZIDE-25.............................38MAYZENT.................................42MAYZENT STARTER PACK.... 42me/naphos/mb/hyo1................. 52meclofenamate sodium.............10MEDI-DERM-RX......................... 9MEDROL...................................54MEDROX-RX.............................. 9medroxyprogesterone acetate.. 59mefenamic acid.........................10mefloquine hcl...........................25megestrol acetate..................... 59MEKINIST................................. 24MEKTOVI..................................24melodetta 24 fe......................... 57meloxicam.................................10melpaque hp............................. 45melphalan................................. 22memantine hcl...........................17memantine hcl er...................... 17MENEST................................... 57MENOSTAR..............................57MENTAX................................... 20meperidine hcl...........................11MEPHYTON..............................49meprobamate............................30MEPRON.................................. 25mercaptopurine......................... 23mesalamine...............................62mesalamine er.......................... 62mesalamine-cleanser................62MESNEX...................................25MESTINON............................... 22metadate er...............................41metaproterenol sulfate.............. 72metaxalone............................... 74metformin hcl............................ 31metformin hcl er........................ 31metformin hcl er (mod)..............31metformin hcl er (osm).............. 31methadone hcl.......................... 10methadone hcl intensol............. 10methadose................................ 10methadose sugar-free...............10methamphetamine hcl...............40methazolamide..........................38methenamine hippurate............ 13

88

methenamine mandelate.......... 13methergine................................ 65methimazole..............................60METHITEST..............................55methocarbamol......................... 74methotrexate............................. 61methotrexate sodium................ 61methotrexate sodium (pf).......... 61methoxsalen rapid.....................45methscopolamine bromide........50methyl salicylate........................45methyldopa............................... 35methyldopa-hydrochlorothiazide...................38methylergonovine maleate........65METHYLIN................................41methylphenidate hcl.................. 41methylphenidate hcl er..............41methylphenidate hcl er (cd).......41methylphenidate hcl er (la)........41METHYLPHENIDATE HCL ER (XR)...........................................41methylprednisolone...................54methyltestosterone....................55metoclopramide hcl.............19, 50metolazone............................... 38metoprolol succinate er.............36metoprolol tartrate.....................36metoprolol-hydrochlorothiazide.38METROCREAM........................ 13METROGEL..............................13METROLOTION........................13metronidazole........................... 13mexiletine hcl............................ 36MIACALCIN.............................. 62mibelas 24 fe.............................57MICARDIS................................ 35MICARDIS HCT........................ 38miconazole 3.............................20MICONAZOLE-ZINC OXIDE-PETROLAT............................... 20MICRODOT TEST.................... 65microgestin 1.5/30.....................57microgestin 1/20........................57microgestin fe 1.5/30.................57microgestin fe 1/20....................57MICROLET NEXT LANCING DEVICE.....................................65midazolam hcl........................... 30midodrine hcl.............................35MIGERGOT.............................. 21miglitol.......................................31miglustat....................................52

MIGRANAL............................... 21mili .............................................57MILLIPRED............................... 54MILLIPRED DP......................... 54MILLIPRED DP 12-DAY........... 54mimvey......................................57MINASTRIN 24 FE....................57mineral oil heavy....................... 51MINIPRESS.............................. 35minitran..................................... 40MINIVELLE............................... 57minocycline hcl..........................15MINOCYCLINE HCL ER...........15minocycline hcl er..................... 15MINOLIRA.................................15minoxidil .................................... 40MIRAPEX..................................26MIRAPEX ER............................26MIRCETTE................................57mirtazapine............................... 18MIRVASO................................. 45misoprostol................................51MITIGARE.................................20MITOSOL..................................69MOBIC...................................... 10modafinil ....................................75moexipril hcl.............................. 35molindone hcl............................27mometasone furoate........... 45, 71mondoxyne nl............................15mono-linyah.............................. 57MONONINE.............................. 34monsels ferric subsulfate.......... 34montelukast sodium.................. 71MONUROL................................13MORGIDOX.............................. 15morgidox................................... 15morphine sulfate....................... 11morphine sulfate (concentrate). 11morphine sulfate er............. 10, 11morphine sulfate er beads........ 10MOTEGRITY.............................50MOTOFEN................................ 50MOVANTIK............................... 50MOVIPREP............................... 51MOXEZA...................................15moxifloxacin hcl.........................15moxifloxacin hcl (2x day)...........15MOZOBIL..................................33MS CONTIN..............................10MULPLETA............................... 33MULTAQ................................... 36mupirocin.................................. 13

mupirocin calcium..................... 13MYALEPT................................. 50MYAMBUTOL........................... 22MYCOBUTIN............................ 22mycophenolate mofetil .............. 61mycophenolate sodium............. 61MYDAYIS..................................40MYFORTIC............................... 61MYLERAN.................................22myorisan................................... 45MYRBETRIQ.............................52MYSOLINE............................... 16MYTESI.....................................50nabumetone.............................. 10n-acetyl-l-cysteine..................... 49nadolol...................................... 36nafrinse..................................... 48nafrinse drops........................... 48naftifine hcl................................20NAFTIN..................................... 20NALFON................................... 10NALOCET................................. 11naloxone hcl........................12, 13NALOXONE HCL......................12naltrexone hcl............................12NAMENDA................................ 17NAMENDA TITRATION PAK....17NAMENDA XR.......................... 17NAMENDA XR TITRATION PACK........................................ 17NAMZARIC............................... 41NAPRELAN...............................10NAPROSYN..............................10naproxen................................... 10naproxen dr...............................10naproxen sodium...................... 10naproxen sodium er.................. 10naratriptan hcl........................... 21NARCAN...................................13NARDIL.....................................18NASCOBAL.............................. 49NASONEX................................ 71NATACYN.................................20NATAZIA...................................57nateglinide.................................31NATESTO................................. 55NATPARA................................. 63NATROBA.................................26NATURE-THROID.................... 59NAYZILAM................................ 15NEBUPENT.............................. 25nebusal..................................... 73NEBUSAL................................. 73

