List of covered drugs - consolidatedhealthplan.com National Comprehensive Formulary...Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC”

List of covered drugs

INTRODUCTION

Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of

practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically

sound and that it supports patient health. This committee reviews and evaluates medications

on the formulary based on safety and efficacy to help maintain clinical integrity in all

therapeutic categories.

FORMULARY DESIGN

Catamaran has a formulary structure which includes most prescription drugs. The formulary

structure features medications generics (with the lowest co-payments), preferred and non-

preferred brand-name drugs.

Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under

“GENERIC” have the same active ingredient as the brand-name versions but at a lower

cost.

Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs

that will generally have lower co-payments than non-preferred brand name drugs.

Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-

payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the Catamaran formulary to help manage the overall cost of providing

prescription drug benefits. This formulary offers a wide range of medications from which to

choose. We realize that this formulary reference guide may not include every drug from every

manufacturer. However, choosing a generic or preferred drug when it is appropriate can

provide access to the necessary medications to stay healthy, at a cost that is more affordable.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic,

preferred brand-name, and non-preferred brand-name medications. Health plans often design

prescription drug plans to encourage the use of generic and preferred brand-name drugs.

Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as

coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients

may also pay less for generic drugs, or they may be asked to pay the cost difference between

brand-name drugs and their generic alternatives.

PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version

becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose

to provide coverage only for certain medications, time periods, doses, quantities, or for a

specific indications (e.g. they may exclude coverage for medications for unapproved, unproven,

or cosmetic indications). When coverage for medications is provided based on use or quantity,

Catamaran may contact your prescriber’s office for additional information to determine

whether coverage is available under your plan. Patients who are unsure whether these

coverage rules apply for a particular medication can consult their prescription drug benefit

manual or contact a Catamaran Member Services representative to determine specific

coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in

each drug category. The preferred brand name products are listed next, and non-preferred

brand products are listed last.

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design

determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change

pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not

guarantee coverage. To determine the most up-to-date formulary status of your medication, please visit your member website

or call member services at the number listed on your ID card.

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

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

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

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

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

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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

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

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

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

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

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

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

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

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

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

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

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

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

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

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

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

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

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

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

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

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

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

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

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

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

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

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

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

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

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

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

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

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

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

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

NON PREFERRED

Cefaclor

Cefaclor ER

Cefotetan

April 2015

Cefotetan/Dextrose

Cefoxitin Sodium

ANTI-INFECTIVES

Ceftin

Cefuroxime Sodium

PENICILLINS

Cefuroxime/Dextrose

GENERIC

Mefoxin

amoxicillin

Zinacef

amoxicillin/clavulanate potassium

Zinacef IN Iso-osmotic Diluent

amoxicillin/clavulanate potassium ER

THIRD GENERATION

ampicillin

GENERIC

ampicillin sodium

cefdinir

ampicillin-sulbactam

cefotaxime sodium

dicloxacillin sodium

cefpodoxime proxetil

nafcillin sodium

ceftazidime

oxacillin sodium

ceftriaxone sodium

penicillin v potassium

NON PREFERRED

penicillin G potassium

Cedax

piperacillin sodium/ tazobactam sodium

Cefditoren Pivoxil

piperacillin sodium/tazobactam sodium

Ceftazidime

piperacillin/tazobactam

Ceftazidime/Dextrose

NON PREFERRED

Ceftibuten

Amoxicillin

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin ER

Ceftriaxone/Dextrose

Ampicillin

Claforan

Ampicillin Sodium

Claforan/D5W

Ampicillin-sulbactam

Fortaz

Augmentin

Rocephin

Augmentin ES-600

Spectracef

Augmentin XR

Suprax

Bactocill IN Dextrose

Tazicef

Bicillin C-R

FOURTH GENERATION

Bicillin L-a

GENERIC

Moxatag

cefepime

Nafcillin Sodium

NON PREFERRED

Nallpen Iso-osmotic IN Dextrose

Cefepime

Nallpen/Dextrose

Maxipime

Penicillin G Potassium IN Iso-osmotic Dextrose

Penicillin G Procaine

MACROLIDES

Penicillin G Sodium

GENERIC

Pfizerpen-G

azithromycin

Timentin

clarithromycin

Unasyn

clarithromycin ER

Unasyn Bulk Pack

erythromycin

Zosyn

NON PREFERRED

Azithromycin

CEPHALOSPORIN

Biaxin

FIRST GENERATION

Biaxin XL

GENERIC

Biaxin XL PAC

cefadroxil

Dificid

cefazolin sodium

E.e.s. Granules

cephalexin

E.e.s. 400

NON PREFERRED

Ery-TAB

Ancef

Eryped 200

Cefazolin Sodium

Eryped 400

Cefazolin Sodium/Dextrose

Erythrocin Lactobionate

Cephalexin

Erythrocin Stearate

Keflex

Erythromycin Base

SECOND GENERATION

Erythromycin Ethylsuccinate

GENERIC

PCE

cefaclor

Zithromax

cefoxitin sodium

Zithromax Tri-PAK

cefprozil

Zithromax Z-PAK

cefuroxime axetil

Zmax

cefuroxime sodium

Effective April 1, 2015 v.2

©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

1

TETRACYCLINES

Gentamicin Sulfate/0.9% Sodium Chloride

Isotonic Gentamicin

GENERIC

Kitabis PAK

demeclocycline HCL

Streptomycin Sulfate

doxycycline

Tobi

doxycycline hyclate

Tobramycin Sulfate/Sodium Chloride

doxycycline hyclate DR

doxycycline monohydrate

SULFONAMIDES

minocycline HCL

minocycline HCL ER

PREFERRED

NON PREFERRED

Sulfisoxizole

Acticlate

NON PREFERRED

Adoxa

Sulfadiazine

Adoxa PAK 1/100

Adoxa PAK 1/150

ANTIMYCOBACTERIAL AGENTS

Adoxa PAK 2/100

GENERIC

Alodox Convenience Kit

ethambutol HCL

Avidoxy DK

isoniazid

Doryx

pyrazinamide

Minocin

rifabutin

Minocin Kit

rifampin

Monodox

PREFERRED

Morgidox 1X100MG

Priftin

Morgidox 2X100MG

Sirturo

Nicazeldoxy 30 Kit

NON PREFERRED

Nicazeldoxy 60 Kit

Capastat Sulfate

Nutridox

Cycloserine

Ocudox

Isoniazid

Solodyn

Myambutol

Tetracycline HCL

Mycobutin

Vibramycin

Paser

Rifadin

QUINOLONES

Rifamate

GENERIC

Rifater

ciprofloxacin

Trecator

ciprofloxacin ER

ciprofloxacin HCL

ANTIFUNGALS

ciprofloxacin I.V.-IN D5W

GENERIC

levofloxacin

fluconazole

levofloxacin IN D5W

fluconazole IN dextrose

moxifloxacin HCL

fluconazole IN NACL

ofloxacin

flucytosine

Ciprofloxacin HCL

griseofulvin microsize

Ofloxacin

griseofulvin ultramicrosize

NON PREFERRED

itraconazole

Avelox

ketoconazole

Avelox Abc Pack

nystatin

Cipro

terbinafine HCL

Cipro I.V.-IN D5W

voriconazole

Cipro XR

PREFERRED

Factive

Cancidas

Levaquin

Mycamine

Noroxin

Noxafil

NON PREFERRED

AMINOGLYCOSIDES

Abelcet

GENERIC

Ambisome

amikacin sulfate

Amphotec

gentamicin sulfate

Amphotericin B

gentamicin sulfate pediatric

Ancobon

gentamicin sulfate/sodium chloride

Diflucan

gentamicin sulfate/0.9% sodium chloride

Eraxis

isotonic gentamicin

Fluconazole IN NACL

neomycin sulfate

Grifulvin V

paromomycin sulfate

Gris-peg

tobramycin

Lamisil

tobramycin sulfate

Onmel

PREFERRED

Sporanox

Tobi Podhaler

Sporanox Pulsepak

NON PREFERRED

Terbinex

Bethkis

Vfend

Effective April 1, 2015

2

Vfend IV

Videx Pediatric

Viracept

ANTIVIRALS

Viread

NON PREFERRED

GENERIC

Acyclovir Sodium

abacavir

Baraclude

abacavir sulfate/lamivudine/zidovudine

Combivir

acyclovir

Copegus

acyclovir sodium

Cytovene

adefovir dipivoxil

Epivir

cidofovir

Epivir HBV

didanosine

Evotaz

entecavir

Famvir

famciclovir

Flumadine

ganciclovir

Foscarnet Sodium

lamivudine

Foscavir

lamivudine/zidovudine

Hepsera

nevirapine

Infergen

nevirapine ER

Prezcobix

ribavirin

Rapivab

rimantadine HCL

Rebetol

stavudine

Retrovir

valacyclovir HCL

Rimantalist

valganciclovir

Sitavig

zidovudine

Trizivir

PREFERRED

Tyzeka

Aptivus

Valcyte

Atripla

Valtrex

Complera

Videx EC

Crixivan

Viekira PAK

Edurant

Viramune

Emtriva

Viramune XR

Epzicom

Virazole

Fuzeon

Vistide

Harvoni

Vitekta

Intelence

Zerit

Invirase

Ziagen

Isentress

Zovirax

Kaletra

Lexiva

ANTIMALARIALS

Moderiba

Moderiba 1200 Dose Pack

GENERIC

Moderiba 800 Dose Pack

atovaquone/proguanil HCL

Nevirapine

chloroquine phosphate

Norvir

hydroxychloroquine sulfate

Olysio

mefloquine HCL

Peg-intron

quinine sulfate

Peg-intron Redipen

Primaquine Phosphate

Peg-intron Redipen PAK 4

PREFERRED

Pegasys

Coartem

Pegasys Proclick

Daraprim

Pegintron

NON PREFERRED

Prezista

Aralen

Relenza Diskhaler

Malarone

Rescriptor

Plaquenil

Retrovir IV Infusion

Qualaquin

Reyataz

Ribasphere

AMEBICIDES

Ribasphere Ribapak

NON PREFERRED

Ribatab

Yodoxin

Selzentry

Sovaldi

ANTHELMINTICS

Stribild

GENERIC

Sustiva

ivermectin

Tamiflu

PREFERRED

Tivicay

Albenza

Triumeq

NON PREFERRED

Truvada

Biltricide

Tybost

Stromectol

Victrelis


3

MISC. ANTI-INFECTIVES

Vancomycin HCL IN Dextrose

Vibativ

GENERIC

atovaquone

ANTINEOPLASTICS, ETC

aztreonam

bacitracin

ALKYLATING AGENTS

clindamycin palmitate HCL

GENERIC

clindamycin phosphate

carboplatin

clindamycin phosphate add-vantage

cisplatin

clindamycin phosphate pharmacy bulk package

cyclophosphamide

clindamycin phosphate IN D5W

ifosfamide

clindamycin HCL

melphalan hydrochloride

colistimethate sodium

oxaliplatin

imipenem/cilastatin

temozolomide

linezolid

Lomustine

meropenem

PREFERRED

metronidazole

Alkeran

metronidazole IN NACL 0.79%

Bicnu

polymyxin b sulfate

Busulfex

sulfamethoxazole/trimethoprim

Gleostine

sulfamethoxazole/trimethoprim DS

Gliadel Wafer

tinidazole

Hexalen

trimethoprim

Leukeran

vancomycin HCL

Mustargen

Dapsone

Myleran

PREFERRED

Treanda

Alinia

Valchlor

Cayston

Zanosar

Dalvance

NON PREFERRED

Nebupent

Cisplatin

Orbactiv

Cyclophosphamide

Sivextro

Eloxatin

Tygacil

Ifex

Xifaxan

Ifosfamide

Zyvox

Temodar

NON PREFERRED

Azactam

ANTIBIOTICS

Azactam IN Iso-osmotic Dextrose

GENERIC

Bacitracin

bleomycin sulfate

Bactrim

daunorubicin HCL

Bactrim DS

doxorubicin HCL

Chloramphenicol Sodium Succinate

doxorubicin HCL liposome

Cleocin

epirubicin HCL

Cleocin IN D5W

idarubicin HCL

Cleocin Pediatric Granules

mitomycin

Cleocin Phosphate

mitoxantrone HCL

Clindamycin Phosphate

Doxorubicin HCL

Coly-mycin M

PREFERRED

Cubicin

Daunoxome

Doribax

Valstar

First-vancomycin 25

NON PREFERRED

First-vancomycin 50

Adriamycin

Flagyl

Cosmegen

Flagyl ER

Doxil

Invanz

Ellence

Ketek

Epirubicin HCL

Lincocin

Idamycin PFS

Mepron

Mitomycin

Merrem

Metro IV

ANTINEOPLASTIC ENZYMES

Neutrexin

PREFERRED

Pentam 300

Elspar

Primaxin IV

Erwinaze

Primaxin IV Add-vantage

Oncaspar

Primsol

Sulfamethoxazole/Trimethoprim

ANTIMETABOLITES

Synercid

GENERIC

Tindamax

azacitidine

Vancocin HCL

capecitabine

Vancomycin HCL

cladribine


4

cytarabine

Emcyt

cytarabine aqueous

Fareston

decitabine

Faslodex

floxuridine

Firmagon

fludarabine phosphate

Lupron Depot

fluorouracil

Lysodren

gemcitabine HCL

Megestrol Acetate

mercaptopurine

Nilandron

methotrexate

Soltamox

methotrexate sodium

Trelstar

Floxuridine

Trelstar Mixject

PREFERRED

Vantas

Alimta

Xtandi

Arranon

Zoladex

Clolar

Zytiga

Depocyt

NON PREFERRED

Folotyn

Arimidex

Purixan

Aromasin

Tabloid

Casodex

Trexall

Femara

NON PREFERRED

Megace Oral

Cytarabine

Dacogen

IMMUNOMODULATORS

Fludara

GENERIC

Fludarabine Phosphate

azathioprine

Gemcitabine

cyclosporine

Gemzar

cyclosporine modified

Purinethol

mycophenolate mofetil

Vidaza

mycophenolic acid DR

Xeloda

sirolimus

tacrolimus

ANGIOGENESIS INHIBITORS

PREFERRED

PREFERRED

Azasan

Avastin

Pomalyst

Cyramza

Rapamune

Zaltrap

Revlimid

Thalomid

ANTIBODIES

NON PREFERRED

Astagraf XL

PREFERRED

Atgam

Adcetris

Cellcept

Arzerra

Cellcept Intravenous

Bexxar

Cyclosporine Modified

Erbitux

Imuran

Gazyva

Myfortic

Herceptin

Neoral

Kadcyla

Nulojix

Keytruda

Prograf

Perjeta

Sandimmune

Rituxan

Simulect

Vectibix

Thymoglobulin

Yervoy

Zortress

Zevalin Y-90

NON PREFERRED

MITOTIC INHIBITORS

Blincyto

Opdivo

GENERIC

docetaxel

HORMONAL AGENTS

etoposide

paclitaxel

GENERIC

vincristine sulfate

anastrozole

vinorelbine tartrate

bicalutamide

Docetaxel

exemestane

PREFERRED

flutamide

Abraxane

letrozole

Docefrez

leuprolide acetate

Etopophos

megestrol acetate

Halaven

tamoxifen citrate

Ixempra Kit

PREFERRED

Jevtana

Depo-provera

Marqibo

Eligard


5

Teniposide

CELLULAR IMMUNOTHERAPY

NON PREFERRED

PREFERRED

Etoposide

Provenge

Navelbine

Paclitaxel

ANTINEOPLASTICS MISC.

Taxotere

GENERIC

Vinblastine Sulfate

dacarbazine

hydroxyurea

ENZYME INHIBITORS

tretinoin

PREFERRED

PREFERRED

Afinitor

Actimmune

Afinitor Disperz

Alferon N

Bosulif

Intron A

Caprelsa

Intron-a

Cometriq

Intron-a W/Diluent

Gilotrif

Matulane

Gleevec

Photofrin

Iclusig

Proleukin

Imbruvica

Sylatron

Inlyta

Synribo

Istodax

Targretin

Jakafi

Theracys

Kyprolis

Tice Bcg

Mekinist

Trisenox

Nexavar

Uvadex

Sprycel

NON PREFERRED

Stivarga

Dacarbazine

Sutent

Hydrea

Tafinlar

Nipent

Tarceva

Tasigna

CHEMOTHERAPY RESCUE

Torisel

GENERIC

Tykerb

amifostine

Velcade

dexrazoxane

Votrient

leucovorin calcium

Xalkori

mesna

Zelboraf

PREFERRED

Zolinza

Fusilev

Zydelig

Totect

Zykadia

Voraxaze

NON PREFERRED

NON PREFERRED

Beleodaq

Calcium Folinate

Farydak

Ethyol

Ibrance

Leucovorin Calcium

Lenvima 10MG Daily Dose

Mesnex


Zinecard



CHEMOTHERAPY ADJUNCTS

Lynparza

PREFERRED

Elitek

TOPOISOMERASE I INHIBITOR

Kepivance

GENERIC

irinotecan

ANTINEOPLASTIC COMBO

topotecan HCL

NON PREFERRED

NON PREFERRED

Ifosfamide/Mesna

Camptosar

Hycamtin

CARDIOVASCULAR DRUGS

Irinotecan

PHOSPHODIESTERASE INHBTR

Topotecan HCL

GENERIC

milrinone lactate

RADIOPHARMACEUTICALS

milrinone IN dextrose

PREFERRED

Bexxar 131 Iodine

CARDIAC GLYCOSIDES

Metastron

GENERIC

Quadramet

digoxin

NON PREFERRED

NON PREFERRED

Xofigo

Digoxin

Lanoxin


6

Lanoxin Pediatric

Toprol XL

Trandate

ANTIANGINAL AGENTS

Zebeta

GENERIC

CALCIUM CHANNEL BLOCKERS

isosorbide dinitrate

isosorbide dinitrate ER

GENERIC

isosorbide mononitrate

amlodipine besylate

isosorbide mononitrate ER

diltiazem CD

nitroglycerin

diltiazem HCL

nitroglycerin lingual

diltiazem HCL ER

nitroglycerin transdermal

felodipine ER

nitroglycerin IN dextrose 5%

isradipine

nitroglycerin IN 5% dextrose

nicardipine HCL

Nitroglycerin Lingual

nifedipine

PREFERRED

nifedipine ER

Dilatrate SR

nimodipine

Nitro-bid

nisoldipine

Nitrostat

verapamil HCL

Ranexa

verapamil HCL ER

NON PREFERRED

verapamil HCL SR

Imdur

Verapamil HCL

Isordil Titradose

NON PREFERRED

Isosorbide Dinitrate

Adalat CC

Nitro-dur

Calan

Nitroglycerin

Calan SR

Nitroglycerin IN Dextrose 5%

Cardene I.v.

Nitrolingual Pumpspray

Cardene IV

Nitromist

Cardene SR

Nitronal

Cardizem

Cardizem CD

BETA BLOCKERS

Cardizem LA

Cleviprex

GENERIC

Dilacor XR

acebutolol HCL

Diltiazem HCL

atenolol

Hypertenipine-2.5

betaxolol HCL

Isoptin SR

bisoprolol fumarate

Nisoldipine

carvedilol

Nisoldipine ER

esmolol HCL

Norvasc

labetalol HCL

Nymalize

metoprolol succinate ER

Procardia

metoprolol tartrate

Procardia XL

nadolol

Sular

pindolol

Tiazac

propranolol HCL

Verelan

propranolol HCL ER

Verelan PM

sotalol HCL

sotalol HCL (AF)

ANTIARRHYTHMICS

PREFERRED

Bystolic

GENERIC

Coreg CR

adenosine

NON PREFERRED

amiodarone HCL

Betapace

disopyramide phosphate

Betapace AF

flecainide acetate

Brevibloc

ibutilide fumarate

Coreg

lidocaine HCL

Corgard

lidocaine HCL IN D5W

Hemangeol

lidocaine HCL/dextrose

Hypertenevide-12.5

mexiletine HCL

Inderal LA

propafenone HCL

Inderal XL

propafenone HCL ER

Innopran XL

quinidine gluconate CR

Kerlone

quinidine gluconate ER

Levatol

quinidine sulfate

Lopressor

Quinidine Sulfate

Propranolol HCL

PREFERRED

Sectral

Tikosyn

Sotylize

NON PREFERRED

Tenormin

Adenocard

Timolol Maleate

Amiodarone HCL


7

Cordarone

hydralazine HCL

Corvert

methyldopa

Lidocaine HCL

minoxidil

Multaq

prazosin HCL

Nexterone

terazosin HCL

Norpace

PREFERRED

Norpace CR

Demser

Procainamide HCL

Dibenzyline

Quinidine Gluconate

NON PREFERRED

Quinidine Sulfate ER

Cardura

Rythmol

Catapres

Rythmol SR

Catapres-tts-1

Xylocaine

Catapres-tts-2

Catapres-tts-3

ACE INHIBITORS

Corlopam

Inspra

GENERIC

Methyldopate HCL

benazepril HCL

Minipress

captopril

Nitropress

enalapril maleate

Phentolamine Mesylate

enalaprilat

Reserpine

fosinopril sodium

Tenex

lisinopril

Vecamyl

moexipril HCL

perindopril erbumine

ANTIHYPERTENSIVE COMBO

quinapril HCL

ramipril

GENERIC

trandolapril

amlodipine besylate/benazepril hydrochloride

NON PREFERRED

amlodipine besylate/benazepril HCL

Accupril

amlodipine besylate/valsartan

Aceon

amlodipine/valsartan/hctz

Altace

atenolol/chlorthalidone

Epaned

benazepril HCL/hydrochlorothiazide

Lotensin

bisoprolol fumarate/hydrochlorothiazide

Mavik

candesartan cilexetil/hydrochlorothiazide

Prinivil

enalapril maleate/hydrochlorothiazide

Univasc

fosinopril sodium/hydrochlorothiazide

Vasotec

irbesartan/hydrochlorothiazide

Zestril

lisinopril/hydrochlorothiazide

losartan potassium/hydrochlorothiazide

ANGIOTENSIN RCPTR BLOCKER

metoprolol/hydrochlorothiazide

moexipril/hydrochlorothiazide

GENERIC

nadolol/bendroflumethiazide

candesartan cilexetil

quinapril/hydrochlorothiazide

eprosartan mesylate

telmisartan/amlodipine

irbesartan

telmisartan/hydrochloroth

losartan potassium

telmisartan/hydrochlorothiazide

telmisartan

trandolapril/verapamil HCL

valsartan

trandolapril/verapamil HCL ER

PREFERRED

valsartan/hydrochlorothiazide

Benicar

PREFERRED

NON PREFERRED

Amturnide

Atacand

Azor

Avapro

Benicar HCT

Cozaar

Tekamlo

Diovan

Tekturna HCT

Edarbi

Tribenzor

Micardis

NON PREFERRED

Teveten

Accuretic

Atacand HCT

DIRECT RENIN INHIBITORS

Avalide

PREFERRED

Captopril/Hydrochlorothiazide

Tekturna

Clorpres

Corzide

ANTIHYPERTENSIVES MISC.

Diovan HCT

GENERIC

Dutoprol

clonidine HCL

Edarbyclor

doxazosin mesylate

Exforge

eplerenone

Exforge HCT

fenoldopam mesylate

Hypertensolol

guanfacine HCL


8

Hyzaar

dobutamine HCL/D5W

Lopressor HCT

dobutamine/dextrose 5%

Lotensin HCT

dopamine HCL

Lotrel

dopamine HCL-dextrose 5%

Lytensopril Kit

dopamine HCL/dextrose 5%

Lytensopril-90

dopamine/D5W

Lytensopril-90 Kit

ephedrine sulfate

Methyldopa/Hydrochlorothiazide

midodrine HCL

Micardis HCT

norepinephrine bitartrate

Propranolol/Hydrochlorothiazide

phenylephrine HCL

Tarka

PREFERRED

Tenoretic 100

Auvi-q

Tenoretic 50

Epipen 2-PAK

Teveten HCT

Epipen-JR 2-PAK

Twynsta

NON PREFERRED

Uniretic

Adrenaclick

Vaseretic

Adrenalin

Zestoretic

Dobutamine/Dextrose 5%

Ziac

Dopamine HCL

Epinephrine

DIURETICS

Epinephrine HCL

Levophed

GENERIC

Northera

acetazolamide

Phenylephrine HCL

acetazolamide sodium

Vazculep

acetazolamide ER

amiloride HCL

ANTIHYPERLIPIDEMICS

amiloride/hydrochlorothiazide

bumetanide

GENERIC

chlorothiazide

atorvastatin calcium

chlorothiazide sodium

cholestyramine

furosemide

cholestyramine light

hydrochlorothiazide

colestipol HCL

indapamide

colestipol HCL for oral suspension

mannitol

fenofibrate

methazolamide

fenofibrate micronized

metolazone

fenofibric acid DR

spironolactone

fluvastatin

spironolactone/hydrochlorothiazide

gemfibrozil

torsemide

lovastatin

triamterene/hydrochlorothiazide

niacin ER

Acetazolamide

omega-3-acid ethyl esters

Chlorothiazide

pravastatin sodium

Chlorthalidone

simvastatin

Triamterene/Hydrochlorothiazide

PREFERRED

NON PREFERRED

Crestor

Aldactazide

Fenofibrate

Aldactone

Juxtapid

Demadex

Lipofen

Diamox

Liptruzet

Diuril

Simcor

Dyazide

Vascepa

Dyrenium

Vytorin

Edecrin

Welchol

Furosemide

Zetia

Introl

NON PREFERRED

Lasix

Advicor

Maxzide

Altoprev

Maxzide-25

Antara

Methyclothiazide

Colestid

Microzide

Colestid Flavored

Neptazane

Fenofibric Acid

Sodium Diuril

Fenoglide

Sodium Edecrin

Fibricor

Torsemide

Kynamro

Zaroxolyn

Lescol

Lescol XL

VASOPRESSORS

Lipitor

Livalo

GENERIC

Lofibra

dobutamine HCL


9

Lopid

tretinoin microsphere P.M.

Lovaza

Claravis

Mevacor

Zenatane

Niacor

PREFERRED

Niaspan

Acanya

Pravachol

Atralin

Questran

Epiduo

Questran Light

Ziana

Tricor

NON PREFERRED

Triglide

Absorica

Trilipix

Aczone

Zocor

Akne-mycin

Avar

CARDIOVASCULAR - MISC.

Avar LS

Avar LS Cleanser

GENERIC

Avar-e LS

amlodipine besylate/atorvastatin calcium

Azelex

epoprostenol sodium

Benzac Ac Wash

papaverine HCL

Benzac W Wash

sildenafil

Benzaclin

sildenafil citrate

Benzaclin With P.M.

PREFERRED

Benzamycin

Adcirca

Benzamycinpak

Adempas

Benzefoam

Caverject

Benzefoamultra

Caverject Impulse

Benziq

Cialis

Benziq LS

Letairis

Clarifoam EF

Muse

Cleocin-t

Opsumit

Clindacin Etz

Remodulin

Clindacin PAC

Tracleer

Clindagel

Tyvaso

Clindap-t

Tyvaso Refill

Clinoin

Tyvaso Starter

Differin

Veletri

Duac

Ventavis

Erygel

Viagra

Evoclin

NON PREFERRED

Fabior

Bidil

Inova

Caduet

Inova 4/1 Acne Control Therapy

Flolan

Inova 8/2 Acne Control Therapy

Levitra

Klaron

Natrecor

Lavoclen-4 Creamy Wash

Orenitram

Lavoclen-8 Creamy Wash

Revatio

Neuac Kit

Staxyn

Nuox

Stendra

Onexton

Plexion

DERMATOLOGICALS

Plexion Cleanser

ACNE PRODUCTS

Plexion Cleansing Cloths

GENERIC

Prascion Ra With Sunscreens

adapalene

Retin-a

benzoyl peroxide

Retin-a Micro

benzoyl peroxide SHORT contact

Retin-a Micro P.M.


Riax

clindamycin/benzoyl peroxide

Rosanil

erythromycin

Rosula

erythromycin/benzoyl peroxide

Sodium Sulfacetamide/Sulfur

sodium sulfacetamide

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

sodium sulfacetamide/sulfur

Sodium Sulfacetamide/Sulfur IN Urea

sodium sulfacetamide/sulfur cleanser

Sulfoam

sodium sulfacetamide/sulfur cleansing cloths

Sumadan Kit

sodium sulfacetamide/sulfur green

Sumadan Wash

sodium sulfacetamide/sulfur w/sunscreen

Sumadan XLT

sodium sulfacetamide/sulfur wash

Sumaxin

sulfacetamide sodium

Sumaxin CP Kit

sulfacetamide sodium/sulfur cleanser

Sumaxin Ts

tretinoin

Sumaxin Wash

tretinoin microsphere

Tretin-x


10

Triseon

Loprox

Vanoxide-HC

Loprox Shampoo

Veltin

Lotrisone

Zacare 4% Kit

Luzu

Zacare 8% Kit

Mentax

Naftin

ROSACEA AGENTS

Nizoral

Oxistat

GENERIC

Pediaderm AF Complete Kit

metronidazole

Pedipirox-4 Nail

Doxycycline

Penlac Nail Lacquer

PREFERRED

Vusion

Finacea

Xolegel

Mirvaso

Xolegel Corepak

Oracea

Xolegel Duo/Head & Shoulders

NON PREFERRED

Xolegel Duo/Xolex

Metrocream

Metrogel

ANTIVIRALS - TOPICAL

Metrolotion

Noritate

GENERIC

Rosadan Kit

acyclovir

Soolantra

PREFERRED

Denavir

ANALGESICS - TOPICAL

NON PREFERRED

Lidovir

NON PREFERRED

Xerese

A.a.g.c. Kit IN Teroderm

Zovirax

Equipto-baclofen

ANTI-INFLAMMATORY AGENTS

ANTIBIOTICS - TOPICAL

GENERIC

GENERIC

diclofenac sodium

mupirocin

PREFERRED

mupirocin calcium

Voltaren

Centany

NON PREFERRED

NON PREFERRED

Dipentocaine

Altabax

Emvoren

Bactroban

Equipto-naproxen

Centany AT

Extardol

Cortisporin

Flector

Gentamicin Sulfate

Innoprax-5

Neo-synalar

K.b.g.l. IN Teroderm Cream

Neo-synalar Kit

Ketorolac 2% Gel

Lidoprofen

ANTIFUNGALS - TOPICAL

Novoclair

GENERIC

Nuvya

ciclopirox

Pennsaid

ciclopirox nail lacquer

Vopac

ciclopirox olamine

Vopac GB

clotrimazole

Vopac Kt

clotrimazole/betamethasone dipropionate

Zyvodol

econazole nitrate

ketoconazole

ANTIPRURITICS

nystatin

NON PREFERRED

nystatin/triamcinolone

Prudoxin

PREFERRED

Zonalon

Nystatin

Nystatin Foreign

ANTIPSORIATICS

NON PREFERRED

Ciclodan Cream Kit

GENERIC

Ciclodan Solution Kit

acitretin

Ciclopirox Topical Solution Kit

calcipotriene

Cnl8 Nail Kit

methoxsalen

Ecoza

Calcitriol

Ertaczo

PREFERRED

Exelderm

Tazorac

Extina

8-mop

Halotin

NON PREFERRED

Jublia

Cosentyx

Kerydin

Cosentyx Sensoready Pen

Ketodan Kit

Dovonex

Lamisil Spray

Dritho-creme HP


11

Oxsoralen Ultra

Clocortolone Pivalate P.M.

