96
Marketplace Exchange Standard Formulary L.A. Care Covered Administered by MedImpact Effective May 2014 Foreword This document represents the efforts of L.A. Care Health Plan and the MedImpact Healthcare Systems Pharmacy and Therapeutics (P & T) and Formulary Committees to provide physicians and pharmacists with a method to evaluate the safety, efficacy and cost-effectiveness of commercially available drug products. A structured approach to the drug selection process is essential in ensuring continuing patient access to rational drug therapies. This is accomplished through the auspices of the MedImpact P & T and Formulary Committees. These committees meet quarterly and more often as warranted to ensure clinical relevancy of the Formulary. To accommodate changes to this document, updates are made accessible as necessary. Access to the most current version of the L.A. Care Covered Formulary can be obtained by visiting http://www.lacarecovered.org/for-members/pharmacy- center. The MedImpact P & T and Formulary Committees use the following criteria in the evaluation of drug selection for the Marketplace Exchange Standard Formulary: • Drug safety profile • Drug efficacy • Comparison of relevant therapeutic benefits to current formulary agents of similar use, and to minimize therapeutic duplication where possible • Cost-effectiveness relative to comparable therapies How to Use the Formulary The Formulary is a list of medications available to L.A. Care Covered members under their pharmacy benefit. All drugs are listed by their generic names and most common proprietary (branded) name. The Formulary may be accessed by using the index, either by generic or proprietary name and by therapeutic drug category. In situations where an FDA approved generic equivalent is available, brand names are listed for reference purposes only, and do not denote coverage for the brand, unless specifically noted. All drugs are listed in each category in alphabetical order by generic name. Where an FDA approved generic is available for the listed generic name, the generic name is bolded. For certain agents within the Formulary, a recommended prescribing guideline may apply. These are denoted throughout the document using the following symbols: Symbol Guideline Description AGE Age Edit Coverage may depend on patient age G Gender Edit Coverage may depend on patient gender PA Prior Authorization Requires specific physician request process QL Quantity Limit Coverage may be limited to specific quantities per prescription and/or time period ST Step Therapy Coverage may depend on previous use of another drug Please refer to the prescribing guideline appendix within this document for details regarding specific agents. Benefit Coverage and Limitations This printed Formulary does not provide information regarding the specific coverage and limitations an individual member may be subject to. Many members have specific benefit inclusions, exclusions, copays, or a lack of coverage, which are not reflected in the Formulary. The Formulary applies only to outpatient drugs provided to members, and does not apply to medications used in inpatient settings. If a member has any specific questions regarding their coverage, they should contact L.A. Care

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Page 1: Marketplace Exchange Standard Formulary L.A. Care Covered€¦ · ensuring continuing patient access to rational drug therapies. This is accomplished through the auspices of the MedImpact

Marketplace Exchange Standard FormularyL.A. Care Covered

Administered by MedImpactEffective May 2014

ForewordThis document represents the efforts of L.A. Care HealthPlan and the MedImpact Healthcare Systems Pharmacyand Therapeutics (P & T) and Formulary Committees toprovide physicians and pharmacists with a method toevaluate the safety, efficacy and cost-effectiveness ofcommercially available drug products. A structuredapproach to the drug selection process is essential inensuring continuing patient access to rational drugtherapies. This is accomplished through the auspices of theMedImpact P & T and Formulary Committees. Thesecommittees meet quarterly and more often as warrantedto ensure clinical relevancy of the Formulary. Toaccommodate changes to this document, updates aremade accessible as necessary. Access to the most current version of the L.A. CareCovered Formulary can be obtained by visitinghttp://www.lacarecovered.org/for-members/pharmacy-center. The MedImpact P & T and Formulary Committees use thefollowing criteria in the evaluation of drug selection for theMarketplace Exchange Standard Formulary:• Drug safety profile• Drug efficacy• Comparison of relevant therapeutic benefits to currentformulary agents of similar use, and to minimizetherapeutic duplication where possible• Cost-effectiveness relative to comparable therapies

How to Use the FormularyThe Formulary is a list of medications available to L.A.Care Covered members under their pharmacy benefit. Alldrugs are listed by their generic names and most commonproprietary (branded) name. The Formulary may beaccessed by using the index, either by generic orproprietary name and by therapeutic drug category. Insituations where an FDA approved generic equivalent isavailable, brand names are listed for reference purposes

only, and do not denote coverage for the brand, unlessspecifically noted. All drugs are listed in each category in alphabetical orderby generic name. Where an FDA approved generic isavailable for the listed generic name, the generic name isbolded. For certain agents within the Formulary, a recommendedprescribing guideline may apply. These are denotedthroughout the document using the following symbols: Symbol Guideline Description

AGE Age Edit Coverage may depend onpatient age

G Gender Edit Coverage may depend onpatient gender

PA PriorAuthorization

Requires specific physicianrequest process

QL QuantityLimit

Coverage may be limited tospecific quantities perprescription and/or time period

ST StepTherapy

Coverage may depend onprevious use of another drug

Please refer to the prescribing guideline appendix withinthis document for details regarding specific agents.

Benefit Coverage and LimitationsThis printed Formulary does not provide informationregarding the specific coverage and limitations anindividual member may be subject to. Many membershave specific benefit inclusions, exclusions, copays, or alack of coverage, which are not reflected in the Formulary. The Formulary applies only to outpatient drugs providedto members, and does not apply to medications used ininpatient settings. If a member has any specific questionsregarding their coverage, they should contact L.A. Care

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Health Plan at (855) 270-2327 or MedImpact at (800)788-2949.

Depending upon a member’s specificbenefit parameters, the followingtopics may apply:1.Generic SubstitutionWhen available, FDA approved generic drugs are tobe used in all situations, regardless of the brand nameindicated. The generic names are bolded in theformulary listing wherever an FDA approved genericdrug product is available. Greater economy is realizedthrough the use of generic equivalents. This policy isnot meant to preclude or supplant any state statutesthat may exist. All drugs that are or become availablegenerically are subject to review by MedImpact’sPharmacy and Therapeutics Committee. MedImpactapproves such multi-source drugs for addition to theMAC list based on the following criteria:• A multi-source drug product manufactured by atleast one (1) nationally marketed company.• At least one (1) of the generic manufacturer’sproducts must have an “A” rating or the genericproduct has been determined to be unassociatedwith efficacy, safety or bioequivalency concerns bythe MedImpact P & T Committee.• Drug product will be approved for genericsubstitution by the MedImpact P & T Committee.

This list is reviewed and updated periodically basedon the clinical literature and pharmacokineticcharacteristics of currently available versions of thesedrug products. If a member or physician requests a brand nameproduct in lieu of an approved generic, the member,based upon their coverage, will typically be requiredto pay the difference in cost between the brand andthe generic. If a physician determines that there is adocumented medical need for the brand equivalent, arequest for coverage may be made using themedication request process.

2.Tier Benefit DesignThe Formulary may be applied to a tier benefit design,where the member shares the cost of prescriptiondrug therapy based on the drug’s tier and copaymentor coinsurance. In most instances, genericallyavailable drugs will be covered in a separate lower tier

(low copay), preferred branded drugs listed on theFormulary will be covered under a higher tier, andbranded drugs not on the Formulary will be coveredunder a separate non-preferred branded drug copaytier. Specialty drugs will be covered under the highesttier (highest copay). Essential healthbenefit/preventative medications, if available on theformulary (applies to new and non-grandfatheredplans), will be covered without cost sharing (zerocopay). Tier Definitions

Tier 1: Preferred generic medications(formulary agents)

Tier 2: Preferred brand medications (formularyagents)

Tier 3: Non-preferred medications (non-formulary agents)

Tier 4: Specialty medicationsTier 5: EHB Zero Copay/Preventative

medications

3.Medication Request ProcessDepending upon plan benefit design, a medicationrequest process may apply as follows:

Drugs that are listed in the Formulary withassociated Prior Authorization (PA) requireevaluation, per MedImpact P & T CommitteePrior Authorization guidelines prior to dispensingat a pharmacy. Each request will be reviewed onan individual patient need basis. If the requestdoes not meet the guidelines established by theP & T Committee, the request will not beapproved and alternative therapy may berecommended. If the request does not meet the guidelinesestablished by the P & T Committee, the requestwill not be approved and alternative therapy maybe recommended. Obtaining CoverageCoverage, questions or information regarding themedication request or formulary process may beobtained by:1. Faxing a completed Medication RequestForm to MedImpact at (800) 681-7651.

2. Contacting MedImpact at (855) 270-2327 andproviding all necessary information requested.

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MedImpact will provide an authorization number,specific for the medical need, for all approvedrequests. Non-approved requests may beappealed. The prescriber must provideinformation to support the appeal on the basis ofmedical necessity. Prior Authorization is generallynot available for drugs that are specificallyexcluded by benefit design.

4.General Exclusions

A. Over the Counter (OTC) medications or theirequivalents, unless the individual’s pharmacybenefit offers coverage of OTC medications.

B. Drugs specifically listed as not covered.C.Any drug products used for cosmetic purposes.D.Experimental drug products or any drug productused in an experimental manner.

E. Replacement of lost or stolen medication.F. Non self-administered injectable drug productsunless otherwise specified in the Formularylisting.

G.Foreign sourced drugs or drugs not approved bythe United States Food & Drug Administration,except in certain cases of drug shortage, whenallowed under the individual's pharmacy benefit.

The P & T and Formulary Committees recognizethat not all medical needs can be met with thisdocument and encourage inquiries about alternativetherapies.

5.Pharmacist and Physician CommunicationThe Formulary is a tool to promote cost-effectiveprescription drug use. The P & T and FormularyCommittees have made every attempt to create adocument that meets all therapeutic needs; however,the art of medicine makes this a formidable task.MedImpact welcomes the participation of physicians,pharmacists, and ancillary medical providers, in thisdynamic process. Physicians and pharmacists arehighly encouraged to direct any suggestions,comments or formulary additions to MedImpact at thefollowing address: Chairperson, Pharmacy & Therapeutics CommitteeMedImpact Healthcare Systems, Inc.10181 Scripps Gateway CourtSan Diego, CA 92131

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ALLERGY2nd Gen Antihistamine & Decongestant

CombinationsT3 desloratadine/pseudoe

phedrineCLARINEX-D 12HOUR

QL, ST

T3 desloratadine/pseudoephedrine

CLARINEX-D 24HOUR

QL, ST

T1 fexofenadine/pseudoephedrine

FEXOFENADINE/PSEUDOEPHEDRINE

T3 pseudoephedrinehcl/acrivas

SEMPREX-D

Allergenic Extracts, TherapeuticsT3 gr pol-orc/sw

ver/rye/kent/timORALAIR PA

T3 grass pollen-timothy,std

GRASTEK PA

T3 weed pollen-shortragweed

RAGWITEK PA

AntihistaminesT1 tripelennamine hcl TRIPELENNAMINE

HCL

Antihistamines - 1st GenerationT1 carbinoxamine

maleateCARBINOXAMINEMALEATE

AGE

T1 carbinoxaminemaleate

PALGIC AGE

T1 chlorpheniraminemaleate

CHLORPHENIRAMINE MALEATE

T3 chlorpheniraminetannate

RICOBID-H

T1 clemastine fumarate CLEMASTINEFUMARATE

T1 cyproheptadine hcl CYPROHEPTADINEHCL

T1 dexchlorpheniraminemaleate

DEXCHLORPHENIRAMINE MALEATE

T3 diphenhydramine hcl DICOPANOLT1 diphenhydramine hcl DIPHENHYDRAMINE

HCLT1 hydroxyzine hcl HYDROXYZINE HCLT1 hydroxyzine pamoateHYDROXYZINE

PAMOATET1 hydroxyzine pamoateVISTARILT1 promethazine hcl PHENERGANT1 promethazine hcl PROMETHAZINE HCL

Antihistamines - 2nd GenerationT1 cetirizine hcl CETIRIZINE HCLT3 desloratadine CLARINEX(SYRUP) QL, STT1 desloratadine CLARINEX(TAB) QLT1 desloratadine DESLORATADINE QL, STT1 fexofenadine hcl FEXOFENADINE HCLT1 levocetirizine

dihydrochlorideXYZAL(SOLUTION) QL, ST

T1 levocetirizinedihydrochloride

XYZAL(TAB)

Nasal AntihistamineT1 azelastine hcl ASTELIN QLT3 olopatadine hcl PATANASE QL, ST

Nasal Antihistamine & Anti-inflam. Steroid

Comb.T3 azelastine/fluticasone DYMISTA QL, ST

Nasal Anti-inflammatory SteroidsT3 beclomethasone

dipropionateBECONASE AQ QL, ST

T2 beclomethasonedipropionate

QNASL QL, ST

T3 ciclesonide OMNARIS QL, STT3 ciclesonide ZETONNA QL, STT1 flunisolide FLUNISOLIDE QLT3 fluticasone furoate VERAMYST QL, STT1 fluticasone

propionateFLONASE QL

T2 mometasone furoate NASONEX QLT1 triamcinolone

acetonideNASACORT AQ QL

ANTIEMESIS/ANTIVERTIGOAntiemetic/antivertigo AgentsT2 aprepitant EMEND(CAP DS PK) QLT2 aprepitant EMEND(CAP)(125

MG)QL

T2 aprepitant EMEND(CAP)(40 MG) QLT2 aprepitant EMEND(CAP)(80 MG) QLT3 dolasetron mesylate ANZEMET(TAB)(100

MG)QL, ST

T3 dolasetron mesylate ANZEMET(TAB)(50MG)

QL, ST

T3 doxylamine/pyridoxinehcl

DICLEGIS QL

T1 dronabinol MARINOL QL, STT3 granisetron SANCUSO QL, STT1 granisetron hcl GRANISETRON HCL QL, STT1 meclizine hcl ANTIVERTT3 nabilone CESAMET QL, STT1 ondansetron ZOFRAN ODTT3 ondansetron ZUPLENZ(FILM)(4

MG)QL, ST

T3 ondansetron ZUPLENZ(FILM)(8MG)

QL, ST

T1 ondansetron hcl ONDANSETRON HCLT1 ondansetron hcl ZOFRAN(SOLUTION) QLT1 ondansetron hcl ZOFRAN(TAB)T2 prochlorperazine

edisylateCOMPAZINE

T1 prochlorperazinemaleate

PROCHLORPERAZINE MALEATE

T1 promethazine hcl PROMETHEGANT3 scopolamine TRANSDERM-SCOPT1 trimethobenzamide

hclTIGAN

T1 trimethobenzamidehcl/b-caine

TRIMETHOBENZAMIDE HCL

Commercial Formulary

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ASTHMA5-lipoxygenase InhibitorsT3 zileuton ZYFLOT3 zileuton ZYFLO CR

Adrenergic Agents,catecholaminesT1 epinephrine EPINEPHRINET1 isoetharine hcl ISOETHARINE HCL

Beta-adrenergic AgentsT1 albuterol sulfate ALBUTEROL

SULFATET3 albuterol sulfate PROAIR HFAT3 albuterol sulfate PROVENTIL HFAT2 albuterol sulfate VENTOLIN HFAT1 albuterol sulfate VOSPIRE ERT3 arformoterol tartrate BROVANA QLT3 formoterol fumarate FORADIL QL, STT2 formoterol fumarate PERFOROMIST QLT3 indacaterol maleate ARCAPTA

NEOHALERQL, ST

T1 levalbuterol hcl XOPENEXT3 levalbuterol tartrate XOPENEX HFAT1 metaproterenol

sulfateMETAPROTERENOLSULFATE

T3 pirbuterol acetate MAXAIR AUTOHALERT2 salmeterol xinafoate SEREVENT DISKUS QLT1 terbutaline sulfate TERBUTALINE

SULFATE

Beta-adrenergic And Anticholinergic

CombinationsT2 ipratropium/albuterol

sulfateCOMBIVENT

T2 ipratropium/albuterolsulfate

COMBIVENTRESPIMAT

T1 ipratropium/albuterolsulfate

DUONEB

T3 umeclidiniumbrm/vilanterol tr

ANORO ELLIPTA QL

Beta-adrenergic And Glucocorticoid

CombinationsT3 budesonide/formoterol

fumarateSYMBICORT QL, ST

T3 fluticasone/salmeterol ADVAIR DISKUS QLT3 fluticasone/salmeterol ADVAIR HFA QLT3 fluticasone/vilanterol BREO ELLIPTA QLT2 mometasone/formoter

olDULERA QL

General Bronchodilator AgentsT3 aclidinium bromide TUDORZA PRESSAIRQL, STT1 guaifenesin/dyphyllin

eDIFIL-G 400

T1 guaifenesin/theophylline

BRONCOMAR GG

T3 guaifenesin/theophylline

QUIBRON

T2 ipratropium bromide ATROVENT HFA QLT1 ipratropium bromide IPRATROPIUM

BROMIDET2 tiotropium bromide SPIRIVA QL

Glucocorticoids, Orally InhaledT2 beclomethasone

dipropionateQVAR QL

T3 budesonide PULMICORTFLEXHALER

QL, ST

T1 budesonide PULMICORT(AMPUL-NEB)(0.25MG/2ML)

QL

T1 budesonide PULMICORT(AMPUL-NEB)(0.5 MG/2ML)

QL

T2 budesonide PULMICORT(AMPUL-NEB)(1 MG/2 ML)

QL

T3 ciclesonide ALVESCO QL, STT3 flunisolide AEROSPAN QL, STT2 fluticasone propionate FLOVENT

DISKUS(BLSTW/DEV)(100 MCG)

QL

T2 fluticasone propionate FLOVENTDISKUS(BLSTW/DEV)(250 MCG)

QL

T2 fluticasone propionate FLOVENTDISKUS(BLSTW/DEV)(50 MCG)

QL

T2 fluticasone propionate FLOVENT HFA(AERW/ADAP)(110 MCG)

QL

T2 fluticasone propionate FLOVENT HFA(AERW/ADAP)(220 MCG)

QL

T2 fluticasone propionate FLOVENT HFA(AERW/ADAP)(44 MCG)

QL

T3 mometasone furoate ASMANEX QL, ST

Leukotriene Receptor AntagonistsT1 montelukast sodium SINGULAIRT1 zafirlukast ACCOLATE

Mast Cell StabilizersT1 cromolyn sodium CROMOLYN SODIUMT1 cromolyn sodium GASTROCROM

Monoclonal Antibodies To Immunoglobulin

ET4 omalizumab XOLAIR PA, QL

Phosphodiesterase-4 (pde4) InhibitorsT2 roflumilast DALIRESP QL, ST

Respiratory Aids,devices,equipmentT3 compressor, for

nebulizerDEVILBISS PULMO-AIDE

T3 inhaler, assist devices ACE AEROSOLCLOUD ENHANCER

T3 inhaler, assist devices AEROCHAMBER MINIT3 inhaler, assist devices AEROCHAMBER MVT3 inhaler, assist devices AEROCHAMBER

PLUS

Commercial Formulary

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T3 inhaler, assist devices AEROCHAMBERPLUS FLOW-VU

T3 inhaler, assist devices AEROCHAMBERPLUS Z STAT

T3 inhaler, assist devices AEROCHAMBERWITH FLOWSIGNAL

T3 inhaler, assist devices AEROCHAMBER Z-STAT PLUS

T3 inhaler, assist devices AEROTRACH PLUST3 inhaler, assist devices AEROVENT IIT3 inhaler, assist devices BREATHERITET3 inhaler, assist devices BREATHRITET3 inhaler, assist devices EASIVENTT3 inhaler, assist devices E-Z SPACERT3 inhaler, assist devices LITEAIRET3 inhaler, assist devices MICROCHAMBERT3 inhaler, assist devices MICROSPACERT3 inhaler, assist devices MONAGHAN Z STATT3 inhaler, assist devices POCKET CHAMBERT3 inhaler, assist devices PRIMEAIRET3 inhaler, assist devices PROCHAMBERT3 inhaler, assist devices RITEFLOT3 inhaler, assist devices VORTEXT3 inhaler, assist devices VORTEX VHC FROG

MASKT3 inhaler, assist devices VORTEX VHC

LADYBUG MASKT3 inhaler, assist devices WATCHHALERT3 inhaler,assist

device,accesoryEASIVENT

T3 inhaler,assistdevice,accesory

LITETOUCH

T3 inhaler,assistdevice,accesory

OPTICHAMBER

T3 inhaler,assistdevice,accesory

OPTICHAMBERDIAMOND

T3 inhaler,assistdevice,accesory

SILICONE MASK

T3 nebulizer AEROECLIPSET3 nebulizer AEROECLIPSE IIT3 nebulizer ALTERA NEBULIZERT3 nebulizer BABY NEBULIZERT3 nebulizer ERAPID NEBULIZERT3 nebulizer INSPIRATIONT3 nebulizer LC D NEBULIZER

SETT3 nebulizer LC PLUST3 nebulizer LC SPRINT

NEBULIZERT3 nebulizer LC START3 nebulizer MICRO PLUST3 nebulizer MINI PLUS

NEBULIZERT3 nebulizer MISTERNEB

NEBULIZERT3 nebulizer NASONEB NASAL

NEBULIZERT3 nebulizer PARI LC SPRINT

SINUST3 nebulizer PRODIGY MINI-MISTT3 nebulizer SIDESTREAM

T3 nebulizer SIDESTREAMNEBULIZER

T3 nebulizer SIDESTREAM PLUST3 nebulizer SINUSTART3 nebulizer/compressor COMP-AIR ELITE

COMPRESSOR SYSTT3 nebulizer/compressor COMP-AIR

NEBULIZERCOMPRESSOR

T3 nebulizer/compressor DEVILBISSTRAVELER

T3 nebulizer/compressor INNOSPIREELEGANCE

T3 nebulizer/compressor INNOSPIREESSENCE

T3 nebulizer/compressor INSPIRATION ELITET3 nebulizer/compressor MICRO ELITET3 nebulizer/compressor MINIELITET3 nebulizer/compressor NASONEB NASAL

NEBULIZERT3 nebulizer/compressor PARI SINUS

AEROSOL SYSTEMT3 nebulizer/compressor PRONEB ULTRAT3 nebulizer/compressor PRONEB ULTRA IIT3 nebulizer/compressor SAMI THE SEALT3 nebulizer/compressor SINUSTART3 nebulizer/compressor TREK S COMBO

PACKT3 nebulizer/compressor TREK S COMPACT

COMPRESSORT3 nebulizer/compressor VIOS AEROSOL

DELIVERY SYSTEMT3 peak flow meter MINI-WRIGHT PEAK

FLOW METERT3 peak flow meter TRUZONE PEAK

FLOW METERT3 peak flow meter/inh

asst devAEROGEAR ASTHMAACTION KIT

T3 peak flow meter/inhasst dev

ASTHMAPACKCHILDREN'S

T3 spirometers andaccessories

PFLEX TRAINER

T3 spirometers andaccessories

THRESHOLD IMT

T3 spirometers andaccessories

THRESHOLD PEP

XanthinesT1 aminophylline AMINOPHYLLINET1 caffeine citrated CAFCITT3 dyphylline LUFYLLINT3 dyphylline LUFYLLIN-400T1 theophyll/ephed

hcl/phenobarbTHEOTAL

T2 theophylline anhydrousTHEO-24T1 theophylline

anhydrousTHEOPHYLLINEANHYDROUS

Commercial Formulary

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AUTONOMIC NERVOUS SYSTEM

DISORDERSAlzheimer's Therapy, Nmda Receptor

AntagonistsT2 memantine hcl NAMENDA XR(CAP

24 DSPK)QL

T2 memantine hcl NAMENDA XR(CAPSPR 24)

QL

T2 memantine hcl NAMENDA(SOLUTION)

QL

T2 memantine hcl NAMENDA(TAB DSPK)

QL

T2 memantine hcl NAMENDA(TAB) QL

Cholinesterase InhibitorsT1 donepezil hcl ARICEPTT1 galantamine hbr RAZADYNE QLT1 galantamine hbr RAZADYNE ER QLT2 neostigmine bromide PROSTIGMINT2 pyridostigmine

bromideMESTINON(SYRUP)

T2 pyridostigminebromide

MESTINON(TAB ER)

T1 pyridostigminebromide

MESTINON(TAB)

T2 rivastigmine EXELON QLT1 rivastigmine tartrate EXELON(CAP)T2 rivastigmine tartrate EXELON(SOLUTION)

BEHAVIORAL HEALTH -

ANTIDEPRESSANTSAlpha-2 Receptor Antagonist

AntidepressantsT1 mirtazapine MIRTAZAPINET1 mirtazapine REMERON

Maois - Non-selective & IrreversibleT3 isocarboxazid MARPLANT1 phenelzine sulfate NARDILT1 tranylcypromine

sulfatePARNATE

Norepinephrine And Dopamine Reuptake

InhibT3 bupropion hbr APLENZIN QL, STT3 bupropion hcl FORFIVO XL QL, STT1 bupropion hcl WELLBUTRIN XL

Selective Serotonin Reuptake InhibitorT1 citalopram

hydrobromideCELEXA

T1 citalopramhydrobromide

CITALOPRAM HBR

T1 escitalopram oxalate LEXAPROT1 fluoxetine hcl FLUOXETINE HCLT1 fluoxetine hcl PROZACT3 fluoxetine hcl SARAFEMT1 fluvoxamine maleate FLUVOXAMINE

MALEATET1 fluvoxamine maleate LUVOX CR QL, STT1 paroxetine hcl PAROXETINE HCLT1 paroxetine hcl PAXIL CRT2 paroxetine hcl PAXIL(ORAL SUSP)T1 paroxetine hcl PAXIL(TAB)T3 paroxetine mesylate BRISDELLE QL, STT3 paroxetine mesylate PEXEVA QL, STT1 sertraline hcl ZOLOFT

Serotonin-2 Antagonist/reuptake InhibitorsT1 nefazodone hcl NEFAZODONE HCLT3 trazodone hcl OLEPTRO ER QL, STT1 trazodone hcl TRAZODONE HCL

Serotonin-norepinephrine Reuptake-inhibT1 desvenlafaxine KHEDEZLA QL, STT3 desvenlafaxine

fumarateDESVENLAFAXINEFUMARATE ER

T2 desvenlafaxinesuccinate

PRISTIQ ER QL, ST

T1 duloxetine hcl DULOXETINE HCL QLT3 levomilnacipran

hydrochlorideFETZIMA QL, ST

T3 venlafaxine hcl VENLAFAXINE HCLER

Ssri & 5ht1a Partial Agonist AntidepressantT3 vilazodone

hydrochlorideVIIBRYD(TAB DS PK) ST

T3 vilazodonehydrochloride

VIIBRYD(TAB) QL, ST

Ssri & Serotonin Receptor Modulator

AntidepressantT3 vortioxetine

hydrobromideBRINTELLIX QL, ST

Tricyclic Antidepressant/benzodiazepine

CombinatnsT1 amitrip

hcl/chlordiazepoxideCHLORDIAZEPOXIDE-AMITRIPTYLINE

Tricyclic Antidepressant/phenothiazine

CombinatnsT1 perphenazine/amitrip

tyline hclPERPHENAZINE-AMITRIPTYLINE

Tricyclic Antidepressants & Rel. Non-sel. Ru-

inhibT1 amitriptyline hcl AMITRIPTYLINE HCLT1 amoxapine AMOXAPINET1 clomipramine hcl ANAFRANIL

Commercial Formulary

L.A. Care Page 7 of 96

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T1 desipramine hcl NORPRAMINT1 doxepin hcl DOXEPIN HCLT1 imipramine hcl TOFRANILT1 imipramine pamoate TOFRANIL-PMT1 maprotiline hcl MAPROTILINE HCLT1 nortriptyline hcl NORTRIPTYLINE HCLT1 nortriptyline hcl PAMELORT1 protriptyline hcl VIVACTILT3 trimipramine maleate SURMONTIL

BEHAVIORAL HEALTH - OTHERAdrenergics, Aromatic, Non-catecholamineT1 dextroamphetamine

sulfateDEXEDRINE(CAPER)(10 MG)

QL

T1 dextroamphetaminesulfate

DEXEDRINE(CAPER)(15 MG)

QL

T1 dextroamphetaminesulfate

DEXEDRINE(CAPER)(5 MG)

QL

T1 dextroamphetaminesulfate

DEXTROAMPHETAMINE SULFATE(TAB)(10MG)

QL

T1 dextroamphetaminesulfate

DEXTROAMPHETAMINE SULFATE(TAB)(5MG)

QL

T1 dextroamphetaminesulfate

PROCENTRA QL

T2 dextroamphetaminesulfate

ZENZEDI QL, ST

T1 dextroamphetamine/amphetamine

ADDERALL QL

T2 lisdexamfetaminedimesylate

VYVANSE QL, ST

T1 methamphetaminehcl

DESOXYN QL

Anti-alcoholic PreparationsT1 disulfiram ANTABUSET4 naltrexone

microspheresVIVITROL

Anti-anxiety DrugsT1 alprazolam ALPRAZOLAMT2 alprazolam ALPRAZOLAM

INTENSOLT1 alprazolam XANAXT1 buspirone hcl BUSPIRONE HCLT3 chlordiazepoxide LIBRITABST1 chlordiazepoxide hcl CHLORDIAZEPOXIDE

HCLT1 clorazepate

dipotassiumTRANXENE T-TAB

T1 diazepam DIAZEPAMT1 diazepam VALIUMT1 lorazepam ATIVANT1 lorazepam LORAZEPAMT1 meprobamate MEPROBAMATET1 meprobamate MILTOWNT1 oxazepam OXAZEPAM

Anti-mania DrugsT3 carbamazepine EQUETRO

T1 lithium carbonate ESKALITHT1 lithium carbonate LITHIUM

CARBONATET1 lithium carbonate LITHOBIDT1 lithium citrate LITHIUM

Anti-narcolepsy & Anti-cataplexy,sedative-

type AgtT3 sodium oxybate XYREM PA

Antipsych,dopamine

Antag.,diphenylbutylpiperidinesT3 pimozide ORAP

Antipsychotics, Atyp, D2 Partial Agonist/5ht

MixedT2 aripiprazole ABILIFY

DISCMELT(TAB RDPDIS)(10 MG)

QL, ST

T2 aripiprazole ABILIFYDISCMELT(TAB RDPDIS)(15 MG)

QL, ST

T4 aripiprazole ABILIFY MAINTENAT2 aripiprazole ABILIFY(SOLUTION) QL, STT2 aripiprazole ABILIFY(TAB) QL, ST

Antipsychotics, Dopamine & Serotonin

AntagonistsT4 loxapine ADASUVET1 loxapine succinate LOXAPINET1 loxapine succinate LOXITANE

Antipsychotics,atypical,dopamine,&

Serotonin AntagT3 asenapine maleate SAPHRIS QL, STT4 clozapine CLOZAPINE QLT4 clozapine CLOZARIL QLT4 clozapine FAZACLO QL, STT4 clozapine VERSACLOZ QL, STT3 iloperidone FANAPT(TAB DS PK) QL, STT3 iloperidone FANAPT(TAB) QL, STT3 lurasidone hcl LATUDA(TAB)(120

MG)QL, ST

T3 lurasidone hcl LATUDA(TAB)(20 MG) QL, STT3 lurasidone hcl LATUDA(TAB)(40 MG) QL, STT3 lurasidone hcl LATUDA(TAB)(60 MG) QL, STT3 lurasidone hcl LATUDA(TAB)(80 MG) QL, STT1 olanzapine ZYPREXA QLT4 olanzapine pamoate ZYPREXA RELPREVVT3 paliperidone INVEGA(TAB ER

24H)(1.5 MG)QL, ST

T3 paliperidone INVEGA(TAB ER24H)(3 MG)

QL, ST

T3 paliperidone INVEGA(TAB ER24H)(6 MG)

QL, ST

T3 paliperidone INVEGA(TAB ER24H)(9 MG)

QL, ST

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T4 paliperidone palmitate INVEGA SUSTENNAT1 quetiapine fumarate SEROQUEL QLT2 quetiapine fumarate SEROQUEL XR QL, STT1 risperidone RISPERDAL(SOLUTI

ON)QL

T1 risperidone RISPERDAL(TAB) QLT1 risperidone RISPERIDONE QLT4 risperidone

microspheresRISPERDAL CONSTA

T1 ziprasidone hcl GEODON QL

Antipsychotics,dopamine Antagonists,

ThioxanthenesT1 thiothixene THIOTHIXENE

Antipsychotics,dopamine

Antagonists,butyrophenonesT1 haloperidol HALOPERIDOLT1 haloperidol lactate HALOPERIDOL

LACTATE

Anti-psychotics,phenothiazinesT1 chlorpromazine hcl CHLORPROMAZINE

HCLT1 fluphenazine hcl FLUPHENAZINE HCLT1 perphenazine PERPHENAZINET1 thioridazine hcl THIORIDAZINE HCLT1 trifluoperazine hcl TRIFLUOPERAZINE

HCL

BarbituratesT3 butabarbital sodium BUTISOL SODIUMT1 phenobarbital PHENOBARBITALT3 secobarbital sodium SECONAL SODIUM

Hypnotics, Melatonin Mt1/mt2 Receptor

AgonistsT3 ramelteon ROZEREM QL, STT4 tasimelteon HETLIOZ PA

Monoamine Oxidase(mao) InhibitorsT3 selegiline EMSAM QL

Narcolepsy And Sleep Disorder Therapy

AgentsT3 armodafinil NUVIGIL PAT1 modafinil PROVIGIL PA

Narcotic AntagonistsT1 naltrexone hcl REVIA

Sedative-hypnotics,non-barbiturateT3 doxepin hcl SILENOR QL, STT1 estazolam ESTAZOLAMT1 eszopiclone LUNESTA QL, STT3 ethchlorvynol PLACIDYLT1 flurazepam hcl FLURAZEPAM HCLT1 glutethimide GLUTETHIMIDE

T1 midazolam hcl MIDAZOLAM HCLT1 quazepam DORALT1 temazepam RESTORILT1 temazepam TEMAZEPAMT1 triazolam HALCIONT1 triazolam TRIAZOLAMT1 zaleplon SONATA QLT1 zolpidem tartrate AMBIEN QLT3 zolpidem tartrate EDLUAR QL, STT3 zolpidem tartrate INTERMEZZO QL, STT1 zolpidem tartrate ZOLPIDEM

TARTRATEQL

T3 zolpidem tartrate ZOLPIMIST QL, ST

Ssri &antipsych,atyp,dopamine&serotonin

Antag CombT1 olanzapine/fluoxetine

hclSYMBYAX QL

Tx For Adhd - Selective Alpha-2a Receptor

AgonistT1 clonidine hcl KAPVAY QLT3 guanfacine hcl INTUNIV QL

Tx For Attention Deficit-

hyperact(adhd)/narcolepsyT1 dexmethylphenidate

hclFOCALIN QL

T2 dexmethylphenidatehcl

FOCALIN XR QL

T3 methylphenidate DAYTRANA QL, STT1 methylphenidate hcl CONCERTA(TAB ER

24H)(18 MG)QL

T1 methylphenidate hcl CONCERTA(TAB ER24H)(27 MG)

QL

T1 methylphenidate hcl CONCERTA(TAB ER24H)(36 MG)

QL

T1 methylphenidate hcl CONCERTA(TAB ER24H)(54 MG)

QL

T2 methylphenidate hcl METHYLIN QLT1 methylphenidate hcl METHYLPHENIDATE

ER(CPBP 50-50)(20MG)

QL

T1 methylphenidate hcl METHYLPHENIDATEER(CPBP 50-50)(30MG)

QL

T1 methylphenidate hcl METHYLPHENIDATEER(CPBP 50-50)(40MG)

T1 methylphenidate hcl METHYLPHENIDATEER(TAB ER)(10 MG)

T1 methylphenidate hcl METHYLPHENIDATEER(TAB ER)(20 MG)

QL

T3 methylphenidate hcl QUILLIVANT XR QL, STT2 methylphenidate hcl RITALIN LA QL

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Tx For Attention Deficit-hyperact.(adhd), Nri-

typeT2 atomoxetine hcl STRATTERA(CAP)(10

MG)QL

T2 atomoxetine hcl STRATTERA(CAP)(100 MG)

QL

T2 atomoxetine hcl STRATTERA(CAP)(18MG)

QL

T2 atomoxetine hcl STRATTERA(CAP)(25MG)

QL

T2 atomoxetine hcl STRATTERA(CAP)(40MG)

QL

T2 atomoxetine hcl STRATTERA(CAP)(60MG)

QL

T2 atomoxetine hcl STRATTERA(CAP)(80MG)

QL

CARDIOVASCULAR DISEASE -

ARRHYTHMIAAntiarrhythmicsT1 amiodarone hcl AMIODARONE HCLT1 disopyramide

phosphateNORPACE

T2 disopyramidephosphate

NORPACE CR

T2 dofetilide TIKOSYNT2 dronedarone hcl MULTAQT1 flecainide acetate FLECAINIDE

ACETATET1 mexiletine hcl MEXILETINE HCLT1 procainamide hcl PROCAINAMIDE HCLT2 procainamide hcl PRONESTYLT1 propafenone hcl PROPAFENONE HCLT1 propafenone hcl RYTHMOLT1 propafenone hcl RYTHMOL SRT1 quinidine gluconate QUINIDINE

GLUCONATET1 quinidine sulfate QUINIDINE SULFATE

CARDIOVASCULAR DISEASE -

CARDIAC STIMULANTDigitalis GlycosidesT1 digoxin DIGOXT2 digoxin DIGOXINT3 digoxin LANOXIN

CARDIOVASCULAR DISEASE -

HYPERTENSIONAce Inhibitor/calcium Channel Blocker

CombinationT1 amlodipine

besylate/benazeprilLOTREL

T3 trandolapril/verapamilhcl

TARKA

Ace Inhibitor/thiazide & Thiazide-like DiureticT1 benazepril/hydrochlo

rothiazideBENAZEPRIL-HYDROCHLOROTHIAZIDE

T1 benazepril/hydrochlorothiazide

LOTENSIN HCT

T1 captopril/hydrochlorothiazide

CAPTOPRIL-HYDROCHLOROTHIAZIDE

T1 enalapril/hydrochlorothiazide

ENALAPRIL-HYDROCHLOROTHIAZIDE

T1 enalapril/hydrochlorothiazide

VASERETIC

T1 fosinopril/hydrochlorothiazide

FOSINOPRIL-HYDROCHLOROTHIAZIDE

T1 lisinopril/hydrochlorothiazide

ZESTORETIC

T1 moexipril/hydrochlorothiazide

UNIRETIC

T1 quinapril/hydrochlorothiazide

ACCURETIC

Alpha/beta-adrenergic Blocking AgentsT1 carvedilol COREGT2 carvedilol phosphate COREG CRT1 labetalol hcl LABETALOL HCLT1 labetalol hcl TRANDATE

Alpha-adrenergic Blocking AgentsT1 doxazosin mesylate CARDURAT3 doxazosin mesylate CARDURA XLT2 phenoxybenzamine hclDIBENZYLINET1 prazosin hcl MINIPRESST1 terazosin hcl TERAZOSIN HCL

Angioten.receptr Antag./cal.chanl

Blkr/thiazide CbT2 amlodipine/valsartan/h

cthiazidEXFORGE HCT ST

T3 olmesartan/amlodipin/hcthiazid

TRIBENZOR ST

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Angiotensin Receptor Antag./thiazide

Diuretic CombT3 azilsartan

med/chlorthalidoneEDARBYCLOR ST

T1 candesartan/hydrochlorothiazid

ATACAND HCT ST

T3 eprosartan/hydrochlorothiazide

TEVETEN HCT ST

T1 irbesartan/hydrochlorothiazide

AVALIDE

T1 losartan/hydrochlorothiazide

HYZAAR

T2 olmesartan/hydrochlorothiazide

BENICAR HCT ST

T1 telmisartan/hydrochlorothiazid

TELMISARTAN-HYDROCHLOROTHIAZID

ST

T1 valsartan/hydrochlorothiazide

DIOVAN HCT

Angiotensin Receptor Antgnst &

Calc.channel BlockrT3 amlodipine

bes/olmesartan medAZOR ST

T2 amlodipine/valsartan EXFORGE STT1 telmisartan/amlodipi

neTELMISARTAN-AMLODIPINE

ST

Antihypertensives, Ace InhibitorsT1 benazepril hcl BENAZEPRIL HCLT1 benazepril hcl LOTENSINT1 captopril CAPTOPRILT1 enalapril maleate ENALAPRIL

MALEATET3 enalapril maleate EPANED QL, STT1 enalapril maleate VASOTECT1 fosinopril sodium FOSINOPRIL

SODIUMT1 lisinopril ZESTRILT1 moexipril hcl UNIVASCT1 perindopril erbumine ACEONT1 perindopril erbumine PERINDOPRIL

ERBUMINET1 quinapril hcl ACCUPRILT1 ramipril ALTACET1 trandolapril MAVIK

Antihypertensives, Angiotensin Receptor

AntagonistT3 azilsartan medoxomil EDARBI STT1 candesartan cilexetil ATACAND STT1 eprosartan mesylate TEVETEN STT1 irbesartan AVAPROT1 losartan potassium COZAART2 olmesartan medoxomil BENICAR STT1 telmisartan TELMISARTAN STT2 valsartan DIOVAN ST

Antihypertensives, Ganglionic BlockersT3 mecamylamine hcl VECAMYL PA

Antihypertensives, MiscellaneousT3 metyrosine DEMSER

Antihypertensives, SympatholyticT1 clonidine CATAPRES-TTS 1T1 clonidine CATAPRES-TTS 2T1 clonidine CATAPRES-TTS 3T1 clonidine hcl CATAPREST1 clonidine

hcl/chlorthalidoneCLORPRES

T1 guanfacine hcl TENEXT2 methyldopa ALDOMETT1 methyldopa METHYLDOPAT3 methyldopa/hydrochlor

othiazideALDORIL-D50

T1 methyldopa/hydrochlorothiazide

METHYLDOPA-HYDROCHLOROTHIAZIDE

T1 reserpine RESERPINET1 reserpine/hydrochlor

othiazideHYDROCHLOROTHIAZIDE/RESERPINE

Antihypertensives, VasodilatorsT1 hydralazine hcl HYDRALAZINE HCLT1 hydralazine/hydrochl

orothiazidHYDRALAZINEW/HCTZ

T1 hydralazine/reserpin/hctz

HCTZ/RESERPINE/HYDRALAZINE

T1 minoxidil MINOXIDIL

Beta-adrenergic Blocking AgentsT1 acebutolol hcl SECTRALT1 atenolol TENORMINT1 betaxolol hcl BETAXOLOL HCLT1 bisoprolol fumarate ZEBETAT1 metoprolol succinate TOPROL XLT1 metoprolol tartrate METOPROLOL

TARTRATET1 nadolol CORGARDT2 nebivolol hcl BYSTOLICT3 penbutolol sulfate LEVATOLT1 pindolol PINDOLOLT1 propranolol hcl INDERAL LAT2 propranolol hcl INDERAL XLT2 propranolol hcl INNOPRAN XLT1 propranolol hcl PROPRANOLOL HCLT1 sotalol hcl BETAPACET1 sotalol hcl SOTALOLT1 timolol maleate TIMOLOL MALEATE

Beta-adrenergic Blocking Agents/thiazide &

RelatedT1 atenolol/chlorthalido

neTENORETIC 100

T1 atenolol/chlorthalidone

TENORETIC 50

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T1 bisoprololfumarate/hctz

ZIAC

T3 metoprololsuccinate/hctz

DUTOPROL

T1 metoprolol/hydrochlorothiazide

LOPRESSOR HCT

T1 metoprolol/hydrochlorothiazide

METOPROLOL-HYDROCHLOROTHIAZIDE

T1 nadolol/bendroflumethiazide

CORZIDE

T1 propranolol/hydrochlorothiazid

PROPRANOLOL-HYDROCHLOROTHIAZID

Calcium Channel Blocking AgentsT1 amlodipine besylate NORVASCT1 diltiazem hcl CARDIZEM CDT3 diltiazem hcl CARDIZEM LAT1 diltiazem hcl DILTIAZEM 24HR ERT1 felodipine FELODIPINE ERT1 isradipine ISRADIPINET3 nicardipine hcl CARDENE SRT1 nicardipine hcl NICARDIPINE HCLT1 nifedipine ADALAT CCT1 nifedipine PROCARDIA XLT1 nimodipine NIMOTOPT4 nimodipine NYMALIZE PAT1 nisoldipine NISOLDIPINET1 nisoldipine SULART1 verapamil hcl CALAN SRT1 verapamil hcl VERELAN

Loop DiureticsT1 bumetanide BUMETANIDET3 ethacrynic acid EDECRINT1 furosemide FUROSEMIDET1 furosemide LASIXT1 torsemide DEMADEX

Osmotic DiureticsT3 mannitol RESECTISOL

Potassium Sparing DiureticsT1 amiloride hcl AMILORIDE HCLT1 eplerenone EPLERENONET1 eplerenone INSPRAT1 spironolactone ALDACTONET3 triamterene DYRENIUM

Potassium Sparing Diuretics In CombinationT1 amiloride/hydrochlor

othiazideAMILORIDE-HYDROCHLOROTHIAZIDE

T1 spironolact/hydrochlorothiazid

ALDACTAZIDE(TAB)(25 MG-25MG)

T3 spironolact/hydrochlorothiazid

ALDACTAZIDE(TAB)(50 MG-50MG)

T1 triamterene/hydrochlorothiazid

DYAZIDE

T1 triamterene/hydrochlorothiazid

MAXZIDE-25 MG

T1 triamterene/hydrochlorothiazid

TRIAMTERENE-HCTZ

Pulm Anti-htn,soluble Guanylate Cyclase

StimulatorT4 riociguat ADEMPAS PA

Pulm.anti-htn,sel.c-gmp Phosphodiesterase

T5 InhibT1 sildenafil citrate REVATIO QLT4 tadalafil ADCIRCA PA, ST

Pulmonary Anti-htn, Endothelin Receptor

AntagonistT4 ambrisentan LETAIRIS PAT4 bosentan TRACLEER PAT4 macitentan OPSUMIT PA

Pulmonary Antihypertensives, Prostacyclin-

typeT4 epoprostenol sodium

(arginine)VELETRI PA

T4 epoprostenol sodium(glycine)

FLOLAN PA

T4 iloprost tromethamine VENTAVIS PAT4 treprostinil TYVASO PAT4 treprostinil diolamine ORENITRAM ER PAT4 treprostinil sodium REMODULIN PAT4 treprostinil/neb

accessoriesTYVASO PA

T4 treprostinil/nebulizer/accesor

TYVASO PA

Renin Inhib, Direct/calc. Channel

Blkr/thiazide CbT3 aliskiren/amlodipin/hct

hiazideAMTURNIDE PA

Renin Inhibitor, DirectT3 aliskiren hemifumarate TEKTURNA PA

Renin Inhibitor, Direct & Calcium Channel

BlockerT3 aliskiren/amlodipine

besylateTEKAMLO PA

Renin Inhibitor, Direct/thiazide Diuretic

CombT3 aliskiren/hydrochlorothi

azideTEKTURNA HCT PA

Thiazide And Related DiureticsT3 bendroflumethiazide NATURETIN-5T1 chlorothiazide CHLOROTHIAZIDET3 chlorothiazide DIURIL

Commercial Formulary

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T1 chlorthalidone CHLORTHALIDONET1 hydrochlorothiazide HYDROCHLOROTHIA

ZIDET1 hydrochlorothiazide MICROZIDET3 hydroflumethiazide SALURONT1 indapamide INDAPAMIDET1 methyclothiazide METHYCLOTHIAZIDET1 metolazone METOLAZONET1 metolazone ZAROXOLYN

Vasodilators, CombinationT3 isosorb

dinit/hydralazine hclBIDIL

CARDIOVASCULAR DISEASE - LIPID

IRREGULARITYAntihyperlip.hmg Coa Reduct

Inhib&cholest.ab.inhibT3 ezetimibe/atorvastatin

calciumLIPTRUZET(TAB)(10MG-10MG)

QL, ST

T3 ezetimibe/atorvastatincalcium

LIPTRUZET(TAB)(10MG-20MG)

QL, ST

T3 ezetimibe/atorvastatincalcium

LIPTRUZET(TAB)(10MG-40MG)

QL, ST

T3 ezetimibe/atorvastatincalcium

LIPTRUZET(TAB)(10MG-80MG)

QL, ST

T3 ezetimibe/simvastatin VYTORIN(TAB)(10MG-10MG)

QL, ST

T3 ezetimibe/simvastatin VYTORIN(TAB)(10MG-20MG)

QL, ST

T3 ezetimibe/simvastatin VYTORIN(TAB)(10MG-40MG)

QL, ST

T3 ezetimibe/simvastatin VYTORIN(TAB)(10MG-80MG)

QL

Antihyperlipidemic - Apo B-100 Synthesis

InhibitorT4 mipomersen sodium KYNAMRO PA

Antihyperlipidemic - Hmg Coa Reductase

InhibitorsT1 atorvastatin calcium LIPITORT1 fluvastatin sodium LESCOL QL, STT3 fluvastatin sodium LESCOL XL QL, STT3 lovastatin ALTOPREV QL, STT1 lovastatin LOVASTATINT1 lovastatin MEVACORT3 pitavastatin calcium LIVALO QL, STT1 pravastatin sodium PRAVACHOLT1 pravastatin sodium PRAVASTATIN

SODIUMT2 rosuvastatin calcium CRESTOR(TAB)(10

MG)QL, ST

T2 rosuvastatin calcium CRESTOR(TAB)(20MG)

QL, ST

T2 rosuvastatin calcium CRESTOR(TAB)(40MG)

QL, ST

T2 rosuvastatin calcium CRESTOR(TAB)(5MG)

QL, ST

T1 simvastatin ZOCOR

Antihyperlipidemic - Mtp InhibitorT4 lomitapide mesylate JUXTAPID PA

Antihyperlipidemic-hmg Coa Reductase

Inhib.&niacinT3 niacin/lovastatin ADVICOR(TBMP

24HR)(1000-20MG)QL, ST

T3 niacin/lovastatin ADVICOR(TBMP24HR)(1000-40 MG)

QL, ST

T3 niacin/lovastatin ADVICOR(TBMP24HR)(500MG-20MG)

QL, ST

T3 niacin/lovastatin ADVICOR(TBMP24HR)(750MG-20MG)

QL, ST

T2 niacin/simvastatin SIMCOR(TBMP24HR)(1000-20MG)

QL, ST

T2 niacin/simvastatin SIMCOR(TBMP24HR)(1000-40 MG)

QL, ST

T2 niacin/simvastatin SIMCOR(TBMP24HR)(500MG-20MG)

QL, ST

T2 niacin/simvastatin SIMCOR(TBMP24HR)(500MG-40MG)

QL, ST

T2 niacin/simvastatin SIMCOR(TBMP24HR)(750MG-20MG)

QL, ST

Bile Salt SequestrantsT1 cholestyramine (with

sugar)QUESTRAN

T1 cholestyramine/aspartame

CHOLESTYRAMINELIGHT

T2 colesevelam hcl WELCHOLT1 colestipol hcl COLESTID(GRANULE

S)T1 colestipol hcl COLESTID(PACKET)

(5 G)T3 colestipol hcl COLESTID(PACKET)

(7.5G)T1 colestipol hcl COLESTID(TAB)

LipotropicsT2 ezetimibe ZETIA QLT2 fenofibrate FENOGLIDE STT1 fenofibrate LOFIBRAT1 fenofibrate

nanocrystallizedTRICOR

T1 fenofibrate,micronized

ANTARA(CAP)(130MG)

T3 fenofibrate,micronized ANTARA(CAP)(30MG)

ST

T1 fenofibrate,micronized

ANTARA(CAP)(43MG)

T3 fenofibrate,micronized ANTARA(CAP)(90MG)

ST

T1 fenofibrate,micronized

LOFIBRA

T1 fenofibric acid FIBRICORT1 fenofibric acid

(choline)TRILIPIX

Commercial Formulary

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T1 gemfibrozil LOPIDT2 icosapent ethyl VASCEPA QLT3 methionine/inositol/cho

line/faLIPOCHOL PLUS

T1 niacin NIASPAN STT1 omega-3 acid ethyl

estersLOVAZA QL

Niacin PreparationsT1 niacin NIACIN SR 250MG

CARDIOVASCULAR DISEASE -

MISCELLANEOUS AGENTSAdrenergic Vasopressor AgentsT1 midodrine hcl MIDODRINE HCL

Antianginal & Anti-ischemic Agents,non-

hemodynamicT2 ranolazine RANEXA(TAB ER

12H)(1000 MG)QL

T2 ranolazine RANEXA(TAB ER12H)(500 MG)

QL

Antihyperlip - Hmg-coa&calcium Channel

Blocker CbT1 amlodipine/atorvasta

tinCADUET QL

CARDIOVASCULAR DISEASE -

VASODILATIONVasodilators,coronaryT3 isosorbide dinitrate DILATRATE-SRT1 isosorbide dinitrate ISOCHRONT2 isosorbide dinitrate ISORDILT1 isosorbide dinitrate ISORDIL TITRADOSET1 isosorbide dinitrate ISOSORBIDE

DINITRATET1 isosorbide

mononitrateIMDUR

T2 nitroglycerin NITRO-BIDT1 nitroglycerin NITRO-DUR(PATCH

TD24)(0.1MG/HR)T1 nitroglycerin NITRO-DUR(PATCH

TD24)(0.2MG/HR)T2 nitroglycerin NITRO-DUR(PATCH

TD24)(0.3 MG/HR)T1 nitroglycerin NITRO-DUR(PATCH

TD24)(0.4MG/HR)T1 nitroglycerin NITRO-DUR(PATCH

TD24)(0.6MG/HR)T2 nitroglycerin NITRO-DUR(PATCH

TD24)(0.8MG/HR)T2 nitroglycerin NITROSTAT

Vasodilators,peripheralT1 ergoloid mesylates ERGOLOID

MESYLATEST3 ethaverine hcl ISOVEXT1 isoxsuprine hcl ISOXSUPRINE HCLT1 nylidrin hcl NYLIDRIN HCLT1 papaverine hcl PAPAVERINE HCL

CONTRACEPTION/OXYTOCICSContraceptives, Intravaginal, SystemicT3 etonogestrel/ethinyl

estradiolNUVARING QL, ST

Contraceptives,injectableT1 medroxyprogesteron

e acetateDEPO-PROVERA QL

T3 medroxyprogesteroneacetate

DEPO-SUBQPROVERA 104

QL

Contraceptives,intravaginalT5 nonoxynol 9 CONCEPTROL(OTC) GT5 nonoxynol 9 GYNOL II(OTC) GT5 nonoxynol 9 TODAY

CONTRACEPTIVESPONGE(OTC)

G

T5 nonoxynol 9 VCF(OTC) G

Contraceptives,oralT5 desog-

e.estradiol/e.estradiolVIORELE G

T5 desogestrel-ethinylestradiol

APRI G

T3 drospir/ethestra/levomefol ca

BEYAZ ST

T3 drospir/ethestra/levomefol ca

SAFYRAL ST

T3 estradiolvalerate/dienogest

NATAZIA ST

T5 ethinylestradiol/drospirenone

OCELLA G, ST

T5 ethynodiol d-ethinylestradiol

ZOVIA 1-35E G

T5 levonorgestrel PLAN B ONE-STEP AGE,G

T3 levonorgestrel-ethestradiol

AMETHYST ST

T5 levonorgestrel-ethestradiol

LEVORA-28 G

T5 l-norgest-ethestr/ethin estra

CAMRESE G, QL

T3 l-norgest-eth estr/ethinestra

QUARTETTE

T2 noreth a-et estra/fefumarate

LO LOESTRIN FE ST

T5 noreth a-et estra/fefumarate

MICROGESTIN FE G

T3 noreth a-et estra/fefumarate

MINASTRIN 24 FE

Commercial Formulary

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T5 noreth-ethinylestradiol/iron

FEMCON FE G

T3 noreth-ethinylestradiol/iron

GENERESS FE

T5 norethindrone NOR-Q-D GT5 norethindrone a-e

estradiolMICROGESTIN G

T5 norethindrone-ethinyl estrad

NECON G

T5 norethindrone-ethinyl estrad

ORTHO-NOVUM G

T5 norethindrone-mestranol

NORINYL 1+50 G

T2 norgestimate-ethinylestradiol

ORTHO TRI-CYCLENLO

ST

T5 norgestimate-ethinylestradiol

SPRINTEC G

T5 norgestrel-ethinylestradiol

CRYSELLE G

T3 ulipristal acetate ELLA

Diaphragms/cervical CapT5 cervical cap FEMCAP GT5 diaphragm fitting

set,arcsprngORTHO ALL-FLEX G

T5 diaphragms, arc-springORTHO ALL-FLEX GT5 diaphragms, wide seal WIDE SEAL

DIAPHRAGMG

OxytocicsT3 dinoprostone CERVIDILT3 dinoprostone PREPIDILT3 dinoprostone PROSTIN E2

VAGINALSUPPOSITORY

T1 methylergonovinemaleate

METHYLERGONOVINE MALEATE

COUGH AND COLD1st Gen Antihistamine & Decongestant

CombinationsT1 phenylephrine

hcl/prometh hclPROMETHAZINE VC

Analgesic, Non-sal.- 1st Generation

AntihistamineT1 acetaminophen/phen

yltolx citRELAGESIC

T3 acetaminophen/phenyltolx cit

ZGESIC

Antitussives,non-narcoticT1 benzonatate BENZONATATET1 benzonatate TESSALON PERLET3 benzonatate ZONATUSS

Narcotic Antituss-1st Gen. Antihistamine-

decongestT1 bromphenira/pseudo

ephed/codeinMESEHIST WC

T1 bromphenrm/pseudoeph/dihydrocd

J-COF DHC

T1 promethazine/phenyleph/codeine

PROMETHAZINE VC-CODEINE

Narcotic Antitussive-1st Generation

AntihistamineT1 chlorpheniramine/co

deine phosENDACOF-C

T3 hydrocodone/chlorphen polis

TUSSICAPS

T1 hydrocodone/chlorphen polis

TUSSIONEX

T3 hydrocodone/chlorpheniramine

VITUZ

T1 promethazinehcl/codeine

PROMETHAZINE-CODEINE

Narcotic Antitussive-anticholinergic Comb.T1 hydrocodone

bit/homatrop me-brHYDROCODONE-HOMATROPINE MBR

Narcotic Antitussive-expectorant

CombinationT1 dihydrocodeine/guaif

enesinJ-MAX DHC

T3 guaifenesin/codeinephosphate

ALLFEN CDX

T1 guaifenesin/codeinephosphate

CODAR GF

Non-narc Antituss-1st Gen. Antihistamine-

decongestT1 brompheniram/pheny

lephrine/dmLOHIST-DM

T1 dm/phenyleph/chlorpheniramine

CENTERGY DM

T1 d-methorphan hb/p-epd hcl/bpm

BROMFED DM

Non-narc Antitussive-1st Gen Antihistamine

Comb.T1 d-methorphan

hb/prometh hclPROMETHAZINE-DM

Nose Preparations, VasoconstrictorsT3 epinephrine hcl ADRENALIN

CHLORIDET3 tetrahydrozoline hcl TYZINE

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DERMATOLOGY - ACNEAcne Agents,systemicT2 isotretinoin ABSORICAT1 isotretinoin CLARAVIS

Acne Agents,topicalT3 adapalene/benzoyl

peroxideEPIDUO

T3 azelaic acid AZELEXT3 clindamycin

phos/benzoyl peroxACANYA

T3 clindamycinphos/benzoyl perox

BENZACLIN(GELW/PUMP)

T1 clindamycinphos/benzoyl perox

BENZACLIN(GEL)

T3 clindamycin/tretinoin VELTINT3 clindamycin/tretinoin ZIANAT3 dapsone ACZONET1 sulfacetamide

sodiumKLARON

Anticorrosive AgentsT3 butylated

hydroxytolueneBUTYLATEDHYDROXYTOLUENE(BHT)

Keratolytic-glucocorticoid CombinationsT2 benzoyl

peroxide/hydrocortisonVANOXIDE-HC

Rosacea Agents, TopicalT3 azelaic acid FINACEAT3 brimonidine tartrate MIRVASO QLT1 metronidazole METROGELT1 metronidazole METROLOTIONT1 metronidazole METRONIDAZOLET3 metronidazole NORITATET1 metronidazole ROSADANT3 metronidazole/skin

cleansr #23ROSADAN

Topical Preparations,antibacterialsT3 cadexomer iodine IODOFLEXT3 cadexomer iodine IODOSORBT3 clioquinol/hc/emollient

cmb#88DERMASORB AF

T3 clioquinol/hydrocortisone

ALA-QUIN

T1 clioquinol/hydrocortisone/pram

1 + 1-F

T3 hydrocortisone/iodoquin/aloe#2

ALCORTIN A

T1 hydrocortisone/iodoquinol

HYDROCORTISONE-IODOQUINOL

T1 iodine/potassiumiodide

LUGOL'S

T3 iodoquinol/aloepolysacchar #1

ALOQUIN

T3 nitrofurazone FURACINT3 silver SILVRSTAT

T3 silver carbonate NORMLGEL AGT1 silver nitrate SILVER NITRATE

Vitamin A DerivativesT1 adapalene DIFFERIN(CREAM) AGET1 adapalene DIFFERIN(GEL

W/PUMP)AGE

T1 adapalene DIFFERIN(GEL) AGET2 adapalene DIFFERIN(LOTION) AGET2 adapalene DIFFERIN(MED

SWAB)AGE

T3 tretinoin ATRALIN AGET1 tretinoin RETIN-A AGET3 tretinoin TRETIN-X AGET1 tretinoin

microspheresRETIN-A MICRO AGE

T1 tretinoinmicrospheres

RETIN-A MICROPUMP

AGE

T3 tretinoin/emolcmb9/skin cln1

TRETIN-X AGE

Vitamin A Derivatives, Topical Acne AgentsT2 tazarotene FABIOR AGE

Vitamin A Derivatives, Topical Cosmetic

AgentsT3 tazarotene AVAGET1 tretinoin/emollient

baseREFISSA

T3 tretinoin/emollient baseRENOVAT3 tretinoin/emollient baseRENOVA PUMP

DERMATOLOGY - ANTIINFECTIVEAntiparasiticsT3 nitazoxanide ALINIAT3 sulfur SULFUR

Topical AntibioticsT3 clindamycin phos/skin

clnsr 19CLINDACIN ETZ

T3 clindamycin phos/skinclnsr 19

CLINDACIN PAC

T1 clindamycinphosphate

CLEOCIN T

T1 clindamycinphosphate

CLINDACIN P

T3 clindamycin phosphateCLINDAGELT1 clindamycin

phosphateEVOCLIN

T3 erythromycin base AKNE-MYCINT1 erythromycin

base/ethanolERYGEL

T1 erythromycinbase/ethanol

ERYTHROMYCIN

T1 erythromycin/benzoyl peroxide

BENZAMYCIN

T2 erythromycin/benzoylperoxide

BENZAMYCINPAK

T1 gentamicin sulfate GENTAMICINSULFATE

Commercial Formulary

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T1 mupirocin BACTROBANT3 mupirocin CENTANY ATT1 mupirocin calcium BACTROBAN

Topical Antifungal/antiinflammatory,steriod

AgentT1 clotrimazole/betamet

hasone dipCLOTRIMAZOLE-BETAMETHASONE

T1 clotrimazole/betamethasone dip

LOTRISONE

Topical AntifungalsT3 benzoic acid/salicylic

acidBENSAL HP

T3 butenafine hcl MENTAXT1 ciclopirox LOPROXT1 ciclopirox PENLACT1 ciclopirox olamine CICLODANT1 ciclopirox olamine CICLOPIROXT3 ciclopirox/nail lacq/ft

deod#4PEDIPIROX-4

T3 ciclopirox/skin cleanserno.28

CICLODAN

T1 ciclopirox/ure/camph/menth/euc

CICLODAN

T1 clotrimazole CLOTRIMAZOLET1 econazole nitrate ECONAZOLE

NITRATET3 econazole nitrate ECOZAT1 gentian viol/brlnt

grn/proflavTRIPLE DYE(MEDSWAB)(2.29-2.29)

T3 gentian viol/brlntgrn/proflav

TRIPLE DYE(MEDSWAB)(2.29-2.29)

T1 ketoconazole KETOCONAZOLET1 ketoconazole NIZORALT3 ketoconazole XOLEGELT3 ketoconazole/skin

cleanser #28KETODAN

T3 luliconazole LUZUT3 miconazole nitrate/hc FUNGOID & HCT3 miconazole nitrate/zinc

ox/petVUSION

T2 naftifine hcl NAFTIN(CREAM)T2 naftifine hcl NAFTIN(GEL)(1 %)T3 naftifine hcl NAFTIN(GEL)(2 %)T1 nystatin NYSTATINT3 nystatin/emollient

combo no.54PEDIADERM AF

T1 nystatin/triamcin NYSTATIN-TRIAMCINOLONE

T3 oxiconazole nitrate OXISTATT3 sertaconazole nitrate ERTACZOT1 sodium

thiosulfate/sal acidEXODERM

T2 sulconazole nitrate EXELDERM

Topical AntiparasiticsT3 benzyl alcohol ULESFIAT3 citric/citronellyl/hydrox/

methLYCELLE

T2 crotamiton EURAX

T3 ivermectin SKLICET1 lindane LINDANET1 malathion OVIDET1 permethrin ELIMITET1 spinosad NATROBA

Topical Antiviral & Local Anesthetic

CombinationsT3 acyclovir/lidocaine hcl LIDOVIR

Topical AntiviralsT2 acyclovir ZOVIRAX(CREAM)T1 acyclovir ZOVIRAX(OINT)T3 penciclovir DENAVIR

Topical Antivirals/antiinflammatory, Steroid

AgentT3 acyclovir/hydrocortison

eXERESE

Topical Genital Wart-hpv Treatment AgentsT3 sinecatechins VEREGEN

Topical Pleuromutilin DerivativesT3 retapamulin ALTABAX

Topical SulfonamidesT3 mafenide acetate SULFAMYLON(CREA

M)T1 mafenide acetate SULFAMYLON(PACK

ET)T1 silver sulfadiazine SILVER

SULFADIAZINET1 sulfacet

sod/sulfur/witch hazSE 10-5 SS

T1 sulfacetamidesod/sulfur/urea

SODIUMSULFACETAMIDE-SULFUR

T3 sulfacetamidesodium/sulfur

AVAR LS

T1 sulfacetamidesodium/sulfur

AVAR(CLEANSER)

