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National Formulary Reference Guide

Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.

FORMULARY DESIGN

Your formulary has a formulary structure which includes most prescription drugs. The formulary structure features medications generics (with the lowest co-payments), preferred and non-preferred brand-name drugs.

• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.

• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.

• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.

Select‐National‐Advantage Formulary Reference Guide

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is

covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management

activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary

status of your medication, please visit your member website or call member services at the number listed on your ID card.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.

PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.

All OptumTM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or

registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

cefprozil

cefuroxime axetil

cefuroxime sodium

NON PREFERRED

January 2017 Cefaclor

Cefaclor ER

ANTI-INFECTIVES Cefotan

Cefotetan

PENICILLINS

Cefotetan/Dextrose

GENERIC

Cefoxitin Sodium

amoxicillin

Ceftin

amoxicillin/clavulanate potassium

Cefuroxime Sodium

amoxicillin/clavulanate potassium ER

Zinacef

ampicillin

THIRD GENERATION

ampicillin sodium

GENERIC

ampicillin-sulbactam

cefdinir

dicloxacillin sodium

cefixime

nafcillin sodium

cefotaxime sodium

oxacillin sodium

cefpodoxime proxetil

penicillin v potassium

ceftazidime

penicillin G potassium

ceftriaxone sodium

piperacillin sodium/ tazobactam sodium

Cefotaxime Sodium

piperacillin sodium/tazobactam sodium

Ceftriaxone IN Iso-osmotic Dextrose

piperacillin/tazobactam

NON PREFERRED

Amoxicillin/Clavulanate Potassium

Cedax

NON PREFERRED

Cefditoren Pivoxil

Amoxicillin

Ceftazidime/Dextrose

Amoxicillin ER

Ceftibuten

Ampicillin

Ceftriaxone Sodium

Ampicillin Sodium

Ceftriaxone/Dextrose

Augmentin

Claforan

Augmentin ES-600

Claforan/D5W

Augmentin XR

Fortaz

Bactocill IN Dextrose

Rocephin

Bicillin C-R

Spectracef

Bicillin L-a

Suprax

Moxatag

Tazicef

Nafcillin

FOURTH GENERATION

Nafcillin Sodium

GENERIC

Penicillin G Potassium IN Iso-osmotic Dextrose

cefepime

Penicillin G Procaine

NON PREFERRED

Penicillin G Sodium

Cefepime

Pfizerpen-G

Cefepime/Dextrose

Timentin

Maxipime

Unasyn

Unasyn Bulk Pack

MACROLIDES

Zosyn

GENERIC

azithromycin

CEPHALOSPORIN

clarithromycin

FIRST GENERATION

clarithromycin ER

GENERIC

erythromycin

cefadroxil

erythromycin ethylsuccinate

cefazolin sodium

Azithromycin

cephalexin

NON PREFERRED

NON PREFERRED

Biaxin

Ancef

Dificid

Cefazolin

E.e.s. Granules

Cefazolin Sodium

E.e.s. 400

Cefazolin Sodium/Dextrose

Ery-TAB

Cefazolin/Dextrose

Eryped 200

Cefazolin/D5W

Eryped 400

Cefazolin/Sodium Chloride

Erythrocin Lactobionate

Cephalexin

Erythrocin Stearate

Keflex

Erythromycin Base

SECOND GENERATION

Erythromycin Ethylsuccinate

GENERIC

PCE

cefaclor

Zithromax

cefotetan

Zithromax Tri-PAK

cefoxitin sodium

Zithromax Z-PAK

Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.

1

Zmax isotonic gentamicin

neomycin sulfate

TETRACYCLINES paromomycin sulfate

tobramycin

GENERIC

tobramycin sulfate

demeclocycline HCL

Tobramycin

doxycycline

PREFERRED

doxycycline hyclate

Tobi Podhaler

doxycycline hyclate DR

NON PREFERRED

doxycycline monohydrate

Bethkis

minocycline HCL

Gentamicin Sulfate/0.9% Sodium Chloride

minocycline HCL ER

Kitabis PAK

tetracycline hydrochloride

Streptomycin Sulfate

Tetracycline HCL

Tobi

NON PREFERRED

Tobramycin Sulfate

Acticlate

Adoxa

SULFONAMIDES

Adoxa PAK 1/100

Adoxa PAK 1/150 PREFERRED

Adoxa PAK 2/100 Sulfisoxizole

Alodox Convenience Kit NON PREFERRED

Avidoxy DK Sulfadiazine

Benzodox 30 Kit

Benzodox 60 Kit ANTIMYCOBACTERIAL AGENTS

Doryx

GENERIC

Doryx Mpc

ethambutol HCL

Minocin

isoniazid

Minocin Kit

pyrazinamide

Monodox

rifabutin

Morgidox 1X100MG

rifampin

Morgidox 1X50MG Kit

PREFERRED

Morgidox 2X100MG

Priftin

Nicazeldoxy 30 Kit

Sirturo

Nicazeldoxy 60 Kit

NON PREFERRED

Nutridox

Capastat Sulfate

Ocudox

Cycloserine

Solodyn

Isoniazid

Targadox

Myambutol

Vibramycin

Mycobutin

Paser

QUINOLONES

Rifadin

GENERIC Rifamate

ciprofloxacin Rifater

ciprofloxacin ER Trecator

ciprofloxacin HCL

ciprofloxacin I.V.-IN D5W ANTIFUNGALS

levofloxacin

GENERIC

levofloxacin IN D5W

fluconazole

levofloxacin IN 5% dextrose

fluconazole IN dextrose

moxifloxacin HCL

fluconazole IN NACL

Ciprofloxacin HCL

flucytosine

Ofloxacin

griseofulvin microsize

NON PREFERRED

griseofulvin ultramicrosize

Avelox

itraconazole

Avelox Abc Pack

ketoconazole

Cipro

nystatin

Cipro I.V.-IN D5W

terbinafine HCL

Cipro XR

voriconazole

Ciprofloxacin

PREFERRED

Factive

Cancidas

Levaquin

Cresemba

Moxifloxacin HCL

Mycamine

Noroxin

Noxafil

NON PREFERRED

AMINOGLYCOSIDES

Abelcet

GENERIC Ambisome

amikacin sulfate Amphotec

gentamicin sulfate Amphotericin B

gentamicin sulfate pediatric Ancobon

gentamicin sulfate/0.9% sodium chloride Diflucan

Effective January 1, 2017

2

Eraxis Ribatab

Fluconazole IN NACL Selzentry

Grifulvin V Sovaldi

Gris-peg Stribild

Lamisil Sustiva

Onmel Tamiflu

Sporanox Tivicay

Sporanox Pulsepak Triumeq

Vfend Truvada

Vfend IV Tybost

Videx Pediatric

ANTIVIRALS Viracept

Viread

GENERIC

Zepatier

abacavir

NON PREFERRED

abacavir sulfate/lamivudine/zidovudine

Acyclovir Sodium

abacavir/lamivudine

Baraclude

acyclovir

Combivir

acyclovir sodium

Copegus

adefovir dipivoxil

Cytovene

cidofovir

Daklinza

didanosine

Descovy

entecavir

Epivir

famciclovir

Epivir HBV

ganciclovir

Epzicom

lamivudine

Evotaz

lamivudine/zidovudine

Famvir

nevirapine

Flumadine

nevirapine ER

Foscavir

ribavirin

Genvoya

rimantadine HCL

Hepsera

stavudine

Odefsey

valacyclovir HCL

Olysio

valganciclovir

Prezcobix

valganciclovir hydrochlorde

Rebetol

zidovudine

Retrovir

Nevirapine

Rimantalist

PREFERRED

Sitavig

Aptivus

Technivie

Atripla

Trizivir

Complera

Tyzeka

Crixivan

Valcyte

Edurant

Valtrex

Emtriva

Victrelis

Epclusa

Videx EC

Fuzeon

Viekira PAK

Harvoni

Viekira XR

Intelence

Viramune

Invirase

Viramune XR

Isentress

Virazole

Kaletra

Vistide

Lexiva

Vitekta

Moderiba

Zerit

Moderiba 1200 Dose Pack

Ziagen

Moderiba 800 Dose Pack

Zovirax

Norvir

Peg-intron

ANTIMALARIALS

Peg-intron Redipen

Peg-intron Redipen PAK 4 GENERIC

Pegasys atovaquone/proguanil HCL

Pegasys Proclick chloroquine phosphate

Pegintron hydroxychloroquine sulfate

Prezista mefloquine HCL

Rapivab quinine sulfate

Relenza Diskhaler Primaquine Phosphate

Rescriptor PREFERRED

Retrovir IV Infusion Coartem

Reyataz Daraprim

Ribasphere NON PREFERRED

Ribasphere Ribapak Aralen


3

Malarone Coly-mycin M

Plaquenil Cubicin

Qualaquin Cubicin RF

Doribax

AMEBICIDES First-metronidazole 100

First-metronidazole 50

NON PREFERRED

First-vancomycin 25

Yodoxin

First-vancomycin 50

Flagyl

ANTHELMINTICS

Flagyl ER

GENERIC

Impavido

ivermectin

Invanz

PREFERRED

Ketek

Albenza

Lincocin

NON PREFERRED

Lincomycin/Lidocaine

Biltricide

Mepron

Emverm

Meropenem/Sodium Chloride

Stromectol

Merrem

Metro IV

MISC. ANTI-INFECTIVES

Neutrexin

GENERIC

Pentam 300

atovaquone

Primaxin IV

aztreonam

Primaxin IV Add-vantage

bacitracin

Primsol

clindamycin

Sulfamethoxazole/Trimethoprim

clindamycin palmitate HCL

Synercid

clindamycin phosphate

Tindamax

clindamycin phosphate add-vantage

Vancocin HCL

clindamycin phosphate pharmacy bulk package

Vancomycin

clindamycin phosphate IN D5W

Vancomycin Hydrochloride

clindamycin HCL

Vancomycin Hydrochloride/Dextrose

colistimethate sodium

Vancomycin Hydrochloride/NACL

dapsone

Vancomycin Hydrochloride/Sodium Chloride

daptomycin

Vancomycin HCL

imipenem/cilastatin

Vancomycin HCL + Syrspendsf PH4

lincomycin HCL

Vancomycin HCL IN Dextrose

linezolid

Vibativ

meropenem

Zyvox

metronidazole

metronidazole IN NACL 0.79%

ANTINEOPLASTICS, ETC

polymyxin b sulfate

ALKYLATING AGENTS

sulfamethoxazole/trimethoprim

sulfamethoxazole/trimethoprim DS GENERIC

tinidazole carboplatin

trimethoprim cisplatin

vancomycin HCL cyclophosphamide

Linezolid ifosfamide

PREFERRED melphalan hydrochloride

Alinia oxaliplatin

Avycaz temozolomide

Cayston Lomustine

Dalvance PREFERRED

Nebupent Alkeran

Orbactiv Bicnu

Sivextro Busulfex

Tygacil Gleostine

Xifaxan Gliadel Wafer

Zerbaxa Hexalen

NON PREFERRED Ifosfamide

Azactam Leukeran

Azactam IN Iso-osmotic Dextrose Mustargen

Bactrim Myleran

Bactrim DS Treanda

Chloramphenicol Sodium Succinate Valchlor

Cleocin Zanosar

Cleocin IN D5W NON PREFERRED

Cleocin Pediatric Granules Bendeka

Cleocin Phosphate Cisplatin

Clin Single Use Kit Cyclophosphamide

Clindamycin Phosphate Eloxatin


4

Evomela ANGIOGENESIS INHIBITORS

Ifex

PREFERRED

Temodar

Avastin

Thiotepa

Cyramza

Yondelis

Zaltrap

ANTIBIOTICS

ANTIBODIES

GENERIC

PREFERRED

bleomycin sulfate

Adcetris

daunorubicin HCL

Arzerra

doxorubicin HCL

Erbitux

doxorubicin HCL liposome

Gazyva

epirubicin HCL

Herceptin

idarubicin HCL

Kadcyla

mitomycin

Keytruda

mitoxantrone HCL

Perjeta

Doxorubicin HCL

Rituxan

Mitomycin

Vectibix

PREFERRED

Yervoy

Daunoxome

Zevalin Y-90

Valstar

NON PREFERRED

NON PREFERRED

Blincyto

Bleo 15k

Darzalex

Cosmegen

Empliciti

Doxil

Opdivo

Ellence

Portrazza

Idamycin PFS

Tecentriq

Unituxin

ANTINEOPLASTIC ENZYMES

PREFERRED HORMONAL AGENTS

Erwinaze

GENERIC

Oncaspar

anastrozole

bicalutamide

ANTIMETABOLITES

exemestane

GENERIC flutamide

azacitidine letrozole

capecitabine leuprolide acetate

cladribine megestrol acetate

cytarabine nilutamide

cytarabine aqueous tamoxifen citrate

decitabine Hydroxyprogesterone Caproate

fludarabine phosphate PREFERRED

fluorouracil Depo-provera

gemcitabine Eligard

gemcitabine HCL Emcyt

mercaptopurine Fareston

methotrexate Faslodex

methotrexate sodium Firmagon

Floxuridine Lupron Depot

Methotrexate Sodium Lysodren

PREFERRED Megestrol Acetate

Alimta Soltamox

Arranon Trelstar

Clolar Trelstar Mixject

Depocyt Vantas

Folotyn Xtandi

Purixan Zoladex

Tabloid Zytiga

Trexall NON PREFERRED

NON PREFERRED Arimidex

Cytarabine Aqueous Aromasin

Dacogen Casodex

Fludara Femara

Gemzar Megace Oral

Purinethol Nilandron

Vidaza

Xeloda IMMUNOMODULATORS

GENERIC

azathioprine


5

cyclosporine Iressa

cyclosporine modified Istodax

mycophenolate mofetil Istodax (overfill)

mycophenolic acid DR Jakafi

sirolimus Kyprolis

tacrolimus Mekinist

Azathioprine Nexavar

PREFERRED Sprycel

Azasan Stivarga

Pomalyst Sutent

Rapamune Tafinlar

Revlimid Tarceva

Thalomid Tasigna

NON PREFERRED Torisel

Astagraf XL Tykerb

Atgam Velcade

Cellcept Votrient

Cellcept Intravenous Xalkori

Cyclosporine Modified Zelboraf

Envarsus XR Zolinza

Imuran Zydelig

Myfortic Zykadia

Neoral NON PREFERRED

Nulojix Alecensa

Prograf Beleodaq

Sandimmune Cabometyx

Simulect Cotellic

Thymoglobulin Farydak

Zortress Gleevec

Lenvima 10 MG Daily Dose

MITOTIC INHIBITORS Lenvima 14 MG Daily Dose


GENERIC


docetaxel


etoposide


paclitaxel

Lynparza

vincristine sulfate

Ninlaro

vinorelbine tartrate

Tagrisso

PREFERRED

Abraxane

TOPOISOMERASE I INHIBITOR

Docefrez

Etopophos GENERIC

Halaven irinotecan

Ixempra Kit irinotecan HCL

Jevtana topotecan HCL

Marqibo NON PREFERRED

Teniposide Camptosar

NON PREFERRED Hycamtin

Docetaxel Irinotecan

Docetaxel (non-alcohol Formula) Onivyde

Etoposide Topotecan HCL

Navelbine

Paclitaxel RADIOPHARMACEUTICALS

Taxotere

PREFERRED

Vinblastine Sulfate

Metastron

Quadramet

ENZYME INHIBITORS

NON PREFERRED

GENERIC Xofigo

imatinib mesylate

PREFERRED CELLULAR IMMUNOTHERAPY

Afinitor

PREFERRED

Afinitor Disperz

Provenge

Bosulif

Caprelsa

ANTINEOPLASTICS MISC.

Cometriq

GENERIC

Gilotrif

bexarotene

Ibrance

dacarbazine

Iclusig

hydroxyurea

Imbruvica

tretinoin

Inlyta


6

PREFERRED nitroglycerin transdermal

Actimmune nitroglycerin ER

Alferon N nitroglycerin IN dextrose 5%

Intron A nitroglycerin IN 5% dextrose

Intron A W/Diluent Nitroglycerin Lingual

Matulane PREFERRED

Photofrin Dilatrate SR

Proleukin Nitro-bid

Sylatron Ranexa

Synribo NON PREFERRED

Theracys Gonitro

Tice Bcg Imdur

Trisenox Isordil Titradose

Uvadex Isosorbide Dinitrate ER

NON PREFERRED Nitro-dur

Dacarbazine Nitroglycerin

Hydrea Nitroglycerin IN Dextrose 5%

Nipent Nitrolingual Pumpspray

Targretin Nitromist

Nitronal

CHEMOTHERAPY RESCUE Nitrostat

GENERIC

BETA BLOCKERS

amifostine

dexrazoxane GENERIC

leucovorin calcium acebutolol HCL

levoleucovorin atenolol

levoleucovorin calcium betaxolol HCL

mesna bisoprolol fumarate

PREFERRED carvedilol

Levoleucovorin esmolol HCL

Totect labetalol HCL

Voraxaze metoprolol succinate ER

NON PREFERRED metoprolol tartrate

Ethyol nadolol

Fusilev pindolol

Leucovorin Calcium propranolol HCL

Mesnex propranolol HCL ER

Zinecard sotalol HCL

sotalol HCL (AF)

CHEMOTHERAPY ADJUNCTS Metoprolol Tartrate

PREFERRED

PREFERRED

Bystolic

Elitek

Coreg CR

Kepivance

NON PREFERRED

Betapace

ANTINEOPLASTIC COMBO

Betapace AF

NON PREFERRED

Brevibloc

Lonsurf

Coreg

Corgard

CARDIOVASCULAR DRUGS

Esmolol HCL

PHOSPHODIESTERASE INHBTR

Hemangeol

GENERIC

Hypertenevide-12.5

milrinone lactate

Inderal LA

milrinone IN dextrose

Inderal XL

Innopran XL

CARDIAC GLYCOSIDES

Kerlone

GENERIC

Levatol

digoxin

Lopressor

NON PREFERRED

Propranolol HCL

Digoxin

Sectral

Lanoxin

Sotalol Hydrochloride

Lanoxin Pediatric

Sotylize

Tenormin

ANTIANGINAL AGENTS

Timolol Maleate

GENERIC

Toprol XL

isosorbide dinitrate

Trandate

isosorbide mononitrate

Zebeta

isosorbide mononitrate ER

nitroglycerin

nitroglycerin lingual


7

CALCIUM CHANNEL BLOCKERS Quinidine Gluconate

Quinidine Sulfate

GENERIC

Rythmol

amlodipine besylate

Rythmol SR

diltiazem CD

Tikosyn

diltiazem HCL

Xylocaine

diltiazem HCL CD

diltiazem HCL ER

ACE INHIBITORS

felodipine ER

isradipine GENERIC

nicardipine HCL benazepril HCL

nifedipine captopril

nifedipine ER enalapril maleate

nimodipine enalaprilat

nisoldipine fosinopril sodium

verapamil HCL lisinopril

verapamil HCL ER moexipril HCL

verapamil HCL SR perindopril erbumine

NON PREFERRED quinapril HCL

Adalat CC ramipril

Calan trandolapril

Calan SR NON PREFERRED

Cardene IV Accupril

Cardizem Aceon

Cardizem CD Altace

Cardizem LA Epaned

Cleviprex Lotensin

Diltiazem Hydrochloride/Sodium Chloride Mavik

Diltiazem HCL Prinivil

Hypertenipine-2.5 Qbrelis

Nisoldipine Univasc

Nisoldipine ER Vasotec

Norvasc Zestril

Nymalize

Procardia ANGIOTENSIN RCPTR BLOCKER

Procardia XL

GENERIC

Sular

candesartan cilexetil

Tiazac

irbesartan

Verelan

losartan potassium

Verelan PM

telmisartan

valsartan

ANTIARRHYTHMICS

Eprosartan Mesylate

GENERIC PREFERRED

adenosine Benicar

amiodarone HCL NON PREFERRED

disopyramide phosphate Atacand

dofetilide Avapro

flecainide acetate Cozaar

ibutilide fumarate Diovan

lidocaine HCL Edarbi

lidocaine HCL IN D5W Micardis

lidocaine HCL/dextrose Olmesartan Medoxomil

mexiletine HCL Teveten

propafenone HCL

propafenone HCL ER DIRECT RENIN INHIBITORS

quinidine gluconate CR

PREFERRED

quinidine gluconate ER

Tekturna

quinidine sulfate

Amiodarone HCL

ANTIHYPERTENSIVES MISC.

Quinidine Sulfate ER

GENERIC

NON PREFERRED

clonidine HCL

Adenocard

doxazosin

Cordarone

doxazosin mesylate

Corvert

eplerenone

Lidocaine HCL

fenoldopam mesylate

Multaq

guanfacine HCL

Nexterone

hydralazine HCL

Norpace

methyldopa

Norpace CR

minoxidil

Procainamide HCL

phenoxybenzamine hydrochloride


8

prazosin HCL Lotensin HCT

terazosin HCL Lotrel

PREFERRED Lytensopril Kit

Demser Lytensopril-90 Kit

NON PREFERRED Methyldopa/Hydrochlorothiazide

Cardura Metoprolol Succinate ER/Hydrochlorothiazide

Catapres Micardis HCT

Catapres-tts-1 Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide

Catapres-tts-2 Olmesartan Medoxomil/Hydrochlorothiazide

Catapres-tts-3 Prestalia

Corlopam Propranolol/Hydrochlorothiazide

Dibenzyline Tarka

Inspra Tenoretic 100

Methyldopate HCL Tenoretic 50

Minipress Teveten HCT

Nitropress Twynsta

Phentolamine Mesylate Vaseretic

Reserpine Zestoretic

Tenex Ziac

Vecamyl

DIURETICS

ANTIHYPERTENSIVE COMBO

GENERIC

GENERIC acetazolamide

amlodipine besylate/benazepril hydrochloride acetazolamide sodium

amlodipine besylate/benazepril HCL acetazolamide ER

amlodipine besylate/valsartan amiloride HCL

amlodipine/valsartan/hctz amiloride/hydrochlorothiazide

atenolol/chlorthalidone bumetanide

benazepril HCL/hydrochlorothiazide chlorothiazide

bisoprolol fumarate/hydrochlorothiazide chlorothiazide sodium

candesartan cilexetil/hydrochlorothiazide chlorthalidone

enalapril maleate/hydrochlorothiazide ethacrynate sodium

fosinopril sodium/hydrochlorothiazide ethacrynic acid

irbesartan/hydrochlorothiazide furosemide

lisinopril/hydrochlorothiazide hydrochlorothiazide

losartan potassium/hydrochlorothiazide indapamide

metoprolol/hydrochlorothiazide mannitol

moexipril/hydrochlorothiazide methazolamide

nadolol/bendroflumethiazide metolazone

quinapril/hydrochlorothiazide spironolactone

telmisartan/amlodipine spironolactone/hydrochlorothiazide

telmisartan/hydrochlorothiazide torsemide

trandolapril/verapamil HCL triamterene/hydrochlorothiazide

trandolapril/verapamil HCL ER Acetazolamide

valsartan/hydrochlorothiazide Chlorothiazide

PREFERRED Chlorthalidone

Amlodipine/Olmesartan Medoxomil Triamterene/Hydrochlorothiazide

Amturnide NON PREFERRED

Azor Aldactazide

Benicar HCT Aldactone

Tekamlo Bumex

Tekturna HCT Demadex

Tribenzor Diamox

NON PREFERRED Diuril

Accuretic Dyazide

Atacand HCT Dyrenium

Avalide Edecrin

Byvalson Furosemide

Captopril/Hydrochlorothiazide Keveyis

Clorpres Lasix

Corzide Maxzide

Diovan HCT Maxzide-25

Dutoprol Methyclothiazide

Edarbyclor Microzide

Exforge Neptazane

Exforge HCT Sodium Diuril

Hypertensolol Sodium Edecrin

Hyzaar Torsemide

Lopressor HCT Zaroxolyn


9

VASOPRESSORS Zetia

NON PREFERRED

GENERIC

Advicor

dobutamine HCL

Altoprev

dobutamine HCL/D5W

Antara

dobutamine/dextrose 5%

Colestid

dopamine HCL

Colestid Flavored

dopamine HCL-dextrose 5%

Crestor

dopamine HCL/dextrose 5%

Fenoglide

dopamine/D5W

Fibricor

ephedrine sulfate

Kynamro

midodrine HCL

Lescol

norepinephrine bitartrate

Lescol XL

phenylephrine HCL

Lipitor

PREFERRED

Livalo

Auvi-q

Lofibra

Epipen 2-PAK

Lopid

Epipen-JR 2-PAK

Lovaza

NON PREFERRED

Mevacor

Adrenaclick

Niacor

Adrenalin

Niaspan

Adyphren II

Omega-3/D-3 Wellness Pack

Adyphren Kit

Praluent

Akovaz

Pravachol

Dopamine HCL

Questran

Ephedrine Sulfate

Questran Light

Ephedrine Sulfate/Sodium Chloride

Repatha

Epinephrine

Repatha Pushtronex System

Epinephrine HCL

Repatha Sureclick

Episnap

Tricor

Epy II Kit

Triglide

Epy Kit

Trilipix

Levophed

Zocor

Norepinephrine Bitartrate/Dextrose

Norepinephrine Bitartrate/Sodium Chloride

CARDIOVASCULAR - MISC.

Norepinephrine/Sodium Chloride

Northera GENERIC

Phenylephrine Hydrochloride/Dextrose amlodipine besylate/atorvastatin calcium

Phenylephrine HCL epoprostenol sodium

Phenylephrine HCL/Sodium Chloride papaverine HCL

Phenylephrine/Sodium Chloride sildenafil

Vazculep sildenafil citrate

Isoxsuprine HCL

ANTIHYPERLIPIDEMICS Papaverine-alprostadil

Papaverine-phentolamine Mes/Alprostadil

GENERIC

Papaverine-phentolamine Mesylate

atorvastatin calcium

Papaverine/Phentolamine Mes/Alprostadil

cholestyramine

Phentolamine Mesylate-alprostadil

cholestyramine light

PREFERRED

colestipol HCL

Adcirca

fenofibrate

Adempas

fenofibrate micronized

Caverject

fenofibric acid DR

Caverject Impulse

fluvastatin

Cialis

fluvastatin sodium ER

Corlanor

gemfibrozil

Letairis

lovastatin

Muse

niacin ER

Opsumit

omega-3-acid ethyl esters

Remodulin

pravastatin sodium

Tracleer

rosuvastatin calcium

Tyvaso

simvastatin

Tyvaso Refill

Fenofibrate

Tyvaso Starter

Fenofibric Acid

Veletri

PREFERRED

Ventavis

Juxtapid

Viagra

Lipofen

NON PREFERRED

Simcor

Bidil

Vascepa

Caduet

Vytorin

Entresto

Welchol


10

Flolan Erygel

Levitra Evoclin

Natrecor Fabior

Orenitram Inova

Revatio Inova 4/1 Acne Control Therapy

Staxyn Inova 8/2 Acne Control Therapy

Stendra Klaron

Uptravi Neuac Kit

Nuox

DERMATOLOGICALS Onexton

Plexion

ACNE PRODUCTS

Plexion Cleanser

GENERIC

Plexion Cleansing Cloths

adapalene

Prascion Ra With Sunscreens

adapalene P.M.

Retin-a

benzoyl peroxide

Retin-a Micro

benzoyl peroxide SHORT contact

Retin-a Micro P.M.


Riax

clindamycin phosphate/tretinoin

Rosula

clindamycin/benzoyl peroxide

Sodium Sulfacetamide/Sulfur

erythromycin

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

erythromycin/benzoyl peroxide

Sodium Sulfacetamide/Sulfur IN Urea

sodium sulfacetamide

Sulfoam

sodium sulfacetamide/sulfur

Sumadan Kit

sodium sulfacetamide/sulfur cleanser

Sumadan Wash

sodium sulfacetamide/sulfur cleansing cloths

Sumadan XLT

sodium sulfacetamide/sulfur green

Sumaxin

sodium sulfacetamide/sulfur w/sunscreen

Sumaxin CP Kit

sodium sulfacetamide/sulfur wash

Sumaxin Ts

sulfacetamide sodium

Sumaxin Wash

sulfacetamide sodium/sulfur

Tretin-x

sulfacetamide sodium/sulfur cleanser

Triseon

tretinoin

Vanoxide-HC

tretinoin microsphere

Veltin

tretinoin microsphere P.M.

Zacare 4% Kit

PREFERRED

Zacare 8% Kit

Acanya

Ziana

Adapalene

Epiduo

ROSACEA AGENTS

Epiduo Forte

GENERIC

NON PREFERRED

metronidazole

Absorica

Doxycycline

Aczone

PREFERRED

Akne-mycin

Finacea

Atralin

Mirvaso

Avar

Oracea

Avar LS

Soolantra

Avar LS Cleanser

NON PREFERRED

Avar-e LS

Metrocream

Azelex

Metrogel

Benzac Ac Wash

Metrolotion

Benzaclin

Noritate

Benzaclin With P.M.

Rosadan Kit

Benzamycin

Benzamycinpak

ANALGESICS - TOPICAL

Benzefoam

NON PREFERRED

Benzefoam Ultra

A.a.g.c. Kit IN Teroderm

Benzefoamultra

Baclofen

Benziq

Equipto-baclofen

Benziq LS

Clarifoam EF

ANTIBIOTICS - TOPICAL

Cleocin-t

Clindacin Etz GENERIC

Clindacin PAC mupirocin

Clindagel mupirocin calcium

Clindap-t Centany

Clinoin NON PREFERRED

Dermapak Plus Altabax

Differin Bactroban

Duac Centany AT


11

Cortisporin ANTI-INFLAMMATORY AGENTS

Gentamicin Sulfate

GENERIC

Neo-synalar

diclofenac sodium

Neo-synalar Kit

NON PREFERRED

Dermacinrx Lexitral Pharmapak

ANTIFUNGALS - TOPICAL

Diclofenac Sodium

GENERIC Dipentocaine

ciclopirox Dsg PAK

ciclopirox nail lacquer Emvoren

ciclopirox olamine Equipto-naproxen

clotrimazole Extardol

clotrimazole/betamethasone dipropionate Flector

econazole nitrate Innoprax-5

ketoconazole K.b.g.l. IN Teroderm Cream

naftifine hydrochloride Ketophene Rapidpaq

nystatin Ketorolac 2% Gel

nystatin/triamcinolone Lidoprofen

oxiconazole nitrate Novoclair

PREFERRED Nuvya

Nystatin Pennsaid

Nystatin Foreign Voltaren

NON PREFERRED Vopac

Ciclodan Cream Kit Vopac GB

Ciclodan Solution Kit Vopac Kt

Cnl8 Nail Kit Xrylix

Dermacinrx Therazole PAK Zyvodol

Ecoza

Ertaczo ANTIPRURITICS

Exelderm

GENERIC

Exoderm

Doxepin Hydrochloride

Extina

NON PREFERRED

Halotin

Prudoxin

Jublia

Zonalon

Kerydin

Ketodan Kit

ANTIPSORIATICS

Loprox

GENERIC

Loprox Shampoo

acitretin

Lotrisone

calcipotriene

Luzu

methoxsalen

Mentax

Calcitriol

Naftifine HCL

PREFERRED

Naftin

Tazorac

Nizoral

8-mop

Nyata

NON PREFERRED

Oxistat

Cosentyx

Pediaderm AF Complete Kit

Cosentyx Sensoready Pen

Penlac Nail Lacquer

Dovonex

Recura

Dritho-creme HP

Vusion

Oxsoralen Ultra

Xolegel

Soriatane

Xolegel Corepak

Sorilux

Xolegel Duo/Head & Shoulders

Stelara

Xolegel Duo/Xolex

Taltz

Vectical

ANTIVIRALS - TOPICAL

Zithranol

GENERIC

Zithranol-rr

acyclovir

PREFERRED

ANTISEBORRHEIC AGENTS

Denavir

GENERIC

NON PREFERRED

selenium sulfide

Lidovir


Xerese

sodium sulfacetamide wash

Zovirax

NON PREFERRED

Glycolic Acid

ANTIHISTAMINES-TOPICAL

Glycolic Acid 70% High Purity

NON PREFERRED

Ovace Plus

Allo-pax

Ovace Plus Wash

Nazirex

Ovace Wash

Promiseb


12

Promiseb Complete Luxiq

Selrx Micort-HC

Tersi Foam Noxipak

TL Triseb Nucort

Nuzon

CORTICOSTEROIDS - TOPICAL Olux

Olux-e

GENERIC

Pandel

alclometasone dipropionate

Pediaderm HC

augmented betamethasone dipropionate

Pediaderm Ta

betamethasone dipropionate

Rrb PAK

betamethasone valerate

Scalacort DK

calcipotriene/betamethasone dipropionate

Sernivo

clobetasol propionate

Silazone Pharmapak

clobetasol propionate emollient

Silazone-II

desonide

Synalar

desoximetasone

Synalar Cream Kit

fluocinolone acetonide

Synalar Ointment Kit

fluocinonide

Synalar Ts

fluocinonide-e

Taclonex

flurandrenolide

Temovate

fluticasone propionate

Temovate E

halobetasol propionate

Texacort

hydrocortisone

Topicort

hydrocortisone butyrate

Triamsil Combipak

hydrocortisone butyrate (lipid)

Trianex

hydrocortisone butyrate (lipophilic)

Triderma Forte

hydrocortisone valerate

Ultravate

hydrocortisone IN absorbase

Ultravate X

mometasone furoate

Validerm

prednicarbate

Vanos

triamcinolone acetonide

Verdeso

Amcinonide

Westcort

Desoximetasone

Xilapak

Diflorasone Diacetate

PREFERRED

IMMUNOMODULATING AGENTS

Enstilar

Pramosone GENERIC

Pramosone E imiquimod

NON PREFERRED tacrolimus

Aclovate PREFERRED

Advanced Allergy Collection Kit Elidel

Ala Scalp NON PREFERRED

Capex Aldara

Clobex Protopic

Clocortolone Pivalate Zyclara

Clocortolone Pivalate P.M. Zyclara P.M.