Soriatane

Clodan Kit

Sorilux

Cloderm

Stelara

Cloderm P.M.

Vectical

Cordran

Zithranol

Cordran Tape

Zithranol-rr

Cortalo

Cutivate

ANTISEBORRHEIC AGENTS

Derma-smoothe/FS Body

Derma-smoothe/FS Scalp

GENERIC

Dermasorb HC

selenium sulfide

Dermasorb Ta


Dermatop

sodium sulfacetamide wash

Desonate

NON PREFERRED

Desowen

Glycolic Acid

Desowen Cream/Cetaphil Lotion

Glycolic Acid 70% High Purity

Desowen Lotion/Cetaphil Cream

Ovace Plus

Desowen Ointment/Cetaphil Lotion

Ovace Plus Wash

Diflorasone Diacetate

Ovace Wash

Diprolene

Promiseb

Diprolene AF

Promiseb Complete

Elocon

Seb-prev

Epifoam

Selenium Sulfide

First-hydrocortisone

Selrx

Halog

Selsun Shampoo

Halonate

Tersi Foam

Kenalog

TL Triseb

Locoid

Locoid Lipocream

CORTICOSTEROIDS - TOPICAL

Luxiq

GENERIC

Nucort

alclometasone dipropionate

Nuzon

augmented betamethasone dipropionate

Olux

betamethasone dipropionate

Olux-e

betamethasone valerate

Pandel

calcipotriene/betamethasone dipropionate

Pediaderm HC

clobetasol propionate

Pediaderm Ta

clobetasol propionate emollient

Scalacort DK

desonide

Synalar

desoximetasone

Synalar Cream Kit

diflorasone diacetate

Synalar Ointment Kit

fluocinolone acetonide

Synalar Ts

fluocinonide

Taclonex

fluocinonide-e

Temovate

fluticasone propionate

Temovate E

halobetasol propionate

Texacort

hydrocortisone

Topicort

hydrocortisone acetate/aloe

Triamcinolone Acetonide

hydrocortisone butyrate

Trianex

hydrocortisone butyrate (lipid)

Triderma Forte

hydrocortisone butyrate (lipophilic)

U-cort

hydrocortisone valerate

Ultravate

hydrocortisone IN absorbase

Ultravate PAC

mometasone furoate

Ultravate X

prednicarbate

Validerm

triamcinolone acetonide

Vanos

Amcinonide

Verdeso

Apexicon E

Westcort

Desoximetasone

PREFERRED

IMMUNOMODULATING AGENTS

Pramosone

GENERIC

Pramosone E

imiquimod

Tucks Anti-itch

tacrolimus

NON PREFERRED

PREFERRED

Aclovate

Elidel

Ala Scalp

NON PREFERRED

Capex

Aldara

Carmol-HC

Protopic

Clobex

Zyclara

Clocortolone Pivalate


12

Zyclara P.M.

Hylira

HPR

DERMATOLOGICALS - MISC.

HPR Plus

HPR Plus Hydrogel Kit

GENERIC

HPR Plus/Mb Hydrogel

ammonium lactate

I-lid Cleanser

episone CRE

Kerafoam

lactic acid

Kerafoam 42

lactic acid e

Keralac

lactic acid w/vitamin e

Keralyt

lidocaine

Keralyt Scalp

lidocaine HCL

K2k Pain Relieving Patch

lidocaine HCL jelly

Lac-hydrin

lidocaine/prilocaine

Latrix XM

lindane

Lidocaine HCL

malathion

Lidocaine/Prilocaine

permethrin

Lidoderm

podofilox

Lycelle

salicylic acid

Mb Hydrogel

salicylic acid cream

Medi-derm/L-RX

salicylic acid lotion

Natroba

sodium hyaluronate

Neosalus

urea

Neosalus CP

urea topical

Neuvaxin

urea IN zinc undecylenate/lactic acid vehicle

Nivatopic Plus

urea 40% nail film

Nuvail

Cem-urea

Ovide

Propa PH Acne Medication Cleanser Maximum Strength

Pliaglis

PREFERRED

Pr Cream

Condylox

Presera

Oxsoralen

Prolida

NON PREFERRED

Pruclair

Aluvea

Prumyx

Anacaine

Pyrogallic Acid

Arnica Flower

Qutenza

Atopiclair

Relyyks

Aurstat Anti-itch Hydrogel

Relyyt

Aurstat Anti-itch Hydrogel Kit

Salex

Benzoin Compound Tincture

Salex Cream

Benzoin Tincture

Salex Lotion

Boric Acid

Salicylic Acid

Capsiderm

Salicylic Acid IN Ammonium Lactate Vehicle

Coal TAR

Salkera

Cocaine HCL

Salvax

Dermasorb XM

Salvax Duo Plus

Drysol

Scar Patch

Elenzapatch

Sinelee

Eletone

Sklice

Eletone Twinpack

Solaice

Elimite

Spinosad

Emla

Sulfurated Lime

Emulsion SB

Supracil

Epiceram

Synera

Ethyl Chloride

Tetrix

Ethyl Chloride/Fine Pinpoint

Tropazone

Ethyl Chloride/Fine Stream

TL-cermide

Ethyl Chloride/Medium Jet Stream

Ulesfia

Ethyl Chloride/Medium Stream

Ultrasal-ER

Ethyl Chloride/Mist

Umecta

Eurax

Umecta Nail Film

Gebauers Pain Ease

Umecta PD

Gebauers Spray And Stretch

Uramaxin

Genadur

Uramaxin GT

Genadur Kit

Uramaxin GT Kit

Gordofilm

Utopic

Gordons Urea

Veregen

Hydro 35

Verrunex

Hydro 40 Foam

Vexa

Hylatopic

Virasal

Hylatopic Plus

Xclair


13

Xylocaine

ANDROGENS-ANABOLIC

GENERIC

ENDOCRINE AND METABOLIC

danazol

oxandrolone

CORTICOSTEROIDS

testosterone cypionate

GENERIC

testosterone enanthate

betamethasone sodium phosphate/betamethasone acetate

Testosterone

budesonide

Testosterone P.M.

dexamethasone

PREFERRED

dexamethasone sodium phosphate

Androgel

fludrocortisone acetate

Androgel P.M.

hydrocortisone

Androxy

methylprednisolone

Axiron

methylprednisolone acetate

NON PREFERRED

methylprednisolone dose pack

Anadrol-50

methylprednisolone sodiumsuccinate

Androderm

prednisolone

Android

prednisolone sodium phosphate

Aveed

prednisolone sodium phosphate odt

Depo-testosterone

prednisone

First-testosterone

A-hydrocort

First-testosterone Mc Compounding Kit

Dexamethasone Sodium Phosphate

Fortesta

PREFERRED

Natesto

Uceris

Oxandrin

NON PREFERRED

Striant

Aristospan Intra-articular

Testim

Aristospan Intralesional

Testopel

Betalido

Testred

Celestone

Vogelxo

Celestone-soluspan

Vogelxo P.M.

Cortef

Cortisone Acetate

ESTROGENS

Depo-medrol

GENERIC

Dexamethasone

estradiol

Dexamethasone Intensol

estradiol valerate

Dexlido

estradiol/norethindrone acetate

Dexlido-m

estropipate

Dexpak 10 Day

Jinteli

Dexpak 13 Day

PREFERRED

Dexpak 6 Day

Alora

Doubledex

Cenestin

Dyural-l

Combipatch

Dyural-lm

Duavee

Dyural-40

Enjuvia

Dyural-80

Evamist

Entocort EC

Minivelle

FLO-pred

Premphase

Interarticular Joint Kit

Prempro

Kenalog-10

NON PREFERRED

Kenalog-40

Activella

Marbeta-l

Angeliq

Marbeta-25

Biest/Progesterone

Mardex-25

Climara

Medrol

Climara Pro

Medrol Dosepak

Delestrogen

Millipred

Depo-estradiol

Millipred DP

Divigel

Mlk F4 Kit

Elestrin

Orapred

Estrace

Orapred Odt

Estrasorb

Pediapred

Estrogel

Prednisolone Sodium Phosphate

Estropipate

Prednisone

Femhrt Low Dose

Prednisone Intensol

Menest

Prelone

Menostar

Rayos

Prefest

Solu-cortef

Premarin

Solu-medrol

Vivelle-dot

Veripred 20


14

CONTRACEPTIVES

Prometrium

Provera

GENERIC

desogestrel/ethinyl estradiol

ANTIDIABETIC AGENTS

drospirenone/ethinyl estradiol

levonorgestrel

INSULIN

levonorgestrel and ethinyl estradiol

PREFERRED

levonorgestrel/ethinyl estradiol

Humalog

norethindrone

Humalog Kwikpen

norethindrone acetate/ethinyl estradiol

Humalog Mix 50/50

norethindrone acetate/ethinyl estradiol/ferrous fumarate

Humalog Mix 50/50 Kwikpen

norgestimate/ethinyl estradiol

Humalog Mix 75/25

Ogestrel

Humalog Mix 75/25 Kwikpen

PREFERRED

Humulin N

Beyaz

Humulin N Kwikpen

LO Loestrin FE

Humulin N U-100 Pen

Minastrin 24 FE

Humulin R

Natazia

Humulin R U-500 (concentrated)

Safyral

Humulin 70/30

NON PREFERRED

Humulin 70/30 Kwikpen

Amethyst

Humulin 70/30 Pen

Brevicon-28

Lantus

Cyclessa

Lantus Solostar

Desogen

Levemir

Ella

Levemir Flexpen

Estrostep FE

Levemir Flextouch

Falessa

Novolin N

Femcon FE

Novolin N Relion

Generess FE

Novolin R

Loestrin FE 1.5/30

Novolin R Relion

Loestrin FE 1/20

Novolin 70/30

Loestrin 1.5/30-21

Novolin 70/30 Relion

Loestrin 1/20-21

Novolog

Loseasonique

Novolog Flexpen

LO Minastrin FE

Novolog Mix 70/30

Mircette

Novolog Mix 70/30 Prefilled Flexpen

Modicon

Novolog Penfill

Necon 1/50-28

NON PREFERRED

Necon 10/11-28

Afrezza

Nor-QD

Apidra

Norinyl 1+35

Apidra Solostar

Norinyl 1+50

Relion R

Ortho Micronor

Toujeo Solostar

Ortho Tri-cyclen

AMYLIN ANALOGS

Ortho Tri-cyclen LO

PREFERRED

Ortho-cept

Symlinpen 120

Ortho-cyclen

Symlinpen 60

Ortho-novum 1/35

INCRETIN MIMETIC AGENTS

Ortho-novum 7/7/7

PREFERRED

Ovcon-35

Bydureon

Plan B

Byetta

Plan B One-step

Victoza

Quartette

NON PREFERRED

Seasonique

Tanzeum

Tri-norinyl 28

Trulicity

Yasmin 28

SULFONYLUREAS

Yaz

GENERIC

Zovia 1/50e

glimepiride

glipizide

PROGESTINS

glipizide ER

glyburide

GENERIC

glyburide micronized

medroxyprogesterone acetate

tolazamide

norethindrone acetate

Glyburide

progesterone

NON PREFERRED

PREFERRED

Amaryl

Makena

Chlorpropamide

NON PREFERRED

Diabeta

Aygestin

Glucotrol

Megace ES

Glucotrol XL

Progesterone 10% Kit

Glynase


15

Tolazamide

Avandaryl

Tolbutamide

Duetact

BIGUANIDES

Glucovance

GENERIC

Glyxambi

metformin HCL

Kazano

metformin HCL ER

Oseni

PREFERRED

Xigduo XR

Riomet

NON PREFERRED

BISPHOSPHONATES

Fortamet

GENERIC

Glucophage

alendronate sodium

Glucophage XR

ibandronate sodium

Glumetza

pamidronate disodium

MEGLITINIDE ANALOGUES

risedronate sodium

GENERIC

zoledronic acid

nateglinide

PREFERRED

repaglinide

Atelvia

NON PREFERRED

Fosamax Plus D

Prandin

NON PREFERRED

Starlix

Actonel

DIABETIC OTHER

Alendronate Sodium

PREFERRED

Binosto

Farxiga

Boniva

Glucagen

Etidronate Disodium

Glucagen Hypokit

Fosamax

Glucagon Emergency Kit

Pamidronate Disodium

Invokana

Reclast

Jardiance

Zoledronic Acid

Proglycem

Zometa

NON PREFERRED

Korlym

CALCITONINS

ALPHA-GLUCOSIDASE INHIBIT

GENERIC

GENERIC

calcitonin salmon

acarbose

calcitonin-salmon

NON PREFERRED

NON PREFERRED

Glyset

Fortical

Precose

Miacalcin

DPP-4 INHIBITORS

PREFERRED

PARATHYROID HORMONE

Januvia

PREFERRED

Onglyza

Forteo

Tradjenta

NON PREFERRED

RANK LIGAND INHIBITORS

Nesina

PREFERRED

INSULIN SENSITIZING AGENT

Xgeva

GENERIC

NON PREFERRED

pioglitazone HCL

Prolia

NON PREFERRED

Actos

CALCIUM REGULATORS - MISC

Avandia

NON PREFERRED

ANTIDIABETIC COMBINATIONS

Ganite

GENERIC

glipizide/metformin HCL

HORMONE RECEPTOR MDLTR

glyburide/metformin HCL

GENERIC

pioglitazone HCL-glimepiride

raloxifene hydrochloride

pioglitazone HCL/metformin HCL

NON PREFERRED

PREFERRED

Evista

Actoplus Met XR

Osphena

Invokamet

Janumet

FERTILITY REGULATORS

Janumet XR

GENERIC

Jentadueto

chorionic gonadotropin

Juvisync

clomiphene citrate

Kombiglyze XR

PREFERRED

Prandimet

Bravelle

NON PREFERRED

Follistim AQ

Actoplus Met

Repronex

Appformin

NON PREFERRED

Appformin-d

Gonal-f

Avandamet


16

Gonal-f RFF

PREFERRED

Gonal-f RFF Pen

Stimate

Gonal-f RFF Rediject

NON PREFERRED

Menopur

Ddavp

Ovidrel

Pitressin Synthetic

Vasostrict

LHRH/GNRH AGONIST

CORTICOTROPIN

PREFERRED

Lupron Depot-PED

PREFERRED

Supprelin LA

H.p. Acthar

Synarel

NON PREFERRED

PROLACTIN INHIBITORS

Lupaneta Pack

GENERIC

cabergoline

GNRH/LHRH ANTAGONISTS

PREFERRED

VASOPRESSIN ANTAGONISTS

Cetrotide

PREFERRED

Ganirelix Acetate

Samsca

NON PREFERRED

GROWTH HORMONES

Vaprisol

PREFERRED

Norditropin Cartridge

PROGESTERONE ANTAGONISTS

Norditropin Flexpro

NON PREFERRED

Norditropin Nordiflex Pen

Mifeprex

Nutropin

Nutropin AQ Nuspin 10

METABOLIC MODIFIERS


GENERIC


calcitriol

Nutropin AQ Pen

doxercalciferol

NON PREFERRED

levocarnitine

Genotropin

paricalcitol

Genotropin Miniquick

sodium phenylbutyrate

Humatrope

PREFERRED

Humatrope Combo Pack

Aldurazyme

Omnitrope

Carbaglu

Saizen

Cystadane

Saizen Click.easy

Elaprase

Serostim

Fabrazyme

Tev-tropin

Kuvan

Zorbtive

Lumizyme

Myalept

GHRH

Myozyme

NON PREFERRED

Naglazyme

Egrifta

Orfadin

Ravicti

SOMATOMEDINS

Sensipar

NON PREFERRED

Vimizim

Increlex

NON PREFERRED

Ammonul

SOMATOSTATIC AGENTS

Buphenyl

Carnitor

GENERIC

Carnitor SF

octreotide acetate

Hectorol

PREFERRED

Paricalcitol

Sandostatin Lar Depot

Rocaltrol

Signifor

Zemplar

Somatuline Depot

NON PREFERRED

THYROID AGENTS

Sandostatin

Signifor Lar

GENERIC

levothyroxine sodium

GH RECEPTOR ANTAGONISTS

liothyronine sodium

methimazole

PREFERRED

propylthiouracil

Somavert

PREFERRED

Armour Thyroid

POSTERIOR PITUITARY

NON PREFERRED

GENERIC

Cytomel

desmopressin acetate

Levothyroxine Sodium

vasopressin

Nature-throid


17

Nature-throid Nt-2.5

hyoscyamine sulfate ER

Synthroid

hyoscyamine sulfate SR

Tapazole

lansoprazole

Thyrolar-1

lansoprazole/amoxicillin/clarithromycin

Thyrolar-1/2

methscopolamine bromide

Thyrolar-1/4

misoprostol

Thyrolar-2

nizatidine

Thyrolar-3

omeprazole

Tirosint

omeprazole/sodium bicarbonate

Triostat

pantoprazole sodium

Westhroid

rabeprazole sodium

Wp Thyroid

ranitidine HCL

sucralfate

GASTROINTESTINAL

Dicyclomine HCL

Esomeprazole Sodium

LAXATIVES

Famotidine

GENERIC

Gastrinex NF

lactulose

PREFERRED

peg 3350/electrolytes

Carafate

peg-3350/electrolytes

Nexium

peg-3350/NACL/NA bicarbonate/KCL

Nexium 24HR

polyethylene glycol 3350

Pylera

PREFERRED

NON PREFERRED

Moviprep

Aciphex

Suclear

Aciphex Sprinkle

Suprep Bowel Prep

Anaspaz

NON PREFERRED

Atropen

Cascara Sagrada

Atropine Sulfate

Colyte-flavor Packs

Axid

Golytely

Belladonna & Opium

Kristalose

Belladonna Alkaloids & Opium

Mineral Oil Heavy

Bentyl

Nulytely/Flavor Packs

Cantil

Osmoprep

Cuvposa

Pcp 100

Cytotec

Prepopik

Deprizine Fusepaq

Dexilant

ANTIDIARRHEALS

Esomeprazole Strontium

GENERIC

Famotidine Premixed

diphenoxylate/atropine

First-lansoprazole

loperamide HCL

First-omeprazole

opium

Gabitidine

opium tincture

Glycate

NON PREFERRED

Helidac

Diphenoxylate/Atropine

Levbid

Fulyzaq

Levsin

Lomotil

Levsin/SL

Motofen

Nexium I.v.

Opium Tincture (paregoric)

Omeclamox-PAK

Restora RX

Omeprazole + Syrspend SF Alka

Rezyst IM

Pamine

Rezyst SB

Pamine Forte

Vsl#3 DS

Pamine FQ

Pepcid

ANTACIDS

Prevacid

NON PREFERRED

Prevacid Solutab

Sodium Bicarbonate

Prevpac

Prilosec

ULCER DRUGS

Propantheline Bromide

GENERIC

Protonix

atropine sulfate

Robinul

cimetidine

Robinul Forte

cimetidine HCL

Scopolamine Hydrobromide

dicyclomine HCL

Sentradine

esomeprazole magnesium

Symax Duotab

esomeprazole sodium

Zantac

famotidine

Zegerid

glycopyrrolate

hyoscyamine sulfate

hyoscyamine sulfate odt


18

ANTIEMETICS

Rectiv

Relistor

GENERIC

Renvela

dronabinol

Sevelamer Carbonate

granisetron HCL

NON PREFERRED

meclizine HCL

Actigall

ondansetron odt

Analpram-HC

ondansetron HCL

Analpram-HC Singles

trimethobenzamide HCL

Anusol-HC

PREFERRED

Apriso

Aloxi

Auryxia

Emend

Azulfidine

Sancuso

Azulfidine EN-TABS

Transderm-scop

Colazal

NON PREFERRED

Cortenema

Akynzeo

Dexpanthenol

Anzemet

Dipentum

Cesamet

Eliphos

Diclegis

Entereg

Dimenhydrinate

Entyvio

Granisol

Gastrocrom

Marinol

Gattex

Tigan

Giazo

Zofran

Lidocaine HCL-hydrocortisone Acetate With Aloe

Zofran Odt

Metozolv Odt

Zuplenz

Movantik

Phoslo

DIGESTIVE AIDS

Phoslyra

PREFERRED

Procort

Creon

Proctocort

Pancrelipase

Reglan

Sucraid

Remicade

Viokace

Renagel

NON PREFERRED

Rowasa

Pancreaze

Sfrowasa

Pertzye

Uceris

Ultresa

Urso Forte

Zenpep

Urso 250

Velphoro

GASTROINTESTINAL - MISC.

GENERIC

GENITOURINARY

balsalazide disodium

URINARY ANTI-INFECTIVES

calcium acetate

cromolyn sodium

GENERIC

hydrocort ene 100MG

methenamine hippurate

hydrocortisone

methenamine mandelate

hydrocortisone acetate/lidocaine HCL

nitrofurantoin

hydrocortisone acetate/pramoxine

nitrofurantoin macrocrystals

lactulose

nitrofurantoin monohydrate

lidocaine HCL/hydrocortisone acetate

nitrofurantoin monohydrate/macrocrystals

mesalamine

NON PREFERRED

metoclopramide HCL

Furadantin

sulfasalazine

Hiprex

ursodiol

Macrobid

PREFERRED

Macrodantin

Amitiza

Methenamine Mandelate

Analpram Advanced

Monurol

Asacol HD

Prosed/DS

Canasa

Uretron D/S

Chenodal

Urimar-t

Cimzia

Urogesic-blue

Cimzia Starter Kit

Uroqid #2

Cortifoam

Uta

Delzicol

Fosrenol

URINARY ANTISPASMODICS

Lialda

GENERIC

Linzess

bethanechol chloride

Lotronex

flavoxate HCL

Pentasa

oxybutynin chloride

Proctofoam HC

oxybutynin chloride ER


19

tolterodine tartrate

Renacidin

tolterodine tartrate ER

NON PREFERRED

trospium chloride

Avodart

trospium chloride ER

Cardura XL

PREFERRED

Citrolith

Gelnique

Cytra-3

Myrbetriq

Flomax

Oxytrol

Jalyn

Oxytrol For Women

K-phos NO 2

Toviaz

Lithostat

Vesicare

Oracit

NON PREFERRED

Proscar

Detrol

Pyridium

Detrol LA

Shohls Solution Modified

Ditropan XL

Thiola

Enablex

Urocit-k 10

Sanctura

Urocit-k 15

Sanctura XR

Urocit-k 5

Urecholine

Uroxatral

VAGINAL PRODUCTS

HEMATOLOGICAL

GENERIC

HEMATOPOIETIC AGENTS


GENERIC

metronidazole vaginal

cyanocobalamin

terconazole

folic acid

PREFERRED

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

Clindesse

sodium ferric gluconate complex/sucrose

Crinone

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

Endometrin

Estrace

PREFERRED

Estring

Cerdelga

Vagifem

Cerezyme

NON PREFERRED

Cyanocobalamin

Avc

Droxia

Cleocin

Elelyso

Fem PH

Feraheme

Femring

Ferrex 150 Forte Plus

First-progesterone VGS 100 Compounding Kit

Ferrex 28


Leukine


Mozobil


Nascobal


Neulasta

Gynazole-1

Neulasta Delivery Kit

Metrogel-vaginal

Neumega

Nuvessa

Neupogen

Premarin

Nplate

Relagard

Procrit

Terazol 3

Promacta

Terazol 7

Venofer

Vpriv

GENITOURINARY - MISC.

NON PREFERRED

Albafort

GENERIC

Animi-3

alfuzosin HCL ER

Animi-3/Vitamin D

citric acid/sodium citrate

Aranesp Albumin Free

finasteride

B-6 Folic Acid

hydrochloric acid

Biferarx

phenazopyridine HCL

Cenfol

potassium citrate ER

Centratex

potassium citrate-citric acid crystals

Ciferex

potassium citrate/citric acid

Corvite 150

potassium citrate/sodium citrate/citric acid

Divista

sodium citrate/citric acid

Ed Cyte F

tamsulosin HCL

Epogen

tricitrates

Feriva

PREFERRED

Feriva 21/7

Cystagon

Ferivafa

Elmiron

Ferralet 90

Procysbi

Ferrlecit

Rapaflo


20

Ferro-plex Hematinic

Heparin Sodium

Ferrotrin

Heparin Sodium/D5W

Folgard RX

Heparin Sodium/NACL 0.45%

Folic Acid

Heparin Sodium/Sodium Chloride 0.9%

Folivane-f

Iprivask

Folivane-plus

Lovenox

Foltrate

Savaysa

Fusion Plus

Granix

HEMOSTATICS

Hematogen Fa

GENERIC

Hematron-AF

aminocaproic acid

Hemocyte Plus

tranexamic acid

Hemocyte-f

NON PREFERRED

Hydroxocobalamin

Amicar

Icar-c Plus

Aminocaproic Acid

Injectafer

Artiss

Integra F

Astringyn

Integra Plus

Cyklokapron

Irospan 24/6

Evicel

Is 24/6

Evithrom

Maxaron Forte

Lysteda

Maxfe

Recothrom

Mircera

Recothrom Spray Kit

Multigen

Thrombin-jmi Diluent

Multigen Folic

Thrombin-jmi Epistaxis

Multigen Plus

Thrombin-jmi Syringe Spray Kit

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

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

Thrombogen

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

Tisseel

Natalvirt Flt

HEMATOLOGICAL - MISC.

