Select Formulary Reference Guide - YouTube Formulary Reference Guide ... your member website or call...

Select Formulary Reference Guide

Your formulary 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

Your formulary has a formulary structure which includes most prescription drugs. The formulary structure features medications 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 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.

Select Formulary Reference Guide

*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 Optum. 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.

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 a 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, your pharmacy benefit 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 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.

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.

All OptumTM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or

registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

cefprozil

cefuroxime axetil

cefuroxime sodium

PREFERRED

July 2016 Cefaclor

NON PREFERRED

ANTI-INFECTIVES Cefaclor ER

Cefotan

PENICILLINS

Cefotetan

GENERIC

Cefotetan/Dextrose

amoxicillin

Cefoxitin Sodium

amoxicillin/clavulanate potassium

Ceftin

amoxicillin/clavulanate potassium ER

Cefuroxime Sodium

ampicillin

Cefuroxime/Dextrose

ampicillin sodium

Zinacef

ampicillin-sulbactam

THIRD GENERATION

dicloxacillin sodium

GENERIC

nafcillin sodium

cefdinir

oxacillin sodium

cefixime

penicillin v potassium

cefotaxime sodium

penicillin G potassium

cefpodoxime proxetil

piperacillin sodium/ tazobactam sodium

ceftazidime

piperacillin sodium/tazobactam sodium

ceftriaxone sodium

piperacillin/tazobactam

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin/Clavulanate Potassium

NON PREFERRED

PREFERRED

Cedax

Amoxicillin

Cefditoren Pivoxil

Ampicillin

Ceftazidime/Dextrose

NON PREFERRED

Ceftibuten

Amoxicillin ER

Ceftriaxone Sodium

Ampicillin Sodium

Ceftriaxone/Dextrose

Ampicillin-sulbactam

Claforan

Augmentin

Claforan/D5W

Augmentin ES-600

Fortaz

Augmentin XR

Rocephin

Bactocill IN Dextrose

Spectracef

Bicillin C-R

Suprax

Bicillin L-a

Tazicef

Moxatag

Nafcillin

FOURTH GENERATION

Nafcillin Sodium

GENERIC

Penicillin G Potassium IN Iso-osmotic Dextrose

cefepime

Penicillin G Procaine

NON PREFERRED

Penicillin G Sodium

Cefepime

Pfizerpen-G

Maxipime

Timentin

Unasyn

MACROLIDES

Unasyn Bulk Pack

GENERIC

Zosyn

azithromycin

clarithromycin

CEPHALOSPORIN

clarithromycin ER

FIRST GENERATION

erythromycin

GENERIC

PREFERRED

cefadroxil

Azithromycin

cefazolin sodium

E.e.s. 400

cephalexin

Erythromycin Base

PREFERRED

Erythromycin Ethylsuccinate

Cephalexin

NON PREFERRED

NON PREFERRED

Biaxin

Ancef

Biaxin XL

Cefazolin

Biaxin XL PAC

Cefazolin Sodium

Dificid

Cefazolin Sodium/Dextrose

E.e.s. Granules

Keflex

Ery-TAB

SECOND GENERATION

Eryped 200

GENERIC

Eryped 400

cefaclor

Erythrocin Lactobionate

cefotetan

Erythrocin Stearate

cefoxitin sodium

PCE

Effective July 1, 2016 v.4 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.

1

Zithromax gentamicin sulfate pediatric

Zithromax Tri-PAK gentamicin sulfate/0.9% sodium chloride

Zithromax Z-PAK isotonic gentamicin

Zmax neomycin sulfate

paromomycin sulfate

TETRACYCLINES tobramycin

tobramycin sulfate

GENERIC

Tobramycin Sulfate

demeclocycline HCL

PREFERRED

doxycycline

Bethkis

doxycycline hyclate

NON PREFERRED

doxycycline hyclate DR

Gentamicin Sulfate/0.9% Sodium Chloride

doxycycline monohydrate

Kitabis PAK

minocycline HCL

Streptomycin Sulfate

minocycline HCL ER

Tobi

tetracycline hydrochloride

Tobi Podhaler

Tetracycline HCL

NON PREFERRED

SULFONAMIDES

Acticlate

Adoxa PREFERRED

Adoxa PAK 1/100 Sulfadiazine

Adoxa PAK 1/150

Adoxa PAK 2/100 ANTIMYCOBACTERIAL AGENTS

Alodox Convenience Kit

GENERIC

Avidoxy DK

ethambutol HCL

Benzodox 30 Kit

isoniazid

Benzodox 60 Kit

pyrazinamide

Doryx

rifabutin

Doryx Mpc

rifampin

Minocin

NON PREFERRED

Minocin Kit

Capastat Sulfate

Monodox

Cycloserine

Morgidox 1X100MG

Isoniazid

Morgidox 2X100MG

Myambutol

Nicazeldoxy 30 Kit

Mycobutin

Nicazeldoxy 60 Kit

Paser

Nutridox

Priftin

Ocudox

Rifadin

Solodyn

Rifamate

Vibramycin

Rifater

Sirturo

Trecator

QUINOLONES

GENERIC ANTIFUNGALS

ciprofloxacin

GENERIC

ciprofloxacin ER

fluconazole

ciprofloxacin HCL

fluconazole IN dextrose

ciprofloxacin I.V.-IN D5W

fluconazole IN NACL

levofloxacin

flucytosine

levofloxacin IN D5W

griseofulvin microsize

moxifloxacin HCL

griseofulvin ultramicrosize

ofloxacin

itraconazole

Ciprofloxacin

ketoconazole

Ciprofloxacin HCL

nystatin

Ofloxacin

terbinafine HCL

NON PREFERRED

voriconazole

Avelox

NON PREFERRED

Avelox Abc Pack

Abelcet

Cipro

Ambisome

Cipro I.V.-IN D5W

Amphotec

Cipro XR

Amphotericin B

Factive

Ancobon

Levaquin

Cancidas

Moxifloxacin HCL

Cresemba

Noroxin

Diflucan

Eraxis

AMINOGLYCOSIDES

Fluconazole IN NACL

GENERIC Grifulvin V

amikacin sulfate Gris-peg

gentamicin sulfate Lamisil

Effective July 1, 2016

2

Mycamine Viracept

Noxafil Viread

Onmel Vitekta

Sporanox Zepatier

Sporanox Pulsepak NON PREFERRED

Vfend Acyclovir Sodium

Vfend IV Baraclude

Combivir

ANTIVIRALS Copegus

Cytovene

GENERIC

Epclusa

abacavir

Epivir

abacavir sulfate/lamivudine/zidovudine

Epivir HBV

acyclovir

Famvir

acyclovir sodium

Flumadine

adefovir dipivoxil

Foscavir

cidofovir

Hepsera

didanosine

Moderiba

entecavir

Moderiba 1200 Dose Pack

famciclovir

Moderiba 800 Dose Pack

ganciclovir

Olysio

lamivudine

Peg-intron

lamivudine/zidovudine

Peg-intron Redipen

nevirapine

Peg-intron Redipen PAK 4

nevirapine ER

Pegintron

ribavirin

Rapivab

rimantadine HCL

Rebetol

stavudine

Relenza Diskhaler

valacyclovir HCL

Retrovir

valganciclovir

Ribasphere

zidovudine

Ribasphere Ribapak

PREFERRED

Rimantalist

Aptivus

Sitavig

Atripla

Tamiflu

Complera

Technivie

Crixivan

Trizivir

Daklinza

Tyzeka

Descovy

Valcyte

Edurant

Valtrex

Emtriva

Victrelis

Epzicom

Videx EC

Evotaz

Viekira PAK

Fuzeon

Viekira XR

Genvoya

Viramune

Harvoni

Viramune XR

Intelence

Virazole

Invirase

Vistide

Isentress

Zerit

Kaletra

Ziagen

Lexiva

Zovirax

Nevirapine

Norvir

ANTIMALARIALS

Odefsey

Pegasys GENERIC

Pegasys Proclick atovaquone/proguanil HCL

Prezcobix chloroquine phosphate

Prezista hydroxychloroquine sulfate

Rescriptor mefloquine HCL

Retrovir IV Infusion quinine sulfate

Reyataz Primaquine Phosphate

Ribatab PREFERRED

Selzentry Daraprim

Sovaldi NON PREFERRED

Stribild Aralen

Sustiva Coartem

Tivicay Malarone

Triumeq Plaquenil

Truvada Qualaquin

Tybost

Videx Pediatric


3

AMEBICIDES Invanz

Ketek

PREFERRED

Lincocin

Yodoxin

Lincomycin/Lidocaine

Mepron

ANTHELMINTICS

Meropenem/Sodium Chloride

GENERIC

Merrem

ivermectin

Metro IV

PREFERRED

Neutrexin

Biltricide

Orbactiv

Emverm

Pentam 300

NON PREFERRED

Primaxin IV

Albenza

Primaxin IV Add-vantage

Stromectol

Primsol

Sivextro

MISC. ANTI-INFECTIVES

Sulfamethoxazole/Trimethoprim

GENERIC

Synercid

atovaquone

Tindamax

aztreonam

Tygacil

bacitracin

Vancocin HCL

clindamycin

Vancomycin

clindamycin palmitate HCL

Vancomycin HCL

clindamycin phosphate

Vancomycin HCL + Syrspendsf PH4

clindamycin phosphate add-vantage

Vancomycin HCL IN Dextrose

clindamycin phosphate pharmacy bulk package

Vibativ

clindamycin phosphate IN D5W

Xifaxan

clindamycin HCL

Zerbaxa

colistimethate sodium

Zyvox

dapsone

imipenem/cilastatin

ANTINEOPLASTICS, ETC

lincomycin HCL

ALKYLATING AGENTS

linezolid

meropenem GENERIC

metronidazole carboplatin

metronidazole IN NACL 0.79% cisplatin

polymyxin b sulfate cyclophosphamide

sulfamethoxazole/trimethoprim ifosfamide

sulfamethoxazole/trimethoprim DS melphalan hydrochloride

tinidazole oxaliplatin

trimethoprim temozolomide

vancomycin HCL Lomustine

Linezolid PREFERRED

PREFERRED Alkeran

Alinia Bicnu

Nebupent Busulfex

NON PREFERRED Hexalen

Avycaz Leukeran

Azactam Mustargen

Azactam IN Iso-osmotic Dextrose Myleran

Bactrim Treanda

Bactrim DS Zanosar

Cayston NON PREFERRED

Chloramphenicol Sodium Succinate Bendeka

Cleocin Cisplatin

Cleocin IN D5W Cyclophosphamide

Cleocin Pediatric Granules Eloxatin

Cleocin Phosphate Evomela

Clin Single Use Kit Gleostine

Clin-lido Gliadel Wafer

Clindamycin Phosphate Ifex

Coly-mycin M Ifosfamide

Cubicin Temodar

Cubicin RF Thiotepa

Dalvance Valchlor

Doribax Yondelis

First-vancomycin 25

First-vancomycin 50

Flagyl ANTIBIOTICS

Flagyl ER

GENERIC

Impavido

bleomycin sulfate


4

daunorubicin HCL ANTIBODIES

doxorubicin HCL

PREFERRED

doxorubicin HCL liposome

Adcetris

epirubicin HCL

Arzerra

idarubicin HCL

Erbitux

mitomycin

Herceptin

mitoxantrone HCL

Perjeta

Doxorubicin HCL

Yervoy

Mitomycin

NON PREFERRED

PREFERRED

Blincyto

Daunoxome

Darzalex

NON PREFERRED

Empliciti

Adriamycin

Gazyva

Bleo 15k

Kadcyla

Cosmegen

Keytruda

Doxil

Opdivo

Ellence

Portrazza

Epirubicin HCL

Rituxan

Idamycin PFS

Tecentriq

Unituxin

ANTINEOPLASTIC ENZYMES

Vectibix

PREFERRED Zevalin Y-90

Oncaspar

NON PREFERRED HORMONAL AGENTS

Erwinaze

GENERIC

anastrozole

ANTIMETABOLITES

bicalutamide

GENERIC exemestane

azacitidine flutamide

capecitabine letrozole

cladribine leuprolide acetate

cytarabine megestrol acetate

cytarabine aqueous nilutamide

decitabine tamoxifen citrate

floxuridine Hydroxyprogesterone Caproate

fludarabine phosphate PREFERRED

fluorouracil Eligard

gemcitabine Emcyt

gemcitabine HCL Fareston

mercaptopurine Faslodex

methotrexate Lupron Depot

methotrexate sodium Lysodren

Floxuridine Zoladex

Methotrexate Sodium NON PREFERRED

Arimidex

PREFERRED Aromasin

Alimta Casodex

Arranon Depo-provera

Clolar Femara

Folotyn Firmagon

Tabloid Megace Oral

NON PREFERRED Nilandron

Cytarabine Soltamox

Dacogen Trelstar

Fludara Trelstar Mixject

Gemzar Vantas

Purinethol Xtandi

Purixan Zytiga

Trexall

Vidaza IMMUNOMODULATORS

Xeloda

GENERIC

azathioprine

ANGIOGENESIS INHIBITORS

cyclosporine

PREFERRED cyclosporine modified

Avastin mycophenolate mofetil

Zaltrap mycophenolic acid DR

NON PREFERRED sirolimus

Cyramza tacrolimus

Azathioprine


5

PREFERRED Beleodaq

Atgam Bosulif

Cellcept Intravenous Cabometyx

Thalomid Cometriq

NON PREFERRED Cotellic

Astagraf XL Farydak

Azasan Gilotrif

Cellcept Gleevec

Cyclosporine Modified Ibrance

Envarsus XR Iclusig

Imuran Imbruvica

Myfortic Inlyta

Neoral Iressa

Nulojix Lenvima 10 MG Daily Dose

Pomalyst Lenvima 14 MG Daily Dose

Prograf Lenvima 18 MG Daily Dose

Rapamune Lenvima 20 MG Daily Dose

Revlimid Lenvima 24 MG Daily Dose

Sandimmune Lenvima 8 MG Daily Dose

Simulect Lynparza

Thymoglobulin Ninlaro

Zortress Sprycel

Stivarga

MITOTIC INHIBITORS Sutent

Tagrisso

GENERIC

Tarceva

docetaxel

Votrient

etoposide

Zelboraf

paclitaxel

Zydelig

vincristine sulfate

Zykadia

vinorelbine tartrate

PREFERRED

TOPOISOMERASE I INHIBITOR

Abraxane

Etoposide GENERIC

Halaven irinotecan

Ixempra Kit irinotecan HCL

Jevtana topotecan HCL

NON PREFERRED NON PREFERRED

Docefrez Camptosar

Docetaxel Hycamtin

Docetaxel (non-alcohol Formula) Irinotecan

Etopophos Onivyde

Marqibo Topotecan HCL

Navelbine

Paclitaxel RADIOPHARMACEUTICALS

Taxotere

PREFERRED

Teniposide

Xofigo

Vinblastine Sulfate

NON PREFERRED

Metastron

ENZYME INHIBITORS

Quadramet

GENERIC

imatinib mesylate CELLULAR IMMUNOTHERAPY

PREFERRED

PREFERRED

Afinitor

Provenge

Caprelsa

Istodax

ANTINEOPLASTICS MISC.

Jakafi

GENERIC

Kyprolis

bexarotene

Mekinist

dacarbazine

Nexavar

hydroxyurea

Tafinlar

tretinoin

Tasigna

PREFERRED

Torisel

Actimmune

Tykerb

Alferon N

Velcade

Matulane

Xalkori

Proleukin

Zolinza

Theracys

NON PREFERRED

Tice Bcg

Afinitor Disperz

Trisenox

Alecensa


6

NON PREFERRED PREFERRED

Dacarbazine Dilatrate SR

Hydrea Isosorbide Dinitrate ER

Intron A Nitro-bid

Intron A W/Diluent Nitro-dur

Nipent Nitrostat

Photofrin Ranexa

Sylatron NON PREFERRED

Synribo Imdur

Targretin Isordil Titradose

Uvadex Nitroglycerin

Nitroglycerin IN Dextrose 5%

CHEMOTHERAPY RESCUE Nitrolingual Pumpspray

Nitromist

GENERIC

Nitronal

amifostine

dexrazoxane

BETA BLOCKERS

leucovorin calcium

levoleucovorin GENERIC

levoleucovorin calcium acebutolol HCL

mesna atenolol

PREFERRED betaxolol HCL

Leucovorin Calcium bisoprolol fumarate

NON PREFERRED carvedilol

Ethyol esmolol HCL

Fusilev labetalol HCL

Levoleucovorin metoprolol succinate ER

Mesnex metoprolol tartrate

Totect nadolol

Voraxaze pindolol

Zinecard propranolol HCL

propranolol HCL ER

CHEMOTHERAPY ADJUNCTS sotalol HCL

sotalol HCL (AF)

PREFERRED

Metoprolol Tartrate

Kepivance

NON PREFERRED

PREFERRED

Elitek

Bystolic

Propranolol HCL

ANTINEOPLASTIC COMBO

Timolol Maleate

NON PREFERRED

NON PREFERRED

Lonsurf

Betapace

Betapace AF

CARDIOVASCULAR DRUGS

Brevibloc

PHOSPHODIESTERASE INHBTR

Coreg

GENERIC

Coreg CR

milrinone lactate

Corgard

milrinone IN dextrose

Esmolol HCL

Hemangeol

CARDIAC GLYCOSIDES

Hypertenevide-12.5

GENERIC

Inderal LA

digoxin

Inderal XL

PREFERRED

Innopran XL

Lanoxin

Kerlone

NON PREFERRED

Levatol

Digoxin

Lopressor

Lanoxin Pediatric

Sectral

Sotalol Hydrochloride

ANTIANGINAL AGENTS

Sotylize

GENERIC

Tenormin

isosorbide dinitrate

Toprol XL

isosorbide mononitrate

Trandate

isosorbide mononitrate ER

Zebeta

nitroglycerin lingual

nitroglycerin transdermal

CALCIUM CHANNEL BLOCKERS

nitroglycerin ER

GENERIC

nitroglycerin IN dextrose 5%

amlodipine besylate

nitroglycerin IN 5% dextrose

diltiazem CD

Isosorbide Dinitrate

diltiazem HCL

Nitroglycerin Lingual

diltiazem HCL CD


7

diltiazem HCL ER Tikosyn

felodipine ER Xylocaine

isradipine

nicardipine HCL ACE INHIBITORS

nifedipine

GENERIC

nifedipine ER

benazepril HCL

nimodipine

captopril

nisoldipine

enalapril maleate

verapamil HCL

enalaprilat

verapamil HCL ER

fosinopril sodium

verapamil HCL SR

lisinopril

NON PREFERRED

moexipril HCL

Adalat CC

perindopril erbumine

Calan

quinapril HCL

Calan SR

ramipril

Cardene IV

trandolapril

Cardizem

Cardizem CD

NON PREFERRED

Cardizem LA

Accupril

Cleviprex

Aceon

Diltiazem HCL

Altace

Hypertenipine-2.5

Epaned

Nisoldipine

Lotensin

Nisoldipine ER

Mavik

Norvasc

Prinivil

Nymalize

Univasc

Procardia

Vasotec

Procardia XL

Zestril

Sular

Tiazac

ANGIOTENSIN RCPTR BLOCKER

Verelan

GENERIC

Verelan PM

candesartan cilexetil

irbesartan

losartan potassium

ANTIARRHYTHMICS

telmisartan

GENERIC

valsartan

adenosine

Eprosartan Mesylate

amiodarone hydrochloride

amiodarone HCL

PREFERRED

disopyramide phosphate

Benicar

dofetilide

NON PREFERRED

flecainide acetate

Atacand

ibutilide fumarate

Avapro

lidocaine HCL

Cozaar

lidocaine HCL IN D5W

Diovan

lidocaine HCL/dextrose

Edarbi

mexiletine HCL

Micardis

propafenone HCL

Teveten

propafenone HCL ER

quinidine gluconate CR

DIRECT RENIN INHIBITORS

quinidine gluconate ER

PREFERRED

quinidine sulfate

Tekturna

Quinidine Sulfate ER

PREFERRED

ANTIHYPERTENSIVES MISC.

Norpace CR

GENERIC

Quinidine Sulfate

clonidine HCL

NON PREFERRED

doxazosin

Adenocard

doxazosin mesylate

Amiodarone HCL

eplerenone

Cordarone

fenoldopam mesylate

Corvert

guanfacine HCL

Lidocaine HCL

hydralazine HCL

Multaq

methyldopa

Nexterone

minoxidil

Norpace

phenoxybenzamine hydrochloride

Procainamide HCL

prazosin HCL

Quinidine Gluconate

terazosin HCL

Rythmol

PREFERRED

Rythmol SR

Reserpine


8

NON PREFERRED Prestalia

Cardura Tarka

Catapres Tekamlo

Catapres-tts-1 Tenoretic 100

Catapres-tts-2 Tenoretic 50

Catapres-tts-3 Teveten HCT

Corlopam Twynsta

Demser Uniretic

Dibenzyline Vaseretic

Inspra Zestoretic

Methyldopate HCL Ziac

Minipress

Nitropress DIURETICS

Phentolamine Mesylate

GENERIC

Tenex

acetazolamide

Vecamyl

acetazolamide sodium

acetazolamide ER

ANTIHYPERTENSIVE COMBO

amiloride HCL

GENERIC amiloride/hydrochlorothiazide

amlodipine besylate/benazepril hydrochloride bumetanide

amlodipine besylate/benazepril HCL chlorothiazide

amlodipine besylate/valsartan chlorothiazide sodium

amlodipine/valsartan/hctz chlorthalidone

atenolol/chlorthalidone ethacrynate sodium

benazepril HCL/hydrochlorothiazide ethacrynic acid

bisoprolol fumarate/hydrochlorothiazide furosemide

candesartan cilexetil/hydrochlorothiazide hydrochlorothiazide

enalapril maleate/hydrochlorothiazide indapamide

fosinopril sodium/hydrochlorothiazide mannitol

irbesartan/hydrochlorothiazide methazolamide

lisinopril/hydrochlorothiazide metolazone

losartan potassium/hydrochlorothiazide spironolactone

metoprolol/hydrochlorothiazide spironolactone/hydrochlorothiazide

moexipril/hydrochlorothiazide torsemide

nadolol/bendroflumethiazide triamterene/hydrochlorothiazide

quinapril/hydrochlorothiazide Acetazolamide

telmisartan/amlodipine Chlorothiazide

telmisartan/hydrochlorothiazide Chlorthalidone

trandolapril/verapamil HCL Triamterene/Hydrochlorothiazide

trandolapril/verapamil HCL ER PREFERRED

valsartan/hydrochlorothiazide Furosemide

PREFERRED Methyclothiazide

Azor NON PREFERRED

Benicar HCT Aldactazide

Captopril/Hydrochlorothiazide Aldactone

Dutoprol Bumex

Methyldopa/Hydrochlorothiazide Demadex

Propranolol/Hydrochlorothiazide Diamox

Tekturna HCT Diuril

Tribenzor Dyazide

NON PREFERRED Dyrenium

Accuretic Edecrin

Amturnide Keveyis

Atacand HCT Lasix

Avalide Maxzide

Clorpres Maxzide-25

Corzide Microzide

Diovan HCT Neptazane

Edarbyclor Sodium Diuril

Exforge Sodium Edecrin

Exforge HCT Torsemide

Hypertensolol Zaroxolyn

Hyzaar

Lopressor HCT VASOPRESSORS

Lotensin HCT

GENERIC

Lotrel

dobutamine HCL

Lytensopril Kit

dobutamine HCL/D5W

Lytensopril-90 Kit

dobutamine/dextrose 5%

Micardis HCT

dopamine HCL


9

dopamine HCL-dextrose 5% Lipitor

dopamine HCL/dextrose 5% Livalo

dopamine/D5W Lofibra

ephedrine sulfate Lopid

midodrine HCL Lovaza

norepinephrine bitartrate Mevacor

phenylephrine HCL Niaspan

PREFERRED Omega-3/D-3 Wellness Pack

Epipen 2-PAK Pravachol

Epipen-JR 2-PAK Questran

NON PREFERRED Questran Light

Adrenaclick Repatha

Adrenalin Repatha Pushtronex System

Akovaz Repatha Sureclick

Auvi-q Tricor

Dopamine HCL Triglide

Ephedrine Sulfate Trilipix

Ephedrine Sulfate/Sodium Chloride Zetia

Epinephrine Zocor

Epinephrine HCL

Episnap CARDIOVASCULAR - MISC.

Levophed

GENERIC

Northera

amlodipine besylate/atorvastatin calcium

Phenylephrine HCL

epoprostenol sodium

Phenylephrine HCL/Sodium Chloride

papaverine HCL

Vazculep

sildenafil

sildenafil citrate

ANTIHYPERLIPIDEMICS

PREFERRED

GENERIC Adempas

atorvastatin calcium Cialis

cholestyramine Letairis

cholestyramine light Opsumit

colestipol HCL Remodulin

fenofibrate Stendra

fenofibrate micronized Tracleer

fenofibric acid DR Veletri

fluvastatin NON PREFERRED

fluvastatin sodium ER Adcirca

gemfibrozil Bidil

lovastatin Caduet

niacin ER Corlanor

omega-3-acid ethyl esters Entresto

pravastatin sodium Flolan

rosuvastatin calcium Levitra

simvastatin Muse

Fenofibrate Natrecor

Fenofibric Acid Orenitram

Revatio

PREFERRED Staxyn

Fibricor Tyvaso

Lipofen Tyvaso Refill

Niacor Tyvaso Starter

Praluent Uptravi

Simcor Ventavis

Vascepa Viagra

Vytorin

Welchol DERMATOLOGICALS

NON PREFERRED

ACNE PRODUCTS

Advicor

GENERIC

Altoprev

adapalene

Antara

adapalene P.M.

Colestid

benzoyl peroxide

Colestid Flavored

benzoyl peroxide SHORT contact

Crestor


Fenoglide

clindamycin phosphate/tretinoin

Juxtapid

clindamycin/benzoyl peroxide

Kynamro

erythromycin

Lescol

erythromycin/benzoyl peroxide

Lescol XL

sodium sulfacetamide


10

sodium sulfacetamide/sulfur Rosanil

sodium sulfacetamide/sulfur cleanser Rosula

sodium sulfacetamide/sulfur cleansing cloths Sodium Sulfacetamide/Sulfur

sodium sulfacetamide/sulfur green Sodium Sulfacetamide/Sulfur Cleanser IN Urea

sodium sulfacetamide/sulfur w/sunscreen Sodium Sulfacetamide/Sulfur IN Urea

sodium sulfacetamide/sulfur wash Sulfoam

sulfacetamide sodium Sumadan Kit

sulfacetamide sodium/sulfur Sumadan Wash

sulfacetamide sodium/sulfur cleanser Sumadan XLT

tretinoin Sumaxin

tretinoin microsphere Sumaxin CP Kit

tretinoin microsphere P.M. Sumaxin Ts

PREFERRED Sumaxin Wash

Benzamycinpak Tretin-x

Clindagel Triseon

Retinoic Acid Vanoxide-HC

Retinoic Acid-all Trans Veltin

Tretinoin Zacare 4% Kit

Tretinoin (all-trans Retinoic Acid) Zacare 8% Kit

NON PREFERRED Ziana

Absorica

Acanya ROSACEA AGENTS

Aczone

GENERIC

Adapalene

metronidazole

Akne-mycin

Doxycycline

Atralin

PREFERRED

Avar

Finacea

Avar LS

NON PREFERRED

Avar LS Cleanser

Metrocream

Avar-e LS

Metrogel

Azelex

Metrolotion

Benzac Ac Wash

Mirvaso

Benzac W Wash

Noritate

Benzaclin

Oracea

Benzaclin With P.M.

Rosadan Kit

Benzamycin

Soolantra

Benzefoam

Benzefoam Ultra

ANALGESICS - TOPICAL

Benzefoamultra

NON PREFERRED

Benziq

A.a.g.c. Kit IN Teroderm

Benziq LS

Baclofen

Clarifoam EF

Equipto-baclofen

Cleocin-t

Clindacin Etz

ANTIBIOTICS - TOPICAL

Clindacin PAC

GENERIC

Clindap-t

mupirocin

Clinoin

mupirocin calcium

Dermapak Plus

PREFERRED

Differin

Centany

Duac

Gentamicin Sulfate

Epiduo

NON PREFERRED

Epiduo Forte

Altabax

Erygel

Bactroban

Evoclin

Centany AT

Fabior

Cortisporin

Inova

Neo-synalar

Inova 4/1 Acne Control Therapy

Neo-synalar Kit

Inova 8/2 Acne Control Therapy

Klaron

ANTIFUNGALS - TOPICAL

Neuac Kit

GENERIC

Nuox

ciclopirox

Onexton

ciclopirox nail lacquer

Plexion

ciclopirox olamine

Plexion Cleanser

clotrimazole

Plexion Cleansing Cloths

clotrimazole/betamethasone dipropionate

Prascion Ra With Sunscreens

econazole nitrate

Retin-a

ketoconazole

Retin-a Micro

naftifine hydrochloride

Retin-a Micro P.M.

nystatin

Riax


11

nystatin/triamcinolone Lidoprofen

nystatin/triamcinolone acetonide Novoclair

oxiconazole nitrate Nuvya

PREFERRED Pennsaid

Ala-quin Voltaren

Exoderm Vopac

NON PREFERRED Vopac GB

Ciclodan Cream Kit Vopac Kt

Ciclodan Solution Kit Xrylix

Ciclopirox Topical Solution Kit Zyvodol

Cnl8 Nail Kit

Ecoza ANTIPRURITICS

Ertaczo

GENERIC

Exelderm

Doxepin Hydrochloride

Extina

NON PREFERRED

Halotin

Prudoxin

Jublia

Zonalon

Kerydin

Ketodan Kit

ANTIPSORIATICS

Lamisil Spray

GENERIC

Loprox

acitretin

Loprox Shampoo

calcipotriene

Lotrisone

methoxsalen

Luzu

Calcitriol

Mentax

PREFERRED

Naftifine HCL

Anthralin

Naftin

Dritho-creme HP

Nizoral

Stelara

Nyata

Vectical

Oxistat

NON PREFERRED

Pediaderm AF Complete Kit

Cosentyx

Pedipirox-4 Nail

Cosentyx Sensoready Pen

Penlac Nail Lacquer

Dovonex

Recura

Oxsoralen Ultra

Vusion

Soriatane

Xolegel

Sorilux

Xolegel Corepak

Taltz

Xolegel Duo/Head & Shoulders

Tazorac

Xolegel Duo/Xolex

Zithranol

Zithranol-rr

ANTIVIRALS - TOPICAL

8-mop

GENERIC

acyclovir

ANTISEBORRHEIC AGENTS

NON PREFERRED

GENERIC

Denavir

selenium sulfide

Lidovir


Xerese

sodium sulfacetamide wash

Zovirax

NON PREFERRED

Glycolic Acid

ANTIHISTAMINES-TOPICAL

Glycolic Acid 70% High Purity

NON PREFERRED

Ovace Plus

Allo-pax

Ovace Plus Wash

Nazirex

Ovace Wash

Promiseb

ANTI-INFLAMMATORY AGENTS

Promiseb Complete

GENERIC Selrx

diclofenac sodium Tersi Foam

NON PREFERRED TL Triseb

Dermacinrx Lexitral Pharmapak

Diclofenac Sodium CORTICOSTEROIDS - TOPICAL

Dipentocaine

GENERIC

Dsg PAK

alclometasone dipropionate

Emvoren

augmented betamethasone dipropionate

Equipto-naproxen

betamethasone dipropionate

Extardol

betamethasone valerate

Flector

calcipotriene/betamethasone dipropionate

Innoprax-5

clobetasol propionate

K.b.g.l. IN Teroderm Cream

clobetasol propionate emollient

Ketorolac 2% Gel

desonide


12

desoximetasone Synalar

fluocinolone acetonide Synalar Cream Kit

fluocinonide Synalar Ointment Kit

fluocinonide-e Synalar Ts

flurandrenolide Taclonex

fluticasone propionate Temovate

halobetasol propionate Temovate E

hydrocortisone Texacort

hydrocortisone acetate/aloe Topicort

hydrocortisone butyrate Tri-sila

hydrocortisone butyrate (lipid) Triamsil Combipak

hydrocortisone butyrate (lipophilic) Trianex

hydrocortisone valerate Triderma Forte

hydrocortisone IN absorbase Ultravate

mometasone furoate Ultravate X

prednicarbate Validerm

triamcinolone acetonide Vanos

Amcinonide Verdeso

Desoximetasone Westcort

Diflorasone Diacetate Xilapak

PREFERRED

Pramosone IMMUNOMODULATING AGENTS

Triamcinolone Acetonide

GENERIC

NON PREFERRED

imiquimod

Aclovate

tacrolimus

Advanced Allergy Collection Kit

PREFERRED

Ala Scalp

Elidel

Capex

NON PREFERRED

Clobex

Aldara

Clocortolone Pivalate

Protopic

Clocortolone Pivalate P.M.