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necon 0.5/35 (28)......................57nefazodone hcl..........................18neomycin sulfate....................... 13neomycin-bacitracin zn-polymyx.....................................67neomycin-polymyxin-dexameth............................................ 67, 68neomycin-polymyxin-gramicidin..................................68neomycin-polymyxin-hc...... 68, 70neo-polycin................................68neo-polycin hc...........................68NEORAL................................... 61NEO-SYNALAR.................. 13, 45NEOTUSS PLUS...................... 73NERLYNX................................. 24NESINA.....................................31neuac........................................ 45NEUAC..................................... 45NEULASTA............................... 33NEUPOGEN............................. 33NEUPRO...................................26NEUREPA.................................65NEURONTIN.............................16NEVANAC.................................69nevirapine................................. 28nevirapine er............................. 28NEXAVAR.................................24NEXIUM.................................... 51NEXLETOL............................... 39NEXLIZET.................................34niacin (antihyperlipidemic)........ 39niacin er (antihyperlipidemic).... 39niacor........................................ 39NIASPAN.................................. 39nicardipine hcl........................... 36nifedipine...................................37nifedipine er.............................. 36nifedipine er osmotic release.... 37nikki...........................................57nilutamide..................................22nimodipine.................................37NINLARO.................................. 23nisoldipine er.............................37nitisinone...................................52NITRO-BID................................40NITRO-DUR..............................40nitrofurantoin............................. 13nitrofurantoin macrocrystal........14nitrofurantoin monohydrate macrocrystals............................14nitroglycerin...............................40NITROLINGUAL....................... 40

NITROMIST.............................. 40NITROSTAT..............................40nitro-time................................... 40NITYR....................................... 52NIVESTYM................................33nizatidine...................................51NOCDURNA............................. 54nolix...........................................45nora-be......................................59NORCO.....................................11NORDIPEN 5 INJECTION DEVICE.....................................65norethin ace-eth estrad-fe.........57norethindrone............................59norethindrone acetate............... 59norethindrone acet-ethinyl est...57norethindrone-eth estradiol....... 57norethin-eth estradiol-fe............ 57NORGESIC FORTE..................74norgestimate-eth estradiol........ 57norgestimate-ethinyl estradiol triphasic.....................................57NORITATE................................14norlyda...................................... 59norlyroc..................................... 59NORPACE................................ 36NORPACE CR.......................... 36NORPRAMIN............................ 19NORTHERA..............................35nortrel 0.5/35 (28)..................... 57nortrel 1/35 (21)........................ 57nortrel 1/35 (28)........................ 57nortrel 7/7/7...............................57nortriptyline hcl..........................19NORVASC................................ 37NORVIR.................................... 29NOURIANZ............................... 26NOVOEIGHT............................ 65NOVOFINE AUTOCOVER PEN NEEDLE........................... 65NOVOFINE PEN NEEDLE....... 65NOVOFINE PLUS PEN NEEDLE....................................65NOVOLIN 70/30 FLEXPEN...... 32NOVOLIN 70/30 FLEXPEN RELION.....................................32NOVOLIN 70/30 RELION......... 33NOVOLIN 70/30 VIAL............... 33NOVOLIN N FLEXPEN.............33NOVOLIN N FLEXPEN RELION.....................................33NOVOLIN N RELION................33NOVOLIN N VIAL..................... 33

NOVOLIN R FLEXPEN.............33NOVOLIN R FLEXPEN RELION.....................................33NOVOLIN R RELION................33NOVOLIN R VIAL..................... 33NOVOLOG FLEXPEN.............. 33NOVOLOG MIX 70/30 FLEXPEN..................................33NOVOLOG MIX 70/30 VIAL......33NOVOLOG PENFILL................ 33NOVOLOG U-100 VIAL............ 33NOVOPEN ECHO.....................65NOVOSEVEN RT..................... 34NOVOTWIST PEN NEEDLE.... 65NOXAFIL...................................20np thyroid.................................. 59NUBEQA...................................22NUCALA................................... 74NUCORT...................................45NUCYNTA.................................11NUCYNTA ER...........................10NUEDEXTA.............................. 41NULEV...................................... 50NULYTELY WITH FLAVOR PACKS......................................51NUPLAZID................................ 27NURTEC................................... 21NUTRIDOX............................... 15NUVAIL..................................... 45NUVARING............................... 58NUVESSA.................................14NUVIGIL....................................75NUWIQ......................................34NUZYRA................................... 15nyamyc......................................20NYMALIZE................................ 37nystatin......................................20nystatin-triamcinolone............... 20nystop....................................... 20OCALIVA.................................. 50ocella.........................................58octreotide acetate..................... 60OCUFLOX.................................68ODACTRA................................ 74ODEFSEY.................................28ODOMZO..................................24OFEV........................................ 73ofloxacin........................15, 68, 70olanzapine.................................27olanzapine-fluoxetine hcl.......... 18olmesartan medoxomil..............35olmesartan medoxomil-hctz...... 38olmesartan-amlodipine-hctz......38

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olopatadine hcl....................68, 71OLUMIANT............................... 61OLUX........................................ 45OLUX-E.....................................45OMECLAMOX-PAK.................. 50omega-3-acid ethyl esters.........39omeprazole............................... 52omeprazole-sodium bicarbonate............................... 52OMNARIS................................. 71ondansetron hcl........................ 19ondansetron odt........................ 19ONETOUCH DELICA LANCING DEV..........................65ONETOUCH DELICA PLUS LANCING.................................. 65ONETOUCH ULTRA 2..............65ONETOUCH ULTRA BLUE TEST STRIPS...........................65ONETOUCH ULTRA MINI........ 65ONETOUCH VERIO................. 65ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE..........65ONETOUCH VERIO IQ SYSTEM................................... 66ONETOUCH VERIO REFLECT..................................66ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE..........66ONEXTON................................ 45ONFI......................................... 16ONGLYZA.................................31ONZETRA XSAIL......................21opium........................................ 50OPSUMIT..................................72ORACEA...................................15ORACIT.................................... 48ORALAIR.................................. 74ORALAIR ADULT SAMPLE KIT............................................ 74ORALAIR ADULT STARTER PACK........................................ 74ORALAIR CHILDRENS SAMPLE KIT.............................74ORALAIR CHILDRENS STARTER PACK...................... 74ORAPRED ODT........................54ORAVIG.................................... 20ORENCIA..................................61ORENCIA CLICKJECT............. 61ORENITRAM............................ 72ORFADIN..................................52ORIAHNN................................. 60

