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FLORIDA HEALTH CARE PLAN PHYSICIAN

DRUG GUIDE

FHCP DRUG FORMULARY

1/1/2018

CONTENTS

A. PREFACE Pg. 3-4

B.

FHCP DRUG FORMULARY (BY THERAPEUTIC CLASS)

Pg. 5-26

C.

FHCP DRUG FORMULARY (LISTED ALPHABETICALLY BY DRUG)

Pg. 27-44

PREFACE

BRAND NAME THERAPEUTIC SUBSTITUTION

THE BELOW LISTED BRAND NAME DRUGS WILL BE SUBSTITUTED FOR THEIR BRAND NAME THERAPEUTIC EQUIVALENT:

NOVOLIN ----- FOR ----- HUMULIN

DRUG FORMULARY

1. Therapeutic listing - lists all FHCP Formulary Drugs based upon their (pg. 5-26) therapeutic class. Comparisons amongst the agents within a class can be made here.

2. Alphabetical listing (pg 27-44) - lists all FHCP Formulary Drugs alphabetically.

The general format for each listing is as follows:

Brand name drugs are listed to the left side of each page and their respective Tier level is to the left of each Brand name drug. Therapeutic alternatives for the brand name, if any, are listed above. Generic alternatives for the brand drug, if available, are listed on the right side of each page and their respective Tier level is to the right of each generic drug. All entries to the right of the brand name drug assure quality and a lower unit of cost. If no entry is made to the right of the brand name drug then no generic equivalent is available. All generics cost ninety five percent less (95%) than its respective Brand name drug AWP

DRUG FORMULARY (cont.)

The drugs listed in this booklet are all on the Federal Exchange QHP (Marketplace) Formulary. This formulary has more drugs on it than are listed in this guide. Please see the online Federal Exchange QHP formulary, the Commercial formulary, or the Medicare Comprehensive formulary at www.fhcp.com for restrictions and the most up-to-date listing of all formulary drugs. Printed copies of the formularies are available upon request from the Pharmacy Services office, 386-676-7173. The Drug Efficacy Study Implementation (DESI) was a program begun by the Food and Drug Administration (FDA) in the 1960s after the Kefauver-Harris Drug Control Act, which was passed in 1962, required all drugs be efficacious as well as safe. An attempt was made to classify all pre-1962 drugs as effective, ineffective, or needing further study. DESI codes have values of 2-6. Drugs with DESI codes of 2, 3, or 4 are rebatable. Those listed with codes 5 or 6 are not rebatable. For further information, look online for a list of the drugs with codes 5 or 6 and associated National Drug Codes (NDC) that are coded as DESI and therefore are not reimbursable by the Medicare program.

Drugs with HRM listed in the Medicare formulary Restrictions/Limits are High Risk Medications for the elderly. These drugs are not covered by Medicare for patients greater than 65 years without prior authorization.

The effectiveness of the FHCP Drug Formulary, to assure quality pharmaceutical care at a lower contained cost, depends upon FHCP physicians prescribing within the FHCP Drug Formulary and utilizing whenever and wherever possible those drugs that appear to the right of the brand name drug.

http://www.fhcp.com/

FHCP 2018 Formulary by Category and Class

THERAPEUTIC_CATEGORY THERAPEUTIC_CLASSBrand Tier Brand Medication Name Generic Med Name

Generic Tier (T7=prevent

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

*ADHD Agent - Selective Alpha Adrenergic Agonists*** NC Intuniv GuanFACINE HCl ER Tablet Extended Release 24 Hour 2

*ADHD Agent - Selective Norepinephrine Reuptake Inhibitor***

NC Strattera Atomoxetine HCl CAPSULE 2

*Amphetamine Mixtures*** NC Adderall XR Adderall XR CAPSULE EXTENDED RELEASE 24 HOUR - Outside FHCP Amphetamine Salts = 2

2

*Amphetamines*** NC Dexedrine Dextroamphetamine Sulfate ER CAPSULE EXTENDED RELEASE 24 HOUR

2

NC Dextrostat Dextroamphetamine Sulfate TABLET 2

3 Vyvanse

*Stimulants - Misc.*** NC Metadate CD Methylphenidate HCl ER (CD) Capsule Extended Release

2

NC Methylin Methylphenidate HCl SOLUTION 2

NC Nuvigil Armodafinil TABLET 2

NC Provigil Modafinil TABLET 2

NC Ritalin Methylphenidate HCl TABLET 2

NC Ritalin SR Methylphenidate HCl ER Tablet Extended Release 2

*AMINOGLYCOSIDES* *Aminoglycosides*** 2 Neomycin Sulfate TABLET

3 Paromomycin Sulfate

NC Tobi Tobramycin NEBULIZATION SOLUTION 5

*ANALGESICS - ANTI-INFLAMMATORY* *Antirheumatic - Janus Kinase (JAK) Inhibitors*** 5 Xeljanz

5 Xeljanz XR

*Anti-TNF-alpha - Monoclonal Antibodies*** 6 Humira

5 Simponi

*Interleukin-1 Blockers*** 5 Arcalyst SOLUTION RECONSTITUTED

*Interleukin-1 Receptor Antagonist (IL-1Ra)*** 5 Kineret Solution Prefilled Syringe

*Nonsteroidal Anti-inflammatory Agents (NSAIDs)*** NC Clinoril Sulindac TABLET 2

NC Feldene Piroxicam CAPSULE 2

NC Indocin Indomethacin CAPSULE 2

NC Indocin SR Indomethacin ER Capsule Extended Release 2

NC Lodine Etodolac CAPSULE 2

NC Lodine-XL Etodolac ER Tablet Extended Release 24 Hour 2

NC Meclomen Meclofenamate Sodium CAPSULE 2

NC Mobic Meloxicam TABLET 1

NC Motril Ibuprofen TABLET 1

NC Nalfon Fenoprofen Calcium TABLET 2

NC Naprosyn Naproxen TABLET 1

NC Orudis Ketoprofen CAPSULE 2

NC Relafen Nabumetone TABLET 2

NC Toradol Ketorolac Tromethamine TABLET 2

NC Voltaren Diclofenac Sodium Tablet Delayed Release 2

*Pyrimidine Synthesis Inhibitors*** NC Arava Leflunomide TABLET 2

*Soluble Tumor Necrosis Factor Receptor Agents*** 5 Enbrel

*ANALGESICS - NonNarcotic* *Analgesics-Sedatives*** NC Esgic Butalbital-APAP-Caffeine TABLET 2

NC Fiorinal Butalbital-Aspirin-Caffeine CAPSULE 2

*Salicylates*** 7 Aspirin Adult Low Strength TABLET CHEWABLE 81 MG ORAL

7 Adult Aspirin EC Low Strength TABLET DELAYED RELEASE 81 MG ORAL

NC Disalcid Salsalate TABLET 2

*ANALGESICS - OPIOID* *Codeine Combinations*** NC Fiorinal/Codeine #3 Butalbital-ASA-Caff-Codeine CAPSULE 2


NC Tylenol with Codeine #3 Acetaminophen-Codeine #3 TABLET 2

NC Tylenol with Codeine #4 Acetaminophen-Codeine #4 TABLET 2

NC Tylenol #2 Acetaminophen-Codeine #2 TABLET 2

NC Tylenol w/Codeine Acetaminophen-Codeine SOLUTION 2

*Hydrocodone Combinations*** NC Norco Hydrocodone-Acetaminophen TABLET 2

*Opioid Agonists*** NC Demerol Meperidine HCl TABLET 2

NC Dilaudid HYDROmorphone HCl 2

NC Dolophine Methadone HCl TABLET 2

NC Duragesic FentaNYL Patch 2

NC MS Contin Morphine Sulfate ER Tablet Extended Release 2

NC MSIR Morphine Sulfate TABLET 2

NC Oxy IR OxyCODONE HCl TABLET 2

NC Roxanol Morphine Sulfate (Concentrate) SOLUTION 2

NC Ultram TraMADol HCl TABLET 2

Codeine Sulfate TABLET L 2

*Opioid Combinations*** NC Percocet Oxycodone-Acetaminophen TABLET 2

*Opioid Partial Agonists*** 4 Suboxone 12-3MG

NC Suboxone Buprenorphine HCl-Naloxone HCl TABLET SUBLINGUAL

2

NC Subutex Buprenorphine HCl TABLET SUBLINGUAL 2

*ANDROGENS-ANABOLIC* *Anabolic Steroids*** 5 Anadrol-50

NC Oxandrin Oxandrolone TABLET 2

*Androgens*** 4 AndroGel Pump 20.25 MG/ACT(1.62%)

4 Androxy

NC Danocrine Danazol CAPSULE 2

NC Delatestryl Testosterone Enanthate SOLUTION 4

NC Depo-Testosterone Testosterone Cypionate SOLUTION 2

*ANORECTAL AGENTS* *Intrarectal Steroids*** NC Cortenema Hydrocortisone ENEMA 2

*Rectal Steroids*** NC Anusol-HC Proctozone-HC CREAM 2

NC Anusol-HC Hydrocortisone Acetate SUPPOSITORY 2

*ANTHELMINTICS* *Anthelmintics*** 4 Albenza

NC Stromectol Ivermectin TABLET 2

*ANTIANGINAL AGENTS* *Antianginals-Other*** 3 Ranexa

*Nitrates*** NC Imdur Isosorbide Mononitrate ER Tablet Extended Release 24 Hour

2

NC Isordil Titradose Isosorbide Dinitrate TABLET 2

NC Minitran Nitroglycerin Patch 24 Hour 2

2 Nitro-Bid OINTMENT

NC Nitro-Dur Nitroglycerin Patch 24 Hour 2

2 Nitroglycerin ER Capsule Extended Release

3 Nitrostat

*ANTIANXIETY AGENTS* *Antianxiety Agents - Misc.*** NC Atarax HydrOXYzine HCl TABLET 2

NC Buspar Buspirone Tablet 2

NC Equanil Meprobamate TABLET 2

NC Vistaril HydrOXYzine Pamoate CAPSULE 2

*Benzodiazepines*** NC Ativan LORazepam TABLET 2

NC Tranxene-T Clorazepate Dipotassium TABLET 2


NC Valium Diazepam TABLET 2

NC Xanax ALPRAZolam TABLET 2

*ANTIARRHYTHMICS* *Antiarrhythmics Type I-A*** NC Norpace Disopyramide Phosphate CAPSULE 2

4 Norpace CR

NC Quinaglute QuiNIDine Gluconate ER Tablet Extended Release 2

2 QuiNIDine Sulfate TABLET

*Antiarrhythmics Type I-B*** NC Mexitil Mexiletine HCl CAPSULE 2

*Antiarrhythmics Type I-C*** NC Rythmol Propafenone HCl TABLET 2

NC Tamboco Flecainide Acetate TABLET 2

*Antiarrhythmics Type III*** NC Cordarone Amiodarone HCl TABLET 2

4 Multaq

NC Tikosyn Dofetilide CAPSULE 2

*ANTIASTHMATIC AND BRONCHODILATOR AGENTS*

*5-Lipoxygenase Inhibitors*** NC Zyflo Zileuton ER Tablet Extended Release 12 Hour 2

*Adrenergic Combinations*** 4 Advair Diskus

4 Advair HFA

NC AirDuo RespiClick Fluticasone-Salmeterol Aerosol Powder Breath Activated Inhalation

2

3 Anoro Ellipta

3 Breo Ellipta

3 Dulera

4 Symbicort

*Anti-Inflammatory Agents*** NC Intal Cromolyn Sodium Nebulization Solution 2

*Beta Adrenergics*** NC AccuNeb Albuterol Sulfate Nebulization Solution 2

NC Alupent Metaproterenol Sulfate TABLET 2

NC Brethine Terbutaline Sulfate TABLET 2

3 Proventil HFA

3 Serevent Diskus

3 Striverdi Respimat

NC Ventolin Albuterol Sulfate 2

*Bronchodilators - Anticholinergics*** 3 Atrovent Ipratropium Bromide

3 Incruse Ellipta

*Leukotriene Receptor Antagonists*** NC Singulair Montelukast Sodium TABLET 1

*Selective Phosphodiesterase 4 (PDE4) Inhibitors*** 3 Daliresp

*Steroid Inhalants*** 3 Arnuity Ellipta

3 Asmanex HFA

3 Flovent Diskus

3 Flovent HFA

NC Pulmicort Budesonide SUSPENSION 2

*Xanthines*** Theophylline SOLUTION 2

NC Theodur Theophylline ER Tablet Extended Release 12 Hour 2

*ANTICOAGULANTS* *Coumarin Anticoagulants*** NC Coumadin Warfarin Sodium TABLET 1

*Direct Factor Xa Inhibitors*** 3 Eliquis

3 Xarelto

*Low Molecular Weight Heparins*** NC Lovenox Enoxaparin Sodium SOLUTION 4

*Synthetic Heparinoid-Like Agents*** NC Arixtra Fondaparinux Sodium SOLUTION 4

*Thrombin Inhibitors - Selective Direct & Reversible*** 3 Pradaxa


*ANTICONVULSANTS* *AMPA Glutamate Receptor Antagonists*** 4 Fycompa

*Anticonvulsants - Benzodiazepines*** NC Diastat AcuDial DiazePAM GEL Rectal 4

NC KlonoPIN ClonazePAM TABLET 2

NC KlonoPIN ClonazePAM TABLET DISPERSIBLE 2

4 Onfi

*Anticonvulsants - Misc.*** 4 Aptiom

4 Banzel

NC Keppra LevETIRAcetam SOLUTION 2

NC Keppra XR LevETIRAcetam ER Tablet Extended Release 24 Hour 2

NC LaMICtal LamoTRIgine TABLET 2

4 Lyrica

NC Mysoline Primidone TABLET 2

NC Neurontin Gabapentin TABLET 2

4 Potiga

NC Tegretol CarBAMazepine TABLET 2

NC Topamax Topiramate TABLET 2

NC Topamax Sprinkle Topiramate CAPSULE SPRINKLE 2

NC Trileptal OXcarbazepine TABLET 2

4 Vimpat

NC Zonegran Zonisamide CAPSULE 2

*Carbamates*** NC Felbatol Felbamate TABLET 2

*GABA Modulators*** 4 Gabitril 16MG

NC Gabitril TiaGABine HCl TABLET 2

*Hydantoins*** NC Dilantin Phenytoin Sodium 2

NC Dilantin Infatabs Phenytoin TABLET CHEWABLE 2

*Succinimides*** 4 Celontin

NC Zarontin Ethosuximide CAPSULE 2

*Valproic Acid*** NC Depakene Valproic Acid 2

NC Depakote Divalproex Sodium Tablet Delayed Release 2

NC Depakote ER Divalproex Sodium ER Tablet Extended Release 24 Hour

2

NC Depakote Sprinkles Divalproex Sodium Capsule Delayed Release Sprinkle 2

*ANTIDEPRESSANTS* *Alpha-2 Receptor Antagonists (Tetracyclics)*** NC Remeron Mirtazapine TABLET 2