Nephron Fa

GENERIC

Novaferrum

anagrelide hydrochloride

Omontys

cilostazol

Pre-folic

clopidogrel

Proferrin-forte

dipyridamole

Protectiron

hetastarch 6%/NACL

Tandem F

pentoxifylline ER

Tandem Plus

ticlopidine HCL

Zavesca

PREFERRED

Advate

ANTICOAGULANTS

Aggrenox

GENERIC

Alphanate/Von Willebrand Factor Complex/Human

argatroban

Alphanine SD

enoxaparin sodium

Alprolix

fondaparinux sodium

Benefix

heparin lock

Berinert

heparin lock flush

Brilinta

heparin lock flush for flushing vascular access devices

Corifact

heparin lock flush/NACL for flushing vascular access devices

Effient

Eloctate

heparin sodium

Feiba

heparin sodium dcu

Feiba NF

heparin sodium lock flush

Helixate FS

heparin sodium/sodium chloride 0.9% premix

Hemofil M

heparin sodium/D5W

Humate-p

heparin sodium/NACL 0.9%

Koate-dvi

warfarin sodium

Kogenate FS

PREFERRED

Kogenate FS Bio-set

Eliquis

Monoclate-p

Pradaxa

Mononine

Xarelto

Novoseven

Xarelto Starter Pack

Novoseven Rt

NON PREFERRED

Recombinate

Angiomax

Riastap

Argatroban

Soliris

Arixtra

Tretten

Coumadin

Wilate

Fragmin

Xyntha

Heparin Lock Flush


21

Xyntha Solofuse

alprazolam odt

Zontivity

alprazolam ER

NON PREFERRED

buspirone HCL

Activase

chlordiazepoxide HCL

Aggrastat

clorazepate dipotassium

Agrylin

diazepam

Cathflo Activase

droperidol

Firazyr

gene-xene TAB 15MG

Hespan

gene-xene TAB 3.75MG

Hextend

gene-xene TAB 7.5MG

Integrilin

hydroxyzine pamoate

Kalbitor

hydroxyzine HCL

Kinlytic

lorazepam

LMD 10% Dextrose 5%

meprobamate

LMD 10% Sodium Chloride 0.9%

oxazepam

Persantine

Hydroxyzine Pamoate

Plavix

Lorazepam Intensol

Pletal

NON PREFERRED

Protamine Sulfate

Alprazolam Intensol

Reopro

Ativan

Retavase

Diazepam

Retavase Half-kit

Gabavale-5

Tnkase

Gabazolamine

Voluven

Gabazolamine-0.5

Hydroxyzine HCL

MOUTH/THROAT/DENTAL AGENT

Niravam

Sentrazolam AM 0.25

Tranxene T

GENERIC

Valium

cevimeline HCL

Vistaril

chlorhexidine gluconate

Xanax

chlorhexidine gluconate oral rinse

Xanax XR

clotrimazole

lidocaine viscous

ANTIDEPRESSANTS

lidocaine HCL

GENERIC

lidocaine HCL viscous

amitriptyline HCL

nystatin

bupropion HCL

pilocarpine hydrochloride

bupropion HCL ER

pilocarpine HCL

bupropion HCL SR

stannous fluoride oral rinse

bupropion HCL XL


citalopram hydrobromide

triamcinolone IN orabase

clomipramine HCL

NON PREFERRED

desipramine HCL

Aquoral

doxepin HCL

Caphosol

duloxetine HCL

Debacterol

escitalopram oxalate

Evoxac

fluoxetine DR

First-bxn Mouthwash

fluoxetine HCL

First-dukes Mouthwash

fluvoxamine maleate

First-marys Mouthwash

fluvoxamine maleate ER

First-mouthwash Blm

imipramine pamoate

Gel-kam Oral Care Rinse

imipramine HCL

Gelclair

mirtazapine

Lta 360 Kit

mirtazapine odt

Nafrinse Daily/Acidulated

nefazodone HCL

Nafrinse Daily/Neutral

nortriptyline HCL

Nafrinse Weekly

paroxetine HCL

Neutrasal

paroxetine HCL ER

Numoisyn

phenelzine sulfate

Orafate

protriptyline HCL

Oravig

sertraline HCL

Peridex

tranylcypromine sulfate

Prevident

trazodone HCL

Prothelial

trimipramine maleate

Salagen

venlafaxine HCL

venlafaxine HCL ER

NEUROLOGY, CNS, PSYCH

Amoxapine

ANTIANXIETY AGENTS

Doxepin HCL

GENERIC

Nefazodone HCL

alprazolam


22

Venlafaxine HCL ER

prochlorperazine edisylate

PREFERRED

prochlorperazine maleate

Pristiq

quetiapine fumarate

Viibryd

risperidone

NON PREFERRED

risperidone odt

Anafranil

thioridazine HCL

Aplenzin

thiothixene

Appbutamone

trifluoperazine HCL

Appbutamone-d

ziprasidone HCL

Brintellix

Clozapine Odt

Celexa

PREFERRED

Cymbalta

Abilify

Desvenlafaxine ER

Abilify Discmelt

Effexor XR

Abilify Maintena

Emsam

Latuda

Fetzima

Risperdal Consta

Fetzima Titration Pack

Seroquel XR

Fluoxetine HCL

NON PREFERRED

Forfivo XL

Adasuve

Gaboxetine

Chlorpromazine HCL

Khedezla

Clozaril

Lexapro

Compazine

Luvox CR

Equetro

Maprotiline HCL

Fanapt

Marplan

Fanapt Titration Pack

Nardil

Fazaclo

Norpramin

Fluphenazine HCL

Nortriptyline HCL

Geodon

Oleptro

Haldol

Pamelor

Haldol Decanoate 100

Parnate

Haldol Decanoate 50

Paxil

Invega

Paxil CR

Invega Sustenna

Pexeva

Lithium

Prozac

Lithium Carbonate

Prozac Weekly

Lithobid

Remeron

Loxitane

Remeron Soltab

Risperdal

Sentraflox AM-10

Risperdal M-TAB

Sentralopram AM-10

Saphris

Sentravil PM-25

Seroquel

Sentroxatine

Versacloz

Surmontil

Zyprexa

Tofranil

Zyprexa Relprevv

Tofranil-PM

Zyprexa Zydis

Trazamine

Vivactil

HYPNOTICS

Wellbutrin

GENERIC

Wellbutrin SR

dexmedetomidine HCL

Wellbutrin XL

estazolam

Zoloft

eszopiclone

flurazepam HCL

ANTIPSYCHOTICS

phenobarbital

GENERIC

temazepam

chlorpromazine HCL

triazolam

clozapine

zaleplon

fluphenazine decanoate

zolpidem tartrate

fluphenazine HCL

zolpidem tartrate ER

haloperidol

Flurazepam HCL

haloperidol decanoate

Phenobarbital

haloperidol lactate

PREFERRED

lithium carbonate

Chloral Hydrate

lithium carbonate ER

Hetlioz

loxapine

Rozerem

loxapine succinate

NON PREFERRED

olanzapine

Ambien

olanzapine odt

Ambien CR

perphenazine

Amytal Sodium

prochlorperazine

Belsomra


23

Butisol Sodium

ANTICONVULSANTS

Doral

GENERIC

Edluar

carbamazepine

Gabazolpidem-5

carbamazepine ER

Halcion

clonazepam

Intermezzo

clonazepam odt

Lunesta

divalproex sodium

Nembutal Sodium

divalproex sodium DR

Phenobarbital Sodium

divalproex sodium ER

Precedex

ethosuximide

Quazepam

felbamate

Restoril

fosphenytoin sodium

Seconal

gabapentin

Sentrazolpidem PM-5

lamotrigine

Silenor

lamotrigine odt

Sonata

lamotrigine ER

Strazepam

levetiracetam

Zolpimist

levetiracetam ER

oxcarbazepine

ADHD, NARCOLEPSY, ETC.

phenytoin

GENERIC

phenytoin sodium

amphetamine/dextroamphetamine

phenytoin sodium extended

caffeine citrate

primidone

clonidine HCL ER

tiagabine hydrochloride

dexmethylphenidate HCL

topiramate

dexmethylphenidate HCL ER

valproate sodium

dextroamphetamine sulfate

valproic acid

dextroamphetamine sulfate ER

zonisamide

doxapram HCL

PREFERRED

guanfacine ER

Banzel

methamphetamine HCL

Celontin

methylphenidate hydrochloride

Diazepam

methylphenidate HCL

Fycompa

methylphenidate HCL CD

Lyrica

methylphenidate HCL ER

Onfi

methylphenidate HCL SR

Oxtellar XR

modafinil

Peganone

Methylphenidate HCL ER

Potiga

Procentra

Tegretol-XR

PREFERRED

NON PREFERRED

Daytrana

Aptiom

Nuvigil

Carbatrol

Quillivant XR

Cerebyx

Strattera

Depacon

Vyvanse

Depakene

NON PREFERRED

Depakote

Adderall

Depakote ER

Adderall XR

Depakote Sprinkles

Cafcit

Diastat Acudial

Caffeine/Sodium Benzoate

Diastat Pediatric

Concerta

Dilantin

Desoxyn

Dilantin Infatabs

Dexedrine

Dilantin-125

Dopram

Felbatol

Evekeo

Gabitril

Focalin

Keppra

Focalin XR

Keppra XR

Intuniv

Klonopin

Kapvay

Lamictal

Kapvay Dose Pack

Lamictal Chewable Dispersible

Metadate CD

Lamictal Odt

Methylin

Lamictal Starter/Not Taking Carbamazepine

Provigil

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Ritalin

Lamictal Starter/Taking Valproate

Ritalin LA

Lamictal XR

Ritalin SR

Levetiracetam

Sentramodafin AM-100

Mysoline

Zenzedi

Neurontin


24

Phenytek

galantamine

Qudexy XR

galantamine hydrobromide

Sabril

olanzapine/fluoxetine

Stavzor

rivastigmine tartrate

Tegretol

Galantamine Hydrobromide

Therapentin-60

PREFERRED

Therapentin-90

Ampyra

Topamax

Aubagio

Topamax Sprinkle

Avonex

Topiramate ER

Avonex Pen

Trileptal

Betaseron

Trokendi XR

Brisdelle

Vimpat

Copaxone

Zarontin

Gilenya

Zonegran

Gralise

Gralise Starter

ANTIPARKINSON AGENTS

Namenda

Namenda Titration PAK

GENERIC

Namenda XR

amantadine HCL

Namenda XR Titration Pack

benztropine mesylate

Nuedexta

bromocriptine mesylate

Plegridy

carbidopa

Plegridy Starter Pack

carbidopa/levodopa

Rebif

carbidopa/levodopa odt

Rebif Rebidose

carbidopa/levodopa ER

Rebif Rebidose Titration Pack

entacapone

Rebif Titration Pack

pramipexole dihydrochloride

Savella

pramipexole dihydrochloride ER

Tecfidera

ropinirole ER

Tecfidera Starter Pack

ropinirole HCL

Tysabri

selegiline HCL

Xenazine

trihexyphenidyl HCL

Xyrem

Carbidopa/Levodopa/Entacapone

NON PREFERRED

PREFERRED

Antabuse

Apokyn

Aricept

Azilect

Aricept Odt

Mirapex ER

Campral

NON PREFERRED

Chlordiazepoxide/Amitriptyline

Amantadine HCL

Exelon

Cogentin

Extavia

Comtan

Horizant

Duopa

Lemtrada

Eldepryl

Orap

Lodosyn

Perphenazine/Amitriptyline

Mirapex

Razadyne

Neupro

Razadyne ER

Parcopa

Sarafem

Parlodel

Savella Titration Pack

Requip

Symbyax

Requip XL

Rytary

NEUROMUSCULAR AGENTS

Sinemet

Sinemet CR

GENERIC

Stalevo 100

atracurium besylate

Stalevo 125

cisatracurium besylate

Stalevo 150

pancuronium bromide

Stalevo 200

riluzole

Stalevo 50

rocuronium bromide

Stalevo 75

vecuronium bromide

Tasmar

NON PREFERRED

Zelapar

Anectine

Botox

NEUROLOGY, PSYCH - MISC.

Dysport

Myobloc

GENERIC

Nimbex

acamprosate calcium DR

Quelicin

disulfiram

Quelicin 1000

donepezil HCL

Rilutek

ergoloid mesylates

Xeomin

fluoxetine


25

Zemuron

ANTI-INFECTIVES

GENERIC

MUSCULOSKELETAL AGENTS

bacitracin/polymyxin b

GENERIC

ciprofloxacin HCL

baclofen

erythromycin

carisoprodol

gatifloxacin

carisoprodol/aspirin

gentamicin sulfate

carisoprodol/aspirin/codeine

levofloxacin

chlorzoxazone

neomycin/bacitracin/polymyxin

cyclobenzaprine HCL

neomycin/polymyxin/bacitracin zinc

dantrolene sodium

neomycin/polymyxin/gramicidin

metaxalone

ofloxacin

methocarbamol

polymyxin b sulfate/trimethoprim sulfate

orphenadrine citrate


orphenadrine citrate ER

sulfacetamide sodium

orphenadrine/asa/caffeine

tobramycin sulfate

tizanidine HCL

trifluridine

Carisoprodol

trimethoprim sulfate/polymyxin b sulfate

Dantrolene Sodium

PREFERRED

PREFERRED

Besivance

Gablofen

Moxeza

Lioresal Intrathecal

Natacyn

Monovisc

Vigamox

Orthovisc

NON PREFERRED

Synvisc

Azasite

Synvisc One

Bacitracin

NON PREFERRED

Betadine Ophthalmic Prep

Amrix

Bleph-10

Cyclobenzaprine Comfort PAC

Ciloxan

Dantrium

Garamycin

Dantrium IV

Mitosol

Euflexxa

Neosporin

Fexmid

Ocuflox

Gel-one

Polytrim

Hyalgan

Sulfacetamide Sodium

Lorzone

Tobrex

Norflex

Viroptic

Parafon Forte DSC

Zirgan

Prazolamine

Zymaxid

Robaxin

Robaxin-750

ARTIFICIAL TEAR/LUBRICANT

Ryanodex

NON PREFERRED

Skelaxin

Lacrisert

Soma

Supartz

BETA-BLOCKERS

Therabenzaprine-60

GENERIC

Therabenzaprine-90

betaxolol HCL

Therabenzaprine-90-5

carteolol HCL

Tizanidine Comfort PAC

dorzolamide HCL/timolol maleate

Zanaflex

levobunolol HCL

timolol maleate

ANTIMYASTHENIC AGENTS

timolol maleate ophthalmic gel forming

GENERIC

Metipranolol

neostigmine methylsulfate

PREFERRED

pyridostigmine bromide

Combigan

PREFERRED

NON PREFERRED

Mestinon Timespan

Betagan

Prostigmin

Betimol

NON PREFERRED

Betoptic-s

Bloxiverz

Cosopt

Enlon

Cosopt PF

Enlon-plus

Istalol

Guanidine HCL

Levobunolol HCL

Mestinon

Timoptic

Neostigmine Methylsulfate

Timoptic Ocudose

Regonol

Timoptic-xe

OPHTHALMOLOGY AND OTIC

OPHTHALMIC STEROIDS


26

GENERIC

GENERIC

dexamethasone sodium phosphate

pilocarpine HCL

fluorometholone

PREFERRED

neomycin/polymyxin/bacitracin/hydrocortisone

Phospholine Iodide

neomycin/polymyxin/dexamethasone

Pilopine HS

prednisolone acetate

NON PREFERRED

sulfacetamide sodium/prednisolone sodium phosphate

Isopto Carbachol

tobramycin/dexamethasone

Isopto Carpine

PREFERRED

Alrex

ADRENERGIC AGENTS

FML

GENERIC

Lotemax

apraclonidine

Ozurdex

brimonidine tartrate

Pred Mild

NON PREFERRED

Retisert

Alphagan P

Tobradex ST

Iopidine

Zylet

Simbrinza

NON PREFERRED

Blephamide

IMMUNOMODULATORS

Blephamide S.o.p.

PREFERRED

Durezol

Restasis

Flarex

FML Forte

LOCAL ANESTHETICS

FML Liquifilm

GENERIC

Maxidex

proparacaine HCL

Maxitrol

tetracaine HCL

Neomycin/Polymyxin/Hydrocortisone

NON PREFERRED

Omnipred

Akten

Pred Forte

Alcaine

Pred-G

Pred-G S.o.p.

OPHTHALMICS - MISC.

Prednisolone Sodium Phosphate

GENERIC

Tobradex

azelastine HCL

Vexol

bromfenac

cromolyn sodium

PROSTAGLANDINS

diclofenac sodium

GENERIC

dorzolamide HCL

latanoprost

epinastine HCL

PREFERRED

flurbiprofen sodium

Lumigan

ketorolac tromethamine

Travatan Z

PREFERRED

Travoprost

Bepreve

NON PREFERRED

Cystaran

Rescula

Ilevro

Xalatan

Jetrea

Zioptan

Nevanac

Pataday

CYCLOPLEGIC MYDRIATICS

Patanol

GENERIC

Pazeo

atropine sulfate

Prolensa

cyclopentolate HCL

NON PREFERRED

homatropine HBR

Acular

NON PREFERRED

Acular LS

Atropine Sulfate

Acuvail

Cyclogyl

Alocril

Cyclomydril

Alomide

Isopto Atropine

Azopt

Isopto Homatropine

Elestat

Isopto Hyoscine

Emadine

Lastacaft

DECONGESTANTS

Ocufen

GENERIC

Optivar

phenylephrine HCL

Trusopt

NON PREFERRED

Mydfrin

OTIC AGENTS

Naphazoline HCL

GENERIC

acetic acid

MIOTICS

antipyrine/benzocaine

fluocinolone acetonide


27

fluocinolone acetonide ear drops

acetaminophen/codeine #2

hydrocortisone/acetic acid


neomycin/polymyxin/hydrocortisone


neomycin/polymyxin/HC

acetaminophen/codeine phosphate

ofloxacin

alfentanil

PREFERRED

buprenorphine HCL

Ciprodex

buprenorphine HCL/naloxone HCL

NON PREFERRED

butalbital/acetaminophen/caffeine/codeine

Acetic Acid/Aluminum Acetate

butalbital/aspirin/caffeine/codeine

Antipyrine/Benzocaine

butorphanol tartrate

Auralgan

codeine sulfate

Cetraxal

fentanyl

Cipro HC

fentanyl citrate oral transmucosal

Ciprofloxacin

hydrocodone bitartrate/acetaminophen

Coly-mycin S

hydrocodone/acetaminophen

Cortisporin

hydrocodone/ibuprofen

Cortisporin-tc

hydromorphone HCL

Cresylate

hydromorphone HCL ER

Dermotic

meperidine HCL

Myoxin

methadone HCL

Otozin

morphine sulfate

Pramotic

morphine sulfate ER

Vosol HC

nalbuphine HCL

oxycodone HCL

OXYTOCICS

oxycodone/acetaminophen

oxycodone/aspirin

oxycodone/ibuprofen

GENERIC

oxymorphone hydrochloride

methylergonovine maleate

oxymorphone hydrochloride ER

oxytocin

pentazocine/acetaminophen

NON PREFERRED

pentazocine/naloxone HCL

Cervidil

tramadol hydrochloride/acetaminophen

Hemabate

tramadol HCL

Pitocin

tramadol HCL ER

Prepidil

Fentanyl

Prostin E2

Hydrocodone Bitartrate/Acetaminophen

Hydrocodone/Acetaminophen

PAIN MANAGEMENT

PREFERRED

ANALGESICS - NONNARCOTIC

Butrans

GENERIC

Lazanda

butalbital/acetaminophen

Nucynta

butalbital/acetaminophen/caffeine

Nucynta ER

butalbital/apap/caffeine

Opana ER (crush Resistant)