ORILISSA................................. 60ORKAMBI................................. 72orphenadrine citrate er..............74orsythia..................................... 58ORTHO MICRONOR................ 59oscimin......................................50oscimin sr..................................50oseltamivir phosphate............... 30OSENI.......................................31OSMOLEX ER.......................... 26OSMOPREP............................. 51OSPHENA................................ 59OTEZLA.................................... 61OTICIN HC NR......................... 70OTOVEL................................... 70OTREXUP.................................61OVACE PLUS........................... 45OVACE PLUS WASH............... 45OVACE WASH..........................45OVIDE.......................................26oxandrolone.............................. 55oxaprozin.................................. 10OXAYDO...................................11oxazepam................................. 30OXBRYTA.................................33oxcarbazepine...........................17OXERVATE.............................. 68oxiconazole nitrate.................... 20OXISTAT...................................20OXSORALEN ULTRA...............45OXTELLAR XR......................... 17oxybutynin chloride................... 52oxybutynin chloride er............... 52oxycodone hcl..................... 11, 12OXYCODONE HCL ER............ 10oxycodone-acetaminophen.......12oxycodone-aspirin.....................12OXYCONTIN.............................10oxymorphone hcl.......................12oxymorphone hcl er.................. 10OZEMPIC..................................31OZOBAX................................... 74PACERONE..............................36pacerone................................... 36PALFORZIA (12 MG DAILY DOSE).......................................66PALFORZIA (120 MG DAILY DOSE).......................................66PALFORZIA (160 MG DAILY DOSE).......................................66PALFORZIA (20 MG DAILY DOSE).......................................66

PALFORZIA (200 MG DAILY DOSE).......................................66PALFORZIA (240 MG DAILY DOSE).......................................66PALFORZIA (3 MG DAILY DOSE).......................................66PALFORZIA (300 MG MAINTENANCE).......................66PALFORZIA (300 MG TITRATION)..............................66PALFORZIA (40 MG DAILY DOSE).......................................66PALFORZIA (6 MG DAILY DOSE).......................................66PALFORZIA (80 MG DAILY DOSE).......................................66PALFORZIA INITIAL ESCALATION........................... 66paliperidone er.......................... 27PALYNZIQ................................ 52PAMELOR................................ 19PANCREAZE............................ 52PANDEL....................................45PANRETIN................................25pantoprazole sodium.................52PARADIGM REAL-TIME STARTER................................. 66paricalcitol................................. 63PARLODEL...............................26PARNATE................................. 18paromomycin sulfate.................13paroxetine hcl............................18paroxetine hcl er....................... 18paroxetine mesylate..................18PASER......................................22PATANASE...............................71PAXIL........................................18PAXIL CR..................................18PAZEO......................................68PCP 100....................................51PEDIAPRED............................. 54peg 3350-kcl-na bicarb-nacl......51peg-3350/electrolytes................51PEGANONE..............................17PEGASYS.................................28PEGASYS PROCLICK............. 28PEGINTRON.............................28peg-prep....................................51PEMAZYRE.............................. 24penicillamine............................. 53penicillin v potassium................ 14PENNSAID................................10pentamidine isethionate............ 25

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PENTASA................................. 62pentazocine-naloxone hcl......... 12pentoxifylline er......................... 38PERCOCET.............................. 12PERCURA................................ 66PERFOROMIST........................72perindopril erbumine................. 35permethrin.................................26perphenazine............................ 19perphenazine-amitriptyline........18PERTZYE................................. 52PEXEVA....................................18PHENACTIN AA PLUS............. 48phenazo.................................... 53phenazopyridine hcl.................. 53phenelzine sulfate..................... 18phenobarbital...................... 15, 16phenoxybenzamine hcl............. 35phenylephrine hcl......................68PHENYTEK...............................17phenytoin.................................. 17phenytoin infatabs.....................17phenytoin sodium extended...... 17PHEXXI.....................................53philith.........................................58PHOSLYRA.............................. 49phospha 250 neutral................. 48phosphasal................................52PHOSPHOLINE IODIDE...........69phosphorous............................. 48phospho-trin 250 neutral........... 48PHOTREXA-PHOTREXA VISCOUS KIT........................... 68phytonadione............................ 49PICATO.....................................45PIFELTRO................................ 28pilocarpine hcl..................... 42, 69pimecrolimus.............................45pimozide....................................27pimtrea...................................... 58pindolol......................................36pioglitazone hcl......................... 31pioglitazone hcl-glimepiride.......31pioglitazone hcl-metformin hcl.. 31PIQRAY (200 MG DAILY DOSE).......................................23PIQRAY (250 MG DAILY DOSE).......................................23PIQRAY (300 MG DAILY DOSE).......................................23pirmella 1/35............................. 58pirmella 7/7/7............................ 58piroxicam...................................10

PLAN B ONE-STEP..................59PLAQUENIL..............................25PLAVIX..................................... 34PLEGRIDY................................42PLEGRIDY STARTER PACK... 42PLENVU....................................51PLEXION.................................. 46PLEXION CLEANSER.............. 46PLEXION CLEANSING CLOTH......................................46podocon.................................... 46podofilox....................................46polycin.......................................68polymyxin b-trimethoprim..........68POLYTRIM................................68POMALYST.............................. 23portia-28....................................58posaconazole............................20pot bicarb-pot chloride.............. 48POTABA................................... 49potassium bicarbonate..............48potassium chloride.................... 48potassium chloride crys er........ 48potassium chloride er................48potassium citrate er...................48potassium citrate-citric acid.......48PRADAXA.................................33PRALUENT...............................39pramipexole dihydrochloride..... 26pramipexole dihydrochloride er.26pramosone................................ 46PRAMOSONE...........................46PRAMOTIC............................... 70pramox...................................... 12prasugrel hcl............................. 34PRAVACHOL............................39pravastatin sodium....................39praziquantel.............................. 25prazosin hcl...............................35PRECISION LINK..................... 66PRECISION PCX PLUS TEST. 66PRECISION QID MONITOR.....66PRECISION QID TEST.............66PRECISION SOF-TACT MONITOR................................. 66PRECISION SOF-TACT TEST. 66PRECISION XTRA....................66PRECISION XTRA BLOOD GLUCOSE................................ 66PRECISION XTRA KETONE....66PRECISION XTRA MONITOR..66PRECOSE................................ 31PRED FORTE...........................69

PRED MILD.............................. 69PRED-G.................................... 68PRED-G S.O.P......................... 68prednicarbate............................ 46prednisolone............................. 54prednisolone acetate.................70prednisolone sodium phosphate........................... 54, 70prednisone................................ 54prednisone intensol...................54PREFEST................................. 58pregabalin................................. 41PREMARIN............................... 58premium lidocaine.....................12PREMPHASE........................... 58PREMPRO................................58PREPIDIL..................................53PRESTALIA.............................. 38PRETOMANID.......................... 22PREVACID SOLUTAB..............52prevalite.................................... 39previfem.................................... 58PREVYMIS............................... 27PREZCOBIX............................. 29PREZISTA................................ 29PRIFTIN.................................... 22PRILOSEC................................52primaquine phosphate.............. 25primidone.................................. 16PRIMLEV.................................. 12PRIMSOL..................................14PRINIVIL................................... 35PRISTIQ....................................18PROAIR DIGIHALER................72PROAIR HFA............................ 72PROAIR RESPICLICK..............72probenecid................................ 20PROCARDIA.............................37PROCARDIA XL....................... 37PROCENTRA........................... 40prochlorperazine....................... 19prochlorperazine maleate......... 27PROCORT................................ 62PROCRIT..................................33PROCTOCORT.................. 21, 62PROCTOFOAM HC.................. 62procto-med hc........................... 62procto-pak................................. 62proctosol hc...............................62proctozone-hc........................... 62PROCYSBI............................... 52PROFILNINE............................ 34PROFILNINE SD...................... 34