NC Remeron SolTab Mirtazapine TABLET DISPERSIBLE 2

*Antidepressants - Misc.*** NC Ludiomil Maprotiline HCl TABLET 2

NC Wellbutrin 75MG Bupropion HCl 2

NC Wellbutrin SR BuPROPion HCl ER (SR) 2

NC Wellbutrin XL BuPROPion HCl ER (XL) 2

*Monoamine Oxidase Inhibitors (MAOIs)*** 4 Emsam

4 Marplan

NC Nardil Phenelzine Sulfate TABLET 2

NC Parnate Tranylcypromine Sulfate TABLET 2

*Selective Serotonin Reuptake Inhibitors (SSRIs)*** NC CeleXA Citalopram Hydrobromide TABLET 1

NC Lexapro Escitalopram Oxalate TABLET 2

NC Luvox FluvoxaMINE Maleate TABLET 2

4 Paxil Paroxetine


NC Paxil CR PARoxetine HCl ER 2

NC PROzac FLUoxetine HCl CAPSULE 1

NC Zoloft Sertraline HCl TABLET 2

*Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)***

NC Cymbalta DULoxetine HCl DELAYED RELEASE PARTICLES 2

NC Effexor Venlafaxine HCl TABLET 2

NC Effexor XR Venlafaxine HCl ER 2

NC Pristiq Desvenlafaxine Succinate ER 2

*Tricyclic Agents*** NC Anafranil ClomiPRAMINE HCl CAPSULE 2

NC Asendin Amoxapine TABLET 2

NC Elavil Amitriptyline HCl TABLET 1

NC Norpramin Desipramine HCl TABLET 2

NC Pamelor Nortriptyline HCl CAPSULE 1

NC Sinequan Doxepin HCl CAPSULE 2

NC Surmontil Trimipramine Maleate CAPSULE 2

NC Tofranil Imipramine HCl TABLET 2

NC Vivactil Protriptyline HCl TABLET 2

*ANTIDIABETICS* *Alpha-Glucosidase Inhibitors*** NC Precose Acarbose TABLET 2

*Antidiabetic - Amylin Analogs*** 3 SymlinPen

*Biguanides*** NC Glucophage MetFORMIN HCl TABLET 1

NC Glucophage ER MetFORMIN HCl ER 1

*Diabetic Other*** 3 Glucagon Emergency

4 Proglycem

*Dipeptidyl Peptidase-4 (DPP-4) Inhibitors*** 4 Januvia

4 Onglyza

3 Tradjenta

*Dipeptidyl Peptidase-4 Inhibitor-Biguanide Combinations***

3 Jentadueto

3 Jentadueto XR

*Human Insulin*** 3 HumuLIN 70/30 (70-30)

3 HumuLIN N

3 HumuLIN R U-500 (CONCENTRATED0)

4 Lantus

3 Levemir

3 Levemir FlexTouch

3 NovoLIN R

3 NovoLOG

3 NovoLOG FlexPen

3 NovoLOG Mix 70/30 (70-30)

3 NovoLOG Mix 70/30 FlexPen (70-30)

3 Tresiba FlexTouch

*Incretin Mimetic Agents (GLP-1 Receptor Agonists)*** 3 Bydureon

3 Byetta

3 Tanzeum

3 Victoza

*Meglitinide Analogues*** NC Starlix Nateglinide TABLET 2

*Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors*** 3 Farxiga


3 Jardiance

*Sulfonylureas*** NC Amaryl Glimepiride TABLET 1

NC Diabeta GlyBURIDE TABLET 1

NC Diabinese ChlorproPAMIDE TABLET 2

NC Glucotrol GlipiZIDE TABLET 1

NC Glynase GlyBURIDE Micronized TABLET 2

NC Orinase TOLBUTamide TABLET 2

NC Tolinase TOLAZamide TABLET 2

*Thiazolidinediones*** NC Actos Pioglitazone HCl TABLET 2

*ANTIDIARRHEALS* *Antiperistaltic Agents*** NC Imodium Loperamide HCl CAPSULE 2

NC Lomotil Diphenoxylate-Atropine TABLET 2

*ANTIDOTES* *Antidotes - Chelating Agents*** 5 Exjade

*Opioid Antagonists*** 4 Narcan

NC ReVia Naltrexone HCl TABLET 2

*ANTIEMETICS* *5-HT3 Receptor Antagonists*** NC Zofran Ondansetron HCl TABLET 2

NC Zofran ODT Ondansetron TABLET DISPERSIBLE 2

*Antiemetics - Anticholinergic*** NC Tigan Trimethobenzamide HCl CAPSULE 2

*Antiemetics - Miscellaneous*** NC Marinol Dronabinol CAPSULE 2

*Substance P/Neurokinin 1 (NK1) Receptor Antagonists***

NC Emend Aprepitant CAPSULE 4

*ANTIFUNGALS* *Antifungals*** NC Ancobon Flucytosine CAPSULE 2

NC Grifulvin V Griseofulvin Microsize SUSPENSION 2

NC LamISIL Terbinafine HCl TABLET 2

NC Mycostatin Nystatin TABLET 2

*Imidazoles*** NC Nizoral Ketoconazole TABLET 2

*Triazoles*** NC Diflucan Fluconazole TABLET 2

NC Sporanox Itraconazole CAPSULE 2

*ANTIHISTAMINES* *Antihistamines - Non-Sedating*** NC Xyzal 5MG Levocetirizine Dihydrochloride TABLET 2

*Antihistamines - Phenothiazines*** NC Phenergan Promethazine HCl TABLET 2

*Antihistamines - Piperidines*** NC Periactin Cyproheptadine 2

*ANTIHYPERLIPIDEMICS* *Antihyperlipidemics - Misc.*** 5 Kynamro

NC Lovaza Omega-3-acid Ethyl Esters CAPSULE 2

*Bile Acid Sequestrants*** NC Prevalite Cholestyramine Light POWDER 2

NC Questran Cholestyramine 2

4 Welchol 4

*Fibric Acid Derivatives*** NC Lopid Gemfibrozil TABLET 2

NC Tricor Fenofibrate TABLET 2

NC Trilipix Fenofibric Acid CAPSULE DELAYED RELEASE 2

*HMG CoA Reductase Inhibitors*** NC Crestor Rosuvastatin Calcium TABLET 2

NC Lipitor Atorvastatin Calcium TABLET 2

NC Mevacor Lovastatin TABLET 1

NC Pravachol Pravastatin Sodium 2

NC Zocor Simvastatin TABLET 2

*Intestinal Cholesterol Absorption Inhibitors*** NC Zetia Ezetimibe TABLET 2

*Nicotinic Acid Derivatives*** NC Niaspan 500MG Niacin ER (Antihyperlipidemic) Tablet Extended Release

2

*ANTIHYPERTENSIVES* *ACE Inhibitors & Thiazide/Thiazide-Like*** NC Zestoretic Lisinopril-Hydrochlorothiazide TABLET 1


*ACE Inhibitors*** NC Altace Ramipril CAPSULE MG Oral 2

NC Lotensin Benazepril HCl TABLET 1

NC Monopril Fosinopril Sodium TABLET 2

NC Vasotec Enalapril Maleate TABLET 2

NC Zestril Lisinopril TABLET 1

*Angiotensin II Receptor Antag & Thiazide/Thiazide-Like***

NC Hyzaar Losartan Potassium-HCTZ TABLET 2

*Angiotensin II Receptor Antagonists*** NC Cozaar Losartan Potassium TABLET 2

NC Diovan Valsartan TABLET 2

NC Micardis Telmisartan TABLET 2

*Antiadrenergics - Centrally Acting*** NC Aldomet Methyldopa TABLET 2

NC Catapres CloNIDine HCl TABLET 1

NC Tenex GuanFACINE HCl TABLET 2

*Antiadrenergics - Peripherally Acting*** NC Cardura Doxazosin Mesylate TABLET l 2

NC Hytrin Terazosin HCl CAPSULE 1

NC Minipress Prazosin HCl CAPSULE 2

*Direct Renin Inhibitors*** 4 Tekturna

*Selective Aldosterone Receptor Antagonists (SARAs)*** NC Inspra Eplerenone TABLET 2

*Vasodilators*** NC Apresoline HydrALAZINE HCl TABLET 2

NC Loniten Minoxidil TABLET 2

*ANTI-INFECTIVE AGENTS - MISC.* *Anti-infective Agents - Misc.*** NC Flagyl MetroNIDAZOLE TABLET 2

4 Nebupent

NC Vancocin Vancomycin HCl CAPSULE 5

NC Proloprim Trimethoprim TABLET 2

*Anti-infective Misc. - Combinations*** NC Bactrim DS Sulfamethoxazole-Trimethoprim TABLET 2

NC Septra Sulfamethoxazole-Trimethoprim TABLET 2

*Antiprotozoal Agents*** 5 Alinia

NC Mepron Atovaquone SUSPENSION 2

*Leprostatics*** 2 Dapsone

*Lincosamides*** NC Cleocin Clindamycin HCl CAPSULE 2

*Oxazolidinones*** NC Zyvox Linezolid TABLET 2

*ANTIMALARIALS* *Antimalarial Combinations*** 4 Coartem

NC Malarone Atovaquone-Proguanil HCl TABLET 2

*Antimalarials*** NC Aralen Chloroquine Phosphate TABLET 2

5 Daraprim

NC Lariam Mefloquine HCl TABLET 2

NC Plaquenil Hydroxychloroquine Sulfate TABLET 2

NC Qualaquin QuiNINE Sulfate CAPSULE 2

*ANTIMYASTHENIC AGENTS* *Antimyasthenic/Cholinergic Agents*** NC Mestinon ER Pyridostigmine Bromide ER Tablet Extended Release 2

*ANTIMYASTHENIC/CHOLINERGIC AGENTS*

NC Mestinon Pyridostigmine Bromide TABLET 2

*ANTIMYCOBACTERIAL AGENTS* *Antimycobacterial Agents*** 2 Isoniazid TABLET

NC Myambutol Ethambutol HCl TABLET 2

NC Mycobutin Rifabutin CAPSULE 2

4 Paser

4 Priftin

2 Pyrazinamide TABLET


NC Rimactane/Rifidin Rifampin CAPSULE 2

4 Sirturo

4 Trecator

*Antineoplastic - BCL-2 Inhibitors*** *Antineoplastic - BCL-2 Inhibitors*** 5 Venclexta

*ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES*

*Alkylating Agents*** 3 Hexalen

*Androgen Biosynthesis Inhibitors*** 5 Zytiga

*Antiadrenals*** 3 Lysodren

*Antiandrogens*** NC Casodex Bicalutamide TABLET 2

NC Eulexin Flutamide CAPSULE 2

3 Nilandron

6 Xtandi

*Antiestrogens*** 5 Fareston

NC Nolvadex Tamoxifen Citrate TABLET 2

*Antimetabolites*** NC Purinethol Mercaptopurine TABLET 2

NC Trexall Methotrexate TABLET 2

NC Xeloda Capecitabine TABLET 5

*Antineoplastic - BRAF Kinase Inhibitors*** 5 Tafinlar

5 Zelboraf

*Antineoplastic - Hedgehog Pathway Inhibitors*** 5 Erivedge

5 Odomzo

*Antineoplastic - Histone Deacetylase Inhibitors*** 5 Farydak

5 Zolinza

*Antineoplastic - Immunomodulators*** 5 Pomalyst

*Antineoplastic - MEK Inhibitors*** 5 Cotellic

5 Mekinist

*Antineoplastic - mTOR Kinase Inhibitors*** 5 Afinitor

5 Afinitor Disperz

*Antineoplastic - Multikinase Inhibitors*** 5 NexAVAR

5 Rydapt

5 Stivarga

5 Sutent

*Antineoplastic - Proteasome Inhibitors*** 5 Ninlaro

*Antineoplastic - Tyrosine Kinase Inhibitors*** 5 Alecensa

5 Bosulif

NC Caprelsa Vandetanib 5

5 Cometriq

5 Gilotrif

NC Gleevec Imatinib Mesylate TABLET 5

5 Iclusig

5 Imbruvica

5 Inlyta

5 Iressa

5 Lenvima

5 Nerlynx

6 Sprycel


5 Tagrisso

5 Tarceva

6 Tasigna

5 Tykerb

5 Votrient

5 Xalkori

5 Zykadia

*Antineoplastic Combinations*** 5 Lonsurf

*Antineoplastics Misc.*** 5 Actimmune

NC Hydrea Hydroxyurea CAPSULE 2

3 Matulane

5 Sylatron

*Aromatase Inhibitors*** NC Arimidex Anastrozole TABLET 2

NC Aromasin Exemestane TABLET l 2

NC Femara Letrozole TABLET 2

*Estrogens-Antineoplastic*** 5 Emcyt

*Folic Acid Antagonists Rescue Agents*** NC Wellcovorin Leucovorin Calcium TABLET 2

*Imidazotetrazines*** NC Temodar Temozolomide CAPSULE 5

*Janus Associated Kinase (JAK) Inhibitors*** 5 Jakafi

*Mitotic Inhibitors*** 5 Etoposide

*Nitrogen Mustards*** 5 Alkeran

NC Cytoxan Cyclophosphamide CAPSULE 2

3 Leukeran

*Nitrosoureas*** NC CeeNU Gleostine CAPSULE 5

*Progestins-Antineoplastic*** NC Megace Megestrol Acetate 2

*Retinoids*** NC Vesanoid Tretinoin CAPSULE 5

*Urinary Tract Protective Agents*** 4 Mesnex

*ANTIPARKINSON AGENTS* *Antiparkinson Anticholinergics*** NC Artane Trihexyphenidyl HCl 2

