E&I I000055445_USPUS2A02_USHG Premiere Choice 3 Tier

This Prescription Drug List (PDL) is accurate as of January 1, 2022 and is subject to change after this date.

Effective January 1, 2022

Pharmacy | PDL

Your 2022 Prescription Drug ListFreedom Life Insurance Company of America,National Foundation Life Insurance Company, and Enterprise Life Insurance Company

2

Understanding your Prescription Drug List (PDL)

What is a PDL?This document is a list of the most commonly prescribed medications. It includes both brand-name and generic prescription medications approved by the Food and Drug Administration (FDA). Medications are listed by common categories or classes and placed in tiers that represent the cost you pay out-of-pocket. They are then listed in alphabetical order.

How do I use my PDL?You and your doctor can consult the PDL to help you select the most cost-effective prescription medications. This guide tells you if a medication is generic or a brand name, and if there are coverage requirements or limits. Bring this list with you when you see your doctor. If your medication is not listed here, please visit your plan’s member website or call the toll-free member phone number on your health 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 4 for more information.

When does the PDL change?PDL changes typically occur annually. 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 health plan 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. Examples include medications that work the same way, but one is much more expensive than the other, or options that are available without a prescription (also referred to as over-the-counter medications). There are also some instances where the same product can be made by two 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 health plan 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.

About this PDLWhere differences exist between this PDL and your benefit plan documents, the benefit plan documents rule. This PDL is not a complete list of medications, and not all medications listed may be covered by your plan. Please look at the benefit plan documents provided by your employer or health plan to see which medications are covered under your plan.

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Medication tips

What is the difference between brand-name and generic medications?Generic medications contain the same active ingredients (what makes the medication work) as brand-name medications, but they often cost less. Once the patent for a brand-name medication ends, the FDA can approve a generic version with the same active ingredients. These types of medications are known as generic medications. Sometimes, the same company that makes a brand-name medication also makes the generic version.

What if my doctor writes a brand-name prescription?If your doctor gives you a prescription for a brand-name medication, ask if a generic equivalent or lower-cost option is available and could be right for you. Generic medications are usually your lowest-cost option, but not always.

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 health plan 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 health plan ID card to talk with a pharmacist about finding lower-cost options.

Over-the-counter (OTC) medicationsAn OTC medication may be the right treatment option for some conditions. Talk to your doctor about available OTC options. Even though these medications may not be covered by your pharmacy benefit, they may cost less than a prescription medication.

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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 Medications that provide the highest overall value. Mostly generic drugs. Some brand-name drugs may also be included.

Use Tier 1 drugs for the lowest out-of-pocket costs.

Tier 2 $$ Mid-range cost Medications that provide good overall value. A mix of brand name and generic drugs.

Use Tier 2 drugs, instead of Tier 3, to help reduce your out-of-pocket costs.

Tier 3 $$$ Highest-cost Medications that provide the lowest overall value. Mostly brand-name drugs, as well as some generics.

Ask your doctor if a Tier 1 or Tier 2 option could work for you.

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

Call the member phone number on your health plan ID card

Visit your plan’s member website listed on your health plan ID card to:

• View your pharmacy benefit and coverage information, including prescription history

• View medication interactions and side effects

• Locate a participating retail pharmacy by ZIP code

• Look up possible lower-cost medication alternatives

• Compare medication pricing and options

Questions

USHealth Group

Table of Contents

Analgesics........................................................................................................................................................... 8Analgesics - Drugs to Treat Pain, Inflammation, and Muscle and Joint Conditions.......................................... 10Anesthetics........................................................................................................................................................11Anesthetics - Drugs for Numbing...................................................................................................................... 11Anti-Addiction/Substance Abuse Treatment Agents......................................................................................... 11Antiandrogens - Hormone Suppressants.......................................................................................................... 11Antibacterials.....................................................................................................................................................11Antibacterials - Drugs to Treat Bacterial Infections........................................................................................... 13Anticonvulsants................................................................................................................................................. 14Anticonvulsants - Drugs to Treat Seizures........................................................................................................ 15Antidementia Agents......................................................................................................................................... 15Antidepressants.................................................................................................................................................15Antidepressants - Drugs to Treat Depression................................................................................................... 17Antiemetics........................................................................................................................................................17Antifungals.........................................................................................................................................................17Antifungals - Drugs to Treat Fungal Infections.................................................................................................. 18Antigout Agents................................................................................................................................................. 18Anti-HIV Agents, Other - HIV Drugs.................................................................................................................. 18Antimigraine Agents.......................................................................................................................................... 18Antimigraine Agents - Drugs to Treat Migraines............................................................................................... 18Antimyasthenic Agents......................................................................................................................................19Antimycobacterials............................................................................................................................................ 19Antineoplastics.................................................................................................................................................. 19Antineoplastics - Drugs to Treat Cancer........................................................................................................... 21Antineoplastics, Other - Chemotherapy Agents................................................................................................ 21Antiparasitics..................................................................................................................................................... 21Antiparasitics - Drugs to Treat Parasitic Infections............................................................................................22Antiparkinson Agents........................................................................................................................................ 22Antipsychotics................................................................................................................................................... 23Antispasmodics, Urinary - Bladder Control Drugs.............................................................................................24Antispasticity Agents......................................................................................................................................... 24Antivirals............................................................................................................................................................24Antivirals - Drugs to Treat Viral Infections......................................................................................................... 26Anxiolytics......................................................................................................................................................... 26Anxiolytics - Drugs to Treat Anxiety.................................................................................................................. 26Attention Deficit Hyperactivity Disorder Agents, Non-amphetamines - ADHD Drugs....................................... 27Bipolar Agents................................................................................................................................................... 27Blood Formation Modifiers - Blood Formation Drugs........................................................................................ 27Blood Glucose Regulators.................................................................................................................................27Blood Products and Modifiers........................................................................................................................... 29Blood Products and Modifiers - Drugs to Treat Blood Disorders.......................................................................30Blood Products/Modifiers/Volume Expanders - Drugs to Treat Blood Disorders.............................................. 31Cardiovascular Agents...................................................................................................................................... 31Cardiovascular Agents - Drugs to Treat Heart and Circulation Conditions....................................................... 36Cardiovascular Agents, Other - Miscellaneous Cardiac Drugs......................................................................... 36Central Nervous System Agents....................................................................................................................... 36Cystic Fibrosis Agents - Drugs to treat Cystic Fibrosis..................................................................................... 38Dental and Oral Agents..................................................................................................................................... 38Dermatological Agents...................................................................................................................................... 38Dermatological Agents - Drugs to Treat Skin Conditions.................................................................................. 43

6

Dermatological Agents - Skin Agents................................................................................................................44Diabetes - Glucose Monitoring.......................................................................................................................... 45Diabetic/Endocrine Blood: Glucose Monitoring................................................................................................. 46Dyslipidemics, Other - Miscellaneous Cholesterol Control Drugs..................................................................... 46Electrolyte/Mineral Replacement - Vitamin, Mineral and Body Fluid Deficiency Drugs.................................... 46Electrolytes/Minerals/Metals/Vitamins...............................................................................................................46Enzyme Inhibitors - Chemotherapy Agents.......................................................................................................47Estrogens - Hormone Replacement/Modifying Drugs....................................................................................... 48Gastrointestinal Agents..................................................................................................................................... 48Gastrointestinal Agents - Drugs to Treat Bowel, Intestine and Stomach Conditions........................................ 50Genetic or Enzyme or Protein Disorder: Replacement, Modifiers, Treatment.................................................. 50Genitourinary Agents.........................................................................................................................................50Genitourinary Agents - Drugs to Treat Bladder, Genital and Kidney Conditions...............................................51Glycemic Agents - Diabetic Drugs.....................................................................................................................52Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)....................................................................... 52Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary).......................................................................52Hormonal Agents, Stimulant/Replacement/Modifying (Prostaglandins)............................................................52Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)............................................ 53Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers) - Drugs to Regulate Hormones..........................................................................................................................................................57Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)........................................................................57Hormonal Agents, Suppressant (Adrenal).........................................................................................................57Hormonal Agents, Suppressant (Pituitary)........................................................................................................ 58Hormonal Agents, Suppressant (Thyroid)......................................................................................................... 58Hormonal Agents, Suppressant (Thyroid) - Drugs to Suppress Thyroid Hormones......................................... 58Immune Suppressants - Immune System Drugs...............................................................................................58Immunological Agents....................................................................................................................................... 58Immunological Agents - Drugs that Stimulate or Suppress the Immune System..............................................60Inflammatory Bowel Disease Agents.................................................................................................................60Inflammatory Bowel Disease Agents - Drugs to Treat Inflammatory Bowel Disease........................................60Metabolic Bone Disease Agents....................................................................................................................... 61Miscellaneous Therapeutic Agents................................................................................................................... 61Molecular Target Inhibitors - Chemotherapy Agents.........................................................................................64Multiple Sclerosis Agents - Multiple Sclerosis Drugs........................................................................................ 65Ophthalmic Agents............................................................................................................................................ 65Ophthalmic Agents - Drugs to Treat Eye Conditions.........................................................................................68Otic Agents........................................................................................................................................................68Otic Agents - Drugs to Treat Ear Conditions..................................................................................................... 69Respiratory Tract/Pulmonary Agents................................................................................................................ 69Respiratory Tract/Pulmonary Agents - Drugs to Treat Allergies, Cough, Cold and Lung Conditions............... 71Skeletal Muscle Relaxants................................................................................................................................ 72Sleep Disorder Agents...................................................................................................................................... 73Sleep Disorder Agents - Drugs for Sedation and Sleep.................................................................................... 73Therapeutic Nutrients/Minerals/Electrolytes - Drugs to Treat Vitamin, Mineral and Body Fluid Deficiencies... 73

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Drug Name Drug Tier Notes

Analgesics

Nonsteroidal Anti-inflammatory Drugs

ARTHROTEC 3

CAMBIA 3

CATAFLAM 3

CELEBREX 3

celecoxib oral 1

DAYPRO 3

DICLOFENAC CAP 3

diclofenac potassium oral tablet 50 mg

1

diclofenac sodium er 1

diclofenac sodium oral 1

diclofenac-misoprostol 1

diflunisal oral 1

EC-NAPROSYN 3

ec-naproxen 1

etodolac 1

etodolac er 1

FELDENE 3

fenoprofen calcium oral 1

fenortho 1

flurbiprofen oral 1

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

1

INDOCIN 3

indomethacin er 1

INDOMETHACIN ORAL CAPSULE 20 MG

3

indomethacin oral capsule 25 mg, 50 mg

1

ketoprofen er 1

ketoprofen oral 1

KETOROLAC TROMETHAMINE NASAL

3


ketorolac tromethamine oral

1

LODINE 3

meclofenamate sodium oral

1

mefenamic acid oral 1

meloxicam oral 1

MOBIC 3

nabumetone oral 1

NALFON 3

NAPRELAN 3

NAPROSYN 3

naproxen oral 1

naproxen sodium er oral tablet extended release 24 hour 375 mg, 500 mg

1

NAPROXEN SODIUM ER ORAL TABLET EXTENDED RELEASE 24 HOUR 750 MG

3

naproxen sodium oral tablet 275 mg, 550 mg

1

oxaprozin 1

piroxicam oral 1

RELAFEN 3

RELAFEN DS 3

SPRIX 3

sulindac oral 1

TIVORBEX 3

VIVLODEX 3

ZIPSOR 3

ZORVOLEX 3

Opioid Analgesics, Long-acting

BELBUCA 2

buprenorphine hcl sublingual

1

CONZIP 3

SP= Specialty.Tier 1 or Specialty Tier 1: Your lowest cost medications; Tier 2 or Specialty Tier 2 :Your mid-range cost medications; and Tier 3 or Specialty Tier 3: Your highest cost medications.

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DILAUDID ORAL 3

fentanyl 1

hydrocodone bitartrate er

1

hydromorphone hcl er 1

hydromorphone hcl oral 1

hydromorphone hcl rectal

1

HYSINGLA ER 2

levorphanol tartrate oral 1

methadone hcl intensol 1

methadone hcl oral 1

methadose oral concentrate 10 mg/ml

1

methadose oral tablet soluble

1

methadose sugar-free 1

morphine sulfate (concentrate) oral solution 100 mg/5ml, 20 mg/ml

1

morphine sulfate er 1

morphine sulfate er beads

1

morphine sulfate oral 1

morphine sulfate rectal 1

MS CONTIN 3

NUCYNTA 3

NUCYNTA ER 3

OXYCODONE HCL ER 3

oxycodone hcl oral capsule

1

oxycodone hcl oral concentrate 100 mg/5ml

1

oxycodone hcl oral solution

1

OXYCONTIN 2

oxymorphone hcl 1

oxymorphone hcl er 1


QDOLO 3

SUBSYS 3

tramadol hcl er (biphasic)

1

TRAMADOL HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR

3

tramadol hcl er oral tablet extended release 24 hour

1

tramadol hcl oral 1

ULTRAM 3

XTAMPZA ER 2

Opioid Analgesics, Short-acting

acetaminophen-codeine

1

acetaminophen-codeine #2

1


1


1

ACTIQ 3

ALLZITAL 3

apap-caff-dihydrocodeine

1

ascomp-codeine 1

bac 1

BUPAP 3

butalbital-acetaminophen capsule 50-300 mg oral

1

BUTALBITAL-ACETAMINOPHEN CAPSULE 50-300 MG ORAL

3

butalbital-acetaminophen oral tablet

1


9


butalbital-apap-caff-cod 1

butalbital-apap-caffeine 1

butalbital-asa-caff-codeine

1

butalbital-aspirin-caffeine

1

butorphanol tartrate nasal

1

codeine sulfate 1

endocet 1

ESGIC 3

fentanyl citrate buccal lozenge on a handle

1

FENTANYL CITRATE BUCCAL TABLET

3

FENTORA 3

FIORICET 3

FIORICET/CODEINE 3

hydrocodone-acetaminophen oral solution 10-325 mg/15ml, 7.5-325 mg/15ml

1

hydrocodone-acetaminophen oral tablet

1

hydrocodone-ibuprofen 1

LAZANDA 3

LORTAB 3

meperidine hcl oral 1

NALOCET 3

OXYCODONE-ACETAMINOPHEN ORAL SOLUTION

3

OXYCODONE-ACETAMINOPHEN ORAL TABLET 10-300 MG, 2.5-300 MG, 5-300 MG

3


oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg

1

pentazocine-naloxone hcl

1

PERCOCET 3

PROLATE 3

TENCON 3

tramadol-acetaminophen

1

TREZIX 3

ULTRACET 3

VTOL LQ 3

ZEBUTAL 3

Analgesics - Drugs to Treat Pain, Inflammation, and Muscle and Joint Conditions

Analgesics - Miscellaneous Analgesics

TURPENTINE EXTERNAL

3

Nonsteroidal Anti-Inflammatory Drugs - Pain/Anti-Inflammatory Drugs

salsalate oral 1

Opioid Analgesics, Short-acting - Opioid Pain Relievers

APADAZ 3

BENZHYDROCODONE-ACETAMINOPHEN

3

OXAYDO 3

oxycodone hcl oral tablet

1

ROXICODONE 3


10


Anesthetics

Local Anesthetics

glydo 1

lidocaine external ointment 5 %

1

lidocaine external patch 5 %

1

lidocaine hcl external solution

1

lidocaine hcl urethral/mucosal

1

lidocaine-prilocaine external cream

1

LIDODERM 3

premium lidocaine 1

ZTLIDO 3

Anesthetics - Drugs for Numbing

Local Anesthetics

LIDOHEAL-90 3

Anti-Addiction/Substance Abuse Treatment Agents

Opioid Dependence

BUNAVAIL 3

buprenorphine 1

buprenorphine hcl-naloxone hcl

1

BUTRANS 3

LUCEMYRA 3

SUBOXONE 3

ZUBSOLV 2

Opioid Reversal Agents

KLOXXADO 3

naloxone hcl injection 1

NARCAN 2


Antiandrogens - Hormone Suppressants

Antineoplastics - Drugs to Treat Cancer

ORGOVYX 3 SP

Antibacterials

Aminoglycosides

ARIKAYCE 3 SP

HUMATIN 3

neomycin sulfate oral 1

paromomycin sulfate oral

1

Antibacterials, Other

AEMCOLO 3

CLEOCIN 3

clindamycin hcl oral 1

clindamycin palmitate hcl

1

clindamycin phosphate vaginal

1

CLINDESSE 3

colistimethate sodium (cba)

1

COLY-MYCIN M 3

FIRVANQ 3

FLAGYL 3

fosfomycin tromethamine

1

HIPREX 3

linezolid oral 1

MACROBID 3

MACRODANTIN 3

methenamine hippurate 1

METROCREAM 3

METROGEL 3

METROLOTION 3

metronidazole external 1

metronidazole oral 1


11


metronidazole vaginal 1

MONUROL 3

nitrofurantoin 1

nitrofurantoin macrocrystal

1

nitrofurantoin monohydrate macrocrystals

1

NORITATE 3

NUVESSA 3

rosadan external cream 1

rosadan external gel 1

SIVEXTRO ORAL 3

SOLOSEC 3

tinidazole oral 1

trimethoprim oral 1

VANCOCIN 3

VANCOCIN HCL 3

vancomycin hcl oral 1

vandazole 1

XENLETA ORAL 3

XIFAXAN 3

ZYVOX ORAL 3

Beta-lactam, Cephalosporins

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefixime 1

cefpodoxime proxetil 1

cefprozil 1

cefuroxime axetil 1

cephalexin 1

KEFLEX 3

SUPRAX 3


Beta-lactam, Penicillins

amoxicillin 1

amoxicillin-potassium clavulanate

1

amoxicillin-potassium clavulanate er

1

ampicillin 1

AUGMENTIN ES-600 3

AUGMENTIN ORAL SUSPENSION RECONSTITUTED 250-62.5 MG/5ML

3

dicloxacillin sodium 1

penicillin v potassium 1

Macrolides

azithromycin oral 1

clarithromycin er 1

clarithromycin oral 1

DIFICID 3

E.E.S. 400 3

E.E.S. GRANULES 3

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

ERYTHROCIN STEARATE

3

erythromycin base 1

erythromycin ethylsuccinate oral

1

erythromycin oral 1

ZITHROMAX ORAL 3

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

Quinolones

BAXDELA ORAL 3

CIPRO 3

ciprofloxacin hcl oral 1

levofloxacin oral 1


12


moxifloxacin hcl oral 1

ofloxacin oral 1

Sulfonamides

BACTRIM 3

BACTRIM DS 3

sulfadiazine oral 1

sulfamethoxazole-trimethoprim oral

1

sulfatrim pediatric 1

Tetracyclines

ACTICLATE 3

avidoxy 1

coremino 1

demeclocycline hcl 1

DORYX 3

DORYX MPC 3

doxycycline 1

doxycycline hyclate oral capsule

1

doxycycline hyclate oral tablet

1

doxycycline hyclate oral tablet delayed release 100 mg, 150 mg, 200 mg, 50 mg, 75 mg

1

DOXYCYCLINE HYCLATE ORAL TABLET DELAYED RELEASE 80 MG

3

doxycycline monohydrate oral

1

MINOCYCLINE HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR

3

minocycline hcl er oral tablet extended release 24 hour

1

minocycline hcl oral 1

MINOLIRA 3


mondoxyne nl 1

morgidox oral 1

NUZYRA ORAL 3

ORACEA 3

SEYSARA 3

SOLODYN 3

TARGADOX 3

tetracycline hcl oral 1

VIBRAMYCIN 3

XIMINO 3

Antibacterials - Drugs to Treat Bacterial Infections

Antibacterials, Other - Antibiotics

ARZOL SILVER NIT APPLICATORS

3

BENZALKONIUM CHLORIDE EXTERNAL SOLUTION

3

benzalkonium chloride external solution 50 %

1

FEM PH 3

iodine tincture external tincture 2 %

1

LUGOLS STRONG IODINE

3

methenamine mandelate oral

1

PRIMSOL 3

silver nitrate external 1

Tetracyclines - Antibiotics

AVIDOXY DK 3

MORGIDOX COMBINATION

3

NUTRIDOX 3


13


Anticonvulsants

Anticonvulsants, Other

BRIVIACT ORAL 3

ELEPSIA XR 3

EPIDIOLEX 3 SP

felbamate 1

FELBATOL 3

FINTEPLA 3 SP

FYCOMPA 3

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL 3

LAMICTAL ODT 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

lamotrigine oral 1

lamotrigine starter kit-blue

1

lamotrigine starter kit-green

1

lamotrigine starter kit-orange

1

levetiracetam er 1

levetiracetam oral 1

QUDEXY XR 3

roweepra 1

SPRITAM 3

subvenite 1

subvenite starter kit-blue

1

subvenite starter kit-green

1

subvenite starter kit-orange

1

TOPAMAX 3

TOPAMAX SPRINKLE 3


topiramate er 1

topiramate oral 1

TROKENDI XR 3

valproic acid oral 1

XCOPRI 3

Calcium Channel Modifying Agents

CELONTIN 3

ethosuximide oral 1

ZARONTIN 3

Gamma-aminobutyric Acid (GABA) Augmenting Agents

clobazam 1

DIASTAT ACUDIAL 3

DIASTAT PEDIATRIC 3

diazepam rectal 1

gabapentin oral capsule

1

gabapentin oral solution 250 mg/5ml

1

gabapentin oral tablet 1

GABITRIL 3

MYSOLINE 3

NAYZILAM 3

NEURONTIN 3

ONFI 3

phenobarbital oral 1

primidone oral 1

SABRIL 3 SP

SYMPAZAN 3

tiagabine hcl 1

VALTOCO 3

vigabatrin 1 SP

vigadrone 1 SP

Sodium Channel Agents

APTIOM 3


14


BANZEL 3

carbamazepine er 1

carbamazepine oral 1

CARBATROL 3

DILANTIN 3

DILANTIN INFATABS 3

epitol 1

oxcarbazepine 1

OXTELLAR XR 3

PHENYTEK 3

phenytoin infatabs 1

phenytoin oral suspension 125 mg/5ml

1

phenytoin oral tablet chewable

1

phenytoin sodium extended

1

rufinamide 1

TEGRETOL 3

TEGRETOL-XR 3

TRILEPTAL 3

VIMPAT ORAL 3

ZONEGRAN 3

zonisamide oral 1

Anticonvulsants - Drugs to Treat Seizures

Anticonvulsants, Other

DIACOMIT 3 SP

Antidementia Agents

Antidementia Agents, Other

ergoloid mesylates oral 1

NAMZARIC 2

Cholinesterase Inhibitors

ARICEPT 3

donepezil hcl 1


EXELON 3

galantamine hydrobromide

1

galantamine hydrobromide er

1

RAZADYNE ER 3

rivastigmine 1

rivastigmine tartrate 1

N-methyl-D-aspartate (NMDA) Receptor Antagonist

memantine hcl er 1

memantine hcl oral solution 2 mg/ml

1

memantine hcl oral tablet

1

NAMENDA TITRATION PAK

3

NAMENDA XR 3

Antidepressants

Antidepressants, Other

APLENZIN 3

bupropion hcl er (sr) 1

bupropion hcl er (xl) oral tablet extended release 24 hour 150 mg, 300 mg

1

BUPROPION HCL ER (XL) ORAL TABLET EXTENDED RELEASE 24 HOUR 450 MG

3

bupropion hcl oral 1

chlordiazepoxide-amitriptyline

1

FORFIVO XL 3

mirtazapine oral 1

olanzapine-fluoxetine hcl

1

perphenazine-amitriptyline

1


15


REMERON 3

REMERON SOLTAB 3

SPRAVATO (56 MG DOSE)

3 SP

SPRAVATO (84 MG DOSE)

3 SP

SYMBYAX 3

WELLBUTRIN SR 3

WELLBUTRIN XL 3

Monoamine Oxidase Inhibitors

EMSAM 3

MARPLAN 3

NARDIL 3

PARNATE 3

phenelzine sulfate oral 1

tranylcypromine sulfate 1

SSRI/SNRI (Selective Serotonin Reuptake Inhibitors/Serotonin and Norepinephrine Reuptake Inhibitors)

BRISDELLE 3

CELEXA 3

citalopram hydrobromide

1

DESVENLAFAXINE ER

3

desvenlafaxine succinate er

1

EFFEXOR XR 3

escitalopram oxalate 1

FETZIMA 3

FETZIMA TITRATION 3

fluoxetine hcl (pmdd) 1

fluoxetine hcl oral 1

fluvoxamine maleate 1

fluvoxamine maleate er 1

LEXAPRO 3


nefazodone hcl 1

paroxetine hcl 1

paroxetine hcl er 1

paroxetine mesylate 1

PAXIL CR 3

PAXIL ORAL SUSPENSION

2

PAXIL ORAL TABLET 3

PEXEVA 3

PRISTIQ 3

PROZAC 3

sertraline hcl oral 1

trazodone hcl oral 1

TRINTELLIX 3

venlafaxine hcl 1

venlafaxine hcl er 1

VIIBRYD 3

VIIBRYD STARTER PACK

3

ZOLOFT 3

Tricyclics

amitriptyline hcl oral 1

amoxapine 1

ANAFRANIL 3

clomipramine hcl oral 1

desipramine hcl oral 1

doxepin hcl oral capsule

1

doxepin hcl oral concentrate

1

imipramine hcl oral 1

imipramine pamoate 1

NORPRAMIN 3

nortriptyline hcl oral 1

PAMELOR 3

protriptyline hcl 1

trimipramine maleate oral

1


16


Antidepressants - Drugs to Treat Depression

Antidepressants, Other - Antidepressants

LYBALVI 3

Antiemetics

Antiemetics, Other

ANTIVERT 3

BONJESTA 3

compro 1

DICLEGIS 3

doxylamine-pyridoxine 1

GIMOTI 3

metoclopramide hcl oral

1

perphenazine oral 1

prochlorperazine 1

prochlorperazine maleate oral

1

promethazine hcl oral 1

promethazine hcl rectal 1

promethegan 1

REGLAN 3

scopolamine 1

TRANSDERM-SCOP (1.5 MG)

3

trimethobenzamide hcl oral

1

Emetogenic Therapy Adjuncts

AKYNZEO ORAL 3

aprepitant 1

dronabinol 1

EMEND ORAL 3

EMEND TRI-PACK 3

granisetron hcl oral 1

MARINOL 3


ondansetron hcl oral 1

ondansetron odt 1

SANCUSO 3

SYNDROS 3

VARUBI (180 MG DOSE)

3

ZOFRAN 3

ZUPLENZ 3

Antifungals

ANCOBON 3

CRESEMBA ORAL 3

DIFLUCAN 3

fluconazole oral 1

flucytosine oral 1

griseofulvin microsize oral

1

griseofulvin ultramicrosize

1

GYNAZOLE-1 3

itraconazole oral 1

ketoconazole oral 1

miconazole 3 1

NOXAFIL ORAL 3

nystatin oral 1

ORAVIG 3

posaconazole 1

SPORANOX 3

SPORANOX PULSEPAK

3

terbinafine hcl oral 1

terconazole 1

TOLSURA 3

VFEND 3

voriconazole oral 1


17


Antifungals - Drugs to Treat Fungal Infections

Antifungals - Fungal Infection Drugs

EXELDERM 3

hydrocortisone-iodoquinol

1

LOPROX EXTERNAL KIT 0.77 %

3

SULCONAZOLE NITRATE

3

XOLEGEL COREPAK 3

XOLEGEL DUO/HEAD & SHOULDERS

3

XOLEGEL DUO/XOLEX

3

Antigout Agents

allopurinol oral 1

COLCHICINE ORAL CAPSULE

3

colchicine oral tablet 1

colchicine-probenecid 1

COLCRYS 3

febuxostat 1

GLOPERBA 3

MITIGARE 3

probenecid 1

ULORIC 3

ZYLOPRIM 3

Anti-HIV Agents, Other - HIV Drugs

Antivirals - Drugs to Treat Viral Infections

VOCABRIA 3

Antimigraine Agents

Acute

REYVOW 3


Ergot Alkaloids

CAFERGOT 3

D.H.E. 45 3

dihydroergotamine mesylate injection

1

dihydroergotamine mesylate nasal

1

ERGOMAR 3

ergotamine-caffeine 1

MIGERGOT 3

MIGRANAL 3

Prophylactic

AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 140 MG/ML, 70 MG/ML

2

AJOVY 3

EMGALITY 2

EMGALITY (300 MG DOSE)