T3 sulfacetamidesodium/sulfur

AVAR(MED PAD)

T3 sulfacetamidesodium/sulfur

PLEXION

T3 sulfacetamidesodium/sulfur

ROSANIL

T1 sulfacetamidesodium/sulfur

SODIUMSULFACETAMIDE-SULFUR

T1 sulfacetamidesodium/sulfur

SUMADAN

T1 sulfacetamidesodium/sulfur

SUMAXIN

T1 sulfacetamidesodium/sulfur

ZENCIA

T1 sulfacetamide/sulfur/cleansr23

SODIUMSULFACETAMIDE-SULFUR

Commercial Formulary

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T3 sulfacetamide/sulfur/cleansr23

SUMADAN

T3 sulfacetamide/sulfur/cleansr23

SUMAXIN CP

DERMATOLOGY -

ANTIINFLAMMATORYTopical

Antibiotics/antiinflammatory,steroidalT2 neomycin/bacitra/poly

myxin/hcCORTISPORIN

T2 neomycin/polymyxin bsulf/hc

CORTISPORIN

Topical Anti-inflammatory SteroidalT1 alclometasone

dipropionateACLOVATE

T1 alclometasonedipropionate

ALCLOMETASONEDIPROPIONATE

T1 amcinonide AMCINONIDET1 betamethasone

dipropionateBETAMETHASONEDIPROPIONATE

T1 betamethasonedipropionate

DEL-BETA

T1 betamethasonevalerate

BETAMETHASONEVALERATE

T1 betamethasonevalerate

LUXIQ

T1 betamethasone/propylene glyc

DIPROLENE

T1 betamethasone/propylene glyc

DIPROLENE AF

T1 clobetasolpropionate

CLOBETASOLPROPIONATE

T1 clobetasolpropionate

CLOBEX(LOTION)

T1 clobetasolpropionate

CLOBEX(SHAMPOO)

T2 clobetasol propionate CLOBEX(SPRAY)T1 clobetasol

propionateOLUX

T1 clobetasolpropionate

TEMOVATE

T1 clobetasolpropionate/emoll

CLOBETASOLEMOLLIENT

T1 clobetasolpropionate/emoll

TEMOVATEEMOLLIENT

T1 clocortolone pivalate CLODERMT3 desonide DESONATET1 desonide DESONIDET1 desonide TRIDESILONT3 desonide VERDESOT1 desoximetasone TOPICORT(CREAM)T1 desoximetasone TOPICORT(GEL)T1 desoximetasone TOPICORT(OINT)T3 desoximetasone TOPICORT(SPRAY) STT1 diflorasone diacetate DIFLORASONE

DIACETATE

T2 diflorasonediacetate/emoll

APEXICON E

T3 fluocinolone acetonide CAPEX SHAMPOOT1 fluocinolone

acetonideDERMA-SMOOTHE-FS

T1 fluocinoloneacetonide

FLUOCINOLONEACETONIDE

T1 fluocinoloneacetonide

SYNALAR

T3 fluocinolone/emolcmb#65

SYNALAR

T1 fluocinolone/showercap

DERMA-SMOOTHE-FS

T3 fluocinolone/skinclnsr28

SYNALAR TS

T1 fluocinonide FLUOCINONIDET1 fluocinonide/emollien

t baseFLUOCINONIDE-E

T2 flurandrenolide CORDRANT1 fluticasone

propionateCUTIVATE

T1 fluticasonepropionate

FLUTICASONEPROPIONATE

T3 halcinonide HALOGT1 halobetasol

propionateULTRAVATE

T3 halobetasol/ammonium lactate

HALONATE

T3 halobetasol/lactic acid ULTRAVATE XT1 hc/mineral

oil/petrolat,whtHYDROCORTISONE

T2 hydrocort/salacid/sulf/shmp#1

SCALACORT DK

T2 hydrocortisone FIRST-HYDROCORTISONE

T1 hydrocortisone HYDROCORTISONET1 hydrocortisone LACTICARE-HCT2 hydrocortisone TEXACORTT1 hydrocortisone

acetate/aloe vHYDROCORTISONEACETATE

T3 hydrocortisoneacetate/aloe v

NUCORT

T1 hydrocortisoneacetate/urea

U-CORT

T1 hydrocortisonebutyrate

HYDROCORTISONEBUTYRATE

T2 hydrocortisonebutyrate

LOCOID(CREAM)

T3 hydrocortisonebutyrate

LOCOID(LOTION)

T1 hydrocortisonebutyrate

LOCOID(OINT)

T1 hydrocortisonebutyrate

LOCOID(SOLUTION)

T1 hydrocortisonebutyrate/emoll

HYDROCORTISONEBUTYRATE

T2 hydrocortisonebutyrate/emoll

LOCOID LIPOCREAM

T2 hydrocortisoneprobutate

PANDEL

T1 hydrocortisonevalerate

HYDROCORTISONEVALERATE

Commercial Formulary

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T1 hydrocortisonevalerate

WESTCORT

T3 hydrocortisone/emolno.45

PEDIADERM HC

T3 hydrocortisone/skinclnsr #25

AQUA GLYCOLIC HC

T3 hydrocortisone/skinclnsr #35

DERMASORB HC

T3 mometasonefuroat/ammonium lac

MOMEXIN

T1 mometasone furoate ELOCONT1 prednicarbate DERMATOPT3 triamcin/hydrophilic

ointmentAQUAPHILICW/TRIAMCINOLONE

T3 triamcin/urea/hydrooint

AQUAPHILIC W/TAC+ CARBAMIDE

T2 triamcinoloneacetonide

KENALOG(AEROSOL)

T1 triamcinoloneacetonide

KENALOG(LOTION)

T1 triamcinoloneacetonide

TRIAMCINOLONEACETONIDE

T1 triamcinoloneacetonide

TRIDERM

T3 triamcinolone/emollientcmb#45

PEDIADERM TA

T3 triamcinolone/emollientcmb#86

DERMASORB TA

Topical Anti-inflammatory, NsaidsT3 diclofenac epolamine FLECTORT3 diclofenac sodium PENNSAID STT2 diclofenac sodium VOLTAREN

DERMATOLOGY - ANTIPRURITIC

DRUGSAntipruritics,topicalT3 doxepin hcl PRUDOXINT3 doxepin hcl ZONALON

DERMATOLOGY - MISCELLANEOUSAntiperspirantsT1 aluminum chloride DRYSOLT3 aluminum chloride XERAC AC

Antiseborrheic AgentsT3 emollient #43/skin

cleanser#27PROMISEBCOMPLETE

T3 emollient combinationno.43

PROMISEB

T1 emollientcombination no.43

TL TRISEB

T1 emollientcombination no.85

LOUTREX

T1 selenium sulfide SELENIUM SULFIDET3 selenium sulfide TERSI FOAMT1 sulfacetamide

sodiumOVACE

T3 sulfacetamide sodium OVACEPLUS(CLEANSR ER)

T3 sulfacetamide sodium OVACEPLUS(CREAM)

T2 sulfacetamide sodium OVACEPLUS(SHAMPOO)

T1 sulfacetamidesodium/urea

SODIUMSULFACETAMIDE

Antiseptics,miscellaneousT3 guaiacol GUAIACOLT1 phenol PHENOL

EmollientsT3 alc/isopropanol/prop

gly/waterVEHICLE-N

T3 alc/isopropanol/propgly/water

VEHICLE-N MILD

T1 ammonium lactate LAC-HYDRINT3 em#53/namgf/cyc/pho

s/nahc/naclAURSTAT

T1 emol53/namgfs/ha/nahypochlorit

MB HYDROGEL

T1 emollientcombination no.10

PRUTECT

T3 emollient combinationno.10

SONAFINE

T1 emollientcombination no.32

EMULSION SB

T1 emollientcombination no.35

PRUMYX

T3 emollient combinationno.38

NEOSALUS

T3 emollient combinationno.44

HPR

T3 emollient combinationno.44

HYLATOPIC

T3 emollient combinationno.47

NEOSALUS

T3 emollient combinationno.47

NEOSALUS CP

T3 emollient combinationno.48

TROPAZONE

T3 emollient combinationno.53

HPR PLUS

T3 emollient combinationno.53

HYLATOPIC PLUS

T3 emollient combinationno.57

TROPAZONE

T3 emollient combinationno.60

ATRAPROHYDROGEL

T3 emollient combinationno.80

PRESERA

T3 emollient combo no.47& no.60

ATRAPRO CP

T3 hyaluro/dl-eac/e12/allan/shea

XCLAIR

T1 lactic acid LACTIC ACIDT3 namgflu/cyclo/phos/na

hco3/naclAURSTAT

T3 petrolatum,white VASELINE WHITEPETROLEUM

Commercial Formulary

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T1 viteac/grape/hyaluronicacid

PRUCLAIR

IrrigantsT1 acetic acid ACETIC ACIDT1 mannitol/sorbitol

solutionSORBITOL-MANNITOL

T1 neomysulf/polymyxin bsulfate

NEOSPORIN G.U.IRRIGANT

T1 ringers solution RINGERSIRRIGATION

T3 ringerssolution,lactated

LACTATED RINGERS

T1 sodium chloride irrigsolution

SODIUM CHLORIDE

T1 sorbitol solution SORBITOLT1 water for

irrigation,sterileWATER

Irritants/counter-irritantsT3 capsaicin/skin cleanserQUTENZA PAT3 menthol/bandages,

tubularICY HOT(OTC)

T3 oxalic acid OXALIS

KeratolyticsT2 benzoyl peroxide BP WASHT1 benzoyl peroxide BP WASH ACNE

TREATMENTT1 benzoyl peroxide BPOT3 benzoyl peroxide PACNEX HPT3 benzoyl peroxide PACNEX LPT3 benzoyl peroxide RIAXT1 benzoyl peroxide

microspheresSE BPO

T3 benzoyl peroxide/sulfurNUOXT3 benzoyl peroxide/vit e

mixINOVA

T3 dichloroacetic acid BICHLORACETICACID

T2 podofilox CONDYLOX(GEL)T1 podofilox CONDYLOX(SOLUTI

ON)T1 podophyllum resin PODOCON-25T1 potassium hydroxide POTASSIUM

HYDROXIDET3 salicylic ac/benzoyl

per/vit eINOVA 4-1

T3 salicylic ac/benzoylper/vit e

INOVA 8-2

T1 salicylic acid KERALYTT3 salicylic acid KERALYT SCALPT1 salicylic acid SALACYNT1 salicylic acid SALEXT1 salicylic acid SALICYLIC ACIDT3 salicylic acid ULTRASAL-ERT1 salicylic acid VIRASALT1 salicylic acid/ammon

lact/aloeSALICYLIC ACID

T3 salicylicacid/ammoniated hg

EMERSAL

T1 salicylicacid/ceramide cmb#1

SALEX

T3 salicylic acid/urea SALVAX DUO PLUST1 silver nitrate SILVER NITRATET1 silver nitrate

applicatorSILVER NITRATEAPPLICATOR

T1 urea ALUVEAT3 urea GORDO-UREAT3 urea HYDRO 35T3 urea KERAFOAMT3 urea KERALACT3 urea UMECTA PDT3 urea UMECTA(EMULSN)T1 urea UMECTA(NL FM

SUSP)T1 urea URAMAXIN(CREAM)T3 urea URAMAXIN(FOAM)T1 urea URAMAXIN(GEL)T1 urea URAMAXIN(LOTION)T1 urea UREAT1 urea X-VIATET3 urea/emollient cmb

no.18DERMASORB XM

T3 urea/emollientcombination #65

URAMAXIN GT

T1 urea/hyaluronatesodium

UREA

T1 urea/lactic ac/znundecylenate

BP-50% UREA

T1 urea/lacticacid/salicyl acid

UREA

Oxidizing AgentsT3 elect wtr/sod ch/sod

hy/hyp acATRAPRO DERMALSPRAY

ProtectivesT3 carbit/equis

xt/ethan/chit/msmGENADUR

T3 hyaluronsod/allantoin/aloe xt

RADIAPLEXRX

T3 hyaluronate sodium BIONECTT3 poly-ureaurethane NUVAILT1 protect

cmb2/ceramide 1,3,6-11

PR CREAM

Topical AntifungalsT3 salicylic acid BENSAL HP

Topical Anti-inflammatory Steroid-local

AnestheticT1 hydrocortisone

ac/lidocaineLIDOCAINE-HYDROCORTISONE

T3 hydrocortisone/pramoxine

EPIFOAM

T1 hydrocortisone/pramoxine

PRAMOSONE(CREAM)

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T2 hydrocortisone/pramoxine

PRAMOSONE(LOTION)

T2 hydrocortisone/pramoxine

PRAMOSONE(OINT)

T3 hydrocortisone/pramoxine/aloe

NOVACORT

T2 hydrocortisone/pramoxine/emoll

PRAMOSONE E

Topical Antineoplastic & Premalignant

Lesion AgntsT4 alitretinoin PANRETINT4 bexarotene TARGRETIN PAT1 diclofenac sodium DICLOFENAC

SODIUMPA, QL

T3 fluorouracil CARACT1 fluorouracil EFUDEXT3 fluorouracil FLUOROPLEXT1 fluorouracil FLUOROURACILT2 ingenol mebutate PICATO(GEL)(0.015

%)QL

T2 ingenol mebutate PICATO(GEL)(0.05 %) QLT4 mechlorethamine hcl VALCHLOR PA

Topical Local AnestheticsT3 benzocaine ANACAINET1 cocaine hcl COCAINE HCLT3 dichlorotetrafluoroetha

neGEBAUER'S 114

T1 ethyl chloride ETHYL CHLORIDET1 lidocaine LIDOCAINET1 lidocaine LIDODERMT1 lidocaine hcl LIDOCAINE HCLT3 lidocaine hcl LIDORXT3 lidocaine hcl/collagen REGENECARET1 lidocaine/prilocaine EMLAT1 lidocaine/prilocaine LIDOCAINE-

PRILOCAINET3 lidocaine/tetracaine PLIAGLIST3 lidocaine/tetracaine SYNERAT3 norflurane/hfc 245fa PAIN EASET3 norflurane/hfc 245fa SPRAY AND

STRETCHT3 tetracaine hcl PONTOCAINET3 tetracaine/benzocaine/

butambenCETACAINE

T3 tetracaine/benzocaine/butamben

CETACAINEANESTHETIC

T3 vit e/lidocain/alover/colagn

REGENECARE

Topical Preparations,miscellaneousT3 honey MEDIHONEY

Topical/mucous Membr./subcut. EnzymesT3 collagenase

clostridium hist.SANTYL

T1 trypsin/balsamperu/castor oil

VASOLEX

DERMATOLOGY - PIGMENTATION

DISORDERSHypopigmentation AgentsT3 dioxybenzone/hydroqui

noneNUQUIN HP

T1 dioxybenzone/pdo/hydroquinone

NUQUIN HP

T3 fluocinolone/tretinoin/h-quin

TRI-LUMA

T1 hydroquinone HYDROQUINONET1 hydroquinone

microspheresHYDROQUINONE

T3 hydroquinone/ascorbicacid

C-CLARIFYINGSERUM

T3 hydroquinone/avobenz/octinox

ACLARO

T3 hydroquinone/avobenz/octinox

ACLARO PD

T1 hydroquinone/ferricoxide

MELPAQUE HP

T3 hydroquinone/vit c/vit eacet

C-THERAPY NIGHTCREAM

T1 oxybenzone/octinox/h-quinone

ALPHAQUIN HP

T3 oxybenzone/octinox/h-quinone

NU-DERMSUNFADER

Topical Hyperpigmentation AgentsT2 methoxsalen OXSORALEN

DERMATOLOGY -

PSORIASIS/ECZEMAAntipsoriatic Agents,systemicT4 acitretin SORIATANET2 methoxsalen 8-MOPT2 methoxsalen, rapid OXSORALEN-ULTRA

Antipsoriatics AgentsT2 anthralin DRITHOCREME HP STT3 anthralin ZITHRANOL-RR STT3 anthralin micronized ZITHRANOL STT1 calcipotriene CALCIPOTRIENE STT1 calcipotriene DOVONEX STT3 calcipotriene SORILUX STT1 calcitriol VECTICAL STT2 tazarotene TAZORAC

Hair Growth Reduction AgentsT3 eflornithine hcl VANIQA

Topical Agents,miscellaneousT3 pyrogallol PYROGALLIC ACIDT3 urea GORDO-UREA

Commercial Formulary

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Topical Immunosuppressive AgentsT3 pimecrolimus ELIDEL AGE,

STT2 tacrolimus PROTOPIC AGE,

ST

Topical Vit D Analog/antiinflammatory,

SteroidalT1 calcipotriene/betamet

hasoneTACLONEX(OINT) ST

T3 calcipotriene/betamethasone

TACLONEX(SUSPENSION)

ST

DIABETESAntihypergly, (dpp-4) Inhibitor & Biguanide

Comb.T3 alogliptin

benz/metformin hclKAZANO ST

T2 linagliptin/metforminhcl

JENTADUETO

T3 saxagliptinhcl/metformin hcl

KOMBIGLYZE XR ST

T2 sitagliptinphos/metformin hcl

JANUMET

T2 sitagliptinphos/metformin hcl

JANUMET XR

Antihypergly,dpp-4 Enzyme Inhib

&thiazolidinedioneT3 alogliptin

benz/pioglitzoneOSENI ST

Antihypergly,incretin MimeticT2 exenatide BYETTA(PEN

INJCTR)(10MCG/0.04)QL

T2 exenatide BYETTA(PENINJCTR)(5MCG/0.02)

QL

T2 exenatidemicrospheres

BYDUREON QL

T3 liraglutide VICTOZA 2-PAK QL, STT3 liraglutide VICTOZA 3-PAK QL, ST

Antihyperglycemc-sod/gluc

Cotransport2(sglt2)inhibT2 canagliflozin INVOKANA QL, STT3 dapagliflozin

propanediolFARXIGA QL, ST

Antihyperglycemic - Dopamine Receptor

AgonistsT3 bromocriptine

mesylateCYCLOSET ST

Antihyperglycemic, Alpha-glucosidase InhibT1 acarbose PRECOSE

T3 miglitol GLYSET

Antihyperglycemic, Amylin Analog-typeT2 pramlintide acetate SYMLINPEN 120T2 pramlintide acetate SYMLINPEN 60

Antihyperglycemic, Dpp-4 InhibitorsT3 alogliptin benzoate NESINA STT2 linagliptin TRADJENTAT3 saxagliptin hcl ONGLYZA STT2 sitagliptin phosphate JANUVIA

Antihyperglycemic, Insulin-release Stimulant

TypeT1 chlorpropamide CHLORPROPAMIDET1 glimepiride AMARYLT1 glipizide GLUCOTROLT2 glyburide DIABETAT1 glyburide GLYBURIDET1 glyburide,micronized GLYNASET1 nateglinide STARLIXT1 repaglinide PRANDINT1 tolazamide TOLAZAMIDET1 tolbutamide TOLBUTAMIDE

Antihyperglycemic, Insulin-response

EnhancerT1 pioglitazone hcl ACTOST3 rosiglitazone maleate AVANDIA

Antihyperglycemic,biguanide TypeT1 metformin hcl GLUCOPHAGET3 metformin hcl GLUMETZA STT2 metformin hcl RIOMET

Antihyperglycemic,insulin-rel Stim.&

Biguanide CmbT1 glipizide/metformin

hclGLIPIZIDE-METFORMIN

T1 glyburide/metforminhcl

GLUCOVANCE

T1 glyburide/metforminhcl

GLYBURIDE-METFORMIN HCL

T2 repaglinide/metforminhcl

PRANDIMET

Antihyperglycemic,insulin-response &

Release Comb.T1 pioglitazone

hcl/glimepirideDUETACT ST

T3 rosiglitazone/glimepiride

AVANDARYL

Antihyperglycemic-glucocorticoid Receptor

BlockerT4 mifepristone KORLYM PA

Commercial Formulary

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Antihyperglycm,insul-resp.enhancer &

Biguanide CmbT1 pioglitazone

hcl/metformin hclACTOPLUS MET ST

T2 pioglitazonehcl/metformin hcl

ACTOPLUS MET XR ST

T3 rosiglitazone/metformin hcl

AVANDAMET

Blood Sugar DiagnosticsT3 blood sugar diagnostic ACCU-CHEK

ACTIVE(OTC)T3 blood sugar diagnostic ACCU-CHEK AVIVA

PLUS(OTC)T3 blood sugar diagnostic ACCU-CHEK

AVIVA(OTC)T3 blood sugar diagnostic ACCU-CHEK

COMFORTCURVE(OTC)

T3 blood sugar diagnostic ACCU-CHEKSIMPLICITY(OTC)

T3 blood sugar diagnostic ACCU-CHEKSMARTVIEW(OTC)

T3 blood sugar diagnostic ACCU-CHEK(OTC)T3 blood sugar diagnostic ACCUTREND

GLUCOSE(OTC)T3 blood sugar diagnostic ACURA TEST

STRIPS(OTC)T3 blood sugar diagnostic ADVANCE TEST

STRIPS(OTC)T3 blood sugar diagnostic ADVOCATE REDI-

CODE(OTC)T3 blood sugar diagnostic ADVOCATE REDI-

CODE+(OTC)T3 blood sugar diagnostic ADVOCATE TEST

STRIP(OTC)T3 blood sugar diagnostic AGAMATRIX

AMP(OTC)T3 blood sugar diagnostic ASSURE 4(OTC)T3 blood sugar diagnostic ASSURE

PLATINUM(OTC)T3 blood sugar diagnostic ASSURE PRO(OTC)T3 blood sugar diagnostic AT-LAST TEST

STRIPS(OTC)T3 blood sugar diagnostic BG-STAR(OTC)T3 blood sugar diagnostic BLOOD GLUCOSE

TEST STRIP(OTC)T3 blood sugar diagnostic BLOOD GLUCOSE

TEST(OTC)T3 blood sugar diagnostic BLOOD GLUOCSE

TEST(OTC)T3 blood sugar diagnostic CARESENS N(OTC)T3 blood sugar diagnostic CHEMSTRIP

BG(OTC)T3 blood sugar diagnostic CHOICEDM CLARUS

TEST STRIPS(OTC)T3 blood sugar diagnostic CHOICEDM

G20(OTC)

T3 blood sugar diagnostic CLEVER CHOICEMICRO TESTSTRIP(OTC)

T3 blood sugar diagnostic CLEVER CHOICEPRO(OTC)

T3 blood sugar diagnostic CLEVER CHOICETALK(OTC)

T3 blood sugar diagnostic CLEVER CHOICETEST STRIPS(OTC)

T3 blood sugar diagnostic CLEVER CHOICEVOICE+(OTC)

T2 blood sugar diagnostic CONTOURNEXT(OTC)

T3 blood sugar diagnostic CONTOUR TS(OTC)T2 blood sugar diagnostic CONTOUR(OTC)T3 blood sugar diagnostic CONTROL G3(OTC)T3 blood sugar diagnostic CONTROL(OTC)T3 blood sugar diagnostic DIATRUE PLUS(OTC)T3 blood sugar diagnostic EASY CHECK TEST

STRIP(OTC)T3 blood sugar diagnostic EASY GLUCO

G2(OTC)T3 blood sugar diagnostic EASY PLUS II(OTC)T3 blood sugar diagnostic EASY PLUS(OTC)T3 blood sugar diagnostic EASY STEP(OTC)T3 blood sugar diagnostic EASY TALK(OTC)T3 blood sugar diagnostic EASY TOUCH(OTC)T3 blood sugar diagnostic EASY TRAK(OTC)T3 blood sugar diagnostic EASYGLUCO

PLUS(OTC)T3 blood sugar diagnostic EASYGLUCO(OTC)T3 blood sugar diagnostic EASYMAX 15(OTC)T3 blood sugar diagnostic EASYMAX(OTC)T3 blood sugar diagnostic ELEMENT

COMPACT(OTC)T3 blood sugar diagnostic ELEMENT TEST

STRIPS(OTC)T3 blood sugar diagnostic EMBRACE EVO(OTC)T3 blood sugar diagnostic EMBRACE PRO(OTC)T3 blood sugar diagnostic EMBRACE(OTC)T3 blood sugar diagnostic EVENCARE G2(OTC)T3 blood sugar diagnostic EVENCARE G3(OTC)T3 blood sugar diagnostic EVENCARE(OTC)T3 blood sugar diagnostic EVOLUTION TEST

STRIPS(OTC)T3 blood sugar diagnostic EZ SMART

PLUS(OTC)T3 blood sugar diagnostic EZ SMART(OTC)T3 blood sugar diagnostic FIFTY50 TEST

STRIP(OTC)T3 blood sugar diagnostic FORA D10(OTC)T3 blood sugar diagnostic FORA D15C(OTC)T3 blood sugar diagnostic FORA D15G(OTC)T3 blood sugar diagnostic FORA D15Z(OTC)T3 blood sugar diagnostic FORA D20(OTC)T3 blood sugar diagnostic FORA G20(OTC)T3 blood sugar diagnostic FORA G30A(OTC)T3 blood sugar diagnostic FORA G71A(OTC)T3 blood sugar diagnostic FORA G90(OTC)T3 blood sugar diagnostic FORA V10(OTC)T3 blood sugar diagnostic FORA V12(OTC)T3 blood sugar diagnostic FORA V20(OTC)

Commercial Formulary

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T3 blood sugar diagnostic FORA V22(OTC)T3 blood sugar diagnostic FORA V30A(OTC)T3 blood sugar diagnostic FORA(OTC)T3 blood sugar diagnostic FORACARE

GD20(OTC)T3 blood sugar diagnostic FORACARE

GD40(OTC)T2 blood sugar diagnostic FREESTYLE

INSULINX(OTC)T2 blood sugar diagnostic FREESTYLE

LITE(OTC)T2 blood sugar diagnostic FREESTYLE(OTC)T3 blood sugar diagnostic G-4(OTC)T3 blood sugar diagnostic GE100 BLOOD

GLUCOSE TESTSTRIP(OTC)

T3 blood sugar diagnostic GENSTRIP(OTC)T3 blood sugar diagnostic GLUCO NAVII(OTC)T3 blood sugar diagnostic GLUCOCARD 01

SENSOR(OTC)T3 blood sugar diagnostic GLUCOCARD

EXPRESSION(OTC)T3 blood sugar diagnostic GLUCOCARD VITAL

SENSOR(OTC)T3 blood sugar diagnostic GLUCOCOM

GLUCOSE(OTC)T3 blood sugar diagnostic GLUCOFILM(OTC)T3 blood sugar diagnostic GLUCOSE TEST

STRIP(OTC)T3 blood sugar diagnostic GLUCOSTIX

REAGENT(OTC)T3 blood sugar diagnostic GMATE TEST

STRIPS(OTC)T3 blood sugar diagnostic HEALTHPRO TEST

STRIPS(OTC)T3 blood sugar diagnostic INFINITY TEST

STRIPS(OTC)T3 blood sugar diagnostic LIBERTY TEST

STRIPS(OTC)T3 blood sugar diagnostic MAXIMA(OTC)T3 blood sugar diagnostic MICRO(OTC)T3 blood sugar diagnostic MICRODOT

XTRA(OTC)T3 blood sugar diagnostic MICRODOT(OTC)T3 blood sugar diagnostic MYGLUCOHEALTH(O

TC)T3 blood sugar diagnostic NEUTEK 2TEK TEST

STRIPS(OTC)T3 blood sugar diagnostic NOVA MAX(OTC)T3 blood sugar diagnostic ON CALL EXPRESS

TEST STRIP(OTC)T3 blood sugar diagnostic ON CALL PLUS TEST

STRIP(OTC)T3 blood sugar diagnostic ON CALL VIVID TEST

STRIP(OTC)T3 blood sugar diagnostic ONE TOUCH

ULTRA(OTC)T3 blood sugar diagnostic ONE TOUCH

VERIO(OTC)T3 blood sugar diagnostic OPTUMRX(OTC)T3 blood sugar diagnostic PHARMACIST

CHOICE(OTC)

T2 blood sugar diagnostic PRECISIONXTRA(OTC)

T3 blood sugar diagnostic PREMIUM BLOODGLUCOSETEST(OTC)

T3 blood sugar diagnostic PREMIUM V10(OTC)T3 blood sugar diagnostic PRODIGY NO

CODING(OTC)T3 blood sugar diagnostic QUINTET AC(OTC)T3 blood sugar diagnostic QUINTET(OTC)T3 blood sugar diagnostic REAGENT

STRIPS(OTC)T3 blood sugar diagnostic REFUAH PLUS(OTC)T3 blood sugar diagnostic RELION CONFIRM-

MICRO(OTC)T3 blood sugar diagnostic RELION PRIME(OTC)T3 blood sugar diagnostic REVEAL TEST

STRIP(OTC)T3 blood sugar diagnostic RIGHTEST GS100

TEST STRIPS(OTC)T3 blood sugar diagnostic RIGHTEST GS250S

TEST STRIPS(OTC)T3 blood sugar diagnostic RIGHTEST GS260

TEST STRIPS(OTC)T3 blood sugar diagnostic RIGHTEST GS300

TEST STRIPS(OTC)T3 blood sugar diagnostic RIGHTEST GS550

TEST STRIPS(OTC)T3 blood sugar diagnostic SMART CARESENS

N(OTC)T3 blood sugar diagnostic SMART SENSE TEST

STRIPS(OTC)T3 blood sugar diagnostic SMARTDIABETES

XPRES(OTC)T3 blood sugar diagnostic SMARTEST

TEST(OTC)T3 blood sugar diagnostic SOLUS V2(OTC)T3 blood sugar diagnostic SURE EDGE TEST

STRIPS(OTC)T3 blood sugar diagnostic SURECHEK TEST

STRIPS(OTC)T3 blood sugar diagnostic SURESTEP

PRO(OTC)T3 blood sugar diagnostic SURE-TEST

EASYPLUSMINI(OTC)

T3 blood sugar diagnostic TD GOLD TESTSTRIP(OTC)

T3 blood sugar diagnostic TELCARE(OTC)T3 blood sugar diagnostic TEST N'GO(OTC)T3 blood sugar diagnostic TEST STRIPS(OTC)T3 blood sugar diagnostic TRACER BG(OTC)T3 blood sugar diagnostic TRUETEST TEST

STRIPS(OTC)T3 blood sugar diagnostic TRUETRACK SMART

SYSTEM(OTC)T3 blood sugar diagnostic TRUETRACK TEST

STRIP(OTC)T3 blood sugar diagnostic ULTIMA(OTC)T3 blood sugar diagnostic ULTRATRAK

ULTIMATE(OTC)T3 blood sugar diagnostic ULTRATRAK(OTC)

Commercial Formulary

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T3 blood sugar diagnostic UNISTRIP1(OTC)T3 blood sugar diagnostic VICTORY(OTC)T3 blood sugar diagnostic VOCAL POINT(OTC)T3 blood sugar diagnostic WAVESENSE

JAZZ(OTC)T3 blood sugar diagnostic WAVESENSE

PRESTO(OTC)T2 blood sugar diagnostic,

discBREEZE 2(OTC)

T3 blood sugar diagnostic,drum

ACCU-CHEKCOMPACTPLUS(OTC)

T3 blood sugar diagnostic,drum

ACCU-CHEKCOMPACT(OTC)

Diabetic SuppliesT2 blood glucose ctl

high,nml&lowMYGLUCOHEALTHCONTROLSOLUTION(OTC)

T3 blood glucose strips-dispmeter

SIDEKICK(OTC)

T3 blood-gl & bpmeter,adult cuff

FORA D15(OTC)

T3 blood-glumeter,cont/transmit

GUARDIAN REAL-TIME

T3 blood-gluc.meter&wrist bp mon

2TEK(OTC)

T3 blood-gluc.meter&wrist bp mon

ADVOCATEDUO(OTC)

T3 blood-gluc.meter&wrist bp mon

FORA D10(OTC)

T3 blood-glucose meter ACURA METERKIT(OTC)

T3 blood-glucose meter ACURA PLUS(OTC)T3 blood-glucose meter ACURA STARTER

KIT(OTC)T3 blood-glucose meter ADVOCATE BLOOD

GLUCOSEMONITOR(OTC)

T3 blood-glucose meter ADVOCATE REDI-CODE(OTC)

T3 blood-glucose meter ADVOCATE REDI-CODE+(OTC)

T3 blood-glucose meter AGAMATRIXAMP(OTC)

T3 blood-glucose meter ASSURE 4(OTC)T3 blood-glucose meter ASSURE

PLATINUM(OTC)T3 blood-glucose meter ASSURE PRO(OTC)T3 blood-glucose meter AT-LAST(OTC)T3 blood-glucose meter BLOOD GLUCOSE

METER(OTC)T3 blood-glucose meter BLOOD GLUCOSE

MONITOR(OTC)T3 blood-glucose meter BLOOD GLUCOSE

MONITORING(OTC)T3 blood-glucose meter BLOOD-GLUCOSE

METER(OTC)T3 blood-glucose meter CARESENS N

VOICE(OTC)T3 blood-glucose meter CARESENS N(OTC)

T3 blood-glucose meter CHOICEDMCLARUS(OTC)

T3 blood-glucose meter CHOICEDMG20(OTC)

T3 blood-glucose meter CLEVER CHEKBLOOD GLUCOSESYST(OTC)

T3 blood-glucose meter CLEVER CHOICEBLOOD GLUCSYS(OTC)

T3 blood-glucose meter CLEVER CHOICE HDGLUCOSESYST(OTC)

T3 blood-glucose meter CLEVER CHOICEMICRO(OTC)

T3 blood-glucose meter CLEVER CHOICEPRO(OTC)

T3 blood-glucose meter CLEVER CHOICETALK(OTC)

T3 blood-glucose meter CLEVERCHOICE(OTC)

T3 blood-glucose meter CONTROL(OTC)T3 blood-glucose meter DIATRUE PLUS(OTC)T3 blood-glucose meter EASY CHECK(OTC)T3 blood-glucose meter EASY PLUS II(OTC)T3 blood-glucose meter EASY PLUS(OTC)T3 blood-glucose meter EASY STEP(OTC)T3 blood-glucose meter EASY TALK(OTC)T3 blood-glucose meter EASY TOUCH

GLUCOSEMONITOR(OTC)

T3 blood-glucose meter EASY TRAK(OTC)T3 blood-glucose meter EASYGLUCO

PLUS(OTC)T3 blood-glucose meter EASYGLUCO(OTC)T3 blood-glucose meter EASYMAX L(OTC)T3 blood-glucose meter EASYMAX N(OTC)T3 blood-glucose meter EASYMAX NG(OTC)T3 blood-glucose meter EASYMAX V

SPEAKING(OTC)T3 blood-glucose meter EASYMAX V(OTC)T3 blood-glucose meter EASYMAX V2(OTC)T3 blood-glucose meter ELEMENT BLOOD

GLUCOSEMETER(OTC)

T3 blood-glucose meter ELEMENTCOMPACT(OTC)

T3 blood-glucose meter ELEMENTPLUS(OTC)

T3 blood-glucose meter EMBRACE(OTC)T3 blood-glucose meter EVENCARE G2(OTC)T3 blood-glucose meter EVENCARE G3(OTC)T3 blood-glucose meter EVENCARE(OTC)T3 blood-glucose meter EVOLUTION BLOOD

GLUCOSEMETER(OTC)

T3 blood-glucose meter EZ SMARTPLUS(OTC)

T3 blood-glucose meter EZ SMART(OTC)T3 blood-glucose meter FORA D20(OTC)T3 blood-glucose meter FORA G20(OTC)T3 blood-glucose meter FORA G30A(OTC)

Commercial Formulary

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T3 blood-glucose meter FORA G71A(OTC)T3 blood-glucose meter FORA G90(OTC)T3 blood-glucose meter FORA V10(OTC)T3 blood-glucose meter FORA V12(OTC)T3 blood-glucose meter FORA V20(OTC)T3 blood-glucose meter FORA V22(OTC)T3 blood-glucose meter FORA V30A(OTC)T3 blood-glucose meter FORACARE

GD20(OTC)T3 blood-glucose meter FORACARE

GD40A(OTC)T3 blood-glucose meter FORACARE

GD40B(OTC)T3 blood-glucose meter G-4(OTC)T3 blood-glucose meter GDRIVE(OTC)T3 blood-glucose meter GE100 BLOOD

GLUCOSESYSTEM(OTC)

T3 blood-glucose meter GLUCO NAVII(OTC)T3 blood-glucose meter GLUCOCARD

01(OTC)T3 blood-glucose meter GLUCOCARD 01-

MINI(OTC)T3 blood-glucose meter GLUCOCARD

EXPRESSION(OTC)T3 blood-glucose meter GLUCOCARD

VITAL(OTC)T3 blood-glucose meter GLUCOCOM BLOOD

GLUCOSE(OTC)T3 blood-glucose meter GMATE VOICE

METER(OTC)T3 blood-glucose meter GMATE VOICE

STARTER(OTC)T3 blood-glucose meter IBG-STAR(OTC)T3 blood-glucose meter INFINITY(OTC)T3 blood-glucose meter LIBERTY

MONITOR(OTC)T3 blood-glucose meter MICRO(OTC)T3 blood-glucose meter MICRODOT(OTC)T3 blood-glucose meter MYGLUCOHEALTH(O

TC)T3 blood-glucose meter NEWTEK(OTC)T3 blood-glucose meter NOVA MAX BLOOD

GLUCOSEMETER(OTC)

T3 blood-glucose meter ON CALL PLUSMETER(OTC)

T3 blood-glucose meter ON CALL VIVIDMETER(OTC)

T3 blood-glucose meter ON CALL VIVIDPAL(OTC)

T3 blood-glucose meter OPTUMRX(OTC)T3 blood-glucose meter PHARMACIST

CHOICE(OTC)T3 blood-glucose meter PREMIUM BLOOD

GLUCOSE(OTC)T3 blood-glucose meter PREMIUM V10(OTC)T3 blood-glucose meter PRESTO PRO(OTC)T3 blood-glucose meter PRODIGY

POCKET(OTC)T3 blood-glucose meter PRODIGY

VOICE(OTC)

T3 blood-glucose meter PRODIGY(OTC)T3 blood-glucose meter QUINTET AC(OTC)T3 blood-glucose meter QUINTET(OTC)T3 blood-glucose meter REFUAH PLUS(OTC)T3 blood-glucose meter RELION

CONFIRM(OTC)T3 blood-glucose meter RELION MICRO(OTC)T3 blood-glucose meter RELION PRIME(OTC)T3 blood-glucose meter REVEAL BLOOD

GLUCOSEMETER(OTC)

T3 blood-glucose meter RIGHTEST GM100SYSTEM(OTC)

T3 blood-glucose meter RIGHTEST GM250SMETER(OTC)

T3 blood-glucose meter RIGHTEST GM260METER(OTC)

T3 blood-glucose meter RIGHTEST GM300SYSTEM(OTC)

T3 blood-glucose meter RIGHTEST GM550SYSTEM(OTC)

T3 blood-glucose meter RIGHTSOURCE(OTC)T3 blood-glucose meter SMART CARESENS

N(OTC)T3 blood-glucose meter SMART SENSE

MONITORINGSYSTEM(OTC)

T3 blood-glucose meter SMARTDIABETESXPRES(OTC)

T3 blood-glucose meter SMARTESTEJECT(OTC)

T3 blood-glucose meter SMARTESTPERSONA(OTC)

T3 blood-glucose meter SMARTESTPRONTO(OTC)

T3 blood-glucose meter SMARTESTPROTEGE(OTC)

T3 blood-glucose meter SMARTEST SMARTCODE(OTC)

T3 blood-glucose meter SMARTESTTALKING(OTC)

T3 blood-glucose meter SOLUS V2(OTC)T3 blood-glucose meter STARTER KIT(OTC)T3 blood-glucose meter SURE EDGE BLOOD

GLUCOSEMETER(OTC)

T3 blood-glucose meter SURE-TESTEASYPLUSMINI(OTC)

T3 blood-glucose meter TD GOLD BLOODGLUCOSEMONITOR(OTC)

T3 blood-glucose meter TD GOLD VOICEGLUCOSEMONITOR(OTC)

T3 blood-glucose meter TELCARE(OTC)T3 blood-glucose meter TEST N'GO(OTC)T3 blood-glucose meter TRUE2GO BLOOD

GLUCOSESYSTEM(OTC)

Commercial Formulary

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T3 blood-glucose meter TRUERESULTBLOOD GLUCOSESYSTM(OTC)

T3 blood-glucose meter TRUETRACK BLOODGLUCOSESYSTEM(OTC)

T3 blood-glucose meter TRUETRACKMETER(OTC)

T3 blood-glucose meter TRUETRACK SMARTSYSTEM(OTC)

T3 blood-glucose meter ULTIMA(OTC)T3 blood-glucose meter ULTRATRAK

PRO(OTC)T3 blood-glucose meter ULTRATRAK

ULTIMATE(OTC)T3 blood-glucose meter ULTRATRAK(OTC)T3 blood-glucose meter VICTORY(OTC)T3 blood-glucose meter WAVESENSE

AMP(OTC)T3 blood-glucose meter WAVESENSE

JAZZ(OTC)T3 blood-glucose meter WAVESENSE

PRESTO(OTC)T3 blood-glucose

meter,continuousDEXCOM G4

T2 lancing device ADJUSTABLELANCINGDEVICE(OTC)

T2 lancing device ADVOCATE LANCINGDEVICE(OTC)

T3 lancing device ADVOCATE RAPID-SAFE(OTC)

T2 lancing device ALTERNATE SITELANCINGDEVICE(OTC)

T2 lancing device AQUA LANCELANCINGDEVICE(OTC)

T2 lancing device AUTO-LANCETMINI(OTC)

T2 lancing device AUTOLET LANCINGDEVICE(OTC)

T2 lancing device CAREONE(OTC)T2 lancing device DROPLET LANCING

DEVICE(OTC)T2 lancing device EASY CLICK(OTC)T2 lancing device EASY TOUCH

LANCINGDEVICE(OTC)

T2 lancing device FORA LANCINGDEVICE(OTC)

T2 lancing device GENTLE DRAW(OTC)T2 lancing device GLUCOLET 2(OTC)T2 lancing device GLUCOSOURCE(OT

C)T2 lancing device HEALTHY ACCENTS

AUTOLET(OTC)T2 lancing device INCONTROL

LANCINGDEVICE(OTC)

T2 lancing device LANCETDEVICE(OTC)

T2 lancing device LANCINGDEVICE(OTC)

T2 lancing device LANCINGSYSTEM(OTC)

T2 lancing device LITE TOUCH(OTC)T2 lancing device MINI LANCING

DEVICE(OTC)T2 lancing device MULTI-LANCET

DEVICE(OTC)T2 lancing device ON CALL LANCING

DEVICE(OTC)T2 lancing device ON CALL PLUS

LANCINGDEVICE(OTC)

T2 lancing device PRODIGY LANCINGDEVICE(OTC)

T2 lancing device RELIAMED MINILANCINGDEVICE(OTC)

T2 lancing device RIGHTESTGD500(OTC)

T2 lancing device SELECT-LITE(OTC)T2 lancing device SMARTDIABETES

VANTAGE(OTC)T2 lancing device SOFT TOUCH(OTC)T2 lancing device SOFTCLIX(OTC)T2 lancing device SURE COMFORT

LANCING PEN(OTC)T2 lancing device SUREFLEX(OTC)T2 lancing device SURE-PEN(OTC)T2 lancing device ULTI-LANCE(OTC)T2 lancing device/lancets ACCU-CHEK

FASTCLIX(OTC)T2 lancing device/lancets ACCU-CHEK

SOFTCLIX(OTC)T2 lancing device/lancets ACCU-CHEK(OTC)T2 lancing device/lancets ADVANCED LANCING

DEVICE(OTC)T2 lancing device/lancets AUTOLET

IMPRESSION(OTC)T2 lancing device/lancets GLUCOLET 2(OTC)T2 lancing device/lancets HYPOLANCE(OTC)T2 lancing device/lancets LANCING

DEVICE(OTC)T2 lancing device/lancets MICROLET 2(OTC)T2 lancing device/lancets ONE TOUCH

DELICA(OTC)T2 lancing device/lancets ONE TOUCH

SURESOFT(OTC)T2 lancing device/lancets PENLET PLUS

BLOODSAMPLER(OTC)

T2 lancing device/lancets SOLUS V2 LANCINGDEVICE(OTC)

T2 lancing device/lancets SUREFLEX(OTC)T2 lancing device/lancets ULTI-LANCE(OTC)T2 lancing device/lancets UNISTIK 2

EXTRA(OTC)T2 lancing device/lancets UNISTIK 2 NORMALT2 lancing device/lancets UNISTIK 2

NORMAL(OTC)T2 lancing device/lancets UNISTIK 2(OTC)

Commercial Formulary

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T2 lancing device/lancets UNISTIK 3COMFORT(OTC)

T2 lancing device/lancets UNISTIK 3NEONATAL(OTC)

T2 lancing device/lancets UNISTIK 3(OTC)

Diabetic Ulcer Preparations,topicalT2 becaplermin REGRANEX

HyperglycemicsT3 diazoxide PROGLYCEMT2 glucagon,human

recombinantGLUCAGEN

T2 glucagon,humanrecombinant

GLUCAGONEMERGENCY KIT

InsulinsT2 hum insulin nph/reg

insulin hmHUMULIN 70/30KWIKPEN(OTC)

T2 hum insulin nph/reginsulin hm

HUMULIN 70-30(OTC)

T2 hum insulin nph/reginsulin hm

NOVOLIN 70-30(OTC)

T2 insulin aspart NOVOLOGT2 insulin aspart NOVOLOG FLEXPENT3 insulin detemir LEVEMIR STT3 insulin detemir LEVEMIR FLEXPEN STT2 insulin

glargine,hum.rec.anlogLANTUS

T2 insulinglargine,hum.rec.anlog

LANTUS SOLOSTAR

T3 insulin glulisine APIDRAT3 insulin glulisine APIDRA SOLOSTART2 insulin lispro HUMALOGT2 insulin npl/insulin lisproHUMALOG MIX 50-50T2 insulin npl/insulin lisproHUMALOG MIX 75-25T2 insulin regular, human HUMULIN RT2 insulin regular, human HUMULIN R(OTC)T2 insulin regular, human NOVOLIN R(OTC)T2 insuln asp prt/insulin

aspartNOVOLOG MIX 70-30

T2 insuln asp prt/insulinaspart

NOVOLOG MIX 70-30FLEXPEN

T2 nph, human insulinisophane

HUMULIN N(OTC)

T2 nph, human insulinisophane

NOVOLIN NINNOLET(OTC)

T2 nph, human insulinisophane

NOVOLIN N(OTC)

Urine Glucose Test AidsT3 urine glucose test,strip CHEMSTRIP

UG(OTC)T3 urine glucose test,strip DIASCREEN 1G

REAGENT(OTC)T3 urine glucose test,strip DIASTIX

REAGENT(OTC)T2 urine glucose

test,tabletCLINITESTREAGENT(OTC)

Urine Glucose/acetone Test Aids,stripsT3 urine gluc-acet

comb.tst,stripCHEMSTRIPUGK(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 10(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 2GKREAGENT(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 3REAGENT(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN4OBL(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 5(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 7(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 8(OTC)

T3 urine gluc-acetcomb.tst,strip

DIASCREEN 9(OTC)

T3 urine gluc-acetcomb.tst,strip

KETO-DIASTIXREAGENT(OTC)

EAR - GENERAL DISORDERSEar Preparations Anti-inflammatoryT1 fluocinolone

acetonide oilDERMOTIC

Ear Preparations, Misc. Anti-infectivesT1 acetic acid ACETIC ACIDT1 acetic acid/aluminum

acetateDOMEBORO

T1 aceticacid/hydrocortisone

HYDROCORTISONE-ACETIC ACID

T1 cresyl ace/benalc/butanol/ipa

CRESYLATE

T1 hc/pramox hcl/cl-xylenol/water

CORTANE-B

T3 hc/pramoxinehcl/chloroxylenol

CORTANE-B

T1 hc/pramoxinehcl/chloroxylenol

PRAMOXINE-HC

Ear Preparations,antibioticsT1 ciprofloxacin hcl CETRAXALT3 neomy sulf/colist

sul/hc/thonzCOLY-MYCIN S

T3 neomy sulf/colistsul/hc/thonz

CORTISPORIN-TC

T1 neomycin/polymyxinb sulf/hc

NEOMYCIN-POLYMYXIN-HC

T3 ofloxacin FLOXINT1 ofloxacin OFLOXACIN

Ear Preparations,local AnestheticsT1 aa/antipyrn/bcaine/po

lico#1/alTREAGAN OTIC

T3 antipyrine/benzocain/gly/zinc

OTOZIN

T1 antipyrine/benzocaine

ANTIPYRINE-BENZOCAINE

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T1 antipyrine/benzocaine/glycerin

ANTIPYRINE-BENZOCAINE

T3 antipyrine/benzocaine/glycerin

OTIC CARE

T1 benzocaine PINNACAINE

Otic Preparations,anti-inflammatory-

antibioticsT2 ciprofloxacin

hcl/dexamethCIPRODEX

T3 ciprofloxacin/hydrocortisone

CIPRO HC

Otic,antiinfective-local Anesthetic

CombinationsT3 chloroxylenol/pramoxin

e hclOTICIN

ELECTROLYTE REGULATIONArginine Vasopressin (avp) Receptor

AntagonistsT3 tolvaptan SAMSCA(TAB)(15

MG)QL

T3 tolvaptan SAMSCA(TAB)(30MG)

QL

Electrolyte DepletersT1 calcium acetate CALCIUM ACETATET1 calcium acetate PHOSLOT3 calcium acetate PHOSLYRAT1 calcium

carbonate/magcarb/fa

MAGNEBIND 400 RX

T3 lanthanum carbonate FOSRENOLT2 sevelamer carbonate RENVELA(POWD

PACK)T1 sevelamer carbonate RENVELA(TAB)T2 sevelamer hcl RENAGELT1 sodium polystyrene

sulfonateSPS

T3 sucroferricoxyhydroxide

VELPHORO

Potassium ReplacementT1 pot chloride/pot

bicarb/cit acPOTASSIUMCHLORIDE

T3 potassium bicarbonate QUIC-KT3 potassium

bicarbonate/cit acEFFER-K

T1 potassiumbicarbonate/cit ac

KLOR-CON-EF

T1 potassium chloride KAOCHLORT1 potassium chloride K-TAB ERT1 potassium chloride POTASSIUM

CHLORIDET3 potassium chloride/pot

bicarbKAOCHLOR-EFF

T1 potassium gluconate POTASSIUMGLUCONATE

Sodium/saline PreparationsT1 0.5 normal saline SODIUM CHLORIDET1 0.9 % sodium

chlorideNORMAL SALINEFLUSH

T1 normal saline SODIUM CHLORIDET1 sodium chloride 0.45

%SODIUM CHLORIDE

ENDOCRINE DISORDER - FERTILITYDrugs To Treat ImpotencyT3 alprostadil CAVERJECT QLT3 alprostadil EDEX QLT3 alprostadil MUSE QLT3 avanafil STENDRA G, QLT2 sildenafil citrate VIAGRA G, QLT2 tadalafil CIALIS(TAB)(10 MG) G, QLT2 tadalafil CIALIS(TAB)(2.5 MG) G, QLT2 tadalafil CIALIS(TAB)(20 MG) G, QLT2 tadalafil CIALIS(TAB)(5 MG) G, QLT3 vardenafil hcl LEVITRA G, QLT2 vardenafil hcl STAXYN G, QLT1 yohimbine hcl YOHIMEXT1 yohimbine hcl/zinc

sulfateYOHIMAR

Fertility Stimulating Preparations,non-fshT1 clomiphene citrate SEROPHENE

Follicle Stim./luteinizing HormonesT4 menotropins MENOPURT4 menotropins REPRONEX

Follicle-stimulating HormoneT4 follitropin alfa, recomb GONAL-FT4 follitropin alfa, recomb GONAL-F RFFT4 follitropin alfa, recomb GONAL-F RFF REDI-

JECTT4 follitropin beta,recomb FOLLISTIM AQT4 urofollitropin BRAVELLE

Human Chorionic GonadotropinT2 choriogonadotropin

alfaOVIDREL

T2 chorionicgonadotropin, human

CHORIONICGONADOTROPIN

T2 chorionicgonadotropin, human

NOVAREL

T2 chorionicgonadotropin, human

PREGNYL

Pregnancy Facilitating/maintaining

Agent,hormonalT3 progesterone FIRST-

PROGESTERONEVGS 100

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T3 progesterone FIRST-PROGESTERONEVGS 200

T3 progesterone FIRST-PROGESTERONEVGS 25

T3 progesterone FIRST-PROGESTERONEVGS 400

T3 progesterone FIRST-PROGESTERONEVGS 50

T2 progesterone,micronized

CRINONE

T2 progesterone,micronized

ENDOMETRIN

ENDOCRINE DISORDER - OTHERAdrenocorticotrophic HormonesT4 corticotropin H.P. ACTHAR PA

Antidiuretic And Vasopressor HormonesT1 desmopressin

(nonrefrigerated)DDAVP

T3 desmopressin acetate DDAVP(AMPUL)(15MCG/ML)

T1 desmopressinacetate

DDAVP(AMPUL)(4MCG/ML)

T2 desmopressin acetate DDAVP(SOLUTION)T1 desmopressin

acetateDDAVP(TAB)

T1 desmopressinacetate

DDAVP(VIAL)

T1 desmopressinacetate

DESMOPRESSINACETATE

T3 desmopressin acetate STIMATE

Antineoplastic Lhrh(gnrh) Agonist,pituitary

Suppr.T4 goserelin acetate ZOLADEX PAT4 leuprolide acetate ELIGARD PAT4 leuprolide acetate LEUPROLIDE

ACETATET4 leuprolide acetate LUPRON DEPOTT4 triptorelin pamoate TRELSTART4 triptorelin pamoate TRELSTAR DEPOTT4 triptorelin pamoate TRELSTAR LA

Bone Formation Stim. Agents - Parathyroid

HormoneT4 teriparatide FORTEO QL

Bone Resorption Inhibitor & Vitamin D

CombinationsT2 alendronate

sodium/vitamin d3FOSAMAX PLUS D

Bone Resorption InhibitorsT1 alendronate sodium ALENDRONATE

SODIUM(SOLUTION)QL

T1 alendronate sodium ALENDRONATESODIUM(TAB)

T3 alendronate sodium BINOSTO QL, STT1 alendronate sodium FOSAMAXT3 calcitonin,salmon,synt

heticFORTICAL

T1 calcitonin,salmon,synthetic

MIACALCIN(SPRAY/PUMP)

T3 calcitonin,salmon,synthetic

MIACALCIN(VIAL)

T4 denosumab PROLIAT4 denosumab XGEVA PAT1 etidronate disodium ETIDRONATE

DISODIUMT1 ibandronate sodium BONIVAT1 raloxifene hcl EVISTA QLT3 risedronate sodium ACTONEL(TAB)(150

MG)QL, ST

T3 risedronate sodium ACTONEL(TAB)(30MG)

QL, ST

T3 risedronate sodium ACTONEL(TAB)(35MG)

QL, ST

T3 risedronate sodium ACTONEL(TAB)(5MG)

QL, ST

T3 risedronate sodium ATELVIA QL, STT4 zoledronic acid ZOLEDRONIC ACIDT4 zoledronic acid ZOMETAT4 zoledronic

acid/mannitol&waterRECLAST

T4 zoledronicacid/mannitol&water

ZOLEDRONIC ACID

T4 zoledronicacid/mannitol&water

ZOMETA

Calcimimetic,parathyroid Calcium EnhancerT4 cinacalcet hcl SENSIPAR

Growth Hormone Receptor AntagonistsT4 pegvisomant SOMAVERT

Growth Hormone Releasing Hormone (ghrh)

& AnalogsT4 tesamorelin acetate EGRIFTA PA

Growth HormonesT4 somatropin GENOTROPIN PAT4 somatropin HUMATROPE PAT4 somatropin NORDITROPIN

FLEXPROPA

T4 somatropin NORDITROPINNORDIFLEX

PA

T4 somatropin NUTROPIN PAT4 somatropin NUTROPIN AQ PAT4 somatropin NUTROPIN AQ

NUSPINPA

T4 somatropin OMNITROPE PAT4 somatropin SAIZEN PA

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T4 somatropin SEROSTIM PAT4 somatropin TEV-TROPIN PAT4 somatropin ZORBTIVE PA

Hyperparathyroid Tx Agents - Vitamin D

Analog-typeT1 doxercalciferol HECTOROLT1 paricalcitol ZEMPLAR

Insulin-like Growth Factor-1 (igf-1)

HormonesT4 mecasermin INCRELEX PA

Leptin Hormone AnalogsT4 metreleptin MYALEPT

Lhrh(gnrh) Agonist Analog Pituitary

SuppressantsT3 histrelin ac SUPPRELINT4 histrelin ac VANTAST4 nafarelin acetate SYNAREL

Lhrh(gnrh) Antagonist,pituitary Suppressant

AgentsT4 cetrorelix acetate CETROTIDET4 ganirelix acetate GANIRELIX ACETATE

Lhrh(gnrh)agnst Pit.sup-central Precocious

PubertyT4 histrelin ac SUPPRELIN LAT4 leuprolide acetate LUPRON DEPOT-PED

Luteinizing Hormone Releasing Hormone

-lhrhT2 gonadorelin acetate LUTREPULSE

Menopausal Sympt Supp-sel Estrogen

Recep ModulatorT3 ospemifene OSPHENA QL

Pituitary Suppressive AgentsT1 cabergoline CABERGOLINET1 danazol DANAZOL

ENDOCRINE DISORDER - THYROIDAntithyroid PreparationsT1 methimazole METHIMAZOLET1 methimazole TAPAZOLET1 propylthiouracil PROPYLTHIOURACIL

Iodine Containing AgentsT1 potassium iodide SSKIT1 potassium

iodide/iodineSTRONG IODINE

Thyroid HormonesT1 levothyroxine

sodiumLEVOTHYROXINESODIUM

T2 levothyroxine sodium LEVOXYLT2 levothyroxine sodium SYNTHROIDT3 levothyroxine sodium TIROSINTT2 levothyroxine sodium UNITHROIDT1 liothyronine sodium CYTOMELT3 liotrix THYROLAR-1T3 liotrix THYROLAR-1/2T3 liotrix THYROLAR-1/4T3 liotrix THYROLAR-2T3 liotrix THYROLAR-3T2 thyroid,pork ARMOUR THYROIDT1 thyroid,pork NATURE-THROID

EYE - GENERAL DISORDERSEye Antibiotic-corticoid CombinationsT3 gentamicin/prednisol

acPRED-G

T1 neo/polymyx bsulf/dexameth

MAXITROL

T1 neomy sulf/bacitraczn/poly/hc

NEOMYCIN-BACITRACIN-POLY-HC

T1 neomycin sulfate/dexna ph

NEOMYCINW/DEXAMETHASONE

T3 tobramycin/dexamethasone

TOBRADEX ST

T1 tobramycin/dexamethasone

TOBRADEX(DROPSSUSP)

T2 tobramycin/dexamethasone

TOBRADEX(OINT)

T2 tobramycin/lotepredetab

ZYLET

Eye AntihistaminesT3 alcaftadine LASTACAFTT1 azelastine hcl OPTIVART3 bepotastine besilate BEPREVET3 emedastine difumarateEMADINET1 epinastine hcl ELESTATT2 olopatadine hcl PATADAYT2 olopatadine hcl PATANOL

Eye Anti-infectivesT3 povidone-iodine BETADINE

Eye Antiinflammatory AgentsT1 bromfenac sodium BROMFENAC

SODIUMT3 bromfenac sodium PROLENSAT3 dexamethasone MAXIDEXT3 dexamethasone sod

phosphateDECADRON

T1 dexamethasone sodphosphate

DEXAMETHASONESODIUMPHOSPHATE

T1 diclofenac sodium DICLOFENACSODIUM

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T2 difluprednate DUREZOLT1 fluorometholone FLUOROMETHOLON

ET2 fluorometholone FML FORTET2 fluorometholone FML S.O.P.T2 fluorometholone

acetateFLAREX

T1 flurbiprofen sodium OCUFENT1 ketorolac

tromethamineACULAR

T1 ketorolactromethamine

ACULAR LS

T3 ketorolactromethamine/pf

ACUVAIL

T2 loteprednol etabonate ALREXT2 loteprednol etabonate LOTEMAXT2 nepafenac ILEVROT2 nepafenac NEVANACT1 prednisolone acetate OMNIPREDT2 prednisolone acetate PRED MILDT1 prednisolone sod

phosphatePREDNISOLONESODIUMPHOSPHATE

T3 rimexolone VEXOL

Eye AntiviralsT2 ganciclovir ZIRGANT1 trifluridine VIROPTIC

Eye Local AnestheticsT1 benoxinate

hcl/fluorescein naFLURESS

T3 lidocaine hcl/pf AKTENT1 proparac

hcl/fluorescein naFLUCAINE

T1 proparacaine hcl PROPARACAINE HCLT1 proparacaine/fluores

cein sodFLUORESCEIN-PROPARACAINE

T1 tetracaine hcl TETCAINET3 tetracaine hcl TETRAVISCT3 tetracaine hcl TETRAVISC FORTET1 tetracaine hcl/pf TETRACAINE HCL

Eye SulfonamidesT3 na sulfacetm/prednis

spOPTIMYD

T1 na sulfacetm/prednissp

SULFALONE

T1 sulfacetamidesodium

SULFACETAMIDESODIUM

T1 sulfacetamide/prednisolone sp

SULFACETAMIDE-PREDNISOLONE

T2 sulfacetm na/prednisolac

BLEPHAMIDE

T2 sulfacetm na/prednisolac

BLEPHAMIDE S.O.P.

Eye VasoconstrictorsT1 naphazoline hcl NAPHAZOLINE HCLT1 naphazoline

hcl/antazolineNAPHAZOLINE HCLW/ANTAZOLINE

T1 phenylephrine hcl MYDFRIN

T1 phenylephrine hcl PHENYLEPHRINEHCL

Ophthalmic AntibioticsT3 azithromycin AZASITET1 bacitracin BACITRACINT1 bacitracin/polymyxin

b sulfateBACITRACIN-POLYMYXIN

T2 besifloxacin hcl BESIVANCET1 ciprofloxacin hcl CILOXAN(DROPS)T2 ciprofloxacin hcl CILOXAN(OINT)T1 erythromycin base ILOTYCINT1 gatifloxacin ZYMAXIDT1 gentamicin sulfate GARAMYCINT1 levofloxacin LEVOFLOXACINT2 moxifloxacin hcl MOXEZAT2 moxifloxacin hcl VIGAMOXT3 natamycin NATACYNT1 neomy

sulf/bacitra/polymyxin b

NEO-POLYCIN

T1 neomycin/polymyxnb/gramicidin

NEOSPORIN

T1 ofloxacin OCUFLOXT3 oxy-tcn hcl/polymyx b

sulfTERAK

T3 oxytetracycline/polymyx b sulf

TERRAMYCIN WITHPOLYMYXIN

T1 polymyxin bsulf/trimethoprim

POLYTRIM

T1 tobramycin TOBREX(DROPS)T2 tobramycin TOBREX(OINT)

Ophthalmic Anti-inflammatory

Immunomodulator-typeT2 cyclosporine RESTASIS QL

Ophthalmic Mast Cell StabilizersT1 cromolyn sodium CROMOLYN SODIUMT2 lodoxamide

tromethamineALOMIDE

T2 nedocromil sodium ALOCRIL

Ophthalmic Preparations, MiscellaneousT3 doxycycline/eyelid clns

no.2&3ALODOX

EYE - GLAUCOMACarbonic Anhydrase InhibitorsT1 acetazolamide ACETAZOLAMIDET1 acetazolamide DIAMOX SEQUELST1 methazolamide NEPTAZANE

Miotics/other Intraoc. Pressure ReducersT3 apraclonidine hcl IOPIDINE(DROPERET

TE)T1 apraclonidine hcl IOPIDINE(DROPS)T1 betaxolol hcl BETAXOLOL HCLT2 betaxolol hcl BETOPTIC ST2 bimatoprost LUMIGAN QL

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T2 brimonidine tartrate ALPHAGANP(DROPS)(0.1 %)

T1 brimonidine tartrate ALPHAGANP(DROPS)(0.15 %)

T1 brimonidine tartrate BRIMONIDINETARTRATE

T2 brimonidinetartrate/timolol

COMBIGAN

T2 brinzolamide AZOPTT2 brinzolamide/brimonid

tartSIMBRINZA

T2 carbachol ISOPTO CARBACHOLT1 carteolol hcl CARTEOLOL HCLT3 demecarium bromide HUMORSOLT1 dorzolamide hcl TRUSOPTT1 dorzolamide

hcl/timolol maleatCOSOPT

T3 dorzolamide/timolol/pf COSOPT PF QL, STT3 echothiophate iodide PHOSPHOLINE

IODIDET1 latanoprost XALATANT1 levobunolol hcl BETAGANT1 levobunolol hcl LEVOBUNOLOL HCLT1 metipranolol METIPRANOLOLT1 pilocarpine hcl ISOPTO

CARPINE(DROPS)(1%)

T1 pilocarpine hcl ISOPTOCARPINE(DROPS)(2%)

T1 pilocarpine hcl ISOPTOCARPINE(DROPS)(4%)

T3 pilocarpine hcl ISOPTOCARPINE(DROPS)(8%)

T1 pilocarpine hcl PILOCARPINE HCLT3 tafluprost/pf ZIOPTAN QL, STT2 timolol BETIMOLT3 timolol maleate ISTALOLT1 timolol maleate TIMOPTICT1 timolol maleate TIMOPTIC-XET3 timolol maleate/pf TIMOPTIC OCUDOSEQL, STT2 travoprost TRAVATAN Z QLT1 travoprost

(benzalkonium)TRAVOPROST QL

T3 unoprostone isopropyl RESCULA QL, ST

MydriaticsT1 atropine sulfate ATROPINE SULFATET1 atropine sulfate ISOPTO ATROPINET2 cyclopentolate hcl CYCLOGYL(DROPS)

(0.5 %)T1 cyclopentolate hcl CYCLOGYL(DROPS)

(1 %)T1 cyclopentolate hcl CYCLOGYL(DROPS)

(2 %)T3 cyclopentolate/phenyle

phrineCYCLOMYDRIL

T1 homatropine hbr HOMATROPAIRET3 hydroxyamphetamine/t

ropicamidePAREMYD

T3 scopolaminehydrobromide

ISOPTO HYOSCINE

T1 tropicamide MYDRIACYLT1 tropicamide TROPICAMIDE

Ophthalmic Antifibrotic AgentsT3 mitomycin MITOSOL

EYE - MISCELLANEOUSArtificial TearsT3 hydroxypropyl

celluloseLACRISERT

Eye Diagnostic AgentsT1 fluorescein sodium BIOGLOT3 fluorescein sodium FLUORETST3 fluorescein sodium FLUOR-I-STRIP ATT3 fluorescein sodium FUL-GLOT1 lissamine green GREEN GLOT3 oftascein

disod/benoxinate hclFLURA-SAFE

T1 rose bengal sodium ROSE GLO

Eye Preparations, MiscellaneousT3 gelatin GELFILM

Ophth Vasc. Endothelial Growth Factor

AntagonistsT4 aflibercept EYLEAT4 pegaptanib sodium MACUGEN

Ophth. Vegf-a Receptor Antag. Rcmb Mc

AntibodyT4 ranibizumab LUCENTIS

Ophthalmic Cystine Depleting AgentsT4 cysteamine hcl CYSTARAN PA

Topical Hypertrichotic Agents, EyelashesT3 bimatoprost LATISSE

GOUT AND RELATED DISEASESColchicineT2 colchicine COLCRYST1 colchicine/probeneci

dPROBENECID-COLCHICINE

Hyperuricemia Tx - Purine InhibitorsT1 allopurinol ZYLOPRIMT2 febuxostat ULORIC QL, ST

Uricosuric AgentsT1 probenecid PROBENECID

Commercial Formulary

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HEMATOLOGICAL DISORDERSAnticoagulants,coumarin TypeT2 warfarin sodium COUMADINT1 warfarin sodium WARFARIN SODIUM

Antifibrinolytic AgentsT1 aminocaproic acid AMINOCAPROIC

ACIDT1 tranexamic acid LYSTEDA

Antihemophilic FactorsT4 antihemoph.fviii

plas/alb freeADVATE

T4 antihemoph.fviiiplas/alb free

ADVATE H

T4 antihemoph.fviiiplas/alb free

ADVATE L

T4 antihemoph.fviiiplas/alb free

ADVATE M

T4 antihemoph.fviiiplas/alb free

ADVATE SH

T4 antihemoph.fviiiplas/alb free

ADVATE UH

T4 antihemoph.fviiiplas/alb free

XYNTHA

T4 antihemoph.fviiiplas/alb free

XYNTHA SOLOFUSE

T4 antihemophilic factor,hum rec

BIOCLATE

T4 antihemophilic factor,hum rec

HELIXATE FS

T4 antihemophilic factor,hum rec

KOGENATE FS

T4 antihemophilic factor,hum rec

RECOMBINATE

T4 antihemophilic factor,human

HEMOFIL M

T4 antihemophilic factor,human

KOATE-DVI

T4 antihemophilic factor,human

MONOCLATE-P

T4 antihemophilicfactor/vwf

ALPHANATE

T4 antihemophilicfactor/vwf

HUMATE-P

T4 antihemophilicfactor/vwf

WILATE

T4 anti-inhibitor coagulantcomp.

