Your 2021 Prescription Drug List - uhcsr.com

Pharmacy | PDL

Your 2021 Prescription Drug List

Traditional 3-TierEffective May 1, 2021

This Prescription Drug List (PDL) is accurate as of May 1, 2021 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, River Valley, Oxford, and Student Resources medical plans with a pharmacy benefit subject to the Traditional 3-Tier PDL. Your estimated coverage and copayment/coinsurance may vary based on the benefit plan you choose and the effective date of the plan.

Table of contentsUnderstanding your Prescription Drug List (PDL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Medication tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Reading your PDL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Analgesics

Drugs for Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Drugs for Pain and Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Anti-Addiction / Substance Abuse Treatment Agents . . . . . . . . . . . . . . . . . . . . . . . . . 9Antibacterials

Drugs for Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Anticoagulants

Drugs to Treat or Prevent Blood Clots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Anticonvulsants

Drugs for Seizures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Antidementia Agents

Drugs for Alzheimer’s Disease and Dementia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Antidepressants

Drugs for Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Antiemetics

Drugs for Nausea and Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Antifungals

Drugs for Fungal Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Antigout Agents

Drugs for Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antimigraine Agents

Drugs for Migraines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antineoplastics

Drugs for Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antiparasitics

Drugs for Parasitic Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Anti-Parkinson’s Agents

Drugs for Parkinson’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Antiplatelets

Drugs for Heart Attack and Stroke Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Antipsychotics

Drugs for Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Antivirals

Drugs for Viral Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Anxiolytics

Drugs for Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Bipolar Agents

Drugs for Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Cardiovascular Agents

Drugs for Heart and Circulation Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Central Nervous System Agents

Drugs for Attention Deficit Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Drugs for Multiple Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Dental and Oral Agents Drugs for Mouth and Throat Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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Dermatological Agents Drugs for Skin Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Diabetes Glucose Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Non-Insulin Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Drugs for Blood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Drugs for Sexual Dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Electrolytes / Vitamins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Gastrointestinal Agents

Drugs for Acid Reflux and Ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Drugs for Bowel, Intestine and Stomach Conditions . . . . . . . . . . . . . . . . . . . . . . . 25

Genetic or Enzyme Disorder Drugs for Replacement, Modification, Treatment . . . . . . . . . . . . . . . . . . . . . . . . . 25

Genitourinary Agents Drugs for Bladder, Genital and Kidney Conditions. . . . . . . . . . . . . . . . . . . . . . . . . 25 Drugs for Prostate Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Hormonal Agents Hormone Replacement and Birth Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Oral Steroids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Testosterone Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Thyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Immunological Agents Drugs for Immune System Stimulation or Suppression . . . . . . . . . . . . . . . . . . . . . 30

Infertility Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Inflammatory Bowel Disease Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Metabolic Bone Disease Agents

Drugs for Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Ophthalmic Agents Drugs for Eye Allergy, Infection and Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . 31 Drugs for Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Drugs for Miscellaneous Eye Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Otic Agents Drugs for Ear Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Respiratory Drugs for Anaphylaxis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Respiratory Tract / Pulmonary Agents Drugs for Allergies, Cough, Cold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Drugs for Asthma and COPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Drugs for Cystic Fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Drugs for Pulmonary Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Skeletal Muscle Relaxants Drugs for Muscle Pain and Spasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Sleep Disorder Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

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Understanding your Prescription Drug List (PDL)

What is a PDL?This document is a list of the most commonly prescribed medications. It includes About this PDLboth brand-name and generic prescription medications approved by the Food and Where differences exist between Drug Administration (FDA). Medications are listed by common categories or classes this PDL and your benefit plan and placed in tiers that represent the cost you pay out-of-pocket. They are then documents, the benefit plan listed in alphabetical order. documents rule. This PDL is not

a complete list of medications, How do I use my PDL? and not all medications listed

may be covered by your plan. You and your doctor can consult the PDL to help you select the most cost-effective Please look at the benefit plan prescription medications. This guide tells you if a medication is generic or a brand documents provided by your name, and if there are coverage requirements or limits. Bring this list with you when employer or health plan to see you see your doctor. If your medication is not listed here, please visit your plan’s which medications are covered member website or call the toll-free member phone number on your health plan under your plan.ID card.

What are tiers?Tiers are the different cost levels you pay for a medication. Each tier is assigned a cost, set by your employer or benefit plan. This is how much you will pay when you fill a prescription. See page 6 for more information.

When does the PDL change?PDL changes typically occur 2-3 times per year. However, changes that have a positive impact for you — such as coverage for new medications or cost savings — may occur at any time. You can log in to the member website listed on your ID card at any time to check your medication coverage and lower-cost options.

Why are some medications excluded from coverage?We review medications based on their total value, including effectiveness and safety, how much they cost, and the availability of alternative medications to treat the same or similar medical conditions. Certain medications may be excluded from coverage or

1be subject to prior authorization (sometimes referred to as precertification) if similar alternatives are available at a lower cost. Examples include medications that work the same way, but one is much more expensive than the other, or options that are

2available without a prescription (also referred to as over-the-counter medications ). There are also some instances where the same product can be made by 2 or more manufacturers, but greatly vary in cost. In these instances, only the lower-cost product may be covered.

You should review your benefit plan documents to confirm if any medications are excluded from your plan. You can log in to the member website listed on your ID card at any time to check your medication coverage. Talk to your doctor to see if there are lower-cost options or over-the-counter medications available.

Who decides which medications are covered?Thousands of medications are already available and more come to the market regularly. Often, several medications are available

®to treat the same condition. The UnitedHealthcare Pharmacy and Therapeutics Committee, which includes both internal and external doctors and pharmacists, meets regularly to provide clinical reviews of all medications. Using this information, the PDL

®Management Committee, which includes senior UnitedHealth Group doctors and business leaders, meets to evaluate overall health care value. They also set coverage and tier status for all medications.

1. Depending on your benefit, you may have notification or medical necessity requirements for select medications. 2. For New York and New Jersey plans, a prescription drug product that is therapeutically equal to an over-the-counter

drug may be covered if it is determined to be medically necessary.

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Medication tips

What is the difference between brand-name and Over-the-counter generic medications?(OTC) medicationsGeneric medications contain the same active ingredients (what makes the An OTC medication may be medication work) as brand-name medications, but they often cost less. Once the the right treatment option for patent for a brand-name medication ends, the FDA can approve a generic version some conditions. Talk to your with the same active ingredients. These types of medications are known as generic doctor about available OTC medications. Sometimes, the same company that makes a brand-name medication options. Even though these also makes the generic version.medications may not be covered by your pharmacy benefit, What if my doctor writes a brand-name prescription?they may cost less than a

If your doctor gives you a prescription for a brand-name medication, ask if a generic prescription medication.equivalent or lower-cost option is available and could be right for you. Generic medications are usually your lowest-cost option, but not always. For some benefit plans, if a brand-name drug is prescribed and a generic equal is available, your cost-share may be the copayment PLUS the cost difference between the brand-name drug and the generic equivalent.

What if I am taking a specialty medication?Specialty medications are high-cost and are used to treat rare or complex conditions that require additional care and support. For most plans, these medications are managed through the specialty pharmacy program. Take advantage of personalized support designed to help you get the most out of your treatment plan. Visit the member website listed on your ID card or call the toll-free phone number on your ID card to learn more.

Please note, not all specialty medications are listed here. If you’re taking a specialty medication that is on a higher tier, call the toll-free phone number on your ID card to talk with a pharmacist about finding lower-cost options.

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Reading your PDLThe PDL gives you choices so you and your doctor can decide your best course of treatment. In this PDL, brand-name medications are shown in UPPERCASE and generic medications in lowercase.

Tier informationUsing lower-tier medications can help you pay your lowest out-of-pocket cost. Your plan may have multiple or no tiers. Please note: If you have a high deductible plan, the tier cost levels may apply once you hit your deductible.

In the chart below, overall value indicates medications’ effectiveness and safety, cost and the availability of alternative medications to treat the same or similar medical condition(s).

Drug Tier Includes Helpful Tips

Tier 1 $ Lower-cost Use Tier 1 drugs for the Medications that provide the highest overall value. Mostly lowest out-of-pocket costs.generic drugs. Some brand-name drugs may also be included.

Tier 2 Use Tier 2 drugs, instead of $$ Mid-range cost Tier 3, to help reduce your Medications that provide good overall value. Mainly preferred out-of-pocket costs.brand-name drugs.

Tier 3 Ask your doctor if a Tier 1 or $$$ Highest-cost Tier 2 option could work for you.Medications that provide the lowest overall value.

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

E May be excluded from coverage or subject to Prior Authorization in Connecticut, New Jersey and New York. (Referred to as First Start in New Jersey) — Lower-cost options are available and covered.

H Health Care Reform Preventive — This medication is part of a health care reform preventive benefit and may be available at no additional cost to you.

H-PA Health Care Reform Preventive with Prior Authorization — May be part of health care reform preventive and available at no additional cost to you if prior authorization criteria is met.

3PA Prior Authorization (sometimes referred to as precertification) — Requires your doctor to provide 4information about why you are taking a medication to determine how it may be covered by your plan.

QL Quantity Limits — Specifies the largest quantity of medication covered per copayment or in a defined period of time.

5RS Refill and Save Program — Save money on your copayment when you refill your prescription on time as 6prescribed. Program eligibility may vary.

SP Specialty Medication — Specialty medications treat complex or rare conditions and may require special storage and handling. You may be required to obtain these medications from a specialty pharmacy.

ST Step Therapy (referred to as First Start in New Jersey) — Requires prior authorization and may require you to 7try one or more other medications before the medication you are requesting may be covered.

3 Depending on your benefit, you may have notification or medical necessity requirements for select medications.4. For certain Student Resources plans, applies to specialty medications and topical retinoids only. 5. Not applicable to Oxford and Student Resources plans.6. For New York and New Jersey plans, a prescription drug product that is therapeutically equal to an over-the-counter

drug may be covered if it is determined to be medically necessary.7. Not applicable to certain Student Resources plans.

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Reading your PDL (continued)

Coverage detailsSome drug classes in this PDL have additional/important coverage details. Review this list to see if drug classes that apply to you are noted.

• Diabetes: blood glucose monitoring, insulin, non-insulin Diabetic supplies and prescription medications may be subject to different cost-share arrangements for Oxford plans. Please see your Summary of Benefits and Coverage (SBC) for specifics. Medications that require step therapy may require prior authorization (sometimes referred to as precertification) if covered under another benefit.

• Diabetes: continuous glucose monitors, sensors Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share. Diabetic self-management items, including continuous glucose monitors, may be covered under the consumer pharmacy and/or medical plan depending on the benefit.

• Endocrine: growth hormone Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share.

• Infertility Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share. Prior authorization (sometimes referred to as precertification) may be required for Oxford plans or where a state mandates infertility drug coverage. This is not a covered benefit for Neighborhood Health Plan.

• Medications for sexual dysfunction Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share.

Questions

For the most current list of covered medications or if you have questions:

Call the toll-free member phone number on your ID card.

And, if home delivery services are included in your pharmacy

Visit your plan’s member website listed on your ID card to: benefit, you can also:

• View your pharmacy benefit and coverage information, • Refill prescriptionsincluding prescription history • Check the status of your order

• View medication interactions and side effects • Set up reminders for refills• Locate a participating retail pharmacy by ZIP code • Manage your account• Look up possible lower-cost medication alternatives

• Compare medication pricing and options

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Drug Name Drug Requirements Drug Name Drug RequirementsTier & Limits Tier & Limits

g lorcet 1Analgesics - Drugs for Paingg acetaminophen-codeine 1 lorcet hd 1

g gacetaminophen-codeine #2 1 lorcet plus 1g B LORTAB 3acetaminophen-codeine #3 1

Bg acetaminophen-codeine #4 1 MORPHABOND ER E PA, ST, QLg gapap-caff-dihydrocodeine oral 1 QL morphine sulfate (concentrate) oral 1

capsule solution 100 mg/5ml, 20 mg/mlB gARYMO ER E PA, ST, QL morphine sulfate er oral capsule E PA, ST, QL

extended release 24 hourB BELBUCA 3 PA, QLg morphine sulfate er oral tablet 1 PA, QLg butalbital-apap-caffeine 1 QL

extended releaseB CONZIP E QL

g morphine sulfate oral 1B DILAUDID ORAL 3

g morphine sulfate rectal 1B DUROLANE E

B MS CONTIN 3 PA, ST, QLg endocet 1

B NALOCET E QLB ESGIC 3 QL

B NUCYNTA 3 QLg fentanyl transdermal patch 72 hour 1 PA, QL

B NUCYNTA ER 3 PA, QL100 mcg/hr, 12 mcg/hr, 25 mcg/hr, B50 mcg/hr, 75 mcg/hr OXAYDO E QLBg fentanyl transdermal patch 72 hour E PA, ST, QL OXYCODONE HCL ER E PA, ST, QL

37.5 mcg/hr, 62.5 mcg/hr, g oxycodone hcl oral capsule 187.5 mcg/hr

g oxycodone hcl oral concentrate 1B FIORICET 3 QL 100 mg/5mlg hydrocodone-acetaminophen oral 1 g oxycodone hcl oral solution 1

solution 10-325 mg/15ml, g oxycodone hcl oral tablet 1 QL7.5-325 mg/15mlg oxycodone-acetaminophen oral 1g hydrocodone-acetaminophen oral E

tablet 10-325 mg, 2.5-325 mg, tablet 10-300 mg, 5-300 mg, 5-325 mg, 7.5-325 mg7.5-300 mg

B OXYCONTIN E PA, ST, QLg hydrocodone-acetaminophen oral 1g premium lidocaine 1 QLtablet 10-325 mg, 5-325 mg,

7.5-325 mg B PRIMLEV Eg hydromorphone hcl er 1 PA, ST, QL B SUBSYS E PA, QLg hydromorphone hcl oral 1 g tramadol hcl er (biphasic) E QLg hydromorphone hcl rectal 1 B TRAMADOL HCL ER ORAL E QLB CAPSULE EXTENDED RELEASE 24 HYSINGLA ER E PA, ST, QL

HOUR 100 MG, 200 MG, 300 MGB KADIAN ORAL CAPSULE E PA, ST, QLg tramadol hcl er oral capsule 1 QLEXTENDED RELEASE 24 HOUR

extended release 24 hour 150 mg200 MGgg tramadol hcl er oral tablet extended 1 QLlidocaine external ointment 1 QL

release 24 hourg lidocaine external patch 5 % 1 PA, QLg tramadol hcl oral tablet 50 mg 1g lidocaine-prilocaine external cream 1

See page 6, 7 for coverage details. Drugs listed as E or ST are subject to Prior Authorization in CT, NJ and NY (referred to as First Start in New Jersey).

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B gTREZIX 1 QL naproxen dr 1B gTYLENOL WITH CODEINE #3 3 naproxen oral suspension 1 PAB gULTRAM 3 naproxen oral tablet 1B gVANATOL LQ 2 PA, QL naproxen sodium er EB gVANATOL S 2 PA, QL naproxen sodium oral tablet 1

275 mg, 550 mgg vicodin hp oral tablet 10-300 mg EB PENNSAID EB XTAMPZA ER 2 PA, QLB QMIIZ ODT EB ZEBUTAL 3 QLB SPRIX 3 ST, QLB ZOHYDRO ER E PA, ST, QLB VIVLODEX E QLB ZTLIDO E PA, QLB VOLTAREN EAnalgesics - Drugs for Pain and InflammationB ZIPSOR Eg celecoxib oral 1 QL

Anti-Addiction / Substance Abuse Treatment Agentsg diclofenac potassium 1B BUNAVAIL E PA, QLg diclofenac sodium er 1g buprenorphine hcl sublingual 1 QLg diclofenac sodium oral 1g buprenorphine hcl-naloxone hcl 1 QLg diclofenac sodium transdermal gel EB1 % CHANTIX 3 PA, H

g Bdiclofenac sodium transdermal E CHANTIX CONTINUING MONTH 3 PA, Hsolution PAK

B BEC-NAPROSYN 3 CHANTIX STARTING MONTH PAK 3 PA, Hg Bec-naproxen 1 EVZIO E PA, QLg getodolac 1 naloxone hcl injection solution 1g getodolac er 1 naloxone hcl injection solution 1

cartridgeg ibu 1g naloxone hcl injection solution 1g ibuprofen oral suspension E

prefilled syringeg ibuprofen oral tablet 400 mg, 1

g naltrexone hcl oral 1600 mg, 800 mgB NARCAN 2 QLB INDOCIN 3B ZUBSOLV 1 QLg indomethacin er 1

Antibacterials - Drugs for Infectionsg indomethacin oral capsule 25 mg, 1B50 mg AEMCOLO 3 QL

g gketorolac tromethamine oral 1 amoxicillin 1g gmeloxicam oral 1 amoxicillin-potassium clavulanate er EB gMOBIC 3 amoxicillin-potassium clavulanate 1

oralg nabumetone oral 1B AUGMENTIN ORAL SUSPENSION EB NAPRELAN ORAL TABLET E

RECONSTITUTED 125-31.25 EXTENDED RELEASE 24 HOUR MG/5ML750 MG

g avidoxy 1B NAPROSYN ORAL SUSPENSION 3 PA


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g gazithromycin oral 1 levofloxacin oral 1B BBACTRIM 3 MACROBID 3B BBACTRIM DS 3 MACRODANTIN 3g gcefadroxil 1 metronidazole oral 1g gcefdinir 1 metronidazole vaginal 1g gcefuroxime axetil 1 minocycline hcl er oral tablet E PA

extended release 24 hour 105 mg, B CENTANY 3 QL115 mg, 55 mg, 65 mg, 80 mg

B CENTANY AT Eg minocycline hcl er oral tablet E PA

g cephalexin 1 extended release 24 hour 135 mg, B CIPRO ORAL TABLET 3 45 mg, 90 mgg gciprofloxacin hcl oral 1 minocycline hcl oral capsule 1g gclarithromycin er 1 minocycline hcl oral tablet Eg Bclarithromycin oral 1 MINOLIRA E PAB gCLEOCIN ORAL CAPSULE 3 mondoxyne nl oral capsule 100 mg 1

150 MG, 300 MG g mondoxyne nl oral capsule 75 mg EB CLEOCIN ORAL CAPSULE 75 MG 2 g morgidox oral 1g clindamycin hcl oral 1 g mupirocin calcium 1 QLB CLINDESSE 2 g mupirocin external 1 QLg coremino E PA g nitrofurantoin macrocrystal oral 1B DIFICID 3 QL g nitrofurantoin monohydrate 1B DORYX MPC E macrocrystalsg Bdoxycycline hyclate oral capsule 1 NUVESSA Eg Bdoxycycline hyclate oral tablet 1 NUZYRA 3 QL

100 mg, 20 mg g okebo Eg doxycycline hyclate oral tablet E g penicillin v potassium 1

150 mg, 50 mg, 75 mgg sulfamethoxazole-trimethoprim oral 1

g doxycycline hyclate oral tablet Eg sulfatrim pediatric 1delayed releaseg vandazole 1g doxycycline monohydrate oral 1Bcapsule 100 mg, 50 mg VIBRAMYCIN ORAL CAPSULE 3

g Bdoxycycline monohydrate oral E VIBRAMYCIN ORAL SUSPENSION 3capsule 150 mg, 75 mg RECONSTITUTED

g Bdoxycycline monohydrate oral 1 XENLETA 3suspension reconstituted B XEPI 3 QL

g doxycycline monohydrate oral 1 B XIFAXAN 3 PA,QLtablet

B XIMINO E PAB FLAGYL 3

B ZITHROMAX ORAL 3B KEFLEX 3

B ZITHROMAX TRI-PAK 3B LEVAQUIN ORAL TABLET 500 MG, 3

B ZITHROMAX Z-PAK 3750 MG


1010


g levetiracetam oral 1Anticoagulants - Drugs to Treat or Prevent Blood ClotsBB BEVYXXA 3 QL NAYZILAM 3 PA, QL

B BCOUMADIN 3 NEURONTIN 3 PA, STB g oxcarbazepine 1ELIQUIS 2 QL

BB ELIQUIS DVT/PE STARTER PACK 2 QL OXTELLAR XR E PA, STg genoxaparin sodium 1 QL roweepra 1g gjantoven 1 roweepra xr 1B B SPRITAM E PA, STPRADAXA 2 QL

gg warfarin sodium oral 1 subvenite 1B gXARELTO 2 QL subvenite starter kit-blue 1B g subvenite starter kit-green 1XARELTO STARTER PACK 2 QL

gAnticonvulsants - Drugs for Seizures subvenite starter kit-orange 1g Bcarbamazepine er 1 TEGRETOL 3g B TEGRETOL-XR 3carbamazepine oral 1

BB CARBATROL 3 TOPAMAX 3 PA, STBB DEPAKOTE 3 PA TOPAMAX SPRINKLE 3 PA, ST

B g topiramate er E PA, STDEPAKOTE ER 3 PA, STgB topiramate oral 1DEPAKOTE SPRINKLES 3 PA, STBg divalproex sodium er 1 TRILEPTAL 3 PA, ST

g B TROKENDI XR E PA, STdivalproex sodium oral 1g B VALTOCO 3 PA, QL epitol 1

Bg gabapentin oral 1 VIMPAT ORAL 3 PABB KEPPRA ORAL 3 PA, ST XCOPRI 3 PA

B B ZONEGRAN 3 PA, STKEPPRA XR 3 PA, STgB zonisamide oral 1LAMICTAL 3 PA, ST

B LAMICTAL ODT ORAL KIT 3 PA, ST Antidementia Agents - Drugs for Alzheimer’s Disease and DementiaB LAMICTAL ODT ORAL TABLET 3 PA, ST

BDISPERSIBLE ARICEPT ORAL TABLET 10 MG, 35 MGB LAMICTAL STARTER 3 PA, ST

g donepezil hcl oral tablet 10 mg, 1B LAMICTAL XR 3 PA, ST5 mg

g lamotrigine er 1 PA, STg donepezil hcl oral tablet 23 mg E

g lamotrigine oral tablet 1g donepezil hcl oral tablet dispersible 1

g lamotrigine oral tablet chewable 1Antidepressants - Drugs for Depression

g lamotrigine oral tablet dispersible 1 PA, STg amitriptyline hcl oral 1

g lamotrigine starter kit-blue 1g bupropion hcl er (sr) 1

g lamotrigine starter kit-green 1g bupropion hcl er (xl) oral tablet 1

g lamotrigine starter kit-orange 1 extended release 24 hour 150 mg, g levetiracetam er 1 300 mg


1111


B gBUPROPION HCL ER (XL) ORAL E QL venlafaxine hcl er oral tablet E QLTABLET EXTENDED RELEASE extended release 24 hour24 HOUR 450 MG B VIIBRYD 3 QL

g bupropion hcl oral 1 B VIIBRYD STARTER PACK 3g citalopram hydrobromide 1 Antiemetics - Drugs for Nausea and Vomitingg desvenlafaxine succinate er 1 QL B BONJESTA E PAg doxepin hcl oral capsule 1 g doxylamine-pyridoxine E PAg doxepin hcl oral concentrate 1 g metoclopramide hcl oral solution 1B DRIZALMA SPRINKLE 3 PA, QL 5 mg/5mlg gduloxetine hcl oral capsule delayed 1 QL metoclopramide hcl oral tablet 1

release particles 20 mg, 30 mg, g metoclopramide hcl oral tablet E60 mg dispersible

g duloxetine hcl oral capsule delayed E g ondansetron hcl oral 1release particles 40 mg

g ondansetron odt 1g escitalopram oxalate 1

g phenadoz 1g fluoxetine hcl oral capsule 1

g prochlorperazine maleate oral 1g fluoxetine hcl oral capsule delayed 1 QL

g promethazine hcl oral tablet 1releaseg promethazine hcl rectal 1g fluoxetine hcl oral solution 1g promethegan 1g fluoxetine hcl oral tablet 10 mg 1 QLB REGLAN 3g fluoxetine hcl oral tablet 20 mg 1g scopolamine 1g fluoxetine hcl oral tablet 60 mg EB TRANSDERM-SCOP (1.5 MG) 3g fluvoxamine maleate 1B VARUBI (180 MG DOSE) E QLg fluvoxamine maleate er 1 QLB ZOFRAN 3B FORFIVO XL E QLB ZUPLENZ E QLg mirtazapine oral 1

Antifungals - Drugs for Fungal Infectionsg nortriptyline hcl oral 1g ciclodan 1B PAMELOR 3g ciclopirox 1g paroxetine hcl 1g ciclopirox treatment Eg paroxetine hcl er 1 QLB CRESEMBA ORAL 3B PAXIL ORAL SUSPENSION 3B DIFLUCAN ORAL SUSPENSION 3B PAXIL ORAL TABLET 3

RECONSTITUTEDB REMERON 3

B DIFLUCAN ORAL TABLET 100 MG, 3B REMERON SOLTAB 3 150 MG, 200 MGg sertraline hcl oral 1 B DIFLUCAN ORAL TABLET 50 MG 3g trazodone hcl oral 1 B EXTINA 3 ST, QLB TRINTELLIX 3 ST, QL g fluconazole oral 1g venlafaxine hcl 1 B GYNAZOLE-1 3g venlafaxine hcl er oral capsule 1 g ketoconazole external cream 1 QL

extended release 24 hour


1212


g ketoconazole external foam 1 ST, QL Antineoplastics - Drugs for Cancerg Bketoconazole external shampoo 1 ALECENSA 2 PA, QL, SPg Bketodan external foam 1 ST, QL ALUNBRIG 2 PA, QL, SPB gNIZORAL 3 anastrozole oral 1g gnyamyc 1 QL bexarotene E SPg Bnystatin external 1 QL CALQUENCE 2 PA, QL, SPg gnystatin mouth/throat 1 capecitabine 1 QL, SPg Bnystop 1 QL ERLEADA 2 PA, QL, SPg Bterbinafine hcl oral 1 QL IBRANCE ORAL CAPSULE 2 PA, QL, SPg Bterconazole 1 IDHIFA 2 PA, QL, SPB gXOLEGEL 3 imatinib mesylate 1 PA, QL, SP

BAntigout Agents - Drugs for Gout KOSELUGO 2 PA, QL, SPg gallopurinol oral 1 letrozole oral 1B BCOLCHICINE ORAL CAPSULE E LYNPARZA 2 PA, QL, SPg gcolchicine oral tablet E mercaptopurine oral 1B BCOLCRYS E NUBEQA 2 PA, QL, SPg Bfebuxostat 1 ST, QL PURIXAN 3 PA, SPB BGLOPERBA 3 PA REVLIMID 2 PA, QL, SPB BMITIGARE 2 ROZLYTREK 2 PA, QL, SPB BZYLOPRIM 3 SOLTAMOX E

gAntimigraine Agents - Drugs for Migraines tamoxifen citrate oral tablet 10 mg 1gB AIMOVIG 2 PA, ST, QL tamoxifen citrate oral tablet 20 mg 1 H-PA

B BAIMOVIG SUBCUTANEOUS 2 PA, ST, QL TARGRETIN EXTERNAL 3 QL, SPSOLUTION AUTO-INJECTOR B TARGRETIN ORAL 1 SP140 MG/ML

B TASIGNA 2 PA, ST, QL, SPB AMERGE 3 QL

B VERZENIO 2 PA, QL, SPg eletriptan hydrobromide 1 QL

B VITRAKVI 2 PA, QL, SPB EMGALITY 2 PA, ST, QL

B ZEJULA 2 PA, QL, SPB EMGALITY (300 MG DOSE) 2 PA, ST, QL

Antiparasitics - Drugs for Parasitic Infectionsg naratriptan hcl 1 QL

B ARAKODA 3 QLB ONZETRA XSAIL E QL

g atovaquone-proguanil hcl 1B REYVOW 2 PA, ST, QL

B ELIMITE 3g rizatriptan benzoate 1 QL

g hydroxychloroquine sulfate oral 1g sumatriptan succinate oral 1 QL

B KRINTAFEL 1 QLg sumatriptan succinate refill 1 QL

B MALARONE 3g sumatriptan succinate 1 QL

g permethrin external 1subcutaneousB UBRELVY 2 PA, ST, QLB ZEMBRACE SYMTOUCH E QL


1313


B DOVATO 2 QLAntiparkinson Agents - Drugs for Parkinson’s Diseasegg carbidopa-levodopa 1 emtricitabine-tenofovir df 1 QL, H

g gcarbidopa-levodopa er 1 entecavir 1 SPB B EPCLUSA 2 PA, QL, SPDUOPA 3 PA

BB INBRIJA 3 PA, QL, SP GENVOYA 3 QLB BKYNMOBI 3 PA, QL, SP HARVONI 2 PA, ST, QL, SPB BMIRAPEX 3 ISENTRESS 2B B ISENTRESS HD 2NOURIANZ 3 PA, QL

Bg pramipexole dihydrochloride 1 JULUCA 2 QLg Bpramipexole dihydrochloride er E LEDIPASVIR-SOFOSBUVIR 2 PA, ST, QL, SPg B LEDIP-SOFOSB ORAL TABLET 2 PA, ST, QL, SPropinirole hcl 1

90-400MGg ropinirole hcl er EB MAVYRET 2 PA, QL, SPB RYTARY EB NORVIR ORAL PACKET 2B SINEMET 3B NORVIR ORAL SOLUTION 2Antiplatelets - Drugs for Heart Attack and Stroke B ODEFSEY 3 QLPreventiongB oseltamivir phosphate oral capsule 1BRILINTA 3 QLgg oseltamivir phosphate oral 1 QLclopidogrel bisulfate oral 1

suspension reconstitutedB ZONTIVITY 3 QLB PREZCOBIX 2Antipsychotics - Drugs for Mood DisordersB PREZISTA 2B ABILIFY MYCITE E PA, QLg ritonavir 1g aripiprazole oral solution 1B RUKOBIA 3 PAg aripiprazole oral tablet 1 QLB SITAVIG E QLg aripiprazole oral tablet dispersible 1 QLB SOFOS/VELPAT ORAL TABLET 2 PA, QL, SPB LATUDA 3 QL

400-100g olanzapine oral 1 QL

B SOFOSBUVIR-VELPATASVIR 2 PA, QL, SPg quetiapine fumarate 1

B STRIBILD 3 QLg quetiapine fumarate er 1 QL

B SYMFI 2 QLg risperidone 1

B SYMFI LO 2 QLB SAPHRIS 3 QL

B TEMIXYS E QLB VRAYLAR 3 ST, QL

g tenofovir disoproxil fumarate 1g ziprasidone hcl 1 QL

B TIVICAY 3Antivirals - Drugs for Viral Infections

B TRIUMEQ 2 QLg acyclovir oral 1

B TRUVADA E QLB ATRIPLA E ST, QL

g valacyclovir hcl oral 1 QLB BARACLUDE ORAL SOLUTION 2 SP

B VEMLIDY 3 ST, SPB CIMDUO 2 QL

B VIREAD ORAL POWDER 3B DESCOVY E PA, ST, QL


1414


B BVIREAD ORAL TABLET 150 MG, 2 ALTACE 3200 MG, 250 MG B ALTOPREV E

B VOSEVI 2 PA, QL, SP g amiodarone hcl oral 1B XOFLUZA (40 MG DOSE) 3 QL g amlodipine besylate oral 1B XOFLUZA (80 MG DOSE) 3 QL g amlodipine besylate-benazepril hcl 1B ZEPATIER 2 PA, QL, SP g amlodipine besylate-valsartan 1B ZOVIRAX ORAL SUSPENSION 3 g atenolol oral 1

Anxiolytics - Drugs for Anxiety g atenolol-chlorthalidone 1g alprazolam er 1 g atorvastatin calcium oral tablet 1 QL, H-PAg alprazolam intensol 1 10 mg, 20 mgg galprazolam oral 1 atorvastatin calcium oral tablet 1 QL

40 mg, 80 mgg alprazolam xr 1B AVALIDE 3g buspirone hcl oral 1g benazepril hcl oral 1g clonazepam oral 1g benazepril-hydrochlorothiazide 1g diazepam intensol 1B BIDIL 2g diazepam oral 1g bisoprolol fumarate 1B HALCION 3g bisoprolol-hydrochlorothiazide 1g hydroxyzine hcl oral 1B BYSTOLIC Eg hydroxyzine pamoate oral 1B CALAN SR 3g lorazepam intensol 1B CARDIZEM LA ORAL TABLET Eg lorazepam oral concentrate 1

EXTENDED RELEASE 24 HOUR 2 mg/ml120 MG

g lorazepam oral tablet 1B CARDURA 3

g triazolam 1B CAROSPIR 3 PA

B VISTARIL 3g cartia xt 1

Bipolar Agents - Drugs for Mood Disordersg carvedilol 1

g lithium carbonate er 1B CATAPRES 3

g lithium carbonate oral 1g chlorthalidone 1

B LITHOBID 3g clonidine hcl oral 1

Cardiovascular Agents - Drugs for Heart and Circulation g colesevelam hcl EConditionsB COREG 3B ACCUPRIL 3B CORGARD 3g acetazolamide er 1B CORLANOR 3 PA, QLg acetazolamide oral 1g diltiazem hcl er coated beads 1B ADALAT CC ORAL TABLET 3g diltiazem hcl er oral capsule 1EXTENDED RELEASE 24 HOUR

extended release 12 hour60 MGgB diltiazem hcl oral 1ALDACTONE 3gg dilt-xr 1aliskiren fumarate 1


1515


g gdoxazosin mesylate oral 1 losartan potassium-hctz 1B BDYAZIDE 3 LOTENSIN 3B BEDARBI 3 LOTENSIN HCT 3B gEDARBYCLOR 3 lovastatin 1 Hg genalapril maleate oral 1 matzim la 1B BEPANED 3 PA MAXZIDE 3B BEZALLOR SPRINKLE 3 PA MAXZIDE-25 3g gezetimibe 1 metoprolol succinate er 1g gezetimibe-simvastatin 1 metoprolol tartrate oral tablet 1

100 mg, 25 mg, 50 mgg fenofibrate oral capsule 150 mg, Eg50 mg metoprolol tartrate oral tablet E

37.5 mg, 75 mgg fenofibrate oral tablet 120 mg, EB40 mg, 48 mg MINIPRESS 3

g gfenofibrate oral tablet 160 mg, 1 minitran 1145 mg, 54 mg B MULTAQ 3 PA

g flecainide acetate 1 g nadolol oral 1B FLOLIPID 3 PA B NEXLETOL 2 PA, ST, QLg furosemide oral 1 B NEXLIZET 2 PA, ST, QLg gemfibrozil oral 1 g niacin (antihyperlipidemic) EB GONITRO E QL g niacin er (antihyperlipidemic) 1g guanfacine hcl 1 g niacor EB HEMANGEOL E B NIASPAN 3g hydralazine hcl oral 1 g nifedipine er 1g hydrochlorothiazide oral 1 g nifedipine er osmotic release 1B HYZAAR 3 g nifedipine oral 1g icosapent ethyl E PA B NITRO-BID 2g irbesartan 1 B NITRO-DUR 3g irbesartan-hydrochlorothiazide 1 g nitroglycerin sublingual 1g isosorbide mononitrate 1 g nitroglycerin transdermal 1g isosorbide mononitrate er 1 g nitroglycerin translingual E QLB KAPSPARGO SPRINKLE 3 B NITROMIST 3 QLg labetalol hcl oral 1 B NITROSTAT 3B LASIX 3 g nitro-time 1B LIPOFEN E g olmesartan medoxomil oral 1g lisinopril oral 1 g olmesartan medoxomil-hctz 1g lisinopril-hydrochlorothiazide 1 g omega-3-acid ethyl esters 1B LOPID 3 B PACERONE ORAL TABLET 3B LOPRESSOR 3 100 MG, 400 MGg glosartan potassium 1 pacerone oral tablet 200 mg 1


1616


B BPRALUENT 2 PA, ST, QL ZIAC ORAL TABLET 10-6.25 MG, 32.5-6.25 MGB PRAVACHOL 3

B ZIAC ORAL TABLET 5-6.25 MG 3g pravastatin sodium 1B ZOCOR ORAL TABLET 10 MG, 3g prazosin hcl oral 1

20 MG, 40 MG, 80 MGB PRINIVIL 3

Central Nervous System Agents - Drugs for Attention B PROCARDIA 3 Deficit DisorderB PROCARDIA XL 3 B ADDERALL XR 1 QLg propranolol hcl er 1 B ADHANSIA XR E PA, QLg propranolol hcl oral 1 g amphetamine-dextroamphetamine 1 PAB QBRELIS 3 PA g amphetamine-dextroamphetamine E QLg quinapril hcl 1 erg Bramipril 1 APTENSIO XR E PA, QLg granolazine er 1 atomoxetine hcl 1 QLB BREPATHA 2 PA, ST, QL CONCERTA 1 PA, QLB gREPATHA PUSHTRONEX SYSTEM 2 PA, ST, QL dexmethylphenidate hcl 1 PAB gREPATHA SURECLICK 2 PA, ST, QL dexmethylphenidate hcl er 1 PA, QLg grosuvastatin calcium 1 QL dextroamphetamine sulfate 1 PAg gsimvastatin oral tablet 10 mg, 1 H-PA dextroamphetamine sulfate er 1 PA

20 mg, 40 mg, 5 mg B FOCALIN 3 PAg simvastatin oral tablet 80 mg 1 g guanfacine hcl er 1 QLg sotalol hcl oral 1 B JORNAY PM E PA, QLB SOTYLIZE 3 PA g metadate er 1 PA, QLg spironolactone oral 1 B METHYLIN 3 PAB TEKTURNA 3 g methylphenidate hcl er (cd) 1 PA, QLB TEKTURNA HCT 3 g methylphenidate hcl er (la) oral 1 PA, QLg telmisartan 1 capsule extended release 24 hour

10 mg, 20 mg, 30 mg, 40 mgB TOPROL XL 3g methylphenidate hcl er (la) oral 1 PAg torsemide 1

capsule extended release 24 hour g triamterene-hctz 1 60 mgg valsartan 1 g methylphenidate hcl er oral tablet 1 PA, QLg valsartan-hydrochlorothiazide 1 extended release 10 mg, 20 mgB VASCEPA ORAL CAPSULE 0.5 GM E PA g methylphenidate hcl er oral tablet E PA, QLB extended release 18 mg, 27 mg, VASCEPA ORAL CAPSULE 1 GM E PA

36 mg, 54 mg, 72 mgg verapamil hcl er 1g methylphenidate hcl er oral tablet E PA, QLg verapamil hcl oral 1

extended release 24 hourB VERELAN 3

g methylphenidate hcl oral 1 PAB VERELAN PM 3

B MYDAYIS E PA, QLB WELCHOL 1


1717


B PROCENTRA 3 PA Central Nervous System Agents - MiscellaneousB BQUILLICHEW ER E PA, QL AUSTEDO 2 PA, QL, SPB BQUILLIVANT XR E PA, QL LYRICA 3 PA, ST, QLg Brelexxii E PA, QL LYRICA CR E ST, QLB BRITALIN 3 PA NUEDEXTA 2 PAB gVYVANSE 3 PA, QL pregabalin oral 1 QLB BZENZEDI ORAL TABLET 15 MG, E PA RILUTEK 3 SP

2.5 MG, 20 MG, 30 MG, 7.5 MG g riluzole 1 SPCentral Nervous System Agents - Drugs for Multiple B TIGLUTIK 3 PASclerosis

Dental and Oral Agents - Drugs for Mouth and Throat B AUBAGIO 3 PA, QL, SP ConditionsB AVONEX PEN 2 PA, QL, SP g cavarest 1B AVONEX PREFILLED 2 PA, QL, SP g chlorhexidine gluconate mouth/ 1B BAFIERTAM CAPSULE 2 PA, QL, SP throatB gBETASERON 2 PA, QL, SP clinpro 5000 1g gdalfampridine er 1 PA, QL, SP denta 5000 plus 1g gdimethyl fumarate 1 PA, QL, SP dentagel 1B gEXTAVIA E PA, ST, QL, SP fluoridex 1B gGILENYA 3 PA, QL, SP fluoridex enhanced whitening 1g gglatiramer acetate 1 PA, QL, SP lidocaine hcl mouth/throat 1g gglatopa 1 PA, QL, SP lidocaine viscous hcl 1B BKESIMPTA 2 PA, QL, SP NAFRINSE DAILY/NEUTRAL 2B BMAVENCLAD (10 TABS) 3 PA, ST, QL, SP NAFRINSE WEEKLY 3B gMAVENCLAD (4 TABS) 3 PA, ST, QL, SP neutral sodium fluoride 1B gMAVENCLAD (5 TABS) 3 PA, ST, QL, SP paroex 1B BMAVENCLAD (6 TABS) 3 PA, ST, QL, SP PERIDEX 3B gMAVENCLAD (7 TABS) 3 PA, ST, QL, SP periogard 1B BMAVENCLAD (8 TABS) 3 PA, ST, QL, SP PREVIDENT 5000 BOOSTER PLUS 3B BMAVENCLAD (9 TABS) 3 PA, ST, QL, SP PREVIDENT 5000 DRY MOUTH 3B BMAYZENT 3 PA, QL, SP PREVIDENT 5000 ORTHO 3

DEFENSEB MAYZENT STARTER PACK 3 PA, QL, SPB PREVIDENT 5000 PLUS 3B PLEGRIDY 3 PA, QL, SPB PREVIDENT DENTAL 3B PLEGRIDY STARTER PACK 3 PA, QL, SPB PREVIDENT MOUTH/THROAT 3B REBIF 3 PA, ST, QL, SPg sf 1B REBIF REBIDOSE 3 PA, ST, QL, SPg sf 5000 plus 1B REBIF REBIDOSE TITRATION 3 PA, ST, QL, SPgPACK sodium fluoride 5000 plus 1

B gREBIF TITRATION PACK 3 PA, ST, QL, SP sodium fluoride dental 1B TECFIDERA E PA, QL, SPB ZEPOSIA 3 PA, QL, SP


1818


g clindamycin phosphate external 1 QLDermatological Agents - Drugs for Skin ConditionssolutionB ABSORICA E PA

g clindamycin phosphate external 1B ACZONE EXTERNAL GEL 5 % 1 QLswab

B ACZONE EXTERNAL GEL 7.5 % 3 QLB CLINDAMYCIN PHOSPHATE GEL E

B ALA SCALP 3 1 % EXTERNALg ala-cort external cream 1 % E g clindamycin phosphate gel 1 % 1 QLg ala-cort external cream 2.5 % 1 externalB gALDARA 3 QL clobetasol propionate external 1 QL

creamB ALTRENO E PA, QLg clobetasol propionate external foam E QLg amnesteem 1g clobetasol propionate external gel 1 QLB AMZEEQ 3 PA, QL g clobetasol propionate external 1 QLg avar cleanser 1

liquidB AVAR LS CLEANSER E

g clobetasol propionate external E QLB AVAR-E EMOLLIENT 3 lotionB AVAR-E GREEN 3 g clobetasol propionate external 1 QLB AVAR-E LS 3 ointmentg avita E PA, QL g clobetasol propionate external E QLg shampooazelaic acid external 1

gg clobetasol propionate external 1 QLbetamethasone dipropionate aug 1solutiong betamethasone dipropionate 1

g clodan external shampoo E QLexternalgg clotrimazole-betamethasone 1 QLbp 10-1 1

external creamg calcipotriene-betameth diprop 1 QLg clotrimazole-betamethasone 1external ointment

external lotiong calcitriol external 1 QLg dapsone external gel 5 % E QLB CAPEX 2B DERMA-SMOOTHE/FS BODY 3 QLB CARAC 2B DERMA-SMOOTHE/FS SCALP 3g claravis 1B DESONATE 3 ST, QLB CLEOCIN-T EXTERNAL GEL 3 QLg desonide external 1 QLB CLEOCIN-T EXTERNAL LOTION 3B DESOWEN 3 QLg clindacin etz external swab 1B DIPROLENE 3g clindacin-p 1B DIPROLENE AF 3B CLINDAGEL E QLB DUPIXENT 3 PA, ST, QL, SPg clindamycin phos-benzoyl perox 1 QLB EFUDEX 3external gel 1.2-5 %Bg ENSTILAR 3 QLclindamycin phosphate external 1

foam B EUCRISA 3 ST, QLg clindamycin phosphate external 1 B EVOCLIN 3

lotion


1919


B BFINACEA 3 RHOFADE 3 PA, QLg gfluocinolone acetonide body 1 QL rosadan external cream 1g gfluocinolone acetonide external 1 QL rosadan external gel 1g Bfluocinolone acetonide scalp 1 SERNIVO E QLg Bfluocinonide external cream 0.05 % 1 SOOLANTRA 3 QLg gfluocinonide external cream 0.1 % E QL sss 10-5 1g gfluocinonide external gel 1 sulfacetamide sodium-sulfur 1

external cream 10-2 %, 10-5 %g fluocinonide external ointment 1g sulfacetamide sodium-sulfur Eg fluocinonide external solution 1

external cream 9.8-4.8 %B FLUOROPLEX 3

g sulfacetamide sodium-sulfur 1B FLUOROURACIL EXTERNAL 3 external emulsion

CREAM 0.5 %g sulfacetamide sodium-sulfur E

g fluorouracil external cream 5 % 1 external liquid 10-2 %, 9.8-4.8 %g fluorouracil external solution 1 g sulfacetamide sodium-sulfur 1g hydrocortisone external cream 1 % E external liquid 9-4 %, 9-4.5 %g ghydrocortisone external cream 1 sulfacetamide sodium-sulfur 1

2.5 % external lotion 10-5 %g ghydrocortisone external lotion 2.5 % 1 sulfacetamide sodium-sulfur E

external lotion 9.8-4.8 %g hydrocortisone external ointment 1g1 %, 2.5 % sulfacetamide sodium-sulfur 1

external padg imiquimod external 1 QLg sulfacetamide sodium-sulfur 1B IMIQUIMOD PUMP E QL

external suspension 10-5 %B IMPOYZ E QLg sulfacetamide sodium-sulfur Eg isotretinoin oral 1 external suspension 8-4 %

B METROCREAM 3 g sulfacleanse 8/4 EB METROLOTION 3 g sulfamez wash 1g metronidazole external cream 1 B SUMADAN WASH Eg metronidazole external gel 0.75 % 1 B SUMAXIN 3g metronidazole external gel 1 % E B SUMAXIN WASH 3g metronidazole external lotion 1 B TACLONEX EXTERNAL 3B MIRVASO 3 PA, QL SUSPENSIONg gmometasone furoate external 1 tazarotene external 1 PA, QLg myorisan 1 B TAZORAC 3 PA, QLg neuac external gel 1 QL B TEMOVATE 3 QLB NORITATE E B TEXACORT 2B PICATO 3 QL B TOLAK EB PLEXION E g tretinoin external cream 1 QLB PLEXION CLEANSER E g tretinoin external gel 0.01 %, 0.05 % EB PLEXION CLEANSING CLOTH E g tretinoin external gel 0.025 % E


2020


g Btriamcinolone acetonide external 1 QL ACCU-CHEK SOFTCLIX LANCET 1aerosol solution DEVICE KIT

g Btriamcinolone acetonide external 1 BD AUTOSHIELD DUO PEN 2cream 0.025 %, 0.1 % NEEDLES

g Btriamcinolone acetonide external 1 QL BD ULTRA-FINE INSULIN 2cream 0.5 % SYRINGES

g Btriamcinolone acetonide external 1 BD ULTRA-FINE PEN NEEDLES 2lotion B CONTOUR NEXT EZ MONITOR 2

g triamcinolone acetonide external 1 B CONTOUR NEXT LNK MONITOR Eointment 0.025 %, 0.1 %, 0.5 %

B CONTOUR NEXT MONITOR 2g triamcinolone acetonide external E

B CONTOUR NEXT ONE MONITOR 2ointment 0.05 %B CONTOUR NEXT TEST STRIP 2 QLg trianex EB CONTOUR TEST STRIP E QLg triderm external cream 0.1 % 1B DEXCOM G4 / G5 / G6 RECEIVER, 3 PA, QLg triderm external cream 0.5 % 1 QL

TRANSMITTER, SENSOR B TRIDESILON 1 QL (INCLUDING PLATINUM, B VERDESO E QL PLATINUM PEDIATRIC)g Bzenatane 1 DEXCOM G4 / G5 / G6 RECEIVER, 3 PA, QL

TRANSMITTER, SENSOR B ZILXI 3 PA, ST, QL(INCLUDING PLATINUM,

B ZYCLARA E QL PLATINUM PEDIATRIC) DEVICEB ZYCLARA PUMP E QL B EASYPLUS BLOOD GLUCOSE E QL

Diabetes - Glucose Monitoring TESTB BACCU-CHEK AVIVA CONNECT KIT E FREESTYLE LIBRE 14 DAY 3 PA, QL

W/DEVICE READERB BACCU-CHEK AVIVA DEVICE E FREESTYLE LIBRE 14 DAY 3 PA, QL

SENSORB ACCU-CHEK AVIVA PLUS KIT EBW/DEVICE FREESTYLE LIBRE READER 3 PA, QL

B BACCU-CHEK AVIVA PLUS TEST E QL FREESTYLE LIBRE SENSOR 3 PA, QLSTRIPS SYSTEM

B BACCU-CHEK COMPACT PLUS E FREESTYLE PRECISION NEO E QLCARE KIT TEST

B BACCU-CHEK COMPACT PLUS E QL GUARDIAN CONNECT 3 PA, QLTEST STRIPS TRANSMITTER

B BACCU-CHEK GUIDE KIT W/DEVICE 3 GUARDIAN LINK 3 TRANSMITTER 3B BACCU-CHEK GUIDE ME KIT 3 GUARDIAN SENSOR (3) 3 PA

W/DEVICE B INSULIN SYRINGES 2B ACCU-CHEK GUIDE TEST STRIPS 3 QL B LANCETS 1B ACCU-CHEK NANO SMARTVIEW E B NOVOFINE AUTOCOVER PEN 2

KIT W/DEVICE NEEDLEB ACCU-CHEK SMARTVIEW TEST E QL B NOVOFINE PEN NEEDLE 2

STRIPSB NOVOFINE PLUS PEN NEEDLE 2


2121


B BONETOUCH ULTRA 2 KIT 1 HUMALOG MIX 50/50 KWIKPEN 2 QLW/DEVICE B HUMALOG MIX 50/50 VIAL 1 QL

B ONETOUCH ULTRA BLUE TEST 1 QL B HUMALOG MIX 75/25 KWIKPEN 2 QLSTRIPS IN VITRO STRIP

B HUMALOG MIX 75/25 VIAL 1 QLB ONETOUCH ULTRA MINI KIT 1

B HUMALOG SUBCUTANEOUS 1 QLW/DEVICESOLUTION

B ONETOUCH VERIO FLEX SYSTEM 1B HUMALOG SUBCUTANEOUS 2 QLKIT W/DEVICE

SOLUTION CARTRIDGEB ONETOUCH VERIO IQ SYSTEM 1

B HUMALOG U-100 JUNIOR 2 QLB ONETOUCH VERIO KIT W/DEVICE 1 KWIKPENB ONETOUCH VERIO SYNC SYSTEM 1 B HUMULIN 70/30 KWIKPEN 2 QL

KIT W/DEVICEB HUMULIN 70/30 VIAL 1 QL

B ONETOUCH VERIO TEST STRIPS 1 QLB HUMULIN N KWIKPEN 2 QL

B PRECISION LINK EB HUMULIN N VIAL 1 QL

B PRECISION PCX PLUS TEST E QLB HUMULIN R U-500 KWIKPEN 2 QL

B PRECISION QID MONITOR EB HUMULIN R U-500 VIAL 1 QL

B PRECISION QID TEST E QL (CONCENTRATED)B PRECISION SOF-TACT MONITOR E B HUMULIN R VIAL 1 QLB PRECISION SOF-TACT TEST E QL B INSULIN ASPART E ST, QLB PRECISION XTRA BLOOD E QL B INSULIN ASPART FLEXPEN E ST, QL

GLUCOSEB INSULIN ASPART PENFILL E ST, QL

B PRECISION XTRA DEVICE EB INSULIN LISPRO E QL

B PRECISION XTRA KIT EB INSULIN LISPRO (1 UNIT DIAL) E QL

B PRECISION XTRA MONITOR EB LANTUS SOLOSTAR 1 QL

B RELION BLOOD GLUCOSE TEST E QLB LANTUS U-100 VIAL 1 QL

B RELION ULTIMA TEST E QLB LEVEMIR U-100 FLEXTOUCH E QL

B SOFTCLIX 1B LEVEMIR U-100 VIAL E QL

B TRUE METRIX BLOOD GLUCOSE E QLB LYUMJEV KWIKPEN 2 QLTESTB LYUMJEV VIAL 1 QLB TRUETRACK TEST E QLB NOVOLIN 70/30 FLEXPEN E ST, QLDiabetes - InsulinB NOVOLIN 70/30 FLEXPEN RELION E ST, QLB ADMELOG E QLB NOVOLIN 70/30 RELION E ST, QLB ADMELOG SOLOSTAR E QLB NOVOLIN 70/30 VIAL E ST, QLB AFREZZA INHALATION POWDER E PA, QLB NOVOLIN N FLEXPEN E ST, QL12 UNIT, 4 UNITBB NOVOLIN N FLEXPEN RELION E ST, QLAFREZZA INHALATION POWDER E PA, QL

4 & 8 & 12 UNIT, 8 UNIT, 90 X 4 B NOVOLIN N RELION E ST, QLUNIT & 90X8 UNIT, 90 X 8 UNIT & B NOVOLIN N VIAL E ST, QL90X12 UNIT

B NOVOLIN R FLEXPEN E ST, QLB BASAGLAR KWIKPEN E QLB NOVOLIN R FLEXPEN RELION E ST, QLB HUMALOG KWIKPEN 2 QL


2222


B BNOVOLIN R RELION E ST, QL JARDIANCE 2 ST, QLB BNOVOLIN R VIAL E ST, QL JENTADUETO 2 QLB BNOVOLOG FLEXPEN E ST, QL JENTADUETO XR 2 QLB BNOVOLOG PENFILL E ST, QL KAZANO 2 QLB BNOVOLOG U-100 VIAL E ST, QL KOMBIGLYZE XR 2 QLB gTOUJEO MAX SOLOSTAR 2 QL metformin hcl er 1B gTOUJEO SOLOSTAR 2 QL metformin hcl er (mod) E PAB gTRESIBA E QL metformin hcl er (osm) E PAB BTRESIBA FLEXTOUCH E QL METFORMIN HCL ORAL 1