NC Cogentin Benztropine Mesylate TABLET 2

*Antiparkinson Dopaminergics*** NC Parlodel Bromocriptine Mesylate TABLET 2

NC Symmetrel Amantadine HCl CAPSULE 2

*Antiparkinson Monoamine Oxidase Inhibitors*** NC Azilect Rasagiline Mesylate TABLET 4

NC Eldepryl Selegiline HCl TABLET 2

*Levodopa Combinations*** NC Sinemet Carbidopa-Levodopa TABLET 2

NC Sinemet CR Carbidopa-Levodopa ER Tablet Extended Release 2

*Nonergoline Dopamine Receptor Agonists*** NC Mirapex Pramipexole Dihydrochloride TABLET 2

4 Neupro

NC Requip ROPINIRole HCl TABLET 2

NC Requip XL ROPINIRole HCl ER Tablet Extended Release 24 Hour 2

*Peripheral COMT Inhibitors*** NC Comtan Entacapone TABLET 2

*ANTIPSYCHOTICS/ANTIMANIC AGENTS* *Antimanic Agents*** NC Lithobid Lithium Carbonate ER Tablet Extended Release 2

*Antipsychotics - Misc.*** NC Geodon Ziprasidone HCl CAPSULE 2

5 Latuda

*Benzisoxazoles*** 5 Fanapt

NC Invega Paliperidone ER Tablet Extended Release 24 Hour 2


NC RisperDAL RisperiDONE TABLET 2

NC RisperDAL M-TAB RisperiDONE TABLET DISPERSIBLE 2

*Butyrophenones*** NC Haldol Haloperidol TABLET 2

*Dibenzodiazepines*** NC Clozaril CloZAPine TABLET 2

NC FazaClo CloZAPine TABLET DISPERSIBLE 2

*Dibenzo-oxepino Pyrroles*** 5 Saphris

*Dibenzothiazepines*** NC SEROquel QUEtiapine Fumarate TABLET 2

NC SEROquel XR QUEtiapine Fumarate ER Tablet Extended Release 24 Hour

2

*Dibenzoxazepines*** NC Loxitane Loxapine Succinate CAPSULE 2

*Phenothiazines*** NC Compazine Prochlorperazine Maleate TABLET 2

NC Mellaril Thioridazine HCl TABLET L 2

NC Prolixin FluPHENAZine HCl TABLET 2

NC Stelazine Trifluoperazine HCl TABLET 2

NC Thorazine ChlorproMAZINE HCl TABLET 2

NC Trilafon Perphenazine TABLET 2

*Quinolinone Derivatives*** NC Abilify ARIPiprazole TABLET 2

*Thienbenzodiazepines*** NC ZyPREXA OLANZapine TABLET 2

NC ZyPREXA Zydis OLANZapine TABLET DISPERSIBLE 2

*Thioxanthenes*** NC Navane Thiothixene CAPSULE 2

*Antiretrovirals Adjuvants*** *Antiretrovirals Adjuvants*** 3 Tybost

*ANTIVIRALS* *Antiretroviral Combinations*** 3 Atripla

NC Combivir Lamivudine-Zidovudine TABLET 2

3 Complera

3 Descovy

NC Epzicom Abacavir Sulfate-Lamivudine TABLET 2

3 Evotaz

3 Genvoya

3 Kaletra

3 Odefsey

3 Prezcobix

3 Stribild

3 Triumeq

NC Trizivir Abacavir-Lamivudine-Zidovudine TABLET 2

3 Truvada

*Antiretrovirals - CCR5 Antagonists (Entry Inhibitor)*** 3 Selzentry

*Antiretrovirals - Fusion Inhibitors*** 3 Fuzeon

*Antiretrovirals - Integrase Inhibitors*** 3 Isentress

3 Tivicay

*Antiretrovirals - Protease Inhibitors*** 3 Aptivus

3 Crixivan

3 Invirase

3 Lexiva

3 Norvir

3 Prezista

NC Reyataz Atazanavir Sulfate CAPSULE 2


3 Viracept

*Antiretrovirals - RTI-Non-Nucleoside Analogues*** 3 Edurant

3 Intelence

3 Rescriptor

NC Sustiva Efavirenz CAPSULE 2

NC Viramune Nevirapine TABLET 2

NC Viramune XR Nevirapine ER Tablet Extended Release 24 Hour 2

*Antiretrovirals - RTI-Nucleoside Analogues-Purines*** NC Videx Didanosine CAPSULE DELAYED RELEASE 2

NC Ziagen Abacavir Sulfate TABLET 2

*Antiretrovirals - RTI-Nucleoside Analogues-Pyrimidines***

3 Emtriva

NC Epivir LamiVUDine TABLET 2

*Antiretrovirals - RTI-Nucleoside Analogues-Thymidines***

NC Retrovir Zidovudine CAPSULE 2

NC Zerit Stavudine CAPSULE 2

NC Retrovir Zidovudine SYRUP 2

*Antiretrovirals - RTI-Nucleotide Analogues*** NC Viread Tenofovir Disoproxil Fumarate TABLET 2

*CMV Agents*** NC Valcyte ValGANciclovir HCl TABLET 5

*Hepatitis B Agents*** NC Baraclude Entecavir TABLET 2

NC Epivir HBV LamiVUDine TABLET 2

NC Hepsera Adefovir Dipivoxil TABLET 5

*Hepatitis C Agents*** NC Rebetol Ribavirin CAPSULE 2

*Herpes Agents - Purine Analogues*** NC Valtrex ValACYclovir HCl TABLET 2

NC Zovirax Acyclovir TABLET 2

*Influenza Agents*** NC Flumadine Rimantadine HCl TABLET 2

*Neuraminidase Inhibitors*** 4 Relenza Diskhaler

NC Tamiflu Oseltamivir Phosphate CAPSULE 2

*ASSORTED CLASSES* *Antileprotics*** 5 Thalomid

*Cyclosporine Analogs*** NC Gengraf CycloSPORINE Modified CAPSULE 2

NC Neoral CycloSPORINE Modified SOLUTION 2

NC SandIMMUNE CycloSPORINE CAPSULE 2

*Immunomodulators for Myelodysplastic Syndromes*** 5 Revlimid

*Inosine Monophosphate Dehydrogenase Inhibitors*** NC CellCept Mycophenolate Mofetil CAPSULE 2

NC Myfortic Mycophenolate Sodium Tablet Delayed Release 2

*Irrigation Solutions*** Sterile Water for Irrigation SOLUTION IRRIGATION 2

*Macrolide Immunosuppressants*** NC Prograf Tacrolimus CAPSULE 2

NC Rapamune Sirolimus TABLET 2

5 Zortress

*Purine Analogs*** NC Imuran AzaTHIOprine TABLET 2

*BETA BLOCKERS* *Alpha-Beta Blockers*** NC Coreg Carvedilol TABLET 1

NC Trandate Labetalol HCl TABLET 2

*Beta Blockers Cardio-Selective*** NC Lopressor Metoprolol Tartrate TABLET 1

NC Sectral Acebutolol HCl CAPSULEl 2

NC Tenormin Atenolol TABLET 1

*Beta Blockers Non-Selective*** NC Betapace Sotalol HCl TABLET 2

NC Inderal Propranolol HCl TABLET 2

*CALCIUM CHANNEL BLOCKERS* *Calcium Channel Blockers*** NC Adalat CC NIFEdipine ER Tablet Extended Release 24 Hour 2


NC Calan Verapamil HCl TABLET 2

NC Calan SR Verapamil HCl ER Tablet Extended Release 2

NC Cardizem Diltiazem HCl TABLET 2

NC Cardizem CD DilTIAZem HCl ER Coated Beads CAPSULE EXTENDED RELEASE 24 HOUR

2

NC Nimotop NiMODipine CAPSULE 4

NC Norvasc AmLODIPine Besylate TABLET 1

NC Procardia NIFEdipine CAPSULE 2

*CARDIOTONICS* *Cardiac Glycosides*** NC Lanoxin Digoxin 2

*CARDIOVASCULAR AGENTS - MISC.* *Pulmonary Hypertension - Endothelin Receptor Antagonists***

5 Tracleer

*Pulmonary Hypertension - Phosphodiesterase Inhibitors***

NC Revatio Sildenafil Citrate TABLET 2

*CEPHALOSPORINS* *Cephalosporins - 1st Generation*** NC Keflex Cephalexin 2

*Cephalosporins - 2nd Generation*** NC Ceftin Cefuroxime Axetil 2

NC Ceclor Cefaclor 2

NC Cefzil Cefprozil 2

*Cephalosporins - 3rd Generation*** NC Omnicef Cefdinir 2

NC Suprax Cefixime 2

*CHEMICALS* *Bulk Chemicals - Sa's*** 2 Salicylic Acid POWDER

*Bulk Chemicals - Te's*** 2 Testosterone POWDER

2 Testosterone Propionate POWDER

*Solids*** 2 Menthol CRYSTALS

*CONTRACEPTIVES* *Combination Contraceptives - Oral*** NC Demulen Zovia 1/35E (28) TABLET 2

NC Demulen Kelnor 1/35 TABLET 2

NC Desogen Desogestrel-Ethinyl Estradiol TABLET 0.15-30 MG-MCG Oral

2

NC Lo/Ovral (28) Low-Ogestrel TABLET 0.3-30 MG-MCG ORAL 2

NC Loestrin Fe Junel FE 1.5/30 TABLET 1.5-30 MG-MCG Oral 2

NC Loestrin Fe Gildess FE 1.5/30 TABLET 1.5-30 MG-MCG ORAL 2

NC Loestrin Fe Norethin Ace-Eth Estrad-FE TABLET 1-20 MG-MCG Oral

2

NC Nordette (28) G Levonorgestrel-Ethinyl Estrad TABLET 0.15-30 MG-MCG ORAL

2

NC Ortho-Cyclen (28) Norgestimate-Eth Estradiol TABLET 0.25-35 MG-MCG Oral

2

NC Ortho-Novum (28) Nortrel 1/35 (28) TABLE 2

NC Ortho-Novum (28) Necon 1/35 (28) TABLET 2

NC Ovral Ogestrel TABLET 0.5-50 MG-MCG ORAL 2

NC YAZ Drospirenone-Ethinyl Estradiol TABLET 3-0.02 MG Oral

2

*Combination Contraceptives - Transdermal*** NC Ortho Evra Xulane PATCH WEEKLY 150-35 MCG/24HR Transdermal

7

*Combination Contraceptives - Vaginal*** 7 NuvaRing

*Emergency Contraceptives*** 7 Ella

NC Plan B Levonorgestrel TABLET 1.5 MG Oral 7

*Extended-Cycle Contraceptives - Oral*** NC LoSeasonique Levonorgest-Eth Estrad 91-Day TABLET 0.1-0.02 & 0.01 MG ORAL

7

NC Seasonique Levonorgest-Eth Estrad 91-Day 7

*Progestin Contraceptives - Oral*** NC Ortho Micronor Norethindrone TABLET 0.35 MG Oral 2

*Triphasic Contraceptives - Oral*** NC Ortho Tri-Cyclen (28) Norgestim-Eth Estrad Triphasic TABLET 0.18/0.215/0.25 MG-35 MCG Oral

2

NC Ortho Tri-Cyclen Lo Norgestim-Eth Estrad Triphasic TABLET 0.18/0.215/0.25 MG-25 MCG ORAL

2

*CORTICOSTEROIDS* *Glucocorticosteroids*** NC Cortef Hydrocortisone TABLET 2

NC Cortone Cortisone Acetate TABLET 2

NC Decadron Dexamethasone TABLET 2


NC Deltasone PredniSONE TABLET 2

NC Dexamethasone Intensol Dexamethasone Intensol CONCENTRATE 1 MG/ML ORAL

2

NC Entocort EC Budesonide CAPSULE DELAYED RELEASE PARTICLES 5

NC Medrol MethylPREDNISolone TABLET 2

NC Orapred PrednisoLONE Sodium Phosphate SOLUTION 2

NC Pediapred PrednisoLONE Sodium Phosphate SOLUTION 2

NC Prelone PrednisoLONE SOLUTION 2

*Mineralocorticoids*** NC Florinef Fludrocortisone Acetate TABLET 2

*COUGH/COLD/ALLERGY* *Antitussive - Nonnarcotic*** NC Tessalon Perles Benzonatate CAPSULE 2

*Antitussive - Opioid*** NC Hycodan Hydrocodone-Homatropine SYRUP 2

*Antitussive-Expectorant*** NC Robitussin AC Guaifenesin-Codeine SOLUTION 2

*Antitussive-Expectorants-Decongestant*** NC Robitussin DAC GuaiFENesin DAC SOLUTION 2

*Decongestant & Antihistamine*** NC Phenergan VC Promethazine VC SYRUP 2

*Mucolytics*** NC Acetylcysteine SOLUTION 2

*Non-Narc Antitussive-Antihistamine*** NC Phenergan DM Promethazine-DM SYRUP 2

*Opioid Antitussive-Antihistamine*** NC Phenergan w/Cod Promethazine-Codeine SYRUP 2

*Opioid Antitussive-Decongestant-Antihistamine*** NC Phenergan VC w/Cod Promethazine VC/Codeine SYRUP 2

*Cyclin-Dependent Kinases (CDK) Inhibitors***

*Cyclin-Dependent Kinases (CDK) Inhibitors*** 5 Ibrance

*DERMATOLOGICALS* *Acne Antibiotics*** NC A/T/S Erythromycin SOLUTION 2

NC Cleocin-T Clindamycin Phosphate SWAB 2

*Acne Products*** NC Accutane Zenatane CAPSULE 5

NC Retin-A Tretinoin 2

*Antibiotic Steroid Combinations - Topical*** 3 Cortisporin

*Antibiotics - Topical*** NC Bactroban Mupirocin 2

NC Garamycin Gentamicin Sulfate 2

*Antifungals - Topical Combinations*** NC Lotrisone Clotrimazole-Betamethasone 2

NC Mycolog Nystatin-Triamcinolone External 2

*Antifungals - Topical*** NC Loprox Ciclopirox 2

NC Penlac Ciclopirox SOLUTION 2

Nystatin 2

*Anti-inflammatory Agents - Topical*** NC Voltaren Diclofenac Sodium Transdermal 2