Clodan Kit

Cloderm DERMATOLOGICALS - MISC.

Cloderm P.M.

GENERIC

Cordran

ammonium lactate

Cordran Tape

episone CRE

Cutivate

lactic acid

Derma-smoothe/FS Body

lactic acid e

Derma-smoothe/FS Scalp

lactic acid w/vitamin e

Dermasorb HC

lidocaine

Dermasorb Ta

lidocaine HCL

Dermatop

lidocaine HCL jelly

Dermazone

lidocaine-prilocaine-cream base

Desonate

lidocaine/prilocaine

Desowen

lindane

Diprolene

malathion

Diprolene AF

permethrin

Elocon

podofilox

Epifoam

salicylic acid

First-hydrocortisone

salicylic acid cream

Halog

salicylic acid lotion

Kenalog

salicylic acid ER

Locoid

sodium hyaluronate

Locoid Lipocream

urea


13

urea topical Latrix XM

urea IN zinc undecylenate/lactic acid vehicle Ldo Plus

urea 40% nail film Lido-RX 4.1

PREFERRED Lidocaine And Tetracaine Cream

Condylox Lidocaine HCL

Oxsoralen Lidoderm

NON PREFERRED Lidothol

Accucaine Lidotral

Acuicyn Daily Eyelid & Eyelash Cleanser Lindane

Alevicyn Antipruritic SG Lycelle

Aluvea Mb Hydrogel

Anacaine Medi-derm/L-RX

Arnica Flower Megrix

Astero Natroba

Atopiclair Neosalus

Aurstat Anti-itch Hydrogel Neosalus CP

Aurstat Anti-itch Hydrogel Kit Neuvaxin

Avenova Nivatopic Plus

Avenova/Neutrox Nusrugepak Surgical Prep/Carepak

Benzoin Compound Tincture Nuvail

Benzoin Tincture Ovide

Boric Acid Pliaglis

Ceracade Pr Cream

Coal TAR Presera

Cocaine HCL Pruclair

Copasil Prumyx

Dermacinrx Clorhexacin Pyrogallic Acid

Dermacinrx Duopatch Pharmapak Qutenza

Dermacinrx Neurotral Pharmapak Relyyks

Dermacinrx Phn PAK Relyyt

Dermacinrx Surgical Pharmapak Salex

Dermacinrx Zrm PAK Salex Cream

Dermasorb XM Salex Lotion

Dermawerx Surgical Plus PAK Salicylic Acid

Dermazyl Salicylic Acid IN Ammonium Lactate Vehicle

Drysol Salvax

Eletone Salvax Duo Plus

Eletone Twinpack Scar Patch

Elimite Sebuderm

Emla Sinelee

Emulsion SB Sklice

Entty Spray Emulsion Solaice

Epiceram Soothee

Ethyl Chloride Spinosad

Ethyl Chloride/Fine Pinpoint Sulfurated Lime

Ethyl Chloride/Fine Stream Supracil

Ethyl Chloride/Medium Jet Stream Synera

Ethyl Chloride/Medium Stream Tetrix

Ethyl Chloride/Mist Tropazone

Eurax Ulesfia

Gebauers Pain Ease Ultrasal-ER

Gebauers Spray And Stretch Umecta

Genadur Umecta Nail Film

Genadur Kit Umecta PD

Gordofilm Uramaxin

Gordons Urea Uramaxin GT

Hydro 35 Uramaxin GT Kit

Hydro 40 Foam Utopic

Hylatopic Veinpuncture Px1 Phlebotomy System

Hylatopic Plus Venipuncture Cpi

Hylira Veregen

HPR Verrunex

HPR Plus Vexa

HPR Plus Hydrogel Kit Virasal

HPR Plus/Mb Hydrogel Xerac Ac

IV Infusion Cpi Xeralux

Keralac Xylocaine

Keralyt

Keralyt Scalp ENDOCRINE AND METABOLIC

Lac-hydrin


14

CORTICOSTEROIDS Readysharp-k

Readysharp-p40

GENERIC

Readysharp-p80

betamethasone sodium phosphate/betamethasone acetate

Solu-cortef

budesonide

Solu-medrol

dexamethasone

Triamcinolone

dexamethasone sodium phosphate

Triamcinolone Acetonide PF

fludrocortisone acetate

Triamcinolone PF

hydrocortisone

Triamcinolone/Lidocaine

methylprednisolone

Triloan II Suik

methylprednisolone acetate

Triloan Suik

methylprednisolone dose pack

Veripred 20

methylprednisolone sodiumsuccinate

prednisolone

ANDROGENS-ANABOLIC

prednisolone sodium phosphate

GENERIC

prednisolone sodium phosphate odt

danazol

prednisone

methyltestosterone

Dexamethasone Sodium Phosphate

oxandrolone

PREFERRED

testosterone

Uceris

testosterone cypionate

NON PREFERRED

testosterone enanthate

Aristospan Intra-articular

testosterone P.M.

Betalido

Testosterone

Betaloan Suik

Testosterone P.M.

Betamethasone SP

PREFERRED

Celestone-soluspan

Androgel P.M.

Cortef

Androxy

Cortisone Acetate

Axiron

Depo-medrol

NON PREFERRED

Dermacinrx Cinlone-i Cpi

Anadrol-50

Dexamethasone

Androderm

Dexamethasone Intensol

Androgel

Dexlido

Android

Dexlido-m

Aveed

Dexpak 10 Day

Depo-testosterone

Dexpak 13 Day

First-testosterone

Dexpak 6 Day

First-testosterone Mc Compounding Kit

Doubledex

Fortesta

Dyural-l

Natesto

Dyural-lm

Oxandrin

Dyural-40

Striant

Dyural-80

Testim

Entocort EC

Testone Cik

Interarticular Joint Kit

Testopel

Kenalog-10

Testred

Kenalog-40

Vogelxo

LT Injection Kit

Vogelxo P.M.

Marbeta-l

Marbeta-25

ESTROGENS

Mardex-25

GENERIC

Medrol

estradiol

Medrol Dosepak

estradiol valerate

Medroloan II Suik

estradiol/norethindrone acetate

Medroloan Suik

norethindrone acetate/ethinyl estradiol

Methylprednisolone

Estropipate

Methylprednisolone PF

PREFERRED

Methylprednisolone/Lidocaine

Alora

Millipred

Combipatch

Millipred DP

Duavee

Mlk F4 Kit

Enjuvia

Mlp A-2

Evamist

Orapred Odt

Minivelle

Pediapred

Premphase

Prednisolone Sodium Phosphate

Prempro

Prednisone

NON PREFERRED

Prednisone Intensol

Activella

Pro-c-dure 5 Kit

Angeliq

Pro-c-dure 6 Kit

Biest/Progesterone

Rayos

Climara


15

Climara Pro Yasmin 28

Delestrogen Yaz

Depo-estradiol Zovia 1/50e

Divigel

Elestrin PROGESTINS

Estrace

GENERIC

Estradiol

medroxyprogesterone acetate

Estrogel

megestrol acetate

Femhrt Low Dose

norethindrone acetate

Menest

progesterone

Menostar

PREFERRED

Prefest

Makena

Premarin

NON PREFERRED

Vivelle-dot

Aygestin

Medroxyprogesterone/Lidocaine

CONTRACEPTIVES

Megace ES

GENERIC Progesterone 10% Kit

desogestrel/ethinyl estradiol Prometrium

drospirenone/ethinyl estradiol Provera

drospirenone/ethinyl estradiol/levomefolate calcium

levonorgestrel ANTIDIABETIC AGENTS

levonorgestrel and ethinyl estradiol

INSULIN

levonorgestrel/ethinyl estradiol

PREFERRED

norethindrone

Humalog

norethindrone & ethinyl estradiol ferrous fumarate

Humalog Kwikpen

norethindrone acetate/ethinyl estradiol

Humalog Mix 50/50

norethindrone acetate/ethinyl estradiol/ferrous fumarate

Humalog Mix 50/50 Kwikpen

norgestimate/ethinyl estradiol

Humalog Mix 75/25

Levonorgestrel

Humalog Mix 75/25 Kwikpen

PREFERRED

Humulin N

LO Loestrin FE

Humulin N Kwikpen

Minastrin 24 FE

Humulin R

Natazia

Humulin R U-500 (concentrated)

Safyral

Humulin 70/30

NON PREFERRED

Humulin 70/30 Kwikpen

Beyaz

Lantus

Brevicon-28

Lantus Solostar

Cyclessa

Levemir

Desogen

Levemir Flextouch

Ella

Novolin N

Estrostep FE

Novolin N Relion

Falessa

Novolin R

Femcon FE

Novolin R Relion

Generess FE

Novolin 70/30

Loestrin FE 1.5/30

Novolin 70/30 Relion

Loestrin FE 1/20

Novolog

Loestrin 1.5/30-21

Novolog Flexpen

Loestrin 1/20-21

Novolog Mix 70/30

Loseasonique

Novolog Mix 70/30 Prefilled Flexpen

Mircette

Novolog Penfill

Modicon

Toujeo Solostar

Necon 1/50-28

NON PREFERRED

Necon 10/11-28

Afrezza

Nor-QD

Apidra

Norinyl 1+35

Apidra Solostar

Norinyl 1+50

Humulin R U-500 Kwikpen

Nuvaring

Relion R

Ortho Micronor

Tresiba Flextouch

Ortho Tri-cyclen

AMYLIN ANALOGS

Ortho Tri-cyclen LO

PREFERRED

Ortho-cept

Symlinpen 120

Ortho-cyclen

Symlinpen 60

Ortho-novum 1/35

INCRETIN MIMETIC AGENTS

Ortho-novum 7/7/7

PREFERRED

Ovcon-35

Bydureon

Quartette

Bydureon Pen

Seasonique

Byetta

Taytulla

Trulicity

Tri-norinyl 28

Victoza


16

NON PREFERRED ANTIDIABETIC COMBINATIONS

Tanzeum GENERIC

SULFONYLUREAS glipizide/metformin HCL

GENERIC glyburide/metformin HCL

glimepiride pioglitazone HCL-glimepiride

glipizide pioglitazone HCL/metformin HCL

glipizide ER Alogliptin/Metformin HCL

glyburide Alogliptin/Pioglitazone

glyburide micronized Repaglinide/Metformin Hydrochloride

tolazamide PREFERRED

Glyburide Actoplus Met XR

Tolazamide Invokamet

NON PREFERRED Invokamet XR

Amaryl Janumet

Chlorpropamide Janumet XR

Diabeta Jentadueto

Glucotrol Jentadueto XR

Glucotrol XL Kombiglyze XR

Glynase Synjardy

Tolbutamide Xigduo XR

BIGUANIDES NON PREFERRED

GENERIC Actoplus Met

metformin HCL Appformin

metformin HCL ER Appformin-d

NON PREFERRED Avandamet

Fortamet Avandaryl

Glucophage Duetact

Glucophage XR Glucovance

Glumetza Glyxambi

Riomet Kazano

MEGLITINIDE ANALOGUES Oseni

GENERIC Prandimet

nateglinide

repaglinide BISPHOSPHONATES

NON PREFERRED

GENERIC

Prandin

alendronate sodium

Starlix

ibandronate sodium

DIABETIC OTHER

pamidronate disodium

PREFERRED

risedronate sodium

Farxiga

risedronate sodium DR

Glucagen Hypokit

zoledronic acid

Glucagon Emergency Kit

PREFERRED

Invokana

Fosamax Plus D

Jardiance

NON PREFERRED

Proglycem

Actonel

NON PREFERRED

Alendronate Sodium

Cycloset

Atelvia

Korlym

Binosto

ALPHA-GLUCOSIDASE INHIBIT

Boniva

GENERIC

Etidronate Disodium

acarbose

Fosamax

miglitol

Pamidronate Disodium

NON PREFERRED

Reclast

Glyset

Zoledronic Acid

Precose

Zometa

DPP-4 INHIBITORS

GENERIC

CALCITONINS

Alogliptin

GENERIC

PREFERRED

calcitonin salmon

Januvia

calcitonin-salmon

Tradjenta

NON PREFERRED

NON PREFERRED

Fortical

Nesina

Miacalcin

Onglyza

INSULIN SENSITIZING AGENT

PARATHYROID HORMONE

GENERIC

PREFERRED

pioglitazone HCL

Forteo

NON PREFERRED

Natpara

Actos

Avandia


17

RANK LIGAND INHIBITORS NON PREFERRED

Increlex

PREFERRED

Xgeva

SOMATOSTATIC AGENTS

NON PREFERRED

Prolia GENERIC

octreotide acetate

HORMONE RECEPTOR MDLTR PREFERRED

Sandostatin Lar Depot

GENERIC

Signifor

raloxifene hydrochloride

Somatuline Depot

NON PREFERRED

NON PREFERRED

Evista

Sandostatin

Osphena

Signifor Lar

FERTILITY REGULATORS

GH RECEPTOR ANTAGONISTS

GENERIC

PREFERRED

chorionic gonadotropin

Somavert

clomiphene citrate

PREFERRED

POSTERIOR PITUITARY

Bravelle

Follistim AQ GENERIC

NON PREFERRED desmopressin acetate

Gonal-f vasopressin

Gonal-f RFF PREFERRED

Gonal-f RFF Rediject Stimate

Menopur NON PREFERRED

Ovidrel Ddavp

Pitressin Synthetic

LHRH/GNRH AGONIST Vasopressin/Sodium Chloride

Vasostrict

PREFERRED

Lupron Depot-PED

CORTICOTROPIN

Supprelin LA

Synarel PREFERRED

NON PREFERRED H.p. Acthar

Lupaneta Pack

PROLACTIN INHIBITORS

GNRH/LHRH ANTAGONISTS

GENERIC

PREFERRED cabergoline

Cetrotide

NON PREFERRED VASOPRESSIN ANTAGONISTS

Ganirelix Acetate

PREFERRED

Samsca

GROWTH HORMONES

NON PREFERRED

PREFERRED Vaprisol

Norditropin Cartridge

Norditropin Flexpro PROGESTERONE ANTAGONISTS

Norditropin Nordiflex Pen

NON PREFERRED

Nutropin AQ Nuspin 10

Mifeprex



METABOLIC MODIFIERS

Nutropin AQ Pen

GENERIC

NON PREFERRED

calcitriol

Genotropin

doxercalciferol

Genotropin Miniquick

levocarnitine

Humatrope

paricalcitol

Humatrope Combo Pack

sodium phenylacetate/sodium benzoate

Omnitrope

sodium phenylbutyrate

Saizen

PREFERRED

Saizen Click.easy

Aldurazyme

Serostim

Carbaglu

Tev-tropin

Cystadane

Zomacton

Elaprase

Zorbtive

Fabrazyme

Kuvan

GHRH

Lumizyme

NON PREFERRED

Myalept

Egrifta

Myozyme

Naglazyme

SOMATOMEDINS

Orfadin

Ravicti


18

Sensipar NON PREFERRED

Vimizim Diphenoxylate/Atropine

NON PREFERRED Fulyzaq

Ammonul Lomotil

Buphenyl Motofen

Carnitor Mytesi

Carnitor SF Paregoric

Hectorol Restora RX

Kanuma Restora Sprinkles

Rocaltrol Rezyst IM

Strensiq Vsl#3 DS

Xuriden

Zemplar ANTACIDS

NON PREFERRED

THYROID AGENTS

Sodium Bicarbonate

GENERIC

levothyroxine sodium ULCER DRUGS

liothyronine sodium

GENERIC

methimazole

atropine sulfate

propylthiouracil

chlordiazepoxide HCL/clidinium bromide

NON PREFERRED

cimetidine

Armour Thyroid

cimetidine HCL

Cytomel

dicyclomine HCL

Levothyroxine Sodium

esomeprazole magnesium

Nature-throid

esomeprazole sodium

Nature-throid Nt-2.5

famotidine

Synthroid

glycopyrrolate

Tapazole

hyoscyamine sulfate

Thyrolar-1

hyoscyamine sulfate odt

Thyrolar-1/2

hyoscyamine sulfate ER

Thyrolar-1/4

hyoscyamine sulfate SR

Thyrolar-2

lansoprazole

Thyrolar-3

lansoprazole/amoxicillin/clarithromycin

Tirosint

methscopolamine bromide

Triostat

misoprostol

Westhroid

nizatidine

Wp Thyroid

omeprazole

omeprazole/sodium bicarbonate

GASTROINTESTINAL

pantoprazole sodium

rabeprazole sodium

LAXATIVES

ranitidine HCL

GENERIC

sucralfate

lactulose

Esomeprazole Sodium

mineral oil heavy

Famotidine

peg 3350/electrolytes

Nizatidine

peg-3350/electrolytes

PREFERRED

peg-3350/NACL/NA bicarbonate/KCL

Carafate

polyethylene glycol 3350

Pylera

Reliable-1 Psyllium

NON PREFERRED

PREFERRED

Aciphex

Moviprep

Aciphex Sprinkle

Suclear

Anaspaz

Suprep Bowel Prep

Atropen

NON PREFERRED

Atropine Sulfate

Cascara Sagrada

Belladonna & Opium

Colyte-flavor Packs

Belladonna Alkaloids & Opium

Gialax

Bentyl

Golytely

Cantil

Kristalose

Cuvposa

Nulytely/Flavor Packs

Cytotec

Osmoprep

Deprizine Fusepaq

Pcp 100

Deprizine Rapidpaq

Prepopik

Dexilant

Esomeprazole Strontium

ANTIDIARRHEALS

Famotidine Premixed

GENERIC

First-lansoprazole

diphenoxylate/atropine

First-omeprazole

loperamide HCL

Gabitidine

opium

Gastrinex NF

opium tincture


19

Glycopyrrolate GASTROINTESTINAL - MISC.

Levbid

GENERIC

Levsin

alosetron hydrochloride

Levsin/SL

balsalazide disodium

Librax

calcium acetate

Nexium

cromolyn sodium

Nexium I.v.

hydrocort ene 100MG

Omeclamox-PAK

hydrocortisone

Omeprazole + Syrspend SF Alka

hydrocortisone acetate/pramoxine

Pamine

lactulose

Pamine Forte

lidocaine HCL/hydrocortisone acetate

Pamine FQ

mesalamine

Pepcid

metoclopramide odt

Prevacid

metoclopramide HCL

Prevacid Solutab

sulfasalazine

Prevpac

ursodiol

Prilosec

Mesalamine DR

Propantheline Bromide

PREFERRED

Protonix

Amitiza

Robinul

Asacol HD

Robinul Forte

Canasa

Scopolamine Hydrobromide

Chenodal

Sentradine

Cholbam

Symax Duotab

Cimzia

Zantac

Cimzia Starter Kit

Zegerid

Cortifoam

Delzicol

ANTIEMETICS

Fosrenol

GENERIC Lialda

dronabinol Linzess

granisetron HCL Movantik

meclizine HCL Pentasa

ondansetron odt Proctofoam HC

ondansetron HCL Rectiv

trimethobenzamide HCL Renvela

PREFERRED Sevelamer Carbonate

Aloxi Stelara

Emend NON PREFERRED

Sancuso Actigall

Transderm-scop Analpram Advanced

NON PREFERRED Analpram-HC

Akynzeo Analpram-HC Singles

Anzemet Anusol-HC

Cesamet Apriso

Diclegis Auryxia

Dimenhydrinate Azulfidine

Granisol Azulfidine EN-TABS

Marinol Colazal

Ondansetron Hydrochloride/Sodium Chloride Cortenema

Sustol Dexpanthenol

Tigan Dipentum

Varubi Eliphos

Zofran Entereg

Zofran Odt Entyvio

Zuplenz Gastrocrom

Gattex

DIGESTIVE AIDS Giazo

Inflectra

PREFERRED

Lidocaine HCL-hydrocortisone Acetate With Aloe

Creon

Lotronex

Pancrelipase

Metoclopramide Odt

Sucraid

Metozolv Odt

Viokace

Ocaliva

NON PREFERRED

Phoslo

Pancreaze

Phoslyra

Pertzye

Procort

Ultresa

Proctocort

Zenpep

Reglan

Relistor


20

Remicade Fem PH

Renagel Femring

Rowasa First-progesterone VGS 100 Compounding Kit

Sfrowasa First-progesterone VGS 200 Compounding Kit

Uceris First-progesterone VGS 25 Compounding Kit

Urso Forte First-progesterone VGS 400 Compounding Kit

Urso 250 First-progesterone VGS 50 Compounding Kit

Velphoro Gynazole-1

Viberzi Metrogel-vaginal

Nuvessa

GENITOURINARY Premarin

Relagard

URINARY ANTI-INFECTIVES

Terazol 3

GENERIC

Terazol 7

methenamine hippurate

Vagifem

methenamine mandelate

nitrofurantoin

GENITOURINARY - MISC.

nitrofurantoin macrocrystals

GENERIC

nitrofurantoin monohydrate

alfuzosin HCL ER

nitrofurantoin monohydrate/macrocrystals

citric acid/sodium citrate

NON PREFERRED

dutasteride

Furadantin

dutasteride/tamsulosin hydrochloride

Hiprex

dutasteride/tamsulosin HCL

Macrobid

finasteride

Macrodantin

phenazopyridine HCL

Methenamine Mandelate

potassium citrate ER

Monurol

potassium citrate-citric acid crystals

Uretron D/S

potassium citrate/citric acid

Urimar-t

potassium citrate/sodium citrate/citric acid

Urogesic-blue

sodium citrate/citric acid

tamsulosin HCL

URINARY ANTISPASMODICS

tricitrates

GENERIC

PREFERRED

bethanechol chloride

Cystagon

darifenacin hydrobromide ER

Elmiron

flavoxate HCL

Procysbi

oxybutynin chloride

Rapaflo

oxybutynin chloride ER

Renacidin

tolterodine tartrate

NON PREFERRED

tolterodine tartrate ER

Avodart

trospium chloride

Cardura XL

trospium chloride ER

Cytra-3

PREFERRED

Flomax

Gelnique

Jalyn

Myrbetriq

K-phos NO 2

Oxytrol

Lithostat

Oxytrol For Women

Oracit

Toviaz

Proscar

Vesicare

Pyridium

NON PREFERRED

Shohls Solution Modified

Detrol

Thiola

Detrol LA

Urocit-k 10

Ditropan XL

Urocit-k 15

Enablex

Urocit-k 5

Urecholine

Uroxatral

VAGINAL PRODUCTS

HEMATOLOGICAL

GENERIC

HEMATOPOIETIC AGENTS


GENERIC

metronidazole vaginal

cyanocobalamin

terconazole

folic acid

PREFERRED

folic acid/vitamin b-6/vitamin b-12

Clindesse

sodium ferric gluconate complex/sucrose

Crinone

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

Endometrin

Estrace

PREFERRED

Estring

Cerdelga

NON PREFERRED

Cerezyme

Avc

Cyanocobalamin

Cleocin


21

Droxia Multigen Plus

Elelyso MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa

Feraheme

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

Ferrex 150 Forte Plus

Ferrex 28

Natalvirt Flt

Granix

Nephron Fa

Leukine

Novaferrum

Mozobil

Nufera

Nascobal

Omontys

Neulasta

Pre-folic

Neulasta Onpro Kit

Proferrin-forte

Neumega

Protectiron

Neupogen

Tandem F

Nplate

Tandem Plus

Procrit

Triferic

Promacta

Zarxio

Venofer

Zavesca

Vpriv

Zolate

NON PREFERRED

Abaneu-SL

ANTICOAGULANTS

Albafort

GENERIC

Animi-3

argatroban

Animi-3/Vitamin D

bivalirudin

Aranesp Albumin Free

enoxaparin sodium

B-12 Kit

fondaparinux sodium

B-6 Folic Acid

heparin lock

Biferarx

heparin lock flush

Cenfol

heparin lock flush for flushing vascular access devices

Centratex

heparin lock flush/NACL for flushing vascular access devices

Ciferex

Corvite 150

heparin sodium

Dermacinrx Purefolix

heparin sodium dcu

Divista

heparin sodium lock flush

Ed Cyte F

heparin sodium/sodium chloride 0.9% premix

Epogen

heparin sodium/D5W

Feriva

heparin sodium/NACL 0.9%

Feriva 21/7

warfarin sodium

Ferivafa

PREFERRED

Ferralet 90

Eliquis

Ferrlecit

Pradaxa

Ferro-plex Hematinic

Xarelto

Ferrotrin

Xarelto Starter Pack

Focalgin Dss

NON PREFERRED

Folene

Angiomax

Folgard RX

Argatroban

Folic Acid

Arixtra

Folivane-f

Coumadin

Folivane-plus

Defitelio

Folixapure

Fragmin

Foltrate

Heparin Lock Flush

Fusion Plus

Heparin Sodium

Fusion Sprinkles

Heparin Sodium/D5W

Hematogen Fa

Heparin Sodium/NACL

Hematron-AF

Heparin Sodium/NACL 0.45%

Hemocyte Plus

Heparin Sodium/Sodium Chloride

Hemocyte-f

Heparin Sodium/Sodium Chloride PF

Hydroxocobalamin

Heparin Sodium/Sodium Chloride 0.9%

Icar-c Plus

Heparin Sodium/Sodium CH Loride

Infed

Iprivask

Injectafer

Lovenox

Integra F

Savaysa

Integra Plus

Sodium Citrate

Irospan 24/6

Is 24/6

HEMOSTATICS

Maxaron Forte

GENERIC

Maxfe

aminocaproic acid

Methionine/Inositol/Choline/Cyanocobalamin

tranexamic acid

Mircera

NON PREFERRED

Multigen

Amicar

Multigen Folic


22

Aminocaproic Acid Hextend

Artiss Integrilin

Astringyn Kalbitor

Cyklokapron Kengreal

Evicel Kinlytic

Evithrom Kovaltry

Lysteda LMD 10% Dextrose 5%

Recothrom LMD 10% Sodium Chloride 0.9%

Recothrom Spray Kit Novoeight

Thrombin-jmi Diluent Nuwiq

Thrombin-jmi Epistaxis Persantine

Thrombin-jmi Syringe Spray Kit Plavix

Thrombin-jmi W/Dil Spray P.M. Actuator Pletal

Thrombogen Protamine Sulfate

Tisseel Reopro

Tisseel VH Ticlopidine HCL

Tnkase

HEMATOLOGICAL - MISC. Voluven

Yosprala

GENERIC

anagrelide hydrochloride

MOUTH/THROAT/DENTAL AGENT

cilostazol

clopidogrel

dipyridamole

GENERIC

eptifibatide

cevimeline HCL

hetastarch 6%/NACL

chlorhexidine gluconate

pentoxifylline ER

chlorhexidine gluconate oral rinse

ticlopidine HCL

clotrimazole

Aspirin/Dipyridamole

lidocaine viscous

PREFERRED

lidocaine HCL viscous

Advate

nystatin

Aggrenox

pilocarpine hydrochloride

Alphanate/Von Willebrand Factor Complex/Human

pilocarpine HCL

Alphanine SD

stannous fluoride oral rinse

Alprolix


Benefix

triamcinolone IN orabase

Berinert

Lidocaine HCL

Brilinta

NON PREFERRED

Corifact

Aquoral

Effient

Caphosol

Eloctate

Debacterol

Feiba

Evoxac

Feiba NF

First-bxn Mouthwash

Helixate FS

First-dukes Mouthwash

Hemofil M

First-marys Mouthwash

Humate-p

First-mouthwash Blm

Ixinity

Gel-kam Oral Care Rinse

Koate-dvi

Gelclair

Kogenate FS

Nafrinse Daily/Acidulated

Kogenate FS Bio-set

Nafrinse Daily/Neutral

Monoclate-p

Nafrinse Weekly

Mononine

Neutrasal

Novoseven

Numoisyn

Novoseven Rt

Orafate

Recombinate

Oravig

Riastap

Peridex

Soliris

Prevident

Tretten

Prothelial

Wilate

Salagen

Xyntha

Salivamax

Xyntha Solofuse

Salivate RX

Zontivity

NON PREFERRED

NEUROLOGY, CNS, PSYCH

Activase

ANTIANXIETY AGENTS

Aggrastat

GENERIC

Agrylin

alprazolam

Cathflo Activase

alprazolam odt

Durlaza

alprazolam ER

Firazyr

buspirone HCL

Hespan

chlordiazepoxide HCL


23

clorazepate dipotassium Viibryd Starter Pack

diazepam NON PREFERRED

droperidol Anafranil

gene-xene TAB 15MG Aplenzin

gene-xene TAB 3.75MG Appbutamone

gene-xene TAB 7.5MG Brintellix

hydroxyzine pamoate Celexa

hydroxyzine HCL Cymbalta

lorazepam Desvenlafaxine ER

meprobamate Duloxetine HCL

oxazepam Effexor XR

Diazepam Elavil

Hydroxyzine Pamoate Emsam

NON PREFERRED Fetzima

Alprazolam Intensol Fetzima Titration Pack

Ativan Fluoxetine HCL

Gabavale-5 Forfivo XL

Gabazolamine Gaboxetine

Gabazolamine-0.5 Irenka

Hydroxyzine HCL Khedezla

Lorazepam Lexapro

Sentrazolam AM 0.25 Luvox CR

Tranxene T Maprotiline HCL

Valium Marplan

Vistaril Nardil

Xanax Norpramin

Xanax XR Oleptro

Pamelor

ANTIDEPRESSANTS Parnate

Paxil

GENERIC

Paxil CR

amitriptyline HCL

Pexeva

bupropion HCL

Prozac

bupropion HCL ER

Prozac Weekly

bupropion HCL SR

Remeron

bupropion HCL XL

Remeron Soltab

citalopram hydrobromide

Sentraflox AM-10

clomipramine HCL

Sentralopram AM-10

desipramine HCL

Sentravil PM-25

doxepin HCL

Sentroxatine

duloxetine HCL

Surmontil

escitalopram oxalate

Tofranil

fluoxetine DR

Tofranil-PM

fluoxetine HCL

Trazamine

fluvoxamine maleate

Trintellix

fluvoxamine maleate ER

Vivactil

imipramine pamoate

Wellbutrin

imipramine HCL

Wellbutrin SR

mirtazapine

Wellbutrin XL

mirtazapine odt

Zoloft

nefazodone HCL

nortriptyline HCL

ANTIPSYCHOTICS

paroxetine HCL

paroxetine HCL ER GENERIC

phenelzine sulfate aripiprazole

protriptyline HCL aripiprazole odt

sertraline HCL chlorpromazine HCL

tranylcypromine sulfate clozapine

trazodone HCL clozapine odt

trimipramine maleate fluphenazine decanoate

venlafaxine HCL fluphenazine HCL

venlafaxine HCL ER haloperidol

Amoxapine haloperidol decanoate

Doxepin HCL haloperidol lactate

Nefazodone HCL lithium carbonate

Nortriptyline HCL lithium carbonate ER

Venlafaxine HCL ER loxapine

PREFERRED loxapine succinate

Pristiq olanzapine

Viibryd olanzapine odt


24

paliperidone ER PREFERRED

perphenazine Chloral Hydrate

prochlorperazine Hetlioz

prochlorperazine edisylate Rozerem

prochlorperazine maleate NON PREFERRED

quetiapine fumarate Ambien

risperidone Ambien CR

risperidone odt Amytal Sodium

thioridazine HCL Belsomra

thiothixene Butisol Sodium

trifluoperazine HCL Dexmedetomidine HCL

ziprasidone HCL Doral

Clozapine Odt Edluar

PREFERRED Gabazolpidem-5

Abilify Discmelt Halcion

Abilify Maintena Intermezzo

Latuda Lunesta

Molindone Hydrochloride Nembutal Sodium

Risperdal Consta Phenobarbital Sodium

Seroquel XR Precedex

NON PREFERRED Restoril

Abilify Seconal

Adasuve Seconal Sodium

Aristada Sentrazolpidem PM-5

Chlorpromazine HCL Silenor

Clozaril Sonata

Equetro Strazepam

Fanapt Zolpimist

Fanapt Titration Pack

Fazaclo ADHD, NARCOLEPSY, ETC.

