List of covered drugs · Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions

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 chosen a formulary structure which includes most prescription drugs. The

formulary structure features 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 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

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

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

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

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

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

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

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

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

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

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

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

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

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

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

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

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

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

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

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

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

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

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

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

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

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

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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

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

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

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

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

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

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

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

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

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

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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

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

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

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

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

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

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

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

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

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

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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

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

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

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

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

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

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

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

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

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

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

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

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

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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

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

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

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

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

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

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

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

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

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

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

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

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

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

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

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

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

NON PREFERRED

Cefaclor

Cefaclor ER

Cefotetan

January 2015

Cefotetan/Dextrose

Cefoxitin Sodium

ANTI-INFECTIVES

Ceftin

Cefuroxime Sodium

PENICILLINS

Cefuroxime/Dextrose

GENERIC

Mefoxin

amoxicillin

Zinacef

amoxicillin/clavulanate potassium

Zinacef IN Iso-osmotic Dextrose

amoxicillin/clavulanate potassium ER

Zinacef IN Iso-osmotic Diluent

ampicillin

THIRD GENERATION

ampicillin sodium

GENERIC

ampicillin-sulbactam

cefdinir

dicloxacillin sodium

cefotaxime sodium

nafcillin sodium

cefpodoxime proxetil

oxacillin sodium

ceftazidime

penicillin v potassium

ceftriaxone sodium

penicillin G potassium

NON PREFERRED

piperacillin sodium/ tazobactam sodium

Cedax

piperacillin sodium/tazobactam sodium

Cefditoren Pivoxil

piperacillin/tazobactam

Ceftazidime

NON PREFERRED

Ceftazidime/Dextrose

Amoxicillin

Ceftibuten

Amoxicillin ER

Ceftriaxone IN Iso-osmotic Dextrose

Ampicillin

Ceftriaxone/Dextrose

Ampicillin Sodium

Claforan

Ampicillin-sulbactam

Claforan/D5W

Augmentin

Fortaz

Augmentin ES-600

Rocephin

Augmentin XR

Spectracef

Bactocill IN Dextrose

Suprax

Bicillin C-R

Tazicef

Bicillin L-a

FOURTH GENERATION

Moxatag

GENERIC

Nafcillin Sodium

cefepime

Nallpen Iso-osmotic IN Dextrose

NON PREFERRED

Nallpen/Dextrose

Cefepime

Penicillin G Potassium IN Iso-osmotic Dextrose

Maxipime

Penicillin G Procaine

Penicillin G Sodium

MACROLIDES

Pfizerpen-G

GENERIC

Timentin

azithromycin

Unasyn

clarithromycin

Unasyn Bulk Pack

clarithromycin ER

Zosyn

erythromycin

NON PREFERRED

CEPHALOSPORIN

Azithromycin

FIRST GENERATION

Biaxin

GENERIC

Biaxin XL

cefadroxil

Biaxin XL PAC

cefazolin sodium

Dificid

cephalexin

E.e.s. Granules

NON PREFERRED

E.e.s. 400

Ancef

Ery-TAB

Cefazolin Sodium

Eryped 200

Cefazolin Sodium/Dextrose

Eryped 400

Cephalexin

Erythrocin Lactobionate

Keflex

Erythrocin Stearate

SECOND GENERATION

Erythromycin Base

GENERIC

Erythromycin Ethylsuccinate

cefaclor

PCE

cefoxitin sodium

Zithromax

cefprozil

Zithromax Tri-PAK

cefuroxime axetil

Zithromax Z-PAK

cefuroxime sodium

Zmax

Effective January 1, 2015 v.2

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

1

TETRACYCLINES

NON PREFERRED

Bethkis

GENERIC

Gentamicin Sulfate/0.9% Sodium Chloride

demeclocycline HCL

Isotonic Gentamicin

doxycycline

Streptomycin Sulfate

doxycycline hyclate

Tobi

doxycycline hyclate DR

Tobramycin Sulfate/Sodium Chloride

doxycycline monohydrate

minocycline HCL

SULFONAMIDES

minocycline HCL ER

NON PREFERRED

PREFERRED

Acticlate

Sulfisoxizole

Adoxa

NON PREFERRED

Adoxa PAK 1/100

Sulfadiazine

Adoxa PAK 1/150

Adoxa PAK 2/100

ANTIMYCOBACTERIAL AGENTS

Alodox Convenience Kit

GENERIC

Avidoxy DK

ethambutol HCL

Doryx

isoniazid

Dynacin

pyrazinamide

Minocin

rifabutin

Minocin Kit

rifampin

Monodox

PREFERRED

Morgidox 1X100MG

Priftin

Morgidox 2X100MG

Seromycin

Nicazeldoxy 30 Kit

Sirturo

Nicazeldoxy 60 Kit

NON PREFERRED

Nutridox

Capastat Sulfate

Ocudox

Cycloserine

Oraxyl

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

Ofloxacin

griseofulvin microsize

NON PREFERRED

griseofulvin ultramicrosize

Avelox

itraconazole

Avelox Abc Pack

ketoconazole

Cipro

nystatin

Cipro I.V.-IN D5W

terbinafine HCL

Cipro XR

voriconazole

Factive

PREFERRED

Levaquin

Cancidas

Noroxin

Mycamine

Noxafil

AMINOGLYCOSIDES

NON PREFERRED

GENERIC

Abelcet

amikacin sulfate

Ambisome

gentamicin sulfate

Amphotec

gentamicin sulfate pediatric

Amphotericin B

gentamicin sulfate/sodium chloride

Ancobon

gentamicin sulfate/0.9% sodium chloride

Diflucan

isotonic gentamicin

Eraxis

neomycin sulfate

Fluconazole IN NACL

paromomycin sulfate

Grifulvin V

tobramycin

Gris-peg

tobramycin sulfate

Lamisil

PREFERRED

Onmel

Tobi Podhaler

Sporanox

Sporanox Pulsepak

Effective January 1, 2015

2

Terbinex

Videx Pediatric

Vfend

Viracept

Vfend IV

Viread

NON PREFERRED

ANTIVIRALS

Acyclovir Sodium

Baraclude

GENERIC

Combivir

abacavir

Copegus

abacavir sulfate/lamivudine/zidovudine

Cytovene

acyclovir

Epivir

acyclovir sodium

Epivir HBV

adefovir dipivoxil

Famvir

cidofovir

Flumadine

didanosine

Foscarnet Sodium

entecavir

Foscavir

famciclovir

Harvoni

ganciclovir

Hepsera

lamivudine

Infergen

lamivudine/zidovudine

Rebetol

nevirapine

Retrovir

nevirapine ER

Rimantalist

ribavirin

Sitavig

rimantadine HCL

Triumeq

stavudine

Trizivir

valacyclovir HCL

Tybost

valganciclovir

Tyzeka

zidovudine

Valcyte

PREFERRED

Valtrex

Aptivus

Videx EC

Atripla

Viramune

Complera

Viramune XR

Crixivan

Virazole

Edurant

Vistide

Emtriva

Zerit

Epzicom

Ziagen

Fuzeon

Zovirax

Incivek

Intelence

ANTIMALARIALS

Invirase

Isentress

GENERIC

Kaletra

atovaquone/proguanil HCL

Lexiva

chloroquine phosphate

Moderiba

hydroxychloroquine sulfate

Moderiba 1200 Dose Pack

mefloquine HCL

Moderiba 800 Dose Pack

quinine sulfate

Nevirapine

Primaquine Phosphate

Norvir

PREFERRED

Olysio

Coartem

Peg-intron

Daraprim

Peg-intron Redipen

NON PREFERRED

Peg-intron Redipen PAK 4

Aralen

Pegasys

Malarone

Pegasys Proclick

Plaquenil

Pegintron

Qualaquin

Prezista

Relenza Diskhaler

AMEBICIDES

Rescriptor

NON PREFERRED

Retrovir IV Infusion

Yodoxin

Reyataz

Ribasphere

ANTHELMINTICS

Ribasphere Ribapak

GENERIC

Ribatab

ivermectin

Selzentry

PREFERRED

Sovaldi

Albenza

Stribild

NON PREFERRED

Sustiva

Biltricide

Tamiflu

Stromectol

Tivicay

Truvada

MISC. ANTI-INFECTIVES

Victrelis


3

GENERIC

ANTINEOPLASTICS, ETC

atovaquone

ALKYLATING AGENTS

aztreonam

GENERIC

bacitracin

carboplatin

clindamycin palmitate HCL

cisplatin

clindamycin phosphate

cyclophosphamide

clindamycin phosphate add-vantage

ifosfamide

clindamycin phosphate pharmacy bulk package

melphalan hydrochloride

clindamycin phosphate IN D5W

oxaliplatin

clindamycin HCL

temozolomide

colistimethate sodium

Lomustine

imipenem/cilastatin

PREFERRED

meropenem

Alkeran

metronidazole

Bicnu

metronidazole IN NACL 0.79%

Busulfex

polymyxin b sulfate

Gliadel Wafer

sulfamethoxazole/trimethoprim

Hexalen

sulfamethoxazole/trimethoprim DS

Leukeran

tinidazole

Mustargen

trimethoprim

Myleran

vancomycin HCL

Treanda

Dapsone

Valchlor

PREFERRED

Zanosar

Alinia

NON PREFERRED

Cayston

Carboplatin

Dalvance

Cisplatin

Nebupent

Cyclophosphamide

Tygacil

Eloxatin

Xifaxan

Ifex

Zyvox

Ifosfamide

NON PREFERRED

Temodar

Azactam

Azactam IN Iso-osmotic Dextrose

ANTIBIOTICS

Bacitracin

GENERIC

Bactrim

bleomycin sulfate

Bactrim DS

daunorubicin HCL

Chloramphenicol Sodium Succinate

doxorubicin HCL

Cleocin

doxorubicin HCL liposome

Cleocin IN D5W

epirubicin HCL

Cleocin Pediatric Granules

idarubicin HCL

Cleocin Phosphate

mitomycin

Clindamycin Phosphate

mitoxantrone 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

Merrem

ANTINEOPLASTIC ENZYMES

Metro IV

PREFERRED

Neutrexin

Elspar

Orbactiv

Erwinaze

Pentam 300

Oncaspar

Primaxin IV

Primaxin IV Add-vantage

ANTIMETABOLITES

Primsol

GENERIC

Sivextro

azacitidine

Sulfamethoxazole/Trimethoprim

capecitabine

Synercid

cladribine

Tindamax

cytarabine

Vancocin HCL

cytarabine aqueous

Vancomycin HCL

decitabine

Vancomycin HCL IN Dextrose

floxuridine

Vibativ

fludarabine phosphate


4

fluorouracil

Soltamox

gemcitabine HCL

Trelstar Depot

mercaptopurine

Trelstar Depot Mixject

methotrexate

Trelstar LA

methotrexate sodium

Trelstar LA Mixject

PREFERRED

Trelstar Mixject

Alimta

Vantas

Arranon

Xtandi

Clolar

Zoladex

Depocyt

Zytiga

Folotyn

NON PREFERRED

Purixan

Arimidex

Tabloid

Aromasin

Trexall

Casodex

NON PREFERRED

Femara

Cytarabine

Megace Oral

Dacogen

Fludara

IMMUNOMODULATORS

Fludarabine Phosphate

GENERIC

Gemcitabine

azathioprine

Gemzar

cyclosporine

Purinethol

cyclosporine modified

Vidaza

mycophenolate mofetil

Xeloda

mycophenolic acid DR

sirolimus

ANGIOGENESIS INHIBITORS

tacrolimus

PREFERRED

PREFERRED

Avastin

Azasan

Cyramza

Pomalyst

Zaltrap

Rapamune

Revlimid

ANTIBODIES

Thalomid

NON PREFERRED

PREFERRED

Astagraf XL

Adcetris

Atgam

Arzerra

Cellcept

Bexxar

Cellcept Intravenous

Erbitux

Cyclosporine Modified

Gazyva

Imuran

Herceptin

Myfortic

Kadcyla

Neoral

Perjeta

Nulojix

Rituxan

Prograf

Vectibix

Sandimmune

Yervoy

Simulect

Zevalin Y-90

Thymoglobulin

NON PREFERRED

Zortress

Keytruda

MITOTIC INHIBITORS

HORMONAL AGENTS

GENERIC

GENERIC

docetaxel

anastrozole

etoposide

bicalutamide

paclitaxel

exemestane

vincristine sulfate

flutamide

vinorelbine tartrate

letrozole

PREFERRED

leuprolide acetate

Abraxane

megestrol acetate

Docefrez

tamoxifen citrate

Etopophos

PREFERRED

Halaven

Depo-provera

Ixempra Kit

Eligard

Jevtana

Emcyt

Marqibo

Fareston

Taxotere

Faslodex

Teniposide

Firmagon

NON PREFERRED

Lupron Depot

Docetaxel

Lysodren

Etoposide

Megestrol Acetate

Navelbine

Nilandron


5

Paclitaxel

Intron-a

Vinblastine Sulfate

Intron-a W/Diluent

Matulane

ENZYME INHIBITORS

Photofrin

Proleukin

PREFERRED

Sylatron

Afinitor

Synribo

Afinitor Disperz

Targretin

Bosulif

Theracys

Caprelsa

Tice Bcg

Cometriq

Trisenox

Gilotrif

Uvadex

Gleevec

NON PREFERRED

Iclusig

Dacarbazine

Imbruvica

Hydrea

Inlyta

Nipent

Istodax

Jakafi

CHEMOTHERAPY RESCUE

Kyprolis

Mekinist

GENERIC

Nexavar

amifostine

Sprycel

dexrazoxane

Stivarga

leucovorin calcium

Sutent

mesna

Tafinlar

PREFERRED

Tarceva

Fusilev

Tasigna

Totect

Torisel

Voraxaze

Tykerb

NON PREFERRED

Velcade

Calcium Folinate

Votrient

Ethyol

Xalkori

Leucovorin Calcium

Zelboraf

Mesnex

Zolinza

Zinecard

Zykadia

NON PREFERRED

CHEMOTHERAPY ADJUNCTS

Beleodaq

PREFERRED

Zydelig

Elitek

Kepivance

TOPOISOMERASE I INHIBITOR

GENERIC

ANTINEOPLASTIC COMBO

irinotecan

NON PREFERRED

topotecan HCL

Ifosfamide/Mesna

NON PREFERRED

Camptosar

CARDIOVASCULAR DRUGS

Hycamtin

PHOSPHODIESTERASE INHBTR

Irinotecan

GENERIC

Topotecan HCL

milrinone lactate

milrinone IN dextrose

RADIOPHARMACEUTICALS

PREFERRED

CARDIAC GLYCOSIDES

Bexxar 131 Iodine

GENERIC

Metastron

digoxin

Quadramet

NON PREFERRED

NON PREFERRED

Digoxin

Xofigo

Lanoxin

Lanoxin Pediatric

CELLULAR IMMUNOTHERAPY

PREFERRED

ANTIANGINAL AGENTS

Provenge

GENERIC

isosorbide dinitrate

ANTINEOPLASTICS MISC.

isosorbide dinitrate ER

GENERIC

isosorbide mononitrate

dacarbazine

isosorbide mononitrate ER

hydroxyurea

nitroglycerin

tretinoin

nitroglycerin lingual

PREFERRED

nitroglycerin transdermal

Actimmune

nitroglycerin IN dextrose 5%

Alferon N

nitroglycerin IN 5% dextrose

Intron A


6

PREFERRED

nimodipine

Dilatrate SR

nisoldipine

Nitro-bid

verapamil HCL

Nitrostat

verapamil HCL ER

Ranexa

verapamil HCL SR

NON PREFERRED

Verapamil HCL

Imdur

NON PREFERRED

Isordil Titradose

Adalat CC

Isosorbide Dinitrate

Calan

Nitro-dur

Calan SR

Nitroglycerin

Cardene I.v.

Nitroglycerin IN Dextrose 5%

Cardene IV

Nitroglycerin Lingual

Cardene SR

Nitrolingual Pumpspray

Cardizem

Nitromist

Cardizem CD

Nitronal

Cardizem LA

Cleviprex

BETA BLOCKERS

Dilacor XR

Diltiazem HCL

GENERIC

Hypertenipine-2.5

acebutolol HCL

Isoptin SR

atenolol

Isradipine

betaxolol HCL

Nisoldipine

bisoprolol fumarate

Nisoldipine ER

carvedilol

Norvasc

esmolol HCL

Nymalize

labetalol HCL

Procardia

metoprolol succinate ER

Procardia XL

metoprolol tartrate

Sular

nadolol

Tiazac

pindolol

Verelan

propranolol HCL

Verelan PM

propranolol HCL ER

sotalol HCL

ANTIARRHYTHMICS

sotalol HCL (AF)

PREFERRED

GENERIC

Bystolic

adenosine

Coreg CR

amiodarone HCL

NON PREFERRED

disopyramide phosphate

Betapace

flecainide acetate

Betapace AF

ibutilide fumarate

Brevibloc

lidocaine HCL

Coreg

lidocaine HCL IN D5W

Corgard

lidocaine HCL/dextrose

Hemangeol

mexiletine HCL

Hypertenevide-12.5

propafenone HCL

Inderal LA

propafenone HCL ER

Inderal XL

quinidine gluconate CR

Innopran XL

quinidine gluconate ER

Kerlone

quinidine sulfate

Levatol

Quinidine Sulfate

Lopressor

PREFERRED

Propranolol HCL

Tikosyn

Sectral

NON PREFERRED

Tenormin

Adenocard

Timolol Maleate

Amiodarone HCL

Toprol XL

Cordarone

Trandate

Corvert

Zebeta

Lidocaine HCL

Multaq

CALCIUM CHANNEL BLOCKERS

Nexterone

Norpace

GENERIC

Norpace CR

amlodipine besylate

Procainamide HCL

diltiazem CD

Quinidine Gluconate

diltiazem HCL

Quinidine Sulfate ER

diltiazem HCL ER

Rythmol

felodipine ER

Rythmol SR

nicardipine HCL

Tambocor

nifedipine

Xylocaine

nifedipine ER


7

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

valsartan/hydrochlorothiazide

valsartan

PREFERRED

PREFERRED

Amturnide

Benicar

Azor

NON PREFERRED

Benicar HCT

Atacand

Tarka

Avapro

Tekamlo

Cozaar

Tekturna HCT

Diovan

Tribenzor

Edarbi

NON PREFERRED

Micardis

Accuretic

Teveten

Atacand HCT

Avalide

DIRECT RENIN INHIBITORS

Captopril/Hydrochlorothiazide

PREFERRED

Clorpres

Tekturna

Corzide

Diovan HCT

ANTIHYPERTENSIVES MISC.

Dutoprol

GENERIC

Edarbyclor

clonidine HCL

Exforge

doxazosin mesylate

Exforge HCT

eplerenone

Hypertensolol

fenoldopam mesylate

Hyzaar

guanfacine HCL

Lopressor HCT

hydralazine HCL

Lotensin HCT

methyldopa

Lotrel

minoxidil

Lytensopril Kit

prazosin HCL

Lytensopril-90

terazosin HCL

Lytensopril-90 Kit

PREFERRED

Methyldopa/Hydrochlorothiazide

Demser

Micardis HCT

Dibenzyline

Propranolol/Hydrochlorothiazide

NON PREFERRED

Tenoretic 100

Cardura

Tenoretic 50

Catapres

Teveten HCT

Catapres-tts-1

Twynsta

Catapres-tts-2

Uniretic

Catapres-tts-3


8

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

Lopid

dobutamine HCL/D5W

Lovaza

dobutamine/dextrose 5%

Mevacor

dopamine HCL

Niacor

dopamine HCL-dextrose 5%

Niaspan

dopamine HCL/dextrose 5%

Pravachol

dopamine/D5W

Questran

ephedrine sulfate

Questran Light

midodrine HCL

Tricor

norepinephrine bitartrate

Triglide

phenylephrine HCL

Trilipix

PREFERRED

Zocor

Auvi-q

Epipen 2-PAK

CARDIOVASCULAR - MISC.

Epipen-JR 2-PAK

NON PREFERRED

GENERIC

Adrenaclick

amlodipine besylate/atorvastatin calcium


9

epoprostenol sodium

Azelex

papaverine HCL

Benzac Ac Wash

sildenafil

Benzac W Wash

sildenafil citrate

Benzaclin

PREFERRED

Benzaclin With P.M.

Adcirca

Benzamycin

Adempas

Benzamycinpak

Caverject

Benzefoam

Caverject Impulse

Benzefoamultra

Cialis

Benziq

Letairis

Benziq LS

Muse

Clarifoam EF

Opsumit

Cleocin-t

Remodulin

Clindacin Etz

Tracleer

Clindacin PAC

Tyvaso

Clindagel

Tyvaso Refill

Differin

Tyvaso Starter

Duac

Veletri

Erygel

Ventavis

Evoclin

Viagra

Fabior

Inova

NON PREFERRED

Inova 4/1 Acne Control Therapy

Bidil

Inova 8/2 Acne Control Therapy

Caduet

Klaron

Flolan

Lavoclen-4 Creamy Wash

Levitra

Lavoclen-8 Creamy Wash

Natrecor

Neuac Kit

Orenitram

Nuox

Revatio

Plexion

Staxyn

Plexion Cleanser

Stendra

Plexion Cleansing Cloths

Retin-a

DERMATOLOGICALS

Retin-a Micro

Retin-a Micro P.M.

ACNE PRODUCTS

Riax

GENERIC

Rosanil

adapalene

Sodium Sulfacetamide/Sulfur

benzoyl peroxide

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

benzoyl peroxide SHORT contact

Sodium Sulfacetamide/Sulfur IN Urea


Sulfoam

clindamycin/benzoyl peroxide

Sumadan Kit

erythromycin

Sumadan Wash

erythromycin/benzoyl peroxide

Sumadan XLT

sodium sulfacetamide

Sumaxin

sodium sulfacetamide/sulfur

Sumaxin CP Kit

sodium sulfacetamide/sulfur cleanser

Sumaxin Ts

sodium sulfacetamide/sulfur cleansing cloths

Sumaxin Wash

sodium sulfacetamide/sulfur green

Tretin-x

sodium sulfacetamide/sulfur w/sunscreen

Vanoxide-HC

sodium sulfacetamide/sulfur wash

Veltin

sulfacetamide sodium

Zacare 4% Kit

sulfacetamide sodium/sulfur cleanser

Zacare 8% Kit

tretinoin

tretinoin microsphere

ROSACEA AGENTS

tretinoin microsphere P.M.

GENERIC

Claravis

metronidazole

PREFERRED

Doxycycline

Acanya

PREFERRED

Atralin

Finacea

Epiduo

Mirvaso

Ziana

Oracea

NON PREFERRED

NON PREFERRED

Absorica

Metrocream

Aczone

Metrogel

Akne-mycin

Metrolotion

Avar

Noritate

Avar LS

Rosadan Kit

Avar LS Cleanser

Avar-e LS


10

ANALGESICS - TOPICAL

NON PREFERRED

Lidovir

NON PREFERRED

Xerese

A.a.g.c. Kit IN Teroderm

Zovirax

ANTIBIOTICS - TOPICAL

ANTI-INFLAMMATORY AGENTS

GENERIC

GENERIC

mupirocin

diclofenac sodium

mupirocin calcium

PREFERRED

Centany

Voltaren

NON PREFERRED

NON PREFERRED

Altabax

Flector

Bactroban

K.b.g.l. IN Teroderm Cream

Centany AT

Ketorolac 2% Gel

Cortisporin

Lidoprofen

Gentamicin Sulfate

Pennsaid

Neo-synalar

Vopac

Neo-synalar Kit

Vopac GB

Vopac Kt

ANTIFUNGALS - TOPICAL

GENERIC

ANTIPRURITICS

ciclopirox

NON PREFERRED

ciclopirox nail lacquer

Prudoxin

ciclopirox olamine

Zonalon

clotrimazole

clotrimazole/betamethasone dipropionate

ANTIPSORIATICS

econazole nitrate

ketoconazole

GENERIC

nystatin

acitretin

nystatin/triamcinolone

calcipotriene

PREFERRED

methoxsalen

Nystatin

Calcitriol

Nystatin Foreign

PREFERRED

NON PREFERRED

Tazorac

Ciclodan Cream Kit

8-mop

Ciclodan Solution Kit

NON PREFERRED

Ciclopirox Topical Solution Kit

Dovonex

Cnl8 Nail Kit

Dritho-creme HP

Ecoza

Oxsoralen Ultra

Ertaczo

Soriatane

Exelderm

Sorilux

Extina

Stelara

Halotin

Vectical

Jublia

Zithranol

Kerydin

Zithranol-rr

Ketodan Kit

Lamisil Spray

ANTISEBORRHEIC AGENTS

Loprox

GENERIC

Loprox Shampoo

selenium sulfide

Lotrisone


Luzu

sodium sulfacetamide wash

Mentax

NON PREFERRED

Naftin

Glycolic Acid

Nizoral

Glycolic Acid 70% High Purity

Oxistat

Ovace Plus

Pediaderm AF Complete Kit

Ovace Plus Wash

Pedipirox-4 Nail

Ovace Wash

Penlac Nail Lacquer

Promiseb

Vusion

Promiseb Complete

Xolegel

Seb-prev

Xolegel Corepak

Selenium Sulfide

Xolegel Duo/Head & Shoulders

Selrx

Xolegel Duo/Xolex

Selsun Shampoo

Sodium Sulfacetamide/Urea

ANTIVIRALS - TOPICAL

Tersi Foam

GENERIC

TL Triseb

acyclovir

PREFERRED

CORTICOSTEROIDS - TOPICAL

Denavir

GENERIC

alclometasone dipropionate


11

augmented betamethasone dipropionate

Nucort

betamethasone dipropionate

Nuzon

betamethasone valerate

Olux

calcipotriene/betamethasone dipropionate

Olux-e

clobetasol propionate

Pandel

clobetasol propionate emollient

Pediaderm HC

desonide

Pediaderm Ta

desoximetasone

Scalacort DK

diflorasone diacetate

Synalar

fluocinolone acetonide

Synalar Cream Kit

fluocinonide

Synalar Ointment Kit

fluocinonide emollient base

Synalar Ts

fluocinonide-e

Taclonex

fluticasone propionate

Temovate

halobetasol propionate

Temovate E

hydrocortisone

Texacort

hydrocortisone acetate/aloe

Topicort

hydrocortisone butyrate

Triamcinolone Acetonide

hydrocortisone butyrate (lipid)

Trianex

hydrocortisone butyrate (lipophilic)

U-cort

hydrocortisone valerate

Ultravate

hydrocortisone IN absorbase

Ultravate PAC

mometasone furoate

Ultravate X

prednicarbate

Vanos

triamcinolone acetonide

Verdeso

Amcinonide

Westcort

Apexicon E

Desoximetasone

IMMUNOMODULATING AGENTS

PREFERRED

GENERIC

Pramosone

imiquimod

Pramosone E

tacrolimus

Tucks Anti-itch

PREFERRED

NON PREFERRED

Elidel

Aclovate

NON PREFERRED

Ala Scalp

Aldara

Capex

Protopic

Carmol-HC

Zyclara

Clobex

Zyclara P.M.

Clocortolone Pivalate

Clocortolone Pivalate P.M.

DERMATOLOGICALS - MISC.