*Antineoplastic Antimetabolites - Topical*** NC Efudex Fluorouracil EXTERNAL 2

*Antineoplastic or Premalignant Lesions - Topical NSAID's***

NC Solaraze Diclofenac Sodium GEL Transdermal 2

*Antineoplastic Retinoids - Topical*** 5 Panretin

*Antipsoriatics - Systemic*** NC Oxsoralen Ultra Methoxsalen Rapid CAPSULE 5

NC Soriatane Acitretin CAPSULE 5

*Antipsoriatics*** NC Dovonex Calcipotriene CREAM 2

4 Tazorac

*Antiseborrheic Products*** NC Selsun Selenium Sulfide LOTION 2

*Antivirals - Topical*** NC Zovirax Acyclovir Ointment 2

*Burn Products*** NC Silvadene Silver Sulfadiazine CREAM 2

*Corticosteroids - Topical*** NC Aristocort Triamcinolone Acetonide 2

3 Cordran

NC Cormax Clobetasol 2

NC Cutivate Fluticasone 2


NC Cutivate Fluticasone Propionate 2

NC DesOwen Desonide 2

NC Diprosone Betamethasone Dipropionate 2

NC Elocon Mometasone 2

NC Hytone Hydrocortisone 2

NC Lidex Fluocinonide 2

NC Lidex-E Fluocinonide-E 2

NC Locoid Hydrocortisone Butyrate 2

NC Maxiflor Diflorasone Diacetate 2

NC Synalar Fluocinolone Acetonide 2

NC Temovate Clobetasol Propionate 2

NC Temovate Clobetasol Propionate 2

NC Temovate E Clobetasol Propionate E 2

NC Topicort Desoximetasone 2

NC Valisone Betamethasone Valerate 2

*Emollient/Keratolytic Agents*** 2 Urea Cream

*Enzymes - Topical*** 4 Santyl

*Imidazole-Related Antifungals - Topical*** NC Nizoral Ketoconazole 2

NC Spectazole Econazole Nitrate 2

*Immunomodulators Imidazoquinolinamines - Topical*** NC Aldara Imiquimod l 2

*Keratolytic/Antimitotic Agents*** NC Condylox Podofilox 2

*Local Anesthetics - Topical*** NC Lidoderm Lidocaine PATCH 2

NC Lidoderm Lidocaine 2

*Macrolide Immunosuppressants - Topical*** 4 Elidel

*Rosacea Agents*** NC MetroCream MetroNIDAZOLE 2

NC Metrogel MetroNIDAZOLE 2

NC MetroLotion MetroNIDAZOLE 2

*Scabicides & Pediculicides*** NC Elimite Permethrin 2

NC Ovide Malathion 2

*Topical Anesthetic Combinations*** NC EMLA Lidocaine-Prilocaine CREAM 2

*DIAGNOSTIC PRODUCTS* *Diagnostic Tests*** 2 Bayer Contour Test STRIP

2 Bayer Contour Next Test STRIP

2 Bayer Breeze 2 Test DISK

*DIGESTIVE AIDS* *Digestive Enzymes*** 3 Creon

3 Pancreaze

3 Pancreaze CAPSULE DELAYED RELEASE

4 Zenpep

4 Zenpep CAPSULE DELAYED RELEASE

*DIURETICS* *Carbonic Anhydrase Inhibitors*** NC Diamox Sequels AcetaZOLAMIDE ER CAPSULE EXTENDED RELEASE 12 HOUR

2

NC Neptazane Methazolamide TABLET 2

*Diuretic Combinations*** NC Aldactazide Spironolactone-HCTZ TABLET 2

NC Dyazide Triamterene-HCTZ CAPSULE 2

NC Maxzide Triamterene-HCTZ TABLET 1

NC Maxzide Triamterene-HCTZ TABLET 1

*Loop Diuretics*** NC Bumex Bumetanide TABLET 1


NC Edecrin Ethacrynic Acid TABLET 5

NC Lasix Furosemide TABLET 1

*Potassium Sparing Diuretics*** NC Aldactone Spironolactone TABLET 2

NC Midamor AMILoride HCl TABLET 2

*Thiazides and Thiazide-Like Diuretics*** 4 Diuril Chlorothiazide

NC Enduron Methyclothiazide TABLET 2

NC Hydrodiuril HydroCHLOROthiazide TABLET 1

NC Hygroton Chlorthalidone TABLET 2

NC Zaroxolyn Metolazone TABLET 2

*ENDOCRINE AND METABOLIC AGENTS - MISC.*

*Bisphosphonates*** NC Fosamax Alendronate Sodium TABLET 1

*Calcimimetic Agents*** 5 Sensipar

*Calcitonins*** NC Miacalcin Calcitonin (Salmon) SOLUTION NASAL 2

*Dopamine Receptor Agonists*** NC Dostinex Cabergoline TABLET 2

*Growth Hormones*** 5 Omnitrope 5MG/1.5ML

*Hyperparathyroid Treatment - Vitamin D Analogs*** NC Rocaltrol Calcitriol 2

NC Zemplar Paricalcitol CAPSULE 2

*Insulin-Like Growth Factors (Somatomedins)*** 5 Increlex

*LHRH/GnRH Agonist Analog Pituitary Suppressants*** 4 Synarel NASAL

*Parathyroid Hormone And Derivatives*** 5 Forteo

*Selective Estrogen Receptor Modulators (SERMs)*** NC Evista Raloxifene HCl TABLET 2

*Somatostatic Agents*** NC SandoSTATIN Octreotide Acetate SOLUTION 4

*Vasopressin*** NC DDAVP Desmopressin Acetate Spray 2

5 Stimate

*ESTROGENS* *Estrogen & Androgen*** NC Estratest Est Estrogens-Methyltest TABLET 2

*Estrogen & Progestin*** 3 Premphase

3 Prempro

*Estrogens*** NC Climara Estradiol PATCH WEEKLY Transdermal 2

NC Estrace Estradiol TABLET 1

4 Menest

NC Ogen Estropipate TABLET 2

3 Premarin

*Estrogen-Selective Estrogen Receptor Modulator Comb***

*Estrogen-Selective Estrogen Receptor Modulator Comb***

3 Duavee

*FLUOROQUINOLONES* *Fluoroquinolones*** NC Cipro Ciprofloxacin HCl TABLET 2

NC Levaquin Levofloxacin TABLET 2

*GASTROINTESTINAL AGENTS - MISC.* *Gallstone Solubilizing Agents*** NC Actigall Ursodiol CAPSULE 2

*Gastrointestinal Antiallergy Agents*** NC Gastrocrom Cromolyn Sodium CONCENTRATEl 2

4 Amitiza

*Gastrointestinal Stimulants*** NC Reglan Metoclopramide HCl TABLET 1

*IBS Agent - Guanylate Cyclase-C (GC-C) Agonists*** 3 Linzess

*IBS Agent - Selective 5-HT3 Receptor Antagonists*** NC Lotronex Alosetron HCl TABLET 5

*Inflammatory Bowel Agents*** NC Asacol HD Mesalamine Tablet Delayed Release 2

NC Azulfidine SulfaSALAzine TABLET 2

3 Canasa

NC Colazal Balsalazide Disodium CAPSULE 2

4 Dipentum


NC Rowasa Mesalamine ENEMA 2

*Intestinal Acidifiers*** NC Cephulac Lactulose Encephalopathy SOLUTION 2

*Peripheral Opioid Receptor Antagonists*** 3 Movantik

5 Relistor

*Phosphate Binder Agents*** 5 Fosrenol

NC PhosLo Calcium Acetate (Phos Binder) CAPSULE 2

*GENITOURINARY AGENTS - MISCELLANEOUS*

*5-Alpha Reductase Inhibitors*** NC Avodart Dutasteride CAPSULE 2

NC Proscar Finasteride TABLET 2

*Alpha 1-Adrenoceptor Antagonists*** NC Flomax Tamsulosin HCl CAPSULE 2

NC Uroxatral Alfuzosin HCl ER Tablet Extended Release 24 Hour 2

*Citrates*** NC Urocit-K Potassium Citrate ER Tablet Extended Release 2

2 Cytra-K Potassium Citrate-Citric Acid 2

*Cystinosis Agents*** 5 Cystagon

*Genitourinary Irrigants*** 2 Sodium Chloride SOLUTION

*Interstitial Cystitis Agents*** 4 Elmiron

*GOUT AGENTS* *Gout Agent Combinations*** NC Colbenemid Colchicine-Probenecid TABLET 2

*Gout Agents*** NC Colcrys Colchicine TABLET 2

NC Zyloprim Allopurinol TABLET 1

*Uricosurics*** NC Benemid Probenecid TABLET 2

*HEMATOLOGICAL AGENTS - MISC.* *Cyclopentyltriazolopyrimidine (CPTP) Derivatives*** 4 Brilinta

*Hematorheologic Agents*** NC TRENtal Pentoxifylline ER Tablet Extended Release 2

*Phosphodiesterase III Inhibitors*** NC Pletal Cilostazol TABLET 2

*Platelet Aggregation Inhibitor Combinations*** NC Aggrenox Aspirin-Dipyridamole ER CAPSULE EXTENDED RELEASE 12 HOUR

2

*Platelet Aggregation Inhibitors*** NC Persantine Dipyridamole TABLET 2

*Quinazoline Agents*** NC Agrylin Anagrelide HCl CAPSULE 2

*Thienopyridine Derivatives*** NC Plavix Clopidogrel Bisulfate TABLET 2

*HEMATOPOIETIC AGENTS* *Cobalamins*** Cyanocobalamin SOLUTION 2

*Cytotoxic Agents*** 3 Droxia

*Erythropoietins*** 5 Aranesp (Albumin Free)

5 Procrit

*Folic Acid/Folates*** 7 Folic Acid 400mcg TABLET

7 Folic Acid 800mcg TABLET

2 Folic Acid 1mg TABLET

*Granulocyte Colony-Stimulating Factors (G-CSF)*** 5 Neupogen

*Iron Combinations*** 2 Ferocon CAPSULE

*Thrombopoietin (TPO) Receptor Agonists*** 5 Promacta

*HEMOSTATICS* *Hemostatics - Systemic*** 5 Amicar

NC Lysteda Tranexamic Acid TABLET 2

*Hepatitis C Agent - Combinations*** *Hepatitis C Agent - Combinations*** 5 Mavyret

6 Technivie

*HYPNOTICS* *Barbiturate Hypnotics*** 2 PHENobarbital

*Benzodiazepine Hypnotics*** NC Dalmane Flurazepam HCl CAPSULE 2

NC Restoril Temazepam CAPSULE 2

*Non-Benzodiazepine - GABA-Receptor Modulators*** NC Ambien Zolpidem Tartrate TABLET 2

NC Sonata Zaleplon CAPSULE 2


*Selective Melatonin Receptor Agonists*** 4 Rozerem

*Isocitrate Dehydrogenase-2 (IDH2) Inhibitors***

*Isocitrate Dehydrogenase-2 (IDH2) Inhibitors*** 5 IDHIFA

*LAXATIVES* *Bowel Evacuant Combinations*** 2 Golytely SOLUTION

*Laxatives - Miscellaneous*** NC Cephulac Lactulose SOLUTION 2

*MACROLIDES* *Azithromycin*** NC Zithromax Azithromycin 2

*Clarithromycin*** NC Biaxin Clarithromycin 2

*Erythromycins*** 3 E.E.S.

3 Erythrocin Stearate

3 Erythromycin Base

*MEDICAL DEVICES* *Cervical Caps*** 7 FemCap DEVICE 22 MM VAGINAL

7 FemCap DEVICE 26 MM VAGINAL


*Condoms - Female*** 7 FC2 Female Condom

*Diaphragms*** 7 Caya DIAPHRAGM VAGINAL

*Glucose Monitoring Test Supplies*** 2 Lancets Thin

*Needles & Syringes*** 3 BD Insulin Syringe U-500

3 BD Safety-Lok Insulin Syringe

3 Leader Unifine Pentips

3 Pen Needles

2 Ultra-Thin II Insulin Syringe

*MIGRAINE PRODUCTS* *Ergot Combinations*** NC Migergot Migergot SUPPOSITORY 2

*Migraine Combinations*** NC Midrin Isometheptene-Dichloral-APAP CAPSULE 2

*Selective Serotonin Agonists 5-HT(1)*** NC Imitrex SUMAtriptan 2

NC Imitrex STATdose System SUMAtriptan 2

NC Maxalt Rizatriptan Benzoate TABLET 2

*MINERALS & ELECTROLYTES* *Fluoride*** NC Luride Sodium Fluoride SOLUTION 2

*Phosphate*** 4 K-Phos

NC K-Phos-Neutral Phospha 250 Neutral TABLET 2

*Potassium*** NC Effer-K Potassium Bicarbonate TABLET EFFERVESCENT 2

NC K-Lor Potassium Chloride PACKET 2

NC K-Tab Potassium Chloride ER Tablet Extended Release 2

*MOUTH/THROAT/DENTAL AGENTS* *Anesthetics Topical Oral*** NC Xylocaine Lidocaine Viscous SOLUTION 2 % Mouth/Throat 2

*Anti-infectives - Throat*** NC Mycelex Clotrimazole TROCHE MOUTH/THROAT 2

Nystatin SUSPENSION Mouth/Throat 2

*Antiseptics - Mouth/Throat*** NC Periogard Chlorhexidine Gluconate SOLUTION Mouth/Throat 2

*Fluoride Dental Products*** NC PreviDent 5000 Dry Mouth SF GEL DENTAL 2

*Saliva Stimulants*** NC Salagen Pilocarpine HCl TABLET 2

*Steroids - Mouth/Throat*** NC Kenalog Orabase Triamcinolone Acetonide PASTE 0.1 % Mouth/Throat 2

