INTRODUCTION
Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of
practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically
sound and that it supports patient health. This committee reviews and evaluates medications
on the formulary based on safety and efficacy to help maintain clinical integrity in all
therapeutic categories.
FORMULARY DESIGN
Catamaran has chosen a formulary structure which includes most prescription drugs. The
formulary structure features generics (with the lowest co-payments), preferred and non-
preferred brand-name drugs.
Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under
“GENERIC” have the same active ingredient as the brand-name versions but at a lower
cost.
Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs
that will generally have lower co-payments than non-preferred brand name drugs.
Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-
payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the Catamaran formulary to help manage the overall cost of providing
prescription drug benefits. This formulary offers a wide range of medications from which to
choose. We realize that this formulary reference guide may not include every drug from every
manufacturer. However, choosing a generic or preferred drug when it is appropriate can
provide access to the necessary medications to stay healthy, at a cost that is more affordable.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic,
preferred brand-name, and non-preferred brand-name medications. Health plans often design
prescription drug plans to encourage the use of generic and preferred brand-name drugs.
Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as
coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients
may also pay less for generic drugs, or they may be asked to pay the cost difference between
brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version
becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose
to provide coverage only for certain medications, time periods, doses, quantities, or for specific
indications (e.g. they may exclude coverage for medications for unapproved, unproven, or
cosmetic indications). When coverage for medications is provided based on use or quantity,
Catamaran may contact your prescriber’s office for additional information to determine
whether coverage is available under your plan. Patients who are unsure whether these
coverage rules apply for a particular medication can consult their prescription drug benefit
manual or contact a Catamaran Member Services representative to determine specific
coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in
each drug category. The preferred brand name products are listed next, and non-preferred
brand products are listed last.
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design
determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change
pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not
guarantee coverage. To determine the most up-to-date formulary status of your medication, please visit your member website
or call member services at the number listed on your ID card.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
NON PREFERRED
Cefaclor
Cefaclor ER
Cefotetan
January 2015
Cefotetan/Dextrose
Cefoxitin Sodium
ANTI-INFECTIVES
Ceftin
Cefuroxime Sodium
PENICILLINS
Cefuroxime/Dextrose
GENERIC
Mefoxin
amoxicillin
Zinacef
amoxicillin/clavulanate potassium
Zinacef IN Iso-osmotic Dextrose
amoxicillin/clavulanate potassium ER
Zinacef IN Iso-osmotic Diluent
ampicillin
THIRD GENERATION
ampicillin sodium
GENERIC
ampicillin-sulbactam
cefdinir
dicloxacillin sodium
cefotaxime sodium
nafcillin sodium
cefpodoxime proxetil
oxacillin sodium
ceftazidime
penicillin v potassium
ceftriaxone sodium
penicillin G potassium
NON PREFERRED
piperacillin sodium/ tazobactam sodium
Cedax
piperacillin sodium/tazobactam sodium
Cefditoren Pivoxil
piperacillin/tazobactam
Ceftazidime
NON PREFERRED
Ceftazidime/Dextrose
Amoxicillin
Ceftibuten
Amoxicillin ER
Ceftriaxone IN Iso-osmotic Dextrose
Ampicillin
Ceftriaxone/Dextrose
Ampicillin Sodium
Claforan
Ampicillin-sulbactam
Claforan/D5W
Augmentin
Fortaz
Augmentin ES-600
Rocephin
Augmentin XR
Spectracef
Bactocill IN Dextrose
Suprax
Bicillin C-R
Tazicef
Bicillin L-a
FOURTH GENERATION
Moxatag
GENERIC
Nafcillin Sodium
cefepime
Nallpen Iso-osmotic IN Dextrose
NON PREFERRED
Nallpen/Dextrose
Cefepime
Penicillin G Potassium IN Iso-osmotic Dextrose
Maxipime
Penicillin G Procaine
Penicillin G Sodium
MACROLIDES
Pfizerpen-G
GENERIC
Timentin
azithromycin
Unasyn
clarithromycin
Unasyn Bulk Pack
clarithromycin ER
Zosyn
erythromycin
NON PREFERRED
CEPHALOSPORIN
Azithromycin
FIRST GENERATION
Biaxin
GENERIC
Biaxin XL
cefadroxil
Biaxin XL PAC
cefazolin sodium
Dificid
cephalexin
E.e.s. Granules
NON PREFERRED
E.e.s. 400
Ancef
Ery-TAB
Cefazolin Sodium
Eryped 200
Cefazolin Sodium/Dextrose
Eryped 400
Cephalexin
Erythrocin Lactobionate
Keflex
Erythrocin Stearate
SECOND GENERATION
Erythromycin Base
GENERIC
Erythromycin Ethylsuccinate
cefaclor
PCE
cefoxitin sodium
Zithromax
cefprozil
Zithromax Tri-PAK
cefuroxime axetil
Zithromax Z-PAK
cefuroxime sodium
Zmax
Effective January 1, 2015 v.2
©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.
1
TETRACYCLINES
NON PREFERRED
Bethkis
GENERIC
Gentamicin Sulfate/0.9% Sodium Chloride
demeclocycline HCL
Isotonic Gentamicin
doxycycline
Streptomycin Sulfate
doxycycline hyclate
Tobi
doxycycline hyclate DR
Tobramycin Sulfate/Sodium Chloride
doxycycline monohydrate
minocycline HCL
SULFONAMIDES
minocycline HCL ER
NON PREFERRED
PREFERRED
Acticlate
Sulfisoxizole
Adoxa
NON PREFERRED
Adoxa PAK 1/100
Sulfadiazine
Adoxa PAK 1/150
Adoxa PAK 2/100
ANTIMYCOBACTERIAL AGENTS
Alodox Convenience Kit
GENERIC
Avidoxy DK
ethambutol HCL
Doryx
isoniazid
Dynacin
pyrazinamide
Minocin
rifabutin
Minocin Kit
rifampin
Monodox
PREFERRED
Morgidox 1X100MG
Priftin
Morgidox 2X100MG
Seromycin
Nicazeldoxy 30 Kit
Sirturo
Nicazeldoxy 60 Kit
NON PREFERRED
Nutridox
Capastat Sulfate
Ocudox
Cycloserine
Oraxyl
Isoniazid
Solodyn
Myambutol
Tetracycline HCL
Mycobutin
Vibramycin
Paser
Rifadin
QUINOLONES
Rifamate
GENERIC
Rifater
ciprofloxacin
Trecator
ciprofloxacin ER
ciprofloxacin HCL
ANTIFUNGALS
ciprofloxacin I.V.-IN D5W
GENERIC
levofloxacin
fluconazole
levofloxacin IN D5W
fluconazole IN dextrose
moxifloxacin HCL
fluconazole IN NACL
ofloxacin
flucytosine
Ofloxacin
griseofulvin microsize
NON PREFERRED
griseofulvin ultramicrosize
Avelox
itraconazole
Avelox Abc Pack
ketoconazole
Cipro
nystatin
Cipro I.V.-IN D5W
terbinafine HCL
Cipro XR
voriconazole
Factive
PREFERRED
Levaquin
Cancidas
Noroxin
Mycamine
Noxafil
AMINOGLYCOSIDES
NON PREFERRED
GENERIC
Abelcet
amikacin sulfate
Ambisome
gentamicin sulfate
Amphotec
gentamicin sulfate pediatric
Amphotericin B
gentamicin sulfate/sodium chloride
Ancobon
gentamicin sulfate/0.9% sodium chloride
Diflucan
isotonic gentamicin
Eraxis
neomycin sulfate
Fluconazole IN NACL
paromomycin sulfate
Grifulvin V
tobramycin
Gris-peg
tobramycin sulfate
Lamisil
PREFERRED
Onmel
Tobi Podhaler
Sporanox
Sporanox Pulsepak
Effective January 1, 2015
2
Terbinex
Videx Pediatric
Vfend
Viracept
Vfend IV
Viread
NON PREFERRED
ANTIVIRALS
Acyclovir Sodium
Baraclude
GENERIC
Combivir
abacavir
Copegus
abacavir sulfate/lamivudine/zidovudine
Cytovene
acyclovir
Epivir
acyclovir sodium
Epivir HBV
adefovir dipivoxil
Famvir
cidofovir
Flumadine
didanosine
Foscarnet Sodium
entecavir
Foscavir
famciclovir
Harvoni
ganciclovir
Hepsera
lamivudine
Infergen
lamivudine/zidovudine
Rebetol
nevirapine
Retrovir
nevirapine ER
Rimantalist
ribavirin
Sitavig
rimantadine HCL
Triumeq
stavudine
Trizivir
valacyclovir HCL
Tybost
valganciclovir
Tyzeka
zidovudine
Valcyte
PREFERRED
Valtrex
Aptivus
Videx EC
Atripla
Viramune
Complera
Viramune XR
Crixivan
Virazole
Edurant
Vistide
Emtriva
Zerit
Epzicom
Ziagen
Fuzeon
Zovirax
Incivek
Intelence
ANTIMALARIALS
Invirase
Isentress
GENERIC
Kaletra
atovaquone/proguanil HCL
Lexiva
chloroquine phosphate
Moderiba
hydroxychloroquine sulfate
Moderiba 1200 Dose Pack
mefloquine HCL
Moderiba 800 Dose Pack
quinine sulfate
Nevirapine
Primaquine Phosphate
Norvir
PREFERRED
Olysio
Coartem
Peg-intron
Daraprim
Peg-intron Redipen
NON PREFERRED
Peg-intron Redipen PAK 4
Aralen
Pegasys
Malarone
Pegasys Proclick
Plaquenil
Pegintron
Qualaquin
Prezista
Relenza Diskhaler
AMEBICIDES
Rescriptor
NON PREFERRED
Retrovir IV Infusion
Yodoxin
Reyataz
Ribasphere
ANTHELMINTICS
Ribasphere Ribapak
GENERIC
Ribatab
ivermectin
Selzentry
PREFERRED
Sovaldi
Albenza
Stribild
NON PREFERRED
Sustiva
Biltricide
Tamiflu
Stromectol
Tivicay
Truvada
MISC. ANTI-INFECTIVES
Victrelis
Effective January 1, 2015
3
GENERIC
ANTINEOPLASTICS, ETC
atovaquone
ALKYLATING AGENTS
aztreonam
GENERIC
bacitracin
carboplatin
clindamycin palmitate HCL
cisplatin
clindamycin phosphate
cyclophosphamide
clindamycin phosphate add-vantage
ifosfamide
clindamycin phosphate pharmacy bulk package
melphalan hydrochloride
clindamycin phosphate IN D5W
oxaliplatin
clindamycin HCL
temozolomide
colistimethate sodium
Lomustine
imipenem/cilastatin
PREFERRED
meropenem
Alkeran
metronidazole
Bicnu
metronidazole IN NACL 0.79%
Busulfex
polymyxin b sulfate
Gliadel Wafer
sulfamethoxazole/trimethoprim
Hexalen
sulfamethoxazole/trimethoprim DS
Leukeran
tinidazole
Mustargen
trimethoprim
Myleran
vancomycin HCL
Treanda
Dapsone
Valchlor
PREFERRED
Zanosar
Alinia
NON PREFERRED
Cayston
Carboplatin
Dalvance
Cisplatin
Nebupent
Cyclophosphamide
Tygacil
Eloxatin
Xifaxan
Ifex
Zyvox
Ifosfamide
NON PREFERRED
Temodar
Azactam
Azactam IN Iso-osmotic Dextrose
ANTIBIOTICS
Bacitracin
GENERIC
Bactrim
bleomycin sulfate
Bactrim DS
daunorubicin HCL
Chloramphenicol Sodium Succinate
doxorubicin HCL
Cleocin
doxorubicin HCL liposome
Cleocin IN D5W
epirubicin HCL
Cleocin Pediatric Granules
idarubicin HCL
Cleocin Phosphate
mitomycin
Clindamycin Phosphate
mitoxantrone HCL
Coly-mycin M
PREFERRED
Cubicin
Daunoxome
Doribax
Valstar
First-vancomycin 25
NON PREFERRED
First-vancomycin 50
Adriamycin
Flagyl
Cosmegen
Flagyl ER
Doxil
Invanz
Ellence
Ketek
Epirubicin HCL
Lincocin
Idamycin PFS
Mepron
Merrem
ANTINEOPLASTIC ENZYMES
Metro IV
PREFERRED
Neutrexin
Elspar
Orbactiv
Erwinaze
Pentam 300
Oncaspar
Primaxin IV
Primaxin IV Add-vantage
ANTIMETABOLITES
Primsol
GENERIC
Sivextro
azacitidine
Sulfamethoxazole/Trimethoprim
capecitabine
Synercid
cladribine
Tindamax
cytarabine
Vancocin HCL
cytarabine aqueous
Vancomycin HCL
decitabine
Vancomycin HCL IN Dextrose
floxuridine
Vibativ
fludarabine phosphate
Effective January 1, 2015
4
fluorouracil
Soltamox
gemcitabine HCL
Trelstar Depot
mercaptopurine
Trelstar Depot Mixject
methotrexate
Trelstar LA
methotrexate sodium
Trelstar LA Mixject
PREFERRED
Trelstar Mixject
Alimta
Vantas
Arranon
Xtandi
Clolar
Zoladex
Depocyt
Zytiga
Folotyn
NON PREFERRED
Purixan
Arimidex
Tabloid
Aromasin
Trexall
Casodex
NON PREFERRED
Femara
Cytarabine
Megace Oral
Dacogen
Fludara
IMMUNOMODULATORS
Fludarabine Phosphate
GENERIC
Gemcitabine
azathioprine
Gemzar
cyclosporine
Purinethol
cyclosporine modified
Vidaza
mycophenolate mofetil
Xeloda
mycophenolic acid DR
sirolimus
ANGIOGENESIS INHIBITORS
tacrolimus
PREFERRED
PREFERRED
Avastin
Azasan
Cyramza
Pomalyst
Zaltrap
Rapamune
Revlimid
ANTIBODIES
Thalomid
NON PREFERRED
PREFERRED
Astagraf XL
Adcetris
Atgam
Arzerra
Cellcept
Bexxar
Cellcept Intravenous
Erbitux
Cyclosporine Modified
Gazyva
Imuran
Herceptin
Myfortic
Kadcyla
Neoral
Perjeta
Nulojix
Rituxan
Prograf
Vectibix
Sandimmune
Yervoy
Simulect
Zevalin Y-90
Thymoglobulin
NON PREFERRED
Zortress
Keytruda
MITOTIC INHIBITORS
HORMONAL AGENTS
GENERIC
GENERIC
docetaxel
anastrozole
etoposide
bicalutamide
paclitaxel
exemestane
vincristine sulfate
flutamide
vinorelbine tartrate
letrozole
PREFERRED
leuprolide acetate
Abraxane
megestrol acetate
Docefrez
tamoxifen citrate
Etopophos
PREFERRED
Halaven
Depo-provera
Ixempra Kit
Eligard
Jevtana
Emcyt
Marqibo
Fareston
Taxotere
Faslodex
Teniposide
Firmagon
NON PREFERRED
Lupron Depot
Docetaxel
Lysodren
Etoposide
Megestrol Acetate
Navelbine
Nilandron
Effective January 1, 2015
5
Paclitaxel
Intron-a
Vinblastine Sulfate
Intron-a W/Diluent
Matulane
ENZYME INHIBITORS
Photofrin
Proleukin
PREFERRED
Sylatron
Afinitor
Synribo
Afinitor Disperz
Targretin
Bosulif
Theracys
Caprelsa
Tice Bcg
Cometriq
Trisenox
Gilotrif
Uvadex
Gleevec
NON PREFERRED
Iclusig
Dacarbazine
Imbruvica
Hydrea
Inlyta
Nipent
Istodax
Jakafi
CHEMOTHERAPY RESCUE
Kyprolis
Mekinist
GENERIC
Nexavar
amifostine
Sprycel
dexrazoxane
Stivarga
leucovorin calcium
Sutent
mesna
Tafinlar
PREFERRED
Tarceva
Fusilev
Tasigna
Totect
Torisel
Voraxaze
Tykerb
NON PREFERRED
Velcade
Calcium Folinate
Votrient
Ethyol
Xalkori
Leucovorin Calcium
Zelboraf
Mesnex
Zolinza
Zinecard
Zykadia
NON PREFERRED
CHEMOTHERAPY ADJUNCTS
Beleodaq
PREFERRED
Zydelig
Elitek
Kepivance
TOPOISOMERASE I INHIBITOR
GENERIC
ANTINEOPLASTIC COMBO
irinotecan
NON PREFERRED
topotecan HCL
Ifosfamide/Mesna
NON PREFERRED
Camptosar
CARDIOVASCULAR DRUGS
Hycamtin
PHOSPHODIESTERASE INHBTR
Irinotecan
GENERIC
Topotecan HCL
milrinone lactate
milrinone IN dextrose
RADIOPHARMACEUTICALS
PREFERRED
CARDIAC GLYCOSIDES
Bexxar 131 Iodine
GENERIC
Metastron
digoxin
Quadramet
NON PREFERRED
NON PREFERRED
Digoxin
Xofigo
Lanoxin
Lanoxin Pediatric
CELLULAR IMMUNOTHERAPY
PREFERRED
ANTIANGINAL AGENTS
Provenge
GENERIC
isosorbide dinitrate
ANTINEOPLASTICS MISC.
isosorbide dinitrate ER
GENERIC
isosorbide mononitrate
dacarbazine
isosorbide mononitrate ER
hydroxyurea
nitroglycerin
tretinoin
nitroglycerin lingual
PREFERRED
nitroglycerin transdermal
Actimmune
nitroglycerin IN dextrose 5%
Alferon N
nitroglycerin IN 5% dextrose
Intron A
Effective January 1, 2015
6
PREFERRED
nimodipine
Dilatrate SR
nisoldipine
Nitro-bid
verapamil HCL
Nitrostat
verapamil HCL ER
Ranexa
verapamil HCL SR
NON PREFERRED
Verapamil HCL
Imdur
NON PREFERRED
Isordil Titradose
Adalat CC
Isosorbide Dinitrate
Calan
Nitro-dur
Calan SR
Nitroglycerin
Cardene I.v.
Nitroglycerin IN Dextrose 5%
Cardene IV
Nitroglycerin Lingual
Cardene SR
Nitrolingual Pumpspray
Cardizem
Nitromist
Cardizem CD
Nitronal
Cardizem LA
Cleviprex
BETA BLOCKERS
Dilacor XR
Diltiazem HCL
GENERIC
Hypertenipine-2.5
acebutolol HCL
Isoptin SR
atenolol
Isradipine
betaxolol HCL
Nisoldipine
bisoprolol fumarate
Nisoldipine ER
carvedilol
Norvasc
esmolol HCL
Nymalize
labetalol HCL
Procardia
metoprolol succinate ER
Procardia XL
metoprolol tartrate
Sular
nadolol
Tiazac
pindolol
Verelan
propranolol HCL
Verelan PM
propranolol HCL ER
sotalol HCL
ANTIARRHYTHMICS
sotalol HCL (AF)
PREFERRED
GENERIC
Bystolic
adenosine
Coreg CR
amiodarone HCL
NON PREFERRED
disopyramide phosphate
Betapace
flecainide acetate
Betapace AF
ibutilide fumarate
Brevibloc
lidocaine HCL
Coreg
lidocaine HCL IN D5W
Corgard
lidocaine HCL/dextrose
Hemangeol
mexiletine HCL
Hypertenevide-12.5
propafenone HCL
Inderal LA
propafenone HCL ER
Inderal XL
quinidine gluconate CR
Innopran XL
quinidine gluconate ER
Kerlone
quinidine sulfate
Levatol
Quinidine Sulfate
Lopressor
PREFERRED
Propranolol HCL
Tikosyn
Sectral
NON PREFERRED
Tenormin
Adenocard
Timolol Maleate
Amiodarone HCL
Toprol XL
Cordarone
Trandate
Corvert
Zebeta
Lidocaine HCL
Multaq
CALCIUM CHANNEL BLOCKERS
Nexterone
Norpace
GENERIC
Norpace CR
amlodipine besylate
Procainamide HCL
diltiazem CD
Quinidine Gluconate
diltiazem HCL
Quinidine Sulfate ER
diltiazem HCL ER
Rythmol
felodipine ER
Rythmol SR
nicardipine HCL
Tambocor
nifedipine
Xylocaine
nifedipine ER
Effective January 1, 2015
7
ACE INHIBITORS
Corlopam
Inspra
GENERIC
Methyldopate HCL
benazepril HCL
Minipress
captopril
Nitropress
enalapril maleate
Phentolamine Mesylate
enalaprilat
Reserpine
fosinopril sodium
Tenex
lisinopril
Vecamyl
moexipril HCL
perindopril erbumine
ANTIHYPERTENSIVE COMBO
quinapril HCL
ramipril
GENERIC
trandolapril
amlodipine besylate/benazepril hydrochloride
NON PREFERRED
amlodipine besylate/benazepril HCL
Accupril
amlodipine besylate/valsartan
Aceon
amlodipine/valsartan/hctz
Altace
atenolol/chlorthalidone
Epaned
benazepril HCL/hydrochlorothiazide
Lotensin
bisoprolol fumarate/hydrochlorothiazide
Mavik
candesartan cilexetil/hydrochlorothiazide
Prinivil
enalapril maleate/hydrochlorothiazide
Univasc
fosinopril sodium/hydrochlorothiazide
Vasotec
irbesartan/hydrochlorothiazide
Zestril
lisinopril/hydrochlorothiazide
losartan potassium/hydrochlorothiazide
ANGIOTENSIN RCPTR BLOCKER
metoprolol/hydrochlorothiazide
moexipril/hydrochlorothiazide
GENERIC
nadolol/bendroflumethiazide
candesartan cilexetil
quinapril/hydrochlorothiazide
eprosartan mesylate
telmisartan/amlodipine
irbesartan
telmisartan/hydrochloroth
losartan potassium
telmisartan/hydrochlorothiazide
telmisartan
valsartan/hydrochlorothiazide
valsartan
PREFERRED
PREFERRED
Amturnide
Benicar
Azor
NON PREFERRED
Benicar HCT
Atacand
Tarka
Avapro
Tekamlo
Cozaar
Tekturna HCT
Diovan
Tribenzor
Edarbi
NON PREFERRED
Micardis
Accuretic
Teveten
Atacand HCT
Avalide
DIRECT RENIN INHIBITORS
Captopril/Hydrochlorothiazide
PREFERRED
Clorpres
Tekturna
Corzide
Diovan HCT
ANTIHYPERTENSIVES MISC.
Dutoprol
GENERIC
Edarbyclor
clonidine HCL
Exforge
doxazosin mesylate
Exforge HCT
eplerenone
Hypertensolol
fenoldopam mesylate
Hyzaar
guanfacine HCL
Lopressor HCT
hydralazine HCL
Lotensin HCT
methyldopa
Lotrel
minoxidil
Lytensopril Kit
prazosin HCL
Lytensopril-90
terazosin HCL
Lytensopril-90 Kit
PREFERRED
Methyldopa/Hydrochlorothiazide
Demser
Micardis HCT
Dibenzyline
Propranolol/Hydrochlorothiazide
NON PREFERRED
Tenoretic 100
Cardura
Tenoretic 50
Catapres
Teveten HCT
Catapres-tts-1
Twynsta
Catapres-tts-2
Uniretic
Catapres-tts-3
Effective January 1, 2015
8
Vaseretic
Adrenalin
Zestoretic
Dobutamine/Dextrose 5%
Ziac
Dopamine HCL
Epinephrine
DIURETICS
Epinephrine HCL
Levophed
GENERIC
Northera
acetazolamide
Phenylephrine HCL
acetazolamide sodium
Vazculep
acetazolamide ER
amiloride HCL
ANTIHYPERLIPIDEMICS
amiloride/hydrochlorothiazide
bumetanide
GENERIC
chlorothiazide
atorvastatin calcium
chlorothiazide sodium
cholestyramine
furosemide
cholestyramine light
hydrochlorothiazide
colestipol HCL
indapamide
colestipol HCL for oral suspension
mannitol
fenofibrate
methazolamide
fenofibrate micronized
metolazone
fenofibric acid DR
spironolactone
fluvastatin
spironolactone/hydrochlorothiazide
gemfibrozil
torsemide
lovastatin
triamterene/hydrochlorothiazide
niacin ER
Acetazolamide
omega-3-acid ethyl esters
Chlorothiazide
pravastatin sodium
Chlorthalidone
simvastatin
Triamterene/Hydrochlorothiazide
PREFERRED
NON PREFERRED
Crestor
Aldactazide
Fenofibrate
Aldactone
Juxtapid
Demadex
Lipofen
Diamox
Liptruzet
Diuril
Simcor
Dyazide
Vascepa
Dyrenium
Vytorin
Edecrin
Welchol
Furosemide
Zetia
Introl
NON PREFERRED
Lasix
Advicor
Maxzide
Altoprev
Maxzide-25
Antara
Methyclothiazide
Colestid
Microzide
Colestid Flavored
Neptazane
Fenofibric Acid
Sodium Diuril
Fenoglide
Sodium Edecrin
Fibricor
Torsemide
Kynamro
Zaroxolyn
Lescol
Lescol XL
VASOPRESSORS
Lipitor
Livalo
GENERIC
Lofibra
dobutamine HCL
Lopid
dobutamine HCL/D5W
Lovaza
dobutamine/dextrose 5%
Mevacor
dopamine HCL
Niacor
dopamine HCL-dextrose 5%
Niaspan
dopamine HCL/dextrose 5%
Pravachol
dopamine/D5W
Questran
ephedrine sulfate
Questran Light
midodrine HCL
Tricor
norepinephrine bitartrate
Triglide
phenylephrine HCL
Trilipix
PREFERRED
Zocor
Auvi-q
Epipen 2-PAK
CARDIOVASCULAR - MISC.
Epipen-JR 2-PAK
NON PREFERRED
GENERIC
Adrenaclick
amlodipine besylate/atorvastatin calcium
Effective January 1, 2015
9
epoprostenol sodium
Azelex
papaverine HCL
Benzac Ac Wash
sildenafil
Benzac W Wash
sildenafil citrate
Benzaclin
PREFERRED
Benzaclin With P.M.
Adcirca
Benzamycin
Adempas
Benzamycinpak
Caverject
Benzefoam
Caverject Impulse
Benzefoamultra
Cialis
Benziq
Letairis
Benziq LS
Muse
Clarifoam EF
Opsumit
Cleocin-t
Remodulin
Clindacin Etz
Tracleer
Clindacin PAC
Tyvaso
Clindagel
Tyvaso Refill
Differin
Tyvaso Starter
Duac
Veletri
Erygel
Ventavis
Evoclin
Viagra
Fabior
Inova
NON PREFERRED
Inova 4/1 Acne Control Therapy
Bidil
Inova 8/2 Acne Control Therapy
Caduet
Klaron
Flolan
Lavoclen-4 Creamy Wash
Levitra
Lavoclen-8 Creamy Wash
Natrecor
Neuac Kit
Orenitram
Nuox
Revatio
Plexion
Staxyn
Plexion Cleanser
Stendra
Plexion Cleansing Cloths
Retin-a
DERMATOLOGICALS
Retin-a Micro
Retin-a Micro P.M.
ACNE PRODUCTS
Riax
GENERIC
Rosanil
adapalene
Sodium Sulfacetamide/Sulfur
benzoyl peroxide
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
benzoyl peroxide SHORT contact
Sodium Sulfacetamide/Sulfur IN Urea
clindamycin phosphate
Sulfoam
clindamycin/benzoyl peroxide
Sumadan Kit
erythromycin
Sumadan Wash
erythromycin/benzoyl peroxide
Sumadan XLT
sodium sulfacetamide
Sumaxin
sodium sulfacetamide/sulfur
Sumaxin CP Kit
sodium sulfacetamide/sulfur cleanser
Sumaxin Ts
sodium sulfacetamide/sulfur cleansing cloths
Sumaxin Wash
sodium sulfacetamide/sulfur green
Tretin-x
sodium sulfacetamide/sulfur w/sunscreen
Vanoxide-HC
sodium sulfacetamide/sulfur wash
Veltin
sulfacetamide sodium
Zacare 4% Kit
sulfacetamide sodium/sulfur cleanser
Zacare 8% Kit
tretinoin
tretinoin microsphere
ROSACEA AGENTS
tretinoin microsphere P.M.
