+ All Categories
Home > Documents > Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees...

Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees...

Date post: 04-Feb-2018
Category:
Upload: truongthuan
View: 264 times
Download: 0 times
Share this document with a friend
46
Kansas State Employees Prescription Drug Program Lifestyle Medications Category Type Description Brand Name DESI 1 + 1-F OSTOMY SUPPLIES 1 PIECE POST-OPERATIVE POUC DESI 1 PLUS 1 DESI 1 PLUS 1-F OSTOMY SUPPLIES 3 STEP SKIN CARE OSTOMY SUPPLIES 3M NEXCARE STOMASEAL DESI A P CREAM DESI AAS VAGINAL DESI ACASANTINE DESI ACASPAS DESI ACATAPP DESI ACETACHLOR DESI ACETAMINOPHEN W/PHENOBARBITAL FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ACIDULATED PHOSPHATE FLUORI FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ACT DESI ACTACIN C DESI ACTAGEN-C DESI ACTIFED-C OSTOMY SUPPLIES ACTIVE LIFE OSTOMY SUPPLIES ACTIVE LIFE CLOSED-END POUC OSTOMY SUPPLIES ACTIVE LIFE CONVEX OSTOMY SUPPLIES ACTIVE LIFE CONVEX DRAIN PO OSTOMY SUPPLIES ACTIVE LIFE DRAINABLE POUCH OSTOMY SUPPLIES ACTIVE LIFE ONE-PIECE OSTOMY SUPPLIES ACTIVE LIFE STOMA CAP OSTOMY SUPPLIES ACTIVE LIFE STOMA CAP OPAQU OSTOMY SUPPLIES ACTIVE LIFE UROSTOMY POUCH ANTIOBESITY DRUGS ACUTRIM DESI ADA OSTOMY SUPPLIES ADAPT OSTOMY SUPPLIES ADAPT BARRIER OSTOMY SUPPLIES ADAPT BARRIER RING OSTOMY SUPPLIES ADAPT CONVEX BARRIER OSTOMY SUPPLIES ADAPT LUBRICATING DEODORANT OSTOMY SUPPLIES ADAPT PASTE OSTOMY SUPPLIES ADAPTER FOR NIGHT DRAIN BOT DESI ADCO SUL OSTOMY SUPPLIES ADHESIVE BARRIER OSTOMY SUPPLIES ADHESIVE BARRIERS OSTOMY SUPPLIES ADHESIVE DISC DOUBLE-SIDED OSTOMY SUPPLIES ADHESIVE DISCS OSTOMY SUPPLIES ADHESIVE DRAINABLE OSTOMY B OSTOMY SUPPLIES ADHESIVE FOAM PADS OSTOMY SUPPLIES ADHESIVE REMOVER ANTIOBESITY DRUGS ADIPEX-P ANTIOBESITY DRUGS ADIPOST OSTOMY SUPPLIES ADJUSTABLE BELT DESI ADRENOSEM
Transcript
Page 1: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

Kansas State Employees Prescription Drug ProgramLifestyle Medications

Category Type Description Brand NameDESI 1 + 1-F

OSTOMY SUPPLIES 1 PIECE POST-OPERATIVE POUC

DESI 1 PLUS 1

DESI 1 PLUS 1-F

OSTOMY SUPPLIES 3 STEP SKIN CARE

OSTOMY SUPPLIES 3M NEXCARE STOMASEAL

DESI A P CREAM

DESI AAS VAGINAL

DESI ACASANTINE

DESI ACASPAS

DESI ACATAPP

DESI ACETACHLOR

DESI ACETAMINOPHEN W/PHENOBARBITAL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ACIDULATED PHOSPHATE FLUORI

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ACT

DESI ACTACIN C

DESI ACTAGEN-C

DESI ACTIFED-C

OSTOMY SUPPLIES ACTIVE LIFE

OSTOMY SUPPLIES ACTIVE LIFE CLOSED-END POUC

OSTOMY SUPPLIES ACTIVE LIFE CONVEX

OSTOMY SUPPLIES ACTIVE LIFE CONVEX DRAIN PO

OSTOMY SUPPLIES ACTIVE LIFE DRAINABLE POUCH

OSTOMY SUPPLIES ACTIVE LIFE ONE-PIECE

OSTOMY SUPPLIES ACTIVE LIFE STOMA CAP

OSTOMY SUPPLIES ACTIVE LIFE STOMA CAP OPAQU

OSTOMY SUPPLIES ACTIVE LIFE UROSTOMY POUCH

ANTIOBESITY DRUGS ACUTRIM

DESI ADA

OSTOMY SUPPLIES ADAPT

OSTOMY SUPPLIES ADAPT BARRIER

OSTOMY SUPPLIES ADAPT BARRIER RING

OSTOMY SUPPLIES ADAPT CONVEX BARRIER

OSTOMY SUPPLIES ADAPT LUBRICATING DEODORANT

OSTOMY SUPPLIES ADAPT PASTE

OSTOMY SUPPLIES ADAPTER FOR NIGHT DRAIN BOT

DESI ADCO SUL

OSTOMY SUPPLIES ADHESIVE BARRIER

OSTOMY SUPPLIES ADHESIVE BARRIERS

OSTOMY SUPPLIES ADHESIVE DISC DOUBLE-SIDED

OSTOMY SUPPLIES ADHESIVE DISCS

OSTOMY SUPPLIES ADHESIVE DRAINABLE OSTOMY B

OSTOMY SUPPLIES ADHESIVE FOAM PADS

OSTOMY SUPPLIES ADHESIVE REMOVER

ANTIOBESITY DRUGS ADIPEX-P

ANTIOBESITY DRUGS ADIPOST

OSTOMY SUPPLIES ADJUSTABLE BELT

DESI ADRENOSEM

Page 2: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES A-D-S, ADHESIVE

DESI A-HC

DESI AK-CON-A

DESI AK-VASO-A

DESI ALADRINE

DESI ALADRINE CIII

DESI ALAMINE

DESI ALA-QUIN

DESI ALBAFORM HC

DESI ALBALON-A LIQUIFILM

DESI ALBATUSSIN NN

DESI ALBATUSSIN-NN

DESI ALGISIN

DESI ALGISIN-500

DESI ALIDRIN

DESI ALKABEL-SR

NON-SEDATING ANTIHISTAMINES ALLEGRA

NON-SEDATING ANTIHISTAMINES ALLEGRA-D

DESI ALLERFRIN-C

DESI ALLERPHED-C

DESI ALLERSOL-A

DESI ALLERTANE

DESI ALLERTAPP

OSTOMY SUPPLIES ALLKARE PROTECT BARRIER WIP

OSTOMY SUPPLIES ALMOUNT ODORPROOF OUTFIT

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ALTAFLOR

DESI ALTEX

DESI AMARIL D

DESI AMBAY

DESI AM-BENEX

DESI AMBENYL

DESI AMBILOG

DESI AMBOPHEN

DESI AMESEC

DESI AMIDE V.C.

DESI AMI-DECON

DESI AMIDRINE

DESI AMINOBENZOATE POTASSIUM

DESI AMI-RAX

DESI AMI-SULFA

DESI AMI-TAPP

DESI AMITEX

DESI AMI-TEX

DESI AMODRINE

DESI AMPHED

DESI AMPHENE

ANTIOBESITY DRUGS AMPHETRIM

DESI AM-TUSS

DESI ANALPRAM HC

DESI ANANA

DESI ANANA FORTE

DESI ANANASE-50

Page 3: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI ANASPAZ-PB

DESI ANATUSS

DESI ANATUSS W/CODEINE

DESI ANDECON PEDIATRIC

DESI ANDRABOL

DESI ANISOTROPINE W/PHENOBARBITAL

DESI ANIT-GEN

DESI ANITSPASMATIC

ANTIOBESITY DRUGS ANOREXIN

ANTIOBESITY DRUGS ANOREXIN ONE-SPAN

FERTILITY AGENTS ANTAGON

DESI ANTAZOLINE-V

DESI ANTI ITCH

DESI ANTI-ASTHMA

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ANTICAVITY FLUORIDE

DESI ANTIHISTAMINE COUGH SYRUP

DESI ANTIME

DESI ANTISPAS

DESI ANTI-SPAS

DESI ANTISPASMATIC

DESI ANTISPASMODIC

DESI ANTISPASMODIC TABLETS

DESI ANTISPASMODIL

DESI ANTISPASMOTIC

DESI ANTITUSSIVE

DESI ANTI-TUSSIVE

DESI ANTITUSSIVE C

DESI ANTI-TUSSIVE TD

DESI ANTRATE

DESI ANTROCOL

DESI ANTUSSAL

DESI ANUCORT

DESI ANUCORT W/HYDROCORTISONE

DESI ANUCORT-HC

DESI ANUDIL HC

DESI ANUGARD

DESI ANUMED

DESI ANU-MED HC

DESI ANUMED-HC

DESI ANUPREP HC

DESI ANUPREP-HC

DESI ANURX HC

DESI ANUS-OID HC

DESI ANUSOL-HC

DESI ANUZONE-HC

DESI APAP/DICHLORAL/ISOMETHEPTENE

DESI APAP/DICHLPHEN/ISOMETHEPTEN

DESI APAP/ISOMETHEPTENE/DICHLPHE

DESI APAP/ISOMETHEPTENE/DICHLPHEN

DESI APAP-DICHLPHEN-ISOMETHEPTEN

DESI APAP-ISOMETHEPTENE-DICHLPHE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) APATATE W/FLUORIDE

Page 4: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) APF

DRUGS TO TREAT IMPOTENCY APHRODYNE

ANTIOBESITY DRUGS APPEDRINE

ANTIOBESITY DRUGS APPETITE CONTROL

ANTIOBESITY DRUGS APPETITE CONTROL W/C

ANTIOBESITY DRUGS APPETITE CONTROL W/VITAMIN C

OSTOMY SUPPLIES APPLIANCE BELT ADJUSTABLE

OSTOMY SUPPLIES APPLIANCE COVER CLOSED

OSTOMY SUPPLIES APPLIANCE COVER DRAINABLE

DESI A-REX

DESI ARGESIC

DESI ARISTALOG MYCO

DESI ARLAREX

DESI ARLATAL

DESI ARLATANE

DESI ARLATAPP

DESI ARLIDIN

DESI ARLON FORTE

DESI ASA VAGINAL

DESI ASMA-EZE

DESI ASMA-LEIF

DESI ASMINYL

OSTOMY SUPPLIES ASSURA

OSTOMY SUPPLIES ASSURA 2PC DRAINABLE

OSTOMY SUPPLIES ASSURA 2PC IRRIGATION SLEEV

OSTOMY SUPPLIES ASSURA AC

OSTOMY SUPPLIES ASSURA EASICLOSE DRAINABLE

OSTOMY SUPPLIES ASSURA EXTENDED WEAR

OSTOMY SUPPLIES ASSURA EXTRA

OSTOMY SUPPLIES ASSURA FLANGE

OSTOMY SUPPLIES ASSURA FLANGE CONVEX

OSTOMY SUPPLIES ASSURA IRRIGATION FACE PLAT

OSTOMY SUPPLIES ASSURA NON-CONVEX DRAINABLE

OSTOMY SUPPLIES ASSURA OSTOMY BELT

OSTOMY SUPPLIES ASSURA PEDIATRIC POUCH

OSTOMY SUPPLIES ASSURA POUCH

OSTOMY SUPPLIES ASSURA TWO-PIECE URO MINICA

OSTOMY SUPPLIES ASSURA WOUND MANAGER

OSTOMY SUPPLIES ASSURA WOUND MANAGERS

DESI ASTHMA

DESI ASTHMACON

DESI ASULAM

DESI ASULAM SULFA

DESI ASULAM VAGINAL

DESI ATARIN

DESI ATROHIST PLUS

DESI ATROPINE W/PHENOBARBITAL

DESI ATROTAL

NON-REIMBURSABLE COSMETIC INDICATIONS AVAGE

DESI A-VAGINAL SULFA

DESI A-VAN

DESI AVAZYME

Page 5: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI AVAZYME 100

DESI AVC VAGINAL

DESI AVC W/DIENESTROL

NON-REIMBURSABLE COSMETIC INDICATIONS AVITA

DESI AVITROL VAGINAL SULFA

DESI AZMA AID

DESI AZMA-AID

DESI AZMADRINE

DESI AZMAR ASTHMA

DESI AZOTREX

DESI AZPAN

DESI B N C

DESI B P P

DESI B.P.P.

