Formulary for NDPERS Dakota Plan Members...health care providers on Sanford Health Plan’s Pharmacy...

Formulary for NDPERS Dakota Plan Members

For the most current list of covered medications or if you have questions: Call Pharmacy Management Team at (877) 658-9194

Visit sanfordhealthplan.com/members and link to the OptumRx website to:• Locate a participating retail pharmacy by ZIP code• Look up possible lower-cost medication alternatives• Compare medication pricing and options

HP-2175 07-19

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What is a formulary?

A formulary is a list of prescribed medications chosen by health care providers on Sanford Health Plan’s Pharmacy and Therapeutics Committee. Selection criteria includes clinical efficacy, safety, and cost. Medications on this list are approved by the U.S. Food and Drug Administration for use in the United States.

How do I use my formulary?

You and your provider can consult the formulary to help you select the most cost-effective prescription medications. This guide tells you if a medication is generic or brand, and if special rules apply. If your medication is not listed here, please visit sanfordhealthplan.com, log in to your Member Portal at sanfordhealthplan.com/memberlogin or call the toll-free member phone number on your ID card.

About this formularyWhere differences exist between this formulary and your benefit plan documents, the benefit plan documents rule. This may not be a complete list of medications, and not all medications listed may be covered by your plan. Please look at the benefit plan documents provided by your employer or plan sponsor for full details.

Understanding your formulary

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The formulary gives you choices so you and your provider can decide your best course of treatment. In this formulary, brand-name medications are shown in UPPERCASE (for example, CLOBEX) and generic medications in lowercase (for example, clobetasol).

Drug Category Information

The drug category determines the cost levels you pay for a medication. This is how much you will pay when you fill a prescription. Using generic or formulary brand medications can help you pay your lowest out-of-pocket cost. Consult your Summary of Benefits and Coverage (SBC) to determine your cost for each of the drug categories listed below.

Drug Category

Includes Helpful Tips

Generic $ Lower-cost generic medications

Use generic drugs for the lowest out-of-pocket costs.

Formulary Brand

$$ Mid-range cost preferred brand-name

Use Formulary Brand drugs if a generic alternative is not available.

Non-Formulary Brand

$$$ Higher-cost non-preferred

Non-Formulary Brand drugs are not listed and have lower-cost options in Generic or Formulary Brand categories. Ask your provider if they could work for you.

Reading your formulary

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Drug list information

In this drug list, some medications are noted with letters next to them to help you see which ones may have coverage requirements or limits. Your benefit plan determines how these medications may be covered for you.

PA

Prior Authorization – You or your provider must get pre-approval for the medicine with Sanford Health Plan before you can get the prescription filled. NOTE: The Member is ultimately responsible for obtaining pre-approval from the Plan, but your provider may also request approval.

QL Quantity Limit / Amount Allowed – Medication may be limited to a certain quantity.

SP

Specialty Medication – Medication is designated as specialty. Specialty medications are typically used to treat complex medical conditions. These medications may require frequent dosing adjustments, close monitoring, special training, or compliance assistance. In addition, specialty medications may need special handling and/or administration, and may have limited or exclusive product availability and distribution.

STStep Therapy – Trial of a lower-cost medication(s) is required before a higher-cost medication can be covered.

Table of Contents

Analgesics - Drugs for Pain......................................................................................................................7Analgesics - Drugs for Pain and Inflammation......................................................................................... 9Anesthetics.............................................................................................................................................11Anti-Addiction / Substance Abuse Treatment Agents............................................................................ 11Antibacterials..........................................................................................................................................11Anticoagulants........................................................................................................................................14Anticonvulsants - Drugs for Seizures..................................................................................................... 15Antidementia Agents - Drugs for Alzheimer's Disease and Dementia................................................... 16Antidepressants......................................................................................................................................17Antiemetics - Drugs for Nausea and Vomiting........................................................................................18Antifungals..............................................................................................................................................18Antigout Agents...................................................................................................................................... 20Anti-inflammatory Agents....................................................................................................................... 20Antimigraine Agents............................................................................................................................... 20Antimyasthenic Agents...........................................................................................................................21Antimycobacterials................................................................................................................................. 21Antineoplastics - Drugs for Cancer.........................................................................................................21Antiparasitics.......................................................................................................................................... 22Antiparkinson Agents............................................................................................................................. 22Antiplatelets............................................................................................................................................23Antipsychotics - Drugs for Mood Disorders............................................................................................ 23Antivirals.................................................................................................................................................24Anxiolytics - Drugs for Anxiety................................................................................................................27Bipolar Agents - Drugs for Mood Disorders............................................................................................28Blood Products / Modifiers / Volume Expanders - Drugs for Bleeding Disorders...................................28Cardiovascular Agents - Drugs for Heart and Circulation Conditions.....................................................28Central Nervous System Agents - Drugs for Attention Deficit Disorder.................................................34Central Nervous System Agents - Drugs for Multiple Sclerosis............................................................. 34Central Nervous System Agents - Miscellaneous.................................................................................. 35Dental and Oral Agents - Drugs for Mouth and Throat Conditions.........................................................36Dermatological Agents - Drugs for Skin Conditions............................................................................... 37Diabetes - Antidiabetic Agents............................................................................................................... 40Diabetes - Glucose Monitoring............................................................................................................... 41Diabetes - Glycemic Agents................................................................................................................... 41Diabetes - Insulins..................................................................................................................................41Electrolytes / Minerals / Metals / Vitamins..............................................................................................42Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer.....................................................................45Gastrointestinal Agents - Drugs for Bowel, Intestine and Stomach Conditions......................................46Genetic or Enzyme Disorder: Drugs for Replacement, Modifiers, Treatment........................................ 47Genitourinary Agents - Drugs for Bladder, Genital and Kidney Conditions............................................48Genitourinary Agents - Drugs for Prostate Conditions........................................................................... 49Hormonal Agents - Adrenal.................................................................................................................... 49Hormonal Agents - Men's Health............................................................................................................51Hormonal Agents - Osteoporosis........................................................................................................... 52Hormonal Agents - Parathyroid.............................................................................................................. 52Hormonal Agents - Pituitary................................................................................................................... 52Hormonal Agents - Prostaglandins.........................................................................................................53

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Hormonal Agents - Sex Hormones and Birth Control.............................................................................53Hormonal Agents - Thyroid.................................................................................................................... 54Immunological Agents - Drugs for Immune System Stimulation or Suppression................................... 55Inflammatory Bowel Disease Agents......................................................................................................57Metabolic Bone Disease Agents - Drugs for Osteoporosis.................................................................... 58Miscellaneous Therapeutic Agents........................................................................................................ 58Ophthalmic Agents - Drugs for Eye Allergy, Infection and Inflammation................................................59Ophthalmic Agents - Drugs for Glaucoma..............................................................................................61Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions.............................................................. 61Otic Agents - Drugs for Ear Conditions.................................................................................................. 62Respiratory Tract / Pulmonary Agents - Drugs for Allergies, Cough, Cold.............................................63Respiratory Tract / Pulmonary Agents - Drugs for Asthma and Other Lung Conditions........................ 64Respiratory Tract / Pulmonary Agents - Drugs for Cystic Fibrosis......................................................... 67Respiratory Tract / Pulmonary Agents - Drugs for Pulmonary Hypertension......................................... 67Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm............................................................67Sleep Disorder Agents........................................................................................................................... 68

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Drug Name Limits/ Required

Analgesics - Drugs for Pain

ABSTRAL

acetaminophen-codeine QL

acetaminophen-codeine #2 QL



ascomp-codeine

BELBUCA PA; QL

buprenorphine transdermal patch weekly 10 mcg/hr, 15 mcg/hr, 20 mcg/hr, 5 mcg/hr

PA; QL

BUPRENORPHINE TRANSDERMAL PATCH WEEKLY 7.5 MCG/HR

PA; QL

butalbital-acetaminophen oral tablet

butalbital-apap

butalbital-apap-caff-cod

butalbital-apap-caffeine oral capsule

butalbital-apap-caffeine oral tablet 50-325-40 mg

butalbital-asa-caff-codeine

butalbital-aspirin-caffeine

butorphanol tartrate nasal QL

BUTRANS TRANSDERMAL PATCH WEEKLY 7.5 MCG/HR PA; QL

carisoprodol-aspirin-codeine

codeine sulfate oral tablet 30 mg, 60 mg QL

duraxin

endocet oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg

QL

esgic oral capsule

fentanyl PA; QL

fentanyl citrate buccal lozenge on a handle

FENTANYL CITRATE BUCCAL TABLET

FENTORA BUCCAL TABLET 100 MCG, 200 MCG, 400 MCG, 600 MCG, 800 MCG

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

QL

For more information regarding the tiers and designations in this drug list, please see the Reading your formulary section of this booklet.

Created on 7/1/20197


hydrocodone-acetaminophen oral tablet 10-300 mg, 10-325 mg, 5-300 mg, 5-325 mg, 7.5-300 mg, 7.5-325 mg

QL

hydrocodone-ibuprofen oral tablet 10-200 mg, 5-200 mg, 7.5-200 mg

QL

hydromorphone hcl er PA; QL

hydromorphone hcl oral QL

HYSINGLA ER PA; QL

levorphanol tartrate oral tablet 2 mg QL

levorphanol tartrate oral tablet 3 mg

lorcet QL

lorcet hd QL

lorcet plus oral tablet 7.5-325 mg QL

LORTAB ORAL ELIXIR 10-300 MG/15ML QL

meperidine hcl oral QL

methadone hcl intensol

methadone hcl oral concentrate

methadone hcl oral solution

methadone hcl oral tablet PA

methadone hcl oral tablet soluble

methadose oral concentrate 10 mg/ml

methadose oral tablet soluble

methadose sugar-free

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

QL

morphine sulfate er beads PA; QL

morphine sulfate er oral capsule extended release 24 hour PA; QL

morphine sulfate er oral tablet extended release PA; QL

morphine sulfate oral QL

NUCYNTA QL

oxycodone hcl oral capsule QL

oxycodone hcl oral concentrate 100 mg/5ml QL

oxycodone hcl oral solution QL

oxycodone hcl oral tablet QL

oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg

QL




oxycodone-aspirin oral tablet 4.8355-325 mg QL

oxycodone-ibuprofen QL

OXYCONTIN ORAL TABLET ER 12 HOUR ABUSE-DETERRENT

PA; QL

oxymorphone hcl QL

oxymorphone hcl er PA; QL

pentazocine-naloxone hcl QL

phrenilin forte oral capsule 50-300-40 mg

ROXYBOND ORAL TABLET ABUSE-DETERRENT 15 MG PA; QL

SUBSYS

tencon oral tablet 50-325 mg

tramadol hcl er (biphasic) oral tablet extended release 24 hour 100 mg, 200 mg, 300 mg

tramadol hcl er oral tablet extended release 24 hour

tramadol hcl ir QL

tramadol-acetaminophen QL

VANATOL LQ PA

VANATOL S PA

vicodin es oral tablet 7.5-300 mg QL

vicodin hp oral tablet 10-300 mg QL

vicodin oral tablet 5-300 mg QL

zebutal oral capsule 50-325-40 mg

Analgesics - Drugs for Pain and Inflammation

celecoxib oral

DICLOFENAC EPOLAMINE QL

diclofenac potassium

diclofenac sodium er

diclofenac sodium oral

diclofenac sodium transdermal gel 1 % QL

diclofenac sodium transdermal solution

diclofenac-misoprostol oral tablet delayed release

diflunisal oral

ec-naproxen

etodolac er




etodolac oral

fenoprofen calcium capsule 200 mg oral PA

fenoprofen calcium capsule 200 mg oral

fenoprofen calcium oral capsule 400 mg

fenoprofen calcium oral tablet

fenortho oral capsule 200 mg

FLECTOR QL

flurbiprofen oral

ibu oral tablet 600 mg, 800 mg

ibuprofen oral suspension

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

IC 400

IC 800

INDOCIN ORAL

INDOCIN RECTAL

indomethacin er

indomethacin oral

ketoprofen er

ketoprofen oral capsule 25 mg

ketorolac tromethamine injection solution 15 mg/ml, 30 mg/ml

ketorolac tromethamine oral QL

ketorolac tromethamine solution 60 mg/2ml intramuscular

meclofenamate sodium oral

mefenamic acid oral

meloxicam oral tablet

nabumetone oral

naproxen dr

naproxen oral

naproxen sodium er

naproxen sodium oral tablet 275 mg, 550 mg

oxaprozin

piroxicam oral

sulindac oral

TIVORBEX




tolmetin sodium

ZORVOLEX

Anesthetics

ethyl chloride

GEBAUERS PAIN EASE

GEBAUERS SPRAY AND STRETCH

glydo

lidocaine external patch 5 %

lidocaine hcl external gel 2 %

lidocaine hcl external solution

lidocaine ointment 5 % external

lidocaine-prilocaine external cream

LIDOCAINE-TETRACAINE PA

PLIAGLIS PA

Anti-Addiction / Substance Abuse Treatment Agents

acamprosate calcium

BUNAVAIL QL

buprenorphine hcl sublingual QL

buprenorphine hcl-naloxone hcl QL

disulfiram oral

EVZIO INJECTION SOLUTION AUTO-INJECTOR 2 MG/0.4ML

LUCEMYRA QL

naltrexone hcl oral

NARCAN QL

ZUBSOLV QL

Antibacterials

amoxicillin oral capsule

amoxicillin oral suspension reconstituted

amoxicillin oral tablet

amoxicillin oral tablet chewable 125 mg, 250 mg

amoxicillin-potassium clavulanate er

amoxicillin-potassium clavulanate oral

ampicillin oral capsule 500 mg




AUGMENTIN ORAL SUSPENSION RECONSTITUTED 125-31.25 MG/5ML

avidoxy

azithromycin oral packet

azithromycin oral suspension reconstituted

azithromycin oral tablet 250 mg, 500 mg, 600 mg

BAXDELA ORAL PA

benzalkonium chloride external solution , 50 %

cefaclor

cefaclor er

cefadroxil

cefdinir

cefditoren pivoxil

cefixime

cefpodoxime proxetil

cefprozil

cefuroxime axetil oral tablet

cephalexin

ciprofloxacin hcl oral

ciprofloxacin oral suspension reconstituted 500 mg/5ml (10%)

clarithromycin er

clarithromycin oral

CLEOCIN VAGINAL SUPPOSITORY

clindamycin hcl oral

clindamycin palmitate hcl

clindamycin phosphate vaginal

CLINDESSE

demeclocycline hcl oral

dicloxacillin sodium

DIFICID

doxycycline hyclate oral capsule

doxycycline hyclate oral tablet 100 mg, 150 mg, 20 mg, 50 mg, 75 mg

doxycycline hyclate oral tablet delayed release 100 mg, 150 mg, 200 mg, 50 mg, 75 mg




doxycycline monohydrate oral

e.e.s. 400 oral tablet

ERY-TAB

ERYTHROCIN STEARATE ORAL TABLET 250 MG

erythromycin base oral capsule delayed release particles

erythromycin base oral tablet

erythromycin ethylsuccinate oral

FIRVANQ

gentamicin sulfate external

hydrogen peroxide solution 30 %

levofloxacin oral

linezolid oral PA

mafenide acetate external

methenamine hippurate

metronidazole oral

metronidazole vaginal

minocycline hcl er oral tablet extended release 24 hour 105 mg, 80 mg

minocycline hcl oral

mondoxyne nl

MONUROL

morgidox oral

moxifloxacin hcl oral

mupirocin external

neomycin sulfate oral

nitrofurantoin macrocrystal oral

nitrofurantoin monohydrate macrocrystals

nitrofurantoin oral suspension

ofloxacin oral tablet 300 mg, 400 mg

okebo oral capsule 75 mg

paromomycin sulfate oral

penicillin v potassium

phenol liquid

silver nitrate external ointment




silver sulfadiazine external

soloxide

ssd

sulfadiazine oral

sulfamethoxazole-trimethoprim oral suspension 200-40 mg/5ml

sulfamethoxazole-trimethoprim oral tablet

sulfatrim pediatric

SUPRAX ORAL SUSPENSION RECONSTITUTED 500 MG/5ML

SUPRAX ORAL TABLET CHEWABLE

tetracycline hcl oral

tinidazole oral

trimethoprim oral

vancomycin hcl oral

vandazole

VIBRAMYCIN ORAL SYRUP

XEPI

XIFAXAN ORAL TABLET 550 MG

Anticoagulants

BEVYXXA QL

ELIQUIS

ELIQUIS STARTER PACK

enoxaparin sodium

fondaparinux sodium

FRAGMIN SUBCUTANEOUS SOLUTION 10000 UNIT/ML, 12500 UNIT/0.5ML, 15000 UNIT/0.6ML, 18000 UNT/0.72ML, 2500 UNIT/0.2ML, 5000 UNIT/0.2ML, 7500 UNIT/0.3ML, 95000 UNIT/3.8ML