GENERIC
Claravis
metronidazole
PREFERRED
Doxycycline
Acanya
PREFERRED
Atralin
Finacea
Epiduo
Mirvaso
Ziana
Oracea
NON PREFERRED
NON PREFERRED
Absorica
Metrocream
Aczone
Metrogel
Akne-mycin
Metrolotion
Avar
Noritate
Avar LS
Rosadan Kit
Avar LS Cleanser
Avar-e LS
Effective January 1, 2015
10
ANALGESICS - TOPICAL
NON PREFERRED
Lidovir
NON PREFERRED
Xerese
A.a.g.c. Kit IN Teroderm
Zovirax
ANTIBIOTICS - TOPICAL
ANTI-INFLAMMATORY AGENTS
GENERIC
GENERIC
mupirocin
diclofenac sodium
mupirocin calcium
PREFERRED
Centany
Voltaren
NON PREFERRED
NON PREFERRED
Altabax
Flector
Bactroban
K.b.g.l. IN Teroderm Cream
Centany AT
Ketorolac 2% Gel
Cortisporin
Lidoprofen
Gentamicin Sulfate
Pennsaid
Neo-synalar
Vopac
Neo-synalar Kit
Vopac GB
Vopac Kt
ANTIFUNGALS - TOPICAL
GENERIC
ANTIPRURITICS
ciclopirox
NON PREFERRED
ciclopirox nail lacquer
Prudoxin
ciclopirox olamine
Zonalon
clotrimazole
clotrimazole/betamethasone dipropionate
ANTIPSORIATICS
econazole nitrate
ketoconazole
GENERIC
nystatin
acitretin
nystatin/triamcinolone
calcipotriene
PREFERRED
methoxsalen
Nystatin
Calcitriol
Nystatin Foreign
PREFERRED
NON PREFERRED
Tazorac
Ciclodan Cream Kit
8-mop
Ciclodan Solution Kit
NON PREFERRED
Ciclopirox Topical Solution Kit
Dovonex
Cnl8 Nail Kit
Dritho-creme HP
Ecoza
Oxsoralen Ultra
Ertaczo
Soriatane
Exelderm
Sorilux
Extina
Stelara
Halotin
Vectical
Jublia
Zithranol
Kerydin
Zithranol-rr
Ketodan Kit
Lamisil Spray
ANTISEBORRHEIC AGENTS
Loprox
GENERIC
Loprox Shampoo
selenium sulfide
Lotrisone
sodium sulfacetamide
Luzu
sodium sulfacetamide wash
Mentax
NON PREFERRED
Naftin
Glycolic Acid
Nizoral
Glycolic Acid 70% High Purity
Oxistat
Ovace Plus
Pediaderm AF Complete Kit
Ovace Plus Wash
Pedipirox-4 Nail
Ovace Wash
Penlac Nail Lacquer
Promiseb
Vusion
Promiseb Complete
Xolegel
Seb-prev
Xolegel Corepak
Selenium Sulfide
Xolegel Duo/Head & Shoulders
Selrx
Xolegel Duo/Xolex
Selsun Shampoo
Sodium Sulfacetamide/Urea
ANTIVIRALS - TOPICAL
Tersi Foam
GENERIC
TL Triseb
acyclovir
PREFERRED
CORTICOSTEROIDS - TOPICAL
Denavir
GENERIC
alclometasone dipropionate
Effective January 1, 2015
11
augmented betamethasone dipropionate
Nucort
betamethasone dipropionate
Nuzon
betamethasone valerate
Olux
calcipotriene/betamethasone dipropionate
Olux-e
clobetasol propionate
Pandel
clobetasol propionate emollient
Pediaderm HC
desonide
Pediaderm Ta
desoximetasone
Scalacort DK
diflorasone diacetate
Synalar
fluocinolone acetonide
Synalar Cream Kit
fluocinonide
Synalar Ointment Kit
fluocinonide emollient base
Synalar Ts
fluocinonide-e
Taclonex
fluticasone propionate
Temovate
halobetasol propionate
Temovate E
hydrocortisone
Texacort
hydrocortisone acetate/aloe
Topicort
hydrocortisone butyrate
Triamcinolone Acetonide
hydrocortisone butyrate (lipid)
Trianex
hydrocortisone butyrate (lipophilic)
U-cort
hydrocortisone valerate
Ultravate
hydrocortisone IN absorbase
Ultravate PAC
mometasone furoate
Ultravate X
prednicarbate
Vanos
triamcinolone acetonide
Verdeso
Amcinonide
Westcort
Apexicon E
Desoximetasone
IMMUNOMODULATING AGENTS
PREFERRED
GENERIC
Pramosone
imiquimod
Pramosone E
tacrolimus
Tucks Anti-itch
PREFERRED
NON PREFERRED
Elidel
Aclovate
NON PREFERRED
Ala Scalp
Aldara
Capex
Protopic
Carmol-HC
Zyclara
Clobex
Zyclara P.M.
Clocortolone Pivalate
Clocortolone Pivalate P.M.
DERMATOLOGICALS - MISC.
Clodan Kit
GENERIC
Cloderm
ammonium lactate
Cloderm P.M.
episone CRE
Cordran
lactic acid
Cordran Tape
lactic acid e
Cutivate
lactic acid w/vitamin e
Derma-smoothe/FS Body
lidocaine
Derma-smoothe/FS Body Oil
lidocaine HCL
Derma-smoothe/FS Scalp
lidocaine HCL jelly
Derma-smoothe/FS Scalp Oil
lidocaine/prilocaine
Dermasorb HC
lindane
Dermasorb Ta
malathion
Dermatop
permethrin
Desonate
podofilox
Desowen
salicylic acid
Desowen Cream/Cetaphil Lotion
salicylic acid cream
Desowen Lotion/Cetaphil Cream
salicylic acid lotion
Desowen Ointment/Cetaphil Lotion
sodium hyaluronate
Diflorasone Diacetate
urea
Diprolene
urea topical
Diprolene AF
urea IN zinc undecylenate/lactic acid vehicle
Elocon
urea 40% nail film
Epifoam
Cem-urea
First-hydrocortisone
Propa PH Acne Medication Cleanser Maximum Strength
Halog
PREFERRED
Halonate
Condylox
Kenalog
Oxsoralen
Locoid
NON PREFERRED
Locoid Lipocream
Aluvea
Luxiq
Effective January 1, 2015
12
Anacaine
Salex Lotion
Arnica Flower
Salicylic Acid
Atopiclair
Salicylic Acid IN Ammonium Lactate Vehicle
Aurstat Anti-itch Hydrogel
Salkera
Aurstat Anti-itch Hydrogel Kit
Salvax
Benzoin Compound Tincture
Salvax Duo Plus
Benzoin Tincture
Sinelee
Boric Acid
Sklice
Coal TAR
Solaice
Cocaine HCL
Spinosad
Dermasorb XM
Sulfurated Lime
Drysol
Synera
Elenzapatch
Tetrix
Eletone
Tropazone
Eletone Twinpack
TL-cermide
Elimite
Ulesfia
Emla
Ultrasal-ER
Emulsion SB
Umecta
Epiceram
Umecta Nail Film
Ethyl Chloride
Umecta PD
Ethyl Chloride/Fine Pinpoint
Uramaxin
Ethyl Chloride/Fine Stream
Uramaxin GT
Ethyl Chloride/Medium Jet Stream
Uramaxin GT Kit
Ethyl Chloride/Medium Stream
Utopic
Ethyl Chloride/Mist
Veregen
Eurax
Vexa
Gebauers Pain Ease
Virasal
Gebauers Spray And Stretch
Xclair
Genadur
Xylocaine
Genadur Kit
Gordofilm
ENDOCRINE AND METABOLIC
Gordons Urea
CORTICOSTEROIDS
Hydro 35
GENERIC
Hydro 40 Foam
betamethasone sodium phosphate/betamethasone acetate
Hylatopic
Hylatopic Plus
budesonide
Hylira
dexamethasone
HPR
dexamethasone sodium phosphate
HPR Plus
fludrocortisone acetate
HPR Plus/Mb Hydrogel
hydrocortisone
Kerafoam
methylprednisolone
Kerafoam 42
methylprednisolone acetate
Keralac
methylprednisolone dose pack
Keralyt
methylprednisolone sodiumsuccinate
Keralyt Scalp
prednisolone
Lac-hydrin
prednisolone sodium phosphate
Latrix XM
prednisolone sodium phosphate odt
Lidocaine HCL
prednisone
Lidocaine/Prilocaine
A-hydrocort
Lidoderm
Dexamethasone Sodium Phosphate
Lycelle
PREFERRED
Mb Hydrogel
Uceris
Medi-derm/L-RX
NON PREFERRED
Natroba
Aristospan Intra-articular
Neosalus
Aristospan Intralesional
Neosalus CP
Betalido
Nivatopic Plus
Celestone
Nuvail
Celestone-soluspan
Ovide
Cortef
Pliaglis
Cortisone Acetate
Pr Cream
Depo-medrol
Presera
Dexamethasone
Pruclair
Dexamethasone Intensol
Prumyx
Dexlido
Pyrogallic Acid
Dexlido-m
Qutenza
Dexpak 10 Day
Relyyks
Dexpak 13 Day
Relyyt
Dexpak 6 Day
Salex
Doubledex
Salex Cream
Effective January 1, 2015
13
Dyural-l
Combipatch
Dyural-lm
Enjuvia
Dyural-40
Evamist
Dyural-80
Minivelle
Entocort EC
Premphase
FLO-pred
Prempro
Interarticular Joint Kit
Vivelle-dot
Kenalog-10
NON PREFERRED
Kenalog-40
Activella
Marbeta-l
Angeliq
Marbeta-25
Climara
Mardex-25
Climara Pro
Medrol
Delestrogen
Medrol Dosepak
Depo-estradiol
Millipred
Divigel
Millipred DP
Duavee
Mlk F4 Kit
Elestrin
Orapred
Estrace
Orapred Odt
Estrasorb
Pediapred
Estrogel
Prednisolone Sodium Phosphate
Estropipate
Prednisone
Femhrt Low Dose
Prednisone Intensol
Menest
Prelone
Menostar
Rayos
Prefest
Solu-cortef
Premarin
Solu-medrol
Veripred 20
CONTRACEPTIVES
GENERIC
ANDROGENS-ANABOLIC
desogestrel/ethinyl estradiol
GENERIC
drospirenone/ethinyl estradiol
danazol
levonorgestrel
oxandrolone
levonorgestrel and ethinyl estradiol
testosterone cypionate
levonorgestrel/ethinyl estradiol
testosterone enanthate
norethindrone
Testosterone
norethindrone acetate/ethinyl estradiol
Testosterone P.M.
norethindrone acetate/ethinyl estradiol/ferrous fumarate
PREFERRED
norgestimate/ethinyl estradiol
Androgel
Ogestrel
Androgel P.M.
PREFERRED
Androxy
Beyaz
Axiron
LO Loestrin FE
NON PREFERRED
Minastrin 24 FE
Anadrol-50
Natazia
Androderm
Safyral
Android
NON PREFERRED
Aveed
Amethyst
Depo-testosterone
Brevicon-28
First-testosterone
Cyclessa
First-testosterone Mc Compounding Kit
Desogen
Fortesta
Ella
Oxandrin
Estrostep FE
Striant
Falessa
Testim
Femcon FE
Testopel
Generess FE
Testred
Loestrin FE 1.5/30
Vogelxo
Loestrin FE 1/20
Vogelxo P.M.
Loestrin 1.5/30-21
Loestrin 1/20-21
ESTROGENS
Loestrin 24 FE
Loseasonique
GENERIC
LO Minastrin FE
estradiol
Mircette
estradiol valerate
Modicon
estradiol/norethindrone acetate
Necon 1/50-28
estropipate
Necon 10/11-28
Jinteli
Nor-QD
PREFERRED
Norinyl 1+35
Alora
Norinyl 1+50
Cenestin
Effective January 1, 2015
14
Ortho Micronor
Symlinpen 60
Ortho Tri-cyclen
INCRETIN MIMETIC AGENTS
Ortho Tri-cyclen LO
PREFERRED
Ortho-cept
Bydureon
Ortho-cyclen
Byetta
Ortho-novum 1/35
Victoza
Ortho-novum 7/7/7
NON PREFERRED
Ovcon-35
Tanzeum
Plan B
Trulicity
Plan B One-step
SULFONYLUREAS
Quartette
GENERIC
Seasonique
glimepiride
Tri-norinyl 28
glipizide
Yasmin 28
glipizide ER
Yaz
glyburide
Zovia 1/50e
glyburide micronized
tolazamide
PROGESTINS
Glyburide
NON PREFERRED
GENERIC
Amaryl
medroxyprogesterone acetate
Chlorpropamide
norethindrone acetate
Diabeta
progesterone
Glucotrol
PREFERRED
Glucotrol XL
Makena
Glynase
NON PREFERRED
Tolazamide
Aygestin
Tolbutamide
Megace ES
BIGUANIDES
Prometrium
GENERIC
Provera
metformin HCL
metformin HCL ER
ANTIDIABETIC AGENTS
PREFERRED
INSULIN
Riomet
PREFERRED
NON PREFERRED
Lantus
Fortamet
Lantus Solostar
Glucophage
Novolin N
Glucophage XR
Novolin N Relion
Glumetza
Novolin R
MEGLITINIDE ANALOGUES
Novolin R Relion
GENERIC
Novolin 70/30
nateglinide
Novolin 70/30 Relion
repaglinide
Novolog
NON PREFERRED
Novolog Flexpen
Prandin
Novolog Mix 70/30
Starlix
Novolog Mix 70/30 Prefilled Flexpen
DIABETIC OTHER
Novolog Penfill
PREFERRED
NON PREFERRED
Glucagen
Apidra
Glucagen Hypokit
Apidra Solostar
Glucagon Emergency Kit
Humalog
Invokana
Humalog Kwikpen
Proglycem
Humalog Mix 50/50
NON PREFERRED
Humalog Mix 50/50 Kwikpen
Farxiga
Humalog Mix 75/25
Jardiance
Humalog Mix 75/25 Kwikpen
Korlym
Humulin N
ALPHA-GLUCOSIDASE INHIBIT
Humulin N Kwikpen
GENERIC
Humulin N U-100 Pen
acarbose
Humulin R
NON PREFERRED
Humulin R U-500 (concentrated)
Glyset
Humulin 70/30
Precose
Humulin 70/30 Kwikpen
DPP-4 INHIBITORS
Humulin 70/30 Pen
PREFERRED
Levemir
Januvia
Levemir Flexpen
Onglyza
Levemir Flextouch
NON PREFERRED
Relion R
Nesina
AMYLIN ANALOGS
Tradjenta
PREFERRED
Symlinpen 120
Effective January 1, 2015
15
INSULIN SENSITIZING AGENT
PREFERRED
GENERIC
Xgeva
pioglitazone HCL
NON PREFERRED
NON PREFERRED
Prolia
Actos
Avandia
CALCIUM REGULATORS - MISC
ANTIDIABETIC COMBINATIONS
NON PREFERRED
GENERIC
Ganite
glipizide/metformin HCL
glyburide/metformin HCL
HORMONE RECEPTOR MDLTR
pioglitazone HCL-glimepiride
GENERIC
pioglitazone HCL/metformin HCL
raloxifene hydrochloride
PREFERRED
NON PREFERRED
Actoplus Met XR
Evista
Janumet
Osphena
Janumet XR
Juvisync
FERTILITY REGULATORS
Kombiglyze XR
GENERIC
Prandimet
chorionic gonadotropin
NON PREFERRED
clomiphene citrate
Actoplus Met
PREFERRED
Appformin
Bravelle
Appformin-d
Follistim AQ
Avandamet
Repronex
Avandaryl
NON PREFERRED
Duetact
Gonal-f
Glucovance
Gonal-f RFF
Invokamet
Gonal-f RFF Pen
Jentadueto
Gonal-f RFF Rediject
Kazano
Menopur
Oseni
Ovidrel
Xigduo XR
LHRH/GNRH AGONIST
BISPHOSPHONATES
PREFERRED
GENERIC
Lupron Depot-PED
alendronate sodium
Supprelin LA
ibandronate sodium
Synarel
pamidronate disodium
NON PREFERRED
risedronate sodium
Lupaneta Pack
zoledronic acid
PREFERRED
GNRH/LHRH ANTAGONISTS
Fosamax Plus D
PREFERRED
NON PREFERRED
Cetrotide
Actonel
Ganirelix Acetate
Alendronate Sodium
Atelvia
GROWTH HORMONES
Binosto
PREFERRED
Boniva
Norditropin Cartridge
Etidronate Disodium
Norditropin Flexpro
Fosamax
Norditropin Nordiflex Pen
Pamidronate Disodium
Nutropin
Reclast
Nutropin AQ Nuspin 10
Zoledronic Acid
Nutropin AQ Nuspin 20
Zometa
Nutropin AQ Nuspin 5
Nutropin AQ Pen
CALCITONINS
NON PREFERRED
GENERIC
Genotropin
calcitonin salmon
Genotropin Miniquick
calcitonin-salmon
Humatrope
NON PREFERRED
Humatrope Combo Pack
Fortical
Omnitrope
Miacalcin
Saizen
Saizen Click.easy
PARATHYROID HORMONE
Serostim
PREFERRED
Tev-tropin
Forteo
Zorbtive
RANK LIGAND INHIBITORS
GHRH
Effective January 1, 2015
16
NON PREFERRED
Naglazyme
Egrifta
Orfadin
Ravicti
SOMATOMEDINS
Sensipar
Vimizim
NON PREFERRED
NON PREFERRED
Increlex
Ammonul
Buphenyl
SOMATOSTATIC AGENTS
Carnitor
GENERIC
Carnitor SF
octreotide acetate
Hectorol
PREFERRED
Rocaltrol
Sandostatin Lar Depot
Zemplar
Signifor
Somatuline Depot
THYROID AGENTS
NON PREFERRED
GENERIC
Sandostatin
levothyroxine sodium
liothyronine sodium
GH RECEPTOR ANTAGONISTS
methimazole
PREFERRED
propylthiouracil
Somavert
PREFERRED
Armour Thyroid
POSTERIOR PITUITARY
NON PREFERRED
GENERIC
Cytomel
desmopressin acetate
Levothyroxine Sodium
vasopressin
Nature-throid
PREFERRED
Nature-throid Nt-2.5
Stimate
Synthroid
NON PREFERRED
Tapazole
Ddavp
Thyrolar-1
Pitressin Synthetic
Thyrolar-1/2
Vasostrict
Thyrolar-1/4
Thyrolar-2
CORTICOTROPIN
Thyrolar-3
PREFERRED
Tirosint
H.p. Acthar
Triostat
Westhroid
PROLACTIN INHIBITORS
Westhroid-p
GENERIC
Wp Thyroid
cabergoline
GASTROINTESTINAL
VASOPRESSIN ANTAGONISTS
LAXATIVES
PREFERRED
GENERIC
Samsca
lactulose
NON PREFERRED
peg 3350/electrolytes
Vaprisol
peg-3350/electrolytes
peg-3350/NACL/NA bicarbonate/KCL
PROGESTERONE ANTAGONISTS
polyethylene glycol 3350
NON PREFERRED
PREFERRED
Mifeprex
Halflytely Bowel Prep/Flavor Packs
Moviprep
METABOLIC MODIFIERS
Suclear
GENERIC
Suprep Bowel Prep
calcitriol
NON PREFERRED
doxercalciferol
Cascara Sagrada
levocarnitine
Colyte-flavor Packs
paricalcitol
Golytely
sodium phenylbutyrate
Kristalose
Paricalcitol
Mineral Oil Heavy
PREFERRED
Nulytely/Flavor Packs
Aldurazyme
Osmoprep
Carbaglu
Prepopik
Cystadane
Elaprase
ANTIDIARRHEALS
Fabrazyme
GENERIC
Kuvan
diphenoxylate/atropine
Lumizyme
loperamide HCL
Myalept
opium
Myozyme
opium tincture
Effective January 1, 2015
17
NON PREFERRED
Glycate
Diphenoxylate/Atropine
Helidac
Fulyzaq
Levbid
Lomotil
Levsin
Motofen
Levsin/SL
Opium Tincture (paregoric)
Nexium I.v.
Restora RX
Omeclamox-PAK
Rezyst IM
Omeprazole + Syrspend SF Alka
Rezyst SB
Pamine
Vsl#3 DS
Pamine Forte
Pamine FQ
ANTACIDS
Pepcid
Prevacid
NON PREFERRED
Prevacid Solutab
Sodium Bicarbonate
Prevpac
Prilosec
ULCER DRUGS
Propantheline Bromide
GENERIC
Protonix
atropine sulfate
Robinul
cimetidine
Robinul Forte
cimetidine HCL
Scopolamine Hydrobromide
dicyclomine HCL
Sentradine
esomeprazole sodium
Symax Duotab
famotidine
Zantac
glycopyrrolate
Zegerid
hyoscyamine sulfate
hyoscyamine sulfate odt
ANTIEMETICS
hyoscyamine sulfate ER
GENERIC
hyoscyamine sulfate SR
dronabinol
lansoprazole
granisetron HCL
lansoprazole/amoxicillin/clarithromycin
meclizine HCL
methscopolamine bromide
ondansetron odt
misoprostol
ondansetron HCL
nizatidine
trimethobenzamide HCL
omeprazole
PREFERRED
omeprazole/sodium bicarbonate
Aloxi
pantoprazole sodium
Emend
rabeprazole sodium
Sancuso
ranitidine HCL
Transderm-scop
sucralfate
NON PREFERRED
Dicyclomine HCL
Akynzeo
Esomeprazole Sodium
Anzemet
Famotidine
Cesamet
Gastrinex NF
Diclegis
PREFERRED
Dimenhydrinate
Carafate
Granisol
Nexium
Marinol
Nexium 24HR
Tigan
Pylera
Zofran
NON PREFERRED
Zofran Odt
Aciphex
Zuplenz
Aciphex Sprinkle
Anaspaz
DIGESTIVE AIDS
Atropen
Atropine Sulfate
PREFERRED
Axid
Creon
Belladonna & Opium
Pancrelipase
Belladonna Alkaloids & Opium
Sucraid
Bentyl
Viokace
Cantil
NON PREFERRED
Cuvposa
Pancreaze
Cytotec
Pertzye
Deprizine Fusepaq
Ultresa
Dexilant
Zenpep
Digex NF
Esomeprazole Strontium
GASTROINTESTINAL - MISC.
Famotidine Premixed
GENERIC
First-lansoprazole
balsalazide disodium
First-omeprazole
calcium acetate
Gabitidine
cromolyn sodium
Effective January 1, 2015
18
hydrocort ene 100MG
methenamine mandelate
hydrocortisone
nitrofurantoin
hydrocortisone acetate/lidocaine HCL
nitrofurantoin macrocrystals
hydrocortisone acetate/pramoxine
nitrofurantoin monohydrate
lactulose
nitrofurantoin monohydrate/macrocrystals
lidocaine HCL/hydrocortisone acetate
NON PREFERRED
mesalamine
Furadantin
metoclopramide HCL
Hiprex
sulfasalazine
Macrobid
ursodiol
Macrodantin
PREFERRED
Methenamine Mandelate
Amitiza
Monurol
Analpram Advanced
Prosed/DS
Asacol HD
Urelle
Canasa
Uretron D/S
Chenodal
Urex
Cimzia
Uribel
Cimzia Starter Kit
Urimar-t
Cortifoam
Urogesic-blue
Delzicol
Uroqid #2
Fosrenol
Uta
Lialda
Linzess
URINARY ANTISPASMODICS
Lotronex
GENERIC
Pentasa
bethanechol chloride
Proctofoam HC
flavoxate HCL
Rectiv
oxybutynin chloride
Relistor
oxybutynin chloride ER
Renvela
tolterodine tartrate
Sevelamer Carbonate
tolterodine tartrate ER
NON PREFERRED
trospium chloride
Actigall
trospium chloride ER
Analpram-HC
PREFERRED
Analpram-HC Singles
Gelnique
Anusol-HC
Myrbetriq
Apriso
Oxytrol
Auryxia
Oxytrol For Women
Azulfidine
Toviaz
Azulfidine EN-TABS
Vesicare
Colazal
NON PREFERRED
Cortenema
Detrol
Dexpanthenol
Detrol LA
Dipentum
Ditropan XL
Eliphos
Enablex
Entereg
Sanctura
Entyvio
Sanctura XR
Gastrocrom
Urecholine
Gattex
Giazo
VAGINAL PRODUCTS
Lidocaine HCL-hydrocortisone Acetate With Aloe
GENERIC
Metozolv Odt
clindamycin phosphate
Phoslo
metronidazole vaginal
Phoslyra
terconazole
Procort
PREFERRED
Proctocort
Clindesse
Reglan
Crinone
Remicade
Endometrin
Renagel
Estrace
Rowasa
Estring
Sfrowasa
Vagifem
Uceris
NON PREFERRED
Urso Forte
Avc
Urso 250
Cleocin
Velphoro
Fem PH
Femring
GENITOURINARY
First-progesterone VGS 100 Compounding Kit
URINARY ANTI-INFECTIVES
First-progesterone VGS 200 Compounding Kit
First-progesterone VGS 25 Compounding Kit
GENERIC
First-progesterone VGS 400 Compounding Kit
methenamine hippurate
Effective January 1, 2015
19
First-progesterone VGS 50 Compounding Kit
Neupogen
Gynazole-1
Nplate
Metrogel-vaginal
Procrit
Premarin
Promacta
Relagard
Venofer
Terazol 3
Vpriv
Terazol 7
NON PREFERRED
Albafort
GENITOURINARY - MISC.
Animi-3
Animi-3/Vitamin D
GENERIC
Aranesp Albumin Free
alfuzosin HCL ER
B-6 Folic Acid
citric acid/sodium citrate
Biferarx
finasteride
Cenfol
hydrochloric acid
Centratex
phenazopyridine HCL
Cerdelga
potassium citrate ER
Ciferex
potassium citrate-citric acid crystals
Corvite 150
potassium citrate/citric acid
Divista
potassium citrate/sodium citrate/citric acid
Ed Cyte F
sodium citrate/citric acid
Epogen
tamsulosin HCL
Feriva
tricitrates
Feriva 21/7
PREFERRED
Ferivafa
Cystagon
Ferralet 90
Elmiron
Ferrlecit
Procysbi
Ferro-plex Hematinic
Rapaflo
Ferrotrin
Renacidin
Folgard RX
NON PREFERRED
Folic Acid
Avodart
Folivane-f
Cardura XL
Folivane-plus
Citrolith
Foltrate
Cytra-3
Fusion Plus
Flomax
Granix
Jalyn
Hematogen Fa
K-phos NO 2
Hematron-AF
Lithostat
Hemocyte Plus
Oracit
Hemocyte-f
Proscar
Hydroxocobalamin
Pyridium
Icar-c Plus
Shohls Solution Modified
Injectafer
Thiola
Integra F
Urocit-k 10
Integra Plus
Urocit-k 15
Irospan 24/6
Urocit-k 5
Is 24/6
Uroxatral
Maxaron Forte
Maxfe
HEMATOLOGICAL
Multigen
HEMATOPOIETIC AGENTS
Multigen Folic
GENERIC
Multigen Plus
cyanocobalamin
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
folic acid
folic acid/vitamin b-6/vitamin b-12
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
sodium ferric gluconate complex/sucrose
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Natalvirt Flt
Nephron Fa
PREFERRED
Novaferrum
Cerezyme
Omontys
Cyanocobalamin
Pre-folic
Droxia
Proferrin-forte
Elelyso
Protectiron
Feraheme
Tandem F
Ferrex 150 Forte Plus
Tandem Plus
Ferrex 28
Zavesca
Leukine
Mozobil
ANTICOAGULANTS
Nascobal
GENERIC
Neulasta
argatroban
Neumega
enoxaparin sodium
Effective January 1, 2015
20
fondaparinux sodium
Benefix
heparin lock
Berinert
heparin lock flush
Brilinta
heparin lock flush for flushing vascular access devices
Corifact
heparin lock flush/NACL for flushing vascular access devices
Effient
Feiba NF
heparin sodium
Helixate FS
heparin sodium dcu
Hemofil M
heparin sodium lock flush
Humate-p
heparin sodium/sodium chloride 0.9% premix
Koate-dvi
heparin sodium/D5W
Kogenate FS
heparin sodium/NACL 0.9%
Kogenate FS Bio-set
warfarin sodium
Monoclate-p
PREFERRED
Mononine
Eliquis
Novoseven
Pradaxa
Novoseven Rt
Xarelto
Recombinate
Xarelto Starter Pack
Riastap
NON PREFERRED
Soliris
Angiomax
Tretten
Argatroban
Wilate
Arixtra
Xyntha
Coumadin
Xyntha Solofuse
Fragmin
NON PREFERRED
Heparin Lock Flush
Activase
Heparin Sodium
Aggrastat
Heparin Sodium/D5W
Agrylin
Heparin Sodium/NACL 0.45%
Cathflo Activase
Heparin Sodium/Sodium Chloride 0.9%
Firazyr
Iprivask
Hespan
Lovenox
Hextend
Integrilin
HEMOSTATICS
Kalbitor
GENERIC
Kinlytic
aminocaproic acid
LMD 10% Dextrose 5%
tranexamic acid
LMD 10% Sodium Chloride 0.9%
NON PREFERRED
Persantine
Amicar
Plavix
Aminocaproic Acid
Pletal
Artiss
Protamine Sulfate
Astringyn
Reopro
Cyklokapron
Retavase
Evicel
Retavase Half-kit
Evithrom
Tnkase
Lysteda
Trental
Recothrom
Voluven
Recothrom Spray Kit
Zontivity
Thrombin-jmi Diluent
Thrombin-jmi Epistaxis
MOUTH/THROAT/DENTAL AGENT
Thrombin-jmi Syringe Spray Kit
Thrombin-jmi W/Dil Spray P.M. Actuator
GENERIC
Thrombogen
cevimeline HCL
Tisseel
chlorhexidine gluconate
chlorhexidine gluconate oral rinse
HEMATOLOGICAL - MISC.
clotrimazole
GENERIC
lidocaine viscous
anagrelide hydrochloride
lidocaine HCL
cilostazol
lidocaine HCL viscous
clopidogrel
nystatin
dipyridamole
pilocarpine hydrochloride
hetastarch 6%/NACL
pilocarpine HCL
pentoxifylline ER
stannous fluoride oral rinse
ticlopidine HCL
triamcinolone acetonide
PREFERRED
triamcinolone IN orabase
Advate
NON PREFERRED
Aggrenox
Aquoral
Alphanate/Von Willebrand Factor Complex/Human
Caphosol
Alphanine SD
Debacterol
Alprolix
Evoxac
Effective January 1, 2015
21
First-bxn Mouthwash
escitalopram oxalate
First-dukes Mouthwash
fluoxetine DR
First-marys Mouthwash
fluoxetine HCL
First-mouthwash Blm
fluvoxamine maleate
Gel-kam Oral Care Rinse
fluvoxamine maleate ER
Gelclair
imipramine pamoate
Lta 360 Kit
imipramine HCL
Nafrinse Daily/Acidulated
mirtazapine
Nafrinse Daily/Neutral
mirtazapine odt
Nafrinse Weekly
nefazodone HCL
Neutrasal
nortriptyline HCL
Numoisyn
paroxetine HCL
Orafate
paroxetine HCL ER
Oravig
phenelzine sulfate
Peridex
protriptyline HCL
Prevident
sertraline HCL
Prothelial
tranylcypromine sulfate
Salagen
trazodone HCL
trimipramine maleate
NEUROLOGY, CNS, PSYCH
venlafaxine HCL
venlafaxine HCL ER
ANTIANXIETY AGENTS
Amoxapine
GENERIC
Doxepin HCL
alprazolam
Nefazodone HCL
alprazolam odt
Venlafaxine HCL ER
alprazolam ER
PREFERRED
buspirone HCL
Pristiq
chlordiazepoxide HCL
NON PREFERRED
clorazepate dipotassium
Anafranil
diazepam
Aplenzin
droperidol
Appbutamone
gene-xene TAB 15MG
Appbutamone-d
gene-xene TAB 3.75MG
Brintellix
gene-xene TAB 7.5MG
Celexa
hydroxyzine pamoate
Cymbalta
hydroxyzine HCL
Desvenlafaxine ER
lorazepam
Effexor XR
meprobamate
Emsam
oxazepam
Fetzima
Hydroxyzine Pamoate
Fetzima Titration Pack
Lorazepam Intensol
Fluoxetine HCL
NON PREFERRED
Forfivo XL
Alprazolam Intensol
Gaboxetine
Ativan
Khedezla
Diazepam
Lexapro
Diazepam Intensol
Luvox CR
Gabavale-5
Maprotiline HCL
Gabazolamine
Marplan
Gabazolamine-0.5
Nardil
Hydroxyzine HCL
Norpramin
Niravam
Nortriptyline HCL
Sentrazolam AM 0.25
Oleptro
Tranxene T
Pamelor
Valium
Parnate
Vistaril
Paxil
Xanax
Paxil CR
Xanax XR
Pexeva
Prozac
ANTIDEPRESSANTS
Prozac Weekly
GENERIC
Remeron
amitriptyline HCL
Remeron Soltab
bupropion HCL
Sentraflox AM-10
bupropion HCL ER
Sentralopram AM-10
bupropion HCL SR
Sentravil PM-25
bupropion HCL XL
Sentroxatine
citalopram hydrobromide
Surmontil
clomipramine HCL
Tofranil
desipramine HCL
Tofranil-PM
doxepin HCL
Trazamine
duloxetine HCL
Viibryd
Effective January 1, 2015
22
Vivactil
HYPNOTICS
Wellbutrin
GENERIC
Wellbutrin SR
dexmedetomidine HCL
Wellbutrin XL
estazolam
Zoloft
eszopiclone
flurazepam HCL
ANTIPSYCHOTICS
phenobarbital
GENERIC
temazepam
chlorpromazine HCL
triazolam
clozapine
zaleplon
fluphenazine decanoate
zolpidem tartrate
fluphenazine HCL
zolpidem tartrate ER
haloperidol
Flurazepam HCL
haloperidol decanoate
Phenobarbital
haloperidol lactate
PREFERRED
lithium carbonate
Chloral Hydrate
lithium carbonate ER
Hetlioz
loxapine
Rozerem
loxapine succinate
NON PREFERRED
olanzapine
Ambien
olanzapine odt
Ambien CR
perphenazine
Amytal Sodium
prochlorperazine
Belsomra
prochlorperazine edisylate
Butisol Sodium
prochlorperazine maleate
Doral
quetiapine fumarate
Edluar
risperidone
Gabazolpidem-5
risperidone odt
Halcion
thioridazine HCL
Intermezzo
thiothixene
Lunesta
trifluoperazine HCL
Nembutal Sodium
ziprasidone HCL
Phenobarbital Sodium
PREFERRED
Precedex
Abilify
Quazepam
Abilify Discmelt
Restoril
Abilify Maintena
Seconal
Latuda
Sentrazolpidem PM-5
Risperdal Consta
Silenor
Seroquel XR
Sonata
NON PREFERRED
Strazepam
Adasuve
Zolpimist
Chlorpromazine HCL
Clozapine Odt
ADHD, NARCOLEPSY, ETC.