2

timolol maleate oral 1

Antimigraine Agents - Drugs to Treat Migraines

Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist - Migraine Drugs

NURTEC 2

UBRELVY 2

Ergot Alkaloids - Migraine Drugs

TRUDHESA 3

Serotonin (5-HT) Receptor Agonists - Migraine Drugs

almotriptan malate 1

AMERGE 3

eletriptan hydrobromide 1


18


FROVA 3

frovatriptan succinate 1

IMITREX 3

IMITREX STATDOSE REFILL

3

IMITREX STATDOSE SYSTEM

3

MAXALT 3

MAXALT-MLT 3

naratriptan hcl 1

ONZETRA XSAIL 3

RELPAX 3

rizatriptan benzoate 1

sumatriptan nasal 1

sumatriptan succinate oral

1

sumatriptan succinate refill

1

sumatriptan succinate subcutaneous

1

sumatriptan-naproxen sodium

1

TOSYMRA 3

TREXIMET 3

ZEMBRACE SYMTOUCH

3

ZOLMITRIPTAN NASAL

3

zolmitriptan oral 1

ZOMIG 3

Antimyasthenic Agents

Parasympathomimetics

MESTINON 3

pyridostigmine bromide er

1

pyridostigmine bromide oral

1


Antimycobacterials

Antimycobacterials, Other

dapsone oral 1

MYCOBUTIN 3

rifabutin 1

Antituberculars

cycloserine oral 1

ethambutol hcl oral 1

isoniazid oral 1

MYAMBUTOL 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifampin oral 1

SIRTURO 3

TRECATOR 3

Antineoplastics

Alkylating Agents

cyclophosphamide oral capsule

1

CYCLOPHOSPHAMIDE ORAL TABLET

2

GLEOSTINE 3 SP

LEUKERAN 2

MATULANE 2 SP

MYLERAN 2

TEMODAR ORAL 3 SP

temozolomide 1 SP

VALCHLOR 3 SP

Antiandrogens

abiraterone acetate 1 SP

bicalutamide 1

CASODEX 3

ERLEADA 3 SP

flutamide 1


19


NILANDRON 3 SP

nilutamide 1 SP

NUBEQA 3 SP

XTANDI 3 SP

YONSA 3 SP

ZYTIGA 3 SP

Antiangiogenic Agents

POMALYST 3 SP

REVLIMID 2 SP

THALOMID 2 SP

Antiestrogens/Modifiers

EMCYT 2

FARESTON 3

SOLTAMOX 3

tamoxifen citrate oral 1

toremifene citrate 1

Antimetabolites

HYDREA 3

hydroxyurea oral 1

mercaptopurine oral 1

ONUREG 3 SP

PURIXAN 3 SP

TABLOID 2 SP

Antineoplastics, Other

IDHIFA 3 SP

LONSURF 3 SP

NINLARO 3 SP

PEMAZYRE 3 SP

SYNRIBO 3 SP

TAZVERIK 3 SP

XPOVIO (100 MG ONCE WEEKLY)

3 SP


3 SP


XPOVIO (40 MG TWICE WEEKLY)

3 SP


3 SP


3 SP


3 SP


3 SP

ZOLINZA 2 SP

Aromatase Inhibitors, 3rd Generation

anastrozole oral 1

ARIMIDEX 3

AROMASIN 3

exemestane 1

FEMARA 3

letrozole oral 1

Enzyme Inhibitors

etoposide oral 1 SP

HYCAMTIN ORAL 3 SP

Molecular Target Inhibitors

AFINITOR DISPERZ 3 SP

AFINITOR ORAL TABLET 10 MG

2 SP

AFINITOR ORAL TABLET 2.5 MG, 5 MG, 7.5 MG

3 SP

BALVERSA 3 SP

BRAFTOVI 3 SP

COPIKTRA 3 SP

COTELLIC 3 SP

DAURISMO 3 SP

ERIVEDGE 3 SP

everolimus oral tablet 2.5 mg, 5 mg, 7.5 mg

1 SP

FARYDAK 3 SP


20


IBRANCE 3 SP

INQOVI 3 SP

INREBIC 3 SP

JAKAFI 2 SP

KISQALI FEMARA 3 SP

KISQALI ORAL TABLET THERAPY PACK 200 MG

3 SP

KOSELUGO 3 SP

LYNPARZA 2 SP

MEKINIST 2 SP

MEKTOVI 3 SP

NEXAVAR 2 SP

ODOMZO 3 SP

PIQRAY 3 SP

ROZLYTREK 3 SP

RUBRACA 2 SP

RYDAPT 3 SP

STIVARGA 3 SP

sunitinib malate 1 SP

SUTENT 3 SP

TAFINLAR 2 SP

TALZENNA 3 SP

TIBSOVO 3 SP

VENCLEXTA 3 SP

VENCLEXTA STARTING PACK

3 SP

VERZENIO 3 SP

VITRAKVI 3 SP

ZEJULA 2 SP

ZELBORAF 3 SP

ZYDELIG 3 SP

Retinoids

bexarotene 1 SP

PANRETIN 3

TARGRETIN 3 SP

tretinoin oral 1 SP


Treatment Adjuncts

leucovorin calcium oral 1

MESNEX ORAL 3 SP

VISTOGARD 3


Alkylating Agents - Chemotherapy Agents

ALKERAN ORAL 3 SP

melphalan 1 SP

WELIREG 3 SP

Antimetabolites - Chemotherapy Agents

capecitabine 1 SP

XELODA 3 SP

Molecular Target Inhibitors - Chemotherapy Agents

EXKIVITY 3

TEPMETKO 3 SP

Antineoplastics, Other - Chemotherapy Agents


LUMAKRAS 3 SP

ZYKADIA 3 SP

Antiparasitics

Anthelmintics

albendazole oral 1

ALBENZA 3

BILTRICIDE 3

EMVERM 2

ivermectin oral 1

praziquantel oral 1

STROMECTOL 3


21


Antiprotozoals

ALINIA ORAL SUSPENSION RECONSTITUTED

2

ALINIA ORAL TABLET 3

ARAKODA 3

atovaquone 1

atovaquone-proguanil hcl

1

BENZNIDAZOLE 3

chloroquine phosphate oral

1

COARTEM 3

DARAPRIM 3 SP

hydroxychloroquine sulfate oral

1

IMPAVIDO 3

KRINTAFEL 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NEBUPENT 3

nitazoxanide oral 1

pentamidine isethionate inhalation

1

PLAQUENIL 3

primaquine phosphate 1

pyrimethamine oral 1 SP

QUALAQUIN 3

quinine sulfate oral 1

Antiparasitics - Drugs to Treat Parasitic Infections

Anthelmintics - Worm Infection Drugs

EGATEN 3


Antiprotozoals - Protozoal Infection Drugs

LAMPIT 3

Pediculicides/Scabicides - Scabies and Lice Drugs

SULFURATED LIME 3

Antiparkinson Agents

Anticholinergics

benztropine mesylate oral

1

trihexyphenidyl hcl 1

Antiparkinson Agents, Other

amantadine hcl oral 1

carbidopa-levodopa-entacapone

1

COMTAN 3

entacapone 1

GOCOVRI 3

NOURIANZ 3

ONGENTYS 3

OSMOLEX ER 3

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

TASMAR 3

tolcapone 1

Dopamine Agonists

APOKYN 3 SP

bromocriptine mesylate oral

1

KYNMOBI 3 SP

KYNMOBI TITRATION KIT

3 SP


22


MIRAPEX ER 3

NEUPRO 3

PARLODEL 3

pramipexole dihydrochloride

1

pramipexole dihydrochloride er

1

ropinirole hcl 1

ropinirole hcl er 1

Dopamine Precursors and/or L-Amino Acid Decarboxylase Inhibitors

carbidopa oral 1

carbidopa-levodopa 1

carbidopa-levodopa er 1

DUOPA 3

INBRIJA 3 SP

LODOSYN 3

RYTARY 3

SINEMET 3

Monoamine Oxidase B (MAO-B) Inhibitors

AZILECT 3

rasagiline mesylate oral 1

selegiline hcl oral 1

XADAGO 3

ZELAPAR 3

Antipsychotics

1st Generation/Typical

ADASUVE 3

chlorpromazine hcl oral 1

fluphenazine hcl oral 1

haloperidol lactate oral 1

haloperidol oral 1

loxapine succinate 1

molindone hcl 1


pimozide 1

thioridazine hcl oral 1

thiothixene 1

trifluoperazine hcl 1

2nd Generation/Atypical

ABILIFY 3

aripiprazole 1

asenapine maleate 1

CAPLYTA 3

FANAPT 3

FANAPT TITRATION PACK

3

GEODON ORAL 3

INVEGA 3

LATUDA 3

NUPLAZID 3

olanzapine oral 1

paliperidone er 1

quetiapine fumarate 1

quetiapine fumarate er 1

REXULTI 3

RISPERDAL 3

risperidone 1

SAPHRIS 3

SECUADO 3

SEROQUEL 3

SEROQUEL XR 3

VRAYLAR 3

ziprasidone hcl 1

ZYPREXA ORAL 3

ZYPREXA ZYDIS 3

Treatment-Resistant

clozapine 1

CLOZARIL 3

VERSACLOZ 3


23


Antispasmodics, Urinary - Bladder Control Drugs

Genitourinary Agents - Drugs to Treat Bladder, Genital and Kidney Conditions

GEMTESA 3

Antispasticity Agents

baclofen oral 1

DANTRIUM ORAL 3

dantrolene sodium oral 1

OZOBAX 3

tizanidine hcl oral 1

ZANAFLEX 3

Antivirals

Anti-cytomegalovirus (CMV) Agents

PREVYMIS ORAL 3 SP

VALCYTE 3

valganciclovir hcl 1

ZIRGAN 3

Anti-hepatitis B (HBV) Agents

adefovir dipivoxil 1 SP

BARACLUDE 3 SP

entecavir 1 SP

EPIVIR HBV ORAL SOLUTION

2 SP

EPIVIR HBV ORAL TABLET

3 SP

HEPSERA 3 SP

lamivudine oral tablet 100 mg

1 SP

VEMLIDY 3 SP

Anti-hepatitis C (HCV) Agents

EPCLUSA 2 SP

HARVONI 2 SP


LEDIPASVIR-SOFOSBUVIR

3 SP

MAVYRET 2 SP

ribavirin oral 1 SP

SOFOSBUVIR-VELPATASVIR

3 SP

SOVALDI 3 SP

VIEKIRA PAK 3 SP

VOSEVI 2 SP

ZEPATIER 3 SP

Antiherpetic Agents

acyclovir external 1

acyclovir oral 1

DENAVIR 3

famciclovir oral 1

SITAVIG 3

valacyclovir hcl oral 1

VALTREX 3

ZOVIRAX 3

Anti-HIV Agents, Integrase Inhibitors (INSTI)

BIKTARVY 3

DOVATO 2

GENVOYA 3

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

STRIBILD 3

TIVICAY 2

TIVICAY PD 2

Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI)

ATRIPLA 3

COMPLERA 2

DELSTRIGO 3


24


EDURANT 2

efavirenz 1

efavirenz-emtricitab-tenofovir

1

efavirenz-lamivudine-tenofovir

1

etravirine 1

INTELENCE ORAL TABLET 100 MG, 200 MG

3

INTELENCE ORAL TABLET 25 MG

2

nevirapine 1

nevirapine er 1

PIFELTRO 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

VIRAMUNE ORAL SUSPENSION 50 MG/5ML

3

VIRAMUNE XR 3

Anti-HIV Agents, Nucleoside And Nucleotide Reverse Transcriptase Inhibitors (NRTI)

abacavir sulfate 1

abacavir sulfate-lamivudine

1

abacavir-lamivudine-zidovudine

1

CIMDUO 2

COMBIVIR 3

DESCOVY 3

emtricitabine 1

emtricitabine-tenofovir df

1

EMTRIVA ORAL CAPSULE

3


EMTRIVA ORAL SOLUTION

2

EPIVIR 3

EPZICOM 3

lamivudine oral solution 1

lamivudine oral tablet 150 mg, 300 mg

1

lamivudine-zidovudine 1

ODEFSEY 3

RETROVIR ORAL 3

stavudine 1

TEMIXYS 3

tenofovir disoproxil fumarate

1

TRIUMEQ 2

TRIZIVIR 3

TRUVADA 3

VIREAD ORAL POWDER

2

VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG

2

VIREAD ORAL TABLET 300 MG

3

ZIAGEN 3

zidovudine 1

Anti-HIV Agents, Other

FUZEON 2

RUKOBIA 2

SELZENTRY 2

TYBOST 2

Anti-HIV Agents, Protease Inhibitors (PI)

APTIVUS 2

atazanavir sulfate 1

CRIXIVAN 2

EVOTAZ 2


25


fosamprenavir calcium 1

INVIRASE 2

KALETRA 3

LEXIVA ORAL SUSPENSION

2

LEXIVA ORAL TABLET 3

lopinavir-ritonavir 1

NORVIR ORAL PACKET

2

NORVIR ORAL SOLUTION

2

NORVIR ORAL TABLET

3

PREZCOBIX 2

PREZISTA 2

REYATAZ ORAL CAPSULE

3

REYATAZ ORAL PACKET

2

ritonavir 1

SYMTUZA 3

VIRACEPT 2

Anti-influenza Agents

oseltamivir phosphate oral

1

RELENZA DISKHALER 3

rimantadine hcl 1

TAMIFLU 3

XOFLUZA (40 MG DOSE)

3

XOFLUZA (80 MG DOSE)

3

Antivirals - Drugs to Treat Viral Infections

FAVIPIRAVIR 3

Anxiolytics

Anxiolytics, Other

buspirone hcl oral 1

hydroxyzine hcl oral 1


hydroxyzine pamoate oral

1

meprobamate 1

VISTARIL 3

Benzodiazepines

alprazolam er 1

alprazolam intensol 1

alprazolam oral 1

alprazolam xr 1

ATIVAN ORAL 3

chlordiazepoxide hcl 1

clonazepam oral 1

clorazepate dipotassium

1

diazepam intensol 1

diazepam oral 1

KLONOPIN 3

lorazepam intensol 1

lorazepam oral concentrate 2 mg/ml

1

lorazepam oral tablet 1

LOREEV XR 3

midazolam hcl oral 1

oxazepam 1

TRANXENE-T 3

VALIUM 3

XANAX 3

XANAX XR 3

Anxiolytics - Drugs to Treat Anxiety

Benzodiazepines - Anxiety Drugs

DORAL 3

quazepam 1


26


Attention Deficit Hyperactivity Disorder Agents, Non-amphetamines - ADHD Drugs

Central Nervous System Agents - Drugs to Treat Nerve Conditions

QELBREE 3

Bipolar Agents

Mood Stabilizers

DEPAKOTE 3

DEPAKOTE ER 3

DEPAKOTE SPRINKLES

3

divalproex sodium er 1

divalproex sodium oral 1

EQUETRO 3

lithium carbonate er 1

lithium carbonate oral 1

LITHOBID 3

Blood Formation Modifiers - Blood Formation Drugs

Blood Products and Modifiers - Drugs to Treat Blood Disorders

EMPAVELI 3 SP

Blood Glucose Regulators

Antidiabetic Agents

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN 3

ADLYXIN STARTER PACK

3

ALOGLIPTIN BENZOATE

3


ALOGLIPTIN-METFORMIN HCL

3

ALOGLIPTIN-PIOGLITAZONE

3

AMARYL 3

BYDUREON BCISE AUTOINJECTOR

2

BYETTA 10 MCG PEN 2

BYETTA 5 MCG PEN 2

CYCLOSET 3

DUETACT 3

FARXIGA 2

glimepiride 1

glipizide er 1

glipizide oral 1

glipizide xl 1

glipizide-metformin hcl 1

GLUCOTROL XL 3

GLUMETZA 3

glyburide micronized 1

glyburide oral 1

glyburide-metformin 1

GLYNASE 3

GLYXAMBI 2

INVOKAMET 3

INVOKAMET XR 3

INVOKANA 3

JANUMET 2

JANUMET XR 2

JANUVIA 2

JARDIANCE 2

JENTADUETO 2

JENTADUETO XR 2

KAZANO 3

KOMBIGLYZE XR 3

metformin hcl er 1

metformin hcl er (mod) 1


27


metformin hcl er (osm) 1

metformin hcl oral 1

miglitol 1

nateglinide 1

NESINA 3

ONGLYZA 3

OSENI 3

OZEMPIC 2

pioglitazone hcl 1

pioglitazone hcl-glimepiride

1

pioglitazone hcl-metformin hcl

1

PRECOSE 3

QTERN 3

repaglinide 1

RIOMET 3

RYBELSUS 2

SEGLUROMET 3

SOLIQUA 2

STEGLATRO 3

STEGLUJAN 3

SYMLINPEN 120 3

SYMLINPEN 60 3

SYNJARDY 2

SYNJARDY XR 2

tolbutamide oral tablet 500 mg

1

TRADJENTA 2

TRIJARDY XR 2

TRULICITY 2

VICTOZA 2

XIGDUO XR 2

XULTOPHY 3

Glycemic Agents

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2


diazoxide oral 1

GLUCAGEN HYPOKIT 3

glucagon emergency kit 1 mg injection 1 mg

1

GLUCAGON EMERGENCY KIT 1 MG INJECTION 1 MG

3

GLUCAGON EMERGENCY KIT INJECTION SOLUTION RECONSTITUTED 1 MG/ML

2

GVOKE HYPOPEN 1-PACK

2

GVOKE HYPOPEN 2-PACK

2

GVOKE PFS 2

PROGLYCEM 3

Insulins

ADMELOG 3

ADMELOG SOLOSTAR

3

AFREZZA 3

APIDRA SOLOSTAR 3

APIDRA VIAL 3

BASAGLAR KWIKPEN 3

FIASP 3

FIASP FLEXTOUCH 3

FIASP PENFILL 3

HUMALOG 2

HUMALOG KWIKPEN 2

HUMALOG MIX 50/50 KWIKPEN

2

HUMALOG MIX 50/50 VIAL

2

HUMALOG MIX 75/25 KWIKPEN

2

HUMALOG MIX 75/25 VIAL

2


28


HUMALOG U-100 JUNIOR KWIKPEN

2

HUMULIN 70/30 KWIKPEN

2

HUMULIN 70/30 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R U-500 KWIKPEN

2

HUMULIN R U-500 VIAL

2

HUMULIN R VIAL 2

INSULIN ASP PROT & ASP FLEXPEN

2

INSULIN ASPART 2

INSULIN ASPART FLEXPEN

2

INSULIN ASPART PENFILL

2

INSULIN ASPART PROT & ASPART

2

INSULIN LISPRO 2

INSULIN LISPRO (1 UNIT DIAL)

2

INSULIN LISPRO JUNIOR KWIKPEN

2

INSULIN LISPRO PROT & LISPRO

2

LANTUS SOLOSTAR 2

LANTUS U-100 VIAL 2

LEVEMIR U-100 FLEXTOUCH

2

LEVEMIR U-100 VIAL 2

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

NOVOLIN 70/30 FLEXPEN

2

NOVOLIN 70/30 FLEXPEN RELION

2


NOVOLIN 70/30 RELION

2

NOVOLIN 70/30 VIAL 2

NOVOLIN N FLEXPEN 2

NOVOLIN N FLEXPEN RELION

2

NOVOLIN N RELION 2

NOVOLIN N VIAL 2

NOVOLIN R FLEXPEN 2

NOVOLIN R FLEXPEN RELION

2

NOVOLIN R RELION 2

NOVOLIN R VIAL 2

NOVOLOG 70/30 FLEXPEN RELION

3

NOVOLOG FLEXPEN 2

NOVOLOG FLEXPEN RELION

3

NOVOLOG MIX 70/30 FLEXPEN

2

NOVOLOG MIX 70/30 RELION

3

NOVOLOG MIX 70/30 VIAL

2

NOVOLOG PENFILL 2

NOVOLOG RELION 3

NOVOLOG U-100 VIAL 2

SEMGLEE 3

TOUJEO MAX SOLOSTAR

2

TOUJEO SOLOSTAR 2

TRESIBA 2

TRESIBA FLEXTOUCH

2

Blood Products and Modifiers

Anticoagulants

ARIXTRA 3 SP

ELIQUIS 2


29


ELIQUIS DVT/PE STARTER PACK

2

enoxaparin sodium 1 SP

fondaparinux sodium 1 SP

FRAGMIN 3 SP

heparin sodium (porcine)

1

heparin sodium (porcine) pf

1

jantoven 1

LOVENOX 3 SP

PRADAXA 2

SAVAYSA 3

warfarin sodium oral 1

XARELTO 2

XARELTO STARTER PACK

2

ZONTIVITY 3

Blood Products and Modifiers, Other

AGRYLIN 3

anagrelide hcl 1

ARANESP (ALBUMIN FREE)

2 SP

DROXIA 3

EPOGEN 3 SP

FULPHILA 3 SP

GRANIX 3 SP

LEUKINE 3 SP

MOZOBIL 2 SP

MULPLETA 2 SP

NEULASTA 3 SP

NEUPOGEN 3 SP

NIVESTYM 2 SP

OXBRYTA 3 SP

PROCRIT 3 SP

PROMACTA 3 SP

RETACRIT 2 SP


SIKLOS 3

UDENYCA 3 SP

ZARXIO 2 SP

ZIEXTENZO 3 SP

Hemostasis Agents

AMICAR 3

aminocaproic acid oral 1

LYSTEDA 3

tranexamic acid oral 1

Platelet Modifying Agents

aspirin-dipyridamole er 1

BRILINTA 2

CABLIVI 3 SP

cilostazol 1

clopidogrel bisulfate oral

1

dipyridamole oral 1

DOPTELET 3 SP

EFFIENT 3

PLAVIX 3

prasugrel hcl 1

TAVALISSE 3 SP

Blood Products and Modifiers - Drugs to Treat Blood Disorders

Anticoagulants - Blood Thinners

ANTICOAGULANT SODIUM CITRATE

3

TRICITRASOL 3

Hemostasis Agents - Drugs to Stop Bleeding

ADVATE 2 SP

ALPHANINE SD 2 SP

COAGADEX 3 SP

ELOCTATE 3 SP

JIVI 3 SP


30


KOVALTRY 3 SP

MONONINE 2 SP

NOVOEIGHT 2 SP

NUWIQ 2 SP

PROFILNINE 2 SP

REBINYN 3 SP

THROMBIN-JMI EPISTAXIS

3

THROMBIN-JMI EXTERNAL KIT

3

THROMBOGEN 3

Blood Products/Modifiers/Volume Expanders - Drugs to Treat Blood Disorders

Anticoagulants - Blood Thinners

ACD-A NOCLOT-50 3

Hemostasis Agents - Drugs to Stop Bleeding

ADYNOVATE 3 SP

AFSTYLA 3 SP

ALPHANATE 2 SP

ALPROLIX 3 SP

ASTRINGYN 3

BENEFIX 2 SP

CORIFACT 2 SP

FEIBA 2 SP

HEMLIBRA 3 SP

HEMOFIL M 3 SP

HUMATE-P 2 SP

IDELVION 3 SP

IXINITY 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP


monsels ferric subsulfate

1

NOVOSEVEN RT 3 SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

3

RIXUBIS 3 SP

TRETTEN 3 SP

VONVENDI 3 SP

WILATE 2 SP

XYNTHA 2 SP

XYNTHA SOLOFUSE 2 SP

Cardiovascular Agents

Alpha-adrenergic Agonists

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

clonidine hcl oral 1

droxidopa 1 SP

guanfacine hcl 1

methyldopa 1

midodrine hcl 1

NORTHERA 3 SP

Alpha-adrenergic Blocking Agents

CARDURA 3

DIBENZYLINE 3

doxazosin mesylate oral

1

MINIPRESS 3

phenoxybenzamine hcl oral

1

prazosin hcl oral 1


31


Angiotensin II Receptor Antagonists

ATACAND 3

AVAPRO 3

BENICAR 3

candesartan cilexetil 1

COZAAR 3

DIOVAN 3

EDARBI 3

irbesartan 1

losartan potassium oral 1

MICARDIS 3

olmesartan medoxomil oral

1

telmisartan 1

valsartan 1

Angiotensin-converting Enzyme (ACE) Inhibitors

ACCUPRIL 3

ALTACE 3

benazepril hcl oral 1

captopril oral 1

enalapril maleate oral 1

EPANED 3

fosinopril sodium 1

lisinopril oral 1

LOTENSIN 3

moexipril hcl 1

perindopril erbumine 1

PRINIVIL 3

QBRELIS 3

quinapril hcl 1

ramipril 1

trandolapril 1

VASOTEC 3

ZESTRIL 3


Antiarrhythmics

amiodarone hcl oral 1

BETAPACE 3

BETAPACE AF 3

disopyramide phosphate

1

dofetilide 1

flecainide acetate 1

mexiletine hcl oral 1

MULTAQ 3

NORPACE 3

NORPACE CR 2

PACERONE 3

propafenone hcl 1

propafenone hcl er 1

quinidine gluconate er 1

quinidine sulfate 1

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

TIKOSYN 3

Beta-adrenergic Blocking Agents

acebutolol hcl oral 1

atenolol oral 1

betaxolol hcl oral 1

bisoprolol fumarate oral 1

BYSTOLIC 3

carvedilol 1

carvedilol phosphate er 1

COREG 3

COREG CR 3

CORGARD 3

HEMANGEOL 3

INDERAL LA 3

INDERAL XL 3


32


INNOPRAN XL 3

KAPSPARGO SPRINKLE

3

labetalol hcl oral 1

LOPRESSOR 3

metoprolol succinate er 1

metoprolol tartrate oral 1

nadolol oral 1

nebivolol hcl 1

pindolol 1

propranolol hcl er 1

propranolol hcl oral 1

TENORMIN 3

TOPROL XL 3

Calcium Channel Blocking Agents, Dihydropyridines

amlodipine besylate oral

1

felodipine er 1

isradipine 1

KATERZIA 3

nicardipine hcl oral 1

nifedipine er 1

nifedipine er osmotic release

1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NORVASC 3

NYMALIZE 3

PROCARDIA XL 3

SULAR 3

Calcium Channel Blocking Agents, Nondihydropyridines

CALAN SR 3

CARDIZEM 3


CARDIZEM CD 3

CARDIZEM LA 3

cartia xt 1

diltiazem hcl er 1

diltiazem hcl er beads 1

diltiazem hcl er coated beads

1

diltiazem hcl oral 1

dilt-xr 1

matzim la 1

taztia xt 1

tiadylt er 1

TIAZAC 3

verapamil hcl er 1

verapamil hcl oral 1

VERELAN 3

VERELAN PM 3

Cardiovascular Agents, Other

ACCURETIC 3

acetazolamide er 1

acetazolamide oral 1

ALDACTAZIDE 3

aliskiren fumarate 1

amiloride-hydrochlorothiazide

1

amlodipine besylate-benazepril hcl

1

amlodipine besylate-valsartan

1

amlodipine-atorvastatin 1

amlodipine-olmesartan 1

amlodipine-valsartan-hctz

1

ATACAND HCT 3

atenolol-chlorthalidone 1

AVALIDE 3

AZOR 3


33


benazepril-hydrochlorothiazide

1

BENICAR HCT 3

BIDIL 3

bisoprolol-hydrochlorothiazide

1

CADUET 3

candesartan cilexetil-hctz

1

CORLANOR 3

DEMSER 3

digitek 1

digox 1

digoxin oral 1

DIOVAN HCT 3

DUTOPROL 3

EDARBYCLOR 3

enalapril-hydrochlorothiazide

1

ENTRESTO 2

EXFORGE 3

EXFORGE HCT 3

fosinopril sodium-hctz 1

HYZAAR 3

irbesartan-hydrochlorothiazide

1

KERENDIA 3

LANOXIN ORAL 2

lisinopril-hydrochlorothiazide

1

losartan potassium-hctz 1

LOTENSIN HCT 3

LOTREL 3

MAXZIDE 3

MAXZIDE-25 3

metoprolol-hydrochlorothiazide

1

metyrosine 1


MICARDIS HCT 3

olmesartan medoxomil-hctz

1

olmesartan-amlodipine-hctz

1

pentoxifylline er 1

quinapril-hydrochlorothiazide

1

RANEXA 3

ranolazine er 1

spironolactone-hctz 1

TEKTURNA 2

TEKTURNA HCT 2

telmisartan-amlodipine 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

trandolapril-verapamil hcl er

1

triamterene-hctz 1

TRIBENZOR 3

valsartan-hydrochlorothiazide

1

VASERETIC 3

VECAMYL 3

ZESTORETIC 3

ZIAC 3

Diuretics, Loop

bumetanide oral 1

BUMEX 3

EDECRIN 3

ethacrynic acid 1

furosemide oral 1

LASIX 3

torsemide 1

Diuretics, Potassium-sparing

ALDACTONE 3


34


amiloride hcl oral 1

CAROSPIR 3

DYRENIUM 3

eplerenone 1

INSPRA 3

spironolactone oral 1

triamterene oral 1

Diuretics, Thiazide

chlorthalidone 1

DIURIL 3

hydrochlorothiazide oral

1

indapamide 1

metolazone 1

THALITONE 3

Dyslipidemics, Fibric Acid Derivatives

ANTARA 3

fenofibrate micronized 1

fenofibrate oral 1

fenofibric acid oral capsule delayed release

1

FENOGLIDE 3

gemfibrozil oral 1

LIPOFEN 3

LOPID 3

TRICOR 3

TRILIPIX 3

Dyslipidemics, HMG CoA Reductase Inhibitors

ALTOPREV 3

atorvastatin calcium oral

1

CRESTOR 3

EZALLOR SPRINKLE 3

FLOLIPID 3


fluvastatin sodium 1

fluvastatin sodium er 1

LESCOL XL 3

LIPITOR 3

LIVALO 3

lovastatin oral 1

pravastatin sodium 1

rosuvastatin calcium 1

simvastatin oral 1

ZOCOR 3

ZYPITAMAG 3

Dyslipidemics, Other

cholestyramine light 1

cholestyramine oral 1

colesevelam hcl 1

COLESTID 3

COLESTID FLAVORED

3

colestipol hcl 1

ezetimibe 1

ezetimibe-simvastatin 1

icosapent ethyl 1

JUXTAPID 3 SP

LOVAZA 3

NEXLETOL 2

NEXLIZET 2

niacin (antihyperlipidemic)