heparin (porcine) in nacl injection solution 100-0.45 unit/ml-%

heparin sodium (porcine) injection solution 1000 unit/ml, 10000 unit/ml, 20000 unit/ml, 5000 unit/ml

heparin sodium (porcine) pf

jantoven

warfarin sodium oral

XARELTO

XARELTO STARTER PACK




Anticonvulsants - Drugs for Seizures

BANZEL

BRIVIACT ORAL

carbamazepine er

carbamazepine oral

CELONTIN

clobazam

DIACOMIT PA; SP

diazepam rectal

DILANTIN ORAL CAPSULE 30 MG

divalproex sodium er oral tablet extended release 24 hour

divalproex sodium oral capsule delayed release sprinkle

divalproex sodium oral tablet delayed release

EPIDIOLEX PA; SP

epitol

EQUETRO

ethosuximide oral

felbamate

FYCOMPA

gabapentin oral

LAMICTAL XR ORAL KIT

lamotrigine er

lamotrigine oral tablet

lamotrigine oral tablet chewable

lamotrigine oral tablet dispersible

lamotrigine starter kit-blue

lamotrigine starter kit-green

lamotrigine starter kit-orange

levetiracetam er

levetiracetam oral

oxcarbazepine

OXTELLAR XR

PEGANONE

phenobarbital oral




phenytoin infatabs

phenytoin oral suspension 125 mg/5ml

phenytoin oral tablet chewable

phenytoin sodium extended

primidone oral

roweepra

roweepra xr

subvenite

subvenite starter kit-blue

subvenite starter kit-green

subvenite starter kit-orange

tiagabine hcl

topiramate er

topiramate oral

TROKENDI XR

valproate sodium oral solution

valproic acid oral capsule

valproic acid oral solution

vigabatrin SP

vigadrone SP

VIMPAT ORAL

zonisamide oral

Antidementia Agents - Drugs for Alzheimer's Disease and Dementia

donepezil hcl

galantamine hydrobromide

galantamine hydrobromide er

memantine hcl er

memantine hcl oral

NAMENDA XR TITRATION PACK

NAMZARIC

rivastigmine

rivastigmine tartrate




Antidepressants

amitriptyline hcl oral

amoxapine

bupropion hcl er (sr)

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

bupropion hcl oral

chlordiazepoxide-amitriptyline

citalopram hydrobromide QL

clomipramine hcl oral

desipramine hcl oral

desvenlafaxine succinate er

doxepin hcl oral

duloxetine hcl oral

escitalopram oxalate

fluoxetine hcl (pmdd)

fluoxetine hcl oral

fluvoxamine maleate

fluvoxamine maleate er

imipramine hcl oral

imipramine pamoate

maprotiline hcl

MARPLAN

mirtazapine oral

nefazodone hcl

nortriptyline hcl oral

olanzapine-fluoxetine hcl

paroxetine hcl er QL

paroxetine hcl oral tablet QL

paroxetine mesylate QL

perphenazine-amitriptyline

phenelzine sulfate oral

protriptyline hcl

sertraline hcl oral




tranylcypromine sulfate

trazodone hcl oral

trimipramine maleate oral

venlafaxine hcl

venlafaxine hcl er

VIIBRYD ORAL TABLET ST; QL

VIIBRYD STARTER PACK ST; QL

Antiemetics - Drugs for Nausea and Vomiting

AKYNZEO ORAL QL

ANZEMET ORAL QL

aprepitant QL

CESAMET

compro

dronabinol

EMEND ORAL SUSPENSION RECONSTITUTED QL

granisetron hcl oral QL

meclizine hcl oral tablet

metoclopramide hcl oral solution 10 mg/10ml, 5 mg/5ml

metoclopramide hcl oral tablet

metoclopramide hcl oral tablet dispersible

ondansetron hcl oral

ondansetron odt

perphenazine oral

prochlorperazine

prochlorperazine maleate oral

scopolamine

trimethobenzamide hcl oral

Antifungals

AVC VAGINAL

BIO-STATIN ORAL CAPSULE

ciclodan external solution

ciclopirox

ciclopirox olamine

clotrimazole crystals




clotrimazole external cream

clotrimazole mouth/throat

clotrimazole powder

CLOTRIMAZOLE POWDER

clotrimazole solution 1 % external (rx)

CRESEMBA ORAL

econazole nitrate external

exoderm external lotion

fluconazole oral

flucytosine oral

griseofulvin microsize oral

griseofulvin ultramicrosize

GYNAZOLE-1

itraconazole oral QL

ketoconazole external cream

ketoconazole external foam

ketoconazole external shampoo 2 %

ketoconazole oral

miconazole 3 vaginal suppository

naftifine hcl external cream

NAFTIN EXTERNAL GEL 2 %

NOXAFIL ORAL

nyamyc

nystatin external

nystatin mouth/throat

nystatin oral tablet

nystatin-triamcinolone

nystop

oxiconazole nitrate

terbinafine hcl oral

terconazole QL

tolnaftate

voriconazole oral




Antigout Agents

allopurinol oral

COLCHICINE ORAL

colchicine-probenecid

COLCRYS

DUZALLO

MITIGARE

probenecid oral

ULORIC ST

ZURAMPIC

Anti-inflammatory Agents

EMFLAZA PA; SP

Antimigraine Agents

AIMOVIG PA; QL

AJOVY PA; QL

almotriptan malate QL

dihydroergotamine mesylate injection QL

dihydroergotamine mesylate nasal QL

eletriptan hydrobromide QL

ERGOMAR

ergotamine-caffeine

frovatriptan succinate QL

MIGERGOT

naratriptan hcl QL

ONZETRA XSAIL

rizatriptan benzoate QL

sumatriptan nasal QL

sumatriptan succinate oral QL

sumatriptan succinate refill subcutaneous solution cartridge QL

sumatriptan succinate subcutaneous solution 6 mg/0.5ml QL

sumatriptan succinate subcutaneous solution auto-injector 4 mg/0.5ml, 6 mg/0.5ml

QL

sumatriptan succinate subcutaneous solution prefilled syringe 6 mg/0.5ml

QL




zolmitriptan oral QL

ZOMIG NASAL QL

Antimyasthenic Agents

pyridostigmine bromide er

pyridostigmine bromide oral

Antimycobacterials

cycloserine oral

dapsone oral

ethambutol hcl oral

isoniazid oral

PASER

PRIFTIN

pyrazinamide oral

rifabutin QL

RIFAMATE

rifampin oral

RIFATER

SIRTURO

TRECATOR

Antineoplastics - Drugs for Cancer

anastrozole oral

DROXIA

exemestane

fulvestrant

hydroxyurea oral

letrozole oral

leucovorin calcium oral

mercaptopurine oral

MESNEX ORAL

PANRETIN

PURIXAN

SOLTAMOX

tamoxifen citrate oral

TARGRETIN EXTERNAL SP




Antiparasitics

albendazole oral

ALINIA

atovaquone oral

atovaquone-proguanil hcl

BENZNIDAZOLE QL

chloroquine phosphate oral

COARTEM

crotan

DARAPRIM PA; SP

EMVERM

EURAX EXTERNAL CREAM

hydroxychloroquine sulfate oral

IMPAVIDO

ivermectin oral

KRINTAFEL QL

lindane external shampoo

malathion external

mefloquine hcl

NEBUPENT

permethrin external cream

praziquantel oral

primaquine phosphate oral

quinine sulfate oral

SKLICE

spinosad

sulfurated lime

ULESFIA

Antiparkinson Agents

amantadine hcl oral

APOKYN SUBCUTANEOUS SOLUTION CARTRIDGE SP

benztropine mesylate oral

bromocriptine mesylate oral

carbidopa oral




carbidopa-levodopa

carbidopa-levodopa er oral tablet extended release 25-100 mg, 50-200 mg

carbidopa-levodopa-entacapone

entacapone

NEUPRO

pramipexole dihydrochloride

pramipexole dihydrochloride er

rasagiline mesylate oral

ropinirole hcl

ropinirole hcl er

selegiline hcl oral

tolcapone

trihexyphenidyl hcl

ZELAPAR

Antiplatelets

aspirin-dipyridamole er

BRILINTA

CABLIVI PA; SP; QL

cilostazol

clopidogrel bisulfate oral

dipyridamole oral

prasugrel hcl

ZONTIVITY

Antipsychotics - Drugs for Mood Disorders

ADASUVE

aripiprazole oral solution

aripiprazole oral tablet QL

aripiprazole oral tablet dispersible QL

chlorpromazine hcl oral

clozapine

fluphenazine hcl oral

haloperidol lactate oral

haloperidol oral




LATUDA ST; QL

loxapine succinate oral

molindone hcl

NUPLAZID ORAL CAPSULE ST; QL

NUPLAZID ORAL TABLET 10 MG ST; QL

olanzapine oral

paliperidone er

pimozide

quetiapine fumarate QL

quetiapine fumarate er QL

risperidone

thioridazine hcl oral

thiothixene oral

trifluoperazine hcl oral

VERSACLOZ

ziprasidone hcl

Antivirals

abacavir sulfate

abacavir sulfate-lamivudine

abacavir-lamivudine-zidovudine

acyclovir external

acyclovir oral

adefovir dipivoxil

APTIVUS

atazanavir sulfate

ATRIPLA

BARACLUDE ORAL SOLUTION

BIKTARVY

CIMDUO

COMPLERA

CRIXIVAN ORAL CAPSULE 200 MG, 400 MG

DELSTRIGO

DENAVIR

DESCOVY




didanosine oral capsule delayed release 200 mg, 250 mg, 400 mg

EDURANT

efavirenz

EMTRIVA

entecavir

EPCLUSA PA; SP; QL

EPIVIR HBV ORAL SOLUTION

EVOTAZ

famciclovir oral QL

fosamprenavir calcium

GENVOYA

HARVONI PA; SP; QL

INTELENCE

INVIRASE ORAL TABLET

ISENTRESS

ISENTRESS HD

JULUCA

KALETRA ORAL TABLET

lamivudine oral solution

lamivudine oral tablet 100 mg, 300 mg

lamivudine oral tablet 150 mg QL

lamivudine-zidovudine

LEDIPASVIR-SOFOSBUVIR PA; SP; QL

LEXIVA ORAL SUSPENSION

lopinavir-ritonavir

MAVYRET PA; SP; QL

nevirapine

nevirapine er

NORVIR ORAL PACKET

NORVIR ORAL SOLUTION

ODEFSEY

oseltamivir phosphate oral QL




PEGASYS PROCLICK SUBCUTANEOUS SOLUTION 180 MCG/0.5ML

SP

PEGASYS SUBCUTANEOUS SOLUTION SP

PEGINTRON SUBCUTANEOUS KIT 50 MCG/0.5ML SP

PIFELTRO

PREVYMIS ORAL SP; QL

PREZCOBIX

PREZISTA ORAL SUSPENSION

PREZISTA ORAL TABLET 150 MG, 600 MG, 75 MG, 800 MG

REBETOL ORAL SOLUTION

RELENZA DISKHALER QL

RESCRIPTOR ORAL TABLET 200 MG

REYATAZ ORAL PACKET

ribasphere

ribasphere ribapak oral tablet 400 mg, 600 mg

RIBASPHERE RIBAPAK ORAL TABLET THERAPY PACK

ribavirin inhalation

ribavirin oral capsule

ribavirin oral tablet 200 mg

rimantadine hcl

ritonavir

SELZENTRY

SITAVIG

SOFOSBUVIR-VELPATASVIR PA; SP; QL

stavudine oral capsule

STRIBILD

SYMFI

SYMFI LO

SYMTUZA

tenofovir disoproxil fumarate

TIVICAY

TRIUMEQ

TRUVADA

TYBOST




valacyclovir hcl oral

valganciclovir hcl

VEMLIDY

VIDEX ORAL SOLUTION RECONSTITUTED 2 GM

VIRACEPT ORAL TABLET

VIREAD ORAL POWDER

VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG

VOSEVI PA; SP; QL

XOFLUZA QL

zidovudine

Anxiolytics - Drugs for Anxiety

alprazolam er

ALPRAZOLAM INTENSOL

alprazolam oral

alprazolam xr

buspirone hcl oral

chlordiazepoxide hcl

clonazepam oral

clorazepate dipotassium

diazepam intensol

diazepam oral concentrate

diazepam oral solution 5 mg/5ml

diazepam oral tablet

DORAL

estazolam

hydroxyzine hcl oral syrup

hydroxyzine hcl oral tablet

hydroxyzine pamoate oral

lorazepam intensol

lorazepam oral

meprobamate

midazolam hcl oral

oxazepam

triazolam




Bipolar Agents - Drugs for Mood Disorders

lithium

lithium carbonate er

lithium carbonate oral

Blood Products / Modifiers / Volume Expanders - Drugs for Bleeding Disorders

AMICAR ORAL SOLUTION

aminocaproic acid oral tablet

anagrelide hcl

MULPLETA PA; SP; QL

PROMACTA PA; SP; QL

TAVALISSE PA; SP; QL

tranexamic acid oral QL

Cardiovascular Agents - Drugs for Heart and Circulation Conditions

acebutolol hcl oral

acetazolamide er

acetazolamide oral

ALDACTAZIDE ORAL TABLET 50-50 MG

aliskiren fumarate

amiloride hcl oral

amiloride-hydrochlorothiazide

amiodarone hcl oral

amlodipine besylate oral

amlodipine besylate-benazepril hcl

amlodipine besylate-valsartan

amlodipine-atorvastatin QL

amlodipine-olmesartan

amlodipine-valsartan-hctz

atenolol oral

atenolol-chlorthalidone

atorvastatin calcium oral QL

benazepril hcl oral

benazepril-hydrochlorothiazide




betaxolol hcl oral

BIDIL

bisoprolol fumarate

bisoprolol-hydrochlorothiazide

bumetanide oral

BYSTOLIC

BYVALSON

candesartan cilexetil

candesartan cilexetil-hctz

captopril oral

captopril-hydrochlorothiazide

CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HOUR 120 MG

cartia xt

carvedilol

carvedilol phosphate er

chlorothiazide oral

chlorthalidone oral tablet 25 mg, 50 mg

cholestyramine light QL

cholestyramine oral QL

choline fenofibrate

clonidine

clonidine hcl oral

colesevelam hcl

colestipol hcl

CORLANOR

DEMSER

digitek

digox

digoxin oral

DILATRATE-SR

diltiazem hcl er beads

diltiazem hcl er coated beads

diltiazem hcl er oral capsule extended release 12 hour




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

diltiazem hcl oral

dilt-xr

disopyramide phosphate oral

DIURIL

dofetilide

doxazosin mesylate oral QL

DYRENIUM

enalapril maleate oral

enalapril-hydrochlorothiazide

ENTRESTO

EPANED ORAL SOLUTION PA

eplerenone

eprosartan mesylate

ethacrynic acid oral

ezetimibe QL

ezetimibe-simvastatin QL

felodipine er

fenofibrate micronized

fenofibrate oral capsule 134 mg, 200 mg, 67 mg

fenofibrate oral tablet

fenofibric acid oral capsule delayed release

flecainide acetate

fluvastatin sodium QL

fluvastatin sodium er QL

fosinopril sodium

fosinopril sodium-hctz

furosemide oral solution 10 mg/ml, 8 mg/ml

furosemide oral tablet

gemfibrozil oral

GONITRO

guanfacine hcl oral

HEMANGEOL SP




hydralazine hcl oral

hydrochlorothiazide oral

indapamide oral

irbesartan

irbesartan-hydrochlorothiazide

isosorbide dinitrate er

isosorbide dinitrate oral

isosorbide mononitrate

isosorbide mononitrate er

isradipine

KEVEYIS SP

labetalol hcl oral

LANOXIN ORAL TABLET 187.5 MCG, 62.5 MCG

lisinopril oral

lisinopril-hydrochlorothiazide

losartan potassium

losartan potassium-hctz

lovastatin QL

matzim la

methyldopa oral

methyldopa-hydrochlorothiazide

metolazone

metoprolol succinate er

metoprolol tartrate oral

metoprolol-hydrochlorothiazide

mexiletine hcl oral

midodrine hcl

minitran

minoxidil oral

moexipril hcl

MULTAQ

nadolol oral tablet 20 mg, 40 mg, 80 mg

niacin (antihyperlipidemic)

niacin er (antihyperlipidemic)