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progesterone.............................59progesterone micronized.......... 59PROGLYCEM........................... 32PROGRAF................................ 61PROLATE................................. 12PROLENSA.............................. 70PROMACTA..............................34PROMACTIN AA PLUS 20PE.. 66promethazine hcl.......................71promethazine-codeine.............. 74promethazine-dm...................... 74promethazine-phenyleph-codeine..................................... 74promethazine-phenylephrine.... 74promethegan.............................71PROMETRIUM......................... 59PROMISEB............................... 46propafenone hcl........................ 36propafenone hcl er.................... 36propantheline bromide.............. 50proparacaine hcl....................... 68propranolol hcl.......................... 36propranolol hcl er...................... 36propranolol-hctz........................ 38propylthiouracil ..........................60PROSCAR................................ 53PROSTIN E2.............................53PROTONIX............................... 52PROTOPIC............................... 46protriptyline hcl..........................19PROVENTIL HFA..................... 72PROVERA................................ 59PROVIGIL................................. 75PROZAC................................... 18PRUDOXIN............................... 46pseudoephedrine-bromphen-dm............................................. 74PSORCON................................46PULMICORT FLEXHALER.......71PULMICORT SUSPENSION.... 71PULMONA................................ 66pulmosal....................................74PULMOZYME........................... 74PURAMINO DHA/ARA..............49PURIXAN.................................. 23PYLERA....................................50pyrazinamide.............................22PYRIDIUM................................ 53pyridostigmine bromide.............22pyridostigmine bromide er.........22pyrimethamine.......................... 25PYROGALLIC ACID................. 46QBRELIS.................................. 35

QBREXZA.................................46QINLOCK..................................22QMIIZ ODT............................... 10QNASL......................................71QNASL CHILDRENS................ 71QTERN..................................... 31QUALAQUIN.............................25QUARTETTE............................ 58quazepam................................. 30QUDEXY XR.............................16QUESTRAN.............................. 39QUESTRAN LIGHT.................. 39quetiapine fumarate.................. 27quetiapine fumarate er.............. 27QUILLICHEW ER......................41QUILLIVANT XR....................... 41quinapril hcl...............................35quinapril-hydrochlorothiazide.... 38quinidine gluconate er...............36quinidine sulfate........................ 36quinine sulfate...........................25QVAR REDIHALER.................. 71RABEPRAZOLE SODIUM........ 52rabeprazole sodium.................. 52RADIOGARDASE..................... 66RAGWITEK...............................74raloxifene hcl.............................59ramelteon.................................. 75ramipril ...................................... 35RANEXA................................... 38ranolazine er............................. 38RAPAFLO................................. 53RAPAMUNE..............................61rasagiline mesylate................... 27RASUVO...................................61RAVICTI....................................52RAYALDEE...............................62RAYOS..................................... 54RAZADYNE.............................. 17RAZADYNE ER........................ 17REBIF....................................... 42REBIF REBIDOSE....................42REBIF REBIDOSE TITRATION PACK.................... 42REBIF TITRATION PACK.........42REBINYN.................................. 34reclipsen....................................58RECOMBINATE........................34RECOTHROM.......................... 34RECOTHROM SPRAY KIT.......34RECTIV.....................................40REFISSA...................................46REGLAN................................... 50

REGRANEX..............................46RELAFEN DS........................... 10RELENZA DISKHALER............ 30relexxii .......................................41RELION BLOOD GLUCOSE TEST.........................................66RELION ULTIMA TEST............ 66RELISTOR................................ 50RELPAX....................................21remergent hq.............................46REMERON................................18REMERON SOLTAB................ 18REMIGEN................................. 46RENAGEL.................................49RENOVA...................................46RENOVA PUMP....................... 46RENVELA................................. 49repaglinide................................ 31REPATHA................................. 39REPATHA PUSHTRONEX SYSTEM................................... 39REPATHA SURECLICK........... 39REQUIP XL...............................26RESTASIS................................ 68RESTASIS MULTIDOSE.......... 68RESTORIL.......................... 30, 75RETACRIT................................ 34RETEVMO................................ 22RETIN-A....................................46RETIN-A MICRO.......................46RETIN-A MICRO PUMP........... 46RETROVIR............................... 29REVATIO.................................. 73REVLIMID................................. 23REXULTI...................................27REYATAZ................................. 29REYVOW.................................. 21RHOFADE................................ 46RHOPRESSA........................... 68ribavirin............................... 28, 74RIDAURA..................................61rifabutin..................................... 22RIFADIN....................................22RIFAMATE................................22rifampin..................................... 22RIFATER...................................22RILUTEK...................................41riluzole.......................................41rimantadine hcl..........................30RINVOQ....................................61RIOMET.................................... 31RIOMET ER.............................. 31risedronate sodium................... 62

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RISPERDAL..............................27risperidone................................ 27RITALIN.................................... 41RITALIN LA...............................41ritonavir..................................... 29rivastigmine...............................17rivastigmine tartrate.................. 17rivelsa........................................58RIXUBIS....................................34rizatriptan benzoate.................. 21ROBAXIN-750...........................74ROCALTROL............................ 63ROCKLATAN............................ 68ropinirole hcl..............................26ropinirole hcl er......................... 26rosadan..................................... 14ROSADAN................................ 46rosuvastatin calcium................. 39ROWASA.................................. 62roweepra................................... 15roweepra xr............................... 16ROXICODONE......................... 12ROZEREM................................ 75ROZLYTREK............................ 23RUBRACA................................ 24RUCONEST..............................60RUZURGI..................................66RYBELSUS...............................31RYCLORA.................................71RYDAPT................................... 24RYTARY................................... 26RYTHMOL SR.......................... 36ryvent........................................ 71SABRIL..................................... 16SAFYRAL..................................58SALAGEN................................. 42salicylic acid.............................. 46salimez......................................46salsalate....................................10SALVAX DUO PLUS.................46SAMSCA...................................49SANCUSO................................ 19SANDIMMUNE......................... 61SANDOSTATIN........................ 60SANTYL.................................... 46SAPHRIS.................................. 27SARAFEM.................................18SAVAYSA................................. 33SAVELLA.................................. 41SAVELLA TITRATION PACK... 41SCALACORT DK...................... 46scopolamine..............................19SEASONIQUE.......................... 58