butalbital/aspirin/caffeine

Oxycodone HCL ER

choline magnesium trisalicylate

Oxycontin

diflunisal

Suboxone

salsalate

Zubsolv

Butalbital/Aspirin/Caffeine

NON PREFERRED

NON PREFERRED

Abstral

Alagesic LQ

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Bupap

Actiq

Choline Magnesium Trisalicylate

Alfenta

Disalcid

Aspirin-caffeine-dihydrocodeine

Dolgic Plus

Avinza

Dologesic

Bunavail

Equagesic

Buprenex

Esgic

Capital/Codeine

Esgic-plus

Codeine Sulfate

Fioricet

Conzip

Fiorinal

Demerol

Levacet

Dilaudid

Ofirmev

Dilaudid-HP

Phrenilin Forte

Dolophine

Rhinoflex-650

Dolophine HCL

Staflex

Duragesic

Tencon

Embeda

Exalgo

ANALGESICS - OPIOID

Fentora

GENERIC

Fioricet/Codeine

acetaminophen/codeine

Fiorinal/Codeine #3


28

Hycet

flurbiprofen

Hydromorphone HCL

ibuprofen

Hydromorphone HCL Dosette

indomethacin

Hydromorphone HCL ER

indomethacin sodium

Hysingla ER

indomethacin ER

Ibudone

ketoprofen

Infumorph 200

ketorolac tromethamine

Infumorph 500

leflunomide

Kadian

mefenamic acid

Levorphanol Tartrate

meloxicam

Liquicet

nabumetone

Lorcet Plus

naproxen

Lorcet 10/650

naproxen sodium

Lortab

naproxen sodium ER

Magnacet

oxaprozin

Maxidone

piroxicam

Meperidine HCL

sulindac

Methadone HCL

tolmetin sodium

Methadose

Meclofenamate Sodium

Methadose Sugar-free

Tolmetin Sodium

Morphine Sulfate

PREFERRED

Morphine Sulfate Add-vantage

Arcalyst

MS Contin

Humira

Norco

Humira Pediatric Crohns Disease Starter Pack

Opana

Humira Pen

Oxecta

Humira Pen-crohns Diseasestarter

Oxycodone HCL

Humira Pen-psoriasis Starter

Percocet

Ridaura

Percodan

Zorvolex

Primlev

NON PREFERRED

Reprexain

Actemra

Roxicet

Anaprox

Roxicodone

Anaprox DS

Subsys

Arava

Synalgos-dc

Arthrotec 50

Synapryn Fusepaq

Arthrotec 75

Talwin

Caldolor

Theracodeine-300

Cataflam

Theracodophen-low-90

Celebrex

Theracodophen-325

Daypro

Theracodophen-650

Duexis

Theracodophen-750

Enbrel

Theratramadol-60

Enbrel Sureclick

Theratramadol-90

EC-naprosyn

Tramadol HCL ER

Feldene

Trezix

Fenoprofen Calcium

Tylenol/Codeine #3

Ibuprofen Comfort PAC

Tylenol/Codeine #4

Ilaris

Ultiva

Indocin

Ultracet

Indocin IV

Ultram

Indomethacin

Ultram ER

IC 400

Vicoprofen

IC 800

Xartemis XR

Ketoprofen ER

Xodol

Ketorocaine-l

Xolox

Ketorocaine-lm

Zohydro ER

Ketorolac Tromethamine

Zolvit

Kineret

Zydone

Meloxicam

Meloxicam Comfort PAC

ANTI-INFLAMMATORY

Mobic

Nalfon

GENERIC

Naprelan

celecoxib

Naprosyn

diclofenac potassium

Naproxen Comfort PAC

diclofenac sodium DR

Neoprofen

diclofenac sodium ER

Orencia

diclofenac sodium/misoprostol

Otezla

etodolac

Otrexup

etodolac ER

Ponstel


29

Prastera

NON PREFERRED

Rasuvo

Aloprim

Rheumatrex

Colchicine

Simponi

Mitigare

Simponi Aria

Zyloprim

Sprix

Therafeldamine

LOCAL ANESTHETICS-INJ

Theraprofen-60

GENERIC

Theraprofen-800

bupivacaine HCL

Theraprofen-90

bupivacaine/epinephrine

Theraproxen-500

chloroprocaine HCL

Theraproxen-60

lidocaine HCL

Theraproxen-90

lidocaine/epinephrine

Trepadiclofen-25

ropivacaine

Trepoxen-250

ropivacaine HCL

Trepoxicam-7.5

Tetracaine HCL

Vimovo

NON PREFERRED

Voltaren-XR

Articadent Dental

Xeljanz

BD Pudendal/Local Block Tray 1% Lidocaine

Zipsor

Carbocaine

Citanest Forte Dental

MIGRAINE PRODUCTS

Citanest Plain Dental

GENERIC

Duocaine

dihydroergotamine mesylate

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

naratriptan HCL

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

rizatriptan benzoate

rizatriptan benzoate odt

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

sumatriptan succinate

sumatriptan succinate refill

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

zolmitriptan

zolmitriptan odt

Exparel

Isometheptene/Caffeine/Acetaminophen

Lidocaine HCL/Dextrose

Sumatriptan Succinate

Marcaine

PREFERRED

Marcaine W/O Epi

Relpax

Marcaine/Epinephrine

Sumavel Dosepro

Marlido-25

Treximet

Mepivacaine HCL

Zomig Nasal Spray

Monoject Bone Marrow Biopsy Prepping Tray

NON PREFERRED

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

Alsuma

Amerge

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

Axert

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

Cafergot

Cambia

Naropin

D.h.e. 45

Nesacaine

Dihydroergotamine Mesylate

Nesacaine-mpf

Ergomar

Sensorcaine-mpf/Epinephrine

Frova

Turkel Paracentesis Procedure Tray/8french

Imitrex

Xylocaine

Imitrex Statdose Refill

Xylocaine-mpf

Imitrex Statdose System

Xylocaine-mpf/Epinephrine

Maxalt

Xylocaine/Epinephrine

Maxalt-MLT

Migergot

RESPIRATORY, ALLERGY, ETC

Migral

ANTIHISTAMINES

Migranal

GENERIC

Sumatriptan

carbinoxamine maleate

Zomig

cetirizine HCL

Zomig ZMT

clemastine fumarate

cyproheptadine HCL

GOUT AGENTS

desloratadine

GENERIC

desloratadine odt

allopurinol

diphenhydramine HCL

probenecid

levocetirizine dihydrochloride

probenecid/colchicine

promethazine HCL

PREFERRED

promethazine HCL plain

Colcrys

Clemastine Fumarate

Krystexxa

Uloric


30

NON PREFERRED

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Brompheniramine Tannate

Donatuss Dc

Clarinex

Exactuss

Clarinex Reditabs

Gilphex TR

Dexchlorpheniramine Maleate

Giltuss

Dicopanol Fusepaq

Giltuss PED-c

Doxytex

Giltuss TR

Karbinal ER

Hyper-sal

Palgic

Hypersal

Phenergan

J-cof DHC

Respa-BR

J-max DHC

Xyzal

Nebusal

Neotuss Plus

NASAL AGENTS

Obredon

GENERIC

Panatuss Dxp

azelastine HCL

Pediatex TD

budesonide

Pediatex TDM

flunisolide

Relhist

fluticasone propionate

Rescon-JR

ipratropium bromide

Rescon-MX

olopatadine HCL

Rezira


Semprex-d

Flunisolide

Suttar-SF

PREFERRED

Suttar-2

Dymista

Tessalon Perles

Nasonex

Tussionex Pennkinetic Extended Release

Phenylephrine HCL

Vituz

Qnasl

Zonatuss

Qnasl Childrens

Zutripro

NON PREFERRED

Adrenalin

ANTIASTHMATIC/COPD AGENTS

Astelin

GENERIC

Astepro

albuterol sulfate

Atrovent

albuterol sulfate ER

Bactroban Nasal

albuterol TAB 4MG

Beconase AQ

aminophylline

Flonase

budesonide

Nasacort AQ

epinephrine HCL

Omnaris

ipratropium bromide

Patanase

ipratropium bromide/albuterol sulfate

Rhinocort Aqua

levalbuterol

Tyzine

levalbuterol HCL

Tyzine Pediatric Nasal Drops

montelukast sodium

Veramyst

terbutaline sulfate

Zetonna

theophylline

theophylline CR

COUGH/COLD/ALLERGY

theophylline ER

GENERIC

theophylline/D5W

acetylcysteine

zafirlukast

benzonatate

Cromolyn Sodium

bromphen/pseudoephedrine HCL/dextromethorphan HBR

PREFERRED

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Advair Diskus

hydrocodone bitartrate/homatropine methylbromide

Advair HFA

hydrocodone polistirex/chlorpheniramine polistirex

Anoro Ellipta

hydrocodone/homatropine

Arcapta Neohaler

phenylephrine/guaifenesin

Asmanex HFA

promethazine-DM

Asmanex Twisthaler 120 Metered Doses

promethazine/codeine


promethazine/dextromethorphan

Asmanex Twisthaler 30 Me Tered Doses

sodium chloride


PREFERRED


Tussicaps


NON PREFERRED

Atrovent HFA

Carbaphen 12

Breo Ellipta

Carbaphen 12 PED

Combivent

Clarinex-d 12 HOUR

Combivent Respimat

Clarinex-d 24 HOUR

Daliresp

Cpb Wc

Dulera

Decon-a


31

Flovent Diskus

Pentacel

Flovent HFA

Tenivac

Foradil Aerolizer

Tetanus Toxoid Adsorbed

Perforomist

Tetanus/Diphtheria Toxoids-adsorbed Adult

Proair HFA

Pulmicort Flexhaler

VACCINES

Qvar

Serevent Diskus

PREFERRED

Spiriva Handihaler

Acthib

Spiriva Respimat

Afluria PF 2012-2013

Symbicort


Tudorza Pressair


Ventolin HFA

Afluria 2012-2013

NON PREFERRED

Afluria 2013-2014

Accolate

Afluria 2014-2015

Accuneb

Bexsero

Aerospan

Biothrax

Alvesco

Cervarix

Arnuity Ellipta

Comvax

Brovana

Engerix-b

Duoneb

Fluarix Quadrivalent 2013-2014

Elixophyllin

Fluarix Quadrivalent 2014-2015

Incruse Ellipta

Fluarix 2013-2014

Isuprel

Fluarix 2014-2015

Lufyllin

Flublok 2013-2014

Maxair Autohaler

Flublok 2014-2015

Metaproterenol Sulfate

Flucelvax 2013-2014

Proventil HFA

Flucelvax 2014-2015

Pulmicort

Flulaval Quadrivalent 2013-2014

Pulmophylline

Flulaval Quadrivalent 2014-2015

Senophylline

Flulaval 2013-2014

Singulair

Flulaval 2014-2015

Striverdi Respimat

Flumist Nasal Vaccine 2012-2013

Theo-24

Flumist Quadrivalent

Theophylline/D5W

Fluvirin PF 2013-2014

Vospire ER

Fluvirin PF 2014-2015

Xolair

Fluvirin 2013-2014

Xopenex

Fluvirin 2014-2015

Xopenex Concentrate

Fluzone High-dose PF 2013-2014

Xopenex HFA

Fluzone High-dose PF 2014-2015

Zyflo

Fluzone Intradermal

Zyflo CR

Fluzone Intradermal Quadrivalent

Fluzone Pediatric PF 2013-2014

RESPIRATORY AGENTS - MISC

Fluzone PF 2013-2014

PREFERRED

Fluzone PF 2014-2015

Aralast NP

Fluzone Quadrivalent 2013-2014

Kalydeco

Fluzone Quadrivalent 2014-2015

Prolastin-c

Fluzone Split 2013-2014

Pulmozyme

Fluzone Split 2014-2015

Zemaira

Gardasil

NON PREFERRED

Gardasil 9

Curosurf

Havrix

Esbriet

Hiberix

Glassia

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

Infasurf

Influenza A (h1n1) Monovalent 2009

Ofev

Ipol Inactivated IPV

Surfaxin

Ixiaro

Survanta Intratracheal

M-m-r II W/Diluent 10 Dose

Medical Provider EZ Flu Shot 2014-2015

TOXOIDS

Menactra

Menhibrix

Menomune-a/C/Y/W-135

PREFERRED

Menveo

Adacel

Pedvax HIB

Boostrix

Pneumovax 23

Daptacel

Pneumovax 23/1 Dose

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Pneumovax 23/5 Dose

Infanrix

Prevnar 13

Kinrix

Proquad

Pediarix


32

Rabavert

Vinate IC

Recombivax HB

Vinate II

Rotarix

Vinate M

Rotateq

Vinate One

Trumenba

Vinate Pn Care

Twinrix

Vitafol-OB

Typhim VI

NON PREFERRED

Vaqta

Adrenal C Formula

Varivax

Albafort

Vivotif Berna

Atabex EC

Yf-vax

Bacmin

Zostavax

Bal-care DHA

NON PREFERRED

Bal-care DHA Essential

Bcg Vaccine

Cavan-alpha Kit

Citranatal Assure

VITAMINS

Citranatal B-calm

Citranatal DHA

VITAMINS

Citranatal Harmony

GENERIC

Citranatal RX

ascorbic acid

Citranatal 90 DHA

ergocalciferol

Cod Liver Oil

phytonadione

Concept DHA

thiamine HCL

Concept OB

vitamin c 222MG

Corvite

vitamin d

Crnatal

vitamin k1

Dialyvite Supreme D

PREFERRED

Dialyvite 3000

Mephyton

Dialyvite 5000

NON PREFERRED

Dialyvite/Zinc

Aquasol A Parenteral

Diatx ZN

Decara

Duet DHA Balanced

Drisdol

Duet DHA 400

Pyridoxine HCL

Duet DHA 400EC

Vitamin K1

Duet DHA 430

Wheat Germ

Duet DHA 430EC

Escavite

MULTIVITAMINS

Escavite D

GENERIC

Floriva

b-complex

Folcaps Omega 3

b-complex 100

Folet DHA

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

Folet One

CO-natal Fa

Folgard OS

Elite-OB

Folivane-prx DHA NF

Folbecal

Folivane-OB

Inatal Advance

Fortavit

Inatal GT

Gesticare DHA

Inatal Ultra

M.v.i. Adult

M-vit

M.v.i. Pediatric

Macnatal CN DHA

M.v.i.-12 Without Vitamin K

Mission Prenatal HP

Marnatal-f

Mynatal Advance

Moms Choice RX

Mynatal Ultracaplet

Mykidz Iron Fl

Obstetrix EC

Mynatal

OB-natal One

Natachew

Perry Prenatal

Natafort

Pr Natal 400

Natalvirt CA

Pr Natal 400 EC

Natalvirt 90 DHA

Pr Natal 430

Natalvit

Pr Natal 430 EC

Natelle One

Prenatabs RX

Neevo DHA

Prenatal Ad

Nephplex RX

Prenatal Vitamins

Nephro-vite RX

Prenatal-u

Nephrocaps

Quflora Pediatric

Nephrocaps QT

Taron-prex

Nestabs

Tricare

Nestabs Abc

Trinate

Nestabs DHA

Vinate C

Newgen

Vinate Care

Nexa Plus

Vinate GT

Nicadan


33

Nicazel

Vinate DHA

Nicazel Forte

Vinate DHA RF

Nicomide

Vita-pren

Nutricap

Vitafol

Nutrivit

Vitafol Ultra

O-CAL Fa

Vitafol-nano

O-CAL Prenatal

Vitafol-ob+dha

Obstetrix DHA

Vitafol-one

Ocuvel

Vitafol-pn

OB Complete

Vital-d RX

OB Complete One

Vitamedmd One RX/Quatrefolic

OB Complete Petite

Vitamedmd Plus RX/Quatre Folic

OB Complete Premier

Vitamedmd Redichew RX

OB Complete 400

Vitamedmd Redichew RX/Quatrefolic

OB Complete/DHA

Vitapearl

Paire OB

Vitaroca Plus

Poly-VI-flor

Viva CT Prenatal

Poly-VI-flor FS

Viva DHA

Poly-VI-flor/Iron

Zatean-pn

Prefera OB

Zatean-pn DHA

Prefera OB + DHA

Zatean-pn Plus

Preferaob +dha

Zatean-CH

Preferaob One

Prefol-DHA

MEDICAL DEVICES

Prenata

DIABETIC SUPPLIES

Prenate

PREFERRED

Prenate AM

Accu-chek Fastclix Lancets

Prenate DHA

Accu-chek Multiclix Lancets

Prenate Elite

Accu-chek Safe-t-pro Lancets

Prenate Enhance

Accu-chek Safe-t-pro Pluslancets

Prenate Essential

Accu-chek Soft Touch Lancets

Prenate Mini

Accu-chek Softclix Lancets

Prenate Pixie

Advocate Lancets

Prenate Restore

Advocate Safety Lancets

Prenate Star

Agamatrix Ultra-thin Lancets 33G

Preque 10

Assure Haemolance Plus High Flow 18G

Protect Plus

Assure Haemolance Plus Low Flow 25G

Protectbone

Assure Haemolance Plus Micro Flow 28G

Protectnatal

Assure Haemolance Plus Normal Flow 21G

Provida OB

Assure Haemolance Plus Pediatric Blade

R-natal OB

Assure Lance Lancets

Renatabs

Assure Lance Lancets 21G

Renatabs With Iron

Assure Lance Plus Safety Lancets 25G

Req 49+

Assure Lance Plus Safety Lancets 30G

Select-ob+dha

Assure Lancets

Select-OB

Aurora Lancet Super Thin 30G

Siderol

Aurora Lancet Thin 23G

Strovite

AF Lancets Super Thin

Strovite Forte

AT Last Lancets

Strovite One

Bayer Microlet Lancets

Supervite

Bullseye Safety Lancets

Supervite EC

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

Support-500

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

Synagex

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

Synatek

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

Taron-bc

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

Taron-c DHA

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

Tri-VI-flor

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

Tricare Prenatal Compleat

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

Tricare Prenatal DHA One

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

Triveen-duo DHA

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

Triveen-prx RNF

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

TL G-FOL OS

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

Udamin

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

Udamin SP

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

Vemavite-prx 2

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

Vinacal

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

Vinacal B

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

Vinate AZ Extra

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

Vinate Calcium


34

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

Easy Touch Safety Lancets28G/Button Activated

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

Easy Touch Safety Lancets28G/Pressure Activated

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

Easy Twist & CAP Lancets

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

Easytest II Lancets


Easytest Lancets


Embrace Lancets Ultra Thin 30G


EZ Smart Blood Glucose Lancets

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

EZ-lets Lancets 21G

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

EZ-lets Lancets 23G

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

EZ-lets Lancets 26G Super-soft

EZ-lets Lancets 28G Ultra-soft

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

EZ-lets Lancets 30G

Fasttake Compact Monitoring System

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

Fasttake Test Strips

Fifty50 Safety Seal Lancets 30G

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

Fifty50 Safety Seal Lancets 32G

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

Fine 30


Fingerstix Lancets

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

Fora Lancets


Freestyle Lancets

BD Lancet Ultrafine 30G

Freestyle Unistick II Lancets

BD Lancet Ultrafine 33G

Gentle-let GP Lancets

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

Gentle-let Lancets General Purpose Style/Fine Point

Gentle-let Lancets General Purpose Style/Medium Point

BD Microtainer Lancets

Gentle-let Lancets Safety Style/Fine Point

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

Gentle-let Lancets Safety Style/Medium Point

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

Glucocom Lancets 28G

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


BD Pen Needle/Ultrafine/29G X 12.7MM


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

Glucose Control Normal

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

Glucose Control Solution

Careone Lancet Thin

Glucosource Lancets

Careone Lancet Ultra Thin

Gmate Lancets 30G

Cleanlet Lancets 28G

H&h Thinlet Lancets 26G

Clever Chek Lancets Ultrathin

H&h Thinlet Super Thin Lancets 30G

Clever Chek Lancets Ultrathin 30G

Haemolance

Coaguchek Lancets

Haemolance Low Flow Lancets

Comfort Lancets

Haemolance Plus

Diastar Easy Test II Lancets 30G

Haemolance Plus High Flow

Diastar Easy Test Lancets30G

Haemolance Plus Low Flow

Droplet Lancets Ultra Thin 30G

Haemolance Plus Max Flow

Drug Mart On-the-go Lancets Gentle 30G

Haemolance Plus Pediatric Flow

Drug Mart Unilet Lancets Super Thin 30G

Hy-vee Lancets

Drug Mart Unilet Lancets Ultra Thin 28G

Lancets

E-z Ject Lancets

Lancets Bullseye Safety

E-z Ject Lancets Color

Lancets Safety Seal 21G

E-z Ject Lancets Super Thin


E-z Ject Lancets Super Thin 30G


E-z Ject Lancets Thin 26G


E-z Ject Lancets 21G

Lancets Thin

E-ZJECT Lancets Micro-thin 33G

Lancets Twist Top

Easy Touch Lancets 21G/Pressure Activated

Lancets Ultra Fine


Lancets Ultra Thin


Lancets 26G Twist Top

Easy Touch Lancets 26G/Pull-top

Lancets 28G

Easy Touch Lancets 26G/Twist

Lancets 30G




Lancets 30G/Twist Top



Easy Touch Lancets 30G/Button-activated

Liberty Glucose Control Mid


Liberty Glucose Control Normal


Lifescan Unistik II Lancets


Lifescan Unistik 2 Deep Penetration


Litetouch Lancets Micro Thin 33G


Live Better Lancet Super Thin 30G


Live Better Lancet Ultra Thin 28G


Medisense Thin Lancets


Medlance Plus Extra Lancets 21G


Medlance Plus Lancets

Easy Touch Safety Lancets26G/Button Activated

Medlance Plus Lancets Lite 25G



35

Medlance Plus Lite Lancets 25G

Qc Lancets Super Thin

Medlance Plus Special Lancets 0.8MM

Qc Lancets Ultra Thin

Medlance Plus Superlite 30G

Relion Lancets

Medlance Plus Superlite 30G/Comfort Max

Relion Lancets Micro-thin33G

Medlance Plus Universal Lancets 21G

Relion Lancets Standard 21G

Medlance Plus/Lite 25G

Relion Lancets Thin 26G

Medlance/Extra

Relion Lancets Ultra-thin30G

Medlance/Lite

Relion Thin Lancets

Medlance/Universal

Relion Ultra Thin Lancets

Meijer Super Thin Lancets

Relion Ultra Thin Lancets30G

Microlet Lancets

Relion Ultra Thin Plus Lancets 32G

Microtainer Safety Flow Lancet/Sterile/Single-use

Relion Ultra Thin Plus Lancets 33G

Monolet Lancets

Renew Advanced Lancing Cartridge Refills

Monolet Opd Lancets

Rexall Lancets Ultra Thin

Monolettor Safety Lancets

Rightest Gl300 Lancets

Myglucohealth Mgh Softlance Lancets 30G

Safe-t-lance Low Flow 25G

Netgroup Lancets

Safe-t-lance Normal Flow 21G

Nova Safety Lancets 23G

Safe-t-lance Plus Safety Lancet High Flow

Nova Safety Lancets 28G

Safe-t-lance Plus Safety Lancet Low Flow

Nova Sureflex Lancets

Safe-t-lance Plus Safety Lancet Normal Flow

Novofine Autocover 30GX8MM

Safety Lancet 2MM

Novofine 30GX8MM

Safety Lancet 21G/Pressure Activated

Novofine 32GX6MM

Safety Lancet 28G/Pressure Activated

Novotwist 30GX8MM

Safety Lancets

Novotwist 32GX5MM

Safety Lancets 21G

On Call Lancets

Safety Lancets 28G

On Call Plus Lancets

Safety Let Lancets

Onetouch Basic System

Safety Seal Lancets 28G

Onetouch Basic/Profile Test Strips

Safety Seal Lancets 30G

Onetouch Club Lancets Fine Point

Shopko On-the-go Comfort Lancets 30G

Onetouch Combo Pack

Shopko Unilet Lancets Super Thin 30G

Onetouch Delica Lancets Extra Fine 33G

Shopko Unilet Lancets Ultra Thin 28G

Onetouch Delica Lancets Fine 30G

Single-let

Onetouch Finepoint Lancets

Smart Diabetes Vantage Universal Lancets 30G

Onetouch Lancets

Smart Sense Color Lancets Universal 33G

Onetouch Ping Meter Remote

Smart Sense Standard Lancets Universal 21G

Onetouch Profile System

Smart Sense Super Thin Lancets Universal 30G

Onetouch Ultra Blue

Smart Sense Thin Lancets Universal 26G

Onetouch Ultra Control

Smartest Lancets 28G

Onetouch Ultra Mini

Solus V2 Pressure Activated Safety Lancets 28G

Onetouch Ultra System Kit

Solus V2 Twist Lancets 30G

Onetouch Ultra 2

Sterilance TL

Onetouch Ultralink System (hex)

Sure-lance Flat Lancets

Onetouch Ultralink System (DEC)

Sure-lance Lancets 26G

Onetouch Ultrasmart

Sure-lance Thin Lancets 28G

Onetouch Ultrasoft Lancets

Sure-lance Ultra Thin Lancets

Onetouch Verio

Sure-touch Lancets Universal

Onetouch Verio Control Solution High

Surelite Lancets

Onetouch Verio IQ Blood Glucose Monitoring System

Surestep Glucose Control

Onetouch Verio Mid Control Solution

Surestep Glucose Control Solution

Onetouch Verio Sync Bloodglucose Monitoring System

Surestep Pro High Glucosecontrol

Onetouch Verio Test Strips

Surestep Pro Low Glucose Control

Pen Needles 29G X 12MM

Surestep Pro Normal Glucose Control

Pen Needles 29GX1/2"

Surestep Pro Test Strips


Surestep Test Strips

Pen Needles 31G X 1/4" SHORT

Techlite AST Lancets

Pen Needles 31G X 3/16"

Techlite Lancets

Pen Needles 31G X 6MM

Techlite Lancets 30G


Thinlets GP Lancets

Perfect Lancets 30G

Thinlets Lancet

Perfect Pressure Activated Safety Lancets 28G

Trueplus Lancets 26G

Pharmacy Counter Lancets


Precision Thin Lancets

Trueplus Lancets 28G Super Thin

Precision Thins GP Lancet


Precision Ultra Lancet

Trueplus Lancets 30G Ultra Thin

Prodigy Pressure Activated Safety Lancets


Prodigy Twist Top Lancets

Trueplus Lancets 33G Micro Thin

Pss Select GP Lancets

Trueplus Safety Lancets 28G

Pss Select Safety Lancets

Ulticare Thin Lancets 30G

Px Lancets Ultra Thin

Ultilet Basic Lancets 30G


36

Ultilet Classic Lancets

Careone Blood Glucose Test Strips/Value

Ultilet Lancets

Caresens N Blood Glucose Test Strips

Ultilet Lancets 33G

Choice DM Fora G20 Test Strips

Ultilet Safety Lancets 23G

Clever Chek Auto-code Test Strips

Ultra-thin II Auto Lancet

Clever Chek Auto-code Voice Test Strips

Ultra-thin II Lancets 28G

Clever Chek Test Strips

Ultra-thin II Lancets 30G

Clever Choice Auto-code Pro Test Strips

Ultra-thin II Safety Autolancets 26G

Clever Choice Micro Test Strips

Unilet Comfortouch Lancet

Control AST

Unilet Excelite

Control Test Strips

Unilet Excelite II

CVS Advanced Glucose Meter Test Strips

Unilet G.p. Lancet

Duo-care Test Strips

Unilet G.p. Superlite Lancet

Easy Step Test Strips

Unilet GP 28 Ultra Thin

Easy Touch Glucose Test Strips

Unilet Lancet

Easy Touch Healthpro Glucose Test Strips

Unilet Superlite Lancet

Easygluco

Unistik 3 Gentle

Easymax Test Strips

Universal 1 Lancets Thin 26G

Easymax 15 Test Strips

Universal 1 Lancets Ultra Thin 30G

Easypro Blood Glucose Test Strips

Valumark Lancet Super Thin 30G

Easypro Plus

Valumark Lancet Ultra Thin 28G

Eclipse Test Strips

Vida Mia Unilet Lancets Super Thin 30G

Element Plus Test Strips

Vida Mia Unilet Lancets Ultra Thin 28G

Element Test Strips

Vitalet Pro Lancets

Embrace Blood Glucose Test Strips

Vitalet Pro Plus Lancets

Embrace Evo Blood Glucosetest Strips

W&f Lancets Colored 21G

Embrace Pro Blood Glucosetest Strips

W&f Lancets 26G

Envision Autocode Test Strips

Walgreens Lancets

Eql Truetrack Test

Walgreens Thin Lancets

Evencare + Blood Glucose Test Strip

Walgreens Ultra Thin Lancets

Evencare Blood Glucose Test Strip

1ST Choice Lancets Super Thin

Evencare G2 Test Strips

1ST Choice Lancets Thin

Evencare G3 Test Strips

1ST Choice Lancets Ultra Thin

Evolution Autocode

NON PREFERRED

Exactech R-s-G Test Strips

Accu-chek Active Strips

Exactech Test Strips

Accu-chek Aviva

EZ Smart Blood Glucose Test Strips

Accu-chek Aviva Plus

EZ Smart Plus Blood Glucose Test Strips

Accu-chek Comfort Curve Test Strips

Fifty50 Glucose Test Strip 2.0

Accu-chek Compact Plus

Fora D10 Blood Glucose Test Strips

Accu-chek Compact Test Drum

Fora D15c Blood Glucose Test Strips

Accu-chek Smartview Strips

Fora D15z Blood Glucose Test Strips

Accutrend Glucose

Fora D15G Blood Glucose Test Strips

Acura Blood Glucose Test Strips

Fora D20 Blood Glucose Test Strips

Advance Intuition Test Strips

Fora GD20 Test Strips

Advance Micro-draw Test Strips

Fora GD50 Blood Glucose Test Strips

Advocate Redi-code

Fora G20 Blood Glucose Test Strips

Advocate Redi-code+ Test Strips

Fora G30a Blood Glucose Test Strips

Advocate Test Strips

Fora G71a Blood Glucose Test Strips

Agamatrix Amp NO Code Test Strips

Fora G90 Blood Glucose Test Strips

Agamatrix Jazz Test Strips

Fora Test N' Go Blood Glucose Test Strips

Agamatrix Keynote Test Strips

Fora V10 Blood Glucose Test Strips

Agamatrix Presto Test Strips


Ascensia Autodisc Test Strips


Assure II


Assure II Check Strip

Fora V30a Blood Glucose Test Strips

Assure II Test Strips

Foracare GD40

Assure Platinum Test Strips

Foracare Premium V10 Teststrips

Assure Prism Multi Test Strips

Foracare Test N Go Test Strips

Assure Pro Test Strips

Fortiscare Blood Glucose Test Strip

Assure 3 Test Strips

Freestyle Insulinx Blood Glucose Test

Assure 4 Test Strips

Freestyle Insulinx Blood Glucose Test Strips

AT Last Test Strips

Freestyle Lite Test Strips

Bayer Breeze 2 Test Disc

Freestyle Test Strips

Bayer Contour Blood Glucose Test Strips

Gluco Perfect 3 Test Strips

Bayer Contour Next Blood Glucose Test

Glucocard Expression Blood Glucose Test Strips

Bg Star Blood Glucose Test

Glucocard Shine Test Strips

Bioscanner Glucose Test Strips

Glucocard Vital Test Strips

Blood Glucose Test Strips

Glucocard X-sensor

Blood Glucose Test Strips Premium

Glucocard 01 Sensor Plus

Careone Blood Glucose Test Strips/Premium

Glucocard 01 Sensor Plus Test Strips


37

Glucocom Test Strips

Glucolab Test Strips

Gluconavii Blood Glucose Test Strips

MEDICAL DEVICES - MISC

Gmate Blood Glucose Test Strips

PREFERRED

Infinity Blood Glucose Test Strips

Aerochamber Mini Aerosol Chamber

Insulin Syringe/0.5ML/30G X 5/16"

Aerochamber MV

Liberty Next Generation Blood Glucose Test Strips

Aerochamber Plus Flow VU

Maxima Blood Glucose Teststrips

Aerochamber Plus Flow-VU

Microdot Test Strips

Aerochamber Plus Flow-VU/Large Mask

Myglucohealth Blood Glucose Test

Aerochamber Plus Flow-VU/Mask

Neutek 2tek Test Strips

Aerochamber Plus Flow-VU/Medium Mask

Nexgen Test Strips

Aerochamber Plus Flow-VU/Small Mask

Nova Max Glucose Test Strips

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

On Call Express Blood Glucose Test Strips

Aerochamber Z-stat Plus/Flowsignal

On Call Plus Blood Glucose Test

Aerochamber Z-stat Plus/Large Mask

On Call Vivid Blood Glucose Test

Aerochamber Z-stat Plus/Medium Mask

On Call Vivid Blood Glucose Test Strips

Aerochamber Z-stat Plus/Small Mask

Optium Test Strips

Aerochamber/Flowsignal

Optiumez Test Strips

Aerovent Plus Holding Chamber/Collapsible

Optumrx Blood Glucose Test

Arial Chamber

Pharmacist Choice Autocode Blood Glucose Test Strips

Breatherite

Pocketchem EZ Blood Glucose Test Strips

Breatherite Collapsible Adult Spacer W/Mask

Precision Point Of Care Test Strips

Breatherite Collapsible Child Spacer W/Mask

Precision PCX

Breatherite Collapsible Infant Spacer W/Mask

Precision PCX Plus Test Strips

Breatherite Collapsible Small Child Spacer W/Mask

Precision QID Test Strips

Breatherite Collapsible Spacer W/ Neonate Mask

Precision Sof-tact Test Strips

Breatherite Rigid Spacer W/Mask

Precision XTRA Blood Glucose Test Strips

Breatherite W/Large Mask

Prestige Test Strips

Breatherite W/Medium Mask

Prodigy NO Coding Blood Glucose Test Strips

Breatherite W/Small Mask

Pts Panels Glucose Test

E-z Spacer

Quicktek Test Strips

E-z Spacer The Body Guards Pack

Quintet Ac Blood Glucose Test Strips

Easivent

Quintet Blood Glucose Test Strips

Easivent/Mask-large

Refuah Plus Blood Glucosetest Strips

Easivent/Mask-medium

Relion Blood Glucose Teststrips

Easivent/Mask-small

Relion Confirm/Micro Test Strips

Inspirachamber/Anti-static Valved/Mouthpiece

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

Inspirachamber/Soothermask/Inspiramask/Medium

Relion Prime Blood Glucose Test Strips

Inspirachamber/Soothermask/Inspiramask/Small

Relion Ultima Blood Glucose Test Strips

Inspirease Bags

Relion Ultima Test Strips

Inspirease Drug Delivery System

Reveal Blood Glucose Test

Inspirease Mouthpiece

Rexall Blood Glucose Test Strips

Inspirease Reservoir Bags

Rightest GS100 Blood Glucose Test Strips

Liteaire


Mask Vortex/Baby Whirl Duckling


Mask Vortex/Child/Frog

Smart Diabetes Xpres Blood Glucose Test Strips

Mask Vortex/Spinner The Duck

Smart Sense Premium Bloodglucose Strips

Mask Vortex/Toddler/Lady Bug

Smart Sense Value Blood Glucose Strips

Microchamber

Smartest Blood Glucose Test Strips

Microspacer

Solus V2 Audible Test

Nessi Spacer/Large Mask

Supreme Test Strips

Nessi Spacer/Mouthpiece

Sure Edge Blood Glucose Test Strips

Nessi Spacer/Small/MED Mask

Sure-test Easyplus Mini Blood Glucose Test Strips

Optichamber Advantage

Surechek Blood Glucose Test Strips

Optichamber Diamond

Telcare Blood Glucose Test Strips

Optichamber Diamond/Largeface Mask

True Metrix Blood Glucosetest Strips

Optichamber Diamond/Medium Face Mask

True Metrix Self Monitoring Blod Glucose Strips

Optichamber Diamond/Smallface Mask

Truetest Blood Glucose T Est

Optihaler

Truetest Blood Glucose T Est Strips

Optihaler MDI Drug Delivery System

Truetest Strips

Panda Mask Large

Truetrack Blood Glucose Test

Panda Mask Medium

Truetrack Test

Panda Mask Small

Ultima Test Strips

Pediatric Panda Mask

Ultratrak Pro Test Strips

Pocket Chamber

Ultratrak Ultimate Test Strips

Pocket Spacer

Unistrip1 Generic

Riteflo

Victory Agm-4000 Test Strips

Vortex Valved Holding Chamber

Vocal Point Blood Glucose Test Strips

Wavesense Presto Test Strips


38

Watchhaler

MISCELLANEOUS

PREFERRED

Chemet

Exjade

NON PREFERRED

Ferriprox

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective April 1, 2015 v.2

©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

39

Index

A

Acular, 27

Afluria 2013-2014, 32

Acular LS, 27

Afluria 2014-2015, 32

A-hydrocort, 14

Acura Blood Glucose Test Strips, 37

Afluria PF 2012-2013, 32

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

Acuvail, 27

Afluria PF 2013-2014, 32

abacavir, 3

acyclovir, 3, 11

Afluria PF 2014-2015, 32

abacavir sulfate/lamivudine/zidovudine, 3

acyclovir sodium, 3

Afrezza, 15

Abelcet, 2

Acyclovir Sodium, 3

Agamatrix Amp NO Code Test Strips, 37

Abilify, 23

Aczone, 10

Agamatrix Jazz Test Strips, 37

Abilify Discmelt, 23

Adacel, 32

Agamatrix Keynote Test Strips, 37

Abilify Maintena, 23

Adalat CC, 7

Agamatrix Presto Test Strips, 37

Abraxane, 5

adapalene, 10

Agamatrix Ultra-thin Lancets 33G, 34

Absorica, 10

Adasuve, 23

Aggrastat, 22

Abstral, 28

Adcetris, 5

Aggrenox, 21

acamprosate calcium DR, 25

Adcirca, 10

Agrylin, 22

Acanya, 10

Adderall, 24

Akne-mycin, 10

acarbose, 16

Adderall XR, 24

Akten, 27

Accolate, 32

adefovir dipivoxil, 3

Akynzeo, 19

Accu-chek Active Strips, 37

Adempas, 10

Ala Scalp, 12

Accu-chek Aviva, 37

Adenocard, 7

Alagesic LQ, 28

Accu-chek Aviva Plus, 37

adenosine, 7

Albafort, 20, 33

Accu-chek Comfort Curve Test Strips, 37

Adoxa, 2

Albenza, 3

Accu-chek Compact Plus, 37

Adoxa PAK 1/100, 2

albuterol sulfate, 31

Accu-chek Compact Test Drum, 37

Adoxa PAK 1/150, 2

albuterol sulfate ER, 31

Accu-chek Fastclix Lancets, 34

Adoxa PAK 2/100, 2

albuterol TAB 4MG, 31

Accu-chek Multiclix Lancets, 34

Adrenaclick, 9

Alcaine, 27

Accu-chek Safe-t-pro Lancets, 34

Adrenal C Formula, 33

alclometasone dipropionate, 12

Accu-chek Safe-t-pro Pluslancets, 34

Adrenalin, 9, 31

Aldactazide, 9

Accu-chek Smartview Strips, 37

Adriamycin, 4

Aldactone, 9

Accu-chek Soft Touch Lancets, 34

Advair Diskus, 31

Aldara, 12

Accu-chek Softclix Lancets, 34

Advair HFA, 31

Aldurazyme, 17

Accuneb, 32

Advance Intuition Test Strips, 37

alendronate sodium, 16

Accupril, 8

Advance Micro-draw Test Strips, 37

Alendronate Sodium, 16

Accuretic, 8

Advate, 21

Alfenta, 28

Accutrend Glucose, 37

Advicor, 9

alfentanil, 28

acebutolol HCL, 7

Advocate Lancets, 34

Alferon N, 6

Aceon, 8

Advocate Redi-code, 37

alfuzosin HCL ER, 20

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28

Advocate Redi-code+ Test Strips, 37

Alimta, 5

Advocate Safety Lancets, 34

Alinia, 4

acetaminophen/codeine, 28

Advocate Test Strips, 37

Alkeran, 4

acetaminophen/codeine #2, 28

Aerochamber Mini Aerosol Chamber, 38

allopurinol, 30


Aerochamber MV, 38

Alocril, 27


Aerochamber Plus Flow VU, 38

Alodox Convenience Kit, 2

acetaminophen/codeine phosphate, 28

Aerochamber Plus Flow-VU, 38

Alomide, 27

acetazolamide, 9

Aerochamber Plus Flow-VU/Large Mask, 38

Aloprim, 30

Acetazolamide, 9

Alora, 14

acetazolamide ER, 9

Aerochamber Plus Flow-VU/Mask, 38

Aloxi, 19

acetazolamide sodium, 9

Aerochamber Plus Flow-VU/Medium Mask, 38

Alphagan P, 27

acetic acid, 27

Alphanate/Von Willebrand Factor Complex/Human, 21

Acetic Acid/Aluminum Acetate, 28

Aerochamber Plus Flow-VU/Small Mask, 38

acetylcysteine, 31

Alphanine SD, 21

Aciphex, 18

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 38

alprazolam, 22

Aciphex Sprinkle, 18

alprazolam ER, 22

acitretin, 11

Aerochamber Z-stat Plus/Flowsignal, 38

Alprazolam Intensol, 22

Aclovate, 12

Aerochamber Z-stat Plus/Large Mask, 38

alprazolam odt, 22

Actemra, 29

Aerochamber Z-stat Plus/Medium Mask, 38

Alprolix, 21

Acthib, 32

Alrex, 27

Acticlate, 2

Aerochamber Z-stat Plus/Small Mask, 38

Alsuma, 30

Actigall, 19

Aerochamber/Flowsignal, 38

Altabax, 11

Actimmune, 6

Aerospan, 32

Altace, 8

Actiq, 28

Aerovent Plus Holding Chamber/Collapsible, 38

Altoprev, 9

Activase, 22

Aluvea, 13

Activella, 14

AF Lancets Super Thin, 34

Alvesco, 32

Actonel, 16

Afinitor, 6

amantadine HCL, 25

Actoplus Met, 16

Afinitor Disperz, 6

Amantadine HCL, 25

Actoplus Met XR, 16

Afluria 2012-2013, 32

Amaryl, 15

Actos, 16

Ambien, 23

Animi-3, 20

Assure Haemolance Plus High Flow 18G, 34

Ambien CR, 23

Animi-3/Vitamin D, 20

Ambisome, 2

Anoro Ellipta, 31

Assure Haemolance Plus Low Flow 25G, 34

Amcinonide, 12

Antabuse, 25

Amerge, 30

Antara, 9

Assure Haemolance Plus Micro Flow 28G, 34

Amethyst, 15

antipyrine/benzocaine, 27

Amicar, 21

Antipyrine/Benzocaine, 28

Assure Haemolance Plus Normal Flow 21G, 34

amifostine, 6

Anusol-HC, 19

amikacin sulfate, 2

Anzemet, 19

Assure Haemolance Plus Pediatric Blade, 34

amiloride HCL, 9

Apexicon E, 12

amiloride/hydrochlorothiazide, 9

Apidra, 15

Assure II, 37

aminocaproic acid, 21

Apidra Solostar, 15

Assure II Check Strip, 37

Aminocaproic Acid, 21

Aplenzin, 23

Assure II Test Strips, 37

aminophylline, 31

Apokyn, 25

Assure Lance Lancets, 34

amiodarone HCL, 7

Appbutamone, 23

Assure Lance Lancets 21G, 34

Amiodarone HCL, 7

Appbutamone-d, 23

Assure Lance Plus Safety Lancets 25G, 34

Amitiza, 19

Appformin, 16

amitriptyline HCL, 22

Appformin-d, 16

Assure Lance Plus Safety Lancets 30G, 34

amlodipine besylate, 7

apraclonidine, 27

amlodipine besylate/atorvastatin calcium, 10

Apriso, 19

Assure Lancets, 34

Aptiom, 24

Assure Platinum Test Strips, 37

amlodipine besylate/benazepril HCL, 8

Aptivus, 3

Assure Prism Multi Test Strips, 37

amlodipine besylate/benazepril hydrochloride, 8

Aquasol A Parenteral, 33

Assure Pro Test Strips, 37

Aquoral, 22

Astagraf XL, 5

amlodipine besylate/valsartan, 8

Aralast NP, 32

Astelin, 31

amlodipine/valsartan/hctz, 8

Aralen, 3

Astepro, 31

ammonium lactate, 13

Aranesp Albumin Free, 20

Astringyn, 21

Ammonul, 17

Arava, 29

AT Last Lancets, 34

Amoxapine, 22

Arcalyst, 29

AT Last Test Strips, 37

amoxicillin, 1

Arcapta Neohaler, 31

Atabex EC, 33

Amoxicillin, 1

argatroban, 21

Atacand, 8

Amoxicillin ER, 1

Argatroban, 21

Atacand HCT, 8

amoxicillin/clavulanate potassium, 1

Arial Chamber, 38

Atelvia, 16

amoxicillin/clavulanate potassium ER, 1

Aricept, 25

atenolol, 7

amphetamine/dextroamphetamine, 24

Aricept Odt, 25

atenolol/chlorthalidone, 8

Amphotec, 2

Arimidex, 5

Atgam, 5

Amphotericin B, 2

Aristospan Intra-articular, 14

Ativan, 22

ampicillin, 1

Aristospan Intralesional, 14

Atopiclair, 13

Ampicillin, 1

Arixtra, 21

atorvastatin calcium, 9

ampicillin sodium, 1

Armour Thyroid, 17

atovaquone, 4

Ampicillin Sodium, 1

Arnica Flower, 13

atovaquone/proguanil HCL, 3

ampicillin-sulbactam, 1

Arnuity Ellipta, 32

atracurium besylate, 25

Ampicillin-sulbactam, 1

Aromasin, 5

Atralin, 10

Ampyra, 25

Arranon, 5

Atripla, 3

Amrix, 26

Arthrotec 50, 29

Atropen, 18

Amturnide, 8

Arthrotec 75, 29

atropine sulfate, 18, 27

Amytal Sodium, 23

Articadent Dental, 30

Atropine Sulfate, 18, 27

Anacaine, 13

Artiss, 21

Atrovent, 31

Anadrol-50, 14

Arzerra, 5

Atrovent HFA, 31

Anafranil, 23

Asacol HD, 19

Aubagio, 25

anagrelide hydrochloride, 21

Ascensia Autodisc Test Strips, 37

augmented betamethasone dipropionate, 12

Analpram Advanced, 19

ascorbic acid, 33

Analpram-HC, 19

Asmanex HFA, 31

Augmentin, 1

Analpram-HC Singles, 19

Asmanex Twisthaler 120 Metered Doses, 31

Augmentin ES-600, 1

Anaprox, 29

Augmentin XR, 1

Anaprox DS, 29


Auralgan, 28

Anaspaz, 18

Aurora Lancet Super Thin 30G, 34

anastrozole, 5

Asmanex Twisthaler 30 Me Tered Doses, 31

Aurora Lancet Thin 23G, 34

Ancef, 1

Aurstat Anti-itch Hydrogel, 13

Ancobon, 2


Aurstat Anti-itch Hydrogel Kit, 13

Androderm, 14

Auryxia, 19

Androgel, 14


Auvi-q, 9

Androgel P.M., 14

Avalide, 8

Android, 14


Avandamet, 16

Androxy, 14

Avandaryl, 16

Anectine, 25

Aspirin-caffeine-dihydrocodeine, 28

Avandia, 16

Angeliq, 14

Assure 3 Test Strips, 37

Avapro, 8

Angiomax, 21

Assure 4 Test Strips, 37

Avar, 10

Avar LS, 10

100/1ML/28G X 1/2", 34

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35

Avar LS Cleanser, 10

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 34

Avar-e LS, 10

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35

Avastin, 5

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 34

Avc, 20

BD Pen Needle/Ultrafine/29G X 12.7MM, 35

Aveed, 14

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 34

Avelox, 2

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35

Avelox Abc Pack, 2

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 34

Avidoxy DK, 2

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 35

Avinza, 28

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 34

Avodart, 20

BD Pudendal/Local Block Tray 1% Lidocaine, 30

Avonex, 25

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 34

Avonex Pen, 25

Beconase AQ, 31

Axert, 30

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 34

Beleodaq, 6

Axid, 18

Belladonna & Opium, 18

Axiron, 14

BD Insulin Syringe Slip Tip/U-100/1ML, 34

Belladonna Alkaloids & Opium, 18

Aygestin, 15

Belsomra, 23

azacitidine, 4

BD Insulin Syringe U-40/1ML/25G X 5/8", 34

benazepril HCL, 8

Azactam, 4

benazepril HCL/hydrochlorothiazide, 8

Azactam IN Iso-osmotic Dextrose, 4

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34

Benefix, 21

Azasan, 5

Benicar, 8

Azasite, 26

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34

Benicar HCT, 8

azathioprine, 5

Bentyl, 18

azelastine HCL, 27, 31

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34

Benzac Ac Wash, 10

Azelex, 10

Benzac W Wash, 10

Azilect, 25

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35

Benzaclin, 10

azithromycin, 1

Benzaclin With P.M., 10

Azithromycin, 1


Benzamycin, 10

Azopt, 27

Benzamycinpak, 10

Azor, 8


Benzefoam, 10

aztreonam, 4

Benzefoamultra, 10

Azulfidine, 19


Benziq, 10

Azulfidine EN-TABS, 19

Benziq LS, 10

B

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35

Benzoin Compound Tincture, 13

Benzoin Tincture, 13

B-6 Folic Acid, 20

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35

benzonatate, 31

b-complex, 33

benzoyl peroxide, 10

b-complex 100, 33

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34

benzoyl peroxide SHORT contact, 10

bacitracin, 4

benztropine mesylate, 25

Bacitracin, 4, 26

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35

Bepreve, 27

bacitracin/polymyxin b, 26

Berinert, 21

baclofen, 26

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35

Besivance, 26

Bacmin, 33

Betadine Ophthalmic Prep, 26

Bactocill IN Dextrose, 1

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35

Betagan, 26

Bactrim, 4

Betalido, 14

Bactrim DS, 4

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35

betamethasone dipropionate, 12

Bactroban, 11

betamethasone sodium phosphate/betamethasone acetate, 14

Bactroban Nasal, 31

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35

Bal-care DHA, 33

betamethasone valerate, 12

Bal-care DHA Essential, 33

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35

Betapace, 7

balsalazide disodium, 19

Betapace AF, 7

Banzel, 24

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35

Betaseron, 25

Baraclude, 3

betaxolol HCL, 7, 26

Bayer Breeze 2 Test Disc, 37

BD Insulin Syringe/U-100/1ML/27G X 1/2", 35

bethanechol chloride, 19

Bayer Contour Blood Glucose Test Strips, 37

Bethkis, 2


Betimol, 26

Bayer Contour Next Blood Glucose Test, 37

Betoptic-s, 26

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35

Bexsero, 32

Bayer Microlet Lancets, 34

Bexxar, 5

Bcg Vaccine, 33


Bexxar 131 Iodine, 6

BD Insulin Syringe LUER-LOK/U-100/1ML, 34

Beyaz, 15

BD Lancet Ultrafine 30G, 35

Bg Star Blood Glucose Test, 37

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 34

BD Lancet Ultrafine 33G, 35

Biaxin, 1

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35

Biaxin XL, 1

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 34

Biaxin XL PAC, 1

BD Microtainer Lancets, 35

bicalutamide, 5

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 34

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35

Bicillin C-R, 1

Bicillin L-a, 1

BD Insulin Syringe Microfine IV/U-

Bicnu, 4

buspirone HCL, 22

Cardene I.v., 7

Bidil, 10

Busulfex, 4

Cardene IV, 7

Biest/Progesterone, 14

butalbital/acetaminophen, 28

Cardene SR, 7

Biferarx, 20

butalbital/acetaminophen/caffeine, 28

Cardizem, 7

Biltricide, 3

butalbital/acetaminophen/caffeine/codeine, 28

Cardizem CD, 7

Binosto, 16

Cardizem LA, 7

Bioscanner Glucose Test Strips, 37

butalbital/apap/caffeine, 28

Cardura, 8

Biothrax, 32

butalbital/aspirin/caffeine, 28

Cardura XL, 20

bisoprolol fumarate, 7

Butalbital/Aspirin/Caffeine, 28

Careone Blood Glucose Test Strips/Premium, 37

bisoprolol fumarate/hydrochlorothiazide, 8

butalbital/aspirin/caffeine/codeine, 28

Butisol Sodium, 24

Careone Blood Glucose Test Strips/Value, 37

bleomycin sulfate, 4

butorphanol tartrate, 28

Bleph-10, 26

Butrans, 28

Careone Lancet Thin, 35

Blephamide, 27

Bydureon, 15

Careone Lancet Ultra Thin, 35

Blephamide S.o.p., 27

Byetta, 15

Caresens N Blood Glucose Test Strips, 37

Blincyto, 5

Bystolic, 7

Blood Glucose Test Strips, 37

C

carisoprodol, 26

Blood Glucose Test Strips Premium, 37

Carisoprodol, 26

cabergoline, 17

Bloxiverz, 26

carisoprodol/aspirin, 26

Caduet, 10

Boniva, 16

carisoprodol/aspirin/codeine, 26

Cafcit, 24

Boostrix, 32

Carmol-HC, 12

Cafergot, 30

Boric Acid, 13

Carnitor, 17

caffeine citrate, 24

Bosulif, 6

Carnitor SF, 17

Caffeine/Sodium Benzoate, 24

Botox, 25

carteolol HCL, 26

Calan, 7

Bravelle, 16

carvedilol, 7

Calan SR, 7

Breatherite, 38

Cascara Sagrada, 18

calcipotriene, 11

Breatherite Collapsible Adult Spacer W/Mask, 38

Casodex, 5

calcipotriene/betamethasone dipropionate, 12

Cataflam, 29

Breatherite Collapsible Child Spacer W/Mask, 38

Catapres, 8

calcitonin salmon, 16

Catapres-tts-1, 8

calcitonin-salmon, 16

Breatherite Collapsible Infant Spacer W/Mask, 38

Catapres-tts-2, 8

Calcitriol, 11

Catapres-tts-3, 8

calcitriol, 17

Breatherite Collapsible Small Child Spacer W/Mask, 38

Cathflo Activase, 22

calcium acetate, 19

Cavan-alpha Kit, 33

Calcium Folinate, 6

Breatherite Collapsible Spacer W/ Neonate Mask, 38

Caverject, 10

Caldolor, 29

Caverject Impulse, 10

Cambia, 30

Breatherite Rigid Spacer W/Mask, 38

Cayston, 4

Campral, 25

Breatherite W/Large Mask, 38

Cedax, 1

Camptosar, 6

Breatherite W/Medium Mask, 38

cefaclor, 1

Canasa, 19

Breatherite W/Small Mask, 38

Cefaclor, 1

Cancidas, 2

Breo Ellipta, 31

Cefaclor ER, 1

candesartan cilexetil, 8

Brevibloc, 7

cefadroxil, 1

candesartan cilexetil/hydrochlorothiazide, 8

Brevicon-28, 15

cefazolin sodium, 1

Brilinta, 21

Cefazolin Sodium, 1

Cantil, 18

brimonidine tartrate, 27

Cefazolin Sodium/Dextrose, 1

Capastat Sulfate, 2

Brintellix, 23

cefdinir, 1

capecitabine, 4

Brisdelle, 25

Cefditoren Pivoxil, 1

Capex, 12

bromfenac, 27

cefepime, 1

Caphosol, 22

bromocriptine mesylate, 25

Cefepime, 1

Capital/Codeine, 28

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31

cefotaxime sodium, 1

Caprelsa, 6

Cefotetan, 1

Capsiderm, 13

Brompheniramine Tannate, 31

Cefotetan/Dextrose, 1

captopril, 8

Brovana, 32

cefoxitin sodium, 1

Captopril/Hydrochlorothiazide, 8

budesonide, 14, 31(2)