*MULTIVITAMINS* *Ped Multi Vitamins w/Fl & FE*** 2 Multi-Vit/Fluoride/Iron

*Ped MV w/ Fluoride*** 2 Multivitamin/Fluoride

*Prenatal MV & Min w/FE-FA*** 2 PNV Prenatal Plus Multivitamin TABLET

Trinate TABLET ORAL 2

*MUSCULOSKELETAL THERAPY AGENTS* *Central Muscle Relaxants*** NC Flexeril Cyclobenzaprine HCl TABLET 2

NC Lioresal Baclofen TABLET 2

NC Robaxin Methocarbamol TABLET 2


NC Soma Carisoprodol TABLET 2

NC Zanaflex TiZANidine HCl TABLET 2

*NASAL AGENTS - SYSTEMIC AND TOPICAL*

*Nasal Anticholinergics*** NC Atrovent Ipratropium Bromide SOLUTION NASAL 2

*Nasal Antihistamines*** NC Astelin Azelastine HCl SOLUTION NASAL 2

NC Patanase Olopatadine HCl SOLUTION Nasal 2

*Nasal Steroids*** NC Flonase Fluticasone Propionate SUSPENSION Nasal 2

NC Nasalide Flunisolide SOLUTION ) Nasal 2

*NEUROMUSCULAR AGENTS* *Benzathiazoles*** NC Rilutek Riluzole TABLET 2

*OPHTHALMIC AGENTS* *Beta-blockers - Ophthalmic Combinations*** NC Cosopt Dorzolamide HCl-Timolol Mal SOLUTION Ophthalmic 2

*Beta-blockers - Ophthalmic*** NC Betagan Levobunolol HCl SOLUTION Ophthalmic 1

3 Betoptic-S

NC Betoptic-S Betaxolol HCl SOLUTION OPHTHALMIC 2

NC Ocupress Carteolol HCl SOLUTION Ophthalmic 2

NC Timoptic Timolol Maleate SOLUTION Ophthalmic 1

*Cycloplegic Mydriatics*** 2 Atropine Sulfate OINTMENT OPHTHALMIC

3 Cyclogyl Cyclopentolate HCl SOLUTION OPHTHALMIC 2

NC Isopto Atropine Atropine Sulfate SOLUTION OPHTHALMIC 2

NC Isopto Homatropine Homatropaire SOLUTION OPHTHALMIC 2

NC Mydriacyl Tropicamide SOLUTION Ophthalmic 2

*Miotics - Cholinesterase Inhibitors*** 3 Phospholine Iodide

*Miotics - Direct Acting*** NC Isopto Carpine Pilocarpine HCl SOLUTION Ophthalmic 2

*Ophthalmic Antiallergic*** 3 Alomide

NC Crolom Cromolyn Sodium SOLUTION OPHTHALMIC 2

NC Optivar Azelastine HCl SOLUTION OPHTHALMIC 2

*Ophthalmic Antibiotics*** 2 Bacitracin OINTMENT OPHTHALMIC

NC Ciloxan Ciprofloxacin HCl SOLUTION Ophthalmic 2

3 Ciloxan Ciprofloxacin Ointment Ophthalmic

NC Garamycin Gentamicin Sulfate SOLUTION Ophthalmic 2

NC Ilotycin Erythromycin Ointment Ophthalmic 2

3 Moxeza

NC Ocuflox Ofloxacin SOLUTION Ophthalmic 2

NC Quixin Levofloxacin SOLUTION OPHTHALMIC 2

NC Tobrex Tobramycin SOLUTION Ophthalmic 2

NC Vigamox Moxifloxacin HCl SOLUTION Ophthalmic 2

*Ophthalmic Antifungal*** 3 Natacyn

*Ophthalmic Anti-infective Combinations*** NC Neosporin Neomycin-Polymyxin-Gramicidin SOLUTION OPHTHALMIC

2

NC Neosporin Neomycin-Bacitracin Zn-Polymyx OINTMENT OPHTHALMIC

2

NC Polysporin Bacitracin-Polymyxin B Ointment 500-10000 UNIT/GM Ophthalmic

2

NC Polytrim Polymyxin B-Trimethoprim SOLUTION Ophthalmic 2

*Ophthalmic Antivirals*** NC Viroptic Trifluridine SOLUTION Ophthalmic 2

4 Zirgan

*Ophthalmic Carbonic Anhydrase Inhibitors*** NC Trusopt Dorzolamide HCl SOLUTION Ophthalmic 2

*Ophthalmic Immunomodulators*** 3 Restasis Multidose

*Ophthalmic Local Anesthetics*** NC Alcaine Proparacaine HCl SOLUTION OPHTHALMIC 2

NC Tetcaine Tetracaine HCl SOLUTION OPHTHALMIC 2


*Ophthalmic Nonsteroidal Anti-inflammatory Agents*** NC Acular Ketorolac Tromethamine SOLUTION Ophthalmic 2

NC Acular LS Ketorolac Tromethamine SOLUTION OPHTHALMIC 2

3 Ilevro

3 Nevanac

NC Ocufen Flurbiprofen Sodium SOLUTION Ophthalmic 2

NC Voltaren Diclofenac Sodium SOLUTION Ophthalmic 2

*Ophthalmic Selective Alpha Adrenergic Agonists*** NC Alphagan Brimonidine Tartrate SOLUTION OPHTHALMIC 2

NC Iopidine Apraclonidine HCl SOLUTION OPHTHALMIC 2

*Ophthalmic Steroid Combinations*** 3 Blephamide

3 Blephamide S.O.P.

NC Cortisporin Neomycin-Polymyxin-HC SUSPENSION OPHTHALMIC 2

NC Maxitrol Neomycin-Polymyxin-Dexameth OPHTHALMIC 2

NC Neomycin Bacitra-Neomycin-Polymyxin-HC OINTMENT OPHTHALMIC

2

3 Pred-G

3 Pred-G S.O.P.

NC TobraDex Tobramycin-Dexamethasone SUSPENSION OPHTHALMIC

2

NC Vasocidin Sulfacetamide-Prednisolone SOLUTION Ophthalmic 2

*Ophthalmic Steroids*** 4 Alrex

NC Decadron Dexamethasone Sodium Phosphate SOLUTION OPHTHALMIC

2

3 FML

3 FML Forte

NC FML Liquifilm Fluorometholone SUSPENSION Ophthalmic 2

NC Inflamase Forte PrednisoLONE Sodium Phosphate SOLUTION OPHTHALMIC

2

4 Lotemax

NC Omnipred PrednisoLONE Acetate SUSPENSION OPHTHALMIC 2

3 Pred Mild

*Ophthalmic Sulfonamides*** NC Bleph-10 Sulfacetamide Sodium SOLUTION Ophthalmic 2

*Prostaglandins - Ophthalmic*** 3 Travatan Z

NC Xalatan Latanoprost SOLUTION Ophthalmic 2

*OTIC AGENTS* *Otic Agents - Miscellaneous*** 2 Acetic Acid SOLUTION OTIC

NC Domboro Otic Acetic Acid-Aluminum Acetate SOLUTION Otic 2

*Otic Anti-infectives*** NC Floxin Otic Ofloxacin SOLUTION Otic 2

*Otic Steroid-Anti-infective Combinations*** 3 Ciprodex

NC Cortisporin Solution Neomycin-Polymyxin-HC SOLUTION OTIC 2

NC Cortisporin Suspension Neomycin-Polymyxin-HC SUSPENSION OTIC 2

*Otic Steroids*** NC DermOtic Fluocinolone Acetonide Oil Otic 2

*OXYTOCICS* *Oxytocics*** 5 Methergine

*PENICILLINS* *Aminopenicillins*** NC Amoxil Amoxicillin SUSPENSION RECONSTITUTED 2

NC Principen Ampicillin CAPSULE 500 2

*Natural Penicillins*** NC Pen-Vee K Penicillin V Potassium TABLET 2

*Penicillin Combinations*** NC Augmentin Amoxicillin-Pot Clavulanate ER Tablet Extended Release 12 Hour l

2

*Penicillinase-Resistant Penicillins*** NC Dycill Dicloxacillin Sodium CAPSULE 2

*PHARMACEUTICAL ADJUVANTS* *Oral Vehicles*** 2 Simple Syrup SYRUP Oral

*Phosphatidylinositol 3-Kinase (PI3K) Inhibitors***

*Phosphatidylinositol 3-Kinase (PI3K) Inhibitors*** 5 Zydelig

*Phosphodiesterase 4 (PDE4) Inhibitors - Topical***

*Phosphodiesterase 4 (PDE4) Inhibitors - Topical*** 3 Eucrisa


*Poly (ADP-ribose) Polymerase (PARP) Inhibitors**

*Poly (ADP-ribose) Polymerase (PARP) Inhibitors** 5 Lynparza

5 Zejula

*Potassium Removing Agents*** *Potassium Removing Agents*** NC Kayexalate Kionex POWDER ORAL 2

NC Kayexelate Sodium Polystyrene Sulfonate SUSPENSION 2

*PROGESTINS* *Progestins*** NC Aygestin Norethindrone Acetate TABLET 2

NC Prometrium Progesterone Micronized CAPSULE 2

NC Provera MedroxyPROGESTERone Acetate TABLET 1

*PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.*

*Alcohol Deterrents*** NC Antabuse Disulfiram TABLET 2

NC Campral Acamprosate Calcium Tablet Delayed Release 2

*Anti-Cataplectic Agents*** 5 Xyrem

*Cholinomimetics - ACHE Inhibitors*** NC Aricept Donepezil HCl TABLET 2

NC Aricept ODT Donepezil HCl TABLET DISPERSIBLE 2

NC Razadyne Galantamine Hydrobromide TABLET 2

NC Razadyne ER Galantamine Hydrobromide ER CAPSULE EXTENDED RELEASE 24 HOUR

2

*Fibromyalgia Agent - SNRIs*** 3 Savella

*Movement Disorder Drug Therapy*** NC Xenazine Tetrabenazine TABLET 5

*Multiple Sclerosis Agents - Interferons*** 5 Avonex

5 Betaseron

5 Rebif

*Multiple Sclerosis Agents*** NC Copaxone Glatopa Solution Prefilled Syringe Subcutaneous 5

*N-Methyl-D-Aspartate (NMDA) Receptor Antagonists*** NC Namenda Memantine HCl TABLET 2

*Pseudobulbar Affect Agent Combinations*** 4 Nuedexta

*Psychotherapeutic and Neurological Agents - Misc.*** NC Hydergine Ergoloid Mesylates TABLET 2

NC Orap Pimozide TABLET 2

*Smoking Deterrents*** 4 Chantix

NC Nicoderm Nicotine Patch 24 Hour Transdermal 7

NC Nicorette Gum Nicotine Polacrilex GUM 7

NC Nicorette Lozenge Nicotine Polacrilex Lozenge 7

3 Nicotrol

NC Zyban BuPROPion HCl ER (Smoking Det) Tablet Extended Release 12 Hour

2

*Sphingosine 1-Phosphate (S1P) Receptor Modulators*** 5 Gilenya

*RESPIRATORY AGENTS - MISC.* *CFTR Potentiators*** 5 Kalydeco

*Hydrolytic Enzymes*** 5 Pulmozyme

*Serotonin Modulators*** *Serotonin Modulators*** 4 Brintellix

NC Serzone Nefazodone HCl TABLET 2

4 Viibryd

*Sodium-Glucose Co-Transporter 2 Inhibitor-Biguanide Comb***

*Sodium-Glucose Co-Transporter 2 Inhibitor-Biguanide Comb***

3 Synjardy

*TETRACYCLINES* *Tetracyclines*** NC Adoxa Doxycycline Monohydrate TABLET 2

NC Declomycin Demeclocycline HCl TABLET 2

NC Minocin Minocylcine 2

NC Monodox Doxycycline Monohydrate CAPSULE 2

NC Periostat Doxycycline Hyclate TABLET 2

NC Sumycin Tetracycline HCl CAPSULE 2

NC Vibramycin Doxycycline Hyclate CAPSULE 2

NC Vibra-Tabs Doxycycline Hyclate TABLET 2


*THYROID AGENTS* *Antithyroid Agents*** NC PTU Propylthiouracil TABLET 2

NC Tapazole Methimazole TABLET 2

*Thyroid Hormones*** NC Cytomel Liothyronine Sodium TABLET 2

NC Synthroid Levothyroxine Sodium TABLET 1

*ULCER DRUGS* *Anticholinergic Combinations*** NC Librax Chlordiazepoxide-Clidinium CAPSULE 2

*Antispasmodics*** NC Bentyl Dicyclomine HCl CAPSULE 2

*Belladonna Alkaloids*** NC Levbid Hyoscyamine Sulfate ER Tablet Extended Release 12 Hour

2

NC Levsin Hyoscyamine Sulfate TABLET 2

*H-2 Antagonists*** NC Tagamet Cimetidine TABLET 2

NC Zantac Ranitidine HCl TABLET 1

*Misc. Anti-Ulcer*** NC Carafate Sucralfate TABLET 2

3 Carafate

*Proton Pump Inhibitors*** NC Prevacid Lansoprazole CAPSULE DELAYED RELEASE 2

NC PriLOSEC Omeprazole CAPSULE DELAYED RELEASE 2

NC Protonix 40MG Pantoprazole Sodium Tablet Delayed Release l 2

*Quaternary Anticholinergics*** NC Pro-Banthine Propantheline Bromide TABLET 2

NC Robinul Glycopyrrolate TABLET 2

NC Robinul-Forte Glycopyrrolate TABLET 2

*Ulcer Drugs - Prostaglandins*** NC Cytotec Misoprostol TABLET l 2

*URINARY ANTI-INFECTIVES* *Urinary Anti-infectives*** NC Macrobid Nitrofurantoin Monohyd Macro CAPSULE l 2

NC Macrodantin Nitrofurantoin Macrocrystal CAPSULE 2

*URINARY ANTISPASMODICS* *Urinary Antispasmodic - Antimuscarinics (Antichol)***(new)