SECONAL.................................75SECUADO................................ 27SEEBRI NEOHALER................ 71SEGLUROMET.........................31selegiline hcl............................. 27selenium sulfide........................ 46SELZENTRY.............................29SEMPREX-D.............................74SENSIPAR................................62SENTRA AM............................. 66SENTRA PM............................. 66SEREVENT DISKUS................ 72SERNIVO..................................46SEROQUEL.............................. 27SEROQUEL XR........................ 27sertraline hcl..............................18setlakin......................................58sevelamer carbonate................ 49sevelamer hcl............................49sevoflurane............................... 66SEYSARA................................. 15SFROWASA............................. 62sharobel.................................... 59SHARPS CONTAINER............. 66SIGNIFOR.................................60SIKLOS..................................... 23sildenafil citrate......................... 73SILENOR.................................. 75SILIQ.........................................46silodosin.................................... 53SILVADENE..............................15silver nitrate...............................14silver sulfadiazine......................15SIMBRINZA.............................. 69simliya....................................... 58simpesse...................................58SIMPONI...................................61simvastatin................................ 39SINEMET.................................. 26SINGULAIR...............................71sirolimus....................................61SIRTURO..................................22SITAVIG....................................28SIVEXTRO................................14SKELAXIN................................ 74SKLICE..................................... 25SKYRIZI (150 MG DOSE).........61SLYND...................................... 59sod citrate-citric acid................. 49SODIUM BICARBONATE.........50sodium chloride.........................74sodium fluoride..........................49sodium hyaluronate...................46

sodium phenylbutyrate..............52sodium polystyrene sulfonate... 49sodium sulfacetamide............... 46sodium sulfacetamide wash......46SODIUM SULFACETAMIDE WASH....................................... 46SOFOSBUVIR-VELPATASVIR.28SOF-SENSOR.......................... 66solifenacin succinate.................52SOLIQUA.................................. 31SOLODYN................................ 15SOLOSEC.................................14SOLTAMOX.............................. 23SOMA....................................... 74SOMATULINE DEPOT............. 60SOMAVERT..............................60SOOLANTRA............................46SORIATANE............................. 46SORILUX.................................. 46sotalol hcl.................................. 36sotalol hcl (af)............................36SOTYLIZE.................................36SOVALDI.................................. 28spinosad....................................26SPIRIVA HANDIHALER............71SPIRIVA RESPIMAT................ 71spironolactone...........................38spironolactone-hctz...................38SPORANOX..............................20SPORANOX PULSEPAK..........20SPRAVATO (56 MG DOSE)..... 18SPRAVATO (84 MG DOSE)..... 18sprintec 28................................ 58SPRITAM.................................. 16SPRIX....................................... 10SPRYCEL................................. 25sps............................................ 49sronyx....................................... 58ssd............................................ 15SSKI..........................................66sss 10-5.................................... 46STALEVO 100.......................... 26STALEVO 125.......................... 26STALEVO 150.......................... 26STALEVO 200.......................... 26STALEVO 50............................ 26STALEVO 75............................ 26STARLIX................................... 31stavudine...................................29STEGLATRO............................ 31STEGLUJAN.............................31STELARA..................................61STIMATE.................................. 54

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STIOLTO RESPIMAT............... 74STIVARGA................................25STRATTERA.............................41STRENSIQ................................52STRIBILD..................................28STRIVERDI RESPIMAT........... 72STROMECTOL......................... 25SUBOXONE..............................12SUBSYS................................... 12subvenite...................................16subvenite starter kit-blue...........16subvenite starter kit-green........ 16subvenite starter kit-orange...... 16SUCRAID..................................52sucralfate.................................. 51SULAR...................................... 37SULCONAZOLE NITRATE.......20sulfacetamide sodium......... 15, 46sulfacetamide sodium (acne).... 46sulfacetamide sodium-sulfur..... 46sulfacetamide sod-sulfur wash..46sulfacetamide-prednisolone...... 68sulfacetamide-sulfur in urea......46sulfacleanse 8/4........................ 47sulfadiazine............................... 15sulfamethoxazole-trimethoprim.15sulfamez wash.......................... 47SULFAMYLON..........................14sulfasalazine............................. 62sulfatrim pediatric......................15SULFURATED LIME.................26sulindac.....................................10SUMADAN................................ 47SUMADAN WASH.................... 47SUMADAN XLT........................ 47sumatriptan............................... 21sumatriptan succinate............... 21sumatriptan succinate refill ....... 21sumatriptan-naproxen sodium.. 21SUMAXIN..................................47SUMAXIN CP............................47SUMAXIN WASH......................47SUNOSI.................................... 75SUPRAX................................... 14SUPREP BOWEL PREP KIT....51SURESTEP PRO HIGH GLUCOSE................................ 66SURESTEP PRO LOW GLUCOSE................................ 66SURESTEP PRO NORMAL GLUCOSE................................ 66SUSTIVA...................................28SUTENT....................................25

syeda........................................ 58SYLATRON...............................28SYMAX DUOTAB..................... 50symax-sl....................................50symax-sr................................... 50SYMBICORT.............................74SYMBYAX.................................18SYMDEKO................................ 72SYMFI....................................... 28SYMFI LO................................. 28SYMLINPEN 120...................... 31SYMLINPEN 60........................ 31SYMPAZAN.............................. 16SYMPROIC...............................50SYMTUZA.................................29SYNALAR................................. 47SYNALAR (CREAM).................47SYNALAR (OINTMENT)........... 47SYNALAR TS............................47SYNAREL................................. 60SYNDROS................................ 19SYNJARDY...............................31SYNJARDY XR.........................31SYNRIBO..................................23SYNTHROID.............................59SYPRINE.................................. 49TABLOID...................................23TABRECTA...............................22TACLONEX...............................47tacrolimus............................47, 61tadalafil (pah)............................ 73TAFINLAR.................................25TAGRISSO............................... 25TAKHZYRO.............................. 60TALICIA.................................... 51TALTZ....................................... 47TALZENNA............................... 24TAMIFLU...................................30tamoxifen citrate........................23tamsulosin hcl........................... 53TAPAZOLE............................... 60TAPERDEX 12-DAY................. 54TAPERDEX 6-DAY................... 54TAPERDEX 7-DAY................... 54TARCEVA................................. 25TARGADOX..............................15TARGRETIN............................. 25tarina 24 fe................................ 58tarina fe 1/20............................. 58tarina fe 1/20 eq........................ 58TARKA...................................... 38taron-crystals............................ 49TASIGNA.................................. 25

