Keystone First Comtymuni HalthChoicese Over the Counter ... · diphenhydramine hcl (sleep) tablet...

Keystone First Community HealthChoices

Over the Counter Medicines for Dual Eligible Participants

(Participants with both Medicare and Medical Assistance)

April 2020

1

lowercase italics = Generic drugs

UPPERCASE = Brand name drugs

Tier

T1 = Preferred PDL Drug

T2 = Non-Preferred PDL Drug

T3 = Supplemental Formulary Drug

Requirements/Limits

AL = Age Restriction

PA = Prior Authorization

QL = Quantity Limit

ST = Step Therapy

Drug Tier Requirements/Limits

Antihistamine Drugs

Ethanolamine Derivatives

allergy childrens liquid 12.5 mg/5ml oral T3

allergy relief capsule 25 mg oral T3

allergy relief childrens liquid 12.5 mg/5ml oral T3

allergy relief tablet 25 mg oral T3

allergy tablet 25 mg oral T3

BANOPHEN CAPSULE 25 MG ORAL T3


BANOPHEN LIQUID 12.5 MG/5ML ORAL T3

BANOPHEN TABLET 25 MG ORAL T3

complete allergy medicine capsule 25 mg oral T3

diphenhist capsule 25 mg oral T3

diphenhist liquid 12.5 mg/5ml oral T3

diphenhist tablet 25 mg oral T3

diphenhydramine hcl (sleep) tablet 50 mg oral T3

diphenhydramine hcl capsule 25 mg oral (otc) T3


diphenhydramine hcl liquid 12.5 mg/5ml oral T3

diphenhydramine hcl tablet 25 mg oral T3

DRIMINATE TABLET 50 MG ORAL T1

dye-free allergy relief liquid 12.5 mg/5ml oral T3

eql vitamin e capsule 400 unit oral T3

gnp allergy antihistamine liquid 12.5 mg/5ml oral T3

gnp allergy capsule 25 mg oral T3

gnp allergy relief capsule 25 mg oral T3

gnp allergy relief tablet chewable 12.5 mg oral T3

gnp allergy tablet 25 mg oral T3

gnp childrens allergy liquid 12.5 mg/5ml oral T3

gnp motion sickness relief tablet 50 mg oral T1

gnp sleep aid tablet 25 mg oral T3

hm allergy multi symptom capsule 25 mg oral T3

2


hm allergy relief capsule 25 mg oral T3

hm allergy relief childrens liquid 12.5 mg/5ml

oral T3

hm allergy relief tablet 25 mg oral T3

hm allergy tablet 25 mg oral T3

hm motion sickness relief tablet 50 mg oral T1

hm sleep aid tablet 25 mg oral T3

motion sickness relief tablet 50 mg oral T1

multi-symptom allergy capsule 25 mg oral T3

NYTOL MAXIMUM STRENGTH TABLET 50

MG ORAL T3

pharbedryl capsule 25 mg oral T3


qc complete allergy medicine capsule 25 mg oral T3

siladryl allergy liquid 12.5 mg/5ml oral T3

sleep aid tablet 25 mg oral T3

sm allergy relief capsule 25 mg oral T3

sm allergy relief liquid 12.5 mg/5ml oral T3

sm allergy relief tablet 25 mg oral T3

sm motion sickness relief tablet 50 mg oral T1

sm motion sickness tablet 50 mg oral T1

sm sleep aid tablet 25 mg oral T3

travel sickness tablet 50 mg oral T1

First Generation Antihistamines

aller-chlor syrup 2 mg/5ml oral T3

aller-chlor tablet 4 mg oral T3








allergy-time tablet 4 mg oral T3




3














ed chlorped jr syrup 2 mg/5ml oral T3













oral T3









MG ORAL T3



4





sm allergy 4 hour tablet 4 mg oral T3








Piperazine Derivatives


hm motion relief tablet 25 mg oral T1


meclizine hcl tablet 12.5 mg oral (otc) T1

meclizine hcl tablet 12.5 mg oral (rx) T1

meclizine hcl tablet 25 mg oral (rx) T1

meclizine hcl tablet chewable 25 mg oral (otc) T1

motion-time tablet chewable 25 mg oral T1


travel sickness tablet chewable 25 mg oral T1

Propylamine Derivatives









m-end dmx liquid 20-0.667-10 mg/5ml oral T3


SUDOGEST SINUS/ALLERGY TABLET 4-60

MG ORAL T3

WAL-TAP CHILDRENS ELIXIR 1-2.5

MG/5ML ORAL T1 QL (1800 ML per 30 days)

5


Second Generation Antihistamines

24hr allergy relief tablet 180 mg oral T1 QL (30 EA per 30 days)

all day allergy childrens solution 5 mg/5ml oral T1

all day allergy d tablet extended release 12 hour

5-120 mg oral T2 PA; QL (60 EA per 30 days)

all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

all day allergy-d tablet extended release 12 hour


all-day allergy childrens solution 5 mg/5ml oral T1

aller-ease tablet 60 mg oral T1 QL (60 EA per 30 days)

allergy childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

allergy non-drowsy tablet 10 mg oral T1 QL (30 EA per 30 days)

allergy relief childrens solution 1 mg/ml oral T1

allergy relief d tablet extended release 12 hour 5-

120 mg oral T2 PA; QL (60 EA per 30 days)

allergy relief d-24 tablet extended release 24 hour

10-240 mg oral T1 QL (30 EA per 30 days)

allergy relief tablet 10 mg oral T1 QL (30 EA per 30 days)



allergy relief tablet dispersible 10 mg oral T1 QL (30 EA per 30 days)

allergy relief/indoor/outdoor tablet 10 mg oral T1 QL (30 EA per 30 days)

allergy relief/nasal decongest tablet extended

release 24 hour 10-240 mg oral T1 QL (30 EA per 30 days)

allergy relief-d tablet extended release 24 hour


allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

allergy/congestion relief tablet extended release

12 hour 5-120 mg oral T2 PA; QL (60 EA per 30 days)


24 hour 10-240 mg oral T1 QL (30 EA per 30 days)

cetirizine hcl allergy child solution 5 mg/5ml oral

(otc) T1

cetirizine hcl childrens alrgy solution 1 mg/ml

oral T1

cetirizine hcl childrens solution 5 mg/5ml oral T1

cetirizine hcl childrens tablet chewable 10 mg

oral T2 PA; QL (30 EA per 30 days)

cetirizine hcl childrens tablet chewable 5 mg oral T2 PA; QL (30 EA per 30 days)

6


cetirizine hcl solution 1 mg/ml oral (rx) T1

cetirizine hcl tablet 10 mg oral T1 QL (30 EA per 30 days)


cetirizine hcl tablet chewable 10 mg oral T2 PA; QL (30 EA per 30 days)


cetirizine-pseudoephedrine er tablet extended

release 12 hour 5-120 mg oral T2 PA; QL (60 EA per 30 days)

childrens loratadine solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

childrens loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

fexofenadine hcl childrens suspension 30 mg/5ml

oral T1 QL (300 ML per 30 days)

fexofenadine hcl tablet 180 mg oral (otc) T1 QL (30 EA per 30 days)


fexofenadine-pseudoephed er tablet extended

release 12 hour 60-120 mg oral (otc) T2 PA; QL (60 EA per 30 days)

gnp all day allergy childrens solution 1 mg/ml

oral T1

gnp all day allergy childrens solution 5 mg/5ml

oral T1

gnp all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

gnp all day allergy-d tablet extended release 12

hour 5-120 mg oral T2 PA; QL (60 EA per 30 days)

gnp allergy & congestion tablet extended release


gnp allergy relief tablet 180 mg oral T1 QL (30 EA per 30 days)

gnp allergy relief tablet dispersible 10 mg oral T1 QL (30 EA per 30 days)

gnp allergy/congestion relief tablet extended


gnp fexofenadine/pse er tablet extended release


gnp loratadine childrens solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

gnp loratadine childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

gnp loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

gnp loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)

gnp loratadine-d 12hr tablet extended release 12


gnp loratadine-d 24 hour tablet extended release


goodsense all day allergy solution 5 mg/5ml oral T1

7


goodsense all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

goodsense aller-ease tablet 180 mg oral T1 QL (30 EA per 30 days)

hm all day allergy childrens solution 5 mg/5ml

oral T1

hm all day allergy solution 5 mg/5ml oral T1

hm all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

hm allergy & congestion tablet extended release


hm allergy complete-d tablet extended release 12


hm allergy relief/nasal decong tablet extended


hm cetirizine hcl childrens solution 5 mg/5ml oral T1

hm cetirizine hcl tablet 10 mg oral T1 QL (30 EA per 30 days)

hm fexofenadine hcl tablet 180 mg oral T1 QL (30 EA per 30 days)


hm loratadine childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

hm loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)

levocetirizine dihydrochloride tablet 5 mg oral

(otc) T1 QL (30 EA per 30 days)


(rx) T1 QL (30 EA per 30 days)

loratadine capsule 10 mg oral T2 PA

loratadine childrens solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

loratadine childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

loratadine hives relief solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)

loratadine-d 12hr tablet extended release 12 hour




MUCINEX ALLERGY TABLET 180 MG

ORAL T1 QL (30 EA per 30 days)

qc all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

qc childrens allergy solution 5 mg/5ml oral T1

qc fexofenadine hydrochloride tablet 180 mg oral T1 QL (30 EA per 30 days)

qc loratadine allergy relief tablet 10 mg oral T1 QL (30 EA per 30 days)

qc loratadine-d tablet extended release 24 hour


8


sm all day allergy childrens solution 5 mg/5ml

oral T1

sm all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

sm all day allergy-d tablet extended release 12


sm allergy childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

sm childrens loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

sm fexofenadine hcl tablet 180 mg oral T1 QL (30 EA per 30 days)


sm loratadine d 12hr tablet extended release 12


sm loratadine d tablet extended release 12 hour


sm lorata-dine d tablet extended release 24 hour


sm loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

sm loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)

XYZAL TABLET 5 MG ORAL T1 QL (30 EA per 30 days)

Autonomic Drugs

Alpha- And Beta-Adrenergic Agonists

















brotapp dm liquid 15-1-5 mg/5ml oral T3



CONGESTAC TABLET 60-400 MG ORAL T3

9
















gnp nasal decongestant tablet 30 mg oral T3

guaifenesin dac solution 30-10-100 mg/5ml oral T3 QL (1200 ML per 30 days)







hm mucus relief d tablet extended release 12 hour

60-600 mg oral T3

hm nasal decongestant tablet 30 mg oral T3






MUCINEX D MAX STRENGTH TABLET

EXTENDED RELEASE 12 HOUR 120-1200

MG ORAL

T3

MUCINEX D TABLET EXTENDED RELEASE

12 HOUR 60-600 MG ORAL (OTC) T3

mucus d tablet extended release 12 hour 60-600

mg oral T3

mucus relief d tablet extended release 12 hour 60-

600 mg oral T3

nasal decongestant max st tablet 30 mg oral T3

nasal decongestant tablet 30 mg oral T3

10


pseudoephedrine hcl tablet 30 mg oral (otc) T3

pseudoephedrine-guaifenesin er tablet extended

release 12 hour 60-600 mg oral T3











sm mucus relief d tablet extended release 12 hour

60-600 mg oral T3

sm nasal decongestant max st tablet 30 mg oral T3

SUDOGEST MAXIMUM STRENGTH

TABLET 30 MG ORAL T3


MG ORAL T3

SUDOGEST TABLET 30 MG ORAL T3


TUSNEL C SYRUP 30-10-100 MG/5ML ORAL T3

virtussin dac solution 30-10-100 mg/5ml oral T3 QL (1200 ML per 30 days)

Alpha-Adrenergic Agonists

ed bron gp liquid 5-100 mg/5ml oral T3


goodsense mucus relief child liquid 2.5-5-100

mg/5ml oral T3

goodsense tussin cf liquid 5-10-100 mg/5ml oral T3

hm tussin adult multi-symptom liquid 5-10-100

mg/5ml oral T3

MUCINEX COLD CHILDRENS LIQUID 2.5-5-

100 MG/5ML ORAL T3

MUCINEX CONGEST & COUGH CHILD

LIQUID 2.5-5-100 MG/5ML ORAL T3

MUCINEX FAST-MAX CONGEST COUGH

LIQUID 10-20-400 MG/20ML ORAL T3



11


MUCINEX STUFFY NOSE/COLD CHILD

LIQUID 2.5-100 MG/5ML ORAL T3

mucus relief childrens liquid 2.5-5-100 mg/5ml

oral T3

qc tussin cf liquid 5-10-100 mg/5ml oral T3

RESCON-GG LIQUID 5-100 MG/5ML ORAL T3

robafen cf multi-symptom cold liquid 5-10-100

mg/5ml oral T3

sm tussin cf liquid 5-10-100 mg/5ml oral T3

tussin cf cough & cold liquid 5-10-100 mg/5ml

oral T3

tussin cf liquid 5-10-100 mg/5ml oral T3

tussin multi-symptom cold cf liquid 5-10-100

mg/5ml oral T3



Autonomic Drugs, Miscellaneous

folding paddle walker T1 QL (30 EA per 30 days)

gnp nicotine mini lozenge 2 mg mouth/throat T1 QL (600 EA per 30 days)

gnp nicotine patch 24 hour 14 mg/24hr

transdermal T1 QL (30 EA per 30 days)

gnp nicotine patch 24 hour 7 mg/24hr


gnp nicotine polacrilex gum 2 mg mouth/throat T1 QL (720 EA per 30 days)

gnp nicotine polacrilex gum 4 mg mouth/throat T1 QL (720 EA per 30 days)

gnp nicotine polacrilex lozenge 2 mg

mouth/throat T1 QL (600 EA per 30 days)

gnp nicotine polacrilex lozenge 4 mg

mouth/throat T1 QL (600 EA per 30 days)

goodsense nicotine gum 4 mg mouth/throat T1 QL (720 EA per 30 days)

goodsense nicotine lozenge 2 mg mouth/throat T1 QL (600 EA per 30 days)

goodsense nicotine lozenge 4 mg mouth/throat T1 QL (600 EA per 30 days)

hm nicotine patch 24 hour 14 mg/24hr


hm nicotine patch 24 hour 21 mg/24hr


hm nicotine patch 24 hour 7 mg/24hr transdermal T1 QL (30 EA per 30 days)

hm nicotine polacrilex gum 2 mg mouth/throat T1 QL (720 EA per 30 days)

hm nicotine polacrilex gum 4 mg mouth/throat T1 QL (720 EA per 30 days)

12


hm nicotine polacrilex lozenge 2 mg mouth/throat T1 QL (600 EA per 30 days)

hm nicotine polacrilex lozenge 4 mg mouth/throat T1 QL (600 EA per 30 days)

NICODERM CQ PATCH 24 HOUR 14

MG/24HR TRANSDERMAL T2 PA; QL (30 EA per 30 days)

NICODERM CQ PATCH 24 HOUR 21

MG/24HR TRANSDERMAL T2 PA; QL (30 EA per 30 days)

NICODERM CQ PATCH 24 HOUR 7 MG/24HR

TRANSDERMAL T2 PA; QL (30 EA per 30 days)

NICORELIEF GUM 2 MG MOUTH/THROAT T1 QL (720 EA per 30 days)

NICORELIEF GUM 4 MG MOUTH/THROAT T1 QL (720 EA per 30 days)

NICORETTE GUM 2 MG MOUTH/THROAT T2 PA; QL (720 EA per 30 days)

NICORETTE GUM 4 MG MOUTH/THROAT T2 PA; QL (720 EA per 30 days)

NICORETTE LOZENGE 2 MG

MOUTH/THROAT T2 PA; QL (600 EA per 30 days)

NICORETTE LOZENGE 4 MG


NICORETTE MINI LOZENGE 2 MG


NICORETTE MINI LOZENGE 4 MG


NICORETTE STARTER KIT GUM 2 MG


NICORETTE STARTER KIT GUM 4 MG


nicotine kit 21-14-7 mg/24hr transdermal T2 PA

nicotine patch 24 hour 14 mg/24hr transdermal






nicotine polacrilex gum 2 mg mouth/throat T1 QL (720 EA per 30 days)

nicotine polacrilex gum 4 mg mouth/throat T1 QL (720 EA per 30 days)

nicotine polacrilex lozenge 2 mg mouth/throat T1 QL (600 EA per 30 days)

nicotine polacrilex lozenge 4 mg mouth/throat T1 QL (600 EA per 30 days)

nicotine step 1 patch 24 hour 21 mg/24hr




13




sm nicotine gum 4 mg mouth/throat T1 QL (720 EA per 30 days)

sm nicotine lozenge 2 mg mouth/throat T1 QL (600 EA per 30 days)

sm nicotine patch 24 hour 14 mg/24hr


sm nicotine patch 24 hour 21 mg/24hr


sm nicotine patch 24 hour 7 mg/24hr transdermal T1 QL (30 EA per 30 days)

sm nicotine polacrilex gum 2 mg mouth/throat T1 QL (720 EA per 30 days)

sm nicotine polacrilex gum 4 mg mouth/throat T1 QL (720 EA per 30 days)

sm nicotine polacrilex lozenge 4 mg mouth/throat T1 QL (600 EA per 30 days)

Blood Formation, Coagulation,

Thrombosis

Iron Preparations

a thru z advanced tablet oral T3

a thru z advantage tablet oral T3

a thru z select ultimate women tablet oral T3

a thru z ultimate mens tablet oral T3

active fe tablet 75-1.25 mg oral T2 PA

ADVANCED MULTI EA TABLET

CHEWABLE ORAL T3

ALIVE WOMENS ENERGY TABLET ORAL T3

BACMIN TABLET ORAL T3

bariatric multivitamins/iron capsule oral T3

BIO-35 GLUTEN-FREE CAPSULE ORAL T3

BIOTECT PLUS LIQUID ORAL T3

BPROTECTED MULTI-VITE LIQUID ORAL T3

BPROTECTED PEDIA IRON SOLUTION 75

(15 FE) MG/ML ORAL T1

CALCET PLUS TABLET ORAL T3

centamin liquid oral T3

centavite a-z complete-mineral tablet oral T3

central-vite tablet oral T3

CENTRATEX CAPSULE 106-1 MG ORAL T2 PA

centravites adults tablet oral T3

centravites tablet oral T3

CENTRUM ADULTS TABLET ORAL T3

14


CENTRUM LIQUID ORAL T3

CENTRUM MEN TABLET ORAL T3

CENTRUM PERFORMANCE TABLET ORAL T3

CENTRUM SILVER 50+WOMEN TABLET

ORAL T3

CENTRUM SILVER ULTRA WOMENS

TABLET ORAL T3

CENTRUM SPECIALIST ENERGY TABLET

ORAL T3

CENTRUM TABLET CHEWABLE ORAL T3

CENTRUM TABLET ORAL T3

CENTRUM ULTRA MENS TABLET ORAL T3

CENTRUM ULTRA WOMENS TABLET

ORAL T3

century tablet oral T3

CEROVITE ADVANCED FORMULA LIQUID

ORAL T3

CEROVITE ADVANCED FORMULA TABLET

ORAL T3

certa plus tablet oral T3

certagen liquid† oral T3

certagen tablet oral T3

CERTAVITE/ANTIOXIDANTS LIQUID ORAL T3

CERTAVITE/ANTIOXIDANTS TABLET

ORAL T3

CHROMAGEN CAPSULE ORAL T2 PA

CITRANATAL 90 DHA 90-1 & 300 MG ORAL T2 PA

CITRANATAL ASSURE 35-1 & 300 MG

ORAL T2 PA

CITRANATAL B-CALM 20-1 MG & 2 X 25

MG ORAL T2 PA

CITRANATAL DHA 27-1 & 250 MG ORAL T2 PA

CITRANATAL HARMONY CAPSULE 27-1-

260 MG ORAL T2 PA

CITRANATAL RX TABLET 27-1 MG ORAL T2 PA

c-nate dha capsule 28-1-200 mg oral T2 PA

COMPETE TABLET ORAL T3

complete multivitamin/mineral liquid oral T3

complete tablet oral T3

15


completenate tablet chewable 29-1 mg oral T2 PA

CONCEPT DHA CAPSULE 53.5-38-1 MG

ORAL T2 PA

CONCEPT OB CAPSULE 130-92.4-1 MG

ORAL T2 PA

CORVITA 150 TABLET 150-1.25 MG ORAL T2 PA

CORVITE 150 TABLET ORAL T2 PA

corvite fe tablet oral T2 PA

cvs daily multiple fe/ca/zn tablet oral T3

cvs daily multiple for women tablet oral T3

cvs daily multiple plus iron tablet oral T3

cvs daily teen tablet oral T3

cvs iron tablet 240 (27 fe) mg oral T1

cvs iron tablet 325 (65 fe) mg oral T1

cvs one daily womens formula tablet oral T3

cvs spectravite advanced liquid oral T3

cvs spectravite advanced tablet oral T3

cvs spectravite energy tablet oral T3

cvs spectravite naturalized tablet oral T3

cvs spectravite performance tablet oral T3

cvs spectravite plus tablet oral T3

cvs spectravite probiotic tablet oral T3

cvs spectravite tablet oral T3

cvs spectravite ultra mens tablet oral T3

cvs spectravite ultra women tablet oral T3

cvs spectravite womens senior tablet oral T3

cvs womens active daily tablet oral T3

daily combo multi vitamins tablet oral T3

daily combo multivits/calcium tablet oral T3

daily multi tablet oral T3

daily multiple vitamins/iron tablet oral T3

daily multiple weight loss tablet oral T3

daily vitamin formula+iron tablet oral T3

daily vite multivitamin/iron tablet oral T3

daily vites/iron tablet oral T3

daily-vite/iron/beta-carotene tablet oral T3

dekas bariatric tablet chewable oral T3

16


ELITE-OB TABLET 50-1.25 MG ORAL T2 PA

ENBRACE HR CAPSULE ORAL T2 PA

eq complete multivitamin-adult tablet oral T3

eq one daily womens health tablet oral T3

eq slow-release iron tablet extended release 45

mg oral T3

EQL CENTRAL-VITE PERFORMANCE

TABLET ORAL T3

EQL CENTRAL-VITE SELECT TABLET

ORAL T3

eql century mens tablet oral T3

eql iron supplement therapy tablet 325 mg oral T3

eql one daily diet support tablet oral T3

eql one daily dieters support tablet oral T3

eql one daily maximum tablet oral T3

eql one daily womens tablet oral T3

eql ultimate womens century tablet oral T3

ESSENTIA TABLET ORAL T3

essential balance tablet oral T3

FEOSOL TABLET 200 (65 FE) MG ORAL T1

FEOSOL TABLET 325 (65 FE) MG ORAL T1

FERATE TABLET 240 (27 FE) MG ORAL T1

FERGON TABLET 240 (27 FE) MG ORAL T1

FER-IN-SOL SOLUTION 75 (15 FE) MG/ML

ORAL T1

fer-iron solution 75 (15 fe) mg/ml oral T3

FERIVA 21/7 TABLET 75-1 MG ORAL T2 PA

FERIVAFA CAPSULE 110-1 MG ORAL T2 PA

FEROSUL ELIXIR 220 (44 FE) MG/5ML ORAL T1

FEROSUL TABLET 325 (65 FE) MG ORAL T1

FERRALET 90 TABLET 90-1 MG ORAL T2 PA

ferraplus 90 tablet 90-1 mg oral T2 PA

FERROCITE TABLET 324 MG ORAL T2 PA

ferrous fumarate tablet 324 (106 fe) mg oral T2 PA

ferrous gluconate tablet 240 (27 fe) mg oral T1

ferrous gluconate tablet 324 (38 fe) mg oral T1

ferrous sulfate elixir 220 (44 fe) mg/5ml oral T1

17


ferrous sulfate iron tablet 200 (65 fe) mg oral T1

ferrous sulfate solution 75 (15 fe) mg/ml oral T1

ferrous sulfate tablet 325 (65 fe) mg oral T1

ferrous sulfate tablet delayed release 324 (65 fe)