Fluphenazine HCL

GENERIC

Geodon

amphetamine/dextroamphetamine

Haldol

armodafinil

Haldol Decanoate 100

caffeine citrate

Haldol Decanoate 50

clonidine HCL ER

Invega

dexmethylphenidate HCL

Invega Sustenna

dexmethylphenidate HCL ER

Invega Trinza

dextroamphetamine sulfate

Lithium

dextroamphetamine sulfate ER

Lithium Carbonate

doxapram HCL

Lithobid

guanfacine ER

Nuplazid

methamphetamine HCL

Rexulti

methylphenidate hydrochloride

Risperdal

methylphenidate HCL

Risperdal M-TAB

methylphenidate HCL CD

Saphris

methylphenidate HCL ER

Seroquel

methylphenidate HCL SR

Versacloz

modafinil

Vraylar

Armodafinil

Zyprexa

Methylphenidate HCL ER

Zyprexa Relprevv

PREFERRED

Zyprexa Zydis

Daytrana

Quillivant XR

HYPNOTICS

Strattera

GENERIC Vyvanse

dexmedetomidine HCL NON PREFERRED

estazolam Adderall

eszopiclone Adderall XR

phenobarbital Adzenys XR-odt

temazepam Aptensio XR

triazolam Cafcit

zaleplon Caffeine/Sodium Benzoate

zolpidem tartrate Concerta

zolpidem tartrate ER Desoxyn

Flurazepam HCL Dexedrine

Phenobarbital Dopram

Quazepam Dyanavel XR

Triazolam Evekeo

Focalin


25

Focalin XR Felbatol

Intuniv Gabitril

Kapvay Keppra

Metadate CD Keppra XR

Methylin Klonopin

Nuvigil Lamictal

Procentra Lamictal Chewable Dispersible

Provigil Lamictal Odt

Quillichew ER Lamictal Starter/Not Taking Carbamazepine

Ritalin Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Ritalin LA

Lamictal Starter/Taking Valproate

Sentramodafin AM-100

Lamictal XR

Zenzedi

Levetiracetam

Mysoline

ANTICONVULSANTS

Neurontin

GENERIC

Oxtellar XR

carbamazepine

Phenytek

carbamazepine ER

Sabril

clonazepam

Spritam

clonazepam odt

Stavzor

divalproex sodium

Tegretol

divalproex sodium DR

Tegretol-XR

divalproex sodium ER

Therapentin-60

ethosuximide

Therapentin-90

felbamate

Topamax

fosphenytoin sodium

Topamax Sprinkle

gabapentin

Topiramate ER

lamotrigine

Trileptal

lamotrigine odt

Trokendi XR

lamotrigine titration

Vimpat

lamotrigine ER

Zarontin

levetiracetam

Zonegran

levetiracetam ER

oxcarbazepine

ANTIPARKINSON AGENTS

phenytoin

GENERIC

phenytoin sodium

amantadine HCL

phenytoin sodium extended

benztropine mesylate

primidone

bromocriptine mesylate

tiagabine hydrochloride

carbidopa

topiramate

carbidopa/levodopa

valproate sodium

carbidopa/levodopa odt

valproic acid

carbidopa/levodopa ER

zonisamide

entacapone

Diazepam

pramipexole dihydrochloride

PREFERRED

pramipexole dihydrochloride ER

Banzel

ropinirole ER

Celontin

ropinirole HCL

Fycompa

selegiline HCL

Lyrica

tolcapone

Onfi

trihexyphenidyl HCL

Peganone

Carbidopa/Levodopa/Entacapone

Potiga

PREFERRED

Qudexy XR

Apokyn

NON PREFERRED

Azilect

Aptiom

NON PREFERRED

Briviact

Amantadine HCL

Carbatrol

Cogentin

Cerebyx

Comtan

Depacon

Duopa

Depakene

Eldepryl

Depakote

Lodosyn

Depakote ER

Mirapex

Depakote Sprinkles

Mirapex ER

Diastat Acudial

Neupro

Diastat Pediatric

Parlodel

Dilantin

Requip

Dilantin Infatabs

Requip XL

Dilantin-125

Rytary

Fanatrex Fusepaq


26

Sinemet Orap

Sinemet CR Perphenazine/Amitriptyline

Stalevo 100 Plegridy

Stalevo 125 Plegridy Starter Pack

Stalevo 150 Razadyne

Stalevo 200 Razadyne ER

Stalevo 50 Sarafem

Stalevo 75 Savella Titration Pack

Tasmar Smartrx Gaba Kit

Zelapar Smartrx Gaba-v Kit

Symbyax

NEUROLOGY, PSYCH - MISC. Xenazine

Zinbryta

GENERIC

acamprosate calcium DR

NEUROMUSCULAR AGENTS

disulfiram

donepezil HCL GENERIC

ergoloid mesylates atracurium besylate

galantamine hydrobromide cisatracurium besylate

glatopa pancuronium bromide

memantine hydrochloride riluzole

memantine HCL rocuronium bromide

memantine HCL titration PAK vecuronium bromide

olanzapine/fluoxetine NON PREFERRED

pimozide Anectine

rivastigmine tartrate Botox

rivastigmine transdermal system Dysport

tetrabenazine Exondys 51

Ergoloid Mesylates Myobloc

Galantamine Hydrobromide Nimbex

PREFERRED Quelicin

Ampyra Quelicin 1000

Aubagio Rilutek

Avonex Rocuronium Bromide

Avonex Pen Succinylcholine Chloride

Betaseron Vecuronium Bromide

Brisdelle Vecuronium Bromide/Sodiumchloride

Gilenya Xeomin

Gralise Zemuron

Gralise Starter

Namenda XR MUSCULOSKELETAL AGENTS

Namenda XR Titration Pack

GENERIC

Nuedexta

baclofen

Rebif

carisoprodol

Rebif Rebidose

carisoprodol/aspirin

Rebif Rebidose Titration Pack

carisoprodol/aspirin/codeine

Rebif Titration Pack

chlorzoxazone

Savella

cyclobenzaprine HCL

Tecfidera

dantrolene sodium

Tecfidera Starter Pack

metaxalone

Tysabri

methocarbamol

Xyrem

orphenadrine citrate

NON PREFERRED

orphenadrine citrate ER

Addyi

tizanidine HCL

Antabuse

Metaxalone

Aricept

PREFERRED

Aricept Odt

Gablofen

Campral

Hymovis

Chlordiazepoxide/Amitriptyline

Lioresal Intrathecal

Convenience PAK

Monovisc

Copaxone

Orthovisc

Dermacinrx Dpn PAK

Synvisc

Exelon

Synvisc One

Extavia

NON PREFERRED

Fluoxetine

Amrix

Horizant

Cyclobenzaprine Comfort PAC

Lemtrada

Cyclophene Rapidpaq

Namenda

Dantrium

Namenda Titration PAK

Dantrium IV

Namzaric

Euflexxa


27

Fexmid NON PREFERRED

First-baclofen 1 Azasite

First-baclofen 5 Bacitracin

Flexepax Betadine Ophthalmic Prep

Gel-one Bleph-10

Gelsyn-3 Ciloxan

Genvisc 850 Garamycin

Hyalgan Mitosol

Lorvatus Pharmapak Neosporin

Lorzone Ocuflox

Metaxall CP Polytrim

Norflex Sulfacetamide Sodium

Parafon Forte DSC Tobrex

Prazolamine Viroptic

Robaxin Zirgan

Robaxin-750 Zymaxid

Ryanodex

Skelaxin ARTIFICIAL TEAR/LUBRICANT

Soma

NON PREFERRED

Supartz

Lacrisert

Supartz Fx

Tabradol Fusepaq

BETA-BLOCKERS

Tabradol Rapidpaq

GENERIC

Therabenzaprine-60

betaxolol HCL

Therabenzaprine-90

carteolol HCL

Therabenzaprine-90-5

dorzolamide HCL/timolol maleate

Tizanidine Comfort PAC

levobunolol HCL

Zanaflex

timolol maleate

timolol maleate ophthalmic gel forming

ANTIMYASTHENIC AGENTS

Metipranolol

GENERIC

PREFERRED

neostigmine methylsulfate

Combigan

pyridostigmine bromide

NON PREFERRED

pyridostigmine bromide ER

Betagan

NON PREFERRED

Betimol

Bloxiverz

Betoptic-s

Enlon

Cosopt

Enlon-plus

Cosopt PF

Guanidine HCL

Istalol

Mestinon

Timoptic

Mestinon Timespan

Timoptic Ocudose

Neostigmine Methylsulfate

Timoptic-xe

Regonol

OPHTHALMIC STEROIDS

OPHTHALMOLOGY AND OTIC

GENERIC

ANTI-INFECTIVES dexamethasone sodium phosphate

fluorometholone

GENERIC

neomycin/polymyxin/bacitracin/hydrocortisone

bacitracin/polymyxin b

neomycin/polymyxin/dexamethasone

ciprofloxacin HCL

prednisolone acetate

erythromycin

sulfacetamide sodium/prednisolone sodium phosphate

gatifloxacin

tobramycin/dexamethasone

gentamicin sulfate

PREFERRED

levofloxacin

Alrex

neomycin/bacitracin/polymyxin

FML

neomycin/polymyxin/bacitracin zinc

Lotemax

neomycin/polymyxin/gramicidin

Ozurdex

ofloxacin

Pred Mild

polymyxin b sulfate/trimethoprim sulfate

Retisert


Tobradex ST

sulfacetamide sodium

Zylet

tobramycin sulfate

NON PREFERRED

trifluridine

Blephamide

trimethoprim sulfate/polymyxin b sulfate

Blephamide S.o.p.

PREFERRED

Dexamethasone Sodium Phosphate

Besivance

Durezol

Moxeza

Flarex

Natacyn

FML Forte

Vigamox

FML Liquifilm


28

Maxidex NON PREFERRED

Maxitrol Akten

Neomycin/Polymyxin/Hydrocortisone Alcaine

Omnipred

Pred Forte OPHTHALMICS - MISC.

Pred-G

GENERIC

Pred-G S.o.p.

azelastine HCL

Prednisolone Sodium Phosphate

bromfenac

Prednisolone/Moxifloxacin

cromolyn sodium

Prednisolone/Moxifloxacin/Bromfenac

diclofenac sodium

Tobradex

dorzolamide HCL

Vexol

epinastine HCL

flurbiprofen sodium

PROSTAGLANDINS

ketorolac tromethamine

GENERIC olopatadine HCL

latanoprost PREFERRED

Bimatoprost Bepreve

Travoprost Bromfenac

PREFERRED Cystaran

Lumigan Ilevro

Travatan Z Jetrea

NON PREFERRED Nevanac

Rescula Pataday

Xalatan Pazeo

Zioptan Prolensa

NON PREFERRED

CYCLOPLEGIC MYDRIATICS Acular

Acular LS

GENERIC

Acuvail

atropine sulfate

Alocril

cyclopentolate hydrochloride

Alomide

cyclopentolate HCL

Azopt

homatropine HBR

Bromsite

Atropine Sulfate

Elestat

NON PREFERRED

Emadine

Cyclogyl

Lastacaft

Cyclomydril

Ocufen

Isopto Atropine

Optivar

Patanol

DECONGESTANTS

Trusopt

GENERIC

phenylephrine HCL

OTIC AGENTS

NON PREFERRED

GENERIC

Naphazoline HCL

acetic acid

antipyrine/benzocaine

MIOTICS

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

pilocarpine HCL

hydrocortisone/acetic acid

PREFERRED

neomycin/polymyxin/hydrocortisone

Phospholine Iodide

neomycin/polymyxin/HC

NON PREFERRED

ofloxacin

Isopto Carpine

PREFERRED

Ciprodex

ADRENERGIC AGENTS

NON PREFERRED

GENERIC

Acetic Acid/Aluminum Acetate

apraclonidine

Antipyrine/Benzocaine

brimonidine tartrate

Cetraxal

NON PREFERRED

Cipro HC

Alphagan P

Ciprofloxacin

Iopidine

Coly-mycin S

Simbrinza

Cortisporin-tc

Dermotic

IMMUNOMODULATORS

Floxin Otic

PREFERRED

Otiprio

Restasis

Otovel

Otozin

LOCAL ANESTHETICS

Pramotic

GENERIC

Vosol HC

proparacaine HCL

tetracaine HCL


29

OXYTOCICS pentazocine/naloxone HCL

tramadol hydrochloride/acetaminophen

tramadol HCL

GENERIC

tramadol HCL ER

methylergonovine maleate

Aspirin-caffeine-dihydrocodeine

oxytocin

Fentanyl

NON PREFERRED

Fentanyl Citrate

Cervidil

Hydrocodone/Acetaminophen

Hemabate

Hydromorphone HCL/Sodium Chloride

Oxytocin

Meperidine Hydrochloride/Sodium Chloride

Oxytocin/Lactated Ringers

Morphine Sulfate

Pitocin

Morphine Sulfate ER

Prepidil

Oxycodone HCL ER

Prostin E2

PREFERRED

Butrans

PAIN MANAGEMENT

Hysingla ER

ANALGESICS - NONNARCOTIC

Lazanda

GENERIC

Nucynta

butalbital/acetaminophen

Nucynta ER

butalbital/acetaminophen/caffeine

Opana ER (crush Resistant)

butalbital/aspirin/caffeine

Oxycontin

choline magnesium trisalicylate

Suboxone

diflunisal

Zubsolv

salsalate

NON PREFERRED

NON PREFERRED

Abstral

Allzital

Actiq

Bupap

Alfenta

Choline Magnesium Trisalicylate

Avinza

Disalcid

Belbuca

Esgic

Bunavail

Fioricet

Buprenex

Fiorinal

Capital/Codeine

Levacet

Codeine Sulfate

Ofirmev

Conzip

Vanatol LQ

Demerol

Dilaudid

ANALGESICS - OPIOID

Dilaudid-HP

GENERIC

Dolophine

acetaminophen/caffeine/dihydrocodeine

Duragesic

acetaminophen/codeine

Embeda

acetaminophen/codeine #2

Exalgo


Fentanyl Citrate/NACL


Fentanyl Citrate/Sodium Chloride

acetaminophen/codeine phosphate

Fentora

alfentanil

Fioricet/Codeine

buprenorphine HCL

Fiorinal/Codeine #3

buprenorphine HCL/naloxone HCL

Hycet

butalbital/acetaminophen/caffeine/codeine

Hydromorphone Hydrochloride/ NACL

butalbital/aspirin/caffeine/codeine

Hydromorphone Hydrochloride/NACL

butorphanol tartrate

Hydromorphone Hydrochloride/Sodium Chloride

codeine sulfate

Hydromorphone HCL

fentanyl

Hydromorphone HCL/NACL

fentanyl citrate oral transmucosal

Ibudone

hydrocodone bitartrate/acetaminophen

Infumorph 200

hydrocodone/acetaminophen

Infumorph 500

hydrocodone/ibuprofen

Ionsys

hydromorphone hydrochloride

Kadian

hydromorphone HCL

Levorphanol Tartrate

hydromorphone HCL dosette

Lortab

hydromorphone HCL ER

Meperidine HCL

meperidine HCL

Methadone HCL

methadone HCL

Methadose

morphine sulfate

Methadose Sugar-free

morphine sulfate ER

Morphine Sulfate Add-vantage

nalbuphine HCL

Morphine Sulfate/NACL

oxycodone HCL

Morphine Sulfate/Sodium Chloride

oxycodone/acetaminophen

MS Contin

oxycodone/aspirin

Norco

oxymorphone hydrochloride

Opana

oxymorphone hydrochloride ER

Oxaydo


30

Oxycodone/Acetaminophen Humira Pen-crohns Diseasestarter

Oxycodone/Ibuprofen Humira Pen-psoriasis Starter

Percocet Rasuvo

Percodan Ridaura

Primlev Zorvolex

Probuphine Implant Kit NON PREFERRED

Remifentanil HCL Actemra

Reprexain Anaprox DS

Roxicet Arava

Roxicodone Arthrotec 50

Subsys Arthrotec 75

Synalgos-dc Caldolor

Synapryn Fusepaq Capxib Kit

Talwin Cataflam

Theracodeine-300 Celebrex

Theracodophen-325 Daypro

Theratramadol-60 Derma Silkrx Anodynexa PAK

Theratramadol-90 Derma Silkrx Diclopak

Tramadol HCL ER Dermacinrx Inflammatral PAK

Trezix Duexis

Tylenol/Codeine #3 Dyloject

Tylenol/Codeine #4 Enbrel

Ultiva Enbrel Sureclick

Ultracet EC-naprosyn

Ultram Feldene

Ultram ER Fenoprofen Calcium

Vicoprofen Fenortho

Xartemis XR Flanax Pain Relief Kit

Xodol Ibuprofen Comfort PAC

Xtampza ER Ilaris

Zamicet Indocin

Zohydro ER Indomethacin

IC 400

ANTI-INFLAMMATORY IC 800

Ketoprofen ER

GENERIC

Ketorocaine-l

celecoxib

Ketorocaine-lm

diclofenac potassium

Ketorolac Tromethamine

diclofenac sodium DR

Kineret

diclofenac sodium ER

Lodine

diclofenac sodium/misoprostol

Meloxicam

etodolac

Meloxicam Comfort PAC

etodolac ER

Mobic

flurbiprofen

Nalfon

ibuprofen

Naprelan

ibuprofen lysine

Naprosyn

indomethacin

Naproxen Comfort PAC

indomethacin ER

Neoprofen

ketoprofen

Orencia

ketorolac tromethamine

Orencia Clickject

leflunomide

Otezla

mefenamic acid

Otrexup

meloxicam

Ponstel

nabumetone

Prastera

naproxen

Previdolrx Analgesic PAK

naproxen sodium

Rheumatrex

naproxen sodium CR

Simponi

naproxen sodium ER

Simponi Aria

oxaprozin

Sprix

piroxicam

Therafeldamine

sulindac

Theraprofen-60

tolmetin sodium

Theraprofen-800

Meclofenamate Sodium

Theraprofen-90

Naproxen

Theraproxen-500

Tolmetin Sodium

Theraproxen-60

PREFERRED

Theraproxen-90

Arcalyst

Tivorbex

Humira

Toronova II Suik

Humira Pediatric Crohns Disease Starter Pack

Toronova Suik

Humira Pen

Trepadiclofen-25


31

Trepoxicam-7.5 LOCAL ANESTHETICS-INJ

Vimovo

GENERIC

Vivlodex

bupivacaine HCL

Voltaren-XR

bupivacaine/epinephrine

Xeljanz

lidocaine HCL

Xeljanz XR

lidocaine/epinephrine

Zipsor

ropivacaine

ropivacaine HCL

MIGRAINE PRODUCTS

Tetracaine HCL

GENERIC NON PREFERRED

almotriptan Articadent Dental

almotriptan malate Bupivacaine Hydrochloride/Sodium Chloride

dihydroergotamine mesylate BD Pudendal/Local Block Tray 1% Lidocaine

frovatriptan succinate Carbocaine

naratriptan HCL Citanest Forte Dental

rizatriptan benzoate Citanest Plain Dental

rizatriptan benzoate odt Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

sumatriptan

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

sumatriptan succinate

sumatriptan succinate refill

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH

zolmitriptan

zolmitriptan odt

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH

Dihydroergotamine Mesylate

Sumatriptan Succinate

Exparel

PREFERRED

Lidocaine HCL

Relpax

Lidocaine HCL/Dextrose

Sumavel Dosepro

Marcaine

Treximet

Marcaine/Epinephrine

Zomig Nasal Spray

Marlido-25

NON PREFERRED

Marvona Suik

Alsuma

Mld Kit

Amerge

Monoject Bone Marrow Biopsy Prepping Tray

Axert

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

Cafergot

Cambia Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

D.h.e. 45

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

Ergomar

Frova

Naropin

Imitrex

Nesacaine

Imitrex Statdose Refill

Nesacaine-mpf

Imitrex Statdose System

Readysharp-a

Maxalt

Ropivacaine

Maxalt-MLT

Ropivacaine Hydrochloride/Sodium Chloride

Migergot

Sensorcaine-mpf/Epinephrine

Migral

Turkel Paracentesis Procedure Tray/8french

Migranal

Xylocaine

Migranow

Xylocaine-mpf

Onzetra Xsail

Xylocaine-mpf/Epinephrine

Zecuity

Xylocaine/Epinephrine

Zembrace Symtouch

Zomig

RESPIRATORY, ALLERGY, ETC

Zomig ZMT

ANTIHISTAMINES

GENERIC

GOUT AGENTS

carbinoxamine maleate

GENERIC

cetirizine HCL

allopurinol

clemastine fumarate

probenecid

cyproheptadine HCL

probenecid/colchicine

desloratadine

PREFERRED

diphenhydramine HCL

Colcrys

levocetirizine dihydrochloride

Krystexxa

promethazine HCL

Uloric

promethazine HCL plain

NON PREFERRED

Clemastine Fumarate

Aloprim

Desloratadine Odt

Colchicine

NON PREFERRED

Mitigare

Brompheniramine

Zurampic

Brompheniramine Tannate

Zyloprim

Clarinex


32

Dexchlorpheniramine Maleate Exactuss

Dicopanol Fusepaq Flowtuss

Dicopanol Rapidpaq Gilphex TR

Karbinal ER Giltuss

Phenergan Giltuss TR

Respa-BR Hycofenix

Xyzal Hyper-sal

Hypersal

NASAL AGENTS Nebusal

Neotuss Plus

GENERIC

Obredon

azelastine HCL

Panatuss Dxp

budesonide

Promethazine/Phenylephrine

flunisolide

Relhist

fluticasone propionate

Rescon-JR

ipratropium bromide

Rezira

mometasone furoate

Semprex-d

olopatadine HCL

Tessalon Perles


Tussionex Pennkinetic Extended Release

PREFERRED

Vituz

Dymista

Zonatuss

Phenylephrine HCL

Zutripro

Qnasl

Qnasl Childrens

ANTIASTHMATIC/COPD AGENTS

NON PREFERRED

Adrenalin GENERIC

Astepro albuterol

Atrovent albuterol sulfate

Bactroban Nasal albuterol sulfate ER

Beconase AQ albuterol TAB 4MG

Dermacinrx Azenase PAK aminophylline

Dermacinrx Ticanase PAK budesonide

Flonase epinephrine HCL

Nasonex ipratropium bromide

Omnaris ipratropium bromide/albuterol sulfate

Patanase levalbuterol

Rhinocort Aqua levalbuterol HCL

Ticaspray montelukast sodium

Tyzine terbutaline sulfate

Tyzine Pediatric Nasal Drops theophylline

Veramyst theophylline CR

Zetonna theophylline ER

zafirlukast

COUGH/COLD/ALLERGY Cromolyn Sodium

PREFERRED

GENERIC

Advair Diskus

acetylcysteine

Advair HFA

benzonatate

Anoro Ellipta

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Arcapta Neohaler

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Arnuity Ellipta

hydrocodone bitartrate/homatropine methylbromide

Asmanex HFA

hydrocodone polistirex/chlorpheniramine polistirex

Asmanex Twisthaler 120 Metered Doses

hydrocodone/homatropine


phenylephrine/guaifenesin


promethazine-DM


promethazine/codeine


promethazine/dextromethorphan

Atrovent HFA

promethazine/phenylephrine

Breo Ellipta

promethazine/phenylephrine/codeine

Combivent Respimat

sodium chloride

Daliresp

Benzonatate

Dulera

PREFERRED

Flovent Diskus

Tussicaps

Flovent HFA

Tuzistra XR

Perforomist

NON PREFERRED

Proair HFA

Carbaphen 12

Proair Respiclick

Carbaphen 12 PED

Pulmicort Flexhaler

Clarinex-d 12 HOUR

Qvar

Codar AR

Serevent Diskus

Cpb Wc

Spiriva Handihaler

Decon-a


33

Spiriva Respimat

Stiolto Respimat PREFERRED

Striverdi Respimat Acthib

Symbicort Afluria PF 2014-2015

Tudorza Pressair Afluria PF 2015-2016

Ventolin HFA Afluria PF 2016-2017

NON PREFERRED Afluria Quadrivalent 2016-2017

Accolate Afluria 2014-2015

Aerospan Afluria 2015-2016

Alvesco Afluria 2016-2017

Bevespi Aerosphere Bcg Vaccine

Brovana Bexsero

Cinqair Biothrax

Elixophyllin Cervarix

Foradil Aerolizer Comvax

Incruse Ellipta Engerix-b

Isuprel Fluad 2016-2017

Lufyllin Fluarix Quadrivalent 2014-2015

Metaproterenol Sulfate Fluarix Quadrivalent 2015-2016

Nucala Fluarix Quadrivalent 2016-2017

Proventil HFA Fluarix 2014-2015

Pulmicort Flublok 2014-2015

Pulmophylline Flublok 2015-2016

Singulair Flublok 2016-2017

Theo-24 Flucelvax Quadrivalent 2016-2017

Theophylline/D5W Flucelvax 2014-2015

Utibron Neohaler Flucelvax 2015-2016

Vospire ER Flulaval Quadrivalent 2014-2015

Xolair Flulaval Quadrivalent 2015-2016

Xopenex Flulaval Quadrivalent 2016-2017

Xopenex Concentrate Flulaval 2014-2015

Xopenex HFA Flumist Quadrivalent

Zyflo Fluvirin PF 2014-2015

Zyflo CR Fluvirin 2014-2015

Fluvirin 2015-2016

RESPIRATORY AGENTS - MISC Fluvirin 2016-2017

Fluzone High-dose PF 2014-2015

PREFERRED


Aralast NP


Esbriet

Fluzone Intradermal

Kalydeco

Fluzone Intradermal Quadrivalent 2015-2016

Orkambi

Fluzone Intradermal Quadrivalent 2016-2017

Prolastin-c

Fluzone PF 2014-2015

Pulmozyme

Fluzone Quadrivalent 2014-2015

Zemaira


NON PREFERRED


Curosurf

Fluzone Split 2014-2015

Glassia

Fluzone Split 2015-2016

Infasurf

Gardasil

Ofev

Gardasil 9

Surfaxin

Havrix

Survanta Intratracheal

Hiberix

Imovax Rabies (h.d.c.v.)

TOXOIDS

Ipol Inactivated IPV

Ixiaro

PREFERRED

M-m-r II

Adacel

Medical Provider EZ Flu Shot 2014-2015

Boostrix

Medical Provider EZ Flu Shot 2015-2016

Daptacel

Medical Provider Single Use EZ Flu Shot

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Menactra

Infanrix

Menhibrix

Kinrix

Menomune-a/C/Y/W-135

Pediarix

Menveo

Pentacel

Pedvax HIB

Quadracel

Pneumovax 23

Tenivac

Pneumovax 23/1 Dose

Tetanus/Diphtheria Toxoids-adsorbed

Pneumovax 23/5 Dose

Tetanus/Diphtheria Toxoids-adsorbed Adult

Prevnar 13

Proquad

VACCINES


34

Rabavert Focalgin CA

Recombivax HB Focalgin 90 DHA

Rotarix Folbee Plus Cz

Rotateq Folcaps Omega 3

Trumenba Folet DHA

Twinrix Folet One

Typhim VI Folgard OS

Vaqta Folivane-prx DHA NF

Varivax Folivane-OB

Vaxchora Fortavit

Vivotif Gesticare DHA

Yf-vax Infuvite

Zostavax Infuvite Adult

Infuvite Pediatric

VITAMINS M.v.i. Adult

M.v.i. Pediatric

VITAMINS

M.v.i.-12 Without Vitamin K

GENERIC

Marnatal-f

ascorbic acid

Mykidz Iron Fl

ergocalciferol

Mynatal

phytonadione

Natachew

pyridoxine HCL

Natalvirt CA

thiamine HCL

Natalvirt 90 DHA

vitamin c 222MG

Natalvit

vitamin d

Natelle One

vitamin k1

Neevo DHA

PREFERRED

Nephplex RX

Mephyton

Nephro-vite RX

NON PREFERRED

Nephrocaps

Aquasol A Parenteral

Nephrocaps QT

Drisdol

Nestabs

Niacin

Nestabs Abc

Vitamin K1

Nestabs DHA

Wheat Germ

Newgen

Nexa Plus

MULTIVITAMINS

Nicadan

GENERIC

Nicadan ZX

b-complex 100

Nicazel

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper

Nicazel Forte

Prenatal Vitamins

Nicomide

NON PREFERRED

Niva-plus

Adrenal C Formula

Nutricap

Albafort

Nutrivit

Atabex EC

O-CAL Fa

Bacmin

O-CAL Prenatal

Bal-care DHA

Obstetrix DHA

Citranatal Assure

Obstetrix One

Citranatal B-calm

Ocuvel

Citranatal DHA

OB Complete

Citranatal Harmony

OB Complete Gold

Citranatal RX

OB Complete One

Citranatal 90 DHA

OB Complete Petite

Cod Liver Oil

OB Complete Premier

Concept DHA

OB Complete/DHA

Concept OB

Paire OB

Corvite

Poly-VI-flor

Crnatal

Poly-VI-flor FS

Dialyvite Supreme D

Poly-VI-flor/Iron

Dialyvite 3000

Prefera OB

Dialyvite 5000

Prefera OB + DHA

Dialyvite/Zinc

Preferaob +dha

Duet DHA Balanced

Preferaob One

Duet DHA 400

Prefol-DHA

Duet DHA 400EC

Prenata

Duet DHA 430

Prenate

Duet DHA 430EC

Prenate AM

Enbrace HR

Prenate DHA

Escavite

Prenate Elite

Escavite D

Prenate Enhance

Floriva

Prenate Essential


35

Prenate Mini Accu-chek Softclix Lancets

Prenate Pixie Active 1ST Blood Lancets 30G/Easy Twist CAP

Prenate Restore Advocate Lancets

Prenate Star Advocate Lancets 30G

Preque 10 Advocate Safety Lancets

Protect Plus Advocate Safety Lancets 26G

Provida DHA Agamatrix Ultra-thin Lancets 33G

Provida OB Assure Haemolance Plus High Flow 18G

Quflora FE Assure Haemolance Plus Low Flow 25G

R-natal OB Assure Haemolance Plus Micro Flow 28G

Renatabs Assure Haemolance Plus Normal Flow 21G

Renatabs With Iron Assure Haemolance Plus Pediatric Blade

Req 49+ Assure Lance Lancets

Select-ob+dha Assure Lance Lancets 21G

Select-OB Assure Lance Plus Safety Lancets 25G

Siderol Assure Lance Plus Safety Lancets 30G

Strovite Forte Assure Lancets

Strovite One Aurora Lancet Super Thin 30G

Supervite Aurora Lancet Thin 23G

Supervite EC AF Lancets Super Thin

Support-500 AT Last Lancets

Synagex B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"

Synatek Bayer Microlet Lancets

Taron-bc Bullseye Safety Lancets

Taron-c DHA BD Insulin Syringe LUER-LOK/U-100/1ML

Texavite LQ BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"

Tri-VI-flor BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"

Tricare Prenatal BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"

Tricare Prenatal Compleat BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"

Tricare Prenatal DHA One BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"

Tricare Prenatal 1 BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"

Triveen-duo DHA BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"

Triveen-prx RNF BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"