SOLUTIONDiabetes - Non-Insulin Agentsg metformin hcl oral tablet 1B ADLYXIN 3 PA, ST, QLB NESINA 2 QLB ADLYXIN STARTER PACK 3 PA, ST, QLB ONGLYZA 2 QLB ALOGLIPTIN BENZOATE E QLB OSENI 2 QLB ALOGLIPTIN-METFORMIN HCL E QLB OZEMPIC 2 PA, ST, QLB ALOGLIPTIN-PIOGLITAZONE E QLB pioglitazone hcl 1 QLB AMARYL 3B RYBELSUS 2 PA, ST, QLB BAQSIMI ONE PACK 2 QLB SOLIQUA 2 QLB BAQSIMI TWO PACK 2 QLB SYMLINPEN 60 3 QLB BYDUREON 2 PA, ST, QLB SYMLNPEN 120 3 QLB BYDUREON BCISE 2 PA, ST, QLBAUTOINJECTOR SYNJARDY 2 QL

B B SYNJARDY XR 2 QLBYETTA 5 MCG PEN 2 PA, ST, QLB BBYETTA 10 MCG PEN 2 PA, ST, QL TRADJENTA 2 QL

BB FARXIGA E ST, QL TRIJARDY XR 2 QLg Bglimepiride 1 TRULICITY 2 PA, ST, QLg B VICTOZA SOLUTION PEN- 2 PA, ST, QLglipizide er 1

INJECTOR 18 MG/3ML g glipizide ir 1SUBCUTANEOUS (2 Pak)

g glipizide xl 1B VICTOZA SOLUTION PEN- 3 PA, ST, QL

B GLUCAGON EMERGENCY KIT 2 QL INJECTOR 18 MG/3ML INJECTION KIT SUBCUTANEOUS (3 Pak)

B GLUCOTROL 3 Drugs for Blood DisordersB GLUCOTROL XL 3 B ADVATE 2 SPB GLUCOVANCE ORAL TABLET 3 B ADYNOVATE 3 PA, SP

5-500 MGB AFSTYLA INTRAVENOUS KIT 1000 3 PA, SP

g glyburide oral 1 UNIT, 2000 UNIT, 250 UNIT, 3000 g glyburide-metformin 1 UNIT, 500 UNITB BGLYXAMBI 2 ST, QL AFSTYLA INTRAVENOUS KIT 1500 3 PA, SP

UNIT, 2500 UNITB GVOKE HYPOPEN, PFS 2 QLB ARANESP (ALBUMIN FREE) 2 QL, SPB JANUVIA E ST, QL


2323


B gELOCTATE 3 PA, SP multi-vitamin/fluoride 1B gJIVI 3 PA, SP multivitamin/fluoride oral solution 1B gKOGENATE FS 2 SP multivitamin/fluoride oral tablet 1

chewable 0.25 mg, 0.5 mg, 1 mgB KOVALTRY 2 SPg multivitamins/fluoride 1B MULPLETA 2 PA, QL, SPg mvc-fluoride 1B NEULASTA 3 SPB NASCOBAL 3B NOVOEIGHT 2 SPB POLY-VI-FLOR 3B NUWIQ 2 SPg potassium chloride crys er 1B RECOMBINATE 2 SPg potassium chloride er 1B RETACRIT 2 QL, SPg potassium chloride oral 1B ZARXIO 2 SPg potassium citrate er 1B ZIEXTENZO 3B QUFLORA PEDIATRIC 3Drugs for Sexual DysfunctionB UROCIT-K 10 3B ADDYI 3 PA, QLB UROCIT-K 15 3B IMVEXXY MAINTENANCE PACK 3 QLB UROCIT-K 5 3B IMVEXXY STARTER PACK 3 QLB VELTASSA 3 PA, QLB INTRAROSA 3 QLg vitamin d (ergocalciferol) oral 1B OSPHENA 3 PA, QL

capsule 1.25 mg (50000 ut)g sildenafil citrate oral tablet 100 mg, 1 QL

Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer25 mg, 50 mgB ACIPHEX SPRINKLE E QLB STENDRA 3 PA, QLB CYTOTEC 3g tadalafil oral tablet 10 mg, 20 mg 1 QLB DEXILANT 3 QLg tadalafil oral tablet 2.5 mg, 5 mg 1 ST, QLg misoprostol oral 1B VYLEESI 3 PA, QLB OMECLAMOX-PAK 3 QLElectrolytes / Vitaminsg omeprazole oral capsule delayed 1B DRISDOL 3

releaseB ERGOCAL 3

g pantoprazole sodium tablet delayed 1g ergocalciferol oral capsule 1 release 20 mg oralB FLORIVA PLUS 3 g pantoprazole sodium tablet delayed Eg folic acid oral tablet 1 mg 1 release 20 mg oralg gklor-con 1 pantoprazole sodium tablet delayed 1

release 40 mg oralg klor-con 10 1g pantoprazole sodium tablet delayed Eg klor-con m10 1

release 40 mg oralB KLOR-CON M15 3B PROTONIX ORAL PACKET Eg klor-con m20 1B PYLERA 3 QL

g klor-con sprinkle 1B RABEPRAZOLE SODIUM ORAL E QL

B K-TAB 3 CAPSULE SPRINKLEB LOKELMA 3 PA, QL


2424


g Brabeprazole sodium oral tablet 1 QL SYMPROIC 2 PA, QLdelayed release B TRULANCE 3 PA, ST, QL

g sucralfate oral 1 B URSO 250 3Gastrointestinal Agents - Drugs for Bowel, Intestine and B URSO FORTE 3Stomach Conditions

g ursodiol oral 1B ACTIGALL 3

B VIBERZI 3 PA, QLB ANASPAZ 2

B ZELNORM 3 PA, ST, QLB CLENPIQ 3

Genetic or Enzyme Disorder - Drugs for Replacement, g dicyclomine hcl oral 1 Modification, Treatmentg diphenoxylate-atropine 1 B CERDELGA 2 PA, SPg ed-spaz 1 g clovique E PA, SPg gavilyte-c 1 H B CREON 2g gavilyte-g 1 QL, H B CUPRIMINE E SPB GOLYTELY ORAL SOLUTION 2 QL B DEPEN TITRATABS 2 SP

RECONSTITUTED 227.1 GMB ENDARI 3 PA, QL

B GOLYTELY ORAL SOLUTION 3 QLg nitisinone E PA, SPRECONSTITUTED 236 GMB NITYR E PA, SPg hyoscyamine sulfate er 1B ORFADIN ORAL CAPSULE 2 PA, SPg hyoscyamine sulfate oral 1B ORFADIN ORAL SUSPENSION 2 PA, SPg hyoscyamine sulfate sl 1B PANCREAZE 3 STg hyoscyamine sulfate sublingual 1g penicillamine oral capsule 1 SPg hyosyne 1B PERTZYE 3 STB LEVBID 3B STRENSIQ 2 PA, QL, SPB LEVSIN ORAL 3B TEGSEDI 2 PA, QL, SPB LEVSIN/SL 3g trientine hcl 1 PA, SPB LINZESS 2 PA, QLB VIOKACE 3 STB LOMOTIL 3B ZENPEP 2B MOTEGRITY 3 PA, QL

Genitourinary Agents - Drugs for Bladder, Genital and B MOVIPREP 3 QLKidney Conditions

B NULEV 3B AURYXIA 3

g oscimin 1B DITROPAN XL 3

g oscimin sr 1B GELNIQUE E

g peg-3350/electrolytes 1 QL, Hg oxybutynin chloride er 1

B PLENVU 3 QLg oxybutynin chloride oral 1

B PREPOPIK 3 QLg phenazo oral tablet 200 mg 1

B SUPREP BOWEL PREP KIT 3 QLg phenazopyridine hcl oral tablet 100 1

B SYMAX DUOTAB 3 mg, 200 mgg symax-sl 1 B PYRIDIUM 3g symax-sr 1


2525


g gsolifenacin 1 camila 1 HB gTOVIAZ 3 camrese 1 HB gVELPHORO 2 camrese lo 1 H

g chateal 1 HGenitourinary Agents - Drugs for Prostate Conditionsgg alfuzosin hcl er 1 chateal eq 1 H

g Bfinasteride oral tablet 5 mg 1 CLIMARA PRO 3 QLB gPROSCAR 3 cryselle-28 1 Hg g cyclafem 1/35 1 Htamsulosin hcl 1

gg terazosin hcl 1 cyred 1 Hg cyred eq 1 HHormonal Agents - Hormone Replacement and Birth

Control g dasetta 1/35 1 Hg afirmelle 1 H g daysee 1 HB ALORA TRANSDERMAL PATCH 3 QL g deblitane 1 H

TWICE WEEKLY 0.025 MG/24HR, g delyla 1 H0.075 MG/24HR, 0.1 MG/24HRB DEPO-PROVERA 3 QLg altavera 1 H

INTRAMUSCULAR SUSPENSION g alyacen 1/35 1 H 150 MG/MLg amethia 1 H B DEPO-PROVERA 3g INTRAMUSCULAR SUSPENSION amethia lo 1 H

PREFILLED SYRINGEg apri 1 HB DEPO-SUBQ PROVERA 104 2 QLg ashlyna 1 Hg desogestrel-ethinyl estradiol 1 Hg aubra 1 HB DIVIGEL TRANSDERMAL GEL 3g aubra eq 1 H

0.25 MG/0.25GM, 0.5 MG/0.5GM, g aurovela 1.5/30 1 H 0.75 MG/0.75GM, 1 MG/GMg aurovela 1/20 1 H g dotti E QLg aurovela 24 fe 1 H g drospiren-eth estrad-levomefol Eg aurovela fe 1.5/30 1 H g drospirenone-ethinyl estradiol 1 Hg aurovela fe 1/20 1 H B DUAVEE 3 QLg aviane 1 H B ELESTRIN 3B AYGESTIN 3 g elinest 1 Hg ayuna 1 H g eluryng Eg azurette 1 H g emoquette 1 Hg balziva 1 H g enskyce 1 Hg bekyree 1 H g errin 1 HB BIJUVA 3 g estarylla 1 Hg blisovi 24 fe 1 H B ESTRACE ORAL 3g blisovi fe 1.5/30 1 H g estradiol oral 1g blisovi fe 1/20 1 H g estradiol patch twice weekly 1 QLg briellyn 1 H transdermal (generic for Minivelle)


2626


g gestradiol patch twice weekly E QL lessina 1 Htransdermal (generic for Vivelle- g levonorgest-eth est & eth est EDot)

g levonorgest-eth estrad 91-day 1 Hg estradiol transdermal patch weekly 1 QL

g levonorgestrel-ethinyl estrad oral 1 H(generic for Climara)tablet 0.1-20 mg-mcg,

g estradiol vaginal cream 1 0.15-30 mg-mcgg estradiol vaginal tablet 1 g levora 0.15/30 (28) 1 HB ESTRING 2 QL g lillow 1 HB ESTROGEL 3 QL B LO LOESTRIN FE 3g etonogestrel-ethinyl estradiol E B LOESTRIN 1.5/30 (21) 3B EVAMIST 2 B LOESTRIN 1/20 (21) 3g falmina 1 H B LOESTRIN FE 1.5/30 3g fayosim E B LOESTRIN FE 1/20 3g femynor 1 H g loryna 1 Hg gianvi 1 H B LOSEASONIQUE 3g hailey 1.5/30 1 H g low-ogestrel 1 Hg hailey 24 fe 1 H g lo-zumandimine 1 Hg heather 1 H g lutera 1 Hg incassia 1 H g lyza 1 Hg introvale 1 H g marlissa 1 Hg isibloom 1 H g medroxyprogesterone acetate 1 QL, Hg jasmiel 1 H intramuscular suspensiong gjencycla 1 H medroxyprogesterone acetate 1 H

intramuscular suspension prefilled g jolessa 1 Hsyringe

g juleber 1 Hg medroxyprogesterone acetate oral 1

g junel 1.5/30 1 Hg melodetta 24 fe E

g junel 1/20 1 HB MENOSTAR 3 QL

g junel fe 1.5/30 1 Hg mibelas 24 fe E

g junel fe 1/20 1 Hg microgestin 1.5/30 1 H

g junel fe 24 1 Hg microgestin 1/20 1 H

g kalliga 1 Hg microgestin fe 1.5/30 1 H

g kariva 1 Hg microgestin fe 1/20 1 H

g kurvelo 1 Hg mili 1 H

g larin 1.5/30 1 HB MIRCETTE 3

g larin 1/20 1 Hg mono-linyah 1 H

g larin 24 fe 1 HB NATAZIA 2

g larin fe 1.5/30 1 Hg necon 0.5/35 (28) 1 H

g larin fe 1/20 1 Hg nikki 1 H

g larissia 1 Hg nora-be 1 H


2727


g gnorethin ace-eth estrad-fe oral 1 H syeda 1 Htablet g tarina 24 fe 1 H

g norethin ace-eth estrad-fe oral E g tarina fe 1/20 1 Htablet chewable

g tarina fe 1/20 eq 1 Hg norethindrone acetate oral 1

B TAYTULLA Eg norethindrone acet-ethinyl est 1 H

g tri femynor 1 Hg norethindrone oral 1 H

g tri-estarylla 1 Hg norgestimate-eth estradiol 1 H

g tri-linyah 1 Hg norgestimate-ethinyl estradiol 1 H

g tri-lo-estarylla 1 Htriphasicg tri-lo-mili 1 Hg norlyda 1 Hg tri-lo-sprintec 1 Hg norlyroc 1 Hg tri-mili 1 Hg nortrel 0.5/35 (28) 1 Hg tri-previfem 1 Hg nortrel 1/35 (21) 1 Hg tri-sprintec 1 Hg nortrel 1/35 (28) 1 Hg tri-vylibra 1 HB NUVARING 1 Hg tri-vylibra lo 1 Hg ocella 1 Hg tulana 1 Hg ogestrel 1 Hg tydemy Eg orsythia 1 Hg vienva 1 HB ORTHO MICRONOR 3g viorele 1 Hg philith 1 HB VIVELLE-DOT 1 QLg pimtrea 1 Hg vyfemla 1 Hg pirmella 1/35 1 Hg vylibra 1 Hg portia-28 1 Hg wera 1 HB PREMARIN ORAL 3g xulane 1 HB PREMARIN VAGINAL 3B YASMIN 28 3B PREMPHASE 3B YAZ 3B PREMPRO 3g yuvafem 1g previfem 1 Hg zarah 1 Hg progesterone micronized oral 1g zumandimine 1 HB PROVERA 3

Hormonal Agents - Oral Steroidsg reclipsen 1 HB CORTEF 3g rivelsa EB DECADRON Eg setlakin 1 Hg dexamethasone intensol 1g sharobel 1 Hg dexamethasone oral 1g simliya 1 HB DEXPAK 10 DAY 3g simpesse 1 HB DEXPAK 13 DAY 3g sprintec 28 1 HB DEXPAK 6 DAY 3g sronyx 1 H


2828


B gDXEVO 11-DAY E octreotide 1 PA, SPB BHIDEX 6-DAY E OMNITROPE E PA, QL, SPg Bhydrocortisone oral 1 ORIAHNN 3 PA, QLB BMEDROL ORAL TABLET 16 MG, 3 ORILISSA 3 PA, QL

4 MG, 8 MG B SOMATULINE DEPOT 3 SPB MEDROL ORAL TABLET 2 MG 2 B STIMATE 3B MEDROL ORAL TABLET 32 MG 3 B ZOMACTON E PA, QL, SPB MEDROL ORAL TABLET THERAPY 3 Hormonal Agents - Testosterone Replacement

PACKB ANDRODERM 2 PA, QL

g methylprednisolone oral 1B DEPO-TESTOSTERONE E

B MILLIPRED 2 INTRAMUSCULAR SOLUTION B MILLIPRED DP 2 100 MG/MLB BMILLIPRED DP 12-DAY 2 DEPO-TESTOSTERONE E

INTRAMUSCULAR SOLUTION B ORAPRED ODT 3200 MG/ML

B PEDIAPRED 2B NATESTO E PA, QL

g prednisolone oral solution 1B STRIANT 3 PA, QL

g prednisolone sodium phosphate 1B TESTIM 1 PA, QLoralB TESTOSTERONE CYPIONATE Eg prednisone intensol 1

INJECTIONg prednisone oral 1

g testosterone cypionate EB RAYOS E intramuscularB TAPERDEX 12-DAY 3 g testosterone enanthate 1B TAPERDEX 6-DAY ORAL TABLET 3 intramuscular

THERAPY PACK 1.5 MG (21) g testosterone transdermal E PA, QLB TAPERDEX 7-DAY 3 B XYOSTED E PA

Hormonal Agents - Other Hormonal Agents - Thyroidg cabergoline 1 B ARMOUR THYROID 3B DDAVP INJECTION 3 g euthyrox 1B DDAVP ORAL 3 g levo-t 1g desmopressin acetate injection 1 g levothyroxine sodium oral 1g desmopressin acetate oral 1 g levoxyl 1B GENOTROPIN E PA, QL, SP g liothyronine sodium oral 1B GENOTROPIN MINIQUICK E PA, QL, SP g methimazole oral 1B HUMATROPE E PA, QL, SP B NATURE-THROID 3B NOCDURNA 3 PA, QL g np thyroid 1B NORDITROPIN FLEXPRO E PA, QL, SP B SYNTHROID EB NUTROPIN AQ NUSPIN 10 2 PA, QL, SP B TAPAZOLE 3B NUTROPIN AQ NUSPIN 20 2 PA, QL, SP g thyroid oral tablet 120 mg, 15 mg, 1B NUTROPIN AQ NUSPIN 5 2 PA, QL, SP 30 mg, 60 mg, 90 mg


2929


B BTIROSINT E OLUMIANT 2 PA, QL, SPB BTIROSINT-SOL 3 PA ORENCIA 3 PA, ST, QL, SPg Bunithroid 1 ORENCIA CLICKJET 3 PA, ST, QL, SPB BWESTHROID 3 OTEZLA 2 PA, QL, SPB BWP THYROID 3 OTREXUP E QL

BImmunological Agents - Drugs for Immune System PROGRAF ORAL PACKET 3 PAStimulation or Suppression B RAPAMUNE ORAL SOLUTION 3 SP

B ACTEMRA ACTPEN 3 PA, QL, SP B RASUVO 2 QLB ACTEMRA SUBCUTANEOUS 3 PA, ST, QL, SP B RINVOQ 2 PA, QL, SPB ASTAGRAF XL E SP B RUCONEST 3 PA, QL, SPB AZASAN 3 SP B SIMPONI 2 PA, QL, SPg azathioprine oral 1 SP g sirolimus oral 1 SPB CIMZIA PREFILLED KIT 2 PA, QL, SP B SKYRIZI (150 MG DOSE) 2 PA, QL, SPB CIMZIA STARTER KIT 2 PA, QL, SP B STELARA SUBCUTANEOUS 2 PA, QL, SPB SOLUTIONCOSENTYX (300 MG DOSE) 3 PA, ST, QL, SP

BB COSENTYX 150 MG/ML 3 PA, ST, QL, SP STELARA SUBCUTANEOUS 2 PA, QL, SPSOLUTION PREFILLED SYRINGEB COSENTYX SENSOREADY 3 PA, ST, QL, SP

g tacrolimus oral 1 SP(300 MG)BB TAKHZYRO 2 PA, QL, SPCOSENTYX SENSOREADY PEN 3 PA, ST, QL, SPBg TREMFYA 2 PA, QL, SPcyclosporine modified 1 SPBB ENBREL 3 PA, ST, QL, SP TREXALL 2 SP

B B XELJANZ 2 PA, ST, QL, SPENBREL MINI 3 PA, ST, QL, SPBB XELJANZ XR ORAL TABLET 2 PA, ST, QL, SPENBREL SURECLICK 3 PA, ST, QL, SP

EXTENDED RELEASE 24 HOUR B ENVARSUS XR E SP11 MG

B FIRAZYR 1 PA, QL, SPInfertility Agents

g gengraf 1 SPg chorionic gonadotropin 1 SP

B HAEGARDA 2 PA, QL, SP intramuscularB HUMIRA 2 PA, QL, SP B CRINONE VAGINAL GEL 4 % 3 STB HUMIRA PEDIATRIC CROHNS 2 PA, QL, SP B CRINONE VAGINAL GEL 8 % 3 ST

STARTB ENDOMETRIN 2

B HUMIRA PEN 2 PA, QL, SPB FOLLISTIM AQ 2 SP

B HUMIRA PEN-CD/UC/HS STARTER 2 PA, QL, SPg ganirelix acetate solution 1 QL, SP

B HUMIRA PEN-PS/UV/ADOL HS 2 PA, QL, SP prefilled syringe 250 mcg/0.5ml START subcutaneous

g icatibant acetate E PA, QL, SP g novarel intramuscular solution 1 SPg methotrexate oral 1 reconstituted 10000 unitg Bmethotrexate sodium oral 1 NOVAREL INTRAMUSCULAR 3 SP

SOLUTION RECONSTITUTED g mycophenolate mofetil 1 SP5000 UNIT

g mycophenolate sodium 1 SP


3030


B OVIDREL 3 SP Metabolic Bone Disease Agents - Otherg gpregnyl 1 SP calcitriol oral 1

BInflammatory Bowel Disease Agents ROCALTROL 3B ANALPRAM HC 3 Ophthalmic Agents - Drugs for Eye Allergy, Infection and

InflammationB ANALPRAM HC SINGLES 3B ACULAR 3B ANALPRAM-HC EXTERNAL 3BCREAM ACULAR LS 3

B BANALPRAM-HC EXTERNAL 3 ACUVAIL ELOTION B ALREX 3 QL

B APRISO 1 B AZASITE 3B AZULFIDINE 3 g azelastine hcl ophthalmic 1B AZULFIDINE EN-TABS 3 B BESIVANCE 3g budesonide er E B CILOXAN OPHTHALMIC 3g budesonide oral 1 OINTMENTB BCORTIFOAM 2 CILOXAN OPHTHALMIC 3

SOLUTIONB DIPENTUM 3g ciprofloxacin hcl ophthalmic 1g hydrocortisone ace-pramoxine 1gexternal cream 1-1 % erythromycin ophthalmic 1

g Bhydrocort-pramoxine (perianal) 1 FLAREX 2B BLIALDA 1 ILEVRO Eg Bmesalamine er E INVELTYS 3g gmesalamine oral E ketorolac tromethamine ophthalmic 1g Bmesalamine rectal enema 1 LASTACAFT 3 QLg Bmesalamine rectal suppository 1 QL LOTEMAX OPHTHALMIC GEL EB BPENTASA E LOTEMAX OPHTHALMIC 3

OINTMENTB PROCORT EB LOTEMAX OPHTHALMIC 3 QLB PROCTOFOAM HC 2

SUSPENSIONB SFROWASA 3

B LOTEMAX SM 3 QLg sulfasalazine oral tablet 1

g loteprednol etabonate 1 QLB UCERIS ORAL 1

B MAXITROL 3B UCERIS RECTAL 2

B MOXEZA 3Metabolic Bone Disease Agents - Drugs for Osteoporosis

g moxifloxacin hcl ophthalmic 1g alendronate sodium 1

g neomycin-polymyxin-dexameth 1B BONIVA ORAL 3 ophthalmic ointmentB FORTEO E PA, SP g neomycin-polymyxin-dexameth 1B FOSAMAX 3 ophthalmic suspension

3.5-10000-0.1g ibandronate sodium oral 1B NEVANAC 3B TERIPARATIDE (RECOMBINANT) 3 PA, SPB OCUFLOX 3B TYMLOS 3 PA, SP


3131


g Bofloxacin ophthalmic 1 ROCKLATAN 3 QLg golopatadine hcl ophthalmic solution 1 QL timolol maleate ophthalmic 1

0.1 % B TIMOPTIC 3g olopatadine hcl ophthalmic solution E QL B TIMOPTIC OCUDOSE 0.25 % 2

0.2 %B TIMOPTIC-XE 3

B PAZEO E QLg travoprost (bak free) 1 QL

g polymyxin b-trimethoprim 1B VYZULTA E ST, QL

B POLYTRIM 3B XELPROS 3 QL

B PRED FORTE 3Ophthalmic Agents - Drugs for Miscellaneous Eye

B PRED MILD 3 Conditionsg prednisolone acetate ophthalmic 1 B CEQUA E PA, QLB TOBRADEX OPHTHALMIC 3 B RESTASIS 3 PA, QL

OINTMENTB RESTASIS MULTIDOSE E PA, QL

B TOBRADEX OPHTHALMIC 3B XIIDRA 3 PA, QLSUSPENSION

Otic Agents - Drugs for Ear ConditionsB TOBRADEX ST EB CIPRODEX 1g tobramycin ophthalmic 1g neomycin-polymyxin-hc otic 1g tobramycin-dexamethasone 1g ofloxacin otic 1B TOBREX OPHTHALMIC OINTMENT 3 QL

Respiratory - Drugs for AnaphylaxisB TOBREX OPHTHALMIC SOLUTION 3 QLB AUVI-Q E QLOphthalmic Agents - Drugs for Glaucomag epinephrine solution auto-injector 1 QLB ALPHAGAN P OPHTHALMIC 2 QL

0.15 mg/0.3ml injection (generic SOLUTION 0.1 %EpiPen Jr)

B ALPHAGAN P OPHTHALMIC 3 QLg epinephrine solution auto-injector 1 QLSOLUTION 0.15 %

0.3 mg/0.3ml injection (generic B AZOPT 2 QL EpiPen)B BETIMOL 2 QL B SYMJEPI 2 QLg bimatoprost ophthalmic E QL Respiratory Tract / Pulmonary Agents - Drugs for g brimonidine tartrate ophthalmic 1 QL Allergies, Cough, Cold

solution 0.15 % g azelastine hcl nasal solution 0.1 %, 1g brimonidine tartrate ophthalmic 1 137 mcg/spray

solution 0.2 % g azelastine hcl nasal solution 0.15 % EB COMBIGAN 2 QL g benzonatate oral capsule 100 mg, 1B COSOPT 3 200 mgg gdorzolamide hcl-timolol mal 1 benzonatate oral capsule 150 mg Eg gdorzolamide hcl-timolol mal pf E QL bromfed dm 1B gISTALOL 3 cyproheptadine hcl oral 1g glatanoprost ophthalmic 1 fluticasone propionate nasal 1 QLB gLUMIGAN 2 hydrocodone polst-cpm polst er 1 PA, QLB gRHOPRESSA 3 QL ipratropium bromide nasal 1


3232


g Blevocetirizine dihydrochloride oral 1 BEVESPI AEROSPHERE 2 QLB BOMNARIS E QL BREO ELLIPTA 3 QL, RSg Bpromethazine hcl oral solution 1 BREZTRI AEROSPHERE 3 QL, RSg gpromethazine hcl oral syrup 1 budesonide inhalation 1 QLg Bpromethazine-codeine 1 PA, QL COMBIVENT RESPIMAT 3 QLg Bpromethazine-dm 1 EASIVENT 2g Bpseudoephedrine-bromphen-dm 1 FASENRA PEN 3 PA, QL, SPB BTESSALON PERLES 3 FLOVENT DISKUS 1 QLB BTUSSICAPS 3 PA, QL FLOVENT HFA 1 QLB gXHANCE E QL fluticasone-salmeterol inhalation E QL

aerosol powder breath activated B ZETONNA 3 QL100-50 mcg/dose, 250-50 mcg/

Respiratory Tract / Pulmonary Agents - Drugs for dose, 500-50 mcg/doseAsthma and COPD

B FLUTICASONE-SALMETEROL 1 QLB ADVAIR DISKUS 1 QL INHALATION AEROSOL POWDER B ADVAIR HFA 3 QL, RS BREATH ACTIVATED 113-14 MCG/