mg oral T1

ferrous sulfate tablet delayed release 325 (65 fe)

mg oral T1

ferrousul tablet 325 (65 fe) mg oral T1

FOCALGIN DSS TABLET 90-1 MG ORAL T2 PA

FOLIVANE-F CAPSULE 125-1 MG ORAL T1 PA

FOLIVANE-OB CAPSULE 130-92.4-1 MG

ORAL T2 PA

freedavite tablet oral T3

FUSION PLUS CAPSULE ORAL T2 PA

FUSION SPRINKLES PACKET 7-0.25-50-5

MG ORAL T2 PA

generix t tablet oral T3

gnp century active performance tablet oral T3

gnp century energy metabolism tablet oral T3

gnp century tablet oral T3

gnp century ultimate mens tablet oral T3

gnp century ultimate womens tablet oral T3

gnp hair/skin/nails tablet oral T3

gnp iron tablet 200 (65 fe) mg oral T1

gnp iron tablet extended release 142 (45 fe) mg

oral T1

gnp maximum one daily tablet oral T3

gnp mega multi for women tablet oral T3

gnp one daily maximum tablet oral T3

gnp one daily plus iron tablet oral T3

gnp one daily womens health tablet oral T3

gnp therapeutic m complete tablet oral T3

gnp therapeutic-m tablet oral T3

gnp womens one daily tablet oral T3

golden age vitamin/minerals liquid oral T3

hair formula extra strength tablet oral T3

hair vitamins tablet oral T3

hair/skin/nails tablet oral T3

18


hair/skin/nails/biotin tablet oral T3

HEMATOGEN CAPSULE ORAL T2 PA

HEMATOGEN FA CAPSULE 200-250-0.01-1

MG ORAL T2 PA

HEMATOGEN FORTE CAPSULE 460-60-0.01-

1 MG ORAL T2 PA

HEMOCYTE PLUS CAPSULE 106-1 MG

ORAL T1 PA

HEMOCYTE TABLET 324 (106 FE) MG ORAL T2 PA

HEMOCYTE-F TABLET 324-1 MG ORAL T1

hm complete 50+ women ultimate tablet oral T3

hm complete men tablet oral T3

hm complete tablet oral T3

hm complete women tablet oral T3

hm iron slow release tablet extended release 142

(45 fe) mg oral T3

hm iron tablet 200 (65 fe) mg oral T1

hm one daily womens tablet oral T3

hm one daily/iron tablet oral T3

IFEREX 150 CAPSULE 150 MG ORAL T1 PA

IFEREX 150 FORTE CAPSULE 150-25-1 MG-

MCG-MG ORAL T2 PA

INTEGRA F CAPSULE 125-1 MG ORAL T2 PA

INTEGRA PLUS CAPSULE ORAL T2 PA

iron 27 tablet 240 (27 fe) mg oral T1

iron high-potency tablet 325 mg oral T1

iron supplement childrens solution 75 (15 fe)

mg/ml oral T1

iron supplement tablet 325 (65 fe) mg oral T3

iron tablet 240 (27 fe) mg oral T3

iron tablet 325 (65 fe) mg oral T1

iron tablet extended release 18 mg oral T3

IROSPAN 24/6 ORAL T2 PA

kp adults daily formula tablet oral T3

kp ferrous sulfate tablet 325 (65 fe) mg oral T1

kp womens daily formula tablet oral T3

K-PAX IMMUNE PROFESSIONAL ST

TABLET ORAL T3

19


mega multivitamin for women tablet oral T3

meijer advanced formula tablet oral T3

m-natal plus tablet 27-1 mg oral T2 PA

multi complete/iron tablet oral T3

multi for her capsule oral T3

multi for her tablet oral T3

multi max tablet oral T3

multi vitamin/minerals tablet oral T3

multi-day plus iron tablet oral T3

multi-day plus minerals tablet oral T3

multi-delyn/iron liquid oral T3

multilex tablet oral T3

multilex-t&m tablet oral T3

multiple vitamins/iron tablet oral T3

multiple vitamins/womens tablet oral T3

multivital performance tablet oral T3

multivitamin & mineral liquid oral T3

multivitamin adult tablet oral T3

multivitamin adults tablet oral T3

multivitamin liquid oral T3

multi-vitamin monocaps tablet oral T3

multivitamin women 50+ tablet oral T3

multivitamin women tablet oral T3

multivitamins/minerals adult liquid oral T3

multi-vite liquid oral T3

NEPHRON FA TABLET ORAL T2 PA

NESTABS DHA 32-1 MG ORAL T2 PA

NESTABS ONE CAPSULE 38-1-225 MG

ORAL T2 PA

NESTABS TABLET 32-1 MG ORAL T2 PA

NIFEREX TABLET ORAL T2 PA

NIVA-PLUS TABLET 27-1 MG ORAL T1

NUFERA TABLET ORAL T2 PA

OB COMPLETE ONE CAPSULE 50-1-476 MG

ORAL T2 PA

OB COMPLETE PETITE CAPSULE 35-5-1-200

MG ORAL T2 PA

20


OB COMPLETE PREMIER TABLET 30-20-1

MG ORAL T2 PA

OB COMPLETE TABLET 50-1.25 MG ORAL T2 PA

OB COMPLETE/DHA CAPSULE 30-10-1-200

MG ORAL T2 PA

O-CAL FA TABLET 27-1 MG ORAL T1

OCUVITE EXTRA TABLET ORAL T3

once daily/iron tablet oral T3

one daily calcium/iron tablet oral T3

one daily complete tablet oral T3

one daily for women tablet oral T3

one daily healthy weight adv tablet oral T3

one daily maximum tablet oral T3

one daily multivitamin/iron tablet oral T3

ONE DAILY PLUS IRON TABLET ORAL T3

one daily plus minerals tablet oral T3

one daily/iron tablet oral T3

ONE-A-DAY ENERGY TABLET ORAL T3

ONE-A-DAY TEEN ADVANTAGE/HER

TABLET ORAL T3

ONE-A-DAY TEEN ADVANTAGE/HIM

TABLET ORAL T3

ONE-A-DAY WEIGHT SMART ADVANCE

TABLET ORAL T3

ONE-A-DAY WOMENS FORMULA TABLET

ORAL T3

ONE-A-DAY WOMENS HEALTHY SKIN

TABLET ORAL T3

ONE-A-DAY WOMENS MIND & BODY

TABLET ORAL T3

ONE-A-DAY WOMENS PETITES TABLET

ORAL T3

one-daily/iron tablet oral T3

one-tablet-daily/iron tablet oral T3

OPTISOURCE POST BARIATRIC SURG

TABLET CHEWABLE ORAL T3

OPTISOURCE TABLET CHEWABLE ORAL T3

OPURITY BYPASS OPTIMIZED TABLET

CHEWABLE ORAL T3

21


parvlex tablet oral T3

pnv fe fum/docusate/folic acid tablet 29-1 mg oral T2 PA

pnv folic acid + iron tablet 27-1 mg oral T1

pnv prenatal plus multivitamin tablet 27-1 mg

oral (rx) T1

pnv tabs 29-1 tablet 29-1 mg oral T2 PA

pnv-dha capsule 27-0.6-0.4-300 mg oral T2 PA

pnv-dha+docusate capsule 27-1.25-300 mg oral T2 PA

pnv-omega capsule 28-0.6-0.4-340 mg oral T2 PA

pnv-select tablet 27-0.6-0.4 mg oral T2 PA

polyvitamin/iron tablet chewable 18 mg oral T3 AL

prenaissance capsule 29-1.25-325 mg oral T2 PA

prenaissance plus capsule 28-1-250 mg oral T2 PA

prenatal tablet 27-1 mg oral T2 PA

prenatal vitamin plus low iron tablet 27-1 mg oral T2 PA

PRENATE DHA CAPSULE 18-0.6-0.4-300 MG

ORAL T2 PA

PRENATE ELITE TABLET 20-0.6-0.4 MG

ORAL T2 PA

PRENATE ENHANCE CAPSULE 28-0.6-0.4-

400 MG ORAL T2 PA

PRENATE ESSENTIAL CAPSULE 18-0.6-0.4-

300 MG ORAL T2 PA

PRENATE MINI CAPSULE 18-0.6-0.4-350 MG

ORAL T2 PA

PRENATE PIXIE CAPSULE 10-0.6-0.4-200 MG

ORAL T2 PA

PRENATE RESTORE CAPSULE 27-0.6-0.4-400

MG ORAL T2 PA

preplus tablet 27-1 mg oral T1

pretab tablet 29-1 mg oral T2 PA

PRIMACARE CAPSULE 30-1-470 MG ORAL T2 PA

PROCERV HP TABLET ORAL T3

PRORENAL + D TABLET ORAL T3

PRORENAL + D W/ OMEGA-3 CAPSULE

ORAL T3

PROTECT PLUS NF LIQUID ORAL T3

PROVIDA DHA CAPSULE 16-16-1.25-110 MG

ORAL T2 PA

22


PROVIDA OB CAPSULE 20-20-1.25 MG

ORAL T2 PA

purefe ob plus capsule 162-115.2-1 mg oral T2 PA

purefe plus capsule 106-1 mg oral T2 PA

purevit dualfe plus capsule 162-115.2-1 mg oral T2 PA

px iron tablet 200 (65 fe) mg oral T3

px iron tablet 27 mg oral T3

qc daily multivit/multimineral tablet oral T3

qc daily multivitamins/iron tablet oral T3

qc ferrous sulfate tablet 325 (65 fe) mg oral T3

qc multi-vite tablet oral T3

qc therin-m tablet oral T3

qc womens daily multivitamin tablet oral T3

quintabs-m tablet oral T3

ra central-vite energy tablet oral T3

ra central-vite performance tablet oral T3

RA CENTRAL-VITE SELECT TABLET ORAL T3

RA CENTRAL-VITE TABLET ORAL T3

ra central-vite under 50 mens tablet oral T3

ra central-vite under 50 women tablet oral T3

ra central-vite womens mature tablet oral T3

ra high potency iron tablet 27 mg oral T3

ra iron tablet 27 mg oral T3

ra iron tablet 325 (65 fe) mg oral T1

ra one daily maximum tablet oral T3

ra one daily multi-vit plus fe tablet oral T3

ra one daily womens tablet oral T3

ra slow release iron tablet extended release 45

mg oral T3

ra therapeutic m plus beta car tablet oral T3

SELECT-OB TABLET CHEWABLE 29-0.6-0.4

MG ORAL T2 PA

SELECT-OB TABLET CHEWABLE 29-1 MG

ORAL T2 PA

SELECT-OB+DHA 29-1 & 250 MG ORAL T2 PA

se-natal 19 tablet 29-1 mg oral T2 PA

se-natal 19 tablet chewable 29-1 mg oral T2 PA

23


sentry tablet oral T3

se-tan plus capsule 162-115.2-1 mg oral T2 PA

SLOW FE TABLET EXTENDED RELEASE

142 (45 FE) MG ORAL T3

slow release iron tablet extended release 45 mg

oral T1

sm complete 50+ ultimate women tablet oral T3

sm complete advanced formula tablet oral T3

sm complete tablet oral T3

sm iron tablet 325 (65 fe) mg oral T1

sm multiple vitamins/iron tablet oral T3

sm one daily womens tablet oral T3

sm slow release iron tablet extended release 142

(45 fe) mg oral T3

sm therapeutic-m tablet oral T3

stress formula/iron tablet oral T3

STROVITE FORTE TABLET ORAL T3

TAB-A-VITE TABLET ORAL T3

TAB-A-VITE WOMENS TABLET ORAL T3

tab-a-vite/iron tablet oral T3

TAB-A-VITE/WEIGHTSLIM TABLET ORAL T3

TANDEM PLUS CAPSULE 162-115.2-1 MG

ORAL T2 PA

taron forte capsule oral T2 PA

TARON-C DHA CAPSULE 53.5-38-1 MG

ORAL T2 PA

TARON-PREX CAPSULE 30-1.2-265 MG

ORAL T2 PA

th b complex/iron/c/e tablet oral T3

th daily multiple vitamin/iron tablet oral T3

th iron tablet 325 (65 fe) mg oral T1

th premium daily multiple tablet oral T3

th theradex-m tablet oral T3

th womens daily tablet oral T3

THERA M PLUS TABLET ORAL T3

THERAGRAN-M ADVANCED TABLET

ORAL T3

THERAGRAN-M PREMIER TABLET ORAL T3

24


THERAGRAN-M TABLET ORAL T3

thera-m tablet oral T3

therapeutic formula/hematinics tablet oral T3

therapeutic m tablet oral T3

therapeutic-m tablet oral T3

therapeutic-m/lutein tablet oral T3

thera-tabs m tablet oral T3

THERATRUM COMPLETE TABLET ORAL T3

therems m tablet oral T3

THEREMS-H TABLET ORAL T3

THEREMS-M TABLET ORAL T3

thrivite 19 tablet 1 mg oral T2 PA

thrivite rx tablet 29-1 mg oral T2 PA

tl icon capsule oral T2 PA

tl-hem 150 tablet 150-1 mg oral T2 PA

TRICARE TABLET ORAL T2 PA

TRICON CAPSULE ORAL T2 PA

trigels-f forte capsule 460-60-0.01-1 mg oral T2 PA

trinatal rx 1 tablet 60-1 mg oral T1

tristart dha capsule 31-0.6-0.4-200 mg oral T2 PA

TRIVEEN-DUO DHA 29-1-200 & 400 MG

ORAL T1

ultimate teen tablet oral T3

ultra freeda/iron tablet oral T3

unicomplex-m tablet oral T3

virt nate tablet 28-1 mg oral T2 PA

virt-c dha capsule 53.5-38-1 mg oral T2 PA

virt-nate dha capsule 28-1-200 mg oral T2 PA

virt-pn dha capsule 27-0.6-0.4-300 mg oral T2 PA

virt-pn plus capsule 28-0.6-0.4-340 mg oral T2 PA

virt-pn tablet 27-0.6-0.4 mg oral T2 PA

virtprex capsule 26-1.2-300 mg oral T2 PA

virt-select capsule 29-1.25-325 mg oral T2 PA

VITAFOL FE+ CAPSULE THERAPY PACK

90-1-200 & 50 MG ORAL T2 PA

VITAFOL GUMMIES TABLET CHEWABLE

3.33-0.333-34.8 MG ORAL T2 PA

25


VITAFOL TABLET ORAL T2 PA

VITAFOL ULTRA CAPSULE 29-0.6-0.4-200

MG ORAL T2 PA

VITAFOL-NANO TABLET 18-0.6-0.4 MG

ORAL T2 PA

VITAFOL-OB TABLET ORAL T2 PA

VITAFOL-OB+DHA 65-1 & 250 MG ORAL T2 PA

VITAFOL-ONE CAPSULE 29-1-200 MG ORAL T2 PA

vitamin-mineral supplement liquid oral T3

vitamins for hair tablet oral T3

VITATRUM COMPLETE TABLET ORAL T3

vitatrum tablet chewable oral T3

vol-plus tablet 27-1 mg oral T1

vp-pnv-dha capsule 28-1-215.8 mg oral T2 PA

womens daily form/fa/ca/fe tablet oral T3

womens daily formula tablet oral T3

womens multi capsule oral T3

womens one daily tablet oral T3

YELETS TEENAGE FORMULA TABLET

ORAL T3

ZATEAN-PN DHA CAPSULE 27-0.6-0.4-300

MG ORAL T2 PA

ZATEAN-PN PLUS CAPSULE 28-0.6-0.4-340

MG ORAL T2 PA

Platelet-Aggregation Inhibitors

adult aspirin regimen tablet delayed release 81

mg oral T3

aspirin 81 tablet delayed release 81 mg oral T3

aspirin adult low dose tablet delayed release 81

mg oral T3

aspirin adult low strength tablet chewable 81 mg

oral T3

aspirin adult tablet 325 mg oral T3 QL (360 EA per 30 days)

aspirin ec low dose tablet delayed release 81 mg

oral T3

aspirin ec low strength tablet delayed release 81

mg oral T3

aspirin ec tablet delayed release 325 mg oral T3


26


aspirin low dose adult tablet chewable 81 mg oral T3

aspirin low dose tablet chewable 81 mg oral T3

aspirin low dose tablet delayed release 81 mg

oral T3

aspirin low strength tablet chewable 81 mg oral T3

aspirin regimen low dose adult tablet delayed

release 81 mg oral T3

aspirin suppository 300 mg rectal T3


aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

aspirin tablet chewable 81 mg oral T3

aspirin tablet delayed release 81 mg oral T3

ASPIR-LOW TABLET DELAYED RELEASE

81 MG ORAL T3

childrens aspirin low strength tablet chewable 81

mg oral T3

ECPIRIN TABLET DELAYED RELEASE 325

MG ORAL T3

eq aspirin tablet delayed release 325 mg oral T3

gnp adult aspirin low strength tablet chewable 81

mg oral T3

gnp aspirin low dose tablet delayed release 81 mg

oral T3

gnp aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

gnp aspirin tablet delayed release 325 mg oral T3


goodsense aspirin adult low st tablet chewable 81

mg oral T3

goodsense aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

goodsense aspirin tablet chewable 81 mg oral T3

hm aspirin ec low dose tablet delayed release 81

mg oral T3

hm aspirin ec tablet delayed release 325 mg oral T3

hm aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

hm aspirin tablet chewable 81 mg oral T3

qc aspirin low dose tablet chewable 81 mg oral T3

qc aspirin low dose tablet delayed release 81 mg

oral T3

qc aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

27


qc enteric aspirin tablet delayed release 325 mg

oral T3

sb aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

sm aspirin adult low strength tablet chewable 81

mg oral T3

sm aspirin adult low strength tablet delayed


sm aspirin ec tablet delayed release 325 mg oral T3

sm aspirin low dose tablet chewable 81 mg oral T3

sm aspirin tablet 325 mg oral T3 QL (360 EA per 30 days)

sm childrens aspirin tablet chewable 81 mg oral T3

ST JOSEPH LOW DOSE TABLET

CHEWABLE 81 MG ORAL T3

ST JOSEPH LOW DOSE TABLET DELAYED

RELEASE 81 MG ORAL T3

Thrombolytic Agents


mg oral T3



mg oral T3


oral T3



oral T3


mg oral T3






oral T3






28






81 MG ORAL T3


mg oral T3


MG ORAL T3



mg oral T3


oral T3





mg oral T3




mg oral T3






oral T3



oral T3



mg oral T3





29








Cardiovascular Drugs

Antilipemic Agents, Miscellaneous

cvs niacin flush free capsule 400-100 mg oral T2 PA

niacin er capsule extended release 250 mg oral T2 PA

niacin er capsule extended release 500 mg oral T2 PA

niacin flush free capsule 400-100 mg oral T2 PA

Central Nervous System Agents

Analgesics And Antipyretics, Misc.

8 hour arthritis pain reliever tablet extended


8 hour pain relief tablet extended release 650 mg

oral T3

8hr muscle aches & pain tablet extended release

650 mg oral T3

ACEPHEN SUPPOSITORY 120 MG RECTAL T3



acetaminophen childrens suspension 160 mg/5ml

oral T3

acetaminophen childrens tablet chewable 160 mg

oral T3

acetaminophen er tablet extended release 650 mg

oral T3

acetaminophen extra strength tablet 500 mg oral T3

acetaminophen infants suspension 160 mg/5ml

oral T3

acetaminophen liquid 160 mg/5ml oral T3

acetaminophen solution 160 mg/5ml oral T3

acetaminophen solution 325 mg/10.15ml oral T3

acetaminophen solution 650 mg/20.3ml oral T3

acetaminophen suppository 120 mg rectal T3

acetaminophen suppository 650 mg rectal T3

30


acetaminophen tablet 325 mg oral T3

acetaminophen tablet 500 mg oral T3

acetaminophen tablet chewable 160 mg oral T3

arthritis pain relief tablet extended release 650

mg oral T3

childrens acetaminophen suspension 160 mg/5ml

oral T3

childrens silapap liquid 160 mg/5ml oral T3

ed-apap liquid 160 mg/5ml oral T3


extra strength pain relief tablet 500 mg oral T3

FEVERALL ADULTS SUPPOSITORY 650 MG

RECTAL T3

FEVERALL CHILDRENS SUPPOSITORY 120

MG RECTAL T3

FEVERALL INFANTS SUPPOSITORY 80 MG

RECTAL T3

FEVERALL JUNIOR STRENGTH

SUPPOSITORY 325 MG RECTAL T3

gnp 8 hour pain reliever tablet extended release

650 mg oral T3

gnp acetaminophen tablet 325 mg oral T3

gnp arthritis pain relief tablet extended release

650 mg oral T3

gnp childrens pain relief suspension 160 mg/5ml

oral T3

gnp infants pain relief suspension 160 mg/5ml

oral T3

gnp infants pain/fever suspension 160 mg/5ml

oral T3

gnp pain & fever childrens suspension 160

mg/5ml oral T3

gnp pain relief extra strength tablet 500 mg oral T3

gnp pain relief tablet 325 mg oral T3

goodsense arthritis pain tablet extended release

650 mg oral T3

goodsense pain & fever child suspension 160

mg/5ml oral T3

goodsense pain & fever infants suspension 160

mg/5ml oral T3

31


goodsense pain relief extra st tablet 500 mg oral T3

goodsense pain relief tablet extended release 650

mg oral T3

hm acetaminophen childrens tablet chewable 160

mg oral T3

hm arthritis pain relief tablet extended release

650 mg oral T3

hm pain & fever childrens suspension 160 mg/5ml

oral T3

hm pain & fever infants suspension 160 mg/5ml

oral T3

hm pain relief extra strength tablet 500 mg oral T3

hm pain reliever tablet 325 mg oral T3

infants pain relief suspension 80 mg/0.8ml oral T3

mapap arthritis pain tablet extended release 650

mg oral T3

MAPAP CHILDRENS SUSPENSION 160

MG/5ML ORAL T3

MAPAP CHILDRENS TABLET CHEWABLE

160 MG ORAL T3

MAPAP EXTRA STRENGTH TABLET 500

MG ORAL T3

mapap liquid 160 mg/5ml oral T3

mapap tablet 325 mg oral T3

mapap tablet 500 mg oral T3

non-aspirin childrens suspension 160 mg/5ml

oral T3

pain & fever childrens solution 160 mg/5ml oral T3

pain & fever childrens suspension 160 mg/5ml

oral T3

pain & fever extra strength tablet 500 mg oral T3

pain & fever infants suspension 160 mg/5ml oral T3

pain & fever tablet 325 mg oral T3

pain relief childrens suspension 160 mg/5ml oral T3

pain relief extra strength tablet 500 mg oral T3

pain relief tablet 325 mg oral T3

pain relief tablet 500 mg oral T3

pain reliever extra strength tablet 500 mg oral T3

32


PHARBETOL EXTRA STRENGTH TABLET

500 MG ORAL T3

PHARBETOL TABLET 325 MG ORAL T3

qc acetaminophen 8 hours tablet extended release

650 mg oral T3

qc arthritis pain relief tablet extended release 650

mg oral T3

qc non-aspirin childrens suspension 160 mg/5ml

oral T3

qc non-aspirin extra strength tablet 500 mg oral T3

qc pain relief childrens suspension 160 mg/5ml

oral T3

qc pain relief extra strength tablet 500 mg oral T3

qc pain relief infants suspension 160 mg/5ml oral T3

qc pain relief tablet 325 mg oral T3

sm 8 hour pain relief tablet extended release 650

mg oral T3

sm arthritis pain relief tablet extended release

650 mg oral T3

sm arthritis pain reliever tablet extended release

650 mg oral T3

sm pain & fever childrens suspension 160 mg/5ml

oral T3

sm pain & fever infants suspension 160 mg/5ml

oral T3

sm pain reliever ex st tablet 500 mg oral T3

sm pain reliever ex st tablet extended release 650

mg oral T3

sm pain reliever tablet 325 mg oral T3

tactinal extra strength tablet 500 mg oral T3

tactinal tablet 325 mg oral T3

Antimigraine Agents, Miscellaneous


mg oral T3



mg oral T3


oral T3


33



oral T3


mg oral T3






oral T3










81 MG ORAL T3


mg oral T3


MG ORAL T3



mg oral T3


oral T3





mg oral T3




mg oral T3


34






oral T3



oral T3



mg oral T3











Anxiolytics,Sedatives,And

Hypnotics,Misc





MG ORAL T3



Opiate Agonists

cheratussin ac syrup 100-10 mg/5ml oral T3 QL (120 ML per 30 days); AL

guaiatussin ac syrup 100-10 mg/5ml oral T3 QL (120 ML per 30 days); AL

guaifenesin ac syrup 100-10 mg/5ml oral T3 QL (120 ML per 30 days); AL


guaifenesin-codeine solution 100-10 mg/5ml oral

(otc) T3 QL (120 ML per 30 days); AL

robafen ac solution 100-10 mg/5ml oral T3 QL (120 ML per 30 days); AL

35



virtussin a/c solution 100-10 mg/5ml oral T3 QL (120 ML per 30 days); AL


Other Nonsteroidal Anti-Inflam. Agents

all day pain relief tablet 220 mg oral T1 QL (120 EA per 30 days)

all day relief tablet 220 mg oral T1 QL (120 EA per 30 days)

childrens ibuprofen suspension 100 mg/5ml oral T1 QL (1800 ML per 30 days)

childs ibuprofen suspension 100 mg/5ml oral T1 QL (1800 ML per 30 days)

gnp all day pain relief tablet 220 mg oral T1 QL (120 EA per 30 days)

gnp childrens ibuprofen suspension 100 mg/5ml


gnp ibuprofen capsule 200 mg oral T1 QL (120 EA per 30 days)

gnp ibuprofen infants suspension 50 mg/1.25ml


gnp ibuprofen junior strength tablet chewable 100

mg oral T1

gnp ibuprofen tablet 200 mg oral T1 QL (120 EA per 30 days)

gnp naproxen sodium capsule 220 mg oral T1

gnp naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

goodsense ibuprofen childrens suspension 100

mg/5ml oral T1 QL (1800 ML per 30 days)

goodsense ibuprofen infants suspension 50

mg/1.25ml oral T1 QL (240 ML per 30 days)

goodsense ibuprofen junior st tablet chewable

100 mg oral T1

goodsense ibuprofen tablet 200 mg oral T1 QL (120 EA per 30 days)

goodsense naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

hm ibuprofen capsule 200 mg oral T1 QL (120 EA per 30 days)

hm ibuprofen childrens suspension 100 mg/5ml


hm ibuprofen ib tablet 200 mg oral T1 QL (120 EA per 30 days)

hm ibuprofen ib tablet chewable 100 mg oral T1

hm ibuprofen infants suspension 50 mg/1.25ml


hm ibuprofen tablet 200 mg oral T1 QL (120 EA per 30 days)

hm ibuprofen tablet chewable 100 mg oral T1

hm naproxen sodium capsule 220 mg oral T1

hm naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

36


ibu-200 tablet 200 mg oral T1 QL (120 EA per 30 days)

ibu-drops suspension 40 mg/ml oral T1 QL (240 ML per 30 days)

ibu-drops suspension 50 mg/1.25ml oral T1 QL (240 ML per 30 days)

ibuprofen capsule 200 mg oral T1 QL (120 EA per 30 days)

ibuprofen childrens suspension 100 mg/5ml oral T1 QL (1800 ML per 30 days)

ibuprofen infants drops suspension 50 mg/1.25ml


ibuprofen infants suspension 50 mg/1.25ml oral T1 QL (240 ML per 30 days)

ibuprofen junior strength tablet chewable 100 mg

oral T1

ibuprofen suspension 100 mg/5ml oral (otc) T1 QL (1800 ML per 30 days)

ibuprofen suspension 100 mg/5ml oral (rx) T1 QL (1800 ML per 30 days)

ibuprofen tablet 200 mg oral T1 QL (120 EA per 30 days)

infants ibuprofen suspension 50 mg/1.25ml oral T1 QL (240 ML per 30 days)

naproxen sodium capsule 220 mg oral T1

naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

PROVIL TABLET 200 MG ORAL T2 PA; QL (120 EA per 30 days)

qc childrens ibuprofen suspension 100 mg/5ml


qc ibuprofen capsule 200 mg oral T1 QL (120 EA per 30 days)

qc ibuprofen ib tablet 200 mg oral T1 QL (120 EA per 30 days)

qc ibuprofen infants suspension 50 mg/1.25ml


qc ibuprofen tablet 200 mg oral T1 QL (120 EA per 30 days)

qc naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

sb naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

sm childrens ibuprofen suspension 100 mg/5ml


sm ibuprofen capsule 200 mg oral T1 QL (120 EA per 30 days)

sm ibuprofen ib tablet 200 mg oral T1 QL (120 EA per 30 days)

sm ibuprofen ib tablet chewable 100 mg oral T1

sm ibuprofen tablet 200 mg oral T1 QL (120 EA per 30 days)

sm infants ibuprofen suspension 50 mg/1.25ml


sm naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

Salicylates


mg oral T3

37




mg oral T3


oral T3



oral T3


mg oral T3






oral T3










81 MG ORAL T3


mg oral T3


MG ORAL T3



mg oral T3

gnp arthricream cream 10 % external T3


oral T3




38



mg oral T3




mg oral T3




MOBISYL CREAM 10 % EXTERNAL T3

pain relieving cream 10 % external T3



oral T3



oral T3


sm arthricream rub cream 10 % external T3


mg oral T3











trolamine salicylate cream 10 % external T3

Diagnostic Agents

Ketones

CVS KETONE CARE STRIP IN VITRO T3

Urine And Feces Contents

CHEMSTRIP UGK STRIP IN VITRO T3

KETO-DIASTIX STRIP IN VITRO T3

39


Electrolytic, Caloric, And Water

Balance

Alkalinizing Agents

cytra-2 solution 500-334 mg/5ml oral T3

Phosphate-Removing Agents

calcium acetate (phos binder) tablet 667 mg oral

(rx) T2 PA; QL (360 EA per 30 days)

CALPHRON TABLET 667 MG ORAL T1 QL (360 EA per 30 days)

ELIPHOS TABLET 667 MG ORAL T2 PA; QL (360 EA per 30 days)

Replacement Preparations

actical capsule oral T3


antacid calcium extra strength tablet chewable

750 mg oral T3

antacid calcium tablet chewable 500 mg oral T3

antacid extra strength tablet chewable 750 mg

oral T3

antacid regular strength tablet chewable 500 mg

oral T3

antacid tablet chewable 500 mg oral T3

antacid ultra strength tablet chewable 1000 mg

oral T3


biocal capsule oral T3

calcarb 600 tablet 1500 (600 ca) mg oral T3

CALCITRATE TABLET 315-250 MG-UNIT

ORAL T3

CALCITRATE TABLET 950 MG ORAL T3

calcium + d tablet 250-125 mg-unit oral T3


calcium + d3 tablet 600-200 mg-unit oral T3

calcium 500 + d3 tablet 500-600 mg-unit oral T3

calcium 500 +d tablet 500-400 mg-unit oral T3

calcium 500+d tablet 500-400 mg-unit oral T3

calcium 500+d3 tablet 500-400 mg-unit oral T3

calcium 600 iron/d tablet 600-18-125 mg-mg-unit

oral T3

calcium 600 tablet 1500 (600 ca) mg oral T3

40


calcium 600/vitamin d tablet 600-400 mg-unit

oral T3

calcium 600+d plus minerals tablet 600-400 mg-

unit oral T3


calcium 600-d tablet 600-400 mg-unit oral T3

calcium acetate (phos binder) tablet 667 mg oral

(rx) T2 PA; QL (360 EA per 30 days)

calcium antacid extra strength tablet chewable

750 mg oral T3

calcium antacid tablet chewable 500 mg oral T3

calcium antacid ultra max st tablet chewable

1000 mg oral T3

calcium antacid ultra strength tablet chewable

1000 mg oral T3

calcium antacid ultra tablet chewable 1000 mg

oral T3

calcium carbonate antacid suspension 1250

mg/5ml oral T3

calcium carbonate antacid tablet chewable 500

mg oral T3

calcium carbonate tablet 1500 (600 ca) mg oral T3

calcium carbonate tablet chewable 500 mg oral T3

calcium carbonate-vitamin d tablet 500-400 mg-

unit oral T3


unit oral T3

calcium citrate + d tablet 315-200 mg-unit oral T3


calcium citrate + d3 maximum tablet 315-250

mg-unit oral T3

calcium citrate + d3 tablet 200-250 mg-unit oral T3

calcium citrate + tablet 315-200 mg-unit oral T3

calcium citrate +d tablet 315-250 mg-unit oral T3

calcium citrate maximum/vit d tablet 315-250 mg-

unit oral T3

calcium citrate petite/vit d tablet 200-250 mg-unit

oral T3

calcium citrate tablet 200 mg oral T3


41



calcium citrate+d3 petites tablet 200-250 mg-unit

oral T3

calcium citrate+d3 tablet 315-250 mg-unit oral T3

calcium citrate-vitamin d tablet 200-125 mg-unit

oral T3


oral T3


oral T3

calcium citrate-vitamin d3 tablet 315-250 mg-unit

oral T3

calcium extra d3 tablet 500-600 mg-unit oral T3

calcium gluconate tablet 500 mg oral T3

calcium lactate tablet 648 mg oral T3

calcium tablet 1500 mg oral T3

calcium-vitamin d tablet 500-400 mg-unit oral T3


calcium-vitamin d3 tablet 500-400 mg-unit oral T3

CAL-GEST ANTACID TABLET CHEWABLE

500 MG ORAL T3

CALTRATE 600 TABLET 1500 (600 CA) MG

ORAL T3

CITRACAL CALCIUM GUMMIES TABLET

CHEWABLE 250-115-250 MG-MG-UNIT

ORAL

T3

CITRACAL MAXIMUM TABLET 315-250

MG-UNIT ORAL T3

CITRACAL PETITES/VITAMIN D TABLET

200-250 MG-UNIT ORAL T3

citrus calcium +d tablet 315-250 mg-unit oral T3

citrus calcium/vitamin d tablet 200-250 mg-unit

oral T3

cvs antacid tablet chewable 500 mg oral T3

cvs calcium 600 + d/minerals tablet 600-400 mg-

unit oral T3

cvs calcium citrate +d tablet 315-250 mg-unit

oral T3

cvs calcium citrate +d3 mini tablet 200-250 mg-

unit oral T3

42


cvs calcium tablet 1500 (600 ca) mg oral T3


cvs daily multiple women 50+ tablet oral T3

cvs oyster shell calcium tablet 500 mg oral T3



eq calcium citrate+d tablet 315-250 mg-unit oral T3


eql antacid tablet chewable 500 mg oral T3

eql calcium citrate/vitamin d tablet 315-250 mg-

unit oral T3

eql calcium citrate/vitamin d3 tablet 315-250 mg-

unit oral T3



eql one daily womens 50+ adv tablet oral T3

FOSFREE TABLET ORAL T3

GAVISCON ACID BRKTHRGH FORMULA

TABLET CHEWABLE 500 MG ORAL T3

gnp antacid extra strength tablet chewable 750

mg oral T3

gnp antacid tablet chewable 500 mg oral T3

gnp calcium 500 +d3 tablet 500-600 mg-unit oral T3

gnp calcium citrate +d3 tablet 315-250 mg-unit

oral T3

gnp calcium citrate+d maximum tablet 315-250

mg-unit oral T3





HEALTHY MAMA TAME THE FLAME


hm calcium antacid ex st tablet chewable 750 mg

oral T3

hm calcium antacid tablet chewable 500 mg oral T3


hm calcium antacid ultra st tablet chewable 1000

mg oral T3

43


hm calcium citrate+d3 petite tablet 200-250 mg-

unit oral T3

hm calcium citrate+vitamin d tablet 315-250 mg-

unit oral T3

hm calcium-vitamin d-minerals tablet 600-400

mg-unit oral T3


hm womens 50+ advanced daily tablet oral T3

kls antacid tablet chewable 500 mg oral T3

kp calcium citrate+d tablet 315-250 mg-unit oral T3

kp vitamin b-12 tablet 1000 mcg oral T3

kp womens 50+ daily formula tablet oral T3


MAG64 TABLET DELAYED RELEASE 64 MG

ORAL T3

MAGDELAY TABLET DELAYED RELEASE

64 MG ORAL T3

magnesium chloride tablet delayed release 64 mg

oral T3


MG PLUS PROTEIN TABLET 133 MG ORAL T3

MG-PLUS PROTEIN TABLET 133 MG ORAL T3








ORAL T2 PA


MG ORAL T2 PA



ONE-A-DAY MENOPAUSE FORMULA

TABLET ORAL T3

ONE-A-DAY PROACTIVE 65+ TABLET

ORAL T3

44



TABLET ORAL T3

ONE-A-DAY WOMENS 50 PLUS TABLET

ORAL T3

ONE-A-DAY WOMENS 50+ ADVANTAGE

TABLET ORAL T3


ORAL T3


TABLET ORAL T3


TABLET ORAL T3


ORAL T3



ORTHOVITE TABLET ORAL T3

OS-CAL EXTRA D3 TABLET 500-600 MG-

UNIT ORAL T3

OYSCO 500 TABLET 500 MG ORAL T3

OYSCO 500+D TABLET 500-200 MG-UNIT

ORAL T3

oyst-cal d tablet 250-125 mg-unit oral T3

oyst-cal tablet 500 mg oral T3

oyster calcium tablet 500 mg oral T3

oyster shell calcium + d tablet 500-400 mg-unit

oral T3

oyster shell calcium + d3 tablet 500-400 mg-unit

oral T3

oyster shell calcium 500 + d tablet 500-200 mg-

unit oral T3

oyster shell calcium tablet 500 mg oral T3

oyster shell calcium tablet 500-400 mg-unit oral T3

oyster shell calcium/d tablet 250-125 mg-unit oral T3


oyster shell calcium/d3 tablet 500-400 mg-unit

oral T3

oyster shell calcium/vitamin d tablet 250-125 mg-

unit oral T3

45


OYSTERCAL-D TABLET 500-400 MG-UNIT

ORAL T3


oral (rx) T1








PRENATE TABLET CHEWABLE 0.6-0.4 MG

ORAL T2 PA



PRO-CAL TABLET ORAL T3

px calcium antacid tablet chewable 500 mg oral T3

qc antacid tablet chewable 500 mg oral T3

qc calcium/minerals/vitamin d tablet 600-400 mg-

unit oral T3


ra antacid tablet chewable 500 mg oral T3

ra calcium cit plus vit d-3 tablet 315-250 mg-unit

oral T3

ra calcium citrate plus vit d tablet 315-200 mg-

unit oral T3

ra calcium cit-vit d-3 petites tablet 200-250 mg-

unit oral T3

ra calcium/minerals/vitamin d tablet 600-400 mg-

unit oral T3



ra oyster shell calcium/d tablet 250-125 mg-unit

oral T3

sb antacid tablet chewable 500 mg oral T3

sb oyster shell calcium tablet 500 mg oral T3


sm calcium 600 tablet 1500 mg oral T3

46


sm calcium antacid ex st tablet chewable 750 mg

oral T3

sm calcium antacid tablet chewable 500 mg oral T3

sm calcium antacid ultra st tablet chewable 1000

mg oral T3

sm calcium citrate w/vit d3 tablet 315-250 mg-

unit oral T3

sm calcium citrate+/vit d3 tablet 315-250 mg-unit

oral T3

sm calcium citrate+d3 petite tablet 200-250 mg-

unit oral T3

sm calcium citrate-vit d tablet 315-200 mg-unit

oral T3

sm calcium tablet 500 mg oral T3

sm calcium/vitamin d/minerals tablet 600-400

mg-unit oral T3

SM CORAL CALCIUM TABLET 1000 (390

CA) MG ORAL T3


sm oyster shell calcium/vit d3 tablet 500-400 mg-

unit oral T3

super calcium tablet 1500 mg oral T3

th antacid regular strength tablet chewable 500

mg oral T3

th calcium citrate-vitamin d tablet 315-200 mg-

unit oral T3










ORAL T1

TUMS CHEWY BITES TABLET CHEWABLE

750 MG ORAL T3

TUMS E-X 750 TABLET CHEWABLE 750 MG

ORAL T3

47


TUMS EXTRA STRENGTH 750 TABLET


TUMS FRESHERS TABLET CHEWABLE 500

MG ORAL T3

TUMS KIDS TABLET CHEWABLE 750 MG

ORAL T3

TUMS SMOOTHIES TABLET CHEWABLE

750 MG ORAL T3

TUMS TABLET CHEWABLE 500 MG ORAL T3

TUMS ULTRA 1000 TABLET CHEWABLE

1000 MG ORAL T3

ultra freeda tablet oral T3







3.33-0.333-34.8 MG ORAL T2 PA






MG ORAL T2 PA

Eye, Ear, Nose And Throat (Eent)

Preps.

Antiallergic Agents

ALAWAY CHILDRENS ALLERGY

SOLUTION 0.025 % OPHTHALMIC T1

ALAWAY SOLUTION 0.025 % OPHTHALMIC T1

cromolyn sodium aerosol solution 5.2 mg/act

nasal T1

eye itch relief solution 0.025 % ophthalmic T1

hm eye itch relief solution 0.025 % ophthalmic T1

ketotifen fumarate solution 0.025 % ophthalmic

(otc) T1

sm eye itch relief solution 0.025 % ophthalmic T1

ZADITOR SOLUTION 0.025 % OPHTHALMIC T1

48


Corticosteroids (Eent)

allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

budesonide suspension 32 mcg/act nasal (otc) T2 PA; QL (17.4 ML per 30 days)

FLONASE ALLERGY RELIEF SUSPENSION

50 MCG/ACT NASAL T2 PA; QL (19.8 ML per 30 days)

FLONASE SENSIMIST SUSPENSION 27.5

MCG/SPRAY NASAL T2 PA; QL (19.8 ML per 30 days)

fluticasone propionate suspension 50 mcg/act

nasal (otc) T2 PA; QL (19.8 ML per 30 days)


nasal (rx) T1 PA; QL (19.8 GM per 30 days)

gnp 24 hour nasal allergy aerosol 55 mcg/act

nasal T2 PA; QL (16.9 ML per 30 days)

gnp budesonide nasal spray suspension 32

mcg/act nasal T2 PA; QL (17.4 ML per 30 days)

gnp fluticasone propionate chl suspension 50


gnp fluticasone propionate suspension 50 mcg/act


goodsense nasal allergy spray aerosol 55 mcg/act


hm allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

nasal allergy 24 hour aerosol 55 mcg/act nasal T2 PA; QL (16.9 ML per 30 days)

qc allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

qc fluticasone propionate suspension 50 mcg/act


sm allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

triamcinolone acetonide aerosol 55 mcg/act nasal

(otc) T2 PA; QL (16.9 ML per 30 days)

VERAMYST SUSPENSION 27.5 MCG/SPRAY

NASAL T2 PA; QL (19.8 GM per 30 days)