TASMAR................................... 26TAVALISSE.............................. 34TAYTULLA................................58tazarotene................................. 47TAZORAC.................................47taztia xt......................................37TAZVERIK................................ 23TECFIDERA..............................42TEGRETOL...............................17TEGRETOL-XR........................ 17TEGSEDI.................................. 52TEKTURNA...............................38TEKTURNA HCT...................... 38telmisartan................................ 35telmisartan-amlodipine..............38telmisartan-hctz.........................38temazepam......................... 30, 75TEMIXYS.................................. 29TEMODAR................................ 22TEMOVATE.............................. 47temozolomide............................22tencon......................................... 9tenofovir disoproxil fumarate.....29TENORETIC 100...................... 38TENORETIC 50........................ 38TENORMIN...............................36terazosin hcl..............................53terbinafine hcl............................20terbutaline sulfate......................72terconazole............................... 20TERIPARATIDE (RECOMBINANT)..................... 62terrell ......................................... 66TESSALON PERLES................74TESTIM.....................................55testosterone.............................. 55TESTOSTERONE CYPIONATE............................. 55testosterone cypionate..............55testosterone enanthate............. 55tetrabenazine............................ 41tetracaine hcl.............................68tetracycline hcl.......................... 15TEXACORT.............................. 47THALOMID............................... 23THEO-24...................................72theophylline...............................72theophylline er...........................72THERAMINE.............................66THERAMINE PLUS.................. 67THIOLA..................................... 53THIOLA EC............................... 53thioridazine hcl.......................... 27

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thiothixene.................................27THROMBIN-JMI........................34THROMBIN-JMI EPISTAXIS.... 34THROMBOGEN........................34tiadylt er.................................... 37tiagabine hcl..............................16TIAZAC..................................... 37TIBSOVO.................................. 25TIGAN....................................... 19TIGLUTIK..................................41TIKOSYN.................................. 36tilia fe.........................................58timolol maleate....................36, 69TIMOPTIC.................................69TIMOPTIC OCUDOSE..............69TIMOPTIC-XE...........................69tinidazole...................................14TIROSINT................................. 59TIROSINT-SOL.........................59TISSEEL................................... 47TIVICAY.................................... 28TIVORBEX................................10tizanidine hcl............................. 74tl hydroquinone......................... 47TL-ICARE..................................67TOBI NEBULIZER.................... 72TOBI PODHALER.....................72TOBRADEX.............................. 68TOBRADEX ST.........................68tobramycin.......................... 68, 72TOBRAMYCIN.......................... 72tobramycin-dexamethasone......68TOBREX................................... 68TOLAK...................................... 47tolbutamide............................... 31tolcapone.................................. 26tolmetin sodium.........................10TOLSURA................................. 20tolterodine tartrate.....................52tolterodine tartrate er.................52tolvaptan................................... 49TOPAMAX................................ 16TOPAMAX SPRINKLE..............16TOPICORT............................... 47TOPICORT SPRAY.................. 47topiramate................................. 16topiramate er.............................16TOPROL XL..............................36toremifene citrate...................... 23torsemide.................................. 38TOSYMRA................................ 21TOUJEO MAX SOLOSTAR...... 33TOUJEO SOLOSTAR...............33

tovet.......................................... 47TOVIAZ..................................... 52TRACLEER...............................73TRADJENTA.............................31tramadol hcl.............................. 12TRAMADOL HCL ER................10tramadol hcl er.................... 10, 12tramadol hcl er (biphasic)..........12tramadol-acetaminophen.......... 12trandolapril ................................ 35trandolapril-verapamil hcl er......38tranexamic acid.........................34TRANSDERM SCOP (1.5 MG).19TRANSDERM-SCOP (1.5 MG).19TRANXENE-T........................... 30tranylcypromine sulfate............. 18TRAVATAN Z............................70travoprost (bak free)..................70trazodone hcl............................ 18TRECATOR.............................. 22TRELEGY ELLIPTA..................74TREMFYA.................................47TRESIBA...................................33TRESIBA FLEXTOUCH............33tretinoin............................... 25, 47tretinoin (emollient)................... 47tretinoin microsphere................ 47tretinoin microsphere pump...... 47TRETTEN................................. 34TREXALL.................................. 61TREXIMET................................22TREZIX..................................... 12tri femynor................................. 58triamcinolone acetonide............ 47triamterene................................38triamterene-hctz........................ 38trianex....................................... 47triazolam................................... 30TRIBENZOR............................. 38TRI-CHLOR.............................. 47TRICITRASOL.......................... 33tricitrates................................... 49TRICOR.................................... 39triderm.......................................47TRIDESILON............................ 47trientine hcl................................49tri-estarylla................................ 58trifluoperazine hcl......................27trifluridine.................................. 28trihexyphenidyl hcl.................... 26TRIJARDY XR.......................... 31TRIKAFTA.................................72tri-legest fe................................ 58

TRILEPTAL...............................17tri-linyah.................................... 58TRILIPIX................................... 39tri-lo-estarylla............................ 58tri-lo-marzia............................... 58tri-lo-mili .................................... 58tri-lo-sprintec............................. 58TRI-LUMA................................. 47trilyte......................................... 51trimethobenzamide hcl..............19trimethoprim.............................. 14tri-mili ........................................ 58trimipramine maleate................ 19TRINTELLIX..............................18tri-previfem................................ 58tri-sprintec................................. 58TRIUMEQ................................. 28trivora (28).................................58tri-vylibra................................... 58tri-vylibra lo................................58TRIZIVIR................................... 29TROKENDI XR......................... 16trospium chloride.......................52trospium chloride er.................. 52TRUE METRIX BLOOD GLUCOSE TEST...................... 67TRUE METRIX LEVEL 1.......... 67TRUE METRIX LEVEL 2.......... 67TRUE METRIX LEVEL 3.......... 67TRUE METRIX PRO BLOOD GLUCOSE................................ 67TRUETRACK TEST..................67TRULANCE...............................50TRULICITY............................... 32TRUSOPT.................................69TRUVADA.................................29TRYPTOPHAN......................... 67TUDORZA PRESSAIR............. 71TUKYSA....................................25tulana........................................ 59TURALIO.................................. 25TURPENTINE............................. 9TUSSICAPS..............................74TUXARIN ER............................ 74TUZISTRA XR.......................... 74TWYNSTA................................ 38TYBOST....................................28tydemy...................................... 58TYKERB....................................25TYLACTIN RESTORE 5PE...... 49TYLENOL WITH CODEINE #3. 12TYMLOS................................... 62TYVASO................................... 73