TL G-FOL OS BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"

Udamin SP BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"

Vemavite-prx 2 BD Insulin Syringe Safetyglide/1ML/29G X 1/2"

Vinacal B BD Insulin Syringe Slip Tip/U-100/1ML

Vinate AZ Extra BD Insulin Syringe U-40/1ML/25G X 5/8"

Vinate Calcium BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"

Vinate DHA RF BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"

Vita-pren BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"

Vitafol BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"

Vitafol Fe+ BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"

Vitafol Gummies BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"

Vitafol Ultra BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"

Vitafol-nano BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"

Vitafol-ob+dha BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"

Vitafol-one BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"

Vital-d RX BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"

Vitamedmd One RX/Quatrefolic BD Insulin Syringe Ultrafine/1ML/30G X 1/2"

Vitamedmd Plus RX/Quatre Folic BD Insulin Syringe Ultrafine/1ML/31G X 5/16"

Vitamedmd Redichew RX BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"

Vitapearl

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"

Vitaroca Plus

Vitatrue

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"

Viva DHA

Zatean-pn

BD Insulin Syringe/U-100/0.5ML/30G X 1/2"

Zatean-pn DHA

BD Insulin Syringe/U-100/1ML/27G X 1/2"

Zatean-pn Plus


Zatean-CH

BD Insulin Syringe/U-100/2ML/27.5G X 5/8"


MEDICAL DEVICES

BD Lancet Ultrafine 30G

DIABETIC SUPPLIES

BD Lancet Ultrafine 33G

PREFERRED

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

Accu-chek Fastclix Lancets

BD Microtainer Lancets

Accu-chek Multiclix Lancets

BD Pen Needle/Mini/Ultrafine/31G X 3/16"

Accu-chek Safe-t-pro Lancets

BD Pen Needle/Nano/Ultra Fine/32G X 4MM

Accu-chek Safe-t-pro Pluslancets

BD Pen Needle/SHORT/Ultrafine/31G X 5/16"

Accu-chek Soft Touch Lancets

BD Pen Needle/Ultrafine/29G X 12.7MM


36

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM Glucose Control Normal

BD Pen Needles SHORT/Ultrafine/31G X 5/16" Glucose Control Solution

Careone Lancet Thin Glucosource Lancets

Careone Lancet Ultra Thin Gmate Lancets 30G

Cleanlet Lancets 28G Haemolance

Clever Chek Lancets Ultrathin Haemolance Low Flow Lancets

Clever Chek Lancets Ultrathin 30G Haemolance Plus

Coaguchek Lancets Haemolance Plus High Flow

Comfort Lancets Haemolance Plus Low Flow

Diastar Easy Test II Lancets 30G Haemolance Plus Max Flow

Diastar Easy Test Lancets30G Haemolance Plus Pediatric Flow

Droplet Lancets Ultra Thin 30G Hy-vee Lancets

Drug Mart On-the-go Lancets Gentle 30G IN Touch Sterile Lancets 30G

Drug Mart Unilet Lancets Super Thin 30G Lancets

Drug Mart Unilet Lancets Ultra Thin 28G Lancets Bullseye Safety

E-z Ject Lancets Lancets Safety Seal 21G

E-z Ject Lancets Color Lancets Safety Seal 26G

E-z Ject Lancets Super Thin Lancets Safety Seal 28G

E-z Ject Lancets Super Thin 30G Lancets Safety Seal 30G

E-z Ject Lancets Thin 26G Lancets Thin

E-z Ject Lancets 21G Lancets Twist Top

E-ZJECT Lancets Micro-thin 33G Lancets Ultra Fine

Easy Touch Lancets 21G/Pressure Activated Lancets Ultra Thin

Easy Touch Lancets 23G/Pressure Activated Lancets 26G Twist Top

Easy Touch Lancets 26G/Pressure Activated Lancets 28G

Easy Touch Lancets 26G/Pull-top Lancets 30G

Easy Touch Lancets 26G/Twist Lancets 30G Twist Top

Easy Touch Lancets 28G/Pressure Activated Lancets 30G/Twist Top

Easy Touch Lancets 28G/Pull-top Lancets 31G Twist Top

Easy Touch Lancets 28G/Twist Lancets 33G Universal Design

Easy Touch Lancets 30G/Button-activated Liberty Glucose Control Mid

Easy Touch Lancets 30G/Pressure Activated Liberty Glucose Control Normal

Easy Touch Lancets 30G/Pull-top Liberty Medical Lancets 30G

Easy Touch Lancets 30G/Twist Lifescan Unistik II Lancets

Easy Touch Lancets 32G/Pressure Activated Lifescan Unistik 2 Deep Penetration

Easy Touch Lancets 32G/Pull-top Litetouch Lancets Micro Thin 33G

Easy Touch Lancets 32G/Twist Live Better Lancet Super Thin 30G

Easy Touch Lancets 33G/Twist Live Better Lancet Ultra Thin 28G

Easy Touch Safety Lancets21G/Pressure Activated Medisense Thin Lancets

Easy Touch Safety Lancets23G/Pressure Activated Medlance Plus Extra Lancets 21G

Easy Touch Safety Lancets26G/Button Activated Medlance Plus Lancets

Easy Touch Safety Lancets26G/Pressure Activated Medlance Plus Lancets Lite 25G

Easy Touch Safety Lancets28G/Button Activated Medlance Plus Lite Lancets 25G

Easy Touch Safety Lancets28G/Pressure Activated Medlance Plus Special Lancets 0.8MM

Easy Twist & CAP Lancets Medlance Plus Superlite 30G

Easytest II Lancets Medlance Plus Superlite 30G/Comfort Max

Easytest Lancets Medlance Plus Universal Lancets 21G

Embrace Lancets Ultra Thin 30G Medlance Plus/Lite 25G

EZ Smart Blood Glucose Lancets Medlance/Extra

EZ-lets Lancets 21G Medlance/Lite

EZ-lets Lancets 23G Medlance/Universal

EZ-lets Lancets 26G Super-soft Meijer Lancets Universal 30G

EZ-lets Lancets 28G Ultra-soft Meijer Super Thin Lancets

EZ-lets Lancets 30G Microlet Lancets

Fifty50 Safety Seal Lancets 30G Microtainer Safety Flow Lancet/Sterile/Single-use

Fifty50 Safety Seal Lancets 32G Monolet Lancets

Fifty50 Unilet Lancets 33G Monolet Opd Lancets

Fine 30 Monolettor Safety Lancets

Fingerstix Lancets Myglucohealth Mgh Softlance Lancets 30G

Fora Lancets Netgroup Lancets

Freestyle Lancets Nova Safety Lancets 23G

Freestyle Unistick II Lancets Nova Safety Lancets 28G

Gentle-let GP Lancets Nova Sureflex Lancets

Gentle-let Lancets General Purpose Style/Fine Point Novofine Autocover 30GX8MM

Gentle-let Lancets General Purpose Style/Medium Point Novofine 30GX8MM

Gentle-let Lancets Safety Style/Fine Point Novofine 32GX6MM

Gentle-let Lancets Safety Style/Medium Point Novotwist 30GX8MM

Glucocom Lancets 28G Novotwist 32GX5MM

Glucocom Lancets 30G On Call Lancets

Glucocom Lancets 33G On Call Plus Lancets


37

Onetouch Club Lancets Fine Point Shopko On-the-go Comfort Lancets 30G

Onetouch Combo Pack Shopko Unilet Lancets Super Thin 30G

Onetouch Delica Lancets Extra Fine 33G Shopko Unilet Lancets Ultra Thin 28G

Onetouch Delica Lancets Fine 30G Single-let

Onetouch Finepoint Lancets Smart Diabetes Vantage Universal Lancets 30G

Onetouch Lancets Smart Sense Color Lancets Universal 33G

Onetouch Ping Meter Remote Smart Sense Standard Lancets Universal 21G

Onetouch Ultra Blue Smart Sense Super Thin Lancets Universal 30G

Onetouch Ultra Control Smart Sense Thin Lancets Universal 26G

Onetouch Ultra Mini Smartest Lancets 28G

Onetouch Ultra 2 Solus V2 Pressure Activated Safety Lancets 28G

Onetouch Ultralink System (hex) Solus V2 Twist Lancets 30G

Onetouch Ultralink System (DEC) Sterilance TL

Onetouch Ultrasoft Lancets Sure-lance Flat Lancets

Onetouch Verio Sure-lance Lancets 26G

Onetouch Verio Control Solution High Sure-lance Thin Lancets 28G

Onetouch Verio IQ Blood Glucose Monitoring System Sure-lance Ultra Thin Lancets

Onetouch Verio Mid Control Solution Sure-touch Lancets Universal

Onetouch Verio Sync Bloodglucose Monitoring System Surelite Lancets

Onetouch Verio Test Strips Surestep Glucose Control

Pen Needles 29G X 12MM Surestep Glucose Control Solution

Pen Needles 29GX1/2" Surestep Pro High Glucosecontrol

Pen Needles 30GX5/16" Surestep Pro Low Glucose Control

Pen Needles 31G X 1/4" SHORT Surestep Pro Normal Glucose Control

Pen Needles 31G X 3/16" Techlite AST Lancets

Pen Needles 31G X 6MM Techlite Lancets

Pen Needles 31GX5/16" Techlite Lancets 30G

Perfect Lancets 30G Thinlets GP Lancets

Perfect Pressure Activated Safety Lancets 28G Thinlets Lancet

Pharmacist Choice Ultra Thin Lancets Trueplus Lancets 26G

Pharmacist Choice Ultra Thin Lancets 28G Trueplus Lancets 28G

Pharmacist Choice Ultra Thin Lancets 30G Trueplus Lancets 28G Super Thin

Pharmacist Choice Ultra Thin Lancets 31G Trueplus Lancets 30G

Pharmacist Choice Ultra Thin Lancets 33G Trueplus Lancets 30G Ultra Thin

Pharmacy Counter Lancets Trueplus Lancets 33G

Precision Thin Lancets Trueplus Lancets 33G Micro Thin

Precision Thins GP Lancet Trueplus Safety Lancets 28G

Precision Ultra Lancet Ulticare Thin Lancets 30G

Prodigy Pressure Activated Safety Lancets Ultilet Classic Lancets

Prodigy Safety Lancets Ultilet Lancets

Prodigy Twist Top Lancets Ultilet Lancets 33G

Pss Select GP Lancets Ultilet Safety Lancets 23G

Pss Select Safety Lancets Ultra-thin II Auto Lancet

Px Lancets Ultra Thin Ultra-thin II Lancets 28G

Qc Lancets Super Thin Ultra-thin II Lancets 30G

Qc Lancets Ultra Thin Ultra-thin II Safety Autolancets 26G

Relion Lancets Micro-thin33G Unilet Comfortouch Lancet

Relion Lancets Standard 21G Unilet Excelite

Relion Lancets Thin 26G Unilet Excelite II

Relion Lancets Ultra-thin30G Unilet G.p. Lancet

Relion Thin Lancets Unilet G.p. Superlite Lancet

Relion Ultra Thin Lancets Unilet GP 28 Ultra Thin

Relion Ultra Thin Lancets30G Unilet Lancet

Relion Ultra Thin Plus Lancets 32G Unilet Lancets Micro-thin33G

Relion Ultra Thin Plus Lancets 33G Unilet Lancets Super-thin30G

Rexall Lancets Ultra Thin Unilet Lancets Ultra-thin 28G

Rightest Gl300 Lancets Unilet Superlite Lancet

Safe-t-lance Low Flow 25G Unistik Safety Lancets 28G

Safe-t-lance Normal Flow 21G Unistik Safety Lancets 30G

Safe-t-lance Plus Safety Lancet High Flow Unistik Touch Safety Lancets 21G

Safe-t-lance Plus Safety Lancet Low Flow Unistik Touch Safety Lancets 23G

Safe-t-lance Plus Safety Lancet Normal Flow Unistik Touch Safety Lancets 28G

Safety Lancet 21G/Pressure Activated Unistik Touch Safety Lancets 30G

Safety Lancet 28G/Pressure Activated Unistik 3 Gentle

Safety Lancets Universal 1 Lancets Thin 26G

Safety Lancets 21G Universal 1 Lancets Ultra Thin 30G

Safety Lancets 28G Valumark Lancet Super Thin 30G

Safety Let Lancets Valumark Lancet Ultra Thin 28G

Safety Seal Lancets 28G Vida Mia Unilet Lancets Super Thin 30G

Safety Seal Lancets 30G Vida Mia Unilet Lancets Ultra Thin 28G


38

Vitalet Pro Lancets Embrace Evo Blood Glucosetest Strips

Vitalet Pro Plus Lancets Embrace Pro Blood Glucosetest Strips

W&f Lancets Colored 21G Eql Truetrack Test

W&f Lancets 26G Evencare + Blood Glucose Test Strip

Walgreens Lancets Evencare Blood Glucose Test Strip

Walgreens Thin Lancets Evencare G2 Test Strips

Walgreens Ultra Thin Lancets Evencare G3 Test Strips

1ST Choice Lancets Super Thin Evencare Mini Blood Glucose Test Strips

1ST Choice Lancets Thin Evolution Autocode

1ST Choice Lancets Ultra Thin Exactech R-s-G Test Strips

NON PREFERRED Exactech Test Strips

Accu-chek Active Strips EZ Smart Blood Glucose Test Strips

Accu-chek Aviva EZ Smart Plus Blood Glucose Test Strips

Accu-chek Aviva Plus Fifty50 Glucose Test Strip 2.0

Accu-chek Comfort Curve Test Strips Fora D10 Blood Glucose Test Strips

Accu-chek Compact Plus Fora D15G Blood Glucose Test Strips

Accu-chek Compact Test Drum Fora D20 Blood Glucose Test Strips

Accu-chek Smartview Strips Fora D40/G31 Blood Glucose Test Strips

Accutrend Glucose Fora GD20 Test Strips

Acura Blood Glucose Test Strips Fora GD50 Blood Glucose Test Strips

Advance Intuition Test Strips Fora G20 Blood Glucose Test Strips

Advance Micro-draw Test Strips Fora G30a Blood Glucose Test Strips

Advocate Redi-code Fora Tn'g/Tn'g Voice Blood Glucose Test Strips

Advocate Redi-code+ Test Strips Fora V10 Blood Glucose Test Strips

Advocate Test Strips Fora V12 Blood Glucose Test Strips

Agamatrix Amp NO Code Test Strips Fora V20 Blood Glucose Test Strips

Agamatrix Jazz Test Strips Fora V30a Blood Glucose Test Strips

Agamatrix Keynote Test Strips Foracare GD40

Agamatrix Presto Test Strips Foracare Premium V10 Teststrips

Ascensia Autodisc Test Strips Foracare Test N Go Test Strips

Assure II Fortiscare Blood Glucose Test Strip

Assure II Check Strip Freestyle Insulinx Blood Glucose Test

Assure II Test Strips Freestyle Insulinx Blood Glucose Test Strips

Assure Platinum Test Strips Freestyle Lite Test Strips

Assure Prism Multi Test Strips Freestyle Precision Neo Blood Glucose Test Strips

Assure Pro Test Strips Freestyle Test Strips

Assure 3 Test Strips Genstrip 50

Assure 4 Test Strips Gluco Perfect 3 Test Strips

AT Last Test Strips Glucocard Expression Blood Glucose Test Strips

Bayer Breeze 2 Test Disc Glucocard Shine Test Strips

Bayer Contour Blood Glucose Test Strips Glucocard Vital Test Strips

Bayer Contour Next Blood Glucose Test Glucocard X-sensor

Bg Star Blood Glucose Test Glucocard 01 Sensor Plus

Bioscanner Glucose Test Strips Glucocard 01 Sensor Plus Test Strips

Blood Glucose Test Strips Glucocom Test Strips

Blood Glucose Test Strips Premium Gluconavii Blood Glucose Test Strips

Careone Blood Glucose Test Strips/Premium Gmate Blood Glucose Test Strips

Careone Blood Glucose Test Strips/Value Infinity Blood Glucose Test Strips

Caresens N Blood Glucose Test Strips IN Touch Blood Glucose Test Strips

Clever Chek Auto-code Test Strips Liberty Next Generation Blood Glucose Test Strips

Clever Chek Auto-code Voice Test Strips Maxima Blood Glucose Teststrips

Clever Chek Test Strips Microdot Test Strips

Clever Choice Auto-code Pro Test Strips Myglucohealth Blood Glucose Test

Clever Choice Micro Test Strips Neutek 2tek Test Strips

Control AST Nexgen Test Strips

Control Test Strips Nova Max Glucose Test Strips

Cool Blood Glucose Test Strips On Call Express Blood Glucose Test Strips

CVS Advanced Glucose Meter Test Strips On Call Plus Blood Glucose Test

Duo-care Test Strips On Call Vivid Blood Glucose Test

Easy Step Test Strips On Call Vivid Blood Glucose Test Strips

Easy Touch Glucose Test Strips Optium Test Strips

Easy Touch Healthpro Glucose Test Strips Optiumez Test Strips

Easygluco Optumrx Blood Glucose Test

Easygluco Plus Pharmacist Choice Autocode Blood Glucose Test Strips

Easymax Test Strips Pocketchem EZ Blood Glucose Test Strips

Easymax 15 Test Strips Precision Point Of Care Test Strips

Easypro Blood Glucose Test Strips Precision PCX

Easypro Plus Precision PCX Plus Test Strips

Element Test Strips Precision QID Test Strips

Embrace Blood Glucose Test Strips Precision Sof-tact Test Strips


39

Precision XTRA Blood Glucose Test Strips Breatherite W/Large Mask

Prestige Test Strips Breatherite W/Medium Mask

Prodigy NO Coding Blood Glucose Test Strips Breatherite W/Small Mask

Pts Panels Glucose Test Clever Choice Anti-staticvalved Holding Chamber/Adult Large

Quicktek Test Strips

Clever Choice Anti-staticvalved Holding Chamber/Medium

Quintet Ac Blood Glucose Test Strips

Clever Choice Anti-staticvalved Holding Chamber/Small

Quintet Blood Glucose Test Strips

Compact Space Chamber/Anti-static

Refuah Plus Blood Glucosetest Strips

Compact Space Chamber/Anti-static/Large Mask

Relion Blood Glucose Teststrips

Compact Space Chamber/Anti-static/Medium Mask

Relion Confirm/Micro Test Strips

Compact Space Chamber/Anti-static/Small Mask

Relion Prime Blood Glucose Test Strips

E-z Spacer

Relion Ultima Blood Glucose Test Strips

E-z Spacer The Body Guards Pack

Relion Ultima Test Strips

Easivent

Reveal Blood Glucose Test

Easivent/Mask-large

Rexall Blood Glucose Test Strips

Easivent/Mask-medium

Rightest GS100 Blood Glucose Test Strips

Easivent/Mask-small


Flexichamber


Flexichamber Adult Mask/Small

Smart Diabetes Xpres Blood Glucose Test Strips

Flexichamber Child Mask/Large

Smart Sense Premium Bloodglucose Strips

Flexichamber Child Mask/Small

Smart Sense Value Blood Glucose Strips

Inspirachamber/Anti-static Valved/Mouthpiece

Smartest Blood Glucose Test Strips

Inspirachamber/Large

Solus V2 Audible Test

Inspirachamber/Soothermask/Inspiramask/Medium

Supreme Test Strips

Inspirachamber/Soothermask/Inspiramask/Small

Sure Edge Blood Glucose Test Strips

Inspirease Bags

Sure-test Easyplus Mini Blood Glucose Test Strips

Inspirease Drug Delivery System

Surechek Blood Glucose Test Strips

Inspirease Mouthpiece

Telcare Blood Glucose Test Strips

Inspirease Reservoir Bags

True Metrix Blood Glucosetest Strips

Liteaire

True Metrix Self Monitoring Blood Glucose Strips

Mask Vortex/Baby Whirl Duckling

Truetest Blood Glucose T Est

Mask Vortex/Child/Frog

Truetest Blood Glucose T Est Strips

Mask Vortex/Spinner The Duck

Truetest Strips

Mask Vortex/Toddler/Lady Bug

Truetrack Blood Glucose Test

Microchamber

Truetrack Test

Microspacer

Ultima Test Strips

Nessi Spacer/Large Mask

Ultratrak Pro Test Strips

Nessi Spacer/Mouthpiece

Ultratrak Ultimate Test Strips

Nessi Spacer/Small/MED Mask

Unistrip1 Generic

Optichamber Advantage

Victory Agm-4000 Test Strips

Optichamber Advantage/Large Mask

Vocal Point Blood Glucose Test Strips

Optichamber Advantage/Medium Face Mask

Wavesense Presto Test Strips

Optichamber Advantage/Small Face Mask

Optichamber Diamond

MEDICAL DEVICES - MISC

Optichamber Diamond/Largeface Mask

PREFERRED

Optichamber Diamond/Medium Face Mask

Aerochamber Mini Aerosol Chamber

Optichamber Diamond/Smallface Mask

Aerochamber MV

Optichamber Face Mask/Large

Aerochamber Plus Flow VU

Optichamber Face Mask/Medium

Aerochamber Plus Flow-VU

Optichamber Face Mask/Small

Aerochamber Plus Flow-VU/Large Mask

Optihaler

Aerochamber Plus Flow-VU/Mask

Optihaler MDI Drug Delivery System

Aerochamber Plus Flow-VU/Medium Mask

Panda Mask Large

Aerochamber Plus Flow-VU/Small Mask

Panda Mask Medium

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU

Panda Mask Small

Pediatric Panda Mask

Aerochamber Z-stat Plus/Flowsignal

Pocket Chamber

Aerochamber Z-stat Plus/Large Mask

Pocket Spacer

Aerochamber Z-stat Plus/Medium Mask

Riteflo

Aerochamber Z-stat Plus/Small Mask

Vortex Valved Holding Chamber

Aerochamber/Flowsignal

Watchhaler

Aerovent Plus Holding Chamber/Collapsible

Arial Chamber

MISCELLANEOUS

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

PREFERRED

Breatherite Collapsible Infant Spacer W/Mask

Chemet

Breatherite Collapsible Small Child Spacer W/Mask

Exjade

Breatherite Collapsible Spacer W/ Neonate Mask

Jadenu

Breatherite Rigid Spacer W/Mask


40

NON PREFERRED

Ferriprox

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.

41

Index

A

Actoplus Met, 17 Aerochamber Z-stat Plus/Flowsignal, 40

Actoplus Met XR, 17 Aerochamber Z-stat Plus/Large Mask, 40

A.a.g.c. Kit IN Teroderm, 11

Actos, 17 Aerochamber Z-stat Plus/Medium Mask, 40

abacavir, 3

Acuicyn Daily Eyelid & Eyelash Cleanser, 14

abacavir sulfate/lamivudine/zidovudine, 3

Aerochamber Z-stat Plus/Small Mask, 40

abacavir/lamivudine, 3

Acular, 29 Aerochamber/Flowsignal, 40

Abaneu-SL, 22

Acular LS, 29 Aerospan, 34

Abelcet, 2

Acura Blood Glucose Test Strips, 39 Aerovent Plus Holding Chamber/Collapsible, 40

Abilify, 25

Acuvail, 29

Abilify Discmelt, 25

acyclovir, 3, 12 AF Lancets Super Thin, 36

Abilify Maintena, 25

acyclovir sodium, 3 Afinitor, 6

Abraxane, 6

Acyclovir Sodium, 3 Afinitor Disperz, 6

Absorica, 11

Aczone, 11 Afluria 2014-2015, 34

Abstral, 30

Adacel, 34 Afluria 2015-2016, 34

acamprosate calcium DR, 27

Adalat CC, 8 Afluria 2016-2017, 34

Acanya, 11

adapalene, 11 Afluria PF 2014-2015, 34

acarbose, 17

Adapalene, 11 Afluria PF 2015-2016, 34

Accolate, 34

adapalene P.M., 11 Afluria PF 2016-2017, 34

Accu-chek Active Strips, 39

Adasuve, 25 Afluria Quadrivalent 2016-2017, 34

Accu-chek Aviva, 39

Adcetris, 5 Afrezza, 16

Accu-chek Aviva Plus, 39

Adcirca, 10 Agamatrix Amp NO Code Test Strips, 39

Accu-chek Comfort Curve Test Strips, 39

Adderall, 25 Agamatrix Jazz Test Strips, 39

Accu-chek Compact Plus, 39

Adderall XR, 25 Agamatrix Keynote Test Strips, 39

Accu-chek Compact Test Drum, 39

Addyi, 27 Agamatrix Presto Test Strips, 39

Accu-chek Fastclix Lancets, 36

adefovir dipivoxil, 3 Agamatrix Ultra-thin Lancets 33G, 36

Accu-chek Multiclix Lancets, 36

Adempas, 10 Aggrastat, 23

Accu-chek Safe-t-pro Lancets, 36

Adenocard, 8 Aggrenox, 23

Accu-chek Safe-t-pro Pluslancets, 36

adenosine, 8 Agrylin, 23

Accu-chek Smartview Strips, 39

Adoxa, 2 Akne-mycin, 11

Accu-chek Soft Touch Lancets, 36

Adoxa PAK 1/100, 2 Akovaz, 10

Accu-chek Softclix Lancets, 36

Adoxa PAK 1/150, 2 Akten, 29

Accucaine, 14

Adoxa PAK 2/100, 2 Akynzeo, 20

Accupril, 8

Adrenaclick, 10 Ala Scalp, 13

Accuretic, 9

Adrenal C Formula, 35 Albafort, 22, 35

Accutrend Glucose, 39

Adrenalin, 10, 33 Albenza, 4

acebutolol HCL, 7

Advair Diskus, 33 albuterol, 33

Aceon, 8

Advair HFA, 33 albuterol sulfate, 33

acetaminophen/caffeine/dihydrocodeine, 30

Advance Intuition Test Strips, 39 albuterol sulfate ER, 33

Advance Micro-draw Test Strips, 39 albuterol TAB 4MG, 33

acetaminophen/codeine, 30

Advanced Allergy Collection Kit, 13 Alcaine, 29

acetaminophen/codeine #2, 30

Advate, 23 alclometasone dipropionate, 13


Advicor, 10 Aldactazide, 9


Advocate Lancets, 36 Aldactone, 9

acetaminophen/codeine phosphate, 30

Advocate Lancets 30G, 36 Aldara, 13

acetazolamide, 9

Advocate Redi-code, 39 Aldurazyme, 18

Acetazolamide, 9

Advocate Redi-code+ Test Strips, 39 Alecensa, 6

acetazolamide ER, 9

Advocate Safety Lancets, 36 alendronate sodium, 17

acetazolamide sodium, 9

Advocate Safety Lancets 26G, 36 Alendronate Sodium, 17

acetic acid, 29

Advocate Test Strips, 39 Alevicyn Antipruritic SG, 14

Acetic Acid/Aluminum Acetate, 29

Adyphren II, 10 Alfenta, 30

acetylcysteine, 33

Adyphren Kit, 10 alfentanil, 30

Aciphex, 19

Adzenys XR-odt, 25 Alferon N, 7

Aciphex Sprinkle, 19

Aerochamber Mini Aerosol Chamber, 40 alfuzosin HCL ER, 21

acitretin, 12

Aerochamber MV, 40 Alimta, 5

Aclovate, 13

Aerochamber Plus Flow VU, 40 Alinia, 4

Actemra, 31

Aerochamber Plus Flow-VU, 40 Alkeran, 4

Acthib, 34

Aerochamber Plus Flow-VU/Large Mask, 40

Allo-pax, 12

Acticlate, 2

allopurinol, 32

Actigall, 20

Aerochamber Plus Flow-VU/Mask, 40 Allzital, 30

Actimmune, 7

Aerochamber Plus Flow-VU/Medium Mask, 40

almotriptan, 32

Actiq, 30

almotriptan malate, 32

Activase, 23

Aerochamber Plus Flow-VU/Small Mask, 40

Alocril, 29

Active 1ST Blood Lancets 30G/Easy Twist CAP, 36

Alodox Convenience Kit, 2

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 40

Alogliptin, 17

Activella, 15

Alogliptin/Metformin HCL, 17

Actonel, 17

Alogliptin/Pioglitazone, 17

Ampyra, 27 Arnuity Ellipta, 33

Alomide, 29

Amrix, 27 Aromasin, 5

Aloprim, 32

Amturnide, 9 Arranon, 5

Alora, 15

Amytal Sodium, 25 Arthrotec 50, 31

alosetron hydrochloride, 20

Anacaine, 14 Arthrotec 75, 31

Aloxi, 20

Anadrol-50, 15 Articadent Dental, 32

Alphagan P, 29

Anafranil, 24 Artiss, 23

Alphanate/Von Willebrand Factor Complex/Human, 23

anagrelide hydrochloride, 23 Arzerra, 5

Analpram Advanced, 20 Asacol HD, 20

Alphanine SD, 23

Analpram-HC, 20 Ascensia Autodisc Test Strips, 39

alprazolam, 23

Analpram-HC Singles, 20 ascorbic acid, 35

alprazolam ER, 23

Anaprox DS, 31 Asmanex HFA, 33

Alprazolam Intensol, 24

Anaspaz, 19 Asmanex Twisthaler 120 Metered Doses, 33

alprazolam odt, 23

anastrozole, 5

Alprolix, 23

Ancef, 1 Asmanex Twisthaler 14 Metered Doses, 33

Alrex, 28

Ancobon, 2

Alsuma, 32

Androderm, 15 Asmanex Twisthaler 30 Metered Doses, 33

Altabax, 11

Androgel, 15

Altace, 8

Androgel P.M., 15 Asmanex Twisthaler 60 Metered Doses, 33

Altoprev, 10

Android, 15

Aluvea, 14

Androxy, 15 Asmanex Twisthaler 7 Metered Doses, 33

Alvesco, 34

Anectine, 27

amantadine HCL, 26

Angeliq, 15 Aspirin-caffeine-dihydrocodeine, 30

Amantadine HCL, 26

Angiomax, 22 Aspirin/Dipyridamole, 23

Amaryl, 17

Animi-3, 22 Assure 3 Test Strips, 39

Ambien, 25

Animi-3/Vitamin D, 22 Assure 4 Test Strips, 39

Ambien CR, 25

Anoro Ellipta, 33 Assure Haemolance Plus High Flow 18G, 36

Ambisome, 2

Antabuse, 27

Amcinonide, 13

Antara, 10 Assure Haemolance Plus Low Flow 25G, 36

Amerge, 32

antipyrine/benzocaine, 29

Amicar, 22

Antipyrine/Benzocaine, 29 Assure Haemolance Plus Micro Flow 28G, 36

amifostine, 7

Anusol-HC, 20

amikacin sulfate, 2

Anzemet, 20 Assure Haemolance Plus Normal Flow 21G, 36

amiloride HCL, 9

Apidra, 16

amiloride/hydrochlorothiazide, 9

Apidra Solostar, 16 Assure Haemolance Plus Pediatric Blade, 36

aminocaproic acid, 22

Aplenzin, 24

Aminocaproic Acid, 23

Apokyn, 26 Assure II, 39

aminophylline, 33

Appbutamone, 24 Assure II Check Strip, 39

amiodarone HCL, 8

Appformin, 17 Assure II Test Strips, 39

Amiodarone HCL, 8

Appformin-d, 17 Assure Lance Lancets, 36

Amitiza, 20

apraclonidine, 29 Assure Lance Lancets 21G, 36

amitriptyline HCL, 24

Apriso, 20 Assure Lance Plus Safety Lancets 25G, 36

amlodipine besylate, 8

Aptensio XR, 25

amlodipine besylate/atorvastatin calcium, 10

Aptiom, 26 Assure Lance Plus Safety Lancets 30G, 36

Aptivus, 3

amlodipine besylate/benazepril HCL, 9

Aquasol A Parenteral, 35 Assure Lancets, 36

amlodipine besylate/benazepril hydrochloride, 9

Aquoral, 23 Assure Platinum Test Strips, 39

Aralast NP, 34 Assure Prism Multi Test Strips, 39

amlodipine besylate/valsartan, 9

Aralen, 3 Assure Pro Test Strips, 39

Amlodipine/Olmesartan Medoxomil, 9

Aranesp Albumin Free, 22 Astagraf XL, 6

amlodipine/valsartan/hctz, 9

Arava, 31 Astepro, 33

ammonium lactate, 13

Arcalyst, 31 Astero, 14

Ammonul, 19

Arcapta Neohaler, 33 Astringyn, 23

Amoxapine, 24

argatroban, 22 AT Last Lancets, 36

amoxicillin, 1

Argatroban, 22 AT Last Test Strips, 39

Amoxicillin, 1

Arial Chamber, 40 Atabex EC, 35

Amoxicillin ER, 1

Aricept, 27 Atacand, 8

amoxicillin/clavulanate potassium, 1

Aricept Odt, 27 Atacand HCT, 9

Amoxicillin/Clavulanate Potassium, 1

Arimidex, 5 Atelvia, 17

amoxicillin/clavulanate potassium ER, 1

aripiprazole, 24 atenolol, 7

amphetamine/dextroamphetamine, 25

aripiprazole odt, 24 atenolol/chlorthalidone, 9

Amphotec, 2

Aristada, 25 Atgam, 6

Amphotericin B, 2

Aristospan Intra-articular, 15 Ativan, 24

ampicillin, 1

Arixtra, 22 Atopiclair, 14

Ampicillin, 1

armodafinil, 25 atorvastatin calcium, 10

ampicillin sodium, 1

Armodafinil, 25 atovaquone, 4

Ampicillin Sodium, 1

Armour Thyroid, 19 atovaquone/proguanil HCL, 3

ampicillin-sulbactam, 1

Arnica Flower, 14 atracurium besylate, 27

Atralin, 11

Bacitracin, 28 3ML/29G X 1/2", 36

Atripla, 3

bacitracin/polymyxin b, 28 BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 36