Eent Anti-Infectives, Miscellaneous

ear drops earwax aid solution 6.5 % otic T3

ear drops solution 6.5 % otic T3

earwax removal kit solution 6.5 % otic T3

earwax treatment drops solution 6.5 % otic T3

gnp ear systems solution 6.5 % otic T3

hm earwax removal aid solution 6.5 % otic T3

hm earwax removal kit solution 6.5 % otic T3

49


sm ear drops solution 6.5 % otic T3

Eent Drugs, Miscellaneous

AKWA TEARS OINTMENT 2-15-83 %

OPHTHALMIC T3

altamist spray solution 0.65 % nasal T3

artificial tears solution 1.4 % ophthalmic T3

AYR SOLUTION 0.65 % NASAL T3

BABY AYR SALINE SOLUTION 0.65 %

NASAL T3

BION TEARS PF SOLUTION 0.1-0.3 %

OPHTHALMIC T3

cvs child saline spray/drops solution 0.65 % nasal T3

cvs saline nasal spray solution 0.65 % nasal T3

cvs saline nose spray solution 0.65 % nasal T3

deep sea nasal spray solution 0.65 % nasal T3

eq saline nasal spray solution 0.65 % nasal T3

eql saline nasal spray solution 0.65 % nasal T3

GENTEAL TEARS MODERATE PF

SOLUTION 0.1-0.3 % OPHTHALMIC T3

GENTEAL TEARS PF SOLUTION 0.1-0.3 %

OPHTHALMIC T3

GENTEAL TEARS SOLUTION 0.1-0.2-0.3 %

OPHTHALMIC T3

GENTEAL TEARS SOLUTION 0.1-0.3 %

OPHTHALMIC T3

gnp eye drops solution 0.5 % ophthalmic T3

gnp lubricating plus eye drops solution 0.5 %

ophthalmic T3

gnp nasal moisturizing solution 0.65 % nasal T3

goodsense lubricating eye drop solution 0.5 %

ophthalmic T3

hm lubricating plus solution 0.5 % ophthalmic T3

hm saline nasal spray solution 0.65 % nasal T3

ISOPTO TEARS SOLUTION 0.5 %

OPHTHALMIC T3

liquitears solution 1.4 % ophthalmic T3

LITTLE NOSES SALINE SOLUTION 0.65 %

NASAL T3

50


LITTLE NOSES STUFFY NOSE KIT

SOLUTION 0.65 % NASAL T3

LITTLE REMEDIES SALINE MIST AEROSOL

SOLUTION NASAL T3

lubricating plus eye drops solution 0.5 %

ophthalmic T3

MURO 128 OINTMENT 5 % OPHTHALMIC T3

MURO 128 SOLUTION 5 % OPHTHALMIC T3

nasal mist aerosol solution 0.9 % inhalation T3

NASAL MOIST SOLUTION 0.65 % NASAL T3

nasal moisturizing spray solution 0.65 % nasal T3

nasal spray solution 0.65 % nasal T3

natural balance tears solution 0.1-0.3 %

ophthalmic T3

natures tears solution 0.1-0.3 % ophthalmic T3

OCEAN FOR KIDS SOLUTION 0.65 % NASAL T3

OCEAN NASAL SPRAY SOLUTION 0.65 %

NASAL T3

OPTIVE SOLUTION 0.5-0.9 % OPHTHALMIC T3

px saline nasal spray solution 0.65 % nasal T3

ra saline nasal spray solution 0.65 % nasal T3

REFRESH OPTIVE SOLUTION 0.5-0.9 %

OPHTHALMIC T3

REFRESH PLUS SOLUTION 0.5 %

OPHTHALMIC T3

REFRESH REPAIR SOLUTION 0.5-0.9 %

OPHTHALMIC T3

REFRESH SOLUTION 1.4-0.6 %

OPHTHALMIC T3

REFRESH TEARS SOLUTION 0.5 %

OPHTHALMIC T3

saline mist spray solution 0.65 % nasal T3

saline nasal spray solution 0.65 % nasal T3

sb saline nose solution 0.65 % nasal T3

sea soft nasal mist solution 0.65 % nasal T3

sm lubricating plus solution 0.5 % ophthalmic T3

sm nasal spray saline solution 0.65 % nasal T3

sodium chloride (hypertonic) ointment 5 %

ophthalmic T3

51


sodium chloride (hypertonic) solution 5 %

ophthalmic T3

tgt nasal spray solution 0.65 % nasal T3

tgt saline nasal spray solution 0.65 % nasal T3

Vasoconstrictors

12 hour nasal decongestant solution 0.05 % nasal T3

12 hour nasal spray solution 0.05 % nasal T3

gnp 12 hour nasal spray solution 0.05 % nasal T3

gnp nasal spray extra moist solution 0.05 % nasal T3

gnp nasal spray solution 0.05 % nasal T3

gnp no drip nasal spray solution 0.05 % nasal T3

hm nasal spray solution 0.05 % nasal T3

hm sinus nasal spray solution 0.05 % nasal T3

MUCINEX SINUS-MAX CLEAR & COOL


MUCINEX SINUS-MAX FULL FORCE


MUCINEX SINUS-MAX MOIST SMART


NAPHCON-A SOLUTION 0.025-0.3 %

OPHTHALMIC T1

nasal decongestant spray solution 0.05 % nasal T3

nasal relief solution 0.05 % nasal T3

nasal spray 12 hour solution 0.05 % nasal T3

nasal spray extra moisturizing solution 0.05 %

nasal T3

no drip nasal spray solution 0.05 % nasal T3

sinus nasal spray solution 0.05 % nasal T3

sinus relief nasal spray solution 0.05 % nasal T3

sm nasal spray 12 hour solution 0.05 % nasal T3

sm nasal spray moisturizing solution 0.05 %

nasal T3

sm nasal spray sinus solution 0.05 % nasal T3

sm nasal spray solution 0.05 % nasal T3

Gastrointestinal Drugs

Antacids And Adsorbents

ACID GONE SUSPENSION 95-358 MG/15ML

ORAL T3

52


ALMACONE DOUBLE STRENGTH

SUSPENSION 400-400-40 MG/5ML ORAL T3

ALMACONE SUSPENSION 200-200-20

MG/5ML ORAL T3

aluminum hydroxide gel suspension 320 mg/5ml

oral T3

antacid anti-gas max strength suspension 400-

400-40 mg/5ml oral T3

antacid calcium extra strength tablet chewable

750 mg oral T3

antacid calcium tablet chewable 500 mg oral T3

antacid extra strength tablet chewable 750 mg

oral T3

antacid fast acting suspension 200-200-20

mg/5ml oral T3

antacid fast relief suspension 200-200-20 mg/5ml

oral T3

antacid maximum strength suspension 400-400-

40 mg/5ml oral T3

antacid plus anti-gas fast act suspension 200-200-

20 mg/5ml oral T3

antacid plus anti-gas relief suspension 200-200-

20 mg/5ml oral T3


40 mg/5ml oral T3

antacid regular strength tablet chewable 500 mg

oral T3

antacid suspension 200-200-20 mg/5ml oral T3

antacid tablet chewable 500 mg oral T3

antacid ultra strength tablet chewable 1000 mg

oral T3

bismatrol maximum strength suspension 525

mg/15ml oral T3

bismatrol suspension 262 mg/15ml oral T3

bismatrol tablet chewable 262 mg oral T3

calcium antacid extra strength tablet chewable

750 mg oral T3

calcium antacid tablet chewable 500 mg oral T3

calcium antacid ultra max st tablet chewable

1000 mg oral T3

53


calcium antacid ultra strength tablet chewable

1000 mg oral T3

calcium antacid ultra tablet chewable 1000 mg

oral T3


mg oral T3

CAL-GEST ANTACID TABLET CHEWABLE

500 MG ORAL T3

cvs antacid tablet chewable 500 mg oral T3

cvs magnesium oxide tablet 500 mg oral T3

eql antacid tablet chewable 500 mg oral T3

fast acting antacid/anti-gas suspension 400-400-

40 mg/5ml oral T3

GAVISCON ACID BRKTHRGH FORMULA


GAVISCON SUSPENSION 95-358 MG/15ML

ORAL T3

gnp antacid & anti-gas suspension 200-200-20

mg/5ml oral T3


mg/5ml oral T3

gnp antacid anti-gas suspension 200-200-20

mg/5ml oral T3

gnp antacid extra strength tablet chewable 750

mg oral T3

gnp antacid maximum strength suspension 400-


gnp antacid regular strength suspension 200-200-

20 mg/5ml oral T3

gnp antacid tablet chewable 500 mg oral T3

GNP MASANTI MAXIMUM STRENGTH


GNP MASANTI REGULAR STRENGTH


gnp pink bismuth tablet chewable 262 mg oral T3

gnp stomach relief max st suspension 525

mg/15ml oral T3

gnp stomach relief suspension 262 mg/15ml oral T3

goodsense stomach relief tablet chewable 262 mg

oral T3

54


HEALTHY MAMA TAME THE FLAME


hm advanced antacid max st suspension 400-400-

40 mg/5ml oral T3

hm antacid anti-gas ex st suspension 400-400-40

mg/5ml oral T3

hm antacid suspension 200-200-20 mg/5ml oral T3

hm antacid/antigas suspension 200-200-20

mg/5ml oral T3

hm calcium antacid ex st tablet chewable 750 mg

oral T3



hm calcium antacid ultra st tablet chewable 1000

mg oral T3

hm stomach relief max strength suspension 525

mg/15ml oral T3

hm stomach relief suspension 525 mg/30ml oral T3

hm stomach relief tablet chewable 262 mg oral T3

KAO-TIN SUSPENSION 262 MG/15ML ORAL T3

kls antacid tablet chewable 500 mg oral T3

mag-al plus liquid 200-200-20 mg/5ml oral T3

mag-al plus xs liquid 400-400-40 mg/5ml oral T3

magnesium capsule 500 mg oral T3

magnesium oxide capsule 500 mg oral T3

magnesium oxide tablet 400 (240 mg) mg oral T3

magnesium oxide tablet 400 (241.3 mg) mg oral T3

magnesium oxide tablet 400 mg oral T3



MAGNESIUM-OXIDE TABLET 400 (241.3

MG) MG ORAL T3

MAGOX 400 TABLET 400 (241.3 MG) MG

ORAL T3

mi-acid maximum strength suspension 400-400-

40 mg/5ml oral T3

MI-ACID SUSPENSION 200-200-20 MG/5ML

ORAL T3

55


mintox maximum strength suspension 400-400-40

mg/5ml oral T3

MINTOX REGULAR STRENGTH


MINTOX SUSPENSION 200-200-20 MG/5ML

ORAL T3

peptic relief suspension 262 mg/15ml oral T3

peptic relief tablet chewable 262 mg oral T3

pink bismuth tablet chewable 262 mg oral T3

px calcium antacid tablet chewable 500 mg oral T3

qc antacid suspension 200-200-20 mg/5ml oral T3

qc antacid tablet chewable 500 mg oral T3

qc antacid/anti-gas suspension 200-200-20

mg/5ml oral T3


mg/5ml oral T3

ra antacid tablet chewable 500 mg oral T3

ra magnesium capsule 500 mg oral T3

rulox suspension 200-200-20 mg/5ml oral T3

sb antacid tablet chewable 500 mg oral T3

sm antacid advanced max st suspension 400-400-

40 mg/5ml oral T3

sm antacid advanced suspension 200-200-20

mg/5ml oral T3

sm antacid/antigas suspension 200-200-20

mg/5ml oral T3

sm calcium antacid ex st tablet chewable 750 mg

oral T3

sm calcium antacid tablet chewable 500 mg oral T3

sm calcium antacid ultra st tablet chewable 1000

mg oral T3

sm stomach relief suspension 262 mg/15ml oral T3


sm stomach relief tablet chewable 262 mg oral T3

sodium bicarbonate tablet 325 mg oral T3

sodium bicarbonate tablet 650 mg oral T3

stomach relief max st suspension 525 mg/15ml

oral T3

stomach relief suspension 262 mg/15ml oral T3

56


stomach relief tablet chewable 262 mg oral T3

TUMS CHEWY BITES TABLET CHEWABLE

750 MG ORAL T3

TUMS E-X 750 TABLET CHEWABLE 750 MG

ORAL T3

TUMS EXTRA STRENGTH 750 TABLET


TUMS FRESHERS TABLET CHEWABLE 500

MG ORAL T3

TUMS KIDS TABLET CHEWABLE 750 MG

ORAL T3

TUMS SMOOTHIES TABLET CHEWABLE

750 MG ORAL T3

TUMS TABLET CHEWABLE 500 MG ORAL T3

TUMS ULTRA 1000 TABLET CHEWABLE

1000 MG ORAL T3

Antidiarrhea Agents

anti-diarrheal capsule 2 mg oral T3

anti-diarrheal tablet 2 mg oral T3

bismatrol maximum strength suspension 525

mg/15ml oral T3

bismatrol suspension 262 mg/15ml oral T3

bismatrol tablet chewable 262 mg oral T3

gnp anti-diarrheal capsule 2 mg oral T3

gnp anti-diarrheal tablet 2 mg oral T3

gnp pink bismuth tablet chewable 262 mg oral T3

gnp stomach relief max st suspension 525

mg/15ml oral T3

gnp stomach relief suspension 262 mg/15ml oral T3

goodsense stomach relief tablet chewable 262 mg

oral T3

hm anti-diarrheal tablet 2 mg oral T3

hm loperamide hcl capsule 2 mg oral T3

hm stomach relief max strength suspension 525

mg/15ml oral T3

hm stomach relief suspension 525 mg/30ml oral T3

hm stomach relief tablet chewable 262 mg oral T3

KAO-TIN SUSPENSION 262 MG/15ML ORAL T3

loperamide hcl capsule 2 mg oral T3

57


peptic relief suspension 262 mg/15ml oral T3

peptic relief tablet chewable 262 mg oral T3

pink bismuth tablet chewable 262 mg oral T3

qc anti-diarrheal capsule 2 mg oral T3

qc anti-diarrheal tablet 2 mg oral T3

sm anti-diarrheal capsule 2 mg oral T3

sm anti-diarrheal tablet 2 mg oral T3



sm stomach relief tablet chewable 262 mg oral T3

stomach relief max st suspension 525 mg/15ml

oral T3

stomach relief suspension 262 mg/15ml oral T3

stomach relief tablet chewable 262 mg oral T3

Antiemetics, Miscellaneous

anti-nausea solution 1.87-1.87-21.5 oral T1

formula em solution 1.87-1.87-21.5 oral T1

gnp nausea relief solution 1.87-1.87-21.5 oral T1

hm anti-nausea solution 1.87-1.87-21.5 oral T1

nausea relief solution 1.87-1.87-21.5 oral T1

Antiflatulents

ALMACONE DOUBLE STRENGTH


ALMACONE SUSPENSION 200-200-20

MG/5ML ORAL T3

antacid anti-gas max strength suspension 400-


antacid fast acting suspension 200-200-20

mg/5ml oral T3

antacid fast relief suspension 200-200-20 mg/5ml

oral T3

antacid maximum strength suspension 400-400-

40 mg/5ml oral T3

antacid plus anti-gas fast act suspension 200-200-

20 mg/5ml oral T3


20 mg/5ml oral T3


40 mg/5ml oral T3

58


antacid suspension 200-200-20 mg/5ml oral T3

fast acting antacid/anti-gas suspension 400-400-

40 mg/5ml oral T3

gas relief extra strength capsule 125 mg oral T3

gas relief maximum strength tablet chewable 125

mg oral T3

gas relief tablet chewable 80 mg oral T3

GAS-X EXTRA STRENGTH CAPSULE 125

MG ORAL T3

GAS-X EXTRA STRENGTH TABLET


GAS-X TABLET CHEWABLE 80 MG ORAL T3


mg/5ml oral T3


mg/5ml oral T3

gnp antacid anti-gas suspension 200-200-20

mg/5ml oral T3

gnp antacid maximum strength suspension 400-


gnp antacid regular strength suspension 200-200-

20 mg/5ml oral T3

gnp gas relief extra strength capsule 125 mg oral T3

gnp gas relief extra strength tablet chewable 125

mg oral T3

gnp gas relief tablet chewable 80 mg oral T3

GNP MASANTI MAXIMUM STRENGTH


GNP MASANTI REGULAR STRENGTH


hm advanced antacid max st suspension 400-400-

40 mg/5ml oral T3

hm antacid anti-gas ex st suspension 400-400-40

mg/5ml oral T3

hm antacid suspension 200-200-20 mg/5ml oral T3

hm antacid/antigas suspension 200-200-20

mg/5ml oral T3

hm gas relief extra strength capsule 125 mg oral T3

hm gas relief tablet chewable 80 mg oral T3

mag-al plus liquid 200-200-20 mg/5ml oral T3

59


mag-al plus xs liquid 400-400-40 mg/5ml oral T3

mi-acid gas relief tablet chewable 80 mg oral T3

mi-acid maximum strength suspension 400-400-

40 mg/5ml oral T3

MI-ACID SUSPENSION 200-200-20 MG/5ML

ORAL T3

mintox maximum strength suspension 400-400-40

mg/5ml oral T3

MINTOX REGULAR STRENGTH


MINTOX SUSPENSION 200-200-20 MG/5ML

ORAL T3

mytab gas maximum strength tablet chewable 125

mg oral T3

mytab gas tablet chewable 80 mg oral T3

qc antacid suspension 200-200-20 mg/5ml oral T3


mg/5ml oral T3


mg/5ml oral T3

rulox suspension 200-200-20 mg/5ml oral T3

simethicone tablet chewable 125 mg oral T3

simethicone tablet chewable 80 mg oral T3

sm antacid advanced max st suspension 400-400-

40 mg/5ml oral T3

sm antacid advanced suspension 200-200-20

mg/5ml oral T3

sm antacid/antigas suspension 200-200-20

mg/5ml oral T3

sm gas relief extra strength capsule 125 mg oral T3

sm gas relief tablet chewable 125 mg oral T3

sm gas relief tablet chewable 80 mg oral T3

Antihistamines (Gi Drugs)




hm motion relief tablet 25 mg oral T1



60


meclizine hcl tablet 12.5 mg oral (otc) T1

meclizine hcl tablet 12.5 mg oral (rx) T1

meclizine hcl tablet 25 mg oral (rx) T1

meclizine hcl tablet chewable 25 mg oral (otc) T1


motion-time tablet chewable 25 mg oral T1





travel sickness tablet chewable 25 mg oral T1

Cathartics And Laxatives

BISAC-EVAC SUPPOSITORY 10 MG

RECTAL T3

bisacodyl ec tablet delayed release 5 mg oral T3

bisacodyl suppository 10 mg rectal T3

biscolax suppository 10 mg rectal T3

chocolated laxative tablet chewable 15 mg oral T3



ORAL T2 PA


260 MG ORAL T2 PA

CLEARLAX POWDER ORAL T3

COLACE 2-IN-1 TABLET 8.6-50 MG ORAL T3

COLACE CAPSULE 100 MG ORAL T3

COLACE CLEAR CAPSULE 50 MG ORAL T3

diocto liquid 50 mg/5ml oral T3

diocto syrup 60 mg/15ml oral T3

docqlace capsule 100 mg oral T3

docu liquid 50 mg/5ml oral T3

docusate sodium capsule 100 mg oral T3

docusate sodium liquid 50 mg/5ml oral T3

DOCUSIL CAPSULE 100 MG ORAL T3

DOCUSOL MINI ENEMA 283 MG/5ML

RECTAL T3

DOK CAPSULE 100 MG ORAL T3

61


DOK CAPSULE 250 MG ORAL T3

DOK PLUS TABLET 50-8.6 MG ORAL T3

ducodyl tablet delayed release 5 mg oral T3

DULCOLAX STOOL SOFTENER CAPSULE

100 MG ORAL T3

DULCOLAX SUPPOSITORY 10 MG RECTAL T3

DULCOLAX TABLET DELAYED RELEASE 5

MG ORAL T3

enema enema 7-19 gm/118ml rectal T3

enema mineral oil enema rectal T3

enema ready-to-use enema 7-19 gm/118ml rectal T3

ENEMEEZ MINI ENEMA 283 MG/5ML

RECTAL T3

EX-LAX TABLET CHEWABLE 15 MG ORAL T3

fiber laxative tablet 625 mg oral T3

fiber tablet 625 mg oral T3

fiber-lax tablet 625 mg oral T3

FLEET BISACODYL ENEMA 10 MG/30ML

RECTAL T3

FLEET ENEMA ENEMA 7-19 GM/118ML

RECTAL T3

FLEET OIL ENEMA RECTAL T3

gavilax powder oral T3

gentle laxative tablet delayed release 5 mg oral T3

glycerin (pediatric) suppository 1.2 gm rectal T3

GLYCOLAX POWDER ORAL T3

GNP BISA-LAX TABLET DELAYED


GNP CLEARLAX POWDER ORAL T3

gnp docusate calcium capsule 240 mg oral T3

gnp enema enema 7-19 gm/118ml rectal T3

gnp enema enema rectal T3

gnp fiber-caps tablet 625 mg oral T3

gnp gentle laxative suppository 10 mg rectal T3

gnp laxative tablet delayed release 5 mg oral T3

gnp magnesium citrate solution 1.745 gm/30ml

oral T3

62


gnp milk of magnesia suspension 1200 mg/15ml

oral T3

gnp mineral oil enema rectal T3

gnp mineral oil heavy oil oral T3

gnp mineral oil oil oral T3

gnp natural fiber powder 48.57 % oral T3

gnp senna lax tablet 8.6 mg oral T3

gnp senna plus tablet 8.6-50 mg oral T3

gnp senna-lax tablet 8.6 mg oral T3

gnp stool softener capsule 100 mg oral T3

gnp stool softener capsule 250 mg oral T3

gnp stool softener ex st capsule 250 mg oral T3

gnp stool softener liquid 50 mg/5ml oral T3

gnp stool softener syrup 60 mg/15ml oral T3

gnp stool softener/laxative tablet 8.6-50 mg oral T3

gnp womens gentle laxative tablet delayed release

5 mg oral T3

gnp womens laxative tablet delayed release 5 mg

oral T3

GOODSENSE CLEARLAX POWDER ORAL T3

HM CLEARLAX POWDER ORAL T3

hm enema enema 7-19 gm/118ml rectal T3

hm enema mineral oil enema rectal T3

hm fiber powder 28.3 % oral T3

hm fiber powder 48.57 % oral T3

hm laxative tablet delayed release 5 mg oral T3

hm magnesium citrate solution 1.745 gm/30ml

oral T3

hm milk of magnesia suspension 1200 mg/15ml

oral T3

hm senna tablet 8.6 mg oral T3

hm senna-s tablet 8.6-50 mg oral T3

hm stool softener capsule 100 mg oral T3

hm stool softener capsule 250 mg oral T3

hm stool softener/laxative tablet 8.6-50 mg oral T3

KAO-TIN CAPSULE 240 MG ORAL T3

konsyl daily fiber powder 28.3 % oral T3

KONSYL FIBER TABLET 625 MG ORAL T3

63


laxative feminine tablet delayed release 5 mg oral T3

laxative suppository 10 mg rectal T3

laxative tablet delayed release 5 mg oral T3

magnesium citrate solution 1.745 gm/30ml oral T3

milk of magnesia suspension 1200 mg/15ml oral T3

milk of magnesia suspension 400 mg/5ml oral T3

milk of magnesia suspension 7.75 % oral T3

mineral oil oil oral T3

natural fiber laxative powder 48.57 % oral T3

natural fiber powder 28.3 % oral T3

natural fiber therapy powder 28.3 % oral T3

natural fiber therapy powder 48.57 % oral T3

PEDIA-LAX SUPPOSITORY 2.8 GM RECTAL T3

peg 3350 powder oral T3

PERI-COLACE TABLET 8.6-50 MG ORAL T3


polyethylene glycol 3350 powder 17 gm/scoop

oral (otc) T3

polyethylene glycol 3350 powder 17 gm/scoop

oral (rx) T3



qc enema enema 16-6 gm/133ml rectal T3

qc gentle laxative suppository 10 mg rectal T3

qc magnesium citrate solution 1.745 gm/30ml

oral T3

qc milk of magnesia suspension 400 mg/5ml oral T3

qc mineral oil heavy oil oral T3

qc natural vegetable laxative tablet 8.6 mg oral T3

qc natura-lax powder oral T3

qc stool softener capsule 100 mg oral T3

qc stool softener pls laxative tablet 8.6-50 mg

oral T3

REGULOID POWDER 28.3 % ORAL T3



SANI-SUPP PEDIATRIC SUPPOSITORY 1.2

GM RECTAL T3

64


senexon liquid 8.8 mg/5ml oral T3

senexon tablet 8.6 mg oral T3

SENEXON-S TABLET 8.6-50 MG ORAL T3

senna lax tablet 8.6 mg oral T3

senna laxative tablet 8.6 mg oral T3

senna plus tablet 8.6-50 mg oral T3

senna syrup 8.8 mg/5ml oral T3

senna tablet 8.6 mg oral T3

senna-docusate sodium tablet 8.6-50 mg oral T3

senna-lax tablet 8.6 mg oral T3

senna-s tablet 8.6-50 mg oral T3

senna-tabs tablet 8.6 mg oral T3

senna-time s tablet 8.6-50 mg oral T3

senna-time tablet 8.6 mg oral T3

SENNO TABLET 8.6 MG ORAL T3

sennosides-docusate sodium tablet 8.6-50 mg oral T3

SENOKOT S TABLET 8.6-50 MG ORAL T3

SENOKOT TABLET 8.6 MG ORAL T3

silace liquid 150 mg/15ml oral T3

silace syrup 60 mg/15ml oral T3

SM CLEARLAX POWDER ORAL T3

sm enema enema 7-19 gm/118ml rectal T3

sm fiber powder 28.3 % oral T3

sm fiber powder 48.57 % oral T3

sm fiber tablet 625 mg oral T3

sm gentle laxative tablet delayed release 5 mg

oral T3

sm magnesium citrate solution 1.745 gm/30ml

oral T3

sm milk of magnesia suspension 1200 mg/15ml

oral T3

sm mineral oil enema rectal T3

sm senna laxative tablet 8.6 mg oral T3

sm senna-s tablet 8.6-50 mg oral T3

sm stool softener capsule 100 mg oral T3

sm stool softener capsule 240 mg oral T3

sm stool softener tablet 8.6-50 mg oral T3

65


sm stool softener/laxative tablet 8.6-50 mg oral T3

stimulant laxative tablet delayed release 5 mg

oral T3

stool softener capsule 100 mg oral T3



stool softener laxative capsule 100 mg oral T3

stool softener laxative capsule 250 mg oral T3

stool softener plus laxative tablet 8.6-50 mg oral T3


ORAL T2 PA

vegetable lax+stool softener tablet 8.6-50 mg oral T3




90-1-200 & 50 MG ORAL T2 PA

womans laxative tablet delayed release 5 mg oral T3

Histamine H2-Antagonists

acid control maximum strength tablet 150 mg

oral T1 QL (60 EA per 30 days)

acid controller max st tablet 20 mg oral T1 QL (60 EA per 30 days)

acid controller original str tablet 10 mg oral T1 QL (60 EA per 30 days)

acid reducer complete tablet chewable 10-800-

165 mg oral T2 PA

acid reducer maximum strength tablet 20 mg oral T1 QL (60 EA per 30 days)

acid reducer tablet 10 mg oral T1 QL (60 EA per 30 days)



cimetidine tablet 200 mg oral (rx) T2 PA

dual action complete tablet chewable 10-800-165

mg oral T2 PA

famotidine tablet 10 mg oral T1 QL (60 EA per 30 days)

famotidine tablet 20 mg oral (rx) T1 QL (60 EA per 30 days)

gnp acid control 150 max st tablet 150 mg oral T1 QL (60 EA per 30 days)

gnp acid reducer max st tablet 20 mg oral T1 QL (60 EA per 30 days)

gnp acid reducer tablet 10 mg oral T1 QL (60 EA per 30 days)

gnp acid reducer tablet 75 mg oral T1 QL (60 EA per 30 days)

gnp heartburn relief tablet 200 mg oral T2 PA

66


goodsense acid reducer tablet 150 mg oral T1 QL (60 EA per 30 days)

goodsense acid reducer tablet 75 mg oral T1 QL (60 EA per 30 days)

heartburn relief 150 max st tablet 150 mg oral T1 QL (60 EA per 30 days)

heartburn relief max st tablet 150 mg oral T1 QL (60 EA per 30 days)

heartburn relief max st tablet 20 mg oral T1 QL (60 EA per 30 days)

heartburn relief tablet 10 mg oral T1 QL (60 EA per 30 days)

heartburn relief tablet 200 mg oral T2 PA

heartburn relief tablet 75 mg oral T1 QL (60 EA per 30 days)

hm acid reducer tablet 75 mg oral T1 QL (60 EA per 30 days)

hm famotidine tablet 10 mg oral T1 QL (60 EA per 30 days)

hm famotidine tablet 20 mg oral T1 QL (60 EA per 30 days)

PEPCID TABLET 20 MG ORAL T2 PA; QL (60 EA per 30 days)

qc acid controller max st tablet 20 mg oral T1 QL (60 EA per 30 days)

qc acid controller tablet 10 mg oral T1 QL (60 EA per 30 days)

qc heartburn 150 max st tablet 150 mg oral T1 QL (60 EA per 30 days)

qc ranitidine hcl tablet 75 mg oral T1 QL (60 EA per 30 days)

ranitidine 150 max strength tablet 150 mg oral T1 QL (60 EA per 30 days)

ranitidine hcl tablet 150 mg oral (otc) T1 QL (60 EA per 30 days)

ranitidine hcl tablet 150 mg oral (rx) T1 QL (60 EA per 30 days)

ranitidine hcl tablet 75 mg oral T1 QL (60 EA per 30 days)

sm acid reducer max st tablet 150 mg oral T1 QL (60 EA per 30 days)

sm acid reducer max st tablet 20 mg oral T1 QL (60 EA per 30 days)

sm acid reducer tablet 10 mg oral T1 QL (60 EA per 30 days)

sm acid reducer tablet 200 mg oral T2 PA

sm acid reducer tablet 75 mg oral T1 QL (60 EA per 30 days)

ZANTAC 150 MAXIMUM STRENGTH

TABLET 150 MG ORAL T2 PA; QL (60 EA per 30 days)

ZANTAC 75 TABLET 75 MG ORAL T2 PA; QL (60 EA per 30 days)

Lipotropic Agents

LIPOTRIAD TABLET ORAL T3

Proton-Pump Inhibitors

acid reducer capsule delayed release 20.6 (20

base) mg oral T2 PA; AL

esomeprazole magnesium capsule delayed release

20 mg oral (otc) T1 PA; QL (30 EA per 30 days); AL

esomeprazole magnesium capsule delayed release

20 mg oral (rx) T1 PA; QL (30 EA per 30 days); AL

67


gnp esomeprazole magnesium capsule delayed

release 20 mg oral T1 QL (30 EA per 30 days); AL

gnp lansoprazole capsule delayed release 15 mg

oral T1 PA; QL (30 EA per 30 days); AL

gnp omeprazole tablet delayed release 20 mg oral T2 PA; AL

GOODSENSE ESOMEPRAZOLE CAPSULE

DELAYED RELEASE 20 MG ORAL T1 QL (30 EA per 30 days); AL

goodsense lansoprazole capsule delayed release

15 mg oral T1 PA; QL (30 EA per 30 days); AL

heartburn treatment 24 hour capsule delayed

release 15 mg oral T1 PA; QL (30 EA per 30 days); AL

heartburn treatment 24 hour capsule delayed


hm esomeprazole magnesium dr capsule delayed


hm lansoprazole capsule delayed release 15 mg


hm omeprazole tablet delayed release 20 mg oral T2 PA; AL

lansoprazole capsule delayed release 15 mg oral

(otc) T1 PA; QL (30 EA per 30 days); AL

lansoprazole capsule delayed release 15 mg oral

(rx) T1 PA; QL (30 EA per 30 days); AL

NEXIUM CAPSULE DELAYED RELEASE 20

MG ORAL T2 PA; QL (30 EA per 30 days); AL

omeprazole magnesium capsule delayed release

20.6 (20 base) mg oral T2 PA; AL

omeprazole tablet delayed release 20 mg oral T2 PA; AL

PREVACID 24HR CAPSULE DELAYED

RELEASE 15 MG ORAL T2 PA; QL (30 EA per 30 days); AL

PREVACID CAPSULE DELAYED RELEASE

15 MG ORAL T2 PA; QL (30 EA per 30 days); AL

qc omeprazole magnesium capsule delayed

release 20.6 (20 base) mg oral T2 PA; AL

sm esomeprazole magnesium capsule delayed


sm lansoprazole capsule delayed release 15 mg


sm omeprazole tablet delayed release 20 mg oral T2 PA; AL

Hormones And Synthetic Substitutes

Contraceptives

68


AFTERA TABLET 1.5 MG ORAL T3

ECONTRA EZ TABLET 1.5 MG ORAL T3

ECONTRA ONE-STEP TABLET 1.5 MG ORAL T3

FALLBACK SOLO TABLET 1.5 MG ORAL T3

levonorgestrel tablet 1.5 mg oral (otc) T3

MY CHOICE TABLET 1.5 MG ORAL T3

MY WAY TABLET 1.5 MG ORAL (OTC) T3

NEW DAY TABLET 1.5 MG ORAL T3

OPCICON ONE-STEP TABLET 1.5 MG ORAL T3

OPTION 2 TABLET 1.5 MG ORAL T3

PLAN B ONE-STEP TABLET 1.5 MG ORAL

(OTC) T3

PLAN B ONE-STEP TABLET 1.5 MG ORAL

(RX) T3

TAKE ACTION TABLET 1.5 MG ORAL T3

Miscellaneous Therapeutic Agents

Antigout Agents

all day pain relief tablet 220 mg oral T1 QL (120 EA per 30 days)

all day relief tablet 220 mg oral T1 QL (120 EA per 30 days)

gnp all day pain relief tablet 220 mg oral T1 QL (120 EA per 30 days)

gnp naproxen sodium capsule 220 mg oral T1

gnp naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

goodsense naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

hm naproxen sodium capsule 220 mg oral T1

hm naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

naproxen sodium capsule 220 mg oral T1

naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

qc naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

sb naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

sm naproxen sodium tablet 220 mg oral T1 QL (120 EA per 30 days)

Other Miscellaneous Therapeutic

Agents

antioxidant formula tablet oral T3

CARNITOR TABLET 330 MG ORAL T3

ELON MATRIX 5000 COMPLETE TABLET

ORAL T3

eye vitamins & minerals tablet oral T3

69


eyeprotect tablet oral T3

gnp healthy eyes supervision capsule oral T3

hair/skin/nails capsule oral T3


ICAPS AREDS FORMULA TABLET ORAL T3

ICAPS CAPSULE ORAL T3

i-vite protect tablet oral T3

levocarnitine tablet 330 mg oral (rx) T3


MACUVITE/LUTEIN TABLET ORAL T3

OCUVITE ADULT 50+ CAPSULE ORAL T3

OCUVITE EYE HEATLH GUMMIES TABLET

CHEWABLE ORAL T3

OCUVITE PRESERVISION TABLET ORAL T3

OCUVITE-LUTEIN CAPSULE ORAL T3

PRESERVISION AREDS 2 CAPSULE ORAL T3

PRESERVISION AREDS CAPSULE ORAL T3

PRESERVISION AREDS TABLET ORAL T3

PRESERVISION/LUTEIN CAPSULE ORAL T3

sm stool softener tablet 8.6-50 mg oral T3

vision formula 2 capsule oral T3

vision formula eye health capsule oral T3

vp-zel tablet oral T3

Respiratory Tract Agents

Alpha And Beta Adrenergic

Agonist(Respr)













70
























gnp nasal decongestant tablet 30 mg oral T3









60-600 mg oral T3

hm nasal decongestant tablet 30 mg oral T3








MG ORAL

T3

71





mg oral T3


600 mg oral T3

nasal decongestant max st tablet 30 mg oral T3

nasal decongestant tablet 30 mg oral T3

pseudoephedrine hcl tablet 30 mg oral (otc) T3














60-600 mg oral T3

sm nasal decongestant max st tablet 30 mg oral T3

SUDOGEST MAXIMUM STRENGTH

TABLET 30 MG ORAL T3


MG ORAL T3





Antitussives



cough/chest congestion dm syrup 10-100 mg/5ml

oral T3

dextromethorphan-guaifenesin solution 10-100

mg/5ml oral T3

72


dextromethorphan-guaifenesin syrup 10-100

mg/5ml oral T3

diabetic siltussin-dm liquid 100-10 mg/5ml oral T3


extra action cough syrup 100-10 mg/5ml oral T3


gnp tussin dm cough liquid 100-10 mg/5ml oral T3

gnp tussin dm liquid 100-10 mg/5ml oral T3


mg/5ml oral T3







guaifenesin-dm syrup 100-10 mg/5ml oral T3

hm tussin adult dm liquid 100-10 mg/5ml oral T3


mg/5ml oral T3



100 MG/5ML ORAL T3



MUCINEX DM TABLET EXTENDED

RELEASE 12 HOUR 30-600 MG ORAL (OTC) T3






oral T3

mucus relief dm tablet extended release 12 hour

30-600 mg oral T3


qc tussin dm cough/congestion liquid 10-100

mg/5ml oral T3


73



mg/5ml oral T3

ROBAFEN DM CGH/CHEST CONGEST

LIQUID 10-100 MG/5ML ORAL T3

ROBAFEN DM COUGH CLEAR SYRUP 100-

10 MG/5ML ORAL T3

ROBAFEN DM COUGH LIQUID 10-100

MG/5ML ORAL T3

robafen dm syrup 100-10 mg/5ml oral T3

siltussin dm das liquid 100-10 mg/5ml oral T3

siltussin-dm alcohol free syrup 100-10 mg/5ml

oral T3


sm tussin cough/chest congest syrup 100-10

mg/5ml oral T3

sm tussin dm syrup 100-10 mg/5ml oral T3


tusnel diabetic liquid 10-100 mg/5ml oral T3


oral T3


tussin dm clear liquid 100-10 mg/5ml oral T3

tussin dm cough + chest liquid 10-100 mg/5ml

oral T3

tussin dm liquid 100-10 mg/5ml oral T3


tussin dm syrup 100-10 mg/5ml oral T3


mg/5ml oral T3



Expectorants


childrens mucus relief expect liquid 100 mg/5ml

oral T3


cough/chest congestion dm syrup 10-100 mg/5ml

oral T3

74


dextromethorphan-guaifenesin solution 10-100

mg/5ml oral T3

dextromethorphan-guaifenesin syrup 10-100

mg/5ml oral T3

diabetic siltussin das-na liquid 100 mg/5ml oral T3

diabetic siltussin-dm liquid 100-10 mg/5ml oral T3

ed bron gp liquid 5-100 mg/5ml oral T3



gnp mucus er tablet extended release 12 hour

1200 mg oral T3

gnp tussin dm cough liquid 100-10 mg/5ml oral T3

gnp tussin dm liquid 100-10 mg/5ml oral T3

gnp tussin mucus & chest cong liquid 100 mg/5ml

oral T3


mg/5ml oral T3





guaifenesin er tablet extended release 12 hour

1200 mg oral T3

guaifenesin liquid 100 mg/5ml oral T3

guaifenesin solution 100 mg/5ml oral T3





guaifenesin-dm syrup 100-10 mg/5ml oral T3


60-600 mg oral T3

hm tussin adult dm liquid 100-10 mg/5ml oral T3

hm tussin adult liquid 100 mg/5ml oral T3


mg/5ml oral T3

MUCINEX CHEST CONGESTION CHILD

LIQUID 100 MG/5ML ORAL T3

75



100 MG/5ML ORAL T3





MG ORAL

T3



MUCINEX DM TABLET EXTENDED

RELEASE 12 HOUR 30-600 MG ORAL (OTC) T3





MUCINEX MAXIMUM STRENGTH TABLET

EXTENDED RELEASE 12 HOUR 1200 MG

ORAL

T3

MUCINEX STUFFY NOSE/COLD CHILD

LIQUID 2.5-100 MG/5ML ORAL T3

mucus & chest congestion liquid 100 mg/5ml oral T3


mg oral T3

mucus relief childrens liquid 100 mg/5ml oral T3


oral T3


600 mg oral T3

mucus relief dm tablet extended release 12 hour

30-600 mg oral T3

mucus relief max st tablet extended release 12

hour 1200 mg oral T3



qc mucus relief er tablet extended release 12 hour

1200 mg oral T3


qc tussin dm cough/congestion liquid 10-100

mg/5ml oral T3

qc tussin mucus/congestion liquid 100 mg/5ml

oral T3

76


RESCON-GG LIQUID 5-100 MG/5ML ORAL T3



mg/5ml oral T3

ROBAFEN DM CGH/CHEST CONGEST

LIQUID 10-100 MG/5ML ORAL T3

ROBAFEN DM COUGH CLEAR SYRUP 100-

10 MG/5ML ORAL T3

ROBAFEN DM COUGH LIQUID 10-100

MG/5ML ORAL T3

robafen dm syrup 100-10 mg/5ml oral T3

ROBAFEN MUCUS/CHEST CONGESTION

LIQUID 200 MG/10ML ORAL T3

siltussin dm das liquid 100-10 mg/5ml oral T3

siltussin-dm alcohol free syrup 100-10 mg/5ml

oral T3


60-600 mg oral T3

sm mucus relief max strength tablet extended

release 12 hour 1200 mg oral T3


sm tussin cough/chest congest syrup 100-10

mg/5ml oral T3

sm tussin dm syrup 100-10 mg/5ml oral T3

sm tussin mucus+chest congest liquid 100 mg/5ml

oral T3


tusnel diabetic liquid 10-100 mg/5ml oral T3


oral T3


tussin dm clear liquid 100-10 mg/5ml oral T3

tussin dm cough + chest liquid 10-100 mg/5ml

oral T3



tussin dm syrup 100-10 mg/5ml oral T3

tussin mucus & chest congest liquid 100 mg/5ml

oral T3

77


tussin mucus+chest congestion liquid 100 mg/5ml

oral T3


mg/5ml oral T3



First Generation Antihist.(Respir Tract)































78












oral T3










MG ORAL T3














MG ORAL T3


79




Mast-Cell Stabilizers

cromolyn sodium aerosol solution 5.2 mg/act

nasal T1

Nasal Preparations (Steroids)

allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

budesonide suspension 32 mcg/act nasal (otc) T2 PA; QL (17.4 ML per 30 days)

FLONASE ALLERGY RELIEF SUSPENSION

50 MCG/ACT NASAL T2 PA; QL (19.8 ML per 30 days)

FLONASE SENSIMIST SUSPENSION 27.5

MCG/SPRAY NASAL T2 PA; QL (19.8 ML per 30 days)


nasal (otc) T2 PA; QL (19.8 ML per 30 days)


nasal (rx) T1 PA; QL (19.8 GM per 30 days)

gnp 24 hour nasal allergy aerosol 55 mcg/act


gnp budesonide nasal spray suspension 32


gnp fluticasone propionate chl suspension 50


gnp fluticasone propionate suspension 50 mcg/act


goodsense nasal allergy spray aerosol 55 mcg/act


hm allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

nasal allergy 24 hour aerosol 55 mcg/act nasal T2 PA; QL (16.9 ML per 30 days)

qc allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

qc fluticasone propionate suspension 50 mcg/act


sm allergy relief suspension 50 mcg/act nasal T2 PA; QL (19.8 ML per 30 days)

triamcinolone acetonide aerosol 55 mcg/act nasal

(otc) T2 PA; QL (16.9 ML per 30 days)

VERAMYST SUSPENSION 27.5 MCG/SPRAY

NASAL T2 PA; QL (19.8 GM per 30 days)

Second Generation Antihist(Respir

Tract)

24hr allergy relief tablet 180 mg oral T1 QL (30 EA per 30 days)

all day allergy childrens solution 5 mg/5ml oral T1

80




all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)



all-day allergy childrens solution 5 mg/5ml oral T1

aller-ease tablet 60 mg oral T1 QL (60 EA per 30 days)

allergy childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

allergy non-drowsy tablet 10 mg oral T1 QL (30 EA per 30 days)

allergy relief childrens solution 1 mg/ml oral T1








allergy relief tablet dispersible 10 mg oral T1 QL (30 EA per 30 days)

allergy relief/indoor/outdoor tablet 10 mg oral T1 QL (30 EA per 30 days)





allergy tablet 10 mg oral T1 QL (30 EA per 30 days)





cetirizine hcl allergy child solution 5 mg/5ml oral

(otc) T1

cetirizine hcl childrens alrgy solution 1 mg/ml

oral T1

cetirizine hcl childrens solution 5 mg/5ml oral T1

cetirizine hcl childrens tablet chewable 10 mg

oral T2 PA; QL (30 EA per 30 days)

cetirizine hcl childrens tablet chewable 5 mg oral T2 PA; QL (30 EA per 30 days)

cetirizine hcl solution 1 mg/ml oral (rx) T1



81






childrens loratadine solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

childrens loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

fexofenadine hcl childrens suspension 30 mg/5ml






gnp all day allergy childrens solution 1 mg/ml

oral T1

gnp all day allergy childrens solution 5 mg/5ml

oral T1

gnp all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)





gnp allergy relief tablet 180 mg oral T1 QL (30 EA per 30 days)

gnp allergy relief tablet dispersible 10 mg oral T1 QL (30 EA per 30 days)





gnp loratadine childrens solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

gnp loratadine childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

gnp loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

gnp loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)





goodsense all day allergy solution 5 mg/5ml oral T1

goodsense all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

goodsense aller-ease tablet 180 mg oral T1 QL (30 EA per 30 days)

82


hm all day allergy childrens solution 5 mg/5ml

oral T1

hm all day allergy solution 5 mg/5ml oral T1

hm all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)







hm cetirizine hcl childrens solution 5 mg/5ml oral T1

hm cetirizine hcl tablet 10 mg oral T1 QL (30 EA per 30 days)



hm loratadine childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

hm loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)




(rx) T1 QL (30 EA per 30 days)

loratadine capsule 10 mg oral T2 PA

loratadine childrens solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

loratadine childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

loratadine hives relief solution 5 mg/5ml oral T1 QL (300 ML per 30 days)

loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)





MUCINEX ALLERGY TABLET 180 MG

ORAL T1 QL (30 EA per 30 days)

qc all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)

qc childrens allergy solution 5 mg/5ml oral T1

qc fexofenadine hydrochloride tablet 180 mg oral T1 QL (30 EA per 30 days)

qc loratadine allergy relief tablet 10 mg oral T1 QL (30 EA per 30 days)



sm all day allergy childrens solution 5 mg/5ml

oral T1

83


sm all day allergy tablet 10 mg oral T1 QL (30 EA per 30 days)



sm allergy childrens syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

sm childrens loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)









sm loratadine syrup 5 mg/5ml oral T1 QL (300 ML per 30 days)

sm loratadine tablet 10 mg oral T1 QL (30 EA per 30 days)

XYZAL TABLET 5 MG ORAL T1 QL (30 EA per 30 days)

Skin And Mucous Membrane Agents

Allylamines (Skin And Mucous

Membrane)

athletes foot af cream 1 % external T1 PA

gnp terbinafine hydrochloride cream 1 % external T1 PA

LAMISIL AT CREAM 1 % EXTERNAL T2 PA

LAMISIL AT JOCK ITCH CREAM 1 %

EXTERNAL T2 PA

LAMISIL AT SPRAY SOLUTION 1 %

EXTERNAL T1

sm athletes foot cream 1 % external T1 PA

terbinafine hcl cream 1 % external T1 PA

Antibacterials (Skin, Mucous

Membrane)

bacitracin ointment 500 unit/gm external T1

bacitracin zinc ointment 500 unit/gm external

(otc) T1

bacitracin-neomycin-polymyxin ointment 400-5-

5000 external T1

double antibiotic ointment 500-10000 unit/gm

external T1

gnp bacitracin zinc ointment 500 unit/gm external T1

84


gnp triple antibiotic ointment 3.5-400-5000

external T1

gnp triple antibiotic ointment external T1

gnp triple antibiotic plus ointment 1 % external T1

hm bacitracin zinc ointment 500 unit/gm external T1

hm double antibiotic ointment 500-10000 unit/gm

external T1

hm triple antibiotic max st ointment 1 % external T1

hm triple antibiotic ointment 3.5-400-5000

external T1

poly bacitracin ointment 500-10000 unit/gm

external T1

sm antibiotic ointment 500 unit/gm external T1

sm antibiotic plus pain relief cream 3.5-10000-10

external T1

sm double antibiotic ointment 500-10000 unit/gm

external T1

sm triple antibiotic max st ointment 1 % external T1

sm triple antibiotic ointment 3.5-400-5000

external T1

sm triple antibiotic original ointment 3.5-400-

5000 external T1

triple antibiotic first aid ointment 3.5-400-5000

external T1

triple antibiotic ointment 3.5-400-5000 external T1

triple antibiotic ointment 5-400-5000 external T1

triple antibiotic plus ointment 1 % external T1

Anti-Inflammatory Agents (Skin,

Mucous)

anti-itch maximum strength cream 1 % external T1

gnp hydrocortisone cream 0.5 % external T1

gnp hydrocortisone max st ointment 1 % external T1

gnp hydrocortisone plus cream 1 % external T1

gnp hydrocortisone/aloe cream 1 % external T1

hm hydrocortisone plus cream 1 % external T1

hm hydrocortisone-aloe max st cream 1 %

external T1

hydrocortisone cream 0.5 % external T1

hydrocortisone cream 1 % external (otc) T1

85


hydrocortisone cream 1 % external (rx) T1

hydrocortisone max st cream 1 % external T1

hydrocortisone max st/12 moist cream 1 %

external T1

hydrocortisone ointment 0.5 % external T1

hydrocortisone ointment 1 % external (otc) T1

hydrocortisone ointment 1 % external (rx) T1

hydrocortisone-aloe cream 0.5 % external T1

hydrocortisone-aloe cream 1 % external T1

HYDROSKIN CREAM 1 % EXTERNAL T1

SCALPICIN MAXIMUM STRENGTH

SOLUTION 1 % EXTERNAL T1

sm hydrocortisone cream 1 % external T1

sm hydrocortisone max st ointment 1 % external T1

sm hydrocortisone plus cream 1 % external T1

Antipruritics And Local Anesthetics

dibucaine (perianal) ointment 1 % external T3

lidocaine cream 4 % external T1

lidocaine hcl cream 3 % external (rx) T1

pain relieving cream 4 % external T1

SARNA SENSITIVE LOTION 1 % EXTERNAL T3

Antivirals (Skin And Mucous

Membrane)

ABREVA CREAM 10 % EXTERNAL T1 QL (30 GM per 30 days)

docosanol cream 10 % external (otc) T2 PA; QL (30 GM per 30 days)

Astringents

alum sulfate-ca acetate packet external T3

PEDI-BORO SOAK PACKET EXTERNAL T3

Azoles (Skin And Mucous Membrane)

3 day vaginal cream 2 % vaginal T1

alevazol ointment 1 % external T1

ALOE VESTA ANTIFUNGAL OINTMENT 2 %

EXTERNAL T1

ALOE VESTA CLEAR ANTIFUNGAL

OINTMENT 2 % EXTERNAL T1

antifungal cream 2 % external T1

antifungal powder 2 % external T1

86


athletes foot powder spray aerosol powder 2 %

external T1

baza antifungal cream 2 % external T1

CARRINGTON ANTIFUNGAL CREAM 2 %

EXTERNAL T1

clotrimazole 3 cream 2 % vaginal T1

clotrimazole anti-fungal cream 1 % external (otc) T1

clotrimazole cream 1 % external (otc) T1

clotrimazole cream 1 % external (rx) T2 PA

clotrimazole cream 1 % vaginal T1

clotrimazole solution 1 % external (otc) T2 PA

clotrimazole solution 1 % external (rx) T2 PA

CRITIC-AID CLEAR AF OINTMENT 2 %

EXTERNAL T1

DESENEX POWDER 2 % EXTERNAL T1

DESENEX SPRAY AEROSOL POWDER 2 %

EXTERNAL T1

FUNGOID TINCTURE KIT 2 % EXTERNAL T2 PA

FUNGOID TINCTURE SOLUTION 2 %

EXTERNAL T2 PA

gnp athletes foot cream 1 % external T1

gnp clotrimazole 3 cream 2 % vaginal T1

gnp miconazole 3 applicator kit 200 & 2 mg-%

(9gm) vaginal T1 PA

gnp miconazole 3 kit 200 & 2 mg-% (9gm)

vaginal T1 PA

gnp miconazole 7 cream 2 % vaginal T1 PA

gnp miconazorb af powder 2 % external T1

gnp tioconazole 1 ointment 6.5 % vaginal T1

miconazole 1 kit 1200 & 2 mg & % vaginal T1 PA

miconazole 3 applicator kit 200 & 2 mg-% (9gm)

vaginal T1 PA

miconazole 3 combo pack kit 200 & 2 mg-%

(9gm) vaginal T1 PA

miconazole 3 cream 4 % vaginal T1 PA

miconazole 3 kit vaginal T1

miconazole 7 cream 2 % vaginal T1 PA

miconazole 7 suppository 100 mg vaginal T1

miconazole nitrate aerosol powder 2 % external T1

87


miconazole nitrate cream 2 % external (otc) T1

miconazole nitrate cream 2 % vaginal T1 PA

miconazole nitrate suppository 100 mg vaginal T1

miconazorb af powder 2 % external T1

MICRO GUARD POWDER 2 % EXTERNAL T1

MONISTAT 7 COMBO PACK APP KIT 100 &

2 MG-% (9GM) VAGINAL T2 PA

qc 3 day cream 4 % vaginal T1 PA

qc miconazole 7 cream 2 % vaginal T1 PA

REMEDY ANTIFUNGAL CREAM 2 %

EXTERNAL T1

sm 3-day vaginal cream 2 % vaginal T1

sm antifungal clotrimazole cream 1 % external T1

sm antifungal miconazole cream 2 % external T1

sm clotrimazole vaginal cream 1 % vaginal T1

sm miconazole 3 applicator kit 200 & 2 mg-%

(9gm) vaginal T1 PA

sm miconazole 3 kit 200 & 2 mg-% (9gm) vaginal T1 PA

sm miconazole 7 cream 2 % vaginal T1 PA

sm miconazole 7 suppository 100 mg vaginal T1

sm tioconazole-1 ointment 6.5 % vaginal T1

SOOTHE & COOL INZO ANTIFUNGAL

CREAM 2 % EXTERNAL T1

tioconazole-1 ointment 6.5 % vaginal T1

VAGISTAT-3 KIT 200 & 2 MG-% (9GM)

VAGINAL T1 PA

ZEASORB-AF POWDER 2 % EXTERNAL T1

Basic Lotions And Liniments

ammonium lactate lotion 12 % external (otc) T3

ammonium lactate lotion 12 % external (rx) T3

Basic Oils And Other Solvents

gnp mineral oil heavy oil oral T3

Basic Ointments And Protectants

ammonium lactate cream 12 % external (otc) T3

ammonium lactate cream 12 % external (rx) T3

Benzylamines (Skin And Mucous

Membrane)

88


butenafine hcl cream 1 % external T1

MENTAX CREAM 1 % EXTERNAL T2 PA

Corticosteroids (Skin, Mucous

Membrane)

anti-itch maximum strength cream 1 % external T1

gnp hydrocortisone cream 0.5 % external T1

gnp hydrocortisone max st ointment 1 % external T1

gnp hydrocortisone plus cream 1 % external T1

gnp hydrocortisone/aloe cream 1 % external T1

hm hydrocortisone plus cream 1 % external T1

hm hydrocortisone-aloe max st cream 1 %

external T1

hydrocortisone cream 0.5 % external T1

hydrocortisone cream 1 % external (otc) T1

hydrocortisone cream 1 % external (rx) T1

hydrocortisone max st cream 1 % external T1

hydrocortisone max st/12 moist cream 1 %

external T1

hydrocortisone ointment 0.5 % external T1

hydrocortisone ointment 1 % external (otc) T1

hydrocortisone ointment 1 % external (rx) T1

hydrocortisone-aloe cream 0.5 % external T1

hydrocortisone-aloe cream 1 % external T1

HYDROSKIN CREAM 1 % EXTERNAL T1

SCALPICIN MAXIMUM STRENGTH

SOLUTION 1 % EXTERNAL T1

sm hydrocortisone cream 1 % external T1

sm hydrocortisone max st ointment 1 % external T1

sm hydrocortisone plus cream 1 % external T1

Keratolytic Agents

acne medication 10 gel 10 % external T1

acne medication 10 lotion 10 % external T1

acne medication 5 gel 5 % external (otc) T1

acne medication 5 lotion 5 % external T1

benzoyl peroxide cleanser liquid 6 % external T2 PA

benzoyl peroxide foam 5.3 % external (otc) T1

benzoyl peroxide foam 9.8 % external T1

89


benzoyl peroxide gel 10 % external (otc) T1

benzoyl peroxide gel 5 % external (otc) T1

benzoyl peroxide wash liquid 10 % external (otc) T1

benzoyl peroxide wash liquid 5 % external (otc) T1

bpo foaming cloths 6 % external (otc) T2 PA

bpo foaming cloths 6 % external (rx) T2 PA

bpo gel 4 % external (otc) T2 PA

bpo gel 4 % external (rx) T2 PA

bpo gel 8 % external (otc) T2 PA

bpo gel 8 % external (rx) T2 PA

corn & callus remover liquid 17 % external T3

cvs targeted acne spot cream 2.5 % external T1

DHS SAL SHAMPOO 3 % EXTERNAL T3

gnp wart remover liquid 17 % external T3

PANOXYL BAR 10 % EXTERNAL T1

PANOXYL FOAMING WASH LIQUID 10 %

EXTERNAL T1

PANOXYL WASH LIQUID 10 % EXTERNAL T1

SALACTIC FILM SOLUTION 17 %

EXTERNAL T3

SAL-PLANT GEL 17 % EXTERNAL T3

wart remover maximum strength liquid 17 %

external T3

Local Anti-Infectives, Miscellaneous

anti-dandruff shampoo 1 % external T3

Scabicides And Pediculicides

gnp lice solution kit 0.33-4-0.5 % combination T1

gnp lice treatment liquid 1 % external T1

gnp lice treatment shampoo 0.33-4 % external T1

hm lice killing max st shampoo 0.33-4 % external T1

hm lice treatment liquid 1 % external T1

lice killing maximum strength shampoo 0.33-4 %

external T1

lice killing shampoo 0.33-4 % external T1

lice killing shampoo 4-0.33 % external T1

lice treatment lotion 1 % external T1

90


sm lice killing max strength shampoo 0.33-4 %

external T1

sm lice solution kit kit 0.33-4-0.5 % combination T1

sm lice treatment lotion 1 % external T1

VANALICE GEL 0.3-3.5 % EXTERNAL T2 PA

Skin And Mucous Membrane Agents,

Misc.

adapalene gel 0.1 % external T2 PA; AL

arthritis pain relieving cream 0.075 % external T1

capsaicin cream 0.025 % external T1

capsaicin cream 0.1 % external T1

DIFFERIN GEL 0.1 % EXTERNAL (OTC) T1 AL

DIFFERIN GEL 0.1 % EXTERNAL (RX) T1 AL

Thiocarbamates(Skin And Mucous

Membrane)

antifungal aerosol 1 % external T1

antifungal cream 1 % external T1

anti-fungal powder 1 % external T1

athletes foot powder spray aerosol powder 1 %

external T1

athletes foot spray aerosol 1 % external T1

gnp tolnaftate cream 1 % external T1

jock itch spray aerosol powder 1 % external T1

LAMISIL AF DEFENSE AEROSOL POWDER

1 % EXTERNAL T1

qc tolnaftate cream 1 % external T1

sm antifungal tolnaftate cream 1 % external T1

tolnaftate cream 1 % external T1

tolnaftate powder 1 % external T1

Vitamins

Multivitamin Preparations

50+ adult eye health capsule oral T3



a thru z high potency tablet oral T3

a thru z select 50+ advanced tablet oral T3

a thru z select 50+ mens tablet oral T3

91


a thru z select advanced tablet oral T3

a thru z select tablet oral T3

a thru z select ultimate women tablet oral T3


ABC PLUS SENIOR ADULTS 50+ TABLET

ORAL T3

abdek capsule oral T3


ADEKS TABLET CHEWABLE ORAL T3

adult one daily gummies tablet chewable oral T3


CHEWABLE ORAL T3

advanced stress formula/zinc tablet oral T3

ALIVE ONCE DAILY WOMENS 50+ TABLET

ORAL T3


ALIVE WOMENS GUMMY TABLET

CHEWABLE ORAL T3

antioxidant a/c/e/selenium tablet oral T3

antioxidant capsule oral T3

antioxidant formula capsule oral T3

antioxidant tablet oral T3

antioxidant vitamins tablet oral T3

APATATE FORTE LIQUID ORAL T3

AQUADEKS CAPSULE ORAL T3

AQUADEKS LIQUID ORAL T3

AQUADEKS TABLET CHEWABLE ORAL T3



bee zee tablet oral T3


biosupp liquid oral T3

BIOTECT PLUS LIQUID ORAL T3

biotin plus/calcium/vit d3 tablet oral T3

body/hair/skin/nails capsule oral T3

BPROTECTED MULTI-VITE LIQUID ORAL T3

CALCET PLUS TABLET ORAL T3

92


CARRAVITE TABLET ORAL T3

centamin liquid oral T3

centavite a-z complete-mineral tablet oral T3

central-vite tablet oral T3

CENTRATEX CAPSULE 106-1 MG ORAL T2 PA

centravites 50 plus tablet oral T3


centravites tablet oral T3


CENTRUM CARDIO TABLET ORAL T3

CENTRUM FLAVOR BURST ADULT


CENTRUM FLAVOR BURST KIDS TABLET

CHEWABLE ORAL T3

CENTRUM LIQUID ORAL T3


CENTRUM MULTIGUMMIES TABLET

CHEWABLE ORAL T3


CENTRUM SILVER 50+MEN TABLET ORAL T3


ORAL T3

CENTRUM SILVER ADULT 50+ TABLET

ORAL T3

CENTRUM SILVER TABLET CHEWABLE

ORAL T3

CENTRUM SILVER TABLET ORAL T3


TABLET ORAL T3


ORAL T3

CENTRUM SPECIALIST HEART TABLET

ORAL T3

CENTRUM SPECIALIST VISION TABLET

ORAL T3




93



ORAL T3

century mature tablet oral T3

CENTURY SENIOR TABLET ORAL T3

century tablet oral T3

CEROVITE ADVANCED FORMULA LIQUID

ORAL T3


ORAL T3

CEROVITE SENIOR TABLET ORAL T3

certa plus senior tablet oral T3


certagen liquid† oral T3


CERTAVITE SENIOR/ANTIOXIDANT

TABLET ORAL T3

CERTAVITE/ANTIOXIDANTS LIQUID ORAL T3


ORAL T3

chewable vite childrens tablet chewable oral T3



ORAL T2 PA


MG ORAL T2 PA



260 MG ORAL T2 PA



COMPANION MULTI MEN TABLET ORAL T3

companion tablet oral T3

COMPETE TABLET ORAL T3

complete multivitamin/mineral liquid oral T3

complete natal dha 29-1-200 & 250 mg oral T1

complete senior tablet oral T3

complete tablet oral T3


94



ORAL T2 PA


ORAL T2 PA



CORVITE FREE TABLET ORAL T3

cvs daily energy tablet oral T3

cvs daily gummies tablet chewable oral T3

cvs daily multiple fe/ca/zn tablet oral T3

cvs daily multiple for men 50+ tablet oral T3

cvs daily multiple for men tablet oral T3


cvs daily multiple plus iron tablet oral T3

cvs daily multiple plus min tablet oral T3

cvs daily multiple tablet oral T3



cvs eye health & lutein tablet oral T3

cvs hair/skin/nails tablet oral T3

cvs mega multi tablet oral T3

cvs mens daily gummies tablet chewable oral T3

cvs one daily essential tablet oral T3

cvs one daily mens 50+ adv tablet oral T3


cvs spectravite adult 50+ tablet chewable oral T3

cvs spectravite adult 50+ tablet oral T3

cvs spectravite adult gummies tablet chewable

oral T3

cvs spectravite advanced liquid oral T3


cvs spectravite cardio health tablet oral T3


cvs spectravite naturalized tablet oral T3

cvs spectravite performance tablet oral T3

cvs spectravite plus tablet oral T3


95


cvs spectravite senior tablet oral T3

cvs spectravite tablet oral T3

cvs spectravite ultra men 50+ tablet oral T3




cvs stress formula tablet oral T3

cvs stress formula/zinc tablet oral T3

cvs vision formula tablet oral T3


cvs womens daily gummies tablet chewable oral T3

daily combo multi vitamins tablet oral T3

daily combo multivits/calcium tablet oral T3

daily diet support tablet oral T3


daily multiple vitamins tablet oral T3


daily multiple vitamins/min tablet oral T3

daily multiple weight loss tablet oral T3

daily multivitamin capsule oral T3

daily value multivitamin tablet oral T3

daily vitamin formula tablet oral T3


daily vitamin formula+minerals tablet oral T3

daily vitamin tablet oral T3

daily vitamins tablet oral T3

daily vite multivitamin/iron tablet oral T3

daily vite tablet oral T3

daily vites tablet oral T3

daily vites/iron tablet oral T3

daily-vite tablet oral T3

daily-vite/iron/beta-carotene tablet oral T3

DECUBI-VITE CAPSULE ORAL T3


dekas essential capsule oral T3

dekas essential liquid oral T3

96


dekas plus capsule oral T3

dekas plus liquid oral T3

dekas plus tablet chewable oral T3

diabetes health formula tablet oral T3



ORAL T3

ELON MATRIX COMPLETE TABLET ORAL T3

EMERGEN-C VITAMIN C TABLET

CHEWABLE ORAL T3


eq complete multivit adult 50+ tablet oral T3


eq one daily mens 50+ tablet oral T3

eq one daily mens health tablet oral T3


EQL CENTRAL-VITE PERFORMANCE

TABLET ORAL T3

EQL CENTRAL-VITE SELECT TABLET

ORAL T3

EQL CENTRAL-VITE TABLET ORAL T3

eql century cardio health tablet oral T3

eql century mature adults 50+ tablet oral T3

eql century mature tablet oral T3


eql century tablet oral T3

eql one daily 50 plus tablet oral T3


eql one daily dieters support tablet oral T3

eql one daily essential tablet oral T3

eql one daily maximum tablet oral T3

eql one daily mens 50+ advance tablet oral T3

eql one daily mens health tablet oral T3


eql one daily womens tablet oral T3


eql vision formula tablet oral T3

97



essential balance tablet oral T3

essential one daily multivit tablet oral T3

eye-vite extra plus lutein tablet oral T3


ORAL T2 PA


generix t tablet oral T3

geravim liquid oral T3

geriaton liquid oral T3

geritabs tablet oral T3

geri-tonic liquid oral T3

geri-vite liquid† oral T3


gnp century adults 50+ senior tablet oral T3

gnp century cardio health tablet oral T3


gnp century mature tablet oral T3




gnp essential one daily tablet oral T3


gnp healthy eyes tablet oral T3


gnp mega multi for men tablet oral T3



gnp one daily mens 50+advanced tablet oral T3

gnp one daily mens health 50+ tablet oral T3

gnp one daily mens/lycopene tablet oral T3


gnp one daily womens 50+ tablet oral T3


gnp opti-vitamins tablet oral T3

gnp therapeutic m complete tablet oral T3


98


gnp womens one daily tablet oral T3

golden age vitamin/minerals liquid oral T3


hair vitamins tablet oral T3

hair/skin/nails capsule oral T3



healthy eyes tablet oral T3

healthy eyes/lutein tablet oral T3

healthy hair/skin/nails tablet oral T3

HEMOCYTE PLUS CAPSULE 106-1 MG

ORAL T1 PA

high potency multivit/min/iron tablet oral T3

hm antioxidant vitamins tablet oral T3

hm complete 50+ mens ultimate tablet oral T3

hm complete 50+ tablet oral T3





hm hair/skin/nails tablet oral T3

hm mens 50+ advanced one daily tablet oral T3

hm one daily essential tablet oral T3

hm one daily mens tablet oral T3




ICAPS AREDS FORMULA TABLET ORAL T3

ICAPS LUTEIN & OMEGA-3 CAPSULE ORAL T3

ICAPS MV TABLET ORAL T3

ICAPS PLUS TABLET ORAL T3

i-vite tablet oral T3

kp adults 50+ daily formula tablet oral T3


kp mens 50+ daily formula tablet oral T3

kp mens daily formula tablet oral T3

KP VISION FORMULA TABLET ORAL T3

99


KP VISION FORMULA/LUTEIN TABLET

ORAL T3



K-PAX DOUBLE STRENGTH CAPSULE

ORAL T3


TABLET ORAL T3

K-PAX SINGLE STRENGTH CAPSULE ORAL T3


MACULAR HEALTH FORMULA CAPSULE

ORAL T3

macular vitamin benefit tablet oral T3

MACUVITE EYE CARE TABLET ORAL T3

MACUVITE TABLET ORAL T3

MEGA MULTI MEN TABLET ORAL T3

mega multiple/chelated mineral tablet oral T3

mega multivitamin for men tablet oral T3


meijer advanced formula tablet oral T3

mens 50+ advanced capsule oral T3

mens daily formula/lycopene capsule oral T3

mens multi vitamin & mineral tablet oral T3

MILLTRIUM SENIOR TABLET ORAL T3


multi + omega-3 adult gummies tablet chewable

oral T3

multi adult gummies tablet chewable oral T3


multi for her 50+ capsule oral T3

multi for her 50+ tablet oral T3



multi for him 50+ tablet oral T3

MULTI FOR HIM TABLET ORAL T3

multi max tablet oral T3

multi vitamin daily tablet oral T3

multi vitamin mens tablet oral T3

100



MULTI-BETIC TABLET ORAL T3



multi-delyn liquid oral T3

multi-delyn/iron liquid oral T3

multilex tablet oral T3

multilex-t&m tablet oral T3

multiple vit/minerals/no iron tablet oral T3

multiple vitamins essential tablet oral T3

multiple vitamins tablet oral T3

multiple vitamins/iron tablet oral T3

multiple vitamins/womens tablet oral T3

multivital performance tablet oral T3

multivital platinum silver tablet chewable oral T3

multivital platinum tablet oral T3

multivital tablet oral T3

multivitamin & mineral liquid oral T3

multivitamin adult extra c tablet chewable oral T3

multivitamin adult tablet chewable oral T3


multivitamin adults 50+ tablet oral T3


multi-vitamin daily tablet oral T3

multivitamin gummies adult tablet chewable oral T3

multivitamin gummies mens tablet chewable oral T3

multi-vitamin gummies tablet chewable oral T3

multivitamin gummies womens tablet chewable

oral T3

multivitamin liquid oral T3

multivitamin men 50+ tablet oral T3

multivitamin men tablet oral T3


multi-vitamin tablet oral T3



101


multivitamin/extra vitamin d3 tablet chewable

oral T3

multi-vitamin/minerals tablet oral T3

multivitamins plus zinc capsule oral T3

multi-vitamins tablet oral T3

multivitamins/minerals adult liquid oral T3

multi-vite liquid oral T3

MVW COMPLETE FORMULATION

CAPSULE ORAL T3

MVW COMPLETE FORMULATION D3000

CAPSULE ORAL T3




CAPSULE ORAL T3



MVW COMPLETE FORMULATION MINIS

CAPSULE ORAL T3


SOLUTION 45 MG/0.5ML ORAL T3

MVW COMPLETE FORMULATION TABLET

CHEWABLE ORAL T3

my-vitalife capsule oral T3



ORAL T2 PA



no iron mult vitamin-minerals tablet oral T3


ORAL T2 PA


MG ORAL T2 PA


MG ORAL T2 PA



MG ORAL T2 PA


102


ocular vitamins tablet oral T3

ocutabs tablet oral T3

ocutabs-lutein tablet oral T3

OCUVITE ADULT 50+ CAPSULE ORAL T3

OCUVITE EXTRA TABLET ORAL T3

OCUVITE EYE + MULTI TABLET ORAL T3

OCUVITE TABLET ORAL T3

OCUVITE-LUTEIN TABLET ORAL T3

omnicap tablet oral T3

once daily tablet oral T3

once daily/iron tablet oral T3

ONCOVITE TABLET ORAL T3

ONE A DAY MENS VITACRAVES TABLET

CHEWABLE ORAL T3

one daily adults 50+ tablet oral T3

one daily calcium/iron tablet oral T3


one daily for men 50+ advanced tablet oral T3

one daily for men/lycopene tablet oral T3

one daily for women 50+ adv tablet oral T3




one daily mens 50+ multivit tablet oral T3

one daily mens health tablet oral T3

one daily mens tablet oral T3

one daily multivitamin adult tablet oral T3



one daily plus minerals tablet oral T3

one daily tablet oral T3

one daily womens 50 plus tablet oral T3

one daily womens 50+ tablet oral T3

one daily/iron tablet oral T3

one daily/minerals tablet oral T3

ONE-A-DAY CHOLESTEROL PLUS TABLET

ORAL T3

103



ONE-A-DAY ESSENTIAL TABLET ORAL T3

ONE-A-DAY MAXIMUM FORMULA

TABLET ORAL T3


TABLET ORAL T3

ONE-A-DAY MENS 50+ ADVANTAGE

TABLET ORAL T3

ONE-A-DAY MENS HEALTH FORMULA

TABLET ORAL T3

ONE-A-DAY MENS TABLET ORAL T3

ONE-A-DAY MENS VITACRAVES TABLET

CHEWABLE ORAL T3


ORAL T3


TABLET ORAL T3


TABLET ORAL T3

ONE-A-DAY VITACRAVES ADULT TABLET

CHEWABLE ORAL T3

ONE-A-DAY VITACRAVES IMMUNITY


ONE-A-DAY VITACRAVES SOUR TABLET

CHEWABLE ORAL T3

ONE-A-DAY VITACRAVES TABLET

CHEWABLE ORAL T3

ONE-A-DAY VITACRAVES+OMEGA-3



TABLET ORAL T3


ORAL T3


TABLET ORAL T3


ORAL T3


TABLET ORAL T3


TABLET ORAL T3

104



ORAL T3

ONE-A-DAY WOMENS VITACRAVES


one-daily multi vitamins tablet oral T3

one-daily multi-vitamin tablet oral T3

one-daily/iron tablet oral T3

one-tablet-daily tablet oral T3

one-tablet-daily with minerals tablet oral T3

one-tablet-daily/iron tablet oral T3





CHEWABLE ORAL T3




oral (rx) T1











PRENATE AM TABLET 1 MG ORAL T2 PA


ORAL T2 PA


ORAL T2 PA


400 MG ORAL T2 PA


300 MG ORAL T2 PA

105



ORAL T2 PA


ORAL T2 PA


MG ORAL T2 PA


ORAL T2 PA






ORAL T3

PROSIGHT TABLET ORAL T3

PROTECT CARDIO AF CAPSULE ORAL T3

PROTECT PLUS AF CAPSULE ORAL T3


PROTECT PLUS SO CAPSULE ORAL T3


ORAL T2 PA


ORAL T2 PA



px advanced formula multivits tablet oral T3

px complete senior multivits tablet oral T3

px mens multivitamins tablet oral T3

qc daily multivit/multimineral tablet oral T3


qc mens daily multivitamin tablet oral T3

qc multivitamin cholesterol tablet oral T3

qc multi-vite 50 & over tablet oral T3



qc womens daily multivitamin tablet oral T3

quintabs tablet oral T3


106


ra central-vite cardio tablet oral T3


ra central-vite performance tablet oral T3

RA CENTRAL-VITE SELECT TABLET ORAL T3

ra central-vite senior tablet oral T3





RA CENTRAL-VITE/ANTIOXIDANTS

TABLET ORAL T3

ra hair/skin/nails tablet oral T3

ra one daily energy formula tablet oral T3

ra one daily essential tablet oral T3

ra one daily gummy vites tablet chewable oral T3


ra one daily mens 50+ w/vit d3 tablet oral T3

ra one daily mens/vit d-3 tablet oral T3

ra one daily multi-vit plus fe tablet oral T3

ra one daily multi-vitamin tablet oral T3


ra stress formula advanced tablet oral T3

ra stress formula energy tablet oral T3

ra therapeutic m plus beta car tablet oral T3

ra vision vite plus zinc tablet oral T3

RA WHOLE SOURCE DIETARY MATURE

TABLET ORAL T3

RA WHOLE SOURCE DIETARY MEN

TABLET ORAL T3

RA WHOLE SOURCE DIETARY TABLET

ORAL T3

RA WHOLE SOURCE FOR MEN TABLET

ORAL T3

SAVISION TABLET ORAL T3


MG ORAL T2 PA


ORAL T2 PA

107





senior tabs tablet oral T3

sentry adult tablet oral T3

sentry senior tablet oral T3


sm antioxidant vitamins tablet oral T3

sm complete 50+ tablet oral T3

sm complete 50+ ultimate mens tablet oral T3



sm complete senior formula tablet oral T3


sm hair/skin/nails tablet oral T3

sm multiple vitamins essential tablet oral T3

sm multiple vitamins/iron tablet oral T3

sm one daily essential tablet oral T3

sm one daily mens tablet oral T3


sm opti-vitamins tablet oral T3


solo tablet oral T3

SOURCECF CAPSULE ORAL T3

stress 500 b-complex tablet oral T3

stress 500 b-complex/zinc tablet oral T3

stress b/zinc tablet oral T3

stress formula tablet oral T3

stress formula/zinc tablet oral T3

stress tab nf tablet oral T3

stress/zinc tablet oral T3


STROVITE ONE TABLET ORAL T3

SUNVITE ADVANCED TABLET ORAL T3

super antioxidant capsule oral T3

super ginseng multivitamin capsule oral T3

108


super mega vite 75/beta caro tablet oral T3

super multiple capsule oral T3

super multiple tablet oral T3

SUPER NU-THERA LIQUID ORAL T3

SUPER NU-THERA TABLET ORAL T3

super thera vite m tablet oral T3

super vikaps tablet oral T3

support liquid oral (otc) T3

support liquid oral (rx) T3

SYNDION CAPSULE ORAL T3

SYNDION LIQUID ORAL T3

SYNDION-SF LIQUID ORAL T3

SYSTANE ICAPS AREDS2 CAPSULE ORAL T3

SYSTANE ICAPS AREDS2 TABLET

CHEWABLE ORAL T3

SYSTANE ICAPS AREDS2 TABLET ORAL T3

TAB-A-VITE MAXIMUM TABLET ORAL T3


TAB-A-VITE WOMENS TABLET ORAL T3

TAB-A-VITE/BETA CAROTENE TABLET

ORAL T3

tab-a-vite/iron tablet oral T3



ORAL T2 PA


ORAL T2 PA

th complete multi 50+ tablet oral T3

th complete multi tablet oral T3


th daily multiple vitamins tablet oral T3



th vision vitamins tablet oral T3



THERA TABLET ORAL T3

109


THERAGRAN-M ADVANCED 50 PLUS

TABLET ORAL T3


ORAL T3

THERAGRAN-M PREMIER 50 PLUS TABLET

ORAL T3




THERAMILL FORTE CAPSULE ORAL T3

therapeutic formula/hematinics tablet oral T3

therapeutic liquid solution oral T3


therapeutic tablet oral T3




thera-tabs tablet oral T3

THERATRUM COMPLETE 50 PLUS TABLET

ORAL T3

THERATRUM COMPLETE TABLET ORAL T3

therems m tablet oral T3

THEREMS TABLET ORAL T3

THEREMS-H TABLET ORAL T3

THEREMS-M TABLET ORAL T3







ORAL T1

TRUEPLUS DIABETIC MULTIVITAMIN

TABLET ORAL T3

ultimate teen tablet oral T3

ultra antioxidant formula tablet oral T3



110


unicomplex-m tablet oral T3

vigomar forte tablet oral T3

vigortol liquid† oral T3









VISION FORMULA TABLET ORAL T3

vision formula/lutein tablet oral T3

vision vitamins tablet oral T3

vit e-vit c-beta carotene tablet 200-250-5000 oral T3

vitabex plus capsule oral T3


90-1-200 & 50 MG ORAL T2 PA


3.33-0.333-34.8 MG ORAL T2 PA


MG ORAL T2 PA


ORAL T2 PA




vitalee tablet oral T3

vitamin-mineral supplement liquid oral T3

vitamins a-d-e/selenium tablet oral T3


vitamins/minerals tablet oral T3



vitatrum tablet oral T3

vitrum 50+ senior multi tablet oral T3

VITRUM SENIOR TABLET ORAL T3

111




womens 50+ advanced capsule oral T3

womens biomultiple tablet oral T3

womens daily form/fa/ca/fe tablet oral T3


womens hair, skin & nails tablet oral T3


womens one daily tablet oral T3


ORAL T3

YOUR LIFE MULTI ADULT GUMMIES



MG ORAL T2 PA


MG ORAL T2 PA

Vitamin A

a-10000 capsule 3 mg (10000 ut) oral T3

beta carotene capsule 25000 unit oral T3

cvs b-carotene capsule 25000 unit oral T3

cvs beta carotene capsule 15 mg oral T3

cvs beta carotene capsule 25000 unit oral T3

cvs vitamin a capsule 2400 mcg (8000 ut) oral T3



eql beta carotene capsule 25000 unit oral T3

gnp vitamin a capsule 3 mg (10000 ut) oral T3






prevent capsule oral T3


ra beta carotene capsule 15 mg oral T3

ra vitamin a capsule 3 mg (10000 ut) oral T3

112


vitamin a capsule 10000 unit oral T3

vitamin a capsule 2400 mcg (8000 ut) oral T3

vitamin a capsule 3 mg (10000 ut) oral T3

vitamin a palmitate capsule 10000 unit oral T3

vitamin a-beta carotene capsule 25000 unit oral T3


Vitamin B Complex



a thru z select 50+ advanced tablet oral T3

a thru z select 50+ mens tablet oral T3

a thru z select advanced tablet oral T3

a thru z select tablet oral T3


ABC PLUS SENIOR ADULTS 50+ TABLET

ORAL T3


adult one daily gummies tablet chewable oral T3


CHEWABLE ORAL T3


ORAL T3


ALIVE WOMENS GUMMY TABLET

CHEWABLE ORAL T3

AQUADEKS CAPSULE ORAL T3

AQUADEKS TABLET CHEWABLE ORAL T3

b complex capsule oral T3

b complex formula 1 tablet oral T3

b complex tablet oral T3

b complex vitamins capsule oral T3

b complex-c-folic acid tablet oral T3

b-1 tablet 250 mg oral T3

b-100 complex tablet oral T3

b-100 tablet oral T3

b-12 tablet 100 mcg oral T3


113





b-12 tablet extended release 1000 mcg oral T3

b-12 tablet sublingual 2500 mcg sublingual T3 AL

b-12 tr tablet extended release 1000 mcg oral T3

b2 tablet 100 mg oral T3


b-2 tablet 50 mg oral T3 AL

b-50 complex tablet oral T3

b6 natural tablet 100 mg oral T3





balance b-100 tablet oral T3

balance b-50 tablet oral T3

balanced b-100 tablet oral T3

balanced b-50 complex tablet oral T3

balanced b-50 tablet oral T3


b-complex balanced tablet oral T3

b-complex tablet oral T3

b-complex/folic acid/vitamin c tablet extended

release oral T3

b-complex/vitamin c tablet oral T3

b-complex-c tablet oral T3



biotin 5000 capsule 5 mg oral T3

biotin capsule 5 mg oral T3

biotin capsule 5000 mcg oral T3

biotin maximum strength capsule 5000 mcg oral T3

biotin tablet 1000 mcg oral T3


biotin tablet 5 mg oral T3


114


calcium pantothenate tablet 500 mg oral T3

centravites 50 plus tablet oral T3



CENTRUM FLAVOR BURST ADULT



CENTRUM MULTIGUMMIES TABLET

CHEWABLE ORAL T3


CENTRUM SILVER 50+MEN TABLET ORAL T3


ORAL T3

CENTRUM SILVER ADULT 50+ TABLET

ORAL T3

CENTRUM SILVER TABLET CHEWABLE

ORAL T3

CENTRUM SILVER TABLET ORAL T3


TABLET ORAL T3


ORAL T3

CENTRUM SPECIALIST VISION TABLET

ORAL T3





ORAL T3


ORAL T3



CERTAVITE SENIOR/ANTIOXIDANT

TABLET ORAL T3


ORAL T3



115



ORAL T2 PA


MG ORAL T2 PA



260 MG ORAL T2 PA



COMPANION MULTI MEN TABLET ORAL T3

companion tablet oral T3



ORAL T2 PA


ORAL T2 PA




CORVITE FREE TABLET ORAL T3

cvs b-12 tablet 500 mcg oral T3

cvs b-12 tablet extended release 1000 mcg oral T3

cvs b6 tablet 100 mg oral T3

cvs b-6 tablet 100 mg oral T3

CVS BALANCED B-100 TABLET ORAL T3

CVS BALANCED B50 TABLET ORAL T3

cvs biotin capsule 5000 mcg oral T3

cvs biotin high potency tablet 1000 mcg oral T3

cvs daily gummies tablet chewable oral T3

cvs daily multiple for men 50+ tablet oral T3





cvs folic acid tablet 400 mcg oral T3

cvs folic acid tablet 800 mcg oral T3

cvs mens daily gummies tablet chewable oral T3

cvs one daily essential tablet oral T3

116




cvs spectravite adult 50+ tablet chewable oral T3

cvs spectravite adult 50+ tablet oral T3

cvs spectravite adult gummies tablet chewable

oral T3




cvs spectravite senior tablet oral T3

cvs spectravite ultra men 50+ tablet oral T3




cvs vitamin b/c tablet oral T3

cvs vitamin b-12 tablet 100 mcg oral T3

cvs vitamin b12 tablet 1000 mcg oral T3




cvs vitamin b12 tablet extended release 1000 mcg

oral T3

cvs vitamin b-2 tablet 100 mg oral T3




cvs womens daily gummies tablet chewable oral T3

cyanocobalamin solution 1000 mcg/ml injection T3

cyanocobalamin tablet sublingual 2500 mcg

sublingual T3 AL








117



diabetes health formula tablet oral T3

dialyvite 800/ultra d tablet oral T3

ELDERTONIC LIQUID ORAL T3



ORAL T3

ELON MATRIX COMPLETE TABLET ORAL T3


eq complete multivit adult 50+ tablet oral T3





eql b complex tablet oral T3

eql b-12 tablet extended release 1000 mcg oral T3

eql b-6 tablet 100 mg oral T3

EQL CENTRAL-VITE TABLET ORAL T3




eql century tablet oral T3

eql folic acid tablet 400 mcg oral T3




eql stress b-complex c/zinc tablet oral T3

eql super b complex/vitamin c tablet oral T3


eql vitamin b-12 tablet 500 mcg oral T3

eql vitamin b-12 tr tablet extended release 1000

mcg oral T3


essential one daily multivit tablet oral T3




118




folate tablet 400 mcg oral T3

folic acid tablet 1 mg oral (otc) T3

folic acid tablet 1 mg oral (rx) T3

folic acid tablet 400 mcg oral T3

folic acid tablet 800 mcg oral T3



ORAL T2 PA




MG ORAL T2 PA

GLUTOFAC TABLET ORAL T3

gnp b-12 tablet sublingual 2500 mcg sublingual T3 AL

gnp biotin capsule 5000 mcg oral T3


gnp century adults 50+ senior tablet oral T3


gnp century mature tablet oral T3




gnp essential one daily tablet oral T3

gnp folic acid tablet 400 mcg oral T3



gnp mega multi for men tablet oral T3



gnp one daily mens health 50+ tablet oral T3

gnp one daily mens/lycopene tablet oral T3


gnp one daily womens 50+ tablet oral T3



119


gnp vitamin b1 tablet 100 mg oral T3 AL

gnp vitamin b-12 tablet 500 mcg oral T3

gnp vitamin b-12 tablet extended release 1000

mcg oral T3

gnp vitamin b-12 tr tablet extended release 1000

mcg oral T3

gnp vitamin b-6 tablet 100 mg oral T3




hairvite tablet oral T3

healthy hair/skin/nails tablet oral T3