DESI BAFIL

DESI BALNADE DMH

DESI BALTANE

DESI BALTANE DC

DESI BALTAPP

DESI BANEX

OSTOMY SUPPLIES BANISH II

SMOKING DETERRENTS BAN-SMOKE

DESI BAN-TUSS C

DESI BAN-TUSS HC

DESI BAN-TUSS-C

DESI BAPWON

DESI BARAHIST EC

DESI BARAMINE

DESI BARBATOSE NO.2

DESI BARBELLA

DESI BARBELOID

DESI BARBIDONNA

DESI BARBIDONNA NO.2

OSTOMY SUPPLIES BARD CARBON GAS FILTER

OSTOMY SUPPLIES BARD CONNECTOR/ADAPTER 16"

OSTOMY SUPPLIES BARD INCONTI BARRIER FILM

OSTOMY SUPPLIES BARD PLASTIC INLET CONNECTO

OSTOMY SUPPLIES BARD RUBBER LEG BAG STRAP

OSTOMY SUPPLIES BARD SKIN BARRIER WAFER

OSTOMY SUPPLIES BARDIC ADAPTER/TUBING

OSTOMY SUPPLIES BARDIC REPLACEMENT CAP

NON-REIMBURSABLE COSMETIC INDICATIONS BARE & SMOOTH

DESI BAROPHEN

DESI BARTONE

DESI BAYAMINIC

DESI BAY-ASE

DESI BAY-ORNADE

DESI BEDACON

OSTOMY SUPPLIES BEDSIDE CONNECTING TUBE OST

DESI BELAP

DESI BELATOL

DESI BELDIN

Page 6: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI BELLABARB

DESI BELLADENAL

DESI BELLADENAL-S

DESI BELLADONNA ALK/PHENOBAR-BITAL

DESI BELLADONNA ALKALOIDS W/PB

DESI BELLADONNA ALKALOIDS/PHENOBARBITAL

DESI BELLADONNA W/BUTABARBITAL

DESI BELLADONNA W/PHENOBARBITAL

DESI BELLADONNA W/PHENOBARBITOL

DESI BELLADONNA/ERGOTAMINE/PHENOB

DESI BELLADONNA-PHENOBARBITAL

DESI BELLALPHEN

DESI BELLAMINE

DESI BELLAMINE-S

DESI BELLAMOR

DESI BELLAPHEN-S

DESI BELLASPAS

DESI BELLASTAL

DESI BELLATAL

DESI BELLATAL ER

DESI BELLERGAL

DESI BELLERGAL-S

DESI BELLERGOTAL

DESI BELLGOTRAL

OSTOMY SUPPLIES BELL-HORN OSTOMY SUPPORT

DESI BELLKATAL

DESI BELLOPHEN

DESI BEL-PHEN-ERGOT

DESI BEL-PHEN-ERGOT S

DESI BEL-TABS

DESI BENASE

DESI BENEGYN VAGINAL

DESI BENOMINE W/PHENOBARBITAL

DESI BEN-REX

DESI BENTRAC

DESI BENTYL W/PHENOBARBITAL

DESI BENYLIN

ANTIOBESITY DRUGS BERRY TRIM

DESI BIOBID

DESI BIODROID

DESI BIO-GAL

DESI BIO-GAN ADULT

DESI BIO-GAN PEDIATRIC

DESI BIONADE C

DESI BIPHETAPP

DESI BISCOLAN HC

DESI BLANEX

DESI BOLIC

OSTOMY SUPPLIES BONGORT DISPOSABLE POUCH

OSTOMY SUPPLIES BONGORT LIFESTYLE COLOSTOMY

OSTOMY SUPPLIES BONGORT MAX-E-ADHESIVE

OSTOMY SUPPLIES BONGORT ODOR-BARRIER POUCH

Page 7: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES BONGORT OSTOMY POUCH

OSTOMY SUPPLIES BONGORT TRIM N FIT OSTOMY

ANTIOBESITY DRUGS BONTRIL PDM

ANTIOBESITY DRUGS BONTRIL SLOW RELEASE

ANTIOBESITY DRUGS BONTRIL SLOW-RELEASE

ANTIOBESITY DRUGS BONTRIL SR

DESI BP-BAMATE COMPOUND

ANTIOBESITY DRUGS BRAN-SLIM

FERTILITY AGENTS BRAVELLE

DESI BREXIN

DESI BROCON

DESI BROMALIX

DESI BROMANATE

DESI BROMANATE DC

DESI BROMANOL

DESI BROMANOL-PA

DESI BROMANYL

DESI BROMATANE

DESI BROMATANE DC

DESI BROMATANE-DC

DESI BROMATAPP

DESI BROM-CORT

DESI BROM-CORTANN

DESI BROM-CORT-DC

DESI BROMELAIN

DESI BROMEPAPH

DESI BROMOPHEN

DESI BROMOTUSS W/CODEINE

DESI BROMPHEN

DESI BROMPHEN COMPOUND W/CODEINE

DESI BROMPHENIRAMINE COMPOUND

DESI BROMPHENIRAMINE DC

DESI BROMPHENIRAMINE MALEATE

DESI BROMPHENIRAMINE/PE/PHENYLPROP

DESI BROMPHENIRAMINE-DC

DESI BROMTANE

DESI BROMTANE DC

DESI BROMYNE

DESI BRONAPP-VC

DESI BRONCHOLATE

DESI BRONCOMAR

DESI BRONCOPECTOL

DESI BRONITIN

DESI BRONKOBAL

DESI BRONKOLIXIR

DESI BRONKOPHYLLINE

DESI BRONKOTABS

DESI BRONKOTUSS

DESI BROPHED

DESI BRO-PHEN

DESI BROPHENYL

DESI BROTANE

Page 8: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI BROTEP

SMOKING DETERRENTS BUPROBAN

SMOKING DETERRENTS BUPROPION HCL

DESI BUTABAL ALKA

DESI BUTABELL HMB

DESI BUTIBEL

DESI BUTIBEL-ZYME

DESI BYCLOMINE W/PB

DESI BYCLOMINE W/PHENOBARB

DESI CAFFEINE/ERGOT/PENT

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) CALCIBON

DESI CALTUSSIC

DESI CANTIL W/PHENOBARBITAL

DESI CANTRI

DESI CAQUIN TOPICAL

DESI CARAMIPHEN/PHENYLPROPANOLAMINE

DESI CARBRITAL

DESI CARMID

DESI CARMIPHEN/PHENYLPROPANOLAMI

OSTOMY SUPPLIES CATHETER SHIELD

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) CAVAREST

DRUGS TO TREAT IMPOTENCY CAVERJECT

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) CAVIRINSE

DESI CDP PLUS

DESI CDP W/DCM BR

OSTOMY SUPPLIES CEMENT THINNER

OSTOMY SUPPLIES CEMENT, BRUSH TOP CAN

OSTOMY SUPPLIES CEMENT, COLLAPSIBLE TUBE

OSTOMY SUPPLIES CEMENT, LARGE REFILL CAN

DESI CEN-FERTE

OSTOMY SUPPLIES CENTERPOINT LOCK 2PC KIT

DESI CEN-TRATE 80 TR

DESI CEN-TUSS

DESI CETACAINE

DESI CETACAINE MEDICAL KIT E

DESI CETAZONE

FERTILITY AGENTS CETROTIDE

SMOKING DETERRENTS CHANTIX

DESI CHARDONNA-2

DESI CHEM-TUSS

DESI CHEM-TUSS DME

DESI CHEM-TUSS NE

DESI CHEXIT T.R.

DESI CHLORAPAP FORTE

DESI CHLORDIAZEPOXIDE PLUS

DESI CHLORDIAZEPOXIDE/CLIDINIUM

DESI CHLORDINAMIDE

DESI CHLORDINIUM

DESI CHLOREX

DESI CHLOR-ISO

DESI CHLOR-ISO T.R.

DESI CHLOROFON-F

Page 9: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI CHLORPHENIR/PP/PE/PHENTOLOX

DESI CHLORXYZONE W/ACETAMINOPHEN

DESI CHLORZONE FORTE

DESI CHLORZOXACET-F

DESI CHLORZOXAZONE DS

DESI CHLORZOXAZONE W/ACETAMINOPHEN

DESI CHOLAN HMB

NON-REIMBURSABLE COSMETIC INDICATIONS CHROMELIN COMPLEXION BLENDE

DESI CHYMORAL

DESI CHYMORAL-100

DRUGS TO TREAT IMPOTENCY CIALIS

NON-SEDATING ANTIHISTAMINES CLARINEX

NON-SEDATING ANTIHISTAMINES CLARINEX-D

DESI CLIDINIUM W/CHLORDIAZEPOXID

DESI CLIDINIUM W/CHLORDIAZEPOXIDE

DESI CLIDINIUM W-CHLORDIAZEPOXID

DESI CLIDINIUM-CHLORDIAZEPOXIDE

DESI CLINDEX

DESI CLINIBRAX

DESI CLINOXIDE

DESI CLIOQUINOL W/HYDROCORTISONE

DESI CLIOQUINOL/HYDROCORTISONE

DESI CLIOQUINOL-HYDROCORTISONE

DESI CLIPOXIDE

FERTILITY AGENTS CLOMID

FERTILITY AGENTS CLOMIPHENE CITRATE

OSTOMY SUPPLIES CLOSED FILTER STOMA BAG/ADH

OSTOMY SUPPLIES CLOSED MINI OSTOMY POUCH

OSTOMY SUPPLIES CLOSED MINI-POUCH WITH FLAN

OSTOMY SUPPLIES CLOSED POUCH W/FILTER & FLA

OSTOMY SUPPLIES CLOSED POUCH/DEODOR FILM/FL

OSTOMY SUPPLIES CLOSED-END BAG W/FILTER, BA

OSTOMY SUPPLIES CLOSED-END POUCH

DESI COFED-C

DESI COFENADE-T

DESI COFORTE

DESI COIDOCORT

DESI COLD AND ALLERGY RELIEF

DESI COLD TABLET NO.2

DESI COLDECON

DESI COL-DECON

DESI COLDLOC

DESI COLIDROPS

OSTOMY SUPPLIES COLLYSEAL BARRIER

OSTOMY SUPPLIES COLLYSEAL SUPER THIN SQUARE

OSTOMY SUPPLIES COLOPLAST

OSTOMY SUPPLIES COLOPLAST 1 PIECE BAG SMALL

OSTOMY SUPPLIES COLOPLAST 1 PIECE CLOSED BA

OSTOMY SUPPLIES COLOPLAST 1 PIECE OSTOMY BA

OSTOMY SUPPLIES COLOPLAST 1 PIECE POUCH

OSTOMY SUPPLIES COLOPLAST 1PC CLOSED POUCH

OSTOMY SUPPLIES COLOPLAST 1-PIECE POUCH

Page 10: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES COLOPLAST 2 PIECE FLANGE

OSTOMY SUPPLIES COLOPLAST 2 PIECE POUCH

OSTOMY SUPPLIES COLOPLAST 2 PIECE SET

OSTOMY SUPPLIES COLOPLAST 2PC OSTOMY POUCH

OSTOMY SUPPLIES COLOPLAST 2PC UROSTOMY POUC

OSTOMY SUPPLIES COLOPLAST BARRIER RING

OSTOMY SUPPLIES COLOPLAST BELT RETAINER RIN

OSTOMY SUPPLIES COLOPLAST CLOSED POUCH

OSTOMY SUPPLIES COLOPLAST CONVEX SKIN BARRI

OSTOMY SUPPLIES COLOPLAST CONVEX SKIN BARRIER

OSTOMY SUPPLIES COLOPLAST DRAINABLE POUCH

OSTOMY SUPPLIES COLOPLAST FILTRODOR FILTER

OSTOMY SUPPLIES COLOPLAST IRRIGATION KIT

OSTOMY SUPPLIES COLOPLAST IRRIGATION SET

OSTOMY SUPPLIES COLOPLAST OSTOMY BELT

OSTOMY SUPPLIES COLOPLAST OSTOMY POUCH

OSTOMY SUPPLIES COLOPLAST PASTE

OSTOMY SUPPLIES COLOPLAST POUCH CLAMP

OSTOMY SUPPLIES COLOPLAST SKIN BARRIER

OSTOMY SUPPLIES COLOPLAST STOMA CAP

OSTOMY SUPPLIES COLOSTOKIT IRRIGATOR

OSTOMY SUPPLIES COLOSTOMY BARIUM ENEMA KIT

OSTOMY SUPPLIES COLOSTOMY POUCH

OSTOMY SUPPLIES COLOSTOPADS

OSTOMY SUPPLIES COLOSTOTIP

OSTOMY SUPPLIES COLOSTOTIP W/QUICK DISCONNE

OSTOMY SUPPLIES COLOSTOTIP W/QUICK DISCONNECT

DESI COLREX

DESI COMBAGEN SR

DESI COMBID

DESI COMBID SPANSULE

DESI COMBINED TD

OSTOMY SUPPLIES COMBO-TIP COLOSTOMY IRRIGAT

OSTOMY SUPPLIES COMFEEL SKIN BARRIER

OSTOMY SUPPLIES COMFORT WEAR POUCH COVER

OSTOMY SUPPLIES COMFORTWEAR POUCH COVER

SMOKING DETERRENTS COMMIT

OSTOMY SUPPLIES COMPACT IRRIGATOR

DESI COMPAL

DESI COM-PAR

DESI COM-PRO SPAN

OSTOMY SUPPLIES CONCAVE DISC

OSTOMY SUPPLIES CONE TIP

DESI CONEX

DESI CONJUGATED ESTROGENS

OSTOMY SUPPLIES CONSEAL COLOSTOMY 1-PC PLUG

OSTOMY SUPPLIES CONSEAL COLOSTOMY PLUG

OSTOMY SUPPLIES CONSEAL IRRIGATION KIT

OSTOMY SUPPLIES CONSEAL IRRIGATION SET

OSTOMY SUPPLIES CONTOUR I

ANTIOBESITY DRUGS CONTROL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) CONTROL RX

Page 11: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI CONTUSS

OSTOMY SUPPLIES CONVERT-A-POUCH DAILY POUCH

OSTOMY SUPPLIES CONVERT-A-POUCH FACE PLATE

OSTOMY SUPPLIES CONVERT-A-POUCH POST-OP POU

OSTOMY SUPPLIES CONVEX INSERT FOR 1.75" FLA

OSTOMY SUPPLIES CONVEX INSERT FOR 2.25" FLA

OSTOMY SUPPLIES CONVEX INSERTS FOR 1.5" FLA

OSTOMY SUPPLIES CONVEX SYN BARR W/FLOAT FLA

DESI CO-PERAZINE TIMED CAPSULES

DESI COPHED-C

DESI COPHENE-S

DESI COPHENE-X

DESI COPHENE-XP

DESI CORDAHIST S.R.