Zyclara

Clodan Kit

Zyclara P.M.

Cloderm

Cloderm P.M.

DERMATOLOGICALS - MISC.

Cordran

GENERIC

Cordran Tape

ammonium lactate

Cutivate

episone CRE

Derma Silkrx Sds PAK

lactic acid

Derma-smoothe/FS Body

lactic acid e

Derma-smoothe/FS Scalp

lactic acid w/vitamin e

Dermasorb HC

lidocaine

Dermasorb Ta

lidocaine HCL

Dermatop

lidocaine HCL jelly

Dermawerx Sds PAK

lidocaine-prilocaine-cream base

Dermazone

lidocaine/prilocaine

Desonate

lindane

Desowen

malathion

Diprolene

permethrin

Diprolene AF

podofilox

Elocon

salicylic acid

Enstilar

salicylic acid cream

Epifoam

salicylic acid lotion

First-hydrocortisone

salicylic acid ER

Halog

sodium hyaluronate

Kenalog

urea

Locoid

urea topical

Locoid Lipocream

urea IN zinc undecylenate/lactic acid vehicle

Luxiq

urea 40% nail film

Noxipak

PREFERRED

Nucort

Drysol

Nuzon

Eurax

Olux

Lindane

Olux-e

NON PREFERRED

Pandel

Accucaine

Pediaderm HC

Acuicyn Daily Eyelid & Eyelash Cleanser

Pediaderm Ta

Alevicyn Antipruritic SG

Scalacort DK

Aluvea

Sernivo

Anacaine

Silazone Pharmapak

Arnica Flower

Silazone-II


13

Astero Neosalus CP

Atopiclair Neuvaxin

Aurstat Anti-itch Hydrogel Nivatopic Plus

Aurstat Anti-itch Hydrogel Kit Nuvail

Avenova Ovide

Avenova/Neutrox Oxsoralen

Benzoin Compound Tincture Pliaglis

Benzoin Tincture Pr Cream

Boric Acid Presera

Ceracade Pruclair

Coal TAR Prumyx

Cocaine HCL Pyrogallic Acid

Condylox Qutenza

Copasil Relyyks

Dermacinrx Duopatch Pharmapak Relyyt

Dermacinrx Neurotral Pharmapak Salex

Dermacinrx Phn PAK Salex Cream

Dermacinrx Surgical Pharmapak Salex Lotion

Dermacinrx Zrm PAK Salicylic Acid

Dermasorb XM Salicylic Acid IN Ammonium Lactate Vehicle

Dermawerx Surgical Plus PAK Salkera

Eletone Salvax

Eletone Twinpack Salvax Duo Plus

Elimite Scar Patch

Emla Sinelee

Emulsion SB Sklice

Entty Spray Emulsion Solaice

Epiceram Soothee

Ethyl Chloride Spinosad

Ethyl Chloride/Fine Pinpoint Sulfurated Lime

Ethyl Chloride/Fine Stream Supracil

Ethyl Chloride/Medium Jet Stream Synera

Ethyl Chloride/Medium Stream Tetrix

Ethyl Chloride/Mist Tropazone

Gebauers Pain Ease Ulesfia

Gebauers Spray And Stretch Ultrasal-ER

Genadur Umecta

Genadur Kit Umecta Nail Film

Gordofilm Umecta PD

Gordons Urea Uramaxin

Hydro 35 Uramaxin GT

Hydro 40 Foam Uramaxin GT Kit

Hylatopic Utopic

Hylatopic Plus Venipuncture Cpi

Hylira Veregen

HPR Verrunex

HPR Plus Vexa

HPR Plus Hydrogel Kit Virasal

HPR Plus/Mb Hydrogel Xerac Ac

IV Infusion Cpi Xylocaine

Kerafoam

Kerafoam 42

Keralac ENDOCRINE AND METABOLIC

Keralyt

CORTICOSTEROIDS

Keralyt Scalp

GENERIC

Lac-hydrin

betamethasone sodium phosphate/betamethasone acetate

Latrix XM

Ldo Plus

budesonide

Lido-RX 4.1

dexamethasone

Lidocaine And Tetracaine Cream

dexamethasone sodium phosphate

Lidocaine HCL

fludrocortisone acetate

Lidoderm

hydrocortisone

Lidothol

methylprednisolone

Lidotral

methylprednisolone acetate

Lycelle

methylprednisolone dose pack

Mb Hydrogel

methylprednisolone sodiumsuccinate

Medi-derm/L-RX

prednisolone

Megrix

prednisolone sodium phosphate

Natroba

prednisolone sodium phosphate odt

Neosalus


14

prednisone GENERIC

Dexamethasone Sodium Phosphate danazol

PREFERRED methyltestosterone

Cortisone Acetate oxandrolone

Dexamethasone testosterone

Medrol testosterone cypionate

Millipred testosterone enanthate

Prednisone testosterone P.M.

Prednisone Intensol Testosterone

NON PREFERRED Testosterone P.M.

Aristospan Intra-articular PREFERRED

Betalido Androderm

Betaloan Suik Androgel P.M.

Betamethasone SP Androxy

Celestone-soluspan NON PREFERRED

Cortef Anadrol-50

Depo-medrol Androgel

Dermacinrx Cinlone-i Cpi Android

Dexamethasone Intensol Aveed

Dexlido Axiron

Dexlido-m Depo-testosterone

Dexpak 10 Day First-testosterone

Dexpak 13 Day First-testosterone Mc Compounding Kit

Dexpak 6 Day Fortesta

Doubledex Natesto

Dyural-l Oxandrin

Dyural-lm Striant

Dyural-40 Testim

Dyural-80 Testone Cik

Entocort EC Testopel

Interarticular Joint Kit Testred

Kenalog-10 Vogelxo

Kenalog-40 Vogelxo P.M.

K10-lido

K40-lido ESTROGENS

LT Injection Kit

GENERIC

Marbeta-l

estradiol

Marbeta-25

estradiol valerate

Mardex-25

estradiol/norethindrone acetate

Medrol Dosepak

norethindrone acetate/ethinyl estradiol

Medroloan II Suik

Estropipate

Medroloan Suik

PREFERRED

Methylprednisolone

Alora

Methylprednisolone PF

Climara Pro

Methylprednisolone/Lidocaine

Duavee

Millipred DP

Menest

Mlk F4 Kit

Premphase

Orapred Odt

Prempro

Pediapred

NON PREFERRED

Prednisolone Sodium Phosphate

Activella

Pro-c-dure 5 Kit

Angeliq

Pro-c-dure 6 Kit

Biest/Progesterone

Rayos

Cenestin

Readysharp-k

Climara

Readysharp-p40

Combipatch

Readysharp-p80

Delestrogen

Solu-cortef

Depo-estradiol

Solu-medrol

Divigel

Triamcinolone

Elestrin

Triamcinolone PF

Enjuvia

Triamcinolone/Lidocaine

Estrace

Triloan II Suik

Estradiol

Triloan Suik

Estrogel

Uceris

Evamist

Veripred 20

Femhrt Low Dose

Menostar

Minivelle

ANDROGENS-ANABOLIC

Prefest

Premarin


15

Vivelle-dot Megace ES

Progesterone 10% Kit

CONTRACEPTIVES Prometrium

Provera

GENERIC

desogestrel/ethinyl estradiol

ANTIDIABETIC AGENTS

drospirenone/ethinyl estradiol

levonorgestrel INSULIN

levonorgestrel and ethinyl estradiol PREFERRED

levonorgestrel/ethinyl estradiol Humalog

norethindrone Humalog Kwikpen

norethindrone & ethinyl estradiol ferrous fumarate Humalog Mix 50/50

norethindrone acetate/ethinyl estradiol Humalog Mix 50/50 Kwikpen

norethindrone acetate/ethinyl estradiol/ferrous fumarate Humalog Mix 75/25

norgestimate/ethinyl estradiol Humalog Mix 75/25 Kwikpen

Levonorgestrel Humulin N

PREFERRED Humulin N Kwikpen

Natazia Humulin R

Necon 1/50-28 Humulin R U-500 (concentrated)

Necon 10/11-28 Humulin R U-500 Kwikpen

Norinyl 1+50 Humulin 70/30

Nuvaring Humulin 70/30 Kwikpen

Zovia 1/50e Lantus

NON PREFERRED Lantus Solostar

Beyaz Levemir

Brevicon-28 Levemir Flexpen

Cyclessa Levemir Flextouch

Desogen Novolin N

Ella Novolin N Relion

Estrostep FE Novolin R

Falessa Novolin R Relion

Femcon FE Novolin 70/30

Generess FE Novolin 70/30 Relion

Loestrin FE 1.5/30 Novolog

Loestrin FE 1/20 Novolog Flexpen

Loestrin 1.5/30-21 Novolog Mix 70/30

Loestrin 1/20-21 Novolog Mix 70/30 Prefilled Flexpen

Loseasonique Novolog Penfill

LO Loestrin FE NON PREFERRED

Minastrin 24 FE Afrezza

Mircette Apidra

Modicon Apidra Solostar

Nor-QD Toujeo Solostar

Norinyl 1+35 Tresiba Flextouch

Ortho Micronor AMYLIN ANALOGS

Ortho Tri-cyclen NON PREFERRED

Ortho Tri-cyclen LO Symlinpen 120

Ortho-cept Symlinpen 60

Ortho-cyclen INCRETIN MIMETIC AGENTS

Ortho-novum 1/35 PREFERRED

Ortho-novum 7/7/7 Bydureon

Ovcon-35 Byetta

Quartette Trulicity

Safyral Victoza

Seasonique NON PREFERRED

Tri-norinyl 28 Tanzeum

Yasmin 28 SULFONYLUREAS

Yaz GENERIC

glimepiride

PROGESTINS glipizide

glipizide ER

GENERIC

glyburide

medroxyprogesterone acetate

glyburide micronized

megestrol acetate

tolazamide

norethindrone acetate

Glyburide

progesterone

Tolazamide

PREFERRED

PREFERRED

Makena

Chlorpropamide

NON PREFERRED

Diabeta

Aygestin

Tolbutamide

Medroxyprogesterone/Lidocaine


16

NON PREFERRED NON PREFERRED

Amaryl Actoplus Met

Glucotrol Actoplus Met XR

Glucotrol XL Appformin

Glynase Appformin-d

BIGUANIDES Avandamet

GENERIC Avandaryl

metformin HCL Duetact

metformin HCL ER Glucovance

NON PREFERRED Glyxambi

Fortamet Jentadueto

Glucophage Jentadueto XR

Glucophage XR Kazano

Glumetza Oseni

Riomet Prandimet

MEGLITINIDE ANALOGUES Xigduo XR

GENERIC

nateglinide BISPHOSPHONATES

repaglinide

GENERIC

NON PREFERRED

alendronate sodium

Prandin

ibandronate sodium

Starlix

pamidronate disodium

DIABETIC OTHER

risedronate sodium

PREFERRED

risedronate sodium DR

Glucagen Hypokit

zoledronic acid

Glucagon Emergency Kit

PREFERRED

Invokana

Alendronate Sodium

Jardiance

NON PREFERRED

Proglycem

Actonel

NON PREFERRED

Atelvia

Farxiga

Binosto

Korlym

Boniva

ALPHA-GLUCOSIDASE INHIBIT

Etidronate Disodium

GENERIC

Fosamax

acarbose

Fosamax Plus D

miglitol

Pamidronate Disodium

NON PREFERRED

Reclast

Glyset

Zoledronic Acid

Precose

Zometa

DPP-4 INHIBITORS

GENERIC

CALCITONINS

Alogliptin

GENERIC

PREFERRED

calcitonin salmon

Januvia

calcitonin-salmon

Onglyza

NON PREFERRED

NON PREFERRED

Fortical

Nesina

Miacalcin

Tradjenta

INSULIN SENSITIZING AGENT

PARATHYROID HORMONE

GENERIC

PREFERRED

pioglitazone HCL

Forteo

NON PREFERRED

NON PREFERRED

Actos

Natpara

Avandia

ANTIDIABETIC COMBINATIONS

RANK LIGAND INHIBITORS

GENERIC

PREFERRED

glipizide/metformin HCL

Prolia

glyburide/metformin HCL

Xgeva

pioglitazone HCL-glimepiride

pioglitazone HCL/metformin HCL

HORMONE RECEPTOR MDLTR

Alogliptin/Metformin HCL

GENERIC

Alogliptin/Pioglitazone

raloxifene hydrochloride

Repaglinide/Metformin Hydrochloride

NON PREFERRED

PREFERRED

Evista

Invokamet

Osphena

Janumet

Janumet XR

FERTILITY REGULATORS

Kombiglyze XR

GENERIC

Synjardy

chorionic gonadotropin


17

clomiphene citrate POSTERIOR PITUITARY

PREFERRED

GENERIC

Follistim AQ

desmopressin acetate

Gonal-f

vasopressin

Gonal-f RFF

NON PREFERRED

Gonal-f RFF Rediject

Ddavp

NON PREFERRED

Pitressin Synthetic

Bravelle

Stimate

Menopur

Vasostrict

Ovidrel

CORTICOTROPIN

LHRH/GNRH AGONIST

NON PREFERRED

PREFERRED

H.p. Acthar

Lupron Depot-PED

Supprelin LA

PROLACTIN INHIBITORS

Synarel

GENERIC

NON PREFERRED

cabergoline

Lupaneta Pack

GNRH/LHRH ANTAGONISTS

VASOPRESSIN ANTAGONISTS

PREFERRED

PREFERRED

Cetrotide

Samsca

NON PREFERRED

NON PREFERRED

Ganirelix Acetate

Vaprisol

GROWTH HORMONES

PROGESTERONE ANTAGONISTS

PREFERRED

NON PREFERRED

Norditropin Cartridge

Mifeprex

Norditropin Flexpro

Norditropin Nordiflex Pen

METABOLIC MODIFIERS

Nutropin AQ Nuspin 10

GENERIC


calcitriol


doxercalciferol

Nutropin AQ Pen

levocarnitine

Saizen

paricalcitol

Saizen Click.easy

sodium phenylacetate/sodium benzoate

Serostim

sodium phenylbutyrate

NON PREFERRED

PREFERRED

Genotropin

Aldurazyme

Genotropin Miniquick

Carbaglu

Humatrope

Elaprase

Humatrope Combo Pack

Fabrazyme

Omnitrope

Kuvan

Tev-tropin

Lumizyme

Zomacton

Myozyme

Zorbtive

Naglazyme

NON PREFERRED

GHRH

Ammonul

NON PREFERRED

Buphenyl

Egrifta

Carnitor

Carnitor SF

SOMATOMEDINS

Cystadane

PREFERRED

Hectorol

Increlex

Kanuma

Myalept

SOMATOSTATIC AGENTS

Orfadin

GENERIC Ravicti

octreotide acetate Rocaltrol

NON PREFERRED Sensipar

Sandostatin Strensiq

Sandostatin Lar Depot Vimizim

Signifor Xuriden

Signifor Lar Zemplar

Somatuline Depot

THYROID AGENTS

GH RECEPTOR ANTAGONISTS

GENERIC

NON PREFERRED levothyroxine sodium

Somavert liothyronine sodium

methimazole


18

propylthiouracil chlordiazepoxide HCL/clidinium bromide

NON PREFERRED cimetidine

Armour Thyroid cimetidine HCL

Cytomel dicyclomine HCL

Levothyroxine Sodium esomeprazole magnesium

Nature-throid esomeprazole sodium

Nature-throid Nt-2.5 famotidine

Synthroid glycopyrrolate

Tapazole hyoscyamine sulfate

Thyrolar-1 hyoscyamine sulfate odt

Thyrolar-1/2 hyoscyamine sulfate ER

Thyrolar-1/4 hyoscyamine sulfate SR

Thyrolar-2 lansoprazole

Thyrolar-3 lansoprazole/amoxicillin/clarithromycin

Tirosint methscopolamine bromide

Triostat misoprostol

Westhroid nizatidine

Wp Thyroid omeprazole

omeprazole/sodium bicarbonate

GASTROINTESTINAL pantoprazole sodium

rabeprazole sodium

LAXATIVES

ranitidine HCL

GENERIC

sucralfate

lactulose

Esomeprazole Sodium

peg 3350/electrolytes

Famotidine

peg-3350/electrolytes

Nizatidine

peg-3350/NACL/NA bicarbonate/KCL

polyethylene glycol 3350

PREFERRED

NON PREFERRED

Carafate

Cascara Sagrada

Dexilant

Colyte-flavor Packs

Omeclamox-PAK

Gialax

Propantheline Bromide

Golytely

Pylera

Kristalose

Symax Duotab

Mineral Oil Heavy

NON PREFERRED

Moviprep

Aciphex

Nulytely/Flavor Packs

Aciphex Sprinkle

Osmoprep

Anaspaz

Pcp 100

Atropen

Prepopik

Atropine Sulfate

Suclear

Belladonna & Opium

Suprep Bowel Prep

Belladonna Alkaloids & Opium

Bentyl

Cantil

ANTIDIARRHEALS

Cuvposa

GENERIC

Cytotec

diphenoxylate/atropine

Deprizine Fusepaq

loperamide HCL

Esomeprazole Strontium

opium

Famotidine Premixed

opium tincture

First-lansoprazole

PREFERRED

First-omeprazole

Diphenoxylate/Atropine

Gabitidine

Paregoric

Gastrinex NF

NON PREFERRED

Glycopyrrolate

Fulyzaq

Levbid

Lomotil

Levsin

Motofen

Levsin/SL

Restora RX

Librax

Restora Sprinkles

Nexium

Rezyst IM

Nexium I.v.

Rezyst SB

Omeprazole + Syrspend SF Alka

Vsl#3 DS

Pamine

Pamine Forte

ANTACIDS

Pamine FQ

NON PREFERRED

Pepcid

Sodium Bicarbonate

Prevacid

Prevacid Solutab

ULCER DRUGS

Prevpac

GENERIC

Prilosec

atropine sulfate

Protonix


19

Robinul Linzess

Robinul Forte Movantik

Scopolamine Hydrobromide Proctofoam HC

Sentradine Relistor

Zantac Remicade

Zegerid Renvela

Sevelamer Carbonate

ANTIEMETICS Sfrowasa

NON PREFERRED

GENERIC

Actigall

dronabinol

Analpram Advanced

granisetron HCL

Analpram-HC

meclizine HCL

Analpram-HC Singles

ondansetron odt

Anusol-HC

ondansetron HCL

Apriso

trimethobenzamide HCL

Asacol HD

PREFERRED

Auryxia

Aloxi

Azulfidine

NON PREFERRED

Azulfidine EN-TABS

Akynzeo

Chenodal

Anzemet

Cholbam

Cesamet

Colazal

Diclegis

Cortenema

Dimenhydrinate

Cortifoam

Emend

Delzicol

Granisol

Dexpanthenol

Marinol

Dipentum

Sancuso

Eliphos

Tigan

Entereg

Transderm-scop

Entyvio

Varubi

Fosrenol

Zofran

Gastrocrom

Zofran Odt

Gattex

Zuplenz

Giazo

Lidocaine HCL-hydrocortisone Acetate With Aloe

DIGESTIVE AIDS

Lotronex

PREFERRED

Metoclopramide Odt

Creon

Metozolv Odt

Pancrelipase

Ocaliva

Zenpep

Pentasa

NON PREFERRED

Phoslo

Pancreaze

Phoslyra

Pertzye

Procort

Sucraid

Proctocort

Ultresa

Rectiv

Viokace

Reglan

Renagel

GASTROINTESTINAL - MISC.

Rowasa

GENERIC

Uceris

alosetron hydrochloride

Urso Forte

balsalazide disodium

Urso 250

calcium acetate

Velphoro

cromolyn sodium

Viberzi

hydrocort ene 100MG

hydrocortisone

GENITOURINARY

hydrocortisone acetate/lidocaine HCL

URINARY ANTI-INFECTIVES

hydrocortisone acetate/pramoxine

lactulose GENERIC

lidocaine HCL/hydrocortisone acetate methenamine hippurate

mesalamine methenamine mandelate

metoclopramide odt nitrofurantoin

metoclopramide HCL nitrofurantoin macrocrystals

sulfasalazine nitrofurantoin monohydrate

ursodiol nitrofurantoin monohydrate/macrocrystals

PREFERRED PREFERRED

Amitiza Methenamine Mandelate

Canasa NON PREFERRED

Cimzia Furadantin

Cimzia Starter Kit Hiprex

Lialda Macrobid


20

Macrodantin finasteride

Monurol phenazopyridine HCL

Uretron D/S potassium citrate ER

Urimar-t potassium citrate-citric acid crystals

Urogesic-blue potassium citrate/citric acid

potassium citrate/sodium citrate/citric acid

URINARY ANTISPASMODICS sodium citrate/citric acid

tamsulosin HCL

GENERIC

tricitrates

bethanechol chloride

PREFERRED

darifenacin hydrobromide ER

Cytra-3

darifenacin ER

Elmiron

flavoxate HCL

Rapaflo

oxybutynin chloride

NON PREFERRED

oxybutynin chloride ER

Avodart

tolterodine tartrate

Cardura XL

tolterodine tartrate ER

Cystagon

trospium chloride

Flomax

trospium chloride ER

Jalyn

PREFERRED

K-phos NO 2

Gelnique

Lithostat

Vesicare

Oracit

NON PREFERRED

Procysbi

Detrol

Proscar

Detrol LA

Pyridium

Ditropan XL

Shohls Solution Modified

Enablex

Thiola

Myrbetriq

Urocit-k 10

Oxytrol

Urocit-k 15

Sanctura

Urocit-k 5

Toviaz

Uroxatral

Urecholine

HEMATOLOGICAL

VAGINAL PRODUCTS

GENERIC HEMATOPOIETIC AGENTS


GENERIC

metronidazole vaginal

cyanocobalamin

terconazole

folic acid

PREFERRED

folic acid/vitamin b-6/vitamin b-12

Premarin

sodium ferric gluconate complex/sucrose

NON PREFERRED

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

Avc

PREFERRED

Cleocin

Aranesp Albumin Free

Clindesse

Cerezyme

Crinone

Folitab 500

Endometrin

Granix

Estrace

Mozobil

Estring

Neumega

Fem PH

Neupogen

Femring

Nplate

First-progesterone VGS 100 Compounding Kit

Procrit


NON PREFERRED


Abaneu-SL


Albafort


Animi-3

Gynazole-1

Animi-3/Vitamin D

Metrogel-vaginal

B-12 Kit

Nuvessa

B-6 Folic Acid

Relagard

Biferarx

Terazol 3

Cenfol

Terazol 7

Centratex

Vagifem

Cerdelga

Ciferex

GENITOURINARY - MISC.

Corvite 150

GENERIC

Dermacinrx Purefolix

alfuzosin HCL ER

Divista

citric acid/sodium citrate

Droxia

dutasteride

Ed Cyte F

dutasteride/tamsulosin hydrochloride

Elelyso

dutasteride/tamsulosin HCL


21

Epogen heparin lock flush

Feraheme heparin lock flush for flushing vascular access devices

Feriva heparin lock flush/NACL for flushing vascular access devices

Feriva 21/7

heparin sodium

Ferivafa

heparin sodium dcu

Ferralet 90

heparin sodium lock flush

Ferrex 150 Forte Plus

heparin sodium/sodium chloride 0.9% premix

Ferrex 28

heparin sodium/D5W

Ferrlecit

heparin sodium/NACL 0.9%

Ferro-plex Hematinic

warfarin sodium

Ferrotrin

PREFERRED

Focalgin Dss

Pradaxa

Folgard RX

Xarelto

Folic Acid

Xarelto Starter Pack

Folivane-f

NON PREFERRED

Folivane-plus

Angiomax

Folixapure

Argatroban

Foltrate

Arixtra

Fusion Plus

Coumadin

Fusion Sprinkles

Defitelio

Hematogen Fa

Eliquis

Hematron-AF

Fragmin

Hemocyte Plus

Heparin Lock Flush

Hemocyte-f

Heparin Sodium

Hydroxocobalamin

Heparin Sodium/D5W

Icar-c Plus

Heparin Sodium/NACL 0.45%

Infed

Heparin Sodium/Sodium Chloride 0.9%

Injectafer

Iprivask

Integra F

Lovenox

Integra Plus

Savaysa

Irospan 24/6

Is 24/6

HEMOSTATICS

Leukine

GENERIC

Maxaron Forte

aminocaproic acid

Maxfe

tranexamic acid

Mircera

NON PREFERRED

Multigen

Amicar

Multigen Folic

Aminocaproic Acid

Multigen Plus

Artiss

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa

Astringyn

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

Cyklokapron

Evicel

Nascobal

Evithrom

Natalvirt Flt

Lysteda

Nephron Fa

Recothrom

Neulasta

Recothrom Spray Kit

Neulasta Onpro Kit

Thrombin-jmi Diluent

Novaferrum

Thrombin-jmi Epistaxis

Nufera

Thrombin-jmi Syringe Spray Kit

Omontys

Thrombin-jmi W/Dil Spray P.M. Actuator

Pre-folic

Thrombogen

Proferrin-forte

Tisseel

Promacta

Tisseel VH

Protectiron

Tandem F

HEMATOLOGICAL - MISC.

Tandem Plus

GENERIC

Triferic

anagrelide hydrochloride

Venofer

cilostazol

Vpriv

clopidogrel

Zarxio

dipyridamole

Zavesca

eptifibatide

hetastarch 6%/NACL

ANTICOAGULANTS

pentoxifylline ER

GENERIC

ticlopidine HCL

argatroban

Aspirin/Dipyridamole

bivalirudin

PREFERRED

enoxaparin sodium

Advate

fondaparinux sodium

Alphanate/Von Willebrand Factor Complex/Human

heparin lock


22

Alphanine SD pilocarpine HCL

Bebulin stannous fluoride oral rinse

Benefix triamcinolone acetonide

Berinert triamcinolone IN orabase

Brilinta NON PREFERRED

Cinryze Aquoral

Corifact Caphosol

Effient Debacterol

Feiba Evoxac

Feiba NF First-bxn Mouthwash

Firazyr First-dukes Mouthwash

Hemofil M First-marys Mouthwash

Humate-p First-mouthwash Blm

Koate-dvi Gel-kam Oral Care Rinse

Monoclate-p Gelclair

Mononine Lidocaine HCL

Novoseven Nafrinse Daily/Acidulated

Novoseven Rt Nafrinse Daily/Neutral

Profilnine Nafrinse Weekly

Profilnine SD Neutrasal

Recombinate Numoisyn

Riastap Orafate

Soliris Oravig

Ticlopidine HCL Peridex

Wilate Prevident

NON PREFERRED Prothelial

Activase Salagen

Aggrastat Salivamax

Aggrenox Salivate RX

Agrylin

Cathflo Activase NEUROLOGY, CNS, PSYCH

Durlaza

ANTIANXIETY AGENTS

Helixate FS

GENERIC

Hespan

alprazolam

Hextend

alprazolam odt

Integrilin

alprazolam ER

Ixinity

buspirone HCL

Kalbitor

chlordiazepoxide HCL

Kengreal

clorazepate dipotassium

Kinlytic

diazepam

Kogenate FS

droperidol

Kogenate FS Bio-set

gene-xene TAB 15MG

Kovaltry

gene-xene TAB 3.75MG

LMD 10% Dextrose 5%

gene-xene TAB 7.5MG

LMD 10% Sodium Chloride 0.9%

hydroxyzine pamoate

Novoeight

hydroxyzine HCL

Nuwiq

lorazepam

Persantine

meprobamate

Plavix

oxazepam

Pletal

Diazepam

Protamine Sulfate

Hydroxyzine Pamoate

Reopro

Tnkase

NON PREFERRED

Voluven

Alprazolam Intensol

Xyntha

Ativan

Xyntha Solofuse

Gabavale-5

Zontivity

Gabazolamine

Gabazolamine-0.5

MOUTH/THROAT/DENTAL AGENT

Hydroxyzine HCL

Lorazepam

GENERIC

Niravam

cevimeline HCL

Sentrazolam AM 0.25

chlorhexidine gluconate

Tranxene T

chlorhexidine gluconate oral rinse

Valium

clotrimazole

Vistaril

lidocaine viscous

Xanax

lidocaine HCL viscous

Xanax XR

nystatin

pilocarpine hydrochloride


23

ANTIDEPRESSANTS Paxil CR

Pexeva

GENERIC

Prozac

amitriptyline HCL

Prozac Weekly

bupropion HCL

Remeron

bupropion HCL ER

Remeron Soltab

bupropion HCL SR

Sentraflox AM-10

bupropion HCL XL

Sentralopram AM-10

citalopram hydrobromide

Sentravil PM-25

clomipramine HCL

Sentroxatine

desipramine HCL

Surmontil

doxepin HCL

Tofranil

duloxetine HCL

Tofranil-PM

escitalopram oxalate

Trazamine

fluoxetine DR

Trintellix

fluoxetine HCL

Viibryd

fluvoxamine maleate

Viibryd Starter Pack

fluvoxamine maleate ER

Vivactil

imipramine pamoate

Wellbutrin

imipramine HCL

Wellbutrin SR

mirtazapine

Wellbutrin XL

mirtazapine odt

Zoloft

nefazodone HCL

nortriptyline HCL

ANTIPSYCHOTICS

paroxetine HCL

paroxetine HCL ER GENERIC

phenelzine sulfate aripiprazole

protriptyline HCL aripiprazole odt

sertraline HCL chlorpromazine HCL

tranylcypromine sulfate clozapine

trazodone HCL clozapine odt

trimipramine maleate fluphenazine decanoate

venlafaxine HCL fluphenazine HCL

venlafaxine HCL ER haloperidol

Amoxapine haloperidol decanoate

Doxepin HCL haloperidol lactate

Nefazodone HCL lithium carbonate

Nortriptyline HCL lithium carbonate ER

Venlafaxine HCL ER loxapine

PREFERRED loxapine succinate

Fluoxetine HCL olanzapine

Forfivo XL olanzapine odt

Maprotiline HCL paliperidone ER

Paxil perphenazine

Pristiq prochlorperazine

NON PREFERRED prochlorperazine edisylate

Anafranil prochlorperazine maleate

Aplenzin quetiapine fumarate

Appbutamone risperidone

Brintellix risperidone odt

Celexa thioridazine HCL

Cymbalta thiothixene

Desvenlafaxine ER trifluoperazine HCL

Duloxetine HCL ziprasidone HCL

Effexor XR Clozapine Odt

Elavil PREFERRED

Emsam Abilify Discmelt

Fetzima Fluphenazine HCL

Fetzima Titration Pack Saphris

Gaboxetine Seroquel XR

Irenka NON PREFERRED

Khedezla Abilify

Lexapro Abilify Maintena

Luvox CR Adasuve

Marplan Aristada

Nardil Chlorpromazine HCL

Norpramin Clozaril

Oleptro Compazine

Pamelor Equetro

Parnate Fanapt


24

Fanapt Titration Pack ADHD, NARCOLEPSY, ETC.

Fazaclo

GENERIC

Geodon

amphetamine/dextroamphetamine

Haldol

armodafinil

Haldol Decanoate 100

caffeine citrate

Haldol Decanoate 50

clonidine HCL ER

Invega

dexmethylphenidate HCL

Invega Sustenna

dexmethylphenidate HCL ER

Invega Trinza

dextroamphetamine sulfate

Latuda

dextroamphetamine sulfate ER

Lithium

doxapram HCL

Lithium Carbonate

guanfacine ER

Lithobid

methamphetamine HCL

Molindone Hydrochloride

methylphenidate hydrochloride

Nuplazid

methylphenidate HCL

Rexulti

methylphenidate HCL CD

Risperdal

methylphenidate HCL ER

Risperdal Consta

methylphenidate HCL SR

Risperdal M-TAB

modafinil

Seroquel

Armodafinil

Versacloz

Methylphenidate HCL ER

Vraylar

PREFERRED

Zyprexa

Strattera

Zyprexa Relprevv

Vyvanse

Zyprexa Zydis

NON PREFERRED

Adderall

Adderall XR

HYPNOTICS

Adzenys XR-odt

GENERIC Aptensio XR

dexmedetomidine HCL Cafcit

estazolam Caffeine/Sodium Benzoate

eszopiclone Concerta

flurazepam HCL Daytrana

phenobarbital Desoxyn

temazepam Dexedrine

triazolam Dopram

zaleplon Dyanavel XR

zolpidem tartrate Evekeo

zolpidem tartrate ER Focalin

Flurazepam HCL Focalin XR

Phenobarbital Intuniv

Quazepam Kapvay

Triazolam Metadate CD

Methylin

NON PREFERRED Nuvigil

Ambien Procentra

Ambien CR Provigil

Amytal Sodium Quillichew ER

Belsomra Quillivant XR

Butisol Sodium Ritalin

Doral Ritalin LA

Edluar Ritalin SR

Gabazolpidem-5 Sentramodafin AM-100

Halcion Zenzedi

Hetlioz

Intermezzo ANTICONVULSANTS

Lunesta

GENERIC

Nembutal Sodium

carbamazepine

Phenobarbital Sodium

carbamazepine ER

Precedex

clonazepam

Restoril

clonazepam odt

Rozerem

divalproex sodium

Seconal

divalproex sodium DR

Seconal Sodium

divalproex sodium ER

Sentrazolpidem PM-5

ethosuximide

Silenor

felbamate

Sonata

fosphenytoin sodium

Strazepam

gabapentin

Zolpimist

lamotrigine


25

lamotrigine odt Trokendi XR

lamotrigine titration Vimpat

lamotrigine ER Zarontin

levetiracetam Zonegran

levetiracetam ER

oxcarbazepine ANTIPARKINSON AGENTS

phenytoin

GENERIC

phenytoin sodium

amantadine HCL

phenytoin sodium extended

benztropine mesylate

primidone

bromocriptine mesylate

tiagabine hydrochloride

carbidopa

topiramate

carbidopa/levodopa

valproate sodium

carbidopa/levodopa odt

valproic acid

carbidopa/levodopa ER

zonisamide

entacapone

pramipexole dihydrochloride

PREFERRED

pramipexole dihydrochloride ER

Diastat Acudial

ropinirole ER

Diastat Pediatric

ropinirole HCL

Diazepam

selegiline HCL

Lamictal

tolcapone

Lamictal Chewable Dispersible

trihexyphenidyl HCL

Lamictal Starter/Not Taking Carbamazepine

Carbidopa/Levodopa/Entacapone

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

PREFERRED

Apokyn

Lamictal Starter/Taking Valproate

NON PREFERRED

Lyrica

Amantadine HCL

NON PREFERRED

Azilect

Aptiom

Cogentin

Banzel

Comtan

Briviact

Duopa

Carbatrol

Eldepryl

Celontin

Lodosyn

Cerebyx

Mirapex

Depacon

Mirapex ER

Depakene

Neupro

Depakote

Parlodel

Depakote ER

Requip

Depakote Sprinkles

Requip XL

Dilantin

Rytary

Dilantin Infatabs

Sinemet

Dilantin-125

Sinemet CR

Fanatrex Fusepaq

Stalevo 100

Felbatol

Stalevo 125

Fycompa

Stalevo 150

Gabitril

Stalevo 200

Keppra

Stalevo 50

Keppra XR

Stalevo 75

Klonopin

Tasmar

Lamictal Odt

Zelapar

Lamictal XR

Levetiracetam

NEUROLOGY, PSYCH - MISC.

Mysoline

GENERIC

Neurontin

acamprosate calcium DR

Onfi

disulfiram

Oxtellar XR

donepezil hydrochloride

Peganone

donepezil HCL

Phenytek

ergoloid mesylates

Potiga

galantamine hydrobromide

Qudexy XR

glatopa

Sabril

memantine hydrochloride

Spritam

memantine HCL

Stavzor

memantine HCL titration PAK

Tegretol

olanzapine/fluoxetine

Tegretol-XR

pimozide

Therapentin-60

rivastigmine tartrate

Therapentin-90

rivastigmine transdermal system

Topamax

tetrabenazine

Topamax Sprinkle

Ergoloid Mesylates

Topiramate ER

Trileptal


26

Galantamine Hydrobromide Nimbex

Quelicin

PREFERRED Quelicin 1000

Ampyra Rilutek

Avonex Succinylcholine Chloride

Avonex Pen Vecuronium Bromide

Chlordiazepoxide/Amitriptyline Xeomin

Copaxone Zemuron

Namenda XR

Namenda XR Titration Pack MUSCULOSKELETAL AGENTS

Perphenazine/Amitriptyline

GENERIC

Plegridy

baclofen

Plegridy Starter Pack

carisoprodol

Tecfidera

carisoprodol/aspirin

Tecfidera Starter Pack

carisoprodol/aspirin/codeine

NON PREFERRED

chlorzoxazone

Addyi

cyclobenzaprine HCL

Antabuse

dantrolene sodium

Aricept

metaxalone

Aricept Odt

methocarbamol

Aubagio

orphenadrine citrate

Betaseron

orphenadrine citrate ER

Brisdelle

tizanidine HCL

Campral

Metaxalone

Convenience PAK

Orphenadrine/Asa/Caffeine

Exelon

PREFERRED

Extavia

Euflexxa

Fluoxetine

Gablofen

Gilenya

Lioresal Intrathecal

Gralise

Synvisc

Gralise Starter

Synvisc One

Horizant

NON PREFERRED

Lemtrada

Amrix

Namenda

Cyclobenzaprine Comfort PAC

Namenda Titration PAK

Dantrium

Namzaric

Dantrium IV

Nuedexta

Fexmid

Orap

Flexepax

Razadyne

Gel-one

Razadyne ER

Gelsyn-3

Rebif

Genvisc 850

Rebif Rebidose

Hyalgan

Rebif Rebidose Titration Pack

Hymovis

Rebif Titration Pack

Lorvatus Pharmapak

Sarafem

Lorzone

Savella

Monovisc

Savella Titration Pack

Norflex

Smartrx Gaba Kit

Orthovisc

Smartrx Gaba-v Kit

Parafon Forte DSC

Symbyax

Prazolamine

Tysabri

Robaxin

Xenazine

Robaxin-750

Xyrem

Ryanodex

Zinbryta

Skelaxin

Soma

NEUROMUSCULAR AGENTS

Supartz

GENERIC Supartz Fx

atracurium besylate Tabradol Fusepaq

cisatracurium besylate Therabenzaprine-60

pancuronium bromide Therabenzaprine-90

riluzole Therabenzaprine-90-5

rocuronium bromide Tizanidine Comfort PAC

vecuronium bromide Zanaflex

PREFERRED

Botox ANTIMYASTHENIC AGENTS

NON PREFERRED

GENERIC

Anectine

neostigmine methylsulfate

Dysport

pyridostigmine bromide

Myobloc


27

PREFERRED Timoptic Ocudose

Guanidine HCL NON PREFERRED

NON PREFERRED Betagan

Bloxiverz Betimol

Enlon Cosopt

Enlon-plus Cosopt PF

Mestinon Istalol

Mestinon Timespan Timoptic

Neostigmine Methylsulfate Timoptic-xe

Regonol

OPHTHALMIC STEROIDS

OPHTHALMOLOGY AND OTIC

GENERIC

dexamethasone sodium phosphate

ANTI-INFECTIVES

fluorometholone

GENERIC

neomycin/polymyxin/bacitracin/hydrocortisone

bacitracin/polymyxin b

neomycin/polymyxin/dexamethasone

ciprofloxacin HCL

prednisolone acetate

erythromycin

sulfacetamide sodium/prednisolone sodium phosphate

gatifloxacin

tobramycin/dexamethasone

gentamicin sulfate

PREFERRED

levofloxacin

Dexamethasone Sodium Phosphate

neomycin/bacitracin/polymyxin

FML

neomycin/polymyxin/bacitracin zinc

FML Forte

neomycin/polymyxin/gramicidin

Pred Mild

ofloxacin

Prednisolone Sodium Phosphate

polymyxin b sulfate/trimethoprim sulfate

NON PREFERRED


Alrex

sulfacetamide sodium

Blephamide

tobramycin sulfate

Blephamide S.o.p.

trifluridine

Durezol

trimethoprim sulfate/polymyxin b sulfate

Flarex

PREFERRED

FML Liquifilm

Bacitracin

Lotemax

Moxeza

Maxidex

Natacyn

Maxitrol

Sulfacetamide Sodium

Neomycin/Polymyxin/Hydrocortisone

Vigamox

Omnipred

Pred Forte

NON PREFERRED

Pred-G

Azasite

Pred-G S.o.p.

Besivance

Prednisolone/Moxifloxacin

Betadine Ophthalmic Prep

Tobradex

Bleph-10

Tobradex ST

Ciloxan

Vexol

Garamycin

Zylet

Mitosol

Neosporin

PROSTAGLANDINS

Ocuflox

GENERIC

Polytrim

latanoprost

Tobrex

Bimatoprost

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 hydrochloride

levobunolol HCL

cyclopentolate HCL

timolol maleate

homatropine HBR

timolol maleate ophthalmic gel forming

PREFERRED

Metipranolol

Atropine Sulfate

PREFERRED

Isopto Homatropine

Betoptic-s

Combigan


28

NON PREFERRED Lastacaft

Cyclogyl Nevanac

Cyclomydril Ocufen

Isopto Atropine Optivar

Isopto Hyoscine Patanol

Pazeo

DECONGESTANTS Prolensa

Trusopt

GENERIC

phenylephrine HCL

OTIC AGENTS

PREFERRED

Naphazoline HCL GENERIC

acetic acid

MIOTICS antipyrine/benzocaine

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

pilocarpine HCL

hydrocortisone/acetic acid

PREFERRED

neomycin/polymyxin/hydrocortisone

Isopto Carbachol

neomycin/polymyxin/HC

Phospholine Iodide

ofloxacin

NON PREFERRED

PREFERRED

Isopto Carpine

Acetic Acid/Aluminum Acetate

Pramotic

ADRENERGIC AGENTS

NON PREFERRED

GENERIC

Antipyrine/Benzocaine

apraclonidine

Cetraxal

brimonidine tartrate

Cipro HC

PREFERRED

Ciprodex

Alphagan P

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Iopidine

Cortisporin-tc

Simbrinza

Dermotic

Floxin Otic

IMMUNOMODULATORS

Otiprio

NON PREFERRED

Otozin

Restasis

Vosol HC

LOCAL ANESTHETICS

OXYTOCICS

GENERIC

proparacaine HCL

GENERIC

tetracaine HCL

methylergonovine maleate

NON PREFERRED

oxytocin

Akten

Alcaine

NON PREFERRED

Cervidil

OPHTHALMICS - MISC.

Hemabate

GENERIC

Oxytocin

azelastine HCL

Oxytocin/Lactated Ringers

bromfenac

Pitocin

cromolyn sodium

Prepidil

diclofenac sodium

Prostin E2

dorzolamide HCL

epinastine HCL

PAIN MANAGEMENT

flurbiprofen sodium

ANALGESICS - NONNARCOTIC

ketorolac tromethamine

olopatadine HCL GENERIC

PREFERRED butalbital/acetaminophen

Azopt butalbital/acetaminophen/caffeine

Pataday butalbital/aspirin/caffeine

NON PREFERRED choline magnesium trisalicylate

Acular diflunisal

Acular LS salsalate

Acuvail PREFERRED

Alocril Choline Magnesium Trisalicylate

Alomide Dologesic

Bepreve Prialt

Bromfenac NON PREFERRED

Cystaran Allzital

Elestat Bupap

Emadine Disalcid

Ilevro Equagesic


29

Esgic Bunavail

Fioricet Buprenex

Fiorinal Butrans

Levacet Capital/Codeine

Ofirmev Codeine Sulfate

Vanatol LQ Conzip

Demerol

ANALGESICS - OPIOID Dilaudid

Dilaudid-HP

GENERIC

Dolophine

acetaminophen/caffeine/dihydrocodeine

Duragesic

acetaminophen/codeine

Exalgo

acetaminophen/codeine #2

Fentanyl Citrate


Fentanyl Citrate/Sodium Chloride


Fentora

acetaminophen/codeine phosphate

Fioricet/Codeine

alfentanil

Fiorinal/Codeine #3

buprenorphine HCL

Hycet

buprenorphine HCL/naloxone HCL

Hydromorphone HCL/NACL

butalbital/acetaminophen/caffeine/codeine

Hysingla ER

butalbital/aspirin/caffeine/codeine

Ibudone

butorphanol tartrate

Infumorph 200

codeine sulfate

Infumorph 500

fentanyl

Ionsys

fentanyl citrate oral transmucosal

Kadian

hydrocodone bitartrate/acetaminophen

Lazanda

hydrocodone/acetaminophen

Levorphanol Tartrate

hydrocodone/ibuprofen

Lortab

hydromorphone HCL

Meperidine HCL

hydromorphone HCL dosette

Methadone HCL

hydromorphone HCL ER

Methadose

meperidine HCL

Methadose Sugar-free

methadone HCL

Morphine Sulfate Add-vantage

morphine sulfate

Morphine Sulfate/Sodium Chloride

morphine sulfate ER

MS Contin

nalbuphine HCL

Norco

oxycodone hydrochloride

Nucynta

oxycodone HCL

Nucynta ER

oxycodone/acetaminophen

Opana

oxycodone/aspirin

Oxaydo

oxycodone/ibuprofen

Percocet

oxymorphone hydrochloride

Percodan

oxymorphone hydrochloride ER

Primlev

pentazocine/naloxone HCL

Probuphine Implant Kit

tramadol hydrochloride/acetaminophen

Remifentanil HCL

tramadol HCL

Reprexain

tramadol HCL ER

Roxicet

Aspirin-caffeine-dihydrocodeine

Roxicodone

Fentanyl

Subsys

Hydrocodone/Acetaminophen

Synalgos-dc

Hydromorphone HCL ER

Synapryn Fusepaq

Hydromorphone HCL/Sodium Chloride

Talwin

Morphine Sulfate

Theracodeine-300

Morphine Sulfate ER

Theracodophen-325

Oxycodone HCL ER

Theratramadol-60

Theratramadol-90

PREFERRED

Tramadol HCL ER

Embeda

Trezix

Hydromorphone HCL

Tylenol/Codeine #3

Opana ER (crush Resistant)

Tylenol/Codeine #4

Oxycodone/Ibuprofen

Ultiva

Oxycontin

Ultracet

Suboxone

Ultram

Zubsolv

Ultram ER

NON PREFERRED

Vicoprofen

Abstral

Xartemis XR

Actiq

Xodol

Alfenta

Xtampza ER

Avinza

Zamicet

Belbuca

Zohydro ER


30

Indocin

ANTI-INFLAMMATORY Indomethacin

Indomethacin Sodium

GENERIC

IC 400

celecoxib

IC 800

diclofenac potassium

Ketorocaine-l

diclofenac sodium DR

Ketorocaine-lm

diclofenac sodium ER

Ketorolac Tromethamine

diclofenac sodium/misoprostol

Kineret

etodolac

Meloxicam Comfort PAC

etodolac ER

Mobic

flurbiprofen

Nalfon

ibuprofen

Naprelan

ibuprofen lysine

Naprosyn

indomethacin

Naproxen Comfort PAC

indomethacin ER

Neoprofen

ketoprofen

Orencia

ketorolac tromethamine

Orencia Clickjet

leflunomide

Otezla

mefenamic acid

Otrexup

meloxicam

Ponstel

nabumetone

Prastera

naproxen

Previdolrx Analgesic PAK

naproxen sodium

Rheumatrex

naproxen sodium CR

Ridaura

naproxen sodium ER

Sprix

oxaprozin

Therafeldamine

piroxicam

Theraprofen-60

sulindac

Theraprofen-800

tolmetin sodium

Theraprofen-90

Meclofenamate Sodium

Theraproxen-500

Naproxen

Theraproxen-60

Tolmetin Sodium

Theraproxen-90

PREFERRED

Tivorbex

Fenoprofen Calcium

Toronova II Suik

Humira

Toronova Suik

Humira Pediatric Crohns Disease Starter Pack

Trepadiclofen-25

Humira Pen

Trepoxicam-7.5

Humira Pen-crohns Diseasestarter

Vimovo

Humira Pen-psoriasis Starter

Vivlodex

Ilaris

Voltaren-XR

Ketoprofen ER

Xeljanz

Meloxicam

Xeljanz XR

Rasuvo

Zipsor

Simponi

Zorvolex

Simponi Aria

NON PREFERRED

MIGRAINE PRODUCTS

Actemra

Anaprox DS GENERIC

Arava almotriptan

Arcalyst almotriptan malate

Arthrotec 50 dihydroergotamine mesylate

Arthrotec 75 frovatriptan succinate

Caldolor naratriptan HCL

Capxib Kit rizatriptan benzoate

Cataflam rizatriptan benzoate odt

Celebrex sumatriptan succinate

Daypro sumatriptan succinate refill

Derma Silkrx Anodynexa PAK zolmitriptan

Derma Silkrx Diclopak zolmitriptan odt

Dermacinrx Inflammatral PAK Dihydroergotamine Mesylate

Duexis Sumatriptan

Dyloject Sumatriptan Succinate

Enbrel PREFERRED

Enbrel Sureclick Zomig Nasal Spray

EC-naprosyn NON PREFERRED

Feldene Alsuma

Fenortho Amerge

Flanax Pain Relief Kit Axert

Ibuprofen Comfort PAC Cafergot


31

Cambia Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

D.h.e. 45

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

Ergomar

Frova

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

Imitrex

Imitrex Statdose Refill

Naropin

Imitrex Statdose System

Nesacaine

Maxalt

Nesacaine-mpf

Maxalt-MLT

Readysharp-a

Migergot

Sensorcaine-mpf/Epinephrine

Migral

Turkel Paracentesis Procedure Tray/8french

Migranal

Xylocaine

Migranow

Xylocaine-mpf

Onzetra Xsail

Xylocaine-mpf/Epinephrine

Relpax

Xylocaine/Epinephrine

Sumavel Dosepro

Treximet

RESPIRATORY, ALLERGY, ETC

Zecuity

ANTIHISTAMINES

Zembrace Symtouch

GENERIC

Zomig

carbinoxamine maleate

Zomig ZMT

cetirizine HCL

clemastine fumarate

GOUT AGENTS

cyproheptadine HCL

GENERIC

desloratadine

allopurinol

diphenhydramine HCL

probenecid

levocetirizine dihydrochloride

probenecid/colchicine

promethazine HCL

PREFERRED

promethazine HCL plain

Colcrys

Clemastine Fumarate

Uloric

Desloratadine Odt

NON PREFERRED

PREFERRED

Aloprim

Allegra Allergy Childrens

Colchicine

Dexchlorpheniramine Maleate

Krystexxa

NON PREFERRED

Mitigare

Brompheniramine

Zyloprim

Brompheniramine Tannate

Clarinex

LOCAL ANESTHETICS-INJ

Dicopanol Fusepaq

GENERIC

Karbinal ER

bupivacaine HCL

Phenergan

bupivacaine/epinephrine

Respa-BR

chloroprocaine HCL

Xyzal

lidocaine HCL

lidocaine/epinephrine

NASAL AGENTS

ropivacaine

GENERIC

ropivacaine HCL

azelastine HCL

Tetracaine HCL

budesonide

NON PREFERRED

flunisolide

Articadent Dental

fluticasone propionate

BD Pudendal/Local Block Tray 1% Lidocaine

ipratropium bromide

Carbocaine

mometasone furoate

Citanest Forte Dental

olopatadine HCL

Citanest Plain Dental

triamcinolone acetonide

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

PREFERRED

Dymista

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

NON PREFERRED

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH

Adrenalin

Astepro

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH

Atrovent

Bactroban Nasal

Exparel

Beconase AQ

Lidocaine HCL

Dermacinrx Azenase PAK

Lidocaine HCL/Dextrose

Dermacinrx Ticanase PAK

Marcaine

Flonase

Marcaine/Epinephrine

Nasonex

Marlido-25

Omnaris

Marnova Suik

Patanase

Mld Kit

Qnasl

Monoject Bone Marrow Biopsy Prepping Tray

Qnasl Childrens


32

Rhinocort Aqua albuterol sulfate

Ticaspray albuterol sulfate ER

Tyzine albuterol TAB 4MG

Tyzine Pediatric Nasal Drops aminophylline

Veramyst budesonide

Zetonna epinephrine HCL

ipratropium bromide

COUGH/COLD/ALLERGY ipratropium bromide/albuterol sulfate

levalbuterol

GENERIC

levalbuterol HCL

acetylcysteine

montelukast sodium

benzonatate

terbutaline sulfate

bromphen/pseudoephedrine HCL/dextromethorphan HBR

theophylline

hydrocodone bitartrate/chlorpheniramine maleate/PSE

theophylline CR

hydrocodone bitartrate/homatropine methylbromide

theophylline ER

hydrocodone polistirex/chlorpheniramine polistirex

zafirlukast

hydrocodone/homatropine

Cromolyn Sodium

phenylephrine/guaifenesin

PREFERRED

promethazine-DM

Advair Diskus

promethazine/codeine

Advair HFA

promethazine/dextromethorphan

Anoro Ellipta

promethazine/phenylephrine

Arnuity Ellipta

promethazine/phenylephrine/codeine

Breo Ellipta

sodium chloride

Combivent Respimat

Benzonatate

Elixophyllin

PREFERRED

Flovent Diskus

Dallergy

Flovent HFA

J-max

Foradil Aerolizer

Mucinex Maximum Strength

Incruse Ellipta

Promethazine/Phenylephrine

Metaproterenol Sulfate

NON PREFERRED

Proair HFA

Carbaphen 12

Proair Respiclick

Carbaphen 12 PED

Pulmicort Flexhaler

Clarinex-d 12 HOUR

Qvar

Codar AR

Serevent Diskus

Cpb Wc

Spiriva Handihaler

Decon-a

Spiriva Respimat

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Stiolto Respimat

Exactuss

Symbicort

Flowtuss

Tudorza Pressair

Gilphex TR

Ventolin HFA

Giltuss

Xolair

Giltuss PED-c

NON PREFERRED

Giltuss TR

Accolate

Hycofenix

Aerospan

Hyper-sal

Alvesco

Hypersal

Arcapta Neohaler

Nebusal

Asmanex HFA

Neotuss Plus

Asmanex Twisthaler 120 Metered Doses

Obredon


Panatuss Dxp


Pediatex TD


Relhist


Rescon-JR

Atrovent HFA

Rezira

Bevespi Aerosphere

Semprex-d

Brovana

Suttar-SF

Cinqair

Suttar-2

Daliresp

Tessalon Perles

Dulera

Tussicaps

Isuprel

Tussionex Pennkinetic Extended Release

Lufyllin

Tuzistra XR

Nucala

Vituz

Perforomist

Zonatuss

Proventil HFA

Zutripro

Pulmicort

Pulmophylline

ANTIASTHMATIC/COPD AGENTS

Singulair

GENERIC Striverdi Respimat

albuterol Theo-24

Theophylline/D5W


33

Utibron Neohaler Flucelvax 2015-2016

Vospire ER Flulaval Quadrivalent 2014-2015

Xopenex Flulaval Quadrivalent 2015-2016

Xopenex Concentrate Flulaval Quadrivalent 2016-2017

Xopenex HFA Flulaval 2014-2015

Zyflo Flumist Quadrivalent

Zyflo CR Fluvirin PF 2014-2015

Fluvirin PF 2016-2017

RESPIRATORY AGENTS - MISC Fluvirin 2014-2015

Fluvirin 2015-2016

PREFERRED

Fluvirin 2016-2017

Pulmozyme

Fluzone High-dose PF 2014-2015

NON PREFERRED


Aralast NP


Curosurf

Fluzone PF 2014-2015

Esbriet

Fluzone Quadrivalent 2014-2015

Glassia


Infasurf


Kalydeco

Fluzone Split 2014-2015

Ofev

Fluzone Split 2015-2016

Orkambi

Gardasil

Prolastin-c

Gardasil 9

Surfaxin

Havrix

Survanta Intratracheal

Hiberix

Zemaira

Imovax Rabies (h.d.c.v.)

Ipol Inactivated IPV

TOXOIDS

Ixiaro

M-m-r II

NON PREFERRED

Medical Provider EZ Flu Shot 2014-2015

Adacel

Medical Provider EZ Flu Shot 2015-2016

Boostrix

Medical Provider Single Use EZ Flu Shot

Daptacel

Menactra

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Menhibrix

Infanrix

Menomune-a/C/Y/W-135

Kinrix

Menveo

Pediarix

Pedvax HIB

Pentacel

Pneumovax 23

Quadracel

Pneumovax 23/1 Dose

Tenivac

Pneumovax 23/5 Dose

Tetanus Toxoid Adsorbed

Prevnar 13

Tetanus/Diphtheria Toxoids-adsorbed

Proquad

Tetanus/Diphtheria Toxoids-adsorbed Adult

Rabavert

Recombivax HB

VACCINES

Rotarix

Rotateq

NON PREFERRED

Trumenba

Acthib

Twinrix

Afluria PF 2014-2015

Typhim VI

Afluria PF 2015-2016

Vaqta

Afluria 2014-2015

Varivax

Afluria 2015-2016

Vivotif

Afluria 2016-2017

Yf-vax

Bcg Vaccine

Zostavax

Bexsero

Biothrax

Cervarix

VITAMINS

Comvax

VITAMINS

Engerix-b

GENERIC

Fluad 2016-2017

ascorbic acid

Fluarix Quadrivalent 2014-2015

ergocalciferol


phytonadione


thiamine HCL

Fluarix 2013-2014

vitamin c 222MG

Fluarix 2014-2015

vitamin d

Flublok 2013-2014

vitamin k1

Flublok 2014-2015

PREFERRED

Flublok 2015-2016

Mephyton

Flublok 2016-2017

Vitamin A

Flucelvax Quadrivalent 2016-2017

Flucelvax 2014-2015


34

NON PREFERRED Prenate Essential

Aquasol A Parenteral Prenate Star

Drisdol Provida OB

Niacin Right Step Prenatal

Pyridoxine HCL Select-OB

Vitamin K1 Stuart Prenatal

Wheat Germ Taron-bc

Taron-c DHA

MULTIVITAMINS Theranatal Core Nutrition

Tri-VI-flor

GENERIC

Tricare Prenatal Compleat

b-complex 100

Tricare Prenatal DHA One

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper

Vinacal B

PREFERRED

Vinate AZ Extra

Atabex EC

Vinate Calcium

Atabex Prenatal

Vinate DHA RF

Bal-care DHA

Vita-pren

Citranatal B-calm

Vitafol Gummies

Citranatal RX

Vitafol-nano

Clinical Nutrients Prenatal Formula

Vitamedmd Redichew RX

Concept DHA

Vitapearl

Concept OB

Viva DHA

Duet DHA Balanced

Your Life Multi Prenatal

Duet DHA 400

Zatean-pn

Duet DHA 400EC

Zatean-pn Plus

Duet DHA 430

Duet DHA 430EC

NON PREFERRED

Enbrace HR

Adrenal C Formula

Escavite

Albafort

Escavite D

Bacmin

Folcaps Omega 3

Citranatal Assure

Folivane-OB

Citranatal DHA

Healthy Mama Be Well Rounded

Citranatal Harmony

Marnatal-f

Citranatal 90 DHA

Mission Prenatal

Cod Liver Oil

Mteryti

Corvite

Mteryti Folic 5

Crnatal

Mykidz Iron Fl

Dialyvite Supreme D

Mynatal

Dialyvite 3000

Natachew

Dialyvite 5000

Natalvit

Dialyvite/Zinc

Natelle One

Diatx ZN

Neevo DHA

Floriva

Nestabs

Focalgin CA

Nestabs DHA

Focalgin 90 DHA

Newgen

Folet DHA

Niva-plus

Folet One

O-CAL Fa

Folgard OS

O-CAL Prenatal

Folivane-prx DHA NF

Obstetrix DHA

Fortavit

Obtrex

Gesticare DHA

Obtrex DHA

M.v.i. Adult

One A Day Womens Prenatal/DHA

M.v.i. Pediatric

One A Day Womens Prenatal1

M.v.i.-12 Without Vitamin K

One-a-day Womens Prenatal

Natalvirt CA

OB Complete

Natalvirt 90 DHA

OB Complete One

Nephplex RX

OB Complete Petite

Nephro-vite RX

OB Complete Premier

Nephrocaps

OB Complete/DHA

Nephrocaps QT

Poly-VI-flor

Nestabs Abc

Poly-VI-flor FS

Nexa Plus

Poly-VI-flor/Iron

Nicadan

Prefera OB

Nicazel

Prefera OB + DHA

Nicazel Forte

Prenata

Nicomide

Prenatal Vitamin

Nutricap

Prenatal Vitamins

Nutrivit

Prenate AM

Ocuvel

Prenate Elite

OB Complete Gold


35

Paire OB Accutrend Glucose

Preferaob +dha Active 1ST Blood Lancets 30G/Easy Twist CAP

Preferaob One Advocate Insulin Pen Needles 29GX12.7MM

Prefol-DHA Advocate Insulin Pen Needles 31GX5MM

Prenate Advocate Insulin Pen Needles 31GX8MM

Prenate DHA Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"

Prenate Enhance Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"

Prenate Mini Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"

Prenate Pixie Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"

Prenate Restore Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"

Preque 10 Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"

Protect Plus Advocate Insulin Syringe/U-100/1ML/29GX1/2"

Provida DHA Advocate Insulin Syringe/U-100/1ML/30GX5/16"

R-natal OB Advocate Insulin Syringe/U-100/1ML/31GX5/16"

Renatabs Advocate Lancets

Renatabs With Iron Advocate Lancets 30G

Req 49+ Advocate Safety Lancets

Select-ob+dha Advocate Safety Lancets 26G

Siderol Agamatrix Ultra-thin Lancets 33G

Strovite Forte Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"

Strovite One Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"

Supervite Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"

Supervite EC Assure Haemolance Plus High Flow 18G

Support-500 Assure Haemolance Plus Low Flow 25G

Synagex Assure Haemolance Plus Micro Flow 28G

Synatek Assure Haemolance Plus Normal Flow 21G

Texavite LQ Assure Haemolance Plus Pediatric Blade

Tricare Prenatal Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"

Triveen-duo DHA Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"

Triveen-prx RNF Assure Lance Lancets

TL G-FOL OS Assure Lance Lancets 21G

Udamin SP Assure Lance Plus Safety Lancets 25G

Vemavite-prx 2 Assure Lance Plus Safety Lancets 30G

Vitafol Assure Lancets

Vitafol Fe+ Aurora Lancet Super Thin 30G

Vitafol Ultra Aurora Lancet Thin 23G

Vitafol-ob+dha Aurora Pen Needles 29GX12MM

Vitafol-one Aurora Pen Needles 31G X 6MM

Vital-d RX Aurora Pen Needles 31G X 8MM

Vitamedmd One RX/Quatrefolic Autolet Platforms

Vitamedmd Plus RX/Quatre Folic AF Lancets Super Thin

Vitaroca Plus AT Last Lancets

Vitatrue B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"

Zatean-pn DHA B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"

Zatean-CH B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"

MEDICAL DEVICES B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"

DIABETIC SUPPLIES

Bayer Microlet Lancets

PREFERRED

Bullseye Safety Lancets

Accu-chek Active Strips

BD Autoshield Duo 30G X 3/16"

Accu-chek Aviva

BD Autoshield 29G X 3/16"

Accu-chek Aviva Connect

BD Autoshield 29G X 5/16"

Accu-chek Aviva Plus

BD Insulin Syringe LUER-LOK/U-100/1ML

Accu-chek Comfort Curve Test Strips

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"

Accu-chek Compact Plus

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"

Accu-chek Compact Plus Care Kit

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"

Accu-chek Compact Test Drum

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"

Accu-chek Fastclix Lancetdevice Kit

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"

Accu-chek Fastclix Lancets

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"

Accu-chek Multiclix Lanc Et Device Kit

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"

Accu-chek Multiclix Lancets

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"

Accu-chek Nano Smartview

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"

Accu-chek Safe-t-pro Lancets

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"

Accu-chek Safe-t-pro Pluslancets

BD Insulin Syringe Safetyglide/1ML/29G X 1/2"

Accu-chek Smartview Strips

BD Insulin Syringe Slip Tip/U-100/1ML

Accu-chek Soft Touch Lancets

BD Insulin Syringe U-40/1ML/25G X 5/8"

Accu-chek Softclix Lancetdevice Kit

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"

Accu-chek Softclix Lancets

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"

Accu-chek Voicemate

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"


36

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2"

BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2"

Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"









Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"





BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 29GX12MM

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 31GX5MM




BD Insulin Syringe Ultrafine/1ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 32GX8MM

BD Insulin Syringe Ultrafine/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 33GX4MM

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"

Clever Choice Comfort EZ Pen Needles 33GX5MM


BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"


Coaguchek Lancets

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"

BD Insulin Syringe/U-100/0.5ML/30G X 1/2"


BD Insulin Syringe/U-100/1ML/27G X 1/2"




BD Insulin Syringe/U-100/2ML/27.5G X 5/8"



Comfort Assist Insulin Syringe/1ML/29G X 1/2"

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"


BD Integra Syringe/Retracting Needle/1ML/25G X 1"


BD Lancet Ultrafine 30G

Comfort Lancets

BD Lancet Ultrafine 33G

Diastar Easy Test II Lancets 30G

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

Diastar Easy Test Lancets30G

Droplet Lancets Ultra Thin 30G

BD Microtainer Lancets

Droplet Pen Needles 29GX12MM

BD Pen Needle/Mini/Ultrafine/31G X 3/16"


BD Pen Needle/Nano/Ultra Fine/32G X 4MM


BD Pen Needle/SHORT/Ultrafine/31G X 5/16"


BD Pen Needle/Ultrafine/29G X 12.7MM


BD Pen Needle/Ultrafine/29GX1/2" 12.7MM


BD Pen Needles SHORT/Ultrafine/31G X 5/16"

Drug Mart On-the-go Lancets Gentle 30G

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"

Drug Mart Unilet Lancets Super Thin 30G

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"

Drug Mart Unilet Lancets Ultra Thin 28G

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16" Duane Reade Unifine Pentips 29G X 12MM

BD-insul SYR Mis LO Dose Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

Carefine Pen Needle 32GX4MM Duane Reade Unifine Pentips 31G X 8MM SHORT

Carefine Pen Needles 29GX1/2" E-z Ject Lancets

Carefine Pen Needles 30GX5/16" E-z Ject Lancets Color

Carefine Pen Needles 31GX6MM E-z Ject Lancets Super Thin

Carefine Pen Needles 31GX8MM E-z Ject Lancets Super Thin 30G

Careone Lancet Thin E-z Ject Lancets Thin 26G

Careone Lancet Ultra Thin E-z Ject Lancets 21G

Cleanlet Lancets 28G E-ZJECT Lancets Micro-thin 33G

Clever Chek Lancets Ultrathin Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"

Clever Chek Lancets Ultrathin 30G Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2"

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16"

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"

Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16"


Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"


Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"


Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"


Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"








37

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2" Fifty50 Pen Needles/31GX8MM

Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2" Fifty50 Pen Needles/32GX4MM

Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2" Fifty50 Safety Seal Lancets 30G

Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2" Fifty50 Safety Seal Lancets 32G

Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16" Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"

Easy Touch Insulin Syringe/0.3ML/30G X 5/16"

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"



Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"


Fifty50 Unilet Lancets 33G

Easy Touch Insulin Syringe/1ML/30G X 5/16"

Fine 30

Easy Touch Lancets 21G/Pressure Activated

Fingerstix Lancets


Fora Lancets


Freestyle Lancets

Easy Touch Lancets 26G/Pull-top

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"

Easy Touch Lancets 26G/Twist


Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"



Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"

Easy Touch Lancets 30G/Button-activated

Easy Touch Lancets 30G/Pressure Activated Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"


Freestyle Unistick II Lancets


Gentle-let GP Lancets


Gentle-let Lancets General Purpose Style/Fine Point


Gentle-let Lancets General Purpose Style/Medium Point


Gentle-let Lancets Safety Style/Fine Point


Gentle-let Lancets Safety Style/Medium Point

Easy Touch Pen Needles 29GX1/2"

Gentle-let Platforms 2.4MM


Gentle-let Platforms 3.0MM


Glucocom Lancets 28G



Easy Touch Pen Needles/31G X 3/16"


Easy Touch Safety Lancets21G/Pressure Activated

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"



Easy Touch Safety Lancets26G/Button Activated




Easy Touch Safety Lancets28G/Button Activated




Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"





Glucosource Lancets

Gmate Lancets 30G

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"

H&h Thinlet Lancets 26G

Easy Twist & CAP Lancets

H&h Thinlet Super Thin Lancets 30G

Easytest II Lancets

H-e-b Incontrol Pen Needles 29GX12MM

Easytest Lancets

H-e-b IN Control Pen Needles 31GX6MM

Embrace Lancets Ultra Thin 30G

H-e-b IN Control Pen Needles 31GX8MM

Eql SHORT Pen Needles 31G X 8MM

H-e-b IN Control Unifine Pentips Plus 32GX4MM

Eql Ultra SHORT Pen Needles 31G X 6MM

Haemolance

Excel Comfort Point Insulin Pen Needles 31G X 4MM

Haemolance Low Flow Lancets

Exel Comfort Point Insulin Pen Needles 29G X 12MM

Haemolance Plus


Haemolance Plus High Flow


Haemolance Plus Low Flow

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"

Haemolance Plus Max Flow


Haemolance Plus Pediatric Flow


Healthwise Mini Pen Needles 31GX6MM


Healthwise Pen Needles 29GX12MM


Healthwise SHORT Pen Needles 31GX8MM

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"

Hy-vee Lancets


Insulin Syringe/U-100/0.3ML/29G X 1/2"



EZ Smart Blood Glucose Lancets


EZ-lets Lancets 21G

Insulin Syringe/U-100/1ML/28G X 1/2"

EZ-lets Lancets 23G


EZ-lets Lancets 26G Super-soft


EZ-lets Lancets 28G Ultra-soft


EZ-lets Lancets 30G

Insulin Syringe/0.3ML/29G X 1/2"

Fifty50 Pen Needles 31G X3/16" (5MM)

Insulin Syringe/0.3ML/29G X 1"

Fifty50 Pen Needles 31G X5/16" (8MM)


Fifty50 Pen Needles 31GX5MM



38

Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"

Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets

Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G

Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets

Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G

Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G

Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM

Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G

Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max

Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G

Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G

Insupen Ultrafin 29GX12MM Medlance/Extra

Insupen Ultrafin 30GX8MM Medlance/Lite

Insupen Ultrafin 31GX6MM Medlance/Universal

Insupen Ultrafin 31GX8MM Meijer Lancets Universal 30G

IN Touch Sterile Lancets 30G Meijer Super Thin Lancets

Lancet Transporter Case Microlet Lancets

Lancets Microtainer Safety Flow Lancet/Sterile/Single-use

Lancets Bullseye Safety Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"

Lancets Safety Seal 26G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

Lancets Safety Seal 28G Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"

Lancets Safety Seal 30G

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"

Lancets Thin

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"

Lancets Twist Top

Lancets Ultra Fine

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"

Lancets Ultra Thin

Lancets 26G Twist Top

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"

Lancets 28G

Lancets 30G

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"


Lancets 30G/Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"


Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"

Lancets 33G Universal Design

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"

Leader Unifine Pentips Plus/Mini/31GX3/16"


Leader Unifine Pentips Plus/SHORT/31GX5/16"


Leader Unifine Pentips/Mini/31GX3/16"

Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Leader Unifine Pentips/Nano/32GX5/32"

Monoject Insulin Syringe/U-100/1ML/30G X 5/16"

Leader Unifine Pentips/Plus/32GX5/32"

Monoject Insulin Syringe/1ML

Liberty Medical Lancets 30G

Monoject Insulin Syringe/1ML/31G X 5/16"

Lifescan Unistik II Lancets

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"

Lifescan Unistik 2 Deep Penetration


Lite Touch Pen Needles/31G X 3/16"


Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"


Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"


Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"





Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"

Litetouch Insulin Syringe/0.3ML/29G X 1/2"





Monojector End CAPS


Monojector Opd End CAPS


Monolet Lancets

Litetouch Insulin Syringe/1ML/30G X 5/16"

Monolet Opd Lancets

Litetouch Lancets Micro Thin 33G

Monolettor Safety Lancets

Litetouch Pen Needles 29GX12.7MM

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Litetouch Pen Needles 31G X 6MM

Litetouch Pen Needles 31GX8MM SHORT

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Live Better Lancet Super Thin 30G

Live Better Lancet Ultra Thin 28G

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Live Better Pen Needles 29G X 12MM


Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"


Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2" Myglucohealth Mgh Softlance Lancets 30G

Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16" Netgroup Lancets

Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2" Nova Safety Lancets 23G

Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16" Nova Safety Lancets 28G

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2" Nova Sureflex Lancets

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16" Novofine Plus 32GX4MM

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2" On Call Lancets


39

On Call Plus Lancets Pss Select GP Lancets

Onetouch Club Lancets Fine Point Pss Select Platforms

Onetouch Combo Pack Pss Select Safety Lancets

Onetouch Delica Lancets Extra Fine 33G Px Lancets Ultra Thin

Onetouch Delica Lancets Fine 30G PC Unifine Pentips 29G X 1/2"

Onetouch Finepoint Lancets PC Unifine Pentips 31G X 6MM Ultra SHORT

Onetouch Lancets PC Unifine Pentips 31G X 8MM SHORT

Onetouch Suresoft Lancing Device/18G Qc Lancets Super Thin

Onetouch Suresoft Lancing Device/21G Qc Lancets Ultra Thin

Onetouch Suresoft Lancing Device/28G Qc Pen Needles 29G X 12MM

Onetouch Ultra Blue Qc Pen Needles 31G X 6MM

Onetouch Ultra Mini Qc Pen Needles 31G X 8MM

Onetouch Ultra 2 Relion Insulin Syringe/U -100/0.5ML/29G

Onetouch Ultralink System (hex) Relion Insulin Syringe/U-00/1ML/29G X 1/2"

Onetouch Ultralink System (DEC) Relion Insulin Syringe/U-100/0.3ML/29G

Onetouch Ultrasoft Lancets Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"

Onetouch Verio Relion Insulin Syringe/U-100/0.3ML/30G

Onetouch Verio IQ Blood Glucose Monitoring System Relion Insulin Syringe/U-100/0.3ML/30G X 5/16"

Onetouch Verio Sync Bloodglucose Monitoring System Relion Insulin Syringe/U-100/0.3ML/31G X 5/16"

Onetouch Verio Test Strips Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"

Pen Needles 29G X 12MM Relion Insulin Syringe/U-100/0.5ML/30G

Pen Needles 29GX1/2" Relion Insulin Syringe/U-100/0.5ML/30G X 5/16"

Pen Needles 30GX5/16" Relion Insulin Syringe/U-100/0.5ML/31G X 5/16"

Pen Needles 31G X 1/4" SHORT Relion Insulin Syringe/U-100/1ML/30G

Pen Needles 31G X 3/16" Relion Insulin Syringe/U-100/1ML/30G X 5/16"

Pen Needles 31G X 5MM Relion Insulin Syringe/U-100/1ML/31G X 5/16"

Pen Needles 31G X 6MM Relion Lancets Micro-thin33G

Pen Needles 31GX5/16" Relion Lancets Standard 21G

Pen Needles 31GX6MM (1/4") Relion Lancets Thin 26G

Pen Needles 31GX8MM Relion Lancets Ultra-thin30G

Pen Needles 31GX8MM (5/16") Relion Mini Pen Needles 31GX6MM

Pen Needles 32GX4MM Relion Pen Needles 29GX12MM

Penlet II Replacement CAPS Relion Pen Needles 31GX6MM

Penlet II Replacement CAPS-deep Relion Pen Needles 31GX8MM

Penlet II Replacement CAPS-regular Relion Pen Needles 32GX4MM

Pentips 29GX12MM Relion SHORT Pen Needles 31GX8MM

Pentips 31GX5MM Relion Thin Lancets

Pentips 31GX6MM Relion Ultra Thin Lancets

Pentips 31GX8MM Relion Ultra Thin Lancets30G

Pentips 32GX4MM Relion Ultra Thin Plus Lancets 32G

Perfect Lancets 30G Relion Ultra Thin Plus Lancets 33G

Perfect Pressure Activated Safety Lancets 28G Renew Advanced Lancing Cartridge Refills

Pharmacist Choice Ultra Thin Lancets Rexall Lancets Ultra Thin

Pharmacist Choice Ultra Thin Lancets 28G Rightest Gl300 Lancets

Pharmacist Choice Ultra Thin Lancets 30G Rightest GD-L500 Alternate Site Adapter

Pharmacist Choice Ultra Thin Lancets 31G Safe-t-lance Low Flow 25G

Pharmacist Choice Ultra Thin Lancets 33G Safe-t-lance Normal Flow 21G

Pharmacy Counter Lancets Safe-t-lance Plus Safety Lancet High Flow

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16" Safe-t-lance Plus Safety Lancet Low Flow

Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2" Safe-t-lance Plus Safety Lancet Normal Flow

Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2" Safesnap Insulin Syringe/0.3ML/30G X 5/16"

Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Safesnap Insulin Syringe/0.5ML/29G X 1/2"

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2" Safesnap Insulin Syringe/0.5ML/30G X 5/16"

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"

Safesnap Insulin Syringe/1ML/28G X 1/2"

Safesnap Insulin Syringe/1ML/29G X 1/2"

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"

Safety Lancet 21G/Pressure Activated

Precision Thin Lancets

Safety Lancet 28G/Pressure Activated

Precision Thins GP Lancet

Safety Lancets

Precision Ultra Lancet

Safety Lancets 21G

Preferred Plus Unifine Pentips 29G X 12MM

Safety Lancets 28G

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Safety Let Lancets

Preferred Plus Unifine Pentips 31G X 8MM SHORT

Safety Seal Lancets 28G

Prodigy Insulin Mini Pen Needles/31G X 3/16"

Safety Seal Lancets 30G

Prodigy Insulin Pen Needles/29G X 1/2"

Safety-glide Insulin Syringe/0.3ML/29G X 1/2"

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"

Shopko On-the-go Comfort Lancets 30G

Prodigy Insulin Syringe/1/2ML/31G X 5/16"

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM

Prodigy Insulin Syringe/1ML/28G X 1/2"

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM

Prodigy Insulin SHORT Penneedles/31G X 5/16"

Shopko Unifine Pentips Pen Needles/Original/29GX12MM

Prodigy Pressure Activated Safety Lancets

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM

Prodigy Safety Lancets

Prodigy Twist Top Lancets


40

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM

Thinpro Insulin Syringe/0.5ML/30G X 3/8"


Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM

Thinpro Insulin Syringe/1ML/28G X 1/2"


Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM



Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"


Shopko Unilet Lancets Super Thin 30G


Shopko Unilet Lancets Ultra Thin 28G


Single-let


Smart Diabetes Vantage Universal Lancets 30G


Smart Sense Color Lancets Universal 33G


Smart Sense Standard Lancets Universal 21G

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"

Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G


Smartest Lancets 28G


Solus V2 Pressure Activated Safety Lancets 28G

Trueplus Lancets 26G

Solus V2 Twist Lancets 30G


Sterilance PA

Trueplus Lancets 28G Super Thin

Sterilance TL


Sure-fine Pen Needles 29GX1/2" 12.7MM

Trueplus Lancets 30G Ultra Thin

Sure-fine Pen Needles 31GX3/16" 5MM


Sure-fine Pen Needles 31GX5/16" 8MM

Trueplus Lancets 33G Micro Thin

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Trueplus Safety Lancets 28G


Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"


Ulticare Insulin Safety Syringe/1ML/29G X 1/2"


Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"


Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"


Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"


Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"







Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"

Sure-lance Flat Lancets

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"

Sure-lance Lancets 26G

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"

Sure-lance Thin Lancets 28G


Sure-lance Ultra Thin Lancets


Sure-touch Lancets Universal


Surelite Lancets


Techlite AST Lancets


Techlite Lancets


Techlite Lancets 30G


Techlite Pen Needles/31G X 5MM

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"

Techlite Pen Needles/31G X 6 MM







Ulticare Insulin Syringe/0.3ML/29G X 1/2"

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2"






Terumo Insulin Syringe/U-100/1ML/28G X 1/2"


Terumo Insulin Syringe/0.3ML/30G X 3/8"





Ulticare Insulin Syringe/1ML/28G X 1/2"

Terumo Insulin Syringe/1ML/27G X 1/2"






Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2"

Ulticare Micro Pen Needles 31G X 8MM


Ulticare Micro Pen Needles 32G X 4MM


Ulticare Micro Pen Needles/31G X 8MM

Terumo Surguard Insulin Syringe/1ML/28G X 1/2"

Ulticare Micro Pen Needles/32G X 4MM

Terumo Surguard Insulin Syringe/1ML/29G X 1/2"

Ulticare Mini Pen Needles Ulti-fine IV

Thinlets GP Lancets

Ulticare Mini Pen Needles 31GX6MM

Thinlets Lancet

Ulticare Mini Pen Needles/31G X 6MM


Ulticare Mini Pen Needles31GX6MM


Ulticare Original Pen Needles Ulti-fine


Ulticare Pen Needles/29G X 12.7MM


Ulticare SHORT Pen Needles Ulti-fine IV



41

Ulticare SHORT Pen Needles 31GX8MM Unistik Touch Safety Lancets 23G

Ulticare SHORT Pen Needles/31G X 8MM Unistik Touch Safety Lancets 28G

Ulticare Thin Lancets 30G Unistik Touch Safety Lancets 30G

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4" Unistik 1

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4" Unistik 2

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4" Unistik 2 Comfort

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4" Unistik 2 Extra

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Unistik 2 Neonatal

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Unistik 2 Normal

Ultilet Classic Lancets Unistik 2 Super

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3

Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Comfort

Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Unistik 3 Extra

Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Unistik 3 Extra Single Use Safety Lancets/21G

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Unistik 3 Gentle

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Unistik 3 Neonatal

Ultilet Lancets Unistik 3 Normal

Ultilet Lancets 33G Universal 1 Lancets Thin 26G

Ultilet Pen Needle 32GX4MM/SHORT Universal 1 Lancets Ultra Thin 30G

Ultilet Safety Lancets 23G V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultilet SHORT Pen Needles 31GX5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Ultilet SHORT Pen Needles31GX3/16" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Ultra-thin II Auto Lancet V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Valumark Lancet Super Thin 30G


Valumark Lancet Ultra Thin 28G

Valumark Pen Needles 29GX12MM


Valumark Pen Needles 31G X 6MM

Valumark Pen Needles 31G X 8MM


Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"

Vanishpoint Insulin Syringe/1ML/29G X 1/2"

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"

Vida Mia Unifine Pentips Mini 31GX6MM

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"

Vida Mia Unifine Pentips Original 29GX12MM

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"

Vida Mia Unifine Pentips 32GX4MM

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"

Vida Mia Unilet Lancets Super Thin 30G

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"

Vida Mia Unilet Lancets Ultra Thin 28G

Ultra-thin II Lancets 28G

Vida Mia Unipfine Pentipsshort 31GX8MM

Ultra-thin II Lancets 30G

Vitalet Pro Lancets

Ultra-thin II Mini Pen Neeedles/31GX3/16"

Vitalet Pro Plus Lancets

Ultra-thin II Pen Needles 29GX1/2"

W&f Lancets Colored 21G

Ultra-thin II Pen Needles/SHORT/31GX5/16"

W&f Lancets 26G

Ultra-thin II Safety Autolancets 26G

Walgreens Lancets

Ultralance

Walgreens Thin Lancets

Unifine Pentips Plus 29GX12MM

Walgreens Ultra Thin Lancets


1ST Choice Lancets Super Thin


1ST Choice Lancets Thin


1ST Choice Lancets Ultra Thin

Unifine Pentips 29GX12MM

1ST Tier Unifine Pentips 29GX12MM

Unifine Pentips 31G X 3/16"


Unifine Pentips 31G X 6MM


Unifine Pentips 31G X 8MM


MEDICAL DEVICES - MISC


PREFERRED


Aerochamber Mini Aerosol Chamber


Aerochamber MV

Unilet Comfortouch Lancet

Aerochamber Plus Flow VU

Unilet Excelite

Aerochamber Plus Flow-VU

Unilet Excelite II

Aerochamber Plus Flow-VU/Large Mask

Unilet G.p. Lancet

Aerochamber Plus Flow-VU/Mask

Unilet G.p. Superlite Lancet

Aerochamber Plus Flow-VU/Medium Mask

Unilet GP 28 Ultra Thin

Aerochamber Plus Flow-VU/Small Mask

Unilet Lancet

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU

Unilet Lancets Micro-thin33G

Unilet Lancets Super-thin30G

Aerochamber Z-stat Plus/Flowsignal

Unilet Lancets Ultra-thin 28G

Aerochamber Z-stat Plus/Large Mask

Unilet Superlite Lancet

Aerochamber Z-stat Plus/Medium Mask

Unistik CZT Comfort

Aerochamber Z-stat Plus/Small Mask

Unistik CZT Normal

Aerochamber/Flowsignal

Unistik Safety Lancets 28G

Aerovent Plus Holding Chamber/Collapsible

Unistik Safety Lancets 30G

Unistik Touch Safety Lancets 21G


42

Arial Chamber NON PREFERRED

Breatherite Chemet

Breatherite Collapsible Adult Spacer W/Mask Exjade

Breatherite Collapsible Child Spacer W/Mask Ferriprox

Breatherite Collapsible Infant Spacer W/Mask Jadenu

Breatherite Collapsible Small Child Spacer W/Mask Pentetate Calcium Trisodium

Breatherite Collapsible Spacer W/ Neonate Mask Pentetate Zinc Trisodium

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

Compact Space Chamber/Anti-static

Compact Space Chamber/Anti-static/Large Mask

Compact Space Chamber/Anti-static/Medium Mask

Compact Space Chamber/Anti-static/Small Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Flexichamber Adult Mask/Small

Flexichamber Child Mask/Large

Flexichamber Child Mask/Small

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Large

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/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 Advantage/Large Mask

Optichamber Advantage/Medium Face Mask

Optichamber Advantage/Small Face Mask

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optichamber Face Mask/Large

Optichamber Face Mask/Medium

Optichamber Face Mask/Small

Optihaler

Optihaler MDI Drug Delivery System

Panda Mask Large

Panda Mask Medium

Panda Mask Small

Pediatric Panda Mask

Pocket Chamber

Pocket Spacer

Riteflo

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

Effective July 1, 2016 v.4 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.

43

Index

A

Actimmune, 6 Advocate Insulin Syringe/U-100/1ML/29GX1/2", 36

Actiq, 30

A.a.g.c. Kit IN Teroderm, 11

Activase, 23 Advocate Insulin Syringe/U-100/1ML/30GX5/16", 36

abacavir, 3

Active 1ST Blood Lancets 30G/Easy Twist CAP, 36

abacavir sulfate/lamivudine/zidovudine, 3

Advocate Insulin Syringe/U-100/1ML/31GX5/16", 36

Abaneu-SL, 21

Activella, 15

Abelcet, 2

Actonel, 17 Advocate Lancets, 36

Abilify, 24

Actoplus Met, 17 Advocate Lancets 30G, 36

Abilify Discmelt, 24

Actoplus Met XR, 17 Advocate Safety Lancets, 36

Abilify Maintena, 24

Actos, 17 Advocate Safety Lancets 26G, 36

Abraxane, 6

Acuicyn Daily Eyelid & Eyelash Cleanser, 13

Adzenys XR-odt, 25

Absorica, 11

Aerochamber Mini Aerosol Chamber, 42

Abstral, 30

Acular, 29 Aerochamber MV, 42

acamprosate calcium DR, 26

Acular LS, 29 Aerochamber Plus Flow VU, 42

Acanya, 11

Acuvail, 29 Aerochamber Plus Flow-VU, 42

acarbose, 17

acyclovir, 3, 12 Aerochamber Plus Flow-VU/Large Mask, 42

Accolate, 33

acyclovir sodium, 3

Accu-chek Active Strips, 36

Acyclovir Sodium, 3 Aerochamber Plus Flow-VU/Mask, 42

Accu-chek Aviva, 36

Aczone, 11 Aerochamber Plus Flow-VU/Medium Mask, 42

Accu-chek Aviva Connect, 36

Adacel, 34

Accu-chek Aviva Plus, 36

Adalat CC, 8 Aerochamber Plus Flow-VU/Small Mask, 42

Accu-chek Comfort Curve Test Strips, 36

adapalene, 10

Accu-chek Compact Plus, 36

Adapalene, 11 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 42

Accu-chek Compact Plus Care Kit, 36

adapalene P.M., 10

Accu-chek Compact Test Drum, 36

Adasuve, 24 Aerochamber Z-stat Plus/Flowsignal, 42

Accu-chek Fastclix Lancetdevice Kit, 36

Adcetris, 5 Aerochamber Z-stat Plus/Large Mask, 42

Accu-chek Fastclix Lancets, 36

Adcirca, 10 Aerochamber Z-stat Plus/Medium Mask, 42

Accu-chek Multiclix Lanc Et Device Kit, 36

Adderall, 25

Adderall XR, 25 Aerochamber Z-stat Plus/Small Mask, 42

Accu-chek Multiclix Lancets, 36

Addyi, 27 Aerochamber/Flowsignal, 42

Accu-chek Nano Smartview, 36

adefovir dipivoxil, 3 Aerospan, 33

Accu-chek Safe-t-pro Lancets, 36

Adempas, 10 Aerovent Plus Holding Chamber/Collapsible, 42

Accu-chek Safe-t-pro Pluslancets, 36

Adenocard, 8

Accu-chek Smartview Strips, 36

adenosine, 8 AF Lancets Super Thin, 36

Accu-chek Soft Touch Lancets, 36

Adoxa, 2 Afinitor, 6

Accu-chek Softclix Lancetdevice Kit, 36

Adoxa PAK 1/100, 2 Afinitor Disperz, 6

Accu-chek Softclix Lancets, 36

Adoxa PAK 1/150, 2 Afluria 2014-2015, 34

Accu-chek Voicemate, 36

Adoxa PAK 2/100, 2 Afluria 2015-2016, 34

Accucaine, 13

Adrenaclick, 10 Afluria 2016-2017, 34

Accupril, 8

Adrenal C Formula, 35 Afluria PF 2014-2015, 34

Accuretic, 9

Adrenalin, 10, 32 Afluria PF 2015-2016, 34

Accutrend Glucose, 36

Adriamycin, 5 Afrezza, 16

acebutolol HCL, 7

Advair Diskus, 33 Agamatrix Ultra-thin Lancets 33G, 36

Aceon, 8

Advair HFA, 33 Aggrastat, 23

acetaminophen/caffeine/dihydrocodeine, 30

Advanced Allergy Collection Kit, 13 Aggrenox, 23

Advate, 22 Agrylin, 23

acetaminophen/codeine, 30

Advicor, 10 Akne-mycin, 11

acetaminophen/codeine #2, 30

Advocate Insulin Pen Needles 29GX12.7MM, 36

Akovaz, 10


Akten, 29


Advocate Insulin Pen Needles 31GX5MM, 36

Akynzeo, 20

acetaminophen/codeine phosphate, 30

Ala Scalp, 13

acetazolamide, 9

Advocate Insulin Pen Needles 31GX8MM, 36

Ala-quin, 12

Acetazolamide, 9

Albafort, 21, 35

acetazolamide ER, 9

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 36

Albenza, 4

acetazolamide sodium, 9

albuterol, 33

acetic acid, 29


albuterol sulfate, 33

Acetic Acid/Aluminum Acetate, 29

albuterol sulfate ER, 33

acetylcysteine, 33


albuterol TAB 4MG, 33

Aciphex, 19

Alcaine, 29

Aciphex Sprinkle, 19


alclometasone dipropionate, 12

acitretin, 12

Aldactazide, 9

Aclovate, 13


Aldactone, 9

Actemra, 31

Aldara, 13

Acthib, 34


Aldurazyme, 18

Acticlate, 2

Alecensa, 6

Actigall, 20

alendronate sodium, 17

amlodipine besylate/valsartan, 9 Apriso, 20

Alendronate Sodium, 17

amlodipine/valsartan/hctz, 9 Aptensio XR, 25

Alevicyn Antipruritic SG, 13

ammonium lactate, 13 Aptiom, 26

Alfenta, 30

Ammonul, 18 Aptivus, 3

alfentanil, 30

Amoxapine, 24 Aquasol A Parenteral, 35

Alferon N, 6

amoxicillin, 1 Aquoral, 23

alfuzosin HCL ER, 21

Amoxicillin, 1 Aralast NP, 34

Alimta, 5

Amoxicillin ER, 1 Aralen, 3

Alinia, 4

amoxicillin/clavulanate potassium, 1 Aranesp Albumin Free, 21

Alkeran, 4

Amoxicillin/Clavulanate Potassium, 1 Arava, 31

Allegra Allergy Childrens, 32

amoxicillin/clavulanate potassium ER, 1 Arcalyst, 31

Allo-pax, 12

amphetamine/dextroamphetamine, 25 Arcapta Neohaler, 33

allopurinol, 32

Amphotec, 2 argatroban, 22

Allzital, 29

Amphotericin B, 2 Argatroban, 22

almotriptan, 31

ampicillin, 1 Arial Chamber, 43

almotriptan malate, 31

Ampicillin, 1 Aricept, 27

Alocril, 29

ampicillin sodium, 1 Aricept Odt, 27

Alodox Convenience Kit, 2

Ampicillin Sodium, 1 Arimidex, 5

Alogliptin, 17

ampicillin-sulbactam, 1 aripiprazole, 24

Alogliptin/Metformin HCL, 17

Ampicillin-sulbactam, 1 aripiprazole odt, 24

Alogliptin/Pioglitazone, 17

Ampyra, 27 Aristada, 24

Alomide, 29

Amrix, 27 Aristospan Intra-articular, 15

Aloprim, 32

Amturnide, 9 Arixtra, 22

Alora, 15

Amytal Sodium, 25 armodafinil, 25

alosetron hydrochloride, 20

Anacaine, 13 Armodafinil, 25

Aloxi, 20

Anadrol-50, 15 Armour Thyroid, 19

Alphagan P, 29

Anafranil, 24 Arnica Flower, 13

Alphanate/Von Willebrand Factor Complex/Human, 22

anagrelide hydrochloride, 22 Arnuity Ellipta, 33

Analpram Advanced, 20 Aromasin, 5

Alphanine SD, 23

Analpram-HC, 20 Arranon, 5

alprazolam, 23

Analpram-HC Singles, 20 Arthrotec 50, 31

alprazolam ER, 23

Anaprox DS, 31 Arthrotec 75, 31

Alprazolam Intensol, 23

Anaspaz, 19 Articadent Dental, 32

alprazolam odt, 23

anastrozole, 5 Artiss, 22

Alrex, 28

Ancef, 1 Arzerra, 5

Alsuma, 31

Ancobon, 2 Asacol HD, 20

Altabax, 11

Androderm, 15 ascorbic acid, 34

Altace, 8

Androgel, 15 Asmanex HFA, 33

Altoprev, 10

Androgel P.M., 15 Asmanex Twisthaler 120 Metered Doses, 33

Aluvea, 13

Android, 15

Alvesco, 33

Androxy, 15 Asmanex Twisthaler 14 Metered Doses, 33

amantadine HCL, 26

Anectine, 27

Amantadine HCL, 26

Angeliq, 15 Asmanex Twisthaler 30 Metered Doses, 33

Amaryl, 17

Angiomax, 22

Ambien, 25

Animi-3, 21 Asmanex Twisthaler 60 Metered Doses, 33

Ambien CR, 25

Animi-3/Vitamin D, 21

Ambisome, 2

Anoro Ellipta, 33 Asmanex Twisthaler 7 Metered Doses, 33

Amcinonide, 13

Antabuse, 27

Amerge, 31

Antara, 10 Aspirin-caffeine-dihydrocodeine, 30

Amicar, 22

Anthralin, 12 Aspirin/Dipyridamole, 22

amifostine, 7

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 36

Assure Haemolance Plus High Flow 18G, 36

amikacin sulfate, 2

amiloride HCL, 9

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 36

Assure Haemolance Plus Low Flow 25G, 36

amiloride/hydrochlorothiazide, 9

aminocaproic acid, 22

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 36

Assure Haemolance Plus Micro Flow 28G, 36

Aminocaproic Acid, 22

aminophylline, 33

antipyrine/benzocaine, 29 Assure Haemolance Plus Normal Flow 21G, 36

amiodarone HCL, 8

Antipyrine/Benzocaine, 29

Amiodarone HCL, 8

Anusol-HC, 20 Assure Haemolance Plus Pediatric Blade, 36

amiodarone hydrochloride, 8

Anzemet, 20

Amitiza, 20

Apidra, 16 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 36

amitriptyline HCL, 24

Apidra Solostar, 16

amlodipine besylate, 7

Aplenzin, 24 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 36

amlodipine besylate/atorvastatin calcium, 10

Apokyn, 26

Appbutamone, 24 Assure Lance Lancets, 36

amlodipine besylate/benazepril HCL, 9

Appformin, 17 Assure Lance Lancets 21G, 36

amlodipine besylate/benazepril hydrochloride, 9

Appformin-d, 17 Assure Lance Plus Safety Lancets 25G, 36

apraclonidine, 29

Assure Lance Plus Safety Lancets 30G, 36

Axiron, 15 5ML/28G X 1/2", 36

Aygestin, 16 BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36

Assure Lancets, 36

azacitidine, 5

Astagraf XL, 6

Azactam, 4 BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36

Astepro, 32

Azactam IN Iso-osmotic Dextrose, 4

Astero, 14

Azasan, 6 BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 36

Astringyn, 22

Azasite, 28

AT Last Lancets, 36

azathioprine, 5 BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36

Atabex EC, 35

Azathioprine, 5

Atabex Prenatal, 35

azelastine HCL, 29, 32 BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36

Atacand, 8

Azelex, 11

Atacand HCT, 9

Azilect, 26 BD Insulin Syringe Slip Tip/U-100/1ML, 36

Atelvia, 17

azithromycin, 1

atenolol, 7

Azithromycin, 1 BD Insulin Syringe U-40/1ML/25G X 5/8", 36

atenolol/chlorthalidone, 9

Azopt, 29

Atgam, 6

Azor, 9 BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 36

Ativan, 23

aztreonam, 4

Atopiclair, 14

Azulfidine, 20 BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 36

atorvastatin calcium, 10

Azulfidine EN-TABS, 20

atovaquone, 4

B BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36

atovaquone/proguanil HCL, 3

B-12 Kit, 21

atracurium besylate, 27

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 37

B-6 Folic Acid, 21

Atralin, 11

b-complex 100, 35

Atripla, 3


B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36

Atropen, 19

atropine sulfate, 19, 28


B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 36

Atropine Sulfate, 19, 28

Atrovent, 32


B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 36

Atrovent HFA, 33

Aubagio, 27

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 37

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

augmented betamethasone dipropionate, 12

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 37

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36

Augmentin, 1

Augmentin ES-600, 1

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 37

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 36

Augmentin XR, 1

Aurora Lancet Super Thin 30G, 36


bacitracin, 4

Aurora Lancet Thin 23G, 36

Bacitracin, 28

Aurora Pen Needles 29GX12MM, 36


bacitracin/polymyxin b, 28

Aurora Pen Needles 31G X 6MM, 36

Baclofen, 11

Aurora Pen Needles 31G X 8MM, 36


baclofen, 27

Aurstat Anti-itch Hydrogel, 14

Bacmin, 35

Aurstat Anti-itch Hydrogel Kit, 14


Bactocill IN Dextrose, 1

Auryxia, 20

Bactrim, 4

Autolet Platforms, 36


Bactrim DS, 4

Auvi-q, 10

Bactroban, 11

Avalide, 9


Bactroban Nasal, 32

Avandamet, 17

Bal-care DHA, 35

Avandaryl, 17


balsalazide disodium, 20

Avandia, 17

Banzel, 26

Avapro, 8

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 37

Baraclude, 3

Avar, 11

Bayer Microlet Lancets, 36

Avar LS, 11


Bcg Vaccine, 34

Avar LS Cleanser, 11

BD Autoshield 29G X 3/16", 36

Avar-e LS, 11


BD Autoshield 29G X 5/16", 36

Avastin, 5

BD Autoshield Duo 30G X 3/16", 36

Avc, 21


BD Insulin Syringe LUER-LOK/U-100/1ML, 36

Aveed, 15

Avelox, 2

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 37

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 36

Avelox Abc Pack, 2

Avenova, 14

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 37

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 36

Avenova/Neutrox, 14

Avidoxy DK, 2

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 37

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 36

Avinza, 30

Avodart, 21

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 37

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36

Avonex, 27

Avonex Pen, 27

BD Insulin Syringe/U-100/1ML/27G X 1/2", 37

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36

Avycaz, 4

Axert, 31

BD Insulin Syringe/U-100/1ML/28G X

BD Insulin Syringe Microfine/U-100/0.

1/2", 37

benztropine mesylate, 26 Breatherite W/Large Mask, 43

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 37

Bepreve, 29 Breatherite W/Medium Mask, 43

Berinert, 23 Breatherite W/Small Mask, 43

BD Insulin Syringe/U-100/2ML/29G X 1/2", 37

Besivance, 28 Breo Ellipta, 33

Betadine Ophthalmic Prep, 28 Brevibloc, 7

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 37

Betagan, 28 Brevicon-28, 16

Betalido, 15 Brilinta, 23

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 37

Betaloan Suik, 15 brimonidine tartrate, 29

betamethasone dipropionate, 12 Brintellix, 24

BD Lancet Ultrafine 30G, 37

betamethasone sodium phosphate/betamethasone acetate, 14

Brisdelle, 27

BD Lancet Ultrafine 33G, 37

Briviact, 26

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 37

Betamethasone SP, 15 bromfenac, 29

betamethasone valerate, 12 Bromfenac, 29

BD Microtainer Lancets, 37

Betapace, 7 bromocriptine mesylate, 26

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 37

Betapace AF, 7 bromphen/pseudoephedrine HCL/dextromethorphan HBR, 33

Betaseron, 27

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 37

betaxolol HCL, 7, 28 Brompheniramine, 32

bethanechol chloride, 21 Brompheniramine Tannate, 32

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 37

Bethkis, 2 Brovana, 33

Betimol, 28 budesonide, 14, 32, 33

BD Pen Needle/Ultrafine/29G X 12.7MM, 37

Betoptic-s, 28 Bullseye Safety Lancets, 36

Bevespi Aerosphere, 33 bumetanide, 9

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 37

bexarotene, 6 Bumex, 9

Bexsero, 34 Bunavail, 30

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 37

Beyaz, 16 Bupap, 29

Biaxin, 1 Buphenyl, 18

BD Pudendal/Local Block Tray 1% Lidocaine, 32

Biaxin XL, 1 bupivacaine HCL, 32

Biaxin XL PAC, 1 bupivacaine/epinephrine, 32

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 37

bicalutamide, 5 Buprenex, 30

Bicillin C-R, 1 buprenorphine HCL, 30

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 37

Bicillin L-a, 1 buprenorphine HCL/naloxone HCL, 30

Bicnu, 4 bupropion HCL, 24

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 37

Bidil, 10 bupropion HCL ER, 24

Biest/Progesterone, 15 bupropion HCL SR, 24

BD-insul SYR Mis LO Dose, 37

Biferarx, 21 bupropion HCL XL, 24

Bebulin, 23

Biltricide, 4 buspirone HCL, 23

Beconase AQ, 32

Bimatoprost, 28 Busulfex, 4

Belbuca, 30

Binosto, 17 butalbital/acetaminophen, 29

Beleodaq, 6

Biothrax, 34 butalbital/acetaminophen/caffeine, 29

Belladonna & Opium, 19

bisoprolol fumarate, 7 butalbital/acetaminophen/caffeine/codeine, 30

Belladonna Alkaloids & Opium, 19

bisoprolol fumarate/hydrochlorothiazide, 9

Belsomra, 25

butalbital/aspirin/caffeine, 29

benazepril HCL, 8

bivalirudin, 22 butalbital/aspirin/caffeine/codeine, 30

benazepril HCL/hydrochlorothiazide, 9

Bleo 15k, 5 Butisol Sodium, 25

Bendeka, 4

bleomycin sulfate, 4 butorphanol tartrate, 30

Benefix, 23

Bleph-10, 28 Butrans, 30

Benicar, 8

Blephamide, 28 Bydureon, 16

Benicar HCT, 9

Blephamide S.o.p., 28 Byetta, 16

Bentyl, 19

Blincyto, 5 Bystolic, 7

Benzac Ac Wash, 11

Bloxiverz, 28 C

Benzac W Wash, 11

Boniva, 17

cabergoline, 18

Benzaclin, 11

Boostrix, 34

Cabometyx, 6

Benzaclin With P.M., 11

Boric Acid, 14

Caduet, 10

Benzamycin, 11

Bosulif, 6

Cafcit, 25

Benzamycinpak, 11

Botox, 27

Cafergot, 31

Benzefoam, 11

Bravelle, 18

caffeine citrate, 25

Benzefoam Ultra, 11

Breatherite, 43

Caffeine/Sodium Benzoate, 25

Benzefoamultra, 11

Breatherite Collapsible Adult Spacer W/Mask, 43

Calan, 8

Benziq, 11

Calan SR, 8

Benziq LS, 11

Breatherite Collapsible Child Spacer W/Mask, 43

calcipotriene, 12

Benzodox 30 Kit, 2

calcipotriene/betamethasone dipropionate, 12

Benzodox 60 Kit, 2

Breatherite Collapsible Infant Spacer W/Mask, 43

Benzoin Compound Tincture, 14

calcitonin salmon, 17

Benzoin Tincture, 14

Breatherite Collapsible Small Child Spacer W/Mask, 43

calcitonin-salmon, 17

benzonatate, 33

Calcitriol, 12

Benzonatate, 33

Breatherite Collapsible Spacer W/ Neonate Mask, 43

calcitriol, 18

benzoyl peroxide, 10

calcium acetate, 20

benzoyl peroxide SHORT contact, 10

Breatherite Rigid Spacer W/Mask, 43

Caldolor, 31

Cambia, 32

cefazolin sodium, 1 chlorpromazine HCL, 24

Campral, 27

Cefazolin Sodium, 1 Chlorpromazine HCL, 24

Camptosar, 6

Cefazolin Sodium/Dextrose, 1 Chlorpropamide, 16

Canasa, 20

cefdinir, 1 chlorthalidone, 9

Cancidas, 2

Cefditoren Pivoxil, 1 Chlorthalidone, 9

candesartan cilexetil, 8

cefepime, 1 chlorzoxazone, 27

candesartan cilexetil/hydrochlorothiazide, 9

Cefepime, 1 Cholbam, 20

cefixime, 1 cholestyramine, 10

Cantil, 19

Cefotan, 1 cholestyramine light, 10

Capastat Sulfate, 2

cefotaxime sodium, 1 choline magnesium trisalicylate, 29

capecitabine, 5

cefotetan, 1 Choline Magnesium Trisalicylate, 29

Capex, 13

Cefotetan, 1 chorionic gonadotropin, 17

Caphosol, 23

Cefotetan/Dextrose, 1 Cialis, 10

Capital/Codeine, 30

cefoxitin sodium, 1 Ciclodan Cream Kit, 12

Caprelsa, 6

Cefoxitin Sodium, 1 Ciclodan Solution Kit, 12

captopril, 8

cefpodoxime proxetil, 1 ciclopirox, 11

Captopril/Hydrochlorothiazide, 9

cefprozil, 1 ciclopirox nail lacquer, 11

Capxib Kit, 31

ceftazidime, 1 ciclopirox olamine, 11

Carafate, 19

Ceftazidime/Dextrose, 1 Ciclopirox Topical Solution Kit, 12

Carbaglu, 18

Ceftibuten, 1 cidofovir, 3

carbamazepine, 25

Ceftin, 1 Ciferex, 21

carbamazepine ER, 25

Ceftriaxone IN Iso-osmotic Dextrose, 1 cilostazol, 22

Carbaphen 12, 33

ceftriaxone sodium, 1 Ciloxan, 28

Carbaphen 12 PED, 33

Ceftriaxone Sodium, 1 cimetidine, 19

Carbatrol, 26

Ceftriaxone/Dextrose, 1 cimetidine HCL, 19

carbidopa, 26

cefuroxime axetil, 1 Cimzia, 20

carbidopa/levodopa, 26

cefuroxime sodium, 1 Cimzia Starter Kit, 20

carbidopa/levodopa ER, 26

Cefuroxime Sodium, 1 Cinqair, 33

carbidopa/levodopa odt, 26

Cefuroxime/Dextrose, 1 Cinryze, 23

Carbidopa/Levodopa/Entacapone, 26

Celebrex, 31 Cipro, 2

carbinoxamine maleate, 32

celecoxib, 31 Cipro HC, 29

Carbocaine, 32

Celestone-soluspan, 15 Cipro I.V.-IN D5W, 2

carboplatin, 4

Celexa, 24 Cipro XR, 2

Cardene IV, 8

Cellcept, 6 Ciprodex, 29

Cardizem, 8

Cellcept Intravenous, 6 ciprofloxacin, 2

Cardizem CD, 8

Celontin, 26 Ciprofloxacin, 2, 29

Cardizem LA, 8

Cenestin, 15 ciprofloxacin ER, 2

Cardura, 9

Cenfol, 21 ciprofloxacin HCL, 2, 28

Cardura XL, 21

Centany, 11 Ciprofloxacin HCL, 2

Carefine Pen Needle 32GX4MM, 37

Centany AT, 11 ciprofloxacin I.V.-IN D5W, 2

Carefine Pen Needles 29GX1/2", 37

Centratex, 21 cisatracurium besylate, 27

Carefine Pen Needles 30GX5/16", 37

cephalexin, 1 cisplatin, 4

Carefine Pen Needles 31GX6MM, 37

Cephalexin, 1 Cisplatin, 4

Carefine Pen Needles 31GX8MM, 37

Ceracade, 14 citalopram hydrobromide, 24

Careone Lancet Thin, 37

Cerdelga, 21 Citanest Forte Dental, 32

Careone Lancet Ultra Thin, 37

Cerebyx, 26 Citanest Plain Dental, 32

carisoprodol, 27

Cerezyme, 21 Citranatal 90 DHA, 35

carisoprodol/aspirin, 27

Cervarix, 34 Citranatal Assure, 35

carisoprodol/aspirin/codeine, 27

Cervidil, 29 Citranatal B-calm, 35

Carnitor, 18

Cesamet, 20 Citranatal DHA, 35

Carnitor SF, 18

cetirizine HCL, 32 Citranatal Harmony, 35

carteolol HCL, 28

Cetraxal, 29 Citranatal RX, 35

carvedilol, 7

Cetrotide, 18 citric acid/sodium citrate, 21

Cascara Sagrada, 19

cevimeline HCL, 23 cladribine, 5

Casodex, 5

Chemet, 43 Claforan, 1

Cataflam, 31

Chenodal, 20 Claforan/D5W, 1

Catapres, 9

Chloramphenicol Sodium Succinate, 4 Clarifoam EF, 11

Catapres-tts-1, 9

chlordiazepoxide HCL, 23 Clarinex, 32

Catapres-tts-2, 9

chlordiazepoxide HCL/clidinium bromide, 19

Clarinex-d 12 HOUR, 33

Catapres-tts-3, 9

clarithromycin, 1

Cathflo Activase, 23

Chlordiazepoxide/Amitriptyline, 27 clarithromycin ER, 1

Cayston, 4

chlorhexidine gluconate, 23 Cleanlet Lancets 28G, 37

Cedax, 1

chlorhexidine gluconate oral rinse, 23 clemastine fumarate, 32

cefaclor, 1

chloroprocaine HCL, 32 Clemastine Fumarate, 32

Cefaclor, 1

chloroquine phosphate, 3 Cleocin, 4, 21

Cefaclor ER, 1

chlorothiazide, 9 Cleocin IN D5W, 4

cefadroxil, 1

Chlorothiazide, 9 Cleocin Pediatric Granules, 4

Cefazolin, 1

chlorothiazide sodium, 9 Cleocin Phosphate, 4

Cleocin-t, 11

clindamycin phosphate pharmacy bulk package, 4

Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 37

Clever Chek Lancets Ultrathin, 37

Clever Chek Lancets Ultrathin 30G, 37

clindamycin phosphate/tretinoin, 10 Comfort Assist Insulin Syringe/1ML/29G X 1/2", 37

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 37

clindamycin/benzoyl peroxide, 10

Clindap-t, 11 Comfort Assist Insulin Syringe/1ML/30G X 5/16", 37

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 37

Clindesse, 21

Clinical Nutrients Prenatal Formula, 35 Comfort Assist Insulin Syringe/1ML/31G X 5/16", 37


Clinoin, 11

clobetasol propionate, 12 Comfort Lancets, 37


clobetasol propionate emollient, 12 Compact Space Chamber/Anti-static, 43

Clobex, 13 Compact Space Chamber/Anti-static/Large Mask, 43


Clocortolone Pivalate, 13

Clocortolone Pivalate P.M., 13 Compact Space Chamber/Anti-static/Medium Mask, 43


Clodan Kit, 13

Cloderm, 13 Compact Space Chamber/Anti-static/Small Mask, 43


Cloderm P.M., 13

Clolar, 5 Compazine, 24


clomiphene citrate, 18 Complera, 3

clomipramine HCL, 24 Comtan, 26


clonazepam, 25 Comvax, 34

clonazepam odt, 25 Concept DHA, 35


clonidine HCL, 8 Concept OB, 35

clonidine HCL ER, 25 Concerta, 25


clopidogrel, 22 Condylox, 14

clorazepate dipotassium, 23 Convenience PAK, 27

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 37

Clorpres, 9 Conzip, 30

clotrimazole, 11, 23 Copasil, 14


clotrimazole/betamethasone dipropionate, 11

Copaxone, 27

Copegus, 3


clozapine, 24 Cordarone, 8

clozapine odt, 24 Cordran, 13

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 37

Clozapine Odt, 24 Cordran Tape, 13

Clozaril, 24 Coreg, 7

Clever Choice Comfort EZ Pen Needles 29GX12MM, 37

Cnl8 Nail Kit, 12 Coreg CR, 7

Coaguchek Lancets, 37 Corgard, 7


Coal TAR, 14 Corifact, 23

Coartem, 3 Corlanor, 10


Cocaine HCL, 14 Corlopam, 9

Cod Liver Oil, 35 Cortef, 15


Codar AR, 33 Cortenema, 20

codeine sulfate, 30 Cortifoam, 20


Codeine Sulfate, 30 Cortisone Acetate, 15

Cogentin, 26 Cortisporin, 11


Colazal, 20 Cortisporin-tc, 29

Colchicine, 32 Corvert, 8


Colcrys, 32 Corvite, 35

Colestid, 10 Corvite 150, 21


Colestid Flavored, 10 Corzide, 9

colestipol HCL, 10 Cosentyx, 12


colistimethate sodium, 4 Cosentyx Sensoready Pen, 12

Coly-mycin M, 4 Cosmegen, 5


Coly-mycin S, 29 Cosopt, 28

Colyte-flavor Packs, 19 Cosopt PF, 28

Cleviprex, 8

Combigan, 28 Cotellic, 6

Climara, 15

Combipatch, 15 Coumadin, 22

Climara Pro, 15

Combivent Respimat, 33 Cozaar, 8

Clin Single Use Kit, 4

Combivir, 3 Cpb Wc, 33

Clin-lido, 4

Cometriq, 6 Creon, 20

Clindacin Etz, 11

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 37

Cresemba, 2

Clindacin PAC, 11

Crestor, 10

Clindagel, 11


Crinone, 21

clindamycin, 4

Crixivan, 3

clindamycin HCL, 4


Crnatal, 35

clindamycin palmitate HCL, 4

cromolyn sodium, 20, 29

clindamycin phosphate, 4, 10, 21


Cromolyn Sodium, 33

Clindamycin Phosphate, 4

Cubicin, 4

clindamycin phosphate add-vantage, 4


Cubicin RF, 4

clindamycin phosphate IN D5W, 4

Curosurf, 34

Cutivate, 13

Depakote ER, 26 dextroamphetamine sulfate, 25

Cuvposa, 19

Depakote Sprinkles, 26 dextroamphetamine sulfate ER, 25

cyanocobalamin, 21

Depo-estradiol, 15 Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 33

Cyclessa, 16

Depo-medrol, 15

Cyclobenzaprine Comfort PAC, 27

Depo-provera, 5

cyclobenzaprine HCL, 27

Depo-testosterone, 15

Diabeta, 16

Cyclogyl, 29

Deprizine Fusepaq, 19

Dialyvite 3000, 35

Cyclomydril, 29

Derma Silkrx Anodynexa PAK, 31

Dialyvite 5000, 35

cyclopentolate HCL, 28

Derma Silkrx Diclopak, 31

Dialyvite Supreme D, 35

cyclopentolate hydrochloride, 28

Derma Silkrx Sds PAK, 13

Dialyvite/Zinc, 35

cyclophosphamide, 4

Derma-smoothe/FS Body, 13

Diamox, 9

Cyclophosphamide, 4

Derma-smoothe/FS Scalp, 13

Diastar Easy Test II Lancets 30G, 37

Cycloserine, 2

Dermacinrx Azenase PAK, 32

Diastar Easy Test Lancets30G, 37

cyclosporine, 5

Dermacinrx Cinlone-i Cpi, 15

Diastat Acudial, 26

cyclosporine modified, 5

Dermacinrx Duopatch Pharmapak, 14

Diastat Pediatric, 26

Cyclosporine Modified, 6

Dermacinrx Inflammatral PAK, 31

Diatx ZN, 35

Cyklokapron, 22

Dermacinrx Lexitral Pharmapak, 12

diazepam, 23

Cymbalta, 24

Dermacinrx Neurotral Pharmapak, 14

Diazepam, 23, 26

cyproheptadine HCL, 32

Dermacinrx Phn PAK, 14

Dibenzyline, 9

Cyramza, 5

Dermacinrx Purefolix, 21

Diclegis, 20

Cystadane, 18

Dermacinrx Surgical Pharmapak, 14

diclofenac potassium, 31

Cystagon, 21

Dermacinrx Ticanase PAK, 32

diclofenac sodium, 12, 29

Cystaran, 29

Dermacinrx Zrm PAK, 14

Diclofenac Sodium, 12

cytarabine, 5

Dermapak Plus, 11

diclofenac sodium DR, 31

Cytarabine, 5

Dermasorb HC, 13

diclofenac sodium ER, 31

cytarabine aqueous, 5

Dermasorb Ta, 13

diclofenac sodium/misoprostol, 31

Cytomel, 19

Dermasorb XM, 14

dicloxacillin sodium, 1

Cytotec, 19

Dermatop, 13

Dicopanol Fusepaq, 32

Cytovene, 3

Dermawerx Sds PAK, 13

dicyclomine HCL, 19

Cytra-3, 21

Dermawerx Surgical Plus PAK, 14

didanosine, 3

D

Dermazone, 13

Differin, 11

Dermotic, 29

Dificid, 1

D.h.e. 45, 32

Descovy, 3

Diflorasone Diacetate, 13

dacarbazine, 6

desipramine HCL, 24

Diflucan, 2

Dacarbazine, 7

desloratadine, 32

diflunisal, 29

Dacogen, 5

Desloratadine Odt, 32

digoxin, 7

Daklinza, 3

desmopressin acetate, 18

Digoxin, 7

Daliresp, 33

Desogen, 16

dihydroergotamine mesylate, 31

Dallergy, 33

desogestrel/ethinyl estradiol, 16

Dihydroergotamine Mesylate, 31

Dalvance, 4

Desonate, 13

Dilantin, 26

danazol, 15

desonide, 12

Dilantin Infatabs, 26

Dantrium, 27

Desowen, 13

Dilantin-125, 26

Dantrium IV, 27

desoximetasone, 13

Dilatrate SR, 7

dantrolene sodium, 27

Desoximetasone, 13

Dilaudid, 30

dapsone, 4

Desoxyn, 25

Dilaudid-HP, 30

Daptacel, 34

Desvenlafaxine ER, 24

diltiazem CD, 7

Daraprim, 3

Detrol, 21

diltiazem HCL, 7

darifenacin ER, 21

Detrol LA, 21

Diltiazem HCL, 8

darifenacin hydrobromide ER, 21

dexamethasone, 14

diltiazem HCL CD, 7

Darzalex, 5

Dexamethasone, 15

diltiazem HCL ER, 8

daunorubicin HCL, 5

Dexamethasone Intensol, 15

Dimenhydrinate, 20

Daunoxome, 5

dexamethasone sodium phosphate, 14, 28

Diovan, 8

Daypro, 31

Diovan HCT, 9

Daytrana, 25

Dexamethasone Sodium Phosphate, 15, 28

Dipentocaine, 12

Ddavp, 18

Dipentum, 20

Debacterol, 23

Dexchlorpheniramine Maleate, 32

diphenhydramine HCL, 32

decitabine, 5

Dexedrine, 25

diphenoxylate/atropine, 19

Decon-a, 33

Dexilant, 19

Diphenoxylate/Atropine, 19

Defitelio, 22

Dexlido, 15

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 34

Delestrogen, 15

Dexlido-m, 15

Delzicol, 20

dexmedetomidine HCL, 25

Diprolene, 13

Demadex, 9

dexmethylphenidate HCL, 25

Diprolene AF, 13

demeclocycline HCL, 2

dexmethylphenidate HCL ER, 25

dipyridamole, 22

Demerol, 30

Dexpak 10 Day, 15

Disalcid, 29

Demser, 9

Dexpak 13 Day, 15

disopyramide phosphate, 8

Denavir, 12

Dexpak 6 Day, 15

disulfiram, 26

Depacon, 26

Dexpanthenol, 20

Ditropan XL, 21

Depakene, 26

dexrazoxane, 7

Diuril, 9

Depakote, 26

divalproex sodium, 25

Duac, 11 Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 38

divalproex sodium DR, 25

Duane Reade Unifine Pentips 29G X 12MM, 37

divalproex sodium ER, 25

Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 38

Divigel, 15

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37

Divista, 21


dobutamine HCL, 9

Duane Reade Unifine Pentips 31G X 8MM SHORT, 37

dobutamine HCL/D5W, 9


dobutamine/dextrose 5%, 9

Duavee, 15

Docefrez, 6

Duet DHA 400, 35 Easy Touch Insulin Syringe/1ML/30G X 5/16", 38

docetaxel, 6

Duet DHA 400EC, 35

Docetaxel, 6

Duet DHA 430, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 37

Docetaxel (non-alcohol Formula), 6

Duet DHA 430EC, 35

dofetilide, 8

Duet DHA Balanced, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 37

Dologesic, 29

Duetact, 17

Dolophine, 30

Duexis, 31 Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 37

donepezil HCL, 26

Dulera, 33

donepezil hydrochloride, 26

duloxetine HCL, 24 Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 37

dopamine HCL, 9

Duloxetine HCL, 24

Dopamine HCL, 10

Duopa, 26 Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 37

dopamine HCL-dextrose 5%, 10

Duragesic, 30

dopamine HCL/dextrose 5%, 10

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 32

Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 37

dopamine/D5W, 10

Dopram, 25

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 32


Doral, 25

Doribax, 4

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 32


Doryx, 2

Doryx Mpc, 2

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 32


dorzolamide HCL, 29

dorzolamide HCL/timolol maleate, 28

Durezol, 28 Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 38

Doubledex, 15

Durlaza, 23

Dovonex, 12

dutasteride, 21 Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 38

doxapram HCL, 25

dutasteride/tamsulosin HCL, 21

doxazosin, 8

dutasteride/tamsulosin hydrochloride, 21 Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 38

doxazosin mesylate, 8

Dutoprol, 9

doxepin HCL, 24

Dyanavel XR, 25 Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2", 38

Doxepin HCL, 24

Dyazide, 9

Doxepin Hydrochloride, 12

Dyloject, 31 Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 38

doxercalciferol, 18

Dymista, 32

Doxil, 5

Dyrenium, 9 Easy Touch Lancets 21G/Pressure Activated, 38

doxorubicin HCL, 5

Dysport, 27

Doxorubicin HCL, 5

Dyural-40, 15 Easy Touch Lancets 23G/Pressure Activated, 38

doxorubicin HCL liposome, 5

Dyural-80, 15

doxycycline, 2

Dyural-l, 15 Easy Touch Lancets 26G/Pressure Activated, 38

Doxycycline, 11

Dyural-lm, 15

doxycycline hyclate, 2

E Easy Touch Lancets 26G/Pull-top, 38

doxycycline hyclate DR, 2

Easy Touch Lancets 26G/Twist, 38

E-z Ject Lancets, 37

doxycycline monohydrate, 2

Easy Touch Lancets 28G/Pressure Activated, 38

E-z Ject Lancets 21G, 37

Drisdol, 35

E-z Ject Lancets Color, 37

Dritho-creme HP, 12

Easy Touch Lancets 28G/Pull-top, 38

E-z Ject Lancets Super Thin, 37

dronabinol, 20


E-z Ject Lancets Super Thin 30G, 37

droperidol, 23

Easy Touch Lancets 30G/Button-activated, 38

E-z Ject Lancets Thin 26G, 37

Droplet Lancets Ultra Thin 30G, 37

E-z Spacer, 43

Droplet Pen Needles 29GX12MM, 37


E-z Spacer The Body Guards Pack, 43


E-ZJECT Lancets Micro-thin 33G, 37



E.e.s. 400, 1



E.e.s. Granules, 1



Easivent, 43


Easivent/Mask-large, 43

drospirenone/ethinyl estradiol, 16


Easivent/Mask-medium, 43

Droxia, 21


Easivent/Mask-small, 43

Drug Mart On-the-go Lancets Gentle 30G, 37


Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 37

Easy Touch Pen Needles 29GX1/2", 38

Drug Mart Unilet Lancets Super Thin 30G, 37




Drug Mart Unilet Lancets Ultra Thin 28G, 37



Easy Touch Pen Needles/31G X 3/16", 38

Drysol, 13


Dsg PAK, 12

Easy Touch Safety Lancets21G/Pressure

Activated, 38

enalapril maleate/hydrochlorothiazide, 9 Erythrocin Stearate, 1

Easy Touch Safety Lancets23G/Pressure Activated, 38

enalaprilat, 8 erythromycin, 1, 10, 28

Enbrace HR, 35 Erythromycin Base, 1

Easy Touch Safety Lancets26G/Button Activated, 38

Enbrel, 31 Erythromycin Ethylsuccinate, 1

Enbrel Sureclick, 31 erythromycin/benzoyl peroxide, 10


Endometrin, 21 Esbriet, 34

Engerix-b, 34 Escavite, 35

Easy Touch Safety Lancets28G/Button Activated, 38

Enjuvia, 15 Escavite D, 35

Enlon, 28 escitalopram oxalate, 24


Enlon-plus, 28 Esgic, 30

enoxaparin sodium, 22 esmolol HCL, 7

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 38

Enstilar, 13 Esmolol HCL, 7

entacapone, 26 esomeprazole magnesium, 19


entecavir, 3 esomeprazole sodium, 19

Entereg, 20 Esomeprazole Sodium, 19


Entocort EC, 15 Esomeprazole Strontium, 19

Entresto, 10 estazolam, 25

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 38

Entty Spray Emulsion, 14 Estrace, 15, 21

Entyvio, 20 estradiol, 15

Easy Twist & CAP Lancets, 38

Envarsus XR, 6 Estradiol, 15

Easytest II Lancets, 38

Epaned, 8 estradiol valerate, 15

Easytest Lancets, 38

Epclusa, 3 estradiol/norethindrone acetate, 15

EC-naprosyn, 31

ephedrine sulfate, 10 Estring, 21

econazole nitrate, 11

Ephedrine Sulfate, 10 Estrogel, 15

Ecoza, 12

Ephedrine Sulfate/Sodium Chloride, 10 Estropipate, 15

Ed Cyte F, 21

Epiceram, 14 Estrostep FE, 16

Edarbi, 8

Epiduo, 11 eszopiclone, 25

Edarbyclor, 9

Epiduo Forte, 11 ethacrynate sodium, 9

Edecrin, 9

Epifoam, 13 ethacrynic acid, 9

Edluar, 25

epinastine HCL, 29 ethambutol HCL, 2

Edurant, 3

Epinephrine, 10 ethosuximide, 25

Effexor XR, 24

Epinephrine HCL, 10 Ethyl Chloride, 14

Effient, 23

epinephrine HCL, 33 Ethyl Chloride/Fine Pinpoint, 14

Egrifta, 18

Epipen 2-PAK, 10 Ethyl Chloride/Fine Stream, 14

Elaprase, 18

Epipen-JR 2-PAK, 10 Ethyl Chloride/Medium Jet Stream, 14

Elavil, 24

epirubicin HCL, 5 Ethyl Chloride/Medium Stream, 14

Eldepryl, 26

Epirubicin HCL, 5 Ethyl Chloride/Mist, 14

Elelyso, 21

Episnap, 10 Ethyol, 7

Elestat, 29

episone CRE, 13 Etidronate Disodium, 17

Elestrin, 15

Epivir, 3 etodolac, 31

Eletone, 14

Epivir HBV, 3 etodolac ER, 31

Eletone Twinpack, 14

eplerenone, 8 Etopophos, 6

Elidel, 13

Epogen, 22 etoposide, 6

Eligard, 5

epoprostenol sodium, 10 Etoposide, 6

Elimite, 14

Eprosartan Mesylate, 8 Euflexxa, 27

Eliphos, 20

eptifibatide, 22 Eurax, 13

Eliquis, 22

Epzicom, 3 Evamist, 15

Elitek, 7

Eql SHORT Pen Needles 31G X 8MM, 38

Evekeo, 25

Elixophyllin, 33

Evicel, 22

Ella, 16

Eql Ultra SHORT Pen Needles 31G X 6MM, 38

Evista, 17

Ellence, 5

Evithrom, 22

Elmiron, 21

Equagesic, 29 Evoclin, 11

Elocon, 13

Equetro, 24 Evomela, 4

Eloxatin, 4

Equipto-baclofen, 11 Evotaz, 3

Emadine, 29

Equipto-naproxen, 12 Evoxac, 23

Embeda, 30

Eraxis, 2 Exactuss, 33

Embrace Lancets Ultra Thin 30G, 38

Erbitux, 5 Exalgo, 30

Emcyt, 5

ergocalciferol, 34 Excel Comfort Point Insulin Pen Needles 31G X 4MM, 38

Emend, 20

ergoloid mesylates, 26

Emla, 14

Ergoloid Mesylates, 26 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 38

Empliciti, 5

Ergomar, 32

Emsam, 24

Ertaczo, 12 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 38

Emtriva, 3

Erwinaze, 5

Emulsion SB, 14

Ery-TAB, 1 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 38

Emverm, 4

Erygel, 11

Emvoren, 12

Eryped 200, 1 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 38

Enablex, 21

Eryped 400, 1

enalapril maleate, 8

Erythrocin Lactobionate, 1 Exel Comfort Point Insulin Syringe/0.

3ML/30G X 5/16", 38

fentanyl, 30 First-vancomycin 50, 4

Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 38

Fentanyl, 30 Flagyl, 4

Fentanyl Citrate, 30 Flagyl ER, 4


fentanyl citrate oral transmucosal, 30 Flanax Pain Relief Kit, 31

Fentanyl Citrate/Sodium Chloride, 30 Flarex, 28


Fentora, 30 flavoxate HCL, 21

Feraheme, 22 flecainide acetate, 8

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 38

Feriva, 22 Flector, 12

Feriva 21/7, 22 Flexepax, 27


Ferivafa, 22 Flexichamber, 43

Ferralet 90, 22 Flexichamber Adult Mask/Small, 43


Ferrex 150 Forte Plus, 22 Flexichamber Child Mask/Large, 43

Ferrex 28, 22 Flexichamber Child Mask/Small, 43

Exelderm, 12

Ferriprox, 43 Flolan, 10

Exelon, 27

Ferrlecit, 22 Flomax, 21

exemestane, 5

Ferro-plex Hematinic, 22 Flonase, 32

Exforge, 9

Ferrotrin, 22 Floriva, 35

Exforge HCT, 9

Fetzima, 24 Flovent Diskus, 33

Exjade, 43

Fetzima Titration Pack, 24 Flovent HFA, 33

Exoderm, 12

Fexmid, 27 Flowtuss, 33

Exparel, 32

Fibricor, 10 Floxin Otic, 29

Extardol, 12

Fifty50 Pen Needles 31G X3/16" (5MM), 38

floxuridine, 5

Extavia, 27

Floxuridine, 5

Extina, 12

Fifty50 Pen Needles 31G X5/16" (8MM), 38

Fluad 2016-2017, 34

EZ Smart Blood Glucose Lancets, 38

Fluarix 2013-2014, 34

EZ-lets Lancets 21G, 38

Fifty50 Pen Needles 31GX5MM, 38 Fluarix 2014-2015, 34


Fifty50 Pen Needles/31GX8MM, 38 Fluarix Quadrivalent 2014-2015, 34

EZ-lets Lancets 26G Super-soft, 38

Fifty50 Pen Needles/32GX4MM, 38 Fluarix Quadrivalent 2015-2016, 34

EZ-lets Lancets 28G Ultra-soft, 38

Fifty50 Safety Seal Lancets 30G, 38 Fluarix Quadrivalent 2016-2017, 34


Fifty50 Safety Seal Lancets 32G, 38 Flublok 2013-2014, 34

F

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 38

Flublok 2014-2015, 34

Flublok 2015-2016, 34

Fabior, 11

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 38

Flublok 2016-2017, 34

Fabrazyme, 18

Flucelvax 2014-2015, 34

Factive, 2

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 38

Flucelvax 2015-2016, 34

Falessa, 16

Flucelvax Quadrivalent 2016-2017, 34

famciclovir, 3

Fifty50 Unilet Lancets 33G, 38 fluconazole, 2

famotidine, 19

Finacea, 11 fluconazole IN dextrose, 2

Famotidine, 19

finasteride, 21 fluconazole IN NACL, 2

Famotidine Premixed, 19

Fine 30, 38 Fluconazole IN NACL, 2

Famvir, 3

Fingerstix Lancets, 38 flucytosine, 2

Fanapt, 24

Fioricet, 30 Fludara, 5

Fanapt Titration Pack, 25

Fioricet/Codeine, 30 fludarabine phosphate, 5

Fanatrex Fusepaq, 26

Fiorinal, 30 fludrocortisone acetate, 14

Fareston, 5

Fiorinal/Codeine #3, 30 Flulaval 2014-2015, 34

Farxiga, 17

Firazyr, 23 Flulaval Quadrivalent 2014-2015, 34

Farydak, 6

Firmagon, 5 Flulaval Quadrivalent 2015-2016, 34

Faslodex, 5

First-bxn Mouthwash, 23 Flulaval Quadrivalent 2016-2017, 34

Fazaclo, 25

First-dukes Mouthwash, 23 Flumadine, 3

Feiba, 23

First-hydrocortisone, 13 Flumist Quadrivalent, 34

Feiba NF, 23

First-lansoprazole, 19 flunisolide, 32

felbamate, 25

First-marys Mouthwash, 23 fluocinolone acetonide, 13, 29

Felbatol, 26

First-mouthwash Blm, 23 fluocinolone acetonide ear drops, 29

Feldene, 31

First-omeprazole, 19 fluocinonide, 13

felodipine ER, 8

First-progesterone VGS 100 Compounding Kit, 21

fluocinonide-e, 13

Fem PH, 21

fluorometholone, 28

Femara, 5


fluorouracil, 5

Femcon FE, 16

Fluoxetine, 27

Femhrt Low Dose, 15


fluoxetine DR, 24

Femring, 21

fluoxetine HCL, 24

fenofibrate, 10


Fluoxetine HCL, 24

Fenofibrate, 10

fluphenazine decanoate, 24

fenofibrate micronized, 10


fluphenazine HCL, 24

Fenofibric Acid, 10

Fluphenazine HCL, 24

fenofibric acid DR, 10

First-testosterone, 15 flurandrenolide, 13

Fenoglide, 10

First-testosterone Mc Compounding Kit, 15

flurazepam HCL, 25

fenoldopam mesylate, 8

Flurazepam HCL, 25

Fenoprofen Calcium, 31

First-vancomycin 25, 4 flurbiprofen, 31

Fenortho, 31

flurbiprofen sodium, 29

100/0.5ML/31G X 5/16", 38 Gentle-let Lancets General Purpose Style/Medium Point, 38

flutamide, 5

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 38

fluticasone propionate, 13, 32

Gentle-let Lancets Safety Style/Fine Point, 38

fluvastatin, 10

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 38

fluvastatin sodium ER, 10

Gentle-let Lancets Safety Style/Medium Point, 38

Fluvirin 2014-2015, 34

Freestyle Unistick II Lancets, 38

Fluvirin 2015-2016, 34

Frova, 32 Gentle-let Platforms 2.4MM, 38

Fluvirin 2016-2017, 34

frovatriptan succinate, 31 Gentle-let Platforms 3.0MM, 38

Fluvirin PF 2014-2015, 34

Fulyzaq, 19 Genvisc 850, 27

Fluvirin PF 2016-2017, 34

Furadantin, 20 Genvoya, 3

fluvoxamine maleate, 24

furosemide, 9 Geodon, 25

fluvoxamine maleate ER, 24

Furosemide, 9 Gesticare DHA, 35

Fluzone High-dose PF 2014-2015, 34

Fusilev, 7 Gialax, 19


Fusion Plus, 22 Giazo, 20


Fusion Sprinkles, 22 Gilenya, 27

Fluzone PF 2014-2015, 34

Fuzeon, 3 Gilotrif, 6

Fluzone Quadrivalent 2014-2015, 34

Fycompa, 26 Gilphex TR, 33


G Giltuss, 33


Giltuss PED-c, 33

gabapentin, 25

Fluzone Split 2014-2015, 34

Giltuss TR, 33

Gabavale-5, 23

Fluzone Split 2015-2016, 34

Glassia, 34

Gabazolamine, 23

FML, 28

glatopa, 26

Gabazolamine-0.5, 23

FML Forte, 28

Gleevec, 6

Gabazolpidem-5, 25

FML Liquifilm, 28

Gleostine, 4

Gabitidine, 19

Focalgin 90 DHA, 35

Gliadel Wafer, 4

Gabitril, 26

Focalgin CA, 35

glimepiride, 16

Gablofen, 27

Focalgin Dss, 22

glipizide, 16

Gaboxetine, 24

Focalin, 25

glipizide ER, 16

galantamine hydrobromide, 26

Focalin XR, 25

glipizide/metformin HCL, 17

Galantamine Hydrobromide, 27

Folcaps Omega 3, 35

Glucagen Hypokit, 17

ganciclovir, 3

Folet DHA, 35

Glucagon Emergency Kit, 17

Ganirelix Acetate, 18

Folet One, 35

Glucocom Lancets 28G, 38

Garamycin, 28

Folgard OS, 35


Gardasil, 34

Folgard RX, 22


Gardasil 9, 34

folic acid, 21

Glucophage, 17

Gastrinex NF, 19

Folic Acid, 22

Glucophage XR, 17

Gastrocrom, 20

folic acid/vitamin b-6/vitamin b-12, 21

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 38

gatifloxacin, 28

Folitab 500, 21

Gattex, 20

Folivane-f, 22


Gazyva, 5

Folivane-OB, 35

Gebauers Pain Ease, 14

Folivane-plus, 22


Gebauers Spray And Stretch, 14

Folivane-prx DHA NF, 35

Gel-kam Oral Care Rinse, 23

Folixapure, 22


Gel-one, 27

Follistim AQ, 18

Gelclair, 23

Folotyn, 5


Gelnique, 21

Foltrate, 22

Gelsyn-3, 27

fondaparinux sodium, 22


gemcitabine, 5

Fora Lancets, 38

gemcitabine HCL, 5

Foradil Aerolizer, 33

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 38

gemfibrozil, 10

Forfivo XL, 24

Gemzar, 5

Fortamet, 17


Genadur, 14

Fortavit, 35

Genadur Kit, 14

Fortaz, 1


gene-xene TAB 15MG, 23

Forteo, 17

gene-xene TAB 3.75MG, 23

Fortesta, 15

Glucosource Lancets, 38

gene-xene TAB 7.5MG, 23

Fortical, 17

Glucotrol, 17

Generess FE, 16

Fosamax, 17

Glucotrol XL, 17

Genotropin, 18

Fosamax Plus D, 17

Glucovance, 17

Genotropin Miniquick, 18

Foscavir, 3

Glumetza, 17

gentamicin sulfate, 2, 28

fosinopril sodium, 8

glyburide, 16

Gentamicin Sulfate, 11

fosinopril sodium/hydrochlorothiazide, 9

Glyburide, 16

gentamicin sulfate pediatric, 2

fosphenytoin sodium, 25

glyburide micronized, 16

gentamicin sulfate/0.9% sodium chloride, 2

Fosrenol, 20

glyburide/metformin HCL, 17

Fragmin, 22

Glycolic Acid, 12

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Freestyle Lancets, 38

Glycolic Acid 70% High Purity, 12

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

glycopyrrolate, 19

Gentle-let GP Lancets, 38

Glycopyrrolate, 19

Gentle-let Lancets General Purpose Style/Fine Point, 38

Freestyle Precision Insulin Syringe/U-

Glynase, 17

Glyset, 17

Hemofil M, 23 30

Glyxambi, 17

heparin lock, 22 hydrocodone bitartrate/chlorpheniramine maleate/PSE, 33

Gmate Lancets 30G, 38

heparin lock flush, 22

Golytely, 19

Heparin Lock Flush, 22 hydrocodone bitartrate/homatropine methylbromide, 33

Gonal-f, 18

heparin lock flush for flushing vascular access devices, 22

Gonal-f RFF, 18

hydrocodone polistirex/chlorpheniramine polistirex, 33

Gonal-f RFF Rediject, 18

heparin lock flush/NACL for flushing vascular access devices, 22

Gordofilm, 14

hydrocodone/acetaminophen, 30

Gordons Urea, 14

heparin sodium, 22 Hydrocodone/Acetaminophen, 30

Gralise, 27

Heparin Sodium, 22 hydrocodone/homatropine, 33

Gralise Starter, 27

heparin sodium dcu, 22 hydrocodone/ibuprofen, 30

granisetron HCL, 20

heparin sodium lock flush, 22 hydrocort ene 100MG, 20

Granisol, 20

heparin sodium/D5W, 22 hydrocortisone, 13, 14, 20

Granix, 21

Heparin Sodium/D5W, 22 hydrocortisone acetate/aloe, 13

Grifulvin V, 2

Heparin Sodium/NACL 0.45%, 22 hydrocortisone acetate/lidocaine HCL, 20

Gris-peg, 2

heparin sodium/NACL 0.9%, 22 hydrocortisone acetate/pramoxine, 20

griseofulvin microsize, 2

Heparin Sodium/Sodium Chloride 0.9%, 22

hydrocortisone butyrate, 13

griseofulvin ultramicrosize, 2

hydrocortisone butyrate (lipid), 13

guanfacine ER, 25

heparin sodium/sodium chloride 0.9% premix, 22

hydrocortisone butyrate (lipophilic), 13

guanfacine HCL, 8

hydrocortisone IN absorbase, 13

Guanidine HCL, 28

Hepsera, 3 hydrocortisone valerate, 13

Gynazole-1, 21

Herceptin, 5 hydrocortisone/acetic acid, 29

H

Hespan, 23 hydromorphone HCL, 30

hetastarch 6%/NACL, 22 Hydromorphone HCL, 30

H&h Thinlet Lancets 26G, 38

Hetlioz, 25 hydromorphone HCL dosette, 30

H&h Thinlet Super Thin Lancets 30G, 38

Hexalen, 4 hydromorphone HCL ER, 30

H-e-b IN Control Pen Needles 31GX6MM, 38

Hextend, 23 Hydromorphone HCL ER, 30

Hiberix, 34 Hydromorphone HCL/NACL, 30

H-e-b IN Control Pen Needles 31GX8MM, 38

Hiprex, 20 Hydromorphone HCL/Sodium Chloride, 30

homatropine HBR, 28

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38

Horizant, 27 Hydroxocobalamin, 22

HPR, 14 hydroxychloroquine sulfate, 3

H-e-b Incontrol Pen Needles 29GX12MM, 38

HPR Plus, 14 Hydroxyprogesterone Caproate, 5

HPR Plus Hydrogel Kit, 14 hydroxyurea, 6

H.p. Acthar, 18

HPR Plus/Mb Hydrogel, 14 hydroxyzine HCL, 23

Haemolance, 38

Humalog, 16 Hydroxyzine HCL, 23

Haemolance Low Flow Lancets, 38

Humalog Kwikpen, 16 hydroxyzine pamoate, 23

Haemolance Plus, 38

Humalog Mix 50/50, 16 Hydroxyzine Pamoate, 23

Haemolance Plus High Flow, 38

Humalog Mix 50/50 Kwikpen, 16 Hylatopic, 14

Haemolance Plus Low Flow, 38

Humalog Mix 75/25, 16 Hylatopic Plus, 14

Haemolance Plus Max Flow, 38

Humalog Mix 75/25 Kwikpen, 16 Hylira, 14

Haemolance Plus Pediatric Flow, 38

Humate-p, 23 Hymovis, 27

Halaven, 6

Humatrope, 18 hyoscyamine sulfate, 19

Halcion, 25

Humatrope Combo Pack, 18 hyoscyamine sulfate ER, 19

Haldol, 25

Humira, 31 hyoscyamine sulfate odt, 19

Haldol Decanoate 100, 25

Humira Pediatric Crohns Disease Starter Pack, 31

hyoscyamine sulfate SR, 19

Haldol Decanoate 50, 25

Hyper-sal, 33

halobetasol propionate, 13

Humira Pen, 31 Hypersal, 33

Halog, 13

Humira Pen-crohns Diseasestarter, 31 Hypertenevide-12.5, 7

haloperidol, 24

Humira Pen-psoriasis Starter, 31 Hypertenipine-2.5, 8

haloperidol decanoate, 24

Humulin 70/30, 16 Hypertensolol, 9

haloperidol lactate, 24

Humulin 70/30 Kwikpen, 16 Hysingla ER, 30

Halotin, 12

Humulin N, 16 Hyzaar, 9

Harvoni, 3

Humulin N Kwikpen, 16 I

Havrix, 34

Humulin R, 16

Healthwise Mini Pen Needles 31GX6MM, 38

ibandronate sodium, 17

Humulin R U-500 (concentrated), 16

Ibrance, 6

Humulin R U-500 Kwikpen, 16

Healthwise Pen Needles 29GX12MM, 38

Ibudone, 30

Hy-vee Lancets, 38

Healthwise SHORT Pen Needles 31GX8MM, 38

ibuprofen, 31

Hyalgan, 27

Ibuprofen Comfort PAC, 31

Hycamtin, 6

Healthy Mama Be Well Rounded, 35

ibuprofen lysine, 31

Hycet, 30

Hectorol, 18

ibutilide fumarate, 8

Hycofenix, 33

Helixate FS, 23

IC 400, 31

hydralazine HCL, 8

Hemabate, 29

IC 800, 31

Hydrea, 7

Hemangeol, 7

Icar-c Plus, 22

Hydro 35, 14

Hematogen Fa, 22

Iclusig, 6

Hydro 40 Foam, 14

Hematron-AF, 22

Idamycin PFS, 5

hydrochlorothiazide, 9

Hemocyte Plus, 22

idarubicin HCL, 5

hydrocodone bitartrate/acetaminophen,

Hemocyte-f, 22

Ifex, 4

ifosfamide, 4

Insulin Syringe/U-100/0.5ML/28G X 1/2", 38

Isuprel, 33

Ifosfamide, 4

itraconazole, 2

Ilaris, 31


IV Infusion Cpi, 14

Ilevro, 29

ivermectin, 4

imatinib mesylate, 6

Insulin Syringe/U-100/1ML/28G X 1/2", 38

Ixempra Kit, 6

Imbruvica, 6

Ixiaro, 34

Imdur, 7


Ixinity, 23

imipenem/cilastatin, 4

J

imipramine HCL, 24


J-max, 33

imipramine pamoate, 24

Jadenu, 43

imiquimod, 13


Jakafi, 6

Imitrex, 32

Jalyn, 21

Imitrex Statdose Refill, 32

Insupen Sensitive 32GX8MM, 39

Janumet, 17

Imitrex Statdose System, 32

Insupen Ultrafin 29GX12MM, 39

Janumet XR, 17

Imovax Rabies (h.d.c.v.), 34


Januvia, 17

Impavido, 4


Jardiance, 17

Imuran, 6


Jentadueto, 17

IN Touch Sterile Lancets 30G, 39

Integra F, 22

Jentadueto XR, 17

Increlex, 18

Integra Plus, 22

Jevtana, 6

Incruse Ellipta, 33

Integrilin, 23

Jublia, 12

indapamide, 9

Intelence, 3

Juxtapid, 10

Inderal LA, 7

Interarticular Joint Kit, 15

K

Inderal XL, 7

Intermezzo, 25

Indocin, 31

Intron A, 7

K-phos NO 2, 21

indomethacin, 31

Intron A W/Diluent, 7

K.b.g.l. IN Teroderm Cream, 12

Indomethacin, 31

Intuniv, 25

K10-lido, 15

indomethacin ER, 31

Invanz, 4

K40-lido, 15

Indomethacin Sodium, 31

Invega, 25

Kadcyla, 5

Infanrix, 34

Invega Sustenna, 25

Kadian, 30

Infasurf, 34

Invega Trinza, 25

Kalbitor, 23

Infed, 22

Invirase, 3

Kaletra, 3

Infumorph 200, 30

Invokamet, 17

Kalydeco, 34

Infumorph 500, 30

Invokana, 17

Kanuma, 18

Injectafer, 22

Ionsys, 30

Kapvay, 25

Inlyta, 6

Iopidine, 29

Karbinal ER, 32

Innopran XL, 7

Ipol Inactivated IPV, 34

Kazano, 17

Innoprax-5, 12

ipratropium bromide, 32, 33

Keflex, 1

Inova, 11

ipratropium bromide/albuterol sulfate, 33

Kenalog, 13

Inova 4/1 Acne Control Therapy, 11

Iprivask, 22

Kenalog-10, 15

Inova 8/2 Acne Control Therapy, 11

irbesartan, 8

Kenalog-40, 15

Inspirachamber/Anti-static Valved/Mouthpiece, 43

irbesartan/hydrochlorothiazide, 9

Kengreal, 23

Irenka, 24

Kepivance, 7

Inspirachamber/Large, 43

Iressa, 6

Keppra, 26

Inspirachamber/Soothermask/Inspiramask/Medium, 43

irinotecan, 6

Keppra XR, 26

Irinotecan, 6

Kerafoam, 14

Inspirachamber/Soothermask/Inspiramask/Small, 43

irinotecan HCL, 6

Kerafoam 42, 14

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21

Keralac, 14

Inspirease Bags, 43

Keralyt, 14

Inspirease Drug Delivery System, 43

Irospan 24/6, 22

Keralyt Scalp, 14

Inspirease Mouthpiece, 43

Is 24/6, 22

Kerlone, 7

Inspirease Reservoir Bags, 43

Isentress, 3

Kerydin, 12

Inspra, 9

isoniazid, 2

Ketek, 4

Insulin Syringe/0.3ML/29G X 1", 38

Isoniazid, 2

ketoconazole, 2, 11

Insulin Syringe/0.3ML/29G X 1/2", 38

Isopto Atropine, 29

Ketodan Kit, 12


Isopto Carbachol, 29

ketoprofen, 31


Isopto Carpine, 29

Ketoprofen ER, 31


Isopto Homatropine, 28

Ketorocaine-l, 31


Isopto Hyoscine, 29

Ketorocaine-lm, 31


Isordil Titradose, 7

Ketorolac 2% Gel, 12


isosorbide dinitrate, 7

ketorolac tromethamine, 29, 31


Isosorbide Dinitrate, 7

Ketorolac Tromethamine, 31


Isosorbide Dinitrate ER, 7

Keveyis, 9

Insulin Syringe/1ML/28G X 1/2", 39

isosorbide mononitrate, 7

Keytruda, 5


isosorbide mononitrate ER, 7

Khedezla, 24


isotonic gentamicin, 2

Kineret, 31


isradipine, 8

Kinlytic, 23


Istalol, 28

Kinrix, 34

Istodax, 6

Kitabis PAK, 2

Klaron, 11

Latuda, 25 Lidocaine And Tetracaine Cream, 14

Klonopin, 26

Lazanda, 30 lidocaine HCL, 8, 13, 32

Koate-dvi, 23

Ldo Plus, 14 Lidocaine HCL, 8, 14, 23, 32

Kogenate FS, 23

Leader Unifine Pentips Plus/Mini/31GX3/16", 39

lidocaine HCL IN D5W, 8

Kogenate FS Bio-set, 23

lidocaine HCL jelly, 13

Kombiglyze XR, 17

Leader Unifine Pentips Plus/SHORT/31GX5/16", 39

lidocaine HCL viscous, 23

Korlym, 17

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20

Kovaltry, 23

Leader Unifine Pentips/Mini/31GX3/16", 39

Kristalose, 19

lidocaine HCL/dextrose, 8

Krystexxa, 32

Leader Unifine Pentips/Nano/32GX5/32", 39

Lidocaine HCL/Dextrose, 32

Kuvan, 18

lidocaine HCL/hydrocortisone acetate, 20

Kynamro, 10

Leader Unifine Pentips/Plus/32GX5/32", 39

lidocaine viscous, 23

Kyprolis, 6

lidocaine-prilocaine-cream base, 13

L

leflunomide, 31 lidocaine/epinephrine, 32

Lemtrada, 27 lidocaine/prilocaine, 13

labetalol HCL, 7

Lenvima 10 MG Daily Dose, 6 Lidoderm, 14

Lac-hydrin, 14

Lenvima 14 MG Daily Dose, 6 Lidoprofen, 12

Lacrisert, 28

Lenvima 18 MG Daily Dose, 6 Lidothol, 14

lactic acid, 13

Lenvima 20 MG Daily Dose, 6 Lidotral, 14

lactic acid e, 13

Lenvima 24 MG Daily Dose, 6 Lidovir, 12

lactic acid w/vitamin e, 13

Lenvima 8 MG Daily Dose, 6 Lifescan Unistik 2 Deep Penetration, 39

lactulose, 19, 20

Lescol, 10 Lifescan Unistik II Lancets, 39

Lamictal, 26

Lescol XL, 10 Lincocin, 4

Lamictal Chewable Dispersible, 26

Letairis, 10 lincomycin HCL, 4

Lamictal Odt, 26

letrozole, 5 Lincomycin/Lidocaine, 4

Lamictal Starter/Not Taking Carbamazepine, 26

leucovorin calcium, 7 lindane, 13

Leucovorin Calcium, 7 Lindane, 13

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 26

Leukeran, 4 linezolid, 4

Leukine, 22 Linezolid, 4

leuprolide acetate, 5 Linzess, 20

Lamictal Starter/Taking Valproate, 26

Levacet, 30 Lioresal Intrathecal, 27

Lamictal XR, 26

levalbuterol, 33 liothyronine sodium, 18

Lamisil, 2

levalbuterol HCL, 33 Lipitor, 10

Lamisil Spray, 12

Levaquin, 2 Lipofen, 10

lamivudine, 3

Levatol, 7 lisinopril, 8

lamivudine/zidovudine, 3

Levbid, 19 lisinopril/hydrochlorothiazide, 9

lamotrigine, 25

Levemir, 16 Lite Touch Pen Needles/31G X 3/16", 39

lamotrigine ER, 26

Levemir Flexpen, 16 Liteaire, 43

lamotrigine odt, 26

Levemir Flextouch, 16 Litetouch Insulin Syringe/0.3ML/29G X 1/2", 39

lamotrigine titration, 26

levetiracetam, 26

Lancet Transporter Case, 39

Levetiracetam, 26 Litetouch Insulin Syringe/0.3ML/30G X 5/16", 39

Lancets, 39

levetiracetam ER, 26

Lancets 26G Twist Top, 39

Levitra, 10 Litetouch Insulin Syringe/0.3ML/31G X 5/16", 39

Lancets 28G, 39

levobunolol HCL, 28

Lancets 30G, 39

levocarnitine, 18 Litetouch Insulin Syringe/0.5ML/30G X 5/16", 39


levocetirizine dihydrochloride, 32

Lancets 30G/Twist Top, 39

levofloxacin, 2, 28 Litetouch Insulin Syringe/0.5ML/31G X 5/16", 39


levofloxacin IN D5W, 2

Lancets 33G Universal Design, 39

levoleucovorin, 7 Litetouch Insulin Syringe/1ML/30G X 5/16", 39

Lancets Bullseye Safety, 39

Levoleucovorin, 7

Lancets Safety Seal 21G, 39

levoleucovorin calcium, 7 Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 39


levonorgestrel, 16


Levonorgestrel, 16 Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 39


levonorgestrel and ethinyl estradiol, 16

Lancets Thin, 39

levonorgestrel/ethinyl estradiol, 16 Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 39

Lancets Twist Top, 39

Levophed, 10

Lancets Ultra Fine, 39

Levorphanol Tartrate, 30 Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 39

Lancets Ultra Thin, 39

levothyroxine sodium, 18

Lanoxin, 7

Levothyroxine Sodium, 19 Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 39

Lanoxin Pediatric, 7

Levsin, 19

lansoprazole, 19

Levsin/SL, 19 Litetouch Lancets Micro Thin 33G, 39

lansoprazole/amoxicillin/clarithromycin, 19

Lexapro, 24 Litetouch Pen Needles 29GX12.7MM, 39

Lexiva, 3 Litetouch Pen Needles 31G X 6MM, 39

Lantus, 16

Lialda, 20 Litetouch Pen Needles 31GX8MM SHORT, 39

Lantus Solostar, 16

Liberty Medical Lancets 30G, 39

Lasix, 9

Librax, 19 Lithium, 25

Lastacaft, 29

Lido-RX 4.1, 14 lithium carbonate, 24

latanoprost, 28

lidocaine, 13 Lithium Carbonate, 25

Latrix XM, 14

lithium carbonate ER, 24

Lytensopril-90 Kit, 9 Medlance Plus Lancets, 39

Lithobid, 25

Medlance Plus Lancets Lite 25G, 39

M

Lithostat, 21

Medlance Plus Lite Lancets 25G, 39

M-m-r II, 34

Livalo, 10

Medlance Plus Special Lancets 0.8MM, 39

M.v.i. Adult, 35

Live Better Lancet Super Thin 30G, 39

M.v.i. Pediatric, 35

Live Better Lancet Ultra Thin 28G, 39

Medlance Plus Superlite 30G, 39

M.v.i.-12 Without Vitamin K, 35

Live Better Pen Needles 29G X 12MM, 39

Medlance Plus Superlite 30G/Comfort Max, 39

Macrobid, 20

Macrodantin, 21


Medlance Plus Universal Lancets 21G, 39

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 39


Medlance Plus/Lite 25G, 39


LMD 10% Dextrose 5%, 23

Medlance/Extra, 39

LMD 10% Sodium Chloride 0.9%, 23

Medlance/Lite, 39


LO Loestrin FE, 16

Medlance/Universal, 39

Locoid, 13

Medrol, 15


Locoid Lipocream, 13

Medrol Dosepak, 15

Lodosyn, 26

Medroloan II Suik, 15

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 39

Loestrin 1.5/30-21, 16

Medroloan Suik, 15

Loestrin 1/20-21, 16

medroxyprogesterone acetate, 16

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 39

Loestrin FE 1.5/30, 16

Medroxyprogesterone/Lidocaine, 16

Loestrin FE 1/20, 16

mefenamic acid, 31

Makena, 16

Lofibra, 10

mefloquine HCL, 3

Malarone, 3

Lomotil, 19

Megace ES, 16

malathion, 13

Lomustine, 4

Megace Oral, 5

mannitol, 9

Lonsurf, 7

megestrol acetate, 5, 16

Maprotiline HCL, 24

loperamide HCL, 19

Megrix, 14

Marbeta-25, 15

Lopid, 10

Meijer Lancets Universal 30G, 39

Marbeta-l, 15

Lopressor, 7

Meijer Super Thin Lancets, 39

Marcaine, 32

Lopressor HCT, 9

Mekinist, 6

Marcaine/Epinephrine, 32

Loprox, 12

meloxicam, 31

Mardex-25, 15

Loprox Shampoo, 12

Meloxicam, 31

Marinol, 20

lorazepam, 23

Meloxicam Comfort PAC, 31

Marlido-25, 32

Lorazepam, 23

melphalan hydrochloride, 4

Marnatal-f, 35

Lortab, 30

memantine HCL, 26

Marnova Suik, 32

Lorvatus Pharmapak, 27

memantine HCL titration PAK, 26

Marplan, 24

Lorzone, 27

memantine hydrochloride, 26

Marqibo, 6

losartan potassium, 8

Menactra, 34

Mask Vortex/Baby Whirl Duckling, 43

losartan potassium/hydrochlorothiazide, 9

Menest, 15

Mask Vortex/Child/Frog, 43

Menhibrix, 34

Mask Vortex/Spinner The Duck, 43

Loseasonique, 16

Menomune-a/C/Y/W-135, 34

Mask Vortex/Toddler/Lady Bug, 43

Lotemax, 28

Menopur, 18

Matulane, 6

Lotensin, 8

Menostar, 15

Mavik, 8

Lotensin HCT, 9

Mentax, 12

Maxalt, 32

Lotrel, 9

Menveo, 34

Maxalt-MLT, 32

Lotrisone, 12

meperidine HCL, 30

Maxaron Forte, 22

Lotronex, 20

Meperidine HCL, 30

Maxfe, 22

lovastatin, 10

Mephyton, 34

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 39

Lovaza, 10

meprobamate, 23

Lovenox, 22

Mepron, 4

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 39

loxapine, 24

mercaptopurine, 5

loxapine succinate, 24

meropenem, 4

Maxidex, 28

LT Injection Kit, 15

Meropenem/Sodium Chloride, 4

Maxipime, 1

Lufyllin, 33

Merrem, 4

Maxitrol, 28

Lumigan, 28

mesalamine, 20

Maxzide, 9

Lumizyme, 18

mesna, 7

Maxzide-25, 9

Lunesta, 25

Mesnex, 7

Mb Hydrogel, 14

Lupaneta Pack, 18

Mestinon, 28

meclizine HCL, 20

Lupron Depot, 5

Mestinon Timespan, 28

Meclofenamate Sodium, 31

Lupron Depot-PED, 18

Metadate CD, 25

Medi-derm/L-RX, 14

Luvox CR, 24

Metaproterenol Sulfate, 33

Medical Provider EZ Flu Shot 2014-2015, 34

Luxiq, 13

Metastron, 6

Luzu, 12

metaxalone, 27

Medical Provider EZ Flu Shot 2015-2016, 34

Lycelle, 14

Metaxalone, 27

Lynparza, 6

metformin HCL, 17

Medical Provider Single Use EZ Flu Shot, 34

Lyrica, 26

metformin HCL ER, 17

Lysodren, 5

methadone HCL, 30

Medisense Thin Lancets, 39

Lysteda, 22

Methadone HCL, 30

Medlance Plus Extra Lancets 21G, 39

Lytensopril Kit, 9

Methadose, 30

Methadose Sugar-free, 30

Migranow, 32 Needle/0.5ML/29G X 1/2", 39

methamphetamine HCL, 25

Millipred, 15 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 39

methazolamide, 9

Millipred DP, 15

methenamine hippurate, 20

milrinone IN dextrose, 7 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 39

methenamine mandelate, 20

milrinone lactate, 7

Methenamine Mandelate, 20

Minastrin 24 FE, 16 Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 39

methimazole, 18

Mineral Oil Heavy, 19

methocarbamol, 27

Minipress, 9 Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39

methotrexate, 5

Minivelle, 15

methotrexate sodium, 5

Minocin, 2 Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

Methotrexate Sodium, 5

Minocin Kit, 2

methoxsalen, 12

minocycline HCL, 2 Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39

methscopolamine bromide, 19

minocycline HCL ER, 2

Methyclothiazide, 9

minoxidil, 8 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39

methyldopa, 8

Mirapex, 26

Methyldopa/Hydrochlorothiazide, 9

Mirapex ER, 26 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39

Methyldopate HCL, 9

Mircera, 22

methylergonovine maleate, 29

Mircette, 16 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39

Methylin, 25

mirtazapine, 24

methylphenidate HCL, 25

mirtazapine odt, 24 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 39

methylphenidate HCL CD, 25

Mirvaso, 11

methylphenidate HCL ER, 25

misoprostol, 19 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 39

Methylphenidate HCL ER, 25

Mission Prenatal, 35

methylphenidate HCL SR, 25

Mitigare, 32 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 39

methylphenidate hydrochloride, 25

mitomycin, 5

methylprednisolone, 14

Mitomycin, 5 Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 39

Methylprednisolone, 15

Mitosol, 28

methylprednisolone acetate, 14

mitoxantrone HCL, 5 Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 39

methylprednisolone dose pack, 14

Mld Kit, 32

Methylprednisolone PF, 15

Mlk F4 Kit, 15 Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 39

methylprednisolone sodiumsuccinate, 14

Mobic, 31

Methylprednisolone/Lidocaine, 15

modafinil, 25 Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39

methyltestosterone, 15

Moderiba, 3

Metipranolol, 28

Moderiba 1200 Dose Pack, 3 Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 39

metoclopramide HCL, 20

Moderiba 800 Dose Pack, 3

metoclopramide odt, 20

Modicon, 16 Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 39

Metoclopramide Odt, 20

moexipril HCL, 8

metolazone, 9

moexipril/hydrochlorothiazide, 9 Monojector End CAPS, 39

metoprolol succinate ER, 7

Molindone Hydrochloride, 25 Monojector Opd End CAPS, 39

metoprolol tartrate, 7

mometasone furoate, 13, 32 Monolet Lancets, 39

Metoprolol Tartrate, 7

Monoclate-p, 23 Monolet Opd Lancets, 39

metoprolol/hydrochlorothiazide, 9

Monodox, 2 Monolettor Safety Lancets, 39

Metozolv Odt, 20

Monoject Bone Marrow Biopsy Prepping Tray, 32

Mononine, 23

Metro IV, 4

Monovisc, 27

Metrocream, 11

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 32

montelukast sodium, 33

Metrogel, 11

Monurol, 21

Metrogel-vaginal, 21

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 32

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

Metrolotion, 11

metronidazole, 4, 11

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 32

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

metronidazole IN NACL 0.79%, 4

metronidazole vaginal, 21

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 39

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39

Mevacor, 10

mexiletine HCL, 8

Monoject Insulin Syringe/1ML, 39 Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 39