FEIBA NF

T4 anti-inhibitor coagulantcomp.

FEIBA VH IMMUNO

T4 coagulation factorviia,recomb

NOVOSEVEN

T4 coagulation factorviia,recomb

NOVOSEVEN RT

Antiporphyria FactorsT4 hemin PANHEMATIN

Blood Factors,miscellaneousT4 factor xiii CORIFACT

Citrates As AnticoagulantsT1 citrate phosphate

dextros solnCITRATEPHOSPHATEDEXTROSE

T3 dextrose/sodcitrate/citric ac

ACD

T1 sodium citrate SODIUM CITRATE

Direct Factor Xa InhibitorsT2 apixaban ELIQUIS QLT2 rivaroxaban XARELTO(TAB)(10

MG)QL

T2 rivaroxaban XARELTO(TAB)(15MG)

QL

T2 rivaroxaban XARELTO(TAB)(20MG)

QL

Factor Ix PreparationsT4 factor ix ALPHANINE SDT4 factor ix MONONINET4 factor ix complex

humanBEBULIN

T4 factor ix complexhuman

PROFILNINE SD

T4 factor ix humanrecombinant

BENEFIX

T4 factor ix humanrecombinant

RIXUBIS

T4 factor ix rec, fc fusionprotn

ALPROLIX

Factor Xiii PreparationsT4 factor xiii a-

subunit,recombTRETTEN

Hematinics,otherT4 darbepoetin alfa in

polysorbatARANESP PA

T4 epoetin alfa EPOGEN PAT4 epoetin alfa PROCRIT PA

Hemorrheologic AgentsT1 pentoxifylline PENTOXIFYLLINE

Heparin And Related PreparationsT4 dalteparin

sodium,porcineFRAGMIN(SYRINGE)(10000/ML)

QL

T4 dalteparinsodium,porcine

FRAGMIN(SYRINGE)(12500/0.5)

QL

T4 dalteparinsodium,porcine

FRAGMIN(SYRINGE)(15000/0.6)

QL

T4 dalteparinsodium,porcine

FRAGMIN(SYRINGE)(18000/0.72)

QL

T4 dalteparinsodium,porcine

FRAGMIN(SYRINGE)(2500/0.2ML)

QL

T4 dalteparinsodium,porcine

FRAGMIN(SYRINGE)(5000/0.2ML)

QL

Commercial Formulary

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T4 dalteparinsodium,porcine

FRAGMIN(SYRINGE)(7500/0.3ML)

QL

T4 dalteparinsodium,porcine

FRAGMIN(VIAL) QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(100 MG/ML)

QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(120MG/.8ML)

QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(150 MG/ML)

QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(30MG/0.3ML)

QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(40MG/0.4ML)

QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(60MG/0.6ML)

QL

T4 enoxaparin sodium LOVENOX(SYRINGE)(80MG/0.8ML)

QL

T4 enoxaparin sodium LOVENOX(VIAL) QLT4 fondaparinux sodiumARIXTRA(SYRINGE)

(10MG/0.8ML)QL

T4 fondaparinux sodiumARIXTRA(SYRINGE)(2.5 MG/0.5)

QL

T4 fondaparinux sodiumARIXTRA(SYRINGE)(5MG/0.4ML)

QL

T4 fondaparinux sodiumARIXTRA(SYRINGE)(7.5MG/0.6)

QL

T1 heparin sod,porcine-0.9 % nacl

HEPARIN FLUSH

T1 heparin sod,pork in0.45% nacl

HEPARIN SODIUM IN0.45% NACL

T1 heparinsodium,porcine

HEPARIN SODIUM

T1 heparinsodium,porcine/d5w

HEPARIN SODIUM-D5W

T1 heparinsodium,porcine/ns

HEP-PAK CVC

T1 heparinsodium,porcine/ns/pf

HEPARIN SODIUM-NS

T1 heparinsodium,porcine/pf

HEPARIN FLUSH

T1 heparinsodium,porcine/pf

MONOJECT PREFILLADVANCED

Human Monoclonal Antibody

Complement(c5) InhibitorT4 eculizumab SOLIRIS PA

Leukocyte (wbc) StimulantsT4 filgrastim NEUPOGEN PAT4 pegfilgrastim NEULASTA PAT4 sargramostim LEUKINE PAT4 tbo-filgrastim GRANIX PA

Platelet Aggregation InhibitorsT4 abciximab REOPROT3 aspirin/dipyridamole AGGRENOXT1 cilostazol PLETALT1 clopidogrel bisulfate PLAVIXT1 dipyridamole DIPYRIDAMOLET1 dipyridamole PERSANTINE

T4 eptifibatide INTEGRILINT2 prasugrel hcl EFFIENT QLT2 ticagrelor BRILINTA QLT1 ticlopidine hcl TICLOPIDINE HCLT4 tirofiban-0.9% sodium

chlorideAGGRASTAT

Platelet Proliferation StimulantsT4 oprelvekin NEUMEGA

Platelet Reducing AgentsT1 anagrelide hcl AGRYLINT1 anagrelide hcl ANAGRELIDE HCL

Protein C PreparationsT4 protein c concentrate,

humanCEPROTIN

Sickle Cell Anemia AgentsT3 hydroxyurea DROXIA

Thrombin Inhibitors,sel.,direct,&rev.-hirudin

TypeT4 bivalirudin ANGIOMAXT4 desirudin IPRIVASK PA, QLT4 lepirudin,recombinant REFLUDAN

Thrombin Inhibitors,selective,direct, &

ReversibleT4 argatroban ARGATROBANT4 argatroban in 0.9 %

sod chlorARGATROBAN-SODIUM CHLORIDE

T4 argatroban in nacl,iso-osmotic

ARGATROBAN-SODIUM CHLORIDE

T3 dabigatran etexilatemesylate

PRADAXA PA, QL

Thrombopoietin Receptor AgonistsT4 eltrombopag olamine PROMACTA PAT4 romiplostim NPLATE

Topical HemostaticsT3 cellulose,oxidized OXYCELT3 ferric subsulfate ASTRINGYNT3 fibrinogen/thrombin

(hum plas)TACHOSIL

T3 gelatinsponge,absorbable

GELFOAM

T3 gelatinsponge,absorbable

GELFOAM PACKS

T3 microfibrillar collagen AVITENET3 microfibrillar collagen ENDO-AVITENET3 microfibrillar collagen SYRINGE AVITENET3 microfibrillar collagen ULTRAFOAMT1 thrombin (bovine) THROMBIN-JMIT3 thrombin

(recombinant)RECOTHROM

T3 thrombin(humplas)/fib/apro/ca

TISSEEL VHSD

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T1 thrombin/fibrinogen/apro/cal

HEMASEELAPR(KIT)(1 ML)

T3 thrombin/fibrinogen/apro/cal

HEMASEELAPR(KIT)(2 ML)

T1 thrombin/fibrinogen/apro/cal

HEMASEELAPR(KIT)(5ML)

Vitamin K PreparationsT1 phytonadione AQUA-MEPHYTONT2 phytonadione MEPHYTON

HORMONAL DEFICIENCYAndrogenic AgentsT1 fluoxymesterone ANDROXY QLT2 methyltestosterone ANDROIDT2 methyltestosterone METHITESTT2 methyltestosterone TESTREDT1 oxandrolone OXANDRINT3 oxymetholone ANADROL-50T3 testosterone ANDRODERMT2 testosterone ANDROGEL PAT2 testosterone AXIRON PAT3 testosterone FORTESTA PAT3 testosterone STRIANT PAT3 testosterone TESTIM PAT2 testosterone cypionate DEPO-

TESTOSTERONE(VIAL)(100 MG/ML)

PA

T1 testosteronecypionate

DEPO-TESTOSTERONE(VIAL)(200 MG/ML)

PA

T1 testosteronecypionate

TESTOSTERONECYPIONATE

PA

T2 testosterone enanthateDELATESTRYL(SYRINGE)

PA

T1 testosteroneenanthate

DELATESTRYL(VIAL) PA

T3 testosteronepropionate

FIRST-TESTOSTERONE

T3 testosteronepropionate

FIRST-TESTOSTERONE MC

Estrogen & Progestin With

Antimineralocorticoid CbT3 drospirenone/estradiol ANGELIQ

Estrogen & Selective Estrogen Recept

Mod(serm)combT2 estrogens,conj/bazedo

xifeneDUAVEE

Estrogen/androgen CombinationsT1 estrogen,ester/me-

testosteroneESTROGEN &METHYLTESTOSTERONE

Estrogenic AgentsT2 estradiol ALORA QLT1 estradiol CLIMARA QL

T3 estradiol DIVIGELT3 estradiol ELESTRINT1 estradiol ESTRACET3 estradiol ESTRASORBT3 estradiol ESTROGELT3 estradiol EVAMISTT3 estradiol MENOSTAR QLT2 estradiol MINIVELLE QLT2 estradiol VIVELLE-DOT QLT3 estradiol/levonorgestre

lCLIMARA PRO QL

T1 estradiol/norethindrone acet

ACTIVELLA

T2 estradiol/norethindroneacet

COMBIPATCH QL

T1 estradiol/norethindrone acet

ESTRADIOL-NORETHINDRONEACETAT

T3 estradiol/norgestimate PREFESTT2 estrogen,con/m-

progest acetPREMPHASE

T2 estrogen,con/m-progest acet

PREMPRO

T2 estrogens, conjugated PREMARINT3 estrogens,conj.,synthet

ic aCENESTIN

T3 estrogens,conj.,synthetic b

ENJUVIA

T2 estrogens,esterified MENESTT1 estropipate OGENT2 norethind ac/ethinyl

estradiolFEMHRT

T1 norethind ac/ethinylestradiol

JINTELI

Progestational AgentsT4 hydroxyprogesterone

caproateMAKENA

T1 medroxyprogesterone acet

MEDROXYPROGESTERONE ACETATE

T1 medroxyprogesterone acetate

PROVERA

T1 norethindroneacetate

AYGESTIN

T1 progesterone PROGESTERONET3 progesterone,microniz

edCRINONE

T1 progesterone,micronized

PROMETRIUM

IMMUNIZATIONAntiseraT4 immune glob,gam

caprylate(igg)GAMMAKED PA

T4 immune glob,gamcaprylate(igg)

GAMUNEX

T4 immune glob,gamcaprylate(igg)

GAMUNEX-C PA

T4 immuneglobulin,g(igg)/maltose

OCTAGAM

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T4 immuneglobulin,gamma(igg)

BIVIGAM

T4 immuneglobulin,gamma(igg)

CARIMUNE NFNANOFILTERED

T4 immuneglobulin,gamma(igg)

FLEBOGAMMA

T4 immuneglobulin,gamma(igg)

FLEBOGAMMA DIF

T4 immuneglobulin,gamma(igg)

GAMASTAN S-D

T4 immuneglobulin,gamma(igg)

GAMMAGARD LIQUIDPA

T4 immuneglobulin,gamma(igg)

GAMMAGARD S-D

T4 immuneglobulin,gamma(igg)

GAMMAPLEX

T4 immuneglobulin,gamma(igg)

HIZENTRA PA

T4 immuneglobulin,gamma(igg)

PRIVIGEN

T4 lymphocyte immuglob.,rabbit

THYMOGLOBULIN

T4 lymphocyte immuneglobulin

ATGAM

Enteric Virus VaccinesT3 rotavirus vac,live att,

89-12ROTARIX

T3 rotavirus vaccine,liveoral pv

ROTATEQ

Gram (-) Bacilli (non-enteric) VaccinesT3 typhoid

vacc,live,attenuatedVIVOTIF BERNA

Influenza Virus VaccinesT3 flu vacc ts 2013 (18-

64yrs)/pfFLUZONEINTRADERMAL 2013-2014

T3 flu vaccine qval2013(2-49yrs)

FLUMIST

IMMUNOSUPPRESSION/MODULATIONImmunomodulatorsT4 aldesleukin PROLEUKINT1 imiquimod ALDARA PA, QLT3 imiquimod ZYCLARA(CREAM

PACK)PA, QL

T3 imiquimod ZYCLARA(CRM MDPMP)(2.5 %)

PA, QL

T3 imiquimod ZYCLARA(CRM MDPMP)(3.75 %)

PA, QL

T4 interferon alfa-2b,recomb.

INTRON A PA

T4 interferon alfa-n3 ALFERON NT4 interferon gamma-

1b,recomb.ACTIMMUNE

Immunosupp - Monoclonal Ab Inhibiting T

Lymph FxnT4 basiliximab SIMULECT

ImmunosuppressivesT3 azathioprine AZASANT1 azathioprine IMURANT4 belatacept NULOJIXT4 cyclosporine CYCLOSPORINET4 cyclosporine SANDIMMUNET4 cyclosporine,

modifiedCYCLOSPORINEMODIFIED

T4 cyclosporine, modified NEORALT4 everolimus ZORTRESST1 mycophenolate

mofetilCELLCEPT(CAP)

T2 mycophenolate mofetil CELLCEPT(SUSPRECON)

T1 mycophenolatemofetil

CELLCEPT(TAB)

T4 mycophenolate mofetilhcl

CELLCEPT

T1 mycophenolatesodium

MYCOPHENOLICACID

T4 sirolimus RAPAMUNET4 tacrolimus ASTAGRAF XLT4 tacrolimus HECORIAT4 tacrolimus PROGRAF

INFECTIOUS DISEASE - BACTERIALAbsorbable SulfonamidesT1 sulfamethoxazole/tri

methoprimBACTRIM

T1 sulfamethoxazole/trimethoprim

SULFAMETHOXAZOLE-TRIMETHOPRIM

BetalactamsT4 aztreonam lysine CAYSTON PA

CephalosporinsT1 cephalexin

monohydrateCEPHALEXIN

Cephalosporins - 1st GenerationT1 cefadroxil hydrate CEFADROXILT1 cephalexin CEPHALEXINT1 cephalexin KEFLEX

Cephalosporins - 2nd GenerationT1 cefaclor CEFACLORT1 cefprozil CEFPROZILT2 cefuroxime axetil CEFTIN(SUSP

RECON)T1 cefuroxime axetil CEFTIN(TAB)

Cephalosporins - 3rd GenerationT1 cefdinir CEFDINIRT2 cefixime SUPRAX

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T1 cefpodoxime proxetil CEFPODOXIMEPROXETIL

T1 ceftibuten dihydrate CEDAX(CAP)T1 ceftibuten dihydrate CEDAX(SUSP

RECON)(180MG/5ML)

T3 ceftibuten dihydrate CEDAX(SUSPRECON)(90 MG/5 ML)

Chemotherapeutics, Antibacterial, Misc.T3 fosfomycin

tromethamineMONUROL

T3 methen/m-blue/sal/naphos/hyos

URELLE

T1 methen/m-blue/sal/naphos/hyos

UTA

T1 methen/sodphos/meth blue/hyos

URYL

T1 methenam/meblue/ba/salicy/hyo

HYOPHEN

T2 methenam/meblue/ba/salicy/hyo

PROSED-DS

T1 methenaminehippurate

HIPREX

T1 methenaminemandelate

METHENAMINEMANDELATE

T2 mth/me blue/sodphos/phen/hyos

PHOSPHASAL

T1 mth/me blue/sodphos/phen/hyos

UR N-C

T2 mth/me blue/sodphos/phen/hyos

URETRON D-S

T3 mth/me blue/sodphos/phen/hyos

URIBEL

T2 mth/me blue/sodphos/phen/hyos

URIN D.S.

T2 trimethoprim PRIMSOLT1 trimethoprim TRIMETHOPRIM

KetolidesT2 telithromycin KETEK

MacrolidesT1 azithromycin ZITHROMAXT1 azithromycin ZITHROMAX TRI-PAKT2 azithromycin ZMAXT1 clarithromycin BIAXINT1 clarithromycin CLARITHROMYCINT1 ery e-

succ/sulfisoxazoleERYTHROMYCIN-SULFISOXAZOLE

T2 erythromycin base ERY-TABT1 erythromycin base ERYTHROMYCINT2 erythromycin base PCET2 erythromycin

ethylsuccinateE.E.S. 200

T2 erythromycinethylsuccinate

ERYPED 200

T2 erythromycinethylsuccinate

ERYPED 400

T1 erythromycinethylsuccinate

ERYTHROMYCINETHYLSUCCINATE

T1 erythromycinstearate

ERYTHROCINSTEARATE

T2 fidaxomicin DIFICID QL, ST

Nitrofuran DerivativesT1 nitrofurantoin FURADANTINT1 nitrofurantoin

macrocrystalMACRODANTIN(CAP)(100 MG)

T2 nitrofurantoinmacrocrystal

MACRODANTIN(CAP)(25 MG)

T1 nitrofurantoinmacrocrystal

MACRODANTIN(CAP)(50 MG)

T1 nitrofurantoinmonohyd/m-cryst

MACROBID

OxazolidinonesT2 linezolid ZYVOX PA

PenicillinsT1 amoxicillin AMOXICILLINT1 amoxicillin AMOXILT3 amoxicillin MOXATAGT1 amoxicillin trihydrate AMOXICILLINT1 amoxicillin/potassiu

m clavAMOX TR-POTASSIUMCLAVULANATE

T1 amoxicillin/potassium clav

AUGMENTIN ES-600

T2 amoxicillin/potassiumclav

AUGMENTIN(SUSPRECON)(125-31.25/)

T1 amoxicillin/potassium clav

AUGMENTIN(SUSPRECON)(250-62.5/5)

T1 amoxicillin/potassium clav

AUGMENTIN(TAB)

T1 ampicillin trihydrate AMPICILLINTRIHYDRATE

T1 dicloxacillin sodium DICLOXACILLINSODIUM

T3 oxacillin sodium BACTOCILLT1 penicillin v

potassiumPENICILLIN VPOTASSIUM

QuinolonesT2 ciprofloxacin CIPROT1 ciprofloxacin hcl CIPROT1 ciprofloxacin hcl CIPROFLOXACIN

HCLT1 ciprofloxacin/ciproflo

xa hclCIPRO XR

T3 gemifloxacin mesylate FACTIVET1 levofloxacin LEVAQUINT1 levofloxacin LEVOFLOXACINT3 lomefloxacin hcl MAXAQUINT1 moxifloxacin hcl AVELOXT1 nalidixic acid NALIDIXIC ACIDT3 nalidixic acid NEGGRAMT3 norfloxacin NOROXINT1 ofloxacin OFLOXACIN

TetracyclinesT1 demeclocycline hcl DEMECLOCYCLINE

HCL

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T2 doxycycline calcium VIBRAMYCINT1 doxycycline hyclate DORYX(TAB DR)(150

MG)T3 doxycycline hyclate DORYX(TAB DR)(200

MG)QL, ST

T1 doxycycline hyclate DOXYCYCLINEHYCLATE

T1 doxycycline hyclate MORGIDOXT1 doxycycline hyclate VIBRAMYCINT3 doxycycline

monohy/skin clnsr9ADOXA CK

T3 doxycyclinemonohy/skin clnsr9

ADOXA TT

T1 doxycyclinemonohydrate

ADOXA

T1 doxycyclinemonohydrate

ADOXA PAK QL, ST

T1 doxycyclinemonohydrate

AVIDOXY

T1 doxycyclinemonohydrate

MONODOX

T3 doxycyclinemonohydrate

ORACEA AGE,QL, ST

T1 doxycyclinemonohydrate

VIBRAMYCIN

T3 doxycycline/salicy/oct/zinc ox

AVIDOXY DK

T3 doxycycline/skincleanser #19

MORGIDOX

T1 minocycline hcl DYNACINT1 minocycline hcl MINOCINT1 minocycline hcl MINOCYCLINE

HCL(TAB ER 24H)AGE,QL

T1 minocycline hcl MINOCYCLINEHCL(TAB)

T3 minocycline hcl SOLODYN AGE,QL, ST

T3 minocycline hcl/skin clno.4

MINOCIN

T1 tetracycline hcl ALA-TETT1 tetracycline hcl TETRACYCLINE HCL

INFECTIOUS DISEASE - FUNGALAntifungal AgentsT1 clotrimazole CLOTRIMAZOLET1 fluconazole DIFLUCANT1 flucytosine ANCOBONT3 itraconazole ONMELT1 itraconazole SPORANOX(CAP)T2 itraconazole SPORANOX(SOLUTI

ON)T1 ketoconazole KETOCONAZOLET3 miconazole ORAVIGT3 posaconazole NOXAFILT2 terbinafine hcl LAMISIL(GRAN

PACK)T1 terbinafine hcl LAMISIL(TAB)T3 terbinafine/hydroxy

chitosanTERBINEX

T1 triacetin TRIACETINT1 voriconazole VFEND

Antifungal AntibioticsT1 griseofulvin

ultramicrosizeGRIS-PEG

T3 griseofulvin, microsize FULVICIN U/FT1 griseofulvin,

microsizeGRIFULVIN V

T1 griseofulvin,microsize

GRISEOFULVIN

T1 nystatin NYSTATIN

Antifungal-antibiotic-steroid-antihistamine

CombT3 nystatin/tcn/hc/diphenh

ydraminFIRST-MARY'S

Antifungal-anti-inflammatory Steroid-

antihistamineT3 nystatin/hydrocortisone

/diphenFIRST-DUKE'S

Antifungal-local Anesthetic-antihistamine

CombT3 nystatin/lidocaine/diph

enhydFIRST-BXN

INFECTIOUS DISEASE -

MISCELLANEOUSAminoglycosidesT1 neomycin sulfate NEOMYCIN SULFATET4 tobramycin BETHKIS PAT4 tobramycin TOBI PODHALER PAT4 tobramycin in 0.225%

naclTOBI PA

Antibacterial Agents,miscellaneousT1 glycine GLYCINET3 urologic solution-g IRRIGATING

SOLUTION GT1 urologic solution-g UROLOGIC

SOLUTION G(IRRIGSOLN)(3.24G-380)

T3 urologic solution-g UROLOGICSOLUTION G(IRRIGSOLN)(3.24G-380)

AntileproticsT1 dapsone DAPSONET4 thalidomide THALOMID PA, QL

Anti-mycobacterium AgentsT3 aminosalicylic acid PASERT1 ethambutol hcl ETHAMBUTOL HCLT1 ethambutol hcl MYAMBUTOLT3 ethionamide TRECATORT1 isoniazid ISONIAZIDT1 pyrazinamide PYRAZINAMIDE

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T1 rifabutin MYCOBUTIN

Antitubercular AntibioticsT4 bedaquiline fumarate SIRTURO PAT1 cycloserine CYCLOSERINET3 rifamp/isoniazid/pyrazi

namideRIFATER

T1 rifampin RIFADINT2 rifampin/isoniazid RIFAMATET3 rifapentine PRIFTIN

LincosamidesT1 clindamycin hcl CLEOCIN HCLT1 clindamycin

palmitate hclCLINDAMYCINPALMITATE HCL

Rifamycins And Related Derivative

AntibioticsT3 rifaximin XIFAXAN(TAB)(200

MG)T2 rifaximin XIFAXAN(TAB)(550

MG)QL, ST

Vancomycin And DerivativesT1 vancomycin hcl VANCOCIN HCL QL

INFECTIOUS DISEASE - PARASITIC2nd Gen. Anaerobic Antiprotozoal-

antibacterialT1 tinidazole TINDAMAX

AmebacidesT2 iodoquinol YODOXINT1 paromomycin sulfate PAROMOMYCIN

SULFATE

Anaerobic Antiprotozoal-antibacterial

AgentsT2 metronidazole FLAGYL ERT1 metronidazole METRONIDAZOLE

AnthelminticsT3 albendazole ALBENZAT3 ivermectin STROMECTOLT2 praziquantel BILTRICIDE

Antimalarial DrugsT3 artemether/lumefantrin

eCOARTEM

T1 atovaquone/proguanil hcl

MALARONE

T1 chloroquinephosphate

ARALENPHOSPHATE

T1 chloroquinephosphate

CHLOROQUINEPHOSPHATE

T3 halofantrine hcl HALFANT1 hydroxychloroquine

sulfatePLAQUENIL

T1 mefloquine hcl MEFLOQUINE HCLT2 primaquine phosphate PRIMAQUINET2 pyrimethamine DARAPRIMT1 quinine sulfate QUALAQUINT1 quinine sulfate QUININE SULFATE

Antiprotozoal Drugs,miscellaneousT1 atovaquone ATOVAQUONET2 pentamidine

isethionateNEBUPENT

INFECTIOUS DISEASE - VIRALAntiviral Monoclonal AntibodiesT4 palivizumab SYNAGIS PA

Antivirals, GeneralT1 acyclovir ZOVIRAXT1 famciclovir FAMVIRT2 oseltamivir phosphate TAMIFLU(CAP)(30

MG)QL

T2 oseltamivir phosphate TAMIFLU(CAP)(45MG)

QL

T2 oseltamivir phosphate TAMIFLU(CAP)(75MG)

QL

T2 oseltamivir phosphate TAMIFLU(SUSPRECON)

QL

T2 ribavirin VIRAZOLET1 rimantadine hcl FLUMADINET1 valacyclovir hcl VALTREXT3 valganciclovir hcl VALCYTET3 zanamivir RELENZA QL

Antivirals, Hiv-spec, Non-peptidic Protease

InhibT4 darunavir ethanolate PREZISTA(ORAL

SUSP)QL

T4 darunavir ethanolate PREZISTA(TAB)(150MG)

QL

T4 darunavir ethanolate PREZISTA(TAB)(400MG)

QL

T4 darunavir ethanolate PREZISTA(TAB)(600MG)

QL

T4 darunavir ethanolate PREZISTA(TAB)(75MG)

QL

T4 darunavir ethanolate PREZISTA(TAB)(800MG)

QL

T4 tipranavir APTIVUS PAT4 tipranavir/vitamin e

tpgsAPTIVUS PA

Antivirals, Hiv-spec, Nucleoside-nucleotide

AnalogT4 emtricitabine/tenofovir TRUVADA QL

Antivirals, Hiv-spec., Nucleoside Analog, Rti

CombT4 abacavir

sulfate/lamivudineEPZICOM QL

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T4 abacavir/lamivudine/zidovudine

TRIZIVIR PA

T4 lamivudine/zidovudine

COMBIVIR QL

Antivirals, Hiv-specific, Ccr5 Co-receptor

Antag.T4 maraviroc SELZENTRY PA

Antivirals, Hiv-specific, Fusion InhibitorsT4 enfuvirtide FUZEON QL, ST

Antivirals, Hiv-specific, Non-nucleoside, RtiT2 delavirdine mesylate RESCRIPTORT4 efavirenz SUSTIVAT4 etravirine INTELENCE PAT2 nevirapine VIRAMUNE XRT1 nevirapine VIRAMUNE(ORAL

SUSP)QL

T1 nevirapine VIRAMUNE(TAB) QLT4 rilpivirine hcl EDURANT PA

Antivirals, Hiv-specific, Nucleoside Analog,

RtiT4 abacavir sulfate ZIAGEN(SOLUTION) QLT4 abacavir sulfate ZIAGEN(TAB) QLT2 didanosine VIDEX QLT1 didanosine VIDEX EC(CAP

DR)(125 MG)QL

T1 didanosine VIDEX EC(CAPDR)(200 MG)

QL

T1 didanosine VIDEX EC(CAPDR)(250 MG)

T1 didanosine VIDEX EC(CAPDR)(400 MG)

T2 emtricitabine EMTRIVA(CAP) QLT2 emtricitabine EMTRIVA(SOLUTION)QLT2 lamivudine EPIVIR(SOLUTION) QLT1 lamivudine EPIVIR(TAB)(150 MG) QLT1 lamivudine EPIVIR(TAB)(300 MG) QLT1 stavudine ZERIT(CAP) QLT1 stavudine ZERIT(SOLN RECON)QLT1 zidovudine RETROVIR(CAP) QLT1 zidovudine RETROVIR(SYRUP) QLT1 zidovudine ZIDOVUDINE QL

Antivirals, Hiv-specific, Nucleotide Analog,

RtiT4 tenofovir disoproxil

fumarateVIREAD(POWDER) QL

T4 tenofovir disoproxilfumarate

VIREAD(TAB) QL

Antivirals, Hiv-specific, Protease Inhibitor

CombT4 lopinavir/ritonavir KALETRA(SOLUTIO

N)QL

T4 lopinavir/ritonavir KALETRA(TAB)(100MG-25MG)

QL

T4 lopinavir/ritonavir KALETRA(TAB)(200MG-50MG)

QL

Antivirals, Hiv-specific, Protease InhibitorsT4 atazanavir sulfate REYATAZT4 fosamprenavir calcium LEXIVA PAT2 indinavir sulfate CRIXIVANT4 nelfinavir mesylate VIRACEPTT4 ritonavir NORVIR QLT4 saquinavir mesylate INVIRASE(CAP) QL, STT4 saquinavir mesylate INVIRASE(TAB) QL, ST

Antivirals,hiv-1 Integrase Strand Transfer

InhibtrT4 dolutegravir sodium TIVICAY PAT4 raltegravir potassium ISENTRESS

Artv Cmb Nucleoside,nucleotide,&non-

nucleoside RtiT4 efavirenz/emtricitab/te

nofovirATRIPLA QL

T4 emtricitab/rilpivirine/tenofov

COMPLERA PA

Arv Cmb-nrti,n(t)rti, Integrase InhibitorT4 elvitegr/cobicist/emtric/

tenofSTRIBILD QL

Hep C Virus,nucleotide Analog Ns5b

Polymerase InhT4 sofosbuvir SOVALDI PA

Hepatitis B Treatment AgentsT4 adefovir dipivoxil HEPSERAT4 entecavir BARACLUDET2 lamivudine EPIVIR HBVT1 lamivudine LAMIVUDINE HBVT4 telbivudine TYZEKA

Hepatitis C Treatment AgentsT4 interferon alfacon-1 INFERGENT4 peginterferon alfa-2a PEGASYS PAT4 peginterferon alfa-2a PEGASYS PROCLICKPAT4 peginterferon alfa-2b PEGINTRON PAT4 peginterferon alfa-2b PEGINTRON

REDIPENPA

T1 ribavirin COPEGUST1 ribavirin REBETOL(CAP)T2 ribavirin REBETOL(SOLUTIO

N)

Hepatitis C Virus Ns3/4a Serine Protease

Inhib.T4 boceprevir VICTRELIS PAT4 simeprevir sodium OLYSIO PAT4 telaprevir INCIVEK PA

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INFLAMMATORY DISEASEAnti-arthritic And Chelating AgentsT2 penicillamine CUPRIMINET2 penicillamine DEPEN

Anti-arthritic, Folate Antagonist AgentsT1 methotrexate sodiumMETHOTREXATET4 methotrexate/pf OTREXUP QL, ST

Anti-flam. Interleukin-1 Receptor AntagonistT4 anakinra KINERET PAT4 rilonacept ARCALYST

Anti-inflammatory Tumor Necrosis Factor

InhibitorT4 adalimumab HUMIRA PAT4 etanercept ENBREL PAT4 golimumab SIMPONI PAT4 golimumab SIMPONI ARIA PA

Anti-inflammatory, Interleukin-1 Beta

BlockersT4 canakinumab/pf ILARIS

Anti-inflammatory, Pyrimidine Synthesis

InhibitorT1 leflunomide ARAVA

Anti-inflammatory,phosphodiesterase-

4(pde4) Inhib.T4 apremilast OTEZLA PA

Antinflammatory, Sel.costim.mod.,t-cell

InhibitorT4 abatacept ORENCIA PAT4 abatacept/maltose ORENCIA

Bradykinin B2 Receptor AntagonistsT4 icatibant acetate FIRAZYR PA

C1 Esterase InhibitorsT4 c1 esterase inhibitor BERINERT PAT4 c1 esterase inhibitor CINRYZE PA

GlucocorticoidsT1 budesonide ENTOCORT ECT3 budesonide UCERIS STT1 cortisone acetate CORTISONE

ACETATET1 dexamethasone DEXAMETHASONET3 dexamethasone DEXAMETHASONE

INTENSOLT3 dexamethasone DEXPAKT1 hydrocortisone CORTEFT1 methylprednisolone MEDROL(TAB DS PK)

T1 methylprednisolone MEDROL(TAB)(16MG)

T2 methylprednisolone MEDROL(TAB)(2 MG)T1 methylprednisolone MEDROL(TAB)(32

MG)T1 methylprednisolone MEDROL(TAB)(4 MG)T1 methylprednisolone MEDROL(TAB)(8 MG)T1 methylprednisolone METHYLPREDNISOL

ONET2 prednisolone MILLIPREDT2 prednisolone MILLIPRED DPT1 prednisolone PREDNISOLONET3 prednisolone acetate FLO-PREDT3 prednisolone sod

phosphateMILLIPRED

T1 prednisolone sodphosphate

ORAPRED

T3 prednisolone sodphosphate

ORAPRED ODT

T1 prednisolone sodphosphate

PEDIAPRED

T1 prednisolone sodphosphate

PREDNISOLONESODIUMPHOSPHATE

T3 prednisolone sodphosphate

VERIPRED 20

T1 prednisone PREDNISONET2 prednisone PREDNISONE

INTENSOLT3 prednisone RAYOS STT3 triamcinolone diacetateARISTOCORT

Gold SaltsT3 auranofin RIDAURA

Interleukin-6 (il-6) Receptor InhibitorsT4 tocilizumab ACTEMRA PA

Janus Kinase (jak) InhibitorsT4 tofacitinib citrate XELJANZ PA

MineralocorticoidsT1 fludrocortisone

acetateFLUDROCORTISONEACETATE

Monoclonal Antibody-human Interleukin

12/23 InhibT4 ustekinumab STELARA PA

Nasal Nsaids, Cox Non-selective,systemic

AnalgesicT3 ketorolac

tromethamineSPRIX QL

Nsaid & Histamine H2 Receptor Antagonist

Comb.T3 ibuprofen/famotidine DUEXIS QL, ST

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Nsaid, Cox Inhibitor-type & Proton Pump

Inhib CombT2 naproxen/esomeprazol

e magVIMOVO ST

Nsaids (cox Non-specific Inhib)&

Prostaglandin CmbT1 diclofenac

sodium/misoprostolARTHROTEC 50

T1 diclofenacsodium/misoprostol

ARTHROTEC 75

Nsaids, Cyclooxygenase 2 Inhibitor - TypeT2 celecoxib CELEBREX AGE,

ST

Nsaids, Cyclooxygenase Inhibitor-typeT1 diclofenac potassiumCATAFLAMT3 diclofenac potassium ZIPSORT1 diclofenac sodium DICLOFENAC

SODIUMT1 diclofenac sodium VOLTAREN-XRT3 diclofenac

submicronizedZORVOLEX QL, ST

T1 etodolac ETODOLACT1 fenoprofen calcium FENOPROFEN

CALCIUMT2 fenoprofen calcium NALFONT1 flurbiprofen ANSAIDT1 flurbiprofen FLURBIPROFENT1 ibuprofen IBUPROFENT2 indomethacin INDOCINT1 indomethacin INDOMETHACINT1 ketoprofen KETOPROFENT1 ketorolac

tromethamineKETOROLACTROMETHAMINE

T1 ketorolactromethamine

TORADOL(CARTRIDGE)(15 MG/ML)

T3 ketorolactromethamine

TORADOL(CARTRIDGE)(15 MG/ML)

T3 ketorolactromethamine

TORADOL(CARTRIDGE)(30 MG/ML)

T1 meclofenamatesodium

MECLOFENAMATESODIUM

T1 mefenamic acid PONSTELT1 meloxicam MOBICT1 nabumetone NABUMETONET1 naproxen EC-NAPROSYNT1 naproxen NAPROSYNT1 naproxen NAPROXENT1 naproxen sodium ANAPROXT1 naproxen sodium ANAPROX DST3 naproxen sodium NAPRELANT1 oxaprozin DAYPROT1 phenylbutazone PHENYLBUTAZONET1 piroxicam FELDENET1 piroxicam PIROXICAMT1 sulindac SULINDACT1 tolmetin sodium TOLMETIN SODIUM

Plasma Kallikrein InhibitorsT4 ecallantide KALBITOR PA

UnknownT3 ibuprofen/irr cnt-irrit

cmb #2COMFORT PAC-IBUPROFEN

T3 meloxicam/irr cntr-irrcmb #2

COMFORT PAC-MELOXICAM

T3 naproxen/irr cntr-irritcmb #2

COMFORT PAC-NAPROXEN

LOCAL ANESTHESIALocal AnestheticsT3 b-caine/zinc

cl/pine/cpyrdBUCALSEP

T1 lidocaine hcl LIDOCAINE HCLVISCOUS

LOWER GASTROINTESTINAL

DISORDERS - BOWEL INFLAMMATBowel Antiinflamatory AgentsT1 sulfadiazine SULFADIAZINET1 sulfamethoxazole/tri

methoprimSULFATRIM

T1 sulfasalazine SULFASALAZINE

Chronic Inflam. Colon Dx, 5-a-salicylat,rectal

TxT2 mesalamine CANASAT1 mesalamine SFROWASAT1 mesalamine

w/cleansing wipesROWASA

Drug Tx-chronic Inflam. Colon Dx,5-

aminosalicylatT1 balsalazide disodium COLAZALT3 balsalazide disodium GIAZO STT2 mesalamine APRISOT3 mesalamine ASACOL HD STT3 mesalamine DELZICOL STT3 mesalamine LIALDA STT3 mesalamine PENTASA STT3 olsalazine sodium DIPENTUM ST

Drugs To Tx Chronic Inflamm. Disease Of

ColonT4 certolizumab pegol CIMZIA PAT4 infliximab REMICADE PA

Hemorrhoidal Prep, Anti-infam Steroid/local

AnesthT1 hydrocort/pramoxin/e

mol/pram#1ANALPRAM E

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T1 hydrocortisoneac/lidocaine

LIDOCAINE-HYDROCORTISONE

T1 hydrocortisone/lidocaine/aloe

LIDOCAINE-HYDROCORTISONE

T2 hydrocortisone/pramoxine

ANALPRAM HC

T1 hydrocortisone/pramoxine

HYDROCORTISONE-PRAMOXINE

T1 hydrocortisone/pramoxine

PRAMCORT

T3 hydrocortisone/pramoxine

PROCORT

T2 hydrocortisone/pramoxine

PROCTOFOAM-HC

Irritable Bowel Agents,guanylate Cylase-c

AgonistT2 linaclotide LINZESS QL

Local Anorectal Nitrate PreparationsT3 nitroglycerin RECTIV

Rectal PreparationsT1 hydrocortisone PROCTOZONE-HCT1 hydrocortisone

acetateHYDROCORTISONEACETATE

T1 hydrocortisoneacetate

PROCTOCORT

Rectal/lower Bowel Prep.,glucocort.T1 hydrocortisone CORTENEMAT3 hydrocortisone acetate CORTIFOAM

LOWER GASTROINTESTINAL

DISORDERS - OTHERAmmonia InhibitorsT3 acetohydroxamic acid LITHOSTATT4 carglumic acid CARBAGLUT4 glycerol phenylbutyrateRAVICTI PAT1 lactulose GENERLACT3 sodium benzoate/na

ph-acetateUCEPHAN

T4 sodium phenylbutyrate BUPHENYL

Antidiarrheal - G.i. Chloride Channel

InhibitorsT3 crofelemer FULYZAQ QL, ST

AntidiarrhealsT3 difenoxin hcl/atropine

sulfateMOTOFEN

T1 diphenoxylatehcl/atropine

DIPHENOXYLATE-ATROPINE

T1 diphenoxylatehcl/atropine

LOMOTIL

T1 loperamide hcl LOPERAMIDET1 opium tincture OPIUM TINCTURET1 paregoric PAREGORIC

Bile SaltsT3 chenodiol CHENODALT1 ursodiol ACTIGALLT1 ursodiol URSOT1 ursodiol URSO FORTE

Irritable Bowel Synd. Agent,5ht-3

Antagonist-typeT3 alosetron hcl LOTRONEX

Laxatives And CatharticsT2 lactulose KRISTALOSET1 lactulose LACTULOSET2 lubiprostone AMITIZA QLT3 naphos m-b m-h/na

phos,di-baOSMOPREP

T3 peg 3350/nasulf,bicarb,cl/kcl

COLYTE WITHFLAVOR PACKS

T1 peg 3350/nasulf,bicarb,cl/kcl

GAVILYTE-C

T2 peg 3350/nasulf,bicarb,cl/kcl

GOLYTELY

T3 peg 3350-bowel 2,twopart prep

SUCLEAR

T3 peg3350/sodsul/nacl/asb/c/kcl

MOVIPREP

T1 polyethylene glycol3350

POLYETHYLENEGLYCOL 3350

T3 sod picosulf/magox/citric ac

PREPOPIK

T1 sodiumchloride/nahco3/kcl/peg

GAVILYTE-N

T3 sodium,potassium,&mag sulfates

SUPREP

Narcotic Antagonists, Peripherally-actingT3 alvimopan ENTEREGT2 methylnaltrexone

bromideRELISTOR PA

Sbs - Glucagon-like Peptide-2 (glp-2)

AnalogsT4 teduglutide GATTEX PA

MISCELLANEOUS AGENTSAnaphylaxis Therapy AgentsT1 epinephrine ADRENACLICKT3 epinephrine AUVI-Q STT2 epinephrine EPIPEN 2-PAKT2 epinephrine EPIPEN JR 2-PAK

Miscellaneous AgentsT3 liver extract (non-vit) NEXAVIR

Parasympathetic AgentsT1 bethanechol chloride URECHOLINET1 cevimeline hcl EVOXAC

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T1 guanidine hcl GUANIDINE HCLT1 pilocarpine hcl SALAGEN

Systemic Enzyme InhibitorsT4 alpha-1-proteinase

inhibitorARALAST NP

T4 alpha-1-proteinaseinhibitor

GLASSIA

T4 alpha-1-proteinaseinhibitor

PROLASTIN C

T4 alpha-1-proteinaseinhibitor

ZEMAIRA

NEOPLASTIC DISEASEAlkylating AgentsT4 altretamine HEXALENT4 bendamustine hcl TREANDAT4 busulfan BUSULFEXT4 busulfan MYLERANT4 carboplatin CARBOPLATINT4 carmustine BICNUT4 carmustine in

polifeprosan 20GLIADEL

T4 chlorambucil LEUKERANT4 cisplatin CISPLATINT4 cyclophosphamide CYCLOPHOSPHAMID

ET1 hydroxyurea HYDREAT4 ifosfamide IFEXT4 ifosfamide IFOSFAMIDET4 ifosfamide/mesna IFOSFAMIDE-MESNAT4 lomustine LOMUSTINET4 mechlorethamine hcl MUSTARGENT2 melphalan ALKERANT4 melphalan hcl ALKERANT4 oxaliplatin ELOXATINT4 oxaliplatin OXALIPLATINT4 temozolomide TEMODAR PAT4 thiotepa THIOTEPA

Antiandrogenic AgentsT4 abiraterone acetate ZYTIGA PA, QLT1 bicalutamide BICALUTAMIDET1 bicalutamide CASODEXT4 enzalutamide XTANDI PA, QLT1 flutamide FLUTAMIDET4 nilutamide NILANDRON QL

Antibiotic AntineoplasticsT4 bleomycin sulfate BLEOMYCIN

SULFATET4 dactinomycin COSMEGENT4 daunorubicin citrate

liposomalDAUNOXOME

T4 daunorubicin hcl CERUBIDINET4 daunorubicin hcl DAUNORUBICIN HCLT4 doxorubicin hcl peg-

liposomalDOXORUBICIN HCLLIPOSOME

T4 epirubicin hcl ELLENCET4 epirubicin hcl EPIRUBICIN HCLT4 idarubicin hcl IDAMYCIN PFS

T4 mitomycin MITOMYCINT4 plicamycin MITHRACINT4 streptozocin ZANOSART4 valrubicin VALSTAR

Anti-cd20 (b Lymphocyte) Monoclonal

AntibodyT4 obinutuzumab GAZYVA PAT4 ofatumumab ARZERRA PAT4 rituximab RITUXAN PA

AntimetabolitesT4 azacitidine VIDAZAT4 capecitabine XELODA(TAB)(150

MG)PA, QL

T4 capecitabine XELODA(TAB)(500MG)

PA, QL

T4 cladribine CLADRIBINET4 clofarabine CLOLART4 cytarabine CYTARABINET4 cytarabine liposome/pf DEPOCYTT4 cytarabine/pf CYTARABINET4 decitabine DACOGENT4 floxuridine FUDRT4 fludarabine

phosphateFLUDARABINEPHOSPHATE

T4 gemcitabine hcl GEMCITABINE HCLT4 gemcitabine hcl GEMZART1 mercaptopurine PURINETHOLT1 methotrexate sodiumMETHOTREXATET2 methotrexate sodium TREXALLT1 methotrexate

sodium/pfMETHOTREXATESODIUM

T4 nelarabine ARRANONT4 pemetrexed disodium ALIMTA PAT4 pentostatin NIPENTT4 pralatrexate FOLOTYNT4 thioguanine TABLOID

Antineoplast Egf Receptor Blocker Rcmb Mc

AntibodyT4 cetuximab ERBITUX PAT4 panitumumab VECTIBIX PAT4 pertuzumab PERJETA PAT4 trastuzumab HERCEPTIN PA

Antineoplast Hum Vegf Inhibitor Recomb Mc

AntibodyT4 bevacizumab AVASTIN PA

Antineoplastic Aromatase InhibitorsT1 anastrozole ARIMIDEXT1 exemestane AROMASIN PAT1 letrozole FEMARA

Antineoplastic - Epothilones And AnalogsT4 ixabepilone IXEMPRA PA

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Antineoplastic - Halichondrin B AnalogsT4 eribulin mesylate HALAVEN PA

Antineoplastic - Hedgehog Pathway InhibitorT4 vismodegib ERIVEDGE PA, QL

Antineoplastic - Immunotherapy,

Therapeutic VacT4 sipuleucel-t/lactated

ringersPROVENGE

Antineoplastic - Janus Kinase (jak) InhibitorsT4 ruxolitinib phosphate JAKAFI PA, QL

Antineoplastic - Mtor Kinase InhibitorsT4 everolimus AFINITOR DISPERZ PAT4 everolimus AFINITOR(TAB)(10

MG)PA, QL

T4 everolimus AFINITOR(TAB)(2.5MG)

PA, QL

T4 everolimus AFINITOR(TAB)(5 MG)PA, QLT4 everolimus AFINITOR(TAB)(7.5

MG)PA

T4 temsirolimus TORISEL PA

Antineoplastic - Topoisomerase I InhibitorsT4 irinotecan hcl CAMPTOSART4 irinotecan hcl IRINOTECAN HCLT4 topotecan hcl HYCAMTINT4 topotecan hcl TOPOTECAN HCL

Antineoplastic - Vegf-a,b & P1gf InhibitorT4 ziv-aflibercept ZALTRAP PA

Antineoplastic - Vegfr AntagonistT4 ramucirumab CYRAMZA PA

Antineoplastic Antibody/radioactive-drug

ComplexesT4 tositumomab iodine-

131/maltoseBEXXAR

Antineoplastic Immunomodulator AgentsT4 lenalidomide REVLIMID PA, QLT4 peginterferon alfa-2b SYLATRON PA, QLT4 peginterferon alfa-2b SYLATRON 4-PACK PA, QLT4 pomalidomide POMALYST PA

Antineoplastic Lhrh(gnrh)

Antagonist,pituit.supprsT4 degarelix acetate FIRMAGON(VIAL)(120

MG)QL

T4 degarelix acetate FIRMAGON(VIAL)(80MG)

QL

Antineoplastic Systemic Enzyme InhibitorsT4 afatinib dimaleate GILOTRIF PAT4 axitinib INLYTA(TAB)(1 MG) PA, QL

T4 axitinib INLYTA(TAB)(5 MG) PA, QLT4 bortezomib VELCADE PAT4 bosutinib BOSULIF(TAB)(100

MG)PA, QL

T4 bosutinib BOSULIF(TAB)(500MG)

PA, QL

T4 cabozantinib s-malate COMETRIQ PA, QLT4 carfilzomib KYPROLIS PAT4 ceritinib ZYKADIA PAT4 crizotinib XALKORI PA, QLT4 dabrafenib mesylate TAFINLAR PAT4 dasatinib SPRYCEL(TAB)(100

MG)PA, QL

T4 dasatinib SPRYCEL(TAB)(140MG)

PA, QL

T4 dasatinib SPRYCEL(TAB)(20MG)

PA, QL

T4 dasatinib SPRYCEL(TAB)(50MG)

PA, QL

T4 dasatinib SPRYCEL(TAB)(70MG)

PA, QL

T4 dasatinib SPRYCEL(TAB)(80MG)

PA, QL

T4 erlotinib hcl TARCEVA PA, QLT4 ibrutinib IMBRUVICA PAT4 imatinib mesylate GLEEVEC PA, QLT4 lapatinib ditosylate TYKERB PAT4 nilotinib hcl TASIGNA PA, QLT4 pazopanib hcl VOTRIENT PA, QLT4 ponatinib hcl ICLUSIG(TAB)(15 MG)PA, QLT4 ponatinib hcl ICLUSIG(TAB)(45 MG)PA, QLT4 regorafenib STIVARGA PA, QLT4 sorafenib tosylate NEXAVAR PA, QLT4 sunitinib malate SUTENT PA, QLT4 trametinib dimethyl

sulfoxideMEKINIST PA

T4 vandetanib CAPRELSA(TAB)(100MG)

PA, QL

T4 vandetanib CAPRELSA(TAB)(300MG)

PA, QL

T4 vemurafenib ZELBORAF PA, QL

Antineoplastic,histone Deacetylase

Inhibitors,hdisT4 romidepsin ISTODAX PAT4 vorinostat ZOLINZA

Antineoplastics Antibody/antibody-drug

ComplexesT4 ado-trastuzumab

emtansineKADCYLA PA

T4 brentuximab vedotin ADCETRIS PAT4 kit for y-

90/ibritumomab/albumZEVALIN

T4 tositumomab (withmaltose)

BEXXAR

Antineoplastics,miscellaneousT4 arsenic trioxide TRISENOXT4 asparaginase ELSPAR PA

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T4 asparaginase (erwiniachrysan)

ERWINAZE PA

T4 cabazitaxel JEVTANAT4 docetaxel DOCEFREZT4 docetaxel DOCETAXELT4 docetaxel TAXOTERET1 etoposide ETOPOSIDET4 mitotane LYSODRENT4 mitoxantrone hcl MITOXANTRONE

HCLPA

T4 omacetaxinemepesuccinate

SYNRIBO PA

T4 paclitaxel PACLITAXELT4 paclitaxel protein-

boundABRAXANE PA

T4 pegaspargase ONCASPAR PAT4 procarbazine hcl MATULANET4 teniposide TENIPOSIDET4 tretinoin TRETINOIN

Chemotherapy Rescue/antidote AgentsT4 glucarpidase VORAXAZET1 leucovorin calcium LEUCOVORIN

CALCIUMT3 mesna MESNEX

Cytotoxic T-lymphocyte Antigen(ctla-4)rmc

AntibodyT4 ipilimumab YERVOY PA

Intrapleural Sclerosing Agents, Antineoplast.

Adj.T3 talc SCLEROSOLT1 talc STERILE TALC

Photoactivated, Antineoplastic AgentsT4 porfimer sodium PHOTOFRIN PA

Photoactivated, Antineopls. & Premalignant

LesionsT3 aminolevulinic acid hcl LEVULAN

Selective Estrogen Receptor ModulatorsT4 fulvestrant FASLODEX PAT2 tamoxifen citrate SOLTAMOXT1 tamoxifen citrate TAMOXIFEN CITRATET4 toremifene citrate FARESTON PA

Selective Retinoid X Receptor AgonistsT4 bexarotene TARGRETIN PA

Steroid AntineoplasticsT4 estramustine

phosphate sodiumEMCYT

T1 megestrol acetate MEGESTROLACETATE

Vinca AlkaloidsT4 vinblastine sulfate VINBLASTINE

SULFATET4 vincristine sulfate

liposomalMARQIBO PA

T4 vinorelbine tartrate NAVELBINE

NEUROLOGICAL DISEASE -

MISCELLANEOUSAgents To Treat Multiple SclerosisT4 dimethyl fumarate TECFIDERA PAT4 fingolimod hcl GILENYA PAT4 glatiramer acetate COPAXONE PAT4 interferon beta-1a AVONEX PAT4 interferon beta-1a AVONEX PEN PAT4 interferon beta-

1a/albuminAVONEXADMINISTRATIONPACK

PA

T4 interferon beta-1a/albumin

REBIF PA

T4 interferon beta-1a/albumin

REBIF REBIDOSE PA

T4 interferon beta-1b BETASERON PAT4 interferon beta-1b EXTAVIA PAT4 teriflunomide AUBAGIO PA

Agts Tx Neuromusc Transmission Dis,pot-

chan BlkrT4 dalfampridine AMPYRA PA

Amyotrophic Lateral Sclerosis AgentsT4 riluzole RILUTEK

Fibromyalgia Agents,serotonin-norepineph

Ru InhibT2 milnacipran hcl SAVELLA

Leukocyte Adhesion Inhib,alpha4-mediat

Igg4k Mc AbT4 natalizumab TYSABRI PA

Movement DisordersT3 gabapentin enacarbil HORIZANT(TAB

ER)(300 MG)QL, ST

T3 gabapentin enacarbil HORIZANT(TABER)(600 MG)

QL, ST

T4 tetrabenazine XENAZINE

Postherpetic Neuralgia AgentsT3 gabapentin GRALISE(TAB ER

24H)(300 MG)QL, ST

T3 gabapentin GRALISE(TAB ER24H)(300-600 MG)

QL, ST

T3 gabapentin GRALISE(TAB ER24H)(600 MG)

QL, ST

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Pseudobulbar Affect (pba) Agents, Nmda

AntagonistsT3 dextromethorphan

hbr/quinidineNUEDEXTA PA

ORAL/PHARYNGEAL DISORDERSDental Aids And PreparationsT1 chlorhexidine

gluconateCHLORHEXIDINEGLUCONATE

T1 triamcinoloneacetonide

TRIAMCINOLONEACETONIDE

T3 zinc cl/b-caine/cetylpyrd cl

BUCALCIDE

Keratinocyte Growth FactorT4 palifermin KEPIVANCE

Nose Preparations AntibioticsT2 mupirocin calcium BACTROBAN NASAL

Nose Preparations, MiscellaneousT1 ipratropium bromide ATROVENT

Periodontal Tetracycline Antiinfective, LocalT3 minocycline hcl

microspheresARESTIN

OTHER RESPIRATORY DISORDERSCystic Fib.transmemb

Conduct.reg.(cftr)potentiatorT4 ivacaftor KALYDECO PA

Lung SurfactantsT3 beractant SURVANTAT3 calfactant INFASURFT3 lucinactant SURFAXINT3 poractant alfa CUROSURF

MucolyticsT1 acetylcysteine ACETYLCYSTEINET4 dornase alfa PULMOZYME PA

PAIN MANAGEMENT - ANALGESICSAnalgesic, Non-salicylate & Barbiturate

Comb.T1 butalbital/acetaminop

henACETAMINOPHEN-BUTALBITAL

T3 butalbital/acetaminophen

BUPAP

T2 butalbital/acetaminophen

PHRENILIN FORTE

Analgesic, Salicylate, Barbiturate,& Xanthine

CmbT1 butalbital/aspirin/caff

eineBUTALBITAL-ASPIRIN-CAFFEINE

T1 butalbital/aspirin/caffeine

FIORINAL

Analgesic,non-

salicylate,barbiturate,&xanthine CmbT1 acetaminophen/caffei

ne/butalbAMERICET

T1 butalb/acetaminophen/caffeine

BUTALBITAL-ACETAMINOPHEN-CAFFE

T3 butalb/acetaminophen/caffeine

DOLGIC PLUS

T3 butalb/acetaminophen/caffeine

ESGIC-PLUS(CAP)

T1 butalb/acetaminophen/caffeine

ESGIC-PLUS(TAB)

T1 butalb/acetaminophen/caffeine

FIORICET

Analgesic/antipyretics, SalicylatesT3 asa/salicylam/acetami

noph/caffLEVACET

T1 aspirin ASPIRIN ECT5 aspirin ASPIRIN EC(OTC) AGET1 choline sal/mag

salicylateCHOLINE MAGTRISALICYLATE

T1 diflunisal DIFLUNISALT3 magnesium salicylate MAGANT1 sal-

amide/acetaminophn/p-tlox

ASP

T1 sal-amide/acetaminophn/p-tlox

DOLOREX

T1 salsalate SALSALATE

Analgesics, Narcotic Agonist And Nsaid

CombinationT1 hydrocodone/ibuprof

enVICOPROFEN

T1 ibuprofen/oxycodonehcl

OXYCODONE HCL-IBUPROFEN

Analgesics, Non-narcoticsT1 clonidine hcl/pf CLONIDINE HCL

Analgesics,narcoticsT2 buprenorphine BUTRANS QLT1 butorphanol tartrate BUTORPHANOL

TARTRATET1 codeine sulfate CODEINE SULFATET1 codeine/carisoprodol

/aspirinCARISOPRODOL-ASPIRIN-CODEINE

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T1 dhcodeinebt/acetaminophn/caff

TREZIX

T1 dihydrocodeine/aspirin/caffein

SYNALGOS-DC

T1 fentanyl DURAGESIC QLT3 fentanyl SUBSYS PAT3 fentanyl citrate ABSTRAL PAT1 fentanyl citrate ACTIQ PAT3 fentanyl citrate FENTORA PAT3 fentanyl citrate LAZANDA PAT3 fentanyl citrate ONSOLIS PAT3 hydrocodone bitartrate ZOHYDRO ERT1 hydrocodone/acetam

inophenHYCET QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(SOLUTION)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(10-660MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-325MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-325MG)

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500 MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-325MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-325MG)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-750MG)

QL

T1 hydrocodone/acetaminophen

LORCET 10-650 QL

T1 hydrocodone/acetaminophen

LORCET PLUS QL

T1 hydrocodone/acetaminophen

LORTAB QL

T1 hydrocodone/acetaminophen

MAXIDONE QL

T2 hydrocodone/acetaminophen

STAGESIC-10 QL

T3 hydrocodone/acetaminophen

ZAMICET QL

T2 hydrocodone/acetaminophen

ZYDONE QL

T1 hydromorphone hcl DILAUDID

T3 hydromorphone hcl EXALGOT1 hydromorphone hcl HYDROMORPHONE

HCLT1 hydromorphone

hcl/pfDILAUDID

T1 hydromorphonehcl/pf

DILAUDID-HP(AMPUL)

T3 hydromorphone hcl/pf DILAUDID-HP(VIAL)T1 hydromorphone

hcl/pfHYDROMORPHONEHCL

T1 levorphanol tartrate LEVORPHANOLTARTRATE

T1 meperidine hcl MEPERIDINE HCLT3 meperidine hcl/pf DEMEROLT1 meperidine hcl/pf MEPERIDINE HCLT1 methadone hcl DOLOPHINE HCLT1 methadone hcl METHADONE HCLT1 morphine sulfate AVINZAT3 morphine sulfate KADIAN(CAP ER

PEL)(10 MG)T1 morphine sulfate KADIAN(CAP ER

PEL)(100 MG)T3 morphine sulfate KADIAN(CAP ER

PEL)(130 MG)T3 morphine sulfate KADIAN(CAP ER

PEL)(150 MG)T1 morphine sulfate KADIAN(CAP ER

PEL)(20 MG)T3 morphine sulfate KADIAN(CAP ER

PEL)(200 MG)T1 morphine sulfate KADIAN(CAP ER

PEL)(30 MG)T3 morphine sulfate KADIAN(CAP ER

PEL)(40 MG)T1 morphine sulfate KADIAN(CAP ER

PEL)(50 MG)T1 morphine sulfate KADIAN(CAP ER

PEL)(60 MG)T3 morphine sulfate KADIAN(CAP ER

PEL)(70 MG)T1 morphine sulfate KADIAN(CAP ER

PEL)(80 MG)T3 morphine sulfate MORPHINE SULFATET1 morphine sulfate MS CONTINT3 morphine sulfate

liposomal/pfDEPODUR

T1 morphine sulfate/pf MORPHINE SULFATET1 nalbuphine hcl NALBUPHINE HCLT1 opium/belladonna

alkaloidsBELLADONNA-OPIUM

T3 oxycodone hcl OXECTAT1 oxycodone hcl OXYCODONE HCLT2 oxycodone hcl OXYCONTINT1 oxycodone hcl ROXICODONET3 oxycodone

hcl/acetaminophenMAGNACET QL

T1 oxycodonehcl/acetaminophen

OXYCODONE-ACETAMINOPHEN

QL

T1 oxycodonehcl/acetaminophen

PERCOCET QL

T3 oxycodonehcl/acetaminophen

PRIMLEV QL

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T3 oxycodonehcl/acetaminophen

XARTEMIS XR

T1 oxycodonehcl/aspirin

PERCODAN

T3 oxymorphone hcl NUMORPHANT3 oxymorphone hcl OPANA ERT3 oxymorphone hcl OPANA(AMPUL)T1 oxymorphone hcl OPANA(TAB)T1 pentazocine

hcl/acetaminophenPENTAZOCINE-ACETAMINOPHEN

T1 pentazocinehcl/naloxone hcl

PENTAZOCINE-NALOXONE HCL

T3 pentazocine lactate TALWINT2 tapentadol hcl NUCYNTA QLT2 tapentadol hcl NUCYNTA ER QLT3 tramadol hcl CONZIP QL, STT1 tramadol hcl ULTRAMT1 tramadol

hcl/acetaminophenULTRACET

Antimigraine PreparationsT3 almotriptan malate AXERT QL, STT3 diclofenac potassium CAMBIA QLT1 dihydroergotamine

mesylateD.H.E.45 QL

T1 dihydroergotaminemesylate

DIHYDROERGOTAMINE MESYLATE

T1 dihydroergotaminemesylate

MIGRANAL QL

T3 eletriptan hbr RELPAX QL, STT3 ergotamine tartrate ERGOMAR QLT2 ergotamine

tartrate/caffeineCAFERGOT QL

T1 ergotaminetartrate/caffeine

MIGERGOT QL

T3 frovatriptan succinate FROVA QL, STT1 isomethept/dichlphn/

acetaminopISOMETHEPT-DICHLORALP-ACETAMIN

T1 isomethepten/caf/acetaminophen

PRODRIN

T1 naratriptan hcl AMERGE QLT1 rizatriptan benzoate MAXALT QLT1 rizatriptan benzoate MAXALT MLT QLT1 sumatriptan IMITREX QLT3 sumatriptan

succ/naproxen sodTREXIMET QL, ST

T3 sumatriptan succinate ALSUMA QLT1 sumatriptan

succinateIMITREX(CARTRIDGE)

QL

T1 sumatriptansuccinate

IMITREX(PENINJCTR)