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TYVASO REFILL...................... 73TYVASO STARTER..................73UBRELVY................................. 21UCERIS.................................... 62UDENYCA................................ 34ULORIC.................................... 21ULTANE....................................67ULTRACET............................... 12ULTRAM................................... 12ULTRAVATE.............................47UMECTA MOUSSE.................. 47UNISTRIP CONTROL...............67unithroid.................................... 59UPTRAVI.................................. 73URAMAXIN............................... 47urea...........................................47urea nail .................................... 47urea-c40....................................47URELLE.................................... 53uremez-40.................................47uretron d/s.................................53URIBEL..................................... 53URIMAR-T................................ 53urin ds....................................... 53URO-458...................................53UROCIT-K 10............................49UROCIT-K 15............................49UROCIT-K 5..............................49UROGESIC-BLUE.................... 53uro-mp.......................................53UROXATRAL............................ 53URSO 250.................................51URSO FORTE.......................... 51ursodiol..................................... 51URYL........................................ 53ustell ..........................................53UTIBRON NEOHALER............. 74uticap........................................ 53utira-c........................................ 53UTOPIC.................................... 47utrona-c.....................................53VAGIFEM..................................58valacyclovir hcl..........................28VALCHLOR...............................22VALCYTE..................................27valganciclovir hcl.......................27VALIUM.....................................30valproic acid.............................. 16valsartan................................... 35valsartan-hydrochlorothiazide... 38VALTOCO 10 MG DOSE..........16VALTOCO 15 MG DOSE..........16VALTOCO 20 MG DOSE..........16

VALTOCO 5 MG DOSE............16VALTREX..................................28VANADOM................................74VANATOL LQ............................. 9VANATOL S................................9VANCOCIN............................... 14VANCOCIN HCL.......................14vancomycin hcl......................... 14vandazole..................................14VANIQA.................................... 47VANOS..................................... 47VARUBI (180 MG DOSE)......... 19VASCEPA................................. 39VASERETIC..............................38VASOTEC.................................35VECAMYL.................................38VECTICAL................................ 47velivet........................................58VELPHORO.............................. 49VELTASSA............................... 49VELTIN..................................... 47VEMLIDY.................................. 28VENCLEXTA.............................25VENCLEXTA STARTING PACK........................................ 25VENELEX................................. 47venlafaxine hcl.......................... 18venlafaxine hcl er...................... 18VENTAVIS................................ 73VENTOLIN HFA........................72verapamil hcl.............................37verapamil hcl er.........................37VERDESO................................ 47VEREGEN................................ 47VERELAN................................. 37VERELAN PM...........................37VERSACLOZ............................ 27VERZENIO................................23VESICARE................................53VFEND......................................20VIBERZI.................................... 51VIBRAMYCIN............................15VICTOZA.................................. 32VIEKIRA PAK............................28vienva........................................58vigabatrin.................................. 16vigadrone.................................. 16VIGAMOX................................. 15VIIBRYD....................................18VIIBRYD STARTER PACK....... 18vilamit mb..................................53VILEVEV MB.............................53VIMPAT.....................................17

VIOKACE.................................. 52viorele....................................... 58VIRACEPT................................ 29VIRAMUNE............................... 28VIRAMUNE XR......................... 28VIRAZOLE................................ 74VIREAD.....................................29virt-phos 250 neutral................. 49VISTARIL.................................. 71VISTOGARD.............................67vitamin d (ergocalciferol)...........49VITRAKVI..................................25VIVELLE-DOT...........................58VIVLODEX................................ 10VIZIMPRO.................................25VOGELXO................................ 55VOGELXO PUMP..................... 55volnea....................................... 58VOLTAREN...............................10VONVENDI............................... 34voriconazole..............................20VOSEVI.....................................28VOTRIENT................................25VRAYLAR................................. 27VTOL LQ.....................................9VUMERITY............................... 42VUMERITY (STARTER)........... 42VUSION.................................... 20vyfemla......................................58vylibra........................................58VYNDAMAX..............................38VYNDAQEL.............................. 38VYTORIN.................................. 39VYVANSE................................. 40VYZULTA..................................70WAKIX...................................... 75warfarin sodium.........................33WELCHOL................................ 39WELLBUTRIN SR.....................18WELLBUTRIN XL..................... 18wera.......................................... 58WESTHROID............................ 59WHEAT GERM OIL.................. 49WIDE-SEAL DIAPHRAGM 60.. 67WIDE-SEAL DIAPHRAGM 65.. 67WIDE-SEAL DIAPHRAGM 70.. 67WIDE-SEAL DIAPHRAGM 75.. 67WIDE-SEAL DIAPHRAGM 80.. 67WIDE-SEAL DIAPHRAGM 85.. 67WIDE-SEAL DIAPHRAGM 90.. 67WIDE-SEAL DIAPHRAGM 95.. 67WILATE.....................................34wixela inhub.............................. 74

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WP THYROID........................... 59wymzya fe................................. 58XADAGO...................................27XALATAN..................................70XALKORI.................................. 25XANAX......................................30XANAX XR................................30XARELTO................................. 33XARELTO STARTER PACK.....33XATMEP................................... 61XCOPRI.................................... 16XCOPRI (250 MG DAILY DOSE).......................................16XCOPRI (350 MG DAILY DOSE).......................................16XELJANZ.................................. 61XELJANZ XR............................ 61XELODA................................... 23XELPROS................................. 70XENAZINE................................ 41XENLETA..................................14XEPI..........................................15XERESE................................... 28XERMELO................................ 51XHANCE................................... 71XIFAXAN...................................51XIGDUO XR..............................32XIIDRA...................................... 68XIMINO..................................... 15XOFLUZA (40 MG DOSE)........ 30XOFLUZA (80 MG DOSE)........ 30XOLEGEL................................. 20XOLEGEL COREPAK...............20XOLEGEL DUO/HEAD & SHOULDERS............................20XOLEGEL DUO/XOLEX........... 20XOPENEX.................................72XOPENEX CONCENTRATE.... 72XOPENEX HFA........................ 72XOSPATA................................. 25XPOVIO (100 MG ONCE WEEKLY)..................................23XPOVIO (60 MG ONCE WEEKLY)..................................23XPOVIO (80 MG ONCE WEEKLY)..................................23XPOVIO (80 MG TWICE WEEKLY)..................................23XTAMPZA ER........................... 10XTANDI.....................................22xulane....................................... 58XULTOPHY...............................32XURIDEN..................................52