Clozaril
GENERIC
Compazine
amphetamine/dextroamphetamine
Equetro
caffeine citrate
Fanapt
clonidine HCL ER
Fanapt Titration Pack
dexmethylphenidate HCL
Fazaclo
dexmethylphenidate HCL ER
Fluphenazine HCL
dextroamphetamine sulfate
Geodon
dextroamphetamine sulfate ER
Haldol
doxapram HCL
Haldol Decanoate 100
guanfacine ER
Haldol Decanoate 50
methamphetamine HCL
Invega
methylphenidate hydrochloride
Invega Sustenna
methylphenidate HCL
Lithium
methylphenidate HCL CD
Lithium Carbonate
methylphenidate HCL ER
Lithobid
methylphenidate HCL SR
Loxitane
modafinil
Risperdal
Methylphenidate HCL ER
Risperdal M-TAB
Procentra
Saphris
PREFERRED
Seroquel
Daytrana
Versacloz
Nuvigil
Zyprexa
Quillivant XR
Zyprexa Relprevv
Strattera
Zyprexa Zydis
Vyvanse
Effective January 1, 2015
23
NON PREFERRED
Depakote Sprinkles
Adderall
Diastat Acudial
Adderall XR
Diastat Pediatric
Cafcit
Dilantin
Caffeine/Sodium Benzoate
Dilantin Infatabs
Concerta
Felbatol
Desoxyn
Gabitril
Dexedrine
Keppra
Dopram
Keppra XR
Focalin
Klonopin
Focalin XR
Lamictal
Intuniv
Lamictal Chewable Dispersible
Kapvay
Lamictal Odt
Kapvay Dose Pack
Lamictal Starter/Not Taking Carbamazepine
Metadate CD
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Methylin
Lamictal Starter/Taking Valproate
Provigil
Lamictal XR
Ritalin
Levetiracetam
Ritalin LA
Mysoline
Ritalin SR
Neurontin
Sentramodafin AM-100
Phenytek
Zenzedi
Qudexy XR
Sabril
ANTICONVULSANTS
Stavzor
GENERIC
Tegretol
carbamazepine
Therapentin-60
carbamazepine ER
Therapentin-90
clonazepam
Topamax
clonazepam odt
Topamax Sprinkle
divalproex sodium
Topiramate ER
divalproex sodium DR
Trileptal
divalproex sodium ER
Trokendi XR
ethosuximide
Vimpat
felbamate
Zarontin
fosphenytoin sodium
Zonegran
gabapentin
lamotrigine
ANTIPARKINSON AGENTS
lamotrigine ER
GENERIC
levetiracetam
amantadine HCL
levetiracetam ER
benztropine mesylate
oxcarbazepine
bromocriptine mesylate
phenytoin
carbidopa
phenytoin sodium
carbidopa/levodopa
phenytoin sodium extended
carbidopa/levodopa odt
primidone
carbidopa/levodopa ER
tiagabine hydrochloride
entacapone
topiramate
pramipexole dihydrochloride
valproate sodium
ropinirole ER
valproic acid
ropinirole HCL
zonisamide
selegiline HCL
PREFERRED
trihexyphenidyl HCL
Banzel
PREFERRED
Celontin
Apokyn
Diazepam
Azilect
Fycompa
Mirapex ER
Lyrica
NON PREFERRED
Onfi
Amantadine HCL
Oxtellar XR
Carbidopa/Levodopa/Entacapone
Peganone
Cogentin
Potiga
Comtan
Tegretol-XR
Eldepryl
NON PREFERRED
Lodosyn
Aptiom
Mirapex
Carbatrol
Neupro
Cerebyx
Parcopa
Depacon
Parlodel
Depakene
Requip
Depakote
Requip XL
Depakote ER
Effective January 1, 2015
24
Sinemet
NEUROMUSCULAR AGENTS
Sinemet CR
GENERIC
Stalevo 100
atracurium besylate
Stalevo 125
cisatracurium besylate
Stalevo 150
pancuronium bromide
Stalevo 200
riluzole
Stalevo 50
rocuronium bromide
Stalevo 75
vecuronium bromide
Tasmar
NON PREFERRED
Zelapar
Anectine
Botox
NEUROLOGY, PSYCH - MISC.
Dysport
GENERIC
Myobloc
acamprosate calcium DR
Nimbex
disulfiram
Quelicin
donepezil HCL
Quelicin 1000
ergoloid mesylates
Rilutek
fluoxetine
Xeomin
galantamine
Zemuron
galantamine hydrobromide
olanzapine/fluoxetine
MUSCULOSKELETAL AGENTS
rivastigmine tartrate
GENERIC
PREFERRED
baclofen
Ampyra
carisoprodol
Aubagio
carisoprodol/aspirin
Avonex
carisoprodol/aspirin/codeine
Avonex Pen
chlorzoxazone
Copaxone
cyclobenzaprine HCL
Gilenya
dantrolene sodium
Gralise
metaxalone
Gralise Starter
methocarbamol
Namenda
orphenadrine citrate
Namenda Titration PAK
orphenadrine citrate ER
Namenda XR
orphenadrine/asa/caffeine
Namenda XR Titration Pack
tizanidine HCL
Nuedexta
Carisoprodol
Rebif
Dantrolene Sodium
Rebif Rebidose
PREFERRED
Rebif Rebidose Titration Pack
Gablofen
Rebif Titration Pack
Lioresal Intrathecal
Savella
Monovisc
Tecfidera
Orthovisc
Tecfidera Starter Pack
Synvisc
Xenazine
Synvisc One
Xyrem
NON PREFERRED
NON PREFERRED
Amrix
Antabuse
Cyclobenzaprine Comfort PAC
Aricept
Dantrium
Aricept Odt
Eufleexa
Euflexxa
Betaseron
Fexmid
Brisdelle
Hyalgan
Campral
Lorzone
Chlordiazepoxide/Amitriptyline
Norflex
Exelon
Parafon Forte DSC
Extavia
Prazolamine
Horizant
Robaxin
Lemtrada
Robaxin-750
Orap
Ryanodex
Perphenazine/Amitriptyline
Skelaxin
Plegridy
Soma
Plegridy Starter Pack
Therabenzaprine-60
Razadyne
Therabenzaprine-90
Razadyne ER
Therabenzaprine-90-5
Sarafem
Tizanidine Comfort PAC
Savella Titration Pack
Zanaflex
Symbyax
Tysabri
ANTIMYASTHENIC AGENTS
GENERIC
neostigmine methylsulfate
Effective January 1, 2015
25
pyridostigmine bromide
NON PREFERRED
PREFERRED
Betagan
Mestinon Timespan
Betimol
Prostigmin
Betoptic-s
NON PREFERRED
Cosopt
Bloxiverz
Cosopt PF
Enlon
Istalol
Enlon-plus
Levobunolol HCL
Guanidine HCL
Timoptic
Mestinon
Timoptic Ocudose
Regonol
Timoptic-xe
OPHTHALMOLOGY AND OTIC
OPHTHALMIC STEROIDS
GENERIC
ANTI-INFECTIVES
dexamethasone sodium phosphate
GENERIC
fluorometholone
bacitracin/polymyxin b
neomycin/polymyxin/bacitracin/hydrocortisone
ciprofloxacin HCL
neomycin/polymyxin/dexamethasone
erythromycin
prednisolone acetate
gatifloxacin
sulfacetamide sodium/prednisolone sodium phosphate
gentamicin sulfate
tobramycin/dexamethasone
levofloxacin
PREFERRED
neomycin/bacitracin/polymyxin
Alrex
neomycin/polymyxin/bacitracin zinc
FML
neomycin/polymyxin/gramicidin
Lotemax
ofloxacin
Pred Mild
polymyxin b sulfate/trimethoprim sulfate
Retisert
sodium sulfacetamide
Tobradex ST
sulfacetamide sodium
Zylet
tobramycin sulfate
NON PREFERRED
trifluridine
Blephamide
trimethoprim sulfate/polymyxin b sulfate
Blephamide S.o.p.
PREFERRED
Durezol
Besivance
Flarex
Moxeza
FML Forte
Natacyn
FML Liquifilm
Vigamox
Maxidex
NON PREFERRED
Maxitrol
Azasite
Neomycin/Polymyxin/Hydrocortisone
Bacitracin
Omnipred
Betadine Ophthalmic Prep
Pred Forte
Bleph-10
Pred-G
Ciloxan
Pred-G S.o.p.
Garamycin
Prednisolone Sodium Phosphate
Mitosol
Tobradex
Neosporin
Vexol
Ocuflox
Polytrim
PROSTAGLANDINS
Sulfacetamide Sodium
GENERIC
Tobrex
latanoprost
Viroptic
PREFERRED
Zirgan
Lumigan
Zymaxid
Travatan Z
Travoprost
ARTIFICIAL TEAR/LUBRICANT
NON PREFERRED
NON PREFERRED
Rescula
Lacrisert
Xalatan
Zioptan
BETA-BLOCKERS
GENERIC
CYCLOPLEGIC MYDRIATICS
betaxolol HCL
GENERIC
carteolol HCL
atropine sulfate
dorzolamide HCL/timolol maleate
cyclopentolate HCL
levobunolol HCL
homatropine HBR
timolol maleate
NON PREFERRED
timolol maleate ophthalmic gel forming
Atropine Sulfate
Metipranolol
Cyclogyl
PREFERRED
Cyclomydril
Combigan
Isopto Atropine
Effective January 1, 2015
26
Isopto Homatropine
Emadine
Isopto Hyoscine
Lastacaft
Ocufen
DECONGESTANTS
Optivar
Trusopt
GENERIC
phenylephrine HCL
OTIC AGENTS
NON PREFERRED
Mydfrin
GENERIC
Naphazoline HCL
acetic acid
antipyrine/benzocaine
MIOTICS
fluocinolone acetonide
fluocinolone acetonide ear drops
GENERIC
hydrocortisone/acetic acid
pilocarpine HCL
neomycin/polymyxin/hydrocortisone
PREFERRED
neomycin/polymyxin/HC
Phospholine Iodide
ofloxacin
Pilopine HS
PREFERRED
NON PREFERRED
Ciprodex
Isopto Carbachol
NON PREFERRED
Isopto Carpine
Acetic Acid/Aluminum Acetate
Antipyrine/Benzocaine
ADRENERGIC AGENTS
Auralgan
GENERIC
Cetraxal
apraclonidine
Cipro HC
brimonidine tartrate
Ciprofloxacin
NON PREFERRED
Coly-mycin S
Alphagan P
Cortisporin
Iopidine
Cortisporin-tc
Simbrinza
Cresylate
Dermotic
IMMUNOMODULATORS
Myoxin
PREFERRED
Otozin
Restasis
Pramotic
Vosol HC
LOCAL ANESTHETICS
GENERIC
OXYTOCICS
proparacaine HCL
tetracaine HCL
GENERIC
NON PREFERRED
methylergonovine maleate
Akten
oxytocin
Alcaine
NON PREFERRED
Cervidil
OPHTHALMICS - MISC.
Hemabate
GENERIC
Pitocin
azelastine HCL
Prepidil
bromfenac
Prostin E2
cromolyn sodium
diclofenac sodium
PAIN MANAGEMENT
dorzolamide HCL
ANALGESICS - NONNARCOTIC
epinastine HCL
flurbiprofen sodium
GENERIC
ketorolac tromethamine
butalbital/acetaminophen
PREFERRED
butalbital/acetaminophen/caffeine
Bepreve
butalbital/apap/caffeine
Bromday
butalbital/aspirin/caffeine
Cystaran
choline magnesium trisalicylate
Ilevro
diflunisal
Jetrea
salsalate
Nevanac
Butalbital/Aspirin/Caffeine
Pataday
NON PREFERRED
Patanol
Alagesic LQ
Prolensa
Bupap
NON PREFERRED
Choline Magnesium Trisalicylate
Acular
Disalcid
Acular LS
Dolgic Plus
Acuvail
Dologesic
Alocril
Equagesic
Alomide
Esgic
Azopt
Esgic-plus
Elestat
Fioricet
Effective January 1, 2015
27
Fiorinal
Demerol
Levacet
Dilaudid
Ofirmev
Dilaudid-HP
Orbivan CF
Dolophine
Phrenilin Forte
Dolophine HCL
Rhinoflex-650
Duragesic
Staflex
Exalgo
Tencon
Fentora
Fioricet/Codeine
ANALGESICS - OPIOID
Fiorinal/Codeine #3
Hycet
GENERIC
Hydrocodone/Acetaminophen
acetaminophen/codeine
Hydromorphone HCL
acetaminophen/codeine #2
Hydromorphone HCL Dosette
acetaminophen/codeine #3
Hydromorphone HCL ER
acetaminophen/codeine #4
Hysingla ER
acetaminophen/codeine phosphate
Ibudone
alfentanil
Infumorph 200
buprenorphine HCL
Infumorph 500
buprenorphine HCL/naloxone HCL
Kadian
butalbital/acetaminophen/caffeine/codeine
Levorphanol Tartrate
butalbital/aspirin/caffeine/codeine
Liquicet
butorphanol tartrate
Lorcet Plus
codeine sulfate
Lorcet 10/650
fentanyl
Lortab
fentanyl citrate oral transmucosal
Magnacet
hydrocodone bitartrate/acetaminophen
Maxidone
hydrocodone/acetaminophen
Meperidine HCL
hydrocodone/ibuprofen
Methadone HCL
hydromorphone HCL
Methadose
hydromorphone HCL ER
Methadose Sugar-free
meperidine HCL
Morphine Sulfate
methadone HCL
Morphine Sulfate Add-vantage
morphine sulfate
MS Contin
morphine sulfate ER
Norco
nalbuphine HCL
Opana
oxycodone HCL
Oxecta
oxycodone/acetaminophen
Oxycodone HCL
oxycodone/aspirin
Percocet
oxycodone/ibuprofen
Percodan
oxymorphone hydrochloride
Primlev
oxymorphone hydrochloride ER
Reprexain
pentazocine/acetaminophen
Roxicet
pentazocine/naloxone HCL
Roxicodone
tramadol hydrochloride/acetaminophen
Rybix Odt
tramadol HCL
Subsys
tramadol HCL ER
Synalgos-dc
Hydrocodone Bitartrate/Acetaminophen
Synapryn Fusepaq
Oxycodone HCL ER
Talwin
PREFERRED
Theracodeine-300
Butrans
Theracodophen-low-90
Lazanda
Theracodophen-325
Nucynta
Theracodophen-650
Nucynta ER
Theracodophen-750
Opana ER (crush Resistant)
Theratramadol-60
Oxycontin
Theratramadol-90
Suboxone
Tramadol HCL ER
Zubsolv
Trezix
NON PREFERRED
Tylenol/Codeine #3
Abstral
Tylenol/Codeine #4
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate
Ultiva
Actiq
Ultracet
Alfenta
Ultram
Aspirin-caffeine-dihydrocodeine
Ultram ER
Avinza
Vicoprofen
Bunavail
Xartemis XR
Buprenex
Xodol
Capital/Codeine
Xolox
Codeine Sulfate
Zohydro ER
Conzip
Zolvit
Effective January 1, 2015
28
Zydone
Meloxicam Comfort PAC
Mobic
ANTI-INFLAMMATORY
Nalfon
Naprelan
GENERIC
Naprosyn
celecoxib
Naproxen Comfort PAC
diclofenac potassium
Neoprofen
diclofenac sodium DR
Orencia
diclofenac sodium ER
Otezla
diclofenac sodium/misoprostol
Otrexup
etodolac
Ponstel
etodolac ER
Prastera
flurbiprofen
Rasuvo
ibuprofen
Rheumatrex
indomethacin
Simponi
indomethacin sodium
Simponi Aria
indomethacin ER
Sprix
ketoprofen
Therafeldamine
ketorolac tromethamine
Theraprofen-60
leflunomide
Theraprofen-800
mefenamic acid
Theraprofen-90
meloxicam
Theraproxen-500
nabumetone
Theraproxen-60
naproxen
Theraproxen-90
naproxen sodium
Trepadiclofen-25
oxaprozin
Trepoxen-250
piroxicam
Trepoxicam-7.5
sulindac
Vimovo
tolmetin sodium
Voltaren-XR
Meclofenamate Sodium
Xeljanz
Tolmetin Sodium
Zipsor
PREFERRED
Arcalyst
MIGRAINE PRODUCTS
Humira
Humira Pediatric Crohns Disease Starter Pack
GENERIC
Humira Pen
dihydroergotamine mesylate
Humira Pen-crohns Diseasestarter
naratriptan HCL
Humira Pen-psoriasis Starter
rizatriptan benzoate
Ridaura
rizatriptan benzoate odt
Zorvolex
sumatriptan succinate
NON PREFERRED
sumatriptan succinate refill
Actemra
zolmitriptan
Anaprox
zolmitriptan odt
Anaprox DS
Isometheptene/Caffeine/Acetaminophen
Arava
Sumatriptan Succinate
Arthrotec 50
PREFERRED
Arthrotec 75
Relpax
Caldolor
NON PREFERRED
Cataflam
Alsuma
Celebrex
Amerge
Daypro
Axert
Duexis
Cafergot
Enbrel
Cambia
Enbrel Sureclick
D.h.e. 45
EC-naprosyn
Dihydroergotamine Mesylate
Feldene
Ergomar
Fenoprofen Calcium
Frova
Ibuprofen Comfort PAC
Imitrex
Ilaris
Imitrex Statdose Refill
Indocin
Imitrex Statdose System
Indocin IV
Maxalt
Indomethacin
Maxalt-MLT
IC 400
Migergot
IC 800
Migral
Ketoprofen ER
Migranal
Ketorocaine-l
Sumatriptan
Ketorocaine-lm
Sumavel Dosepro
Ketorolac Tromethamine
Treximet
Kineret
Zomig
Meloxicam
Zomig Nasal Spray
Effective January 1, 2015
29
Zomig ZMT
clemastine fumarate
cyproheptadine HCL
GOUT AGENTS
desloratadine
desloratadine odt
GENERIC
diphenhydramine HCL
allopurinol
levocetirizine dihydrochloride
probenecid
promethazine HCL
probenecid/colchicine
promethazine HCL plain
PREFERRED
Clemastine Fumarate
Colcrys
NON PREFERRED
Krystexxa
Brompheniramine Tannate
Uloric
Clarinex
NON PREFERRED
Clarinex Reditabs
Aloprim
Dexchlorpheniramine Maleate
Mitigare
Dicopanol Fusepaq
Zyloprim
Doxytex
Karbinal ER
LOCAL ANESTHETICS-INJ
Palgic
GENERIC
Phenergan
bupivacaine HCL
Respa-BR
bupivacaine/epinephrine
Xyzal
chloroprocaine HCL
lidocaine HCL
NASAL AGENTS
lidocaine/epinephrine
GENERIC
ropivacaine
azelastine HCL
ropivacaine HCL
budesonide
Tetracaine HCL
flunisolide
NON PREFERRED
fluticasone propionate
Articadent Dental
ipratropium bromide
BD Pudendal/Local Block Tray 1% Lidocaine
olopatadine HCL
Carbocaine
triamcinolone acetonide
Citanest Forte Dental
Flunisolide
Citanest Plain Dental
PREFERRED
Duocaine
Dymista
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
Nasonex
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
Phenylephrine HCL
NON PREFERRED
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
Adrenalin
Astelin
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
Astepro
Atrovent
Exparel
Bactroban Nasal
Lidocaine HCL/Dextrose
Beconase AQ
Marcaine
Flonase
Marcaine W/O Epi
Nasacort AQ
Marcaine/Epinephrine
Omnaris
Marlido-25
Patanase
Mepivacaine HCL
Qnasl
Monoject Bone Marrow Biopsy Prepping Tray
Rhinocort Aqua
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Tyzine
Tyzine Pediatric Nasal Drops
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Veramyst
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Zetonna
Naropin
COUGH/COLD/ALLERGY
Nesacaine
GENERIC
Nesacaine-mpf
acetylcysteine
Sensorcaine-mpf/Epinephrine
benzonatate
Turkel Paracentesis Procedure Tray/8french
bromphen/pseudoephedrine HCL/dextromethorphan HBR
Xylocaine
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Xylocaine-mpf
hydrocodone bitartrate/homatropine methylbromide
Xylocaine-mpf/Epinephrine
hydrocodone polistirex/chlorpheniramine polistirex
Xylocaine/Epinephrine
hydrocodone/homatropine
phenylephrine/guaifenesin
RESPIRATORY, ALLERGY, ETC
promethazine-DM
ANTIHISTAMINES
promethazine/codeine
GENERIC
promethazine/dextromethorphan
carbinoxamine maleate
sodium chloride
cetirizine HCL
Effective January 1, 2015
30
PREFERRED
Asmanex Twisthaler 60 Metered Doses
Tussicaps
Asmanex Twisthaler 7 Metered Doses
NON PREFERRED
Atrovent HFA
Alahist Ac
Combivent
Alahist DHC
Combivent Respimat
Carbaphen 12
Daliresp
Carbaphen 12 PED
Dulera
Clarinex-d 12 HOUR
Foradil Aerolizer
Clarinex-d 24 HOUR
Perforomist
Cpb Wc
Proair HFA
Decon-a
Pulmicort Flexhaler
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Qvar
Serevent Diskus
Donatuss Dc
Spiriva Handihaler
Exactuss
Spiriva Respimat
Gilphex TR
Symbicort
Giltuss
Tudorza Pressair
Giltuss PED-c
NON PREFERRED
Giltuss TR
Accolate
Hyper-sal
Accuneb
Hypersal
Adrenalin
J-cof DHC
Advair Diskus
J-max DHC
Advair HFA
Nebusal
Aerospan
Neotuss Plus
Alvesco
Panatuss Dxp
Asmanex HFA
Pediatex TD
Breo Ellipta
Pediatex TDM
Brovana
Poly-tussin DHC
Duoneb
Relhist
Elixophyllin
Rescon-JR
Flovent Diskus
Rescon-MX
Flovent HFA
Rezira
Isuprel
Semprex-d
Lufyllin
Suttar-SF
Maxair Autohaler
Suttar-2
Metaproterenol Sulfate
Tessalon Perles
Proventil HFA
Tussionex Pennkinetic Extended Release
Pulmicort
Vituz
Pulmophylline
Zonatuss
Senophylline
Zutripro
Singulair
Striverdi Respimat
ANTIASTHMATIC/COPD AGENTS
Theo-24
GENERIC
Theophylline/D5W
albuterol sulfate
Ventolin HFA
albuterol sulfate ER
Vospire ER
albuterol TAB 4MG
Xolair
aminophylline
Xopenex
budesonide
Xopenex Concentrate
epinephrine HCL
Xopenex HFA
ipratropium bromide
Zyflo
ipratropium bromide/albuterol sulfate
Zyflo CR
levalbuterol HCL
montelukast sodium
RESPIRATORY AGENTS - MISC
terbutaline sulfate
PREFERRED
theophylline
Kalydeco
theophylline CR
Prolastin-c
theophylline ER
Pulmozyme
theophylline/D5W
Zemaira
zafirlukast
NON PREFERRED
Cromolyn Sodium
Aralast NP
Levalbuterol
Curosurf
PREFERRED
Esbriet
Anoro Ellipta
Glassia
Arcapta Neohaler
Infasurf
Asmanex Twisthaler 120 Metered Doses
Ofev
Asmanex Twisthaler 14 Metered Doses
Surfaxin
Asmanex Twisthaler 30 Me Tered Doses
Survanta Intratracheal
Asmanex Twisthaler 30 Metered Doses
Effective January 1, 2015
31
TOXOIDS
Hiberix
Imovax Rabies (h.d.c.v.)