QL

T1 sumatriptansuccinate

IMITREX(TAB) QL

T1 sumatriptansuccinate

IMITREX(VIAL) QL

T1 sumatriptansuccinate

SUMATRIPTANSUCCINATE

QL

T3 sumatriptan succinate SUMAVEL DOSEPRO QL, STT2 zolmitriptan ZOMIG(SPRAY)(2.5

MG)QL, ST

T2 zolmitriptan ZOMIG(SPRAY)(5MG)

QL, ST

T1 zolmitriptan ZOMIG(TAB) QL, ST

Narc.& Non-sal.analgesic,barbiturate

&xanthine CmbT1 butalbit/acetamin/caff

/codeineFIORICET WITHCODEINE

Narcotic & Salicylate Analgesics, Barb.&

XanthineT1 codeine/butalbital/as

a/caffeinFIORINAL WITHCODEINE #3

Narcotic Analgesic & Non-salicylate

Analgesic CombT1 acetaminophen with

codeineACETAMINOPHEN-CODEINE

T2 acetaminophen withcodeine

CAPITAL W-CODEINE

T1 acetaminophen withcodeine

TYLENOL-CODEINENO.3

T1 acetaminophen withcodeine

TYLENOL-CODEINENO.4

T1 codeinephos/acetaminophen

ACETAMINOPHENW/CODEINE

Narcotic Withdrawal Therapy AgentsT3 buprenorphine hcl BUPRENEXT1 buprenorphine hcl BUPRENORPHINE

HCLT1 buprenorphine

hcl/naloxone hclBUPRENORPHINE-NALOXONE

PA

T3 buprenorphinehcl/naloxone hcl

SUBOXONE PA

T2 buprenorphinehcl/naloxone hcl

ZUBSOLV PA

PARKINSONS DISEASEAntiparkinsonism Drugs,anticholinergicT1 benztropine mesylateBENZTROPINE

MESYLATET1 trihexyphenidyl hcl TRIHEXYPHENIDYL

HCL

Antiparkinsonism Drugs,otherT1 amantadine hcl AMANTADINET4 apomorphine hcl APOKYN PA, QLT1 bromocriptine

mesylatePARLODEL

T1 carbidopa/levodopa PARCOPAT1 carbidopa/levodopa SINEMET 10-100T1 carbidopa/levodopa SINEMET 25-100T1 carbidopa/levodopa SINEMET 25-250T1 carbidopa/levodopa/e

ntacaponeSTALEVO 100

T1 carbidopa/levodopa/entacapone

STALEVO 125

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T1 carbidopa/levodopa/entacapone

STALEVO 150

T1 carbidopa/levodopa/entacapone

STALEVO 200

T1 carbidopa/levodopa/entacapone

STALEVO 50

T1 carbidopa/levodopa/entacapone

STALEVO 75

T1 entacapone COMTANT1 pramipexole di-hcl MIRAPEXT3 pramipexole di-hcl MIRAPEX ER QL, STT2 rasagiline mesylate AZILECT QLT1 ropinirole hcl REQUIPT1 ropinirole hcl REQUIP XL QL, STT2 rotigotine NEUPRO QL, STT1 selegiline hcl ELDEPRYLT1 selegiline hcl SELEGILINE HCLT3 selegiline hcl ZELAPAR QLT3 tolcapone TASMAR QL, ST

Decarboxylase InhibitorsT1 carbidopa CARBIDOPA

SEIZURE DISORDERAnticonvulsantsT1 carbamazepine CARBAMAZEPINET1 carbamazepine CARBATROLT1 carbamazepine TEGRETOLT2 carbamazepine TEGRETOL XRT3 clobazam ONFI(ORAL SUSP) QL, STT3 clobazam ONFI(TAB) QL, STT1 clonazepam CLONAZEPAMT1 clonazepam KLONOPINT1 diazepam DIASTAT QLT2 diazepam DIASTAT

ACUDIAL(KIT)(12.5-15-20)

QL

T1 diazepam DIASTATACUDIAL(KIT)(5-7.5-10MG)

QL

T1 diazepam DIAZEPAMT1 divalproex sodium DEPAKOTE ERT3 eslicarbazepine

acetateAPTIOM

T1 ethosuximide ZARONTINT3 ethotoin PEGANONET3 ezogabine POTIGA(TAB)(200

MG)QL, ST

T3 ezogabine POTIGA(TAB)(300MG)

QL, ST

T3 ezogabine POTIGA(TAB)(400MG)

QL, ST

T3 ezogabine POTIGA(TAB)(50 MG) QL, STT1 felbamate FELBATOL(ORAL

SUSP)QL, ST

T1 felbamate FELBATOL(TAB)(400MG)

QL, ST

T1 felbamate FELBATOL(TAB)(600MG)

QL, ST

T3 gabapentin FANATREXT1 gabapentin GABAPENTIN

T1 gabapentin NEURONTINT3 lacosamide VIMPAT(SOLUTION)T3 lacosamide VIMPAT(TAB) QL, STT1 lamotrigine LAMICTALT1 lamotrigine LAMICTAL (BLUE)T2 lamotrigine LAMICTAL (GREEN)T2 lamotrigine LAMICTAL (ORANGE)T3 lamotrigine LAMICTAL ODT

(BLUE)ST

T3 lamotrigine LAMICTAL ODT(GREEN)

ST

T3 lamotrigine LAMICTAL ODT(ORANGE)

ST

T3 lamotrigine LAMICTAL ODT(TABRDP DIS)(100 MG)

QL, ST

T3 lamotrigine LAMICTAL ODT(TABRDP DIS)(200 MG)

QL, ST

T3 lamotrigine LAMICTAL ODT(TABRDP DIS)(25 MG)

QL, ST

T3 lamotrigine LAMICTAL ODT(TABRDP DIS)(50 MG)

QL, ST

T3 lamotrigine LAMICTAL XR (BLUE) STT3 lamotrigine LAMICTAL XR

(GREEN)ST

T3 lamotrigine LAMICTAL XR(ORANGE)

ST

T1 levetiracetam KEPPRAT1 levetiracetam LEVETIRACETAMT3 methsuximide CELONTINT1 oxcarbazepine OXCARBAZEPINET3 oxcarbazepine OXTELLAR XR(TAB

ER 24H)(150 MG)QL, ST

T3 oxcarbazepine OXTELLAR XR(TABER 24H)(300 MG)

QL, ST

T3 oxcarbazepine OXTELLAR XR(TABER 24H)(600 MG)

QL, ST

T2 oxcarbazepine TRILEPTAL(ORALSUSP)

T1 oxcarbazepine TRILEPTAL(TAB)T3 perampanel FYCOMPA(TAB)(10

MG)QL, ST

T3 perampanel FYCOMPA(TAB)(12MG)

QL, ST

T3 perampanel FYCOMPA(TAB)(2MG)

QL, ST

T3 perampanel FYCOMPA(TAB)(4MG)

QL, ST

T3 perampanel FYCOMPA(TAB)(6MG)

QL, ST

T3 perampanel FYCOMPA(TAB)(8MG)

QL, ST

T1 phenytoin DILANTINT2 phenytoin DILANTIN-125T1 phenytoin PHENYTOINT2 phenytoin sodium

extendedDILANTIN

T2 phenytoin sodiumextended

PHENYTEK

T1 phenytoin sodiumextended

PHENYTOIN SODIUMEXTENDED

T2 pregabalin LYRICAT1 primidone MYSOLINE

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T3 rufinamide BANZEL(ORAL SUSP)QL, STT3 rufinamide BANZEL(TAB)(200

MG)QL, ST

T3 rufinamide BANZEL(TAB)(400MG)

QL, ST

T3 tiagabine hcl GABITRIL(TAB)(12MG)

QL, ST

T3 tiagabine hcl GABITRIL(TAB)(16MG)

QL, ST

T1 tiagabine hcl GABITRIL(TAB)(2 MG)QL, STT1 tiagabine hcl GABITRIL(TAB)(4 MG)QL, STT1 topiramate TOPAMAXT3 topiramate TROKENDI XR(CAP

ER 24H)(100 MG)QL, ST

T3 topiramate TROKENDI XR(CAPER 24H)(200 MG)

QL, ST

T3 topiramate TROKENDI XR(CAPER 24H)(25 MG)

QL, ST

T3 topiramate TROKENDI XR(CAPER 24H)(50 MG)

QL, ST

T1 valproic acid DEPAKENET3 valproic acid STAVZOR STT1 valproic acid VALPROIC ACIDT1 valproic acid (as

sodium salt)DEPAKENE

T3 vigabatrin SABRIL QLT1 zonisamide ZONEGRANT1 zonisamide ZONISAMIDE

SKELETAL MUSCLE DISORDERSkeletal Muscle RelaxantsT1 baclofen BACLOFENT1 carisoprodol SOMAT1 carisoprodol/aspirin CARISOPRODOL-

ASPIRINT3 chlorzoxazone LORZONET1 chlorzoxazone PARAFON FORTE

DSCT1 chlorzoxazone/aceta

minophenCHLORZOXAZONEW/ACETAMINOPHEN

T3 cyclobenzaprine hcl AMRIXT1 cyclobenzaprine hcl CYCLOBENZAPRINE

HCLT1 cyclobenzaprine hcl FEXMIDT1 dantrolene sodium DANTRIUMT1 metaxalone SKELAXINT1 methocarbamol ROBAXINT1 methocarbamol ROBAXIN-750T1 orphenadrine citrate ORPHENADRINE

CITRATET1 orphenadrine/aspirin/

caffeineORPHENADRINECOMPOUND FORTE

T1 tizanidine hcl TIZANIDINE HCLT1 tizanidine hcl ZANAFLEX

UnknownT3 cyclobenz hcl/irr cntr-

irr cb2COMFORT PAC-CYCLOBENZAPRINE

T3 tizanidine/irr cntr-irrcmb #2

COMFORT PAC-TIZANIDINE

SMOKING CESSATIONSmoking Deterrent AgentsT3 nicotine NICOTROL QLT3 nicotine NICOTROL NS QL

Smoking Deterrent-nicotinic Recept.partial

AgonistT3 varenicline tartrate CHANTIX QL

Smoking Deterrents, OtherT1 bupropion hcl BUPROBAN

UPPER GASTROINTESTINAL

DISORDERS - DIGESTIVEGastric EnzymesT4 sacrosidase SUCRAID PA

Pancreatic EnzymesT2 lipase/protease/amylas

eCREON

T3 lipase/protease/amylase

PANCREAZE

T3 lipase/protease/amylase

PERTZYE

T2 lipase/protease/amylase

ULTRASE

T2 lipase/protease/amylase

ULTRASE MT 12

T2 lipase/protease/amylase

ULTRASE MT 18

T2 lipase/protease/amylase

ULTRASE MT 20

T3 lipase/protease/amylase

ULTRESA

T3 lipase/protease/amylase

VIOKACE

T2 lipase/protease/amylase

ZENPEP(CAP DR)(10-34-55K)

T2 lipase/protease/amylase

ZENPEP(CAP DR)(15-51-82K)

T2 lipase/protease/amylase

ZENPEP(CAP DR)(20-68-109K)

T2 lipase/protease/amylase

ZENPEP(CAP DR)(25-85-136K)

T2 lipase/protease/amylase

ZENPEP(CAPDR)(3K-10K-16K)

T1 lipase/protease/amylase

ZENPEP(CAPDR)(5K-17K-27K)

UPPER GASTROINTESTINAL

DISORDERS - SPASTIC DISEASEAnticholinergics/antispasmodicsT1 dicyclomine hcl BENTYLT1 dicyclomine hcl DICYCLOMINE HCL

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Anticholinergics/microorganisms

CombinationsT3 methscp

br/la/s.thm/l.para/bifPAMINE FQ

Belladonna AlkaloidsT3 belladonna

alkaloids/phenobarbBARBIDONNA

T1 belladonnaalkaloids/phenobarb

SPASMOLIN

T1 hyoscyamine HYOSCYAMINET2 hyoscyamine sulfate CYSTOSPAZ-MT1 hyoscyamine sulfate HYOSCYAMINE

SULFATET3 hyoscyamine sulfate SYMAX DUOTABT1 hyoscyamine sulfate SYMAX-SLT1 hyoscyamine sulfate SYMAX-SRT1 methscopolamine

bromidePAMINE

T1 methscopolaminebromide

PAMINE FORTE

T1 phenobarb/hyoscy/atropine/scop

ANTISPASMODIC

T2 phenobarb/hyoscy/atropine/scop

DONNATAL

UPPER GASTROINTESTINAL

DISORDERS - ULCER DISEASEAnticholinergics,quaternary AmmoniumT1 chlordiazepoxide/clid

inium brLIBRAX

T3 glycopyrrolate CUVPOSAT1 glycopyrrolate ROBINULT1 glycopyrrolate ROBINUL FORTET1 isopropamide/prochl

orperazinePROCHLORPERAZINE/ISOPROPAMIDE

T3 mepenzolate bromide CANTILT3 propantheline bromide PRO-BANTHINET1 propantheline

bromidePROPANTHELINEBROMIDE

T1 propantheline/phenobarbital

PROBANTHELINEW/PHENOBARBITAL

Anti-ulcer PreparationsT1 misoprostol CYTOTECT2 sucralfate CARAFATE(ORAL

SUSP)T1 sucralfate CARAFATE(TAB)T1 sucralfate SUCRALFATE

Anti-ulcer-h.pylori AgentsT3 bismuth

sal/metronid/tetracycHELIDAC

T3 bismuth/metronid/tetracycline

PYLERA

T1 lansoprazole/amoxiciln/clarith

PREVPAC QL

T3 omeprazole/clarith/amoxicillin

OMECLAMOX-PAK

Histamine H2-receptor InhibitorsT1 cimetidine CIMETIDINET1 cimetidine TAGAMETT1 cimetidine hcl CIMETIDINET1 famotidine PEPCIDT2 famotidine PEPCID RPDT1 nizatidine AXIDT1 nizatidine NIZATIDINET1 ranitidine RANITIDINE 150MGT3 ranitidine hcl DEPRIZINET1 ranitidine hcl RANITIDINE HCLT1 ranitidine hcl ZANTAC

Intestinal Motility StimulantsT1 metoclopramide hcl METOCLOPRAMIDE

HCLT2 metoclopramide hcl METOCLOPRAMIDE

HCL INTENSOLT3 metoclopramide hcl METOZOLV ODTT1 metoclopramide hcl REGLAN

Proton-pump InhibitorsT2 dexlansoprazole DEXILANT QL, STT3 esomeprazole

magnesiumNEXIUM QL

T3 esomeprazolestrontium

ESOMEPRAZOLESTRONTIUM

QL, ST

T3 lansoprazole FIRST-LANSOPRAZOLE

T1 lansoprazole PREVACID(CAP DR)T2 lansoprazole PREVACID(TAB RAP

DR)ST

T3 omeprazole FIRST-OMEPRAZOLET1 omeprazole OMEPRAZOLET1 omeprazole PRILOSECT3 omeprazole

magnesiumPRILOSEC

T1 omeprazole/sodiumbicarbonate

ZEGERID(CAP) QL, ST

T3 omeprazole/sodiumbicarbonate

ZEGERID(PACKET) QL, ST

T3 pantoprazole sodium PROTONIX(GRANPKT DR)

ST

T1 pantoprazole sodium PROTONIX(TAB DR)T3 rabeprazole sodium ACIPHEX SPRINKLE QL, STT1 rabeprazole sodium RABEPRAZOLE

SODIUMQL

URINARY TRACT - FUNCTIONAL

DISORDERSBenign Prostatic Hypertrophy/micturition

AgentsT1 alfuzosin hcl UROXATRALT2 dutasteride AVODART G, STT1 finasteride PROSCAR GT3 silodosin RAPAFLO G, ST

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T1 tamsulosin hcl FLOMAX

Bph Agents,5-alpha-red Inh & Alpha-1-adr

Antg CmbT2 dutasteride/tamsulosin

hclJALYN G, ST

Kidney Stone AgentsT3 cysteamine bitartrate CYSTAGONT4 cysteamine bitartrate PROCYSBI PAT3 tiopronin THIOLA

Overactive Bladder Agents, Beta-3

Adrenergic RecepT3 mirabegron MYRBETRIQ QL, ST

Urinary Ph ModifiersT3 citric acid/g-

lactone/mag carbRENACIDIN

T1 citric acid/sodiumcitrate

CYTRA-2

T3 citric acid/sodiumcitrate

ORACIT

T3 citric acid/sodiumcitrate

SHOHL'S MODIFIED

T3 methen mand/naphosm-b m-h

UROQID-ACID NO.2

T3 na phos,m-b/kphos,monob

K-PHOS NO.2

T1 phosphorus #1 K-PHOS NEUTRALT1 potassium citrate UROCIT-KT1 potassium

citrate/citric acidCYTRA-K

T3 potassiumphosphate,monobasic

K-PHOS ORIGINAL

T1 sod/pot/k cit/sodcit/cit acid

CYTRA-3

Urinary Tract Analgesic AgentsT2 pentosan polysulfate

sodiumELMIRON

Urinary Tract Anesthetic/analgesic AgntT1 phenazopyridine hcl PHENAZOPYRIDINE

HCLT1 phenazopyridine hcl PYRIDIUM

Urinary Tract Antispasmodic, M(3) Selective

Antag.T3 darifenacin

hydrobromideENABLEX ST

T2 solifenacin succinate VESICARE ST

Urinary Tract

Antispasmodic/antiincontinence AgentT2 fesoterodine fumarate TOVIAZ STT1 flavoxate hcl FLAVOXATE HCLT3 oxybutynin GELNIQUE ST

T3 oxybutynin OXYTROL STT3 oxybutynin chloride GELNIQUE STT1 oxybutynin chloride OXYBUTYNIN

CHLORIDET1 tolterodine tartrate DETROL STT1 trospium chloride SANCTURA ST

VAGINAL DISORDERSVaginal AntibioticsT1 clindamycin

phosphateCLEOCIN(CREAM/APPL)

T3 clindamycin phosphateCLEOCIN(SUPP VAG)T3 clindamycin phosphateCLINDESSET1 metronidazole METROGEL-VAGINALT2 metronidazole VANDAZOLE

Vaginal AntifungalsT1 miconazole nitrate MICONAZOLE 3T1 terconazole TERAZOL 3T1 terconazole TERCONAZOLE

Vaginal Estrogen PreparationsT2 estradiol ESTRACET3 estradiol ESTRING QLT2 estradiol VAGIFEMT3 estradiol acetate FEMRING QLT2 estrogens, conjugated PREMARIN

Vaginal SulfonamidesT2 sulfanilamide AVC

Vaginal/cervical Care And Treatment AgentsT1 sod

propion/inositol/aa14/urea

AMINO ACIDCERVICAL

VITAMIN AND/OR MINERAL

DEFICIENCYAntioxidant Multivitamin CombinationsT1 vit

a,c,e/zinc/copper/lut/zeax

MACUTEK

Calcium ReplacementT1 cal

carb/mgox/d3/b12/fa/b6/bor

FOLGARD OS

Fluoride PreparationsT3 sodium fluoride CLINPRO 5000T3 sodium fluoride FLUORABONT3 sodium fluoride FLUOR-A-DAYT5 sodium fluoride FLUORIDET2 sodium fluoride FLUORITABT2 sodium fluoride FLURA-DROPST3 sodium fluoride PREVIDENTT3 sodium fluoride PREVIDENT 5000

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T1 sodium fluoride/potnitrate

FLUORIDEXSENSITIVITY RELIEF

T3 sodium fluoride/potnitrate

PREVIDENT 5000ENAMEL PROTECT

T3 sodium fluoride/potnitrate

PREVIDENT 5000SENSITIVE

T3 sodium fluoride/xylitol FLUOR-A-DAYT1 stannous fluoride STANNOUS

FLUORIDE

Folic Acid PreparationsT1 folic acid FOLIC ACIDT5 folic acid FOLIC ACID(OTC) G

Geriatric Vitamin PreparationsT3 mv, min

cmb#16/fa/lutein/lycopREQ49+

Iron ReplacementT1 fe

fumarate/cal/e/fa/multivit

VITAFOL

T1 fefumarate/doss/fa/bcomp&c

NEPHRON FA

T1 fe fumarate/vitc/b12/stomc

HEMATOGEN

T1 fe fumarate/vit c/b12-if/fa

FEROCON

T3 fe hemepolypeptide/folic acid

PROFERRIN-FORTE

T3 ferricamcit/cyanocobalamin/fa

HEMATRON

T3 ferric amcit/lys/vit bcomp/fa

HEMATRON

T4 ferric carboxymaltose INJECTAFERT1 ferrous fumarate/folic

acidHEMOCYTE-F

T3 ferrous fumarate/vitc/fa

CEVI-FER

T5 ferrous sulfate CHILDREN'SFERROUSSULFATE(OTC)

T1 ferrous sulfate/vitc/fa

TL-FOL 500

T3 ferumoxytol FERAHEMET3 iron &iron asp

gly/fa/mv,min27CORVITE FE

T1 iron ag&fum/c/fa/mvcmb11/ca-t

FERREX 28

T1 ironag/c/b12/ca/suc.acid/stom

MULTIGEN

T1 ironaspgly&ps/c/b12/fa/ca/suc

FERREX 150 FORTEPLUS

T1 ironaspgly/c/b12/fa/ca-th/suc

MULTIGEN FOLIC

T1 iron bg&ps/vitc/b12/fa/ca thr

TARON FORTE

T3 iron bisgly &ps/fa/b&c#12/suc

IROSPAN

T1 iron fum &ag/c/b12/fa/ca/succ

MULTIGEN PLUS

T1 iron fum & p/fa/vit b& c no.9

INTEGRA PLUS

T1 iron fum & pscmp/fa/vit c/b3

INTEGRA F

T1 ironfum&polysac#1/fa/mvno.18

TANDEM PLUS

T1 iron fumarate/vit c/vitb12/fa

TRIGELS-F FORTE

T3 iron gly&fum/c/b12/me-thfolate

MAXARON FORTE

T3 iron ps cmplx/folicacid/vit c

NOVAFERRUM

T3 iron ps cmplx/vit b12/faHEMOCYTE-FT1 iron ps cmplx/vit

b12/faPOLY-IRON 150FORTE

T1 iron ps/iron hempoly/fa/b12

BIFERA RX

T1 iron, carb &gluc/fa/b12/c/dss

FERRALET 90

T1 iron, carbonyl/fa/c/b-6/b12/zn

CORVITE 150

T1 iron,carb/dss/b12if/fa/mv-mn

HEMATRON-AF

T3 iron,carb/fa#6/mv, minno.40

CORVITE FE

T2 iron,carb/fa#6/mv, minno.41

CORVITE 150

T3 iron,carbonyl/fa/multivits-min

ACTIVE FE

T3 iron,fum&ps/fa/vitb&c#18/l.ca

FUSION PLUS

T1 iron/fa/b12/c/docusate sodium

FERRAPLUS 90

T1 iron/fa/vitamin bcomp w-c/min

HEMATINIC PLUS

T3 iron/folicacid/c/b12/biotin

FERIVA

T1 iron/liver ext/vitbcomp&c/min

SIDEROL

Multivitamin PreparationsT1 b complex with

vitamin cSUPPORT-500

T3 b complex with vitaminc

VI-CERT C1000 WITHB12

T3 fa/mu-vits-minth/lycopene/lut

CORVITA

T3 fa/mu-vits-minth/lycopene/lut

CORVITE

T1 fe fumarate/fa/vitbcomp&c

DIALYVITE 800 WITHIRON

T1 folic acid/mu-vits-minth

VITE CON FORTE

T3 folic acid/mv,fe,othermin

NUTRICAP

Commercial Formulary

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T3 m-tetrahyrofolate/niacin/cu/zn

NICOMIDE

T3 multivit, iron, min #4, faMULTICHEWT1 multivit, iron, min #5,

faSTROVITE FORTE

T1 multivit, iron, min #6,fa

STROVITE PLUS

T1 multivit, mincmb#20/iron/fa

BACMIN

T3 multivit, min no.21/folicacid

SUPERVITE EC

T3 multivit, min no.23/folicacid

PROTECT BONE

T1 multivitamin no.44/vitd3/k

MULTIVITAMINS-A,B,D,E,K,ZN

T3 multivitamin w/iron,minerals

HEMOCYTE

T1 multivitamins withmin no.7/fa

V-C FORTE

T1 multivits,therap w-fe,hematin

B-PLEX PLUS

T3 mv, min cmb#6/fa/lut/lyco/q10

CORVITE FREE

T3 mv, min cmb#24/ironps cmp/fa

PROTECT IRON

T3 mv, min cmb#9/fa/sawpalmet xt

UDAMIN SP

T1 mv,min #10/fa/d3/alipacid/lut

STROVITE ONE

T3 mv/dietary 4/dna/rna FORTAVITT1 om-3/ca

carb/d3/fa/mv cmb 13ADVANCED AM/PM

T1 om-3/dha/epa/b12/fa/b6/phytost

VIT 3

T3 om-3/dha/epa/d3/b12/fa/b-6/phy

ANIMI-3

T3 om-3/dha/epa/d3/b12/fa/b-6/phy

ANIMI-3 WITHVITAMIN D

T1 vitamin b comp andvit c no.6

STROVITE

Pediatric Vitamin PreparationsT1 fluoride

ion/multivitaminsMULTIVITAMINSW/FLUORIDE

T1 fluoride/iron/vit a,c&dTRI-VIT WITHFLUORIDE-IRON

T3 iron/fluoride/vits a, c, &d3

MYKIDZ IRON FL

T1 multivitamins withfluoride

MULTIVITAMINSWITH FLUORIDE

T1 multivits with iron &fluoride

MULTIVITAMINS W-FLUORIDE-IRON

T1 ped mv a,c,d3 #21 w-fluoride

TRI-VITAMIN WITHFLUORIDE

T1 ped mv a,c,d3 #38 w-fluoride

TRI-VI-FLOR

T1 pedi m.vit no.17 withfluoride

MULTIVITAMIN WITHFLUORIDE

T3 pedi multivit #37 w-fluoride

POLY-VI-FLOR

T1 pedi multivit #65/vitd3/vit k

MULTIVITAMINS-A,B,D,E,K,ZN

T1 pedi multivit no.2 w-fluoride

MULTI-VITAMIN W-FLUORIDE

T3 pedi mv #37 w-fluoride& iron

POLY-VI-FLOR WITHIRON

T1 pedi mv#45/fluoride/iron

MULTI-VITAMIN-FLUOR-IRON

T1 pedi mvino.12/sodiumfluoride

MVC-FLUORIDE

T1 pedi mvi no.16 withfluoride

MULTIVITAMINSWITH FLUORIDE

T3 pedi mvi no.33 withfluoride

POLY-VI-FLOR

T3 pediatric mv #33 w-fluoride&fe

POLY-VI-FLOR WITHIRON

T3 pediatric mv #47 w-fe&fluoride

ESCAVITE

T1 pediatric mv #47 w-fe&fluoride

TL-FLUORIVITE

Prenatal Vitamin PreparationsT1 iron,carbonyl/vit c/vit

b12/faFE C

T3 pn vit.w-o ca #7,iron,fa,dha

ELITE OB DHA

T3 pn vits.w-o ca #8,iron,fa

VP-ERA OB PLUS

T1 pn w-ca64/ironcb&gl/fa/dss/dh

NATALVIRT 90 DHA

T3 pn85/iron cb&aspg/fa/dha/fish

OB COMPLETE ONE

T1 pnv #14/ferrousfum/folic acid

COMPLETENATE

T3 pnv #30/ironcarb&aspg/fa/om3

OB COMPLETE WITHDHA

T3 pnv #35/iron/fa #6/dha PRENATEESSENTIAL

T3 pnv #38/ironfum/folate/dha

PRENATE DHA

T3 pnv #56/ironcarb&aspg/fa/dha

OB COMPLETEPETITE

T1 pnv #8/iron pscmp&aspg/fa/dha

PAIRE OB PLUS DHA

T3 pnv #86/ironpoly/fa/dha/epa

NESTABS ABC

T1 pnv #87/ironbisgly/fa/dha

NESTABS DHA

T1 pnv 11-iron fum-folicacid-om3

RELNATE DHA

T3 pnv18/fe,carb/fa/dss/ubi/dha

PREQUE 10

T3 pnv comb no.3/ironfum&gluc/fa

MAXINATE

T1 pnvcomb.no.44/iron/folicacid

VITASPIRE

Commercial Formulary

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T3 pnvcomb.no43/iron,carb/fa/dss

ATABEX EC

T3 pnv combo #19/iron/folac/dha

PREFERA-OB ONE

T1 pnv combo#19/iron/fol ac/dha

VP-HEME ONE

T1 pnv combo#22/iron/fa/om3/dha

HEMENATAL OB +DHA

T1 pnvcombo#47/iron/fa#1/dha

ZATEAN-PN DHA

T1 pnv no.115/ironfumarate/fa

PRENATAL 19

T1 pnv no.118/ironfumarate/fa

SE-NATAL 19

T1 pnv no.15/iron fum &ps cmp/fa

CONCEPT OB

T1 pnv no.22/ironcbn&gluc/fa/dss

CITRANATAL RX

T3 pnv no.27/iron carb &fum/fa

NATAFORT

T1 pnvno.66/iron,carbonyl/fa/dha

R-NATAL OB

T1 pnv no10/ironfum&p/fa/omega-3

SE-TAN DHA

T1 pnvno12/iron,carb/fa/dss/om-3

OBTREX DHA

T1 pnv w-ca #40/ironfum/fa cmb#1

PNV-SELECT

T1 pnv w-cano.37/iron/fa/omega-3

ULTIMATECARE ONE

T1 pnv w-ca8/iron/fa/lmefolateca

PNV-IRON

T1 pnv with ca#68/iron/fa#1/dha

ZATEAN-PN PLUS

T3 pnv with cacombo.11/iron/fa

VITAFOL-PN

T1 pnv with cano.65/iron poly/fa

MARNATAL-F

T3 pnv withca,no.60/iron/fa/dha

GESTICARE DHA

T1 pnv withca,no.62/iron/fa/dha

TRIVEEN-ONE

T3 pnv withca,no.70/iron/fa/dha

NATELLE ONE

T1 pnv withca,no.71/iron/fa

PRENAPLUS

T1 pnv withca,no.72/iron,carb/fa

PRENATAL PLUS

T1 pnv withca,no.72/iron/fa

PRENATAL PLUS

T1 pnv withca,no.74/iron/fa

PRENATAL LOWIRON

T1 pnv withca,no63/iron/fa/b6

TARON-BC

T1 pnv w-o ca no5/fefumarate/fa

PRENATAL-U

T1 pnv#16/iron fum &ps/fa/om-3

CONCEPT DHA

T1 pnv#20/iron/fa/ds/fish/dha/epa

TRICARE PRENATALDHA ONE

T1 pnv#26/ironpoly/fa/dha

VITAFOL-ONE

T1 pnv#64/iron/lmfolate/algal/soy

VINATE DHA RF

T3 pnv#67/iron ps/facmb#1/dha

VITAFOL ULTRA

T1 pnv,ca,no.35/iron/fa/ds/omeg-3

ULTIMATECARE ONENF

T1 pnv,ca42/iron/fa/lmefol ca/dha

PNV-DHA PLUS

T1 pnv/ferrousfumarate/doss/fa

MYNATE 90 PLUS

T1 pnv/ferrousfumarate/fa/se

VINATE-M

T1 pnv/iron,carbonyl/docusate/fa

MYNATAL

T1 pnv100/ironedta&ps/fa/omega3

BAL-CARE DHAESSENTIAL

T3 pnv103/fe/fa/dha/epa/other om3

TRICARE PRENATALCOMPLEAT

T1 pnv105/iron/fa/omega3/dha/epa

PRENAISSANCE DHAHARMONY

T3 pnv106/iron/fa/om3/dha/epa

DUET DHA

T3 pnv106/iron/fa/om3/dha/epa

DUET DHA 400

T3 pnv107/iron/fa/om3/dha/epa

DUET DHA EC

T3 pnv110/iron/fa/omega3/dha/epa

DUET DHABALANCED

T1 pnv115/ironfumarate/fa/dss

PRENATAL 19

T1 pnv119/ironfumarate/fa/dss

SE-NATAL 19

T1 pnv17/iron/fa/fishoil/dha/om

ELITE-OB 400

T1 pnv19/iron bghc&succ-p/fa/om3

PR NATAL 400 EC

T3 pnv2/iron b-g suc-p/fa/omega-3

COMPLETE NATALDHA

T3 pnv2/iron b-g suc-p/fa/omega-3

TRUST NATAL DHA

T3 pnv22/ironcbn&gluc/fa/dss/dha

CITRANATAL DHA

T1 pnv22/ironcbn&gluc/fa/dss/dha

PNV OB+DHA

T3 pnv29/ironcb&aspg/fa/dha/fish

OB COMPLETE 400

T1 pnv34/iron,carb&fum/fa/dss/dha

VP CH ULTRA

T1 pnv34/iron,carbonyl/fa/dss/dha

VP-CH-PNV

T1 pnv38/ironcbn&gluc/fa/dss/dha

NATALVIRT CA

T1 pnv39/ironfumarate/fa/dss/dha

TARON-PREXPRENATAL

T1 pnv48/iron naferedetat/fa/om3

CAVAN-EC SOD DHA

Commercial Formulary

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T1 pnv53/iron b-g hcl-p/fa/omega3

PR NATAL 400

T3 pnv53/ironfum/fa/docusate/dha

NEXA PLUS

T1 pnv54/iron b-g hcl-p/fa/omega3

PR NATAL 430

T1 pnv55/iron bghc&succ#2/fa/om3

SETONET-EC

T1 pnv55/iron bghc&succ-p/fa/om3

PR NATAL 430 EC

T3 pnv55/iron fum &bisgly/fa

NATACHEW

T3 pnv59/iron,carb&fum/fa/dss/dha

CITRANATALHARMONY

T1 pnv59/iron,carbonyl/fa/dss/dha

CITRANATALHARMONY

T1 pnv66/ironfumarate/fa/dss/dha

TRIVEEN-PRX RNF

T1 pnv69/iron,carbonyl/fa/dss/dha

PRENAISSANCEPLUS

T1 pnv7/fe aspgly/docusate/fa

VINATE PN CARE

T3 pnv72/iron,carb&glu/fa/dss/dha

CITRANATAL 90 DHA

T1 pnv77/sod iron edta&ps/fa/om3

VENATAL COMPLETEDHA

T1 pnv80/ironfumarate/fa/dss/dha

PRENAISSANCE

T1 pnv81/sod iron edta&ps/fa/om3

VENA-BAL DHA

T3 pnv82/feps/fa/om3/dha/epa/fish

PROTECT NATAL

T3 pnv83/iron,carb/ironasp gl/fa

OB COMPLETEPREMIER

T3 pnv84/iron,carbonyl/fa/dha

OB COMPLETE

T1 pnv94/sod iron edta&ps/fa/om3

PRENAISSANCEHARMONY DHA

T1 prenat vitcomb.10/iron/fa/dha

VITAFOL-OB+DHA

T3 prenatal #103/ironfumarate/fa

TRICARE

T1 prenatal#57/iron/fa/dss/dha

TL-SELECT DHA

T1 prenatal no.25/iron/fa#6/dha

VITAMEDMD ONE RX

T1 prenatal no.39/iron/fa#6/dha

VITAMEDMD PLUSRX

T1 prenatalno.52/iron/fa/dha

VP-PNV-DHA

T1 prenatal vit #60/ironfum/fa

PNV FOLIC ACID +IRON

T3 prenatal vit#68/iron/fa#6/dha

PRENATE ENHANCE

T3 prenatal vit#69/iron/fa#6/dha

PRENATE RESTORE

T1 prenatal vit#76/iron,carb/fa

VOL-TAB RX

T1 prenatal vit 15/ironcb/fa/dss

PRENATAL AD

T1 prenatal vit 16/ironcb/fa/dss

VINATE GT

T1 prenatal vit 18/ironcb/fa/dss

VINATE ULTRA

T3 prenatal vitcomb.10/iron/fa

VITAFOL-OB

T1 prenatal vitno.109/iron/fa

VINATE CARE

T3 prenatal vit no.112/folicacid

PRENATECHEWABLE

T3 prenatal vitno.114/fa/ginger

PRENATE AM

T3 prenatal vitno.44/iron/fa/dha

PRENATE MINI

T1 prenatal vitno.73/iron/fa

TRINATE

T1 prenatal vitno.78/iron/fa

PRENATABS FA

T3 prenatal vit#36/iron/facmb#6

PRENATE ELITE

T1 prenatal vit#4/ironfum &ps/fa

PUREFE OB PLUS

T1 prenatal vit#42/facmb#6

VITAMEDMDREDICHEW RX

T3 prenatal vit#65/ironfum&ps/fa

PROVIDA OB

T1 prenatal vit/fe carb-feso4/fa

PRENAFORT

T1 prenatal vit/ironbisglycin/fa

VINATE II

T3 prenatal vit/ironfumarate/fa

NATALVIT

T1 prenatal vit/ironfumarate/fa

O-CAL FA

T1 prenatalvit27&calcium/iron/fa

TRINATAL RX 1

T3 prenatal vit37/iron/folicacid

PRENATA

T1 prenatal vitamins#45/iron/fa

VIVA CT

T1 prenatal vitamins#21,iron, fa

HEMENATAL OB

T1 prenatal vits#33/iron/fa/dha

CHOICE-OB + DHA

T3 prenatal vits#33/iron/fa/dha

SELECT-OB + DHA

T1 prenatal vits w-ca,fe,fa(1mg)

PRENATAL Z

T1 prenatal vits#4/ironfum/fa

PUREFE PLUS

T1 pv w-o cal/fe pscmplx/fa

SELECT-OB

T3 pv w-ocal/fe,carbonyl/doss/fa

OBSTETRIX EC

T3 pv w-ocal/fe,carbonyl/doss/fa

OBTREX

T3 pv w-o cal/ferrousfumarate/fa

M-VIT

Prenatal Vitamins Without IronT1 pnv w-o

iron/fa/calcium/b6/b12

FOLBECAL

Commercial Formulary

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T1 pnv/fa/b6/calciumcarb/ginger

PRENAISSANCENEXT-B

T1 pnv/fa/b6/calciumphos/ginger

PRENAISSANCENEXT

Vitamin B PreparationsT1 b cmplx 4/vit

d3/c/fa/zinc oxVITAL-D RX

T1 b complex & cno.20/folic acid

VIRT-CAPS

T1 cyanocobalamin/fa/pyridoxine

FOLBEE

T3 cyanocobalamin/fa/pyridoxine

MYO VYT

T3 cyanocobalamin/fa/pyridoxine

VITA-RESPA

T1 fa/vitbcomp&c/se/minaa/zn

DIALYVITE 3000

T1 folic acid/b complex& c no.17

VIRT-VITE PLUS

T1 folic acid/vitbcomp&c/cu/znox

FOLBEE PLUS CZ

T1 folic acid/vitamin bcomp w-c

RENAL CAPS

T3 lysine hcl/vit bcomp/fa/zinc

SUPERVITE

T3 lysine/vitamin bcomplex/fa/zn

LYSIPLEX

T3 multivit,mincmb#11/folic acid

DIALYVITE 5000

T3 multivitamin, mincmb#25/fa/d3

DIALYVITE SUPREMED

T3 mv, mincmb#26/fa/ala/lutein

SYNAGEX

T1 potassiumaminobenzoate

AMINOBENZOATEPOTASSIUM

T3 potassiumaminobenzoate

POTABA

T1 vit b cmplx 3/fa/vitc/biotin

RENA-VITE RX

T1 vit b cmplxno3/fa/c/biot/zinc

NEPHPLEX RX

T3 vit b complex & cno.13/fa/d3

NEPHROCAPS QT

T1 vit b cplx#11/fa/c/biot/zn ox

DIALYVITE ZINC

T1 vitamin b complex B COMPLEX 100T1 vitamins

b1,b2,b3,b5,& b6B-COMPLEX

Vitamin B1 PreparationsT1 thiamine hcl THIAMINE HCL

Vitamin B12 PreparationsT1 cyanocobalamin VITMAIN B-12T1 cyanocobalamin

(vitamin b-12)CYANOCOBALAMININJECTION

T3 cyanocobalamin(vitamin b-12)

NASCOBAL

T1 cyanocobalamin/mecobalamin

NEURIN-SL

T3 cyanocobalamin/vitbcomp&c

VITAJECT

T1 hydroxocobalamin HYDROXOCOBALAMIN

Vitamin B6 PreparationsT1 pyridoxine hcl PYRIDOXINE HCL

Vitamin C PreparationsT1 ascorbic acid ASCORBIC ACIDT1 ascorbic acid VI-CERT C500

Vitamin D PreparationsT1 calcitriol ROCALTROLT5 cholecalciferol

(vitamin d3)VITAMIN D3(OTC) AGE

T2 dihydrotachysterol DHTT1 ergocalciferol

(vitamin d2)DRISDOL

Zinc ReplacementT1 zinc sulfate ZINC SULFATE

WEIGHT REDUCTIONAnorexic AgentsT1 benzphetamine hcl DIDREXT3 benzphetamine hcl REGIMEXT1 diethylpropion hcl DIETHYLPROPION

HCLT1 phendimetrazine

tartrateBONTRIL PDM

T1 phendimetrazinetartrate

PHENDIMETRAZINETARTRATE

T1 phentermine hcl ADIPEX-PT1 phentermine hcl PHENTERMINE HCLT3 phentermine hcl SUPRENZA ODT QL, STT3 phentermine resin IONAMINT3 phentermine/topiramat

eQSYMIA PA

Fat Absorption Decreasing AgentsT3 orlistat XENICAL

Serotonin 2c Receptor AgonistsT3 lorcaserin hcl BELVIQ PA

Commercial Formulary

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AGE RESTRICTIONS - FORMULARY • ASPIRIN EC(OTC) >= 45 years• ATRALIN <= 25 years• CARBINOXAMINE MALEATE >= 2 years• CELEBREX >= 60 years• DIFFERIN(CREAM) <= 25 years• DIFFERIN(GEL W/PUMP) <= 25 years• DIFFERIN(GEL) <= 25 years• DIFFERIN(LOTION) <= 25 years• DIFFERIN(MED SWAB) <= 25 years• ELIDEL >= 2 years• FABIOR >= 12 years• MINOCYCLINE HCL(TAB ER24H) >= 12 years• ORACEA >= 18 years• PALGIC >= 2 years• PLAN B ONE-STEP < 15 years• PROTOPIC >= 2 years• RETIN-A <= 25 years• RETIN-A MICRO <= 25 years• RETIN-A MICRO PUMP <= 25 years• SOLODYN >= 12 years• TRETIN-X <= 25 years• VITAMIN D3(OTC) >= 65 years

Preferred Drug List Medication Prescribing Limitations

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QUANTITY RESTRICTIONS - FORMULARY • ABILIFY DISCMELT(TAB RDPDIS)(10 MG) 3 units per 1 days• ABILIFY DISCMELT(TAB RDPDIS)(15 MG) 2 units per 1 days• ABILIFY(SOLUTION) 30 ml per 1 days• ABILIFY(TAB) 1 units per 1 days• ACIPHEX SPRINKLE 1 units per 1 days• ACTONEL(TAB)(150 MG) 1 units per 30 days• ACTONEL(TAB)(30 MG) 1 units per 1 days• ACTONEL(TAB)(35 MG) 1 units per 7 days• ACTONEL(TAB)(5 MG) 1 units per 1 days• ADDERALL 2 units per 1 days• ADOXA PAK 2 units per 1 days• ADVAIR DISKUS 2 units per 1 days;60

units per 30 days• ADVAIR HFA 12 gm per 30 days• ADVICOR(TBMP 24HR)(1000-20MG) 2 units per 1 days• ADVICOR(TBMP 24HR)(1000-40MG) 1 units per 1 days• ADVICOR(TBMP 24HR)(500MG-20MG) 1 units per 1 days• ADVICOR(TBMP 24HR)(750MG-20MG) 2 units per 1 days• AEROSPAN 17.8 gm per 30 days• AFINITOR(TAB)(10 MG) 1 units per 1 days• AFINITOR(TAB)(2.5 MG) 1 units per 1 days• AFINITOR(TAB)(5 MG) 1 units per 1 days• ALDARA 24 units per 30 days• ALENDRONATESODIUM(SOLUTION) 75 ml per 7 days• ALORA 2 units per 7 days• ALSUMA 1 ml per 14 days• ALTOPREV 1 units per 1 days• ALVESCO 12.2 gm per 25 days• AMBIEN 1 units per 1 days• AMERGE 3 units per 5 days• AMITIZA 2 units per 1 days• ANDROXY 120 units per 30 days• ANORO ELLIPTA 60 units per 30 days• ANZEMET(TAB)(100 MG) 4 units per fill• ANZEMET(TAB)(50 MG) 8 units per fill• APLENZIN 1 units per 1 days• APOKYN 2 ml per 1 days• ARCAPTA NEOHALER 1 units per 1 days• ARIXTRA(SYRINGE)(10MG/0.8ML) 8 ml per 30 days• ARIXTRA(SYRINGE)(2.5 MG/0.5)5 ml per 30 days• ARIXTRA(SYRINGE)(5MG/0.4ML) 4 ml per 30 days• ARIXTRA(SYRINGE)(7.5MG/0.6) 6 ml per 30 days• ASMANEX 1 units per 30 days• ASTELIN 60 ml per 30 days• ATELVIA 1 units per 7 days• ATRIPLA 30 units per 30 days• ATROVENT HFA 25.8 gm per 28 days• AXERT 2 units per 5 days• AZILECT 1 units per 1 days• BANZEL(ORAL SUSP) 80 ml per 1 days• BANZEL(TAB)(200 MG) 16 units per 1 days• BANZEL(TAB)(400 MG) 8 units per 1 days• BECONASE AQ 25 gm per 30 days

• BINOSTO 1 units per 7 days• BOSULIF(TAB)(100 MG) 4 units per 1 days• BOSULIF(TAB)(500 MG) 1 units per 1 days• BREO ELLIPTA 60 units per 30 days• BRILINTA 2 units per 1 days• BRINTELLIX 1 units per 1 days• BRISDELLE 1 units per 1 days• BROVANA 60 ml per 15 days• BUTRANS 1 units per 7 days• BYDUREON 1 units per 7 days• BYETTA(PENINJCTR)(10MCG/0.04) 2.4 ml per 30 days• BYETTA(PENINJCTR)(5MCG/0.02) 1.2 ml per 30 days• CADUET 1 units per 1 days• CAFERGOT 10 units per 7 days• CAMBIA 3 units per 10 days• CAMRESE 91 units per 84 days• CAPRELSA(TAB)(100 MG) 2 units per 1 days• CAPRELSA(TAB)(300 MG) 1 units per 1 days• CAVERJECT 1 ml per 5 days• CESAMET 6 units per 1 days• CHANTIX 2 units per 1 days• CIALIS(TAB)(10 MG) 1 units per 5 days• CIALIS(TAB)(2.5 MG) 1 units per 1 days• CIALIS(TAB)(20 MG) 1 units per 5 days• CIALIS(TAB)(5 MG) 1 units per 1 days• CLARINEX(SYRUP) 10 ml per 1 days• CLARINEX(TAB) 1 units per 1 days• CLARINEX-D 12 HOUR 2 units per 1 days• CLARINEX-D 24 HOUR 1 units per 1 days• CLIMARA 1 units per 7 days• CLIMARA PRO 1 units per 7 days• CLOZAPINE 3 units per 1 days• CLOZARIL 3 units per 1 days• COMBIPATCH 2 units per 7 days• COMBIVIR 60 units per 30 days• COMETRIQ 4 units per 1 days• CONCERTA(TAB ER 24H)(18 MG)1 units per 1 days• CONCERTA(TAB ER 24H)(27 MG)1 units per 1 days• CONCERTA(TAB ER 24H)(36 MG)2 units per 1 days• CONCERTA(TAB ER 24H)(54 MG)1 units per 1 days• CONZIP 1 units per 1 days• COSOPT PF 2 units per 1 days• CRESTOR(TAB)(10 MG) 1 units per 1 days• CRESTOR(TAB)(20 MG) 1 units per 1 days• CRESTOR(TAB)(40 MG) 1 units per 1 days• CRESTOR(TAB)(5 MG) 1 units per 1 days• D.H.E.45 15 ml per 14 days• DALIRESP 1 units per 1 days• DAYTRANA 1 units per 1 days;30

units per 30 days• DEPO-PROVERA 1 ml per 84 days• DEPO-SUBQ PROVERA 104 .65 ml per 84 days• DESLORATADINE 1 units per 1 days• DESOXYN 150 units per 30 days• DEXEDRINE(CAP ER)(10 MG) 60 units per 30 days• DEXEDRINE(CAP ER)(15 MG) 120 units per 30 days• DEXEDRINE(CAP ER)(5 MG) 60 units per 30 days• DEXILANT 1 units per 1 days• DEXTROAMPHETAMINESULFATE(TAB)(10 MG) 180 units per 30 days

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• DEXTROAMPHETAMINESULFATE(TAB)(5 MG) 90 units per 30 days• DIASTAT 1 units per fill• DIASTAT ACUDIAL(KIT)(12.5-15-20) 1 units per fill• DIASTAT ACUDIAL(KIT)(5-7.5-10MG) 1 units per fill• DICLEGIS 4 units per 1 days• DICLOFENAC SODIUM 100 gm per fill• DIFICID 20 units per 30 days• DORYX(TAB DR)(200 MG) 1 units per 1 days• DUEXIS 3 units per 1 days• DULERA 13 gm per 30 days• DULOXETINE HCL 2 units per 1 days• DURAGESIC 1 units per 3 days• DYMISTA 23 gm per 30 days• EDEX 1 units per 5 days• EDLUAR 1 units per 1 days• EFFIENT 1 units per 1 days• ELIQUIS 2 units per 1 days• EMEND(CAP DS PK) 3 units per fill• EMEND(CAP)(125 MG) 1 units per fill• EMEND(CAP)(40 MG) 4 units per fill• EMEND(CAP)(80 MG) 2 units per fill• EMSAM 1 units per 1 days• EMTRIVA(CAP) 30 units per 30 days• EMTRIVA(SOLUTION) 720 ml per 30 days• EPANED 1200 ml per 30 days• EPIVIR(SOLUTION) 900 ml per 30 days• EPIVIR(TAB)(150 MG) 60 units per 30 days• EPIVIR(TAB)(300 MG) 30 units per 30 days• EPZICOM 30 units per 30 days• ERGOMAR 10 units per 7 days• ERIVEDGE 1 units per 1 days• ESOMEPRAZOLE STRONTIUM 4 units per 1 days• ESTRING 1 units per 90 days• EVISTA 1 units per 1 days• EXELON 30 units per 30 days• FANAPT(TAB DS PK) 2 units per 1 days;8 units

per 28 days• FANAPT(TAB) 2 units per 1 days• FARXIGA 1 units per 1 days• FAZACLO 3 units per 1 days• FELBATOL(ORAL SUSP) 30 ml per 1 days• FELBATOL(TAB)(400 MG) 9 units per 1 days• FELBATOL(TAB)(600 MG) 6 units per 1 days• FEMRING 1 units per 84 days• FETZIMA 1 units per 1 days• FIRMAGON(VIAL)(120 MG) 2 units per 365 days• FIRMAGON(VIAL)(80 MG) 1 units per 30 days• FLONASE 16 gm per 30 days• FLOVENT DISKUS(BLSTW/DEV)(100 MCG) 2 units per 1 days• FLOVENT DISKUS(BLSTW/DEV)(250 MCG) 4 units per 1 days• FLOVENT DISKUS(BLSTW/DEV)(50 MCG) 2 units per 1 days• FLOVENT HFA(AERW/ADAP)(110 MCG) 12 gm per 30 days• FLOVENT HFA(AERW/ADAP)(220 MCG) 24 gm per 30 days• FLOVENT HFA(AER W/ADAP)(44MCG) 21.2 gm per 30 days• FLUNISOLIDE 25 ml per 30 days• FOCALIN 2 units per 1 days

• FOCALIN XR 1 units per 1 days• FORADIL 60 units per 30 days• FORFIVO XL 1 units per 1 days• FORTEO 2.4 ml per 28 days• FRAGMIN(SYRINGE)(10000/ML) 10 ml per 30 days• FRAGMIN(SYRINGE)(12500/0.5) 5 ml per 30 days• FRAGMIN(SYRINGE)(15000/0.6) 6 ml per 30 days• FRAGMIN(SYRINGE)(18000/0.72)7.2 ml per 30 days• FRAGMIN(SYRINGE)(2500/0.2ML) 2 ml per 30 days• FRAGMIN(SYRINGE)(5000/0.2ML) 2 ml per 30 days• FRAGMIN(SYRINGE)(7500/0.3ML) 3 ml per 30 days• FRAGMIN(VIAL) 38 ml per 30 days• FROVA 3 units per 5 days• FULYZAQ 2 units per 1 days• FUZEON 60 units per 30 days• FYCOMPA(TAB)(10 MG) 30 units per 30 days• FYCOMPA(TAB)(12 MG) 30 units per 30 days• FYCOMPA(TAB)(2 MG) 120 units per 30 days• FYCOMPA(TAB)(4 MG) 60 units per 30 days• FYCOMPA(TAB)(6 MG) 60 units per 30 days• FYCOMPA(TAB)(8 MG) 30 units per 30 days• GABITRIL(TAB)(12 MG) 4 units per 1 days• GABITRIL(TAB)(16 MG) 3 units per 1 days• GABITRIL(TAB)(2 MG) 4 units per 1 days• GABITRIL(TAB)(4 MG) 4 units per 1 days• GEODON 2 units per 1 days• GLEEVEC 2 units per 1 days• GRALISE(TAB ER 24H)(300 MG) 3 units per 1 days• GRALISE(TAB ER 24H)(300-600MG) 39 units per 15 days• GRALISE(TAB ER 24H)(600 MG) 3 units per 1 days• GRANISETRON HCL 8 units per 30 days• HORIZANT(TAB ER)(300 MG) 30 units per 30 days• HORIZANT(TAB ER)(600 MG) 2 units per 1 days• HYCET 184 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION) 120 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10-660MG) 6 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG) 13 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-325MG) 12 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500MG) 8 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG) 13 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-325MG) 12 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG) 13 units per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-325MG) 12 units per 1 days

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• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-750MG) 5 units per 1 days• ICLUSIG(TAB)(15 MG) 2 units per 1 days• ICLUSIG(TAB)(45 MG) 1 units per 1 days• IMITREX 6 units per 15 days• IMITREX(CARTRIDGE) 1 ml per 14 days• IMITREX(PEN INJCTR) 1 ml per 14 days• IMITREX(TAB) 3 units per 5 days• IMITREX(VIAL) 1 ml per 14 days• INLYTA(TAB)(1 MG) 6 units per 1 days• INLYTA(TAB)(5 MG) 2 units per 1 days• INTERMEZZO 1 units per 1 days• INTUNIV 1 units per 1 days• INVEGA(TAB ER 24H)(1.5 MG) 1 units per 1 days• INVEGA(TAB ER 24H)(3 MG) 1 units per 1 days• INVEGA(TAB ER 24H)(6 MG) 1 units per 1 days;2 units

per 1 days• INVEGA(TAB ER 24H)(9 MG) 1 units per 1 days• INVIRASE(CAP) 300 units per 30 days• INVIRASE(TAB) 120 units per 30 days• INVOKANA 30 units per 30 days• IPRIVASK 6 units per 30 days• JAKAFI 2 units per 1 days• KALETRA(SOLUTION) 390 ml per 30 days• KALETRA(TAB)(100MG-25MG) 300 units per 30 days• KALETRA(TAB)(200MG-50MG) 120 units per 30 days• KAPVAY 120 units per 30 days• KHEDEZLA 1 units per 1 days• LAMICTAL ODT(TAB RDPDIS)(100 MG) 3 units per 1 days• LAMICTAL ODT(TAB RDPDIS)(200 MG) 2 units per 1 days• LAMICTAL ODT(TAB RDPDIS)(25 MG) 6 units per 1 days• LAMICTAL ODT(TAB RDPDIS)(50 MG) 6 units per 1 days• LATUDA(TAB)(120 MG) 30 units per 30 days• LATUDA(TAB)(20 MG) 30 units per 30 days• LATUDA(TAB)(40 MG) 30 units per 30 days• LATUDA(TAB)(60 MG) 30 units per 30 days• LATUDA(TAB)(80 MG) 60 units per 30 days• LESCOL 2 units per 1 days• LESCOL XL 1 units per 1 days• LEVITRA 1 units per 5 days• LINZESS 1 units per 1 days• LIPTRUZET(TAB)(10 MG-10MG) 30 units per 30 days• LIPTRUZET(TAB)(10 MG-20MG) 30 units per 30 days• LIPTRUZET(TAB)(10 MG-40MG) 30 units per 30 days• LIPTRUZET(TAB)(10 MG-80MG) 30 units per 30 days• LIVALO 1 units per 1 days• LORCET 10-650 6 units per 1 days• LORCET PLUS 6 units per 1 days• LORTAB 8 units per 1 days• LOVAZA 4 units per 1 days• LOVENOX(SYRINGE)(100MG/ML) 20 ml per 30 days• LOVENOX(SYRINGE)(120MG/.8ML) 16 ml per 30 days• LOVENOX(SYRINGE)(150MG/ML) 20 ml per 30 days• LOVENOX(SYRINGE)(30MG/0.3ML) 6 ml per 30 days

• LOVENOX(SYRINGE)(40MG/0.4ML) 8 ml per 30 days• LOVENOX(SYRINGE)(60MG/0.6ML) 12 ml per 30 days• LOVENOX(SYRINGE)(80MG/0.8ML) 16 ml per 30 days• LOVENOX(VIAL) 60 ml per 30 days• LUMIGAN 1 ml per 12 days• LUNESTA 1 units per 1 days• LUVOX CR 2 units per 1 days• MAGNACET 10 units per 1 days• MARINOL 2 units per 1 days• MAXALT 3 units per 5 days• MAXALT MLT 3 units per 5 days• MAXIDONE 5 units per 1 days• MENOSTAR 1 units per 7 days• METHYLIN 90 units per 30 days• METHYLPHENIDATE ER(CPBP50-50)(20 MG) 1 units per 1 days• METHYLPHENIDATE ER(CPBP50-50)(30 MG) 2 units per 1 days• METHYLPHENIDATE ER(TABER)(20 MG) 90 units per 30 days• MIGERGOT 5 units per 7 days• MIGRANAL 8 ml per 7 days• MINIVELLE 2 units per 7 days• MINOCYCLINE HCL(TAB ER24H) 1 units per 1 days• MIRAPEX ER 1 units per 1 days• MIRVASO 30 gm per 30 days• MUSE 1 units per 5 days• MYRBETRIQ 30 units per 30 days• NAMENDA XR(CAP 24 DSPK) 28 units per 28 days• NAMENDA XR(CAP SPR 24) 30 units per 30 days• NAMENDA(SOLUTION) 300 ml per 30 days• NAMENDA(TAB DS PK) 49 units per 28 days• NAMENDA(TAB) 60 units per 30 days• NASACORT AQ 11 gm per 20 days• NASONEX 17 gm per 30 days• NEUPRO 1 units per 1 days• NEXAVAR 4 units per 1 days• NEXIUM 1 units per 1 days• NICOTROL 2016 units per 365 days• NICOTROL NS 480 ml per 365 days• NILANDRON 150 units after 30 days• NORVIR 360 units per 30 days• NUCYNTA 6 units per 1 days• NUCYNTA ER 2 units per 1 days• NUVARING 1 units per 28 days• OLEPTRO ER 3 units per 2 days• OMNARIS 5 gm per 12 days• ONFI(ORAL SUSP) 480 ml per 30 days• ONFI(TAB) 2 units per 1 days• ORACEA 1 units per 1 days• OSPHENA 1 units per 1 days• OTREXUP 1.6 ml per 28 days• OXTELLAR XR(TAB ER 24H)(150MG) 1 units per 1 days• OXTELLAR XR(TAB ER 24H)(300MG) 1 units per 1 days• OXTELLAR XR(TAB ER 24H)(600MG) 4 units per 1 days

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• OXYCODONE-ACETAMINOPHEN 8 units per 1 days• PATANASE 30.5 gm per 30 days• PERCOCET 12 units per 1 days• PERFOROMIST 120 ml per 30 days• PEXEVA 1 units per 1 days• PICATO(GEL)(0.015 %) 3 units per 28 days• PICATO(GEL)(0.05 %) 2 units per 28 days• POTIGA(TAB)(200 MG) 3 units per 1 days• POTIGA(TAB)(300 MG) 3 units per 1 days• POTIGA(TAB)(400 MG) 3 units per 1 days• POTIGA(TAB)(50 MG) 9 units per 1 days• PRADAXA 2 units per 1 days• PREVPAC 112 units per 10 days• PREZISTA(ORAL SUSP) 240 ml per 30 days• PREZISTA(TAB)(150 MG) 240 units per 30 days• PREZISTA(TAB)(400 MG) 60 units per 30 days• PREZISTA(TAB)(600 MG) 60 units per 30 days• PREZISTA(TAB)(75 MG) 480 units per 30 days• PREZISTA(TAB)(800 MG) 30 units per 30 days• PRIMLEV 13 units per 1 days• PRISTIQ ER 1 units per 1 days• PROCENTRA 1800 ml per 30 days• PULMICORT FLEXHALER 1 units per 30 days• PULMICORT(AMPUL-NEB)(0.25MG/2ML) 60 ml per 15 days• PULMICORT(AMPUL-NEB)(0.5MG/2ML) 60 ml per 15 days• PULMICORT(AMPUL-NEB)(1MG/2 ML) 60 ml per 15 days• QNASL 8.7 gm per 30 days• QUILLIVANT XR 2 ml per 1 days• QVAR 174 gm per 300 days• RABEPRAZOLE SODIUM 1 units per 1 days• RANEXA(TAB ER 12H)(1000 MG)60 units per 30 days• RANEXA(TAB ER 12H)(500 MG) 120 units per 30 days• RAZADYNE 60 units per 30 days• RAZADYNE ER 30 units per 30 days• RELENZA 40 units per 183 days• RELPAX 2 units per 5 days• REQUIP XL 1 units per 1 days• RESCULA 1 ml per 3 days• RESTASIS 64 units per 30 days• RETROVIR(CAP) 180 units per 30 days• RETROVIR(SYRUP) 1800 ml per 30 days• REVATIO 3 units per 1 days• REVLIMID 1 units per 1 days• RISPERDAL(SOLUTION) 2 ml per 1 days;8 ml per

1 days• RISPERDAL(TAB) 2 units per 1 days• RISPERIDONE 2 units per 1 days• RITALIN LA 1 units per 1 days• ROZEREM 1 units per 1 days• SABRIL 6 units per 1 days• SAMSCA(TAB)(15 MG) 30 units per 365 days• SAMSCA(TAB)(30 MG) 60 units per 365 days• SANCUSO 1 units per 7 days• SAPHRIS 2 units per 1 days• SEREVENT DISKUS 60 units per 30 days• SEROQUEL 3 units per 1 days• SEROQUEL XR 1 units per 1 days• SILENOR 1 units per 1 days• SIMCOR(TBMP 24HR)(1000-20MG) 2 units per 1 days

• SIMCOR(TBMP 24HR)(1000-40MG) 1 units per 1 days• SIMCOR(TBMP 24HR)(500MG-20MG) 1 units per 1 days• SIMCOR(TBMP 24HR)(500MG-40MG) 1 units per 1 days• SIMCOR(TBMP 24HR)(750MG-20MG) 2 units per 1 days• SOLODYN 1 units per 1 days• SONATA 1 units per 1 days• SPIRIVA 1 units per 1 days• SPRIX 1 units per 6 days• SPRYCEL(TAB)(100 MG) 1 units per 1 days• SPRYCEL(TAB)(140 MG) 1 units per 1 days• SPRYCEL(TAB)(20 MG) 2 units per 1 days• SPRYCEL(TAB)(50 MG) 1 units per 1 days• SPRYCEL(TAB)(70 MG) 1 units per 1 days• SPRYCEL(TAB)(80 MG) 1 units per 1 days• STAGESIC-10 16 units per 1 days• STAXYN 1 units per 5 days• STENDRA 1 units per 5 days• STIVARGA 3 units per 1 days• STRATTERA(CAP)(10 MG) 60 units per 30 days• STRATTERA(CAP)(100 MG) 30 units per 30 days• STRATTERA(CAP)(18 MG) 60 units per 30 days• STRATTERA(CAP)(25 MG) 60 units per 30 days• STRATTERA(CAP)(40 MG) 60 units per 30 days• STRATTERA(CAP)(60 MG) 30 units per 30 days• STRATTERA(CAP)(80 MG) 30 units per 30 days• STRIBILD 30 units per 30 days• SUMATRIPTAN SUCCINATE 1 ml per 14 days• SUMAVEL DOSEPRO 1 ml per 14 days• SUPRENZA ODT 1 units per 1 days• SUTENT 1 units per 1 days• SYLATRON 1 units per 28 days;1

units per 7 days• SYLATRON 4-PACK 1 units per 28 days• SYMBICORT 10.2 gm per 30 days• SYMBYAX 1 units per 1 days• TAMIFLU(CAP)(30 MG) 40 units per 183 days• TAMIFLU(CAP)(45 MG) 20 units per 183 days• TAMIFLU(CAP)(75 MG) 20 units per 183 days• TAMIFLU(SUSP RECON) 360 ml per 183 days• TARCEVA 1 units per 1 days• TASIGNA 4 units per 1 days• TASMAR 3 units per 1 days• THALOMID 2 units per 1 days• TIMOPTIC OCUDOSE 2 units per 1 days• TRAVATAN Z 1 ml per 12 days• TRAVOPROST 1 ml per 12 days• TREXIMET 1 units per 3 days• TROKENDI XR(CAP ER 24H)(100MG) 1 units per 1 days• TROKENDI XR(CAP ER 24H)(200MG) 2 units per 1 days• TROKENDI XR(CAP ER 24H)(25MG) 1 units per 1 days• TROKENDI XR(CAP ER 24H)(50MG) 1 units per 1 days• TRUVADA 30 units per 30 days• TUDORZA PRESSAIR 1 units per 30 days• ULORIC 30 units per 30 days• VANCOCIN HCL 40 units per 30 days• VASCEPA 4 units per 1 days• VERAMYST 10 gm per 30 days

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• VERSACLOZ 18 ml per 1 days;3 ml per1 days

• VIAGRA 1 units per 5 days• VICTOZA 2-PAK 9 ml per 30 days• VICTOZA 3-PAK 9 ml per 30 days• VIDEX 1200 ml per 30 days• VIDEX EC(CAP DR)(125 MG) 60 units per 30 days• VIDEX EC(CAP DR)(200 MG) 60 units per 30 days• VIIBRYD(TAB) 1 units per 1 days• VIMPAT(TAB) 2 units per 1 days• VIRAMUNE(ORAL SUSP) 1200 ml per 30 days• VIRAMUNE(TAB) 60 units per 30 days• VIREAD(POWDER) 225 gm per 30 days• VIREAD(TAB) 30 units per 30 days• VIVELLE-DOT 2 units per 7 days• VOTRIENT 4 units per 1 days• VYTORIN(TAB)(10 MG-10MG) 1 units per 1 days• VYTORIN(TAB)(10 MG-20MG) 1 units per 1 days• VYTORIN(TAB)(10 MG-40MG) 1 units per 1 days• VYTORIN(TAB)(10 MG-80MG) 1 units per 1 days• VYVANSE 1 units per 1 days• XALKORI 2 units per 1 days• XARELTO(TAB)(10 MG) 1 units per 1 days• XARELTO(TAB)(15 MG) 15 units after 21 days;2

units per 1 days• XARELTO(TAB)(20 MG) 1 units per 1 days• XELODA(TAB)(150 MG) 28 units per 21 days• XELODA(TAB)(500 MG) 112 units per 21 days• XIFAXAN(TAB)(550 MG) 2 units per 1 days• XOLAIR 1 units per 5 days• XTANDI 4 units per 1 days• XYZAL(SOLUTION) 10 ml per 1 days• ZAMICET 184 ml per 1 days• ZEGERID(CAP) 1 units per 1 days• ZEGERID(PACKET) 1 units per 1 days• ZELAPAR 2 units per 1 days• ZELBORAF 8 units per 1 days• ZENZEDI 90 units per 30 days• ZERIT(CAP) 60 units per 30 days• ZERIT(SOLN RECON) 2400 ml per 30 days• ZETIA 1 units per 1 days• ZETONNA 6.1 gm per 30 days• ZIAGEN(SOLUTION) 900 ml per 30 days• ZIAGEN(TAB) 60 units per 30 days• ZIDOVUDINE 60 units per 30 days• ZIOPTAN 1 units per 1 days• ZOFRAN(SOLUTION) 50 ml per 15 days• ZOLPIDEM TARTRATE 1 units per 1 days• ZOLPIMIST 77 ml per 300 days• ZOMIG(SPRAY)(2.5 MG) 12 units per 30 days• ZOMIG(SPRAY)(5 MG) 6 units per 15 days• ZOMIG(TAB) 2 units per 5 days• ZORVOLEX 3 units per 1 days• ZUPLENZ(FILM)(4 MG) 2 units per 3 days• ZUPLENZ(FILM)(8 MG) 1 units per 3 days• ZYCLARA(CREAM PACK) 1 units per 1 days• ZYCLARA(CRM MD PMP)(2.5 %)7.5 gm per 1 days• ZYCLARA(CRM MD PMP)(3.75%) 7.5 gm per 28 days• ZYDONE 10 units per 1 days• ZYPREXA 1 units per 1 days• ZYTIGA 4 units per 1 days

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STEP THERAPY EDITS - FORMULARY • ABILIFY DISCMELT(TAB RDP DIS)(10MG)

Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365days or Selfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365days or Ziprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 days

• ABILIFY DISCMELT(TAB RDP DIS)(15MG)

Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365days or Selfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365days or Ziprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 days

• ABILIFY(SOLUTION) Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365days or Selfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365days or Ziprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 days

• ABILIFY(TAB) Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365days or Selfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365days or Ziprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 days

• ACIPHEX SPRINKLE Atleast 2 of Prior prescription for Prevacid Iv in 365 days or Protonix Iv in 365 daysor Zantac-ppi in 365 days

• ACTONEL(TAB)(150 MG) Atleast 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 days

• ACTONEL(TAB)(30 MG) Atleast 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 days

• ACTONEL(TAB)(35 MG) Atleast 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 days

• ACTONEL(TAB)(5 MG) Atleast 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 days

• ACTOPLUS MET Prior prescription for Avandamet in 120 days or Avandaryl in 120 days or Avandia in120 days or Chlorpropamide in 120 days or Glimepiride in 120 days or Glucotrol Xlin 120 days or Glyburide-metformin Hcl in 120 days or Metaglip in 120 days orMicronase in 120 days or Riomet in 120 days or Tolazamide in 120 days orTolbutamide in 120 days

• ACTOPLUS MET XR Prior prescription for Avandamet in 120 days or Avandaryl in 120 days or Avandia in120 days or Chlorpropamide in 120 days or Glimepiride in 120 days or Glucotrol Xlin 120 days or Glyburide-metformin Hcl in 120 days or Metaglip in 120 days orMicronase in 120 days or Riomet in 120 days or Tolazamide in 120 days orTolbutamide in 120 days

• ADCIRCA Prior prescription for Revatio in 120 days or Sildenafil in 120 days• ADOXA PAK Prior prescription for Vibramycin in 120 days• ADVICOR(TBMP 24HR)(1000-20MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• ADVICOR(TBMP 24HR)(1000-40 MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• ADVICOR(TBMP 24HR)(500MG-20MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• ADVICOR(TBMP 24HR)(750MG-20MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• AEROSPAN Atleast 2 of Prior prescription for Fluticasone Propionate in 365 days or Qvar in 365

days• ALTOPREV Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• ALVESCO Atleast 2 of Prior prescription for Flovent Diskus in 365 days or Qvar in 365 days• AMETHYST Prior prescription for Norgestimate-ethinyl Estradiol in 120 days• ANTARA(CAP)(30 MG) Prior prescription for Fenofibrate in 120 days or Lofibra in 120 days or Lopid in 120

days or Tricor in 120 days or Triglide in 120 days• ANTARA(CAP)(90 MG) Prior prescription for Fenofibrate in 120 days or Lofibra in 120 days or Lopid in 120

days or Tricor in 120 days or Triglide in 120 days• ANZEMET(TAB)(100 MG) Prior prescription for Anzemet in 120 days or Ondansetron Hcl in 120 days or Zofran

Odt in 120 days or Zofran in 120 days• ANZEMET(TAB)(50 MG) Prior prescription for Anzemet in 120 days or Ondansetron Hcl in 120 days or Zofran

Odt in 120 days or Zofran in 120 days• APLENZIN Prior prescription for Zyban in 120 days• ARCAPTA NEOHALER Prior prescription for Serevent Diskus in 120 days• ASACOL HD Prior prescription for Apriso in 120 days or Colazal in 120 days

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• ASMANEX Atleast 2 of Prior prescription for Flovent Diskus in 365 days or Qvar in 365 days• ATACAND Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• ATACAND HCT Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• ATELVIA Atleast 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in

365 days• AUVI-Q Prior prescription for Auvi-q in 120 days or Twinject in 120 days• AVODART Prior prescription for Doxazosin Mesylate in 120 days or Prazosin Hcl in 120 days or

Proscar in 120 days or Rapaflo in 120 days or Tamsulosin Hcl in 120 days orTerazosin Hcl in 120 days or Uroxatral in 120 days

• AXERT Prior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• AZOR Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• BANZEL(ORAL SUSP) Prior prescription for Divalproex Sodium Er in 120 days or Lamotrigine Er in 120

days or Trokendi Xr in 120 days or Valproic Acid in 120 days• BANZEL(TAB)(200 MG) Prior prescription for Divalproex Sodium Er in 120 days or Lamotrigine Er in 120

days or Trokendi Xr in 120 days or Valproic Acid in 120 days• BANZEL(TAB)(400 MG) Prior prescription for Divalproex Sodium Er in 120 days or Lamotrigine Er in 120

days or Trokendi Xr in 120 days or Valproic Acid in 120 days• BECONASE AQ Prior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 days• BENICAR Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• BENICAR HCT Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• BEYAZ Atleast 2 of Prior prescription for in 365 days or Generess Fe in 365 days or Lo

Loestrin Fe in 365 days or Lomedia 24 Fe in 365 days or Loseasonique in 365 daysor Microgestin Fe in 365 days or Microgestin in 365 days or Necon in 365 days orOrtho Micronor in 365 days or Ortho-novum in 365 days or Ovcon-50 in 365 days orOvral-28 in 365 days or Pirmella in 365 days or Portia in 365 days or Seasonale in365 days or Seasonique in 365 days or Sprintec in 365 days or Sronyx in 365 days orTri-legest Fe in 365 days or Tri-lo-sprintec in 365 days or Tri-norinyl in 365 days orTrinessa in 365 days or Trivora-28 in 365 days or Viorele in 365 days or Wera in 365days or Zenchent in 365 days or Zeosa in 365 days or Zovia 1-50e in 365 days

• BINOSTO Atleast 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 days

• BRINTELLIX Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Remeron in 365 days or Selfemra in 365 days orVenlafaxine Hcl Er in 365 days or Zoloft in 365 days or Zyban in 365 days

• BRISDELLE Prior prescription for Paxil Cr in 120 days or Paxil in 120 days or Venlafaxine Hcl Erin 120 days

• CALCIPOTRIENE Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• CELEBREX Atleast 2 of Prior prescription for in 120 days or Actron in 120 days or Diclofenac

Sodium in 120 days or Diclofenac Sodium-misoprostol in 120 days or Etodolac Er in120 days or Fenoprofen Calcium in 120 days or Flurbiprofen in 120 days orIbuprofen in 120 days or Ibuprohm in 120 days or Indocin in 120 days orIndomethacin in 120 days or Infants' Motrin in 120 days or Ketoprofen in 120 daysor Ketorolac Tromethamine in 120 days or Meclofenamate Sodium in 120 days orMobic in 120 days or Motrin in 120 days or Nalfon in 120 days or Naprelan in 120days or Naproxen Sodium in 120 days or Naproxen in 120 days or Oxaprozin in 120days or Phenylbutazone in 120 days or Piroxicam in 120 days or Ponstel in 120 daysor Relafen in 120 days or Sulindac in 120 days or Tolmetin Sodium in 120 days orToradol in 120 days or Voltaren in 120 days or Voltaren-xr in 120 days or Wal-profenin 120 days or Wal-proxen in 120 days or Zipsor in 120 days

• CESAMET Prior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 days

• CLARINEX(SYRUP) Prior prescription for Desloratadine in 120 days or Xyzal in 120 days• CLARINEX-D 12 HOUR Prior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days or

Xyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 days• CLARINEX-D 24 HOUR Prior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days or

Xyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 days• CONZIP Prior prescription for Conzip in 120 days or Tramadol Hcl Er in 120 days or Ultram

Er in 120 days• COSOPT PF Prior prescription for Dorzolamide-timolol in 120 days• CRESTOR(TAB)(10 MG) Prior prescription for Lipitor in 120 days

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• CRESTOR(TAB)(20 MG) Prior prescription for Lipitor in 120 days• CRESTOR(TAB)(40 MG) Prior prescription for Lipitor in 120 days• CRESTOR(TAB)(5 MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• CYCLOSET Prior prescription for Glyburide-metformin Hcl in 180 days or Metaglip in 180 days

or Riomet in 180 days• DALIRESP Prior prescription for Arcapta Neohaler in 120 days or Atrovent Hfa in 120 days or

Combivent in 120 days or Foradil in 120 days or Serevent Diskus in 120 days orSpiriva in 120 days

• DAYTRANA Prior prescription for in 120 days or Methylphenidate Hcl Cd in 120 days orMethylphenidate Hcl in 120 days or Quillivant Xr in 120 days or Ritalin La in 120days or Ritalin-sr in 120 days

• DELZICOL Prior prescription for Apriso in 120 days or Colazal in 120 days• DESLORATADINE Prior prescription for Desloratadine in 120 days or Xyzal in 120 days• DETROL Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in

120 days• DEXILANT Prior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days or

Prevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 days

• DIFICID Prior prescription for Vancomycin Hcl in 120 days• DIOVAN Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• DIPENTUM Prior prescription for Apriso in 120 days or Colazal in 120 days• DORYX(TAB DR)(200 MG) Prior prescription for Vibramycin in 120 days• DOVONEX Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• DRITHOCREME HP Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• DUETACT Prior prescription for Avandamet in 120 days or Avandaryl in 120 days or Avandia in

120 days or Chlorpropamide in 120 days or Glimepiride in 120 days or Glucotrol Xlin 120 days or Glyburide-metformin Hcl in 120 days or Metaglip in 120 days orMicronase in 120 days or Riomet in 120 days or Tolazamide in 120 days orTolbutamide in 120 days

• DUEXIS Prior prescription for Etodolac Er in 120 days or Flurbiprofen in 120 days orIndomethacin in 120 days or Ketoprofen in 120 days or Meclofenamate Sodium in120 days or Mobic in 120 days or Nalfon in 120 days or Oxaprozin in 120 days orPiroxicam in 120 days or Relafen in 120 days or Sulindac in 120 days or TolmetinSodium in 120 days or Toradol in 120 days or Voltaren-xr in 120 days or Wal-profenin 120 days or Wal-proxen in 120 days

• DYMISTA Prior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 days• EDARBI Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• EDARBYCLOR Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• EDLUAR Prior prescription for Edluar in 180 days or Zolpidem Tartrate Er in 180 days or

Zolpidem Tartrate in 180 days• ELIDEL Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• ENABLEX Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in

120 days• EPANED Prior prescription for Vasotec in 120 days• ESOMEPRAZOLE STRONTIUM Prior prescription for Prevacid Iv in 120 days or Protonix Iv in 120 days or Zantac-

ppi in 120 days• EXFORGE Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• EXFORGE HCT Prior prescription for Captopril-hydrochlorothiazide in 120 days or Exforge in 120

days or Losartan Potassium in 120 days• FANAPT(TAB DS PK) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• FANAPT(TAB) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• FARXIGA Prior prescription for Chlorpropamide in 120 days or Glimepiride in 120 days or

Glyburide-metformin Hcl in 120 days or Glynase in 120 days or Metaglip in 120days or Pioglitazone Hcl in 120 days or Pioglitazone-glimepiride in 120 days orPioglitazone-metformin in 120 days or Riomet in 120 days or Tolazamide in 120days or Tolbutamide in 120 days

Preferred Drug List Medication Prescribing Limitations

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• FAZACLO Atleast 2 of Prior prescription for Fazaclo in 365 days or Risperidone Odt in 365days or Seroquel Xr in 365 days or Ziprasidone Hcl in 365 days or Zyprexa Zydis in365 days

• FELBATOL(ORAL SUSP) Prior prescription for Lamotrigine Er in 120 days or Trokendi Xr in 120 days• FELBATOL(TAB)(400 MG) Prior prescription for Lamotrigine Er in 120 days or Trokendi Xr in 120 days• FELBATOL(TAB)(600 MG) Prior prescription for Lamotrigine Er in 120 days or Trokendi Xr in 120 days• FENOGLIDE Prior prescription for Lofibra in 120 days or Lopid in 120 days or Tricor in 120 days• FETZIMA Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365

days or Paxil Cr in 365 days or Remeron in 365 days or Selfemra in 365 days orVenlafaxine Hcl Er in 365 days or Zoloft in 365 days or Zyban in 365 days

• FORADIL Prior prescription for Serevent Diskus in 120 days• FORFIVO XL Prior prescription for Wellbutrin Sr in 120 days or Wellbutrin Xl in 120 days or

Wellbutrin in 120 days or Zyban in 120 days• FROVA Prior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• FULYZAQ Prior prescription for Antiretrovirals in 120 days• FUZEON Prior prescription for Antiretrovirals in 120 days• FYCOMPA(TAB)(10 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or Fycompa in

365 days or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days orNeurontin in 365 days or Tegretol Xr in 365 days or Trileptal in 365 days orTrokendi Xr in 365 days or Valproic Acid in 365 days or Zonisamide in 365 days

• FYCOMPA(TAB)(12 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or Fycompa in365 days or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days orNeurontin in 365 days or Tegretol Xr in 365 days or Trileptal in 365 days orTrokendi Xr in 365 days or Valproic Acid in 365 days or Zonisamide in 365 days

• FYCOMPA(TAB)(2 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or Fycompa in365 days or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days orNeurontin in 365 days or Tegretol Xr in 365 days or Trileptal in 365 days orTrokendi Xr in 365 days or Valproic Acid in 365 days or Zonisamide in 365 days

• FYCOMPA(TAB)(4 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or Fycompa in365 days or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days orNeurontin in 365 days or Tegretol Xr in 365 days or Trileptal in 365 days orTrokendi Xr in 365 days or Valproic Acid in 365 days or Zonisamide in 365 days

• FYCOMPA(TAB)(6 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or Fycompa in365 days or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days orNeurontin in 365 days or Tegretol Xr in 365 days or Trileptal in 365 days orTrokendi Xr in 365 days or Valproic Acid in 365 days or Zonisamide in 365 days

• FYCOMPA(TAB)(8 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or Fycompa in365 days or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days orNeurontin in 365 days or Tegretol Xr in 365 days or Trileptal in 365 days orTrokendi Xr in 365 days or Valproic Acid in 365 days or Zonisamide in 365 days

• GABITRIL(TAB)(12 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• GABITRIL(TAB)(16 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• GABITRIL(TAB)(2 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• GABITRIL(TAB)(4 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• GELNIQUE Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days

• GIAZO Prior prescription for Apriso in 120 days or Colazal in 120 days• GLUMETZA Prior prescription for Metformin Hcl Er in 120 days• GRALISE(TAB ER 24H)(300 MG) Prior prescription for in 120 days or Gralise in 120 days or Neurontin in 120 days• GRALISE(TAB ER 24H)(300-600 MG) Prior prescription for in 120 days or Gralise in 120 days or Neurontin in 120 days• GRALISE(TAB ER 24H)(600 MG) Prior prescription for in 120 days or Gralise in 120 days or Neurontin in 120 days• GRANISETRON HCL Prior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days or

Zofran in 120 days

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• HORIZANT(TAB ER)(300 MG) Prior prescription for Neurontin in 120 days or Pramipexole Dihydrochloride in 120days or Ropinirole Hcl in 120 days

• HORIZANT(TAB ER)(600 MG) Prior prescription for Neurontin in 120 days or Pramipexole Dihydrochloride in 120days or Ropinirole Hcl in 120 days

• INTERMEZZO Prior prescription for Intermezzo in 120 days or Zolpidem Tartrate in 120 days• INVEGA(TAB ER 24H)(1.5 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVEGA(TAB ER 24H)(3 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVEGA(TAB ER 24H)(6 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVEGA(TAB ER 24H)(9 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVIRASE(CAP) Prior prescription for Atripla in 120 days or Isentress in 120 days or Prezista in 120

days or Reyataz in 120 days or Sustiva in 120 days• INVIRASE(TAB) Prior prescription for Atripla in 120 days or Isentress in 120 days or Prezista in 120

days or Reyataz in 120 days or Sustiva in 120 days• INVOKANA Prior prescription for Chlorpropamide in 120 days or Glimepiride in 120 days or

Glucotrol Xl in 120 days or Glyburide-metformin Hcl in 120 days or Glynase in 120days or Metaglip in 120 days or Micronase in 120 days or Pioglitazone Hcl in 120days or Pioglitazone-glimepiride in 120 days or Pioglitazone-metformin in 120 daysor Riomet in 120 days or Tolazamide in 120 days or Tolbutamide in 120 days

• JALYN Prior prescription for in 120 days or Doxazosin Mesylate in 120 days or Prazosin Hclin 120 days or Proscar in 120 days or Rapaflo in 120 days or Tamsulosin Hcl in 120days or Terazosin Hcl in 120 days or Uroxatral in 120 days

• KAZANO Prior prescription for Janumet Xr in 120 days or Jentadueto in 120 days or Juvisyncin 120 days or Tradjenta in 120 days

• KHEDEZLA Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Desvenlafaxine Erin 365 days or Khedezla in 365 days or Lexapro in 365 days or Paxil Cr in 365 daysor Remeron in 365 days or Selfemra in 365 days or Venlafaxine Hcl Er in 365 daysor Zoloft in 365 days or Zyban in 365 days

• KOMBIGLYZE XR Prior prescription for Januvia in 120 days or Jentadueto in 120 days• LAMICTAL ODT (BLUE) Prior prescription for Lamotrigine in 120 days• LAMICTAL ODT (GREEN) Prior prescription for Lamotrigine in 120 days• LAMICTAL ODT (ORANGE) Prior prescription for Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(100MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(200MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(25 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(50 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR (BLUE) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR (GREEN) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR (ORANGE) Prior prescription for Lamotrigine in 120 days• LATUDA(TAB)(120 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• LATUDA(TAB)(20 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• LATUDA(TAB)(40 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• LATUDA(TAB)(60 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• LATUDA(TAB)(80 MG) Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365

days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• LESCOL Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• LESCOL XL Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• LEVEMIR Prior prescription for Lantus Solostar in 120 days• LEVEMIR FLEXPEN Prior prescription for Lantus Solostar in 120 days• LIALDA Prior prescription for Apriso in 120 days or Colazal in 120 days• LIPTRUZET(TAB)(10 MG-10MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• LIPTRUZET(TAB)(10 MG-20MG) Prior prescription for Lipitor in 365 days• LIPTRUZET(TAB)(10 MG-40MG) Prior prescription for Lipitor in 365 days

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• LIPTRUZET(TAB)(10 MG-80MG) Prior prescription for Lipitor in 365 days• LIVALO Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days or

Pravastatin Sodium in 365 days or Zocor in 365 days• LO LOESTRIN FE Atleast 2 of Prior prescription for Desog-e.estradiol/e.estradiol in 365 days or

Desogestrel-ethinyl Estradiol in 365 days or Ethinyl Estradiol/drospirenone in 365days or Ethynodiol D-ethinyl Estradiol in 365 days or Etonogestrel/ethinyl Estradiolin 365 days or L-norgest-eth Estr/ethin Estra in 365 days or Levonorgestrel in 365days or Levonorgestrel-eth Estradiol in 365 days or Norelgestromin/ethin.estradiol in365 days or Noreth A-et Estra/fe Fumarate in 365 days or Noreth-ethinylEstradiol/iron in 365 days or Norethindrone A-e Estradiol in 365 days orNorethindrone in 365 days or Norethindrone-ethinyl Estrad in 365 days orNorethindrone-mestranol in 365 days or Norgestimate-ethinyl Estradiol in 365 daysor Norgestrel-ethinyl Estradiol in 365 days

• LUNESTA Prior prescription for Zolpidem Tartrate in 180 days• LUVOX CR Prior prescription for Citalopram Hbr in 120 days or Fluvoxamine Maleate in 120

days or Lexapro in 120 days or Paxil Cr in 120 days or Selfemra in 120 days orZoloft in 120 days

• MARINOL Atleast 3 of Prior prescription for Emend in 365 days or Methylprednisolone in 365days or Zofran in 365 days

• MIRAPEX ER Prior prescription for Pramipexole Dihydrochloride in 120 days or Ropinirole Hcl in120 days

• MYRBETRIQ Atleast 2 of Prior prescription for Enablex in 365 days or Gelnique in 365 days orOxybutynin Chloride in 365 days or Oxytrol in 365 days or Tolterodine Tartrate Er in365 days or Toviaz in 365 days or Trospium Chloride Er in 365 days or Vesicare in365 days

• NATAZIA Atleast 2 of Prior prescription for in 120 days or Desog-e.estradiol/e.estradiol in 365days or Desogestrel-ethinyl Estradiol in 365 days or Ethinyl Estradiol/drospirenonein 365 days or Ethynodiol D-ethinyl Estradiol in 365 days or Etonogestrel/ethinylEstradiol in 365 days or L-norgest-eth Estr/ethin Estra in 365 days or Levonorgestrelin 365 days or Levonorgestrel-eth Estradiol in 365 days or Microgestin in 120 daysor Norelgestromin/ethin.estradiol in 365 days or Noreth A-et Estra/fe Fumarate in365 days or Noreth-ethinyl Estradiol/iron in 365 days or Norethindrone A-e Estradiolin 365 days or Norethindrone in 365 days or Norethindrone-ethinyl Estrad in 365days or Norethindrone-mestranol in 365 days or Norgestimate-ethinyl Estradiol in365 days or Norgestrel-ethinyl Estradiol in 365 days or Ortho Micronor in 120 daysor Ortho-novum in 120 days or Ovral-28 in 120 days or Seasonique in 120 days orSkyla in 120 days or Tri-legest Fe in 120 days or Trinessa in 120 days or Trivora-28in 120 days or Velivet in 120 days or Viorele in 120 days or Zarah in 120 days orZenchent in 120 days or Zeosa in 120 days or Zovia 1-50e in 120 days

• NESINA Prior prescription for Janumet Xr in 120 days or Jentadueto in 120 days or Juvisyncin 120 days or Tradjenta in 120 days

• NEUPRO Prior prescription for Pramipexole Dihydrochloride in 120 days or Ropinirole Hcl in120 days

• NIASPAN Prior prescription for Lipitor in 365 days or Lofibra in 365 days or Lopid in 365 daysor Mevacor in 365 days or Pravastatin Sodium in 365 days or Tricor in 365 days orTriglide in 365 days or Zocor in 365 days

• NUVARING Prior prescription for Norgestimate-ethinyl Estradiol in 120 days• OCELLA Atleast 2 of Prior prescription for Generess Fe in 365 days or Lo Loestrin Fe in 365

days or Lomedia 24 Fe in 365 days or Loseasonique in 365 days or Lybrel in 365days or Microgestin Fe in 365 days or Microgestin in 365 days or Necon in 365 daysor Ortho Micronor in 365 days or Ortho-novum in 365 days or Ovcon-50 in 365 daysor Ovral-28 in 365 days or Pirmella in 365 days or Portia in 365 days or Seasonale in365 days or Seasonique in 365 days or Sprintec in 365 days or Sronyx in 365 days orTri-legest Fe in 365 days or Tri-lo-sprintec in 365 days or Tri-norinyl in 365 days orTrinessa in 365 days or Trivora-28 in 365 days or Velivet in 365 days or Viorele in365 days or Wera in 365 days or Zenchent in 365 days or Zeosa in 365 days or Zovia1-50e in 365 days

• OLEPTRO ER Prior prescription for Oleptro Er in 120 days or Trazodone Hcl in 120 days• OMNARIS Prior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 days• ONFI(ORAL SUSP) Prior prescription for Lamotrigine Er in 120 days or Trokendi Xr in 120 days• ONFI(TAB) Prior prescription for Lamotrigine Er in 120 days or Trokendi Xr in 120 days• ONGLYZA Prior prescription for Januvia in 120 days or Jentadueto in 120 days• ORACEA Prior prescription for Vibramycin in 120 days• ORTHO TRI-CYCLEN LO Atleast 2 of Prior prescription for Desog-e.estradiol/e.estradiol in 365 days or

Desogestrel-ethinyl Estradiol in 365 days or Ethinyl Estradiol/drospirenone in 365

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days or Ethynodiol D-ethinyl Estradiol in 365 days or Etonogestrel/ethinyl Estradiolin 365 days or L-norgest-eth Estr/ethin Estra in 365 days or Levonorgestrel in 365days or Levonorgestrel-eth Estradiol in 365 days or Norelgestromin/ethin.estradiol in365 days or Noreth A-et Estra/fe Fumarate in 365 days or Noreth-ethinylEstradiol/iron in 365 days or Norethindrone A-e Estradiol in 365 days orNorethindrone in 365 days or Norethindrone-ethinyl Estrad in 365 days orNorethindrone-mestranol in 365 days or Norgestimate-ethinyl Estradiol in 365 daysor Norgestrel-ethinyl Estradiol in 365 days

• OSENI Prior prescription for Janumet Xr in 120 days or Jentadueto in 120 days or Juvisyncin 120 days or Tradjenta in 120 days

• OTREXUP Prior prescription for Methotrexate Sodium in 120 days or Methotrexate in 120 daysor Rheumatrex in 120 days or Trexall in 120 days

• OXTELLAR XR(TAB ER 24H)(150 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or LamotrigineEr in 365 days or Levetiracetam Er in 365 days or Neurontin in 365 days or TegretolXr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days or Valproic Acidin 365 days or Zonisamide in 365 days

• OXTELLAR XR(TAB ER 24H)(300 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or LamotrigineEr in 365 days or Levetiracetam Er in 365 days or Neurontin in 365 days or TegretolXr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days or Valproic Acidin 365 days or Zonisamide in 365 days

• OXTELLAR XR(TAB ER 24H)(600 MG) Atleast 2 of Prior prescription for Divalproex Sodium Er in 365 days or LamotrigineEr in 365 days or Levetiracetam Er in 365 days or Neurontin in 365 days or TegretolXr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days or Valproic Acidin 365 days or Zonisamide in 365 days

• OXYTROL Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days

• PATANASE Prior prescription for Azelastine Hcl in 120 days• PENNSAID Prior prescription for Voltaren in 120 days• PENTASA Prior prescription for Apriso in 120 days or Colazal in 120 days or Pentasa in 120

days• PEXEVA Prior prescription for Paxil in 120 days• POTIGA(TAB)(200 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 days

or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• POTIGA(TAB)(300 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• POTIGA(TAB)(400 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• POTIGA(TAB)(50 MG) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• PREVACID(TAB RAP DR) Prior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec in 120 days or Protonix in 120 days or Zantac-ppi in120 days

• PRISTIQ ER Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Remeron in 365 days or Selfemra in 365 days orVenlafaxine Hcl Er in 365 days or Zoloft in 365 days or Zyban in 365 days

• PROTONIX(GRANPKT DR) Prior prescription for Omeprazole Magnesium in 120 days or Omeprazole in 120days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonix in 120 days orZantac-ppi in 120 days

• PROTOPIC Prior prescription for Protopic in 120 days or Topical Anti-inflammatory Steroidal in120 days

• PULMICORT FLEXHALER Atleast 2 of Prior prescription for Flovent Diskus in 365 days or Qvar in 365 days• QNASL Prior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 days• QUILLIVANT XR Prior prescription for Methylphenidate Hcl Cd in 120 days or Ritalin La in 120 days• RAPAFLO Prior prescription for Doxazosin Mesylate in 120 days or Prazosin Hcl in 120 days or

Proscar in 120 days or Rapaflo in 120 days or Tamsulosin Hcl in 120 days orTerazosin Hcl in 120 days or Uroxatral in 120 days

• RAYOS Prior prescription for Prednisone in 120 days or Rayos in 120 days

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• RELPAX Prior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• REQUIP XL Prior prescription for Pramipexole Dihydrochloride in 120 days or Ropinirole Hcl in

120 days• RESCULA Atleast 2 of Prior prescription for Travatan Z in 365 days or Xalatan in 365 days• ROZEREM Prior prescription for Zaleplon in 120 days or Zolpidem Tartrate in 120 days• SAFYRAL Atleast 2 of Prior prescription for in 365 days or Beyaz in 365 days or Generess Fe in

365 days or Lo Loestrin Fe in 365 days or Lomedia 24 Fe in 365 days orLoseasonique in 365 days or Microgestin Fe in 365 days or Microgestin in 365 daysor Necon in 365 days or Ortho Micronor in 365 days or Ortho-novum in 365 days orOvcon-50 in 365 days or Ovral-28 in 365 days or Pirmella in 365 days or Portia in365 days or Seasonale in 365 days or Seasonique in 365 days or Sprintec in 365 daysor Sronyx in 365 days or Tri-legest Fe in 365 days or Tri-lo-sprintec in 365 days orTri-norinyl in 365 days or Trinessa in 365 days or Trivora-28 in 365 days or Viorelein 365 days or Wera in 365 days or Zenchent in 365 days or Zeosa in 365 days orZovia 1-50e in 365 days

• SANCTURA Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days

• SANCUSO Prior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 days

• SAPHRIS Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days

• SEROQUEL XR Atleast 2 of Prior prescription for Citalopram Hbr in 365 days or Lexapro in 365days or Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365days or Selfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365days or Ziprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 days

• SILENOR Prior prescription for Silenor in 120 days or Zaleplon in 120 days or Zolpimist in 120days

• SIMCOR(TBMP 24HR)(1000-20MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days

• SIMCOR(TBMP 24HR)(1000-40 MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days

• SIMCOR(TBMP 24HR)(500MG-20MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days

• SIMCOR(TBMP 24HR)(500MG-40MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days

• SIMCOR(TBMP 24HR)(750MG-20MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days

• SOLODYN Prior prescription for Minocycline Hcl in 120 days• SORILUX Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• STAVZOR Prior prescription for in 120 days or Valproic Acid in 120 days• SUMAVEL DOSEPRO Prior prescription for Sumatriptan Succinate in 180 days or Sumatriptan in 180 days• SUPRENZA ODT Prior prescription for Phentermine Hcl in 120 days or Suprenza Odt in 120 days• SYMBICORT Prior prescription for Dulera in 120 days• TACLONEX(OINT) Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• TACLONEX(SUSPENSION) Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• TASMAR Prior prescription for Entacapone in 120 days• TELMISARTAN Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• TELMISARTAN-AMLODIPINE Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days• TELMISARTAN-HYDROCHLOROTHIAZID

Prior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days

• TEVETEN Prior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days

• TEVETEN HCT Prior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days

• TIMOPTIC OCUDOSE Prior prescription for Timoptic Ocudose in 120 days or Timoptic in 120 days• TOPICORT(SPRAY) Prior prescription for Diprosone in 120 days or Fluocinonide in 120 days or

Mometasone Furoate in 120 days or Topicort in 120 days• TOVIAZ Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in

120 days• TREXIMET Prior prescription for Sumatriptan in 180 days or Sumavel Dosepro in 180 days or

Zomig Zmt in 180 days• TRIBENZOR Prior prescription for Captopril-hydrochlorothiazide in 120 days or Losartan

Potassium in 120 days

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• TROKENDI XR(CAP ER 24H)(100 MG) Prior prescription for Topiramate in 120 days• TROKENDI XR(CAP ER 24H)(200 MG) Prior prescription for Topiramate in 120 days• TROKENDI XR(CAP ER 24H)(25 MG) Prior prescription for Topiramate in 120 days• TROKENDI XR(CAP ER 24H)(50 MG) Prior prescription for Topiramate in 120 days• TUDORZA PRESSAIR Prior prescription for Spiriva in 120 days• UCERIS Prior prescription for Colazal in 120 days• ULORIC Prior prescription for Uloric in 120 days or Zyloprim in 120 days• VECTICAL Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• VERAMYST Prior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 days• VERSACLOZ Atleast 2 of Prior prescription for Risperidone Odt in 365 days or Seroquel Xr in 365

days or Ziprasidone Hcl in 365 days or Zyprexa Zydis in 365 days• VESICARE Prior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in

120 days• VICTOZA 2-PAK Prior prescription for Tolbutamide in 365 days• VICTOZA 3-PAK Prior prescription for Tolbutamide in 365 days• VIIBRYD(TAB DS PK) Atleast 2 of Prior prescription for Citalopram Hbr in 120 days or Lexapro in 120

days or Paxil Cr in 365 days or Remeron in 120 days or Selfemra in 120 days orVenlafaxine Hcl Er in 120 days or Zoloft in 120 days or Zyban in 120 days

• VIIBRYD(TAB) Atleast 2 of Prior prescription for Citalopram Hbr in 120 days or Lexapro in 120days or Paxil Cr in 365 days or Remeron in 120 days or Selfemra in 120 days orVenlafaxine Hcl Er in 120 days or Zoloft in 120 days or Zyban in 120 days

• VIMOVO Prior prescription for Naproxen in 120 days or Wal-proxen in 120 days• VIMPAT(TAB) Atleast 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 days

or Lamotrigine Er in 365 days or Levetiracetam Er in 365 days or Neurontin in 365days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 daysor Valproic Acid in 365 days

• VYTORIN(TAB)(10 MG-10MG) Atleast 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days

• VYTORIN(TAB)(10 MG-20MG) Prior prescription for Lipitor in 120 days• VYTORIN(TAB)(10 MG-40MG) Prior prescription for Lipitor in 120 days• VYVANSE Prior prescription for Amphetamine Salt Combo in 120 days or Ritalin in 120 days• XIFAXAN(TAB)(550 MG) Prior prescription for Lactulose in 120 days• XYZAL(SOLUTION) Prior prescription for Desloratadine in 120 days or Xyzal in 120 days• ZEGERID(CAP) Prior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days or

Prevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 days

• ZEGERID(PACKET) Prior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 days

• ZENZEDI Prior prescription for Procentra in 120 days or Zenzedi in 120 days• ZETONNA Prior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 days• ZIOPTAN Atleast 2 of Prior prescription for Travatan Z in 365 days or Xalatan in 365 days• ZITHRANOL Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• ZITHRANOL-RR Prior prescription for Topical Anti-inflammatory Steroidal in 120 days• ZOLPIMIST Prior prescription for Zolpidem Tartrate in 120 days• ZOMIG(SPRAY)(2.5 MG) Prior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• ZOMIG(SPRAY)(5 MG) Prior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• ZOMIG(TAB) Prior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• ZORVOLEX Prior prescription for Voltaren-xr in 120 days• ZUPLENZ(FILM)(4 MG) Prior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days or

Zofran in 120 days or Zuplenz in 120 days• ZUPLENZ(FILM)(8 MG) Prior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days or

Zofran in 120 days or Zuplenz in 120 days

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PRIOR AUTHORIZATION RESRICTION - FORMULARY • ABRAXANE• ABSTRAL• ACTEMRA• ACTIQ• ADCETRIS• ADCIRCA• ADEMPAS• AFINITOR DISPERZ• AFINITOR(TAB)(10 MG)• AFINITOR(TAB)(2.5 MG)• AFINITOR(TAB)(5 MG)• AFINITOR(TAB)(7.5 MG)• ALDARA• ALIMTA• AMPYRA• AMTURNIDE• ANDROGEL• APOKYN• APTIVUS• ARANESP• AROMASIN• ARZERRA• AUBAGIO• AVASTIN• AVONEX• AVONEX ADMINISTRATION PACK• AVONEX PEN• AXIRON• BELVIQ• BERINERT• BETASERON• BETHKIS• BOSULIF(TAB)(100 MG)• BOSULIF(TAB)(500 MG)• BUPRENORPHINE-NALOXONE• CAPRELSA(TAB)(100 MG)• CAPRELSA(TAB)(300 MG)• CAYSTON• CIMZIA• CINRYZE• COMETRIQ• COMPLERA• COPAXONE• CYRAMZA• CYSTARAN• DELATESTRYL(SYRINGE)• DELATESTRYL(VIAL)• DEPO-TESTOSTERONE(VIAL)(100 MG/ML)• DEPO-TESTOSTERONE(VIAL)(200 MG/ML)• DICLOFENAC SODIUM• EDURANT• EGRIFTA• ELIGARD• ELSPAR• ENBREL• EPOGEN• ERBITUX• ERIVEDGE• ERWINAZE• EXTAVIA• FARESTON• FASLODEX• FENTORA

• FIRAZYR• FLOLAN• FORTESTA• GAMMAGARD LIQUID• GAMMAKED• GAMUNEX-C• GATTEX• GAZYVA• GENOTROPIN• GILENYA• GILOTRIF• GLEEVEC• GRANIX• GRASTEK• H.P. ACTHAR• HALAVEN• HERCEPTIN• HETLIOZ• HIZENTRA• HUMATROPE• HUMIRA• ICLUSIG(TAB)(15 MG)• ICLUSIG(TAB)(45 MG)• IMBRUVICA• INCIVEK• INCRELEX• INLYTA(TAB)(1 MG)• INLYTA(TAB)(5 MG)• INTELENCE• INTRON A• IPRIVASK• ISTODAX• IXEMPRA• JAKAFI• JUXTAPID• KADCYLA• KALBITOR• KALYDECO• KINERET• KORLYM• KYNAMRO• KYPROLIS• LAZANDA• LETAIRIS• LEUKINE• LEXIVA• MARQIBO• MEKINIST• MITOXANTRONE HCL• NEULASTA• NEUPOGEN• NEXAVAR• NORDITROPIN FLEXPRO• NORDITROPIN NORDIFLEX• NUEDEXTA• NUTROPIN• NUTROPIN AQ• NUTROPIN AQ NUSPIN• NUVIGIL• NYMALIZE• OLYSIO• OMNITROPE• ONCASPAR

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• ONSOLIS• OPSUMIT• ORALAIR• ORENCIA• ORENITRAM ER• OTEZLA• PEGASYS• PEGASYS PROCLICK• PEGINTRON• PEGINTRON REDIPEN• PERJETA• PHOTOFRIN• POMALYST• PRADAXA• PROCRIT• PROCYSBI• PROMACTA• PROVIGIL• PULMOZYME• QSYMIA• QUTENZA• RAGWITEK• RAVICTI• REBIF• REBIF REBIDOSE• RELISTOR• REMICADE• REMODULIN• REVLIMID• RITUXAN• SAIZEN• SELZENTRY• SEROSTIM• SIMPONI• SIMPONI ARIA• SIRTURO• SOLIRIS• SOVALDI• SPRYCEL(TAB)(100 MG)• SPRYCEL(TAB)(140 MG)• SPRYCEL(TAB)(20 MG)• SPRYCEL(TAB)(50 MG)• SPRYCEL(TAB)(70 MG)• SPRYCEL(TAB)(80 MG)• STELARA• STIVARGA• STRIANT• SUBOXONE• SUBSYS• SUCRAID• SUTENT• SYLATRON• SYLATRON 4-PACK• SYNAGIS• SYNRIBO• TAFINLAR• TARCEVA• TARGRETIN• TASIGNA• TECFIDERA• TEKAMLO• TEKTURNA• TEKTURNA HCT• TEMODAR• TESTIM

• TESTOSTERONE CYPIONATE• TEV-TROPIN• THALOMID• TIVICAY• TOBI• TOBI PODHALER• TORISEL• TRACLEER• TRIZIVIR• TYKERB• TYSABRI• TYVASO• VALCHLOR• VECAMYL• VECTIBIX• VELCADE• VELETRI• VENTAVIS• VICTRELIS• VOTRIENT• XALKORI• XELJANZ• XELODA(TAB)(150 MG)• XELODA(TAB)(500 MG)• XGEVA• XOLAIR• XTANDI• XYREM• YERVOY• ZALTRAP• ZELBORAF• ZOLADEX• ZORBTIVE• ZUBSOLV• ZYCLARA(CREAM PACK)• ZYCLARA(CRM MD PMP)(2.5 %)• ZYCLARA(CRM MD PMP)(3.75 %)• ZYKADIA• ZYTIGA• ZYVOX

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GENDER LIMITS - FORMULARY • APRI Female Only• AVODART Male Only• CAMRESE Female Only• CIALIS(TAB)(10 MG) Male Only• CIALIS(TAB)(2.5 MG) Male Only• CIALIS(TAB)(20 MG) Male Only• CIALIS(TAB)(5 MG) Male Only• CONCEPTROL(OTC) Female Only• CRYSELLE Female Only• FEMCAP Female Only• FEMCON FE Female Only• FOLIC ACID(OTC) Female Only• GYNOL II(OTC) Female Only• JALYN Male Only• LEVITRA Male Only• LEVORA-28 Female Only• MICROGESTIN Female Only• MICROGESTIN FE Female Only• NECON Female Only• NORINYL 1+50 Female Only• NOR-Q-D Female Only• OCELLA Female Only• ORTHO ALL-FLEX Female Only• ORTHO-NOVUM Female Only• PLAN B ONE-STEP Female Only• PROSCAR Male Only• RAPAFLO Male Only• SPRINTEC Female Only• STAXYN Male Only• STENDRA Male Only• TODAY CONTRACEPTIVESPONGE(OTC) Female Only• VCF(OTC) Female Only• VIAGRA Male Only• VIORELE Female Only• WIDE SEAL DIAPHRAGM Female Only• ZOVIA 1-35E Female Only

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- # -0.5 NORMAL SALINE.............................................. 290.9 % SODIUM CHLORIDE......................................291 + 1-F...................................................................... 162TEK(OTC)...............................................................258-MOP...................................................................... 21- A -AA/ANTIPYRN/BCAINE/POLICO#1/AL................... 28ABACAVIR SULFATE............................................... 41ABACAVIR SULFATE/LAMIVUDINE........................ 40ABACAVIR/LAMIVUDINE/ZIDOVUDINE..................41ABATACEPT.............................................................42ABATACEPT/MALTOSE........................................... 42ABCIXIMAB.............................................................. 35ABILIFY DISCMELT(TAB RDP DIS)(10 MG)......8, 61,6 6ABILIFY DISCMELT(TAB RDP DIS)(15 MG)......8, 61,6 6ABILIFY MAINTENA...................................................8ABILIFY(SOLUTION)..................................... 8, 61, 66ABILIFY(TAB)................................................. 8, 61, 66ABIRATERONE ACETATE....................................... 45ABRAXANE........................................................ 47, 75ABSORICA............................................................... 16ABSTRAL........................................................... 49, 75ACANYA................................................................... 16ACARBOSE..............................................................22ACCOLATE.................................................................5ACCU-CHEK ACTIVE(OTC).................................... 23ACCU-CHEK AVIVA PLUS(OTC).............................23ACCU-CHEK AVIVA(OTC)....................................... 23ACCU-CHEK COMFORT CURVE(OTC)..................23ACCU-CHEK COMPACT PLUS(OTC)..................... 25ACCU-CHEK COMPACT(OTC)................................25ACCU-CHEK FASTCLIX(OTC)................................ 27ACCU-CHEK SIMPLICITY(OTC)............................. 23ACCU-CHEK SMARTVIEW(OTC)............................23ACCU-CHEK SOFTCLIX(OTC)................................27ACCU-CHEK(OTC)............................................ 23, 27ACCUPRIL................................................................11ACCURETIC.............................................................10ACCUTREND GLUCOSE(OTC)...............................23ACD.......................................................................... 34ACE AEROSOL CLOUD ENHANCER....................... 5ACEBUTOLOL HCL..................................................11ACEON..................................................................... 11ACETAMINOPHEN W/CODEINE.............................50ACETAMINOPHEN WITH CODEINE....................... 50ACETAMINOPHEN/CAFFEINE/BUTALB................. 48ACETAMINOPHEN/PHENYLTOLX CIT................... 15ACETAMINOPHEN-BUTALBITAL............................ 48ACETAMINOPHEN-CODEINE................................. 50ACETAZOLAMIDE....................................................32ACETIC ACID.....................................................20, 28ACETIC ACID/ALUMINUM ACETATE......................28ACETIC ACID/HYDROCORTISONE........................28ACETOHYDROXAMIC ACID................................... 44ACETYLCYSTEINE..................................................48ACIPHEX SPRINKLE................................... 53, 61, 66ACITRETIN...............................................................21ACLARO...................................................................21ACLARO PD.............................................................21ACLIDINIUM BROMIDE............................................. 5ACLOVATE............................................................... 18ACTEMRA.......................................................... 42, 75ACTIGALL................................................................ 44ACTIMMUNE............................................................37ACTIQ.................................................................49, 75ACTIVE FE............................................................... 55ACTIVELLA.............................................................. 36ACTONEL(TAB)(150 MG)............................ 30, 61, 66ACTONEL(TAB)(30 MG).............................. 30, 61, 66ACTONEL(TAB)(35 MG).............................. 30, 61, 66ACTONEL(TAB)(5 MG)................................ 30, 61, 66ACTOPLUS MET................................................23, 66ACTOPLUS MET XR..........................................23, 66ACTOS..................................................................... 22ACULAR................................................................... 32ACULAR LS..............................................................32ACURA METER KIT(OTC).......................................25ACURA PLUS(OTC).................................................25ACURA STARTER KIT(OTC)................................... 25ACURA TEST STRIPS(OTC)...................................23ACUVAIL...................................................................32ACYCLOVIR.......................................................17, 40ACYCLOVIR/HYDROCORTISONE..........................17ACYCLOVIR/LIDOCAINE HCL................................ 17ACZONE...................................................................16ADALAT CC..............................................................12

ADALIMUMAB..........................................................42ADAPALENE............................................................ 16ADAPALENE/BENZOYL PEROXIDE....................... 16ADASUVE...................................................................8ADCETRIS......................................................... 46, 75ADCIRCA..................................................... 12, 66, 75ADDERALL...........................................................8, 61ADEFOVIR DIPIVOXIL.............................................41ADEMPAS.......................................................... 12, 75ADIPEX-P.................................................................59ADJUSTABLE LANCING DEVICE(OTC)................. 27ADO-TRASTUZUMAB EMTANSINE........................ 46ADOXA..................................................................... 39ADOXA CK............................................................... 39ADOXA PAK................................................. 39, 61, 66ADOXA TT................................................................39ADRENACLICK........................................................ 44ADRENALIN CHLORIDE..........................................15ADVAIR DISKUS.................................................. 5, 61ADVAIR HFA.........................................................5, 61ADVANCE TEST STRIPS(OTC).............................. 23ADVANCED AM/PM................................................. 56ADVANCED LANCING DEVICE(OTC).....................27ADVATE....................................................................34ADVATE H................................................................ 34ADVATE L.................................................................34ADVATE M................................................................34ADVATE SH..............................................................34ADVATE UH..............................................................34ADVICOR(TBMP 24HR)(1000-20MG)......... 13, 61, 66ADVICOR(TBMP 24HR)(1000-40 MG)........ 13, 61, 66ADVICOR(TBMP 24HR)(500MG-20MG)......13, 61,6 6ADVICOR(TBMP 24HR)(750MG-20MG)......13, 61,6 6ADVOCATE BLOOD GLUCOSE MONITOR(OTC)......2 5ADVOCATE DUO(OTC)........................................... 25ADVOCATE LANCING DEVICE(OTC).....................27ADVOCATE RAPID-SAFE(OTC)..............................27ADVOCATE REDI-CODE(OTC)......................... 23, 25ADVOCATE REDI-CODE+(OTC).......................23, 25ADVOCATE TEST STRIP(OTC).............................. 23AEROCHAMBER MINI...............................................5AEROCHAMBER MV................................................. 5AEROCHAMBER PLUS............................................. 5AEROCHAMBER PLUS FLOW-VU............................6AEROCHAMBER PLUS Z STAT................................ 6AEROCHAMBER WITH FLOWSIGNAL.....................6AEROCHAMBER Z-STAT PLUS................................ 6AEROECLIPSE.......................................................... 6AEROECLIPSE II....................................................... 6AEROGEAR ASTHMA ACTION KIT.......................... 6AEROSPAN.................................................... 5, 61, 66AEROTRACH PLUS...................................................6AEROVENT II.............................................................6AFATINIB DIMALEATE.............................................46AFINITOR DISPERZ.......................................... 46, 75AFINITOR(TAB)(10 MG)...............................46, 61, 75AFINITOR(TAB)(2.5 MG)..............................46, 61, 75AFINITOR(TAB)(5 MG).................................46, 61, 75AFINITOR(TAB)(7.5 MG)....................................46, 75AFLIBERCEPT......................................................... 33AGAMATRIX AMP(OTC).................................... 23, 25AGGRASTAT............................................................ 35AGGRENOX.............................................................35AGRYLIN.................................................................. 35AKNE-MYCIN........................................................... 16AKTEN......................................................................32ALA-QUIN.................................................................16ALA-TET...................................................................39ALBENDAZOLE....................................................... 40ALBENZA................................................................. 40ALBUTEROL SULFATE..............................................5ALC/ISOPROPANOL/PROP GLY/WATER............... 19ALCAFTADINE......................................................... 31ALCLOMETASONE DIPROPIONATE...................... 18ALCORTIN A............................................................ 16ALDACTAZIDE(TAB)(25 MG-25MG)........................12ALDACTAZIDE(TAB)(50 MG-50MG)........................12ALDACTONE............................................................12ALDARA....................................................... 37, 61, 75ALDESLEUKIN.........................................................37ALDOMET.................................................................11ALDORIL-D50...........................................................11ALENDRONATE SODIUM........................................30ALENDRONATE SODIUM(SOLUTION).............30, 61ALENDRONATE SODIUM(TAB).............................. 30ALENDRONATE SODIUM/VITAMIN D3...................30

ALFERON N............................................................. 37ALFUZOSIN HCL..................................................... 53ALIMTA............................................................... 45, 75ALINIA...................................................................... 16ALISKIREN HEMIFUMARATE................................. 12ALISKIREN/AMLODIPIN/HCTHIAZIDE....................12ALISKIREN/AMLODIPINE BESYLATE.................... 12ALISKIREN/HYDROCHLOROTHIAZIDE................. 12ALITRETINOIN.........................................................21ALKERAN.................................................................45ALLFEN CDX........................................................... 15ALLOPURINOL........................................................ 33ALMOTRIPTAN MALATE......................................... 50ALOCRIL.................................................................. 32ALODOX...................................................................32ALOGLIPTIN BENZ/METFORMIN HCL...................22ALOGLIPTIN BENZ/PIOGLITZONE.........................22ALOGLIPTIN BENZOATE........................................ 22ALOMIDE..................................................................32ALOQUIN..................................................................16ALORA............................................................... 36, 61ALOSETRON HCL................................................... 44ALPHA-1-PROTEINASE INHIBITOR....................... 45ALPHAGAN P(DROPS)(0.1 %)................................33ALPHAGAN P(DROPS)(0.15 %)..............................33ALPHANATE.............................................................34ALPHANINE SD....................................................... 34ALPHAQUIN HP.......................................................21ALPRAZOLAM............................................................8ALPRAZOLAM INTENSOL.........................................8ALPROLIX................................................................ 34ALPROSTADIL......................................................... 29ALREX......................................................................32ALSUMA.............................................................50, 61ALTABAX.................................................................. 17ALTACE.....................................................................11ALTERA NEBULIZER.................................................6ALTERNATE SITE LANCING DEVICE(OTC)...........27ALTOPREV...................................................13, 61, 66ALTRETAMINE......................................................... 45ALUMINUM CHLORIDE...........................................19ALUVEA................................................................... 20ALVESCO....................................................... 5, 61, 66ALVIMOPAN............................................................. 44AMANTADINE.......................................................... 50AMANTADINE HCL.................................................. 50AMARYL................................................................... 22AMBIEN................................................................9, 61AMBRISENTAN........................................................ 12AMCINONIDE...........................................................18AMERGE............................................................ 50, 61AMERICET............................................................... 48AMETHYST........................................................ 14, 66AMILORIDE HCL......................................................12AMILORIDE/HYDROCHLOROTHIAZIDE................ 12AMILORIDE-HYDROCHLOROTHIAZIDE................12AMINO ACID CERVICAL......................................... 54AMINOBENZOATE POTASSIUM.............................59AMINOCAPROIC ACID............................................34AMINOLEVULINIC ACID HCL..................................47AMINOPHYLLINE.......................................................6AMINOSALICYLIC ACID..........................................39AMIODARONE HCL.................................................10AMITIZA..............................................................44, 61AMITRIP HCL/CHLORDIAZEPOXIDE....................... 7AMITRIPTYLINE HCL................................................ 7AMLODIPINE BES/OLMESARTAN MED................. 11AMLODIPINE BESYLATE........................................ 12AMLODIPINE BESYLATE/BENAZEPRIL.................10AMLODIPINE/ATORVASTATIN................................ 14AMLODIPINE/VALSARTAN...................................... 11AMLODIPINE/VALSARTAN/HCTHIAZID..................10AMMONIUM LACTATE.............................................19AMOX TR-POTASSIUM CLAVULANATE.................38AMOXAPINE.............................................................. 7AMOXICILLIN...........................................................38AMOXICILLIN TRIHYDRATE................................... 38AMOXICILLIN/POTASSIUM CLAV...........................38AMOXIL.................................................................... 38AMPICILLIN TRIHYDRATE...................................... 38AMPYRA............................................................ 47, 75AMRIX...................................................................... 52AMTURNIDE...................................................... 12, 75ANACAINE............................................................... 21ANADROL-50........................................................... 36ANAFRANIL................................................................7ANAGRELIDE HCL.................................................. 35ANAKINRA............................................................... 42ANALPRAM E.......................................................... 43

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ANALPRAM HC........................................................44ANAPROX................................................................ 43ANAPROX DS.......................................................... 43ANASTROZOLE.......................................................45ANCOBON................................................................39ANDRODERM.......................................................... 36ANDROGEL....................................................... 36, 75ANDROID................................................................. 36ANDROXY..........................................................36, 61ANGELIQ..................................................................36ANGIOMAX.............................................................. 35ANIMI-3.....................................................................56ANIMI-3 WITH VITAMIN D....................................... 56ANORO ELLIPTA................................................. 5, 61ANSAID.................................................................... 43ANTABUSE.................................................................8ANTARA(CAP)(130 MG).......................................... 13ANTARA(CAP)(30 MG)...................................... 13, 66ANTARA(CAP)(43 MG)............................................ 13ANTARA(CAP)(90 MG)...................................... 13, 66ANTHRALIN............................................................. 21ANTHRALIN MICRONIZED......................................21ANTIHEMOPH.FVIII PLAS/ALB FREE.................... 34ANTIHEMOPHILIC FACTOR, HUM REC.................34ANTIHEMOPHILIC FACTOR, HUMAN.................... 34ANTIHEMOPHILIC FACTOR/VWF...........................34ANTI-INHIBITOR COAGULANT COMP................... 34ANTIPYRINE/BENZOCAIN/GLY/ZINC.....................28ANTIPYRINE/BENZOCAINE....................................28ANTIPYRINE/BENZOCAINE/GLYCERIN.................29ANTIPYRINE-BENZOCAINE..............................28, 29ANTISPASMODIC.................................................... 53ANTIVERT.................................................................. 4ANZEMET(TAB)(100 MG).............................. 4, 61, 66ANZEMET(TAB)(50 MG)................................ 4, 61, 66APEXICON E............................................................18APIDRA.................................................................... 28APIDRA SOLOSTAR................................................ 28APIXABAN................................................................34APLENZIN...................................................... 7, 61, 66APOKYN.......................................................50, 61, 75APOMORPHINE HCL...............................................50APRACLONIDINE HCL............................................ 32APREMILAST...........................................................42APREPITANT............................................................. 4APRI................................................................... 14, 77APRISO.................................................................... 43APTIOM....................................................................51APTIVUS............................................................ 40, 75AQUA GLYCOLIC HC.............................................. 19AQUA LANCE LANCING DEVICE(OTC)................. 27AQUA-MEPHYTON.................................................. 36AQUAPHILIC W/TAC + CARBAMIDE...................... 19AQUAPHILIC W/TRIAMCINOLONE.........................19ARALAST NP........................................................... 45ARALEN PHOSPHATE............................................ 40ARANESP.......................................................... 34, 75ARAVA...................................................................... 42ARCALYST............................................................... 42ARCAPTA NEOHALER.................................. 5, 61, 66ARESTIN.................................................................. 48ARFORMOTEROL TARTRATE..................................5ARGATROBAN.........................................................35ARGATROBAN IN 0.9 % SOD CHLOR....................35ARGATROBAN IN NACL,ISO-OSMOTIC................ 35ARGATROBAN-SODIUM CHLORIDE......................35ARICEPT.................................................................... 7ARIMIDEX................................................................ 45ARIPIPRAZOLE..........................................................8ARISTOCORT.......................................................... 42ARIXTRA(SYRINGE)(10MG/0.8ML).................. 35, 61ARIXTRA(SYRINGE)(2.5 MG/0.5)..................... 35, 61ARIXTRA(SYRINGE)(5MG/0.4ML).................... 35, 61ARIXTRA(SYRINGE)(7.5MG/0.6)...................... 35, 61ARMODAFINIL........................................................... 9ARMOUR THYROID.................................................31AROMASIN........................................................ 45, 75ARRANON................................................................45ARSENIC TRIOXIDE................................................46ARTEMETHER/LUMEFANTRINE............................ 40ARTHROTEC 50...................................................... 43ARTHROTEC 75...................................................... 43ARZERRA.......................................................... 45, 75ASA/SALICYLAM/ACETAMINOPH/CAFF................48ASACOL HD.......................................................43, 66ASCORBIC ACID..................................................... 59ASENAPINE MALEATE..............................................8ASMANEX...................................................... 5, 61, 67ASP.......................................................................... 48

ASPARAGINASE......................................................46ASPARAGINASE (ERWINIA CHRYSAN).................47ASPIRIN................................................................... 48ASPIRIN EC............................................................. 48ASPIRIN EC(OTC)............................................. 48, 60ASPIRIN/DIPYRIDAMOLE....................................... 35ASSURE 4(OTC)................................................23, 25ASSURE PLATINUM(OTC)................................ 23, 25ASSURE PRO(OTC).......................................... 23, 25ASTAGRAF XL......................................................... 37ASTELIN...............................................................4, 61ASTHMAPACK CHILDREN'S.....................................6ASTRINGYN.............................................................35ATABEX EC.............................................................. 57ATACAND........................................................... 11, 67ATACAND HCT...................................................11, 67ATAZANAVIR SULFATE........................................... 41ATELVIA....................................................... 30, 61, 67ATENOLOL............................................................... 11ATENOLOL/CHLORTHALIDONE.............................11ATGAM..................................................................... 37ATIVAN....................................................................... 8AT-LAST TEST STRIPS(OTC)................................. 23AT-LAST(OTC)......................................................... 25ATOMOXETINE HCL................................................10ATORVASTATIN CALCIUM...................................... 13ATOVAQUONE.........................................................40ATOVAQUONE/PROGUANIL HCL...........................40ATRALIN.............................................................16, 60ATRAPRO CP...........................................................19ATRAPRO DERMAL SPRAY....................................20ATRAPRO HYDROGEL........................................... 19ATRIPLA............................................................. 41, 61ATROPINE SULFATE...............................................33ATROVENT.............................................................. 48ATROVENT HFA.................................................. 5, 61AUBAGIO........................................................... 47, 75AUGMENTIN ES-600............................................... 38AUGMENTIN(SUSP RECON)(125-31.25/).............. 38AUGMENTIN(SUSP RECON)(250-62.5/5).............. 38AUGMENTIN(TAB)................................................... 38AURANOFIN.............................................................42AURSTAT................................................................. 19AUTO-LANCET MINI(OTC)......................................27AUTOLET IMPRESSION(OTC)................................27AUTOLET LANCING DEVICE(OTC)........................27AUVI-Q............................................................... 44, 67AVAGE......................................................................16AVALIDE................................................................... 11AVANAFIL.................................................................29AVANDAMET............................................................23AVANDARYL............................................................ 22AVANDIA.................................................................. 22AVAPRO....................................................................11AVAR LS................................................................... 17AVAR(CLEANSER)...................................................17AVAR(MED PAD)......................................................17AVASTIN.............................................................45, 75AVC...........................................................................54AVELOX....................................................................38AVIDOXY.................................................................. 39AVIDOXY DK............................................................ 39AVINZA..................................................................... 49AVITENE...................................................................35AVODART.....................................................53, 67, 77AVONEX............................................................. 47, 75AVONEX ADMINISTRATION PACK...................47, 75AVONEX PEN.....................................................47, 75AXERT..........................................................50, 61, 67AXID......................................................................... 53AXIRON..............................................................36, 75AXITINIB...................................................................46AYGESTIN................................................................36AZACITIDINE........................................................... 45AZASAN................................................................... 37AZASITE...................................................................32AZATHIOPRINE....................................................... 37AZELAIC ACID......................................................... 16AZELASTINE HCL............................................... 4, 31AZELASTINE/FLUTICASONE....................................4AZELEX....................................................................16AZILECT.............................................................51, 61AZILSARTAN MED/CHLORTHALIDONE................. 11AZILSARTAN MEDOXOMIL..................................... 11AZITHROMYCIN................................................ 32, 38AZOPT......................................................................33AZOR.................................................................. 11, 67AZTREONAM LYSINE..............................................37- B -

B CMPLX 4/VIT D3/C/FA/ZINC OX.......................... 59B COMPLEX & C NO.20/FOLIC ACID..................... 59B COMPLEX 100......................................................59B COMPLEX WITH VITAMIN C................................55BABY NEBULIZER.....................................................6BACITRACIN............................................................32BACITRACIN/POLYMYXIN B SULFATE.................. 32BACITRACIN-POLYMYXIN...................................... 32BACLOFEN.............................................................. 52BACMIN....................................................................56BACTOCILL..............................................................38BACTRIM..................................................................37BACTROBAN........................................................... 17BACTROBAN NASAL.............................................. 48BAL-CARE DHA ESSENTIAL.................................. 57BALSALAZIDE DISODIUM...................................... 43BANZEL(ORAL SUSP).................................52, 61, 67BANZEL(TAB)(200 MG)............................... 52, 61, 67BANZEL(TAB)(400 MG)............................... 52, 61, 67BARACLUDE............................................................41BARBIDONNA..........................................................53BASILIXIMAB........................................................... 37B-CAINE/ZINC CL/PINE/CPYRD............................. 43B-COMPLEX.............................................................59BEBULIN.................................................................. 34BECAPLERMIN........................................................28BECLOMETHASONE DIPROPIONATE.................4, 5BECONASE AQ............................................. 4, 61, 67BEDAQUILINE FUMARATE..................................... 40BELATACEPT...........................................................37BELLADONNA ALKALOIDS/PHENOBARB.............53BELLADONNA-OPIUM.............................................49BELVIQ............................................................... 59, 75BENAZEPRIL HCL................................................... 11BENAZEPRIL/HYDROCHLOROTHIAZIDE..............10BENAZEPRIL-HYDROCHLOROTHIAZIDE............. 10BENDAMUSTINE HCL.............................................45BENDROFLUMETHIAZIDE......................................12BENEFIX.................................................................. 34BENICAR............................................................ 11, 67BENICAR HCT....................................................11, 67BENOXINATE HCL/FLUORESCEIN NA.................. 32BENSAL HP....................................................... 17, 20BENTYL....................................................................52BENZACLIN(GEL W/PUMP).................................... 16BENZACLIN(GEL)....................................................16BENZAMYCIN.......................................................... 16BENZAMYCINPAK................................................... 16BENZOCAINE.................................................... 21, 29BENZOIC ACID/SALICYLIC ACID........................... 17BENZONATATE........................................................15BENZOYL PEROXIDE............................................. 20BENZOYL PEROXIDE MICROSPHERES............... 20BENZOYL PEROXIDE/HYDROCORTISON............ 16BENZOYL PEROXIDE/SULFUR..............................20BENZOYL PEROXIDE/VIT E MIX............................20BENZPHETAMINE HCL........................................... 59BENZTROPINE MESYLATE.................................... 50BENZYL ALCOHOL................................................. 17BEPOTASTINE BESILATE.......................................31BEPREVE.................................................................31BERACTANT............................................................ 48BERINERT..........................................................42, 75BESIFLOXACIN HCL............................................... 32BESIVANCE............................................................. 32BETADINE................................................................ 31BETAGAN.................................................................33BETAMETHASONE DIPROPIONATE......................18BETAMETHASONE VALERATE...............................18BETAMETHASONE/PROPYLENE GLYC................ 18BETAPACE............................................................... 11BETASERON......................................................47, 75BETAXOLOL HCL...............................................11, 32BETHANECHOL CHLORIDE................................... 44BETHKIS............................................................ 39, 75BETIMOL..................................................................33BETOPTIC S............................................................ 32BEVACIZUMAB........................................................ 45BEXAROTENE................................................... 21, 47BEXXAR................................................................... 46BEYAZ................................................................ 14, 67BG-STAR(OTC)........................................................ 23BIAXIN......................................................................38BICALUTAMIDE....................................................... 45BICHLORACETIC ACID...........................................20BICNU.......................................................................45BIDIL.........................................................................13BIFERA RX...............................................................55BILTRICIDE.............................................................. 40

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BIMATOPROST..................................................32, 33BINOSTO......................................................30, 61, 67BIOCLATE................................................................ 34BIOGLO....................................................................33BIONECT..................................................................20BISMUTH SAL/METRONID/TETRACYC................. 53BISMUTH/METRONID/TETRACYCLINE.................53BISOPROLOL FUMARATE...................................... 11BISOPROLOL FUMARATE/HCTZ........................... 12BIVALIRUDIN........................................................... 35BIVIGAM...................................................................37BLEOMYCIN SULFATE............................................45BLEPHAMIDE.......................................................... 32BLEPHAMIDE S.O.P................................................ 32BLOOD GLUCOSE CTL HIGH,NML&LOW..............25BLOOD GLUCOSE METER(OTC)...........................25BLOOD GLUCOSE MONITOR(OTC).......................25BLOOD GLUCOSE MONITORING(OTC)................ 25BLOOD GLUCOSE STRIPS-DISPMETER.............. 25BLOOD GLUCOSE TEST STRIP(OTC)...................23BLOOD GLUCOSE TEST(OTC).............................. 23BLOOD GLUOCSE TEST(OTC).............................. 23BLOOD SUGAR DIAGNOSTIC...........................23-25BLOOD SUGAR DIAGNOSTIC, DISC..................... 25BLOOD SUGAR DIAGNOSTIC, DRUM................... 25BLOOD-GL & BP METER,ADULT CUFF................. 25BLOOD-GLU METER,CONT/TRANSMIT................ 25BLOOD-GLUC.METER& WRIST BP MON.............. 25BLOOD-GLUCOSE METER................................25-27BLOOD-GLUCOSE METER(OTC)...........................25BLOOD-GLUCOSE METER,CONTINUOUS............27BOCEPREVIR.......................................................... 41BONIVA.................................................................... 30BONTRIL PDM......................................................... 59BORTEZOMIB.......................................................... 46BOSENTAN.............................................................. 12BOSULIF(TAB)(100 MG).............................. 46, 61, 75BOSULIF(TAB)(500 MG).............................. 46, 61, 75BOSUTINIB.............................................................. 46BP WASH................................................................. 20BP WASH ACNE TREATMENT................................20BP-50% UREA......................................................... 20B-PLEX PLUS.......................................................... 56BPO.......................................................................... 20BRAVELLE............................................................... 29BREATHERITE...........................................................6BREATHRITE............................................................. 6BREEZE 2(OTC)...................................................... 25BRENTUXIMAB VEDOTIN.......................................46BREO ELLIPTA.................................................... 5, 61BRILINTA............................................................35, 61BRIMONIDINE TARTRATE................................ 16, 33BRIMONIDINE TARTRATE/TIMOLOL......................33BRINTELLIX................................................... 7, 61, 67BRINZOLAMIDE.......................................................33BRINZOLAMIDE/BRIMONID TART..........................33BRISDELLE....................................................7, 61, 67BROMFED DM......................................................... 15BROMFENAC SODIUM........................................... 31BROMOCRIPTINE MESYLATE......................... 22, 50BROMPHENIRA/PSEUDOEPHED/CODEIN........... 15BROMPHENIRAM/PHENYLEPHRINE/DM..............15BROMPHENRM/PSEUDOEPH/DIHYDROCD.........15BRONCOMAR GG..................................................... 5BROVANA............................................................ 5, 61BUCALCIDE............................................................. 48BUCALSEP.............................................................. 43BUDESONIDE......................................................5, 42BUDESONIDE/FORMOTEROL FUMARATE............. 5BUMETANIDE.......................................................... 12BUPAP......................................................................48BUPHENYL.............................................................. 44BUPRENEX..............................................................50BUPRENORPHINE.................................................. 48BUPRENORPHINE HCL.......................................... 50BUPRENORPHINE HCL/NALOXONE HCL.............50BUPRENORPHINE-NALOXONE....................... 50, 75BUPROBAN..............................................................52BUPROPION HBR......................................................7BUPROPION HCL................................................7, 52BUSPIRONE HCL...................................................... 8BUSULFAN...............................................................45BUSULFEX...............................................................45BUTABARBITAL SODIUM..........................................9BUTALB/ACETAMINOPHEN/CAFFEINE................. 48BUTALBIT/ACETAMIN/CAFF/CODEINE..................50BUTALBITAL/ACETAMINOPHEN.............................48BUTALBITAL/ASPIRIN/CAFFEINE.......................... 48BUTALBITAL-ACETAMINOPHEN-CAFFE............... 48

BUTALBITAL-ASPIRIN-CAFFEINE.......................... 48BUTENAFINE HCL...................................................17BUTISOL SODIUM.....................................................9BUTORPHANOL TARTRATE................................... 48BUTRANS.......................................................... 48, 61BUTYLATED HYDROXYTOLUENE......................... 16BUTYLATED HYDROXYTOLUENE(BHT)............... 16BYDUREON....................................................... 22, 61BYETTA(PEN INJCTR)(10MCG/0.04)................22, 61BYETTA(PEN INJCTR)(5MCG/0.02)..................22, 61BYSTOLIC................................................................ 11- C -C1 ESTERASE INHIBITOR......................................42CABAZITAXEL..........................................................47CABERGOLINE........................................................31CABOZANTINIB S-MALATE.................................... 46CADEXOMER IODINE............................................. 16CADUET.............................................................14, 61CAFCIT.......................................................................6CAFERGOT........................................................50, 61CAFFEINE CITRATED............................................... 6CAL CARB/MGOX/D3/B12/FA/B6/BOR................... 54CALAN SR................................................................12CALCIPOTRIENE...............................................21, 67CALCIPOTRIENE/BETAMETHASONE....................22CALCITONIN,SALMON,SYNTHETIC...................... 30CALCITRIOL...................................................... 21, 59CALCIUM ACETATE................................................ 29CALCIUM CARBONATE/MAG CARB/FA.................29CALFACTANT...........................................................48CAMBIA..............................................................50, 61CAMPTOSAR........................................................... 46CAMRESE....................................................14, 61, 77CANAGLIFLOZIN..................................................... 22CANAKINUMAB/PF..................................................42CANASA...................................................................43CANDESARTAN CILEXETIL.................................... 11CANDESARTAN/HYDROCHLOROTHIAZID............11CANTIL.....................................................................53CAPECITABINE........................................................45CAPEX SHAMPOO.................................................. 18CAPITAL W-CODEINE............................................. 50CAPRELSA(TAB)(100 MG).......................... 46, 61, 75CAPRELSA(TAB)(300 MG).......................... 46, 61, 75CAPSAICIN/SKIN CLEANSER................................ 20CAPTOPRIL..............................................................11CAPTOPRIL/HYDROCHLOROTHIAZIDE................10CAPTOPRIL-HYDROCHLOROTHIAZIDE............... 10CARAC..................................................................... 21CARAFATE(ORAL SUSP)........................................ 53CARAFATE(TAB)......................................................53CARBACHOL........................................................... 33CARBAGLU..............................................................44CARBAMAZEPINE...............................................8, 51CARBATROL............................................................ 51CARBIDOPA.............................................................51CARBIDOPA/LEVODOPA........................................ 50CARBIDOPA/LEVODOPA/ENTACAPONE.........50, 51CARBINOXAMINE MALEATE.............................. 4, 60CARBIT/EQUIS XT/ETHAN/CHIT/MSM...................20CARBOPLATIN.........................................................45CARDENE SR.......................................................... 12CARDIZEM CD.........................................................12CARDIZEM LA..........................................................12CARDURA................................................................10CARDURA XL...........................................................10CAREONE(OTC)......................................................27CARESENS N VOICE(OTC).................................... 25CARESENS N(OTC).......................................... 23, 25CARFILZOMIB..........................................................46CARGLUMIC ACID...................................................44CARIMUNE NF NANOFILTERED............................ 37CARISOPRODOL.....................................................52CARISOPRODOL/ASPIRIN..................................... 52CARISOPRODOL-ASPIRIN..................................... 52CARISOPRODOL-ASPIRIN-CODEINE....................48CARMUSTINE..........................................................45CARMUSTINE IN POLIFEPROSAN 20................... 45CARTEOLOL HCL....................................................33CARVEDILOL........................................................... 10CARVEDILOL PHOSPHATE.................................... 10CASODEX................................................................ 45CATAFLAM............................................................... 43CATAPRES............................................................... 11CATAPRES-TTS 1.................................................... 11CATAPRES-TTS 2.................................................... 11CATAPRES-TTS 3.................................................... 11CAVAN-EC SOD DHA.............................................. 57CAVERJECT.......................................................29, 61

CAYSTON...........................................................37, 75C-CLARIFYING SERUM.......................................... 21CEDAX(CAP)............................................................38CEDAX(SUSP RECON)(180 MG/5ML)....................38CEDAX(SUSP RECON)(90 MG/5 ML).....................38CEFACLOR.............................................................. 37CEFADROXIL...........................................................37CEFADROXIL HYDRATE......................................... 37CEFDINIR.................................................................37CEFIXIME.................................................................37CEFPODOXIME PROXETIL.................................... 38CEFPROZIL..............................................................37CEFTIBUTEN DIHYDRATE......................................38CEFTIN(SUSP RECON)...........................................37CEFTIN(TAB)............................................................37CEFUROXIME AXETIL............................................ 37CELEBREX.................................................. 43, 60, 67CELECOXIB............................................................. 43CELEXA..................................................................... 7CELLCEPT............................................................... 37CELLCEPT(CAP)..................................................... 37CELLCEPT(SUSP RECON).....................................37CELLCEPT(TAB)...................................................... 37CELLULOSE,OXIDIZED.......................................... 35CELONTIN................................................................51CENESTIN................................................................36CENTANY AT........................................................... 17CENTERGY DM....................................................... 15CEPHALEXIN...........................................................37CEPHALEXIN MONOHYDRATE..............................37CEPROTIN............................................................... 35CERITINIB................................................................46CERTOLIZUMAB PEGOL........................................ 43CERUBIDINE............................................................45CERVICAL CAP....................................................... 15CERVIDIL................................................................. 15CESAMET...................................................... 4, 61, 67CETACAINE............................................................. 21CETACAINE ANESTHETIC......................................21CETIRIZINE HCL........................................................4CETRAXAL...............................................................28CETRORELIX ACETATE..........................................31CETROTIDE.............................................................31CETUXIMAB.............................................................45CEVI-FER.................................................................55CEVIMELINE HCL....................................................44CHANTIX............................................................52, 61CHEMSTRIP BG(OTC)............................................ 23CHEMSTRIP UG(OTC)............................................ 28CHEMSTRIP UGK(OTC)..........................................28CHENODAL..............................................................44CHENODIOL............................................................ 44CHILDREN'S FERROUS SULFATE(OTC)...............55CHLORAMBUCIL..................................................... 45CHLORDIAZEPOXIDE...............................................8CHLORDIAZEPOXIDE HCL.......................................8CHLORDIAZEPOXIDE/CLIDINIUM BR....................53CHLORDIAZEPOXIDE-AMITRIPTYLINE...................7CHLORHEXIDINE GLUCONATE............................. 48CHLOROQUINE PHOSPHATE................................ 40CHLOROTHIAZIDE..................................................12CHLOROXYLENOL/PRAMOXINE HCL...................29CHLORPHENIRAMINE MALEATE.............................4CHLORPHENIRAMINE TANNATE.............................4CHLORPHENIRAMINE/CODEINE PHOS................15CHLORPROMAZINE HCL..........................................9CHLORPROPAMIDE................................................22CHLORTHALIDONE.................................................13CHLORZOXAZONE................................................. 52CHLORZOXAZONE W/ACETAMINOPHEN.............52CHLORZOXAZONE/ACETAMINOPHEN................. 52CHOICEDM CLARUS TEST STRIPS(OTC)............ 23CHOICEDM CLARUS(OTC).....................................25CHOICEDM G20(OTC)...................................... 23, 25CHOICE-OB + DHA..................................................58CHOLECALCIFEROL (VITAMIN D3)....................... 59CHOLESTYRAMINE (WITH SUGAR)......................13CHOLESTYRAMINE LIGHT.....................................13CHOLESTYRAMINE/ASPARTAME..........................13CHOLINE MAG TRISALICYLATE............................ 48CHOLINE SAL/MAG SALICYLATE.......................... 48CHORIOGONADOTROPIN ALFA............................29CHORIONIC GONADOTROPIN...............................29CHORIONIC GONADOTROPIN, HUMAN............... 29CIALIS(TAB)(10 MG).................................... 29, 61, 77CIALIS(TAB)(2.5 MG)................................... 29, 61, 77CIALIS(TAB)(20 MG).................................... 29, 61, 77CIALIS(TAB)(5 MG)...................................... 29, 61, 77CICLESONIDE....................................................... 4, 5

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CICLODAN............................................................... 17CICLOPIROX............................................................17CICLOPIROX OLAMINE.......................................... 17CICLOPIROX/NAIL LACQ/FT DEOD#4...................17CICLOPIROX/SKIN CLEANSER NO.28.................. 17CICLOPIROX/URE/CAMPH/MENTH/EUC...............17CILOSTAZOL............................................................35CILOXAN(DROPS)...................................................32CILOXAN(OINT).......................................................32CIMETIDINE.............................................................53CIMETIDINE HCL.....................................................53CIMZIA................................................................43, 75CINACALCET HCL...................................................30CINRYZE............................................................ 42, 75CIPRO...................................................................... 38CIPRO HC................................................................ 29CIPRO XR................................................................ 38CIPRODEX...............................................................29CIPROFLOXACIN.................................................... 38CIPROFLOXACIN HCL................................ 28, 32, 38CIPROFLOXACIN HCL/DEXAMETH....................... 29CIPROFLOXACIN/CIPROFLOXA HCL....................38CIPROFLOXACIN/HYDROCORTISONE................. 29CISPLATIN............................................................... 45CITALOPRAM HBR.................................................... 7CITALOPRAM HYDROBROMIDE..............................7CITRANATAL 90 DHA.............................................. 58CITRANATAL DHA................................................... 57CITRANATAL HARMONY........................................ 58CITRANATAL RX......................................................57CITRATE PHOSPHATE DEXTROS SOLN.............. 34CITRATE PHOSPHATE DEXTROSE.......................34CITRIC ACID/G-LACTONE/MAG CARB.................. 54CITRIC ACID/SODIUM CITRATE.............................54CITRIC/CITRONELLYL/HYDROX/METH.................17CLADRIBINE............................................................ 45CLARAVIS................................................................ 16CLARINEX(SYRUP).......................................4, 61, 67CLARINEX(TAB)...................................................4, 61CLARINEX-D 12 HOUR................................. 4, 61, 67CLARINEX-D 24 HOUR................................. 4, 61, 67CLARITHROMYCIN................................................. 38CLEMASTINE FUMARATE........................................ 4CLEOCIN HCL..........................................................40CLEOCIN T...............................................................16CLEOCIN(CREAM/APPL)........................................ 54CLEOCIN(SUPP VAG)............................................. 54CLEVER CHEK BLOOD GLUCOSE SYST(OTC)......2 5CLEVER CHOICE BLOOD GLUC SYS(OTC)..........25CLEVER CHOICE HD GLUCOSE SYST(OTC)....... 25CLEVER CHOICE MICRO TEST STRIP(OTC)........23CLEVER CHOICE MICRO(OTC)............................. 25CLEVER CHOICE PRO(OTC)............................23, 25CLEVER CHOICE TALK(OTC)...........................23, 25CLEVER CHOICE TEST STRIPS(OTC).................. 23CLEVER CHOICE VOICE+(OTC)............................ 23CLEVER CHOICE(OTC).......................................... 25CLIMARA............................................................36, 61CLIMARA PRO...................................................36, 61CLINDACIN ETZ.......................................................16CLINDACIN P...........................................................16CLINDACIN PAC...................................................... 16CLINDAGEL............................................................. 16CLINDAMYCIN HCL.................................................40CLINDAMYCIN PALMITATE HCL.............................40CLINDAMYCIN PHOS/BENZOYL PEROX.............. 16CLINDAMYCIN PHOS/SKIN CLNSR 19.................. 16CLINDAMYCIN PHOSPHATE............................ 16, 54CLINDAMYCIN/TRETINOIN.....................................16CLINDESSE............................................................. 54CLINITEST REAGENT(OTC)...................................28CLINPRO 5000.........................................................54CLIOQUINOL/HC/EMOLLIENT CMB#88.................16CLIOQUINOL/HYDROCORTISONE........................ 16CLIOQUINOL/HYDROCORTISONE/PRAM.............16CLOBAZAM..............................................................51CLOBETASOL EMOLLIENT.....................................18CLOBETASOL PROPIONATE..................................18CLOBETASOL PROPIONATE/EMOLL.................... 18CLOBEX(LOTION)................................................... 18CLOBEX(SHAMPOO).............................................. 18CLOBEX(SPRAY).....................................................18CLOCORTOLONE PIVALATE.................................. 18CLODERM................................................................18CLOFARABINE........................................................ 45CLOLAR................................................................... 45CLOMIPHENE CITRATE..........................................29CLOMIPRAMINE HCL................................................7

CLONAZEPAM......................................................... 51CLONIDINE.............................................................. 11CLONIDINE HCL............................................ 9, 11, 48CLONIDINE HCL/CHLORTHALIDONE.................... 11CLONIDINE HCL/PF................................................ 48CLOPIDOGREL BISULFATE....................................35CLORAZEPATE DIPOTASSIUM................................ 8CLORPRES.............................................................. 11CLOTRIMAZOLE................................................17, 39CLOTRIMAZOLE/BETAMETHASONE DIP..............17CLOTRIMAZOLE-BETAMETHASONE.....................17CLOZAPINE......................................................... 8, 61CLOZARIL............................................................ 8, 61COAGULATION FACTOR VIIA,RECOMB................34COARTEM................................................................40COCAINE HCL......................................................... 21CODAR GF...............................................................15CODEINE PHOS/ACETAMINOPHEN...................... 50CODEINE SULFATE.................................................48CODEINE/BUTALBITAL/ASA/CAFFEIN...................50CODEINE/CARISOPRODOL/ASPIRIN....................48COLAZAL................................................................. 43COLCHICINE............................................................33COLCHICINE/PROBENECID...................................33COLCRYS................................................................ 33COLESEVELAM HCL...............................................13COLESTID(GRANULES)..........................................13COLESTID(PACKET)(5 G)....................................... 13COLESTID(PACKET)(7.5G)..................................... 13COLESTID(TAB).......................................................13COLESTIPOL HCL...................................................13COLLAGENASE CLOSTRIDIUM HIST.................... 21COLY-MYCIN S........................................................ 28COLYTE WITH FLAVOR PACKS............................. 44COMBIGAN.............................................................. 33COMBIPATCH.................................................... 36, 61COMBIVENT.............................................................. 5COMBIVENT RESPIMAT........................................... 5COMBIVIR..........................................................41, 61COMETRIQ.................................................. 46, 61, 75COMFORT PAC-CYCLOBENZAPRINE...................52COMFORT PAC-IBUPROFEN................................. 43COMFORT PAC-MELOXICAM.................................43COMFORT PAC-NAPROXEN.................................. 43COMFORT PAC-TIZANIDINE.................................. 52COMP-AIR ELITE COMPRESSOR SYST................. 6COMP-AIR NEBULIZER COMPRESSOR..................6COMPAZINE...............................................................4COMPLERA....................................................... 41, 75COMPLETE NATAL DHA......................................... 57COMPLETENATE.....................................................56COMPRESSOR, FOR NEBULIZER...........................5COMTAN.................................................................. 51CONCEPT DHA........................................................57CONCEPT OB..........................................................57CONCEPTROL(OTC).........................................14, 77CONCERTA(TAB ER 24H)(18 MG)......................9, 61CONCERTA(TAB ER 24H)(27 MG)......................9, 61CONCERTA(TAB ER 24H)(36 MG)......................9, 61CONCERTA(TAB ER 24H)(54 MG)......................9, 61CONDYLOX(GEL)....................................................20CONDYLOX(SOLUTION).........................................20CONTOUR NEXT(OTC)........................................... 23CONTOUR TS(OTC)................................................ 23CONTOUR(OTC)......................................................23CONTROL G3(OTC)................................................ 23CONTROL(OTC)................................................ 23, 25CONZIP........................................................ 50, 61, 67COPAXONE........................................................47, 75COPEGUS................................................................41CORDRAN................................................................18COREG.....................................................................10COREG CR.............................................................. 10CORGARD................................................................11CORIFACT................................................................34CORTANE-B.............................................................28CORTEF................................................................... 42CORTENEMA...........................................................44CORTICOTROPIN....................................................30CORTIFOAM............................................................ 44CORTISONE ACETATE........................................... 42CORTISPORIN.........................................................18CORTISPORIN-TC...................................................28CORVITA.................................................................. 55CORVITE..................................................................55CORVITE 150...........................................................55CORVITE FE............................................................ 55CORVITE FREE....................................................... 56CORZIDE..................................................................12

COSMEGEN.............................................................45COSOPT...................................................................33COSOPT PF.................................................33, 61, 67COUMADIN.............................................................. 34COZAAR................................................................... 11CREON.....................................................................52CRESTOR(TAB)(10 MG)..............................13, 61, 67CRESTOR(TAB)(20 MG)..............................13, 61, 68CRESTOR(TAB)(40 MG)..............................13, 61, 68CRESTOR(TAB)(5 MG)................................13, 61, 68CRESYL ACE/BEN ALC/BUTANOL/IPA.................. 28CRESYLATE.............................................................28CRINONE........................................................... 30, 36CRIXIVAN................................................................. 41CRIZOTINIB............................................................. 46CROFELEMER.........................................................44CROMOLYN SODIUM..........................................5, 32CROTAMITON..........................................................17CRYSELLE......................................................... 15, 77C-THERAPY NIGHT CREAM...................................21CUPRIMINE..............................................................42CUROSURF............................................................. 48CUTIVATE................................................................ 18CUVPOSA................................................................ 53CYANOCOBALAMIN................................................ 59CYANOCOBALAMIN (VITAMIN B-12)......................59CYANOCOBALAMIN INJECTION............................ 59CYANOCOBALAMIN/FA/PYRIDOXINE................... 59CYANOCOBALAMIN/MECOBALAMIN.................... 59CYANOCOBALAMIN/VIT BCOMP&C...................... 59CYCLOBENZ HCL/IRR CNTR-IRR CB2..................52CYCLOBENZAPRINE HCL...................................... 52CYCLOGYL(DROPS)(0.5 %)................................... 33CYCLOGYL(DROPS)(1 %)...................................... 33CYCLOGYL(DROPS)(2 %)...................................... 33CYCLOMYDRIL........................................................33CYCLOPENTOLATE HCL........................................ 33CYCLOPENTOLATE/PHENYLEPHRINE.................33CYCLOPHOSPHAMIDE...........................................45CYCLOSERINE........................................................40CYCLOSET........................................................ 22, 68CYCLOSPORINE............................................... 32, 37CYCLOSPORINE MODIFIED...................................37CYCLOSPORINE, MODIFIED..................................37CYPROHEPTADINE HCL.......................................... 4CYRAMZA.......................................................... 46, 75CYSTAGON..............................................................54CYSTARAN........................................................ 33, 75CYSTEAMINE BITARTRATE....................................54CYSTEAMINE HCL.................................................. 33CYSTOSPAZ-M........................................................ 53CYTARABINE........................................................... 45CYTARABINE LIPOSOME/PF..................................45CYTARABINE/PF..................................................... 45CYTOMEL................................................................ 31CYTOTEC.................................................................53CYTRA-2.................................................................. 54CYTRA-3.................................................................. 54CYTRA-K..................................................................54- D -D.H.E.45............................................................. 50, 61DABIGATRAN ETEXILATE MESYLATE.................. 35DABRAFENIB MESYLATE.......................................46DACOGEN................................................................45DACTINOMYCIN......................................................45DALFAMPRIDINE.....................................................47DALIRESP......................................................5, 61, 68DALTEPARIN SODIUM,PORCINE.....................34, 35DANAZOL.................................................................31DANTRIUM...............................................................52DANTROLENE SODIUM..........................................52DAPAGLIFLOZIN PROPANEDIOL...........................22DAPSONE.......................................................... 16, 39DARAPRIM...............................................................40DARBEPOETIN ALFA IN POLYSORBAT.................34DARIFENACIN HYDROBROMIDE...........................54DARUNAVIR ETHANOLATE.................................... 40DASATINIB............................................................... 46DAUNORUBICIN CITRATE LIPOSOMAL................ 45DAUNORUBICIN HCL..............................................45DAUNOXOME.......................................................... 45DAYPRO...................................................................43DAYTRANA.................................................... 9, 61, 68DDAVP......................................................................30DDAVP(AMPUL)(15 MCG/ML)................................. 30DDAVP(AMPUL)(4MCG/ML).................................... 30DDAVP(SOLUTION).................................................30DDAVP(TAB)............................................................ 30DDAVP(VIAL)........................................................... 30

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DECADRON............................................................. 31DECITABINE............................................................ 45DEGARELIX ACETATE............................................ 46DELATESTRYL(SYRINGE)................................36, 75DELATESTRYL(VIAL)........................................ 36, 75DELAVIRDINE MESYLATE...................................... 41DEL-BETA................................................................ 18DELZICOL.......................................................... 43, 68DEMADEX................................................................12DEMECARIUM BROMIDE....................................... 33DEMECLOCYCLINE HCL........................................ 38DEMEROL................................................................49DEMSER...................................................................11DENAVIR.................................................................. 17DENOSUMAB...........................................................30DEPAKENE.............................................................. 52DEPAKOTE ER........................................................ 51DEPEN..................................................................... 42DEPOCYT................................................................ 45DEPODUR................................................................49DEPO-PROVERA...............................................14, 61DEPO-SUBQ PROVERA 104............................ 14, 61DEPO-TESTOSTERONE(VIAL)(100 MG/ML)......36,7 5DEPO-TESTOSTERONE(VIAL)(200 MG/ML)......36,7 5DEPRIZINE...............................................................53DERMA-SMOOTHE-FS............................................18DERMASORB AF.....................................................16DERMASORB HC.................................................... 19DERMASORB TA..................................................... 19DERMASORB XM.................................................... 20DERMATOP..............................................................19DERMOTIC...............................................................28DESIPRAMINE HCL...................................................8DESIRUDIN..............................................................35DESLORATADINE..........................................4, 61, 68DESLORATADINE/PSEUDOEPHEDRINE.................4DESMOPRESSIN (NONREFRIGERATED)............. 30DESMOPRESSIN ACETATE....................................30DESOG-E.ESTRADIOL/E.ESTRADIOL...................14DESOGESTREL-ETHINYL ESTRADIOL.................14DESONATE.............................................................. 18DESONIDE...............................................................18DESOXIMETASONE................................................ 18DESOXYN............................................................ 8, 61DESVENLAFAXINE....................................................7DESVENLAFAXINE FUMARATE............................... 7DESVENLAFAXINE FUMARATE ER......................... 7DESVENLAFAXINE SUCCINATE.............................. 7DETROL............................................................. 54, 68DEVILBISS PULMO-AIDE..........................................5DEVILBISS TRAVELER............................................. 6DEXAMETHASONE........................................... 31, 42DEXAMETHASONE INTENSOL.............................. 42DEXAMETHASONE SOD PHOSPHATE................. 31DEXAMETHASONE SODIUM PHOSPHATE...........31DEXCHLORPHENIRAMINE MALEATE..................... 4DEXCOM G4............................................................ 27DEXEDRINE(CAP ER)(10 MG)............................8, 61DEXEDRINE(CAP ER)(15 MG)............................8, 61DEXEDRINE(CAP ER)(5 MG)..............................8, 61DEXILANT.................................................... 53, 61, 68DEXLANSOPRAZOLE............................................. 53DEXMETHYLPHENIDATE HCL................................. 9DEXPAK................................................................... 42DEXTROAMPHETAMINE SULFATE..........................8DEXTROAMPHETAMINE SULFATE(TAB)(10 MG)..............................................................................8, 61DEXTROAMPHETAMINE SULFATE(TAB)(5 MG)......8, 62DEXTROAMPHETAMINE/AMPHETAMINE............... 8DEXTROMETHORPHAN HBR/QUINIDINE.............48DEXTROSE/SOD CITRATE/CITRIC AC.................. 34DHCODEINE BT/ACETAMINOPHN/CAFF.............. 49DHT.......................................................................... 59DIABETA...................................................................22DIALYVITE 3000.......................................................59DIALYVITE 5000.......................................................59DIALYVITE 800 WITH IRON.................................... 55DIALYVITE SUPREME D......................................... 59DIALYVITE ZINC...................................................... 59DIAMOX SEQUELS................................................. 32DIAPHRAGM FITTING SET,ARCSPRNG................15DIAPHRAGMS, ARC-SPRING.................................15DIAPHRAGMS, WIDE SEAL....................................15DIASCREEN 10(OTC)..............................................28DIASCREEN 1G REAGENT(OTC)...........................28DIASCREEN 2GK REAGENT(OTC)........................ 28

DIASCREEN 3 REAGENT(OTC)............................. 28DIASCREEN 4OBL(OTC).........................................28DIASCREEN 5(OTC)................................................28DIASCREEN 7(OTC)................................................28DIASCREEN 8(OTC)................................................28DIASCREEN 9(OTC)................................................28DIASTAT............................................................. 51, 62DIASTAT ACUDIAL(KIT)(12.5-15-20).................51, 62DIASTAT ACUDIAL(KIT)(5-7.5-10MG)...............51, 62DIASTIX REAGENT(OTC)....................................... 28DIATRUE PLUS(OTC)........................................23, 25DIAZEPAM............................................................8, 51DIAZOXIDE.............................................................. 28DIBENZYLINE.......................................................... 10DICHLOROACETIC ACID........................................20DICHLOROTETRAFLUOROETHANE..................... 21DICLEGIS.............................................................4, 62DICLOFENAC EPOLAMINE.....................................19DICLOFENAC POTASSIUM...............................43, 50DICLOFENAC SODIUM............. 19, 21, 31, 43, 62, 75DICLOFENAC SODIUM/MISOPROSTOL................43DICLOFENAC SUBMICRONIZED........................... 43DICLOXACILLIN SODIUM....................................... 38DICOPANOL...............................................................4DICYCLOMINE HCL.................................................52DIDANOSINE........................................................... 41DIDREX.................................................................... 59DIETHYLPROPION HCL..........................................59DIFENOXIN HCL/ATROPINE SULFATE.................. 44DIFFERIN(CREAM)............................................16, 60DIFFERIN(GEL W/PUMP)..................................16, 60DIFFERIN(GEL)..................................................16, 60DIFFERIN(LOTION)........................................... 16, 60DIFFERIN(MED SWAB)..................................... 16, 60DIFICID.........................................................38, 62, 68DIFIL-G 400................................................................5DIFLORASONE DIACETATE................................... 18DIFLORASONE DIACETATE/EMOLL...................... 18DIFLUCAN................................................................39DIFLUNISAL.............................................................48DIFLUPREDNATE.................................................... 32DIGOX...................................................................... 10DIGOXIN...................................................................10DIHYDROCODEINE/ASPIRIN/CAFFEIN.................49DIHYDROCODEINE/GUAIFENESIN....................... 15DIHYDROERGOTAMINE MESYLATE..................... 50DIHYDROTACHYSTEROL.......................................59DILANTIN................................................................. 51DILANTIN-125.......................................................... 51DILATRATE-SR........................................................ 14DILAUDID.................................................................49DILAUDID-HP(AMPUL)............................................49DILAUDID-HP(VIAL).................................................49DILTIAZEM 24HR ER............................................... 12DILTIAZEM HCL....................................................... 12DIMETHYL FUMARATE........................................... 47DINOPROSTONE.....................................................15DIOVAN.............................................................. 11, 68DIOVAN HCT............................................................ 11DIOXYBENZONE/HYDROQUINONE...................... 21DIOXYBENZONE/PDO/HYDROQUINONE..............21DIPENTUM.........................................................43, 68DIPHENHYDRAMINE HCL........................................ 4DIPHENOXYLATE HCL/ATROPINE........................ 44DIPHENOXYLATE-ATROPINE................................ 44DIPROLENE.............................................................18DIPROLENE AF....................................................... 18DIPYRIDAMOLE.......................................................35DISOPYRAMIDE PHOSPHATE............................... 10DISULFIRAM..............................................................8DIURIL......................................................................12DIVALPROEX SODIUM............................................51DIVIGEL................................................................... 36DM/PHENYLEPH/CHLORPHENIRAMINE...............15D-METHORPHAN HB/P-EPD HCL/BPM................. 15D-METHORPHAN HB/PROMETH HCL................... 15DOCEFREZ..............................................................47DOCETAXEL............................................................ 47DOFETILIDE.............................................................10DOLASETRON MESYLATE....................................... 4DOLGIC PLUS......................................................... 48DOLOPHINE HCL.................................................... 49DOLOREX................................................................ 48DOLUTEGRAVIR SODIUM...................................... 41DOMEBORO............................................................ 28DONEPEZIL HCL....................................................... 7DONNATAL...............................................................53DORAL....................................................................... 9DORNASE ALFA...................................................... 48

DORYX(TAB DR)(150 MG)...................................... 39DORYX(TAB DR)(200 MG).......................... 39, 62, 68DORZOLAMIDE HCL............................................... 33DORZOLAMIDE HCL/TIMOLOL MALEAT............... 33DORZOLAMIDE/TIMOLOL/PF.................................33DOVONEX..........................................................21, 68DOXAZOSIN MESYLATE.........................................10DOXEPIN HCL................................................. 8, 9, 19DOXERCALCIFEROL.............................................. 31DOXORUBICIN HCL LIPOSOME............................ 45DOXORUBICIN HCL PEG-LIPOSOMAL..................45DOXYCYCLINE CALCIUM.......................................39DOXYCYCLINE HYCLATE.......................................39DOXYCYCLINE MONOHY/SKIN CLNSR9.............. 39DOXYCYCLINE MONOHYDRATE...........................39DOXYCYCLINE/EYELID CLNS NO.2&3..................32DOXYCYCLINE/SALICY/OCT/ZINC OX..................39DOXYCYCLINE/SKIN CLEANSER #19................... 39DOXYLAMINE/PYRIDOXINE HCL.............................4DRISDOL..................................................................59DRITHOCREME HP...........................................21, 68DRONABINOL............................................................4DRONEDARONE HCL............................................. 10DROPLET LANCING DEVICE(OTC)....................... 27DROSPIR/ETH ESTRA/LEVOMEFOL CA............... 14DROSPIRENONE/ESTRADIOL............................... 36DROXIA....................................................................35DRYSOL................................................................... 19DUAVEE................................................................... 36DUET DHA............................................................... 57DUET DHA 400........................................................ 57DUET DHA BALANCED...........................................57DUET DHA EC......................................................... 57DUETACT........................................................... 22, 68DUEXIS........................................................ 42, 62, 68DULERA............................................................... 5, 62DULOXETINE HCL.............................................. 7, 62DUONEB.................................................................... 5DURAGESIC...................................................... 49, 62DUREZOL.................................................................32DUTASTERIDE.........................................................53DUTASTERIDE/TAMSULOSIN HCL........................ 54DUTOPROL..............................................................12DYAZIDE.................................................................. 12DYMISTA........................................................ 4, 62, 68DYNACIN..................................................................39DYPHYLLINE............................................................. 6DYRENIUM...............................................................12- E -E.E.S. 200................................................................ 38EASIVENT..................................................................6EASY CHECK TEST STRIP(OTC)...........................23EASY CHECK(OTC).................................................25EASY CLICK(OTC)...................................................27EASY GLUCO G2(OTC)...........................................23EASY PLUS II(OTC)...........................................23, 25EASY PLUS(OTC)..............................................23, 25EASY STEP(OTC)..............................................23, 25EASY TALK(OTC).............................................. 23, 25EASY TOUCH GLUCOSE MONITOR(OTC)............25EASY TOUCH LANCING DEVICE(OTC)................. 27EASY TOUCH(OTC)................................................ 23EASY TRAK(OTC)..............................................23, 25EASYGLUCO PLUS(OTC).................................23, 25EASYGLUCO(OTC)........................................... 23, 25EASYMAX 15(OTC)................................................. 23EASYMAX L(OTC)................................................... 25EASYMAX N(OTC)...................................................25EASYMAX NG(OTC)................................................25EASYMAX V SPEAKING(OTC)................................25EASYMAX V(OTC)...................................................25EASYMAX V2(OTC).................................................25EASYMAX(OTC)...................................................... 23ECALLANTIDE......................................................... 43ECHOTHIOPHATE IODIDE......................................33EC-NAPROSYN....................................................... 43ECONAZOLE NITRATE........................................... 17ECOZA..................................................................... 17ECULIZUMAB...........................................................35EDARBI...............................................................11, 68EDARBYCLOR................................................... 11, 68EDECRIN..................................................................12EDEX..................................................................29, 62EDLUAR......................................................... 9, 62, 68EDURANT.......................................................... 41, 75EFAVIRENZ.............................................................. 41EFAVIRENZ/EMTRICITAB/TENOFOVIR................. 41EFFER-K.................................................................. 29EFFIENT.............................................................35, 62

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EFLORNITHINE HCL............................................... 21EFUDEX................................................................... 21EGRIFTA............................................................ 30, 75ELDEPRYL............................................................... 51ELECT WTR/SOD CH/SOD HY/HYP AC.................20ELEMENT BLOOD GLUCOSE METER(OTC).........25ELEMENT COMPACT(OTC).............................. 23, 25ELEMENT PLUS(OTC)............................................ 25ELEMENT TEST STRIPS(OTC)...............................23ELESTAT.................................................................. 31ELESTRIN................................................................ 36ELETRIPTAN HBR................................................... 50ELIDEL......................................................... 22, 60, 68ELIGARD............................................................30, 75ELIMITE....................................................................17ELIQUIS............................................................. 34, 62ELITE OB DHA.........................................................56ELITE-OB 400.......................................................... 57ELLA.........................................................................15ELLENCE................................................................. 45ELMIRON................................................................. 54ELOCON...................................................................19ELOXATIN................................................................ 45ELSPAR..............................................................46, 75ELTROMBOPAG OLAMINE..................................... 35ELVITEGR/COBICIST/EMTRIC/TENOF.................. 41EM#53/NAMGF/CYC/PHOS/NAHC/NACL...............19EMADINE................................................................. 31EMBRACE EVO(OTC)............................................. 23EMBRACE PRO(OTC)............................................. 23EMBRACE(OTC)................................................23, 25EMCYT..................................................................... 47EMEDASTINE DIFUMARATE.................................. 31EMEND(CAP DS PK)........................................... 4, 62EMEND(CAP)(125 MG)........................................4, 62EMEND(CAP)(40 MG)..........................................4, 62EMEND(CAP)(80 MG)..........................................4, 62EMERSAL................................................................ 20EMLA........................................................................21EMOL53/NAMGFS/HA/NAHYPOCHLORIT............. 19EMOLLIENT #43/SKIN CLEANSER#27.................. 19EMOLLIENT COMBINATION NO.10........................19EMOLLIENT COMBINATION NO.32........................19EMOLLIENT COMBINATION NO.35........................19EMOLLIENT COMBINATION NO.38........................19EMOLLIENT COMBINATION NO.43........................19EMOLLIENT COMBINATION NO.44........................19EMOLLIENT COMBINATION NO.47........................19EMOLLIENT COMBINATION NO.48........................19EMOLLIENT COMBINATION NO.53........................19EMOLLIENT COMBINATION NO.57........................19EMOLLIENT COMBINATION NO.60........................19EMOLLIENT COMBINATION NO.80........................19EMOLLIENT COMBINATION NO.85........................19EMOLLIENT COMBO NO.47 & NO.60.................... 19EMSAM.................................................................9, 62EMTRICITAB/RILPIVIRINE/TENOFOV....................41EMTRICITABINE...................................................... 41EMTRICITABINE/TENOFOVIR................................ 40EMTRIVA(CAP).................................................. 41, 62EMTRIVA(SOLUTION)....................................... 41, 62EMULSION SB......................................................... 19ENABLEX........................................................... 54, 68ENALAPRIL MALEATE.............................................11ENALAPRIL/HYDROCHLOROTHIAZIDE................ 10ENALAPRIL-HYDROCHLOROTHIAZIDE................10ENBREL............................................................. 42, 75ENDACOF-C............................................................ 15ENDO-AVITENE....................................................... 35ENDOMETRIN..........................................................30ENFUVIRTIDE..........................................................41ENJUVIA...................................................................36ENOXAPARIN SODIUM........................................... 35ENTACAPONE......................................................... 51ENTECAVIR............................................................. 41ENTEREG................................................................ 44ENTOCORT EC........................................................42ENZALUTAMIDE...................................................... 45EPANED....................................................... 11, 62, 68EPIDUO....................................................................16EPIFOAM..................................................................20EPINASTINE HCL.................................................... 31EPINEPHRINE..................................................... 5, 44EPINEPHRINE HCL................................................. 15EPIPEN 2-PAK......................................................... 44EPIPEN JR 2-PAK.................................................... 44EPIRUBICIN HCL.....................................................45EPIVIR HBV............................................................. 41EPIVIR(SOLUTION)........................................... 41, 62

EPIVIR(TAB)(150 MG)........................................41, 62EPIVIR(TAB)(300 MG)........................................41, 62EPLERENONE......................................................... 12EPOETIN ALFA........................................................ 34EPOGEN............................................................ 34, 75EPOPROSTENOL SODIUM (ARGININE)................12EPOPROSTENOL SODIUM (GLYCINE)..................12EPROSARTAN MESYLATE......................................11EPROSARTAN/HYDROCHLOROTHIAZIDE............11EPTIFIBATIDE..........................................................35EPZICOM........................................................... 40, 62EQUETRO..................................................................8ERAPID NEBULIZER................................................. 6ERBITUX............................................................ 45, 75ERGOCALCIFEROL (VITAMIN D2)......................... 59ERGOLOID MESYLATES........................................ 14ERGOMAR......................................................... 50, 62ERGOTAMINE TARTRATE...................................... 50ERGOTAMINE TARTRATE/CAFFEINE....................50ERIBULIN MESYLATE............................................. 46ERIVEDGE................................................... 46, 62, 75ERLOTINIB HCL.......................................................46ERTACZO.................................................................17ERWINAZE.........................................................47, 75ERY E-SUCC/SULFISOXAZOLE............................. 38ERYGEL................................................................... 16ERYPED 200............................................................ 38ERYPED 400............................................................ 38ERY-TAB...................................................................38ERYTHROCIN STEARATE...................................... 38ERYTHROMYCIN...............................................16, 38ERYTHROMYCIN BASE.............................. 16, 32, 38ERYTHROMYCIN BASE/ETHANOL........................ 16ERYTHROMYCIN ETHYLSUCCINATE................... 38ERYTHROMYCIN STEARATE.................................38ERYTHROMYCIN/BENZOYL PEROXIDE............... 16ERYTHROMYCIN-SULFISOXAZOLE......................38ESCAVITE................................................................ 56ESCITALOPRAM OXALATE...................................... 7ESGIC-PLUS(CAP).................................................. 48ESGIC-PLUS(TAB)...................................................48ESKALITH.................................................................. 8ESLICARBAZEPINE ACETATE............................... 51ESOMEPRAZOLE MAGNESIUM.............................53ESOMEPRAZOLE STRONTIUM................. 53, 62, 68ESTAZOLAM.............................................................. 9ESTRACE...........................................................36, 54ESTRADIOL....................................................... 36, 54ESTRADIOL ACETATE............................................ 54ESTRADIOL VALERATE/DIENOGEST....................14ESTRADIOL/LEVONORGESTREL..........................36ESTRADIOL/NORETHINDRONE ACET..................36ESTRADIOL/NORGESTIMATE................................36ESTRADIOL-NORETHINDRONE ACETAT..............36ESTRAMUSTINE PHOSPHATE SODIUM............... 47ESTRASORB............................................................36ESTRING............................................................54, 62ESTROGEL.............................................................. 36ESTROGEN & METHYLTESTOSTERONE............. 36ESTROGEN,CON/M-PROGEST ACET................... 36ESTROGEN,ESTER/ME-TESTOSTERONE............36ESTROGENS, CONJUGATED...........................36, 54ESTROGENS,CONJ.,SYNTHETIC A.......................36ESTROGENS,CONJ.,SYNTHETIC B.......................36ESTROGENS,CONJ/BAZEDOXIFENE....................36ESTROGENS,ESTERIFIED.....................................36ESTROPIPATE......................................................... 36ESZOPICLONE.......................................................... 9ETANERCEPT..........................................................42ETHACRYNIC ACID.................................................12ETHAMBUTOL HCL................................................. 39ETHAVERINE HCL...................................................14ETHCHLORVYNOL....................................................9ETHINYL ESTRADIOL/DROSPIRENONE...............14ETHIONAMIDE.........................................................39ETHOSUXIMIDE...................................................... 51ETHOTOIN............................................................... 51ETHYL CHLORIDE...................................................21ETHYNODIOL D-ETHINYL ESTRADIOL.................14ETIDRONATE DISODIUM........................................30ETODOLAC.............................................................. 43ETONOGESTREL/ETHINYL ESTRADIOL...............14ETOPOSIDE.............................................................47ETRAVIRINE............................................................ 41EURAX..................................................................... 17EVAMIST.................................................................. 36EVENCARE G2(OTC)........................................ 23, 25EVENCARE G3(OTC)........................................ 23, 25EVENCARE(OTC)..............................................23, 25

EVEROLIMUS.................................................... 37, 46EVISTA............................................................... 30, 62EVOCLIN..................................................................16EVOLUTION BLOOD GLUCOSE METER(OTC)......2 5EVOLUTION TEST STRIPS(OTC)...........................23EVOXAC...................................................................44EXALGO...................................................................49EXELDERM..............................................................17EXELON............................................................... 7, 62EXELON(CAP)........................................................... 7EXELON(SOLUTION)................................................ 7EXEMESTANE......................................................... 45EXENATIDE..............................................................22EXENATIDE MICROSPHERES............................... 22EXFORGE.......................................................... 11, 68EXFORGE HCT..................................................10, 68EXODERM................................................................17EXTAVIA............................................................. 47, 75EYLEA...................................................................... 33EZ SMART PLUS(OTC)..................................... 23, 25EZ SMART(OTC)................................................23, 25E-Z SPACER.............................................................. 6EZETIMIBE...............................................................13EZETIMIBE/ATORVASTATIN CALCIUM.................. 13EZETIMIBE/SIMVASTATIN.......................................13EZOGABINE.............................................................51- F -FA/MU-VITS-MIN TH/LYCOPENE/LUT....................55FA/VIT BCOMP&C/SE/MIN AA/ZN...........................59FABIOR.............................................................. 16, 60FACTIVE...................................................................38FACTOR IX...............................................................34FACTOR IX COMPLEX HUMAN.............................. 34FACTOR IX HUMAN RECOMBINANT..................... 34FACTOR IX REC, FC FUSION PROTN................... 34FACTOR XIII.............................................................34FACTOR XIII A-SUBUNIT,RECOMB........................ 34FAMCICLOVIR......................................................... 40FAMOTIDINE............................................................53FAMVIR.................................................................... 40FANAPT(TAB DS PK).....................................8, 62, 68FANAPT(TAB).................................................8, 62, 68FANATREX............................................................... 51FARESTON........................................................ 47, 75FARXIGA...................................................... 22, 62, 68FASLODEX.........................................................47, 75FAZACLO....................................................... 8, 62, 69FE C..........................................................................56FE FUMARATE/CAL/E/FA/MULTIVIT.......................55FE FUMARATE/DOSS/FA/BCOMP&C.....................55FE FUMARATE/FA/VIT BCOMP&C......................... 55FE FUMARATE/VIT C/B12/STOMC......................... 55FE FUMARATE/VIT C/B12-IF/FA............................. 55FE HEME POLYPEPTIDE/FOLIC ACID...................55FEBUXOSTAT.......................................................... 33FEIBA NF..................................................................34FEIBA VH IMMUNO................................................. 34FELBAMATE.............................................................51FELBATOL(ORAL SUSP).............................51, 62, 69FELBATOL(TAB)(400 MG)........................... 51, 62, 69FELBATOL(TAB)(600 MG)........................... 51, 62, 69FELDENE................................................................. 43FELODIPINE............................................................ 12FELODIPINE ER...................................................... 12FEMARA...................................................................45FEMCAP.............................................................15, 77FEMCON FE.......................................................15, 77FEMHRT...................................................................36FEMRING........................................................... 54, 62FENOFIBRATE.........................................................13FENOFIBRATE NANOCRYSTALLIZED...................13FENOFIBRATE,MICRONIZED................................. 13FENOFIBRIC ACID.................................................. 13FENOFIBRIC ACID (CHOLINE)...............................13FENOGLIDE.......................................................13, 69FENOPROFEN CALCIUM........................................43FENTANYL............................................................... 49FENTANYL CITRATE............................................... 49FENTORA...........................................................49, 75FERAHEME..............................................................55FERIVA..................................................................... 55FEROCON................................................................55FERRALET 90..........................................................55FERRAPLUS 90....................................................... 55FERREX 150 FORTE PLUS.....................................55FERREX 28.............................................................. 55FERRIC AMCIT/CYANOCOBALAMIN/FA................ 55FERRIC AMCIT/LYS/VIT B COMP/FA..................... 55

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FERRIC CARBOXYMALTOSE.................................55FERRIC SUBSULFATE............................................ 35FERROUS FUMARATE/FOLIC ACID...................... 55FERROUS FUMARATE/VIT C/FA............................ 55FERROUS SULFATE............................................... 55FERROUS SULFATE/VIT C/FA................................55FERUMOXYTOL...................................................... 55FESOTERODINE FUMARATE.................................54FETZIMA........................................................ 7, 62, 69FEXMID.................................................................... 52FEXOFENADINE HCL................................................4FEXOFENADINE/PSEUDOEPHEDRINE...................4FIBRICOR.................................................................13FIBRINOGEN/THROMBIN (HUM PLAS)................. 35FIDAXOMICIN.......................................................... 38FIFTY50 TEST STRIP(OTC)....................................23FILGRASTIM............................................................ 35FINACEA.................................................................. 16FINASTERIDE..........................................................53FINGOLIMOD HCL...................................................47FIORICET.................................................................48FIORICET WITH CODEINE..................................... 50FIORINAL................................................................. 48FIORINAL WITH CODEINE #3.................................50FIRAZYR............................................................ 42, 75FIRMAGON(VIAL)(120 MG)...............................46, 62FIRMAGON(VIAL)(80 MG).................................46, 62FIRST-BXN...............................................................39FIRST-DUKE'S......................................................... 39FIRST-HYDROCORTISONE.................................... 18FIRST-LANSOPRAZOLE......................................... 53FIRST-MARY'S.........................................................39FIRST-OMEPRAZOLE............................................. 53FIRST-PROGESTERONE VGS 100........................ 29FIRST-PROGESTERONE VGS 200........................ 30FIRST-PROGESTERONE VGS 25.......................... 30FIRST-PROGESTERONE VGS 400........................ 30FIRST-PROGESTERONE VGS 50.......................... 30FIRST-TESTOSTERONE......................................... 36FIRST-TESTOSTERONE MC.................................. 36FLAGYL ER..............................................................40FLAREX....................................................................32FLAVOXATE HCL.....................................................54FLEBOGAMMA........................................................ 37FLEBOGAMMA DIF..................................................37FLECAINIDE ACETATE........................................... 10FLECTOR................................................................. 19FLOLAN..............................................................12, 75FLOMAX...................................................................54FLONASE.............................................................4, 62FLO-PRED................................................................42FLOVENT DISKUS(BLST W/DEV)(100 MCG)......5,6 2FLOVENT DISKUS(BLST W/DEV)(250 MCG)......5,6 2FLOVENT DISKUS(BLST W/DEV)(50 MCG).......5, 62FLOVENT HFA(AER W/ADAP)(110 MCG)...........5, 62FLOVENT HFA(AER W/ADAP)(220 MCG).......... 5, 62FLOVENT HFA(AER W/ADAP)(44 MCG)............ 5, 62FLOXIN.....................................................................28FLOXURIDINE..........................................................45FLU VACC TS 2013 (18-64YRS)/PF........................ 37FLU VACCINE QVAL 2013(2-49YRS)......................37FLUCAINE................................................................32FLUCONAZOLE....................................................... 39FLUCYTOSINE.........................................................39FLUDARABINE PHOSPHATE..................................45FLUDROCORTISONE ACETATE.............................42FLUMADINE.............................................................40FLUMIST.................................................................. 37FLUNISOLIDE.................................................. 4, 5, 62FLUOCINOLONE ACETONIDE............................... 18FLUOCINOLONE ACETONIDE OIL.........................28FLUOCINOLONE/EMOL CMB#65........................... 18FLUOCINOLONE/SHOWER CAP............................18FLUOCINOLONE/SKIN CLNSR28...........................18FLUOCINOLONE/TRETINOIN/H-QUIN................... 21FLUOCINONIDE.......................................................18FLUOCINONIDE/EMOLLIENT BASE.......................18FLUOCINONIDE-E...................................................18FLUORABON........................................................... 54FLUOR-A-DAY....................................................54, 55FLUORESCEIN SODIUM.........................................33FLUORESCEIN-PROPARACAINE...........................32FLUORETS...............................................................33FLUORIDE................................................................54FLUORIDE ION/MULTIVITAMINS............................56FLUORIDE/IRON/VIT A,C&D...................................56FLUORIDEX SENSITIVITY RELIEF.........................55

FLUOR-I-STRIP AT.................................................. 33FLUORITAB..............................................................54FLUOROMETHOLONE............................................32FLUOROMETHOLONE ACETATE...........................32FLUOROPLEX......................................................... 21FLUOROURACIL......................................................21FLUOXETINE HCL.....................................................7FLUOXYMESTERONE.............................................36FLUPHENAZINE HCL................................................ 9FLURA-DROPS........................................................54FLURANDRENOLIDE.............................................. 18FLURA-SAFE........................................................... 33FLURAZEPAM HCL....................................................9FLURBIPROFEN......................................................43FLURBIPROFEN SODIUM.......................................32FLURESS................................................................. 32FLUTAMIDE..............................................................45FLUTICASONE FUROATE.........................................4FLUTICASONE PROPIONATE........................ 4, 5, 18FLUTICASONE/SALMETEROL................................. 5FLUTICASONE/VILANTEROL................................... 5FLUVASTATIN SODIUM...........................................13FLUVOXAMINE MALEATE........................................ 7FLUZONE INTRADERMAL 2013-2014....................37FML FORTE............................................................. 32FML S.O.P................................................................ 32FOCALIN.............................................................. 9, 62FOCALIN XR........................................................ 9, 62FOLBECAL...............................................................58FOLBEE................................................................... 59FOLBEE PLUS CZ................................................... 59FOLGARD OS.......................................................... 54FOLIC ACID..............................................................55FOLIC ACID(OTC)..............................................55, 77FOLIC ACID/B COMPLEX & C NO.17..................... 59FOLIC ACID/MU-VITS-MIN TH................................ 55FOLIC ACID/MV,FE,OTHER MIN.............................55FOLIC ACID/VIT BCOMP&C/CU/ZNOX...................59FOLIC ACID/VITAMIN B COMP W-C.......................59FOLLISTIM AQ.........................................................29FOLLITROPIN ALFA, RECOMB...............................29FOLLITROPIN BETA,RECOMB............................... 29FOLOTYN.................................................................45FONDAPARINUX SODIUM...................................... 35FORA D10(OTC)................................................ 23, 25FORA D15(OTC)...................................................... 25FORA D15C(OTC)....................................................23FORA D15G(OTC)................................................... 23FORA D15Z(OTC)....................................................23FORA D20(OTC)................................................ 23, 25FORA G20(OTC)................................................23, 25FORA G30A(OTC)..............................................23, 25FORA G71A(OTC)..............................................23, 26FORA G90(OTC)................................................23, 26FORA LANCING DEVICE(OTC).............................. 27FORA V10(OTC)................................................ 23, 26FORA V12(OTC)................................................ 23, 26FORA V20(OTC)................................................ 23, 26FORA V22(OTC)................................................ 24, 26FORA V30A(OTC)..............................................24, 26FORA(OTC)..............................................................24FORACARE GD20(OTC)................................... 24, 26FORACARE GD40(OTC)......................................... 24FORACARE GD40A(OTC).......................................26FORACARE GD40B(OTC).......................................26FORADIL........................................................ 5, 62, 69FORFIVO XL.................................................. 7, 62, 69FORMOTEROL FUMARATE......................................5FORTAVIT.................................................................56FORTEO.............................................................30, 62FORTESTA.........................................................36, 75FORTICAL................................................................ 30FOSAMAX................................................................ 30FOSAMAX PLUS D.................................................. 30FOSAMPRENAVIR CALCIUM..................................41FOSFOMYCIN TROMETHAMINE............................38FOSINOPRIL SODIUM.............................................11FOSINOPRIL/HYDROCHLOROTHIAZIDE.............. 10FOSINOPRIL-HYDROCHLOROTHIAZIDE..............10FOSRENOL..............................................................29FRAGMIN(SYRINGE)(10000/ML)...................... 34, 62FRAGMIN(SYRINGE)(12500/0.5)...................... 34, 62FRAGMIN(SYRINGE)(15000/0.6)...................... 34, 62FRAGMIN(SYRINGE)(18000/0.72).................... 34, 62FRAGMIN(SYRINGE)(2500/0.2ML)................... 34, 62FRAGMIN(SYRINGE)(5000/0.2ML)................... 34, 62FRAGMIN(SYRINGE)(7500/0.3ML)................... 35, 62FRAGMIN(VIAL).................................................35, 62FREESTYLE INSULINX(OTC)................................. 24

FREESTYLE LITE(OTC).......................................... 24FREESTYLE(OTC)...................................................24FROVA..........................................................50, 62, 69FROVATRIPTAN SUCCINATE................................. 50FUDR........................................................................45FUL-GLO.................................................................. 33FULVESTRANT........................................................ 47FULVICIN U/F...........................................................39FULYZAQ..................................................... 44, 62, 69FUNGOID & HC........................................................17FURACIN..................................................................16FURADANTIN...........................................................38FUROSEMIDE..........................................................12FUSION PLUS..........................................................55FUZEON.......................................................41, 62, 69FYCOMPA(TAB)(10 MG)..............................51, 62, 69FYCOMPA(TAB)(12 MG)..............................51, 62, 69FYCOMPA(TAB)(2 MG)................................51, 62, 69FYCOMPA(TAB)(4 MG)................................51, 62, 69FYCOMPA(TAB)(6 MG)................................51, 62, 69FYCOMPA(TAB)(8 MG)................................51, 62, 69- G -G-4(OTC)............................................................24, 26GABAPENTIN.................................................... 47, 51GABAPENTIN ENACARBIL..................................... 47GABITRIL(TAB)(12 MG)............................... 52, 62, 69GABITRIL(TAB)(16 MG)............................... 52, 62, 69GABITRIL(TAB)(2 MG)................................. 52, 62, 69GABITRIL(TAB)(4 MG)................................. 52, 62, 69GALANTAMINE HBR..................................................7GAMASTAN S-D.......................................................37GAMMAGARD LIQUID.......................................37, 75GAMMAGARD S-D...................................................37GAMMAKED.......................................................36, 75GAMMAPLEX...........................................................37GAMUNEX................................................................36GAMUNEX-C......................................................36, 75GANCICLOVIR.........................................................32GANIRELIX ACETATE............................................. 31GARAMYCIN............................................................32GASTROCROM..........................................................5GATIFLOXACIN........................................................32GATTEX..............................................................44, 75GAVILYTE-C.............................................................44GAVILYTE-N.............................................................44GAZYVA............................................................. 45, 75GDRIVE(OTC)..........................................................26GE100 BLOOD GLUCOSE SYSTEM(OTC)............ 26GE100 BLOOD GLUCOSE TEST STRIP(OTC).......24GEBAUER'S 114...................................................... 21GELATIN...................................................................33GELATIN SPONGE,ABSORBABLE......................... 35GELFILM.................................................................. 33GELFOAM................................................................ 35GELFOAM PACKS................................................... 35GELNIQUE......................................................... 54, 69GEMCITABINE HCL................................................. 45GEMFIBROZIL......................................................... 14GEMIFLOXACIN MESYLATE...................................38GEMZAR.................................................................. 45GENADUR................................................................20GENERESS FE........................................................ 15GENERLAC..............................................................44GENOTROPIN....................................................30, 75GENSTRIP(OTC)..................................................... 24GENTAMICIN SULFATE.....................................16, 32GENTAMICIN/PREDNISOL AC................................31GENTIAN VIOL/BRLNT GRN/PROFLAV................. 17GENTLE DRAW(OTC)............................................. 27GEODON..............................................................9, 62GESTICARE DHA.................................................... 57GIAZO................................................................ 43, 69GILENYA............................................................ 47, 75GILOTRIF........................................................... 46, 75GLASSIA.................................................................. 45GLATIRAMER ACETATE..........................................47GLEEVEC.....................................................46, 62, 75GLIADEL.................................................................. 45GLIMEPIRIDE...........................................................22GLIPIZIDE................................................................ 22GLIPIZIDE/METFORMIN HCL................................. 22GLIPIZIDE-METFORMIN......................................... 22GLUCAGEN..............................................................28GLUCAGON EMERGENCY KIT.............................. 28GLUCAGON,HUMAN RECOMBINANT................... 28GLUCARPIDASE..................................................... 47GLUCO NAVII(OTC)...........................................24, 26GLUCOCARD 01 SENSOR(OTC)............................24GLUCOCARD 01(OTC)............................................26

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GLUCOCARD 01-MINI(OTC)...................................26GLUCOCARD EXPRESSION(OTC).................. 24, 26GLUCOCARD VITAL SENSOR(OTC)......................24GLUCOCARD VITAL(OTC)...................................... 26GLUCOCOM BLOOD GLUCOSE(OTC).................. 26GLUCOCOM GLUCOSE(OTC)................................24GLUCOFILM(OTC)...................................................24GLUCOLET 2(OTC)................................................. 27GLUCOPHAGE........................................................ 22GLUCOSE TEST STRIP(OTC)................................ 24GLUCOSOURCE(OTC)............................................27GLUCOSTIX REAGENT(OTC).................................24GLUCOTROL........................................................... 22GLUCOVANCE.........................................................22GLUMETZA........................................................ 22, 69GLUTETHIMIDE.........................................................9GLYBURIDE............................................................. 22GLYBURIDE,MICRONIZED..................................... 22GLYBURIDE/METFORMIN HCL.............................. 22GLYBURIDE-METFORMIN HCL.............................. 22GLYCEROL PHENYLBUTYRATE............................ 44GLYCINE.................................................................. 39GLYCOPYRROLATE................................................53GLYNASE................................................................. 22GLYSET....................................................................22GMATE TEST STRIPS(OTC)................................... 24GMATE VOICE METER(OTC)................................. 26GMATE VOICE STARTER(OTC)..............................26GOLIMUMAB............................................................42GOLYTELY............................................................... 44GONADORELIN ACETATE...................................... 31GONAL-F..................................................................29GONAL-F RFF..........................................................29GONAL-F RFF REDI-JECT......................................29GORDO-UREA...................................................20, 21GOSERELIN ACETATE............................................30GR POL-ORC/SW VER/RYE/KENT/TIM....................4GRALISE(TAB ER 24H)(300 MG)................ 47, 62, 69GRALISE(TAB ER 24H)(300-600 MG)......... 47, 62, 69GRALISE(TAB ER 24H)(600 MG)................ 47, 62, 69GRANISETRON......................................................... 4GRANISETRON HCL..................................... 4, 62, 69GRANIX..............................................................35, 75GRASS POLLEN-TIMOTHY, STD..............................4GRASTEK............................................................ 4, 75GREEN GLO............................................................ 33GRIFULVIN V........................................................... 39GRISEOFULVIN....................................................... 39GRISEOFULVIN ULTRAMICROSIZE.......................39GRISEOFULVIN, MICROSIZE................................. 39GRIS-PEG................................................................ 39GUAIACOL............................................................... 19GUAIFENESIN/CODEINE PHOSPHATE................. 15GUAIFENESIN/DYPHYLLINE....................................5GUAIFENESIN/THEOPHYLLINE...............................5GUANFACINE HCL.............................................. 9, 11GUANIDINE HCL......................................................45GUARDIAN REAL-TIME...........................................25GYNOL II(OTC).................................................. 14, 77- H -H.P. ACTHAR..................................................... 30, 75HALAVEN........................................................... 46, 75HALCINONIDE......................................................... 18HALCION....................................................................9HALFAN....................................................................40HALOBETASOL PROPIONATE............................... 18HALOBETASOL/AMMONIUM LACTATE..................18HALOBETASOL/LACTIC ACID................................ 18HALOFANTRINE HCL..............................................40HALOG..................................................................... 18HALONATE...............................................................18HALOPERIDOL.......................................................... 9HALOPERIDOL LACTATE......................................... 9HC/MINERAL OIL/PETROLAT,WHT........................ 18HC/PRAMOX HCL/CL-XYLENOL/WATER...............28HC/PRAMOXINE HCL/CHLOROXYLENOL.............28HCTZ/RESERPINE/HYDRALAZINE........................ 11HEALTHPRO TEST STRIPS(OTC)..........................24HEALTHY ACCENTS AUTOLET(OTC)....................27HECORIA................................................................. 37HECTOROL..............................................................31HELIDAC.................................................................. 53HELIXATE FS........................................................... 34HEMASEEL APR(KIT)(1 ML)................................... 36HEMASEEL APR(KIT)(2 ML)................................... 36HEMASEEL APR(KIT)(5ML).................................... 36HEMATINIC PLUS....................................................55HEMATOGEN...........................................................55HEMATRON............................................................. 55

HEMATRON-AF........................................................55HEMENATAL OB...................................................... 58HEMENATAL OB + DHA.......................................... 57HEMIN...................................................................... 34HEMOCYTE............................................................. 56HEMOCYTE-F..........................................................55HEMOFIL M..............................................................34HEPARIN FLUSH..................................................... 35HEPARIN SOD,PORCINE-0.9 % NACL...................35HEPARIN SOD,PORK IN 0.45% NACL....................35HEPARIN SODIUM...................................................35HEPARIN SODIUM IN 0.45% NACL........................ 35HEPARIN SODIUM,PORCINE................................. 35HEPARIN SODIUM,PORCINE/D5W........................ 35HEPARIN SODIUM,PORCINE/NS........................... 35HEPARIN SODIUM,PORCINE/NS/PF......................35HEPARIN SODIUM,PORCINE/PF............................35HEPARIN SODIUM-D5W......................................... 35HEPARIN SODIUM-NS............................................ 35HEP-PAK CVC..........................................................35HEPSERA................................................................ 41HERCEPTIN.......................................................45, 75HETLIOZ...............................................................9, 75HEXALEN.................................................................45HIPREX.................................................................... 38HISTRELIN AC.........................................................31HIZENTRA..........................................................37, 75HOMATROPAIRE..................................................... 33HOMATROPINE HBR...............................................33HONEY.....................................................................21HORIZANT(TAB ER)(300 MG)..................... 47, 62, 70HORIZANT(TAB ER)(600 MG)..................... 47, 62, 70HPR.......................................................................... 19HPR PLUS................................................................19HUM INSULIN NPH/REG INSULIN HM................... 28HUMALOG................................................................28HUMALOG MIX 50-50..............................................28HUMALOG MIX 75-25..............................................28HUMATE-P............................................................... 34HUMATROPE..................................................... 30, 75HUMIRA..............................................................42, 75HUMORSOL.............................................................33HUMULIN 70/30 KWIKPEN(OTC)............................28HUMULIN 70-30(OTC)............................................. 28HUMULIN N(OTC)....................................................28HUMULIN R..............................................................28HUMULIN R(OTC)....................................................28HYALURO/DL-E AC/E12/ALLAN/SHEA...................19HYALURON SOD/ALLANTOIN/ALOE XT................ 20HYALURONATE SODIUM........................................20HYCAMTIN...............................................................46HYCET............................................................... 49, 62HYDRALAZINE HCL.................................................11HYDRALAZINE W/HCTZ..........................................11HYDRALAZINE/HYDROCHLOROTHIAZID............. 11HYDRALAZINE/RESERPIN/HCTZ...........................11HYDREA...................................................................45HYDRO 35................................................................20HYDROCHLOROTHIAZIDE.....................................13HYDROCHLOROTHIAZIDE/RESERPINE............... 11HYDROCODONE BIT/HOMATROP ME-BR............ 15HYDROCODONE BITARTRATE.............................. 49HYDROCODONE/ACETAMINOPHEN.....................49HYDROCODONE/CHLORPHEN POLIS..................15HYDROCODONE/CHLORPHENIRAMINE.............. 15HYDROCODONE/IBUPROFEN...............................48HYDROCODONE-ACETAMINOPHEN(SOLUTION)............................................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(10-660MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-325MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-325MG).....................................................................49HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500MG).....................................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-325MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-325MG)...............................................................49, 62HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-750MG)...............................................................49, 63HYDROCODONE-HOMATROPINE MBR................ 15

HYDROCORT/PRAMOXIN/EMOL/PRAM#1............43HYDROCORT/SAL ACID/SULF/SHMP#1................18HYDROCORTISONE................................... 18, 42, 44HYDROCORTISONE AC/LIDOCAINE............... 20, 44HYDROCORTISONE ACETATE........................ 18, 44HYDROCORTISONE ACETATE/ALOE V................ 18HYDROCORTISONE ACETATE/UREA................... 18HYDROCORTISONE BUTYRATE........................... 18HYDROCORTISONE BUTYRATE/EMOLL.............. 18HYDROCORTISONE PROBUTATE.........................18HYDROCORTISONE VALERATE...................... 18, 19HYDROCORTISONE/EMOL NO.45.........................19HYDROCORTISONE/IODOQUIN/ALOE#2..............16HYDROCORTISONE/IODOQUINOL....................... 16HYDROCORTISONE/LIDOCAINE/ALOE................ 44HYDROCORTISONE/PRAMOXINE.............20, 21, 44HYDROCORTISONE/PRAMOXINE/ALOE.............. 21HYDROCORTISONE/PRAMOXINE/EMOLL............21HYDROCORTISONE/SKIN CLNSR #25..................19HYDROCORTISONE/SKIN CLNSR #35..................19HYDROCORTISONE-ACETIC ACID....................... 28HYDROCORTISONE-IODOQUINOL....................... 16HYDROCORTISONE-PRAMOXINE.........................44HYDROFLUMETHIAZIDE........................................ 13HYDROMORPHONE HCL....................................... 49HYDROMORPHONE HCL/PF..................................49HYDROQUINONE....................................................21HYDROQUINONE MICROSPHERES......................21HYDROQUINONE/ASCORBIC ACID.......................21HYDROQUINONE/AVOBENZ/OCTINOX.................21HYDROQUINONE/FERRIC OXIDE......................... 21HYDROQUINONE/VIT C/VIT E ACET..................... 21HYDROXOCOBALAMIN.......................................... 59HYDROXYAMPHETAMINE/TROPICAMIDE............ 33HYDROXYCHLOROQUINE SULFATE.................... 40HYDROXYPROGESTERONE CAPROATE............. 36HYDROXYPROPYL CELLULOSE........................... 33HYDROXYUREA................................................35, 45HYDROXYZINE HCL..................................................4HYDROXYZINE PAMOATE........................................4HYLATOPIC..............................................................19HYLATOPIC PLUS................................................... 19HYOPHEN................................................................38HYOSCYAMINE....................................................... 53HYOSCYAMINE SULFATE.......................................53HYPOLANCE(OTC)..................................................27HYZAAR................................................................... 11- I -IBANDRONATE SODIUM.........................................30IBG-STAR(OTC)....................................................... 26IBRUTINIB................................................................46IBUPROFEN.............................................................43IBUPROFEN/FAMOTIDINE......................................42IBUPROFEN/IRR CNT-IRRIT CMB #2.....................43IBUPROFEN/OXYCODONE HCL............................ 48ICATIBANT ACETATE.............................................. 42ICLUSIG(TAB)(15 MG)................................. 46, 63, 75ICLUSIG(TAB)(45 MG)................................. 46, 63, 75ICOSAPENT ETHYL................................................ 14ICY HOT(OTC)......................................................... 20IDAMYCIN PFS........................................................ 45IDARUBICIN HCL.....................................................45IFEX..........................................................................45IFOSFAMIDE............................................................45IFOSFAMIDE/MESNA.............................................. 45IFOSFAMIDE-MESNA..............................................45ILARIS...................................................................... 42ILEVRO.................................................................... 32ILOPERIDONE........................................................... 8ILOPROST TROMETHAMINE................................. 12ILOTYCIN................................................................. 32IMATINIB MESYLATE.............................................. 46IMBRUVICA........................................................46, 75IMDUR......................................................................14IMIPRAMINE HCL...................................................... 8IMIPRAMINE PAMOATE............................................ 8IMIQUIMOD..............................................................37IMITREX............................................................. 50, 63IMITREX(CARTRIDGE)......................................50, 63IMITREX(PEN INJCTR)......................................50, 63IMITREX(TAB).................................................... 50, 63IMITREX(VIAL)...................................................50, 63IMMUNE GLOB,GAM CAPRYLATE(IGG)................36IMMUNE GLOBULIN,G(IGG)/MALTOSE................. 36IMMUNE GLOBULIN,GAMMA(IGG)........................ 37IMURAN....................................................................37INCIVEK............................................................. 41, 75INCONTROL LANCING DEVICE(OTC)................... 27INCRELEX..........................................................31, 75

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INDACATEROL MALEATE.........................................5INDAPAMIDE............................................................13INDERAL LA............................................................. 11INDERAL XL............................................................. 11INDINAVIR SULFATE............................................... 41INDOCIN...................................................................43INDOMETHACIN......................................................43INFASURF................................................................48INFERGEN............................................................... 41INFINITY TEST STRIPS(OTC).................................24INFINITY(OTC).........................................................26INFLIXIMAB..............................................................43INGENOL MEBUTATE............................................. 21INHALER, ASSIST DEVICES................................ 5, 6INHALER,ASSIST DEVICE,ACCESORY...................6INJECTAFER............................................................55INLYTA(TAB)(1 MG)..................................... 46, 63, 75INLYTA(TAB)(5 MG)..................................... 46, 63, 75INNOPRAN XL..........................................................11INNOSPIRE ELEGANCE........................................... 6INNOSPIRE ESSENCE..............................................6INOVA.......................................................................20INOVA 4-1.................................................................20INOVA 8-2.................................................................20INSPIRATION............................................................. 6INSPIRATION ELITE.................................................. 6INSPRA.................................................................... 12INSULIN ASPART.................................................... 28INSULIN DETEMIR.................................................. 28INSULIN GLARGINE,HUM.REC.ANLOG.................28INSULIN GLULISINE................................................28INSULIN LISPRO..................................................... 28INSULIN NPL/INSULIN LISPRO.............................. 28INSULIN REGULAR, HUMAN..................................28INSULN ASP PRT/INSULIN ASPART......................28INTEGRA F...............................................................55INTEGRA PLUS....................................................... 55INTEGRILIN..............................................................35INTELENCE....................................................... 41, 75INTERFERON ALFA-2B,RECOMB.......................... 37INTERFERON ALFACON-1..................................... 41INTERFERON ALFA-N3...........................................37INTERFERON BETA-1A...........................................47INTERFERON BETA-1A/ALBUMIN..........................47INTERFERON BETA-1B...........................................47INTERFERON GAMMA-1B,RECOMB..................... 37INTERMEZZO................................................ 9, 63, 70INTRON A...........................................................37, 75INTUNIV............................................................... 9, 63INVEGA SUSTENNA..................................................9INVEGA(TAB ER 24H)(1.5 MG)..................... 8, 63, 70INVEGA(TAB ER 24H)(3 MG)........................ 8, 63, 70INVEGA(TAB ER 24H)(6 MG)........................ 8, 63, 70INVEGA(TAB ER 24H)(9 MG)........................ 8, 63, 70INVIRASE(CAP)........................................... 41, 63, 70INVIRASE(TAB)............................................41, 63, 70INVOKANA................................................... 22, 63, 70IODINE/POTASSIUM IODIDE.................................. 16IODOFLEX................................................................16IODOQUINOL...........................................................40IODOQUINOL/ALOE POLYSACCHAR #1............... 16IODOSORB.............................................................. 16IONAMIN.................................................................. 59IOPIDINE(DROPERETTE).......................................32IOPIDINE(DROPS)...................................................32IPILIMUMAB.............................................................47IPRATROPIUM BROMIDE................................... 5, 48IPRATROPIUM/ALBUTEROL SULFATE....................5IPRIVASK..................................................... 35, 63, 75IRBESARTAN........................................................... 11IRBESARTAN/HYDROCHLOROTHIAZIDE..............11IRINOTECAN HCL................................................... 46IRON &IRON ASP GLY/FA/MV,MIN27..................... 55IRON AG&FUM/C/FA/MV CMB11/CA-T...................55IRON AG/C/B12/CA/SUC.ACID/STOM.................... 55IRON ASPGLY&PS/C/B12/FA/CA/SUC................... 55IRON ASPGLY/C/B12/FA/CA-TH/SUC.....................55IRON BG&PS/VIT C/B12/FA/CA THR......................55IRON BISGLY & PS/FA/B&C#12/SUC..................... 55IRON FUM & AG/C/B12/FA/CA/SUCC.....................55IRON FUM & P/FA/VIT B & C NO.9......................... 55IRON FUM & PS CMP/FA/VIT C/B3.........................55IRON FUM&POLYSAC#1/FA/MV NO.18..................55IRON FUMARATE/VIT C/VIT B12/FA.......................55IRON GLY&FUM/C/B12/ME-THFOLATE................. 55IRON PS CMPLX/FOLIC ACID/VIT C...................... 55IRON PS CMPLX/VIT B12/FA.................................. 55IRON PS/IRON HEM POLY/FA/B12.........................55IRON, CARB & GLUC/FA/B12/C/DSS..................... 55

IRON, CARBONYL/FA/C/B-6/B12/ZN...................... 55IRON,CARB/DSS/B12IF/FA/MV-MN........................ 55IRON,CARB/FA#6/MV, MIN NO.40.......................... 55IRON,CARB/FA#6/MV, MIN NO.41.......................... 55IRON,CARBONYL/FA/MULTIVITS-MIN................... 55IRON,CARBONYL/VIT C/VIT B12/FA...................... 56IRON,FUM&PS/FA/VIT B&C#18/L.CA..................... 55IRON/FA/B12/C/DOCUSATE SODIUM.................... 55IRON/FA/VITAMIN B COMP W-C/MIN..................... 55IRON/FLUORIDE/VITS A, C, & D3...........................56IRON/FOLIC ACID/C/B12/BIOTIN............................55IRON/LIVER EXT/VIT BCOMP&C/MIN....................55IROSPAN..................................................................55IRRIGATING SOLUTION G......................................39ISENTRESS............................................................. 41ISOCARBOXAZID...................................................... 7ISOCHRON.............................................................. 14ISOETHARINE HCL................................................... 5ISOMETHEPT/DICHLPHN/ACETAMINOP.............. 50ISOMETHEPT-DICHLORALP-ACETAMIN...............50ISOMETHEPTEN/CAF/ACETAMINOPHEN............. 50ISONIAZID................................................................39ISOPROPAMIDE/PROCHLORPERAZINE...............53ISOPTO ATROPINE................................................. 33ISOPTO CARBACHOL.............................................33ISOPTO CARPINE(DROPS)(1 %)........................... 33ISOPTO CARPINE(DROPS)(2 %)........................... 33ISOPTO CARPINE(DROPS)(4 %)........................... 33ISOPTO CARPINE(DROPS)(8 %)........................... 33ISOPTO HYOSCINE................................................ 33ISORDIL................................................................... 14ISORDIL TITRADOSE..............................................14ISOSORB DINIT/HYDRALAZINE HCL.....................13ISOSORBIDE DINITRATE........................................14ISOSORBIDE MONONITRATE................................ 14ISOTRETINOIN........................................................ 16ISOVEX.................................................................... 14ISOXSUPRINE HCL.................................................14ISRADIPINE............................................................. 12ISTALOL................................................................... 33ISTODAX............................................................ 46, 75ITRACONAZOLE......................................................39IVACAFTOR............................................................. 48IVERMECTIN......................................................17, 40IXABEPILONE..........................................................45IXEMPRA........................................................... 45, 75- J -JAKAFI......................................................... 46, 63, 75JALYN...........................................................54, 70, 77JANUMET.................................................................22JANUMET XR...........................................................22JANUVIA...................................................................22J-COF DHC.............................................................. 15JENTADUETO.......................................................... 22JEVTANA..................................................................47JINTELI.....................................................................36J-MAX DHC.............................................................. 15JUXTAPID...........................................................13, 75- K -KADCYLA...........................................................46, 75KADIAN(CAP ER PEL)(10 MG)................................49KADIAN(CAP ER PEL)(100 MG)............................. 49KADIAN(CAP ER PEL)(130 MG)............................. 49KADIAN(CAP ER PEL)(150 MG)............................. 49KADIAN(CAP ER PEL)(20 MG)................................49KADIAN(CAP ER PEL)(200 MG)............................. 49KADIAN(CAP ER PEL)(30 MG)................................49KADIAN(CAP ER PEL)(40 MG)................................49KADIAN(CAP ER PEL)(50 MG)................................49KADIAN(CAP ER PEL)(60 MG)................................49KADIAN(CAP ER PEL)(70 MG)................................49KADIAN(CAP ER PEL)(80 MG)................................49KALBITOR.......................................................... 43, 75KALETRA(SOLUTION)...................................... 41, 63KALETRA(TAB)(100MG-25MG)......................... 41, 63KALETRA(TAB)(200MG-50MG)......................... 41, 63KALYDECO........................................................ 48, 75KAOCHLOR..............................................................29KAOCHLOR-EFF......................................................29KAPVAY................................................................9, 63KAZANO.............................................................22, 70KEFLEX....................................................................37KENALOG(AEROSOL)............................................ 19KENALOG(LOTION).................................................19KEPIVANCE............................................................. 48KEPPRA................................................................... 51KERAFOAM..............................................................20KERALAC.................................................................20KERALYT..................................................................20

KERALYT SCALP.....................................................20KETEK......................................................................38KETOCONAZOLE.............................................. 17, 39KETOCONAZOLE/SKIN CLEANSER #28............... 17KETODAN................................................................ 17KETO-DIASTIX REAGENT(OTC)............................ 28KETOPROFEN......................................................... 43KETOROLAC TROMETHAMINE................. 32, 42, 43KETOROLAC TROMETHAMINE/PF........................32KHEDEZLA.....................................................7, 63, 70KINERET............................................................ 42, 75KIT FOR Y-90/IBRITUMOMAB/ALBUM................... 46KLARON...................................................................16KLONOPIN............................................................... 51KLOR-CON-EF.........................................................29KOATE-DVI...............................................................34KOGENATE FS........................................................ 34KOMBIGLYZE XR...............................................22, 70KORLYM.............................................................22, 75K-PHOS NEUTRAL.................................................. 54K-PHOS NO.2...........................................................54K-PHOS ORIGINAL..................................................54KRISTALOSE........................................................... 44K-TAB ER................................................................. 29KYNAMRO......................................................... 13, 75KYPROLIS..........................................................46, 75- L -LABETALOL HCL..................................................... 10LAC-HYDRIN............................................................19LACOSAMIDE.......................................................... 51LACRISERT..............................................................33LACTATED RINGERS.............................................. 20LACTIC ACID........................................................... 19LACTICARE-HC....................................................... 18LACTULOSE............................................................ 44LAMICTAL................................................................ 51LAMICTAL (BLUE)....................................................51LAMICTAL (GREEN)................................................ 51LAMICTAL (ORANGE)............................................. 51LAMICTAL ODT (BLUE)..................................... 51, 70LAMICTAL ODT (GREEN)..................................51, 70LAMICTAL ODT (ORANGE)...............................51, 70LAMICTAL ODT(TAB RDP DIS)(100 MG)......51, 63,7 0LAMICTAL ODT(TAB RDP DIS)(200 MG)......51, 63,7 0LAMICTAL ODT(TAB RDP DIS)(25 MG)......51, 63, 70LAMICTAL ODT(TAB RDP DIS)(50 MG)......51, 63, 70LAMICTAL XR (BLUE)........................................51, 70LAMICTAL XR (GREEN).................................... 51, 70LAMICTAL XR (ORANGE)................................. 51, 70LAMISIL(GRAN PACK).............................................39LAMISIL(TAB)...........................................................39LAMIVUDINE............................................................41LAMIVUDINE HBV................................................... 41LAMIVUDINE/ZIDOVUDINE.....................................41LAMOTRIGINE.........................................................51LANCET DEVICE(OTC)........................................... 27LANCING DEVICE................................................... 27LANCING DEVICE(OTC)......................................... 27LANCING DEVICE/LANCETS............................27, 28LANCING SYSTEM(OTC)........................................27LANOXIN..................................................................10LANSOPRAZOLE.....................................................53LANSOPRAZOLE/AMOXICILN/CLARITH............... 53LANTHANUM CARBONATE.................................... 29LANTUS....................................................................28LANTUS SOLOSTAR............................................... 28LAPATINIB DITOSYLATE.........................................46LASIX....................................................................... 12LASTACAFT............................................................. 31LATANOPROST....................................................... 33LATISSE................................................................... 33LATUDA(TAB)(120 MG)................................. 8, 63, 70LATUDA(TAB)(20 MG)................................... 8, 63, 70LATUDA(TAB)(40 MG)................................... 8, 63, 70LATUDA(TAB)(60 MG)................................... 8, 63, 70LATUDA(TAB)(80 MG)................................... 8, 63, 70LAZANDA........................................................... 49, 75LC D NEBULIZER SET.............................................. 6LC PLUS.....................................................................6LC SPRINT NEBULIZER............................................6LC STAR.....................................................................6LEFLUNOMIDE........................................................ 42LENALIDOMIDE.......................................................46LEPIRUDIN,RECOMBINANT...................................35LESCOL....................................................... 13, 63, 70LESCOL XL.................................................. 13, 63, 70LETAIRIS............................................................ 12, 75

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LETROZOLE............................................................ 45LEUCOVORIN CALCIUM.........................................47LEUKERAN.............................................................. 45LEUKINE............................................................ 35, 75LEUPROLIDE ACETATE....................................30, 31LEVACET..................................................................48LEVALBUTEROL HCL................................................5LEVALBUTEROL TARTRATE.................................... 5LEVAQUIN................................................................38LEVATOL.................................................................. 11LEVEMIR............................................................28, 70LEVEMIR FLEXPEN.......................................... 28, 70LEVETIRACETAM.................................................... 51LEVITRA.......................................................29, 63, 77LEVOBUNOLOL HCL...............................................33LEVOCETIRIZINE DIHYDROCHLORIDE..................4LEVOFLOXACIN................................................ 32, 38LEVOMILNACIPRAN HYDROCHLORIDE.................7LEVONORGESTREL............................................... 14LEVONORGESTREL-ETH ESTRADIOL..................14LEVORA-28........................................................14, 77LEVORPHANOL TARTRATE................................... 49LEVOTHYROXINE SODIUM....................................31LEVOXYL................................................................. 31LEVULAN................................................................. 47LEXAPRO...................................................................7LEXIVA............................................................... 41, 75LIALDA............................................................... 43, 70LIBERTY MONITOR(OTC).......................................26LIBERTY TEST STRIPS(OTC).................................24LIBRAX.....................................................................53LIBRITABS..................................................................8LIDOCAINE.............................................................. 21LIDOCAINE HCL................................................ 21, 43LIDOCAINE HCL VISCOUS.....................................43LIDOCAINE HCL/COLLAGEN................................. 21LIDOCAINE HCL/PF.................................................32LIDOCAINE/PRILOCAINE....................................... 21LIDOCAINE/TETRACAINE.......................................21LIDOCAINE-HYDROCORTISONE.....................20, 44LIDOCAINE-PRILOCAINE....................................... 21LIDODERM...............................................................21LIDORX.................................................................... 21LIDOVIR................................................................... 17LINACLOTIDE.......................................................... 44LINAGLIPTIN............................................................22LINAGLIPTIN/METFORMIN HCL.............................22LINDANE.................................................................. 17LINEZOLID............................................................... 38LINZESS.............................................................44, 63LIOTHYRONINE SODIUM....................................... 31LIOTRIX....................................................................31LIPASE/PROTEASE/AMYLASE...............................52LIPITOR....................................................................13LIPOCHOL PLUS..................................................... 14LIPTRUZET(TAB)(10 MG-10MG).................13, 63, 70LIPTRUZET(TAB)(10 MG-20MG).................13, 63, 70LIPTRUZET(TAB)(10 MG-40MG).................13, 63, 70LIPTRUZET(TAB)(10 MG-80MG).................13, 63, 71LIRAGLUTIDE.......................................................... 22LISDEXAMFETAMINE DIMESYLATE........................ 8LISINOPRIL.............................................................. 11LISINOPRIL/HYDROCHLOROTHIAZIDE................ 10LISSAMINE GREEN.................................................33LITE TOUCH(OTC).................................................. 27LITEAIRE....................................................................6LITETOUCH............................................................... 6LITHIUM..................................................................... 8LITHIUM CARBONATE.............................................. 8LITHIUM CITRATE..................................................... 8LITHOBID................................................................... 8LITHOSTAT.............................................................. 44LIVALO......................................................... 13, 63, 71LIVER EXTRACT (NON-VIT)................................... 44L-NORGEST-ETH ESTR/ETHIN ESTRA................. 14LO LOESTRIN FE.............................................. 14, 71LOCOID LIPOCREAM..............................................18LOCOID(CREAM).....................................................18LOCOID(LOTION).................................................... 18LOCOID(OINT).........................................................18LOCOID(SOLUTION)............................................... 18LODOXAMIDE TROMETHAMINE............................32LOFIBRA.................................................................. 13LOHIST-DM.............................................................. 15LOMEFLOXACIN HCL............................................. 38LOMITAPIDE MESYLATE........................................ 13LOMOTIL..................................................................44LOMUSTINE.............................................................45LOPERAMIDE.......................................................... 44

LOPERAMIDE HCL..................................................44LOPID.......................................................................14LOPINAVIR/RITONAVIR...........................................41LOPRESSOR HCT...................................................12LOPROX...................................................................17LORAZEPAM..............................................................8LORCASERIN HCL.................................................. 59LORCET 10-650.................................................49, 63LORCET PLUS...................................................49, 63LORTAB..............................................................49, 63LORZONE................................................................ 52LOSARTAN POTASSIUM......................................... 11LOSARTAN/HYDROCHLOROTHIAZIDE................. 11LOTEMAX.................................................................32LOTENSIN................................................................ 11LOTENSIN HCT....................................................... 10LOTEPREDNOL ETABONATE.................................32LOTREL....................................................................10LOTRISONE.............................................................17LOTRONEX..............................................................44LOUTREX.................................................................19LOVASTATIN............................................................ 13LOVAZA..............................................................14, 63LOVENOX(SYRINGE)(100 MG/ML).................. 35, 63LOVENOX(SYRINGE)(120MG/.8ML)................ 35, 63LOVENOX(SYRINGE)(150 MG/ML).................. 35, 63LOVENOX(SYRINGE)(30MG/0.3ML)................ 35, 63LOVENOX(SYRINGE)(40MG/0.4ML)................ 35, 63LOVENOX(SYRINGE)(60MG/0.6ML)................ 35, 63LOVENOX(SYRINGE)(80MG/0.8ML)................ 35, 63LOVENOX(VIAL)................................................ 35, 63LOXAPINE..................................................................8LOXAPINE SUCCINATE............................................ 8LOXITANE.................................................................. 8LUBIPROSTONE......................................................44LUCENTIS................................................................33LUCINACTANT.........................................................48LUFYLLIN...................................................................6LUFYLLIN-400............................................................6LUGOL'S.................................................................. 16LULICONAZOLE...................................................... 17LUMIGAN........................................................... 32, 63LUNESTA....................................................... 9, 63, 71LUPRON DEPOT..................................................... 30LUPRON DEPOT-PED.............................................31LURASIDONE HCL.................................................... 8LUTREPULSE.......................................................... 31LUVOX CR..................................................... 7, 63, 71LUXIQ.......................................................................18LUZU........................................................................ 17LYCELLE.................................................................. 17LYMPHOCYTE IMMU GLOB.,RABBIT.....................37LYMPHOCYTE IMMUNE GLOBULIN...................... 37LYRICA..................................................................... 51LYSINE HCL/VIT B COMP/FA/ZINC........................ 59LYSINE/VITAMIN B COMPLEX/FA/ZN.....................59LYSIPLEX................................................................. 59LYSODREN.............................................................. 47LYSTEDA..................................................................34- M -MACITENTAN...........................................................12MACROBID.............................................................. 38MACRODANTIN(CAP)(100 MG)..............................38MACRODANTIN(CAP)(25 MG)................................38MACRODANTIN(CAP)(50 MG)................................38MACUGEN............................................................... 33MACUTEK................................................................ 54MAFENIDE ACETATE.............................................. 17MAGAN.....................................................................48MAGNACET....................................................... 49, 63MAGNEBIND 400 RX...............................................29MAGNESIUM SALICYLATE..................................... 48MAKENA...................................................................36MALARONE..............................................................40MALATHION............................................................. 17MANNITOL............................................................... 12MANNITOL/SORBITOL SOLUTION.........................20MAPROTILINE HCL................................................... 8MARAVIROC............................................................ 41MARINOL....................................................... 4, 63, 71MARNATAL-F........................................................... 57MARPLAN.................................................................. 7MARQIBO...........................................................47, 75MATULANE.............................................................. 47MAVIK....................................................................... 11MAXAIR AUTOHALER............................................... 5MAXALT..............................................................50, 63MAXALT MLT......................................................50, 63MAXAQUIN...............................................................38

MAXARON FORTE.................................................. 55MAXIDEX..................................................................31MAXIDONE........................................................ 49, 63MAXIMA(OTC)..........................................................24MAXINATE................................................................56MAXITROL............................................................... 31MAXZIDE-25 MG......................................................12MB HYDROGEL....................................................... 19MECAMYLAMINE HCL.............................................11MECASERMIN......................................................... 31MECHLORETHAMINE HCL...............................21, 45MECLIZINE HCL........................................................ 4MECLOFENAMATE SODIUM.................................. 43MEDIHONEY............................................................21MEDROL(TAB DS PK)............................................. 42MEDROL(TAB)(16 MG)............................................ 42MEDROL(TAB)(2 MG).............................................. 42MEDROL(TAB)(32 MG)............................................ 42MEDROL(TAB)(4 MG).............................................. 42MEDROL(TAB)(8 MG).............................................. 42MEDROXYPROGESTERONE ACET.......................36MEDROXYPROGESTERONE ACETATE.......... 14, 36MEFENAMIC ACID...................................................43MEFLOQUINE HCL..................................................40MEGESTROL ACETATE.......................................... 47MEKINIST...........................................................46, 75MELOXICAM............................................................ 43MELOXICAM/IRR CNTR-IRR CMB #2.....................43MELPAQUE HP........................................................ 21MELPHALAN............................................................45MELPHALAN HCL....................................................45MEMANTINE HCL......................................................7MENEST...................................................................36MENOPUR............................................................... 29MENOSTAR........................................................36, 63MENOTROPINS.......................................................29MENTAX................................................................... 17MENTHOL/BANDAGES, TUBULAR........................ 20MEPENZOLATE BROMIDE..................................... 53MEPERIDINE HCL................................................... 49MEPERIDINE HCL/PF..............................................49MEPHYTON............................................................. 36MEPROBAMATE........................................................ 8MERCAPTOPURINE................................................45MESALAMINE.......................................................... 43MESALAMINE W/CLEANSING WIPES................... 43MESEHIST WC........................................................ 15MESNA.....................................................................47MESNEX...................................................................47MESTINON(SYRUP)..................................................7MESTINON(TAB ER)..................................................7MESTINON(TAB)........................................................7METAPROTERENOL SULFATE................................ 5METAXALONE......................................................... 52METFORMIN HCL....................................................22METHADONE HCL...................................................49METHAMPHETAMINE HCL....................................... 8METHAZOLAMIDE...................................................32METHEN MAND/NAPHOS M-B M-H....................... 54METHEN/M-BLUE/SAL/NA PHOS/HYOS................38METHEN/SOD PHOS/METH BLUE/HYOS..............38METHENAM/ME BLUE/BA/SALICY/HYO................38METHENAMINE HIPPURATE..................................38METHENAMINE MANDELATE................................ 38METHIMAZOLE........................................................31METHIONINE/INOSITOL/CHOLINE/FA................... 14METHITEST............................................................. 36METHOCARBAMOL.................................................52METHOTREXATE.............................................. 42, 45METHOTREXATE SODIUM............................... 42, 45METHOTREXATE SODIUM/PF............................... 45METHOTREXATE/PF...............................................42METHOXSALEN.......................................................21METHOXSALEN, RAPID..........................................21METHSCOPOLAMINE BROMIDE........................... 53METHSCP BR/LA/S.THM/L.PARA/BIF.................... 53METHSUXIMIDE...................................................... 51METHYCLOTHIAZIDE............................................. 13METHYLDOPA......................................................... 11METHYLDOPA/HYDROCHLOROTHIAZIDE............11METHYLDOPA-HYDROCHLOROTHIAZIDE........... 11METHYLERGONOVINE MALEATE......................... 15METHYLIN............................................................9, 63METHYLNALTREXONE BROMIDE......................... 44METHYLPHENIDATE.................................................9METHYLPHENIDATE ER(CPBP 50-50)(20 MG)......9,6 3METHYLPHENIDATE ER(CPBP 50-50)(30 MG)......9,6 3

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METHYLPHENIDATE ER(CPBP 50-50)(40 MG)....... 9METHYLPHENIDATE ER(TAB ER)(10 MG).............. 9METHYLPHENIDATE ER(TAB ER)(20 MG)........ 9, 63METHYLPHENIDATE HCL.........................................9METHYLPREDNISOLONE.......................................42METHYLTESTOSTERONE...................................... 36METIPRANOLOL......................................................33METOCLOPRAMIDE HCL....................................... 53METOCLOPRAMIDE HCL INTENSOL.................... 53METOLAZONE......................................................... 13METOPROLOL SUCCINATE....................................11METOPROLOL SUCCINATE/HCTZ.........................12METOPROLOL TARTRATE......................................11METOPROLOL/HYDROCHLOROTHIAZIDE........... 12METOPROLOL-HYDROCHLOROTHIAZIDE...........12METOZOLV ODT......................................................53METRELEPTIN.........................................................31METROGEL..............................................................16METROGEL-VAGINAL............................................. 54METROLOTION....................................................... 16METRONIDAZOLE.......................................16, 40, 54METRONIDAZOLE/SKIN CLEANSR #23................ 16METYROSINE.......................................................... 11MEVACOR................................................................13MEXILETINE HCL.................................................... 10MIACALCIN(SPRAY/PUMP).................................... 30MIACALCIN(VIAL)....................................................30MICONAZOLE..........................................................39MICONAZOLE 3.......................................................54MICONAZOLE NITRATE..........................................54MICONAZOLE NITRATE/HC....................................17MICONAZOLE NITRATE/ZINC OX/PET.................. 17MICRO ELITE.............................................................6MICRO PLUS............................................................. 6MICRO(OTC)......................................................24, 26MICROCHAMBER......................................................6MICRODOT XTRA(OTC)..........................................24MICRODOT(OTC).............................................. 24, 26MICROFIBRILLAR COLLAGEN...............................35MICROGESTIN.................................................. 15, 77MICROGESTIN FE.............................................14, 77MICROLET 2(OTC).................................................. 27MICROSPACER......................................................... 6MICROZIDE..............................................................13MIDAZOLAM HCL...................................................... 9MIDODRINE HCL.....................................................14MIFEPRISTONE.......................................................22MIGERGOT........................................................ 50, 63MIGLITOL................................................................. 22MIGRANAL.........................................................50, 63MILLIPRED...............................................................42MILLIPRED DP.........................................................42MILNACIPRAN HCL.................................................47MILTOWN................................................................... 8MINASTRIN 24 FE................................................... 14MINI LANCING DEVICE(OTC).................................27MINI PLUS NEBULIZER.............................................6MINIELITE.................................................................. 6MINIPRESS..............................................................10MINIVELLE.........................................................36, 63MINI-WRIGHT PEAK FLOW METER.........................6MINOCIN.................................................................. 39MINOCYCLINE HCL.................................................39MINOCYCLINE HCL MICROSPHERES.................. 48MINOCYCLINE HCL(TAB ER 24H)..............39, 60, 63MINOCYCLINE HCL(TAB)....................................... 39MINOCYCLINE HCL/SKIN CL NO.4........................ 39MINOXIDIL................................................................11MIPOMERSEN SODIUM..........................................13MIRABEGRON......................................................... 54MIRAPEX..................................................................51MIRAPEX ER............................................... 51, 63, 71MIRTAZAPINE............................................................7MIRVASO........................................................... 16, 63MISOPROSTOL....................................................... 53MISTERNEB NEBULIZER..........................................6MITHRACIN..............................................................45MITOMYCIN....................................................... 33, 45MITOSOL..................................................................33MITOTANE............................................................... 47MITOXANTRONE HCL.......................................47, 75MOBIC......................................................................43MODAFINIL................................................................ 9MOEXIPRIL HCL...................................................... 11MOEXIPRIL/HYDROCHLOROTHIAZIDE................ 10MOMETASONE FUROAT/AMMONIUM LAC........... 19MOMETASONE FUROATE.............................. 4, 5, 19MOMETASONE/FORMOTEROL................................5MOMEXIN.................................................................19

MONAGHAN Z STAT..................................................6MONOCLATE-P........................................................34MONODOX...............................................................39MONOJECT PREFILL ADVANCED......................... 35MONONINE..............................................................34MONTELUKAST SODIUM......................................... 5MONUROL............................................................... 38MORGIDOX..............................................................39MORPHINE SULFATE..............................................49MORPHINE SULFATE LIPOSOMAL/PF.................. 49MORPHINE SULFATE/PF........................................ 49MOTOFEN................................................................44MOVIPREP...............................................................44MOXATAG................................................................ 38MOXEZA...................................................................32MOXIFLOXACIN HCL........................................ 32, 38MS CONTIN..............................................................49M-TETRAHYROFOLATE/NIACIN/CU/ZN................ 56MTH/ME BLUE/SOD PHOS/PHEN/HYOS...............38MULTAQ................................................................... 10MULTICHEW............................................................ 56MULTIGEN............................................................... 55MULTIGEN FOLIC....................................................55MULTIGEN PLUS..................................................... 55MULTI-LANCET DEVICE(OTC)............................... 27MULTIVIT, IRON, MIN #4, FA................................... 56MULTIVIT, IRON, MIN #5, FA................................... 56MULTIVIT, IRON, MIN #6, FA................................... 56MULTIVIT, MIN CMB#20/IRON/FA........................... 56MULTIVIT, MIN NO.21/FOLIC ACID.........................56MULTIVIT, MIN NO.23/FOLIC ACID.........................56MULTIVIT, MINCMB#11/FOLIC ACID...................... 59MULTIVITAMIN NO.44/VIT D3/K..............................56MULTIVITAMIN W/IRON, MINERALS...................... 56MULTI-VITAMIN W-FLUORIDE................................56MULTIVITAMIN WITH FLUORIDE........................... 56MULTIVITAMIN, MIN CMB#25/FA/D3...................... 59MULTI-VITAMIN-FLUOR-IRON................................ 56MULTIVITAMINS W/FLUORIDE...............................56MULTIVITAMINS W-FLUORIDE-IRON.....................56MULTIVITAMINS WITH FLUORIDE......................... 56MULTIVITAMINS WITH MIN NO.7/FA......................56MULTIVITAMINS-A,B,D,E,K,ZN............................... 56MULTIVITS WITH IRON & FLUORIDE.................... 56MULTIVITS,THERAP W-FE,HEMATIN.....................56MUPIROCIN............................................................. 17MUPIROCIN CALCIUM......................................17, 48MUSE................................................................. 29, 63MUSTARGEN........................................................... 45MV, MIN CMB #6/FA/LUT/LYCO/Q10...................... 56MV, MIN CMB#16/FA/LUTEIN/LYCOP.....................55MV, MIN CMB#24/IRON PS CMP/FA.......................56MV, MIN CMB#26/FA/ALA/LUTEIN.......................... 59MV, MIN CMB#9/FA/SAW PALMET XT....................56MV,MIN #10/FA/D3/ALIP ACID/LUT.........................56MV/DIETARY 4/DNA/RNA........................................56MVC-FLUORIDE...................................................... 56M-VIT........................................................................58MYALEPT................................................................. 31MYAMBUTOL........................................................... 39MYCOBUTIN............................................................ 40MYCOPHENOLATE MOFETIL.................................37MYCOPHENOLATE MOFETIL HCL.........................37MYCOPHENOLATE SODIUM.................................. 37MYCOPHENOLIC ACID...........................................37MYDFRIN................................................................. 32MYDRIACYL.............................................................33MYGLUCOHEALTH CONTROL SOLUTION(OTC)..................................................................................25MYGLUCOHEALTH(OTC)..................................24, 26MYKIDZ IRON FL.....................................................56MYLERAN................................................................ 45MYNATAL................................................................. 57MYNATE 90 PLUS....................................................57MYO VYT..................................................................59MYRBETRIQ................................................ 54, 63, 71MYSOLINE............................................................... 51- N -NA PHOS,M-B/K PHOS,MONOB.............................54NA SULFACETM/PREDNIS SP............................... 32NABILONE..................................................................4NABUMETONE........................................................ 43NADOLOL.................................................................11NADOLOL/BENDROFLUMETHIAZIDE....................12NAFARELIN ACETATE.............................................31NAFTIFINE HCL.......................................................17NAFTIN(CREAM)..................................................... 17NAFTIN(GEL)(1 %)...................................................17NAFTIN(GEL)(2 %)...................................................17

NALBUPHINE HCL.................................................. 49NALFON................................................................... 43NALIDIXIC ACID.......................................................38NALTREXONE HCL................................................... 9NALTREXONE MICROSPHERES............................. 8NAMENDA XR(CAP 24 DSPK)............................ 7, 63NAMENDA XR(CAP SPR 24).............................. 7, 63NAMENDA(SOLUTION).......................................7, 63NAMENDA(TAB DS PK).......................................7, 63NAMENDA(TAB)...................................................7, 63NAMGFLU/CYCLO/PHOS/NAHCO3/NACL.............19NAPHAZOLINE HCL................................................ 32NAPHAZOLINE HCL W/ANTAZOLINE.................... 32NAPHAZOLINE HCL/ANTAZOLINE.........................32NAPHOS M-B M-H/NA PHOS,DI-BA....................... 44NAPRELAN.............................................................. 43NAPROSYN..............................................................43NAPROXEN..............................................................43NAPROXEN SODIUM.............................................. 43NAPROXEN/ESOMEPRAZOLE MAG......................43NAPROXEN/IRR CNTR-IRRIT CMB #2...................43NARATRIPTAN HCL.................................................50NARDIL.......................................................................7NASACORT AQ....................................................4, 63NASCOBAL.............................................................. 59NASONEB NASAL NEBULIZER................................ 6NASONEX............................................................ 4, 63NATACHEW..............................................................58NATACYN................................................................. 32NATAFORT...............................................................57NATALIZUMAB......................................................... 47NATALVIRT 90 DHA................................................. 56NATALVIRT CA.........................................................57NATALVIT................................................................. 58NATAMYCIN............................................................. 32NATAZIA............................................................. 14, 71NATEGLINIDE.......................................................... 22NATELLE ONE......................................................... 57NATROBA.................................................................17NATURE-THROID.................................................... 31NATURETIN-5.......................................................... 12NAVELBINE..............................................................47NEBIVOLOL HCL..................................................... 11NEBULIZER................................................................6NEBULIZER/COMPRESSOR.....................................6NEBUPENT.............................................................. 40NECON...............................................................15, 77NEDOCROMIL SODIUM..........................................32NEFAZODONE HCL...................................................7NEGGRAM............................................................... 38NELARABINE...........................................................45NELFINAVIR MESYLATE.........................................41NEO/POLYMYX B SULF/DEXAMETH..................... 31NEOMY SULF/BACITRA/POLYMYXIN B.................32NEOMY SULF/BACITRAC ZN/POLY/HC.................31NEOMY SULF/COLIST SUL/HC/THONZ.................28NEOMY SULF/POLYMYXIN B SULFATE................ 20NEOMYCIN SULFATE..............................................39NEOMYCIN SULFATE/DEX NA PH......................... 31NEOMYCIN W/DEXAMETHASONE........................ 31NEOMYCIN/BACITRA/POLYMYXIN/HC..................18NEOMYCIN/POLYMYXIN B SULF/HC...............18, 28NEOMYCIN/POLYMYXN B/GRAMICIDIN................32NEOMYCIN-BACITRACIN-POLY-HC.......................31NEOMYCIN-POLYMYXIN-HC.................................. 28NEO-POLYCIN......................................................... 32NEORAL...................................................................37NEOSALUS.............................................................. 19NEOSALUS CP........................................................ 19NEOSPORIN............................................................ 32NEOSPORIN G.U. IRRIGANT..................................20NEOSTIGMINE BROMIDE.........................................7NEPAFENAC............................................................ 32NEPHPLEX RX........................................................ 59NEPHROCAPS QT...................................................59NEPHRON FA.......................................................... 55NEPTAZANE............................................................ 32NESINA.............................................................. 22, 71NESTABS ABC.........................................................56NESTABS DHA.........................................................56NEULASTA......................................................... 35, 75NEUMEGA................................................................35NEUPOGEN....................................................... 35, 75NEUPRO...................................................... 51, 63, 71NEURIN-SL.............................................................. 59NEURONTIN............................................................ 51NEUTEK 2TEK TEST STRIPS(OTC).......................24NEVANAC.................................................................32NEVIRAPINE............................................................41

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NEWTEK(OTC)........................................................ 26NEXA PLUS............................................................. 58NEXAVAR..................................................... 46, 63, 75NEXAVIR.................................................................. 44NEXIUM..............................................................53, 63NIACIN......................................................................14NIACIN SR 250MG...................................................14NIACIN/LOVASTATIN...............................................13NIACIN/SIMVASTATIN............................................. 13NIASPAN............................................................ 14, 71NICARDIPINE HCL.................................................. 12NICOMIDE................................................................56NICOTINE.................................................................52NICOTROL......................................................... 52, 63NICOTROL NS................................................... 52, 63NIFEDIPINE..............................................................12NILANDRON...................................................... 45, 63NILOTINIB HCL........................................................46NILUTAMIDE............................................................ 45NIMODIPINE............................................................ 12NIMOTOP................................................................. 12NIPENT.....................................................................45NISOLDIPINE...........................................................12NITAZOXANIDE....................................................... 16NITRO-BID............................................................... 14NITRO-DUR(PATCH TD24)(0.1MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.2MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.3 MG/HR)................. 14NITRO-DUR(PATCH TD24)(0.4MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.6MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.8MG/HR).................. 14NITROFURANTOIN..................................................38NITROFURANTOIN MACROCRYSTAL...................38NITROFURANTOIN MONOHYD/M-CRYST............ 38NITROFURAZONE...................................................16NITROGLYCERIN.............................................. 14, 44NITROSTAT..............................................................14NIZATIDINE.............................................................. 53NIZORAL.................................................................. 17NONOXYNOL 9........................................................14NORDITROPIN FLEXPRO.................................30, 75NORDITROPIN NORDIFLEX.............................30, 75NORETH A-ET ESTRA/FE FUMARATE.................. 14NORETH-ETHINYL ESTRADIOL/IRON...................15NORETHIND AC/ETHINYL ESTRADIOL.................36NORETHINDRONE..................................................15NORETHINDRONE ACETATE.................................36NORETHINDRONE A-E ESTRADIOL......................15NORETHINDRONE-ETHINYL ESTRAD..................15NORETHINDRONE-MESTRANOL.......................... 15NORFLOXACIN........................................................38NORFLURANE/HFC 245FA..................................... 21NORGESTIMATE-ETHINYL ESTRADIOL............... 15NORGESTREL-ETHINYL ESTRADIOL................... 15NORINYL 1+50...................................................15, 77NORITATE................................................................ 16NORMAL SALINE.................................................... 29NORMAL SALINE FLUSH........................................29NORMLGEL AG....................................................... 16NOROXIN.................................................................38NORPACE................................................................ 10NORPACE CR.......................................................... 10NORPRAMIN..............................................................8NOR-Q-D............................................................15, 77NORTRIPTYLINE HCL...............................................8NORVASC................................................................ 12NORVIR..............................................................41, 63NOVA MAX BLOOD GLUCOSE METER(OTC)....... 26NOVA MAX(OTC)..................................................... 24NOVACORT..............................................................21NOVAFERRUM........................................................ 55NOVAREL.................................................................29NOVOLIN 70-30(OTC)............................................. 28NOVOLIN N INNOLET(OTC)................................... 28NOVOLIN N(OTC)....................................................28NOVOLIN R(OTC)....................................................28NOVOLOG................................................................28NOVOLOG FLEXPEN.............................................. 28NOVOLOG MIX 70-30..............................................28NOVOLOG MIX 70-30 FLEXPEN............................ 28NOVOSEVEN...........................................................34NOVOSEVEN RT..................................................... 34NOXAFIL.................................................................. 39NPH, HUMAN INSULIN ISOPHANE........................ 28NPLATE.................................................................... 35NUCORT.................................................................. 18NUCYNTA...........................................................50, 63NUCYNTA ER.....................................................50, 63NU-DERM SUNFADER............................................ 21

NUEDEXTA........................................................ 48, 75NULOJIX...................................................................37NUMORPHAN.......................................................... 50NUOX....................................................................... 20NUQUIN HP..............................................................21NUTRICAP............................................................... 55NUTROPIN.........................................................30, 75NUTROPIN AQ...................................................30, 75NUTROPIN AQ NUSPIN.................................... 30, 75NUVAIL..................................................................... 20NUVARING................................................... 14, 63, 71NUVIGIL............................................................... 9, 75NYLIDRIN HCL.........................................................14NYMALIZE..........................................................12, 75NYSTATIN.......................................................... 17, 39NYSTATIN/EMOLLIENT COMBO NO.54................. 17NYSTATIN/HYDROCORTISONE/DIPHEN...............39NYSTATIN/LIDOCAINE/DIPHENHYD......................39NYSTATIN/TCN/HC/DIPHENHYDRAMIN................ 39NYSTATIN/TRIAMCIN.............................................. 17NYSTATIN-TRIAMCINOLONE................................. 17- O -OB COMPLETE........................................................58OB COMPLETE 400.................................................57OB COMPLETE ONE...............................................56OB COMPLETE PETITE.......................................... 56OB COMPLETE PREMIER...................................... 58OB COMPLETE WITH DHA.....................................56OBINUTUZUMAB.....................................................45OBSTETRIX EC....................................................... 58OBTREX...................................................................58OBTREX DHA.......................................................... 57O-CAL FA................................................................. 58OCELLA....................................................... 14, 71, 77OCTAGAM................................................................36OCUFEN...................................................................32OCUFLOX................................................................ 32OFATUMUMAB.........................................................45OFLOXACIN.................................................28, 32, 38OFTASCEIN DISOD/BENOXINATE HCL.................33OGEN....................................................................... 36OLANZAPINE.............................................................8OLANZAPINE PAMOATE...........................................8OLANZAPINE/FLUOXETINE HCL............................. 9OLEPTRO ER................................................ 7, 63, 71OLMESARTAN MEDOXOMIL...................................11OLMESARTAN/AMLODIPIN/HCTHIAZID................ 10OLMESARTAN/HYDROCHLOROTHIAZIDE............11OLOPATADINE HCL.............................................4, 31OLSALAZINE SODIUM............................................ 43OLUX........................................................................18OLYSIO...............................................................41, 75OM-3/CA CARB/D3/FA/MV CMB 13........................ 56OM-3/DHA/EPA/B12/FA/B6/PHYTOST.................... 56OM-3/DHA/EPA/D3/B12/FA/B-6/PHY.......................56OMACETAXINE MEPESUCCINATE........................ 47OMALIZUMAB............................................................5OMECLAMOX-PAK.................................................. 53OMEGA-3 ACID ETHYL ESTERS............................14OMEPRAZOLE.........................................................53OMEPRAZOLE MAGNESIUM..................................53OMEPRAZOLE/CLARITH/AMOXICILLIN.................53OMEPRAZOLE/SODIUM BICARBONATE...............53OMNARIS.......................................................4, 63, 71OMNIPRED.............................................................. 32OMNITROPE......................................................30, 75ON CALL EXPRESS TEST STRIP(OTC).................24ON CALL LANCING DEVICE(OTC).........................27ON CALL PLUS LANCING DEVICE(OTC)...............27ON CALL PLUS METER(OTC)................................ 26ON CALL PLUS TEST STRIP(OTC)........................ 24ON CALL VIVID METER(OTC)................................ 26ON CALL VIVID PAL(OTC)...................................... 26ON CALL VIVID TEST STRIP(OTC)........................ 24ONCASPAR........................................................47, 75ONDANSETRON........................................................4ONDANSETRON HCL................................................4ONE TOUCH DELICA(OTC).................................... 27ONE TOUCH SURESOFT(OTC)..............................27ONE TOUCH ULTRA(OTC)......................................24ONE TOUCH VERIO(OTC)...................................... 24ONFI(ORAL SUSP)...................................... 51, 63, 71ONFI(TAB).................................................... 51, 63, 71ONGLYZA...........................................................22, 71ONMEL.....................................................................39ONSOLIS............................................................49, 76OPANA ER............................................................... 50OPANA(AMPUL).......................................................50OPANA(TAB)............................................................ 50

OPIUM TINCTURE...................................................44OPIUM/BELLADONNA ALKALOIDS........................49OPRELVEKIN........................................................... 35OPSUMIT........................................................... 12, 76OPTICHAMBER......................................................... 6OPTICHAMBER DIAMOND....................................... 6OPTIMYD................................................................. 32OPTIVAR.................................................................. 31OPTUMRX(OTC)................................................24, 26ORACEA................................................ 39, 60, 63, 71ORACIT.................................................................... 54ORALAIR..............................................................4, 76ORAP..........................................................................8ORAPRED................................................................42ORAPRED ODT....................................................... 42ORAVIG.................................................................... 39ORENCIA........................................................... 42, 76ORENITRAM ER................................................ 12, 76ORLISTAT.................................................................59ORPHENADRINE CITRATE.....................................52ORPHENADRINE COMPOUND FORTE................. 52ORPHENADRINE/ASPIRIN/CAFFEINE...................52ORTHO ALL-FLEX............................................. 15, 77ORTHO TRI-CYCLEN LO.................................. 15, 71ORTHO-NOVUM................................................ 15, 77OSELTAMIVIR PHOSPHATE................................... 40OSENI................................................................ 22, 72OSMOPREP.............................................................44OSPEMIFENE.......................................................... 31OSPHENA.......................................................... 31, 63OTEZLA..............................................................42, 76OTIC CARE.............................................................. 29OTICIN......................................................................29OTOZIN.................................................................... 28OTREXUP.................................................... 42, 63, 72OVACE..................................................................... 19OVACE PLUS(CLEANSR ER)..................................19OVACE PLUS(CREAM)............................................19OVACE PLUS(SHAMPOO)...................................... 19OVIDE.......................................................................17OVIDREL..................................................................29OXACILLIN SODIUM................................................38OXALIC ACID...........................................................20OXALIPLATIN...........................................................45OXALIS.....................................................................20OXANDRIN...............................................................36OXANDROLONE......................................................36OXAPROZIN.............................................................43OXAZEPAM................................................................ 8OXCARBAZEPINE................................................... 51OXECTA................................................................... 49OXICONAZOLE NITRATE........................................17OXISTAT...................................................................17OXSORALEN........................................................... 21OXSORALEN-ULTRA...............................................21OXTELLAR XR(TAB ER 24H)(150 MG)....... 51, 63, 72OXTELLAR XR(TAB ER 24H)(300 MG)....... 51, 63, 72OXTELLAR XR(TAB ER 24H)(600 MG)....... 51, 63, 72OXYBENZONE/OCTINOX/H-QUINONE..................21OXYBUTYNIN.......................................................... 54OXYBUTYNIN CHLORIDE.......................................54OXYCEL................................................................... 35OXYCODONE HCL.................................................. 49OXYCODONE HCL/ACETAMINOPHEN............ 49, 50OXYCODONE HCL/ASPIRIN...................................50OXYCODONE HCL-IBUPROFEN............................48OXYCODONE-ACETAMINOPHEN.................... 49, 64OXYCONTIN............................................................ 49OXYMETHOLONE................................................... 36OXYMORPHONE HCL.............................................50OXY-TCN HCL/POLYMYX B SULF..........................32OXYTETRACYCLINE/POLYMYX B SULF............... 32OXYTROL.......................................................... 54, 72- P -PACLITAXEL............................................................ 47PACLITAXEL PROTEIN-BOUND............................. 47PACNEX HP............................................................. 20PACNEX LP..............................................................20PAIN EASE............................................................... 21PAIRE OB PLUS DHA.............................................. 56PALGIC.................................................................4, 60PALIFERMIN............................................................ 48PALIPERIDONE......................................................... 8PALIPERIDONE PALMITATE..................................... 9PALIVIZUMAB.......................................................... 40PAMELOR.................................................................. 8PAMINE.................................................................... 53PAMINE FORTE....................................................... 53PAMINE FQ.............................................................. 53

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PANCREAZE............................................................ 52PANDEL....................................................................18PANHEMATIN...........................................................34PANITUMUMAB....................................................... 45PANRETIN................................................................21PANTOPRAZOLE SODIUM..................................... 53PAPAVERINE HCL................................................... 14PARAFON FORTE DSC...........................................52PARCOPA.................................................................50PAREGORIC............................................................ 44PAREMYD................................................................ 33PARI LC SPRINT SINUS............................................6PARI SINUS AEROSOL SYSTEM............................. 6PARICALCITOL........................................................ 31PARLODEL...............................................................50PARNATE................................................................... 7PAROMOMYCIN SULFATE......................................40PAROXETINE HCL.....................................................7PAROXETINE MESYLATE.........................................7PASER......................................................................39PATADAY.................................................................. 31PATANASE..................................................... 4, 64, 72PATANOL..................................................................31PAXIL CR....................................................................7PAXIL(ORAL SUSP)...................................................7PAXIL(TAB).................................................................7PAZOPANIB HCL..................................................... 46PCE.......................................................................... 38PEAK FLOW METER................................................. 6PEAK FLOW METER/INH ASST DEV....................... 6PED MV A,C,D3 #21 W-FLUORIDE.........................56PED MV A,C,D3 #38 W-FLUORIDE.........................56PEDI M.VIT NO.17 WITH FLUORIDE......................56PEDI MULTIVIT #37 W-FLUORIDE......................... 56PEDI MULTIVIT #65/VIT D3/VIT K........................... 56PEDI MULTIVIT NO.2 W-FLUORIDE....................... 56PEDI MV #37 W-FLUORIDE & IRON.......................56PEDI MV #45/FLUORIDE/IRON...............................56PEDI MVI NO.12/SODIUM FLUORIDE....................56PEDI MVI NO.16 WITH FLUORIDE......................... 56PEDI MVI NO.33 WITH FLUORIDE......................... 56PEDIADERM AF.......................................................17PEDIADERM HC...................................................... 19PEDIADERM TA....................................................... 19PEDIAPRED.............................................................42PEDIATRIC MV #33 W-FLUORIDE&FE...................56PEDIATRIC MV #47 W-FE&FLUORIDE...................56PEDIPIROX-4...........................................................17PEG 3350/NA SULF,BICARB,CL/KCL..................... 44PEG 3350-BOWEL 2,TWO PART PREP................. 44PEG3350/SOD SUL/NACL/ASB/C/KCL...................44PEGANONE............................................................. 51PEGAPTANIB SODIUM............................................33PEGASPARGASE.................................................... 47PEGASYS.......................................................... 41, 76PEGASYS PROCLICK....................................... 41, 76PEGFILGRASTIM.....................................................35PEGINTERFERON ALFA-2A................................... 41PEGINTERFERON ALFA-2B............................. 41, 46PEGINTRON...................................................... 41, 76PEGINTRON REDIPEN..................................... 41, 76PEGVISOMANT....................................................... 30PEMETREXED DISODIUM......................................45PENBUTOLOL SULFATE......................................... 11PENCICLOVIR......................................................... 17PENICILLAMINE...................................................... 42PENICILLIN V POTASSIUM.....................................38PENLAC................................................................... 17PENLET PLUS BLOOD SAMPLER(OTC)............... 27PENNSAID......................................................... 19, 72PENTAMIDINE ISETHIONATE.................................40PENTASA........................................................... 43, 72PENTAZOCINE HCL/ACETAMINOPHEN................ 50PENTAZOCINE HCL/NALOXONE HCL................... 50PENTAZOCINE LACTATE........................................50PENTAZOCINE-ACETAMINOPHEN........................ 50PENTAZOCINE-NALOXONE HCL........................... 50PENTOSAN POLYSULFATE SODIUM.................... 54PENTOSTATIN......................................................... 45PENTOXIFYLLINE................................................... 34PEPCID.................................................................... 53PEPCID RPD............................................................53PERAMPANEL......................................................... 51PERCOCET........................................................49, 64PERCODAN............................................................. 50PERFOROMIST................................................... 5, 64PERINDOPRIL ERBUMINE......................................11PERJETA............................................................45, 76PERMETHRIN..........................................................17

PERPHENAZINE........................................................9PERPHENAZINE/AMITRIPTYLINE HCL................... 7PERPHENAZINE-AMITRIPTYLINE........................... 7PERSANTINE...........................................................35PERTUZUMAB......................................................... 45PERTZYE................................................................. 52PETROLATUM,WHITE.............................................19PEXEVA..........................................................7, 64, 72PFLEX TRAINER........................................................6PHARMACIST CHOICE(OTC)........................... 24, 26PHENAZOPYRIDINE HCL....................................... 54PHENDIMETRAZINE TARTRATE............................59PHENELZINE SULFATE............................................ 7PHENERGAN.............................................................4PHENOBARB/HYOSCY/ATROPINE/SCOP.............53PHENOBARBITAL......................................................9PHENOL...................................................................19PHENOXYBENZAMINE HCL...................................10PHENTERMINE HCL............................................... 59PHENTERMINE RESIN............................................59PHENTERMINE/TOPIRAMATE............................... 59PHENYLBUTAZONE................................................ 43PHENYLEPHRINE HCL........................................... 32PHENYLEPHRINE HCL/PROMETH HCL................15PHENYTEK.............................................................. 51PHENYTOIN.............................................................51PHENYTOIN SODIUM EXTENDED.........................51PHOSLO...................................................................29PHOSLYRA.............................................................. 29PHOSPHASAL......................................................... 38PHOSPHOLINE IODIDE.......................................... 33PHOSPHORUS #1................................................... 54PHOTOFRIN.......................................................47, 76PHRENILIN FORTE................................................. 48PHYTONADIONE..................................................... 36PICATO(GEL)(0.015 %)..................................... 21, 64PICATO(GEL)(0.05 %)....................................... 21, 64PILOCARPINE HCL........................................... 33, 45PIMECROLIMUS......................................................22PIMOZIDE.................................................................. 8PINDOLOL................................................................11PINNACAINE............................................................29PIOGLITAZONE HCL............................................... 22PIOGLITAZONE HCL/GLIMEPIRIDE....................... 22PIOGLITAZONE HCL/METFORMIN HCL................ 23PIRBUTEROL ACETATE............................................5PIROXICAM..............................................................43PITAVASTATIN CALCIUM........................................ 13PLACIDYL.................................................................. 9PLAN B ONE-STEP..................................... 14, 60, 77PLAQUENIL............................................................. 40PLAVIX..................................................................... 35PLETAL.....................................................................35PLEXION.................................................................. 17PLIAGLIS..................................................................21PLICAMYCIN............................................................45PN VIT.W-O CA #7, IRON,FA,DHA.......................... 56PN VITS.W-O CA #8, IRON,FA................................ 56PN W-CA64/IRON CB&GL/FA/DSS/DH................... 56PN85/IRON CB&ASP G/FA/DHA/FISH.................... 56PNV #14/FERROUS FUM/FOLIC ACID...................56PNV #30/IRON CARB&ASPG/FA/OM3....................56PNV #35/IRON/FA #6/DHA...................................... 56PNV #38/IRON FUM/FOLATE/DHA......................... 56PNV #56/IRON CARB&ASPG/FA/DHA....................56PNV #8/IRON PS CMP&ASPG/FA/DHA.................. 56PNV #86/IRON POLY/FA/DHA/EPA......................... 56PNV #87/IRON BISGLY/FA/DHA..............................56PNV 11-IRON FUM-FOLIC ACID-OM3.................... 56PNV 18/FE,CARB/FA/DSS/UBI/DHA....................... 56PNV COMB NO.3/IRON FUM&GLUC/FA.................56PNV COMB.NO.44/IRON/FOLIC ACID....................56PNV COMB.NO43/IRON,CARB/FA/DSS................. 57PNV COMBO #19/IRON/FOL AC/DHA.................... 57PNV COMBO #22/IRON/FA/OM3/DHA....................57PNV COMBO#47/IRON/FA #1/DHA.........................57PNV FOLIC ACID + IRON........................................ 58PNV NO.115/IRON FUMARATE/FA......................... 57PNV NO.118/IRON FUMARATE/FA......................... 57PNV NO.15/IRON FUM & PS CMP/FA.....................57PNV NO.22/IRON CBN&GLUC/FA/DSS.................. 57PNV NO.27/IRON CARB & FUM/FA........................ 57PNV NO.66/IRON,CARBONYL/FA/DHA.................. 57PNV NO10/IRON FUM&P/FA/OMEGA-3................. 57PNV NO12/IRON,CARB/FA/DSS/OM-3................... 57PNV OB+DHA.......................................................... 57PNV W-CA #40/IRON FUM/FA CMB#1....................57PNV W-CA NO.37/IRON/FA/OMEGA-3................... 57PNV W-CA8/IRON/FA/LMEFOLATE CA.................. 57

PNV WITH CA #68/IRON/FA#1/DHA....................... 57PNV WITH CA COMBO.11/IRON/FA....................... 57PNV WITH CA NO.65/IRON POLY/FA..................... 57PNV WITH CA,NO.60/IRON/FA/DHA.......................57PNV WITH CA,NO.62/IRON/FA/DHA.......................57PNV WITH CA,NO.70/IRON/FA/DHA.......................57PNV WITH CA,NO.71/IRON/FA............................... 57PNV WITH CA,NO.72/IRON,CARB/FA.................... 57PNV WITH CA,NO.72/IRON/FA............................... 57PNV WITH CA,NO.74/IRON/FA............................... 57PNV WITH CA,NO63/IRON/FA/B6...........................57PNV W-O CA NO5/FE FUMARATE/FA.................... 57PNV W-O IRON/FA/CALCIUM/B6/B12.....................58PNV#16/IRON FUM & PS/FA/OM-3.........................57PNV#20/IRON/FA/DS/FISH/DHA/EPA..................... 57PNV#26/IRON POLY/FA/DHA.................................. 57PNV#64/IRON/LMFOLATE/ALGAL/SOY................. 57PNV#67/IRON PS/FA CMB#1/DHA......................... 57PNV,CA,NO.35/IRON/FA/DS/OMEG-3.....................57PNV,CA42/IRON/FA/LMEFOL CA/DHA................... 57PNV/FA/B6/CALCIUM CARB/GINGER.................... 59PNV/FA/B6/CALCIUM PHOS/GINGER....................59PNV/FERROUS FUMARATE/DOSS/FA...................57PNV/FERROUS FUMARATE/FA/SE........................ 57PNV/IRON,CARBONYL/DOCUSATE/FA................. 57PNV100/IRON EDTA&PS/FA/OMEGA3................... 57PNV103/FE/FA/DHA/EPA/OTHER OM3.................. 57PNV105/IRON/FA/OMEGA 3/DHA/EPA................... 57PNV106/IRON/FA/OM3/DHA/EPA............................57PNV107/IRON/FA/OM3/DHA/EPA............................57PNV110/IRON/FA/OMEGA 3/DHA/EPA................... 57PNV115/IRON FUMARATE/FA/DSS........................ 57PNV119/IRON FUMARATE/FA/DSS........................ 57PNV17/IRON/FA/FISH OIL/DHA/OM........................57PNV19/IRON BG HC&SUCC-P/FA/OM3..................57PNV2/IRON B-G SUC-P/FA/OMEGA-3....................57PNV22/IRON CBN&GLUC/FA/DSS/DHA.................57PNV29/IRON CB&ASPG/FA/DHA/FISH...................57PNV34/IRON,CARB&FUM/FA/DSS/DHA.................57PNV34/IRON,CARBONYL/FA/DSS/DHA................. 57PNV38/IRON CBN&GLUC/FA/DSS/DHA.................57PNV39/IRON FUMARATE/FA/DSS/DHA................. 57PNV48/IRON NA FEREDETAT/FA/OM3.................. 57PNV53/IRON B-G HCL-P/FA/OMEGA3................... 58PNV53/IRON FUM/FA/DOCUSATE/DHA.................58PNV54/IRON B-G HCL-P/FA/OMEGA3................... 58PNV55/IRON BG HC&SUCC#2/FA/OM3................. 58PNV55/IRON BG HC&SUCC-P/FA/OM3..................58PNV55/IRON FUM & BISGLY/FA............................. 58PNV59/IRON,CARB&FUM/FA/DSS/DHA.................58PNV59/IRON,CARBONYL/FA/DSS/DHA................. 58PNV66/IRON FUMARATE/FA/DSS/DHA................. 58PNV69/IRON,CARBONYL/FA/DSS/DHA................. 58PNV7/FE ASP GLY/DOCUSATE/FA........................ 58PNV72/IRON,CARB&GLU/FA/DSS/DHA................. 58PNV77/SOD IRON EDTA& PS/FA/OM3...................58PNV80/IRON FUMARATE/FA/DSS/DHA................. 58PNV81/SOD IRON EDTA& PS/FA/OM3...................58PNV82/FEPS/FA/OM3/DHA/EPA/FISH.................... 58PNV83/IRON,CARB/IRON ASP GL/FA....................58PNV84/IRON,CARBONYL/FA/DHA......................... 58PNV94/SOD IRON EDTA& PS/FA/OM3...................58PNV-DHA PLUS....................................................... 57PNV-IRON................................................................ 57PNV-SELECT........................................................... 57POCKET CHAMBER..................................................6PODOCON-25..........................................................20PODOFILOX.............................................................20PODOPHYLLUM RESIN.......................................... 20POLYETHYLENE GLYCOL 3350............................. 44POLY-IRON 150 FORTE.......................................... 55POLYMYXIN B SULF/TRIMETHOPRIM...................32POLYTRIM................................................................32POLY-UREAURETHANE..........................................20POLY-VI-FLOR......................................................... 56POLY-VI-FLOR WITH IRON..................................... 56POMALIDOMIDE......................................................46POMALYST........................................................ 46, 76PONATINIB HCL...................................................... 46PONSTEL.................................................................43PONTOCAINE.......................................................... 21PORACTANT ALFA.................................................. 48PORFIMER SODIUM............................................... 47POSACONAZOLE....................................................39POT CHLORIDE/POT BICARB/CIT AC................... 29POTABA................................................................... 59POTASSIUM AMINOBENZOATE.............................59POTASSIUM BICARBONATE.................................. 29POTASSIUM BICARBONATE/CIT AC..................... 29

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POTASSIUM CHLORIDE......................................... 29POTASSIUM CHLORIDE/POT BICARB.................. 29POTASSIUM CITRATE.............................................54POTASSIUM CITRATE/CITRIC ACID...................... 54POTASSIUM GLUCONATE......................................29POTASSIUM HYDROXIDE...................................... 20POTASSIUM IODIDE............................................... 31POTASSIUM IODIDE/IODINE.................................. 31POTASSIUM PHOSPHATE,MONOBASIC...............54POTIGA(TAB)(200 MG)................................51, 64, 72POTIGA(TAB)(300 MG)................................51, 64, 72POTIGA(TAB)(400 MG)................................51, 64, 72POTIGA(TAB)(50 MG)..................................51, 64, 72POVIDONE-IODINE................................................. 31PR CREAM...............................................................20PR NATAL 400..........................................................58PR NATAL 400 EC....................................................57PR NATAL 430..........................................................58PR NATAL 430 EC....................................................58PRADAXA.................................................... 35, 64, 76PRALATREXATE......................................................45PRAMCORT............................................................. 44PRAMIPEXOLE DI-HCL...........................................51PRAMLINTIDE ACETATE........................................ 22PRAMOSONE E.......................................................21PRAMOSONE(CREAM)...........................................20PRAMOSONE(LOTION)...........................................21PRAMOSONE(OINT)............................................... 21PRAMOXINE-HC......................................................28PRANDIMET.............................................................22PRANDIN..................................................................22PRASUGREL HCL................................................... 35PRAVACHOL............................................................ 13PRAVASTATIN SODIUM.......................................... 13PRAZIQUANTEL...................................................... 40PRAZOSIN HCL....................................................... 10PRECISION XTRA(OTC)......................................... 24PRECOSE................................................................ 22PRED MILD.............................................................. 32PRED-G....................................................................31PREDNICARBATE................................................... 19PREDNISOLONE..................................................... 42PREDNISOLONE ACETATE.............................. 32, 42PREDNISOLONE SOD PHOSPHATE............... 32, 42PREDNISOLONE SODIUM PHOSPHATE.........32, 42PREDNISONE..........................................................42PREDNISONE INTENSOL.......................................42PREFERA-OB ONE..................................................57PREFEST................................................................. 36PREGABALIN...........................................................51PREGNYL................................................................ 29PREMARIN.........................................................36, 54PREMIUM BLOOD GLUCOSE TEST(OTC)............ 24PREMIUM BLOOD GLUCOSE(OTC).......................26PREMIUM V10(OTC)......................................... 24, 26PREMPHASE........................................................... 36PREMPRO................................................................36PRENAFORT............................................................58PRENAISSANCE..................................................... 58PRENAISSANCE DHA HARMONY..........................57PRENAISSANCE HARMONY DHA..........................58PRENAISSANCE NEXT...........................................59PRENAISSANCE NEXT-B....................................... 59PRENAISSANCE PLUS........................................... 58PRENAPLUS............................................................57PRENAT VIT COMB.10/IRON/FA/DHA.................... 58PRENATA................................................................. 58PRENATABS FA....................................................... 58PRENATAL #103/IRON FUMARATE/FA.................. 58PRENATAL #57/IRON/FA/DSS/DHA........................58PRENATAL 19.......................................................... 57PRENATAL AD......................................................... 58PRENATAL LOW IRON............................................ 57PRENATAL NO.25/IRON/FA #6/DHA.......................58PRENATAL NO.39/IRON/FA #6/DHA.......................58PRENATAL NO.52/IRON/FA/DHA............................58PRENATAL PLUS.....................................................57PRENATAL VIT #60/IRON FUM/FA......................... 58PRENATAL VIT #68/IRON/FA#6/DHA......................58PRENATAL VIT #69/IRON/FA#6/DHA......................58PRENATAL VIT #76/IRON,CARB/FA....................... 58PRENATAL VIT 15/IRON CB/FA/DSS......................58PRENATAL VIT 16/IRON CB/FA/DSS......................58PRENATAL VIT 18/IRON CB/FA/DSS......................58PRENATAL VIT COMB.10/IRON/FA........................ 58PRENATAL VIT NO.109/IRON/FA............................58PRENATAL VIT NO.112/FOLIC ACID...................... 58PRENATAL VIT NO.114/FA/GINGER.......................58PRENATAL VIT NO.44/IRON/FA/DHA..................... 58

PRENATAL VIT NO.73/IRON/FA..............................58PRENATAL VIT NO.78/IRON/FA..............................58PRENATAL VIT#36/IRON/FA CMB#6...................... 58PRENATAL VIT#4/IRON FUM &PS/FA.................... 58PRENATAL VIT#42/FA CMB#6................................ 58PRENATAL VIT#65/IRON FUM&PS/FA................... 58PRENATAL VIT/FE CARB-FESO4/FA......................58PRENATAL VIT/IRON BISGLYCIN/FA..................... 58PRENATAL VIT/IRON FUMARATE/FA.....................58PRENATAL VIT27&CALCIUM/IRON/FA...................58PRENATAL VIT37/IRON/FOLIC ACID..................... 58PRENATAL VITAMINS #45/IRON/FA....................... 58PRENATAL VITAMINS#21, IRON, FA...................... 58PRENATAL VITS #33/IRON/FA/DHA....................... 58PRENATAL VITS W-CA,FE,FA(1MG).......................58PRENATAL VITS#4/IRON FUM/FA.......................... 58PRENATAL Z............................................................ 58PRENATAL-U........................................................... 57PRENATE AM...........................................................58PRENATE CHEWABLE............................................58PRENATE DHA........................................................ 56PRENATE ELITE...................................................... 58PRENATE ENHANCE.............................................. 58PRENATE ESSENTIAL............................................ 56PRENATE MINI........................................................ 58PRENATE RESTORE...............................................58PREPIDIL................................................................. 15PREPOPIK............................................................... 44PREQUE 10............................................................. 56PRESERA................................................................ 19PRESTO PRO(OTC)................................................ 26PREVACID(CAP DR)................................................53PREVACID(TAB RAP DR)..................................53, 72PREVIDENT............................................................. 54PREVIDENT 5000.................................................... 54PREVIDENT 5000 ENAMEL PROTECT.................. 55PREVIDENT 5000 SENSITIVE................................ 55PREVPAC...........................................................53, 64PREZISTA(ORAL SUSP)................................... 40, 64PREZISTA(TAB)(150 MG).................................. 40, 64PREZISTA(TAB)(400 MG).................................. 40, 64PREZISTA(TAB)(600 MG).................................. 40, 64PREZISTA(TAB)(75 MG).................................... 40, 64PREZISTA(TAB)(800 MG).................................. 40, 64PRIFTIN....................................................................40PRILOSEC............................................................... 53PRIMAQUINE...........................................................40PRIMAQUINE PHOSPHATE.................................... 40PRIMEAIRE................................................................6PRIMIDONE............................................................. 51PRIMLEV............................................................49, 64PRIMSOL..................................................................38PRISTIQ ER................................................... 7, 64, 72PRIVIGEN.................................................................37PROAIR HFA..............................................................5PROBANTHELINE W/PHENOBARBITAL................ 53PRO-BANTHINE.......................................................53PROBENECID..........................................................33PROBENECID-COLCHICINE...................................33PROCAINAMIDE HCL..............................................10PROCARBAZINE HCL............................................. 47PROCARDIA XL.......................................................12PROCENTRA....................................................... 8, 64PROCHAMBER..........................................................6PROCHLORPERAZINE EDISYLATE.........................4PROCHLORPERAZINE MALEATE............................4PROCHLORPERAZINE/ISOPROPAMIDE...............53PROCORT................................................................44PROCRIT............................................................34, 76PROCTOCORT........................................................ 44PROCTOFOAM-HC..................................................44PROCTOZONE-HC.................................................. 44PROCYSBI......................................................... 54, 76PRODIGY LANCING DEVICE(OTC)........................27PRODIGY MINI-MIST.................................................6PRODIGY NO CODING(OTC)................................. 24PRODIGY POCKET(OTC)....................................... 26PRODIGY VOICE(OTC)...........................................26PRODIGY(OTC)....................................................... 26PRODRIN................................................................. 50PROFERRIN-FORTE............................................... 55PROFILNINE SD...................................................... 34PROGESTERONE....................................... 29, 30, 36PROGESTERONE,MICRONIZED......................30, 36PROGLYCEM........................................................... 28PROGRAF................................................................37PROLASTIN C..........................................................45PROLENSA.............................................................. 31PROLEUKIN.............................................................37

PROLIA.................................................................... 30PROMACTA........................................................35, 76PROMETHAZINE HCL...............................................4PROMETHAZINE HCL/CODEINE............................15PROMETHAZINE VC............................................... 15PROMETHAZINE VC-CODEINE..............................15PROMETHAZINE/PHENYLEPH/CODEINE.............15PROMETHAZINE-CODEINE....................................15PROMETHAZINE-DM.............................................. 15PROMETHEGAN........................................................4PROMETRIUM......................................................... 36PROMISEB...............................................................19PROMISEB COMPLETE..........................................19PRONEB ULTRA........................................................ 6PRONEB ULTRA II..................................................... 6PRONESTYL............................................................10PROPAFENONE HCL.............................................. 10PROPANTHELINE BROMIDE..................................53PROPANTHELINE/PHENOBARBITAL.....................53PROPARAC HCL/FLUORESCEIN NA..................... 32PROPARACAINE HCL............................................. 32PROPARACAINE/FLUORESCEIN SOD.................. 32PROPRANOLOL HCL.............................................. 11PROPRANOLOL/HYDROCHLOROTHIAZID...........12PROPRANOLOL-HYDROCHLOROTHIAZID...........12PROPYLTHIOURACIL..............................................31PROSCAR..........................................................53, 77PROSED-DS............................................................ 38PROSTIGMIN.............................................................7PROSTIN E2 VAGINAL SUPPOSITORY................. 15PROTECT BONE..................................................... 56PROTECT CMB2/CERAMIDE 1,3,6-11....................20PROTECT IRON.......................................................56PROTECT NATAL.................................................... 58PROTEIN C CONCENTRATE, HUMAN...................35PROTONIX(GRANPKT DR)............................... 53, 72PROTONIX(TAB DR)................................................53PROTOPIC................................................... 22, 60, 72PROTRIPTYLINE HCL...............................................8PROVENGE............................................................. 46PROVENTIL HFA....................................................... 5PROVERA................................................................ 36PROVIDA OB........................................................... 58PROVIGIL.............................................................9, 76PROZAC.....................................................................7PRUCLAIR................................................................20PRUDOXIN...............................................................19PRUMYX.................................................................. 19PRUTECT.................................................................19PSEUDOEPHEDRINE HCL/ACRIVAS.......................4PULMICORT FLEXHALER.............................5, 64, 72PULMICORT(AMPUL-NEB)(0.25MG/2ML).......... 5, 64PULMICORT(AMPUL-NEB)(0.5 MG/2ML)........... 5, 64PULMICORT(AMPUL-NEB)(1 MG/2 ML)............. 5, 64PULMOZYME.....................................................48, 76PUREFE OB PLUS.................................................. 58PUREFE PLUS.........................................................58PURINETHOL...........................................................45PV W-O CAL/FE PS CMPLX/FA.............................. 58PV W-O CAL/FE,CARBONYL/DOSS/FA..................58PV W-O CAL/FERROUS FUMARATE/FA................ 58PYLERA................................................................... 53PYRAZINAMIDE.......................................................39PYRIDIUM................................................................ 54PYRIDOSTIGMINE BROMIDE...................................7PYRIDOXINE HCL................................................... 59PYRIMETHAMINE....................................................40PYROGALLIC ACID................................................. 21PYROGALLOL......................................................... 21- Q -QNASL........................................................... 4, 64, 72QSYMIA..............................................................59, 76QUALAQUIN.............................................................40QUARTETTE............................................................ 14QUAZEPAM................................................................9QUESTRAN..............................................................13QUETIAPINE FUMARATE......................................... 9QUIBRON...................................................................5QUIC-K..................................................................... 29QUILLIVANT XR............................................. 9, 64, 72QUINAPRIL HCL...................................................... 11QUINAPRIL/HYDROCHLOROTHIAZIDE.................10QUINIDINE GLUCONATE........................................ 10QUINIDINE SULFATE.............................................. 10QUININE SULFATE.................................................. 40QUINTET AC(OTC)............................................24, 26QUINTET(OTC)..................................................24, 26QUTENZA...........................................................20, 76QVAR....................................................................5, 64

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- R -RABEPRAZOLE SODIUM..................................53, 64RADIAPLEXRX........................................................ 20RAGWITEK...........................................................4, 76RALOXIFENE HCL...................................................30RALTEGRAVIR POTASSIUM...................................41RAMELTEON..............................................................9RAMIPRIL................................................................. 11RAMUCIRUMAB.......................................................46RANEXA(TAB ER 12H)(1000 MG)..................... 14, 64RANEXA(TAB ER 12H)(500 MG)....................... 14, 64RANIBIZUMAB......................................................... 33RANITIDINE............................................................. 53RANITIDINE 150MG.................................................53RANITIDINE HCL..................................................... 53RANOLAZINE...........................................................14RAPAFLO..................................................... 53, 72, 77RAPAMUNE..............................................................37RASAGILINE MESYLATE........................................ 51RAVICTI..............................................................44, 76RAYOS............................................................... 42, 72RAZADYNE.......................................................... 7, 64RAZADYNE ER.................................................... 7, 64REAGENT STRIPS(OTC)........................................ 24REBETOL(CAP)....................................................... 41REBETOL(SOLUTION)............................................ 41REBIF................................................................. 47, 76REBIF REBIDOSE............................................. 47, 76RECLAST................................................................. 30RECOMBINATE........................................................34RECOTHROM.......................................................... 35RECTIV.....................................................................44REFISSA.................................................................. 16REFLUDAN.............................................................. 35REFUAH PLUS(OTC).........................................24, 26REGENECARE.........................................................21REGIMEX................................................................. 59REGLAN...................................................................53REGORAFENIB........................................................46REGRANEX..............................................................28RELAGESIC............................................................. 15RELENZA........................................................... 40, 64RELIAMED MINI LANCING DEVICE(OTC)............. 27RELION CONFIRM(OTC).........................................26RELION CONFIRM-MICRO(OTC)........................... 24RELION MICRO(OTC)............................................. 26RELION PRIME(OTC)........................................24, 26RELISTOR..........................................................44, 76RELNATE DHA.........................................................56RELPAX........................................................50, 64, 73REMERON................................................................. 7REMICADE.........................................................43, 76REMODULIN...................................................... 12, 76RENACIDIN..............................................................54RENAGEL................................................................ 29RENAL CAPS...........................................................59RENA-VITE RX.........................................................59RENOVA...................................................................16RENOVA PUMP....................................................... 16RENVELA(POWD PACK).........................................29RENVELA(TAB)........................................................29REOPRO.................................................................. 35REPAGLINIDE..........................................................22REPAGLINIDE/METFORMIN HCL...........................22REPRONEX..............................................................29REQ49+....................................................................55REQUIP....................................................................51REQUIP XL.................................................. 51, 64, 73RESCRIPTOR.......................................................... 41RESCULA.....................................................33, 64, 73RESECTISOL...........................................................12RESERPINE............................................................. 11RESERPINE/HYDROCHLOROTHIAZIDE............... 11RESTASIS.......................................................... 32, 64RESTORIL..................................................................9RETAPAMULIN.........................................................17RETIN-A............................................................. 16, 60RETIN-A MICRO................................................ 16, 60RETIN-A MICRO PUMP.....................................16, 60RETROVIR(CAP)............................................... 41, 64RETROVIR(SYRUP).......................................... 41, 64REVATIO............................................................ 12, 64REVEAL BLOOD GLUCOSE METER(OTC)............26REVEAL TEST STRIP(OTC)....................................24REVIA.........................................................................9REVLIMID.....................................................46, 64, 76REYATAZ..................................................................41RIAX......................................................................... 20RIBAVIRIN.......................................................... 40, 41

RICOBID-H.................................................................4RIDAURA..................................................................42RIFABUTIN...............................................................40RIFADIN....................................................................40RIFAMATE................................................................ 40RIFAMP/ISONIAZID/PYRAZINAMIDE..................... 40RIFAMPIN.................................................................40RIFAMPIN/ISONIAZID..............................................40RIFAPENTINE.......................................................... 40RIFATER...................................................................40RIFAXIMIN................................................................40RIGHTEST GD500(OTC)......................................... 27RIGHTEST GM100 SYSTEM(OTC).........................26RIGHTEST GM250S METER(OTC).........................26RIGHTEST GM260 METER(OTC)........................... 26RIGHTEST GM300 SYSTEM(OTC).........................26RIGHTEST GM550 SYSTEM(OTC).........................26RIGHTEST GS100 TEST STRIPS(OTC)................. 24RIGHTEST GS250S TEST STRIPS(OTC)...............24RIGHTEST GS260 TEST STRIPS(OTC)................. 24RIGHTEST GS300 TEST STRIPS(OTC)................. 24RIGHTEST GS550 TEST STRIPS(OTC)................. 24RIGHTSOURCE(OTC)............................................. 26RILONACEPT...........................................................42RILPIVIRINE HCL.................................................... 41RILUTEK...................................................................47RILUZOLE................................................................ 47RIMANTADINE HCL................................................. 40RIMEXOLONE..........................................................32RINGERS IRRIGATION............................................20RINGERS SOLUTION..............................................20RINGERS SOLUTION,LACTATED...........................20RIOCIGUAT.............................................................. 12RIOMET....................................................................22RISEDRONATE SODIUM.........................................30RISPERDAL CONSTA................................................9RISPERDAL(SOLUTION).....................................9, 64RISPERDAL(TAB)................................................ 9, 64RISPERIDONE.....................................................9, 64RISPERIDONE MICROSPHERES.............................9RITALIN LA...........................................................9, 64RITEFLO.....................................................................6RITONAVIR.............................................................. 41RITUXAN............................................................45, 76RITUXIMAB.............................................................. 45RIVAROXABAN........................................................ 34RIVASTIGMINE.......................................................... 7RIVASTIGMINE TARTRATE.......................................7RIXUBIS................................................................... 34RIZATRIPTAN BENZOATE.......................................50R-NATAL OB.............................................................57ROBAXIN..................................................................52ROBAXIN-750.......................................................... 52ROBINUL..................................................................53ROBINUL FORTE.....................................................53ROCALTROL............................................................ 59ROFLUMILAST...........................................................5ROMIDEPSIN...........................................................46ROMIPLOSTIM.........................................................35ROPINIROLE HCL................................................... 51ROSADAN................................................................16ROSANIL..................................................................17ROSE BENGAL SODIUM.........................................33ROSE GLO...............................................................33ROSIGLITAZONE MALEATE................................... 22ROSIGLITAZONE/GLIMEPIRIDE.............................22ROSIGLITAZONE/METFORMIN HCL......................23ROSUVASTATIN CALCIUM..................................... 13ROTARIX.................................................................. 37ROTATEQ.................................................................37ROTAVIRUS VAC,LIVE ATT, 89-12.......................... 37ROTAVIRUS VACCINE,LIVE ORAL PV................... 37ROTIGOTINE........................................................... 51ROWASA..................................................................43ROXICODONE......................................................... 49ROZEREM......................................................9, 64, 73RUFINAMIDE........................................................... 52RUXOLITINIB PHOSPHATE.................................... 46RYTHMOL................................................................ 10RYTHMOL SR.......................................................... 10- S -SABRIL...............................................................52, 64SACROSIDASE........................................................52SAFYRAL........................................................... 14, 73SAIZEN...............................................................30, 76SALACYN.................................................................20SALAGEN.................................................................45SAL-AMIDE/ACETAMINOPHN/P-TLOX...................48SALEX...................................................................... 20

SALICYLIC AC/BENZOYL PER/VIT E..................... 20SALICYLIC ACID......................................................20SALICYLIC ACID/AMMON LACT/ALOE.................. 20SALICYLIC ACID/AMMONIATED HG...................... 20SALICYLIC ACID/CERAMIDE CMB #1....................20SALICYLIC ACID/UREA...........................................20SALMETEROL XINAFOATE...................................... 5SALSALATE............................................................. 48SALURON................................................................ 13SALVAX DUO PLUS.................................................20SAMI THE SEAL.........................................................6SAMSCA(TAB)(15 MG)...................................... 29, 64SAMSCA(TAB)(30 MG)...................................... 29, 64SANCTURA........................................................54, 73SANCUSO......................................................4, 64, 73SANDIMMUNE......................................................... 37SANTYL....................................................................21SAPHRIS........................................................8, 64, 73SAQUINAVIR MESYLATE........................................41SARAFEM.................................................................. 7SARGRAMOSTIM.................................................... 35SAVELLA.................................................................. 47SAXAGLIPTIN HCL..................................................22SAXAGLIPTIN HCL/METFORMIN HCL...................22SCALACORT DK......................................................18SCLEROSOL............................................................47SCOPOLAMINE......................................................... 4SCOPOLAMINE HYDROBROMIDE.........................33SE 10-5 SS...............................................................17SE BPO.................................................................... 20SECOBARBITAL SODIUM......................................... 9SECONAL SODIUM................................................... 9SECTRAL................................................................. 11SELECT-LITE(OTC)................................................. 27SELECT-OB............................................................. 58SELECT-OB + DHA..................................................58SELEGILINE...............................................................9SELEGILINE HCL.................................................... 51SELENIUM SULFIDE............................................... 19SELZENTRY.......................................................41, 76SEMPREX-D.............................................................. 4SE-NATAL 19............................................................57SENSIPAR................................................................30SEREVENT DISKUS............................................5, 64SEROPHENE........................................................... 29SEROQUEL..........................................................9, 64SEROQUEL XR..............................................9, 64, 73SEROSTIM.........................................................31, 76SERTACONAZOLE NITRATE.................................. 17SERTRALINE HCL..................................................... 7SE-TAN DHA............................................................ 57SETONET-EC...........................................................58SEVELAMER CARBONATE.....................................29SEVELAMER HCL................................................... 29SFROWASA............................................................. 43SHOHL'S MODIFIED................................................54SIDEKICK(OTC).......................................................25SIDEROL..................................................................55SIDESTREAM............................................................ 6SIDESTREAM NEBULIZER....................................... 6SIDESTREAM PLUS..................................................6SILDENAFIL CITRATE....................................... 12, 29SILENOR........................................................9, 64, 73SILICONE MASK........................................................6SILODOSIN.............................................................. 53SILVER..................................................................... 16SILVER CARBONATE.............................................. 16SILVER NITRATE............................................... 16, 20SILVER NITRATE APPLICATOR..............................20SILVER SULFADIAZINE...........................................17SILVRSTAT...............................................................16SIMBRINZA.............................................................. 33SIMCOR(TBMP 24HR)(1000-20MG)........... 13, 64, 73SIMCOR(TBMP 24HR)(1000-40 MG).......... 13, 64, 73SIMCOR(TBMP 24HR)(500MG-20MG)....... 13, 64, 73SIMCOR(TBMP 24HR)(500MG-40MG)....... 13, 64, 73SIMCOR(TBMP 24HR)(750MG-20MG)....... 13, 64, 73SIMEPREVIR SODIUM............................................ 41SIMPONI............................................................ 42, 76SIMPONI ARIA................................................... 42, 76SIMULECT................................................................37SIMVASTATIN...........................................................13SINECATECHINS.....................................................17SINEMET 10-100..................................................... 50SINEMET 25-100..................................................... 50SINEMET 25-250..................................................... 50SINGULAIR................................................................ 5SINUSTAR..................................................................6SIPULEUCEL-T/LACTATED RINGERS................... 46

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SIROLIMUS..............................................................37SIRTURO............................................................40, 76SITAGLIPTIN PHOS/METFORMIN HCL..................22SITAGLIPTIN PHOSPHATE..................................... 22SKELAXIN................................................................ 52SKLICE.....................................................................17SMART CARESENS N(OTC).............................24, 26SMART SENSE MONITORING SYSTEM(OTC)......26SMART SENSE TEST STRIPS(OTC)......................24SMARTDIABETES VANTAGE(OTC)........................27SMARTDIABETES XPRES(OTC)...................... 24, 26SMARTEST EJECT(OTC)........................................26SMARTEST PERSONA(OTC)..................................26SMARTEST PRONTO(OTC)....................................26SMARTEST PROTEGE(OTC)..................................26SMARTEST SMART CODE(OTC)........................... 26SMARTEST TALKING(OTC).................................... 26SMARTEST TEST(OTC).......................................... 24SOD PICOSULF/MAG OX/CITRIC AC.....................44SOD PROPION/INOSITOL/AA14/UREA..................54SOD/POT/K CIT/SOD CIT/CIT ACID....................... 54SODIUM BENZOATE/NA PH-ACETATE..................44SODIUM CHLORIDE..........................................20, 29SODIUM CHLORIDE 0.45 %................................... 29SODIUM CHLORIDE IRRIG SOLUTION................. 20SODIUM CHLORIDE/NAHCO3/KCL/PEG............... 44SODIUM CITRATE................................................... 34SODIUM FLUORIDE................................................ 54SODIUM FLUORIDE/POT NITRATE........................55SODIUM FLUORIDE/XYLITOL................................ 55SODIUM OXYBATE....................................................8SODIUM PHENYLBUTYRATE................................. 44SODIUM POLYSTYRENE SULFONATE..................29SODIUM SULFACETAMIDE.....................................19SODIUM SULFACETAMIDE-SULFUR..................... 17SODIUM THIOSULFATE/SAL ACID.........................17SODIUM,POTASSIUM,&MAG SULFATES...............44SOFOSBUVIR.......................................................... 41SOFT TOUCH(OTC)................................................ 27SOFTCLIX(OTC)...................................................... 27SOLIFENACIN SUCCINATE.................................... 54SOLIRIS............................................................. 35, 76SOLODYN.............................................. 39, 60, 64, 73SOLTAMOX.............................................................. 47SOLUS V2 LANCING DEVICE(OTC).......................27SOLUS V2(OTC)................................................ 24, 26SOMA....................................................................... 52SOMATROPIN....................................................30, 31SOMAVERT..............................................................30SONAFINE............................................................... 19SONATA............................................................... 9, 64SORAFENIB TOSYLATE......................................... 46SORBITOL................................................................20SORBITOL SOLUTION............................................ 20SORBITOL-MANNITOL............................................20SORIATANE............................................................. 21SORILUX............................................................21, 73SOTALOL..................................................................11SOTALOL HCL......................................................... 11SOVALDI............................................................ 41, 76SPASMOLIN............................................................. 53SPINOSAD............................................................... 17SPIRIVA................................................................5, 64SPIROMETERS AND ACCESSORIES......................6SPIRONOLACT/HYDROCHLOROTHIAZID.............12SPIRONOLACTONE................................................ 12SPORANOX(CAP)....................................................39SPORANOX(SOLUTION).........................................39SPRAY AND STRETCH........................................... 21SPRINTEC......................................................... 15, 77SPRIX.................................................................42, 64SPRYCEL(TAB)(100 MG).............................46, 64, 76SPRYCEL(TAB)(140 MG).............................46, 64, 76SPRYCEL(TAB)(20 MG)...............................46, 64, 76SPRYCEL(TAB)(50 MG)...............................46, 64, 76SPRYCEL(TAB)(70 MG)...............................46, 64, 76SPRYCEL(TAB)(80 MG)...............................46, 64, 76SPS.......................................................................... 29SSKI......................................................................... 31STAGESIC-10.....................................................49, 64STALEVO 100.......................................................... 50STALEVO 125.......................................................... 50STALEVO 150.......................................................... 51STALEVO 200.......................................................... 51STALEVO 50............................................................ 51STALEVO 75............................................................ 51STANNOUS FLUORIDE...........................................55STARLIX................................................................... 22STARTER KIT(OTC).................................................26

STAVUDINE..............................................................41STAVZOR........................................................... 52, 73STAXYN........................................................29, 64, 77STELARA........................................................... 42, 76STENDRA.................................................... 29, 64, 77STERILE TALC.........................................................47STIMATE.................................................................. 30STIVARGA....................................................46, 64, 76STRATTERA(CAP)(10 MG)................................10, 64STRATTERA(CAP)(100 MG)..............................10, 64STRATTERA(CAP)(18 MG)................................10, 64STRATTERA(CAP)(25 MG)................................10, 64STRATTERA(CAP)(40 MG)................................10, 64STRATTERA(CAP)(60 MG)................................10, 64STRATTERA(CAP)(80 MG)................................10, 64STREPTOZOCIN......................................................45STRIANT............................................................ 36, 76STRIBILD........................................................... 41, 64STROMECTOL.........................................................40STRONG IODINE.....................................................31STROVITE................................................................56STROVITE FORTE...................................................56STROVITE ONE.......................................................56STROVITE PLUS..................................................... 56SUBOXONE....................................................... 50, 76SUBSYS............................................................. 49, 76SUCLEAR.................................................................44SUCRAID........................................................... 52, 76SUCRALFATE.......................................................... 53SUCROFERRIC OXYHYDROXIDE......................... 29SULAR......................................................................12SULCONAZOLE NITRATE.......................................17SULFACET SOD/SULFUR/WITCH HAZ..................17SULFACETAMIDE SOD/SULFUR/UREA.................17SULFACETAMIDE SODIUM.........................16, 19, 32SULFACETAMIDE SODIUM/SULFUR..................... 17SULFACETAMIDE SODIUM/UREA..........................19SULFACETAMIDE/PREDNISOLONE SP.................32SULFACETAMIDE/SULFUR/CLEANSR23.........17, 18SULFACETAMIDE-PREDNISOLONE...................... 32SULFACETM NA/PREDNISOL AC.......................... 32SULFADIAZINE........................................................ 43SULFALONE............................................................ 32SULFAMETHOXAZOLE/TRIMETHOPRIM........ 37, 43SULFAMETHOXAZOLE-TRIMETHOPRIM.............. 37SULFAMYLON(CREAM).......................................... 17SULFAMYLON(PACKET)......................................... 17SULFANILAMIDE..................................................... 54SULFASALAZINE.....................................................43SULFATRIM..............................................................43SULFUR................................................................... 16SULINDAC................................................................43SUMADAN..........................................................17, 18SUMATRIPTAN........................................................ 50SUMATRIPTAN SUCC/NAPROXEN SOD............... 50SUMATRIPTAN SUCCINATE.............................50, 64SUMAVEL DOSEPRO..................................50, 64, 73SUMAXIN................................................................. 17SUMAXIN CP........................................................... 18SUNITINIB MALATE.................................................46SUPERVITE............................................................. 59SUPERVITE EC....................................................... 56SUPPORT-500......................................................... 55SUPPRELIN............................................................. 31SUPPRELIN LA........................................................31SUPRAX...................................................................37SUPRENZA ODT......................................... 59, 64, 73SUPREP...................................................................44SURE COMFORT LANCING PEN(OTC)................. 27SURE EDGE BLOOD GLUCOSE METER(OTC)......2 6SURE EDGE TEST STRIPS(OTC).......................... 24SURECHEK TEST STRIPS(OTC)............................24SUREFLEX(OTC).....................................................27SURE-PEN(OTC)..................................................... 27SURESTEP PRO(OTC)............................................24SURE-TEST EASYPLUS MINI(OTC).................24, 26SURFAXIN................................................................48SURMONTIL...............................................................8SURVANTA...............................................................48SUSTIVA...................................................................41SUTENT....................................................... 46, 64, 76SYLATRON...................................................46, 64, 76SYLATRON 4-PACK.....................................46, 64, 76SYMAX DUOTAB..................................................... 53SYMAX-SL............................................................... 53SYMAX-SR...............................................................53SYMBICORT.................................................. 5, 64, 73SYMBYAX.............................................................9, 64

SYMLINPEN 120......................................................22SYMLINPEN 60........................................................22SYNAGEX................................................................ 59SYNAGIS............................................................40, 76SYNALAR.................................................................18SYNALAR TS........................................................... 18SYNALGOS-DC........................................................49SYNAREL.................................................................31SYNERA...................................................................21SYNRIBO........................................................... 47, 76SYNTHROID.............................................................31SYRINGE AVITENE................................................. 35- T -TABLOID...................................................................45TACHOSIL................................................................ 35TACLONEX(OINT)..............................................22, 73TACLONEX(SUSPENSION)...............................22, 73TACROLIMUS.................................................... 22, 37TADALAFIL.........................................................12, 29TAFINLAR...........................................................46, 76TAFLUPROST/PF.....................................................33TAGAMET.................................................................53TALC.........................................................................47TALWIN.....................................................................50TAMIFLU(CAP)(30 MG)......................................40, 64TAMIFLU(CAP)(45 MG)......................................40, 64TAMIFLU(CAP)(75 MG)......................................40, 64TAMIFLU(SUSP RECON).................................. 40, 64TAMOXIFEN CITRATE.............................................47TAMSULOSIN HCL.................................................. 54TANDEM PLUS........................................................ 55TAPAZOLE............................................................... 31TAPENTADOL HCL.................................................. 50TARCEVA..................................................... 46, 64, 76TARGRETIN................................................. 21, 47, 76TARKA...................................................................... 10TARON FORTE........................................................ 55TARON-BC............................................................... 57TARON-PREX PRENATAL.......................................57TASIGNA...................................................... 46, 64, 76TASIMELTEON...........................................................9TASMAR....................................................... 51, 64, 73TAXOTERE...............................................................47TAZAROTENE....................................................16, 21TAZORAC.................................................................21TBO-FILGRASTIM....................................................35TD GOLD BLOOD GLUCOSE MONITOR(OTC)......2 6TD GOLD TEST STRIP(OTC)..................................24TD GOLD VOICE GLUCOSE MONITOR(OTC)....... 26TECFIDERA....................................................... 47, 76TEDUGLUTIDE........................................................ 44TEGRETOL.............................................................. 51TEGRETOL XR........................................................ 51TEKAMLO.......................................................... 12, 76TEKTURNA........................................................ 12, 76TEKTURNA HCT................................................12, 76TELAPREVIR........................................................... 41TELBIVUDINE.......................................................... 41TELCARE(OTC)................................................. 24, 26TELITHROMYCIN.................................................... 38TELMISARTAN................................................... 11, 73TELMISARTAN/AMLODIPINE..................................11TELMISARTAN/HYDROCHLOROTHIAZID..............11TELMISARTAN-AMLODIPINE............................11, 73TELMISARTAN-HYDROCHLOROTHIAZID........11, 73TEMAZEPAM..............................................................9TEMODAR..........................................................45, 76TEMOVATE.............................................................. 18TEMOVATE EMOLLIENT......................................... 18TEMOZOLOMIDE.....................................................45TEMSIROLIMUS...................................................... 46TENEX...................................................................... 11TENIPOSIDE............................................................47TENOFOVIR DISOPROXIL FUMARATE................. 41TENORETIC 100...................................................... 11TENORETIC 50........................................................ 11TENORMIN...............................................................11TERAK......................................................................32TERAZOL 3.............................................................. 54TERAZOSIN HCL.....................................................10TERBINAFINE HCL..................................................39TERBINAFINE/HYDROXY CHITOSAN....................39TERBINEX................................................................39TERBUTALINE SULFATE.......................................... 5TERCONAZOLE.......................................................54TERIFLUNOMIDE.................................................... 47TERIPARATIDE........................................................ 30TERRAMYCIN WITH POLYMYXIN.......................... 32

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TERSI FOAM............................................................19TESAMORELIN ACETATE.......................................30TESSALON PERLE..................................................15TEST N'GO(OTC)...............................................24, 26TEST STRIPS(OTC).................................................24TESTIM...............................................................36, 76TESTOSTERONE.................................................... 36TESTOSTERONE CYPIONATE.........................36, 76TESTOSTERONE ENANTHATE..............................36TESTOSTERONE PROPIONATE............................ 36TESTRED.................................................................36TETCAINE................................................................32TETRABENAZINE....................................................47TETRACAINE HCL.............................................21, 32TETRACAINE HCL/PF............................................. 32TETRACAINE/BENZOCAINE/BUTAMBEN..............21TETRACYCLINE HCL.............................................. 39TETRAHYDROZOLINE HCL....................................15TETRAVISC..............................................................32TETRAVISC FORTE.................................................32TEVETEN........................................................... 11, 73TEVETEN HCT................................................... 11, 73TEV-TROPIN...................................................... 31, 76TEXACORT.............................................................. 18THALIDOMIDE......................................................... 39THALOMID................................................... 39, 64, 76THEO-24.....................................................................6THEOPHYLL/EPHED HCL/PHENOBARB................. 6THEOPHYLLINE ANHYDROUS................................ 6THEOTAL................................................................... 6THIAMINE HCL........................................................ 59THIOGUANINE.........................................................45THIOLA.....................................................................54THIORIDAZINE HCL.................................................. 9THIOTEPA................................................................ 45THIOTHIXENE............................................................9THRESHOLD IMT...................................................... 6THRESHOLD PEP..................................................... 6THROMBIN (BOVINE)..............................................35THROMBIN (RECOMBINANT).................................35THROMBIN(HUM PLAS)/FIB/APRO/CA..................35THROMBIN/FIBRINOGEN/APRO/CAL....................36THROMBIN-JMI........................................................35THYMOGLOBULIN...................................................37THYROID,PORK...................................................... 31THYROLAR-1...........................................................31THYROLAR-1/2........................................................31THYROLAR-1/4........................................................31THYROLAR-2...........................................................31THYROLAR-3...........................................................31TIAGABINE HCL...................................................... 52TICAGRELOR.......................................................... 35TICLOPIDINE HCL...................................................35TIGAN.........................................................................4TIKOSYN..................................................................10TIMOLOL..................................................................33TIMOLOL MALEATE...........................................11, 33TIMOLOL MALEATE/PF...........................................33TIMOPTIC.................................................................33TIMOPTIC OCUDOSE................................. 33, 64, 73TIMOPTIC-XE...........................................................33TINDAMAX............................................................... 40TINIDAZOLE.............................................................40TIOPRONIN..............................................................54TIOTROPIUM BROMIDE........................................... 5TIPRANAVIR............................................................ 40TIPRANAVIR/VITAMIN E TPGS...............................40TIROFIBAN-0.9% SODIUM CHLORIDE.................. 35TIROSINT.................................................................31TISSEEL VHSD........................................................35TIVICAY.............................................................. 41, 76TIZANIDINE HCL......................................................52TIZANIDINE/IRR CNTR-IRR CMB #2...................... 52TL TRISEB................................................................19TL-FLUORIVITE....................................................... 56TL-FOL 500.............................................................. 55TL-SELECT DHA......................................................58TOBI................................................................... 39, 76TOBI PODHALER...............................................39, 76TOBRADEX ST........................................................ 31TOBRADEX(DROPS SUSP).................................... 31TOBRADEX(OINT)................................................... 31TOBRAMYCIN....................................................32, 39TOBRAMYCIN IN 0.225% NACL............................. 39TOBRAMYCIN/DEXAMETHASONE........................ 31TOBRAMYCIN/LOTEPRED ETAB........................... 31TOBREX(DROPS)....................................................32TOBREX(OINT)........................................................ 32TOCILIZUMAB..........................................................42

TODAY CONTRACEPTIVE SPONGE(OTC)......14,7 7TOFACITINIB CITRATE........................................... 42TOFRANIL.................................................................. 8TOFRANIL-PM........................................................... 8TOLAZAMIDE...........................................................22TOLBUTAMIDE........................................................ 22TOLCAPONE............................................................51TOLMETIN SODIUM................................................ 43TOLTERODINE TARTRATE..................................... 54TOLVAPTAN............................................................. 29TOPAMAX................................................................ 52TOPICORT(CREAM)................................................18TOPICORT(GEL)......................................................18TOPICORT(OINT).................................................... 18TOPICORT(SPRAY)...........................................18, 73TOPIRAMATE...........................................................52TOPOTECAN HCL................................................... 46TOPROL XL..............................................................11TORADOL(CARTRIDGE)(15 MG/ML)......................43TORADOL(CARTRIDGE)(30 MG/ML)......................43TOREMIFENE CITRATE.......................................... 47TORISEL............................................................ 46, 76TORSEMIDE............................................................ 12TOSITUMOMAB (WITH MALTOSE).........................46TOSITUMOMAB IODINE-131/MALTOSE.................46TOVIAZ...............................................................54, 73TRACER BG(OTC)...................................................24TRACLEER........................................................ 12, 76TRADJENTA.............................................................22TRAMADOL HCL......................................................50TRAMADOL HCL/ACETAMINOPHEN..................... 50TRAMETINIB DIMETHYL SULFOXIDE................... 46TRANDATE...............................................................10TRANDOLAPRIL...................................................... 11TRANDOLAPRIL/VERAPAMIL HCL.........................10TRANEXAMIC ACID.................................................34TRANSDERM-SCOP..................................................4TRANXENE T-TAB..................................................... 8TRANYLCYPROMINE SULFATE............................... 7TRASTUZUMAB.......................................................45TRAVATAN Z...................................................... 33, 64TRAVOPROST................................................... 33, 64TRAVOPROST (BENZALKONIUM)......................... 33TRAZODONE HCL.....................................................7TREAGAN OTIC.......................................................28TREANDA.................................................................45TRECATOR.............................................................. 39TREK S COMBO PACK..............................................6TREK S COMPACT COMPRESSOR......................... 6TRELSTAR............................................................... 30TRELSTAR DEPOT..................................................30TRELSTAR LA..........................................................30TREPROSTINIL........................................................12TREPROSTINIL DIOLAMINE...................................12TREPROSTINIL SODIUM........................................ 12TREPROSTINIL/NEB ACCESSORIES.................... 12TREPROSTINIL/NEBULIZER/ACCESOR................12TRETINOIN........................................................ 16, 47TRETINOIN MICROSPHERES................................ 16TRETINOIN/EMOL CMB9/SKIN CLN1.....................16TRETINOIN/EMOLLIENT BASE.............................. 16TRETIN-X........................................................... 16, 60TRETTEN................................................................. 34TREXALL..................................................................45TREXIMET................................................... 50, 64, 73TREZIX.....................................................................49TRIACETIN...............................................................39TRIAMCIN/HYDROPHILIC OINTMENT...................19TRIAMCIN/UREA/HYDRO OINT..............................19TRIAMCINOLONE ACETONIDE....................4, 19, 48TRIAMCINOLONE DIACETATE............................... 42TRIAMCINOLONE/EMOLLIENT CMB#45............... 19TRIAMCINOLONE/EMOLLIENT CMB#86............... 19TRIAMTERENE........................................................12TRIAMTERENE/HYDROCHLOROTHIAZID.............12TRIAMTERENE-HCTZ............................................. 12TRIAZOLAM............................................................... 9TRIBENZOR.......................................................10, 73TRICARE..................................................................58TRICARE PRENATAL COMPLEAT..........................57TRICARE PRENATAL DHA ONE............................. 57TRICOR....................................................................13TRIDERM................................................................. 19TRIDESILON............................................................ 18TRIFLUOPERAZINE HCL.......................................... 9TRIFLURIDINE.........................................................32TRIGELS-F FORTE..................................................55TRIHEXYPHENIDYL HCL........................................50

TRILEPTAL(ORAL SUSP)........................................51TRILEPTAL(TAB)......................................................51TRILIPIX................................................................... 13TRI-LUMA.................................................................21TRIMETHOBENZAMIDE HCL....................................4TRIMETHOBENZAMIDE HCL/B-CAINE.................... 4TRIMETHOPRIM......................................................38TRIMIPRAMINE MALEATE........................................ 8TRINATAL RX 1........................................................58TRINATE...................................................................58TRIPELENNAMINE HCL............................................4TRIPLE DYE(MED SWAB)(2.29-2.29)..................... 17TRIPTORELIN PAMOATE........................................30TRISENOX............................................................... 46TRIVEEN-ONE......................................................... 57TRIVEEN-PRX RNF................................................. 58TRI-VI-FLOR.............................................................56TRI-VIT WITH FLUORIDE-IRON..............................56TRI-VITAMIN WITH FLUORIDE............................... 56TRIZIVIR.............................................................41, 76TROKENDI XR(CAP ER 24H)(100 MG)...... 52, 64, 74TROKENDI XR(CAP ER 24H)(200 MG)...... 52, 64, 74TROKENDI XR(CAP ER 24H)(25 MG)........ 52, 64, 74TROKENDI XR(CAP ER 24H)(50 MG)........ 52, 64, 74TROPAZONE............................................................19TROPICAMIDE.........................................................33TROSPIUM CHLORIDE........................................... 54TRUE2GO BLOOD GLUCOSE SYSTEM(OTC)...... 26TRUERESULT BLOOD GLUCOSE SYSTM(OTC)......2 7TRUETEST TEST STRIPS(OTC).............................24TRUETRACK BLOOD GLUCOSE SYSTEM(OTC)......2 7TRUETRACK METER(OTC).................................... 27TRUETRACK SMART SYSTEM(OTC).............. 24, 27TRUETRACK TEST STRIP(OTC)............................24TRUSOPT.................................................................33TRUST NATAL DHA................................................. 57TRUVADA...........................................................40, 64TRUZONE PEAK FLOW METER...............................6TRYPSIN/BALSAM PERU/CASTOR OIL.................21TUDORZA PRESSAIR................................... 5, 64, 74TUSSICAPS............................................................. 15TUSSIONEX.............................................................15TYKERB............................................................. 46, 76TYLENOL-CODEINE NO.3...................................... 50TYLENOL-CODEINE NO.4...................................... 50TYPHOID VACC,LIVE,ATTENUATED......................37TYSABRI............................................................ 47, 76TYVASO............................................................. 12, 76TYZEKA....................................................................41TYZINE.....................................................................15- U -UCEPHAN................................................................ 44UCERIS.............................................................. 42, 74U-CORT....................................................................18UDAMIN SP..............................................................56ULESFIA...................................................................17ULIPRISTAL ACETATE............................................ 15ULORIC........................................................ 33, 64, 74ULTI-LANCE(OTC)................................................... 27ULTIMA(OTC).....................................................24, 27ULTIMATECARE ONE..............................................57ULTIMATECARE ONE NF........................................57ULTRACET............................................................... 50ULTRAFOAM............................................................35ULTRAM................................................................... 50ULTRASAL-ER......................................................... 20ULTRASE................................................................. 52ULTRASE MT 12...................................................... 52ULTRASE MT 18...................................................... 52ULTRASE MT 20...................................................... 52ULTRATRAK PRO(OTC).......................................... 27ULTRATRAK ULTIMATE(OTC)...........................24, 27ULTRATRAK(OTC).............................................24, 27ULTRAVATE..............................................................18ULTRAVATE X.......................................................... 18ULTRESA................................................................. 52UMECLIDINIUM BRM/VILANTEROL TR................... 5UMECTA PD.............................................................20UMECTA(EMULSN)................................................. 20UMECTA(NL FM SUSP)...........................................20UNIRETIC.................................................................10UNISTIK 2 EXTRA(OTC)..........................................27UNISTIK 2 NORMAL................................................ 27UNISTIK 2 NORMAL(OTC)...................................... 27UNISTIK 2(OTC).......................................................27UNISTIK 3 COMFORT(OTC)................................... 28UNISTIK 3 NEONATAL(OTC)...................................28

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UNISTIK 3(OTC).......................................................28UNISTRIP1(OTC).....................................................25UNITHROID..............................................................31UNIVASC.................................................................. 11UNOPROSTONE ISOPROPYL................................33UR N-C..................................................................... 38URAMAXIN GT.........................................................20URAMAXIN(CREAM)............................................... 20URAMAXIN(FOAM)..................................................20URAMAXIN(GEL)..................................................... 20URAMAXIN(LOTION)...............................................20UREA..................................................................20, 21UREA/EMOLLIENT CMB NO.18..............................20UREA/EMOLLIENT COMBINATION #65................. 20UREA/HYALURONATE SODIUM.............................20UREA/LACTIC AC/ZN UNDECYLENATE................ 20UREA/LACTIC ACID/SALICYL ACID.......................20URECHOLINE.......................................................... 44URELLE....................................................................38URETRON D-S.........................................................38URIBEL.....................................................................38URIN D.S..................................................................38URINE GLUC-ACET COMB.TST,STRIP..................28URINE GLUCOSE TEST,STRIP...............................28URINE GLUCOSE TEST,TABLET............................28UROCIT-K.................................................................54UROFOLLITROPIN.................................................. 29UROLOGIC SOLUTION G(IRRIG SOLN)(3.24G-380)..................................................................................39UROLOGIC SOLUTION-G....................................... 39UROQID-ACID NO.2................................................ 54UROXATRAL............................................................ 53URSO....................................................................... 44URSO FORTE.......................................................... 44URSODIOL...............................................................44URYL........................................................................ 38USTEKINUMAB........................................................42UTA...........................................................................38- V -VAGIFEM..................................................................54VALACYCLOVIR HCL.............................................. 40VALCHLOR.........................................................21, 76VALCYTE..................................................................40VALGANCICLOVIR HCL.......................................... 40VALIUM.......................................................................8VALPROIC ACID...................................................... 52VALPROIC ACID (AS SODIUM SALT).....................52VALRUBICIN............................................................ 45VALSARTAN............................................................. 11VALSARTAN/HYDROCHLOROTHIAZIDE............... 11VALSTAR..................................................................45VALTREX..................................................................40VANCOCIN HCL.................................................40, 64VANCOMYCIN HCL................................................. 40VANDAZOLE............................................................ 54VANDETANIB........................................................... 46VANIQA.................................................................... 21VANOXIDE-HC......................................................... 16VANTAS....................................................................31VARDENAFIL HCL................................................... 29VARENICLINE TARTRATE.......................................52VASCEPA........................................................... 14, 64VASELINE WHITE PETROLEUM............................ 19VASERETIC..............................................................10VASOLEX................................................................. 21VASOTEC................................................................. 11V-C FORTE...............................................................56VCF(OTC)...........................................................14, 77VECAMYL...........................................................11, 76VECTIBIX........................................................... 45, 76VECTICAL.......................................................... 21, 74VEHICLE-N...............................................................19VEHICLE-N MILD.....................................................19VELCADE...........................................................46, 76VELETRI.............................................................12, 76VELPHORO..............................................................29VELTIN..................................................................... 16VEMURAFENIB........................................................46VENA-BAL DHA....................................................... 58VENATAL COMPLETE DHA.................................... 58VENLAFAXINE HCL...................................................7VENLAFAXINE HCL ER.............................................7VENTAVIS.......................................................... 12, 76VENTOLIN HFA..........................................................5VERAMYST....................................................4, 64, 74VERAPAMIL HCL..................................................... 12VERDESO................................................................ 18VEREGEN................................................................ 17VERELAN.................................................................12

VERIPRED 20.......................................................... 42VERSACLOZ..................................................8, 65, 74VESICARE......................................................... 54, 74VEXOL......................................................................32VFEND......................................................................39VIAGRA........................................................ 29, 65, 77VIBRAMYCIN........................................................... 39VI-CERT C1000 WITH B12...................................... 55VI-CERT C500..........................................................59VICOPROFEN..........................................................48VICTORY(OTC)..................................................25, 27VICTOZA 2-PAK........................................... 22, 65, 74VICTOZA 3-PAK........................................... 22, 65, 74VICTRELIS......................................................... 41, 76VIDAZA.....................................................................45VIDEX.................................................................41, 65VIDEX EC(CAP DR)(125 MG)............................41, 65VIDEX EC(CAP DR)(200 MG)............................41, 65VIDEX EC(CAP DR)(250 MG)..................................41VIDEX EC(CAP DR)(400 MG)..................................41VIGABATRIN............................................................ 52VIGAMOX.................................................................32VIIBRYD(TAB DS PK).......................................... 7, 74VIIBRYD(TAB)................................................ 7, 65, 74VILAZODONE HYDROCHLORIDE............................7VIMOVO............................................................. 43, 74VIMPAT(SOLUTION)................................................ 51VIMPAT(TAB)................................................51, 65, 74VINATE CARE.......................................................... 58VINATE DHA RF.......................................................57VINATE GT............................................................... 58VINATE II.................................................................. 58VINATE PN CARE.................................................... 58VINATE ULTRA........................................................ 58VINATE-M.................................................................57VINBLASTINE SULFATE..........................................47VINCRISTINE SULFATE LIPOSOMAL.................... 47VINORELBINE TARTRATE...................................... 47VIOKACE..................................................................52VIORELE............................................................ 14, 77VIOS AEROSOL DELIVERY SYSTEM...................... 6VIRACEPT................................................................41VIRAMUNE XR.........................................................41VIRAMUNE(ORAL SUSP)..................................41, 65VIRAMUNE(TAB)................................................41, 65VIRASAL.................................................................. 20VIRAZOLE................................................................40VIREAD(POWDER)............................................41, 65VIREAD(TAB)..................................................... 41, 65VIROPTIC.................................................................32VIRT-CAPS...............................................................59VIRT-VITE PLUS...................................................... 59VISMODEGIB...........................................................46VISTARIL.................................................................... 4VIT 3......................................................................... 56VIT A,C,E/ZINC/COPPER/LUT/ZEAX......................54VIT B CMPLX 3/FA/VIT C/BIOTIN............................59VIT B CMPLX NO3/FA/C/BIOT/ZINC....................... 59VIT B COMPLEX & C NO.13/FA/D3.........................59VIT B CPLX #11/FA/C/BIOT/ZN OX......................... 59VIT E/LIDOCAIN/ALO VER/COLAGN......................21VITAFOL................................................................... 55VITAFOL ULTRA...................................................... 57VITAFOL-OB.............................................................58VITAFOL-OB+DHA...................................................58VITAFOL-ONE.......................................................... 57VITAFOL-PN.............................................................57VITAJECT................................................................. 59VITAL-D RX.............................................................. 59VITAMEDMD ONE RX..............................................58VITAMEDMD PLUS RX............................................ 58VITAMEDMD REDICHEW RX..................................58VITAMIN B COMP AND VIT C NO.6........................ 56VITAMIN B COMPLEX............................................. 59VITAMIN D3(OTC)..............................................59, 60VITAMINS B1,B2,B3,B5,& B6...................................59VITA-RESPA.............................................................59VITASPIRE............................................................... 56VITE AC/GRAPE/HYALURONIC ACID.................... 20VITE CON FORTE....................................................55VITMAIN B-12...........................................................59VITUZ....................................................................... 15VIVA CT.................................................................... 58VIVACTIL.................................................................... 8VIVELLE-DOT.................................................... 36, 65VIVITROL................................................................... 8VIVOTIF BERNA...................................................... 37VOCAL POINT(OTC)................................................25VOL-TAB RX.............................................................58

VOLTAREN...............................................................19VOLTAREN-XR.........................................................43VORAXAZE.............................................................. 47VORICONAZOLE..................................................... 39VORINOSTAT...........................................................46VORTEX..................................................................... 6VORTEX VHC FROG MASK......................................6VORTEX VHC LADYBUG MASK............................... 6VORTIOXETINE HYDROBROMIDE.......................... 7VOSPIRE ER..............................................................5VOTRIENT................................................... 46, 65, 76VP CH ULTRA.......................................................... 57VP-CH-PNV..............................................................57VP-ERA OB PLUS....................................................56VP-HEME ONE.........................................................57VP-PNV-DHA............................................................58VUSION....................................................................17VYTORIN(TAB)(10 MG-10MG).................... 13, 65, 74VYTORIN(TAB)(10 MG-20MG).................... 13, 65, 74VYTORIN(TAB)(10 MG-40MG).................... 13, 65, 74VYTORIN(TAB)(10 MG-80MG).......................... 13, 65VYVANSE....................................................... 8, 65, 74- W -WARFARIN SODIUM............................................... 34WATCHHALER...........................................................6WATER..................................................................... 20WATER FOR IRRIGATION,STERILE.......................20WAVESENSE AMP(OTC).........................................27WAVESENSE JAZZ(OTC)..................................25, 27WAVESENSE PRESTO(OTC)............................25, 27WEED POLLEN-SHORT RAGWEED........................ 4WELCHOL................................................................13WELLBUTRIN XL....................................................... 7WESTCORT............................................................. 19WIDE SEAL DIAPHRAGM................................. 15, 77WILATE.....................................................................34- X -XALATAN..................................................................33XALKORI...................................................... 46, 65, 76XANAX........................................................................8XARELTO(TAB)(10 MG).....................................34, 65XARELTO(TAB)(15 MG).....................................34, 65XARELTO(TAB)(20 MG).....................................34, 65XARTEMIS XR......................................................... 50XCLAIR.....................................................................19XELJANZ............................................................42, 76XELODA(TAB)(150 MG)...............................45, 65, 76XELODA(TAB)(500 MG)...............................45, 65, 76XENAZINE................................................................47XENICAL.................................................................. 59XERAC AC............................................................... 19XERESE................................................................... 17XGEVA................................................................30, 76XIFAXAN(TAB)(200 MG).......................................... 40XIFAXAN(TAB)(550 MG).............................. 40, 65, 74XOLAIR.......................................................... 5, 65, 76XOLEGEL.................................................................17XOPENEX.................................................................. 5XOPENEX HFA.......................................................... 5XTANDI.........................................................45, 65, 76X-VIATE.................................................................... 20XYNTHA................................................................... 34XYNTHA SOLOFUSE...............................................34XYREM.................................................................8, 76XYZAL(SOLUTION)....................................... 4, 65, 74XYZAL(TAB)............................................................... 4- Y -YERVOY.............................................................47, 76YODOXIN................................................................. 40YOHIMAR.................................................................29YOHIMBINE HCL..................................................... 29YOHIMBINE HCL/ZINC SULFATE........................... 29YOHIMEX................................................................. 29- Z -ZAFIRLUKAST........................................................... 5ZALEPLON.................................................................9ZALTRAP............................................................46, 76ZAMICET............................................................49, 65ZANAFLEX............................................................... 52ZANAMIVIR.............................................................. 40ZANOSAR................................................................ 45ZANTAC....................................................................53ZARONTIN............................................................... 51ZAROXOLYN............................................................13ZATEAN-PN DHA..................................................... 57ZATEAN-PN PLUS................................................... 57ZEBETA.................................................................... 11ZEGERID(CAP)............................................53, 65, 74ZEGERID(PACKET)..................................... 53, 65, 74

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ZELAPAR............................................................51, 65ZELBORAF...................................................46, 65, 76ZEMAIRA..................................................................45ZEMPLAR.................................................................31ZENCIA.....................................................................17ZENPEP(CAP DR)(10-34-55K)................................ 52ZENPEP(CAP DR)(15-51-82K)................................ 52ZENPEP(CAP DR)(20-68-109K).............................. 52ZENPEP(CAP DR)(25-85-136K).............................. 52ZENPEP(CAP DR)(3K-10K-16K)............................. 52ZENPEP(CAP DR)(5K-17K-27K)............................. 52ZENZEDI........................................................ 8, 65, 74ZERIT(CAP)........................................................41, 65ZERIT(SOLN RECON)....................................... 41, 65ZESTORETIC........................................................... 10ZESTRIL................................................................... 11ZETIA................................................................. 13, 65ZETONNA.......................................................4, 65, 74ZEVALIN................................................................... 46ZGESIC.................................................................... 15ZIAC..........................................................................12ZIAGEN(SOLUTION)..........................................41, 65ZIAGEN(TAB)..................................................... 41, 65ZIANA....................................................................... 16ZIDOVUDINE......................................................41, 65ZILEUTON.................................................................. 5ZINC CL/B-CAINE/CETYLPYRD CL........................48ZINC SULFATE.........................................................59ZIOPTAN...................................................... 33, 65, 74ZIPRASIDONE HCL................................................... 9ZIPSOR.................................................................... 43ZIRGAN.................................................................... 32ZITHRANOL....................................................... 21, 74ZITHRANOL-RR.................................................21, 74ZITHROMAX.............................................................38ZITHROMAX TRI-PAK..............................................38ZIV-AFLIBERCEPT...................................................46ZMAX........................................................................38ZOCOR.....................................................................13ZOFRAN ODT............................................................ 4ZOFRAN(SOLUTION).......................................... 4, 65ZOFRAN(TAB)............................................................4ZOHYDRO ER..........................................................49ZOLADEX...........................................................30, 76ZOLEDRONIC ACID.................................................30ZOLEDRONIC ACID/MANNITOL&WATER.............. 30ZOLINZA...................................................................46ZOLMITRIPTAN........................................................50ZOLOFT......................................................................7ZOLPIDEM TARTRATE........................................9, 65ZOLPIMIST.....................................................9, 65, 74ZOMETA................................................................... 30ZOMIG(SPRAY)(2.5 MG)............................. 50, 65, 74ZOMIG(SPRAY)(5 MG)................................ 50, 65, 74ZOMIG(TAB).................................................50, 65, 74ZONALON................................................................ 19ZONATUSS.............................................................. 15ZONEGRAN............................................................. 52ZONISAMIDE........................................................... 52ZORBTIVE..........................................................31, 76ZORTRESS.............................................................. 37ZORVOLEX.................................................. 43, 65, 74ZOVIA 1-35E...................................................... 14, 77ZOVIRAX..................................................................40ZOVIRAX(CREAM)...................................................17ZOVIRAX(OINT).......................................................17ZUBSOLV........................................................... 50, 76ZUPLENZ(FILM)(4 MG)..................................4, 65, 74ZUPLENZ(FILM)(8 MG)..................................4, 65, 74ZYCLARA(CREAM PACK)........................... 37, 65, 76ZYCLARA(CRM MD PMP)(2.5 %)................37, 65, 76ZYCLARA(CRM MD PMP)(3.75 %)............. 37, 65, 76ZYDONE.............................................................49, 65ZYFLO........................................................................ 5ZYFLO CR..................................................................5ZYKADIA............................................................ 46, 76ZYLET.......................................................................31ZYLOPRIM............................................................... 33ZYMAXID..................................................................32ZYPREXA.............................................................8, 65ZYPREXA RELPREVV...............................................8ZYTIGA.........................................................45, 65, 76ZYVOX............................................................... 38, 76

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