DESI CORDAMINE

DESI CORDAMINE-PA

DESI CORDECON

DESI CORDECON TD

DESI CORDILATE

DESI CORQUE

DESI CORTANE

DESI CORTA-PLEX HC

DESI CORTAPP

DESI CORTAPP-PA

DESI CORT-DOME

DESI CORTICAINE

DESI CORTIN

DESI CORTISPORIN

DESI COTABB

DESI COTANE

DESI COTANE-DC

DESI COTAPP

DESI COTOFED

DESI COVANAMINE

DESI COVANGESIC

DESI COVATRATE 10

DESI CO-XAN

DESI CPB VAGINAL

OSTOMY SUPPLIES CPL DRAINABLE POUCH

DESI CRANTEX

FERTILITY AGENTS CRINONE

DESI C-TUSS

OSTOMY SUPPLIES CUT OFF CLAMP

DESI CYCLADATE

DESI CYCLANDELATE

DESI CYCLAR 200

DESI CYCLAR 400

DESI CYCLOREX

DESI CYCLOSPASMOL

DESI CYDEL

OSTOMY SUPPLIES CYMED SEAL

DESI CYNTEX

Page 12: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI CYVASO

DESI D.M.C.

OSTOMY SUPPLIES DAB-O-MATIC PROTECT BARRIER

DESI DAINITE

DESI DAINITE-KI

OSTOMY SUPPLIES DALE BINDER

DESI DALEX

DESI DALEX FORTE

DESI DARICON-PB

DRUGS TO TREAT IMPOTENCY DAYTO-HIMBIN

DESI DECOLATE

DESI DECONAL

DESI DECON-E

DESI DECONGEST

DESI DECONGEST TABS

DESI DECONGEST TD

DESI DECONGESTAB

DESI DECONGESTABS

DESI DECONGESTABS CT

DESI DECONGESTABS S.A.

DESI DECONGESTANT

DESI DECONGESTANT CAPSULE

DESI DECONGEX-D

DESI DECONHIST LA

DESI DECON-TAB

DESI DECONTABS

DESI DECON-TUSS

DESI DECOSPAN

DESI DECO-TUSS TD

DESI DECTUSS C

DESI DECTUSS DM

DESI DECTUSS NP

DESI DECTUSS VC

ANTIOBESITY DRUGS DELGADEZ

DESI DELTAVAC VAGINAL

DESI DEMI-COF

DESI DEMI-COF PEDIATRIC

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) DENTA 5000 PLUS

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) DENTAGEL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) DENTALL

DESI DEPO-TESTADIOL

DESI DEPROL

OSTOMY SUPPLIES DERMA-GUARD

DESI DERMAREX

DESI DERMAZENE

DESI DERMED

DESI DERMOSAN

NON-SEDATING ANTIHISTAMINES DESLORATADINE

NON-SEDATING ANTIHISTAMINES DESLORATADINE/PSEUDOEPHEDRINE

DESI DESPEC

DESI DESPEC-SF

DESI DE-TUSS

Page 13: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

ANTIOBESITY DRUGS DEXATRIM

ANTIOBESITY DRUGS DEXATRIM 15

ANTIOBESITY DRUGS DEXATRIM 18-HOUR

ANTIOBESITY DRUGS DEXATRIM CAFF-FREE EX-STR

ANTIOBESITY DRUGS DEXATRIM CAFF-FREE MAX STR

ANTIOBESITY DRUGS DEXATRIM MAXIMUM STRENGTH

ANTIOBESITY DRUGS DEXATRIM PLUS VITAMINS

ANTIOBESITY DRUGS DEXATRIM W/VITAMIN C

ANTIOBESITY DRUGS DEXATRIM/VITAMIN C

DESI D-FORTE

DESI DIAMINE

DESI DIBENIL

DESI DIBENT-PB

DESI DICYCLOMINE W/PHENOBARBITAL

ANTIOBESITY DRUGS DIDREX

ANTIOBESITY DRUGS DIET AID

ANTIOBESITY DRUGS DIET AID MAXIMUM STRENGTH

ANTIOBESITY DRUGS DIET AID W/VITAMIN C

ANTIOBESITY DRUGS DIET CAP W/O CAFFEINE

ANTIOBESITY DRUGS DIET CAPLET

ANTIOBESITY DRUGS DIET CAPLET MAX STR W/VIT C

ANTIOBESITY DRUGS DIET CAPLET W/VITAMIN C

ANTIOBESITY DRUGS DIET CAPSULE W/VITAMIN C

ANTIOBESITY DRUGS DIET CONTROL

ANTIOBESITY DRUGS DIET MAX STRENGTH

ANTIOBESITY DRUGS DIET PLAN

ANTIOBESITY DRUGS DIETEX T.D.

ANTIOBESITY DRUGS DIETHYLPROPION HCL

ANTIOBESITY DRUGS DIETHYPROPION HCL

ANTIOBESITY DRUGS DIETRIM ES

ANTIOBESITY DRUGS DIEUTRIM

DESI DIHYDROCODEINE

DESI DIHYDROCODEINE COMP

DESI DIHYDROCODEINE COMPOUND

DESI DILATOR

DESI DIMAHIST

DESI DIMAPHEN

DESI DIMAREX

DESI DIMETANE

DESI DIMETANE EXPECTORANT-DC

DESI DIMETAPP

DESI DIME-TIME

DESI DINEX GRAPE

DESI DIPHEN

DESI DIPHENALLIN

DESI DIPHENHYDRAMINE HCL

DESI DIPIMOL

DESI DIPRADAM

ANTIOBESITY DRUGS DIPRO

DESI DIPYRIDAMOLE

OSTOMY SUPPLIES DISPOSABL BAGS 6"X11.5"

OSTOMY SUPPLIES DISPOSABLE BAGS FOR NO.1397

Page 14: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES DISPOSABLE DRAIN SLEEVE

OSTOMY SUPPLIES DISPOSABLE IRRIGATION SET

OSTOMY SUPPLIES DISPOSIT BELT

ANTIOBESITY DRUGS DITEX

DESI DITI-2

DESI DIUTENSEN

DESI DIXATAL

DESI DIXATAP

DESI DIXOTUSS

DESI DNZ-2

DESI DOCTIENT

DESI DOCTIENT HC HEMORRHOIDAL

DESI DOCTIENT HCL HEMORRHOIDAL

DESI DOCTIENT W/HYDROCORTISONE

DESI DOMEFORM-HC

DESI DOMETUSS DE

DESI DON-A-SPAS

DESI DONATUSSIN

DESI DONNAMAR PB

DESI DONNAPHEN

DESI DONNA-PHENAL

DESI DONNAPINE

DESI DONNA-SED

DESI DONNATAL

DESI DONNATAL EXTENTABS

DESI DONNATAL NO.2

DESI DONNAZYME

DESI DONPHEN

OSTOMY SUPPLIES DOUBLE COAT ADHES DISC 3"

OSTOMY SUPPLIES DOUBLE COAT ADHES DISC 4"

OSTOMY SUPPLIES DOUBLE-HESIVE

OSTOMY SUPPLIES DRAIN POUCH/REPLACE DEODOR

OSTOMY SUPPLIES DRAINABLE ADHESIVE POUCH

OSTOMY SUPPLIES DRAINABLE BARRIER POUCH

OSTOMY SUPPLIES DRAINABLE MINI-POUCH W/FLAN

OSTOMY SUPPLIES DRAINABLE OSTOMY SET, STERI

OSTOMY SUPPLIES DRAINABLE POUCH

OSTOMY SUPPLIES DRAINABLE POUCH CLAMP

OSTOMY SUPPLIES DRAINABLE POUCH W/FILTR&FLA

OSTOMY SUPPLIES DRAINABLE POUCH W/FLANGE

DESI DRAMAREX S.C.

DESI DRI-AID

DESI DRISTAN COUGH FORMULA

DESI DRIZE-R

DESI DRUMMERGAL

DESI D-TAL

DESI D-TAP

DESI D-TRAX

DESI DUO SPAZ

OSTOMY SUPPLIES DUOLOCK CURVED TAIL CLOSURE

DESI DUOTRATE

DESI DUOTRATE 45

Page 15: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI DURABOLIC

DESI DURADRIN

DESI DURAGAL-S

DESI DURA-GEST

OSTOMY SUPPLIES DURAHESIVE MOLDABLE CONVEX

DESI DURATEX

DESI D-VASO

DESI DYNEX

DESI DYTUSS

DESI E.N.T.

OSTOMY SUPPLIES EAKIN

OSTOMY SUPPLIES EAKIN COHESIVE SEALS

OSTOMY SUPPLIES EAKIN FISTULA & WOUND POUCH

OSTOMY SUPPLIES EAKIN SKIN BARRIER

OSTOMY SUPPLIES EASICLOSE WIDE OUTLET

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) EASYGEL

OSTOMY SUPPLIES ECONOMY INCONTINENCE KIT

OSTOMY SUPPLIES ECONOMY IRRIGATOR

OSTOMY SUPPLIES ECONOMY POUCH

DESI E-D

DRUGS TO TREAT IMPOTENCY EDEX

DESI EFED

ANTIOBESITY DRUGS EFED II

DESI EFRICON

OSTOMY SUPPLIES ELASTIC BELT

DESI ELIXIRAL

ANTIOBESITY DRUGS EMPRO

DESI ENARAX 10

DESI ENARAX 5

DESI END-A-KOFF

DESI ENDIX

DESI ENDOTUSSIN-NN

OSTOMY SUPPLIES ENEMA BAG

OSTOMY SUPPLIES ENEMA BAG W/CATHETER

DESI ENOMINE

DESI ENTAC

DESI ENTEX

DESI ENZONE

DESI EPERBEL-S

DESI EPHEDRINE W/PHENOBARBITAL

DESI EPHENESIN

DESI EPHENYLLIN

DESI EPIDRIN

DESI EPIFOAM

DESI EPIFORM HC

DESI EPONAL

DESI EPROMATE

DESI EQUAGESIC

SMOKING DETERRENTS EQUATE NICOTINE GUM

DESI EQUAZINE

DESI EQUI-TEX

DRUGS TO TREAT IMPOTENCY EREX

Page 16: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI ERGOBEL

OSTOMY SUPPLIES ESTEEM SYNERGY

DESI ESTRATEST

DESI ESTRATEST H.S.

DESI E-TAPP

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) ETHEDENT

DESI ETHI-FED-GG

DESI ETHI-HIST

DESI ETNERGAN

DESI ETNERGAN PEDIATRIC

DESI ETNERGAN VC

DESI EXACTACAIN

DESI EXPECTICO

DESI EXPECTICO PEDIATRIC

OSTOMY SUPPLIES EXTRA BELT ENDS OR SLIDES

OSTOMY SUPPLIES EXTRA COLOSTOMY POUCH #1

OSTOMY SUPPLIES EXTRA COLOSTOMY POUCH #2

OSTOMY SUPPLIES EXTRA COLOSTOMY POUCH #3

OSTOMY SUPPLIES EXTRA GAS STEMS

OSTOMY SUPPLIES EXTRA OPEN-END DRAIN

OSTOMY SUPPLIES EXTRA SECURITY POUCH

DESI EX-TUSS

DESI EZE

DESI F.E.P.

OSTOMY SUPPLIES FACE PLATE 2.5INCH OPENING

OSTOMY SUPPLIES FACE PLATE OSTOMY ACCESSORY

ANTIOBESITY DRUGS FASTAMINE

ANTIOBESITY DRUGS FASTIN

DESI FATHER JOHN'S

OSTOMY SUPPLIES FEATHER-LITE ILEOSTOMY PCH

OSTOMY SUPPLIES FEATHER-LITE ILEOSTOMY POUC

OSTOMY SUPPLIES FEATHER-LITE ODORPROOF ILEO

OSTOMY SUPPLIES FECAL COLLECTOR

OSTOMY SUPPLIES FECAL COLLECTOR, DRAINABLE

OSTOMY SUPPLIES FECAL INCONTINENCE BAG

DESI FEDACAPS

DESI FEDAHIST

DESI FEDRINAL

DESI FELLOBOLIC

DESI FEMGUARD

DESI FENTEX

DESI F-E-P

FERTILITY AGENTS FERTINEX

NON-SEDATING ANTIHISTAMINES FEXOFENADINE

NON-SEDATING ANTIHISTAMINES FEXOFENADINE/PSEUDOEPHEDRINE

ANTIOBESITY DRUGS FIBER DIET

ANTIOBESITY DRUGS FIBER DIET W/CALCIUM

ANTIOBESITY DRUGS FIBER W/C AND EXTRA CALCIUM

ANTIOBESITY DRUGS FIBERFULL

ANTIOBESITY DRUGS FIBER-PLEX

OSTOMY SUPPLIES FILTER REPLACEMENT

OSTOMY SUPPLIES FILTER SECURITY CLOSED POUC

Page 17: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES FIRSTCHOICE CLOSED POUCH

OSTOMY SUPPLIES FIRSTCHOICE DRAINABLE POUCH

OSTOMY SUPPLIES FIRSTCHOICE POSTOP DRAIN PO

OSTOMY SUPPLIES FIRSTCHOICE UROSTOMY

OSTOMY SUPPLIES FIRSTCHOICE UROSTOMY POUCH

FERTILITY AGENTS FIRST-PROGESTERONE VGS 100

FERTILITY AGENTS FIRST-PROGESTERONE VGS 200

FERTILITY AGENTS FIRST-PROGESTERONE VGS 25 COMPOUNDING KIT

FERTILITY AGENTS FIRST-PROGESTERONE VGS 50

OSTOMY SUPPLIES FISTULA POUCH

DESI FLEXAPHEN

DESI FLEXIN

OSTOMY SUPPLIES FLEXI-SEAL

OSTOMY SUPPLIES FLEXI-TRAK ANCHORING DEVICE

OSTOMY SUPPLIES FLEXTEND SKIN BARRIER

DESI FLEXTRA

OSTOMY SUPPLIES FLIP TOP VALVE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLO-GEL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUORABON

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUOR-A-DAY

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUORIDE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUORIDE LOZ

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUORIDE MOUTHWASH

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUORIGARD

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUORITAB

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLURA

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLURA-DROPS

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLURA-PREN

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLURA-TAB

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) FLUR-RINSE

OSTOMY SUPPLIES FOAM RUBBER 3" OSTOMY DISC

OSTOMY SUPPLIES FOAM RUBBER 4" OSTOMY DISC

FERTILITY AGENTS FOLLISTIM

FERTILITY AGENTS FOLLISTIM AQ

FERTILITY AGENTS FOLLISTIM/ANTAGON

DESI FYNEX

DESI G.B.S.

FERTILITY AGENTS GANIRELIX ACETATE

OSTOMY SUPPLIES GAS VALVE ADDITION

DESI GECIL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) GEL-KAM

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) GEL-KAM DENTINBLOC

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) GEL-KAM SENSITIVITY THERAPY

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) GEL-TIN

DESI GENASTHMA

DESI GENCAP

DESI GEN-CON-A

DESI GENELAN

DESI GENEPATUSS

OSTOMY SUPPLIES GENERAL INSTRUMENT BRUSHES

DESI GENERGAL

DESI GENEXPECT-SF

Page 18: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES GENTLE TOUCH COLOSTOMY SYS

OSTOMY SUPPLIES GENTLE TOUCH LOOP OSTOMY SY

OSTOMY SUPPLIES GENTLE TOUCH UROSTOMY SYS

DESI GENTUSS

DESI GMD

FERTILITY AGENTS GONAL-F

FERTILITY AGENTS GONAL-F RFF

ANTIOBESITY DRUGS GRAPEFRUIT

ANTIOBESITY DRUGS GRAPEFRUIT DIET

ANTIOBESITY DRUGS GRAPEFRUIT PLUS

DESI G-TUSS

DESI GUAIFENESIN/PE/PHENYLPROP

DESI GUAIFENESIN/PHENYLEPH/P-PRO

DESI GUAIFENESIN/PHENYLEPH/P-PROP

DESI GUAIFENEX

OSTOMY SUPPLIES GUARDIAN 2PC SYS DRAIN POUC

OSTOMY SUPPLIES GUARDIAN 2PC SYS O.R. SET

OSTOMY SUPPLIES GUARDIAN 2PC SYSTEM MINI-PO

OSTOMY SUPPLIES GUARDIAN 2PC SYSTEM STOMA C

OSTOMY SUPPLIES GUARDIAN F 2PC OSTOMY SYSTE

OSTOMY SUPPLIES GUARDIAN F 2PIECE OSTOMY SY

OSTOMY SUPPLIES GUARDIAN OSTOMY SYS LOOP SE

OSTOMY SUPPLIES GUARDIAN S 2PIECE OSTOMY SY

OSTOMY SUPPLIES GUARDIAN SYS CLOSED MINI-PO

OSTOMY SUPPLIES GUARDIAN SYS CLOSEDMINIPOUC

OSTOMY SUPPLIES GUARDIAN SYS STOMA IRRIG DR

OSTOMY SUPPLIES GUARDIAN SYS UROSTOMY O.R.

OSTOMY SUPPLIES GUARDIAN SYS UROSTOMY POUCH

OSTOMY SUPPLIES GUARDIAN SYSTEM CLOSED POUC

DESI GUIAPHED

DESI GUIATEX

DESI GUISTREY FORTIS

DESI GYN-MED

DESI H TRAN PLUS

SMOKING DETERRENTS HABITROL

NON-REIMBURSABLE COSMETIC INDICATIONS HAIR REGROWTH

NON-REIMBURSABLE COSMETIC INDICATIONS HAIR REGROWTH TREATMENT

DESI HAPONAL

DESI HARBER EX PED

DESI HARBERCON PEDIATRIC

DESI HARBERTAPP

DESI HARBER-TEX

DESI HC PRAMOXINE

DESI HC/BISMUTH SUBGAL/ZNOX/RESO

DESI HC/IODOCHLORHYDROXYQUIN

DESI HC-FORM

DESI HCI

DESI HCV

OSTOMY SUPPLIES HEALSKIN KARAYA GUM

OSTOMY SUPPLIES HEALSKIN WASHERS

DESI HEDAL HC

DESI HEDAL-HC

Page 19: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI HEMCORT-HC

DESI HEMO HC SUPPOSITORY

DESI HEMORRH HC

DESI HEMORRHOIDAL

DESI HEMORRHOIDAL HC

DESI HEMORRHOIDAL RECTAL

DESI HEMORRHOIDAL SUPPOS W/HC

DESI HEMORRHOIDAL W/HC

DESI HEMORRHOIDAL W/HYDROCORTISO

DESI HEMORRHOIDAL W/HYDROCORTISONE

DESI HEMORRHOIDAL-HC

DESI HEMORRHOIDAL-HC UNISERT

DESI HEMORX-HC

DESI HEMRIL

DESI HEMRIL-HC

DESI HEPTO

DESI HEPTOGESIC

DESI HEPTOGESTIC

DESI HEXABAMATE NO.1

DESI HEXABAMATE NO.2

DESI HEXATUSSIN

DESI HISTACON FORTE

DESI HISTADYL E.C.

DESI HISTAFED C

DESI HISTAFED-C

DESI HISTALET FORTE

DESI HISTAMIC

DESI HISTAMIC PEDIATRIC

DESI HISTATAPP

DESI HISTATEST

DESI HISTATIME FORTE

DESI HISTA-VADRIN

DESI HISTODRIX

DESI HISTRIN L.A.

DESI HISTRIN-LA

OSTOMY SUPPLIES HOLLIGARD SEAL STOMA POUCH

OSTOMY SUPPLIES HOLLIHESIVE PASTE 2OZ TUBE

OSTOMY SUPPLIES HOLLIHESIVE SKIN BARRIER

OSTOMY SUPPLIES HOLLIHESIVE SKIN BARRIER ST

OSTOMY SUPPLIES HOLLIHESIVE SKIN BARRIR N-S

OSTOMY SUPPLIES HOLLISEAL SKIN BARRIER

OSTOMY SUPPLIES HOLLISTER BELT ADAPTER

OSTOMY SUPPLIES HOLLISTER DISP CONVEX INSER

OSTOMY SUPPLIES HOLLISTER POST-OPERATIVE PO

OSTOMY SUPPLIES HOLLISTER SKIN CLEANSER

OSTOMY SUPPLIES HOLLISTER SKIN COND CREAM

OSTOMY SUPPLIES HOLLISTER SKIN GEL TUBE

OSTOMY SUPPLIES HOLLISTER SKIN MOISTURE BAR

OSTOMY SUPPLIES HOSPITAL IRRIGATION

OSTOMY SUPPLIES HOSPITAL PACK IRRIGATOR

FERTILITY AGENTS HUMEGON

DESI HYATAL

Page 20: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI HYBEPHEN

DESI HYBOLIN

DESI HYCOFF-X-NN

DESI HYDRAMINE

DESI HYDRIL

DESI HYDROCORT IODOCHLOR

DESI HYDROCORTISONE ACETATE

DESI HYDROCORTISONE IODOQUINOL

DESI HYDROCORTISONE W/CLIOQUINOL

DESI HYDROCORTISONE W/IODOCHLOR

DESI HYDROCORTISONE W/IODOQUINOL

DESI HYDROCORTISONE-IODOQUINOL

DESI HYDROFORM

DESI HYDROMAX

DESI HYDROPHED

DESI HYDROXY COMPOUND

DESI HYDROXYZINE COMPOUND

DESI HYFED

OSTOMY SUPPLIES HYGIENE 1

DESI HYONATAL

DESI HYONATOL

DESI HYOSCAMINE

DESI HYOSCYAMINE COMPOUND

DESI HYOSEPHEN

DESI HYOSITAL

DESI HYOSOPHEN

OSTOMY SUPPLIES HYPALON FACE PLATE

DESI HYPERSED

DESI HYPNALDYNE

DESI HY-Q CREAM

DESI HYSONE

DESI I.D.A.

DESI ICN-ISOX

DESI IDO PARCORT

DESI IDOCHLOR-HC

OSTOMY SUPPLIES ILEOSTOMY APPLIANC CONVEX F

OSTOMY SUPPLIES ILEOSTOMY APPLIANCE FLAT FA

OSTOMY SUPPLIES ILEOSTOMY PLASTIC POUCH

OSTOMY SUPPLIES ILEOSTOMY SET-CENTER DRAIN

OSTOMY SUPPLIES ILEOSTOMY-URETEROSTOMY BELT

OSTOMY SUPPLIES ILE-SORB

DESI I-NEOCORT

DESI INFA-CON-A

OSTOMY SUPPLIES INSERTION TUBE CATHETER

OSTOMY SUPPLIES INTEGRALE DRAIN BAG W/BARRI

OSTOMY SUPPLIES INTEGRALE ILEO S DRAIN POUC

DESI IODO HC

DESI IODO HC MILD

DESI IODO PAR CORT

DESI IODO W/HYDROCORT MILD

DESI IODO W/HYDROCORTISONE

DESI IODOCHLOR W/HC

Page 21: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI IODOCHLOR W/HYDROCORT

DESI IODOCHLORHYDROXYQUIN

DESI IODOCHLORHYDROXYQUIN W/HC

DESI IODOCHLORHYDROXYQUIN/HYDROCORT

DESI IODOCORT

DESI IODO-CORTIFAIR

DESI IODO-HC

DESI IODO-HC MILD

DESI IODO-HC MILD W/IODINE

DESI IODOSONE

DESI IOGREEN

DESI IOHYDRO

ANTIOBESITY DRUGS IONAMIN

OSTOMY SUPPLIES IRRIGAT TUBE 7.75"X36"

OSTOMY SUPPLIES IRRIGATING SLEEVE FOR IRRG

OSTOMY SUPPLIES IRRIGATION FACEPLATE

OSTOMY SUPPLIES IRRIGATION SHEATHS

OSTOMY SUPPLIES IRRIGATION SLEEVE

OSTOMY SUPPLIES IRRIGATION SLEEVE W/FLANGE

OSTOMY SUPPLIES IRYFIX CONTINENT STOMA CAP

DESI ISO-ACETAZONE

DESI ISOBID

DESI ISOCOM

DESI ISOGEN COMPOUND

DESI ISOLATE COMPOUND

DESI ISOMETH/D-CHLORALPHENAZ/APA

DESI ISOMETH/D-CHLORALPHENAZ/APAP

DESI ISOMETH-D-CHLORALPHENAZ-APA

DESI ISOMETHEPTENE/APAP/DICHLORAL

DESI ISOMETHEPTENE-APAP-DICHLPHE

DESI ISOPAP

DESI ISOPERAZINE

DESI ISO-PERAZINE

DESI ISOPHED

DESI ISOPHYLL

DESI ISOPRO

DESI ISOPROPAZINE

DESI ISOPROTERENOL COMPOUND

DESI ISOREX COMPOUND

DESI ISOXSUPRINE HCL

DESI ISUBAL COMPOUND

DESI ISUPREL COMPOUND

DESI IVOCORT-DP

DESI J-TAP

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) JUST FOR KIDS

ANTIOBESITY DRUGS JUST ONE PER DAY

DESI KALMAROPHEN

DESI KAON

DESI KAOPHEN

OSTOMY SUPPLIES KARAYA

OSTOMY SUPPLIES KARAYA DRAINABLE OSTOMY POU

OSTOMY SUPPLIES KARAYA GUM

Page 22: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES KARAYA PASTE 2OZ TUBE

OSTOMY SUPPLIES KARAYA PASTE TUBE

OSTOMY SUPPLIES KARAYA POWDER

OSTOMY SUPPLIES KARAYA POWDER-STERILE

OSTOMY SUPPLIES KARAYA RINGS

OSTOMY SUPPLIES KARAYA SEAL CLOSED STOMA PO

OSTOMY SUPPLIES KARAYA SEAL RING

OSTOMY SUPPLIES KARAYA WASHER

OSTOMY SUPPLIES KARAYA WASHER,2" O.D.

OSTOMY SUPPLIES KARAYA WASHER,2" O.D.,

OSTOMY SUPPLIES KARAYA WASHER,3.75" O.D.

OSTOMY SUPPLIES KARAYA WASHER,3.75"O.D.

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) KARIDIUM

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) KARIGEL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) KARIGEL/N

DESI KAYTRATE-80

DESI K-D-C

DESI KEDRAL

DESI KEN TUSS

DESI KENBID

DESI KENCORT

DESI KENDILAN 10

DESI KENDILAN 20

DESI KENEQUA

DESI KENNYLIN

DESI KENSANTIN

DESI KENSPASMOL

DESI KENTAPP

DESI KESSOTAPP

DESI K-GESIC

NON-REIMBURSABLE COSMETIC INDICATIONS KINERASE

DESI KINESED

DESI KODONYL

DESI KOPHANE

DESI KORIGESIC

DESI KORO-SULF

DESI LAHEY MIXTURE #3

OSTOMY SUPPLIES LAIRD TIP

DESI LANATUSS

DESI LANTUSS XP

DESI LANTUSS-FORTE

DESI LANVISONE

DESI LARTUS

OSTOMY SUPPLIES LATEX POUCH PEDIAT/OUTLET V

OSTOMY SUPPLIES LATEX POUCH TEX SIZE/OUTLT

OSTOMY SUPPLIES LATEX POUCH-CENTER DRAIN

OSTOMY SUPPLIES LATEX POUCH-SIDE DRAIN

OSTOMY SUPPLIES LATEX SHIELD .625" OST AP

OSTOMY SUPPLIES LATEX SHIELD .75" OST APPL

OSTOMY SUPPLIES LATEX SHIELD .875" OST APP

OSTOMY SUPPLIES LATEX SHIELD 0.5" OST APPL

OSTOMY SUPPLIES LATEX SHIELD 1" OST APPL

Page 23: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

NON-REIMBURSABLE COSMETIC INDICATIONS LATISSE

DESI LEDER BP

DESI LEMOHIST PLUS

DESI LEMOTUSSIN DM

DESI LEMOTUSSIN-DM

DRUGS TO TREAT IMPOTENCY LEVITRA

NON-SEDATING ANTIHISTAMINES LEVOCETIRIZINE

DESI LEVSIN W/PHENOBARBITAL

DESI LEVSINEX/PHENOBARBITAL TIMECAP

DESI LIBRAX

DESI LIDAFORM-HC

LIDINIUM COMPOUND

DESI LIDOX

DESI LIDOXIDE

DESI LI-GEN

OSTOMY SUPPLIES LINERS FOR COLOSTOMY 6X9"

DESI LIQUITEX

OSTOMY SUPPLIES LITTLE ONES ACTIVE LIFE POU

OSTOMY SUPPLIES LITTLE ONES SUR-FIT PED BEL

DESI LOBAC

OSTOMY SUPPLIES LOOP OSTOMY BRIDGE, STERILE

OSTOMY SUPPLIES LO-PROFILE UROSTOMY POUCH

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) LOZI-FLUR

DESI LUFYLLIN-EPG

DESI LUNASPAS

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) LURIDE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) LURIDE-SF

FERTILITY AGENTS LUVERIS

DESI LYRIZINE

OSTOMY SUPPLIES M-9

OSTOMY SUPPLIES M9 CLEANER/DECRYSTALLIZER

DESI MAD TAPP

DESI MALATAL

DESI MALLERGAN

DESI MALLERGAN VC W/CODEINE

DESI MANOTENSIN

DESI MARAX

DESI MARAX DF

DESI MARCOF

DESI MARHIST

OSTOMY SUPPLIES MARLEN ADHESIVE TAPE DISC

OSTOMY SUPPLIES MARLEN ULTRALITE POUCH

DESI MARTABS

DESI MAXCOSIN

ANTIOBESITY DRUGS MAXIMUM STRENGTH DIET

DESI MAZINE

DESI MEDA FORTE

DESI MEDATUSSIN PLUS

DRUGS TO TREAT IMPOTENCY MEDEREK

DESI MEDIATRIC

SMOKING DETERRENTS MEDIC NICOTINE

OSTOMY SUPPLIES MEDICAL ADHESIVE

Page 24: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI MEDICATED SUPPOSITORIES

DESI MEDICONE-HC RECTAL

ANTIOBESITY DRUGS MEGA TRIM

ANTIOBESITY DRUGS MELFIAT-105

DESI M-END

FERTILITY AGENTS MENOPUR

NON-REIMBURSABLE COSMETIC INDICATIONS MEN'S HAIR REGROWTH TREATME

DESI MEPERGAN FORTIS

DESI MEPERIDINE W/PROMETHAZINE

DESI MEPERIDINE/PROMETHAZINE

DESI MEPRO ANALGESIC

DESI MEPRO COMPOUND

DESI MEPROBAMATE COMPOUND

DESI MEPROBAMATE ETHOHEPTAZINE

DESI MEPROBAMATE W/TRIDIHEXETHYL

DESI MEPROBAMATE-ETHOHEPTAZINE-ASP

DESI MEPROBASE

DESI MEPRO-BASE 200

DESI MEPRO-BASE 400

DESI MEPROBASE-200

DESI MEPROBASE-400

DESI MEPROGESE

DESI MEPROGESIC

DESI MEPROGESIC MULTI-LAYER

DESI MEPRO-HEX

DESI MEPROLUS MLT

DESI MEPROZINE

ANTIOBESITY DRUGS MERIDIA

DESI METHANDRIOL

DESI METHANDRIOL DIPROPIONATE

DESI METHANDROID

DESI METHANDROSTENOLONE

DESI METHYDIOL

FERTILITY AGENTS METRODIN

DESI M-EXPECTORANT

DESI M-HIST

OSTOMY SUPPLIES MICRODERM

OSTOMY SUPPLIES MICRODERM PLUS

OSTOMY SUPPLIES MICROHESIVE STOMA PASTE

OSTOMY SUPPLIES MICROSKIN BARRIER

DESI MIDATANE

DESI MIDATANE DC

DESI MIDATAPP

DESI MIDCHLOR

DESI MI-DECON

DESI MIDRIN

DESI MIDY HC

DESI MIFLEX

DESI MIGAIN

DESI MIGQUIN

DESI MIGRAINE

DESI MIGRAPAP

Page 25: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI MIGRATINE

DESI MIGRAZONE

DESI MIGREND

DESI MIGREX

DESI MIGRIN-A

DESI MILPATH-200

DESI MILPATH-400

DESI MILTRATE-10

DESI MILTRATE-20

OSTOMY SUPPLIES MINI DRAINABLE POUCH

OSTOMY SUPPLIES MINI UROSTOMY POUCH

OSTOMY SUPPLIES MINI-DRAIN OPEN END POUCH

OSTOMY SUPPLIES MINI-POUCH ADHESIVE GASKET

NON-REIMBURSABLE COSMETIC INDICATIONS MINOXIDIL

DESI MIRAPHEN

DESI MITRIDE

DESI MITY-QUIN

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) MOUTHWASH W/FLUORIDE

DESI MOXY COMPOUND

DESI M-PHEN

DESI M-TUSS

DESI MUDRANE

DESI MUDRANE GG

DESI MURINE TEARS PLUS

DESI MURO'S OPCON-A

DESI MURRAY VAGINAL

DESI MURRAY-GESIC

DESI MURTUSS GG W/CODEINE

DRUGS TO TREAT IMPOTENCY MUSE

DESI MUS-LAX

DESI MYBANIL

DESI MYCO

DESI MYCO TRIACET

DESI MYCO-ARICIN

DESI MYCO-BAL

DESI MYCOGEN

DESI MYCOLOG

DESI MYCONEL

DESI MYCO-PAR

DESI MYCO-TRIACET

DESI MYPHENTOL

DESI MYSTECLIN-F

DESI MYTEX

DESI MYTREX

DESI N.G.T.

DESI N.N.G.T.

DESI NAFAZAIR A

DESI NAFAZAIR-A

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) NAFRINSE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) NAFRINSE PEDIATRIC

DESI NALDACA

DESI NALDAGEN PEDIATRIC

Page 26: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI NALDA-RELIEF PEDIATRIC

DESI NALDEC

DESI NALDEC PEDIATRIC

DESI NALDECON

DESI NALDECON DX

DESI NALDECON PEDIATRIC

DESI NALDELATE

DESI NALDELATE PEDIATRIC

DESI NALDORIN

DESI NALGEST

DESI NALGEST PEDIATRIC

DESI NALPHEN

DESI NALPHEN PEDIATRIC

DESI NALREX

DESI NALSPAN

DESI NALSPAN PEDIATRIC

DESI NALSPAN S.R.

DESI NAPFAZAIR-A

DESI NAPHAZ-A

DESI NAPHAZOLE-A

DESI NAPHAZOLINE HCL W/ANTAZOLINE

DESI NAPHAZOLINE HCL W/PHENIRAMINE

DESI NAPHAZOLINE HCL/PHENIRAMINE

DESI NAPHAZOLINE HCL-A

DESI NAPHAZOLINE PLUS

DESI NAPHAZOLINE W/PHENIRAMINE

DESI NAPHAZOLINE/PHENIRAMINE

DESI NAPHAZOLINE-A

DESI NAPHCON-A

DESI NAPHOPTIC-A

DESI NAPTRATE

DESI NATURETIN-K

DESI NAVOGAN

DESI NECHLORIN TIMED

ANTIOBESITY DRUGS NEOCURB-TD

DESI NEODEX

DESI NEOQUESS

DESI NEOSPORIN-G

DESI NESDECON

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) NEUTRAGARD

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) NEUTRAGARD ADVANCED

NON-REIMBURSABLE COSMETIC INDICATIONS NEUTROGENA SUNLESS TANNING

DESI NEVROTOSE CAPSUTAB NO.3

DESI NEVROTOSE NO.3

DESI NEW DECONGEST

DESI NEW DECONGESTANT

DESI NEW DECONGESTANT PEDIATRIC

OSTOMY SUPPLIES NEW IMAGE

OSTOMY SUPPLIES NEW IMAGE DRAINABLE KIT

OSTOMY SUPPLIES NEW IMAGE DRAINABLE MINI-PO

OSTOMY SUPPLIES NEW IMAGE DRAINABLE MINI-POUCH 44MM

OSTOMY SUPPLIES NEW IMAGE DRAINABLE POUCH

Page 27: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES NEW IMAGE FLEXTEND

OSTOMY SUPPLIES NEW IMAGE FLEXWEAR

OSTOMY SUPPLIES NEW IMAGE IRRIGATION SLEEVE

OSTOMY SUPPLIES NEW IMAGE KIT

OSTOMY SUPPLIES NEW IMAGE UROSTOMY

OSTOMY SUPPLIES NEW IMAGE UROSTOMY KIT

OSTOMY SUPPLIES NEW IMAGE UROSTOMY POUCH

DESI NGT

SMOKING DETERRENTS NICODERM CQ

SMOKING DETERRENTS NICORELIEF

SMOKING DETERRENTS NICORETTE

DESI NICOTIACOL

DESI NICOTINAL

SMOKING DETERRENTS NICOTINE

SMOKING DETERRENTS NICOTINE GUM

SMOKING DETERRENTS NICOTINE PATCH

SMOKING DETERRENTS NICOTINE POLACRILEX

SMOKING DETERRENTS NICOTINE TRANSDERMAL

DESI NICOTINYL ALCOHOL TARTRATE

SMOKING DETERRENTS NICOTROL

SMOKING DETERRENTS NICOTROL NS

DESI NICO-VERT

OSTOMY SUPPLIES NIGHT DRAIN ADAPTER

DESI NIL VAGINAL

DESI NILCOL

OSTOMY SUPPLIES NILODOR

OSTOMY SUPPLIES NITE DRAIN ADAPTER

DESI NNGT

DESI NO COUGH PLUS

OSTOMY SUPPLIES NO STING SKIN PREP

DESI NO-HIST

DESI NORADRYL

DESI NORAFED-C

DESI NOREL

DESI NORMATANE

DESI NORMATANE W/CODEINE

DESI NORTUSS

DESI NOSCALENE

OSTOMY SUPPLIES NOVA OSTOMY OUTFIT

SMOKING DETERRENTS NTS

DESI N-TUSSIN

DESI NU-BOLIC

NON-REIMBURSABLE COSMETIC INDICATIONS NUDIT

NON-REIMBURSABLE COSMETIC INDICATIONS NUDIT HAIR REMOVER

OSTOMY SUPPLIES NURSING CARE

OSTOMY SUPPLIES NURSING CARE KIT

OSTOMY SUPPLIES NUTRIPORT BALLOON

DESI NYLIDRIN

DESI NYLIDRIN HCL

DESI NYSOLONE

DESI NYSTAT/NEO/GRAM/TAC

DESI NYSTATIN W/NEOMYCIN/GRAM/TRIAM

Page 28: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI NYSTATIN/NEOMYCIN/GRAM/TRIAM

DESI NYST-OLONE

OSTOMY SUPPLIES O.A.D.

ANTIOBESITY DRUGS OBEEZE

ANTIOBESITY DRUGS OBENIX

ANTIOBESITY DRUGS OBEZINE

ANTIOBESITY DRUGS OBY-CAP

ANTIOBESITY DRUGS OBY-TRIM

OSTOMY SUPPLIES ODOR ELIMINATOR

OSTOMY SUPPLIES ODO-WAY APPLIANCE DEODORANT

DESI OLD-TAPP

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) OMNII GEL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) OMNII MED

DESI OPCON-A

ANTIOBESITY DRUGS OPTIFAST 70

ANTIOBESITY DRUGS OPTIFAST 800

DESI ORAHIST

DESI ORATUSS

DESI OR-BOLIC

DESI ORDRINE AT

DESI ORENZYME

DESI ORENZYME BITAB

OSTOMY SUPPLIES OSTOMY APPLIANCE BELT

OSTOMY SUPPLIES OSTOMY BELT

OSTOMY SUPPLIES OSTOMY DUSTING POWDER

OSTOMY SUPPLIES OSTOMY GERMICIDE CONCENTRAT

OSTOMY SUPPLIES OSTOMY PASTE

OSTOMY SUPPLIES OSTOMY SCISSORS

OSTOMY SUPPLIES OSTOMY/WOUND CARE KIT, STER

OSTOMY SUPPLIES OUTLET VALVE OSTOMY ACCESSO

FERTILITY AGENTS OVIDREL

OSTOMY SUPPLIES OXY-CHINOL

DESI P CHLOR

DESI P.E.T.N.

DESI P.V. TUSSIN

DESI PABA

DESI PABA-500

DESI PALACO

DESI PALBAR

DESI PALBAR NO.2

DESI PANADYL FORTE

DESI PANATUSS

DESI PANFLEX

DESI PANGYN S

DESI PANNAZ

ANTIOBESITY DRUGS PANSHAPE M

DESI PAPASE

DESI PAR

DESI PAR DECON

DESI PAR VAGINAL

DESI PARA-AMINOBENZOIC ACID

DESI PARA-BOLIC

Page 29: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI PARACA FORTE/APAP

DESI PARACET FORTE

DESI PARAFON FORTE

DESI PARAFORTE

DESI PARAGEN-FORTE

DESI PARA-HIST

DESI PARAXIN

DESI PARAZONE

DESI PAR-DECON

DESI PARGEN FORTIFIED

DESI PARLYN

DESI PAROTHYL

DESI PARTANE

DESI PARTAPP

DESI PAR-TAPP

DESI PASMEX

DESI PATHIBAMATE-200

DESI PATHIBAMATE-400

DESI PBE

DESI PBZ W/EPHEDRINE

DESI PC IODO HC

DESI P-D SPAN

DESI P-D TEX

DESI PE/PHENYLPROP/CPM/BELLA

DESI PE/PHENYLPROP/PHENYLTOLOX/CPM

DESI PE/PHENYLPROP/PHENYLTOX/CPM

DESI PE/PP/PYRILAMINE/CPM

DESI PEDIACOF

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PEDIAFLOR

DESI PEDIATRIC COUGH LIQUID

DESI PEDIATRIC COUGH SYRUP

OSTOMY SUPPLIES PEDIATRIC TRANSFER POUCH

DESI PEDICON PEDIATRIC

DESI PEDI-CORT V

DESI PEDITUSS

DESI PEECE

DESI PENTA BADE-TUSS

DESI PENTA FEDRAL

DESI PENTA-BEL

DESI PENTACAP

DESI PENTA-CON

DESI PENTACORT

DESI PENTA-E

DESI PENTAERYTHRITOL TETRANITRATE

DESI PENTAERYTHRITOL W/MEPROBAMATE

DESI PENTAFORT-T 20

DESI PENTA-TANE

DESI PENTA-TANE DC

DESI PENTA-TAPP

DESI PENTATRI-FED C

DESI PENTAZINE

DESI PENTA-ZINE

Page 30: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI PENTA-ZINE DC

DESI PENTA-ZINE DC W/CODEINE

DESI PENTA-ZINE PEDIATRIC

DESI PENTA-ZINE W/CODEINE

DESI PENTESTAN 80

DESI PENTETRA-TDC

DESI PENTOL

DESI PENTRITOL

DESI PENTRYATE

DESI PENTYLAN

DESI PENT-ZINE W/CODEINE

DESI P-EPHED/P-PROP/CPM/PHENYLTOX

DESI PERAMOLE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PERFECT CHOICE

FERTILITY AGENTS PERGONAL

DESI PERICOL

DESI PERICOL-DC

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PERIGEL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PERIO MED

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PERIO-RINSE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PERIOSELECT TAKE HOME CARE

DESI PERITRATE

DESI PERITRATE SA

DESI PERITRATE W/PHENOBARBITAL

DESI PERSANTINE

OSTOMY SUPPLIES PERSONAL SKIN CARE KIT

DESI PETN W/PHENOBARBITAL

DESI PHARMA GESIC

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PHARMAFLUR

DESI PHARMALOG

DESI PHARM-A-LYN

DESI PHARMATAPP

DESI PHARMHIST PLUS

DESI PHE-BELL

DESI PHEDRAL

DESI PHEN BRO PHEN

DESI PHENACA

DESI PHENACA VC

DESI PHENACA VC W/CODEINE

DESI PHENACA/CODEINE

DESI PHENA-CHLOR

DESI PHENAHIST-TR

DESI PHENAMETH

DESI PHENATAPP

DESI PHENATUSS

DESI PHENCHLOR S.H.A.

ANTIOBESITY DRUGS PHENDIET

ANTIOBESITY DRUGS PHENDIET-105

ANTIOBESITY DRUGS PHENDIMETRAZINE

ANTIOBESITY DRUGS PHENDIMETRAZINE TARTRATE

DESI PHENERBEL-S

DESI PHENEREX VC W/CODEINE

Page 31: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI PHENEREX W/CODEINE

DESI PHENERGAN PEDIATRIC W/DM

DESI PHENERGAN PLAIN

DESI PHENERGAN VC PLAIN

DESI PHENERGAN VC W/CODEINE

DESI PHENERGAN W/CODEINE

DESI PHENESIN

DESI PHENETANE

DESI PHENETAP

DESI PHENILAR COUGH

DESI PHENO DONNA NO1

DESI PHENOBARBITAL/ERGOTAMINE/BE

DESI PHENOBARBITAL/ERGOTAMINE/BELL

DESI PHENOBARBITAL/ERGOTAMINE/BELLA

DESI PHENOBEL

DESI PHENOBELLA

ANTIOBESITY DRUGS PHENTERMINE HCL

DESI PHENTEX

DESI PHENTOX COMPOUND

ANTIOBESITY DRUGS PHENTRIDE

DESI PHENYLBUTAZONE ALKA

DESI PHENYLCHLOR BA

DESI PHENYLEPH/PHENYLPROP/CPM/BELLA

DESI PHENYLEPHRINE/PP/CPM/BELLA

DESI PHENYLFENESIN

DESI PHENYLPROP/PE/CPM/PYRILAMINE

ANTIOBESITY DRUGS PHENYLPROPANOLAMINE HCL

DESI PHENYLPROPANOLAMINE/CARAMIPHEN

ANTIOBESITY DRUGS PHENZENE

DESI PHERAZINE

DESI PHERAZINE VC

DESI PHERAZINE VC W/CODEINE

DESI PHERAZINE W/CODEINE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PHOS-FLUR

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PHOSPHATE FLUORIDE

DESI PIOTEN

OSTOMY SUPPLIES PLAIN BELT

OSTOMY SUPPLIES PLASTIC DISC BABY

OSTOMY SUPPLIES PLASTIC DISC EXTRA LARGE

OSTOMY SUPPLIES PLASTIC DISC LARGE

OSTOMY SUPPLIES PLASTIC DISC REGULAR

OSTOMY SUPPLIES PLASTIC DISC REGULAR LARGE

OSTOMY SUPPLIES PLASTIC DISC REGULAR SMALL

OSTOMY SUPPLIES PLASTIC DISC SMALL

OSTOMY SUPPLIES PLASTIC DISC SPECIAL SMALL

OSTOMY SUPPLIES PLASTIC DISC VERY LARGE

OSTOMY SUPPLIES PLASTIC DISC,BABY

OSTOMY SUPPLIES PLASTIC ENEMA BAG 1400 SERI

OSTOMY SUPPLIES PLASTIC REINFORC GASKET 1.5

OSTOMY SUPPLIES PLASTIC REINFORC GASKET 2.5

OSTOMY SUPPLIES PLASTIC REINFORCE GASKET 1"

OSTOMY SUPPLIES PLASTIC REINFORCE GASKET 2"

Page 32: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES PLASTIC REINFORCE GASKET 3"

DESI POLARAMINE

DESI POLY DERM

DESI POLY HIST FORTE

DESI POLY TUSSIN

DESI POLYFLEX

DESI POLYHIST FORTE

DESI POLY-HISTINE

DESI POLY-HISTINE W/CODEINE

DESI POLY-TUSSIN

DESI POSITUSS

OSTOMY SUPPLIES POST OPERATIVE DRAIN W/ADHE

OSTOMY SUPPLIES POST-OP APPLIANCE

OSTOMY SUPPLIES POST-OPERATIVE POUCH W/BARR

OSTOMY SUPPLIES POST-OPERATIVE POUCH W/CLOS

DESI POTABA

DESI POTABA ENVULE

OSTOMY SUPPLIES POUCH 20OZ FOR NO.1324 ILE

OSTOMY SUPPLIES POUCH 20OZ FOR NO.1328 ILEO

OSTOMY SUPPLIES POUCH 8OZ FOR NO.1324 ILEO

OSTOMY SUPPLIES POUCH 8OZ FOR NO.1328 ILEOS

OSTOMY SUPPLIES POUCH CLAMP

OSTOMY SUPPLIES POUCHKINS DRAIN TUBE

OSTOMY SUPPLIES POUCHKINS NEWBORN POUCH

OSTOMY SUPPLIES POUCHKINS PEDIATRIC 1PC POU

OSTOMY SUPPLIES POUCHKINS PEDIATRIC 2PC POU

OSTOMY SUPPLIES POUCHKINS PEDIATRIC BELT

OSTOMY SUPPLIES POUCHKINS PREMIE POUCH

DESI PPA/PE/PHENYLTOLOX/CPM TD

DESI PPG

DESI PRAMOSONE

DESI PRAMOXINE HCL W/HYDROCORTISONE

DESI PRECORT

OSTOMY SUPPLIES PRE-CUT ADHESIVE SUPPORTERS

DESI PREFRIN-A

ANTIOBESITY DRUGS PRELU-2

DESI PREMATE-200

DESI PREMATE-400

OSTOMY SUPPLIES PREMIER CLOSED MINI-POUCH

OSTOMY SUPPLIES PREMIER CLOSED MINI-POUCH/FILTER/BARRIER 30MM

OSTOMY SUPPLIES PREMIER CLOSED POUCH

OSTOMY SUPPLIES PREMIER CLOSED POUCH/FILTER/BARRIER 30MM

OSTOMY SUPPLIES PREMIER CLOSED POUCH/FILTER/BARRIER 35MM

OSTOMY SUPPLIES PREMIER CLOSED POUCH/FILTER/BARRIER 55MM

OSTOMY SUPPLIES PREMIER CLOSED POUCH/FLTR/F

OSTOMY SUPPLIES PREMIER DRAIN POUCH W/FLANG

OSTOMY SUPPLIES PREMIER DRAINABLE MINI-POUC

OSTOMY SUPPLIES PREMIER DRAINABLE MINI-POUCH 30MM

OSTOMY SUPPLIES PREMIER DRAINABLE MINI-POUCH 40MM

OSTOMY SUPPLIES PREMIER DRAINABLE MINI-POUCH 55MM

OSTOMY SUPPLIES PREMIER DRAINABLE POUCH

OSTOMY SUPPLIES PREMIER DRAINABLE POUCH 70MM HIGH OUTPUT

Page 33: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES PREMIER DRAINABLE POUCH/FILTER/BARRIER 30MM

OSTOMY SUPPLIES PREMIER DRAINABLE POUCH/FILTER/BARRIER 40MM

OSTOMY SUPPLIES PREMIER DRAINABLE POUCH/FLA

OSTOMY SUPPLIES PREMIER LOCK N ROLL

OSTOMY SUPPLIES PREMIER PRE-SIZED MINI-POUC

OSTOMY SUPPLIES PREMIER SKIN BARRIER/FLANGE

OSTOMY SUPPLIES PREMIER SKN BARR W/FLOAT FL

OSTOMY SUPPLIES PREMIER UROSTOMY POUCH

OSTOMY SUPPLIES PREMIER UROSTOMY POUCH/FLAN

OSTOMY SUPPLIES PREMIUM CLOSED OSTOMY POUCH

OSTOMY SUPPLIES PREMIUM CLOSED POUCH W/MCR

OSTOMY SUPPLIES PREMIUM DRAINABLE POUCH

OSTOMY SUPPLIES PREMIUM POWDER-SYNTHETIC

OSTOMY SUPPLIES PREMIUM SKIN BARRIER

OSTOMY SUPPLIES PREMIUM SKIN BARRIER PASTE

OSTOMY SUPPLIES PRE-SIZED SYN BARR-FLOAT FL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PREVIDENT

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PREVIDENT 5000 PLUS

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) PREVIDENT 5000 SENSITIVE

DESI PRICORT

DESI PRIMATENE P

DESI PRO TUSS

DESI PROBANTHELINE W/PHENOBARBITAL

DESI PRO-BANTHINE W/PHENOBARBITAL

DESI PRO-BID

DESI PROBOL

DESI PROBOLIC

FERTILITY AGENTS PROCHIEVE

DESI PROCHLORBID LANACAPS

DESI PROCHLOR-ISO

DESI PROCHLOR-ISO BID

DESI PROCHLORPERAZINE ISO

DESI PROCHLORPERAZINE/ISOPROPAMIDE

DESI PROCLAN

DESI PROCLAN PEDIATRIC

DESI PROCLAN VC PLAIN

DESI PROCLAN VC W/CODEINE

DESI PROCLAN W/CODEINE

DESI PROCTOCORT

DESI PROCTOCREAM-HC

DESI PROCTOSOL-HC

ANTIOBESITY DRUGS PRO-FAST HS

ANTIOBESITY DRUGS PRO-FAST SA

ANTIOBESITY DRUGS PRO-FAST SR

DESI PROFEN

DESI PRO-ISO

DESI PROLAFON F

ANTIOBESITY DRUGS PROLAMINE

DESI PROMETH

DESI PROMETH PEDIATRIC

DESI PROMETH VC

DESI PROMETH VC W/CODEINE

Page 34: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI PROMETH W/CODEINE

DESI PROMETHAZINE HCL

DESI PROMETHAZINE PEDIATRIC

DESI PROMETHAZINE VC

DESI PROMETHAZINE VC W/CODEINE

DESI PROMETHAZINE VC W/CODIENE

DESI PROMETHAZINE W/CODEINE

DESI PROMETHAZINE W/CODIENE

DESI PROMETHEX

ANTIOBESITY DRUGS PROPAN

DESI PROPANTHELINE W/PHENOBARBITAL

DESI PROPAZINE SR

NON-REIMBURSABLE COSMETIC INDICATIONS PROPECIA

SMOKING DETERRENTS PROSTEP

DESI PROTABOLIN

DESI PRO-TABS

OSTOMY SUPPLIES PROTECTIVE BARRIER FILM

OSTOMY SUPPLIES PROTECTIVE RIM FOR NO.1314

DESI PROTHAZINE

DESI PROTHAZINE W/CODEINE

DESI PROTRAN PLUS

DESI PROTUSS

DESI PRO-TUSS

DESI PROTUSS-CP

DESI PROZYME

DESI PSEUDO-BID A

DESI PSEUDODINE C

ANTIOBESITY DRUGS PT-105

DESI P-TEX

DESI PUREBROM COMPOUND

DESI P-V-TUSSIN

DESI PYLORA

DESI PYRIDAMOLE

DESI PYRIDIUM PLUS

DESI Q-DECON

DESI Q-FON FORTE

DESI QRP

DESI QRP TUSSIN

DESI Q-SANTIN

DESI Q-TUSS

DESI Q-TUSS HC

DESI QUADRAHIST

DESI QUADRAHIST PEDIATRIC

DESI QUADRINAL

DESI QUELIDRINE

DESI QUIBRON PLUS

OSTOMY SUPPLIES QUICK DISCONNECT-CONNECTOR

DESI QUIN

DESI QUIN MILD

DESI QUINTEX

DESI QUINTEX HC

DESI Q-V TUSSIN

Page 35: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI Q-ZON

DESI RACET

DESI RACET LCD

DESI RANTUSSIN

DESI RAUTRAX

DESI RAUTRAX-N

DESI RAUTRAX-N MODIFIED

DESI RECTACORT

DESI RECTASOL-HC

DESI RECTOCORT-HC

ANTIOBESITY DRUGS REDUCING AID

OSTOMY SUPPLIES REFINED KARAYA GUM POWDER

DESI REGAL-AX

DESI REGAL-BID

DESI REGAL-LOG

DESI REGAL-TAPP

OSTOMY SUPPLIES REGULAR COLOSTOMY POUCH #1

OSTOMY SUPPLIES REGULAR COLOSTOMY POUCH #2

OSTOMY SUPPLIES REGULAR COLOSTOMY POUCH #3

OSTOMY SUPPLIES REGULAR COLOSTOMY POUCH #4

DESI RELAXADON

OSTOMY SUPPLIES RELIABELT

OSTOMY SUPPLIES RELIAHESIVE SKIN BARRIER WA

OSTOMY SUPPLIES RELIALINE IRRIGATION SET

OSTOMY SUPPLIES RELIASEAL ADHESIVE SEALS

OSTOMY SUPPLIES RELIASEAL DISC .5" OPENING

OSTOMY SUPPLIES RELIASEAL DISC 100MM .5" OP

OSTOMY SUPPLIES RELIASEAL DISC 100MM .75" O

OSTOMY SUPPLIES RELIASEAL DISC 100MM 1" OPE

OSTOMY SUPPLIES RELIASEAL DISC 100MM 1.25"

OSTOMY SUPPLIES RELIASEAL DISC 100MM 1.50"

OSTOMY SUPPLIES RELIASEAL DISC 100MM 1.75"

OSTOMY SUPPLIES RELIASEAL DISC 100MM 2" OPE

DESI RENAX

NON-REIMBURSABLE COSMETIC INDICATIONS RENOVA

FERTILITY AGENTS REPRONEX

DESI RESCAPS-D

DESI RESCON-GG

DESI RESPA A.R.M.