Cefoxitin Sodium, 1

Carafate, 18

Bullseye Safety Lancets, 34

cefpodoxime proxetil, 1

Carbaglu, 17

bumetanide, 9

cefprozil, 1

carbamazepine, 24

Bunavail, 28

ceftazidime, 1

carbamazepine ER, 24

Bupap, 28

Ceftazidime, 1

Carbaphen 12, 31

Buphenyl, 17

Ceftazidime/Dextrose, 1

Carbaphen 12 PED, 31

bupivacaine HCL, 30

Ceftibuten, 1

Carbatrol, 24

bupivacaine/epinephrine, 30

Ceftin, 1

carbidopa, 25

Buprenex, 28

Ceftriaxone IN Iso-osmotic Dextrose, 1

carbidopa/levodopa, 25

buprenorphine HCL, 28

ceftriaxone sodium, 1

carbidopa/levodopa ER, 25

buprenorphine HCL/naloxone HCL, 28

Ceftriaxone/Dextrose, 1

carbidopa/levodopa odt, 25

bupropion HCL, 22

cefuroxime axetil, 1

Carbidopa/Levodopa/Entacapone, 25

bupropion HCL ER, 22

cefuroxime sodium, 1

carbinoxamine maleate, 30

bupropion HCL SR, 22

Cefuroxime Sodium, 1

Carbocaine, 30

bupropion HCL XL, 22

Cefuroxime/Dextrose, 1

carboplatin, 4

Celebrex, 29

Cipro XR, 2

clobetasol propionate, 12

celecoxib, 29

Ciprodex, 28

clobetasol propionate emollient, 12

Celestone, 14

ciprofloxacin, 2

Clobex, 12

Celestone-soluspan, 14

Ciprofloxacin, 28

Clocortolone Pivalate, 12

Celexa, 23

ciprofloxacin ER, 2

Clocortolone Pivalate P.M., 12

Cellcept, 5

ciprofloxacin HCL, 2, 26

Clodan Kit, 12

Cellcept Intravenous, 5

Ciprofloxacin HCL, 2

Cloderm, 12

Celontin, 24

ciprofloxacin I.V.-IN D5W, 2

Cloderm P.M., 12

Cem-urea, 13

cisatracurium besylate, 25

Clolar, 5

Cenestin, 14

cisplatin, 4

clomiphene citrate, 16

Cenfol, 20

Cisplatin, 4

clomipramine HCL, 22

Centany, 11

citalopram hydrobromide, 22

clonazepam, 24

Centany AT, 11

Citanest Forte Dental, 30

clonazepam odt, 24

Centratex, 20

Citanest Plain Dental, 30

clonidine HCL, 8

cephalexin, 1

Citranatal 90 DHA, 33

clonidine HCL ER, 24

Cephalexin, 1

Citranatal Assure, 33

clopidogrel, 21

Cerdelga, 20

Citranatal B-calm, 33

clorazepate dipotassium, 22

Cerebyx, 24

Citranatal DHA, 33

Clorpres, 8

Cerezyme, 20

Citranatal Harmony, 33

clotrimazole, 11, 22

Cervarix, 32

Citranatal RX, 33

clotrimazole/betamethasone dipropionate, 11

Cervidil, 28

citric acid/sodium citrate, 20

Cesamet, 19

Citrolith, 20

clozapine, 23

cetirizine HCL, 30

cladribine, 4

Clozapine Odt, 23

Cetraxal, 28

Claforan, 1

Clozaril, 23

Cetrotide, 17

Claforan/D5W, 1

Cnl8 Nail Kit, 11

cevimeline HCL, 22

Claravis, 10

CO-natal Fa, 33

Chemet, 39

Clarifoam EF, 10

Coaguchek Lancets, 35

Chenodal, 19

Clarinex, 31

Coal TAR, 13

Chloral Hydrate, 23

Clarinex Reditabs, 31

Coartem, 3

Chloramphenicol Sodium Succinate, 4

Clarinex-d 12 HOUR, 31

Cocaine HCL, 13

chlordiazepoxide HCL, 22

Clarinex-d 24 HOUR, 31

Cod Liver Oil, 33

Chlordiazepoxide/Amitriptyline, 25

clarithromycin, 1

codeine sulfate, 28

chlorhexidine gluconate, 22

clarithromycin ER, 1

Codeine Sulfate, 28

chlorhexidine gluconate oral rinse, 22

Cleanlet Lancets 28G, 35

Cogentin, 25

chloroprocaine HCL, 30

clemastine fumarate, 30

Colazal, 19

chloroquine phosphate, 3

Clemastine Fumarate, 30

Colchicine, 30

chlorothiazide, 9

Cleocin, 4, 20

Colcrys, 30

Chlorothiazide, 9

Cleocin IN D5W, 4

Colestid, 9

chlorothiazide sodium, 9

Cleocin Pediatric Granules, 4

Colestid Flavored, 9

chlorpromazine HCL, 23

Cleocin Phosphate, 4

colestipol HCL, 9

Chlorpromazine HCL, 23

Cleocin-t, 10

colestipol HCL for oral suspension, 9

Chlorpropamide, 15

Clever Chek Auto-code Test Strips, 37

colistimethate sodium, 4

Chlorthalidone, 9

Clever Chek Auto-code Voice Test Strips, 37

Coly-mycin M, 4

chlorzoxazone, 26

Coly-mycin S, 28

Choice DM Fora G20 Test Strips, 37

Clever Chek Lancets Ultrathin, 35

Colyte-flavor Packs, 18

cholestyramine, 9

Clever Chek Lancets Ultrathin 30G, 35

Combigan, 26

cholestyramine light, 9

Clever Chek Test Strips, 37

Combipatch, 14

choline magnesium trisalicylate, 28

Clever Choice Auto-code Pro Test Strips, 37

Combivent, 31

Choline Magnesium Trisalicylate, 28

Combivent Respimat, 31

chorionic gonadotropin, 16

Clever Choice Micro Test Strips, 37

Combivir, 3

Cialis, 10

Cleviprex, 7

Cometriq, 6

Ciclodan Cream Kit, 11

Climara, 14

Comfort Lancets, 35

Ciclodan Solution Kit, 11

Climara Pro, 14

Compazine, 23

ciclopirox, 11

Clindacin Etz, 10

Complera, 3

ciclopirox nail lacquer, 11

Clindacin PAC, 10

Comtan, 25

ciclopirox olamine, 11

Clindagel, 10

Comvax, 32

Ciclopirox Topical Solution Kit, 11

clindamycin HCL, 4

Concept DHA, 33

cidofovir, 3

clindamycin palmitate HCL, 4

Concept OB, 33

Ciferex, 20

clindamycin phosphate, 4, 10, 20

Concerta, 24

cilostazol, 21

Clindamycin Phosphate, 4

Condylox, 13

Ciloxan, 26

clindamycin phosphate add-vantage, 4

Control AST, 37

cimetidine, 18

clindamycin phosphate IN D5W, 4

Control Test Strips, 37

cimetidine HCL, 18

clindamycin phosphate pharmacy bulk package, 4

Conzip, 28

Cimzia, 19

Copaxone, 25

Cimzia Starter Kit, 19

clindamycin/benzoyl peroxide, 10

Copegus, 3

Cipro, 2

Clindap-t, 10

Cordarone, 8

Cipro HC, 28

Clindesse, 20

Cordran, 12

Cipro I.V.-IN D5W, 2

Clinoin, 10

Cordran Tape, 12

Coreg, 7

D

Dexamethasone, 14

Coreg CR, 7

Dexamethasone Intensol, 14

D.h.e. 45, 30

Corgard, 7

dexamethasone sodium phosphate, 14, 27

dacarbazine, 6

Corifact, 21

Dacarbazine, 6

Corlopam, 8

Dexamethasone Sodium Phosphate, 14

Dacogen, 5

Cortalo, 12

Dexchlorpheniramine Maleate, 31

Daliresp, 31

Cortef, 14

Dexedrine, 24

Dalvance, 4

Cortenema, 19

Dexilant, 18

danazol, 14

Cortifoam, 19

Dexlido, 14

Dantrium, 26

Cortisone Acetate, 14

Dexlido-m, 14

Dantrium IV, 26

Cortisporin, 11, 28

dexmedetomidine HCL, 23

dantrolene sodium, 26

Cortisporin-tc, 28

dexmethylphenidate HCL, 24

Dantrolene Sodium, 26

Corvert, 8

dexmethylphenidate HCL ER, 24

Dapsone, 4

Corvite, 33

Dexpak 10 Day, 14

Daptacel, 32

Corvite 150, 20

Dexpak 13 Day, 14

Daraprim, 3

Corzide, 8

Dexpak 6 Day, 14

daunorubicin HCL, 4

Cosentyx, 11

Dexpanthenol, 19

Daunoxome, 4

Cosentyx Sensoready Pen, 11

dexrazoxane, 6

Daypro, 29

Cosmegen, 4

dextroamphetamine sulfate, 24

Daytrana, 24

Cosopt, 26

dextroamphetamine sulfate ER, 24

Ddavp, 17

Cosopt PF, 26

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31

Debacterol, 22

Coumadin, 21

Decara, 33

Cozaar, 8

decitabine, 5

Cpb Wc, 31

Diabeta, 15

Decon-a, 31

Creon, 19

Dialyvite 3000, 33

Delestrogen, 14

Crestor, 9

Dialyvite 5000, 33

Delzicol, 19

Cresylate, 28

Dialyvite Supreme D, 33

Demadex, 9

Crinone, 20

Dialyvite/Zinc, 33

demeclocycline HCL, 2

Crixivan, 3

Diamox, 9

Demerol, 28

Crnatal, 33

Diastar Easy Test II Lancets 30G, 35

Demser, 8

cromolyn sodium, 19, 27

Diastar Easy Test Lancets30G, 35

Denavir, 11

Cromolyn Sodium, 31

Diastat Acudial, 24

Depacon, 24

Cubicin, 4

Diastat Pediatric, 24

Depakene, 24

Curosurf, 32

Diatx ZN, 33

Depakote, 24

Cutivate, 12

diazepam, 22

Depakote ER, 24

Cuvposa, 18

Diazepam, 22, 24

Depakote Sprinkles, 24

CVS Advanced Glucose Meter Test Strips, 37

Dibenzyline, 8

Depo-estradiol, 14

Diclegis, 19

Depo-medrol, 14

cyanocobalamin, 20

diclofenac potassium, 29

Depo-provera, 5

Cyanocobalamin, 20

diclofenac sodium, 11, 27

Depo-testosterone, 14

Cyclessa, 15

diclofenac sodium DR, 29

Depocyt, 5

Cyclobenzaprine Comfort PAC, 26

diclofenac sodium ER, 29

Deprizine Fusepaq, 18

cyclobenzaprine HCL, 26

diclofenac sodium/misoprostol, 29

Derma-smoothe/FS Body, 12

Cyclogyl, 27

dicloxacillin sodium, 1

Derma-smoothe/FS Scalp, 12

Cyclomydril, 27

Dicopanol Fusepaq, 31

Dermasorb HC, 12

cyclopentolate HCL, 27

dicyclomine HCL, 18

Dermasorb Ta, 12

cyclophosphamide, 4

Dicyclomine HCL, 18

Dermasorb XM, 13

Cyclophosphamide, 4

didanosine, 3

Dermatop, 12

Cycloserine, 2

Differin, 10

Dermotic, 28

cyclosporine, 5

Dificid, 1

desipramine HCL, 22

cyclosporine modified, 5

diflorasone diacetate, 12

desloratadine, 30

Cyclosporine Modified, 5

Diflorasone Diacetate, 12

desloratadine odt, 30

Cyklokapron, 21

Diflucan, 2

desmopressin acetate, 17

Cymbalta, 23

diflunisal, 28

Desogen, 15

cyproheptadine HCL, 30

digoxin, 6

desogestrel/ethinyl estradiol, 15

Cyramza, 5

Digoxin, 6

Desonate, 12

Cystadane, 17

dihydroergotamine mesylate, 30

desonide, 12

Cystagon, 20

Dihydroergotamine Mesylate, 30

Desowen, 12

Cystaran, 27

Dilacor XR, 7

Desowen Cream/Cetaphil Lotion, 12

cytarabine, 5

Dilantin, 24

Desowen Lotion/Cetaphil Cream, 12

Cytarabine, 5

Dilantin Infatabs, 24

Desowen Ointment/Cetaphil Lotion, 12

cytarabine aqueous, 5

Dilantin-125, 24

desoximetasone, 12

Cytomel, 17

Dilatrate SR, 7

Desoximetasone, 12

Cytotec, 18

Dilaudid, 28

Desoxyn, 24

Cytovene, 3

Dilaudid-HP, 28

Desvenlafaxine ER, 23

Cytra-3, 20

diltiazem CD, 7

Detrol, 20

diltiazem HCL, 7

Detrol LA, 20

Diltiazem HCL, 7

dexamethasone, 14

diltiazem HCL ER, 7

droperidol, 22

Activated, 35

Dimenhydrinate, 19

Droplet Lancets Ultra Thin 30G, 35

Easy Touch Lancets 26G/Pressure Activated, 35

Diovan, 8

drospirenone/ethinyl estradiol, 15

Diovan HCT, 8

Droxia, 20

Easy Touch Lancets 26G/Pull-top, 35

Dipentocaine, 11

Drug Mart On-the-go Lancets Gentle 30G, 35

Easy Touch Lancets 26G/Twist, 35

Dipentum, 19


diphenhydramine HCL, 30

Drug Mart Unilet Lancets Super Thin 30G, 35

diphenoxylate/atropine, 18


Diphenoxylate/Atropine, 18

Drug Mart Unilet Lancets Ultra Thin 28G, 35


Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32

Easy Touch Lancets 30G/Button-activated, 35

Drysol, 13

Diprolene, 12

Duac, 10


Diprolene AF, 12

Duavee, 14

dipyridamole, 21

Duet DHA 400, 33


Disalcid, 28

Duet DHA 400EC, 33


disopyramide phosphate, 7

Duet DHA 430, 33


disulfiram, 25

Duet DHA 430EC, 33

Ditropan XL, 20

Duet DHA Balanced, 33


Diuril, 9

Duetact, 16


divalproex sodium, 24

Duexis, 29


divalproex sodium DR, 24

Dulera, 31

Easy Touch Safety Lancets21G/Pressure Activated, 35

divalproex sodium ER, 24

duloxetine HCL, 22

Divigel, 14

Duo-care Test Strips, 37


Divista, 20

Duocaine, 30

dobutamine HCL, 9

Duoneb, 32

Easy Touch Safety Lancets26G/Button Activated, 35

dobutamine HCL/D5W, 9

Duopa, 25

dobutamine/dextrose 5%, 9

Duragesic, 28


Dobutamine/Dextrose 5%, 9

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 30

Docefrez, 5

Easy Touch Safety Lancets28G/Button Activated, 35

docetaxel, 5

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 30

Docetaxel, 5


Dolgic Plus, 28

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 30

Dologesic, 28

Easy Twist & CAP Lancets, 35

Dolophine, 28

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 30

Easygluco, 37

Dolophine HCL, 28

Easymax 15 Test Strips, 37

Donatuss Dc, 31

Durezol, 27

Easymax Test Strips, 37

donepezil HCL, 25

Dutoprol, 8

Easypro Blood Glucose Test Strips, 37

dopamine HCL, 9

Dyazide, 9

Easypro Plus, 37

Dopamine HCL, 9

Dymista, 31

Easytest II Lancets, 35

dopamine HCL-dextrose 5%, 9

Dyrenium, 9

Easytest Lancets, 35

dopamine HCL/dextrose 5%, 9

Dysport, 25

EC-naprosyn, 29

dopamine/D5W, 9

Dyural-40, 14

Eclipse Test Strips, 37

Dopram, 24

Dyural-80, 14

econazole nitrate, 11

Doral, 24

Dyural-l, 14

Ecoza, 11

Doribax, 4

Dyural-lm, 14

Ed Cyte F, 20

Doryx, 2

E

Edarbi, 8

dorzolamide HCL, 27

Edarbyclor, 8

E-z Ject Lancets, 35

dorzolamide HCL/timolol maleate, 26

Edecrin, 9

E-z Ject Lancets 21G, 35

Doubledex, 14

Edluar, 24

E-z Ject Lancets Color, 35

Dovonex, 11

Edurant, 3

E-z Ject Lancets Super Thin, 35

doxapram HCL, 24

Effexor XR, 23

E-z Ject Lancets Super Thin 30G, 35

doxazosin mesylate, 8

Effient, 21

E-z Ject Lancets Thin 26G, 35

doxepin HCL, 22

Egrifta, 17

E-z Spacer, 38

Doxepin HCL, 22

Elaprase, 17

E-z Spacer The Body Guards Pack, 38

doxercalciferol, 17

Eldepryl, 25

E-ZJECT Lancets Micro-thin 33G, 35

Doxil, 4

Elelyso, 20

E.e.s. 400, 1

doxorubicin HCL, 4

Element Plus Test Strips, 37

E.e.s. Granules, 1

Doxorubicin HCL, 4

Element Test Strips, 37

Easivent, 38

doxorubicin HCL liposome, 4

Elenzapatch, 13

Easivent/Mask-large, 38

doxycycline, 2

Elestat, 27

Easivent/Mask-medium, 38

Doxycycline, 11

Elestrin, 14

Easivent/Mask-small, 38

doxycycline hyclate, 2

Eletone, 13

Easy Step Test Strips, 37

doxycycline hyclate DR, 2

Eletone Twinpack, 13

Easy Touch Glucose Test Strips, 37

doxycycline monohydrate, 2

Elidel, 12

Easy Touch Healthpro Glucose Test Strips, 37

Doxytex, 31

Eligard, 5

Drisdol, 33

Elimite, 13


Dritho-creme HP, 11

Eliphos, 19

dronabinol, 19

Eliquis, 21

Easy Touch Lancets 23G/Pressure

Elite-OB, 33

Equipto-naproxen, 11

Evolution Autocode, 37

Elitek, 6

Eraxis, 2

Evotaz, 3

Elixophyllin, 32

Erbitux, 5

Evoxac, 22

Ella, 15

ergocalciferol, 33

Exactech R-s-G Test Strips, 37

Ellence, 4

ergoloid mesylates, 25

Exactech Test Strips, 37

Elmiron, 20

Ergomar, 30

Exactuss, 31

Elocon, 12

Ertaczo, 11

Exalgo, 28

Eloctate, 21

Erwinaze, 4

Exelderm, 11

Eloxatin, 4

Ery-TAB, 1

Exelon, 25

Elspar, 4

Erygel, 10

exemestane, 5

Emadine, 27

Eryped 200, 1

Exforge, 8

Embeda, 28

Eryped 400, 1

Exforge HCT, 8

Embrace Blood Glucose Test Strips, 37

Erythrocin Lactobionate, 1

Exjade, 39

Embrace Evo Blood Glucosetest Strips, 37

Erythrocin Stearate, 1

Exparel, 30

erythromycin, 1, 10, 26

Extardol, 11

Embrace Lancets Ultra Thin 30G, 35

Erythromycin Base, 1

Extavia, 25

Embrace Pro Blood Glucosetest Strips, 37

Erythromycin Ethylsuccinate, 1

Extina, 11

erythromycin/benzoyl peroxide, 10

EZ Smart Blood Glucose Lancets, 35

Emcyt, 5

Esbriet, 32

EZ Smart Blood Glucose Test Strips, 37

Emend, 19

Escavite, 33

EZ Smart Plus Blood Glucose Test Strips, 37

Emla, 13

Escavite D, 33

Emsam, 23

escitalopram oxalate, 22

EZ-lets Lancets 21G, 35

Emtriva, 3

Esgic, 28


Emulsion SB, 13

Esgic-plus, 28

EZ-lets Lancets 26G Super-soft, 35

Emvoren, 11

esmolol HCL, 7

EZ-lets Lancets 28G Ultra-soft, 35

Enablex, 20

esomeprazole magnesium, 18


enalapril maleate, 8

esomeprazole sodium, 18

F

enalapril maleate/hydrochlorothiazide, 8

Esomeprazole Sodium, 18

Fabior, 10

enalaprilat, 8

Esomeprazole Strontium, 18

Fabrazyme, 17

Enbrel, 29

estazolam, 23

Factive, 2

Enbrel Sureclick, 29

Estrace, 14, 20

Falessa, 15

Endometrin, 20

estradiol, 14

famciclovir, 3

Engerix-b, 32

estradiol valerate, 14

famotidine, 18

Enjuvia, 14

estradiol/norethindrone acetate, 14

Famotidine, 18

Enlon, 26

Estrasorb, 14

Famotidine Premixed, 18

Enlon-plus, 26

Estring, 20

Famvir, 3

enoxaparin sodium, 21

Estrogel, 14

Fanapt, 23

entacapone, 25

estropipate, 14

Fanapt Titration Pack, 23

entecavir, 3

Estropipate, 14

Fareston, 5

Entereg, 19

Estrostep FE, 15

Farxiga, 16

Entocort EC, 14

eszopiclone, 23

Farydak, 6

Entyvio, 19

ethambutol HCL, 2

Faslodex, 5

Envision Autocode Test Strips, 37

ethosuximide, 24

Fasttake Compact Monitoring System, 35

Epaned, 8

Ethyl Chloride, 13

ephedrine sulfate, 9

Ethyl Chloride/Fine Pinpoint, 13

Fasttake Test Strips, 35

Epiceram, 13

Ethyl Chloride/Fine Stream, 13

Fazaclo, 23

Epiduo, 10

Ethyl Chloride/Medium Jet Stream, 13

Feiba, 21

Epifoam, 12

Ethyl Chloride/Medium Stream, 13

Feiba NF, 21

epinastine HCL, 27

Ethyl Chloride/Mist, 13

felbamate, 24

Epinephrine, 9

Ethyol, 6

Felbatol, 24

Epinephrine HCL, 9

Etidronate Disodium, 16

Feldene, 29

epinephrine HCL, 31

etodolac, 29

felodipine ER, 7

Epipen 2-PAK, 9

etodolac ER, 29

Fem PH, 20

Epipen-JR 2-PAK, 9

Etopophos, 5

Femara, 5

epirubicin HCL, 4

etoposide, 5

Femcon FE, 15

Epirubicin HCL, 4

Etoposide, 6

Femhrt Low Dose, 14

episone CRE, 13

Euflexxa, 26

Femring, 20

Epivir, 3

Eurax, 13

fenofibrate, 9

Epivir HBV, 3

Evamist, 14

Fenofibrate, 9

eplerenone, 8

Evekeo, 24

fenofibrate micronized, 9

Epogen, 20

Evencare + Blood Glucose Test Strip, 37

Fenofibric Acid, 9

epoprostenol sodium, 10

Evencare Blood Glucose Test Strip, 37

fenofibric acid DR, 9

eprosartan mesylate, 8

Evencare G2 Test Strips, 37

Fenoglide, 9

Epzicom, 3

Evencare G3 Test Strips, 37

fenoldopam mesylate, 8

Eql Truetrack Test, 37

Evicel, 21

Fenoprofen Calcium, 29

Equagesic, 28

Evista, 16

fentanyl, 28

Equetro, 23

Evithrom, 21

Fentanyl, 28

Equipto-baclofen, 11

Evoclin, 10

fentanyl citrate oral transmucosal, 28

Fentora, 28

Fluarix Quadrivalent 2013-2014, 32

Folet DHA, 33

Feraheme, 20

Fluarix Quadrivalent 2014-2015, 32

Folet One, 33

Feriva, 20

Flublok 2013-2014, 32

Folgard OS, 33

Feriva 21/7, 20

Flublok 2014-2015, 32

Folgard RX, 21

Ferivafa, 20

Flucelvax 2013-2014, 32

folic acid, 20

Ferralet 90, 20

Flucelvax 2014-2015, 32

Folic Acid, 21

Ferrex 150 Forte Plus, 20

fluconazole, 2

folic acid/vitamin b-6/vitamin b-12, 20

Ferrex 28, 20

fluconazole IN dextrose, 2

Folivane-f, 21

Ferriprox, 39

fluconazole IN NACL, 2

Folivane-OB, 33

Ferrlecit, 20

Fluconazole IN NACL, 2

Folivane-plus, 21

Ferro-plex Hematinic, 21

flucytosine, 2

Folivane-prx DHA NF, 33

Ferrotrin, 21

Fludara, 5

Follistim AQ, 16

Fetzima, 23

fludarabine phosphate, 5

Folotyn, 5

Fetzima Titration Pack, 23

Fludarabine Phosphate, 5

Foltrate, 21

Fexmid, 26

fludrocortisone acetate, 14

fondaparinux sodium, 21

Fibricor, 9

Flulaval 2013-2014, 32

Fora D10 Blood Glucose Test Strips, 37

Fifty50 Glucose Test Strip 2.0, 37

Flulaval 2014-2015, 32

Fora D15c Blood Glucose Test Strips, 37

Fifty50 Safety Seal Lancets 30G, 35

Flulaval Quadrivalent 2013-2014, 32

Fora D15G Blood Glucose Test Strips, 37

Fifty50 Safety Seal Lancets 32G, 35

Flulaval Quadrivalent 2014-2015, 32

Finacea, 11

Flumadine, 3

Fora D15z Blood Glucose Test Strips, 37

finasteride, 20

Flumist Nasal Vaccine 2012-2013, 32

Fora D20 Blood Glucose Test Strips, 37

Fine 30, 35

Flumist Quadrivalent, 32

Fora G20 Blood Glucose Test Strips, 37

Fingerstix Lancets, 35

flunisolide, 31

Fora G30a Blood Glucose Test Strips, 37

Fioricet, 28

Flunisolide, 31

Fora G71a Blood Glucose Test Strips, 37

Fioricet/Codeine, 28

fluocinolone acetonide, 12, 27

Fora G90 Blood Glucose Test Strips, 37

Fiorinal, 28

fluocinolone acetonide ear drops, 28

Fora GD20 Test Strips, 37

Fiorinal/Codeine #3, 28

fluocinonide, 12

Fora GD50 Blood Glucose Test Strips, 37

Firazyr, 22

fluocinonide-e, 12

Firmagon, 5

fluorometholone, 27

Fora Lancets, 35

First-bxn Mouthwash, 22

fluorouracil, 5

Fora Test N' Go Blood Glucose Test Strips, 37

First-dukes Mouthwash, 22

fluoxetine, 25

First-hydrocortisone, 12

fluoxetine DR, 22

Fora V10 Blood Glucose Test Strips, 37

First-lansoprazole, 18

fluoxetine HCL, 22


First-marys Mouthwash, 22

Fluoxetine HCL, 23


First-mouthwash Blm, 22

fluphenazine decanoate, 23


First-omeprazole, 18

fluphenazine HCL, 23

Fora V30a Blood Glucose Test Strips, 37

First-progesterone VGS 100 Compounding Kit, 20

Fluphenazine HCL, 23

Foracare GD40, 37

flurazepam HCL, 23

Foracare Premium V10 Teststrips, 37


Flurazepam HCL, 23

Foracare Test N Go Test Strips, 37

flurbiprofen, 29

Foradil Aerolizer, 32


flurbiprofen sodium, 27

Forfivo XL, 23

flutamide, 5

Fortamet, 16


fluticasone propionate, 12, 31

Fortavit, 33

fluvastatin, 9

Fortaz, 1


Fluvirin 2013-2014, 32

Forteo, 16

Fluvirin 2014-2015, 32

Fortesta, 14

First-testosterone, 14

Fluvirin PF 2013-2014, 32

Fortical, 16

First-testosterone Mc Compounding Kit, 14

Fluvirin PF 2014-2015, 32

Fortiscare Blood Glucose Test Strip, 37

fluvoxamine maleate, 22

Fosamax, 16

First-vancomycin 25, 4

fluvoxamine maleate ER, 22

Fosamax Plus D, 16

First-vancomycin 50, 4

Fluzone High-dose PF 2013-2014, 32

Foscarnet Sodium, 3

Flagyl, 4

Fluzone High-dose PF 2014-2015, 32

Foscavir, 3

Flagyl ER, 4

Fluzone Intradermal, 32

fosinopril sodium, 8

Flarex, 27

Fluzone Intradermal Quadrivalent, 32

fosinopril sodium/hydrochlorothiazide, 8

flavoxate HCL, 19

Fluzone Pediatric PF 2013-2014, 32

fosphenytoin sodium, 24

flecainide acetate, 7

Fluzone PF 2013-2014, 32

Fosrenol, 19

Flector, 11

Fluzone PF 2014-2015, 32

Fragmin, 21

FLO-pred, 14

Fluzone Quadrivalent 2013-2014, 32

Freestyle Insulinx Blood Glucose Test, 37

Flolan, 10

Fluzone Quadrivalent 2014-2015, 32

Flomax, 20

Fluzone Split 2013-2014, 32

Freestyle Insulinx Blood Glucose Test Strips, 37

Flonase, 31

Fluzone Split 2014-2015, 32

Floriva, 33

FML, 27

Freestyle Lancets, 35

Flovent Diskus, 32

FML Forte, 27

Freestyle Lite Test Strips, 37

Flovent HFA, 32

FML Liquifilm, 27

Freestyle Test Strips, 37

floxuridine, 5

Focalin, 24

Freestyle Unistick II Lancets, 35

Floxuridine, 5

Focalin XR, 24

Frova, 30

Fluarix 2013-2014, 32

Folbecal, 33

Fulyzaq, 18

Fluarix 2014-2015, 32

Folcaps Omega 3, 33

Furadantin, 19

furosemide, 9

Gilenya, 25

griseofulvin microsize, 2

Furosemide, 9

Gilotrif, 6

griseofulvin ultramicrosize, 2

Fusilev, 6

Gilphex TR, 31

guanfacine ER, 24

Fusion Plus, 21

Giltuss, 31

guanfacine HCL, 8

Fuzeon, 3

Giltuss PED-c, 31

Guanidine HCL, 26

Fycompa, 24

Giltuss TR, 31

Gynazole-1, 20

G

Glassia, 32

H

Gleevec, 6

gabapentin, 24

H&h Thinlet Lancets 26G, 35

Gleostine, 4

Gabavale-5, 22

H&h Thinlet Super Thin Lancets 30G, 35

Gliadel Wafer, 4

Gabazolamine, 22

H.p. Acthar, 17

glimepiride, 15

Gabazolamine-0.5, 22

Haemolance, 35

glipizide, 15

Gabazolpidem-5, 24

Haemolance Low Flow Lancets, 35

glipizide ER, 15

Gabitidine, 18

Haemolance Plus, 35

glipizide/metformin HCL, 16

Gabitril, 24

Haemolance Plus High Flow, 35

Glucagen, 16

Gablofen, 26

Haemolance Plus Low Flow, 35

Glucagen Hypokit, 16

Gaboxetine, 23

Haemolance Plus Max Flow, 35

Glucagon Emergency Kit, 16

galantamine, 25

Haemolance Plus Pediatric Flow, 35

Gluco Perfect 3 Test Strips, 37

galantamine hydrobromide, 25

Halaven, 5

Glucocard 01 Sensor Plus, 37

Galantamine Hydrobromide, 25

Halcion, 24

Glucocard 01 Sensor Plus Test Strips, 37

ganciclovir, 3

Haldol, 23

Ganirelix Acetate, 17

Haldol Decanoate 100, 23

Glucocard Expression Blood Glucose Test Strips, 37

Ganite, 16

Haldol Decanoate 50, 23

Garamycin, 26

halobetasol propionate, 12

Glucocard Shine Test Strips, 37

Gardasil, 32

Halog, 12

Glucocard Vital Test Strips, 37

Gardasil 9, 32

Halonate, 12

Glucocard X-sensor, 37

Gastrinex NF, 18

haloperidol, 23

Glucocom Lancets 28G, 35

Gastrocrom, 19

haloperidol decanoate, 23


gatifloxacin, 26

haloperidol lactate, 23


Gattex, 19

Halotin, 11

Glucocom Test Strips, 38

Gazyva, 5

Harvoni, 3

Glucolab Test Strips, 38

Gebauers Pain Ease, 13

Havrix, 32

Gluconavii Blood Glucose Test Strips, 38

Gebauers Spray And Stretch, 13

Hectorol, 17

Glucophage, 16

Gel-kam Oral Care Rinse, 22

Helidac, 18

Glucophage XR, 16

Gel-one, 26

Helixate FS, 21

Glucose Control Normal, 35

Gelclair, 22

Hemabate, 28

Glucose Control Solution, 35

Gelnique, 20

Hemangeol, 7

Glucosource Lancets, 35

Gemcitabine, 5

Hematogen Fa, 21

Glucotrol, 15

gemcitabine HCL, 5

Hematron-AF, 21

Glucotrol XL, 15

gemfibrozil, 9

Hemocyte Plus, 21

Glucovance, 16

Gemzar, 5

Hemocyte-f, 21

Glumetza, 16

Genadur, 13

Hemofil M, 21

glyburide, 15

Genadur Kit, 13

heparin lock, 21

Glyburide, 15

gene-xene TAB 15MG, 22

heparin lock flush, 21

glyburide micronized, 15

gene-xene TAB 3.75MG, 22

Heparin Lock Flush, 21

glyburide/metformin HCL, 16

gene-xene TAB 7.5MG, 22

heparin lock flush for flushing vascular access devices, 21

Glycate, 18

Generess FE, 15

Glycolic Acid, 12

Genotropin, 17

heparin lock flush/NACL for flushing vascular access devices, 21

Glycolic Acid 70% High Purity, 12

Genotropin Miniquick, 17

glycopyrrolate, 18

gentamicin sulfate, 2, 26

heparin sodium, 21

Glynase, 15

Gentamicin Sulfate, 11

Heparin Sodium, 21

Glyset, 16

gentamicin sulfate pediatric, 2

heparin sodium dcu, 21

Glyxambi, 16

gentamicin sulfate/0.9% sodium chloride, 2

heparin sodium lock flush, 21

Gmate Blood Glucose Test Strips, 38

heparin sodium/D5W, 21

Gmate Lancets 30G, 35

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Heparin Sodium/D5W, 21

Golytely, 18

Heparin Sodium/NACL 0.45%, 21

Gonal-f, 16

gentamicin sulfate/sodium chloride, 2

heparin sodium/NACL 0.9%, 21

Gonal-f RFF, 17

Gentle-let GP Lancets, 35

Heparin Sodium/Sodium Chloride 0.9%, 21

Gonal-f RFF Pen, 17

Gentle-let Lancets General Purpose Style/Fine Point, 35

Gonal-f RFF Rediject, 17

heparin sodium/sodium chloride 0.9% premix, 21

Gordofilm, 13

Gentle-let Lancets General Purpose Style/Medium Point, 35

Gordons Urea, 13

Hepsera, 3

Gralise, 25

Gentle-let Lancets Safety Style/Fine Point, 35

Herceptin, 5

Gralise Starter, 25

Hespan, 22

granisetron HCL, 19

Gentle-let Lancets Safety Style/Medium Point, 35

hetastarch 6%/NACL, 21

Granisol, 19

Hetlioz, 23

Granix, 21

Geodon, 23

Hexalen, 4

Grifulvin V, 2

Gesticare DHA, 33

Hextend, 22

Gris-peg, 2

Giazo, 19

Hiberix, 32

Hiprex, 19

hydromorphone HCL ER, 28

Infanrix, 32

homatropine HBR, 27

Hydromorphone HCL ER, 29

Infasurf, 32

Horizant, 25

Hydroxocobalamin, 21

Infergen, 3

HPR, 13

hydroxychloroquine sulfate, 3

Infinity Blood Glucose Test Strips, 38

HPR Plus, 13

hydroxyurea, 6

Influenza A (h1n1) Monovalent 2009, 32

HPR Plus Hydrogel Kit, 13

hydroxyzine HCL, 22

Infumorph 200, 29

HPR Plus/Mb Hydrogel, 13

Hydroxyzine HCL, 22

Infumorph 500, 29

Humalog, 15

hydroxyzine pamoate, 22

Injectafer, 21

Humalog Kwikpen, 15

Hydroxyzine Pamoate, 22

Inlyta, 6

Humalog Mix 50/50, 15

Hylatopic, 13

Innopran XL, 7

Humalog Mix 50/50 Kwikpen, 15

Hylatopic Plus, 13

Innoprax-5, 11

Humalog Mix 75/25, 15

Hylira, 13

Inova, 10

Humalog Mix 75/25 Kwikpen, 15

hyoscyamine sulfate, 18

Inova 4/1 Acne Control Therapy, 10

Humate-p, 21

hyoscyamine sulfate ER, 18

Inova 8/2 Acne Control Therapy, 10

Humatrope, 17

hyoscyamine sulfate odt, 18

Inspirachamber/Anti-static Valved/Mouthpiece, 38

Humatrope Combo Pack, 17

hyoscyamine sulfate SR, 18

Humira, 29

Hyper-sal, 31

Inspirachamber/Soothermask/Inspiramask/Medium, 38

Humira Pediatric Crohns Disease Starter Pack, 29

Hypersal, 31

Hypertenevide-12.5, 7

Inspirachamber/Soothermask/Inspiramask/Small, 38

Humira Pen, 29

Hypertenipine-2.5, 7

Humira Pen-crohns Diseasestarter, 29

Hypertensolol, 8

Inspirease Bags, 38

Humira Pen-psoriasis Starter, 29

Hysingla ER, 29

Inspirease Drug Delivery System, 38

Humulin 70/30, 15

Hyzaar, 9

Inspirease Mouthpiece, 38

Humulin 70/30 Kwikpen, 15

I

Inspirease Reservoir Bags, 38

Humulin 70/30 Pen, 15

Inspra, 8

I-lid Cleanser, 13

Humulin N, 15

Insulin Syringe/0.5ML/30G X 5/16", 38

ibandronate sodium, 16

Humulin N Kwikpen, 15

Integra F, 21

Ibrance, 6

Humulin N U-100 Pen, 15

Integra Plus, 21

Ibudone, 29

Humulin R, 15

Integrilin, 22

ibuprofen, 29

Humulin R U-500 (concentrated), 15

Intelence, 3

Ibuprofen Comfort PAC, 29

Hy-vee Lancets, 35

Interarticular Joint Kit, 14

ibutilide fumarate, 7

Hyalgan, 26

Intermezzo, 24

IC 400, 29

Hycamtin, 6

Introl, 9

IC 800, 29

Hycet, 29

Intron A, 6

Icar-c Plus, 21

hydralazine HCL, 8

Intron-a, 6

Iclusig, 6

Hydrea, 6

Intron-a W/Diluent, 6

Idamycin PFS, 4

Hydro 35, 13

Intuniv, 24

idarubicin HCL, 4

Hydro 40 Foam, 13

Invanz, 4

Ifex, 4

hydrochloric acid, 20

Invega, 23

ifosfamide, 4

hydrochlorothiazide, 9

Invega Sustenna, 23

Ifosfamide, 4

hydrocodone bitartrate/acetaminophen, 28

Invirase, 3

Ifosfamide/Mesna, 6

Invokamet, 16

Ilaris, 29

Hydrocodone Bitartrate/Acetaminophen, 28

Invokana, 16

Ilevro, 27

Iopidine, 27

Imbruvica, 6

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31

Ipol Inactivated IPV, 32

Imdur, 7

ipratropium bromide, 31(2)

imipenem/cilastatin, 4

hydrocodone bitartrate/homatropine methylbromide, 31

ipratropium bromide/albuterol sulfate, 31

imipramine HCL, 22

Iprivask, 21

imipramine pamoate, 22

hydrocodone polistirex/chlorpheniramine polistirex, 31

irbesartan, 8

imiquimod, 12

irbesartan/hydrochlorothiazide, 8

Imitrex, 30

hydrocodone/acetaminophen, 28

irinotecan, 6

Imitrex Statdose Refill, 30

Hydrocodone/Acetaminophen, 28

Irinotecan, 6

Imitrex Statdose System, 30

hydrocodone/homatropine, 31

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20

Imovax Rabies (h.d.c.v.), 32

hydrocodone/ibuprofen, 28

Imuran, 5

hydrocort ene 100MG, 19

Irospan 24/6, 21

Inatal Advance, 33

hydrocortisone, 12, 14, 19

Is 24/6, 21

Inatal GT, 33

hydrocortisone acetate/aloe, 12

Isentress, 3

Inatal Ultra, 33

hydrocortisone acetate/lidocaine HCL, 19

Isometheptene/Caffeine/Acetaminophen, 30

Increlex, 17

hydrocortisone acetate/pramoxine, 19

Incruse Ellipta, 32

hydrocortisone butyrate, 12

isoniazid, 2

indapamide, 9

hydrocortisone butyrate (lipid), 12

Isoniazid, 2

Inderal LA, 7

hydrocortisone butyrate (lipophilic), 12

Isoptin SR, 7

Inderal XL, 7

hydrocortisone IN absorbase, 12

Isopto Atropine, 27

Indocin, 29

hydrocortisone valerate, 12

Isopto Carbachol, 27

Indocin IV, 29

hydrocortisone/acetic acid, 28

Isopto Carpine, 27

indomethacin, 29

hydromorphone HCL, 28

Isopto Homatropine, 27

Indomethacin, 29

Hydromorphone HCL, 29

Isopto Hyoscine, 27

indomethacin ER, 29

Hydromorphone HCL Dosette, 29

Isordil Titradose, 7

indomethacin sodium, 29

isosorbide dinitrate, 7

Ketorolac Tromethamine, 29

Lastacaft, 27

Isosorbide Dinitrate, 7

Keytruda, 5

latanoprost, 27

isosorbide dinitrate ER, 7

Khedezla, 23

Latrix XM, 13

isosorbide mononitrate, 7

Kineret, 29

Latuda, 23

isosorbide mononitrate ER, 7

Kinlytic, 22

Lavoclen-4 Creamy Wash, 10

isotonic gentamicin, 2

Kinrix, 32

Lavoclen-8 Creamy Wash, 10

Isotonic Gentamicin, 2

Kitabis PAK, 2

Lazanda, 28

isradipine, 7

Klaron, 10

leflunomide, 29

Istalol, 26

Klonopin, 24

Lemtrada, 25

Istodax, 6

Koate-dvi, 21

Lenvima 10MG Daily Dose, 6

Isuprel, 32

Kogenate FS, 21


itraconazole, 2

Kogenate FS Bio-set, 21


ivermectin, 3

Kombiglyze XR, 16


Ixempra Kit, 5

Korlym, 16

Lescol, 9

Ixiaro, 32

Kristalose, 18

Lescol XL, 9

J

Krystexxa, 30

Letairis, 10

Kuvan, 17

letrozole, 5

J-cof DHC, 31

Kynamro, 9

leucovorin calcium, 6

J-max DHC, 31

Kyprolis, 6

Leucovorin Calcium, 6

Jakafi, 6

L

Leukeran, 4

Jalyn, 20

Leukine, 20

Janumet, 16

labetalol HCL, 7

leuprolide acetate, 5

Janumet XR, 16

Lac-hydrin, 13

Levacet, 28

Januvia, 16

Lacrisert, 26

levalbuterol, 31

Jardiance, 16

lactic acid, 13

levalbuterol HCL, 31

Jentadueto, 16

lactic acid e, 13

Levaquin, 2

Jetrea, 27

lactic acid w/vitamin e, 13

Levatol, 7

Jevtana, 5

lactulose, 18, 19

Levbid, 18

Jinteli, 14

Lamictal, 24

Levemir, 15

Jublia, 11

Lamictal Chewable Dispersible, 24

Levemir Flexpen, 15

Juvisync, 16

Lamictal Odt, 24

Levemir Flextouch, 15

Juxtapid, 9

Lamictal Starter/Not Taking Carbamazepine, 24

levetiracetam, 24

K

Levetiracetam, 24

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24

levetiracetam ER, 24

K-phos NO 2, 20

Levitra, 10

K.b.g.l. IN Teroderm Cream, 11

levobunolol HCL, 26

K2k Pain Relieving Patch, 13

Lamictal Starter/Taking Valproate, 24

Levobunolol HCL, 26

Kadcyla, 5

Lamictal XR, 24

levocarnitine, 17

Kadian, 29

Lamisil, 2

levocetirizine dihydrochloride, 30

Kalbitor, 22

Lamisil Spray, 11

levofloxacin, 2, 26

Kaletra, 3

lamivudine, 3

levofloxacin IN D5W, 2

Kalydeco, 32

lamivudine/zidovudine, 3

levonorgestrel, 15

Kapvay, 24

lamotrigine, 24

levonorgestrel and ethinyl estradiol, 15

Kapvay Dose Pack, 24

lamotrigine ER, 24

levonorgestrel/ethinyl estradiol, 15

Karbinal ER, 31

lamotrigine odt, 24

Levophed, 9

Kazano, 16

Lancets, 35

Levorphanol Tartrate, 29

Keflex, 1

Lancets 26G Twist Top, 35

levothyroxine sodium, 17

Kenalog, 12

Lancets 28G, 35

Levothyroxine Sodium, 17

Kenalog-10, 14

Lancets 30G, 35

Levsin, 18

Kenalog-40, 14


Levsin/SL, 18

Kepivance, 6

Lancets 30G/Twist Top, 35

Lexapro, 23

Keppra, 24


Lexiva, 3

Keppra XR, 24

Lancets Bullseye Safety, 35

Lialda, 19

Kerafoam, 13

Lancets Safety Seal 21G, 35

Liberty Glucose Control Mid, 35

Kerafoam 42, 13


Liberty Glucose Control Normal, 35

Keralac, 13


Liberty Next Generation Blood Glucose Test Strips, 38

Keralyt, 13


Keralyt Scalp, 13

Lancets Thin, 35

lidocaine, 13

Kerlone, 7

Lancets Twist Top, 35

lidocaine HCL, 7, 13, 22, 30

Kerydin, 11

Lancets Ultra Fine, 35

Lidocaine HCL, 8, 13

Ketek, 4

Lancets Ultra Thin, 35

lidocaine HCL IN D5W, 7

ketoconazole, 2, 11

Lanoxin, 6

lidocaine HCL jelly, 13

Ketodan Kit, 11

Lanoxin Pediatric, 7

lidocaine HCL viscous, 22

ketoprofen, 29

lansoprazole, 18

Lidocaine HCL-hydrocortisone Acetate With Aloe, 19

Ketoprofen ER, 29

lansoprazole/amoxicillin/clarithromycin, 18

Ketorocaine-l, 29

lidocaine HCL/dextrose, 7

Ketorocaine-lm, 29

Lantus, 15

Lidocaine HCL/Dextrose, 30

Ketorolac 2% Gel, 11

Lantus Solostar, 15

lidocaine HCL/hydrocortisone acetate, 19

ketorolac tromethamine, 27, 29

Lasix, 9

lidocaine viscous, 22

lovastatin, 9

Maxzide-25, 9

lidocaine/epinephrine, 30

Lovaza, 10

Mb Hydrogel, 13

lidocaine/prilocaine, 13

Lovenox, 21

meclizine HCL, 19

Lidocaine/Prilocaine, 13

loxapine, 23

Meclofenamate Sodium, 29

Lidoderm, 13

loxapine succinate, 23

Medi-derm/L-RX, 13

Lidoprofen, 11

Loxitane, 23

Medical Provider EZ Flu Shot 2014-2015, 32

Lidovir, 11

Lta 360 Kit, 22

Lifescan Unistik 2 Deep Penetration, 35

Lufyllin, 32

Medisense Thin Lancets, 35

Lifescan Unistik II Lancets, 35

Lumigan, 27

Medlance Plus Extra Lancets 21G, 35

Lincocin, 4

Lumizyme, 17

Medlance Plus Lancets, 35

lindane, 13

Lunesta, 24

Medlance Plus Lancets Lite 25G, 35

linezolid, 4

Lupaneta Pack, 17

Medlance Plus Lite Lancets 25G, 36

Linzess, 19

Lupron Depot, 5

Medlance Plus Special Lancets 0.8MM, 36

Lioresal Intrathecal, 26

Lupron Depot-PED, 17

liothyronine sodium, 17

Luvox CR, 23

Medlance Plus Superlite 30G, 36

Lipitor, 9

Luxiq, 12

Medlance Plus Superlite 30G/Comfort Max, 36

Lipofen, 9

Luzu, 11

Liptruzet, 9

Lycelle, 13

Medlance Plus Universal Lancets 21G, 36

Liquicet, 29

Lynparza, 6

lisinopril, 8

Lyrica, 24

Medlance Plus/Lite 25G, 36

lisinopril/hydrochlorothiazide, 8

Lysodren, 5

Medlance/Extra, 36

Liteaire, 38

Lysteda, 21

Medlance/Lite, 36

Litetouch Lancets Micro Thin 33G, 35

Lytensopril Kit, 9

Medlance/Universal, 36

Lithium, 23

Lytensopril-90, 9

Medrol, 14

lithium carbonate, 23

Lytensopril-90 Kit, 9

Medrol Dosepak, 14

Lithium Carbonate, 23

M

medroxyprogesterone acetate, 15

lithium carbonate ER, 23

mefenamic acid, 29

M-m-r II W/Diluent 10 Dose, 32

Lithobid, 23

mefloquine HCL, 3

M-vit, 33

Lithostat, 20

Mefoxin, 1

M.v.i. Adult, 33

Livalo, 9

Megace ES, 15

M.v.i. Pediatric, 33

Live Better Lancet Super Thin 30G, 35

Megace Oral, 5

M.v.i.-12 Without Vitamin K, 33

Live Better Lancet Ultra Thin 28G, 35

megestrol acetate, 5

Macnatal CN DHA, 33

LMD 10% Dextrose 5%, 22

Megestrol Acetate, 5

Macrobid, 19

LMD 10% Sodium Chloride 0.9%, 22

Meijer Super Thin Lancets, 36

Macrodantin, 19

LO Loestrin FE, 15

Mekinist, 6

Magnacet, 29

LO Minastrin FE, 15

meloxicam, 29

Makena, 15

Locoid, 12

Meloxicam, 29

Malarone, 3

Locoid Lipocream, 12

Meloxicam Comfort PAC, 29

malathion, 13

Lodosyn, 25

melphalan hydrochloride, 4

mannitol, 9

Loestrin 1.5/30-21, 15

Menactra, 32

Maprotiline HCL, 23

Loestrin 1/20-21, 15

Menest, 14

Marbeta-25, 14

Loestrin FE 1.5/30, 15

Menhibrix, 32

Marbeta-l, 14

Loestrin FE 1/20, 15

Menomune-a/C/Y/W-135, 32

Marcaine, 30

Lofibra, 9

Menopur, 17

Marcaine W/O Epi, 30

Lomotil, 18

Menostar, 14

Marcaine/Epinephrine, 30

Lomustine, 4

Mentax, 11

Mardex-25, 14

loperamide HCL, 18

Menveo, 32

Marinol, 19

Lopid, 10

meperidine HCL, 28

Marlido-25, 30

Lopressor, 7

Meperidine HCL, 29

Marnatal-f, 33

Lopressor HCT, 9

Mephyton, 33

Marplan, 23

Loprox, 11

Mepivacaine HCL, 30

Marqibo, 5

Loprox Shampoo, 11

meprobamate, 22

Mask Vortex/Baby Whirl Duckling, 38

lorazepam, 22

Mepron, 4

Mask Vortex/Child/Frog, 38

Lorazepam Intensol, 22

mercaptopurine, 5

Mask Vortex/Spinner The Duck, 38

Lorcet 10/650, 29

meropenem, 4

Mask Vortex/Toddler/Lady Bug, 38

Lorcet Plus, 29

Merrem, 4

Matulane, 6

Lortab, 29

mesalamine, 19

Mavik, 8

Lorzone, 26

mesna, 6

Maxair Autohaler, 32

losartan potassium, 8

Mesnex, 6

Maxalt, 30

losartan potassium/hydrochlorothiazide, 8

Mestinon, 26

Maxalt-MLT, 30

Mestinon Timespan, 26

Maxaron Forte, 21

Loseasonique, 15

Metadate CD, 24

Maxfe, 21

Lotemax, 27

Metaproterenol Sulfate, 32

Maxidex, 27

Lotensin, 8

Metastron, 6

Maxidone, 29

Lotensin HCT, 9

metaxalone, 26

Maxima Blood Glucose Teststrips, 38

Lotrel, 9

metformin HCL, 16

Maxipime, 1

Lotrisone, 11

metformin HCL ER, 16

Maxitrol, 27

Lotronex, 19

methadone HCL, 28

Maxzide, 9

Methadone HCL, 29

Minipress, 8

mupirocin calcium, 11

Methadose, 29

Minivelle, 14

Muse, 10

Methadose Sugar-free, 29

Minocin, 2

Mustargen, 4

methamphetamine HCL, 24

Minocin Kit, 2

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21

methazolamide, 9

minocycline HCL, 2

methenamine hippurate, 19

minocycline HCL ER, 2

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21

methenamine mandelate, 19

minoxidil, 8

Methenamine Mandelate, 19

Mirapex, 25

Myalept, 17

methimazole, 17

Mirapex ER, 25

Myambutol, 2

methocarbamol, 26

Mircera, 21

Mycamine, 2

methotrexate, 5

Mircette, 15

Mycobutin, 2

methotrexate sodium, 5

mirtazapine, 22

mycophenolate mofetil, 5

methoxsalen, 11

mirtazapine odt, 22

mycophenolic acid DR, 5

methscopolamine bromide, 18

Mirvaso, 11

Mydfrin, 27

Methyclothiazide, 9

misoprostol, 18

Myfortic, 5

methyldopa, 8

Mission Prenatal HP, 33

Myglucohealth Blood Glucose Test, 38

Methyldopa/Hydrochlorothiazide, 9

Mitigare, 30

Myglucohealth Mgh Softlance Lancets 30G, 36

Methyldopate HCL, 8

mitomycin, 4

methylergonovine maleate, 28

Mitomycin, 4

Mykidz Iron Fl, 33

Methylin, 24

Mitosol, 26

Myleran, 4

methylphenidate HCL, 24

mitoxantrone HCL, 4

Mynatal, 33

methylphenidate HCL CD, 24

Mlk F4 Kit, 14

Mynatal Advance, 33

methylphenidate HCL ER, 24

Mobic, 29

Mynatal Ultracaplet, 33

Methylphenidate HCL ER, 24

modafinil, 24

Myobloc, 25

methylphenidate HCL SR, 24

Moderiba, 3

Myoxin, 28

methylphenidate hydrochloride, 24

Moderiba 1200 Dose Pack, 3

Myozyme, 17

methylprednisolone, 14

Moderiba 800 Dose Pack, 3

Myrbetriq, 20

methylprednisolone acetate, 14

Modicon, 15

Mysoline, 24

methylprednisolone dose pack, 14

moexipril HCL, 8

N

methylprednisolone sodiumsuccinate, 14

moexipril/hydrochlorothiazide, 8

nabumetone, 29

Metipranolol, 26

mometasone furoate, 12

nadolol, 7

metoclopramide HCL, 19

Moms Choice RX, 33

nadolol/bendroflumethiazide, 8

metolazone, 9

Monoclate-p, 21

nafcillin sodium, 1

metoprolol succinate ER, 7

Monodox, 2

Nafcillin Sodium, 1

metoprolol tartrate, 7

Monoject Bone Marrow Biopsy Prepping Tray, 30

Nafrinse Daily/Acidulated, 22

metoprolol/hydrochlorothiazide, 8

Nafrinse Daily/Neutral, 22

Metozolv Odt, 19

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 30

Nafrinse Weekly, 22

Metro IV, 4

Naftin, 11

Metrocream, 11

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 30

Naglazyme, 17

Metrogel, 11

nalbuphine HCL, 28

Metrogel-vaginal, 20

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 30

Nalfon, 29

Metrolotion, 11

Nallpen Iso-osmotic IN Dextrose, 1

metronidazole, 4, 11

Monolet Lancets, 36

Nallpen/Dextrose, 1

metronidazole IN NACL 0.79%, 4

Monolet Opd Lancets, 36

Namenda, 25

metronidazole vaginal, 20

Monolettor Safety Lancets, 36

Namenda Titration PAK, 25

Mevacor, 10

Mononine, 21

Namenda XR, 25

mexiletine HCL, 7

Monovisc, 26

Namenda XR Titration Pack, 25

Miacalcin, 16

montelukast sodium, 31

Naphazoline HCL, 27

Micardis, 8

Monurol, 19

Naprelan, 29

Micardis HCT, 9

Morgidox 1X100MG, 2

Naprosyn, 29

Microchamber, 38

Morgidox 2X100MG, 2

naproxen, 29

Microdot Test Strips, 38

morphine sulfate, 28

Naproxen Comfort PAC, 29

Microlet Lancets, 36

Morphine Sulfate, 29

naproxen sodium, 29

Microspacer, 38

Morphine Sulfate Add-vantage, 29

naproxen sodium ER, 29

Microtainer Safety Flow Lancet/Sterile/Single-use, 36

morphine sulfate ER, 28

naratriptan HCL, 30

Motofen, 18

Nardil, 23

Microzide, 9

Movantik, 19

Naropin, 30

midodrine HCL, 9

Moviprep, 18

Nasacort AQ, 31

Mifeprex, 17

Moxatag, 1

Nascobal, 20

Migergot, 30

Moxeza, 26

Nasonex, 31

Migral, 30

moxifloxacin HCL, 2

Natachew, 33

Migranal, 30

Mozobil, 20

Natacyn, 26

Millipred, 14

MS Contin, 29

Natafort, 33

Millipred DP, 14

Multaq, 8

Natalvirt 90 DHA, 33

milrinone IN dextrose, 6

Multigen, 21

Natalvirt CA, 33

milrinone lactate, 6

Multigen Folic, 21

Natalvirt Flt, 21

Minastrin 24 FE, 15

Multigen Plus, 21

Natalvit, 33

Mineral Oil Heavy, 18

mupirocin, 11

Natazia, 15

nateglinide, 16

Nexa Plus, 33

Noritate, 11

Natelle One, 33

Nexavar, 6

Noroxin, 2

Natesto, 14

Nexgen Test Strips, 38

Norpace, 8

Natrecor, 10

Nexium, 18

Norpace CR, 8

Natroba, 13

Nexium 24HR, 18

Norpramin, 23

Nature-throid, 17

Nexium I.v., 18

Northera, 9

Nature-throid Nt-2.5, 18

Nexterone, 8

nortriptyline HCL, 22

Navelbine, 6

niacin ER, 9

Nortriptyline HCL, 23

Nebupent, 4

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33

Norvasc, 7

Nebusal, 31

Norvir, 3

Necon 1/50-28, 15

Niacor, 10

Nova Max Glucose Test Strips, 38

Necon 10/11-28, 15

Niaspan, 10

Nova Safety Lancets 23G, 36

Neevo DHA, 33

Nicadan, 33

Nova Safety Lancets 28G, 36

nefazodone HCL, 22

nicardipine HCL, 7

Nova Sureflex Lancets, 36

Nefazodone HCL, 22

Nicazel, 34

Novaferrum, 21

Nembutal Sodium, 24

Nicazel Forte, 34

Novoclair, 11

Neo-synalar, 11

Nicazeldoxy 30 Kit, 2

Novofine 30GX8MM, 36

Neo-synalar Kit, 11

Nicazeldoxy 60 Kit, 2

Novofine 32GX6MM, 36

neomycin sulfate, 2

Nicomide, 34

Novofine Autocover 30GX8MM, 36

neomycin/bacitracin/polymyxin, 26

nifedipine, 7

Novolin 70/30, 15

neomycin/polymyxin/bacitracin zinc, 26

nifedipine ER, 7

Novolin 70/30 Relion, 15

neomycin/polymyxin/bacitracin/hydrocortisone, 27

Nilandron, 5

Novolin N, 15

Nimbex, 25

Novolin N Relion, 15

neomycin/polymyxin/dexamethasone, 27

nimodipine, 7

Novolin R, 15

neomycin/polymyxin/gramicidin, 26

Nipent, 6

Novolin R Relion, 15

neomycin/polymyxin/HC, 28

Niravam, 22

Novolog, 15

Neomycin/Polymyxin/Hydrocortisone, 27

nisoldipine, 7

Novolog Flexpen, 15

neomycin/polymyxin/hydrocortisone, 28

Nisoldipine, 7

Novolog Mix 70/30, 15

Neoprofen, 29

Nisoldipine ER, 7

Novolog Mix 70/30 Prefilled Flexpen, 15

Neoral, 5

Nitro-bid, 7

Novolog Penfill, 15

Neosalus, 13

Nitro-dur, 7

Novoseven, 21

Neosalus CP, 13

nitrofurantoin, 19

Novoseven Rt, 21

Neosporin, 26

nitrofurantoin macrocrystals, 19

Novotwist 30GX8MM, 36

neostigmine methylsulfate, 26

nitrofurantoin monohydrate, 19

Novotwist 32GX5MM, 36

Neostigmine Methylsulfate, 26

nitrofurantoin monohydrate/macrocrystals, 19

Noxafil, 2

Neotuss Plus, 31

Nplate, 20

Nephplex RX, 33

nitroglycerin, 7

Nucort, 12

Nephro-vite RX, 33

Nitroglycerin, 7

Nucynta, 28

Nephrocaps, 33

nitroglycerin IN 5% dextrose, 7

Nucynta ER, 28

Nephrocaps QT, 33

nitroglycerin IN dextrose 5%, 7

Nuedexta, 25

Nephron Fa, 21

Nitroglycerin IN Dextrose 5%, 7

Nulojix, 5

Neptazane, 9

nitroglycerin lingual, 7

Nulytely/Flavor Packs, 18

Nesacaine, 30

Nitroglycerin Lingual, 7

Numoisyn, 22

Nesacaine-mpf, 30

nitroglycerin transdermal, 7

Nuox, 10

Nesina, 16

Nitrolingual Pumpspray, 7

Nutricap, 34

Nessi Spacer/Large Mask, 38

Nitromist, 7

Nutridox, 2

Nessi Spacer/Mouthpiece, 38

Nitronal, 7

Nutrivit, 34

Nessi Spacer/Small/MED Mask, 38

Nitropress, 8

Nutropin, 17

Nestabs, 33

Nitrostat, 7

Nutropin AQ Nuspin 10, 17

Nestabs Abc, 33

Nivatopic Plus, 13


Nestabs DHA, 33

nizatidine, 18


Netgroup Lancets, 36

Nizoral, 11

Nutropin AQ Pen, 17

Neuac Kit, 10

Nor-QD, 15

Nuvail, 13

Neulasta, 20

Norco, 29

Nuvessa, 20

Neulasta Delivery Kit, 20

Norditropin Cartridge, 17

Nuvigil, 24

Neumega, 20

Norditropin Flexpro, 17

Nuvya, 11

Neupogen, 20

Norditropin Nordiflex Pen, 17

Nuzon, 12

Neupro, 25

norepinephrine bitartrate, 9

Nymalize, 7

Neurontin, 24

norethindrone, 15

nystatin, 2, 11, 22

Neutek 2tek Test Strips, 38

norethindrone acetate, 15

Nystatin, 11

Neutrasal, 22

norethindrone acetate/ethinyl estradiol, 15

Nystatin Foreign, 11

Neutrexin, 4

nystatin/triamcinolone, 11

Neuvaxin, 13

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

O

Nevanac, 27

O-CAL Fa, 34

nevirapine, 3

Norflex, 26

O-CAL Prenatal, 34

Nevirapine, 3

norgestimate/ethinyl estradiol, 15

OB Complete, 34

nevirapine ER, 3

Norinyl 1+35, 15

OB Complete 400, 34

Newgen, 33

Norinyl 1+50, 15

OB Complete One, 34

OB Complete Petite, 34

Onetouch Verio IQ Blood Glucose Monitoring System, 36

oxandrolone, 14

OB Complete Premier, 34

oxaprozin, 29

OB Complete/DHA, 34

Onetouch Verio Mid Control Solution, 36

oxazepam, 22

OB-natal One, 33

Onetouch Verio Sync Bloodglucose Monitoring System, 36

oxcarbazepine, 24

Obredon, 31

Oxecta, 29

Obstetrix DHA, 34

Onetouch Verio Test Strips, 36

Oxistat, 11

Obstetrix EC, 33

Onexton, 10

Oxsoralen, 13

octreotide acetate, 17

Onfi, 24

Oxsoralen Ultra, 12

Ocudox, 2

Onglyza, 16

Oxtellar XR, 24

Ocufen, 27

Onmel, 2

oxybutynin chloride, 19

Ocuflox, 26

Opana, 29

oxybutynin chloride ER, 19

Ocuvel, 34

Opana ER (crush Resistant), 28

oxycodone HCL, 28

Ofev, 32

Opdivo, 5

Oxycodone HCL, 29

Ofirmev, 28

opium, 18

Oxycodone HCL ER, 28

ofloxacin, 2, 26, 28

opium tincture, 18

oxycodone/acetaminophen, 28

Ofloxacin, 2

Opium Tincture (paregoric), 18

oxycodone/aspirin, 28

Ogestrel, 15

Opsumit, 10

oxycodone/ibuprofen, 28

olanzapine, 23

Optichamber Advantage, 38

Oxycontin, 28

olanzapine odt, 23

Optichamber Diamond, 38

oxymorphone hydrochloride, 28

olanzapine/fluoxetine, 25

Optichamber Diamond/Largeface Mask, 38

oxymorphone hydrochloride ER, 28

Oleptro, 23

oxytocin, 28

olopatadine HCL, 31

Optichamber Diamond/Medium Face Mask, 38

Oxytrol, 20

Olux, 12

Oxytrol For Women, 20

Olux-e, 12

Optichamber Diamond/Smallface Mask, 38

Ozurdex, 27

Olysio, 3

P

Omeclamox-PAK, 18

Optihaler, 38

paclitaxel, 5

omega-3-acid ethyl esters, 9

Optihaler MDI Drug Delivery System, 38

Paclitaxel, 6

omeprazole, 18

Optium Test Strips, 38

Paire OB, 34

Omeprazole + Syrspend SF Alka, 18

Optiumez Test Strips, 38

Palgic, 31

omeprazole/sodium bicarbonate, 18

Optivar, 27

Pamelor, 23

Omnaris, 31

Optumrx Blood Glucose Test, 38

pamidronate disodium, 16

Omnipred, 27

Oracea, 11

Pamidronate Disodium, 16

Omnitrope, 17

Oracit, 20

Pamine, 18

Omontys, 21

Orafate, 22

Pamine Forte, 18

On Call Express Blood Glucose Test Strips, 38

Orap, 25

Pamine FQ, 18

Orapred, 14

Panatuss Dxp, 31

On Call Lancets, 36

Orapred Odt, 14

Pancreaze, 19

On Call Plus Blood Glucose Test, 38

Oravig, 22

Pancrelipase, 19

On Call Plus Lancets, 36

Orbactiv, 4

pancuronium bromide, 25

On Call Vivid Blood Glucose Test, 38

Orencia, 29

Panda Mask Large, 38

On Call Vivid Blood Glucose Test Strips, 38

Orenitram, 10

Panda Mask Medium, 38

Orfadin, 17

Panda Mask Small, 38

Oncaspar, 4

orphenadrine citrate, 26

Pandel, 12

ondansetron HCL, 19

orphenadrine citrate ER, 26

pantoprazole sodium, 18

ondansetron odt, 19

orphenadrine/asa/caffeine, 26

papaverine HCL, 10

Onetouch Basic System, 36

Ortho Micronor, 15

Parafon Forte DSC, 26

Onetouch Basic/Profile Test Strips, 36

Ortho Tri-cyclen, 15

Parcopa, 25

Onetouch Club Lancets Fine Point, 36

Ortho Tri-cyclen LO, 15

paricalcitol, 17

Onetouch Combo Pack, 36

Ortho-cept, 15

Paricalcitol, 17

Onetouch Delica Lancets Extra Fine 33G, 36

Ortho-cyclen, 15

Parlodel, 25

Ortho-novum 1/35, 15

Parnate, 23

Onetouch Delica Lancets Fine 30G, 36

Ortho-novum 7/7/7, 15

paromomycin sulfate, 2

Onetouch Finepoint Lancets, 36

Orthovisc, 26

paroxetine HCL, 22

Onetouch Lancets, 36

Oseni, 16

paroxetine HCL ER, 22

Onetouch Ping Meter Remote, 36

Osmoprep, 18

Paser, 2

Onetouch Profile System, 36

Osphena, 16

Pataday, 27

Onetouch Ultra 2, 36

Otezla, 29

Patanase, 31

Onetouch Ultra Blue, 36

Otozin, 28

Patanol, 27

Onetouch Ultra Control, 36

Otrexup, 29

Paxil, 23

Onetouch Ultra Mini, 36

Ovace Plus, 12

Paxil CR, 23

Onetouch Ultra System Kit, 36

Ovace Plus Wash, 12

Pazeo, 27

Onetouch Ultralink System (DEC), 36

Ovace Wash, 12

PCE, 1

Onetouch Ultralink System (hex), 36

Ovcon-35, 15

Pcp 100, 18

Onetouch Ultrasmart, 36

Ovide, 13

Pediaderm AF Complete Kit, 11

Onetouch Ultrasoft Lancets, 36

Ovidrel, 17

Pediaderm HC, 12

Onetouch Verio, 36

oxacillin sodium, 1

Pediaderm Ta, 12

Onetouch Verio Control Solution High, 36

oxaliplatin, 4

Pediapred, 14

Oxandrin, 14

Pediarix, 32

Pediatex TD, 31

phenylephrine/guaifenesin, 31

Pramosone, 12

Pediatex TDM, 31

Phenytek, 25

Pramosone E, 12

Pediatric Panda Mask, 38

phenytoin, 24

Pramotic, 28

Pedipirox-4 Nail, 11

phenytoin sodium, 24

Prandimet, 16

Pedvax HIB, 32

phenytoin sodium extended, 24

Prandin, 16

peg 3350/electrolytes, 18

Phoslo, 19

Prascion Ra With Sunscreens, 10

peg-3350/electrolytes, 18

Phoslyra, 19

Prastera, 30

peg-3350/NACL/NA bicarbonate/KCL, 18

Phospholine Iodide, 27

Pravachol, 10

Peg-intron, 3

Photofrin, 6

pravastatin sodium, 9

Peg-intron Redipen, 3

Phrenilin Forte, 28

Prazolamine, 26

Peg-intron Redipen PAK 4, 3

phytonadione, 33

prazosin HCL, 8

Peganone, 24

pilocarpine HCL, 22, 27

Pre-folic, 21

Pegasys, 3

pilocarpine hydrochloride, 22

Precedex, 24

Pegasys Proclick, 3

Pilopine HS, 27

Precision PCX, 38

Pegintron, 3

pindolol, 7

Precision PCX Plus Test Strips, 38

Pen Needles 29G X 12MM, 36

pioglitazone HCL, 16

Precision Point Of Care Test Strips, 38

Pen Needles 29GX1/2", 36

pioglitazone HCL-glimepiride, 16

Precision QID Test Strips, 38


pioglitazone HCL/metformin HCL, 16

Precision Sof-tact Test Strips, 38

Pen Needles 31G X 1/4" SHORT, 36

piperacillin sodium/ tazobactam sodium, 1

Precision Thin Lancets, 36

Pen Needles 31G X 3/16", 36

Precision Thins GP Lancet, 36

Pen Needles 31G X 6MM, 36

piperacillin sodium/tazobactam sodium, 1

Precision Ultra Lancet, 36


piperacillin/tazobactam, 1

Precision XTRA Blood Glucose Test Strips, 38

penicillin G potassium, 1

piroxicam, 29

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Pitocin, 28

Precose, 16

Pitressin Synthetic, 17

Pred Forte, 27

Penicillin G Procaine, 1

Plan B, 15

Pred Mild, 27

Penicillin G Sodium, 1

Plan B One-step, 15

Pred-G, 27

penicillin v potassium, 1

Plaquenil, 3

Pred-G S.o.p., 27

Penlac Nail Lacquer, 11

Plavix, 22

prednicarbate, 12

Pennsaid, 11

Plegridy, 25

prednisolone, 14

Pentacel, 32

Plegridy Starter Pack, 25

prednisolone acetate, 27

Pentam 300, 4

Pletal, 22

prednisolone sodium phosphate, 14

Pentasa, 19

Plexion, 10

Prednisolone Sodium Phosphate, 14, 27

pentazocine/acetaminophen, 28

Plexion Cleanser, 10

prednisolone sodium phosphate odt, 14

pentazocine/naloxone HCL, 28

Plexion Cleansing Cloths, 10

prednisone, 14

Pentetate Calcium Trisodium, 39

Pliaglis, 13

Prednisone, 14

Pentetate Zinc Trisodium, 39

Pneumovax 23, 32

Prednisone Intensol, 14

pentoxifylline ER, 21

Pneumovax 23/1 Dose, 32

Prefera OB, 34

Pepcid, 18

Pneumovax 23/5 Dose, 32

Prefera OB + DHA, 34

Percocet, 29

Pocket Chamber, 38

Preferaob +dha, 34

Percodan, 29

Pocket Spacer, 38

Preferaob One, 34

Perfect Lancets 30G, 36

Pocketchem EZ Blood Glucose Test Strips, 38

Prefest, 14

Perfect Pressure Activated Safety Lancets 28G, 36

Prefol-DHA, 34

podofilox, 13

Prelone, 14

Perforomist, 32

Poly-VI-flor, 34

Premarin, 14, 20

Peridex, 22

Poly-VI-flor FS, 34

Premphase, 14

perindopril erbumine, 8

Poly-VI-flor/Iron, 34

Prempro, 14

Perjeta, 5

polyethylene glycol 3350, 18

Prenata, 34

permethrin, 13

polymyxin b sulfate, 4

Prenatabs RX, 33

perphenazine, 23

polymyxin b sulfate/trimethoprim sulfate, 26

Prenatal Ad, 33

Perphenazine/Amitriptyline, 25

Prenatal Vitamins, 33

Perry Prenatal, 33

Polytrim, 26

Prenatal-u, 33

Persantine, 22

Pomalyst, 5

Prenate, 34

Pertzye, 19

Ponstel, 29

Prenate AM, 34

Pexeva, 23

potassium citrate ER, 20

Prenate DHA, 34

Pfizerpen-G, 1

potassium citrate-citric acid crystals, 20

Prenate Elite, 34

Pharmacist Choice Autocode Blood Glucose Test Strips, 38

potassium citrate/citric acid, 20

Prenate Enhance, 34