Atropen, 19

Baclofen, 11

atropine sulfate, 19, 29

baclofen, 27 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 36

Atropine Sulfate, 19, 29

Bacmin, 35

Atrovent, 33

Bactocill IN Dextrose, 1 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 36

Atrovent HFA, 33

Bactrim, 4

Aubagio, 27

Bactrim DS, 4 BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 36

augmented betamethasone dipropionate, 13

Bactroban, 11

Bactroban Nasal, 33 BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 36

Augmentin, 1

Bal-care DHA, 35

Augmentin ES-600, 1

balsalazide disodium, 20 BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 36

Augmentin XR, 1

Banzel, 26

Aurora Lancet Super Thin 30G, 36

Baraclude, 3 BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 36

Aurora Lancet Thin 23G, 36

Bayer Breeze 2 Test Disc, 39

Aurstat Anti-itch Hydrogel, 14

Bayer Contour Blood Glucose Test Strips, 39

BD Insulin Syringe/U-100/1ML/27G X 1/2", 36

Aurstat Anti-itch Hydrogel Kit, 14

Auryxia, 20

Bayer Contour Next Blood Glucose Test, 39


Auvi-q, 10

Avalide, 9

Bayer Microlet Lancets, 36 BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 36

Avandamet, 17

Bcg Vaccine, 34

Avandaryl, 17

BD Insulin Syringe LUER-LOK/U-100/1ML, 36


Avandia, 17

Avapro, 8

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 36

BD Lancet Ultrafine 30G, 36

Avar, 11

BD Lancet Ultrafine 33G, 36

Avar LS, 11

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 36

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 36

Avar LS Cleanser, 11

Avar-e LS, 11

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 36

BD Microtainer Lancets, 36

Avastin, 5

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36

Avc, 21

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36

Aveed, 15

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36

Avelox, 2

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36

Avelox Abc Pack, 2

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36

Avenova, 14

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 36

Avenova/Neutrox, 14

BD Pen Needle/Ultrafine/29G X 12.7MM, 36

Avidoxy DK, 2

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36

Avinza, 30

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 37

Avodart, 21

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36

Avonex, 27

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 37

Avonex Pen, 27

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 36

Avycaz, 4

BD Pudendal/Local Block Tray 1% Lidocaine, 32

Axert, 32

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36

Axiron, 15

Beconase AQ, 33

Aygestin, 16

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36

Belbuca, 30

azacitidine, 5

Beleodaq, 6

Azactam, 4

BD Insulin Syringe Slip Tip/U-100/1ML, 36

Belladonna & Opium, 19

Azactam IN Iso-osmotic Dextrose, 4

Belladonna Alkaloids & Opium, 19

Azasan, 6

BD Insulin Syringe U-40/1ML/25G X 5/8", 36

Belsomra, 25

Azasite, 28

benazepril HCL, 8

azathioprine, 5

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 36

benazepril HCL/hydrochlorothiazide, 9

Azathioprine, 6

Bendeka, 4

azelastine HCL, 29, 33

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 36

Benefix, 23

Azelex, 11

Benicar, 8

Azilect, 26

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36

Benicar HCT, 9

azithromycin, 1

Bentyl, 19

Azithromycin, 1

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

Benzac Ac Wash, 11

Azopt, 29

Benzaclin, 11

Azor, 9


Benzaclin With P.M., 11

aztreonam, 4

Benzamycin, 11

Azulfidine, 20


Benzamycinpak, 11

Azulfidine EN-TABS, 20

Benzefoam, 11

B


Benzefoam Ultra, 11

Benzefoamultra, 11

B-12 Kit, 22

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 36

Benziq, 11

B-6 Folic Acid, 22

Benziq LS, 11

b-complex 100, 35

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 36

Benzodox 30 Kit, 2

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36

Benzodox 60 Kit, 2

BD Insulin Syringe Ultrafine/U-100/0. Benzoin Compound Tincture, 14

bacitracin, 4

Benzoin Tincture, 14

Breatherite Collapsible Infant Spacer W/Mask, 40

Caffeine/Sodium Benzoate, 25

benzonatate, 33

Calan, 8

Benzonatate, 33

Breatherite Collapsible Small Child Spacer W/Mask, 40

Calan SR, 8

benzoyl peroxide, 11

calcipotriene, 12

benzoyl peroxide SHORT contact, 11

Breatherite Collapsible Spacer W/ Neonate Mask, 40

calcipotriene/betamethasone dipropionate, 13

benztropine mesylate, 26

Bepreve, 29

Breatherite Rigid Spacer W/Mask, 40 calcitonin salmon, 17

Berinert, 23

Breatherite W/Large Mask, 40 calcitonin-salmon, 17

Besivance, 28

Breatherite W/Medium Mask, 40 Calcitriol, 12

Betadine Ophthalmic Prep, 28

Breatherite W/Small Mask, 40 calcitriol, 18

Betagan, 28

Breo Ellipta, 33 calcium acetate, 20

Betalido, 15

Brevibloc, 7 Caldolor, 31

Betaloan Suik, 15

Brevicon-28, 16 Cambia, 32

betamethasone dipropionate, 13

Brilinta, 23 Campral, 27

betamethasone sodium phosphate/betamethasone acetate, 15

brimonidine tartrate, 29 Camptosar, 6

Brintellix, 24 Canasa, 20

Betamethasone SP, 15

Brisdelle, 27 Cancidas, 2

betamethasone valerate, 13

Briviact, 26 candesartan cilexetil, 8

Betapace, 7

bromfenac, 29 candesartan cilexetil/hydrochlorothiazide, 9

Betapace AF, 7

Bromfenac, 29

Betaseron, 27

bromocriptine mesylate, 26 Cantil, 19

betaxolol HCL, 7, 28

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 33

Capastat Sulfate, 2

bethanechol chloride, 21

capecitabine, 5

Bethkis, 2

Brompheniramine, 32 Capex, 13

Betimol, 28

Brompheniramine Tannate, 32 Caphosol, 23

Betoptic-s, 28

Bromsite, 29 Capital/Codeine, 30

Bevespi Aerosphere, 34

Brovana, 34 Caprelsa, 6

bexarotene, 6

budesonide, 15, 33(2) captopril, 8

Bexsero, 34

Bullseye Safety Lancets, 36 Captopril/Hydrochlorothiazide, 9

Beyaz, 16

bumetanide, 9 Capxib Kit, 31

Bg Star Blood Glucose Test, 39

Bumex, 9 Carafate, 19

Biaxin, 1

Bunavail, 30 Carbaglu, 18

bicalutamide, 5

Bupap, 30 carbamazepine, 26

Bicillin C-R, 1

Buphenyl, 19 carbamazepine ER, 26

Bicillin L-a, 1

bupivacaine HCL, 32 Carbaphen 12, 33

Bicnu, 4

Bupivacaine Hydrochloride/Sodium Chloride, 32

Carbaphen 12 PED, 33

Bidil, 10

Carbatrol, 26

Biest/Progesterone, 15

bupivacaine/epinephrine, 32 carbidopa, 26

Biferarx, 22

Buprenex, 30 carbidopa/levodopa, 26

Biltricide, 4

buprenorphine HCL, 30 carbidopa/levodopa ER, 26

Bimatoprost, 29

buprenorphine HCL/naloxone HCL, 30 carbidopa/levodopa odt, 26

Binosto, 17

bupropion HCL, 24 Carbidopa/Levodopa/Entacapone, 26

Bioscanner Glucose Test Strips, 39

bupropion HCL ER, 24 carbinoxamine maleate, 32

Biothrax, 34

bupropion HCL SR, 24 Carbocaine, 32

bisoprolol fumarate, 7

bupropion HCL XL, 24 carboplatin, 4

bisoprolol fumarate/hydrochlorothiazide, 9

buspirone HCL, 23 Cardene IV, 8

Busulfex, 4 Cardizem, 8

bivalirudin, 22

butalbital/acetaminophen, 30 Cardizem CD, 8

Bleo 15k, 5

butalbital/acetaminophen/caffeine, 30 Cardizem LA, 8

bleomycin sulfate, 5

butalbital/acetaminophen/caffeine/codeine, 30

Cardura, 9

Bleph-10, 28

Cardura XL, 21

Blephamide, 28

butalbital/aspirin/caffeine, 30 Careone Blood Glucose Test Strips/Premium, 39

Blephamide S.o.p., 28

butalbital/aspirin/caffeine/codeine, 30

Blincyto, 5

Butisol Sodium, 25 Careone Blood Glucose Test Strips/Value, 39

Blood Glucose Test Strips, 39

butorphanol tartrate, 30

Blood Glucose Test Strips Premium, 39

Butrans, 30 Careone Lancet Thin, 37

Bloxiverz, 28

Bydureon, 16 Careone Lancet Ultra Thin, 37

Boniva, 17

Bydureon Pen, 16 Caresens N Blood Glucose Test Strips, 39

Boostrix, 34

Byetta, 16

Boric Acid, 14

Bystolic, 7 carisoprodol, 27

Bosulif, 6

Byvalson, 9 carisoprodol/aspirin, 27

Botox, 27

C carisoprodol/aspirin/codeine, 27

Bravelle, 18

Carnitor, 19

cabergoline, 18

Breatherite, 40

Carnitor SF, 19

Cabometyx, 6

Breatherite Collapsible Adult Spacer W/Mask, 40

carteolol HCL, 28

Caduet, 10

carvedilol, 7

Cafcit, 25

Breatherite Collapsible Child Spacer W/Mask, 40

Cascara Sagrada, 19

Cafergot, 32

Casodex, 5

caffeine citrate, 25

Cataflam, 31

cetirizine HCL, 32 citric acid/sodium citrate, 21

Catapres, 9

Cetraxal, 29 cladribine, 5

Catapres-tts-1, 9

Cetrotide, 18 Claforan, 1

Catapres-tts-2, 9

cevimeline HCL, 23 Claforan/D5W, 1

Catapres-tts-3, 9

Chemet, 40 Clarifoam EF, 11

Cathflo Activase, 23

Chenodal, 20 Clarinex, 32

Caverject, 10

Chloral Hydrate, 25 Clarinex-d 12 HOUR, 33

Caverject Impulse, 10

Chloramphenicol Sodium Succinate, 4 clarithromycin, 1

Cayston, 4

chlordiazepoxide HCL, 23 clarithromycin ER, 1

Cedax, 1

chlordiazepoxide HCL/clidinium bromide, 19

Cleanlet Lancets 28G, 37

cefaclor, 1

clemastine fumarate, 32

Cefaclor, 1

Chlordiazepoxide/Amitriptyline, 27 Clemastine Fumarate, 32

Cefaclor ER, 1

chlorhexidine gluconate, 23 Cleocin, 4, 21

cefadroxil, 1

chlorhexidine gluconate oral rinse, 23 Cleocin IN D5W, 4

Cefazolin, 1

chloroquine phosphate, 3 Cleocin Pediatric Granules, 4

cefazolin sodium, 1

chlorothiazide, 9 Cleocin Phosphate, 4

Cefazolin Sodium, 1

Chlorothiazide, 9 Cleocin-t, 11

Cefazolin Sodium/Dextrose, 1

chlorothiazide sodium, 9 Clever Chek Auto-code Test Strips, 39

Cefazolin/D5W, 1

chlorpromazine HCL, 24 Clever Chek Auto-code Voice Test Strips, 39

Cefazolin/Dextrose, 1

Chlorpromazine HCL, 25

Cefazolin/Sodium Chloride, 1

Chlorpropamide, 17 Clever Chek Lancets Ultrathin, 37

cefdinir, 1

chlorthalidone, 9 Clever Chek Lancets Ultrathin 30G, 37

Cefditoren Pivoxil, 1

Chlorthalidone, 9 Clever Chek Test Strips, 39

cefepime, 1

chlorzoxazone, 27 Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 40

Cefepime, 1

Cholbam, 20

Cefepime/Dextrose, 1

cholestyramine, 10 Clever Choice Anti-staticvalved Holding Chamber/Medium, 40

cefixime, 1

cholestyramine light, 10

Cefotan, 1

choline magnesium trisalicylate, 30 Clever Choice Anti-staticvalved Holding Chamber/Small, 40

cefotaxime sodium, 1

Choline Magnesium Trisalicylate, 30

Cefotaxime Sodium, 1

chorionic gonadotropin, 18 Clever Choice Auto-code Pro Test Strips, 39

cefotetan, 1

Cialis, 10

Cefotetan, 1

Ciclodan Cream Kit, 12 Clever Choice Micro Test Strips, 39

Cefotetan/Dextrose, 1

Ciclodan Solution Kit, 12 Cleviprex, 8

cefoxitin sodium, 1

ciclopirox, 12 Climara, 15

Cefoxitin Sodium, 1

ciclopirox nail lacquer, 12 Climara Pro, 16

cefpodoxime proxetil, 1

ciclopirox olamine, 12 Clin Single Use Kit, 4

cefprozil, 1

cidofovir, 3 Clindacin Etz, 11

ceftazidime, 1

Ciferex, 22 Clindacin PAC, 11

Ceftazidime/Dextrose, 1

cilostazol, 23 Clindagel, 11

Ceftibuten, 1

Ciloxan, 28 clindamycin, 4

Ceftin, 1

cimetidine, 19 clindamycin HCL, 4

Ceftriaxone IN Iso-osmotic Dextrose, 1

cimetidine HCL, 19 clindamycin palmitate HCL, 4

ceftriaxone sodium, 1

Cimzia, 20 clindamycin phosphate, 4, 11, 21

Ceftriaxone Sodium, 1

Cimzia Starter Kit, 20 Clindamycin Phosphate, 4

Ceftriaxone/Dextrose, 1

Cinqair, 34 clindamycin phosphate add-vantage, 4

cefuroxime axetil, 1

Cipro, 2 clindamycin phosphate IN D5W, 4

cefuroxime sodium, 1

Cipro HC, 29 clindamycin phosphate pharmacy bulk package, 4

Cefuroxime Sodium, 1

Cipro I.V.-IN D5W, 2

Celebrex, 31

Cipro XR, 2 clindamycin phosphate/tretinoin, 11

celecoxib, 31

Ciprodex, 29 clindamycin/benzoyl peroxide, 11

Celestone-soluspan, 15

ciprofloxacin, 2 Clindap-t, 11

Celexa, 24

Ciprofloxacin, 2, 29 Clindesse, 21

Cellcept, 6

ciprofloxacin ER, 2 Clinoin, 11

Cellcept Intravenous, 6

ciprofloxacin HCL, 2, 28 clobetasol propionate, 13

Celontin, 26

Ciprofloxacin HCL, 2 clobetasol propionate emollient, 13

Cenfol, 22

ciprofloxacin I.V.-IN D5W, 2 Clobex, 13

Centany, 11

cisatracurium besylate, 27 Clocortolone Pivalate, 13

Centany AT, 11

cisplatin, 4 Clocortolone Pivalate P.M., 13

Centratex, 22

Cisplatin, 4 Clodan Kit, 13

cephalexin, 1

citalopram hydrobromide, 24 Cloderm, 13

Cephalexin, 1

Citanest Forte Dental, 32 Cloderm P.M., 13

Ceracade, 14

Citanest Plain Dental, 32 Clolar, 5

Cerdelga, 21

Citranatal 90 DHA, 35 clomiphene citrate, 18

Cerebyx, 26

Citranatal Assure, 35 clomipramine HCL, 24

Cerezyme, 21

Citranatal B-calm, 35 clonazepam, 26

Cervarix, 34

Citranatal DHA, 35 clonazepam odt, 26

Cervidil, 30

Citranatal Harmony, 35 clonidine HCL, 8

Cesamet, 20

Citranatal RX, 35 clonidine HCL ER, 25

clopidogrel, 23

Cortenema, 20 Dacogen, 5

clorazepate dipotassium, 24

Cortifoam, 20 Daklinza, 3

Clorpres, 9

Cortisone Acetate, 15 Daliresp, 33

clotrimazole, 12, 23

Cortisporin, 12 Dalvance, 4

clotrimazole/betamethasone dipropionate, 12

Cortisporin-tc, 29 danazol, 15

Corvert, 8 Dantrium, 27

clozapine, 24

Corvite, 35 Dantrium IV, 27

clozapine odt, 24

Corvite 150, 22 dantrolene sodium, 27

Clozapine Odt, 25

Corzide, 9 dapsone, 4

Clozaril, 25

Cosentyx, 12 Daptacel, 34

Cnl8 Nail Kit, 12

Cosentyx Sensoready Pen, 12 daptomycin, 4

Coaguchek Lancets, 37

Cosmegen, 5 Daraprim, 3

Coal TAR, 14

Cosopt, 28 darifenacin hydrobromide ER, 21

Coartem, 3

Cosopt PF, 28 Darzalex, 5

Cocaine HCL, 14

Cotellic, 6 daunorubicin HCL, 5

Cod Liver Oil, 35

Coumadin, 22 Daunoxome, 5

Codar AR, 33

Cozaar, 8 Daypro, 31

codeine sulfate, 30

Cpb Wc, 33 Daytrana, 25

Codeine Sulfate, 30

Creon, 20 Ddavp, 18

Cogentin, 26

Cresemba, 2 Debacterol, 23

Colazal, 20

Crestor, 10 decitabine, 5

Colchicine, 32

Crinone, 21 Decon-a, 33

Colcrys, 32

Crixivan, 3 Defitelio, 22

Colestid, 10

Crnatal, 35 Delestrogen, 16

Colestid Flavored, 10

cromolyn sodium, 20, 29 Delzicol, 20

colestipol HCL, 10

Cromolyn Sodium, 33 Demadex, 9

colistimethate sodium, 4

Cubicin, 4 demeclocycline HCL, 2

Coly-mycin M, 4

Cubicin RF, 4 Demerol, 30

Coly-mycin S, 29

Curosurf, 34 Demser, 9

Colyte-flavor Packs, 19

Cutivate, 13 Denavir, 12

Combigan, 28

Cuvposa, 19 Depacon, 26

Combipatch, 15

CVS Advanced Glucose Meter Test Strips, 39

Depakene, 26

Combivent Respimat, 33

Depakote, 26

Combivir, 3

cyanocobalamin, 21 Depakote ER, 26

Cometriq, 6

Cyanocobalamin, 21 Depakote Sprinkles, 26

Comfort Lancets, 37

Cyclessa, 16 Depo-estradiol, 16

Compact Space Chamber/Anti-static, 40

Cyclobenzaprine Comfort PAC, 27 Depo-medrol, 15

Compact Space Chamber/Anti-static/Large Mask, 40

cyclobenzaprine HCL, 27 Depo-provera, 5

Cyclogyl, 29 Depo-testosterone, 15

Compact Space Chamber/Anti-static/Medium Mask, 40

Cyclomydril, 29 Depocyt, 5

cyclopentolate HCL, 29 Deprizine Fusepaq, 19

Compact Space Chamber/Anti-static/Small Mask, 40

cyclopentolate hydrochloride, 29 Deprizine Rapidpaq, 19

Cyclophene Rapidpaq, 27 Derma Silkrx Anodynexa PAK, 31

Complera, 3

cyclophosphamide, 4 Derma Silkrx Diclopak, 31

Comtan, 26

Cyclophosphamide, 4 Derma-smoothe/FS Body, 13

Comvax, 34

Cycloserine, 2 Derma-smoothe/FS Scalp, 13

Concept DHA, 35

Cycloset, 17 Dermacinrx Azenase PAK, 33

Concept OB, 35

cyclosporine, 6 Dermacinrx Cinlone-i Cpi, 15

Concerta, 25

cyclosporine modified, 6 Dermacinrx Clorhexacin, 14

Condylox, 14

Cyclosporine Modified, 6 Dermacinrx Dpn PAK, 27

Control AST, 39

Cyklokapron, 23 Dermacinrx Duopatch Pharmapak, 14

Control Test Strips, 39

Cymbalta, 24 Dermacinrx Inflammatral PAK, 31

Convenience PAK, 27

cyproheptadine HCL, 32 Dermacinrx Lexitral Pharmapak, 12

Conzip, 30

Cyramza, 5 Dermacinrx Neurotral Pharmapak, 14

Cool Blood Glucose Test Strips, 39

Cystadane, 18 Dermacinrx Phn PAK, 14

Copasil, 14

Cystagon, 21 Dermacinrx Purefolix, 22

Copaxone, 27

Cystaran, 29 Dermacinrx Surgical Pharmapak, 14

Copegus, 3

cytarabine, 5 Dermacinrx Therazole PAK, 12

Cordarone, 8

cytarabine aqueous, 5 Dermacinrx Ticanase PAK, 33

Cordran, 13

Cytarabine Aqueous, 5 Dermacinrx Zrm PAK, 14

Cordran Tape, 13

Cytomel, 19 Dermapak Plus, 11

Coreg, 7

Cytotec, 19 Dermasorb HC, 13

Coreg CR, 7

Cytovene, 3 Dermasorb Ta, 13

Corgard, 7

Cytra-3, 21 Dermasorb XM, 14

Corifact, 23

D Dermatop, 13

Corlanor, 10

Dermawerx Surgical Plus PAK, 14

D.h.e. 45, 32

Corlopam, 9

Dermazone, 13

dacarbazine, 6

Cortef, 15

Dermazyl, 14

Dacarbazine, 7

Dermotic, 29

Diflucan, 2 doxazosin mesylate, 8

Descovy, 3

diflunisal, 30 doxepin HCL, 24

desipramine HCL, 24

digoxin, 7 Doxepin HCL, 24

desloratadine, 32

Digoxin, 7 Doxepin Hydrochloride, 12

Desloratadine Odt, 32

dihydroergotamine mesylate, 32 doxercalciferol, 18

desmopressin acetate, 18

Dihydroergotamine Mesylate, 32 Doxil, 5

Desogen, 16

Dilantin, 26 doxorubicin HCL, 5

desogestrel/ethinyl estradiol, 16

Dilantin Infatabs, 26 Doxorubicin HCL, 5

Desonate, 13

Dilantin-125, 26 doxorubicin HCL liposome, 5

desonide, 13

Dilatrate SR, 7 doxycycline, 2

Desowen, 13

Dilaudid, 30 Doxycycline, 11

desoximetasone, 13

Dilaudid-HP, 30 doxycycline hyclate, 2

Desoximetasone, 13

diltiazem CD, 8 doxycycline hyclate DR, 2

Desoxyn, 25

diltiazem HCL, 8 doxycycline monohydrate, 2

Desvenlafaxine ER, 24

Diltiazem HCL, 8 Drisdol, 35

Detrol, 21

diltiazem HCL CD, 8 Dritho-creme HP, 12

Detrol LA, 21

diltiazem HCL ER, 8 dronabinol, 20

dexamethasone, 15

Diltiazem Hydrochloride/Sodium Chloride, 8

droperidol, 24

Dexamethasone, 15

Droplet Lancets Ultra Thin 30G, 37

Dexamethasone Intensol, 15

Dimenhydrinate, 20 drospirenone/ethinyl estradiol, 16

dexamethasone sodium phosphate, 15, 28

Diovan, 8 drospirenone/ethinyl estradiol/levomefolate calcium, 16

Diovan HCT, 9

Dexamethasone Sodium Phosphate, 15, 28

Dipentocaine, 12 Droxia, 22

Dipentum, 20 Drug Mart On-the-go Lancets Gentle 30G, 37

Dexchlorpheniramine Maleate, 33

diphenhydramine HCL, 32

Dexedrine, 25

diphenoxylate/atropine, 19 Drug Mart Unilet Lancets Super Thin 30G, 37

Dexilant, 19

Diphenoxylate/Atropine, 19

Dexlido, 15

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 34

Drug Mart Unilet Lancets Ultra Thin 28G, 37

Dexlido-m, 15

dexmedetomidine HCL, 25

Diprolene, 13 Drysol, 14

Dexmedetomidine HCL, 25

Diprolene AF, 13 Dsg PAK, 12

dexmethylphenidate HCL, 25

dipyridamole, 23 Duac, 11

dexmethylphenidate HCL ER, 25

Disalcid, 30 Duavee, 15

Dexpak 10 Day, 15

disopyramide phosphate, 8 Duet DHA 400, 35

Dexpak 13 Day, 15

disulfiram, 27 Duet DHA 400EC, 35

Dexpak 6 Day, 15

Ditropan XL, 21 Duet DHA 430, 35

Dexpanthenol, 20

Diuril, 9 Duet DHA 430EC, 35

dexrazoxane, 7

divalproex sodium, 26 Duet DHA Balanced, 35

dextroamphetamine sulfate, 25

divalproex sodium DR, 26 Duetact, 17

dextroamphetamine sulfate ER, 25

divalproex sodium ER, 26 Duexis, 31

Diabeta, 17

Divigel, 16 Dulera, 33

Dialyvite 3000, 35

Divista, 22 duloxetine HCL, 24

Dialyvite 5000, 35

dobutamine HCL, 10 Duloxetine HCL, 24

Dialyvite Supreme D, 35

dobutamine HCL/D5W, 10 Duo-care Test Strips, 39

Dialyvite/Zinc, 35

dobutamine/dextrose 5%, 10 Duopa, 26

Diamox, 9

Docefrez, 6 Duragesic, 30

Diastar Easy Test II Lancets 30G, 37

docetaxel, 6 Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 32

Diastar Easy Test Lancets30G, 37

Docetaxel, 6

Diastat Acudial, 26

Docetaxel (non-alcohol Formula), 6 Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 32