Miacalcin, 17

Monoject Insulin Syringe/1ML/31G X 5/16", 39

Micardis, 8

Morgidox 1X100MG, 2

Micardis HCT, 9

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 39

Morgidox 2X100MG, 2

Microchamber, 43

morphine sulfate, 30

Microlet Lancets, 39

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 39

Morphine Sulfate, 30

Microspacer, 43

Morphine Sulfate Add-vantage, 30

Microtainer Safety Flow Lancet/Sterile/Single-use, 39

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 39

morphine sulfate ER, 30

Morphine Sulfate ER, 30

Microzide, 9

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 39

Morphine Sulfate/Sodium Chloride, 30

midodrine HCL, 10

Motofen, 19

Mifeprex, 18

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 39

Movantik, 20

Migergot, 32

Moviprep, 19

miglitol, 17

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 39

Moxatag, 1

Migral, 32

Moxeza, 28

Migranal, 32

Monoject Insulin Syringe/Safety/Perm moxifloxacin HCL, 2

Moxifloxacin HCL, 2

Nasonex, 32 Neurontin, 26

Mozobil, 21

Natachew, 35 Neutrasal, 23

MS Contin, 30

Natacyn, 28 Neutrexin, 4

Mteryti, 35

Natalvirt 90 DHA, 35 Neuvaxin, 14

Mteryti Folic 5, 35

Natalvirt CA, 35 Nevanac, 29

Mucinex Maximum Strength, 33

Natalvirt Flt, 22 nevirapine, 3

Multaq, 8

Natalvit, 35 Nevirapine, 3

Multigen, 22

Natazia, 16 nevirapine ER, 3

Multigen Folic, 22

nateglinide, 17 Newgen, 35

Multigen Plus, 22

Natelle One, 35 Nexa Plus, 35

mupirocin, 11

Natesto, 15 Nexavar, 6

mupirocin calcium, 11

Natpara, 17 Nexium, 19

Muse, 10

Natrecor, 10 Nexium I.v., 19

Mustargen, 4

Natroba, 14 Nexterone, 8

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 22

Nature-throid, 19 Niacin, 35

Nature-throid Nt-2.5, 19 niacin ER, 10

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 22

Navelbine, 6 niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 35

Nazirex, 12

Myalept, 18

Nebupent, 4 Niacor, 10

Myambutol, 2

Nebusal, 33 Niaspan, 10

Mycamine, 3

Necon 1/50-28, 16 Nicadan, 35

Mycobutin, 2

Necon 10/11-28, 16 nicardipine HCL, 8

mycophenolate mofetil, 5

Neevo DHA, 35 Nicazel, 35

mycophenolic acid DR, 5

nefazodone HCL, 24 Nicazel Forte, 35

Myfortic, 6

Nefazodone HCL, 24 Nicazeldoxy 30 Kit, 2

Myglucohealth Mgh Softlance Lancets 30G, 39

Nembutal Sodium, 25 Nicazeldoxy 60 Kit, 2

Neo-synalar, 11 Nicomide, 35

Mykidz Iron Fl, 35

Neo-synalar Kit, 11 nifedipine, 8

Myleran, 4

neomycin sulfate, 2 nifedipine ER, 8

Mynatal, 35

neomycin/bacitracin/polymyxin, 28 Nilandron, 5

Myobloc, 27

neomycin/polymyxin/bacitracin zinc, 28 nilutamide, 5

Myozyme, 18

neomycin/polymyxin/bacitracin/hydrocortisone, 28

Nimbex, 27

Myrbetriq, 21

nimodipine, 8

Mysoline, 26

neomycin/polymyxin/dexamethasone, 28 Ninlaro, 6

N

neomycin/polymyxin/gramicidin, 28 Nipent, 7

neomycin/polymyxin/HC, 29 Niravam, 23

nabumetone, 31

Neomycin/Polymyxin/Hydrocortisone, 28 nisoldipine, 8

nadolol, 7

neomycin/polymyxin/hydrocortisone, 29 Nisoldipine, 8

nadolol/bendroflumethiazide, 9

Neoprofen, 31 Nisoldipine ER, 8

Nafcillin, 1

Neoral, 6 Nitro-bid, 7

nafcillin sodium, 1

Neosalus, 14 Nitro-dur, 7

Nafcillin Sodium, 1

Neosalus CP, 14 nitrofurantoin, 20

Nafrinse Daily/Acidulated, 23

Neosporin, 28 nitrofurantoin macrocrystals, 20

Nafrinse Daily/Neutral, 23

neostigmine methylsulfate, 27 nitrofurantoin monohydrate, 20

Nafrinse Weekly, 23

Neostigmine Methylsulfate, 28 nitrofurantoin monohydrate/macrocrystals, 20

Naftifine HCL, 12

Neotuss Plus, 33

naftifine hydrochloride, 11

Nephplex RX, 35 Nitroglycerin, 7

Naftin, 12

Nephro-vite RX, 35 nitroglycerin ER, 7

Naglazyme, 18

Nephrocaps, 35 nitroglycerin IN 5% dextrose, 7

nalbuphine HCL, 30

Nephrocaps QT, 35 nitroglycerin IN dextrose 5%, 7

Nalfon, 31

Nephron Fa, 22 Nitroglycerin IN Dextrose 5%, 7

Namenda, 27

Neptazane, 9 nitroglycerin lingual, 7

Namenda Titration PAK, 27

Nesacaine, 32 Nitroglycerin Lingual, 7

Namenda XR, 27

Nesacaine-mpf, 32 nitroglycerin transdermal, 7

Namenda XR Titration Pack, 27

Nesina, 17 Nitrolingual Pumpspray, 7

Namzaric, 27

Nessi Spacer/Large Mask, 43 Nitromist, 7

Naphazoline HCL, 29

Nessi Spacer/Mouthpiece, 43 Nitronal, 7

Naprelan, 31

Nessi Spacer/Small/MED Mask, 43 Nitropress, 9

Naprosyn, 31

Nestabs, 35 Nitrostat, 7

naproxen, 31

Nestabs Abc, 35 Niva-plus, 35

Naproxen, 31

Nestabs DHA, 35 Nivatopic Plus, 14

Naproxen Comfort PAC, 31

Netgroup Lancets, 39 nizatidine, 19

naproxen sodium, 31

Neuac Kit, 11 Nizatidine, 19

naproxen sodium CR, 31

Neulasta, 22 Nizoral, 12

naproxen sodium ER, 31

Neulasta Onpro Kit, 22 Nor-QD, 16

naratriptan HCL, 31

Neumega, 21 Norco, 30

Nardil, 24

Neupogen, 21 Norditropin Cartridge, 18

Naropin, 32

Neupro, 26 Norditropin Flexpro, 18

Nascobal, 22

Norditropin Nordiflex Pen, 18

Nuvigil, 25 Onetouch Suresoft Lancing Device/21G, 40

norepinephrine bitartrate, 10

Nuvya, 12

norethindrone, 16

Nuwiq, 23 Onetouch Suresoft Lancing Device/28G, 40

norethindrone & ethinyl estradiol ferrous fumarate, 16

Nuzon, 13

Nyata, 12 Onetouch Ultra 2, 40

norethindrone acetate, 16

Nymalize, 8 Onetouch Ultra Blue, 40

norethindrone acetate/ethinyl estradiol, 15, 16

nystatin, 2, 11, 23 Onetouch Ultra Mini, 40

nystatin/triamcinolone, 12 Onetouch Ultralink System (DEC), 40

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 16

nystatin/triamcinolone acetonide, 12 Onetouch Ultralink System (hex), 40

O Onetouch Ultrasoft Lancets, 40

Norflex, 27

Onetouch Verio, 40

O-CAL Fa, 35

norgestimate/ethinyl estradiol, 16

Onetouch Verio IQ Blood Glucose Monitoring System, 40

O-CAL Prenatal, 35

Norinyl 1+35, 16

OB Complete, 35

Norinyl 1+50, 16

Onetouch Verio Sync Bloodglucose Monitoring System, 40

OB Complete Gold, 35

Noritate, 11

OB Complete One, 35

Noroxin, 2

Onetouch Verio Test Strips, 40

OB Complete Petite, 35

Norpace, 8

Onexton, 11

OB Complete Premier, 35

Norpace CR, 8

Onfi, 26

OB Complete/DHA, 35

Norpramin, 24

Onglyza, 17

Obredon, 33

Northera, 10

Onivyde, 6

Obstetrix DHA, 35

nortriptyline HCL, 24

Onmel, 3

Obtrex, 35

Nortriptyline HCL, 24

Onzetra Xsail, 32

Obtrex DHA, 35

Norvasc, 8

Opana, 30

Ocaliva, 20

Norvir, 3

Opana ER (crush Resistant), 30

octreotide acetate, 18

Nova Safety Lancets 23G, 39

Opdivo, 5

Ocudox, 2

Nova Safety Lancets 28G, 39

opium, 19

Ocufen, 29

Nova Sureflex Lancets, 39

opium tincture, 19

Ocuflox, 28

Novaferrum, 22

Opsumit, 10

Ocuvel, 35

Novoclair, 12

Optichamber Advantage, 43

Odefsey, 3

Novoeight, 23

Optichamber Advantage/Large Mask, 43

Ofev, 34

Novofine Plus 32GX4MM, 39

Optichamber Advantage/Medium Face Mask, 43

Ofirmev, 30

Novolin 70/30, 16

ofloxacin, 2, 28, 29

Novolin 70/30 Relion, 16

Optichamber Advantage/Small Face Mask, 43

Ofloxacin, 2

Novolin N, 16

olanzapine, 24

Novolin N Relion, 16

Optichamber Diamond, 43

olanzapine odt, 24

Novolin R, 16

Optichamber Diamond/Largeface Mask, 43

olanzapine/fluoxetine, 26

Novolin R Relion, 16

Oleptro, 24

Novolog, 16

Optichamber Diamond/Medium Face Mask, 43

olopatadine HCL, 29, 32

Novolog Flexpen, 16

Olux, 13

Novolog Mix 70/30, 16

Optichamber Diamond/Smallface Mask, 43

Olux-e, 13

Novolog Mix 70/30 Prefilled Flexpen, 16

Olysio, 3

Novolog Penfill, 16

Optichamber Face Mask/Large, 43

Omeclamox-PAK, 19

Novoseven, 23

Optichamber Face Mask/Medium, 43

omega-3-acid ethyl esters, 10

Novoseven Rt, 23

Optichamber Face Mask/Small, 43

Omega-3/D-3 Wellness Pack, 10

Noxafil, 3

Optihaler, 43

omeprazole, 19

Noxipak, 13

Optihaler MDI Drug Delivery System, 43

Omeprazole + Syrspend SF Alka, 19

Nplate, 21

Optivar, 29

omeprazole/sodium bicarbonate, 19

Nucala, 33

Oracea, 11

Omnaris, 32

Nucort, 13

Oracit, 21

Omnipred, 28

Nucynta, 30

Orafate, 23

Omnitrope, 18

Nucynta ER, 30

Orap, 27

Omontys, 22

Nuedexta, 27

Orapred Odt, 15

On Call Lancets, 39

Nufera, 22

Oravig, 23

On Call Plus Lancets, 40

Nulojix, 6

Orbactiv, 4

Oncaspar, 5

Nulytely/Flavor Packs, 19

Orencia, 31

ondansetron HCL, 20

Numoisyn, 23

Orencia Clickjet, 31

ondansetron odt, 20

Nuox, 11

Orenitram, 10

One A Day Womens Prenatal/DHA, 35

Nuplazid, 25

Orfadin, 18

One A Day Womens Prenatal1, 35

Nutricap, 35

Orkambi, 34

One-a-day Womens Prenatal, 35

Nutridox, 2

orphenadrine citrate, 27

Onetouch Club Lancets Fine Point, 40

Nutrivit, 35

orphenadrine citrate ER, 27

Onetouch Combo Pack, 40

Nutropin AQ Nuspin 10, 18

Orphenadrine/Asa/Caffeine, 27

Onetouch Delica Lancets Extra Fine 33G, 40


Ortho Micronor, 16


Ortho Tri-cyclen, 16

Onetouch Delica Lancets Fine 30G, 40

Nutropin AQ Pen, 18

Ortho Tri-cyclen LO, 16

Onetouch Finepoint Lancets, 40

Nuvail, 14

Ortho-cept, 16

Onetouch Lancets, 40

Nuvaring, 16

Ortho-cyclen, 16

Onetouch Suresoft Lancing Device/18G, 40

Nuvessa, 21

Ortho-novum 1/35, 16

Ortho-novum 7/7/7, 16

Parlodel, 26 Pentips 31GX5MM, 40

Orthovisc, 27

Parnate, 24 Pentips 31GX6MM, 40

Oseni, 17

paromomycin sulfate, 2 Pentips 31GX8MM, 40

Osmoprep, 19

paroxetine HCL, 24 Pentips 32GX4MM, 40

Osphena, 17

paroxetine HCL ER, 24 pentoxifylline ER, 22

Otezla, 31

Paser, 2 Pepcid, 19

Otiprio, 29

Pataday, 29 Percocet, 30

Otozin, 29

Patanase, 32 Percodan, 30

Otrexup, 31

Patanol, 29 Perfect Lancets 30G, 40

Ovace Plus, 12

Paxil, 24 Perfect Pressure Activated Safety Lancets 28G, 40

Ovace Plus Wash, 12

Paxil CR, 24

Ovace Wash, 12

Pazeo, 29 Perforomist, 33

Ovcon-35, 16

PC Unifine Pentips 29G X 1/2", 40 Peridex, 23

Ovide, 14

PC Unifine Pentips 31G X 6MM Ultra SHORT, 40

perindopril erbumine, 8

Ovidrel, 18

Perjeta, 5

oxacillin sodium, 1

PC Unifine Pentips 31G X 8MM SHORT, 40

permethrin, 13

oxaliplatin, 4

perphenazine, 24

Oxandrin, 15

PCE, 1 Perphenazine/Amitriptyline, 27

oxandrolone, 15

Pcp 100, 19 Persantine, 23

oxaprozin, 31

Pediaderm AF Complete Kit, 12 Pertzye, 20

Oxaydo, 30

Pediaderm HC, 13 Pexeva, 24

oxazepam, 23

Pediaderm Ta, 13 Pfizerpen-G, 1

oxcarbazepine, 26

Pediapred, 15 Pharmacist Choice Ultra Thin Lancets, 40

oxiconazole nitrate, 12

Pediarix, 34

Oxistat, 12

Pediatex TD, 33 Pharmacist Choice Ultra Thin Lancets 28G, 40

Oxsoralen, 14

Pediatric Panda Mask, 43

Oxsoralen Ultra, 12

Pedipirox-4 Nail, 12 Pharmacist Choice Ultra Thin Lancets 30G, 40

Oxtellar XR, 26

Pedvax HIB, 34

oxybutynin chloride, 21

peg 3350/electrolytes, 19 Pharmacist Choice Ultra Thin Lancets 31G, 40

oxybutynin chloride ER, 21

peg-3350/electrolytes, 19

oxycodone HCL, 30

peg-3350/NACL/NA bicarbonate/KCL, 19 Pharmacist Choice Ultra Thin Lancets 33G, 40