NC Ditropan XL Oxybutynin Chloride ER Tablet Extended Release 24 Hour

2

3 Toviaz

*Urinary Antispasmodics - Beta-3 Adrenergic Agonists*** 4 Myrbetriq

*Urinary Antispasmodics - Cholinergic Agonists*** (new) NC Urecholine Bethanechol Chloride TABLET 2

*Urinary Antispasmodics - Direct Muscle Relaxants*** NC Urispas FlavoxATE HCl TABLET 2

*VAGINAL PRODUCTS* *Imidazole-Related Antifungals*** NC Terazol Terconazole Vaginal 2

7 Encare SUPPOSITORY 100 MG VAGINAL

7 Options Conceptrol GEL 4 % VAGINAL

7 Options Gynol II Contraceptive GEL 3 % VAGINAL

7 Today Sponge 1000 MG VAGINAL

*Spermicides*** 7 VCF Vaginal Contraceptive FOAM 12.5 % VAGINAL

*Vaginal Anti-infectives*** NC Cleocin Clindamycin Phosphate CREAM 2

NC MetroGel-Vaginal MetroNIDAZOLE GEL Vaginal 2

*Vaginal Estrogens*** NC Estrace Estradiol CREAM Vaginal 2

3 Premarin

*VASOPRESSORS* *Anaphylaxis Therapy Agents*** NC EpiPen EPINEPHrine Solution Auto-injector Injection 5

NC EpiPen Jr EPINEPHrine Solution Auto-injector Injection 5

*Vasopressors*** NC ProAmatine Midodrine HCl TABLET 2

*VITAMINS* *Vitamin D*** 2 Vitamin D (Ergocalciferol) CAPSULE

7 Vitamin D3 CAPSULE 400 UNIT ORAL

7 Vitamin D3 CAPSULE 1000 UNIT Oral

*Vitamin K*** 3 Mephyton

FHCP 2018 Formulary by Alpha

Brand Tier Brand Medication Name Generic Med Name

Generic Tier (T7 = preventive meds)