potassium citrate/sodium citrate/citric acid, 20

Prenate Essential, 34

Pharmacy Counter Lancets, 36

Prenate Mini, 34

phenazopyridine HCL, 20

Potiga, 24

Prenate Pixie, 34

phenelzine sulfate, 22

Pr Cream, 13

Prenate Restore, 34

Phenergan, 31

Pr Natal 400, 33

Prenate Star, 34

phenobarbital, 23

Pr Natal 400 EC, 33

Prepidil, 28

Phenobarbital, 23

Pr Natal 430, 33

Prepopik, 18

Phenobarbital Sodium, 24

Pr Natal 430 EC, 33

Preque 10, 34

Phentolamine Mesylate, 8

Pradaxa, 21

Presera, 13

phenylephrine HCL, 9, 27

pramipexole dihydrochloride, 25

Prestige Test Strips, 38

Phenylephrine HCL, 9, 31

pramipexole dihydrochloride ER, 25

Prevacid, 18

Prevacid Solutab, 18

Prosed/DS, 19

Qvar, 32

Prevident, 22

Prostigmin, 26

R

Prevnar 13, 32

Prostin E2, 28

R-natal OB, 34

Prevpac, 18

Protamine Sulfate, 22

Rabavert, 33

Prezcobix, 3

Protect Plus, 34

rabeprazole sodium, 18

Prezista, 3

Protectbone, 34

raloxifene hydrochloride, 16

Priftin, 2

Protectiron, 21

ramipril, 8

Prilosec, 18

Protectnatal, 34

Ranexa, 7

Primaquine Phosphate, 3

Prothelial, 22

ranitidine HCL, 18

Primaxin IV, 4

Protonix, 18

Rapaflo, 20

Primaxin IV Add-vantage, 4

Protopic, 12

Rapamune, 5

primidone, 24

protriptyline HCL, 22

Rapivab, 3

Primlev, 29

Provenge, 6

Rasuvo, 30

Primsol, 4

Proventil HFA, 32

Ravicti, 17

Prinivil, 8

Provera, 15

Rayos, 14

Pristiq, 23

Provida OB, 34

Razadyne, 25

Proair HFA, 32

Provigil, 24

Razadyne ER, 25

probenecid, 30

Prozac, 23

Rebetol, 3

probenecid/colchicine, 30

Prozac Weekly, 23

Rebif, 25

Procainamide HCL, 8

Pruclair, 13

Rebif Rebidose, 25

Procardia, 7

Prudoxin, 11

Rebif Rebidose Titration Pack, 25

Procardia XL, 7

Prumyx, 13

Rebif Titration Pack, 25

Procentra, 24

Pss Select GP Lancets, 36

Reclast, 16

prochlorperazine, 23

Pss Select Safety Lancets, 36

Recombinate, 21

prochlorperazine edisylate, 23

Pts Panels Glucose Test, 38

Recombivax HB, 33

prochlorperazine maleate, 23

Pulmicort, 32

Recothrom, 21

Procort, 19

Pulmicort Flexhaler, 32

Recothrom Spray Kit, 21

Procrit, 20

Pulmophylline, 32

Rectiv, 19

Proctocort, 19

Pulmozyme, 32

Refuah Plus Blood Glucosetest Strips, 38

Proctofoam HC, 19

Purinethol, 5

Procysbi, 20

Purixan, 5

Reglan, 19

Prodigy NO Coding Blood Glucose Test Strips, 38

Px Lancets Ultra Thin, 36

Regonol, 26

Pylera, 18

Relagard, 20

Prodigy Pressure Activated Safety Lancets, 36

pyrazinamide, 2

Relenza Diskhaler, 3

Pyridium, 20

Relhist, 31

Prodigy Twist Top Lancets, 36

pyridostigmine bromide, 26

Relion Blood Glucose Teststrips, 38

Proferrin-forte, 21

Pyridoxine HCL, 33

Relion Confirm/Micro Test Strips, 38

progesterone, 15

Pyrogallic Acid, 13

Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

Progesterone 10% Kit, 15

Q

Proglycem, 16

Qc Lancets Super Thin, 36

Relion Lancets, 36

Prograf, 5

Qc Lancets Ultra Thin, 36

Relion Lancets Micro-thin33G, 36

Prolastin-c, 32

Qnasl, 31

Relion Lancets Standard 21G, 36

Prolensa, 27

Qnasl Childrens, 31

Relion Lancets Thin 26G, 36

Proleukin, 6

Quadramet, 6

Relion Lancets Ultra-thin30G, 36

Prolia, 16

Qualaquin, 3

Relion Prime Blood Glucose Test Strips, 38

Prolida, 13

Quartette, 15

Promacta, 20

Quazepam, 24

Relion R, 15

promethazine HCL, 30

Qudexy XR, 25

Relion Thin Lancets, 36

promethazine HCL plain, 30

Quelicin, 25

Relion Ultima Blood Glucose Test Strips, 38

promethazine-DM, 31

Quelicin 1000, 25

promethazine/codeine, 31

Questran, 10

Relion Ultima Test Strips, 38

promethazine/dextromethorphan, 31

Questran Light, 10

Relion Ultra Thin Lancets, 36

Prometrium, 15

quetiapine fumarate, 23

Relion Ultra Thin Lancets30G, 36

Promiseb, 12

Quflora Pediatric, 33

Relion Ultra Thin Plus Lancets 32G, 36

Promiseb Complete, 12

Quicktek Test Strips, 38

Relion Ultra Thin Plus Lancets 33G, 36

Propa PH Acne Medication Cleanser Maximum Strength, 13

Quillivant XR, 24

Relistor, 19

quinapril HCL, 8

Relpax, 30

propafenone HCL, 7

quinapril/hydrochlorothiazide, 8

Relyyks, 13

propafenone HCL ER, 7

Quinidine Gluconate, 8

Relyyt, 13

Propantheline Bromide, 18

quinidine gluconate CR, 7

Remeron, 23

proparacaine HCL, 27

quinidine gluconate ER, 7

Remeron Soltab, 23

propranolol HCL, 7

quinidine sulfate, 7

Remicade, 19

Propranolol HCL, 7

Quinidine Sulfate, 7

Remodulin, 10

propranolol HCL ER, 7

Quinidine Sulfate ER, 8

Renacidin, 20

Propranolol/Hydrochlorothiazide, 9

quinine sulfate, 3

Renagel, 19

propylthiouracil, 17

Quintet Ac Blood Glucose Test Strips, 38

Renatabs, 34

Proquad, 32

Quintet Blood Glucose Test Strips, 38

Renatabs With Iron, 34

Proscar, 20

Qutenza, 13

Renew Advanced Lancing Cartridge Refills, 36

risperidone odt, 23

salsalate, 28

Ritalin, 24

Salvax, 13

Renvela, 19

Ritalin LA, 24

Salvax Duo Plus, 13

Reopro, 22

Ritalin SR, 24

Samsca, 17

repaglinide, 16

Riteflo, 38

Sanctura, 20

Reprexain, 29

Rituxan, 5

Sanctura XR, 20

Repronex, 16

rivastigmine tartrate, 25

Sancuso, 19

Req 49+, 34

rizatriptan benzoate, 30

Sandimmune, 5

Requip, 25

rizatriptan benzoate odt, 30

Sandostatin, 17

Requip XL, 25

Robaxin, 26

Sandostatin Lar Depot, 17

Rescon-JR, 31

Robaxin-750, 26

Saphris, 23

Rescon-MX, 31

Robinul, 18

Sarafem, 25

Rescriptor, 3

Robinul Forte, 18

Savaysa, 21

Rescula, 27

Rocaltrol, 17

Savella, 25

Reserpine, 8

Rocephin, 1

Savella Titration Pack, 25

Respa-BR, 31

rocuronium bromide, 25

Scalacort DK, 12

Restasis, 27

ropinirole ER, 25

Scar Patch, 13

Restora RX, 18

ropinirole HCL, 25

Scopolamine Hydrobromide, 18

Restoril, 24

ropivacaine, 30

Seasonique, 15

Retavase, 22

ropivacaine HCL, 30

Seb-prev, 12

Retavase Half-kit, 22

Rosadan Kit, 11

Seconal, 24

Retin-a, 10

Rosanil, 10

Sectral, 7

Retin-a Micro, 10

Rosula, 10

Select-OB, 34

Retin-a Micro P.M., 10

Rotarix, 33

Select-ob+dha, 34

Retisert, 27

Rotateq, 33

selegiline HCL, 25

Retrovir, 3

Rowasa, 19

selenium sulfide, 12

Retrovir IV Infusion, 3

Roxicet, 29

Selenium Sulfide, 12

Revatio, 10

Roxicodone, 29

Selrx, 12

Reveal Blood Glucose Test, 38

Rozerem, 23

Selsun Shampoo, 12

Revlimid, 5

Ryanodex, 26

Selzentry, 3

Rexall Blood Glucose Test Strips, 38

Rytary, 25

Semprex-d, 31

Rexall Lancets Ultra Thin, 36

Rythmol, 8

Senophylline, 32

Reyataz, 3

Rythmol SR, 8

Sensipar, 17

Rezira, 31

S

Sensorcaine-mpf/Epinephrine, 30

Rezyst IM, 18

Sentradine, 18

Sabril, 25

Rezyst SB, 18

Sentraflox AM-10, 23

Safe-t-lance Low Flow 25G, 36

Rheumatrex, 30

Sentralopram AM-10, 23

Safe-t-lance Normal Flow 21G, 36

Rhinocort Aqua, 31

Sentramodafin AM-100, 24

Safe-t-lance Plus Safety Lancet High Flow, 36

Rhinoflex-650, 28

Sentravil PM-25, 23

Riastap, 21

Sentrazolam AM 0.25, 22

Safe-t-lance Plus Safety Lancet Low Flow, 36

Riax, 10

Sentrazolpidem PM-5, 24

Ribasphere, 3

Sentroxatine, 23

Safe-t-lance Plus Safety Lancet Normal Flow, 36

Ribasphere Ribapak, 3

Serevent Diskus, 32

Ribatab, 3

Seroquel, 23

Safety Lancet 21G/Pressure Activated, 36

ribavirin, 3

Seroquel XR, 23

Ridaura, 29

Serostim, 17

Safety Lancet 28G/Pressure Activated, 36

rifabutin, 2

sertraline HCL, 22

Rifadin, 2

Sevelamer Carbonate, 19

Safety Lancet 2MM, 36

Rifamate, 2

Sfrowasa, 19

Safety Lancets, 36

rifampin, 2

Shohls Solution Modified, 20

Safety Lancets 21G, 36

Rifater, 2

Shopko On-the-go Comfort Lancets 30G, 36

Safety Lancets 28G, 36

Rightest Gl300 Lancets, 36

Safety Let Lancets, 36

Rightest GS100 Blood Glucose Test Strips, 38

Shopko Unilet Lancets Super Thin 30G, 36

Safety Seal Lancets 28G, 36

Safety Seal Lancets 30G, 36


Shopko Unilet Lancets Ultra Thin 28G, 36

Safyral, 15

Saizen, 17


Siderol, 34

Saizen Click.easy, 17

Signifor, 17

Salagen, 22

Rilutek, 25

Signifor Lar, 17

Salex, 13

riluzole, 25

sildenafil, 10

Salex Cream, 13

rimantadine HCL, 3

sildenafil citrate, 10

Salex Lotion, 13

Rimantalist, 3

Silenor, 24

salicylic acid, 13

Riomet, 16

Simbrinza, 27

Salicylic Acid, 13

risedronate sodium, 16

Simcor, 9

salicylic acid cream, 13

Risperdal, 23

Simponi, 30

Salicylic Acid IN Ammonium Lactate Vehicle, 13

Risperdal Consta, 23

Simponi Aria, 30

Risperdal M-TAB, 23

Simulect, 5

salicylic acid lotion, 13

risperidone, 23

simvastatin, 9

Salkera, 13

Sinelee, 13

Sorilux, 12

sumatriptan succinate refill, 30

Sinemet, 25

sotalol HCL, 7

Sumavel Dosepro, 30

Sinemet CR, 25

sotalol HCL (AF), 7

Sumaxin, 10

Single-let, 36

Sotylize, 7

Sumaxin CP Kit, 10

Singulair, 32

Sovaldi, 3

Sumaxin Ts, 10

sirolimus, 5

Spectracef, 1

Sumaxin Wash, 10

Sirturo, 2

Spinosad, 13

Supartz, 26

Sitavig, 3

Spiriva Handihaler, 32

Supervite, 34

Sivextro, 4

Spiriva Respimat, 32

Supervite EC, 34

Skelaxin, 26

spironolactone, 9

Support-500, 34

Sklice, 13

spironolactone/hydrochlorothiazide, 9

Supprelin LA, 17

Smart Diabetes Vantage Universal Lancets 30G, 36

Sporanox, 2

Supracil, 13

Sporanox Pulsepak, 2

Suprax, 1

Smart Diabetes Xpres Blood Glucose Test Strips, 38

Sprix, 30

Supreme Test Strips, 38

Sprycel, 6

Suprep Bowel Prep, 18

Smart Sense Color Lancets Universal 33G, 36

Staflex, 28

Sure Edge Blood Glucose Test Strips, 38

Stalevo 100, 25

Sure-lance Flat Lancets, 36

Smart Sense Premium Bloodglucose Strips, 38

Stalevo 125, 25

Sure-lance Lancets 26G, 36

Stalevo 150, 25

Sure-lance Thin Lancets 28G, 36

Smart Sense Standard Lancets Universal 21G, 36

Stalevo 200, 25

Sure-lance Ultra Thin Lancets, 36

Stalevo 50, 25

Sure-test Easyplus Mini Blood Glucose Test Strips, 38

Smart Sense Super Thin Lancets Universal 30G, 36

Stalevo 75, 25

stannous fluoride oral rinse, 22

Sure-touch Lancets Universal, 36

Smart Sense Thin Lancets Universal 26G, 36

Starlix, 16

Surechek Blood Glucose Test Strips, 38

stavudine, 3

Surelite Lancets, 36

Smart Sense Value Blood Glucose Strips, 38

Stavzor, 25

Surestep Glucose Control, 36

Staxyn, 10

Surestep Glucose Control Solution, 36

Smartest Blood Glucose Test Strips, 38

Stelara, 12

Surestep Pro High Glucosecontrol, 36

Smartest Lancets 28G, 36

Stendra, 10

Surestep Pro Low Glucose Control, 36

Sodium Bicarbonate, 18

Sterilance TL, 36

Surestep Pro Normal Glucose Control, 36

sodium chloride, 31

Stimate, 17

sodium citrate/citric acid, 20

Stivarga, 6

Surestep Pro Test Strips, 36

Sodium Diuril, 9

Strattera, 24

Surestep Test Strips, 36

Sodium Edecrin, 9

Strazepam, 24

Surfaxin, 32

sodium ferric gluconate complex/sucrose, 20

Streptomycin Sulfate, 2

Surmontil, 23

Striant, 14

Survanta Intratracheal, 32

sodium hyaluronate, 13

Stribild, 3

Sustiva, 3

sodium phenylbutyrate, 17

Striverdi Respimat, 32

Sutent, 6

sodium sulfacetamide, 10, 12, 26

Stromectol, 3

Suttar-2, 31

sodium sulfacetamide wash, 12

Strovite, 34

Suttar-SF, 31

sodium sulfacetamide/sulfur, 10

Strovite Forte, 34

Sylatron, 6

Sodium Sulfacetamide/Sulfur, 10

Strovite One, 34

Symax Duotab, 18

sodium sulfacetamide/sulfur cleanser, 10

Suboxone, 28

Symbicort, 32

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10

Subsys, 29

Symbyax, 25

Suclear, 18

Symlinpen 120, 15

sodium sulfacetamide/sulfur cleansing cloths, 10

Sucraid, 19

Symlinpen 60, 15

sucralfate, 18

Synagex, 34

sodium sulfacetamide/sulfur green, 10

Sular, 7

Synalar, 12

Sodium Sulfacetamide/Sulfur IN Urea, 10

sulfacetamide sodium, 10, 26

Synalar Cream Kit, 12

sodium sulfacetamide/sulfur w/sunscreen, 10

Sulfacetamide Sodium, 26

Synalar Ointment Kit, 12

sulfacetamide sodium/prednisolone sodium phosphate, 27

Synalar Ts, 12

sodium sulfacetamide/sulfur wash, 10

Synalgos-dc, 29

Solaice, 13

sulfacetamide sodium/sulfur cleanser, 10

Synapryn Fusepaq, 29

Soliris, 21

Sulfadiazine, 2

Synarel, 17

Solodyn, 2

sulfamethoxazole/trimethoprim, 4

Synatek, 34

Soltamox, 5

Sulfamethoxazole/Trimethoprim, 4

Synera, 13

Solu-cortef, 14

sulfamethoxazole/trimethoprim DS, 4

Synercid, 4

Solu-medrol, 14

sulfasalazine, 19

Synribo, 6

Solus V2 Audible Test, 38

Sulfisoxizole, 2

Synthroid, 18

Solus V2 Pressure Activated Safety Lancets 28G, 36

Sulfoam, 10

Synvisc, 26

Sulfurated Lime, 13

Synvisc One, 26

Solus V2 Twist Lancets 30G, 36

sulindac, 29

T

Soma, 26

Sumadan Kit, 10

Tabloid, 5

Somatuline Depot, 17

Sumadan Wash, 10

Taclonex, 12

Somavert, 17

Sumadan XLT, 10

tacrolimus, 5, 12

Sonata, 24

Sumatriptan, 30

Tafinlar, 6

Soolantra, 11

sumatriptan succinate, 30

Talwin, 29

Soriatane, 12

Sumatriptan Succinate, 30

Tamiflu, 3

tamoxifen citrate, 5

Teveten, 8

tizanidine HCL, 26

tamsulosin HCL, 20

Teveten HCT, 9

TL G-FOL OS, 34

Tandem F, 21

Texacort, 12

TL Triseb, 12

Tandem Plus, 21

Thalomid, 5

TL-cermide, 13

Tanzeum, 15

Theo-24, 32

Tnkase, 22

Tapazole, 18

theophylline, 31

Tobi, 2

Tarceva, 6

theophylline CR, 31

Tobi Podhaler, 2

Targretin, 6

theophylline ER, 31

Tobradex, 27

Tarka, 9

theophylline/D5W, 31

Tobradex ST, 27

Taron-bc, 34

Theophylline/D5W, 32

tobramycin, 2

Taron-c DHA, 34

Therabenzaprine-60, 26

tobramycin sulfate, 2, 26

Taron-prex, 33

Therabenzaprine-90, 26

Tobramycin Sulfate/Sodium Chloride, 2

Tasigna, 6

Therabenzaprine-90-5, 26

tobramycin/dexamethasone, 27

Tasmar, 25

Theracodeine-300, 29

Tobrex, 26

Taxotere, 6

Theracodophen-325, 29

Tofranil, 23

Tazicef, 1


Tofranil-PM, 23

Tazorac, 11


tolazamide, 15

Tecfidera, 25

Theracodophen-low-90, 29

Tolazamide, 16

Tecfidera Starter Pack, 25

Theracys, 6

Tolbutamide, 16

Techlite AST Lancets, 36

Therafeldamine, 30

tolmetin sodium, 29

Techlite Lancets, 36

Therapentin-60, 25

Tolmetin Sodium, 29

Techlite Lancets 30G, 36

Therapentin-90, 25

tolterodine tartrate, 20

Tegretol, 25

Theraprofen-60, 30

tolterodine tartrate ER, 20

Tegretol-XR, 24

Theraprofen-800, 30

Topamax, 25

Tekamlo, 8

Theraprofen-90, 30

Topamax Sprinkle, 25

Tekturna, 8

Theraproxen-500, 30

Topicort, 12

Tekturna HCT, 8

Theraproxen-60, 30

topiramate, 24

Telcare Blood Glucose Test Strips, 38

Theraproxen-90, 30

Topiramate ER, 25

telmisartan, 8

Theratramadol-60, 29

topotecan HCL, 6

telmisartan/amlodipine, 8

Theratramadol-90, 29

Topotecan HCL, 6

telmisartan/hydrochloroth, 8

thiamine HCL, 33

Toprol XL, 7

telmisartan/hydrochlorothiazide, 8

Thinlets GP Lancets, 36

Torisel, 6

temazepam, 23

Thinlets Lancet, 36

torsemide, 9

Temodar, 4

Thiola, 20

Torsemide, 9

Temovate, 12

thioridazine HCL, 23

Totect, 6

Temovate E, 12

thiothixene, 23

Toujeo Solostar, 15

temozolomide, 4

Thrombin-jmi Diluent, 21

Toviaz, 20

Tencon, 28

Thrombin-jmi Epistaxis, 21

Tracleer, 10

Tenex, 8

Thrombin-jmi Syringe Spray Kit, 21

Tradjenta, 16

Teniposide, 6

Thrombin-jmi W/Dil Spray P.M. Actuator, 21

tramadol HCL, 28

Tenivac, 32

tramadol HCL ER, 28

Tenoretic 100, 9

Thrombogen, 21

Tramadol HCL ER, 29

Tenoretic 50, 9

Thymoglobulin, 5

tramadol hydrochloride/acetaminophen, 28

Tenormin, 7

Thyrolar-1, 18

Terazol 3, 20

Thyrolar-1/2, 18

Trandate, 7

Terazol 7, 20

Thyrolar-1/4, 18

trandolapril, 8

terazosin HCL, 8

Thyrolar-2, 18

trandolapril/verapamil HCL, 8

terbinafine HCL, 2

Thyrolar-3, 18

trandolapril/verapamil HCL ER, 8

Terbinex, 2

tiagabine hydrochloride, 24

tranexamic acid, 21

terbutaline sulfate, 31

Tiazac, 7

Transderm-scop, 19

terconazole, 20

Tice Bcg, 6

Tranxene T, 22

Tersi Foam, 12

ticlopidine HCL, 21

tranylcypromine sulfate, 22

Tessalon Perles, 31

Tigan, 19

Travatan Z, 27

Testim, 14

Tikosyn, 7

Travoprost, 27

Testopel, 14

Timentin, 1

Trazamine, 23

Testosterone, 14

Timolol Maleate, 7

trazodone HCL, 22

testosterone cypionate, 14

timolol maleate, 26

Treanda, 4

testosterone enanthate, 14

timolol maleate ophthalmic gel forming, 26

Trecator, 2

Testosterone P.M., 14

Trelstar, 5

Testred, 14

Timoptic, 26

Trelstar Mixject, 5

Tetanus Toxoid Adsorbed, 32

Timoptic Ocudose, 26

Trepadiclofen-25, 30

Tetanus/Diphtheria Toxoids-adsorbed Adult, 32

Timoptic-xe, 26

Trepoxen-250, 30

Tindamax, 4

Trepoxicam-7.5, 30

tetracaine HCL, 27

tinidazole, 4

Tretin-x, 10

Tetracaine HCL, 30

Tirosint, 18

tretinoin, 6, 10

Tetracycline HCL, 2

Tisseel, 21

tretinoin microsphere, 10

Tetrix, 13

Tivicay, 3

tretinoin microsphere P.M., 10

Tev-tropin, 17

Tizanidine Comfort PAC, 26

Tretten, 21

Trexall, 5

Release, 31

urea 40% nail film, 13

Treximet, 30

Twinrix, 33

urea IN zinc undecylenate/lactic acid vehicle, 13

Trezix, 29

Twynsta, 9

Tri-norinyl 28, 15

Tybost, 3

urea topical, 13

Tri-VI-flor, 34

Tygacil, 4

Urecholine, 20

triamcinolone acetonide, 12, 22, 31

Tykerb, 6

Uretron D/S, 19

Triamcinolone Acetonide, 12

Tylenol/Codeine #3, 29

Urimar-t, 19

triamcinolone IN orabase, 22

Tylenol/Codeine #4, 29

Urocit-k 10, 20

triamterene/hydrochlorothiazide, 9

Typhim VI, 33

Urocit-k 15, 20

Triamterene/Hydrochlorothiazide, 9

Tysabri, 25

Urocit-k 5, 20

Trianex, 12

Tyvaso, 10

Urogesic-blue, 19

triazolam, 23

Tyvaso Refill, 10

Uroqid #2, 19

Tribenzor, 8

Tyvaso Starter, 10

Uroxatral, 20

Tricare, 33

Tyzeka, 3

Urso 250, 19

Tricare Prenatal Compleat, 34

Tyzine, 31

Urso Forte, 19

Tricare Prenatal DHA One, 34

Tyzine Pediatric Nasal Drops, 31

ursodiol, 19

tricitrates, 20

U

Uta, 19

Tricor, 10

Utopic, 13

U-cort, 12

Triderma Forte, 12

Uvadex, 6

Uceris, 14, 19

trifluoperazine HCL, 23

V

Udamin, 34

trifluridine, 26

Udamin SP, 34

Vagifem, 20

Triglide, 10

Ulesfia, 13

valacyclovir HCL, 3

trihexyphenidyl HCL, 25

Uloric, 30

Valchlor, 4

Trileptal, 25

Ulticare Thin Lancets 30G, 36

Valcyte, 3

Trilipix, 10

Ultilet Basic Lancets 30G, 36

valganciclovir, 3

trimethobenzamide HCL, 19

Ultilet Classic Lancets, 37

Validerm, 12

trimethoprim, 4

Ultilet Lancets, 37

Valium, 22

trimethoprim sulfate/polymyxin b sulfate, 26

Ultilet Lancets 33G, 37

valproate sodium, 24

Ultilet Safety Lancets 23G, 37

valproic acid, 24

trimipramine maleate, 22

Ultima Test Strips, 38

valsartan, 8

Trinate, 33

Ultiva, 29

valsartan/hydrochlorothiazide, 8

Triostat, 18

Ultra-thin II Auto Lancet, 37

Valstar, 4

Trisenox, 6

Ultra-thin II Lancets 28G, 37

Valtrex, 3

Triseon, 11

Ultra-thin II Lancets 30G, 37

Valumark Lancet Super Thin 30G, 37

Triumeq, 3

Ultra-thin II Safety Autolancets 26G, 37

Valumark Lancet Ultra Thin 28G, 37

Triveen-duo DHA, 34

Ultracet, 29

Vancocin HCL, 4

Triveen-prx RNF, 34

Ultram, 29

vancomycin HCL, 4

Trizivir, 3

Ultram ER, 29

Vancomycin HCL, 4

Trokendi XR, 25

Ultrasal-ER, 13

Vancomycin HCL IN Dextrose, 4

Tropazone, 13

Ultratrak Pro Test Strips, 38

Vanos, 12

trospium chloride, 20

Ultratrak Ultimate Test Strips, 38

Vanoxide-HC, 11

trospium chloride ER, 20

Ultravate, 12

Vantas, 5

True Metrix Blood Glucosetest Strips, 38

Ultravate PAC, 12

Vaprisol, 17

True Metrix Self Monitoring Blod Glucose Strips, 38

Ultravate X, 12

Vaqta, 33

Ultresa, 19

Varivax, 33

Trueplus Lancets 26G, 36

Umecta, 13

Vascepa, 9


Umecta Nail Film, 13

Vaseretic, 9

Trueplus Lancets 28G Super Thin, 36

Umecta PD, 13

vasopressin, 17


Unasyn, 1

Vasostrict, 17

Trueplus Lancets 30G Ultra Thin, 36

Unasyn Bulk Pack, 1

Vasotec, 8


Unilet Comfortouch Lancet, 37

Vazculep, 9

Trueplus Lancets 33G Micro Thin, 36

Unilet Excelite, 37

Vecamyl, 8

Trueplus Safety Lancets 28G, 36

Unilet Excelite II, 37

Vectibix, 5

Truetest Blood Glucose T Est, 38

Unilet G.p. Lancet, 37

Vectical, 12

Truetest Blood Glucose T Est Strips, 38

Unilet G.p. Superlite Lancet, 37

vecuronium bromide, 25

Truetest Strips, 38

Unilet GP 28 Ultra Thin, 37

Velcade, 6

Truetrack Blood Glucose Test, 38

Unilet Lancet, 37

Veletri, 10

Truetrack Test, 38

Unilet Superlite Lancet, 37

Velphoro, 19

Trulicity, 15

Uniretic, 9

Veltin, 11

Trumenba, 33

Unistik 3 Gentle, 37

Vemavite-prx 2, 34

Trusopt, 27

Unistrip1 Generic, 38

venlafaxine HCL, 22

Truvada, 3

Univasc, 8

venlafaxine HCL ER, 22

Tucks Anti-itch, 12

Universal 1 Lancets Thin 26G, 37

Venlafaxine HCL ER, 23

Tudorza Pressair, 32

Universal 1 Lancets Ultra Thin 30G, 37

Venofer, 20

Turkel Paracentesis Procedure Tray/8french, 30

Uramaxin, 13

Ventavis, 10

Uramaxin GT, 13

Ventolin HFA, 32

Tussicaps, 31

Uramaxin GT Kit, 13

Veramyst, 31

Tussionex Pennkinetic Extended

urea, 13

verapamil HCL, 7

Verapamil HCL, 7

Vitafol-one, 34

Xarelto Starter Pack, 21

verapamil HCL ER, 7

Vitafol-pn, 34

Xartemis XR, 29

verapamil HCL SR, 7

Vital-d RX, 34

Xclair, 13

Verdeso, 12

Vitalet Pro Lancets, 37

Xeljanz, 30

Veregen, 13

Vitalet Pro Plus Lancets, 37

Xeloda, 5

Verelan, 7

Vitamedmd One RX/Quatrefolic, 34

Xenazine, 25

Verelan PM, 7

Vitamedmd Plus RX/Quatre Folic, 34

Xeomin, 25

Veripred 20, 14

Vitamedmd Redichew RX, 34

Xerese, 11

Verrunex, 13

Vitamedmd Redichew RX/Quatrefolic, 34

Xgeva, 16

Versacloz, 23

vitamin c 222MG, 33

Xifaxan, 4

Vesicare, 20

vitamin d, 33

Xigduo XR, 16

Vexa, 13

vitamin k1, 33

Xodol, 29

Vexol, 27

Vitamin K1, 33

Xofigo, 6

Vfend, 2

Vitapearl, 34

Xolair, 32

Vfend IV, 3

Vitaroca Plus, 34

Xolegel, 11

Viagra, 10

Vitekta, 3

Xolegel Corepak, 11

Vibativ, 4

Vituz, 31

Xolegel Duo/Head & Shoulders, 11

Vibramycin, 2

Viva CT Prenatal, 34

Xolegel Duo/Xolex, 11

Vicoprofen, 29

Viva DHA, 34

Xolox, 29

Victory Agm-4000 Test Strips, 38

Vivactil, 23

Xopenex, 32

Victoza, 15

Vivelle-dot, 14

Xopenex Concentrate, 32

Victrelis, 3

Vivotif Berna, 33

Xopenex HFA, 32

Vida Mia Unilet Lancets Super Thin 30G, 37

Vocal Point Blood Glucose Test Strips, 38

Xtandi, 5

Xylocaine, 8, 14, 30

Vida Mia Unilet Lancets Ultra Thin 28G, 37

Vogelxo, 14

Xylocaine-mpf, 30

Vogelxo P.M., 14

Xylocaine-mpf/Epinephrine, 30

Vidaza, 5

Voltaren, 11

Xylocaine/Epinephrine, 30

Videx EC, 3

Voltaren-XR, 30

Xyntha, 21

Videx Pediatric, 3

Voluven, 22

Xyntha Solofuse, 22

Viekira PAK, 3

Vopac, 11

Xyrem, 25

Vigamox, 26

Vopac GB, 11

Xyzal, 31

Viibryd, 23

Vopac Kt, 11

Y

Vimizim, 17

Voraxaze, 6

Yasmin 28, 15

Vimovo, 30

voriconazole, 2

Yaz, 15

Vimpat, 25

Vortex Valved Holding Chamber, 38

Yervoy, 5

Vinacal, 34

Vosol HC, 28

Yf-vax, 33

Vinacal B, 34

Vospire ER, 32

Yodoxin, 3

Vinate AZ Extra, 34

Votrient, 6

Z

Vinate C, 33

Vpriv, 20

Vinate Calcium, 34

Vsl#3 DS, 18

Zacare 4% Kit, 11

Vinate Care, 33

Vusion, 11

Zacare 8% Kit, 11

Vinate DHA, 34

Vytorin, 9

zafirlukast, 31

Vinate DHA RF, 34

Vyvanse, 24

zaleplon, 23

Vinate GT, 33

W

Zaltrap, 5

Vinate IC, 33

Zanaflex, 26

W&f Lancets 26G, 37

Vinate II, 33

Zanosar, 4

W&f Lancets Colored 21G, 37

Vinate M, 33

Zantac, 18

Walgreens Lancets, 37

Vinate One, 33

Zarontin, 25

Walgreens Thin Lancets, 37

Vinate Pn Care, 33

Zaroxolyn, 9

Walgreens Ultra Thin Lancets, 37

Vinblastine Sulfate, 6

Zatean-CH, 34

warfarin sodium, 21

vincristine sulfate, 5

Zatean-pn, 34

Watchhaler, 39

vinorelbine tartrate, 5

Zatean-pn DHA, 34

Wavesense Presto Test Strips, 38

Viokace, 19

Zatean-pn Plus, 34

Welchol, 9

Viracept, 3

Zavesca, 21

Wellbutrin, 23

Viramune, 3

Zebeta, 7

Wellbutrin SR, 23

Viramune XR, 3

Zegerid, 18

Wellbutrin XL, 23

Virasal, 13

Zelapar, 25

Westcort, 12

Virazole, 3

Zelboraf, 6

Westhroid, 18

Viread, 3

Zemaira, 32

Wheat Germ, 33

Viroptic, 26

Zemplar, 17

Wilate, 21

Vistaril, 22

Zemuron, 26

Wp Thyroid, 18

Vistide, 3

Zenatane, 10

X

Vita-pren, 34

Zenpep, 19

Vitafol, 34

Xalatan, 27

Zenzedi, 24

Vitafol Ultra, 34

Xalkori, 6

Zerit, 3

Vitafol-nano, 34

Xanax, 22

Zestoretic, 9

Vitafol-OB, 33

Xanax XR, 22

Zestril, 8

Vitafol-ob+dha, 34

Xarelto, 21

Zetia, 9

Zetonna, 31

Zyvox, 4

Zevalin Y-90, 5

1

Ziac, 9

1ST Choice Lancets Super Thin, 37

Ziagen, 3

1ST Choice Lancets Thin, 37

Ziana, 10

1ST Choice Lancets Ultra Thin, 37

zidovudine, 3

8

Zinacef, 1

Zinacef IN Iso-osmotic Diluent, 1

8-mop, 11

Zinecard, 6

Zioptan, 27

ziprasidone HCL, 23

Zipsor, 30

Zirgan, 26

Zithranol, 12

Zithranol-rr, 12

Zithromax, 1

Zithromax Tri-PAK, 1

Zithromax Z-PAK, 1

Zmax, 1

Zocor, 10

Zofran, 19

Zofran Odt, 19

Zohydro ER, 29

Zoladex, 5

zoledronic acid, 16

Zoledronic Acid, 16

Zolinza, 6

zolmitriptan, 30

zolmitriptan odt, 30

Zoloft, 23

zolpidem tartrate, 23

zolpidem tartrate ER, 23

Zolpimist, 24

Zolvit, 29

Zometa, 16

Zomig, 30

Zomig Nasal Spray, 30

Zomig ZMT, 30

Zonalon, 11

Zonatuss, 31

Zonegran, 25

zonisamide, 24

Zontivity, 22

Zorbtive, 17

Zortress, 5

Zorvolex, 29

Zostavax, 33

Zosyn, 1

Zovia 1/50e, 15

Zovirax, 3, 11

Zubsolv, 28

Zuplenz, 19

Zutripro, 31

Zyclara, 12

Zyclara P.M., 13

Zydelig, 6

Zydone, 29

Zyflo, 32

Zyflo CR, 32

Zykadia, 6

Zylet, 27

Zyloprim, 30

Zymaxid, 26

Zyprexa, 23

Zyprexa Relprevv, 23

Zyprexa Zydis, 23

Zytiga, 5

Zyvodol, 11

Documents

List of covered drugs - consolidatedhealthplan.com National Comprehensive Formulary...Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC”