2018 RX Aetna Funding Advantage Small Group Plan RX 0718

Plan for your
best health
2018 Aetna Pharmacy Drug Guide

Aetna Funding Advantage Small Group Plan
05.02.367.1 I (7/18)
aetna.com
How to use this guide
Your guide includes a list of commonly used drugs covered on your pharmacy plan. The amount you pay
depends on the drug your doctor prescribes. It’s either a flat fee or a percentage of the prescription’s
price after you meet your deductible, if applicable. Preferred generic drugs cost less. Preferred brand
drugs will have a higher cost.
Your plan includes You’re covered for all types of medicine — some more
expensive, and some less.
• Brand and generic drugs that are hand-picked for
their quality and effectiveness • Preferred generic: the lowest cost
• Aetna Specialty Pharmacy® fills specialty drug • Preferred brand: a slightly higher cost
prescriptions (ones that are injected, infused or taken • Non-preferred brand and generic: a higher cost
by mouth) — and provides services that include
• Preferred Specialty: lower cost for specialty drugs
personal support, helpful resources and training,
and free secure home delivery • Non-preferred specialty: higher cost for
non-preferred specialty drugs
• Aetna Rx Home Delivery® pharmacy that delivers
maintenance drugs to your home or wherever you Your pharmacy plan may not have all the coverage levels
choose (for drugs that are taken regularly to treat listed above so check your plan documents to see how
conditions like arthritis, diabetes or asthma) much you will pay.
What you can expect to pay For your exact coverage and cost, and
to learn more about your plan
With your pharmacy plan, the amount you pay depends
on the drug your doctor prescribes. It’s either a flat fee Visit the website that’s on your member ID card.
or a percentage of the drug’s/medicine’s price. Then log in to your account, where you can:
Each drug is grouped as a generic, a brand or a specialty • Find out the coverage and estimate of cost for
drug. The preferred drugs within these groups will specific drugs
generally save you money compared to a non-preferred • View your deductibles and plan limits
drug. Generic drugs are less expensive than brands.
• Order medications
Specialty prescription drugs typically include higher-cost • Check your pharmacy order status
drugs that require special handling, special storage or
• Get a member ID card
monitoring. These types of drugs may include, but are
not limited to, drugs that are injected, infused, inhaled • View your claims, Explanation of Benefits and more
or taken by mouth.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of
subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna Pharmacy
Management refers to an internal business unit of Aetna Health Management, LLC. Aetna Pharmacy
Management administers, but does not offer, insure or otherwise underwrite the prescription drug benefits
portion of your health plan and has no financial responsibility therefor. Aetna Specialty Pharmacy refers to
Aetna Specialty Pharmacy, LLC, a subsidiary of Aetna Inc., which is a licensed pharmacy that operates
through specialty pharmacy prescription fulfillment.
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Have more questions about your Aetna Rx Home Delivery
pharmacy benefits?
You can have maintenance drugs sent right to your
We’re here to help. There are several ways you can home or anywhere else you choose with Aetna Rx
learn more about your benefits: Home Delivery® pharmacy. These are drugs that are
taken regularly for chronic conditions like arthritis,
• Check your Plan Design and Benefits Summary in
diabetes or asthma. Depending on your plan, you
your enrollment kit.
can get up to a 90-day supply of medicine for less
• Call the toll-free number on your member ID card. cost. It’s fast and convenient, and standard shipping
• Review our pharmacy frequently asked questions is always free.
(FAQs) and answers. Just visit the website that’s on your
member ID card to search for the “Pharmacy FAQ.” Get started right away
Aetna Specialty Pharmacy You can submit your order using one of these options:
Aetna Specialty Pharmacy® medicine and support 1. Online — Visit your secure member website and
services is our in-house specialty pharmacy that can sign in to your account. There you can add or
fill your prescriptions for specialty drugs. These are remove your prescriptions.
the types of drugs that may be injected, infused or 2. Phone — Call us toll-free, 24/7 at 1-888-792-3862.
taken by mouth. They often need special storage and If you need the help of a telephone device for the
handling. And they need to be delivered quickly. A nurse deaf, call 1-877-833-2779.
or pharmacist may monitor you during your treatment,
if needed. With Aetna Specialty Pharmacy, you can 3. Mail — Get a new prescription from your doctor. Then
get this medicine sent right to your mailbox. mail it to us with a completed order form. You can find
the form on your secure member website. The mailing
address is on the form.
How to get started with Aetna
Specialty Pharmacy
Your doctor can submit your order using one
Ordering your prescription through Aetna Specialty of these options:
Pharmacy is easy. And we typically offer a 30-day
medicine supply. 1. Online — They can submit your prescriptions using
the e-prescribe services on our provider website.
• To transfer your prescription, just call us toll-free
at 1-866-353-1892. 2. Fax — They can fax your prescription to
1-877-270-3317. Make sure they include your member
• For a new prescription, your doctor can send it to
ID number, date of birth and mailing address on the
us in one of four ways:
fax cover sheet. Only a doctor may fax a prescription.
1. Electronically: Through e-prescribe
2. Fax: 1-866-FAX-ASRX (1-866-329-2779)
3. Mail:
Aetna Specialty Pharmacy
503 Sunport Lane
Orlando, FL 32809
4. Phone: 1-866-782-ASRX (1-866-782-2779),

option 2
If you mail in your own prescription, please send it

with a completed Patient Profile Form. To find this form,
just visit the website that’s on your member ID card,
to search for the “Patient Profile Form.”
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Frequently asked questions
How can I save on prescriptions? What is step therapy?
Here are some tips to pay less out of pocket for your Some drugs require step therapy. This means that
prescription drugs: you must try one or more prerequisite drug(s) before
a step therapy drug is covered.
• Ask your doctor to consider prescribing drugs that
are on the Pharmacy Drug Guide (formulary). The prerequisite drugs are equally effective, have
• Ask your doctor to consider prescribing generic U.S. Food and Drug Administration (FDA) approval
drugs instead of brand-name drugs. and may cost less. They treat the same condition
as the step therapy drug.
• Check to see if your plan includes our home delivery
pharmacy service. Depending upon your plan, our If you don’t try the appropriate alternative drug first, you
home delivery service may save you money. For may need to pay full cost for the brand-name version.
more information, visit the website on your member
ID card and log in to your account. What are quantity limits?
• Remind your doctor to check your plan to make sure Quantity limits help your doctor and pharmacist make
you get maximum coverage. sure that you use your drug correctly and safely. We use
medical guidelines and FDA-approved recommendations
What are generic drugs? from drug makers to set these coverage limits. The
Generic drugs are proven to be just as safe and effective quantity limit program includes:
as brand-name drugs. They contain the same active • Dose efficiency edits — Limits prescription coverage
ingredients in the same amounts as the brand-name to one dose per day for drugs that have approval for
drugs and work the same way. So they have the same once-daily dosing
risks and benefits as brand-name drugs. However, they
• Maximum daily dose — If a prescription is lower than
typically cost less.
the minimum or higher than the maximum allowed
When appropriate, your doctor may decide to prescribe dose, a message is sent to the pharmacy
a generic drug or allow the pharmacist to substitute a • Quantity limits over time — Limits prescription
generic drug. coverage to a specific number of units over a specific
amount of time
What is precertification?
Precertification is one way that we can help you and your What if I need a drug that requires an
doctor find safe, appropriate drugs and keep costs exception to the precertification, step therapy
down. Precertification means that you or your doctor or quantity limits requirements? Or what if I
need to get approval from the plan before certain drugs need a drug that’s not covered under my plan?
will be covered. Generally, precertification applies to
In certain cases, you or your prescriber can request a
drugs that:
medical exception to the precertification, step therapy
• Are often taken in the wrong way or quantity limits requirements. And also for a drug that’s
• Should only be used for certain conditions not covered in your plan. If you ask for your request to
be expedited, a coverage determination will be made
• Often cost more than other drugs that are proven
within 24 hours of receiving it.
to be just as effective
We’ll then contact you or your prescriber with our
Keep in mind that your doctor must contact us to
decision. All medically necessary outpatient prescription
request approval of coverage for these drugs.
drugs will be covered. If a medical exception is approved,
you only need to pay the copay after the deductible.
This amount is based on your pharmacy plan design.
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How can your provider request a medical Can the formulary change during the year?
exception?
The formulary can change throughout the year.
• Submit their request through our secure provider Some reasons why they can change include:
website on NaviNet®.
• New drugs are approved.
• Call the Aetna Pharmacy Precertification Unit at
• Existing drugs are removed from the market.
1-855-240-0535.
• Prescription drugs may become available over the
• Fax the completed request form to 1-877-269-9916.
counter (without a prescription). Over-the-counter
• Mail the completed request form to: drugs are not generally covered in a formulary.
Aetna Pharmacy Management
• Brand-name drugs lose patent protection and generic
1300 East Campbell Road
versions become available. When this happens, the
Richardson, TX 75081
brand-name drug is likely to be covered at a higher
cost. And the generic versions cost less. See the “What
How is the formulary (drug list) developed? are generic drugs?” section above for more information.
Our Pharmacy and Therapeutics Committee meets
regularly to review new drugs and new information
about current drugs. We review them for their safety,
effectiveness and current use in therapy.
This committee includes licensed pharmacists and

doctors. They are currently in practice or are Aetna
employees.
Once we complete our clinical review, we also consider

overall value before adding or removing a drug from
the formulary. We may recommend moving a drug to
a different coverage level. Or that it be placed on our
Formulary Exclusions List and no longer be covered.
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Commercial 1557 Nondiscrimination Notice
Aetna complies with applicable Federal civil rights laws and does not discriminate, exclude or treat people differently
based on their race, color, national origin, sex, age, or disability.
Aetna provides free aids/services to people with disabilities and to people who need language assistance.
If you need a qualified interpreter, written information in other formats, translation or other services, call the
number on your ID card.
If you believe we have failed to provide these services or otherwise discriminated based on a protected class
noted above, you can also file a grievance with the Civil Rights Coordinator by contacting:
Civil Rights Coordinator,

P.O. Box 14462, Lexington, KY 40512 (CA HMO customers: PO Box 24030 Fresno, CA 93779),
1-800-648-7817, TTY: 711,
Fax: 859-425-3379 (CA HMO customers: 860-262-7705),
CRCoordinator@aetna.com.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services,
Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or at:
U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building,
Washington, DC 20201, or at 1-800-368-1019, 800-537-7697 (TDD).
Aetna is the brand name used for products and services provided by one or more of the Aetna group of
subsidiary companies, including Aetna Life Insurance Company, Coventry Health Care plans and their
affiliates (Aetna).
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Remember to visit the website on your
member ID card. Then sign in to your
account for the most up-to-date information.
Please note that if your prescription drug benefits plan changes, the information here may no longer apply.
A copayment is a flat fee. Coinsurance is a percentage of the rate that Aetna negotiates with the plan sponsor for covered
prescriptions except as required by law to be otherwise. Some drugs on the Preferred Drug List are subject to manufacturer
rebates. Coinsurance is calculated before any rebates are subtracted. That means it may be possible for your cost of a
preferred drug to be higher than your cost of a non-preferred drug.
Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations
and conditions of coverage. Plan features and availability may vary by location and are subject to change.
Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Pharmacy Drug
(formulary) Guide. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Information
is subject to change. The drugs on the Pharmacy Drug (formulary) Guide, Formulary Exclusions, Precertification, and
Quantity Limit Lists are subject to change. The quantity limits and drug coverage review programs are not available in all
service areas.
In accordance with state law, commercial fully insured members in Louisiana and Texas (except Federal Employee Health
Benefit Plan members) who are receiving coverage for medications that are added or removed from the Pharmacy Drug
(formulary) Guide, Precertification, Quantity Limits or Step-Therapy Lists during the plan year will continue to have those
medications covered at the same benefit level until their plan’s renewal date. In Texas, precertification approval is known
as “pre-service utilization review.” It is not “verification” as defined by Texas law.
In accordance with state law, fully insured Commercial California health maintenance organization (HMO) members
(except Federal Employee Health Benefit Plan members) who are receiving coverage for medications that are added to
the Precertification or Step-Therapy Lists will continue to have those medications covered, for as long as the treating
physician continues prescribing them, provided that the drug is appropriately prescribed and is considered safe and
effective for treating the enrollee’s medical condition. In accordance with state law, fully insured Commercial Connecticut
preferred provider organization (PPO) members (except Federal Employee Health Benefit Plan members) who are
receiving coverage for medications that are added to the Precertification or Step-Therapy Lists will continue to have
those medications covered for as long as the treating physician prescribes them, provided the drug is medically necessary
and more medically beneficial than other covered drugs. Nothing in this section shall preclude the prescribing provider
from prescribing another drug covered by the plan that is medically appropriate for the enrollee, nor shall anything in this
section be construed to prohibit generic drug substitutions.
This material is for information only. It contains only a partial, general description of plan benefits or programs and does
not constitute a contract. See plan documents for a complete description of benefits, exclusions, limitations and
conditions of coverage. Plan features and availability may vary by location and are subject to change. Providers are
independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not
provide care or guarantee access to health services. Information is subject to change.
©2018 Aetna Inc.

05.02.367.1 I (7/18)
aetna.com
2018 Aetna Pharmacy Drug Guide - Aetna Funding Advantage Small Group Plan
Table of Contents
*ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS*....................................................16
*AMEBICIDES*........................................................................................................................................ 18
*AMINO ACIDS***.................................................................................................................................. 18
*AMINOGLYCOSIDES*..........................................................................................................................18
*ANALGESICS - ANTI-INFLAMMATORY*........................................................................................ 19
*ANALGESICS - NONNARCOTIC*.......................................................................................................21
*ANALGESICS - OPIOID*.......................................................................................................................22
*ANDROGENS-ANABOLIC*................................................................................................................. 26
*ANORECTAL AGENTS*....................................................................................................................... 27
*ANTHELMINTICS*............................................................................................................................... 28
*ANTIANGINAL AGENTS*................................................................................................................... 28
*ANTIANXIETY AGENTS*....................................................................................................................29
*ANTIARRHYTHMICS*......................................................................................................................... 29
*ANTIASTHMATIC AND BRONCHODILATOR AGENTS*.............................................................. 30
*ANTICOAGULANTS*........................................................................................................................... 32
*ANTICONVULSANTS*......................................................................................................................... 33
*ANTIDEMENTIA AGENT COMBINATIONS***............................................................................... 36
*ANTIDEPRESSANTS*........................................................................................................................... 36
*ANTIDIABETICS*..................................................................................................................................38
*ANTIDIARRHEAL/PROBIOTIC AGENTS*........................................................................................43
*ANTIDIARRHEALS*.............................................................................................................................43
*ANTIDOTES AND SPECIFIC ANTAGONISTS*.................................................................................43
*ANTIDOTES*..........................................................................................................................................43
*ANTIEMETICS*..................................................................................................................................... 43
*ANTIFUNGALS*....................................................................................................................................44
*ANTIHEMOPHILIC PRODUCTS - MONOCLONAL ANTIBODIES***........................................... 45
*ANTIHISTAMINES*.............................................................................................................................. 45
*ANTIHYPERLIPIDEMICS*.................................................................................................................. 46
*ANTIHYPERTENSIVES*.......................................................................................................................48
*ANTI-INFECTIVE AGENTS - MISC.*..................................................................................................51
*ANTIMALARIALS*............................................................................................................................... 52
*ANTIMYASTHENIC AGENTS*........................................................................................................... 53
*ANTIMYASTHENIC/CHOLINERGIC AGENTS*.............................................................................. 53
*ANTIMYCOBACTERIAL AGENTS*................................................................................................... 53
*ANTINEOPLASTIC - BCL-2 INHIBITORS***.....................................................................................54
*ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES*................................................................. 54
*ANTIPARKINSON AGENTS*.............................................................................................................. 58
*ANTIPSYCHOTICS/ANTIMANIC AGENTS*..................................................................................... 60
*ANTIRETROVIRALS ADJUVANTS***...............................................................................................61
*ANTISEPTICS & DISINFECTANTS*................................................................................................... 61
*ANTIVIRALS*........................................................................................................................................ 62
*ASSORTED CLASSES*.......................................................................................................................... 65
*ATOPIC DERMATITIS - MONOCLONAL ANTIBODIES***............................................................ 67
*BETA BLOCKER & ANGIOTENSIN II RECEPTOR ANTAGONIST COMB***............................. 67
*BETA BLOCKERS*................................................................................................................................ 67
*BILE ACID SYNTHESIS DISORDER AGENTS***............................................................................ 68
*BIOLOGICALS MISC*........................................................................................................................... 68
12
*BULK CHEMICALS - NY***.................................................................................................................68
*CALCITONIN GENE-RELATED PEPTIDE (CGRP) RECEPTOR ANTAG***................................68
*CALCIUM CHANNEL BLOCKERS*................................................................................................... 68
*CARDIOTONICS*.................................................................................................................................. 70
*CARDIOVASCULAR AGENTS - MISC.*.............................................................................................70
*CEPHALOSPORINS*............................................................................................................................. 71
*CHEMICALS*......................................................................................................................................... 73
*CIC AGENTS - GUANYLATE CYCLASE-C (GC-C) AGONISTS***.................................................73
*CONTRACEPTIVES*............................................................................................................................. 73
*CORTICOSTEROIDS*........................................................................................................................... 78
*COUGH/COLD/ALLERGY*..................................................................................................................79
*CYCLIN-DEPENDENT KINASES (CDK) INHIBITORS***.............................................................. 80
*CYSTIC FIBROSIS AGENT - COMBINATIONS***............................................................................80
*DERMATOLOGICALS*........................................................................................................................ 80
*DIAGNOSTIC PRODUCTS*................................................................................................................. 92
*DIGESTIVE AIDS*................................................................................................................................. 97
*DIRECT-ACTING P2Y12 INHIBITORS***..........................................................................................97
*DIURETICS*........................................................................................................................................... 97
*ENDOCRINE AND METABOLIC AGENTS - MISC.*........................................................................98
*ESTROGENS*....................................................................................................................................... 102
*ESTROGEN-SELECTIVE ESTROGEN RECEPTOR MODULATOR COMB***............................ 103
*FARNESOID X RECEPTOR (FXR) AGONISTS***.......................................................................... 103
*FLUOROQUINOLONES*.................................................................................................................... 103
*GASTROINTESTINAL AGENTS - MISC.*........................................................................................ 103
*GENITOURINARY AGENTS - MISCELLANEOUS*....................................................................... 105
*GOUT AGENTS*.................................................................................................................................. 106
*HEMATOLOGICAL AGENTS - MISC.*.............................................................................................106
*HEMATOPOIETIC AGENTS*............................................................................................................. 109
*HEMOSTATICS*...................................................................................................................................112
*HEPATITIS C AGENT - COMBINATIONS***.................................................................................. 112
*HEREDITARY OROTIC ACIDURIA TREATMENT - AGENTS**.................................................112
*HYPNOTICS*........................................................................................................................................ 113
*HYPOPHOSPHATASIA (HPP) AGENTS***...................................................................................... 113
*IBS AGENT - MU-OPIOID RECEPTOR AGONISTS***................................................................... 114
*INSULIN-INCRETIN MIMETIC COMBINATIONS***................................................................... 114
*INTEGRIN RECEPTOR ANTAGONISTS***.................................................................................... 114
*INTERLEUKIN ANTAGONISTS***.................................................................................................. 114
*INTERLEUKIN-5 ANTAGONISTS (IGG1 KAPPA)***.................................................................... 114
*INTERLEUKIN-5 ANTAGONISTS (IGG4 KAPPA)***.................................................................... 114
*ISOCITRATE DEHYDROGENASE-2 (IDH2) INHIBITORS***.......................................................114
*LAXATIVES*........................................................................................................................................ 114
*LEPTIN ANALOGUES***................................................................................................................... 115
*LHRH/GNRH AGONIST ANALOG COMBINATIONS***.............................................................. 115
*LOCAL ANESTHETICS-PARENTERAL*..........................................................................................116
*LYMPHOCYTE FUNCTION-ASSOCIATED ANTIGEN-1 (LFA-1) ANTAG***............................ 116
*LYSOSOMAL ACID LIPASE (LAL) DEFICIENCY - AGENTS***.................................................. 116
*MACROLIDES*.................................................................................................................................... 116
*MEDICAL DEVICES*.......................................................................................................................... 117
*MIGRAINE PRODUCTS*....................................................................................................................121
*MINERALS & ELECTROLYTES*.......................................................................................................122
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*MONOBACTAMS***........................................................................................................................... 123
*MOUTH/THROAT/DENTAL AGENTS*............................................................................................123
*MUCOPOLYSACCHARIDOSIS IV (MPS IV) - AGENTS***............................................................ 124
*MULTIVITAMINS*.............................................................................................................................. 124
*MUSCULOSKELETAL THERAPY AGENTS*.................................................................................. 126
*NASAL AGENTS - SYSTEMIC AND TOPICAL*.............................................................................. 127
*NEPRILYSIN INHIB (ARNI)-ANGIOTENSIN II RECEPT ANTAG COMB***.............................128
*NEUROGENIC ORTHOSTATIC HYPOTENSION (NOH) - AGENTS***.......................................128
*NEUROMUSCULAR AGENTS*......................................................................................................... 128
*OPHTHALMIC AGENTS*................................................................................................................... 129
*OPHTHALMIC RHO KINASE INHIBITORS***...............................................................................133
*OREXIN RECEPTOR ANTAGONISTS***.........................................................................................133
*OTIC AGENTS*.................................................................................................................................... 134
*OXABOROLE-RELATED ANTIFUNGALS - TOPICAL***............................................................. 134
*OXYTOCICS*........................................................................................................................................ 134
*PASSIVE IMMUNIZING AGENTS - COMBINATIONS***............................................................. 134
*PASSIVE IMMUNIZING AGENTS*................................................................................................... 134
*PCSK9 INHIBITORS***....................................................................................................................... 135
*PENICILLINS*......................................................................................................................................135
*PHARMACEUTICAL ADJUVANTS*.................................................................................................136
*PHOSPHATIDYLINOSITOL 3-KINASE (PI3K) INHIBITORS***................................................... 136
*PHOSPHODIESTERASE 4 (PDE4) INHIBITORS - TOPICAL***.....................................................136
*PHOSPHODIESTERASE 4 (PDE4) INHIBITORS***.........................................................................137
*POLY (ADP-RIBOSE) POLYMERASE (PARP) INHIBITORS**......................................................137
*POLY (ADP-RIBOSE) POLYMERASE (PARP) INHIBITORS***.....................................................137
*POSTHERPETIC NEURALGIA (PHN)/NEUROPATHIC PAIN AGENTS***................................ 137
*POTASSIUM REMOVING AGENTS***.............................................................................................137
*PROGESTINS*...................................................................................................................................... 137
*PROTEASE-ACTIVATED RECEPTOR-1 (PAR-1) ANTAGONISTS***.......................................... 138
*PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.*..........................................138
*PULMONARY FIBROSIS AGENTS - KINASE INHIBITORS***.................................................... 141
*PULMONARY FIBROSIS AGENTS***..............................................................................................141
*PULMONARY HYPERTENSION - PROSTACYCLIN RECEPTOR AGONIST***........................141
*RESPIRATORY AGENTS - MISC.*.................................................................................................... 141
*SEROTONIN MODULATORS***.......................................................................................................141
*SGLT2 INHIBITOR - DPP-4 INHIBITOR COMBINATIONS***...................................................... 142
*SINUS NODE INHIBITORS**.............................................................................................................142
*SODIUM-GLUCOSE CO-TRANSPORTER 2 INHIBITOR-BIGUANIDE COMB***..................... 142
*SPLEEN TYROSINE KINASE (SYK) INHIBITORS***.................................................................... 142
*SULFONAMIDES*............................................................................................................................... 142
*TETRACYCLINES*..............................................................................................................................142
*THYROID AGENTS*........................................................................................................................... 143
*TOPICAL ANESTHETIC GASES***...................................................................................................144
*TOXOIDS*............................................................................................................................................. 144
*TRYPTOPHAN HYDROXYLASE INHIBITORS***......................................................................... 144
*ULCER DRUGS*.................................................................................................................................. 144
*URINARY ANTI-INFECTIVES*.........................................................................................................147
*URINARY ANTISPASMODICS*........................................................................................................ 147
*VAGINAL PRODUCTS*...................................................................................................................... 148
*VASOPRESSORS*.................................................................................................................................149
14
*VITAMINS*........................................................................................................................................... 149
15
Drug Details
# = Brand-name drug expected to
become available generically in the
near future. After the generic drug
becomes available, the brand-
name drug may be covered at a
higher non-preferred copay and/or
added to the Formulary Exclusion
List. The brand-name drug may
also be subject to precertification
and/or step-therapy.
AL = Age Limit
LGC = Lowest Generic Copay
Applies
MA = Step Therapy does not
apply to members residing in
Massachusetts.
N1 = Refer to member plan
documents for Erectile
Dysfuncition use/coverage
PA = Prior Authorization
QL = Quantity Limit
Drug Status Select OTC = Select OTC
CE = Copay Exception: Available Program if your pharmacy plan
to some members at no cost with a includes this program you may
prescription from your provider have coverage for products noted
when obtained at an in-network with a doctors prescription.
pharmacy. Certain limitations may Please see your plan benefit
apply. information for specific coverage
LGC = Lowest Generic Copay details.
Applies SP = You may pay higher out of
NC = Not Covered pocket costs and may be required
NP = Non-Preferred Brand and to get these products at an Aetna
Generic Specialty Pharmacy network
NPS = Non-Preferred Specialty provider, such as Aetna Specialty
PB = Preferred Brand Pharmacy. Specialty products are
lowercase = Brand name drugs PG = Preferred Generic limited to a 30 day supply.
lowercase italics = Generic drugs PSP = Preferred Specialty ST = Step Therapy
Drug Name Drug Status Drug Details
*ADHD/ANTI-NARCOLEPSY/ANTI-
OBESITY/ANOREXIANTS*
adderall NP ST; QL
adderall xr NP ST; QL
adzenys er NP PA; ST; QL
The formulary is updated the first week of each month.