Clodan Kit

GENERIC

Cloderm

ammonium lactate

Cloderm P.M.

episone CRE

Cordran

lactic acid

Cordran Tape

lactic acid e

Cutivate

lactic acid w/vitamin e

Derma-smoothe/FS Body

lidocaine

Derma-smoothe/FS Body Oil

lidocaine HCL

Derma-smoothe/FS Scalp

lidocaine HCL jelly

Derma-smoothe/FS Scalp Oil

lidocaine/prilocaine

Dermasorb HC

lindane

Dermasorb Ta

malathion

Dermatop

permethrin

Desonate

podofilox

Desowen

salicylic acid

Desowen Cream/Cetaphil Lotion

salicylic acid cream

Desowen Lotion/Cetaphil Cream

salicylic acid lotion

Desowen Ointment/Cetaphil Lotion

sodium hyaluronate

Diflorasone Diacetate

urea

Diprolene

urea topical

Diprolene AF

urea IN zinc undecylenate/lactic acid vehicle

Elocon

urea 40% nail film

Epifoam

Cem-urea

First-hydrocortisone

Propa PH Acne Medication Cleanser Maximum Strength

Halog

PREFERRED

Halonate

Condylox

Kenalog

Oxsoralen

Locoid

NON PREFERRED

Locoid Lipocream

Aluvea

Luxiq


12

Anacaine

Salex Lotion

Arnica Flower

Salicylic Acid

Atopiclair

Salicylic Acid IN Ammonium Lactate Vehicle

Aurstat Anti-itch Hydrogel

Salkera

Aurstat Anti-itch Hydrogel Kit

Salvax

Benzoin Compound Tincture

Salvax Duo Plus

Benzoin Tincture

Sinelee

Boric Acid

Sklice

Coal TAR

Solaice

Cocaine HCL

Spinosad

Dermasorb XM

Sulfurated Lime

Drysol

Synera

Elenzapatch

Tetrix

Eletone

Tropazone

Eletone Twinpack

TL-cermide

Elimite

Ulesfia

Emla

Ultrasal-ER

Emulsion SB

Umecta

Epiceram

Umecta Nail Film

Ethyl Chloride

Umecta PD

Ethyl Chloride/Fine Pinpoint

Uramaxin

Ethyl Chloride/Fine Stream

Uramaxin GT

Ethyl Chloride/Medium Jet Stream

Uramaxin GT Kit

Ethyl Chloride/Medium Stream

Utopic

Ethyl Chloride/Mist

Veregen

Eurax

Vexa

Gebauers Pain Ease

Virasal

Gebauers Spray And Stretch

Xclair

Genadur

Xylocaine

Genadur Kit

Gordofilm

ENDOCRINE AND METABOLIC

Gordons Urea

CORTICOSTEROIDS

Hydro 35

GENERIC

Hydro 40 Foam

betamethasone sodium phosphate/betamethasone acetate

Hylatopic

Hylatopic Plus

budesonide

Hylira

dexamethasone

HPR

dexamethasone sodium phosphate

HPR Plus

fludrocortisone acetate

HPR Plus/Mb Hydrogel

hydrocortisone

Kerafoam

methylprednisolone

Kerafoam 42

methylprednisolone acetate

Keralac

methylprednisolone dose pack

Keralyt

methylprednisolone sodiumsuccinate

Keralyt Scalp

prednisolone

Lac-hydrin

prednisolone sodium phosphate

Latrix XM

prednisolone sodium phosphate odt

Lidocaine HCL

prednisone

Lidocaine/Prilocaine

A-hydrocort

Lidoderm

Dexamethasone Sodium Phosphate

Lycelle

PREFERRED

Mb Hydrogel

Uceris

Medi-derm/L-RX

NON PREFERRED

Natroba

Aristospan Intra-articular

Neosalus

Aristospan Intralesional

Neosalus CP

Betalido

Nivatopic Plus

Celestone

Nuvail

Celestone-soluspan

Ovide

Cortef

Pliaglis

Cortisone Acetate

Pr Cream

Depo-medrol

Presera

Dexamethasone

Pruclair

Dexamethasone Intensol

Prumyx

Dexlido

Pyrogallic Acid

Dexlido-m

Qutenza

Dexpak 10 Day

Relyyks

Dexpak 13 Day

Relyyt

Dexpak 6 Day

Salex

Doubledex

Salex Cream


13

Dyural-l

Combipatch

Dyural-lm

Enjuvia

Dyural-40

Evamist

Dyural-80

Minivelle

Entocort EC

Premphase

FLO-pred

Prempro

Interarticular Joint Kit

Vivelle-dot

Kenalog-10

NON PREFERRED

Kenalog-40

Activella

Marbeta-l

Angeliq

Marbeta-25

Climara

Mardex-25

Climara Pro

Medrol

Delestrogen

Medrol Dosepak

Depo-estradiol

Millipred

Divigel

Millipred DP

Duavee

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

Veripred 20

CONTRACEPTIVES

GENERIC

ANDROGENS-ANABOLIC

desogestrel/ethinyl estradiol

GENERIC

drospirenone/ethinyl estradiol

danazol

levonorgestrel

oxandrolone

levonorgestrel and ethinyl estradiol

testosterone cypionate

levonorgestrel/ethinyl estradiol

testosterone enanthate

norethindrone

Testosterone

norethindrone acetate/ethinyl estradiol

Testosterone P.M.

norethindrone acetate/ethinyl estradiol/ferrous fumarate

PREFERRED

norgestimate/ethinyl estradiol

Androgel

Ogestrel

Androgel P.M.

PREFERRED

Androxy

Beyaz

Axiron

LO Loestrin FE

NON PREFERRED

Minastrin 24 FE

Anadrol-50

Natazia

Androderm

Safyral

Android

NON PREFERRED

Aveed

Amethyst

Depo-testosterone

Brevicon-28

First-testosterone

Cyclessa

First-testosterone Mc Compounding Kit

Desogen

Fortesta

Ella

Oxandrin

Estrostep FE

Striant

Falessa

Testim

Femcon FE

Testopel

Generess FE

Testred

Loestrin FE 1.5/30

Vogelxo

Loestrin FE 1/20

Vogelxo P.M.

Loestrin 1.5/30-21

Loestrin 1/20-21

ESTROGENS

Loestrin 24 FE

Loseasonique

GENERIC

LO Minastrin FE

estradiol

Mircette

estradiol valerate

Modicon

estradiol/norethindrone acetate

Necon 1/50-28

estropipate

Necon 10/11-28

Jinteli

Nor-QD

PREFERRED

Norinyl 1+35

Alora

Norinyl 1+50

Cenestin


14

Ortho Micronor

Symlinpen 60

Ortho Tri-cyclen

INCRETIN MIMETIC AGENTS

Ortho Tri-cyclen LO

PREFERRED

Ortho-cept

Bydureon

Ortho-cyclen

Byetta

Ortho-novum 1/35

Victoza

Ortho-novum 7/7/7

NON PREFERRED

Ovcon-35

Tanzeum

Plan B

Trulicity

Plan B One-step

SULFONYLUREAS

Quartette

GENERIC

Seasonique

glimepiride

Tri-norinyl 28

glipizide

Yasmin 28

glipizide ER

Yaz

glyburide

Zovia 1/50e

glyburide micronized

tolazamide

PROGESTINS

Glyburide

NON PREFERRED

GENERIC

Amaryl

medroxyprogesterone acetate

Chlorpropamide

norethindrone acetate

Diabeta

progesterone

Glucotrol

PREFERRED

Glucotrol XL

Makena

Glynase

NON PREFERRED

Tolazamide

Aygestin

Tolbutamide

Megace ES

BIGUANIDES

Prometrium

GENERIC

Provera

metformin HCL

metformin HCL ER

ANTIDIABETIC AGENTS

PREFERRED

INSULIN

Riomet

PREFERRED

NON PREFERRED

Lantus

Fortamet

Lantus Solostar

Glucophage

Novolin N

Glucophage XR

Novolin N Relion

Glumetza

Novolin R

MEGLITINIDE ANALOGUES

Novolin R Relion

GENERIC

Novolin 70/30

nateglinide

Novolin 70/30 Relion

repaglinide

Novolog

NON PREFERRED

Novolog Flexpen

Prandin

Novolog Mix 70/30

Starlix

Novolog Mix 70/30 Prefilled Flexpen

DIABETIC OTHER

Novolog Penfill

PREFERRED

NON PREFERRED

Glucagen

Apidra

Glucagen Hypokit

Apidra Solostar

Glucagon Emergency Kit

Humalog

Invokana

Humalog Kwikpen

Proglycem

Humalog Mix 50/50

NON PREFERRED

Humalog Mix 50/50 Kwikpen

Farxiga

Humalog Mix 75/25

Jardiance

Humalog Mix 75/25 Kwikpen

Korlym

Humulin N

ALPHA-GLUCOSIDASE INHIBIT

Humulin N Kwikpen

GENERIC

Humulin N U-100 Pen

acarbose

Humulin R

NON PREFERRED

Humulin R U-500 (concentrated)

Glyset

Humulin 70/30

Precose

Humulin 70/30 Kwikpen

DPP-4 INHIBITORS

Humulin 70/30 Pen

PREFERRED

Levemir

Januvia

Levemir Flexpen

Onglyza

Levemir Flextouch

NON PREFERRED

Relion R

Nesina

AMYLIN ANALOGS

Tradjenta

PREFERRED

Symlinpen 120


15

INSULIN SENSITIZING AGENT

PREFERRED

GENERIC

Xgeva

pioglitazone HCL

NON PREFERRED

NON PREFERRED

Prolia

Actos

Avandia

CALCIUM REGULATORS - MISC

ANTIDIABETIC COMBINATIONS

NON PREFERRED

GENERIC

Ganite

glipizide/metformin HCL

glyburide/metformin HCL

HORMONE RECEPTOR MDLTR

pioglitazone HCL-glimepiride

GENERIC

pioglitazone HCL/metformin HCL

raloxifene hydrochloride

PREFERRED

NON PREFERRED

Actoplus Met XR

Evista

Janumet

Osphena

Janumet XR

Juvisync

FERTILITY REGULATORS

Kombiglyze XR

GENERIC

Prandimet

chorionic gonadotropin

NON PREFERRED

clomiphene citrate

Actoplus Met

PREFERRED

Appformin

Bravelle

Appformin-d

Follistim AQ

Avandamet

Repronex

Avandaryl

NON PREFERRED

Duetact

Gonal-f

Glucovance

Gonal-f RFF

Invokamet

Gonal-f RFF Pen

Jentadueto

Gonal-f RFF Rediject

Kazano

Menopur

Oseni

Ovidrel

Xigduo XR

LHRH/GNRH AGONIST

BISPHOSPHONATES

PREFERRED

GENERIC

Lupron Depot-PED

alendronate sodium

Supprelin LA

ibandronate sodium

Synarel

pamidronate disodium

NON PREFERRED

risedronate sodium

Lupaneta Pack

zoledronic acid

PREFERRED

GNRH/LHRH ANTAGONISTS

Fosamax Plus D

PREFERRED

NON PREFERRED

Cetrotide

Actonel

Ganirelix Acetate

Alendronate Sodium

Atelvia

GROWTH HORMONES

Binosto

PREFERRED

Boniva

Norditropin Cartridge

Etidronate Disodium

Norditropin Flexpro

Fosamax

Norditropin Nordiflex Pen

Pamidronate Disodium

Nutropin

Reclast

Nutropin AQ Nuspin 10

Zoledronic Acid


Zometa


Nutropin AQ Pen

CALCITONINS

NON PREFERRED

GENERIC

Genotropin

calcitonin salmon

Genotropin Miniquick

calcitonin-salmon

Humatrope

NON PREFERRED

Humatrope Combo Pack

Fortical

Omnitrope

Miacalcin

Saizen

Saizen Click.easy

PARATHYROID HORMONE

Serostim

PREFERRED

Tev-tropin

Forteo

Zorbtive

RANK LIGAND INHIBITORS

GHRH


16

NON PREFERRED

Naglazyme

Egrifta

Orfadin

Ravicti

SOMATOMEDINS

Sensipar

Vimizim

NON PREFERRED

NON PREFERRED

Increlex

Ammonul

Buphenyl

SOMATOSTATIC AGENTS

Carnitor

GENERIC

Carnitor SF

octreotide acetate

Hectorol

PREFERRED

Rocaltrol

Sandostatin Lar Depot

Zemplar

Signifor

Somatuline Depot

THYROID AGENTS

NON PREFERRED

GENERIC

Sandostatin

levothyroxine sodium

liothyronine sodium

GH RECEPTOR ANTAGONISTS

methimazole

PREFERRED

propylthiouracil

Somavert

PREFERRED

Armour Thyroid

POSTERIOR PITUITARY

NON PREFERRED

GENERIC

Cytomel

desmopressin acetate

Levothyroxine Sodium

vasopressin

Nature-throid

PREFERRED

Nature-throid Nt-2.5

Stimate

Synthroid

NON PREFERRED

Tapazole

Ddavp

Thyrolar-1

Pitressin Synthetic

Thyrolar-1/2

Vasostrict

Thyrolar-1/4

Thyrolar-2

CORTICOTROPIN

Thyrolar-3

PREFERRED

Tirosint

H.p. Acthar

Triostat

Westhroid

PROLACTIN INHIBITORS

Westhroid-p

GENERIC

Wp Thyroid

cabergoline

GASTROINTESTINAL

VASOPRESSIN ANTAGONISTS

LAXATIVES

PREFERRED

GENERIC

Samsca

lactulose

NON PREFERRED

peg 3350/electrolytes

Vaprisol

peg-3350/electrolytes

peg-3350/NACL/NA bicarbonate/KCL

PROGESTERONE ANTAGONISTS

polyethylene glycol 3350

NON PREFERRED

PREFERRED

Mifeprex

Halflytely Bowel Prep/Flavor Packs

Moviprep

METABOLIC MODIFIERS

Suclear

GENERIC

Suprep Bowel Prep

calcitriol

NON PREFERRED

doxercalciferol

Cascara Sagrada

levocarnitine

Colyte-flavor Packs

paricalcitol

Golytely

sodium phenylbutyrate

Kristalose

Paricalcitol

Mineral Oil Heavy

PREFERRED

Nulytely/Flavor Packs

Aldurazyme

Osmoprep

Carbaglu

Prepopik

Cystadane

Elaprase

ANTIDIARRHEALS

Fabrazyme

GENERIC

Kuvan

diphenoxylate/atropine

Lumizyme

loperamide HCL

Myalept

opium

Myozyme

opium tincture


17

NON PREFERRED

Glycate

Diphenoxylate/Atropine

Helidac

Fulyzaq

Levbid

Lomotil

Levsin

Motofen

Levsin/SL

Opium Tincture (paregoric)

Nexium I.v.

Restora RX

Omeclamox-PAK

Rezyst IM

Omeprazole + Syrspend SF Alka

Rezyst SB

Pamine

Vsl#3 DS

Pamine Forte

Pamine FQ

ANTACIDS

Pepcid

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 sodium

Symax Duotab

famotidine

Zantac

glycopyrrolate

Zegerid

hyoscyamine sulfate

hyoscyamine sulfate odt

ANTIEMETICS

hyoscyamine sulfate ER

GENERIC

hyoscyamine sulfate SR

dronabinol

lansoprazole

granisetron HCL

lansoprazole/amoxicillin/clarithromycin

meclizine HCL

methscopolamine bromide

ondansetron odt

misoprostol

ondansetron HCL

nizatidine

trimethobenzamide HCL

omeprazole

PREFERRED

omeprazole/sodium bicarbonate

Aloxi

pantoprazole sodium

Emend

rabeprazole sodium

Sancuso

ranitidine HCL

Transderm-scop

sucralfate

NON PREFERRED

Dicyclomine HCL

Akynzeo

Esomeprazole Sodium

Anzemet

Famotidine

Cesamet

Gastrinex NF

Diclegis

PREFERRED

Dimenhydrinate

Carafate

Granisol

Nexium

Marinol

Nexium 24HR

Tigan

Pylera

Zofran

NON PREFERRED

Zofran Odt

Aciphex

Zuplenz

Aciphex Sprinkle

Anaspaz

DIGESTIVE AIDS

Atropen

Atropine Sulfate

PREFERRED

Axid

Creon

Belladonna & Opium

Pancrelipase

Belladonna Alkaloids & Opium

Sucraid

Bentyl

Viokace

Cantil

NON PREFERRED

Cuvposa

Pancreaze

Cytotec

Pertzye

Deprizine Fusepaq

Ultresa

Dexilant

Zenpep

Digex NF

Esomeprazole Strontium

GASTROINTESTINAL - MISC.

Famotidine Premixed

GENERIC

First-lansoprazole

balsalazide disodium

First-omeprazole

calcium acetate

Gabitidine

cromolyn sodium


18

hydrocort ene 100MG

methenamine mandelate

hydrocortisone

nitrofurantoin

hydrocortisone acetate/lidocaine HCL

nitrofurantoin macrocrystals

hydrocortisone acetate/pramoxine

nitrofurantoin monohydrate

lactulose

nitrofurantoin monohydrate/macrocrystals

lidocaine HCL/hydrocortisone acetate

NON PREFERRED

mesalamine

Furadantin

metoclopramide HCL

Hiprex

sulfasalazine

Macrobid

ursodiol

Macrodantin

PREFERRED

Methenamine Mandelate

Amitiza

Monurol

Analpram Advanced

Prosed/DS

Asacol HD

Urelle

Canasa

Uretron D/S

Chenodal

Urex

Cimzia

Uribel

Cimzia Starter Kit

Urimar-t

Cortifoam

Urogesic-blue

Delzicol

Uroqid #2

Fosrenol

Uta

Lialda

Linzess

URINARY ANTISPASMODICS

Lotronex

GENERIC

Pentasa

bethanechol chloride

Proctofoam HC

flavoxate HCL

Rectiv

oxybutynin chloride

Relistor

oxybutynin chloride ER

Renvela

tolterodine tartrate

Sevelamer Carbonate

tolterodine tartrate ER

NON PREFERRED

trospium chloride

Actigall

trospium chloride ER

Analpram-HC

PREFERRED

Analpram-HC Singles

Gelnique

Anusol-HC

Myrbetriq

Apriso

Oxytrol

Auryxia

Oxytrol For Women

Azulfidine

Toviaz

Azulfidine EN-TABS

Vesicare

Colazal

NON PREFERRED

Cortenema

Detrol

Dexpanthenol

Detrol LA

Dipentum

Ditropan XL

Eliphos

Enablex

Entereg

Sanctura

Entyvio

Sanctura XR

Gastrocrom

Urecholine

Gattex

Giazo

VAGINAL PRODUCTS

Lidocaine HCL-hydrocortisone Acetate With Aloe

GENERIC

Metozolv Odt


Phoslo

metronidazole vaginal

Phoslyra

terconazole

Procort

PREFERRED

Proctocort

Clindesse

Reglan

Crinone

Remicade

Endometrin

Renagel

Estrace

Rowasa

Estring

Sfrowasa

Vagifem

Uceris

NON PREFERRED

Urso Forte

Avc

Urso 250

Cleocin

Velphoro

Fem PH

Femring

GENITOURINARY

First-progesterone VGS 100 Compounding Kit

URINARY ANTI-INFECTIVES



GENERIC


methenamine hippurate


19


Neupogen

Gynazole-1

Nplate

Metrogel-vaginal

Procrit

Premarin

Promacta

Relagard

Venofer

Terazol 3

Vpriv

Terazol 7

NON PREFERRED

Albafort

GENITOURINARY - MISC.

Animi-3

Animi-3/Vitamin D

GENERIC

Aranesp Albumin Free

alfuzosin HCL ER

B-6 Folic Acid

citric acid/sodium citrate

Biferarx

finasteride

Cenfol

hydrochloric acid

Centratex

phenazopyridine HCL

Cerdelga

potassium citrate ER

Ciferex

potassium citrate-citric acid crystals

Corvite 150

potassium citrate/citric acid

Divista

potassium citrate/sodium citrate/citric acid

Ed Cyte F

sodium citrate/citric acid

Epogen

tamsulosin HCL

Feriva

tricitrates

Feriva 21/7

PREFERRED

Ferivafa

Cystagon

Ferralet 90

Elmiron

Ferrlecit

Procysbi

Ferro-plex Hematinic

Rapaflo

Ferrotrin

Renacidin

Folgard RX

NON PREFERRED

Folic Acid

Avodart

Folivane-f

Cardura XL

Folivane-plus

Citrolith

Foltrate

Cytra-3

Fusion Plus

Flomax

Granix

Jalyn

Hematogen Fa

K-phos NO 2

Hematron-AF

Lithostat

Hemocyte Plus

Oracit

Hemocyte-f

Proscar

Hydroxocobalamin

Pyridium

Icar-c Plus

Shohls Solution Modified

Injectafer

Thiola

Integra F

Urocit-k 10

Integra Plus

Urocit-k 15

Irospan 24/6

Urocit-k 5

Is 24/6

Uroxatral

Maxaron Forte

Maxfe

HEMATOLOGICAL

Multigen

HEMATOPOIETIC AGENTS

Multigen Folic

GENERIC

Multigen Plus

cyanocobalamin

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

folic acid

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

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

sodium ferric gluconate complex/sucrose

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

Natalvirt Flt

Nephron Fa

PREFERRED

Novaferrum

Cerezyme

Omontys

Cyanocobalamin

Pre-folic

Droxia

Proferrin-forte

Elelyso

Protectiron

Feraheme

Tandem F

Ferrex 150 Forte Plus

Tandem Plus

Ferrex 28

Zavesca

Leukine

Mozobil

ANTICOAGULANTS

Nascobal

GENERIC

Neulasta

argatroban

Neumega

enoxaparin sodium


20

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

Feiba NF

heparin sodium

Helixate FS

heparin sodium dcu

Hemofil M

heparin sodium lock flush

Humate-p

heparin sodium/sodium chloride 0.9% premix

Koate-dvi

heparin sodium/D5W

Kogenate FS

heparin sodium/NACL 0.9%

Kogenate FS Bio-set

warfarin sodium

Monoclate-p

PREFERRED

Mononine

Eliquis

Novoseven

Pradaxa

Novoseven Rt

Xarelto

Recombinate

Xarelto Starter Pack

Riastap

NON PREFERRED

Soliris

Angiomax

Tretten

Argatroban

Wilate

Arixtra

Xyntha

Coumadin

Xyntha Solofuse

Fragmin

NON PREFERRED

Heparin Lock Flush

Activase

Heparin Sodium

Aggrastat

Heparin Sodium/D5W

Agrylin

Heparin Sodium/NACL 0.45%

Cathflo Activase

Heparin Sodium/Sodium Chloride 0.9%

Firazyr

Iprivask

Hespan

Lovenox

Hextend

Integrilin

HEMOSTATICS

Kalbitor

GENERIC

Kinlytic

aminocaproic acid

LMD 10% Dextrose 5%

tranexamic acid

LMD 10% Sodium Chloride 0.9%

NON PREFERRED

Persantine

Amicar

Plavix

Aminocaproic Acid

Pletal

Artiss

Protamine Sulfate

Astringyn

Reopro

Cyklokapron

Retavase

Evicel

Retavase Half-kit

Evithrom

Tnkase

Lysteda

Trental

Recothrom

Voluven

Recothrom Spray Kit

Zontivity

Thrombin-jmi Diluent

Thrombin-jmi Epistaxis

MOUTH/THROAT/DENTAL AGENT

Thrombin-jmi Syringe Spray Kit

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

GENERIC

Thrombogen

cevimeline HCL

Tisseel

chlorhexidine gluconate

chlorhexidine gluconate oral rinse

HEMATOLOGICAL - MISC.

clotrimazole

GENERIC

lidocaine viscous

anagrelide hydrochloride

lidocaine HCL

cilostazol

lidocaine HCL viscous

clopidogrel

nystatin

dipyridamole

pilocarpine hydrochloride

hetastarch 6%/NACL

pilocarpine HCL

pentoxifylline ER

stannous fluoride oral rinse

ticlopidine HCL


PREFERRED

triamcinolone IN orabase

Advate

NON PREFERRED

Aggrenox

Aquoral

Alphanate/Von Willebrand Factor Complex/Human

Caphosol

Alphanine SD

Debacterol

Alprolix

Evoxac


21

First-bxn Mouthwash

escitalopram oxalate

First-dukes Mouthwash

fluoxetine DR

First-marys Mouthwash

fluoxetine HCL

First-mouthwash Blm

fluvoxamine maleate

Gel-kam Oral Care Rinse

fluvoxamine maleate ER

Gelclair

imipramine pamoate

Lta 360 Kit

imipramine HCL

Nafrinse Daily/Acidulated

mirtazapine

Nafrinse Daily/Neutral

mirtazapine odt

Nafrinse Weekly

nefazodone HCL

Neutrasal

nortriptyline HCL

Numoisyn

paroxetine HCL

Orafate

paroxetine HCL ER

Oravig

phenelzine sulfate

Peridex

protriptyline HCL

Prevident

sertraline HCL

Prothelial

tranylcypromine sulfate

Salagen

trazodone HCL

trimipramine maleate

NEUROLOGY, CNS, PSYCH

venlafaxine HCL

venlafaxine HCL ER

ANTIANXIETY AGENTS

Amoxapine

GENERIC

Doxepin HCL

alprazolam

Nefazodone HCL

alprazolam odt

Venlafaxine HCL ER

alprazolam ER

PREFERRED

buspirone HCL

Pristiq

chlordiazepoxide HCL

NON PREFERRED

clorazepate dipotassium

Anafranil

diazepam

Aplenzin

droperidol

Appbutamone

gene-xene TAB 15MG

Appbutamone-d

gene-xene TAB 3.75MG

Brintellix

gene-xene TAB 7.5MG

Celexa

hydroxyzine pamoate

Cymbalta

hydroxyzine HCL

Desvenlafaxine ER

lorazepam

Effexor XR

meprobamate

Emsam

oxazepam

Fetzima

Hydroxyzine Pamoate

Fetzima Titration Pack

Lorazepam Intensol

Fluoxetine HCL

NON PREFERRED

Forfivo XL

Alprazolam Intensol

Gaboxetine

Ativan

Khedezla

Diazepam

Lexapro

Diazepam Intensol

Luvox CR

Gabavale-5

Maprotiline HCL

Gabazolamine

Marplan

Gabazolamine-0.5

Nardil

Hydroxyzine HCL

Norpramin

Niravam

Nortriptyline HCL

Sentrazolam AM 0.25

Oleptro

Tranxene T

Pamelor

Valium

Parnate

Vistaril

Paxil

Xanax

Paxil CR

Xanax XR

Pexeva

Prozac

ANTIDEPRESSANTS

Prozac Weekly

GENERIC

Remeron

amitriptyline HCL

Remeron Soltab

bupropion HCL

Sentraflox AM-10

bupropion HCL ER

Sentralopram AM-10

bupropion HCL SR

Sentravil PM-25

bupropion HCL XL

Sentroxatine

citalopram hydrobromide

Surmontil

clomipramine HCL

Tofranil

desipramine HCL

Tofranil-PM

doxepin HCL

Trazamine

duloxetine HCL

Viibryd


22

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

prochlorperazine edisylate

Butisol Sodium

prochlorperazine maleate

Doral

quetiapine fumarate

Edluar

risperidone

Gabazolpidem-5

risperidone odt

Halcion

thioridazine HCL

Intermezzo

thiothixene

Lunesta

trifluoperazine HCL

Nembutal Sodium

ziprasidone HCL

Phenobarbital Sodium

PREFERRED

Precedex

Abilify

Quazepam

Abilify Discmelt

Restoril

Abilify Maintena

Seconal

Latuda

Sentrazolpidem PM-5

Risperdal Consta

Silenor

Seroquel XR

Sonata

NON PREFERRED

Strazepam

Adasuve

Zolpimist

Chlorpromazine HCL

Clozapine Odt

ADHD, NARCOLEPSY, ETC.