DESI RESPERGEN

DESI RESPINOL-G

OSTOMY SUPPLIES RESTORE BARRIER

OSTOMY SUPPLIES RESTORE CLEAN 'N MOIST

OSTOMY SUPPLIES RESTORE WOUND CLEANSER

NON-REIMBURSABLE COSMETIC INDICATIONS RETIN-A

NON-REIMBURSABLE COSMETIC INDICATIONS RETIN-A MICRO

NON-REIMBURSABLE COSMETIC INDICATIONS RETIN-A REGIMEN

DESI REXATAL

DESI REXIN

DESI RHINOGESIC-GG

DESI RHINOREL LA

DESI ROBALYN

Page 36: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

NON-REIMBURSABLE COSMETIC INDICATIONS ROGAINE

DESI ROLATUSS SR

DESI ROLATUSS W/HYDROCODONE

DESI ROMAZINE W/CODEINE

DESI RONIACOL

DESI RONIGEN

NON-REIMBURSABLE COSMETIC INDICATIONS RONOXIDIL

DESI RONTINOL

DESI ROTANE

DESI ROTANE DC

DESI ROTAPP

DESI RO-TUSSIN

OSTOMY SUPPLIES ROUND ELASTICS

DESI RU TABS

OSTOMY SUPPLIES RUBBER ADJUSTABLE BELT

OSTOMY SUPPLIES RUBBER DISC

OSTOMY SUPPLIES RUBBER ILEOSTOMY POUCH

OSTOMY SUPPLIES RUBBER POUCH OUTFIT

DESI RU-TABS

DESI RU-TABS CR

DESI RU-TUSS

DESI RU-TUSS W/HYDROCODONE

DESI RYCOTIN TIMED

DESI RYMED

DESI RYMED-JR

OSTOMY SUPPLIES SAF-T-BELT OSTOMY ACCESSORY

OSTOMY SUPPLIES SAF-T-DRAIN

OSTOMY SUPPLIES SAF-T-POUCH 1" ADHES GASKET

OSTOMY SUPPLIES SAF-T-POUCH 1.50" ADH GASKE

OSTOMY SUPPLIES SAF-T-POUCH 2" ADHES GASKET

OSTOMY SUPPLIES SAF-T-POUCH 2.50" ADHE GASK

OSTOMY SUPPLIES SAF-T-POUCH 3" ADHES GASKET

OSTOMY SUPPLIES SAF-T-POUCH REFILL

OSTOMY SUPPLIES SAF-T-POUCH SET W/50 POUCHE

OSTOMY SUPPLIES SAF-T-POUCH SET/50 POUCHES

OSTOMY SUPPLIES SANI ODORPROOF ILEOSTOMY PO

OSTOMY SUPPLIES SANI ODORPROOF OUTFIT

OSTOMY SUPPLIES SAN-O-POUCH POST-OP COL 1.2

OSTOMY SUPPLIES SAN-O-POUCH POST-OP ILEO .7

ANTIOBESITY DRUGS SANOREX

DESI SANTUSS

DESI SAROFLEX

DESI SCHERDECON

DESI SCHERGEST T

DESI SCHERTAPP

OSTOMY SUPPLIES SEAL-TITE GASKET

DESI SEDACORD

DESI SEDALIX

DESI SEDAMINE

DESI SEDAPAR

DESI SEDAREX

FERTILITY AGENTS SEROPHENE

Page 37: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI SETAMINE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) SF

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) SF 5000 PLUS

OSTOMY SUPPLIES SHEER PLUS CLOSED END POUCH

OSTOMY SUPPLIES SHEER PLUS DRAINABLE POUCH

OSTOMY SUPPLIES SHEER PLUS POST-OP WOUND PO

OSTOMY SUPPLIES SHEER PLUS PRE-FIT POUCH

OSTOMY SUPPLIES SHEER PLUS TRIM & FIT POUCH

OSTOMY SUPPLIES SHEER PLUS WOUND DRAINAGE P

OSTOMY SUPPLIES SHIELD FOR INSERTION TUBE

OSTOMY SUPPLIES SHIELD-SKIN

OSTOMY SUPPLIES SHUT OFF FOR 5000 ENEMA BAG

OSTOMY SUPPLIES SHUT OFF FOR TUBING

DESI SIL-TEX

DESI SINOCONE

DESI SINODEINE

DESI SINUCON

DESI SINUCON PEDIATRIC

DESI SK-DIPYRIDAMOLE

DESI SKELEX

OSTOMY SUPPLIES SKIN BARRIER FLANGE

OSTOMY SUPPLIES SKIN BARRIER W/FLOATING FLA

OSTOMY SUPPLIES SKIN GEL PROTECTIVE DRESSIN

OSTOMY SUPPLIES SKIN GEL PUMP SPRAY

OSTOMY SUPPLIES SKIN-AID

OSTOMY SUPPLIES SKIN-BOND CEMENT

OSTOMY SUPPLIES SKIN-BOND CEMENT,NON-FLAMMA

OSTOMY SUPPLIES SKIN-HESIVE CEMENT

OSTOMY SUPPLIES SKIN-PREP

OSTOMY SUPPLIES SLEEVE CLOSURE CLAMP

ANTIOBESITY DRUGS SLENDER FIBRE

ANTIOBESITY DRUGS SLIM/FIBER

ANTIOBESITY DRUGS SLIM-FAST

OSTOMY SUPPLIES SNAP-TITE BELT OSTOMY ACCES

OSTOMY SUPPLIES SNAP-TITE BELT-QUICK DRYING

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) SODIUM FLUORIDE

OSTOMY SUPPLIES SOFT & SECURE CLOSED END PO

OSTOMY SUPPLIES SOFT & SECURE DRAINABLE POU

OSTOMY SUPPLIES SOFT & SECURE URINARY POUCH

OSTOMY SUPPLIES SOFT GUARD POST-OP WOUND PO

OSTOMY SUPPLIES SOFT GUARD SKIN BARRIER

OSTOMY SUPPLIES SOFT GUARD WOUND DRAINAGE P

OSTOMY SUPPLIES SOFT GUARD XL BARRIER W/FLA

OSTOMY SUPPLIES SOFTFLEX SKIN BARRIER

OSTOMY SUPPLIES SOLVENT (NON-FLAMMABLE)

DESI SPALIX

DESI SPASDEL

DESI SPASLIN

DESI SPASMACAPS

DESI SPASMATOL

DESI SPASMOLIN

DESI SPASMOPHEN

Page 38: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI SPASNIL

DESI SPASQUID

DESI SPASTEMMS

DESI SPASTERIN

DESI SPASTOLATE

DESI SPASTRIN

DESI SPAZMATE

OSTOMY SUPPLIES SPECIAL CAP WITH OPENING

OSTOMY SUPPLIES SPECIAL FOAM PAD CEMENT

DESI SPECTRO-CON-A

DESI SPENGAN

DESI SPENIACOL

DESI SPENPATH

DESI SPENTANE

DESI SPENTANE DC

DESI SPENTAPP

DESI S-T DECONGESTANT

DESI S-T FORTE

DESI STAHIST

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) STANGARD

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) STANIMAX

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) STANIMAX PERIO RINSE

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) STANNOUS FLUORIDE

ANTIOBESITY DRUGS STATOBEX

DESI STATUSS

DESI STATUSS GREEN

ANTIOBESITY DRUGS STAY TRIM

OSTOMY SUPPLIES STEP 1-INCONTINENT CLEANSER

OSTOMY SUPPLIES STEP 2-MOISTURE CREAM

OSTOMY SUPPLIES STEP 3-MOISTURE BARRIER

DESI STERAFED-C

DESI STERA-FORM

DESI STERANALD

DESI STERAQUIN HC

DESI STERASPASMOL

DESI STERATAP

DESI STERA-TUSS

OSTOMY SUPPLIES STERICOL

DESI STEROFORM

OSTOMY SUPPLIES STOMA CAP

OSTOMY SUPPLIES STOMA CAP W/DEODOR FLTR/FLA

OSTOMY SUPPLIES STOMA CAP W/MICROPORE ADHES

OSTOMY SUPPLIES STOMA CENTERING COLLARS

OSTOMY SUPPLIES STOMA CENTERING GUIDE

OSTOMY SUPPLIES STOMA CONE

OSTOMY SUPPLIES STOMA CONE W/CONNECTOR UNIT

OSTOMY SUPPLIES STOMA IRRIGATOR DRAIN W/FLA

OSTOMY SUPPLIES STOMA LUBRICANT

OSTOMY SUPPLIES STOMA URINE BAG

OSTOMY SUPPLIES STOMA URINE BAG W/RELIASEAL

OSTOMY SUPPLIES STOMAHESIVE

OSTOMY SUPPLIES STOMAHESIVE PROTECTIVE

Page 39: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES STOMAHESIVE STERILE WAFER

DESI STOMAL

OSTOMY SUPPLIES STOMAPLAST VENTED OSTOMY PO

OSTOMY SUPPLIES STOMAPLAST_PLUS 7X13" DRN P

OSTOMY SUPPLIES STOMAPLAST-PLUS 5.5X10" DRN

OSTOMY SUPPLIES STOMAPLAST-PLUS 5.5X8" POUC

OSTOMY SUPPLIES STOMAPLAST-PLUS 6.5X11.5" D

OSTOMY SUPPLIES STOMAPLAST-PLUS 6X11.5" DRN

OSTOMY SUPPLIES STOMAPLAST-PLUS 7X13" DRN P

OSTOMY SUPPLIES STOMAPLAST-PLUS 7X13" DRNBL

OSTOMY SUPPLIES STOMAPLAST-PLUS W/OPTION VE

OSTOMY SUPPLIES STOMASEAL

SMOKING DETERRENTS STOP SMOKING AID

DESI STORZ NAF-P

OSTOMY SUPPLIES STRETCHABLE KARAYA SHEET

DESI STRIFON FORTE

DESI SULFA VAGINAL CREAM

DESI SULFAMAL VAGINAL

NON-REIMBURSABLE COSMETIC INDICATIONS SUNLESS TANNING

OSTOMY SUPPLIES SUPER BANISH

OSTOMY SUPPLIES SUPER BANISH APPL DEODORANT

ANTIOBESITY DRUGS SUPER DITEX

DRUGS TO TREAT IMPOTENCY SUPINA NR

ANTIOBESITY DRUGS SUPRAMINE

DESI SUPTAPP

OSTOMY SUPPLIES SUR-FIT AUTOLOCK

OSTOMY SUPPLIES SUR-FIT AUTOLOCK DRAIN POUC

OSTOMY SUPPLIES SUR-FIT AUTOLOCK DURAHESIVE

OSTOMY SUPPLIES SUR-FIT AUTOLOCK INSERTS

OSTOMY SUPPLIES SUR-FIT AUTOLOCK POUCH

OSTOMY SUPPLIES SUR-FIT AUTOLOCK STOMAHESIV

OSTOMY SUPPLIES SUR-FIT DRAINAGE CONTAINER

OSTOMY SUPPLIES SUR-FIT LOOP OSTOMY ROD

OSTOMY SUPPLIES SUR-FIT NAT IRRIG FACEPLATE

OSTOMY SUPPLIES SUR-FIT NATURA

OSTOMY SUPPLIES SUR-FIT NATURA CLOSED-END P

OSTOMY SUPPLIES SUR-FIT NATURA CONVEX INSER

OSTOMY SUPPLIES SUR-FIT NATURA DRAINABLE PO

OSTOMY SUPPLIES SUR-FIT NATURA DURAHESIVE

OSTOMY SUPPLIES SUR-FIT NATURA FLANGE CAP

OSTOMY SUPPLIES SUR-FIT NATURA IRRIG SLEEVE

OSTOMY SUPPLIES SUR-FIT NATURA LITTLE ONES

OSTOMY SUPPLIES SUR-FIT NATURA POST OP

OSTOMY SUPPLIES SUR-FIT NATURA POUCH

OSTOMY SUPPLIES SUR-FIT NATURA STOMAHESIVE

OSTOMY SUPPLIES SUR-FIT NATURA UROSTOMY POU

OSTOMY SUPPLIES SUR-FIT NIGHT DRAINAGE TUBI

OSTOMY SUPPLIES SUR-FIT TAIL CLOSURES

OSTOMY SUPPLIES SUR-FIT/ACT LIFE/TAIL CLOSU

NON-REIMBURSABLE COSMETIC INDICATIONS SURGEX HAIR REMOVER

OSTOMY SUPPLIES SURGICAL APPLIANCE ADHES

DESI SUSANO

Page 40: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES SWEEN-A-PEEL

DESI SYNGESIC-DC

DESI SYNLGEN DC

DESI SYNTEST D.S.

