2018 Cigna-HealthSpring Quantity Limit Criteria - … SODIUM 5MG TABS 30 30 ALENDRONATE SODIUM 70MG...
Transcript of 2018 Cigna-HealthSpring Quantity Limit Criteria - … SODIUM 5MG TABS 30 30 ALENDRONATE SODIUM 70MG...
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Drug Name Strength Dosage Form Quantity Limit Days SupplyABACAVIR 20MG/ML SOLN 960 30
ABACAVIR 300MG TABS 60 30
ABACAVIR SULFATE/LAMIVUDINE/ZIDOVUDINE 300MG; 150MG; 300MG TABS 60 30
ABACAVIR/LAMIVUDINE 600MG; 300MG TABS 30 30
ABILIFY MAINTENA 300MG PRSY 1 28
ABILIFY MAINTENA 400MG PRSY 1 28
ABILIFY MAINTENA 300MG SRER 1 28
ABILIFY MAINTENA 400MG SRER 1 28
ACARBOSE 25MG TABS 90 30
ACARBOSE 50MG TABS 90 30
ACARBOSE 100MG TABS 90 30
ACETAMINOPHEN/CODEINE 120MG/5ML; 12MG/5ML SOLN 2700 30
ACETAMINOPHEN/CODEINE 300MG; 30MG TABS 360 30
ACETAMINOPHEN/CODEINE 300MG; 60MG TABS 180 30
ACETAMINOPHEN/CODEINE 300MG; 15MG TABS 360 30
ACETAMINOPHEN/CODEINE PHOSPHATE 300MG; 30MG TABS 360 30
ACTEMRA 200MG/10ML SOLN 40 28
ACTEMRA 80MG/4ML SOLN 40 28
ACTEMRA 400MG/20ML SOLN 40 28
ACTEMRA 162MG/0.9ML SOSY 3.6 28
ACYCLOVIR 0.05 OINT 30 30
ADACEL 15.5MCG/0.5ML; 2LF/0.5ML; 5LF/0.5ML SUSP 0.5 365
ADACEL 15.5MCG/0.5ML; 2LF/0.5ML; 5LF/0.5ML SUSP 0.5 365
ADEFOVIR DIPIVOXIL 10MG TABS 30 30
ADEMPAS 0.5MG TABS 90 30
ADEMPAS 2MG TABS 90 30
ADEMPAS 1MG TABS 90 30
ADEMPAS 1.5MG TABS 90 30
ADEMPAS 2.5MG TABS 90 30
ADVAIR DISKUS 100MCG/DOSE; 50MCG/DOSE AEPB 60 30
ADVAIR DISKUS 250MCG/DOSE; 50MCG/DOSE AEPB 60 30
ADVAIR DISKUS 500MCG/DOSE; 50MCG/DOSE AEPB 60 30
ADVAIR HFA 45MCG/ACT; 21MCG/ACT AERO 12 30
ADVAIR HFA 230MCG/ACT; 21MCG/ACT AERO 12 30
ADVAIR HFA 115MCG/ACT; 21MCG/ACT AERO 12 30
AFEDITAB CR 60MG TB24 60 30
AFEDITAB CR 30MG TB24 60 30
AFINITOR 7.5MG TABS 28 28
AFINITOR 5MG TABS 28 28
AFINITOR 2.5MG TABS 28 28
AFINITOR 10MG TABS 56 28
AFINITOR DISPERZ 3MG TBSO 56 28
AFINITOR DISPERZ 2MG TBSO 56 28
AFINITOR DISPERZ 5MG TBSO 112 28
ALBUTEROL SULFATE 1.25MG/3ML NEBU 360 30
ALBUTEROL SULFATE 0.005 NEBU 180 30
ALBUTEROL SULFATE 0.63MG/3ML NEBU 360 30
ALBUTEROL SULFATE 0.00083 NEBU 360 30
ALECENSA 150MG CAPS 240 30
ALENDRONATE SODIUM 40MG TABS 30 30
ALENDRONATE SODIUM 5MG TABS 30 30
ALENDRONATE SODIUM 70MG TABS 4 28
ALENDRONATE SODIUM 10MG TABS 30 30
ALENDRONATE SODIUM 35MG TABS 4 28
ALFUZOSIN HCL ER 10MG TB24 30 30
ALINIA 100MG/5ML SUSR 150 30
ALINIA 500MG TABS 20 30
ALIQOPA 60MG SOLR 3 28
ALORA 0.075MG/24HR PTTW 8 28
ALORA 0.1MG/24HR PTTW 8 28
ALORA 0.025MG/24HR PTTW 8 28
ALORA 0.05MG/24HR PTTW 8 28
ALOSETRON HYDROCHLORIDE 0.5MG TABS 60 30
ALOSETRON HYDROCHLORIDE 1MG TABS 60 30
ALPRAZOLAM 1MG TABS 90 30
ALPRAZOLAM 2MG TABS 150 30
ALPRAZOLAM 0.5MG TABS 90 30
ALPRAZOLAM 0.25MG TABS 90 30
ALPRAZOLAM ODT 1MG TBDP 90 30
ALPRAZOLAM ODT 0.25MG TBDP 90 30
ALPRAZOLAM ODT 0.5MG TBDP 90 30
ALPRAZOLAM ODT 2MG TBDP 150 30
ALUNBRIG 90MG TABS 30 30
ALUNBRIG 180MG TABS 30 30
ALUNBRIG 30MG TABS 180 30
ALUNBRIG 0 TBPK 60 365
AMETHIA 0; 0 TABS 91 91
AMETHIA LO 0; 0 TABS 91 91
AMITIZA 24MCG CAPS 60 30
AMITIZA 8MCG CAPS 60 30
AMLODIPINE BESYLATE 5MG TABS 60 30
AMLODIPINE BESYLATE 10MG TABS 30 30
AMLODIPINE BESYLATE 2.5MG TABS 120 30
AMLODIPINE BESYLATE/BENAZEPRIL
HYDROCHLORIDE
10MG; 20MG CAPS 30 30
AMLODIPINE BESYLATE/BENAZEPRIL
HYDROCHLORIDE
5MG; 40MG CAPS 60 30
AMLODIPINE BESYLATE/BENAZEPRIL
HYDROCHLORIDE
2.5MG; 10MG CAPS 60 30
2018 Cigna-HealthSpring Quantity Limit Criteria - MAPD/MMP - Cigna-HealthSpring Achieve, Primary, TotalCare, Traditions,
Preferred, Preferred Plus, Premier, PreventiveCare, and CarePlan
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AMLODIPINE BESYLATE/BENAZEPRIL
HYDROCHLORIDE
10MG; 40MG CAPS 30 30
AMLODIPINE BESYLATE/BENAZEPRIL
HYDROCHLORIDE
5MG; 10MG CAPS 60 30
AMLODIPINE BESYLATE/BENAZEPRIL
HYDROCHLORIDE
5MG; 20MG CAPS 60 30
AMLODIPINE BESYLATE/VALSARTAN 10MG; 320MG TABS 30 30
AMLODIPINE BESYLATE/VALSARTAN 5MG; 160MG TABS 30 30
AMLODIPINE BESYLATE/VALSARTAN 10MG; 160MG TABS 30 30
AMLODIPINE BESYLATE/VALSARTAN 5MG; 320MG TABS 30 30
AMLODIPINE/OLMESARTAN MEDOXOMIL 10MG; 20MG TABS 30 30
AMLODIPINE/OLMESARTAN MEDOXOMIL 10MG; 40MG TABS 30 30
AMLODIPINE/OLMESARTAN MEDOXOMIL 5MG; 40MG TABS 30 30
AMLODIPINE/OLMESARTAN MEDOXOMIL 5MG; 20MG TABS 30 30
AMLODIPINE/VALSARTAN/HCTZ 5MG; 12.5MG; 160MG TABS 30 30
AMLODIPINE/VALSARTAN/HCTZ 10MG; 25MG; 320MG TABS 30 30
AMLODIPINE/VALSARTAN/HCTZ 10MG; 12.5MG; 160MG TABS 30 30
AMLODIPINE/VALSARTAN/HCTZ 5MG; 25MG; 160MG TABS 30 30
AMLODIPINE/VALSARTAN/HCTZ 10MG; 25MG; 160MG TABS 30 30
AMPHETAMINE/DEXTROAMPHETAMINE 3.75MG; 3.75MG; 3.75MG; 3.75MG CP24 30 30
AMPHETAMINE/DEXTROAMPHETAMINE 2.5MG; 2.5MG; 2.5MG; 2.5MG CP24 30 30
AMPHETAMINE/DEXTROAMPHETAMINE 5MG; 5MG; 5MG; 5MG CP24 30 30
AMPHETAMINE/DEXTROAMPHETAMINE 7.5MG; 7.5MG; 7.5MG; 7.5MG CP24 30 30
AMPHETAMINE/DEXTROAMPHETAMINE 1.25MG; 1.25MG; 1.25MG; 1.25MG CP24 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 6.25MG; 6.25MG; 6.25MG; 6.25MG CP24 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 2.5MG; 2.5MG; 2.5MG; 2.5MG TABS 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 1.875MG; 1.875MG; 1.875MG; 1.875MG TABS 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 3.125MG; 3.125MG; 3.125MG; 3.125MG TABS 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 7.5MG; 7.5MG; 7.5MG; 7.5MG TABS 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 3.75MG; 3.75MG; 3.75MG; 3.75MG TABS 60 30
AMPHETAMINE/DEXTROAMPHETAMINE 5MG; 5MG; 5MG; 5MG TABS 90 30
AMPHETAMINE/DEXTROAMPHETAMINE 1.25MG; 1.25MG; 1.25MG; 1.25MG TABS 60 30
AMPYRA 10MG TB12 60 30
ANASTROZOLE 1MG TABS 30 30
ANORO ELLIPTA 62.5MCG/INH; 25MCG/INH AEPB 60 30
APOKYN 30MG/3ML SOCT 60 30
APREPITANT 125MG CAPS 2 28
APREPITANT 0 CAPS 6 28
APREPITANT 80MG CAPS 4 28
APREPITANT 40MG CAPS 1 30
APRISO 0.375GM CP24 120 30
APTIOM 600MG TABS 60 30
APTIOM 800MG TABS 30 30
APTIOM 400MG TABS 30 30
APTIOM 200MG TABS 30 30
APTIVUS 250MG CAPS 120 30
APTIVUS 100MG/ML SOLN 285 28
ARANESP ALBUMIN FREE 300MCG/ML SOLN 4 28
ARANESP ALBUMIN FREE 200MCG/ML SOLN 4 28
ARANESP ALBUMIN FREE 25MCG/ML SOLN 4 28
ARANESP ALBUMIN FREE 40MCG/ML SOLN 4 28
ARANESP ALBUMIN FREE 60MCG/ML SOLN 4 28
ARANESP ALBUMIN FREE 100MCG/ML SOLN 4 28
ARANESP ALBUMIN FREE 10MCG/0.4ML SOSY 1.6 28
ARANESP ALBUMIN FREE 500MCG/ML SOSY 1 21
ARANESP ALBUMIN FREE 25MCG/0.42ML SOSY 1.68 28
ARANESP ALBUMIN FREE 300MCG/0.6ML SOSY 2.4 28
ARANESP ALBUMIN FREE 40MCG/0.4ML SOSY 1.6 28
ARANESP ALBUMIN FREE 200MCG/0.4ML SOSY 1.6 28
ARANESP ALBUMIN FREE 150MCG/0.3ML SOSY 1.2 28
ARANESP ALBUMIN FREE 60MCG/0.3ML SOSY 1.2 28
ARANESP ALBUMIN FREE 100MCG/0.5ML SOSY 2 28
ARIPIPRAZOLE 1MG/ML SOLN 900 30
ARIPIPRAZOLE 5MG TABS 30 30
ARIPIPRAZOLE 20MG TABS 30 30
ARIPIPRAZOLE 30MG TABS 30 30
ARIPIPRAZOLE 2MG TABS 30 30
ARIPIPRAZOLE 15MG TABS 30 30
ARIPIPRAZOLE 10MG TABS 30 30
ARIPIPRAZOLE ODT 15MG TBDP 60 30
ARIPIPRAZOLE ODT 10MG TBDP 60 30
ARISTADA 441MG/1.6ML PRSY 1.6 30
ARISTADA 662MG/2.4ML PRSY 2.4 30
ARISTADA 882MG/3.2ML PRSY 3.2 30
ARISTADA 1064MG/3.9ML PRSY 3.9 60
ARMODAFINIL 250MG TABS 30 30
ARMODAFINIL 200MG TABS 30 30
ARMODAFINIL 50MG TABS 30 30
ARMODAFINIL 150MG TABS 30 30
ARNUITY ELLIPTA 50MCG/ACT AEPB 30 30
ARNUITY ELLIPTA 100MCG/ACT AEPB 30 30
ARNUITY ELLIPTA 200MCG/ACT AEPB 30 30
ASCOMP/CODEINE 325MG; 50MG; 40MG; 30MG CAPS 180 30
ASHLYNA 0; 0 TABS 91 91
ASPIRIN/DIPYRIDAMOLE 25MG; 200MG CP12 60 30
ATAZANAVIR 150MG CAPS 30 30
ATAZANAVIR 200MG CAPS 60 30
ATAZANAVIR 300MG CAPS 30 30
ATAZANAVIR SULFATE 150MG CAPS 30 30
ATAZANAVIR SULFATE 200MG CAPS 60 30
ATAZANAVIR SULFATE 300MG CAPS 30 30
ATOMOXETINE 10MG CAPS 60 30
ATOMOXETINE 18MG CAPS 60 30
ATOMOXETINE 80MG CAPS 30 30
ATOMOXETINE 100MG CAPS 30 30
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ATOMOXETINE 25MG CAPS 60 30
ATOMOXETINE 40MG CAPS 60 30
ATOMOXETINE 60MG CAPS 30 30
ATORVASTATIN CALCIUM 40MG TABS 30 30
ATORVASTATIN CALCIUM 10MG TABS 30 30
ATORVASTATIN CALCIUM 20MG TABS 30 30
ATORVASTATIN CALCIUM 80MG TABS 30 30
ATRIPLA 600MG; 200MG; 300MG TABS 30 30
ATROVENT HFA 17MCG/ACT AERS 25.8 30
AURYXIA 210MG TABS 360 30
AVITA 0.00025 CREA 45 30
AVITA 0.00025 GEL 45 30
AVONEX 30MCG/VIAL KIT 4 28
AVONEX 30MCG/0.5ML PSKT 4 28
AVONEX PEN 30MCG/0.5ML AJKT 4 28
AZELASTINE HCL 0.0015 SOLN 30 25
AZELASTINE HCL 0.001 SOLN 30 25
AZITHROMYCIN 100MG/5ML SUSR 150 30
AZITHROMYCIN 200MG/5ML SUSR 75 30
AZITHROMYCIN 500MG TABS 12 28
AZITHROMYCIN 250MG TABS 12 28
AZITHROMYCIN 250MG TABS 12 28
AZITHROMYCIN 500MG TABS 12 28
AZITHROMYCIN 600MG TABS 60 30
AZOR 10MG; 40MG TABS 30 30
AZOR 5MG; 20MG TABS 30 30
AZOR 5MG; 40MG TABS 30 30
AZOR 10MG; 20MG TABS 30 30
BANZEL 40MG/ML SUSP 2400 30
BANZEL 200MG TABS 60 30
BANZEL 400MG TABS 240 30
BARACLUDE 0.05MG/ML SOLN 630 30
BD ECLIPSE SYRINGE/1ML/30GX1/2" MISC 200 30
BD INSULIN SYRINGE SAFETYGLIDE/1ML/29G X
1/2"
MISC 200 30
BD INSULIN SYRINGE ULTRAFINE/0.3ML/31G X
5/16"
MISC 200 30
BD INSULIN SYRINGE ULTRAFINE/0.5ML/30G X
1/2"
MISC 200 30
BD INSULIN SYRINGE ULTRAFINE/1ML/31G X
5/16"
MISC 200 30
BD PEN NEEDLE/MINI/ULTRAFINE/31G X 3/16" MISC 200 30
BD PEN NEEDLE/NANO/ULTRA FINE/32G X 4MM MISC 200 30
BD PEN NEEDLE/ULTRAFINE/29G X 12.7MM MISC 200 30
BD SAFETYGLIDE 27G X 5/8" MISC 200 30
BENAZEPRIL HCL 40MG TABS 60 30
BENAZEPRIL HCL 5MG TABS 60 30
BENAZEPRIL HCL 10MG TABS 60 30
BENAZEPRIL HCL 20MG TABS 60 30
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE 20MG; 12.5MG TABS 60 30
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE 20MG; 25MG TABS 30 30
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE 5MG; 6.25MG TABS 30 30
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE 10MG; 12.5MG TABS 30 30
BENDEKA 100MG/4ML SOLN 8 21
BENICAR 20MG TABS 30 30
BENICAR 40MG TABS 30 30
BENICAR 5MG TABS 30 30
BENICAR HCT 12.5MG; 20MG TABS 30 30
BENICAR HCT 25MG; 40MG TABS 30 30
BENICAR HCT 12.5MG; 40MG TABS 30 30
BENLYSTA 120MG SOLR 30 28
BENLYSTA 400MG SOLR 9 28
BETASERON 0.3MG KIT 14 28
BICALUTAMIDE 50MG TABS 30 30
BIDIL 37.5MG; 20MG TABS 180 30
BIKTARVY 50MG; 200MG; 25MG TABS 30 30
BIMATOPROST 0.0003 SOLN 5 30
BOOSTRIX 18.5MCG/0.5ML; 2.5LF/0.5ML; 5LF/0.5ML SUSP 0.5 365
BOOSTRIX 18.5MCG/0.5ML; 2.5LF/0.5ML; 5LF/0.5ML SUSP 0.5 365
BORTEZOMIB 3.5MG SOLR 14 21
BOSULIF 500MG TABS 30 30
BOSULIF 100MG TABS 120 30
BOSULIF 400MG TABS 30 30
BREO ELLIPTA 200MCG/INH; 25MCG/INH AEPB 60 30
BREO ELLIPTA 100MCG/INH; 25MCG/INH AEPB 60 30
BRILINTA 60MG TABS 60 30
BRILINTA 90MG TABS 60 30
BRIVIACT 50MG/5ML SOLN 600 30
BRIVIACT 10MG/ML SOLN 1200 30
BRIVIACT 10MG TABS 60 30
BRIVIACT 25MG TABS 60 30
BRIVIACT 50MG TABS 60 30
BRIVIACT 75MG TABS 60 30
BRIVIACT 100MG TABS 120 30
BUDESONIDE 1MG/2ML SUSP 120 30
BUDESONIDE 0.25MG/2ML SUSP 120 30
BUDESONIDE 0.5MG/2ML SUSP 120 30
BUDESONIDE NASAL SPRAY 32MCG/ACT SUSP 17.2 30
BUPRENORPHINE HCL 0.3MG/ML SOLN 150 30
BUPRENORPHINE HCL 0.3MG/ML SOLN 150 30
BUPRENORPHINE HCL 8MG SUBL 90 30
BUPRENORPHINE HCL 2MG SUBL 90 30
BUPRENORPHINE HCL/NALOXONE HCL 2MG; 0.5MG SUBL 90 30
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BUPRENORPHINE HCL/NALOXONE HCL 8MG; 2MG SUBL 90 30
BUPROBAN 150MG TB12 60 30
BUPROPION HCL 75MG TABS 180 30
BUPROPION HCL 100MG TABS 120 30
BUPROPION HCL ER 150MG TB12 60 30
BUPROPION HCL ER 200MG TB12 60 30
BUPROPION HCL ER 100MG TB12 60 30
BUPROPION HCL SR 100MG TB12 60 30
BUPROPION HCL SR 200MG TB12 60 30
BUPROPION HCL SR 150MG TB12 60 30
BUPROPION HCL SR 150MG TB12 60 30
BUPROPION HCL XL 150MG TB24 30 30
BUPROPION HCL XL 300MG TB24 30 30
BUTALBITAL/ACETAMINOPHEN/CAFFEINE 325MG; 50MG; 40MG CAPS 180 30
BUTALBITAL/ACETAMINOPHEN/CAFFEINE 300MG; 50MG; 40MG CAPS 180 30
BUTALBITAL/ACETAMINOPHEN/CAFFEINE 325MG; 50MG; 40MG TABS 180 30
BUTALBITAL/ACETAMINOPHEN/CAFFEINE/CODEI
NE
300MG; 50MG; 40MG; 30MG CAPS 180 30
BUTALBITAL/ACETAMINOPHEN/CAFFEINE/CODEI
NE
325MG; 50MG; 40MG; 30MG CAPS 180 30
BUTALBITAL/ASPIRIN/CAFFEINE 325MG; 50MG; 40MG CAPS 180 30
BUTALBITAL/ASPIRIN/CAFFEINE/CODEINE 325MG; 50MG; 40MG; 30MG CAPS 180 30
BUTORPHANOL TARTRATE 2MG/ML SOLN 240 30
BUTORPHANOL TARTRATE 1MG/ML SOLN 480 30
BUTORPHANOL TARTRATE 10MG/ML SOLN 5 30
BYDUREON 2MG SRER 4 28
BYDUREON BCISE 2MG/0.85ML AUIJ 4 28
BYDUREON PEN 2MG PEN 4 28
BYETTA 5MCG/0.02ML SOPN 1.2 30
BYETTA 10MCG/0.04ML SOPN 2.4 30
BYSTOLIC 5MG TABS 30 30
BYSTOLIC 10MG TABS 30 30
BYSTOLIC 2.5MG TABS 30 30
BYSTOLIC 20MG TABS 60 30
BYVALSON 5MG; 80MG TABS 30 30
CABERGOLINE 0.5MG TABS 16 28
CABOMETYX 20MG TABS 30 30
CABOMETYX 40MG TABS 60 30
CABOMETYX 60MG TABS 30 30
CALCIPOTRIENE 0.00005 CREA 120 30
CALCIPOTRIENE 0.00005 OINT 120 30
CALCIPOTRIENE 0.00005 SOLN 60 30
CALCITONIN-SALMON 200UNIT/ACT SOLN 3.7 30
CALCITRENE 0.00005 OINT 120 30
CALCITRIOL 3MCG/GM OINT 800 30
CALQUENCE 100MG CAPS 60 30
CAMRESE 0; 0 TABS 91 91
CAMRESE LO 0; 0 TABS 91 91
CANDESARTAN CILEXETIL 32MG TABS 30 30
CANDESARTAN CILEXETIL 16MG TABS 30 30
CANDESARTAN CILEXETIL 8MG TABS 30 30
CANDESARTAN CILEXETIL 4MG TABS 30 30
CANDESARTAN
CILEXETIL/HYDROCHLOROTHIAZIDE
16MG; 12.5MG TABS 30 30
CANDESARTAN
CILEXETIL/HYDROCHLOROTHIAZIDE
32MG; 12.5MG TABS 30 30
CANDESARTAN
CILEXETIL/HYDROCHLOROTHIAZIDE
32MG; 25MG TABS 30 30
CAPACET 325MG; 50MG; 40MG CAPS 180 30
CAPRELSA 100MG TABS 60 30
CAPRELSA 300MG TABS 30 30
CAPTOPRIL 12.5MG TABS 90 30
CAPTOPRIL 25MG TABS 90 30
CARVEDILOL PHOSPHATE 10MG CP24 30 30
CARVEDILOL PHOSPHATE 20MG CP24 30 30
CARVEDILOL PHOSPHATE 40MG CP24 30 30
CARVEDILOL PHOSPHATE 80MG CP24 30 30
CAYSTON 75MG SOLR 84 56
CELECOXIB 400MG CAPS 30 30
CELECOXIB 100MG CAPS 60 30
CELECOXIB 50MG CAPS 60 30
CELECOXIB 200MG CAPS 60 30
CHANTIX 1MG TABS 336 365
CHANTIX 0.5MG TABS 336 365
CHANTIX CONTINUING MONTH PAK 1MG TABS 336 365
CHANTIX STARTING MONTH PAK 0 TABS 336 365
CIMDUO 300MG; 300MG TABS 30 30
CINRYZE 500UNIT SOLR 100 30
CIPROFLOXACIN ER 500MG; 0 TB24 3 3
CIPROFLOXACIN ER 1000MG; 0 TB24 14 14
CITALOPRAM HYDROBROMIDE 10MG/5ML SOLN 600 30
CITALOPRAM HYDROBROMIDE 20MG TABS 60 30
CITALOPRAM HYDROBROMIDE 40MG TABS 30 30
CLARITHROMYCIN 250MG TABS 42 14
CLARITHROMYCIN 500MG TABS 42 14
CLARITHROMYCIN ER 500MG TB24 60 30
CLONAZEPAM 2MG TABS 300 30
CLONAZEPAM 0.5MG TABS 90 30
CLONAZEPAM 1MG TABS 120 30
CLONAZEPAM ODT 2MG TBDP 300 30
CLONAZEPAM ODT 0.125MG TBDP 90 30
CLONAZEPAM ODT 0.25MG TBDP 90 30
CLONAZEPAM ODT 0.5MG TBDP 90 30
CLONAZEPAM ODT 1MG TBDP 120 30
CLONIDINE HCL 0.1MG/24HR PTWK 4 28
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CLONIDINE HCL 0.2MG/24HR PTWK 4 28
CLONIDINE HCL 0.3MG/24HR PTWK 8 28
CLONIDINE HCL ER 0.1MG TB12 120 30
CLOPIDOGREL 75MG TABS 30 30
CLOPIDOGREL 300MG TABS 2 365
CLORAZEPATE DIPOTASSIUM 3.75MG TABS 90 30
CLORAZEPATE DIPOTASSIUM 7.5MG TABS 90 30
CLORAZEPATE DIPOTASSIUM 15MG TABS 180 30
CLOZAPINE 100MG TABS 270 30
CLOZAPINE 200MG TABS 120 30
CLOZAPINE ODT 150MG TBDP 180 30
CLOZAPINE ODT 100MG TBDP 270 30
CLOZAPINE ODT 200MG TBDP 120 30
COARTEM 20MG; 120MG TABS 24 30
COLCHICINE 0.6MG CAPS 60 30
COLCHICINE 0.6MG TABS 120 30
COMBIVENT RESPIMAT 100MCG/ACT; 20MCG/ACT AERS 8 30
COMETRIQ 0 KIT 112 28
COMETRIQ 20MG KIT 84 28
COMETRIQ 0 KIT 56 28
COMPLERA 200MG; 25MG; 300MG TABS 30 30
COPAXONE 20MG/ML SOSY 30 30
COPAXONE 40MG/ML SOSY 12 28
COREG CR 10MG CP24 30 30
COREG CR 20MG CP24 30 30
COREG CR 40MG CP24 30 30
COREG CR 80MG CP24 30 30
CORLANOR 5MG TABS 60 30
CORLANOR 7.5MG TABS 60 30
COTELLIC 20MG TABS 63 28
CRESTOR 10MG TABS 30 30
CRESTOR 20MG TABS 30 30
CRESTOR 40MG TABS 30 30
CRESTOR 5MG TABS 30 30
CRIXIVAN 400MG CAPS 180 30
CRIXIVAN 200MG CAPS 270 30
CROMOLYN SODIUM 20MG/2ML NEBU 240 30
CYCLOBENZAPRINE HCL 10MG TABS 90 30
CYCLOBENZAPRINE HCL 5MG TABS 90 30
CYCLOSET 0.8MG TABS 180 30
CYSTARAN 0.0044 SOLN 60 28
DALIRESP 500MCG TABS 30 30
DALIRESP 250MCG TABS 60 365
DARAPRIM 25MG TABS 90 30
DARIFENACIN HYDROBROMIDE ER 15MG TB24 30 30
DARIFENACIN HYDROBROMIDE ER 7.5MG TB24 30 30
DAYSEE 0; 0 TABS 91 91
DENAVIR 0.01 CREA 5 30
DEPO-PROVERA 400MG/ML SUSP 10 28
DESCOVY 200MG; 25MG TABS 30 30
DESLORATADINE 5MG TABS 30 30
DESMOPRESSIN ACETATE 0.0001 SOLN 15 30
DESMOPRESSIN ACETATE 0.0001 SOLN 15 30
DESMOPRESSIN ACETATE 0.0001 SOLN 15 30
DESVENLAFAXINE ER 25MG TB24 30 30
DESVENLAFAXINE ER 100MG TB24 30 30
DESVENLAFAXINE ER 50MG TB24 30 30
DEXMETHYLPHENIDATE HCL 2.5MG TABS 60 30
DEXMETHYLPHENIDATE HCL 5MG TABS 60 30
DEXMETHYLPHENIDATE HCL 10MG TABS 60 30
DEXTROAMPHETAMINE SULFATE 5MG/5ML SOLN 1800 30
DEXTROAMPHETAMINE SULFATE 10MG TABS 180 30
DEXTROAMPHETAMINE SULFATE 5MG TABS 60 30
DEXTROAMPHETAMINE SULFATE ER 15MG CP24 120 30
DEXTROAMPHETAMINE SULFATE ER 5MG CP24 60 30
DEXTROAMPHETAMINE SULFATE ER 10MG CP24 90 30
DIASTAT ACUDIAL 20MG GEL 40 30
DIASTAT ACUDIAL 10MG GEL 20 30
DIASTAT PEDIATRIC 2.5MG GEL 5 30
DIAZEPAM 1MG/ML SOLN 1200 30
DIAZEPAM 5MG TABS 120 30
DIAZEPAM 10MG TABS 120 30
DIAZEPAM 2MG TABS 120 30
DIAZEPAM 20MG GEL 40 30
DIAZEPAM 2.5MG GEL 5 30
DIAZEPAM 10MG GEL 20 30
DIAZEPAM RECTAL GEL 2.5MG GEL 5 30
DIAZEPAM RECTAL GEL 10MG GEL 20 30
DIAZEPAM RECTAL GEL 20MG GEL 40 30
DICLOFENAC SODIUM 0.01 GEL 1000 30
DICLOFENAC SODIUM 0.015 SOLN 1050 30
DIDANOSINE 200MG CPDR 30 30
DIDANOSINE 125MG CPDR 30 30
DIDANOSINE 400MG CPDR 30 30
DIDANOSINE 250MG CPDR 30 30
DIGITEK 0.125MG TABS 30 30
DIGOX 125MCG TABS 30 30
DIGOXIN 125MCG TABS 30 30
DIHYDROERGOTAMINE MESYLATE 1MG/ML SOLN 30 28
DOFETILIDE 500MCG CAPS 60 30
DOFETILIDE 125MCG CAPS 60 30
DOFETILIDE 250MCG CAPS 60 30
DONEPEZIL HCL 23MG TABS 30 30
DONEPEZIL HCL 5MG TABS 30 30
-
DONEPEZIL HCL 10MG TABS 60 30
DONEPEZIL HCL 5MG TBDP 30 30
DONEPEZIL HCL 10MG TBDP 60 30
DONEPEZIL HYDROCHLORIDE 5MG TABS 30 30
DONEPEZIL HYDROCHLORIDE 10MG TABS 60 30
DORZOLAMIDE HCL 0.02 SOLN 10 30
DORZOLAMIDE HCL/TIMOLOL MALEATE 22.3MG/ML; 6.8MG/ML SOLN 10 30
DOXAZOSIN MESYLATE 2MG TABS 30 30
DOXAZOSIN MESYLATE 8MG TABS 60 30
DOXAZOSIN MESYLATE 4MG TABS 30 30
DOXAZOSIN MESYLATE 1MG TABS 30 30
DOXERCALCIFEROL 2.5MCG CAPS 120 30
DOXERCALCIFEROL 0.5MCG CAPS 90 30
DOXERCALCIFEROL 1MCG CAPS 240 30
DOXYCYCLINE MONOHYDRATE 75MG CAPS 60 30
DOXYCYCLINE MONOHYDRATE 100MG CAPS 60 30
DOXYCYCLINE MONOHYDRATE 50MG CAPS 60 30
DRONABINOL 2.5MG CAPS 60 30
DRONABINOL 10MG CAPS 60 30
DRONABINOL 5MG CAPS 60 30
DULOXETINE HCL 30MG CPEP 90 30
DULOXETINE HCL 20MG CPEP 60 30
DULOXETINE HCL 60MG CPEP 60 30
DURAMORPH 1MG/ML SOLN 180 30
DURAMORPH 0.5MG/ML SOLN 180 30
DUTASTERIDE 0.5MG CAPS 30 30
DUTASTERIDE/TAMSULOSIN HYDROCHLORIDE 0.5MG; 0.4MG CAPS 30 30
EDURANT 25MG TABS 30 30
EFAVIRENZ 50MG CAPS 90 30
EFAVIRENZ 200MG CAPS 60 30
EFAVIRENZ 600MG TABS 30 30
ELIDEL 0.01 CREA 100 90
ELIGARD 22.5MG KIT 1 90
ELIGARD 30MG KIT 1 120
ELIGARD 45MG KIT 1 180
ELIGARD 7.5MG KIT 1 30
ELIQUIS non-formulary for Primary, TotalCare,
Traditions and CarePlan)
5MG TABS 74 30
ELIQUIS non-formulary for Primary, TotalCare,
Traditions and CarePlan)
2.5MG TABS 60 30
ELIQUIS STARTER PACK non-formulary for
Primary, TotalCare, Traditions and CarePlan)
5MG TABS 74 30
EMEND 125MG SUSR 6 28
EMSAM 12MG/24HR PT24 30 30
EMSAM 6MG/24HR PT24 30 30
EMSAM 9MG/24HR PT24 30 30
EMTRIVA 200MG CAPS 30 30
EMTRIVA 10MG/ML SOLN 680 28
ENABLEX 7.5MG TB24 30 30
ENABLEX 15MG TB24 30 30
ENALAPRIL MALEATE 5MG TABS 60 30
ENALAPRIL MALEATE 10MG TABS 60 30
ENALAPRIL MALEATE 20MG TABS 60 30
ENALAPRIL MALEATE 2.5MG TABS 60 30
ENALAPRIL MALEATE/HYDROCHLOROTHIAZIDE 5MG; 12.5MG TABS 60 30
ENALAPRIL MALEATE/HYDROCHLOROTHIAZIDE 10MG; 25MG TABS 60 30
ENBREL 25MG SOLR 8 28
ENBREL 50MG/ML SOSY 8 28
ENBREL 25MG/0.5ML SOSY 4.08 28
ENBREL MINI 50MG/ML SOCT 8 28
ENBREL SURECLICK 50MG/ML SOAJ 8 28
ENDOCET 325MG; 2.5MG TABS 360 30
ENDOCET 325MG; 5MG TABS 360 30
ENDOCET 325MG; 7.5MG TABS 240 30
ENDOCET 325MG; 10MG TABS 180 30
ENGERIX-B 10MCG/0.5ML SUSP 3 365
ENGERIX-B 20MCG/ML SUSP 8 365
ENOXAPARIN SODIUM 300MG/3ML SOLN 30 90
ENOXAPARIN SODIUM 80MG/0.8ML SOLN 24 90
ENOXAPARIN SODIUM 120MG/0.8ML SOLN 24 90
ENOXAPARIN SODIUM 60MG/0.6ML SOLN 18 90
ENOXAPARIN SODIUM 100MG/ML SOLN 30 90
ENOXAPARIN SODIUM 150MG/ML SOLN 30 90
ENOXAPARIN SODIUM 30MG/0.3ML SOLN 9 90
ENOXAPARIN SODIUM 40MG/0.4ML SOLN 12 90
ENTACAPONE 200MG TABS 240 30
ENTECAVIR 1MG TABS 30 30
ENTECAVIR 0.5MG TABS 30 30
ENTRESTO 24MG; 26MG TABS 60 30
ENTRESTO 49MG; 51MG TABS 60 30
ENTRESTO 97MG; 103MG TABS 60 30
EPCLUSA 400MG; 100MG TABS 28 28
EPINEPHRINE 0.3MG/0.3ML SOAJ 2 30
EPINEPHRINE 0.15MG/0.3ML SOAJ 2 30
EPINEPHRINE 0.3MG/0.3ML SOAJ 2 30
EPINEPHRINE 0.15MG/0.15ML SOAJ 2 30
EPIPEN 2-PAK 0.3MG/0.3ML SOAJ 2 30
EPIPEN-JR 2-PAK 0.15MG/0.3ML SOAJ 2 30
ERGOTAMINE TARTRATE/CAFFEINE 100MG; 1MG TABS 40 28
ERIVEDGE 150MG CAPS 28 28
ERLEADA 60MG TABS 120 30
ERWINAZE 10000UNIT SOLR 60 28
-
ESBRIET 267MG CAPS 270 30
ESBRIET 801MG TABS 90 30
ESBRIET 267MG TABS 270 30
ESCITALOPRAM OXALATE 5MG/5ML SOLN 600 30
ESCITALOPRAM OXALATE 5MG TABS 30 30
ESCITALOPRAM OXALATE 10MG TABS 60 30
ESCITALOPRAM OXALATE 20MG TABS 90 30
ESGIC 325MG; 50MG; 40MG CAPS 180 30
ESOMEPRAZOLE MAGNESIUM 40MG CPDR 60 30
ESOMEPRAZOLE MAGNESIUM 20MG CPDR 60 30
ESTRADIOL 37.5MCG/24HR PTWK 4 28
ESTRADIOL 0.025MG/24HR PTWK 4 28
ESTRADIOL 0.05MG/24HR PTWK 4 28
ESTRADIOL 0.06MG/24HR PTWK 4 28
ESTRADIOL 0.075MG/24HR PTWK 4 28
ESTRADIOL 0.1MG/24HR PTWK 4 28
ESTRADIOL 0.05MG/24HR PTTW 8 28
ESTRADIOL 0.0375MG/24HR PTTW 8 28
ESTRADIOL 0.075MG/24HR PTTW 8 28
ESTRADIOL 0.025MG/24HR PTTW 8 28
ESTRADIOL 0.1MG/24HR PTTW 8 28
ESTRADIOL 10MCG TABS 18 28
ESTRING 2MG RING 1 90
EVOTAZ 300MG; 150MG TABS 30 30
EXEMESTANE 25MG TABS 60 30
EZETIMIBE 10MG TABS 30 30
EZETIMIBE/SIMVASTATIN 10MG; 80MG TABS 30 30
EZETIMIBE/SIMVASTATIN 10MG; 40MG TABS 30 30
EZETIMIBE/SIMVASTATIN 10MG; 20MG TABS 30 30
EZETIMIBE/SIMVASTATIN 10MG; 10MG TABS 30 30
FAMCICLOVIR 250MG TABS 60 30
FAMCICLOVIR 500MG TABS 60 30
FAMCICLOVIR 125MG TABS 60 30
FANAPT 1MG TABS 60 30
FANAPT 8MG TABS 60 30
FANAPT 6MG TABS 60 30
FANAPT 4MG TABS 60 30
FANAPT 12MG TABS 60 30
FANAPT 10MG TABS 60 30
FANAPT 2MG TABS 60 30
FANAPT TITRATION PACK 0 TABS 16 365
FARESTON 60MG TABS 30 30
FARXIGA 5MG TABS 30 30
FARXIGA 10MG TABS 30 30
FARYDAK 15MG CAPS 6 21
FARYDAK 20MG CAPS 6 21
FARYDAK 10MG CAPS 6 21
FASLODEX 250MG/5ML SOLN 30 30
FELODIPINE ER 2.5MG TB24 60 30
FELODIPINE ER 5MG TB24 60 30
FELODIPINE ER 10MG TB24 60 30
FEMRING 0.1MG/24HR RING 1 90
FEMRING 0.05MG/24HR RING 1 90
FENOFIBRATE 43MG CAPS 60 30
FENOFIBRATE 150MG CAPS 30 30
FENOFIBRATE 50MG CAPS 60 30
FENOFIBRATE 130MG CAPS 30 30
FENOFIBRATE 54MG TABS 60 30
FENOFIBRATE 160MG TABS 30 30
FENOFIBRATE 48MG TABS 60 30
FENOFIBRATE 145MG TABS 30 30
FENOFIBRATE MICRONIZED 134MG CAPS 30 30
FENOFIBRATE MICRONIZED 200MG CAPS 30 30
FENOFIBRATE MICRONIZED 67MG CAPS 60 30
FENOFIBRIC ACID DR 45MG CPDR 60 30
FENOFIBRIC ACID DR 135MG CPDR 30 30
FENTANYL 25MCG/HR PT72 10 30
FENTANYL 37.5MCG/HR PT72 10 30
FENTANYL 62.5MCG/HR PT72 10 30
FENTANYL 87.5MCG/HR PT72 10 30
FENTANYL 12MCG/HR PT72 10 30
FENTANYL 100MCG/HR PT72 10 30
FENTANYL 75MCG/HR PT72 10 30
FENTANYL 50MCG/HR PT72 10 30
FENTANYL CITRATE ORAL TRANSMUCOSAL 800MCG LPOP 120 30
FENTANYL CITRATE ORAL TRANSMUCOSAL 200MCG LPOP 120 30
FENTANYL CITRATE ORAL TRANSMUCOSAL 400MCG LPOP 120 30
FENTANYL CITRATE ORAL TRANSMUCOSAL 600MCG LPOP 120 30
FENTANYL CITRATE ORAL TRANSMUCOSAL 1200MCG LPOP 120 30
FENTANYL CITRATE ORAL TRANSMUCOSAL 1600MCG LPOP 120 30
FETZIMA 20MG CP24 30 30
FETZIMA 80MG CP24 30 30
FETZIMA 40MG CP24 30 30
FETZIMA 120MG CP24 30 30
FETZIMA TITRATION PACK 0 C4PK 56 365
FINASTERIDE 5MG TABS 30 30
FIRAZYR 30MG/3ML SOLN 18 30
FIRMAGON 80MG SOLR 1 28
FIRMAGON 120MG SOLR 4 365
FLOVENT DISKUS 50MCG/BLIST AEPB 60 30
FLOVENT DISKUS 250MCG/BLIST AEPB 240 30
FLOVENT DISKUS 100MCG/BLIST AEPB 60 30
FLOVENT HFA 110MCG/ACT AERO 12 30
FLOVENT HFA 44MCG/ACT AERO 10.6 30
-
FLOVENT HFA 220MCG/ACT AERO 24 30
FLUNISOLIDE 0.00025 SOLN 50 30
FLUOXETINE 10MG CAPS 30 30
FLUOXETINE 20MG CAPS 120 30
FLUOXETINE DR 90MG CPDR 4 28
FLUOXETINE HCL 40MG CAPS 60 30
FLUOXETINE HCL 10MG CAPS 30 30
FLUOXETINE HCL 20MG CAPS 120 30
FLUOXETINE HCL 20MG/5ML SOLN 600 30
FLUOXETINE HCL 10MG TABS 30 30
FLUOXETINE HCL 20MG TABS 120 30
FLUTICASONE PROPIONATE 50MCG/ACT SUSP 16 30
FLUVOXAMINE MALEATE 100MG TABS 90 30
FLUVOXAMINE MALEATE 50MG TABS 30 30
FLUVOXAMINE MALEATE 25MG TABS 30 30
FLUVOXAMINE MALEATE ER 100MG CP24 60 30
FLUVOXAMINE MALEATE ER 150MG CP24 60 30
FONDAPARINUX SODIUM 7.5MG/0.6ML SOLN 18 90
FONDAPARINUX SODIUM 2.5MG/0.5ML SOLN 15 90
FONDAPARINUX SODIUM 10MG/0.8ML SOLN 24 90
FONDAPARINUX SODIUM 5MG/0.4ML SOLN 12 90
FORTEO 600MCG/2.4ML SOLN 2.4 28
FOSAMPRENAVIR CALCIUM 700MG TABS 120 30
FOSINOPRIL SODIUM 10MG TABS 60 30
FOSINOPRIL SODIUM 20MG TABS 60 30
FOSINOPRIL SODIUM 40MG TABS 60 30
FOSINOPRIL SODIUM/HYDROCHLOROTHIAZIDE 10MG; 12.5MG TABS 120 30
FOSINOPRIL SODIUM/HYDROCHLOROTHIAZIDE 20MG; 12.5MG TABS 120 30
FUZEON 90MG SOLR 60 30
FYCOMPA 0.5MG/ML SUSP 720 30
FYCOMPA 10MG TABS 30 30
FYCOMPA 8MG TABS 30 30
FYCOMPA 6MG TABS 30 30
FYCOMPA 2MG TABS 30 30
FYCOMPA 4MG TABS 30 30
FYCOMPA 12MG TABS 30 30
GABAPENTIN 300MG CAPS 270 30
GABAPENTIN 400MG CAPS 270 30
GABAPENTIN 100MG CAPS 180 30
GABAPENTIN 250MG/5ML SOLN 2160 30
GABAPENTIN 600MG TABS 180 30
GABITRIL 12MG TABS 120 30
GABITRIL 16MG TABS 90 30
GALANTAMINE HYDROBROMIDE 4MG/ML SOLN 200 30
GALANTAMINE HYDROBROMIDE 12MG TABS 60 30
GALANTAMINE HYDROBROMIDE 4MG TABS 60 30
GALANTAMINE HYDROBROMIDE 8MG TABS 60 30
GALANTAMINE HYDROBROMIDE ER 8MG CP24 30 30
GALANTAMINE HYDROBROMIDE ER 16MG CP24 30 30
GALANTAMINE HYDROBROMIDE ER 24MG CP24 30 30
GARDASIL 0 SUSP 1.5 365
GARDASIL 0 SUSP 1.5 365
GARDASIL 9 0 SUSP 1.5 365
GARDASIL 9 0 SUSY 1.5 365
GATTEX 5MG KIT 30 30
GEMFIBROZIL 600MG TABS 60 30
GENVOYA 150MG; 150MG; 200MG; 10MG TABS 30 30
GEODON 20MG SOLR 6 30
GILENYA 0.25MG CAPS 30 30
GILENYA 0.5MG CAPS 30 30
GILOTRIF 40MG TABS 30 30
GILOTRIF 20MG TABS 30 30
GILOTRIF 30MG TABS 30 30
GLIMEPIRIDE 1MG TABS 240 30
GLIMEPIRIDE 2MG TABS 120 30
GLIMEPIRIDE 4MG TABS 60 30
GLIPIZIDE 5MG TABS 60 30
GLIPIZIDE 10MG TABS 120 30
GLIPIZIDE ER 2.5MG TB24 240 30
GLIPIZIDE ER 5MG TB24 120 30
GLIPIZIDE ER 10MG TB24 60 30
GLIPIZIDE XL 10MG TB24 60 30
GLIPIZIDE XL 5MG TB24 120 30
GLIPIZIDE XL 2.5MG TB24 240 30
GLIPIZIDE/METFORMIN HCL 5MG; 500MG TABS 120 30
GLIPIZIDE/METFORMIN HCL 2.5MG; 500MG TABS 120 30
GLIPIZIDE/METFORMIN HCL 2.5MG; 250MG TABS 240 30
GLUCAGEN HYPOKIT 1MG SOLR 4 30
GLUCAGON EMERGENCY KIT 1MG KIT 4 30
GLYXAMBI 25MG; 5MG TABS 30 30
GLYXAMBI 10MG; 5MG TABS 30 30
GRANISETRON HCL 1MG TABS 30 30
HARVONI 90MG; 400MG TABS 28 28
HEPLISAV-B 20MCG/0.5ML SOLN 3 365
HETLIOZ 20MG CAPS 30 30
HUMIRA 10MG/0.2ML PSKT 2 28
HUMIRA 20MG/0.4ML PSKT 2 28
HUMIRA 40MG/0.8ML PSKT 4 28
HUMIRA 40MG/0.4ML PSKT 4 28
HUMIRA 10MG/0.1ML PSKT 2 28
HUMIRA 20MG/0.2ML PSKT 2 28
HUMIRA PEDIATRIC CROHNS DISEASE STARTER
PACK
40MG/0.8ML PSKT 6 365
-
HUMIRA PEDIATRIC CROHNS DISEASE STARTER
PACK
40MG/0.8ML PSKT 6 365
HUMIRA PEDIATRIC CROHNS DISEASE STARTER
PACK
0 PSKT 4 365
HUMIRA PEDIATRIC CROHNS DISEASE STARTER
PACK
80MG/0.8ML PSKT 6 365
HUMIRA PEN 40MG/0.8ML PNKT 4 28
HUMIRA PEN 40MG/0.4ML PNKT 4 28
HUMIRA PEN-CROHNS DISEASESTARTER 40MG/0.8ML PNKT 12 365
HUMIRA PEN-PSORIASIS STARTER 40MG/0.8ML PNKT 8 365
HYDROCODONE BITARTRATE/ACETAMINOPHEN 325MG/15ML; 7.5MG/15ML SOLN 2700 30
HYDROCODONE BITARTRATE/ACETAMINOPHEN 300MG; 10MG TABS 180 30
HYDROCODONE BITARTRATE/ACETAMINOPHEN 300MG; 5MG TABS 360 30
HYDROCODONE BITARTRATE/ACETAMINOPHEN 300MG; 7.5MG TABS 180 30
HYDROCODONE BITARTRATE/ACETAMINOPHEN 325MG; 2.5MG TABS 360 30
HYDROCODONE/ACETAMINOPHEN 325MG; 5MG TABS 360 30
HYDROCODONE/ACETAMINOPHEN 325MG; 7.5MG TABS 180 30
HYDROCODONE/ACETAMINOPHEN 325MG; 10MG TABS 180 30
HYDROCODONE/IBUPROFEN 2.5MG; 200MG TABS 150 30
HYDROCODONE/IBUPROFEN 7.5MG; 200MG TABS 150 30
HYDROCODONE/IBUPROFEN 5MG; 200MG TABS 150 30
HYDROCODONE/IBUPROFEN 10MG; 200MG TABS 150 30
HYDROMORPHONE HCL 1MG/ML LIQD 1200 30
HYDROMORPHONE HCL 2MG TABS 180 30
HYDROMORPHONE HCL 4MG TABS 180 30
HYDROMORPHONE HCL 8MG TABS 120 30
IBANDRONATE SODIUM 150MG TABS 1 28
IBRANCE 100MG CAPS 21 28
IBRANCE 75MG CAPS 21 28
IBRANCE 125MG CAPS 21 28
IBUDONE 5MG; 200MG TABS 150 30
ICLUSIG 15MG TABS 60 30
ICLUSIG 45MG TABS 30 30
IDHIFA 50MG TABS 30 30
IDHIFA 100MG TABS 30 30
ILARIS 150MG/ML SOLN 2 28
ILARIS 150MG SOLR 2 28
IMATINIB MESYLATE 400MG TABS 60 30
IMATINIB MESYLATE 100MG TABS 60 30
IMBRUVICA 140MG CAPS 120 30
IMBRUVICA 70MG CAPS 30 30
IMBRUVICA 280MG TABS 30 30
IMBRUVICA 420MG TABS 30 30
IMBRUVICA 560MG TABS 30 30
IMBRUVICA 140MG TABS 30 30
IMIQUIMOD 0.05 CREA 12 30
INCRUSE ELLIPTA 62.5MCG/INH AEPB 30 30
INFUMORPH 200 10MG/ML SOLN 200 30
INFUMORPH 500 25MG/ML SOLN 200 30
INLYTA 1MG TABS 120 30
INLYTA 5MG TABS 120 30
INTELENCE 25MG TABS 120 30
INTELENCE 200MG TABS 60 30
INTELENCE 100MG TABS 60 30
INTROVALE 0.03MG; 0.15MG TABS 91 91
INVEGA SUSTENNA 78MG/0.5ML SUSP 0.5 28
INVEGA SUSTENNA 156MG/ML SUSP 1 28
INVEGA SUSTENNA 39MG/0.25ML SUSP 0.25 28
INVEGA SUSTENNA 117MG/0.75ML SUSP 0.75 28
INVEGA SUSTENNA 234MG/1.5ML SUSP 1.5 28
INVEGA TRINZA 546MG/1.75ML SUSP 1.75 90
INVEGA TRINZA 273MG/0.875ML SUSP 0.88 90
INVEGA TRINZA 410MG/1.315ML SUSP 1.32 90
INVEGA TRINZA 819MG/2.625ML SUSP 2.63 90
INVIRASE 200MG CAPS 300 30
INVIRASE 500MG TABS 120 30
INVOKAMET 50MG; 1000MG TABS 60 30
INVOKAMET 150MG; 1000MG TABS 60 30
INVOKAMET 50MG; 500MG TABS 60 30
INVOKAMET 150MG; 500MG TABS 60 30
INVOKAMET XR 150MG; 1000MG TB24 60 30
INVOKAMET XR 150MG; 500MG TB24 60 30
INVOKAMET XR 50MG; 500MG TB24 60 30
INVOKAMET XR 50MG; 1000MG TB24 60 30
INVOKANA 300MG TABS 30 30
INVOKANA 100MG TABS 30 30
IPRATROPIUM BROMIDE 0.0002 SOLN 300 30
IPRATROPIUM BROMIDE 0.0003 SOLN 30 30
IPRATROPIUM BROMIDE 0.0006 SOLN 30 30
IPRATROPIUM BROMIDE/ALBUTEROL SULFATE 2.5MG/3ML; 0.5MG/3ML SOLN 540 30
IRBESARTAN 300MG TABS 30 30
IRBESARTAN 150MG TABS 30 30
IRBESARTAN 75MG TABS 30 30
IRBESARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 300MG TABS 30 30
IRBESARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 150MG TABS 30 30
IRESSA 250MG TABS 30 30
ISENTRESS 25MG CHEW 180 30
ISENTRESS 100MG CHEW 180 30
ISENTRESS 100MG PACK 180 30
ISENTRESS 400MG TABS 60 30
-
ISENTRESS HD 600MG TABS 60 30
ITRACONAZOLE 100MG CAPS 120 30
JAKAFI 10MG TABS 60 30
JAKAFI 20MG TABS 60 30
JAKAFI 5MG TABS 60 30
JAKAFI 15MG TABS 60 30
JAKAFI 25MG TABS 60 30
JANUMET 500MG; 50MG TABS 60 30
JANUMET 1000MG; 50MG TABS 60 30
JANUMET XR 500MG; 50MG TB24 30 30
JANUMET XR 1000MG; 50MG TB24 60 30
JANUMET XR 1000MG; 100MG TB24 30 30
JANUVIA 50MG TABS 30 30
JANUVIA 25MG TABS 30 30
JANUVIA 100MG TABS 30 30
JARDIANCE 10MG TABS 30 30
JARDIANCE 25MG TABS 30 30
JENTADUETO 2.5MG; 500MG TABS 60 30
JENTADUETO 2.5MG; 850MG TABS 60 30
JENTADUETO 2.5MG; 1000MG TABS 60 30
JENTADUETO XR 2.5MG; 1000MG TB24 60 30
JENTADUETO XR 5MG; 1000MG TB24 30 30
JOLESSA 0.03MG; 0.15MG TABS 91 91
JULUCA 50MG; 25MG TABS 30 30
KALETRA 400MG/5ML; 100MG/5ML SOLN 480 30
KALETRA 200MG; 50MG TABS 120 30
KALETRA 100MG; 25MG TABS 300 30
KALYDECO 50MG PACK 60 30
KALYDECO 75MG PACK 60 30
KALYDECO 150MG TABS 60 30
KETEK 300MG TABS 20 30
KETEK 400MG TABS 20 30
KINERET 100MG/0.67ML SOSY 20.1 30
KISQALI 200MG TABS 63 28
KISQALI 200MG TABS 63 28
KISQALI 200MG TABS 63 28
KISQALI FEMARA 200 DOSE 2.5MG; 200MG TBPK 49 28
KISQALI FEMARA 400 DOSE 2.5MG; 200MG TBPK 70 28
KISQALI FEMARA 600 DOSE 2.5MG; 200MG TBPK 91 28
KORLYM 300MG TABS 120 30
LAMIVUDINE 10MG/ML SOLN 900 30
LAMIVUDINE 150MG TABS 60 30
LAMIVUDINE 300MG TABS 30 30
LAMIVUDINE/ZIDOVUDINE 150MG; 300MG TABS 60 30
LATANOPROST 0.00005 SOLN 5 30
LATUDA 20MG TABS 30 30
LATUDA 60MG TABS 30 30
LATUDA 120MG TABS 30 30
LATUDA 40MG TABS 30 30
LATUDA 80MG TABS 60 30
LEFLUNOMIDE 10MG TABS 30 30
LEFLUNOMIDE 20MG TABS 30 30
LENVIMA 10 MG DAILY DOSE 10MG CPPK 30 30
LENVIMA 14 MG DAILY DOSE 0 CPPK 60 30
LENVIMA 18 MG DAILY DOSE 0 CPPK 90 30
LENVIMA 20 MG DAILY DOSE 10MG CPPK 60 30
LENVIMA 24 MG DAILY DOSE 0 CPPK 90 30
LENVIMA 8 MG DAILY DOSE 4MG CPPK 60 30
LETAIRIS 5MG TABS 30 30
LETAIRIS 10MG TABS 30 30
LETROZOLE 2.5MG TABS 30 30
LEVALBUTEROL TARTRATE HFA 45MCG/ACT AERO 30 30
LEVETIRACETAM ER 750MG TB24 120 30
LEVETIRACETAM ER 500MG TB24 180 30
LEVOCETIRIZINE DIHYDROCHLORIDE 2.5MG/5ML SOLN 300 30
LEVOCETIRIZINE DIHYDROCHLORIDE 5MG TABS 30 30
LEVOFLOXACIN 250MG TABS 30 30
LEVOFLOXACIN 500MG TABS 30 30
LEVOFLOXACIN 750MG TABS 30 30
LEVONORGESTREL AND ETHINYL ESTRADIOL 0; 0 TABS 91 91
LEVONORGESTREL/ETHINYL ESTRADIOL 0; 0 TABS 91 91
LEVONORGESTREL/ETHINYL ESTRADIOL 0.03MG; 0.15MG TABS 91 91
LEVORPHANOL TARTRATE 2MG TABS 120 30
LEXIVA 50MG/ML SUSP 1575 28
LEXIVA 700MG TABS 120 30
LIALDA 1.2GM TBEC 120 30
LIDOCAINE 0.05 OINT 120 30
LIDOCAINE 0.05 PTCH 90 30
LINEZOLID 100MG/5ML SUSR 1800 30
LINEZOLID 600MG TABS 60 30
LINZESS 145MCG CAPS 30 30
LINZESS 290MCG CAPS 30 30
LINZESS 72MCG CAPS 30 30
LISINOPRIL 5MG TABS 60 30
LISINOPRIL 40MG TABS 60 30
LISINOPRIL 2.5MG TABS 60 30
LISINOPRIL 10MG TABS 60 30
LISINOPRIL 20MG TABS 60 30
LISINOPRIL 30MG TABS 60 30
LISINOPRIL/HYDROCHLOROTHIAZIDE 12.5MG; 10MG TABS 60 30
LISINOPRIL/HYDROCHLOROTHIAZIDE 25MG; 20MG TABS 60 30
LISINOPRIL/HYDROCHLOROTHIAZIDE 12.5MG; 20MG TABS 120 30
LIVALO 1MG TABS 30 30
-
LIVALO 2MG TABS 30 30
LIVALO 4MG TABS 30 30
LONSURF 8.19MG; 20MG TABS 80 28
LONSURF 6.14MG; 15MG TABS 100 28
LOPINAVIR/RITONAVIR 400MG/5ML; 100MG/5ML SOLN 480 30
LORAZEPAM 2MG/ML CONC 150 30
LORAZEPAM 1MG TABS 90 30
LORAZEPAM 2MG TABS 150 30
LORAZEPAM 0.5MG TABS 90 30
LORAZEPAM INTENSOL 2MG/ML CONC 150 30
LORCET 325MG; 5MG TABS 360 30
LORCET HD 325MG; 10MG TABS 180 30
LORCET PLUS 325MG; 7.5MG TABS 180 30
LORTAB 325MG; 7.5MG TABS 180 30
LORTAB 325MG; 5MG TABS 360 30
LORTAB 325MG; 10MG TABS 180 30
LOSARTAN POTASSIUM 50MG TABS 60 30
LOSARTAN POTASSIUM 100MG TABS 30 30
LOSARTAN POTASSIUM 25MG TABS 60 30
LOSARTAN POTASSIUM/HYDROCHLOROTHIAZIDE 12.5MG; 50MG TABS 60 30
LOSARTAN POTASSIUM/HYDROCHLOROTHIAZIDE 25MG; 100MG TABS 30 30
LOSARTAN POTASSIUM/HYDROCHLOROTHIAZIDE 12.5MG; 100MG TABS 30 30
LOVASTATIN 20MG TABS 30 30
LOVASTATIN 40MG TABS 60 30
LOVASTATIN 10MG TABS 30 30
LOXAPINE 5MG CAPS 120 30
LOXAPINE 10MG CAPS 120 30
LOXAPINE SUCCINATE 10MG CAPS 120 30
LOXAPINE SUCCINATE 5MG CAPS 120 30
LUMIGAN 0.0001 SOLN 5 30
LUPRON DEPOT (1-MONTH) 7.5MG KIT 1 30
LUPRON DEPOT (1-MONTH) 3.75MG KIT 1 30
LUPRON DEPOT (3-MONTH) 11.25MG KIT 1 84
LUPRON DEPOT (3-MONTH) 22.5MG KIT 1 84
LUPRON DEPOT (4-MONTH) 30MG KIT 1 112
LUPRON DEPOT (6-MONTH) 45MG KIT 1 168
LUPRON DEPOT-PED (1-MONTH) 7.5MG KIT 1 30
LUPRON DEPOT-PED (1-MONTH) 11.25MG KIT 1 30
LUPRON DEPOT-PED (1-MONTH) 15MG KIT 1 30
LUPRON DEPOT-PED (3-MONTH) 11.25MG KIT 1 84
LUPRON DEPOT-PED (3-MONTH) 30MG KIT 1 84
LYNPARZA 100MG TABS 120 30
LYNPARZA 150MG TABS 120 30
LYNPARZA 50MG CAPS 448 28
LYRICA 100MG CAPS 90 30
LYRICA 25MG CAPS 90 30
LYRICA 50MG CAPS 90 30
LYRICA 150MG CAPS 90 30
LYRICA 75MG CAPS 90 30
LYRICA 200MG CAPS 90 30
LYRICA 300MG CAPS 60 30
LYRICA 225MG CAPS 60 30
LYRICA 20MG/ML SOLN 900 30
LYRICA CR 82.5MG TB24 90 30
LYRICA CR 165MG TB24 90 30
LYRICA CR 330MG TB24 60 30
MAPROTILINE HCL 25MG TABS 90 30
MAPROTILINE HCL 50MG TABS 90 30
MAPROTILINE HCL 75MG TABS 90 30
MARGESIC 325MG; 50MG; 40MG CAPS 180 30
MARPLAN 10MG TABS 180 30
MEDROXYPROGESTERONE ACETATE 150MG/ML SUSP 1 90
MEDROXYPROGESTERONE ACETATE 150MG/ML SUSY 1 90
MEKINIST 2MG TABS 30 30
MEKINIST 0.5MG TABS 90 30
MELOXICAM 7.5MG TABS 30 30
MELOXICAM 15MG TABS 30 30
MEMANTINE HCL 5MG TABS 90 30
MEMANTINE HCL 10MG TABS 60 30
MEMANTINE HCL TITRATION PAK 0 TABS 49 28
MEMANTINE HYDROCHLORIDE 2MG/ML SOLN 300 30
MEMANTINE HYDROCHLORIDE ER 7MG CP24 30 30
MEMANTINE HYDROCHLORIDE ER 28MG CP24 30 30
MEMANTINE HYDROCHLORIDE ER 14MG CP24 30 30
MEMANTINE HYDROCHLORIDE ER 21MG CP24 30 30
MENOSTAR 14MCG/24HR PTWK 4 28
METADATE ER 20MG TBCR 90 30
METFORMIN HCL 850MG TABS 90 30
METFORMIN HCL 1000MG TABS 60 30
METFORMIN HCL 500MG TABS 150 30
METFORMIN HCL ER 500MG TB24 120 30
METFORMIN HCL ER 750MG TB24 60 30
METFORMIN HCL ER 1000MG TB24 60 30
METFORMIN HCL ER 500MG TB24 60 30
METHADONE HCL 10MG/ML CONC 500 30
METHADONE HCL 10MG/ML SOLN 150 30
METHADONE HCL 5MG/5ML SOLN 600 30
METHADONE HCL 10MG/5ML SOLN 450 30
METHADONE HCL 10MG TABS 120 30
METHADONE HCL 5MG TABS 180 30
METHADONE HCL INTENSOL 10MG/ML CONC 500 30
METHYLPHENIDATE HCL 20MG TABS 90 30
-
METHYLPHENIDATE HCL 10MG TABS 90 30
METHYLPHENIDATE HCL 5MG TABS 90 30
METHYLPHENIDATE HCL ER 36MG TB24 60 30
METHYLPHENIDATE HCL ER 18MG TB24 120 30
METHYLPHENIDATE HCL ER 54MG TB24 30 30
METHYLPHENIDATE HCL ER 27MG TB24 30 30
METHYLPHENIDATE HCL ER 20MG TBCR 90 30
METHYLPHENIDATE HCL ER 10MG TBCR 30 30
METHYLPHENIDATE HCL ER 36MG TBCR 60 30
METHYLPHENIDATE HCL ER 54MG TBCR 30 30
METHYLPHENIDATE HCL ER 18MG TBCR 120 30
METHYLPHENIDATE HCL ER 27MG TBCR 30 30
METHYLPHENIDATE HCL SR 20MG TBCR 90 30
METOPROLOL SUCCINATE ER 100MG TB24 60 30
METOPROLOL SUCCINATE ER 50MG TB24 60 30
METOPROLOL SUCCINATE ER 25MG TB24 60 30
METOPROLOL SUCCINATE ER 200MG TB24 60 30
MIGERGOT 100MG; 2MG SUPP 20 28
MIGLITOL 50MG TABS 90 30
MIGLITOL 100MG TABS 90 30
MIGLITOL 25MG TABS 90 30
MIGLUSTAT 100MG CAPS 90 30
MINITRAN 0.4MG/HR PT24 30 30
MINITRAN 0.6MG/HR PT24 30 30
MINITRAN 0.2MG/HR PT24 30 30
MINITRAN 0.1MG/HR PT24 30 30
MINIVELLE 0.025MG/24HR PTTW 8 28
MINIVELLE 0.05MG/24HR PTTW 8 28
MINIVELLE 0.075MG/24HR PTTW 8 28
MINIVELLE 0.1MG/24HR PTTW 8 28
MINIVELLE 0.0375MG/24HR PTTW 8 28
MIRTAZAPINE 7.5MG TABS 30 30
MIRTAZAPINE 15MG TABS 30 30
MIRTAZAPINE 30MG TABS 30 30
MIRTAZAPINE 45MG TABS 30 30
MIRTAZAPINE ODT 30MG TBDP 30 30
MIRTAZAPINE ODT 45MG TBDP 30 30
MIRTAZAPINE ODT 15MG TBDP 30 30
MITIGARE 0.6MG CAPS 60 30
M-M-R II 0; 0; 0 INJ 2 365
MODAFINIL 100MG TABS 30 30
MODAFINIL 200MG TABS 30 30
MOEXIPRIL/HYDROCHLOROTHIAZIDE 25MG; 15MG TABS 60 30
MOEXIPRIL/HYDROCHLOROTHIAZIDE 12.5MG; 15MG TABS 60 30
MOEXIPRIL/HYDROCHLOROTHIAZIDE 12.5MG; 7.5MG TABS 30 30
MOMETASONE FUROATE 50MCG/ACT SUSP 34 30
MONDOXYNE NL 75MG CAPS 60 30
MONDOXYNE NL 50MG CAPS 60 30
MONDOXYNE NL 100MG CAPS 60 30
MONTELUKAST SODIUM 4MG CHEW 30 30
MONTELUKAST SODIUM 5MG CHEW 30 30
MONTELUKAST SODIUM 4MG PACK 30 30
MONTELUKAST SODIUM 10MG TABS 30 30
MORPHINE SULFATE 1MG/ML SOLN 180 30
MORPHINE SULFATE 0.5MG/ML SOLN 180 30
MORPHINE SULFATE 8MG/ML SOLN 250 30
MORPHINE SULFATE 10MG/ML SOLN 200 30
MORPHINE SULFATE 2MG/ML SOLN 1260 30
MORPHINE SULFATE 4MG/ML SOLN 630 30
MORPHINE SULFATE 8MG/ML SOLN 250 30
MORPHINE SULFATE 10MG/ML SOLN 200 30
MORPHINE SULFATE 1MG/ML SOLN 180 30
MORPHINE SULFATE 100MG/5ML SOLN 180 30
MORPHINE SULFATE 10MG/5ML SOLN 700 30
MORPHINE SULFATE 20MG/5ML SOLN 300 30
MORPHINE SULFATE 15MG TABS 120 30
MORPHINE SULFATE 30MG TABS 120 30
MORPHINE SULFATE ER 30MG TBCR 90 30
MORPHINE SULFATE ER 100MG TBCR 90 30
MORPHINE SULFATE ER 15MG TBCR 90 30
MORPHINE SULFATE ER 200MG TBCR 90 30
MORPHINE SULFATE ER 60MG TBCR 90 30
MOXIFLOXACIN HCL 400MG TABS 30 30
MOZOBIL 24MG/1.2ML SOLN 9.6 30
MULTAQ 400MG TABS 60 30
MYRBETRIQ 25MG TB24 30 30
MYRBETRIQ 50MG TB24 30 30
NADOLOL/BENDROFLUMETHIAZIDE 5MG; 80MG TABS 30 30
NADOLOL/BENDROFLUMETHIAZIDE 5MG; 40MG TABS 30 30
NALBUPHINE HCL 10MG/ML SOLN 180 30
NALBUPHINE HCL 20MG/ML SOLN 90 30
NAMENDA XR 21MG CP24 30 30
NAMENDA XR 14MG CP24 30 30
NAMENDA XR 7MG CP24 30 30
NAMENDA XR 28MG CP24 30 30
NAMENDA XR TITRATION PACK 0 CP24 56 365
NAMZARIC 10MG; 0 C4PK 56 365
NAMZARIC 10MG; 7MG CP24 30 30
NAMZARIC 10MG; 21MG CP24 30 30
NAMZARIC 10MG; 28MG CP24 30 30
NAMZARIC 10MG; 14MG CP24 30 30
NARATRIPTAN HCL 1MG TABS 9 30
NARATRIPTAN HCL 2.5MG TABS 9 30
NARCAN 4MG/0.1ML LIQD 4 30
-
NASONEX 50MCG/ACT SUSP 34 30
NATEGLINIDE 60MG TABS 90 30
NATEGLINIDE 120MG TABS 90 30
NATPARA 75MCG CART 2 28
NATPARA 25MCG CART 2 28
NATPARA 50MCG CART 2 28
NATPARA 100MCG CART 2 28
NEBUPENT 300MG SOLR 6 28
NEFAZODONE HCL 50MG TABS 60 30
NEFAZODONE HCL 150MG TABS 60 30
NEFAZODONE HCL 200MG TABS 60 30
NEFAZODONE HCL 100MG TABS 60 30
NEFAZODONE HCL 250MG TABS 60 30
NERLYNX 40MG TABS 180 30
NEUPRO 2MG/24HR PT24 30 30
NEUPRO 3MG/24HR PT24 30 30
NEUPRO 8MG/24HR PT24 30 30
NEUPRO 1MG/24HR PT24 30 30
NEUPRO 4MG/24HR PT24 30 30
NEUPRO 6MG/24HR PT24 30 30
NEVIRAPINE 50MG/5ML SUSP 1200 30
NEVIRAPINE 200MG TABS 60 30
NEVIRAPINE ER 100MG TB24 90 30
NEVIRAPINE ER 400MG TB24 30 30
NEXAVAR 200MG TABS 120 30
NIACIN ER 500MG TBCR 30 30
NIACIN ER 1000MG TBCR 60 30
NIACIN ER 750MG TBCR 60 30
NICOTROL INHALER 10MG INHA 1008 90
NICOTROL NS 10MG/ML SOLN 30 30
NIFEDICAL XL 60MG TB24 60 30
NIFEDICAL XL 30MG TB24 60 30
NIFEDIPINE ER 60MG TB24 60 30
NIFEDIPINE ER 30MG TB24 60 30
NIFEDIPINE ER 90MG TB24 30 30
NIFEDIPINE ER 30MG TB24 60 30
NIFEDIPINE ER 60MG TB24 60 30
NIFEDIPINE ER 90MG TB24 30 30
NILUTAMIDE 150MG TABS 60 30
NINLARO 2.3MG CAPS 3 28
NINLARO 3MG CAPS 3 28
NINLARO 4MG CAPS 3 28
NISOLDIPINE ER 8.5MG TB24 30 30
NISOLDIPINE ER 17MG TB24 30 30
NISOLDIPINE ER 34MG TB24 30 30
NISOLDIPINE ER 25.5MG TB24 30 30
NITROGLYCERIN TRANSDERMAL 0.1MG/HR PT24 30 30
NITROGLYCERIN TRANSDERMAL 0.2MG/HR PT24 30 30
NITROGLYCERIN TRANSDERMAL 0.4MG/HR PT24 30 30
NITROGLYCERIN TRANSDERMAL 0.6MG/HR PT24 30 30
NORTHERA 300MG CAPS 180 30
NORTHERA 100MG CAPS 90 30
NORTHERA 200MG CAPS 180 30
NORVIR 100MG CAPS 360 30
NORVIR 100MG PACK 360 30
NORVIR 80MG/ML SOLN 480 30
NORVIR 100MG TABS 360 30
NOVOFINE 30GX8MM MISC 200 30
NOVOFINE 31 MISC 200 30
NOVOFINE 32GX6MM MISC 200 30
NOVOFINE AUTOCOVER 30GX8MM MISC 200 30
NOVOTWIST 30GX8MM MISC 200 30
NOVOTWIST 32GX5MM MISC 200 30
NOXAFIL 40MG/ML SUSP 600 30
NOXAFIL 100MG TBEC 96 30
NUEDEXTA 20MG; 10MG CAPS 60 30
NULOJIX 250MG SOLR 150 30
NUPLAZID 17MG TABS 60 30
ODEFSEY 200MG; 25MG; 25MG TABS 30 30
ODOMZO 200MG CAPS 30 30
OFEV 100MG CAPS 60 30
OFEV 150MG CAPS 60 30
OLANZAPINE 10MG SOLR 30 30
OLANZAPINE 7.5MG TABS 30 30
OLANZAPINE 10MG TABS 30 30
OLANZAPINE 20MG TABS 30 30
OLANZAPINE 15MG TABS 30 30
OLANZAPINE 2.5MG TABS 30 30
OLANZAPINE 5MG TABS 30 30
OLANZAPINE ODT 10MG TBDP 30 30
OLANZAPINE ODT 5MG TBDP 30 30
OLANZAPINE ODT 15MG TBDP 30 30
OLANZAPINE ODT 20MG TBDP 30 30
OLANZAPINE/FLUOXETINE 25MG; 3MG CAPS 30 30
OLANZAPINE/FLUOXETINE 25MG; 6MG CAPS 30 30
OLANZAPINE/FLUOXETINE 50MG; 6MG CAPS 30 30
OLANZAPINE/FLUOXETINE 25MG; 12MG CAPS 30 30
OLANZAPINE/FLUOXETINE 50MG; 12MG CAPS 30 30
OLMESARTAN MEDOXOMIL 40MG TABS 30 30
OLMESARTAN MEDOXOMIL 5MG TABS 30 30
OLMESARTAN MEDOXOMIL 20MG TABS 30 30
OLMESARTAN
MEDOXOMIL/HYDROCHLOROTHIAZIDE
12.5MG; 20MG TABS 30 30
OLMESARTAN
MEDOXOMIL/HYDROCHLOROTHIAZIDE
12.5MG; 40MG TABS 30 30
-
OLMESARTAN
MEDOXOMIL/HYDROCHLOROTHIAZIDE
25MG; 40MG TABS 30 30
OLOPATADINE HCL 0.001 SOLN 5 30
OLOPATADINE HYDROCHLORIDE 0.002 SOLN 2.5 30
OMEGA-3-ACID ETHYL ESTERS 375MG; 465MG; 1GM CAPS 120 30
OMEPRAZOLE 20MG CPDR 60 30
OMEPRAZOLE 40MG CPDR 60 30
OMEPRAZOLE 10MG CPDR 60 30
ONDANSETRON HCL 4MG/5ML SOLN 450 30
ONDANSETRON HCL 24MG TABS 15 30
ONDANSETRON HCL 4MG TABS 90 30
ONDANSETRON HCL 8MG TABS 90 30
ONDANSETRON ODT 8MG TBDP 90 30
ONDANSETRON ODT 4MG TBDP 90 30
ONFI 2.5MG/ML SUSP 480 30
ONFI 20MG TABS 60 30
ONFI 10MG TABS 60 30
OPDIVO 40MG/4ML SOLN 80 28
OPDIVO 100MG/10ML SOLN 80 28
OPDIVO 240MG/24ML SOLN 48 28
OPSUMIT 10MG TABS 30 30
ORKAMBI 125MG; 100MG TABS 120 30
ORKAMBI 125MG; 200MG TABS 120 30
ORPHENADRINE CITRATE ER 100MG TB12 60 30
OSELTAMIVIR PHOSPHATE 45MG CAPS 56 365
OSELTAMIVIR PHOSPHATE 75MG CAPS 56 365
OSELTAMIVIR PHOSPHATE 30MG CAPS 112 365
OSELTAMIVIR PHOSPHATE 6MG/ML SUSR 700 365
OXANDROLONE 2.5MG TABS 120 30
OXANDROLONE 10MG TABS 60 30
OXAZEPAM 10MG CAPS 120 30
OXAZEPAM 15MG CAPS 120 30
OXAZEPAM 30MG CAPS 120 30
OXYBUTYNIN CHLORIDE 5MG/5ML SYRP 600 30
OXYBUTYNIN CHLORIDE 5MG TABS 120 30
OXYBUTYNIN CHLORIDE ER 15MG TB24 60 30
OXYBUTYNIN CHLORIDE ER 10MG TB24 30 30
OXYBUTYNIN CHLORIDE ER 5MG TB24 30 30
OXYCODONE HCL 5MG CAPS 120 30
OXYCODONE HCL 100MG/5ML CONC 120 30
OXYCODONE HCL 5MG/5ML SOLN 1200 30
OXYCODONE HCL 10MG TABS 120 30
OXYCODONE HCL 20MG TABS 120 30
OXYCODONE HCL 5MG TABS 120 30
OXYCODONE HCL 15MG TABS 120 30
OXYCODONE HCL 30MG TABS 90 30
OXYCODONE/ACETAMINOPHEN 325MG; 5MG TABS 360 30
OXYCODONE/ACETAMINOPHEN 325MG; 2.5MG TABS 360 30
OXYCODONE/ACETAMINOPHEN 325MG; 7.5MG TABS 240 30
OXYCODONE/ACETAMINOPHEN 325MG; 10MG TABS 180 30
OXYCODONE/ASPIRIN 325MG; 4.835MG TABS 180 30
OXYCODONE/IBUPROFEN 400MG; 5MG TABS 28 30
OZEMPIC 2MG/1.5ML SOPN 3 28
OZEMPIC 2MG/1.5ML SOPN 3 28
PALIPERIDONE ER 3MG TB24 30 30
PALIPERIDONE ER 1.5MG TB24 30 30
PALIPERIDONE ER 9MG TB24 30 30
PALIPERIDONE ER 6MG TB24 60 30
PANTOPRAZOLE SODIUM 20MG TBEC 60 30
PANTOPRAZOLE SODIUM 40MG TBEC 60 30
PARICALCITOL 2MCG CAPS 90 30
PARICALCITOL 1MCG CAPS 90 30
PARICALCITOL 4MCG CAPS 60 30
PAROXETINE HCL 20MG TABS 90 30
PAROXETINE HCL 40MG TABS 60 30
PAROXETINE HCL 10MG TABS 30 30
PAROXETINE HCL 30MG TABS 60 30
PAROXETINE HCL ER 37.5MG TB24 60 30
PAROXETINE HCL ER 12.5MG TB24 30 30
PAROXETINE HCL ER 25MG TB24 60 30
PAXIL 10MG/5ML SUSP 900 30
PAZEO 0.007 SOLN 2.5 30
PEGASYS 180MCG/0.5ML KIT 2 28
PEGASYS 180MCG/ML SOLN 4 28
PEGASYS 180MCG/0.5ML SOLN 2 28
PEGASYS PROCLICK 180MCG/0.5ML SOLN 2 28
PEGASYS PROCLICK 135MCG/0.5ML SOLN 2 28
PERFOROMIST 20MCG/2ML NEBU 120 30
PERINDOPRIL ERBUMINE 8MG TABS 60 30
PERINDOPRIL ERBUMINE 4MG TABS 60 30
PERINDOPRIL ERBUMINE 2MG TABS 60 30
PHENOBARBITAL 20MG/5ML ELIX 1500 30
PHENOBARBITAL 32.4MG TABS 120 30
PHENOBARBITAL 97.2MG TABS 120 30
PHENOBARBITAL 16.2MG TABS 120 30
PHENOBARBITAL 64.8MG TABS 120 30
PHENOBARBITAL 60MG TABS 120 30
PHENOBARBITAL 15MG TABS 120 30
PHENOBARBITAL 30MG TABS 120 30
PHENOBARBITAL 100MG TABS 120 30
PICATO 0.00015 GEL 3 56
PICATO 0.0005 GEL 2 56
PIOGLITAZONE HCL 15MG TABS 30 30
PIOGLITAZONE HCL 30MG TABS 30 30
-
PIOGLITAZONE HCL 45MG TABS 30 30
PIOGLITAZONE HCL/METFORMIN HCL 500MG; 15MG TABS 90 30
PIOGLITAZONE HCL/METFORMIN HCL 850MG; 15MG TABS 90 30
POMALYST 1MG CAPS 21 28
POMALYST 2MG CAPS 21 28
POMALYST 3MG CAPS 21 28
POMALYST 4MG CAPS 21 28
PORTRAZZA 800MG/50ML SOLN 100 21
POTIGA 50MG TABS 90 30
POTIGA 400MG TABS 90 30
POTIGA 300MG TABS 90 30
POTIGA 200MG TABS 90 30
PRADAXA 110MG CAPS 60 30
PRADAXA 150MG CAPS 60 30
PRADAXA 75MG CAPS 60 30
PRAMIPEXOLE DIHYDROCHLORIDE 1.5MG TABS 90 30
PRAMIPEXOLE DIHYDROCHLORIDE 0.25MG TABS 90 30
PRAMIPEXOLE DIHYDROCHLORIDE 0.125MG TABS 90 30
PRAMIPEXOLE DIHYDROCHLORIDE 0.5MG TABS 90 30
PRAMIPEXOLE DIHYDROCHLORIDE 1MG TABS 90 30
PRAMIPEXOLE DIHYDROCHLORIDE 0.75MG TABS 90 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 4.5MG TB24 30 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 3.75MG TB24 30 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 2.25MG TB24 30 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 1.5MG TB24 90 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 0.75MG TB24 90 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 3MG TB24 30 30
PRAMIPEXOLE DIHYDROCHLORIDE ER 0.375MG TB24 90 30
PRASUGREL 5MG TABS 30 30
PRASUGREL 10MG TABS 30 30
PRAVASTATIN SODIUM 80MG TABS 30 30
PRAVASTATIN SODIUM 10MG TABS 30 30
PRAVASTATIN SODIUM 20MG TABS 30 30
PRAVASTATIN SODIUM 40MG TABS 30 30
PREMARIN 0.625MG TABS 30 30
PREMARIN 0.45MG TABS 30 30
PREMARIN 0.9MG TABS 30 30
PREMARIN 1.25MG TABS 30 30
PREMARIN 0.3MG TABS 30 30
PREZCOBIX 150MG; 800MG TABS 30 30
PREZISTA 100MG/ML SUSP 400 30
PREZISTA 600MG TABS 60 30
PREZISTA 150MG TABS 180 30
PREZISTA 800MG TABS 30 30
PREZISTA 75MG TABS 210 30
PRISTIQ 25MG TB24 30 30
PRISTIQ 100MG TB24 30 30
PRISTIQ 50MG TB24 30 30
PROAIR HFA 108MCG/ACT AERS 17 30
PROAIR RESPICLICK 108MCG/ACT AEPB 2 30
PROCRIT 2000UNIT/ML SOLN 12 28
PROCRIT 3000UNIT/ML SOLN 12 28
PROCRIT 10000UNIT/ML SOLN 12 28
PROCRIT 4000UNIT/ML SOLN 12 28
PROCRIT 40000UNIT/ML SOLN 6 28
PROCRIT 20000UNIT/ML SOLN 12 28
PROLIA 60MG/ML SOLN 1 180
PROMACTA 12.5MG TABS 30 30
PROMACTA 50MG TABS 30 30
PROMACTA 75MG TABS 30 30
PROMACTA 25MG TABS 30 30
PROQUAD 0; 0; 0; 0 INJ 2 365
PULMOZYME 1MG/ML SOLN 150 30
PURIXAN 2000MG/100ML SUSP 300 30
QUASENSE 0.03MG; 0.15MG TABS 91 91
QUETIAPINE FUMARATE 200MG TABS 60 30
QUETIAPINE FUMARATE 300MG TABS 60 30
QUETIAPINE FUMARATE 400MG TABS 60 30
QUETIAPINE FUMARATE 25MG TABS 60 30
QUETIAPINE FUMARATE 50MG TABS 60 30
QUETIAPINE FUMARATE 100MG TABS 60 30
QUETIAPINE FUMARATE ER 400MG TB24 60 30
QUETIAPINE FUMARATE ER 300MG TB24 60 30
QUETIAPINE FUMARATE ER 150MG TB24 30 30
QUETIAPINE FUMARATE ER 200MG TB24 30 30
QUETIAPINE FUMARATE ER 50MG TB24 60 30
QUINAPRIL HCL 10MG TABS 60 30
QUINAPRIL HCL 40MG TABS 60 30
QUINAPRIL HCL 20MG TABS 60 30
QUINAPRIL HCL 5MG TABS 60 30
QUINAPRIL/HYDROCHLOROTHIAZIDE 12.5MG; 20MG TABS 60 30
QUINAPRIL/HYDROCHLOROTHIAZIDE 12.5MG; 10MG TABS 30 30
QUINAPRIL/HYDROCHLOROTHIAZIDE 25MG; 20MG TABS 60 30
QUININE SULFATE 324MG CAPS 42 7
RALOXIFENE HYDROCHLORIDE 60MG TABS 30 30
RAMIPRIL 1.25MG CAPS 60 30
RAMIPRIL 2.5MG CAPS 60 30
RAMIPRIL 5MG CAPS 60 30
RAMIPRIL 10MG CAPS 60 30
RANEXA 1000MG TB12 60 30
RANEXA 500MG TB12 60 30
RASAGILINE MESYLATE 0.5MG TABS 30 30
RASAGILINE MESYLATE 1MG TABS 30 30
REBIF 44MCG/0.5ML SOSY 6 28
-
REBIF 22MCG/0.5ML SOSY 6 28
REBIF REBIDOSE 22MCG/0.5ML SOAJ 6 28
REBIF REBIDOSE 44MCG/0.5ML SOAJ 6 28
REBIF REBIDOSE TITRATION PACK 0 SOAJ 4.2 28
REBIF TITRATION PACK 0 SOSY 4.2 28
RECOMBIVAX HB 10MCG/ML SUSP 3 365
RECOMBIVAX HB 10MCG/ML SUSP 3 365
RECOMBIVAX HB 40MCG/ML SUSP 3 365
RECOMBIVAX HB 5MCG/0.5ML SUSP 3 365
REGRANEX 0.0001 GEL 15 30
RELISTOR 12MG/0.6ML SOLN 16.8 28
RELISTOR 8MG/0.4ML SOLN 11.2 28
RELISTOR 12MG/0.6ML SOLN 16.8 28
RENVELA 2.4GM PACK 180 30
RENVELA 0.8GM PACK 180 30
RENVELA 800MG TABS 540 30
REPAGLINIDE 0.5MG TABS 120 30
REPAGLINIDE 1MG TABS 120 30
REPAGLINIDE 2MG TABS 240 30
REPATHA 140MG/ML SOSY 3 30
REPATHA PUSHTRONEX SYSTEM 420MG/3.5ML SOCT 3.5 30
REPATHA SURECLICK 140MG/ML SOAJ 3 30
REPREXAIN 10MG; 200MG TABS 150 30
RESCRIPTOR 200MG TABS 180 30
RESCRIPTOR 100MG TABS 270 30
RESTASIS 0.0005 EMUL 60 30
REVLIMID 15MG CAPS 21 28
REVLIMID 20MG CAPS 21 28
REVLIMID 25MG CAPS 21 28
REVLIMID 2.5MG CAPS 28 28
REVLIMID 5MG CAPS 28 28
REVLIMID 10MG CAPS 28 28
REXULTI 0.5MG TABS 30 30
REXULTI 0.25MG TABS 30 30
REXULTI 2MG TABS 30 30
REXULTI 4MG TABS 30 30
REXULTI 1MG TABS 30 30
REXULTI 3MG TABS 30 30
REYATAZ 200MG CAPS 60 30
REYATAZ 150MG CAPS 30 30
REYATAZ 300MG CAPS 30 30
REYATAZ 50MG PACK 180 30
RIBAVIRIN 200MG CAPS 168 28
RIBAVIRIN 200MG TABS 168 28
RIOMET 500MG/5ML SOLN 750 30
RISEDRONATE SODIUM 35MG TABS 4 28
RISEDRONATE SODIUM 30MG TABS 30 30
RISEDRONATE SODIUM 35MG TABS 4 28
RISEDRONATE SODIUM 5MG TABS 30 30
RISEDRONATE SODIUM 150MG TABS 1 30
RISEDRONATE SODIUM 35MG TABS 4 28
RISPERDAL CONSTA 12.5MG SUSR 2 28
RISPERDAL CONSTA 25MG SUSR 2 28
RISPERDAL CONSTA 50MG SUSR 2 28
RISPERDAL CONSTA 37.5MG SUSR 2 28
RISPERIDONE 1MG/ML SOLN 240 30
RISPERIDONE 1MG TABS 60 30
RISPERIDONE 2MG TABS 60 30
RISPERIDONE 4MG TABS 120 30
RISPERIDONE 3MG TABS 60 30
RISPERIDONE 0.5MG TABS 60 30
RISPERIDONE 0.25MG TABS 60 30
RISPERIDONE M-TAB 0.5MG TBDP 60 30
RISPERIDONE M-TAB 1MG TBDP 60 30
RISPERIDONE M-TAB 2MG TBDP 60 30
RISPERIDONE M-TAB 3MG TBDP 60 30
RISPERIDONE M-TAB 4MG TBDP 120 30
RISPERIDONE ODT 0.25MG TBDP 60 30
RISPERIDONE ODT 3MG TBDP 60 30
RISPERIDONE ODT 4MG TBDP 120 30
RISPERIDONE ODT 1MG TBDP 60 30
RISPERIDONE ODT 0.5MG TBDP 60 30
RISPERIDONE ODT 2MG TBDP 60 30
RITONAVIR 100MG TABS 360 30
RIVASTIGMINE TARTRATE 1.5MG CAPS 60 30
RIVASTIGMINE TARTRATE 3MG CAPS 60 30
RIVASTIGMINE TARTRATE 4.5MG CAPS 60 30
RIVASTIGMINE TARTRATE 6MG CAPS 60 30
RIVASTIGMINE TRANSDERMAL SYSTEM 4.6MG/24HR PT24 30 30
RIVASTIGMINE TRANSDERMAL SYSTEM 9.5MG/24HR PT24 30 30
RIVASTIGMINE TRANSDERMAL SYSTEM 13.3MG/24HR PT24 30 30
RIZATRIPTAN BENZOATE 10MG TABS 12 30
RIZATRIPTAN BENZOATE 5MG TABS 12 30
RIZATRIPTAN BENZOATE ODT 5MG TBDP 12 30
RIZATRIPTAN BENZOATE ODT 10MG TBDP 12 30
ROSUVASTATIN CALCIUM 5MG TABS 30 30
ROSUVASTATIN CALCIUM 10MG TABS 30 30
ROSUVASTATIN CALCIUM 40MG TABS 30 30
ROSUVASTATIN CALCIUM 20MG TABS 30 30
ROWEEPRA XR 750MG TB24 120 30
ROWEEPRA XR 500MG TB24 180 30
ROZEREM 8MG TABS 30 30
RUBRACA 200MG TABS 120 30
RUBRACA 300MG TABS 120 30
-
RUBRACA 250MG TABS 120 30
RUCONEST 2100UNIT SOLR 8 30
RYDAPT 25MG CAPS 224 28
SABRIL 500MG PACK 200 30
SABRIL 500MG TABS 180 30
SAMSCA 15MG TABS 30 30
SAMSCA 30MG TABS 60 30
SANCUSO 3.1MG/24HR PTCH 4 28
SAPHRIS 2.5MG SUBL 60 30
SAPHRIS 5MG SUBL 60 30
SAPHRIS 10MG SUBL 60 30
SAVAYSA 30MG TABS 30 30
SAVAYSA 60MG TABS 30 30
SAVAYSA 15MG TABS 30 30
SCOPOLAMINE 1MG/3DAYS PT72 10 30
SELZENTRY 20MG/ML SOLN 1610 26
SELZENTRY 300MG TABS 120 30
SELZENTRY 75MG TABS 60 30
SELZENTRY 25MG TABS 240 30
SELZENTRY 150MG TABS 60 30
SENSIPAR 60MG TABS 60 30
SENSIPAR 90MG TABS 120 30
SENSIPAR 30MG TABS 60 30
SEREVENT DISKUS 50MCG/DOSE AEPB 60 30
SERTRALINE HCL 20MG/ML CONC 300 30
SERTRALINE HCL 25MG TABS 30 30
SERTRALINE HCL 100MG TABS 60 30
SERTRALINE HCL 50MG TABS 120 30
SETLAKIN 0.03MG; 0.15MG TABS 91 91
SHINGRIX 50MCG SUSR 2 999
SIGNIFOR 0.6MG/ML SOLN 60 30
SIGNIFOR 0.9MG/ML SOLN 60 30
SIGNIFOR 0.3MG/ML SOLN 60 30
SILDENAFIL 20MG TABS 90 30
SILENOR 3MG TABS 30 30
SILENOR 6MG TABS 30 30
SIMVASTATIN 80MG TABS 30 30
SIMVASTATIN 10MG TABS 30 30
SIMVASTATIN 5MG TABS 30 30
SIMVASTATIN 20MG TABS 30 30
SIMVASTATIN 40MG TABS 30 30
SIRTURO 100MG TABS 188 365
SOLIQUA 100/33 100UNIT/ML; 33MCG/ML SOPN 18 30
SOMATULINE DEPOT 60MG/0.2ML SOLN 0.2 28
SOMATULINE DEPOT 90MG/0.3ML SOLN 0.3 28
SOMATULINE DEPOT 120MG/0.5ML SOLN 0.5 28
SOMAVERT 25MG SOLR 30 30
SOMAVERT 10MG SOLR 30 30
SOMAVERT 15MG SOLR 30 30
SOMAVERT 20MG SOLR 30 30
SOMAVERT 30MG SOLR 30 30
SPRITAM 250MG TB3D 60 30
SPRITAM 1000MG TB3D 60 30
SPRITAM 500MG TB3D 60 30
SPRITAM 750MG TB3D 120 30
SPRYCEL 20MG TABS 30 30
SPRYCEL 100MG TABS 30 30
SPRYCEL 50MG TABS 30 30
SPRYCEL 70MG TABS 30 30
SPRYCEL 80MG TABS 30 30
SPRYCEL 140MG TABS 30 30
STAMARIL 0 SUSR 1 999
STAVUDINE 40MG CAPS 60 30
STAVUDINE 30MG CAPS 60 30
STAVUDINE 15MG CAPS 60 30
STAVUDINE 20MG CAPS 60 30
STAVUDINE 1MG/ML SOLR 2400 30
STRIBILD 150MG; 150MG; 200MG; 300MG TABS 30 30
SUBOXONE 12MG; 3MG FILM 90 30
SUBOXONE 4MG; 1MG FILM 90 30
SUBOXONE 8MG; 2MG FILM 90 30
SUBOXONE 2MG; 0.5MG FILM 90 30
SUMATRIPTAN 5MG/ACT SOLN 12 30
SUMATRIPTAN 20MG/ACT SOLN 12 30
SUMATRIPTAN SUCCINATE 4MG/0.5ML SOAJ 8 30
SUMATRIPTAN SUCCINATE 6MG/0.5ML SOAJ 4 30
SUMATRIPTAN SUCCINATE 6MG/0.5ML SOAJ 4 30
SUMATRIPTAN SUCCINATE 6MG/0.5ML SOLN 4 30
SUMATRIPTAN SUCCINATE 6MG/0.5ML SOSY 4 30
SUMATRIPTAN SUCCINATE 25MG TABS 9 30
SUMATRIPTAN SUCCINATE 100MG TABS 9 30
SUMATRIPTAN SUCCINATE 50MG TABS 9 30
SUMATRIPTAN SUCCINATE REFILL 4MG/0.5ML SOCT 8 30
SUMATRIPTAN SUCCINATE REFILL 6MG/0.5ML SOCT 4 30
SUSTIVA 50MG CAPS 90 30
SUSTIVA 200MG CAPS 60 30
SUSTIVA 600MG TABS 30 30
SUTENT 50MG CAPS 28 28
SUTENT 37.5MG CAPS 28 28
SUTENT 25MG CAPS 28 28
SUTENT 12.5MG CAPS 28 28
SYLATRON 200MCG KIT 4 28
SYLATRON 300MCG KIT 4 28
SYLATRON 600MCG KIT 4 28
-
SYLATRON 600MCG KIT 4 28
SYMFI 600MG; 300MG; 300MG TABS 30 30
SYMFI LO 400MG; 300MG; 300MG TABS 30 30
SYMLINPEN 120 2700MCG/2.7ML SOPN 10.8 28
SYMLINPEN 60 1500MCG/1.5ML SOPN 6 30
SYNJARDY 5MG; 500MG TABS 60 30
SYNJARDY 12.5MG; 1000MG TABS 60 30
SYNJARDY 5MG; 1000MG TABS 60 30
SYNJARDY 12.5MG; 500MG TABS 60 30
SYNJARDY XR 5MG; 1000MG TB24 60 30
SYNJARDY XR 10MG; 1000MG TB24 30 30
SYNJARDY XR 12.5MG; 1000MG TB24 60 30
SYNJARDY XR 25MG; 1000MG TB24 30 30
SYNRIBO 3.5MG SOLR 28 28
TACROLIMUS 0.0003 OINT 100 90
TACROLIMUS 0.001 OINT 100 90
TAFINLAR 75MG CAPS 120 30
TAFINLAR 50MG CAPS 120 30
TAGRISSO 80MG TABS 30 30
TAGRISSO 40MG TABS 30 30
TAMIFLU 75MG CAPS 56 365
TAMIFLU 45MG CAPS 56 365
TAMIFLU 30MG CAPS 112 365
TAMIFLU 6MG/ML SUSR 700 365
TAMSULOSIN HCL 0.4MG CAPS 60 30
TARCEVA 25MG TABS 60 30
TARCEVA 100MG TABS 30 30
TARCEVA 150MG TABS 30 30
TARGRETIN 0.01 GEL 60 30
TASIGNA 150MG CAPS 112 28
TASIGNA 200MG CAPS 112 28
TASIGNA 50MG CAPS 420 30
TAZAROTENE 0.001 CREA 120 30
TAZORAC 0.0005 CREA 120 30
TAZORAC 0.001 CREA 120 30
TAZORAC 0.0005 GEL 100 30
TAZORAC 0.001 GEL 100 30
TECENTRIQ 1200MG/20ML SOLN 20 21
TECFIDERA 240MG CPDR 60 30
TECFIDERA 120MG CPDR 14 30
TECFIDERA STARTER PACK 0 MISC 120 365
TECHLITE PEN NEEDLES/31G X 6 MM MISC 200 30
TECHLITE PEN NEEDLES/31G X 8MM MISC 200 30
TECHLITE PEN NEEDLES/32G X 4MM MISC 200 30
TECHLITE PEN NEEDLES/32G X 6MM MISC 200 30
TECHLITE PEN NEEDLES/32G X 8MM MISC 200 30
TEKTURNA 150MG TABS 30 30
TEKTURNA 300MG TABS 30 30
TEKTURNA HCT 150MG; 12.5MG TABS 30 30
TEKTURNA HCT 150MG; 25MG TABS 30 30
TEKTURNA HCT 300MG; 25MG TABS 30 30
TEKTURNA HCT 300MG; 12.5MG TABS 30 30
TELMISARTAN 40MG TABS 30 30
TELMISARTAN 80MG TABS 30 30
TELMISARTAN 20MG TABS 30 30
TELMISARTAN/AMLODIPINE 5MG; 80MG TABS 30 30
TELMISARTAN/AMLODIPINE 5MG; 40MG TABS 30 30
TELMISARTAN/AMLODIPINE 10MG; 40MG TABS 30 30
TELMISARTAN/AMLODIPINE 10MG; 80MG TABS 30 30
TELMISARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 40MG TABS 30 30
TELMISARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 80MG TABS 30 30
TELMISARTAN/HYDROCHLOROTHIAZIDE 25MG; 80MG TABS 30 30
TEMAZEPAM 15MG CAPS 60 365
TEMAZEPAM 30MG CAPS 60 365
TEMAZEPAM 7.5MG CAPS 60 365
TEMAZEPAM 22.5MG CAPS 60 365
TENIVAC 2LFU; 5LFU INJ 0.5 28
TENOFOVIR DISOPROXIL FUMARATE 300MG TABS 30 30
TERAZOSIN HCL 10MG CAPS 60 30
TERBINAFINE HCL 250MG TABS 90 365
TESTOSTERONE 25MG/2.5GM GEL 300 30
TESTOSTERONE 50MG/5GM GEL 300 30
TESTOSTERONE ENANTHATE 200MG/ML SOLN 5 30
TESTOSTERONE PUMP 0.01 GEL 300 30
TETRABENAZINE 12.5MG TABS 90 30
TETRABENAZINE 25MG TABS 120 30
THALOMID 50MG CAPS 28 28
THALOMID 100MG CAPS 28 28
THALOMID 200MG CAPS 56 28
THALOMID 150MG CAPS 28 28
TIAGABINE HYDROCHLORIDE 2MG TABS 240 30
TIAGABINE HYDROCHLORIDE 12MG TABS 120 30
TIAGABINE HYDROCHLORIDE 16MG TABS 90 30
TIVICAY 50MG TABS 60 30
TIVICAY 25MG TABS 60 30
TIVICAY 10MG TABS 60 30
TOBI PODHALER 28MG CAPS 1568 365
TOBRAMYCIN 300MG/5ML NEBU 280 56
TOLTERODINE TARTRATE 1MG TABS 60 30
TOLTERODINE TARTRATE 2MG TABS 60 30
TOLTERODINE TARTRATE ER 2MG CP24 30 30
TOLTERODINE TARTRATE ER 4MG CP24 30 30
TORISEL 25MG/ML SOLN 4 28
TRACLEER 62.5MG TABS 60 30
-
TRACLEER 125MG TABS 60 30
TRACLEER 32MG TBSO 60 30
TRADJENTA 5MG TABS 30 30
TRAMADOL HCL 50MG TABS 240 30
TRAMADOL HYDROCHLORIDE/ACETAMINOPHEN 325MG; 37.5MG TABS 240 30
TRANDOLAPRIL 1MG TABS 30 30
TRANDOLAPRIL 4MG TABS 60 30
TRANDOLAPRIL 2MG TABS 60 30
TRANEXAMIC ACID 650MG TABS 30 28
TRANSDERM-SCOP 1MG/3DAYS PT72 10 30
TRAVATAN Z 0.00004 SOLN 5 30
TREANDA 180MG/2ML SOLN 4 21
TREANDA 45MG/0.5ML SOLN 6 21
TREANDA 25MG SOLR 8 21
TRELEGY ELLIPTA 100MCG/INH; 62.5MCG/INH; 25MCG/INH AEPB 60 30
TRELSTAR 11.25MG SUSR 1 84
TRELSTAR 3.75MG SUSR 1 28
TRELSTAR MIXJECT 22.5MG SUSR 1 168
TRELSTAR MIXJECT 11.25MG SUSR 1 84
TRELSTAR MIXJECT 3.75MG SUSR 1 28
TRETINOIN 0.001 CREA 45 30
TRETINOIN 0.0005 CREA 45 30
TRETINOIN 0.00025 CREA 45 30
TRETINOIN 0.0005 GEL 45 30
TRETINOIN 0.0001 GEL 45 30
TRETINOIN 0.00025 GEL 45 30
TRINTELLIX 5MG TABS 30 30
TRINTELLIX 20MG TABS 30 30
TRINTELLIX 10MG TABS 30 30
TRIPTODUR 22.5MG SRER 1 168
TRIUMEQ 600MG; 50MG; 300MG TABS 30 30
TROKENDI XR 100MG CP24 30 30
TROKENDI XR 25MG CP24 30 30
TROKENDI XR 50MG CP24 30 30
TROKENDI XR 200MG CP24 60 30
TRULANCE 3MG TABS 30 30
TRULICITY 1.5MG/0.5ML SOPN 2 28
TRULICITY 0.75MG/0.5ML SOPN 2 28
TRUVADA 133MG; 200MG TABS 30 30
TRUVADA 167MG; 250MG TABS 30 30
TRUVADA 100MG; 150MG TABS 30 30
TRUVADA 200MG; 300MG TABS 30 30
TYBOST 150MG TABS 30 30
TYKERB 250MG TABS 180 30
TYSABRI 300MG/15ML CONC 15 28
TYZEKA 600MG TABS 30 30
ULORIC 80MG TABS 30 30
ULORIC 40MG TABS 30 30
VALACYCLOVIR HCL 500MG TABS 30 30
VALACYCLOVIR HCL 1GM TABS 30 30
VALCHLOR 0.00016 GEL 60 30
VALSARTAN 80MG TABS 30 30
VALSARTAN 160MG TABS 30 30
VALSARTAN 320MG TABS 30 30
VALSARTAN 40MG TABS 30 30
VALSARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 80MG TABS 30 30
VALSARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 160MG TABS 30 30
VALSARTAN/HYDROCHLOROTHIAZIDE 25MG; 160MG TABS 30 30
VALSARTAN/HYDROCHLOROTHIAZIDE 12.5MG; 320MG TABS 30 30
VALSARTAN/HYDROCHLOROTHIAZIDE 25MG; 320MG TABS 30 30
VANCOMYCIN HCL 125MG CAPS 40 10
VANCOMYCIN HCL 250MG CAPS 80 10
VARIVAX 1350PFU/0.5ML INJ 1 365
VARIZIG 125UNIT SOLR 12 30
VARIZIG 125UNIT/1.2ML SOLN 12 30
VASCEPA 0.5GM CAPS 240 30
VASCEPA 1GM CAPS 120 30
VELCADE 3.5MG SOLR 14 21
VELPHORO 500MG CHEW 180 30
VENCLEXTA 50MG TABS 30 30
VENCLEXTA 10MG TABS 60 30
VENCLEXTA 100MG TABS 120 30
VENCLEXTA STARTING PACK 0 TBPK 84 365
VENLAFAXINE HCL 75MG TABS 90 30
VENLAFAXINE HCL 50MG TABS 90 30
VENLAFAXINE HCL 25MG TABS 90 30
VENLAFAXINE HCL 100MG TABS 90 30
VENLAFAXINE HCL 37.5MG TABS 90 30
VENLAFAXINE HCL ER 37.5MG CP24 30 30
VENLAFAXINE HCL ER 150MG CP24 60 30
VENLAFAXINE HCL ER 75MG CP24 90 30
VENTAVIS 10MCG/ML SOLN 270 30
VENTAVIS 20MCG/ML SOLN 270 30
VENTOLIN HFA 108MCG/ACT AERS 36 30
VERAPAMIL HCL ER 100MG CP24 30 30
VERAPAMIL HCL ER 200MG CP24 60 30
VERAPAMIL HCL ER 180MG CP24 30 30
VERAPAMIL HCL ER 120MG CP24 30 30
VERAPAMIL HCL ER 240MG CP24 30 30
VERAPAMIL HCL ER 300MG CP24 30 30
VERAPAMIL HCL SR 360MG CP24 30 30
VERSACLOZ 50MG/ML SUSP 540 30
VERZENIO 50MG TABS 60 30
-
VERZENIO 100MG TABS 60 30
VERZENIO 150MG TABS 60 30
VERZENIO 200MG TABS 60 30
VESICARE 5MG TABS 30 30
VESICARE 10MG TABS 30 30
VIBERZI 75MG TABS 60 30
VIBERZI 100MG TABS 60 30
VICODIN 300MG; 5MG TABS 360 30
VICODIN ES 300MG; 7.5MG TABS 180 30
VICODIN HP 300MG; 10MG TABS 180 30
VICTOZA 18MG/3ML SOPN 9 30
VIDEX EC 125MG CPDR 30 30
VIDEX PEDIATRIC 4GM SOLR 1200 30
VIDEX PEDIATRIC 2GM SOLR 1200 30
VIGABATRIN 500MG PACK 200 30
VIIBRYD 0 KIT 30 30
VIIBRYD 40MG TABS 30 30
VIIBRYD 10MG TABS 30 30
VIIBRYD 20MG TABS 30 30
VIIBRYD STARTER PACK 0 KIT 30 30
VIMPAT 200MG/20ML SOLN 1200 30
VIMPAT 10MG/ML SOLN 1200 30
VIMPAT 100MG TABS 60 30
VIMPAT 200MG TABS 60 30
VIMPAT 150MG TABS 60 30
VIMPAT 50MG TABS 60 30
VIRACEPT 250MG TABS 270 30
VIRACEPT 625MG TABS 120 30
VIRAMUNE 50MG/5ML SUSP 1200 30
VIREAD 40MG/GM POWD 240 30
VIREAD 250MG TABS 30 30
VIREAD 150MG TABS 30 30
VIREAD 200MG TABS 30 30
VIREAD 300MG TABS 30 30
VITEKTA 150MG TABS 30 30
VITEKTA 85MG TABS 30 30
VORICONAZOLE 40MG/ML SUSR 300 30
VORICONAZOLE 50MG TABS 90 30
VORICONAZOLE 200MG TABS 90 30
VOSEVI 400MG; 100MG; 100MG TABS 30 30
VOTRIENT 200MG TABS 120 30
VRAYLAR 3MG CAPS 30 30
VRAYLAR 1.5MG CAPS 30 30
VRAYLAR 4.5MG CAPS 30 30
VRAYLAR 6MG CAPS 30 30
VRAYLAR 0 CPPK 14 365
XALKORI 200MG CAPS 60 30
XALKORI 250MG CAPS 60 30
XARELTO 15MG TABS 60 30
XARELTO 20MG TABS 30 30
XARELTO 10MG TABS 90 90
XARELTO STARTER PACK 0 TBPK 102 365
XGEVA 120MG/1.7ML SOLN 1.7 28
XIFAXAN 200MG TABS 9 30
XIFAXAN 550MG TABS 90 30
XIGDUO XR 5MG; 500MG TB24 30 30
XIGDUO XR 5MG; 1000MG TB24 60 30
XIGDUO XR 10MG; 500MG TB24 30 30
XIGDUO XR 10MG; 1000MG TB24 30 30
XIGDUO XR 2.5MG; 1000MG TB24 30 30
XOLAIR 150MG SOLR 6 28
XTAMPZA ER 9MG C12A 60 30
XTAMPZA ER 13.5MG C12A 60 30
XTAMPZA ER 18MG C12A 60 30
XTAMPZA ER 27MG C12A 60 30
XTAMPZA ER 36MG C12A 60 30
XTANDI 40MG CAPS 120 30
XULTOPHY 100/3.6 100UNIT/ML; 3.6MG/ML SOPN 15 30
XYLON 10MG; 200MG TABS 150 30
XYREM 500MG/ML SOLN 540 30
YERVOY 200MG/40ML SOLN 80 21
YONSA 125MG TABS 120 30
YUVAFEM 10MCG TABS 18 28
ZAFIRLUKAST 20MG TABS 60 30
ZAFIRLUKAST 10MG TABS 60 30
ZALEPLON 5MG CAPS 30 30
ZALEPLON 10MG CAPS 30 30
ZALTRAP 100MG/4ML SOLN 40 28
ZALTRAP 200MG/8ML SOLN 40 28
ZAVESCA 100MG CAPS 90 30
ZEBUTAL 325MG; 50MG; 40MG CAPS 180 30
ZEJULA 100MG CAPS 90 30
ZELBORAF 240MG TABS 240 30
ZERIT 1MG/ML SOLR 2400 30
ZETIA 10MG TABS 30 30
ZIAGEN 20MG/ML SOLN 960 30
ZIDOVUDINE 100MG CAPS 180 30
ZIDOVUDINE 50MG/5ML SYRP 1680 28
ZIDOVUDINE 300MG TABS 60 30ZIOPTAN 0.015MG/ML SOLN 30 30
ZIPRASIDONE HCL 60MG CAPS 60 30
ZIPRASIDONE HCL 20MG CAPS 60 30
ZIPRASIDONE HCL 40MG CAPS 60 30
ZIPRASIDONE HCL 80MG CAPS 60 30
-
ZMAX 2GM SUSR 60 30
ZOLEDRONIC ACID 4MG/5ML CONC 15 21
ZOLEDRONIC ACID 5MG/100ML SOLN 100 365
ZOLEDRONIC ACID 4MG SOLR 3 21
ZOLINZA 100MG CAPS 120 30
ZOLPIDEM TARTRATE 5MG TABS 30 30
ZOLPIDEM TARTRATE 10MG TABS 30 30
ZORTRESS 0.75MG TABS 60 30
ZORTRESS 0.5MG TABS 120 30
ZORTRESS 0.25MG TABS 60 30
ZOSTAVAX 19400UNT/0.65ML SUSR 1 999
ZOVIRAX 0.05 CREA 5 30
ZUBSOLV 5.7MG; 1.4MG SUBL 90 30
ZUBSOLV 1.4MG; 0.36MG SUBL 90 30
ZUBSOLV 8.6MG; 2.1MG SUBL 90 30
ZUBSOLV 11.4MG; 2.9MG SUBL 90 30
ZUBSOLV 2.9MG; 0.71MG SUBL 90 30
ZUBSOLV 0.7MG; 0.18MG SUBL 30 30
ZYCLARA 0.0375 CREA 56 30
ZYCLARA PUMP 0.025 CREA 15 30
ZYCLARA PUMP 0.0375 CREA 56 30
ZYDELIG 100MG TABS 60 30
ZYDELIG 150MG TABS 60 30
ZYKADIA 150MG CAPS 140 28
ZYPREXA RELPREVV 405MG SUSR 1 28
ZYPREXA RELPREVV 210MG SUSR 2 28
ZYPREXA RELPREVV 300MG SUSR 2 28
ZYTIGA 250MG TABS 120 30
ZYTIGA 500MG TABS 60 30
Structure BookmarksWorkbookWorksheetTableSpan2018 Cigna-HealthSpring Quantity Limit Criteria - MAPD/MMP - Cigna-HealthSpring Achieve, Primary, TotalCare, Traditions, Preferred, Preferred Plus, Premier, PreventiveCare, and CarePlan2018 Cigna-HealthSpring Quantity Limit Criteria - MAPD/MMP - Cigna-HealthSpring Achieve, Primary, TotalCare, Traditions, Preferred, Preferred Plus, Premier, PreventiveCare, and CarePlan2018 Cigna-HealthSpring Quantity Limit Criteria - MAPD/MMP - Cigna-HealthSpring Achieve, Primary, TotalCare, Traditions, Preferred, Preferred Plus, Premier, PreventiveCare, and CarePlan
Drug NameDrug NameDrug Name
StrengthStrength
Dosage FormDosage Form
Quantity LimitQuantity Limit
Days SupplyDays Supply
ABACAVIRABACAVIRABACAVIR
20MG/ML20MG/ML
SOLNSOLN
960960
3030
ABACAVIRABACAVIRABACAVIR
300MG300MG
TABSTABS
6060
3030
ABACAVIR SULFATE/LAMIVUDINE/ZIDOVUDINEABACAVIR SULFATE/LAMIVUDINE/ZIDOVUDINEABACAVIR SULFATE/LAMIVUDINE/ZIDOVUDINE
300MG; 150MG; 300MG300MG; 150MG; 300MG
TABSTABS
6060
3030
ABACAVIR/LAMIVUDINEABACAVIR/LAMIVUDINEABACAVIR/LAMIVUDINE
600MG; 300MG600MG; 300MG
TABSTABS
3030
3030
ABILIFY MAINTENAABILIFY MAINTENAABILIFY MAINTENA
300MG300MG
PRSYPRSY
11
2828
ABILIFY MAINTENAABILIFY MAINTENAABILIFY MAINTENA
400MG400MG
PRSYPRSY
11
2828
ABILIFY MAINTENAABILIFY MAINTENAABILIFY MAINTENA
300MG300MG
SRERSRER
11
2828
ABILIFY MAINTENAABILIFY MAINTENAABILIFY MAINTENA
400MG400MG
SRERSRER
11
2828
ACARBOSEACARBOSEACARBOSE
25MG25MG
TABSTABS
9090
3030
ACARBOSEACARBOSEACARBOSE
50MG50MG
TABSTABS
9090
3030
ACARBOSEACARBOSEACARBOSE
100MG100MG
TABSTABS
9090
3030
ACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINE
120MG/5ML; 12MG/5ML120MG/5ML; 12MG/5ML
SOLNSOLN
27002700
3030
ACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINE
300MG; 30MG300MG; 30MG
TABSTABS
360360
3030
ACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINE
300MG; 60MG300MG; 60MG
TABSTABS
180180
3030
ACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINEACETAMINOPHEN/CODEINE
300MG; 15MG300MG; 15MG
TABSTABS
360360
3030
ACETAMINOPHEN/CODEINE PHOSPHATEACETAMINOPHEN/CODEINE PHOSPHATEACETAMINOPHEN/CODEINE PHOSPHATE
300MG; 30MG300MG; 30MG
TABSTABS
360360
3030
ACTEMRAACTEMRAACTEMRA
200MG/10ML200MG/10ML
SOLNSOLN
4040
2828
ACTEMRAACTEMRAACTEMRA
80MG/4ML80MG/4ML
SOLNSOLN
4040
2828
ACTEMRAACTEMRAACTEMRA
400MG/20ML400MG/20ML
SOLNSOLN
4040
2828
ACTEMRAACTEMRAACTEMRA
162MG/0.9ML162MG/0.9ML
SOSYSOSY
3.63.6
2828
ACYCLOVIRACYCLOVIRACYCLOVIR
0.050.05
OINTOINT
3030
3030
ADACELADACELADACEL
15.5MCG/0.5ML; 2LF/0.5ML; 5LF/0.5ML15.5MCG/0.5ML; 2LF/0.5ML; 5LF/0.5ML
SUSPSUSP
0.50.5
365365
ADACELADACELADACEL
15.5MCG/0.5ML; 2LF/0.5ML; 5LF/0.5ML15.5MCG/0.5ML; 2LF/0.5ML; 5LF/0.5ML
SUSPSUSP
0.50.5
365365
ADEFOVIR DIPIVOXILADEFOVIR DIPIVOXILADEFOVIR DIPIVOXIL
10MG10MG
TABSTABS
3030
3030
ADEMPASADEMPASADEMPAS
0.5MG0.5MG
TABSTABS
9090
3030
ADEMPASADEMPASADEMPAS
2MG2MG
TABSTABS
9090
3030
ADEMPASADEMPASADEMPAS
1MG1MG
TABSTABS
9090
3030
ADEMPASADEMPASADEMPAS
1.5MG1.5MG
TABSTABS
9090
3030
ADEMPASADEMPASADEMPAS
2.5MG2.5MG
TABSTABS
9090
3030
ADVAIR DISKUSADVAIR DISKUSADVAIR DISKUS
100MCG/DOSE; 50MCG/DOSE100MCG/DOSE; 50MCG/DOSE
AEPBAEPB
6060
3030
ADVAIR DISKUSADVAIR DISKUSADVAIR DISKUS
250MCG/DOSE; 50MCG/DOSE250MCG/DOSE; 50MCG/DOSE
AEPBAEPB
6060
3030
ADVAIR DISKUSADVAIR DISKUSADVAIR DISKUS
500MCG/DOSE; 50MCG/DOSE500MCG/DOSE; 50MCG/DOSE
AEPBAEPB
6060
3030
ADVAIR HFAADVAIR HFAADVAIR HFA
45MCG/ACT; 21MCG/ACT45MCG/ACT; 21MCG/ACT
AEROAERO
1212
3030
ADVAIR HFAADVAIR HFAADVAIR HFA
230MCG/ACT; 21MCG/ACT230MCG/ACT; 21MCG/ACT
AEROAERO
1212
3030
ADVAIR HFAADVAIR HFAADVAIR HFA
115MCG/ACT; 21MCG/ACT115MCG/ACT; 21MCG/ACT
AEROAERO
1212
3030
AFEDITAB CRAFEDITAB CRAFEDITAB CR
60MG60MG
TB24TB24
6060
3030
AFEDITAB CRAFEDITAB CRAFEDITAB CR
30MG30MG
TB24TB24
6060
3030
AFINITORAFINITORAFINITOR
7.5MG7.5MG
TABSTABS
2828
2828
AFINITORAFINITORAFINITOR
5MG5MG
TABSTABS
2828
2828
AFINITORAFINITORAFINITOR
2.5MG2.5MG
TABSTABS
2828
2828
AFINITORAFINITORAFINITOR
10MG10MG
TABSTABS
5656
2828
AFINITOR DISPERZAFINITOR DISPERZAFINITOR DISPERZ
3MG3MG
TBSOTBSO
5656
2828
AFINITOR DISPERZAFINITOR DISPERZAFINITOR DISPERZ
2MG2MG
TBSOTBSO
5656
2828
AFINITOR DISPERZAFINITOR DISPERZAFINITOR DISPERZ
5MG5MG
TBSOTBSO
112112
2828
ALBUTEROL SULFATEALBUTEROL SULFATEALBUTEROL SULFATE
1.25MG/3ML1.25MG/3ML
NEBUNEBU
360360
3030
ALBUTEROL SULFATEALBUTEROL SULFATEALBUTEROL SULFATE
0.0050.005
NEBUNEBU
180180
3030
ALBUTEROL SULFATEALBUTEROL SULFATEALBUTEROL SULFATE
0.63MG/3ML0.63MG/3ML
NEBUNEBU
360360
3030
ALBUTEROL SULFATEALBUTEROL SULFATEALBUTEROL SULFATE
0.000830.00083
NEBUNEBU
360360
3030
ALECENSAALECENSAALECENSA
150MG150MG
CAPSCAPS
240240
3030
ALENDRONATE SODIUMALENDRONATE SODIUMALENDRONATE SODIUM
40MG40MG
TABSTABS
3030
3030
ALENDRONATE SODIUMALENDRONATE SODIUMALENDRONATE SODIUM
5MG5MG
TABSTABS
3030
3030
ALENDRONATE SODIUMALENDRONATE SODIUMALENDRONATE SODIUM
70MG70MG
TABSTABS
44
2828
ALENDRONATE SODIUMALENDRONATE SODIUMALENDRONATE SODIUM
10MG10MG
TABSTABS
3030
3030
ALENDRONATE SODIUMALENDRONATE SODIUMALENDRONATE SODIUM
35MG35MG
TABSTABS
44
2828
ALFUZOSIN HCL ERALFUZOSIN HCL ERALFUZOSIN HCL ER
10MG10MG
TB24TB24
3030
3030
ALINIAALINIAALINIA
100MG/5ML100MG/5ML
SUSRSUSR
150150
3030
ALINIAALINIAALINIA
500MG500MG
TABSTABS
2020
3030
ALIQOPAALIQOPAALIQOPA
60MG60MG
SOLRSOLR
33
2828
ALORAALORAALORA
0.075MG/24HR0.075MG/24HR
PTTWPTTW
88
2828
ALORAALORAALORA
0.1MG/24HR0.1MG/24HR
PTTWPTTW
88
2828
ALORAALORAALORA
0.025MG/24HR0.025MG/24HR
PTTWPTTW
88
2828
ALORAALORAALORA
0.05MG/24HR0.05MG/24HR
PTTWPTTW
88
2828
ALOSETRON HYDROCHLORIDEALOSETRON HYDROCHLORIDEALOSETRON HYDROCHLORIDE
0.5MG0.5MG
TABSTABS
6060
3030
ALOSETRON HYDROCHLORIDEALOSETRON HYDROCHLORIDEALOSETRON HYDROCHLORIDE
1MG1MG
TABSTABS
6060
3030
ALPRAZOLAMALPRAZOLAMALPRAZOLAM
1MG1MG
TABSTABS
9090
3030
ALPRAZOLAMALPRAZOLAMALPRAZOLAM
2MG2MG
TABSTABS
150150
3030
ALPRAZOLAMALPRAZOLAMALPRAZOLAM
0.5MG0.5MG
TABSTABS
9090
3030
ALPRAZOLAMALPRAZOLAMALPRAZOLAM
0.25MG0.25MG
TABSTABS
9090
3030
ALPRAZOLAM ODTALPRAZOLAM ODTALPRAZOLAM ODT
1MG1MG
TBDPTBDP
9090
3030
ALPRAZOLAM ODTALPRAZOLAM ODTALPRAZOLAM ODT
0.25MG0.25MG
TBDPTBDP
9090
3030
ALPRAZOLAM ODTALPRAZOLAM ODTALPRAZOLAM ODT
0.5MG0.5MG
TBDPTBDP
9090
3030
ALPRAZOLAM ODTALPRAZOLAM ODTALPRAZOLAM ODT
2MG2MG
TBDPTBDP
150150
3030
ALUNBRIGALUNBRIGALUNBRIG
90MG90MG
TABSTABS
3030
3030
ALUNBRIGALUNBRIGALUNBRIG
180MG180MG
TABSTABS
3030
3030
ALUNBRIGALUNBRIGALUNBRIG
30MG30MG
TABSTABS
180180
3030
ALUNBRIGALUNBRIGALUNBRIG
00
TBPKTBPK
6060
365365
AMETHIAAMETHIAAMETHIA
0; 00; 0
TABSTABS
9191
9191
AMETHIA LOAMETHIA LOAMETHIA LO
0; 00; 0
TABSTABS
9191
9191
AMITIZAAMITIZAAMITIZA
24MCG24MCG
CAPSCAPS
6060
3030
AMITIZAAMITIZAAMITIZA
8MCG8MCG
CAPSCAPS
6060
3030
AMLODIPINE BESYLATEAMLODIPINE BESYLATEAMLODIPINE BESYLATE
5MG5MG
TABSTABS
6060
3030
AMLODIPINE BESYLATEAMLODIPINE BESYLATEAMLODIPINE BESYLATE
10MG10MG
TABSTABS
3030
3030
AMLODIPINE BESYLATEAMLODIPINE BESYLATEAMLODIPINE BESYLATE
2.5MG2.5MG
TABSTABS
120120
3030
AMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDE
10MG; 20MG10MG; 20MG
CAPSCAPS
3030
3030
AMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDE
5MG; 40MG5MG; 40MG
CAPSCAPS
6060
3030
AMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDE
2.5MG; 10MG2.5MG; 10MG
CAPSCAPS
6060
3030
SpanAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDE
10MG; 40MG10MG; 40MG
CAPSCAPS
3030
3030
AMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDE
5MG; 10MG5MG; 10MG
CAPSCAPS
6060
3030
AMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDE
5MG; 20MG5MG; 20MG
CAPSCAPS
6060
3030
AMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTAN
10MG; 320MG10MG; 320MG
TABSTABS
3030
3030
AMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTAN
5MG; 160MG5MG; 160MG
TABSTABS
3030
3030
AMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTAN
10MG; 160MG10MG; 160MG
TABSTABS
3030
3030
AMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTANAMLODIPINE BESYLATE/VALSARTAN
5MG; 320MG5MG; 320MG
TABSTABS
3030
3030
AMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMIL
10MG; 20MG10MG; 20MG
TABSTABS
3030
3030
AMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMIL
10MG; 40MG10MG; 40MG
TABSTABS
3030
3030
AMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMIL
5MG; 40MG5MG; 40MG
TABSTABS
3030
3030
AMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMILAMLODIPINE/OLMESARTAN MEDOXOMIL
5MG; 20MG5MG; 20MG
TABSTABS
3030
3030
AMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZ
5MG; 12.5MG; 160MG5MG; 12.5MG; 160MG
TABSTABS
3030
3030
AMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZ
10MG; 25MG; 320MG10MG; 25MG; 320MG
TABSTABS
3030
3030
AMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZ
10MG; 12.5MG; 160MG10MG; 12.5MG; 160MG
TABSTABS
3030
3030
AMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZ
5MG; 25MG; 160MG5MG; 25MG; 160MG
TABSTABS
3030
3030
AMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZAMLODIPINE/VALSARTAN/HCTZ
10MG; 25MG; 160MG10MG; 25MG; 160MG
TABSTABS
3030
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
3.75MG; 3.75MG; 3.75MG; 3.75MG3.75MG; 3.75MG; 3.75MG; 3.75MG
CP24CP24
3030
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
2.5MG; 2.5MG; 2.5MG; 2.5MG2.5MG; 2.5MG; 2.5MG; 2.5MG
CP24CP24
3030
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
5MG; 5MG; 5MG; 5MG5MG; 5MG; 5MG; 5MG
CP24CP24
3030
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
7.5MG; 7.5MG; 7.5MG; 7.5MG7.5MG; 7.5MG; 7.5MG; 7.5MG
CP24CP24
3030
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
1.25MG; 1.25MG; 1.25MG; 1.25MG1.25MG; 1.25MG; 1.25MG; 1.25MG
CP24CP24
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
6.25MG; 6.25MG; 6.25MG; 6.25MG6.25MG; 6.25MG; 6.25MG; 6.25MG
CP24CP24
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
2.5MG; 2.5MG; 2.5MG; 2.5MG2.5MG; 2.5MG; 2.5MG; 2.5MG
TABSTABS
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
1.875MG; 1.875MG; 1.875MG; 1.875MG1.875MG; 1.875MG; 1.875MG; 1.875MG
TABSTABS
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
3.125MG; 3.125MG; 3.125MG; 3.125MG3.125MG; 3.125MG; 3.125MG; 3.125MG
TABSTABS
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
7.5MG; 7.5MG; 7.5MG; 7.5MG7.5MG; 7.5MG; 7.5MG; 7.5MG
TABSTABS
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
3.75MG; 3.75MG; 3.75MG; 3.75MG3.75MG; 3.75MG; 3.75MG; 3.75MG
TABSTABS
6060
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
5MG; 5MG; 5MG; 5MG5MG; 5MG; 5MG; 5MG
TABSTABS
9090
3030
AMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINEAMPHETAMINE/DEXTROAMPHETAMINE
1.25MG; 1.25MG; 1.25MG; 1.25MG1.25MG; 1.25MG; 1.25MG; 1.25MG
TABSTABS
6060
3030
AMPYRAAMPYRAAMPYRA
10MG10MG
TB12TB12
6060
3030
ANASTROZOLEANASTROZOLEANASTROZOLE
1MG1MG
TABSTABS
3030
3030
ANORO ELLIPTAANORO ELLIPTAANORO ELLIPTA
62.5MCG/INH; 25MCG/INH62.5MCG/INH; 25MCG/INH
AEPBAEPB
6060
3030
APOKYNAPOKYNAPOKYN
30MG/3ML30MG/3ML
SOCTSOCT
6060
3030
APREPITANTAPREPITANTAPREPITANT
125MG125MG
CAPSCAPS
22
2828
APREPITANTAPREPITANTAPREPITANT
00
CAPSCAPS
66
2828
APREPITANTA