07/01/2018
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adzenys xr-odt NP PA; ST; QL
amphetamine-dextroamphet er PG QL
amphetamine-dextroamphetamine PG QL
aptensio xr NP PA; ST; #; QL
armodafinil PG PA; QL
atomoxetine hcl PG QL
caffeine citrate oral solution 20 mg/ml PG
clonidine hcl er PG PA; QL
concerta NP ST; QL
cotempla xr-odt NP PA; ST; QL
daytrana NP PA; ST; #; QL
desoxyn NP PA; ST; QL
dexedrine oral capsule extended release 24
NP ST; QL
hour
dexmethylphenidate hcl PG QL
dexmethylphenidate hcl er PG QL
dextroamphetamine sulfate er PG QL
dextroamphetamine sulfate oral solution PG PA; QL
dextroamphetamine sulfate oral tablet PG QL
dyanavel xr NP PA; ST; QL
evekeo NP PA; ST; QL
focalin NP ST; QL
focalin xr NP ST; QL
guanfacine hcl er NP PA; QL
intuniv NP PA; ST; QL
kapvay oral tablet extended release 12 hour NP PA; ST; QL
metadate er oral tablet extended release 20 mg PG QL
methamphetamine hcl PG PA; QL
methylin oral solution NP ST; QL
methylphenidate hcl er PG QL
methylphenidate hcl er (cd) PG QL
methylphenidate hcl er (la) PG QL
methylphenidate hcl oral solution PG QL
methylphenidate hcl oral tablet PG QL
methylphenidate hcl oral tablet chewable NP
07/01/2018
17
modafinil PG PA; QL
mydayis NP PA; ST; QL
nuvigil NP PA; QL
procentra NP PA; ST; QL
provigil NP PA; QL
quillichew er NP PA; ST; QL
quillivant xr NP PA; ST; #; QL
ritalin NP ST; QL
ritalin la oral capsule extended release 24 hour
NP ST; QL
10 mg, 20 mg, 30 mg, 40 mg
strattera NP ST; QL
vyvanse PB QL
zenzedi oral tablet 10 mg, 5 mg PG QL
zenzedi oral tablet 15 mg, 2.5 mg, 20 mg, 30
NC
mg, 7.5 mg
*AMEBICIDES*
solosec NC
*AMINO ACIDS***
endari NP PA; ST; QL
*AMINOGLYCOSIDES*
amikacin sulfate injection solution 1 gm/4ml,
NP
500 mg/2ml
bethkis NPS SP; QL
gentamicin in saline intravenous solution 0.8-0.9
mg/ml-%, 1-0.9 mg/ml-%, 1.2-0.9 mg/ml-%, 1.6- NP
0.9 mg/ml-%, 2-0.9 mg/ml-%
gentamicin sulfate injection NPS
kitabis pak NPS
neomycin sulfate oral PG
paromomycin sulfate oral PG
streptomycin sulfate intramuscular NPS
tobi NPS SP; QL
tobi podhaler PSP SP; QL
tobramycin inhalation PSP SP; QL
tobramycin sulfate injection NPS
07/01/2018
18
*ANALGESICS - ANTI-INFLAMMATORY*
actemra intravenous NPS PA; ST; SP
actemra subcutaneous NPS PA; ST; SP; QL
anaprox ds NP
arava NP QL
arcalyst NPS PA; SP
arthrotec oral tablet delayed release NP
celebrex NP QL
celecoxib oral NP QL
daypro NP
diclofenac potassium PG
diclofenac sodium er PG
diclofenac sodium oral tablet delayed release 25
PG
mg, 50 mg
diclofenac sodium oral tablet delayed release 75
LGC LGC
mg
diclofenac-misoprostol oral tablet delayed
PG
release
duexis NC
ec-naprosyn NP
enbrel mini PSP PA; ST; SP; QL
enbrel subcutaneous solution prefilled syringe PSP PA; ST; SP; QL
enbrel subcutaneous solution reconstituted PSP PA; ST; QL
enbrel sureclick subcutaneous solution auto-
PSP PA; ST; SP; QL
injector
etodolac er PG
etodolac oral PG
feldene NP
fenoprofen calcium oral PG
flurbiprofen oral PG
humira pediatric crohns start subcutaneous
prefilled syringe kit 40 mg/0.8ml, 80 mg/0.8ml, NPS PA; ST; SP; QL
80 mg/0.8ml & 40mg/0.4ml
humira pen subcutaneous pen-injector kit NPS PA; ST; SP; QL
humira pen-crohns starter subcutaneous pen-
NPS PA; ST; SP; QL
injector kit
07/01/2018
19
humira pen-psoriasis starter subcutaneous pen-
NPS PA; ST; SP; QL
injector kit
humira subcutaneous prefilled syringe kit NPS PA; ST; SP; QL
ibuprofen comfort pac NC
ibuprofen oral tablet 400 mg, 600 mg, 800 mg LGC LGC
ic 400 NC
ic 800 NC
ilaris subcutaneous solution NPS PA; SP
indocin oral NP
indocin rectal NP
indomethacin er PG
indomethacin oral PG QL
ketoprofen er PG
ketoprofen oral capsule 75 mg PG
ketorolac tromethamine injection solution 15
NP
mg/ml
ketorolac tromethamine intramuscular solution
NP
60 mg/2ml
ketorolac tromethamine oral PG QL
kevzara NPS PA; ST; SP; QL
kineret subcutaneous solution prefilled syringe NPS PA; ST; SP; QL
leflunomide oral PG QL
meclofenamate sodium oral PG
mefenamic acid oral NP QL
meloxicam oral tablet LGC LGC
mobic oral tablet NP
nabumetone oral PG
nalfon oral capsule 400 mg NP
naprelan oral tablet extended release 24 hour
NC
375 mg, 500 mg, 750 mg
naprosyn oral tablet 250 mg, 500 mg NP
naproxen dr PG
naproxen oral suspension PG
naproxen oral tablet LGC LGC
naproxen sodium er NC
naproxen sodium oral tablet 275 mg, 550 mg PG
07/01/2018
20
orencia clickject NPS PA; ST; SP; QL
orencia intravenous NPS PA; ST; SP
orencia subcutaneous solution prefilled syringe NPS PA; ST; SP; QL
otrexup subcutaneous solution auto-injector 10
mg/0.4ml, 15 mg/0.4ml, 17.5 mg/0.4ml, 20 NPS ST; SP
mg/0.4ml, 22.5 mg/0.4ml, 25 mg/0.4ml
otrexup subcutaneous solution auto-injector
NPS ST
12.5 mg/0.4ml
oxaprozin PG
piroxicam oral PG
ponstel NP QL
rasuvo subcutaneous solution auto-injector 10
mg/0.2ml, 12.5 mg/0.25ml, 15 mg/0.3ml, 17.5
NPS ST; SP
mg/0.35ml, 20 mg/0.4ml, 22.5 mg/0.45ml, 25
mg/0.5ml, 30 mg/0.6ml, 7.5 mg/0.15ml
ridaura NP
simponi aria PSP PA; ST; SP; QL
simponi subcutaneous solution auto-injector PSP PA; ST; SP; QL
simponi subcutaneous solution prefilled
PSP PA; ST; SP; QL
syringe
sprix NC LGC; #
sulindac oral PG
tivorbex NC
tolmetin sodium PG
vimovo NC
vivlodex NC
xeljanz PSP PA; ST; SP; QL
xeljanz xr PSP PA; ST; SP; QL
zipsor NC
zorvolex NC
*ANALGESICS - NONNARCOTIC*
allzital NC
aspir-81 CE
aspir-low CE
bayer aspirin ec low dose CE
bayer low dose oral tablet chewable CE
07/01/2018
21
bupap oral tablet 50-300 mg NC
butalbital-acetaminophen oral tablet 50-300 mg NC
butalbital-acetaminophen oral tablet 50-325 mg PG
butalbital-apap-caffeine oral capsule 50-325-40
PG
mg
butalbital-apap-caffeine oral tablet 50-325-40
PG
mg
butalbital-aspirin-caffeine oral capsule PG
childrens aspirin CE
diflunisal oral PG
ec-81 aspirin CE
ecotrin CE
ecotrin low strength CE
ecpirin CE
esgic oral capsule NP
esgic oral tablet NP
fiorinal NP
miniprin low dose CE
prialt NPS SP
qc aspirin low dose oral tablet delayed release CE
st joseph aspirin oral tablet delayed release CE
tgt aspirin oral tablet delayed release CE
vanatol lq NC
*ANALGESICS - OPIOID*
abstral NP PA; ST; #; QL
acetaminophen-codeine PG PA; QL
acetaminophen-codeine #2 PG PA; QL
actiq NP PA; ST; QL
apap-caff-dihydrocodeine oral capsule NP PA; QL
apap-caff-dihydrocodeine oral tablet 325-30-16
NC
mg
arymo er NP PA; ST; QL
ascomp-codeine PG PA; QL
07/01/2018
22
belbuca NP PA; QL
bunavail NP ST; MA; QL
buprenorphine PG PA; QL
buprenorphine hcl injection solution 0.3 mg/ml NP
buprenorphine hcl sublingual PG QL
buprenorphine hcl-naloxone hcl PG QL
butalbital-apap-caff-cod PG PA; QL
butalbital-asa-caff-codeine PG PA; QL
butorphanol tartrate injection NP
butorphanol tartrate nasal NP PA; QL
butrans NP PA; QL
codeine sulfate oral tablet PG PA; QL
conzip NC
demerol injection solution 75 mg/1.5ml NP
demerol injection solution 75 mg/ml NC
demerol oral NP PA; QL
dilaudid injection solution 2 mg/ml, 4 mg/ml NP
dilaudid oral NP PA; QL
dolophine NP PA; QL
duragesic-100 NP PA; ST; QL
duramorph NP
embeda PB PA; QL
endocet oral tablet 10-325 mg, 5-325 mg, 7.5-
PG PA; QL
325 mg
endocet oral tablet 2.5-325 mg PG PA; QL
exalgo oral tablet er 24 hour abuse-deterrent NP PA; ST; QL
fentanyl PG PA; QL
fentanyl citrate buccal NP PA; ST; QL
fentora buccal tablet 100 mcg, 200 mcg, 400
NP PA; ST; #; QL
mcg, 600 mcg, 800 mcg
fioricet/codeine oral capsule 50-300-40-30 mg NP PA; QL
07/01/2018
23
fiorinal/codeine #3 NP PA; QL
hydrocodone-acetaminophen oral solution 2.5-
NP PA; QL
108 mg/5ml, 5-217 mg/10ml, 7.5-325 mg/15ml
hydrocodone-acetaminophen oral tablet 10-300
mg, 10-325 mg, 2.5-325 mg, 5-300 mg, 5-325 PG PA; QL
mg, 7.5-300 mg, 7.5-325 mg
hydrocodone-ibuprofen oral tablet 10-200 mg, 5-
PG PA; QL
200 mg, 7.5-200 mg
hydromorphone hcl er NP PA; QL
hydromorphone hcl injection solution 1 mg/ml, 2
NP
mg/ml, 4 mg/ml
hydromorphone hcl oral PG PA; QL
hydromorphone hcl pf injection solution 50
NP
mg/5ml
hydromorphone hcl rectal PG PA; QL
hysingla er PB PA; #; QL
ibudone oral tablet 10-200 mg NP PA; QL
ibudone oral tablet 5-200 mg PG PA; QL
infumorph 200 NP
infumorph 500 NP
kadian oral capsule extended release 24 hour
10 mg, 100 mg, 20 mg, 200 mg, 30 mg, 40 mg, NP PA; ST; QL
50 mg, 60 mg, 80 mg
lazanda NC
levorphanol tartrate oral NP PA; QL
lorcet PG PA; QL
lorcet hd PG PA; QL
lorcet plus oral tablet 7.5-325 mg PG PA; QL
meperidine hcl injection solution 10 mg/ml, 100
NP
mg/ml, 25 mg/ml, 50 mg/ml
meperidine hcl oral PG PA; QL
methadone hcl intensol NP PA; QL
methadone hcl oral concentrate NP PA; QL
methadone hcl oral solution PG PA; QL
methadone hcl oral tablet PG PA; QL
morphabond er NP PA; ST; QL
07/01/2018
24
morphine sulfate (concentrate) oral solution 100
PG PA; QL
mg/5ml
morphine sulfate (concentrate) oral solution 20
PG
mg/ml
morphine sulfate (pf) injection solution 0.5
PG
mg/ml
morphine sulfate (pf) intravenous solution 10
PG
mg/ml
morphine sulfate er beads PG PA; QL
morphine sulfate er oral capsule extended
PG PA; QL
release 24 hour
morphine sulfate er oral tablet extended release PG PA; QL
morphine sulfate injection solution 10 mg/ml, 5
PG
mg/ml, 8 mg/ml
morphine sulfate oral PG PA; QL
morphine sulfate rectal PG PA; QL
ms contin oral tablet extended release NP PA; ST; QL
nalbuphine hcl injection NPS
norco NP PA; QL
nucynta NP PA; ST; QL
nucynta er NP PA; ST; QL
opana er oral tablet er 12 hour abuse-deterrent NP PA; ST; QL
opana oral NP PA; QL
oxaydo PB PA; QL
oxycodone hcl er oral tablet er 12 hour abuse-
PG PA; QL
deterrent
oxycodone hcl oral capsule PG PA; QL
oxycodone hcl oral concentrate 100 mg/5ml PG PA; QL
oxycodone hcl oral solution PG PA; QL
oxycodone hcl oral tablet PG PA; QL
oxycodone-acetaminophen oral solution PG PA; QL
oxycodone-acetaminophen oral tablet 10-325
PG PA; QL
mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg
oxycodone-aspirin oral tablet 4.8355-325 mg PG PA; QL
oxycodone-ibuprofen PG PA; QL
oxycontin oral tablet er 12 hour abuse-
PB PA; QL
deterrent
07/01/2018
25
oxymorphone hcl PG PA; QL
oxymorphone hcl er PG PA; QL
pentazocine-naloxone hcl NP PA; QL
percocet oral tablet 10-325 mg, 2.5-325 mg, 5-
NP PA; QL
325 mg, 7.5-325 mg
primlev NC
roxicodone oral tablet NP PA; QL
suboxone sublingual film NP #; QL
subsys NC
tramadol hcl er (biphasic) oral tablet extended
PG PA; QL
release 24 hour 100 mg, 200 mg, 300 mg
tramadol hcl er oral capsule extended release 24
NC
hour
tramadol hcl er oral tablet extended release 24
PG PA; QL
hour
tramadol hcl oral PG PA; QL
tramadol-acetaminophen PG PA; QL
trezix oral capsule 320.5-30-16 mg NP PA; QL
tylenol with codeine #3 NP PA; QL
tylenol with codeine #4 NP PA; QL
ultracet NP PA; QL
ultram NP PA; QL
verdrocet PG PA; QL
vicodin es oral tablet 7.5-300 mg PG PA; QL
vicodin hp oral tablet 10-300 mg PG PA; QL
vicodin oral tablet 5-300 mg PG PA; QL
xodol oral tablet 5-300 mg, 7.5-300 mg NP PA; QL
xtampza er NP PA; ST; QL
zohydro er oral capsule er 12 hour abuse-
NP PA; ST; QL
deterrent
zubsolv NP ST; MA; QL
*ANDROGENS-ANABOLIC*
anadrol-50 NP
androderm transdermal patch 24 hour NC
androgel pump transdermal gel 20.25 mg/act
PB PA; #; QL
(1.62%)
07/01/2018
26
androgel transdermal gel 20.25 mg/1.25gm
PB PA; #; QL
(1.62%), 40.5 mg/2.5gm (1.62%)
androgel transdermal gel 25 mg/2.5gm (1%), 50
NP PA; ST; QL
mg/5gm (1%)
danazol oral PG
depo-testosterone intramuscular solution NP
fortesta NC
methitest PB
methyltestosterone oral PG
natesto NC
oxandrin oral tablet 10 mg NP
oxandrolone oral NP
striant NC
testim NP PA; ST; QL
testosterone cypionate intramuscular solution
PG QL
100 mg/ml, 200 mg/ml
testosterone enanthate intramuscular solution PG
testosterone transdermal gel 10 mg/act (2%) PG QL
testosterone transdermal gel 12.5 mg/act (1%),
PG PA; QL
25 mg/2.5gm (1%), 50 mg/5gm (1%)
testosterone transdermal solution NP PA; ST; QL
vogelxo pump NP PA; ST; QL
vogelxo transdermal gel 50 mg/5gm (1%) NP PA; ST; QL
*ANORECTAL AGENTS*
ana-lex NC
analpram-hc rectal cream NC
anusol-hc rectal cream NP
colocort PG
cortenema NP
cortifoam NC
hydrocortisone ace-pramoxine rectal cream 1-1
PG
%
hydrocortisone rectal enema PG
lidocaine-hydrocortisone ace rectal NC
pramcort rectal PG
proctocort rectal cream NC
07/01/2018
27
proctofoam hc NC
procto-pak PG
proctosol hc PG
proctozone-hc rectal PG
rectiv NP QL
uceris rectal NP PA; #; QL
*ANTHELMINTICS*
albenza NP QL
benznidazole NP PA; QL
biltricide NP
emverm NP QL
ivermectin oral PG
praziquantel oral PG
stromectol NP
*ANTIANGINAL AGENTS*
dilatrate-sr NP
gonitro NP
isordil titradose NP
isosorbide dinitrate er PG
isosorbide dinitrate oral PG
isosorbide mononitrate PG
isosorbide mononitrate er PG
minitran PG
nitro-bid NP
nitro-dur transdermal patch 24 hour 0.3 mg/hr,
NP
0.8 mg/hr
nitroglycerin in d5w NP
nitroglycerin intravenous NP
nitroglycerin sublingual PG
nitroglycerin transdermal patch 24 hour PG
nitroglycerin translingual solution PG QL
nitrolingual NP
nitromist NP
nitrostat NP ST
07/01/2018
28
nitro-time oral capsule extended release 2.5 mg,
PG
6.5 mg
ranexa NP #; QL
*ANTIANXIETY AGENTS*
alprazolam er PG QL
alprazolam intensol NP
alprazolam oral PG
alprazolam xr PG QL
ativan oral NC
buspirone hcl oral tablet 10 mg, 5 mg LGC LGC
buspirone hcl oral tablet 15 mg, 30 mg, 7.5 mg PG
chlordiazepoxide hcl PG
clorazepate dipotassium PG
diazepam intensol NP
diazepam oral concentrate PG
diazepam oral solution 1 mg/ml PG
diazepam oral tablet PG
hydroxyzine hcl intramuscular NP
hydroxyzine hcl oral syrup PG
hydroxyzine pamoate oral PG
lorazepam oral PG
meprobamate PG
oxazepam PG
tranxene-t oral tablet 7.5 mg NP
valium NP
vistaril NP
xanax NC
xanax xr NC
*ANTIARRHYTHMICS*
amiodarone hcl oral tablet 200 mg, 400 mg PG
disopyramide phosphate oral PG
dofetilide PG
flecainide acetate PG
lidocaine hcl (cardiac) intravenous solution 20
NP
mg/ml
07/01/2018
29
lidocaine in d5w NP
mexiletine hcl oral PG
multaq NP QL
nexterone NP
norpace cr NP
pacerone oral tablet 100 mg, 200 mg, 400 mg PG
procainamide hcl injection NP
propafenone hcl PG
propafenone hcl er PG SP; QL
quinidine gluconate er PG
quinidine gluconate injection NP
quinidine sulfate oral PG
rythmol sr NP QL
tikosyn NP
*ANTIASTHMATIC AND
BRONCHODILATOR AGENTS*
accolate NP QL
advair diskus NP #; QL
advair hfa NP QL
airduo respiclick 113/14 NP PA; ST; QL
albuterol sulfate er PG
albuterol sulfate inhalation PG
albuterol sulfate oral PG
alvesco NP PA; ST; QL
aminophylline intravenous NP
anoro ellipta PB QL
arcapta neohaler NP PA; ST; QL
armonair respiclick 113 NP PA; ST; QL
arnuity ellipta inhalation aerosol powder
NP QL
breath activated 100 mcg/act, 200 mcg/act
asmanex 120 metered doses PB #; QL
07/01/2018
30
asmanex hfa PB QL
atrovent hfa NP QL
bevespi aerosphere NP PA; ST; QL
breo ellipta PB QL
brovana NP PA; ST; QL
budesonide inhalation suspension 0.25 mg/2ml,
PG PA; QL
0.5 mg/2ml
budesonide inhalation suspension 1 mg/2ml PG PA; QL; AL
combivent respimat PB QL
cromolyn sodium inhalation PG
daliresp NP PA; ST; QL
dulera PB QL
elixophyllin NP
flovent diskus NP #; QL
flovent hfa NP QL
fluticasone-salmeterol PG QL
ipratropium bromide inhalation PG
ipratropium-albuterol PG
levalbuterol hcl inhalation nebulization solution
PG
0.31 mg/3ml, 0.63 mg/3ml, 1.25 mg/3ml
lonhala magnair refill kit NP PA; ST; QL
lonhala magnair starter kit NP PA; ST; QL
metaproterenol sulfate oral PG
montelukast sodium oral PG QL
perforomist NP PA; ST; QL
proair hfa PB #
proventil hfa NP ST; #
pulmicort NC
pulmicort flexhaler NP PA; ST; QL
qvar inhalation aerosol solution PB QL
qvar redihaler PB QL
07/01/2018
31
seebri neohaler NP PA; ST; QL
serevent diskus NP QL
singulair oral packet NC
singulair oral tablet NP QL
singulair oral tablet chewable NP QL
spiriva handihaler PB QL
spiriva respimat PB QL
stiolto respimat PB QL
striverdi respimat NP PA; ST; QL
symbicort PB QL
terbutaline sulfate injection NP
terbutaline sulfate oral PG
theo-24 oral capsule extended release 24 hour
PB
100 mg, 200 mg, 400 mg
theochron oral tablet extended release 12 hour
PG
100 mg, 200 mg, 300 mg
theophylline PG
theophylline er PG
trelegy ellipta PB QL
tudorza pressair inhalation aerosol powder
NP PA; ST; QL
breath activated
utibron neohaler NP PA; ST; QL
ventolin hfa PB
xolair PSP PA; ST; SP
xopenex NP
xopenex concentrate NP
xopenex hfa NP ST; QL
zafirlukast PG QL
zileuton er NP QL
zyflo NP QL
zyflo cr NP QL
*ANTICOAGULANTS*
arixtra NP QL
bevyxxa NP PA; ST; QL
coumadin oral NP
07/01/2018
32
eliquis PB QL
eliquis starter pack PB QL
enoxaparin sodium PG QL
fondaparinux sodium NP QL
fragmin subcutaneous solution 10000 unit/ml,
12500 unit/0.5ml, 15000 unit/0.6ml, 18000
NP QL
unt/0.72ml, 2500 unit/0.2ml, 5000 unit/0.2ml,
7500 unit/0.3ml, 95000 unit/3.8ml
heparin sodium (porcine) injection solution 1000
unit/ml, 10000 unit/ml, 20000 unit/ml, 5000 PG
unit/ml
heparin sodium (porcine) pf PG
iprivask NP QL
jantoven LGC LGC
lovenox NP QL
pradaxa NP ST; QL
savaysa NP ST; QL
warfarin sodium oral LGC LGC
xarelto PB QL
xarelto starter pack PB QL
*ANTICONVULSANTS*
aptiom NP QL
banzel oral suspension NP
banzel oral tablet NP QL
briviact oral NP PA; QL
carbamazepine er PG
carbamazepine oral PG
carbatrol PB
celontin PB
cerebyx NPS
clonazepam oral PG
depakene oral capsule NP
depakote NP
depakote er NP
depakote sprinkles oral capsule delayed release
NP
sprinkle
07/01/2018
33
diastat acudial PB
diastat pediatric PB
diazepam rectal PG QL
dilantin PB
dilantin infatabs PB
divalproex sodium er oral tablet extended
PG
release 24 hour
divalproex sodium oral capsule delayed release
PG
sprinkle
divalproex sodium oral tablet delayed release PG
epitol PG
ethosuximide oral PG
felbamate PG
felbatol NP
fosphenytoin sodium NPS
fycompa oral suspension NP
fycompa oral tablet NP QL
gabapentin oral capsule PG QL
gabapentin oral solution 250 mg/5ml PG
gabapentin oral tablet PG QL
gabitril NP QL
keppra oral NP
keppra xr NP QL
klonopin NP
lamictal odt oral kit NP
lamictal odt oral tablet dispersible NP QL
lamictal oral tablet NP
lamictal oral tablet chewable 25 mg, 5 mg NP
lamictal starter NP
lamictal xr oral kit NP
lamictal xr oral tablet extended release 24 hour NP QL
lamotrigine er PG QL
lamotrigine oral tablet PG
lamotrigine oral tablet chewable NP
lamotrigine oral tablet dispersible NP QL
07/01/2018
34
lamotrigine starter kit-blue PG
lamotrigine starter kit-green PG
lamotrigine starter kit-orange PG
levetiracetam er PG QL
levetiracetam in nacl NP
levetiracetam oral PG
lyrica PB #
mysoline NP
neurontin oral capsule NP QL
neurontin oral solution NP
neurontin oral tablet NP QL
onfi oral suspension NP #
onfi oral tablet 10 mg, 20 mg NP #; QL
oxcarbazepine PG
oxtellar xr NP QL
peganone NP
phenytek PB
phenytoin infatabs PG
phenytoin oral suspension 125 mg/5ml PG
phenytoin oral tablet chewable PG
phenytoin sodium extended oral capsule 100 mg PG
phenytoin sodium injection NP
primidone oral PG
qudexy xr NP QL
sabril oral packet NPS PA; SP; QL
sabril oral tablet NPS PA; #; SP; QL
spritam NP ST; QL
tegretol oral suspension PB
tegretol oral tablet PB
tegretol-xr PB
tiagabine hcl PG QL
topamax NP
topamax sprinkle NP QL
topiramate oral capsule sprinkle NC
topiramate oral tablet PG
07/01/2018
35
trileptal NP
trokendi xr NP #; QL
valproate sodium intravenous solution 100 mg/ml NP
valproate sodium oral solution PG
valproic acid oral capsule PG
vigabatrin PSP PA; SP; QL
vimpat intravenous NP
vimpat oral NP #; QL
zarontin NP
zonegran NP
zonisamide oral PG
*ANTIDEMENTIA AGENT
COMBINATIONS***
namzaric oral capsule er 24 hour therapy pack PB PA; AL
namzaric oral capsule extended release 24 hour
PB PA; QL; AL
14-10 mg, 28-10 mg
namzaric oral capsule extended release 24 hour
PB PA
21-10 mg, 7-10 mg
*ANTIDEPRESSANTS*
amitriptyline hcl oral tablet 10 mg, 100 mg, 25
LGC LGC
mg, 50 mg, 75 mg
amitriptyline hcl oral tablet 150 mg PG
amoxapine PG
anafranil NP
aplenzin NC
bupropion hcl er (sr) PG QL
bupropion hcl er (xl) PG QL
bupropion hcl oral PG QL
celexa oral tablet NP QL
citalopram hydrobromide oral solution PG
citalopram hydrobromide oral tablet LGC LGC; QL
clomipramine hcl oral PG
cymbalta NP QL
desipramine hcl oral PG
desvenlafaxine er PG QL
desvenlafaxine succinate er NP PA; ST; QL
07/01/2018
36
doxepin hcl oral PG
duloxetine hcl oral PG QL
effexor xr NP QL
emsam NP #; QL
escitalopram oxalate PG QL
fetzima NP PA; ST; QL
fetzima titration NP PA; ST; QL
fluoxetine hcl oral capsule LGC LGC
fluoxetine hcl oral capsule delayed release PG QL
fluoxetine hcl oral solution PG
fluoxetine hcl oral tablet 10 mg PG
fluoxetine hcl oral tablet 20 mg PG QL
fluoxetine hcl oral tablet 60 mg NP QL
fluvoxamine maleate PG QL
fluvoxamine maleate er PG QL
forfivo xl NC #
imipramine hcl oral PG
imipramine pamoate NP
khedezla NP PA; ST; QL
lexapro oral tablet NP QL
maprotiline hcl PG QL
marplan NP
mirtazapine oral PG QL
nardil NP
nefazodone hcl NP
norpramin oral tablet 10 mg, 25 mg NP
nortriptyline hcl oral capsule 10 mg, 25 mg LGC LGC
nortriptyline hcl oral capsule 50 mg, 75 mg PG
nortriptyline hcl oral solution PG
pamelor oral capsule NP
parnate NP
paroxetine hcl er PG QL
paroxetine hcl oral tablet LGC LGC; QL
paxil NP QL
paxil cr NP QL
07/01/2018
37
pexeva NC
phenelzine sulfate oral PG
pristiq NP PA; ST; QL
protriptyline hcl PG
prozac oral capsule NP QL
remeron NP QL
remeron soltab NP QL
sertraline hcl oral concentrate PG
sertraline hcl oral tablet LGC LGC; QL
surmontil NP
tofranil NP
tranylcypromine sulfate PG
trazodone hcl oral tablet 100 mg, 150 mg, 50 mg LGC LGC
trazodone hcl oral tablet 300 mg PG
trimipramine maleate oral NP
trintellix NP PA; ST; QL
venlafaxine hcl PG QL
venlafaxine hcl er oral capsule extended release
PG QL
24 hour
venlafaxine hcl er oral tablet extended release 24
NC
hour 150 mg, 37.5 mg, 75 mg
venlafaxine hcl er oral tablet extended release 24
NP QL
hour 225 mg
viibryd oral tablet NP QL
viibryd starter pack NP
wellbutrin sr NP QL
wellbutrin xl NC
zoloft oral concentrate NP
zoloft oral tablet NP QL
*ANTIDIABETICS*
acarbose PG
actoplus met NP QL
actoplus met xr NP QL
actos NP QL
adlyxin NC
07/01/2018
38
adlyxin starter pack NC
admelog NC
admelog solostar NC
afrezza inhalation powder 12 unit, 4 & 8 & 12
NP PA
unit, 4 (90) & 8 (90) unit, 4 unit, 8 unit
alogliptin benzoate PG QL
alogliptin-metformin hcl PG QL
alogliptin-pioglitazone PG QL
amaryl NP
apidra NC
apidra solostar subcutaneous solution pen-
NC
injector
avandia oral tablet 2 mg, 4 mg NP QL
basaglar kwikpen PB
bydureon bcise NC
bydureon subcutaneous pen-injector NC
bydureon subcutaneous suspension
NC
reconstituted er
byetta 10 mcg pen subcutaneous solution pen-
NC #
injector
byetta 5 mcg pen subcutaneous solution pen-
NC #
injector
chlorpropamide PG
cycloset NP QL
duetact NP QL
farxiga NP QL
fiasp NC
fiasp flextouch NC
fortamet NC
glimepiride LGC LGC
glipizide er oral tablet extended release 24 hour
LGC LGC
10 mg, 5 mg
glipizide oral LGC LGC
glipizide xl oral tablet extended release 24 hour
PG
2.5 mg
glipizide-metformin hcl PG
07/01/2018
39
glucagen hypokit NP QL
glucagon emergency PB
glucophage oral tablet 1000 mg NC
glucophage oral tablet 500 mg, 850 mg NP
glucophage xr oral tablet extended release 24
NP
hour 500 mg
glucophage xr oral tablet extended release 24
NC
hour 750 mg
glucotrol NP
glucotrol xl NP
glucovance oral tablet 2.5-500 mg, 5-500 mg NP
glumetza NC
glyburide micronized oral tablet 1.5 mg PG
glyburide micronized oral tablet 3 mg, 6 mg LGC LGC
glyburide oral tablet 1.25 mg PG
glyburide oral tablet 2.5 mg, 5 mg LGC LGC
glyburide-metformin PG
glynase NP
glyset NP
humalog PB
humalog kwikpen subcutaneous solution pen-
PB
injector 100 unit/ml, 200 unit/ml
humalog mix 50/50 PB
humalog mix 50/50 kwikpen subcutaneous
PB
suspension pen-injector
humalog mix 75/25 PB
humalog mix 75/25 kwikpen subcutaneous
PB
humulin 70/30 PB QL
humulin 70/30 kwikpen subcutaneous
PB
humulin n PB QL
humulin n kwikpen subcutaneous suspension
PB
pen-injector
humulin r PB
humulin r u-500 (concentrated) PB
07/01/2018
40
humulin r u-500 kwikpen subcutaneous
PB
solution pen-injector
invokana PB QL
janumet PB QL
janumet xr PB QL
januvia PB QL
jardiance PB QL
jentadueto PB QL
jentadueto xr PB QL
kazano NC
kombiglyze xr NC
korlym NPS PA; SP; QL
lantus NC
lantus solostar subcutaneous solution pen-
NC
injector
levemir PB
levemir flextouch PB
metformin hcl er (mod) NC
metformin hcl er (osm) oral tablet extended
NC
release 24 hour 1000 mg, 500 mg
metformin hcl er oral tablet extended release 24
LGC LGC
hour 500 mg
metformin hcl er oral tablet extended release 24
PG
hour 750 mg
metformin hcl oral LGC LGC
miglitol PG
nateglinide NP
nesina NC
novolin 70/30 NC
novolin 70/30 relion NC
novolin n NC
novolin n relion NC
novolin r NC
novolin r relion NC
novolog NC
07/01/2018
41
novolog flexpen subcutaneous solution pen-
NC
injector
novolog mix 70/30 NC
novolog mix 70/30 flexpen subcutaneous
NC
novolog penfill subcutaneous solution
NC
cartridge
onglyza NC
oseni NC
ozempic NC
pioglitazone hcl PG QL
pioglitazone hcl-glimepiride PG QL
pioglitazone hcl-metformin hcl PG QL
prandin oral tablet 1 mg, 2 mg NP
precose NP
proglycem NP
repaglinide NP
repaglinide-metformin hcl NP QL
riomet NP
starlix NP
steglatro NC
symlinpen 120 subcutaneous solution pen-
NP PA; #
injector
symlinpen 60 subcutaneous solution pen-
NP PA; #
injector
tanzeum NC
tolazamide PG
tolbutamide NP
toujeo max solostar NC
toujeo solostar NC
tradjenta PB QL
tresiba flextouch PB
trulicity PB PA; ST; QL
victoza subcutaneous solution pen-injector PB PA; ST; QL
07/01/2018
42
*ANTIDIARRHEAL/PROBIOTIC
AGENTS*
vsl#3 ds NP
*ANTIDIARRHEALS*
diphenoxylate-atropine PG
lomotil oral tablet NP
motofen NP
mytesi NP PA; ST; QL
opium NP
vsl#3 ds NP
*ANTIDOTES AND SPECIFIC
ANTAGONISTS*
deferoxamine mesylate PSP SP
desferal injection solution reconstituted 500 mg NP SP
vistogard PSP SP; QL
*ANTIDOTES*
chemet NP
deferoxamine mesylate PSP SP
desferal injection solution reconstituted 500 mg NP SP
evzio NC
exjade NPS PA; #; SP
ferriprox oral solution NPS PA
ferriprox oral tablet NPS PA; SP
jadenu NPS PA; #; SP
jadenu sprinkle NPS PA; SP
naloxone hcl injection solution 0.4 mg/ml NP
naltrexone hcl oral PG
narcan PB #; QL
vistogard PSP SP; QL
vivitrol NP
*ANTIEMETICS*
akynzeo oral NP PA; ST; QL
aloxi intravenous solution 0.25 mg/5ml NPS #; SP
anzemet oral NP QL
aprepitant PG QL
07/01/2018
43
bonjesta NP PA; ST; QL
cesamet NP QL
diclegis NP PA; QL
dronabinol NP PA; QL
emend oral capsule 125 mg, 40 mg, 80 mg NP QL
emend oral suspension reconstituted PB
granisetron hcl intravenous NPS
granisetron hcl oral NP
marinol NP PA; QL
meclizine hcl oral tablet NP
ondansetron PG
ondansetron hcl injection solution 4 mg/2ml PG
ondansetron hcl oral PG
palonosetron hcl intravenous solution 0.25
PSP SP
mg/5ml
sancuso NP QL
scopolamine PG
syndros NP PA; QL
tigan NP
transderm-scop (1.5 mg) NP
trimethobenzamide hcl oral PG
varubi oral NP QL
zofran odt NP
zofran oral NP
zuplenz NC
*ANTIFUNGALS*
ambisome NP
ancobon NP
cresemba oral NP
diflucan NP
fluconazole in sodium chloride intravenous
NP
solution 400-0.9 mg/200ml-%
fluconazole oral PG
flucytosine oral NP
griseofulvin microsize oral PG
07/01/2018
44
griseofulvin ultramicrosize PG
itraconazole oral PG QL
ketoconazole oral PG QL
lamisil oral tablet NP
noxafil intravenous NP
noxafil oral suspension NP
noxafil oral tablet delayed release NP QL
nystatin oral tablet PG
onmel NC
sporanox oral capsule NP QL
sporanox oral solution NP
sporanox pulsepak NP QL
terbinafine hcl oral PG
vfend NP
voriconazole intravenous NP
voriconazole oral tablet PG
*ANTIHEMOPHILIC PRODUCTS -
MONOCLONAL ANTIBODIES***
hemlibra NPS PA; SP
*ANTIHISTAMINES*
alavert oral tablet dispersible PG Select OTC
allegra allergy PG Select OTC
allegra allergy childrens oral suspension PG Select OTC
allegra allergy childrens oral tablet dispersible PG Select OTC
allergy relief oral tablet dispersible PG Select OTC
carbinoxamine maleate oral solution NP
carbinoxamine maleate oral tablet NP
cetirizine hcl oral tablet PG Select OTC
cetirizine hcl oral tablet chewable PG Select OTC
childrens loratadine PG Select OTC
clarinex oral syrup NP
clarinex oral tablet NP QL
claritin PG Select OTC
claritin reditabs PG Select OTC
cyproheptadine hcl oral PG
07/01/2018
45
desloratadine NP QL
diphenhydramine hcl injection NP
fexofenadine hcl childrens PG Select OTC
fexofenadine hcl oral tablet 180 mg, 60 mg PG Select OTC
karbinal er oral suspension extended release NP
levocetirizine dihydrochloride oral NC
loratadine childrens PG Select OTC
loratadine oral capsule PG Select OTC
loratadine oral solution PG Select OTC
loratadine oral tablet PG LGC; Select OTC
phenadoz rectal suppository 12.5 mg PG
promethazine hcl injection PG
promethazine hcl oral PG AL
promethazine hcl rectal PG AL
promethegan PG
ryvent NC
triaminic allerchews PG Select OTC
xyzal allergy 24hr PG Select OTC
xyzal allergy 24hr childrens PG Select OTC
xyzal oral solution NC
zyrtec allergy oral capsule PG Select OTC
zyrtec allergy oral tablet PG Select OTC
*ANTIHYPERLIPIDEMICS*
altoprev NP #; QL
antara oral capsule 30 mg, 90 mg NP #; QL
atorvastatin calcium oral tablet 10 mg CE QL
atorvastatin calcium oral tablet 20 mg, 40 mg,
PG QL
80 mg
cholestyramine light oral powder PG
colesevelam hcl PG
colestid NP
colestid flavored oral granules NP
colestid flavored oral packet NC
colestipol hcl oral granules PG
crestor NP ST; QL
07/01/2018
46
ezetimibe PG QL
ezetimibe-simvastatin PG QL
fenofibrate micronized oral capsule 130 mg, 43
NP QL
mg
fenofibrate micronized oral capsule 134 mg, 200
PG QL
mg, 67 mg
fenofibrate oral capsule NP QL
fenofibrate oral tablet 120 mg, 40 mg NC
fenofibrate oral tablet 145 mg, 160 mg, 48 mg,
PG QL
54 mg
fenofibric acid oral capsule delayed release PG
fenofibric acid oral tablet PG QL
fenoglide NC
fibricor NP QL
flolipid NC
fluvastatin sodium PG QL
fluvastatin sodium er NP
gemfibrozil oral LGC LGC
juxtapid NPS PA; ST; SP; QL
kynamro subcutaneous solution prefilled
NPS PA; ST; SP; QL
syringe
lescol oral capsule 20 mg NP QL
lescol xl NP QL
lipitor NP QL
lipofen NP QL
livalo NP ST; QL
lovastatin LGC LGC; QL
lovaza NP QL
mevacor oral tablet 40 mg NP QL
niacin er (antihyperlipidemic) PG
niacor NP
niaspan NP
omega-3-acid ethyl esters PG QL
pravachol oral tablet 20 mg, 40 mg, 80 mg NP QL
pravastatin sodium PG QL
prevalite oral packet PG
07/01/2018
47
questran light oral powder NP
rosuvastatin calcium PG QL
simvastatin oral tablet 10 mg, 5 mg CE LGC; QL
simvastatin oral tablet 20 mg, 40 mg, 80 mg LGC LGC; QL
tricor NP QL
triglide oral tablet 160 mg NP QL
trilipix NP QL
vascepa PB QL
vytorin NP ST; QL
welchol NP #
zetia NP ST; QL
zocor NP QL
zypitamag NC
*ANTIHYPERTENSIVES*
accupril oral tablet 10 mg, 20 mg, 5 mg NP
accupril oral tablet 40 mg NC
accuretic NP
altace oral capsule NP
amlodipine besy-benazepril hcl PG
amlodipine besylate-valsartan PG QL
amlodipine-olmesartan NP QL
amlodipine-valsartan-hctz PG QL
atacand NP QL
atacand hct NP QL
atenolol-chlorthalidone PG
avalide oral tablet 150-12.5 mg, 300-12.5 mg NP QL
avapro NP QL
azor NP ST; QL
benazepril hcl oral LGC LGC
benazepril-hydrochlorothiazide PG
benicar NP ST; QL
benicar hct NP ST; QL
bisoprolol-hydrochlorothiazide LGC LGC
candesartan cilexetil oral tablet 16 mg, 4 mg, 8
PG QL
mg
07/01/2018
48
candesartan cilexetil-hctz PG QL
captopril oral PG
captopril-hydrochlorothiazide PG
cardura NP
catapres NP
catapres-tts-1 NP
catapres-tts-2 NP
catapres-tts-3 NP
clonidine hcl oral LGC LGC
clonidine hcl transdermal NP
corzide NP
cozaar oral tablet 100 mg NP
cozaar oral tablet 25 mg, 50 mg NP QL
demser NPS ST; SP
dibenzyline NPS ST; QL
diovan NP QL
diovan hct NP QL
doxazosin mesylate oral PG
dutoprol NC
edarbi NP ST; QL
edarbyclor NP ST; QL
enalapril maleate oral LGC LGC
enalapril-hydrochlorothiazide LGC LGC
epaned oral solution NP PA; #; QL
eplerenone NP
eprosartan mesylate NP QL
exforge NP QL
exforge hct NP
fosinopril sodium PG
fosinopril sodium-hctz PG
guanfacine hcl oral PG
hydralazine hcl oral tablet 10 mg, 100 mg, 50 mg PG
hydralazine hcl oral tablet 25 mg LGC LGC
hyzaar NP
inspra NP
07/01/2018
49
irbesartan PG QL
irbesartan-hydrochlorothiazide PG QL
lisinopril oral tablet 10 mg, 2.5 mg, 20 mg, 5 mg LGC LGC
lisinopril oral tablet 30 mg, 40 mg PG
lisinopril-hydrochlorothiazide LGC LGC
lopressor hct oral tablet 50-25 mg NP
losartan potassium oral tablet 100 mg LGC LGC
losartan potassium oral tablet 25 mg, 50 mg LGC LGC; QL
losartan potassium-hctz LGC LGC
lotensin hct oral tablet 10-12.5 mg, 20-12.5 mg,
NP
20-25 mg
lotensin oral tablet 10 mg, 20 mg, 40 mg NP
lotrel oral capsule 10-20 mg, 10-40 mg, 5-10
NP
mg, 5-20 mg
methyldopa oral PG
methyldopa-hydrochlorothiazide PG
methyldopate hcl NP
metoprolol-hctz er NC
metoprolol-hydrochlorothiazide PG
micardis NP QL
micardis hct NP QL
minipress NP
minoxidil oral PG
moexipril hcl PG
moexipril-hydrochlorothiazide PG
nadolol-bendroflumethiazide NP
olmesartan medoxomil oral PG QL
olmesartan medoxomil-hctz PG QL
olmesartan-amlodipine-hctz NP QL
perindopril erbumine NP
phenoxybenzamine hcl oral PSP QL
prazosin hcl oral PG
prestalia NP #
prinivil NP
propranolol-hctz PG
07/01/2018
50
qbrelis NP PA
quinapril hcl oral tablet 10 mg, 20 mg, 5 mg PG
quinapril-hydrochlorothiazide PG
ramipril PG
tarka oral tablet extended release 2-180 mg, 2-
NP
240 mg, 4-240 mg
tekturna NP ST; #; QL
tekturna hct NP ST; QL
telmisartan PG QL
telmisartan-amlodipine NP ST; QL
telmisartan-hctz PG QL
terazosin hcl oral LGC LGC
trandolapril PG
trandolapril-verapamil hcl er PG
tribenzor NP ST; QL
twynsta NP ST; QL
valsartan PG QL
valsartan-hydrochlorothiazide PG QL
vaseretic NP
vasotec NC
vecamyl NPS PA; ST; SP; QL
zestril oral tablet 10 mg, 20 mg, 5 mg NP
ziac NP
*ANTI-INFECTIVE AGENTS - MISC.*
alinia NP #; QL
atovaquone oral PG
bactrim NP
bactrim ds NP
cleocin in d5w NC
cleocin oral capsule 150 mg, 300 mg NP
cleocin oral capsule 75 mg NC
cleocin oral solution reconstituted NP
cleocin phosphate injection NPS
cleocin phosphate intravenous solution 600
NC
mg/4ml, 900 mg/6ml
07/01/2018
51
clindamycin hcl oral PG
clindamycin palmitate hcl PG
clindamycin phosphate injection PSP
clindamycin phosphate intravenous solution 150
PSP
mg/ml, 900 mg/6ml
coly-mycin m NP SP
dapsone oral PG
firvanq oral solution reconstituted 25 mg/ml NP
flagyl NP
impavido NP PA; QL
linezolid oral PG QL
mepron NP
metronidazole in nacl intravenous solution 500-
NP
0.79 mg/100ml-%
metronidazole oral capsule PG
metronidazole oral tablet 250 mg PG
nebupent PB
primsol NP
sivextro oral NP QL
sulfamethoxazole-trimethoprim intravenous NP
sulfamethoxazole-trimethoprim oral suspension
LGC LGC
200-40 mg/5ml
sulfamethoxazole-trimethoprim oral tablet LGC LGC
tindamax oral tablet 500 mg NP
tinidazole oral NP
trimethoprim oral PG
trimpex NP
vancomycin hcl oral NP
xifaxan oral tablet 200 mg NP QL
xifaxan oral tablet 550 mg PB PA; QL
zyvox oral suspension reconstituted PB QL
zyvox oral tablet NP QL
*ANTIMALARIALS*
atovaquone-proguanil hcl NP
chloroquine phosphate oral PG
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52
coartem NP
daraprim PB
hydroxychloroquine sulfate oral PG
malarone NP
mefloquine hcl NP
plaquenil NP
primaquine phosphate oral PG
qualaquin NP
quinine sulfate oral NP
*ANTIMYASTHENIC AGENTS*
guanidine hcl oral PG
mestinon NP
pyridostigmine bromide er PG
pyridostigmine bromide oral PG
regonol intravenous NP
*ANTIMYASTHENIC/CHOLINERGIC
AGENTS*
guanidine hcl oral PG
mestinon NP
pyridostigmine bromide er PG
pyridostigmine bromide oral PG
regonol intravenous NP
*ANTIMYCOBACTERIAL AGENTS*
capastat sulfate NPS
cycloserine oral NP
ethambutol hcl oral PG
isoniazid injection NP
isoniazid oral PG
myambutol NP
mycobutin NP
paser NP
priftin NP
pyrazinamide oral PG
rifabutin PG
rifadin oral NP
07/01/2018
53
rifamate NP
rifampin oral PG
rifater NP
sirturo NPS PA; SP; QL
trecator NP
*ANTINEOPLASTIC - BCL-2
INHIBITORS***
venclexta NPS PA; SP; QL
venclexta starting pack NPS PA; SP; QL
*ANTINEOPLASTICS AND ADJUNCTIVE
THERAPIES*
actimmune NPS PA; SP
adrucil intravenous solution 5 gm/100ml NP
afinitor NPS PA; SP; QL
afinitor disperz NPS PA; SP; QL
alecensa NPS PA; SP; QL
alferon n NPS SP
alkeran intravenous NP
alkeran oral NP ST
alunbrig NPS PA; SP; QL
anastrozole oral PG
arimidex NP
aromasin NP
arzerra NPS PA
bexarotene PSP PA; SP
bicalutamide PG QL
bosulif NPS PA; ST; SP; QL
busulfex NPS
cabometyx PSP PA; SP; QL
calquence NPS PA; SP; QL
camptosar intravenous solution 100 mg/5ml,
NP
40 mg/2ml
camptosar intravenous solution 300 mg/15ml NC
capecitabine PG PA; SP
caprelsa NPS PA; SP; QL
07/01/2018
54
casodex NP QL
cometriq (100 mg daily dose) NPS PA; SP; QL
cometriq (140 mg daily dose) PSP PA; SP; QL
cometriq (60 mg daily dose) NPS PA; SP; QL
cotellic NPS PA; SP; QL
cyclophosphamide injection NP
cyclophosphamide oral capsule PG
depo-provera intramuscular suspension 400
NP
mg/ml
eligard NPS PA; SP
emcyt PB
erivedge NPS PA; SP; QL
erleada NPS PA; SP; QL
ethyol NPS
etoposide intravenous solution 1 gm/50ml, 100
NPS
mg/5ml, 500 mg/25ml
etoposide oral PG
exemestane PG
fareston PB
farydak NPS PA; SP; QL
faslodex intramuscular solution 250 mg/5ml NPS PA; #; SP
femara NP
firmagon NPS PA; SP
fluorouracil intravenous solution 5 gm/100ml NP
flutamide PG
gilotrif NPS PA; SP; QL
gleevec NC SP
gleostine NP PA
hexalen PSP
hycamtin oral NPS PA; SP
hydrea NP
hydroxyurea oral PG
iclusig NPS PA; SP; QL
imatinib mesylate PG PA; SP; QL
imbruvica oral capsule 70 mg NPS PA; SP; QL
07/01/2018
55
imbruvica oral tablet NPS PA; SP; QL
inlyta NPS PA; SP; QL
intron a NP PA; SP
iressa NPS PA; QL
irinotecan hcl PSP
jakafi NPS PA; SP; QL
jevtana NPS PA
kepivance NPS PA
kisqali femara 200 dose NPS PA; SP; QL
lenvima 10 mg daily dose NPS PA; ST; SP; QL
lenvima 18 mg daily dose NPS PA; SP; QL
lenvima 8 mg daily dose NPS PA; SP; QL
letrozole oral PG
leucovorin calcium injection solution
NP
reconstituted 350 mg, 500 mg
leucovorin calcium oral PG
leukeran PSP
leuprolide acetate injection PG PA; SP
lonsurf NPS PA; ST; QL
lupron depot (1-month) NPS PA; #; SP
lysodren PB
matulane PSP
megestrol acetate oral suspension 40 mg/ml, 400
PG
mg/10ml
megestrol acetate oral tablet PG
mekinist NPS PA; SP; QL
melphalan PG
07/01/2018
56
melphalan hcl PSP
mercaptopurine oral PG
mesnex oral PB
methotrexate oral PG
methotrexate sodium (pf) injection solution 1
PG
gm/40ml, 250 mg/10ml, 50 mg/2ml
mitoxantrone hcl NP
myleran NP
nerlynx NPS PA; SP; QL
nexavar NPS PA; ST; SP; QL
nilandron PB
nilutamide PG
ninlaro NPS PA; ST; QL
odomzo NPS PA; QL
pomalyst NPS PA; ST; SP; QL
purixan NPS PA; ST; SP; QL
rituxan intravenous solution NPS PA; ST
rydapt NPS PA; SP; QL
soltamox NP #
sprycel NPS PA; ST; SP; QL
stivarga NPS PA; ST; SP; QL
sutent PB PA; ST; SP; QL
sylatron subcutaneous kit 200 mcg, 300 mcg,
NPS PA; SP
600 mcg
synribo NPS PA; ST
tabloid PB
tafinlar NPS PA; SP; QL
tagrisso NPS PA; SP; QL
tamoxifen citrate oral CE
tarceva NP PA; #; SP; QL
targretin oral NPS SP
tasigna NPS PA; ST; SP; QL
temodar oral NP PA; ST; SP
temozolomide PG PA; SP
07/01/2018
57
toposar intravenous solution 1 gm/50ml, 100
NPS
mg/5ml, 500 mg/25ml
torisel NPS #
trelstar mixject NPS PA; #; SP
tretinoin oral PG SP; AL
trexall NP
tykerb NPS PA; ST; SP
vantas NPS PA; SP
voraxaze NPS
votrient NPS PA; SP; QL
xalkori NPS PA; SP; QL
xatmep NP PA
xeloda NPS PA; ST; SP
xtandi NPS PA; ST; SP; QL
yervoy NPS PA
yonsa NPS PA; ST; SP; QL
zaltrap NPS PA
zanosar NPS
zelboraf NPS PA; ST; SP; QL
zoladex NPS PA; SP
zolinza NPS PA; ST; SP; QL
zykadia NPS PA; ST; SP; QL
zytiga PB PA; #; SP; QL
*ANTIPARKINSON AGENTS*
amantadine hcl oral PG
azilect NP QL
benztropine mesylate injection NPS
benztropine mesylate oral LGC LGC
bromocriptine mesylate oral PG
carbidopa oral NP
carbidopa-levodopa er oral tablet extended
PG
release 25-100 mg, 50-200 mg
carbidopa-levodopa oral tablet PG
carbidopa-levodopa oral tablet dispersible 10-
PG
100 mg
07/01/2018
58
carbidopa-levodopa oral tablet dispersible 25-
NP
250 mg
comtan NP
duopa enteral NPS PA; ST
eldepryl NP
entacapone PG
gocovri NC
lodosyn NP
mirapex NP
mirapex er NP QL
neupro NP #; QL
osmolex er NC
pramipexole dihydrochloride PG
pramipexole dihydrochloride er NP QL
rasagiline mesylate oral PG QL
requip NP
requip xl NP QL
ropinirole hcl PG
ropinirole hcl er NP QL
rytary NP #
selegiline hcl oral PG
sinemet NP
sinemet cr NP
stalevo 100 NP
stalevo 125 NP
stalevo 150 NP
stalevo 200 NP
stalevo 50 NP
stalevo 75 NP
tasmar oral tablet 100 mg NP
tolcapone NP
trihexyphenidyl hcl oral elixir PG
trihexyphenidyl hcl oral tablet 2 mg LGC LGC
trihexyphenidyl hcl oral tablet 5 mg PG
xadago NP PA; ST; QL
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zelapar NC
*ANTIPSYCHOTICS/ANTIMANIC
AGENTS*
abilify oral tablet NP PA; ST; QL
aripiprazole PG QL
chlorpromazine hcl injection solution 25 mg/ml NP
chlorpromazine hcl oral PG
clozapine PG QL
clozaril NP PA; ST; QL
compro PG
equetro NP
fanapt NP ST; QL
fanapt titration pack NP ST
fazaclo NP PA; ST; QL
fluphenazine decanoate injection NP
fluphenazine hcl injection NP
fluphenazine hcl oral PG
geodon oral NP PA; ST; QL
haldol NP
haldol decanoate intramuscular solution 100
NP
mg/ml
haldol decanoate intramuscular solution 50
NC
mg/ml
haloperidol lactate oral PG