1

niacin er (antihyperlipidemic)

1

niacor 1

NIASPAN 3

omega-3-acid ethyl esters

1

PRALUENT 3

prevalite 1

QUESTRAN 3

QUESTRAN LIGHT 3


35


REPATHA 2

REPATHA PUSHTRONEX SYSTEM

2

REPATHA SURECLICK

2

VASCEPA 2

VYTORIN 3

WELCHOL 3

ZETIA 3

Vasodilators, Direct-acting Arterial

hydralazine hcl oral 1

minoxidil oral 1

Vasodilators, Direct-acting Arterial/Venous

GONITRO 3

ISORDIL TITRADOSE 3

isosorbide dinitrate 1

isosorbide mononitrate 1

isosorbide mononitrate er

1

minitran transdermal patch 24 hour 0.1 mg/hr, 0.2 mg/hr, 0.4 mg/hr, 0.6 mg/hr

1

NITRO-BID 3

NITRO-DUR 3

nitroglycerin sublingual 1

nitroglycerin transdermal

1

nitroglycerin translingual

1

NITROLINGUAL 3

NITROMIST 3

NITROSTAT 3

NITRO-TIME 3

RECTIV 3


Cardiovascular Agents - Drugs to Treat Heart and Circulation Conditions

Calcium Channel Blocking Agents - Blood Pressure Drugs

CONJUPRI 3

Cardiovascular Agents, Other - Miscellaneous Cardiac Drugs

CONSENSI 3

isoxsuprine hcl oral 1

PRESTALIA 3

Dyslipidemics, Fibric Acid Derivatives - Cholesterol Control Drugs

fenofibric acid oral tablet

1

FIBRICOR 3

Cardiovascular Agents, Other - Miscellaneous Cardiac Drugs


VERQUVO 3

Central Nervous System Agents

Attention Deficit Hyperactivity Disorder Agents, Non-amphetamines

ADHANSIA XR 3

APTENSIO XR 3

atomoxetine hcl 1

clonidine hcl er 1


36


CONCERTA 3

COTEMPLA XR-ODT 3

DAYTRANA 3

dexmethylphenidate hcl 1

dexmethylphenidate hcl er

1

FOCALIN 3

FOCALIN XR 3

guanfacine hcl er 1

INTUNIV 3

JORNAY PM 3

KAPVAY 3

METHYLIN 3

methylphenidate hcl er 1

methylphenidate hcl er (cd)

1

methylphenidate hcl er (la)

1

methylphenidate hcl er (xr)

1

methylphenidate hcl oral

1

QUILLICHEW ER 3

QUILLIVANT XR 3

relexxii 1

RITALIN 3

RITALIN LA 3

STRATTERA 3

Attention Deficit Hyperactivity Disorder Agents, Amphetamines

ADDERALL 3

ADDERALL XR 3

ADZENYS ER ORAL SUSPENSION EXTENDED RELEASE 1.25 MG/ML

3

ADZENYS XR-ODT 3


AMPHETAMINE ER 3

amphetamine sulfate 1

amphetamine-dextroamphetamine

1

amphetamine-dextroamphetamine er

1

AZSTARYS 3

DESOXYN 3

DEXEDRINE 3

dextroamphetamine sulfate

1

dextroamphetamine sulfate er

1

DYANAVEL XR 3

EVEKEO 3

EVEKEO ODT 3

methamphetamine hcl 1

MYDAYIS 3

PROCENTRA 3

VYVANSE 2

ZENZEDI 3

Central Nervous System, Other

AUSTEDO 3 SP

caffeine citrate oral 1

EXSERVAN 3

FIRDAPSE 3 SP

GRALISE 3

HORIZANT 3

INGREZZA 3 SP

NUEDEXTA 3

RILUTEK 3

riluzole 1

RUZURGI 3 SP

tetrabenazine 1 SP

TIGLUTIK 3

XENAZINE 3 SP


37


Fibromyalgia Agents

CYMBALTA 3

DRIZALMA SPRINKLE 3

duloxetine hcl oral 1

LYRICA 3

LYRICA CR 3

pregabalin 1

pregabalin er 1

SAVELLA 3

SAVELLA TITRATION PACK

3

Multiple Sclerosis Agents

AMPYRA 3 SP

AUBAGIO 3 SP

AVONEX PEN 2 SP

AVONEX PREFILLED 2 SP

BAFIERTAM 2 SP

BETASERON 2 SP

COPAXONE 2 SP

dalfampridine er 1 SP

dimethyl fumarate oral 1 SP

dimethyl fumarate starter pack

1 SP

EXTAVIA 3 SP

GILENYA 3 SP

glatiramer acetate 1 SP

glatopa 1 SP

KESIMPTA 2 SP

MAVENCLAD 3 SP

MAYZENT 3 SP

MAYZENT STARTER PACK

3 SP

PLEGRIDY 3 SP

PLEGRIDY STARTER PACK

3 SP

REBIF 3 SP

REBIF REBIDOSE 3 SP


REBIF REBIDOSE TITRATION PACK

3 SP

REBIF TITRATION PACK

3 SP

TECFIDERA 3 SP

VUMERITY 2 SP

ZEPOSIA 3 SP

ZEPOSIA 7-DAY STARTER PACK

3 SP

ZEPOSIA STARTER KIT

3 SP

Cystic Fibrosis Agents - Drugs to treat Cystic Fibrosis

Respiratory Tract/Pulmonary Agents - Drugs to Treat Allergies, Cough, Cold and Lung Conditions

BRONCHITOL 3

BRONCHITOL TOLERANCE TEST

3

Dental and Oral Agents

cevimeline hcl 1

EVOXAC 3

pilocarpine hcl oral 1

SALAGEN 3

Dermatological Agents

Acne and Rosacea Agents

ABSORICA 3

ABSORICA LD 3

ACANYA 3

accutane 1

acitretin 1

AKLIEF 3

ALTRENO 3


38


amnesteem 1

ARAZLO 3

ATRALIN 3

AVITA 3

azelaic acid external 1

AZELEX 3

BENZACLIN 3

BENZACLIN WITH PUMP

3

BENZAMYCIN 3

benzoyl peroxide-erythromycin

1

claravis 1

clindamycin phos-benzoyl perox

1

clindamycin-tretinoin 1

FABIOR 3

FINACEA 3

isotretinoin oral 1

MIRVASO 3

myorisan 1

neuac external gel 1

ONEXTON 3

RETIN-A 3

RETIN-A MICRO 3

RETIN-A MICRO PUMP EXTERNAL GEL 0.04 %, 0.1 %

3

RETIN-A MICRO PUMP EXTERNAL GEL 0.06 %, 0.08 %

2

RHOFADE 3

SORIATANE 3

tazarotene external cream

1

TAZAROTENE EXTERNAL FOAM

3

TAZORAC 3

tretinoin external 1


tretinoin microsphere 1

tretinoin microsphere pump

1

VELTIN 3

zenatane 1

ZIANA 3

Dermatitis and Pruitus Agents

ALA SCALP 3

ala-cort external cream 2.5 %

1

alclometasone dipropionate

1

amcinonide 1

APEXICON E 3

beser external lotion 1

betamethasone dipropionate aug

1

betamethasone dipropionate external

1

betamethasone valerate external

1

BRYHALI 3

CAPEX 3

clobetasol prop emollient base

1

clobetasol propionate e 1

clobetasol propionate emulsion

1

clobetasol propionate external

1

CLOBEX 3

CLOBEX SPRAY 3

clocortolone pivalate 1

clodan external shampoo

1

CLODERM 3

CORDRAN 3

CUTIVATE 3


39


DERMA-SMOOTHE/FS BODY

3

DERMA-SMOOTHE/FS SCALP

3

DESONATE 3

desonide external 1

DESOWEN 3

desoximetasone external

1

desrx 1

diflorasone diacetate 1

DIPROLENE 3

DIPROLENE AF 3

doxepin hcl external 1

ELIDEL 3

EUCRISA 2

fluocinolone acetonide body

1

fluocinolone acetonide external

1

fluocinolone acetonide scalp

1

fluocinonide emulsified base

1

fluocinonide external 1

flurandrenolide 1

fluticasone propionate external

1

halcinonide 1

halobetasol propionate external cream

1

HALOBETASOL PROPIONATE EXTERNAL FOAM

3

halobetasol propionate external ointment

1

HALOG 3

hydrocortisone butyr lipo base

1

hydrocortisone butyrate 1


hydrocortisone external cream 2.5 %

1

hydrocortisone external lotion 2.5 %

1

hydrocortisone external ointment 1 %, 2.5 %

1

hydrocortisone valerate 1

IMPEKLO 3

IMPOYZ 3

KENALOG EXTERNAL 3

LEXETTE 3

LOCOID 3

LOCOID LIPOCREAM 3

LUXIQ 3

mometasone furoate external

1

nolix 1

OLUX 3

OLUX-E 3

PANDEL 3

pimecrolimus 1

prednicarbate 1

PROTOPIC 3

PRUDOXIN 3

PSORCON 3

selenium sulfide external lotion

1

selenium sulfide external shampoo 2.25 %

1

SERNIVO 3

SYNALAR 3

tacrolimus external 1

TEMOVATE 3

TEXACORT 3

TOPICORT 3

TOPICORT SPRAY 3

tovet external foam 1


40


triamcinolone acetonide external

1

triamcinolone in absorbase

1

TRIANEX 3

triderm 1

TRIDESILON 3

tritocin 1

ULTRAVATE 3

VANOS 3

VERDESO 3

ZONALON 3

Dermatological Agents, Other

ALDARA 3

AMELUZ 3

ANALPRAM HC 3

ANALPRAM HC SINGLES

3

ANALPRAM-HC 3

ARTISS 3

calcipotriene external cream

1

CALCIPOTRIENE EXTERNAL FOAM

3

calcipotriene external ointment

1

calcipotriene external solution

1

calcipotriene-betameth diprop

1

CALCITRENE 3

calcitriol external 1

CARAC 3

clotrimazole-betamethasone

1

CONDYLOX 3

diclofenac sodium external gel 3 %

1


DOVONEX 3

DUOBRII 3

EFUDEX 3

ENSTILAR 3

EPIFOAM 3

FLUOROPLEX 3

FLUOROURACIL EXTERNAL CREAM 0.5 %

2

fluorouracil external cream 5 %

1

fluorouracil external solution

1

hydrocortisone ace-pramoxine

1

hydrocort-pramoxine (perianal)

1

imiquimod external 1

IMIQUIMOD PUMP 3

LEVULAN KERASTICK 3

methoxsalen rapid 1

NEO-SYNALAR EXTERNAL CREAM

3

nystatin-triamcinolone 1

podofilox external 1

pramosone external cream 1-1 %

1

PRAMOSONE EXTERNAL CREAM 1-2.5 %

3

PRAMOSONE EXTERNAL LOTION

3

PRAMOSONE EXTERNAL OINTMENT

3

PROCORT 3

PROCTOFOAM HC 2

QBREXZA 3

REGRANEX 3

SANTYL 3


41


SILVADENE 3

silver sulfadiazine external

1

SORILUX 3

ssd 1

TACLONEX 3

TISSEEL EXTERNAL KIT

3

VECTICAL 3

VEREGEN 3

WYNZORA 3

XERESE 3

ZYCLARA 3

ZYCLARA PUMP 3

Pediculicides/Scabicides

crotan 1

ivermectin external 1

lindane 1

malathion 1

NATROBA 3

OVIDE 3

permethrin external 1

SOOLANTRA 3

spinosad 1

Topical Anti-infectives

ACZONE EXTERNAL GEL 5 %

3

ACZONE EXTERNAL GEL 7.5 %

2

ALTABAX 3

AMZEEQ 3

CENTANY 3

CENTANY AT 3

ciclodan 1

ciclopirox external 1


ciclopirox olamine external

1

ciclopirox treatment 1

CLEOCIN-T 3

clindacin etz external swab

1

clindacin-p 1

CLINDAGEL 3

clindamycin phosphate external foam

1

clindamycin phosphate external lotion

1

clindamycin phosphate external solution

1

clindamycin phosphate external swab

1

CLINDAMYCIN PHOSPHATE GEL 1 % EXTERNAL

3

clindamycin phosphate gel 1 % external

1

dapsone external gel 5 %

1

DAPSONE EXTERNAL GEL 7.5 %

3

econazole nitrate external

1

ECOZA 3

ERTACZO 3

ery 1

ERYGEL 3

erythromycin external 1

EVOCLIN 3

EXTINA 3

gentamicin sulfate external

1

JUBLIA 3

KERYDIN 3

ketoconazole external 1

ketodan external foam 1


42


KLARON 3

LOPROX EXTERNAL CREAM

3

LOPROX EXTERNAL SHAMPOO

3

LOPROX EXTERNAL SUSPENSION

3

LULICONAZOLE 3

LUZU 3

mafenide acetate external

1

MENTAX 3

MICONAZOLE-ZINC OXIDE-PETROLAT

3

mupirocin calcium 1

mupirocin external 1

naftifine hcl 1

NAFTIN 3

nyamyc 1

nystatin external 1

nystop 1

oxiconazole nitrate 1

OXISTAT 3

sulfacetamide sodium (acne)

1

SULFAMYLON 3

tavaborole 1

VUSION 3

XEPI 3

XOLEGEL 3

Dermatological Agents - Drugs to Treat Skin Conditions

AVAR CLEANSER 3

AVAR LS CLEANSER 3

AVAR-E EMOLLIENT 3

AVAR-E GREEN 3

AVAR-E LS 3

BENZOIN 3


benzoin compound 1

bp 10-1 1

bp cleansing wash 1

COAL TAR EXTERNAL 3

CORTANE-B 3

NEUAC EXTERNAL KIT

3

NUCORT 3

PLEXION 3

PLEXION CLEANSER 3

PLEXION CLEANSING CLOTH

3

PROMISEB 3

PYROGALLIC ACID 3

REFISSA 3

RENOVA 3

RENOVA PUMP 3

sss 10-5 1

sulfacetamide sodium-sulfur

1

sulfacetamide sod-sulfur wash

1

sulfacetamide-sulfur in urea

1

SULFACLEANSE 8/4 3

sulfamez wash 1

SUMADAN 3

SUMADAN WASH 3

SUMADAN XLT 3

SUMAXIN 3

SUMAXIN CP 3

SYNALAR (CREAM) 3

SYNALAR (OINTMENT)

3

tretinoin (emollient) 1

TRI-CHLOR 3

TRI-LUMA 3


43


Dermatological Agents - Skin Agents

ALEVAMAX 3

balsam peru-castor oil 1

BOTOX COSMETIC 3 SP

cerovel 1

CLINDACIN ETZ EXTERNAL KIT

3

CLINDACIN PAC 3

CLODAN EXTERNAL KIT

3

DERPIXA 3

ESKATA 3

GENADUR EXTERNAL 3

GORDOFILM 3

HALUCORT 3

HAPRODERM 3

hpr plus external foam 1

HPR PLUS HYDROGEL

3

HYDRO 40 3

HYLATOPIC PLUS EXTERNAL LOTION

3

INOVA 3

INOVA 4/1 ACNE CONTROL THERAPY

3

INOVA 8/2 ACNE CONTROL THERAPY

3

KERAGEL 3

KERALAC 3

KERALYT SCALP 3

methyl salicylate external liquid

1

NEOSALUS EXTERNAL FOAM

3

NEOSALUS EXTERNAL LOTION

3

NEO-SYNALAR EXTERNAL KIT

3


NUVAIL 3

OPZELURA 3

PR CREAM 3

PRESERA 3

RADIAPLEXRX 3

REMIGEN 3

ROSADAN EXTERNAL KIT

3

salicylic acid external solution

1

salimez 1

SALVAX DUO PLUS 3

SCALACORT DK 3

SODIUM SULFACETAMIDE-BAKUCHIOL

3

STRATA GRT 3

STRATA MARK 3

SYNALAR TS 3

TETRIX 3

UMECTA MOUSSE 3

URAMAXIN 3

urea external cream 40 %, 41 %, 45 %, 47 %

1

urea external lotion 1

urea nail 1

UREMEZ-40 3

UTOPIC 3

VANIQA 3

VENELEX 3

VEXASYN 3

ZACARE 3

ZILXI 3

Dermatological Agents - Skin Agents

Dermatological Agents - Drugs to Treat Skin Conditions

KLISYRI 3


44


Diabetes - Glucose Monitoring

ACCU-CHEK AVIVA 3

ACCU-CHEK AVIVA PLUS IN VITRO

3

ACCU-CHEK COMPACT PLUS CONTROL

3

ACCU-CHEK COMPACT PLUS TEST STRIPS

3

ACCU-CHEK FASTCLIX LANCET KIT

2

ACCU-CHEK GUIDE 3

ACCU-CHEK GUIDE CONTROL

3

ACCU-CHEK SMARTVIEW CONTROL

3

ACCU-CHEK SMARTVIEW TEST STRIPS

3

ACCU-CHEK SOFTCLIX LANCET DEVICE KIT

2

CARETOUCH CONTROL SOL LEVEL 2

3

CARETOUCH TEST 3

CHEMSTRIP K 3

CONTOUR MONITOR KIT W/DEVICE

2

CONTOUR NEXT EZ 2

CONTOUR NEXT LINK 2

CONTOUR NEXT MONITOR

2

CONTOUR NEXT TEST

2

CONTOUR TEST 2

EASYMAX 15 LEVEL 2-3 CONTROL

3


EASYMAX CONTROL NORMAL/HIGH

3

ENLITE GLUCOSE SENSOR

3

FORTISCARE G1 TEST STRIP

3

FREESTYLE LIBRE 14 DAY READER

2

FREESTYLE LIBRE 14 DAY SENSOR

2

FREESTYLE LIBRE 2 READER

2

FREESTYLE LIBRE 2 SENSOR

2

FREESTYLE LIBRE READER

2

FREESTYLE PRECISION NEO TEST

3

GUARDIAN SENSOR (3)

3

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST 3

ONETOUCH ULTRA 2

ONETOUCH ULTRA 2 2

ONETOUCH ULTRA MINI

2

ONETOUCH VERIO 2

ONETOUCH VERIO FLEX SYSTEM

2

ONETOUCH VERIO IN VITRO STRIP

2

ONETOUCH VERIO IQ SYSTEM

2

ONETOUCH VERIO REFLECT

2

ONETOUCH VERIO SYNC SYSTEM

2

PRECISION LINK 3


45


PRECISION PCX PLUS TEST

3

PRECISION QID TEST 3

PRECISION SOF-TACT TEST

3

PRECISION XTRA BLOOD GLUCOSE

3

RELION BLOOD GLUCOSE TEST

3

TRUE METRIX BLOOD GLUCOSE TEST

3

TRUE METRIX METER KIT

3

TRUE METRIX PRO BLOOD GLUCOSE

3

TRUETRACK TEST 3

Diabetic/Endocrine Blood: Glucose Monitoring

AUTOLET LANCING DEVICE

3

CARETOUCH LANCING/EJECTOR

3

DEXCOM G5 MOBILE TRANSMITTER

2

DEXCOM G6 SENSOR 2

DEXCOM RECEIVER KIT DEVICE

2

MICROLET NEXT LANCING DEVICE

3

ONETOUCH DELICA LANCING DEV

3

ONETOUCH DELICA PLUS LANCING

3


Dyslipidemics, Other - Miscellaneous Cholesterol Control Drugs


ROSZET 3

Electrolyte/Mineral Replacement - Vitamin, Mineral and Body Fluid Deficiency Drugs

Therapeutic Nutrients/Minerals/Electrolytes - Drugs to Treat Vitamin, Mineral and Body Fluid Deficiencies

ACCRUFER 3

Electrolytes/Minerals/Metals/Vitamins

Electrolyte/Mineral Replacement

CARBAGLU 2 SP

ENDARI 3

fluoritab 1

klor-con 1

klor-con 10 1

klor-con m10 1

klor-con m15 1

klor-con m20 1

K-TAB 3

nafrinse 1

nafrinse drops 1

potassium chloride crys er

1

potassium chloride er 1

potassium chloride oral packet

1


46


potassium chloride oral solution 20 meq/15ml (10%), 40 meq/15ml (20%)

1

potassium citrate er 1

sodium fluoride oral solution 1.1 (0.5 f) mg/ml

1

sodium fluoride oral tablet

1

sodium fluoride oral tablet chewable

1

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3


GALZIN 3

K-PHOS 3

K-PHOS NO 2 3

PHOXILLUM BK4/2.5 3

WILZIN 3

Electrolyte/Mineral/Metal Modifiers

CHEMET 3

clovique oral capsule 250 mg

1 SP

deferasirox 1

deferasirox granules 1

deferiprone 1

EXJADE 3

FERRIPROX 3

FERRIPROX TWICE-A-DAY

3

JADENU 3

JADENU SPRINKLE 3

JYNARQUE 3 SP


SAMSCA 3 SP

SYPRINE 3 SP

TOLVAPTAN ORAL TABLET 15 MG

3 SP

tolvaptan oral tablet 30 mg

1 SP

trientine hcl 1 SP

Phosphate Binders

AURYXIA 3

calcium acetate (phos binder)

1

calcium acetate oral tablet 667 mg

1

FOSRENOL 3

lanthanum carbonate 1

PHOSLYRA 3

RENAGEL 3

RENVELA 3

sevelamer carbonate 1

sevelamer hcl 1

VELPHORO 3

Potassium Binders

LOKELMA 3

sodium polystyrene sulfonate

1

sps 1

VELTASSA 3

Vitamins

MEPHYTON 3

phytonadione oral 1

WHEAT GERM OIL 3

Enzyme Inhibitors - Chemotherapy Agents


TRUSELTIQ (100MG DAILY DOSE)

3 SP


47



3 SP


3 SP


3 SP

Estrogens - Hormone Replacement/Modifying Drugs

Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers) - Drugs to Regulate Hormones

MYFEMBREE 3

NEXTSTELLIS 3

Gastrointestinal Agents

Anti-Constipation Agents

AMITIZA 3

constulose 1

enulose 1

generlac 1

KRISTALOSE 3

lactulose 1

lactulose encephalopathy

1

LINZESS 2

LUBIPROSTONE 3

MOTEGRITY 3

MOVANTIK 2

RELISTOR 3

SYMPROIC 2

TRULANCE 3

ZELNORM 3

Anti-Diarrheal Agents

alosetron hcl 1

diphenoxylate-atropine 1


LOMOTIL 3

LOTRONEX 3

MOTOFEN 3

MYTESI 3

opium 1

VIBERZI 3

XERMELO 3 SP

Antispasmodics, Gastrointestinal

chlordiazepoxide-clidinium

1

CUVPOSA 3

dicyclomine hcl oral 1

glycopyrrolate oral 1

LIBRAX 3

methscopolamine bromide oral

1

Gastrointestinal Agents, Other

amoxicill-clarithro-lansopraz

1

CHENODAL 3 SP

CLENPIQ 3

GATTEX 3 SP

gavilyte-c 1

gavilyte-g 1

gavilyte-n with flavor pack

1

GOLYTELY 3

HELIDAC THERAPY 3

MOVIPREP 3

MYALEPT 3 SP

NULYTELY LEMON-LIME

3

OCALIVA 3 SP

OMECLAMOX-PAK 2

OSMOPREP 3

peg 3350-kcl-na bicarb-nacl

1


48


peg-3350/electrolytes 1

peg-3350/electrolytes/ascorbat

1

peg-kcl-nacl-nasulf-na asc-c

1

peg-prep 1

PLENVU 3

PYLERA 2

RELTONE 3

SUPREP BOWEL PREP KIT

3

TALICIA 3

URSO 250 3

URSO FORTE 3

URSODIOL ORAL CAPSULE 200 MG, 400 MG

3

ursodiol oral capsule 300 mg

1

ursodiol oral tablet 1

Histamine2 (H2) Receptor Antagonists

cimetidine hcl 1

cimetidine oral 1

famotidine oral suspension reconstituted

1

nizatidine oral solution 1

Irritable Bowel Syndrome Agents

BYLVAY 3 SP

BYLVAY (PELLETS) 3 SP

Protectants

CARAFATE 3

CYTOTEC 3

misoprostol oral 1

sucralfate oral 1


Proton Pump Inhibitors

ACIPHEX 3

ACIPHEX SPRINKLE 3

DEXILANT 2

esomeprazole magnesium oral packet

1

FIRST-LANSOPRAZOLE

3

FIRST-OMEPRAZOLE 3

lansoprazole oral tablet delayed release dispersible

1

NEXIUM ORAL PACKET

3

omeprazole oral capsule delayed release

1

OMEPRAZOLE+SYRSPEND SF ALKA

3

omeprazole-sodium bicarbonate oral packet

1

pantoprazole sodium oral

1

PREVACID SOLUTAB 3

PRILOSEC 3

PROTONIX ORAL 3

RABEPRAZOLE SODIUM ORAL CAPSULE SPRINKLE

3

rabeprazole sodium oral tablet delayed release

1

ZEGERID ORAL PACKET

3


49


Gastrointestinal Agents - Drugs to Treat Bowel, Intestine and Stomach Conditions

Antispasmodics, Gastrointestinal - Bowel Treatment Drugs

belladonna alkaloids-opium

1

Gastrointestinal Agents, Other - Miscellaneous Gastrointestinal Drugs

alvimopan 1

ENTEREG 3

SODIUM BICARBONATE ORAL POWDER

3

Laxatives - Bowel Treatment Drugs

cascara sagrada oral fluid extract

1

mineral oil heavy oral 1

SUTAB 3

Genetic or Enzyme or Protein Disorder: Replacement, Modifiers, Treatment

BUPHENYL 3 SP

CARNITOR ORAL 3

CARNITOR SF 3

CERDELGA 3 SP

CHOLBAM 3 SP

CREON 2

cromolyn sodium oral 1

CYSTADANE 3 SP

CYSTAGON 3 SP

EVRYSDI 3 SP


GALAFOLD 3 SP

GASTROCROM 3

KEVEYIS 3 SP

KUVAN 3 SP

levocarnitine oral solution

1

levocarnitine oral tablet 1

levocarnitine sf 1

miglustat 1 SP

nitisinone 1 SP

NITYR 3 SP

ORFADIN 3 SP

PALYNZIQ 3 SP

PANCREAZE 3

PERTZYE 3

PROCYSBI 3 SP

RAVICTI 3 SP

sapropterin dihydrochloride

1 SP

sodium phenylbutyrate oral

1 SP

STRENSIQ 2 SP

SUCRAID 3 SP

TEGSEDI 3 SP

VIOKACE 3

VYNDAMAX 3 SP

VYNDAQEL 3 SP

XURIDEN 3 SP

ZAVESCA 3 SP

ZENPEP 2

Genitourinary Agents

Antispasmodics, Urinary

darifenacin hydrobromide er

1

DETROL 3

DETROL LA 3

DITROPAN XL 3


50


flavoxate hcl 1

GELNIQUE 3

MYRBETRIQ ORAL SUSPENSION RECONSTITUTED ER

3

MYRBETRIQ ORAL TABLET EXTENDED RELEASE 24 HOUR

2

oxybutynin chloride er 1

oxybutynin chloride oral 1

solifenacin succinate 1

tolterodine tartrate 1

tolterodine tartrate er 1

TOVIAZ 3

trospium chloride 1

trospium chloride er 1

VESICARE 3

VESICARE LS 3

Benign Prostatic Hypertrophy Agents

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3

dutasteride oral 1

dutasteride-tamsulosin hcl

1

finasteride oral tablet 5 mg

1

FLOMAX 3

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

terazosin hcl 1

UROXATRAL 3


Genitourinary Agents, Other

bethanechol chloride oral

1

CUPRIMINE 3 SP

DEPEN TITRATABS 2 SP

ELMIRON 3

LITHOSTAT 3

penicillamine oral 1 SP

THIOLA 3 SP

THIOLA EC 3 SP

tiopronin oral 1 SP

Genitourinary Agents - Drugs to Treat Bladder, Genital and Kidney Conditions

Genitourinary Agents, Other - Miscellaneous Bladder, Genital, and Kidney Conditions Drugs