XYNTHA................................... 34XYNTHA SOLOFUSE...............34XYOSTED.................................55XYREM..................................... 75YASMIN 28............................... 58YAZ........................................... 58YONSA..................................... 22YUPELRI...................................71yuvafem.................................... 58ZACARE................................... 47zaclir cleansing......................... 47zafirlukast..................................71zaleplon.....................................75ZANAFLEX............................... 74zarah......................................... 58ZARONTIN................................16ZARXIO.....................................34ZAVESCA................................. 52ZEBUTAL....................................9ZEGERID.................................. 52ZEJULA.....................................24ZELAPAR..................................27ZELBORAF............................... 25ZELNORM................................ 51ZEMBRACE SYMTOUCH........ 22ZEMPLAR................................. 63zenatane................................... 47ZENPEP....................................52ZENZEDI...................................40ZEPATIER................................ 28ZEPOSIA.................................. 42ZEPOSIA 7-DAY STARTER PACK........................................ 42ZEPOSIA STARTER KIT.......... 42ZERVIATE................................ 68ZESTORETIC........................... 38ZESTRIL................................... 35ZETIA........................................39ZETONNA.................................71ZIAC..........................................38ZIAGEN.....................................29ZIANA....................................... 47zidovudine.................................29ZIEXTENZO..............................34zileuton er................................. 71ZILXI......................................... 47ZIOPTAN.................................. 70ziprasidone hcl.......................... 27ZIPSOR.....................................10ZIRGAN.................................... 27ZITHROMAX.............................14ZITHROMAX TRI-PAK..............14ZITHROMAX Z-PAK................. 14

ZOCOR..................................... 39ZOFRAN................................... 19ZOHYDRO ER.......................... 10ZOLINZA...................................23zolmitriptan................................22ZOLOFT....................................18zolpidem tartrate....................... 75zolpidem tartrate er................... 75ZOLPIMIST............................... 75ZOMIG...................................... 22ZOMIG ZMT..............................22ZONALON.................................47ZONEGRAN..............................16zonisamide................................16ZONTIVITY............................... 33ZORTRESS.............................. 61ZORVOLEX.............................. 10zovia 1/35e (28)........................ 58ZOVIRAX.................................. 28ZTLIDO..................................... 12ZUBSOLV................................. 12zumandimine.............................58ZUPLENZ..................................19ZYCLARA................................. 47ZYCLARA PUMP...................... 47ZYDELIG...................................25ZYFLO...................................... 71ZYKADIA...................................25ZYLET.......................................68ZYLOPRIM................................21ZYMAXID.................................. 68ZYPITAMAG............................. 39ZYPREXA................................. 27ZYPREXA ZYDIS......................27ZYTIGA..................................... 22ZYVOX......................................14

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Nondiscrimination notice and access to communication services

UnitedHealthcare® and its subsidiaries do not discriminate on the basis of race, color, national origin, age, disability or sex in its health programs or activities.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator.

Online: [email protected]

Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UT 84130

You must send the complaint within 60 days of your experience. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m., or at the times listed in your health plan documents.

You can also file a complaint with the U.S. Dept. of Health and Human Services.

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD)

Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

We provide free services to help you communicate with us, including letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m., or at the times listed in your health plan documents.

Multi-language interpreter servicesMulti-language interpreter services

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.

請注意：如果您說中文 (Chinese)，我們免費為您提供語言協助服務。請撥打會員卡所列的免付費會員電話號碼。

XIN LƯU Ý: Nếu quý vị nói tiếng Việt (Vietnamese), quý vị sẽ được cung cấp dịch vụ trợ giúp về ngôn ngữ miễn phí. Vui lòng gọi số điện thoại miễn phí ở mặt sau thẻ hội viên của quý vị.

알림: 한국어(Korean)를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다. 귀하의 신분증 카드에 기재된 무료 회원 전화번호로 문의하십시오.

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

ВНИМАНИЕ: бесплатные услуги перевода доступны для людей, чей родной язык является русском (Russian). Позвоните по бесплатному номеру телефона, указанному на вашей идентификационной карте.

تنبيه: إذا كنت تتحدث العربية (Arabic)، فإن خدمات المساعدة اللغوية المجانية متاحة لك. الرجاء االتصال على رقم الهاتف المجاني الموجود على معّرف العضوية.

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuillez appeler le numéro de téléphone gratuit figurant sur votre carte d’identification.

UWAGA: Jeżeli mówisz po polsku (Polish), udostępniliśmy darmowe usługi tłumacza. Prosimy zadzwonić pod bezpłatny numer telefonu podany na karcie identyfikacyjnej.

ATENÇÃO: Se você fala português (Portuguese), contate o serviço de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartão de identificação.

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.

注意事項：日本語(Japanese)を話される場合、無料の言語支援サービスをご利用いただけます。健康保険証に記載されているフリーダイヤルにお電話ください。

توجه: اگر زبان شما فارسی (Farsi) است، خدمات امداد زبانی به طور رايگان در اختيار شما می باشد. لطفا با شماره تلفن رايگانی که روی کارت شناسايی شما قيد شده تماس بگيريد.

ध्यान दें: यदि आप हिंदी (Hindi) बोलते है, आपको भाषा सहायता सेबाए,ं नि:शुल्क उपलब्ध हैं। कृपया अपने पहचान पत्र पर सूचीबद्ध टोल-फ्री फोन नंबर पर कॉल करें।CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

ចំណាប់អារម្មណ៍ៈ បើសិនអ្នកនិយាយភាសាខ្មែរ(Khmer)សេវាជំនួយភាសាដោយឥតគិតថ្លៃ គឺមានសំរាប់អ្នក។ សូមទូរស័ព្ទទៅលេខឥតគិតថ្លៃ ដែលមាននៅលើអត្ដសញ្ញាណប័ណ្ណរបស់អ្នក។PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.

DÍÍ BAA’ÁKONÍNÍZIN: Diné (Navajo) bizaad bee yániłti’go, saad bee áka›anída›awo›ígíí, t’áá jíík’eh, bee ná’ahóót’i’. T’áá shǫǫdí ninaaltsoos nitł’izí bee nééhozinígíí bine’dę́ę́› t’áá jíík’ehgo béésh bee hane’í biká’ígíí bee hodíilnih.

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.

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©2020 United HealthCare Services, Inc. 2020 Prescription Drug List — Freedom Life Insurance Company of America, WF2030016 National Foundation Life Insurance Company or Enterprise Life Insurance Company 7/20

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