Clozaril

GENERIC

Compazine

amphetamine/dextroamphetamine

Equetro

caffeine citrate

Fanapt

clonidine HCL ER

Fanapt Titration Pack

dexmethylphenidate HCL

Fazaclo

dexmethylphenidate HCL ER

Fluphenazine HCL

dextroamphetamine sulfate

Geodon

dextroamphetamine sulfate ER

Haldol

doxapram HCL

Haldol Decanoate 100

guanfacine ER

Haldol Decanoate 50

methamphetamine HCL

Invega

methylphenidate hydrochloride

Invega Sustenna

methylphenidate HCL

Lithium

methylphenidate HCL CD

Lithium Carbonate

methylphenidate HCL ER

Lithobid

methylphenidate HCL SR

Loxitane

modafinil

Risperdal

Methylphenidate HCL ER

Risperdal M-TAB

Procentra

Saphris

PREFERRED

Seroquel

Daytrana

Versacloz

Nuvigil

Zyprexa

Quillivant XR

Zyprexa Relprevv

Strattera

Zyprexa Zydis

Vyvanse


23

NON PREFERRED

Depakote Sprinkles

Adderall

Diastat Acudial

Adderall XR

Diastat Pediatric

Cafcit

Dilantin

Caffeine/Sodium Benzoate

Dilantin Infatabs

Concerta

Felbatol

Desoxyn

Gabitril

Dexedrine

Keppra

Dopram

Keppra XR

Focalin

Klonopin

Focalin XR

Lamictal

Intuniv

Lamictal Chewable Dispersible

Kapvay

Lamictal Odt

Kapvay Dose Pack

Lamictal Starter/Not Taking Carbamazepine

Metadate CD

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Methylin

Lamictal Starter/Taking Valproate

Provigil

Lamictal XR

Ritalin

Levetiracetam

Ritalin LA

Mysoline

Ritalin SR

Neurontin

Sentramodafin AM-100

Phenytek

Zenzedi

Qudexy XR

Sabril

ANTICONVULSANTS

Stavzor

GENERIC

Tegretol

carbamazepine

Therapentin-60

carbamazepine ER

Therapentin-90

clonazepam

Topamax

clonazepam odt

Topamax Sprinkle

divalproex sodium

Topiramate ER

divalproex sodium DR

Trileptal

divalproex sodium ER

Trokendi XR

ethosuximide

Vimpat

felbamate

Zarontin

fosphenytoin sodium

Zonegran

gabapentin

lamotrigine

ANTIPARKINSON AGENTS

lamotrigine ER

GENERIC

levetiracetam

amantadine HCL

levetiracetam ER

benztropine mesylate

oxcarbazepine

bromocriptine mesylate

phenytoin

carbidopa

phenytoin sodium

carbidopa/levodopa

phenytoin sodium extended

carbidopa/levodopa odt

primidone

carbidopa/levodopa ER

tiagabine hydrochloride

entacapone

topiramate

pramipexole dihydrochloride

valproate sodium

ropinirole ER

valproic acid

ropinirole HCL

zonisamide

selegiline HCL

PREFERRED

trihexyphenidyl HCL

Banzel

PREFERRED

Celontin

Apokyn

Diazepam

Azilect

Fycompa

Mirapex ER

Lyrica

NON PREFERRED

Onfi

Amantadine HCL

Oxtellar XR

Carbidopa/Levodopa/Entacapone

Peganone

Cogentin

Potiga

Comtan

Tegretol-XR

Eldepryl

NON PREFERRED

Lodosyn

Aptiom

Mirapex

Carbatrol

Neupro

Cerebyx

Parcopa

Depacon

Parlodel

Depakene

Requip

Depakote

Requip XL

Depakote ER


24

Sinemet

NEUROMUSCULAR AGENTS

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

GENERIC

Myobloc

acamprosate calcium DR

Nimbex

disulfiram

Quelicin

donepezil HCL

Quelicin 1000

ergoloid mesylates

Rilutek

fluoxetine

Xeomin

galantamine

Zemuron

galantamine hydrobromide

olanzapine/fluoxetine

MUSCULOSKELETAL AGENTS

rivastigmine tartrate

GENERIC

PREFERRED

baclofen

Ampyra

carisoprodol

Aubagio

carisoprodol/aspirin

Avonex

carisoprodol/aspirin/codeine

Avonex Pen

chlorzoxazone

Copaxone

cyclobenzaprine HCL

Gilenya

dantrolene sodium

Gralise

metaxalone

Gralise Starter

methocarbamol

Namenda

orphenadrine citrate

Namenda Titration PAK

orphenadrine citrate ER

Namenda XR

orphenadrine/asa/caffeine

Namenda XR Titration Pack

tizanidine HCL

Nuedexta

Carisoprodol

Rebif

Dantrolene Sodium

Rebif Rebidose

PREFERRED

Rebif Rebidose Titration Pack

Gablofen

Rebif Titration Pack

Lioresal Intrathecal

Savella

Monovisc

Tecfidera

Orthovisc

Tecfidera Starter Pack

Synvisc

Xenazine

Synvisc One

Xyrem

NON PREFERRED

NON PREFERRED

Amrix

Antabuse

Cyclobenzaprine Comfort PAC

Aricept

Dantrium

Aricept Odt

Eufleexa

Euflexxa

Betaseron

Fexmid

Brisdelle

Hyalgan

Campral

Lorzone

Chlordiazepoxide/Amitriptyline

Norflex

Exelon

Parafon Forte DSC

Extavia

Prazolamine

Horizant

Robaxin

Lemtrada

Robaxin-750

Orap

Ryanodex

Perphenazine/Amitriptyline

Skelaxin

Plegridy

Soma

Plegridy Starter Pack

Therabenzaprine-60

Razadyne

Therabenzaprine-90

Razadyne ER

Therabenzaprine-90-5

Sarafem

Tizanidine Comfort PAC

Savella Titration Pack

Zanaflex

Symbyax

Tysabri

ANTIMYASTHENIC AGENTS

GENERIC

neostigmine methylsulfate


25

pyridostigmine bromide

NON PREFERRED

PREFERRED

Betagan

Mestinon Timespan

Betimol

Prostigmin

Betoptic-s

NON PREFERRED

Cosopt

Bloxiverz

Cosopt PF

Enlon

Istalol

Enlon-plus

Levobunolol HCL

Guanidine HCL

Timoptic

Mestinon

Timoptic Ocudose

Regonol

Timoptic-xe

OPHTHALMOLOGY AND OTIC

OPHTHALMIC STEROIDS

GENERIC

ANTI-INFECTIVES

dexamethasone sodium phosphate

GENERIC

fluorometholone

bacitracin/polymyxin b

neomycin/polymyxin/bacitracin/hydrocortisone

ciprofloxacin HCL

neomycin/polymyxin/dexamethasone

erythromycin

prednisolone acetate

gatifloxacin

sulfacetamide sodium/prednisolone sodium phosphate

gentamicin sulfate

tobramycin/dexamethasone

levofloxacin

PREFERRED

neomycin/bacitracin/polymyxin

Alrex

neomycin/polymyxin/bacitracin zinc

FML

neomycin/polymyxin/gramicidin

Lotemax

ofloxacin

Pred Mild

polymyxin b sulfate/trimethoprim sulfate

Retisert


Tobradex ST

sulfacetamide sodium

Zylet

tobramycin sulfate

NON PREFERRED

trifluridine

Blephamide

trimethoprim sulfate/polymyxin b sulfate

Blephamide S.o.p.

PREFERRED

Durezol

Besivance

Flarex

Moxeza

FML Forte

Natacyn

FML Liquifilm

Vigamox

Maxidex

NON PREFERRED

Maxitrol

Azasite

Neomycin/Polymyxin/Hydrocortisone

Bacitracin

Omnipred

Betadine Ophthalmic Prep

Pred Forte

Bleph-10

Pred-G

Ciloxan

Pred-G S.o.p.

Garamycin

Prednisolone Sodium Phosphate

Mitosol

Tobradex

Neosporin

Vexol

Ocuflox

Polytrim

PROSTAGLANDINS

Sulfacetamide Sodium

GENERIC

Tobrex

latanoprost

Viroptic

PREFERRED

Zirgan

Lumigan

Zymaxid

Travatan Z

Travoprost

ARTIFICIAL TEAR/LUBRICANT

NON PREFERRED

NON PREFERRED

Rescula

Lacrisert

Xalatan

Zioptan

BETA-BLOCKERS

GENERIC

CYCLOPLEGIC MYDRIATICS

betaxolol HCL

GENERIC

carteolol HCL

atropine sulfate

dorzolamide HCL/timolol maleate

cyclopentolate HCL

levobunolol HCL

homatropine HBR

timolol maleate

NON PREFERRED

timolol maleate ophthalmic gel forming

Atropine Sulfate

Metipranolol

Cyclogyl

PREFERRED

Cyclomydril

Combigan

Isopto Atropine


26

Isopto Homatropine

Emadine

Isopto Hyoscine

Lastacaft

Ocufen

DECONGESTANTS

Optivar

Trusopt

GENERIC

phenylephrine HCL

OTIC AGENTS

NON PREFERRED

Mydfrin

GENERIC

Naphazoline HCL

acetic acid

antipyrine/benzocaine

MIOTICS

fluocinolone acetonide

fluocinolone acetonide ear drops

GENERIC

hydrocortisone/acetic acid

pilocarpine HCL

neomycin/polymyxin/hydrocortisone

PREFERRED

neomycin/polymyxin/HC

Phospholine Iodide

ofloxacin

Pilopine HS

PREFERRED

NON PREFERRED

Ciprodex

Isopto Carbachol

NON PREFERRED

Isopto Carpine

Acetic Acid/Aluminum Acetate

Antipyrine/Benzocaine

ADRENERGIC AGENTS

Auralgan

GENERIC

Cetraxal

apraclonidine

Cipro HC

brimonidine tartrate

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Alphagan P

Cortisporin

Iopidine

Cortisporin-tc

Simbrinza

Cresylate

Dermotic

IMMUNOMODULATORS

Myoxin

PREFERRED

Otozin

Restasis

Pramotic

Vosol HC

LOCAL ANESTHETICS

GENERIC

OXYTOCICS

proparacaine HCL

tetracaine HCL

GENERIC

NON PREFERRED

methylergonovine maleate

Akten

oxytocin

Alcaine

NON PREFERRED

Cervidil

OPHTHALMICS - MISC.

Hemabate

GENERIC

Pitocin

azelastine HCL

Prepidil

bromfenac

Prostin E2

cromolyn sodium

diclofenac sodium

PAIN MANAGEMENT

dorzolamide HCL

ANALGESICS - NONNARCOTIC

epinastine HCL

flurbiprofen sodium

GENERIC

ketorolac tromethamine

butalbital/acetaminophen

PREFERRED

butalbital/acetaminophen/caffeine

Bepreve

butalbital/apap/caffeine

Bromday

butalbital/aspirin/caffeine

Cystaran

choline magnesium trisalicylate

Ilevro

diflunisal

Jetrea

salsalate

Nevanac

Butalbital/Aspirin/Caffeine

Pataday

NON PREFERRED

Patanol

Alagesic LQ

Prolensa

Bupap

NON PREFERRED

Choline Magnesium Trisalicylate

Acular

Disalcid

Acular LS

Dolgic Plus

Acuvail

Dologesic

Alocril

Equagesic

Alomide

Esgic

Azopt

Esgic-plus

Elestat

Fioricet


27

Fiorinal

Demerol

Levacet

Dilaudid

Ofirmev

Dilaudid-HP

Orbivan CF

Dolophine

Phrenilin Forte

Dolophine HCL

Rhinoflex-650

Duragesic

Staflex

Exalgo

Tencon

Fentora

Fioricet/Codeine

ANALGESICS - OPIOID

Fiorinal/Codeine #3

Hycet

GENERIC

Hydrocodone/Acetaminophen

acetaminophen/codeine

Hydromorphone HCL

acetaminophen/codeine #2

Hydromorphone HCL Dosette


Hydromorphone HCL ER


Hysingla ER

acetaminophen/codeine phosphate

Ibudone

alfentanil

Infumorph 200

buprenorphine HCL

Infumorph 500

buprenorphine HCL/naloxone HCL

Kadian

butalbital/acetaminophen/caffeine/codeine

Levorphanol Tartrate

butalbital/aspirin/caffeine/codeine

Liquicet

butorphanol tartrate

Lorcet Plus

codeine sulfate

Lorcet 10/650

fentanyl

Lortab

fentanyl citrate oral transmucosal

Magnacet

hydrocodone bitartrate/acetaminophen

Maxidone

hydrocodone/acetaminophen

Meperidine HCL

hydrocodone/ibuprofen

Methadone HCL

hydromorphone HCL

Methadose

hydromorphone HCL ER

Methadose Sugar-free

meperidine HCL

Morphine Sulfate

methadone HCL

Morphine Sulfate Add-vantage

morphine sulfate

MS Contin

morphine sulfate ER

Norco

nalbuphine HCL

Opana

oxycodone HCL

Oxecta

oxycodone/acetaminophen

Oxycodone HCL

oxycodone/aspirin

Percocet

oxycodone/ibuprofen

Percodan

oxymorphone hydrochloride

Primlev

oxymorphone hydrochloride ER

Reprexain

pentazocine/acetaminophen

Roxicet

pentazocine/naloxone HCL

Roxicodone

tramadol hydrochloride/acetaminophen

Rybix Odt

tramadol HCL

Subsys

tramadol HCL ER

Synalgos-dc

Hydrocodone Bitartrate/Acetaminophen

Synapryn Fusepaq

Oxycodone HCL ER

Talwin

PREFERRED

Theracodeine-300

Butrans

Theracodophen-low-90

Lazanda

Theracodophen-325

Nucynta

Theracodophen-650

Nucynta ER

Theracodophen-750

Opana ER (crush Resistant)

Theratramadol-60

Oxycontin

Theratramadol-90

Suboxone

Tramadol HCL ER

Zubsolv

Trezix

NON PREFERRED

Tylenol/Codeine #3

Abstral

Tylenol/Codeine #4

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Ultiva

Actiq

Ultracet

Alfenta

Ultram

Aspirin-caffeine-dihydrocodeine

Ultram ER

Avinza

Vicoprofen

Bunavail

Xartemis XR

Buprenex

Xodol

Capital/Codeine

Xolox

Codeine Sulfate

Zohydro ER

Conzip

Zolvit


28

Zydone

Meloxicam Comfort PAC

Mobic

ANTI-INFLAMMATORY

Nalfon

Naprelan

GENERIC

Naprosyn

celecoxib

Naproxen Comfort PAC

diclofenac potassium

Neoprofen

diclofenac sodium DR

Orencia

diclofenac sodium ER

Otezla

diclofenac sodium/misoprostol

Otrexup

etodolac

Ponstel

etodolac ER

Prastera

flurbiprofen

Rasuvo

ibuprofen

Rheumatrex

indomethacin

Simponi

indomethacin sodium

Simponi Aria

indomethacin ER

Sprix

ketoprofen

Therafeldamine

ketorolac tromethamine

Theraprofen-60

leflunomide

Theraprofen-800

mefenamic acid

Theraprofen-90

meloxicam

Theraproxen-500

nabumetone

Theraproxen-60

naproxen

Theraproxen-90

naproxen sodium

Trepadiclofen-25

oxaprozin

Trepoxen-250

piroxicam

Trepoxicam-7.5

sulindac

Vimovo

tolmetin sodium

Voltaren-XR

Meclofenamate Sodium

Xeljanz

Tolmetin Sodium

Zipsor

PREFERRED

Arcalyst

MIGRAINE PRODUCTS

Humira

Humira Pediatric Crohns Disease Starter Pack

GENERIC

Humira Pen

dihydroergotamine mesylate

Humira Pen-crohns Diseasestarter

naratriptan HCL

Humira Pen-psoriasis Starter

rizatriptan benzoate

Ridaura

rizatriptan benzoate odt

Zorvolex

sumatriptan succinate

NON PREFERRED

sumatriptan succinate refill

Actemra

zolmitriptan

Anaprox

zolmitriptan odt

Anaprox DS

Isometheptene/Caffeine/Acetaminophen

Arava

Sumatriptan Succinate

Arthrotec 50

PREFERRED

Arthrotec 75

Relpax

Caldolor

NON PREFERRED

Cataflam

Alsuma

Celebrex

Amerge

Daypro

Axert

Duexis

Cafergot

Enbrel

Cambia

Enbrel Sureclick

D.h.e. 45

EC-naprosyn

Dihydroergotamine Mesylate

Feldene

Ergomar

Fenoprofen Calcium

Frova

Ibuprofen Comfort PAC

Imitrex

Ilaris

Imitrex Statdose Refill

Indocin

Imitrex Statdose System

Indocin IV

Maxalt

Indomethacin

Maxalt-MLT

IC 400

Migergot

IC 800

Migral

Ketoprofen ER

Migranal

Ketorocaine-l

Sumatriptan

Ketorocaine-lm

Sumavel Dosepro

Ketorolac Tromethamine

Treximet

Kineret

Zomig

Meloxicam

Zomig Nasal Spray


29

Zomig ZMT

clemastine fumarate

cyproheptadine HCL

GOUT AGENTS

desloratadine

desloratadine odt

GENERIC

diphenhydramine HCL

allopurinol

levocetirizine dihydrochloride

probenecid

promethazine HCL

probenecid/colchicine

promethazine HCL plain

PREFERRED

Clemastine Fumarate

Colcrys

NON PREFERRED

Krystexxa

Brompheniramine Tannate

Uloric

Clarinex

NON PREFERRED

Clarinex Reditabs

Aloprim

Dexchlorpheniramine Maleate

Mitigare

Dicopanol Fusepaq

Zyloprim

Doxytex

Karbinal ER

LOCAL ANESTHETICS-INJ

Palgic

GENERIC

Phenergan

bupivacaine HCL

Respa-BR

bupivacaine/epinephrine

Xyzal

chloroprocaine HCL

lidocaine HCL

NASAL AGENTS

lidocaine/epinephrine

GENERIC

ropivacaine

azelastine HCL

ropivacaine HCL

budesonide

Tetracaine HCL

flunisolide

NON PREFERRED

fluticasone propionate

Articadent Dental

ipratropium bromide

BD Pudendal/Local Block Tray 1% Lidocaine

olopatadine HCL

Carbocaine


Citanest Forte Dental

Flunisolide

Citanest Plain Dental

PREFERRED

Duocaine

Dymista

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

Nasonex

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

Phenylephrine HCL

NON PREFERRED

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

Adrenalin

Astelin

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

Astepro

Atrovent

Exparel

Bactroban Nasal

Lidocaine HCL/Dextrose

Beconase AQ

Marcaine

Flonase

Marcaine W/O Epi

Nasacort AQ

Marcaine/Epinephrine

Omnaris

Marlido-25

Patanase

Mepivacaine HCL

Qnasl

Monoject Bone Marrow Biopsy Prepping Tray

Rhinocort Aqua

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

Tyzine

Tyzine Pediatric Nasal Drops

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

Veramyst

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

Zetonna

Naropin

COUGH/COLD/ALLERGY

Nesacaine

GENERIC

Nesacaine-mpf

acetylcysteine

Sensorcaine-mpf/Epinephrine

benzonatate

Turkel Paracentesis Procedure Tray/8french

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Xylocaine

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Xylocaine-mpf

hydrocodone bitartrate/homatropine methylbromide

Xylocaine-mpf/Epinephrine

hydrocodone polistirex/chlorpheniramine polistirex

Xylocaine/Epinephrine

hydrocodone/homatropine

phenylephrine/guaifenesin

RESPIRATORY, ALLERGY, ETC

promethazine-DM

ANTIHISTAMINES

promethazine/codeine

GENERIC

promethazine/dextromethorphan

carbinoxamine maleate

sodium chloride

cetirizine HCL


30

PREFERRED

Asmanex Twisthaler 60 Metered Doses

Tussicaps


NON PREFERRED

Atrovent HFA

Alahist Ac

Combivent

Alahist DHC

Combivent Respimat

Carbaphen 12

Daliresp

Carbaphen 12 PED

Dulera

Clarinex-d 12 HOUR

Foradil Aerolizer

Clarinex-d 24 HOUR

Perforomist

Cpb Wc

Proair HFA

Decon-a

Pulmicort Flexhaler

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Qvar

Serevent Diskus

Donatuss Dc

Spiriva Handihaler

Exactuss

Spiriva Respimat

Gilphex TR

Symbicort

Giltuss

Tudorza Pressair

Giltuss PED-c

NON PREFERRED

Giltuss TR

Accolate

Hyper-sal

Accuneb

Hypersal

Adrenalin

J-cof DHC

Advair Diskus

J-max DHC

Advair HFA

Nebusal

Aerospan

Neotuss Plus

Alvesco

Panatuss Dxp

Asmanex HFA

Pediatex TD

Breo Ellipta

Pediatex TDM

Brovana

Poly-tussin DHC

Duoneb

Relhist

Elixophyllin

Rescon-JR

Flovent Diskus

Rescon-MX

Flovent HFA

Rezira

Isuprel

Semprex-d

Lufyllin

Suttar-SF

Maxair Autohaler

Suttar-2

Metaproterenol Sulfate

Tessalon Perles

Proventil HFA

Tussionex Pennkinetic Extended Release

Pulmicort

Vituz

Pulmophylline

Zonatuss

Senophylline

Zutripro

Singulair

Striverdi Respimat

ANTIASTHMATIC/COPD AGENTS

Theo-24

GENERIC

Theophylline/D5W

albuterol sulfate

Ventolin HFA

albuterol sulfate ER

Vospire ER

albuterol TAB 4MG

Xolair

aminophylline

Xopenex

budesonide

Xopenex Concentrate

epinephrine HCL

Xopenex HFA

ipratropium bromide

Zyflo

ipratropium bromide/albuterol sulfate

Zyflo CR

levalbuterol HCL

montelukast sodium

RESPIRATORY AGENTS - MISC

terbutaline sulfate

PREFERRED

theophylline

Kalydeco

theophylline CR

Prolastin-c

theophylline ER

Pulmozyme

theophylline/D5W

Zemaira

zafirlukast

NON PREFERRED

Cromolyn Sodium

Aralast NP

Levalbuterol

Curosurf

PREFERRED

Esbriet

Anoro Ellipta

Glassia

Arcapta Neohaler

Infasurf


Ofev


Surfaxin

Asmanex Twisthaler 30 Me Tered Doses

Survanta Intratracheal



31

TOXOIDS

Hiberix

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

Influenza A (h1n1) Monovalent 2009

PREFERRED

Ipol Inactivated IPV

Adacel

Ixiaro

Boostrix

M-m-r II W/Diluent 10 Dose

Daptacel

Medical Provider EZ Flu Shot 2014-2015

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Menactra

Infanrix

Menhibrix

Kinrix

Menomune-a/C/Y/W-135

Pediarix

Menveo

Pentacel

Pedvax HIB

Tenivac

Pneumovax 23

Tetanus Toxoid Adsorbed

Pneumovax 23/1 Dose

Tetanus/Diphtheria Toxoids-adsorbed Adult

Pneumovax 23/5 Dose

Prevnar 13

VACCINES

Proquad

Rabavert

PREFERRED

Recombivax HB

Acthib

Rotarix

Afluria PF 2012-2013

Rotateq


Trumenba


Twinrix

Afluria 2012-2013

Typhim VI

Afluria 2013-2014

Vaqta

Afluria 2014-2015

Varivax

Biothrax

Vivotif Berna

Cervarix

Yf-vax

Comvax

Zostavax

Engerix-b

NON PREFERRED

Fluarix Quadrivalent 2013-2014

Bcg Vaccine

Fluarix Quadrivalent 2014-2015

Fluarix 2012-2013

VITAMINS

Fluarix 2013-2014

VITAMINS

Fluarix 2014-2015

GENERIC

Flublok 2013-2014

ascorbic acid

Flublok 2014-2015

ergocalciferol

Flucelvax 2012-2013

phytonadione

Flucelvax 2013-2014

thiamine HCL

Flucelvax 2014-2015

vitamin c 222MG

Flulaval Quadrivalent 2013-2014

vitamin d

Flulaval Quadrivalent 2014-2015

vitamin k1

Flulaval 2012-2013

PREFERRED

Flulaval 2013-2014

Mephyton

Flulaval 2014-2015

NON PREFERRED

Flumist Nasal Vaccine 2012-2013

Aquasol A Parenteral

Flumist Quadrivalent

Decara

Fluvirin PF 2012-2013

Drisdol


Pyridoxine HCL


Vitamin K1

Fluvirin 2012-2013

Wheat Germ

Fluvirin 2013-2014

Fluvirin 2014-2015

MULTIVITAMINS

Fluzone High-dose PF 2012-2013


GENERIC


b-complex

Fluzone Intradermal

b-complex 100

Fluzone Pediatric PF 2012-2013

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

Fluzone Pediatric PF 2013-2014

CO-natal Fa

Fluzone PF 2012-2013

Elite-OB


Folbecal


Inatal Advance

Fluzone Quadrivalent 2013-2014

Inatal GT

Fluzone Quadrivalent 2014-2015

Inatal Ultra

Fluzone Split 2012-2013

M-vit


Macnatal CN DHA


Mission Prenatal HP

Gardasil

Mynatal Advance

Gardasil 9

Mynatal Ultracaplet

Havrix

Obstetrix EC


32

OB-natal One

Marnatal-f

Perry Prenatal

Moms Choice RX

Pr Natal 400

Mykidz Iron Fl

Pr Natal 400 EC

Mynatal

Pr Natal 430

Natachew

Pr Natal 430 EC

Natafort

Prenatabs RX

Natalvirt CA

Prenatal Ad

Natalvirt 90 DHA

Prenatal Vitamins

Natalvit

Prenatal-u

Natelle One

Quflora Pediatric

Neevo DHA

Taron-prex

Nephplex RX

Tricare

Nephro-vite RX

Trinate

Nephrocaps

Vinate C

Nephrocaps QT

Vinate Care

Nestabs

Vinate GT

Nestabs Abc

Vinate IC

Nestabs DHA

Vinate II

Newgen

Vinate M

Nexa Plus

Vinate One

Nexa Select

Vinate Pn Care

Nicadan

Vitafol-OB

Nicazel

NON PREFERRED

Nicazel Forte

Adrenal C Formula

Nicomide

Albafort

Nutricap

Atabex EC

Nutrivit

Atabex Prenatal

O-CAL Fa

B-nexa

O-CAL Prenatal

Bacmin

Obstetrix DHA

Bal-care DHA

Ocuvel

Bal-care DHA Essential

OB Complete

Cavan-alpha Kit

OB Complete One

Citranatal Assure

OB Complete Petite

Citranatal B-calm

OB Complete Premier

Citranatal DHA

OB Complete 400

Citranatal Harmony

OB Complete/DHA

Citranatal RX

Paire OB

Citranatal 90 DHA

Poly-VI-flor

Cod Liver Oil

Poly-VI-flor/Iron

Concept DHA

Prefera OB

Concept OB

Prefera OB + DHA

Corvite

Preferaob One

Crnatal

Prefol-DHA

Dialyvite Supreme D

Prenata

Dialyvite 3000

Prenate

Dialyvite 5000

Prenate AM

Dialyvite/Zinc

Prenate DHA

Diatx ZN

Prenate Elite

Duet DHA

Prenate Enhance

Duet DHA Balanced

Prenate Essential

Duet DHA EC

Prenate Mini

Duet DHA 400

Prenate Pixie

Duet DHA 400EC

Prenate Restore

Duet DHA 430

Prenate Star

Duet DHA 430EC

Prenexa

Escavite

Preque 10

Escavite D

Protect Plus

Floriva

Protectbone

Folcaps Omega 3

Protectnatal

Folet DHA

Provida OB

Folet One

R-natal OB

Folgard OS

Renatabs

Folivane-prx DHA NF

Renatabs With Iron

Folivane-OB

Renax

Fortavit

Req 49+

Gesticare DHA

Select-ob+dha

M.v.i. Adult

Select-OB

M.v.i. Pediatric

Siderol

M.v.i.-12 Without Vitamin K

Strovite


33

Strovite Forte

Aurora Lancet Thin 23G

Strovite One

AF Lancets Super Thin

Supervite

AT Last Lancets

Supervite EC

Bayer Microlet Lancets

Support-500

Bullseye Safety Lancets

Synagex

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

Synatek

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

Taron-bc

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

Taron-c DHA

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

Taron-duo EC

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

Tri-VI-flor

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

Tricare Prenatal Compleat

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

Tricare Prenatal DHA One

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

Triveen-duo DHA

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

Triveen-prx RNF

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

Triveen-ten

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

Triveen-u

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

TL G-FOL OS

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

Udamin

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

Udamin SP

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

Vemavite-prx 2

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

Vinacal

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

Vinacal B

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

Vinate AZ Extra

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

Vinate Calcium

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

Vinate DHA

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

Vinate DHA RF

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

Vita-pren


Vitafol


Vitafol Ultra


Vitafol-nano

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

Vitafol-ob+dha

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

Vitafol-one

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

Vitafol-plus

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

Vitafol-pn

Vital-d RX

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

Vitamedmd One RX/Quatrefolic

Vitamedmd Plus RX/Quatre Folic

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

Vitamedmd Redichew RX

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

Vitamedmd Redichew RX/Quatrefolic


Vitapearl

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

Vitaroca Plus


Viva CT Prenatal

BD Lancet Ultrafine 30G

Viva DHA

BD Lancet Ultrafine 33G

Zatean-pn

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

Zatean-pn DHA

Zatean-pn Plus

BD Microtainer Lancets

Zatean-CH

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

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

MEDICAL DEVICES

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

DIABETIC SUPPLIES

BD Pen Needle/Ultrafine/29G X 12.7MM

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

PREFERRED

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

Accu-chek Fastclix Lancets

Careone Lancet Thin

Accu-chek Multiclix Lancets

Careone Lancet Ultra Thin

Accu-chek Safe-t-pro Lancets

Cleanlet Lancets 28G

Accu-chek Safe-t-pro Pluslancets

Clever Chek Lancets Ultrathin

Accu-chek Soft Touch Lancets

Clever Chek Lancets Ultrathin 30G

Accu-chek Softclix Lancets

Coaguchek Lancets

Advocate Lancets

Comfort Lancets

Advocate Safety Lancets

Diastar Easy Test II Lancets 30G

Agamatrix Ultra-thin Lancets 33G

Diastar Easy Test Lancets30G

Assure Haemolance Plus High Flow 18G

Droplet Lancets Ultra Thin 30G

Assure Haemolance Plus Low Flow 25G

Drug Mart On-the-go Lancets Gentle 30G

Assure Haemolance Plus Micro Flow 28G

Drug Mart Unilet Lancets Super Thin 30G

Assure Haemolance Plus Normal Flow 21G

Drug Mart Unilet Lancets Ultra Thin 28G

Assure Haemolance Plus Pediatric Blade

E-z Ject Lancets

Assure Lance Lancets

E-z Ject Lancets Color

Assure Lancets

E-z Ject Lancets Super Thin

Aurora Lancet Super Thin 30G

E-z Ject Lancets Super Thin 30G


34

E-z Ject Lancets Thin 26G

Lancets 30G

E-z Ject Lancets 21G

Lancets 30G Twist Top

E-ZJECT Lancets Micro-thin 33G


Easy Touch Lancets 21G/Pressure Activated

Liberty Glucose Control Mid


Liberty Glucose Control Normal


Lifescan Unistik II Lancets


Lifescan Unistik 2 Deep Penetration

Easy Touch Lancets 28G/Twist

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 Lancets21G/Pressure Activated