HYOPHEN 3

me/naphos/mb/hyo1 1

phenazo oral tablet 200 mg

1

phenazopyridine hcl oral tablet 100 mg, 200 mg

1

PHOSPHASAL 3

PYRIDIUM 3

URELLE 3

URIBEL 3

URIMAR-T 3

urin ds 1

URO-458 3

UROGESIC-BLUE 3

uro-mp 1

USTELL 3

UTIRA-C 3

VILAMIT MB 3


51


VILEVEV MB 3

Glycemic Agents - Diabetic Drugs

Blood Glucose Regulators - Drugs to Regulate Blood Sugar

ZEGALOGUE 3

Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)

ACTHAR 2 SP

ALKINDI SPRINKLE 3

CORTEF 3

DECADRON 3

DEXABLISS 3

dexamethasone intensol

1

dexamethasone oral 1

DXEVO 11-DAY 3

EMFLAZA 3 SP

fludrocortisone acetate oral

1

HEMADY 3

HIDEX 6-DAY 3

hydrocortisone oral 1

MEDROL ORAL TABLET 16 MG, 32 MG, 4 MG, 8 MG

3

MEDROL ORAL TABLET 2 MG

2

MEDROL ORAL TABLET THERAPY PACK

3

methylprednisolone oral

1

MILLIPRED 2

ORAPRED ODT 3

PEDIAPRED 3


prednisolone oral solution

1

prednisolone sodium phosphate oral

1

prednisone intensol 1

prednisone oral 1

RAYOS 3

TAPERDEX 12-DAY 3

TAPERDEX 6-DAY 3

TAPERDEX 7-DAY 3

ZCORT 7-DAY 3

Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)

DDAVP 3

DDAVP PF 3

desmopressin ace spray refrig

1

desmopressin acetate injection

1

DESMOPRESSIN ACETATE NASAL

3

desmopressin acetate oral

1

desmopressin acetate pf

1

desmopressin acetate spray

1

EGRIFTA SV 3 SP

NOCDURNA 3

STIMATE 3

Hormonal Agents, Stimulant/Replacement/Modifying (Prostaglandins)

CERVIDIL 3

KORLYM 3 SP

methergine 1


52


methylergonovine maleate oral

1

PREPIDIL 3

Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)

Anabolic Steroids

oxandrolone oral 1

Androgens

ANDRODERM 2

ANDROGEL 3

ANDROGEL PUMP 3

danazol oral 1

DEPO-TESTOSTERONE

3

FORTESTA 3

JATENZO 3

METHITEST 3

methyltestosterone oral 1

NATESTO 3

TESTIM 3

testosterone cypionate intramuscular

1

testosterone enanthate intramuscular

1

testosterone transdermal

1

VOGELXO 3

VOGELXO PUMP 3

XYOSTED 3

Estrogens

ACTIVELLA 3

afirmelle 1

ALORA 3

altavera 1

alyacen 1/35 1

alyacen 7/7/7 1

amabelz 1


amethia 1

amethyst 1

ANGELIQ 3

ANNOVERA 3

apri 1

aranelle 1

ashlyna 1

aubra 1

aubra eq 1

aurovela 1.5/30 1

aurovela 1/20 1

aurovela 24 fe 1

aurovela fe 1.5/30 1

aurovela fe 1/20 1

aviane 1

ayuna 1

azurette 1

BALCOLTRA 3

balziva 1

BEYAZ 3

BIJUVA 3

blisovi 24 fe 1

blisovi fe 1.5/30 1

blisovi fe 1/20 1

briellyn 1

camrese 1

camrese lo 1

caziant 1

charlotte 24 fe 1

chateal 1

chateal eq 1

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

cryselle-28 1

cyclafem 1/35 1

cyclafem 7/7/7 1


53


cyred 1

cyred eq 1

dasetta 1/35 1

dasetta 7/7/7 1

daysee 1

DELESTROGEN 3

delyla 1

DEPO-ESTRADIOL 3

desogestrel-ethinyl estradiol

1

DIVIGEL 3

dolishale 1

dotti 1

drospiren-eth estrad-levomefol

1

drospirenone-ethinyl estradiol

1

DUAVEE 2

ELESTRIN 3

elinest 1

eluryng 1

emoquette 1

enpresse-28 1

enskyce 1

estarylla 1

ESTRACE 3

estradiol oral 1

estradiol transdermal 1

estradiol vaginal 1

estradiol valerate intramuscular

1

estradiol-norethindrone acet

1

ESTRING 3

ESTROGEL 3

ESTROSTEP FE 3

ethynodiol diac-eth estradiol

1


etonogestrel-ethinyl estradiol

1

EVAMIST 3

falmina 1

fayosim 1

FEMHRT 3

FEMRING 3

femynor 1

fyavolv 1

gemmily 1

GENERESS FE 3

hailey 1.5/30 1

hailey 24 fe 1

hailey fe 1.5/30 1

hailey fe 1/20 1

iclevia 1

introvale 1

isibloom 1

jaimiess 1

jasmiel 1

jinteli 1

jolessa 1

juleber 1

junel 1.5/30 1

junel 1/20 1

junel fe 1.5/30 1

junel fe 1/20 1

junel fe 24 1

kaitlib fe 1

kalliga 1

kariva 1

kelnor 1/35 1

kelnor 1/50 1

kurvelo 1

larin 1.5/30 1

larin 1/20 1

larin 24 fe 1


54


larin fe 1.5/30 1

larin fe 1/20 1

larissia 1

layolis fe 1

leena 1

lessina 1

levonest 1

levonorgest-eth est & eth est

1

levonorgest-eth estrad 91-day

1

levonorgestrel-ethinyl estrad

1

levonorg-eth estrad triphasic

1

levora 0.15/30 (28) 1

lillow 1

LO LOESTRIN FE 3

LOESTRIN 1.5/30 (21) 3

LOESTRIN 1/20 (21) 3

LOESTRIN FE 1.5/30 3

LOESTRIN FE 1/20 3

lojaimiess 1

loryna 1

LOSEASONIQUE 3

low-ogestrel 1

lo-zumandimine 1

lutera 1

lyllana 1

marlissa 1

MENEST 2

MENOSTAR 3

merzee 1

mibelas 24 fe 1

microgestin 1.5/30 1

microgestin 1/20 1

microgestin 24 fe 1

microgestin fe 1.5/30 1


microgestin fe 1/20 1

mili 1

mimvey 1

MINASTRIN 24 FE 3

MINIVELLE 3

MIRCETTE 3

mono-linyah 1

NATAZIA 2

necon 0.5/35 (28) 1

nikki 1

norethin ace-eth estrad-fe

1

norethindrone acet-ethinyl est

1

norethindrone-eth estradiol

1

norethin-eth estradiol-fe 1

norgestimate-eth estradiol

1

norgestimate-ethinyl estradiol triphasic

1

nortrel 0.5/35 (28) 1

nortrel 1/35 (21) 1

nortrel 1/35 (28) 1

nortrel 7/7/7 1

NUVARING 3

nylia 7/7/7 1

nymyo 1

ocella 1

orsythia 1

philith 1

pimtrea 1

pirmella 1/35 1

pirmella 7/7/7 1

portia-28 1

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2


55


PREMPHASE 2

PREMPRO 2

previfem 1

QUARTETTE 3

reclipsen 1

rivelsa 1

SAFYRAL 3

SEASONIQUE 3

setlakin 1

simliya 1

simpesse 1

sprintec 28 1

sronyx 1

syeda 1

tarina 24 fe 1

tarina fe 1/20 1

tarina fe 1/20 eq 1

taysofy 1

TAYTULLA 3

tilia fe 1

tri femynor 1

tri-estarylla 1

tri-legest fe 1

tri-linyah 1

tri-lo-estarylla 1

tri-lo-marzia 1

tri-lo-mili 1

tri-lo-sprintec 1

tri-mili 1

tri-nymyo 1

tri-previfem 1

tri-sprintec 1

trivora (28) 1

tri-vylibra 1

tri-vylibra lo 1

tyblume 1

tydemy 1


VAGIFEM 3

velivet 1

vestura 1

vienva 1

viorele 1

VIVELLE-DOT 3

volnea 1

vyfemla 1

vylibra 1

wera 1

wymzya fe 1

xulane 1

YASMIN 28 3

YAZ 3

yuvafem 1

zafemy 1

zarah 1

zovia 1/35 (28) 1

zovia 1/35e (28) 1

zumandimine 1

Progestins

AYGESTIN 3

camila 1

CRINONE 3

deblitane 1

DEPO-PROVERA 3

DEPO-SUBQ PROVERA 104

3

ELLA 3

ENDOMETRIN 2

errin 1

heather 1

incassia 1

jencycla 1

lyleq 1

lyza 1


56


medroxyprogesterone acetate intramuscular

1

medroxyprogesterone acetate oral

1

megestrol acetate oral suspension 40 mg/ml, 625 mg/5ml

1

megestrol acetate oral tablet

1

nora-be 1

norethindrone acetate oral

1

norethindrone oral 1

norlyda 1

norlyroc 1

progesterone intramuscular

1

progesterone oral 1

PROMETRIUM 3

PROVERA 3

sharobel 1

SLYND 3

tulana 1

Selective Estrogen Receptor Modifying Agents

EVISTA 3

OSPHENA 3

raloxifene hcl 1

Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers) - Drugs to Regulate Hormones

Estrogens - Hormone Replacement/Modifying Drugs

COVARYX 3

COVARYX HS 3

EEMT 3


EEMT HS 3

est estrogens-methyltest

1

est estrogens-methyltest ds

1

est estrogens-methyltest hs

1

TWIRLA 3

Progestins - Hormone Replacement/Modifying Drugs

AFTERPILL 3

levonorgestrel 1

PLAN B ONE-STEP 3

Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)

CYTOMEL 3

euthyrox 1

levo-t 1

LEVOTHYROXINE SODIUM ORAL CAPSULE

3

levothyroxine sodium oral tablet

1

levoxyl 1

liothyronine sodium oral 1

SYNTHROID 3

THYQUIDITY 3

TIROSINT 3

TIROSINT-SOL 3

unithroid 1

Hormonal Agents, Suppressant (Adrenal)

ISTURISA 3 SP

LYSODREN 2


57


Hormonal Agents, Suppressant (Pituitary)

cabergoline 1

ELIGARD 3 SP

FIRMAGON 3 SP

FIRMAGON (240 MG DOSE)

3 SP

leuprolide acetate injection

1 SP

MYCAPSSA 3 SP

octreotide acetate 1 SP

ORIAHNN 2

ORILISSA 2

SANDOSTATIN 3 SP

SIGNIFOR 3 SP

SOMATULINE DEPOT 3 SP

SOMAVERT 3 SP

SYNAREL 2

Hormonal Agents, Suppressant (Thyroid)

Antithyroid Agents

methimazole oral 1

propylthiouracil oral 1

TAPAZOLE 3

Hormonal Agents, Suppressant (Thyroid) - Drugs to Suppress Thyroid Hormones

Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid) - Thyroid Replacement Drugs

ARMOUR THYROID 3

NATURE-THROID 3

np thyroid 1

WESTHROID 3


WP THYROID 3

Immune Suppressants - Immune System Drugs

Immunological Agents - Drugs that Stimulate or Suppress the Immune System

LUPKYNIS 3 SP

Immunological Agents

Angioedema Agents

BERINERT 3 SP

CINRYZE 3 SP

FIRAZYR 3 SP

HAEGARDA 3 SP

icatibant acetate 1 SP

RUCONEST 3 SP

sajazir 1 SP

TAKHZYRO 3 SP

Immunological Agents, Other

ACTEMRA ACTPEN 3 SP

ACTEMRA SUBCUTANEOUS

3 SP

ARCALYST 3 SP

BENLYSTA SUBCUTANEOUS

3 SP

COSENTYX (300 MG DOSE)

3 SP

COSENTYX 150 MG/ML

3 SP

COSENTYX SENSOREADY (300 MG)

3 SP

COSENTYX SENSOREADY PEN

3 SP

DUPIXENT 2 SP

GRASTEK 3


58


ILUMYA 3 SP

KEVZARA 3 SP

KINERET 3 SP

ODACTRA 3

OLUMIANT 3 SP

ORALAIR 3

ORALAIR ADULT STARTER PACK

3

ORALAIR CHILDRENS STARTER PACK

3

ORENCIA CLICKJECT 3 SP

ORENCIA SUBCUTANEOUS

3 SP

OTEZLA 2 SP

RAGWITEK 3

RIDAURA 3 SP

RINVOQ 2 SP

SILIQ 3 SP

SKYRIZI 2 SP

SKYRIZI (150 MG DOSE)

2 SP

SKYRIZI PEN 2 SP

STELARA SUBCUTANEOUS

2 SP

TALTZ 3 SP

TREMFYA 2 SP

XELJANZ 2 SP

XELJANZ XR 2 SP

XOLAIR SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 SP

Immunostimulants

ACTIMMUNE 2 SP

INTRON A 3 SP

PEGASYS 2 SP

Immunosuppressants

ARAVA 3

ASTAGRAF XL 3 SP


AZASAN 3

azathioprine oral 1

CELLCEPT 3 SP

CIMZIA PREFILLED KIT

2 SP

CIMZIA STARTER KIT 2 SP

cyclosporine modified 1 SP

cyclosporine oral 1 SP

ENBREL 3 SP

ENBREL MINI 3 SP

ENBREL SURECLICK 3 SP

ENSPRYNG 3 SP

ENVARSUS XR 3 SP

everolimus oral tablet 0.25 mg, 0.5 mg, 0.75 mg

1 SP

gengraf 1 SP

HUMIRA 2 SP

HUMIRA PEDIATRIC CROHNS START

2 SP

HUMIRA PEN 2 SP

HUMIRA PEN-CD/UC/HS STARTER

2 SP

HUMIRA PEN-PEDIATRIC UC START

2 SP

HUMIRA PEN-PS/UV/ADOL HS START

2 SP

HUMIRA PEN-PSOR/UVEIT STARTER

2 SP

IMURAN 3

leflunomide oral 1

methotrexate oral 1

methotrexate sodium 1

methotrexate sodium (pf)

1

mycophenolate mofetil oral

1 SP


59


mycophenolate sodium 1 SP

MYFORTIC 3 SP

NEORAL 3 SP

OTREXUP 3

PROGRAF ORAL 3 SP

RAPAMUNE 3 SP

RASUVO 2

SANDIMMUNE ORAL CAPSULE

3 SP

SANDIMMUNE ORAL SOLUTION

2 SP

SIMPONI 2 SP

sirolimus oral 1 SP

tacrolimus oral 1 SP

TREXALL 3

XATMEP 3

ZORTRESS 3 SP

Vaccines

REZUROCK 3 SP

Immunological Agents - Drugs that Stimulate or Suppress the Immune System

Immunomodulators - Immune System Drugs

ALFERON N 2 SP

Inflammatory Bowel Disease Agents

Aminosalicylates

APRISO 2

ASACOL HD 3

AZULFIDINE 3

AZULFIDINE EN-TABS 3

balsalazide disodium 1

CANASA 3

COLAZAL 3

DELZICOL 3


DIPENTUM 3

LIALDA 3

mesalamine er 1

mesalamine oral 1

mesalamine rectal 1

mesalamine-cleanser 1

PENTASA 3

ROWASA 3

SFROWASA 2

sulfasalazine oral 1

Glucocorticoids

ANUSOL-HC EXTERNAL

3

budesonide er 1

budesonide oral 1

CORTENEMA 3

CORTIFOAM 3

ENTOCORT EC 3

hydrocortisone (perianal)

1

hydrocortisone rectal 1

ORTIKOS 3

PROCTOCORT EXTERNAL

3

procto-med hc 1

procto-pak 1

proctosol hc 1

proctozone-hc 1

UCERIS 3

Inflammatory Bowel Disease Agents - Drugs to Treat Inflammatory Bowel Disease

Glucocorticoids - Drugs to Treat Inflammation

anucort-hc 1

ANUSOL-HC RECTAL 3


60


HEMMOREX-HC 3

hydrocortisone acetate rectal

1

PROCTOCORT RECTAL

3

Metabolic Bone Disease Agents

ACTONEL 3

alendronate sodium 1

ATELVIA 3

BINOSTO 3

BONIVA 3

calcitonin (salmon) 1

calcitriol oral 1

cinacalcet hcl 1

doxercalciferol oral 1

FORTEO 3 SP

FOSAMAX 3

FOSAMAX PLUS D 3

ibandronate sodium oral

1

MIACALCIN INJECTION

3

NATPARA 3 SP

paricalcitol oral 1

RAYALDEE 3

risedronate sodium 1

ROCALTROL 3

SENSIPAR 3

TERIPARATIDE (RECOMBINANT)

2 SP

TYMLOS 2 SP

ZEMPLAR ORAL 3

Miscellaneous Therapeutic Agents

3232a infant formula 1

ACCU-CHEK TENDER 1 INFUSION

3


ACCU-CHEK ULTRAFLEX INF SET

3

ACUNOL 3

AEROCHAMBER PLUS FLO-VU

2

ALCOHOL PREP PADS SHEET 70 %

3

aminoamrms 1

aminoreliefrms 1

ANASPAZ 3

AUTOSOFT 30 INFUSION SET

3

AUTOSOFT 90 INFUSION SET

3

AUTOSOFT XC INFUSION SET

3

AXONA 3

blanche 1

BREXAFEMME 3

CAMINO PRO COMPLETE/GLYTACTIN

3

CARETOUCH HYPODERMIC NEEDLE 22G X 1"

3

CAYA 3

CHEMSTRIP BG LOG BOOK

3

CONTOUR CONTROL 2

CONTOUR MONITOR DEVICE

2

CONTOUR NEXT CONTROL

2

CONTOUR NEXT ONE 2

CORTROSYN 3

cosyntropin 1

DOJOLVI 3

DRYSOL 3

EASIVENT 2

EASYMAX CONTROL 3


61


EC-RX DHEA 3

ECZEMOL 3

ED-SPAZ 3

ENFAMIL NEUROPRO SENSITIVE

3

ENTERAGAM 3

EQUACARE JR 3

FLEXICHAMBER 2

FLEXICHAMBER ADULT MASK/SMALL

2

FLEXICHAMBER CHILD MASK/LARGE

2

FLEXICHAMBER CHILD MASK/SMALL

2

folic acid oral tablet 1 mg

1

FORANE 3

formaldehyde external solution 10 %

1

FORMALDEHYDE EXTERNAL SOLUTION 37 %

3

FORTISCARE CONTROL

3

FORTISCARE T1 GLUCOSE SYSTEM

3

GLUTARALDEHYDE EXTERNAL

3

GLYTACTIN BETTERMILK 15

3

GLYTACTIN BETTERMILK DE-LITE

3

GLYTACTIN BUILD 10PE

3

GLYTACTIN BUILD 20/20

3

GLYTACTIN BUILD 20/20 PKU

3

GLYTACTIN BURST 3

GLYTACTIN COMPLETE 10PE

3


GLYTACTIN RESTORE 10

3

GLYTACTIN RESTORE 5

3

GLYTACTIN RESTORE LITE 10

3

GLYTACTIN RESTORE LITE 10PE

3

GLYTACTIN RTD 10 3

GLYTACTIN RTD 15 3

GLYTACTIN RTD LITE 15

3

GLYTACTIN SWIRL 15PE

3

GUARDIAN CONNECT TRANSMITTER

3

GUARDIAN LINK 3 TRANSMITTER

3

heparin lock flush intravenous solution 10 unit/ml

1

heparin sodium lock flush

1

HUMATROPEN FOR 12MG

3

HUMATROPEN FOR 24MG

3

HUMATROPEN FOR 6MG

3

hydroquinone external 1

hyoscyamine sulfate er 1

hyoscyamine sulfate oral

1

hyoscyamine sulfate sl 1

hyoscyamine sulfate sublingual

1

hyosyne 1

INSPIREASE RESERVOIR BAGS

2


62


INSULIN PEN NEEDLES 29G X 12.7MM , 29G X 12MM , 29G X 5MM , 29G X 8MM , 31G X 4 MM , 31G X 5 MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM , 32G X 5 MM , 32G X 6 MM , 32G X 8 MM , 33G X 4 MM , 33G X 5 MM , 33G X 6 MM

2

INSULIN SYRINGES 27G X 1/2" 0.5 ML, 27G X 1/2" 1 ML, 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 15/64" 0.3 ML, 31G X 15/64" 0.5 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML

2

IODINE STRONG ORAL

3

isoflurane 1

KETOVIE 3

KETOVIE PEPTIDE 3

L-CYSTINE 3

LEVBID 3

LEVSIN ORAL 3

LEVSIN/SL 3

LIMBREL 3

LIMBREL250 3

LIMBREL500 3

MINIMED PUMP RESERVOIR 3ML

3


NORDIPEN 5 INJECTION DEVICE

3

NOVOFINE AUTOCOVER PEN NEEDLE

2

NOVOFINE PEN NEEDLE

2

NOVOFINE PLUS PEN NEEDLE

2

NOVOPEN ECHO 3

NOVOTWIST PEN NEEDLE

2

NULEV 3

ONETOUCH VERIO IN VITRO SOLUTION HIGH

3

ORLADEYO 3 SP

oscimin 1

oscimin sr 1

OVACE PLUS EXTERNAL CREAM

3

OVACE PLUS EXTERNAL LOTION

3

OVACE PLUS EXTERNAL SHAMPOO

3

OVACE PLUS WASH 3

OVACE WASH 3

PALFORZIA 3 SP

PHEXXI 3

podocon 1

pramox 1

PRECISION QID MONITOR

3

PRECISION SOF-TACT MONITOR

3

PRECISION XTRA DEVICE

3

PRECISION XTRA KIT 3

PRECISION XTRA MONITOR

3


63


PREVENT DROPSAFE PEN NEEDLES

2

PSORIZIDE FORTE 3

PURAMINO DHA/ARA 3

RADIOGARDASE 3

SCANDISHAKE ORAL PACKET

3

SEVENFACT 3 SP

sevoflurane 1

SHARPS CONTAINER 3

sodium sulfacetamide external shampoo 10 %

1

sodium sulfacetamide wash

1

SSKI 3

sulfacetamide sodium external

1

SURESTEP PRO HIGH GLUCOSE

3

SURESTEP PRO LOW GLUCOSE

3

SURESTEP PRO NORMAL GLUCOSE

3

T:SLIM X2 3ML CARTRIDGE

3

terrell 1

TRUE METRIX LEVEL 1

3

TRUE METRIX LEVEL 2

3

TRUE METRIX LEVEL 3

3

TRUSTEEL INFUSION SET

3

TYLACTIN RESTORE 5PE

3

ULTANE 3

UNISTRIP CONTROL IN VITRO SOLUTION LOW

3


VARISOFT INFUSION SET

3

VORTEX VALVED HOLDING CHAMBER

2

WIDE-SEAL DIAPHRAGM 60

3


3


3


3


3


3


3


3

WINLEVI 3

zaclir cleansing 1

ZOKINVY 3 SP

Molecular Target Inhibitors - Chemotherapy Agents


ALECENSA 2 SP

ALUNBRIG 2 SP

AYVAKIT 3 SP

BOSULIF 3 SP

BRUKINSA 3 SP

CABOMETYX 2 SP

CALQUENCE 3 SP

CAPRELSA 2 SP

COMETRIQ 3 SP

erlotinib hcl 1 SP

FOTIVDA 3 SP


64


GAVRETO 3 SP

GILOTRIF 3 SP

GLEEVEC 3 SP

ICLUSIG 3 SP

imatinib mesylate 1 SP

IMBRUVICA 3 SP

INLYTA 3 SP

IRESSA 3 SP

lapatinib ditosylate 1 SP

LENVIMA ORAL CAPSULE THERAPY PACK 10 & 4 MG, 10 MG, 10 MG & 2 X 4 MG, 2 X 10 MG, 2 X 10 MG & 4 MG, 2 X 4 MG, 3 X 4 MG, 4 MG

3 SP

LORBRENA 3 SP

NERLYNX 3 SP

QINLOCK 3 SP

RETEVMO 3 SP

SPRYCEL 2 SP

TABRECTA 3 SP

TAGRISSO 3 SP

TARCEVA 3 SP

TASIGNA 3 SP

TUKYSA 3 SP

TURALIO 3 SP

TYKERB 3 SP

UKONIQ 3 SP

VIZIMPRO 3 SP

VOTRIENT 3 SP

XALKORI 3 SP

XOSPATA 3 SP


Multiple Sclerosis Agents - Multiple Sclerosis Drugs

Central Nervous System Agents - Drugs to Treat Nerve Conditions

PONVORY 3 SP

PONVORY STARTER PACK

3 SP

Ophthalmic Agents

Ophthalmic Prostaglandin and Prostamide Analogs

bimatoprost ophthalmic 1

latanoprost ophthalmic 1

LUMIGAN 2

TRAVATAN Z 3

travoprost (bak free) 1

VYZULTA 3

XALATAN 3

XELPROS 3

ZIOPTAN 3

Ophthalmic Agents, Other

AKTEN 3

ALCAINE 3

ALTACAINE 3

altafrin 1

atropine sulfate ophthalmic ointment

1

atropine sulfate ophthalmic solution 1 %

1

bacitra-neomycin-polymyxin-hc

1

BLEPHAMIDE 3

BLEPHAMIDE S.O.P. 3

CEQUA 3

COMBIGAN 2

COSOPT 3


65


COSOPT PF 3

CYCLOGYL 3

cyclopentolate hcl ophthalmic

1

CYSTADROPS 3 SP

CYSTARAN 3 SP

dorzolamide hcl-timolol mal

1

dorzolamide hcl-timolol mal pf

1

ISOPTO ATROPINE 3

LACRISERT 3

MAXITROL 3

neomycin-polymyxin-dexameth ophthalmic ointment

1

neomycin-polymyxin-dexameth ophthalmic suspension 3.5-10000-0.1

1

neomycin-polymyxin-hc ophthalmic

1

neo-polycin hc 1

OXERVATE 3 SP

phenylephrine hcl ophthalmic

1

PRED-G 3

PRED-G S.O.P. 3

proparacaine hcl ophthalmic

1

RESTASIS 2

RESTASIS MULTIDOSE

2

ROCKLATAN 3

sulfacetamide-prednisolone ophthalmic solution

1

tetracaine hcl ophthalmic

1

TOBRADEX 3


TOBRADEX ST 3

tobramycin-dexamethasone

1

XIIDRA 2

ZYLET 3

Ophthalmic Anti-allergy Agents

ALOCRIL 3

ALOMIDE 3

azelastine hcl ophthalmic

1

bepotastine besilate 1

BEPREVE 3

cromolyn sodium ophthalmic

1

epinastine hcl 1

LASTACAFT 3

olopatadine hcl solution 0.1 % ophthalmic (rx)

1

ZERVIATE 3

Ophthalmic Anti-Infectives

ak-poly-bac 1

AZASITE 3

bacitracin ophthalmic 1

bacitracin-polymyxin b ophthalmic

1

BESIVANCE 3

BLEPH-10 3

CILOXAN 3

ciprofloxacin hcl ophthalmic

1

erythromycin ophthalmic

1

gatifloxacin ophthalmic 1

gentak 1

gentamicin sulfate ophthalmic

1

levofloxacin ophthalmic 1


66


MOXEZA 2

moxifloxacin hcl (2x day)

1

moxifloxacin hcl ophthalmic solution

1

NATACYN 2

neomycin-bacitracin zn-polymyx

1

neomycin-polymyxin-gramicidin

1

neo-polycin 1

OCUFLOX 3

ofloxacin ophthalmic 1

polycin 1

polymyxin b-trimethoprim

1

POLYTRIM 3

sulfacetamide sodium ophthalmic

1

tobramycin ophthalmic 1

TOBREX 3

trifluridine 1

VIGAMOX 3

ZYMAXID 3

Ophthalmic Anti-inflammatories

ACULAR 3

ACULAR LS 3

ACUVAIL 3

ALREX 3

bromfenac sodium (once-daily)

1

BROMSITE 3

dexamethasone sodium phosphate ophthalmic

1

DEXTENZA 3 SP

diclofenac sodium ophthalmic

1


difluprednate 1

DUREZOL 3

EYSUVIS 3

FLAREX 3

fluorometholone 1

flurbiprofen sodium 1

FML 2

FML FORTE 3

FML LIQUIFILM 3

ILEVRO 3

INVELTYS 3

ketorolac tromethamine ophthalmic

1

LOTEMAX 3

LOTEMAX SM 3

loteprednol etabonate 1

MAXIDEX 3

NEVANAC 3

PRED FORTE 3

PRED MILD 3

prednisolone acetate ophthalmic

1

prednisolone sodium phosphate ophthalmic

1

PROLENSA 2

Ophthalmic Beta-Adrenergic Blocking Agents

betaxolol hcl ophthalmic

1

BETIMOL 3

BETOPTIC-S 3

carteolol hcl 1

ISTALOL 3

levobunolol hcl 1

timolol maleate ocudose

1

timolol maleate ophthalmic

1


67


timolol maleate pf 1

TIMOPTIC 3

TIMOPTIC OCUDOSE 3

TIMOPTIC-XE 3

Ophthalmic Intraocular Pressure Lowering Agents, Other

ALPHAGAN P 2

apraclonidine hcl 1

AZOPT 3

brimonidine tartrate ophthalmic

1

brinzolamide 1

DORZOLAMIDE HCL SOLUTION 2 % OPHTHALMIC

3

dorzolamide hcl solution 2 % ophthalmic

1

IOPIDINE 3

ISOPTO CARPINE 3

methazolamide oral 1

pilocarpine hcl ophthalmic

1

RHOPRESSA 3

SIMBRINZA 2

TRUSOPT 3

Ophthalmic Agents - Drugs to Treat Eye Conditions

Ophthalmic Agents, Other - Miscellaneous Eye Drugs

bimatoprost external 1

GELFILM OPHTHALMIC

3

homatropaire 1

HYPOCYN 3

LATISSE 3


Ophthalmic Anti-allergy Agents - Allergy, Infection and Inflammation Drugs

CYCLOMYDRIL 3

UPNEEQ 3

Ophthalmic Antibiotics - Drugs to treat Eye Infections

BETADINE OPHTHALMIC PREP

3

Ophthalmic Anti-Inflammatories - Allergy, Infection and Inflammation Drugs

MITOSOL 3

Otic Agents

acetic acid otic 1

CETRAXAL 3

CIPRO HC 3

CIPRODEX 3

ciprofloxacin hcl otic 1

ciprofloxacin-dexamethasone

1

CIPROFLOXACIN-FLUOCINOLONE PF

3

CORTISPORIN-TC 3

DERMOTIC 3

flac 1

fluocinolone acetonide otic

1

hydrocortisone-acetic acid

1

neomycin-polymyxin-hc otic

1

ofloxacin otic 1

OTOVEL 3


68


Otic Agents - Drugs to Treat Ear Conditions

Otic Agents - Drugs for the Ear

cortic-nd 1

PRAMOTIC 3

Respiratory Tract/Pulmonary Agents

Antihistamines

azelastine hcl nasal 1

azelastine-fluticasone 1

carbinoxamine maleate 1

CLARINEX 3

clemastine fumarate oral syrup

1

clemastine fumarate oral tablet 2.68 mg

1

cyproheptadine hcl oral 1

desloratadine oral tablet

1

desloratadine oral tablet dispersible 5 mg

1

dexchlorpheniramine maleate oral

1

di-phen 1

diphen oral elixir 1

diphenhydramine hcl oral elixir

1

DYMISTA 2

KARBINAL ER 3

levocetirizine dihydrochloride oral

1

olopatadine hcl nasal 1

PATANASE 3

RYCLORA 3

ryvent 1


Anti-inflammatories, Inhaled Corticosteroids

ALVESCO 3

ARNUITY ELLIPTA 2

ASMANEX (120 METERED DOSES)

3


3


3


3


3

ASMANEX HFA 3

BECONASE AQ 3

budesonide inhalation 1

FLOVENT DISKUS 2

FLOVENT HFA 2

flunisolide nasal 1

fluticasone propionate nasal

1

mometasone furoate nasal

1

NASONEX 2

OMNARIS 3

PULMICORT FLEXHALER

2

PULMICORT SUSPENSION

3

QNASL 3

QNASL CHILDRENS 3

QVAR REDIHALER 2

XHANCE 3

ZETONNA 3

Antileukotrienes

ACCOLATE 3

montelukast sodium oral

1


69


SINGULAIR 3

zafirlukast 1

zileuton er 1

ZYFLO 3

Bronchodilators, Anticholinergic

ATROVENT HFA 3

INCRUSE ELLIPTA 3

ipratropium bromide inhalation

1

ipratropium bromide nasal

1

LONHALA MAGNAIR REFILL KIT

3

LONHALA MAGNAIR STARTER KIT

3

SPIRIVA HANDIHALER

2

SPIRIVA RESPIMAT 2

TUDORZA PRESSAIR 3

YUPELRI 3

Bronchodilators, Sympathomimetic

albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act inhalation

1

ALBUTEROL SULFATE HFA AEROSOL SOLUTION 108 (90 BASE) MCG/ACT INHALATION

3

albuterol sulfate inhalation

1

albuterol sulfate oral 1

arformoterol tartrate 1

AUVI-Q 3

BROVANA 3

epinephrine injection solution auto-injector

1


EPIPEN 2-PAK 3

EPIPEN JR 2-PAK 3

levalbuterol hcl inhalation

1

LEVALBUTEROL HFA INHALATION AEROSOL 45 MCG/ACT

3

PERFOROMIST 3

PROAIR HFA 3

PROAIR RESPICLICK 3

PROVENTIL HFA 3

SEREVENT DISKUS 2

STRIVERDI RESPIMAT

2

SYMJEPI 3

terbutaline sulfate oral 1

VENTOLIN HFA 3

XOPENEX 3

XOPENEX CONCENTRATE

3

XOPENEX HFA 3

Cystic Fibrosis Agents

BETHKIS 3 SP

CAYSTON 3 SP

KALYDECO 3 SP

KITABIS PAK 3 SP

ORKAMBI 3 SP

PULMOZYME 2 SP

SYMDEKO 3 SP

TOBI NEBULIZER 3 SP

TOBI PODHALER 3 SP

tobramycin inhalation nebulization solution 300 mg/4ml

1 SP

tobramycin nebulization solution 300 mg/5ml inhalation

1 SP


70


TOBRAMYCIN NEBULIZATION SOLUTION 300 MG/5ML INHALATION

3 SP

TRIKAFTA 3 SP

Mast Cell Stabilizers

cromolyn sodium inhalation

1

Phosphodiesterase Inhibitors, Airways Disease

DALIRESP 3

ELIXOPHYLLIN 2

THEO-24 3

theophylline 1

theophylline er 1

Pulmonary Antihypertensives

ADCIRCA 3 SP

ADEMPAS 2 SP

alyq 1 SP

ambrisentan 1 SP

bosentan 1 SP

LETAIRIS 3 SP

OPSUMIT 2 SP

ORENITRAM 3 SP

REVATIO ORAL 3 SP

sildenafil citrate oral suspension reconstituted

1 SP

sildenafil citrate oral tablet 20 mg

1 SP

tadalafil (pah) 1 SP

TRACLEER 3 SP

TYVASO 3 SP

TYVASO REFILL 3 SP

TYVASO STARTER 3 SP

UPTRAVI ORAL 3 SP

VENTAVIS 3 SP


Pulmonary Fibrosis Agents

ESBRIET 3 SP

OFEV 3 SP

Respiratory Tract Agents, Other

acetylcysteine inhalation

1

CLARINEX-D 12 HOUR

3

FASENRA PEN 2 SP

NUCALA SUBCUTANEOUS SOLUTION AUTO-INJECTOR

2 SP

NUCALA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 SP

promethazine vc 1

promethazine-phenylephrine

1

ribavirin inhalation 1

VIRAZOLE 3

Respiratory Tract/Pulmonary Agents - Drugs to Treat Allergies, Cough, Cold and Lung Conditions

ADRENALIN NASAL 3

benzonatate 1

GILPHEX TR 3

promethazine-dm 1

pseudoephedrine-bromphen-dm

1

TESSALON PERLES 3

TUZISTRA XR 3


71


Bronchodilators, Sympathomimetic - Asthma/Lung Drugs

ADVAIR DISKUS 2

ADVAIR HFA 2

AIRDUO RESPICLICK 113/14

3


3


3

ANORO ELLIPTA 2

BEVESPI AEROSPHERE

3

BREO ELLIPTA 2

BREZTRI AEROSPHERE

2

BUDESONIDE-FORMOTEROL FUMARATE

3

COMBIVENT RESPIMAT

2

DUAKLIR PRESSAIR 3

DULERA 3

fluticasone-salmeterol inhalation aerosol powder breath activated 100-50 mcg/dose, 250-50 mcg/dose, 500-50 mcg/dose

1

FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 MCG/ACT, 55-14 MCG/ACT

1

ipratropium-albuterol 1

STIOLTO RESPIMAT 2

SYMBICORT 2


TRELEGY ELLIPTA 2

wixela inhub 1

Respiratory Tract Agents, Other - Asthma/Lung Drugs

HYCODAN 3

hydrocodone polst-chlorphen polst er susp

1

hydrocodone-homatropine

1

hydromet 1

HYPERSAL 3

promethazine vc/codeine

1

promethazine-codeine 1

promethazine-phenyleph-codeine

1

sodium chloride inhalation

1

TUSSICAPS 3

TUXARIN ER 3

Skeletal Muscle Relaxants

AMRIX 3

carisoprodol oral 1

carisoprodol-aspirin-codeine

1

chlorzoxazone 1

cyclobenzaprine hcl er 1

cyclobenzaprine hcl oral

1

FEXMID 3

LORZONE 3

metaxalone 1

methocarbamol oral 1

NORGESIC FORTE 3

orphenadrine citrate er 1

orphenadrine-asa-caffeine

1


72


ORPHENGESIC FORTE

3

SKELAXIN 3

SOMA 3

VANADOM 3

Sleep Disorder Agents

Sleep Promoting Agents

AMBIEN 3

AMBIEN CR 3

BELSOMRA 3

DAYVIGO 3

doxepin hcl oral tablet 1

EDLUAR 3

estazolam 1

eszopiclone 1

flurazepam hcl 1

HALCION 3

HETLIOZ 3 SP

HETLIOZ LQ 3 SP

LUNESTA 3

ramelteon 1

RESTORIL 3

ROZEREM 3

SILENOR 3

temazepam 1

triazolam 1

zaleplon 1

zolpidem tartrate 1

zolpidem tartrate er 1

ZOLPIMIST 3

Wakefulness Promoting Agents

armodafinil 1

modafinil 1

NUVIGIL 3

PROVIGIL 3


SUNOSI 2

WAKIX 3 SP

XYREM 3 SP

Sleep Disorder Agents - Drugs for Sedation and Sleep

Sleep Disorders, Other - Drugs for Sleeping

XYWAV 3 SP

Therapeutic Nutrients/Minerals/Electrolytes - Drugs to Treat Vitamin, Mineral and Body Fluid Deficiencies


CALCIFOL 3

calcium-folic acid plus d 1

cytra k crystals 1

DECARA K 3

DRISDOL 3

EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ, 20 MEQ

3

effer-k oral tablet effervescent 25 meq

1

ERGOCAL 3

ergocalciferol oral capsule

1

FLORIVA ORAL LIQUID

3

hematinic/folic acid 1

hemocyte-f 1

klor-con/ef 1

K-PHOS-NEUTRAL 3


73


k-prime 1

ORACIT 3

PHOSPHA 250 NEUTRAL

3

phosphorous 1

phospho-trin 250 neutral

1

PHOXILLUM B22K4/0 3

pot & sod cit-cit ac 1

POTABA 3

potassium citrate-citric acid

1

PRISMASOL B22GK 4/0

3

PRISMASOL BGK 0/2.5

3

PRISMASOL BGK 2/0 3

PRISMASOL BGK 2/3.5

3

PRISMASOL BGK 4/0/1.2

3

PRISMASOL BGK 4/2.5

3

PRISMASOL BK 0/0/1.2

3

sod citrate-citric acid 1

tricitrates 1

virt-phos 250 neutral 1

vitamin d (ergocalciferol) oral capsule 1.25 mg (50000 ut)

1

Vitamins - Vitamin, Mineral and Body Fluid Deficiency Drugs

cyanocobalamin injection solution 1000 mcg/ml

1


CYANOCOBALAMIN INJECTION SOLUTION 2000 MCG/ML

3

NASCOBAL 3


74

Index of Drugs

3232a infant formula................. 61abacavir sulfate.........................25abacavir sulfate-lamivudine...... 25abacavir-lamivudine-zidovudine.................................25ABILIFY.....................................23abiraterone acetate................... 19ABSORICA............................... 38ABSORICA LD..........................38ACANYA................................... 38acarbose................................... 27ACCOLATE...............................69ACCRUFER.............................. 46ACCU-CHEK AVIVA................. 45ACCU-CHEK AVIVA PLUS.......45ACCU-CHEK COMPACT PLUS CONTROL...................... 45ACCU-CHEK COMPACT PLUS TEST STRIPS................ 45ACCU-CHEK FASTCLIX LANCET KIT............................. 45ACCU-CHEK GUIDE................ 45ACCU-CHEK GUIDE CONTROL................................ 45ACCU-CHEK SMARTVIEW CONTROL................................ 45ACCU-CHEK SMARTVIEW TEST STRIPS...........................45ACCU-CHEK SOFTCLIX LANCET DEVICE KIT...............45ACCU-CHEK TENDER 1 INFUSION.................................61ACCU-CHEK ULTRAFLEX INF SET.................................... 61ACCUPRIL................................32ACCURETIC............................. 33accutane................................... 38ACD-A NOCLOT-50..................31acebutolol hcl............................ 32acetaminophen-codeine..............9acetaminophen-codeine #2.........9acetaminophen-codeine #3.........9acetaminophen-codeine #4.........9acetazolamide...........................33acetazolamide er.......................33acetic acid................................. 68acetylcysteine........................... 71ACIPHEX.................................. 49ACIPHEX SPRINKLE............... 49acitretin..................................... 38ACTEMRA................................ 58ACTEMRA ACTPEN.................58ACTHAR................................... 52

ACTICLATE.............................. 13ACTIMMUNE............................ 59ACTIQ......................................... 9ACTIVELLA...............................53ACTONEL................................. 61ACTOPLUS MET...................... 27ACTOS......................................27ACULAR................................... 67ACULAR LS.............................. 67ACUNOL................................... 61ACUVAIL...................................67acyclovir.................................... 24ACZONE................................... 42ADASUVE.................................23ADCIRCA..................................71ADDERALL............................... 37ADDERALL XR......................... 37adefovir dipivoxil ....................... 24ADEMPAS................................ 71ADHANSIA XR..........................36ADLYXIN...................................27ADLYXIN STARTER PACK...... 27ADMELOG................................ 28ADMELOG SOLOSTAR........... 28ADRENALIN............................. 71ADVAIR DISKUS...................... 72ADVAIR HFA............................ 72ADVATE....................................30ADYNOVATE............................31ADZENYS ER........................... 37ADZENYS XR-ODT.................. 37AEMCOLO................................ 11AEROCHAMBER PLUS FLO-VU............................................. 61AFINITOR................................. 20AFINITOR DISPERZ.................20afirmelle.................................... 53AFREZZA..................................28AFSTYLA.................................. 31AFTERPILL...............................57AGRYLIN.................................. 30AIMOVIG...................................18AIRDUO RESPICLICK 113/14..72AIRDUO RESPICLICK 232/14..72AIRDUO RESPICLICK 55/14....72AJOVY...................................... 18AKLIEF......................................38ak-poly-bac............................... 66AKTEN...................................... 65AKYNZEO.................................17ALA SCALP.............................. 39ala-cort...................................... 39albendazole...............................21

ALBENZA..................................21albuterol sulfate.........................70albuterol sulfate hfa...................70ALBUTEROL SULFATE HFA... 70ALCAINE...................................65alclometasone dipropionate...... 39ALCOHOL PREP PADS........... 61ALDACTAZIDE......................... 33ALDACTONE............................ 34ALDARA....................................41ALECENSA...............................64alendronate sodium.................. 61ALEVAMAX...............................44ALFERON N............................. 60alfuzosin hcl er.......................... 51ALINIA.......................................22aliskiren fumarate......................33ALKERAN................................. 21ALKINDI SPRINKLE................. 52allopurinol..................................18ALLZITAL....................................9almotriptan malate.................... 18ALOCRIL...................................66ALOGLIPTIN BENZOATE........ 27ALOGLIPTIN-METFORMIN HCL...........................................27ALOGLIPTIN-PIOGLITAZONE. 27ALOMIDE..................................66ALORA......................................53alosetron hcl..............................48ALPHAGAN P........................... 68ALPHANATE.............................31ALPHANINE SD........................30alprazolam................................ 26alprazolam er............................ 26alprazolam intensol................... 26alprazolam xr............................ 26ALPROLIX................................ 31ALREX...................................... 67ALTABAX..................................42ALTACAINE.............................. 65ALTACE.................................... 32altafrin....................................... 65altavera..................................... 53ALTOPREV...............................35ALTRENO................................. 38ALUNBRIG................................64ALVESCO................................. 69alvimopan..................................50alyacen 1/35..............................53alyacen 7/7/7.............................53alyq........................................... 71amabelz.................................... 53

75

amantadine hcl..........................22AMARYL................................... 27AMBIEN.................................... 73AMBIEN CR.............................. 73ambrisentan.............................. 71amcinonide................................39AMELUZ................................... 41AMERGE.................................. 18amethia..................................... 53amethyst................................... 53AMICAR.................................... 30amiloride hcl..............................35amiloride-hydrochlorothiazide... 33aminoamrms............................. 61aminocaproic acid..................... 30aminoreliefrms.......................... 61amiodarone hcl......................... 32AMITIZA....................................48amitriptyline hcl......................... 16amlodipine besylate.................. 33amlodipine besylate-benazepril hcl............................................. 33amlodipine besylate-valsartan.. 33amlodipine-atorvastatin.............33amlodipine-olmesartan..............33amlodipine-valsartan-hctz......... 33amnesteem............................... 39amoxapine................................ 16amoxicill-clarithro-lansopraz..... 48amoxicillin................................. 12amoxicillin-potassium clavulanate................................12amoxicillin-potassium clavulanate er............................12AMPHETAMINE ER..................37amphetamine sulfate.................37amphetamine-dextroamphetamine.................. 37amphetamine-dextroamphetamine er.............. 37ampicillin................................... 12AMPYRA...................................38AMRIX.......................................72AMZEEQ...................................42ANAFRANIL..............................16anagrelide hcl............................30ANALPRAM HC........................ 41ANALPRAM HC SINGLES....... 41ANALPRAM-HC........................41ANASPAZ................................. 61anastrozole............................... 20ANCOBON................................17ANDRODERM.......................... 53

ANDROGEL..............................53ANDROGEL PUMP.................. 53ANGELIQ.................................. 53ANNOVERA..............................53ANORO ELLIPTA..................... 72ANTARA................................... 35ANTICOAGULANT SODIUM CITRATE...................................30ANTIVERT................................ 17anucort-hc................................. 60ANUSOL-HC.............................60APADAZ....................................10apap-caff-dihydrocodeine........... 9APEXICON E............................ 39APIDRA SOLOSTAR................ 28APIDRA VIAL............................28APLENZIN................................ 15APOKYN................................... 22apraclonidine hcl....................... 68aprepitant.................................. 17apri............................................ 53APRISO.................................... 60APTENSIO XR..........................36APTIOM.................................... 14APTIVUS...................................25ARAKODA................................ 22aranelle..................................... 53ARANESP (ALBUMIN FREE)...30ARAVA......................................59ARAZLO....................................39ARCALYST............................... 58arformoterol tartrate.................. 70ARICEPT.................................. 15ARIKAYCE................................11ARIMIDEX.................................20aripiprazole............................... 23ARIXTRA.................................. 29armodafinil ................................ 73ARMOUR THYROID.................58ARNUITY ELLIPTA...................69AROMASIN...............................20ARTHROTEC..............................8ARTISS..................................... 41ARZOL SILVER NIT APPLICATORS.........................13ASACOL HD............................. 60ascomp-codeine..........................9asenapine maleate....................23ashlyna......................................53ASMANEX (120 METERED DOSES).................................... 69ASMANEX (14 METERED DOSES).................................... 69

ASMANEX (30 METERED DOSES).................................... 69ASMANEX (60 METERED DOSES).................................... 69ASMANEX (7 METERED DOSES).................................... 69ASMANEX HFA........................ 69aspirin-dipyridamole er..............30ASTAGRAF XL......................... 59ASTRINGYN............................. 31ATACAND.................................32ATACAND HCT........................ 33atazanavir sulfate......................25ATELVIA................................... 61atenolol..................................... 32atenolol-chlorthalidone..............33ATIVAN..................................... 26atomoxetine hcl.........................36atorvastatin calcium.................. 35atovaquone............................... 22atovaquone-proguanil hcl..........22ATRALIN...................................39ATRIPLA................................... 24atropine sulfate......................... 65ATROVENT HFA...................... 70AUBAGIO..................................38aubra.........................................53aubra eq....................................53AUGMENTIN............................ 12AUGMENTIN ES-600............... 12aurovela 1.5/30......................... 53aurovela 1/20............................ 53aurovela 24 fe........................... 53aurovela fe 1.5/30..................... 53aurovela fe 1/20........................ 53AURYXIA.................................. 47AUSTEDO.................................37AUTOLET LANCING DEVICE.. 46AUTOSOFT 30 INFUSION SET........................................... 61AUTOSOFT 90 INFUSION SET........................................... 61AUTOSOFT XC INFUSION SET........................................... 61AUVI-Q......................................70AVALIDE...................................33AVAPRO................................... 32AVAR CLEANSER....................43AVAR LS CLEANSER.............. 43AVAR-E EMOLLIENT............... 43AVAR-E GREEN.......................43AVAR-E LS............................... 43aviane....................................... 53

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avidoxy......................................13AVIDOXY DK............................ 13AVITA........................................39AVODART.................................51AVONEX PEN...........................38AVONEX PREFILLED.............. 38AXONA..................................... 61AYGESTIN................................56ayuna........................................ 53AYVAKIT...................................64AZASAN....................................59AZASITE................................... 66azathioprine.............................. 59azelaic acid............................... 39azelastine hcl...................... 66, 69azelastine-fluticasone............... 69AZELEX.................................... 39AZILECT................................... 23azithromycin..............................12AZOPT...................................... 68AZOR........................................ 33AZSTARYS............................... 37AZULFIDINE............................. 60AZULFIDINE EN-TABS............ 60azurette..................................... 53bac.............................................. 9bacitracin...................................66bacitracin-polymyxin b.............. 66bacitra-neomycin-polymyxin-hc 65baclofen.................................... 24BACTRIM..................................13BACTRIM DS............................13BAFIERTAM............................. 38BALCOLTRA.............................53balsalazide disodium.................60balsam peru-castor oil ...............44BALVERSA............................... 20balziva.......................................53BANZEL.................................... 15BAQSIMI ONE PACK............... 28BAQSIMI TWO PACK...............28BARACLUDE............................ 24BASAGLAR KWIKPEN............. 28BAXDELA................................. 12BECONASE AQ........................69BELBUCA................................... 8belladonna alkaloids-opium...... 50BELSOMRA.............................. 73benazepril hcl............................32benazepril-hydrochlorothiazide. 34BENEFIX...................................31BENICAR.................................. 32BENICAR HCT..........................34

BENLYSTA............................... 58BENZACLIN..............................39BENZACLIN WITH PUMP........ 39BENZALKONIUM CHLORIDE.. 13benzalkonium chloride.............. 13BENZAMYCIN.......................... 39BENZHYDROCODONE-ACETAMINOPHEN...................10BENZNIDAZOLE...................... 22BENZOIN.................................. 43benzoin compound....................43benzonatate.............................. 71benzoyl peroxide-erythromycin. 39benztropine mesylate................22bepotastine besilate.................. 66BEPREVE................................. 66BERINERT................................58beser......................................... 39BESIVANCE............................. 66BETADINE OPHTHALMIC PREP........................................ 68betamethasone dipropionate.... 39betamethasone dipropionate aug............................................ 39betamethasone valerate........... 39BETAPACE...............................32BETAPACE AF......................... 32BETASERON............................38betaxolol hcl........................ 32, 67bethanechol chloride.................51BETHKIS...................................70BETIMOL.................................. 67BETOPTIC-S............................ 67BEVESPI AEROSPHERE.........72bexarotene................................ 21BEYAZ...................................... 53bicalutamide..............................19BIDIL......................................... 34BIJUVA..................................... 53BIKTARVY................................ 24BILTRICIDE.............................. 21bimatoprost......................... 65, 68BINOSTO..................................61bisoprolol fumarate................... 32bisoprolol-hydrochlorothiazide.. 34blanche..................................... 61BLEPH-10................................. 66BLEPHAMIDE...........................65BLEPHAMIDE S.O.P................ 65blisovi 24 fe............................... 53blisovi fe 1.5/30......................... 53blisovi fe 1/20............................ 53BONIVA.................................... 61

BONJESTA............................... 17bosentan................................... 71BOSULIF...................................64BOTOX COSMETIC................. 44bp 10-1......................................43bp cleansing wash.................... 43BRAFTOVI................................ 20BREO ELLIPTA........................ 72BREXAFEMME.........................61BREZTRI AEROSPHERE.........72briellyn.......................................53BRILINTA..................................30brimonidine tartrate................... 68brinzolamide..............................68BRISDELLE.............................. 16BRIVIACT................................. 14bromfenac sodium (once-daily).67bromocriptine mesylate.............22BROMSITE............................... 67BRONCHITOL.......................... 38BRONCHITOL TOLERANCE TEST.........................................38BROVANA................................ 70BRUKINSA................................64BRYHALI...................................39budesonide......................... 60, 69budesonide er........................... 60BUDESONIDE-FORMOTEROL FUMARATE....72bumetanide............................... 34BUMEX..................................... 34BUNAVAIL................................ 11BUPAP........................................9BUPHENYL...............................50buprenorphine...........................11buprenorphine hcl....................... 8buprenorphine hcl-naloxone hcl............................................. 11bupropion hcl............................ 15bupropion hcl er (sr)..................15bupropion hcl er (xl).................. 15BUPROPION HCL ER (XL)...... 15buspirone hcl.............................26butalbital-acetaminophen............9BUTALBITAL-ACETAMINOPHEN.....................9butalbital-apap-caff-cod............ 10butalbital-apap-caffeine.............10butalbital-asa-caff-codeine........10butalbital-aspirin-caffeine.......... 10butorphanol tartrate...................10BUTRANS.................................11

77

BYDUREON BCISE AUTOINJECTOR...................... 27BYETTA 10 MCG PEN............. 27BYETTA 5 MCG PEN............... 27BYLVAY.................................... 49BYLVAY (PELLETS).................49BYSTOLIC................................ 32cabergoline............................... 58CABLIVI.................................... 30CABOMETYX........................... 64CADUET................................... 34CAFERGOT.............................. 18caffeine citrate...........................37CALAN SR................................ 33CALCIFOL................................ 73calcipotriene..............................41CALCIPOTRIENE..................... 41calcipotriene-betameth diprop...41calcitonin (salmon).................... 61CALCITRENE........................... 41calcitriol............................... 41, 61calcium acetate......................... 47calcium acetate (phos binder)...47calcium-folic acid plus d............ 73CALQUENCE............................64CAMBIA...................................... 8camila........................................56CAMINO PRO COMPLETE/GLYTACTIN......... 61camrese.................................... 53camrese lo................................ 53CANASA................................... 60candesartan cilexetil ................. 32candesartan cilexetil-hctz..........34capecitabine..............................21CAPEX......................................39CAPLYTA..................................23CAPRELSA...............................64captopril .................................... 32CARAC..................................... 41CARAFATE...............................49CARBAGLU.............................. 46carbamazepine......................... 15carbamazepine er..................... 15CARBATROL............................ 15carbidopa.................................. 23carbidopa-levodopa.................. 23carbidopa-levodopa er.............. 23carbidopa-levodopa-entacapone............................... 22carbinoxamine maleate.............69CARDIZEM............................... 33CARDIZEM CD......................... 33

CARDIZEM LA..........................33CARDURA................................ 31CARDURA XL...........................51CARETOUCH CONTROL SOL LEVEL 2....................................45CARETOUCH HYPODERMIC NEEDLE....................................61CARETOUCH LANCING/EJECTOR................ 46CARETOUCH TEST................. 45carisoprodol.............................. 72carisoprodol-aspirin-codeine.....72CARNITOR............................... 50CARNITOR SF..........................50CAROSPIR............................... 35carteolol hcl...............................67cartia xt..................................... 33carvedilol...................................32carvedilol phosphate er.............32cascara sagrada....................... 50CASODEX................................ 19CATAFLAM.................................8CATAPRES-TTS-1................... 31CATAPRES-TTS-2................... 31CATAPRES-TTS-3................... 31CAYA........................................ 61CAYSTON.................................70caziant.......................................53cefaclor..................................... 12cefaclor er................................. 12cefadroxil ...................................12cefdinir...................................... 12cefixime.....................................12cefpodoxime proxetil ................. 12cefprozil .....................................12cefuroxime axetil ....................... 12CELEBREX.................................8celecoxib..................................... 8CELEXA....................................16CELLCEPT............................... 59CELONTIN................................14CENTANY.................................42CENTANY AT........................... 42cephalexin.................................12CEQUA..................................... 65CERDELGA.............................. 50cerovel...................................... 44CERVIDIL................................. 52CETRAXAL............................... 68cevimeline hcl........................... 38charlotte 24 fe........................... 53chateal...................................... 53chateal eq................................. 53

CHEMET...................................47CHEMSTRIP BG LOG BOOK...61CHEMSTRIP K......................... 45CHENODAL.............................. 48chlordiazepoxide hcl................. 26chlordiazepoxide-amitriptyline...15chlordiazepoxide-clidinium........48chloroquine phosphate..............22chlorpromazine hcl....................23chlorthalidone............................35chlorzoxazone...........................72CHOLBAM................................ 50cholestyramine..........................35cholestyramine light.................. 35ciclodan.....................................42ciclopirox................................... 42ciclopirox olamine..................... 42ciclopirox treatment...................42cilostazol................................... 30CILOXAN.................................. 66CIMDUO................................... 25cimetidine..................................49cimetidine hcl............................ 49CIMZIA PREFILLED KIT...........59CIMZIA STARTER KIT............. 59cinacalcet hcl............................ 61CINRYZE.................................. 58CIPRO.......................................12CIPRO HC................................ 68CIPRODEX............................... 68ciprofloxacin hcl............ 12, 66, 68ciprofloxacin-dexamethasone... 68CIPROFLOXACIN-FLUOCINOLONE PF................ 68citalopram hydrobromide.......... 16claravis......................................39CLARINEX................................ 69CLARINEX-D 12 HOUR............71clarithromycin............................12clarithromycin er........................12clemastine fumarate..................69CLENPIQ.................................. 48CLEOCIN.................................. 11CLEOCIN-T...............................42CLIMARA.................................. 53CLIMARA PRO......................... 53clindacin etz.............................. 42CLINDACIN ETZ.......................44CLINDACIN PAC...................... 44clindacin-p.................................42CLINDAGEL..............................42clindamycin hcl..........................11clindamycin palmitate hcl.......... 11

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clindamycin phos-benzoyl perox......................................... 39clindamycin phosphate....... 11, 42CLINDAMYCIN PHOSPHATE.. 42clindamycin-tretinoin................. 39CLINDESSE..............................11clobazam...................................14clobetasol prop emollient base. 39clobetasol propionate................39clobetasol propionate e.............39clobetasol propionate emulsion 39CLOBEX................................... 39CLOBEX SPRAY...................... 39clocortolone pivalate................. 39clodan....................................... 39CLODAN................................... 44CLODERM................................ 39clomipramine hcl....................... 16clonazepam...............................26clonidine....................................31clonidine hcl.............................. 31clonidine hcl er.......................... 36clopidogrel bisulfate.................. 30clorazepate dipotassium........... 26clotrimazole-betamethasone.....41clovique.....................................47clozapine...................................23CLOZARIL................................ 23COAGADEX..............................30COAL TAR................................ 43COARTEM................................ 22codeine sulfate..........................10COLAZAL..................................60COLCHICINE............................18colchicine.................................. 18colchicine-probenecid............... 18COLCRYS.................................18colesevelam hcl........................ 35COLESTID................................ 35COLESTID FLAVORED............35colestipol hcl............................. 35colistimethate sodium (cba)...... 11COLY-MYCIN M....................... 11COMBIGAN.............................. 65COMBIPATCH.......................... 53COMBIVENT RESPIMAT......... 72COMBIVIR................................ 25COMETRIQ...............................64COMPLERA..............................24compro...................................... 17COMTAN.................................. 22CONCERTA..............................37CONDYLOX..............................41

CONJUPRI................................36CONSENSI............................... 36constulose.................................48CONTOUR CONTROL............. 61CONTOUR MONITOR DEVICE.....................................61CONTOUR MONITOR KIT W/DEVICE................................ 45CONTOUR NEXT CONTROL...61CONTOUR NEXT EZ................45CONTOUR NEXT LINK............ 45CONTOUR NEXT MONITOR... 45CONTOUR NEXT ONE............ 61CONTOUR NEXT TEST........... 45CONTOUR TEST......................45CONZIP...................................... 8COPAXONE..............................38COPIKTRA................................20CORDRAN................................39COREG.....................................32COREG CR...............................32coremino................................... 13CORGARD................................32CORIFACT................................31CORLANOR..............................34CORTANE-B.............................43CORTEF................................... 52CORTENEMA........................... 60cortic-nd.................................... 69CORTIFOAM............................ 60CORTISPORIN-TC................... 68CORTROSYN........................... 61COSENTYX (300 MG DOSE)...58COSENTYX 150 MG/ML.......... 58COSENTYX SENSOREADY (300 MG)...................................58COSENTYX SENSOREADY PEN...........................................58COSOPT...................................65COSOPT PF............................. 66cosyntropin................................61COTELLIC................................ 20COTEMPLA XR-ODT............... 37COVARYX................................ 57COVARYX HS.......................... 57COZAAR................................... 32CREON..................................... 50CRESEMBA..............................17CRESTOR................................ 35CRINONE................................. 56CRIXIVAN................................. 25cromolyn sodium...........50, 66, 71crotan........................................ 42

cryselle-28.................................53CUPRIMINE..............................51CUTIVATE................................ 39CUVPOSA................................ 48cyanocobalamin........................ 74CYANOCOBALAMIN................ 74cyclafem 1/35............................53cyclafem 7/7/7...........................53cyclobenzaprine hcl.................. 72cyclobenzaprine hcl er.............. 72CYCLOGYL.............................. 66CYCLOMYDRIL........................ 68cyclopentolate hcl..................... 66cyclophosphamide.................... 19CYCLOPHOSPHAMIDE........... 19cycloserine................................ 19CYCLOSET...............................27cyclosporine.............................. 59cyclosporine modified............... 59CYMBALTA...............................38cyproheptadine hcl....................69cyred......................................... 54cyred eq.................................... 54CYSTADANE............................ 50CYSTADROPS......................... 66CYSTAGON..............................50CYSTARAN.............................. 66CYTOMEL.................................57CYTOTEC.................................49cytra k crystals.......................... 73D.H.E. 45.................................. 18dalfampridine er........................ 38DALIRESP................................ 71danazol..................................... 53DANTRIUM............................... 24dantrolene sodium.................... 24dapsone.............................. 19, 42DAPSONE................................ 42DARAPRIM............................... 22darifenacin hydrobromide er..... 50dasetta 1/35.............................. 54dasetta 7/7/7............................. 54DAURISMO...............................20DAYPRO.....................................8daysee...................................... 54DAYTRANA.............................. 37DAYVIGO..................................73DDAVP......................................52DDAVP PF................................ 52deblitane................................... 56DECADRON............................. 52DECARA K................................73deferasirox................................ 47

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deferasirox granules................. 47deferiprone................................47DELESTROGEN.......................54DELSTRIGO............................. 24delyla.........................................54DELZICOL................................ 60demeclocycline hcl....................13DEMSER...................................34DENAVIR.................................. 24DEPAKOTE.............................. 27DEPAKOTE ER........................ 27DEPAKOTE SPRINKLES......... 27DEPEN TITRATABS.................51DEPO-ESTRADIOL.................. 54DEPO-PROVERA..................... 56DEPO-SUBQ PROVERA 104...56DEPO-TESTOSTERONE......... 53DERMA-SMOOTHE/FS BODY.40DERMA-SMOOTHE/FS SCALP...................................... 40DERMOTIC...............................68DERPIXA.................................. 44DESCOVY................................ 25desipramine hcl.........................16desloratadine............................ 69desmopressin ace spray refrig..52desmopressin acetate...............52DESMOPRESSIN ACETATE... 52desmopressin acetate pf...........52desmopressin acetate spray..... 52desogestrel-ethinyl estradiol..... 54DESONATE.............................. 40desonide................................... 40DESOWEN............................... 40desoximetasone........................40DESOXYN................................ 37desrx......................................... 40DESVENLAFAXINE ER............16desvenlafaxine succinate er......16DETROL................................... 50DETROL LA.............................. 50DEXABLISS.............................. 52dexamethasone........................ 52dexamethasone intensol........... 52dexamethasone sodium phosphate................................. 67dexchlorpheniramine maleate...69DEXCOM G5 MOBILE TRANSMITTER........................ 46DEXCOM G6 SENSOR............ 46DEXCOM RECEIVER KIT........ 46DEXEDRINE............................. 37DEXILANT................................ 49

dexmethylphenidate hcl............ 37dexmethylphenidate hcl er........ 37DEXTENZA...............................67dextroamphetamine sulfate.......37dextroamphetamine sulfate er.. 37DIACOMIT................................ 15DIASTAT ACUDIAL.................. 14DIASTAT PEDIATRIC...............14diazepam............................ 14, 26diazepam intensol..................... 26diazoxide...................................28DIBENZYLINE.......................... 31DICLEGIS................................. 17DICLOFENAC CAP.................... 8diclofenac potassium.................. 8diclofenac sodium........... 8, 41, 67diclofenac sodium er................... 8diclofenac-misoprostol................ 8dicloxacillin sodium................... 12dicyclomine hcl..........................48DIFICID..................................... 12diflorasone diacetate.................40DIFLUCAN................................ 17diflunisal...................................... 8difluprednate............................. 67digitek........................................34digox......................................... 34digoxin.......................................34dihydroergotamine mesylate.....18DILANTIN..................................15DILANTIN INFATABS............... 15DILAUDID................................... 9diltiazem hcl.............................. 33diltiazem hcl er.......................... 33diltiazem hcl er beads............... 33diltiazem hcl er coated beads... 33dilt-xr......................................... 33dimethyl fumarate..................... 38dimethyl fumarate starter pack..38DIOVAN.................................... 32DIOVAN HCT............................34DIPENTUM............................... 60diphen....................................... 69di-phen...................................... 69diphenhydramine hcl.................69diphenoxylate-atropine..............48DIPROLENE............................. 40DIPROLENE AF........................40dipyridamole..............................30disopyramide phosphate...........32DITROPAN XL.......................... 50DIURIL...................................... 35divalproex sodium..................... 27

divalproex sodium er.................27DIVIGEL....................................54dofetilide....................................32DOJOLVI...................................61dolishale....................................54donepezil hcl............................. 15DOPTELET............................... 30DORAL......................................26DORYX..................................... 13DORYX MPC............................ 13DORZOLAMIDE HCL............... 68dorzolamide hcl.........................68dorzolamide hcl-timolol mal...... 66dorzolamide hcl-timolol mal pf.. 66dotti ........................................... 54DOVATO...................................24DOVONEX................................ 41doxazosin mesylate.................. 31doxepin hcl....................16, 40, 73doxercalciferol...........................61doxycycline............................... 13doxycycline hyclate................... 13DOXYCYCLINE HYCLATE.......13doxycycline monohydrate......... 13doxylamine-pyridoxine.............. 17DRISDOL.................................. 73DRIZALMA SPRINKLE............. 38dronabinol................................. 17drospiren-eth estrad-levomefol. 54drospirenone-ethinyl estradiol...54DROXIA.................................... 30droxidopa.................................. 31DRYSOL................................... 61DUAKLIR PRESSAIR............... 72DUAVEE................................... 54DUETACT................................. 27DULERA................................... 72duloxetine hcl............................ 38DUOBRII................................... 41DUOPA..................................... 23DUPIXENT................................58DUREZOL.................................67dutasteride................................ 51dutasteride-tamsulosin hcl........ 51DUTOPROL.............................. 34DXEVO 11-DAY........................52DYANAVEL XR.........................37DYMISTA.................................. 69DYRENIUM...............................35E.E.S. 400.................................12E.E.S. GRANULES................... 12EASIVENT................................ 61

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EASYMAX 15 LEVEL 2-3 CONTROL................................ 45EASYMAX CONTROL.............. 61EASYMAX CONTROL NORMAL/HIGH.........................45EC-NAPROSYN..........................8ec-naproxen................................ 8econazole nitrate.......................42ECOZA......................................42EC-RX DHEA............................62ECZEMOL.................................62EDARBI.....................................32EDARBYCLOR......................... 34EDECRIN..................................34EDLUAR................................... 73ED-SPAZ.................................. 62EDURANT.................................25EEMT........................................ 57EEMT HS.................................. 57efavirenz................................... 25efavirenz-emtricitab-tenofovir....25efavirenz-lamivudine-tenofovir.. 25EFFER-K...................................73effer-k........................................73EFFEXOR XR........................... 16EFFIENT................................... 30EFUDEX................................... 41EGATEN................................... 22EGRIFTA SV.............................52ELEPSIA XR............................. 14ELESTRIN................................ 54eletriptan hydrobromide............ 18ELIDEL......................................40ELIGARD.................................. 58elinest........................................54ELIQUIS....................................29ELIQUIS DVT/PE STARTER PACK........................................ 30ELIXOPHYLLIN........................ 71ELLA......................................... 56ELMIRON..................................51ELOCTATE............................... 30eluryng...................................... 54EMCYT..................................... 20EMEND..................................... 17EMEND TRI-PACK................... 17EMFLAZA................................. 52EMGALITY................................18EMGALITY (300 MG DOSE).... 18emoquette................................. 54EMPAVELI................................ 27EMSAM.....................................16emtricitabine..............................25

emtricitabine-tenofovir df...........25EMTRIVA.................................. 25EMVERM.................................. 21enalapril maleate.......................32enalapril-hydrochlorothiazide.... 34ENBREL....................................59ENBREL MINI........................... 59ENBREL SURECLICK.............. 59ENDARI.................................... 46endocet..................................... 10ENDOMETRIN..........................56ENFAMIL NEUROPRO SENSITIVE............................... 62ENLITE GLUCOSE SENSOR...45enoxaparin sodium....................30enpresse-28.............................. 54enskyce.....................................54ENSPRYNG..............................59ENSTILAR................................ 41entacapone............................... 22entecavir................................... 24ENTERAGAM........................... 62ENTEREG.................................50ENTOCORT EC........................60ENTRESTO.............................. 34enulose..................................... 48ENVARSUS XR........................ 59EPANED................................... 32EPCLUSA................................. 24EPIDIOLEX............................... 14EPIFOAM..................................41epinastine hcl............................ 66epinephrine............................... 70EPIPEN 2-PAK......................... 70EPIPEN JR 2-PAK.................... 70epitol......................................... 15EPIVIR...................................... 25EPIVIR HBV..............................24eplerenone................................ 35EPOGEN...................................30EPZICOM..................................25EQUACARE JR........................ 62EQUETRO................................ 27ERGOCAL................................ 73ergocalciferol.............................73ergoloid mesylates.................... 15ERGOMAR............................... 18ergotamine-caffeine.................. 18ERIVEDGE............................... 20ERLEADA................................. 19erlotinib hcl................................64errin...........................................56ERTACZO.................................42

ery............................................. 42ERYGEL................................... 42ERYPED 200............................ 12ERYPED 400............................ 12ERY-TAB.................................. 12ERYTHROCIN STEARATE...... 12erythromycin................. 12, 42, 66erythromycin base.....................12erythromycin ethylsuccinate......12ESBRIET...................................71escitalopram oxalate................. 16ESGIC.......................................10ESKATA....................................44esomeprazole magnesium........49est estrogens-methyltest...........57est estrogens-methyltest ds...... 57est estrogens-methyltest hs...... 57estarylla.....................................54estazolam..................................73ESTRACE................................. 54estradiol.................................... 54estradiol valerate.......................54estradiol-norethindrone acet..... 54ESTRING.................................. 54ESTROGEL.............................. 54ESTROSTEP FE.......................54eszopiclone............................... 73ethacrynic acid.......................... 34ethambutol hcl...........................19ethosuximide.............................14ethynodiol diac-eth estradiol..... 54etodolac...................................... 8etodolac er.................................. 8etonogestrel-ethinyl estradiol.... 54etoposide.................................. 20etravirine................................... 25EUCRISA.................................. 40euthyrox.................................... 57EVAMIST.................................. 54EVEKEO................................... 37EVEKEO ODT...........................37everolimus...........................20, 59EVISTA..................................... 57EVOCLIN.................................. 42EVOTAZ....................................25EVOXAC................................... 38EVRYSDI.................................. 50EXELDERM.............................. 18EXELON................................... 15exemestane.............................. 20EXFORGE................................ 34EXFORGE HCT........................ 34EXJADE.................................... 47

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EXKIVITY..................................21EXSERVAN.............................. 37EXTAVIA...................................38EXTINA..................................... 42EYSUVIS.................................. 67EZALLOR SPRINKLE...............35ezetimibe...................................35ezetimibe-simvastatin............... 35FABIOR.....................................39falmina...................................... 54famciclovir................................. 24famotidine................................. 49FANAPT....................................23FANAPT TITRATION PACK..... 23FARESTON.............................. 20FARXIGA.................................. 27FARYDAK................................. 20FASENRA PEN.........................71FAVIPIRAVIR............................26fayosim......................................54febuxostat................................. 18FEIBA........................................31felbamate.................................. 14FELBATOL................................14FELDENE................................... 8felodipine er.............................. 33FEM PH.................................... 13FEMARA................................... 20FEMHRT................................... 54FEMRING................................. 54femynor..................................... 54fenofibrate................................. 35fenofibrate micronized...............35fenofibric acid......................35, 36FENOGLIDE............................. 35fenoprofen calcium......................8fenortho.......................................8fentanyl....................................... 9fentanyl citrate...........................10FENTANYL CITRATE...............10FENTORA.................................10FERRIPROX............................. 47FERRIPROX TWICE-A-DAY.... 47FETZIMA...................................16FETZIMA TITRATION...............16FEXMID.................................... 72FIASP........................................28FIASP FLEXTOUCH.................28FIASP PENFILL........................ 28FIBRICOR.................................36FINACEA.................................. 39finasteride................................. 51FINTEPLA.................................14

FIORICET................................. 10FIORICET/CODEINE................10FIRAZYR...................................58FIRDAPSE................................ 37FIRMAGON...............................58FIRMAGON (240 MG DOSE)... 58FIRST-LANSOPRAZOLE......... 49FIRST-OMEPRAZOLE............. 49FIRVANQ.................................. 11flac............................................ 68FLAGYL.................................... 11FLAREX.................................... 67flavoxate hcl.............................. 51flecainide acetate...................... 32FLEXICHAMBER...................... 62FLEXICHAMBER ADULT MASK/SMALL........................... 62FLEXICHAMBER CHILD MASK/LARGE...........................62FLEXICHAMBER CHILD MASK/SMALL........................... 62FLOLIPID.................................. 35FLOMAX................................... 51FLORIVA...................................73FLOVENT DISKUS................... 69FLOVENT HFA......................... 69fluconazole................................17flucytosine................................. 17fludrocortisone acetate..............52flunisolide.................................. 69fluocinolone acetonide........ 40, 68fluocinolone acetonide body..... 40fluocinolone acetonide scalp.....40fluocinonide...............................40fluocinonide emulsified base.....40fluoritab..................................... 46fluorometholone........................ 67FLUOROPLEX..........................41FLUOROURACIL......................41fluorouracil ................................ 41fluoxetine hcl............................. 16fluoxetine hcl (pmdd).................16fluphenazine hcl........................ 23flurandrenolide.......................... 40flurazepam hcl...........................73flurbiprofen.................................. 8flurbiprofen sodium................... 67flutamide................................... 19fluticasone propionate.........40, 69fluticasone-salmeterol............... 72FLUTICASONE-SALMETEROL..........................72fluvastatin sodium..................... 35

fluvastatin sodium er................. 35fluvoxamine maleate................. 16fluvoxamine maleate er.............16FML...........................................67FML FORTE..............................67FML LIQUIFILM........................ 67FOCALIN.................................. 37FOCALIN XR............................ 37folic acid.................................... 62fondaparinux sodium.................30FORANE................................... 62FORFIVO XL.............................15formaldehyde............................ 62FORMALDEHYDE.................... 62FORTEO................................... 61FORTESTA...............................53FORTISCARE CONTROL........ 62FORTISCARE G1 TEST STRIP....................................... 45FORTISCARE T1 GLUCOSE SYSTEM................................... 62FOSAMAX................................ 61FOSAMAX PLUS D.................. 61fosamprenavir calcium.............. 26fosfomycin tromethamine..........11fosinopril sodium....................... 32fosinopril sodium-hctz............... 34FOSRENOL.............................. 47FOTIVDA.................................. 64FRAGMIN................................. 30FREESTYLE LIBRE 14 DAY READER................................... 45FREESTYLE LIBRE 14 DAY SENSOR...................................45FREESTYLE LIBRE 2 READER................................... 45FREESTYLE LIBRE 2 SENSOR...................................45FREESTYLE LIBRE READER..45FREESTYLE PRECISION NEO TEST................................ 45FROVA......................................19frovatriptan succinate................19FULPHILA.................................30furosemide................................ 34FUZEON................................... 25fyavolv.......................................54FYCOMPA................................ 14gabapentin................................ 14GABITRIL..................................14GALAFOLD...............................50galantamine hydrobromide....... 15galantamine hydrobromide er... 15

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GALZIN..................................... 47GASTROCROM........................50gatifloxacin................................ 66GATTEX....................................48gavilyte-c...................................48gavilyte-g...................................48gavilyte-n with flavor pack.........48GAVRETO................................ 65GELFILM...................................68GELNIQUE............................... 51gemfibrozil .................................35gemmily.....................................54GEMTESA................................ 24GENADUR................................ 44GENERESS FE........................ 54generlac.................................... 48gengraf......................................59gentak....................................... 66gentamicin sulfate............... 42, 66GENVOYA................................ 24GEODON.................................. 23GILENYA.................................. 38GILOTRIF................................. 65GILPHEX TR.............................71GIMOTI..................................... 17glatiramer acetate..................... 38glatopa...................................... 38GLEEVEC................................. 65GLEOSTINE............................. 19glimepiride.................................27glipizide..................................... 27glipizide er.................................27glipizide xl................................. 27glipizide-metformin hcl.............. 27GLOPERBA.............................. 18GLUCAGEN HYPOKIT............. 28glucagon emergency kit ............ 28GLUCAGON EMERGENCY KIT............................................ 28GLUCOTROL XL...................... 27GLUMETZA.............................. 27GLUTARALDEHYDE................ 62glyburide................................... 27glyburide micronized................. 27glyburide-metformin.................. 27glycopyrrolate............................48glydo......................................... 11GLYNASE................................. 27GLYTACTIN BETTERMILK 15. 62GLYTACTIN BETTERMILK DE-LITE.................................... 62GLYTACTIN BUILD 10PE........ 62GLYTACTIN BUILD 20/20........ 62

GLYTACTIN BUILD 20/20 PKU...........................................62GLYTACTIN BURST.................62GLYTACTIN COMPLETE 10PE......................................... 62GLYTACTIN RESTORE 10...... 62GLYTACTIN RESTORE 5........ 62GLYTACTIN RESTORE LITE 10.............................................. 62GLYTACTIN RESTORE LITE 10PE......................................... 62GLYTACTIN RTD 10................ 62GLYTACTIN RTD 15................ 62GLYTACTIN RTD LITE 15........62GLYTACTIN SWIRL 15PE........62GLYXAMBI................................27GOCOVRI................................. 22GOLYTELY............................... 48GONITRO................................. 36GORDOFILM............................ 44GRALISE.................................. 37granisetron hcl.......................... 17GRANIX.................................... 30GRASTEK.................................58griseofulvin microsize................17griseofulvin ultramicrosize.........17guanfacine hcl...........................31guanfacine hcl er.......................37GUARDIAN CONNECT TRANSMITTER........................ 62GUARDIAN LINK 3 TRANSMITTER........................ 62GUARDIAN SENSOR (3)......... 45GVOKE HYPOPEN 1-PACK.....28GVOKE HYPOPEN 2-PACK.....28GVOKE PFS............................. 28GYNAZOLE-1........................... 17HAEGARDA..............................58hailey 1.5/30..............................54hailey 24 fe................................54hailey fe 1.5/30..........................54hailey fe 1/20.............................54halcinonide................................40HALCION.................................. 73halobetasol propionate..............40HALOBETASOL PROPIONATE.......................... 40HALOG..................................... 40haloperidol................................ 23haloperidol lactate.....................23HALUCORT.............................. 44HAPRODERM...........................44HARVONI..................................24

heather......................................56HELIDAC THERAPY................ 48HEMADY...................................52HEMANGEOL........................... 32hematinic/folic acid....................73HEMLIBRA................................31HEMMOREX-HC...................... 61hemocyte-f................................ 73HEMOFIL M.............................. 31heparin lock flush...................... 62heparin sodium (porcine).......... 30heparin sodium (porcine) pf...... 30heparin sodium lock flush......... 62HEPSERA.................................24HETLIOZ...................................73HETLIOZ LQ............................. 73HIDEX 6-DAY........................... 52HIPREX.....................................11homatropaire.............................68HORIZANT................................37hpr plus..................................... 44HPR PLUS HYDROGEL...........44HUMALOG................................28HUMALOG KWIKPEN.............. 28HUMALOG MIX 50/50 KWIKPEN................................. 28HUMALOG MIX 50/50 VIAL......28HUMALOG MIX 75/25 KWIKPEN................................. 28HUMALOG MIX 75/25 VIAL......28HUMALOG U-100 JUNIOR KWIKPEN................................. 29HUMATE-P............................... 31HUMATIN..................................11HUMATROPEN FOR 12MG..... 62HUMATROPEN FOR 24MG..... 62HUMATROPEN FOR 6MG....... 62HUMIRA....................................59HUMIRA PEDIATRIC CROHNS START......................59HUMIRA PEN........................... 59HUMIRA PEN-CD/UC/HS STARTER................................. 59HUMIRA PEN-PEDIATRIC UC START...................................... 59HUMIRA PEN-PS/UV/ADOL HS START................................ 59HUMIRA PEN-PSOR/UVEIT STARTER................................. 59HUMULIN 70/30 KWIKPEN...... 29HUMULIN 70/30 VIAL...............29HUMULIN N KWIKPEN............ 29HUMULIN N VIAL..................... 29

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HUMULIN R U-500 KWIKPEN..29HUMULIN R U-500 VIAL.......... 29HUMULIN R VIAL..................... 29HYCAMTIN............................... 20HYCODAN................................ 72hydralazine hcl.......................... 36HYDREA................................... 20HYDRO 40................................ 44hydrochlorothiazide...................35hydrocodone bitartrate er............9hydrocodone polst-chlorphen polst er susp..............................72hydrocodone-acetaminophen... 10hydrocodone-homatropine........ 72hydrocodone-ibuprofen............. 10hydrocortisone.............. 40, 52, 60hydrocortisone (perianal).......... 60hydrocortisone ace-pramoxine..41hydrocortisone acetate..............61hydrocortisone butyr lipo base.. 40hydrocortisone butyrate............ 40hydrocortisone valerate.............40hydrocortisone-acetic acid........ 68hydrocortisone-iodoquinol.........18hydrocort-pramoxine (perianal).41hydromet................................... 72hydromorphone hcl..................... 9hydromorphone hcl er................. 9hydroquinone............................ 62hydroxychloroquine sulfate....... 22hydroxyurea.............................. 20hydroxyzine hcl......................... 26hydroxyzine pamoate................26HYLATOPIC PLUS................... 44HYOPHEN................................ 51hyoscyamine sulfate................. 62hyoscyamine sulfate er............. 62hyoscyamine sulfate sl..............62hyosyne.....................................62HYPERSAL...............................72HYPOCYN................................ 68HYSINGLA ER............................9HYZAAR................................... 34ibandronate sodium.................. 61IBRANCE.................................. 21ibuprofen..................................... 8icatibant acetate........................58iclevia........................................ 54ICLUSIG....................................65icosapent ethyl.......................... 35IDELVION................................. 31IDHIFA...................................... 20ILEVRO.....................................67

ILUMYA.....................................59imatinib mesylate...................... 65IMBRUVICA.............................. 65imipramine hcl...........................16imipramine pamoate................. 16imiquimod..................................41IMIQUIMOD PUMP...................41IMITREX................................... 19IMITREX STATDOSE REFILL..19IMITREX STATDOSE SYSTEM................................... 19IMPAVIDO................................ 22IMPEKLO.................................. 40IMPOYZ.................................... 40IMURAN....................................59INBRIJA.................................... 23incassia..................................... 56INCRUSE ELLIPTA.................. 70indapamide............................... 35INDERAL LA............................. 32INDERAL XL............................. 32INDOCIN.....................................8INDOMETHACIN........................ 8indomethacin...............................8indomethacin er.......................... 8INGREZZA................................37INLYTA..................................... 65INNOPRAN XL..........................33INOVA.......................................44INOVA 4/1 ACNE CONTROL THERAPY................................. 44INOVA 8/2 ACNE CONTROL THERAPY................................. 44INQOVI..................................... 21INREBIC................................... 21INSPIREASE RESERVOIR BAGS........................................ 62INSPRA.....................................35INSULIN ASP PROT & ASP FLEXPEN..................................29INSULIN ASPART.................... 29INSULIN ASPART FLEXPEN... 29INSULIN ASPART PENFILL.....29INSULIN ASPART PROT & ASPART....................................29INSULIN LISPRO......................29INSULIN LISPRO (1 UNIT DIAL).........................................29INSULIN LISPRO JUNIOR KWIKPEN................................. 29INSULIN LISPRO PROT & LISPRO.....................................29INSULIN PEN NEEDLES..........63

INSULIN SYRINGES................ 63INTELENCE..............................25INTRON A.................................59introvale.................................... 54INTUNIV....................................37INVEGA.................................... 23INVELTYS.................................67INVIRASE................................. 26INVOKAMET.............................27INVOKAMET XR.......................27INVOKANA............................... 27IODINE STRONG..................... 63iodine tincture............................13IOPIDINE.................................. 68ipratropium bromide.................. 70ipratropium-albuterol................. 72irbesartan.................................. 32irbesartan-hydrochlorothiazide..34IRESSA.....................................65ISENTRESS..............................24ISENTRESS HD....................... 24isibloom.....................................54isoflurane.................................. 63isoniazid.................................... 19ISOPTO ATROPINE................. 66ISOPTO CARPINE................... 68ISORDIL TITRADOSE.............. 36isosorbide dinitrate....................36isosorbide mononitrate..............36isosorbide mononitrate er......... 36isotretinoin.................................39isoxsuprine hcl.......................... 36isradipine...................................33ISTALOL................................... 67ISTURISA................................. 57itraconazole...............................17ivermectin............................21, 42IXINITY..................................... 31JADENU....................................47JADENU SPRINKLE.................47jaimiess..................................... 54JAKAFI......................................21JALYN.......................................51jantoven.................................... 30JANUMET................................. 27JANUMET XR........................... 27JANUVIA...................................27JARDIANCE..............................27jasmiel.......................................54JATENZO..................................53jencycla..................................... 56JENTADUETO.......................... 27JENTADUETO XR.................... 27

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jinteli ..........................................54JIVI............................................30jolessa.......................................54JORNAY PM............................. 37JUBLIA......................................42juleber....................................... 54JULUCA.................................... 24junel 1.5/30............................... 54junel 1/20.................................. 54junel fe 1.5/30........................... 54junel fe 1/20.............................. 54junel fe 24................................. 54JUXTAPID.................................35JYNARQUE.............................. 47kaitlib fe.....................................54KALETRA..................................26kalliga........................................54KALYDECO.............................. 70KAPSPARGO SPRINKLE.........33KAPVAY....................................37KARBINAL ER.......................... 69kariva........................................ 54KATERZIA................................ 33KAZANO................................... 27KEFLEX.................................... 12kelnor 1/35................................ 54kelnor 1/50................................ 54KENALOG.................................40KEPPRA................................... 14KEPPRA XR............................. 14KERAGEL................................. 44KERALAC................................. 44KERALYT SCALP.....................44KERENDIA................................34KERYDIN.................................. 42KESIMPTA................................38ketoconazole.......................17, 42ketodan..................................... 42KETONE TEST......................... 45ketoprofen................................... 8ketoprofen er...............................8KETOROLAC TROMETHAMINE.......................8ketorolac tromethamine........ 8, 67KETOSTIX................................ 45KETOVIE.................................. 63KETOVIE PEPTIDE.................. 63KEVEYIS...................................50KEVZARA................................. 59KINERET.................................. 59KISQALI.................................... 21KISQALI FEMARA.................... 21KITABIS PAK............................ 70

KLARON................................... 43KLISYRI.................................... 44KLONOPIN............................... 26klor-con..................................... 46klor-con 10................................ 46klor-con m10............................. 46klor-con m15............................. 46klor-con m20............................. 46klor-con/ef................................. 73KLOXXADO.............................. 11KOATE......................................31KOATE-DVI...............................31KOGENATE FS........................ 31KOMBIGLYZE XR.....................27KORLYM...................................52KOSELUGO..............................21KOVALTRY...............................31K-PHOS.................................... 47K-PHOS NO 2...........................47K-PHOS-NEUTRAL.................. 73k-prime...................................... 74KRINTAFEL.............................. 22KRISTALOSE........................... 48K-TAB....................................... 46kurvelo...................................... 54KUVAN......................................50KYNMOBI................................. 22KYNMOBI TITRATION KIT.......22labetalol hcl............................... 33LACRISERT..............................66lactulose....................................48lactulose encephalopathy......... 48LAMICTAL................................ 14LAMICTAL ODT........................14LAMICTAL STARTER...............14LAMICTAL XR.......................... 14lamivudine...........................24, 25lamivudine-zidovudine.............. 25lamotrigine................................ 14lamotrigine er............................ 14lamotrigine starter kit-blue.........14lamotrigine starter kit-green...... 14lamotrigine starter kit-orange.... 14LAMPIT..................................... 22LANOXIN.................................. 34lansoprazole..............................49lanthanum carbonate................ 47LANTUS SOLOSTAR............... 29LANTUS U-100 VIAL................ 29lapatinib ditosylate.................... 65larin 1.5/30................................ 54larin 1/20................................... 54larin 24 fe.................................. 54

larin fe 1.5/30............................ 55larin fe 1/20............................... 55larissia.......................................55LASIX........................................34LASTACAFT............................. 66latanoprost................................ 65LATISSE................................... 68LATUDA....................................23layolis fe.................................... 55LAZANDA................................. 10L-CYSTINE............................... 63LEDIPASVIR-SOFOSBUVIR.... 24leena......................................... 55leflunomide................................59LENVIMA.................................. 65LESCOL XL.............................. 35lessina.......................................55LETAIRIS.................................. 71letrozole.................................... 20leucovorin calcium.................... 21LEUKERAN...............................19LEUKINE...................................30leuprolide acetate......................58levalbuterol hcl.......................... 70LEVALBUTEROL HFA..............70LEVBID..................................... 63LEVEMIR U-100 FLEXTOUCH.29LEVEMIR U-100 VIAL...............29levetiracetam.............................14levetiracetam er........................ 14levobunolol hcl.......................... 67levocarnitine..............................50levocarnitine sf.......................... 50levocetirizine dihydrochloride....69levofloxacin......................... 12, 66levonest.....................................55levonorgest-eth est & eth est.... 55levonorgest-eth estrad 91-day.. 55levonorgestrel........................... 57levonorgestrel-ethinyl estrad.....55levonorg-eth estrad triphasic.....55levora 0.15/30 (28)....................55levorphanol tartrate..................... 9levo-t......................................... 57LEVOTHYROXINE SODIUM.... 57levothyroxine sodium................ 57levoxyl....................................... 57LEVSIN..................................... 63LEVSIN/SL................................63LEVULAN KERASTICK............ 41LEXAPRO................................. 16LEXETTE.................................. 40LEXIVA..................................... 26

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LIALDA......................................60LIBRAX..................................... 48lidocaine....................................11lidocaine hcl.............................. 11lidocaine hcl urethral/mucosal...11lidocaine-prilocaine................... 11LIDODERM............................... 11LIDOHEAL-90........................... 11lillow.......................................... 55LIMBREL...................................63LIMBREL250.............................63LIMBREL500.............................63lindane...................................... 42linezolid..................................... 11LINZESS................................... 48liothyronine sodium................... 57LIPITOR.................................... 35LIPOFEN...................................35lisinopril ..................................... 32lisinopril-hydrochlorothiazide.....34lithium carbonate.......................27lithium carbonate er.................. 27LITHOBID................................. 27LITHOSTAT.............................. 51LIVALO..................................... 35LO LOESTRIN FE.....................55LOCOID.................................... 40LOCOID LIPOCREAM.............. 40LODINE.......................................8LODOSYN................................ 23LOESTRIN 1.5/30 (21)..............55LOESTRIN 1/20 (21).................55LOESTRIN FE 1.5/30............... 55LOESTRIN FE 1/20.................. 55lojaimiess.................................. 55LOKELMA................................. 47LOMOTIL.................................. 48LONHALA MAGNAIR REFILL KIT............................................ 70LONHALA MAGNAIR STARTER KIT...........................70LONSURF.................................20LOPID....................................... 35lopinavir-ritonavir.......................26LOPRESSOR............................33LOPROX............................. 18, 43lorazepam................................. 26lorazepam intensol....................26LORBRENA.............................. 65LOREEV XR............................. 26LORTAB....................................10loryna........................................ 55LORZONE.................................72

losartan potassium....................32losartan potassium-hctz............ 34LOSEASONIQUE..................... 55LOTEMAX.................................67LOTEMAX SM.......................... 67LOTENSIN................................ 32LOTENSIN HCT........................34loteprednol etabonate............... 67LOTREL.................................... 34LOTRONEX.............................. 48lovastatin...................................35LOVAZA....................................35LOVENOX.................................30low-ogestrel...............................55loxapine succinate.................... 23lo-zumandimine.........................55LUBIPROSTONE......................48LUCEMYRA.............................. 11LUGOLS STRONG IODINE......13LULICONAZOLE.......................43LUMAKRAS.............................. 21LUMIGAN..................................65LUNESTA................................. 73LUPKYNIS................................ 58lutera......................................... 55LUXIQ....................................... 40LUZU.........................................43LYBALVI................................... 17lyleq...........................................56lyllana........................................55LYNPARZA............................... 21LYRICA..................................... 38LYRICA CR...............................38LYSODREN.............................. 57LYSTEDA..................................30LYUMJEV KWIKPEN................29LYUMJEV VIAL.........................29lyza............................................56MACROBID...............................11MACRODANTIN....................... 11mafenide acetate...................... 43MALARONE..............................22malathion.................................. 42MARINOL..................................17marlissa.....................................55MARPLAN.................................16MATULANE.............................. 19matzim la...................................33MAVENCLAD............................38MAVYRET.................................24MAXALT....................................19MAXALT-MLT........................... 19MAXIDEX..................................67

MAXITROL................................66MAXZIDE.................................. 34MAXZIDE-25.............................34MAYZENT.................................38MAYZENT STARTER PACK.... 38me/naphos/mb/hyo1................. 51meclofenamate sodium...............8MEDROL...................................52medroxyprogesterone acetate.. 57mefenamic acid...........................8mefloquine hcl...........................22megestrol acetate..................... 57MEKINIST................................. 21MEKTOVI..................................21meloxicam...................................8melphalan................................. 21memantine hcl...........................15memantine hcl er...................... 15MENEST................................... 55MENOSTAR..............................55MENTAX................................... 43meperidine hcl...........................10MEPHYTON..............................47meprobamate............................26MEPRON.................................. 22mercaptopurine......................... 20merzee...................................... 55mesalamine...............................60mesalamine er.......................... 60mesalamine-cleanser................60MESNEX...................................21MESTINON............................... 19metaxalone............................... 72metformin hcl............................ 28metformin hcl er........................ 27metformin hcl er (mod)..............27metformin hcl er (osm).............. 28methadone hcl............................ 9methadone hcl intensol............... 9methadose.................................. 9methadose sugar-free.................9methamphetamine hcl...............37methazolamide..........................68methenamine hippurate............ 11methenamine mandelate.......... 13methergine................................ 52methimazole..............................58METHITEST..............................53methocarbamol......................... 72methotrexate............................. 59methotrexate sodium................ 59methotrexate sodium (pf).......... 59methoxsalen rapid.....................41

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methscopolamine bromide........48methyl salicylate........................44methyldopa............................... 31methylergonovine maleate........53METHYLIN................................37methylphenidate hcl.................. 37methylphenidate hcl er..............37methylphenidate hcl er (cd).......37methylphenidate hcl er (la)........37methylphenidate hcl er (xr)....... 37methylprednisolone...................52methyltestosterone....................53metoclopramide hcl...................17metolazone............................... 35metoprolol succinate er.............33metoprolol tartrate.....................33metoprolol-hydrochlorothiazide.34METROCREAM........................ 11METROGEL..............................11METROLOTION........................11metronidazole..................... 11, 12metyrosine................................ 34mexiletine hcl............................ 32MIACALCIN.............................. 61mibelas 24 fe.............................55MICARDIS................................ 32MICARDIS HCT........................ 34miconazole 3.............................17MICONAZOLE-ZINC OXIDE-PETROLAT............................... 43MICRODOT TEST.................... 45microgestin 1.5/30.....................55microgestin 1/20........................55microgestin 24 fe.......................55microgestin fe 1.5/30.................55microgestin fe 1/20....................55MICROLET NEXT LANCING DEVICE.....................................46midazolam hcl........................... 26midodrine hcl.............................31MIGERGOT.............................. 18miglitol.......................................28miglustat....................................50MIGRANAL............................... 18mili .............................................55MILLIPRED............................... 52mimvey......................................55MINASTRIN 24 FE....................55mineral oil heavy....................... 50MINIMED PUMP RESERVOIR 3ML........................................... 63MINIPRESS.............................. 31minitran..................................... 36

MINIVELLE............................... 55minocycline hcl..........................13MINOCYCLINE HCL ER...........13minocycline hcl er..................... 13MINOLIRA.................................13minoxidil .................................... 36MIRAPEX ER............................23MIRCETTE................................55mirtazapine............................... 15MIRVASO................................. 39misoprostol................................49MITIGARE.................................18MITOSOL..................................68MOBIC........................................ 8modafinil ....................................73moexipril hcl.............................. 32molindone hcl............................23mometasone furoate........... 40, 69mondoxyne nl............................13mono-linyah.............................. 55MONONINE.............................. 31monsels ferric subsulfate.......... 31montelukast sodium.................. 69MONUROL................................12morgidox................................... 13MORGIDOX.............................. 13morphine sulfate......................... 9morphine sulfate (concentrate)... 9morphine sulfate er..................... 9morphine sulfate er beads.......... 9MOTEGRITY.............................48MOTOFEN................................ 48MOVANTIK............................... 48MOVIPREP............................... 48MOXEZA...................................67moxifloxacin hcl...................13, 67moxifloxacin hcl (2x day)...........67MOZOBIL..................................30MS CONTIN................................9MULPLETA............................... 30MULTAQ................................... 32mupirocin.................................. 43mupirocin calcium..................... 43MYALEPT................................. 48MYAMBUTOL........................... 19MYCAPSSA.............................. 58MYCOBUTIN............................ 19mycophenolate mofetil .............. 59mycophenolate sodium............. 60MYDAYIS..................................37MYFEMBREE........................... 48MYFORTIC............................... 60MYLERAN.................................19

myorisan................................... 39MYRBETRIQ.............................51MYSOLINE............................... 14MYTESI.....................................48nabumetone................................ 8nadolol...................................... 33nafrinse..................................... 46nafrinse drops........................... 46naftifine hcl................................43NAFTIN..................................... 43NALFON..................................... 8NALOCET................................. 10naloxone hcl..............................11NAMENDA TITRATION PAK....15NAMENDA XR.......................... 15NAMZARIC............................... 15NAPRELAN.................................8NAPROSYN................................8naproxen..................................... 8naproxen sodium........................ 8naproxen sodium er.................... 8NAPROXEN SODIUM ER.......... 8naratriptan hcl........................... 19NARCAN...................................11NARDIL.....................................16NASCOBAL.............................. 74NASONEX................................ 69NATACYN.................................67NATAZIA...................................55nateglinide.................................28NATESTO................................. 53NATPARA................................. 61NATROBA.................................42NATURE-THROID.................... 58NAYZILAM................................ 14nebivolol hcl.............................. 33NEBUPENT.............................. 22necon 0.5/35 (28)......................55nefazodone hcl..........................16neomycin sulfate....................... 11neomycin-bacitracin zn-polymyx.....................................67neomycin-polymyxin-dexameth 66neomycin-polymyxin-gramicidin..................................67neomycin-polymyxin-hc...... 66, 68neo-polycin................................67neo-polycin hc...........................66NEORAL................................... 60NEOSALUS.............................. 44NEO-SYNALAR.................. 41, 44NERLYNX................................. 65NESINA.....................................28

87

neuac........................................ 39NEUAC..................................... 43NEULASTA............................... 30NEUPOGEN............................. 30NEUPRO...................................23NEURONTIN.............................14NEVANAC.................................67nevirapine................................. 25nevirapine er............................. 25NEXAVAR.................................21NEXIUM.................................... 49NEXLETOL............................... 35NEXLIZET.................................35NEXTSTELLIS.......................... 48niacin (antihyperlipidemic)........ 35niacin er (antihyperlipidemic).... 35niacor........................................ 35NIASPAN.................................. 35nicardipine hcl........................... 33nifedipine...................................33nifedipine er.............................. 33nifedipine er osmotic release.... 33nikki...........................................55NILANDRON.............................20nilutamide..................................20nimodipine.................................33NINLARO.................................. 20nisoldipine er.............................33nitazoxanide..............................22nitisinone...................................50NITRO-BID................................36NITRO-DUR..............................36nitrofurantoin............................. 12nitrofurantoin macrocrystal........12nitrofurantoin monohydrate macrocrystals............................12nitroglycerin...............................36NITROLINGUAL....................... 36NITROMIST.............................. 36NITROSTAT..............................36NITRO-TIME............................. 36NITYR....................................... 50NIVESTYM................................30nizatidine...................................49NOCDURNA............................. 52nolix...........................................40nora-be......................................57NORDIPEN 5 INJECTION DEVICE.....................................63norethin ace-eth estrad-fe.........55norethindrone............................57norethindrone acetate............... 57norethindrone acet-ethinyl est...55

norethindrone-eth estradiol....... 55norethin-eth estradiol-fe............ 55NORGESIC FORTE..................72norgestimate-eth estradiol........ 55norgestimate-ethinyl estradiol triphasic.....................................55NORITATE................................12norlyda...................................... 57norlyroc..................................... 57NORPACE................................ 32NORPACE CR.......................... 32NORPRAMIN............................ 16NORTHERA..............................31nortrel 0.5/35 (28)..................... 55nortrel 1/35 (21)........................ 55nortrel 1/35 (28)........................ 55nortrel 7/7/7...............................55nortriptyline hcl..........................16NORVASC................................ 33NORVIR.................................... 26NOURIANZ............................... 22NOVOEIGHT............................ 31NOVOFINE AUTOCOVER PEN NEEDLE........................... 63NOVOFINE PEN NEEDLE....... 63NOVOFINE PLUS PEN NEEDLE....................................63NOVOLIN 70/30 FLEXPEN...... 29NOVOLIN 70/30 FLEXPEN RELION.....................................29NOVOLIN 70/30 RELION......... 29NOVOLIN 70/30 VIAL............... 29NOVOLIN N FLEXPEN.............29NOVOLIN N FLEXPEN RELION.....................................29NOVOLIN N RELION................29NOVOLIN N VIAL..................... 29NOVOLIN R FLEXPEN.............29NOVOLIN R FLEXPEN RELION.....................................29NOVOLIN R RELION................29NOVOLIN R VIAL..................... 29NOVOLOG 70/30 FLEXPEN RELION.....................................29NOVOLOG FLEXPEN.............. 29NOVOLOG FLEXPEN RELION.....................................29NOVOLOG MIX 70/30 FLEXPEN..................................29NOVOLOG MIX 70/30 RELION.....................................29NOVOLOG MIX 70/30 VIAL......29NOVOLOG PENFILL................ 29

NOVOLOG RELION................. 29NOVOLOG U-100 VIAL............ 29NOVOPEN ECHO.....................63NOVOSEVEN RT..................... 31NOVOTWIST PEN NEEDLE.... 63NOXAFIL...................................17np thyroid.................................. 58NUBEQA...................................20NUCALA................................... 71NUCORT...................................43NUCYNTA...................................9NUCYNTA ER.............................9NUEDEXTA.............................. 37NULEV...................................... 63NULYTELY LEMON-LIME........ 48NUPLAZID................................ 23NURTEC................................... 18NUTRIDOX............................... 13NUVAIL..................................... 44NUVARING............................... 55NUVESSA.................................12NUVIGIL....................................73NUWIQ......................................31NUZYRA................................... 13nyamyc......................................43nylia 7/7/7..................................55NYMALIZE................................ 33nymyo....................................... 55nystatin................................17, 43nystatin-triamcinolone............... 41nystop....................................... 43OCALIVA.................................. 48ocella.........................................55octreotide acetate..................... 58OCUFLOX.................................67ODACTRA................................ 59ODEFSEY.................................25ODOMZO..................................21OFEV........................................ 71ofloxacin........................13, 67, 68olanzapine.................................23olanzapine-fluoxetine hcl.......... 15olmesartan medoxomil..............32olmesartan medoxomil-hctz...... 34olmesartan-amlodipine-hctz......34olopatadine hcl....................66, 69OLUMIANT............................... 59OLUX........................................ 40OLUX-E.....................................40OMECLAMOX-PAK.................. 48omega-3-acid ethyl esters.........35omeprazole............................... 49

88

OMEPRAZOLE+SYRSPEND SF ALKA................................... 49omeprazole-sodium bicarbonate............................... 49OMNARIS................................. 69ondansetron hcl........................ 17ondansetron odt........................ 17ONETOUCH DELICA LANCING DEV..........................46ONETOUCH DELICA PLUS LANCING.................................. 46ONETOUCH ULTRA.................45ONETOUCH ULTRA 2..............45ONETOUCH ULTRA MINI........ 45ONETOUCH VERIO........... 45, 63ONETOUCH VERIO FLEX SYSTEM................................... 45ONETOUCH VERIO IQ SYSTEM................................... 45ONETOUCH VERIO REFLECT..................................45ONETOUCH VERIO SYNC SYSTEM................................... 45ONEXTON................................ 39ONFI......................................... 14ONGENTYS..............................22ONGLYZA.................................28ONUREG.................................. 20ONZETRA XSAIL......................19opium........................................ 48OPSUMIT..................................71OPZELURA...............................44ORACEA...................................13ORACIT.................................... 74ORALAIR.................................. 59ORALAIR ADULT STARTER PACK........................................ 59ORALAIR CHILDRENS STARTER PACK...................... 59ORAPRED ODT........................52ORAVIG.................................... 17ORENCIA..................................59ORENCIA CLICKJECT............. 59ORENITRAM............................ 71ORFADIN..................................50ORGOVYX................................11ORIAHNN................................. 58ORILISSA................................. 58ORKAMBI................................. 70ORLADEYO.............................. 63orphenadrine citrate er..............72orphenadrine-asa-caffeine........ 72ORPHENGESIC FORTE.......... 73

orsythia..................................... 55ORTIKOS..................................60oscimin......................................63oscimin sr..................................63oseltamivir phosphate............... 26OSENI.......................................28OSMOLEX ER.......................... 22OSMOPREP............................. 48OSPHENA................................ 57OTEZLA.................................... 59OTOVEL................................... 68OTREXUP.................................60OVACE PLUS........................... 63OVACE PLUS WASH............... 63OVACE WASH..........................63OVIDE.......................................42oxandrolone.............................. 53oxaprozin.................................... 8OXAYDO...................................10oxazepam................................. 26OXBRYTA.................................30oxcarbazepine...........................15OXERVATE.............................. 66oxiconazole nitrate.................... 43OXISTAT...................................43OXTELLAR XR......................... 15oxybutynin chloride................... 51oxybutynin chloride er............... 51oxycodone hcl....................... 9, 10OXYCODONE HCL ER.............. 9OXYCODONE-ACETAMINOPHEN...................10oxycodone-acetaminophen.......10OXYCONTIN...............................9oxymorphone hcl.........................9oxymorphone hcl er.................... 9OZEMPIC..................................28OZOBAX................................... 24PACERONE..............................32PALFORZIA.............................. 63paliperidone er.......................... 23PALYNZIQ................................ 50PAMELOR................................ 16PANCREAZE............................ 50PANDEL....................................40PANRETIN................................21pantoprazole sodium.................49paricalcitol................................. 61PARLODEL...............................23PARNATE................................. 16paromomycin sulfate.................11paroxetine hcl............................16paroxetine hcl er....................... 16

paroxetine mesylate..................16PASER......................................19PATANASE...............................69PAXIL........................................16PAXIL CR..................................16PEDIAPRED............................. 52peg 3350-kcl-na bicarb-nacl......48peg-3350/electrolytes................49peg-3350/electrolytes/ascorbat.49PEGASYS.................................59peg-kcl-nacl-nasulf-na asc-c..... 49peg-prep....................................49PEMAZYRE.............................. 20penicillamine............................. 51penicillin v potassium................ 12pentamidine isethionate............ 22PENTASA................................. 60pentazocine-naloxone hcl......... 10pentoxifylline er......................... 34PERCOCET.............................. 10PERFOROMIST........................70perindopril erbumine................. 32permethrin.................................42perphenazine............................ 17perphenazine-amitriptyline........15PERTZYE................................. 50PEXEVA....................................16phenazo.................................... 51phenazopyridine hcl.................. 51phenelzine sulfate..................... 16phenobarbital............................ 14phenoxybenzamine hcl............. 31phenylephrine hcl......................66PHENYTEK...............................15phenytoin.................................. 15phenytoin infatabs.....................15phenytoin sodium extended...... 15PHEXXI.....................................63philith.........................................55PHOSLYRA.............................. 47PHOSPHA 250 NEUTRAL........74PHOSPHASAL..........................51phosphorous............................. 74phospho-trin 250 neutral........... 74PHOXILLUM B22K4/0.............. 74PHOXILLUM BK4/2.5............... 47phytonadione............................ 47PIFELTRO................................ 25pilocarpine hcl..................... 38, 68pimecrolimus.............................40pimozide....................................23pimtrea...................................... 55pindolol......................................33

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pioglitazone hcl......................... 28pioglitazone hcl-glimepiride.......28pioglitazone hcl-metformin hcl.. 28PIQRAY.................................... 21pirmella 1/35............................. 55pirmella 7/7/7............................ 55piroxicam.....................................8PLAN B ONE-STEP..................57PLAQUENIL..............................22PLAVIX..................................... 30PLEGRIDY................................38PLEGRIDY STARTER PACK... 38PLENVU....................................49PLEXION.................................. 43PLEXION CLEANSER.............. 43PLEXION CLEANSING CLOTH......................................43podocon.................................... 63podofilox....................................41polycin.......................................67polymyxin b-trimethoprim..........67POLYTRIM................................67POMALYST.............................. 20PONVORY................................ 65PONVORY STARTER PACK... 65portia-28....................................55posaconazole............................17pot & sod cit-cit ac.....................74POTABA................................... 74potassium chloride.............. 46, 47potassium chloride crys er........ 46potassium chloride er................46potassium citrate er...................47potassium citrate-citric acid.......74PR CREAM............................... 44PRADAXA.................................30PRALUENT...............................35pramipexole dihydrochloride..... 23pramipexole dihydrochloride er.23pramosone................................ 41PRAMOSONE...........................41PRAMOTIC............................... 69pramox...................................... 63prasugrel hcl............................. 30pravastatin sodium....................35praziquantel.............................. 21prazosin hcl...............................31PRECISION LINK..................... 45PRECISION PCX PLUS TEST. 46PRECISION QID MONITOR.....63PRECISION QID TEST.............46PRECISION SOF-TACT MONITOR................................. 63

PRECISION SOF-TACT TEST. 46PRECISION XTRA....................63PRECISION XTRA BLOOD GLUCOSE................................ 46PRECISION XTRA MONITOR..63PRECOSE................................ 28PRED FORTE...........................67PRED MILD.............................. 67PRED-G.................................... 66PRED-G S.O.P......................... 66prednicarbate............................ 40prednisolone............................. 52prednisolone acetate.................67prednisolone sodium phosphate........................... 52, 67prednisone................................ 52prednisone intensol...................52PREFEST................................. 55pregabalin................................. 38pregabalin er............................. 38PREMARIN............................... 55premium lidocaine.....................11PREMPHASE........................... 56PREMPRO................................56PREPIDIL..................................53PRESERA.................................44PRESTALIA.............................. 36PRETOMANID.......................... 19PREVACID SOLUTAB..............49prevalite.................................... 35PREVENT DROPSAFE PEN NEEDLES................................. 64previfem.................................... 56PREVYMIS............................... 24PREZCOBIX............................. 26PREZISTA................................ 26PRIFTIN.................................... 19PRILOSEC................................49primaquine phosphate.............. 22primidone.................................. 14PRIMSOL..................................13PRINIVIL................................... 32PRISMASOL B22GK 4/0.......... 74PRISMASOL BGK 0/2.5........... 74PRISMASOL BGK 2/0.............. 74PRISMASOL BGK 2/3.5........... 74PRISMASOL BGK 4/0/1.2........ 74PRISMASOL BGK 4/2.5........... 74PRISMASOL BK 0/0/1.2........... 74PRISTIQ....................................16PROAIR HFA............................ 70PROAIR RESPICLICK..............70probenecid................................ 18