Influenza A (h1n1) Monovalent 2009
PREFERRED
Ipol Inactivated IPV
Adacel
Ixiaro
Boostrix
M-m-r II W/Diluent 10 Dose
Daptacel
Medical Provider EZ Flu Shot 2014-2015
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Menactra
Infanrix
Menhibrix
Kinrix
Menomune-a/C/Y/W-135
Pediarix
Menveo
Pentacel
Pedvax HIB
Tenivac
Pneumovax 23
Tetanus Toxoid Adsorbed
Pneumovax 23/1 Dose
Tetanus/Diphtheria Toxoids-adsorbed Adult
Pneumovax 23/5 Dose
Prevnar 13
VACCINES
Proquad
Rabavert
PREFERRED
Recombivax HB
Acthib
Rotarix
Afluria PF 2012-2013
Rotateq
Afluria PF 2013-2014
Trumenba
Afluria PF 2014-2015
Twinrix
Afluria 2012-2013
Typhim VI
Afluria 2013-2014
Vaqta
Afluria 2014-2015
Varivax
Biothrax
Vivotif Berna
Cervarix
Yf-vax
Comvax
Zostavax
Engerix-b
NON PREFERRED
Fluarix Quadrivalent 2013-2014
Bcg Vaccine
Fluarix Quadrivalent 2014-2015
Fluarix 2012-2013
VITAMINS
Fluarix 2013-2014
VITAMINS
Fluarix 2014-2015
GENERIC
Flublok 2013-2014
ascorbic acid
Flublok 2014-2015
ergocalciferol
Flucelvax 2012-2013
phytonadione
Flucelvax 2013-2014
thiamine HCL
Flucelvax 2014-2015
vitamin c 222MG
Flulaval Quadrivalent 2013-2014
vitamin d
Flulaval Quadrivalent 2014-2015
vitamin k1
Flulaval 2012-2013
PREFERRED
Flulaval 2013-2014
Mephyton
Flulaval 2014-2015
NON PREFERRED
Flumist Nasal Vaccine 2012-2013
Aquasol A Parenteral
Flumist Quadrivalent
Decara
Fluvirin PF 2012-2013
Drisdol
Fluvirin PF 2013-2014
Pyridoxine HCL
Fluvirin PF 2014-2015
Vitamin K1
Fluvirin 2012-2013
Wheat Germ
Fluvirin 2013-2014
Fluvirin 2014-2015
MULTIVITAMINS
Fluzone High-dose PF 2012-2013
Fluzone High-dose PF 2013-2014
GENERIC
Fluzone High-dose PF 2014-2015
b-complex
Fluzone Intradermal
b-complex 100
Fluzone Pediatric PF 2012-2013
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Fluzone Pediatric PF 2013-2014
CO-natal Fa
Fluzone PF 2012-2013
Elite-OB
Fluzone PF 2013-2014
Folbecal
Fluzone PF 2014-2015
Inatal Advance
Fluzone Quadrivalent 2013-2014
Inatal GT
Fluzone Quadrivalent 2014-2015
Inatal Ultra
Fluzone Split 2012-2013
M-vit
Fluzone Split 2013-2014
Macnatal CN DHA
Fluzone Split 2014-2015
Mission Prenatal HP
Gardasil
Mynatal Advance
Gardasil 9
Mynatal Ultracaplet
Havrix
Obstetrix EC
Effective January 1, 2015
32
OB-natal One
Marnatal-f
Perry Prenatal
Moms Choice RX
Pr Natal 400
Mykidz Iron Fl
Pr Natal 400 EC
Mynatal
Pr Natal 430
Natachew
Pr Natal 430 EC
Natafort
Prenatabs RX
Natalvirt CA
Prenatal Ad
Natalvirt 90 DHA
Prenatal Vitamins
Natalvit
Prenatal-u
Natelle One
Quflora Pediatric
Neevo DHA
Taron-prex
Nephplex RX
Tricare
Nephro-vite RX
Trinate
Nephrocaps
Vinate C
Nephrocaps QT
Vinate Care
Nestabs
Vinate GT
Nestabs Abc
Vinate IC
Nestabs DHA
Vinate II
Newgen
Vinate M
Nexa Plus
Vinate One
Nexa Select
Vinate Pn Care
Nicadan
Vitafol-OB
Nicazel
NON PREFERRED
Nicazel Forte
Adrenal C Formula
Nicomide
Albafort
Nutricap
Atabex EC
Nutrivit
Atabex Prenatal
O-CAL Fa
B-nexa
O-CAL Prenatal
Bacmin
Obstetrix DHA
Bal-care DHA
Ocuvel
Bal-care DHA Essential
OB Complete
Cavan-alpha Kit
OB Complete One
Citranatal Assure
OB Complete Petite
Citranatal B-calm
OB Complete Premier
Citranatal DHA
OB Complete 400
Citranatal Harmony
OB Complete/DHA
Citranatal RX
Paire OB
Citranatal 90 DHA
Poly-VI-flor
Cod Liver Oil
Poly-VI-flor/Iron
Concept DHA
Prefera OB
Concept OB
Prefera OB + DHA
Corvite
Preferaob One
Crnatal
Prefol-DHA
Dialyvite Supreme D
Prenata
Dialyvite 3000
Prenate
Dialyvite 5000
Prenate AM
Dialyvite/Zinc
Prenate DHA
Diatx ZN
Prenate Elite
Duet DHA
Prenate Enhance
Duet DHA Balanced
Prenate Essential
Duet DHA EC
Prenate Mini
Duet DHA 400
Prenate Pixie
Duet DHA 400EC
Prenate Restore
Duet DHA 430
Prenate Star
Duet DHA 430EC
Prenexa
Escavite
Preque 10
Escavite D
Protect Plus
Floriva
Protectbone
Folcaps Omega 3
Protectnatal
Folet DHA
Provida OB
Folet One
R-natal OB
Folgard OS
Renatabs
Folivane-prx DHA NF
Renatabs With Iron
Folivane-OB
Renax
Fortavit
Req 49+
Gesticare DHA
Select-ob+dha
M.v.i. Adult
Select-OB
M.v.i. Pediatric
Siderol
M.v.i.-12 Without Vitamin K
Strovite
Effective January 1, 2015
33
Strovite Forte
Aurora Lancet Thin 23G
Strovite One
AF Lancets Super Thin
Supervite
AT Last Lancets
Supervite EC
Bayer Microlet Lancets
Support-500
Bullseye Safety Lancets
Synagex
BD Insulin Syringe LUER-LOK/U-100/1ML
Synatek
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Taron-bc
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Taron-c DHA
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Taron-duo EC
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Tri-VI-flor
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Tricare Prenatal Compleat
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Tricare Prenatal DHA One
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Triveen-duo DHA
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Triveen-prx RNF
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Triveen-ten
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Triveen-u
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
TL G-FOL OS
BD Insulin Syringe Slip Tip/U-100/1ML
Udamin
BD Insulin Syringe U-40/1ML/25G X 5/8"
Udamin SP
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Vemavite-prx 2
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Vinacal
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Vinacal B
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Vinate AZ Extra
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Vinate Calcium
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Vinate DHA
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Vinate DHA RF
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Vita-pren
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Vitafol
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Vitafol Ultra
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Vitafol-nano
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Vitafol-ob+dha
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Vitafol-one
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Vitafol-plus
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Vitafol-pn
Vital-d RX
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Vitamedmd One RX/Quatrefolic
Vitamedmd Plus RX/Quatre Folic
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Vitamedmd Redichew RX
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Vitamedmd Redichew RX/Quatrefolic
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Vitapearl
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Vitaroca Plus
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Viva CT Prenatal
BD Lancet Ultrafine 30G
Viva DHA
BD Lancet Ultrafine 33G
Zatean-pn
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Zatean-pn DHA
Zatean-pn Plus
BD Microtainer Lancets
Zatean-CH
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
MEDICAL DEVICES
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
DIABETIC SUPPLIES
BD Pen Needle/Ultrafine/29G X 12.7MM
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
PREFERRED
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Accu-chek Fastclix Lancets
Careone Lancet Thin
Accu-chek Multiclix Lancets
Careone Lancet Ultra Thin
Accu-chek Safe-t-pro Lancets
Cleanlet Lancets 28G
Accu-chek Safe-t-pro Pluslancets
Clever Chek Lancets Ultrathin
Accu-chek Soft Touch Lancets
Clever Chek Lancets Ultrathin 30G
Accu-chek Softclix Lancets
Coaguchek Lancets
Advocate Lancets
Comfort Lancets
Advocate Safety Lancets
Diastar Easy Test II Lancets 30G
Agamatrix Ultra-thin Lancets 33G
Diastar Easy Test Lancets30G
Assure Haemolance Plus High Flow 18G
Droplet Lancets Ultra Thin 30G
Assure Haemolance Plus Low Flow 25G
Drug Mart On-the-go Lancets Gentle 30G
Assure Haemolance Plus Micro Flow 28G
Drug Mart Unilet Lancets Super Thin 30G
Assure Haemolance Plus Normal Flow 21G
Drug Mart Unilet Lancets Ultra Thin 28G
Assure Haemolance Plus Pediatric Blade
E-z Ject Lancets
Assure Lance Lancets
E-z Ject Lancets Color
Assure Lancets
E-z Ject Lancets Super Thin
Aurora Lancet Super Thin 30G
E-z Ject Lancets Super Thin 30G
Effective January 1, 2015
34
E-z Ject Lancets Thin 26G
Lancets 30G
E-z Ject Lancets 21G
Lancets 30G Twist Top
E-ZJECT Lancets Micro-thin 33G
Lancets 31G Twist Top
Easy Touch Lancets 21G/Pressure Activated
Liberty Glucose Control Mid
Easy Touch Lancets 23G/Pressure Activated
Liberty Glucose Control Normal
Easy Touch Lancets 26G/Pressure Activated
Lifescan Unistik II Lancets
Easy Touch Lancets 28G/Pressure Activated
Lifescan Unistik 2 Deep Penetration
Easy Touch Lancets 28G/Twist
Litetouch Lancets Micro Thin 33G
Easy Touch Lancets 30G/Pressure Activated
Live Better Lancet Super Thin 30G
Easy Touch Lancets 30G/Twist
Live Better Lancet Ultra Thin 28G
Easy Touch Lancets 32G/Pressure Activated
Medisense Thin Lancets
Easy Touch Lancets 32G/Twist
Medlance Plus Extra Lancets 21G
Easy Touch Lancets 33G/Twist
Medlance Plus Lancets
Easy Touch Safety Lancets21G/Pressure Activated
Medlance Plus Lancets Lite 25G
Easy Touch Safety Lancets23G/Pressure Activated
Medlance Plus Lite Lancets 25G
Easy Touch Safety Lancets26G/Button Activated
Medlance Plus Special Lancets 0.8MM
Easy Touch Safety Lancets26G/Pressure Activated
Medlance Plus Superlite 30G
Easy Touch Safety Lancets28G/Button Activated
Medlance Plus Superlite 30G/Comfort Max
Easy Touch Safety Lancets28G/Pressure Activated
Medlance Plus Universal Lancets 21G
Easy Twist & CAP Lancets
Medlance Plus/Lite 25G
Easytest II Lancets
Medlance/Extra
Easytest Lancets
Medlance/Lite
Embrace Lancets Ultra Thin 30G
Medlance/Universal
EZ Smart Blood Glucose Lancets
Meijer Super Thin Lancets
EZ-lets Lancets 21G
Microlet Lancets
EZ-lets Lancets 23G
Microtainer Safety Flow Lancet/Sterile/Single-use
EZ-lets Lancets 26G Super-soft
Monolet Lancets
EZ-lets Lancets 28G Ultra-soft
Monolet Opd Lancets
EZ-lets Lancets 30G
Monolettor Safety Lancets
Fasttake Compact Monitoring System
Myglucohealth Mgh Softlance Lancets 30G
Fasttake Test Strips
Netgroup Lancets
Fifty50 Safety Seal Lancets 30G
Nova Safety Lancets 23G
Fifty50 Safety Seal Lancets 32G
Nova Safety Lancets 28G
Fine 30
Nova Sureflex Lancets
Fingerstix Lancets
Novofine Autocover 30GX8MM
Fora Lancets
Novofine 30GX8MM
Freestyle Lancets
Novofine 32GX6MM
Freestyle Unistick II Lancets
Novotwist 30GX8MM
Gentle-let GP Lancets
Novotwist 32GX5MM
Gentle-let Lancets General Purpose Style/Fine Point
On Call Lancets
Gentle-let Lancets General Purpose Style/Medium Point
On Call Plus Lancets
Gentle-let Lancets Safety Style/Fine Point
Onetouch Basic System
Gentle-let Lancets Safety Style/Medium Point
Onetouch Basic/Profile Test Strips
Glucocom Lancets 28G
Onetouch Club Lancets Fine Point
Glucocom Lancets 30G
Onetouch Combo Pack
Glucocom Lancets 33G
Onetouch Delica Lancets Extra Fine 33G
Glucosource Lancets
Onetouch Delica Lancets Fine 30G
Gmate Lancets 30G
Onetouch Finepoint Lancets
H&h Thinlet Lancets 26G
Onetouch Lancets
H&h Thinlet Super Thin Lancets 30G
Onetouch Ping Meter Remote
Haemolance
Onetouch Profile System
Haemolance Low Flow Lancets
Onetouch Ultra Blue
Haemolance Plus
Onetouch Ultra Control
Haemolance Plus High Flow
Onetouch Ultra Mini
Haemolance Plus Low Flow
Onetouch Ultra System Kit
Haemolance Plus Max Flow
Onetouch Ultra 2
Haemolance Plus Pediatric Flow
Onetouch Ultralink System (hex)
Hy-vee Lancets
Onetouch Ultralink System (DEC)
Lancets
Onetouch Ultrasmart
Lancets Bullseye Safety
Onetouch Ultrasoft Lancets
Lancets Safety Seal 21G
Onetouch Verio
Lancets Safety Seal 26G
Onetouch Verio Control Solution High
Lancets Safety Seal 28G
Onetouch Verio IQ Blood Glucose Monitoring System
Lancets Safety Seal 30G
Onetouch Verio Mid Control Solution
Lancets Thin
Onetouch Verio Sync Bloodglucose Monitoring System
Lancets Twist Top
Onetouch Verio Test Strips
Lancets Ultra Fine
Pen Needles 29G X 12MM
Lancets Ultra Thin
Pen Needles 29GX1/2"
Lancets 26G Twist Top
Pen Needles 30GX5/16"
Lancets 28G
Pen Needles 31G X 1/4" SHORT
Effective January 1, 2015
35
Pen Needles 31G X 3/16"
Techlite Lancets
Pen Needles 31G X 6MM
Techlite Lancets 30G
Pen Needles 31GX5/16"
Thinlets GP Lancets
Perfect Lancets 30G
Thinlets Lancet
Perfect Pressure Activated Safety Lancets 28G
Trueplus Lancets 26G
Pharmacy Counter Lancets
Trueplus Lancets 28G
Precision Thin Lancets
Trueplus Lancets 28G Super Thin
Precision Thins GP Lancet
Trueplus Lancets 30G
Precision Ultra Lancet
Trueplus Lancets 30G Ultra Thin
Prodigy Pressure Activated Safety Lancets
Trueplus Lancets 33G
Prodigy Twist Top Lancets
Trueplus Lancets 33G Micro Thin
Pss Select GP Lancets
Trueplus Safety Lancets 28G
Pss Select Safety Lancets
Ulticare Thin Lancets 30G
Px Lancets Ultra Thin
Ultilet Basic Lancets 30G
Qc Lancets Super Thin
Ultilet Classic Lancets
Qc Lancets Ultra Thin
Ultilet Lancets
Relion Lancets
Ultilet Lancets 33G
Relion Lancets Micro-thin33G
Ultilet Safety Lancets 23G
Relion Lancets Standard 21G
Ultra-thin II Auto Lancet
Relion Lancets Thin 26G
Ultra-thin II Lancets 28G
Relion Lancets Ultra-thin30G
Ultra-thin II Lancets 30G
Relion Thin Lancets
Ultra-thin II Safety Autolancets 26G
Relion Ultra Thin Lancets
Unilet Comfortouch Lancet
Relion Ultra Thin Lancets30G
Unilet Excelite
Relion Ultra Thin Plus Lancets 32G
Unilet Excelite II
Relion Ultra Thin Plus Lancets 33G
Unilet G.p. Lancet
Renew Advanced Lancing Cartridge Refills
Unilet G.p. Superlite Lancet
Rexall Lancets Ultra Thin
Unilet GP 28 Ultra Thin
Rightest Gl300 Lancets
Unilet Lancet
Safe-t-lance Low Flow 25G
Unilet Superlite Lancet
Safe-t-lance Normal Flow 21G
Unistik 3 Gentle
Safe-t-lance Plus Safety Lancet High Flow
Universal 1 Lancets Thin 26G
Safe-t-lance Plus Safety Lancet Low Flow
Universal 1 Lancets Ultra Thin 30G
Safe-t-lance Plus Safety Lancet Normal Flow
Valumark Lancet Super Thin 30G
Safety Lancet 2MM
Valumark Lancet Ultra Thin 28G
Safety Lancet 21G/Pressure Activated
Vida Mia Unilet Lancets Super Thin 30G
Safety Lancet 28G/Pressure Activated
Vida Mia Unilet Lancets Ultra Thin 28G
Safety Lancets
Vitalet Pro Lancets
Safety Lancets 21G
Vitalet Pro Plus Lancets
Safety Lancets 28G
W&f Lancets Colored 21G
Safety Let Lancets
W&f Lancets 26G
Safety Seal Lancets 28G
Walgreens Lancets
Safety Seal Lancets 30G
Walgreens Thin Lancets
Shopko On-the-go Comfort Lancets 30G
Walgreens Ultra Thin Lancets
Shopko Unilet Lancets Super Thin 30G
1ST Choice Lancets Super Thin
Shopko Unilet Lancets Ultra Thin 28G
1ST Choice Lancets Thin
Single-let
1ST Choice Lancets Ultra Thin
Smart Diabetes Vantage Universal Lancets 30G
NON PREFERRED
Smart Sense Color Lancets Universal 33G
Accu-chek Active Strips
Smart Sense Standard Lancets Universal 21G
Accu-chek Aviva
Smart Sense Super Thin Lancets Universal 30G
Accu-chek Aviva Plus
Smart Sense Thin Lancets Universal 26G
Accu-chek Comfort Curve Test Strips
Smartest Lancets 28G
Accu-chek Compact Plus
Solus V2 Pressure Activated Safety Lancets 28G
Accu-chek Compact Test Drum
Solus V2 Twist Lancets 30G
Accu-chek Smartview Strips
Sterilance TL
Accutrend Glucose
Sure-lance Flat Lancets
Acura Blood Glucose Test Strips
Sure-lance Lancets 26G
Advance Intuition Test Strips
Sure-lance Thin Lancets 28G
Advance Micro-draw Test Strips
Sure-lance Ultra Thin Lancets
Advocate Redi-code
Sure-touch Lancets Universal
Advocate Redi-code+ Test Strips
Surelite Lancets
Advocate Test Strips
Surestep Glucose Control
Agamatrix Amp NO Code Test Strips
Surestep Glucose Control Solution
Agamatrix Jazz Test Strips
Surestep Pro High Glucosecontrol
Agamatrix Keynote Test Strips
Surestep Pro Low Glucose Control
Agamatrix Presto Test Strips
Surestep Pro Normal Glucose Control
Ascensia Autodisc Test Strips
Surestep Pro Test Strips
Assure II
Surestep Test Strips
Assure II Check Strip
Techlite AST Lancets
Assure II Test Strips
Effective January 1, 2015
36
Assure Platinum Test Strips
Foracare Premium V10 Teststrips
Assure Prism Multi Test Strips
Foracare Test N Go Test Strips
Assure Pro Test Strips
Fortiscare Blood Glucose Test Strip
Assure 3 Test Strips
Freestyle Insulinx Blood Glucose Test
Assure 4 Test Strips
Freestyle Insulinx Blood Glucose Test Strips
AT Last Test Strips
Freestyle Lite Test Strips
Bayer Breeze 2 Test Disc
Freestyle Test Strips
Bayer Contour Blood Glucose Test Strips
Gluco Perfect 3 Test Strips
Bayer Contour Next Blood Glucose Test
Glucocard Expression Blood Glucose Test Strips
Bg Star Blood Glucose Test
Glucocard Shine Test Strips
Bioscanner Glucose Test Strips
Glucocard Vital Test Strips
Blood Glucose Test Strips
Glucocard X-sensor
Blood Glucose Test Strips Premium
Glucocard 01 Sensor
Careone Blood Glucose Test Strips/Premium
Glucocard 01 Test Strips
Careone Blood Glucose Test Strips/Value
Glucocom Test Strips
Caresens N Blood Glucose Test Strips
Glucolab Test Strips
Choice DM Fora G20 Test Strips
Gluconavii Blood Glucose Test Strips
Clever Chek Auto-code Test Strips
Gmate Blood Glucose Test Strips
Clever Chek Auto-code Voice Test Strips
Infinity Blood Glucose Test Strips
Clever Chek Test Strips
Insulin Syringe/0.5ML/30G X 5/16"
Clever Choice Auto-code Pro Test Strips
Liberty Next Generation Blood Glucose Test Strips
Clever Choice Micro Test Strips
Maxima Blood Glucose Teststrips
Control AST
Microdot Test Strips
Control Test Strips
Myglucohealth Blood Glucose Test
CVS Advanced Glucose Meter Test Strips
Neutek 2tek Test Strips
Duo-care Test Strips
Nexgen Test Strips
Easy Step Test Strips
Nova Max Glucose Test Strips
Easy Touch Glucose Test Strips
On Call Express Blood Glucose Test Strips
Easy Touch Healthpro Glucose Test Strips
On Call Plus Blood Glucose Test
Easygluco
On Call Vivid Blood Glucose Test
Easymax Test Strips
On Call Vivid Blood Glucose Test Strips
Easymax 15 Test Strips
Optium Test Strips
Easypro Blood Glucose Test Strips
Optiumez Test Strips
Easypro Plus
Optumrx Blood Glucose Test
Eclipse Test Strips
Pharmacist Choice Autocode Blood Glucose Test Strips
Element Plus Test Strips
Pocketchem EZ Blood Glucose Test Strips
Element Test Strips
Precision Point Of Care Test Strips
Embrace Blood Glucose Test Strips
Precision PCX
Embrace Evo Blood Glucosetest Strips
Precision PCX Plus Test Strips
Embrace Pro Blood Glucosetest Strips
Precision QID Test Strips
Envision Autocode Test Strips
Precision Sof-tact Test Strips
Eql Truetrack Test
Precision XTRA Blood Glucose Test Strips
Evencare + Blood Glucose Test Strip
Prestige Test Strips
Evencare Blood Glucose Test Strip
Prodigy NO Coding Blood Glucose Test Strips
Evencare G2 Test Strips
Pts Panels Glucose Test
Evencare G3 Test Strips
Quicktek Test Strips
Evolution Autocode
Quintet Ac Blood Glucose Test Strips
Exactech R-s-G Test Strips
Quintet Blood Glucose Test Strips
Exactech Test Strips
Refuah Plus Blood Glucosetest Strips
EZ Smart Blood Glucose Test Strips
Relion Blood Glucose Teststrips
EZ Smart Plus Blood Glucose Test Strips
Relion Confirm/Micro Test Strips
Fifty50 Glucose Test Strip 2.0
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Fora D10 Blood Glucose Test Strips
Relion Prime Blood Glucose Test Strips
Fora D15c Blood Glucose Test Strips
Relion Ultima Blood Glucose Test Strips
Fora D15z Blood Glucose Test Strips
Relion Ultima Test Strips
Fora D15G Blood Glucose Test Strips
Reveal Blood Glucose Test
Fora D20 Blood Glucose Test Strips
Rexall Blood Glucose Test Strips
Fora GD20 Test Strips
Rightest GS100 Blood Glucose Test Strips
Fora GD50 Blood Glucose Test Strips
Rightest GS300 Blood Glucose Test Strips
Fora G20 Blood Glucose Test Strips
Rightest GS550 Blood Glucose Test Strips
Fora G30a Blood Glucose Test Strips
Smart Diabetes Xpres Blood Glucose Test Strips
Fora G71a Blood Glucose Test Strips
Smart Sense Premium Bloodglucose Strips
Fora G90 Blood Glucose Test Strips
Smart Sense Value Blood Glucose Strips
Fora Test N' Go Blood Glucose Test Strips
Smartest Blood Glucose Test Strips
Fora V10 Blood Glucose Test Strips
Solus V2 Audible Test
Fora V12 Blood Glucose Test Strips
Supreme Test Strips
Fora V20 Blood Glucose Test Strips
Sure Edge Blood Glucose Test Strips
Fora V22 Blood Glucose Test Strips
Sure-test Easyplus Mini Blood Glucose Test Strips
Fora V30a Blood Glucose Test Strips
Surechek Blood Glucose Test Strips
Foracare GD40
Telcare Blood Glucose Test Strips
Effective January 1, 2015
37
True Metrix Blood Glucosetest Strips
Optihaler MDI Drug Delivery System
True Metrix Self Monitoring Blod Glucose Strips
Panda Mask Large
Truetest Blood Glucose T Est
Panda Mask Medium
Truetest Blood Glucose T Est Strips
Panda Mask Small
Truetest Strips
Pediatric Panda Mask
Truetrack Blood Glucose Test
Pocket Chamber
Truetrack Test
Pocket Spacer
Ultima Test Strips
Riteflo
Ultratrak Pro Test Strips
Vortex Valved Holding Chamber
Ultratrak Ultimate Test Strips
Watchhaler
Unistrip1 Generic
Victory Agm-4000 Test Strips
MISCELLANEOUS
Vocal Point Blood Glucose Test Strips
Wavesense Presto Test Strips
PREFERRED
Chemet
MEDICAL DEVICES - MISC
Exjade
PREFERRED
NON PREFERRED
Aerochamber Mini Aerosol Chamber
Ferriprox
Aerochamber MV
Pentetate Calcium Trisodium
Aerochamber Plus Flow VU
Pentetate Zinc Trisodium
Aerochamber Plus Flow-VU
Aerochamber Plus Flow-VU/Large Mask
Aerochamber Plus Flow-VU/Mask
Aerochamber Plus Flow-VU/Medium Mask
Aerochamber Plus Flow-VU/Small Mask
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Aerochamber Z-stat Plus/Flowsignal
Aerochamber Z-stat Plus/Large Mask
Aerochamber Z-stat Plus/Medium Mask
Aerochamber Z-stat Plus/Small Mask
Aerochamber/Flowsignal
Arial Chamber
Breatherite
Breatherite Collapsible Adult Spacer W/Mask
Breatherite Collapsible Child Spacer W/Mask
Breatherite Collapsible Infant Spacer W/Mask
Breatherite Collapsible Small Child Spacer W/Mask
Breatherite Collapsible Spacer W/ Neonate Mask
Breatherite Rigid Spacer W/Mask
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Inspirease Bags
Inspirease Drug Delivery System
Inspirease Mouthpiece
Inspirease Reservoir Bags
Liteaire
Mask Vortex/Baby Whirl Duckling
Mask Vortex/Child/Frog
Mask Vortex/Spinner The Duck
Mask Vortex/Toddler/Lady Bug
Microchamber
Microspacer
Nessi Spacer/Large Mask
Nessi Spacer/Mouthpiece
Nessi Spacer/Small/MED Mask
Optichamber Advantage
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optihaler
Effective January 1, 2015 v.2
©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.
38
Index
A
Acular, 27
Afluria PF 2012-2013, 32
Acular LS, 27
Afluria PF 2013-2014, 32
A-hydrocort, 13
Acura Blood Glucose Test Strips, 36
Afluria PF 2014-2015, 32
A.a.g.c. Kit IN Teroderm, 11
Acuvail, 27
Agamatrix Amp NO Code Test Strips, 36
abacavir, 3
acyclovir, 3, 11
Agamatrix Jazz Test Strips, 36
abacavir sulfate/lamivudine/zidovudine, 3
acyclovir sodium, 3
Agamatrix Keynote Test Strips, 36
Abelcet, 2
Acyclovir Sodium, 3
Agamatrix Presto Test Strips, 36
Abilify, 23
Aczone, 10
Agamatrix Ultra-thin Lancets 33G, 34
Abilify Discmelt, 23
Adacel, 32
Aggrastat, 21
Abilify Maintena, 23
Adalat CC, 7
Aggrenox, 21
Abraxane, 5
adapalene, 10
Agrylin, 21
Absorica, 10
Adasuve, 23
Akne-mycin, 10
Abstral, 28
Adcetris, 5
Akten, 27
acamprosate calcium DR, 25
Adcirca, 10
Akynzeo, 18
Acanya, 10
Adderall, 24
Ala Scalp, 12
acarbose, 15
Adderall XR, 24
Alagesic LQ, 27
Accolate, 31
adefovir dipivoxil, 3
Alahist Ac, 31
Accu-chek Active Strips, 36
Adempas, 10
Alahist DHC, 31
Accu-chek Aviva, 36
Adenocard, 7
Albafort, 20, 33
Accu-chek Aviva Plus, 36
adenosine, 7
Albenza, 3
Accu-chek Comfort Curve Test Strips, 36
Adoxa, 2
albuterol sulfate, 31
Accu-chek Compact Plus, 36
Adoxa PAK 1/100, 2
albuterol sulfate ER, 31
Accu-chek Compact Test Drum, 36
Adoxa PAK 1/150, 2
albuterol TAB 4MG, 31
Accu-chek Fastclix Lancets, 34
Adoxa PAK 2/100, 2
Alcaine, 27
Accu-chek Multiclix Lancets, 34
Adrenaclick, 9
alclometasone dipropionate, 11
Accu-chek Safe-t-pro Lancets, 34
Adrenal C Formula, 33
Aldactazide, 9
Accu-chek Safe-t-pro Pluslancets, 34
Adrenalin, 9, 30, 31
Aldactone, 9
Accu-chek Smartview Strips, 36
Adriamycin, 4
Aldara, 12
Accu-chek Soft Touch Lancets, 34
Advair Diskus, 31
Aldurazyme, 17
Accu-chek Softclix Lancets, 34
Advair HFA, 31
alendronate sodium, 16
Accuneb, 31
Advance Intuition Test Strips, 36
Alendronate Sodium, 16
Accupril, 8
Advance Micro-draw Test Strips, 36
Alfenta, 28
Accuretic, 8
Advate, 21
alfentanil, 28
Accutrend Glucose, 36
Advicor, 9
Alferon N, 6
acebutolol HCL, 7
Advocate Lancets, 34
alfuzosin HCL ER, 20
Aceon, 8
Advocate Redi-code, 36
Alimta, 5
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28
Advocate Redi-code+ Test Strips, 36
Alinia, 4
Advocate Safety Lancets, 34
Alkeran, 4
acetaminophen/codeine, 28
Advocate Test Strips, 36
allopurinol, 30
acetaminophen/codeine #2, 28
Aerochamber Mini Aerosol Chamber, 38
Alocril, 27
acetaminophen/codeine #3, 28
Aerochamber MV, 38
Alodox Convenience Kit, 2
acetaminophen/codeine #4, 28
Aerochamber Plus Flow VU, 38
Alomide, 27
acetaminophen/codeine phosphate, 28
Aerochamber Plus Flow-VU, 38
Aloprim, 30
acetazolamide, 9
Aerochamber Plus Flow-VU/Large Mask, 38
Alora, 14
Acetazolamide, 9
Aloxi, 18
acetazolamide ER, 9
Aerochamber Plus Flow-VU/Mask, 38
Alphagan P, 27
acetazolamide sodium, 9
Aerochamber Plus Flow-VU/Medium Mask, 38
Alphanate/Von Willebrand Factor Complex/Human, 21
acetic acid, 27
Acetic Acid/Aluminum Acetate, 27
Aerochamber Plus Flow-VU/Small Mask, 38
Alphanine SD, 21
acetylcysteine, 30
alprazolam, 22
Aciphex, 18
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 38
alprazolam ER, 22
Aciphex Sprinkle, 18
Alprazolam Intensol, 22
acitretin, 11
Aerochamber Z-stat Plus/Flowsignal, 38
alprazolam odt, 22
Aclovate, 12
Aerochamber Z-stat Plus/Large Mask, 38
Alprolix, 21
Actemra, 29
Aerochamber Z-stat Plus/Medium Mask, 38
Alrex, 26
Acthib, 32
Alsuma, 29
Acticlate, 2
Aerochamber Z-stat Plus/Small Mask, 38
Altabax, 11
Actigall, 19
Aerochamber/Flowsignal, 38
Altace, 8
Actimmune, 6
Aerospan, 31
Altoprev, 9
Actiq, 28
AF Lancets Super Thin, 34
Aluvea, 12
Activase, 21
Afinitor, 6
Alvesco, 31
Activella, 14
Afinitor Disperz, 6
amantadine HCL, 24
Actonel, 16
Afluria 2012-2013, 32
Amantadine HCL, 24
Actoplus Met, 16
Afluria 2013-2014, 32
Amaryl, 15
Actoplus Met XR, 16
Afluria 2014-2015, 32
Ambien, 23
Actos, 16
Ambien CR, 23
Animi-3/Vitamin D, 20
Assure Haemolance Plus Low Flow 25G, 34
Ambisome, 2
Anoro Ellipta, 31
Amcinonide, 12
Antabuse, 25
Assure Haemolance Plus Micro Flow 28G, 34
Amerge, 29
Antara, 9
Amethyst, 14
antipyrine/benzocaine, 27
Assure Haemolance Plus Normal Flow 21G, 34
Amicar, 21
Antipyrine/Benzocaine, 27
amifostine, 6
Anusol-HC, 19
Assure Haemolance Plus Pediatric Blade, 34
amikacin sulfate, 2
Anzemet, 18
amiloride HCL, 9
Apexicon E, 12
Assure II, 36
amiloride/hydrochlorothiazide, 9
Apidra, 15
Assure II Check Strip, 36
aminocaproic acid, 21
Apidra Solostar, 15
Assure II Test Strips, 36
Aminocaproic Acid, 21
Aplenzin, 22
Assure Lance Lancets, 34
aminophylline, 31
Apokyn, 24
Assure Lancets, 34
amiodarone HCL, 7
Appbutamone, 22
Assure Platinum Test Strips, 37
Amiodarone HCL, 7
Appbutamone-d, 22
Assure Prism Multi Test Strips, 37
Amitiza, 19
Appformin, 16
Assure Pro Test Strips, 37
amitriptyline HCL, 22
Appformin-d, 16
Astagraf XL, 5
amlodipine besylate, 7
apraclonidine, 27
Astelin, 30
amlodipine besylate/atorvastatin calcium, 9
Apriso, 19
Astepro, 30
Aptiom, 24
Astringyn, 21
amlodipine besylate/benazepril HCL, 8
Aptivus, 3
AT Last Lancets, 34
amlodipine besylate/benazepril hydrochloride, 8
Aquasol A Parenteral, 32
AT Last Test Strips, 37
Aquoral, 21
Atabex EC, 33
amlodipine besylate/valsartan, 8
Aralast NP, 31
Atabex Prenatal, 33
amlodipine/valsartan/hctz, 8
Aralen, 3
Atacand, 8
ammonium lactate, 12
Aranesp Albumin Free, 20
Atacand HCT, 8
Ammonul, 17
Arava, 29
Atelvia, 16
Amoxapine, 22
Arcalyst, 29
atenolol, 7
amoxicillin, 1
Arcapta Neohaler, 31
atenolol/chlorthalidone, 8
Amoxicillin, 1
argatroban, 20
Atgam, 5
Amoxicillin ER, 1
Argatroban, 21
Ativan, 22
amoxicillin/clavulanate potassium, 1
Arial Chamber, 38
Atopiclair, 13
amoxicillin/clavulanate potassium ER, 1
Aricept, 25
atorvastatin calcium, 9
amphetamine/dextroamphetamine, 23
Aricept Odt, 25
atovaquone, 4
Amphotec, 2
Arimidex, 5
atovaquone/proguanil HCL, 3
Amphotericin B, 2
Aristospan Intra-articular, 13
atracurium besylate, 25
ampicillin, 1
Aristospan Intralesional, 13
Atralin, 10
Ampicillin, 1
Arixtra, 21
Atripla, 3
ampicillin sodium, 1
Armour Thyroid, 17
Atropen, 18
Ampicillin Sodium, 1
Arnica Flower, 13
atropine sulfate, 18, 26
ampicillin-sulbactam, 1
Aromasin, 5
Atropine Sulfate, 18, 26
Ampicillin-sulbactam, 1
Arranon, 5
Atrovent, 30
Ampyra, 25
Arthrotec 50, 29
Atrovent HFA, 31
Amrix, 25
Arthrotec 75, 29
Aubagio, 25
Amturnide, 8
Articadent Dental, 30
augmented betamethasone dipropionate, 12
Amytal Sodium, 23
Artiss, 21
Anacaine, 13
Arzerra, 5
Augmentin, 1
Anadrol-50, 14
Asacol HD, 19
Augmentin ES-600, 1
Anafranil, 22
Ascensia Autodisc Test Strips, 36
Augmentin XR, 1
anagrelide hydrochloride, 21
ascorbic acid, 32
Auralgan, 27
Analpram Advanced, 19
Asmanex HFA, 31
Aurora Lancet Super Thin 30G, 34
Analpram-HC, 19
Asmanex Twisthaler 120 Metered Doses, 31
Aurora Lancet Thin 23G, 34
Analpram-HC Singles, 19
Aurstat Anti-itch Hydrogel, 13
Anaprox, 29
Asmanex Twisthaler 14 Metered Doses, 31
Aurstat Anti-itch Hydrogel Kit, 13
Anaprox DS, 29
Auryxia, 19
Anaspaz, 18
Asmanex Twisthaler 30 Me Tered Doses, 31
Auvi-q, 9
anastrozole, 5
Avalide, 8
Ancef, 1
Asmanex Twisthaler 30 Metered Doses, 31
Avandamet, 16
Ancobon, 2
Avandaryl, 16
Androderm, 14
Asmanex Twisthaler 60 Metered Doses, 31
Avandia, 16
Androgel, 14
Avapro, 8
Androgel P.M., 14
Asmanex Twisthaler 7 Metered Doses, 31
Avar, 10
Android, 14
Avar LS, 10
Androxy, 14
Aspirin-caffeine-dihydrocodeine, 28
Avar LS Cleanser, 10
Anectine, 25
Assure 3 Test Strips, 37
Avar-e LS, 10
Angeliq, 14
Assure 4 Test Strips, 37
Avastin, 5
Angiomax, 21
Assure Haemolance Plus High Flow 18G, 34
Avc, 19
Animi-3, 20
Aveed, 14
Avelox, 2
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 34
34
Avelox Abc Pack, 2
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34
Avidoxy DK, 2
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 34
Avinza, 28
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34
Avodart, 20
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 34
Avonex, 25
BD Pudendal/Local Block Tray 1% Lidocaine, 30
Avonex Pen, 25
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 34
Axert, 29
Beconase AQ, 30
Axid, 18
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 34
Beleodaq, 6
Axiron, 14
Belladonna & Opium, 18
Aygestin, 15
BD Insulin Syringe Slip Tip/U-100/1ML, 34
Belladonna Alkaloids & Opium, 18
azacitidine, 4
Belsomra, 23
Azactam, 4
BD Insulin Syringe U-40/1ML/25G X 5/8", 34
benazepril HCL, 8
Azactam IN Iso-osmotic Dextrose, 4
benazepril HCL/hydrochlorothiazide, 8
Azasan, 5
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34
Benefix, 21
Azasite, 26
Benicar, 8
azathioprine, 5
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34
Benicar HCT, 8
azelastine HCL, 27, 30
Bentyl, 18
Azelex, 10
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34
Benzac Ac Wash, 10
Azilect, 24
Benzac W Wash, 10
azithromycin, 1
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34
Benzaclin, 10
Azithromycin, 1
Benzaclin With P.M., 10
Azopt, 27
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 34
Benzamycin, 10
Azor, 8
Benzamycinpak, 10
aztreonam, 4
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 34
Benzefoam, 10
Azulfidine, 19
Benzefoamultra, 10
Azulfidine EN-TABS, 19
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 34
Benziq, 10
B
Benziq LS, 10
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34
Benzoin Compound Tincture, 13
B-6 Folic Acid, 20
Benzoin Tincture, 13
b-complex, 32
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 34
benzonatate, 30
b-complex 100, 32
benzoyl peroxide, 10
B-nexa, 33
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34
benzoyl peroxide SHORT contact, 10
bacitracin, 4
benztropine mesylate, 24
Bacitracin, 4, 26
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34
Bepreve, 27
bacitracin/polymyxin b, 26
Berinert, 21
baclofen, 25
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 34
Besivance, 26
Bacmin, 33
Betadine Ophthalmic Prep, 26
Bactocill IN Dextrose, 1
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 34
Betagan, 26
Bactrim, 4
Betalido, 13
Bactrim DS, 4
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34
betamethasone dipropionate, 12
Bactroban, 11
betamethasone sodium phosphate/betamethasone acetate, 13
Bactroban Nasal, 30
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34
Bal-care DHA, 33
betamethasone valerate, 12
Bal-care DHA Essential, 33
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34
Betapace, 7
balsalazide disodium, 18
Betapace AF, 7
Banzel, 24
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34
Betaseron, 25
Baraclude, 3
betaxolol HCL, 7, 26
Bayer Breeze 2 Test Disc, 37
BD Insulin Syringe/U-100/1ML/27G X 1/2", 34
bethanechol chloride, 19
Bayer Contour Blood Glucose Test Strips, 37
Bethkis, 2
BD Insulin Syringe/U-100/1ML/28G X 1/2", 34
Betimol, 26
Bayer Contour Next Blood Glucose Test, 37
Betoptic-s, 26
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 34
Bexxar, 5
Bayer Microlet Lancets, 34
Bexxar 131 Iodine, 6
Bcg Vaccine, 32
BD Insulin Syringe/U-100/2ML/29G X 1/2", 34
Beyaz, 14
BD Insulin Syringe LUER-LOK/U-100/1ML, 34
Bg Star Blood Glucose Test, 37
BD Lancet Ultrafine 30G, 34
Biaxin, 1
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 34
BD Lancet Ultrafine 33G, 34
Biaxin XL, 1
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 34
Biaxin XL PAC, 1
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 34
bicalutamide, 5
BD Microtainer Lancets, 34
Bicillin C-R, 1
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 34
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34
Bicillin L-a, 1
Bicnu, 4
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 34
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34
Bidil, 10
Biferarx, 20
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 34
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34
Biltricide, 3
Binosto, 16
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 34
BD Pen Needle/Ultrafine/29G X 12.7MM,
Bioscanner Glucose Test Strips, 37
Biothrax, 32
butalbital/aspirin/caffeine, 27
Cardura XL, 20
bisoprolol fumarate, 7
Butalbital/Aspirin/Caffeine, 27
Careone Blood Glucose Test Strips/Premium, 37
bisoprolol fumarate/hydrochlorothiazide, 8
butalbital/aspirin/caffeine/codeine, 28
Butisol Sodium, 23
Careone Blood Glucose Test Strips/Value, 37
bleomycin sulfate, 4
butorphanol tartrate, 28
Bleph-10, 26
Butrans, 28
Careone Lancet Thin, 34
Blephamide, 26
Bydureon, 15
Careone Lancet Ultra Thin, 34
Blephamide S.o.p., 26
Byetta, 15
Caresens N Blood Glucose Test Strips, 37
Blood Glucose Test Strips, 37
Bystolic, 7
Blood Glucose Test Strips Premium, 37
C
carisoprodol, 25
Bloxiverz, 26
Carisoprodol, 25
cabergoline, 17
Boniva, 16
carisoprodol/aspirin, 25
Caduet, 10
Boostrix, 32
carisoprodol/aspirin/codeine, 25
Cafcit, 24
Boric Acid, 13
Carmol-HC, 12
Cafergot, 29
Bosulif, 6
Carnitor, 17
caffeine citrate, 23
Botox, 25
Carnitor SF, 17
Caffeine/Sodium Benzoate, 24
Bravelle, 16
carteolol HCL, 26
Calan, 7
Breatherite, 38
carvedilol, 7
Calan SR, 7
Breatherite Collapsible Adult Spacer W/Mask, 38
Cascara Sagrada, 17
calcipotriene, 11
Casodex, 5
calcipotriene/betamethasone dipropionate, 12
Breatherite Collapsible Child Spacer W/Mask, 38
Cataflam, 29
Catapres, 8
calcitonin salmon, 16
Breatherite Collapsible Infant Spacer W/Mask, 38
Catapres-tts-1, 8
calcitonin-salmon, 16
Catapres-tts-2, 8
Calcitriol, 11
Breatherite Collapsible Small Child Spacer W/Mask, 38
Catapres-tts-3, 8
calcitriol, 17
Cathflo Activase, 21
calcium acetate, 18
Breatherite Collapsible Spacer W/ Neonate Mask, 38
Cavan-alpha Kit, 33
Calcium Folinate, 6
Caverject, 10
Caldolor, 29
Breatherite Rigid Spacer W/Mask, 38
Caverject Impulse, 10
Cambia, 29
Breatherite W/Large Mask, 38
Cayston, 4
Campral, 25
Breatherite W/Medium Mask, 38
Cedax, 1
Camptosar, 6
Breatherite W/Small Mask, 38
cefaclor, 1
Canasa, 19
Breo Ellipta, 31
Cefaclor, 1
Cancidas, 2
Brevibloc, 7
Cefaclor ER, 1
candesartan cilexetil, 8
Brevicon-28, 14
cefadroxil, 1
candesartan cilexetil/hydrochlorothiazide, 8
Brilinta, 21
cefazolin sodium, 1
brimonidine tartrate, 27
Cefazolin Sodium, 1
Cantil, 18
Brintellix, 22
Cefazolin Sodium/Dextrose, 1
Capastat Sulfate, 2
Brisdelle, 25
cefdinir, 1
capecitabine, 4
Bromday, 27
Cefditoren Pivoxil, 1
Capex, 12
bromfenac, 27
cefepime, 1
Caphosol, 21
bromocriptine mesylate, 24
Cefepime, 1
Capital/Codeine, 28
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 30
cefotaxime sodium, 1
Caprelsa, 6
Cefotetan, 1
captopril, 8
Brompheniramine Tannate, 30
Cefotetan/Dextrose, 1
Captopril/Hydrochlorothiazide, 8
Brovana, 31
cefoxitin sodium, 1
Carafate, 18
budesonide, 13, 30, 31
Cefoxitin Sodium, 1
Carbaglu, 17
Bullseye Safety Lancets, 34
cefpodoxime proxetil, 1
carbamazepine, 24
bumetanide, 9
cefprozil, 1
carbamazepine ER, 24
Bunavail, 28
ceftazidime, 1
Carbaphen 12, 31
Bupap, 27
Ceftazidime, 1
Carbaphen 12 PED, 31
Buphenyl, 17
Ceftazidime/Dextrose, 1
Carbatrol, 24
bupivacaine HCL, 30
Ceftibuten, 1
carbidopa, 24
bupivacaine/epinephrine, 30
Ceftin, 1
carbidopa/levodopa, 24
Buprenex, 28
Ceftriaxone IN Iso-osmotic Dextrose, 1
carbidopa/levodopa ER, 24
buprenorphine HCL, 28
ceftriaxone sodium, 1
carbidopa/levodopa odt, 24
buprenorphine HCL/naloxone HCL, 28
Ceftriaxone/Dextrose, 1
Carbidopa/Levodopa/Entacapone, 24
bupropion HCL, 22
cefuroxime axetil, 1
carbinoxamine maleate, 30
bupropion HCL ER, 22
cefuroxime sodium, 1
Carbocaine, 30
bupropion HCL SR, 22
Cefuroxime Sodium, 1
carboplatin, 4
bupropion HCL XL, 22
Cefuroxime/Dextrose, 1
Carboplatin, 4
buspirone HCL, 22
Celebrex, 29
Cardene I.v., 7
Busulfex, 4
celecoxib, 29
Cardene IV, 7
butalbital/acetaminophen, 27
Celestone, 13
Cardene SR, 7
butalbital/acetaminophen/caffeine, 27
Celestone-soluspan, 13
Cardizem, 7
butalbital/acetaminophen/caffeine/codeine, 28
Celexa, 22
Cardizem CD, 7
Cellcept, 5
Cardizem LA, 7
butalbital/apap/caffeine, 27
Cellcept Intravenous, 5
Cardura, 8
Celontin, 24
cisatracurium besylate, 25
clomipramine HCL, 22
Cem-urea, 12
cisplatin, 4
clonazepam, 24
Cenestin, 14
Cisplatin, 4
clonazepam odt, 24
Cenfol, 20
citalopram hydrobromide, 22
clonidine HCL, 8
Centany, 11
Citanest Forte Dental, 30
clonidine HCL ER, 23
Centany AT, 11
Citanest Plain Dental, 30
clopidogrel, 21
Centratex, 20
Citranatal 90 DHA, 33
clorazepate dipotassium, 22
cephalexin, 1
Citranatal Assure, 33
Clorpres, 8
Cephalexin, 1
Citranatal B-calm, 33
clotrimazole, 11, 21
Cerdelga, 20
Citranatal DHA, 33
clotrimazole/betamethasone dipropionate, 11
Cerebyx, 24
Citranatal Harmony, 33
Cerezyme, 20
Citranatal RX, 33
clozapine, 23
Cervarix, 32
citric acid/sodium citrate, 20
Clozapine Odt, 23
Cervidil, 27
Citrolith, 20
Clozaril, 23
Cesamet, 18
cladribine, 4
Cnl8 Nail Kit, 11
cetirizine HCL, 30
Claforan, 1
CO-natal Fa, 32
Cetraxal, 27
Claforan/D5W, 1
Coaguchek Lancets, 34
Cetrotide, 16
Claravis, 10
Coal TAR, 13
cevimeline HCL, 21
Clarifoam EF, 10
Coartem, 3
Chemet, 38
Clarinex, 30
Cocaine HCL, 13
Chenodal, 19
Clarinex Reditabs, 30
Cod Liver Oil, 33
Chloral Hydrate, 23
Clarinex-d 12 HOUR, 31
codeine sulfate, 28
Chloramphenicol Sodium Succinate, 4
Clarinex-d 24 HOUR, 31
Codeine Sulfate, 28
chlordiazepoxide HCL, 22
clarithromycin, 1
Cogentin, 24
Chlordiazepoxide/Amitriptyline, 25
clarithromycin ER, 1
Colazal, 19
chlorhexidine gluconate, 21
Cleanlet Lancets 28G, 34
Colcrys, 30
chlorhexidine gluconate oral rinse, 21
clemastine fumarate, 30
Colestid, 9
chloroprocaine HCL, 30
Clemastine Fumarate, 30
Colestid Flavored, 9
chloroquine phosphate, 3
Cleocin, 4, 19
colestipol HCL, 9
chlorothiazide, 9
Cleocin IN D5W, 4
colestipol HCL for oral suspension, 9
Chlorothiazide, 9
Cleocin Pediatric Granules, 4
colistimethate sodium, 4
chlorothiazide sodium, 9
Cleocin Phosphate, 4
Coly-mycin M, 4
chlorpromazine HCL, 23
Cleocin-t, 10
Coly-mycin S, 27
Chlorpromazine HCL, 23
Clever Chek Auto-code Test Strips, 37
Colyte-flavor Packs, 17
Chlorpropamide, 15
Clever Chek Auto-code Voice Test Strips, 37
Combigan, 26
Chlorthalidone, 9
Combipatch, 14
chlorzoxazone, 25
Clever Chek Lancets Ultrathin, 34
Combivent, 31
Choice DM Fora G20 Test Strips, 37
Clever Chek Lancets Ultrathin 30G, 34
Combivent Respimat, 31
cholestyramine, 9
Clever Chek Test Strips, 37
Combivir, 3
cholestyramine light, 9
Clever Choice Auto-code Pro Test Strips, 37
Cometriq, 6
choline magnesium trisalicylate, 27
Comfort Lancets, 34
Choline Magnesium Trisalicylate, 27
Clever Choice Micro Test Strips, 37
Compazine, 23
chorionic gonadotropin, 16
Cleviprex, 7
Complera, 3
Cialis, 10
Climara, 14
Comtan, 24
Ciclodan Cream Kit, 11
Climara Pro, 14
Comvax, 32
Ciclodan Solution Kit, 11
Clindacin Etz, 10
Concept DHA, 33
ciclopirox, 11
Clindacin PAC, 10
Concept OB, 33
ciclopirox nail lacquer, 11
Clindagel, 10
Concerta, 24
ciclopirox olamine, 11
clindamycin HCL, 4
Condylox, 12
Ciclopirox Topical Solution Kit, 11
clindamycin palmitate HCL, 4
Control AST, 37
cidofovir, 3
clindamycin phosphate, 4, 10, 19
Control Test Strips, 37
Ciferex, 20
Clindamycin Phosphate, 4
Conzip, 28
cilostazol, 21
clindamycin phosphate add-vantage, 4
Copaxone, 25
Ciloxan, 26
clindamycin phosphate IN D5W, 4
Copegus, 3
cimetidine, 18
clindamycin phosphate pharmacy bulk package, 4
Cordarone, 7
cimetidine HCL, 18
Cordran, 12
Cimzia, 19
clindamycin/benzoyl peroxide, 10
Cordran Tape, 12
Cimzia Starter Kit, 19
Clindesse, 19
Coreg, 7
Cipro, 2
clobetasol propionate, 12
Coreg CR, 7
Cipro HC, 27
clobetasol propionate emollient, 12
Corgard, 7
Cipro I.V.-IN D5W, 2
Clobex, 12
Corifact, 21
Cipro XR, 2
Clocortolone Pivalate, 12
Corlopam, 8
Ciprodex, 27
Clocortolone Pivalate P.M., 12
Cortef, 13
ciprofloxacin, 2
Clodan Kit, 12
Cortenema, 19
Ciprofloxacin, 27
Cloderm, 12
Cortifoam, 19
ciprofloxacin ER, 2
Cloderm P.M., 12
Cortisone Acetate, 13
ciprofloxacin HCL, 2, 26
Clolar, 5
Cortisporin, 11, 27
ciprofloxacin I.V.-IN D5W, 2
clomiphene citrate, 16
Cortisporin-tc, 27
Corvert, 7
Daunoxome, 4
Dexpak 13 Day, 13
Corvite, 33
Daypro, 29
Dexpak 6 Day, 13
Corvite 150, 20
Daytrana, 23
Dexpanthenol, 19
Corzide, 8
Ddavp, 17
dexrazoxane, 6
Cosmegen, 4
Debacterol, 21
dextroamphetamine sulfate, 23
Cosopt, 26
Decara, 32
dextroamphetamine sulfate ER, 23
Cosopt PF, 26
decitabine, 4
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31
Coumadin, 21
Decon-a, 31
Cozaar, 8
Delestrogen, 14
Cpb Wc, 31
Delzicol, 19
Diabeta, 15
Creon, 18
Demadex, 9
Dialyvite 3000, 33
Crestor, 9
demeclocycline HCL, 2
Dialyvite 5000, 33
Cresylate, 27
Demerol, 28
Dialyvite Supreme D, 33
Crinone, 19
Demser, 8
Dialyvite/Zinc, 33
Crixivan, 3
Denavir, 11
Diamox, 9
Crnatal, 33
Depacon, 24
Diastar Easy Test II Lancets 30G, 34
cromolyn sodium, 18, 27
Depakene, 24
Diastar Easy Test Lancets30G, 34
Cromolyn Sodium, 31
Depakote, 24
Diastat Acudial, 24
Cubicin, 4
Depakote ER, 24
Diastat Pediatric, 24
Curosurf, 31
Depakote Sprinkles, 24
Diatx ZN, 33
Cutivate, 12
Depo-estradiol, 14
diazepam, 22
Cuvposa, 18
Depo-medrol, 13
Diazepam, 22, 24
CVS Advanced Glucose Meter Test Strips, 37
Depo-provera, 5
Diazepam Intensol, 22
Depo-testosterone, 14
Dibenzyline, 8
cyanocobalamin, 20
Depocyt, 5
Diclegis, 18
Cyanocobalamin, 20
Deprizine Fusepaq, 18
diclofenac potassium, 29
Cyclessa, 14
Derma-smoothe/FS Body, 12
diclofenac sodium, 11, 27
Cyclobenzaprine Comfort PAC, 25
Derma-smoothe/FS Body Oil, 12
diclofenac sodium DR, 29
cyclobenzaprine HCL, 25
Derma-smoothe/FS Scalp, 12
diclofenac sodium ER, 29
Cyclogyl, 26
Derma-smoothe/FS Scalp Oil, 12
diclofenac sodium/misoprostol, 29
Cyclomydril, 26
Dermasorb HC, 12
dicloxacillin sodium, 1
cyclopentolate HCL, 26
Dermasorb Ta, 12
Dicopanol Fusepaq, 30
cyclophosphamide, 4
Dermasorb XM, 13
dicyclomine HCL, 18
Cyclophosphamide, 4
Dermatop, 12
Dicyclomine HCL, 18
Cycloserine, 2
Dermotic, 27
didanosine, 3
cyclosporine, 5
desipramine HCL, 22
Differin, 10
cyclosporine modified, 5
desloratadine, 30
Dificid, 1
Cyclosporine Modified, 5
desloratadine odt, 30
diflorasone diacetate, 12
Cyklokapron, 21
desmopressin acetate, 17
Diflorasone Diacetate, 12
Cymbalta, 22
Desogen, 14
Diflucan, 2
cyproheptadine HCL, 30
desogestrel/ethinyl estradiol, 14
diflunisal, 27
Cyramza, 5
Desonate, 12
Digex NF, 18
Cystadane, 17
desonide, 12
digoxin, 6
Cystagon, 20