ACT, 232-14 MCG/ACT, 55-14 MCG/B AIRDUO RESPICLICK 113/14 E QLACT

B AIRDUO RESPICLICK 232/14 E QLB INCRUSE ELLIPTA E QL

B AIRDUO RESPICLICK 55/14 E QLg ipratropium-albuterol 1

g albuterol sulfate er 1B LEVALBUTEROL HFA INHALATION 3 QL

g albuterol sulfate hfa aerosol solution 1 QL AEROSOL 45 MCG/ACT108 (90 base) mcg/act inhalation

g montelukast sodium oral 1(ProAir HFA or Proventil HFA)B NUCALA SUBCUTANEOUS 3 PA,QL, SPB ALBUTEROL SULFATE HFA E QL

SOLUTION AUTO-INJECTORAEROSOL SOLUTION 108 (90 BBASE) MCG/ACT INHALATION NUCALA SUBCUTANEOUS 3 PA,QL, SP

(Ventolin HFA) SOLUTION PREFILLED SYRINGEg Balbuterol sulfate inhalation 1 PERFOROMIST 3 QLg Balbuterol sulfate oral 1 PA PROAIR DIGIHALER E QLB BALVESCO E PROAIR HFA E QLB BANORO ELLIPTA 3 QL PROAIR RESPICLICK E QLB BARNUITY ELLIPTA 1 QL PROVENTIL HFA E QLB BASMANEX (120 METERED DOSES) E PULMICORT FLEXHALER 1 QLB BASMANEX (14 METERED DOSES) E QVAR REDIHALER EB BASMANEX (30 METERED DOSES) E SEREVENT DISKUS 2 QLB BASMANEX (60 METERED DOSES) E SINGULAIR ORAL PACKET 3B BASMANEX (7 METERED DOSES) E SPIRIVA HANDIHALER 2 QLB BASMANEX HFA INHALATION E SPIRIVA RESPIMAT 2 QL

AEROSOL 100 MCG/ACT, 200 B STRIVERDI RESPIMAT 2 QLMCG/ACT

B SYMBICORT 3 QL, RSB ATROVENT HFA 3 QL


3333


B gTRELEGY ELLIPTA 3 QL, RS metaxalone 1B gVENTOLIN HFA E QL methocarbamol oral 1g Bwixela inhub E QL OZOBAX 3 PAB BXOPENEX HFA 3 QL ROBAXIN-750 3B BYUPELRI 3 PA, QL SOMA ORAL TABLET 350 MG 3

gRespiratory Tract / Pulmonary Agents - Drugs for Cystic tizanidine hcl oral 1Fibrosis B ZANAFLEX ORAL CAPSULE 3

B KITABIS PAK E PA, QL, SP Sleep Disorder AgentsB PULMOZYME 2 PA, QL, SP B BELSOMRA 3 ST, QLB TOBI PODHALER 3 PA, QL, SP B DAYVIGO 3 ST, QLg tobramycin nebulization solution 1 PA, QL, SP B EDLUAR E QL

300 mg/4ml inhalationg eszopiclone 1 QL

g tobramycin nebulization solution E PA, QL, SPg modafinil 1 PA, QL300 mg/5ml inhalationB RESTORIL 3B TOBRAMYCIN NEBULIZATION E PA, QL, SPB SUNOSI 3 PA, QLSOLUTION 300 MG/5ML

INHALATION g temazepam 1Respiratory Tract / Pulmonary Agents - Drugs for B WAKIX 3 PA, QL, SPPulmonary Hypertension B XYREM 3 PA, QL, SP

B ADEMPAS 2 PA, QL, SP g zolpidem tartrate er 1 QLg ambrisentan 1 PA, QL, SP g zolpidem tartrate oral 1 QLg bosentan 1 PA, QL, SP g zolpidem tartrate sublingual E QLB OPSUMIT 2 PA, QL, SPB ORENITRAM 3 PA, QL, SPg sildenafil oral tablets 1 QLB TRACLEER 2 PA, QL, SPB TYVASO 2 PA, SPB TYVASO REFILL 2 PA, SPB TYVASO STARTER 2 PA, SP

Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm

g baclofen oral 1g carisoprodol oral tablet 250 mg Eg carisoprodol oral tablet 350 mg 1g cyclobenzaprine hcl er Eg cyclobenzaprine hcl oral 7.5 mg Eg cyclobenzaprine hcl oral tablet 1

10 mg, 5 mgB FEXMID E


3434

IndexADHANSIA XR . . . . . . . . . . . . . . . . . . . 17 ALOGLIPTIN-PIOGLITAZONE. . . . . . .23AADLYXIN . . . . . . . . . . . . . . . . . . . . . . . .23 ALORA TRANSDERMAL PATCH ABILIFY MYCITE. . . . . . . . . . . . . . . . . . 14

TWICE WEEKLY 0.025 MG/24HR, ADLYXIN STARTER PACK. . . . . . . . . .23ABSORICA . . . . . . . . . . . . . . . . . . . . . .19 0.075 MG/24HR, 0.1 MG/24HR. . . . . .26ADMELOG. . . . . . . . . . . . . . . . . . . . . . .22ACCU-CHEK AVIVA CONNECT KIT ALPHAGAN P OPHTHALMIC W/DEVICE. . . . . . . . . . . . . . . . . . . . . . .21 ADMELOG SOLOSTAR . . . . . . . . . . . .22 SOLUTION 0.1 % . . . . . . . . . . . . . . . . .32

ACCU-CHEK AVIVA DEVICE. . . . . . . .21 ADVAIR DISKUS. . . . . . . . . . . . . . . . . .33 ALPHAGAN P OPHTHALMIC ACCU-CHEK AVIVA PLUS KIT ADVAIR HFA . . . . . . . . . . . . . . . . . . . . .33 SOLUTION 0.15 % . . . . . . . . . . . . . . . .32W/DEVICE. . . . . . . . . . . . . . . . . . . . . . .21 ADVATE . . . . . . . . . . . . . . . . . . . . . . . . .23 alprazolam er . . . . . . . . . . . . . . . . . . . .15ACCU-CHEK AVIVA PLUS TEST ADYNOVATE . . . . . . . . . . . . . . . . . . . . .23 alprazolam intensol . . . . . . . . . . . . . . .15STRIPS . . . . . . . . . . . . . . . . . . . . . . . . .21

AEMCOLO. . . . . . . . . . . . . . . . . . . . . . . .9 alprazolam oral . . . . . . . . . . . . . . . . . . .15ACCU-CHEK COMPACT PLUS afirmelle. . . . . . . . . . . . . . . . . . . . . . . . .26 alprazolam xr . . . . . . . . . . . . . . . . . . . .15CARE KIT . . . . . . . . . . . . . . . . . . . . . . .21AFREZZA INHALATION POWDER ALREX . . . . . . . . . . . . . . . . . . . . . . . . . .31ACCU-CHEK COMPACT PLUS 12 UNIT, 4 UNIT . . . . . . . . . . . . . . . . . .22TEST STRIPS . . . . . . . . . . . . . . . . . . . .21 ALTACE . . . . . . . . . . . . . . . . . . . . . . . . .15AFREZZA INHALATION POWDER ACCU-CHEK GUIDE KIT W/DEVICE .21 altavera . . . . . . . . . . . . . . . . . . . . . . . . .264 & 8 & 12 UNIT, 8 UNIT, 90 X 4

ACCU-CHEK GUIDE ME KIT ALTOPREV . . . . . . . . . . . . . . . . . . . . . .15UNIT & 90X8 UNIT, 90 X 8 UNIT & W/DEVICE. . . . . . . . . . . . . . . . . . . . . . .21 90X12 UNIT . . . . . . . . . . . . . . . . . . . . . .22 ALTRENO . . . . . . . . . . . . . . . . . . . . . . .19ACCU-CHEK GUIDE TEST STRIPS . .21 AFSTYLA INTRAVENOUS KIT 1000 ALUNBRIG . . . . . . . . . . . . . . . . . . . . . .13ACCU-CHEK NANO SMARTVIEW UNIT, 2000 UNIT, 250 UNIT, 3000 ALVESCO . . . . . . . . . . . . . . . . . . . . . . .33KIT W/DEVICE . . . . . . . . . . . . . . . . . . .21 UNIT, 500 UNIT. . . . . . . . . . . . . . . . . . .23

alyacen 1/35 . . . . . . . . . . . . . . . . . . . . .26ACCU-CHEK SMARTVIEW TEST AFSTYLA INTRAVENOUS KIT 1500 AMARYL . . . . . . . . . . . . . . . . . . . . . . . .23STRIPS . . . . . . . . . . . . . . . . . . . . . . . . .21 UNIT, 2500 UNIT. . . . . . . . . . . . . . . . . .23ambrisentan . . . . . . . . . . . . . . . . . . . . .34ACCU-CHEK SOFTCLIX LANCET AIMOVIG . . . . . . . . . . . . . . . . . . . . . . . . 13

DEVICE KIT . . . . . . . . . . . . . . . . . . . . . .21 AMERGE . . . . . . . . . . . . . . . . . . . . . . . .13AIMOVIG SUBCUTANEOUS ACCUPRIL. . . . . . . . . . . . . . . . . . . . . . .15 amethia . . . . . . . . . . . . . . . . . . . . . . . . .26SOLUTION AUTO-INJECTOR 140

MG/ML . . . . . . . . . . . . . . . . . . . . . . . . .13acetaminophen-codeine . . . . . . . . . . . .8 amethia lo . . . . . . . . . . . . . . . . . . . . . . .26AIRDUO RESPICLICK 113/14 . . . . . . .33acetaminophen-codeine #2 . . . . . . . . .8 amiodarone hcl oral . . . . . . . . . . . . . . .15AIRDUO RESPICLICK 232/14. . . . . . .33acetaminophen-codeine #3 . . . . . . . . .8 amitriptyline hcl oral . . . . . . . . . . . . . . . 11AIRDUO RESPICLICK 55/14 . . . . . . . .33acetaminophen-codeine #4 . . . . . . . . .8 amlodipine besylate oral . . . . . . . . . . .15ALA SCALP. . . . . . . . . . . . . . . . . . . . . .19acetazolamide er . . . . . . . . . . . . . . . . .15 amlodipine besylate-benazepril hcl . .15ala-cort external cream 1 %. . . . . . . . .19acetazolamide oral . . . . . . . . . . . . . . . .15 amlodipine besylate-valsartan . . . . . .15ala-cort external cream 2.5 % . . . . . . .19ACIPHEX SPRINKLE . . . . . . . . . . . . . .24 amnesteem . . . . . . . . . . . . . . . . . . . . . .19albuterol sulfate er . . . . . . . . . . . . . . . .33ACTEMRA ACTPEN . . . . . . . . . . . . . . .30 amoxicillin . . . . . . . . . . . . . . . . . . . . . . . .9albuterol sulfate hfa aerosol ACTEMRA SUBCUTANEOUS. . . . . . .30 amoxicillin-potassium clavulanate er . .9solution 108 (90 base) mcg/act ACTIGALL . . . . . . . . . . . . . . . . . . . . . . .25 amoxicillin-potassium clavulanate inhalation. . . . . . . . . . . . . . . . . . . . . . . .33

oral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9ACULAR . . . . . . . . . . . . . . . . . . . . . . . .31 albuterol sulfate inhalation. . . . . . . . . .33amphetamine-dextroamphetamine . .17ACULAR LS . . . . . . . . . . . . . . . . . . . . .31 albuterol sulfate oral. . . . . . . . . . . . . . .33amphetamine-dextroamphetamine ACUVAIL . . . . . . . . . . . . . . . . . . . . . . . .31 ALDACTONE. . . . . . . . . . . . . . . . . . . . .15 er . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

acyclovir oral . . . . . . . . . . . . . . . . . . . . .14 ALDARA . . . . . . . . . . . . . . . . . . . . . . . .19 AMZEEQ . . . . . . . . . . . . . . . . . . . . . . . .19ACZONE EXTERNAL GEL 5 % . . . . . . 19 ALECENSA . . . . . . . . . . . . . . . . . . . . . .13 ANALPRAM HC . . . . . . . . . . . . . . . . . .31ACZONE EXTERNAL GEL 7.5 %. . . . .19 alendronate sodium . . . . . . . . . . . . . . .31 ANALPRAM HC SINGLES. . . . . . . . . .31ADALAT CC ORAL TABLET alfuzosin hcl er . . . . . . . . . . . . . . . . . . .26 ANALPRAM-HC EXTERNAL EXTENDED RELEASE 24 HOUR

CREAM . . . . . . . . . . . . . . . . . . . . . . . . .31aliskiren fumarate . . . . . . . . . . . . . . . . . 1560 MG . . . . . . . . . . . . . . . . . . . . . . . . . .15ANALPRAM-HC EXTERNAL allopurinol oral . . . . . . . . . . . . . . . . . . .13ADDERALL XR . . . . . . . . . . . . . . . . . . . 17LOTION . . . . . . . . . . . . . . . . . . . . . . . . .31ALOGLIPTIN BENZOATE. . . . . . . . . . .23ADDYI . . . . . . . . . . . . . . . . . . . . . . . . . .24ANASPAZ . . . . . . . . . . . . . . . . . . . . . . .25ALOGLIPTIN-METFORMIN HCL . . . .23ADEMPAS . . . . . . . . . . . . . . . . . . . . . . .34

35

anastrozole oral . . . . . . . . . . . . . . . . . .13 aurovela fe 1.5/30. . . . . . . . . . . . . . . . .26 BELSOMRA . . . . . . . . . . . . . . . . . . . . .34ANDRODERM. . . . . . . . . . . . . . . . . . . .29 AURYXIA . . . . . . . . . . . . . . . . . . . . . . . .25 benazepril hcl oral . . . . . . . . . . . . . . . .15ANORO ELLIPTA . . . . . . . . . . . . . . . . .33 AUSTEDO . . . . . . . . . . . . . . . . . . . . . . .18 benazepril-hydrochlorothiazide . . . . .15apap-caff-dihydrocodeine oral AUVI-Q. . . . . . . . . . . . . . . . . . . . . . . . . .32 benzonatate oral capsule 100 mg, capsule . . . . . . . . . . . . . . . . . . . . . . . . . .8 200 mg. . . . . . . . . . . . . . . . . . . . . . . . . .32AVALIDE . . . . . . . . . . . . . . . . . . . . . . . .15apri . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 benzonatate oral capsule 150 mg. . . .32avar cleanser. . . . . . . . . . . . . . . . . . . . .19APRISO . . . . . . . . . . . . . . . . . . . . . . . . .31 BESIVANCE . . . . . . . . . . . . . . . . . . . . .31AVAR LS CLEANSER. . . . . . . . . . . . . .19APTENSIO XR. . . . . . . . . . . . . . . . . . . . 17 betamethasone dipropionate aug. . . .19AVAR-E EMOLLIENT . . . . . . . . . . . . . .19ARAKODA . . . . . . . . . . . . . . . . . . . . . . .13 betamethasone dipropionate AVAR-E GREEN . . . . . . . . . . . . . . . . . .19

external . . . . . . . . . . . . . . . . . . . . . . . . .19ARANESP (ALBUMIN FREE). . . . . . . .23 AVAR-E LS. . . . . . . . . . . . . . . . . . . . . . .19BETASERON. . . . . . . . . . . . . . . . . . . . .18ARICEPT ORAL TABLET 10 MG, aviane . . . . . . . . . . . . . . . . . . . . . . . . . .26

5 MG . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 BETIMOL. . . . . . . . . . . . . . . . . . . . . . . .32avidoxy. . . . . . . . . . . . . . . . . . . . . . . . . . .9

aripiprazole oral solution . . . . . . . . . . .14 BEVESPI AEROSPHERE . . . . . . . . . . .33avita . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

aripiprazole oral tablet . . . . . . . . . . . . . 14 BEVYXXA . . . . . . . . . . . . . . . . . . . . . . . 11AVONEX PEN . . . . . . . . . . . . . . . . . . . .18

aripiprazole oral tablet dispersible . . . 14 bexarotene . . . . . . . . . . . . . . . . . . . . . .13AVONEX PREFILLED . . . . . . . . . . . . . .18

ARMOUR THYROID. . . . . . . . . . . . . . .29 BIDIL . . . . . . . . . . . . . . . . . . . . . . . . . . .15AYGESTIN . . . . . . . . . . . . . . . . . . . . . . .26

ARNUITY ELLIPTA . . . . . . . . . . . . . . . .33 BIJUVA . . . . . . . . . . . . . . . . . . . . . . . . .26ayuna . . . . . . . . . . . . . . . . . . . . . . . . . . .26

ARYMO ER . . . . . . . . . . . . . . . . . . . . . . .8 bimatoprost ophthalmic. . . . . . . . . . . .32AZASAN . . . . . . . . . . . . . . . . . . . . . . . .30

ashlyna . . . . . . . . . . . . . . . . . . . . . . . . .26 bisoprolol fumarate . . . . . . . . . . . . . . .15AZASITE . . . . . . . . . . . . . . . . . . . . . . . .31

ASMANEX (120 METERED DOSES). .33 bisoprolol-hydrochlorothiazide . . . . . .15azathioprine oral. . . . . . . . . . . . . . . . . .30

ASMANEX (14 METERED DOSES). . .33 blisovi 24 fe . . . . . . . . . . . . . . . . . . . . . .26azelaic acid external. . . . . . . . . . . . . . .19

ASMANEX (30 METERED DOSES). . .33 blisovi fe 1/20 . . . . . . . . . . . . . . . . . . . .26azelastine hcl nasal solution 0.1 %,

ASMANEX (60 METERED DOSES). . .33 blisovi fe 1.5/30. . . . . . . . . . . . . . . . . . .26137 mcg/spray . . . . . . . . . . . . . . . . . . .32ASMANEX (7 METERED DOSES). . . .33 BONIVA ORAL . . . . . . . . . . . . . . . . . . .31azelastine hcl nasal solution 0.15 % . .32ASMANEX HFA INHALATION BONJESTA . . . . . . . . . . . . . . . . . . . . . . 12azelastine hcl ophthalmic . . . . . . . . . .31AEROSOL 100 MCG/ACT, 200 bosentan . . . . . . . . . . . . . . . . . . . . . . . .34azithromycin oral . . . . . . . . . . . . . . . . .10MCG/ACT . . . . . . . . . . . . . . . . . . . . . . .33

bp 10-1. . . . . . . . . . . . . . . . . . . . . . . . . .19AZOPT. . . . . . . . . . . . . . . . . . . . . . . . . .32ASTAGRAF XL . . . . . . . . . . . . . . . . . . .30BREO ELLIPTA . . . . . . . . . . . . . . . . . . .33AZULFIDINE . . . . . . . . . . . . . . . . . . . . .31atenolol oral . . . . . . . . . . . . . . . . . . . . .15BREZTRI AEROSPHERE. . . . . . . . . . .33AZULFIDINE EN-TABS. . . . . . . . . . . . .31atenolol-chlorthalidone . . . . . . . . . . . .15briellyn . . . . . . . . . . . . . . . . . . . . . . . . . .26azurette . . . . . . . . . . . . . . . . . . . . . . . . .26atomoxetine hcl . . . . . . . . . . . . . . . . . . 17BRILINTA. . . . . . . . . . . . . . . . . . . . . . . . 14

atorvastatin calcium oral tablet 10 B brimonidine tartrate ophthalmic mg, 20 mg . . . . . . . . . . . . . . . . . . . . . . .15solution 0.15 % . . . . . . . . . . . . . . . . . . .32baclofen oral . . . . . . . . . . . . . . . . . . . . .34atorvastatin calcium oral tablet 40 brimonidine tartrate ophthalmic BACTRIM . . . . . . . . . . . . . . . . . . . . . . .10mg, 80 mg . . . . . . . . . . . . . . . . . . . . . . .15solution 0.2 % . . . . . . . . . . . . . . . . . . . .32BACTRIM DS . . . . . . . . . . . . . . . . . . . .10atovaquone-proguanil hcl . . . . . . . . . .13bromfed dm . . . . . . . . . . . . . . . . . . . . .32BAFIERTAM CAPSULE . . . . . . . . . . . .18ATRIPLA . . . . . . . . . . . . . . . . . . . . . . . .14budesonide er. . . . . . . . . . . . . . . . . . . .31balziva . . . . . . . . . . . . . . . . . . . . . . . . . .26ATROVENT HFA . . . . . . . . . . . . . . . . . .33budesonide inhalation . . . . . . . . . . . . .33BAQSIMI ONE PACK . . . . . . . . . . . . . .23AUBAGIO . . . . . . . . . . . . . . . . . . . . . . .18budesonide oral . . . . . . . . . . . . . . . . . .31BAQSIMI TWO PACK . . . . . . . . . . . . . .23aubra . . . . . . . . . . . . . . . . . . . . . . . . . . .26BUNAVAIL . . . . . . . . . . . . . . . . . . . . . . . .9BARACLUDE ORAL SOLUTION. . . . .14aubra eq . . . . . . . . . . . . . . . . . . . . . . . .26buprenorphine hcl sublingual . . . . . . . .9BASAGLAR KWIKPEN. . . . . . . . . . . . .22AUGMENTIN ORAL SUSPENSION buprenorphine hcl-naloxone hcl . . . . . .9RECONSTITUTED 125-31.25 MG/ BD AUTOSHIELD DUO PEN bupropion hcl er (sr) . . . . . . . . . . . . . . . 115ML . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 NEEDLES . . . . . . . . . . . . . . . . . . . . . . .21bupropion hcl er (xl) oral tablet aurovela 1/20 . . . . . . . . . . . . . . . . . . . .26 BD ULTRA-FINE INSULIN extended release 24 hour 150 mg, SYRINGES. . . . . . . . . . . . . . . . . . . . . . .21aurovela 1.5/30 . . . . . . . . . . . . . . . . . . .26300 mg . . . . . . . . . . . . . . . . . . . . . . . . . 11BD ULTRA-FINE PEN NEEDLES. . . . .21aurovela 24 fe . . . . . . . . . . . . . . . . . . . .26

bekyree . . . . . . . . . . . . . . . . . . . . . . . . .26aurovela fe 1/20 . . . . . . . . . . . . . . . . . .26BELBUCA . . . . . . . . . . . . . . . . . . . . . . . .8

36

BUPROPION HCL ER (XL) ORAL CENTANY AT . . . . . . . . . . . . . . . . . . . .10 clindamycin phosphate external TABLET EXTENDED RELEASE foam. . . . . . . . . . . . . . . . . . . . . . . . . . . .19cephalexin. . . . . . . . . . . . . . . . . . . . . . .1024 HOUR 450 MG. . . . . . . . . . . . . . . . . 12 clindamycin phosphate external CEQUA . . . . . . . . . . . . . . . . . . . . . . . . .32bupropion hcl oral . . . . . . . . . . . . . . . .12 lotion . . . . . . . . . . . . . . . . . . . . . . . . . . .19

CERDELGA . . . . . . . . . . . . . . . . . . . . . .25buspirone hcl oral. . . . . . . . . . . . . . . . . 15 clindamycin phosphate external

CHANTIX. . . . . . . . . . . . . . . . . . . . . . . . .9 solution . . . . . . . . . . . . . . . . . . . . . . . . .19butalbital-apap-caffeine. . . . . . . . . . . . .8CHANTIX CONTINUING MONTH clindamycin phosphate external BYDUREON . . . . . . . . . . . . . . . . . . . . .23 PAK . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 swab. . . . . . . . . . . . . . . . . . . . . . . . . . . .19

BYDUREON BCISE CHANTIX STARTING MONTH PAK . . .9 CLINDAMYCIN PHOSPHATE GEL AUTOINJECTOR. . . . . . . . . . . . . . . . . .23chateal . . . . . . . . . . . . . . . . . . . . . . . . . .26 1 % EXTERNAL . . . . . . . . . . . . . . . . . .19

BYETTA 10 MCG PEN . . . . . . . . . . . . .23chateal eq . . . . . . . . . . . . . . . . . . . . . . .26 CLINDESSE . . . . . . . . . . . . . . . . . . . . .10

BYETTA 5 MCG PEN . . . . . . . . . . . . . .23chlorhexidine gluconate mouth/ clinpro 5000 . . . . . . . . . . . . . . . . . . . . .18

BYSTOLIC . . . . . . . . . . . . . . . . . . . . . . . 15 throat . . . . . . . . . . . . . . . . . . . . . . . . . . .18 clobetasol propionate external chlorthalidone. . . . . . . . . . . . . . . . . . . .15 cream. . . . . . . . . . . . . . . . . . . . . . . . . . .19Cchorionic gonadotropin clobetasol propionate external foam .19cabergoline . . . . . . . . . . . . . . . . . . . . . .29 intramuscular . . . . . . . . . . . . . . . . . . . .30 clobetasol propionate external gel . . .19CALAN SR. . . . . . . . . . . . . . . . . . . . . . . 15 ciclodan. . . . . . . . . . . . . . . . . . . . . . . . .12 clobetasol propionate external calcipotriene-betameth diprop ciclopirox . . . . . . . . . . . . . . . . . . . . . . . .12 liquid . . . . . . . . . . . . . . . . . . . . . . . . . . .19external ointment . . . . . . . . . . . . . . . . .19ciclopirox treatment . . . . . . . . . . . . . . .12 clobetasol propionate external calcitriol external . . . . . . . . . . . . . . . . .19 lotion . . . . . . . . . . . . . . . . . . . . . . . . . . .19CILOXAN OPHTHALMIC

calcitriol oral . . . . . . . . . . . . . . . . . . . . .31 OINTMENT . . . . . . . . . . . . . . . . . . . . . .31 clobetasol propionate external CALQUENCE . . . . . . . . . . . . . . . . . . . .13 ointment . . . . . . . . . . . . . . . . . . . . . . . .19CILOXAN OPHTHALMIC camila . . . . . . . . . . . . . . . . . . . . . . . . . .26 SOLUTION . . . . . . . . . . . . . . . . . . . . . .31 clobetasol propionate external

shampoo . . . . . . . . . . . . . . . . . . . . . . . .19camrese. . . . . . . . . . . . . . . . . . . . . . . . .26 CIMDUO . . . . . . . . . . . . . . . . . . . . . . . . 14clobetasol propionate external camrese lo. . . . . . . . . . . . . . . . . . . . . . .26 CIMZIA PREFILLED KIT. . . . . . . . . . . .30solution . . . . . . . . . . . . . . . . . . . . . . . . .19capecitabine . . . . . . . . . . . . . . . . . . . . .13 CIMZIA STARTER KIT . . . . . . . . . . . . .30clodan external shampoo . . . . . . . . . .19CAPEX . . . . . . . . . . . . . . . . . . . . . . . . . .19 CIPRO ORAL TABLET . . . . . . . . . . . . .10clonazepam oral . . . . . . . . . . . . . . . . . .15CARAC . . . . . . . . . . . . . . . . . . . . . . . . .19 CIPRODEX . . . . . . . . . . . . . . . . . . . . . .32clonidine hcl oral . . . . . . . . . . . . . . . . .15carbamazepine er. . . . . . . . . . . . . . . . . 11 ciprofloxacin hcl ophthalmic . . . . . . . .31clopidogrel bisulfate oral . . . . . . . . . . .14carbamazepine oral . . . . . . . . . . . . . . . 11 ciprofloxacin hcl oral . . . . . . . . . . . . . .10clotrimazole-betamethasone CARBATROL. . . . . . . . . . . . . . . . . . . . . 11 citalopram hydrobromide . . . . . . . . . .12 external cream . . . . . . . . . . . . . . . . . . .19

carbidopa-levodopa . . . . . . . . . . . . . . .14 claravis. . . . . . . . . . . . . . . . . . . . . . . . . .19 clotrimazole-betamethasone carbidopa-levodopa er. . . . . . . . . . . . . 14 clarithromycin er. . . . . . . . . . . . . . . . . .10 external lotion . . . . . . . . . . . . . . . . . . . .19CARDIZEM LA ORAL TABLET clarithromycin oral . . . . . . . . . . . . . . . .10 clovique . . . . . . . . . . . . . . . . . . . . . . . . .25EXTENDED RELEASE 24 HOUR CLENPIQ . . . . . . . . . . . . . . . . . . . . . . . .25 COLCHICINE ORAL CAPSULE . . . . .13120 MG . . . . . . . . . . . . . . . . . . . . . . . . .15

CLEOCIN ORAL CAPSULE 150 colchicine oral tablet . . . . . . . . . . . . . .13CARDURA. . . . . . . . . . . . . . . . . . . . . . . 15 MG, 300 MG . . . . . . . . . . . . . . . . . . . . .10 COLCRYS . . . . . . . . . . . . . . . . . . . . . . .13carisoprodol oral tablet 250 mg . . . . .34 CLEOCIN ORAL CAPSULE 75 MG. . .10 colesevelam hcl . . . . . . . . . . . . . . . . . .15carisoprodol oral tablet 350 mg . . . . .34 CLEOCIN-T EXTERNAL GEL . . . . . . .19 COMBIGAN. . . . . . . . . . . . . . . . . . . . . .32CAROSPIR . . . . . . . . . . . . . . . . . . . . . .15 CLEOCIN-T EXTERNAL LOTION . . . .19 COMBIVENT RESPIMAT . . . . . . . . . . .33cartia xt . . . . . . . . . . . . . . . . . . . . . . . . .15 Climara . . . . . . . . . . . . . . . . . . . . . .26, 27 CONCERTA. . . . . . . . . . . . . . . . . . . . . . 17carvedilol . . . . . . . . . . . . . . . . . . . . . . . .15 CLIMARA PRO . . . . . . . . . . . . . . . . . . .26 CONTOUR NEXT EZ MONITOR. . . . .21CATAPRES . . . . . . . . . . . . . . . . . . . . . . 15 clindacin etz external swab . . . . . . . . .19 CONTOUR NEXT LNK MONITOR . . .21cavarest . . . . . . . . . . . . . . . . . . . . . . . . .18 clindacin-p. . . . . . . . . . . . . . . . . . . . . . .19 CONTOUR NEXT MONITOR. . . . . . . .21cefadroxil. . . . . . . . . . . . . . . . . . . . . . . .10 CLINDAGEL . . . . . . . . . . . . . . . . . . . . .19 CONTOUR NEXT ONE MONITOR . . .21cefdinir. . . . . . . . . . . . . . . . . . . . . . . . . .10 clindamycin hcl oral . . . . . . . . . . . . . . .10 CONTOUR NEXT TEST STRIP . . . . . .21cefuroxime axetil . . . . . . . . . . . . . . . . .10 clindamycin phos-benzoyl perox CONTOUR TEST STRIP . . . . . . . . . . .21celecoxib oral . . . . . . . . . . . . . . . . . . . . .9 external gel 1.2-5 % . . . . . . . . . . . . . . .19CONZIP . . . . . . . . . . . . . . . . . . . . . . . . . .8CENTANY . . . . . . . . . . . . . . . . . . . . . . .10COREG . . . . . . . . . . . . . . . . . . . . . . . . . 15

37

coremino . . . . . . . . . . . . . . . . . . . . . . . .10 DEPO-PROVERA dicyclomine hcl oral . . . . . . . . . . . . . . .25INTRAMUSCULAR SUSPENSION CORGARD . . . . . . . . . . . . . . . . . . . . . .15 DIFICID . . . . . . . . . . . . . . . . . . . . . . . . .10150 MG/ML. . . . . . . . . . . . . . . . . . . . . .26

CORLANOR . . . . . . . . . . . . . . . . . . . . .15 DIFLUCAN ORAL SUSPENSION DEPO-PROVERA RECONSTITUTED . . . . . . . . . . . . . . . .12CORTEF . . . . . . . . . . . . . . . . . . . . . . . .28 INTRAMUSCULAR SUSPENSION

DIFLUCAN ORAL TABLET 100 MG, CORTIFOAM. . . . . . . . . . . . . . . . . . . . .31 PREFILLED SYRINGE . . . . . . . . . . . . .26150 MG, 200 MG . . . . . . . . . . . . . . . . . 12

COSENTYX (300 MG DOSE) . . . . . . .30 DEPO-SUBQ PROVERA 104. . . . . . . .26DIFLUCAN ORAL TABLET 50 MG . . . 12

COSENTYX 150 MG/ML . . . . . . . . . . .30 DEPO-TESTOSTERONE DILAUDID ORAL . . . . . . . . . . . . . . . . . .8INTRAMUSCULAR SOLUTION COSENTYX SENSOREADY dilt-xr . . . . . . . . . . . . . . . . . . . . . . . . . . .15100 MG/ML. . . . . . . . . . . . . . . . . . . . . .29(300 MG) . . . . . . . . . . . . . . . . . . . . . . . .30diltiazem hcl er coated beads . . . . . . .15DEPO-TESTOSTERONE COSENTYX SENSOREADY PEN . . . .30

INTRAMUSCULAR SOLUTION diltiazem hcl er oral capsule COSOPT . . . . . . . . . . . . . . . . . . . . . . . .32 200 MG/ML. . . . . . . . . . . . . . . . . . . . . .29 extended release 12 hour . . . . . . . . . .15COUMADIN. . . . . . . . . . . . . . . . . . . . . . 11 DERMA-SMOOTHE/FS BODY . . . . . .19 diltiazem hcl oral. . . . . . . . . . . . . . . . . .15CREON . . . . . . . . . . . . . . . . . . . . . . . . .25 DERMA-SMOOTHE/FS SCALP . . . . .19 dimethyl fumarate. . . . . . . . . . . . . . . . .18CRESEMBA ORAL. . . . . . . . . . . . . . . .12 DESCOVY . . . . . . . . . . . . . . . . . . . . . . .14 DIPENTUM . . . . . . . . . . . . . . . . . . . . . .31CRINONE VAGINAL GEL 4 % . . . . . . .30 desmopressin acetate injection . . . . .29 diphenoxylate-atropine . . . . . . . . . . . .25CRINONE VAGINAL GEL 8 % . . . . . . .30 desmopressin acetate oral . . . . . . . . .29 DIPROLENE . . . . . . . . . . . . . . . . . . . . .19cryselle-28. . . . . . . . . . . . . . . . . . . . . . .26 desogestrel-ethinyl estradiol . . . . . . . .26 DIPROLENE AF . . . . . . . . . . . . . . . . . .19CUPRIMINE . . . . . . . . . . . . . . . . . . . . .25 DESONATE . . . . . . . . . . . . . . . . . . . . . .19 DITROPAN XL. . . . . . . . . . . . . . . . . . . .25cyclafem 1/35 . . . . . . . . . . . . . . . . . . . .26 desonide external. . . . . . . . . . . . . . . . .19 divalproex sodium er . . . . . . . . . . . . . . 11cyclobenzaprine hcl er. . . . . . . . . . . . .34 DESOWEN. . . . . . . . . . . . . . . . . . . . . . .19 divalproex sodium oral. . . . . . . . . . . . . 11cyclobenzaprine hcl oral 7.5 mg . . . . .34 desvenlafaxine succinate er . . . . . . . .12 DIVIGEL TRANSDERMAL GEL cyclobenzaprine hcl oral tablet 0.25 MG/0.25GM, 0.5 MG/0.5GM, dexamethasone intensol . . . . . . . . . . .2810 mg, 5 mg . . . . . . . . . . . . . . . . . . . . .34 0.75 MG/0.75GM, 1 MG/GM . . . . . . . .26dexamethasone oral. . . . . . . . . . . . . . .28cyclosporine modified . . . . . . . . . . . . .30 donepezil hcl oral tablet 10 mg, DEXCOM G4 / G5 / G6 RECEIVER, cyproheptadine hcl oral . . . . . . . . . . . .32 5 mg. . . . . . . . . . . . . . . . . . . . . . . . . . . . 11TRANSMITTER, SENSOR cyred . . . . . . . . . . . . . . . . . . . . . . . . . . .26 donepezil hcl oral tablet 23 mg. . . . . . 11(INCLUDING PLATINUM,

PLATINUM PEDIATRIC). . . . . . . . . . . .21cyred eq. . . . . . . . . . . . . . . . . . . . . . . . .26 donepezil hcl oral tablet dispersible. . 11DEXCOM G4 / G5 / G6 RECEIVER, CYTOTEC . . . . . . . . . . . . . . . . . . . . . . .24 DORYX MPC. . . . . . . . . . . . . . . . . . . . .10TRANSMITTER, SENSOR

dorzolamide hcl-timolol mal . . . . . . . .32(INCLUDING PLATINUM, Ddorzolamide hcl-timolol mal pf . . . . . .32PLATINUM PEDIATRIC) DEVICE . . . .21

dalfampridine er . . . . . . . . . . . . . . . . . .18 dotti . . . . . . . . . . . . . . . . . . . . . . . . . . . .26DEXILANT. . . . . . . . . . . . . . . . . . . . . . .24dapsone external gel 5 % . . . . . . . . . .19 DOVATO . . . . . . . . . . . . . . . . . . . . . . . . 14dexmethylphenidate hcl. . . . . . . . . . . . 17dasetta 1/35 . . . . . . . . . . . . . . . . . . . . .26 doxazosin mesylate oral . . . . . . . . . . .16dexmethylphenidate hcl er . . . . . . . . . 17daysee . . . . . . . . . . . . . . . . . . . . . . . . . .26 doxepin hcl oral capsule . . . . . . . . . . .12DEXPAK 10 DAY . . . . . . . . . . . . . . . . . .28DAYVIGO. . . . . . . . . . . . . . . . . . . . . . . .34 doxepin hcl oral concentrate. . . . . . . . 12DEXPAK 13 DAY . . . . . . . . . . . . . . . . . .28DDAVP INJECTION . . . . . . . . . . . . . . .29 doxycycline hyclate oral capsule . . . .10DEXPAK 6 DAY . . . . . . . . . . . . . . . . . . .28DDAVP ORAL . . . . . . . . . . . . . . . . . . . .29 doxycycline hyclate oral tablet dextroamphetamine sulfate. . . . . . . . . 17deblitane . . . . . . . . . . . . . . . . . . . . . . . .26 100 mg, 20 mg . . . . . . . . . . . . . . . . . . .10dextroamphetamine sulfate er . . . . . . 17DECADRON . . . . . . . . . . . . . . . . . . . . .28 doxycycline hyclate oral tablet diazepam intensol . . . . . . . . . . . . . . . .15

150 mg, 50 mg, 75 mg . . . . . . . . . . . . .10delyla . . . . . . . . . . . . . . . . . . . . . . . . . . .26diazepam oral . . . . . . . . . . . . . . . . . . . .15

doxycycline hyclate oral tablet denta 5000 plus . . . . . . . . . . . . . . . . . .18diclofenac potassium. . . . . . . . . . . . . . .9 delayed release. . . . . . . . . . . . . . . . . . .10dentagel. . . . . . . . . . . . . . . . . . . . . . . . .18diclofenac sodium er . . . . . . . . . . . . . . .9 doxycycline monohydrate oral DEPAKOTE . . . . . . . . . . . . . . . . . . . . . . 11 capsule 100 mg, 50 mg . . . . . . . . . . . .10diclofenac sodium oral. . . . . . . . . . . . . .9

DEPAKOTE ER . . . . . . . . . . . . . . . . . . . 11 doxycycline monohydrate oral diclofenac sodium transdermal gel DEPAKOTE SPRINKLES . . . . . . . . . . . 11 capsule 150 mg, 75 mg . . . . . . . . . . . .101 % . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9DEPEN TITRATABS . . . . . . . . . . . . . . .25 doxycycline monohydrate oral diclofenac sodium transdermal

suspension reconstituted . . . . . . . . . .10solution . . . . . . . . . . . . . . . . . . . . . . . . . .9

38

doxycycline monohydrate oral ENDOMETRIN . . . . . . . . . . . . . . . . . . .30 Ftablet . . . . . . . . . . . . . . . . . . . . . . . . . . .10 enoxaparin sodium. . . . . . . . . . . . . . . . 11 falmina . . . . . . . . . . . . . . . . . . . . . . . . . .27doxylamine-pyridoxine. . . . . . . . . . . . .12 enskyce . . . . . . . . . . . . . . . . . . . . . . . . .26 FARXIGA . . . . . . . . . . . . . . . . . . . . . . . .23DRISDOL. . . . . . . . . . . . . . . . . . . . . . . .24 ENSTILAR . . . . . . . . . . . . . . . . . . . . . . .19 FASENRA PEN . . . . . . . . . . . . . . . . . . .33DRIZALMA SPRINKLE. . . . . . . . . . . . .12 entecavir . . . . . . . . . . . . . . . . . . . . . . . . 14 fayosim . . . . . . . . . . . . . . . . . . . . . . . . .27drospiren-eth estrad-levomefol . . . . . .26 ENVARSUS XR . . . . . . . . . . . . . . . . . . .30 febuxostat . . . . . . . . . . . . . . . . . . . . . . .13drospirenone-ethinyl estradiol . . . . . .26 EPANED. . . . . . . . . . . . . . . . . . . . . . . . .16 femynor . . . . . . . . . . . . . . . . . . . . . .27, 28DUAVEE. . . . . . . . . . . . . . . . . . . . . . . . .26 EPCLUSA . . . . . . . . . . . . . . . . . . . . . . . 14 fenofibrate oral capsule 150 mg, duloxetine hcl oral capsule delayed 50 mg. . . . . . . . . . . . . . . . . . . . . . . . . . .16epinephrine solution auto-injector release particles 20 mg, 30 mg, 0.15 mg/0.3ml injection . . . . . . . . . . . .32 fenofibrate oral tablet 120 mg, 60 mg. . . . . . . . . . . . . . . . . . . . . . . . . . . 12 40 mg, 48 mg . . . . . . . . . . . . . . . . . . . .16epinephrine solution auto-injector duloxetine hcl oral capsule delayed 0.3 mg/0.3ml injection . . . . . . . . . . . . .32 fenofibrate oral tablet 160 mg, release particles 40 mg . . . . . . . . . . . . 12 145 mg, 54 mg . . . . . . . . . . . . . . . . . . .16EpiPen . . . . . . . . . . . . . . . . . . . . . . . . . .32DUOPA . . . . . . . . . . . . . . . . . . . . . . . . .14 fentanyl transdermal patch 72 hour EpiPen Jr . . . . . . . . . . . . . . . . . . . . . . . .32DUPIXENT. . . . . . . . . . . . . . . . . . . . . . .19 100 mcg/hr, 12 mcg/hr, 25 mcg/hr, epitol . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 50 mcg/hr, 75 mcg/hr . . . . . . . . . . . . . .8DUROLANE . . . . . . . . . . . . . . . . . . . . . .8

ERGOCAL . . . . . . . . . . . . . . . . . . . . . . .24 fentanyl transdermal patch 72 hour DXEVO 11-DAY . . . . . . . . . . . . . . . . . . .29ergocalciferol oral capsule . . . . . . . . .24 37.5 mcg/hr, 62.5 mcg/hr, DYAZIDE . . . . . . . . . . . . . . . . . . . . . . . .16

87.5 mcg/hr . . . . . . . . . . . . . . . . . . . . . . .8ERLEADA . . . . . . . . . . . . . . . . . . . . . . .13FEXMID . . . . . . . . . . . . . . . . . . . . . . . . .34errin . . . . . . . . . . . . . . . . . . . . . . . . . . . .26EFINACEA . . . . . . . . . . . . . . . . . . . . . . . .20erythromycin ophthalmic. . . . . . . . . . .31EASIVENT . . . . . . . . . . . . . . . . . . . . . . .33finasteride oral tablet 5 mg . . . . . . . . .26escitalopram oxalate . . . . . . . . . . . . . .12EASYPLUS BLOOD GLUCOSE FIORICET . . . . . . . . . . . . . . . . . . . . . . . .8TEST . . . . . . . . . . . . . . . . . . . . . . . . . . .21 ESGIC . . . . . . . . . . . . . . . . . . . . . . . . . . .8FIRAZYR . . . . . . . . . . . . . . . . . . . . . . . .30EC-NAPROSYN . . . . . . . . . . . . . . . . . . .9 estarylla . . . . . . . . . . . . . . . . . . . . . . . . .26FLAGYL . . . . . . . . . . . . . . . . . . . . . . . . .10ec-naproxen . . . . . . . . . . . . . . . . . . . . . .9 ESTRACE ORAL. . . . . . . . . . . . . . . . . .26FLAREX. . . . . . . . . . . . . . . . . . . . . . . . .31ed-spaz . . . . . . . . . . . . . . . . . . . . . . . . .25 estradiol oral . . . . . . . . . . . . . . . . . . . . .26flecainide acetate . . . . . . . . . . . . . . . . .16EDARBI . . . . . . . . . . . . . . . . . . . . . . . . .16 estradiol patch twice weekly

transdermal . . . . . . . . . . . . . . . . . . .26, 27 FLOLIPID . . . . . . . . . . . . . . . . . . . . . . . .16EDARBYCLOR . . . . . . . . . . . . . . . . . . .16estradiol transdermal patch weekly . .27 FLORIVA PLUS . . . . . . . . . . . . . . . . . . .24EDLUAR . . . . . . . . . . . . . . . . . . . . . . . .34estradiol vaginal cream . . . . . . . . . . . .27 FLOVENT DISKUS . . . . . . . . . . . . . . . .33EFUDEX. . . . . . . . . . . . . . . . . . . . . . . . .19estradiol vaginal tablet . . . . . . . . . . . . .27 FLOVENT HFA . . . . . . . . . . . . . . . . . . .33ELESTRIN . . . . . . . . . . . . . . . . . . . . . . .26ESTRING . . . . . . . . . . . . . . . . . . . . . . . .27 fluconazole oral . . . . . . . . . . . . . . . . . . 12eletriptan hydrobromide . . . . . . . . . . .13ESTROGEL . . . . . . . . . . . . . . . . . . . . . .27 fluocinolone acetonide body. . . . . . . .20ELIMITE . . . . . . . . . . . . . . . . . . . . . . . . .13eszopiclone. . . . . . . . . . . . . . . . . . . . . .34 fluocinolone acetonide external . . . . .20elinest . . . . . . . . . . . . . . . . . . . . . . . . . .26etodolac. . . . . . . . . . . . . . . . . . . . . . . . . .9 fluocinolone acetonide scalp . . . . . . .20ELIQUIS. . . . . . . . . . . . . . . . . . . . . . . . . 11etodolac er . . . . . . . . . . . . . . . . . . . . . . .9 fluocinonide external cream 0.05 % . .20ELIQUIS DVT/PE STARTER PACK . . . 11etonogestrel-ethinyl estradiol . . . . . . .27 fluocinonide external cream 0.1 % . . .20ELOCTATE. . . . . . . . . . . . . . . . . . . . . . .24EUCRISA . . . . . . . . . . . . . . . . . . . . . . . .19 fluocinonide external gel . . . . . . . . . . .20eluryng. . . . . . . . . . . . . . . . . . . . . . . . . .26euthyrox. . . . . . . . . . . . . . . . . . . . . . . . .29 fluocinonide external ointment . . . . . .20EMGALITY . . . . . . . . . . . . . . . . . . . . . .13EVAMIST . . . . . . . . . . . . . . . . . . . . . . . .27 fluocinonide external solution . . . . . . .20EMGALITY (300 MG DOSE) . . . . . . . .13EVOCLIN . . . . . . . . . . . . . . . . . . . . . . . .19 fluoridex. . . . . . . . . . . . . . . . . . . . . . . . .18emoquette . . . . . . . . . . . . . . . . . . . . . . .26EVZIO . . . . . . . . . . . . . . . . . . . . . . . . . . .9 fluoridex enhanced whitening . . . . . . .18emtricitabine-tenofovir df. . . . . . . . . . .14EXTAVIA . . . . . . . . . . . . . . . . . . . . . . . .18 FLUOROPLEX. . . . . . . . . . . . . . . . . . . .20enalapril maleate oral. . . . . . . . . . . . . .16EXTINA . . . . . . . . . . . . . . . . . . . . . . . . .12 FLUOROURACIL EXTERNAL ENBREL. . . . . . . . . . . . . . . . . . . . . . . . .30

CREAM 0.5 % . . . . . . . . . . . . . . . . . . . .20EZALLOR SPRINKLE. . . . . . . . . . . . . .16ENBREL MINI . . . . . . . . . . . . . . . . . . . .30fluorouracil external cream 5 % . . . . .20ezetimibe . . . . . . . . . . . . . . . . . . . . . . . .16ENBREL SURECLICK . . . . . . . . . . . . .30fluorouracil external solution . . . . . . . .20ezetimibe-simvastatin. . . . . . . . . . . . . .16ENDARI . . . . . . . . . . . . . . . . . . . . . . . . .25fluoxetine hcl oral capsule. . . . . . . . . . 12endocet . . . . . . . . . . . . . . . . . . . . . . . . . .8

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fluoxetine hcl oral capsule delayed glatiramer acetate. . . . . . . . . . . . . . . . .18 HUMALOG U-100 JUNIOR release . . . . . . . . . . . . . . . . . . . . . . . . . .12 KWIKPEN . . . . . . . . . . . . . . . . . . . . . . .22glatopa. . . . . . . . . . . . . . . . . . . . . . . . . .18fluoxetine hcl oral solution. . . . . . . . . .12 HUMATROPE . . . . . . . . . . . . . . . . . . . .29glimepiride . . . . . . . . . . . . . . . . . . . . . .23fluoxetine hcl oral tablet 10 mg . . . . . .12 HUMIRA . . . . . . . . . . . . . . . . . . . . . . . .30glipizide er . . . . . . . . . . . . . . . . . . . . . . .23fluoxetine hcl oral tablet 20 mg. . . . . .12 HUMIRA PEDIATRIC CROHNS glipizide ir . . . . . . . . . . . . . . . . . . . . . . .23

START . . . . . . . . . . . . . . . . . . . . . . . . . .30fluoxetine hcl oral tablet 60 mg. . . . . .12 glipizide xl . . . . . . . . . . . . . . . . . . . . . . .23HUMIRA PEN . . . . . . . . . . . . . . . . . . . .30fluticasone propionate nasal . . . . . . . .32 GLOPERBA. . . . . . . . . . . . . . . . . . . . . .13HUMIRA PEN-CD/UC/HS fluticasone-salmeterol inhalation GLUCAGON EMERGENCY KIT STARTER. . . . . . . . . . . . . . . . . . . . . . . .30aerosol powder breath activated INJECTION KIT. . . . . . . . . . . . . . . . . . .23

100-50 mcg/dose, 250-50 mcg/ HUMIRA PEN-PS/UV/ADOL HS GLUCOTROL . . . . . . . . . . . . . . . . . . . .23dose, 500-50 mcg/dose . . . . . . . . . . .33 START . . . . . . . . . . . . . . . . . . . . . . . . . .30GLUCOTROL XL. . . . . . . . . . . . . . . . . .23FLUTICASONE-SALMETEROL HUMULIN 70/30 KWIKPEN. . . . . . . . .22GLUCOVANCE ORAL TABLET INHALATION AEROSOL POWDER HUMULIN 70/30 VIAL . . . . . . . . . . . . .225-500 MG . . . . . . . . . . . . . . . . . . . . . . .23BREATH ACTIVATED 113-14 MCG/

HUMULIN N KWIKPEN . . . . . . . . . . . .22ACT, 232-14 MCG/ACT, glyburide oral . . . . . . . . . . . . . . . . . . . .23HUMULIN N VIAL . . . . . . . . . . . . . . . . .2255-14 MCG/ACT . . . . . . . . . . . . . . . . . .33

glyburide-metformin. . . . . . . . . . . . . . .23HUMULIN R U-500 KWIKPEN. . . . . . .22fluvoxamine maleate . . . . . . . . . . . . . .12

GLYXAMBI . . . . . . . . . . . . . . . . . . . . . .23HUMULIN R U-500 VIAL fluvoxamine maleate er . . . . . . . . . . . .12

GOLYTELY ORAL SOLUTION (CONCENTRATED) . . . . . . . . . . . . . . .22FOCALIN . . . . . . . . . . . . . . . . . . . . . . . . 17 RECONSTITUTED 227.1 GM. . . . . . . .25HUMULIN R VIAL . . . . . . . . . . . . . . . . .22folic acid oral tablet 1 mg . . . . . . . . . .24 GOLYTELY ORAL SOLUTION hydralazine hcl oral . . . . . . . . . . . . . . .16RECONSTITUTED 236 GM . . . . . . . . .25FOLLISTIM AQ . . . . . . . . . . . . . . . . . . .30hydrochlorothiazide oral . . . . . . . . . . .16GONITRO . . . . . . . . . . . . . . . . . . . . . . .16FORFIVO XL . . . . . . . . . . . . . . . . . . . . . 12hydrocodone polst-cpm polst er. . . . .32guanfacine hcl . . . . . . . . . . . . . . . .16, 17FORTEO . . . . . . . . . . . . . . . . . . . . . . . .31hydrocodone-acetaminophen oral guanfacine hcl er . . . . . . . . . . . . . . . . . 17FOSAMAX. . . . . . . . . . . . . . . . . . . . . . .31solution 10-325 mg/15ml,

GUARDIAN CONNECT FREESTYLE LIBRE 14 DAY 7.5-325 mg/15ml. . . . . . . . . . . . . . . . . . .8TRANSMITTER. . . . . . . . . . . . . . . . . . .21READER . . . . . . . . . . . . . . . . . . . . . . . .21

hydrocodone-acetaminophen oral GUARDIAN LINK 3 TRANSMITTER . .21FREESTYLE LIBRE 14 DAY tablet 10-300 mg, 5-300 mg,

SENSOR . . . . . . . . . . . . . . . . . . . . . . . .21 GUARDIAN SENSOR (3) . . . . . . . . . . .21 7.5-300 mg . . . . . . . . . . . . . . . . . . . . . . .8FREESTYLE LIBRE READER . . . . . . .21 GVOKE HYPOPEN, PFS . . . . . . . . . . .23 hydrocodone-acetaminophen oral FREESTYLE LIBRE SENSOR tablet 10-325 mg, 5-325 mg, GYNAZOLE-1 . . . . . . . . . . . . . . . . . . . . 12SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . .21 7.5-325 mg . . . . . . . . . . . . . . . . . . . . . . .8FREESTYLE PRECISION NEO H hydrocort-pramoxine (perianal). . . . . .31TEST . . . . . . . . . . . . . . . . . . . . . . . . . . .21 hydrocortisone ace-pramoxine HAEGARDA . . . . . . . . . . . . . . . . . . . . .30furosemide oral. . . . . . . . . . . . . . . . . . .16 external cream 1-1 % . . . . . . . . . . . . . .31hailey 1.5/30 . . . . . . . . . . . . . . . . . . . . .27

hydrocortisone external cream 1 % . .20hailey 24 fe . . . . . . . . . . . . . . . . . . . . . .27Ghydrocortisone external cream HALCION. . . . . . . . . . . . . . . . . . . . . . . .15gabapentin oral. . . . . . . . . . . . . . . . . . . 11 2.5 % . . . . . . . . . . . . . . . . . . . . . . . . . . .20