haloperidol oral PG
invega NP PA; ST; QL
latuda oral tablet 120 mg, 20 mg, 40 mg, 80 mg PB ST; #; QL
latuda oral tablet 60 mg PB ST; #
lithium PG
lithium carbonate er PG
lithium carbonate oral PG
lithobid NP
loxapine succinate oral PG
nuplazid NPS PA; SP; QL
olanzapine oral PG QL
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60
paliperidone er NP QL
perphenazine oral PG
prochlorperazine PG
prochlorperazine maleate oral PG
quetiapine fumarate PG QL
quetiapine fumarate er NP QL
rexulti NP PA; ST; QL
risperdal m-tab oral tablet dispersible 0.5 mg NP PA; ST; QL
risperdal oral solution NP PA; ST
risperdal oral tablet NP PA; ST; QL
risperidone m-tab oral tablet dispersible 0.5
PG QL
mg, 1 mg, 2 mg
risperidone oral solution PG
risperidone oral tablet PG QL
risperidone oral tablet dispersible 0.25 mg PG
risperidone oral tablet dispersible 0.5 mg, 1 mg,
PG QL
2 mg, 3 mg, 4 mg
saphris NP PA; ST; QL
seroquel NP PA; ST; QL
seroquel xr NP PA; ST; QL
thioridazine hcl oral PG
thiothixene oral PG
trifluoperazine hcl oral PG
versacloz NP PA; ST
vraylar oral capsule NP PA; ST; QL
vraylar oral capsule therapy pack NP PA; ST
ziprasidone hcl PG QL
zyprexa oral NP PA; ST; QL
zyprexa zydis NP PA; ST; QL
*ANTIRETROVIRALS ADJUVANTS***
tybost NP QL
*ANTISEPTICS & DISINFECTANTS*
formadon NP
formaldehyde external solution 10 % NP
iodosorb NP
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kerr triple dye swabs NP
*ANTIVIRALS*
abacavir sulfate PG
abacavir sulfate-lamivudine PG
abacavir-lamivudine-zidovudine PG
acyclovir oral capsule LGC LGC
acyclovir oral suspension PG
acyclovir oral tablet 400 mg LGC LGC
acyclovir oral tablet 800 mg PG
adefovir dipivoxil PG SP; QL
aptivus PB
atazanavir sulfate PG QL
atripla NP QL
baraclude oral solution NPS SP
baraclude oral tablet NPS SP; QL
biktarvy NP PA
cidofovir intravenous PSP SP
cimduo NP QL
combivir NC
complera NP QL
crixivan oral capsule 200 mg, 400 mg PB
cytovene NP SP
daklinza NPS PA; ST; SP; QL
descovy NP QL
didanosine oral capsule delayed release 200 mg,
PG
250 mg, 400 mg
edurant PB QL
efavirenz PG
emtriva oral capsule PB QL
emtriva oral solution PB
entecavir PG SP; QL
epivir PB
epivir hbv oral solution NP #
epivir hbv oral tablet NP
epzicom NP
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62
evotaz NP
famciclovir oral PG QL
flumadine NP
fosamprenavir calcium PG
fuzeon subcutaneous solution reconstituted NPS PA; #; SP
ganciclovir sodium intravenous solution
PSP SP
reconstituted
genvoya NPS PA; QL
hepsera NP SP; QL
intelence PB QL
invirase NP
isentress hd NP QL
isentress oral packet NP
isentress oral tablet NP QL
isentress oral tablet chewable NP QL
juluca NP ST; QL
kaletra oral solution NP
kaletra oral tablet PB #
lamivudine PG
lamivudine-zidovudine PG
lexiva oral suspension PB #
lexiva oral tablet NP #
lopinavir-ritonavir PG
moderiba 1200 dose pack NP SP
moderiba 800 dose pack NP SP
moderiba oral tablet 200 mg PG SP
nevirapine er PG QL
nevirapine oral tablet PG
norvir oral capsule PB #
norvir oral packet PB
norvir oral solution PB #
norvir oral tablet NP #
odefsey NP QL
oseltamivir phosphate PG QL
pegasys proclick PB PA; SP
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pegasys subcutaneous solution PB PA; SP
prevymis oral NPS PA; SP; QL
prezcobix PB
prezista oral suspension PB QL
prezista oral tablet 150 mg, 600 mg, 75 mg, 800
PB QL
mg
rebetol oral capsule NPS SP
rebetol oral solution NP SP; QL
relenza diskhaler NP QL
rescriptor NP
retrovir intravenous NP
retrovir oral capsule PB
retrovir oral syrup PB
reyataz oral capsule 150 mg, 200 mg, 300 mg NP QL
reyataz oral packet NP #
ribasphere PG SP
ribasphere ribapak oral tablet 400 mg, 600 mg NP SP
ribavirin oral capsule PG SP
ribavirin oral tablet 200 mg PG SP
rimantadine hcl PG
ritonavir PG
selzentry oral solution PB QL
selzentry oral tablet 150 mg, 25 mg, 75 mg PB QL
selzentry oral tablet 300 mg PB
sitavig NC
sovaldi PSP PA; SP; QL
stavudine oral capsule PG
stribild NPS PA; QL
sustiva NP
symfi NP
symfi lo NP
tamiflu oral capsule NP QL
tamiflu oral suspension reconstituted 6 mg/ml NP QL
tenofovir disoproxil fumarate PG QL
tivicay NP QL
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64
triumeq PB QL
trizivir NP
truvada NP
valacyclovir hcl oral PG
valcyte oral solution reconstituted NPS PA; SP
valcyte oral tablet NPS PA; SP; QL
valganciclovir hcl oral solution reconstituted PSP PA; SP; QL
valganciclovir hcl oral tablet PG PA; SP; QL
valtrex NP ST
vemlidy NPS PA; ST; SP; QL
videx PB
videx ec NP
viracept oral tablet NP
viramune oral suspension NC
viramune oral tablet NP
viramune xr PB QL
viread oral powder NP #
viread oral tablet 150 mg, 200 mg, 250 mg NP #; QL
viread oral tablet 300 mg NP QL
zerit PB
ziagen NP
zidovudine PG
zovirax oral NP
*ASSORTED CLASSES*
astagraf xl oral capsule extended release 24
NPS #; SP; QL
hour 0.5 mg, 1 mg
astagraf xl oral capsule extended release 24
NPS #; SP
hour 5 mg
atgam NPS SP
azasan NP
azathioprine oral PG
benlysta intravenous NPS PA; ST; SP
benlysta subcutaneous NPS PA; ST; SP; QL
cellcept NPS SP
cellcept intravenous NPS
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65
cuprimine oral capsule 250 mg NPS PA; ST; #
cyclosporine intravenous PG SP
cyclosporine modified PG
cyclosporine oral capsule PG
depen titratabs PSP PA
envarsus xr NPS
gengraf oral capsule 100 mg, 25 mg PG
gengraf oral solution PG
hylafem NC
imuran NP
kionex oral powder PG
morcin NC
mycophenolate mofetil PG SP
myfortic NPS SP
neoral NPS SP
nulojix NPS SP
physiolyte NP
prograf NPS SP
rapamune NPS SP
revlimid NPS PA; SP; QL
sandimmune NPS SP
simulect NPS SP
sirolimus oral PG SP
sodium polystyrene sulfonate oral powder PG
sterile water for irrigation NP
syprine NPS PA; #
tacrolimus oral PG SP
thalamus compositum sublingual NC
thalomid PB PA; #; SP
thymoglobulin NPS SP
tis-u-sol PG
traumeel external ointment NC
trientine hcl PSP PA; SP
veltassa NP PA; QL
xiaflex PSP SP
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zortress NPS #; SP
*ATOPIC DERMATITIS - MONOCLONAL
ANTIBODIES***
dupixent NPS PA; SP; QL
*BETA BLOCKER & ANGIOTENSIN II
RECEPTOR ANTAGONIST COMB***
byvalson NP PA; ST; QL
*BETA BLOCKERS*
acebutolol hcl oral PG
atenolol oral LGC LGC
betapace af oral tablet 80 mg NP
betaxolol hcl oral NP
bisoprolol fumarate PG
bystolic NP PA; ST; QL
carvedilol LGC LGC
carvedilol phosphate er NP QL
coreg NP
coreg cr NP QL
corgard NP
hemangeol PB PA
inderal la NC
inderal xl oral capsule extended release 24 hour
NP QL
80 mg
innopran xl NP QL
labetalol hcl intravenous solution NP
labetalol hcl oral PG
lopressor oral NP
metoprolol succinate er PG QL
metoprolol tartrate intravenous solution 5
NP
mg/5ml
metoprolol tartrate oral tablet 100 mg, 25 mg,
LGC LGC
50 mg
metoprolol tartrate oral tablet 37.5 mg, 75 mg PG
nadolol oral tablet 20 mg, 40 mg, 80 mg PG
pindolol PG
propranolol hcl er PG
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propranolol hcl intravenous NP
propranolol hcl oral solution PG
propranolol hcl oral tablet 10 mg, 20 mg, 40 mg,
LGC LGC
80 mg
propranolol hcl oral tablet 60 mg PG
sorine oral tablet 120 mg, 80 mg LGC LGC
sorine oral tablet 160 mg, 240 mg PG
sotalol hcl (af) oral tablet 120 mg LGC LGC
sotalol hcl (af) oral tablet 160 mg PG
sotalol hcl intravenous NP
sotalol hcl oral tablet 120 mg, 80 mg LGC LGC
sotalol hcl oral tablet 240 mg PG
sotylize NP
timolol maleate oral PG
toprol xl NP QL
*BILE ACID SYNTHESIS DISORDER
AGENTS***
cholbam NPS PA
*BIOLOGICALS MISC*
adagen NPS PA; SP
mixed vespid venom protein injection solution
NPS
reconstituted
venomil mixed vespid venom NPS
*BULK CHEMICALS - NY***
nystatin NP
*CALCITONIN GENE-RELATED
PEPTIDE (CGRP) RECEPTOR ANTAG***
aimovig NP PA; ST; QL
aimovig 140 dose NP PA; ST; QL
*CALCIUM CHANNEL BLOCKERS*
adalat cc NP QL
afeditab cr PG QL
amlodipine besylate oral LGC LGC
calan sr NP
cardene iv intravenous solution 20-4.8
NP
mg/200ml-%
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68
cardizem cd oral capsule extended release 24
NC
hour 120 mg, 180 mg, 240 mg, 360 mg
cardizem la oral tablet extended release 24
NP QL
hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg
cardizem la oral tablet extended release 24
NC
hour 420 mg
cartia xt PG QL
diltiazem cd PG QL
diltiazem hcl er beads PG QL
diltiazem hcl er coated beads oral capsule
PG QL
extended release 24 hour
diltiazem hcl er coated beads oral tablet
NP
extended release 24 hour 420 mg
diltiazem hcl er oral capsule extended release 12
PG QL
hour 120 mg
PG
hour 60 mg, 90 mg
PG QL
hour 120 mg, 180 mg, 240 mg
diltiazem hcl intravenous solution 50 mg/10ml NP
diltiazem hcl intravenous solution reconstituted NP
diltiazem hcl oral LGC LGC
dilt-xr PG QL
felodipine er PG QL
isoptin sr oral tablet extended release 240 mg NP
isradipine PG
matzim la oral tablet extended release 24 hour
NP QL
180 mg, 240 mg, 300 mg, 360 mg
matzim la oral tablet extended release 24 hour
NP
420 mg
nicardipine hcl intravenous NP
nicardipine hcl oral PG
nifedical xl oral tablet extended release 24 hour
PG QL
60 mg
nifedipine er PG QL
nifedipine er osmotic release PG QL
nifedipine oral PG
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69
nimodipine oral PG
nisoldipine er PG QL
norvasc NP
nymalize oral solution 60 mg/20ml NP QL
procardia xl NP QL
sular oral tablet extended release 24 hour 17
NP QL
mg, 34 mg, 8.5 mg
taztia xt PG QL
tiazac NP QL
verapamil hcl er oral capsule extended release 24
PG QL
hour 100 mg, 200 mg, 300 mg
verapamil hcl er oral capsule extended release 24
PG
hour 120 mg, 180 mg, 240 mg, 360 mg
verapamil hcl er oral tablet extended release 120
LGC LGC
mg
verapamil hcl er oral tablet extended release 180
PG
mg, 240 mg
verapamil hcl intravenous NP
verapamil hcl oral LGC LGC
verelan NP
*CARDIOTONICS*
digitek PG
digox PG
digoxin oral PG
lanoxin oral tablet 125 mcg NP
lanoxin oral tablet 250 mcg NC
*CARDIOVASCULAR AGENTS - MISC.*
adcirca NPS PA; ST; #; SP; QL
adempas NPS PA; ST; SP; QL
amlodipine-atorvastatin NC
bidil NP
caduet oral tablet 10-10 mg, 10-20 mg, 10-40
mg, 10-80 mg, 5-10 mg, 5-20 mg, 5-40 mg, 5-80 NC
mg
cialis oral tablet 2.5 mg, 5 mg PB PA; N1; #; QL
epoprostenol sodium PG PA; SP
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flolan NPS PA; SP
isoxsuprine hcl oral tablet 10 mg NP
letairis PSP PA; #; SP
opsumit PSP PA; SP; QL
orenitram NPS PA; SP
remodulin NPS PA; #; SP
revatio intravenous NPS PA; SP
revatio oral suspension reconstituted NPS PA; ST; #; SP
revatio oral tablet NPS PA; ST; SP; QL
sildenafil citrate oral tablet 20 mg PG PA; SP; QL
tracleer oral tablet PSP PA; #; SP
tracleer oral tablet soluble PSP PA; SP
tyvaso NPS PA; SP; QL
tyvaso refill NPS PA; SP; QL
tyvaso starter NPS PA; SP; QL
veletri NPS PA; SP
ventavis NPS PA; SP
*CEPHALOSPORINS*
cefaclor PG
cefaclor er PG
cefadroxil oral suspension reconstituted PG
cefadroxil oral tablet PG
cefazolin sodium injection NPS
cefazolin sodium intravenous solution
NPS
reconstituted
cefazolin sodium-dextrose intravenous solution
NP
reconstituted
cefdinir PG
cefditoren pivoxil NP
cefepime hcl NPS
cefepime-dextrose NPS
cefixime NP QL
cefotaxime sodium injection solution
NPS
reconstituted 1 gm, 10 gm, 2 gm, 500 mg
cefotetan disodium NPS
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cefotetan disodium-dextrose NP
cefoxitin sodium NPS
cefoxitin sodium-dextrose NPS
cefpodoxime proxetil PG
cefprozil PG
ceftazidime and dextrose NP
ceftazidime injection solution reconstituted 1 gm,
NPS
2 gm, 6 gm
ceftriaxone sodium in dextrose NP
ceftriaxone sodium injection solution
NPS
reconstituted 1 gm, 2 gm, 250 mg, 500 mg
ceftriaxone sodium intravenous NPS
ceftriaxone sodium-dextrose NP
cefuroxime axetil oral tablet PG
cefuroxime sodium injection solution
NPS
reconstituted 7.5 gm, 750 mg
cefuroxime sodium intravenous solution
NPS
reconstituted 1.5 gm
cephalexin oral capsule 250 mg, 500 mg LGC LGC
cephalexin oral suspension reconstituted PG
cephalexin oral tablet PG
daxbia NC
keflex oral capsule 250 mg, 500 mg NP
keflex oral capsule 750 mg NC
maxipime injection solution reconstituted 1
NPS
gm, 2 gm
maxipime intravenous NC
rocephin injection solution reconstituted 1 gm NPS
spectracef oral tablet 400 mg NP
suprax oral capsule NP #
suprax oral suspension reconstituted NP
suprax oral tablet chewable NP #
tazicef injection NPS
tazicef intravenous solution reconstituted NPS
teflaro NPS
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72
*CHEMICALS*
cholestyramine NP
pentylene glycol NP
quinidine sulfate dihydrate NP
sodium hydroxide pellet NP
testosterone cypionate NP
testosterone powder NP
triacetin NP
zinc acetate powder NP
*CIC AGENTS - GUANYLATE CYCLASE-
C (GC-C) AGONISTS***
trulance PB QL
*CONTRACEPTIVES*
altavera CE
alyacen 1/35 CE
alyacen 7/7/7 CE
amethia CE
amethia lo CE
apri CE
aranelle CE
aviane CE
azurette CE
balcoltra NP
balziva CE
beyaz NP
brevicon (28) NP
briellyn CE
camila CE
camrese CE
camrese lo CE
caziant CE
cesia CE
chateal CE
cryselle-28 CE
cyclafem 1/35 CE
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73
cyclafem 7/7/7 CE
dasetta 1/35 CE
dasetta 7/7/7 CE
daysee CE
deblitane CE
depo-provera intramuscular suspension 150
NP
mg/ml
desogen NP
desogestrel-ethinyl estradiol oral tablet 0.15-30
CE
mg-mcg
drospirenone-ethinyl estradiol oral tablet 3-0.03
CE
mg
elinest CE
ella CE #
emoquette CE
enpresse-28 CE
errin CE
estrostep fe NP
falessa oral kit 20-1-0.1 mcg-mg CE QL
falmina CE
fayosim CE
generess fe NP
gianvi CE
gildess fe 1.5/30 CE
gildess fe 1/20 CE
heather CE QL
introvale CE
jolessa CE
jolivette CE QL
junel 1.5/30 CE
junel 1/20 CE
junel fe 1.5/30 CE
junel fe 1/20 CE
kariva CE
kelnor 1/35 CE
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74
kurvelo CE
kyleena CE
larin fe 1.5/30 CE QL
leena CE
lessina CE
levonest CE
levonorgest-eth estrad 91-day oral tablet 0.1-
CE
0.02 & 0.01 mg, 0.15-0.03 mg
levonorgestrel-ethinyl estrad CE
levora 0.15/30 (28) CE
liletta (52 mg) CE #
lo loestrin fe NP
loestrin 1.5/30 (21) NP
loestrin 1/20 (21) NP
loryna CE
loseasonique NP
low-ogestrel CE
lutera CE
lyza CE QL
marlissa CE
medroxyprogesterone acetate intramuscular
CE
suspension
mibelas 24 fe CE
microgestin 1.5/30 CE
microgestin 1/20 CE
microgestin fe 1.5/30 CE
microgestin fe 1/20 CE
minastrin 24 fe NP
mircette NP
mirena (52 mg) CE #
mono-linyah CE
mononessa CE
myzilra CE QL
natazia NP
necon 0.5/35 (28) CE
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necon 1/35 (28) CE
nexplanon CE QL
next choice one dose CE QL
nikki CE QL
nora-be CE QL
norethin ace-eth estrad-fe CE
norethindrone oral CE
norgestimate-eth estradiol oral tablet 0.25-35
CE
mg-mcg
norgestim-eth estrad triphasic oral tablet
CE
0.18/0.215/0.25 mg-35 mcg
norlyroc CE QL
nortrel 0.5/35 (28) CE
nortrel 1/35 (21) CE
nortrel 1/35 (28) CE
nortrel 7/7/7 CE
nuvaring CE #
ocella CE
ogestrel CE
option 2 CE
orsythia CE
ortho micronor NP
ortho tri-cyclen (28) NP
ortho tri-cyclen lo NP
ortho-cyclen (28) NP
ortho-novum 1/35 (28) NP
ortho-novum 7/7/7 (28) NP
paragard intrauterine copper CE
philith CE
plan b one-step NP
portia-28 CE
previfem CE
quartette CE
quasense CE
rajani CE
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reclipsen CE
rivelsa CE
safyral NP #
seasonique NP
sharobel CE QL
skyla CE QL
solia CE QL
sprintec 28 CE
sronyx CE
syeda CE
take action CE QL
taytulla NP
tilia fe CE
tri-legest fe CE
tri-linyah CE
tri-mili CE
trinessa (28) CE
tri-norinyl (28) NP
tri-previfem CE
tri-sprintec CE
trivora (28) CE
tulana CE
tydemy CE
velivet CE
vestura CE
viorele CE QL
wera CE
wymzya fe CE
xulane CE QL
yasmin 28 NP
yaz NP
zarah CE
zenchent CE
zovia 1/35e (28) CE
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*CORTICOSTEROIDS*
budesonide oral PG
cortef NP
depo-medrol NP
dexamethasone intensol PB
dexamethasone oral elixir PG
dexamethasone oral tablet PG
dexamethasone sod phosphate pf NP
dexamethasone sodium phosphate injection
NP
solution 10 mg/ml, 100 mg/10ml
emflaza NC
entocort ec oral capsule delayed release
NP
particles
fludrocortisone acetate oral PG
hydrocortisone oral PG
medrol oral tablet 16 mg, 2 mg, 32 mg, 8 mg NP
medrol oral tablet 4 mg NC
methylprednisolone oral PG
methylprednisolone sodium succ injection
NP
solution reconstituted 40 mg
millipred oral solution NP
orapred odt NP
prednisolone oral solution PG
prednisolone sodium phosphate oral solution 10
NP
mg/5ml, 20 mg/5ml
prednisolone sodium phosphate oral solution 15
PG
mg/5ml, 25 mg/5ml, 6.7 (5 base) mg/5ml
prednisolone sodium phosphate oral tablet
NP
dispersible
prednisone intensol PB
prednisone oral solution PG
prednisone oral tablet 1 mg, 10 mg, 2.5 mg, 20
LGC LGC
mg, 5 mg
prednisone oral tablet 50 mg PG
prednisone oral tablet therapy pack PG
rayos NP ST
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78
solu-cortef injection solution reconstituted 100
NP
mg, 500 mg
solu-medrol injection solution reconstituted 2
NP
gm, 500 mg
taperdex 12-day NC
taperdex 6-day NC
uceris oral NP ST; #; QL
*COUGH/COLD/ALLERGY*
acetylcysteine inhalation PG
alavert allergy/sinus PG Select OTC
allegra-d allergy & congestion PG Select OTC
benzonatate PG
cetirizine-pseudoephedrine er PG Select OTC
clarinex-d 12 hour NP QL
claritin-d 12 hour PG Select OTC
claritin-d 24 hour PG Select OTC
fexofenadine-pseudoephed er oral tablet
PG Select OTC
extended release 24 hour
guaifenesin ac NC
hydrocod polst-cpm polst er oral suspension
PG QL
extended release
hydromet PG
loratadine-d 12hr PG Select OTC
loratadine-d 24hr PG Select OTC
lortuss ex oral liquid 30-10-100 mg/5ml NP
nebusal inhalation nebulization solution 3 % PG
nebusal inhalation nebulization solution 6 % PB
obredon NP
promethazine vc/codeine PG
promethazine-dm PG
pseudoeph-chlorphen-hydrocod NP
semprex-d NP
sodium chloride inhalation nebulization solution
PG
10 %, 7 %
sski NP
tessalon perles NP
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tusnel c NC
tussicaps NP QL
tussionex pennkinetic er oral suspension
NP QL
extended release
tuzistra xr oral suspension extended release NP
zyrtec-d allergy & congestion PG Select OTC
*CYCLIN-DEPENDENT KINASES (CDK)
INHIBITORS***
ibrance NPS PA; SP; QL
kisqali 200 dose NPS PA; SP; QL
verzenio NPS PA; SP; QL
*CYSTIC FIBROSIS AGENT -
COMBINATIONS***
orkambi NPS PA; QL
symdeko NPS PA; SP; QL
*DERMATOLOGICALS*
abreva PG Select OTC
absorica NC
acanya NC #
acitretin PG QL
acyclovir external NP
aczone NP ST; QL
adapalene external cream NP PA; AL
adapalene external gel 0.1 % NC
adapalene external gel 0.3 % NP PA; AL
adapalene external lotion NP PA; AL
adapalene-benzoyl peroxide PG PA; AL
aktipak NP
ala scalp NP
ala-quin NC
alclometasone dipropionate PG
alcortin a NC
aldara NP QL
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aloquin NC
altabax NP
amcinonide NP
ameluz NP
ammonium lactate external NP
amnesteem NP PA; QL
apexicon e NP
astero NC
atralin NC
avage NP
avar cleanser NC
avar ls cleanser NC
avar-e emollient NC
avar-e green NC
avar-e ls NC
avita external cream PG PA; QL; AL
avita external gel PG PA; AL
avo cream NP
azelex NP
bactroban external cream NP QL
bensal hp NC
benzaclin NC
benzaclin with pump NC
benzoyl peroxide-erythromycin PG
betamethasone dipropionate aug external cream PG
betamethasone dipropionate aug external gel PG QL
betamethasone dipropionate aug external lotion PG QL
betamethasone dipropionate aug external
PG QL
ointment
betamethasone dipropionate external PG
betamethasone valerate external NP
biafine NP
bionect external cream NP
bionect external gel NP
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botox cosmetic intramuscular solution
NP
reconstituted 100 unit
botox cosmetic intramuscular solution
NPS PA
reconstituted 50 unit
bp 10-1 NC
bp cleansing wash PG
calcipotriene external cream NP ST
calcipotriene external ointment NP ST
calcipotriene external solution NP
calcipotriene-betameth diprop NC
calcitrene NP ST
calcitriol external NP
cantharidin NP
capex NC
carac NC
cem-urea NC
centany NP QL
centany at NP
ciclodan cream NC
ciclodan external solution PG PA
ciclodan solution NC
ciclopirox external gel NP
ciclopirox external shampoo NP
ciclopirox external solution PG PA
ciclopirox olamine external cream PG
ciclopirox olamine external suspension NP
ciclopirox treatment NC
claravis NP PA; QL
cleocin-t NP
clindacin etz external kit NC
clindacin pac NC
clindagel NP
clindamycin phos-benzoyl perox NC
clindamycin phosphate external foam NP
clindamycin phosphate external gel NP
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clindamycin phosphate external lotion NP
clindamycin phosphate external solution NP
clindamycin phosphate external swab PG
clindamycin-tretinoin NP PA; AL
clobetasol propionate e NP QL
clobetasol propionate emulsion NP QL
clobetasol propionate external NP QL
clobex NP
clobex spray PB
clocortolone pivalate NP
clodan external shampoo NP QL
cloderm NP
clotrimazole-betamethasone PG
coal tar external solution PG
collagenase NP
condylox external gel NP
cordran external cream NP QL
cordran external lotion NP QL
cordran external ointment NP QL
cordran external tape NP #; QL
cortisporin external PB
cosentyx NPS PA; ST; SP
cosentyx sensoready pen subcutaneous
NPS PA; ST; SP
solution auto-injector 150 mg/ml
cutivate external lotion NP
dapsone external PG QL
denavir NP
derma-smoothe/fs body NP
dermasorb ta NP
desonate NP #
desonide external NP
desowen external cream NP
desowen external lotion NP
desoximetasone external NP
diclofenac sodium transdermal gel 1 % PG QL
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diclofenac sodium transdermal gel 3 % NC
diclofenac sodium transdermal solution NC
diclofex dc NC
differin external cream NP PA; AL
differin external gel 0.1 % PG PA; Select OTC; AL
differin external gel 0.3 % NP PA; ST; AL
differin external lotion NP PA; ST; AL
diflorasone diacetate external NP
diprolene NP
diprolene af NP
dovonex external cream NP ST
doxepin hcl external NP QL
doxycycline NC
dritho-creme hp NP
duac NC
econazole nitrate external NP QL
ecoza NC
efudex external cream NP
elidel NP PA; ST; #
elocon external cream NC
elocon external ointment NC
enstilar NP QL
epiceram NP
epiduo PB PA; AL
epiduo forte PB PA; #; AL
epifoam NP
ertaczo NC
ery PG
erygel NC
erythromycin external PG
eurax NP
exelderm NC
exoderm external lotion NP
extina NC
fabior NP PA; ST; AL
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finacea external foam NP
finacea external gel NP #
finasteride oral tablet 1 mg NP
flector NC #
fluocinolone acetonide NP
fluocinolone acetonide body PG
fluocinolone acetonide external cream NP
fluocinolone acetonide external ointment NP
fluocinolone acetonide external solution PG
fluocinonide external cream 0.05 % NP ST; QL
fluocinonide external cream 0.1 % NP QL
fluocinonide external gel NP QL
fluocinonide external ointment NP QL
fluocinonide external solution PG QL
fluoroplex NC
fluorouracil external cream 0.5 % NC
fluorouracil external cream 5 % PG
fluorouracil external solution PG
flurandrenolide NP QL
fluticasone propionate external cream NP
fluticasone propionate external lotion NP
fluticasone propionate external ointment PG
gebauers pain ease NP
gebauers spray and stretch NP
genadur external NP
gentamicin sulfate external PG
geri-hydrolac 12 external cream NP
halac NC
halobetasol propionate NP QL
halog NP
halotin NC
hydrocortisone ace-pramoxine external cream
NC
2.5-1 %
hydrocortisone butyr lipo base PG
hydrocortisone butyrate external lotion NP
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hydrocortisone butyrate external ointment PG
hydrocortisone butyrate external solution PG
hydrocortisone external cream 2.5 % PG
hydrocortisone external lotion 2.5 % PG
hydrocortisone external ointment 2.5 % PG
hydrocortisone valerate PG
hylatopic plus external cream NP
imiquimod external PG QL
impoyz NC
inova 4/1 acne control therapy NP
inova 8/2 acne control therapy NP
jublia NP PA; ST
kenalog external NP
keralyt scalp NP
ketoconazole external cream PG
ketoconazole external foam NC
ketoconazole external shampoo PG
klaron NP
klofensaid ii NC
lactic acid e NP
lactic acid external lotion NP
latisse NP
ldo plus NC
levulan kerastick NP QL
lidocaine external ointment NP PA; QL
lidocaine external patch 5 % NP PA; ST
lidocaine hcl external solution PG
lidocaine pak NP PA; QL
lidocaine-prilocaine external cream PG PA; QL
lidocaine-tetracaine NP QL
lidoderm NP QL
lidovin NC
lidozol NC
lindane external shampoo PG
locoid external cream NP
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locoid external lotion NC #
locoid lipocream NC
loprox external cream NP
loprox external kit 0.77 % NC
loprox external shampoo NP
lotrisone external cream NP
luxiq NP
luzu NC
lycelle NP
malathion external PG
melpaque hp NP
methoxsalen rapid NP
metrocream NP
metrogel external gel NP
metrolotion NP
metronidazole external gel 0.75 % PG
metronidazole external gel 1 % NP
micort-hc NC
mirvaso NC
mometasone furoate external cream NP
mometasone furoate external ointment NP
mometasone furoate external solution PG
mupirocin calcium PG QL
mupirocin external PG QL
myorisan oral capsule 10 mg, 20 mg, 40 mg NP PA; QL
myorisan oral capsule 30 mg NP PA; QL
naftifine hcl external cream 2 % NC
naftin external cream 2 % NC
naftin external gel 1 % NC
naftin external gel 2 % NC LGC; #
napro external NC
natroba NP
neosalus cp NP
neosalus external foam NP
neosalus external lotion NP
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neo-synalar external cream NP
neuac external gel NC
nizoral NP
nolix external lotion NP QL
noritate NP
nucort NC
nyamyc PG
nystatin external PG
nystatin-triamcinolone PG
nystop PG
olux NP
olux-e NP
onexton NC #
oracea NC
ovace plus external shampoo NP
ovace plus wash NP
ovace wash NP
ovide NP
oxiconazole nitrate NC
oxistat NC
oxsoralen ultra NP
pandel NP
panretin PB
penlac NP PA; ST
pennsaid transdermal solution 2 % NC
permethrin external cream PG
picato NP QL
plexion NC
plexion cleanser external liquid NC
plexion cleansing cloth external pad NC
podocon NP
pramosone external cream 1-1 % NP
pramosone external lotion 1-2.5 % NP
pramosone external ointment 1-2.5 % NP
prednicarbate NP
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promiseb NP
propecia NP
protopic NP PA; ST
prudoxin NP QL
prutect NP
psorcon NP
radiagel NP
radiaplexrx NP
refissa NP
regenecare NP
regranex NP PA; QL
renova NP
retin-a NP PA; ST; AL
retin-a micro NP PA; ST; AL
retin-a micro pump NP PA; ST; AL
rhofade NP QL
rosadan external gel PG
rosadan external kit NC
rosanil cleanser NC
rynoderm NC
salex NP
salicylic acid external cream NP
salicylic acid external liquid 26 % NP
salicylic acid external lotion NP
salicylic acid external shampoo NP
salicylic acid wart remover NP
santyl NP QL
scalacort NP
seb-prev wash NP
selenium sulfide external lotion PG
selenium sulfide external shampoo 2.25 % NC
selrx NC
sernivo NP
siliq NPS PA; ST; SP; QL
silvadene NP
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silver nitrate external NP
silver sulfadiazine external PG
sklice NP
sodium sulfacetamide external shampoo NP
sonafine NP
soolantra NP ST
soriatane oral capsule 10 mg, 17.5 mg, 25 mg NP QL
sorilux NC
spinosad PG
sss 10-5 NC
stelara subcutaneous solution prefilled syringe PSP PA; ST; SP; QL
sulfacetamide sodium (acne) PG
sulfacetamide sodium external gel NP
sulfacetamide sodium external liquid NP
sulfacetamide sodium-sulfur external cream NC
sulfacetamide sodium-sulfur external emulsion NC
sulfacetamide sodium-sulfur external liquid 10-2
NC
%, 9.8-4.8 %
sulfacetamide sodium-sulfur external lotion NC
sulfacetamide sodium-sulfur external pad 10-4 % NC
sulfacetamide sodium-sulfur external suspension NC
sulfacetamide sod-sulfur wash external kit NC
sulfacleanse 8/4 NC
sulfamylon NP
sumadan NC
sumaxin NC
sumaxin cp NC
sumaxin ts NC
synalar (cream) NC
synalar (ointment) NC
synalar external cream NP
synalar external ointment NP
synalar ts NC
synera NP QL
taclonex external ointment NP
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taclonex external suspension NP QL
tacrolimus external NP PA; ST
taltz NPS PA; ST; SP
targretin external NPS PA; SP
tazarotene external PG PA; AL
tazorac NP PA; ST; AL
temovate external cream NP QL
temovate external ointment NP
texacort PB
tolak NC #
topicort external cream NP
topicort external gel NP
topicort external ointment NP
topicort spray NC
tremfya PSP PA; ST; SP; QL
tretinoin (emollient) NP AL
tretinoin external cream PG PA; AL
tretinoin external gel 0.01 %, 0.025 % PG PA; AL
tretinoin external gel 0.05 % NP PA
tretinoin microsphere PG PA; AL
tretinoin microsphere pump PG PA; AL
tretin-x external cream 0.075 % NP PA; ST; AL
triamcinolone acetonide external aerosol
PG
solution
triamcinolone acetonide external cream LGC LGC
triamcinolone acetonide external lotion PG
triamcinolone acetonide external ointment 0.025
LGC LGC
%
triamcinolone acetonide external ointment 0.1
PG LGC
%, 0.5 %
triderm external cream 0.1 % LGC LGC
triderm external cream 0.5 % LGC LGC
tridesilon NP
tri-luma NP
ulesfia NP QL
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ultravate external cream NP
ultravate external lotion NP QL
ultravate external ointment NC
urea nail external kit NC
urea nail external stick NC
utopic NC
valchlor NPS PA; SP; QL
vaniqa NP
vanos NC
vectical NP
veltin NP PA; ST; AL
venipuncture cpi NC
verdeso NC
virasal NP
voltaren transdermal NP QL
vusion NP
xelitral NC
xerese NP
xolegel NC
xylocaine external NP
zenatane oral capsule 10 mg, 20 mg, 40 mg NP PA; QL
zenatane oral capsule 30 mg NP PA; QL
ziana NP PA; ST; AL
zonalon NP QL
zovirax external ointment NC
zyclara NC #
zyclara pump external cream 2.5 % NC
zyclara pump external cream 3.75 % NC #
*DIAGNOSTIC PRODUCTS*
accu-chek aviva plus in vitro NC
accu-chek compact plus NC
accu-chek smartview NC
accutrend glucose NC
advance intuition test NC
advance micro-draw test NC
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advocate redi-code in vitro NC
advocate redi-code+ test NC
advocate test NC
agamatrix amp test NC
agamatrix jazz test NC
agamatrix keynote test NC
agamatrix presto test NC
assure 3 test NC
assure 4 test NC
assure ii NC
assure ii check NC
assure platinum NC
assure prism multi test NC
assure pro test NC
bayer breeze 2 test NC
bayer contour test NC
bioscanner glucose test NC
blood glucose test NC
caresens n glucose test NC
chemstrip k NP
clever chek auto-code test NC
clever chek auto-code voice in vitro NC
clever chek test NC
clever choice auto-code test NC
clever choice micro test NC
cool blood glucose test strips NC
cvs advanced glucose test NC
diatrue plus test NC
duo-care test NC
easy plus blood glucose test NC
easy plus ii glucose test NC
easy step test NC
easy talk blood glucose test NC
easy touch healthpro test NC
easy touch test NC
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easy trak blood glucose test NC
easygluco in vitro NC
easygluco plus in vitro NC
easymax 15 test NC
easymax test NC
easyplus blood glucose test NC
easypro blood glucose test NC
easypro plus in vitro NC
element compact test NC
element test NC
embrace blood glucose test NC
embrace evo blood glucose test NC
embrace pro glucose test NC
evencare + blood glucose test NC
evencare blood glucose test NC
evencare g2 test NC
evencare g3 test NC
evencare mini glucose test NC
evolution autocode in vitro NC
ez smart blood glucose test NC
ez smart plus glucose test NC
fifty50 glucose test 2.0 NC
fora d15g blood glucose test NC
fora d20 blood glucose test NC
fora d40/g31 blood glucose NC
fora g20 blood glucose test NC
fora g30/prem v10 glucose test NC
fora gd20 test NC
fora gd50 blood glucose test NC
fora tn'g/tn'g voice NC
fora v10 blood glucose test NC
fora v30a blood glucose test NC
foracare gd40 test NC
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foracare premium v10 test NC
foracare test n go test NC
fortiscare test NC
freestyle insulinx test PB QL
freestyle lite test PB QL
freestyle precision neo test PB QL
freestyle test PB QL
gastrografin NP
ge100 blood glucose test NC
genstrip 50 NC
ght test NC
glucagen diagnostic NP QL
gluco perfect 3 test NC
glucocard 01 sensor plus NC
glucocard expression test NC
glucocard shine test NC
glucocard vital test NC
glucocard x-sensor NC
glucocom test NC
gluconavii blood glucose test NC
in touch blood glucose test NC
infinity blood glucose test NC
ketocare NP
ketostix NP
kroger blood glucose test NC
kroger test NC
liberty next generation test NC
liberty test NC
md-gastroview NP
meijer blood glucose test NC
meijer truetest test NC
meijer truetrack test NC
metopirone NP
microdot test NC
myglucohealth test NC
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neutek 2tek test NC
nova max glucose test NC
on call express blood glucose NC
on call plus blood glucose NC
on call vivid blood glucose NC
onetouch ultra blue PB QL
onetouch verio in vitro strip PB QL
optumrx blood glucose test NC
pocketchem ez test NC
precision pcx PB QL
precision pcx plus test PB QL
precision point of care test PB QL
precision qid test PB QL
precision sof-tact test PB QL
precision xtra blood glucose PB QL
precision xtra ketone NP
prodigy no coding blood gluc NC
pts panels glucose test NC
quicktek test NC
quintet ac blood glucose test NC
quintet blood glucose test NC
ra truetest test NC
refuah plus blood glucose test NC
reveal blood glucose test NC
rightest gs100 blood glucose NC
smart sense value test NC
smartest blood glucose test NC
solus v2 test NC
supreme test NC
sure edge test NC
surechek blood glucose test NC
sure-test easyplus mini test NC
telcare blood glucose test NC
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thyrogen PSP SP
true metrix blood glucose test NC
truetest test NC
truetrack test NC
ultima test NC
ultratrak pro test NC
ultratrak ultimate test NC
unistrip1 generic NC
victory agm-4000 test NC
vocal point blood glucose test NC
wavesense presto NC
*DIGESTIVE AIDS*
creon PB
pancreaze NP ST
pertzye NP ST
sucraid NPS SP
viokace NP ST
zenpep oral capsule delayed release particles
10000-32000 unit, 15000-47000 unit, 20000-
PB
63000 unit, 25000-79000 unit, 3000-14000 unit,
40000-126000 unit, 5000-24000 unit
*DIRECT-ACTING P2Y12 INHIBITORS***
brilinta PB QL
*DIURETICS*
acetazolamide er NC
acetazolamide oral PG
aldactazide NP
aldactone NP
amiloride hcl oral PG
amiloride-hydrochlorothiazide LGC LGC
bumetanide injection NP
bumetanide oral PG
carospir NC
chlorothiazide oral PG
chlorothiazide sodium NP
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chlorthalidone oral tablet 25 mg, 50 mg PG
demadex oral tablet 10 mg, 20 mg NP
diuril NP
dyazide NP
dyrenium NP
edecrin NP
ethacrynic acid oral NP
furosemide oral solution 10 mg/ml, 8 mg/ml PG
furosemide oral tablet LGC LGC
hydrochlorothiazide oral tablet 12.5 mg PG
hydrochlorothiazide oral tablet 25 mg, 50 mg LGC LGC
indapamide oral PG
keveyis NPS PA; QL
lasix NP
maxzide NP
maxzide-25 NP
methazolamide oral tablet 25 mg PG
methyclothiazide oral NP
metolazone PG
sodium edecrin NP
spironolactone oral tablet 100 mg, 50 mg PG
spironolactone oral tablet 25 mg LGC LGC
spironolactone-hctz PG
torsemide oral PG
triamterene-hctz oral capsule 37.5-25 mg LGC LGC
triamterene-hctz oral tablet LGC LGC
*ENDOCRINE AND METABOLIC
AGENTS - MISC.*
actonel oral tablet 150 mg, 30 mg, 35 mg, 5 mg NP ST; QL
aldurazyme NPS PA; SP
alendronate sodium oral solution PG
alendronate sodium oral tablet 10 mg, 35 mg, 40
PG QL
mg, 5 mg
alendronate sodium oral tablet 70 mg LGC LGC
ammonul NPS SP
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atelvia NP QL
binosto NC
boniva intravenous NP SP
boniva oral tablet 150 mg NP QL
buphenyl oral powder 3 gm/tsp NPS PA; SP
buphenyl oral tablet NC SP
cabergoline PG
calcitonin (salmon) PG QL
calcitriol oral PG
carbaglu NPS PA; #; SP
carnitor oral solution NP
carnitor sf NP
chorionic gonadotropin intramuscular PG PA; SP
cystadane NPS PA; SP
ddavp injection solution 4 mcg/ml NPS
ddavp oral NP
ddavp rhinal tube NP
desmopressin ace spray refrig PG
desmopressin acetate injection PSP
desmopressin acetate oral PG
doxercalciferol intravenous NC
doxercalciferol oral PG QL
egrifta subcutaneous solution reconstituted 1
NC
mg
elaprase NPS PA; SP
etidronate disodium NP
evista NP
fabrazyme NPS PA; SP
forteo subcutaneous solution 600 mcg/2.4ml NPS PA; ST; SP; QL
fosamax oral tablet 70 mg NP QL
fosamax plus d NP QL
ganirelix acetate NPS
genotropin NPS PA; ST; SP
genotropin miniquick NPS PA; ST; SP
hectorol intravenous solution 2 mcg/ml NC
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hectorol intravenous solution 4 mcg/2ml NPS
hp acthar NPS PA; SP
humatrope NPS PA; ST; SP
ibandronate sodium intravenous solution 3
PSP ST; SP
mg/3ml
ibandronate sodium oral NP ST; QL
increlex NPS PA; SP
jynarque PSP PA; SP
kuvan NPS PA; SP
levocarnitine oral solution PG
lumizyme NPS PA; SP
lupron depot-ped (1-month) NPS PA; #; SP
lupron depot-ped (3-month) NPS PA; #; SP
miacalcin injection NPS PA
miacalcin nasal NP ST; QL
naglazyme NPS PA; SP
natpara NPS PA; QL
nityr NPS PA; SP
noctiva PB QL; AL
norditropin flexpro NPS PA; ST; SP
nutropin aq nuspin 10 NPS PA; ST; SP
octreotide acetate injection solution 100 mcg/ml,
1000 mcg/ml, 200 mcg/ml, 50 mcg/ml, 500 PG PA; SP
mcg/ml
omnitrope PSP PA; SP
orfadin oral capsule 10 mg, 2 mg, 5 mg NPS PA; SP
orfadin oral capsule 20 mg NPS PA
orfadin oral suspension NPS PA; SP
osphena NP QL
pamidronate disodium PSP SP
paricalcitol intravenous NC
paricalcitol oral PG QL
prolia NPS PA; ST; SP
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raloxifene hcl CE
ravicti NPS PA; ST; SP; QL
rayaldee NP PA; ST; QL
reclast NPS SP
risedronate sodium oral tablet 150 mg NP ST; QL
risedronate sodium oral tablet 30 mg, 35 mg, 5
NP QL
mg
risedronate sodium oral tablet delayed release NP QL
rocaltrol oral capsule NP
saizen NPS PA; ST; SP
saizen click.easy NPS PA; ST
samsca NPS PA; #; SP; QL
sandostatin injection solution 100 mcg/ml,
NPS PA; SP
1000 mcg/ml, 50 mcg/ml, 500 mcg/ml
sandostatin lar depot NPS PA; #; SP
sensipar NP PA; #; QL
serostim subcutaneous solution reconstituted 4
NPS PA; SP
mg, 5 mg, 6 mg
signifor NPS PA; SP; QL
sod benz-sod phenylacet PG
sodium phenylbutyrate oral powder 3 gm/tsp PSP PA; SP
sodium phenylbutyrate oral tablet PSP PA; SP
somatuline depot NPS PA; SP
somavert NPS PA; #; SP
stimate NP PA
supprelin la PSP PA; SP
synarel NPS PA; SP
triptodur NPS PA; SP
tymlos PSP PA; ST; SP; QL
xgeva NPS PA; ST; SP
zemplar intravenous NC
zemplar oral capsule 1 mcg, 2 mcg NC
zoledronic acid intravenous concentrate PSP SP
zoledronic acid intravenous solution PSP SP
zomacton NPS PA; ST; SP
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zometa intravenous concentrate NPS SP
zometa intravenous solution NC SP
zorbtive NPS PA; SP
*ESTROGENS*
activella NP QL
alora NC
angeliq NP
climara NP QL
climara pro NP #; QL
combipatch NP QL
delestrogen NP
depo-estradiol NP
elestrin NP QL
estrace oral NP
estradiol oral LGC LGC
estradiol transdermal PG QL
estradiol valerate intramuscular oil 20 mg/ml PG
estradiol-norethindrone acet PG QL
estrogel NP QL
estropipate oral tablet 0.75 mg PG
evamist NP QL
femhrt low dose NP
fyavolv PG
jinteli PG QL
menest oral tablet 0.3 mg, 0.625 mg, 1.25 mg NP
menostar NP #; QL
mimvey PG QL
minivelle NP #; QL
norethindrone-eth estradiol PG
prefest NP QL
premarin injection NP
premarin oral NP QL
premphase NP QL
prempro NP QL
vivelle-dot NC
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*ESTROGEN-SELECTIVE ESTROGEN
RECEPTOR MODULATOR COMB***
duavee PB QL
*FARNESOID X RECEPTOR (FXR)
AGONISTS***
ocaliva oral tablet 5 mg NPS PA; ST; SP; QL
*FLUOROQUINOLONES*
avelox NP
baxdela oral NP PA; QL
cipro oral suspension reconstituted NP
cipro oral tablet 250 mg, 500 mg NP
cipro xr NP
ciprofloxacin hcl oral tablet 100 mg, 750 mg PG
ciprofloxacin hcl oral tablet 250 mg, 500 mg LGC LGC
ciprofloxacin in d5w intravenous solution 400
NP
mg/200ml
ciprofloxacin oral suspension reconstituted 500
PG
mg/5ml (10%)
ciprofloxacin-ciproflox hcl er PG
levaquin oral tablet NP
levofloxacin in d5w intravenous solution 750
NP
mg/150ml
levofloxacin oral PG
moxifloxacin hcl oral PG
ofloxacin oral tablet 300 mg PG QL
ofloxacin oral tablet 400 mg PG
*GASTROINTESTINAL AGENTS - MISC.*
actigall NP
alosetron hcl PG PA; ST
amitiza NP ST; QL
apriso NP #; QL
asacol hd NP ST; QL
azulfidine NP QL
azulfidine en-tabs NP QL
balsalazide disodium PG QL
canasa PB #; QL
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chenodal NPS PA
cimzia prefilled NPS PA; ST; SP; QL
cimzia starter kit NPS PA; ST; SP; QL
cimzia subcutaneous kit 2 x 200 mg NPS PA; ST; SP; QL
colazal NP ST; QL
cromolyn sodium oral PG
delzicol PB #; QL
dipentum NP ST; QL
enulose LGC LGC
fosrenol oral packet NP
fosrenol oral tablet chewable 1000 mg, 500 mg,
NP
750 mg
gastrocrom NP
gattex NPS PA; SP; QL
generlac LGC LGC
giazo NP PA; ST; #; QL
inflectra PSP PA; ST; SP
lactulose encephalopathy LGC LGC
lanthanum carbonate NP
lialda NP QL
linzess PB QL
lotronex NP PA; ST
mesalamine oral PG QL
mesalamine rectal PG
mesalamine-cleanser NC
metoclopramide hcl oral solution 10 mg/10ml, 5
LGC LGC
mg/5ml
metoclopramide hcl oral tablet 10 mg LGC LGC