NIACOR

nicardipine hcl oral

nifedipine er

nifedipine er osmotic release

nifedipine oral

nimodipine oral

nisoldipine er

NITRO-BID

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

nitroglycerin sublingual

nitroglycerin transdermal patch 24 hour

nitroglycerin translingual solution

NORPACE CR

NORTHERA SP

olmesartan medoxomil oral

olmesartan medoxomil-hctz

olmesartan-amlodipine-hctz

omega-3-acid ethyl esters

pacerone oral tablet 100 mg, 200 mg, 400 mg

pentoxifylline er

perindopril erbumine

phenoxybenzamine hcl oral

pindolol

PRALUENT SUBCUTANEOUS SOLUTION PEN-INJECTOR PA; SP; QL

pravastatin sodium QL

prazosin hcl oral

PRESTALIA

prevalite QL

propafenone hcl

propafenone hcl er

propranolol hcl er

propranolol hcl oral

propranolol-hctz




quinapril hcl

quinapril-hydrochlorothiazide

quinidine gluconate er

quinidine sulfate oral

ramipril

ranolazine er

RECTIV

REPATHA PA; SP; QL

REPATHA PUSHTRONEX SYSTEM PA; SP; QL

REPATHA SURECLICK PA; SP; QL

rosuvastatin calcium QL

simvastatin oral QL

sorine

sotalol hcl (af)

sotalol hcl oral

SOTYLIZE

spironolactone oral

spironolactone-hctz

taztia xt

TEKTURNA HCT

telmisartan

telmisartan-amlodipine

telmisartan-hctz

timolol maleate oral

torsemide oral

trandolapril

trandolapril-verapamil hcl er

triamterene-hctz oral capsule 37.5-25 mg

triamterene-hctz oral tablet

valsartan

valsartan-hydrochlorothiazide

VASCEPA

VECAMYL

verapamil hcl er oral capsule extended release 24 hour




verapamil hcl er oral tablet extended release 120 mg, 180 mg, 240 mg

verapamil hcl oral

Central Nervous System Agents - Drugs for Attention Deficit Disorder

ADZENYS ER

ADZENYS XR-ODT

amphetamine sulfate

amphetamine-dextroamphetamine

amphetamine-dextroamphetamine er

atomoxetine hcl QL

clonidine hcl er

DAYTRANA

dexmethylphenidate hcl

dexmethylphenidate hcl er

dextroamphetamine sulfate er

dextroamphetamine sulfate oral

guanfacine hcl er

metadate er oral tablet extended release 20 mg

methamphetamine hcl

methylphenidate hcl er (cd)

methylphenidate hcl er (la)

methylphenidate hcl er oral tablet extended release 10 mg, 18 mg, 20 mg, 27 mg, 36 mg, 54 mg

methylphenidate hcl er oral tablet extended release 24 hour

methylphenidate hcl oral

QUILLIVANT XR

VYVANSE

zenzedi oral tablet 10 mg, 5 mg

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

Central Nervous System Agents - Drugs for Multiple Sclerosis

AUBAGIO PA; SP; QL

AVONEX PEN INTRAMUSCULAR AUTO-INJECTOR KIT PA; SP; QL




AVONEX PREFILLED INTRAMUSCULAR PREFILLED SYRINGE KIT

PA; SP; QL

AVONEX VIAL INTRAMUSCULAR KIT PA; SP; QL

COPAXONE SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

dalfampridine er PA; SP; QL

EXTAVIA SUBCUTANEOUS KIT PA; SP; QL

GILENYA ORAL CAPSULE 0.25 MG PA; SP

GILENYA ORAL CAPSULE 0.5 MG PA; SP; QL

PLEGRIDY PA; SP; QL

PLEGRIDY STARTER PACK PA; SP; QL

REBIF REBIDOSE SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; SP; QL

REBIF REBIDOSE TITRATION PACK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; SP; QL

REBIF SUBCUTANEOUS SOLUTION PREFILLED SYRINGE PA; SP; QL

REBIF TITRATION PACK SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

TECFIDERA PA; SP; QL

Central Nervous System Agents - Miscellaneous

BELVIQ PA

BELVIQ XR PA

benzphetamine hcl PA

caffeine citrate oral

diethylpropion hcl er PA

diethylpropion hcl oral PA

GRALISE

GRALISE STARTER

HORIZANT ORAL TABLET EXTENDED RELEASE

LOMAIRA PA

LYRICA ST; QL

NUEDEXTA QL

phendimetrazine tartrate PA

phendimetrazine tartrate er PA

phentermine hcl oral PA




riluzole

SAVELLA ST; QL

SAVELLA TITRATION PACK ST; QL

TEGSEDI PA; SP; QL

tetrabenazine PA; SP

Dental and Oral Agents - Drugs for Mouth and Throat Conditions

cavarest

cevimeline hcl

chlorhexidine gluconate mouth/throat

clinpro 5000 paste 1.1 % dental

DEBACTEROL SOLUTION 30-50 % MOUTH/THROAT

denta 5000 plus

dentagel

fluoridex

fluoridex enhanced whitening dental paste

fluoridex sensitivity relief dental paste

lidocaine hcl mouth/throat

lidocaine viscous

MI PASTE

MI PASTE PLUS

NAFRINSE DAILY ACIDULATED

NAFRINSE DAILY/NEUTRAL

NAFRINSE WEEKLY

neutral sodium fluoride

oralone

paroex

periogard

pilocarpine hcl oral

PREVIDENT 5000 BOOSTER PLUS

PREVIDENT 5000 DRY MOUTH DENTAL GEL

PREVIDENT 5000 ENAMEL PROTECT

PREVIDENT 5000 ORTHO DEFENSE

PREVIDENT 5000 PLUS




PREVIDENT 5000 SENSITIVE

PREVIDENT DENTAL

prevident mouth/throat

REMESENSE

sf

sf 5000 plus

sodium fluoride 5000 plus

sodium fluoride dental gel 1.1 %

topex topical anesthetic mouth/throat aerosol

triamcinolone acetonide mouth/throat

Dermatological Agents - Drugs for Skin Conditions

acitretin

ACZONE EXTERNAL GEL 7.5 %

adapalene external cream

adapalene external gel

ADAPALENE EXTERNAL SOLUTION

adapalene-benzoyl peroxide

ALTRENO

aluminum chloride anhydrous

aluminum chloride hexahydrate

ammonium lactate external

amnesteem

avita external cream

azelaic acid external

AZELEX

balsam peru-castor oil

benzoyl peroxide-erythromycin

bp wash external liquid 2.5 %

BPCO

calamine

calcipotriene external

calcipotriene-betameth diprop QL

calcitrene

calcitriol external




CARAC

claravis

clindacin etz external swab

clindacin-p

clindamycin phosphate-benzoyl peroxide

clindamycin phosphate external foam

clindamycin phosphate external lotion

clindamycin phosphate external solution

clindamycin phosphate external swab

clindamycin phosphate gel 1 % external

clindamycin-tretinoin

clotrimazole-betamethasone

coal tar external solution

CONDYLOX EXTERNAL GEL

CORTISPORIN EXTERNAL

dapsone external

DERMULCERA

diclofenac sodium gel 3 % transdermal

doxepin hcl external

DRYSOL

DUPIXENT PA; SP; QL

EPIDUO FORTE

EPIFOAM

ery

erythromycin external

EUCRISA PA; QL

FABIOR

FINACEA EXTERNAL FOAM

FLUOROPLEX

FLUOROURACIL EXTERNAL CREAM 0.5 %

fluorouracil external cream 5 %

fluorouracil external solution

imiquimod external QL

IMIQUIMOD PUMP QL




isotretinoin oral

lactic acid e

lactic acid external lotion

LEVULAN KERASTICK

methoxsalen oral

methoxsalen rapid

metronidazole external

myorisan

NEO-SYNALAR EXTERNAL CREAM

neuac external gel

ONEXTON

PICATO

pimecrolimus

podofilox external

pyrogallic acid

QBREXZA ST; QL

REGRANEX QL

rosadan external cream

rosadan external gel

SANTYL

selenium sulfide external lotion

SILIPAC KIT EXTERNAL

SOOLANTRA

SORILUX PA

sulfacetamide sodium (acne)

TACLONEX EXTERNAL SUSPENSION QL

tacrolimus external

tazarotene external

TAZORAC EXTERNAL CREAM 0.05 %

TAZORAC EXTERNAL GEL

TOLAK

tretinoin external

tretinoin microsphere

tretinoin microsphere pump




VENELEX

zenatane

ZYCLARA QL

ZYCLARA PUMP QL

Diabetes - Antidiabetic Agents

acarbose oral

AVANDIA ORAL TABLET 2 MG, 4 MG

BYDUREON BCISE AUTOINJECTOR ST; QL

BYDUREON PEN ST; QL

BYDUREON VIAL ST; QL

BYETTA 10 MCG PEN ST; QL

BYETTA 5 MCG PEN ST; QL

CYCLOSET

FARXIGA QL

glimepiride

glipizide er

glipizide ir

glipizide xl

glipizide-metformin hcl

glyburide micronized

glyburide oral

glyburide-metformin

GLYXAMBI QL

JANUMET QL

JANUMET XR QL

JANUVIA QL

JARDIANCE QL

KOMBIGLYZE XR QL

metformin hcl er

metformin hcl oral tablet

miglitol

nateglinide

ONGLYZA QL

OZEMPIC ST; QL




pioglitazone hcl QL

pioglitazone hcl-glimepiride

pioglitazone hcl-metformin hcl

QTERN ORAL TABLET 10-5 MG QL

repaglinide

repaglinide-metformin hcl

SOLIQUA ST; QL

SYMLINPEN 120 PA

SYMLINPEN 60 PA

SYNJARDY QL

SYNJARDY XR QL

tolbutamide

VICTOZA ST; QL

XIGDUO XR QL

XULTOPHY ST; QL

Diabetes - Glucose Monitoring

ONETOUCH ULTRA BLUE TEST STRIPS QL

ONETOUCH VERIO STRIP IN VITRO QL

Diabetes - Glycemic Agents

GLUCAGON EMERGENCY

PROGLYCEM

Diabetes - Insulins

AFREZZA INHALATION POWDER 12 UNIT, 4 & 8 & 12 UNIT, 4 UNIT, 8 UNIT, 90 X 4 UNIT & 90X8 UNIT

FIASP

FIASP FLEXTOUCH

HUMULIN R U-500 KWIKPEN

HUMULIN R U-500 VIAL (CONCENTRATED)

LANTUS U-100 SOLOSTAR

LANTUS U-100 VIAL

LEVEMIR U-100 FLEXTOUCH

LEVEMIR U-100 VIAL

NOVOLIN 70/30 RELION

NOVOLIN 70/30 VIAL




NOVOLIN N RELION

NOVOLIN N VIAL

NOVOLIN R RELION

NOVOLIN R VIAL

NOVOLOG U-100 FLEXPEN

NOVOLOG MIX 70/30 FLEXPEN

NOVOLOG MIX 70/30 VIAL

NOVOLOG U-100 PENFILL

NOVOLOG U-100 VIAL

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR

TRESIBA

TRESIBA FLEXTOUCH

Electrolytes / Minerals / Metals / Vitamins

alanine

CALCIFOL

calcium carbonate

calcium carbonate light

calcium chloride anhydrous granules

calcium chloride dihydrate

calcium gluconate

calcium gluconate anhydrous

calcium gluconate monohydrate

calcium lactate pentahydrate

calcium phosphate dibasic

calcium phosphate tribasic

CARBAGLU SP

CHEMET

choline bitartrate powder

deferasirox SP

dl-alanine

dl-leucine

dl-methionine powder (rx)

dl-phenylalanine




effer-k oral tablet effervescent 25 meq

elite-ob

FERRIPROX SP

GALZIN

glutamine

glutathione powder (rx)

glutathione-l

glutathione-l reduced

iodine strong oral

JADENU SP

JADENU SPRINKLE SP

JYNARQUE ORAL TABLET SP

JYNARQUE ORAL TABLET THERAPY PACK PA; SP; QL

kionex oral suspension

klor-con 10

klor-con m10

KLOR-CON M15

klor-con m20

klor-con oral packet 20 meq

klor-con oral tablet extended release

klor-con sprinkle

klor-con/ef tablet effervescent 25 meq oral

K-PHOS TABLET 500 MG ORAL

k-prime

l-alanine

l-arginine

l-cystine

lecithin

levocarnitine oral solution

levocarnitine oral tablet

l-glutamic acid

l-glutamine crystals

l-glutamine powder (rx)

l-histidine monohydrochloride




l-isoleucine powder (rx)

l-leucine

l-methionine powder (rx)

LOKELMA QL

l-phenylalanine

l-proline

l-threonine

l-tyrosine

l-valine

MAGNEBIND 400

magnesium carbonate heavy

magnesium carbonate powder

methionine powder (rx)

M-NATAL PLUS

NESTABS

ORACIT SOLUTION 490-640 MG/5ML ORAL

phosphorous

phytonadione oral

pnv prenatal plus multivit+dha

pot bicarb-pot chloride

potassium chloride crys er

potassium chloride er

potassium chloride oral packet

potassium chloride oral solution 20 meq/15ml (10%), 40 meq/15ml (20%)

potassium citrate er

prenatal oral tablet 27-1 mg

prenatal plus iron

RELNATE DHA

SAMSCA SP

sod citrate-citric acid solution 500-334 mg/5ml oral

sodium ascorbate powder

sodium citrate granules (rx)

sodium polystyrene sulfonate oral




sodium polystyrene sulfonate rectal

sps

taurine

threonine powder (rx)

THREONINE POWDER (RX)

trientine hcl SP

trinate

valine powder

VALINE POWDER

VELTASSA

virt-phos 250 neutral

vp-pnv-dha

Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer

ACIPHEX SPRINKLE PA; QL

CARAFATE ORAL SUSPENSION

cimetidine hcl oral

cimetidine oral

esomeprazole magnesium oral capsule delayed release QL

famotidine oral suspension reconstituted

famotidine oral tablet 20 mg, 40 mg

lansoprazole oral QL

misoprostol oral

NEXIUM ORAL PACKET QL

nizatidine

omeppi QL

omeprazole oral capsule delayed release QL

omeprazole-sodium bicarbonate QL

pantoprazole sodium oral QL

PRILOSEC ORAL PACKET

rabeprazole sodium QL

ranitidine hcl oral capsule

ranitidine hcl oral syrup

ranitidine hcl oral tablet 150 mg, 300 mg

sucralfate oral tablet




Gastrointestinal Agents - Drugs for Bowel, Intestine and Stomach Conditions

alosetron hcl

AMITIZA QL

amoxicill-clarithro-lansopraz QL

bisacodyl

cascara sagrada oral fluid extract

CHENODAL PA; SP

chlordiazepoxide-clidinium capsule 5-2.5 mg oral

CHOLBAM PA; SP

CLENPIQ

constulose

cromolyn sodium oral

CUVPOSA

dicyclomine hcl oral

diphenoxylate-atropine

ed-spaz

ENTEREG

enulose

GATTEX PA; SP

gavilyte-c

gavilyte-g

gavilyte-h

gavilyte-n with flavor pack

generlac

glycopyrrolate oral tablet 1 mg, 2 mg

GOLYTELY ORAL SOLUTION RECONSTITUTED 227.1 GM

hyoscyamine sulfate oral elixir

hyoscyamine sulfate oral solution

hyoscyamine sulfate sl

hyoscyamine sulfate tablet 0.125 mg oral

hyoscyamine sulfate tablet dispersible 0.125 mg oral

hyoscyamine sulfate tablet sublingual 0.125 mg sublingual

lactulose encephalopathy




lactulose oral

LINZESS QL

loperamide hcl oral capsule

methscopolamine bromide oral

mineral oil

mineral oil heavy

mineral oil light

MOVANTIK QL

MOVIPREP

MURI-LUBE

MYTESI

nulev

oscimin

OSMOPREP

peg 3350/electrolytes

peg 3350-kcl-na bicarb-nacl

peg-3350/electrolytes

peg-prep

PLENVU

PREPOPIK

propantheline bromide oral

RESTORA RX

sodium bicarbonate oral powder

SUPREP BOWEL PREP KIT

SYMPROIC QL

trilyte

ursodiol oral

VIBERZI

XERMELO PA; SP; QL

Genetic or Enzyme Disorder: Drugs for Replacement, Modifiers, Treatment

CERDELGA PA; SP

CREON

CYSTADANE POWDER ORAL SP




CYSTAGON SP

GALAFOLD PA; SP; QL

KUVAN PA; SP

l-glutamic acid hcl

miglustat PA; SP

NITYR SP

ORFADIN SP

PALYNZIQ PA; SP; QL

PANCREAZE

PERTZYE

RAVICTI PA; SP

sodium phenylbutyrate oral powder 3 gm/tsp SP

sodium phenylbutyrate oral tablet SP

STRENSIQ PA; SP

SUCRAID PA; SP

VIOKACE

ZENPEP

Genitourinary Agents - Drugs for Bladder, Genital and Kidney Conditions

AURYXIA

bethanechol chloride oral

calcium acetate (phos binder)

darifenacin hydrobromide er

DEPEN TITRATABS SP

ELMIRON

flavoxate hcl

FOSRENOL ORAL PACKET

INTRAROSA QL

lanthanum carbonate

LITHOSTAT

MYRBETRIQ ST

oxybutynin chloride er

oxybutynin chloride oral

penicillamine oral




phenazo oral tablet 200 mg

phenazopyridine hcl oral tablet 100 mg

phenazopyridine hcl tablet 200 mg oral

PHOSLYRA

sevelamer carbonate

sevelamer hcl

sildenafil citrate oral tablet 100 mg, 25 mg, 50 mg QL

solifenacin succinate ST

tadalafil oral tablet 10 mg, 2.5 mg, 20 mg QL

THIOLA SP

tolterodine tartrate

tolterodine tartrate er

TOVIAZ ST

trospium chloride

trospium chloride er

uretron d/s

urin ds

utrona-c

vardenafil hcl oral QL

VELPHORO

Genitourinary Agents - Drugs for Prostate Conditions

alfuzosin hcl er

dutasteride oral

dutasteride-tamsulosin hcl

finasteride oral tablet 5 mg

silodosin

tamsulosin hcl

terazosin hcl oral

Hormonal Agents - Adrenal

ala-cort external cream

alclometasone dipropionate

amcinonide

beser external lotion

betamethasone dipropionate aug




betamethasone dipropionate external

betamethasone valerate external

CAPEX

clobetasol prop emollient base

clobetasol propionate e

clobetasol propionate emulsion

clobetasol propionate external

clodan external shampoo

CORDRAN EXTERNAL CREAM 0.025 % PA

CORDRAN EXTERNAL TAPE

cortisone acetate oral

deltasone

desonide external

desoximetasone external

DEXAMETHASONE INTENSOL

dexamethasone oral

diflorasone diacetate external

fludrocortisone acetate oral

fluocinolone acetonide body

fluocinolone acetonide external

fluocinolone acetonide scalp

fluocinonide emulsified base

fluocinonide external

flurandrenolide

fluticasone propionate external

halobetasol propionate external cream

halobetasol propionate external ointment

HALOG PA

hydrocortisone butyr lipo base

hydrocortisone butyrate external

hydrocortisone cream 1 % external (rx)

hydrocortisone external cream 2.5 %

hydrocortisone external lotion 2.5 %

hydrocortisone external ointment 2.5 %




hydrocortisone ointment 1 % external (rx)

hydrocortisone oral

hydrocortisone valerate

MEDROL ORAL TABLET 2 MG

methylprednisolone oral

MILLIPRED DP 12-DAY ORAL TABLET THERAPY PACK

MILLIPRED DP ORAL TABLET THERAPY PACK

MILLIPRED ORAL TABLET

mometasone furoate external

nolix

prednicarbate

prednisolone oral solution

prednisolone oral syrup 15 mg/5ml

prednisolone sodium phosphate oral solution 10 mg/5ml, 15 mg/5ml, 20 mg/5ml, 25 mg/5ml, 6.7 (5 base) mg/5ml

prednisolone sodium phosphate oral tablet dispersible

PREDNISONE INTENSOL

prednisone oral

synalar external cream

synalar external ointment

TEXACORT

triamcinolone acetonide external

triderm external cream

Hormonal Agents - Men's Health

ANADROL-50

ANDRODERM TRANSDERMAL PATCH 24 HOUR PA

danazol oral

FORTESTA PA

METHITEST

methyltestosterone

oxandrolone oral

STRIANT PA

testosterone cypionate intramuscular solution 100 mg/ml, 200 mg/ml

PA




testosterone enanthate intramuscular solution PA

testosterone gel 50 mg/5gm (1%) transdermal PA

testosterone transdermal gel 10 mg/act (2%), 12.5 mg/act (1%), 20.25 mg/1.25gm (1.62%), 20.25 mg/act (1.62%), 25 mg/2.5gm (1%), 40.5 mg/2.5gm (1.62%)

PA

testosterone transdermal solution PA

Hormonal Agents - Osteoporosis

clomiphene citrate oral

OSPHENA

raloxifene hcl

Hormonal Agents - Parathyroid

cinacalcet hcl

Hormonal Agents - Pituitary

cabergoline QL

CETROTIDE SUBCUTANEOUS KIT 0.25 MG

chorionic gonadotropin intramuscular QL

DDAVP RHINAL TUBE

desmopressin ace spray refrig

desmopressin acetate oral

desmopressin acetate spray

FOLLISTIM AQ SUBCUTANEOUS

ganirelix acetate

GONAL-F

GONAL-F RFF

GONAL-F RFF REDIJECT

HP ACTHAR PA; SP

HUMATROPE PA; SP

INCRELEX PA; SP

leuprolide acetate injection PA

MENOPUR

NOVAREL INTRAMUSCULAR SOLUTION RECONSTITUTED 5000 UNIT

QL

NUTROPIN AQ NUSPIN 10 PA; SP






octreotide acetate injection solution 100 mcg/ml, 1000 mcg/ml, 200 mcg/ml, 50 mcg/ml, 500 mcg/ml

SP

ORILISSA PA; QL

OVIDREL

pregnyl QL

SIGNIFOR SP

STIMATE SP

SYNAREL

Hormonal Agents - Prostaglandins

KORLYM PA; SP

Hormonal Agents - Sex Hormones and Birth Control

amabelz

COMBIPATCH QL

CRINONE

DELESTROGEN INTRAMUSCULAR OIL 10 MG/ML

DEPO-ESTRADIOL

DEPO-PROVERA INTRAMUSCULAR SUSPENSION 400 MG/ML

DIVIGEL

dotti QL

DUAVEE

ELESTRIN

ENDOMETRIN

estradiol oral

estradiol transdermal QL

estradiol vaginal

estradiol valerate intramuscular oil 20 mg/ml, 40 mg/ml

estradiol-norethindrone acet

ESTRING QL

ESTROGEL

EVAMIST

FEMRING QL

fyavolv

hydroxyprogesterone caproate intramuscular




IMVEXXY MAINTENANCE PACK

IMVEXXY STARTER PACK

jinteli

lopreeza

medroxyprogesterone acetate oral

megestrol acetate oral suspension 40 mg/ml, 400 mg/10ml, 625 mg/5ml

megestrol acetate oral tablet

mimvey

mimvey lo

norethindrone acetate oral

norethindrone-eth estradiol

PREFEST

PREMARIN ORAL

PREMARIN VAGINAL

PREMPHASE

PREMPRO

progesterone intramuscular

progesterone micronized oral

yuvafem

Hormonal Agents - Thyroid

ARMOUR THYROID

euthyrox

levo-t

levothyroxine sodium oral

levothyroxine-liothyronine

levoxyl

liothyronine sodium oral

methimazole oral

NATURE-THROID ORAL TABLET 113.75 MG, 146.25 MG, 162.5 MG, 260 MG, 325 MG, 48.75 MG, 81.25 MG, 97.5 MG

nature-throid oral tablet 130 mg, 16.25 mg, 195 mg, 32.5 mg, 65 mg

np thyroid

propylthiouracil oral




SYNTHROID

THYROLAR-1 ORAL TABLET 60 (12.5-50) MG (MCG)

THYROLAR-1/2 ORAL TABLET 30 (6.25-25) MG (MCG)

THYROLAR-1/4 ORAL TABLET 15 (3.1-12.5) MG (MCG)

THYROLAR-2 ORAL TABLET 120 (25-100) MG (MCG)

THYROLAR-3 ORAL TABLET 180 (37.5-150) MG (MCG)

TIROSINT

TIROSINT-SOL

unithroid

westhroid oral tablet 130 mg, 32.5 mg, 65 mg

WESTHROID ORAL TABLET 195 MG, 97.5 MG

WP THYROID ORAL TABLET 113.75 MG, 130 MG, 32.5 MG, 48.75 MG, 65 MG, 81.25 MG, 97.5 MG

Immunological Agents - Drugs for Immune System Stimulation or Suppression

ACTEMRA ACTPEN PA; SP; QL

ACTEMRA SUBCUTANEOUS PA; SP; QL

ACTIMMUNE PA; SP

ARCALYST PA; SP

ASTAGRAF XL

AZASAN

azathioprine oral

BENLYSTA SUBCUTANEOUS PA; SP; QL

CIMZIA PREFILLED KIT PA; SP; QL

CIMZIA STARTER KIT PA; SP; QL

COSENTYX 150 MG/ML PA; SP; QL

COSENTYX 300 DOSE PA; SP; QL

COSENTYX SENSOREADY 300 DOSE PA; SP; QL

COSENTYX SENSOREADY PEN SUBCUTANEOUS SOLUTION AUTO-INJECTOR 150 MG/ML

PA; SP; QL

cyclosporine modified

cyclosporine oral capsule

ENBREL MINI PA; SP; QL

ENBREL SUBCUTANEOUS SOLUTION PREFILLED SYRINGE PA; SP; QL

ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED PA; SP; QL




ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PA; SP; QL

ENVARSUS XR

FIRAZYR PA; SP

gengraf oral capsule 100 mg, 25 mg

gengraf oral solution

HAEGARDA PA; SP

HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 40 MG/0.8ML, 80 MG/0.8ML, 80 MG/0.8ML & 40MG/0.4ML

PA; SP; QL

HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT PA; SP; QL

HUMIRA PEN-CD/UC/HS STARTER PEN-INJECTOR KIT 80 MG/0.8ML SUBCUTANEOUS

PA; SP

HUMIRA PEN-CD/UC/HS STARTER PEN-INJECTOR KIT 80 MG/0.8ML SUBCUTANEOUS

PA; SP; QL

HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN-INJECTOR KIT 40 MG/0.8ML

PA; SP; QL

HUMIRA PEN-PS/UV/ADOL HS START PA; SP; QL

HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT PA; SP; QL

ILUMYA PA; SP; QL

KEVZARA PA; SP; QL

KINERET SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

leflunomide oral QL

methotrexate (anti-rheumatic)

methotrexate oral

methotrexate sodium (pf) injection solution 1 gm/40ml, 250 mg/10ml, 50 mg/2ml

methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml

methotrexate sodium injection solution reconstituted

methotrexate sodium oral

mycophenolate mofetil

mycophenolate sodium

OLUMIANT PA; SP; QL

ORENCIA CLICKJECT PA; SP; QL




ORENCIA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

OTEZLA ORAL TABLET PA; SP; QL

OTEZLA ORAL TABLET THERAPY PACK PA; SP; QL

PROGRAF ORAL PACKET

RIDAURA

SANDIMMUNE ORAL SOLUTION

SILIQ PA; SP; QL

SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; SP; QL

SIMPONI SUBCUTANEOUS SOLUTION PREFILLED SYRINGE PA; SP; QL

sirolimus oral

STELARA SUBCUTANEOUS SOLUTION 45 MG/0.5ML PA; SP; QL

STELARA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PA; SP; QL

tacrolimus oral

TALTZ PA; SP; QL

TREMFYA PA; SP; QL

TREXALL

VARIZIG INTRAMUSCULAR SOLUTION

XELJANZ PA; SP; QL

XELJANZ XR PA; SP; QL

ZORTRESS

Inflammatory Bowel Disease Agents

APRISO

balsalazide disodium

budesonide er oral tablet extended release 24 hour QL

budesonide oral QL

colocort

CORTIFOAM

hydrocortisone rectal

mesalamine oral

mesalamine rectal

mesalamine-cleanser

PENTASA




PROCTOFOAM HC

procto-med hc

procto-pak

proctosol hc

proctozone-hc rectal

sulfasalazine oral

UCERIS RECTAL

Metabolic Bone Disease Agents - Drugs for Osteoporosis

alendronate sodium

calcitonin (salmon)

calcitriol oral

doxercalciferol oral

etidronate disodium

ibandronate sodium oral

MIACALCIN INJECTION

NATPARA PA; SP

paricalcitol oral

RAYALDEE

risedronate sodium oral tablet 150 mg, 30 mg, 35 mg, 5 mg

risedronate sodium oral tablet delayed release

TYMLOS PA; SP; QL

Miscellaneous Therapeutic Agents

aspartame (nutrasweet)

aspartame powder (rx)

ASPARTAME POWDER (RX)

boric acid external granules

BREATHE EASE LARGE

BREATHE EASE MEDIUM

BREATHE EASE SMALL

BREATHERITE

bromelain

CETYLCIDE-G

charcoal activated

chlorhexidine gluconate solution 20 %




EASIVENT

ENDARI

ergoloid mesylates oral

FIRDAPSE PA; SP; QL

formadon

formaldehyde external solution 10 %

formaldehyde solution 37 % external (rx)

glutaraldehyde external

GRASTEK

methergine oral

methylergonovine maleate oral

MYALEPT PA; SP

ODACTRA QL

ORALAIR

ORALAIR ADULT SAMPLE KIT

ORALAIR ADULT STARTER PACK

ORALAIR CHILDRENS STARTER PACK

pocket spacer

RADIOGARDASE

RAGWITEK

saccharin

sodium saccharin powder

TAKHZYRO PA; SP; QL

VISTOGARD SP

XURIDEN SP

Ophthalmic Agents - Drugs for Eye Allergy, Infection and Inflammation

AZASITE

azelastine hcl ophthalmic

bacitracin ophthalmic

BETADINE OPHTHALMIC PREP

bromfenac sodium (once-daily)

CILOXAN OPHTHALMIC OINTMENT

ciprofloxacin hcl ophthalmic




cromolyn sodium ophthalmic

dexamethasone sodium phosphate ophthalmic

diclofenac sodium ophthalmic

epinastine hcl

erythromycin ophthalmic

FLAREX

fluorometholone ophthalmic

flurbiprofen sodium

FML

FML FORTE ST

gatifloxacin ophthalmic

gentak ophthalmic ointment

gentamicin sulfate ophthalmic solution

ILEVRO

INVELTYS

ketorolac tromethamine ophthalmic

levofloxacin ophthalmic

LOTEMAX SM

MAXIDEX

MITOSOL

moxifloxacin hcl ophthalmic

NATACYN

ofloxacin ophthalmic

olopatadine hcl ophthalmic

POVIDONE-IODINE OPHTHALMIC

PRED MILD ST

prednisolone acetate ophthalmic

prednisolone sodium phosphate ophthalmic

sulfacetamide sodium ophthalmic

tobramycin ophthalmic

TOBREX OPHTHALMIC OINTMENT

trifluridine ophthalmic

ZIRGAN




Ophthalmic Agents - Drugs for Glaucoma

ALPHAGAN P OPHTHALMIC SOLUTION 0.1 %

apraclonidine hcl

AZOPT

betaxolol hcl ophthalmic

BETIMOL

BETOPTIC-S

bimatoprost ophthalmic

brimonidine tartrate ophthalmic

carteolol hcl

COMBIGAN

dorzolamide hcl solution 2 % ophthalmic

dorzolamide hcl-timolol mal pf

dorzolamide hcl-timolol mal solution 22.3-6.8 mg/ml ophthalmic

IOPIDINE OPHTHALMIC SOLUTION 1 %

latanoprost solution 0.005 % ophthalmic

levobunolol hcl ophthalmic solution 0.5 %

LUMIGAN OPHTHALMIC SOLUTION 0.01 % ST

methazolamide oral

PHOSPHOLINE IODIDE

pilocarpine hcl ophthalmic solution 1 %, 2 %, 4 %

SIMBRINZA

timolol maleate ophthalmic

TIMOPTIC OCUDOSE

XELPROS

Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions

altafrin ophthalmic solution 10 %, 2.5 %

atropine sulfate ophthalmic

bacitracin-polymyxin b ophthalmic ointment 500-10000 unit/gm

bacitra-neomycin-polymyxin-hc

BLEPHAMIDE

BLEPHAMIDE S.O.P.

CEQUA QL




cyclopentolate hcl ophthalmic

CYSTARAN SP

homatropaire

homatropine hbr ophthalmic

ISOPTO ATROPINE

LACRISERT

neomycin-bacitracin zn-polymyx

neomycin-polymyxin-dexameth ophthalmic ointment

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

neomycin-polymyxin-gramicidin ophthalmic solution 1.75-10000-.025

neomycin-polymyxin-hc ophthalmic suspension 3.5-10000-1

neo-polycin

neo-polycin hc

OXERVATE PA; SP; QL

phenylephrine hcl ophthalmic solution 10 %, 2.5 %

polycin

polymyxin b-trimethoprim

PRED-G

PRED-G S.O.P.

proparacaine hcl ophthalmic

RESTASIS QL

RESTASIS MULTIDOSE EMULSION 0.05 % OPHTHALMIC QL

RESTASIS MULTIDOSE EMULSION 0.05 % OPHTHALMIC

sulfacetamide-prednisolone ophthalmic solution

TOBRADEX OPHTHALMIC OINTMENT

TOBRADEX ST

tobramycin-dexamethasone

XIIDRA QL

ZYLET

Otic Agents - Drugs for Ear Conditions

acetic acid otic

CIPRODEX




ciprofloxacin hcl otic

COLY-MYCIN S

flac

fluocinolone acetonide otic

hydrocortisone-acetic acid

neomycin-polymyxin-hc otic

ofloxacin otic

PRAMOTIC

Respiratory Tract / Pulmonary Agents - Drugs for Allergies, Cough, Cold

azelastine hcl nasal

benzonatate

bromfed dm

brompheniramine tannate oral tablet chewable

carbinoxamine maleate oral solution

carbinoxamine maleate oral tablet

cetirizine hcl oral solution

CLARINEX ORAL SYRUP

clemastine fumarate oral tablet 2.68 mg

cyproheptadine hcl oral

desloratadine

diphenhydramine hcl oral elixir

flunisolide nasal solution 25 mcg/act (0.025%)

fluticasone propionate suspension 50 mcg/act nasal (rx) QL

guaiatussin ac PA; QL

guaifenesin ac PA; QL

hydrocodone polst-cpm polst er oral suspension extended release

PA; QL

hydrocodone-homatropine PA; QL

hydromet PA; QL

HYPERSAL INHALATION NEBULIZATION SOLUTION 3.5 %

ipratropium bromide nasal

KARBINAL ER ORAL SUSPENSION EXTENDED RELEASE PA

levocetirizine dihydrochloride oral




mometasone furoate nasal QL

nebusal inhalation nebulization solution 3 %

NEBUSAL INHALATION NEBULIZATION SOLUTION 6 %

olopatadine hcl nasal

phenadoz

phenylephrine-guaifenesin oral liquid

promethazine hcl oral syrup

promethazine hcl oral tablet

promethazine hcl rectal

promethazine-codeine PA; QL

promethazine-dm solution 6.25-15 mg/5ml oral

promethazine-dm syrup 6.25-15 mg/5ml oral

promethazine-dm syrup 6.25-15 mg/5ml oral PA

promethazine-phenyleph-codeine PA; QL

promethazine-phenylephrine

promethegan

pseudoeph-chlorphen-hydrocod PA; QL

pseudoephedrine-bromphen-dm oral syrup 30-2-10 mg/5ml

pulmosal

sodium chloride inhalation nebulization solution 0.9 %, 10 %, 3 %, 7 %

Respiratory Tract / Pulmonary Agents - Drugs for Asthma and Other Lung Conditions

acetylcysteine inhalation

ADVAIR HFA QL

albuterol sulfate er

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

albuterol sulfate inhalation

albuterol sulfate oral

ANORO ELLIPTA QL

ARCAPTA NEOHALER QL

ARNUITY ELLIPTA QL

ASMANEX 120 METERED DOSES QL








ASMANEX HFA QL

ATROVENT HFA QL

BEVESPI AEROSPHERE QL

BREO ELLIPTA QL

budesonide inhalation QL

COMBIVENT RESPIMAT QL

cromolyn sodium inhalation

DALIRESP

difil-g forte

DULERA QL

ELIXOPHYLLIN

EPINEPHRINE INJECTION SOLUTION 0.3 MG/0.3ML QL

EPINEPHRINE INJECTION SOLUTION AUTO-INJECTOR 0.15 MG/0.15ML, 0.15 MG/0.3ML

QL

EPINEPHRINE SOLUTION AUTO-INJECTOR 0.3 MG/0.3ML INJECTION

QL

epinephrine solution auto-injector 0.3 mg/0.3ml injection QL

ESBRIET PA; SP; QL

FLOVENT DISKUS QL

FLOVENT HFA QL

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

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

QL

INCRUSE ELLIPTA QL

ipratropium bromide inhalation

ipratropium-albuterol

levalbuterol hcl inhalation nebulization solution 0.31 mg/3ml, 0.63 mg/3ml, 1.25 mg/0.5ml, 1.25 mg/3ml

LONHALA MAGNAIR REFILL KIT ST; QL

LONHALA MAGNAIR STARTER KIT ST; QL




metaproterenol sulfate oral

montelukast sodium oral

OFEV PA; SP; QL

PERFOROMIST QL

PROAIR HFA QL

PROAIR RESPICLICK QL

PULMICORT FLEXHALER QL

QVAR INHALATION AEROSOL SOLUTION QL

QVAR REDIHALER QL

SEEBRI NEOHALER

SEREVENT DISKUS QL

SPIRIVA HANDIHALER QL

SPIRIVA RESPIMAT INHALATION AEROSOL SOLUTION 1.25 MCG/ACT, 2.5 MCG/ACT

QL

STIOLTO RESPIMAT INHALATION AEROSOL SOLUTION 2.5-2.5 MCG/ACT

QL

STRIVERDI RESPIMAT QL

SYMBICORT QL

SYMJEPI INJECTION SOLUTION PREFILLED SYRINGE 0.3 MG/0.3ML

QL

terbutaline sulfate oral

THEO-24

theochron oral tablet extended release 12 hour 100 mg, 200 mg, 300 mg

theophylline

theophylline er

TRELEGY ELLIPTA QL

TUDORZA PRESSAIR INHALATION AEROSOL POWDER BREATH ACTIVATED 400 MCG/ACT

QL

UTIBRON NEOHALER QL

VENTOLIN HFA QL

wixela inhub

YUPELRI ST; QL

zafirlukast

zileuton er




Respiratory Tract / Pulmonary Agents - Drugs for Cystic Fibrosis

BETHKIS SP; QL

CAYSTON SP

KALYDECO PA; SP; QL

KITABIS PAK SP; QL

ORKAMBI PA; SP; QL

PULMOZYME SP

SYMDEKO ORAL TABLET THERAPY PACK 100-150 & 150 MG PA; SP; QL

TOBI PODHALER SP; QL

tobramycin nebulization solution 300 mg/5ml inhalation SP; QL

TOBRAMYCIN NEBULIZATION SOLUTION 300 MG/5ML INHALATION

SP; QL

Respiratory Tract / Pulmonary Agents - Drugs for Pulmonary Hypertension

ADEMPAS PA; SP; QL

alyq PA; SP; QL

ambrisentan PA; SP; QL

bosentan PA; SP; QL

OPSUMIT PA; SP; QL

ORENITRAM PA; SP

sildenafil citrate oral suspension reconstituted PA; QL

sildenafil citrate oral tablet 20 mg PA; QL

tadalafil (pah) PA; SP; QL

TRACLEER ORAL TABLET SOLUBLE PA; SP; QL

TYVASO PA; SP

TYVASO REFILL PA; SP

TYVASO STARTER PA; SP

UPTRAVI PA; SP; QL

VENTAVIS PA; SP; QL

Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm

baclofen oral

carisoprodol oral

carisoprodol-aspirin




chlorzoxazone oral tablet 250 mg, 375 mg, 500 mg

chlorzoxazone oral tablet 750 mg PA

cyclobenzaprine hcl oral tablet 5 mg, 7.5 mg

cyclobenzaprine hcl tablet 10 mg oral

dantrolene sodium oral

metaxall

metaxalone

methocarbamol oral

orphenadrine citrate er

tizanidine hcl oral

Sleep Disorder Agents

armodafinil QL

BUTISOL SODIUM ORAL TABLET 30 MG

eszopiclone QL

flurazepam hcl

modafinil QL

SECONAL

temazepam

XYREM PA; SP; QL

zaleplon QL

zolpidem tartrate QL

zolpidem tartrate er QL



Index of Drugs

abacavir sulfate..................... 24abacavir sulfate-lamivudine... 24abacavir-lamivudine-zidovudine............................. 24ABSTRAL................................ 7acamprosate calcium.............11acarbose................................40acebutolol hcl.........................28acetaminophen-codeine.......... 7acetaminophen-codeine #2..... 7acetaminophen-codeine #3..... 7acetaminophen-codeine #4..... 7acetazolamide....................... 28acetazolamide er................... 28acetic acid..............................62acetylcysteine........................ 64ACIPHEX SPRINKLE............ 45acitretin.................................. 37ACTEMRA............................. 55ACTEMRA ACTPEN............. 55ACTIMMUNE.........................55acyclovir.................................24ACZONE................................37adapalene..............................37ADAPALENE......................... 37adapalene-benzoyl peroxide. 37ADASUVE............................. 23adefovir dipivoxil.................... 24ADEMPAS............................. 67ADVAIR HFA......................... 64ADZENYS ER........................34ADZENYS XR-ODT...............34AFREZZA.............................. 41AIMOVIG............................... 20AJOVY...................................20AKYNZEO............................. 18ala-cort...................................49alanine................................... 42albendazole........................... 22albuterol sulfate..................... 64albuterol sulfate er................. 64ALBUTEROL SULFATE HFA....................................... 64alclometasone dipropionate...49ALDACTAZIDE......................28alendronate sodium............... 58alfuzosin hcl er.......................49ALINIA................................... 22aliskiren fumarate.................. 28

allopurinol.............................. 20almotriptan malate................. 20alosetron hcl.......................... 46ALPHAGAN P........................61alprazolam............................. 27alprazolam er.........................27ALPRAZOLAM INTENSOL... 27alprazolam xr......................... 27altafrin....................................61ALTRENO..............................37aluminum chloride anhydrous..............................37aluminum chloride hexahydrate...........................37alyq........................................ 67amabelz................................. 53amantadine hcl...................... 22ambrisentan...........................67amcinonide............................ 49AMICAR.................................28amiloride hcl.......................... 28amiloride-hydrochlorothiazide............... 28aminocaproic acid..................28amiodarone hcl...................... 28AMITIZA................................ 46amitriptyline hcl......................17amlodipine besylate...............28amlodipine besylate-benazepril hcl........................ 28amlodipine besylate-valsartan................................ 28amlodipine-atorvastatin......... 28amlodipine-olmesartan.......... 28amlodipine-valsartan-hctz......28ammonium lactate................. 37amnesteem............................37amoxapine............................. 17amoxicill-clarithro-lansopraz.. 46amoxicillin.............................. 11amoxicillin-potassium clavulanate............................ 11amoxicillin-potassium clavulanate er........................ 11amphetamine sulfate............. 34amphetamine-dextroamphetamine...............34amphetamine-dextroamphetamine er...........34

ampicillin................................11ANADROL-50........................ 51anagrelide hcl........................ 28anastrozole............................ 21ANDRODERM....................... 51ANORO ELLIPTA.................. 64ANZEMET............................. 18APOKYN................................22apraclonidine hcl....................61aprepitant...............................18APRISO................................. 57APTIVUS............................... 24ARCALYST............................55ARCAPTA NEOHALER.........64aripiprazole............................ 23armodafinil ............................. 68ARMOUR THYROID............. 54ARNUITY ELLIPTA............... 64ascomp-codeine...................... 7ASMANEX 120 METERED DOSES.................................. 64ASMANEX 14 METERED DOSES.................................. 64ASMANEX 30 METERED DOSES.................................. 65ASMANEX 60 METERED DOSES.................................. 65ASMANEX 7 METERED DOSES.................................. 65ASMANEX HFA.....................65aspartame..............................58ASPARTAME........................ 58aspartame (nutrasweet).........58aspirin-dipyridamole er.......... 23ASTAGRAF XL......................55atazanavir sulfate.................. 24atenolol.................................. 28atenolol-chlorthalidone.......... 28atomoxetine hcl..................... 34atorvastatin calcium...............28atovaquone............................22atovaquone-proguanil hcl...... 22ATRIPLA................................24atropine sulfate...................... 61ATROVENT HFA...................65AUBAGIO.............................. 34AUGMENTIN......................... 12AURYXIA...............................48AVANDIA...............................40

69

AVC VAGINAL.......................18avidoxy.................................. 12avita....................................... 37AVONEX PEN....................... 34AVONEX PREFILLED........... 35AVONEX VIAL INTRAMUSCULAR KIT........ 35AZASAN................................ 55AZASITE................................59azathioprine........................... 55azelaic acid............................37azelastine hcl...................59, 63AZELEX.................................37azithromycin.......................... 12AZOPT...................................61bacitracin............................... 59bacitracin-polymyxin b........... 61bacitra-neomycin-polymyxin-hc...........................................61baclofen................................. 67balsalazide disodium............. 57balsam peru-castor oil........... 37BANZEL.................................15BARACLUDE.........................24BAXDELA.............................. 12BELBUCA................................7BELVIQ..................................35BELVIQ XR............................35benazepril hcl........................ 28benazepril-hydrochlorothiazide............... 28BENLYSTA............................55benzalkonium chloride...........12BENZNIDAZOLE................... 22benzonatate...........................63benzoyl peroxide-erythromycin.......................... 37benzphetamine hcl................ 35benztropine mesylate............ 22beser......................................49BETADINE OPHTHALMIC PREP.....................................59betamethasone dipropionate.50betamethasone dipropionate aug.........................................49betamethasone valerate........ 50betaxolol hcl.....................29, 61bethanechol chloride............. 48BETHKIS............................... 67BETIMOL...............................61

BETOPTIC-S......................... 61BEVESPI AEROSPHERE..... 65BEVYXXA..............................14BIDIL......................................29BIKTARVY.............................24bimatoprost............................61BIO-STATIN.......................... 18bisacodyl................................46bisoprolol fumarate................ 29bisoprolol-hydrochlorothiazide............... 29BLEPHAMIDE....................... 61BLEPHAMIDE S.O.P.............61boric acid............................... 58bosentan................................67bp wash................................. 37BPCO.................................... 37BREATHE EASE LARGE......58BREATHE EASE MEDIUM... 58BREATHE EASE SMALL...... 58BREATHERITE..................... 58BREO ELLIPTA..................... 65BRILINTA.............................. 23brimonidine tartrate................61BRIVIACT.............................. 15bromelain...............................58bromfed dm........................... 63bromfenac sodium (once-daily)...................................... 59bromocriptine mesylate......... 22brompheniramine tannate......63budesonide...................... 57, 65budesonide er........................57bumetanide............................29BUNAVAIL.............................11buprenorphine......................... 7BUPRENORPHINE................. 7buprenorphine hcl..................11buprenorphine hcl-naloxone hcl.......................................... 11bupropion hcl......................... 17bupropion hcl er (sr).............. 17bupropion hcl er (xl)...............17buspirone hcl......................... 27butalbital-acetaminophen........ 7butalbital-apap......................... 7butalbital-apap-caff-cod........... 7butalbital-apap-caffeine........... 7butalbital-asa-caff-codeine...... 7butalbital-aspirin-caffeine.........7

BUTISOL SODIUM................68butorphanol tartrate................. 7BUTRANS............................... 7BYDUREON.......................... 40BYDUREON BCISE AUTOINJECTOR...................40BYETTA 10 MCG PEN..........40BYETTA 5 MCG PEN............40BYSTOLIC.............................29BYVALSON........................... 29cabergoline............................ 52CABLIVI.................................23caffeine citrate....................... 35calamine................................ 37CALCIFOL............................. 42calcipotriene.......................... 37calcipotriene-betameth diprop.....................................37calcitonin (salmon).................58calcitrene............................... 37calcitriol............................37, 58calcium acetate (phos binder)................................... 48calcium carbonate................. 42calcium carbonate light..........42calcium chloride anhydrous... 42calcium chloride dihydrate..... 42calcium gluconate..................42calcium gluconate anhydrous..............................42calcium gluconate monohydrate..........................42calcium lactate pentahydrate.42calcium phosphate dibasic.... 42calcium phosphate tribasic.... 42candesartan cilexetil .............. 29candesartan cilexetil-hctz...... 29CAPEX.................................. 50captopril ................................. 29captopril-hydrochlorothiazide.29CARAC.................................. 38CARAFATE........................... 45CARBAGLU...........................42carbamazepine...................... 15carbamazepine er..................15carbidopa...............................22carbidopa-levodopa............... 23carbidopa-levodopa er...........23carbidopa-levodopa-entacapone............................23

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carbinoxamine maleate......... 63CARDIZEM LA...................... 29carisoprodol........................... 67carisoprodol-aspirin............... 67carisoprodol-aspirin-codeine... 7carteolol hcl........................... 61cartia xt.................................. 29carvedilol............................... 29carvedilol phosphate er......... 29cascara sagrada.................... 46cavarest................................. 36CAYSTON............................. 67cefaclor.................................. 12cefaclor er..............................12cefadroxil............................... 12cefdinir................................... 12cefditoren pivoxil....................12cefixime................................. 12cefpodoxime proxetil ..............12cefprozil................................. 12cefuroxime axetil ....................12celecoxib..................................9CELONTIN............................ 15cephalexin............................. 12CEQUA..................................61CERDELGA...........................47CESAMET............................. 18cetirizine hcl...........................63CETROTIDE..........................52CETYLCIDE-G...................... 58cevimeline hcl........................ 36charcoal activated..................58CHEMET............................... 42CHENODAL...........................46chlordiazepoxide hcl.............. 27chlordiazepoxide-amitriptyline........................... 17chlordiazepoxide-clidinium.... 46chlorhexidine gluconate...36, 58chloroquine phosphate.......... 22chlorothiazide........................ 29chlorpromazine hcl................ 23chlorthalidone........................ 29chlorzoxazone....................... 68CHOLBAM.............................46cholestyramine...................... 29cholestyramine light...............29choline bitartrate.................... 42choline fenofibrate................. 29chorionic gonadotropin.......... 52

ciclodan................................. 18ciclopirox................................18ciclopirox olamine.................. 18cilostazol................................23CILOXAN...............................59CIMDUO................................ 24cimetidine.............................. 45cimetidine hcl.........................45CIMZIA PREFILLED KIT....... 55CIMZIA STARTER KIT.......... 55cinacalcet hcl......................... 52CIPRODEX............................62ciprofloxacin...........................12ciprofloxacin hcl......... 12, 59, 63citalopram hydrobromide....... 17claravis.................................. 38CLARINEX.............................63clarithromycin........................ 12clarithromycin er.................... 12clemastine fumarate.............. 63CLENPIQ...............................46CLEOCIN...............................12clindacin etz...........................38clindacin-p............................. 38clindamycin hcl...................... 12clindamycin palmitate hcl.......12clindamycin phosphate.... 12, 38clindamycin phosphate-benzoyl peroxide................... 38clindamycin-tretinoin..............38CLINDESSE.......................... 12clinpro 5000........................... 36clobazam............................... 15clobetasol prop emollient base.......................................50clobetasol propionate............ 50clobetasol propionate e......... 50clobetasol propionate emulsion................................ 50clodan.................................... 50clomiphene citrate................. 52clomipramine hcl....................17clonazepam........................... 27clonidine................................ 29clonidine hcl...........................29clonidine hcl er.......................34clopidogrel bisulfate...............23clorazepate dipotassium........27clotrimazole..................... 18, 19CLOTRIMAZOLE...................19

clotrimazole-betamethasone. 38clozapine............................... 23coal tar...................................38COARTEM.............................22codeine sulfate........................ 7COLCHICINE........................ 20colchicine-probenecid............20COLCRYS............................. 20colesevelam hcl..................... 29colestipol hcl.......................... 29colocort.................................. 57COLY-MYCIN S.....................63COMBIGAN........................... 61COMBIPATCH.......................53COMBIVENT RESPIMAT......65COMPLERA.......................... 24compro...................................18CONDYLOX.......................... 38constulose............................. 46COPAXONE.......................... 35CORDRAN............................ 50CORLANOR.......................... 29CORTIFOAM......................... 57cortisone acetate................... 50CORTISPORIN......................38COSENTYX 150 MG/ML....... 55COSENTYX 300 DOSE.........55COSENTYX SENSOREADY 300 DOSE............................. 55COSENTYX SENSOREADY PEN....................................... 55CREON..................................47CRESEMBA.......................... 19CRINONE.............................. 53CRIXIVAN..............................24cromolyn sodium....... 46, 60, 65crotan.....................................22CUVPOSA............................. 46cyclobenzaprine hcl............... 68cyclopentolate hcl.................. 62cycloserine.............................21CYCLOSET........................... 40cyclosporine...........................55cyclosporine modified............ 55cyproheptadine hcl................ 63CYSTADANE.........................47CYSTAGON.......................... 48CYSTARAN........................... 62dalfampridine er.....................35DALIRESP.............................65

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danazol.................................. 51dantrolene sodium................. 68dapsone...........................21, 38DARAPRIM............................22darifenacin hydrobromide er..48DAYTRANA........................... 34DDAVP RHINAL TUBE......... 52DEBACTEROL...................... 36deferasirox.............................42DELESTROGEN................... 53DELSTRIGO..........................24deltasone............................... 50demeclocycline hcl................ 12DEMSER............................... 29DENAVIR...............................24denta 5000 plus..................... 36dentagel.................................36DEPEN TITRATABS............. 48DEPO-ESTRADIOL...............53DEPO-PROVERA..................53DERMULCERA..................... 38DESCOVY............................. 24desipramine hcl..................... 17desloratadine......................... 63desmopressin ace spray refrig...................................... 52desmopressin acetate........... 52desmopressin acetate spray..52desonide................................ 50desoximetasone.................... 50desvenlafaxine succinate er.. 17dexamethasone..................... 50DEXAMETHASONE INTENSOL.............................50dexamethasone sodium phosphate..............................60dexmethylphenidate hcl.........34dexmethylphenidate hcl er.....34dextroamphetamine sulfate... 34dextroamphetamine sulfate er........................................... 34DIACOMIT............................. 15diazepam......................... 15, 27diazepam intensol..................27DICLOFENAC EPOLAMINE... 9diclofenac potassium............... 9diclofenac sodium........9, 38, 60diclofenac sodium er................9diclofenac-misoprostol.............9dicloxacillin sodium................12

dicyclomine hcl...................... 46didanosine............................. 25diethylpropion hcl...................35diethylpropion hcl er.............. 35DIFICID..................................12difil-g forte..............................65diflorasone diacetate............. 50diflunisal...................................9digitek.................................... 29digox...................................... 29digoxin................................... 29dihydroergotamine mesylate. 20DILANTIN.............................. 15DILATRATE-SR.....................29diltiazem hcl...........................30diltiazem hcl er.................29, 30diltiazem hcl er beads............29diltiazem hcl er coated beads.....................................29dilt-xr......................................30diphenhydramine hcl............. 63diphenoxylate-atropine.......... 46dipyridamole.......................... 23disopyramide phosphate....... 30disulfiram............................... 11DIURIL...................................30divalproex sodium..................15divalproex sodium er............. 15DIVIGEL................................ 53dl-alanine............................... 42dl-leucine............................... 42dl-methionine......................... 42dl-phenylalanine.................... 42dofetilide................................ 30donepezil hcl..........................16DORAL.................................. 27dorzolamide hcl..................... 61dorzolamide hcl-timolol mal... 61dorzolamide hcl-timolol mal pf............................................61dotti........................................53doxazosin mesylate............... 30doxepin hcl...................... 17, 38doxercalciferol....................... 58doxycycline hyclate................12doxycycline monohydrate...... 13dronabinol..............................18DROXIA.................................21DRYSOL................................38DUAVEE................................53

DULERA................................ 65duloxetine hcl.........................17DUPIXENT............................ 38duraxin.....................................7dutasteride.............................49dutasteride-tamsulosin hcl.....49DUZALLO.............................. 20DYRENIUM........................... 30e.e.s. 400...............................13EASIVENT.............................59ec-naproxen.............................9econazole nitrate................... 19ed-spaz..................................46EDURANT............................. 25efavirenz................................ 25effer-k.................................... 43ELESTRIN............................. 53eletriptan hydrobromide.........20ELIQUIS................................ 14ELIQUIS STARTER PACK....14elite-ob...................................43ELIXOPHYLLIN..................... 65ELMIRON.............................. 48EMEND..................................18EMFLAZA.............................. 20EMTRIVA...............................25EMVERM...............................22enalapril maleate................... 30enalapril-hydrochlorothiazide.30ENBREL................................ 55ENBREL MINI........................55ENBREL SURECLICK...........56ENDARI................................. 59endocet....................................7ENDOMETRIN...................... 53enoxaparin sodium................ 14entacapone............................23entecavir................................ 25ENTEREG............................. 46ENTRESTO........................... 30enulose.................................. 46ENVARSUS XR.....................56EPANED................................30EPCLUSA..............................25EPIDIOLEX............................15EPIDUO FORTE....................38EPIFOAM.............................. 38epinastine hcl.........................60EPINEPHRINE...................... 65epinephrine............................65

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epitol...................................... 15EPIVIR HBV.......................... 25eplerenone.............................30eprosartan mesylate.............. 30EQUETRO.............................15ergoloid mesylates.................59ERGOMAR............................ 20ergotamine-caffeine...............20ery..........................................38ERY-TAB............................... 13ERYTHROCIN STEARATE...13erythromycin.................... 38, 60erythromycin base................. 13erythromycin ethylsuccinate.. 13ESBRIET............................... 65escitalopram oxalate..............17esgic........................................ 7esomeprazole magnesium.... 45estazolam.............................. 27estradiol................................. 53estradiol valerate................... 53estradiol-norethindrone acet..53ESTRING...............................53ESTROGEL........................... 53eszopiclone............................68ethacrynic acid.......................30ethambutol hcl....................... 21ethosuximide......................... 15ethyl chloride......................... 11etidronate disodium............... 58etodolac................................. 10etodolac er...............................9EUCRISA...............................38EURAX.................................. 22euthyrox.................................54EVAMIST...............................53EVOTAZ................................ 25EVZIO....................................11exemestane........................... 21exoderm.................................19EXTAVIA............................... 35ezetimibe............................... 30ezetimibe-simvastatin............ 30FABIOR................................. 38famciclovir..............................25famotidine.............................. 45FARXIGA...............................40felbamate...............................15felodipine er........................... 30FEMRING.............................. 53

fenofibrate..............................30fenofibrate micronized........... 30fenofibric acid........................ 30fenoprofen calcium................ 10fenortho................................. 10fentanyl.................................... 7fentanyl citrate......................... 7FENTANYL CITRATE............. 7FENTORA............................... 7FERRIPROX..........................43FIASP.................................... 41FIASP FLEXTOUCH............. 41FINACEA............................... 38finasteride.............................. 49FIRAZYR............................... 56FIRDAPSE.............................59FIRVANQ...............................13flac......................................... 63FLAREX.................................60flavoxate hcl...........................48flecainide acetate...................30FLECTOR..............................10FLOVENT DISKUS................65FLOVENT HFA......................65fluconazole............................ 19flucytosine..............................19fludrocortisone acetate.......... 50flunisolide...............................63fluocinolone acetonide.....50, 63fluocinolone acetonide body..50fluocinolone acetonide scalp. 50fluocinonide........................... 50fluocinonide emulsified base. 50fluoridex................................. 36fluoridex enhanced whitening............................... 36fluoridex sensitivity relief........36fluorometholone.....................60FLUOROPLEX...................... 38FLUOROURACIL.................. 38fluorouracil............................. 38fluoxetine hcl..........................17fluoxetine hcl (pmdd)............. 17fluphenazine hcl.....................23flurandrenolide.......................50flurazepam hcl....................... 68flurbiprofen.............................10flurbiprofen sodium................ 60fluticasone propionate..... 50, 63fluticasone-salmeterol............65

FLUTICASONE-SALMETEROL...................... 65fluvastatin sodium..................30fluvastatin sodium er..............30fluvoxamine maleate..............17fluvoxamine maleate er......... 17FML....................................... 60FML FORTE.......................... 60FOLLISTIM AQ......................52fondaparinux sodium............. 14formadon............................... 59formaldehyde.........................59FORTESTA........................... 51fosamprenavir calcium...........25fosinopril sodium....................30fosinopril sodium-hctz............30FOSRENOL...........................48FRAGMIN.............................. 14frovatriptan succinate............ 20fulvestrant.............................. 21furosemide.............................30fyavolv................................... 53FYCOMPA.............................15gabapentin.............................15GALAFOLD........................... 48galantamine hydrobromide.... 16galantamine hydrobromide er........................................... 16GALZIN..................................43ganirelix acetate.................... 52gatifloxacin.............................60GATTEX................................ 46gavilyte-c............................... 46gavilyte-g............................... 46gavilyte-h............................... 46gavilyte-n with flavor pack..... 46GEBAUERS PAIN EASE.......11GEBAUERS SPRAY AND STRETCH..............................11gemfibrozil............................. 30generlac.................................46gengraf.................................. 56gentak....................................60gentamicin sulfate............13, 60GENVOYA.............................25GILENYA............................... 35glimepiride............................. 40glipizide er............................. 40glipizide ir...............................40glipizide xl.............................. 40

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glipizide-metformin hcl...........40GLUCAGON EMERGENCY..41glutamine............................... 43glutaraldehyde....................... 59glutathione............................. 43glutathione-l........................... 43glutathione-l reduced............. 43glyburide................................ 40glyburide micronized..............40glyburide-metformin...............40glycopyrrolate........................ 46glydo...................................... 11GLYXAMBI............................ 40GOLYTELY............................46GONAL-F...............................52GONAL-F RFF.......................52GONAL-F RFF REDIJECT.... 52GONITRO..............................30GRALISE............................... 35GRALISE STARTER............. 35granisetron hcl....................... 18GRASTEK............................. 59griseofulvin microsize............ 19griseofulvin ultramicrosize..... 19guaiatussin ac........................63guaifenesin ac....................... 63guanfacine hcl....................... 30guanfacine hcl er................... 34GYNAZOLE-1........................19HAEGARDA.......................... 56halobetasol propionate.......... 50HALOG.................................. 50haloperidol............................. 23haloperidol lactate................. 23HARVONI.............................. 25HEMANGEOL........................30heparin (porcine) in nacl........ 14heparin sodium (porcine).......14heparin sodium (porcine) pf...14homatropaire......................... 62homatropine hbr.................... 62HORIZANT............................ 35HP ACTHAR..........................52HUMATROPE........................52HUMIRA................................ 56HUMIRA PEDIATRIC CROHNS START.................. 56HUMIRA PEN........................ 56HUMIRA PEN-CD/UC/HS STARTER..............................56

HUMIRA PEN-PS/UV/ADOL HS START.............................56HUMULIN R U-500 KWIKPEN.............................. 41HUMULIN R U-500 VIAL (CONCENTRATED).............. 41hydralazine hcl.......................31hydrochlorothiazide............... 31hydrocodone polst-cpm polst er........................................... 63hydrocodone-acetaminophen.................... 7, 8hydrocodone-homatropine.....63hydrocodone-ibuprofen............8hydrocortisone........... 50, 51, 57hydrocortisone butyr lipo base.......................................50hydrocortisone butyrate......... 50hydrocortisone valerate......... 51hydrocortisone-acetic acid.....63hydrogen peroxide.................13hydromet................................63hydromorphone hcl..................8hydromorphone hcl er..............8hydroxychloroquine sulfate....22hydroxyprogesterone caproate.................................53hydroxyurea...........................21hydroxyzine hcl......................27hydroxyzine pamoate............ 27hyoscyamine sulfate.............. 46hyoscyamine sulfate sl.......... 46HYPERSAL........................... 63HYSINGLA ER........................ 8ibandronate sodium............... 58ibu..........................................10ibuprofen................................10IC 400.................................... 10IC 800.................................... 10ILEVRO................................. 60ILUMYA................................. 56imipramine hcl....................... 17imipramine pamoate.............. 17imiquimod.............................. 38IMIQUIMOD PUMP............... 38IMPAVIDO............................. 22IMVEXXY MAINTENANCE PACK.....................................54IMVEXXY STARTER PACK..54INCRELEX.............................52

INCRUSE ELLIPTA............... 65indapamide............................ 31INDOCIN............................... 10indomethacin......................... 10indomethacin er..................... 10INTELENCE.......................... 25INTRAROSA..........................48INVELTYS............................. 60INVIRASE..............................25iodine strong.......................... 43IOPIDINE...............................61ipratropium bromide.........63, 65ipratropium-albuterol..............65irbesartan...............................31irbesartan-hydrochlorothiazide............... 31ISENTRESS.......................... 25ISENTRESS HD.................... 25isoniazid.................................21ISOPTO ATROPINE..............62isosorbide dinitrate................ 31isosorbide dinitrate er............ 31isosorbide mononitrate.......... 31isosorbide mononitrate er...... 31isotretinoin............................. 39isradipine............................... 31itraconazole........................... 19ivermectin.............................. 22JADENU................................ 43JADENU SPRINKLE............. 43jantoven................................. 14JANUMET..............................40JANUMET XR........................40JANUVIA............................... 40JARDIANCE.......................... 40jinteli ...................................... 54JULUCA.................................25JYNARQUE........................... 43KALETRA.............................. 25KALYDECO........................... 67KARBINAL ER.......................63ketoconazole......................... 19ketoprofen..............................10ketoprofen er......................... 10ketorolac tromethamine... 10, 60KEVEYIS............................... 31KEVZARA..............................56KINERET............................... 56kionex.................................... 43KITABIS PAK.........................67

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klor-con..................................43klor-con 10.............................43klor-con m10..........................43KLOR-CON M15....................43klor-con m20..........................43klor-con sprinkle.................... 43klor-con/ef..............................43KOMBIGLYZE XR................. 40KORLYM............................... 53K-PHOS.................................43k-prime...................................43KRINTAFEL...........................22KUVAN.................................. 48labetalol hcl............................31LACRISERT.......................... 62lactic acid...............................39lactic acid e............................39lactulose................................ 47lactulose encephalopathy...... 46l-alanine................................. 43LAMICTAL XR....................... 15lamivudine............................. 25lamivudine-zidovudine........... 25lamotrigine............................. 15lamotrigine er.........................15lamotrigine starter kit-blue..... 15lamotrigine starter kit-green...15lamotrigine starter kit-orange.15LANOXIN...............................31lansoprazole.......................... 45lanthanum carbonate.............48LANTUS SOLOSTAR............41LANTUS U-100 VIAL.............41l-arginine................................43latanoprost.............................61LATUDA................................ 24l-cystine................................. 43lecithin................................... 43LEDIPASVIR-SOFOSBUVIR.25leflunomide............................ 56letrozole................................. 21leucovorin calcium................. 21leuprolide acetate.................. 52levalbuterol hcl.......................65LEVEMIR U-100 FLEXTOUCH.........................41LEVEMIR U-100 VIAL........... 41levetiracetam......................... 15levetiracetam er..................... 15levobunolol hcl.......................61

levocarnitine.......................... 43levocetirizine dihydrochloride 63levofloxacin......................13, 60levorphanol tartrate..................8levo-t......................................54levothyroxine sodium.............54levothyroxine-liothyronine......54levoxyl....................................54LEVULAN KERASTICK.........39LEXIVA.................................. 25l-glutamic acid........................43l-glutamic acid hcl.................. 48l-glutamine............................. 43l-histidine monohydrochloride................ 43lidocaine................................ 11lidocaine hcl.....................11, 36lidocaine viscous................... 36lidocaine-prilocaine................11LIDOCAINE-TETRACAINE... 11lindane................................... 22linezolid..................................13LINZESS................................47liothyronine sodium................54lisinopril ..................................31lisinopril-hydrochlorothiazide. 31l-isoleucine.............................44lithium.................................... 28lithium carbonate................... 28lithium carbonate er............... 28LITHOSTAT...........................48l-leucine................................. 44l-methionine........................... 44LOKELMA..............................44LOMAIRA.............................. 35LONHALA MAGNAIR REFILL KIT............................65LONHALA MAGNAIR STARTER KIT....................... 65loperamide hcl....................... 47lopinavir-ritonavir................... 25lopreeza.................................54lorazepam..............................27lorazepam intensol................ 27lorcet........................................8lorcet hd...................................8lorcet plus................................ 8LORTAB.................................. 8losartan potassium................ 31losartan potassium-hctz.........31

LOTEMAX SM....................... 60lovastatin............................... 31loxapine succinate................. 24l-phenylalanine...................... 44l-proline..................................44l-threonine..............................44l-tyrosine................................ 44LUCEMYRA...........................11LUMIGAN.............................. 61l-valine................................... 44LYRICA..................................35mafenide acetate................... 13MAGNEBIND 400..................44magnesium carbonate........... 44magnesium carbonate heavy 44malathion............................... 22maprotiline hcl....................... 17MARPLAN............................. 17matzim la............................... 31MAVYRET............................. 25MAXIDEX.............................. 60meclizine hcl.......................... 18meclofenamate sodium......... 10MEDROL............................... 51medroxyprogesterone acetate...................................54mefenamic acid..................... 10mefloquine hcl....................... 22megestrol acetate.................. 54meloxicam............................. 10memantine hcl....................... 16memantine hcl er................... 16MENOPUR............................ 52meperidine hcl......................... 8meprobamate........................ 27mercaptopurine......................21mesalamine........................... 57mesalamine-cleanser............ 57MESNEX............................... 21metadate er........................... 34metaproterenol sulfate...........66metaxall................................. 68metaxalone............................ 68metformin hcl er.....................40metformin hcl ir...................... 40methadone hcl......................... 8methadone hcl intensol............8methadose...............................8methadose sugar-free............. 8methamphetamine hcl........... 34

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methazolamide...................... 61methenamine hippurate.........13methergine.............................59methimazole.......................... 54methionine............................. 44METHITEST.......................... 51methocarbamol......................68methotrexate..........................56methotrexate (anti-rheumatic)..............................56methotrexate sodium............. 56methotrexate sodium (pf).......56methoxsalen.......................... 39methoxsalen rapid................. 39methscopolamine bromide.... 47methyldopa............................ 31methyldopa-hydrochlorothiazide............... 31methylergonovine maleate.... 59methylphenidate hcl...............34methylphenidate hcl er.......... 34methylphenidate hcl er (cd)... 34methylphenidate hcl er (la).... 34methylprednisolone............... 51methyltestosterone................ 51metoclopramide hcl............... 18metolazone............................ 31metoprolol succinate er......... 31metoprolol tartrate................. 31metoprolol-hydrochlorothiazide............... 31metronidazole.................. 13, 39mexiletine hcl.........................31MI PASTE..............................36MI PASTE PLUS................... 36MIACALCIN........................... 58miconazole 3......................... 19midazolam hcl........................27midodrine hcl......................... 31MIGERGOT........................... 20miglitol................................... 40miglustat................................ 48MILLIPRED............................51MILLIPRED DP......................51MILLIPRED DP 12-DAY........ 51mimvey.................................. 54mimvey lo.............................. 54mineral oil .............................. 47mineral oil heavy....................47mineral oil light.......................47

minitran..................................31minocycline hcl...................... 13minocycline hcl er.................. 13minoxidil.................................31mirtazapine............................ 17misoprostol............................ 45MITIGARE............................. 20MITOSOL.............................. 60M-NATAL PLUS.................... 44modafinil ................................ 68moexipril hcl...........................31molindone hcl........................ 24mometasone furoate........51, 64mondoxyne nl........................ 13montelukast sodium...............66MONUROL............................ 13morgidox................................13morphine sulfate...................... 8morphine sulfate (concentrate)........................... 8morphine sulfate er..................8morphine sulfate er beads....... 8MOVANTIK............................47MOVIPREP............................47moxifloxacin hcl............... 13, 60MULPLETA............................28MULTAQ................................31mupirocin............................... 13MURI-LUBE...........................47MYALEPT..............................59mycophenolate mofetil ...........56mycophenolate sodium..........56myorisan................................ 39MYRBETRIQ......................... 48MYTESI................................. 47nabumetone...........................10nadolol................................... 31NAFRINSE DAILY ACIDULATED........................36NAFRINSE DAILY/NEUTRAL.................. 36NAFRINSE WEEKLY............ 36naftifine hcl............................ 19NAFTIN..................................19naltrexone hcl........................ 11NAMENDA XR TITRATION PACK.....................................16NAMZARIC............................16naproxen................................10naproxen dr........................... 10

naproxen sodium................... 10naproxen sodium er...............10naratriptan hcl........................20NARCAN............................... 11NATACYN............................. 60nateglinide............................. 40NATPARA..............................58NATURE-THROID.................54nature-throid.......................... 54NEBUPENT........................... 22nebusal.................................. 64NEBUSAL..............................64nefazodone hcl...................... 17neomycin sulfate....................13neomycin-bacitracin zn-polymyx................................. 62neomycin-polymyxin-dexameth...............................62neomycin-polymyxin-gramicidin.............................. 62neomycin-polymyxin-hc... 62, 63neo-polycin............................ 62neo-polycin hc....................... 62NEO-SYNALAR.....................39NESTABS..............................44neuac.....................................39NEUPRO............................... 23neutral sodium fluoride.......... 36nevirapine.............................. 25nevirapine er..........................25NEXIUM.................................45niacin (antihyperlipidemic)..... 31niacin er (antihyperlipidemic).31NIACOR.................................32nicardipine hcl........................32nifedipine............................... 32nifedipine er........................... 32nifedipine er osmotic release.32nimodipine............................. 32nisoldipine er......................... 32NITRO-BID............................ 32NITRO-DUR.......................... 32nitrofurantoin..........................13nitrofurantoin macrocrystal.... 13nitrofurantoin monohydrate macrocrystals........................ 13nitroglycerin........................... 32NITYR....................................48nizatidine............................... 45nolix....................................... 51

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norethindrone acetate............54norethindrone-eth estradiol....54NORPACE CR.......................32NORTHERA.......................... 32nortriptyline hcl...................... 17NORVIR.................................25NOVAREL............................. 52NOVOLIN 70/30 RELION...... 41NOVOLIN 70/30 VIAL............41NOVOLIN N RELION............ 42NOVOLIN N VIAL.................. 42NOVOLIN R RELION............ 42NOVOLIN R VIAL.................. 42NOVOLOG FLEXPEN........... 42NOVOLOG MIX 70/30 FLEXPEN.............................. 42NOVOLOG MIX 70/30 VIAL.. 42NOVOLOG PENFILL.............42NOVOLOG U-100 VIAL.........42NOXAFIL............................... 19np thyroid...............................54NUCYNTA............................... 8NUEDEXTA........................... 35nulev...................................... 47NUPLAZID.............................24NUTROPIN AQ NUSPIN 10.. 52NUTROPIN AQ NUSPIN 20.. 52NUTROPIN AQ NUSPIN 5.... 52nyamyc.................................. 19nystatin.................................. 19nystatin-triamcinolone............19nystop.................................... 19octreotide acetate.................. 53ODACTRA............................. 59ODEFSEY............................. 25OFEV.....................................66ofloxacin.................... 13, 60, 63okebo.....................................13olanzapine............................. 24olanzapine-fluoxetine hcl....... 17olmesartan medoxomil.......... 32olmesartan medoxomil-hctz...32olmesartan-amlodipine-hctz.. 32olopatadine hcl................ 60, 64OLUMIANT............................ 56omega-3-acid ethyl esters..... 32omeppi...................................45omeprazole............................45omeprazole-sodium bicarbonate............................45

ondansetron hcl..................... 18ondansetron odt.....................18ONE TOUCH VERIO KIT W/DEVICE.............................41ONETOUCH ULTRA BLUE TEST STRIPS....................... 41ONEXTON.............................39ONGLYZA............................. 40ONZETRA XSAIL.................. 20OPSUMIT.............................. 67ORACIT................................. 44ORALAIR...............................59ORALAIR ADULT SAMPLE KIT......................................... 59ORALAIR ADULT STARTER PACK................... 59ORALAIR CHILDRENS STARTER PACK................... 59oralone...................................36ORENCIA.............................. 57ORENCIA CLICKJECT..........56ORENITRAM......................... 67ORFADIN.............................. 48ORILISSA.............................. 53ORKAMBI.............................. 67orphenadrine citrate er.......... 68oscimin.................................. 47oseltamivir phosphate............25OSMOPREP..........................47OSPHENA............................. 52OTEZLA.................................57OVIDREL...............................53oxandrolone...........................51oxaprozin............................... 10oxazepam.............................. 27oxcarbazepine....................... 15OXERVATE........................... 62oxiconazole nitrate.................19OXTELLAR XR......................15oxybutynin chloride................48oxybutynin chloride er............48oxycodone hcl..........................8oxycodone-acetaminophen..... 8oxycodone-aspirin................... 9oxycodone-ibuprofen............... 9OXYCONTIN........................... 9oxymorphone hcl..................... 9oxymorphone hcl er................. 9OZEMPIC.............................. 40pacerone................................32

paliperidone er.......................24PALYNZIQ.............................48PANCREAZE.........................48PANRETIN............................ 21pantoprazole sodium............. 45paricalcitol..............................58paroex....................................36paromomycin sulfate............. 13paroxetine hcl........................ 17paroxetine hcl er.................... 17paroxetine mesylate.............. 17PASER.................................. 21peg 3350/electrolytes............ 47peg 3350-kcl-na bicarb-nacl.. 47peg-3350/electrolytes............ 47PEGANONE.......................... 15PEGASYS............................. 26PEGASYS PROCLICK.......... 26PEGINTRON......................... 26peg-prep................................ 47penicillamine..........................48penicillin v potassium.............13PENTASA..............................57pentazocine-naloxone hcl........9pentoxifylline er......................32PERFOROMIST.................... 66perindopril erbumine..............32periogard............................... 36permethrin............................. 22perphenazine.........................18perphenazine-amitriptyline.... 17PERTZYE.............................. 48phenadoz...............................64phenazo.................................49phenazopyridine hcl...............49phendimetrazine tartrate........35phendimetrazine tartrate er... 35phenelzine sulfate..................17phenobarbital.........................15phenol....................................13phenoxybenzamine hcl..........32phentermine hcl..................... 35phenylephrine hcl.................. 62phenylephrine-guaifenesin.... 64phenytoin............................... 16phenytoin infatabs................. 16phenytoin sodium extended...16PHOSLYRA........................... 49PHOSPHOLINE IODIDE....... 61phosphorous..........................44