HARVONI. . . . . . . . . . . . . . . . . . . . . . . .14ganirelix acetate solution hydrocortisone external lotion heather . . . . . . . . . . . . . . . . . . . . . . . . .27prefilled syringe 250 mcg/0.5ml 2.5 % . . . . . . . . . . . . . . . . . . . . . . . . . . .20

subcutaneous . . . . . . . . . . . . . . . . . . . .30 HEMANGEOL . . . . . . . . . . . . . . . . . . . .16 hydrocortisone external ointment gavilyte-c . . . . . . . . . . . . . . . . . . . . . . . .25 1 %, 2.5 % . . . . . . . . . . . . . . . . . . . . . . .20HIDEX 6-DAY. . . . . . . . . . . . . . . . . . . . .29gavilyte-g . . . . . . . . . . . . . . . . . . . . . . . .25 hydrocortisone oral . . . . . . . . . . . . . . .29HUMALOG KWIKPEN . . . . . . . . . . . . .22GELNIQUE . . . . . . . . . . . . . . . . . . . . . .25 hydromorphone hcl er . . . . . . . . . . . . . .8HUMALOG MIX 50/50 KWIKPEN . . . .22gemfibrozil oral . . . . . . . . . . . . . . . . . . .16 hydromorphone hcl oral . . . . . . . . . . . .8HUMALOG MIX 50/50 VIAL . . . . . . . .22gengraf . . . . . . . . . . . . . . . . . . . . . . . . .30 hydromorphone hcl rectal . . . . . . . . . . .8HUMALOG MIX 75/25 KWIKPEN . . . .22GENOTROPIN. . . . . . . . . . . . . . . . . . . .29 hydroxychloroquine sulfate oral . . . . .13HUMALOG MIX 75/25 VIAL. . . . . . . . .22GENOTROPIN MINIQUICK . . . . . . . . .29 hydroxyzine hcl oral . . . . . . . . . . . . . . .15HUMALOG SUBCUTANEOUS

SOLUTION . . . . . . . . . . . . . . . . . . . . . .22GENVOYA . . . . . . . . . . . . . . . . . . . . . . .14 hydroxyzine pamoate oral . . . . . . . . . .15HUMALOG SUBCUTANEOUS gianvi . . . . . . . . . . . . . . . . . . . . . . . . . . .27 hyoscyamine sulfate er . . . . . . . . . . . .25SOLUTION CARTRIDGE . . . . . . . . . . .22GILENYA . . . . . . . . . . . . . . . . . . . . . . . . 18 hyoscyamine sulfate oral . . . . . . . . . . .25

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hyoscyamine sulfate sl . . . . . . . . . . . . .25 isosorbide mononitrate er . . . . . . . . . .16 klor-con sprinkle . . . . . . . . . . . . . . . . . .24hyoscyamine sulfate sublingual . . . . .25 isotretinoin oral . . . . . . . . . . . . . . . . . . .20 KOGENATE FS . . . . . . . . . . . . . . . . . . .24hyosyne . . . . . . . . . . . . . . . . . . . . . . . . .25 ISTALOL . . . . . . . . . . . . . . . . . . . . . . . .32 KOMBIGLYZE XR . . . . . . . . . . . . . . . . .23HYSINGLA ER . . . . . . . . . . . . . . . . . . . .8 KOSELUGO. . . . . . . . . . . . . . . . . . . . . .13

JHYZAAR . . . . . . . . . . . . . . . . . . . . . . . .16 KOVALTRY . . . . . . . . . . . . . . . . . . . . . .24

jantoven . . . . . . . . . . . . . . . . . . . . . . . . . 11 KRINTAFEL . . . . . . . . . . . . . . . . . . . . . .13I JANUVIA . . . . . . . . . . . . . . . . . . . . . . . .23 kurvelo . . . . . . . . . . . . . . . . . . . . . . . . . .27

ibandronate sodium oral . . . . . . . . . . .31 JARDIANCE . . . . . . . . . . . . . . . . . . . . .23 KYNMOBI . . . . . . . . . . . . . . . . . . . . . . . 14IBRANCE ORAL CAPSULE. . . . . . . . .13 jasmiel . . . . . . . . . . . . . . . . . . . . . . . . . .27

Libu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 jencycla . . . . . . . . . . . . . . . . . . . . . . . . .27ibuprofen oral suspension. . . . . . . . . . .9 JENTADUETO. . . . . . . . . . . . . . . . . . . .23 labetalol hcl oral . . . . . . . . . . . . . . . . . .16ibuprofen oral tablet 400 mg, JENTADUETO XR. . . . . . . . . . . . . . . . .23 LAMICTAL. . . . . . . . . . . . . . . . . . . . . . . 11600 mg, 800 mg . . . . . . . . . . . . . . . . . . .9 JIVI . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 LAMICTAL ODT ORAL KIT . . . . . . . . . 11icatibant acetate . . . . . . . . . . . . . . . . . .30 jolessa . . . . . . . . . . . . . . . . . . . . . . . . . .27 LAMICTAL ODT ORAL TABLET icosapent ethyl . . . . . . . . . . . . . . . . . . .16 DISPERSIBLE . . . . . . . . . . . . . . . . . . . . 11JORNAY PM . . . . . . . . . . . . . . . . . . . . . 17IDHIFA . . . . . . . . . . . . . . . . . . . . . . . . . .13 LAMICTAL STARTER. . . . . . . . . . . . . . 11juleber . . . . . . . . . . . . . . . . . . . . . . . . . .27ILEVRO . . . . . . . . . . . . . . . . . . . . . . . . . 31 LAMICTAL XR. . . . . . . . . . . . . . . . . . . . 11JULUCA. . . . . . . . . . . . . . . . . . . . . . . . .14imatinib mesylate . . . . . . . . . . . . . . . . . 13 lamotrigine er . . . . . . . . . . . . . . . . . . . . 11junel 1/20. . . . . . . . . . . . . . . . . . . . . . . .27imiquimod external. . . . . . . . . . . . . . . .20 lamotrigine oral tablet . . . . . . . . . . . . . 11junel 1.5/30 . . . . . . . . . . . . . . . . . . . . . .27IMIQUIMOD PUMP. . . . . . . . . . . . . . . .20 lamotrigine oral tablet chewable. . . . . 11junel fe 1/20 . . . . . . . . . . . . . . . . . . . . .27IMPOYZ . . . . . . . . . . . . . . . . . . . . . . . . .20 lamotrigine oral tablet dispersible . . . 11junel fe 1.5/30 . . . . . . . . . . . . . . . . . . . .27IMVEXXY MAINTENANCE PACK . . . .24 lamotrigine starter kit-blue. . . . . . . . . . 11junel fe 24 . . . . . . . . . . . . . . . . . . . . . . .27IMVEXXY STARTER PACK . . . . . . . . .24 lamotrigine starter kit-green . . . . . . . . 11

KINBRIJA . . . . . . . . . . . . . . . . . . . . . . . . .14 lamotrigine starter kit-orange . . . . . . . 11K-TAB . . . . . . . . . . . . . . . . . . . . . . . . . . .24incassia . . . . . . . . . . . . . . . . . . . . . . . . .27 LANCETS . . . . . . . . . . . . . . . . . . . . . . .21KADIAN ORAL CAPSULE INCRUSE ELLIPTA . . . . . . . . . . . . . . . .33 LANTUS SOLOSTAR . . . . . . . . . . . . . .22EXTENDED RELEASE 24 HOUR INDOCIN . . . . . . . . . . . . . . . . . . . . . . . . .9 LANTUS U-100 VIAL . . . . . . . . . . . . . .22200 MG . . . . . . . . . . . . . . . . . . . . . . . . . .8

indomethacin er . . . . . . . . . . . . . . . . . . .9 larin 1/20 . . . . . . . . . . . . . . . . . . . . . . . .27kalliga. . . . . . . . . . . . . . . . . . . . . . . . . . .27

indomethacin oral capsule 25 mg, larin 1.5/30 . . . . . . . . . . . . . . . . . . . . . .27KAPSPARGO SPRINKLE. . . . . . . . . . .1650 mg. . . . . . . . . . . . . . . . . . . . . . . . . . . .9 larin 24 fe. . . . . . . . . . . . . . . . . . . . . . . .27kariva . . . . . . . . . . . . . . . . . . . . . . . . . . .27INSULIN ASPART. . . . . . . . . . . . . . . . .22 larin fe 1/20 . . . . . . . . . . . . . . . . . . . . . .27KAZANO . . . . . . . . . . . . . . . . . . . . . . . .23INSULIN ASPART FLEXPEN . . . . . . . .22 larin fe 1.5/30 . . . . . . . . . . . . . . . . . . . .27KEFLEX . . . . . . . . . . . . . . . . . . . . . . . . .10INSULIN ASPART PENFILL. . . . . . . . .22 larissia . . . . . . . . . . . . . . . . . . . . . . . . . .27KEPPRA ORAL . . . . . . . . . . . . . . . . . . . 11INSULIN LISPRO . . . . . . . . . . . . . . . . .22 LASIX. . . . . . . . . . . . . . . . . . . . . . . . . . .16KEPPRA XR . . . . . . . . . . . . . . . . . . . . . 11INSULIN LISPRO (1 UNIT DIAL) . . . . .22 LASTACAFT . . . . . . . . . . . . . . . . . . . . .31KESIMPTA. . . . . . . . . . . . . . . . . . . . . . .18INSULIN SYRINGES. . . . . . . . . . . . . . .21 latanoprost ophthalmic . . . . . . . . . . . .32ketoconazole external cream . . . . . . . 12INTRAROSA . . . . . . . . . . . . . . . . . . . . .24 LATUDA. . . . . . . . . . . . . . . . . . . . . . . . . 14ketoconazole external foam . . . . . . . . 13introvale . . . . . . . . . . . . . . . . . . . . . . . . .27 LEDIP-SOFOSB ORAL TABLET ketoconazole external shampoo. . . . .13INVELTYS . . . . . . . . . . . . . . . . . . . . . . .31 90-400MG. . . . . . . . . . . . . . . . . . . . . . . 14ketodan external foam . . . . . . . . . . . . . 13ipratropium bromide nasal . . . . . . . . .32 LEDIPASVIR-SOFOSBUVIR . . . . . . . . 14ketorolac tromethamine ophthalmic. .31ipratropium-albuterol . . . . . . . . . . . . . .33 lessina . . . . . . . . . . . . . . . . . . . . . . . . . .27ketorolac tromethamine oral . . . . . . . . .9irbesartan . . . . . . . . . . . . . . . . . . . . . . .16 letrozole oral . . . . . . . . . . . . . . . . . . . . .13KITABIS PAK. . . . . . . . . . . . . . . . . . . . .34irbesartan-hydrochlorothiazide. . . . . .16 LEVALBUTEROL HFA INHALATION klor-con . . . . . . . . . . . . . . . . . . . . . . . . .24 AEROSOL 45 MCG/ACT . . . . . . . . . . .33ISENTRESS. . . . . . . . . . . . . . . . . . . . . . 14klor-con 10 . . . . . . . . . . . . . . . . . . . . . .24 LEVAQUIN ORAL TABLET 500 MG, ISENTRESS HD . . . . . . . . . . . . . . . . . .14

750 MG . . . . . . . . . . . . . . . . . . . . . . . . .10klor-con m10 . . . . . . . . . . . . . . . . . . . . .24isibloom. . . . . . . . . . . . . . . . . . . . . . . . .27LEVBID . . . . . . . . . . . . . . . . . . . . . . . . .25KLOR-CON M15 . . . . . . . . . . . . . . . . . .24isosorbide mononitrate . . . . . . . . . . . .16LEVEMIR U-100 FLEXTOUCH. . . . . . .22klor-con m20 . . . . . . . . . . . . . . . . . . . . .24

41

LEVEMIR U-100 VIAL . . . . . . . . . . . . . .22 lorcet plus . . . . . . . . . . . . . . . . . . . . . . . .8 MEDROL ORAL TABLET 32 MG . . . .29levetiracetam er . . . . . . . . . . . . . . . . . . 11 LORTAB. . . . . . . . . . . . . . . . . . . . . . . . . .8 MEDROL ORAL TABLET THERAPY

PACK . . . . . . . . . . . . . . . . . . . . . . . . . . .29levetiracetam oral . . . . . . . . . . . . . . . . . 11 loryna. . . . . . . . . . . . . . . . . . . . . . . . . . .27medroxyprogesterone acetate levo-t . . . . . . . . . . . . . . . . . . . . . . . . . . .29 losartan potassium. . . . . . . . . . . . . . . .16intramuscular suspension . . . . . . . . . .27

levocetirizine dihydrochloride oral . . .33 losartan potassium-hctz . . . . . . . . . . .16medroxyprogesterone acetate

levofloxacin oral . . . . . . . . . . . . . . . . . .10 LOSEASONIQUE . . . . . . . . . . . . . . . . .27 intramuscular suspension prefilled levonorgest-eth est & eth est. . . . . . . .27 LOTEMAX OPHTHALMIC GEL . . . . . .31 syringe . . . . . . . . . . . . . . . . . . . . . . . . . .27levonorgest-eth estrad 91-day. . . . . . .27 LOTEMAX OPHTHALMIC medroxyprogesterone acetate oral . .27

OINTMENT . . . . . . . . . . . . . . . . . . . . . .31levonorgestrel-ethinyl estrad oral melodetta 24 fe. . . . . . . . . . . . . . . . . . .27tablet 0.1-20 mg-mcg, 0.15-30 mg- LOTEMAX OPHTHALMIC meloxicam oral . . . . . . . . . . . . . . . . . . . .9mcg . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 SUSPENSION . . . . . . . . . . . . . . . . . . . .31

MENOSTAR . . . . . . . . . . . . . . . . . . . . .27levora 0.15/30 (28) . . . . . . . . . . . . . . . .27 LOTEMAX SM. . . . . . . . . . . . . . . . . . . .31

mercaptopurine oral. . . . . . . . . . . . . . .13levothyroxine sodium oral . . . . . . . . . .29 LOTENSIN. . . . . . . . . . . . . . . . . . . . . . .16

mesalamine er . . . . . . . . . . . . . . . . . . .31levoxyl . . . . . . . . . . . . . . . . . . . . . . . . . .29 LOTENSIN HCT . . . . . . . . . . . . . . . . . .16

mesalamine oral . . . . . . . . . . . . . . . . . .31LEVSIN ORAL. . . . . . . . . . . . . . . . . . . .25 loteprednol etabonate . . . . . . . . . . . . .31

mesalamine rectal enema . . . . . . . . . .31LEVSIN/SL . . . . . . . . . . . . . . . . . . . . . .25 lovastatin . . . . . . . . . . . . . . . . . . . . . . . .16

mesalamine rectal suppository. . . . . .31LIALDA . . . . . . . . . . . . . . . . . . . . . . . . .31 low-ogestrel. . . . . . . . . . . . . . . . . . . . . .27

metadate er . . . . . . . . . . . . . . . . . . . . . . 17lidocaine external ointment . . . . . . . . . .8 LUMIGAN . . . . . . . . . . . . . . . . . . . . . . .32

metaxalone . . . . . . . . . . . . . . . . . . . . . .34lidocaine external patch 5 % . . . . . . . . .8 lutera . . . . . . . . . . . . . . . . . . . . . . . . . . .27

metformin hcl er . . . . . . . . . . . . . . . . . .23lidocaine hcl mouth/throat . . . . . . . . .18 LYNPARZA . . . . . . . . . . . . . . . . . . . . . .13

metformin hcl er (mod) . . . . . . . . . . . .23lidocaine viscous hcl . . . . . . . . . . . . . . 18 LYRICA . . . . . . . . . . . . . . . . . . . . . . . . .18

metformin hcl er (osm) . . . . . . . . . . . . .23lidocaine-prilocaine external cream . . .8 LYRICA CR . . . . . . . . . . . . . . . . . . . . . .18

METFORMIN HCL ORAL lillow . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 LYUMJEV KWIKPEN . . . . . . . . . . . . . .22 SOLUTION . . . . . . . . . . . . . . . . . . . . . .23LINZESS . . . . . . . . . . . . . . . . . . . . . . . .25 LYUMJEV VIAL . . . . . . . . . . . . . . . . . . .22 metformin hcl oral tablet . . . . . . . . . . .23liothyronine sodium oral . . . . . . . . . . .29 lyza. . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 methimazole oral . . . . . . . . . . . . . . . . .29LIPOFEN . . . . . . . . . . . . . . . . . . . . . . . .16 methocarbamol oral . . . . . . . . . . . . . . .34Mlisinopril oral . . . . . . . . . . . . . . . . . . . . .16 methotrexate oral . . . . . . . . . . . . . . . . .30MACROBID. . . . . . . . . . . . . . . . . . . . . .10lisinopril-hydrochlorothiazide . . . . . . .16 methotrexate sodium oral . . . . . . . . . .30MACRODANTIN . . . . . . . . . . . . . . . . . .10lithium carbonate er . . . . . . . . . . . . . . .15 METHYLIN . . . . . . . . . . . . . . . . . . . . . . 17MALARONE . . . . . . . . . . . . . . . . . . . . .13lithium carbonate oral . . . . . . . . . . . . .15 methylphenidate hcl er (cd) . . . . . . . . . 17marlissa . . . . . . . . . . . . . . . . . . . . . . . . .27LITHOBID . . . . . . . . . . . . . . . . . . . . . . .15 methylphenidate hcl er (la) oral matzim la . . . . . . . . . . . . . . . . . . . . . . . .16LO LOESTRIN FE . . . . . . . . . . . . . . . . .27 capsule extended release 24 hour

MAVENCLAD (10 TABS) . . . . . . . . . . .18 10 mg, 20 mg, 30 mg, 40 mg . . . . . . . 17lo-zumandimine . . . . . . . . . . . . . . . . . .27MAVENCLAD (4 TABS) . . . . . . . . . . . .18 methylphenidate hcl er (la) oral LOESTRIN 1/20 (21) . . . . . . . . . . . . . . .27

capsule extended release 24 hour MAVENCLAD (5 TABS) . . . . . . . . . . . .18LOESTRIN 1.5/30 (21) . . . . . . . . . . . . .27 60 mg. . . . . . . . . . . . . . . . . . . . . . . . . . . 17MAVENCLAD (6 TABS) . . . . . . . . . . . .18LOESTRIN FE 1/20. . . . . . . . . . . . . . . .27 methylphenidate hcl er oral tablet MAVENCLAD (7 TABS) . . . . . . . . . . . .18LOESTRIN FE 1.5/30 . . . . . . . . . . . . . .27 extended release 10 mg, 20 mg . . . . . 17MAVENCLAD (8 TABS) . . . . . . . . . . . .18LOKELMA . . . . . . . . . . . . . . . . . . . . . . .24 methylphenidate hcl er oral tablet MAVENCLAD (9 TABS) . . . . . . . . . . . .18 extended release 18 mg, 27 mg, LOMOTIL. . . . . . . . . . . . . . . . . . . . . . . .25

36 mg, 54 mg, 72 mg . . . . . . . . . . . . . . 17MAVYRET . . . . . . . . . . . . . . . . . . . . . . . 14LOPID . . . . . . . . . . . . . . . . . . . . . . . . . .16methylphenidate hcl er oral tablet MAXITROL . . . . . . . . . . . . . . . . . . . . . .31LOPRESSOR. . . . . . . . . . . . . . . . . . . . .16 extended release 24 hour . . . . . . . . . . 17MAXZIDE. . . . . . . . . . . . . . . . . . . . . . . .16lorazepam intensol . . . . . . . . . . . . . . . .15 methylphenidate hcl oral . . . . . . . . . . .17MAXZIDE-25 . . . . . . . . . . . . . . . . . . . . .16lorazepam oral concentrate methylprednisolone oral . . . . . . . . . . .29MAYZENT . . . . . . . . . . . . . . . . . . . . . . .182 mg/ml . . . . . . . . . . . . . . . . . . . . . . . . .15metoclopramide hcl oral solution MAYZENT STARTER PACK. . . . . . . . .18lorazepam oral tablet . . . . . . . . . . . . . .15 5 mg/5ml . . . . . . . . . . . . . . . . . . . . . . . . 12

MEDROL ORAL TABLET 16 MG, lorcet . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 metoclopramide hcl oral tablet . . . . . . 124 MG, 8 MG. . . . . . . . . . . . . . . . . . . . . .29lorcet hd . . . . . . . . . . . . . . . . . . . . . . . . . 8MEDROL ORAL TABLET 2 MG. . . . . .29

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metoclopramide hcl oral tablet montelukast sodium oral . . . . . . . . . . .33 naproxen oral tablet . . . . . . . . . . . . . . . .9dispersible. . . . . . . . . . . . . . . . . . . . . . .12 morgidox oral . . . . . . . . . . . . . . . . . . . .10 naproxen sodium er . . . . . . . . . . . . . . . .9metoprolol succinate er . . . . . . . . . . . .16 MORPHABOND ER . . . . . . . . . . . . . . . .8 naproxen sodium oral tablet metoprolol tartrate oral tablet 275 mg, 550 mg . . . . . . . . . . . . . . . . . . .9morphine sulfate (concentrate) oral 100 mg, 25 mg, 50 mg. . . . . . . . . . . . . 16 solution 100 mg/5ml, 20 mg/ml . . . . . .8 naratriptan hcl. . . . . . . . . . . . . . . . . . . .13metoprolol tartrate oral tablet morphine sulfate er oral capsule NARCAN . . . . . . . . . . . . . . . . . . . . . . . . .937.5 mg, 75 mg . . . . . . . . . . . . . . . . . . .16 extended release 24 hour . . . . . . . . . . .8 NASCOBAL. . . . . . . . . . . . . . . . . . . . . .24METROCREAM . . . . . . . . . . . . . . . . . .20 morphine sulfate er oral tablet NATAZIA . . . . . . . . . . . . . . . . . . . . . . . .27METROLOTION . . . . . . . . . . . . . . . . . .20 extended release . . . . . . . . . . . . . . . . . .8

NATESTO . . . . . . . . . . . . . . . . . . . . . . .29metronidazole external cream . . . . . .20 morphine sulfate oral . . . . . . . . . . . . . . .8

NATURE-THROID . . . . . . . . . . . . . . . . .29metronidazole external gel 0.75 % . . .20 morphine sulfate rectal . . . . . . . . . . . . .8

NAYZILAM . . . . . . . . . . . . . . . . . . . . . . 11metronidazole external gel 1 %. . . . . .20 MOTEGRITY . . . . . . . . . . . . . . . . . . . . .25

necon 0.5/35 (28) . . . . . . . . . . . . . . . . .27metronidazole external lotion . . . . . . .20 MOVIPREP . . . . . . . . . . . . . . . . . . . . . .25

neomycin-polymyxin-dexameth metronidazole oral . . . . . . . . . . . . . . . .10 MOXEZA . . . . . . . . . . . . . . . . . . . . . . . .31 ophthalmic ointment . . . . . . . . . . . . . .31metronidazole vaginal . . . . . . . . . . . . .10 moxifloxacin hcl ophthalmic . . . . . . . .31 neomycin-polymyxin-dexameth mibelas 24 fe. . . . . . . . . . . . . . . . . . . . .27 MS CONTIN . . . . . . . . . . . . . . . . . . . . . .8 ophthalmic suspension

3.5-10000-0.1 . . . . . . . . . . . . . . . . . . . .31microgestin 1/20. . . . . . . . . . . . . . . . . .27 MULPLETA . . . . . . . . . . . . . . . . . . . . . .24neomycin-polymyxin-hc otic . . . . . . . .32microgestin 1.5/30 . . . . . . . . . . . . . . . .27 MULTAQ . . . . . . . . . . . . . . . . . . . . . . . .16NESINA . . . . . . . . . . . . . . . . . . . . . . . . .23microgestin fe 1/20 . . . . . . . . . . . . . . .27 multi-vitamin/fluoride . . . . . . . . . . . . . .24neuac external gel . . . . . . . . . . . . . . . .20microgestin fe 1.5/30 . . . . . . . . . . . . . .27 multivitamin/fluoride oral solution . . .24NEULASTA . . . . . . . . . . . . . . . . . . . . . .24mili . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 multivitamin/fluoride oral tablet

chewable 0.25 mg, 0.5 mg, 1 mg . . . .24 NEURONTIN . . . . . . . . . . . . . . . . . . . . . 11MILLIPRED . . . . . . . . . . . . . . . . . . . . . .29multivitamins/fluoride . . . . . . . . . . . . .24 neutral sodium fluoride . . . . . . . . . . . .18MILLIPRED DP . . . . . . . . . . . . . . . . . . .29mupirocin calcium . . . . . . . . . . . . . . . .10 NEVANAC . . . . . . . . . . . . . . . . . . . . . . .31MILLIPRED DP 12-DAY . . . . . . . . . . . .29mupirocin external . . . . . . . . . . . . . . . .10 NEXLETOL . . . . . . . . . . . . . . . . . . . . . .16MINIPRESS . . . . . . . . . . . . . . . . . . . . . . 16mvc-fluoride . . . . . . . . . . . . . . . . . . . . .24 NEXLIZET . . . . . . . . . . . . . . . . . . . . . . .16minitran . . . . . . . . . . . . . . . . . . . . . . . . .16mycophenolate mofetil. . . . . . . . . . . . .30 niacin (antihyperlipidemic). . . . . . . . . .16Minivelle. . . . . . . . . . . . . . . . . . . . . . . . .26mycophenolate sodium . . . . . . . . . . . .30 niacin er (antihyperlipidemic) . . . . . . .16minocycline hcl er oral tablet

extended release 24 hour 105 mg, MYDAYIS . . . . . . . . . . . . . . . . . . . . . . . . 17 niacor. . . . . . . . . . . . . . . . . . . . . . . . . . .16115 mg, 55 mg, 65 mg, 80 mg. . . . . . .10 myorisan . . . . . . . . . . . . . . . . . . . . . . . .20 NIASPAN . . . . . . . . . . . . . . . . . . . . . . . .16minocycline hcl er oral tablet nifedipine er . . . . . . . . . . . . . . . . . . . . .16extended release 24 hour 135 mg, N

nifedipine er osmotic release . . . . . . .1645 mg, 90 mg . . . . . . . . . . . . . . . . . . . .10 nabumetone oral . . . . . . . . . . . . . . . . . .9 nifedipine oral . . . . . . . . . . . . . . . . . . . .16minocycline hcl oral capsule . . . . . . . .10 nadolol oral . . . . . . . . . . . . . . . . . . . . . .16 nikki . . . . . . . . . . . . . . . . . . . . . . . . . . . .27minocycline hcl oral tablet. . . . . . . . . .10 NAFRINSE DAILY/NEUTRAL . . . . . . .18 nitisinone. . . . . . . . . . . . . . . . . . . . . . . .25MINOLIRA . . . . . . . . . . . . . . . . . . . . . . .10 NAFRINSE WEEKLY. . . . . . . . . . . . . . .18 NITRO-BID . . . . . . . . . . . . . . . . . . . . . .16MIRAPEX. . . . . . . . . . . . . . . . . . . . . . . .14 NALOCET . . . . . . . . . . . . . . . . . . . . . . . .8 NITRO-DUR . . . . . . . . . . . . . . . . . . . . .16MIRCETTE . . . . . . . . . . . . . . . . . . . . . .27 naloxone hcl injection solution . . . . . . .9 nitro-time . . . . . . . . . . . . . . . . . . . . . . . .16mirtazapine oral . . . . . . . . . . . . . . . . . .12 naloxone hcl injection solution nitrofurantoin macrocrystal oral . . . . .10MIRVASO . . . . . . . . . . . . . . . . . . . . . . .20 cartridge . . . . . . . . . . . . . . . . . . . . . . . . .9nitrofurantoin monohydrate misoprostol oral . . . . . . . . . . . . . . . . . .24 naloxone hcl injection solution macrocrystals . . . . . . . . . . . . . . . . . . . .10

prefilled syringe . . . . . . . . . . . . . . . . . . .9MITIGARE . . . . . . . . . . . . . . . . . . . . . . .13nitroglycerin sublingual . . . . . . . . . . . .16

naltrexone hcl oral . . . . . . . . . . . . . . . . .9MOBIC. . . . . . . . . . . . . . . . . . . . . . . . . . . 9nitroglycerin transdermal. . . . . . . . . . .16