NC A/T/S Erythromycin SOLUTION 2 % External 2

NC Abilify ARIPiprazole 2

NC Accutane Zenatane 5

5 Accutane

NC Actigall Ursodiol 2

5 Actimmune

NC Actos Pioglitazone HCl 2

NC Acular Ketorolac Tromethamine Ophthalmic 2

NC Adalat CC NIFEdipine ER 2

2 Adderall XR Amphetamine Salts 2

NC Adoxa Doxycycline Monohydrate TABLET 2

7 Adult Aspirin EC 81 MG

4 Advair Diskus

4 Advair HFA

5 Afinitor

5 Afinitor Disperz

NC Aggrenox Aspirin-Dipyridamole ER 2

NC Agrylin Anagrelide HCl 2

NC AirDuo Fluticasone-Salmeterol Aerosol Powder 2

4 Albenza

NC Alcaine Proparacaine HCl SOLUTION OPHTHALMIC 2

NC Aldactazide Spironolactone-HCTZ 2

NC Aldactone Spironolactone 2

NC Aldara Imiquimod External 2

NC Aldomet Methyldopa 2

5 Alecensa

NC Alesse Levonorgestrel-Ethinyl Estrad 2

5 Alinia

5 Alkeran

3 Alomide

NC Alphagan Brimonidine Tartrate SOLUTION OPHTHALMIC 2

4 Alrex

NC Altace Ramipril 2

NC Alupent Metaproterenol Sulfate 2

NC Amaryl Glimepiride 1

NC Ambien Zolpidem Tartrate 2

5 Amicar

4 Amitiza

NC Amoxil Amoxicillin 2

5 Anadrol-50

NC Anafranil ClomiPRAMINE HCl 2

NC Ancobon Flucytosine 2

4 AndroGel Pump

4 Androxy

3 Anoro Ellipta

NC Antabuse Disulfiram 2

NC Anusol-HC Hydrocortisone Acetate SUPPOSITORY 2

NC Anusol-HC Proctozone-HC Rectal 2

NC Apresoline HydrALAZINE HCl 2

4 Aptiom TABLET

3 Aptivus

NC Aralen Chloroquine Phosphate 2

5 Aranesp (Albumin Free)


NC Arava Leflunomide 2

5 Arcalyst SOLUTION

NC Aricept Donepezil HCl 2

NC Aricept ODT Donepezil HCl DISPERSIBLE 2

NC Arimidex Anastrozole 2

NC Aristocort Triamcinolone Acetonide External 2

NC Arixtra Fondaparinux Sodium SOLUTION 4

3 Arnuity Ellipta

NC Aromasin Exemestane 2

NC Artane Trihexyphenidyl HCl 2

NC Asacol HD Mesalamine Tablet Delayed Release 2

NC Ascendin Amoxapine 2

3 Asmanex

7 Aspirin Adult CHEWABLE 81 MG

NC Astelin Azelastine HCl NASAL 2

NC Atarax HydrOXYzine HCl 2

NC Ativan LORazepam 2

3 Atripla

NC Atrovent Ipratropium Bromide SOLUTION NASAL 2

3 Atrovent HFA

NC Augmentin Amoxicillin-Pot Clavulanate 2

NC Avodart Dutasteride 2

5 Avonex

NC Aygestin Norethindrone Acetate 2

NC Azilect Rasagiline Mesylate 4

NC Azulfidine SulfaSALAzine 2

2 Bacitracin OINTMENT OPHTH

NC Bactrim DS Sulfamethoxazole-Trimethoprim 2

NC Bactroban Mupirocin Ointment External 2

4 Banzel

NC Baraclude Entecavir 2

2 Bayer Breeze 2

2 Bayer Contour Next

2 Bayer Contour Test

NC Benemid Probenecid 2

NC Bentyl Dicyclomine HCl 2

NC Betagan Levobunolol HCl SOLUTION Ophthalmic 1

NC Betapace Sotalol HCl 2

5 Betaseron

NC Betoptic Betaxolol HCl SOLUTION OPHTHALMIC 2

3 Betoptic-S

NC Biaxin Clarithromycin 2

NC Bleph-10 Sulfacetamide Sodium Ophthalmic 2

3 Blephamide

3 Blephamide S.O.P.

5 Bosulif

3 Breo Ellipta

NC Brethine Terbutaline Sulfate 2

4 Brilinta

4 Brintellix

NC Bumex Bumetanide 1

NC BuSpar BusPIRone HCl 2

3 Bydureon

3 Byetta

NC Calan Verapamil HCl 2


NC Calan SR Verapamil HCl ER 2

NC Campral Acamprosate CalciumDelayed Release 2

3 Canasa

NC Caprelsa TABLET Vandetanib 5

NC Carafate Sucralfate 2

3 Carafate

NC Cardizem Diltiazem HCl 2

NC Cardizem CD Diltiazem HCl ER 2

NC Cardura Doxazosin Mesylate 2

NC Casodex Bicalutamide 2

NC Catapres CloNIDine HCl 1

7 Caya DIAPHRAGM VAGINAL

NC Ceclor Cefaclor 2

NC CeeNU Gleostine 5

NC Ceftin Cefuroxime Axetil 2

NC Cefzil Cefprozil 2

NC CeleXA Citalopram Hydrobromide 1

NC CellCept Mycophenolate Mofetil 2

4 Celontin

NC Cephulac Lactulose Encephalopathy SOLUTION 2

NC Cephulac Lactulose SOLUTION 2

4 Chantix

NC Ciloxan Ciprofloxacin HCl SOLUTION Ophthalmic 2

3 Ciloxan Ciprofloxacin Ointment Ophthalmic 2

NC Cipro Ciprofloxacin HCl 2

3 Ciprodex

NC Cleocin Clindamycin HCl 2

NC Cleocin Clindamycin Palmitate 2

NC Cleocin-T Clindamycin Phosphate External 2

NC Climara Estradiol PATCH WEEKLY Transdermal 2

NC Clinoril Sulindac 2

NC Clozaril CloZAPine 2

4 Coartem

2 Codeine Sulfate

NC Cogentin Benztropine Mesylate 2

NC Colazal Balsalazide Disodium 2

NC Colbenemid Colchicine-Probenecid 2

NC Colcrys Colchicine 2

NC Combivir Lamivudine-Zidovudine 2

5 Cometriq

NC Compazine Prochlorperazine Maleate 2

3 Complera

NC Comtan Entacapone 2

NC Condylox Podofilox SOLUTION External 2

NC Copaxone Glatopa Solution Prefilled Syringe 5

NC Cordarone Amiodarone HCl 2

3 Cordran

NC Coreg Carvedilol 1

NC Cormax Clobetasol Propionate SOLUTION External 2

NC Cortef Hydrocortisone 2

NC Cortenema Hydrocortisone ENEMA 2

NC Cortisporin Ophth Neomycin-Polymyxin-HC OPHTHALMIC 2

NC Cortisporin Otic Neomycin-Polymyxin-HC SOLUTION OTIC 2

NC Cortone Cortisone Acetate 2

NC Cosopt Dorzolamide HCl-Timolol Mal Ophthalmic 2


5 Cotellic

NC Coumadin Warfarin Sodium 1

NC Cozaar Losartan Potassium 2

3 Creon

NC Crestor Rosuvastatin Calcium 2

3 Crixivan

NC Crolom Cromolyn Sodium SOLUTION OPHTHALMIC 2

NC Cutivate Fluticasone Propionate CREAM External 2

2 Cyanocobalamin Injection

NC Cyclogyl Cyclopentolate HCl SOLUTION OPHTHALMIC 2

3 Cyclogyl

NC Cymbalta DULoxetine HCl CAPSULE DELAYED RELEASE 2

5 Cystagon

NC Cytomel Liothyronine Sodium 2

NC Cytotec Misoprostol 2

NC Cytoxan Cyclophosphamide 2

2 Cytra K Crystals

3 Daliresp

NC Dalmane Flurazepam HCl 2

NC Danocrine Danazol 2

2 Dapsone

5 Daraprim

NC DDAVP Desmopressin Acetate Spray NASAL 2

NC Decadron Dexamethasone 2

NC Declomycin Demeclocycline HCl 2

NC Delatestryl Testosterone Enanthate Intramuscular 4

NC Deltasone PredniSONE 2

NC Demerol Meperidine HCl 2

NC Demulen Kelnor 2

NC Demulen Zovia 1/35E (28) 2

NC Depakene Valproic Acid 2

NC Depakote Divalproex Sodium Tablet Delayed Release 2

NC Depakote ER Divalproex Sodium ER 2

NC Depakote Sprinkles Divalproex Sodium Delayed Release Sprinkle 2

NC Depo-Testosterone Testosterone Cypionate Intramuscular 2

NC Dermotic Fluocinolone Acetonide EXTERNAL 2

NC DermOtic Fluocinolone Acetonide Oil 0.01 % Otic 2

3 Descovy

NC Desogen Desogestrel-Ethinyl Estradiol 2

NC DesOwen Desonide External 2

NC Desyrel TraZODone HCl 1

2 Dexamethasone Intensol

NC Dexedrine Dextroamphetamine Sulfate ER 2

NC Dextrostat Dextroamphetamine Sulfate 2

NC Diabeta GlyBURIDE 1

NC Diabinese ChlorproPAMIDE 2

NC Diamox AcetaZOLAMIDE 2

NC Diamox Sequels AcetaZOLAMIDE ER 2

NC Diastat AcuDial DiazePAM Rectal 4

NC Diflucan Fluconazole 2

NC Dilantin Phenytoin Sodium Extended 2

3 Dilantin

NC Dilaudid HYDROmorphone HCl 2

NC Diovan Valsartan 2

4 Dipentum


NC Diprosone Betamethasone Dipropionate External 2

NC Disalcid Salsalate 2

NC Ditropan Oxybutynin Chloride 2

NC Ditropan XL Oxybutynin Chloride ER 2

NC Diuril Chlorothiazide 2

4 Diuril

NC Dolophine Methadone HCl 2

NC Domboro Otic Acetic Acid-Aluminum Acetate SOLUTION 2 % Otic 2

NC Dostinex Cabergoline 2

NC Dovonex Calcipotriene EXTERNAL 2

NC Drisdol Vitamin D (Ergocalciferol) 2

3 Droxia

3 Duavee

3 Dulera

NC Duragesic FentaNYL Patch 72 Hour transdermal 2

NC Duricef Cefadroxil 2

NC Dyazide Triamterene-HCTZ 2

NC Dycill Dicloxacillin Sodium 2

3 E.E.S.

NC Edecrin Ethacrynic Acid 5

3 Edurant

NC Effer-K Potassium Bicarbonate EFFERVESCENT 2

NC Effexor Venlafaxine HCl 2

NC Effexor XR Venlafaxine HCl ER 2

NC Efudex Fluorouracil EXTERNAL 2

NC Elavil Amitriptyline HCl 1

NC Eldepryl Selegiline HCl 2

4 Elidel

NC Elimite Permethrin EXTERNAL 2

3 Eliquis

7 Ella

4 Elmiron

NC Elocon Mometasone Furoate Ointment External 2

5 Emcyt

NC Emend Aprepitant 4

NC EMLA Lidocaine-Prilocaine External 2

4 Emsam

3 Emtriva

5 Enbrel

7 Encare SUPPOSITORY VAGINAL

NC Enduron Methyclothiazide 2

NC Entocort EC Budesonide CAPSULE DELAYED RELEASE 5

NC EpiPen EPINEPHrine Solution Auto-injector 5

NC EpiPen Jr EPINEPHrine Solution Auto-injector 5

NC Epivir LamiVUDine SOLUTION 2

NC Epivir HBV LamiVUDine 2

3 Epivir HBV

NC Epzicom Abacavir Sulfate-Lamivudine 2

NC Equanil Meprobamate 2

5 Erivedge

3 Erythrocin Stearate

3 Erythromycin Base

NC Esgic Butalbital-APAP-Caffeine 2

NC Eskalith Lithium Carbonate 2

NC Estrace Estradiol 1


NC Estratest H.S. Est Estrogens-Methyltest HS 2

5 Etoposide

3 Eucrisa

NC Eulexin Flutamide 2

NC Evista Raloxifene HCl 2

3 Evotaz

5 Exjade

5 Fanapt

5 Fareston

3 Farxiga

5 Farydak

NC FazaClo CloZAPine DISPERSIBLE 2

7 FC2 Female Condom

NC Felbatol Felbamate 2

NC Feldene Piroxicam 2

NC Femara Letrozole 2




2 Ferocon

NC Fiorinal Butalbital-Aspirin-Caffeine 2

NC Fiorinal/Codeine #3 Butalbital-ASA-Caff-Codeine 2

NC Flagyl MetroNIDAZOLE 2

NC Flagyl MetroNIDAZOLE EXTERNAL 2

NC Flexeril Cyclobenzaprine HCl 2

NC Flomax Tamsulosin HCl 2

NC Flonase Fluticasone Propionate Nasal 2

NC Florinef Fludrocortisone Acetate 2

3 Flovent HFA

NC Floxin Otic Ofloxacin SOLUTION Otic 2

NC Flumadine Rimantadine 2

3 FML

3 FML Forte

NC FML Liquifilm Fluorometholone SUSPENSION Ophthalmic 2

2 Folic Acid 1mg

7 Folic Acid TABLET 400 MCG

7 Folic Acid TABLET 800 MCG

5 Forteo

NC Fosamax Alendronate Sodium 1

5 Fosrenol

3 Fuzeon

4 Fycompa

NC Gabitril TiaGABine HCl 2

4 Gabitril

NC Garamycin Gentak 0.3 % Ophthalmic 2

NC Garamycin Gentamicin Sulfate EXTERNAL 2

NC Gastrocrom Cromolyn Sodium CONCENTRATE 2

NC Gengraf CycloSPORINE Modified 2

3 Genvoya

NC Geodon Ziprasidone HCl 2

5 Gilenya

5 Gilotrif

NC Gleevec Imatinib Mesylate 5

3 Glucagon Emergency

NC Glucophage MetFORMIN HCl 1


NC Glucophage ER MetFORMIN HCl ER 2

NC Glucotrol GlipiZIDE 1

NC Glynase GlyBURIDE Micronized 2

2 Golytely Peg-3350/Electrolytes Solution 2NC Grifulvin V Griseofulvin Microsize SUSPENSION 2

NC Haldol Haloperidol 2

NC Hepsera Adefovir Dipivoxil 5

3 Hexalen

6 Humira Pen

3 HumuLIN N

3 HumuLIN R U-500

NC Hycodan Hydrocodone-Homatropine SYRUP 2

NC Hydergine Ergoloid Mesylates 2

NC Hydrea Hydroxyurea 2

NC Hydrodiuril HydroCHLOROthiazide 1

NC Hygroton Chlorthalidone 2

NC Hytone Hydrocortisone External 2

NC Hytrin Terazosin HCl 1

NC Hyzaar Losartan Potassium-HCTZ 2

5 Ibrance

5 Iclusig

5 IDHIFA

3 Ilevro

NC Ilotycin Erythromycin Ointment Ophthalmic 2

5 Imbruvica

NC Imdur Isosorbide Mononitrate ER 2

NC Imitrex SUMAtriptan SOLUTION NASAL 2

NC Imitrex SUMAtriptan Succinate 2

NC Imitrex STATdose System SUMAtriptan Succinate Solution Auto-injector 2

NC Imodium Loperamide HCl 2

NC Imuran AzaTHIOprine 2

5 Increlex

3 Incruse Ellipta

NC Inderal Propranolol HCl 2

NC Indocin Indomethacin 2

NC Indocin SR Indomethacin ER 2

5 Inlyta

NC Inspra Eplerenone 2

NC Intal Cromolyn Sodium Nebulization Solution 2

3 Intelence

NC Intuniv GuanFACINE HCl ER 2

NC Invega Paliperidone ER 2

3 Invirase

NC Iopidine Apraclonidine HCl 2

5 Iressa

3 Isentress

2 Isoniazid

NC Isopto Atropine Atropine Sulfate OPHTHALMIC 2

NC Isopto Carpine Pilocarpine HCl SOLUTION Ophthalmic 2

NC Isopto Homatropine Homatropaire SOLUTION OPHTHALMIC 2

NC Isordil Isosorbide Dinitrate 2

5 Jakafi

4 Januvia

3 Jardiance

3 Jentadueto


3 Jentadueto XR

3 Kaletra

5 Kalydeco TABLET

NC Kayexalate Kionex POWDER 2

NC Kayexalate Sodium Polystyrene Sulfonate SUSPENSION 2

NC Keflex Cephalexin 2

NC Kenalog in Orabase Triamcinolone Acetonide PASTE 2

NC Keppra LevETIRAcetam 2

NC Keppra XR LevETIRAcetam ER 2

5 Kineret Solution

NC KlonoPIN ClonazePAM 2

NC Klonopin-ODT ClonazePAM DISPERSIBLE 2

NC K-Lor Potassium Chloride PACKET 2

4 K-Phos

NC K-Phos-Neutral Phospha 250 Neutral 2

2 K-Tab Potassium Chloride ER 2

5 Kynamro

NC LaMICtal LamoTRIgine 2

NC LamISIL Terbinafine HCl 2

2 Lancets Thin

NC Lanoxin Digoxin 2

4 Lantus

NC Lariam Mefloquine HCl 2

NC Lasix Furosemide 1

5 Latuda

3 Leader Unifine Pentips

5 Lenvima

3 Leukeran

NC Levaquin Levofloxacin 2

NC Levbid Hyoscyamine Sulfate ER 2

3 Levemir

NC Levsin Hyoscyamine Sulfate 2

NC Lexapro Escitalopram Oxalate 2

3 Lexiva

NC Librax Chlordiazepoxide-Clidinium 2

NC Librium ChlordiazePOXIDE HCl 2

NC Lidex Fluocinonide External 2

NC Lidex-E Fluocinonide-E External 2

NC Lidoderm Lidocaine Ointment External 2

NC Lidoderm Lidocaine PATCH EXTERNAL 2

3 Linzess

NC Lioresal Baclofen 2

NC Lipitor Atorvastatin Calcium 2

NC Lithobid Lithium Carbonate ER 2

NC Lo/Ovral (28) Cryselle-28 2

NC Lo/Ovral (28) Low-Ogestrel 2

NC Locoid Hydrocortisone Butyrate EXTERNAL 2

NC Lodine Etodolac 2

NC Lodine-XL Etodolac ER 2

NC Loestrin Fe Gildess FE 2

NC Loestrin Fe Junel FE 2

NC Loestrin Fe Norethin Ace-Eth Estrad-FE 2

NC Lomotil Diphenoxylate-Atropine 2

NC Loniten Minoxidil 2

5 Lonsurf


NC Lopid Gemfibrozil 2

NC Lopressor Metoprolol Tartrate 1

NC Loprox Ciclopirox External 2

NC LoSeasonique Levonorgest-Eth Estrad 91-Day 7

4 Lotemax

NC Lotensin Benazepril HCl 1

NC Lotrisone Clotrimazole-Betamethasone External 2

NC Lotronex Alosetron HCl 5

NC Lovaza Omega-3-acid Ethyl Esters 2

NC Lovenox Enoxaparin Sodium Subcutaneous 4

NC Loxitane Loxapine Succinate 2

NC Ludiomil Maprotiline HCl 2

NC Luride Sodium Fluoride 2

NC Luvox FluvoxaMINE Maleate 2

5 Lynparza

4 Lyrica

3 Lysodren

NC Lysteda Tranexamic Acid 2

NC Macrobid Nitrofurantoin Monohyd Macro 2

NC Macrodantin Nitrofurantoin Macrocrystal 2

NC Malarone Atovaquone-Proguanil HCl 2

NC Malarone Atovaquone-Proguanil HCl 2

NC Marinol Dronabinol 2

4 Marplan

3 Matulane

5 Mavyret

NC Maxalt Rizatriptan Benzoate 2

NC Maxalt-MLT Rizatriptan Benzoate DISPERSIBLE 2

NC Maxiflor Diflorasone Diacetate External 2

NC Maxitrol Neomycin-Polymyxin-Dexameth Ophthalmic 2

NC Maxzide 75 Triamterene-HCTZ 1

NC Maxzide-25 Triamterene-HCTZ 1

NC Meclomen Meclofenamate Sodium 2

NC Medrol MethylPREDNISolone 2

NC Megace Megestrol Acetate 2

5 Mekinist

NC Mellaril Thioridazine HCl 2

4 Menest

3 Mephyton

NC Mepron Atovaquone 2

4 Mesnex

NC Mestinon Pyridostigmine Bromide 2

NC Mestinon Timespan Pyridostigmine Bromide ER 2

NC Metadate Methylphenidate HCl ER (CD) 2

5 Methergine

NC Methylin Methylphenidate HCl SOLUTION 2

NC MetroCream MetroNIDAZOLE EXTERNAL 2

NC Metrogel MetroNIDAZOLE External 2

NC MetroGel-Vaginal MetroNIDAZOLE Vaginal 2

NC MetroLotion MetroNIDAZOLE LOTION EXTERNAL 2

NC Mevacor Lovastatin 1

NC Mexetil Mexiletine HCl 2

NC Miacalcin Calcitonin (Salmon) NASAL 2

NC Micardis Telmisartan 2

NC Midamor AMILoride HCl 2


NC Midrin Isometheptene-Dichloral-APAP 2

NC Migergot Migergot SUPPOSITORY 2

NC Minipress Prazosin HCl 2

NC Minitran Nitroglycerin Patch 24 Hour Transdermal 2

NC Minocin Minocycline HCl 2

NC Mirapex Pramipexole Dihydrochloride 2

NC Mobic Meloxicam 1

NC Modicon Nortrel 0.5/35 (28) 2

NC Monodox Doxycycline Monohydrate CAPSULE 2

NC Monopril Fosinopril Sodium 2

NC Motrin Ibuprofen 1

3 Movantik

3 Moxeza

NC MS Contin Morphine Sulfate ER 2

NC MSIR Morphine Sulfate 2

NC Mucomyst Acetylcysteine SOLUTION INHALATION 2

4 Multaq

2 Multi-Vit/Fluoride SOLUTION

2 Multi-Vit/Fluoride SOLUTION

2 Multi-Vit/Fluoride/Iron SOLN

2 Multivitamin/Fluoride

NC Myambutol Ethambutol HCl 2

NC Mycelex Clotrimazole TROCHE MOUTH/THROAT 2

NC Mycobutin Rifabutin 2

NC Mycolog Nystatin-Triamcinolone External 2

NC Mydriacyl 1% Tropicamide Ophthalmic 2

NC Myfortic Mycophenolate SodiumDelayed Release 2

4 Myrbetriq

NC Mysoline Primidone 2

NC Nalfon Fenoprofen Calcium 2

NC Namenda Memantine HCl 2

NC Naprosyn Naproxen 1

4 Narcan

NC Nardil Phenelzine Sulfate 2

NC Nasalide Flunisolide SOLUTION Nasal 2

3 Natacyn

NC Navane Thiothixene 2

NC Neomycin Bacitra-Neomycin-Polymyxin-HC OPHTHALMIC 2

2 Neomycin Sulfate

NC Neoral CycloSPORINE Modified 2

NC Neoral CycloSPORINE Modified SOLUTION 2

NC Neosporin Neomycin-Bacitracin Zn-Polymyx OPHTHALMIC 2

NC Neosporin Neomycin-Polymyxin-Gramicidin OPHTHALMIC 2

NC Neptazane Methazolamide 2

5 Nerlynx

5 Neupogen

4 Neupro

NC Neurontin Gabapentin 2

3 Nevanac

5 NexAVAR

NC Niaspan Niacin ER (Antihyperlipidemic) 2

NC Nicoderm Nicotine Patch 24 Hour Transdermal 7

NC Nicorette Gum Nicotine Polacrilex GUM Mouth/Throat 7

NC Nicorette Lozenge Nicotine Polacrilex LOZENGE Mouth/Throat 7

3 Nicotrol


3 Nilandron

NC Nimotop NiMODipine 4

5 Ninlaro

2 Nitro-Bid OINTMENT

2 Nitroglycerin ER

NC Nitrostat Nitroglycerin SUBLINGUAL 2

3 Nitrostat

NC Nizoral Ketoconazole 2

NC Nolvadex Tamoxifen Citrate 2

NC Norco Hydrocodone-Acetaminophen 2

NC Nordette (28) Levonorgestrel-Ethinyl Estrad 2

NC Norpace Disopyramide Phosphate 2

4 Norpace CR

NC Norpramin 10MG Desipramine HCl 2

NC Norvasc AmLODIPine Besylate 1

3 Norvir

3 NovoLIN R

3 NovoLOG

3 NovoLOG FlexPen

3 NovoLOG Mix 70/30

3 NovoLOG Mix 70/30 FlexPen

4 Nuedexta

7 NuvaRing

NC Nuvigil Armodafinil 2

2 Nystatin

2 Nystatin External

NC Ocufen Flurbiprofen Sodium SOLUTION Ophthalmic 2

NC Ocuflox Ofloxacin SOLUTION Ophthalmic 2

NC Ocupress Carteolol HCl Ophthalmic 2

3 Odefsey

5 Odomzo

NC Ogen Estropipate 2

NC Omnicef Cefdinir 2

NC Omnipred PrednisoLONE Acetate OPHTHALMIC 2

5 Omnitrope Omnitrope SOLUTION Subcutaneous 5

4 Onfi

4 Onglyza

7 Options Conceptrol GEL 4 % VAG

7 Options Gynol II Contraceptive GEL 3 % VAG

NC Optivar Azelastine HCl OPHTHALMIC 2

NC Orap Pimozide 2

NC Orapred PrednisoLONE Sodium Phosphate SOLUTION 2

NC Orinase TOLBUTamide 2

NC Ortho Evra Xulane PATCH WEEKLY 150-35 MCG/24HR 7

NC Ortho Micronor Norethindrone 2

NC Ortho Tri-Cyclen (28) Norgestim-Eth Estrad Triphasic 2

NC Ortho Tri-Cyclen Lo Norgestim-Eth Estrad Triphasic 2

NC Ortho-Cyclen (28) Norgestimate-Eth Estradiol 2

NC Ortho-Novum Necon 2

NC Ortho-Novum 1/35 (28) Nortrel 2

NC Orudis Ketoprofen 2

NC Ovide Malathion LOTION 2

NC Ovral Ogestrel 2

NC Oxandrin Oxandrolone 2

NC Oxsoralen Methoxsalen Rapid 5


NC Oxy IR OxyCODONE HCl 2

NC Pamelor Nortriptyline HCl 1

3 Pancreaze

3 Pancreaze

5 Panretin

NC Parlodel Bromocriptine Mesylate 2

NC Parnate Tranylcypromine Sulfate 2

3 Paromomycin Sulfate

4 Paser

NC Patanase Olopatadine HCl SOLUTION Nasal 2

NC Paxil PARoxetine HCl ER 2

4 Paxil

NC Pediapred PrednisoLONE Sodium Phosphate SOLUTION 2

3 Pen Needles

NC Penlac Ciclopirox SOLUTION External 2

NC Pen-Vee K Penicillin V Potassium 2

NC Percocet Oxycodone-Acetaminophen 2

NC Periactin Cyproheptadine HCl 2

NC Periogard Chlorhexidine Gluconate Mouth/Throat 2

NC Periostat Doxycycline Hyclate TABLET 2

NC Persantine Dipyridamole 2

NC Phenergan Promethazine HCl 2

2 PHENobarbital

NC PhosLo Calcium Acetate (Phos Binder) 2

3 Phospholine Iodide

NC Plan B Levonorgestrel TABLET 1.5 MG 7

NC Plaquenil Hydroxychloroquine Sulfate 2

NC Plavix Clopidogrel Bisulfate 2

NC Pletal Cilostazol 2

2 PNV Prenatal Plus Multivitamin

NC Polysporin Bacitracin-Polymyxin B Ointment Ophthalmic 2

NC Polytrim Polymyxin B-Trimethoprim Ophthalmic 2

5 Pomalyst

4 Potiga

3 Pradaxa

NC Pravachol Pravastatin Sodium 2

NC Precose Acarbose 2

3 Pred Mild

NC Pred-Forte PrednisoLONE Sodium Phosphate OPHTHALMIC 2

3 Pred-G

3 Pred-G S.O.P.

NC Prelone PrednisoLONE SOLUTION 2

3 Premarin

3 Premarin

3 Premphase

3 Prempro

NC Prevacid Lansoprazole CAPSULE DELAYED RELEASE 2

NC Prevalite Cholestyramine Light POWDER 2

NC PreviDent 5000 SF DENTAL 2

3 Prezcobix

3 Prezista

4 Priftin

NC PriLOSEC Omeprazole CAPSULE DELAYED RELEASE 2

NC Principen Ampicillin 2

NC Pristiq Desvenlafaxine Succinate ER 2


NC ProAmatine Midodrine HCl 2

NC Procardia NIFEdipine 2

5 Procrit

4 Proglycem

NC Prograf Tacrolimus 2

NC Prolixin FluPHENAZine HCl 2

NC Proloprim Trimethoprim 2

5 Promacta

NC Prometrium Progesterone Micronized 2

NC Proscar Finasteride 2

NC Protonix Pantoprazole Sodium Tablet Delayed Release 2

3 Protonix

3 Proventil HFA

NC Provera MedroxyPROGESTERone Acetate 1

NC Provigil Modafinil 2

NC PROzac FLUoxetine HCl 1

NC PTU Propylthiouracil 2

NC Pulmicort Budesonide SUSPENSION Inhalation 2

5 Pulmozyme

NC Purinethol Mercaptopurine 2

2 Pyrazinamide

NC Questran Cholestyramine 2

2 QuiNIDine Sulfate

NC Quiniglute QuiNIDine Gluconate ER 2

NC Quixin Levofloxacin SOLUTION OPHTHALMIC 2

3 Ranexa

NC Rapamune Sirolimus 2

5 Rapamune

NC Razadyne Galantamine Hydrobromide 2

NC Razadyne ER Galantamine Hydrobromide ER 2

NC Rebetol Ribavirin 2

5 Rebif

5 Rebif Titration Pack

NC Reglan Metoclopramide HCl 1

NC Relafen Nabumetone 2

4 Relenza Diskhaler

5 Relistor

NC Remeron Mirtazapine 2

NC Remeron SolTab Mirtazapine DISPERSIBLE 2

NC Requip ROPINIRole HCl 2

NC Requip XL ROPINIRole HCl ER 2

3 Rescriptor

3 Restasis Multidose

NC Restoril Temazepam 2

NC Retin-A Tretinoin CREAM EXTERNAL 2

NC Retrovir Zidovudine 2

NC Retrovir Zidovudine 2

NC Revatio Sildenafil Citrate 2

NC ReVia Naltrexone HCl 2

5 Revlimid

NC Reyataz Atazanavir Sulfate 2

3 Reyataz

NC Rifadin Rifampin 2

NC Rilutek Riluzole 2

NC RisperDAl RisperiDONE 2


NC RisperDAL M-TAB RisperiDONE DISPERSIBLE 2

NC Ritalin Methylphenidate HCl 2

NC Ritalin SR Methylphenidate HCl ER 2

NC Robaxin Methocarbamol 2

NC Robinul Glycopyrrolate 2

NC Robinul-Forte Glycopyrrolate 2

NC Robitussin AC Guaifenesin-Codeine SOLUTION 2

NC Robitussin DAC GuaiFENesin DAC SOLUTION 2

NC Rocaltrol Calcitriol 2

NC Rowasa Mesalamine ENEMA 2

NC Roxanol Morphine Sulfate (Concentrate) 2

4 Rozerem

5 Rydapt

NC Rythmol Propafenone HCl 2

NC Salagen Pilocarpine HCl 2

NC SandIMMUNE CycloSPORINE 2

NC SandoSTATIN Octreotide Acetate SOLUTION Injection 4

4 Santyl

5 Saphris

3 Savella

NC Seasonique Levonorgest-Eth Estrad 91-Day 7

NC Sectral Acebutolol HCl l 2

NC Selsun Selenium Sulfide LOTION External 2

3 Selzentry

5 Sensipar

3 Serevent Diskus

NC SEROquel QUEtiapine Fumarate 2

NC SEROquel XR QUEtiapine Fumarate ER 2

NC Serzone Nefazodone HCl 2

NC Silvadene Silver Sulfadiazine External 2

5 Simponi

NC Sinemet Carbidopa-Levodopa 2

NC Sinemet CR Carbidopa-Levodopa ER 2

NC Sinequan Doxepin HCl 2

NC Singulair Montelukast Sodium 1

4 Sirturo

NC Solaraze Diclofenac Sodium Transdermal 2

NC Soma Carisoprodol 2

NC Sonata Zaleplon 2

NC Soriatane Acitretin 5

NC Spectazole Econazole Nitrat External 2

NC Sporanox Itraconazole 2

6 Sprycel

NC Starlix Nateglinide 2

NC Stelazine Trifluoperazine HCl 2

5 Stimate

5 Stivarga

NC Strattera Atomoxetine HCl 2

3 Stribild

3 Striverdi

NC Stromectol Ivermectin 2

NC Suboxone Buprenorphine HCl-Naloxone HCl SUBLINGUAL 2

4 Suboxone

NC Subutex Buprenorphine HCl SUBLINGUAL 2

NC Sumycin Tetracycline HCl 2


NC Suprax Cefixime 2

4 Suprax

NC Surmontil 25MG Trimipramine Maleate 2

NC Sustiva Efavirenz 2

5 Sutent

5 Sylatron

4 Symbicort

3 SymlinPen

NC Symmetrel Amantadine HCl 2

4 Synarel NASAL

3 Synjardy XR

NC Synthroid Levothyroxine Sodium 1

5 Tafinlar

NC Tagamet Cimetidine 2

5 Tagrisso

NC Tamboco Flecainide Acetate 2

NC Tamiflu Oseltamivir Phosphate 2

3 Tanzeum

NC Tapazole Methimazole 2

5 Tarceva

6 Tasigna

4 Tazorac

6 Technivie

NC Tegretol CarBAMazepine 2

4 Tekturna

NC Temodar Temozolomide 5

NC Temovate Clobetasol Propionate External 2

NC Temovate E Clobetasol Propionate E EXTERNAL 2

NC Tenex GuanFACINE HCl 2

NC Tenormin Atenolol 1

NC Terazol Terconazol VAGINAL 2

NC Tessalon Perles Benzonatate 2

NC Tetcaine Tetracaine HCl SOLUTION OPHTHALMIC 2

5 Thalomid

NC Theodur Theophylline ER 12 Hour 2

NC Thorazine ChlorproMAZINE HCl 2

NC Tigan Trimethobenzamide HCl 2

NC Tikosyn Dofetilide 2

NC Timoptic Timolol Maleate SOLUTION Ophthalmic 1

3 Tivicay

NC Tobi Tobramycin NEBULIZATION SOLUTION 5

NC TobraDex Tobramycin-Dexamethasone SUSPENSION OPHTHALMIC 2

3 TobraDex

3 Tobrex

NC Tobrex Tobramycin SOLUTION Ophthalmic 2

7 Today Sponge 1000 MG VAGINAL

NC Tofranil Imipramine HCl 2

NC Tolinase TOLAZamide 2

NC Topamax Topiramate 2

NC Topamax Sprinkle Topiramate SPRINKLE 2

NC Topicort Desoximetasone External 2

NC Toradol Ketorolac Tromethamine 2

3 Toviaz

5 Tracleer

3 Tradjenta


NC Trandate Labetalol HCl 2

NC Tranxene-T Clorazepate Dipotassium 2

3 Travatan Z

4 Trecator

NC TRENtal Pentoxifylline ER 2

3 Tresiba FlexTouch

NC Trexall Methotrexate 2

NC Tricor Fenofibrate 2

NC Trilafon Perphenazine 2

NC Trileptal OXcarbazepine 2

NC Trilipix Fenofibric Acid CAPSULE DELAYED RELEASE 2

Trinate 2NC Triphasil Levonorg-Eth Estrad Triphasic 2

3 Triumeq

NC Trizivir Abacavir-Lamivudine-Zidovudine 2

NC Trusopt Dorzolamide HCl SOLUTION Ophthalmic 2

3 Truvada

3 Tybost

5 Tykerb

NC Tylenol with Codeine Acetaminophen-Codeine 2

NC Ultram TraMADol HCl 2

2 Ultra-Thin II Insulin Syringe

NC Uniphyl Theophylline ER 24 Hour 2

2 Urea CREAM 40 %

NC Urecholine Bethanechol Chloride 2

NC Urispas FlavoxATE HCl 2

NC Urocit-K Potassium Citrate ER 2

NC Uroxatral Alfuzosin HCl ER 2

NC Valcyte ValGANciclovir HCl 5

NC Valisone Betamethasone Valerate External 2

NC Valium DiazePAM 2

NC Valtrex ValACYclovir HCl 2

NC Vancocin Vancomycin HCl 5

NC Vasocidin Sulfacetamide-Prednisolone SOLUTION Ophthalmic 2

NC Vasotec Enalapril Maleate 2

7 VCF Vaginal Contraceptive FOAM 12.5 % VAG

5 Venclexta

NC Ventolin Albuterol Sulfate 2

NC Vesanoid Tretinoin 5

NC Vfend Voriconazole 5

NC Vibramycin Doxycycline Hyclate CAPSULE 2

NC Vibra-Tabs Doxycycline Hyclate TABLET 2

3 Victoza

NC Videx Didanosine CAPSULE DELAYED RELEASE 2

NC Vigamox Moxifloxacin HCl SOLUTION Ophthalmic 2

4 Viibryd

4 Vimpat

3 Viracept

NC Viramune XR Nevirapine ER 2

NC Viread Tenofovir Disoproxil Fumarate 2

3 Viread

NC Viroptic Trifluridine SOLUTION Ophthalmic 2

NC Vistaril HydrOXYzine Pamoate 2

7 Vitamin D3 CAPSULE 1000 UNIT

7 Vitamin D3 CAPSULE 400 UNI


NC Vivactil Protriptyline HCl 2

NC Voltaren Diclofenac Sodium Transdermal 2

NC Voltaren Diclofenac Sodium SOLUTION Ophthalmic 2

NC Voltaren Diclofenac Sodium Tablet Delayed Release 2

NC Vosol Acetic Acid SOLUTION 2 % OTIC 2

5 Votrient

3 Vyvanse

4 Welchol

NC Wellbutrin BuPROPion HCl TABLET 2

NC Wellbutrin SR BuPROPion HCl ER (SR) 2

NC Wellbutrin XL BuPROPion HCl ER (XL) 2

NC Wellcovorin Leucovorin Calcium 2

NC Xalatan Latanoprost SOLUTION Ophthalmic 2

5 Xalkori

NC Xanax ALPRAZolam 2

3 Xarelto

5 Xeljanz

NC Xeloda Capecitabine 5

NC Xenazine Tetrabenazine 5

6 Xtandi

NC Xylocaine Lidocaine Viscous SOLUTION 2 % 2

5 Xyrem

NC Xyzal Levocetirizine Dihydrochloride 2

NC YAZ Drospirenone-Ethinyl Estradiol 2

NC Zanaflex TiZANidine HCl 2

NC Zantac RaNITidine HCl 1

NC Zarontin Ethosuximide 2

NC Zaroxolyn Metolazone 2

5 Zejula

5 Zelboraf

NC Zemplar Paricalcitol 2

4 Zenpep

NC Zerit Stavudine 2

NC Zestril Lisinopril 1

NC Zetia Ezetimibe 2

NC Ziagen Abacavir Sulfate 2

4 Zirgan

NC Zithromax Azithromycin 2

NC Zocor Simvastatin 2

NC Zofran Ondansetron HCl 2

NC Zofran ODT Ondansetron DISPERSIBLE 2

5 Zolinza

NC Zoloft Sertraline HCl 2

NC Zonegran Zonisamide 2

5 Zortress

NC Zovirax Acyclovir 2

NC Zyban BuPROPion HCl ER (Smoking Det) 2

5 Zydelig

NC Zyflo Zileuton ER 2

5 Zykadia

NC Zyloprim Allopurinol 1

NC ZyPREXA OLANZapine 2

NC ZyPREXA Zydis OLANZapine DISPERSIBLE 2

5 Zytiga

NC Zyvox Linezolid 2

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