metoclopramide hcl oral tablet 5 mg PG
metoclopramide hcl oral tablet dispersible PG
movantik PB
pentasa NP QL
phoslo NP
phoslyra NP
reglan oral NP
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relistor oral NP PA; #; QL
relistor subcutaneous solution 12 mg/0.6ml, 8
NP PA; QL
mg/0.4ml
remicade PSP PA; ST; SP
renagel oral tablet 800 mg NP #
renflexis PSP PA; ST; SP
renvela PB
rowasa rectal NC
sevelamer carbonate PG
sfrowasa NP
sulfasalazine oral PG QL
sulfazine PG QL
symproic NP PA; ST; QL
urso 250 NP
urso forte NP
ursodiol oral capsule PG
ursodiol oral tablet NP
velphoro NP #
*GENITOURINARY AGENTS -
MISCELLANEOUS*
acetic acid irrigation PG
alfuzosin hcl er PG QL
argyle sterile saline PG
avodart NP QL
cardura xl NP QL
cystagon NP PA
cytra-2 NC
dutasteride oral PG QL
dutasteride-tamsulosin hcl PG
elmiron PB QL
finasteride oral tablet 5 mg PG PA
flomax NP
jalyn NP
lithostat PB
neomycin-polymyxin b gu PG
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phenazopyridine hcl oral tablet 100 mg PG
potassium citrate er oral tablet extended release
PG
10 meq (1080 mg), 15 meq (1620 mg)
potassium citrate-citric acid oral solution PG
procysbi NPS PA; ST; SP; QL
proscar NP
pyridium oral tablet 100 mg PG
rapaflo PB #
renacidin PB
shohls modified NC
sod citrate-citric acid NC
sodium chloride irrigation solution 0.9 % PG
tamsulosin hcl LGC LGC
thiola NPS PA; ST
urocit-k 10 NP
urocit-k 15 NP
urocit-k 5 NC
*GOUT AGENTS*
allopurinol oral LGC LGC
aloprim NP
colchicine oral PG QL
colchicine-probenecid PG
colcrys NC
duzallo NP PA; ST; QL
krystexxa NPS PA; ST; SP
mitigare PB QL
probenecid oral PG
uloric NP QL
zurampic NP PA; ST; QL
zyloprim NP
*HEMATOLOGICAL AGENTS - MISC.*
advate PSP PA; SP
adynovate intravenous solution reconstituted
NPS PA
1000 unit, 2000 unit, 250 unit, 500 unit
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adynovate intravenous solution reconstituted
NPS PA; SP
1500 unit, 3000 unit, 750 unit
afstyla NPS PA; SP
aggrenox NP
alphanate/vwf complex/human NPS PA; SP
alphanine sd NPS PA; SP
alprolix NPS PA; SP
anagrelide hcl PG
aspirin-dipyridamole er PG
bebulin NPS PA; SP
benefix intravenous kit PSP PA; SP
berinert NPS PA; ST; SP
brilinta PB QL
cilostazol PG
cinryze NPS PA; ST; SP
clopidogrel bisulfate oral PG QL
coagadex NPS PA
corifact NPS PA; SP
dipyridamole oral PG
durlaza NP
effient NP PA; QL
eloctate NPS PA; SP
feiba PSP
fibryga PSP PA; SP
firazyr NPS PA; ST; #; SP; QL
haegarda PSP PA; ST; SP; QL
helixate fs NPS PA; SP
hemofil m intravenous solution reconstituted
NPS PA; SP
humate-p intravenous solution reconstituted
NPS PA; SP
1000-2400 unit, 500-1200 unit
idelvion NPS PA; SP
ixinity NPS PA; SP
kalbitor NPS PA; ST; SP
koate NPS PA; SP
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koate-dvi NPS PA; SP
kogenate fs NPS PA; SP
kogenate fs bio-set intravenous kit 1000 unit,
NPS PA; SP
2000 unit, 3000 unit
kovaltry intravenous solution reconstituted
NPS PA; SP
kovaltry intravenous solution reconstituted
NC SP
3000 unit
monoclate-p intravenous kit 1000 unit, 1500
PSP PA; SP
unit
mononine intravenous solution reconstituted
PSP PA; SP
1000 unit
novoeight intravenous solution reconstituted
NPS PA; SP
novoeight intravenous solution reconstituted
NC SP
1500 unit, 3000 unit
novoseven rt PSP PA; SP
nuwiq intravenous kit 1000 unit, 2000 unit, 250
NPS PA; SP
unit, 500 unit
nuwiq intravenous kit 2500 unit, 3000 unit,
NP PA; SP
4000 unit
nuwiq intravenous solution reconstituted 1000
NPS PA; SP
unit, 2000 unit, 250 unit, 500 unit
nuwiq intravenous solution reconstituted 2500
NP PA; SP
unit, 3000 unit, 4000 unit
pentoxifylline er PG
plavix NP QL
prasugrel hcl NP PA; QL
profilnine intravenous solution reconstituted
NPS PA; SP
1000 unit, 500 unit
profilnine intravenous solution reconstituted
NPS PA
1500 unit
profilnine sd NC SP
rebinyn NPS PA; SP
recombinate NPS PA; SP
riastap NPS PA; SP
rixubis NPS PA; SP
ruconest NPS PA; SP
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tretten NPS PA; SP
vonvendi NPS PA
wilate intravenous kit NC SP
xyntha intravenous kit 1000 unit, 2000 unit,
NPS PA; SP
250 unit, 500 unit
xyntha solofuse intravenous kit 1000 unit, 2000
NC SP
unit, 250 unit, 500 unit
xyntha solofuse intravenous kit 3000 unit NPS PA; SP
yosprala NC
*HEMATOPOIETIC AGENTS*
abaneu-sl NC
active fe NC
airavite NC
animi-3 NC
animi-3/vitamin d NC
aranesp (albumin free) injection solution 100
mcg/ml, 200 mcg/ml, 25 mcg/ml, 300 mcg/ml, PSP PA; SP
40 mcg/ml, 60 mcg/ml
aranesp (albumin free) injection solution
prefilled syringe 100 mcg/0.5ml, 150 mcg/0.3ml,
PSP PA; SP
200 mcg/0.4ml, 25 mcg/0.42ml, 300 mcg/0.6ml,
40 mcg/0.4ml, 500 mcg/ml, 60 mcg/0.3ml
av-vite fb NC
b-6 folic acid NC
biferarx NC
bp vit 3 NC
cenfol NC
centratex NC
cerdelga PB PA; SP; QL
cerezyme intravenous solution reconstituted
PSP PA; SP
400 unit
ciferex NC
corvita 150 NC
corvite 150 oral tablet 150-1.25 mg NC
corvite fe NP
cyanocobalamin injection PG
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divista NC
droxia NP
durachol NC
elelyso NPS PA; SP
epogen injection solution 10000 unit/ml, 2000
unit/ml, 20000 unit/ml, 3000 unit/ml, 4000 NPS PA; SP
unit/ml
fabb NC
fa-vitamin b-6-vitamin b-12 NC
feriva 21/7 NC
ferocon NC
ferotrinsic NC
ferraplus 90 NC
ferrlecit NP SP
ferrocite plus oral tablet NC
ferro-plex hematinic NC
ferrotrin NC
folbee NC
folgard rx NC
folic acid oral tablet 1 mg LGC LGC
folic acid oral tablet 400 mcg, 800 mcg CE
folivane-f NC
folivane-plus NC
folplex 2.2 NC
foltrin NC
fusion plus NC
gnp folic acid CE
granix NPS PA; ST; SP
hematinic plus vit/minerals NC
hematinic/folic acid NC
hematogen fa NC
hematogen forte NC
hemetab NC
hemocyte plus NC
hemocyte-f oral tablet NC
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hemocyte-plus oral tablet 106-1 mg NC
integra f NC
integra plus NC
irospan 24/6 NC
is 24/6 NC
k-tan plus NC
leukine intravenous NPS PA; SP
maxfe oral tablet NC
miglustat PSP PA; SP; QL
mircera injection solution prefilled syringe 100
mcg/0.3ml, 200 mcg/0.3ml, 50 mcg/0.3ml, 75 NPS PA
mcg/0.3ml
mircera injection solution prefilled syringe 150
NPS PA; SP
mcg/0.3ml, 30 mcg/0.3ml
mozobil NPS PA
multigen NC
multigen folic NC
multigen plus NC
na ferric gluc cplx in sucrose PSP SP
nascobal NC
nephron fa NC
neulasta subcutaneous solution prefilled
PSP PA
syringe
neupogen injection solution 300 mcg/ml, 480
NPS PA; ST; SP
mcg/1.6ml
neupogen injection solution prefilled syringe NPS PA; ST
neurin-sl NC
nplate NPS SP
nufol NC
ortho d NC
procrit PSP PA; SP
proferrin-forte NC
promacta NPS PA; SP; QL
protectiron NC
purefe plus NC
purevit dualfe plus NC
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revesta NC
se-tan plus NC
tandem f NC
tandem plus NC
taron forte NC
tl gard rx NC
tl icon NC
tricon NC
trigels-f forte NC
venofer NPS SP
virt-gard NC
vpriv PSP PA; SP
zarxio PSP PA
zavara NC
zavesca NPS PA; #; SP; QL
zolate NC
*HEMOSTATICS*
amicar oral solution NP
amicar oral tablet PB
lysteda NP QL
tranexamic acid oral NP QL
*HEPATITIS C AGENT -
COMBINATIONS***
epclusa PSP PA; ST; SP; QL
harvoni PSP PA; SP
mavyret NPS PA; ST; SP; QL
technivie NPS PA; ST; QL
viekira pak NPS PA; ST; SP; QL
viekira xr NPS PA; ST; QL
vosevi PSP PA; SP; QL
zepatier PSP PA; SP; QL
*HEREDITARY OROTIC ACIDURIA
TREATMENT - AGENTS**
xuriden NPS PA; SP; QL
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*HYPNOTICS*
ambien NP PA; QL
ambien cr NP PA; QL; AL
butisol sodium oral tablet 30 mg NP
doral NP
edluar NC
estazolam PG
eszopiclone PG QL; AL
flurazepam hcl PG
halcion NP
hetlioz NPS PA; SP; QL
intermezzo NC
lunesta NP QL
midazolam hcl oral NP
phenobarbital oral elixir PG
phenobarbital oral tablet PG
quazepam NP AL
restoril oral capsule 15 mg, 30 mg NP
restoril oral capsule 22.5 mg, 7.5 mg NP QL
rozerem NP ST; #; QL
seconal NP
silenor NC
sonata NP QL
temazepam oral capsule 15 mg, 30 mg PG
temazepam oral capsule 22.5 mg, 7.5 mg PG QL
triazolam PG
zaleplon PG QL
zolpidem tartrate er NP QL
zolpidem tartrate oral PG QL
zolpidem tartrate sublingual NC
zolpimist NC #
*HYPOPHOSPHATASIA (HPP)
AGENTS***
strensiq NPS PA; SP
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*IBS AGENT - MU-OPIOID RECEPTOR
AGONISTS***
viberzi PB PA; QL
*INSULIN-INCRETIN MIMETIC
COMBINATIONS***
soliqua PB ST; QL
xultophy PB QL
*INTEGRIN RECEPTOR
ANTAGONISTS***
entyvio PSP PA; ST; SP
*INTERLEUKIN ANTAGONISTS***
stelara intravenous PSP PA; ST; SP
*INTERLEUKIN-5 ANTAGONISTS (IGG1
KAPPA)***
nucala NPS PA; SP; QL
*INTERLEUKIN-5 ANTAGONISTS (IGG4
KAPPA)***
cinqair NPS PA; SP
*ISOCITRATE DEHYDROGENASE-2
(IDH2) INHIBITORS***
idhifa NPS PA; SP; QL
*LAXATIVES*
clearlax oral powder CE
clenpiq CE
constulose LGC LGC
cvs purelax CE
dulcolax balance CE
eq clearlax CE
eql clearlax CE
gavilax CE
gavilyte-c PG QL
gavilyte-g PG QL
gavilyte-h CE
gavilyte-n with flavor pack PG
gentlelax oral powder CE
gialax CE
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glycolax CE
gnp clearlax oral powder CE
golytely NP
healthylax CE
hm clearlax CE
kls laxaclear CE
kristalose NP QL
lactulose oral LGC LGC
miralax oral packet NC
miralax oral powder CE
moviprep CE #
nulytely with flavor packs NP
osmoprep CE #
peg 3350 CE
peg 3350/electrolytes CE QL
peg 3350-kcl-na bicarb-nacl PG
peg-3350/electrolytes PG QL
peg-prep CE
pegylax CE
polyethylene glycol 3350 oral CE
prepopik CE #
qc natura-lax CE
ra laxative oral packet CE
ra laxative oral powder CE
sb polyethylene glycol 3350 CE
sm clearlax CE
smooth lax oral powder CE
suprep bowel prep kit CE
tgt powderlax CE
trilyte CE
*LEPTIN ANALOGUES***
myalept NPS PA; SP; QL
*LHRH/GNRH AGONIST ANALOG
COMBINATIONS***
lupaneta pack NPS PA; SP
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*LOCAL ANESTHETICS-PARENTERAL*
lidocaine hcl (pf) injection solution 0.5 %, 1 % NP
lidocaine hcl injection solution 0.5 % NP
*LYMPHOCYTE FUNCTION-
ASSOCIATED ANTIGEN-1 (LFA-1)
ANTAG***
xiidra PB
*LYSOSOMAL ACID LIPASE (LAL)
DEFICIENCY - AGENTS***
kanuma PSP PA; SP
*MACROLIDES*
azithromycin intravenous solution reconstituted
NP
500 mg
azithromycin oral packet PG
azithromycin oral suspension reconstituted PG
azithromycin oral tablet 250 mg, 500 mg, 600
PG
mg
biaxin oral tablet 500 mg NC
clarithromycin er PG
clarithromycin oral PG
dificid NP QL
e.e.s. 400 oral tablet PB
e.e.s. granules NP
eryped 200 NP
eryped 400 NP
ery-tab NP
erythrocin lactobionate intravenous solution
NP
reconstituted 500 mg
erythrocin stearate oral tablet 250 mg PB
erythromycin base oral capsule delayed release
PG
particles
erythromycin base oral tablet PG
erythromycin ethylsuccinate oral tablet PG
zithromax oral NP
zithromax tri-pak NP
zithromax z-pak NP
07/01/2018
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zmax NP
*MEDICAL DEVICES*
accu-chek fastclix lancets NP
accu-chek multiclix lancet dev NP QL
accu-chek multiclix lancets NP
accu-chek soft touch lancets NP
accu-chek softclix lancets NP
active 1st blood lancets 30g NP
advocate duo device NP QL
assure lancets NP
bayer microlet lancets NP
bd autoshield 29g x 5mm , 29g x 8mm PB
bd insulin syringe 25g x 1" 1 ml, 25g x 5/8" 1
ml, 26g x 1/2" 1 ml, 29g x 1/2" 1 ml, 30g x 1/2" PB
0.5 ml, 31g x 5/16" 0.3 ml, u-100 1 ml
bd insulin syringe half-unit PB
bd insulin syringe microfine 28g x 1/2" 0.5 ml PB
bd insulin syringe ultrafine 29g x 1/2" 0.5 ml,
29g x 1/2" 1 ml, 30g x 1/2" 0.3 ml, 30g x 1/2" 1 PB
ml, 31g x 15/64" 0.3 ml, 31g x 15/64" 1 ml
bd lancet ultrafine 30g NP
bd lancet ultrafine 33g NP
bd microtainer lancets NP
bd pen PB
bd pen mini PB
bd pen needle mini u/f PB
bd pen needle nano u/f PB
bd pen needle short u/f PB
bd pen needle ultrafine PB
bd safetyglide insulin syringe 30g x 5/16" 0.5 ml PB
bullseye mini safety lancets NP
bullseye safety lancets NP
clever chek auto-code NP QL
coaguchek lancets NP
comfort assured lancets 28g NP
comfort assured lancets 33g NP
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117
drug mart unifine pentips 31g x 5 mm NP
easy comfort insulin syringe 30g x 1/2" 0.5 ml,
NP
30g x 1/2" 1 ml
easy touch insulin syringe 31g x 5/16" 1 ml NP
easy touch lancets 21g NP
easy touch lancets 26g/twist NP
easy touch lancing device NP
easy touch safety lancets 21g NP
easy twist & cap lancets NP
fc2 female condom CE
fingerstix lancets NP
fora d10 2-in-1 monitor NP QL
fora d15g 2-in-1 monitor NP QL
fora d20 2-in-1 monitor NP QL
freestyle lancets NP
freestyle precision ins syr 31g x 5/16" 0.5 ml,
NP
31g x 5/16" 1 ml
freestyle unistick ii lancets NP
global inject ease insulin syr 28g 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
NP
ml, 30g x 1/2" 1 ml, 31g x 5/16" 0.3 ml, 31g x
5/16" 0.5 ml, 31g x 5/16" 1 ml
gnp clickfine pen needles 31g x 8 mm NP
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118
gnp insulin syringe 28g x 1/2" 0.5 ml, 29g x 1/2"
NP
1 ml, 31g x 5/16" 0.5 ml
gnp ultra com insulin syringe 31g x 5/16" 0.3
NP
ml, 31g x 5/16" 0.5 ml
healthy accents unifine pentip 31g x 5 mm , 31g
NP
x 6 mm
insulin syringe PG
insulin syringe/needle 27g x 1/2" 0.5 ml, 28g x
PG
1/2" 1 ml
insulin syringe/needle 28g x 1/2" 0.5 ml PG
insulin syringe-needle u-100 31g x 1/4" 0.3 ml,
PG
31g x 1/4" 0.5 ml, 31g x 1/4" 1 ml
kroger insulin syringe 29g x 1/2" 1 ml, 31g x
5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 NP
ml
lancets PG
lancets super thin 28g NP
lancets ultra thin NP
lancets ultra thin 30g NP
lifescan unistik 2 NP
lifescan unistik ii lancets NP
lite touch lancets NP
litetouch lancets NP
magellan insulin safety syr 29g x 1/2" 1 ml NP
microlet lancets NP
microtainer safety flow lancet NP
neutek 2tek glucose/pressure NP QL
novofine 32g x 6 mm NP
novotwist 32g x 5 mm NP
onetouch club lancets fine pt NP
onetouch combo pack NP
onetouch delica lancets 33g NP
onetouch delica lancets fine NP
onetouch delica lancing dev NP
onetouch finepoint lancets NP
onetouch ultrasoft lancets NP
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119
pen needles PG
pen needles 1/2" PG
pen needles 3/16" PG
pen needles 5/16" PG
precision suredose plus syr 29g x 1/2" 1 ml NP
precision sure-dose syringe 28g x 1/2" 0.5 ml NP
relion insulin syringe 29g x 1/2" 1 ml NP
reli-on insulin syringe 29g x 1/2" 1 ml NP
relion pen needles 31g x 8 mm NP
safety let lancets NP
sapscare twist top lancets NP
simple diagnostics lancing dev NP
super thin lancets NP
trueplus insulin syringe 29g x 1/2" 1 ml, 31g x
5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 NP
ml
trueplus lancets 26g NP
trueplus lancets 30g NP
trueplus safety lancets 28g NP
ulticare insulin syringe 28g 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,
NP
30g x 1/2" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16"
0.5 ml, 31g x 5/16" 1 ml
ulticare short pen needles NP
unifine pentips plus 31g x 5 mm NP
vanishpoint insulin syringe 30g x 3/16" 0.5 ml,
NP
30g x 3/16" 1 ml
vida mia unifine pentips 31g x 6 mm NP
wide-seal diaphragm 60 CE
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*MIGRAINE PRODUCTS*
almotriptan malate NP QL
amerge NP QL
axert oral tablet 12.5 mg NP QL
cafergot NP
cambia NC
d.h.e. 45 NP
dihydroergotamine mesylate injection NP
dihydroergotamine mesylate nasal NP ST; QL
eletriptan hydrobromide NP QL
ergomar NP
frova NP QL
frovatriptan succinate NP QL
imitrex NP QL
imitrex statdose refill subcutaneous solution
NP QL
cartridge
imitrex statdose system subcutaneous solution
NC
auto-injector 4 mg/0.5ml
imitrex statdose system subcutaneous solution
NP QL
auto-injector 6 mg/0.5ml
maxalt NP QL
maxalt-mlt NP QL
migergot NP
migranal NC
naratriptan hcl PG QL
onzetra xsail NP ST; QL
relpax NP QL
rizatriptan benzoate PG QL
sumatriptan nasal PG QL
sumatriptan succinate oral PG QL
sumatriptan succinate refill subcutaneous
PG QL
solution cartridge
sumatriptan succinate subcutaneous solution 6
PG QL
mg/0.5ml
sumatriptan succinate subcutaneous solution
PG QL
auto-injector 4 mg/0.5ml, 6 mg/0.5ml
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sumatriptan-naproxen sodium NC
treximet NC #
zembrace symtouch NP ST; QL
zolmitriptan oral PG QL
zomig NP QL
zomig zmt NP QL
*MINERALS & ELECTROLYTES*
effer-k oral tablet effervescent 20 meq PB
effer-k oral tablet effervescent 25 meq PG
fluorabon CE
fluoritab oral tablet chewable 0.55 (0.25 f) mg LGC LGC
fluoritab oral tablet chewable 1.1 (0.5 f) mg CE
flura-drops oral solution 0.55 (0.25 f) mg/drop CE
galzin NP
iodine strong oral NP
isolyte-s NP
isolyte-s ph 7.4 NP
k-effervescent PG
klor-con 10 PG
klor-con m20 PG
klor-con oral packet 20 meq NP QL
k-phos PB
k-phos-neutral PB
k-tab oral tablet extended release 10 meq NP
k-vescent oral tablet effervescent PG
ludent oral tablet chewable 0.55 (0.25 f) mg LGC LGC
ludent oral tablet chewable 1.1 (0.5 f) mg, 2.2
CE
(1 f) mg
magnebind 400 NP
magnesium sulfate injection solution 50 % NP
micro-k NP
monoject sodium chloride flush intravenous PG
normosol-r NP
normosol-r ph 7.4 NP
phospha 250 neutral PG
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plasma-lyte 148 NP
plasma-lyte a NP
pot bicarb-pot chloride PG
potassium bicarbonate oral PG
potassium chloride crys er oral tablet extended
PG
release 20 meq
potassium chloride er oral capsule extended
PG
release 8 meq
potassium chloride er oral tablet extended
PG
release 10 meq, 20 meq
potassium chloride in nacl intravenous solution
20-0.45 meq/l-%, 20-0.9 meq/l-%, 40-0.9 meq/l- NP
%
potassium chloride intravenous solution 0.4
meq/ml, 10 meq/100ml, 10 meq/50ml, 2 meq/ml, NP
20 meq/100ml, 20 meq/50ml, 40 meq/100ml
potassium chloride oral packet NP QL
potassium chloride oral solution 40 meq/15ml
NP
(20%)
sodium chloride injection solution 2.5 meq/ml PG
sodium chloride intravenous solution 0.45 %, 0.9
PG
%, 3 %, 5 %
sodium fluoride oral solution CE
sodium fluoride oral tablet chewable 0.55 (0.25
LGC LGC
f) mg
sodium fluoride oral tablet chewable 1.1 (0.5 f)
CE
mg, 2.2 (1 f) mg
swabflush saline flush NP
*MONOBACTAMS***
azactam NPS
aztreonam NPS
cayston NPS SP; QL
*MOUTH/THROAT/DENTAL AGENTS*
cevimeline hcl PG QL
chlorhexidine gluconate mouth/throat PG
clotrimazole mouth/throat lozenge PG
debacterol NP
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denta 5000 plus NP
evoxac NP QL
first-mouthwash blm NP
nystatin mouth/throat PG
oralone PG
oramagicrx NP
oravig NP QL
paroex PG
periogard PG
periomed NP
pilocarpine hcl oral PG
salagen oral tablet 5 mg NC
salagen oral tablet 7.5 mg NP
triamcinolone acetonide mouth/throat PG
*MUCOPOLYSACCHARIDOSIS IV (MPS
IV) - AGENTS***
vimizim PSP PA; SP
*MULTIVITAMINS*
citranatal 90 dha oral 90-1 & 300 mg NP
citranatal assure oral 35-1 & 300 mg NP
citranatal b-calm NP
citranatal dha NP
citranatal harmony oral capsule 27-1-260 mg NP
citranatal medley NP
citranatal rx NP
co-natal fa PG
concept dha NP
concept ob NP
corvita NP
corvite NP
dialyvite 5000 NP
dialyvite supreme d NP
hemenatal ob PB
marnatal-f NP
multi-vit/fluoride/iron PG
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multivitamin/fluoride oral tablet chewable 0.5
PG
mg, 1 mg
multi-vitamin/fluoride/iron PG
multivitamins/fluoride oral tablet chewable 0.5
PG
mg
mynatal advance PG
mynatal oral tablet PG
mynatal plus PG
mynatal-z PG
nephplex rx PB
nestabs NP
nexa plus NP
ob complete gold NP
ob complete premier NP
ob complete/dha NP
o-cal fa NP
o-cal prenatal NP
ocuvel oral capsule 0.5 mg NP
pnv-dha PG
pnv-omega PB
pnv-select PG
poly-vi-flor PB
poly-vi-flor fs oral strip 1 mg NP
poly-vi-flor/iron oral suspension PB
prenata NP
prenatabs rx PG
prenatal 19 oral tablet PG
prenatal 19 oral tablet chewable PG
prenatal plus iron PB
prenate dha oral capsule 18-0.6-0.4-300 mg NP
quflora fe pediatric NP
se-natal 19 oral tablet chewable PG
synagex NC
synatek NC
taron-c dha PB
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tricare NP
tricare prenatal dha one oral capsule 27-1-500
NP
mg
triveen-duo dha PB
tri-vit/fluoride/iron PG
udamin sp NP
virt-pn PB
virt-pn dha PB
vitafol fe+ NP
vitafol gummies NP
vitafol-ob+dha PB
vitafol-one NP
vital-d rx NP
vol-plus PB
vol-tab rx PB
zatean-pn dha PB
zatean-pn plus PB
*MUSCULOSKELETAL THERAPY
AGENTS*
amrix NC #
baclofen oral tablet 10 mg LGC LGC
baclofen oral tablet 20 mg, 5 mg PG
carisoprodol oral tablet 250 mg NC
carisoprodol oral tablet 350 mg PG
carisoprodol-aspirin NP
carisoprodol-aspirin-codeine NP
chlorzoxazone oral tablet 250 mg NC
chlorzoxazone oral tablet 500 mg PG
cyclobenzaprine hcl oral tablet 10 mg, 5 mg LGC LGC
cyclobenzaprine hcl oral tablet 7.5 mg NP
dantrolene sodium oral PG
durolane intra-articular NPS PA; ST; SP
euflexxa intra-articular solution prefilled
PSP PA; SP
syringe
fexmid NP
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gablofen intrathecal solution 10000 mcg/20ml,
NPS
20000 mcg/20ml, 40000 mcg/20ml
gel-one intra-articular prefilled syringe NPS PA; ST; SP
gelsyn-3 NPS PA; ST
genvisc 850 NPS PA; ST
hyalgan NPS PA; ST; SP
hymovis NPS PA; ST; SP
lorzone NC
metaxalone oral tablet 400 mg NP QL
metaxalone oral tablet 800 mg NP
methocarbamol oral PG
monovisc PSP PA; SP
orphenadrine citrate er NP
orthovisc intra-articular solution prefilled
PSP PA; SP
syringe
robaxin injection solution 1000 mg/10ml NP
skelaxin NP
soma oral tablet 250 mg NC
soma oral tablet 350 mg NP
supartz fx NPS PA; ST
synvisc intra-articular solution prefilled syringe NPS PA; ST; SP
synvisc one intra-articular solution prefilled
NPS PA; ST; SP
syringe
tizanidine comfort pac NC
tizanidine hcl oral capsule NC
tizanidine hcl oral tablet PG
zanaflex oral capsule NC
zanaflex oral tablet NP
*NASAL AGENTS - SYSTEMIC AND
TOPICAL*
adrenalin nasal PB
astepro nasal solution 0.15 % NP
azelastine hcl nasal solution 0.1 % PG
azelastine hcl nasal solution 0.15 % NP
bactroban nasal PB SP
beconase aq NP ST
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budesonide nasal PG Select OTC
dymista NC
flonase NC
flonase allergy relief PG Select OTC
flunisolide nasal solution 25 mcg/act (0.025%) PG
fluticasone propionate nasal PG Select OTC
ipratropium bromide nasal PG QL
mometasone furoate nasal PG
nasacort allergy 24hr PG Select OTC
nasacort allergy 24hr children PG Select OTC
nasal allergy 24 hour PG Select OTC
nasonex NP ST
olopatadine hcl nasal NP
omnaris NP ST; #
patanase NP
qnasl NP ST
qnasl childrens NP ST
rhinocort allergy NP Select OTC
triamcinolone acetonide nasal aerosol PG Select OTC
xhance NC
zetonna NP ST
*NEPRILYSIN INHIB (ARNI)-
ANGIOTENSIN II RECEPT ANTAG
COMB***
entresto PB PA; QL
*NEUROGENIC ORTHOSTATIC
HYPOTENSION (NOH) - AGENTS***
northera NPS PA; ST; SP; QL
*NEUROMUSCULAR AGENTS*
botox NPS PA; ST; SP
dysport NPS PA; SP
myobloc intramuscular solution 2500
NPS PA
unit/0.5ml, 5000 unit/ml
rilutek NP PA
riluzole PB PA
xeomin NPS PA; SP
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*OPHTHALMIC AGENTS*
acular NP
acular ls NP
acuvail NP
akten NC
alaway PG Select OTC
alaway childrens allergy PG Select OTC
alcaine NP
allergy eye drops PG Select OTC
alocril NP
alomide NP
alphagan p NP
alrex PB
altacaine PG
altafluor NP
altafrin ophthalmic solution 10 % PG
apraclonidine hcl PG
atropine sulfate ophthalmic PG
azasite NP #
azelastine hcl ophthalmic PG
azopt PB
bacitracin ophthalmic PG
bacitracin-polymyxin b ophthalmic ointment
PG
500-10000 unit/gm
bacitra-neomycin-polymyxin-hc PG
bepreve NP #
besivance NP
betadine ophthalmic prep NP
betagan NP
betaxolol hcl ophthalmic PG
betimol NP
betoptic-s NP
bimatoprost ophthalmic NP PA; ST
bio glo NP
bleph-10 NP
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blephamide NP
blephamide s.o.p. NP
brimonidine tartrate ophthalmic solution 0.15 % NP
brimonidine tartrate ophthalmic solution 0.2 % PG
bromfenac sodium (once-daily) NP
bromsite NP
carteolol hcl PG
ciloxan NP
ciprofloxacin hcl ophthalmic PG
claritin eye PG Select OTC
combigan PB
cromolyn sodium ophthalmic PG
cyclogyl ophthalmic solution 0.5 %, 2 % NP
cyclogyl ophthalmic solution 1 % NC
cyclomydril NP
cyclopentolate hcl ophthalmic solution 0.5 %, 2
PG
%
cystaran NPS PA; SP; QL
dexamethasone sodium phosphate ophthalmic PG
diclofenac sodium ophthalmic PG
dorzolamide hcl ophthalmic PG
dorzolamide hcl-timolol mal PG
durezol PB #
elestat NP
emadine NP
epinastine hcl PG
eye itch relief PG Select OTC
eylea intravitreal NPS PA; SP
flarex NP
flucaine NP
fluorescein-benoxinate NP
fluor-i-strips a.t. NP
fluorometholone ophthalmic PG
flura-safe NP
flurbiprofen sodium PG
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fml PB
fml forte NP
fml liquifilm NP
ful-glo ophthalmic strip 0.6 mg NP
ful-glo ophthalmic strip 1 mg NP
gatifloxacin ophthalmic NP
gentak ophthalmic ointment PG
gentamicin sulfate ophthalmic solution PG
homatropaire NP
homatropine hbr ophthalmic NP
ilevro NP
iopidine NP
isopto homatropine ophthalmic solution 5 % NP
istalol NP
jetrea intravitreal solution 0.375 mg/0.3ml NPS PA; SP
ketorolac tromethamine ophthalmic NP QL
ketotifen fumarate ophthalmic PG Select OTC
lacrisert NP
lastacaft NP
latanoprost ophthalmic PG
levobunolol hcl ophthalmic solution 0.5 % PG
levofloxacin ophthalmic PG
lotemax ophthalmic gel PB #
lotemax ophthalmic ointment PB
lotemax ophthalmic suspension PB
lucentis intravitreal solution prefilled syringe NPS PA; SP
lumigan ophthalmic solution 0.01 % NP PA; ST
macugen NPS PA; SP
maxidex NP
moxeza NP #
moxifloxacin hcl ophthalmic PG
mydriacyl NP
natacyn NP
neomycin-bacitracin zn-polymyx ophthalmic
PG
ointment 5-400-10000
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neomycin-polymyxin-dexameth ophthalmic
PG
ointment
neomycin-polymyxin-dexameth ophthalmic
PG
suspension 3.5-10000-0.1
neomycin-polymyxin-gramicidin ophthalmic
PG
solution 1.75-10000-.025
neomycin-polymyxin-hc ophthalmic suspension
PG
3.5-10000-1
nevanac NP
ocuflox NP
ofloxacin ophthalmic PG
olopatadine hcl ophthalmic PG
omnipred NC
pataday NP
patanol NP
pazeo NP
phenylephrine hcl ophthalmic solution 2.5 % PG
phospholine iodide PB
pilocarpine hcl ophthalmic solution 1 %, 2 %, 4
PG
%
polymyxin b-trimethoprim PG
polytrim NP
pred forte NP
pred mild NP
pred-g NP
pred-g s.o.p. NP
prednisolone acetate ophthalmic PG
prednisolone sodium phosphate ophthalmic PG
prolensa NP
proparacaine hcl ophthalmic NP
proparacaine-fluorescein NP
rescula NP PA; ST; #
restasis PB #
restasis multidose PB #
simbrinza NP
sulfacetamide sodium ophthalmic PG
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sulfacetamide-prednisolone ophthalmic solution PG
tetcaine PG
tetracaine hcl ophthalmic PG
tetravisc NP
timolol maleate ophthalmic gel forming solution PG
timolol maleate ophthalmic solution 0.25 %, 0.5
PG
%
timolol maleate ophthalmic solution 0.5 %
NP
(daily)
timoptic NP
timoptic ocudose NP
timoptic-xe ophthalmic gel forming solution
NP
0.5 %
tobradex NP
tobradex st NP
tobramycin-dexamethasone PG
tobrex ophthalmic ointment NP
travatan z PB #
trifluridine ophthalmic PG
tropicamide ophthalmic NP
trusopt NP
vigamox NP
visionblue NP
visudyne NPS PA; #; SP
vyzulta NP PA; ST
xalatan NP PA; ST
zaditor NC Select OTC
zioptan NP PA; ST
zirgan NP #
zylet NP
zymaxid NP
*OPHTHALMIC RHO KINASE
INHIBITORS***
rhopressa NP ST
*OREXIN RECEPTOR ANTAGONISTS***
belsomra NP ST; QL; AL
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*OTIC AGENTS*
acetasol hc PG
acetic acid otic PG
cetraxal NP
cipro hc NP #
ciprodex PB #
ciprofloxacin hcl otic NP
coly-mycin s NP
dermotic NP
floxin otic NC
fluocinolone acetonide otic NP
hydrocortisone-acetic acid PG
neomycin-polymyxin-hc otic PG
ofloxacin otic PG
otovel NP
*OXABOROLE-RELATED ANTIFUNGALS
- TOPICAL***
kerydin NP PA; ST
*OXYTOCICS*
methergine oral NP QL
*PASSIVE IMMUNIZING AGENTS -
COMBINATIONS***
hyqvia NPS PA; ST; SP
*PASSIVE IMMUNIZING AGENTS*
bivigam NPS PA; ST; SP
carimune nf intravenous solution reconstituted
NPS PA; ST; SP
12 gm, 6 gm
cuvitru NPS PA; ST
cytogam PSP SP
flebogamma dif PSP PA; SP
gamastan s/d intramuscular injectable NPS SP
gammagard NPS PA; ST; SP
gammagard s/d less iga NPS PA; ST; SP
gammaked NPS PA; ST; SP
gammaplex intravenous solution 10 gm/200ml,
PSP PA; SP
20 gm/400ml, 5 gm/100ml
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gamunex-c PSP PA; SP
hizentra subcutaneous solution 1 gm/5ml, 10
PSP PA; SP
gm/50ml, 2 gm/10ml, 4 gm/20ml
hyperhep b s/d NP SP
hyperrab NPS SP
hyperrho s/d intramuscular solution prefilled
NPS SP
syringe
hypertet s/d PSP SP
micrhogam ultra-filtered plus intramuscular
NPS SP
solution prefilled syringe
nabi-hb NP SP
octagam PSP PA; SP
privigen NPS PA; ST; SP
rhogam ultra-filtered plus intramuscular
NPS SP
solution prefilled syringe
rhophylac injection solution prefilled syringe NPS SP
synagis PSP PA; SP
winrho sdf NP SP
*PCSK9 INHIBITORS***
praluent subcutaneous solution pen-injector PSP PA; ST; QL
repatha PSP PA; ST; QL
repatha pushtronex system PSP PA; ST; QL
repatha sureclick PSP PA; ST; QL
*PENICILLINS*
amoxicillin oral capsule LGC LGC
amoxicillin oral suspension reconstituted LGC LGC
amoxicillin oral tablet PG
amoxicillin oral tablet chewable 125 mg, 250 mg PG
amoxicillin-pot clavulanate er PG
amoxicillin-pot clavulanate oral suspension
PG
reconstituted
amoxicillin-pot clavulanate oral tablet PG
amoxicillin-pot clavulanate oral tablet chewable
PG
200-28.5 mg
ampicillin oral capsule 500 mg PG
ampicillin sodium injection NPS
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ampicillin sodium intravenous NPS
ampicillin-sulbactam sodium injection NPS
ampicillin-sulbactam sodium intravenous
solution reconstituted 1.5 (1-0.5) gm, 15 (10-5) NPS
gm
augmentin oral suspension reconstituted 125-
NP
31.25 mg/5ml, 250-62.5 mg/5ml
augmentin oral tablet 500-125 mg, 875-125 mg NP
augmentin xr NP
bactocill in dextrose NP
dicloxacillin sodium PG
moxatag NP
penicillin g pot in dextrose NP
penicillin v potassium oral solution reconstituted
LGC LGC
125 mg/5ml
penicillin v potassium oral solution reconstituted
PG
250 mg/5ml
penicillin v potassium oral tablet 250 mg LGC LGC
penicillin v potassium oral tablet 500 mg PG
piperacillin sod-tazobactam so intravenous
solution reconstituted 2.25 (2-0.25) gm, 3.375 NPS
(3-0.375) gm, 4.5 (4-0.5) gm, 40.5 (36-4.5) gm
unasyn injection solution reconstituted 15 (10-
NP
5) gm, 3 (2-1) gm
zosyn intravenous solution reconstituted NPS
*PHARMACEUTICAL ADJUVANTS*
saline bacteriostatic NP
saline-benzyl alcohol NP
sodium chloride bacteriostatic NP
*PHOSPHATIDYLINOSITOL 3-KINASE
(PI3K) INHIBITORS***
zydelig NPS PA; SP; QL
*PHOSPHODIESTERASE 4 (PDE4)
INHIBITORS - TOPICAL***
eucrisa NC
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*PHOSPHODIESTERASE 4 (PDE4)
INHIBITORS***
otezla oral tablet PSP PA; ST; SP; QL
otezla oral tablet therapy pack PSP PA; ST; SP; QL
*POLY (ADP-RIBOSE) POLYMERASE
(PARP) INHIBITORS**
lynparza oral capsule NPS PA; ST; SP; QL
lynparza oral tablet NPS PA; SP; QL
rubraca oral tablet 200 mg, 300 mg NPS PA; QL
rubraca oral tablet 250 mg NPS PA; SP; QL
zejula NPS PA; SP; QL
*POLY (ADP-RIBOSE) POLYMERASE
(PARP) INHIBITORS***
lynparza oral capsule NPS PA; ST; SP; QL
lynparza oral tablet NPS PA; SP; QL
rubraca oral tablet 200 mg, 300 mg NPS PA; QL
rubraca oral tablet 250 mg NPS PA; SP; QL
zejula NPS PA; SP; QL
*POSTHERPETIC NEURALGIA
(PHN)/NEUROPATHIC PAIN AGENTS***
gralise NP ST; QL
gralise starter NP ST; QL
lyrica cr PB QL
*POTASSIUM REMOVING AGENTS***
kionex oral powder PG
sodium polystyrene sulfonate oral powder PG
veltassa NP PA; QL
*PROGESTINS*
aygestin NP
makena intramuscular NPS PA; #; SP
makena subcutaneous NPS PA; SP; QL
medroxyprogesterone acetate oral LGC LGC
megace es NP
megestrol acetate oral suspension 625 mg/5ml NP
norethindrone acetate oral PG
progesterone micronized oral PG QL
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prometrium NP QL
provera NP
*PROTEASE-ACTIVATED RECEPTOR-1
(PAR-1) ANTAGONISTS***
zontivity NP PA; QL
*PSYCHOTHERAPEUTIC AND
NEUROLOGICAL AGENTS - MISC.*
acamprosate calcium NP QL
ampyra NPS PA; #; SP; QL
antabuse NP
aricept oral tablet 10 mg, 5 mg NP PA
aricept oral tablet 23 mg NP PA; AL
aubagio PSP PA; SP; QL
austedo NPS PA; ST; SP; QL
avonex PSP PA; SP; QL
avonex pen intramuscular auto-injector kit PSP PA; SP; QL
avonex prefilled intramuscular prefilled syringe
PSP PA; SP; QL
kit
betaseron subcutaneous kit PSP PA; SP; QL
brisdelle NP PA; ST; QL
bupropion hcl er (smoking det) CE QL
chantix CE QL
chantix continuing month pak CE QL
chantix starting month pak CE QL
chlordiazepoxide-amitriptyline NP
copaxone subcutaneous solution prefilled
NC SP
syringe 20 mg/ml
copaxone subcutaneous solution prefilled
PSP PA; SP
syringe 40 mg/ml
cvs nicotine polacrilex mouth/throat lozenge 4
PG QL
mg
cvs nicotine transdermal patch 24 hour 14
CE QL
mg/24hr, 7 mg/24hr
disulfiram oral PG
donepezil hcl oral tablet 10 mg PG PA; QL
donepezil hcl oral tablet 23 mg NP PA; AL
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donepezil hcl oral tablet 5 mg PG PA; AL
donepezil hcl oral tablet dispersible PG PA
eq nicotine transdermal CE QL
ergoloid mesylates oral NP
exelon transdermal NP PA
extavia subcutaneous kit NPS PA; ST; SP; QL
fluoxetine hcl (pmdd) PG
galantamine hydrobromide NP PA; AL
galantamine hydrobromide er NP PA; AL
gilenya oral capsule 0.5 mg PSP PA; #; SP; QL
gralise NP ST; QL
gralise starter NP ST; QL
hm nicotine CE QL
hm nicotine polacrilex mouth/throat lozenge 2
PG QL
mg
horizant oral tablet extended release NP PA; ST; QL
ingrezza oral capsule 40 mg NPS PA; SP; QL
ingrezza oral capsule 80 mg NPS PA; QL
lemtrada PSP PA; SP; QL
lyrica cr PB QL
memantine hcl er PG PA; AL
memantine hcl oral tablet 10 mg, 5 mg PG QL; AL
memantine hcl oral tablet 5 (28)-10 (21) mg PG AL
namenda oral tablet NP PA
namenda titration pak NP PA
namenda xr PB PA; #; AL
namenda xr titration pack PB PA; #
nicoderm cq CE QL
nicorelief mouth/throat gum NP QL
nicorette mouth/throat gum CE QL
nicorette mouth/throat lozenge CE
nicotine polacrilex mouth/throat gum 4 mg PG
nicotine step 1 CE QL
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nicotine transdermal patch 24 hour CE QL
nicotrol CE QL
nicotrol ns CE QL
nuedexta PB QL
olanzapine-fluoxetine hcl NP QL
orap NP
paroxetine mesylate NP QL
perphenazine-amitriptyline PG
pimozide NP
plegridy PSP PA; SP; QL
plegridy starter pack PSP PA; SP; QL
ra nicotine transdermal CE QL
razadyne er NP PA; AL
razadyne oral tablet 12 mg NC
razadyne oral tablet 4 mg, 8 mg NP PA
rebif rebidose subcutaneous solution auto-
PSP PA; SP; QL
injector
rebif rebidose titration pack subcutaneous
PSP PA; SP; QL
solution auto-injector
rebif subcutaneous solution prefilled syringe PSP PA; SP; QL
rebif titration pack subcutaneous solution
PSP PA; SP; QL
prefilled syringe
rivastigmine NP PA
rivastigmine tartrate NP PA
sarafem oral tablet 10 mg, 20 mg NP
savella NP ST; QL
savella titration pack NP ST; QL
sm nicotine transdermal CE QL
symbyax oral capsule 12-25 mg, 12-50 mg, 6-25
NP QL
mg, 6-50 mg
symbyax oral capsule 3-25 mg NP
tecfidera PSP PA; SP; QL
tetrabenazine PSP PA; QL
tgt nicotine step one CE QL
tgt nicotine step three CE QL
tgt nicotine step two CE QL
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thrive mouth/throat gum 2 mg NP QL
tysabri NPS PA; ST; SP
xenazine NPS PA; ST; SP; QL
xyrem NPS PA; SP
zyban CE QL
*PULMONARY FIBROSIS AGENTS -
KINASE INHIBITORS***
ofev NPS PA; SP; QL
*PULMONARY FIBROSIS AGENTS***
esbriet NPS PA; SP; QL
*PULMONARY HYPERTENSION -
PROSTACYCLIN RECEPTOR
AGONIST***
uptravi oral tablet 1000 mcg, 1200 mcg, 1400
NPS PA; SP; QL
mcg, 1600 mcg, 400 mcg, 600 mcg, 800 mcg
uptravi oral tablet 200 mcg NPS PA; SP
uptravi oral tablet therapy pack NPS PA; SP
*RESPIRATORY AGENTS - MISC.*
aralast np intravenous solution reconstituted
NPS PA; SP
1000 mg, 500 mg
glassia NPS PA; SP
kalydeco NPS PA; SP; QL
prolastin-c intravenous solution NPS PA; SP
prolastin-c intravenous solution reconstituted
NPS PA; SP
1000 mg
pulmozyme PSP PA; SP; QL
zemaira NPS PA; SP
*SEROTONIN MODULATORS***
nefazodone hcl NP
trazodone hcl oral tablet 100 mg, 150 mg, 50 mg LGC LGC
trazodone hcl oral tablet 300 mg PG
trintellix NP PA; ST; QL
viibryd oral tablet NP QL
viibryd starter pack NP
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*SGLT2 INHIBITOR - DPP-4 INHIBITOR
COMBINATIONS***
glyxambi PB QL
qtern NC
steglujan NC
*SINUS NODE INHIBITORS**
corlanor NP PA; ST; QL
*SODIUM-GLUCOSE CO-TRANSPORTER
2 INHIBITOR-BIGUANIDE COMB***
invokamet PB QL
invokamet xr PB QL
segluromet NC
synjardy PB QL
synjardy xr PB QL
xigduo xr NP QL
*SPLEEN TYROSINE KINASE (SYK)
INHIBITORS***
tavalisse NPS PA; SP; QL
*SULFONAMIDES*
sulfadiazine oral NP
*TETRACYCLINES*
acticlate NC
avidoxy NC
avidoxy dk NC
coremino NC
demeclocycline hcl oral NP
doryx mpc NC
doryx oral tablet delayed release 200 mg, 50 mg NC
doxy 100 NP
doxycycline hyclate oral capsule PG
doxycycline hyclate oral tablet 100 mg, 50 mg PG
doxycycline hyclate oral tablet 150 mg, 75 mg NC
doxycycline hyclate oral tablet 20 mg NP
doxycycline hyclate oral tablet delayed release NC
doxycycline monohydrate oral capsule 150 mg,
NC
75 mg
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doxycycline monohydrate oral capsule 50 mg PG
doxycycline monohydrate oral tablet NC
minocin oral capsule 100 mg, 50 mg NP
minocycline hcl er NC
minocycline hcl oral capsule 100 mg, 75 mg PG
minocycline hcl oral capsule 50 mg NC
minocycline hcl oral tablet NC
mondoxyne nl oral capsule 75 mg NC
morgidox combination NC
morgidox oral capsule 100 mg PG
solodyn oral tablet extended release 24 hour
NC #
105 mg, 115 mg, 55 mg, 65 mg, 80 mg
targadox NC
tetracycline hcl oral PG
vibramycin NP
ximino NC
*THYROID AGENTS*
armour thyroid NP
cytomel NP
levothyroxine sodium oral tablet 100 mcg, 112
mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 LGC LGC
mcg, 25 mcg, 50 mcg, 75 mcg, 88 mcg
levothyroxine sodium oral tablet 300 mcg PG
levoxyl LGC LGC
liothyronine sodium intravenous NP
liothyronine sodium oral PG
methimazole oral PG
nature-throid oral tablet 113.75 mg, 130 mg,
146.25 mg, 162.5 mg, 195 mg, 260 mg, 325 mg, NP
81.25 mg
nature-throid oral tablet 16.25 mg, 32.5 mg,
PB
48.75 mg, 65 mg, 97.5 mg
np thyroid oral tablet 60 mg PG
propylthiouracil oral PG
synthroid NP
tapazole oral tablet 5 mg NP
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thyrolar-1 NP
thyrolar-1/2 NP
thyrolar-1/4 NP
thyrolar-2 NP
thyrolar-3 NP
tirosint NP QL
unithroid direct PG
unithroid oral tablet 100 mcg, 112 mcg, 125
mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 50 LGC LGC
mcg, 75 mcg, 88 mcg
westhroid oral tablet 130 mg, 195 mg, 32.5 mg,
NP
65 mg, 97.5 mg
wp thyroid oral tablet 113.75 mg, 16.25 mg,
NP
32.5 mg, 48.75 mg, 65 mg, 81.25 mg, 97.5 mg
wp thyroid oral tablet 130 mg PB
*TOPICAL ANESTHETIC GASES***
gebauers pain ease NP
gebauers spray and stretch NP
*TOXOIDS*
adacel intramuscular suspension 5-2-15.5 lf-
PB
mcg/0.5
boostrix intramuscular suspension 5-2.5-18.5 PB
*TRYPTOPHAN HYDROXYLASE
INHIBITORS***
xermelo NPS PA; QL
*ULCER DRUGS*
acid control maximum strength oral tablet 20
NC
mg
acid controller max st NC
acid reducer maximum strength oral tablet 20
NC
mg
acid reducer oral tablet 150 mg NC
aciphex NP PA; ST; QL
aciphex sprinkle NP PA; ST; #; QL
amoxicill-clarithro-lansopraz PG
belladonna alkaloids-opium NP
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belladonna-opium NP
bentyl intramuscular NP
bentyl oral capsule NP
carafate NP
chlordiazepoxide-clidinium NC
cimetidine oral tablet 300 mg, 400 mg, 800 mg PG
cuvposa NP
cvs acid controller max st NC
dexilant NP PA; ST; QL
dicyclomine hcl oral capsule LGC LGC
dicyclomine hcl oral solution PG
dicyclomine hcl oral tablet LGC LGC
donnatal oral tablet NP
eq acid reducer max st NC
eql heartburn prevention oral tablet 20 mg NC
esomeprazole magnesium oral capsule delayed
PG Select OTC
release 20 mg
esomeprazole magnesium oral capsule delayed
PG QL
release 40 mg
esomeprazole strontium oral capsule delayed
NC
release 49.3 mg
famotidine oral suspension reconstituted PG
famotidine oral tablet 20 mg NC
famotidine oral tablet 40 mg LGC LGC
famotidine premixed NP
glycopyrrolate injection solution 4 mg/20ml NP
glycopyrrolate oral tablet 1 mg, 2 mg NP
gnp acid reducer max st NC
heartburn relief max st oral tablet 20 mg NC
hm famotidine oral tablet 20 mg NC
kls acid controller max st NC
lansoprazole oral capsule delayed release 15 mg PG Select OTC
lansoprazole oral capsule delayed release 30 mg NC
lansoprazole oral tablet dispersible NP QL
librax NC
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methscopolamine bromide oral NP
misoprostol oral PG
nexium 24hr PG Select OTC; QL
nexium i.v. intravenous solution reconstituted
NP
40 mg
nexium oral capsule delayed release 40 mg NP QL
nexium oral packet NP #; QL
nizatidine PG
omeclamox-pak NP
omeprazole magnesium PG Select OTC
omeprazole oral capsule delayed release 10 mg,
PG
40 mg
omeprazole oral capsule delayed release 20 mg NC
omeprazole oral tablet delayed release PG Select OTC
omeprazole-sodium bicarbonate oral capsule 20-
PG Select OTC
1100 mg
omeprazole-sodium bicarbonate oral capsule 40-
NC
1100 mg
omeprazole-sodium bicarbonate oral packet NC
pantoprazole sodium oral PG
pepcid ac maximum strength oral tablet NC
pepcid oral suspension reconstituted NP
pepcid oral tablet 20 mg NC
prevacid NC
prevacid 24hr PG Select OTC
prevacid solutab NP PA; ST; QL; AL
prevpac NP
prilosec oral packet NC
prilosec otc PG Select OTC; QL
propantheline bromide oral PG
protonix NP
px acid reducer max st oral tablet 20 mg NC
pylera NP #
qc acid controller max st NC
ra acid reducer max st oral tablet 20 mg NC
rabeprazole sodium PG PA; QL
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ranitidine hcl injection solution 50 mg/2ml NP
ranitidine hcl oral capsule PG
ranitidine hcl oral syrup 75 mg/5ml PG
ranitidine hcl oral tablet 300 mg LGC LGC
robinul oral NP
robinul-forte NP
sb acid controller max st NC
sm acid reducer max st oral tablet 20 mg NC
sucralfate oral tablet PG
symax duotab NC
zantac injection solution 1000 mg/40ml NP
zantac oral tablet 300 mg NP
zegerid NC
zegerid otc PG Select OTC; QL
*URINARY ANTI-INFECTIVES*
furadantin NP
hiprex NP
macrobid NP
macrodantin NP
methenamine hippurate PG
methenamine mandelate oral tablet 0.5 gm PG
nitrofurantoin macrocrystal oral capsule 50 mg PG
nitrofurantoin monohyd macro PG
nitrofurantoin oral suspension PG
*URINARY ANTISPASMODICS*
bethanechol chloride oral tablet 10 mg, 5 mg, 50
PG
mg
darifenacin hydrobromide er NP QL
detrol NP ST
detrol la NP ST; QL
ditropan xl NP ST; QL
enablex NP ST; QL
flavoxate hcl PG
gelnique transdermal gel 10 % NP ST
myrbetriq PB ST; QL
07/01/2018
147
oxybutynin chloride er PG QL
oxybutynin chloride oral syrup PG
oxybutynin chloride oral tablet LGC LGC; QL
oxytrol NC #
oxytrol for women PG #; Select OTC
tolterodine tartrate PG
tolterodine tartrate er NP QL
toviaz NP ST; QL
trospium chloride PG QL
trospium chloride er PG QL
urecholine NP
vesicare NP ST; #; QL
*VAGINAL PRODUCTS*
avc vaginal NP
cleocin vaginal NP
clindamycin phosphate vaginal PG
crinone NP
endometrin NP
estrace vaginal NP
estradiol vaginal cream PG
estradiol vaginal tablet NP
estring NP
fem ph NP
femring NP #; QL
gynazole-1 NP
intrarosa NP QL
metrogel-vaginal NP
metronidazole vaginal PG
miconazole 3 vaginal suppository NP
premarin vaginal PB
relagard NP
terconazole PG
vagifem vaginal tablet 10 mcg NP
vandazole PG
yuvafem NP
07/01/2018
148
*VASOPRESSORS*
adrenalin injection NC
adyphren NP QL
adyphren amp ii NP QL
adyphren ii NP QL
auvi-q injection solution auto-injector NC
epinephrine injection solution auto-injector PG QL
epipen 2-pak injection solution auto-injector PB QL
epipen jr 2-pak injection solution auto-injector PB QL
episnap NP QL
midodrine hcl PG SP
*VITAMINS*
aqueous vitamin d CE
calcidol NC
calciferol NC
cvs d3 oral capsule 2000 unit, 5000 unit NC
d 10000 NC
d 5000 oral capsule NC
d-2000 maximum strength NC
d2000 ultra strength NC
d3 dots NC
d3 maximum strength NC
d3 super strength NC
d3-1000 oral capsule CE
d-3-5 NC
d-5000 NC
ddrops oral liquid 2000 unt/0.03ml, 2000
NC
ut/0.028ml
decara oral capsule 25000 unit, 50000 unit NC
delta d3 CE
dialyvite vitamin d 5000 NC
dialyvite vitamin d3 max NC
drisdol oral capsule NC
d-vi-sol CE
eql vitamin d3 oral capsule 2000 unit, 5000 unit NC
07/01/2018
149
ergocal NP
ergocalciferol oral capsule PG
gnp vitamin d maximum strength NC
gnp vitamin d oral tablet 1000 unit CE
gnp vitamin d super strength NC
hm vitamin d3 NC
maximum d3 NC
mephyton PB QL
nat-rul vitamin d oral tablet 2000 unit, 5000 unit NC
natural vitamin d-3 NC
optimal d3 m NC
optimal-d NC
opurity vitamin d NC
pa vitamin d-3 oral capsule 5000 unit NC
phytonadione oral PG QL
potaba oral capsule NP
ra vitamin d-3 oral capsule 5000 unit NC
replesta NC
replesta childrens NC
replesta nx NC
sm vitamin d3 oral capsule NC
super daily d3 oral liquid 2000 ut/0.028ml NC
thera-d 2000 NC
thera-d 4000 NC
thera-d rapid repletion NC
vitamin d (ergocalciferol) oral capsule 50000
PG
unit
vitamin d oral capsule 2000 unit NC
vitamin d oral tablet 2000 unit NC
vitamin d2 oral tablet 2000 unit NC
vitamin d3 maximum strength NC
vitamin d3 oral capsule 10000 unit, 5000 unit,
NC
50000 unit
vitamin d3 oral liquid 5000 unit/ml NC
07/01/2018
150
vitamin d3 oral tablet 10000 unit, 3000 unit,
NC
5000 unit, 50000 unit
vitamin d3 oral tablet 400 unit CE
vitamin d3 oral tablet chewable 2000 unit, 5000
NC
unit
vitamin d3 super strength oral tablet NC
07/01/2018
151
Index
abacavir sulfate........................ 62 activella................................. 102 agamatrix presto test............... 93
abacavir sulfate-lamivudine...... 62 actonel.....................................98 aggrenox................................ 107
abacavir-lamivudine-zidovudine 62 actoplus met............................ 38 aimovig....................................68
abaneu-sl............................... 109 actoplus met xr........................ 38 aimovig 140 dose..................... 68
abilify...................................... 60 actos........................................ 38 airavite...................................109
abreva......................................80 acular.....................................129 airduo respiclick 113/14........... 30
absorica................................... 80 acular ls................................. 129 airduo respiclick 232/14........... 30
abstral..................................... 22 acuvail................................... 129 airduo respiclick 55/14.............30
acamprosate calcium.............. 138 acyclovir.............................62, 80 akten......................................129
acanya..................................... 80 aczone..................................... 80 aktipak.................................... 80
acarbose...................................38 adacel.................................... 144 akynzeo................................... 43
accolate................................... 30 adagen..................................... 68 ala scalp...................................80
accu-chek aviva plus................92 adalat cc.................................. 68 ala-quin................................... 80
accu-chek compact plus...........92 adapalene................................. 80 alavert......................................45
accu-chek fastclix lancets....... 117 adapalene-benzoyl peroxide...... 80 alavert allergy/sinus..................79
accu-chek multiclix lancet dev117 adcirca.....................................70 alaway....................................129
accu-chek multiclix lancets.... 117 adderall................................... 16 alaway childrens allergy.........129
accu-chek smartview................92 adderall xr............................... 16 albenza.................................... 28
accu-chek soft touch lancets.. 117 adefovir dipivoxil......................62 albuterol sulfate....................... 30
accu-chek softclix lancets.......117 adempas.................................. 70 albuterol sulfate er................... 30
accupril....................................48 adlyxin.....................................38 alcaine................................... 129
accuretic.................................. 48 adlyxin starter pack................. 39 alclometasone dipropionate.......80
accutrend glucose.................... 92 admelog...................................39 alcortin a................................. 80
acebutolol hcl........................... 67 admelog solostar..................... 39 aldactazide...............................97
acetaminophen-codeine.............22 adrenalin........................ 127, 149 aldactone................................. 97
acetaminophen-codeine #2........22 adrucil......................................54 aldara...................................... 80
acetaminophen-codeine #3........22 advair diskus........................... 30 aldurazyme.............................. 98
acetaminophen-codeine #4........22 advair hfa................................ 30 alecensa................................... 54
acetasol hc..............................134 advance intuition test.............. 92 alendronate sodium...................98
acetazolamide.......................... 97 advance micro-draw test..........92 alferon n.................................. 54
acetazolamide er...................... 97 advate.................................... 106 alfuzosin hcl er....................... 105
acetic acid.......................105, 134 advocate duo......................... 117 alinia....................................... 51
acetylcysteine........................... 79 advocate redi-code...................93 alkeran.................................... 54
acid control maximum strength advocate redi-code+ test..........93 allegra allergy.......................... 45
...............................................144 advocate test............................93 allegra allergy childrens........... 45
acid controller max st............. 144 adynovate....................... 106, 107 allegra-d allergy & congestion. 79
acid reducer............................144 adyphren............................... 149 allergy eye drops.................... 129
acid reducer maximum strength adyphren amp ii.....................149 allergy relief.............................45
...............................................144 adyphren ii.............................149 allopurinol.............................. 106
aciphex.................................. 144 adzenys er................................16 allzital......................................21
aciphex sprinkle..................... 144 adzenys xr-odt......................... 17 almotriptan malate................. 121
acitretin................................... 80 afeditab cr................................68 alocril.................................... 129
actemra....................................19 afinitor.................................... 54 alogliptin benzoate................... 39
acticlate................................. 142 afinitor disperz........................ 54 alogliptin-metformin hcl........... 39
actigall................................... 103 afrezza..................................... 39 alogliptin-pioglitazone.............. 39
actimmune...............................54 afstyla.................................... 107 alomide..................................129
actiq........................................ 22 agamatrix amp test.................. 93 aloprim.................................. 106
active 1st blood lancets 30g....117 agamatrix jazz test................... 93 aloquin.................................... 81
active fe..................................109 agamatrix keynote test.............93 alora...................................... 102
152
alosetron hcl........................... 103 amoxapine............................... 36 arcapta neohaler......................30
aloxi........................................ 43 amoxicill-clarithro-lansopraz..144 argyle sterile saline................. 105
alphagan p............................. 129 amoxicillin............................. 135 aricept....................................138
alphanate/vwf amoxicillin-pot clavulanate..... 135 arimidex.................................. 54
complex/human..................... 107 amoxicillin-pot clavulanate er. 135 aripiprazole.............................. 60
alphanine sd...........................107 amphetamine-dextroamphet er. 17 arixtra......................................32
alprazolam............................... 29 amphetamine- armodafinil.............................. 17
alprazolam er........................... 29 dextroamphetamine..................17 armonair respiclick 113........... 30
alprazolam intensol................. 29 ampicillin............................... 135 armonair respiclick 232........... 30
alprazolam xr...........................29 ampicillin sodium............ 135, 136 armonair respiclick 55............. 30
alprolix.................................. 107 ampicillin-sulbactam sodium... 136 armour thyroid...................... 143
alrex.......................................129 ampyra.................................. 138 arnuity ellipta.......................... 30
altabax.....................................81 amrix..................................... 126 aromasin..................................54
altacaine.................................129 anadrol-50............................... 26 arthrotec..................................19
altace....................................... 48 anafranil.................................. 36 arymo er.................................. 22
altafluor................................. 129 anagrelide hcl......................... 107 arzerra..................................... 54
altafrin................................... 129 ana-lex.....................................27 asacol hd................................103
altavera....................................73 analpram-hc............................ 27 ascomp-codeine........................ 22
altoprev................................... 46 anaprox ds...............................19 asmanex 120 metered doses..... 30
alunbrig................................... 54 anastrozole...............................54 asmanex 14 metered doses....... 31
alvesco.....................................30 ancobon...................................44 asmanex 30 metered doses....... 31
alyacen 1/35............................. 73 androderm...............................26 asmanex 60 metered doses....... 31
alyacen 7/7/7............................ 73 androgel.................................. 27 asmanex 7 metered doses.........31
amantadine hcl......................... 58 androgel pump........................ 26 asmanex hfa.............................31
amaryl..................................... 39 angeliq................................... 102 aspir-81....................................21
ambien...................................113 animi-3.................................. 109 aspirin-dipyridamole er...........107
ambien cr...............................113 animi-3/vitamin d.................. 109 aspir-low.................................. 21
ambisome................................ 44 anoro ellipta............................ 30 assure 3 test............................. 93
amcinonide............................... 81 antabuse................................ 138 assure 4 test............................. 93
ameluz..................................... 81 antara...................................... 46 assure ii....................................93
amerge................................... 121 anusol-hc................................. 27 assure ii check..........................93
amethia.................................... 73 anzemet................................... 43 assure lancets......................... 117
amethia lo................................ 73 apap-caff-dihydrocodeine......... 22 assure platinum....................... 93
amicar....................................112 apexicon e................................81 assure prism multi test............. 93
amikacin sulfate....................... 18 apidra...................................... 39 assure pro test..........................93
amiloride hcl............................ 97 apidra solostar.........................39 astagraf xl................................65
amiloride-hydrochlorothiazide.. 97 aplenzin................................... 36 astepro...................................127
aminophylline...........................30 apraclonidine hcl.................... 129 astero.......................................81
amiodarone hcl......................... 29 aprepitant................................ 43 atacand....................................48
amitiza...................................103 apri.......................................... 73 atacand hct.............................. 48
amitriptyline hcl....................... 36 apriso.....................................103 atazanavir sulfate..................... 62
amlodipine besy-benazepril hcl..48 aptensio xr...............................17 atelvia......................................99
amlodipine besylate.................. 68 aptiom..................................... 33 atenolol.................................... 67
amlodipine besylate-valsartan... 48 aptivus.....................................62 atenolol-chlorthalidone............. 48
amlodipine-atorvastatin............ 70 aqueous vitamin d................... 149 atgam...................................... 65
amlodipine-olmesartan............. 48 aralast np...............................141 ativan...................................... 29
amlodipine-valsartan-hctz.........48 aranelle.................................... 73 atomoxetine hcl........................ 17
ammonium lactate.................... 81 aranesp (albumin free)........... 109 atorvastatin calcium................. 46
ammonul................................. 98 arava....................................... 19 atovaquone...............................51
amnesteem............................... 81 arcalyst.................................... 19 atovaquone-proguanil hcl..........52
153
atralin......................................81 bacitra-neomycin-polymyxin- benzaclin with pump............... 81
atripla......................................62 hc........................................... 129 benznidazole.............................28
atropine sulfate.......................129 baclofen..................................126 benzonatate..............................79
atrovent hfa............................. 31 bactocill in dextrose............... 136 benzoyl peroxide-erythromycin.81
aubagio..................................138 bactrim.................................... 51 benztropine mesylate................ 58
augmentin..............................136 bactrim ds................................51 bepreve.................................. 129
augmentin xr......................... 136 bactroban................................ 81 berinert.................................. 107
austedo.................................. 138 bactroban nasal..................... 127 besivance............................... 129
auvi-q.................................... 149 balcoltra.................................. 73 betadine ophthalmic prep...... 129
avage....................................... 81 balsalazide disodium............... 103 betagan.................................. 129
avalide..................................... 48 balziva..................................... 73 betamethasone dipropionate..... 81
avandia....................................39 banzel...................................... 33 betamethasone dipropionate
avapro..................................... 48 baraclude.................................62 aug...........................................81
avar cleanser............................ 81 basaglar kwikpen.....................39 betamethasone valerate............ 81
avar ls cleanser........................ 81 baxdela.................................. 103 betapace af.............................. 67
avar-e emollient........................81 bayer aspirin ec low dose.......... 21 betaseron............................... 138
avar-e green............................. 81 bayer breeze 2 test................... 93 betaxolol hcl..................... 67, 129
avar-e ls................................... 81 bayer contour test....................93 bethanechol chloride............... 147
avc vaginal.............................148 bayer low dose..........................21 bethkis.....................................18
avelox.................................... 103 bayer microlet lancets............ 117 betimol.................................. 129
aviane...................................... 73 bd autoshield......................... 117 betoptic-s............................... 129
avidoxy.................................. 142 bd insulin syringe...................117 bevespi aerosphere...................31
avidoxy dk............................. 142 bd insulin syringe half-unit.... 117 bevyxxa................................... 32
avita.........................................81 bd insulin syringe microfine...117 bexarotene............................... 54
avo cream................................ 81 bd insulin syringe ultrafine.... 117 beyaz....................................... 73
avodart.................................. 105 bd lancet ultrafine 30g........... 117 biafine..................................... 81
avonex................................... 138 bd lancet ultrafine 33g........... 117 biaxin.....................................116
avonex pen.............................138 bd microtainer lancets........... 117 bicalutamide.............................54
avonex prefilled..................... 138 bd pen....................................117 bidil......................................... 70
av-vite fb................................ 109 bd pen mini............................117 biferarx.................................. 109
axert...................................... 121 bd pen needle mini u/f............117 biktarvy................................... 62
aygestin..................................137 bd pen needle nano u/f...........117 biltricide.................................. 28
azactam................................. 123 bd pen needle short u/f...........117 bimatoprost............................ 129
azasan......................................65 bd pen needle ultrafine.......... 117 binosto.................................... 99
azasite....................................129 bd safetyglide insulin syringe. 117 bio glo.................................... 129
azathioprine............................. 65 bebulin...................................107 bionect.....................................81
azelastine hcl.................. 127, 129 beconase aq........................... 127 bioscanner glucose test............ 93
azelex.......................................81 belbuca.................................... 23 bisoprolol fumarate.................. 67
azilect...................................... 58 belladonna alkaloids-opium.....144 bisoprolol-hydrochlorothiazide..48
azithromycin.......................... 116 belladonna-opium................... 145 bivigam..................................134
azopt......................................129 belsomra................................ 133 bleph-10.................................129
azor......................................... 48 benazepril hcl........................... 48 blephamide............................ 130
aztreonam.............................. 123 benazepril-hydrochlorothiazide. 48 blephamide s.o.p....................130
azulfidine............................... 103 benefix................................... 107 blood glucose test..................... 93
azulfidine en-tabs...................103 benicar.....................................48 boniva..................................... 99
azurette....................................73 benicar hct...............................48 bonjesta................................... 44
b-6 folic acid...........................109 benlysta................................... 65 boostrix................................. 144
bacitracin............................... 129 bensal hp................................. 81 bosulif..................................... 54
bacitracin-polymyxin b........... 129 bentyl.....................................145 botox..................................... 128
benzaclin................................. 81 botox cosmetic.........................82
154
bp 10-1.....................................82 caffeine citrate......................... 17 carvedilol................................. 67
bp cleansing wash.................... 82 calan sr.................................... 68 carvedilol phosphate er............. 67
bp vit 3...................................109 calcidol.................................. 149 casodex....................................55
breo ellipta.............................. 31 calciferol................................ 149 catapres................................... 49
brevicon (28)............................73 calcipotriene.............................82 catapres-tts-1........................... 49
briellyn.....................................73 calcipotriene-betameth diprop...82 catapres-tts-2........................... 49
brilinta............................. 97, 107 calcitonin (salmon).................. 99 catapres-tts-3........................... 49
brimonidine tartrate................130 calcitrene................................. 82 cayston.................................. 123
brisdelle................................. 138 calcitriol............................. 82, 99 caziant..................................... 73
briviact.................................... 33 calquence.................................54 cefaclor.................................... 71
bromfenac sodium (once-daily) cambia................................... 121 cefaclor er................................ 71
...............................................130 camila...................................... 73 cefadroxil.................................71
bromocriptine mesylate............ 58 camptosar................................54 cefazolin sodium....................... 71
bromsite.................................130 camrese....................................73 cefazolin sodium-dextrose.........71
brovana................................... 31 camrese lo................................ 73 cefdinir.....................................71
budesonide.................. 31, 78, 128 canasa....................................103 cefditoren pivoxil......................71
bullseye mini safety lancets..... 117 candesartan cilexetil.................48 cefepime hcl............................. 71
bullseye safety lancets............ 117 candesartan cilexetil-hctz......... 49 cefepime-dextrose.....................71
bumetanide...............................97 cantharidin............................... 82 cefixime................................... 71
bunavail...................................23 capastat sulfate........................53 cefotaxime sodium....................71
bupap...................................... 22 capecitabine............................. 54 cefotetan disodium....................71
buphenyl..................................99 capex....................................... 82 cefotetan disodium-dextrose..... 72
buprenorphine.......................... 23 caprelsa................................... 54 cefoxitin sodium....................... 72
buprenorphine hcl..................... 23 captopril...................................49 cefoxitin sodium-dextrose.........72
buprenorphine hcl-naloxone hcl.23 captopril-hydrochlorothiazide... 49 cefpodoxime proxetil................ 72
bupropion hcl........................... 36 carac........................................ 82 cefprozil................................... 72
bupropion hcl er (smoking det) carafate..................................145 ceftazidime...............................72
...............................................138 carbaglu...................................99 ceftazidime and dextrose.......... 72
bupropion hcl er (sr)................ 36 carbamazepine......................... 33 ceftriaxone sodium................... 72
bupropion hcl er (xl)................ 36 carbamazepine er..................... 33 ceftriaxone sodium in dextrose. 72
buspirone hcl............................ 29 carbatrol..................................33 ceftriaxone sodium-dextrose..... 72
busulfex................................... 54 carbidopa................................. 58 cefuroxime axetil..................... 72
butalbital-acetaminophen......... 22 carbidopa-levodopa.............58, 59 cefuroxime sodium................... 72
butalbital-apap-caff-cod........... 23 carbidopa-levodopa er.............. 58 celebrex................................... 19
butalbital-apap-caffeine............22 carbinoxamine maleate.............45 celecoxib.................................. 19
butalbital-asa-caff-codeine....... 23 cardene iv................................ 68 celexa.......................................36
butalbital-aspirin-caffeine.........22 cardizem cd............................. 69 cellcept.................................... 65
butisol sodium....................... 113 cardizem la.............................. 69 cellcept intravenous................. 65
butorphanol tartrate................. 23 cardura.................................... 49 celontin....................................33
butrans.................................... 23 cardura xl.............................. 105 cem-urea..................................82
bydureon................................. 39 caresens n glucose test............. 93 cenfol.....................................109
bydureon bcise.........................39 carimune nf............................134 centany.................................... 82
byetta 10 mcg pen....................39 carisoprodol........................... 126 centany at................................ 82
byetta 5 mcg pen......................39 carisoprodol-aspirin................126 centratex................................ 109
bystolic.................................... 67 carisoprodol-aspirin-codeine... 126 cephalexin................................ 72
byvalson.................................. 67 carnitor....................................99 cerdelga................................. 109
cabergoline...............................99 carnitor sf................................ 99 cerebyx.................................... 33
cabometyx............................... 54 carospir................................... 97 cerezyme................................ 109
caduet......................................70 carteolol hcl............................130 cesamet....................................44
cafergot..................................121 cartia xt................................... 69 cesia.........................................73
155
cetirizine hcl............................. 45 ciprodex.................................134 clobex...................................... 83
cetirizine-pseudoephedrine er.... 79 ciprofloxacin.......................... 103 clobex spray.............................83
cetraxal.................................. 134 ciprofloxacin hcl...... 103, 130, 134 clocortolone pivalate.................83
cevimeline hcl......................... 123 ciprofloxacin in d5w............... 103 clodan...................................... 83
chantix...................................138 ciprofloxacin-ciproflox hcl er..103 cloderm................................... 83
chantix continuing month pak citalopram hydrobromide..........36 clomipramine hcl...................... 36
...............................................138 citranatal 90 dha....................124 clonazepam.............................. 33
chantix starting month pak....138 citranatal assure.....................124 clonidine hcl............................. 49
chateal..................................... 73 citranatal b-calm....................124 clonidine hcl er......................... 17
chemet..................................... 43 citranatal dha........................ 124 clopidogrel bisulfate................107
chemstrip k..............................93 citranatal harmony................ 124 clorazepate dipotassium............29
chenodal................................ 104 citranatal medley................... 124 clotrimazole........................... 123
childrens aspirin....................... 22 citranatal rx........................... 124 clotrimazole-betamethasone..... 83
childrens loratadine.................. 45 claravis.................................... 82 clozapine.................................. 60
chlordiazepoxide hcl................. 29 clarinex....................................45 clozaril.....................................60
chlordiazepoxide-amitriptyline 138 clarinex-d 12 hour................... 79 coagadex................................107
chlordiazepoxide-clidinium..... 145 clarithromycin........................ 116 coaguchek lancets.................. 117
chlorhexidine gluconate.......... 123 clarithromycin er.................... 116 coal tar.................................... 83
chloroquine phosphate.............. 52 claritin..................................... 45 coartem................................... 53
chlorothiazide...........................97 claritin eye............................. 130 codeine sulfate..........................23
chlorothiazide sodium............... 97 claritin reditabs........................45 colazal................................... 104
chlorpromazine hcl................... 60 claritin-d 12 hour.....................79 colchicine............................... 106
chlorpropamide........................ 39 claritin-d 24 hour.....................79 colchicine-probenecid..............106
chlorthalidone.......................... 98 clearlax.................................. 114 colcrys................................... 106
chlorzoxazone........................ 126 clenpiq................................... 114 colesevelam hcl.........................46
cholbam...................................68 cleocin..............................51, 148 colestid.................................... 46
cholestyramine......................... 73 cleocin in d5w.......................... 51 colestid flavored...................... 46
cholestyramine light................. 46 cleocin phosphate.................... 51 colestipol hcl............................ 46
chorionic gonadotropin............. 99 cleocin-t...................................82 collagenase...............................83
cialis........................................ 70 clever chek auto-code............ 117 colocort....................................27
ciclodan................................... 82 clever chek auto-code test........93 coly-mycin m........................... 52
ciclodan cream.........................82 clever chek auto-code voice..... 93 coly-mycin s...........................134
ciclodan solution..................... 82 clever chek test........................ 93 combigan............................... 130
ciclopirox................................. 82 clever choice auto-code test..... 93 combipatch............................ 102
ciclopirox olamine.................... 82 clever choice micro test............93 combivent respimat................. 31
ciclopirox treatment................. 82 climara...................................102 combivir.................................. 62
cidofovir...................................62 climara pro............................ 102 cometriq (100 mg daily dose)...55
ciferex.................................... 109 clindacin etz.............................82 cometriq (140 mg daily dose)...55
cilostazol................................ 107 clindacin pac............................82 cometriq (60 mg daily dose).....55
ciloxan................................... 130 clindagel.................................. 82 comfort assured lancets 28g.... 117
cimduo.................................... 62 clindamycin hcl.........................52 comfort assured lancets 33g.... 117
cimetidine...............................145 clindamycin palmitate hcl......... 52 complera..................................62
cimzia.................................... 104 clindamycin phos-benzoyl compro.....................................60
cimzia prefilled...................... 104 perox....................................... 82 comtan.................................... 59
cimzia starter kit.................... 104 clindamycin phosphate co-natal fa.............................. 124
cinqair................................... 114 ..............................52, 82, 83, 148 concept dha........................... 124
cinryze................................... 107 clindamycin-tretinoin................83 concept ob............................. 124
cipro...................................... 103 clobetasol propionate................83 concerta...................................17
cipro hc..................................134 clobetasol propionate e............. 83 condylox..................................83
cipro xr.................................. 103 clobetasol propionate emulsion. 83 constulose...............................114
156
conzip...................................... 23 cyclophosphamide.................... 55 demerol................................... 23
cool blood glucose test strips... 93 cycloserine............................... 53 demser..................................... 49
copaxone............................... 138 cycloset....................................39 denavir.................................... 83
cordran....................................83 cyclosporine............................. 66 denta 5000 plus.......................124
coreg........................................67 cyclosporine modified............... 66 depakene................................. 33
coreg cr....................................67 cymbalta..................................36 depakote..................................33
coremino................................142 cyproheptadine hcl....................45 depakote er..............................33
corgard.................................... 67 cystadane.................................99 depakote sprinkles...................33
corifact.................................. 107 cystagon................................ 105 depen titratabs.........................66
corlanor................................. 142 cystaran................................. 130 depo-estradiol........................102
cortef....................................... 78 cytogam................................. 134 depo-medrol............................ 78
cortenema................................27 cytomel.................................. 143 depo-provera..................... 55, 74
cortifoam.................................27 cytovene.................................. 62 depo-testosterone.................... 27
cortisporin............................... 83 cytra-2................................... 105 derma-smoothe/fs body........... 83
corvita....................................124 d 10000.................................. 149 dermasorb ta........................... 83
corvita 150............................. 109 d 5000.................................... 149 dermotic................................ 134
corvite....................................124 d.h.e. 45................................. 121 descovy....................................62
corvite 150............................. 109 d-2000 maximum strength...... 149 desferal.................................... 43
corvite fe................................109 d2000 ultra strength................149 desipramine hcl.........................36
corzide..................................... 49 d3 dots...................................149 desloratadine............................46
cosentyx...................................83 d3 maximum strength............. 149 desmopressin ace spray refrig... 99
cosentyx sensoready pen..........83 d3 super strength.................... 149 desmopressin acetate................ 99
cotellic..................................... 55 d3-1000.................................. 149 desogen....................................74
cotempla xr-odt....................... 17 d-3-5...................................... 149 desogestrel-ethinyl estradiol......74
coumadin.................................32 d-5000.................................... 149 desonate.................................. 83
cozaar......................................49 daklinza...................................62 desonide................................... 83
creon....................................... 97 daliresp....................................31 desowen...................................83
cresemba..................................44 danazol.................................... 27 desoximetasone........................ 83
crestor..................................... 46 dantrolene sodium...................126 desoxyn................................... 17
crinone...................................148 dapsone.............................. 52, 83 desvenlafaxine er...................... 36
crixivan....................................62 daraprim..................................53 desvenlafaxine succinate er....... 36
cromolyn sodium....... 31, 104, 130 darifenacin hydrobromide er... 147 detrol..................................... 147
cryselle-28................................73 dasetta 1/35..............................74 detrol la................................. 147
cuprimine................................ 66 dasetta 7/7/7.............................74 dexamethasone.........................78
cutivate....................................83 daxbia......................................72 dexamethasone intensol...........78
cuvitru................................... 134 daypro..................................... 19 dexamethasone sod phosphate
cuvposa..................................145 daysee...................................... 74 pf............................................. 78
cvs acid controller max st........145 daytrana.................................. 17 dexamethasone sodium
cvs advanced glucose test.........93 ddavp...................................... 99 phosphate......................... 78, 130
cvs d3..................................... 149 ddavp rhinal tube.................... 99 dexedrine................................. 17
cvs nicotine.............................138 ddrops................................... 149 dexilant..................................145
cvs nicotine polacrilex.............138 debacterol.............................. 123 dexmethylphenidate hcl............ 17
cvs purelax.............................114 deblitane..................................74 dexmethylphenidate hcl er........ 17
cyanocobalamin......................109 decara.................................... 149 dextroamphetamine sulfate.......17
cyclafem 1/35........................... 73 deferoxamine mesylate............. 43 dextroamphetamine sulfate er...17
cyclafem 7/7/7.......................... 74 delestrogen............................ 102 dialyvite 5000.........................124
cyclobenzaprine hcl.................126 delta d3.................................. 149 dialyvite supreme d................ 124
cyclogyl..................................130 delzicol.................................. 104 dialyvite vitamin d 5000.........149
cyclomydril............................ 130 demadex.................................. 98 dialyvite vitamin d3 max........149
cyclopentolate hcl................... 130 demeclocycline hcl.................. 142 diastat acudial......................... 34
157
diastat pediatric....................... 34 donepezil hcl................... 138, 139 dysport.................................. 128
diatrue plus test........................ 93 donnatal................................ 145 e.e.s. 400................................ 116
diazepam............................ 29, 34 doral...................................... 113 e.e.s. granules.........................116
diazepam intensol..................... 29 doryx..................................... 142 easy comfort insulin syringe...118
dibenzyline.............................. 49 doryx mpc..............................142 easy plus blood glucose test.......93
diclegis.....................................44 dorzolamide hcl...................... 130 easy plus ii glucose test............. 93
diclofenac potassium.................19 dorzolamide hcl-timolol mal....130 easy step test............................93
diclofenac sodium.. 19, 83, 84, 130 dovonex...................................84 easy talk blood glucose test.......93
diclofenac sodium er................. 19 doxazosin mesylate...................49 easy touch healthpro test......... 93
diclofenac-misoprostol..............19 doxepin hcl......................... 37, 84 easy touch insulin syringe...... 118
diclofex dc............................... 84 doxercalciferol......................... 99 easy touch lancets 21g............118
dicloxacillin sodium................ 136 doxy 100................................ 142 easy touch lancets 23g............118
dicyclomine hcl....................... 145 doxycycline.............................. 84 easy touch lancets 26g............118
didanosine................................ 62 doxycycline hyclate................ 142 easy touch lancets 26g/twist... 118
differin.....................................84 doxycycline monohydrate 142, 143 easy touch lancets 28g............118
dificid.................................... 116 drisdol................................... 149 easy touch lancets 28g/twist... 118
diflorasone diacetate.................84 dritho-creme hp....................... 84 easy touch lancets 30g............118
diflucan................................... 44 dronabinol................................ 44 easy touch lancets 30g/twist... 118
diflunisal.................................. 22 drospirenone-ethinyl estradiol... 74 easy touch lancets 32g............118
digitek..................................... 70 droxia.................................... 110 easy touch lancets 32g/twist... 118
digox....................................... 70 drug mart unifine pentips...... 118 easy touch lancets 33g/twist... 118
digoxin.....................................70 duac.........................................84 easy touch lancing device.......118
dihydroergotamine mesylate... 121 duavee................................... 103 easy touch safety lancets 21g..118
dilantin.................................... 34 duetact.....................................39 easy touch safety lancets 23g..118
dilantin infatabs...................... 34 duexis...................................... 19 easy touch safety lancets 26g..118
dilatrate-sr............................... 28 dulcolax balance.................... 114 easy touch safety lancets 28g..118
dilaudid................................... 23 dulera...................................... 31 easy touch test......................... 93
diltiazem cd..............................69 duloxetine hcl........................... 37 easy trak blood glucose test...... 94
diltiazem hcl.............................69 duo-care test............................ 93 easy twist & cap lancets......... 118
diltiazem hcl er......................... 69 duopa...................................... 59 easygluco................................. 94
diltiazem hcl er beads............... 69 dupixent.................................. 67 easygluco plus..........................94
diltiazem hcl er coated beads.... 69 durachol................................. 110 easymax 15 test........................94
dilt-xr...................................... 69 duragesic-100...........................23 easymax test............................ 94
diovan..................................... 49 duragesic-12............................ 23 easyplus blood glucose test........94
diovan hct................................49 duragesic-25............................ 23 easypro blood glucose test....... 94
dipentum............................... 104 duragesic-50............................ 23 easypro plus.............................94
diphenhydramine hcl.................46 duragesic-75............................ 23 ec-81 aspirin.............................22
diphenoxylate-atropine............. 43 duramorph............................... 23 ec-naprosyn............................. 19
diprolene................................. 84 durezol...................................130 econazole nitrate...................... 84
diprolene af............................. 84 durlaza...................................107 ecotrin..................................... 22
dipyridamole.......................... 107 durolane................................ 126 ecotrin low strength.................. 22
disopyramide phosphate............29 dutasteride............................. 105 ecoza....................................... 84
disulfiram............................... 138 dutasteride-tamsulosin hcl.......105 ecpirin......................................22
ditropan xl............................. 147 dutoprol.................................. 49 edarbi...................................... 49
diuril........................................98 duzallo...................................106 edarbyclor............................... 49
divalproex sodium.................... 34 d-vi-sol...................................149 edecrin.....................................98
divalproex sodium er................ 34 dyanavel xr.............................. 17 edluar.................................... 113
divista.................................... 110 dyazide.................................... 98 edurant.................................... 62
dofetilide.................................. 29 dymista.................................. 128 efavirenz.................................. 62
dolophine................................ 23 dyrenium................................. 98 effer-k.................................... 122
158
effer-k.................................... 122 entecavir.................................. 62 esbriet.................................... 141
effexor xr................................. 37 entocort ec...............................78 escitalopram oxalate................ 37
effient.................................... 107 entresto..................................128 esgic.........................................22
efudex......................................84 entyvio...................................114 esgic.........................................22
egrifta...................................... 99 enulose................................... 104 esomeprazole magnesium........145
elaprase................................... 99 envarsus xr.............................. 66 esomeprazole strontium.......... 145
eldepryl....................................59 epaned..................................... 49 estazolam............................... 113
elelyso....................................110 epclusa...................................112 estrace............................ 102, 148
element compact test................ 94 epiceram.................................. 84 estradiol..........................102, 148
element test..............................94 epiduo..................................... 84 estradiol valerate.................... 102
elestat.................................... 130 epiduo forte............................. 84 estradiol-norethindrone acet... 102
elestrin................................... 102 epifoam................................... 84 estring....................................148
eletriptan hydrobromide..........121 epinastine hcl..........................130 estrogel.................................. 102
elidel........................................ 84 epinephrine............................. 149 estropipate............................. 102
eligard..................................... 55 epipen 2-pak.......................... 149 estrostep fe.............................. 74
elinest...................................... 74 epipen jr 2-pak.......................149 eszopiclone............................. 113
eliquis...................................... 33 episnap.................................. 149 ethacrynic acid......................... 98
eliquis starter pack...................33 epitol........................................34 ethambutol hcl..........................53
elixophyllin..............................31 epivir....................................... 62 ethosuximide............................ 34
ella...........................................74 epivir hbv................................ 62 ethyol...................................... 55
elmiron.................................. 105 eplerenone................................ 49 etidronate disodium.................. 99
elocon...................................... 84 epogen................................... 110 etodolac................................... 19
eloctate.................................. 107 epoprostenol sodium................. 70 etodolac er............................... 19
emadine................................. 130 eprosartan mesylate..................49 etoposide.................................. 55
embeda.................................... 23 epzicom................................... 62 eucrisa................................... 136
embrace blood glucose test...... 94 eq acid reducer max st............ 145 euflexxa................................. 126
embrace evo blood glucose eq clearlax..............................114 eurax....................................... 84
test...........................................94 eq nicotine.............................. 139 evamist.................................. 102
embrace pro glucose test..........94 eql clearlax.............................114 evekeo..................................... 17
emcyt....................................... 55 eql heartburn prevention......... 145 evencare + blood glucose test.. 94
emend...................................... 44 eql vitamin d3......................... 149 evencare blood glucose test......94
emflaza.................................... 78 equetro.................................... 60 evencare g2 test........................94
emoquette.................................74 ergocal................................... 150 evencare g3 test........................94
emsam..................................... 37 ergocalciferol......................... 150 evencare mini glucose test........94
emtriva.................................... 62 ergoloid mesylates.................. 139 evista....................................... 99
emverm....................................28 ergomar................................. 121 evolution autocode.................. 94
enablex.................................. 147 erivedge................................... 55 evotaz...................................... 63
enalapril maleate...................... 49 erleada.....................................55 evoxac....................................124
enalapril-hydrochlorothiazide... 49 errin......................................... 74 evzio........................................ 43
enbrel...................................... 19 ertaczo.....................................84 exalgo...................................... 23
enbrel mini.............................. 19 ery........................................... 84 exelderm.................................. 84
enbrel sureclick........................19 erygel....................................... 84 exelon.................................... 139
endari...................................... 18 eryped 200............................. 116 exemestane...............................55
endocet.....................................23 eryped 400............................. 116 exforge.....................................49
endocet.................................... 23 ery-tab................................... 116 exforge hct...............................49
endometrin............................ 148 erythrocin lactobionate..........116 exjade...................................... 43
enoxaparin sodium................... 33 erythrocin stearate................. 116 exoderm...................................84
enpresse-28.............................. 74 erythromycin............................84 extavia................................... 139
enstilar.....................................84 erythromycin base.................. 116 extina.......................................84
entacapone............................... 59 erythromycin ethylsuccinate....116 eye itch relief.......................... 130
159
eylea...................................... 130 fetzima titration.......................37 fluorouracil.........................55, 85
ez smart blood glucose test...... 94 fexmid....................................126 fluoxetine hcl............................37
ez smart plus glucose test.........94 fexofenadine hcl....................... 46 fluoxetine hcl (pmdd).............139
ezetimibe..................................47 fexofenadine hcl childrens.........46 fluphenazine decanoate.............60
ezetimibe-simvastatin............... 47 fexofenadine-pseudoephed er.... 79 fluphenazine hcl........................60
fabb........................................110 fiasp.........................................39 flura-drops.............................122
fabior.......................................84 fiasp flextouch......................... 39 flurandrenolide......................... 85
fabrazyme................................99 fibricor.................................... 47 flura-safe............................... 130
falessa......................................74 fibryga................................... 107 flurazepam hcl........................ 113
falmina.....................................74 fifty50 glucose test 2.0............. 94 flurbiprofen.............................. 19
famciclovir............................... 63 finacea..................................... 85 flurbiprofen sodium.................130
famotidine.............................. 145 finasteride.........................85, 105 flutamide..................................55
famotidine premixed............... 145 fingerstix lancets.................... 118 fluticasone propionate....... 85, 128
fanapt...................................... 60 fioricet/codeine........................ 23 fluticasone-salmeterol...............31
fanapt titration pack................60 fiorinal.....................................22 fluvastatin sodium.................... 47
fareston................................... 55 fiorinal/codeine #3.................. 24 fluvastatin sodium er................ 47
farxiga..................................... 39 firazyr.................................... 107 fluvoxamine maleate.................37
farydak.................................... 55 firmagon..................................55 fluvoxamine maleate er.............37
faslodex................................... 55 first-mouthwash blm..............124 fml......................................... 131
fa-vitamin b-6-vitamin b-12.....110 firvanq.....................................52 fml forte.................................131
fayosim....................................74 flagyl....................................... 52 fml liquifilm...........................131
fazaclo..................................... 60 flarex..................................... 130 focalin..................................... 17
fc2 female condom.................118 flavoxate hcl...........................147 focalin xr................................. 17
feiba.......................................107 flebogamma dif......................134 folbee..................................... 110
felbamate................................. 34 flecainide acetate......................29 folgard rx...............................110
felbatol.................................... 34 flector...................................... 85 folic acid................................ 110
feldene..................................... 19 flolan....................................... 71 folivane-f............................... 110
felodipine er............................. 69 flolipid..................................... 47 folivane-plus.......................... 110
fem ph................................... 148 flomax................................... 105 folplex 2.2.............................. 110
femara..................................... 55 flonase................................... 128 foltrin.....................................110
femhrt low dose..................... 102 flonase allergy relief............... 128 fondaparinux sodium................ 33
femring.................................. 148 flovent diskus.......................... 31 fora d10 2-in-1 monitor......... 118
fenofibrate............................... 47 flovent hfa............................... 31 fora d15g 2-in-1 monitor........118
fenofibrate micronized.............. 47 floxin otic.............................. 134 fora d15g blood glucose test.... 94
fenofibric acid.......................... 47 flucaine.................................. 130 fora d20 2-in-1 monitor......... 118
fenoglide..................................47 fluconazole............................... 44 fora d20 blood glucose test...... 94
fenoprofen calcium................... 19 fluconazole in sodium chloride.. 44 fora d40/g31 blood glucose...... 94
fentanyl....................................23 flucytosine................................44 fora g20 blood glucose test...... 94
fentanyl citrate......................... 23 fludrocortisone acetate............. 78 fora g30/prem v10 glucose test.94
fentora.....................................23 flumadine................................ 63 fora gd20 test...........................94
feriva 21/7.............................. 110 flunisolide...............................128 fora gd50 blood glucose test.... 94
ferocon................................... 110 fluocinolone acetonide.......85, 134 fora tn'g/tn'g voice................... 94
ferotrinsic...............................110 fluocinolone acetonide body...... 85 fora v10 blood glucose test...... 94
ferraplus 90............................110 fluocinonide..............................85 fora v12 blood glucose test...... 94
ferriprox.................................. 43 fluorabon...............................122 fora v20 blood glucose test...... 94
ferrlecit.................................. 110 fluorescein-benoxinate............ 130 fora v30a blood glucose test.... 94
ferrocite plus.......................... 110 fluor-i-strips a.t...................... 130 foracare gd40 test.................... 94
ferro-plex hematinic...............110 fluoritab................................. 122 foracare premium v10 test....... 95
ferrotrin................................. 110 fluorometholone..................... 130 foracare test n go test...............95
fetzima.....................................37 fluoroplex................................ 85 forfivo xl..................................37
160
formadon................................. 61 gavilyte-c................................114 glucocard shine test................. 95
formaldehyde........................... 61 gavilyte-g............................... 114 glucocard vital test.................. 95
fortamet...................................39 gavilyte-h............................... 114 glucocard x-sensor...................95
forteo.......................................99 gavilyte-n with flavor pack......114 glucocom test...........................95
fortesta.................................... 27 ge100 blood glucose test........... 95 gluconavii blood glucose test... 95
fortiscare test........................... 95 gebauers pain ease............85, 144 glucophage.............................. 40
fosamax................................... 99 gebauers spray and stretch glucophage xr.......................... 40
fosamax plus d.........................99 ......................................... 85, 144 glucotrol.................................. 40
fosamprenavir calcium..............63 gelnique................................. 147 glucotrol xl.............................. 40
fosinopril sodium...................... 49 gel-one................................... 127 glucovance...............................40
fosinopril sodium-hctz...............49 gelsyn-3..................................127 glumetza.................................. 40
fosphenytoin sodium................. 34 gemfibrozil............................... 47 glyburide.................................. 40
fosrenol..................................104 genadur................................... 85 glyburide micronized................ 40
fragmin....................................33 generess fe............................... 74 glyburide-metformin.................40
freestyle insulinx test................95 generlac..................................104 glycolax................................. 115
freestyle lancets......................118 gengraf.....................................66 glycopyrrolate........................ 145
freestyle lite test....................... 95 genotropin............................... 99 glynase.....................................40
freestyle precision ins syr....... 118 genotropin miniquick.............. 99 glyset....................................... 40
freestyle precision neo test....... 95 genstrip 50............................... 95 glyxambi................................ 142
freestyle test.............................95 gentak.................................... 131 gnp acid reducer max st.......... 145
freestyle unistick ii lancets..... 118 gentamicin in saline.................. 18 gnp clearlax........................... 115
frova...................................... 121 gentamicin sulfate....... 18, 85, 131 gnp clickfine pen needles....... 118
frovatriptan succinate............. 121 gentlelax................................ 114 gnp folic acid.......................... 110
ful-glo.................................... 131 genvisc 850.............................127 gnp insulin syringe................. 119
ful-glo.................................... 131 genvoya................................... 63 gnp ultra com insulin syringe.119
furadantin..............................147 geodon.....................................60 gnp vitamin d..........................150
furosemide................................98 geri-hydrolac 12....................... 85 gnp vitamin d maximum
fusion plus............................. 110 ght test..................................... 95 strength.................................. 150
fuzeon......................................63 gialax..................................... 114 gnp vitamin d super strength... 150
fyavolv...................................102 gianvi....................................... 74 gocovri.................................... 59
fycompa...................................34 giazo...................................... 104 golytely.................................. 115
gabapentin............................... 34 gildess fe 1.5/30........................ 74 gonitro.....................................28
gabitril.....................................34 gildess fe 1/20...........................74 gralise.............................137, 139
gablofen.................................127 gilenya................................... 139 gralise starter..................137, 139
galantamine hydrobromide..... 139 gilotrif..................................... 55 granisetron hcl......................... 44
galantamine hydrobromide er..139 glassia.................................... 141 granix.................................... 110
galzin..................................... 122 gleevec..................................... 55 griseofulvin microsize............... 44
gamastan s/d..........................134 gleostine.................................. 55 griseofulvin ultramicrosize........ 45
gammagard............................134 glimepiride............................... 39 guaifenesin ac...........................79
gammagard s/d less iga.......... 134 glipizide................................... 39 guanfacine hcl.......................... 49
gammaked............................. 134 glipizide er............................... 39 guanfacine hcl er...................... 17
gammaplex............................ 134 glipizide xl............................... 39 guanidine hcl............................ 53
gamunex-c............................. 135 glipizide-metformin hcl............. 39 gynazole-1............................. 148
ganciclovir sodium....................63 global inject ease insulin syr...118 haegarda................................ 107
ganirelix acetate.......................99 glucagen diagnostic................. 95 halac........................................ 85
gastrocrom............................ 104 glucagen hypokit..................... 40 halcion...................................113
gastrografin............................. 95 glucagon emergency................ 40 haldol...................................... 60
gatifloxacin............................ 131 gluco perfect 3 test...................95 haldol decanoate..................... 60
gattex.....................................104 glucocard 01 sensor plus..........95 halobetasol propionate..............85
gavilax................................... 114 glucocard expression test......... 95 halog....................................... 85
161
haloperidol............................... 60 humira pen-psoriasis starter.... 20 iclusig...................................... 55
haloperidol lactate....................60 humulin 70/30..........................40 idelvion..................................107
halotin..................................... 85 humulin 70/30 kwikpen........... 40 idhifa..................................... 114
harvoni.................................. 112 humulin n................................ 40 ilaris.........................................20
healthy accents unifine pentip 119 humulin n kwikpen..................40 ilevro..................................... 131
healthylax.............................. 115 humulin r.................................40 imatinib mesylate..................... 55
heartburn relief max st........... 145 humulin r u-500 imbruvica...........................55, 56
heather.....................................74 (concentrated)......................... 40 imipramine hcl..........................37
hectorol............................99, 100 humulin r u-500 kwikpen.........41 imipramine pamoate................. 37
helixate fs...............................107 hyalgan.................................. 127 imiquimod................................ 86
hemangeol............................... 67 hycamtin..................................55 imitrex................................... 121
hematinic plus vit/minerals......110 hydralazine hcl......................... 49 imitrex statdose refill............. 121
hematinic/folic acid.................110 hydrea..................................... 55 imitrex statdose system.......... 121
hematogen fa......................... 110 hydrochlorothiazide..................98 impavido................................. 52
hematogen forte......................110 hydrocod polst-cpm polst er...... 79 impoyz.....................................86
hemenatal ob......................... 124 hydrocodone-acetaminophen.....24 imuran.....................................66
hemetab................................. 110 hydrocodone-ibuprofen............. 24 in touch blood glucose test...... 95
hemlibra.................................. 45 hydrocortisone.............. 27, 78, 86 increlex.................................. 100
hemocyte plus........................ 110 hydrocortisone ace-pramoxine indapamide...............................98
hemocyte-f............................. 110 ........................................... 27, 85 inderal la................................. 67
hemocyte-plus.........................111 hydrocortisone butyr lipo base.. 85 inderal xl................................. 67
hemofil m.............................. 107 hydrocortisone butyrate...... 85, 86 indocin.................................... 20
heparin sodium (porcine)......... 33 hydrocortisone valerate............ 86 indomethacin............................20
heparin sodium (porcine) pf..... 33 hydrocortisone-acetic acid...... 134 indomethacin er........................ 20
hepsera.................................... 63 hydromet..................................79 infinity blood glucose test........95
hetlioz....................................113 hydromorphone hcl................... 24 inflectra................................. 104
hexalen.................................... 55 hydromorphone hcl er............... 24 infumorph 200......................... 24
hiprex.................................... 147 hydromorphone hcl pf............... 24 infumorph 500......................... 24
hizentra..................................135 hydroxychloroquine sulfate.......53 ingrezza................................. 139
hm clearlax............................ 115 hydroxyurea.............................55 inlyta....................................... 56
hm famotidine........................ 145 hydroxyzine hcl........................ 29 innopran xl.............................. 67
hm nicotine.............................139 hydroxyzine pamoate............... 29 inova 4/1 acne control therapy.86
hm nicotine polacrilex.............139 hylafem....................................66 inova 8/2 acne control therapy.86
hm vitamin d3.........................150 hylatopic plus.......................... 86 inspra...................................... 49
homatropaire..........................131 hymovis................................. 127 insulin syringe........................ 119
homatropine hbr..................... 131 hyperhep b s/d....................... 135 insulin syringe/needle.............. 119
horizant................................. 139 hyperrab................................ 135 insulin syringe/needle.............119
hp acthar............................... 100 hyperrho s/d.......................... 135 insulin syringe-needle u-100.... 119
humalog.................................. 40 hypertet s/d............................ 135 integra f................................. 111
humalog kwikpen.................... 40 hyqvia....................................134 integra plus............................ 111
humalog mix 50/50.................. 40 hysingla er............................... 24 intelence.................................. 63
humalog mix 50/50 kwikpen.... 40 hyzaar......................................49 intermezzo............................. 113
humalog mix 75/25.................. 40 ibandronate sodium................ 100 intrarosa................................ 148
humalog mix 75/25 kwikpen.... 40 ibrance.....................................80 intron a....................................56
humate-p............................... 107 ibudone................................... 24 introvale...................................74
humatrope............................. 100 ibudone.................................... 24 intuniv..................................... 17
humira.....................................20 ibuprofen..................................20 invega...................................... 60
humira pediatric crohns start...19 ibuprofen comfort pac.............20 invirase.................................... 63
humira pen.............................. 19 ic 400....................................... 20 invokamet..............................142
humira pen-crohns starter....... 19 ic 800....................................... 20 invokamet xr......................... 142
162
invokana..................................41 junel 1/20................................. 74 kls laxaclear........................... 115
iodine strong...........................122 junel fe 1.5/30...........................74 koate......................................107
iodosorb.................................. 61 junel fe 1/20..............................74 koate-dvi............................... 108
iopidine..................................131 juxtapid................................... 47 kogenate fs.............................108
ipratropium bromide......... 31, 128 jynarque.................................100 kogenate fs bio-set................. 108
ipratropium-albuterol............... 31 kadian..................................... 24 kombiglyze xr.......................... 41
iprivask....................................33 kalbitor..................................107 korlym.....................................41
irbesartan.................................50 kaletra..................................... 63 kovaltry................................. 108
irbesartan-hydrochlorothiazide. 50 kalydeco................................ 141 k-phos....................................122
iressa....................................... 56 kanuma..................................116 k-phos-neutral....................... 122
irinotecan hcl............................56 kapvay.....................................17 kristalose............................... 115
irospan 24/6........................... 111 karbinal er............................... 46 kroger blood glucose test.......... 95
is 24/6.................................... 111 kariva.......................................74 kroger insulin syringe............ 119
isentress................................... 63 kazano.....................................41 kroger test................................95
isentress hd.............................. 63 k-effervescent......................... 122 krystexxa............................... 106
isolyte-s..................................122 keflex....................................... 72 k-tab...................................... 122
isolyte-s ph 7.4....................... 122 kelnor 1/35............................... 74 k-tan plus...............................111
isoniazid...................................53 kenalog....................................86 kurvelo..................................... 75
isoptin sr..................................69 kepivance.................................56 kuvan.....................................100
isopto homatropine............... 131 keppra..................................... 34 k-vescent................................ 122
isordil titradose........................28 keppra xr................................. 34 kyleena.................................... 75
isosorbide dinitrate................... 28 keralyt scalp............................ 86 kynamro.................................. 47
isosorbide dinitrate er............... 28 kerr triple dye swabs................62 labetalol hcl..............................67
isosorbide mononitrate............. 28 kerydin.................................. 134 lacrisert..................................131
isosorbide mononitrate er..........28 ketocare...................................95 lactic acid.................................86
isoxsuprine hcl..........................71 ketoconazole.......................45, 86 lactic acid e.............................. 86
isradipine................................. 69 ketoprofen................................20 lactulose................................. 115
istalol.....................................131 ketoprofen er............................20 lactulose encephalopathy........ 104
itraconazole............................. 45 ketorolac tromethamine.... 20, 131 lamictal....................................34
ivermectin................................ 28 ketostix....................................95 lamictal odt............................. 34
ixinity.................................... 107 ketotifen fumarate.................. 131 lamictal starter.........................34
jadenu......................................43 keveyis.....................................98 lamictal xr............................... 34
jadenu sprinkle........................ 43 kevzara.................................... 20 lamisil...................................... 45
jakafi....................................... 56 khedezla.................................. 37 lamivudine................................63
jalyn.......................................105 kineret..................................... 20 lamivudine-zidovudine.............. 63
jantoven................................... 33 kionex.............................. 66, 137 lamotrigine...............................34
janumet................................... 41 kisqali 200 dose....................... 80 lamotrigine er...........................34
janumet xr............................... 41 kisqali 400 dose....................... 80 lamotrigine starter kit-blue....... 35
januvia.....................................41 kisqali 600 dose....................... 80 lamotrigine starter kit-green..... 35
jardiance..................................41 kisqali femara 200 dose........... 56 lamotrigine starter kit-orange...35
jentadueto................................41 kisqali femara 400 dose........... 56 lancets....................................119
jentadueto xr........................... 41 kisqali femara 600 dose........... 56 lancets super thin 28g............. 119
jetrea......................................131 kitabis pak...............................18 lancets ultra thin.................... 119
jevtana.....................................56 klaron......................................86 lancets ultra thin 30g.............. 119
jinteli......................................102 klofensaid ii............................. 86 lanoxin.................................... 70
jolessa...................................... 74 klonopin.................................. 34 lansoprazole........................... 145
jolivette.................................... 74 klor-con................................. 122 lanthanum carbonate.............. 104
jublia....................................... 86 klor-con 10............................ 122 lantus.......................................41
juluca.......................................63 klor-con m20.......................... 122 lantus solostar......................... 41
junel 1.5/30...............................74 kls acid controller max st........145 larin fe 1.5/30...........................75
163
lasix......................................... 98 librax..................................... 145 lorazepam................................ 29
lastacaft................................. 131 lidocaine...................................86 lorcet....................................... 24
latanoprost............................. 131 lidocaine hcl......................86, 116 lorcet hd.................................. 24
latisse.......................................86 lidocaine hcl (cardiac)............. 29 lorcet plus................................ 24
latuda...................................... 60 lidocaine hcl (pf)....................116 lortuss ex................................. 79
lazanda.................................... 24 lidocaine in d5w........................30 loryna...................................... 75
ldo plus....................................86 lidocaine pak............................ 86 lorzone...................................127
leena........................................ 75 lidocaine-hydrocortisone ace.....27 losartan potassium....................50
leflunomide...............................20 lidocaine-prilocaine.................. 86 losartan potassium-hctz............ 50
lemtrada................................ 139 lidocaine-tetracaine.................. 86 loseasonique............................ 75
lenvima 10 mg daily dose.........56 lidoderm.................................. 86 lotemax..................................131
lenvima 14 mg daily dose.........56 lidovin...................................... 86 lotensin....................................50
lenvima 18 mg daily dose.........56 lidozol...................................... 86 lotensin hct.............................. 50
lenvima 20 mg daily dose.........56 lifescan unistik 2.................... 119 lotrel........................................ 50
lenvima 24 mg daily dose.........56 lifescan unistik ii lancets........ 119 lotrisone.................................. 87
lenvima 8 mg daily dose...........56 liletta (52 mg).......................... 75 lotronex................................. 104
lescol........................................47 lindane..................................... 86 lovastatin................................. 47
lescol xl....................................47 linezolid................................... 52 lovaza...................................... 47
lessina...................................... 75 linzess.................................... 104 lovenox....................................33
letairis......................................71 liothyronine sodium................ 143 low-ogestrel..............................75
letrozole................................... 56 lipitor...................................... 47 loxapine succinate.................... 60
leucovorin calcium.................... 56 lipofen..................................... 47 lucentis.................................. 131
leukeran...................................56 lisinopril...................................50 ludent..................................... 122
leukine................................... 111 lisinopril-hydrochlorothiazide... 50 lumigan..................................131
leuprolide acetate..................... 56 lite touch lancets.....................119 lumizyme............................... 100
levalbuterol hcl......................... 31 litetouch lancets..................... 119 lunesta................................... 113
levaquin................................. 103 lithium..................................... 60 lupaneta pack........................ 115
levemir.....................................41 lithium carbonate..................... 60 lupron depot (1-month)........... 56
levemir flextouch..................... 41 lithium carbonate er................. 60 lupron depot (3-month)........... 56
levetiracetam............................35 lithobid....................................60 lupron depot (4-month)........... 56
levetiracetam er........................35 lithostat................................. 105 lupron depot (6-month)........... 56
levetiracetam in nacl.................35 livalo....................................... 47 lupron depot-ped (1-month).. 100
levobunolol hcl........................131 lo loestrin fe.............................75 lupron depot-ped (3-month).. 100
levocarnitine........................... 100 locoid................................. 86, 87 lutera....................................... 75
levocetirizine dihydrochloride... 46 locoid lipocream...................... 87 luxiq........................................ 87
levofloxacin.................... 103, 131 lodosyn....................................59 luzu..........................................87
levofloxacin in d5w................. 103 loestrin 1.5/30 (21)................... 75 lycelle.......................................87
levonest.................................... 75 loestrin 1/20 (21)...................... 75 lynparza.................................137
levonorgest-eth estrad 91-day... 75 lomotil..................................... 43 lyrica....................................... 35
levonorgestrel-ethinyl estrad..... 75 lonhala magnair refill kit......... 31 lyrica cr.......................... 137, 139
levora 0.15/30 (28).................. 75 lonhala magnair starter kit...... 31 lysodren...................................56
levorphanol tartrate..................24 lonsurf..................................... 56 lysteda................................... 112
levothyroxine sodium.............. 143 lopinavir-ritonavir.................... 63 lyza.......................................... 75
levoxyl................................... 143 lopressor..................................67 macrobid............................... 147
levulan kerastick......................86 lopressor hct............................ 50 macrodantin.......................... 147
lexapro.................................... 37 loprox......................................87 macugen................................ 131
lexiva....................................... 63 loratadine.................................46 magellan insulin safety syr..... 119
lialda......................................104 loratadine childrens.................. 46 magnebind 400...................... 122
liberty next generation test...... 95 loratadine-d 12hr......................79 magnesium sulfate.................. 122
liberty test................................95 loratadine-d 24hr......................79 makena.................................. 137
164
malarone................................. 53 metaproterenol sulfate.............. 31 mibelas 24 fe............................ 75
malathion................................. 87 metaxalone.............................127 micardis...................................50
maprotiline hcl......................... 37 metformin hcl........................... 41 micardis hct............................. 50
marinol....................................44 metformin hcl er....................... 41 miconazole 3...........................148
marlissa................................... 75 metformin hcl er (mod)............41 micort-hc................................. 87
marnatal-f..............................124 metformin hcl er (osm)............ 41 micrhogam ultra-filtered plus 135
marplan................................... 37 methadone hcl.......................... 24 microdot test........................... 95
matulane..................................56 methadone hcl intensol..............24 microgestin 1.5/30.................... 75
matzim la................................. 69 methamphetamine hcl............... 17 microgestin 1/20....................... 75
mavyret..................................112 methazolamide......................... 98 microgestin fe 1.5/30................ 75
maxalt....................................121 methenamine hippurate...........147 microgestin fe 1/20................... 75
maxalt-mlt............................. 121 methenamine mandelate..........147 micro-k.................................. 122
maxfe.....................................111 methergine............................. 134 microlet lancets......................119
maxidex................................. 131 methimazole........................... 143 microtainer safety flow lancet 119
maximum d3..........................150 methitest..................................27 midazolam hcl........................ 113
maxipime.................................72 methocarbamol.......................127 midodrine hcl..........................149
maxzide................................... 98 methotrexate............................57 migergot................................ 121
maxzide-25.............................. 98 methotrexate sodium (pf)........ 57 miglitol.................................... 41
md-gastroview.......................... 95 methoxsalen rapid.................... 87 miglustat................................ 111
meclizine hcl.............................44 methscopolamine bromide.......146 migranal................................ 121
meclofenamate sodium............. 20 methyclothiazide...................... 98 millipred.................................. 78
medrol..................................... 78 methyldopa.............................. 50 mimvey...................................102
medroxyprogesterone acetate methyldopa- minastrin 24 fe.........................75
......................................... 75, 137 hydrochlorothiazide..................50 minipress................................. 50
mefenamic acid.........................20 methyldopate hcl...................... 50 miniprin low dose......................22
mefloquine hcl.......................... 53 methylin.................................. 17 minitran................................... 28
megace es...............................137 methylphenidate hcl..................17 minivelle................................ 102
megestrol acetate.............. 56, 137 methylphenidate hcl er..............17 minocin..................................143
meijer blood glucose test........... 95 methylphenidate hcl er (cd)......17 minocycline hcl....................... 143
meijer truetest test................... 95 methylphenidate hcl er (la)...... 17 minocycline hcl er................... 143
meijer truetrack test.................95 methylprednisolone...................78 minoxidil..................................50
mekinist...................................56 methylprednisolone sodium miralax.................................. 115
meloxicam................................20 succ..........................................78 mirapex................................... 59
melpaque hp............................. 87 methyltestosterone................... 27 mirapex er............................... 59
melphalan.................................56 metoclopramide hcl.................104 mircera.................................. 111
melphalan hcl........................... 57 metolazone............................... 98 mircette................................... 75
memantine hcl........................ 139 metopirone.............................. 95 mirena (52 mg)........................ 75
memantine hcl er.................... 139 metoprolol succinate er.............67 mirtazapine.............................. 37
menest................................... 102 metoprolol tartrate................... 67 mirvaso....................................87
menostar................................102 metoprolol-hctz er.................... 50 misoprostol.............................146
meperidine hcl.......................... 24 metoprolol-hydrochlorothiazide 50 mitigare................................. 106
mephyton.............................. 150 metrocream............................. 87 mitoxantrone hcl...................... 57
meprobamate........................... 29 metrogel.................................. 87 mixed vespid venom protein...... 68
mepron.................................... 52 metrogel-vaginal.................... 148 mobic...................................... 20
mercaptopurine........................ 57 metrolotion..............................87 modafinil..................................18
mesalamine............................ 104 metronidazole..............52, 87, 148 moderiba.................................. 63
mesalamine-cleanser............... 104 metronidazole in nacl................52 moderiba 1200 dose pack........ 63
mesnex.....................................57 mevacor...................................47 moderiba 800 dose pack.......... 63
mestinon..................................53 mexiletine hcl........................... 30 moexipril hcl............................ 50
metadate er..............................17 miacalcin............................... 100 moexipril-hydrochlorothiazide.. 50
165
mometasone furoate..........87, 128 myorisan..................................87 necon 1/35 (28)........................76
mondoxyne nl........................ 143 myrbetriq...............................147 nefazodone hcl.................. 37, 141
monoclate-p...........................108 mysoline.................................. 35 neomycin sulfate.......................18
monoject sodium chloride flush122 mytesi...................................... 43 neomycin-bacitracin zn-
mono-linyah............................. 75 myzilra.....................................75 polymyx................................. 131
mononessa................................75 na ferric gluc cplx in sucrose... 111 neomycin-polymyxin b gu....... 105
mononine...............................108 nabi-hb.................................. 135 neomycin-polymyxin-dexameth
monovisc............................... 127 nabumetone..............................20 ...............................................132
montelukast sodium..................31 nadolol..................................... 67 neomycin-polymyxin-
morcin......................................66 nadolol-bendroflumethiazide.....50 gramicidin.............................. 132
morgidox............................... 143 naftifine hcl.............................. 87 neomycin-polymyxin-hc.. 132, 134
morphabond er........................24 naftin.......................................87 neoral...................................... 66
morphine sulfate.......................25 naglazyme..............................100 neosalus...................................87
morphine sulfate (concentrate).25 nalbuphine hcl.......................... 25 neosalus cp.............................. 87
morphine sulfate (pf)............... 25 nalfon...................................... 20 neo-synalar.............................. 88
morphine sulfate er................... 25 naloxone hcl............................. 43 nephplex rx............................ 125
morphine sulfate er beads......... 25 naltrexone hcl...........................43 nephron fa............................. 111
motofen................................... 43 namenda................................ 139 nerlynx.................................... 57
movantik............................... 104 namenda titration pak........... 139 nesina...................................... 41
moviprep............................... 115 namenda xr............................139 nestabs...................................125
moxatag.................................136 namenda xr titration pack..... 139 neuac....................................... 88
moxeza.................................. 131 namzaric..................................36 neulasta................................. 111
moxifloxacin hcl............. 103, 131 naprelan.................................. 20 neupogen............................... 111
mozobil..................................111 napro....................................... 87 neupro..................................... 59
ms contin................................. 25 naprosyn..................................20 neurin-sl................................. 111
multaq..................................... 30 naproxen.................................. 20 neurontin.................................35
multigen.................................111 naproxen dr..............................20 neutek 2tek glucose/pressure..119
multigen folic.........................111 naproxen sodium...................... 20 neutek 2tek test........................96
multigen plus......................... 111 naproxen sodium er.................. 20 nevanac..................................132
multi-vit/fluoride/iron............. 124 naratriptan hcl........................121 nevirapine.................................63
multivitamin/fluoride.............. 125 narcan..................................... 43 nevirapine er.............................63
multi-vitamin/fluoride/iron......125 nardil....................................... 37 nexa plus................................125
multivitamins/fluoride.............125 nasacort allergy 24hr............. 128 nexavar....................................57
mupirocin................................. 87 nasacort allergy 24hr children 128 nexium...................................146
mupirocin calcium.................... 87 nasal allergy 24 hour.............. 128 nexium 24hr...........................146
myalept..................................115 nascobal.................................111 nexium i.v.............................. 146
myambutol.............................. 53 nasonex..................................128 nexplanon................................76
mycobutin............................... 53 natacyn.................................. 131 next choice one dose................. 76
mycophenolate mofetil..............66 natazia.....................................75 nexterone.................................30
mydayis................................... 18 nateglinide................................41 niacin er (antihyperlipidemic).. 47
mydriacyl...............................131 natesto.....................................27 niacor...................................... 47
myfortic...................................66 natpara.................................. 100 niaspan.................................... 47
myglucohealth test...................95 natroba....................................87 nicardipine hcl.......................... 69
myleran................................... 57 nat-rul vitamin d..................... 150 nicoderm cq........................... 139
mynatal..................................125 natural vitamin d-3................. 150 nicorelief................................ 139
mynatal advance....................125 nature-throid......................... 143 nicorette.................................139
mynatal plus........................... 125 nebupent..................................52 nicotine.................................. 140
mynatal-z............................... 125 nebusal.....................................79 nicotine polacrilex.................. 139
myobloc.................................128 nebusal.................................... 79 nicotine step 1.........................139
myorisan.................................. 87 necon 0.5/35 (28).....................75 nicotine step 2.........................139
166
nicotine step 3.........................139 norvasc.................................... 70 octreotide acetate................... 100
nicotrol.................................. 140 norvir...................................... 63 ocuflox...................................132
nicotrol ns..............................140 nova max glucose test.............. 96 ocuvel.................................... 125
nifedical xl............................... 69 novoeight...............................108 odefsey.................................... 63
nifedipine................................. 69 novofine.................................119 odomzo................................... 57
nifedipine er............................. 69 novolin 70/30........................... 41 ofev........................................141
nifedipine er osmotic release..... 69 novolin 70/30 relion.................41 ofloxacin................. 103, 132, 134
nikki........................................ 76 novolin n................................. 41 ogestrel.................................... 76
nilandron.................................57 novolin n relion....................... 41 olanzapine................................ 60
nilutamide................................ 57 novolin r.................................. 41 olanzapine-fluoxetine hcl........ 140
nimodipine................................70 novolin r relion........................41 olmesartan medoxomil............. 50
ninlaro.....................................57 novolog................................... 41 olmesartan medoxomil-hctz...... 50
nisoldipine er............................ 70 novolog flexpen....................... 42 olmesartan-amlodipine-hctz......50
nitro-bid.................................. 28 novolog mix 70/30................... 42 olopatadine hcl................128, 132
nitro-dur..................................28 novolog mix 70/30 flexpen....... 42 olux......................................... 88
nitrofurantoin......................... 147 novolog penfill.........................42 olux-e...................................... 88
nitrofurantoin macrocrystal.... 147 novoseven rt.......................... 108 omeclamox-pak..................... 146
nitrofurantoin monohyd macro 147 novotwist............................... 119 omega-3-acid ethyl esters..........47
nitroglycerin.............................28 noxafil..................................... 45 omeprazole............................. 146
nitroglycerin in d5w..................28 np thyroid...............................143 omeprazole magnesium...........146
nitrolingual..............................28 nplate.....................................111 omeprazole-sodium
nitromist..................................28 nucala.................................... 114 bicarbonate............................ 146
nitrostat...................................28 nucort......................................88 omnaris..................................128
nitro-time................................. 29 nucynta....................................25 omnipred............................... 132
nityr.......................................100 nucynta er................................25 omnitrope.............................. 100
nizatidine................................146 nuedexta................................ 140 on call express blood glucose... 96
nizoral..................................... 88 nufol...................................... 111 on call plus blood glucose........96
noctiva...................................100 nulojix..................................... 66 on call vivid blood glucose.......96
nolix........................................ 88 nulytely with flavor packs......115 ondansetron..............................44
nora-be.....................................76 nuplazid...................................60 ondansetron hcl........................ 44
norco....................................... 25 nutropin aq nuspin 10............100 onetouch club lancets fine pt. 119
norditropin flexpro................ 100 nutropin aq nuspin 20............100 onetouch combo pack............119
norethin ace-eth estrad-fe......... 76 nutropin aq nuspin 5............. 100 onetouch delica lancets 33g....119
norethindrone........................... 76 nuvaring.................................. 76 onetouch delica lancets fine... 119
norethindrone acetate............. 137 nuvigil..................................... 18 onetouch delica lancing dev... 119
norethindrone-eth estradiol..... 102 nuwiq.....................................108 onetouch finepoint lancets..... 119
norgestimate-eth estradiol........ 76 nyamyc.................................... 88 onetouch ultra blue................. 96
norgestim-eth estrad triphasic...76 nymalize.................................. 70 onetouch ultrasoft lancets......119
noritate....................................88 nystatin................. 45, 68, 88, 124 onetouch verio.........................96
norlyroc...................................76 nystatin-triamcinolone..............88 onexton................................... 88
normosol-r.............................122 nystop...................................... 88 onfi.......................................... 35
normosol-r ph 7.4.................. 122 ob complete gold................... 125 onglyza.................................... 42
norpace cr................................30 ob complete premier.............. 125 onmel...................................... 45
norpramin............................... 37 ob complete/dha.................... 125 onzetra xsail...........................121
northera.................................128 obredon................................... 79 opana...................................... 25
nortrel 0.5/35 (28)................... 76 o-cal fa...................................125 opana er.................................. 25
nortrel 1/35 (21)...................... 76 o-cal prenatal.........................125 opium.......................................43
nortrel 1/35 (28)...................... 76 ocaliva................................... 103 opsumit................................... 71
nortrel 7/7/7............................. 76 ocella....................................... 76 optimal d3 m......................... 150
nortriptyline hcl........................37 octagam................................. 135 optimal-d............................... 150
167
option 2................................... 76 oxycodone-acetaminophen........25 pennsaid.................................. 88
optumrx blood glucose test......96 oxycodone-aspirin.................... 25 pentasa.................................. 104
opurity vitamin d................... 150 oxycodone-ibuprofen................ 25 pentazocine-naloxone hcl..........26
oracea......................................88 oxycontin.................................25 pentoxifylline er..................... 108
oralone................................... 124 oxymorphone hcl...................... 26 pentylene glycol........................73
oramagicrx............................ 124 oxymorphone hcl er.................. 26 pepcid.................................... 146
orap....................................... 140 oxytrol................................... 148 pepcid ac maximum strength. 146
orapred odt..............................78 oxytrol for women................. 148 percocet................................... 26
oravig.................................... 124 ozempic................................... 42 perforomist..............................31
orencia.....................................21 pa vitamin d-3.........................150 perindopril erbumine.................50
orencia clickject....................... 21 pacerone...................................30 periogard............................... 124
orenitram.................................71 paliperidone er..........................61 periomed................................ 124
orfadin...................................100 palonosetron hcl....................... 44 permethrin................................88
orkambi...................................80 pamelor................................... 37 perphenazine............................ 61
orphenadrine citrate er............127 pamidronate disodium.............100 perphenazine-amitriptyline..... 140
orsythia....................................76 pancreaze.................................97 pertzye.....................................97
ortho d................................... 111 pandel......................................88 pexeva..................................... 38
ortho micronor........................ 76 panretin................................... 88 phenadoz.................................. 46
ortho tri-cyclen (28).................76 pantoprazole sodium...............146 phenazopyridine hcl................ 106
ortho tri-cyclen lo.................... 76 paragard intrauterine copper...76 phenelzine sulfate..................... 38
ortho-cyclen (28)..................... 76 paricalcitol............................. 100 phenobarbital......................... 113
ortho-novum 1/35 (28).............76 parnate.................................... 37 phenoxybenzamine hcl.............. 50
ortho-novum 7/7/7 (28)............76 paroex....................................124 phenylephrine hcl....................132
orthovisc................................127 paromomycin sulfate................ 18 phenytek..................................35
oseltamivir phosphate............... 63 paroxetine hcl...........................37 phenytoin................................. 35
oseni........................................ 42 paroxetine hcl er.......................37 phenytoin infatabs.................... 35
osmolex er............................... 59 paroxetine mesylate................140 phenytoin sodium......................35
osmoprep...............................115 paser........................................ 53 phenytoin sodium extended....... 35
osphena................................. 100 pataday..................................132 philith...................................... 76
otezla..................................... 137 patanase................................ 128 phoslo....................................104
otovel.....................................134 patanol.................................. 132 phoslyra.................................104
otrexup.................................... 21 paxil........................................ 37 phospha 250 neutral................122
ovace plus................................88 paxil cr.....................................37 phospholine iodide................ 132
ovace plus wash....................... 88 pazeo..................................... 132 physiolyte.................................66
ovace wash.............................. 88 peg 3350.................................115 phytonadione.......................... 150
ovide........................................88 peg 3350/electrolytes.............. 115 picato...................................... 88
oxandrin.................................. 27 peg 3350-kcl-na bicarb-nacl.... 115 pilocarpine hcl.................124, 132
oxandrolone............................. 27 peg-3350/electrolytes.............. 115 pimozide.................................140
oxaprozin................................. 21 peganone................................. 35 pindolol.................................... 67
oxaydo.....................................25 pegasys.................................... 64 pioglitazone hcl........................ 42
oxazepam.................................29 pegasys proclick...................... 63 pioglitazone hcl-glimepiride...... 42
oxcarbazepine.......................... 35 peg-prep.................................115 pioglitazone hcl-metformin hcl..42
oxiconazole nitrate................... 88 pegylax.................................. 115 piperacillin sod-tazobactam so 136
oxistat......................................88 pen needles............................. 120 piroxicam.................................21
oxsoralen ultra........................ 88 pen needles 1/2"...................... 120 plan b one-step........................ 76
oxtellar xr................................ 35 pen needles 3/16".................... 120 plaquenil..................................53
oxybutynin chloride................ 148 pen needles 5/16".................... 120 plasma-lyte 148......................123
oxybutynin chloride er............ 148 penicillin g pot in dextrose...... 136 plasma-lyte a......................... 123
oxycodone hcl.......................... 25 penicillin v potassium..............136 plavix.....................................108
oxycodone hcl er.......................25 penlac...................................... 88 plegridy..................................140
168
plegridy starter pack.............. 140 pred mild............................... 132 proctofoam hc......................... 28
plexion.....................................88 pred-g.................................... 132 procto-pak................................28
plexion cleanser....................... 88 pred-g s.o.p............................132 proctosol hc..............................28
plexion cleansing cloth............ 88 prednicarbate........................... 88 proctozone-hc...........................28
pnv-dha.................................. 125 prednisolone............................. 78 procysbi................................. 106
pnv-omega.............................125 prednisolone acetate............... 132 prodigy no coding blood gluc.. 96
pnv-select............................... 125 prednisolone sodium phosphate proferrin-forte....................... 111
pocketchem ez test...................96 ......................................... 78, 132 profilnine............................... 108
podocon.................................. 88 prednisone................................ 78 profilnine sd...........................108
polyethylene glycol 3350.........115 prednisone intensol..................78 progesterone micronized......... 137
polymyxin b-trimethoprim...... 132 prefest....................................102 proglycem................................42
polytrim.................................132 premarin........................ 102, 148 prograf.................................... 66
poly-vi-flor............................ 125 premphase............................. 102 prolastin-c............................. 141
poly-vi-flor fs......................... 125 prempro.................................102 prolensa................................. 132
poly-vi-flor/iron..................... 125 prenata.................................. 125 prolia..................................... 100
pomalyst..................................57 prenatabs rx........................... 125 promacta............................... 111
ponstel.....................................21 prenatal 19............................. 125 promethazine hcl...................... 46
portia-28.................................. 76 prenatal plus iron...................125 promethazine vc/codeine........... 79
pot bicarb-pot chloride............123 prenate dha............................125 promethazine-dm......................79
potaba................................... 150 prepopik................................ 115 promethegan............................ 46
potassium bicarbonate............ 123 prestalia...................................50 prometrium........................... 138
potassium chloride.................. 123 prevacid................................. 146 promiseb..................................89
potassium chloride crys er.......123 prevacid 24hr......................... 146 propafenone hcl........................ 30
potassium chloride er.............. 123 prevacid solutab.................... 146 propafenone hcl er.................... 30
potassium chloride in nacl....... 123 prevalite................................... 47 propantheline bromide............ 146
potassium citrate er................ 106 previfem................................... 76 proparacaine hcl..................... 132
potassium citrate-citric acid....106 prevpac.................................. 146 proparacaine-fluorescein.........132
pradaxa................................... 33 prevymis.................................. 64 propecia...................................89
praluent................................. 135 prezcobix................................. 64 propranolol hcl......................... 68
pramcort.................................. 27 prezista.................................... 64 propranolol hcl er..................... 67
pramipexole dihydrochloride.....59 prialt........................................22 propranolol-hctz....................... 50
pramipexole dihydrochloride er.59 priftin...................................... 53 propylthiouracil...................... 143
pramosone...............................88 prilosec.................................. 146 proscar...................................106
prandin....................................42 prilosec otc............................ 146 protectiron.............................111
prasugrel hcl...........................108 primaquine phosphate...............53 protonix.................................146
pravachol.................................47 primidone................................. 35 protopic...................................89
pravastatin sodium................... 47 primlev.................................... 26 protriptyline hcl........................38
praziquantel............................. 28 primsol.................................... 52 proventil hfa............................ 31
prazosin hcl.............................. 50 prinivil..................................... 50 provera.................................. 138
precision pcx............................96 pristiq...................................... 38 provigil.................................... 18
precision pcx plus test..............96 privigen..................................135 prozac......................................38
precision point of care test.......96 proair hfa................................ 31 prudoxin..................................89
precision qid test......................96 probenecid.............................. 106 prutect..................................... 89
precision sof-tact test...............96 procainamide hcl...................... 30 pseudoeph-chlorphen-hydrocod. 79
precision suredose plus syr.....120 procardia xl............................. 70 psorcon.................................... 89
precision sure-dose syringe.... 120 procentra................................. 18 pts panels glucose test..............96
precision xtra blood glucose.... 96 prochlorperazine.......................61 pulmicort.................................31
precision xtra ketone............... 96 prochlorperazine maleate..........61 pulmicort flexhaler.................. 31
precose.................................... 42 procrit....................................111 pulmozyme............................ 141
pred forte...............................132 proctocort................................27 purefe plus..............................111
169
purevit dualfe plus.................. 111 ranitidine hcl.......................... 147 requip...................................... 59
purixan.................................... 57 rapaflo................................... 106 requip xl.................................. 59
px acid reducer max st............146 rapamune................................ 66 rescriptor................................. 64
pylera.....................................146 rasagiline mesylate................... 59 rescula................................... 132
pyrazinamide............................53 rasuvo......................................21 restasis................................... 132
pyridium................................ 106 ravicti.................................... 101 restasis multidose...................132
pyridostigmine bromide............ 53 rayaldee................................. 101 restoril................................... 113