NAPRELAN ORAL TABLET modafinil . . . . . . . . . . . . . . . . . . . . . . . .34nitroglycerin translingual . . . . . . . . . . .16EXTENDED RELEASE 24 HOUR mometasone furoate external . . . . . . .20

750 MG . . . . . . . . . . . . . . . . . . . . . . . . . .9 NITROMIST. . . . . . . . . . . . . . . . . . . . . .16mondoxyne nl oral capsule 100 mg . .10

NAPROSYN ORAL SUSPENSION . . . .9 NITROSTAT. . . . . . . . . . . . . . . . . . . . . .16mondoxyne nl oral capsule 75 mg . . .10

naproxen dr. . . . . . . . . . . . . . . . . . . . . . .9 NITYR . . . . . . . . . . . . . . . . . . . . . . . . . .25mono-linyah. . . . . . . . . . . . . . . . . . . . . .27

naproxen oral suspension . . . . . . . . . . .9 NIZORAL . . . . . . . . . . . . . . . . . . . . . . . .13

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NOCDURNA . . . . . . . . . . . . . . . . . . . . .29 np thyroid . . . . . . . . . . . . . . . . . . . . . . .29 ONETOUCH ULTRA 2 KIT W/DEVICE. . . . . . . . . . . . . . . . . . . . . . .22nora-be . . . . . . . . . . . . . . . . . . . . . . . . .27 NUBEQA . . . . . . . . . . . . . . . . . . . . . . . .13ONETOUCH ULTRA BLUE TEST NORDITROPIN FLEXPRO . . . . . . . . . .29 NUCALA SUBCUTANEOUS STRIPS IN VITRO STRIP . . . . . . . . . . .22SOLUTION AUTO-INJECTOR . . . . . . .33norethin ace-eth estrad-fe oral ONETOUCH ULTRA MINI KIT tablet . . . . . . . . . . . . . . . . . . . . . . . . . . .28 NUCALA SUBCUTANEOUS W/DEVICE. . . . . . . . . . . . . . . . . . . . . . .22SOLUTION PREFILLED SYRINGE . . .33norethin ace-eth estrad-fe oral ONETOUCH VERIO FLEX SYSTEM tablet chewable . . . . . . . . . . . . . . . . . .28 NUCYNTA . . . . . . . . . . . . . . . . . . . . . . . .8KIT W/DEVICE . . . . . . . . . . . . . . . . . . .22

norethindrone acet-ethinyl est . . . . . .28 NUCYNTA ER . . . . . . . . . . . . . . . . . . . . .8ONETOUCH VERIO IQ SYSTEM. . . . .22

norethindrone acetate oral . . . . . . . . .28 NUEDEXTA . . . . . . . . . . . . . . . . . . . . . .18ONETOUCH VERIO KIT W/DEVICE . .22

norethindrone oral . . . . . . . . . . . . . . . .28 NULEV. . . . . . . . . . . . . . . . . . . . . . . . . .25ONETOUCH VERIO SYNC SYSTEM

norgestimate-eth estradiol. . . . . . . . . .28 NUTROPIN AQ NUSPIN 10 . . . . . . . . .29 KIT W/DEVICE . . . . . . . . . . . . . . . . . . .22norgestimate-ethinyl estradiol NUTROPIN AQ NUSPIN 20 . . . . . . . . .29 ONETOUCH VERIO TEST STRIPS . . .22triphasic. . . . . . . . . . . . . . . . . . . . . . . . .28 NUTROPIN AQ NUSPIN 5 . . . . . . . . . .29 ONGLYZA . . . . . . . . . . . . . . . . . . . . . . .23NORITATE . . . . . . . . . . . . . . . . . . . . . . .20 NUVARING . . . . . . . . . . . . . . . . . . . . . .28 ONZETRA XSAIL . . . . . . . . . . . . . . . . .13norlyda. . . . . . . . . . . . . . . . . . . . . . . . . .28 NUVESSA . . . . . . . . . . . . . . . . . . . . . . .10 OPSUMIT . . . . . . . . . . . . . . . . . . . . . . .34norlyroc . . . . . . . . . . . . . . . . . . . . . . . . .28 NUWIQ. . . . . . . . . . . . . . . . . . . . . . . . . .24 ORAPRED ODT . . . . . . . . . . . . . . . . . .29nortrel 0.5/35 (28). . . . . . . . . . . . . . . . .28 NUZYRA . . . . . . . . . . . . . . . . . . . . . . . .10 ORENCIA . . . . . . . . . . . . . . . . . . . . . . .30nortrel 1/35 (21) . . . . . . . . . . . . . . . . . .28 nyamyc . . . . . . . . . . . . . . . . . . . . . . . . .13 ORENCIA CLICKJET . . . . . . . . . . . . . .30nortrel 1/35 (28) . . . . . . . . . . . . . . . . . .28 nystatin external . . . . . . . . . . . . . . . . . .13 ORENITRAM. . . . . . . . . . . . . . . . . . . . .34nortriptyline hcl oral . . . . . . . . . . . . . . .12 nystatin mouth/throat. . . . . . . . . . . . . .13 ORFADIN ORAL CAPSULE. . . . . . . . .25NORVIR ORAL PACKET . . . . . . . . . . .14 nystop . . . . . . . . . . . . . . . . . . . . . . . . . .13 ORFADIN ORAL SUSPENSION . . . . .25NORVIR ORAL SOLUTION . . . . . . . . .14

ORIAHNN . . . . . . . . . . . . . . . . . . . . . . .29ONOURIANZ . . . . . . . . . . . . . . . . . . . . . . 14ORILISSA . . . . . . . . . . . . . . . . . . . . . . .29ocella . . . . . . . . . . . . . . . . . . . . . . . . . . .28novarel intramuscular solution orsythia . . . . . . . . . . . . . . . . . . . . . . . . .28reconstituted 10000 unit . . . . . . . . . . .30 octreotide . . . . . . . . . . . . . . . . . . . . . . .29ORTHO MICRONOR . . . . . . . . . . . . . .28NOVAREL INTRAMUSCULAR OCUFLOX . . . . . . . . . . . . . . . . . . . . . . .31

SOLUTION RECONSTITUTED oscimin . . . . . . . . . . . . . . . . . . . . . . . . .25ODEFSEY . . . . . . . . . . . . . . . . . . . . . . . 145000 UNIT . . . . . . . . . . . . . . . . . . . . . . .30 oscimin sr . . . . . . . . . . . . . . . . . . . . . . .25ofloxacin ophthalmic . . . . . . . . . . . . . .32NOVOEIGHT . . . . . . . . . . . . . . . . . . . . .24 oseltamivir phosphate oral capsule . . 14ofloxacin otic. . . . . . . . . . . . . . . . . . . . .32NOVOFINE AUTOCOVER PEN oseltamivir phosphate oral ogestrel . . . . . . . . . . . . . . . . . . . . . . . . .28NEEDLE. . . . . . . . . . . . . . . . . . . . . . . . .21 suspension reconstituted . . . . . . . . . . 14okebo. . . . . . . . . . . . . . . . . . . . . . . . . . .10NOVOFINE PEN NEEDLE . . . . . . . . . .21 OSENI . . . . . . . . . . . . . . . . . . . . . . . . . .23olanzapine oral . . . . . . . . . . . . . . . . . . . 14NOVOFINE PLUS PEN NEEDLE . . . . .21 OSPHENA . . . . . . . . . . . . . . . . . . . . . . .24olmesartan medoxomil oral. . . . . . . . .16NOVOLIN 70/30 FLEXPEN . . . . . . . . .22 OTEZLA. . . . . . . . . . . . . . . . . . . . . . . . .30olmesartan medoxomil-hctz . . . . . . . .16NOVOLIN 70/30 FLEXPEN RELION . .22 OTREXUP . . . . . . . . . . . . . . . . . . . . . . .30olopatadine hcl ophthalmic solution NOVOLIN 70/30 RELION. . . . . . . . . . .22 OVIDREL . . . . . . . . . . . . . . . . . . . . . . . .310.1 %. . . . . . . . . . . . . . . . . . . . . . . . . . . .32NOVOLIN 70/30 VIAL. . . . . . . . . . . . . .22 OXAYDO . . . . . . . . . . . . . . . . . . . . . . . . .8olopatadine hcl ophthalmic solution NOVOLIN N FLEXPEN . . . . . . . . . . . . .22 oxcarbazepine . . . . . . . . . . . . . . . . . . . 110.2 % . . . . . . . . . . . . . . . . . . . . . . . . . . .32

NOVOLIN N FLEXPEN RELION . . . . .22 OXTELLAR XR . . . . . . . . . . . . . . . . . . . 11OLUMIANT . . . . . . . . . . . . . . . . . . . . . .30NOVOLIN N RELION . . . . . . . . . . . . . .22 oxybutynin chloride er . . . . . . . . . . . . .25OMECLAMOX-PAK . . . . . . . . . . . . . . .24NOVOLIN N VIAL . . . . . . . . . . . . . . . . .22 oxybutynin chloride oral . . . . . . . . . . .25omega-3-acid ethyl esters . . . . . . . . . .16NOVOLIN R FLEXPEN . . . . . . . . . . . . .22 OXYCODONE HCL ER. . . . . . . . . . . . . .8omeprazole oral capsule delayed NOVOLIN R FLEXPEN RELION . . . . .22 release . . . . . . . . . . . . . . . . . . . . . . . . . .24 oxycodone hcl oral capsule . . . . . . . . .8NOVOLIN R RELION . . . . . . . . . . . . . .23 OMNARIS . . . . . . . . . . . . . . . . . . . . . . .33 oxycodone hcl oral concentrate NOVOLIN R VIAL . . . . . . . . . . . . . . . . .23 100 mg/5ml. . . . . . . . . . . . . . . . . . . . . . .8OMNITROPE. . . . . . . . . . . . . . . . . . . . .29NOVOLOG FLEXPEN . . . . . . . . . . . . . .23 oxycodone hcl oral solution . . . . . . . . .8ondansetron hcl oral . . . . . . . . . . . . . .12NOVOLOG PENFILL. . . . . . . . . . . . . . .23 oxycodone hcl oral tablet . . . . . . . . . . .8ondansetron odt . . . . . . . . . . . . . . . . . . 12NOVOLOG U-100 VIAL. . . . . . . . . . . . .23

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oxycodone-acetaminophen oral PLEXION CLEANSING CLOTH. . . . . .20 PREVIDENT 5000 PLUS . . . . . . . . . . .18tablet 10-325 mg, 2.5-325 mg, POLY-VI-FLOR. . . . . . . . . . . . . . . . . . . .24 PREVIDENT DENTAL. . . . . . . . . . . . . .185-325 mg, 7.5-325 mg . . . . . . . . . . . . . .8

polymyxin b-trimethoprim . . . . . . . . . .32 PREVIDENT MOUTH/THROAT. . . . . .18OXYCONTIN . . . . . . . . . . . . . . . . . . . . . .8

POLYTRIM . . . . . . . . . . . . . . . . . . . . . .32 previfem. . . . . . . . . . . . . . . . . . . . . . . . .28OZEMPIC. . . . . . . . . . . . . . . . . . . . . . . .23

portia-28 . . . . . . . . . . . . . . . . . . . . . . . .28 PREZCOBIX . . . . . . . . . . . . . . . . . . . . . 14OZOBAX . . . . . . . . . . . . . . . . . . . . . . . .34

potassium chloride crys er . . . . . . . . .24 PREZISTA . . . . . . . . . . . . . . . . . . . . . . . 14potassium chloride er . . . . . . . . . . . . .24 PRIMLEV . . . . . . . . . . . . . . . . . . . . . . . . .8Ppotassium chloride oral . . . . . . . . . . . .24 PRINIVIL . . . . . . . . . . . . . . . . . . . . . . . . 17PACERONE ORAL TABLET

100 MG, 400 MG . . . . . . . . . . . . . . . . .16 potassium citrate er . . . . . . . . . . . . . . .24 PROAIR DIGIHALER . . . . . . . . . . . . . .33pacerone oral tablet 200 mg. . . . . . . . 16 PRADAXA . . . . . . . . . . . . . . . . . . . . . . . 11 ProAir HFA. . . . . . . . . . . . . . . . . . . . . . .33PAMELOR . . . . . . . . . . . . . . . . . . . . . . .12 PRALUENT . . . . . . . . . . . . . . . . . . . . . . 17 PROAIR RESPICLICK . . . . . . . . . . . . .33PANCREAZE. . . . . . . . . . . . . . . . . . . . .25 pramipexole dihydrochloride. . . . . . . . 14 PROCARDIA . . . . . . . . . . . . . . . . . . . . .17pantoprazole sodium tablet delayed pramipexole dihydrochloride er . . . . . 14 PROCARDIA XL . . . . . . . . . . . . . . . . . . 17release 20 mg oral . . . . . . . . . . . . . . . .24 PRAVACHOL. . . . . . . . . . . . . . . . . . . . . 17 PROCENTRA . . . . . . . . . . . . . . . . . . . .18pantoprazole sodium tablet delayed pravastatin sodium. . . . . . . . . . . . . . . . 17 prochlorperazine maleate oral . . . . . . 12release 40 mg oral . . . . . . . . . . . . . . . .24

prazosin hcl oral . . . . . . . . . . . . . . . . . . 17 PROCORT. . . . . . . . . . . . . . . . . . . . . . .31paroex . . . . . . . . . . . . . . . . . . . . . . . . . .18

PRECISION LINK . . . . . . . . . . . . . . . . .22 PROCTOFOAM HC . . . . . . . . . . . . . . .31paroxetine hcl . . . . . . . . . . . . . . . . . . . .12

PRECISION PCX PLUS TEST . . . . . . .22 progesterone micronized oral . . . . . . .28paroxetine hcl er . . . . . . . . . . . . . . . . . .12

PRECISION QID MONITOR. . . . . . . . .22 PROGRAF ORAL PACKET . . . . . . . . .30PAXIL ORAL SUSPENSION . . . . . . . .12

PRECISION QID TEST . . . . . . . . . . . . .22 promethazine hcl oral solution . . . . . .33PAXIL ORAL TABLET. . . . . . . . . . . . . .12

PRECISION SOF-TACT MONITOR . . .22 promethazine hcl oral syrup . . . . . . . .33PAZEO. . . . . . . . . . . . . . . . . . . . . . . . . .32

PRECISION SOF-TACT TEST . . . . . . .22 promethazine hcl oral tablet . . . . . . . . 12PEDIAPRED . . . . . . . . . . . . . . . . . . . . .29

PRECISION XTRA BLOOD promethazine hcl rectal . . . . . . . . . . . . 12peg-3350/electrolytes . . . . . . . . . . . . .25 GLUCOSE . . . . . . . . . . . . . . . . . . . . . . .22 promethazine-codeine. . . . . . . . . . . . .33penicillamine oral capsule . . . . . . . . . .25 PRECISION XTRA DEVICE . . . . . . . . .22 promethazine-dm . . . . . . . . . . . . . . . . .33penicillin v potassium. . . . . . . . . . . . . .10 PRECISION XTRA KIT . . . . . . . . . . . . .22 promethegan . . . . . . . . . . . . . . . . . . . .12PENNSAID . . . . . . . . . . . . . . . . . . . . . . .9 PRECISION XTRA MONITOR . . . . . . .22 propranolol hcl er . . . . . . . . . . . . . . . . . 17PENTASA . . . . . . . . . . . . . . . . . . . . . . . 31 PRED FORTE . . . . . . . . . . . . . . . . . . . .32 propranolol hcl oral . . . . . . . . . . . . . . . 17PERFOROMIST . . . . . . . . . . . . . . . . . .33 PRED MILD . . . . . . . . . . . . . . . . . . . . . .32 PROSCAR . . . . . . . . . . . . . . . . . . . . . . .26PERIDEX . . . . . . . . . . . . . . . . . . . . . . . .18 prednisolone acetate ophthalmic . . . .32 PROTONIX ORAL PACKET . . . . . . . . .24periogard. . . . . . . . . . . . . . . . . . . . . . . .18 prednisolone oral solution . . . . . . . . . .29 Proventil HFA . . . . . . . . . . . . . . . . . . . .33permethrin external . . . . . . . . . . . . . . .13 prednisolone sodium phosphate PROVERA . . . . . . . . . . . . . . . . . . . .26, 28PERTZYE. . . . . . . . . . . . . . . . . . . . . . . .25 oral . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

pseudoephedrine-bromphen-dm . . . .33phenadoz. . . . . . . . . . . . . . . . . . . . . . . .12 prednisone intensol . . . . . . . . . . . . . . .29

PULMICORT FLEXHALER. . . . . . . . . .33phenazo oral tablet 200 mg. . . . . . . . .25 prednisone oral. . . . . . . . . . . . . . . . . . .29

PULMOZYME . . . . . . . . . . . . . . . . . . . .34phenazopyridine hcl oral tablet pregabalin oral . . . . . . . . . . . . . . . . . . .18

PURIXAN. . . . . . . . . . . . . . . . . . . . . . . .13100 mg, 200 mg . . . . . . . . . . . . . . . . . .25 pregnyl. . . . . . . . . . . . . . . . . . . . . . . . . .31PYLERA. . . . . . . . . . . . . . . . . . . . . . . . .24philith . . . . . . . . . . . . . . . . . . . . . . . . . . .28 PREMARIN ORAL . . . . . . . . . . . . . . . .28PYRIDIUM . . . . . . . . . . . . . . . . . . . . . . .25PICATO . . . . . . . . . . . . . . . . . . . . . . . . .20 PREMARIN VAGINAL. . . . . . . . . . . . . .28

pimtrea . . . . . . . . . . . . . . . . . . . . . . . . .28 premium lidocaine . . . . . . . . . . . . . . . . .8 Qpioglitazone hcl . . . . . . . . . . . . . . . . . .23 PREMPHASE . . . . . . . . . . . . . . . . . . . .28 QBRELIS . . . . . . . . . . . . . . . . . . . . . . . . 17pirmella 1/35 . . . . . . . . . . . . . . . . . . . . .28 PREMPRO. . . . . . . . . . . . . . . . . . . . . . .28 QMIIZ ODT . . . . . . . . . . . . . . . . . . . . . . .9PLEGRIDY . . . . . . . . . . . . . . . . . . . . . . .18 PREPOPIK. . . . . . . . . . . . . . . . . . . . . . .25 quetiapine fumarate . . . . . . . . . . . . . . . 14PLEGRIDY STARTER PACK . . . . . . . .18 PREVIDENT 5000 BOOSTER PLUS. .18 quetiapine fumarate er. . . . . . . . . . . . . 14PLENVU. . . . . . . . . . . . . . . . . . . . . . . . .25 PREVIDENT 5000 DRY MOUTH. . . . .18 QUFLORA PEDIATRIC. . . . . . . . . . . . .24PLEXION . . . . . . . . . . . . . . . . . . . . . . . .20 PREVIDENT 5000 ORTHO QUILLICHEW ER . . . . . . . . . . . . . . . . .18PLEXION CLEANSER . . . . . . . . . . . . .20 DEFENSE . . . . . . . . . . . . . . . . . . . . . . . 18 QUILLIVANT XR . . . . . . . . . . . . . . . . . .18

45

quinapril hcl . . . . . . . . . . . . . . . . . . . . . 17 ropinirole hcl . . . . . . . . . . . . . . . . . . . . .14 SOMATULINE DEPOT . . . . . . . . . . . . .29QVAR REDIHALER. . . . . . . . . . . . . . . .33 ropinirole hcl er. . . . . . . . . . . . . . . . . . . 14 SOOLANTRA . . . . . . . . . . . . . . . . . . . .20

rosadan external cream. . . . . . . . . . . .20 sotalol hcl oral. . . . . . . . . . . . . . . . . . . . 17R

rosadan external gel. . . . . . . . . . . . . . .20 SOTYLIZE . . . . . . . . . . . . . . . . . . . . . . . 17RABEPRAZOLE SODIUM ORAL rosuvastatin calcium . . . . . . . . . . . . . . 17 SPIRIVA HANDIHALER . . . . . . . . . . . .33CAPSULE SPRINKLE. . . . . . . . . . . . . .24

roweepra . . . . . . . . . . . . . . . . . . . . . . . . 11 SPIRIVA RESPIMAT . . . . . . . . . . . . . . .33rabeprazole sodium oral tablet

roweepra xr . . . . . . . . . . . . . . . . . . . . . . 11 spironolactone oral . . . . . . . . . . . . . . . 17delayed release. . . . . . . . . . . . . . . . . . .25ROZLYTREK . . . . . . . . . . . . . . . . . . . . .13 sprintec 28 . . . . . . . . . . . . . . . . . . . . . .28ramipril. . . . . . . . . . . . . . . . . . . . . . . . . . 17RUCONEST. . . . . . . . . . . . . . . . . . . . . .30 SPRITAM . . . . . . . . . . . . . . . . . . . . . . . . 11ranolazine er . . . . . . . . . . . . . . . . . . . . . 17RUKOBIA. . . . . . . . . . . . . . . . . . . . . . . .14 SPRIX. . . . . . . . . . . . . . . . . . . . . . . . . . . .9RAPAMUNE ORAL SOLUTION . . . . .30RYBELSUS . . . . . . . . . . . . . . . . . . . . . .23 sronyx . . . . . . . . . . . . . . . . . . . . . . . . . .28RASUVO . . . . . . . . . . . . . . . . . . . . . . . .30RYTARY. . . . . . . . . . . . . . . . . . . . . . . . .14 sss 10-5 . . . . . . . . . . . . . . . . . . . . . . . . .20RAYOS. . . . . . . . . . . . . . . . . . . . . . . . . .29

STELARA SUBCUTANEOUS REBIF. . . . . . . . . . . . . . . . . . . . . . . . . . . 18 S SOLUTION . . . . . . . . . . . . . . . . . . . . . .30REBIF REBIDOSE. . . . . . . . . . . . . . . . . 18

SAPHRIS . . . . . . . . . . . . . . . . . . . . . . . . 14 STELARA SUBCUTANEOUS REBIF REBIDOSE TITRATION SOLUTION PREFILLED SYRINGE . . .30scopolamine . . . . . . . . . . . . . . . . . . . . .12PACK . . . . . . . . . . . . . . . . . . . . . . . . . . .18

STENDRA . . . . . . . . . . . . . . . . . . . . . . .24SEREVENT DISKUS. . . . . . . . . . . . . . .33REBIF TITRATION PACK . . . . . . . . . . .18STIMATE . . . . . . . . . . . . . . . . . . . . . . . .29SERNIVO. . . . . . . . . . . . . . . . . . . . . . . .20reclipsen . . . . . . . . . . . . . . . . . . . . . . . .28STRENSIQ. . . . . . . . . . . . . . . . . . . . . . .25sertraline hcl oral . . . . . . . . . . . . . . . . .12RECOMBINATE . . . . . . . . . . . . . . . . . .24STRIANT . . . . . . . . . . . . . . . . . . . . . . . .29setlakin . . . . . . . . . . . . . . . . . . . . . . . . .28REGLAN . . . . . . . . . . . . . . . . . . . . . . . .12STRIBILD. . . . . . . . . . . . . . . . . . . . . . . . 14sf. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18relexxii . . . . . . . . . . . . . . . . . . . . . . . . . .18STRIVERDI RESPIMAT . . . . . . . . . . . .33sf 5000 plus. . . . . . . . . . . . . . . . . . . . . .18RELION BLOOD GLUCOSE TEST . . .22SUBSYS. . . . . . . . . . . . . . . . . . . . . . . . . .8SFROWASA . . . . . . . . . . . . . . . . . . . . .31RELION ULTIMA TEST. . . . . . . . . . . . .22subvenite . . . . . . . . . . . . . . . . . . . . . . . . 11sharobel. . . . . . . . . . . . . . . . . . . . . . . . .28REMERON . . . . . . . . . . . . . . . . . . . . . . 12subvenite starter kit-blue . . . . . . . . . . . 11sildenafil citrate oral tablet 100 mg, REMERON SOLTAB . . . . . . . . . . . . . . .12

25 mg, 50 mg . . . . . . . . . . . . . . . . . . . .24 subvenite starter kit-green. . . . . . . . . . 11REPATHA . . . . . . . . . . . . . . . . . . . . . . . 17

sildenafil oral tablets . . . . . . . . . . . . . .34 subvenite starter kit-orange. . . . . . . . . 11REPATHA PUSHTRONEX SYSTEM . . 17

simliya . . . . . . . . . . . . . . . . . . . . . . . . . .28 sucralfate oral . . . . . . . . . . . . . . . . . . . .25REPATHA SURECLICK . . . . . . . . . . . . 17

simpesse . . . . . . . . . . . . . . . . . . . . . . . .28 sulfacetamide sodium-sulfur RESTASIS . . . . . . . . . . . . . . . . . . . . . . .32 external cream 10-2 %, 10-5 % . . . . . .20SIMPONI . . . . . . . . . . . . . . . . . . . . . . . .30RESTASIS MULTIDOSE. . . . . . . . . . . .32 sulfacetamide sodium-sulfur simvastatin oral tablet 10 mg, RESTORIL . . . . . . . . . . . . . . . . . . . . . . .34 external cream 9.8-4.8 % . . . . . . . . . . .2020 mg, 40 mg, 5 mg . . . . . . . . . . . . . . . 17RETACRIT . . . . . . . . . . . . . . . . . . . . . . .24 sulfacetamide sodium-sulfur simvastatin oral tablet 80 mg . . . . . . . 17

external emulsion . . . . . . . . . . . . . . . . .20REVLIMID . . . . . . . . . . . . . . . . . . . . . . .13 SINEMET. . . . . . . . . . . . . . . . . . . . . . . .14sulfacetamide sodium-sulfur REYVOW . . . . . . . . . . . . . . . . . . . . . . . .13 SINGULAIR ORAL PACKET . . . . . . . .33 external liquid 10-2 %, 9.8-4.8 %. . . . .20RHOFADE . . . . . . . . . . . . . . . . . . . . . . .20 sirolimus oral. . . . . . . . . . . . . . . . . . . . .30 sulfacetamide sodium-sulfur RHOPRESSA . . . . . . . . . . . . . . . . . . . .32 SITAVIG . . . . . . . . . . . . . . . . . . . . . . . . .14 external liquid 9-4 %, 9-4.5 % . . . . . . .20