Medlance Plus Lancets Lite 25G


Medlance Plus Lite Lancets 25G

Easy Touch Safety Lancets26G/Button Activated

Medlance Plus Special Lancets 0.8MM


Medlance Plus Superlite 30G

Easy Touch Safety Lancets28G/Button Activated

Medlance Plus Superlite 30G/Comfort Max


Medlance Plus Universal Lancets 21G

Easy Twist & CAP Lancets

Medlance Plus/Lite 25G

Easytest II Lancets

Medlance/Extra

Easytest Lancets

Medlance/Lite

Embrace Lancets Ultra Thin 30G

Medlance/Universal

EZ Smart Blood Glucose Lancets

Meijer Super Thin Lancets

EZ-lets Lancets 21G

Microlet Lancets

EZ-lets Lancets 23G

Microtainer Safety Flow Lancet/Sterile/Single-use

EZ-lets Lancets 26G Super-soft

Monolet Lancets

EZ-lets Lancets 28G Ultra-soft

Monolet Opd Lancets

EZ-lets Lancets 30G

Monolettor Safety Lancets

Fasttake Compact Monitoring System

Myglucohealth Mgh Softlance Lancets 30G

Fasttake Test Strips

Netgroup Lancets

Fifty50 Safety Seal Lancets 30G

Nova Safety Lancets 23G

Fifty50 Safety Seal Lancets 32G

Nova Safety Lancets 28G

Fine 30

Nova Sureflex Lancets

Fingerstix Lancets

Novofine Autocover 30GX8MM

Fora Lancets

Novofine 30GX8MM

Freestyle Lancets

Novofine 32GX6MM

Freestyle Unistick II Lancets

Novotwist 30GX8MM

Gentle-let GP Lancets

Novotwist 32GX5MM

Gentle-let Lancets General Purpose Style/Fine Point

On Call Lancets

Gentle-let Lancets General Purpose Style/Medium Point

On Call Plus Lancets

Gentle-let Lancets Safety Style/Fine Point

Onetouch Basic System

Gentle-let Lancets Safety Style/Medium Point

Onetouch Basic/Profile Test Strips

Glucocom Lancets 28G

Onetouch Club Lancets Fine Point


Onetouch Combo Pack


Onetouch Delica Lancets Extra Fine 33G

Glucosource Lancets

Onetouch Delica Lancets Fine 30G

Gmate Lancets 30G

Onetouch Finepoint Lancets

H&h Thinlet Lancets 26G

Onetouch Lancets

H&h Thinlet Super Thin Lancets 30G

Onetouch Ping Meter Remote

Haemolance

Onetouch Profile System

Haemolance Low Flow Lancets

Onetouch Ultra Blue

Haemolance Plus

Onetouch Ultra Control

Haemolance Plus High Flow

Onetouch Ultra Mini

Haemolance Plus Low Flow

Onetouch Ultra System Kit

Haemolance Plus Max Flow

Onetouch Ultra 2

Haemolance Plus Pediatric Flow

Onetouch Ultralink System (hex)

Hy-vee Lancets

Onetouch Ultralink System (DEC)

Lancets

Onetouch Ultrasmart

Lancets Bullseye Safety

Onetouch Ultrasoft Lancets

Lancets Safety Seal 21G

Onetouch Verio


Onetouch Verio Control Solution High


Onetouch Verio IQ Blood Glucose Monitoring System


Onetouch Verio Mid Control Solution

Lancets Thin

Onetouch Verio Sync Bloodglucose Monitoring System

Lancets Twist Top

Onetouch Verio Test Strips

Lancets Ultra Fine

Pen Needles 29G X 12MM

Lancets Ultra Thin

Pen Needles 29GX1/2"



Lancets 28G

Pen Needles 31G X 1/4" SHORT


35

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

Qc Lancets Super Thin

Ultilet Classic Lancets

Qc Lancets Ultra Thin

Ultilet Lancets

Relion Lancets

Ultilet Lancets 33G

Relion Lancets Micro-thin33G

Ultilet Safety Lancets 23G

Relion Lancets Standard 21G

Ultra-thin II Auto Lancet

Relion Lancets Thin 26G

Ultra-thin II Lancets 28G

Relion Lancets Ultra-thin30G

Ultra-thin II Lancets 30G

Relion Thin Lancets

Ultra-thin II Safety Autolancets 26G

Relion Ultra Thin Lancets

Unilet Comfortouch Lancet

Relion Ultra Thin Lancets30G

Unilet Excelite

Relion Ultra Thin Plus Lancets 32G

Unilet Excelite II

Relion Ultra Thin Plus Lancets 33G

Unilet G.p. Lancet

Renew Advanced Lancing Cartridge Refills

Unilet G.p. Superlite Lancet

Rexall Lancets Ultra Thin

Unilet GP 28 Ultra Thin

Rightest Gl300 Lancets

Unilet Lancet

Safe-t-lance Low Flow 25G

Unilet Superlite Lancet

Safe-t-lance Normal Flow 21G

Unistik 3 Gentle

Safe-t-lance Plus Safety Lancet High Flow

Universal 1 Lancets Thin 26G

Safe-t-lance Plus Safety Lancet Low Flow

Universal 1 Lancets Ultra Thin 30G

Safe-t-lance Plus Safety Lancet Normal Flow

Valumark Lancet Super Thin 30G

Safety Lancet 2MM

Valumark Lancet Ultra Thin 28G

Safety Lancet 21G/Pressure Activated

Vida Mia Unilet Lancets Super Thin 30G

Safety Lancet 28G/Pressure Activated

Vida Mia Unilet Lancets Ultra Thin 28G

Safety Lancets

Vitalet Pro Lancets

Safety Lancets 21G

Vitalet Pro Plus Lancets

Safety Lancets 28G

W&f Lancets Colored 21G

Safety Let Lancets

W&f Lancets 26G

Safety Seal Lancets 28G

Walgreens Lancets

Safety Seal Lancets 30G

Walgreens Thin Lancets

Shopko On-the-go Comfort Lancets 30G

Walgreens Ultra Thin Lancets

Shopko Unilet Lancets Super Thin 30G

1ST Choice Lancets Super Thin

Shopko Unilet Lancets Ultra Thin 28G

1ST Choice Lancets Thin

Single-let

1ST Choice Lancets Ultra Thin

Smart Diabetes Vantage Universal Lancets 30G

NON PREFERRED

Smart Sense Color Lancets Universal 33G

Accu-chek Active Strips

Smart Sense Standard Lancets Universal 21G

Accu-chek Aviva

Smart Sense Super Thin Lancets Universal 30G

Accu-chek Aviva Plus

Smart Sense Thin Lancets Universal 26G

Accu-chek Comfort Curve Test Strips

Smartest Lancets 28G

Accu-chek Compact Plus

Solus V2 Pressure Activated Safety Lancets 28G

Accu-chek Compact Test Drum

Solus V2 Twist Lancets 30G

Accu-chek Smartview Strips

Sterilance TL

Accutrend Glucose

Sure-lance Flat Lancets

Acura Blood Glucose Test Strips

Sure-lance Lancets 26G

Advance Intuition Test Strips

Sure-lance Thin Lancets 28G

Advance Micro-draw Test Strips

Sure-lance Ultra Thin Lancets

Advocate Redi-code

Sure-touch Lancets Universal

Advocate Redi-code+ Test Strips

Surelite Lancets

Advocate Test Strips

Surestep Glucose Control

Agamatrix Amp NO Code Test Strips

Surestep Glucose Control Solution

Agamatrix Jazz Test Strips

Surestep Pro High Glucosecontrol

Agamatrix Keynote Test Strips

Surestep Pro Low Glucose Control

Agamatrix Presto Test Strips

Surestep Pro Normal Glucose Control

Ascensia Autodisc Test Strips

Surestep Pro Test Strips

Assure II

Surestep Test Strips

Assure II Check Strip

Techlite AST Lancets

Assure II Test Strips


36

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

Careone Blood Glucose Test Strips/Premium

Glucocard 01 Test Strips

Careone Blood Glucose Test Strips/Value

Glucocom Test Strips

Caresens N Blood Glucose Test Strips

Glucolab Test Strips

Choice DM Fora G20 Test Strips

Gluconavii Blood Glucose Test Strips

Clever Chek Auto-code Test Strips

Gmate Blood Glucose Test Strips

Clever Chek Auto-code Voice Test Strips

Infinity Blood Glucose Test Strips

Clever Chek Test Strips

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

Clever Choice Auto-code Pro Test Strips

Liberty Next Generation Blood Glucose Test Strips

Clever Choice Micro Test Strips

Maxima Blood Glucose Teststrips

Control AST

Microdot Test Strips

Control Test Strips

Myglucohealth Blood Glucose Test

CVS Advanced Glucose Meter Test Strips

Neutek 2tek Test Strips

Duo-care Test Strips

Nexgen Test Strips

Easy Step Test Strips

Nova Max Glucose Test Strips

Easy Touch Glucose Test Strips

On Call Express Blood Glucose Test Strips

Easy Touch Healthpro Glucose Test Strips

On Call Plus Blood Glucose Test

Easygluco

On Call Vivid Blood Glucose Test

Easymax Test Strips

On Call Vivid Blood Glucose Test Strips

Easymax 15 Test Strips

Optium Test Strips

Easypro Blood Glucose Test Strips

Optiumez Test Strips

Easypro Plus

Optumrx Blood Glucose Test

Eclipse Test Strips

Pharmacist Choice Autocode Blood Glucose Test Strips

Element Plus Test Strips

Pocketchem EZ Blood Glucose Test Strips

Element Test Strips

Precision Point Of Care Test Strips

Embrace Blood Glucose Test Strips

Precision PCX

Embrace Evo Blood Glucosetest Strips

Precision PCX Plus Test Strips

Embrace Pro Blood Glucosetest Strips

Precision QID Test Strips

Envision Autocode Test Strips

Precision Sof-tact Test Strips

Eql Truetrack Test

Precision XTRA Blood Glucose Test Strips

Evencare + Blood Glucose Test Strip

Prestige Test Strips

Evencare Blood Glucose Test Strip

Prodigy NO Coding Blood Glucose Test Strips

Evencare G2 Test Strips

Pts Panels Glucose Test

Evencare G3 Test Strips

Quicktek Test Strips

Evolution Autocode

Quintet Ac Blood Glucose Test Strips

Exactech R-s-G Test Strips

Quintet Blood Glucose Test Strips

Exactech Test Strips

Refuah Plus Blood Glucosetest Strips

EZ Smart Blood Glucose Test Strips

Relion Blood Glucose Teststrips

EZ Smart Plus Blood Glucose Test Strips

Relion Confirm/Micro Test Strips

Fifty50 Glucose Test Strip 2.0

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

Fora D10 Blood Glucose Test Strips

Relion Prime Blood Glucose Test Strips

Fora D15c Blood Glucose Test Strips

Relion Ultima Blood Glucose Test Strips

Fora D15z Blood Glucose Test Strips

Relion Ultima Test Strips

Fora D15G Blood Glucose Test Strips

Reveal Blood Glucose Test

Fora D20 Blood Glucose Test Strips

Rexall Blood Glucose Test Strips

Fora GD20 Test Strips

Rightest GS100 Blood Glucose Test Strips

Fora GD50 Blood Glucose Test Strips


Fora G20 Blood Glucose Test Strips


Fora G30a Blood Glucose Test Strips

Smart Diabetes Xpres Blood Glucose Test Strips

Fora G71a Blood Glucose Test Strips

Smart Sense Premium Bloodglucose Strips

Fora G90 Blood Glucose Test Strips

Smart Sense Value Blood Glucose Strips

Fora Test N' Go Blood Glucose Test Strips

Smartest Blood Glucose Test Strips

Fora V10 Blood Glucose Test Strips

Solus V2 Audible Test


Supreme Test Strips


Sure Edge Blood Glucose Test Strips


Sure-test Easyplus Mini Blood Glucose Test Strips

Fora V30a Blood Glucose Test Strips

Surechek Blood Glucose Test Strips

Foracare GD40

Telcare Blood Glucose Test Strips


37

True Metrix Blood Glucosetest Strips

Optihaler MDI Drug Delivery System

True Metrix Self Monitoring Blod Glucose Strips

Panda Mask Large

Truetest Blood Glucose T Est

Panda Mask Medium

Truetest Blood Glucose T Est Strips

Panda Mask Small

Truetest Strips

Pediatric Panda Mask

Truetrack Blood Glucose Test

Pocket Chamber

Truetrack Test

Pocket Spacer

Ultima Test Strips

Riteflo

Ultratrak Pro Test Strips

Vortex Valved Holding Chamber

Ultratrak Ultimate Test Strips

Watchhaler

Unistrip1 Generic

Victory Agm-4000 Test Strips

MISCELLANEOUS

Vocal Point Blood Glucose Test Strips

Wavesense Presto Test Strips

PREFERRED

Chemet

MEDICAL DEVICES - MISC

Exjade

PREFERRED

NON PREFERRED

Aerochamber Mini Aerosol Chamber

Ferriprox

Aerochamber MV

Pentetate Calcium Trisodium

Aerochamber Plus Flow VU

Pentetate Zinc Trisodium

Aerochamber Plus Flow-VU

Aerochamber Plus Flow-VU/Large Mask

Aerochamber Plus Flow-VU/Mask

Aerochamber Plus Flow-VU/Medium Mask

Aerochamber Plus Flow-VU/Small Mask

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

Aerochamber Z-stat Plus/Flowsignal

Aerochamber Z-stat Plus/Large Mask

Aerochamber Z-stat Plus/Medium Mask

Aerochamber Z-stat Plus/Small Mask

Aerochamber/Flowsignal

Arial Chamber

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Mask Vortex/Baby Whirl Duckling