PROCARDIA XL....................... 33PROCENTRA........................... 37prochlorperazine....................... 17prochlorperazine maleate......... 17PROCORT................................ 41PROCRIT..................................30PROCTOCORT.................. 60, 61PROCTOFOAM HC.................. 41procto-med hc........................... 60procto-pak................................. 60proctosol hc...............................60proctozone-hc........................... 60PROCYSBI............................... 50PROFILNINE............................ 31progesterone.............................57PROGLYCEM........................... 28PROGRAF................................ 60PROLATE................................. 10PROLENSA.............................. 67PROMACTA..............................30promethazine hcl.......................17promethazine vc........................71promethazine vc/codeine.......... 72promethazine-codeine.............. 72promethazine-dm...................... 71promethazine-phenyleph-codeine..................................... 72promethazine-phenylephrine.... 71promethegan.............................17PROMETRIUM......................... 57PROMISEB............................... 43propafenone hcl........................ 32propafenone hcl er.................... 32proparacaine hcl....................... 66propranolol hcl.......................... 33propranolol hcl er...................... 33propylthiouracil ..........................58PROSCAR................................ 51PROTONIX............................... 49PROTOPIC............................... 40protriptyline hcl..........................16PROVENTIL HFA..................... 70PROVERA................................ 57PROVIGIL................................. 73PROZAC................................... 16PRUDOXIN............................... 40pseudoephedrine-bromphen-dm............................................. 71PSORCON................................40PSORIZIDE FORTE................. 64PULMICORT FLEXHALER.......69PULMICORT SUSPENSION.... 69PULMOZYME........................... 70

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PURAMINO DHA/ARA..............64PURIXAN.................................. 20PYLERA....................................49pyrazinamide.............................19PYRIDIUM................................ 51pyridostigmine bromide.............19pyridostigmine bromide er.........19pyrimethamine.......................... 22PYROGALLIC ACID................. 43QBRELIS.................................. 32QBREXZA.................................41QDOLO....................................... 9QELBREE................................. 27QINLOCK..................................65QNASL......................................69QNASL CHILDRENS................ 69QTERN..................................... 28QUALAQUIN.............................22QUARTETTE............................ 56quazepam................................. 26QUDEXY XR.............................14QUESTRAN.............................. 35QUESTRAN LIGHT.................. 35quetiapine fumarate.................. 23quetiapine fumarate er.............. 23QUILLICHEW ER......................37QUILLIVANT XR....................... 37quinapril hcl...............................32quinapril-hydrochlorothiazide.... 34quinidine gluconate er...............32quinidine sulfate........................ 32quinine sulfate...........................22QVAR REDIHALER.................. 69RABEPRAZOLE SODIUM........ 49rabeprazole sodium.................. 49RADIAPLEXRX.........................44RADIOGARDASE..................... 64RAGWITEK...............................59raloxifene hcl.............................57ramelteon.................................. 73ramipril ...................................... 32RANEXA................................... 34ranolazine er............................. 34RAPAFLO................................. 51RAPAMUNE..............................60rasagiline mesylate................... 23RASUVO...................................60RAVICTI....................................50RAYALDEE...............................61RAYOS..................................... 52RAZADYNE ER........................ 15REBIF....................................... 38REBIF REBIDOSE....................38

REBIF REBIDOSE TITRATION PACK.................... 38REBIF TITRATION PACK.........38REBINYN.................................. 31reclipsen....................................56RECOMBINATE........................31RECOTHROM.......................... 31RECOTHROM SPRAY KIT.......31RECTIV.....................................36REFISSA...................................43REGLAN................................... 17REGRANEX..............................41RELAFEN................................... 8RELAFEN DS............................. 8RELENZA DISKHALER............ 26relexxii .......................................37RELION BLOOD GLUCOSE TEST.........................................46RELISTOR................................ 48RELPAX....................................19RELTONE................................. 49REMERON................................16REMERON SOLTAB................ 16REMIGEN................................. 44RENAGEL.................................47RENOVA...................................43RENOVA PUMP....................... 43RENVELA................................. 47repaglinide................................ 28REPATHA................................. 36REPATHA PUSHTRONEX SYSTEM................................... 36REPATHA SURECLICK........... 36RESTASIS................................ 66RESTASIS MULTIDOSE.......... 66RESTORIL................................ 73RETACRIT................................ 30RETEVMO................................ 65RETIN-A....................................39RETIN-A MICRO.......................39RETIN-A MICRO PUMP........... 39RETROVIR............................... 25REVATIO.................................. 71REVLIMID................................. 20REXULTI...................................23REYATAZ................................. 26REYVOW.................................. 18REZUROCK..............................60RHOFADE................................ 39RHOPRESSA........................... 68ribavirin............................... 24, 71RIDAURA..................................59rifabutin..................................... 19

rifampin..................................... 19RILUTEK...................................37riluzole.......................................37rimantadine hcl..........................26RINVOQ....................................59RIOMET.................................... 28risedronate sodium................... 61RISPERDAL..............................23risperidone................................ 23RITALIN.................................... 37RITALIN LA...............................37ritonavir..................................... 26rivastigmine...............................15rivastigmine tartrate.................. 15rivelsa........................................56RIXUBIS....................................31rizatriptan benzoate.................. 19ROCALTROL............................ 61ROCKLATAN............................ 66ropinirole hcl..............................23ropinirole hcl er......................... 23rosadan..................................... 12ROSADAN................................ 44rosuvastatin calcium................. 35ROSZET................................... 46ROWASA.................................. 60roweepra................................... 14ROXICODONE......................... 10ROZEREM................................ 73ROZLYTREK............................ 21RUBRACA................................ 21RUCONEST..............................58rufinamide................................. 15RUKOBIA..................................25RUZURGI..................................37RYBELSUS...............................28RYCLORA.................................69RYDAPT................................... 21RYTARY................................... 23RYTHMOL SR.......................... 32ryvent........................................ 69SABRIL..................................... 14SAFYRAL..................................56sajazir........................................58SALAGEN................................. 38salicylic acid.............................. 44salimez......................................44salsalate....................................10SALVAX DUO PLUS.................44SAMSCA...................................47SANCUSO................................ 17SANDIMMUNE......................... 60SANDOSTATIN........................ 58

91

SANTYL.................................... 41SAPHRIS.................................. 23sapropterin dihydrochloride.......50SAVAYSA................................. 30SAVELLA.................................. 38SAVELLA TITRATION PACK... 38SCALACORT DK...................... 44SCANDISHAKE........................ 64scopolamine..............................17SEASONIQUE.......................... 56SECUADO................................ 23SEGLUROMET.........................28selegiline hcl............................. 23selenium sulfide........................ 40SELZENTRY.............................25SEMGLEE.................................29SENSIPAR................................61SEREVENT DISKUS................ 70SERNIVO..................................40SEROQUEL.............................. 23SEROQUEL XR........................ 23sertraline hcl..............................16setlakin......................................56sevelamer carbonate................ 47sevelamer hcl............................47SEVENFACT............................ 64sevoflurane............................... 64SEYSARA................................. 13SFROWASA............................. 60sharobel.................................... 57SHARPS CONTAINER............. 64SIGNIFOR.................................58SIKLOS..................................... 30sildenafil citrate......................... 71SILENOR.................................. 73SILIQ.........................................59silodosin.................................... 51SILVADENE..............................42silver nitrate...............................13silver sulfadiazine......................42SIMBRINZA.............................. 68simliya....................................... 56simpesse...................................56SIMPONI...................................60simvastatin................................ 35SINEMET.................................. 23SINGULAIR...............................70sirolimus....................................60SIRTURO..................................19SITAVIG....................................24SIVEXTRO................................12SKELAXIN................................ 73SKYRIZI.................................... 59

SKYRIZI (150 MG DOSE).........59SKYRIZI PEN............................59SLYND...................................... 57sod citrate-citric acid................. 74SODIUM BICARBONATE.........50sodium chloride.........................72sodium fluoride..........................47sodium phenylbutyrate..............50sodium polystyrene sulfonate... 47sodium sulfacetamide............... 64sodium sulfacetamide wash......64SODIUM SULFACETAMIDE-BAKUCHIOL............................. 44SOFOSBUVIR-VELPATASVIR.24solifenacin succinate.................51SOLIQUA.................................. 28SOLODYN................................ 13SOLOSEC.................................12SOLTAMOX.............................. 20SOMA....................................... 73SOMATULINE DEPOT............. 58SOMAVERT..............................58SOOLANTRA............................42SORIATANE............................. 39SORILUX.................................. 42sotalol hcl.................................. 32sotalol hcl (af)............................32SOTYLIZE.................................32SOVALDI.................................. 24spinosad....................................42SPIRIVA HANDIHALER............70SPIRIVA RESPIMAT................ 70spironolactone...........................35spironolactone-hctz...................34SPORANOX..............................17SPORANOX PULSEPAK..........17SPRAVATO (56 MG DOSE)..... 16SPRAVATO (84 MG DOSE)..... 16sprintec 28................................ 56SPRITAM.................................. 14SPRIX......................................... 8SPRYCEL................................. 65sps............................................ 47sronyx....................................... 56ssd............................................ 42SSKI..........................................64sss 10-5.................................... 43STALEVO 100.......................... 22STALEVO 125.......................... 22STALEVO 150.......................... 22STALEVO 200.......................... 22STALEVO 50............................ 22STALEVO 75............................ 22

stavudine...................................25STEGLATRO............................ 28STEGLUJAN.............................28STELARA..................................59STIMATE.................................. 52STIOLTO RESPIMAT............... 72STIVARGA................................21STRATA GRT........................... 44STRATA MARK........................ 44STRATTERA.............................37STRENSIQ................................50STRIBILD..................................24STRIVERDI RESPIMAT........... 70STROMECTOL......................... 21SUBOXONE..............................11SUBSYS..................................... 9subvenite...................................14subvenite starter kit-blue...........14subvenite starter kit-green........ 14subvenite starter kit-orange...... 14SUCRAID..................................50sucralfate.................................. 49SULAR...................................... 33SULCONAZOLE NITRATE.......18sulfacetamide sodium......... 64, 67sulfacetamide sodium (acne).... 43sulfacetamide sodium-sulfur..... 43sulfacetamide sod-sulfur wash..43sulfacetamide-prednisolone...... 66sulfacetamide-sulfur in urea......43SULFACLEANSE 8/4................43sulfadiazine............................... 13sulfamethoxazole-trimethoprim.13sulfamez wash.......................... 43SULFAMYLON..........................43sulfasalazine............................. 60sulfatrim pediatric......................13SULFURATED LIME.................22sulindac.......................................8SUMADAN................................ 43SUMADAN WASH.................... 43SUMADAN XLT........................ 43sumatriptan............................... 19sumatriptan succinate............... 19sumatriptan succinate refill ....... 19sumatriptan-naproxen sodium.. 19SUMAXIN..................................43SUMAXIN CP............................43sunitinib malate......................... 21SUNOSI.................................... 73SUPRAX................................... 12SUPREP BOWEL PREP KIT....49

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SURESTEP PRO HIGH GLUCOSE................................ 64SURESTEP PRO LOW GLUCOSE................................ 64SURESTEP PRO NORMAL GLUCOSE................................ 64SUSTIVA...................................25SUTAB...................................... 50SUTENT....................................21syeda........................................ 56SYMBICORT.............................72SYMBYAX.................................16SYMDEKO................................ 70SYMFI....................................... 25SYMFI LO................................. 25SYMJEPI...................................70SYMLINPEN 120...................... 28SYMLINPEN 60........................ 28SYMPAZAN.............................. 14SYMPROIC...............................48SYMTUZA.................................26SYNALAR................................. 40SYNALAR (CREAM).................43SYNALAR (OINTMENT)........... 43SYNALAR TS............................44SYNAREL................................. 58SYNDROS................................ 17SYNJARDY...............................28SYNJARDY XR.........................28SYNRIBO..................................20SYNTHROID.............................57SYPRINE.................................. 47T:SLIM X2 3ML CARTRIDGE...64TABLOID...................................20TABRECTA...............................65TACLONEX...............................42tacrolimus............................40, 60tadalafil (pah)............................ 71TAFINLAR.................................21TAGRISSO............................... 65TAKHZYRO.............................. 58TALICIA.................................... 49TALTZ....................................... 59TALZENNA............................... 21TAMIFLU...................................26tamoxifen citrate........................20tamsulosin hcl........................... 51TAPAZOLE............................... 58TAPERDEX 12-DAY................. 52TAPERDEX 6-DAY................... 52TAPERDEX 7-DAY................... 52TARCEVA................................. 65TARGADOX..............................13

TARGRETIN............................. 21tarina 24 fe................................ 56tarina fe 1/20............................. 56tarina fe 1/20 eq........................ 56TASIGNA.................................. 65TASMAR................................... 22tavaborole................................. 43TAVALISSE.............................. 30taysofy.......................................56TAYTULLA................................56tazarotene................................. 39TAZAROTENE..........................39TAZORAC.................................39taztia xt......................................33TAZVERIK................................ 20TECFIDERA..............................38TEGRETOL...............................15TEGRETOL-XR........................ 15TEGSEDI.................................. 50TEKTURNA...............................34TEKTURNA HCT...................... 34telmisartan................................ 32telmisartan-amlodipine..............34telmisartan-hctz.........................34temazepam............................... 73TEMIXYS.................................. 25TEMODAR................................ 19TEMOVATE.............................. 40temozolomide............................19TENCON...................................10tenofovir disoproxil fumarate.....25TENORETIC 100...................... 34TENORETIC 50........................ 34TENORMIN...............................33TEPMETKO.............................. 21terazosin hcl..............................51terbinafine hcl............................17terbutaline sulfate......................70terconazole............................... 17TERIPARATIDE (RECOMBINANT)..................... 61terrell ......................................... 64TESSALON PERLES................71TESTIM.....................................53testosterone.............................. 53testosterone cypionate..............53testosterone enanthate............. 53tetrabenazine............................ 37tetracaine hcl.............................66tetracycline hcl.......................... 13TETRIX..................................... 44TEXACORT.............................. 40THALITONE..............................35

THALOMID............................... 20THEO-24...................................71theophylline...............................71theophylline er...........................71THIOLA..................................... 51THIOLA EC............................... 51thioridazine hcl.......................... 23thiothixene.................................23THROMBIN-JMI........................31THROMBIN-JMI EPISTAXIS.... 31THROMBOGEN........................31THYQUIDITY............................ 57tiadylt er.................................... 33tiagabine hcl..............................14TIAZAC..................................... 33TIBSOVO.................................. 21TIGLUTIK..................................37TIKOSYN.................................. 32tilia fe.........................................56timolol maleate....................18, 67timolol maleate ocudose........... 67timolol maleate pf......................68TIMOPTIC.................................68TIMOPTIC OCUDOSE..............68TIMOPTIC-XE...........................68tinidazole...................................12tiopronin.................................... 51TIROSINT................................. 57TIROSINT-SOL.........................57TISSEEL................................... 42TIVICAY.................................... 24TIVICAY PD.............................. 24TIVORBEX..................................8tizanidine hcl............................. 24TOBI NEBULIZER.................... 70TOBI PODHALER.....................70TOBRADEX.............................. 66TOBRADEX ST.........................66tobramycin.......................... 67, 70TOBRAMYCIN.......................... 71tobramycin-dexamethasone......66TOBREX................................... 67tolbutamide............................... 28tolcapone.................................. 22TOLSURA................................. 17tolterodine tartrate.....................51tolterodine tartrate er.................51TOLVAPTAN.............................47tolvaptan................................... 47TOPAMAX................................ 14TOPAMAX SPRINKLE..............14TOPICORT............................... 40TOPICORT SPRAY.................. 40

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topiramate................................. 14topiramate er.............................14TOPROL XL..............................33toremifene citrate...................... 20torsemide.................................. 34TOSYMRA................................ 19TOUJEO MAX SOLOSTAR...... 29TOUJEO SOLOSTAR...............29tovet.......................................... 40TOVIAZ..................................... 51TRACLEER...............................71TRADJENTA.............................28tramadol hcl................................ 9TRAMADOL HCL ER..................9tramadol hcl er............................ 9tramadol hcl er (biphasic)............9tramadol-acetaminophen.......... 10trandolapril ................................ 32trandolapril-verapamil hcl er......34tranexamic acid.........................30TRANSDERM-SCOP (1.5 MG).17TRANXENE-T........................... 26tranylcypromine sulfate............. 16TRAVATAN Z............................65travoprost (bak free)..................65trazodone hcl............................ 16TRECATOR.............................. 19TRELEGY ELLIPTA..................72TREMFYA.................................59TRESIBA...................................29TRESIBA FLEXTOUCH............29tretinoin............................... 21, 39tretinoin (emollient)................... 43tretinoin microsphere................ 39tretinoin microsphere pump...... 39TRETTEN................................. 31TREXALL.................................. 60TREXIMET................................19TREZIX..................................... 10tri femynor................................. 56triamcinolone acetonide............ 41triamcinolone in absorbase....... 41triamterene................................35triamterene-hctz........................ 34TRIANEX.................................. 41triazolam................................... 73TRIBENZOR............................. 34TRI-CHLOR.............................. 43TRICITRASOL.......................... 30tricitrates................................... 74TRICOR.................................... 35triderm.......................................41TRIDESILON............................ 41

trientine hcl................................47tri-estarylla................................ 56trifluoperazine hcl......................23trifluridine.................................. 67trihexyphenidyl hcl.................... 22TRIJARDY XR.......................... 28TRIKAFTA.................................71tri-legest fe................................ 56TRILEPTAL...............................15tri-linyah.................................... 56TRILIPIX................................... 35tri-lo-estarylla............................ 56tri-lo-marzia............................... 56tri-lo-mili .................................... 56tri-lo-sprintec............................. 56TRI-LUMA................................. 43trimethobenzamide hcl..............17trimethoprim.............................. 12tri-mili ........................................ 56trimipramine maleate................ 16TRINTELLIX..............................16tri-nymyo................................... 56tri-previfem................................ 56tri-sprintec................................. 56tritocin....................................... 41TRIUMEQ................................. 25trivora (28).................................56tri-vylibra................................... 56tri-vylibra lo................................56TRIZIVIR................................... 25TROKENDI XR......................... 14trospium chloride.......................51trospium chloride er.................. 51TRUDHESA.............................. 18TRUE METRIX BLOOD GLUCOSE TEST...................... 46TRUE METRIX LEVEL 1.......... 64TRUE METRIX LEVEL 2.......... 64TRUE METRIX LEVEL 3.......... 64TRUE METRIX METER............ 46TRUE METRIX PRO BLOOD GLUCOSE................................ 46TRUETRACK TEST..................46TRULANCE...............................48TRULICITY............................... 28TRUSELTIQ (100MG DAILY DOSE).......................................47TRUSELTIQ (125MG DAILY DOSE).......................................48TRUSELTIQ (50MG DAILY DOSE).......................................48TRUSELTIQ (75MG DAILY DOSE).......................................48

TRUSOPT.................................68TRUSTEEL INFUSION SET..... 64TRUVADA.................................25TUDORZA PRESSAIR............. 70TUKYSA....................................65tulana........................................ 57TURALIO.................................. 65TURPENTINE........................... 10TUSSICAPS..............................72TUXARIN ER............................ 72TUZISTRA XR.......................... 71TWIRLA.................................... 57tyblume..................................... 56TYBOST....................................25tydemy...................................... 56TYKERB....................................65TYLACTIN RESTORE 5PE...... 64TYMLOS................................... 61TYVASO................................... 71TYVASO REFILL...................... 71TYVASO STARTER..................71UBRELVY................................. 18UCERIS.................................... 60UDENYCA................................ 30UKONIQ....................................65ULORIC.................................... 18ULTANE....................................64ULTRACET............................... 10ULTRAM..................................... 9ULTRAVATE.............................41UMECTA MOUSSE.................. 44UNISTRIP CONTROL...............64unithroid.................................... 57UPNEEQ...................................68UPTRAVI.................................. 71URAMAXIN............................... 44urea...........................................44urea nail .................................... 44URELLE.................................... 51UREMEZ-40..............................44URIBEL..................................... 51URIMAR-T................................ 51urin ds....................................... 51URO-458...................................51UROCIT-K 10............................47UROCIT-K 15............................47UROCIT-K 5..............................47UROGESIC-BLUE.................... 51uro-mp.......................................51UROXATRAL............................ 51URSO 250.................................49URSO FORTE.......................... 49URSODIOL............................... 49

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ursodiol..................................... 49USTELL.................................... 51UTIRA-C................................... 51UTOPIC.................................... 44VAGIFEM..................................56valacyclovir hcl..........................24VALCHLOR...............................19VALCYTE..................................24valganciclovir hcl.......................24VALIUM.....................................26valproic acid.............................. 14valsartan................................... 32valsartan-hydrochlorothiazide... 34VALTOCO.................................14VALTREX..................................24VANADOM................................73VANCOCIN............................... 12VANCOCIN HCL.......................12vancomycin hcl......................... 12vandazole..................................12VANIQA.................................... 44VANOS..................................... 41VARISOFT INFUSION SET......64VARUBI (180 MG DOSE)......... 17VASCEPA................................. 36VASERETIC..............................34VASOTEC.................................32VECAMYL.................................34VECTICAL................................ 42velivet........................................56VELPHORO.............................. 47VELTASSA............................... 47VELTIN..................................... 39VEMLIDY.................................. 24VENCLEXTA.............................21VENCLEXTA STARTING PACK........................................ 21VENELEX................................. 44venlafaxine hcl.......................... 16venlafaxine hcl er...................... 16VENTAVIS................................ 71VENTOLIN HFA........................70verapamil hcl.............................33verapamil hcl er.........................33VERDESO................................ 41VEREGEN................................ 42VERELAN................................. 33VERELAN PM...........................33VERQUVO................................ 36VERSACLOZ............................ 23VERZENIO................................21VESICARE................................51VESICARE LS.......................... 51

vestura...................................... 56VEXASYN................................. 44VFEND......................................17VIBERZI.................................... 48VIBRAMYCIN............................13VICTOZA.................................. 28VIEKIRA PAK............................24vienva........................................56vigabatrin.................................. 14vigadrone.................................. 14VIGAMOX................................. 67VIIBRYD....................................16VIIBRYD STARTER PACK....... 16VILAMIT MB..............................51VILEVEV MB.............................52VIMPAT.....................................15VIOKACE.................................. 50viorele....................................... 56VIRACEPT................................ 26VIRAMUNE............................... 25VIRAMUNE XR......................... 25VIRAZOLE................................ 71VIREAD.....................................25virt-phos 250 neutral................. 74VISTARIL.................................. 26VISTOGARD.............................21vitamin d (ergocalciferol)...........74VITRAKVI..................................21VIVELLE-DOT...........................56VIVLODEX.................................. 8VIZIMPRO.................................65VOCABRIA............................... 18VOGELXO................................ 53VOGELXO PUMP..................... 53volnea....................................... 56VONVENDI............................... 31voriconazole..............................17VORTEX VALVED HOLDING CHAMBER................................ 64VOSEVI.....................................24VOTRIENT................................65VRAYLAR................................. 23VTOL LQ...................................10VUMERITY............................... 38VUSION.................................... 43vyfemla......................................56vylibra........................................56VYNDAMAX..............................50VYNDAQEL.............................. 50VYTORIN.................................. 36VYVANSE................................. 37VYZULTA..................................65WAKIX...................................... 73

warfarin sodium.........................30WELCHOL................................ 36WELIREG................................. 21WELLBUTRIN SR.....................16WELLBUTRIN XL..................... 16wera.......................................... 56WESTHROID............................ 58WHEAT GERM OIL.................. 47WIDE-SEAL DIAPHRAGM 60.. 64WIDE-SEAL DIAPHRAGM 65.. 64WIDE-SEAL DIAPHRAGM 70.. 64WIDE-SEAL DIAPHRAGM 75.. 64WIDE-SEAL DIAPHRAGM 80.. 64WIDE-SEAL DIAPHRAGM 85.. 64WIDE-SEAL DIAPHRAGM 90.. 64WIDE-SEAL DIAPHRAGM 95.. 64WILATE.....................................31WILZIN......................................47WINLEVI................................... 64wixela inhub.............................. 72WP THYROID........................... 58wymzya fe................................. 56WYNZORA................................42XADAGO...................................23XALATAN..................................65XALKORI.................................. 65XANAX......................................26XANAX XR................................26XARELTO................................. 30XARELTO STARTER PACK.....30XATMEP................................... 60XCOPRI.................................... 14XELJANZ.................................. 59XELJANZ XR............................ 59XELODA................................... 21XELPROS................................. 65XENAZINE................................ 37XENLETA..................................12XEPI..........................................43XERESE................................... 42XERMELO................................ 48XHANCE................................... 69XIFAXAN...................................12XIGDUO XR..............................28XIIDRA...................................... 66XIMINO..................................... 13XOFLUZA (40 MG DOSE)........ 26XOFLUZA (80 MG DOSE)........ 26XOLAIR.....................................59XOLEGEL................................. 43XOLEGEL COREPAK...............18XOLEGEL DUO/HEAD & SHOULDERS............................18

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XOLEGEL DUO/XOLEX........... 18XOPENEX.................................70XOPENEX CONCENTRATE.... 70XOPENEX HFA........................ 70XOSPATA................................. 65XPOVIO (100 MG ONCE WEEKLY)..................................20XPOVIO (40 MG ONCE WEEKLY)..................................20XPOVIO (40 MG TWICE WEEKLY)..................................20XPOVIO (60 MG ONCE WEEKLY)..................................20XPOVIO (60 MG TWICE WEEKLY)..................................20XPOVIO (80 MG ONCE WEEKLY)..................................20XPOVIO (80 MG TWICE WEEKLY)..................................20XTAMPZA ER............................. 9XTANDI.....................................20xulane....................................... 56XULTOPHY...............................28XURIDEN..................................50XYNTHA................................... 31XYNTHA SOLOFUSE...............31XYOSTED.................................53XYREM..................................... 73XYWAV..................................... 73YASMIN 28............................... 56YAZ........................................... 56YONSA..................................... 20YUPELRI...................................70yuvafem.................................... 56ZACARE................................... 44zaclir cleansing......................... 64zafemy...................................... 56zafirlukast..................................70zaleplon.....................................73ZANAFLEX............................... 24zarah......................................... 56ZARONTIN................................14ZARXIO.....................................30ZAVESCA................................. 50ZCORT 7-DAY.......................... 52ZEBUTAL..................................10ZEGALOGUE............................52ZEGERID.................................. 49ZEJULA.....................................21ZELAPAR..................................23ZELBORAF............................... 21ZELNORM................................ 48ZEMBRACE SYMTOUCH........ 19

ZEMPLAR................................. 61zenatane................................... 39ZENPEP....................................50ZENZEDI...................................37ZEPATIER................................ 24ZEPOSIA.................................. 38ZEPOSIA 7-DAY STARTER PACK........................................ 38ZEPOSIA STARTER KIT.......... 38ZERVIATE................................ 66ZESTORETIC........................... 34ZESTRIL................................... 32ZETIA........................................36ZETONNA.................................69ZIAC..........................................34ZIAGEN.....................................25ZIANA....................................... 39zidovudine.................................25ZIEXTENZO..............................30zileuton er................................. 70ZILXI......................................... 44ZIOPTAN.................................. 65ziprasidone hcl.......................... 23ZIPSOR.......................................8ZIRGAN.................................... 24ZITHROMAX.............................12ZITHROMAX TRI-PAK..............12ZITHROMAX Z-PAK................. 12ZOCOR..................................... 35ZOFRAN................................... 17ZOKINVY.................................. 64ZOLINZA...................................20ZOLMITRIPTAN........................19zolmitriptan................................19ZOLOFT....................................16zolpidem tartrate....................... 73zolpidem tartrate er................... 73ZOLPIMIST............................... 73ZOMIG...................................... 19ZONALON.................................41ZONEGRAN..............................15zonisamide................................15ZONTIVITY............................... 30ZORTRESS.............................. 60ZORVOLEX................................ 8zovia 1/35 (28).......................... 56zovia 1/35e (28)........................ 56ZOVIRAX.................................. 24ZTLIDO..................................... 11ZUBSOLV................................. 11zumandimine.............................56ZUPLENZ..................................17ZYCLARA................................. 42

ZYCLARA PUMP...................... 42ZYDELIG...................................21ZYFLO...................................... 70ZYKADIA...................................21ZYLET.......................................66ZYLOPRIM................................18ZYMAXID.................................. 67ZYPITAMAG............................. 35ZYPREXA................................. 23ZYPREXA ZYDIS......................23ZYTIGA..................................... 20ZYVOX......................................12

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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。

توجه: اگر زبان شما فارسی (Farsi) است، خدمات امداد زبانی به طور رايگان در اختيار شما می باشد. لطفا با شماره تلفن رايگانی که روی کارت شناسايی شما قيد شده تماس بگيريد.

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) bizaad bee yániłti’go, saad bee áka›anída›awo›ígíí, t’áá jíík’eh, bee ná’ahóót’i’. T’áá shǫǫdí ninaaltsoos nitł’izí bee nééhozinígíí bine’dę́ę́› t’áá jíík’ehgo béésh bee hane’í biká’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.

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Date post:	06-May-2023
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