DESI SYNTEST H.S.

OSTOMY SUPPLIES SYNTHETIC SKIN BARR W/FLANG

OSTOMY SUPPLIES SYSTEM POUCH

DESI T D

DESI T E P

DESI T.E.H.

DESI T.E.P.

DESI TAGATAP

OSTOMY SUPPLIES TAIL CLOSURE

OSTOMY SUPPLIES TAIL CLOSURE,REINFORCED POL

OSTOMY SUPPLIES TAIL CLOSURE-RUBBER BANDS

DESI TAMINE

DESI TAMINE DC

DESI TAMINE S.R.

ANTIOBESITY DRUGS TARA-30 NO.1

DESI T-CIRC

DESI TCM

DESI TEBAMIDE

DESI TEDRAL

DESI TEDRAL EXPECTORANT

DESI TEDRAL SA

DESI TEDRAL-25

DESI TEDRIGEN

DESI TEDRIGEN ASTHMA

DESI TEGA-CORT A

DESI TEGA-DONNA

DESI TEGAGEN

DESI TEGAMIDE

DESI TEH COMPOUND

DESI TENEX

ANTIOBESITY DRUGS TENUATE

ANTIOBESITY DRUGS TENUATE DOSPAN

DESI T-E-P

ANTIOBESITY DRUGS TERMENE

DESI TERRA-CORTRIL

DESI TESSADRAL

DRUGS TO TREAT IMPOTENCY TESTOMAR

DESI TETRASTATIN

DESI THALFED

DESI THEOCLIMAN

DESI THEOCORD

DESI THEODRAL

DESI THEODRINE

DESI THEOFED

DESI THEOFEDRAL

DESI THEOFENAL

DESI THEOGEN

DESI THEOLIXIR

Page 41: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI THEOMAX DF

DESI THEOPHED

DESI THEOPHEDRAL

DESI THEOPHEDRITAL

DESI THEOPHEDRIZINE

DESI THEOPHEN

DESI THEOPHENYLLIN

DESI THEOPHENYLLINE #1

DESI THEOPHOZINE

DESI THEOPHYLLINE COMPOUND

DESI THEOPHYLLINE W/EPHED/PHENO/GG

DESI THEOPHYLLINE/EPHED/PHENO/GUIAF

DESI THEOPHYLLINE/EPHEDRINE/PB

DESI THEORAL

DESI THEOTABS ANTI-ASTHMA

DESI THEOTAL

DESI THEOZINE

DESI THERACOF PLUS

DESI THERADRAL

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) THERA-FLUR

FLUORIDE PREPARATIONS (EXCL.VIT.COMB.) THERA-FLUR-N

DESI THERAX

ANTIOBESITY DRUGS THIN QUICK

DESI THREAMINE

DESI TIGAN

DESI TI-PLEX 100

DESI TI-PLEX 200

NON-REIMBURSABLE COSMETIC INDICATIONS TI-SCREEN SUNLESS TANNINGSPF 17

DESI TOLAZOLINE

DESI TONECOL COUGH

DESI TOPIC FORM HC

OSTOMY SUPPLIES TORBOT CLEANER

OSTOMY SUPPLIES TORBOT CONVEX INSERT

OSTOMY SUPPLIES TORBOT DEODORIZER

OSTOMY SUPPLIES TORBOT POUCH COVER

OSTOMY SUPPLIES TORBOT SANITIZER

DESI TOSSECOL

OSTOMY SUPPLIES TRACHEA TUBE BRUSHES,MEDIUM

OSTOMY SUPPLIES TRACHEA TUBE BRUSHES,SMALL

DESI TRANQUIGESIC

OSTOMY SUPPLIES TRANSVERSE ROD

NON-REIMBURSABLE COSMETIC INDICATIONS TRETINOIN

NON-REIMBURSABLE COSMETIC INDICATIONS TRETIN-X

DESI TRI PHEN CHLOR

DESI TRI STATIN

DESI TRIACIN C

DESI TRIAFED-C

DESI TRI-AM E

DESI TRIAMCIN/NEO/GRAMICID/NYSTATIN

DESI TRIAMCINOLONE NNG

DESI TRIAMCINOLONE PLUS

DESI TRIAMINIC DH

Page 42: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI TRIBAMATE

DESI TRI-BAMATE

DESI TRIBAN

DESI TRICHOLAN VAGINAL

DESI TRICODENE

DESI TRICODENE NN

DESI TRICOLOG

DESI TRICONOL

DESI TRIDIHEXETHYL W/MEPROBAMATE

DESI TRIFED-C

DESI TRIHENYL PLUS

DESI TRI-HEXABAMATE-400

DESI TRIHEXAMATE

DESI TRIMATE 400

DESI TRIMAZIDE

ANTIOBESITY DRUGS TRIM-ELIM

DESI TRI-MEPRO 200

DESI TRI-MEPRO 400

DESI TRIMETHOBENZAMIDE

DESI TRIMETHOBENZAMIDE HCL

DESI TRIMETHOBENZAMIDE W/BENZOCA

DESI TRIMETHOBENZAMIDE W/BENZOCAINE

DESI TRI-MINE

DESI TRINEX

DESI TRINTEX

DESI TRI-PHEN

DESI TRI-PHEN DC

DESI TRI-PHEN-CHLOR

DESI TRI-PHEN-CHLOR PEDIATRIC

DESI TRI-PHEN-MINE

DESI TRI-PHEN-MINE PEDIATRIC

DESI TRI-PHEN-PYRL HC

DESI TRIPHENYL

DESI TRIPHENYL PLUS

DESI TRIPHENYL PLUS PEDIATRIC

DESI TRIPHENYL W/CHLORPHENIRAMINE

OSTOMY SUPPLIES TRIPLE CARE

OSTOMY SUPPLIES TRIPLE CARE KIT

OSTOMY SUPPLIES TRIPLE CARE STARTER KIT

DESI TRIPROLIDINE COMPOUND-C

DESI TRISPEC-SF

DESI TRISTATIN

DESI TRI-STATIN

DESI TRI-TEX

DESI TROCINATE

NON-REIMBURSABLE COSMETIC INDICATIONS TROPICAL BLEND SUNLESS TANN

OSTOMY SUPPLIES TUBING ADAPTER OSTOMY ACCES

OSTOMY SUPPLIES TUBING FOR IRRIGATOR

DESI TUDECON

DESI TUSNEL

DESI TUSS ALLERGINE

DESI TUSS DANABE

Page 43: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI TUSS DELAY

DESI TUSS VERNADE

DESI TUSS-ADE

DESI TUSSADON

DESI TUSSAGESIC

DESI TUSS-AID

DESI TUSSANBADE

DESI TUSSANIL-DH

DESI TUSSAR SF

DESI TUSSAR-2

DESI TUSSCAPS

DESI TUSS-DELAY

DESI TUSSED

DESI TUSS-GENADE

DESI TUSSIGEN-N.F.

DESI TUSSILAN

DESI TUSSIONEX

DESI TUSSIREX

DESI TUSS-LIQUID

DESI TUSSOGEST

DESI TUSSO-GEST

DESI TUSSO-GEST ER

DESI TUSS-ORNADE

DESI TUZON

DESI TYLEFON

DESI UAD CREAM

DESI UAD FORTE

DESI U-FLEX

DESI ULR

DESI ULTRA CAP

ANTIOBESITY DRUGS ULTRA SLIM QUICK

OSTOMY SUPPLIES ULTRA-FRESH

OSTOMY SUPPLIES ULTRA-KLENZ

DESI UNGUENTUM BOSSI

DESI UNI DECON

DESI UNI-BROM

DESI UNI-COM

DESI UNI-DECON

DESI UNI-PARA PLUS

OSTOMY SUPPLIES UNITED CONTOUR BRUSH

OSTOMY SUPPLIES UNI-TIP COLOSTOMY IRRIGATN

DESI UNI-TUSS #2

DESI UNI-TUSS NO.2

OSTOMY SUPPLIES UNIVERSAL ADHESIVE GASKETS

OSTOMY SUPPLIES UNIVERSAL COMFORT PADS

OSTOMY SUPPLIES UNIVERSAL FACE PLATE SET

OSTOMY SUPPLIES URI-KLEEN

OSTOMY SUPPLIES UROSTOMY DRAIN TUBE ADAPTER

OSTOMY SUPPLIES UROSTOMY DRAIN TUBE LO-PROF

OSTOMY SUPPLIES UROSTOMY MICRO-POUCH

OSTOMY SUPPLIES UROSTOMY MULTI-CHAMBER

OSTOMY SUPPLIES UROSTOMY MULTI-CHAMBER POUC

Page 44: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

OSTOMY SUPPLIES UROSTOMY POUCH

OSTOMY SUPPLIES UROSTOMY POUCH W/KARAYA SEA

OSTOMY SUPPLIES UROSTOMY POUCH WITH FLANGE

OSTOMY SUPPLIES UROSTOMY SET, STERILE

OSTOMY SUPPLIES UROSTOMY STNDRD DRAIN TUBE,

DESI V.V.S.

DESI VAG ORB

DESI VAGACREME

DESI VAG-ALL

DESI VAGAMIDE

DESI VAGILIA

DESI VAGILIA TRIPLE SULFA

DESI VAGIMAR S

DESI VAGIMAR-S

DESI VAGINAL ANTIBACTERIAL

DESI VAGINAL ANTI-BACTERIAL

DESI VAGINAL CREAM

DESI VAGINAL SULFA

DESI VAGINAL SULFA SG W/SET

DESI VAGINAL SUPPOSITORY

DESI VAGI-NIL

DESI VAGIREX

DESI VAGITROL

DESI VAG-MP

DESI VAG-SULFA

DESI VALAN

DESI VALDRENE

DESI VALPIN 50-PB

DESI VAL-TEP

DESI VANEX FORTE

DESI VANEX FORTE-D

DESI VANEX FORTE-R

DESI VANEX GRAPE

NON-REIMBURSABLE COSMETIC INDICATIONS VANIQA

DESI VANODONNAL

DRUGS TO TREAT IMPOTENCY VARDENAFIL HCL

DESI VAROPHEN

DESI VASO-80

DESI VASO-ACA-10

DESI VASO-ACA-20

DESI VASOCEN

DESI VASOCON-A

DESI VASODIGEN

DESI VASODILAN

DESI VASOPRINE

DESI VASOREX

DESI VA-ZONE

DESI V-CORT

DESI VELTANE

DESI VELTAP

DESI VERSACAPS

DESI VERSAL HEMORRHOIDAL HC

Page 45: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI VERTAB

DESI VERTICAP

DESI VETUSS HC

DESI VIADERM K.C.

DRUGS TO TREAT IMPOTENCY VIAGRA

DESI VIGREX

DESI VINATE

OSTOMY SUPPLIES VINYL IRRIGATION BAG

OSTOMY SUPPLIES VINYL PLASTIC POUCH OUTFIT

OSTOMY SUPPLIES VINYL UNI-TIP

DESI VIOCORT

DESI VIOFORM-HC

DESI VIOFORM-HC MILD

DESI VIO-HYDROCORT

DESI VIO-PRAMOSONE

DESI VIO-TEX HC

DRUGS TO TREAT IMPOTENCY VIRIL-LAM

DRUGS TO TREAT IMPOTENCY VIRITAB

DESI VIRO-MED

OSTOMY SUPPLIES VISI-FLOW IRRIGATOR STOMA C

OSTOMY SUPPLIES VISI-FLOW STOMA CONE

DESI VISTRAX 10

DESI VISTRAX 5

ANTIOBESITY DRUGS VITABESE II

NON-REIMBURSABLE COSMETIC INDICATIONS VITADYE

DESI VITA-NUMONYL

DESI VITAPP

ANTIOBESITY DRUGS VITA-SLIM

DESI VI-TEX

DESI VOXSUPRINE

DESI V-TUSS

DESI VYTONE

DESI W/W-BROMYNE

DESI W/W-BROMYNE-DC

DESI W/W-FED W/CODEINE

OSTOMY SUPPLIES WAIST BELT OSTOMY APPLIANCE

OSTOMY SUPPLIES WATER RETENTION DISC 1400 S

ANTIOBESITY DRUGS WEIGHTROL

DESI WEST DECON

ANTIOBESITY DRUGS WESTRIM LA-75

ANTIOBESITY DRUGS WESTRIMORANGE

ANTIOBESITY DRUGS WESTRIMRED

DESI WINSTAMINE MW

OSTOMY SUPPLIES WOUND MANAGER

DESI WYANOIDS HC

ANTIOBESITY DRUGS XENICAL

NON-SEDATING ANTIHISTAMINES XYZAL

DRUGS TO TREAT IMPOTENCY YOCON

DRUGS TO TREAT IMPOTENCY YOHIMAR

DRUGS TO TREAT IMPOTENCY YOHIMBINE HCL

DRUGS TO TREAT IMPOTENCY YOHIMEX

DRUGS TO TREAT IMPOTENCY YOVITAL

Page 46: Kansas State Employees Prescription Drug Program · PDF fileKansas State Employees Prescription Drug Program. Lifestyle Medications: Category Type Description; Brand Name: ... BIONADE

DESI ZACTANE

DESI ZACTIRIN

DESI ZACTIRIN COMPOUND-100

DESI ZANTINE

ANTIOBESITY DRUGS ZANTRYL

DESI ZEBRAX

DESI ZONE-A

DESI ZONE-A FORTE

DESI ZOXAPHEN

DESI ZTUSS EXPECTORANT

SMOKING DETERRENTS ZYBAN


Recommended