Mask Vortex/Child/Frog

Mask Vortex/Spinner The Duck

Mask Vortex/Toddler/Lady Bug

Microchamber

Microspacer

Nessi Spacer/Large Mask

Nessi Spacer/Mouthpiece

Nessi Spacer/Small/MED Mask

Optichamber Advantage

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optihaler

Effective January 1, 2015 v.2

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

38

Index

A

Acular, 27

Afluria PF 2012-2013, 32

Acular LS, 27

Afluria PF 2013-2014, 32

A-hydrocort, 13

Acura Blood Glucose Test Strips, 36

Afluria PF 2014-2015, 32

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

Acuvail, 27

Agamatrix Amp NO Code Test Strips, 36

abacavir, 3

acyclovir, 3, 11

Agamatrix Jazz Test Strips, 36

abacavir sulfate/lamivudine/zidovudine, 3

acyclovir sodium, 3

Agamatrix Keynote Test Strips, 36

Abelcet, 2

Acyclovir Sodium, 3

Agamatrix Presto Test Strips, 36

Abilify, 23

Aczone, 10

Agamatrix Ultra-thin Lancets 33G, 34

Abilify Discmelt, 23

Adacel, 32

Aggrastat, 21

Abilify Maintena, 23

Adalat CC, 7

Aggrenox, 21

Abraxane, 5

adapalene, 10

Agrylin, 21

Absorica, 10

Adasuve, 23

Akne-mycin, 10

Abstral, 28

Adcetris, 5

Akten, 27

acamprosate calcium DR, 25

Adcirca, 10

Akynzeo, 18

Acanya, 10

Adderall, 24

Ala Scalp, 12

acarbose, 15

Adderall XR, 24

Alagesic LQ, 27

Accolate, 31

adefovir dipivoxil, 3

Alahist Ac, 31

Accu-chek Active Strips, 36

Adempas, 10

Alahist DHC, 31

Accu-chek Aviva, 36

Adenocard, 7

Albafort, 20, 33

Accu-chek Aviva Plus, 36

adenosine, 7

Albenza, 3

Accu-chek Comfort Curve Test Strips, 36

Adoxa, 2

albuterol sulfate, 31

Accu-chek Compact Plus, 36

Adoxa PAK 1/100, 2

albuterol sulfate ER, 31

Accu-chek Compact Test Drum, 36

Adoxa PAK 1/150, 2

albuterol TAB 4MG, 31

Accu-chek Fastclix Lancets, 34

Adoxa PAK 2/100, 2

Alcaine, 27

Accu-chek Multiclix Lancets, 34

Adrenaclick, 9

alclometasone dipropionate, 11

Accu-chek Safe-t-pro Lancets, 34

Adrenal C Formula, 33

Aldactazide, 9

Accu-chek Safe-t-pro Pluslancets, 34

Adrenalin, 9, 30, 31

Aldactone, 9

Accu-chek Smartview Strips, 36

Adriamycin, 4

Aldara, 12

Accu-chek Soft Touch Lancets, 34

Advair Diskus, 31

Aldurazyme, 17

Accu-chek Softclix Lancets, 34

Advair HFA, 31

alendronate sodium, 16

Accuneb, 31

Advance Intuition Test Strips, 36

Alendronate Sodium, 16

Accupril, 8

Advance Micro-draw Test Strips, 36

Alfenta, 28

Accuretic, 8

Advate, 21

alfentanil, 28

Accutrend Glucose, 36

Advicor, 9

Alferon N, 6

acebutolol HCL, 7

Advocate Lancets, 34

alfuzosin HCL ER, 20

Aceon, 8

Advocate Redi-code, 36

Alimta, 5

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28

Advocate Redi-code+ Test Strips, 36

Alinia, 4

Advocate Safety Lancets, 34

Alkeran, 4

acetaminophen/codeine, 28

Advocate Test Strips, 36

allopurinol, 30

acetaminophen/codeine #2, 28

Aerochamber Mini Aerosol Chamber, 38

Alocril, 27


Aerochamber MV, 38

Alodox Convenience Kit, 2


Aerochamber Plus Flow VU, 38

Alomide, 27

acetaminophen/codeine phosphate, 28

Aerochamber Plus Flow-VU, 38

Aloprim, 30

acetazolamide, 9

Aerochamber Plus Flow-VU/Large Mask, 38

Alora, 14

Acetazolamide, 9

Aloxi, 18

acetazolamide ER, 9

Aerochamber Plus Flow-VU/Mask, 38

Alphagan P, 27

acetazolamide sodium, 9

Aerochamber Plus Flow-VU/Medium Mask, 38

Alphanate/Von Willebrand Factor Complex/Human, 21

acetic acid, 27

Acetic Acid/Aluminum Acetate, 27

Aerochamber Plus Flow-VU/Small Mask, 38

Alphanine SD, 21

acetylcysteine, 30

alprazolam, 22

Aciphex, 18

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

alprazolam ER, 22

Aciphex Sprinkle, 18

Alprazolam Intensol, 22

acitretin, 11

Aerochamber Z-stat Plus/Flowsignal, 38

alprazolam odt, 22

Aclovate, 12

Aerochamber Z-stat Plus/Large Mask, 38

Alprolix, 21

Actemra, 29

Aerochamber Z-stat Plus/Medium Mask, 38

Alrex, 26

Acthib, 32

Alsuma, 29

Acticlate, 2

Aerochamber Z-stat Plus/Small Mask, 38

Altabax, 11

Actigall, 19

Aerochamber/Flowsignal, 38

Altace, 8

Actimmune, 6

Aerospan, 31

Altoprev, 9

Actiq, 28

AF Lancets Super Thin, 34

Aluvea, 12

Activase, 21

Afinitor, 6

Alvesco, 31

Activella, 14

Afinitor Disperz, 6

amantadine HCL, 24

Actonel, 16

Afluria 2012-2013, 32

Amantadine HCL, 24

Actoplus Met, 16

Afluria 2013-2014, 32

Amaryl, 15

Actoplus Met XR, 16

Afluria 2014-2015, 32

Ambien, 23

Actos, 16

Ambien CR, 23

Animi-3/Vitamin D, 20

Assure Haemolance Plus Low Flow 25G, 34

Ambisome, 2

Anoro Ellipta, 31

Amcinonide, 12

Antabuse, 25

Assure Haemolance Plus Micro Flow 28G, 34

Amerge, 29

Antara, 9

Amethyst, 14

antipyrine/benzocaine, 27

Assure Haemolance Plus Normal Flow 21G, 34

Amicar, 21

Antipyrine/Benzocaine, 27

amifostine, 6

Anusol-HC, 19

Assure Haemolance Plus Pediatric Blade, 34

amikacin sulfate, 2

Anzemet, 18

amiloride HCL, 9

Apexicon E, 12

Assure II, 36

amiloride/hydrochlorothiazide, 9

Apidra, 15

Assure II Check Strip, 36

aminocaproic acid, 21

Apidra Solostar, 15

Assure II Test Strips, 36

Aminocaproic Acid, 21

Aplenzin, 22

Assure Lance Lancets, 34

aminophylline, 31

Apokyn, 24

Assure Lancets, 34

amiodarone HCL, 7

Appbutamone, 22

Assure Platinum Test Strips, 37

Amiodarone HCL, 7

Appbutamone-d, 22

Assure Prism Multi Test Strips, 37

Amitiza, 19

Appformin, 16

Assure Pro Test Strips, 37

amitriptyline HCL, 22

Appformin-d, 16

Astagraf XL, 5

amlodipine besylate, 7

apraclonidine, 27

Astelin, 30

amlodipine besylate/atorvastatin calcium, 9

Apriso, 19

Astepro, 30

Aptiom, 24

Astringyn, 21

amlodipine besylate/benazepril HCL, 8

Aptivus, 3

AT Last Lancets, 34

amlodipine besylate/benazepril hydrochloride, 8

Aquasol A Parenteral, 32

AT Last Test Strips, 37

Aquoral, 21

Atabex EC, 33

amlodipine besylate/valsartan, 8

Aralast NP, 31

Atabex Prenatal, 33

amlodipine/valsartan/hctz, 8

Aralen, 3

Atacand, 8

ammonium lactate, 12

Aranesp Albumin Free, 20

Atacand HCT, 8

Ammonul, 17

Arava, 29

Atelvia, 16

Amoxapine, 22

Arcalyst, 29

atenolol, 7

amoxicillin, 1

Arcapta Neohaler, 31

atenolol/chlorthalidone, 8

Amoxicillin, 1

argatroban, 20

Atgam, 5

Amoxicillin ER, 1

Argatroban, 21

Ativan, 22

amoxicillin/clavulanate potassium, 1

Arial Chamber, 38

Atopiclair, 13

amoxicillin/clavulanate potassium ER, 1

Aricept, 25

atorvastatin calcium, 9

amphetamine/dextroamphetamine, 23

Aricept Odt, 25

atovaquone, 4

Amphotec, 2

Arimidex, 5

atovaquone/proguanil HCL, 3

Amphotericin B, 2

Aristospan Intra-articular, 13

atracurium besylate, 25

ampicillin, 1

Aristospan Intralesional, 13

Atralin, 10

Ampicillin, 1

Arixtra, 21

Atripla, 3

ampicillin sodium, 1

Armour Thyroid, 17

Atropen, 18

Ampicillin Sodium, 1

Arnica Flower, 13

atropine sulfate, 18, 26

ampicillin-sulbactam, 1

Aromasin, 5

Atropine Sulfate, 18, 26

Ampicillin-sulbactam, 1

Arranon, 5

Atrovent, 30

Ampyra, 25

Arthrotec 50, 29

Atrovent HFA, 31

Amrix, 25

Arthrotec 75, 29

Aubagio, 25

Amturnide, 8

Articadent Dental, 30

augmented betamethasone dipropionate, 12

Amytal Sodium, 23

Artiss, 21

Anacaine, 13

Arzerra, 5

Augmentin, 1

Anadrol-50, 14

Asacol HD, 19

Augmentin ES-600, 1

Anafranil, 22

Ascensia Autodisc Test Strips, 36

Augmentin XR, 1

anagrelide hydrochloride, 21

ascorbic acid, 32

Auralgan, 27

Analpram Advanced, 19

Asmanex HFA, 31

Aurora Lancet Super Thin 30G, 34

Analpram-HC, 19

Asmanex Twisthaler 120 Metered Doses, 31

Aurora Lancet Thin 23G, 34

Analpram-HC Singles, 19

Aurstat Anti-itch Hydrogel, 13

Anaprox, 29


Aurstat Anti-itch Hydrogel Kit, 13

Anaprox DS, 29

Auryxia, 19

Anaspaz, 18

Asmanex Twisthaler 30 Me Tered Doses, 31

Auvi-q, 9

anastrozole, 5

Avalide, 8

Ancef, 1


Avandamet, 16

Ancobon, 2

Avandaryl, 16

Androderm, 14


Avandia, 16

Androgel, 14

Avapro, 8

Androgel P.M., 14


Avar, 10

Android, 14

Avar LS, 10

Androxy, 14

Aspirin-caffeine-dihydrocodeine, 28

Avar LS Cleanser, 10

Anectine, 25

Assure 3 Test Strips, 37

Avar-e LS, 10

Angeliq, 14

Assure 4 Test Strips, 37

Avastin, 5

Angiomax, 21

Assure Haemolance Plus High Flow 18G, 34

Avc, 19

Animi-3, 20

Aveed, 14

Avelox, 2

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

34

Avelox Abc Pack, 2

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34

Avidoxy DK, 2

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

Avinza, 28

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34

Avodart, 20

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

Avonex, 25

BD Pudendal/Local Block Tray 1% Lidocaine, 30

Avonex Pen, 25

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

Axert, 29

Beconase AQ, 30

Axid, 18

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

Beleodaq, 6

Axiron, 14

Belladonna & Opium, 18

Aygestin, 15

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

Belladonna Alkaloids & Opium, 18

azacitidine, 4

Belsomra, 23

Azactam, 4

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

benazepril HCL, 8

Azactam IN Iso-osmotic Dextrose, 4

benazepril HCL/hydrochlorothiazide, 8

Azasan, 5

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

Benefix, 21

Azasite, 26

Benicar, 8

azathioprine, 5

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

Benicar HCT, 8

azelastine HCL, 27, 30

Bentyl, 18

Azelex, 10

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

Benzac Ac Wash, 10

Azilect, 24

Benzac W Wash, 10

azithromycin, 1

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34

Benzaclin, 10

Azithromycin, 1

Benzaclin With P.M., 10

Azopt, 27


Benzamycin, 10

Azor, 8

Benzamycinpak, 10

aztreonam, 4


Benzefoam, 10

Azulfidine, 19

Benzefoamultra, 10

Azulfidine EN-TABS, 19


Benziq, 10

B

Benziq LS, 10

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34

Benzoin Compound Tincture, 13

B-6 Folic Acid, 20

Benzoin Tincture, 13

b-complex, 32

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

benzonatate, 30

b-complex 100, 32

benzoyl peroxide, 10

B-nexa, 33

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

benzoyl peroxide SHORT contact, 10

bacitracin, 4

benztropine mesylate, 24

Bacitracin, 4, 26

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34

Bepreve, 27

bacitracin/polymyxin b, 26

Berinert, 21

baclofen, 25

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

Besivance, 26

Bacmin, 33

Betadine Ophthalmic Prep, 26

Bactocill IN Dextrose, 1

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 34

Betagan, 26

Bactrim, 4

Betalido, 13

Bactrim DS, 4

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34

betamethasone dipropionate, 12

Bactroban, 11

betamethasone sodium phosphate/betamethasone acetate, 13

Bactroban Nasal, 30

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34

Bal-care DHA, 33

betamethasone valerate, 12

Bal-care DHA Essential, 33

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34

Betapace, 7

balsalazide disodium, 18

Betapace AF, 7

Banzel, 24

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34

Betaseron, 25

Baraclude, 3

betaxolol HCL, 7, 26

Bayer Breeze 2 Test Disc, 37

BD Insulin Syringe/U-100/1ML/27G X 1/2", 34

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", 34

Bexxar, 5

Bayer Microlet Lancets, 34

Bexxar 131 Iodine, 6

Bcg Vaccine, 32


Beyaz, 14

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

Bg Star Blood Glucose Test, 37

BD Lancet Ultrafine 30G, 34

Biaxin, 1

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

BD Lancet Ultrafine 33G, 34

Biaxin XL, 1

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

Biaxin XL PAC, 1

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

bicalutamide, 5

BD Microtainer Lancets, 34

Bicillin C-R, 1

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

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34

Bicillin L-a, 1

Bicnu, 4

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

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34

Bidil, 10

Biferarx, 20

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

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34

Biltricide, 3

Binosto, 16

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

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

Bioscanner Glucose Test Strips, 37

Biothrax, 32

butalbital/aspirin/caffeine, 27

Cardura XL, 20

bisoprolol fumarate, 7

Butalbital/Aspirin/Caffeine, 27

Careone Blood Glucose Test Strips/Premium, 37

bisoprolol fumarate/hydrochlorothiazide, 8

butalbital/aspirin/caffeine/codeine, 28

Butisol Sodium, 23

Careone Blood Glucose Test Strips/Value, 37

bleomycin sulfate, 4

butorphanol tartrate, 28

Bleph-10, 26

Butrans, 28

Careone Lancet Thin, 34

Blephamide, 26

Bydureon, 15

Careone Lancet Ultra Thin, 34

Blephamide S.o.p., 26

Byetta, 15

Caresens N Blood Glucose Test Strips, 37

Blood Glucose Test Strips, 37

Bystolic, 7

Blood Glucose Test Strips Premium, 37

C

carisoprodol, 25

Bloxiverz, 26

Carisoprodol, 25

cabergoline, 17

Boniva, 16

carisoprodol/aspirin, 25

Caduet, 10

Boostrix, 32

carisoprodol/aspirin/codeine, 25

Cafcit, 24

Boric Acid, 13

Carmol-HC, 12

Cafergot, 29

Bosulif, 6

Carnitor, 17

caffeine citrate, 23

Botox, 25

Carnitor SF, 17

Caffeine/Sodium Benzoate, 24

Bravelle, 16

carteolol HCL, 26

Calan, 7

Breatherite, 38

carvedilol, 7

Calan SR, 7

Breatherite Collapsible Adult Spacer W/Mask, 38

Cascara Sagrada, 17

calcipotriene, 11

Casodex, 5

calcipotriene/betamethasone dipropionate, 12

Breatherite Collapsible Child Spacer W/Mask, 38

Cataflam, 29

Catapres, 8

calcitonin salmon, 16

Breatherite Collapsible Infant Spacer W/Mask, 38

Catapres-tts-1, 8

calcitonin-salmon, 16

Catapres-tts-2, 8

Calcitriol, 11

Breatherite Collapsible Small Child Spacer W/Mask, 38

Catapres-tts-3, 8

calcitriol, 17

Cathflo Activase, 21

calcium acetate, 18

Breatherite Collapsible Spacer W/ Neonate Mask, 38

Cavan-alpha Kit, 33

Calcium Folinate, 6

Caverject, 10

Caldolor, 29

Breatherite Rigid Spacer W/Mask, 38

Caverject Impulse, 10

Cambia, 29

Breatherite W/Large Mask, 38

Cayston, 4

Campral, 25

Breatherite W/Medium Mask, 38

Cedax, 1

Camptosar, 6

Breatherite W/Small Mask, 38

cefaclor, 1

Canasa, 19

Breo Ellipta, 31

Cefaclor, 1

Cancidas, 2

Brevibloc, 7

Cefaclor ER, 1

candesartan cilexetil, 8

Brevicon-28, 14

cefadroxil, 1

candesartan cilexetil/hydrochlorothiazide, 8

Brilinta, 21

cefazolin sodium, 1

brimonidine tartrate, 27

Cefazolin Sodium, 1

Cantil, 18

Brintellix, 22

Cefazolin Sodium/Dextrose, 1

Capastat Sulfate, 2

Brisdelle, 25

cefdinir, 1

capecitabine, 4

Bromday, 27

Cefditoren Pivoxil, 1

Capex, 12

bromfenac, 27

cefepime, 1

Caphosol, 21

bromocriptine mesylate, 24

Cefepime, 1

Capital/Codeine, 28

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 30

cefotaxime sodium, 1

Caprelsa, 6

Cefotetan, 1

captopril, 8

Brompheniramine Tannate, 30

Cefotetan/Dextrose, 1

Captopril/Hydrochlorothiazide, 8

Brovana, 31

cefoxitin sodium, 1

Carafate, 18

budesonide, 13, 30, 31

Cefoxitin Sodium, 1

Carbaglu, 17

Bullseye Safety Lancets, 34

cefpodoxime proxetil, 1

carbamazepine, 24

bumetanide, 9

cefprozil, 1

carbamazepine ER, 24

Bunavail, 28

ceftazidime, 1

Carbaphen 12, 31

Bupap, 27

Ceftazidime, 1

Carbaphen 12 PED, 31

Buphenyl, 17

Ceftazidime/Dextrose, 1

Carbatrol, 24

bupivacaine HCL, 30

Ceftibuten, 1

carbidopa, 24

bupivacaine/epinephrine, 30

Ceftin, 1

carbidopa/levodopa, 24

Buprenex, 28

Ceftriaxone IN Iso-osmotic Dextrose, 1

carbidopa/levodopa ER, 24

buprenorphine HCL, 28

ceftriaxone sodium, 1

carbidopa/levodopa odt, 24

buprenorphine HCL/naloxone HCL, 28

Ceftriaxone/Dextrose, 1

Carbidopa/Levodopa/Entacapone, 24

bupropion HCL, 22

cefuroxime axetil, 1

carbinoxamine maleate, 30

bupropion HCL ER, 22

cefuroxime sodium, 1

Carbocaine, 30

bupropion HCL SR, 22

Cefuroxime Sodium, 1

carboplatin, 4

bupropion HCL XL, 22

Cefuroxime/Dextrose, 1

Carboplatin, 4

buspirone HCL, 22

Celebrex, 29

Cardene I.v., 7

Busulfex, 4

celecoxib, 29

Cardene IV, 7

butalbital/acetaminophen, 27

Celestone, 13

Cardene SR, 7

butalbital/acetaminophen/caffeine, 27

Celestone-soluspan, 13

Cardizem, 7

butalbital/acetaminophen/caffeine/codeine, 28

Celexa, 22

Cardizem CD, 7

Cellcept, 5

Cardizem LA, 7

butalbital/apap/caffeine, 27

Cellcept Intravenous, 5

Cardura, 8

Celontin, 24

cisatracurium besylate, 25

clomipramine HCL, 22

Cem-urea, 12

cisplatin, 4

clonazepam, 24

Cenestin, 14

Cisplatin, 4

clonazepam odt, 24

Cenfol, 20

citalopram hydrobromide, 22

clonidine HCL, 8

Centany, 11

Citanest Forte Dental, 30

clonidine HCL ER, 23

Centany AT, 11

Citanest Plain Dental, 30

clopidogrel, 21

Centratex, 20

Citranatal 90 DHA, 33

clorazepate dipotassium, 22

cephalexin, 1

Citranatal Assure, 33

Clorpres, 8

Cephalexin, 1

Citranatal B-calm, 33

clotrimazole, 11, 21

Cerdelga, 20

Citranatal DHA, 33

clotrimazole/betamethasone dipropionate, 11

Cerebyx, 24

Citranatal Harmony, 33

Cerezyme, 20

Citranatal RX, 33

clozapine, 23

Cervarix, 32

citric acid/sodium citrate, 20

Clozapine Odt, 23

Cervidil, 27

Citrolith, 20

Clozaril, 23

Cesamet, 18

cladribine, 4

Cnl8 Nail Kit, 11

cetirizine HCL, 30

Claforan, 1

CO-natal Fa, 32

Cetraxal, 27

Claforan/D5W, 1

Coaguchek Lancets, 34

Cetrotide, 16

Claravis, 10

Coal TAR, 13

cevimeline HCL, 21

Clarifoam EF, 10

Coartem, 3

Chemet, 38

Clarinex, 30

Cocaine HCL, 13

Chenodal, 19

Clarinex Reditabs, 30

Cod Liver Oil, 33

Chloral Hydrate, 23

Clarinex-d 12 HOUR, 31

codeine sulfate, 28

Chloramphenicol Sodium Succinate, 4

Clarinex-d 24 HOUR, 31

Codeine Sulfate, 28

chlordiazepoxide HCL, 22

clarithromycin, 1

Cogentin, 24

Chlordiazepoxide/Amitriptyline, 25

clarithromycin ER, 1

Colazal, 19

chlorhexidine gluconate, 21

Cleanlet Lancets 28G, 34

Colcrys, 30

chlorhexidine gluconate oral rinse, 21

clemastine fumarate, 30

Colestid, 9

chloroprocaine HCL, 30

Clemastine Fumarate, 30

Colestid Flavored, 9

chloroquine phosphate, 3

Cleocin, 4, 19

colestipol HCL, 9

chlorothiazide, 9

Cleocin IN D5W, 4

colestipol HCL for oral suspension, 9

Chlorothiazide, 9

Cleocin Pediatric Granules, 4

colistimethate sodium, 4

chlorothiazide sodium, 9

Cleocin Phosphate, 4

Coly-mycin M, 4

chlorpromazine HCL, 23

Cleocin-t, 10

Coly-mycin S, 27

Chlorpromazine HCL, 23

Clever Chek Auto-code Test Strips, 37

Colyte-flavor Packs, 17

Chlorpropamide, 15

Clever Chek Auto-code Voice Test Strips, 37

Combigan, 26

Chlorthalidone, 9

Combipatch, 14

chlorzoxazone, 25

Clever Chek Lancets Ultrathin, 34

Combivent, 31

Choice DM Fora G20 Test Strips, 37

Clever Chek Lancets Ultrathin 30G, 34

Combivent Respimat, 31

cholestyramine, 9

Clever Chek Test Strips, 37

Combivir, 3

cholestyramine light, 9

Clever Choice Auto-code Pro Test Strips, 37

Cometriq, 6

choline magnesium trisalicylate, 27

Comfort Lancets, 34

Choline Magnesium Trisalicylate, 27

Clever Choice Micro Test Strips, 37

Compazine, 23

chorionic gonadotropin, 16

Cleviprex, 7

Complera, 3

Cialis, 10

Climara, 14

Comtan, 24

Ciclodan Cream Kit, 11

Climara Pro, 14

Comvax, 32

Ciclodan Solution Kit, 11

Clindacin Etz, 10

Concept DHA, 33

ciclopirox, 11

Clindacin PAC, 10

Concept OB, 33

ciclopirox nail lacquer, 11

Clindagel, 10

Concerta, 24

ciclopirox olamine, 11

clindamycin HCL, 4

Condylox, 12

Ciclopirox Topical Solution Kit, 11

clindamycin palmitate HCL, 4

Control AST, 37

cidofovir, 3

clindamycin phosphate, 4, 10, 19

Control Test Strips, 37

Ciferex, 20

Clindamycin Phosphate, 4

Conzip, 28

cilostazol, 21

clindamycin phosphate add-vantage, 4

Copaxone, 25

Ciloxan, 26

clindamycin phosphate IN D5W, 4

Copegus, 3

cimetidine, 18

clindamycin phosphate pharmacy bulk package, 4

Cordarone, 7

cimetidine HCL, 18

Cordran, 12

Cimzia, 19

clindamycin/benzoyl peroxide, 10

Cordran Tape, 12

Cimzia Starter Kit, 19

Clindesse, 19

Coreg, 7

Cipro, 2

clobetasol propionate, 12

Coreg CR, 7

Cipro HC, 27

clobetasol propionate emollient, 12

Corgard, 7

Cipro I.V.-IN D5W, 2

Clobex, 12

Corifact, 21

Cipro XR, 2

Clocortolone Pivalate, 12

Corlopam, 8

Ciprodex, 27

Clocortolone Pivalate P.M., 12

Cortef, 13

ciprofloxacin, 2

Clodan Kit, 12

Cortenema, 19

Ciprofloxacin, 27

Cloderm, 12

Cortifoam, 19

ciprofloxacin ER, 2

Cloderm P.M., 12

Cortisone Acetate, 13

ciprofloxacin HCL, 2, 26

Clolar, 5

Cortisporin, 11, 27

ciprofloxacin I.V.-IN D5W, 2

clomiphene citrate, 16

Cortisporin-tc, 27

Corvert, 7

Daunoxome, 4

Dexpak 13 Day, 13

Corvite, 33

Daypro, 29

Dexpak 6 Day, 13

Corvite 150, 20

Daytrana, 23

Dexpanthenol, 19

Corzide, 8

Ddavp, 17

dexrazoxane, 6

Cosmegen, 4

Debacterol, 21

dextroamphetamine sulfate, 23

Cosopt, 26

Decara, 32

dextroamphetamine sulfate ER, 23