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phrenilin forte...........................9phytonadione......................... 44PICATO................................. 39PIFELTRO............................. 26pilocarpine hcl..................36, 61pimecrolimus......................... 39pimozide................................ 24pindolol.................................. 32pioglitazone hcl......................41pioglitazone hcl-glimepiride... 41pioglitazone hcl-metformin hcl.......................................... 41piroxicam............................... 10PLEGRIDY............................ 35PLEGRIDY STARTER PACK.....................................35PLENVU................................ 47PLIAGLIS...............................11pnv prenatal plus multivit+dha........................... 44pocket spacer........................ 59podofilox................................ 39polycin................................... 62polymyxin b-trimethoprim...... 62pot bicarb-pot chloride........... 44potassium chloride.................44potassium chloride crys er.....44potassium chloride er............ 44potassium citrate er............... 44POVIDONE-IODINE.............. 60PRALUENT........................... 32pramipexole dihydrochloride..23pramipexole dihydrochloride er........................................... 23PRAMOTIC............................63prasugrel hcl.......................... 23pravastatin sodium................ 32praziquantel........................... 22prazosin hcl........................... 32PRED MILD........................... 60PRED-G.................................62PRED-G S.O.P...................... 62prednicarbate.........................51prednisolone.......................... 51prednisolone acetate............. 60prednisolone sodium phosphate........................51, 60prednisone.............................51PREDNISONE INTENSOL....51PREFEST.............................. 54

pregnyl...................................53PREMARIN............................54PREMPHASE........................ 54PREMPRO............................ 54prenatal..................................44prenatal plus iron................... 44PREPOPIK............................ 47PRESTALIA...........................32prevalite................................. 32PREVIDENT.......................... 37prevident................................37PREVIDENT 5000 BOOSTER PLUS...................36PREVIDENT 5000 DRY MOUTH................................. 36PREVIDENT 5000 ENAMEL PROTECT............................. 36PREVIDENT 5000 ORTHO DEFENSE..............................36PREVIDENT 5000 PLUS.......36PREVIDENT 5000 SENSITIVE............................37PREVYMIS............................ 26PREZCOBIX..........................26PREZISTA............................. 26PRIFTIN.................................21PRILOSEC............................ 45primaquine phosphate........... 22primidone...............................16PROAIR HFA.........................66PROAIR RESPICLICK.......... 66probenecid.............................20prochlorperazine....................18prochlorperazine maleate...... 18PROCTOFOAM HC...............58procto-med hc........................58procto-pak..............................58proctosol hc........................... 58proctozone-hc........................58progesterone......................... 54progesterone micronized....... 54PROGLYCEM........................41PROGRAF.............................57PROMACTA.......................... 28promethazine hcl................... 64promethazine-codeine........... 64promethazine-dm...................64promethazine-phenyleph-codeine.................................. 64promethazine-phenylephrine.64

promethegan......................... 64propafenone hcl.....................32propafenone hcl er.................32propantheline bromide...........47proparacaine hcl.................... 62propranolol hcl....................... 32propranolol hcl er...................32propranolol-hctz.....................32propylthiouracil...................... 54protriptyline hcl...................... 17pseudoeph-chlorphen-hydrocod................................64pseudoephedrine-bromphen-dm........................ 64PULMICORT FLEXHALER... 66pulmosal................................ 64PULMOZYME........................67PURIXAN...............................21pyrazinamide......................... 21pyridostigmine bromide......... 21pyridostigmine bromide er..... 21pyrogallic acid........................39QBREXZA............................. 39QTERN.................................. 41quetiapine fumarate...............24quetiapine fumarate er...........24QUILLIVANT XR....................34quinapril hcl........................... 33quinapril-hydrochlorothiazide.33quinidine gluconate er........... 33quinidine sulfate.....................33quinine sulfate....................... 22QVAR.................................... 66QVAR REDIHALER...............66rabeprazole sodium............... 45RADIOGARDASE..................59RAGWITEK........................... 59raloxifene hcl......................... 52ramipril ...................................33ranitidine hcl.......................... 45ranolazine er..........................33rasagiline mesylate................23RAVICTI................................ 48RAYALDEE........................... 58REBETOL..............................26REBIF.................................... 35REBIF REBIDOSE................ 35REBIF REBIDOSE TITRATION PACK.................35REBIF TITRATION PACK..... 35

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RECTIV................................. 33REGRANEX.......................... 39RELENZA DISKHALER.........26RELNATE DHA..................... 44REMESENSE........................ 37repaglinide............................. 41repaglinide-metformin hcl...... 41REPATHA..............................33REPATHA PUSHTRONEX SYSTEM................................33REPATHA SURECLICK........ 33RESCRIPTOR....................... 26RESTASIS.............................62RESTASIS MULTIDOSE.......62RESTORA RX....................... 47REYATAZ.............................. 26ribasphere..............................26ribasphere ribapak.................26RIBASPHERE RIBAPAK.......26ribavirin.................................. 26RIDAURA.............................. 57rifabutin..................................21RIFAMATE............................ 21rifampin..................................21RIFATER............................... 21riluzole................................... 36rimantadine hcl...................... 26risedronate sodium................ 58risperidone.............................24ritonavir..................................26rivastigmine........................... 16rivastigmine tartrate............... 16rizatriptan benzoate............... 20ropinirole hcl.......................... 23ropinirole hcl er...................... 23rosadan..................................39rosuvastatin calcium.............. 33roweepra................................16roweepra xr............................16ROXYBOND............................ 9saccharin............................... 59SAMSCA............................... 44SANDIMMUNE...................... 57SANTYL.................................39SAVELLA...............................36SAVELLA TITRATION PACK.....................................36scopolamine.......................... 18SECONAL............................. 68SEEBRI NEOHALER.............66

selegiline hcl.......................... 23selenium sulfide.....................39SELZENTRY......................... 26SEREVENT DISKUS.............66sertraline hcl.......................... 17sevelamer carbonate............. 49sevelamer hcl........................ 49sf............................................37sf 5000 plus........................... 37SIGNIFOR............................. 53sildenafil citrate................49, 67SILIPAC.................................39SILIQ..................................... 57silodosin.................................49silver nitrate........................... 13silver sulfadiazine.................. 14SIMBRINZA........................... 61SIMPONI............................... 57simvastatin.............................33sirolimus................................ 57SIRTURO.............................. 21SITAVIG................................ 26SKLICE..................................22sod citrate-citric acid..............44sodium ascorbate.................. 44sodium bicarbonate............... 47sodium chloride..................... 64sodium citrate........................ 44sodium fluoride...................... 37sodium fluoride 5000 plus......37sodium phenylbutyrate.......... 48sodium polystyrene sulfonate.......................... 44, 45sodium saccharin...................59SOFOSBUVIR-VELPATASVIR...................... 26solifenacin succinate............. 49SOLIQUA...............................41soloxide................................. 14SOLTAMOX...........................21SOOLANTRA........................ 39SORILUX...............................39sorine.....................................33sotalol hcl...............................33sotalol hcl (af)........................ 33SOTYLIZE............................. 33spinosad................................ 22SPIRIVA HANDIHALER........ 66SPIRIVA RESPIMAT............. 66spironolactone....................... 33

spironolactone-hctz............... 33sps......................................... 45ssd......................................... 14stavudine............................... 26STELARA.............................. 57STIMATE............................... 53STIOLTO RESPIMAT............66STRENSIQ............................ 48STRIANT............................... 51STRIBILD.............................. 26STRIVERDI RESPIMAT........ 66SUBSYS.................................. 9subvenite............................... 16subvenite starter kit-blue....... 16subvenite starter kit-green..... 16subvenite starter kit-orange... 16SUCRAID.............................. 48sucralfate............................... 45sulfacetamide sodium............60sulfacetamide sodium (acne).39sulfacetamide-prednisolone...62sulfadiazine............................14sulfamethoxazole-trimethoprim...........................14sulfasalazine..........................58sulfatrim pediatric.................. 14sulfurated lime....................... 22sulindac................................. 10sumatriptan............................20sumatriptan succinate............20sumatriptan succinate refill .... 20SUPRAX................................14SUPREP BOWEL PREP KIT 47SYMBICORT......................... 66SYMDEKO.............................67SYMFI....................................26SYMFI LO..............................26SYMJEPI............................... 66SYMLINPEN 120...................41SYMLINPEN 60.....................41SYMPROIC........................... 47SYMTUZA............................. 26synalar................................... 51SYNAREL..............................53SYNJARDY........................... 41SYNJARDY XR..................... 41SYNTHROID......................... 55TACLONEX........................... 39tacrolimus........................ 39, 57tadalafil .................................. 49

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tadalafil (pah).........................67TAKHZYRO........................... 59TALTZ....................................57tamoxifen citrate.................... 21tamsulosin hcl........................49TARGRETIN..........................21taurine....................................45TAVALISSE........................... 28tazarotene..............................39TAZORAC............................. 39taztia xt.................................. 33TECFIDERA.......................... 35TEGSEDI...............................36TEKTURNA HCT...................33telmisartan............................. 33telmisartan-amlodipine.......... 33telmisartan-hctz..................... 33temazepam............................68tencon......................................9tenofovir disoproxil fumarate. 26terazosin hcl.......................... 49terbinafine hcl........................ 19terbutaline sulfate.................. 66terconazole............................ 19testosterone...........................52testosterone cypionate.......... 51testosterone enanthate..........52tetrabenazine.........................36tetracycline hcl.......................14TEXACORT........................... 51THEO-24............................... 66theochron...............................66theophylline........................... 66theophylline er....................... 66THIOLA..................................49thioridazine hcl.......................24thiothixene............................. 24threonine................................45THREONINE......................... 45THYROLAR-1........................55THYROLAR-1/2.....................55THYROLAR-1/4.....................55THYROLAR-2........................55THYROLAR-3........................55tiagabine hcl.......................... 16timolol maleate................ 33, 61TIMOPTIC OCUDOSE.......... 61tinidazole............................... 14TIROSINT..............................55TIROSINT-SOL..................... 55

TIVICAY.................................26TIVORBEX............................ 10tizanidine hcl..........................68TOBI PODHALER................. 67TOBRADEX...........................62TOBRADEX ST..................... 62tobramycin....................... 60, 67TOBRAMYCIN.......................67tobramycin-dexamethasone.. 62TOBREX................................60TOLAK...................................39tolbutamide............................ 41tolcapone............................... 23tolmetin sodium..................... 11tolnaftate................................19tolterodine tartrate................. 49tolterodine tartrate er............. 49topex topical anesthetic......... 37topiramate..............................16topiramate er......................... 16torsemide...............................33TOUJEO MAX SOLOSTAR...42TOUJEO SOLOSTAR........... 42TOVIAZ..................................49TRACLEER........................... 67tramadol hcl er.........................9tramadol hcl er (biphasic)........ 9tramadol hcl ir.......................... 9tramadol-acetaminophen.........9trandolapril .............................33trandolapril-verapamil hcl er.. 33tranexamic acid..................... 28tranylcypromine sulfate..........18trazodone hcl......................... 18TRECATOR...........................21TRELEGY ELLIPTA.............. 66TREMFYA............................. 57TRESIBA............................... 42TRESIBA FLEXTOUCH........ 42tretinoin..................................39tretinoin microsphere............. 39tretinoin microsphere pump... 39TREXALL...............................57triamcinolone acetonide...37, 51triamterene-hctz.....................33triazolam................................ 27triderm................................... 51trientine hcl............................ 45trifluoperazine hcl.................. 24trifluridine............................... 60

trihexyphenidyl hcl................. 23trilyte...................................... 47trimethobenzamide hcl.......... 18trimethoprim...........................14trimipramine maleate............. 18trinate.....................................45TRIUMEQ.............................. 26TROKENDI XR...................... 16trospium chloride................... 49trospium chloride er............... 49TRUVADA............................. 26TUDORZA PRESSAIR.......... 66TYBOST................................ 26TYMLOS................................58TYVASO................................ 67TYVASO REFILL...................67TYVASO STARTER.............. 67UCERIS................................. 58ULESFIA................................22ULORIC................................. 20unithroid.................................55UPTRAVI............................... 67uretron d/s............................. 49urin ds....................................49ursodiol.................................. 47UTIBRON NEOHALER..........66utrona-c................................. 49valacyclovir hcl...................... 27valganciclovir hcl................... 27valine..................................... 45VALINE..................................45valproate sodium................... 16valproic acid...........................16valsartan................................ 33valsartan-hydrochlorothiazide............... 33VANATOL LQ.......................... 9VANATOL S............................ 9vancomycin hcl...................... 14vandazole.............................. 14vardenafil hcl......................... 49VARIZIG................................ 57VASCEPA..............................33VECAMYL............................. 33VELPHORO...........................49VELTASSA............................ 45VEMLIDY...............................27VENELEX.............................. 40venlafaxine hcl.......................18venlafaxine hcl er...................18

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VENTAVIS.............................67VENTOLIN HFA.................... 66verapamil hcl......................... 34verapamil hcl er............... 33, 34VERSACLOZ.........................24VIBERZI.................................47VIBRAMYCIN........................ 14vicodin..................................... 9vicodin es.................................9vicodin hp................................ 9VICTOZA............................... 41VIDEX....................................27vigabatrin............................... 16vigadrone...............................16VIIBRYD................................ 18VIIBRYD STARTER PACK....18VIMPAT................................. 16VIOKACE...............................48VIRACEPT.............................27VIREAD................................. 27virt-phos 250 neutral..............45VISTOGARD......................... 59voriconazole.......................... 19VOSEVI................................. 27vp-pnv-dha.............................45VYVANSE..............................34warfarin sodium..................... 14westhroid............................... 55WESTHROID.........................55wixela inhub...........................66WP THYROID........................55XARELTO..............................14XARELTO STARTER PACK. 14XELJANZ...............................57XELJANZ XR.........................57XELPROS..............................61XEPI...................................... 14XERMELO............................. 47XIFAXAN............................... 14XIGDUO XR.......................... 41XIIDRA...................................62XOFLUZA.............................. 27XULTOPHY........................... 41XURIDEN.............................. 59XYREM..................................68YUPELRI............................... 66yuvafem................................. 54zafirlukast.............................. 66zaleplon................................. 68zebutal..................................... 9

ZELAPAR.............................. 23zenatane................................40ZENPEP................................ 48zenzedi.................................. 34ZENZEDI............................... 34zidovudine............................. 27zileuton er.............................. 66ziprasidone hcl.......................24ZIRGAN................................. 60zolmitriptan............................ 21zolpidem tartrate....................68zolpidem tartrate er................68ZOMIG...................................21zonisamide............................ 16ZONTIVITY............................23ZORTRESS........................... 57ZORVOLEX........................... 11ZUBSOLV..............................11ZURAMPIC............................20ZYCLARA.............................. 40ZYCLARA PUMP...................40ZYLET................................... 62

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Non-discrimination notice

Sanford Health Plan does not discriminate against any future, current, or past Member on the basis of race; ethnicity; color; national origin; disability; sex; gender; sexual orientation; gender identity; religion; spiritual beliefs; medical condition, including a current or past history of mental health and substance use disorders; sources of payment for care; or age, in its coverage, treatment, or benefit decisions.

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haala ta’een afaan keessaniin

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перевода Звоните телетайп

ໂປດຊາບ ຖ້າວ່າ ທ່ານເວ ້ າພາສາ ລາວ ການບໍ ລິ ການຊ່ວຍເຫ ຼື ອດ້ານພາສາ ໂດຍບໍ່ ເສັຽຄ່າແມ່ນມີ ພ້ອມໃຫ້ທ່ານ ໂທຣ

رقم ملحوظة إذا كنت تتحدث اذكر ،اللغة فإن خدمات المساعدة اللغویة تتوافر لك بالمجان اتصل برقم

ھاتف الصم والبكم

ማስታወሻ የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር

ይደውሉ መስማት ለተሳናቸው

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HP-1186 Combined Use 6-2018

Date post:	07-Jul-2020
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Formulary for NDPERS Dakota Plan Members...health care providers on Sanford Health Plan’s Pharmacy...

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