Oxycodone HCL ER, 30

Peg-intron, 3

oxycodone hydrochloride, 30

Peg-intron Redipen, 3 Pharmacy Counter Lancets, 40

oxycodone/acetaminophen, 30

Peg-intron Redipen PAK 4, 3 phenazopyridine HCL, 21

oxycodone/aspirin, 30

Peganone, 26 phenelzine sulfate, 24

oxycodone/ibuprofen, 30

Pegasys, 3 Phenergan, 32

Oxycodone/Ibuprofen, 30

Pegasys Proclick, 3 phenobarbital, 25

Oxycontin, 30

Pegintron, 3 Phenobarbital, 25

oxymorphone hydrochloride, 30

Pen Needles 29G X 12MM, 40 Phenobarbital Sodium, 25

oxymorphone hydrochloride ER, 30

Pen Needles 29GX1/2", 40 phenoxybenzamine hydrochloride, 8

oxytocin, 29

Pen Needles 30GX5/16", 40 Phentolamine Mesylate, 9

Oxytocin, 29

Pen Needles 31G X 1/4" SHORT, 40 phenylephrine HCL, 10, 29

Oxytocin/Lactated Ringers, 29

Pen Needles 31G X 3/16", 40 Phenylephrine HCL, 10

Oxytrol, 21

Pen Needles 31G X 5MM, 40 Phenylephrine HCL/Sodium Chloride, 10

P

Pen Needles 31G X 6MM, 40 phenylephrine/guaifenesin, 33

Pen Needles 31GX5/16", 40 Phenytek, 26

paclitaxel, 6

Pen Needles 31GX6MM (1/4"), 40 phenytoin, 26

Paclitaxel, 6

Pen Needles 31GX8MM, 40 phenytoin sodium, 26

Paire OB, 36

Pen Needles 31GX8MM (5/16"), 40 phenytoin sodium extended, 26

paliperidone ER, 24

Pen Needles 32GX4MM, 40 Phoslo, 20

Pamelor, 24

penicillin G potassium, 1 Phoslyra, 20

pamidronate disodium, 17

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Phospholine Iodide, 29

Pamidronate Disodium, 17

Photofrin, 7

Pamine, 19

Penicillin G Procaine, 1 phytonadione, 34

Pamine Forte, 19

Penicillin G Sodium, 1 pilocarpine HCL, 23, 29

Pamine FQ, 19

penicillin v potassium, 1 pilocarpine hydrochloride, 23

Panatuss Dxp, 33

Penlac Nail Lacquer, 12 pimozide, 26

Pancreaze, 20

Penlet II Replacement CAPS, 40 pindolol, 7

Pancrelipase, 20

Penlet II Replacement CAPS-deep, 40 pioglitazone HCL, 17

pancuronium bromide, 27

Penlet II Replacement CAPS-regular, 40 pioglitazone HCL-glimepiride, 17

Panda Mask Large, 43

Pennsaid, 12 pioglitazone HCL/metformin HCL, 17

Panda Mask Medium, 43

Pentacel, 34 piperacillin sodium/ tazobactam sodium, 1

Panda Mask Small, 43

Pentam 300, 4

Pandel, 13

Pentasa, 20 piperacillin sodium/tazobactam sodium, 1

pantoprazole sodium, 19

pentazocine/naloxone HCL, 30 piperacillin/tazobactam, 1

papaverine HCL, 10

Pentetate Calcium Trisodium, 43 piroxicam, 31

Parafon Forte DSC, 27

Pentetate Zinc Trisodium, 43 Pitocin, 29

Paregoric, 19

Pentips 29GX12MM, 40 Pitressin Synthetic, 18

paricalcitol, 18

Plaquenil, 3

Pred Mild, 28 Proair Respiclick, 33

Plavix, 23

Pred-G, 28 probenecid, 32

Plegridy, 27

Pred-G S.o.p., 28 probenecid/colchicine, 32

Plegridy Starter Pack, 27

prednicarbate, 13 Probuphine Implant Kit, 30

Pletal, 23

prednisolone, 14 Procainamide HCL, 8

Plexion, 11

prednisolone acetate, 28 Procardia, 8

Plexion Cleanser, 11

prednisolone sodium phosphate, 14 Procardia XL, 8

Plexion Cleansing Cloths, 11

Prednisolone Sodium Phosphate, 15, 28 Procentra, 25

Pliaglis, 14

prednisolone sodium phosphate odt, 14 prochlorperazine, 24

Pneumovax 23, 34

Prednisolone/Moxifloxacin, 28 prochlorperazine edisylate, 24

Pneumovax 23/1 Dose, 34

prednisone, 15 prochlorperazine maleate, 24

Pneumovax 23/5 Dose, 34

Prednisone, 15 Procort, 20

Pocket Chamber, 43

Prednisone Intensol, 15 Procrit, 21

Pocket Spacer, 43

Prefera OB, 35 Proctocort, 20

podofilox, 13

Prefera OB + DHA, 35 Proctofoam HC, 20

Poly-VI-flor, 35

Preferaob +dha, 36 Procysbi, 21

Poly-VI-flor FS, 35

Preferaob One, 36 Prodigy Insulin Mini Pen Needles/31G X 3/16", 40

Poly-VI-flor/Iron, 35

Preferred Plus Unifine Pentips 29G X 12MM, 40

polyethylene glycol 3350, 19

Prodigy Insulin Pen Needles/29G X 1/2", 40

polymyxin b sulfate, 4

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 40

polymyxin b sulfate/trimethoprim sulfate, 28

Prodigy Insulin SHORT Penneedles/31G X 5/16", 40

Preferred Plus Unifine Pentips 31G X 8MM SHORT, 40

Polytrim, 28

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 40

Pomalyst, 6

Prefest, 15

Ponstel, 31

Prefol-DHA, 36 Prodigy Insulin Syringe/1/2ML/31G X 5/16", 40

Portrazza, 5

Premarin, 15, 21

potassium citrate ER, 21

Premphase, 15 Prodigy Insulin Syringe/1ML/28G X 1/2", 40

potassium citrate-citric acid crystals, 21

Prempro, 15

potassium citrate/citric acid, 21

Prenata, 35 Prodigy Pressure Activated Safety Lancets, 40

potassium citrate/sodium citrate/citric acid, 21

Prenatal Vitamin, 35

Prenatal Vitamins, 35 Prodigy Safety Lancets, 40

Potiga, 26

Prenate, 36 Prodigy Twist Top Lancets, 40

Pr Cream, 14

Prenate AM, 35 Proferrin-forte, 22

Pradaxa, 22

Prenate DHA, 36 Profilnine, 23

Praluent, 10

Prenate Elite, 35 Profilnine SD, 23

pramipexole dihydrochloride, 26

Prenate Enhance, 36 progesterone, 16

pramipexole dihydrochloride ER, 26

Prenate Essential, 35 Progesterone 10% Kit, 16

Pramosone, 13

Prenate Mini, 36 Proglycem, 17

Pramotic, 29

Prenate Pixie, 36 Prograf, 6

Prandimet, 17

Prenate Restore, 36 Prolastin-c, 34

Prandin, 17

Prenate Star, 35 Prolensa, 29

Prascion Ra With Sunscreens, 11

Prepidil, 29 Proleukin, 6

Prastera, 31

Prepopik, 19 Prolia, 17

Pravachol, 10

Preque 10, 36 Promacta, 22

pravastatin sodium, 10

Presera, 14 promethazine HCL, 32

Prazolamine, 27

Prestalia, 9 promethazine HCL plain, 32

prazosin HCL, 8

Prevacid, 19 promethazine-DM, 33

Pre-folic, 22

Prevacid Solutab, 19 promethazine/codeine, 33

Precedex, 25

Prevident, 23 promethazine/dextromethorphan, 33

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 40

Previdolrx Analgesic PAK, 31 promethazine/phenylephrine, 33

Prevnar 13, 34 Promethazine/Phenylephrine, 33


Prevpac, 19 promethazine/phenylephrine/codeine, 33

Prezcobix, 3 Prometrium, 16


Prezista, 3 Promiseb, 12

Prialt, 29 Promiseb Complete, 12


Priftin, 2 propafenone HCL, 8

Prilosec, 19 propafenone HCL ER, 8

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 40

Primaquine Phosphate, 3 Propantheline Bromide, 19

Primaxin IV, 4 proparacaine HCL, 29

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 40

Primaxin IV Add-vantage, 4 propranolol HCL, 7

primidone, 26 Propranolol HCL, 7

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 40

Primlev, 30 propranolol HCL ER, 7

Primsol, 4 Propranolol/Hydrochlorothiazide, 9

Precision Thin Lancets, 40

Prinivil, 8 propylthiouracil, 19

Precision Thins GP Lancet, 40

Pristiq, 24 Proquad, 34

Precision Ultra Lancet, 40

Pro-c-dure 5 Kit, 15 Proscar, 21

Precose, 17

Pro-c-dure 6 Kit, 15 Prostin E2, 29

Pred Forte, 28

Proair HFA, 33 Protamine Sulfate, 23

Protect Plus, 36

Rabavert, 34 Relion Pen Needles 29GX12MM, 40

Protectiron, 22

rabeprazole sodium, 19 Relion Pen Needles 31GX6MM, 40

Prothelial, 23

raloxifene hydrochloride, 17 Relion Pen Needles 31GX8MM, 40

Protonix, 19

ramipril, 8 Relion Pen Needles 32GX4MM, 40

Protopic, 13

Ranexa, 7 Relion SHORT Pen Needles 31GX8MM, 40

protriptyline HCL, 24

ranitidine HCL, 19

Provenge, 6

Rapaflo, 21 Relion Thin Lancets, 40

Proventil HFA, 33

Rapamune, 6 Relion Ultra Thin Lancets, 40

Provera, 16

Rapivab, 3 Relion Ultra Thin Lancets30G, 40

Provida DHA, 36

Rasuvo, 31 Relion Ultra Thin Plus Lancets 32G, 40

Provida OB, 35

Ravicti, 18 Relion Ultra Thin Plus Lancets 33G, 40

Provigil, 25

Rayos, 15 Relistor, 20

Prozac, 24

Razadyne, 27 Relpax, 32

Prozac Weekly, 24

Razadyne ER, 27 Relyyks, 14

Pruclair, 14

Readysharp-a, 32 Relyyt, 14

Prudoxin, 12

Readysharp-k, 15 Remeron, 24

Prumyx, 14

Readysharp-p40, 15 Remeron Soltab, 24

Pss Select GP Lancets, 40

Readysharp-p80, 15 Remicade, 20

Pss Select Platforms, 40

Rebetol, 3 Remifentanil HCL, 30

Pss Select Safety Lancets, 40

Rebif, 27 Remodulin, 10

Pulmicort, 33

Rebif Rebidose, 27 Renagel, 20

Pulmicort Flexhaler, 33

Rebif Rebidose Titration Pack, 27 Renatabs, 36

Pulmophylline, 33

Rebif Titration Pack, 27 Renatabs With Iron, 36

Pulmozyme, 34

Reclast, 17 Renew Advanced Lancing Cartridge Refills, 40

Purinethol, 5

Recombinate, 23

Purixan, 5

Recombivax HB, 34 Renvela, 20

Px Lancets Ultra Thin, 40

Recothrom, 22 Reopro, 23

Pylera, 19

Recothrom Spray Kit, 22 repaglinide, 17

pyrazinamide, 2

Rectiv, 20 Repaglinide/Metformin Hydrochloride, 17

Pyridium, 21

Recura, 12 Repatha, 10

pyridostigmine bromide, 27

Reglan, 20 Repatha Pushtronex System, 10

Pyridoxine HCL, 35

Regonol, 28 Repatha Sureclick, 10

Pyrogallic Acid, 14

Relagard, 21 Reprexain, 30

Q

Relenza Diskhaler, 3 Req 49+, 36

Relhist, 33 Requip, 26

Qc Lancets Super Thin, 40

Relion Insulin Syringe/U -100/0.5ML/29G, 40

Requip XL, 26

Qc Lancets Ultra Thin, 40

Rescon-JR, 33

Qc Pen Needles 29G X 12MM, 40

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 40

Rescriptor, 3


Rescula, 28


Relion Insulin Syringe/U-100/0.3ML/29G, 40

Reserpine, 8

Qnasl, 32

Respa-BR, 32

Qnasl Childrens, 32

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Restasis, 29

Quadracel, 34

Restora RX, 19

Quadramet, 6


Restora Sprinkles, 19

Qualaquin, 3

Restoril, 25

Quartette, 16


Retin-a, 11

Quazepam, 25

Retin-a Micro, 11

Qudexy XR, 26


Retin-a Micro P.M., 11

Quelicin, 27

Retinoic Acid, 11

Quelicin 1000, 27


Retinoic Acid-all Trans, 11

Questran, 10

Retrovir, 3

Questran Light, 10


Retrovir IV Infusion, 3

quetiapine fumarate, 24

Revatio, 10

Quillichew ER, 25


Revlimid, 6

Quillivant XR, 25

Rexall Lancets Ultra Thin, 40

quinapril HCL, 8


Rexulti, 25

quinapril/hydrochlorothiazide, 9

Reyataz, 3

Quinidine Gluconate, 8

Relion Insulin Syringe/U-100/1ML/30G, 40

Rezira, 33

quinidine gluconate CR, 8

Rezyst IM, 19

quinidine gluconate ER, 8


Rezyst SB, 19

quinidine sulfate, 8

Rheumatrex, 31

Quinidine Sulfate, 8


Rhinocort Aqua, 33

Quinidine Sulfate ER, 8

Riastap, 23

quinine sulfate, 3

Relion Lancets Micro-thin33G, 40 Riax, 11

Qutenza, 14

Relion Lancets Standard 21G, 40 Ribasphere, 3

Qvar, 33

Relion Lancets Thin 26G, 40 Ribasphere Ribapak, 3

R

Relion Lancets Ultra-thin30G, 40 Ribatab, 3

Relion Mini Pen Needles 31GX6MM, 40 ribavirin, 3

R-natal OB, 36

Ridaura, 31

Safesnap Insulin Syringe/0.5ML/29G X 1/2", 40

Sentraflox AM-10, 24

rifabutin, 2

Sentralopram AM-10, 24

Rifadin, 2


Sentramodafin AM-100, 25

Rifamate, 2

Sentravil PM-25, 24

rifampin, 2

Safesnap Insulin Syringe/1ML/28G X 1/2", 40

Sentrazolam AM 0.25, 23

Rifater, 2

Sentrazolpidem PM-5, 25

Right Step Prenatal, 35

Safesnap Insulin Syringe/1ML/29G X 1/2", 40

Sentroxatine, 24

Rightest GD-L500 Alternate Site Adapter, 40

Serevent Diskus, 33

Safety Lancet 21G/Pressure Activated, 40

Sernivo, 13

Rightest Gl300 Lancets, 40

Seroquel, 25

Rilutek, 27

Safety Lancet 28G/Pressure Activated, 40

Seroquel XR, 24

riluzole, 27

Serostim, 18

rimantadine HCL, 3

Safety Lancets, 40 sertraline HCL, 24

Rimantalist, 3

Safety Lancets 21G, 40 Sevelamer Carbonate, 20

Riomet, 17

Safety Lancets 28G, 40 Sfrowasa, 20

risedronate sodium, 17

Safety Let Lancets, 40 Shohls Solution Modified, 21

risedronate sodium DR, 17

Safety Seal Lancets 28G, 40 Shopko On-the-go Comfort Lancets 30G, 40

Risperdal, 25

Safety Seal Lancets 30G, 40

Risperdal Consta, 25

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 40

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 40

Risperdal M-TAB, 25

risperidone, 24

Safyral, 16 Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 40

risperidone odt, 24

Saizen, 18

Ritalin, 25

Saizen Click.easy, 18 Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 40

Ritalin LA, 25

Salagen, 23

Ritalin SR, 25

Salex, 14 Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 40

Riteflo, 43

Salex Cream, 14

Rituxan, 5

Salex Lotion, 14 Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 40

rivastigmine tartrate, 26

salicylic acid, 13

rivastigmine transdermal system, 26

Salicylic Acid, 14 Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 41

rizatriptan benzoate, 31

salicylic acid cream, 13

rizatriptan benzoate odt, 31

salicylic acid ER, 13 Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 41

Robaxin, 27

Salicylic Acid IN Ammonium Lactate Vehicle, 14

Robaxin-750, 27

Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 41

Robinul, 20

salicylic acid lotion, 13

Robinul Forte, 20

Salivamax, 23 Shopko Unilet Lancets Super Thin 30G, 41

Rocaltrol, 18

Salivate RX, 23

Rocephin, 1

Salkera, 14 Shopko Unilet Lancets Ultra Thin 28G, 41

rocuronium bromide, 27

salsalate, 29

ropinirole ER, 26

Salvax, 14 Siderol, 36

ropinirole HCL, 26

Salvax Duo Plus, 14 Signifor, 18

ropivacaine, 32

Samsca, 18 Signifor Lar, 18

ropivacaine HCL, 32

Sanctura, 21 Silazone Pharmapak, 13

Rosadan Kit, 11

Sancuso, 20 Silazone-II, 13

Rosanil, 11

Sandimmune, 6 sildenafil, 10

Rosula, 11

Sandostatin, 18 sildenafil citrate, 10

rosuvastatin calcium, 10

Sandostatin Lar Depot, 18 Silenor, 25

Rotarix, 34

Saphris, 24 Simbrinza, 29

Rotateq, 34

Sarafem, 27 Simcor, 10

Rowasa, 20

Savaysa, 22 Simponi, 31

Roxicet, 30

Savella, 27 Simponi Aria, 31

Roxicodone, 30

Savella Titration Pack, 27 Simulect, 6

Rozerem, 25

Scalacort DK, 13 simvastatin, 10

Ryanodex, 27

Scar Patch, 14 Sinelee, 14

Rytary, 26

Scopolamine Hydrobromide, 20 Sinemet, 26

Rythmol, 8

Seasonique, 16 Sinemet CR, 26

Rythmol SR, 8

Seconal, 25 Single-let, 41

S

Seconal Sodium, 25 Singulair, 33

Sectral, 7 sirolimus, 5

Sabril, 26

Select-OB, 35 Sirturo, 2

Safe-t-lance Low Flow 25G, 40

Select-ob+dha, 36 Sitavig, 3

Safe-t-lance Normal Flow 21G, 40

selegiline HCL, 26 Sivextro, 4

Safe-t-lance Plus Safety Lancet High Flow, 40

selenium sulfide, 12 Skelaxin, 27

Selrx, 12 Sklice, 14

Safe-t-lance Plus Safety Lancet Low Flow, 40

Selzentry, 3 Smart Diabetes Vantage Universal Lancets 30G, 41

Semprex-d, 33

Safe-t-lance Plus Safety Lancet Normal Flow, 40

Sensipar, 18 Smart Sense Color Lancets Universal 33G, 41

Sensorcaine-mpf/Epinephrine, 32


Sentradine, 20 Smart Sense Standard Lancets Universal

21G, 41

Stalevo 150, 26 Suprep Bowel Prep, 19

Smart Sense Super Thin Lancets Universal 30G, 41

Stalevo 200, 26 Sure-fine Pen Needles 29GX1/2" 12.7MM, 41

Stalevo 50, 26

Smart Sense Thin Lancets Universal 26G, 41

Stalevo 75, 26 Sure-fine Pen Needles 31GX3/16" 5MM, 41

stannous fluoride oral rinse, 23

Smartest Lancets 28G, 41

Starlix, 17 Sure-fine Pen Needles 31GX5/16" 8MM, 41

Smartrx Gaba Kit, 27

stavudine, 3

Smartrx Gaba-v Kit, 27

Stavzor, 26 Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Sodium Bicarbonate, 19

Staxyn, 10

sodium chloride, 33

Stelara, 12 Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 41

sodium citrate/citric acid, 21

Stendra, 10

Sodium Diuril, 9

Sterilance PA, 41 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 41

Sodium Edecrin, 9

Sterilance TL, 41

sodium ferric gluconate complex/sucrose, 21

Stimate, 18 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 41

Stiolto Respimat, 33

sodium hyaluronate, 13

Stivarga, 6 Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 41

sodium phenylacetate/sodium benzoate, 18

Strattera, 25

Strazepam, 25 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 41

sodium phenylbutyrate, 18

Strensiq, 18

sodium sulfacetamide, 10, 12, 28

Streptomycin Sulfate, 2 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 41

sodium sulfacetamide wash, 12

Striant, 15

sodium sulfacetamide/sulfur, 11

Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 41

Sodium Sulfacetamide/Sulfur, 11

Striverdi Respimat, 33

sodium sulfacetamide/sulfur cleanser, 11

Stromectol, 4 Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 41

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite Forte, 36

Strovite One, 36 Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 41

sodium sulfacetamide/sulfur cleansing cloths, 11

Stuart Prenatal, 35

Suboxone, 30 Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 41

sodium sulfacetamide/sulfur green, 11

Subsys, 30

Sodium Sulfacetamide/Sulfur IN Urea, 11

Succinylcholine Chloride, 27 Sure-lance Flat Lancets, 41

sodium sulfacetamide/sulfur w/sunscreen, 11

Suclear, 19 Sure-lance Lancets 26G, 41

Sucraid, 20 Sure-lance Thin Lancets 28G, 41

sodium sulfacetamide/sulfur wash, 11

sucralfate, 19 Sure-lance Ultra Thin Lancets, 41

Solaice, 14

Sular, 8 Sure-touch Lancets Universal, 41

Soliris, 23

sulfacetamide sodium, 11, 28 Surelite Lancets, 41

Solodyn, 2

Sulfacetamide Sodium, 28 Surfaxin, 34

Soltamox, 5

sulfacetamide sodium/prednisolone sodium phosphate, 28

Surmontil, 24

Solu-cortef, 15

Survanta Intratracheal, 34

Solu-medrol, 15

sulfacetamide sodium/sulfur, 11 Sustiva, 3

Solus V2 Pressure Activated Safety Lancets 28G, 41

sulfacetamide sodium/sulfur cleanser, 11 Sutent, 6

Sulfadiazine, 2 Suttar-2, 33

Solus V2 Twist Lancets 30G, 41

sulfamethoxazole/trimethoprim, 4 Suttar-SF, 33

Soma, 27

Sulfamethoxazole/Trimethoprim, 4 Sylatron, 7

Somatuline Depot, 18

sulfamethoxazole/trimethoprim DS, 4 Symax Duotab, 19

Somavert, 18

sulfasalazine, 20 Symbicort, 33

Sonata, 25

Sulfoam, 11 Symbyax, 27

Soolantra, 11

Sulfurated Lime, 14 Symlinpen 120, 16

Soothee, 14

sulindac, 31 Symlinpen 60, 16

Soriatane, 12

Sumadan Kit, 11 Synagex, 36

Sorilux, 12

Sumadan Wash, 11 Synalar, 13

sotalol HCL, 7

Sumadan XLT, 11 Synalar Cream Kit, 13

sotalol HCL (AF), 7

Sumatriptan, 31 Synalar Ointment Kit, 13

Sotalol Hydrochloride, 7

sumatriptan succinate, 31 Synalar Ts, 13

Sotylize, 7

Sumatriptan Succinate, 31 Synalgos-dc, 30

Sovaldi, 3

sumatriptan succinate refill, 31 Synapryn Fusepaq, 30

Spectracef, 1

Sumavel Dosepro, 32 Synarel, 18

Spinosad, 14

Sumaxin, 11 Synatek, 36

Spiriva Handihaler, 33

Sumaxin CP Kit, 11 Synera, 14

Spiriva Respimat, 33

Sumaxin Ts, 11 Synercid, 4

spironolactone, 9

Sumaxin Wash, 11 Synjardy, 17

spironolactone/hydrochlorothiazide, 9

Supartz, 27 Synribo, 7

Sporanox, 3

Supartz Fx, 27 Synthroid, 19

Sporanox Pulsepak, 3

Supervite, 36 Synvisc, 27

Spritam, 26

Supervite EC, 36 Synvisc One, 27

Sprix, 31

Support-500, 36 T

Sprycel, 6

Supprelin LA, 18

Tabloid, 5

Stalevo 100, 26

Supracil, 14

Tabradol Fusepaq, 27

Stalevo 125, 26

Suprax, 1

Taclonex, 13

tacrolimus, 5, 13

Terumo Insulin Syringe/1ML/29G X 1/2", 41

Theraproxen-500, 31

Tafinlar, 6

Theraproxen-60, 31

Tagrisso, 6


Theraproxen-90, 31

Taltz, 12

Theratramadol-60, 30

Talwin, 30

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Theratramadol-90, 30

Tamiflu, 3

thiamine HCL, 34

tamoxifen citrate, 5


Thinlets GP Lancets, 41

tamsulosin HCL, 21

Thinlets Lancet, 41

Tandem F, 22


Thinpro Insulin Syringe/0.3ML/29G X 1/2", 41

Tandem Plus, 22

Tanzeum, 16

Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 41


Tapazole, 19

Tarceva, 6

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 41


Targretin, 7

Tarka, 9



Taron-bc, 35

Taron-c DHA, 35



Tasigna, 6

Tasmar, 26

Terumo Surguard Insulin Syringe/1ML/28G X 1/2", 41


Taxotere, 6

Tazicef, 1

Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 41


Tazorac, 12

Tecentriq, 5

Tessalon Perles, 33 Thinpro Insulin Syringe/1ML/28G X 1/2", 41

Tecfidera, 27

Testim, 15

Tecfidera Starter Pack, 27

Testone Cik, 15 Thinpro Insulin Syringe/1ML/29G X 1/2", 41

Techlite AST Lancets, 41

Testopel, 15

Techlite Lancets, 41

testosterone, 15 Thinpro Insulin Syringe/1ML/30G X 3/8", 41

Techlite Lancets 30G, 41

Testosterone, 15

Techlite Pen Needles/31G X 5MM, 41

testosterone cypionate, 15 Thinpro Insulin Syringe/1ML/31G X 3/8", 41

Techlite Pen Needles/31G X 6 MM, 41

testosterone enanthate, 15


testosterone P.M., 15 Thiola, 21


Testosterone P.M., 15 thioridazine HCL, 24


Testred, 15 Thiotepa, 4

Technivie, 3

Tetanus Toxoid Adsorbed, 34 thiothixene, 24

Tegretol, 26

Tetanus/Diphtheria Toxoids-adsorbed, 34

Thrombin-jmi Diluent, 22

Tegretol-XR, 26

Thrombin-jmi Epistaxis, 22

Tekamlo, 9

Tetanus/Diphtheria Toxoids-adsorbed Adult, 34

Thrombin-jmi Syringe Spray Kit, 22

Tekturna, 8

Thrombin-jmi W/Dil Spray P.M. Actuator, 22

Tekturna HCT, 9

tetrabenazine, 26

telmisartan, 8

tetracaine HCL, 29 Thrombogen, 22

telmisartan/amlodipine, 9

Tetracaine HCL, 32 Thymoglobulin, 6

telmisartan/hydrochlorothiazide, 9

Tetracycline HCL, 2 Thyrolar-1, 19

temazepam, 25

tetracycline hydrochloride, 2 Thyrolar-1/2, 19

Temodar, 4

Tetrix, 14 Thyrolar-1/4, 19

Temovate, 13

Tev-tropin, 18 Thyrolar-2, 19

Temovate E, 13

Teveten, 8 Thyrolar-3, 19

temozolomide, 4

Teveten HCT, 9 tiagabine hydrochloride, 26

Tenex, 9

Texacort, 13 Tiazac, 8

Teniposide, 6

Texavite LQ, 36 Ticaspray, 33

Tenivac, 34

Thalomid, 6 Tice Bcg, 6

Tenoretic 100, 9

Theo-24, 33 ticlopidine HCL, 22

Tenoretic 50, 9

theophylline, 33 Ticlopidine HCL, 23

Tenormin, 7

theophylline CR, 33 Tigan, 20

Terazol 3, 21

theophylline ER, 33 Tikosyn, 8

Terazol 7, 21

Theophylline/D5W, 33 Timentin, 1

terazosin HCL, 8

Therabenzaprine-60, 27 Timolol Maleate, 7

terbinafine HCL, 2

Therabenzaprine-90, 27 timolol maleate, 28

terbutaline sulfate, 33

Therabenzaprine-90-5, 27 timolol maleate ophthalmic gel forming, 28

terconazole, 21

Theracodeine-300, 30

Tersi Foam, 12

Theracodophen-325, 30 Timoptic, 28

Terumo Insulin Syringe/0.3ML/30G X 3/8", 41

Theracys, 6 Timoptic Ocudose, 28

Therafeldamine, 31 Timoptic-xe, 28


Theranatal Core Nutrition, 35 Tindamax, 4

Therapentin-60, 26 tinidazole, 4


Therapentin-90, 26 Tirosint, 19

Theraprofen-60, 31 Tisseel, 22


Theraprofen-800, 31 Tisseel VH, 22

Theraprofen-90, 31 Tivicay, 3

Tivorbex, 31

tretinoin, 6, 11 Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 41

Tizanidine Comfort PAC, 27

Tretinoin, 11

tizanidine HCL, 27

Tretinoin (all-trans Retinoic Acid), 11 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 41

TL G-FOL OS, 36

tretinoin microsphere, 11

TL Triseb, 12

tretinoin microsphere P.M., 11 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 41

Tnkase, 23

Trexall, 5

Tobi, 2

Treximet, 32 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 41

Tobi Podhaler, 2

Trezix, 30

Tobradex, 28

Tri-norinyl 28, 16 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 41

Tobradex ST, 28

Tri-sila, 13

tobramycin, 2

Tri-VI-flor, 35 Trueplus Lancets 26G, 41

tobramycin sulfate, 2, 28

Triamcinolone, 15 Trueplus Lancets 28G, 41

Tobramycin Sulfate, 2

triamcinolone acetonide, 13, 23, 32 Trueplus Lancets 28G Super Thin, 41

tobramycin/dexamethasone, 28

Triamcinolone Acetonide, 13 Trueplus Lancets 30G, 41

Tobrex, 28

triamcinolone IN orabase, 23 Trueplus Lancets 30G Ultra Thin, 41

Tofranil, 24

Triamcinolone PF, 15 Trueplus Lancets 33G, 41

Tofranil-PM, 24

Triamcinolone/Lidocaine, 15 Trueplus Lancets 33G Micro Thin, 41

tolazamide, 16

Triamsil Combipak, 13 Trueplus Safety Lancets 28G, 41

Tolazamide, 16

triamterene/hydrochlorothiazide, 9 Trulicity, 16

Tolbutamide, 16

Triamterene/Hydrochlorothiazide, 9 Trumenba, 34

tolcapone, 26

Trianex, 13 Trusopt, 29

tolmetin sodium, 31

triazolam, 25 Truvada, 3

Tolmetin Sodium, 31

Triazolam, 25 Tudorza Pressair, 33

tolterodine tartrate, 21

Tribenzor, 9 Turkel Paracentesis Procedure Tray/8french, 32

tolterodine tartrate ER, 21

Tricare Prenatal, 36

Topamax, 26

Tricare Prenatal Compleat, 35 Tussicaps, 33

Topamax Sprinkle, 26

Tricare Prenatal DHA One, 35 Tussionex Pennkinetic Extended Release, 33

Topicort, 13

tricitrates, 21

topiramate, 26

Tricor, 10 Tuzistra XR, 33

Topiramate ER, 26

Triderma Forte, 13 Twinrix, 34

topotecan HCL, 6

Triferic, 22 Twynsta, 9

Topotecan HCL, 6

trifluoperazine HCL, 24 Tybost, 3

Toprol XL, 7

trifluridine, 28 Tygacil, 4

Torisel, 6

Triglide, 10 Tykerb, 6

Toronova II Suik, 31

trihexyphenidyl HCL, 26 Tylenol/Codeine #3, 30

Toronova Suik, 31

Trileptal, 26 Tylenol/Codeine #4, 30

torsemide, 9

Trilipix, 10 Typhim VI, 34

Torsemide, 9

Triloan II Suik, 15 Tysabri, 27

Totect, 7

Triloan Suik, 15 Tyvaso, 10

Toujeo Solostar, 16

trimethobenzamide HCL, 20 Tyvaso Refill, 10

Toviaz, 21

trimethoprim, 4 Tyvaso Starter, 10

Tracleer, 10

trimethoprim sulfate/polymyxin b sulfate, 28

Tyzeka, 3

Tradjenta, 17

Tyzine, 33

tramadol HCL, 30

trimipramine maleate, 24 Tyzine Pediatric Nasal Drops, 33

tramadol HCL ER, 30

Trintellix, 24 U

Tramadol HCL ER, 30

Triostat, 19

Uceris, 15, 20

tramadol hydrochloride/acetaminophen, 30

Trisenox, 6

Udamin SP, 36

Triseon, 11

Ulesfia, 14

Trandate, 7

Triumeq, 3

Uloric, 32

trandolapril, 8

Triveen-duo DHA, 36

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 41

trandolapril/verapamil HCL, 9

Triveen-prx RNF, 36

trandolapril/verapamil HCL ER, 9

Trizivir, 3

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 41

tranexamic acid, 22

Trokendi XR, 26

Transderm-scop, 20

Tropazone, 14

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 41

Tranxene T, 23

trospium chloride, 21

tranylcypromine sulfate, 24

trospium chloride ER, 21

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 41

Travatan Z, 28

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Travoprost, 28

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 41

Trazamine, 24


trazodone HCL, 24

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 41

Treanda, 4


Trecator, 2


Trelstar, 5


Trelstar Mixject, 5


Trepadiclofen-25, 31


Trepoxicam-7.5, 31


Tresiba Flextouch, 16


Tretin-x, 11

Ulticare Insulin Syringe/0.5ML/29G X

1/2", 41

41 Ultram, 30


Ulticare SHORT Pen Needles/31G X 8MM, 42

Ultram ER, 30

Ultrasal-ER, 14


Ulticare Thin Lancets 30G, 42 Ultravate, 13

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 42

Ultravate X, 13

Ulticare Insulin Syringe/1ML/28G X 1/2", 41

Ultresa, 20

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 42

Umecta, 14


Umecta Nail Film, 14

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 42

Umecta PD, 14


Unasyn, 1

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 42

Unasyn Bulk Pack, 1


Unifine Pentips 29GX12MM, 42

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 42

Unifine Pentips 31G X 3/16", 42

Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41

Unifine Pentips 31G X 6MM, 42

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 42

Unifine Pentips 31G X 8MM, 42



Ultilet Classic Lancets, 42 Unifine Pentips 31GX6MM, 42


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 42





Unifine Pentips Plus 29GX12MM, 42


Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 41




Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 41


Unilet Comfortouch Lancet, 42

Unilet Excelite, 42

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 42

Unilet Excelite II, 42

Unilet G.p. Lancet, 42


Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 42

Unilet G.p. Superlite Lancet, 42

Unilet GP 28 Ultra Thin, 42


Ultilet Lancets, 42 Unilet Lancet, 42

Ultilet Lancets 33G, 42 Unilet Lancets Micro-thin33G, 42


Ultilet Pen Needle 32GX4MM/SHORT, 42

Unilet Lancets Super-thin30G, 42

Unilet Lancets Ultra-thin 28G, 42


Ultilet Safety Lancets 23G, 42 Unilet Superlite Lancet, 42

Ultilet SHORT Pen Needles 31GX5/16", 42

Uniretic, 9


Unistik 1, 42

Ultilet SHORT Pen Needles31GX3/16", 42

Unistik 2, 42


Unistik 2 Comfort, 42

Ultiva, 30 Unistik 2 Extra, 42


Ultra-thin II Auto Lancet, 42 Unistik 2 Neonatal, 42

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 42

Unistik 2 Normal, 42

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 41

Unistik 2 Super, 42


Unistik 3, 42


Unistik 3 Comfort, 42


Unistik 3 Extra, 42


Unistik 3 Extra Single Use Safety Lancets/21G, 42



Unistik 3 Gentle, 42

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 42

Unistik 3 Neonatal, 42

Ulticare Micro Pen Needles 31G X 8MM, 41

Unistik 3 Normal, 42

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 42

Unistik CZT Comfort, 42

Ulticare Micro Pen Needles 32G X 4MM, 41

Unistik CZT Normal, 42

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 42

Unistik Safety Lancets 28G, 42

Ulticare Micro Pen Needles/31G X 8MM, 41

Unistik Safety Lancets 30G, 42

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 42

Unistik Touch Safety Lancets 21G, 42

Ulticare Micro Pen Needles/32G X 4MM, 41


Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 42


Ulticare Mini Pen Needles 31GX6MM, 41


Ulticare Mini Pen Needles Ulti-fine IV, 41

Ultra-thin II Lancets 28G, 42 Unituxin, 5

Ulticare Mini Pen Needles/31G X 6MM, 41

Ultra-thin II Lancets 30G, 42 Univasc, 8

Ultra-thin II Mini Pen Neeedles/31GX3/16", 42

Universal 1 Lancets Thin 26G, 42

Ulticare Mini Pen Needles31GX6MM, 41

Universal 1 Lancets Ultra Thin 30G, 42

Ulticare Original Pen Needles Ulti-fine, 41

Ultra-thin II Pen Needles 29GX1/2", 42 Uptravi, 10

Ultra-thin II Pen Needles/SHORT/31GX5/16", 42

Uramaxin, 14

Ulticare Pen Needles/29G X 12.7MM, 41

Uramaxin GT, 14

Ulticare SHORT Pen Needles 31GX8MM, 42

Ultra-thin II Safety Autolancets 26G, 42 Uramaxin GT Kit, 14

Ultracet, 30 urea, 13

Ulticare SHORT Pen Needles Ulti-fine IV,

Ultralance, 42 urea 40% nail film, 13

urea IN zinc undecylenate/lactic acid vehicle, 13

Vazculep, 10 vincristine sulfate, 6

Vecamyl, 9 vinorelbine tartrate, 6

urea topical, 13

Vectibix, 5 Viokace, 20

Urecholine, 21

Vectical, 12 Viracept, 3

Uretron D/S, 21

vecuronium bromide, 27 Viramune, 3

Urimar-t, 21

Vecuronium Bromide, 27 Viramune XR, 3

Urocit-k 10, 21

Velcade, 6 Virasal, 14

Urocit-k 15, 21

Veletri, 10 Virazole, 3

Urocit-k 5, 21

Velphoro, 20 Viread, 3

Urogesic-blue, 21

Veltin, 11 Viroptic, 28

Uroxatral, 21

Vemavite-prx 2, 36 Vistaril, 23

Urso 250, 20

Venipuncture Cpi, 14 Vistide, 3

Urso Forte, 20

venlafaxine HCL, 24 Vita-pren, 35

ursodiol, 20

venlafaxine HCL ER, 24 Vitafol, 36

Utibron Neohaler, 34

Venlafaxine HCL ER, 24 Vitafol Fe+, 36

Utopic, 14

Venofer, 22 Vitafol Gummies, 35

Uvadex, 7

Ventavis, 10 Vitafol Ultra, 36

V

Ventolin HFA, 33 Vitafol-nano, 35

Veramyst, 33 Vitafol-ob+dha, 36

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 42

verapamil HCL, 8 Vitafol-one, 36

verapamil HCL ER, 8 Vital-d RX, 36


verapamil HCL SR, 8 Vitalet Pro Lancets, 42

Verdeso, 13 Vitalet Pro Plus Lancets, 42


Veregen, 14 Vitamedmd One RX/Quatrefolic, 36

Verelan, 8 Vitamedmd Plus RX/Quatre Folic, 36

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 42

Verelan PM, 8 Vitamedmd Redichew RX, 35

Veripred 20, 15 Vitamin A, 34

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 42

Verrunex, 14 vitamin c 222MG, 34

Versacloz, 25 vitamin d, 34

Vagifem, 21

Vesicare, 21 vitamin k1, 34

valacyclovir HCL, 3

Vexa, 14 Vitamin K1, 35

Valchlor, 4

Vexol, 28 Vitapearl, 35

Valcyte, 3

Vfend, 3 Vitaroca Plus, 36

valganciclovir, 3

Vfend IV, 3 Vitatrue, 36

Validerm, 13

Viagra, 10 Vitekta, 3

Valium, 23

Vibativ, 4 Vituz, 33

valproate sodium, 26

Viberzi, 20 Viva DHA, 35

valproic acid, 26

Vibramycin, 2 Vivactil, 24

valsartan, 8

Vicoprofen, 30 Vivelle-dot, 16

valsartan/hydrochlorothiazide, 9

Victoza, 16 Vivlodex, 31

Valtrex, 3

Victrelis, 3 Vivotif, 34

Valumark Lancet Super Thin 30G, 42

Vida Mia Unifine Pentips 32GX4MM, 42 Vogelxo, 15

Valumark Lancet Ultra Thin 28G, 42

Vida Mia Unifine Pentips Mini 31GX6MM, 42

Vogelxo P.M., 15

Valumark Pen Needles 29GX12MM, 42

Voltaren, 12

Valumark Pen Needles 31G X 6MM, 42

Vida Mia Unifine Pentips Original 29GX12MM, 42

Voltaren-XR, 31

Valumark Pen Needles 31G X 8MM, 42

Voluven, 23

Vanatol LQ, 30

Vida Mia Unilet Lancets Super Thin 30G, 42

Vopac, 12

Vancocin HCL, 4

Vopac GB, 12

Vancomycin, 4

Vida Mia Unilet Lancets Ultra Thin 28G, 42

Vopac Kt, 12

vancomycin HCL, 4

Voraxaze, 7

Vancomycin HCL, 4

Vida Mia Unipfine Pentipsshort 31GX8MM, 42

voriconazole, 2

Vancomycin HCL + Syrspendsf PH4, 4

Vortex Valved Holding Chamber, 43

Vancomycin HCL IN Dextrose, 4

Vidaza, 5 Vosol HC, 29

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 42

Videx EC, 3 Vospire ER, 34

Videx Pediatric, 3 Votrient, 6

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 42

Viekira PAK, 3 Vpriv, 22

Viekira XR, 3 Vraylar, 25

Vanos, 13

Vigamox, 28 Vsl#3 DS, 19

Vanoxide-HC, 11

Viibryd, 24 Vusion, 12

Vantas, 5

Viibryd Starter Pack, 24 Vytorin, 10

Vaprisol, 18

Vimizim, 18 Vyvanse, 25

Vaqta, 34

Vimovo, 31 W

Varivax, 34

Vimpat, 26

Varubi, 20

W&f Lancets 26G, 42

Vinacal B, 35

Vascepa, 10

W&f Lancets Colored 21G, 42

Vinate AZ Extra, 35

Vaseretic, 9

Walgreens Lancets, 42

Vinate Calcium, 35

vasopressin, 18

Walgreens Thin Lancets, 42

Vinate DHA RF, 35

Vasostrict, 18

Walgreens Ultra Thin Lancets, 42

Vinblastine Sulfate, 6

Vasotec, 8

warfarin sodium, 22

Watchhaler, 43

Zanosar, 4 zonisamide, 26

Welchol, 10

Zantac, 20 Zontivity, 23

Wellbutrin, 24

Zarontin, 26 Zorbtive, 18

Wellbutrin SR, 24

Zaroxolyn, 9 Zortress, 6

Wellbutrin XL, 24

Zarxio, 22 Zorvolex, 31

Westcort, 13

Zatean-CH, 36 Zostavax, 34

Westhroid, 19

Zatean-pn, 35 Zosyn, 1

Wheat Germ, 35

Zatean-pn DHA, 36 Zovia 1/50e, 16

Wilate, 23

Zatean-pn Plus, 35 Zovirax, 3, 12

Wp Thyroid, 19

Zavesca, 22 Zubsolv, 30

X

Zebeta, 7 Zuplenz, 20

Zecuity, 32 Zutripro, 33

Xalatan, 28

Zegerid, 20 Zyclara, 13

Xalkori, 6

Zelapar, 26 Zyclara P.M., 13

Xanax, 23

Zelboraf, 6 Zydelig, 6

Xanax XR, 23

Zemaira, 34 Zyflo, 34

Xarelto, 22

Zembrace Symtouch, 32 Zyflo CR, 34

Xarelto Starter Pack, 22

Zemplar, 18 Zykadia, 6

Xartemis XR, 30

Zemuron, 27 Zylet, 28

Xeljanz, 31

Zenpep, 20 Zyloprim, 32

Xeljanz XR, 31

Zenzedi, 25 Zymaxid, 28

Xeloda, 5

Zepatier, 3 Zyprexa, 25

Xenazine, 27

Zerbaxa, 4 Zyprexa Relprevv, 25

Xeomin, 27

Zerit, 3 Zyprexa Zydis, 25

Xerac Ac, 14

Zestoretic, 9 Zytiga, 5

Xerese, 12

Zestril, 8 Zyvodol, 12

Xgeva, 17

Zetia, 10 Zyvox, 4

Xifaxan, 4

Zetonna, 33 1

Xigduo XR, 17

Zevalin Y-90, 5

Xilapak, 13

1ST Choice Lancets Super Thin, 42

Ziac, 9

Xodol, 30

1ST Choice Lancets Thin, 42

Ziagen, 3

Xofigo, 6

1ST Choice Lancets Ultra Thin, 42

Ziana, 11

Xolair, 33

1ST Tier Unifine Pentips 29GX12MM, 42

zidovudine, 3

Xolegel, 12


Zinacef, 1

Xolegel Corepak, 12


Zinbryta, 27

Xolegel Duo/Head & Shoulders, 12

8

Zinecard, 7

Xolegel Duo/Xolex, 12

Zioptan, 28

8-mop, 12

Xopenex, 34

ziprasidone HCL, 24

Xopenex Concentrate, 34

Zipsor, 31

Xopenex HFA, 34

Zirgan, 28

Xrylix, 12

Zithranol, 12

Xtampza ER, 30

Zithranol-rr, 12

Xtandi, 5

Zithromax, 2

Xuriden, 18

Zithromax Tri-PAK, 2

Xylocaine, 8, 14, 32

Zithromax Z-PAK, 2

Xylocaine-mpf, 32

Zmax, 2

Xylocaine-mpf/Epinephrine, 32

Zocor, 10

Xylocaine/Epinephrine, 32

Zofran, 20

Xyntha, 23

Zofran Odt, 20

Xyntha Solofuse, 23

Zohydro ER, 30

Xyrem, 27

Zoladex, 5

Xyzal, 32

zoledronic acid, 17

Y

Zoledronic Acid, 17

Zolinza, 6

Yasmin 28, 16

zolmitriptan, 31

Yaz, 16

zolmitriptan odt, 31

Yervoy, 5

Zoloft, 24

Yf-vax, 34

zolpidem tartrate, 25

Yodoxin, 4

zolpidem tartrate ER, 25

Yondelis, 4

Zolpimist, 25

Your Life Multi Prenatal, 35

Zomacton, 18

Z

Zometa, 17

Zacare 4% Kit, 11

Zomig, 32

Zacare 8% Kit, 11

Zomig Nasal Spray, 31

zafirlukast, 33

Zomig ZMT, 32

zaleplon, 25

Zonalon, 12

Zaltrap, 5

Zonatuss, 33

Zamicet, 30

Zonegran, 26

Zanaflex, 27

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