Desowen, 12
Digoxin, 6
Cystaran, 27
Desowen Cream/Cetaphil Lotion, 12
dihydroergotamine mesylate, 29
cytarabine, 4
Desowen Lotion/Cetaphil Cream, 12
Dihydroergotamine Mesylate, 29
Cytarabine, 5
Desowen Ointment/Cetaphil Lotion, 12
Dilacor XR, 7
cytarabine aqueous, 4
desoximetasone, 12
Dilantin, 24
Cytomel, 17
Desoximetasone, 12
Dilantin Infatabs, 24
Cytotec, 18
Desoxyn, 24
Dilatrate SR, 7
Cytovene, 3
Desvenlafaxine ER, 22
Dilaudid, 28
Cytra-3, 20
Detrol, 19
Dilaudid-HP, 28
D
Detrol LA, 19
diltiazem CD, 7
dexamethasone, 13
diltiazem HCL, 7
D.h.e. 45, 29
Dexamethasone, 13
Diltiazem HCL, 7
dacarbazine, 6
Dexamethasone Intensol, 13
diltiazem HCL ER, 7
Dacarbazine, 6
dexamethasone sodium phosphate, 13, 26
Dimenhydrinate, 18
Dacogen, 5
Diovan, 8
Daliresp, 31
Dexamethasone Sodium Phosphate, 13
Diovan HCT, 8
Dalvance, 4
Dexchlorpheniramine Maleate, 30
Dipentum, 19
danazol, 14
Dexedrine, 24
diphenhydramine HCL, 30
Dantrium, 25
Dexilant, 18
diphenoxylate/atropine, 17
Dantrium IV, 25
Dexlido, 13
Diphenoxylate/Atropine, 18
dantrolene sodium, 25
Dexlido-m, 13
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32
Dantrolene Sodium, 25
dexmedetomidine HCL, 23
Dapsone, 4
dexmethylphenidate HCL, 23
Diprolene, 12
Daptacel, 32
dexmethylphenidate HCL ER, 23
Diprolene AF, 12
Daraprim, 3
Dexpak 10 Day, 13
dipyridamole, 21
daunorubicin HCL, 4
Disalcid, 27
Duet DHA 400EC, 33
Easy Touch Safety Lancets21G/Pressure Activated, 35
disopyramide phosphate, 7
Duet DHA 430, 33
disulfiram, 25
Duet DHA 430EC, 33
Easy Touch Safety Lancets23G/Pressure Activated, 35
Ditropan XL, 19
Duet DHA Balanced, 33
Diuril, 9
Duet DHA EC, 33
Easy Touch Safety Lancets26G/Button Activated, 35
divalproex sodium, 24
Duetact, 16
divalproex sodium DR, 24
Duexis, 29
Easy Touch Safety Lancets26G/Pressure Activated, 35
divalproex sodium ER, 24
Dulera, 31
Divigel, 14
duloxetine HCL, 22
Easy Touch Safety Lancets28G/Button Activated, 35
Divista, 20
Duo-care Test Strips, 37
dobutamine HCL, 9
Duocaine, 30
Easy Touch Safety Lancets28G/Pressure Activated, 35
dobutamine HCL/D5W, 9
Duoneb, 31
dobutamine/dextrose 5%, 9
Duragesic, 28
Easy Twist & CAP Lancets, 35
Dobutamine/Dextrose 5%, 9
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 30
Easygluco, 37
Docefrez, 5
Easymax 15 Test Strips, 37
docetaxel, 5
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 30
Easymax Test Strips, 37
Docetaxel, 5
Easypro Blood Glucose Test Strips, 37
Dolgic Plus, 27
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 30
Easypro Plus, 37
Dologesic, 27
Easytest II Lancets, 35
Dolophine, 28
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 30
Easytest Lancets, 35
Dolophine HCL, 28
EC-naprosyn, 29
Donatuss Dc, 31
Durezol, 26
Eclipse Test Strips, 37
donepezil HCL, 25
Dutoprol, 8
econazole nitrate, 11
dopamine HCL, 9
Dyazide, 9
Ecoza, 11
Dopamine HCL, 9
Dymista, 30
Ed Cyte F, 20
dopamine HCL-dextrose 5%, 9
Dynacin, 2
Edarbi, 8
dopamine HCL/dextrose 5%, 9
Dyrenium, 9
Edarbyclor, 8
dopamine/D5W, 9
Dysport, 25
Edecrin, 9
Dopram, 24
Dyural-40, 14
Doral, 23
Dyural-80, 14
Edluar, 23
Doribax, 4
Dyural-l, 14
Edurant, 3
Doryx, 2
Dyural-lm, 14
Effexor XR, 22
dorzolamide HCL, 27
E
Effient, 21
dorzolamide HCL/timolol maleate, 26
Egrifta, 17
E-z Ject Lancets, 34
Doubledex, 13
Elaprase, 17
E-z Ject Lancets 21G, 35
Dovonex, 11
Eldepryl, 24
E-z Ject Lancets Color, 34
doxapram HCL, 23
Elelyso, 20
E-z Ject Lancets Super Thin, 34
doxazosin mesylate, 8
Element Plus Test Strips, 37
E-z Ject Lancets Super Thin 30G, 34
doxepin HCL, 22
Element Test Strips, 37
E-z Ject Lancets Thin 26G, 35
Doxepin HCL, 22
Elenzapatch, 13
E-z Spacer, 38
doxercalciferol, 17
Elestat, 27
E-z Spacer The Body Guards Pack, 38
Doxil, 4
Elestrin, 14
E-ZJECT Lancets Micro-thin 33G, 35
doxorubicin HCL, 4
Eletone, 13
E.e.s. 400, 1
doxorubicin HCL liposome, 4
Eletone Twinpack, 13
E.e.s. Granules, 1
doxycycline, 2
Elidel, 12
Easivent, 38
Doxycycline, 10
Eligard, 5
Easivent/Mask-large, 38
doxycycline hyclate, 2
Elimite, 13
Easivent/Mask-medium, 38
doxycycline hyclate DR, 2
Eliphos, 19
Easivent/Mask-small, 38
doxycycline monohydrate, 2
Eliquis, 21
Easy Step Test Strips, 37
Doxytex, 30
Elite-OB, 32
Easy Touch Glucose Test Strips, 37
Drisdol, 32
Elitek, 6
Easy Touch Healthpro Glucose Test Strips, 37
Dritho-creme HP, 11
Elixophyllin, 31
dronabinol, 18
Ella, 14
Easy Touch Lancets 21G/Pressure Activated, 35
droperidol, 22
Ellence, 4
Droplet Lancets Ultra Thin 30G, 34
Elmiron, 20
Easy Touch Lancets 23G/Pressure Activated, 35
drospirenone/ethinyl estradiol, 14
Elocon, 12
Droxia, 20
Eloxatin, 4
Easy Touch Lancets 26G/Pressure Activated, 35
Drug Mart On-the-go Lancets Gentle 30G, 34
Elspar, 4
Emadine, 27
Easy Touch Lancets 28G/Pressure Activated, 35
Drug Mart Unilet Lancets Super Thin 30G, 34
Embrace Blood Glucose Test Strips, 37
Embrace Evo Blood Glucosetest Strips, 37
Easy Touch Lancets 28G/Twist, 35
Drug Mart Unilet Lancets Ultra Thin 28G, 34
Easy Touch Lancets 30G/Pressure Activated, 35
Embrace Lancets Ultra Thin 30G, 35
Drysol, 13
Embrace Pro Blood Glucosetest Strips, 37
Easy Touch Lancets 30G/Twist, 35
Duac, 10
Easy Touch Lancets 32G/Pressure Activated, 35
Duavee, 14
Emcyt, 5
Duet DHA, 33
Emend, 18
Easy Touch Lancets 32G/Twist, 35
Duet DHA 400, 33
Emla, 13
Easy Touch Lancets 33G/Twist, 35
Emsam, 22
esmolol HCL, 7
Factive, 2
Emtriva, 3
esomeprazole sodium, 18
Falessa, 14
Emulsion SB, 13
Esomeprazole Sodium, 18
famciclovir, 3
Enablex, 19
Esomeprazole Strontium, 18
famotidine, 18
enalapril maleate, 8
estazolam, 23
Famotidine, 18
enalapril maleate/hydrochlorothiazide, 8
Estrace, 14, 19
Famotidine Premixed, 18
enalaprilat, 8
estradiol, 14
Famvir, 3
Enbrel, 29
estradiol valerate, 14
Fanapt, 23
Enbrel Sureclick, 29
estradiol/norethindrone acetate, 14
Fanapt Titration Pack, 23
Endometrin, 19
Estrasorb, 14
Fareston, 5
Engerix-b, 32
Estring, 19
Farxiga, 15
Enjuvia, 14
Estrogel, 14
Faslodex, 5
Enlon, 26
estropipate, 14
Fasttake Compact Monitoring System, 35
Enlon-plus, 26
Estropipate, 14
enoxaparin sodium, 20
Estrostep FE, 14
Fasttake Test Strips, 35
entacapone, 24
eszopiclone, 23
Fazaclo, 23
entecavir, 3
ethambutol HCL, 2
Feiba NF, 21
Entereg, 19
ethosuximide, 24
felbamate, 24
Entocort EC, 14
Ethyl Chloride, 13
Felbatol, 24
Entyvio, 19
Ethyl Chloride/Fine Pinpoint, 13
Feldene, 29
Envision Autocode Test Strips, 37
Ethyl Chloride/Fine Stream, 13
felodipine ER, 7
Epaned, 8
Ethyl Chloride/Medium Jet Stream, 13
Fem PH, 19
ephedrine sulfate, 9
Ethyl Chloride/Medium Stream, 13
Femara, 5
Epiceram, 13
Ethyl Chloride/Mist, 13
Femcon FE, 14
Epiduo, 10
Ethyol, 6
Femhrt Low Dose, 14
Epifoam, 12
Etidronate Disodium, 16
Femring, 19
epinastine HCL, 27
etodolac, 29
fenofibrate, 9
Epinephrine, 9
etodolac ER, 29
Fenofibrate, 9
Epinephrine HCL, 9
Etopophos, 5
fenofibrate micronized, 9
epinephrine HCL, 31
etoposide, 5
Fenofibric Acid, 9
Epipen 2-PAK, 9
Etoposide, 5
fenofibric acid DR, 9
Epipen-JR 2-PAK, 9
Euflexxa, 25
Fenoglide, 9
epirubicin HCL, 4
Eurax, 13
fenoldopam mesylate, 8
Epirubicin HCL, 4
Evamist, 14
Fenoprofen Calcium, 29
episone CRE, 12
Evencare + Blood Glucose Test Strip, 37
fentanyl, 28
Epivir, 3
Evencare Blood Glucose Test Strip, 37
fentanyl citrate oral transmucosal, 28
Epivir HBV, 3
Evencare G2 Test Strips, 37
Fentora, 28
eplerenone, 8
Evicel, 21
Feraheme, 20
Epogen, 20
Evista, 16
Feriva, 20
epoprostenol sodium, 10
Evithrom, 21
Feriva 21/7, 20
eprosartan mesylate, 8
Evoclin, 10
Ferivafa, 20
Epzicom, 3
Evolution Autocode, 37
Ferralet 90, 20
Eql Truetrack Test, 37
Evoxac, 21
Ferrex 150 Forte Plus, 20
Equagesic, 27
Exactech R-s-G Test Strips, 37
Ferrex 28, 20
Equetro, 23
Exactech Test Strips, 37
Ferriprox, 38
Eraxis, 2
Exactuss, 31
Ferrlecit, 20
Erbitux, 5
Exalgo, 28
Ferro-plex Hematinic, 20
ergocalciferol, 32
Exelderm, 11
Ferrotrin, 20
ergoloid mesylates, 25
Exelon, 25
Fetzima, 22
Ergomar, 29
exemestane, 5
Fetzima Titration Pack, 22
Ertaczo, 11
Exforge, 8
Fexmid, 25
Erwinaze, 4
Exforge HCT, 8
Fibricor, 9
Ery-TAB, 1
Exjade, 38
Fifty50 Glucose Test Strip 2.0, 37
Erygel, 10
Exparel, 30
Fifty50 Safety Seal Lancets 30G, 35
Eryped 200, 1
Extavia, 25
Fifty50 Safety Seal Lancets 32G, 35
Eryped 400, 1
Extina, 11
Finacea, 10
Erythrocin Lactobionate, 1
EZ Smart Blood Glucose Lancets, 35
finasteride, 20
Erythrocin Stearate, 1
EZ Smart Blood Glucose Test Strips, 37
Fine 30, 35
erythromycin, 1, 10, 26
EZ Smart Plus Blood Glucose Test Strips, 37
Fingerstix Lancets, 35
Erythromycin Base, 1
Fioricet, 27
Erythromycin Ethylsuccinate, 1
EZ-lets Lancets 21G, 35
Fioricet/Codeine, 28
erythromycin/benzoyl peroxide, 10
EZ-lets Lancets 23G, 35
Fiorinal, 28
Esbriet, 31
EZ-lets Lancets 26G Super-soft, 35
Fiorinal/Codeine #3, 28
Escavite, 33
EZ-lets Lancets 28G Ultra-soft, 35
Firazyr, 21
Escavite D, 33
EZ-lets Lancets 30G, 35
Firmagon, 5
escitalopram oxalate, 22
F
First-bxn Mouthwash, 22
Esgic, 27
First-dukes Mouthwash, 22
Fabior, 10
Esgic-plus, 27
First-hydrocortisone, 12
Fabrazyme, 17
First-lansoprazole, 18
fluorouracil, 5
Fora G90 Blood Glucose Test Strips, 37
First-marys Mouthwash, 22
fluoxetine, 25
Fora GD20 Test Strips, 37
First-mouthwash Blm, 22
fluoxetine DR, 22
Fora GD50 Blood Glucose Test Strips, 37
First-omeprazole, 18
fluoxetine HCL, 22
First-progesterone VGS 100 Compounding Kit, 19
Fluoxetine HCL, 22
Fora Lancets, 35
fluphenazine decanoate, 23
Fora Test N' Go Blood Glucose Test Strips, 37
First-progesterone VGS 200 Compounding Kit, 19
fluphenazine HCL, 23
Fluphenazine HCL, 23
Fora V10 Blood Glucose Test Strips, 37
First-progesterone VGS 25 Compounding Kit, 19
flurazepam HCL, 23
Fora V12 Blood Glucose Test Strips, 37
Flurazepam HCL, 23
Fora V20 Blood Glucose Test Strips, 37
First-progesterone VGS 400 Compounding Kit, 19
flurbiprofen, 29
Fora V22 Blood Glucose Test Strips, 37
flurbiprofen sodium, 27
Fora V30a Blood Glucose Test Strips, 37
First-progesterone VGS 50 Compounding Kit, 20
flutamide, 5
Foracare GD40, 37
fluticasone propionate, 12, 30
Foracare Premium V10 Teststrips, 37
First-testosterone, 14
fluvastatin, 9
Foracare Test N Go Test Strips, 37
First-testosterone Mc Compounding Kit, 14
Fluvirin 2012-2013, 32
Foradil Aerolizer, 31
Fluvirin 2013-2014, 32
Forfivo XL, 22
First-vancomycin 25, 4
Fluvirin 2014-2015, 32
Fortamet, 15
First-vancomycin 50, 4
Fluvirin PF 2012-2013, 32
Fortavit, 33
Flagyl, 4
Fluvirin PF 2013-2014, 32
Fortaz, 1
Flagyl ER, 4
Fluvirin PF 2014-2015, 32
Forteo, 16
Flarex, 26
fluvoxamine maleate, 22
Fortesta, 14
flavoxate HCL, 19
fluvoxamine maleate ER, 22
Fortical, 16
flecainide acetate, 7
Fluzone High-dose PF 2012-2013, 32
Fortiscare Blood Glucose Test Strip, 37
Flector, 11
Fluzone High-dose PF 2013-2014, 32
Fosamax, 16
FLO-pred, 14
Fluzone High-dose PF 2014-2015, 32
Fosamax Plus D, 16
Flolan, 10
Fluzone Intradermal, 32
Foscarnet Sodium, 3
Flomax, 20
Fluzone Pediatric PF 2012-2013, 32
Foscavir, 3
Flonase, 30
Fluzone Pediatric PF 2013-2014, 32
fosinopril sodium, 8
Floriva, 33
Fluzone PF 2012-2013, 32
fosinopril sodium/hydrochlorothiazide, 8
Flovent Diskus, 31
Fluzone PF 2013-2014, 32
fosphenytoin sodium, 24
Flovent HFA, 31
Fluzone PF 2014-2015, 32
Fosrenol, 19
floxuridine, 4
Fluzone Quadrivalent 2013-2014, 32
Fragmin, 21
Fluarix 2012-2013, 32
Fluzone Quadrivalent 2014-2015, 32
Freestyle Insulinx Blood Glucose Test, 37
Fluarix 2013-2014, 32
Fluzone Split 2012-2013, 32
Fluarix 2014-2015, 32
Fluzone Split 2013-2014, 32
Freestyle Insulinx Blood Glucose Test Strips, 37
Fluarix Quadrivalent 2013-2014, 32
Fluzone Split 2014-2015, 32
Fluarix Quadrivalent 2014-2015, 32
FML, 26
Freestyle Lancets, 35
Flublok 2013-2014, 32
FML Forte, 26
Freestyle Lite Test Strips, 37
Flublok 2014-2015, 32
FML Liquifilm, 26
Freestyle Test Strips, 37
Flucelvax 2012-2013, 32
Focalin, 24
Freestyle Unistick II Lancets, 35
Flucelvax 2013-2014, 32
Focalin XR, 24
Frova, 29
Flucelvax 2014-2015, 32
Folbecal, 32
Fulyzaq, 18
fluconazole, 2
Folcaps Omega 3, 33
Furadantin, 19
fluconazole IN dextrose, 2
Folet DHA, 33
furosemide, 9
fluconazole IN NACL, 2
Folet One, 33
Furosemide, 9
Fluconazole IN NACL, 2
Folgard OS, 33
Fusilev, 6
flucytosine, 2
Folgard RX, 20
Fusion Plus, 20
Fludara, 5
folic acid, 20
Fuzeon, 3
fludarabine phosphate, 4
Folic Acid, 20
Fycompa, 24
Fludarabine Phosphate, 5
folic acid/vitamin b-6/vitamin b-12, 20
G
fludrocortisone acetate, 13
Folivane-f, 20
gabapentin, 24
Flulaval 2012-2013, 32
Folivane-OB, 33
Gabavale-5, 22
Flulaval 2013-2014, 32
Folivane-plus, 20
Gabazolamine, 22
Flulaval 2014-2015, 32
Folivane-prx DHA NF, 33
Gabazolamine-0.5, 22
Flulaval Quadrivalent 2013-2014, 32
Follistim AQ, 16
Gabazolpidem-5, 23
Flulaval Quadrivalent 2014-2015, 32
Folotyn, 5
Gabitidine, 18
Flumadine, 3
Foltrate, 20
Gabitril, 24
Flumist Nasal Vaccine 2012-2013, 32
fondaparinux sodium, 21
Gablofen, 25
Flumist Quadrivalent, 32
Fora D10 Blood Glucose Test Strips, 37
Gaboxetine, 22
flunisolide, 30
Fora D15c Blood Glucose Test Strips, 37
galantamine, 25
Flunisolide, 30
Fora D15G Blood Glucose Test Strips, 37
galantamine hydrobromide, 25
fluocinolone acetonide, 12, 27
ganciclovir, 3
fluocinolone acetonide ear drops, 27
Fora D15z Blood Glucose Test Strips, 37
Ganirelix Acetate, 16
fluocinonide, 12
Fora D20 Blood Glucose Test Strips, 37
Ganite, 16
fluocinonide emollient base, 12
Fora G20 Blood Glucose Test Strips, 37
Garamycin, 26
fluocinonide-e, 12
Fora G30a Blood Glucose Test Strips, 37
Gardasil, 32
fluorometholone, 26
Fora G71a Blood Glucose Test Strips, 37
Gardasil 9, 32
Gastrinex NF, 18
Glucocom Lancets 33G, 35
Havrix, 32
Gastrocrom, 19
Glucocom Test Strips, 37
Hectorol, 17
gatifloxacin, 26
Glucolab Test Strips, 37
Helidac, 18
Gattex, 19
Gluconavii Blood Glucose Test Strips, 37
Helixate FS, 21
Gazyva, 5
Glucophage, 15
Hemabate, 27
Gebauers Pain Ease, 13
Glucophage XR, 15
Hemangeol, 7
Gebauers Spray And Stretch, 13
Glucosource Lancets, 35
Hematogen Fa, 20
Gel-kam Oral Care Rinse, 22
Glucotrol, 15
Hematron-AF, 20
Gelclair, 22
Glucotrol XL, 15
Hemocyte Plus, 20
Gelnique, 19
Glucovance, 16
Hemocyte-f, 20
Gemcitabine, 5
Glumetza, 15
Hemofil M, 21
gemcitabine HCL, 5
glyburide, 15
heparin lock, 21
gemfibrozil, 9
Glyburide, 15
heparin lock flush, 21
Gemzar, 5
glyburide micronized, 15
Heparin Lock Flush, 21
Genadur, 13
glyburide/metformin HCL, 16
heparin lock flush for flushing vascular access devices, 21
Genadur Kit, 13
Glycate, 18
gene-xene TAB 15MG, 22
Glycolic Acid, 11
heparin lock flush/NACL for flushing vascular access devices, 21
gene-xene TAB 3.75MG, 22
Glycolic Acid 70% High Purity, 11
gene-xene TAB 7.5MG, 22
glycopyrrolate, 18
heparin sodium, 21
Generess FE, 14
Glynase, 15
Heparin Sodium, 21
Genotropin, 16
Glyset, 15
heparin sodium dcu, 21
Genotropin Miniquick, 16
Gmate Blood Glucose Test Strips, 37
heparin sodium lock flush, 21
gentamicin sulfate, 2, 26
Gmate Lancets 30G, 35
heparin sodium/D5W, 21
Gentamicin Sulfate, 11
Golytely, 17
Heparin Sodium/D5W, 21
gentamicin sulfate pediatric, 2
Gonal-f, 16
Heparin Sodium/NACL 0.45%, 21
gentamicin sulfate/0.9% sodium chloride, 2
Gonal-f RFF, 16
heparin sodium/NACL 0.9%, 21
Gonal-f RFF Pen, 16
Heparin Sodium/Sodium Chloride 0.9%, 21
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Gonal-f RFF Rediject, 16
Gordofilm, 13
heparin sodium/sodium chloride 0.9% premix, 21
gentamicin sulfate/sodium chloride, 2
Gordons Urea, 13
Gentle-let GP Lancets, 35
Gralise, 25
Hepsera, 3
Gentle-let Lancets General Purpose Style/Fine Point, 35
Gralise Starter, 25
Herceptin, 5
granisetron HCL, 18
Hespan, 21
Gentle-let Lancets General Purpose Style/Medium Point, 35
Granisol, 18
hetastarch 6%/NACL, 21
Granix, 20
Hetlioz, 23
Gentle-let Lancets Safety Style/Fine Point, 35
Grifulvin V, 2
Hexalen, 4
Gris-peg, 2
Hextend, 21
Gentle-let Lancets Safety Style/Medium Point, 35
griseofulvin microsize, 2
Hiberix, 32
griseofulvin ultramicrosize, 2
Hiprex, 19
Geodon, 23
guanfacine ER, 23
homatropine HBR, 26
Gesticare DHA, 33
guanfacine HCL, 8
Horizant, 25
Giazo, 19
Guanidine HCL, 26
HPR, 13
Gilenya, 25
Gynazole-1, 20
HPR Plus, 13
Gilotrif, 6
H
HPR Plus/Mb Hydrogel, 13
Gilphex TR, 31
Humalog, 15
H&h Thinlet Lancets 26G, 35
Giltuss, 31
Humalog Kwikpen, 15
H&h Thinlet Super Thin Lancets 30G, 35
Giltuss PED-c, 31
Humalog Mix 50/50, 15
H.p. Acthar, 17
Giltuss TR, 31
Humalog Mix 50/50 Kwikpen, 15
Haemolance, 35
Glassia, 31
Humalog Mix 75/25, 15
Haemolance Low Flow Lancets, 35
Gleevec, 6
Humalog Mix 75/25 Kwikpen, 15
Haemolance Plus, 35
Gliadel Wafer, 4
Humate-p, 21
Haemolance Plus High Flow, 35
glimepiride, 15
Humatrope, 16
Haemolance Plus Low Flow, 35
glipizide, 15
Humatrope Combo Pack, 16
Haemolance Plus Max Flow, 35
glipizide ER, 15
Humira, 29
Haemolance Plus Pediatric Flow, 35
glipizide/metformin HCL, 16
Humira Pediatric Crohns Disease Starter Pack, 29
Halaven, 5
Glucagen, 15
Halcion, 23
Glucagen Hypokit, 15
Humira Pen, 29
Haldol, 23
Glucagon Emergency Kit, 15
Humira Pen-crohns Diseasestarter, 29
Haldol Decanoate 100, 23
Gluco Perfect 3 Test Strips, 37
Humira Pen-psoriasis Starter, 29
Haldol Decanoate 50, 23
Glucocard 01 Sensor, 37
Humulin 70/30, 15
Halflytely Bowel Prep/Flavor Packs, 17
Glucocard 01 Test Strips, 37
Humulin 70/30 Kwikpen, 15
halobetasol propionate, 12
Glucocard Expression Blood Glucose Test Strips, 37
Humulin 70/30 Pen, 15
Halog, 12
Humulin N, 15
Halonate, 12
Glucocard Shine Test Strips, 37
Humulin N Kwikpen, 15
haloperidol, 23
Glucocard Vital Test Strips, 37
Humulin N U-100 Pen, 15
haloperidol decanoate, 23
Glucocard X-sensor, 37
Humulin R, 15
haloperidol lactate, 23
Glucocom Lancets 28G, 35
Humulin R U-500 (concentrated), 15
Halotin, 11
Glucocom Lancets 30G, 35
Hy-vee Lancets, 35
Harvoni, 3
Hyalgan, 25
Icar-c Plus, 20
Invirase, 3
Hycamtin, 6
Iclusig, 6
Invokamet, 16
Hycet, 28
Idamycin PFS, 4
Invokana, 15
hydralazine HCL, 8
idarubicin HCL, 4
Iopidine, 27
Hydrea, 6
Ifex, 4
Ipol Inactivated IPV, 32
Hydro 35, 13
ifosfamide, 4
ipratropium bromide, 30, 31
Hydro 40 Foam, 13
Ifosfamide, 4
ipratropium bromide/albuterol sulfate, 31
hydrochloric acid, 20
Ifosfamide/Mesna, 6
Iprivask, 21
hydrochlorothiazide, 9
Ilaris, 29
irbesartan, 8
hydrocodone bitartrate/acetaminophen, 28
Ilevro, 27
irbesartan/hydrochlorothiazide, 8
Imbruvica, 6
irinotecan, 6
Hydrocodone Bitartrate/Acetaminophen, 28
Imdur, 7
Irinotecan, 6
imipenem/cilastatin, 4
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 30
imipramine HCL, 22
imipramine pamoate, 22
Irospan 24/6, 20
hydrocodone bitartrate/homatropine methylbromide, 30
imiquimod, 12
Is 24/6, 20
Imitrex, 29
Isentress, 3
hydrocodone polistirex/chlorpheniramine polistirex, 30
Imitrex Statdose Refill, 29
Isometheptene/Caffeine/Acetaminophen, 29
Imitrex Statdose System, 29
hydrocodone/acetaminophen, 28
Imovax Rabies (h.d.c.v.), 32
isoniazid, 2
Hydrocodone/Acetaminophen, 28
Imuran, 5
Isoniazid, 2
hydrocodone/homatropine, 30
Inatal Advance, 32
Isoptin SR, 7
hydrocodone/ibuprofen, 28
Inatal GT, 32
Isopto Atropine, 26
hydrocort ene 100MG, 19
Inatal Ultra, 32
Isopto Carbachol, 27
hydrocortisone, 12, 13, 19
Incivek, 3
Isopto Carpine, 27
hydrocortisone acetate/aloe, 12
Increlex, 17
Isopto Homatropine, 27
hydrocortisone acetate/lidocaine HCL, 19
indapamide, 9
Isopto Hyoscine, 27
hydrocortisone acetate/pramoxine, 19
Inderal LA, 7
Isordil Titradose, 7
hydrocortisone butyrate, 12
Inderal XL, 7
isosorbide dinitrate, 6
hydrocortisone butyrate (lipid), 12
Indocin, 29
Isosorbide Dinitrate, 7
hydrocortisone butyrate (lipophilic), 12
Indocin IV, 29
isosorbide dinitrate ER, 6
hydrocortisone IN absorbase, 12
indomethacin, 29
isosorbide mononitrate, 6
hydrocortisone valerate, 12
Indomethacin, 29
isosorbide mononitrate ER, 6
hydrocortisone/acetic acid, 27
indomethacin ER, 29
isotonic gentamicin, 2
hydromorphone HCL, 28
indomethacin sodium, 29
Isotonic Gentamicin, 2
Hydromorphone HCL, 28
Infanrix, 32
Isradipine, 7
Hydromorphone HCL Dosette, 28
Infasurf, 31
Istalol, 26
hydromorphone HCL ER, 28
Infergen, 3
Istodax, 6
Hydromorphone HCL ER, 28
Infinity Blood Glucose Test Strips, 37
Isuprel, 31
Hydroxocobalamin, 20
Influenza A (h1n1) Monovalent 2009, 32
itraconazole, 2
hydroxychloroquine sulfate, 3
Infumorph 200, 28
ivermectin, 3
hydroxyurea, 6
Infumorph 500, 28
Ixempra Kit, 5
hydroxyzine HCL, 22
Injectafer, 20
Ixiaro, 32
Hydroxyzine HCL, 22
Inlyta, 6
J
hydroxyzine pamoate, 22
Innopran XL, 7
J-cof DHC, 31
Hydroxyzine Pamoate, 22
Inova, 10
J-max DHC, 31
Hylatopic, 13
Inova 4/1 Acne Control Therapy, 10
Jakafi, 6
Hylatopic Plus, 13
Inova 8/2 Acne Control Therapy, 10
Jalyn, 20
Hylira, 13
Inspirease Bags, 38
Janumet, 16
hyoscyamine sulfate, 18
Inspirease Drug Delivery System, 38
Janumet XR, 16
hyoscyamine sulfate ER, 18
Inspirease Mouthpiece, 38
Januvia, 15
hyoscyamine sulfate odt, 18
Inspirease Reservoir Bags, 38
Jardiance, 15
hyoscyamine sulfate SR, 18
Inspra, 8
Jentadueto, 16
Hyper-sal, 31
Insulin Syringe/0.5ML/30G X 5/16", 37
Jetrea, 27
Hypersal, 31
Integra F, 20
Jevtana, 5
Hypertenevide-12.5, 7
Integra Plus, 20
Jinteli, 14
Hypertenipine-2.5, 7
Integrilin, 21
Jublia, 11
Hypertensolol, 8
Intelence, 3
Juvisync, 16
Hysingla ER, 28
Interarticular Joint Kit, 14
Juxtapid, 9
Hyzaar, 8
Intermezzo, 23
K
I
Introl, 9
Intron A, 6
K-phos NO 2, 20
ibandronate sodium, 16
Intron-a, 6
K.b.g.l. IN Teroderm Cream, 11
Ibudone, 28
Intron-a W/Diluent, 6
Kadcyla, 5
ibuprofen, 29
Intuniv, 24
Kadian, 28
Ibuprofen Comfort PAC, 29
Invanz, 4
Kalbitor, 21
ibutilide fumarate, 7
Invega, 23
Kaletra, 3
IC 400, 29
Invega Sustenna, 23
Kalydeco, 31
IC 800, 29
Kapvay, 24
lamotrigine ER, 24
Levsin, 18
Kapvay Dose Pack, 24
Lancets, 35
Levsin/SL, 18
Karbinal ER, 30
Lancets 26G Twist Top, 35
Lexapro, 22
Kazano, 16
Lancets 28G, 35
Lexiva, 3
Keflex, 1
Lancets 30G, 35
Lialda, 19
Kenalog, 12
Lancets 30G Twist Top, 35
Liberty Glucose Control Mid, 35
Kenalog-10, 14
Lancets 31G Twist Top, 35
Liberty Glucose Control Normal, 35
Kenalog-40, 14
Lancets Bullseye Safety, 35
Liberty Next Generation Blood Glucose Test Strips, 37
Kepivance, 6
Lancets Safety Seal 21G, 35
Keppra, 24
Lancets Safety Seal 26G, 35
lidocaine, 12
Keppra XR, 24
Lancets Safety Seal 28G, 35
lidocaine HCL, 7, 12, 21, 30
Kerafoam, 13
Lancets Safety Seal 30G, 35
Lidocaine HCL, 7, 13
Kerafoam 42, 13
Lancets Thin, 35
lidocaine HCL IN D5W, 7
Keralac, 13
Lancets Twist Top, 35
lidocaine HCL jelly, 12
Keralyt, 13
Lancets Ultra Fine, 35
lidocaine HCL viscous, 21
Keralyt Scalp, 13
Lancets Ultra Thin, 35
Lidocaine HCL-hydrocortisone Acetate With Aloe, 19
Kerlone, 7
Lanoxin, 6
Kerydin, 11
Lanoxin Pediatric, 6
lidocaine HCL/dextrose, 7
Ketek, 4
lansoprazole, 18
Lidocaine HCL/Dextrose, 30
ketoconazole, 2, 11
lansoprazole/amoxicillin/clarithromycin, 18
lidocaine HCL/hydrocortisone acetate, 19
Ketodan Kit, 11
lidocaine viscous, 21
ketoprofen, 29
Lantus, 15
lidocaine/epinephrine, 30
Ketoprofen ER, 29
Lantus Solostar, 15
lidocaine/prilocaine, 12
Ketorocaine-l, 29
Lasix, 9
Lidocaine/Prilocaine, 13
Ketorocaine-lm, 29
Lastacaft, 27
Lidoderm, 13
Ketorolac 2% Gel, 11
latanoprost, 26
Lidoprofen, 11
ketorolac tromethamine, 27, 29
Latrix XM, 13
Lidovir, 11
Ketorolac Tromethamine, 29
Latuda, 23
Lifescan Unistik 2 Deep Penetration, 35
Keytruda, 5
Lavoclen-4 Creamy Wash, 10
Lifescan Unistik II Lancets, 35
Khedezla, 22
Lavoclen-8 Creamy Wash, 10
Lincocin, 4
Kineret, 29
Lazanda, 28
lindane, 12
Kinlytic, 21
leflunomide, 29
Linzess, 19
Kinrix, 32
Lemtrada, 25
Lioresal Intrathecal, 25
Klaron, 10
Lescol, 9
liothyronine sodium, 17
Klonopin, 24
Lescol XL, 9
Lipitor, 9
Koate-dvi, 21
Letairis, 10
Lipofen, 9
Kogenate FS, 21
letrozole, 5
Liptruzet, 9
Kogenate FS Bio-set, 21
leucovorin calcium, 6
Liquicet, 28
Kombiglyze XR, 16
Leucovorin Calcium, 6
lisinopril, 8
Korlym, 15
Leukeran, 4
lisinopril/hydrochlorothiazide, 8
Kristalose, 17
Leukine, 20
Liteaire, 38
Krystexxa, 30
leuprolide acetate, 5
Litetouch Lancets Micro Thin 33G, 35
Kuvan, 17
Levacet, 28
Lithium, 23
Kynamro, 9
Levalbuterol, 31
lithium carbonate, 23
Kyprolis, 6
levalbuterol HCL, 31
Lithium Carbonate, 23
L
Levaquin, 2
lithium carbonate ER, 23
Levatol, 7
Lithobid, 23
labetalol HCL, 7
Levbid, 18
Lithostat, 20
Lac-hydrin, 13
Levemir, 15
Livalo, 9
Lacrisert, 26
Levemir Flexpen, 15
Live Better Lancet Super Thin 30G, 35
lactic acid, 12
Levemir Flextouch, 15
Live Better Lancet Ultra Thin 28G, 35
lactic acid e, 12
levetiracetam, 24
LMD 10% Dextrose 5%, 21
lactic acid w/vitamin e, 12
Levetiracetam, 24
LMD 10% Sodium Chloride 0.9%, 21
lactulose, 17, 19
levetiracetam ER, 24
LO Loestrin FE, 14
Lamictal, 24
Levitra, 10
LO Minastrin FE, 14
Lamictal Chewable Dispersible, 24
levobunolol HCL, 26
Locoid, 12
Lamictal Odt, 24
Levobunolol HCL, 26
Locoid Lipocream, 12
Lamictal Starter/Not Taking Carbamazepine, 24
levocarnitine, 17
Lodosyn, 24
levocetirizine dihydrochloride, 30
Loestrin 1.5/30-21, 14
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24
levofloxacin, 2, 26
Loestrin 1/20-21, 14
levofloxacin IN D5W, 2
Loestrin 24 FE, 14
levonorgestrel, 14
Loestrin FE 1.5/30, 14
Lamictal Starter/Taking Valproate, 24
levonorgestrel and ethinyl estradiol, 14
Loestrin FE 1/20, 14
Lamictal XR, 24
levonorgestrel/ethinyl estradiol, 14
Lofibra, 9
Lamisil, 2
Levophed, 9
Lomotil, 18
Lamisil Spray, 11
Levorphanol Tartrate, 28
Lomustine, 4
lamivudine, 3
levothyroxine sodium, 17
loperamide HCL, 17
lamivudine/zidovudine, 3
Levothyroxine Sodium, 17
Lopid, 9
lamotrigine, 24
Lopressor, 7
Marplan, 22
Mephyton, 32
Lopressor HCT, 8
Marqibo, 5
Mepivacaine HCL, 30
Loprox, 11
Mask Vortex/Baby Whirl Duckling, 38
meprobamate, 22
Loprox Shampoo, 11
Mask Vortex/Child/Frog, 38
Mepron, 4
lorazepam, 22
Mask Vortex/Spinner The Duck, 38
mercaptopurine, 5
Lorazepam Intensol, 22
Mask Vortex/Toddler/Lady Bug, 38
meropenem, 4
Lorcet 10/650, 28
Matulane, 6
Merrem, 4
Lorcet Plus, 28
Mavik, 8
mesalamine, 19
Lortab, 28
Maxair Autohaler, 31
mesna, 6
Lorzone, 25
Maxalt, 29
Mesnex, 6
losartan potassium, 8
Maxalt-MLT, 29
Mestinon, 26
losartan potassium/hydrochlorothiazide, 8
Maxaron Forte, 20
Mestinon Timespan, 26
Maxfe, 20
Metadate CD, 24
Loseasonique, 14
Maxidex, 26
Metaproterenol Sulfate, 31
Lotemax, 26
Maxidone, 28
Metastron, 6
Lotensin, 8
Maxima Blood Glucose Teststrips, 37
metaxalone, 25
Lotensin HCT, 8
Maxipime, 1
metformin HCL, 15
Lotrel, 8
Maxitrol, 26
metformin HCL ER, 15
Lotrisone, 11
Maxzide, 9
methadone HCL, 28
Lotronex, 19
Maxzide-25, 9
Methadone HCL, 28
lovastatin, 9
Mb Hydrogel, 13
Methadose, 28
Lovaza, 9
meclizine HCL, 18
Methadose Sugar-free, 28
Lovenox, 21
Meclofenamate Sodium, 29
methamphetamine HCL, 23
loxapine, 23
Medi-derm/L-RX, 13
methazolamide, 9
loxapine succinate, 23
Medical Provider EZ Flu Shot 2014-2015, 32
methenamine hippurate, 19
Loxitane, 23
methenamine mandelate, 19
Lta 360 Kit, 22
Medisense Thin Lancets, 35
Methenamine Mandelate, 19
Lufyllin, 31
Medlance Plus Extra Lancets 21G, 35
methimazole, 17
Lumigan, 26
Medlance Plus Lancets, 35
methocarbamol, 25
Lumizyme, 17
Medlance Plus Lancets Lite 25G, 35
methotrexate, 5
Lunesta, 23
Medlance Plus Lite Lancets 25G, 35
methotrexate sodium, 5
Lupaneta Pack, 16
Medlance Plus Special Lancets 0.8MM, 35
methoxsalen, 11
Lupron Depot, 5
methscopolamine bromide, 18
Lupron Depot-PED, 16
Medlance Plus Superlite 30G, 35
Methyclothiazide, 9
Luvox CR, 22
Medlance Plus Superlite 30G/Comfort Max, 35
methyldopa, 8
Luxiq, 12
Methyldopa/Hydrochlorothiazide, 8
Luzu, 11
Medlance Plus Universal Lancets 21G, 35
Methyldopate HCL, 8
Lycelle, 13
methylergonovine maleate, 27
Lyrica, 24
Medlance Plus/Lite 25G, 35
Methylin, 24
Lysodren, 5
Medlance/Extra, 35
methylphenidate HCL, 23
Lysteda, 21
Medlance/Lite, 35
methylphenidate HCL CD, 23
Lytensopril Kit, 8
Medlance/Universal, 35
methylphenidate HCL ER, 23
Lytensopril-90, 8
Medrol, 14
Methylphenidate HCL ER, 23
Lytensopril-90 Kit, 8
Medrol Dosepak, 14
methylphenidate HCL SR, 23
M
medroxyprogesterone acetate, 15
methylphenidate hydrochloride, 23
mefenamic acid, 29
methylprednisolone, 13
M-m-r II W/Diluent 10 Dose, 32
mefloquine HCL, 3
methylprednisolone acetate, 13
M-vit, 32
Mefoxin, 1
methylprednisolone dose pack, 13
M.v.i. Adult, 33
Megace ES, 15
methylprednisolone sodiumsuccinate, 13
M.v.i. Pediatric, 33
Megace Oral, 5
Metipranolol, 26
M.v.i.-12 Without Vitamin K, 33
megestrol acetate, 5
metoclopramide HCL, 19
Macnatal CN DHA, 32
Megestrol Acetate, 5
metolazone, 9
Macrobid, 19
Meijer Super Thin Lancets, 35
metoprolol succinate ER, 7
Macrodantin, 19
Mekinist, 6
metoprolol tartrate, 7
Magnacet, 28
meloxicam, 29
metoprolol/hydrochlorothiazide, 8
Makena, 15
Meloxicam, 29
Metozolv Odt, 19
Malarone, 3
Meloxicam Comfort PAC, 29
Metro IV, 4
malathion, 12
melphalan hydrochloride, 4
Metrocream, 10
mannitol, 9
Menactra, 32
Metrogel, 10
Maprotiline HCL, 22
Menest, 14
Metrogel-vaginal, 20
Marbeta-25, 14
Menhibrix, 32
Metrolotion, 10
Marbeta-l, 14
Menomune-a/C/Y/W-135, 32
metronidazole, 4, 10
Marcaine, 30
Menopur, 16
metronidazole IN NACL 0.79%, 4
Marcaine W/O Epi, 30
Menostar, 14
metronidazole vaginal, 19
Marcaine/Epinephrine, 30
Mentax, 11
Mevacor, 9
Mardex-25, 14
Menveo, 32
mexiletine HCL, 7
Marinol, 18
meperidine HCL, 28
Miacalcin, 16
Marlido-25, 30
Meperidine HCL, 28
Micardis, 8
Marnatal-f, 33
Micardis HCT, 8
morphine sulfate, 28
naproxen sodium, 29
Microchamber, 38
Morphine Sulfate, 28
naratriptan HCL, 29
Microdot Test Strips, 37
Morphine Sulfate Add-vantage, 28
Nardil, 22
Microlet Lancets, 35
morphine sulfate ER, 28
Naropin, 30
Microspacer, 38
Motofen, 18
Nasacort AQ, 30
Microtainer Safety Flow Lancet/Sterile/Single-use, 35
Moviprep, 17
Nascobal, 20
Moxatag, 1
Nasonex, 30
Microzide, 9
Moxeza, 26
Natachew, 33
midodrine HCL, 9
moxifloxacin HCL, 2
Natacyn, 26
Mifeprex, 17
Mozobil, 20
Natafort, 33
Migergot, 29
MS Contin, 28
Natalvirt 90 DHA, 33
Migral, 29
Multaq, 7
Natalvirt CA, 33
Migranal, 29
Multigen, 20
Natalvirt Flt, 20
Millipred, 14
Multigen Folic, 20
Natalvit, 33
Millipred DP, 14
Multigen Plus, 20
Natazia, 14
milrinone IN dextrose, 6
mupirocin, 11
nateglinide, 15
milrinone lactate, 6
mupirocin calcium, 11
Natelle One, 33
Minastrin 24 FE, 14
Muse, 10
Natrecor, 10
Mineral Oil Heavy, 17
Mustargen, 4
Natroba, 13
Minipress, 8
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 20
Nature-throid, 17
Minivelle, 14
Nature-throid Nt-2.5, 17
Minocin, 2
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 20
Navelbine, 5
Minocin Kit, 2
Nebupent, 4
minocycline HCL, 2
Myalept, 17
Nebusal, 31
minocycline HCL ER, 2
Myambutol, 2
Necon 1/50-28, 14
minoxidil, 8
Mycamine, 2
Necon 10/11-28, 14
Mirapex, 24
Mycobutin, 2
Neevo DHA, 33
Mirapex ER, 24
mycophenolate mofetil, 5
nefazodone HCL, 22
Mircette, 14
mycophenolic acid DR, 5
Nefazodone HCL, 22
mirtazapine, 22
Mydfrin, 27
Nembutal Sodium, 23
mirtazapine odt, 22
Myfortic, 5
Neo-synalar, 11
Mirvaso, 10
Myglucohealth Blood Glucose Test, 37
Neo-synalar Kit, 11
misoprostol, 18
Myglucohealth Mgh Softlance Lancets 30G, 35
neomycin sulfate, 2
Mission Prenatal HP, 32
neomycin/bacitracin/polymyxin, 26
Mitigare, 30
Mykidz Iron Fl, 33
neomycin/polymyxin/bacitracin zinc, 26
mitomycin, 4
Myleran, 4
neomycin/polymyxin/bacitracin/hydrocortisone, 26
Mitosol, 26
Mynatal, 33
mitoxantrone HCL, 4
Mynatal Advance, 32
neomycin/polymyxin/dexamethasone, 26
Mlk F4 Kit, 14
Mynatal Ultracaplet, 32
neomycin/polymyxin/gramicidin, 26
Mobic, 29
Myobloc, 25
neomycin/polymyxin/HC, 27
modafinil, 23
Myoxin, 27
Neomycin/Polymyxin/Hydrocortisone, 26
Moderiba, 3
Myozyme, 17
neomycin/polymyxin/hydrocortisone, 27
Moderiba 1200 Dose Pack, 3
Myrbetriq, 19
Neoprofen, 29
Moderiba 800 Dose Pack, 3
Mysoline, 24
Neoral, 5
Modicon, 14
N
Neosalus, 13
moexipril HCL, 8
Neosalus CP, 13
nabumetone, 29
moexipril/hydrochlorothiazide, 8
Neosporin, 26
nadolol, 7
mometasone furoate, 12
neostigmine methylsulfate, 25
nadolol/bendroflumethiazide, 8
Moms Choice RX, 33
Neotuss Plus, 31
nafcillin sodium, 1
Monoclate-p, 21
Nephplex RX, 33
Nafcillin Sodium, 1
Monodox, 2
Nephro-vite RX, 33
Nafrinse Daily/Acidulated, 22
Monoject Bone Marrow Biopsy Prepping Tray, 30
Nephrocaps, 33
Nafrinse Daily/Neutral, 22
Nephrocaps QT, 33
Nafrinse Weekly, 22
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 30
Nephron Fa, 20
Naftin, 11
Neptazane, 9
Naglazyme, 17
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 30
Nesacaine, 30
nalbuphine HCL, 28
Nesacaine-mpf, 30
Nalfon, 29
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 30
Nesina, 15
Nallpen Iso-osmotic IN Dextrose, 1
Nessi Spacer/Large Mask, 38
Nallpen/Dextrose, 1
Monolet Lancets, 35
Nessi Spacer/Mouthpiece, 38
Namenda, 25
Monolet Opd Lancets, 35
Nessi Spacer/Small/MED Mask, 38
Namenda Titration PAK, 25
Monolettor Safety Lancets, 35
Nestabs, 33
Namenda XR, 25
Mononine, 21
Nestabs Abc, 33
Namenda XR Titration Pack, 25
Monovisc, 25
Nestabs DHA, 33
Naphazoline HCL, 27
montelukast sodium, 31
Netgroup Lancets, 35
Naprelan, 29
Monurol, 19
Neuac Kit, 10
Naprosyn, 29
Morgidox 1X100MG, 2
Neulasta, 20
naproxen, 29
Morgidox 2X100MG, 2
Neumega, 20
Naproxen Comfort PAC, 29
Neupogen, 20
Norditropin Nordiflex Pen, 16
Nystatin, 11
Neupro, 24
norepinephrine bitartrate, 9
Nystatin Foreign, 11
Neurontin, 24
norethindrone, 14
nystatin/triamcinolone, 11
Neutek 2tek Test Strips, 37
norethindrone acetate, 15
O
Neutrasal, 22
norethindrone acetate/ethinyl estradiol, 14
O-CAL Fa, 33
Neutrexin, 4
O-CAL Prenatal, 33
Nevanac, 27
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 14
OB Complete, 33
nevirapine, 3
OB Complete 400, 33
Nevirapine, 3
Norflex, 25
OB Complete One, 33
nevirapine ER, 3
norgestimate/ethinyl estradiol, 14
OB Complete Petite, 33
Newgen, 33
Norinyl 1+35, 14
OB Complete Premier, 33
Nexa Plus, 33
Norinyl 1+50, 14
OB Complete/DHA, 33
Nexa Select, 33
Noritate, 10
OB-natal One, 33
Nexavar, 6
Noroxin, 2
Obstetrix DHA, 33
Nexgen Test Strips, 37
Norpace, 7
Obstetrix EC, 32
Nexium, 18
Norpace CR, 7
octreotide acetate, 17
Nexium 24HR, 18
Norpramin, 22
Ocudox, 2
Nexium I.v., 18
Northera, 9
Ocufen, 27
Nexterone, 7
nortriptyline HCL, 22
Ocuflox, 26
niacin ER, 9
Nortriptyline HCL, 22
Ocuvel, 33
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 32
Norvasc, 7
Ofev, 31
Norvir, 3
Ofirmev, 28
Niacor, 9
Nova Max Glucose Test Strips, 37
ofloxacin, 2, 26, 27
Niaspan, 9
Nova Safety Lancets 23G, 35
Ofloxacin, 2
Nicadan, 33
Nova Safety Lancets 28G, 35
Ogestrel, 14
nicardipine HCL, 7
Nova Sureflex Lancets, 35
olanzapine, 23
Nicazel, 33
Novaferrum, 20
olanzapine odt, 23
Nicazel Forte, 33
Novofine 30GX8MM, 35
olanzapine/fluoxetine, 25
Nicazeldoxy 30 Kit, 2
Novofine 32GX6MM, 35
Oleptro, 22
Nicazeldoxy 60 Kit, 2
Novofine Autocover 30GX8MM, 35
olopatadine HCL, 30
Nicomide, 33
Novolin 70/30, 15
Olux, 12
nifedipine, 7
Novolin 70/30 Relion, 15
Olux-e, 12
nifedipine ER, 7
Novolin N, 15
Olysio, 3
Nilandron, 5
Novolin N Relion, 15
Omeclamox-PAK, 18
Nimbex, 25
Novolin R, 15
omega-3-acid ethyl esters, 9
nimodipine, 7
Novolin R Relion, 15
omeprazole, 18
Nipent, 6
Novolog, 15
Omeprazole + Syrspend SF Alka, 18
Niravam, 22
Novolog Flexpen, 15
omeprazole/sodium bicarbonate, 18
nisoldipine, 7
Novolog Mix 70/30, 15
Omnaris, 30
Nisoldipine, 7
Novolog Mix 70/30 Prefilled Flexpen, 15
Omnipred, 26
Nisoldipine ER, 7
Novolog Penfill, 15
Omnitrope, 16
Nitro-bid, 7
Novoseven, 21
Omontys, 20
Nitro-dur, 7
Novoseven Rt, 21
On Call Express Blood Glucose Test Strips, 37
nitrofurantoin, 19
Novotwist 30GX8MM, 35
nitrofurantoin macrocrystals, 19
Novotwist 32GX5MM, 35
On Call Lancets, 35
nitrofurantoin monohydrate, 19
Noxafil, 2
On Call Plus Blood Glucose Test, 37
nitrofurantoin monohydrate/macrocrystals, 19
Nplate, 20
On Call Plus Lancets, 35
Nucort, 12
On Call Vivid Blood Glucose Test, 37
nitroglycerin, 6
Nucynta, 28
On Call Vivid Blood Glucose Test Strips, 37
Nitroglycerin, 7
Nucynta ER, 28
nitroglycerin IN 5% dextrose, 6
Nuedexta, 25
Oncaspar, 4
nitroglycerin IN dextrose 5%, 6
Nulojix, 5
ondansetron HCL, 18
Nitroglycerin IN Dextrose 5%, 7
Nulytely/Flavor Packs, 17
ondansetron odt, 18
nitroglycerin lingual, 6
Numoisyn, 22
Onetouch Basic System, 35
Nitroglycerin Lingual, 7
Nuox, 10
Onetouch Basic/Profile Test Strips, 35
nitroglycerin transdermal, 6
Nutricap, 33
Onetouch Club Lancets Fine Point, 35
Nitrolingual Pumpspray, 7
Nutridox, 2
Onetouch Combo Pack, 35
Nitromist, 7
Nutrivit, 33
Onetouch Delica Lancets Extra Fine 33G, 35
Nitronal, 7
Nutropin, 16
Nitropress, 8
Nutropin AQ Nuspin 10, 16
Onetouch Delica Lancets Fine 30G, 35
Nitrostat, 7
Nutropin AQ Nuspin 20, 16
Onetouch Finepoint Lancets, 35
Nivatopic Plus, 13
Nutropin AQ Nuspin 5, 16
Onetouch Lancets, 35
nizatidine, 18
Nutropin AQ Pen, 16
Onetouch Ping Meter Remote, 35
Nizoral, 11
Nuvail, 13
Onetouch Profile System, 35
Nor-QD, 14
Nuvigil, 23
Onetouch Ultra 2, 35
Norco, 28
Nuzon, 12
Onetouch Ultra Blue, 35
Norditropin Cartridge, 16
Nymalize, 7
Onetouch Ultra Control, 35
Norditropin Flexpro, 16
nystatin, 2, 11, 21
Onetouch Ultra Mini, 35
Onetouch Ultra System Kit, 35
Ovace Plus Wash, 11
Pediaderm AF Complete Kit, 11
Onetouch Ultralink System (DEC), 35
Ovace Wash, 11
Pediaderm HC, 12
Onetouch Ultralink System (hex), 35
Ovcon-35, 15
Pediaderm Ta, 12
Onetouch Ultrasmart, 35
Ovide, 13
Pediapred, 14
Onetouch Ultrasoft Lancets, 35
Ovidrel, 16
Pediarix, 32
Onetouch Verio, 35
oxacillin sodium, 1
Pediatex TD, 31
Onetouch Verio Control Solution High, 35
oxaliplatin, 4
Pediatex TDM, 31
Oxandrin, 14
Pediatric Panda Mask, 38
Onetouch Verio IQ Blood Glucose Monitoring System, 35
oxandrolone, 14
Pedipirox-4 Nail, 11
oxaprozin, 29
Pedvax HIB, 32
Onetouch Verio Mid Control Solution, 35
oxazepam, 22
peg 3350/electrolytes, 17
Onetouch Verio Sync Bloodglucose Monitoring System, 35
oxcarbazepine, 24
peg-3350/electrolytes, 17
Oxecta, 28
peg-3350/NACL/NA bicarbonate/KCL, 17
Onetouch Verio Test Strips, 35
Oxistat, 11
Peg-intron, 3
Onfi, 24
Oxsoralen, 12
Peg-intron Redipen, 3
Onglyza, 15
Oxsoralen Ultra, 11
Peg-intron Redipen PAK 4, 3
Onmel, 2
Oxtellar XR, 24
Peganone, 24
Opana, 28
oxybutynin chloride, 19
Pegasys, 3
Opana ER (crush Resistant), 28
oxybutynin chloride ER, 19
Pegasys Proclick, 3
opium, 17
oxycodone HCL, 28
Pegintron, 3
opium tincture, 17
Oxycodone HCL, 28
Pen Needles 29G X 12MM, 35
Opium Tincture (paregoric), 18
Oxycodone HCL ER, 28
Pen Needles 29GX1/2", 35
Opsumit, 10
oxycodone/acetaminophen, 28
Pen Needles 30GX5/16", 35
Optichamber Advantage, 38
oxycodone/aspirin, 28
Pen Needles 31G X 1/4" SHORT, 35
Optichamber Diamond, 38
oxycodone/ibuprofen, 28
Pen Needles 31G X 3/16", 36
Optichamber Diamond/Largeface Mask, 38
Oxycontin, 28
Pen Needles 31G X 6MM, 36
oxymorphone hydrochloride, 28
Pen Needles 31GX5/16", 36
Optichamber Diamond/Medium Face Mask, 38
oxymorphone hydrochloride ER, 28
penicillin G potassium, 1
oxytocin, 27
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Optichamber Diamond/Smallface Mask, 38
Oxytrol, 19
Oxytrol For Women, 19
Penicillin G Procaine, 1
Optihaler, 38
P
Penicillin G Sodium, 1
Optihaler MDI Drug Delivery System, 38
penicillin v potassium, 1
paclitaxel, 5
Optium Test Strips, 37
Penlac Nail Lacquer, 11
Paclitaxel, 6
Optiumez Test Strips, 37
Pennsaid, 11
Paire OB, 33
Optivar, 27
Pentacel, 32
Palgic, 30
Optumrx Blood Glucose Test, 37
Pentam 300, 4
Pamelor, 22
Oracea, 10
Pentasa, 19
pamidronate disodium, 16
Oracit, 20
pentazocine/acetaminophen, 28
Pamidronate Disodium, 16
Orafate, 22
pentazocine/naloxone HCL, 28
Pamine, 18
Orap, 25
Pentetate Calcium Trisodium, 38
Pamine Forte, 18
Orapred, 14
Pentetate Zinc Trisodium, 38
Pamine FQ, 18
Orapred Odt, 14
pentoxifylline ER, 21
Panatuss Dxp, 31
Oravig, 22
Pepcid, 18
Pancreaze, 18
Oraxyl, 2
Percocet, 28
Pancrelipase, 18
Orbactiv, 4
Percodan, 28
pancuronium bromide, 25
Orbivan CF, 28
Perfect Lancets 30G, 36
Panda Mask Large, 38
Orencia, 29
Perfect Pressure Activated Safety Lancets 28G, 36
Panda Mask Medium, 38
Orenitram, 10
Panda Mask Small, 38
Orfadin, 17
Perforomist, 31
Pandel, 12
orphenadrine citrate, 25
Peridex, 22
pantoprazole sodium, 18
orphenadrine citrate ER, 25
perindopril erbumine, 8
papaverine HCL, 10
orphenadrine/asa/caffeine, 25
Perjeta, 5
Parafon Forte DSC, 25
Ortho Micronor, 15
permethrin, 12
Parcopa, 24
Ortho Tri-cyclen, 15
perphenazine, 23
paricalcitol, 17
Ortho Tri-cyclen LO, 15
Perphenazine/Amitriptyline, 25
Paricalcitol, 17
Ortho-cept, 15
Perry Prenatal, 33
Parlodel, 24
Ortho-cyclen, 15
Persantine, 21
Parnate, 22
Ortho-novum 1/35, 15
Pertzye, 18
paromomycin sulfate, 2
Ortho-novum 7/7/7, 15
Pexeva, 22
paroxetine HCL, 22
Orthovisc, 25
Pfizerpen-G, 1
paroxetine HCL ER, 22
Oseni, 16
Pharmacist Choice Autocode Blood Glucose Test Strips, 37
Paser, 2
Osmoprep, 17
Pataday, 27
Osphena, 16
Pharmacy Counter Lancets, 36
Patanase, 30
Otezla, 29
phenazopyridine HCL, 20
Patanol, 27
Otozin, 27
phenelzine sulfate, 22
Paxil, 22
Otrexup, 29
Phenergan, 30
Paxil CR, 22
Ovace Plus, 11
phenobarbital, 23
PCE, 1
Phenobarbital, 23
Pr Natal 430, 33
Presera, 13
Phenobarbital Sodium, 23
Pr Natal 430 EC, 33
Prestige Test Strips, 37
Phentolamine Mesylate, 8
Pradaxa, 21
Prevacid, 18
phenylephrine HCL, 9, 27
pramipexole dihydrochloride, 24
Prevacid Solutab, 18
Phenylephrine HCL, 9, 30
Pramosone, 12
Prevident, 22
phenylephrine/guaifenesin, 30
Pramosone E, 12
Prevnar 13, 32
Phenytek, 24
Pramotic, 27
Prevpac, 18
phenytoin, 24
Prandimet, 16
Prezista, 3
phenytoin sodium, 24
Prandin, 15
Priftin, 2
phenytoin sodium extended, 24
Prastera, 29
Prilosec, 18
Phoslo, 19
Pravachol, 9
Primaquine Phosphate, 3
Phoslyra, 19
pravastatin sodium, 9
Primaxin IV, 4
Phospholine Iodide, 27
Prazolamine, 25
Primaxin IV Add-vantage, 4
Photofrin, 6
prazosin HCL, 8
primidone, 24
Phrenilin Forte, 28
Pre-folic, 20
Primlev, 28
phytonadione, 32
Precedex, 23
Primsol, 4
pilocarpine HCL, 21, 27
Precision PCX, 37
Prinivil, 8
pilocarpine hydrochloride, 21
Precision PCX Plus Test Strips, 37
Pristiq, 22
Pilopine HS, 27
Precision Point Of Care Test Strips, 37
Proair HFA, 31
pindolol, 7
Precision QID Test Strips, 37
probenecid, 30
pioglitazone HCL, 16
Precision Sof-tact Test Strips, 37
probenecid/colchicine, 30
pioglitazone HCL-glimepiride, 16
Precision Thin Lancets, 36
Procainamide HCL, 7
pioglitazone HCL/metformin HCL, 16
Precision Thins GP Lancet, 36
Procardia, 7
piperacillin sodium/ tazobactam sodium, 1
Precision Ultra Lancet, 36
Procardia XL, 7
Precision XTRA Blood Glucose Test Strips, 37
Procentra, 23
piperacillin sodium/tazobactam sodium, 1
prochlorperazine, 23
piperacillin/tazobactam, 1
Precose, 15
prochlorperazine edisylate, 23
piroxicam, 29
Pred Forte, 26
prochlorperazine maleate, 23
Pitocin, 27
Pred Mild, 26
Procort, 19
Pitressin Synthetic, 17
Pred-G, 26
Procrit, 20
Plan B, 15
Pred-G S.o.p., 26
Proctocort, 19
Plan B One-step, 15
prednicarbate, 12
Proctofoam HC, 19
Plaquenil, 3
prednisolone, 13
Procysbi, 20
Plavix, 21
prednisolone acetate, 26
Prodigy NO Coding Blood Glucose Test Strips, 37
Plegridy, 25
prednisolone sodium phosphate, 13
Plegridy Starter Pack, 25
Prednisolone Sodium Phosphate, 14, 26
Prodigy Pressure Activated Safety Lancets, 36
Pletal, 21
prednisolone sodium phosphate odt, 13
Plexion, 10
prednisone, 13
Prodigy Twist Top Lancets, 36
Plexion Cleanser, 10
Prednisone, 14
Proferrin-forte, 20
Plexion Cleansing Cloths, 10
Prednisone Intensol, 14
progesterone, 15
Pliaglis, 13
Prefera OB, 33
Proglycem, 15
Pneumovax 23, 32
Prefera OB + DHA, 33
Prograf, 5
Pneumovax 23/1 Dose, 32
Preferaob One, 33
Prolastin-c, 31
Pneumovax 23/5 Dose, 32
Prefest, 14
Prolensa, 27
Pocket Chamber, 38
Prefol-DHA, 33
Proleukin, 6
Pocket Spacer, 38
Prelone, 14
Prolia, 16
Pocketchem EZ Blood Glucose Test Strips, 37
Premarin, 14, 20
Promacta, 20
Premphase, 14
promethazine HCL, 30
podofilox, 12
Prempro, 14
promethazine HCL plain, 30
Poly-tussin DHC, 31
Prenata, 33
promethazine-DM, 30
Poly-VI-flor, 33
Prenatabs RX, 33
promethazine/codeine, 30
Poly-VI-flor/Iron, 33
Prenatal Ad, 33
promethazine/dextromethorphan, 30
polyethylene glycol 3350, 17
Prenatal Vitamins, 33
Prometrium, 15
polymyxin b sulfate, 4
Prenatal-u, 33
Promiseb, 11
polymyxin b sulfate/trimethoprim sulfate, 26
Prenate, 33
Promiseb Complete, 11
Prenate AM, 33
Propa PH Acne Medication Cleanser Maximum Strength, 12
Polytrim, 26
Prenate DHA, 33
Pomalyst, 5
Prenate Elite, 33
propafenone HCL, 7
Ponstel, 29
Prenate Enhance, 33
propafenone HCL ER, 7
potassium citrate ER, 20
Prenate Essential, 33
Propantheline Bromide, 18