pyridostigmine bromide er........ 53 rayos........................................78 retin-a......................................89
qbrelis......................................51 razadyne................................ 140 retin-a micro............................89
qc acid controller max st.........146 razadyne er............................ 140 retin-a micro pump..................89
qc aspirin low dose....................22 rebetol..................................... 64 retrovir.................................... 64
qc natura-lax..........................115 rebif....................................... 140 revatio..................................... 71
qnasl...................................... 128 rebif rebidose......................... 140 reveal blood glucose test.......... 96
qnasl childrens....................... 128 rebif rebidose titration pack...140 revesta................................... 112
qtern...................................... 142 rebif titration pack.................140 revlimid................................... 66
qualaquin................................ 53 rebinyn.................................. 108 rexulti...................................... 61
quartette.................................. 76 reclast.................................... 101 reyataz.....................................64
quasense...................................76 reclipsen...................................77 rhinocort allergy.................... 128
quazepam............................... 113 recombinate........................... 108 rhofade.................................... 89
qudexy xr.................................35 rectiv....................................... 28 rhogam ultra-filtered plus...... 135
questran light...........................48 refissa...................................... 89 rhophylac.............................. 135
quetiapine fumarate..................61 refuah plus blood glucose test..96 rhopressa............................... 133
quetiapine fumarate er..............61 regenecare................................89 riastap....................................108
quflora fe pediatric................ 125 reglan.....................................104 ribasphere................................ 64
quicktek test............................ 96 regonol.................................... 53 ribasphere ribapak....................64
quillichew er............................ 18 regranex...................................89 ribavirin................................... 64
quillivant xr............................. 18 relagard................................. 148 ridaura.....................................21
quinapril hcl............................. 51 relenza diskhaler......................64 rifabutin................................... 53
quinapril-hydrochlorothiazide... 51 relion insulin syringe..............120 rifadin......................................53
quinidine gluconate...................30 reli-on insulin syringe............ 120 rifamate................................... 54
quinidine gluconate er...............30 relion pen needles.................. 120 rifampin................................... 54
quinidine sulfate....................... 30 relistor................................... 105 rifater...................................... 54
quinidine sulfate dihydrate........73 relpax.....................................121 rightest gs100 blood glucose.... 96
quinine sulfate.......................... 53 remeron................................... 38 rightest gs300 blood glucose.... 96
quintet ac blood glucose test....96 remeron soltab.........................38 rightest gs550 blood glucose.... 96
quintet blood glucose test........ 96 remicade................................ 105 rilutek.................................... 128
qvar......................................... 31 remodulin................................ 71 riluzole................................... 128
qvar redihaler.......................... 31 renacidin................................106 rimantadine hcl........................ 64
ra acid reducer max st............ 146 renagel................................... 105 riomet...................................... 42
ra laxative.............................. 115 renflexis................................. 105 risedronate sodium..................101
ra nicotine.............................. 140 renova..................................... 89 risperdal.................................. 61
ra truetest test..........................96 renvela................................... 105 risperdal m-tab........................ 61
ra vitamin d-3......................... 150 repaglinide............................... 42 risperidone............................... 61
rabeprazole sodium.................146 repaglinide-metformin hcl.........42 risperidone m-tab.................... 61
radiagel....................................89 repatha.................................. 135 ritalin.......................................18
radiaplexrx.............................. 89 repatha pushtronex system.... 135 ritalin la................................... 18
rajani....................................... 76 repatha sureclick....................135 ritonavir................................... 64
raloxifene hcl..........................101 replesta.................................. 150 rituxan.....................................57
ramipril....................................51 replesta childrens................... 150 rivastigmine............................140
ranexa......................................29 replesta nx............................. 150 rivastigmine tartrate............... 140
170
rivelsa...................................... 77 scopolamine............................. 44 sm nicotine............................. 140
rixubis....................................108 seasonique............................... 77 sm vitamin d3......................... 150
rizatriptan benzoate................121 seb-prev wash........................... 89 smart sense value test...............96
robaxin.................................. 127 seconal...................................113 smartest blood glucose test...... 96
robinul...................................147 seebri neohaler.........................32 smooth lax............................. 115
robinul-forte.......................... 147 segluromet............................. 142 sod benz-sod phenylacet..........101
rocaltrol.................................101 selegiline hcl............................. 59 sod citrate-citric acid.............. 106
rocephin.................................. 72 selenium sulfide........................ 89 sodium chloride......... 79, 106, 123
ropinirole hcl............................ 59 selrx......................................... 89 sodium chloride bacteriostatic.136
ropinirole hcl er........................ 59 selzentry.................................. 64 sodium edecrin........................ 98
rosadan.................................... 89 semprex-d................................ 79 sodium fluoride.......................123
rosadan....................................89 se-natal 19..............................125 sodium hydroxide..................... 73
rosanil cleanser.........................89 sensipar..................................101 sodium phenylbutyrate............101
rosuvastatin calcium................. 48 serevent diskus.........................32 sodium polystyrene sulfonate
rowasa................................... 105 sernivo.....................................89 ......................................... 66, 137
roxicodone...............................26 seroquel................................... 61 sodium sulfacetamide................90
rozerem..................................113 seroquel xr...............................61 solia......................................... 77
rubraca.................................. 137 serostim................................. 101 soliqua................................... 114
ruconest................................. 108 sertraline hcl............................ 38 solodyn.................................. 143
rydapt......................................57 se-tan plus.............................. 112 solosec..................................... 18
rynoderm..................................89 sevelamer carbonate............... 105 soltamox..................................57
rytary.......................................59 sfrowasa................................ 105 solu-cortef............................... 79
rythmol sr................................30 sharobel...................................77 solu-medrol............................. 79
ryvent...................................... 46 shohls modified..................... 106 solus v2 test............................. 96
sabril....................................... 35 signifor.................................. 101 soma...................................... 127
safety let lancets.....................120 sildenafil citrate........................71 somatuline depot................... 101
safyral......................................77 silenor....................................113 somavert................................ 101
saizen.....................................101 siliq..........................................89 sonafine................................... 90
saizen click.easy..................... 101 silvadene..................................89 sonata.................................... 113
salagen...................................124 silver nitrate............................. 90 soolantra................................. 90
salex........................................ 89 silver sulfadiazine..................... 90 soriatane..................................90
salicylic acid.............................89 simbrinza............................... 132 sorilux..................................... 90
salicylic acid wart remover....... 89 simple diagnostics lancing dev sorine....................................... 68
saline bacteriostatic................ 136 ...............................................120 sotalol hcl.................................68
saline-benzyl alcohol...............136 simponi....................................21 sotalol hcl (af)......................... 68
samsca................................... 101 simponi aria.............................21 sotylize.................................... 68
sancuso....................................44 simulect................................... 66 sovaldi..................................... 64
sandimmune............................ 66 simvastatin............................... 48 spectracef.................................72
sandostatin............................ 101 sinemet.................................... 59 spinosad................................... 90
sandostatin lar depot............. 101 sinemet cr................................ 59 spiriva handihaler....................32
santyl.......................................89 singulair...................................32 spiriva respimat....................... 32
saphris..................................... 61 sirolimus.................................. 66 spironolactone.......................... 98
sapscare twist top lancets........120 sirturo......................................54 spironolactone-hctz.................. 98
sarafem.................................. 140 sitavig...................................... 64 sporanox..................................45
savaysa.................................... 33 sivextro....................................52 sporanox pulsepak...................45
savella....................................140 skelaxin..................................127 sprintec 28................................77
savella titration pack............. 140 sklice........................................90 spritam.................................... 35
sb acid controller max st......... 147 skyla........................................ 77 sprix........................................ 21
sb polyethylene glycol 3350.....115 sm acid reducer max st........... 147 sprycel..................................... 57
scalacort.................................. 89 sm clearlax.............................115 sronyx......................................77
171
sski.......................................... 79 supartz fx...............................127 tamoxifen citrate......................57
sss 10-5.................................... 90 super daily d3......................... 150 tamsulosin hcl.........................106
st joseph aspirin........................22 super thin lancets.................... 120 tandem f................................ 112
stalevo 100...............................59 supprelin la............................ 101 tandem plus........................... 112
stalevo 125...............................59 suprax......................................72 tanzeum...................................42
stalevo 150...............................59 supreme test.............................96 tapazole................................. 143
stalevo 200...............................59 suprep bowel prep kit............ 115 taperdex 12-day....................... 79
stalevo 50.................................59 sure edge test........................... 96 taperdex 6-day.........................79
stalevo 75.................................59 surechek blood glucose test..... 96 tarceva.....................................57
starlix...................................... 42 sure-test easyplus mini test...... 96 targadox................................ 143
stavudine.................................. 64 surmontil................................. 38 targretin............................. 57, 91
steglatro...................................42 sustiva..................................... 64 tarka........................................51
steglujan................................ 142 sutent.......................................57 taron forte.............................. 112
stelara.............................. 90, 114 swabflush saline flush..............123 taron-c dha............................ 125
sterile water for irrigation.........66 syeda........................................77 tasigna..................................... 57
stimate................................... 101 sylatron................................... 57 tasmar..................................... 59
stiolto respimat........................32 symax duotab........................ 147 tavalisse................................. 142
stivarga....................................57 symbicort.................................32 taytulla.................................... 77
strattera................................... 18 symbyax................................ 140 tazarotene................................ 91
strensiq.................................. 113 symdeko.................................. 80 tazicef...................................... 72
streptomycin sulfate................. 18 symfi........................................64 tazorac.....................................91
striant...................................... 27 symfi lo....................................64 taztia xt................................... 70
stribild..................................... 64 symlinpen 120..........................42 tecfidera.................................140
striverdi respimat.....................32 symlinpen 60............................42 technivie................................ 112
stromectol................................28 symproic................................ 105 teflaro......................................72
suboxone................................. 26 synagex.................................. 125 tegretol.................................... 35
subsys...................................... 26 synagis................................... 135 tegretol-xr................................35
sucraid.....................................97 synalar.....................................90 tekturna...................................51
sucralfate............................... 147 synalar (cream)........................ 90 tekturna hct............................. 51
sular........................................ 70 synalar (ointment)................... 90 telcare blood glucose test......... 96
sulfacetamide sodium........ 90, 132 synalar ts................................. 90 telmisartan............................... 51
sulfacetamide sodium (acne).... 90 synarel................................... 101 telmisartan-amlodipine............. 51
sulfacetamide sodium-sulfur......90 synatek.................................. 125 telmisartan-hctz....................... 51
sulfacetamide sod-sulfur wash...90 syndros.................................... 44 temazepam............................. 113
sulfacetamide-prednisolone..... 133 synera...................................... 90 temodar................................... 57
sulfacleanse 8/4........................ 90 synjardy................................. 142 temovate..................................91
sulfadiazine............................ 142 synjardy xr.............................142 temozolomide........................... 57
sulfamethoxazole-trimethoprim 52 synribo.................................... 57 tenofovir disoproxil fumarate....64
sulfamylon...............................90 synthroid............................... 143 terazosin hcl............................. 51
sulfasalazine...........................105 synvisc................................... 127 terbinafine hcl.......................... 45
sulfazine................................. 105 synvisc one.............................127 terbutaline sulfate.....................32
sulindac....................................21 syprine.....................................66 terconazole............................. 148
sumadan.................................. 90 tabloid..................................... 57 tessalon perles..........................79
sumatriptan............................ 121 taclonex............................. 90, 91 testim.......................................27
sumatriptan succinate............. 121 tacrolimus...........................66, 91 testosterone........................ 27, 73
sumatriptan succinate refill.....121 tafinlar.....................................57 testosterone cypionate.........27, 73
sumatriptan-naproxen sodium.122 tagrisso.................................... 57 testosterone enanthate.............. 27
sumaxin................................... 90 take action............................... 77 tetcaine.................................. 133
sumaxin cp.............................. 90 taltz......................................... 91 tetrabenazine..........................140
sumaxin ts............................... 90 tamiflu.....................................64 tetracaine hcl..........................133
172
tetracycline hcl....................... 143 tobradex st.............................133 tretten.................................... 109
tetravisc................................. 133 tobramycin............................... 18 trexall...................................... 58
texacort................................... 91 tobramycin sulfate....................18 treximet................................. 122
tgt aspirin.................................22 tobramycin-dexamethasone.... 133 trezix....................................... 26
tgt nicotine step one................ 140 tobrex.................................... 133 triacetin................................... 73
tgt nicotine step three............. 140 tofranil.................................... 38 triamcinolone acetonide
tgt nicotine step two................140 tolak........................................ 91 ..................................91, 124, 128
tgt powderlax.........................115 tolazamide................................42 triaminic allerchews................. 46
thalamus compositum............. 66 tolbutamide.............................. 42 triamterene-hctz....................... 98
thalomid.................................. 66 tolcapone..................................59 triazolam................................113
theo-24.................................... 32 tolmetin sodium........................ 21 tribenzor..................................51
theochron................................. 32 tolterodine tartrate................. 148 tricare.................................... 126
theophylline..............................32 tolterodine tartrate er............. 148 tricare prenatal dha one.........126
theophylline er..........................32 topamax.................................. 35 tricon..................................... 112
thera-d 2000...........................150 topamax sprinkle.....................35 tricor....................................... 48
thera-d 4000...........................150 topicort....................................91 triderm.....................................91
thera-d rapid repletion...........150 topicort spray.......................... 91 triderm.................................... 91
thiola..................................... 106 topiramate............................... 35 tridesilon................................. 91
thioridazine hcl.........................61 toposar.....................................58 trientine hcl.............................. 66
thiothixene............................... 61 toprol xl...................................68 trifluoperazine hcl.................... 61
thrive......................................141 torisel...................................... 58 trifluridine.............................. 133
thymoglobulin......................... 66 torsemide................................. 98 trigels-f forte.......................... 112
thyrogen.................................. 97 toujeo max solostar................. 42 triglide..................................... 48
thyrolar-1.............................. 144 toujeo solostar......................... 42 trihexyphenidyl hcl................... 59
thyrolar-1/2............................144 toviaz.....................................148 tri-legest fe...............................77
thyrolar-1/4............................144 tracleer.................................... 71 trileptal....................................36
thyrolar-2.............................. 144 tradjenta.................................. 42 tri-linyah.................................. 77
thyrolar-3.............................. 144 tramadol hcl............................. 26 trilipix......................................48
tiagabine hcl.............................35 tramadol hcl er......................... 26 tri-luma................................... 91
tiazac....................................... 70 tramadol hcl er (biphasic)........ 26 trilyte..................................... 115
tigan........................................ 44 tramadol-acetaminophen.......... 26 trimethobenzamide hcl..............44
tikosyn.....................................30 trandolapril.............................. 51 trimethoprim............................ 52
tilia fe...................................... 77 trandolapril-verapamil hcl er.... 51 tri-mili..................................... 77
timolol maleate................. 68, 133 tranexamic acid......................112 trimipramine maleate............... 38
timoptic................................. 133 transderm-scop (1.5 mg).......... 44 trimpex.................................... 52
timoptic ocudose................... 133 tranxene-t................................ 29 trinessa (28)............................ 77
timoptic-xe............................ 133 tranylcypromine sulfate............ 38 tri-norinyl (28)......................... 77
tindamax................................. 52 traumeel.................................. 66 trintellix........................... 38, 141
tinidazole................................. 52 travatan z...............................133 tri-previfem.............................. 77
tirosint................................... 144 trazodone hcl.................... 38, 141 triptodur................................ 101
tis-u-sol.................................... 66 trecator....................................54 tri-sprintec............................... 77
tivicay......................................64 trelegy ellipta........................... 32 triumeq....................................65
tivorbex................................... 21 trelstar mixject.........................58 triveen-duo dha..................... 126
tizanidine comfort pac........... 127 tremfya.................................... 91 tri-vit/fluoride/iron................ 126
tizanidine hcl.......................... 127 tresiba flextouch...................... 42 trivora (28)..............................77
tl gard rx................................ 112 tretinoin..............................58, 91 trizivir......................................65
tl icon..................................... 112 tretinoin (emollient).................91 trokendi xr...............................36
tobi.......................................... 18 tretinoin microsphere................91 tropicamide............................ 133
tobi podhaler........................... 18 tretinoin microsphere pump...... 91 trospium chloride....................148
tobradex................................ 133 tretin-x.....................................91 trospium chloride er................148
173
true metrix blood glucose test..97 urocit-k 5............................... 106 versacloz..................................61
trueplus insulin syringe.......... 120 urso 250................................. 105 verzenio................................... 80
trueplus lancets 26g............... 120 urso forte............................... 105 vesicare.................................. 148
trueplus lancets 30g............... 120 ursodiol.................................. 105 vestura..................................... 77
trueplus safety lancets 28g..... 120 utibron neohaler...................... 32 vfend....................................... 45
truetest test.............................. 97 utopic...................................... 92 viberzi....................................114
truetrack test........................... 97 vagifem.................................. 148 vibramycin.............................143
trulance................................... 73 valacyclovir hcl.........................65 vicodin..................................... 26
trulicity....................................42 valchlor................................... 92 vicodin es................................. 26
trusopt................................... 133 valcyte..................................... 65 vicodin hp.................................26
truvada.................................... 65 valganciclovir hcl......................65 victory agm-4000 test...............97
tudorza pressair....................... 32 valium..................................... 29 victoza..................................... 42
tulana...................................... 77 valproate sodium...................... 36 vida mia unifine pentips.........120
tusnel c.................................... 80 valproic acid.............................36 videx........................................ 65
tussicaps.................................. 80 valsartan.................................. 51 videx ec....................................65
tussionex pennkinetic er.......... 80 valsartan-hydrochlorothiazide...51 viekira pak.............................112
tuzistra xr................................ 80 valtrex..................................... 65 viekira xr............................... 112
twynsta.................................... 51 vanatol lq................................ 22 vigabatrin.................................36
tybost...................................... 61 vancomycin hcl......................... 52 vigamox................................. 133
tydemy.....................................77 vandazole............................... 148 viibryd..............................38, 141
tykerb...................................... 58 vaniqa......................................92 viibryd starter pack.......... 38, 141
tylenol with codeine #3........... 26 vanishpoint insulin syringe.... 120 vimizim..................................124
tylenol with codeine #4........... 26 vanos....................................... 92 vimovo.................................... 21
tymlos....................................101 vantas...................................... 58 vimpat..................................... 36
tysabri....................................141 varubi...................................... 44 viokace.................................... 97
tyvaso...................................... 71 vascepa.................................... 48 viorele...................................... 77
tyvaso refill..............................71 vaseretic...................................51 viracept....................................65
tyvaso starter........................... 71 vasotec.....................................51 viramune................................. 65
uceris................................. 28, 79 vecamyl................................... 51 viramune xr............................. 65
udamin sp.............................. 126 vectical.................................... 92 virasal......................................92
ulesfia...................................... 91 veletri...................................... 71 viread...................................... 65
uloric..................................... 106 velivet.......................................77 virt-gard................................ 112
ulticare insulin syringe........... 120 velphoro................................ 105 virt-pn....................................126
ulticare short pen needles.......120 veltassa.............................66, 137 virt-pn dha.............................126
ultima test................................97 veltin....................................... 92 visionblue.............................. 133
ultracet.................................... 26 vemlidy....................................65 vistaril..................................... 29
ultram......................................26 venclexta..................................54 vistogard..................................43
ultratrak pro test..................... 97 venclexta starting pack............ 54 visudyne.................................133
ultratrak ultimate test..............97 venipuncture cpi...................... 92 vitafol fe+.............................. 126
ultravate.................................. 92 venlafaxine hcl......................... 38 vitafol gummies..................... 126
unasyn................................... 136 venlafaxine hcl er..................... 38 vitafol-ob+dha...................... 126
unifine pentips plus................120 venofer...................................112 vitafol-one............................. 126
unistrip1 generic...................... 97 venomil mixed vespid venom...68 vital-d rx................................ 126
unithroid................................ 144 ventavis................................... 71 vitamin d................................ 150
unithroid direct.......................144 ventolin hfa............................. 32 vitamin d (ergocalciferol).......150
uptravi................................... 141 verapamil hcl............................70 vitamin d2.............................. 150
urea nail................................... 92 verapamil hcl er........................70 vitamin d3....................... 150, 151
urecholine.............................. 148 verdeso.................................... 92 vitamin d3 maximum strength.150
urocit-k 10............................. 106 verdrocet................................. 26 vitamin d3 super strength........ 151
urocit-k 15............................. 106 verelan.....................................70 vivelle-dot.............................. 102
174
vivitrol.....................................43 xeloda......................................58 zegerid................................... 147
vivlodex................................... 21 xenazine.................................141 zegerid otc............................. 147
vocal point blood glucose test..97 xeomin...................................128 zejula..................................... 137
vogelxo.................................... 27 xerese.......................................92 zelapar.....................................60
vogelxo pump.......................... 27 xermelo..................................144 zelboraf................................... 58
vol-plus..................................126 xgeva..................................... 101 zemaira.................................. 141
vol-tab rx............................... 126 xhance................................... 128 zembrace symtouch............... 122
voltaren................................... 92 xiaflex......................................66 zemplar..................................101
vonvendi................................ 109 xifaxan.....................................52 zenatane...................................92
voraxaze.................................. 58 xigduo xr............................... 142 zenatane.................................. 92
voriconazole............................. 45 xiidra..................................... 116 zenchent................................... 77
vosevi.....................................112 ximino................................... 143 zenpep..................................... 97
votrient....................................58 xodol....................................... 26 zenzedi.....................................18
vpriv...................................... 112 xolair....................................... 32 zepatier.................................. 112
vraylar..................................... 61 xolegel..................................... 92 zerit......................................... 65
vsl#3 ds................................... 43 xopenex................................... 32 zestril....................................... 51
vusion......................................92 xopenex concentrate................ 32 zetia......................................... 48
vytorin.....................................48 xopenex hfa............................. 32 zetonna.................................. 128
vyvanse....................................18 xtampza er...............................26 ziac.......................................... 51
vyzulta................................... 133 xtandi...................................... 58 ziagen...................................... 65
warfarin sodium....................... 33 xulane......................................77 ziana........................................ 92
wavesense presto..................... 97 xultophy................................ 114 zidovudine................................ 65
welchol.................................... 48 xuriden.................................. 112 zileuton er................................ 32
wellbutrin sr............................ 38 xylocaine................................. 92 zinc acetate.............................. 73
wellbutrin xl............................ 38 xyntha....................................109 zioptan...................................133
wera.........................................77 xyntha solofuse......................109 ziprasidone hcl..........................61
westhroid............................... 144 xyrem.....................................141 zipsor.......................................21
wide-seal diaphragm 60......... 120 xyzal........................................ 46 zirgan.....................................133
wide-seal diaphragm 65......... 120 xyzal allergy 24hr.................... 46 zithromax.............................. 116
wide-seal diaphragm 70......... 120 xyzal allergy 24hr childrens..... 46 zithromax tri-pak...................116
wide-seal diaphragm 75......... 120 yasmin 28................................ 77 zithromax z-pak.....................116
wide-seal diaphragm 80......... 120 yaz........................................... 77 zmax...................................... 117
wide-seal diaphragm 85......... 120 yervoy......................................58 zocor....................................... 48
wide-seal diaphragm 90......... 120 yonsa....................................... 58 zofran...................................... 44
wide-seal diaphragm 95......... 120 yosprala................................. 109 zofran odt................................44
wilate..................................... 109 yuvafem................................. 148 zohydro er............................... 26
winrho sdf..............................135 zaditor................................... 133 zoladex.................................... 58
wp thyroid............................. 144 zafirlukast................................32 zolate..................................... 112
wymzya fe................................ 77 zaleplon..................................113 zoledronic acid....................... 101
xadago.....................................59 zaltrap..................................... 58 zolinza..................................... 58
xalatan...................................133 zanaflex................................. 127 zolmitriptan............................122
xalkori..................................... 58 zanosar.................................... 58 zoloft....................................... 38
xanax.......................................29 zantac.................................... 147 zolpidem tartrate.................... 113
xanax xr...................................29 zarah........................................77 zolpidem tartrate er................ 113
xarelto..................................... 33 zarontin................................... 36 zolpimist................................ 113
xarelto starter pack..................33 zarxio.....................................112 zomacton............................... 101
xatmep.....................................58 zatean-pn dha........................ 126 zometa................................... 102
xelitral..................................... 92 zatean-pn plus....................... 126 zomig.....................................122
xeljanz..................................... 21 zavara.................................... 112 zomig zmt.............................. 122
xeljanz xr................................. 21 zavesca...................................112 zonalon....................................92
175
zonegran..................................36
zonisamide............................... 36
zontivity.................................138
zorbtive..................................102
zortress.................................... 67
zorvolex...................................21
zosyn..................................... 136
zovia 1/35e (28)....................... 77
zovirax............................... 65, 92
zubsolv.................................... 26
zuplenz.................................... 44
zurampic................................106
zyban..................................... 141
zyclara..................................... 92
zyclara pump........................... 92
zydelig................................... 136
zyflo........................................ 32
zyflo cr.....................................32
zykadia.................................... 58
zylet....................................... 133
zyloprim................................ 106
zymaxid................................. 133
zypitamag................................ 48
zyprexa.................................... 61
zyprexa zydis........................... 61
zyrtec allergy........................... 46
zyrtec-d allergy & congestion...80
zytiga.......................................58
zyvox....................................... 52
176

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