Cosopt PF, 26

decitabine, 4

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31

Coumadin, 21

Decon-a, 31

Cozaar, 8

Delestrogen, 14

Cpb Wc, 31

Delzicol, 19

Diabeta, 15

Creon, 18

Demadex, 9

Dialyvite 3000, 33

Crestor, 9

demeclocycline HCL, 2

Dialyvite 5000, 33

Cresylate, 27

Demerol, 28

Dialyvite Supreme D, 33

Crinone, 19

Demser, 8

Dialyvite/Zinc, 33

Crixivan, 3

Denavir, 11

Diamox, 9

Crnatal, 33

Depacon, 24

Diastar Easy Test II Lancets 30G, 34

cromolyn sodium, 18, 27

Depakene, 24

Diastar Easy Test Lancets30G, 34

Cromolyn Sodium, 31

Depakote, 24

Diastat Acudial, 24

Cubicin, 4

Depakote ER, 24

Diastat Pediatric, 24

Curosurf, 31

Depakote Sprinkles, 24

Diatx ZN, 33

Cutivate, 12

Depo-estradiol, 14

diazepam, 22

Cuvposa, 18

Depo-medrol, 13

Diazepam, 22, 24

CVS Advanced Glucose Meter Test Strips, 37

Depo-provera, 5

Diazepam Intensol, 22

Depo-testosterone, 14

Dibenzyline, 8

cyanocobalamin, 20

Depocyt, 5

Diclegis, 18

Cyanocobalamin, 20

Deprizine Fusepaq, 18

diclofenac potassium, 29

Cyclessa, 14

Derma-smoothe/FS Body, 12

diclofenac sodium, 11, 27

Cyclobenzaprine Comfort PAC, 25

Derma-smoothe/FS Body Oil, 12

diclofenac sodium DR, 29

cyclobenzaprine HCL, 25

Derma-smoothe/FS Scalp, 12

diclofenac sodium ER, 29

Cyclogyl, 26

Derma-smoothe/FS Scalp Oil, 12

diclofenac sodium/misoprostol, 29

Cyclomydril, 26

Dermasorb HC, 12

dicloxacillin sodium, 1

cyclopentolate HCL, 26

Dermasorb Ta, 12

Dicopanol Fusepaq, 30

cyclophosphamide, 4

Dermasorb XM, 13

dicyclomine HCL, 18

Cyclophosphamide, 4

Dermatop, 12

Dicyclomine HCL, 18

Cycloserine, 2

Dermotic, 27

didanosine, 3

cyclosporine, 5

desipramine HCL, 22

Differin, 10

cyclosporine modified, 5

desloratadine, 30

Dificid, 1

Cyclosporine Modified, 5

desloratadine odt, 30

diflorasone diacetate, 12

Cyklokapron, 21

desmopressin acetate, 17

Diflorasone Diacetate, 12

Cymbalta, 22

Desogen, 14

Diflucan, 2

cyproheptadine HCL, 30

desogestrel/ethinyl estradiol, 14

diflunisal, 27

Cyramza, 5

Desonate, 12

Digex NF, 18

Cystadane, 17

desonide, 12

digoxin, 6

Cystagon, 20

Desowen, 12

Digoxin, 6

Cystaran, 27

Desowen Cream/Cetaphil Lotion, 12

dihydroergotamine mesylate, 29

cytarabine, 4

Desowen Lotion/Cetaphil Cream, 12

Dihydroergotamine Mesylate, 29

Cytarabine, 5

Desowen Ointment/Cetaphil Lotion, 12

Dilacor XR, 7

cytarabine aqueous, 4

desoximetasone, 12

Dilantin, 24

Cytomel, 17

Desoximetasone, 12

Dilantin Infatabs, 24

Cytotec, 18

Desoxyn, 24

Dilatrate SR, 7

Cytovene, 3

Desvenlafaxine ER, 22

Dilaudid, 28

Cytra-3, 20

Detrol, 19

Dilaudid-HP, 28

D

Detrol LA, 19

diltiazem CD, 7

dexamethasone, 13

diltiazem HCL, 7

D.h.e. 45, 29

Dexamethasone, 13

Diltiazem HCL, 7

dacarbazine, 6

Dexamethasone Intensol, 13

diltiazem HCL ER, 7

Dacarbazine, 6

dexamethasone sodium phosphate, 13, 26

Dimenhydrinate, 18

Dacogen, 5

Diovan, 8

Daliresp, 31

Dexamethasone Sodium Phosphate, 13

Diovan HCT, 8

Dalvance, 4

Dexchlorpheniramine Maleate, 30

Dipentum, 19

danazol, 14

Dexedrine, 24

diphenhydramine HCL, 30

Dantrium, 25

Dexilant, 18

diphenoxylate/atropine, 17

Dantrium IV, 25

Dexlido, 13

Diphenoxylate/Atropine, 18

dantrolene sodium, 25

Dexlido-m, 13

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32

Dantrolene Sodium, 25

dexmedetomidine HCL, 23

Dapsone, 4

dexmethylphenidate HCL, 23

Diprolene, 12

Daptacel, 32

dexmethylphenidate HCL ER, 23

Diprolene AF, 12

Daraprim, 3

Dexpak 10 Day, 13

dipyridamole, 21

daunorubicin HCL, 4

Disalcid, 27

Duet DHA 400EC, 33

Easy Touch Safety Lancets21G/Pressure Activated, 35

disopyramide phosphate, 7

Duet DHA 430, 33

disulfiram, 25

Duet DHA 430EC, 33


Ditropan XL, 19

Duet DHA Balanced, 33

Diuril, 9

Duet DHA EC, 33

Easy Touch Safety Lancets26G/Button Activated, 35

divalproex sodium, 24

Duetact, 16

divalproex sodium DR, 24

Duexis, 29


divalproex sodium ER, 24

Dulera, 31

Divigel, 14

duloxetine HCL, 22

Easy Touch Safety Lancets28G/Button Activated, 35

Divista, 20

Duo-care Test Strips, 37

dobutamine HCL, 9

Duocaine, 30


dobutamine HCL/D5W, 9

Duoneb, 31

dobutamine/dextrose 5%, 9

Duragesic, 28

Easy Twist & CAP Lancets, 35

Dobutamine/Dextrose 5%, 9

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

Easygluco, 37

Docefrez, 5

Easymax 15 Test Strips, 37

docetaxel, 5

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

Easymax Test Strips, 37

Docetaxel, 5

Easypro Blood Glucose Test Strips, 37

Dolgic Plus, 27

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

Easypro Plus, 37

Dologesic, 27

Easytest II Lancets, 35

Dolophine, 28

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

Easytest Lancets, 35

Dolophine HCL, 28

EC-naprosyn, 29

Donatuss Dc, 31

Durezol, 26

Eclipse Test Strips, 37

donepezil HCL, 25

Dutoprol, 8

econazole nitrate, 11

dopamine HCL, 9

Dyazide, 9

Ecoza, 11

Dopamine HCL, 9

Dymista, 30

Ed Cyte F, 20

dopamine HCL-dextrose 5%, 9

Dynacin, 2

Edarbi, 8

dopamine HCL/dextrose 5%, 9

Dyrenium, 9

Edarbyclor, 8

dopamine/D5W, 9

Dysport, 25

Edecrin, 9

Dopram, 24

Dyural-40, 14

Doral, 23

Dyural-80, 14

Edluar, 23

Doribax, 4

Dyural-l, 14

Edurant, 3

Doryx, 2

Dyural-lm, 14

Effexor XR, 22

dorzolamide HCL, 27

E

Effient, 21

dorzolamide HCL/timolol maleate, 26

Egrifta, 17

E-z Ject Lancets, 34

Doubledex, 13

Elaprase, 17

E-z Ject Lancets 21G, 35

Dovonex, 11

Eldepryl, 24

E-z Ject Lancets Color, 34

doxapram HCL, 23

Elelyso, 20

E-z Ject Lancets Super Thin, 34

doxazosin mesylate, 8

Element Plus Test Strips, 37

E-z Ject Lancets Super Thin 30G, 34

doxepin HCL, 22

Element Test Strips, 37

E-z Ject Lancets Thin 26G, 35

Doxepin HCL, 22

Elenzapatch, 13

E-z Spacer, 38

doxercalciferol, 17

Elestat, 27

E-z Spacer The Body Guards Pack, 38

Doxil, 4

Elestrin, 14

E-ZJECT Lancets Micro-thin 33G, 35

doxorubicin HCL, 4

Eletone, 13

E.e.s. 400, 1

doxorubicin HCL liposome, 4

Eletone Twinpack, 13

E.e.s. Granules, 1

doxycycline, 2

Elidel, 12

Easivent, 38

Doxycycline, 10

Eligard, 5

Easivent/Mask-large, 38

doxycycline hyclate, 2

Elimite, 13

Easivent/Mask-medium, 38

doxycycline hyclate DR, 2

Eliphos, 19

Easivent/Mask-small, 38

doxycycline monohydrate, 2

Eliquis, 21

Easy Step Test Strips, 37

Doxytex, 30

Elite-OB, 32

Easy Touch Glucose Test Strips, 37

Drisdol, 32

Elitek, 6

Easy Touch Healthpro Glucose Test Strips, 37

Dritho-creme HP, 11

Elixophyllin, 31

dronabinol, 18

Ella, 14

Easy Touch Lancets 21G/Pressure Activated, 35

droperidol, 22

Ellence, 4

Droplet Lancets Ultra Thin 30G, 34

Elmiron, 20


drospirenone/ethinyl estradiol, 14

Elocon, 12

Droxia, 20

Eloxatin, 4


Drug Mart On-the-go Lancets Gentle 30G, 34

Elspar, 4

Emadine, 27


Drug Mart Unilet Lancets Super Thin 30G, 34

Embrace Blood Glucose Test Strips, 37

Embrace Evo Blood Glucosetest Strips, 37

Easy Touch Lancets 28G/Twist, 35

Drug Mart Unilet Lancets Ultra Thin 28G, 34


Embrace Lancets Ultra Thin 30G, 35

Drysol, 13

Embrace Pro Blood Glucosetest Strips, 37


Duac, 10


Duavee, 14

Emcyt, 5

Duet DHA, 33

Emend, 18


Duet DHA 400, 33

Emla, 13


Emsam, 22

esmolol HCL, 7

Factive, 2

Emtriva, 3

esomeprazole sodium, 18

Falessa, 14

Emulsion SB, 13

Esomeprazole Sodium, 18

famciclovir, 3

Enablex, 19

Esomeprazole Strontium, 18

famotidine, 18

enalapril maleate, 8

estazolam, 23

Famotidine, 18

enalapril maleate/hydrochlorothiazide, 8

Estrace, 14, 19

Famotidine Premixed, 18

enalaprilat, 8

estradiol, 14

Famvir, 3

Enbrel, 29

estradiol valerate, 14

Fanapt, 23

Enbrel Sureclick, 29

estradiol/norethindrone acetate, 14

Fanapt Titration Pack, 23

Endometrin, 19

Estrasorb, 14

Fareston, 5

Engerix-b, 32

Estring, 19

Farxiga, 15

Enjuvia, 14

Estrogel, 14

Faslodex, 5

Enlon, 26

estropipate, 14

Fasttake Compact Monitoring System, 35

Enlon-plus, 26

Estropipate, 14

enoxaparin sodium, 20

Estrostep FE, 14

Fasttake Test Strips, 35

entacapone, 24

eszopiclone, 23

Fazaclo, 23

entecavir, 3

ethambutol HCL, 2

Feiba NF, 21

Entereg, 19

ethosuximide, 24

felbamate, 24

Entocort EC, 14

Ethyl Chloride, 13

Felbatol, 24

Entyvio, 19

Ethyl Chloride/Fine Pinpoint, 13

Feldene, 29

Envision Autocode Test Strips, 37

Ethyl Chloride/Fine Stream, 13

felodipine ER, 7

Epaned, 8

Ethyl Chloride/Medium Jet Stream, 13

Fem PH, 19

ephedrine sulfate, 9

Ethyl Chloride/Medium Stream, 13

Femara, 5

Epiceram, 13

Ethyl Chloride/Mist, 13

Femcon FE, 14

Epiduo, 10

Ethyol, 6

Femhrt Low Dose, 14

Epifoam, 12

Etidronate Disodium, 16

Femring, 19

epinastine HCL, 27

etodolac, 29

fenofibrate, 9

Epinephrine, 9

etodolac ER, 29

Fenofibrate, 9

Epinephrine HCL, 9

Etopophos, 5

fenofibrate micronized, 9

epinephrine HCL, 31

etoposide, 5

Fenofibric Acid, 9

Epipen 2-PAK, 9

Etoposide, 5

fenofibric acid DR, 9

Epipen-JR 2-PAK, 9

Euflexxa, 25

Fenoglide, 9

epirubicin HCL, 4

Eurax, 13

fenoldopam mesylate, 8

Epirubicin HCL, 4

Evamist, 14

Fenoprofen Calcium, 29

episone CRE, 12

Evencare + Blood Glucose Test Strip, 37

fentanyl, 28

Epivir, 3

Evencare Blood Glucose Test Strip, 37

fentanyl citrate oral transmucosal, 28

Epivir HBV, 3

Evencare G2 Test Strips, 37

Fentora, 28

eplerenone, 8

Evicel, 21

Feraheme, 20

Epogen, 20

Evista, 16

Feriva, 20

epoprostenol sodium, 10

Evithrom, 21

Feriva 21/7, 20

eprosartan mesylate, 8

Evoclin, 10

Ferivafa, 20

Epzicom, 3

Evolution Autocode, 37

Ferralet 90, 20

Eql Truetrack Test, 37

Evoxac, 21

Ferrex 150 Forte Plus, 20

Equagesic, 27

Exactech R-s-G Test Strips, 37

Ferrex 28, 20

Equetro, 23

Exactech Test Strips, 37

Ferriprox, 38

Eraxis, 2

Exactuss, 31

Ferrlecit, 20

Erbitux, 5

Exalgo, 28

Ferro-plex Hematinic, 20

ergocalciferol, 32

Exelderm, 11

Ferrotrin, 20

ergoloid mesylates, 25

Exelon, 25

Fetzima, 22

Ergomar, 29

exemestane, 5

Fetzima Titration Pack, 22

Ertaczo, 11

Exforge, 8

Fexmid, 25

Erwinaze, 4

Exforge HCT, 8

Fibricor, 9

Ery-TAB, 1

Exjade, 38

Fifty50 Glucose Test Strip 2.0, 37

Erygel, 10

Exparel, 30

Fifty50 Safety Seal Lancets 30G, 35

Eryped 200, 1

Extavia, 25

Fifty50 Safety Seal Lancets 32G, 35

Eryped 400, 1

Extina, 11

Finacea, 10

Erythrocin Lactobionate, 1

EZ Smart Blood Glucose Lancets, 35

finasteride, 20

Erythrocin Stearate, 1

EZ Smart Blood Glucose Test Strips, 37

Fine 30, 35

erythromycin, 1, 10, 26

EZ Smart Plus Blood Glucose Test Strips, 37

Fingerstix Lancets, 35

Erythromycin Base, 1

Fioricet, 27

Erythromycin Ethylsuccinate, 1

EZ-lets Lancets 21G, 35

Fioricet/Codeine, 28

erythromycin/benzoyl peroxide, 10


Fiorinal, 28

Esbriet, 31

EZ-lets Lancets 26G Super-soft, 35

Fiorinal/Codeine #3, 28

Escavite, 33

EZ-lets Lancets 28G Ultra-soft, 35

Firazyr, 21

Escavite D, 33


Firmagon, 5

escitalopram oxalate, 22

F

First-bxn Mouthwash, 22

Esgic, 27

First-dukes Mouthwash, 22

Fabior, 10

Esgic-plus, 27

First-hydrocortisone, 12

Fabrazyme, 17

First-lansoprazole, 18

fluorouracil, 5

Fora G90 Blood Glucose Test Strips, 37

First-marys Mouthwash, 22

fluoxetine, 25

Fora GD20 Test Strips, 37

First-mouthwash Blm, 22

fluoxetine DR, 22

Fora GD50 Blood Glucose Test Strips, 37

First-omeprazole, 18

fluoxetine HCL, 22

First-progesterone VGS 100 Compounding Kit, 19

Fluoxetine HCL, 22

Fora Lancets, 35

fluphenazine decanoate, 23

Fora Test N' Go Blood Glucose Test Strips, 37


fluphenazine HCL, 23

Fluphenazine HCL, 23

Fora V10 Blood Glucose Test Strips, 37


flurazepam HCL, 23


Flurazepam HCL, 23



flurbiprofen, 29


flurbiprofen sodium, 27

Fora V30a Blood Glucose Test Strips, 37


flutamide, 5

Foracare GD40, 37

fluticasone propionate, 12, 30

Foracare Premium V10 Teststrips, 37

First-testosterone, 14

fluvastatin, 9

Foracare Test N Go Test Strips, 37

First-testosterone Mc Compounding Kit, 14

Fluvirin 2012-2013, 32

Foradil Aerolizer, 31

Fluvirin 2013-2014, 32

Forfivo XL, 22

First-vancomycin 25, 4

Fluvirin 2014-2015, 32

Fortamet, 15

First-vancomycin 50, 4

Fluvirin PF 2012-2013, 32

Fortavit, 33

Flagyl, 4


Fortaz, 1

Flagyl ER, 4


Forteo, 16

Flarex, 26

fluvoxamine maleate, 22

Fortesta, 14

flavoxate HCL, 19

fluvoxamine maleate ER, 22

Fortical, 16

flecainide acetate, 7

Fluzone High-dose PF 2012-2013, 32

Fortiscare Blood Glucose Test Strip, 37

Flector, 11


Fosamax, 16

FLO-pred, 14


Fosamax Plus D, 16

Flolan, 10

Fluzone Intradermal, 32

Foscarnet Sodium, 3

Flomax, 20

Fluzone Pediatric PF 2012-2013, 32

Foscavir, 3

Flonase, 30

Fluzone Pediatric PF 2013-2014, 32

fosinopril sodium, 8

Floriva, 33

Fluzone PF 2012-2013, 32

fosinopril sodium/hydrochlorothiazide, 8

Flovent Diskus, 31

Fluzone PF 2013-2014, 32

fosphenytoin sodium, 24

Flovent HFA, 31

Fluzone PF 2014-2015, 32

Fosrenol, 19

floxuridine, 4

Fluzone Quadrivalent 2013-2014, 32

Fragmin, 21

Fluarix 2012-2013, 32

Fluzone Quadrivalent 2014-2015, 32

Freestyle Insulinx Blood Glucose Test, 37

Fluarix 2013-2014, 32

Fluzone Split 2012-2013, 32

Fluarix 2014-2015, 32


Freestyle Insulinx Blood Glucose Test Strips, 37

Fluarix Quadrivalent 2013-2014, 32


Fluarix Quadrivalent 2014-2015, 32

FML, 26

Freestyle Lancets, 35

Flublok 2013-2014, 32

FML Forte, 26

Freestyle Lite Test Strips, 37

Flublok 2014-2015, 32

FML Liquifilm, 26

Freestyle Test Strips, 37

Flucelvax 2012-2013, 32

Focalin, 24

Freestyle Unistick II Lancets, 35

Flucelvax 2013-2014, 32

Focalin XR, 24

Frova, 29

Flucelvax 2014-2015, 32

Folbecal, 32

Fulyzaq, 18

fluconazole, 2

Folcaps Omega 3, 33

Furadantin, 19

fluconazole IN dextrose, 2

Folet DHA, 33

furosemide, 9

fluconazole IN NACL, 2

Folet One, 33

Furosemide, 9

Fluconazole IN NACL, 2

Folgard OS, 33

Fusilev, 6

flucytosine, 2

Folgard RX, 20

Fusion Plus, 20

Fludara, 5

folic acid, 20

Fuzeon, 3

fludarabine phosphate, 4

Folic Acid, 20

Fycompa, 24

Fludarabine Phosphate, 5

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

G

fludrocortisone acetate, 13

Folivane-f, 20

gabapentin, 24

Flulaval 2012-2013, 32

Folivane-OB, 33

Gabavale-5, 22

Flulaval 2013-2014, 32

Folivane-plus, 20

Gabazolamine, 22

Flulaval 2014-2015, 32

Folivane-prx DHA NF, 33

Gabazolamine-0.5, 22

Flulaval Quadrivalent 2013-2014, 32

Follistim AQ, 16

Gabazolpidem-5, 23

Flulaval Quadrivalent 2014-2015, 32

Folotyn, 5

Gabitidine, 18

Flumadine, 3

Foltrate, 20

Gabitril, 24

Flumist Nasal Vaccine 2012-2013, 32

fondaparinux sodium, 21

Gablofen, 25

Flumist Quadrivalent, 32

Fora D10 Blood Glucose Test Strips, 37

Gaboxetine, 22

flunisolide, 30

Fora D15c Blood Glucose Test Strips, 37

galantamine, 25

Flunisolide, 30

Fora D15G Blood Glucose Test Strips, 37

galantamine hydrobromide, 25

fluocinolone acetonide, 12, 27

ganciclovir, 3

fluocinolone acetonide ear drops, 27

Fora D15z Blood Glucose Test Strips, 37

Ganirelix Acetate, 16

fluocinonide, 12

Fora D20 Blood Glucose Test Strips, 37

Ganite, 16

fluocinonide emollient base, 12

Fora G20 Blood Glucose Test Strips, 37

Garamycin, 26

fluocinonide-e, 12

Fora G30a Blood Glucose Test Strips, 37

Gardasil, 32

fluorometholone, 26

Fora G71a Blood Glucose Test Strips, 37

Gardasil 9, 32

Gastrinex NF, 18

Glucocom Lancets 33G, 35

Havrix, 32

Gastrocrom, 19

Glucocom Test Strips, 37

Hectorol, 17

gatifloxacin, 26

Glucolab Test Strips, 37

Helidac, 18

Gattex, 19

Gluconavii Blood Glucose Test Strips, 37

Helixate FS, 21

Gazyva, 5

Glucophage, 15

Hemabate, 27

Gebauers Pain Ease, 13

Glucophage XR, 15

Hemangeol, 7

Gebauers Spray And Stretch, 13

Glucosource Lancets, 35

Hematogen Fa, 20

Gel-kam Oral Care Rinse, 22

Glucotrol, 15

Hematron-AF, 20

Gelclair, 22

Glucotrol XL, 15

Hemocyte Plus, 20

Gelnique, 19

Glucovance, 16

Hemocyte-f, 20

Gemcitabine, 5

Glumetza, 15

Hemofil M, 21

gemcitabine HCL, 5

glyburide, 15

heparin lock, 21

gemfibrozil, 9

Glyburide, 15

heparin lock flush, 21

Gemzar, 5

glyburide micronized, 15

Heparin Lock Flush, 21

Genadur, 13

glyburide/metformin HCL, 16

heparin lock flush for flushing vascular access devices, 21

Genadur Kit, 13

Glycate, 18

gene-xene TAB 15MG, 22

Glycolic Acid, 11

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

gene-xene TAB 3.75MG, 22

Glycolic Acid 70% High Purity, 11

gene-xene TAB 7.5MG, 22

glycopyrrolate, 18

heparin sodium, 21

Generess FE, 14

Glynase, 15

Heparin Sodium, 21

Genotropin, 16

Glyset, 15

heparin sodium dcu, 21

Genotropin Miniquick, 16

Gmate Blood Glucose Test Strips, 37

heparin sodium lock flush, 21

gentamicin sulfate, 2, 26

Gmate Lancets 30G, 35

heparin sodium/D5W, 21

Gentamicin Sulfate, 11

Golytely, 17

Heparin Sodium/D5W, 21

gentamicin sulfate pediatric, 2

Gonal-f, 16

Heparin Sodium/NACL 0.45%, 21

gentamicin sulfate/0.9% sodium chloride, 2

Gonal-f RFF, 16

heparin sodium/NACL 0.9%, 21

Gonal-f RFF Pen, 16

Heparin Sodium/Sodium Chloride 0.9%, 21

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Gonal-f RFF Rediject, 16

Gordofilm, 13

heparin sodium/sodium chloride 0.9% premix, 21

gentamicin sulfate/sodium chloride, 2

Gordons Urea, 13

Gentle-let GP Lancets, 35

Gralise, 25

Hepsera, 3

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

Gralise Starter, 25

Herceptin, 5

granisetron HCL, 18

Hespan, 21

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

Granisol, 18

hetastarch 6%/NACL, 21

Granix, 20

Hetlioz, 23

Gentle-let Lancets Safety Style/Fine Point, 35

Grifulvin V, 2

Hexalen, 4

Gris-peg, 2

Hextend, 21

Gentle-let Lancets Safety Style/Medium Point, 35

griseofulvin microsize, 2

Hiberix, 32

griseofulvin ultramicrosize, 2

Hiprex, 19

Geodon, 23

guanfacine ER, 23

homatropine HBR, 26

Gesticare DHA, 33

guanfacine HCL, 8

Horizant, 25

Giazo, 19

Guanidine HCL, 26

HPR, 13

Gilenya, 25

Gynazole-1, 20

HPR Plus, 13

Gilotrif, 6

H

HPR Plus/Mb Hydrogel, 13

Gilphex TR, 31

Humalog, 15

H&h Thinlet Lancets 26G, 35

Giltuss, 31

Humalog Kwikpen, 15

H&h Thinlet Super Thin Lancets 30G, 35

Giltuss PED-c, 31

Humalog Mix 50/50, 15

H.p. Acthar, 17

Giltuss TR, 31

Humalog Mix 50/50 Kwikpen, 15

Haemolance, 35

Glassia, 31

Humalog Mix 75/25, 15

Haemolance Low Flow Lancets, 35

Gleevec, 6

Humalog Mix 75/25 Kwikpen, 15

Haemolance Plus, 35

Gliadel Wafer, 4

Humate-p, 21

Haemolance Plus High Flow, 35

glimepiride, 15

Humatrope, 16

Haemolance Plus Low Flow, 35

glipizide, 15

Humatrope Combo Pack, 16

Haemolance Plus Max Flow, 35

glipizide ER, 15

Humira, 29

Haemolance Plus Pediatric Flow, 35

glipizide/metformin HCL, 16

Humira Pediatric Crohns Disease Starter Pack, 29

Halaven, 5

Glucagen, 15

Halcion, 23

Glucagen Hypokit, 15

Humira Pen, 29

Haldol, 23

Glucagon Emergency Kit, 15

Humira Pen-crohns Diseasestarter, 29

Haldol Decanoate 100, 23

Gluco Perfect 3 Test Strips, 37

Humira Pen-psoriasis Starter, 29

Haldol Decanoate 50, 23

Glucocard 01 Sensor, 37

Humulin 70/30, 15

Halflytely Bowel Prep/Flavor Packs, 17

Glucocard 01 Test Strips, 37

Humulin 70/30 Kwikpen, 15

halobetasol propionate, 12

Glucocard Expression Blood Glucose Test Strips, 37

Humulin 70/30 Pen, 15

Halog, 12

Humulin N, 15

Halonate, 12

Glucocard Shine Test Strips, 37

Humulin N Kwikpen, 15

haloperidol, 23

Glucocard Vital Test Strips, 37

Humulin N U-100 Pen, 15

haloperidol decanoate, 23

Glucocard X-sensor, 37

Humulin R, 15

haloperidol lactate, 23


Humulin R U-500 (concentrated), 15

Halotin, 11


Hy-vee Lancets, 35

Harvoni, 3

Hyalgan, 25

Icar-c Plus, 20

Invirase, 3

Hycamtin, 6

Iclusig, 6

Invokamet, 16

Hycet, 28

Idamycin PFS, 4

Invokana, 15

hydralazine HCL, 8

idarubicin HCL, 4

Iopidine, 27

Hydrea, 6

Ifex, 4

Ipol Inactivated IPV, 32

Hydro 35, 13

ifosfamide, 4

ipratropium bromide, 30, 31

Hydro 40 Foam, 13

Ifosfamide, 4

ipratropium bromide/albuterol sulfate, 31

hydrochloric acid, 20

Ifosfamide/Mesna, 6

Iprivask, 21

hydrochlorothiazide, 9

Ilaris, 29

irbesartan, 8

hydrocodone bitartrate/acetaminophen, 28

Ilevro, 27

irbesartan/hydrochlorothiazide, 8

Imbruvica, 6

irinotecan, 6

Hydrocodone Bitartrate/Acetaminophen, 28

Imdur, 7

Irinotecan, 6

imipenem/cilastatin, 4

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

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 30

imipramine HCL, 22

imipramine pamoate, 22

Irospan 24/6, 20

hydrocodone bitartrate/homatropine methylbromide, 30

imiquimod, 12

Is 24/6, 20

Imitrex, 29

Isentress, 3

hydrocodone polistirex/chlorpheniramine polistirex, 30

Imitrex Statdose Refill, 29

Isometheptene/Caffeine/Acetaminophen, 29

Imitrex Statdose System, 29

hydrocodone/acetaminophen, 28

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

isoniazid, 2

Hydrocodone/Acetaminophen, 28

Imuran, 5