Diastat Pediatric, 26

dofetilide, 8

diazepam, 24

Dolophine, 30 Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 32

Diazepam, 24, 26

donepezil HCL, 27

Dibenzyline, 9

dopamine HCL, 10 Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 32

Diclegis, 20

Dopamine HCL, 10

diclofenac potassium, 31

dopamine HCL-dextrose 5%, 10 Durezol, 28

diclofenac sodium, 12, 29

dopamine HCL/dextrose 5%, 10 Durlaza, 23

Diclofenac Sodium, 12

dopamine/D5W, 10 dutasteride, 21

diclofenac sodium DR, 31

Dopram, 25 dutasteride/tamsulosin HCL, 21

diclofenac sodium ER, 31

Doral, 25 dutasteride/tamsulosin hydrochloride, 21

diclofenac sodium/misoprostol, 31

Doribax, 4 Dutoprol, 9

dicloxacillin sodium, 1

Doryx, 2 Dyanavel XR, 25

Dicopanol Fusepaq, 33

Doryx Mpc, 2 Dyazide, 9

Dicopanol Rapidpaq, 33

dorzolamide HCL, 29 Dyloject, 31

dicyclomine HCL, 19

dorzolamide HCL/timolol maleate, 28 Dymista, 33

didanosine, 3

Doubledex, 15 Dyrenium, 9

Differin, 11

Dovonex, 12 Dysport, 27

Dificid, 1

doxapram HCL, 25 Dyural-40, 15

Diflorasone Diacetate, 13

doxazosin, 8 Dyural-80, 15

Dyural-l, 15

Ecoza, 12 Entty Spray Emulsion, 14

Dyural-lm, 15

Ed Cyte F, 22 Entyvio, 20

E

Edarbi, 8 Envarsus XR, 6

Edarbyclor, 9 Epaned, 8

E-z Ject Lancets, 37

Edecrin, 9 Epclusa, 3

E-z Ject Lancets 21G, 37

Edluar, 25 ephedrine sulfate, 10

E-z Ject Lancets Color, 37

Edurant, 3 Ephedrine Sulfate, 10

E-z Ject Lancets Super Thin, 37

Effexor XR, 24 Ephedrine Sulfate/Sodium Chloride, 10

E-z Ject Lancets Super Thin 30G, 37

Effient, 23 Epiceram, 14

E-z Ject Lancets Thin 26G, 37

Egrifta, 18 Epiduo, 11

E-z Spacer, 40

Elaprase, 18 Epiduo Forte, 11

E-z Spacer The Body Guards Pack, 40

Elavil, 24 Epifoam, 13

E-ZJECT Lancets Micro-thin 33G, 37

Eldepryl, 26 epinastine HCL, 29

E.e.s. 400, 1

Elelyso, 22 Epinephrine, 10

E.e.s. Granules, 1

Element Test Strips, 39 Epinephrine HCL, 10

Easivent, 40

Elestat, 29 epinephrine HCL, 33

Easivent/Mask-large, 40

Elestrin, 16 Epipen 2-PAK, 10

Easivent/Mask-medium, 40

Eletone, 14 Epipen-JR 2-PAK, 10

Easivent/Mask-small, 40

Eletone Twinpack, 14 epirubicin HCL, 5

Easy Step Test Strips, 39

Elidel, 13 Episnap, 10

Easy Touch Glucose Test Strips, 39

Eligard, 5 episone CRE, 13

Easy Touch Healthpro Glucose Test Strips, 39

Elimite, 14 Epivir, 3

Eliphos, 20 Epivir HBV, 3

Easy Touch Lancets 21G/Pressure Activated, 37

Eliquis, 22 eplerenone, 8

Elitek, 7 Epogen, 22


Elixophyllin, 34 epoprostenol sodium, 10

Ella, 16 Eprosartan Mesylate, 8


Ellence, 5 eptifibatide, 23

Elmiron, 21 Epy II Kit, 10

Easy Touch Lancets 26G/Pull-top, 37

Elocon, 13 Epy Kit, 10

Easy Touch Lancets 26G/Twist, 37

Eloctate, 23 Epzicom, 3


Eloxatin, 4 Eql Truetrack Test, 39

Emadine, 29 Equetro, 25


Embeda, 30 Equipto-baclofen, 11


Embrace Blood Glucose Test Strips, 39 Equipto-naproxen, 12

Easy Touch Lancets 30G/Button-activated, 37

Embrace Evo Blood Glucosetest Strips, 39

Eraxis, 3

Erbitux, 5


Embrace Lancets Ultra Thin 30G, 37 ergocalciferol, 35

Embrace Pro Blood Glucosetest Strips, 39

ergoloid mesylates, 27


Ergoloid Mesylates, 27


Emcyt, 5 Ergomar, 32


Emend, 20 Ertaczo, 12

Emla, 14 Erwinaze, 5


Empliciti, 5 Ery-TAB, 1


Emsam, 24 Erygel, 11


Emtriva, 3 Eryped 200, 1

Easy Touch Safety Lancets21G/Pressure Activated, 37

Emulsion SB, 14 Eryped 400, 1

Emverm, 4 Erythrocin Lactobionate, 1


Emvoren, 12 Erythrocin Stearate, 1

Enablex, 21 erythromycin, 1, 11, 28

Easy Touch Safety Lancets26G/Button Activated, 37

enalapril maleate, 8 Erythromycin Base, 1

enalapril maleate/hydrochlorothiazide, 9 erythromycin ethylsuccinate, 1


enalaprilat, 8 Erythromycin Ethylsuccinate, 1

Enbrace HR, 35 erythromycin/benzoyl peroxide, 11

Easy Touch Safety Lancets28G/Button Activated, 37

Enbrel, 31 Esbriet, 34

Enbrel Sureclick, 31 Escavite, 35


Endometrin, 21 Escavite D, 35

Engerix-b, 34 escitalopram oxalate, 24

Easy Twist & CAP Lancets, 37

Enjuvia, 15 Esgic, 30

Easygluco, 39

Enlon, 28 esmolol HCL, 7

Easygluco Plus, 39

Enlon-plus, 28 Esmolol HCL, 7

Easymax 15 Test Strips, 39

enoxaparin sodium, 22 esomeprazole magnesium, 19

Easymax Test Strips, 39

Enstilar, 13 esomeprazole sodium, 19

Easypro Blood Glucose Test Strips, 39

entacapone, 26 Esomeprazole Sodium, 19

Easypro Plus, 39

entecavir, 3 Esomeprazole Strontium, 19

Easytest II Lancets, 37

Entereg, 20 estazolam, 25

Easytest Lancets, 37

Entocort EC, 15 Estrace, 16, 21

EC-naprosyn, 31

Entresto, 10 estradiol, 15

econazole nitrate, 12

Estradiol, 16

F Fioricet, 30

estradiol valerate, 15

Fioricet/Codeine, 30

Fabior, 11

estradiol/norethindrone acetate, 15

Fiorinal, 30

Fabrazyme, 18

Estring, 21

Fiorinal/Codeine #3, 30

Factive, 2

Estrogel, 16

Firazyr, 23

Falessa, 16

Estropipate, 15

Firmagon, 5

famciclovir, 3

Estrostep FE, 16

First-baclofen 1, 28

famotidine, 19

eszopiclone, 25

First-baclofen 5, 28

Famotidine, 19

ethacrynate sodium, 9

First-bxn Mouthwash, 23

Famotidine Premixed, 19

ethacrynic acid, 9

First-dukes Mouthwash, 23

Famvir, 3

ethambutol HCL, 2

First-hydrocortisone, 13

Fanapt, 25

ethosuximide, 26

First-lansoprazole, 19

Fanapt Titration Pack, 25

Ethyl Chloride, 14

First-marys Mouthwash, 23

Fanatrex Fusepaq, 26

Ethyl Chloride/Fine Pinpoint, 14

First-metronidazole 100, 4

Fareston, 5

Ethyl Chloride/Fine Stream, 14

First-metronidazole 50, 4

Farxiga, 17

Ethyl Chloride/Medium Jet Stream, 14

First-mouthwash Blm, 23

Farydak, 6

Ethyl Chloride/Medium Stream, 14

First-omeprazole, 19

Faslodex, 5

Ethyl Chloride/Mist, 14

First-progesterone VGS 100 Compounding Kit, 21

Fazaclo, 25

Ethyol, 7

Feiba, 23

Etidronate Disodium, 17


Feiba NF, 23

etodolac, 31

felbamate, 26

etodolac ER, 31


Felbatol, 26

Etopophos, 6

Feldene, 31

etoposide, 6


felodipine ER, 8

Etoposide, 6

Fem PH, 21

Euflexxa, 27


Femara, 5

Eurax, 14

Femcon FE, 16

Evamist, 15

First-testosterone, 15

Femhrt Low Dose, 16

Evekeo, 25

First-testosterone Mc Compounding Kit, 15

Femring, 21

Evencare + Blood Glucose Test Strip, 39

fenofibrate, 10

Evencare Blood Glucose Test Strip, 39

First-vancomycin 25, 4

Fenofibrate, 10

Evencare G2 Test Strips, 39

First-vancomycin 50, 4

fenofibrate micronized, 10

Evencare G3 Test Strips, 39

Flagyl, 4

Fenofibric Acid, 10

Evencare Mini Blood Glucose Test Strips, 39

Flagyl ER, 4

fenofibric acid DR, 10

Flanax Pain Relief Kit, 31

Fenoglide, 10

Evicel, 23

Flarex, 28

fenoldopam mesylate, 8

Evista, 18

flavoxate HCL, 21

Fenoprofen Calcium, 31

Evithrom, 23

flecainide acetate, 8

Fenortho, 31

Evoclin, 11

Flector, 12

fentanyl, 30

Evolution Autocode, 39

Flexepax, 28

Fentanyl, 30

Evomela, 5

Flexichamber, 40

Fentanyl Citrate, 30

Evotaz, 3

Flexichamber Adult Mask/Small, 40

fentanyl citrate oral transmucosal, 30

Evoxac, 23

Flexichamber Child Mask/Large, 40

Fentanyl Citrate/NACL, 30

Exactech R-s-G Test Strips, 39

Flexichamber Child Mask/Small, 40

Fentanyl Citrate/Sodium Chloride, 30

Exactech Test Strips, 39

Flolan, 11

Fentora, 30

Exactuss, 33

Flomax, 21

Feraheme, 22

Exalgo, 30

Flonase, 33

Feriva, 22

Exelderm, 12

Floriva, 35

Feriva 21/7, 22

Exelon, 27

Flovent Diskus, 33

Ferivafa, 22

exemestane, 5

Flovent HFA, 33

Ferralet 90, 22

Exforge, 9

Flowtuss, 33

Ferrex 150 Forte Plus, 22

Exforge HCT, 9

Floxin Otic, 29

Ferrex 28, 22

Exjade, 40

Floxuridine, 5

Ferriprox, 41

Exoderm, 12

Fluad 2016-2017, 34

Ferrlecit, 22

Exondys 51, 27

Fluarix 2014-2015, 34

Ferro-plex Hematinic, 22

Exparel, 32

Fluarix Quadrivalent 2014-2015, 34

Ferrotrin, 22

Extardol, 12


Fetzima, 24

Extavia, 27


Fetzima Titration Pack, 24

Extina, 12

Flublok 2014-2015, 34

Fexmid, 28

EZ Smart Blood Glucose Lancets, 37

Flublok 2015-2016, 34

Fibricor, 10

EZ Smart Blood Glucose Test Strips, 39

Flublok 2016-2017, 34

Fifty50 Glucose Test Strip 2.0, 39

EZ Smart Plus Blood Glucose Test Strips, 39

Flucelvax 2014-2015, 34

Fifty50 Safety Seal Lancets 30G, 37

Flucelvax 2015-2016, 34

Fifty50 Safety Seal Lancets 32G, 37

EZ-lets Lancets 21G, 37

Flucelvax Quadrivalent 2016-2017, 34

Fifty50 Unilet Lancets 33G, 37


fluconazole, 2

Finacea, 11

EZ-lets Lancets 26G Super-soft, 37

fluconazole IN dextrose, 2

finasteride, 21

EZ-lets Lancets 28G Ultra-soft, 37

fluconazole IN NACL, 2

Fine 30, 37


Fluconazole IN NACL, 3

Fingerstix Lancets, 37

flucytosine, 2

Folic Acid, 22 Fuzeon, 3

Fludara, 5

folic acid/vitamin b-6/vitamin b-12, 21 Fycompa, 26

fludarabine phosphate, 5

Folivane-f, 22 G

fludrocortisone acetate, 15

Folivane-OB, 35

gabapentin, 26

Flulaval 2014-2015, 34

Folivane-plus, 22

Gabavale-5, 24

Flulaval Quadrivalent 2014-2015, 34

Folivane-prx DHA NF, 35

Gabazolamine, 24


Folixapure, 22

Gabazolamine-0.5, 24


Follistim AQ, 18

Gabazolpidem-5, 25

Flumadine, 3

Folotyn, 5

Gabitidine, 19

Flumist Quadrivalent, 34

Foltrate, 22

Gabitril, 26

flunisolide, 33

fondaparinux sodium, 22

Gablofen, 27

fluocinolone acetonide, 13, 29

Fora D10 Blood Glucose Test Strips, 39

Gaboxetine, 24

fluocinolone acetonide ear drops, 29

Fora D15G Blood Glucose Test Strips, 39

galantamine hydrobromide, 27

fluocinonide, 13

Galantamine Hydrobromide, 27

fluocinonide-e, 13

Fora D20 Blood Glucose Test Strips, 39

ganciclovir, 3

fluorometholone, 28

Fora D40/G31 Blood Glucose Test Strips, 39

Ganirelix Acetate, 18

fluorouracil, 5

Garamycin, 28

Fluoxetine, 27

Fora G20 Blood Glucose Test Strips, 39

Gardasil, 34

fluoxetine DR, 24

Fora G30a Blood Glucose Test Strips, 39

Gardasil 9, 34

fluoxetine HCL, 24

Fora GD20 Test Strips, 39

Gastrinex NF, 19

Fluoxetine HCL, 24

Fora GD50 Blood Glucose Test Strips, 39

Gastrocrom, 20

fluphenazine decanoate, 24

gatifloxacin, 28

fluphenazine HCL, 24

Fora Lancets, 37

Gattex, 20

Fluphenazine HCL, 25

Fora Tn'g/Tn'g Voice Blood Glucose Test Strips, 39

Gazyva, 5

flurandrenolide, 13

Gebauers Pain Ease, 14

Flurazepam HCL, 25

Fora V10 Blood Glucose Test Strips, 39

Gebauers Spray And Stretch, 14

flurbiprofen, 31


Gel-kam Oral Care Rinse, 23

flurbiprofen sodium, 29


Gel-one, 28

flutamide, 5

Fora V30a Blood Glucose Test Strips, 39

Gelclair, 23

fluticasone propionate, 13, 33

Foracare GD40, 39

Gelnique, 21

fluvastatin, 10

Foracare Premium V10 Teststrips, 39

Gelsyn-3, 28

fluvastatin sodium ER, 10

Foracare Test N Go Test Strips, 39

gemcitabine, 5

Fluvirin 2014-2015, 34

Foradil Aerolizer, 34

gemcitabine HCL, 5

Fluvirin 2015-2016, 34

Forfivo XL, 24

gemfibrozil, 10

Fluvirin 2016-2017, 34

Fortamet, 17

Gemzar, 5

Fluvirin PF 2014-2015, 34

Fortavit, 35

Genadur, 14

fluvoxamine maleate, 24

Fortaz, 1

Genadur Kit, 14

fluvoxamine maleate ER, 24

Forteo, 17

gene-xene TAB 15MG, 24

Fluzone High-dose PF 2014-2015, 34

Fortesta, 15

gene-xene TAB 3.75MG, 24


Fortical, 17

gene-xene TAB 7.5MG, 24


Fortiscare Blood Glucose Test Strip, 39

Generess FE, 16

Fluzone Intradermal, 34

Fosamax, 17

Genotropin, 18

Fluzone Intradermal Quadrivalent 2015-2016, 34

Fosamax Plus D, 17

Genotropin Miniquick, 18

Foscavir, 3

Genstrip 50, 39

Fluzone Intradermal Quadrivalent 2016-2017, 34

fosinopril sodium, 8

gentamicin sulfate, 2, 28

fosinopril sodium/hydrochlorothiazide, 9

Gentamicin Sulfate, 12

Fluzone PF 2014-2015, 34

fosphenytoin sodium, 26

gentamicin sulfate pediatric, 2

Fluzone Quadrivalent 2014-2015, 34

Fosrenol, 20

gentamicin sulfate/0.9% sodium chloride, 2


Fragmin, 22


Freestyle Insulinx Blood Glucose Test, 39

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Fluzone Split 2014-2015, 34

Fluzone Split 2015-2016, 34

Freestyle Insulinx Blood Glucose Test Strips, 39

Gentle-let GP Lancets, 37

FML, 28

Gentle-let Lancets General Purpose Style/Fine Point, 37

FML Forte, 28

Freestyle Lancets, 37

FML Liquifilm, 28

Freestyle Lite Test Strips, 39

Gentle-let Lancets General Purpose Style/Medium Point, 37

Focalgin 90 DHA, 35

Freestyle Precision Neo Blood Glucose Test Strips, 39

Focalgin CA, 35

Gentle-let Lancets Safety Style/Fine Point, 37

Focalgin Dss, 22

Freestyle Test Strips, 39

Focalin, 25

Freestyle Unistick II Lancets, 37

Gentle-let Lancets Safety Style/Medium Point, 37

Focalin XR, 26

Frova, 32

Folbee Plus Cz, 35

frovatriptan succinate, 32

Genvisc 850, 28

Folcaps Omega 3, 35

Fulyzaq, 19

Genvoya, 3

Folene, 22

Furadantin, 21

Geodon, 25

Folet DHA, 35

furosemide, 9

Gesticare DHA, 35

Folet One, 35

Furosemide, 9

Gialax, 19

Folgard OS, 35

Fusilev, 7

Giazo, 20

Folgard RX, 22

Fusion Plus, 22

Gilenya, 27

folic acid, 21

Fusion Sprinkles, 22

Gilotrif, 6

Gilphex TR, 33

Guanidine HCL, 28 HPR Plus, 14

Giltuss, 33

Gynazole-1, 21 HPR Plus Hydrogel Kit, 14

Giltuss TR, 33

H HPR Plus/Mb Hydrogel, 14

Glassia, 34

Humalog, 16

H.p. Acthar, 18

glatopa, 27

Humalog Kwikpen, 16

Haemolance, 37

Gleevec, 6

Humalog Mix 50/50, 16

Haemolance Low Flow Lancets, 37

Gleostine, 4

Humalog Mix 50/50 Kwikpen, 16

Haemolance Plus, 37

Gliadel Wafer, 4

Humalog Mix 75/25, 16

Haemolance Plus High Flow, 37

glimepiride, 17

Humalog Mix 75/25 Kwikpen, 16

Haemolance Plus Low Flow, 37

glipizide, 17

Humate-p, 23

Haemolance Plus Max Flow, 37

glipizide ER, 17

Humatrope, 18

Haemolance Plus Pediatric Flow, 37

glipizide/metformin HCL, 17

Humatrope Combo Pack, 18

Halaven, 6

Glucagen Hypokit, 17

Humira, 31

Halcion, 25

Glucagon Emergency Kit, 17

Humira Pediatric Crohns Disease Starter Pack, 31

Haldol, 25

Gluco Perfect 3 Test Strips, 39

Haldol Decanoate 100, 25

Glucocard 01 Sensor Plus, 39

Humira Pen, 31

Haldol Decanoate 50, 25

Glucocard 01 Sensor Plus Test Strips, 39

Humira Pen-crohns Diseasestarter, 31

halobetasol propionate, 13

Humira Pen-psoriasis Starter, 31

Halog, 13

Glucocard Expression Blood Glucose Test Strips, 39

Humulin 70/30, 16

haloperidol, 24

Humulin 70/30 Kwikpen, 16

haloperidol decanoate, 24

Glucocard Shine Test Strips, 39

Humulin N, 16

haloperidol lactate, 24

Glucocard Vital Test Strips, 39

Humulin N Kwikpen, 16

Halotin, 12

Glucocard X-sensor, 39

Humulin R, 16

Harvoni, 3

Glucocom Lancets 28G, 37

Humulin R U-500 (concentrated), 16

Havrix, 34


Humulin R U-500 Kwikpen, 16

Hectorol, 19


Hy-vee Lancets, 37

Helixate FS, 23

Glucocom Test Strips, 39

Hyalgan, 28

Hemabate, 30

Gluconavii Blood Glucose Test Strips, 39

Hycamtin, 6

Hemangeol, 7

Glucophage, 17

Hycet, 30

Hematogen Fa, 22

Glucophage XR, 17

Hycofenix, 33

Hematron-AF, 22

Glucose Control Normal, 37

hydralazine HCL, 8

Hemocyte Plus, 22

Glucose Control Solution, 37

Hydrea, 7

Hemocyte-f, 22

Glucosource Lancets, 37

Hydro 35, 14

Hemofil M, 23

Glucotrol, 17

Hydro 40 Foam, 14

heparin lock, 22

Glucotrol XL, 17

hydrochlorothiazide, 9

heparin lock flush, 22

Glucovance, 17

hydrocodone bitartrate/acetaminophen, 30

Heparin Lock Flush, 22

Glumetza, 17

heparin lock flush for flushing vascular access devices, 22

glyburide, 17

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 33

Glyburide, 17

heparin lock flush/NACL for flushing vascular access devices, 22

glyburide micronized, 17

hydrocodone bitartrate/homatropine methylbromide, 33

glyburide/metformin HCL, 17

heparin sodium, 22

Glycolic Acid, 12

hydrocodone polistirex/chlorpheniramine polistirex, 33

Heparin Sodium, 22

Glycolic Acid 70% High Purity, 12

heparin sodium dcu, 22

glycopyrrolate, 19

hydrocodone/acetaminophen, 30

heparin sodium lock flush, 22

Glycopyrrolate, 20

Hydrocodone/Acetaminophen, 30

heparin sodium/D5W, 22

Glynase, 17

hydrocodone/homatropine, 33

Heparin Sodium/D5W, 22

Glyset, 17

hydrocodone/ibuprofen, 30

Heparin Sodium/NACL, 22

Glyxambi, 17

hydrocort ene 100MG, 20

Heparin Sodium/NACL 0.45%, 22

Gmate Blood Glucose Test Strips, 39

hydrocortisone, 13, 15, 20

heparin sodium/NACL 0.9%, 22

Gmate Lancets 30G, 37

hydrocortisone acetate/pramoxine, 20

Heparin Sodium/Sodium CH Loride, 22

Golytely, 19

hydrocortisone butyrate, 13

Heparin Sodium/Sodium Chloride, 22

Gonal-f, 18

hydrocortisone butyrate (lipid), 13

Heparin Sodium/Sodium Chloride 0.9%, 22

Gonal-f RFF, 18

hydrocortisone butyrate (lipophilic), 13

Gonal-f RFF Rediject, 18

hydrocortisone IN absorbase, 13

heparin sodium/sodium chloride 0.9% premix, 22

Gonitro, 7

hydrocortisone valerate, 13

Gordofilm, 14

hydrocortisone/acetic acid, 29

Heparin Sodium/Sodium Chloride PF, 22

Gordons Urea, 14

hydromorphone HCL, 30

Hepsera, 3

Gralise, 27

Hydromorphone HCL, 30

Herceptin, 5

Gralise Starter, 27

hydromorphone HCL dosette, 30

Hespan, 23

granisetron HCL, 20

hydromorphone HCL ER, 30

hetastarch 6%/NACL, 23

Granisol, 20

Hydromorphone HCL/NACL, 30

Hetlioz, 25

Granix, 22

Hydromorphone HCL/Sodium Chloride, 30

Hexalen, 4

Grifulvin V, 3

Hextend, 23

Gris-peg, 3

hydromorphone hydrochloride, 30

Hiberix, 34

griseofulvin microsize, 2

Hydromorphone Hydrochloride/ NACL, 30

Hiprex, 21

griseofulvin ultramicrosize, 2

homatropine HBR, 29

guanfacine ER, 25

Hydromorphone Hydrochloride/NACL, 30

Horizant, 27

guanfacine HCL, 8

Hydromorphone Hydrochloride/Sodium

HPR, 14

Chloride, 30

Infasurf, 34 isosorbide dinitrate, 7

Hydroxocobalamin, 22

Infed, 22 Isosorbide Dinitrate ER, 7

hydroxychloroquine sulfate, 3

Infinity Blood Glucose Test Strips, 39 isosorbide mononitrate, 7

Hydroxyprogesterone Caproate, 5

Inflectra, 20 isosorbide mononitrate ER, 7

hydroxyurea, 6

Infumorph 200, 30 isotonic gentamicin, 2

hydroxyzine HCL, 24

Infumorph 500, 30 Isoxsuprine HCL, 10

Hydroxyzine HCL, 24

Infuvite, 35 isradipine, 8

hydroxyzine pamoate, 24

Infuvite Adult, 35 Istalol, 28

Hydroxyzine Pamoate, 24

Infuvite Pediatric, 35 Istodax, 6

Hylatopic, 14

Injectafer, 22 Istodax (overfill), 6

Hylatopic Plus, 14

Inlyta, 6 Isuprel, 34

Hylira, 14

Innopran XL, 7 itraconazole, 2

Hymovis, 27

Innoprax-5, 12 IV Infusion Cpi, 14

hyoscyamine sulfate, 19

Inova, 11 ivermectin, 4

hyoscyamine sulfate ER, 19

Inova 4/1 Acne Control Therapy, 11 Ixempra Kit, 6

hyoscyamine sulfate odt, 19

Inova 8/2 Acne Control Therapy, 11 Ixiaro, 34

hyoscyamine sulfate SR, 19

Inspirachamber/Anti-static Valved/Mouthpiece, 40

Ixinity, 23

Hyper-sal, 33

J

Hypersal, 33

Inspirachamber/Large, 40

Jadenu, 40

Hypertenevide-12.5, 7

Inspirachamber/Soothermask/Inspiramask/Medium, 40

Jakafi, 6

Hypertenipine-2.5, 8

Jalyn, 21

Hypertensolol, 9

Inspirachamber/Soothermask/Inspiramask/Small, 40

Janumet, 17

Hysingla ER, 30

Janumet XR, 17

Hyzaar, 9

Inspirease Bags, 40

Januvia, 17

I

Inspirease Drug Delivery System, 40

Jardiance, 17

Inspirease Mouthpiece, 40

ibandronate sodium, 17

Jentadueto, 17

Inspirease Reservoir Bags, 40

Ibrance, 6

Jentadueto XR, 17

Inspra, 9

Ibudone, 30

Jetrea, 29

Integra F, 22

ibuprofen, 31

Jevtana, 6

Integra Plus, 22

Ibuprofen Comfort PAC, 31

Jublia, 12

Integrilin, 23

ibuprofen lysine, 31

Juxtapid, 10

Intelence, 3

ibutilide fumarate, 8

K

Interarticular Joint Kit, 15

IC 400, 31

Intermezzo, 25

K-phos NO 2, 21

IC 800, 31

Intron A, 7

K.b.g.l. IN Teroderm Cream, 12

Icar-c Plus, 22

Intron A W/Diluent, 7

Kadcyla, 5

Iclusig, 6

Intuniv, 26

Kadian, 30

Idamycin PFS, 5

Invanz, 4

Kalbitor, 23

idarubicin HCL, 5

Invega, 25

Kaletra, 3

Ifex, 5

Invega Sustenna, 25

Kalydeco, 34

ifosfamide, 4

Invega Trinza, 25

Kanuma, 19

Ifosfamide, 4

Invirase, 3

Kapvay, 26

Ilaris, 31

Invokamet, 17

Karbinal ER, 33

Ilevro, 29

Invokamet XR, 17

Kazano, 17

imatinib mesylate, 6

Invokana, 17

Keflex, 1

Imbruvica, 6

Ionsys, 30

Kenalog, 13

Imdur, 7

Iopidine, 29

Kenalog-10, 15

imipenem/cilastatin, 4

Ipol Inactivated IPV, 34

Kenalog-40, 15

imipramine HCL, 24

ipratropium bromide, 33(2)

Kengreal, 23

imipramine pamoate, 24

ipratropium bromide/albuterol sulfate, 33

Kepivance, 7

imiquimod, 13

Iprivask, 22

Keppra, 26

Imitrex, 32

irbesartan, 8

Keppra XR, 26

Imitrex Statdose Refill, 32

irbesartan/hydrochlorothiazide, 9

Keralac, 14

Imitrex Statdose System, 32

Irenka, 24

Keralyt, 14

Imovax Rabies (h.d.c.v.), 34

Iressa, 6

Keralyt Scalp, 14

Impavido, 4

irinotecan, 6

Kerlone, 7

Imuran, 6

Irinotecan, 6

Kerydin, 12

IN Touch Blood Glucose Test Strips, 39

irinotecan HCL, 6

Ketek, 4

IN Touch Sterile Lancets 30G, 37

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21

ketoconazole, 2, 12

Increlex, 18

Ketodan Kit, 12

Incruse Ellipta, 34

Irospan 24/6, 22

Ketophene Rapidpaq, 12

indapamide, 9

Is 24/6, 22

ketoprofen, 31

Inderal LA, 7

Isentress, 3

Ketoprofen ER, 31

Inderal XL, 7

isoniazid, 2

Ketorocaine-l, 31

Indocin, 31

Isoniazid, 2

Ketorocaine-lm, 31

indomethacin, 31

Isopto Atropine, 29

Ketorolac 2% Gel, 12

Indomethacin, 31

Isopto Carpine, 29

ketorolac tromethamine, 29, 31

indomethacin ER, 31

Isordil Titradose, 7

Ketorolac Tromethamine, 31

Infanrix, 34

Keveyis, 9

Lantus Solostar, 16 lidocaine HCL, 8, 13, 32

Keytruda, 5

Lasix, 9 Lidocaine HCL, 8, 14, 23, 32

Khedezla, 24

Lastacaft, 29 lidocaine HCL IN D5W, 8

Kineret, 31

latanoprost, 29 lidocaine HCL jelly, 13

Kinlytic, 23

Latrix XM, 14 lidocaine HCL viscous, 23

Kinrix, 34

Latuda, 25 Lidocaine HCL-hydrocortisone Acetate With Aloe, 20

Kitabis PAK, 2

Lazanda, 30

Klaron, 11

Ldo Plus, 14 lidocaine HCL/dextrose, 8

Klonopin, 26

leflunomide, 31 Lidocaine HCL/Dextrose, 32

Koate-dvi, 23

Lemtrada, 27 lidocaine HCL/hydrocortisone acetate, 20

Kogenate FS, 23

Lenvima 10 MG Daily Dose, 6 lidocaine viscous, 23

Kogenate FS Bio-set, 23

Lenvima 14 MG Daily Dose, 6 lidocaine-prilocaine-cream base, 13

Kombiglyze XR, 17

Lenvima 18 MG Daily Dose, 6 lidocaine/epinephrine, 32

Korlym, 17

Lenvima 20 MG Daily Dose, 6 lidocaine/prilocaine, 13

Kovaltry, 23

Lenvima 24 MG Daily Dose, 6 Lidoderm, 14

Kristalose, 19

Lenvima 8 MG Daily Dose, 6 Lidoprofen, 12

Krystexxa, 32

Lescol, 10 Lidothol, 14

Kuvan, 18

Lescol XL, 10 Lidotral, 14

Kynamro, 10

Letairis, 10 Lidovir, 12

Kyprolis, 6

letrozole, 5 Lifescan Unistik 2 Deep Penetration, 37

L

leucovorin calcium, 7 Lifescan Unistik II Lancets, 37

Leucovorin Calcium, 7 Lincocin, 4

labetalol HCL, 7

Leukeran, 4 lincomycin HCL, 4

Lac-hydrin, 14

Leukine, 22 Lincomycin/Lidocaine, 4

Lacrisert, 28

leuprolide acetate, 5 lindane, 13

lactic acid, 13

Levacet, 30 Lindane, 14

lactic acid e, 13

levalbuterol, 33 linezolid, 4

lactic acid w/vitamin e, 13

levalbuterol HCL, 33 Linezolid, 4

lactulose, 19, 20

Levaquin, 2 Linzess, 20

Lamictal, 26

Levatol, 7 Lioresal Intrathecal, 27

Lamictal Chewable Dispersible, 26

Levbid, 20 liothyronine sodium, 19

Lamictal Odt, 26

Levemir, 16 Lipitor, 10

Lamictal Starter/Not Taking Carbamazepine, 26

Levemir Flextouch, 16 Lipofen, 10

levetiracetam, 26 lisinopril, 8

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 26

Levetiracetam, 26 lisinopril/hydrochlorothiazide, 9

levetiracetam ER, 26 Liteaire, 40

Levitra, 11 Litetouch Lancets Micro Thin 33G, 37

Lamictal Starter/Taking Valproate, 26

levobunolol HCL, 28 Lithium, 25

Lamictal XR, 26

levocarnitine, 18 lithium carbonate, 24

Lamisil, 3

levocetirizine dihydrochloride, 32 Lithium Carbonate, 25

lamivudine, 3

levofloxacin, 2, 28 lithium carbonate ER, 24

lamivudine/zidovudine, 3

levofloxacin IN 5% dextrose, 2 Lithobid, 25

lamotrigine, 26

levofloxacin IN D5W, 2 Lithostat, 21

lamotrigine ER, 26

levoleucovorin, 7 Livalo, 10

lamotrigine odt, 26

Levoleucovorin, 7 Live Better Lancet Super Thin 30G, 37

lamotrigine titration, 26

levoleucovorin calcium, 7 Live Better Lancet Ultra Thin 28G, 37

Lancets, 37

levonorgestrel, 16 LMD 10% Dextrose 5%, 23

Lancets 26G Twist Top, 37

Levonorgestrel, 16 LMD 10% Sodium Chloride 0.9%, 23

Lancets 28G, 37

levonorgestrel and ethinyl estradiol, 16 LO Loestrin FE, 16

Lancets 30G, 37

levonorgestrel/ethinyl estradiol, 16 Locoid, 13


Levophed, 10 Locoid Lipocream, 13

Lancets 30G/Twist Top, 37

Levorphanol Tartrate, 30 Lodine, 31


levothyroxine sodium, 19 Lodosyn, 26

Lancets 33G Universal Design, 37

Levothyroxine Sodium, 19 Loestrin 1.5/30-21, 16

Lancets Bullseye Safety, 37

Levsin, 20 Loestrin 1/20-21, 16

Lancets Safety Seal 21G, 37

Levsin/SL, 20 Loestrin FE 1.5/30, 16


Lexapro, 24 Loestrin FE 1/20, 16


Lexiva, 3 Lofibra, 10


Lialda, 20 Lomotil, 19

Lancets Thin, 37

Liberty Glucose Control Mid, 37 Lomustine, 4

Lancets Twist Top, 37

Liberty Glucose Control Normal, 37 Lonsurf, 7

Lancets Ultra Fine, 37

Liberty Medical Lancets 30G, 37 loperamide HCL, 19

Lancets Ultra Thin, 37

Liberty Next Generation Blood Glucose Test Strips, 39

Lopid, 10

Lanoxin, 7

Lopressor, 7

Lanoxin Pediatric, 7

Librax, 20 Lopressor HCT, 9

lansoprazole, 19

Lido-RX 4.1, 14 Loprox, 12

lansoprazole/amoxicillin/clarithromycin, 19

lidocaine, 13 Loprox Shampoo, 12

Lidocaine And Tetracaine Cream, 14 lorazepam, 24

Lantus, 16

Lorazepam, 24

Maxaron Forte, 22 Chloride, 30

Lortab, 30

Maxfe, 22 Mephyton, 35

Lorvatus Pharmapak, 28

Maxidex, 29 meprobamate, 24

Lorzone, 28

Maxima Blood Glucose Teststrips, 39 Mepron, 4

losartan potassium, 8

Maxipime, 1 mercaptopurine, 5

losartan potassium/hydrochlorothiazide, 9

Maxitrol, 29 meropenem, 4

Maxzide, 9 Meropenem/Sodium Chloride, 4

Loseasonique, 16

Maxzide-25, 9 Merrem, 4

Lotemax, 28

Mb Hydrogel, 14 mesalamine, 20

Lotensin, 8

meclizine HCL, 20 Mesalamine DR, 20

Lotensin HCT, 9

Meclofenamate Sodium, 31 mesna, 7

Lotrel, 9

Medi-derm/L-RX, 14 Mesnex, 7

Lotrisone, 12

Medical Provider EZ Flu Shot 2014-2015, 34

Mestinon, 28

Lotronex, 20

Mestinon Timespan, 28

lovastatin, 10

Medical Provider EZ Flu Shot 2015-2016, 34

Metadate CD, 26

Lovaza, 10

Metaproterenol Sulfate, 34

Lovenox, 22

Medical Provider Single Use EZ Flu Shot, 34

Metastron, 6

loxapine, 24

Metaxall CP, 28

loxapine succinate, 24

Medisense Thin Lancets, 37 metaxalone, 27

LT Injection Kit, 15

Medlance Plus Extra Lancets 21G, 37 Metaxalone, 27

Lufyllin, 34

Medlance Plus Lancets, 37 metformin HCL, 17

Lumigan, 29

Medlance Plus Lancets Lite 25G, 37 metformin HCL ER, 17

Lumizyme, 18

Medlance Plus Lite Lancets 25G, 37 methadone HCL, 30

Lunesta, 25

Medlance Plus Special Lancets 0.8MM, 37

Methadone HCL, 30

Lupaneta Pack, 18

Methadose, 30

Lupron Depot, 5

Medlance Plus Superlite 30G, 37 Methadose Sugar-free, 30

Lupron Depot-PED, 18

Medlance Plus Superlite 30G/Comfort Max, 37

methamphetamine HCL, 25

Luvox CR, 24

methazolamide, 9

Luxiq, 13

Medlance Plus Universal Lancets 21G, 37

methenamine hippurate, 21

Luzu, 12

methenamine mandelate, 21

Lycelle, 14

Medlance Plus/Lite 25G, 37 Methenamine Mandelate, 21

Lynparza, 6

Medlance/Extra, 37 methimazole, 19

Lyrica, 26

Medlance/Lite, 37 Methionine/Inositol/Choline/Cyanocobalamin, 22

Lysodren, 5

Medlance/Universal, 37

Lysteda, 23

Medrol, 15 methocarbamol, 27

Lytensopril Kit, 9

Medrol Dosepak, 15 methotrexate, 5

Lytensopril-90 Kit, 9

Medroloan II Suik, 15 methotrexate sodium, 5

M

Medroloan Suik, 15 Methotrexate Sodium, 5

medroxyprogesterone acetate, 16 methoxsalen, 12

M-m-r II, 34

Medroxyprogesterone/Lidocaine, 16 methscopolamine bromide, 19

M.v.i. Adult, 35

mefenamic acid, 31 Methyclothiazide, 9

M.v.i. Pediatric, 35

mefloquine HCL, 3 methyldopa, 8

M.v.i.-12 Without Vitamin K, 35

Megace ES, 16 Methyldopa/Hydrochlorothiazide, 9

Macrobid, 21

Megace Oral, 5 Methyldopate HCL, 9

Macrodantin, 21

megestrol acetate, 5, 16 methylergonovine maleate, 30

Makena, 16

Megestrol Acetate, 5 Methylin, 26

Malarone, 4

Megrix, 14 methylphenidate HCL, 25

malathion, 13

Meijer Lancets Universal 30G, 37 methylphenidate HCL CD, 25

mannitol, 9

Meijer Super Thin Lancets, 37 methylphenidate HCL ER, 25

Maprotiline HCL, 24

Mekinist, 6 Methylphenidate HCL ER, 25

Marbeta-25, 15

meloxicam, 31 methylphenidate HCL SR, 25

Marbeta-l, 15

Meloxicam, 31 methylphenidate hydrochloride, 25

Marcaine, 32

Meloxicam Comfort PAC, 31 methylprednisolone, 15

Marcaine/Epinephrine, 32

melphalan hydrochloride, 4 Methylprednisolone, 15

Mardex-25, 15

memantine HCL, 27 methylprednisolone acetate, 15

Marinol, 20

memantine HCL titration PAK, 27 methylprednisolone dose pack, 15

Marlido-25, 32

memantine hydrochloride, 27 Methylprednisolone PF, 15

Marnatal-f, 35

Menactra, 34 methylprednisolone sodiumsuccinate, 15

Marplan, 24

Menest, 16 Methylprednisolone/Lidocaine, 15

Marqibo, 6

Menhibrix, 34 methyltestosterone, 15

Marvona Suik, 32

Menomune-a/C/Y/W-135, 34 Metipranolol, 28

Mask Vortex/Baby Whirl Duckling, 40

Menopur, 18 metoclopramide HCL, 20

Mask Vortex/Child/Frog, 40

Menostar, 16 metoclopramide odt, 20

Mask Vortex/Spinner The Duck, 40

Mentax, 12 Metoclopramide Odt, 20

Mask Vortex/Toddler/Lady Bug, 40

Menveo, 34 metolazone, 9

Matulane, 7

meperidine HCL, 30 metoprolol succinate ER, 7

Mavik, 8

Meperidine HCL, 30 Metoprolol Succinate ER/Hydrochlorothiazide, 9

Maxalt, 32

Meperidine Hydrochloride/Sodium

Maxalt-MLT, 32

metoprolol tartrate, 7

moexipril/hydrochlorothiazide, 9 Mytesi, 19

Metoprolol Tartrate, 7

Molindone Hydrochloride, 25

N

metoprolol/hydrochlorothiazide, 9

mometasone furoate, 13, 33

nabumetone, 31

Metozolv Odt, 20

Monoclate-p, 23

nadolol, 7

Metro IV, 4

Monodox, 2

nadolol/bendroflumethiazide, 9

Metrocream, 11

Monoject Bone Marrow Biopsy Prepping Tray, 32

Nafcillin, 1

Metrogel, 11

nafcillin sodium, 1

Metrogel-vaginal, 21

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 32

Nafcillin Sodium, 1

Metrolotion, 11

Nafrinse Daily/Acidulated, 23

metronidazole, 4, 11

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 32

Nafrinse Daily/Neutral, 23

metronidazole IN NACL 0.79%, 4

Nafrinse Weekly, 23

metronidazole vaginal, 21

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 32

Naftifine HCL, 12

Mevacor, 10

naftifine hydrochloride, 12

mexiletine HCL, 8

Monolet Lancets, 37

Naftin, 12

Miacalcin, 17

Monolet Opd Lancets, 37

Naglazyme, 18

Micardis, 8

Monolettor Safety Lancets, 37

nalbuphine HCL, 30

Micardis HCT, 9

Mononine, 23

Nalfon, 31

Micort-HC, 13

Monovisc, 27

Namenda, 27

Microchamber, 40

montelukast sodium, 33

Namenda Titration PAK, 27

Microdot Test Strips, 39

Monurol, 21

Namenda XR, 27

Microlet Lancets, 37

Morgidox 1X100MG, 2

Namenda XR Titration Pack, 27

Microspacer, 40

Morgidox 1X50MG Kit, 2

Namzaric, 27

Microtainer Safety Flow Lancet/Sterile/Single-use, 37

Morgidox 2X100MG, 2

Naphazoline HCL, 29

morphine sulfate, 30

Naprelan, 31

Microzide, 9

Morphine Sulfate, 30

Naprosyn, 31

midodrine HCL, 10

Morphine Sulfate Add-vantage, 30

naproxen, 31

Mifeprex, 18

morphine sulfate ER, 30

Naproxen, 31

Migergot, 32

Morphine Sulfate ER, 30

Naproxen Comfort PAC, 31

miglitol, 17

Morphine Sulfate/NACL, 30

naproxen sodium, 31

Migral, 32

Morphine Sulfate/Sodium Chloride, 30

naproxen sodium CR, 31

Migranal, 32

Motofen, 19

naproxen sodium ER, 31

Migranow, 32

Movantik, 20

naratriptan HCL, 32

Millipred, 15

Moviprep, 19

Nardil, 24

Millipred DP, 15

Moxatag, 1

Naropin, 32

milrinone IN dextrose, 7

Moxeza, 28

Nascobal, 22

milrinone lactate, 7

moxifloxacin HCL, 2

Nasonex, 33

Minastrin 24 FE, 16

Moxifloxacin HCL, 2

Natachew, 35

mineral oil heavy, 19

Mozobil, 22

Natacyn, 28

Minipress, 9

MS Contin, 30

Natalvirt 90 DHA, 35

Minivelle, 15

Multaq, 8

Natalvirt CA, 35

Minocin, 2

Multigen, 22

Natalvirt Flt, 22

Minocin Kit, 2

Multigen Folic, 22

Natalvit, 35

minocycline HCL, 2

Multigen Plus, 22

Natazia, 16

minocycline HCL ER, 2

mupirocin, 11

nateglinide, 17

minoxidil, 8

mupirocin calcium, 11

Natelle One, 35

Mirapex, 26

Muse, 10

Natesto, 15

Mirapex ER, 26

Mustargen, 4

Natpara, 17

Mircera, 22

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 22

Natrecor, 11

Mircette, 16

Natroba, 14

mirtazapine, 24

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 22

Nature-throid, 19

mirtazapine odt, 24

Nature-throid Nt-2.5, 19

Mirvaso, 11

Myalept, 18

Navelbine, 6

misoprostol, 19

Myambutol, 2

Nazirex, 12

Mitigare, 32

Mycamine, 2

Nebupent, 4

mitomycin, 5

Mycobutin, 2

Nebusal, 33

Mitomycin, 5

mycophenolate mofetil, 6

Necon 1/50-28, 16

Mitosol, 28

mycophenolic acid DR, 6

Necon 10/11-28, 16

mitoxantrone HCL, 5

Myfortic, 6

Neevo DHA, 35

Mld Kit, 32

Myglucohealth Blood Glucose Test, 39

nefazodone HCL, 24

Mlk F4 Kit, 15

Myglucohealth Mgh Softlance Lancets 30G, 37

Nefazodone HCL, 24

Mlp A-2, 15

Nembutal Sodium, 25

Mobic, 31

Mykidz Iron Fl, 35

Neo-synalar, 12

modafinil, 25

Myleran, 4

Neo-synalar Kit, 12

Moderiba, 3

Mynatal, 35

neomycin sulfate, 2

Moderiba 1200 Dose Pack, 3

Myobloc, 27

neomycin/bacitracin/polymyxin, 28

Moderiba 800 Dose Pack, 3

Myozyme, 18

neomycin/polymyxin/bacitracin zinc, 28

Modicon, 16

Myrbetriq, 21

neomycin/polymyxin/bacitracin/hydrocorti

moexipril HCL, 8

Mysoline, 26

sone, 28

Nilandron, 5 Nova Safety Lancets 23G, 37

neomycin/polymyxin/dexamethasone, 28

nilutamide, 5 Nova Safety Lancets 28G, 37

neomycin/polymyxin/gramicidin, 28

Nimbex, 27 Nova Sureflex Lancets, 37

neomycin/polymyxin/HC, 29

nimodipine, 8 Novaferrum, 22

Neomycin/Polymyxin/Hydrocortisone, 29

Ninlaro, 6 Novoclair, 12

neomycin/polymyxin/hydrocortisone, 29

Nipent, 7 Novoeight, 23

Neoprofen, 31

nisoldipine, 8 Novofine 30GX8MM, 37

Neoral, 6

Nisoldipine, 8 Novofine 32GX6MM, 37

Neosalus, 14

Nisoldipine ER, 8 Novofine Autocover 30GX8MM, 37

Neosalus CP, 14

Nitro-bid, 7 Novolin 70/30, 16

Neosporin, 28

Nitro-dur, 7 Novolin 70/30 Relion, 16

neostigmine methylsulfate, 28

nitrofurantoin, 21 Novolin N, 16

Neostigmine Methylsulfate, 28

nitrofurantoin macrocrystals, 21 Novolin N Relion, 16

Neotuss Plus, 33

nitrofurantoin monohydrate, 21 Novolin R, 16

Nephplex RX, 35

nitrofurantoin monohydrate/macrocrystals, 21

Novolin R Relion, 16

Nephro-vite RX, 35

Novolog, 16

Nephrocaps, 35

nitroglycerin, 7 Novolog Flexpen, 16

Nephrocaps QT, 35

Nitroglycerin, 7 Novolog Mix 70/30, 16

Nephron Fa, 22

nitroglycerin ER, 7 Novolog Mix 70/30 Prefilled Flexpen, 16

Neptazane, 9

nitroglycerin IN 5% dextrose, 7 Novolog Penfill, 16

Nesacaine, 32

nitroglycerin IN dextrose 5%, 7 Novoseven, 23

Nesacaine-mpf, 32

Nitroglycerin IN Dextrose 5%, 7 Novoseven Rt, 23

Nesina, 17

nitroglycerin lingual, 7 Novotwist 30GX8MM, 37

Nessi Spacer/Large Mask, 40

Nitroglycerin Lingual, 7 Novotwist 32GX5MM, 37

Nessi Spacer/Mouthpiece, 40

nitroglycerin transdermal, 7 Noxafil, 2

Nessi Spacer/Small/MED Mask, 40

Nitrolingual Pumpspray, 7 Noxipak, 13

Nestabs, 35

Nitromist, 7 Nplate, 22

Nestabs Abc, 35

Nitronal, 7 Nucala, 34

Nestabs DHA, 35

Nitropress, 9 Nucort, 13

Netgroup Lancets, 37

Nitrostat, 7 Nucynta, 30

Neuac Kit, 11

Niva-plus, 35 Nucynta ER, 30

Neulasta, 22

Nivatopic Plus, 14 Nuedexta, 27

Neulasta Onpro Kit, 22

nizatidine, 19 Nufera, 22

Neumega, 22

Nizatidine, 19 Nulojix, 6

Neupogen, 22

Nizoral, 12 Nulytely/Flavor Packs, 19

Neupro, 26

Nor-QD, 16 Numoisyn, 23

Neurontin, 26

Norco, 30 Nuox, 11

Neutek 2tek Test Strips, 39

Norditropin Cartridge, 18 Nuplazid, 25

Neutrasal, 23

Norditropin Flexpro, 18 Nusrugepak Surgical Prep/Carepak, 14

Neutrexin, 4

Norditropin Nordiflex Pen, 18 Nutricap, 35

Neuvaxin, 14

norepinephrine bitartrate, 10 Nutridox, 2

Nevanac, 29

Norepinephrine Bitartrate/Dextrose, 10 Nutrivit, 35

nevirapine, 3

Norepinephrine Bitartrate/Sodium Chloride, 10

Nutropin AQ Nuspin 10, 18

Nevirapine, 3

Nutropin AQ Nuspin 20, 18

nevirapine ER, 3

Norepinephrine/Sodium Chloride, 10 Nutropin AQ Nuspin 5, 18

Newgen, 35

norethindrone, 16 Nutropin AQ Pen, 18

Nexa Plus, 35

norethindrone & ethinyl estradiol ferrous fumarate, 16

Nuvail, 14

Nexavar, 6

Nuvaring, 16

Nexgen Test Strips, 39

norethindrone acetate, 16 Nuvessa, 21

Nexium, 20

norethindrone acetate/ethinyl estradiol, 15, 16

Nuvigil, 26

Nexium I.v., 20

Nuvya, 12

Nexterone, 8

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 16

Nuwiq, 23

Niacin, 35

Nuzon, 13

niacin ER, 10

Norflex, 28 Nyata, 12

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 35

norgestimate/ethinyl estradiol, 16 Nymalize, 8

Norinyl 1+35, 16 nystatin, 2, 12, 23

Niacor, 10

Norinyl 1+50, 16 Nystatin, 12

Niaspan, 10

Noritate, 11 Nystatin Foreign, 12

Nicadan, 35

Noroxin, 2 nystatin/triamcinolone, 12

Nicadan ZX, 35

Norpace, 8 O

nicardipine HCL, 8

Norpace CR, 8

O-CAL Fa, 35

Nicazel, 35

Norpramin, 24

O-CAL Prenatal, 35

Nicazel Forte, 35

Northera, 10

OB Complete, 35

Nicazeldoxy 30 Kit, 2

nortriptyline HCL, 24

OB Complete Gold, 35

Nicazeldoxy 60 Kit, 2

Nortriptyline HCL, 24

OB Complete One, 35

Nicomide, 35

Norvasc, 8

OB Complete Petite, 35

nifedipine, 8

Norvir, 3

OB Complete Premier, 35

nifedipine ER, 8

Nova Max Glucose Test Strips, 39

OB Complete/DHA, 35

Obredon, 33

38 Otovel, 29

Obstetrix DHA, 35

Onetouch Verio IQ Blood Glucose Monitoring System, 38

Otozin, 29

Obstetrix One, 35

Otrexup, 31

Ocaliva, 20

Onetouch Verio Mid Control Solution, 38 Ovace Plus, 12

octreotide acetate, 18

Onetouch Verio Sync Bloodglucose Monitoring System, 38

Ovace Plus Wash, 12

Ocudox, 2

Ovace Wash, 12

Ocufen, 29

Onetouch Verio Test Strips, 38 Ovcon-35, 16

Ocuflox, 28

Onexton, 11 Ovide, 14

Ocuvel, 35

Onfi, 26 Ovidrel, 18

Odefsey, 3

Onglyza, 17 oxacillin sodium, 1

Ofev, 34

Onivyde, 6 oxaliplatin, 4

Ofirmev, 30

Onmel, 3 Oxandrin, 15

Ofloxacin, 2

Onzetra Xsail, 32 oxandrolone, 15

ofloxacin, 28, 29

Opana, 30 oxaprozin, 31

olanzapine, 24

Opana ER (crush Resistant), 30 Oxaydo, 30

olanzapine odt, 24

Opdivo, 5 oxazepam, 24

olanzapine/fluoxetine, 27

opium, 19 oxcarbazepine, 26

Oleptro, 24

opium tincture, 19 oxiconazole nitrate, 12

Olmesartan Medoxomil, 8

Opsumit, 10 Oxistat, 12

Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide, 9

Optichamber Advantage, 40 Oxsoralen, 14

Optichamber Advantage/Large Mask, 40 Oxsoralen Ultra, 12

Optichamber Advantage/Medium Face Mask, 40

Oxtellar XR, 26

oxybutynin chloride, 21

Olmesartan Medoxomil/Hydrochlorothiazide, 9

Optichamber Advantage/Small Face Mask, 40

oxybutynin chloride ER, 21

oxycodone HCL, 30

olopatadine HCL, 29, 33

Optichamber Diamond, 40 Oxycodone HCL ER, 30

Olux, 13

Optichamber Diamond/Largeface Mask, 40

oxycodone/acetaminophen, 30

Olux-e, 13

Oxycodone/Acetaminophen, 31

Olysio, 3

Optichamber Diamond/Medium Face Mask, 40

oxycodone/aspirin, 30

Omeclamox-PAK, 20

Oxycodone/Ibuprofen, 31

omega-3-acid ethyl esters, 10

Optichamber Diamond/Smallface Mask, 40

Oxycontin, 30

Omega-3/D-3 Wellness Pack, 10

oxymorphone hydrochloride, 30

omeprazole, 19

Optichamber Face Mask/Large, 40 oxymorphone hydrochloride ER, 30

Omeprazole + Syrspend SF Alka, 20

Optichamber Face Mask/Medium, 40 oxytocin, 30

omeprazole/sodium bicarbonate, 19

Optichamber Face Mask/Small, 40 Oxytocin, 30

Omnaris, 33

Optihaler, 40 Oxytocin/Lactated Ringers, 30

Omnipred, 29

Optihaler MDI Drug Delivery System, 40 Oxytrol, 21

Omnitrope, 18

Optium Test Strips, 39 Oxytrol For Women, 21

Omontys, 22

Optiumez Test Strips, 39 Ozurdex, 28

On Call Express Blood Glucose Test Strips, 39

Optivar, 29 P

Optumrx Blood Glucose Test, 39

On Call Lancets, 37

paclitaxel, 6

Oracea, 11

On Call Plus Blood Glucose Test, 39

Paclitaxel, 6

Oracit, 21

On Call Plus Lancets, 37

Paire OB, 35

Orafate, 23

On Call Vivid Blood Glucose Test, 39

paliperidone ER, 25

Orap, 27

On Call Vivid Blood Glucose Test Strips, 39

Pamelor, 24

Orapred Odt, 15

pamidronate disodium, 17

Oravig, 23

Oncaspar, 5

Pamidronate Disodium, 17

Orbactiv, 4

ondansetron HCL, 20

Pamine, 20

Orencia, 31

Ondansetron Hydrochloride/Sodium Chloride, 20

Pamine Forte, 20

Orencia Clickject, 31

Pamine FQ, 20

Orenitram, 11

ondansetron odt, 20

Panatuss Dxp, 33

Orfadin, 18

Onetouch Club Lancets Fine Point, 38

Pancreaze, 20

Orkambi, 34

Onetouch Combo Pack, 38

Pancrelipase, 20

orphenadrine citrate, 27

Onetouch Delica Lancets Extra Fine 33G, 38

pancuronium bromide, 27

orphenadrine citrate ER, 27

Panda Mask Large, 40

Ortho Micronor, 16

Onetouch Delica Lancets Fine 30G, 38

Panda Mask Medium, 40

Ortho Tri-cyclen, 16

Onetouch Finepoint Lancets, 38

Panda Mask Small, 40

Ortho Tri-cyclen LO, 16

Onetouch Lancets, 38

Pandel, 13

Ortho-cept, 16

Onetouch Ping Meter Remote, 38

pantoprazole sodium, 19

Ortho-cyclen, 16

Onetouch Ultra 2, 38

papaverine HCL, 10

Ortho-novum 1/35, 16

Onetouch Ultra Blue, 38

Papaverine-alprostadil, 10

Ortho-novum 7/7/7, 16

Onetouch Ultra Control, 38

Papaverine-phentolamine Mes/Alprostadil, 10

Orthovisc, 27

Onetouch Ultra Mini, 38

Oseni, 17

Onetouch Ultralink System (DEC), 38

Papaverine-phentolamine Mesylate, 10

Osmoprep, 19

Onetouch Ultralink System (hex), 38

Papaverine/Phentolamine Mes/Alprostadil, 10

Osphena, 18

Onetouch Ultrasoft Lancets, 38

Otezla, 31

Onetouch Verio, 38

Parafon Forte DSC, 28

Otiprio, 29

Onetouch Verio Control Solution High,

Paregoric, 19

paricalcitol, 18

Pertzye, 20 Pocket Spacer, 40

Parlodel, 26

Pexeva, 24 Pocketchem EZ Blood Glucose Test Strips, 39

Parnate, 24

Pfizerpen-G, 1

paromomycin sulfate, 2

Pharmacist Choice Autocode Blood Glucose Test Strips, 39

podofilox, 13

paroxetine HCL, 24

Poly-VI-flor, 35

paroxetine HCL ER, 24

Pharmacist Choice Ultra Thin Lancets, 38

Poly-VI-flor FS, 35

Paser, 2

Poly-VI-flor/Iron, 35

Pataday, 29

Pharmacist Choice Ultra Thin Lancets 28G, 38

polyethylene glycol 3350, 19

Patanase, 33

polymyxin b sulfate, 4

Patanol, 29


polymyxin b sulfate/trimethoprim sulfate, 28

Paxil, 24

Paxil CR, 24


Polytrim, 28

Pazeo, 29

Pomalyst, 6

PCE, 1


Ponstel, 31

Pcp 100, 19

Portrazza, 5

Pediaderm AF Complete Kit, 12

Pharmacy Counter Lancets, 38 potassium citrate ER, 21

Pediaderm HC, 13

phenazopyridine HCL, 21 potassium citrate-citric acid crystals, 21

Pediaderm Ta, 13

phenelzine sulfate, 24 potassium citrate/citric acid, 21

Pediapred, 15

Phenergan, 33 potassium citrate/sodium citrate/citric acid, 21

Pediarix, 34

phenobarbital, 25

Pediatric Panda Mask, 40

Phenobarbital, 25 Potiga, 26

Pedvax HIB, 34

Phenobarbital Sodium, 25 Pr Cream, 14

peg 3350/electrolytes, 19

phenoxybenzamine hydrochloride, 8 Pradaxa, 22

peg-3350/electrolytes, 19

Phentolamine Mesylate, 9 Praluent, 10

peg-3350/NACL/NA bicarbonate/KCL, 19

Phentolamine Mesylate-alprostadil, 10 pramipexole dihydrochloride, 26

Peg-intron, 3

phenylephrine HCL, 10, 29 pramipexole dihydrochloride ER, 26

Peg-intron Redipen, 3

Phenylephrine HCL, 10, 33 Pramosone, 13

Peg-intron Redipen PAK 4, 3

Phenylephrine HCL/Sodium Chloride, 10 Pramosone E, 13

Peganone, 26

Phenylephrine Hydrochloride/Dextrose, 10

Pramotic, 29

Pegasys, 3

Prandimet, 17

Pegasys Proclick, 3

phenylephrine/guaifenesin, 33 Prandin, 17

Pegintron, 3

Phenylephrine/Sodium Chloride, 10 Prascion Ra With Sunscreens, 11

Pen Needles 29G X 12MM, 38

Phenytek, 26 Prastera, 31

Pen Needles 29GX1/2", 38

phenytoin, 26 Pravachol, 10


phenytoin sodium, 26 pravastatin sodium, 10

Pen Needles 31G X 1/4" SHORT, 38

phenytoin sodium extended, 26 Prazolamine, 28

Pen Needles 31G X 3/16", 38

Phoslo, 20 prazosin HCL, 9

Pen Needles 31G X 6MM, 38

Phoslyra, 20 Pre-folic, 22


Phospholine Iodide, 29 Precedex, 25

penicillin G potassium, 1

Photofrin, 7 Precision PCX, 39

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

phytonadione, 35 Precision PCX Plus Test Strips, 39

pilocarpine HCL, 23, 29 Precision Point Of Care Test Strips, 39

Penicillin G Procaine, 1

pilocarpine hydrochloride, 23 Precision QID Test Strips, 39

Penicillin G Sodium, 1

pimozide, 27 Precision Sof-tact Test Strips, 39

penicillin v potassium, 1

pindolol, 7 Precision Thin Lancets, 38

Penlac Nail Lacquer, 12

pioglitazone HCL, 17 Precision Thins GP Lancet, 38

Pennsaid, 12

pioglitazone HCL-glimepiride, 17 Precision Ultra Lancet, 38

Pentacel, 34

pioglitazone HCL/metformin HCL, 17 Precision XTRA Blood Glucose Test Strips, 40

Pentam 300, 4

piperacillin sodium/ tazobactam sodium, 1

Pentasa, 20

Precose, 17

pentazocine/naloxone HCL, 30

piperacillin sodium/tazobactam sodium, 1 Pred Forte, 29

Pentetate Calcium Trisodium, 41

piperacillin/tazobactam, 1 Pred Mild, 28

Pentetate Zinc Trisodium, 41

piroxicam, 31 Pred-G, 29

pentoxifylline ER, 23

Pitocin, 30 Pred-G S.o.p., 29

Pepcid, 20

Pitressin Synthetic, 18 prednicarbate, 13

Percocet, 31

Plaquenil, 4 prednisolone, 15

Percodan, 31

Plavix, 23 prednisolone acetate, 28

Perfect Lancets 30G, 38

Plegridy, 27 prednisolone sodium phosphate, 15

Perfect Pressure Activated Safety Lancets 28G, 38

Plegridy Starter Pack, 27 Prednisolone Sodium Phosphate, 15, 29

Pletal, 23 prednisolone sodium phosphate odt, 15

Perforomist, 33

Plexion, 11 Prednisolone/Moxifloxacin, 29

Peridex, 23

Plexion Cleanser, 11 Prednisolone/Moxifloxacin/Bromfenac, 29

perindopril erbumine, 8

Plexion Cleansing Cloths, 11

Perjeta, 5

Pliaglis, 14 prednisone, 15

permethrin, 13

Pneumovax 23, 34 Prednisone, 15

perphenazine, 25

Pneumovax 23/1 Dose, 34 Prednisone Intensol, 15

Perphenazine/Amitriptyline, 27

Pneumovax 23/5 Dose, 34 Prefera OB, 35

Persantine, 23

Pocket Chamber, 40 Prefera OB + DHA, 35

Preferaob +dha, 35

Proferrin-forte, 22 Q

Preferaob One, 35

progesterone, 16

Qbrelis, 8

Prefest, 16

Progesterone 10% Kit, 16

Qc Lancets Super Thin, 38

Prefol-DHA, 35

Proglycem, 17

Qc Lancets Ultra Thin, 38

Premarin, 16, 21

Prograf, 6

Qnasl, 33

Premphase, 15

Prolastin-c, 34

Qnasl Childrens, 33

Prempro, 15

Prolensa, 29

Quadracel, 34

Prenata, 35

Proleukin, 7

Quadramet, 6

Prenatal Vitamins, 35

Prolia, 18

Qualaquin, 4

Prenate, 35

Promacta, 22

Quartette, 16

Prenate AM, 35

promethazine HCL, 32

Quazepam, 25

Prenate DHA, 35

promethazine HCL plain, 32

Qudexy XR, 26

Prenate Elite, 35

promethazine-DM, 33

Quelicin, 27

Prenate Enhance, 35

promethazine/codeine, 33

Quelicin 1000, 27

Prenate Essential, 35

promethazine/dextromethorphan, 33

Questran, 10

Prenate Mini, 36

promethazine/phenylephrine, 33

Questran Light, 10

Prenate Pixie, 36

Promethazine/Phenylephrine, 33

quetiapine fumarate, 25

Prenate Restore, 36

promethazine/phenylephrine/codeine, 33

Quflora FE, 36

Prenate Star, 36

Prometrium, 16

Quicktek Test Strips, 40

Prepidil, 30

Promiseb, 12

Quillichew ER, 26

Prepopik, 19

Promiseb Complete, 13

Quillivant XR, 25

Preque 10, 36

propafenone HCL, 8

quinapril HCL, 8

Presera, 14

propafenone HCL ER, 8

quinapril/hydrochlorothiazide, 9

Prestalia, 9

Propantheline Bromide, 20

Quinidine Gluconate, 8

Prestige Test Strips, 40

proparacaine HCL, 29

quinidine gluconate CR, 8

Prevacid, 20

propranolol HCL, 7

quinidine gluconate ER, 8

Prevacid Solutab, 20

Propranolol HCL, 7

quinidine sulfate, 8

Prevident, 23

propranolol HCL ER, 7

Quinidine Sulfate, 8

Previdolrx Analgesic PAK, 31

Propranolol/Hydrochlorothiazide, 9

Quinidine Sulfate ER, 8

Prevnar 13, 34

propylthiouracil, 19

quinine sulfate, 3

Prevpac, 20

Proquad, 34

Quintet Ac Blood Glucose Test Strips, 40

Prezcobix, 3

Proscar, 21

Quintet Blood Glucose Test Strips, 40

Prezista, 3

Prostin E2, 30

Qutenza, 14

Priftin, 2

Protamine Sulfate, 23

Qvar, 33

Prilosec, 20

Protect Plus, 36

R

Primaquine Phosphate, 3

Protectiron, 22

Primaxin IV, 4

Prothelial, 23

R-natal OB, 36

Primaxin IV Add-vantage, 4

Protonix, 20

Rabavert, 35

primidone, 26

Protopic, 13

rabeprazole sodium, 19

Primlev, 31

protriptyline HCL, 24

raloxifene hydrochloride, 18

Primsol, 4

Provenge, 6

ramipril, 8

Prinivil, 8

Proventil HFA, 34

Ranexa, 7

Pristiq, 24

Provera, 16

ranitidine HCL, 19

Pro-c-dure 5 Kit, 15

Provida DHA, 36

Rapaflo, 21

Pro-c-dure 6 Kit, 15

Provida OB, 36

Rapamune, 6

Proair HFA, 33

Provigil, 26

Rapivab, 3

Proair Respiclick, 33

Prozac, 24

Rasuvo, 31

probenecid, 32

Prozac Weekly, 24

Ravicti, 18

probenecid/colchicine, 32

Pruclair, 14

Rayos, 15

Probuphine Implant Kit, 31

Prudoxin, 12

Razadyne, 27

Procainamide HCL, 8

Prumyx, 14

Razadyne ER, 27

Procardia, 8

Pss Select GP Lancets, 38

Readysharp-a, 32

Procardia XL, 8

Pss Select Safety Lancets, 38

Readysharp-k, 15

Procentra, 26

Pts Panels Glucose Test, 40

Readysharp-p40, 15

prochlorperazine, 25

Pulmicort, 34

Readysharp-p80, 15

prochlorperazine edisylate, 25

Pulmicort Flexhaler, 33

Rebetol, 3

prochlorperazine maleate, 25

Pulmophylline, 34

Rebif, 27

Procort, 20

Pulmozyme, 34

Rebif Rebidose, 27

Procrit, 22

Purinethol, 5

Rebif Rebidose Titration Pack, 27

Proctocort, 20

Purixan, 5

Rebif Titration Pack, 27

Proctofoam HC, 20

Px Lancets Ultra Thin, 38

Reclast, 17

Procysbi, 21

Pylera, 19

Recombinate, 23

Prodigy NO Coding Blood Glucose Test Strips, 40

pyrazinamide, 2

Recombivax HB, 35

Pyridium, 21

Recothrom, 23

Prodigy Pressure Activated Safety Lancets, 38

pyridostigmine bromide, 28

Recothrom Spray Kit, 23

pyridostigmine bromide ER, 28

Rectiv, 20

Prodigy Safety Lancets, 38

pyridoxine HCL, 35

Recura, 12

Prodigy Twist Top Lancets, 38

Pyrogallic Acid, 14

Refuah Plus Blood Glucosetest Strips,

40

Rexulti, 25 Rozerem, 25

Reglan, 20

Reyataz, 3 Rrb PAK, 13

Regonol, 28

Rezira, 33 Ryanodex, 28

Relagard, 21

Rezyst IM, 19 Rytary, 26

Relenza Diskhaler, 3

Rheumatrex, 31 Rythmol, 8

Relhist, 33

Rhinocort Aqua, 33 Rythmol SR, 8

Reliable-1 Psyllium, 19

Riastap, 23 S

Relion Blood Glucose Teststrips, 40

Riax, 11

Sabril, 26

Relion Confirm/Micro Test Strips, 40

Ribasphere, 3

Safe-t-lance Low Flow 25G, 38

Relion Lancets Micro-thin33G, 38

Ribasphere Ribapak, 3

Safe-t-lance Normal Flow 21G, 38

Relion Lancets Standard 21G, 38

Ribatab, 3

Safe-t-lance Plus Safety Lancet High Flow, 38

Relion Lancets Thin 26G, 38

ribavirin, 3

Relion Lancets Ultra-thin30G, 38

Ridaura, 31

Safe-t-lance Plus Safety Lancet Low Flow, 38

Relion Prime Blood Glucose Test Strips, 40

rifabutin, 2

Rifadin, 2

Safe-t-lance Plus Safety Lancet Normal Flow, 38

Relion R, 16

Rifamate, 2

Relion Thin Lancets, 38

rifampin, 2

Safety Lancet 21G/Pressure Activated, 38

Relion Ultima Blood Glucose Test Strips, 40

Rifater, 2

Rightest Gl300 Lancets, 38

Safety Lancet 28G/Pressure Activated, 38

Relion Ultima Test Strips, 40

Rightest GS100 Blood Glucose Test Strips, 40

Relion Ultra Thin Lancets, 38

Safety Lancets, 38

Relion Ultra Thin Lancets30G, 38


Safety Lancets 21G, 38

Relion Ultra Thin Plus Lancets 32G, 38

Safety Lancets 28G, 38

Relion Ultra Thin Plus Lancets 33G, 38


Safety Let Lancets, 38

Relistor, 20

Safety Seal Lancets 28G, 38

Relpax, 32

Rilutek, 27

Safety Seal Lancets 30G, 38

Relyyks, 14

riluzole, 27

Safyral, 16

Relyyt, 14

rimantadine HCL, 3

Saizen, 18

Remeron, 24

Rimantalist, 3

Saizen Click.easy, 18

Remeron Soltab, 24

Riomet, 17

Salagen, 23

Remicade, 21

risedronate sodium, 17

Salex, 14

Remifentanil HCL, 31

risedronate sodium DR, 17

Salex Cream, 14

Remodulin, 10

Risperdal, 25

Salex Lotion, 14

Renacidin, 21

Risperdal Consta, 25

salicylic acid, 13

Renagel, 21

Risperdal M-TAB, 25

Salicylic Acid, 14

Renatabs, 36

risperidone, 25

salicylic acid cream, 13

Renatabs With Iron, 36

risperidone odt, 25

salicylic acid ER, 13

Renvela, 20

Ritalin, 26

Salicylic Acid IN Ammonium Lactate Vehicle, 14

Reopro, 23

Ritalin LA, 26

repaglinide, 17

Riteflo, 40

salicylic acid lotion, 13

Repaglinide/Metformin Hydrochloride, 17

Rituxan, 5

Salivamax, 23

Repatha, 10

rivastigmine tartrate, 27

Salivate RX, 23

Repatha Pushtronex System, 10

rivastigmine transdermal system, 27

salsalate, 30

Repatha Sureclick, 10

rizatriptan benzoate, 32

Salvax, 14

Reprexain, 31

rizatriptan benzoate odt, 32

Salvax Duo Plus, 14

Req 49+, 36

Robaxin, 28

Samsca, 18

Requip, 26

Robaxin-750, 28

Sancuso, 20

Requip XL, 26

Robinul, 20

Sandimmune, 6

Rescon-JR, 33

Robinul Forte, 20

Sandostatin, 18

Rescriptor, 3

Rocaltrol, 19

Sandostatin Lar Depot, 18

Rescula, 29

Rocephin, 1

Saphris, 25

Reserpine, 9

rocuronium bromide, 27

Sarafem, 27

Respa-BR, 33

Rocuronium Bromide, 27

Savaysa, 22

Restasis, 29

ropinirole ER, 26

Savella, 27

Restora RX, 19

ropinirole HCL, 26

Savella Titration Pack, 27

Restora Sprinkles, 19

ropivacaine, 32

Scalacort DK, 13

Restoril, 25

Ropivacaine, 32

Scar Patch, 14

Retin-a, 11

ropivacaine HCL, 32

Scopolamine Hydrobromide, 20

Retin-a Micro, 11

Ropivacaine Hydrochloride/Sodium Chloride, 32

Seasonique, 16

Retin-a Micro P.M., 11

Sebuderm, 14

Retisert, 28

Rosadan Kit, 11

Seconal, 25

Retrovir, 3

Rosula, 11

Seconal Sodium, 25

Retrovir IV Infusion, 3

rosuvastatin calcium, 10

Sectral, 7

Revatio, 11

Rotarix, 35

Select-OB, 36

Reveal Blood Glucose Test, 40

Rotateq, 35

Select-ob+dha, 36

Revlimid, 6

Rowasa, 21

selegiline HCL, 26

Rexall Blood Glucose Test Strips, 40

Roxicet, 31

selenium sulfide, 12

Rexall Lancets Ultra Thin, 38

Roxicodone, 31

Selrx, 13

Selzentry, 3

Smartest Blood Glucose Test Strips, 40 Stalevo 50, 27

Semprex-d, 33

Smartest Lancets 28G, 38 Stalevo 75, 27

Sensipar, 19

Smartrx Gaba Kit, 27 stannous fluoride oral rinse, 23

Sensorcaine-mpf/Epinephrine, 32

Smartrx Gaba-v Kit, 27 Starlix, 17

Sentradine, 20

Sodium Bicarbonate, 19 stavudine, 3

Sentraflox AM-10, 24

sodium chloride, 33 Stavzor, 26

Sentralopram AM-10, 24

Sodium Citrate, 22 Staxyn, 11

Sentramodafin AM-100, 26

sodium citrate/citric acid, 21 Stelara, 12, 20

Sentravil PM-25, 24

Sodium Diuril, 9 Stendra, 11

Sentrazolam AM 0.25, 24

Sodium Edecrin, 9 Sterilance TL, 38

Sentrazolpidem PM-5, 25

sodium ferric gluconate complex/sucrose, 21

Stimate, 18

Sentroxatine, 24

Stiolto Respimat, 34

Serevent Diskus, 33

sodium hyaluronate, 13 Stivarga, 6

Sernivo, 13

sodium phenylacetate/sodium benzoate, 18

Strattera, 25

Seroquel, 25

Strazepam, 25

Seroquel XR, 25

sodium phenylbutyrate, 18 Strensiq, 19

Serostim, 18

sodium sulfacetamide, 11, 12, 28 Streptomycin Sulfate, 2

sertraline HCL, 24

sodium sulfacetamide wash, 12 Striant, 15

Sevelamer Carbonate, 20

sodium sulfacetamide/sulfur, 11 Stribild, 3

Sfrowasa, 21

Sodium Sulfacetamide/Sulfur, 11 Striverdi Respimat, 34

Shohls Solution Modified, 21

sodium sulfacetamide/sulfur cleanser, 11 Stromectol, 4

Shopko On-the-go Comfort Lancets 30G, 38

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite Forte, 36

Strovite One, 36

Shopko Unilet Lancets Super Thin 30G, 38

sodium sulfacetamide/sulfur cleansing cloths, 11

Suboxone, 30

Subsys, 31

Shopko Unilet Lancets Ultra Thin 28G, 38

sodium sulfacetamide/sulfur green, 11 Succinylcholine Chloride, 27

Sodium Sulfacetamide/Sulfur IN Urea, 11 Suclear, 19

Siderol, 36

sodium sulfacetamide/sulfur w/sunscreen, 11

Sucraid, 20

Signifor, 18

sucralfate, 19

Signifor Lar, 18

sodium sulfacetamide/sulfur wash, 11 Sular, 8

Silazone Pharmapak, 13

Solaice, 14 sulfacetamide sodium, 11, 28

Silazone-II, 13

Soliris, 23 Sulfacetamide Sodium, 28

sildenafil, 10

Solodyn, 2 sulfacetamide sodium/prednisolone sodium phosphate, 28

sildenafil citrate, 10

Soltamox, 5

Silenor, 25

Solu-cortef, 15 sulfacetamide sodium/sulfur, 11

Simbrinza, 29

Solu-medrol, 15 sulfacetamide sodium/sulfur cleanser, 11

Simcor, 10

Solus V2 Audible Test, 40 Sulfadiazine, 2

Simponi, 31

Solus V2 Pressure Activated Safety Lancets 28G, 38

sulfamethoxazole/trimethoprim, 4

Simponi Aria, 31

Sulfamethoxazole/Trimethoprim, 4

Simulect, 6

Solus V2 Twist Lancets 30G, 38 sulfamethoxazole/trimethoprim DS, 4

simvastatin, 10

Soma, 28 sulfasalazine, 20

Sinelee, 14

Somatuline Depot, 18 Sulfisoxizole, 2

Sinemet, 27

Somavert, 18 Sulfoam, 11

Sinemet CR, 27

Sonata, 25 Sulfurated Lime, 14

Single-let, 38

Soolantra, 11 sulindac, 31

Singulair, 34

Soothee, 14 Sumadan Kit, 11

sirolimus, 6

Soriatane, 12 Sumadan Wash, 11

Sirturo, 2

Sorilux, 12 Sumadan XLT, 11

Sitavig, 3

sotalol HCL, 7 sumatriptan, 32

Sivextro, 4

sotalol HCL (AF), 7 sumatriptan succinate, 32

Skelaxin, 28

Sotalol Hydrochloride, 7 Sumatriptan Succinate, 32

Sklice, 14

Sotylize, 7 sumatriptan succinate refill, 32

Smart Diabetes Vantage Universal Lancets 30G, 38

Sovaldi, 3 Sumavel Dosepro, 32

Spectracef, 1 Sumaxin, 11

Smart Diabetes Xpres Blood Glucose Test Strips, 40

Spinosad, 14 Sumaxin CP Kit, 11

Spiriva Handihaler, 33 Sumaxin Ts, 11

Smart Sense Color Lancets Universal 33G, 38

Spiriva Respimat, 34 Sumaxin Wash, 11

spironolactone, 9 Supartz, 28

Smart Sense Premium Bloodglucose Strips, 40

spironolactone/hydrochlorothiazide, 9 Supartz Fx, 28

Sporanox, 3 Supervite, 36

Smart Sense Standard Lancets Universal 21G, 38

Sporanox Pulsepak, 3 Supervite EC, 36

Spritam, 26 Support-500, 36

Smart Sense Super Thin Lancets Universal 30G, 38

Sprix, 31 Supprelin LA, 18

Sprycel, 6 Supracil, 14

Smart Sense Thin Lancets Universal 26G, 38

Stalevo 100, 27 Suprax, 1

Stalevo 125, 27 Supreme Test Strips, 40

Smart Sense Value Blood Glucose Strips, 40

Stalevo 150, 27 Suprep Bowel Prep, 19

Stalevo 200, 27 Sure Edge Blood Glucose Test Strips, 40

Sure-lance Flat Lancets, 38

Taxotere, 6 theophylline ER, 33

Sure-lance Lancets 26G, 38

Taytulla, 16 Theophylline/D5W, 34

Sure-lance Thin Lancets 28G, 38

Tazicef, 1 Therabenzaprine-60, 28

Sure-lance Ultra Thin Lancets, 38

Tazorac, 12 Therabenzaprine-90, 28

Sure-test Easyplus Mini Blood Glucose Test Strips, 40

Tecentriq, 5 Therabenzaprine-90-5, 28

Tecfidera, 27 Theracodeine-300, 31

Sure-touch Lancets Universal, 38

Tecfidera Starter Pack, 27 Theracodophen-325, 31

Surechek Blood Glucose Test Strips, 40

Techlite AST Lancets, 38 Theracys, 7

Surelite Lancets, 38

Techlite Lancets, 38 Therafeldamine, 31

Surestep Glucose Control, 38

Techlite Lancets 30G, 38 Therapentin-60, 26

Surestep Glucose Control Solution, 38

Technivie, 3 Therapentin-90, 26

Surestep Pro High Glucosecontrol, 38

Tegretol, 26 Theraprofen-60, 31

Surestep Pro Low Glucose Control, 38

Tegretol-XR, 26 Theraprofen-800, 31

Surestep Pro Normal Glucose Control, 38

Tekamlo, 9 Theraprofen-90, 31

Tekturna, 8 Theraproxen-500, 31

Surfaxin, 34

Tekturna HCT, 9 Theraproxen-60, 31

Surmontil, 24

Telcare Blood Glucose Test Strips, 40 Theraproxen-90, 31

Survanta Intratracheal, 34

telmisartan, 8 Theratramadol-60, 31

Sustiva, 3

telmisartan/amlodipine, 9 Theratramadol-90, 31

Sustol, 20

telmisartan/hydrochlorothiazide, 9 thiamine HCL, 35

Sutent, 6

temazepam, 25 Thinlets GP Lancets, 38

Sylatron, 7

Temodar, 5 Thinlets Lancet, 38

Symax Duotab, 20

Temovate, 13 Thiola, 21

Symbicort, 34

Temovate E, 13 thioridazine HCL, 25

Symbyax, 27

temozolomide, 4 Thiotepa, 5

Symlinpen 120, 16

Tenex, 9 thiothixene, 25

Symlinpen 60, 16

Teniposide, 6 Thrombin-jmi Diluent, 23

Synagex, 36

Tenivac, 34 Thrombin-jmi Epistaxis, 23

Synalar, 13

Tenoretic 100, 9 Thrombin-jmi Syringe Spray Kit, 23

Synalar Cream Kit, 13

Tenoretic 50, 9 Thrombin-jmi W/Dil Spray P.M. Actuator, 23

Synalar Ointment Kit, 13

Tenormin, 7

Synalar Ts, 13

Terazol 3, 21 Thrombogen, 23

Synalgos-dc, 31

Terazol 7, 21 Thymoglobulin, 6

Synapryn Fusepaq, 31

terazosin HCL, 9 Thyrolar-1, 19

Synarel, 18

terbinafine HCL, 2 Thyrolar-1/2, 19

Synatek, 36

terbutaline sulfate, 33 Thyrolar-1/4, 19

Synera, 14

terconazole, 21 Thyrolar-2, 19

Synercid, 4

Tersi Foam, 13 Thyrolar-3, 19

Synjardy, 17

Tessalon Perles, 33 tiagabine hydrochloride, 26

Synribo, 7

Testim, 15 Tiazac, 8

Synthroid, 19

Testone Cik, 15 Ticaspray, 33

Synvisc, 27

Testopel, 15 Tice Bcg, 7

Synvisc One, 27

testosterone, 15 ticlopidine HCL, 23

T

Testosterone, 15 Ticlopidine HCL, 23

testosterone cypionate, 15 Tigan, 20

Tabloid, 5

testosterone enanthate, 15 Tikosyn, 8

Tabradol Fusepaq, 28

testosterone P.M., 15 Timentin, 1

Tabradol Rapidpaq, 28

Testosterone P.M., 15 Timolol Maleate, 7

Taclonex, 13

Testred, 15 timolol maleate, 28

tacrolimus, 6, 13

Tetanus/Diphtheria Toxoids-adsorbed, 34

timolol maleate ophthalmic gel forming, 28

Tafinlar, 6

Tagrisso, 6

Tetanus/Diphtheria Toxoids-adsorbed Adult, 34

Timoptic, 28

Taltz, 12

Timoptic Ocudose, 28

Talwin, 31

tetrabenazine, 27 Timoptic-xe, 28

Tamiflu, 3

tetracaine HCL, 29 Tindamax, 4

tamoxifen citrate, 5

Tetracaine HCL, 32 tinidazole, 4

tamsulosin HCL, 21

Tetracycline HCL, 2 Tirosint, 19

Tandem F, 22

tetracycline hydrochloride, 2 Tisseel, 23

Tandem Plus, 22

Tetrix, 14 Tisseel VH, 23

Tanzeum, 17

Tev-tropin, 18 Tivicay, 3

Tapazole, 19

Teveten, 8 Tivorbex, 31

Tarceva, 6

Teveten HCT, 9 Tizanidine Comfort PAC, 28

Targadox, 2

Texacort, 13 tizanidine HCL, 27

Targretin, 7

Texavite LQ, 36 TL G-FOL OS, 36

Tarka, 9

Thalomid, 6 TL Triseb, 13

Taron-bc, 36

Theo-24, 34 Tnkase, 23

Taron-c DHA, 36

theophylline, 33 Tobi, 2

Tasigna, 6

theophylline CR, 33 Tobi Podhaler, 2

Tasmar, 27

Tobradex, 29

Tri-norinyl 28, 16 Tudorza Pressair, 34

Tobradex ST, 28

Tri-VI-flor, 36 Turkel Paracentesis Procedure Tray/8french, 32

tobramycin, 2

Triamcinolone, 15

Tobramycin, 2

triamcinolone acetonide, 13, 23, 33 Tussicaps, 33

tobramycin sulfate, 2, 28

Triamcinolone Acetonide PF, 15 Tussionex Pennkinetic Extended Release, 33

Tobramycin Sulfate, 2

triamcinolone IN orabase, 23

tobramycin/dexamethasone, 28

Triamcinolone PF, 15 Tuzistra XR, 33

Tobrex, 28

Triamcinolone/Lidocaine, 15 Twinrix, 35

Tofranil, 24

Triamsil Combipak, 13 Twynsta, 9

Tofranil-PM, 24

triamterene/hydrochlorothiazide, 9 Tybost, 3

tolazamide, 17

Triamterene/Hydrochlorothiazide, 9 Tygacil, 4

Tolazamide, 17

Trianex, 13 Tykerb, 6

Tolbutamide, 17

triazolam, 25 Tylenol/Codeine #3, 31

tolcapone, 26

Triazolam, 25 Tylenol/Codeine #4, 31

tolmetin sodium, 31

Tribenzor, 9 Typhim VI, 35

Tolmetin Sodium, 31

Tricare Prenatal, 36 Tysabri, 27

tolterodine tartrate, 21

Tricare Prenatal 1, 36 Tyvaso, 10

tolterodine tartrate ER, 21

Tricare Prenatal Compleat, 36 Tyvaso Refill, 10

Topamax, 26

Tricare Prenatal DHA One, 36 Tyvaso Starter, 10

Topamax Sprinkle, 26

tricitrates, 21 Tyzeka, 3

Topicort, 13

Tricor, 10 Tyzine, 33

topiramate, 26

Triderma Forte, 13 Tyzine Pediatric Nasal Drops, 33

Topiramate ER, 26

Triferic, 22 U

topotecan HCL, 6

trifluoperazine HCL, 25

Uceris, 15, 21

Topotecan HCL, 6

trifluridine, 28

Udamin SP, 36

Toprol XL, 7

Triglide, 10

Ulesfia, 14

Torisel, 6

trihexyphenidyl HCL, 26

Uloric, 32

Toronova II Suik, 31

Trileptal, 26

Ulticare Thin Lancets 30G, 38

Toronova Suik, 31

Trilipix, 10

Ultilet Classic Lancets, 38

torsemide, 9

Triloan II Suik, 15

Ultilet Lancets, 38

Torsemide, 9

Triloan Suik, 15

Ultilet Lancets 33G, 38

Totect, 7

trimethobenzamide HCL, 20

Ultilet Safety Lancets 23G, 38

Toujeo Solostar, 16

trimethoprim, 4

Ultima Test Strips, 40

Toviaz, 21

trimethoprim sulfate/polymyxin b sulfate, 28

Ultiva, 31

Tracleer, 10

Ultra-thin II Auto Lancet, 38

Tradjenta, 17

trimipramine maleate, 24

Ultra-thin II Lancets 28G, 38

tramadol HCL, 30

Trintellix, 24

Ultra-thin II Lancets 30G, 38

tramadol HCL ER, 30

Triostat, 19

Ultra-thin II Safety Autolancets 26G, 38

Tramadol HCL ER, 31

Trisenox, 7

Ultracet, 31

tramadol hydrochloride/acetaminophen, 30

Triseon, 11

Ultram, 31

Triumeq, 3

Ultram ER, 31

Trandate, 7

Triveen-duo DHA, 36

Ultrasal-ER, 14

trandolapril, 8

Triveen-prx RNF, 36

Ultratrak Pro Test Strips, 40

trandolapril/verapamil HCL, 9

Trizivir, 3

Ultratrak Ultimate Test Strips, 40

trandolapril/verapamil HCL ER, 9

Trokendi XR, 26

Ultravate, 13

tranexamic acid, 22

Tropazone, 14

Ultravate X, 13

Transderm-scop, 20

trospium chloride, 21

Ultresa, 20

Tranxene T, 24

trospium chloride ER, 21

Umecta, 14

tranylcypromine sulfate, 24

True Metrix Blood Glucosetest Strips, 40

Umecta Nail Film, 14

Travatan Z, 29

True Metrix Self Monitoring Blood Glucose Strips, 40

Umecta PD, 14

Travoprost, 29

Unasyn, 1

Trazamine, 24

Trueplus Lancets 26G, 38

Unasyn Bulk Pack, 1

trazodone HCL, 24


Unilet Comfortouch Lancet, 38

Treanda, 4

Trueplus Lancets 28G Super Thin, 38

Unilet Excelite, 38

Trecator, 2


Unilet Excelite II, 38

Trelstar, 5

Trueplus Lancets 30G Ultra Thin, 38

Unilet G.p. Lancet, 38

Trelstar Mixject, 5


Unilet G.p. Superlite Lancet, 38

Trepadiclofen-25, 31

Trueplus Lancets 33G Micro Thin, 38

Unilet GP 28 Ultra Thin, 38

Trepoxicam-7.5, 32

Trueplus Safety Lancets 28G, 38

Unilet Lancet, 38

Tresiba Flextouch, 16

Truetest Blood Glucose T Est, 40

Unilet Lancets Micro-thin33G, 38

Tretin-x, 11

Truetest Blood Glucose T Est Strips, 40

Unilet Lancets Super-thin30G, 38

tretinoin, 6, 11

Truetest Strips, 40

Unilet Lancets Ultra-thin 28G, 38

tretinoin microsphere, 11

Truetrack Blood Glucose Test, 40

Unilet Superlite Lancet, 38

tretinoin microsphere P.M., 11

Truetrack Test, 40

Unistik 3 Gentle, 38

Tretten, 23

Trulicity, 16

Unistik Safety Lancets 28G, 38

Trexall, 5

Trumenba, 35

Unistik Safety Lancets 30G, 38

Treximet, 32

Trusopt, 29

Unistik Touch Safety Lancets 21G, 38

Trezix, 31

Truvada, 3



vasopressin, 18 Vinate DHA RF, 36


Vasopressin/Sodium Chloride, 18 Vinblastine Sulfate, 6

Unistrip1 Generic, 40

Vasostrict, 18 vincristine sulfate, 6

Unituxin, 5

Vasotec, 8 vinorelbine tartrate, 6

Univasc, 8

Vaxchora, 35 Viokace, 20

Universal 1 Lancets Thin 26G, 38

Vazculep, 10 Viracept, 3

Universal 1 Lancets Ultra Thin 30G, 38

Vecamyl, 9 Viramune, 3

Uptravi, 11

Vectibix, 5 Viramune XR, 3

Uramaxin, 14

Vectical, 12 Virasal, 14

Uramaxin GT, 14

vecuronium bromide, 27 Virazole, 3

Uramaxin GT Kit, 14

Vecuronium Bromide, 27 Viread, 3

urea, 13

Vecuronium Bromide/Sodiumchloride, 27 Viroptic, 28

urea 40% nail film, 14

Veinpuncture Px1 Phlebotomy System, 14

Vistaril, 24

urea IN zinc undecylenate/lactic acid vehicle, 14

Vistide, 3

Velcade, 6 Vita-pren, 36

urea topical, 14

Veletri, 10 Vitafol, 36

Urecholine, 21

Velphoro, 21 Vitafol Fe+, 36

Uretron D/S, 21

Veltin, 11 Vitafol Gummies, 36

Urimar-t, 21

Vemavite-prx 2, 36 Vitafol Ultra, 36

Urocit-k 10, 21

Venipuncture Cpi, 14 Vitafol-nano, 36

Urocit-k 15, 21

venlafaxine HCL, 24 Vitafol-ob+dha, 36

Urocit-k 5, 21

venlafaxine HCL ER, 24 Vitafol-one, 36

Urogesic-blue, 21

Venlafaxine HCL ER, 24 Vital-d RX, 36

Uroxatral, 21

Venofer, 22 Vitalet Pro Lancets, 39

Urso 250, 21

Ventavis, 10 Vitalet Pro Plus Lancets, 39

Urso Forte, 21

Ventolin HFA, 34 Vitamedmd One RX/Quatrefolic, 36

ursodiol, 20

Veramyst, 33 Vitamedmd Plus RX/Quatre Folic, 36

Utibron Neohaler, 34

verapamil HCL, 8 Vitamedmd Redichew RX, 36

Utopic, 14

verapamil HCL ER, 8 vitamin c 222MG, 35

Uvadex, 7

verapamil HCL SR, 8 vitamin d, 35

V

Verdeso, 13 vitamin k1, 35

Veregen, 14 Vitamin K1, 35

Vagifem, 21

Verelan, 8 Vitapearl, 36

valacyclovir HCL, 3

Verelan PM, 8 Vitaroca Plus, 36

Valchlor, 4

Veripred 20, 15 Vitatrue, 36

Valcyte, 3

Verrunex, 14 Vitekta, 3

valganciclovir, 3

Versacloz, 25 Vituz, 33

valganciclovir hydrochlorde, 3

Vesicare, 21 Viva DHA, 36

Validerm, 13

Vexa, 14 Vivactil, 24

Valium, 24

Vexol, 29 Vivelle-dot, 16

valproate sodium, 26

Vfend, 3 Vivlodex, 32

valproic acid, 26

Vfend IV, 3 Vivotif, 35

valsartan, 8

Viagra, 10 Vocal Point Blood Glucose Test Strips, 40

valsartan/hydrochlorothiazide, 9

Vibativ, 4

Valstar, 5

Viberzi, 21 Vogelxo, 15

Valtrex, 3

Vibramycin, 2 Vogelxo P.M., 15

Valumark Lancet Super Thin 30G, 38

Vicoprofen, 31 Voltaren, 12

Valumark Lancet Ultra Thin 28G, 38

Victory Agm-4000 Test Strips, 40 Voltaren-XR, 32

Vanatol LQ, 30

Victoza, 16 Voluven, 23

Vancocin HCL, 4

Victrelis, 3 Vopac, 12

Vancomycin, 4

Vida Mia Unilet Lancets Super Thin 30G, 38

Vopac GB, 12

vancomycin HCL, 4

Vopac Kt, 12

Vancomycin HCL, 4

Vida Mia Unilet Lancets Ultra Thin 28G, 38

Voraxaze, 7

Vancomycin HCL + Syrspendsf PH4, 4

voriconazole, 2

Vancomycin HCL IN Dextrose, 4

Vidaza, 5 Vortex Valved Holding Chamber, 40

Vancomycin Hydrochloride, 4

Videx EC, 3 Vosol HC, 29

Vancomycin Hydrochloride/Dextrose, 4

Videx Pediatric, 3 Vospire ER, 34

Vancomycin Hydrochloride/NACL, 4

Viekira PAK, 3 Votrient, 6

Vancomycin Hydrochloride/Sodium Chloride, 4

Viekira XR, 3 Vpriv, 22

Vigamox, 28 Vraylar, 25

Vanos, 13

Viibryd, 24 Vsl#3 DS, 19

Vanoxide-HC, 11

Viibryd Starter Pack, 24 Vusion, 12

Vantas, 5

Vimizim, 19 Vytorin, 10

Vaprisol, 18

Vimovo, 32 Vyvanse, 25

Vaqta, 35

Vimpat, 26 W

Varivax, 35

Vinacal B, 36

Varubi, 20

W&f Lancets 26G, 39

Vinate AZ Extra, 36

Vascepa, 10

W&f Lancets Colored 21G, 39

Vinate Calcium, 36

Vaseretic, 9

Walgreens Lancets, 39

Walgreens Thin Lancets, 39

zafirlukast, 33 Zomig, 32

Walgreens Ultra Thin Lancets, 39

zaleplon, 25 Zomig Nasal Spray, 32

warfarin sodium, 22

Zaltrap, 5 Zomig ZMT, 32

Watchhaler, 40

Zamicet, 31 Zonalon, 12

Wavesense Presto Test Strips, 40

Zanaflex, 28 Zonatuss, 33

Welchol, 10

Zanosar, 4 Zonegran, 26

Wellbutrin, 24

Zantac, 20 zonisamide, 26

Wellbutrin SR, 24

Zarontin, 26 Zontivity, 23

Wellbutrin XL, 24

Zaroxolyn, 9 Zorbtive, 18

Westcort, 13

Zarxio, 22 Zortress, 6

Westhroid, 19

Zatean-CH, 36 Zorvolex, 31

Wheat Germ, 35

Zatean-pn, 36 Zostavax, 35

Wilate, 23

Zatean-pn DHA, 36 Zosyn, 1

Wp Thyroid, 19

Zatean-pn Plus, 36 Zovia 1/50e, 16

X

Zavesca, 22 Zovirax, 3, 12

Zebeta, 7 Zubsolv, 30

Xalatan, 29

Zecuity, 32 Zuplenz, 20

Xalkori, 6

Zegerid, 20 Zurampic, 32

Xanax, 24

Zelapar, 27 Zutripro, 33

Xanax XR, 24

Zelboraf, 6 Zyclara, 13

Xarelto, 22

Zemaira, 34 Zyclara P.M., 13

Xarelto Starter Pack, 22

Zembrace Symtouch, 32 Zydelig, 6

Xartemis XR, 31

Zemplar, 19 Zyflo, 34

Xeljanz, 32

Zemuron, 27 Zyflo CR, 34

Xeljanz XR, 32

Zenpep, 20 Zykadia, 6

Xeloda, 5

Zenzedi, 26 Zylet, 28

Xenazine, 27

Zepatier, 3 Zyloprim, 32

Xeomin, 27

Zerbaxa, 4 Zymaxid, 28

Xerac Ac, 14

Zerit, 3 Zyprexa, 25

Xeralux, 14

Zestoretic, 9 Zyprexa Relprevv, 25

Xerese, 12

Zestril, 8 Zyprexa Zydis, 25

Xgeva, 18

Zetia, 10 Zytiga, 5

Xifaxan, 4

Zetonna, 33 Zyvodol, 12

Xigduo XR, 17

Zevalin Y-90, 5 Zyvox, 4

Xilapak, 13

Ziac, 9 1

Xodol, 31

Ziagen, 3

Xofigo, 6

1ST Choice Lancets Super Thin, 39

Ziana, 11

Xolair, 34

1ST Choice Lancets Thin, 39

zidovudine, 3

Xolegel, 12

1ST Choice Lancets Ultra Thin, 39

Zinacef, 1

Xolegel Corepak, 12

8

Zinbryta, 27

Xolegel Duo/Head & Shoulders, 12

Zinecard, 7

8-mop, 12

Xolegel Duo/Xolex, 12

Zioptan, 29

Xopenex, 34

ziprasidone HCL, 25

Xopenex Concentrate, 34

Zipsor, 32

Xopenex HFA, 34

Zirgan, 28

Xrylix, 12

Zithranol, 12

Xtampza ER, 31

Zithranol-rr, 12

Xtandi, 5

Zithromax, 1

Xuriden, 19

Zithromax Tri-PAK, 1

Xylocaine, 8, 14, 32

Zithromax Z-PAK, 1

Xylocaine-mpf, 32

Zmax, 2

Xylocaine-mpf/Epinephrine, 32

Zocor, 10

Xylocaine/Epinephrine, 32

Zofran, 20

Xyntha, 23

Zofran Odt, 20

Xyntha Solofuse, 23

Zohydro ER, 31

Xyrem, 27

Zoladex, 5

Xyzal, 33

Zolate, 22

Y

zoledronic acid, 17

Zoledronic Acid, 17

Yasmin 28, 16

Zolinza, 6

Yaz, 16

zolmitriptan, 32

Yervoy, 5

zolmitriptan odt, 32

Yf-vax, 35

Zoloft, 24

Yodoxin, 4

zolpidem tartrate, 25

Yondelis, 5

zolpidem tartrate ER, 25

Yosprala, 23

Zolpimist, 25

Z

Zomacton, 18

Zacare 4% Kit, 11

Zometa, 17

Zacare 8% Kit, 11

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