RILUTEK . . . . . . . . . . . . . . . . . . . . . . . .18 SKYRIZI (150 MG DOSE). . . . . . . . . . .30 sulfacetamide sodium-sulfur riluzole . . . . . . . . . . . . . . . . . . . . . . . . . .18 external lotion 10-5 %. . . . . . . . . . . . . .20sodium fluoride 5000 plus. . . . . . . . . .18RINVOQ. . . . . . . . . . . . . . . . . . . . . . . . .30 sulfacetamide sodium-sulfur sodium fluoride dental . . . . . . . . . . . . .18

external lotion 9.8-4.8 % . . . . . . . . . . .20risperidone . . . . . . . . . . . . . . . . . . . . . .14 SOFOS/VELPAT ORAL TABLET sulfacetamide sodium-sulfur RITALIN . . . . . . . . . . . . . . . . . . . . . . . . .18 400-100 . . . . . . . . . . . . . . . . . . . . . . . . .14external pad . . . . . . . . . . . . . . . . . . . . .20ritonavir . . . . . . . . . . . . . . . . . . . . . . . . .14 SOFOSBUVIR-VELPATASVIR . . . . . . . 14sulfacetamide sodium-sulfur rivelsa. . . . . . . . . . . . . . . . . . . . . . . . . . .28 SOFTCLIX . . . . . . . . . . . . . . . . . . . .21, 22 external suspension 10-5 % . . . . . . . .20

rizatriptan benzoate . . . . . . . . . . . . . . . 13 solifenacin . . . . . . . . . . . . . . . . . . . . . . .26 sulfacetamide sodium-sulfur ROBAXIN-750 . . . . . . . . . . . . . . . . . . . .34 SOLIQUA. . . . . . . . . . . . . . . . . . . . . . . .23 external suspension 8-4 % . . . . . . . . .20ROCALTROL. . . . . . . . . . . . . . . . . . . . .31 SOLTAMOX . . . . . . . . . . . . . . . . . . . . . .13 sulfacleanse 8/4 . . . . . . . . . . . . . . . . . .20ROCKLATAN. . . . . . . . . . . . . . . . . . . . .32 SOMA ORAL TABLET 350 MG . . . . . .34

46

sulfamethoxazole-trimethoprim oral. .10 TASIGNA . . . . . . . . . . . . . . . . . . . . . . . .13 tobramycin nebulization solution 300 mg/5ml inhalation. . . . . . . . . . . . .34sulfamez wash . . . . . . . . . . . . . . . . . . .20 TAYTULLA. . . . . . . . . . . . . . . . . . . . . . .28tobramycin ophthalmic . . . . . . . . . . . .32sulfasalazine oral tablet . . . . . . . . . . . . 31 tazarotene external. . . . . . . . . . . . . . . .20tobramycin-dexamethasone . . . . . . . .32sulfatrim pediatric. . . . . . . . . . . . . . . . .10 TAZORAC . . . . . . . . . . . . . . . . . . . . . . .20TOBREX OPHTHALMIC SUMADAN WASH . . . . . . . . . . . . . . . .20 TECFIDERA. . . . . . . . . . . . . . . . . . . . . .18OINTMENT . . . . . . . . . . . . . . . . . . . . . .32

sumatriptan succinate oral . . . . . . . . . 13 TEGRETOL . . . . . . . . . . . . . . . . . . . . . . 11TOBREX OPHTHALMIC

sumatriptan succinate refill . . . . . . . . .13 TEGRETOL-XR . . . . . . . . . . . . . . . . . . . 11 SOLUTION . . . . . . . . . . . . . . . . . . . . . .32sumatriptan succinate TEGSEDI . . . . . . . . . . . . . . . . . . . . . . . .25 TOLAK. . . . . . . . . . . . . . . . . . . . . . . . . .20subcutaneous . . . . . . . . . . . . . . . . . . . .13 TEKTURNA . . . . . . . . . . . . . . . . . . . . . . 17 TOPAMAX . . . . . . . . . . . . . . . . . . . . . . . 11SUMAXIN . . . . . . . . . . . . . . . . . . . . . . .20 TEKTURNA HCT . . . . . . . . . . . . . . . . . 17 TOPAMAX SPRINKLE . . . . . . . . . . . . . 11SUMAXIN WASH . . . . . . . . . . . . . . . . .20 telmisartan . . . . . . . . . . . . . . . . . . . . . . 17 topiramate er. . . . . . . . . . . . . . . . . . . . . 11SUNOSI . . . . . . . . . . . . . . . . . . . . . . . . .34 temazepam . . . . . . . . . . . . . . . . . . . . . .34 topiramate oral . . . . . . . . . . . . . . . . . . . 11SUPREP BOWEL PREP KIT . . . . . . . .25 TEMIXYS . . . . . . . . . . . . . . . . . . . . . . . .14 TOPROL XL. . . . . . . . . . . . . . . . . . . . . . 17syeda . . . . . . . . . . . . . . . . . . . . . . . . . . .28 TEMOVATE . . . . . . . . . . . . . . . . . . . . . .20 torsemide . . . . . . . . . . . . . . . . . . . . . . . 17SYMAX DUOTAB . . . . . . . . . . . . . . . . .25 tenofovir disoproxil fumarate. . . . . . . . 14 TOUJEO MAX SOLOSTAR . . . . . . . . .23symax-sl. . . . . . . . . . . . . . . . . . . . . . . . .25 terazosin hcl . . . . . . . . . . . . . . . . . . . . .26 TOUJEO SOLOSTAR . . . . . . . . . . . . . .23symax-sr . . . . . . . . . . . . . . . . . . . . . . . .25 terbinafine hcl oral . . . . . . . . . . . . . . . .13 TOVIAZ . . . . . . . . . . . . . . . . . . . . . . . . .26SYMBICORT . . . . . . . . . . . . . . . . . . . . .33 terconazole . . . . . . . . . . . . . . . . . . . . . .13 TRACLEER . . . . . . . . . . . . . . . . . . . . . .34SYMFI . . . . . . . . . . . . . . . . . . . . . . . . . .14 TERIPARATIDE (RECOMBINANT) . . .31 TRADJENTA . . . . . . . . . . . . . . . . . . . . .23SYMFI LO . . . . . . . . . . . . . . . . . . . . . . .14 TESSALON PERLES . . . . . . . . . . . . . .33 tramadol hcl er (biphasic) . . . . . . . . . . .8SYMJEPI . . . . . . . . . . . . . . . . . . . . . . . .32 TESTIM . . . . . . . . . . . . . . . . . . . . . . . . .29 TRAMADOL HCL ER ORAL SYMLINPEN 60. . . . . . . . . . . . . . . . . . .23 TESTOSTERONE CYPIONATE CAPSULE EXTENDED RELEASE SYMLNPEN 120 . . . . . . . . . . . . . . . . . .23 INJECTION . . . . . . . . . . . . . . . . . . . . . .29 24 HOUR 100 MG, 200 MG, 300 MG. .8SYMPROIC . . . . . . . . . . . . . . . . . . . . . .25 testosterone cypionate tramadol hcl er oral capsule

intramuscular . . . . . . . . . . . . . . . . . . . .29 extended release 24 hour 150 mg . . . .8SYNJARDY . . . . . . . . . . . . . . . . . . . . . .23testosterone enanthate tramadol hcl er oral tablet extended SYNJARDY XR . . . . . . . . . . . . . . . . . . .23intramuscular . . . . . . . . . . . . . . . . . . . .29 release 24 hour . . . . . . . . . . . . . . . . . . . .8

SYNTHROID . . . . . . . . . . . . . . . . . . . . .29testosterone transdermal. . . . . . . . . . .29 tramadol hcl oral tablet 50 mg . . . . . . .8TEXACORT . . . . . . . . . . . . . . . . . . . . . .20T TRANSDERM-SCOP (1.5 MG) . . . . . . 12thyroid oral tablet 120 mg, 15 mg, travoprost (bak free) . . . . . . . . . . . . . . .32TACLONEX EXTERNAL 30 mg, 60 mg, 90 mg. . . . . . . . . . . . . .29SUSPENSION . . . . . . . . . . . . . . . . . . . .20 trazodone hcl oral. . . . . . . . . . . . . . . . . 12TIGLUTIK. . . . . . . . . . . . . . . . . . . . . . . .18tacrolimus oral . . . . . . . . . . . . . . . . . . .30 TRELEGY ELLIPTA. . . . . . . . . . . . . . . .34timolol maleate ophthalmic . . . . . . . . .32tadalafil oral tablet 10 mg, 20 mg . . . .24 TREMFYA . . . . . . . . . . . . . . . . . . . . . . .30TIMOPTIC . . . . . . . . . . . . . . . . . . . . . . .32tadalafil oral tablet 2.5 mg, 5 mg. . . . .24 TRESIBA . . . . . . . . . . . . . . . . . . . . . . . .23TIMOPTIC OCUDOSE 0.25 %. . . . . . .32TAKHZYRO . . . . . . . . . . . . . . . . . . . . . .30 TRESIBA FLEXTOUCH . . . . . . . . . . . .23TIMOPTIC-XE . . . . . . . . . . . . . . . . . . . .32tamoxifen citrate oral tablet 10 mg . . .13 tretinoin external cream. . . . . . . . . . . .20TIROSINT . . . . . . . . . . . . . . . . . . . . . . .30tamoxifen citrate oral tablet 20 mg. . .13 tretinoin external gel 0.01 %, 0.05 %. .20TIROSINT-SOL . . . . . . . . . . . . . . . . . . .30tamsulosin hcl. . . . . . . . . . . . . . . . . . . .26 tretinoin external gel 0.025 % . . . . . . .20TIVICAY . . . . . . . . . . . . . . . . . . . . . . . . . 14TAPAZOLE . . . . . . . . . . . . . . . . . . . . . .29 TREXALL. . . . . . . . . . . . . . . . . . . . . . . .30tizanidine hcl oral . . . . . . . . . . . . . . . . .34TAPERDEX 12-DAY. . . . . . . . . . . . . . . .29 TREZIX . . . . . . . . . . . . . . . . . . . . . . . . . .9TOBI PODHALER . . . . . . . . . . . . . . . . .34TAPERDEX 6-DAY ORAL TABLET tri femynor . . . . . . . . . . . . . . . . . . . . . . .28

THERAPY PACK 1.5 MG (21). . . . . . . .29 TOBRADEX OPHTHALMIC tri-estarylla. . . . . . . . . . . . . . . . . . . . . . .28OINTMENT . . . . . . . . . . . . . . . . . . . . . .32TAPERDEX 7-DAY. . . . . . . . . . . . . . . . .29 tri-linyah . . . . . . . . . . . . . . . . . . . . . . . . .28TOBRADEX OPHTHALMIC TARGRETIN EXTERNAL . . . . . . . . . . .13 tri-lo-estarylla . . . . . . . . . . . . . . . . . . . .28SUSPENSION . . . . . . . . . . . . . . . . . . . .32TARGRETIN ORAL. . . . . . . . . . . . . . . .13 tri-lo-mili . . . . . . . . . . . . . . . . . . . . . . . . .28TOBRADEX ST . . . . . . . . . . . . . . . . . . .32tarina 24 fe. . . . . . . . . . . . . . . . . . . . . . .28 tri-lo-sprintec. . . . . . . . . . . . . . . . . . . . .28tobramycin nebulization solution tarina fe 1/20. . . . . . . . . . . . . . . . . . . . .28 300 mg/4ml inhalation . . . . . . . . . . . . .34 tri-mili . . . . . . . . . . . . . . . . . . . . . . . . . . .28

tarina fe 1/20 eq . . . . . . . . . . . . . . . . . .28

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tri-previfem . . . . . . . . . . . . . . . . . . . . . .28 UROCIT-K 10. . . . . . . . . . . . . . . . . . . . .24 viorele . . . . . . . . . . . . . . . . . . . . . . . . . .28tri-sprintec . . . . . . . . . . . . . . . . . . . . . . .28 UROCIT-K 15. . . . . . . . . . . . . . . . . . . . .24 VIREAD ORAL POWDER. . . . . . . . . . .14tri-vylibra . . . . . . . . . . . . . . . . . . . . . . . .28 UROCIT-K 5. . . . . . . . . . . . . . . . . . . . . .24 VIREAD ORAL TABLET 150 MG,

200 MG, 250 MG . . . . . . . . . . . . . . . . .15tri-vylibra lo . . . . . . . . . . . . . . . . . . . . . .28 URSO 250 . . . . . . . . . . . . . . . . . . . . . . .25VISTARIL . . . . . . . . . . . . . . . . . . . . . . . .15triamcinolone acetonide external URSO FORTE . . . . . . . . . . . . . . . . . . . .25

aerosol solution . . . . . . . . . . . . . . . . . .21 vitamin d (ergocalciferol) oral ursodiol oral . . . . . . . . . . . . . . . . . . . . .25capsule 1.25 mg (50000 ut). . . . . . . . .24triamcinolone acetonide external

cream 0.025 %, 0.1 % . . . . . . . . . . . . . .21 VITRAKVI . . . . . . . . . . . . . . . . . . . . . . .13Vtriamcinolone acetonide external Vivelle-Dot . . . . . . . . . . . . . . . . . . . .27, 28valacyclovir hcl oral . . . . . . . . . . . . . . . 14cream 0.5 % . . . . . . . . . . . . . . . . . . . . .21 VIVLODEX . . . . . . . . . . . . . . . . . . . . . . . .9valsartan . . . . . . . . . . . . . . . . . . . . . . . . 17triamcinolone acetonide external VOLTAREN . . . . . . . . . . . . . . . . . . . . . . .9valsartan-hydrochlorothiazide. . . . . . . 17lotion . . . . . . . . . . . . . . . . . . . . . . . . . . .21

VOSEVI . . . . . . . . . . . . . . . . . . . . . . . . .15VALTOCO . . . . . . . . . . . . . . . . . . . . . . . 11triamcinolone acetonide external VRAYLAR . . . . . . . . . . . . . . . . . . . . . . . 14VANATOL LQ . . . . . . . . . . . . . . . . . . . . .9ointment 0.025 %, 0.1 %, 0.5 % . . . . . .21vyfemla . . . . . . . . . . . . . . . . . . . . . . . . .28VANATOL S. . . . . . . . . . . . . . . . . . . . . . .9triamcinolone acetonide external VYLEESI . . . . . . . . . . . . . . . . . . . . . . . .24ointment 0.05 % . . . . . . . . . . . . . . . . . .21 vandazole . . . . . . . . . . . . . . . . . . . . . . .10vylibra . . . . . . . . . . . . . . . . . . . . . . . . . .28triamterene-hctz . . . . . . . . . . . . . . . . . . 17 VARUBI (180 MG DOSE) . . . . . . . . . . . 12VYVANSE . . . . . . . . . . . . . . . . . . . . . . .18trianex . . . . . . . . . . . . . . . . . . . . . . . . . .21 VASCEPA ORAL CAPSULE 0.5 GM . . 17VYZULTA. . . . . . . . . . . . . . . . . . . . . . . .32triazolam . . . . . . . . . . . . . . . . . . . . . . . .15 VASCEPA ORAL CAPSULE 1 GM . . . 17

triderm external cream 0.1 %. . . . . . . .21 VELPHORO. . . . . . . . . . . . . . . . . . . . . .26 Wtriderm external cream 0.5 % . . . . . . .21 VELTASSA. . . . . . . . . . . . . . . . . . . . . . .24

WAKIX . . . . . . . . . . . . . . . . . . . . . . . . . .34TRIDESILON . . . . . . . . . . . . . . . . . . . . .21 VEMLIDY . . . . . . . . . . . . . . . . . . . . . . . .14warfarin sodium oral. . . . . . . . . . . . . . . 11trientine hcl . . . . . . . . . . . . . . . . . . . . . .25 venlafaxine hcl . . . . . . . . . . . . . . . . . . . 12WELCHOL. . . . . . . . . . . . . . . . . . . . . . . 17TRIJARDY XR . . . . . . . . . . . . . . . . . . . .23 venlafaxine hcl er oral capsule wera . . . . . . . . . . . . . . . . . . . . . . . . . . . .28extended release 24 hour . . . . . . . . . .12TRILEPTAL . . . . . . . . . . . . . . . . . . . . . . 11WESTHROID. . . . . . . . . . . . . . . . . . . . .30venlafaxine hcl er oral tablet TRINTELLIX . . . . . . . . . . . . . . . . . . . . .12

extended release 24 hour . . . . . . . . . .12 wixela inhub . . . . . . . . . . . . . . . . . . . . .34TRIUMEQ . . . . . . . . . . . . . . . . . . . . . . . 14Ventolin HFA . . . . . . . . . . . . . . . . . 33, 34 WP THYROID . . . . . . . . . . . . . . . . . . . .30TROKENDI XR . . . . . . . . . . . . . . . . . . . 11verapamil hcl er . . . . . . . . . . . . . . . . . . 17TRUE METRIX BLOOD GLUCOSE Xverapamil hcl oral . . . . . . . . . . . . . . . . . 17TEST . . . . . . . . . . . . . . . . . . . . . . . . . . .22

XARELTO . . . . . . . . . . . . . . . . . . . . . . . 11VERDESO . . . . . . . . . . . . . . . . . . . . . . .21TRUETRACK TEST . . . . . . . . . . . . . . .22XARELTO STARTER PACK . . . . . . . . . 11VERELAN . . . . . . . . . . . . . . . . . . . . . . . 17TRULANCE. . . . . . . . . . . . . . . . . . . . . .25XCOPRI . . . . . . . . . . . . . . . . . . . . . . . . . 11VERELAN PM . . . . . . . . . . . . . . . . . . . . 17TRULICITY . . . . . . . . . . . . . . . . . . . . . .23XELJANZ . . . . . . . . . . . . . . . . . . . . . . . .30VERZENIO. . . . . . . . . . . . . . . . . . . . . . .13TRUVADA . . . . . . . . . . . . . . . . . . . . . . .14XELJANZ XR ORAL TABLET VIBERZI . . . . . . . . . . . . . . . . . . . . . . . . .25tulana . . . . . . . . . . . . . . . . . . . . . . . . . . .28 EXTENDED RELEASE 24 HOUR

VIBRAMYCIN ORAL CAPSULE . . . . .10TUSSICAPS . . . . . . . . . . . . . . . . . . . . .33 11 MG . . . . . . . . . . . . . . . . . . . . . . . . . .30VIBRAMYCIN ORAL SUSPENSION tydemy. . . . . . . . . . . . . . . . . . . . . . . . . .28 XELPROS . . . . . . . . . . . . . . . . . . . . . . .32RECONSTITUTED . . . . . . . . . . . . . . . .10TYLENOL WITH CODEINE #3 . . . . . . .9 XENLETA. . . . . . . . . . . . . . . . . . . . . . . .10vicodin hp oral tablet 10-300 mg . . . . .9TYMLOS . . . . . . . . . . . . . . . . . . . . . . . .31 XEPI . . . . . . . . . . . . . . . . . . . . . . . . . . . .10VICTOZA SOLUTION PEN-TYVASO . . . . . . . . . . . . . . . . . . . . . . . .34 XHANCE . . . . . . . . . . . . . . . . . . . . . . . .33INJECTOR 18 MG/3ML

TYVASO REFILL. . . . . . . . . . . . . . . . . .34 XIFAXAN . . . . . . . . . . . . . . . . . . . . . . . .10SUBCUTANEOUS (2 Pak) . . . . . . . . . .23TYVASO STARTER . . . . . . . . . . . . . . .34 XIIDRA . . . . . . . . . . . . . . . . . . . . . . . . . .32VICTOZA SOLUTION PEN-

INJECTOR 18 MG/3ML XIMINO . . . . . . . . . . . . . . . . . . . . . . . . .10U SUBCUTANEOUS (3 Pak) . . . . . . . . . .23 XOFLUZA (40 MG DOSE) . . . . . . . . . .15

UBRELVY . . . . . . . . . . . . . . . . . . . . . . .13 vienva. . . . . . . . . . . . . . . . . . . . . . . . . . .28 XOFLUZA (80 MG DOSE) . . . . . . . . . .15UCERIS ORAL . . . . . . . . . . . . . . . . . . .31 VIIBRYD. . . . . . . . . . . . . . . . . . . . . . . . .12 XOLEGEL . . . . . . . . . . . . . . . . . . . . . . .13UCERIS RECTAL . . . . . . . . . . . . . . . . .31 VIIBRYD STARTER PACK . . . . . . . . . .12 XOPENEX HFA . . . . . . . . . . . . . . . . . . .34ULTRAM . . . . . . . . . . . . . . . . . . . . . . . . .9 VIMPAT ORAL. . . . . . . . . . . . . . . . . . . . 11 XTAMPZA ER . . . . . . . . . . . . . . . . . . . . .9unithroid . . . . . . . . . . . . . . . . . . . . . . . .30 VIOKACE. . . . . . . . . . . . . . . . . . . . . . . .25

48

xulane . . . . . . . . . . . . . . . . . . . . . . . . . .28 ZUBSOLV . . . . . . . . . . . . . . . . . . . . . . . .9XYOSTED . . . . . . . . . . . . . . . . . . . . . . .29 zumandimine. . . . . . . . . . . . . . . . . . . . .28XYREM . . . . . . . . . . . . . . . . . . . . . . . . .34 ZUPLENZ . . . . . . . . . . . . . . . . . . . . . . .12

ZYCLARA . . . . . . . . . . . . . . . . . . . . . . .21Y

ZYCLARA PUMP . . . . . . . . . . . . . . . . .21YASMIN 28 . . . . . . . . . . . . . . . . . . . . . .28 ZYLOPRIM . . . . . . . . . . . . . . . . . . . . . .13YAZ . . . . . . . . . . . . . . . . . . . . . . . . . . . .28YUPELRI . . . . . . . . . . . . . . . . . . . . . . . .34yuvafem . . . . . . . . . . . . . . . . . . . . . . . . .28

Z

ZANAFLEX ORAL CAPSULE . . . . . . .34zarah . . . . . . . . . . . . . . . . . . . . . . . . . . .28ZARXIO . . . . . . . . . . . . . . . . . . . . . . . . .24ZEBUTAL. . . . . . . . . . . . . . . . . . . . . . . . .9ZEJULA . . . . . . . . . . . . . . . . . . . . . . . . .13ZELNORM. . . . . . . . . . . . . . . . . . . . . . .25ZEMBRACE SYMTOUCH . . . . . . . . . .13zenatane . . . . . . . . . . . . . . . . . . . . . . . .21ZENPEP. . . . . . . . . . . . . . . . . . . . . . . . .25ZENZEDI ORAL TABLET 15 MG, 2.5 MG, 20 MG, 30 MG, 7.5 MG . . . . . 18ZEPATIER . . . . . . . . . . . . . . . . . . . . . . .15ZEPOSIA . . . . . . . . . . . . . . . . . . . . . . . .18ZETONNA . . . . . . . . . . . . . . . . . . . . . . .33ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG . . . . . . . . . . . . . . . . . . . . . 17ZIAC ORAL TABLET 5-6.25 MG . . . . . 17ZIEXTENZO. . . . . . . . . . . . . . . . . . . . . .24ZILXI. . . . . . . . . . . . . . . . . . . . . . . . . . . .21ziprasidone hcl . . . . . . . . . . . . . . . . . . . 14ZIPSOR . . . . . . . . . . . . . . . . . . . . . . . . . .9ZITHROMAX ORAL . . . . . . . . . . . . . . .10ZITHROMAX TRI-PAK . . . . . . . . . . . . .10ZITHROMAX Z-PAK . . . . . . . . . . . . . . .10ZOCOR ORAL TABLET 10 MG, 20 MG, 40 MG, 80 MG . . . . . . . . . . . . . . . 17ZOFRAN . . . . . . . . . . . . . . . . . . . . . . . .12ZOHYDRO ER. . . . . . . . . . . . . . . . . . . . .9zolpidem tartrate er . . . . . . . . . . . . . . .34zolpidem tartrate oral . . . . . . . . . . . . . .34zolpidem tartrate sublingual . . . . . . . .34ZOMACTON . . . . . . . . . . . . . . . . . . . . .29ZONEGRAN . . . . . . . . . . . . . . . . . . . . . 11zonisamide oral. . . . . . . . . . . . . . . . . . . 11ZONTIVITY . . . . . . . . . . . . . . . . . . . . . . 14ZOVIRAX ORAL SUSPENSION . . . . . 15ZTLIDO . . . . . . . . . . . . . . . . . . . . . . . . . .9

49

Nondiscrimination notice and access to communication services

®UnitedHealthcare and its subsidiaries do not discriminate on the basis of race, color, national origin, age, disability or sex in their health programs or activities.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator.

Online: [email protected]

Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UT 84130

You must send the complaint within 60 days of your experience. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m., or at the times listed in your health plan documents.

You can also file a complaint with the U.S. Dept. of Health and Human Services.

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)

Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

We provide free services to help you communicate with us, including letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m., or at the times listed in your health plan documents.

50

請注意：如果您說中文 (Chinese)，我們免費為您提供語言協助服務。請撥打會員卡所列的免付費會員電話號碼。

XIN LƯU Ý: Nếu quý vị nói tiếng Việt (Vietnamese), quý vị sẽ được cung cấp dịch vụ trợ giúp về ngôn ngữ miễn phí. Vui lòng gọi số điện thoại miễn phí ở mặt sau thẻ hội viên của quý vị.

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.

توجه: ا�ر �بان �ما فارسی (Farsi) است، خدمات امداد �بان� به �ور راي�ان در اختيار �ما م� با�د. ل��ا با �مار� تل�ن راي�ان� �ه رو� �ارت �ناساي� �ما قيد �د� تما� ب�يريد.

ध्यान दें: यदि आप हिंदी (Hindi) बोलते है, आपको भाषा सहायता सेबाए,ं नि:शुल्क उपलब्ध हैं। कृपया अपने पहचान पत्र पर सूचीबद्ध टोल-फ्री फोन नंबर पर कॉल करें।

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

ចំណាប់អារម្មណ៍ៈ បើសិនអ្នកនិយាយភាសាខ្មែរ(Khmer)សេវាជំនួយភាសាដោយឥតគិតថ្លៃ គឺមានសំរាប់អ្នក។ សូមទូរស័ព្ទទៅលេខឥតគិតថ្លៃ ដែលមាននៅលើអត្ដសញ្ញាណប័ណ្ណរបស់អ្នក។

PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.

DÍÍ BAA’ÁKONÍNÍZIN: Diné (Navajo) bi]aad bee yini�ti�go, saad bee ika�anída�awo�ígíí, t�ii jíík�eh, bee ni�ahóót�i�. 7�ii sh��dí ninaaltsoos nit��i]í bee néého]inígíí bine�d�� t�ii jíík�ehgo béésh bee hane�í biki�ígíí �bee hodíilnih.

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.

51

Multi-language interpreter servicesMulti-language interpreter services

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.

알림: 한국어(Korean)를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다. 귀하의 신분증 카드에 기재된 무료 회원 전화번호로 문의하십시오.

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

ВНИМАНИЕ: бесплатные услуги перевода доступны для людей, чей родной язык является русском (Russian). Позвоните по бесплатному номеру телефона, указанному на вашей идентификационной карте.

تنبيه: إذا كنت تتحدث العربية (Arabic)، فإن خدمات المساعدة اللغوية المجانية متاحة لك. الرجاء الاتصال على رقم الهاتف المجاني الموجود على ّ معرف العضوية.

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuille] appeler le numéro de téléphone gratuit figurant sur votre carte d�identification.

U:$*$: -e�eli mówis] po polsku (Polish), udost�pnili�my darmowe us�ugi t�umac]a. Prosimy ]ad]woni� pod be]p�atny numer telefonu podany na karcie identyfikacyjnej.

$7(Nd�2: 6e você fala português (Portuguese), contate o servioo de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartmo de identificaomo.

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.

注意事項：日本語(Japanese)を話される場合、無料の言語支援サービスをご利用いただけます。健康保険証に記載されているフリーダイヤルにお電話ください。

This document applies to commercial group members of UnitedHealthcare and Oxford New York and New Jersey plans.Insurance coverage provided by or through UnitedHealthcare Insurance Company, UnitedHealthcare Insurance Company of New York, or Oxford Health Insurance, Inc. Oxford HMO products are underwritten by Oxford Health Plans (NJ), Inc. Administrative services provided by United HealthCare Services, Inc., UnitedHealthcare Service LLC, Oxford Health Plans LLC, or their affiliates.UnitedHealthcare® is a registered trademark owned by UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners.1/21 ©2021 United HealthCare Services, Inc. WF3888362-J 2021 Prescription Drug List — Traditional 3-Tier

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