potassium citrate-citric acid crystals, 20
Prenate Mini, 33
proparacaine HCL, 27
potassium citrate/citric acid, 20
Prenate Pixie, 33
propranolol HCL, 7
potassium citrate/sodium citrate/citric acid, 20
Prenate Restore, 33
Propranolol HCL, 7
Prenate Star, 33
propranolol HCL ER, 7
Potiga, 24
Prenexa, 33
Propranolol/Hydrochlorothiazide, 8
Pr Cream, 13
Prepidil, 27
propylthiouracil, 17
Pr Natal 400, 33
Prepopik, 17
Proquad, 32
Pr Natal 400 EC, 33
Preque 10, 33
Proscar, 20
Prosed/DS, 19
R
Renvela, 19
Prostigmin, 26
Reopro, 21
R-natal OB, 33
Prostin E2, 27
repaglinide, 15
Rabavert, 32
Protamine Sulfate, 21
Reprexain, 28
rabeprazole sodium, 18
Protect Plus, 33
Repronex, 16
raloxifene hydrochloride, 16
Protectbone, 33
Req 49+, 33
ramipril, 8
Protectiron, 20
Requip, 24
Ranexa, 7
Protectnatal, 33
Requip XL, 24
ranitidine HCL, 18
Prothelial, 22
Rescon-JR, 31
Rapaflo, 20
Protonix, 18
Rescon-MX, 31
Rapamune, 5
Protopic, 12
Rescriptor, 3
Rasuvo, 29
protriptyline HCL, 22
Rescula, 26
Ravicti, 17
Provenge, 6
Reserpine, 8
Rayos, 14
Proventil HFA, 31
Respa-BR, 30
Razadyne, 25
Provera, 15
Restasis, 27
Razadyne ER, 25
Provida OB, 33
Restora RX, 18
Rebetol, 3
Provigil, 24
Restoril, 23
Rebif, 25
Prozac, 22
Retavase, 21
Rebif Rebidose, 25
Prozac Weekly, 22
Retavase Half-kit, 21
Rebif Rebidose Titration Pack, 25
Pruclair, 13
Retin-a, 10
Rebif Titration Pack, 25
Prudoxin, 11
Retin-a Micro, 10
Reclast, 16
Prumyx, 13
Retin-a Micro P.M., 10
Recombinate, 21
Pss Select GP Lancets, 36
Retisert, 26
Recombivax HB, 32
Pss Select Safety Lancets, 36
Retrovir, 3
Recothrom, 21
Pts Panels Glucose Test, 37
Retrovir IV Infusion, 3
Recothrom Spray Kit, 21
Pulmicort, 31
Revatio, 10
Rectiv, 19
Pulmicort Flexhaler, 31
Reveal Blood Glucose Test, 37
Refuah Plus Blood Glucosetest Strips, 37
Pulmophylline, 31
Revlimid, 5
Pulmozyme, 31
Rexall Blood Glucose Test Strips, 37
Reglan, 19
Purinethol, 5
Rexall Lancets Ultra Thin, 36
Regonol, 26
Purixan, 5
Reyataz, 3
Relagard, 20
Px Lancets Ultra Thin, 36
Rezira, 31
Relenza Diskhaler, 3
Pylera, 18
Rezyst IM, 18
Relhist, 31
pyrazinamide, 2
Rezyst SB, 18
Relion Blood Glucose Teststrips, 37
Pyridium, 20
Rheumatrex, 29
Relion Confirm/Micro Test Strips, 37
pyridostigmine bromide, 26
Rhinocort Aqua, 30
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 37
Pyridoxine HCL, 32
Rhinoflex-650, 28
Pyrogallic Acid, 13
Riastap, 21
Relion Lancets, 36
Q
Riax, 10
Relion Lancets Micro-thin33G, 36
Ribasphere, 3
Qc Lancets Super Thin, 36
Relion Lancets Standard 21G, 36
Ribasphere Ribapak, 3
Qc Lancets Ultra Thin, 36
Relion Lancets Thin 26G, 36
Ribatab, 3
Qnasl, 30
Relion Lancets Ultra-thin30G, 36
ribavirin, 3
Quadramet, 6
Relion Prime Blood Glucose Test Strips, 37
Ridaura, 29
Qualaquin, 3
rifabutin, 2
Quartette, 15
Relion R, 15
Rifadin, 2
Quazepam, 23
Relion Thin Lancets, 36
Rifamate, 2
Qudexy XR, 24
Relion Ultima Blood Glucose Test Strips, 37
rifampin, 2
Quelicin, 25
Rifater, 2
Quelicin 1000, 25
Relion Ultima Test Strips, 37
Rightest Gl300 Lancets, 36
Questran, 9
Relion Ultra Thin Lancets, 36
Rightest GS100 Blood Glucose Test Strips, 37
Questran Light, 9
Relion Ultra Thin Lancets30G, 36
quetiapine fumarate, 23
Relion Ultra Thin Plus Lancets 32G, 36
Rightest GS300 Blood Glucose Test Strips, 37
Quflora Pediatric, 33
Relion Ultra Thin Plus Lancets 33G, 36
Quicktek Test Strips, 37
Relistor, 19
Rightest GS550 Blood Glucose Test Strips, 37
Quillivant XR, 23
Relpax, 29
quinapril HCL, 8
Relyyks, 13
Rilutek, 25
quinapril/hydrochlorothiazide, 8
Relyyt, 13
riluzole, 25
Quinidine Gluconate, 7
Remeron, 22
rimantadine HCL, 3
quinidine gluconate CR, 7
Remeron Soltab, 22
Rimantalist, 3
quinidine gluconate ER, 7
Remicade, 19
Riomet, 15
quinidine sulfate, 7
Remodulin, 10
risedronate sodium, 16
Quinidine Sulfate, 7
Renacidin, 20
Risperdal, 23
Quinidine Sulfate ER, 7
Renagel, 19
Risperdal Consta, 23
quinine sulfate, 3
Renatabs, 33
Risperdal M-TAB, 23
Quintet Ac Blood Glucose Test Strips, 37
Renatabs With Iron, 33
risperidone, 23
Quintet Blood Glucose Test Strips, 37
Renax, 33
risperidone odt, 23
Qutenza, 13
Renew Advanced Lancing Cartridge Refills, 36
Ritalin, 24
Qvar, 31
Ritalin LA, 24
Samsca, 17
sirolimus, 5
Ritalin SR, 24
Sanctura, 19
Sirturo, 2
Riteflo, 38
Sanctura XR, 19
Sitavig, 3
Rituxan, 5
Sancuso, 18
Sivextro, 4
rivastigmine tartrate, 25
Sandimmune, 5
Skelaxin, 25
rizatriptan benzoate, 29
Sandostatin, 17
Sklice, 13
rizatriptan benzoate odt, 29
Sandostatin Lar Depot, 17
Smart Diabetes Vantage Universal Lancets 30G, 36
Robaxin, 25
Saphris, 23
Robaxin-750, 25
Sarafem, 25
Smart Diabetes Xpres Blood Glucose Test Strips, 37
Robinul, 18
Savella, 25
Robinul Forte, 18
Savella Titration Pack, 25
Smart Sense Color Lancets Universal 33G, 36
Rocaltrol, 17
Scalacort DK, 12
Rocephin, 1
Scopolamine Hydrobromide, 18
Smart Sense Premium Bloodglucose Strips, 37
rocuronium bromide, 25
Seasonique, 15
ropinirole ER, 24
Seb-prev, 11
Smart Sense Standard Lancets Universal 21G, 36
ropinirole HCL, 24
Seconal, 23
ropivacaine, 30
Sectral, 7
Smart Sense Super Thin Lancets Universal 30G, 36
ropivacaine HCL, 30
Select-OB, 33
Rosadan Kit, 10
Select-ob+dha, 33
Smart Sense Thin Lancets Universal 26G, 36
Rosanil, 10
selegiline HCL, 24
Rotarix, 32
selenium sulfide, 11
Smart Sense Value Blood Glucose Strips, 37
Rotateq, 32
Selenium Sulfide, 11
Rowasa, 19
Selrx, 11
Smartest Blood Glucose Test Strips, 37
Roxicet, 28
Selsun Shampoo, 11
Smartest Lancets 28G, 36
Roxicodone, 28
Selzentry, 3
Sodium Bicarbonate, 18
Rozerem, 23
Semprex-d, 31
sodium chloride, 30
Ryanodex, 25
Senophylline, 31
sodium citrate/citric acid, 20
Rybix Odt, 28
Sensipar, 17
Sodium Diuril, 9
Rythmol, 7
Sensorcaine-mpf/Epinephrine, 30
Sodium Edecrin, 9
Rythmol SR, 7
Sentradine, 18
sodium ferric gluconate complex/sucrose, 20
S
Sentraflox AM-10, 22
Sentralopram AM-10, 22
sodium hyaluronate, 12
Sabril, 24
Sentramodafin AM-100, 24
sodium phenylbutyrate, 17
Safe-t-lance Low Flow 25G, 36
Sentravil PM-25, 22
sodium sulfacetamide, 10, 11, 26
Safe-t-lance Normal Flow 21G, 36
Sentrazolam AM 0.25, 22
sodium sulfacetamide wash, 11
Safe-t-lance Plus Safety Lancet High Flow, 36
Sentrazolpidem PM-5, 23
sodium sulfacetamide/sulfur, 10
Sentroxatine, 22
Sodium Sulfacetamide/Sulfur, 10
Safe-t-lance Plus Safety Lancet Low Flow, 36
Serevent Diskus, 31
sodium sulfacetamide/sulfur cleanser, 10
Seromycin, 2
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10
Safe-t-lance Plus Safety Lancet Normal Flow, 36
Seroquel, 23
Seroquel XR, 23
sodium sulfacetamide/sulfur cleansing cloths, 10
Safety Lancet 21G/Pressure Activated, 36
Serostim, 16
sertraline HCL, 22
sodium sulfacetamide/sulfur green, 10
Safety Lancet 28G/Pressure Activated, 36
Sevelamer Carbonate, 19
Sodium Sulfacetamide/Sulfur IN Urea, 10
Sfrowasa, 19
sodium sulfacetamide/sulfur w/sunscreen, 10
Safety Lancet 2MM, 36
Shohls Solution Modified, 20
Safety Lancets, 36
Shopko On-the-go Comfort Lancets 30G, 36
sodium sulfacetamide/sulfur wash, 10
Safety Lancets 21G, 36
Sodium Sulfacetamide/Urea, 11
Safety Lancets 28G, 36
Shopko Unilet Lancets Super Thin 30G, 36
Solaice, 13
Safety Let Lancets, 36
Soliris, 21
Safety Seal Lancets 28G, 36
Shopko Unilet Lancets Ultra Thin 28G, 36
Solodyn, 2
Safety Seal Lancets 30G, 36
Soltamox, 5
Safyral, 14
Siderol, 33
Solu-cortef, 14
Saizen, 16
Signifor, 17
Solu-medrol, 14
Saizen Click.easy, 16
sildenafil, 10
Solus V2 Audible Test, 37
Salagen, 22
sildenafil citrate, 10
Solus V2 Pressure Activated Safety Lancets 28G, 36
Salex, 13
Silenor, 23
Salex Cream, 13
Simbrinza, 27
Solus V2 Twist Lancets 30G, 36
Salex Lotion, 13
Simcor, 9
Soma, 25
salicylic acid, 12
Simponi, 29
Somatuline Depot, 17
Salicylic Acid, 13
Simponi Aria, 29
Somavert, 17
salicylic acid cream, 12
Simulect, 5
Sonata, 23
Salicylic Acid IN Ammonium Lactate Vehicle, 13
simvastatin, 9
Soriatane, 11
Sinelee, 13
Sorilux, 11
salicylic acid lotion, 12
Sinemet, 25
sotalol HCL, 7
Salkera, 13
Sinemet CR, 25
sotalol HCL (AF), 7
salsalate, 27
Single-let, 36
Sovaldi, 3
Salvax, 13
Singulair, 31
Spectracef, 1
Salvax Duo Plus, 13
Spinosad, 13
Supervite, 34
Targretin, 6
Spiriva Handihaler, 31
Supervite EC, 34
Tarka, 8
Spiriva Respimat, 31
Support-500, 34
Taron-bc, 34
spironolactone, 9
Supprelin LA, 16
Taron-c DHA, 34
spironolactone/hydrochlorothiazide, 9
Suprax, 1
Taron-duo EC, 34
Sporanox, 2
Supreme Test Strips, 37
Taron-prex, 33
Sporanox Pulsepak, 2
Suprep Bowel Prep, 17
Tasigna, 6
Sprix, 29
Sure Edge Blood Glucose Test Strips, 37
Tasmar, 25
Sprycel, 6
Sure-lance Flat Lancets, 36
Taxotere, 5
Staflex, 28
Sure-lance Lancets 26G, 36
Tazicef, 1
Stalevo 100, 25
Sure-lance Thin Lancets 28G, 36
Tazorac, 11
Stalevo 125, 25
Sure-lance Ultra Thin Lancets, 36
Tecfidera, 25
Stalevo 150, 25
Sure-test Easyplus Mini Blood Glucose Test Strips, 37
Tecfidera Starter Pack, 25
Stalevo 200, 25
Techlite AST Lancets, 36
Stalevo 50, 25
Sure-touch Lancets Universal, 36
Techlite Lancets, 36
Stalevo 75, 25
Surechek Blood Glucose Test Strips, 37
Techlite Lancets 30G, 36
stannous fluoride oral rinse, 21
Surelite Lancets, 36
Tegretol, 24
Starlix, 15
Surestep Glucose Control, 36
Tegretol-XR, 24
stavudine, 3
Surestep Glucose Control Solution, 36
Tekamlo, 8
Stavzor, 24
Surestep Pro High Glucosecontrol, 36
Tekturna, 8
Staxyn, 10
Surestep Pro Low Glucose Control, 36
Tekturna HCT, 8
Stelara, 11
Surestep Pro Normal Glucose Control, 36
Telcare Blood Glucose Test Strips, 37
Stendra, 10
telmisartan, 8
Sterilance TL, 36
Surestep Pro Test Strips, 36
telmisartan/amlodipine, 8
Stimate, 17
Surestep Test Strips, 36
telmisartan/hydrochloroth, 8
Stivarga, 6
Surfaxin, 31
telmisartan/hydrochlorothiazide, 8
Strattera, 23
Surmontil, 22
temazepam, 23
Strazepam, 23
Survanta Intratracheal, 31
Temodar, 4
Streptomycin Sulfate, 2
Sustiva, 3
Temovate, 12
Striant, 14
Sutent, 6
Temovate E, 12
Stribild, 3
Suttar-2, 31
temozolomide, 4
Striverdi Respimat, 31
Suttar-SF, 31
Tencon, 28
Stromectol, 3
Sylatron, 6
Tenex, 8
Strovite, 33
Symax Duotab, 18
Teniposide, 5
Strovite Forte, 34
Symbicort, 31
Tenivac, 32
Strovite One, 34
Symbyax, 25
Tenoretic 100, 8
Suboxone, 28
Symlinpen 120, 15
Tenoretic 50, 8
Subsys, 28
Symlinpen 60, 15
Tenormin, 7
Suclear, 17
Synagex, 34
Terazol 3, 20
Sucraid, 18
Synalar, 12
Terazol 7, 20
sucralfate, 18
Synalar Cream Kit, 12
terazosin HCL, 8
Sular, 7
Synalar Ointment Kit, 12
terbinafine HCL, 2
sulfacetamide sodium, 10, 26
Synalar Ts, 12
Terbinex, 3
Sulfacetamide Sodium, 26
Synalgos-dc, 28
terbutaline sulfate, 31
sulfacetamide sodium/prednisolone sodium phosphate, 26
Synapryn Fusepaq, 28
terconazole, 19
Synarel, 16
Tersi Foam, 11
sulfacetamide sodium/sulfur cleanser, 10
Synatek, 34
Tessalon Perles, 31
Sulfadiazine, 2
Synera, 13
Testim, 14
sulfamethoxazole/trimethoprim, 4
Synercid, 4
Testopel, 14
Sulfamethoxazole/Trimethoprim, 4
Synribo, 6
Testosterone, 14
sulfamethoxazole/trimethoprim DS, 4
Synthroid, 17
testosterone cypionate, 14
sulfasalazine, 19
Synvisc, 25
testosterone enanthate, 14
Sulfisoxizole, 2
Synvisc One, 25
Testosterone P.M., 14
Sulfoam, 10
T
Testred, 14
Sulfurated Lime, 13
Tetanus Toxoid Adsorbed, 32
Tabloid, 5
sulindac, 29
Tetanus/Diphtheria Toxoids-adsorbed Adult, 32
Taclonex, 12
Sumadan Kit, 10
tacrolimus, 5, 12
Sumadan Wash, 10
tetracaine HCL, 27
Tafinlar, 6
Sumadan XLT, 10
Tetracaine HCL, 30
Talwin, 28
Sumatriptan, 29
Tetracycline HCL, 2
Tambocor, 7
sumatriptan succinate, 29
Tetrix, 13
Tamiflu, 3
Sumatriptan Succinate, 29
Tev-tropin, 16
tamoxifen citrate, 5
sumatriptan succinate refill, 29
Teveten, 8
tamsulosin HCL, 20
Sumavel Dosepro, 29
Teveten HCT, 8
Tandem F, 20
Sumaxin, 10
Texacort, 12
Tandem Plus, 20
Sumaxin CP Kit, 10
Thalomid, 5
Tanzeum, 15
Sumaxin Ts, 10
Theo-24, 31
Tapazole, 17
Sumaxin Wash, 10
theophylline, 31
Tarceva, 6
theophylline CR, 31
Tobi Podhaler, 2
triamcinolone acetonide, 12, 21, 30
theophylline ER, 31
Tobradex, 26
Triamcinolone Acetonide, 12
theophylline/D5W, 31
Tobradex ST, 26
triamcinolone IN orabase, 21
Theophylline/D5W, 31
tobramycin, 2
triamterene/hydrochlorothiazide, 9
Therabenzaprine-60, 25
tobramycin sulfate, 2, 26
Triamterene/Hydrochlorothiazide, 9
Therabenzaprine-90, 25
Tobramycin Sulfate/Sodium Chloride, 2
Trianex, 12
Therabenzaprine-90-5, 25
tobramycin/dexamethasone, 26
triazolam, 23
Theracodeine-300, 28
Tobrex, 26
Tribenzor, 8
Theracodophen-325, 28
Tofranil, 22
Tricare, 33
Theracodophen-650, 28
Tofranil-PM, 22
Tricare Prenatal Compleat, 34
Theracodophen-750, 28
tolazamide, 15
Tricare Prenatal DHA One, 34
Theracodophen-low-90, 28
Tolazamide, 15
tricitrates, 20
Theracys, 6
Tolbutamide, 15
Tricor, 9
Therafeldamine, 29
tolmetin sodium, 29
trifluoperazine HCL, 23
Therapentin-60, 24
Tolmetin Sodium, 29
trifluridine, 26
Therapentin-90, 24
tolterodine tartrate, 19
Triglide, 9
Theraprofen-60, 29
tolterodine tartrate ER, 19
trihexyphenidyl HCL, 24
Theraprofen-800, 29
Topamax, 24
Trileptal, 24
Theraprofen-90, 29
Topamax Sprinkle, 24
Trilipix, 9
Theraproxen-500, 29
Topicort, 12
trimethobenzamide HCL, 18
Theraproxen-60, 29
topiramate, 24
trimethoprim, 4
Theraproxen-90, 29
Topiramate ER, 24
trimethoprim sulfate/polymyxin b sulfate, 26
Theratramadol-60, 28
topotecan HCL, 6
Theratramadol-90, 28
Topotecan HCL, 6
trimipramine maleate, 22
thiamine HCL, 32
Toprol XL, 7
Trinate, 33
Thinlets GP Lancets, 36
Torisel, 6
Triostat, 17
Thinlets Lancet, 36
torsemide, 9
Trisenox, 6
Thiola, 20
Torsemide, 9
Triumeq, 3
thioridazine HCL, 23
Totect, 6
Triveen-duo DHA, 34
thiothixene, 23
Toviaz, 19
Triveen-prx RNF, 34
Thrombin-jmi Diluent, 21
Tracleer, 10
Triveen-ten, 34
Thrombin-jmi Epistaxis, 21
Tradjenta, 15
Triveen-u, 34
Thrombin-jmi Syringe Spray Kit, 21
tramadol HCL, 28
Trizivir, 3
Thrombin-jmi W/Dil Spray P.M. Actuator, 21
tramadol HCL ER, 28
Trokendi XR, 24
Tramadol HCL ER, 28
Tropazone, 13
Thrombogen, 21
tramadol hydrochloride/acetaminophen, 28
trospium chloride, 19
Thymoglobulin, 5
trospium chloride ER, 19
Thyrolar-1, 17
Trandate, 7
True Metrix Blood Glucosetest Strips, 38
Thyrolar-1/2, 17
trandolapril, 8
True Metrix Self Monitoring Blod Glucose Strips, 38
Thyrolar-1/4, 17
tranexamic acid, 21
Thyrolar-2, 17
Transderm-scop, 18
Trueplus Lancets 26G, 36
Thyrolar-3, 17
Tranxene T, 22
Trueplus Lancets 28G, 36
tiagabine hydrochloride, 24
tranylcypromine sulfate, 22
Trueplus Lancets 28G Super Thin, 36
Tiazac, 7
Travatan Z, 26
Trueplus Lancets 30G, 36
Tice Bcg, 6
Travoprost, 26
Trueplus Lancets 30G Ultra Thin, 36
ticlopidine HCL, 21
Trazamine, 22
Trueplus Lancets 33G, 36
Tigan, 18
trazodone HCL, 22
Trueplus Lancets 33G Micro Thin, 36
Tikosyn, 7
Treanda, 4
Trueplus Safety Lancets 28G, 36
Timentin, 1
Trecator, 2
Truetest Blood Glucose T Est, 38
Timolol Maleate, 7
Trelstar Depot, 5
Truetest Blood Glucose T Est Strips, 38
timolol maleate, 26
Trelstar Depot Mixject, 5
Truetest Strips, 38
timolol maleate ophthalmic gel forming, 26
Trelstar LA, 5
Truetrack Blood Glucose Test, 38
Trelstar LA Mixject, 5
Truetrack Test, 38
Timoptic, 26
Trelstar Mixject, 5
Trulicity, 15
Timoptic Ocudose, 26
Trental, 21
Trumenba, 32
Timoptic-xe, 26
Trepadiclofen-25, 29
Trusopt, 27
Tindamax, 4
Trepoxen-250, 29
Truvada, 3
tinidazole, 4
Trepoxicam-7.5, 29
Tucks Anti-itch, 12
Tirosint, 17
Tretin-x, 10
Tudorza Pressair, 31
Tisseel, 21
tretinoin, 6, 10
Turkel Paracentesis Procedure Tray/8french, 30
Tivicay, 3
tretinoin microsphere, 10
Tizanidine Comfort PAC, 25
tretinoin microsphere P.M., 10
Tussicaps, 31
tizanidine HCL, 25
Tretten, 21
Tussionex Pennkinetic Extended Release, 31
TL G-FOL OS, 34
Trexall, 5
TL Triseb, 11
Treximet, 29
Twinrix, 32
TL-cermide, 13
Trezix, 28
Twynsta, 8
Tnkase, 21
Tri-norinyl 28, 15
Tybost, 3
Tobi, 2
Tri-VI-flor, 34
Tygacil, 4
Tykerb, 6
Urelle, 19
Verdeso, 12
Tylenol/Codeine #3, 28
Uretron D/S, 19
Veregen, 13
Tylenol/Codeine #4, 28
Urex, 19
Verelan, 7
Typhim VI, 32
Uribel, 19
Verelan PM, 7
Tysabri, 25
Urimar-t, 19
Veripred 20, 14
Tyvaso, 10
Urocit-k 10, 20
Versacloz, 23
Tyvaso Refill, 10
Urocit-k 15, 20
Vesicare, 19
Tyvaso Starter, 10
Urocit-k 5, 20
Vexa, 13
Tyzeka, 3
Urogesic-blue, 19
Vexol, 26
Tyzine, 30
Uroqid #2, 19
Vfend, 3
Tyzine Pediatric Nasal Drops, 30
Uroxatral, 20
Vfend IV, 3
U
Urso 250, 19
Viagra, 10
Urso Forte, 19
Vibativ, 4
U-cort, 12
ursodiol, 19
Vibramycin, 2
Uceris, 13, 19
Uta, 19
Vicoprofen, 28
Udamin, 34
Utopic, 13
Victory Agm-4000 Test Strips, 38
Udamin SP, 34
Uvadex, 6
Victoza, 15
Ulesfia, 13
V
Victrelis, 3
Uloric, 30
Vida Mia Unilet Lancets Super Thin 30G, 36
Ulticare Thin Lancets 30G, 36
Vagifem, 19
Ultilet Basic Lancets 30G, 36
valacyclovir HCL, 3
Vida Mia Unilet Lancets Ultra Thin 28G, 36
Ultilet Classic Lancets, 36
Valchlor, 4
Ultilet Lancets, 36
Valcyte, 3
Vidaza, 5
Ultilet Lancets 33G, 36
valganciclovir, 3
Videx EC, 3
Ultilet Safety Lancets 23G, 36
Valium, 22
Videx Pediatric, 3
Ultima Test Strips, 38
valproate sodium, 24
Vigamox, 26
Ultiva, 28
valproic acid, 24
Viibryd, 22
Ultra-thin II Auto Lancet, 36
valsartan, 8
Vimizim, 17
Ultra-thin II Lancets 28G, 36
valsartan/hydrochlorothiazide, 8
Vimovo, 29
Ultra-thin II Lancets 30G, 36
Valstar, 4
Vimpat, 24
Ultra-thin II Safety Autolancets 26G, 36
Valtrex, 3
Vinacal, 34
Ultracet, 28
Valumark Lancet Super Thin 30G, 36
Vinacal B, 34
Ultram, 28
Valumark Lancet Ultra Thin 28G, 36
Vinate AZ Extra, 34
Ultram ER, 28
Vancocin HCL, 4
Vinate C, 33
Ultrasal-ER, 13
vancomycin HCL, 4
Vinate Calcium, 34
Ultratrak Pro Test Strips, 38
Vancomycin HCL, 4
Vinate Care, 33
Ultratrak Ultimate Test Strips, 38
Vancomycin HCL IN Dextrose, 4
Vinate DHA, 34
Ultravate, 12
Vanos, 12
Vinate DHA RF, 34
Ultravate PAC, 12
Vanoxide-HC, 10
Vinate GT, 33
Ultravate X, 12
Vantas, 5
Vinate IC, 33
Ultresa, 18
Vaprisol, 17
Vinate II, 33
Umecta, 13
Vaqta, 32
Vinate M, 33
Umecta Nail Film, 13
Varivax, 32
Vinate One, 33
Umecta PD, 13
Vascepa, 9
Vinate Pn Care, 33
Unasyn, 1
Vaseretic, 9
Vinblastine Sulfate, 6
Unasyn Bulk Pack, 1
vasopressin, 17
vincristine sulfate, 5
Unilet Comfortouch Lancet, 36
Vasostrict, 17
vinorelbine tartrate, 5
Unilet Excelite, 36
Vasotec, 8
Viokace, 18
Unilet Excelite II, 36
Vazculep, 9
Viracept, 3
Unilet G.p. Lancet, 36
Vecamyl, 8
Viramune, 3
Unilet G.p. Superlite Lancet, 36
Vectibix, 5
Viramune XR, 3
Unilet GP 28 Ultra Thin, 36
Vectical, 11
Virasal, 13
Unilet Lancet, 36
vecuronium bromide, 25
Virazole, 3
Unilet Superlite Lancet, 36
Velcade, 6
Viread, 3
Uniretic, 8
Veletri, 10
Viroptic, 26
Unistik 3 Gentle, 36
Velphoro, 19
Vistaril, 22
Unistrip1 Generic, 38
Veltin, 10
Vistide, 3
Univasc, 8
Vemavite-prx 2, 34
Vita-pren, 34
Universal 1 Lancets Thin 26G, 36
venlafaxine HCL, 22
Vitafol, 34
Universal 1 Lancets Ultra Thin 30G, 36
venlafaxine HCL ER, 22
Vitafol Ultra, 34
Uramaxin, 13
Venlafaxine HCL ER, 22
Vitafol-nano, 34
Uramaxin GT, 13
Venofer, 20
Vitafol-OB, 33
Uramaxin GT Kit, 13
Ventavis, 10
Vitafol-ob+dha, 34
urea, 12
Ventolin HFA, 31
Vitafol-one, 34
urea 40% nail film, 12
Veramyst, 30
Vitafol-plus, 34
urea IN zinc undecylenate/lactic acid vehicle, 12
verapamil HCL, 7
Vitafol-pn, 34
Verapamil HCL, 7
Vital-d RX, 34
urea topical, 12
verapamil HCL ER, 7
Vitalet Pro Lancets, 36
Urecholine, 19
verapamil HCL SR, 7
Vitalet Pro Plus Lancets, 36
Xeloda, 5
zidovudine, 3
Vitamedmd One RX/Quatrefolic, 34
Xenazine, 25
Zinacef, 1
Vitamedmd Plus RX/Quatre Folic, 34
Xeomin, 25
Zinacef IN Iso-osmotic Dextrose, 1
Vitamedmd Redichew RX, 34
Xerese, 11
Zinacef IN Iso-osmotic Diluent, 1
Vitamedmd Redichew RX/Quatrefolic, 34
Xgeva, 16
Zinecard, 6
vitamin c 222MG, 32
Xifaxan, 4
Zioptan, 26
vitamin d, 32
Xigduo XR, 16
ziprasidone HCL, 23
vitamin k1, 32
Xodol, 28
Zipsor, 29
Vitamin K1, 32
Xofigo, 6
Zirgan, 26
Vitapearl, 34
Xolair, 31
Zithranol, 11
Vitaroca Plus, 34
Xolegel, 11
Zithranol-rr, 11
Vituz, 31
Xolegel Corepak, 11
Zithromax, 1
Viva CT Prenatal, 34
Xolegel Duo/Head & Shoulders, 11
Zithromax Tri-PAK, 1
Viva DHA, 34
Xolegel Duo/Xolex, 11
Zithromax Z-PAK, 1
Vivactil, 23
Xolox, 28
Zmax, 1
Vivelle-dot, 14
Xopenex, 31
Zocor, 9
Vivotif Berna, 32
Xopenex Concentrate, 31
Zofran, 18
Vocal Point Blood Glucose Test Strips, 38
Xopenex HFA, 31
Zofran Odt, 18
Xtandi, 5
Zohydro ER, 28
Vogelxo, 14
Xylocaine, 7, 13, 30
Zoladex, 5
Vogelxo P.M., 14
Xylocaine-mpf, 30
zoledronic acid, 16
Voltaren, 11
Xylocaine-mpf/Epinephrine, 30
Zoledronic Acid, 16
Voltaren-XR, 29
Xylocaine/Epinephrine, 30
Zolinza, 6
Voluven, 21
Xyntha, 21
zolmitriptan, 29
Vopac, 11
Xyntha Solofuse, 21
zolmitriptan odt, 29
Vopac GB, 11
Xyrem, 25
Zoloft, 23
Vopac Kt, 11
Xyzal, 30
zolpidem tartrate, 23
Voraxaze, 6
Y
zolpidem tartrate ER, 23
voriconazole, 2
Zolpimist, 23
Yasmin 28, 15
Vortex Valved Holding Chamber, 38
Zolvit, 28
Yaz, 15
Vosol HC, 27
Zometa, 16
Yervoy, 5
Vospire ER, 31
Zomig, 29
Yf-vax, 32
Votrient, 6
Zomig Nasal Spray, 29
Yodoxin, 3
Vpriv, 20
Zomig ZMT, 30
Z
Vsl#3 DS, 18
Zonalon, 11
Vusion, 11
Zonatuss, 31
Zacare 4% Kit, 10
Vytorin, 9
Zonegran, 24
Zacare 8% Kit, 10
Vyvanse, 23
zonisamide, 24
zafirlukast, 31
W
Zontivity, 21
zaleplon, 23
Zorbtive, 16
Zaltrap, 5
W&f Lancets 26G, 36
Zortress, 5
Zanaflex, 25
W&f Lancets Colored 21G, 36
Zorvolex, 29
Zanosar, 4
Walgreens Lancets, 36
Zostavax, 32
Zantac, 18
Walgreens Thin Lancets, 36
Zosyn, 1
Zarontin, 24
Walgreens Ultra Thin Lancets, 36
Zovia 1/50e, 15
Zaroxolyn, 9
warfarin sodium, 21
Zovirax, 3, 11
Zatean-CH, 34
Watchhaler, 38
Zubsolv, 28
Zatean-pn, 34
Wavesense Presto Test Strips, 38
Zuplenz, 18
Zatean-pn DHA, 34
Welchol, 9
Zutripro, 31
Zatean-pn Plus, 34
Wellbutrin, 23
Zyclara, 12
Zavesca, 20
Wellbutrin SR, 23
Zyclara P.M., 12
Zebeta, 7
Wellbutrin XL, 23
Zydelig, 6
Zegerid, 18
Westcort, 12
Zydone, 29
Zelapar, 25
Westhroid, 17
Zyflo, 31
Zelboraf, 6
Westhroid-p, 17
Zyflo CR, 31
Zemaira, 31
Wheat Germ, 32
Zykadia, 6
Zemplar, 17
Wilate, 21
Zylet, 26
Zemuron, 25
Wp Thyroid, 17
Zyloprim, 30
Zenpep, 18
X
Zymaxid, 26
Zenzedi, 24
Zyprexa, 23
Xalatan, 26
Zerit, 3
Zyprexa Relprevv, 23
Xalkori, 6
Zestoretic, 9
Zyprexa Zydis, 23
Xanax, 22
Zestril, 8
Zytiga, 5
Xanax XR, 22
Zetia, 9
Zyvox, 4
Xarelto, 21
Zetonna, 30
1
Xarelto Starter Pack, 21
Zevalin Y-90, 5
Xartemis XR, 28
Ziac, 9
1ST Choice Lancets Super Thin, 36
Xclair, 13
Ziagen, 3
1ST Choice Lancets Thin, 36
Xeljanz, 29
Ziana, 10
1ST Choice Lancets Ultra Thin, 36