MG ORAL T2 PA


1 MG ORAL T2 PA

HEMOCYTE-F TABLET 324-1 MG ORAL T1

hm biotin capsule 5000 mcg oral T3

hm complete 50+ mens ultimate tablet oral T3

hm complete 50+ tablet oral T3





hm folic acid tablet 400 mcg oral T3

hm hair/skin/nails tablet oral T3


hm one daily essential tablet oral T3




hm super vitamin b complex/c tablet oral T3

hm vitamin b complex/vitamin c tablet oral T3

hm vitamin b1 tablet 100 mg oral T3 AL

hm vitamin b-12 tablet 500 mcg oral T3

hm vitamin b12 tablet 500 mcg oral T3

hm vitamin b12 tablet extended release 1000 mcg

oral T3

120


hm vitamin b6 tablet 100 mg oral T3


ICAPS MV TABLET ORAL T3

IFEREX 150 FORTE CAPSULE 150-25-1 MG-

MCG-MG ORAL T2 PA




kobee tablet oral T3

kp adults 50+ daily formula tablet oral T3


kp b complex-c tablet oral T3

kp folic acid tablet 1 mg oral T3

kp folic acid tablet 800 mcg oral T3




kp vitamin b-6 tablet 100 mg oral T3




TABLET ORAL T3


l-methylfolate-b6-b12 tablet 3-35-2 mg oral T3

macular vitamin benefit tablet oral T3

MEGA MULTI MEN TABLET ORAL T3

mega multivitamin for men tablet oral T3


mens 50+ advanced capsule oral T3

mens daily formula/lycopene capsule oral T3

mens multi vitamin & mineral tablet oral T3

MERIBIN CAPSULE 5 MG ORAL T3



oral T3

multi adult gummies tablet chewable oral T3


121



multi for her 50+ tablet oral T3



multi for him 50+ tablet oral T3

MULTI FOR HIM TABLET ORAL T3


MULTI-BETIC TABLET ORAL T3



multivital platinum silver tablet chewable oral T3

multivital platinum tablet oral T3

multivitamin adult extra c tablet chewable oral T3

multivitamin adult tablet chewable oral T3


multivitamin adults 50+ tablet oral T3


multivitamin gummies adult tablet chewable oral T3

multivitamin gummies mens tablet chewable oral T3

multi-vitamin gummies tablet chewable oral T3

multivitamin gummies womens tablet chewable

oral T3

multivitamin men 50+ tablet oral T3





multivitamin/extra vitamin d3 tablet chewable

oral T3


nervidox-6 nr tablet oral T3



ORAL T2 PA


NICOMIDE TABLET 750-25-1.5-0.5 MG ORAL T3


122





ORAL T2 PA


MG ORAL T2 PA


MG ORAL T2 PA



MG ORAL T2 PA



omnicap tablet oral T3

ONE A DAY MENS VITACRAVES TABLET

CHEWABLE ORAL T3

one daily adults 50+ tablet oral T3


one daily for men 50+ advanced tablet oral T3

one daily for men/lycopene tablet oral T3

one daily for women 50+ adv tablet oral T3





one daily mens health tablet oral T3

one daily multivitamin adult tablet oral T3



one daily womens 50 plus tablet oral T3

one daily womens 50+ tablet oral T3

ONE-A-DAY CHOLESTEROL PLUS TABLET

ORAL T3



TABLET ORAL T3


TABLET ORAL T3

123



TABLET ORAL T3


ONE-A-DAY MENS VITACRAVES TABLET

CHEWABLE ORAL T3


ORAL T3


TABLET ORAL T3


TABLET ORAL T3

ONE-A-DAY VITACRAVES ADULT TABLET

CHEWABLE ORAL T3

ONE-A-DAY VITACRAVES IMMUNITY


ONE-A-DAY VITACRAVES SOUR TABLET

CHEWABLE ORAL T3

ONE-A-DAY VITACRAVES TABLET

CHEWABLE ORAL T3

ONE-A-DAY VITACRAVES+OMEGA-3



TABLET ORAL T3


ORAL T3


TABLET ORAL T3


ORAL T3


TABLET ORAL T3


TABLET ORAL T3


ORAL T3

ONE-A-DAY WOMENS VITACRAVES





124



CHEWABLE ORAL T3


pa biotin capsule 5000 mcg oral T3

pantothenic acid tablet 500 mg oral T3





oral (rx) T1











PRENATE AM TABLET 1 MG ORAL T2 PA


ORAL T2 PA


ORAL T2 PA


400 MG ORAL T2 PA


300 MG ORAL T2 PA


ORAL T2 PA


ORAL T2 PA


MG ORAL T2 PA


ORAL T2 PA



125






ORAL T3

PROTECT CARDIO AF CAPSULE ORAL T3

PROTECT PLUS AF CAPSULE ORAL T3


PROTECT PLUS SO CAPSULE ORAL T3


ORAL T2 PA


ORAL T2 PA



px b complex/vitamin c tablet oral T3

PX B-50 TABLET ORAL T3

px folic acid tablet 400 mcg oral T3

px mens multivitamins tablet oral T3

pyri 500 tablet 500 mg oral T3

pyridoxine hcl tablet 100 mg oral T3




qc mens daily multivitamin tablet oral T3

qc multivitamin cholesterol tablet oral T3



quin b strong tablet oral T3

quintabs tablet oral T3



ra central-vite senior tablet oral T3





126


RA CENTRAL-VITE/ANTIOXIDANTS

TABLET ORAL T3

ra folic acid tablet 400 mcg oral T3

ra folic acid tablet 800 mcg oral T3

ra one daily essential tablet oral T3

ra one daily gummy vites tablet chewable oral T3





ra stress formula advanced tablet oral T3


ra vitamin b-1 tablet 100 mg oral T3 AL

ra vitamin b-12 tablet 100 mcg oral T3

ra vitamin b-12 tablet extended release 1000 mcg

oral T3

ra vitamin b-12 tr tablet extended release 1000

mcg oral T3

ra vitamin b-6 cr tablet extended release 200 mg

oral T3

ra vitamin b-6 tablet 100 mg oral T3

ra vitamin b-6 tablet 50 mg oral T3

rabano yodado liquid oral T3

RENAPLEX TABLET ORAL T3

RENAPLEX-D TABLET ORAL T3


MG ORAL T2 PA


ORAL T2 PA




senior tabs tablet oral T3

sentry senior tablet oral T3


sm b super vitamin complex tablet oral T3

sm balanced b-100 tablet oral T3

sm balanced b-50 tablet oral T3

127


sm b-complex/vitamin c tablet oral T3

sm biotin capsule 5000 mcg oral T3

sm biotin tablet 5000 mcg oral T3

sm complete 50+ tablet oral T3

sm complete 50+ ultimate mens tablet oral T3



sm complete senior formula tablet oral T3


sm folic acid tablet 400 mcg oral T3

sm one daily essential tablet oral T3



sm stress formula b-complex/zn tablet oral T3


sm vitamin b1 tablet 100 mg oral T3 AL

sm vitamin b-1 tablet 100 mg oral T3 AL

sm vitamin b-12 tablet 100 mcg oral T3

sm vitamin b-12 tablet 500 mcg oral T3

sm vitamin b12 tr tablet extended release 1000

mcg oral T3

sm vitamin b-12 tr tablet extendedrelease* 1000

mcg oral T3

sm vitamin b6 tablet 100 mg oral T3

sm vitamin b-6 tablet 100 mg oral T3

solo tablet oral T3

SOURCECF CAPSULE ORAL T3

stress b complex/zinc tablet oral T3

stress b-complex/vit c/zinc tablet oral T3




SUNVITE ADVANCED TABLET ORAL T3

super b complex maxi tablet oral T3

super b complex/fa/vit c tablet oral T3

super b-50 complex tablet oral T3

super b-complex/vit c/fa tablet oral T3

128


super biotin capsule 5000 mcg oral T3

super biotin tablet 5000 mcg oral T3

super multiple capsule oral T3

super multiple tablet oral T3

SYNDION CAPSULE ORAL T3

SYNDION LIQUID ORAL T3

SYNDION-SF LIQUID ORAL T3





ORAL T2 PA


ORAL T2 PA

th b 100 complex tablet oral T3


th complete multi 50+ tablet oral T3




th vitamin b12 er tablet extended release 1000

mcg oral T3

th vitamin b12 tablet 100 mcg oral T3

th vitamin b-12 tablet 500 mcg oral T3

th vitamin b-6 tablet 100 mg oral T3



THERAGRAN-M ADVANCED 50 PLUS

TABLET ORAL T3


ORAL T3

THERAGRAN-M PREMIER 50 PLUS TABLET

ORAL T3




THERAMILL FORTE CAPSULE ORAL T3


129





THERATRUM COMPLETE 50 PLUS TABLET

ORAL T3









ORAL T1


TABLET ORAL T3

ultra b-100 complex tablet oral T3











vita-bee/c tablet oral T3

vitabex plus capsule oral T3


90-1-200 & 50 MG ORAL T2 PA


3.33-0.333-34.8 MG ORAL T2 PA


MG ORAL T2 PA


ORAL T2 PA


130




vitalee tablet oral T3

vitamin b 12 tablet 500 mcg oral T3

vitamin b complex tablet oral T3

vitamin b-1 tablet 100 mg oral T3 AL

vitamin b1 tablet 100 mg oral T3 AL

vitamin b-1 tablet 250 mg oral T3

vitamin b1 tablet 50 mg oral T3


vitamin b-12 er tablet extended release 1000 mcg

oral T3

vitamin b12 tablet 100 mcg oral T3

vitamin b-12 tablet 100 mcg oral T3




vitamin b12 tablet 500 mcg oral T3


vitamin b-12 tablet sublingual 2500 mcg

sublingual T3 AL

vitamin b12 tr tablet extended release 1000 mcg

oral T3



vitamin b-2 tablet 50 mg oral T3 AL

vitamin b-6 er tablet extended release 200 mg

oral T3










131


vitrum 50+ senior multi tablet oral T3



vp-zel tablet oral T3

womens 50+ advanced capsule oral T3




ORAL T3

YOUR LIFE MULTI ADULT GUMMIES



MG ORAL T2 PA


MG ORAL T2 PA

Vitamin C

acerola c-500 tablet chewable 500 mg oral T3

ascorbic acid tablet 250 mg oral T3 AL

ascorbic acid tablet 500 mg oral T3

b complex-c-folic acid tablet oral T3

b-complex/folic acid/vitamin c tablet extended

release oral T3

b-complex/vitamin c tablet oral T3

b-complex-c tablet oral T3

c 1000 tablet 1000 mg oral T3

c 250 tablet 250 mg oral T3 AL

c 250 tablet chewable 250 mg oral T3

c 500 tablet 500 mg oral T3

c 500 tablet chewable 500 mg oral T3

c 500/rose hips tablet 500 mg oral T3

c-1000 tablet 1000 mg oral T3

c-1000/rose hips tablet 1000 mg oral T3

c-250 tablet 250 mg oral T3 AL

c-250 tablet chewable 250 mg oral T3

c-500 tablet 500 mg oral T3

c-500 tablet chewable 500 mg oral T3

c-500 tablet extended release 500 mg oral T3 AL

c-500/rose hips tablet 500 mg oral T3

132


c-chewable tablet chewable 500 mg oral T3

CEMILL TABLET EXTENDED RELEASE 500

MG ORAL T3 AL

chewable vitamin c tablet chewable 250 mg oral T3



cvs vitamin b/c tablet oral T3

cvs vitamin c tablet 1000 mg oral T3

cvs vitamin c tablet 250 mg oral T3 AL

cvs vitamin c tablet 500 mg oral T3

cvs vitamin c tablet chewable 500 mg oral T3

cvs vitamin c-acerola tablet chewable 500 mg

oral T3

cvs vitamin c-rose hips tablet 1000 mg oral T3

cvs vitamin c-rose hips tablet 500 mg oral T3



EMERGEN-C VITAMIN C TABLET

CHEWABLE ORAL T3

ENDUR-C TABLET EXTENDED RELEASE

500 MG ORAL T3 AL

eql b complex tablet oral T3


eql super b complex/vitamin c tablet oral T3

eql vitamin c tablet 1000 mg oral T3

eql vitamin c tablet 500 mg oral T3

eql vitamin c tablet chewable 500 mg oral T3

eql vitamin c/rose hips tablet 1000 mg oral T3

eql vitamin c/rose hips tablet 500 mg oral T3







fruit c 200 tablet chewable oral T3

fruit c 500 tablet chewable 500 mg oral T3

133


fruity c tablet chewable 250 mg oral T3



MG ORAL T2 PA

GLUTOFAC TABLET ORAL T3

gnp vitamin c cr tablet extended release 500 mg

oral T3 AL

gnp vitamin c tablet 1000 mg oral T3

gnp vitamin c tablet 250 mg oral T3 AL

gnp vitamin c tablet 500 mg oral T3

gnp vitamin c tablet chewable 500 mg oral T3

gnp vitamin c tablet extended release 500 mg oral T3 AL

gnp vitamin c w/rose hips tablet 500 mg oral T3

gnp vitamin c w/rose hips tablet 500-37 mg oral T3

gnp vitamin c/rose hips tablet 1000 mg oral T3


MG ORAL T2 PA


1 MG ORAL T2 PA

hm super vitamin b complex/c tablet oral T3

hm vitamin b complex/vitamin c tablet oral T3

hm vitamin c tablet 1000 mg oral T3

hm vitamin c tablet 500 mg oral T3

hm vitamin c tablet chewable 500 mg oral T3

hm vitamin c tr tablet extended release 500 mg

oral T3 AL

hm vitamin c/rose hips tablet 1000 mg oral T3

hm vitamin c/rose hips tablet 500 mg oral T3




kp b complex-c tablet oral T3





meijer c tablet 500 mg oral T3

natural c/rose hips tablet 1000 mg oral T3

134











PUREWAY-C TABLET 500 MG ORAL T3

px b complex/vitamin c tablet oral T3

px vitamin c tablet 500 mg oral T3

quin b strong tablet oral T3


ra vitamin c cr tablet extended release 500 mg

oral T3 AL

ra vitamin c tablet 250 mg oral T3 AL

ra vitamin c tablet 500 mg oral T3

ra vitamin c tablet chewable 500 mg oral T3

ra vitamin c/acerola tablet chewable 500 mg oral T3

ra vitamin c/rose hips cr tablet extended release

500 mg oral T3 AL

ra vitamin c/rose hips tablet 1000 mg oral T3

ra vitamin c/rose hips tablet 500 mg oral T3

RENAPLEX TABLET ORAL T3


sb vitamin c tablet 500 mg oral T3

sm b super vitamin complex tablet oral T3

sm b-complex/vitamin c tablet oral T3

sm chewable c tablet chewable 500 mg oral T3

sm chewable vitamin c tablet chewable 500 mg

oral T3

sm vit c/rose hips tablet 1000 mg oral T3

sm vitamin c cr tablet extended release 500 mg

oral T3 AL

sm vitamin c tablet 1000 mg oral T3

sm vitamin c tablet 250 mg oral T3 AL

135


sm vitamin c tablet 500 mg oral T3

sm vitamin c tablet chewable 500 mg oral T3

sm vitamin c/rose hips tablet 500 mg oral T3

stress b complex/zinc tablet oral T3

stress b-complex/vit c/zinc tablet oral T3


super b complex/fa/vit c tablet oral T3

super b-complex/vit c/fa tablet oral T3



CHEWABLE ORAL T3




th vitamin c tablet 1000 mg oral T3

th vitamin c tablet 250 mg oral T3 AL

th vitamin c tablet 500 mg oral T3

th vitamin c tablet chewable 500 mg oral T3



vita-bee/c tablet oral T3

vitamin b complex tablet oral T3

vitamin c er tablet extended release 1500 mg oral T3

vitamin c er tablet extended release 500 mg oral T3 AL

vitamin c immune health tablet chewable 500 mg

oral T3

vitamin c liquid 500 mg/5ml oral T3

vitamin c plus wild rose hips tablet chewable 500

mg oral T3

vitamin c tablet 1000 mg oral T3

vitamin c tablet 250 mg oral T3 AL

vitamin c tablet 500 mg oral T3

vitamin c tablet chewable 250 mg oral T3

vitamin c tablet chewable 500 mg oral T3

vitamin c tablet chewable oral T3

vitamin c/rose hips tablet 500 mg oral T3

136


vitamin c-rose hips er tablet extended release 500

mg oral T3 AL

vitamin c-rose hips tablet 1000 mg oral T3

vitamin c-rose hips tablet 500 mg oral T3

vitamin c-rose hips tr tablet extended release 500

mg oral T3 AL

Vitamin D


actical capsule oral T3

aqueous vitamin d liquid 10 mcg/ml oral T3


CALCITRATE TABLET 315-250 MG-UNIT

ORAL T3



calcium + d3 tablet 600-200 mg-unit oral T3

calcium 500 + d3 tablet 500-600 mg-unit oral T3

calcium 500 +d tablet 500-400 mg-unit oral T3

calcium 500+d tablet 500-400 mg-unit oral T3


calcium 600 iron/d tablet 600-18-125 mg-mg-unit

oral T3

calcium 600/vitamin d tablet 600-400 mg-unit

oral T3

calcium 600+d plus minerals tablet 600-400 mg-

unit oral T3


calcium 600-d tablet 600-400 mg-unit oral T3


mg oral T3


unit oral T3


unit oral T3



calcium citrate + d3 maximum tablet 315-250

mg-unit oral T3

calcium citrate + d3 tablet 200-250 mg-unit oral T3

137


calcium citrate + tablet 315-200 mg-unit oral T3

calcium citrate +d tablet 315-250 mg-unit oral T3

calcium citrate maximum/vit d tablet 315-250 mg-

unit oral T3

calcium citrate petite/vit d tablet 200-250 mg-unit

oral T3


calcium citrate+d3 petites tablet 200-250 mg-unit

oral T3

calcium citrate+d3 tablet 315-250 mg-unit oral T3


oral T3


oral T3


oral T3

calcium citrate-vitamin d3 tablet 315-250 mg-unit

oral T3

calcium extra d3 tablet 500-600 mg-unit oral T3



calcium-vitamin d3 tablet 500-400 mg-unit oral T3

CITRACAL CALCIUM GUMMIES TABLET

CHEWABLE 250-115-250 MG-MG-UNIT

ORAL

T3

CITRACAL MAXIMUM TABLET 315-250

MG-UNIT ORAL T3

CITRACAL PETITES/VITAMIN D TABLET

200-250 MG-UNIT ORAL T3

citrus calcium +d tablet 315-250 mg-unit oral T3

citrus calcium/vitamin d tablet 200-250 mg-unit

oral T3

cvs calcium 600 + d/minerals tablet 600-400 mg-

unit oral T3

cvs calcium citrate +d tablet 315-250 mg-unit

oral T3

cvs calcium citrate +d3 mini tablet 200-250 mg-

unit oral T3

cvs d3 capsule 125 mcg (5000 ut) oral T3


138



cvs vitamin d3 capsule 1000 unit oral T3

cvs vitamin d3 tablet chewable 25 mcg (1000 ut)

oral T3

d 1000 capsule 25 mcg (1000 ut) oral T3

d 10000 capsule 250 mcg (10000 ut) oral T3

d2000 ultra strength capsule 50 mcg (2000 ut)

oral T3

d3 high potency capsule 25 mcg (1000 ut) oral T3

d3-1000 capsule 25 mcg (1000 ut) oral T3

d3-1000 tablet 25 mcg (1000 ut) oral T3

d-5000 tablet 125 mcg (5000 ut) oral T3

DECARA CAPSULE 625 MCG (25000 UT)

ORAL T3




D-VI-SOL LIQUID 10 MCG/ML ORAL T3

eq calcium citrate+d tablet 315-250 mg-unit oral T3

eql calcium citrate/vitamin d tablet 315-250 mg-

unit oral T3

eql calcium citrate/vitamin d3 tablet 315-250 mg-

unit oral T3

eql vitamin d3 capsule 25 mcg (1000 ut) oral T3

ergocalciferol capsule 1.25 mg (50000 ut) oral T3

gnp calcium 500 +d3 tablet 500-600 mg-unit oral T3

gnp calcium citrate +d3 tablet 315-250 mg-unit

oral T3

gnp calcium citrate+d maximum tablet 315-250

mg-unit oral T3

gnp d 1000 capsule 25 mcg (1000 ut) oral T3

gnp vitamin d3 extra strength tablet 25 mcg (1000

ut) oral T3

hm calcium citrate+d3 petite tablet 200-250 mg-

unit oral T3

hm calcium citrate+vitamin d tablet 315-250 mg-

unit oral T3

hm calcium-vitamin d-minerals tablet 600-400

mg-unit oral T3

139


kp calcium citrate+d tablet 315-250 mg-unit oral T3


kp vitamin d capsule 25 mcg (1000 ut) oral T3

kp vitamin d3 capsule 25 mcg (1000 ut) oral T3


oral T3



CAPSULE ORAL T3


CAPSULE ORAL T3




CAPSULE ORAL T3




CAPSULE ORAL T3




CHEWABLE ORAL T3



OS-CAL EXTRA D3 TABLET 500-600 MG-

UNIT ORAL T3

OYSCO 500+D TABLET 500-200 MG-UNIT

ORAL T3

oyst-cal d tablet 250-125 mg-unit oral T3

oyster shell calcium + d tablet 500-400 mg-unit

oral T3

oyster shell calcium + d3 tablet 500-400 mg-unit

oral T3

oyster shell calcium 500 + d tablet 500-200 mg-

unit oral T3

oyster shell calcium tablet 500-400 mg-unit oral T3



140


oyster shell calcium/d3 tablet 500-400 mg-unit

oral T3

oyster shell calcium/vitamin d tablet 250-125 mg-

unit oral T3

OYSTERCAL-D TABLET 500-400 MG-UNIT

ORAL T3



ORAL T3

qc calcium/minerals/vitamin d tablet 600-400 mg-

unit oral T3

ra calcium cit plus vit d-3 tablet 315-250 mg-unit

oral T3

ra calcium citrate plus vit d tablet 315-200 mg-

unit oral T3

ra calcium cit-vit d-3 petites tablet 200-250 mg-

unit oral T3

ra calcium/minerals/vitamin d tablet 600-400 mg-

unit oral T3

ra oyster shell calcium/d tablet 250-125 mg-unit

oral T3

ra vitamin d-3 capsule 50 mcg (2000 ut) oral T3


sm calcium citrate w/vit d3 tablet 315-250 mg-

unit oral T3

sm calcium citrate+/vit d3 tablet 315-250 mg-unit

oral T3

sm calcium citrate+d3 petite tablet 200-250 mg-

unit oral T3

sm calcium citrate-vit d tablet 315-200 mg-unit

oral T3

sm calcium/vitamin d/minerals tablet 600-400

mg-unit oral T3

sm oyster shell calcium/vit d3 tablet 500-400 mg-

unit oral T3

sm vitamin d3 tablet 25 mcg (1000 ut) oral T3


th calcium citrate-vitamin d tablet 315-200 mg-

unit oral T3

th vitamin d3 capsule 1000 unit oral T3

141


vitamin d (cholecalciferol) capsule 25 mcg (1000

ut) oral T3

vitamin d (ergocalciferol) capsule 1.25 mg

(50000 ut) oral T3

vitamin d capsule 1000 unit oral T3

vitamin d high potency capsule 25 mcg (1000 ut)

oral T3

vitamin d liquid 10 mcg/ml oral T3

vitamin d tablet 25 mcg (1000 ut) oral T3

vitamin d tablet 400 unit oral T3

vitamin d tablet 50 mcg (2000 ut) oral T3

vitamin d3 adult gummies tablet chewable 25 mcg

(1000 ut) oral T3

vitamin d3 capsule 1.25 mg (50000 ut) oral T3

vitamin d3 capsule 125 mcg (5000 ut) oral T3


vitamin d-3 capsule 25 mcg (1000 ut) oral T3


vitamin d3 tablet 10 mcg (400 unit) oral T3

vitamin d3 tablet 25 mcg (1000 ut) oral T3

vitamin d3 tablet 50 mcg (2000 ut) oral T3


Vitamin E

cvs e capsule 200 unit oral T3

cvs e oil oil 100 unt/0.25ml oral T3

cvs vitamin e capsule 1000 unit oral T3





e 1000 capsule 1000 unit oral T3

e 400 blended capsule 400 unit oral T3

e1000 capsule 1000 unit oral T3


e-200 capsule 200 unit oral T3

e-400 capsule 400 unit oral T3


142


e400 mixed capsule 400 unit oral T3

e-oil oil 100 unt/0.25ml oral T3




ESTER-E CAPSULE 400 UNIT ORAL T3

FORMULA E 400 CAPSULE 400 UNIT ORAL T3

gnp vitamin e capsule 1000 unit oral T3



hm e vitamin capsule 400 unit oral T3

hm vitamin e capsule 1000 unit oral T3




kp vitamin e capsule 100 unit oral T3




natural mixed tocopherols capsule 1000 unit oral T3

natural mixed tocopherols capsule 400 unit oral T3

natural vitamin e capsule 1000 unit oral T3

natural vitamin e capsule 400 unit oral T3


pa vitamin e capsule 400 unit oral T3



px vitamin e capsule 400 unit oral T3

ra natural vitamin e capsule 400 unit oral T3

ra vitamin e blend capsule 400 unit oral T3

ra vitamin e capsule 1000 unit oral T3




sm vitamin e capsule 1000 unit oral T3


143






CHEWABLE ORAL T3



th vitamin e capsule 1000 unit oral T3



vita zinc tablet oral T3

vitamin e blend capsule 400 unit oral T3

vitamin e capsule 100 unit oral T3




vitamin e high potency capsule 400 unit oral T3

vitamin e mtc capsule 1000 unit oral T3

vitamin e natural capsule 400 unit oral T3

vitamin e oil 100 unt/0.25ml oral T3

vitamin e water soluble capsule 1000 unit oral T3

vitamin e water soluble capsule 400 unit oral T3

vitamin e/d-alpha capsule 200 unit oral T3

vitamin e/d-alpha natural capsule 200 unit oral T3

vitamin e/d-alpha natural capsule 400 unit oral T3

vitamin e-200 capsule 200 unit oral T3

vitamin e-400 capsule 400 unit oral T3


z-gen tablet oral T3

Vitamin K Activity



CHEWABLE ORAL T3


ORAL T3


AQUADEKS LIQUID ORAL T3

144






ORAL T3

































145






CAPSULE ORAL T3


CAPSULE ORAL T3




CAPSULE ORAL T3




CAPSULE ORAL T3




CHEWABLE ORAL T3




TABLET ORAL T3


TABLET ORAL T3



ORAL T3


TABLET ORAL T3


ORAL T3









146



solo tablet oral T3


TABLET ORAL T3

147

Index

INDEX \e " " \c "3" \h "A" \z "1033"

Nondiscrimination Notice

Keystone First Community HealthChoices complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex gender, gender identity or expression, or sexual orientation.

Keystone First Community HealthChoices does not exclude people or treat them differently because of race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex gender, gender identity or expression, or sexual orientation.

Keystone First Community HealthChoices provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters • Written information in other formats (large print, audio, accessible electronic formats, other formats)

Keystone First Community HealthChoices provides free language services to people whose primary language is not English, such as:

• Qualified interpreters • Information written in other languages

If you need these services, contact Keystone First Community HealthChoices at 1-855-332-0729 (TTY 1-855-235-4976).

If you believe that Keystone First Community HealthChoices has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex gender, gender identity or expression, or sexual orientation, you can file a complaint with:

Keystone First Community HealthChoices, Participant Complaints Department, Attention: Participant Advocate, 200 Stevens Drive Philadelphia, PA 19113-1570 Phone: 1-855-332-0729, TTY 1-855-235-4976, Fax: 215-937-5367, or Email: [email protected]

The Bureau of Equal Opportunity, Room 223, Health and Welfare Building, P.O. Box 2675, Harrisburg, PA 17105-2675, Phone: (717) 787-1127, TTY/PA Relay 711, Fax: (717) 772-4366, or Email: [email protected]

You can file a complaint in person or by mail, fax, or email. If you need help filing a complaint, Keystone First Community HealthChoices and the Bureau of Equal Opportunity are available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services, 200 Independence Avenue S.W., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Page 1 of 2

Nondiscrimination Notice

www.keystonefirstchc.com

ATTENTION: If you speak English, language assistance services, free of charge, are available to you.

1-855-332-0729 (TTY 1-855-235-4976)

1-855-332-0729 (TTY 1-855-235-4976).

1-855-332-0729 (TTY 1-855-235-4976).

1-855-332-0729 (TTY 1-855-235-4976)

1-855-332-0729 (TTY 1-855-235-4976)

1-855-332-0729 (TTY 1-855-235-4976)

1-855-332-0729 (TTY 1-855-235-4976).

1-855-332-0729 (TTY 1-855-235-4976).

1-855-332-0729 (TTY 1-855-235-4976).

(TTY 1-855-235-4976).1-855-332-0729

(TTY 1-855-235-4976).1-855-332-0729

1-855-332-0729 (ATS 1-855-235-4976).

1-855-235-4976

1-855-235-4976

1-855-332-0729

1-855-332-0729

1-855-235-4976 1-855-332-0729

1-855-332-0729 1-855-235-4976

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