Isoniazid, 2

hydrocodone/homatropine, 30

Inatal Advance, 32

Isoptin SR, 7

hydrocodone/ibuprofen, 28

Inatal GT, 32

Isopto Atropine, 26

hydrocort ene 100MG, 19

Inatal Ultra, 32

Isopto Carbachol, 27

hydrocortisone, 12, 13, 19

Incivek, 3

Isopto Carpine, 27

hydrocortisone acetate/aloe, 12

Increlex, 17

Isopto Homatropine, 27

hydrocortisone acetate/lidocaine HCL, 19

indapamide, 9

Isopto Hyoscine, 27

hydrocortisone acetate/pramoxine, 19

Inderal LA, 7

Isordil Titradose, 7

hydrocortisone butyrate, 12

Inderal XL, 7

isosorbide dinitrate, 6

hydrocortisone butyrate (lipid), 12

Indocin, 29

Isosorbide Dinitrate, 7

hydrocortisone butyrate (lipophilic), 12

Indocin IV, 29

isosorbide dinitrate ER, 6

hydrocortisone IN absorbase, 12

indomethacin, 29

isosorbide mononitrate, 6

hydrocortisone valerate, 12

Indomethacin, 29

isosorbide mononitrate ER, 6

hydrocortisone/acetic acid, 27

indomethacin ER, 29

isotonic gentamicin, 2

hydromorphone HCL, 28

indomethacin sodium, 29

Isotonic Gentamicin, 2

Hydromorphone HCL, 28

Infanrix, 32

Isradipine, 7

Hydromorphone HCL Dosette, 28

Infasurf, 31

Istalol, 26

hydromorphone HCL ER, 28

Infergen, 3

Istodax, 6

Hydromorphone HCL ER, 28

Infinity Blood Glucose Test Strips, 37

Isuprel, 31

Hydroxocobalamin, 20

Influenza A (h1n1) Monovalent 2009, 32

itraconazole, 2

hydroxychloroquine sulfate, 3

Infumorph 200, 28

ivermectin, 3

hydroxyurea, 6

Infumorph 500, 28

Ixempra Kit, 5

hydroxyzine HCL, 22

Injectafer, 20

Ixiaro, 32

Hydroxyzine HCL, 22

Inlyta, 6

J

hydroxyzine pamoate, 22

Innopran XL, 7

J-cof DHC, 31

Hydroxyzine Pamoate, 22

Inova, 10

J-max DHC, 31

Hylatopic, 13

Inova 4/1 Acne Control Therapy, 10

Jakafi, 6

Hylatopic Plus, 13

Inova 8/2 Acne Control Therapy, 10

Jalyn, 20

Hylira, 13

Inspirease Bags, 38

Janumet, 16

hyoscyamine sulfate, 18

Inspirease Drug Delivery System, 38

Janumet XR, 16

hyoscyamine sulfate ER, 18

Inspirease Mouthpiece, 38

Januvia, 15

hyoscyamine sulfate odt, 18

Inspirease Reservoir Bags, 38

Jardiance, 15

hyoscyamine sulfate SR, 18

Inspra, 8

Jentadueto, 16

Hyper-sal, 31

Insulin Syringe/0.5ML/30G X 5/16", 37

Jetrea, 27

Hypersal, 31

Integra F, 20

Jevtana, 5

Hypertenevide-12.5, 7

Integra Plus, 20

Jinteli, 14

Hypertenipine-2.5, 7

Integrilin, 21

Jublia, 11

Hypertensolol, 8

Intelence, 3

Juvisync, 16

Hysingla ER, 28

Interarticular Joint Kit, 14

Juxtapid, 9

Hyzaar, 8

Intermezzo, 23

K

I

Introl, 9

Intron A, 6

K-phos NO 2, 20

ibandronate sodium, 16

Intron-a, 6

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

Ibudone, 28

Intron-a W/Diluent, 6

Kadcyla, 5

ibuprofen, 29

Intuniv, 24

Kadian, 28

Ibuprofen Comfort PAC, 29

Invanz, 4

Kalbitor, 21

ibutilide fumarate, 7

Invega, 23

Kaletra, 3

IC 400, 29

Invega Sustenna, 23

Kalydeco, 31

IC 800, 29

Kapvay, 24

lamotrigine ER, 24

Levsin, 18

Kapvay Dose Pack, 24

Lancets, 35

Levsin/SL, 18

Karbinal ER, 30

Lancets 26G Twist Top, 35

Lexapro, 22

Kazano, 16

Lancets 28G, 35

Lexiva, 3

Keflex, 1

Lancets 30G, 35

Lialda, 19

Kenalog, 12


Liberty Glucose Control Mid, 35

Kenalog-10, 14


Liberty Glucose Control Normal, 35

Kenalog-40, 14

Lancets Bullseye Safety, 35

Liberty Next Generation Blood Glucose Test Strips, 37

Kepivance, 6

Lancets Safety Seal 21G, 35

Keppra, 24


lidocaine, 12

Keppra XR, 24


lidocaine HCL, 7, 12, 21, 30

Kerafoam, 13


Lidocaine HCL, 7, 13

Kerafoam 42, 13

Lancets Thin, 35

lidocaine HCL IN D5W, 7

Keralac, 13

Lancets Twist Top, 35

lidocaine HCL jelly, 12

Keralyt, 13

Lancets Ultra Fine, 35

lidocaine HCL viscous, 21

Keralyt Scalp, 13

Lancets Ultra Thin, 35

Lidocaine HCL-hydrocortisone Acetate With Aloe, 19

Kerlone, 7

Lanoxin, 6

Kerydin, 11

Lanoxin Pediatric, 6

lidocaine HCL/dextrose, 7

Ketek, 4

lansoprazole, 18

Lidocaine HCL/Dextrose, 30

ketoconazole, 2, 11

lansoprazole/amoxicillin/clarithromycin, 18

lidocaine HCL/hydrocortisone acetate, 19

Ketodan Kit, 11

lidocaine viscous, 21

ketoprofen, 29

Lantus, 15

lidocaine/epinephrine, 30

Ketoprofen ER, 29

Lantus Solostar, 15

lidocaine/prilocaine, 12

Ketorocaine-l, 29

Lasix, 9

Lidocaine/Prilocaine, 13

Ketorocaine-lm, 29

Lastacaft, 27

Lidoderm, 13

Ketorolac 2% Gel, 11

latanoprost, 26

Lidoprofen, 11

ketorolac tromethamine, 27, 29

Latrix XM, 13

Lidovir, 11

Ketorolac Tromethamine, 29

Latuda, 23

Lifescan Unistik 2 Deep Penetration, 35

Keytruda, 5

Lavoclen-4 Creamy Wash, 10

Lifescan Unistik II Lancets, 35

Khedezla, 22

Lavoclen-8 Creamy Wash, 10

Lincocin, 4

Kineret, 29

Lazanda, 28

lindane, 12

Kinlytic, 21

leflunomide, 29

Linzess, 19

Kinrix, 32

Lemtrada, 25

Lioresal Intrathecal, 25

Klaron, 10

Lescol, 9

liothyronine sodium, 17

Klonopin, 24

Lescol XL, 9

Lipitor, 9

Koate-dvi, 21

Letairis, 10

Lipofen, 9

Kogenate FS, 21

letrozole, 5

Liptruzet, 9

Kogenate FS Bio-set, 21

leucovorin calcium, 6

Liquicet, 28

Kombiglyze XR, 16

Leucovorin Calcium, 6

lisinopril, 8

Korlym, 15

Leukeran, 4

lisinopril/hydrochlorothiazide, 8

Kristalose, 17

Leukine, 20

Liteaire, 38

Krystexxa, 30

leuprolide acetate, 5

Litetouch Lancets Micro Thin 33G, 35

Kuvan, 17

Levacet, 28

Lithium, 23

Kynamro, 9

Levalbuterol, 31

lithium carbonate, 23

Kyprolis, 6

levalbuterol HCL, 31

Lithium Carbonate, 23

L

Levaquin, 2

lithium carbonate ER, 23

Levatol, 7

Lithobid, 23

labetalol HCL, 7

Levbid, 18

Lithostat, 20

Lac-hydrin, 13

Levemir, 15

Livalo, 9

Lacrisert, 26

Levemir Flexpen, 15

Live Better Lancet Super Thin 30G, 35

lactic acid, 12

Levemir Flextouch, 15

Live Better Lancet Ultra Thin 28G, 35

lactic acid e, 12

levetiracetam, 24

LMD 10% Dextrose 5%, 21

lactic acid w/vitamin e, 12

Levetiracetam, 24

LMD 10% Sodium Chloride 0.9%, 21

lactulose, 17, 19

levetiracetam ER, 24

LO Loestrin FE, 14

Lamictal, 24

Levitra, 10

LO Minastrin FE, 14

Lamictal Chewable Dispersible, 24

levobunolol HCL, 26

Locoid, 12

Lamictal Odt, 24

Levobunolol HCL, 26

Locoid Lipocream, 12

Lamictal Starter/Not Taking Carbamazepine, 24

levocarnitine, 17

Lodosyn, 24

levocetirizine dihydrochloride, 30

Loestrin 1.5/30-21, 14

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24

levofloxacin, 2, 26

Loestrin 1/20-21, 14

levofloxacin IN D5W, 2

Loestrin 24 FE, 14

levonorgestrel, 14

Loestrin FE 1.5/30, 14

Lamictal Starter/Taking Valproate, 24

levonorgestrel and ethinyl estradiol, 14

Loestrin FE 1/20, 14

Lamictal XR, 24

levonorgestrel/ethinyl estradiol, 14

Lofibra, 9

Lamisil, 2

Levophed, 9

Lomotil, 18

Lamisil Spray, 11

Levorphanol Tartrate, 28

Lomustine, 4

lamivudine, 3

levothyroxine sodium, 17

loperamide HCL, 17

lamivudine/zidovudine, 3

Levothyroxine Sodium, 17

Lopid, 9

lamotrigine, 24

Lopressor, 7

Marplan, 22

Mephyton, 32

Lopressor HCT, 8

Marqibo, 5

Mepivacaine HCL, 30

Loprox, 11

Mask Vortex/Baby Whirl Duckling, 38

meprobamate, 22

Loprox Shampoo, 11

Mask Vortex/Child/Frog, 38

Mepron, 4

lorazepam, 22

Mask Vortex/Spinner The Duck, 38

mercaptopurine, 5

Lorazepam Intensol, 22

Mask Vortex/Toddler/Lady Bug, 38

meropenem, 4

Lorcet 10/650, 28

Matulane, 6

Merrem, 4

Lorcet Plus, 28

Mavik, 8

mesalamine, 19

Lortab, 28

Maxair Autohaler, 31

mesna, 6

Lorzone, 25

Maxalt, 29

Mesnex, 6

losartan potassium, 8

Maxalt-MLT, 29

Mestinon, 26

losartan potassium/hydrochlorothiazide, 8

Maxaron Forte, 20

Mestinon Timespan, 26

Maxfe, 20

Metadate CD, 24

Loseasonique, 14

Maxidex, 26

Metaproterenol Sulfate, 31

Lotemax, 26

Maxidone, 28

Metastron, 6

Lotensin, 8

Maxima Blood Glucose Teststrips, 37

metaxalone, 25

Lotensin HCT, 8

Maxipime, 1

metformin HCL, 15

Lotrel, 8

Maxitrol, 26

metformin HCL ER, 15

Lotrisone, 11

Maxzide, 9

methadone HCL, 28

Lotronex, 19

Maxzide-25, 9

Methadone HCL, 28

lovastatin, 9

Mb Hydrogel, 13

Methadose, 28

Lovaza, 9

meclizine HCL, 18

Methadose Sugar-free, 28

Lovenox, 21

Meclofenamate Sodium, 29

methamphetamine HCL, 23

loxapine, 23

Medi-derm/L-RX, 13

methazolamide, 9

loxapine succinate, 23

Medical Provider EZ Flu Shot 2014-2015, 32

methenamine hippurate, 19

Loxitane, 23

methenamine mandelate, 19

Lta 360 Kit, 22

Medisense Thin Lancets, 35

Methenamine Mandelate, 19

Lufyllin, 31

Medlance Plus Extra Lancets 21G, 35

methimazole, 17

Lumigan, 26

Medlance Plus Lancets, 35

methocarbamol, 25

Lumizyme, 17

Medlance Plus Lancets Lite 25G, 35

methotrexate, 5

Lunesta, 23

Medlance Plus Lite Lancets 25G, 35

methotrexate sodium, 5

Lupaneta Pack, 16

Medlance Plus Special Lancets 0.8MM, 35

methoxsalen, 11

Lupron Depot, 5

methscopolamine bromide, 18

Lupron Depot-PED, 16

Medlance Plus Superlite 30G, 35

Methyclothiazide, 9

Luvox CR, 22

Medlance Plus Superlite 30G/Comfort Max, 35

methyldopa, 8

Luxiq, 12

Methyldopa/Hydrochlorothiazide, 8

Luzu, 11

Medlance Plus Universal Lancets 21G, 35

Methyldopate HCL, 8

Lycelle, 13

methylergonovine maleate, 27

Lyrica, 24

Medlance Plus/Lite 25G, 35

Methylin, 24

Lysodren, 5

Medlance/Extra, 35

methylphenidate HCL, 23

Lysteda, 21

Medlance/Lite, 35

methylphenidate HCL CD, 23

Lytensopril Kit, 8

Medlance/Universal, 35

methylphenidate HCL ER, 23

Lytensopril-90, 8

Medrol, 14

Methylphenidate HCL ER, 23

Lytensopril-90 Kit, 8

Medrol Dosepak, 14

methylphenidate HCL SR, 23

M

medroxyprogesterone acetate, 15

methylphenidate hydrochloride, 23

mefenamic acid, 29

methylprednisolone, 13

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

mefloquine HCL, 3

methylprednisolone acetate, 13

M-vit, 32

Mefoxin, 1

methylprednisolone dose pack, 13

M.v.i. Adult, 33

Megace ES, 15

methylprednisolone sodiumsuccinate, 13

M.v.i. Pediatric, 33

Megace Oral, 5

Metipranolol, 26

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

megestrol acetate, 5

metoclopramide HCL, 19

Macnatal CN DHA, 32

Megestrol Acetate, 5

metolazone, 9

Macrobid, 19

Meijer Super Thin Lancets, 35

metoprolol succinate ER, 7

Macrodantin, 19

Mekinist, 6

metoprolol tartrate, 7

Magnacet, 28

meloxicam, 29

metoprolol/hydrochlorothiazide, 8

Makena, 15

Meloxicam, 29

Metozolv Odt, 19

Malarone, 3

Meloxicam Comfort PAC, 29

Metro IV, 4

malathion, 12

melphalan hydrochloride, 4

Metrocream, 10

mannitol, 9

Menactra, 32

Metrogel, 10

Maprotiline HCL, 22

Menest, 14

Metrogel-vaginal, 20

Marbeta-25, 14

Menhibrix, 32

Metrolotion, 10

Marbeta-l, 14

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

metronidazole, 4, 10

Marcaine, 30

Menopur, 16

metronidazole IN NACL 0.79%, 4

Marcaine W/O Epi, 30

Menostar, 14

metronidazole vaginal, 19

Marcaine/Epinephrine, 30

Mentax, 11

Mevacor, 9

Mardex-25, 14

Menveo, 32

mexiletine HCL, 7

Marinol, 18

meperidine HCL, 28

Miacalcin, 16

Marlido-25, 30

Meperidine HCL, 28

Micardis, 8

Marnatal-f, 33

Micardis HCT, 8

morphine sulfate, 28

naproxen sodium, 29

Microchamber, 38

Morphine Sulfate, 28

naratriptan HCL, 29

Microdot Test Strips, 37

Morphine Sulfate Add-vantage, 28

Nardil, 22

Microlet Lancets, 35

morphine sulfate ER, 28

Naropin, 30

Microspacer, 38

Motofen, 18

Nasacort AQ, 30

Microtainer Safety Flow Lancet/Sterile/Single-use, 35

Moviprep, 17

Nascobal, 20

Moxatag, 1

Nasonex, 30

Microzide, 9

Moxeza, 26

Natachew, 33

midodrine HCL, 9

moxifloxacin HCL, 2

Natacyn, 26

Mifeprex, 17

Mozobil, 20

Natafort, 33

Migergot, 29

MS Contin, 28

Natalvirt 90 DHA, 33

Migral, 29

Multaq, 7

Natalvirt CA, 33

Migranal, 29

Multigen, 20

Natalvirt Flt, 20

Millipred, 14

Multigen Folic, 20

Natalvit, 33

Millipred DP, 14

Multigen Plus, 20

Natazia, 14

milrinone IN dextrose, 6

mupirocin, 11

nateglinide, 15

milrinone lactate, 6

mupirocin calcium, 11

Natelle One, 33

Minastrin 24 FE, 14

Muse, 10

Natrecor, 10

Mineral Oil Heavy, 17

Mustargen, 4

Natroba, 13

Minipress, 8

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 20

Nature-throid, 17

Minivelle, 14

Nature-throid Nt-2.5, 17

Minocin, 2

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 20

Navelbine, 5

Minocin Kit, 2

Nebupent, 4

minocycline HCL, 2

Myalept, 17

Nebusal, 31

minocycline HCL ER, 2

Myambutol, 2

Necon 1/50-28, 14

minoxidil, 8

Mycamine, 2

Necon 10/11-28, 14

Mirapex, 24

Mycobutin, 2

Neevo DHA, 33

Mirapex ER, 24

mycophenolate mofetil, 5

nefazodone HCL, 22

Mircette, 14

mycophenolic acid DR, 5

Nefazodone HCL, 22

mirtazapine, 22

Mydfrin, 27

Nembutal Sodium, 23

mirtazapine odt, 22

Myfortic, 5

Neo-synalar, 11

Mirvaso, 10

Myglucohealth Blood Glucose Test, 37

Neo-synalar Kit, 11

misoprostol, 18

Myglucohealth Mgh Softlance Lancets 30G, 35

neomycin sulfate, 2

Mission Prenatal HP, 32

neomycin/bacitracin/polymyxin, 26

Mitigare, 30

Mykidz Iron Fl, 33

neomycin/polymyxin/bacitracin zinc, 26

mitomycin, 4

Myleran, 4

neomycin/polymyxin/bacitracin/hydrocortisone, 26

Mitosol, 26

Mynatal, 33

mitoxantrone HCL, 4

Mynatal Advance, 32

neomycin/polymyxin/dexamethasone, 26

Mlk F4 Kit, 14

Mynatal Ultracaplet, 32

neomycin/polymyxin/gramicidin, 26

Mobic, 29

Myobloc, 25

neomycin/polymyxin/HC, 27

modafinil, 23

Myoxin, 27

Neomycin/Polymyxin/Hydrocortisone, 26

Moderiba, 3

Myozyme, 17

neomycin/polymyxin/hydrocortisone, 27

Moderiba 1200 Dose Pack, 3

Myrbetriq, 19

Neoprofen, 29

Moderiba 800 Dose Pack, 3

Mysoline, 24

Neoral, 5

Modicon, 14

N

Neosalus, 13

moexipril HCL, 8

Neosalus CP, 13

nabumetone, 29

moexipril/hydrochlorothiazide, 8

Neosporin, 26

nadolol, 7

mometasone furoate, 12

neostigmine methylsulfate, 25

nadolol/bendroflumethiazide, 8

Moms Choice RX, 33

Neotuss Plus, 31

nafcillin sodium, 1

Monoclate-p, 21

Nephplex RX, 33

Nafcillin Sodium, 1

Monodox, 2

Nephro-vite RX, 33

Nafrinse Daily/Acidulated, 22

Monoject Bone Marrow Biopsy Prepping Tray, 30

Nephrocaps, 33

Nafrinse Daily/Neutral, 22

Nephrocaps QT, 33

Nafrinse Weekly, 22

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

Nephron Fa, 20

Naftin, 11

Neptazane, 9

Naglazyme, 17

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

Nesacaine, 30

nalbuphine HCL, 28

Nesacaine-mpf, 30

Nalfon, 29

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

Nesina, 15

Nallpen Iso-osmotic IN Dextrose, 1

Nessi Spacer/Large Mask, 38

Nallpen/Dextrose, 1

Monolet Lancets, 35

Nessi Spacer/Mouthpiece, 38

Namenda, 25

Monolet Opd Lancets, 35

Nessi Spacer/Small/MED Mask, 38

Namenda Titration PAK, 25

Monolettor Safety Lancets, 35

Nestabs, 33

Namenda XR, 25

Mononine, 21

Nestabs Abc, 33

Namenda XR Titration Pack, 25

Monovisc, 25

Nestabs DHA, 33

Naphazoline HCL, 27

montelukast sodium, 31

Netgroup Lancets, 35

Naprelan, 29

Monurol, 19

Neuac Kit, 10

Naprosyn, 29

Morgidox 1X100MG, 2

Neulasta, 20

naproxen, 29

Morgidox 2X100MG, 2

Neumega, 20

Naproxen Comfort PAC, 29

Neupogen, 20

Norditropin Nordiflex Pen, 16

Nystatin, 11

Neupro, 24

norepinephrine bitartrate, 9

Nystatin Foreign, 11

Neurontin, 24

norethindrone, 14

nystatin/triamcinolone, 11

Neutek 2tek Test Strips, 37

norethindrone acetate, 15

O

Neutrasal, 22

norethindrone acetate/ethinyl estradiol, 14

O-CAL Fa, 33

Neutrexin, 4

O-CAL Prenatal, 33

Nevanac, 27

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 14

OB Complete, 33

nevirapine, 3

OB Complete 400, 33

Nevirapine, 3

Norflex, 25

OB Complete One, 33

nevirapine ER, 3

norgestimate/ethinyl estradiol, 14

OB Complete Petite, 33

Newgen, 33

Norinyl 1+35, 14

OB Complete Premier, 33

Nexa Plus, 33

Norinyl 1+50, 14

OB Complete/DHA, 33

Nexa Select, 33

Noritate, 10

OB-natal One, 33

Nexavar, 6

Noroxin, 2

Obstetrix DHA, 33

Nexgen Test Strips, 37

Norpace, 7

Obstetrix EC, 32

Nexium, 18

Norpace CR, 7

octreotide acetate, 17

Nexium 24HR, 18

Norpramin, 22

Ocudox, 2

Nexium I.v., 18

Northera, 9

Ocufen, 27

Nexterone, 7

nortriptyline HCL, 22

Ocuflox, 26

niacin ER, 9

Nortriptyline HCL, 22

Ocuvel, 33

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 32

Norvasc, 7

Ofev, 31

Norvir, 3

Ofirmev, 28

Niacor, 9

Nova Max Glucose Test Strips, 37

ofloxacin, 2, 26, 27

Niaspan, 9

Nova Safety Lancets 23G, 35

Ofloxacin, 2

Nicadan, 33

Nova Safety Lancets 28G, 35

Ogestrel, 14

nicardipine HCL, 7

Nova Sureflex Lancets, 35

olanzapine, 23

Nicazel, 33

Novaferrum, 20

olanzapine odt, 23

Nicazel Forte, 33

Novofine 30GX8MM, 35

olanzapine/fluoxetine, 25

Nicazeldoxy 30 Kit, 2

Novofine 32GX6MM, 35

Oleptro, 22

Nicazeldoxy 60 Kit, 2

Novofine Autocover 30GX8MM, 35

olopatadine HCL, 30

Nicomide, 33

Novolin 70/30, 15

Olux, 12

nifedipine, 7

Novolin 70/30 Relion, 15

Olux-e, 12

nifedipine ER, 7

Novolin N, 15

Olysio, 3

Nilandron, 5

Novolin N Relion, 15

Omeclamox-PAK, 18

Nimbex, 25

Novolin R, 15

omega-3-acid ethyl esters, 9

nimodipine, 7

Novolin R Relion, 15

omeprazole, 18

Nipent, 6

Novolog, 15

Omeprazole + Syrspend SF Alka, 18

Niravam, 22

Novolog Flexpen, 15

omeprazole/sodium bicarbonate, 18

nisoldipine, 7

Novolog Mix 70/30, 15

Omnaris, 30

Nisoldipine, 7

Novolog Mix 70/30 Prefilled Flexpen, 15

Omnipred, 26

Nisoldipine ER, 7

Novolog Penfill, 15

Omnitrope, 16

Nitro-bid, 7

Novoseven, 21

Omontys, 20

Nitro-dur, 7

Novoseven Rt, 21

On Call Express Blood Glucose Test Strips, 37

nitrofurantoin, 19

Novotwist 30GX8MM, 35

nitrofurantoin macrocrystals, 19

Novotwist 32GX5MM, 35

On Call Lancets, 35

nitrofurantoin monohydrate, 19

Noxafil, 2

On Call Plus Blood Glucose Test, 37

nitrofurantoin monohydrate/macrocrystals, 19

Nplate, 20

On Call Plus Lancets, 35

Nucort, 12

On Call Vivid Blood Glucose Test, 37

nitroglycerin, 6

Nucynta, 28

On Call Vivid Blood Glucose Test Strips, 37

Nitroglycerin, 7

Nucynta ER, 28

nitroglycerin IN 5% dextrose, 6

Nuedexta, 25

Oncaspar, 4

nitroglycerin IN dextrose 5%, 6

Nulojix, 5

ondansetron HCL, 18

Nitroglycerin IN Dextrose 5%, 7

Nulytely/Flavor Packs, 17

ondansetron odt, 18

nitroglycerin lingual, 6

Numoisyn, 22

Onetouch Basic System, 35

Nitroglycerin Lingual, 7

Nuox, 10

Onetouch Basic/Profile Test Strips, 35

nitroglycerin transdermal, 6

Nutricap, 33

Onetouch Club Lancets Fine Point, 35

Nitrolingual Pumpspray, 7

Nutridox, 2

Onetouch Combo Pack, 35

Nitromist, 7

Nutrivit, 33

Onetouch Delica Lancets Extra Fine 33G, 35

Nitronal, 7

Nutropin, 16

Nitropress, 8

Nutropin AQ Nuspin 10, 16

Onetouch Delica Lancets Fine 30G, 35

Nitrostat, 7


Onetouch Finepoint Lancets, 35

Nivatopic Plus, 13


Onetouch Lancets, 35

nizatidine, 18

Nutropin AQ Pen, 16

Onetouch Ping Meter Remote, 35

Nizoral, 11

Nuvail, 13

Onetouch Profile System, 35

Nor-QD, 14

Nuvigil, 23

Onetouch Ultra 2, 35

Norco, 28

Nuzon, 12

Onetouch Ultra Blue, 35

Norditropin Cartridge, 16

Nymalize, 7

Onetouch Ultra Control, 35

Norditropin Flexpro, 16

nystatin, 2, 11, 21

Onetouch Ultra Mini, 35

Onetouch Ultra System Kit, 35

Ovace Plus Wash, 11

Pediaderm AF Complete Kit, 11

Onetouch Ultralink System (DEC), 35

Ovace Wash, 11

Pediaderm HC, 12

Onetouch Ultralink System (hex), 35

Ovcon-35, 15

Pediaderm Ta, 12

Onetouch Ultrasmart, 35

Ovide, 13

Pediapred, 14

Onetouch Ultrasoft Lancets, 35

Ovidrel, 16

Pediarix, 32

Onetouch Verio, 35

oxacillin sodium, 1

Pediatex TD, 31

Onetouch Verio Control Solution High, 35

oxaliplatin, 4

Pediatex TDM, 31

Oxandrin, 14

Pediatric Panda Mask, 38

Onetouch Verio IQ Blood Glucose Monitoring System, 35

oxandrolone, 14

Pedipirox-4 Nail, 11

oxaprozin, 29

Pedvax HIB, 32

Onetouch Verio Mid Control Solution, 35

oxazepam, 22

peg 3350/electrolytes, 17

Onetouch Verio Sync Bloodglucose Monitoring System, 35

oxcarbazepine, 24

peg-3350/electrolytes, 17

Oxecta, 28

peg-3350/NACL/NA bicarbonate/KCL, 17

Onetouch Verio Test Strips, 35

Oxistat, 11

Peg-intron, 3

Onfi, 24

Oxsoralen, 12

Peg-intron Redipen, 3

Onglyza, 15

Oxsoralen Ultra, 11

Peg-intron Redipen PAK 4, 3

Onmel, 2

Oxtellar XR, 24

Peganone, 24

Opana, 28

oxybutynin chloride, 19

Pegasys, 3

Opana ER (crush Resistant), 28

oxybutynin chloride ER, 19

Pegasys Proclick, 3

opium, 17

oxycodone HCL, 28

Pegintron, 3

opium tincture, 17

Oxycodone HCL, 28

Pen Needles 29G X 12MM, 35

Opium Tincture (paregoric), 18

Oxycodone HCL ER, 28

Pen Needles 29GX1/2", 35

Opsumit, 10

oxycodone/acetaminophen, 28


Optichamber Advantage, 38

oxycodone/aspirin, 28

Pen Needles 31G X 1/4" SHORT, 35

Optichamber Diamond, 38

oxycodone/ibuprofen, 28

Pen Needles 31G X 3/16", 36

Optichamber Diamond/Largeface Mask, 38

Oxycontin, 28

Pen Needles 31G X 6MM, 36

oxymorphone hydrochloride, 28


Optichamber Diamond/Medium Face Mask, 38

oxymorphone hydrochloride ER, 28

penicillin G potassium, 1

oxytocin, 27

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Optichamber Diamond/Smallface Mask, 38

Oxytrol, 19

Oxytrol For Women, 19

Penicillin G Procaine, 1

Optihaler, 38

P

Penicillin G Sodium, 1

Optihaler MDI Drug Delivery System, 38

penicillin v potassium, 1

paclitaxel, 5

Optium Test Strips, 37

Penlac Nail Lacquer, 11

Paclitaxel, 6

Optiumez Test Strips, 37

Pennsaid, 11

Paire OB, 33

Optivar, 27

Pentacel, 32

Palgic, 30

Optumrx Blood Glucose Test, 37

Pentam 300, 4

Pamelor, 22

Oracea, 10

Pentasa, 19

pamidronate disodium, 16

Oracit, 20

pentazocine/acetaminophen, 28

Pamidronate Disodium, 16

Orafate, 22

pentazocine/naloxone HCL, 28

Pamine, 18

Orap, 25

Pentetate Calcium Trisodium, 38

Pamine Forte, 18

Orapred, 14

Pentetate Zinc Trisodium, 38

Pamine FQ, 18

Orapred Odt, 14

pentoxifylline ER, 21

Panatuss Dxp, 31

Oravig, 22

Pepcid, 18

Pancreaze, 18

Oraxyl, 2

Percocet, 28

Pancrelipase, 18

Orbactiv, 4

Percodan, 28

pancuronium bromide, 25

Orbivan CF, 28

Perfect Lancets 30G, 36

Panda Mask Large, 38

Orencia, 29

Perfect Pressure Activated Safety Lancets 28G, 36

Panda Mask Medium, 38

Orenitram, 10

Panda Mask Small, 38

Orfadin, 17

Perforomist, 31

Pandel, 12

orphenadrine citrate, 25

Peridex, 22

pantoprazole sodium, 18

orphenadrine citrate ER, 25

perindopril erbumine, 8

papaverine HCL, 10

orphenadrine/asa/caffeine, 25

Perjeta, 5

Parafon Forte DSC, 25

Ortho Micronor, 15

permethrin, 12

Parcopa, 24

Ortho Tri-cyclen, 15

perphenazine, 23

paricalcitol, 17

Ortho Tri-cyclen LO, 15

Perphenazine/Amitriptyline, 25

Paricalcitol, 17

Ortho-cept, 15

Perry Prenatal, 33

Parlodel, 24

Ortho-cyclen, 15

Persantine, 21

Parnate, 22

Ortho-novum 1/35, 15

Pertzye, 18

paromomycin sulfate, 2

Ortho-novum 7/7/7, 15

Pexeva, 22

paroxetine HCL, 22

Orthovisc, 25

Pfizerpen-G, 1

paroxetine HCL ER, 22

Oseni, 16

Pharmacist Choice Autocode Blood Glucose Test Strips, 37

Paser, 2

Osmoprep, 17

Pataday, 27

Osphena, 16

Pharmacy Counter Lancets, 36

Patanase, 30

Otezla, 29

phenazopyridine HCL, 20

Patanol, 27

Otozin, 27

phenelzine sulfate, 22

Paxil, 22

Otrexup, 29

Phenergan, 30

Paxil CR, 22

Ovace Plus, 11

phenobarbital, 23

PCE, 1

Phenobarbital, 23

Pr Natal 430, 33

Presera, 13

Phenobarbital Sodium, 23

Pr Natal 430 EC, 33

Prestige Test Strips, 37

Phentolamine Mesylate, 8

Pradaxa, 21

Prevacid, 18

phenylephrine HCL, 9, 27

pramipexole dihydrochloride, 24

Prevacid Solutab, 18

Phenylephrine HCL, 9, 30

Pramosone, 12

Prevident, 22

phenylephrine/guaifenesin, 30

Pramosone E, 12

Prevnar 13, 32

Phenytek, 24

Pramotic, 27

Prevpac, 18

phenytoin, 24

Prandimet, 16

Prezista, 3

phenytoin sodium, 24

Prandin, 15

Priftin, 2

phenytoin sodium extended, 24

Prastera, 29

Prilosec, 18

Phoslo, 19

Pravachol, 9

Primaquine Phosphate, 3

Phoslyra, 19

pravastatin sodium, 9

Primaxin IV, 4

Phospholine Iodide, 27

Prazolamine, 25

Primaxin IV Add-vantage, 4

Photofrin, 6

prazosin HCL, 8

primidone, 24

Phrenilin Forte, 28

Pre-folic, 20

Primlev, 28

phytonadione, 32

Precedex, 23

Primsol, 4

pilocarpine HCL, 21, 27

Precision PCX, 37

Prinivil, 8

pilocarpine hydrochloride, 21

Precision PCX Plus Test Strips, 37

Pristiq, 22

Pilopine HS, 27

Precision Point Of Care Test Strips, 37

Proair HFA, 31

pindolol, 7

Precision QID Test Strips, 37

probenecid, 30

pioglitazone HCL, 16

Precision Sof-tact Test Strips, 37

probenecid/colchicine, 30

pioglitazone HCL-glimepiride, 16

Precision Thin Lancets, 36

Procainamide HCL, 7

pioglitazone HCL/metformin HCL, 16

Precision Thins GP Lancet, 36

Procardia, 7

piperacillin sodium/ tazobactam sodium, 1

Precision Ultra Lancet, 36

Procardia XL, 7

Precision XTRA Blood Glucose Test Strips, 37

Procentra, 23

piperacillin sodium/tazobactam sodium, 1

prochlorperazine, 23

piperacillin/tazobactam, 1

Precose, 15

prochlorperazine edisylate, 23

piroxicam, 29

Pred Forte, 26

prochlorperazine maleate, 23

Pitocin, 27

Pred Mild, 26

Procort, 19

Pitressin Synthetic, 17

Pred-G, 26

Procrit, 20

Plan B, 15

Pred-G S.o.p., 26

Proctocort, 19

Plan B One-step, 15

prednicarbate, 12

Proctofoam HC, 19

Plaquenil, 3

prednisolone, 13

Procysbi, 20

Plavix, 21

prednisolone acetate, 26

Prodigy NO Coding Blood Glucose Test Strips, 37

Plegridy, 25

prednisolone sodium phosphate, 13

Plegridy Starter Pack, 25

Prednisolone Sodium Phosphate, 14, 26

Prodigy Pressure Activated Safety Lancets, 36

Pletal, 21

prednisolone sodium phosphate odt, 13

Plexion, 10

prednisone, 13

Prodigy Twist Top Lancets, 36

Plexion Cleanser, 10

Prednisone, 14

Proferrin-forte, 20

Plexion Cleansing Cloths, 10

Prednisone Intensol, 14

progesterone, 15

Pliaglis, 13

Prefera OB, 33

Proglycem, 15

Pneumovax 23, 32

Prefera OB + DHA, 33

Prograf, 5

Pneumovax 23/1 Dose, 32

Preferaob One, 33

Prolastin-c, 31

Pneumovax 23/5 Dose, 32

Prefest, 14

Prolensa, 27

Pocket Chamber, 38

Prefol-DHA, 33

Proleukin, 6

Pocket Spacer, 38

Prelone, 14

Prolia, 16

Pocketchem EZ Blood Glucose Test Strips, 37

Premarin, 14, 20

Promacta, 20

Premphase, 14

promethazine HCL, 30

podofilox, 12

Prempro, 14

promethazine HCL plain, 30

Poly-tussin DHC, 31

Prenata, 33

promethazine-DM, 30

Poly-VI-flor, 33

Prenatabs RX, 33

promethazine/codeine, 30

Poly-VI-flor/Iron, 33

Prenatal Ad, 33

promethazine/dextromethorphan, 30

polyethylene glycol 3350, 17

Prenatal Vitamins, 33

Prometrium, 15

polymyxin b sulfate, 4

Prenatal-u, 33

Promiseb, 11

polymyxin b sulfate/trimethoprim sulfate, 26

Prenate, 33

Promiseb Complete, 11

Prenate AM, 33

Propa PH Acne Medication Cleanser Maximum Strength, 12

Polytrim, 26

Prenate DHA, 33

Pomalyst, 5

Prenate Elite, 33

propafenone HCL, 7

Ponstel, 29

Prenate Enhance, 33

propafenone HCL ER, 7

potassium citrate ER, 20

Prenate Essential, 33

Propantheline Bromide, 18

potassium citrate-citric acid crystals, 20

Prenate Mini, 33

proparacaine HCL, 27

potassium citrate/citric acid, 20

Prenate Pixie, 33

propranolol HCL, 7

potassium citrate/sodium citrate/citric acid, 20

Prenate Restore, 33

Propranolol HCL, 7

Prenate Star, 33

propranolol HCL ER, 7

Potiga, 24

Prenexa, 33

Propranolol/Hydrochlorothiazide, 8

Pr Cream, 13

Prepidil, 27

propylthiouracil, 17

Pr Natal 400, 33

Prepopik, 17

Proquad, 32

Pr Natal 400 EC, 33

Preque 10, 33

Proscar, 20

Prosed/DS, 19

R

Renvela, 19

Prostigmin, 26

Reopro, 21

R-natal OB, 33

Prostin E2, 27

repaglinide, 15

Rabavert, 32

Protamine Sulfate, 21

Reprexain, 28

rabeprazole sodium, 18

Protect Plus, 33

Repronex, 16

raloxifene hydrochloride, 16

Protectbone, 33

Req 49+, 33

ramipril, 8

Protectiron, 20

Requip, 24

Ranexa, 7

Protectnatal, 33

Requip XL, 24

ranitidine HCL, 18

Prothelial, 22

Rescon-JR, 31

Rapaflo, 20

Protonix, 18

Rescon-MX, 31

Rapamune, 5

Protopic, 12

Rescriptor, 3

Rasuvo, 29

protriptyline HCL, 22

Rescula, 26

Ravicti, 17

Provenge, 6

Reserpine, 8

Rayos, 14

Proventil HFA, 31

Respa-BR, 30

Razadyne, 25

Provera, 15

Restasis, 27

Razadyne ER, 25

Provida OB, 33

Restora RX, 18

Rebetol, 3

Provigil, 24

Restoril, 23

Rebif, 25

Prozac, 22

Retavase, 21

Rebif Rebidose, 25

Prozac Weekly, 22

Retavase Half-kit, 21

Rebif Rebidose Titration Pack, 25

Pruclair, 13

Retin-a, 10

Rebif Titration Pack, 25

Prudoxin, 11

Retin-a Micro, 10

Reclast, 16

Prumyx, 13

Retin-a Micro P.M., 10

Recombinate, 21

Pss Select GP Lancets, 36

Retisert, 26

Recombivax HB, 32

Pss Select Safety Lancets, 36

Retrovir, 3

Recothrom, 21

Pts Panels Glucose Test, 37

Retrovir IV Infusion, 3

Recothrom Spray Kit, 21

Pulmicort, 31

Revatio, 10

Rectiv, 19

Pulmicort Flexhaler, 31

Reveal Blood Glucose Test, 37

Refuah Plus Blood Glucosetest Strips, 37

Pulmophylline, 31

Revlimid, 5

Pulmozyme, 31

Rexall Blood Glucose Test Strips, 37

Reglan, 19

Purinethol, 5

Rexall Lancets Ultra Thin, 36

Regonol, 26

Purixan, 5

Reyataz, 3

Relagard, 20

Px Lancets Ultra Thin, 36

Rezira, 31

Relenza Diskhaler, 3

Pylera, 18

Rezyst IM, 18

Relhist, 31

pyrazinamide, 2

Rezyst SB, 18

Relion Blood Glucose Teststrips, 37

Pyridium, 20

Rheumatrex, 29

Relion Confirm/Micro Test Strips, 37

pyridostigmine bromide, 26

Rhinocort Aqua, 30

Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 37

Pyridoxine HCL, 32

Rhinoflex-650, 28

Pyrogallic Acid, 13

Riastap, 21

Relion Lancets, 36

Q

Riax, 10

Relion Lancets Micro-thin33G, 36

Ribasphere, 3

Qc Lancets Super Thin, 36

Relion Lancets Standard 21G, 36

Ribasphere Ribapak, 3

Qc Lancets Ultra Thin, 36

Relion Lancets Thin 26G, 36

Ribatab, 3

Qnasl, 30

Relion Lancets Ultra-thin30G, 36

ribavirin, 3

Quadramet, 6

Relion Prime Blood Glucose Test Strips, 37

Ridaura, 29

Qualaquin, 3

rifabutin, 2

Quartette, 15

Relion R, 15

Rifadin, 2

Quazepam, 23

Relion Thin Lancets, 36

Rifamate, 2

Qudexy XR, 24

Relion Ultima Blood Glucose Test Strips, 37

rifampin, 2

Quelicin, 25

Rifater, 2

Quelicin 1000, 25

Relion Ultima Test Strips, 37

Rightest Gl300 Lancets, 36

Questran, 9

Relion Ultra Thin Lancets, 36

Rightest GS100 Blood Glucose Test Strips, 37

Questran Light, 9

Relion Ultra Thin Lancets30G, 36

quetiapine fumarate, 23

Relion Ultra Thin Plus Lancets 32G, 36


Quflora Pediatric, 33

Relion Ultra Thin Plus Lancets 33G, 36

Quicktek Test Strips, 37

Relistor, 19


Quillivant XR, 23

Relpax, 29

quinapril HCL, 8

Relyyks, 13

Rilutek, 25

quinapril/hydrochlorothiazide, 8

Relyyt, 13

riluzole, 25

Quinidine Gluconate, 7

Remeron, 22

rimantadine HCL, 3

quinidine gluconate CR, 7

Remeron Soltab, 22

Rimantalist, 3

quinidine gluconate ER, 7

Remicade, 19

Riomet, 15

quinidine sulfate, 7

Remodulin, 10

risedronate sodium, 16

Quinidine Sulfate, 7

Renacidin, 20

Risperdal, 23

Quinidine Sulfate ER, 7

Renagel, 19

Risperdal Consta, 23

quinine sulfate, 3

Renatabs, 33

Risperdal M-TAB, 23

Quintet Ac Blood Glucose Test Strips, 37

Renatabs With Iron, 33

risperidone, 23

Quintet Blood Glucose Test Strips, 37

Renax, 33

risperidone odt, 23

Qutenza, 13

Renew Advanced Lancing Cartridge Refills, 36

Ritalin, 24

Qvar, 31

Ritalin LA, 24

Samsca, 17

sirolimus, 5

Ritalin SR, 24

Sanctura, 19

Sirturo, 2

Riteflo, 38

Sanctura XR, 19

Sitavig, 3

Rituxan, 5

Sancuso, 18

Sivextro, 4

rivastigmine tartrate, 25

Sandimmune, 5

Skelaxin, 25

rizatriptan benzoate, 29

Sandostatin, 17

Sklice, 13

rizatriptan benzoate odt, 29

Sandostatin Lar Depot, 17

Smart Diabetes Vantage Universal Lancets 30G, 36

Robaxin, 25

Saphris, 23

Robaxin-750, 25

Sarafem, 25

Smart Diabetes Xpres Blood Glucose Test Strips, 37

Robinul, 18

Savella, 25

Robinul Forte, 18

Savella Titration Pack, 25

Smart Sense Color Lancets Universal 33G, 36

Rocaltrol, 17

Scalacort DK, 12

Rocephin, 1

Scopolamine Hydrobromide, 18

Smart Sense Premium Bloodglucose Strips, 37

rocuronium bromide, 25

Seasonique, 15

ropinirole ER, 24

Seb-prev, 11

Smart Sense Standard Lancets Universal 21G, 36

ropinirole HCL, 24

Seconal, 23

ropivacaine, 30

Sectral, 7

Smart Sense Super Thin Lancets Universal 30G, 36

ropivacaine HCL, 30

Select-OB, 33

Rosadan Kit, 10

Select-ob+dha, 33

Smart Sense Thin Lancets Universal 26G, 36

Rosanil, 10

selegiline HCL, 24

Rotarix, 32

selenium sulfide, 11

Smart Sense Value Blood Glucose Strips, 37

Rotateq, 32

Selenium Sulfide, 11

Rowasa, 19

Selrx, 11

Smartest Blood Glucose Test Strips, 37

Roxicet, 28

Selsun Shampoo, 11

Smartest Lancets 28G, 36

Roxicodone, 28

Selzentry, 3

Sodium Bicarbonate, 18

Rozerem, 23

Semprex-d, 31

sodium chloride, 30

Ryanodex, 25

Senophylline, 31

sodium citrate/citric acid, 20

Rybix Odt, 28

Sensipar, 17

Sodium Diuril, 9

Rythmol, 7

Sensorcaine-mpf/Epinephrine, 30

Sodium Edecrin, 9

Rythmol SR, 7

Sentradine, 18

sodium ferric gluconate complex/sucrose, 20

S

Sentraflox AM-10, 22

Sentralopram AM-10, 22

sodium hyaluronate, 12

Sabril, 24

Sentramodafin AM-100, 24

sodium phenylbutyrate, 17

Safe-t-lance Low Flow 25G, 36

Sentravil PM-25, 22

sodium sulfacetamide, 10, 11, 26

Safe-t-lance Normal Flow 21G, 36

Sentrazolam AM 0.25, 22

sodium sulfacetamide wash, 11

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

Sentrazolpidem PM-5, 23

sodium sulfacetamide/sulfur, 10

Sentroxatine, 22

Sodium Sulfacetamide/Sulfur, 10

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

Serevent Diskus, 31

sodium sulfacetamide/sulfur cleanser, 10

Seromycin, 2

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10

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

Seroquel, 23

Seroquel XR, 23

sodium sulfacetamide/sulfur cleansing cloths, 10

Safety Lancet 21G/Pressure Activated, 36

Serostim, 16

sertraline HCL, 22

sodium sulfacetamide/sulfur green, 10

Safety Lancet 28G/Pressure Activated, 36

Sevelamer Carbonate, 19

Sodium Sulfacetamide/Sulfur IN Urea, 10

Sfrowasa, 19

sodium sulfacetamide/sulfur w/sunscreen, 10

Safety Lancet 2MM, 36

Shohls Solution Modified, 20

Safety Lancets, 36

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

sodium sulfacetamide/sulfur wash, 10

Safety Lancets 21G, 36

Sodium Sulfacetamide/Urea, 11

Safety Lancets 28G, 36

Shopko Unilet Lancets Super Thin 30G, 36

Solaice, 13

Safety Let Lancets, 36

Soliris, 21

Safety Seal Lancets 28G, 36

Shopko Unilet Lancets Ultra Thin 28G, 36

Solodyn, 2

Safety Seal Lancets 30G, 36

Soltamox, 5

Safyral, 14

Siderol, 33

Solu-cortef, 14

Saizen, 16

Signifor, 17

Solu-medrol, 14

Saizen Click.easy, 16

sildenafil, 10

Solus V2 Audible Test, 37

Salagen, 22

sildenafil citrate, 10

Solus V2 Pressure Activated Safety Lancets 28G, 36

Salex, 13

Silenor, 23

Salex Cream, 13

Simbrinza, 27

Solus V2 Twist Lancets 30G, 36

Salex Lotion, 13

Simcor, 9

Soma, 25

salicylic acid, 12

Simponi, 29

Somatuline Depot, 17

Salicylic Acid, 13

Simponi Aria, 29

Somavert, 17

salicylic acid cream, 12

Simulect, 5

Sonata, 23

Salicylic Acid IN Ammonium Lactate Vehicle, 13

simvastatin, 9

Soriatane, 11

Sinelee, 13

Sorilux, 11

salicylic acid lotion, 12

Sinemet, 25

sotalol HCL, 7

Salkera, 13

Sinemet CR, 25

sotalol HCL (AF), 7

salsalate, 27

Single-let, 36

Sovaldi, 3

Salvax, 13

Singulair, 31

Spectracef, 1

Salvax Duo Plus, 13

Spinosad, 13

Supervite, 34

Targretin, 6

Spiriva Handihaler, 31

Supervite EC, 34

Tarka, 8

Spiriva Respimat, 31

Support-500, 34

Taron-bc, 34

spironolactone, 9

Supprelin LA, 16

Taron-c DHA, 34

spironolactone/hydrochlorothiazide, 9

Suprax, 1

Taron-duo EC, 34

Sporanox, 2

Supreme Test Strips, 37

Taron-prex, 33

Sporanox Pulsepak, 2

Suprep Bowel Prep, 17

Tasigna, 6

Sprix, 29

Sure Edge Blood Glucose Test Strips, 37

Tasmar, 25

Sprycel, 6

Sure-lance Flat Lancets, 36

Taxotere, 5

Staflex, 28

Sure-lance Lancets 26G, 36

Tazicef, 1

Stalevo 100, 25

Sure-lance Thin Lancets 28G, 36

Tazorac, 11

Stalevo 125, 25

Sure-lance Ultra Thin Lancets, 36

Tecfidera, 25

Stalevo 150, 25

Sure-test Easyplus Mini Blood Glucose Test Strips, 37

Tecfidera Starter Pack, 25

Stalevo 200, 25

Techlite AST Lancets, 36

Stalevo 50, 25

Sure-touch Lancets Universal, 36

Techlite Lancets, 36

Stalevo 75, 25

Surechek Blood Glucose Test Strips, 37

Techlite Lancets 30G, 36

stannous fluoride oral rinse, 21

Surelite Lancets, 36

Tegretol, 24

Starlix, 15

Surestep Glucose Control, 36

Tegretol-XR, 24

stavudine, 3

Surestep Glucose Control Solution, 36

Tekamlo, 8

Stavzor, 24

Surestep Pro High Glucosecontrol, 36

Tekturna, 8

Staxyn, 10

Surestep Pro Low Glucose Control, 36

Tekturna HCT, 8

Stelara, 11

Surestep Pro Normal Glucose Control, 36

Telcare Blood Glucose Test Strips, 37

Stendra, 10

telmisartan, 8

Sterilance TL, 36

Surestep Pro Test Strips, 36

telmisartan/amlodipine, 8

Stimate, 17

Surestep Test Strips, 36

telmisartan/hydrochloroth, 8

Stivarga, 6

Surfaxin, 31

telmisartan/hydrochlorothiazide, 8

Strattera, 23

Surmontil, 22

temazepam, 23

Strazepam, 23

Survanta Intratracheal, 31

Temodar, 4

Streptomycin Sulfate, 2

Sustiva, 3

Temovate, 12

Striant, 14

Sutent, 6

Temovate E, 12

Stribild, 3

Suttar-2, 31

temozolomide, 4

Striverdi Respimat, 31

Suttar-SF, 31

Tencon, 28

Stromectol, 3

Sylatron, 6

Tenex, 8

Strovite, 33

Symax Duotab, 18

Teniposide, 5

Strovite Forte, 34

Symbicort, 31

Tenivac, 32

Strovite One, 34

Symbyax, 25

Tenoretic 100, 8

Suboxone, 28

Symlinpen 120, 15

Tenoretic 50, 8

Subsys, 28

Symlinpen 60, 15

Tenormin, 7

Suclear, 17

Synagex, 34

Terazol 3, 20

Sucraid, 18

Synalar, 12

Terazol 7, 20

sucralfate, 18

Synalar Cream Kit, 12

terazosin HCL, 8

Sular, 7

Synalar Ointment Kit, 12

terbinafine HCL, 2

sulfacetamide sodium, 10, 26

Synalar Ts, 12

Terbinex, 3

Sulfacetamide Sodium, 26

Synalgos-dc, 28

terbutaline sulfate, 31

sulfacetamide sodium/prednisolone sodium phosphate, 26

Synapryn Fusepaq, 28

terconazole, 19

Synarel, 16

Tersi Foam, 11

sulfacetamide sodium/sulfur cleanser, 10

Synatek, 34

Tessalon Perles, 31

Sulfadiazine, 2

Synera, 13

Testim, 14

sulfamethoxazole/trimethoprim, 4

Synercid, 4

Testopel, 14

Sulfamethoxazole/Trimethoprim, 4

Synribo, 6

Testosterone, 14

sulfamethoxazole/trimethoprim DS, 4

Synthroid, 17

testosterone cypionate, 14

sulfasalazine, 19

Synvisc, 25

testosterone enanthate, 14

Sulfisoxizole, 2

Synvisc One, 25

Testosterone P.M., 14

Sulfoam, 10

T

Testred, 14

Sulfurated Lime, 13

Tetanus Toxoid Adsorbed, 32

Tabloid, 5

sulindac, 29

Tetanus/Diphtheria Toxoids-adsorbed Adult, 32

Taclonex, 12

Sumadan Kit, 10

tacrolimus, 5, 12

Sumadan Wash, 10

tetracaine HCL, 27

Tafinlar, 6

Sumadan XLT, 10

Tetracaine HCL, 30

Talwin, 28

Sumatriptan, 29

Tetracycline HCL, 2

Tambocor, 7

sumatriptan succinate, 29

Tetrix, 13

Tamiflu, 3

Sumatriptan Succinate, 29

Tev-tropin, 16

tamoxifen citrate, 5

sumatriptan succinate refill, 29

Teveten, 8

tamsulosin HCL, 20

Sumavel Dosepro, 29

Teveten HCT, 8

Tandem F, 20

Sumaxin, 10

Texacort, 12

Tandem Plus, 20

Sumaxin CP Kit, 10

Thalomid, 5

Tanzeum, 15

Sumaxin Ts, 10

Theo-24, 31

Tapazole, 17

Sumaxin Wash, 10

theophylline, 31

Tarceva, 6

theophylline CR, 31

Tobi Podhaler, 2

triamcinolone acetonide, 12, 21, 30

theophylline ER, 31

Tobradex, 26

Triamcinolone Acetonide, 12

theophylline/D5W, 31

Tobradex ST, 26

triamcinolone IN orabase, 21

Theophylline/D5W, 31

tobramycin, 2

triamterene/hydrochlorothiazide, 9

Therabenzaprine-60, 25

tobramycin sulfate, 2, 26

Triamterene/Hydrochlorothiazide, 9

Therabenzaprine-90, 25

Tobramycin Sulfate/Sodium Chloride, 2

Trianex, 12

Therabenzaprine-90-5, 25

tobramycin/dexamethasone, 26

triazolam, 23

Theracodeine-300, 28

Tobrex, 26

Tribenzor, 8

Theracodophen-325, 28

Tofranil, 22

Tricare, 33


Tofranil-PM, 22

Tricare Prenatal Compleat, 34


tolazamide, 15

Tricare Prenatal DHA One, 34

Theracodophen-low-90, 28

Tolazamide, 15

tricitrates, 20

Theracys, 6

Tolbutamide, 15

Tricor, 9

Therafeldamine, 29

tolmetin sodium, 29

trifluoperazine HCL, 23

Therapentin-60, 24

Tolmetin Sodium, 29

trifluridine, 26

Therapentin-90, 24

tolterodine tartrate, 19

Triglide, 9

Theraprofen-60, 29

tolterodine tartrate ER, 19

trihexyphenidyl HCL, 24

Theraprofen-800, 29

Topamax, 24

Trileptal, 24

Theraprofen-90, 29

Topamax Sprinkle, 24

Trilipix, 9

Theraproxen-500, 29

Topicort, 12

trimethobenzamide HCL, 18

Theraproxen-60, 29

topiramate, 24

trimethoprim, 4

Theraproxen-90, 29

Topiramate ER, 24

trimethoprim sulfate/polymyxin b sulfate, 26

Theratramadol-60, 28

topotecan HCL, 6

Theratramadol-90, 28

Topotecan HCL, 6

trimipramine maleate, 22

thiamine HCL, 32

Toprol XL, 7

Trinate, 33

Thinlets GP Lancets, 36

Torisel, 6

Triostat, 17

Thinlets Lancet, 36

torsemide, 9

Trisenox, 6

Thiola, 20

Torsemide, 9

Triumeq, 3

thioridazine HCL, 23

Totect, 6

Triveen-duo DHA, 34

thiothixene, 23

Toviaz, 19

Triveen-prx RNF, 34

Thrombin-jmi Diluent, 21

Tracleer, 10

Triveen-ten, 34

Thrombin-jmi Epistaxis, 21

Tradjenta, 15

Triveen-u, 34

Thrombin-jmi Syringe Spray Kit, 21

tramadol HCL, 28

Trizivir, 3

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

tramadol HCL ER, 28

Trokendi XR, 24

Tramadol HCL ER, 28

Tropazone, 13

Thrombogen, 21

tramadol hydrochloride/acetaminophen, 28

trospium chloride, 19

Thymoglobulin, 5

trospium chloride ER, 19

Thyrolar-1, 17

Trandate, 7

True Metrix Blood Glucosetest Strips, 38

Thyrolar-1/2, 17

trandolapril, 8

True Metrix Self Monitoring Blod Glucose Strips, 38

Thyrolar-1/4, 17

tranexamic acid, 21

Thyrolar-2, 17

Transderm-scop, 18

Trueplus Lancets 26G, 36

Thyrolar-3, 17

Tranxene T, 22


tiagabine hydrochloride, 24

tranylcypromine sulfate, 22

Trueplus Lancets 28G Super Thin, 36

Tiazac, 7

Travatan Z, 26


Tice Bcg, 6

Travoprost, 26

Trueplus Lancets 30G Ultra Thin, 36

ticlopidine HCL, 21

Trazamine, 22


Tigan, 18

trazodone HCL, 22

Trueplus Lancets 33G Micro Thin, 36

Tikosyn, 7

Treanda, 4

Trueplus Safety Lancets 28G, 36

Timentin, 1

Trecator, 2

Truetest Blood Glucose T Est, 38

Timolol Maleate, 7

Trelstar Depot, 5

Truetest Blood Glucose T Est Strips, 38

timolol maleate, 26

Trelstar Depot Mixject, 5

Truetest Strips, 38

timolol maleate ophthalmic gel forming, 26

Trelstar LA, 5

Truetrack Blood Glucose Test, 38

Trelstar LA Mixject, 5

Truetrack Test, 38

Timoptic, 26

Trelstar Mixject, 5

Trulicity, 15

Timoptic Ocudose, 26

Trental, 21

Trumenba, 32

Timoptic-xe, 26

Trepadiclofen-25, 29

Trusopt, 27

Tindamax, 4

Trepoxen-250, 29

Truvada, 3

tinidazole, 4

Trepoxicam-7.5, 29

Tucks Anti-itch, 12

Tirosint, 17

Tretin-x, 10

Tudorza Pressair, 31

Tisseel, 21

tretinoin, 6, 10

Turkel Paracentesis Procedure Tray/8french, 30

Tivicay, 3

tretinoin microsphere, 10

Tizanidine Comfort PAC, 25

tretinoin microsphere P.M., 10

Tussicaps, 31

tizanidine HCL, 25

Tretten, 21

Tussionex Pennkinetic Extended Release, 31

TL G-FOL OS, 34

Trexall, 5

TL Triseb, 11

Treximet, 29

Twinrix, 32

TL-cermide, 13

Trezix, 28

Twynsta, 8

Tnkase, 21

Tri-norinyl 28, 15

Tybost, 3

Tobi, 2

Tri-VI-flor, 34

Tygacil, 4

Tykerb, 6

Urelle, 19

Verdeso, 12

Tylenol/Codeine #3, 28

Uretron D/S, 19

Veregen, 13

Tylenol/Codeine #4, 28

Urex, 19

Verelan, 7

Typhim VI, 32

Uribel, 19

Verelan PM, 7

Tysabri, 25

Urimar-t, 19

Veripred 20, 14

Tyvaso, 10

Urocit-k 10, 20

Versacloz, 23

Tyvaso Refill, 10

Urocit-k 15, 20

Vesicare, 19

Tyvaso Starter, 10

Urocit-k 5, 20

Vexa, 13

Tyzeka, 3

Urogesic-blue, 19

Vexol, 26

Tyzine, 30

Uroqid #2, 19

Vfend, 3

Tyzine Pediatric Nasal Drops, 30

Uroxatral, 20

Vfend IV, 3

U

Urso 250, 19

Viagra, 10

Urso Forte, 19

Vibativ, 4

U-cort, 12

ursodiol, 19

Vibramycin, 2

Uceris, 13, 19

Uta, 19

Vicoprofen, 28

Udamin, 34

Utopic, 13

Victory Agm-4000 Test Strips, 38

Udamin SP, 34

Uvadex, 6

Victoza, 15

Ulesfia, 13

V

Victrelis, 3

Uloric, 30

Vida Mia Unilet Lancets Super Thin 30G, 36

Ulticare Thin Lancets 30G, 36

Vagifem, 19

Ultilet Basic Lancets 30G, 36

valacyclovir HCL, 3

Vida Mia Unilet Lancets Ultra Thin 28G, 36

Ultilet Classic Lancets, 36

Valchlor, 4

Ultilet Lancets, 36

Valcyte, 3

Vidaza, 5

Ultilet Lancets 33G, 36

valganciclovir, 3

Videx EC, 3

Ultilet Safety Lancets 23G, 36

Valium, 22

Videx Pediatric, 3

Ultima Test Strips, 38

valproate sodium, 24

Vigamox, 26

Ultiva, 28

valproic acid, 24

Viibryd, 22

Ultra-thin II Auto Lancet, 36

valsartan, 8

Vimizim, 17

Ultra-thin II Lancets 28G, 36

valsartan/hydrochlorothiazide, 8

Vimovo, 29

Ultra-thin II Lancets 30G, 36

Valstar, 4

Vimpat, 24

Ultra-thin II Safety Autolancets 26G, 36

Valtrex, 3

Vinacal, 34

Ultracet, 28

Valumark Lancet Super Thin 30G, 36

Vinacal B, 34

Ultram, 28

Valumark Lancet Ultra Thin 28G, 36

Vinate AZ Extra, 34

Ultram ER, 28

Vancocin HCL, 4

Vinate C, 33

Ultrasal-ER, 13

vancomycin HCL, 4

Vinate Calcium, 34

Ultratrak Pro Test Strips, 38

Vancomycin HCL, 4

Vinate Care, 33

Ultratrak Ultimate Test Strips, 38

Vancomycin HCL IN Dextrose, 4

Vinate DHA, 34

Ultravate, 12

Vanos, 12

Vinate DHA RF, 34

Ultravate PAC, 12

Vanoxide-HC, 10

Vinate GT, 33

Ultravate X, 12

Vantas, 5

Vinate IC, 33

Ultresa, 18

Vaprisol, 17

Vinate II, 33

Umecta, 13

Vaqta, 32

Vinate M, 33

Umecta Nail Film, 13

Varivax, 32

Vinate One, 33

Umecta PD, 13

Vascepa, 9

Vinate Pn Care, 33

Unasyn, 1

Vaseretic, 9

Vinblastine Sulfate, 6

Unasyn Bulk Pack, 1

vasopressin, 17

vincristine sulfate, 5

Unilet Comfortouch Lancet, 36

Vasostrict, 17

vinorelbine tartrate, 5

Unilet Excelite, 36

Vasotec, 8

Viokace, 18

Unilet Excelite II, 36

Vazculep, 9

Viracept, 3

Unilet G.p. Lancet, 36

Vecamyl, 8

Viramune, 3

Unilet G.p. Superlite Lancet, 36

Vectibix, 5

Viramune XR, 3

Unilet GP 28 Ultra Thin, 36

Vectical, 11

Virasal, 13

Unilet Lancet, 36

vecuronium bromide, 25

Virazole, 3

Unilet Superlite Lancet, 36

Velcade, 6

Viread, 3

Uniretic, 8

Veletri, 10

Viroptic, 26

Unistik 3 Gentle, 36

Velphoro, 19

Vistaril, 22

Unistrip1 Generic, 38

Veltin, 10

Vistide, 3

Univasc, 8

Vemavite-prx 2, 34

Vita-pren, 34

Universal 1 Lancets Thin 26G, 36

venlafaxine HCL, 22

Vitafol, 34

Universal 1 Lancets Ultra Thin 30G, 36

venlafaxine HCL ER, 22

Vitafol Ultra, 34

Uramaxin, 13

Venlafaxine HCL ER, 22

Vitafol-nano, 34

Uramaxin GT, 13

Venofer, 20

Vitafol-OB, 33

Uramaxin GT Kit, 13

Ventavis, 10

Vitafol-ob+dha, 34

urea, 12

Ventolin HFA, 31

Vitafol-one, 34

urea 40% nail film, 12

Veramyst, 30

Vitafol-plus, 34

urea IN zinc undecylenate/lactic acid vehicle, 12

verapamil HCL, 7

Vitafol-pn, 34

Verapamil HCL, 7

Vital-d RX, 34

urea topical, 12

verapamil HCL ER, 7

Vitalet Pro Lancets, 36

Urecholine, 19

verapamil HCL SR, 7

Vitalet Pro Plus Lancets, 36

Xeloda, 5

zidovudine, 3

Vitamedmd One RX/Quatrefolic, 34

Xenazine, 25

Zinacef, 1

Vitamedmd Plus RX/Quatre Folic, 34

Xeomin, 25

Zinacef IN Iso-osmotic Dextrose, 1

Vitamedmd Redichew RX, 34

Xerese, 11

Zinacef IN Iso-osmotic Diluent, 1

Vitamedmd Redichew RX/Quatrefolic, 34

Xgeva, 16

Zinecard, 6

vitamin c 222MG, 32

Xifaxan, 4

Zioptan, 26

vitamin d, 32

Xigduo XR, 16

ziprasidone HCL, 23

vitamin k1, 32

Xodol, 28

Zipsor, 29

Vitamin K1, 32

Xofigo, 6

Zirgan, 26

Vitapearl, 34

Xolair, 31

Zithranol, 11

Vitaroca Plus, 34

Xolegel, 11

Zithranol-rr, 11

Vituz, 31

Xolegel Corepak, 11

Zithromax, 1

Viva CT Prenatal, 34

Xolegel Duo/Head & Shoulders, 11

Zithromax Tri-PAK, 1

Viva DHA, 34

Xolegel Duo/Xolex, 11

Zithromax Z-PAK, 1

Vivactil, 23

Xolox, 28

Zmax, 1

Vivelle-dot, 14

Xopenex, 31

Zocor, 9

Vivotif Berna, 32

Xopenex Concentrate, 31

Zofran, 18

Vocal Point Blood Glucose Test Strips, 38

Xopenex HFA, 31

Zofran Odt, 18

Xtandi, 5

Zohydro ER, 28

Vogelxo, 14

Xylocaine, 7, 13, 30

Zoladex, 5

Vogelxo P.M., 14

Xylocaine-mpf, 30

zoledronic acid, 16

Voltaren, 11

Xylocaine-mpf/Epinephrine, 30

Zoledronic Acid, 16

Voltaren-XR, 29

Xylocaine/Epinephrine, 30

Zolinza, 6

Voluven, 21

Xyntha, 21

zolmitriptan, 29

Vopac, 11

Xyntha Solofuse, 21

zolmitriptan odt, 29

Vopac GB, 11

Xyrem, 25

Zoloft, 23

Vopac Kt, 11

Xyzal, 30

zolpidem tartrate, 23

Voraxaze, 6

Y

zolpidem tartrate ER, 23

voriconazole, 2

Zolpimist, 23

Yasmin 28, 15

Vortex Valved Holding Chamber, 38

Zolvit, 28

Yaz, 15

Vosol HC, 27

Zometa, 16

Yervoy, 5

Vospire ER, 31

Zomig, 29

Yf-vax, 32

Votrient, 6

Zomig Nasal Spray, 29

Yodoxin, 3

Vpriv, 20

Zomig ZMT, 30

Z

Vsl#3 DS, 18

Zonalon, 11

Vusion, 11

Zonatuss, 31

Zacare 4% Kit, 10

Vytorin, 9

Zonegran, 24

Zacare 8% Kit, 10

Vyvanse, 23

zonisamide, 24

zafirlukast, 31

W

Zontivity, 21

zaleplon, 23

Zorbtive, 16

Zaltrap, 5

W&f Lancets 26G, 36

Zortress, 5

Zanaflex, 25

W&f Lancets Colored 21G, 36

Zorvolex, 29

Zanosar, 4

Walgreens Lancets, 36

Zostavax, 32

Zantac, 18

Walgreens Thin Lancets, 36

Zosyn, 1

Zarontin, 24

Walgreens Ultra Thin Lancets, 36

Zovia 1/50e, 15

Zaroxolyn, 9

warfarin sodium, 21

Zovirax, 3, 11

Zatean-CH, 34

Watchhaler, 38

Zubsolv, 28

Zatean-pn, 34

Wavesense Presto Test Strips, 38

Zuplenz, 18

Zatean-pn DHA, 34

Welchol, 9

Zutripro, 31

Zatean-pn Plus, 34

Wellbutrin, 23

Zyclara, 12

Zavesca, 20

Wellbutrin SR, 23

Zyclara P.M., 12

Zebeta, 7

Wellbutrin XL, 23

Zydelig, 6

Zegerid, 18

Westcort, 12

Zydone, 29

Zelapar, 25

Westhroid, 17

Zyflo, 31

Zelboraf, 6

Westhroid-p, 17

Zyflo CR, 31

Zemaira, 31

Wheat Germ, 32

Zykadia, 6

Zemplar, 17

Wilate, 21

Zylet, 26

Zemuron, 25

Wp Thyroid, 17

Zyloprim, 30

Zenpep, 18

X

Zymaxid, 26

Zenzedi, 24

Zyprexa, 23

Xalatan, 26

Zerit, 3

Zyprexa Relprevv, 23

Xalkori, 6

Zestoretic, 9

Zyprexa Zydis, 23

Xanax, 22

Zestril, 8

Zytiga, 5

Xanax XR, 22

Zetia, 9

Zyvox, 4

Xarelto, 21

Zetonna, 30

1

Xarelto Starter Pack, 21

Zevalin Y-90, 5

Xartemis XR, 28

Ziac, 9

1ST Choice Lancets Super Thin, 36

Xclair, 13

Ziagen, 3

1ST Choice Lancets Thin, 36

Xeljanz, 29

Ziana, 10

1ST Choice Lancets Ultra Thin, 36

8

8-mop, 11

Documents

List of covered drugs · Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions