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SGRX

INTRODUCTION ........................................................................................................................................................................................... 4 NOTICE ........................................................................................................................................................................................................ 4 SCRIPTGUIDERX PHARMACY & THERAPEUTICS COMMITTEE (P&T) ...................................................................................................... 4 PRODUCT SELECTION CRITERIA ............................................................................................................................................................... 4 GENERIC SUBSTITUTION ........................................................................................................................................................................... 4 SPECIALTY DRUG PROGRAM - PRIOR AUTHORIZATION REQUIRED ...................................................................................................... 4 PRIOR AUTHORIZATION ............................................................................................................................................................................. 5 STEP THERAPY ........................................................................................................................................................................................... 5 LIMITATIONS ............................................................................................................................................................................................... 5 PREFACE ..................................................................................................................................................................................................... 5 LEGEND ....................................................................................................................................................................................................... 5 ANALGESICS ............................................................................................................................................................................................... 5

NSAIDs ............................................................................................................................................................................................... 5 GOUT ................................................................................................................................................................................................. 6 NARCOTIC ANALGESICS................................................................................................................................................................... 6 NARCOTIC ANALGESICS, CII ............................................................................................................................................................ 6 NON-NARCOTIC ANALGESICS .......................................................................................................................................................... 7

ANTI-INFECTIVES ........................................................................................................................................................................................ 7 ANTIBACTERIALS .............................................................................................................................................................................. 7 ANTIFUNGALS ................................................................................................................................................................................... 8 ANTIMALARIALS ................................................................................................................................................................................ 8 ANTIRETROVIRAL AGENTS ............................................................................................................................................................... 8 ANTITUBERCULAR AGENTS ............................................................................................................................................................. 9 ANTIVIRALS ....................................................................................................................................................................................... 9 MISCELLANEOUS .............................................................................................................................................................................10

ANTINEOPLASTIC AGENTS .......................................................................................................................................................................10 ALKYLATING AGENTS ......................................................................................................................................................................10 ANTIMETABOLITES...........................................................................................................................................................................10 HORMONAL ANTINEOPLASTIC AGENTS .........................................................................................................................................10 KINASE INHIBITORS .........................................................................................................................................................................10 MISCELLANEOUS .............................................................................................................................................................................10

CARDIOVASCULAR ....................................................................................................................................................................................10 ACE INHIBITORS ...............................................................................................................................................................................11 ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS ...................................................................................................11 ACE INHIBITOR/DIURETIC COMBINATIONS.....................................................................................................................................11 ADRENOLYTICS, CENTRAL ..............................................................................................................................................................11 ALDOSTERONE RECEPTOR ANTAGONISTS ...................................................................................................................................11 ALPHA BLOCKERS ...........................................................................................................................................................................11 ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS ......................................................................................11 ANTIARRHYTHMICS .........................................................................................................................................................................12 ANTILIPEMICS ..................................................................................................................................................................................12 BETA-BLOCKERS..............................................................................................................................................................................12 BETA-BLOCKER/DIURETIC COMBINATIONS ...................................................................................................................................13 CALCIUM CHANNEL BLOCKERS ......................................................................................................................................................13 DIGITALIS GLYCOSIDES...................................................................................................................................................................13 DIURETICS ........................................................................................................................................................................................13 NITRATES .........................................................................................................................................................................................14 PULMONARY ARTERIAL HYPERTENSION .......................................................................................................................................14 MISCELLANEOUS .............................................................................................................................................................................14

CENTRAL NERVOUS SYSTEM ...................................................................................................................................................................14 ANTIANXIETY ....................................................................................................................................................................................14 ANTICONVULSANTS .........................................................................................................................................................................15 ANTIDEMENTIA .................................................................................................................................................................................15 ANTIDEPRESSANTS .........................................................................................................................................................................15 ANTIPARKINSONIAN AGENTS ..........................................................................................................................................................16 ANTIPSYCHOTICS ............................................................................................................................................................................16 ATTENTION DEFICIT HYPERACTIVITY DISORDER..........................................................................................................................16 HYPNOTICS ......................................................................................................................................................................................17

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MIGRAINE .........................................................................................................................................................................................17 MOOD STABILIZERS .........................................................................................................................................................................17 MUSCULOSKELETAL THERAPY AGENTS ........................................................................................................................................17 MYASTHENIA GRAVIS ......................................................................................................................................................................17 PSYCHOTHERAPEUTIC-MISCELLANEOUS......................................................................................................................................18

ENDOCRINE AND METABOLIC ..................................................................................................................................................................18 ANDROGENS ....................................................................................................................................................................................18 ANTIDIABETICS ................................................................................................................................................................................18 CALCIUM REGULATORS ..................................................................................................................................................................19 CONTRACEPTIVES ...........................................................................................................................................................................19 ENDOMETRIOSIS..............................................................................................................................................................................20 ESTROGENS .....................................................................................................................................................................................21 ESTROGEN/PROGESTINS ................................................................................................................................................................21 FERTILITY REGULATORS .................................................................................................................................................................21 GLUCOCORTICOIDS .........................................................................................................................................................................21 GLUCOSE ELEVATING AGENTS ......................................................................................................................................................21 HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS ...........................................................................................................21 PHOSPHATE BINDER AGENTS ........................................................................................................................................................21 PROGESTINS ....................................................................................................................................................................................22 THYROID AGENTS ............................................................................................................................................................................22 VASOPRESSINS ...............................................................................................................................................................................22 MISCELLANEOUS .............................................................................................................................................................................22

GASTROINTESTINAL .................................................................................................................................................................................22 ANTIDIARRHEALS .............................................................................................................................................................................22 ANTIEMETICS ...................................................................................................................................................................................22 ANTISPASMODICS ............................................................................................................................................................................22 CHOLELITHOLYTICS ........................................................................................................................................................................23 H2-RECEPTOR ANTAGONISTS .........................................................................................................................................................23 INFLAMMATORY BOWEL DISEASE ..................................................................................................................................................23 LAXATIVES ........................................................................................................................................................................................23 PANCREATIC ENZYMES ...................................................................................................................................................................23 PROSTAGLANDINS ...........................................................................................................................................................................23 PROTON PUMP INHIBITORS ............................................................................................................................................................23 SALIVA STIMULANTS ........................................................................................................................................................................23 STEROIDS, RECTAL .........................................................................................................................................................................23 MISCELLANEOUS .............................................................................................................................................................................23

GENITOURINARY........................................................................................................................................................................................24 BENIGN PROSTATIC HYPERPLASIA ................................................................................................................................................24 URINARY ANTISPASMODICS ...........................................................................................................................................................24 VAGINAL ANTI-INFECTIVES .............................................................................................................................................................24 MISCELLANEOUS .............................................................................................................................................................................24

HEMATOLOGIC...........................................................................................................................................................................................24 ANTICOAGULANTS ...........................................................................................................................................................................24 PLATELET AGGREGATION INHIBITORS ..........................................................................................................................................24 PLATELET SYNTHESIS INHIBITORS ................................................................................................................................................24 MISCELLANEOUS .............................................................................................................................................................................24

IMMUNOLOGIC AGENTS ............................................................................................................................................................................25 DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs) ...........................................................................................................25 IMMUNOMODULATORS ....................................................................................................................................................................25 IMMUNOSUPPRESSANTS ................................................................................................................................................................25

NUTRITIONAL/SUPPLEMENTS...................................................................................................................................................................25 ELECTROLYTES ...............................................................................................................................................................................25 VITAMINS AND MINERALS................................................................................................................................................................25

RESPIRATORY............................................................................................................................................................................................26 ANAPHYLAXIS TREATMENT AGENTS ..............................................................................................................................................26 ANTICHOLINERGICS ........................................................................................................................................................................26 ANTICHOLINERGIC/BETA AGONIST COMBINATIONS .....................................................................................................................26 ANTIHISTAMINES, LOW SEDATING .................................................................................................................................................26 ANTIHISTAMINES, NONSEDATING ...................................................................................................................................................26 ANTIHISTAMINES, SEDATING ..........................................................................................................................................................26 ANTIHISTAMINE/DECONGESTANT COMBINATIONS .......................................................................................................................26 ANTITUSSIVES..................................................................................................................................................................................26 ANTITUSSIVE COMBINATIONS ........................................................................................................................................................26 BETA AGONISTS ...............................................................................................................................................................................27

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LEUKOTRIENE RECEPTOR ANTAGONISTS .....................................................................................................................................27 MAST CELL STABILIZERS ................................................................................................................................................................27 NASAL ANTIHISTAMINES .................................................................................................................................................................27 NASAL STEROIDS.............................................................................................................................................................................27 STEROID/BETA AGONIST COMBINATIONS......................................................................................................................................27 STEROID INHALANTS .......................................................................................................................................................................27 XANTHINES .......................................................................................................................................................................................27 MISCELLANEOUS .............................................................................................................................................................................28

TOPICAL .....................................................................................................................................................................................................28 DERMATOLOGY ................................................................................................................................................................................28 MOUTH/THROAT/DENTAL AGENTS .................................................................................................................................................30 OPHTHALMIC ....................................................................................................................................................................................30 OTIC ..................................................................................................................................................................................................32

SPECIALTY DRUGS ....................................................................................................................................................................................32

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INTRODUCTION

ScriptGuideRX is pleased to provide the 2013 Managed Formulary. The formulary contains drugs that are safe and effective. This is an informational tool for physicians, pharmacists, and members designed to assist in selecting clinically appropriate and cost-effective products.

NOTICE

The information contained in this formulary is provided by ScriptGuideRX solely for the convenience of medical providers and members. ScriptGuideRX does not warrant or assure accuracy of this information, nor is it intended to be comprehensive in nature. This formulary is not intended to be a substitute for the knowledge, expertise, skill or judgment of the medical provider in their choice of prescription drugs. ScriptGuideRX assumes no responsibility for the actions or omissions of any medical provider based upon reliance, in whole or in part, on the information contained herein. The medical provider should consult the drug manufacturer’s product literature or standard references for more detailed information.

SCRIPTGUIDERX PHARMACY & THERAPEUTICS COMMITTEE (P&T)

ScriptGuideRX’s Pharmacy & Therapeutic Committee meets regularly to review and recommend medications for formulary consideration and the formulary is updated three times a year. The Committee considers clinical information on drugs that are new to the market and drugs that are typically included in an outpatient pharmacy benefit. This assures that the formulary remains responsive to patient and physician needs. The Committee is composed of physicians, pharmacists, and health care professionals. The Committee also uses reference materials from our Pharmacy Benefits Manager's Pharmacy and Therapeutics Advisory Panel.

PRODUCT SELECTION CRITERIA

The primary goal of the Pharmacy & Therapeutic Committee is to maintain and update the formulary based upon an objective analysis of the safety, efficacy, approved indications, adverse effects, contraindications, patient administration/compliance considerations and cost effectiveness of available drugs. When a drug is considered for formulary inclusion, it will be reviewed relative to similar drugs including those currently on the SGRX Managed Formulary.

GENERIC SUBSTITUTION

Plans using this formulary mandate the use of generic drugs. Generic drug substitution is the process by which a generic equivalent is dispensed rather than the brand-name product. The brand names listed in the formulary are for reference only. Drugs listed in bold print have FDA approved generic equivalents available, and the generic product will be dispensed. Brand-name drugs that have generic equivalents that physicians prescribe as dispense as written (DAW) or members request to be dispensed as written are subject to a 100% copay to the member.

SPECIALTY DRUG PROGRAM - PRIOR AUTHORIZATION REQUIRED

The fax number for prior authorization requests is 313-216-1825. A Prior Authorization form must be completed and faxed to ScriptGuideRX (SGRX) with supporting documentation. If approved, SGRX will notify the appropriate specialty pharmacy and the prescribing physician who then faxes their standard prescription form that contains the physician’s name, address, phone, fax and DEA number to the specialty pharmacy. The patient’s full name and date of birth must also be included.

Once the order is received, the specialty pharmacy will contact the doctor's office to verify receipt of the prescription. Once the enrollment process is completed the medication is shipped directly to the physician's office or the patient’s home or designated alternative. All packages are individually marked for each patient and refrigerated items are shipped in insulated containers. Where appropriate, each shipment includes needles, syringes and alcohol swabs.

If you have any questions about this or for any problems, please contact ScriptGuideRX at 877- 794-3576. Once a member is enrolled in the specialty program, questions on their prescription or the shipment of their medication can be directed to the specialty pharmacy.

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PRIOR AUTHORIZATION

Some medications require a prior authorization (PA) to be covered to ensure members receive the most appropriate and cost-effective drug therapy. The criteria for authorization are based on current medical information and the recommendations of ScriptGuideRX’s Pharmacy and Therapeutics Committee.

Drugs indicated with a (PA) require a Prior Authorization for coverage. Prescribers may complete a request for Prior Authorization form that can be found on ScriptGuideRX’s website at www.scriptguiderx.com or by calling ScriptGuideRX Member Services at 877-794-3576 to have a form faxed to them. The completed Prior Authorization form should be faxed to 313-216-1825.

Members will be required to pay the full ScriptGuideRX network cost of the drug if their physician does not obtain prior authorization for any drug requiring a prior authorization. ScriptGuideRX will not consider a request for prior authorization for a drug that’s not included on the Managed Formulary.

STEP THERAPY

Step Therapy (ST) requires that front line drugs (Generic) are tried first - usually generic medications, which have been proven to be safe and effective. They will save the member and the plan money because they have the lowest copay and cost less. Back up drugs (Brand) are brand-name medications and are recommended only if a Generic drug does not work. These alternative drugs are covered but they have a higher copay. In the case of drugs requiring step therapy (ST), previous treatment with one or more frontline drugs is required. Drugs indicated with an (ST) require that an alternative, first line drug be tried and failed before the requested medication can be covered. The online claims adjudication system will automatically allow for the requested medication to be filled based on electronic claims history indicating that the first line drug was filled.

LIMITATIONS

Specific medications indicated with a (QL) notation in the formulary have restrictions on the quantity of the medication that will be dispensed. Specific medications indicated with an (AL) notation in the formulary have restrictions on the age of the patient for whom the medication will be dispensed. Medications indicated with a (GL) notation are only FDA approved for use by a particular gender.

PREFACE

The formulary is a listing of drug products that are eligible for payment by the plan. Products are listed by generic name and brand names are included only as a reference for product recognition. Unless exceptions are noted, generally all applicable dosage forms and strengths of the drug cited are included in the formulary. Extended release formulations (e.g. ext-rel, SR, ER) are not considered formulary drugs unless specified. Prescription drugs that are prescribed for experimental, investigational or non-FDA approved indications are not covered.

Drugs not on the SGRX Managed Formulary are available to the member subject to a 100% copay. The only time a brand-name drug is covered is if there are no generic options available for a specific treatment and it’s included on the SGRX Managed Formulary.

LEGEND

(ST) Step therapy required (SD) Specialty Drug (PA) Prior authorization required (QL) Quantity limits apply (GL) Gender Limitations

ANALGESICS

Practice guidelines of pain management are available at: http://www.asahq.org NSAIDs

aspirin Generic

choline magnesium trisalicylate Generic

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diclofenac potassium Generic CATAFLAM

diclofenac sodium delayed-rel Generic VOLTAREN

diclofenac sodium ext-rel Generic VOLTAREN-XR

diflunisal Generic

etodolac Generic

etodolac ext-rel Generic flurbiprofen Generic ANSAID

ibuprofen Generic MOTRIN

indomethacin Generic

indomethacin ext-rel Generic INDOCIN SR

ketoprofen ext-rel Generic

meloxicam Generic MOBIC

nabumetone Generic

naproxen Generic EC-NAPROSYN

naproxen Generic NAPROSYN naproxen sodium Generic ANAPROX

naproxen sodium Generic ANAPROX DS

oxaprozin Generic DAYPRO

piroxicam Generic FELDENE

sulindac Generic CLINORIL

GOUT

allopurinol Generic ZYLOPRIM

colchicine tabs Generic probenecid Generic

NARCOTIC ANALGESICS Practice Guidelines for Cancer Pain Management (includes WHO analgesic ladder) are available at: http://www.asahq.org http://www.nccn.org/professionals Opioid guidelines in the management of chronic non-malignant pain are available at: http://www.asipp.org/Guidelines.htm

aspirin/codeine Generic

butalbital/acetaminophen/caffeine/codeine Generic FIORICET w/CODEINE

butalbital/aspirin/caffeine/codeine Generic FIORINAL w/CODEINE

codeine sulfate Generic

codeine/acetaminophen Generic TYLENOL w/CODEINE hydrocodone/acetaminophen Generic ANEXSIA

hydrocodone/acetaminophen Generic LORTAB

hydrocodone/acetaminophen Generic VICODIN

hydrocodone/acetaminophen Generic VICODIN ES

hydrocodone/acetaminophen Generic VICODIN HP

hydrocodone/ibuprofen Generic VICOPROFEN

methadone Generic

morphine soln Generic ROXANOL

NARCOTIC ANALGESICS, CII

PA fentanyl transdermal Generic DURAGESIC

PA hydromorphone Generic DILAUDID

meperidine Generic DEMEROL

morphine Generic MSIR

morphine ext-rel Generic MS CONTIN

morphine ext-rel Generic ORAMORPH SR

oxycodone Generic

oxycodone/acetaminophen Generic PERCOCET oxycodone/aspirin Generic PERCODAN

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hydromorphone oral soln 1 mg/mL Brand DILAUDID-5

NON-NARCOTIC ANALGESICS

acetaminophen Generic TYLENOL

butalbital/acetaminophen Generic PHRENILIN butalbital/acetaminophen/caffeine Generic ESGIC, ESGIC-PLUS, FIORICET

butalbital/aspirin/caffeine Generic FIORINAL

isometheptene/dichloralphenazone/acetaminophen Generic MIDRIN

propoxyphene Generic DARVON

propoxyphene/acetaminophen Generic DARVOCET-N

tramadol Generic ULTRAM

tramadol/acetaminophen Generic ULTRACET

ANTI-INFECTIVES

Hepatitis: CDC recommendations on the treatment of hepatitis are available at: http://www.cdc.gov/ncidod/diseases/hepatitis/index.htm Guidelines for the management of chronic hepatitis by the American Association for the Study of Liver Disease are available at: http://www.aasld.org HIV/AIDS: Guidelines for the treatment of HIV patients by the U.S. Department of Health and Human Services are available at: http://www.aidsinfo.nih.gov Infective Endocarditis: American Heart Association recommendations for the prevention of bacterial endocarditis are available at: http://www.americanheart.org Influenza: Recommendations of the Advisory Committee on Immunization Practices are available at: http://www.cdc.gov/ncidod/diseases/flu/fluvirus.htm International Travel: CDC recommendations for international travel are available at: http://www.cdc.gov/travel Sexually Transmitted Diseases: CDC Sexually Transmitted Diseases Guidelines are available at: http://www.cdc.gov/std/treatment/default.htm Respiratory Tract Infection/Antibiotic Use/Community Acquired Pneumonia/Other: Principles of appropriate antibiotic use for treatment of nonspecific upper respiratory tract infection in adults are available at: http://www.cdc.gov/ncidod/guidelines/guidelines_topic_ar.htm Practice guidelines and statements developed and endorsed by the Infectious Diseases Society of America are available at: http://www.idsociety.org ANTIBACTERIALS Cephalosporins First Generation

cefadroxil Generic

cephalexin Generic KEFLEX

Second Generation

cefaclor Generic

cefprozil Generic cefuroxime axetil Generic CEFTIN

Third Generation

cefdinir Generic OMNICEF

cefpodoxime Generic VANTIN

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ceftriaxone inj Generic ROCEPHIN

Erythromycins/Macrolides

azithromycin Generic ZITHROMAX

clarithromycin Generic BIAXIN clarithromycin ext-rel Generic BIAXIN XL

erythromycin base Generic ERYTHROMYCIN

erythromycin delayed-rel Generic

erythromycin ethylsuccinate Generic E.E.S.

erythromycin stearate Generic

erythromycin/sulfisoxazole Generic PEDIAZOLE

Fluoroquinolones

ciprofloxacin Generic CIPRO ofloxacin Generic

ciprofloxacin susp Brand CIPRO susp

moxifloxacin Brand AVELOX

levofloxacin Generic LEVAQUIN

Penicillins

amoxicillin Generic AMOXIL

amoxicillin/clavulanate Generic AUGMENTIN ES-600

ampicillin Generic

dicloxacillin Generic

penicillin VK Generic

penicillin G benzathine/penicillin G procaine inj Brand BICILLIN C-R amoxicillin/clavulanate Generic AUGMENTIN

Tetracyclines

demeclocycline Generic DECLOMYCIN

doxycycline hyclate Generic VIBRAMYCIN

minocycline Generic DYNACIN

minocycline Generic MINOCIN

tetracycline Generic

ANTIFUNGALS

clotrimazole troches Generic MYCELEX

fluconazole Generic DIFLUCAN

griseofulvin susp Generic

ketoconazole Generic NIZORAL

nystatin Generic

terbinafine tabs Generic LAMISIL

griseofulvin microsize tabs Brand GRIFULVIN V TABS griseofulvin ultramicrosize Generic GRIS-PEG

ANTIMALARIALS

chloroquine Generic ARALEN

hydroxychloroquine Generic PLAQUENIL

mefloquine Generic LARIAM

atovaquone/proguanil Generic MALARONE

ANTIRETROVIRAL AGENTS Antiretroviral Combinations

PA abacavir/lamivudine/zidovudine Brand TRIZIVIR

PA efavirenz/emtricitabine/tenofovir Brand ATRIPLA

PA emtricitabine/tenofovir Brand TRUVADA

PA lamivudine/zidovudine Generic COMBIVIR

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Integrase Inhibitors

PA raltegravir Brand ISENTRESS

Non-nucleoside Reverse Transcriptase Inhibitors

delavirdine Brand RESCRIPTOR

PA efavirenz Brand SUSTIVA

etravirine Brand INTELENCE

nevirapine Generic VIRAMUNE

Nucleoside Reverse Transcriptase Inhibitors

didanosine delayed-rel Generic VIDEX EC zidovudine Generic RETROVIR

abacavir Generic ZIAGEN

didanosine soln Brand VIDEX soln

emtricitabine Brand EMTRIVA

lamivudine Generic EPIVIR

stavudine Generic ZERIT

Nucleotide Reverse Transcriptase Inhibitors

tenofovir Brand VIREAD Protease Inhibitors

PA darunavir Brand PREZISTA

PA fosamprenavir Brand LEXIVA

indinavir Brand CRIXIVAN

PA lopinavir/ritonavir Brand KALETRA

nelfinavir Brand VIRACEPT

PA ritonavir Brand NORVIR

saquinavir mesylate Brand INVIRASE PA tipranavir Brand APTIVUS

ANTITUBERCULAR AGENTS

ethambutol Generic MYAMBUTOL

isoniazid Generic

pyrazinamide Generic

rifampin Generic RIFADIN

cycloserine Generic SEROMYCIN rifabutin Brand MYCOBUTIN

ANTIVIRALS Cytomegalovirus Agents

PA ganciclovir Generic

valganciclovir Brand VALCYTE

Hepatitis Agents

PA lamivudine Brand EPIVIR-HBV

Herpes Agents

acyclovir Generic ZOVIRAX

QL famciclovir Generic FAMVIR

Influenza Agents amantadine Generic

rimantadine Generic FLUMADINE

oseltamivir Brand TAMIFLU

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MISCELLANEOUS

clindamycin Generic CLEOCIN

QL mebendazole Generic

methenamine hippurate Generic HIPREX

methenamine hippurate Generic UREX metronidazole Generic FLAGYL

nitrofurantoin macrocrystals Generic MACRODANTIN

sulfamethoxazole/trimethoprim Generic BACTRIM

sulfamethoxazole/trimethoprim Generic BACTRIM DS

sulfamethoxazole/trimethoprim Generic SEPTRA

trimethoprim Generic

PA atovaquone Brand MEPRON

dapsone Brand

ivermectin Brand STROMECTOL

PA linezolid Brand ZYVOX nitrofurantoin susp Generic FURADANTIN

praziquantel Brand BILTRICIDE

primaquine Brand

pyrimethamine Brand DARAPRIM

trimethoprim soln Brand PRIMSOL

vancomycin Generic VANCOCIN

ANTINEOPLASTIC AGENTS

Clinical practice guidelines in oncology are available at: http://www.nccn.org http://www.asco.org ALKYLATING AGENTS

altretamine Generic HEXALEN

melphalan Brand ALKERAN

ANTIMETABOLITES

thioguanine Generic TABLOID

HORMONAL ANTINEOPLASTIC AGENTS Antiandrogens

PA bicalutamide Brand CASODEX

Antiestrogens

tamoxifen Generic

Aromatase Inhibitors GL anastrozole Generic ARIMIDEX

PA letrozole Generic FEMARA

KINASE INHIBITORS

PA imatinib mesylate Brand GLEEVEC

MISCELLANEOUS

etoposide Generic tretinoin caps Generic VESANOID

mesna Brand MESNEX

CARDIOVASCULAR

The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure is available at:

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http://www.nhlbi.nih.gov/guidelines/hypertension Guidelines for the evaluation and management of cardiovascular diseases in adults are available at: http://www.acc.org http://www.americanheart.org http://www.hfsa.org ACE INHIBITORS Guidelines for the use of ACE inhibitors are available at: http://www.acc.org http://www.americanheart.org http://www.diabetes.org http://www.nhlbi.nih.gov/guidelines/hypertension benazepril Generic LOTENSIN

captopril Generic CAPOTEN

enalapril Generic VASOTEC

fosinopril Generic MONOPRIL

lisinopril Generic ZESTRIL

moexipril Generic UNIVASC

quinapril Generic ACCUPRIL

ramipril caps Generic ALTACE

trandolapril Generic MAVIK ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS

amlodipine/benazepril Generic LOTREL

ACE INHIBITOR/DIURETIC COMBINATIONS

benazepril/hydrochlorothiazide Generic LOTENSIN HCT

captopril/hydrochlorothiazide Generic CAPOZIDE

enalapril/hydrochlorothiazide Generic VASERETIC fosinopril/hydrochlorothiazide Generic MONOPRIL-HCT

lisinopril/hydrochlorothiazide Generic ZESTORETIC

moexipril/hydrochlorothiazide Generic UNIRETIC

quinapril/hydrochlorothiazide Generic ACCURETIC

ADRENOLYTICS, CENTRAL

clonidine Generic CATAPRES

guanfacine Generic TENEX

clonidine transdermal Generic CATAPRES-TTS ALDOSTERONE RECEPTOR ANTAGONISTS

spironolactone Generic ALDACTONE

ALPHA BLOCKERS Guidelines for the use of alpha blockers in various patient populations are available at: http://www.nhlbi.nih.gov/guidelines/hypertension

doxazosin Generic CARDURA

prazosin Generic MINIPRESS

terazosin Generic HYTRIN

ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS Guidelines for the use of angiotensin II receptor antagonists in various patient populations are available at: http://www.diabetes.org http://www.nhlbi.nih.gov/guidelines/hypertension

QL losartan Generic COZAAR

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QL losartan/hydrochlorothiazide Generic HYZAAR

QL Irbesartan Generic AVAPRO

QL Irbesartan/hydrochlorothiazide Generic AVALIDE

QL Eprosartan Generic TEVETEN

ST olmesartan Brand BENICAR

ST olmesartan/hydrochlorothiazide Brand BENICAR HCT * Atacand should be reserved for participants who meet CHARM (Candesartan in Heart Failure - Assessment of Reduction in

Mortality and Morbidity) trial criteria. ANTIARRHYTHMICS Guidelines for the use of antiarrhythmics and cardiac glycosides in various patient populations are available at: http://www.acc.org

amiodarone Generic CORDARONE

amiodarone Generic PACERONE

disopyramide Generic NORPACE

disopyramide ext-rel Generic NORPACE CR

flecainide Generic TAMBOCOR mexiletine Generic

propafenone Generic RYTHMOL

sotalol Generic BETAPACE

sotalol Generic BETAPACE AF

ANTILIPEMICS The Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) is available at: http://www.nhlbi.nih.gov/guidelines/cholesterol/index.htm Antilipemic Combinations

ezetimibe/simvastatin Brand VYTORIN

Bile Acid Resins cholestyramine Generic QUESTRAN/QUESTRAN LIGHT

colestipol Generic COLESTID

Cholesterol Absorption Inhibitors Fibrates

fenofibrate Generic

fenofibrate Generic LOFIBRA

gemfibrozil Generic LOPID PA fenofibrate, micronized Generic TRICOR

HMG-CoA Reductase Inhibitors

lovastatin Generic MEVACOR

pravastatin Generic PRAVACHOL

simvastatin Generic ZOCOR

atorvastatin Generic LIPITOR

ST, QL rosuvastatin Brand CRESTOR BETA-BLOCKERS Guidelines for the use of beta-blockers and beta-blocker combinations in various patient populations are available at: http://www.acc.org http://www.nhlbi.nih.gov/guidelines/hypertension acebutolol Generic SECTRAL

atenolol Generic TENORMIN

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bisoprolol Generic ZEBETA

carvedilol Generic COREG

labetalol Generic TRANDATE, NORMODYNE

metoprolol Generic LOPRESSOR

metoprolol ext-rel Generic TOPROL-XL

nadolol Generic CORGARD pindolol Generic

propranolol Generic INDERAL

propranolol ext-rel Generic INDERAL LA

BETA-BLOCKER/DIURETIC COMBINATIONS Guidelines for the use of beta-blockers and diuretic combinations in various patient populations are available at: http://www.acc.org http://www.nhlbi.nih.gov/guidelines/hypertension

atenolol/chlorthalidone Generic TENORETIC

bisoprolol/hydrochlorothiazide Generic ZIAC

metoprolol/hydrochlorothiazide Generic LOPRESSOR HCT

propranolol/hydrochlorothiazide Generic INDERIDE

CALCIUM CHANNEL BLOCKERS Dihydropyridines

amlodipine Generic NORVASC

felodipine ext-rel Generic

nicardipine Generic

nifedipine Generic PROCARDIA

nifedipine ext-rel Generic ADALAT CC

nifedipine ext-rel Generic PROCARDIA XL

nimodipine Generic NIMOTOP nisoldipine ext-rel Generic SULAR

Nondihydropyridines

diltiazem ext-rel Generic CARDIZEM CD, CARDIZEM SR

diltiazem ext-rel Generic TIAZAC, DILACOR XR

verapamil ext-rel Generic CALAN SR

verapamil ext-rel Generic ISOPTIN SR, VERELAN, VERELAN PM

DIGITALIS GLYCOSIDES

digoxin Generic LANOXIN

digoxin ped elixir Generic

DIURETICS Carbonic Anhydrase Inhibitors acetazolamide Generic

methazolamide Generic

Loop Diuretics

bumetanide Generic BUMEX

furosemide Generic LASIX

torsemide Generic DEMADEX

Potassium-sparing Diuretics

amiloride Generic

Thiazides and Thiazide-like Diuretics

chlorthalidone Generic

14

hydrochlorothiazide Generic

indapamide Generic

metolazone Generic ZAROXOLYN

Diuretic Combinations amiloride/hydrochlorothiazide Generic

spironolactone/hydrochlorothiazide Generic ALDACTAZIDE

triamterene/hydrochlorothiazide Generic DYAZIDE

triamterene/hydrochlorothiazide Generic MAXZIDE

NITRATES Oral

isosorbide dinitrate ext-rel tabs Generic isosorbide dinitrate oral Generic ISORDIL

isosorbide mononitrate Generic ISMO, MONOKET

isosorbide mononitrate ext-rel Generic IMDUR

Sublingual

nitroglycerin sublingual Generic NITROSTAT

nitroglycerin lingual spray Brand NITROLINGUAL

Transdermal

nitroglycerin transdermal Generic NITRO-DUR

PULMONARY ARTERIAL HYPERTENSION Phosphodiesterase Inhibitors

PA sildenafil Generic REVATIO

MISCELLANEOUS

hydralazine Generic

isoxsuprine Generic

methyldopa Generic

midodrine Generic PROAMATINE

minoxidil Generic

CENTRAL NERVOUS SYSTEM

Practice guidelines for psychiatric disorders are available at: http://www.psych.org ANTIANXIETY Benzodiazepines

PA alprazolam Generic XANAX

PA alprazolam ext-rel Generic XANAX XR

chlordiazepoxide Generic LIBRIUM

clonazepam Generic KLONOPIN

clorazepate Generic TRANXENE

diazepam Generic VALIUM

lorazepam Generic ATIVAN

oxazepam Generic

Miscellaneous

buspirone Generic BUSPAR

clomipramine Generic ANAFRANIL

fluvoxamine Generic

15

ANTICONVULSANTS Practice guidelines for the treatment of epilepsy are available at: http://www.aan.com

carbamazepine Generic TEGRETOL

divalproex sodium delayed-rel Generic DEPAKOTE

divalproex sodium ext-rel Generic DEPAKOTE ER

ethosuximide Generic ZARONTIN

gabapentin Generic NEURONTIN

lamotrigine Generic LAMICTAL

lamotrigine dispersible tabs Generic Lamictal ODT

levetiracetam Generic KEPPRA oxcarbazepine Generic TRILEPTAL

phenobarbital Generic

phenytoin sodium extended Generic DILANTIN

primidone Generic MYSOLINE

topiramate Generic TOPAMAX

valproic acid Generic DEPAKENE

zonisamide Generic ZONEGRAN

carbamazepine ext-rel Generic CARBATROL

carbamazepine ext-rel Brand TEGRETOL-XR

divalproex sodium delayed-rel Generic DEPAKOTE SPRINKLE tiagabine Brand GABITRIL

ANTIDEMENTIA

galantamine Generic RAZADYNE

PA memantine Brand NAMENDA

rivastigmine Generic EXELON

PA rivastigmine transdermal Brand EXELON PATCH

ANTIDEPRESSANTS Although these agents are primarily indicated for depression, some of these are also approved for other indications, including bipolar disorder, obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder. Guidelines for the evaluation and management of bipolar and depressive disorders are available at: http://www.psych.org Monoamine Oxidase Inhibitors (MAOIs)

tranylcypromine Generic PARNATE

phenelzine Generic NARDIL

Selective Serotonin Reuptake Inhibitors (SSRIs) citalopram Generic CELEXA

fluoxetine Generic PROZAC, SARAFEM

paroxetine HCl Generic PAXIL

paroxetine HCl ext-rel Generic PAXIL CR

sertraline Generic ZOLOFT

Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)* * Indicates the proposed mechanism of action, based on the American Psychiatric Association Summary of Treatment

Recommendations.

venlafaxine Generic EFFEXOR

Tricyclic Antidepressants (TCAs)

amitriptyline Generic

desipramine Generic NORPRAMIN

16

doxepin Generic

imipramine HCl Generic TOFRANIL

maprotiline Generic

nortriptyline Generic PAMELOR

trimipramine Generic SURMONTIL

Miscellaneous Agents

bupropion Generic WELLBUTRIN

bupropion ext-rel Generic WELLBUTRIN SR

bupropion ext-rel Generic WELLBUTRIN XL

chlordiazepoxide/amitriptyline Generic LIMBITROL, LIMBITROL DS

mirtazapine Generic REMERON, REMERON SOLTAB

trazodone Generic

ANTIPARKINSONIAN AGENTS Practice guidelines for the diagnosis and treatment of Parkinson's disease are available at: http://www.aan.com

amantadine Generic

benztropine Generic

bromocriptine Generic PARLODEL carbidopa/levodopa Generic SINEMET

carbidopa/levodopa ext-rel Generic SINEMET CR

ropinirole Generic REQUIP

selegiline Generic ELDEPRYL

trihexyphenidyl Generic

entacapone Generic COMTAN

pramipexole Generic MIRAPEX ANTIPSYCHOTICS Atypicals

clozapine Generic CLOZARIL

risperidone Generic RISPERDAL

risperidone solutab Generic RISPERDAL M-TAB

ziprasidone Generic GEODON

olanzapine Generic ZYPREXA quetiapine Generic SEROQUEL

Miscellaneous

chlorpromazine Generic

PA droperidol Generic

fluphenazine Generic

haloperidol Generic

loxapine Generic LOXITANE perphenazine Generic

thioridazine Generic

thiothixene Generic NAVANE

trifluoperazine Generic

pimozide Brand ORAP

ATTENTION DEFICIT HYPERACTIVITY DISORDER Guidelines for the evaluation and management of attention deficit disorder are available at: http://www.aacap.org http://www.aap.org

amphetamine/dextroamphetamine mixed salts Generic ADDERALL

dexmethylphenidate Generic FOCALIN

17

dextroamphetamine Generic DEXEDRINE

dextroamphetamine ext-rel Generic DEXEDRINE SPANSULE

methylphenidate Generic RITALIN, METHYLIN

methylphenidate ext-rel Generic RITALIN SR, METHYLIN ER

ST, QL lisdexamfetamine Brand VYVANSE

methylphenidate ext-rel Generic CONCERTA methylphenidate ext-rel Generic METADATE CD

HYPNOTICS Practice parameters for the treatment of sleep disorders are available at: http://www.aasmnet.org Benzodiazepines

estazolam Generic

flurazepam Generic

temazepam Generic RESTORIL

triazolam Generic HALCION

Nonbenzodiazepines

chloral hydrate Generic zaleplon Generic SONATA

zolpidem Generic AMBIEN

MIGRAINE Guidelines for prevention and management of migraine headaches are available at: http://www.aan.com Ergotamine Derivatives

ergotamine/caffeine Generic CAFERGOT

dihydroergotamine spray Brand MIGRANAL

ergotamine/caffeine supp Brand MIGERGOT

Selective Serotonin Agonists

QL sumatriptan Generic IMITREX almotriptan Brand AXERT

QL rizatriptan Generic MAXALT, MAXALT-MLT

zolmitriptan Brand ZOMIG, ZOMIG-ZMT

MOOD STABILIZERS

lithium carbonate Generic

lithium carbonate ext-rel tabs 300 mg Generic LITHOBID

lithium carbonate ext-rel tabs 450 mg Generic

lithium citrate soln Generic MUSCULOSKELETAL THERAPY AGENTS

baclofen Generic

chlorzoxazone Generic PARAFON FORTE DSC

cyclobenzaprine Generic FLEXERIL

dantrolene Generic DANTRIUM

methocarbamol Generic ROBAXIN

orphenadrine Generic

orphenadrine/aspirin/caffeine Generic NORGESIC, NORGESIC FORTE MYASTHENIA GRAVIS

pyridostigmine Generic MESTINON

18

PSYCHOTHERAPEUTIC-MISCELLANEOUS Alcohol Deterrents

disulfiram Generic ANTABUSE

Narcotic Antagonists

naltrexone Generic REVIA

Smoking Deterrents

nicotine transdermal Generic

bupropion ext-rel Generic ZYBAN

varenicline Brand CHANTIX

ENDOCRINE AND METABOLIC

ANDROGENS Clinical practice guidelines for the treatment of hypogonadism are available at: http://www.aace.com

oxandrolone Generic OXANDRIN

PA testosterone transdermal Brand ANDRODERM

ANTIDIABETICS Guidelines of treatment and management of diabetes are available at: http://www.diabetes.org Alpha-glucosidase Inhibitors

acarbose Generic PRECOSE

miglitol Brand GLYSET

Amino Acid Derivatives

nateglinide Generic STARLIX Biguanides

metformin Generic GLUCOPHAGE

metformin ext-rel Generic GLUCOPHAGE XR

metformin soln Brand RIOMET

Biguanide/Sulfonylurea Combinations

glipizide/metformin Generic METAGLIP glyburide/metformin Generic GLUCOVANCE

Dipeptidyl Peptidase-4 (DPP-4) Inhibitors

PA sitagliptin phosphate Brand JANUVIA

Dipeptidyl Peptidase-4 (DPP-4) Inhibitor/Biguanide Combinations

PA sitagliptin/metformin Brand JANUMET

Insulins

insulin vials Generic

insulin aspart Brand NOVOLOG cartridges, pens

insulin aspart protamine 70%/insulin aspart 30% Brand NOVOLOG MIX 70/30 cartridges, pens

insulin detemir Brand LEVEMIR

insulin glargine Brand LANTUS cartridges, pens

insulin glulisine Brand APIDRA insulin human Brand HUMULIN R cartridges, pens

insulin human Brand NOVOLIN R cartridges, pens

insulin isophane human Brand HUMULIN N cartridges, pens

19

insulin isophane human Brand NOVOLIN N cartridges, pens

insulin isophane human 50%/regular 50% Brand HUMULIN 50/50 cartridges, pens

insulin isophane human 70%/regular 30% Brand HUMULIN 70/30 cartridges, pens

insulin isophane human 70%/regular 30% Brand NOVOLIN 70/30 cartridges, pens

insulin lispro Brand HUMALOG cartridges, pens

insulin lispro protamine/insulin lispro Brand HUMALOG MIX cartridges, pens Insulin Sensitizers

PA, ST pioglitazone Generic ACTOS

ST rosiglitazone Brand AVANDIA

Insulin Sensitizer/Biguanide Combinations

ST pioglitazone/metformin Generic ACTOPLUS MET

ST rosiglitazone/metformin Brand AVANDAMET Insulin Sensitizer/Sulfonylurea Combinations

ST pioglitazone/glimepiride Generic DUETACT

ST rosiglitazone/glimepiride Brand AVANDARYL

Meglitinides

repaglinide Brand PRANDIN

Sulfonylureas

chlorpropamide Generic DIABINESE

glimepiride Generic AMARYL

glipizide Generic GLUCOTROL

glipizide ext-rel Generic GLUCOTROL XL

glyburide Generic DIABETA

glyburide, micronized Generic GLYNASE

tolbutamide Generic Supplies

OTC blood glucose monitoring kits, test strips Generic TRUETRACK kits and test strips

OTC insulin syringes, needles Generic BD insulin syringes and needles

OTC lancets Generic LANCETS

CALCIUM REGULATORS Bisphosphonates Guidelines of treatment and management of osteoporosis are available at: http://www.aace.com http://www.nof.org

alendronate Generic FOSAMAX

ST risedronate Brand ACTONEL Calcitonins

calcitonin-salmon Generic MIACALCIN

calcitonin-salmon - Fortical Generic

CONTRACEPTIVES EE = ethinyl estradiol ME = mestranol Monophasic 20 mcg Estrogen

levonorgestrel/EE 0.1/20 - Lessina Generic

norethindrone acetate/EE 1/20 Generic LOESTRIN 1/20

20

norethindrone acetate/EE/iron 1/20 Generic LOESTRIN FE 1/20

drospirenone/EE 3/20 Generic YAZ

30 mcg Estrogen

desogestrel/EE 0.15/30 Generic ORTHO-CEPT, DESOGEN drospirenone/EE 3/30 Generic YASMIN

levonorgestrel/EE Generic

levonorgestrel/EE 0.15/30 - Levora Generic NORDETTE

norethindrone acetate/EE 1.5/30 Generic LOESTRIN 1.5/30

norethindrone acetate/EE/iron 1.5/30 Generic LOESTRIN FE 1.5/30

norgestrel/EE 0.3/30 - Low-Ogestrel Generic LO/OVRAL

35 mcg Estrogen

ethynodiol diacetate/EE 1/35 - Zovia 1/35 Generic norethindrone/EE 0.4/35 Generic OVCON 35

norethindrone/EE 0.5/35 Generic MODICON

norethindrone/EE 1/35 Generic NORINYL 1+35

norethindrone/EE 1/35 Generic ORTHO-NOVUM 1/35

norgestimate/EE 0.25/35 Generic ORTHO-CYCLEN

50 mcg Estrogen

ethynodiol diacetate/EE 1/50 - Zovia 1/50 Generic

norethindrone/ME 1/50 - Necon Generic NORINYL 1+50 norethindrone/ME 1/50 - Necon Generic ORTHO-NOVUM 1/50

norgestrel/EE 0.5/50 Generic OVRAL

Biphasic

desogestrel/EE Generic MIRCETTE

Triphasic desogestrel/EE Generic CYCLESSA

levonorgestrel/EE - Trivora Generic

norethindrone/EE Generic ORTHO-NOVUM 7/7/7

norethindrone/EE Generic TRI-NORINYL

norethindrone/EE/iron Generic ESTROSTEP FE

norgestimate/EE Generic ORTHO TRI-CYCLEN

Extended Cycle

levonorgestrel/EE 0.15/30 Generic SEASONALE Progestin Only

medroxyprogesterone Generic PROVERA

norethindrone Generic NOR-QD

norethindrone Generic ORTHO MICRONOR

progesterone inj Generic PROGESTERONE IN OIL

Injectable medroxyprogesterone acetate 150 mg/mL Generic DEPO-PROVERA

Vaginal

diaphram/cervical cap Brand ORTHO ALL-FLEX

ENDOMETRIOSIS

danazol Generic

21

ESTROGENS Guidelines of treatment and management of hormone therapy and menopause are available at: http://www.menopause.org Oral

estradiol Generic ESTRACE

estrogens, esterified/methyltestosterone Generic ESTRATEST, ESTRATEST HS, SYNTEST

estropipate Generic OGEN, ORTHO-EST

estrogens, conjugated Brand PREMARIN

estrogens, conjugated, synthetic A Brand CENESTIN Transdermal

estradiol Generic ALORA

QL estradiol Generic CLIMARA

estradiol Generic ESTRADERM

estradiol Generic VIVELLE-DOT

Vaginal estradiol vaginal crm Generic ESTRACE

estradiol vaginal tabs Brand VAGIFEM

estrogens, conjugated crm Brand PREMARIN crm

ESTROGEN/PROGESTINS Oral

estradiol/norethindrone Generic ACTIVELLA EE/norethindrone acetate Generic FEMHRT, FEMHRT 1/5

estrogens, conjugated/medroxyprogesterone Brand PREMPHASE

estrogens, conjugated/medroxyprogesterone Brand PREMPRO

Transdermal

estradiol/norethindrone acetate Brand COMBIPATCH

FERTILITY REGULATORS clomiphene Generic CLOMID

GLUCOCORTICOIDS

cortisone Generic

dexamethasone Generic

fludrocortisone Generic

hydrocortisone Generic CORTEF

methylprednisolone Generic MEDROL

prednisolone sodium phosphate Generic ORAPRED prednisolone sodium phosphate Generic PEDIAPRED

prednisolone syrup Generic PRELONE

prednisone Generic

GLUCOSE ELEVATING AGENTS

glucagon, human recombinant Generic GLUCAGON EMERGENCY KIT

HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS doxercalciferol Brand HECTOROL

PHOSPHATE BINDER AGENTS

calcium acetate Generic PHOSLO

sevelamer Brand RENAGEL

PA sevelamer carbonate Brand RENVELA

22

PROGESTINS

norethindrone acetate Generic AYGESTIN

progesterone, micronized Generic PROMETRIUM progesterone, micronized gel Brand CRINONE

medroxyprogesterone acetate Generic PROVERA

THYROID AGENTS Antithyroid Agents

methimazole Generic TAPAZOLE

propylthiouracil Generic

Thyroid Supplements

levothyroxine Generic SYNTHROID

levothyroxine Generic UNITHROID

levothyroxine - Levoxyl Generic

thyroid Generic ARMOUR THYROID

VASOPRESSINS

desmopressin spray, tabs Generic DDAVP MISCELLANEOUS

cabergoline Generic

levocarnitine Generic CARNITOR

methylergonovine Generic METHERGINE

GASTROINTESTINAL

Guidelines for the treatment and management of various gastrointestinal diseases/conditions are available at: http://www.acg.gi.org http://www.gastro.org ANTIDIARRHEALS diphenoxylate/atropine Generic LOMOTIL

loperamide Generic

ANTIEMETICS

PA dronabinol Generic MARINOL

meclizine Generic ANTIVERT

metoclopramide Generic REGLAN

QL ondansetron Generic ZOFRAN, ZOFRAN ODT prochlorperazine Generic

promethazine Generic

trimethobenzamide caps Generic TIGAN caps

trimethobenzamide/benzocaine supp Generic

QL granisetron Generic KYTRIL

methscopolamine Generic PAMINE

ANTISPASMODICS

atropine/hyoscyamine/scopolamine/phenobarbital Generic DONNATAL belladonna Generic

chlordiazepoxide/clidinium Generic LIBRAX

dicyclomine Generic BENTYL

glycopyrrolate Generic ROBINUL, ROBINUL FORTE

hyoscyamine sulfate Generic LEVSIN

hyoscyamine sulfate ext-rel Generic LEVBID

hyoscyamine sulfate ext-rel Generic LEVSINEX

hyoscyamine sulfate orally disintegrating tabs Generic

23

propantheline Generic PRO-BANTHINE

hyoscyamine/phenyltoloxamine Generic GASTRINEX NF

CHOLELITHOLYTICS

ursodiol Generic ACTIGALL H2-RECEPTOR ANTAGONISTS

cimetidine Generic TAGAMET

famotidine Generic PEPCID

INFLAMMATORY BOWEL DISEASE Oral Agents balsalazide Generic COLAZAL

sulfasalazine Generic AZULFIDINE

sulfasalazine delayed-rel Generic AZULFIDINE EN-TABS

budesonide Generic ENTOCORT EC

mesalamine delayed-rel tabs Brand ASACOL

mesalamine delayed-rel tabs Brand ASACOL HD

mesalamine ext-rel caps Brand PENTASA

Rectal Agents hydrocortisone enema Generic CORTENEMA

hydrocortisone supp Generic PROCTOCORT

mesalamine rectal susp Generic ROWASA

mesalamine rectal susp Brand SFROWASA

mesalamine supp Brand CANASA

LAXATIVES

lactulose Generic

peg 3350/electrolytes Generic GOLYTELY, COLYTE peg 3350/electrolytes Generic NULYTELY

PANCREATIC ENZYMES

pancrelipase delayed-rel Brand CREON

PROSTAGLANDINS

misoprostol Generic CYTOTEC

PROTON PUMP INHIBITORS

omeprazole delayed-rel Generic PRILOSEC, PRILOSEC OTC

pantoprazole delayed-rel Generic PROTONIX

SALIVA STIMULANTS

pilocarpine tabs Generic SALAGEN

cevimeline Generic EVOXAC STEROIDS, RECTAL

hydrocortisone crm Generic PROCTOCREAM-HC 2.5%, ANUSOL-HC

MISCELLANEOUS

sucralfate Generic CARAFATE

24

GENITOURINARY

BENIGN PROSTATIC HYPERPLASIA Guidelines for the management of BPH are available at: http://www.auanet.org/guidelines

finasteride Generic PROSCAR

dutasteride Brand AVODART

tamsulosin Generic FLOMAX

URINARY ANTISPASMODICS

flavoxate Generic URISPAS

oxybutynin Generic

oxybutynin ext-rel Generic DITROPAN XL

PA tolterodine Generic DETROL

PA tolterodine ext-rel Brand DETROL LA

PA trospium Generic SANCTURA

PA, QL trospium ext-rel Generic SANCTURA XR

VAGINAL ANTI-INFECTIVES

amino acid/urea cervical crm Generic

clindamycin crm Generic CLEOCIN

clotrimazole Generic GYNE-LOTRIMIN

metronidazole Generic METROGEL-VAGINAL

nystatin Generic

terconazole Generic TERAZOL 3

terconazole Generic TERAZOL 7

clindamycin supp Brand CLEOCIN MISCELLANEOUS

bethanechol Generic URECHOLINE

phenazopyridine Generic PYRIDIUM

potassium citrate Generic UROCIT-K

potassium citrate & citric acid Generic POLYCITRA

potassium phosphate Generic K-PHOS NEUTRAL

sodium citrate/citric acid Generic CYTRA-2, CYTRA-3, CYTRA-K PA pentosan polysulfate sodium Brand ELMIRON

HEMATOLOGIC

Guidelines of treatment and management of hemophilia are available at: http://www.hemophilia.org ANTICOAGULANTS Oral

warfarin Generic COUMADIN

PLATELET AGGREGATION INHIBITORS

dipyridamole Generic PERSANTINE PA ticlopidine Generic

clopidogrel Generic PLAVIX

PA dipyridamole ext-rel/aspirin Brand AGGRENOX

PLATELET SYNTHESIS INHIBITORS

anagrelide Generic AGRYLIN

MISCELLANEOUS cilostazol Generic PLETAL

25

pentoxifylline ext-rel Generic TRENTAL

IMMUNOLOGIC AGENTS

DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs) Guidelines for the management of rheumatic diseases are available at: http://www.rheumatology.org

leflunomide Generic ARAVA

methotrexate Generic RHEUMATREX penicillamine Brand CUPRIMINE

IMMUNOMODULATORS CDC recommendations on the treatment of hepatitis are available at: http://www.cdc.gov/ncidod/diseases/hepatitis/index.htm Guidelines for the management of hepatitis are available at: http://www.aasld.org IMMUNOSUPPRESSANTS Antimetabolites

azathioprine Generic IMURAN mycophenolate mofetil Generic CELLCEPT

NUTRITIONAL/SUPPLEMENTS

Guidelines for recommended dietary intakes for vitamins and minerals are available at: http://www.nal.usda.gov/fnic/etext/000105.html ELECTROLYTES Potassium

potassium chloride ext-rel Generic K-DUR, K-TAB, KAON-CL

potassium chloride ext-rel Generic MICRO-K

potassium chloride liquid Generic KAON LIQUID

potassium chloride powder Generic K-LOR, KLOR-CON Potassium Removing Resins

sodium polystyrene sulfonate Generic KAYEXALATE

VITAMINS AND MINERALS Folic Acid Agents

folic acid Generic FOLVITE Prenatal Vitamins

prenatal vitamins/folic acid Generic COMPLETE-RF

prenatal vitamins/folic acid Generic MISSION PRENATAL

prenatal vitamins/folic acid Generic MYNATAL, MYNATAL ADVANCED

prenatal vitamins/folic acid Generic MYNATE 90

prenatal vitamins/folic acid Generic NATALCARE FORTE prenatal vitamins/folic acid Generic PRENATAL VITAMINS - ALL

PRESCRIPTION

prenatal vitamins/folic acid Generic VINATE

Miscellaneous

calcitriol (1,25-D3) Generic ROCALTROL

cyanocobalamin inj Generic

ergocalciferol (D2) Generic DRISDOL, CALCIFEROL fluoride drops Generic LURIDE

26

phytonadione Brand MEPHYTON

RESPIRATORY

Guidelines to the management, prevention, or treatment of COPD and asthma are available at: http://www.aaaai.org http://www.nhlbi.nih.gov http://www.goldcopd.com http://www.ginasthma.com The Allergy Report and guidelines for allergy-related conditions are available at: http://www.aaaai.org ANAPHYLAXIS TREATMENT AGENTS

epinephrine Brand EPIPEN epinephrine Brand EPIPEN JR.

ANTICHOLINERGICS

ipratropium soln Generic ATROVENT NASAL SPRAY

tiotropium Brand SPIRIVA

ANTICHOLINERGIC/BETA AGONIST COMBINATIONS

ipratropium/albuterol soln Generic DUONEB ipratropium/albuterol Brand COMBIVENT

ANTIHISTAMINES, LOW SEDATING

OTC cetirizine Generic ZYRTEC

ANTIHISTAMINES, NONSEDATING

OTC loratadine Generic CLARITIN

fexofenadine Generic ALLEGRA ANTIHISTAMINES, SEDATING

hydroxyzine HCl Generic VISTARIL

ANTIHISTAMINE/DECONGESTANT COMBINATIONS

brompheniramine/pseudoephedrine 4 mg/45 mg per 5 mL

Generic

brompheniramine/pseudoephedrine ext-rel 12 mg/120 mg

Generic

brompheniramine/pseudoephedrine ext-rel 6 mg/60 mg Generic

OTC cetirizine/pseudoephedrine ext-rel Generic ZYRTEC-D 12 Hour

chlorpheniramine/methscopolamine Generic EXTENDRYL, EXTENDRYL ER

chlorpheniramine/phenylephrine 1 mg/3.5 mg per mL Generic

chlorpheniramine/phenylephrine 4 mg/12.5 mg per 5 mL Generic

chlorpheniramine/pseudoephedrine ext-rel 8 mg/120 mg Generic DECONAMINE SR

OTC loratadine/pseudoephedrine Generic CLARITIN-D chlorpheniramine/pyrilamine & phenylephrine Brand PHENA-PLUS

ANTITUSSIVES

benzonatate Generic TESSALON

ANTITUSSIVE COMBINATIONS Narcotic codeine/chlorpheniramine/pseudoephedrine Generic

codeine/guaifenesin liquid Generic

codeine/guaifenesin/pseudoephedrine Generic

codeine/promethazine Generic

27

codeine/promethazine/phenylephrine Generic PROMETHAZINE VC w/CODEINE

hydrocodone/homatropine Generic

Non-narcotic

dextromethorphan/brompheniramine/pseudoephedrine Generic dextromethorphan/chlorpheniramine/phenylephrine

drops, syrup Generic

dextromethorphan/promethazine Generic

BETA AGONISTS Inhalants Short Acting albuterol soln Generic

albuterol soln Generic ACCUNEB

albuterol sulfate, CFC-free aerosol Generic PROAIR HFA

Long Acting

formoterol inhalation caps Brand FORADIL

salmeterol xinafoate Brand SEREVENT

Oral Agents

albuterol Generic

albuterol ext-rel Generic VOSPIRE ER

terbutaline Generic BRETHINE

LEUKOTRIENE RECEPTOR ANTAGONISTS

montelukast Generic SINGULAIR

zafirlukast Generic ACCOLATE MAST CELL STABILIZERS

cromolyn inhaler Generic INTAL INHALER

cromolyn soln Generic NASALCROM

NASAL ANTIHISTAMINES

azelastine spray Generic ASTELIN

NASAL STEROIDS

flunisolide spray Generic NASAREL

fluticasone spray Generic FLONASE

ST triamcinolone acetonide spray Generic NASACORT AQ

ST mometasone spray Brand NASONEX

STEROID/BETA AGONIST COMBINATIONS

budesonide/formoterol Generic SYMBICORT fluticasone/salmeterol Brand ADVAIR

fluticasone/salmeterol, CFC-free aerosol Brand ADVAIR HFA

STEROID INHALANTS

beclomethasone, CFC-free aerosol Brand QVAR

budesonide Brand PULMICORT

fluticasone, CFC-free aerosol Brand FLOVENT HFA

mometasone Brand ASMANEX XANTHINES

aminophylline Generic

dyphylline Generic DYLIX

theophylline ext-rel caps Generic THEO-24

28

theophylline ext-rel tabs Generic

theophylline ext-rel tabs Generic UNIPHYL

MISCELLANEOUS

ipratropium spray Generic ATROVENT spray

TOPICAL

DERMATOLOGY Acne Guidelines for the care and treatment of acne vulgaris are available at: http://www.aad.org Oral

PA isotretinoin Generic

Topical benzoyl peroxide Generic BENZAC AC, TRIAZ

clindamycin gel, lotion, soln Generic CLEOCIN T

PA erythromycin gel 2% Generic

erythromycin soln Generic

erythromycin/benzoyl peroxide Generic BENZAMYCIN

sulfacetamide/sulfur crm, gel, lotion, pads Generic

tretinoin Generic AVITA

AL tretinoin Generic RETIN-A

Actinic Keratosis

fluorouracil Generic EFUDEX

Antibiotics

gentamicin Generic

mupirocin Generic BACTROBAN

silver sulfadiazine Generic SILVADENE

mupirocin Brand BACTROBAN NASAL Antifungals

ciclopirox Generic LOPROX, PENLAC

clotrimazole Generic

clotrimazole/betamethasone Generic LOTRISONE

econazole Generic

ketoconazole Generic NIZORAL

miconazole Generic

nystatin Generic MYCOSTATIN nystatin/triamcinolone Generic

sodium thiosulfate/salicylic acid Generic EXODERM

PA sulconazole Brand EXELDERM

Antipsoriatics Guidelines of care for the management and treatment of psoriasis with topical therapies are available at: http://www.aad.org

anthralin Generic DRITHOCREME

calcipotriene soln Generic DOVONEX soln

Antiseborrheics

ketoconazole shampoo 2% Generic NIZORAL SHAMPOO

selenium sulfide shampoo 2.5% Generic SELSUN

29

Corticosteroids Low Potency

alclometasone crm, oint 0.05% Generic ACLOVATE

desonide crm, lotion, oint 0.05% Generic DESOWEN, TRIDESILON fluocinolone acetonide soln 0.01% Generic

hydrocortisone crm 2.5% Generic

hydrocortisone lotion 1% Generic

Medium Potency

betamethasone valerate crm, lotion, oint 0.1% Generic

desoximetasone crm 0.05% Generic

fluocinolone acetonide crm, oint 0.025% Generic

fluticasone propionate crm 0.05%, oint 0.005% Generic CUTIVATE hydrocortisone butyrate crm, oint, soln 0.1% Generic LOCOID

hydrocortisone valerate crm, oint 0.2% Generic WESTCORT

mometasone crm, lotion, oint 0.1% Generic ELOCON

prednicarbate crm, oint 0.1% Generic DERMATOP

triamcinolone acetonide crm, lotion 0.025% Generic

triamcinolone acetonide crm, lotion, oint 0.1% Generic

High Potency

amcinonide crm, lotion, oint 0.1% Generic betamethasone dipropionate augmented crm 0.05% Generic DIPROLENE AF

betamethasone dipropionate augmented lotion 0.05% Generic DIPROLENE

betamethasone dipropionate crm, lotion, oint 0.05% Generic

desoximetasone crm, oint 0.25%, gel 0.05% Generic TOPICORT, TOPICORT LP

diflorasone diacetate crm 0.05% Generic

fluocinonide crm, gel, oint, soln 0.05% Generic LIDEX

triamcinolone acetonide crm 0.5% Generic

Very High Potency

betamethasone dipropionate augmented gel, oint 0.05% Generic DIPROLENE

clobetasol propionate crm, gel, lotion, oint 0.05% Generic TEMOVATE

clobetasol propionate foam 0.05% Generic OLUX

diflorasone diacetate oint 0.05% Generic

halobetasol propionate crm, oint 0.05% Generic ULTRAVATE

Emollients

ammonium lactate 12% Generic LAC-HYDRIN Immunomodulators Guidelines for the treatment of atopic dermatitis are available at: http://www.aad.org

PA pimecrolimus Brand ELIDEL Local Anesthetics

lidocaine Generic XYLOCAINE

lidocaine/prilocaine Generic EMLA

Rosacea

metronidazole crm 0.75% Generic METROCREAM

metronidazole gel 0.75% Generic metronidazole lotion 0.75% Generic METROLOTION

sulfacetamide/sulfur Generic PLEXION

30

Scabicides and Pediculicides

lindane Generic

permethrin 5% Generic ELIMITE

crotamiton Brand EURAX

malathion Generic OVIDE Miscellaneous Skin and Mucous Membrane

aluminum chloride Generic DRYSOL

papain/urea Generic GLADASE

podofilox Generic CONDYLOX

trypsin/balsam/castor oil Generic GRANULEX

acyclovir Brand ZOVIRAX

MOUTH/THROAT/DENTAL AGENTS Anesthetics - Topical Oral

chlorhexidine gluconate Generic PERIDEX

lidocaine viscous Generic XYLOCAINE VISCOUS

Steroids - Mouth/Throat

triamcinolone paste Generic

Miscellaneous - Mouth/Throat

sodium fluoride Generic PREVIDENT

OPHTHALMIC Preferred Practice Pattern Guidelines for the treatment of various ophthalmic conditions are available at: http://one.aao.org Antiallergics

cromolyn sodium Generic CROLOM

azelastine Generic OPTIVAR

epinastine Generic ELESTAT

lodoxamide Brand ALOMIDE

loteprednol 0.2% Brand ALREX

nedocromil Brand ALOCRIL pemirolast Brand ALAMAST

Antifungals

natamycin Brand NATACYN

Anti-infectives

bacitracin Generic

ciprofloxacin Generic CILOXAN erythromycin Generic

gentamicin Generic GENTAK

neomycin/polymyxin B/gramicidin Generic NEOSPORIN

ofloxacin Generic OCUFLOX

polymyxin B/bacitracin Generic

polymyxin B/trimethoprim Generic POLYTRIM

sulfacetamide 10% Generic BLEPH-10

tobramycin Generic TOBREX

ciprofloxacin ophth Generic CILOXAN oint moxifloxacin Brand VIGAMOX

Anti-infective/Anti-inflammatory Combinations

neomycin/polymyxin B/bacitracin/hydrocortisone oint Generic CORTISPORIN

neomycin/polymyxin B/dexamethasone Generic MAXITROL

31

neomycin/polymyxin B/hydrocortisone susp Generic CORTISPORIN

sulfacetamide/prednisolone phosphate 10%/0.25% Generic

tobramycin/dexamethasone Generic TOBRADEX

gentamicin/prednisolone Brand PRED-G, PRED-G SOP

neomycin/polymyxin B/prednisolone Brand POLY-PRED

sulfacetamide/prednisolone acetate oint 10%/0.2% Brand BLEPHAMIDE SOP Anti-inflammatories Nonsteroidal

diclofenac sodium Generic VOLTAREN

flurbiprofen Generic OCUFEN

ketorolac Generic ACULAR, ACULAR PF, ACULAR LS

Steroidal

dexamethasone sodium phosphate Generic DECADRON

fluorometholone Generic FLAREX

prednisolone acetate 1% Generic PRED FORTE

prednisolone phosphate 1% Generic

dexamethasone Brand MAXIDEX

fluorometholone Brand FML

loteprednol 0.5% Brand LOTEMAX prednisolone acetate 0.12% Brand PRED MILD

rimexolone Brand VEXOL

Antivirals

trifluridine Generic VIROPTIC

Beta-blockers Nonselective

levobunolol Generic BETAGAN

metipranolol Generic OPTIPRANOLOL

timolol maleate Generic TIMOPTIC

timolol maleate gel Generic TIMOPTIC-XE

timolol hemihydrate Brand BETIMOL

Selective

betaxolol Brand BETOPTIC S Carbonic Anhydrase Inhibitors Topical

dorzolamide Generic TRUSOPT

brinzolamide Brand AZOPT

Carbonic Anhydrase Inhibitor/Beta-blocker Combinations dorzolamide/timolol maleate Generic COSOPT

Local Anesthetics - Ophthalmic

proparacaine Generic ALCAINE, OPHTHETIC

tetracaine soln 2% Generic

Prostaglandins bimatoprost Brand LUMIGAN

latanoprost Generic XALATAN

travoprost Brand TRAVATAN, TRAVATAN Z

32

Sympathomimetics

brimonidine 0.2% Generic

apraclonidine Brand

brimonidine 0.1%, 0.15% Generic ALPHAGAN P

Miscellaneous - Ophthalmic

cyclopentolate Generic CYCLOGYL

cyclopentolate/phenylephrine Generic CYCLOMYDRIL

pilocarpine ophth Generic

tropicamide Generic MYDRIACYL

echothiophate Brand PHOSPHOLINE

pilocarpine ophth Brand PILOPINE HS

OTIC Clinical practice guidelines for the treatment of otitis media are available at: http://www.aap.org Anti-infectives

acetic acid Generic acetic acid/aluminum acetate Generic DOMEBORO OTIC

ofloxacin otic Generic

Anti-infective/Anti-inflammatory Combinations

neomycin/polymyxin B/hydrocortisone Generic CORTISPORIN OTIC

ciprofloxacin/dexamethasone Brand CIPRODEX

ciprofloxacin/hydrocortisone Brand CIPRO HC OTIC

SPECIALTY DRUGS

SD, PA abacavir/lamivudine EPZICOM

SD, PA, QL

adalimumab HUMIRA

SD, PA adefovir HEPSERA

SD, PA busulfan MYLERAN

SD, PA capecitabine XELODA SD, PA chlorambucil LEUKERAN

SD, PA chorionic gonadotropin NOVAREL, PREGNYL

SD, PA cyclophosphamide

SD, PA cyclosporine NEORAL, SANDIMMUNE

SD, PA darbepoetin alfa ARANESP

SD, PA dornase alfa PULMOZYME

SD, PA enfuvirtide FUZEON

SD, PA enoxaparin LOVENOX

SD, PA entecavir BARACLUDE SD, PA epoetin alfa EPOGEN, PROCRIT

SD, PA erlotinib TARCEVA

SD, PA, QL

etanercept ENBREL

SD, GL exemestane AROMASIN

SD, PA filgrastim NEUPOGEN

SD, PA flutamide

SD, PA gefitinib IRESSA

SD, PA glatiramer COPAXONE SD, PA hydroxyurea DROXIA

SD, PA hydroxyurea HYDREA

SD, PA iloprost VENTAVIS

SD, PA interferon alfa-2b INTRON A

33

SD, PA interferon alfacon-1 INFERGEN

SD, PA interferon beta-1a AVONEX

SD, PA Interferon beta-1b EXTAVIA

SD, PA interferon beta-1b BETASERON

SD, PA iron dextran INFED, DEXFERRUM

SD, PA lapatinib TYKERB SD, PA leucovorin LEUCOVORIN

SD, PA leuprolide acetate LUPRON DEPOT, LUPRON DEPOT-PED

SD, PA lomustine CEENU

SD, PA megestrol MEGACE

SD, PA mercaptopurine PURINETHOL

SD, PA nilotinib TASIGNA

SD, PA nilutamide NILANDRON

SD, PA peginterferon alfa-2a PEGASYS SD, PA peginterferon alfa-2b PEG-INTRON

SD, PA procarbazine MATULANE

SD, PA ribavirin COPEGUS

SD, PA sirolimus RAPAMUNE

SD, PA somatropin NUTROPIN, NUTROPIN AQ

SD, PA somatropin SAIZEN

SD, PA, QL

sorafenib NEXAVAR

SD, PA sunitinib SUTENT

SD, PA tacrolimus PROGRAF

SD, PA temozolomide TEMODAR

SD, PA testosterone inj DEPO-TESTOSTERONE

SD, PA thalidomide THALOMID

SD, PA triptorelin pamoate TRELSTAR DEPOT, TRELSTAR LA

SD, PA vorinostat ZOLINZA

34

A abacavir .................................................................................... 9 abacavir/lamivudine ................................................................. 32 abacavir/lamivudine/zidovudine .................................................. 9 acarbose ................................................................................ 18 ACCOLATE ............................................................................. 27 ACCUNEB............................................................................... 27 ACCUPRIL .............................................................................. 11 ACCURETIC ........................................................................... 11 acebutolol .............................................................................. 13 acetaminophen ........................................................................ 7 acetazolamide ........................................................................ 13 acetic acid .............................................................................. 32 acetic acid/aluminum acetate ................................................ 32 acetyl sulfisoxazole susp ............................................................ 8 ACLOVATE ............................................................................. 29 ACTIGALL ............................................................................... 23 ACTIVELLA ............................................................................. 21 ACTONEL ............................................................................... 19 ACTOPLUS MET ..................................................................... 19 ACTOS ................................................................................... 19 ACULAR ................................................................................. 31 ACULAR LS ............................................................................ 31 ACULAR PF ............................................................................ 31 acyclovir ............................................................................ 9, 30 ADALAT CC ............................................................................ 13 adalimumab ............................................................................. 32 ADDERALL ............................................................................. 17 adefovir ................................................................................... 32 ADVAIR................................................................................... 27 ADVAIR HFA ........................................................................... 27 AGGRENOX ........................................................................... 24 AGRYLIN ................................................................................ 25 ALAMAST ............................................................................... 30 albuterol ................................................................................. 27 albuterol ext-rel...................................................................... 27 albuterol soln ......................................................................... 27 albuterol sulfate, CFC-free aerosol ........................................... 27 ALCAINE, OPHTHETIC ........................................................... 31 alclometasone crm, oint 0.05% ............................................. 29 ALDACTAZIDE ........................................................................ 14 ALDACTONE .......................................................................... 11 alendronate ............................................................................ 19 ALKERAN ............................................................................... 10 ALLEGRA ............................................................................... 26 allopurinol ................................................................................ 6 almotriptan .............................................................................. 17 ALOCRIL................................................................................. 30 ALOMIDE ................................................................................ 30 ALORA .................................................................................... 21 ALPHAGAN P ................................................................... 30, 32 alprazolam ............................................................................. 14 alprazolam ext-rel .................................................................. 14 ALREX .................................................................................... 30 ALTACE .................................................................................. 11 altretamine .............................................................................. 10 aluminum chloride ................................................................. 30 amantadine ...................................................................... 10, 16 AMARYL ................................................................................. 19 AMBIEN .................................................................................. 17 amcinonide crm, lotion, oint 0.1% ......................................... 29 amiloride ................................................................................ 14 amiloride/hydrochlorothiazide .............................................. 14 amino acid/urea cervical crm ................................................ 24

aminophylline.........................................................................28 amiodarone ............................................................................12 amitriptyline ...........................................................................16 amlodipine..............................................................................13 amlodipine/benazepril ............................................................11 ammonium lactate 12% ..........................................................29 amoxicillin ............................................................................... 8 amoxicillin/clavulanate ........................................................... 8 AMOXIL .................................................................................... 8 amphetamine/dextroamphetamine mixed salts.....................17 ampicillin ................................................................................. 8 ANAFRANIL ............................................................................15 anagrelide ..............................................................................25 ANAPROX ................................................................................ 6 ANAPROX DS .......................................................................... 6 anastrozole ..............................................................................10 ANDRODERM .........................................................................18 ANEXSIA .................................................................................. 6 ANSAID .................................................................................... 6 ANTABUSE .............................................................................18 anthralin .................................................................................29 ANTIVERT ...............................................................................22 ANUSOL-HC ...........................................................................23 APIDRA ...................................................................................19 apraclonidine ...........................................................................32 APTIVUS .................................................................................. 9 ARALEN ................................................................................... 8 ARANESP ...............................................................................32 ARAVA ....................................................................................25 ARIMIDEX ...............................................................................10 ARMOUR THYROID ................................................................22 AROMASIN .............................................................................32 ASACOL ..................................................................................23 ASACOL HD ............................................................................23 ASMANEX ...............................................................................28 aspirin ..................................................................................... 5 aspirin/codeine ....................................................................... 6 ASTELIN .................................................................................27 atenolol ..................................................................................13 atenolol/chlorthalidone ..........................................................13 ATIVAN ...................................................................................14 atorvastatin…………………………………………………………..12 atovaquone ..............................................................................10 atovaquone/proguanil ................................................................ 8 ATRIPLA .................................................................................. 9 atropine/hyoscyamine/scopolamine/phenobarbital ..............22 ATROVENT NASAL SPRAY ....................................................26 ATROVENT spray ....................................................................28 AUGMENTIN ............................................................................ 8 AUGMENTIN ES-600 ................................................................ 8 AVANDAMET ..........................................................................19 AVANDARYL ...........................................................................19 AVANDIA.................................................................................19 AVELOX ................................................................................... 8 AVITA ......................................................................................28 AVODART ...............................................................................24 AVONEX .................................................................................33 AXERT ....................................................................................17 AYGESTIN ..............................................................................22 azathioprine ...........................................................................25 azelastine ................................................................................30 azelastine spray .......................................................................27 azithromycin ........................................................................... 8 AZOPT ....................................................................................31 AZULFIDINE ............................................................................23

35

AZULFIDINE EN-TABS............................................................ 23

B bacitracin ............................................................................... 30 baclofen ................................................................................. 17 BACTRIM ................................................................................ 10 BACTRIM DS .......................................................................... 10 BACTROBAN .......................................................................... 28 BACTROBAN NASAL .............................................................. 28 balsalazide ............................................................................. 23 BARACLUDE .......................................................................... 32 BD insulin syringes and needles............................................... 19 beclomethasone, CFC-free aerosol .......................................... 27 belladonna ............................................................................. 22 benazepril .............................................................................. 11 benazepril/hydrochlorothiazide ............................................. 11 BENICAR ................................................................................ 12 BENICAR HCT ........................................................................ 12 BENTYL .................................................................................. 22 BENZAC AC ............................................................................ 28 BENZAMYCIN ......................................................................... 28 benzonatate ........................................................................... 26 benzoyl peroxide ................................................................... 28 benztropine ............................................................................ 16 BETAGAN ............................................................................... 31 betamethasone dipropionate augmented crm 0.05%............ 29 betamethasone dipropionate augmented gel, oint 0.05% ..... 29 betamethasone dipropionate augmented lotion 0.05% ........ 29 betamethasone dipropionate crm, lotion, oint 0.05% ........... 29 betamethasone valerate crm, lotion, oint 0.1% ..................... 29 BETAPACE ............................................................................. 12 BETAPACE AF ........................................................................ 12 BETASERON .......................................................................... 33 betaxolol.................................................................................. 31 bethanechol ........................................................................... 24 BETIMOL ................................................................................ 31 BETOPTIC S ........................................................................... 31 BIAXIN ...................................................................................... 8 BIAXIN XL ................................................................................. 8 bicalutamide .......................................................................... 10 BICILLIN C-R ............................................................................ 8 BILTRICIDE ............................................................................ 10 bimatoprost ............................................................................. 32 bisoprolol ............................................................................... 13 bisoprolol/hydrochlorothiazide ............................................. 13 BLEPH-10 ............................................................................... 30 BLEPHAMIDE SOP ................................................................. 31 blood glucose monitoring kits, test strips ................................... 19 BRETHINE .............................................................................. 27 brimonidine 0.1%, 0.15% ......................................................... 32 brimonidine 0.2% ................................................................... 32 brinzolamide ............................................................................ 31 bromocriptine ........................................................................ 16 brompheniramine/pseudoephedrine 4 mg/45 mg per 5 mL .. 26 brompheniramine/pseudoephedrine ext-rel 12 mg/120 mg .. 26 brompheniramine/pseudoephedrine ext-rel 6 mg/60 mg ...... 26 budesonide........................................................................ 23, 28 budesonide/formoterol ............................................................. 27 bumetanide ............................................................................ 13 BUMEX ................................................................................... 13 bupropion .............................................................................. 16 bupropion ext-rel ............................................................. 16, 18 BUSPAR ................................................................................. 14 buspirone ............................................................................... 14 busulfan .................................................................................. 32 butalbital/acetaminophen ........................................................ 7

butalbital/acetaminophen/caffeine.......................................... 7 butalbital/acetaminophen/caffeine/codeine ............................ 6 butalbital/aspirin/caffeine ....................................................... 7 butalbital/aspirin/caffeine/codeine ......................................... 6

C cabergoline ............................................................................22 CAFERGOT.............................................................................17 CALAN SR ..............................................................................13 CALCIFEROL ..........................................................................26 calcipotriene soln .....................................................................29 calcitonin-salmon...................................................................19 calcitonin-salmon - Fortical ...................................................19 calcitriol (1,25-D3) ..................................................................26 calcium acetate ......................................................................22 CANASA..................................................................................23 capecitabine ............................................................................32 CAPOTEN ...............................................................................11 CAPOZIDE ..............................................................................11 captopril .................................................................................11 captopril/hydrochlorothiazide................................................11 CARAFATE .............................................................................24 carbachol .................................................................................32 carbamazepine .......................................................................15 carbamazepine ext-rel ..............................................................15 CARBATROL ...........................................................................15 carbidopa/levodopa ...............................................................16 carbidopa/levodopa ext-rel ....................................................16 CARDIZEM CD ........................................................................13 CARDIZEM SR ........................................................................13 CARDURA ...............................................................................11 CARNITOR ..............................................................................22 carvedilol................................................................................13 CASODEX ...............................................................................10 CATAFLAM .............................................................................. 6 CATAPRES .............................................................................11 CATAPRES-TTS......................................................................11 CEENU....................................................................................33 cefaclor ................................................................................... 7 cefadroxil ................................................................................ 7 cefdinir .................................................................................... 7 cefpodoxime ........................................................................... 7 cefprozil................................................................................... 7 CEFTIN .................................................................................... 7 ceftriaxone inj ......................................................................... 8 cefuroxime axetil ..................................................................... 7 CELEXA ..................................................................................15 CELLCEPT ..............................................................................25 CENESTIN ..............................................................................21 cephalexin ............................................................................... 7 cetirizine .................................................................................26 cetirizine/pseudoephedrine ext-rel ........................................26 cevimeline ...............................................................................23 CHANTIX.................................................................................18 chloral hydrate .......................................................................17 chlorambucil ............................................................................32 chlordiazepoxide ....................................................................14 chlordiazepoxide/amitriptyline ..............................................16 chlordiazepoxide/clidinium ....................................................22 chlorhexidine gluconate ........................................................30 chloroquine ............................................................................. 8 chlorpheniramine/methscopolamine ..........................................26 chlorpheniramine/phenylephrine 1 mg/3.5 mg per mL..........26 chlorpheniramine/phenylephrine 4 mg/12.5 mg per 5 mL .....26 chlorpheniramine/pseudoephedrine ext-rel 8 mg/120 mg .....26 chlorpheniramine/pyrilamine & phenylephrine ...........................26

36

chlorpromazine ...................................................................... 16 chlorpropamide ..................................................................... 19 chlorthalidone ........................................................................ 14 chlorzoxazone ....................................................................... 17 cholestyramine ...................................................................... 12 choline magnesium trisalicylate.............................................. 5 chorionic gonadotropin ............................................................. 32 ciclopirox ............................................................................... 28 cilostazol ................................................................................ 25 CILOXAN ................................................................................ 30 CILOXAN oint .......................................................................... 31 cimetidine .............................................................................. 23 CIPRO ...................................................................................... 8 CIPRO HC OTIC ..................................................................... 32 CIPRO susp .............................................................................. 8 CIPRODEX ............................................................................. 32 ciprofloxacin ...................................................................... 8, 30 ciprofloxacin ophth ................................................................... 31 ciprofloxacin susp ...................................................................... 8 ciprofloxacin/dexamethasone ................................................... 32 ciprofloxacin/hydrocortisone ..................................................... 32 citalopram .............................................................................. 15 clarithromycin .......................................................................... 8 clarithromycin ext-rel .............................................................. 8 CLARITIN ................................................................................ 26 CLARITIN-D ............................................................................ 26 CLEOCIN .......................................................................... 10, 24 CLEOCIN T ............................................................................. 28 CLIMARA ................................................................................ 21 clindamycin ........................................................................... 10 clindamycin crm .................................................................... 24 clindamycin gel, lotion, soln ................................................. 28 clindamycin supp ..................................................................... 24 CLINDESSE ............................................................................ 24 CLINORIL ................................................................................. 6 clobetasol propionate crm, gel, lotion, oint 0.05% ................ 29 clobetasol propionate foam 0.05% ........................................ 29 CLOMID .................................................................................. 21 clomiphene ............................................................................ 21 clomipramine ......................................................................... 15 clonazepam ............................................................................ 14 clonidine ................................................................................ 11 clonidine transdermal ............................................................ 11 clopidogrel ............................................................................... 24 clorazepate ............................................................................ 14 clotrimazole ..................................................................... 24, 28 clotrimazole troches ................................................................ 8 clotrimazole/betamethasone ................................................. 28 clozapine ................................................................................ 16 CLOZARIL............................................................................... 16 codeine sulfate ........................................................................ 6 codeine/acetaminophen .......................................................... 6 codeine/chlorpheniramine/pseudoephedrine ....................... 27 codeine/guaifenesin liquid .................................................... 27 codeine/guaifenesin/pseudoephedrine ................................. 27 codeine/promethazine ........................................................... 27 codeine/promethazine/phenylephrine ................................... 27 COLAZAL ................................................................................ 23 colchicine tabs......................................................................... 6 COLESTID .............................................................................. 12 colestipol ............................................................................... 12 COLYTE.................................................................................. 23 COMBIPATCH ........................................................................ 21 COMBIVENT ........................................................................... 26 COMBIVIR ................................................................................ 9 COMPLETE-RF ....................................................................... 25

COMTAN .................................................................................16 CONCERTA ............................................................................17 CONDYLOX ............................................................................30 COPAXONE ............................................................................33 COPEGUS ..............................................................................33 CORDARONE .........................................................................12 COREG ...................................................................................13 CORGARD ..............................................................................13 CORTEF..................................................................................21 CORTENEMA ..........................................................................23 cortisone ................................................................................21 CORTISPORIN ........................................................................31 CORTISPORIN OTIC ...............................................................32 COSOPT .................................................................................31 COUMADIN .............................................................................24 COZAAR .................................................................................12 CREON ...................................................................................23 CRESTOR ...............................................................................12 CRINONE ................................................................................22 CRIXIVAN ................................................................................ 9 CROLOM.................................................................................30 cromolyn inhaler ......................................................................27 cromolyn sodium ...................................................................30 cromolyn soln ........................................................................27 crotamiton................................................................................30 CUPRIMINE ............................................................................25 CUTIVATE ...............................................................................29 cyanocobalamin inj ................................................................26 CYCLESSA .............................................................................20 cyclobenzaprine .....................................................................17 CYCLOGYL .............................................................................32 CYCLOMYDRIL .......................................................................32 cyclopentolate ........................................................................32 cyclopentolate/phenylephrine ...............................................32 cyclophosphamide.................................................................32 cycloserine .............................................................................. 9 cyclosporine ..........................................................................32 CYTOTEC ...............................................................................23 CYTRA-2 .................................................................................24 CYTRA-3 .................................................................................24 CYTRA-K.................................................................................24

D danazol ...................................................................................21 DANTRIUM..............................................................................17 dantrolene ..............................................................................17 dapsone ..................................................................................10 DARAPRIM..............................................................................10 darbepoetin alfa .......................................................................32 darunavir .................................................................................. 9 DARVOCET-N .......................................................................... 7 DARVON .................................................................................. 7 DAYPRO .................................................................................. 6 DDAVP ....................................................................................22 DECADRON ............................................................................31 DECLOMYCIN .......................................................................... 8 DECONAMINE SR ...................................................................26 delavirdine ................................................................................ 9 DEMADEX ...............................................................................13 demeclocycline ....................................................................... 8 DEMEROL ................................................................................ 6 DEPAKENE .............................................................................15 DEPAKOTE .............................................................................15 DEPAKOTE ER .......................................................................15 DEPAKOTE SPRINKLE ...........................................................15 DEPO-PROVERA ....................................................................20

37

DEPO-TESTOSTERONE......................................................... 33 DERMATOP ............................................................................ 29 desipramine ........................................................................... 16 desmopressin spray, tabs ..................................................... 22 DESOGEN .............................................................................. 20 desogestrel/EE....................................................................... 20 desogestrel/EE 0.15/30 .......................................................... 20 desonide crm, lotion, oint 0.05% ........................................... 29 DESOWEN.............................................................................. 29 desoximetasone crm 0.05%................................................... 29 desoximetasone crm, oint 0.25%, gel 0.05% ......................... 29 DETROL ................................................................................. 24 DETROL LA ............................................................................ 24 dexamethasone ............................................................... 21, 31 dexamethasone sodium phosphate ...................................... 31 DEXEDRINE ........................................................................... 17 DEXEDRINE SPANSULE ........................................................ 17 DEXFERRUM.......................................................................... 33 dexmethylphenidate .............................................................. 17 dextroamphetamine ............................................................... 17 dextroamphetamine ext-rel.................................................... 17 dextromethorphan/brompheniramine/pseudoephedrine ...... 27 dextromethorphan/chlorpheniramine/phenylephrine drops,

syrup ................................................................................. 27 dextromethorphan/promethazine .......................................... 27 DIABETA................................................................................. 19 DIABINESE ............................................................................. 19 diaphram/cervical cap .............................................................. 20 diazepam ................................................................................ 14 diclofenac potassium .............................................................. 6 diclofenac sodium ................................................................. 31 diclofenac sodium delayed-rel ................................................ 6 diclofenac sodium ext-rel ........................................................ 6 dicloxacillin .............................................................................. 8 dicyclomine ........................................................................... 22 didanosine delayed-rel ............................................................ 9 didanosine soln ......................................................................... 9 diflorasone diacetate crm 0.05% ........................................... 29 diflorasone diacetate oint 0.05% ........................................... 29 DIFLUCAN ................................................................................ 8 diflunisal .................................................................................. 6 DIGEX NF ............................................................................... 23 digoxin ................................................................................... 13 digoxin ped elixir ................................................................... 13 dihydroergotamine spray .......................................................... 17 DILACOR XR .......................................................................... 13 DILANTIN ................................................................................ 15 DILANTIN INFATABS .............................................................. 15 DILANTIN KAPSEAL ............................................................... 15 DILAUDID ................................................................................. 6 DILAUDID-5 .............................................................................. 7 diltiazem ext-rel ..................................................................... 13 diphenoxylate/atropine .......................................................... 22 DIPROLENE ........................................................................... 29 DIPROLENE AF ...................................................................... 29 dipyridamole .......................................................................... 24 dipyridamole ext-rel/aspirin ...................................................... 24 disopyramide ......................................................................... 12 disopyramide ext-rel .............................................................. 12 disulfiram................................................................................. 18 DITROPAN XL ........................................................................ 24 divalproex sodium delayed-rel .............................................. 15 divalproex sodium ext-rel ...................................................... 15 DOMEBORO OTIC .................................................................. 32 DONNATAL ............................................................................. 22 dornase alfa ............................................................................ 32

dorzolamide ...........................................................................31 dorzolamide/timolol maleate ..................................................31 DOVONEX soln .......................................................................29 doxazosin ...............................................................................11 doxepin ..................................................................................16 doxercalciferol..........................................................................21 doxycycline hyclate ................................................................ 8 DRISDOL ................................................................................26 DRITHOCREME ......................................................................29 dronabinol ..............................................................................22 droperidol ...............................................................................16 drospirenone/EE 3/20...............................................................20 drospirenone/EE 3/30 .............................................................20 DROXIA ..................................................................................33 DRYSOL..................................................................................30 DUETACT ...............................................................................19 DUONEB .................................................................................26 DURAGESIC ............................................................................ 6 dutasteride ...............................................................................24 DYAZIDE .................................................................................14 DYLIX ......................................................................................28 DYNACIN ................................................................................. 8 dyphylline ................................................................................28

E E.E.S. ....................................................................................... 8 echothiophate ..........................................................................32 EC-NAPROSYN........................................................................ 6 econazole ...............................................................................28 EE/norethindrone acetate .........................................................21 efavirenz ................................................................................... 9 efavirenz/emtricitabine/tenofovir ................................................ 9 EFFEXOR ...............................................................................16 EFUDEX ..................................................................................28 ELDEPRYL ..............................................................................16 ELESTAT ................................................................................30 ELIDEL ....................................................................................29 ELIMITE ..................................................................................30 ELMIRON ................................................................................24 ELOCON .................................................................................29 EMLA ......................................................................................29 emtricitabine ............................................................................. 9 emtricitabine/tenofovir ............................................................... 9 EMTRIVA ................................................................................. 9 enalapril..................................................................................11 enalapril/hydrochlorothiazide ................................................11 ENBREL ..................................................................................32 enfuvirtide ................................................................................32 enoxaparin ...............................................................................32 entacapone ..............................................................................16 entecavir ..................................................................................32 ENTOCORT EC .......................................................................23 epinastine ................................................................................30 epinephrine ..............................................................................26 EPIPEN ...................................................................................26 EPIPEN JR. .............................................................................26 EPIVIR ..................................................................................... 9 EPIVIR-HBV ............................................................................. 9 epoetin alfa ..............................................................................32 EPOGEN .................................................................................32 EPZICOM ................................................................................32 ergocalciferol (D2)..................................................................26 ergotamine/caffeine ...............................................................17 ergotamine/caffeine supp .........................................................17 erlotinib....................................................................................32 erythromycin ..........................................................................30

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ERYTHROMYCIN...................................................................... 8 erythromycin base ................................................................... 8 erythromycin delayed-rel......................................................... 8 erythromycin ethylsuccinate ................................................... 8 erythromycin gel 2% .............................................................. 28 erythromycin soln.................................................................. 28 erythromycin stearate.............................................................. 8 erythromycin/benzoyl peroxide ............................................. 28 erythromycin/sulfisoxazole ..................................................... 8 ESGIC....................................................................................... 7 ESGIC-PLUS............................................................................. 7 estazolam ............................................................................... 17 ESTRACE ............................................................................... 21 ESTRADERM .......................................................................... 21 estradiol ................................................................................. 21 estradiol vaginal crm ................................................................ 21 estradiol vaginal tabs ............................................................... 21 estradiol/norethindrone ......................................................... 21 estradiol/norethindrone acetate ................................................ 21 ESTRATEST ........................................................................... 21 ESTRATEST HS ..................................................................... 21 estrogens, conjugated.............................................................. 21 estrogens, conjugated crm ....................................................... 21 estrogens, conjugated, synthetic A ........................................... 21 estrogens, conjugated/medroxyprogesterone ........................... 21 estrogens, esterified/methyltestosterone ............................. 21 estropipate ............................................................................. 21 ESTROSTEP FE ..................................................................... 20 etanercept ............................................................................... 32 ethambutol ............................................................................... 9 ethosuximide ......................................................................... 15 ethynodiol diacetate/EE 1/35 - Zovia 1/35.............................. 20 ethynodiol diacetate/EE 1/50 - Zovia 1/50.............................. 20 etodolac ................................................................................... 6 etodolac ext-rel ........................................................................ 6 etoposide ............................................................................... 10 etravirine ................................................................................... 9 EURAX ................................................................................... 30 EVOXAC ................................................................................. 23 EXELDERM ............................................................................ 28 EXELON ................................................................................. 15 EXELON PATCH ..................................................................... 15 exemestane............................................................................. 32 EXODERM .............................................................................. 28 EXTENDRYL ........................................................................... 26 EXTENDRYL ER ..................................................................... 26 ezetimibe/simvastatin............................................................... 12

F famciclovir ............................................................................... 9 famotidine .............................................................................. 23 FAMVIR .................................................................................... 9 FANSIDAR ................................................................................ 8 FELDENE ................................................................................. 6 felodipine ext-rel .................................................................... 13 FEMARA ................................................................................. 10 FEMHRT, FEMHRT 1/5 ........................................................... 21 fenofibrate.............................................................................. 12 fenofibrate, micronized ............................................................. 12 fentanyl transdermal ................................................................ 6 fexofenadine .......................................................................... 26 filgrastim.................................................................................. 32 finasteride .............................................................................. 24 FIORICET ................................................................................. 7 FIORICET w/CODEINE ............................................................. 6 FIORINAL ................................................................................. 7

FIORINAL w/CODEINE ............................................................. 6 FLAGYL ..................................................................................10 FLAREX ..................................................................................31 flavoxate .................................................................................24 flecainide ................................................................................12 FLEXERIL ...............................................................................17 FLOMAX..................................................................................24 FLONASE................................................................................27 FLOVENT HFA ........................................................................28 fluconazole .............................................................................. 8 fludrocortisone.......................................................................21 FLUMADINE ............................................................................10 flunisolide spray ....................................................................27 fluocinolone acetonide crm, oint 0.025% ..............................29 fluocinolone acetonide soln 0.01% ........................................29 fluocinonide crm, gel, oint, soln 0.05% .................................29 fluoride drops.........................................................................26 fluorometholone .......................................................................31 fluorouracil .............................................................................28 fluoxetine ...............................................................................15 fluphenazine ...........................................................................16 flurazepam..............................................................................17 flurbiprofen ........................................................................ 6, 31 flutamide ................................................................................32 fluticasone propionate crm 0.05%, oint 0.005% ....................29 fluticasone spray ...................................................................27 fluticasone, CFC-free aerosol ...................................................28 fluticasone/salmeterol...............................................................27 fluticasone/salmeterol, CFC-free aerosol ..................................27 fluvoxamine ............................................................................15 FML .........................................................................................31 FOCALIN .................................................................................17 folic acid .................................................................................25 FOLVITE .................................................................................25 FORADIL .................................................................................27 formoterol inhalation caps ........................................................27 FOSAMAX ...............................................................................19 fosamprenavir ........................................................................... 9 fosinopril ................................................................................11 fosinopril/hydrochlorothiazide ..............................................11 FURADANTIN..........................................................................10 furosemide .............................................................................13 FUZEON..................................................................................32

G gabapentin .............................................................................15 GABITRIL ................................................................................15 galantamine ............................................................................15 ganciclovir............................................................................... 9 GANTRISIN .............................................................................. 8 GANTRISIN PED SUSP ............................................................ 8 GASTRINEX NF ......................................................................23 gefitinib ....................................................................................33 gemfibrozil .............................................................................12 GENTAK..................................................................................30 gentamicin........................................................................ 28, 30 gentamicin/prednisolone...........................................................31 GEODON ................................................................................16 GLADASE ...............................................................................30 glatiramer ................................................................................33 GLEEVEC ...............................................................................10 glimepiride .............................................................................19 glipizide ..................................................................................19 glipizide ext-rel .......................................................................19 glipizide/metformin ................................................................18 GLUCAGON EMERGENCY KIT ...............................................21

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glucagon, human recombinant ................................................. 21 GLUCOPHAGE ....................................................................... 18 GLUCOPHAGE XR ................................................................. 18 GLUCOTROL .......................................................................... 19 GLUCOTROL XL ..................................................................... 19 GLUCOVANCE ....................................................................... 18 glyburide ................................................................................ 19 glyburide, micronized ............................................................ 19 glyburide/metformin .............................................................. 18 glycopyrrolate ........................................................................ 22 GLYNASE ............................................................................... 19 GLYSET .................................................................................. 18 GOLYTELY ............................................................................. 23 granisetron ............................................................................ 22 GRANULEX ............................................................................ 30 GRIFULVIN V TABS .................................................................. 8 griseofulvin microsize tabs ......................................................... 8 griseofulvin susp ..................................................................... 8 griseofulvin ultramicrosize .......................................................... 8 GRIS-PEG................................................................................. 8 guanfacine ............................................................................. 11 GYNE-LOTRIMIN .................................................................... 24

H HALCION ................................................................................ 17 halobetasol propionate crm, oint 0.05% ................................ 29 haloperidol ............................................................................. 16 HECTOROL ............................................................................ 21 HEPSERA ............................................................................... 32 HEXALEN ............................................................................... 10 HIPREX................................................................................... 10 HUMALOG cartridges, pens ..................................................... 19 HUMALOG MIX cartridges, pens .............................................. 19 HUMIRA .................................................................................. 32 HUMULIN 50/50 cartridges, pens ............................................. 19 HUMULIN 70/30 cartridges, pens ............................................. 19 HUMULIN N cartridges, pens ................................................... 19 HUMULIN R cartridges, pens ................................................... 19 hydralazine ............................................................................ 14 HYDREA ................................................................................. 33 hydrochlorothiazide............................................................... 14 hydrocodone/acetaminophen.................................................. 6 hydrocodone/homatropine .................................................... 27 hydrocodone/ibuprofen ........................................................... 6 hydrocortisone ...................................................................... 21 hydrocortisone butyrate crm, oint, soln 0.1% ....................... 29 hydrocortisone crm ............................................................... 23 hydrocortisone crm 2.5% ...................................................... 29 hydrocortisone enema........................................................... 23 hydrocortisone lotion 1% ...................................................... 29 hydrocortisone supp ............................................................. 23 hydrocortisone valerate crm, oint 0.2% ................................ 29 hydromorphone ....................................................................... 6 hydromorphone oral soln 1 mg/mL ............................................. 7 hydroxychloroquine ................................................................ 8 hydroxyurea ............................................................................ 33 hydroxyzine HCl .................................................................... 26 hyoscyamine sulfate .............................................................. 23 hyoscyamine sulfate ext-rel .................................................. 23 hyoscyamine sulfate orally disintegrating tabs .................... 23 hyoscyamine/phenyltoloxamine ................................................ 23 HYTRIN................................................................................... 11 HYZAAR ................................................................................. 12

I ibuprofen ................................................................................. 6 iloprost .................................................................................... 33

imatinib mesylate .....................................................................10 IMDUR ....................................................................................14 imipramine HCl ......................................................................16 IMITREX ..................................................................................17 IMURAN ..................................................................................25 indapamide.............................................................................14 INDERAL .................................................................................13 INDERAL LA ............................................................................13 INDERIDE ...............................................................................13 indinavir .................................................................................... 9 INDOCIN SR ............................................................................ 6 indomethacin .......................................................................... 6 indomethacin ext-rel ............................................................... 6 INFED .....................................................................................33 INFERGEN ..............................................................................33 insulin aspart ...........................................................................18 insulin aspart protamine 70%/insulin aspart 30% .......................18 insulin detemir..........................................................................18 insulin glargine .........................................................................18 insulin glulisine.........................................................................19 insulin human ..........................................................................19 insulin isophane human ............................................................19 insulin isophane human 50%/regular 50%.................................19 insulin isophane human 70%/regular 30%.................................19 insulin lispro .............................................................................19 insulin lispro protamine/insulin lispro .........................................19 insulin syringes, needles ..........................................................19 insulin vials ..............................................................................18 INTAL INHALER ......................................................................27 INTELENCE ............................................................................. 9 interferon alfa-2b ......................................................................33 interferon alfacon-1 ..................................................................33 interferon beta-1a.....................................................................33 interferon beta-1b.....................................................................33 INTRON A ...............................................................................33 INVIRASE ................................................................................. 9 ipratropium soln.....................................................................26 ipratropium spray...................................................................28 ipratropium/albuterol ................................................................26 ipratropium/albuterol soln .....................................................26 IRESSA ...................................................................................33 iron dextran ............................................................................33 ISENTRESS ............................................................................. 9 ISMO .......................................................................................14 ISO CARBACHOL ...................................................................32 isometheptene/dichloralphenazone/acetaminophen ............. 7 isoniazid .................................................................................. 9 ISOPTIN SR ............................................................................13 ISORDIL ..................................................................................14 isosorbide dinitrate ext-rel tabs .............................................14 isosorbide dinitrate oral .........................................................14 isosorbide mononitrate..........................................................14 isosorbide mononitrate ext-rel ..............................................14 isotretinoin .............................................................................28 isoxsuprine ............................................................................14 ivermectin ................................................................................10

J JANUMET ...............................................................................18 JANUVIA .................................................................................18

K KALETRA ................................................................................. 9 KAON LIQUID..........................................................................25 KAON-CL ................................................................................25 KAYEXALATE .........................................................................25 K-DUR .....................................................................................25

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KEFLEX .................................................................................... 7 KEPPRA ................................................................................. 15 ketoconazole...................................................................... 8, 28 ketoconazole shampoo 2%.................................................... 29 ketoprofen ext-rel .................................................................... 6 ketorolac ................................................................................. 31 KLONOPIN.............................................................................. 14 K-LOR ..................................................................................... 25 KLOR-CON ............................................................................. 25 K-PHOS NEUTRAL ................................................................. 24 K-TAB ..................................................................................... 25 KYTRIL ................................................................................... 22

L labetalol ................................................................................. 13 LAC-HYDRIN .......................................................................... 29 lactulose ................................................................................ 23 LAMICTAL............................................................................... 15 Lamictal ODT .......................................................................... 15 LAMISIL .................................................................................... 8 lamivudine ................................................................................. 9 lamivudine/zidovudine................................................................ 9 lamotrigine ............................................................................. 15 lamotrigine dispersible tabs .................................................. 15 lancets .................................................................................... 19 LANCETS ............................................................................... 19 LANOXIN ................................................................................ 13 LANTUS cartridges, pens ........................................................ 18 lapatinib .................................................................................. 33 LARIAM..................................................................................... 8 LASIX...................................................................................... 13 latanoprost .............................................................................. 32 leflunomide ............................................................................ 25 letrozole .................................................................................. 10 leucovorin .............................................................................. 33 LEUCOVORIN ......................................................................... 33 LEUKERAN ............................................................................. 32 leuprolide acetate .................................................................... 33 LEVBID ................................................................................... 23 LEVEMIR ................................................................................ 18 levetiracetam ......................................................................... 15 levobunolol ............................................................................ 31 levocarnitine .......................................................................... 22 levonorgestrel/EE .................................................................. 20 levonorgestrel/EE - Trivora.................................................... 20 levonorgestrel/EE 0.1/20 - Lessina ........................................ 20 levonorgestrel/EE 0.15/30 ...................................................... 20 levonorgestrel/EE 0.15/30 - Levora........................................ 20 levothyroxine ......................................................................... 22 levothyroxine - Levoxyl ......................................................... 22 LEVSIN ................................................................................... 23 LEVSINEX............................................................................... 23 LEXIVA ..................................................................................... 9 LIBRAX ................................................................................... 22 LIBRIUM ................................................................................. 14 LIDEX ..................................................................................... 29 lidocaine ................................................................................ 29 lidocaine viscous ................................................................... 30 lidocaine/prilocaine ............................................................... 29 LIMBITROL ............................................................................. 16 LIMBITROL DS ....................................................................... 16 lindane ................................................................................... 30 linezolid ................................................................................... 10 LIPITOR………………………………………………………………12 lisdexamfetamine ..................................................................... 17 lisinopril ................................................................................. 11

lisinopril/hydrochlorothiazide ................................................11 lithium carbonate ...................................................................17 lithium carbonate ext-rel tabs 300 mg ...................................17 lithium carbonate ext-rel tabs 450 mg ...................................17 lithium citrate soln .................................................................17 LITHOBID ................................................................................17 LO/OVRAL ..............................................................................20 LOCOID ..................................................................................29 lodoxamide ..............................................................................30 LOESTRIN 1.5/30 ....................................................................20 LOESTRIN 1/20 .......................................................................20 LOESTRIN FE 1.5/30 ...............................................................20 LOESTRIN FE 1/20..................................................................20 LOFIBRA .................................................................................12 LOMOTIL.................................................................................22 lomustine .................................................................................33 loperamide .............................................................................22 LOPID .....................................................................................12 lopinavir/ritonavir ....................................................................... 9 LOPRESSOR ..........................................................................13 LOPRESSOR HCT ..................................................................13 LOPROX .................................................................................28 loratadine ...............................................................................26 loratadine/pseudoephedrine ..................................................26 lorazepam ...............................................................................14 LORTAB ................................................................................... 6 losartan ...................................................................................12 losartan/hydrochlorothiazide .....................................................12 LOTEMAX ...............................................................................31 LOTENSIN ..............................................................................11 LOTENSIN HCT.......................................................................11 loteprednol 0.2% ......................................................................30 loteprednol 0.5% ......................................................................31 LOTREL ..................................................................................11 LOTRISONE ............................................................................28 lovastatin................................................................................12 LOVENOX ...............................................................................32 loxapine ..................................................................................16 LOXITANE ...............................................................................16 LUMIGAN ................................................................................32 LUPRON DEPOT.....................................................................33 LUPRON DEPOT-PED ............................................................33 LURIDE ...................................................................................26

M MACRODANTIN ......................................................................10 MALARONE ............................................................................. 8 malathion ...............................................................................30 maprotiline .............................................................................16 MARINOL ................................................................................22 MATULANE .............................................................................33 MAVIK .....................................................................................11 MAXALT ..................................................................................17 MAXALT-MLT ..........................................................................17 MAXIDEX ................................................................................31 MAXITROL ..............................................................................31 MAXZIDE ................................................................................14 mebendazole ..........................................................................10 meclizine ................................................................................22 MEDROL .................................................................................21 medroxyprogesterone ...........................................................20 medroxyprogesterone acetate ...............................................22 medroxyprogesterone acetate 150 mg/mL ............................20 mefloquine .............................................................................. 8 MEGACE .................................................................................33 megestrol ...............................................................................33

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meloxicam................................................................................ 6 melphalan ............................................................................... 10 memantine .............................................................................. 15 meperidine ............................................................................... 6 MEPHYTON ............................................................................ 26 MEPRON ................................................................................ 10 mercaptopurine ..................................................................... 33 mesalamine delayed-rel tabs.................................................... 23 mesalamine ext-rel caps .......................................................... 23 mesalamine rectal susp ......................................................... 23 mesalamine supp .................................................................... 23 mesna .................................................................................... 11 MESNEX ................................................................................. 11 MESTINON ............................................................................. 18 METADATE CD ....................................................................... 17 METAGLIP .............................................................................. 18 metformin............................................................................... 18 metformin ext-rel ................................................................... 18 metformin soln ......................................................................... 18 methadone ............................................................................... 6 methazolamide....................................................................... 13 methenamine hippurate ......................................................... 10 METHERGINE ........................................................................ 22 methimazole........................................................................... 22 methocarbamol ...................................................................... 17 methotrexate .......................................................................... 25 methscopolamine .................................................................. 22 methyldopa ............................................................................ 14 methylergonovine .................................................................... 22 METHYLIN .............................................................................. 17 METHYLIN ER ........................................................................ 17 methylphenidate .................................................................... 17 methylphenidate chew tablet .................................................... 17 methylphenidate ext-rel ......................................................... 17 methylphenidate soln ............................................................... 17 methylprednisolone ............................................................... 21 metipranolol ........................................................................... 31 metoclopramide ..................................................................... 22 metolazone ............................................................................ 14 metoprolol.............................................................................. 13 metoprolol ext-rel .................................................................. 13 metoprolol/hydrochlorothiazide ............................................ 13 METROCREAM....................................................................... 30 METROGEL-VAGINAL ............................................................ 24 METROLOTION ...................................................................... 30 metronidazole .................................................................. 10, 24 metronidazole crm 0.75% ...................................................... 30 metronidazole gel 0.75%........................................................ 30 metronidazole lotion 0.75% ................................................... 30 MEVACOR .............................................................................. 12 mexiletine............................................................................... 12 MIACALCIN ............................................................................. 19 MICARDIS............................................................................... 12 MICARDIS HCT....................................................................... 12 miconazole ............................................................................. 28 MICRO-K ................................................................................ 25 midodrine ............................................................................... 14 MIDRIN ..................................................................................... 7 MIGERGOT ............................................................................. 17 miglitol..................................................................................... 18 MIGRANAL ............................................................................. 17 MINIPRESS ............................................................................ 11 MINOCIN .................................................................................. 8 minocycline ............................................................................. 8 minoxidil ................................................................................ 14 MIRAPEX ................................................................................ 16

MIRCETTE ..............................................................................20 mirtazapine.............................................................................16 misoprostol ............................................................................23 MISSION PRENATAL ..............................................................25 MOBIC ..................................................................................... 6 MODICON ...............................................................................20 moexipril ................................................................................11 moexipril/hydrochlorothiazide ...............................................11 mometasone ............................................................................28 mometasone crm, lotion, oint 0.1% .......................................29 mometasone spray...................................................................27 MONOKET ..............................................................................14 MONOPRIL .............................................................................11 MONOPRIL-HCT .....................................................................11 montelukast .............................................................................27 morphine ................................................................................. 6 morphine ext-rel ...................................................................... 6 morphine soln ......................................................................... 6 MOTRIN ................................................................................... 6 moxifloxacin ......................................................................... 8, 31 MS CONTIN ............................................................................. 6 MSIR ........................................................................................ 6 mupirocin ...............................................................................28 MYAMBUTOL ........................................................................... 9 MYCELEX ................................................................................ 8 MYCOBUTIN ............................................................................ 9 mycophenolate mofetil ..........................................................25 MYCOSTATIN .........................................................................28 MYDRIACYL ............................................................................32 MYLERAN ...............................................................................32 MYNATAL ...............................................................................25 MYNATAL ADVANCED ...........................................................25 MYNATE 90.............................................................................25 MYSOLINE ..............................................................................15

N nabumetone ............................................................................ 6 nadolol ...................................................................................13 naltrexone ..............................................................................18 NAMENDA ..............................................................................15 NAPROSYN ............................................................................. 6 naproxen ................................................................................. 6 naproxen sodium .................................................................... 6 NARDIL ...................................................................................15 NASACORT AQ .......................................................................27 NASALCROM ..........................................................................27 NASAREL ................................................................................27 NASONEX ...............................................................................27 NATACYN ...............................................................................30 NATALCARE FORTE...............................................................25 natamycin ................................................................................30 nateglinide..............................................................................18 NAVANE..................................................................................16 nedocromil ...............................................................................30 nelfinavir ................................................................................... 9 neomycin/polymyxin B/bacitracin/hydrocortisone oint ........31 neomycin/polymyxin B/dexamethasone................................31 neomycin/polymyxin B/gramicidin ........................................30 neomycin/polymyxin B/hydrocortisone.................................32 neomycin/polymyxin B/hydrocortisone susp........................31 neomycin/polymyxin B/prednisolone .........................................31 NEORAL..................................................................................32 NEOSPORIN ...........................................................................30 NEUPOGEN ............................................................................32 NEURONTIN ...........................................................................15 nevirapine ................................................................................. 9

42

NEXAVAR ............................................................................... 33 nicardipine ............................................................................. 13 nicotine transdermal .............................................................. 18 nifedipine ............................................................................... 13 nifedipine ext-rel .................................................................... 13 NILANDRON ........................................................................... 33 nilotinib .................................................................................... 33 nilutamide ................................................................................ 33 nimodipine ............................................................................. 13 NIMOTOP ............................................................................... 13 nisoldipine ext-rel .................................................................. 13 NITRO-DUR ............................................................................ 14 nitrofurantoin macrocrystals ................................................. 10 nitrofurantoin susp ................................................................... 10 nitroglycerin lingual spray ......................................................... 14 nitroglycerin sublingual ........................................................ 14 nitroglycerin transdermal ...................................................... 14 NITROLINGUAL ...................................................................... 14 NITROSTAT ............................................................................ 14 NIZORAL ............................................................................ 8, 28 NIZORAL SHAMPOO .............................................................. 29 NORDETTE ............................................................................ 20 norethindrone ........................................................................ 20 norethindrone acetate ........................................................... 22 norethindrone acetate/EE 1.5/30 ........................................... 20 norethindrone acetate/EE 1/20 .............................................. 20 norethindrone acetate/EE/iron 1.5/30 .................................... 20 norethindrone acetate/EE/iron 1/20 ....................................... 20 norethindrone/EE................................................................... 20 norethindrone/EE 0.4/35 ........................................................ 20 norethindrone/EE 0.5/35 ........................................................ 20 norethindrone/EE 1/35 ........................................................... 20 norethindrone/EE/iron ........................................................... 20 norethindrone/ME 1/50 - Necon ............................................. 20 NORGESIC ............................................................................. 17 NORGESIC FORTE ................................................................ 17 norgestimate/EE .................................................................... 20 norgestimate/EE 0.25/35 ........................................................ 20 norgestrel/EE 0.3/30 - Low-Ogestrel ...................................... 20 norgestrel/EE 0.5/50............................................................... 20 NORINYL 1+35 ....................................................................... 20 NORINYL 1+50 ....................................................................... 20 NORMODYNE ......................................................................... 13 NORPACE .............................................................................. 12 NORPACE CR ........................................................................ 12 NORPRAMIN .......................................................................... 16 NOR-QD ................................................................................. 20 nortriptyline ........................................................................... 16 NORVASC .............................................................................. 13 NORVIR .................................................................................... 9 NOVAREL ............................................................................... 32 NOVOLIN 70/30 cartridges, pens ............................................. 19 NOVOLIN N cartridges, pens ................................................... 19 NOVOLIN R cartridges, pens ................................................... 19 NOVOLOG cartridges, pens ..................................................... 18 NOVOLOG MIX 70/30 cartridges, pens .................................... 18 NULYTELY.............................................................................. 23 NUTROPIN ............................................................................. 33 NUTROPIN AQ ....................................................................... 33 nystatin ........................................................................ 8, 24, 28 nystatin/triamcinolone ........................................................... 28

O OCUFEN ................................................................................. 31 OCUFLOX ............................................................................... 30 ofloxacin ............................................................................ 8, 30

ofloxacin otic..........................................................................32 OGEN .....................................................................................21 olmesartan ...............................................................................12 olmesartan/hydrochlorothiazide ................................................12 OLUX ......................................................................................29 omeprazole delayed-rel..........................................................23 OMNICEF ................................................................................. 7 ondansetron ...........................................................................22 OPTIPRANOLOL .....................................................................31 OPTIVAR.................................................................................30 ORAMORPH SR ....................................................................... 6 ORAP ......................................................................................16 ORAPRED ...............................................................................21 orphenadrine ..........................................................................17 orphenadrine/aspirin/caffeine ................................................17 ORTHO ALL-FLEX...................................................................20 ORTHO MICRONOR ...............................................................20 ORTHO TRI-CYCLEN ..............................................................20 ORTHO-CEPT .........................................................................20 ORTHO-CYCLEN ....................................................................20 ORTHO-EST ...........................................................................21 ORTHO-NOVUM 1/35 ..............................................................20 ORTHO-NOVUM 1/50 ..............................................................20 ORTHO-NOVUM 7/7/7 .............................................................20 oseltamivir ...............................................................................10 OVCON 35 ..............................................................................20 OVIDE .....................................................................................30 OVRAL ....................................................................................20 OXANDRIN..............................................................................18 oxandrolone ...........................................................................18 oxaprozin ................................................................................ 6 oxazepam ...............................................................................14 oxcarbazepine ........................................................................15 oxybutynin .............................................................................24 oxybutynin ext-rel ..................................................................24 oxycodone............................................................................... 6 oxycodone/acetaminophen..................................................... 6 oxycodone/aspirin .................................................................. 6

P PACERONE ............................................................................12 PAMELOR ...............................................................................16 PAMINE ..................................................................................22 PANCREASE MT.....................................................................23 PANCRECARB ........................................................................23 pancrelipase ............................................................................23 pancrelipase delayed-rel ..........................................................23 PANCRELIPASE EC ................................................................23 pantoprazole delayed-rel .......................................................23 papain/urea ............................................................................30 PARAFON FORTE DSC ..........................................................17 PARLODEL .............................................................................16 PARNATE ...............................................................................15 paroxetine HCl .......................................................................15 paroxetine HCl ext-rel ............................................................15 PAXIL ......................................................................................15 PAXIL CR ................................................................................15 PEDIAPRED ............................................................................21 PEDIAZOLE ............................................................................. 8 peg 3350/electrolytes .............................................................23 PEGASYS ...............................................................................33 peginterferon alfa-2a ................................................................33 peginterferon alfa-2b ................................................................33 PEG-INTRON ..........................................................................33 pemirolast ................................................................................30 penicillamine ..........................................................................25

43

penicillin G benzathine/penicillin G procaine inj ........................... 8 penicillin VK ............................................................................. 8 PENLAC.................................................................................. 28 PENTASA ............................................................................... 23 pentosan polysulfate sodium .................................................... 24 pentoxifylline ext-rel .............................................................. 25 PEPCID................................................................................... 23 PERCOCET .............................................................................. 6 PERCODAN .............................................................................. 6 PERIDEX ................................................................................ 30 permethrin 5% ....................................................................... 30 perphenazine ......................................................................... 16 PERSANTINE ......................................................................... 24 PHENA-PLUS ......................................................................... 26 phenazopyridine .................................................................... 24 phenelzine ............................................................................... 15 phenobarbital ......................................................................... 15 phenytoin ................................................................................ 15 phenytoin sodium extended .................................................. 15 PHOSLO ................................................................................. 22 PHOSPHOLINE....................................................................... 32 PHRENILIN ............................................................................... 7 phytonadione ........................................................................... 26 pilocarpine ophth................................................................... 32 pilocarpine tabs ..................................................................... 23 PILOPINE HS .......................................................................... 32 pimecrolimus ........................................................................... 29 pimozide.................................................................................. 16 pindolol .................................................................................. 13 pioglitazone ............................................................................. 19 pioglitazone/glimepiride............................................................ 19 pioglitazone/metformin ............................................................. 19 piroxicam ................................................................................. 6 PLAQUENIL .............................................................................. 8 PLAVIX ................................................................................... 24 PLETAL................................................................................... 25 PLEXION ................................................................................ 30 podofilox ................................................................................ 30 POLYCITRA ............................................................................ 24 polymyxin B/bacitracin .......................................................... 30 polymyxin B/trimethoprim ..................................................... 30 POLY-PRED ........................................................................... 31 POLYTRIM .............................................................................. 30 potassium chloride ext-rel ..................................................... 25 potassium chloride liquid ...................................................... 25 potassium chloride powder ................................................... 25 potassium citrate ................................................................... 24 potassium citrate & citric acid ............................................... 24 potassium phosphate ............................................................ 24 pramipexole ............................................................................. 16 PRANDIN ................................................................................ 19 PRAVACHOL .......................................................................... 12 pravastatin ............................................................................. 12 praziquantel............................................................................. 10 prazosin ................................................................................. 11 PRECOSE............................................................................... 18 PRED FORTE ......................................................................... 31 PRED MILD ............................................................................. 31 PRED-G .................................................................................. 31 PRED-G SOP .......................................................................... 31 prednicarbate crm, oint 0.1%................................................. 29 prednisolone acetate 0.12% ..................................................... 31 prednisolone acetate 1% ....................................................... 31 prednisolone phosphate 1% .................................................. 31 prednisolone sodium phosphate .......................................... 21 prednisolone syrup................................................................ 21

prednisone .............................................................................21 PREGNYL ...............................................................................32 PRELONE ...............................................................................21 PREMARIN..............................................................................21 PREMARIN crm .......................................................................21 PREMPHASE ..........................................................................21 PREMPRO ..............................................................................21 PRENATAL VITAMINS - ALL PRESCRIPTION .........................25 prenatal vitamins/folic acid ....................................................25 PREVIDENT ............................................................................30 PREZISTA ................................................................................ 9 PRILOSEC ..............................................................................23 PRILOSEC OTC ......................................................................23 primaquine ...............................................................................10 primidone ...............................................................................15 PRIMSOL ................................................................................10 PROAIR HFA ...........................................................................27 PROAMATINE .........................................................................14 PRO-BANTHINE ......................................................................23 probenecid .............................................................................. 6 procarbazine ............................................................................33 PROCARDIA ...........................................................................13 PROCARDIA XL ......................................................................13 PROCHIEVE ...........................................................................22 prochlorperazine ....................................................................22 PROCRIT ................................................................................32 PROCTOCORT .......................................................................23 PROCTOCREAM-HC 2.5% ......................................................23 PROGESTERONE IN OIL ........................................................20 progesterone inj .....................................................................20 progesterone, micronized .........................................................22 progesterone, micronized gel ...................................................22 PROGRAF ...............................................................................33 promethazine .........................................................................22 PROMETHAZINE VC w/CODEINE ...........................................27 PROMETRIUM ........................................................................22 propafenone ...........................................................................12 propantheline .........................................................................23 proparacaine ..........................................................................31 propoxyphene ......................................................................... 7 propoxyphene/acetaminophen ............................................... 7 propranolol.............................................................................13 propranolol ext-rel .................................................................13 propranolol/hydrochlorothiazide ...........................................13 propylthiouracil ......................................................................22 PROSCAR ...............................................................................24 PROTONIX ..............................................................................23 PROVENTIL HFA ....................................................................27 PROVERA ......................................................................... 20, 22 PROZAC .................................................................................15 PULMICORT ...........................................................................28 PULMOZYME ..........................................................................32 PURINETHOL..........................................................................33 pyrazinamide ........................................................................... 9 PYRIDIUM ...............................................................................24 pyridostigmine .......................................................................18 pyrimethamine .........................................................................10

Q QUESTRAN/QUESTRAN LIGHT ..............................................12 quinapril .................................................................................11 quinapril/hydrochlorothiazide................................................11 QVAR ......................................................................................27

R raltegravir ................................................................................. 9 ramipril caps ..........................................................................11

44

RAPAMUNE ............................................................................ 33 RAZADYNE ............................................................................. 15 REGLAN ................................................................................. 22 REMERON .............................................................................. 16 REMERON SOLTAB ............................................................... 16 RENAGEL ............................................................................... 22 RENVELA ............................................................................... 22 repaglinide............................................................................... 19 REQUIP .................................................................................. 16 RESCRIPTOR ........................................................................... 9 RESTORIL .............................................................................. 17 RETIN-A.................................................................................. 28 RETROVIR................................................................................ 9 REVATIO ................................................................................ 14 REVIA ..................................................................................... 18 RHEUMATREX ....................................................................... 25 ribavirin .................................................................................. 33 rifabutin ..................................................................................... 9 RIFADIN.................................................................................... 9 rifampin .................................................................................... 9 rimantadine ............................................................................ 10 rimexolone............................................................................... 31 RIOMET .................................................................................. 18 risedronate .............................................................................. 19 RISPERDAL ............................................................................ 16 RISPERDAL M-TAB ................................................................ 16 risperidone ............................................................................. 16 risperidone solutab................................................................ 16 RITALIN .................................................................................. 17 RITALIN SR ............................................................................ 17 ritonavir ..................................................................................... 9 rivastigmine ............................................................................. 15 rivastigmine transdermal .......................................................... 15 rizatriptan ................................................................................ 17 ROBAXIN ................................................................................ 17 ROBINUL ................................................................................ 22 ROBINUL FORTE.................................................................... 22 ROCALTROL .......................................................................... 26 ROCEPHIN ............................................................................... 8 ropinirole ............................................................................... 16 rosiglitazone ............................................................................ 19 rosiglitazone/glimepiride........................................................... 19 rosiglitazone/metformin ............................................................ 19 rosuvastatin ............................................................................. 12 ROWASA ................................................................................ 23 ROXANOL................................................................................. 6 RYTHMOL............................................................................... 12

S SAIZEN ................................................................................... 33 SALAGEN ............................................................................... 23 salmeterol xinafoate ................................................................. 27 SANCTURA ............................................................................ 24 SANCTURA XR ....................................................................... 24 SANDIMMUNE ........................................................................ 32 saquinavir mesylate ................................................................... 9 SARAFEM ............................................................................... 15 SEASONALE........................................................................... 20 SECTRAL ............................................................................... 13 selegiline ................................................................................ 16 selenium sulfide shampoo 2.5%............................................ 29 SELSUN.................................................................................. 29 SEPTRA.................................................................................. 10 SEREVENT ............................................................................. 27 SEROMYCIN............................................................................. 9 sertraline ................................................................................ 15

sevelamer ................................................................................22 sevelamer carbonate ................................................................22 SFROWASA ............................................................................23 sildenafil ..................................................................................14 SILVADENE ............................................................................28 silver sulfadiazine ..................................................................28 simvastatin .............................................................................12 SINEMET ................................................................................16 SINEMET CR ..........................................................................16 SINGULAIR .............................................................................27 sirolimus ..................................................................................33 sitagliptin phosphate ................................................................18 sitagliptin/metformin .................................................................18 sodium citrate/citric acid .......................................................24 sodium fluoride ......................................................................30 sodium polystyrene sulfonate ...............................................25 sodium thiosulfate/salicylic acid ...........................................28 somatropin ...............................................................................33 SONATA..................................................................................17 sorafenib..................................................................................33 sotalol.....................................................................................12 SPIRIVA ..................................................................................26 spironolactone .......................................................................11 spironolactone/hydrochlorothiazide .....................................14 STARLIX .................................................................................18 stavudine................................................................................. 9 STROMECTOL ........................................................................10 sucralfate ...............................................................................24 SULAR ....................................................................................13 sulconazole..............................................................................28 sulfacetamide 10% .................................................................30 sulfacetamide/prednisolone acetate oint 10%/0.2% ...................31 sulfacetamide/prednisolone phosphate 10%/0.25% ..............31 sulfacetamide/sulfur ..............................................................30 sulfacetamide/sulfur crm, gel, lotion, pads ...........................28 sulfadoxine/pyrimethamine ........................................................ 8 sulfamethoxazole/trimethoprim .............................................10 sulfasalazine ..........................................................................23 sulfasalazine delayed-rel .......................................................23 sulindac ................................................................................... 6 sumatriptan ............................................................................17 sunitinib ...................................................................................33 SURMONTIL ...........................................................................16 SUSTIVA .................................................................................. 9 SUTENT ..................................................................................33 SYMBICORT ...........................................................................27 SYNTEST ................................................................................21 SYNTHROID ...........................................................................22

T TABLOID .................................................................................10 tacrolimus ..............................................................................33 TAGAMET ...............................................................................23 TAMBOCOR ............................................................................12 TAMIFLU .................................................................................10 tamoxifen ...............................................................................10 tamsulosin ...............................................................................24 TAPAZOLE ..............................................................................22 TARCEVA ...............................................................................32 TASIGNA.................................................................................33 TEGRETOL .............................................................................15 TEGRETOL-XR .......................................................................15 telmisartan ...............................................................................12 telmisartan/hydrochlorothiazide ................................................12 temazepam .............................................................................17 TEMODAR ..............................................................................33

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TEMOVATE ............................................................................ 29 temozolomide .......................................................................... 33 TENEX .................................................................................... 11 tenofovir .................................................................................... 9 TENORETIC ........................................................................... 13 TENORMIN ............................................................................. 13 TERAZOL 3 ............................................................................. 24 TERAZOL 7 ............................................................................. 24 terazosin ................................................................................ 11 terbinafine tabs ........................................................................ 8 terbutaline .............................................................................. 27 terconazole ............................................................................ 24 TESSALON ............................................................................. 26 testosterone inj ...................................................................... 33 testosterone transdermal ......................................................... 18 tetracaine soln 2% ................................................................. 31 tetracycline .............................................................................. 8 thalidomide .............................................................................. 33 THALOMID.............................................................................. 33 THEO-24 ................................................................................. 28 theophylline ext-rel caps .......................................................... 28 theophylline ext-rel tabs ........................................................ 28 thioguanine.............................................................................. 10 thioridazine ............................................................................ 16 thiothixene ............................................................................. 16 thyroid .................................................................................... 22 tiagabine ................................................................................. 15 TIAZAC ................................................................................... 13 ticlopidine .............................................................................. 24 TIGAN caps ............................................................................. 22 timolol hemihydrate.................................................................. 31 timolol maleate ...................................................................... 31 timolol maleate gel ................................................................ 31 TIMOPTIC ............................................................................... 31 TIMOPTIC-XE ......................................................................... 31 tiotropium ................................................................................ 26 tipranavir ................................................................................... 9 TOBRADEX ............................................................................ 31 tobramycin ............................................................................. 31 tobramycin/dexamethasone ..................................................... 31 TOBREX ................................................................................. 31 TOFRANIL .............................................................................. 16 tolbutamide ............................................................................ 19 tolterodine ............................................................................... 24 tolterodine ext-rel ..................................................................... 24 TOPAMAX............................................................................... 15 TOPICORT.............................................................................. 29 TOPICORT LP ........................................................................ 29 topiramate .............................................................................. 15 TOPROL-XL ............................................................................ 13 torsemide ............................................................................... 13 tramadol ................................................................................... 7 tramadol/acetaminophen ......................................................... 7 TRANDATE ............................................................................. 13 trandolapril ............................................................................ 11 TRANXENE ............................................................................. 14 tranylcypromine ..................................................................... 15 TRAVATAN ............................................................................. 32 TRAVATAN Z .......................................................................... 32 travoprost ................................................................................ 32 trazodone ............................................................................... 16 TRELSTAR DEPOT ................................................................. 33 TRELSTAR LA ........................................................................ 33 TRENTAL ................................................................................ 25 tretinoin.................................................................................. 28 tretinoin caps ......................................................................... 10

triamcinolone acetonide crm 0.5% ........................................29 triamcinolone acetonide crm, lotion 0.025% .........................29 triamcinolone acetonide crm, lotion, oint 0.1% .....................29 triamcinolone acetonide spray ..................................................27 triamcinolone paste ...............................................................30 triamterene/hydrochlorothiazide ...........................................14 TRIAZ ......................................................................................28 triazolam.................................................................................17 TRICOR ..................................................................................12 TRIDESILON ...........................................................................29 trifluoperazine ........................................................................16 trifluridine ...............................................................................31 trihexyphenidyl ......................................................................16 TRILEPTAL .............................................................................15 trimethobenzamide caps .......................................................22 trimethobenzamide/benzocaine supp....................................22 trimethoprim ..........................................................................10 trimethoprim soln .....................................................................10 trimipramine ...........................................................................16 TRI-NORINYL ..........................................................................20 triptorelin pamoate ...................................................................33 TRIZIVIR .................................................................................. 9 tropicamide ............................................................................32 trospium ..................................................................................24 trospium ext-rel ........................................................................24 TRUETRACK kits and test strips ..............................................19 TRUSOPT ...............................................................................31 TRUVADA ................................................................................ 9 trypsin/balsam/castor oil .......................................................30 TYKERB ..................................................................................33 TYLENOL ................................................................................. 7 TYLENOL w/CODEINE ............................................................. 6

U ULTRACET............................................................................... 7 ULTRAM................................................................................... 7 ULTRASE MT ..........................................................................23 ULTRAVATE ...........................................................................29 UNIPHYL .................................................................................28 UNIRETIC ...............................................................................11 UNITHROID.............................................................................22 UNIVASC ................................................................................11 URECHOLINE .........................................................................24 UREX ......................................................................................10 URISPAS.................................................................................24 UROCIT-K ...............................................................................24 ursodiol ..................................................................................23

V VAGIFEM ................................................................................21 VALCYTE ................................................................................. 9 valganciclovir ............................................................................ 9 VALIUM ...................................................................................14 valproic acid ...........................................................................15 VANCOCIN..............................................................................10 vancomycin..............................................................................10 VANTIN .................................................................................... 7 varenicline ...............................................................................18 VASERETIC ............................................................................11 VASOTEC ...............................................................................11 venlafaxine .............................................................................16 VENTAVIS ...............................................................................33 VENTOLIN HFA .......................................................................27 verapamil ext-rel ....................................................................13 VERELAN ................................................................................13 VERELAN PM..........................................................................13 VESANOID ..............................................................................10

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VEXOL .................................................................................... 31 VIBRAMYCIN ............................................................................ 8 VICODIN ................................................................................... 6 VICODIN ES ............................................................................. 6 VICODIN HP ............................................................................. 6 VICOPROFEN ........................................................................... 6 VIDEX EC ................................................................................. 9 VIDEX soln ................................................................................ 9 VIGAMOX ............................................................................... 31 VINATE ................................................................................... 25 VIOKASE ................................................................................ 23 VIRACEPT ................................................................................ 9 VIRAMUNE ............................................................................... 9 VIREAD..................................................................................... 9 VIROPTIC ............................................................................... 31 VISTARIL ................................................................................ 26 VIVELLE-DOT ......................................................................... 21 VOLTAREN ......................................................................... 6, 31 VOLTAREN-XR ......................................................................... 6 vorinostat ................................................................................ 33 VOSPIRE ER .......................................................................... 27 VYTORIN ................................................................................ 12 VYVANSE ............................................................................... 17

W warfarin .................................................................................. 24 WELLBUTRIN ......................................................................... 16 WELLBUTRIN SR.................................................................... 16 WELLBUTRIN XL .................................................................... 16 WESTCORT ............................................................................ 29

X XALATAN ................................................................................ 32 XANAX .................................................................................... 14 XANAX XR .............................................................................. 14 XELODA ................................................................................. 32 XYLOCAINE ............................................................................ 29

XYLOCAINE VISCOUS ............................................................30

Y YASMIN ..................................................................................20 YAZ .........................................................................................20

Z zafirlukast ................................................................................27 zaleplon ..................................................................................17 ZARONTIN ..............................................................................15 ZAROXOLYN ..........................................................................14 ZEBETA ..................................................................................13 ZERIT ....................................................................................... 9 ZESTORETIC ..........................................................................11 ZESTRIL..................................................................................11 ZIAC ........................................................................................13 ZIAGEN .................................................................................... 9 zidovudine ............................................................................... 9 ziprasidone ..............................................................................16 ZITHROMAX ............................................................................ 8 ZOCOR ...................................................................................12 ZOFRAN..................................................................................22 ZOFRAN ODT .........................................................................22 ZOLINZA .................................................................................33 zolmitriptan ..............................................................................17 ZOLOFT ..................................................................................15 zolpidem .................................................................................17 ZOMIG ....................................................................................17 ZOMIG-ZMT ............................................................................17 ZONEGRAN ............................................................................15 zonisamide .............................................................................15 ZOVIRAX............................................................................. 9, 30 ZYBAN ....................................................................................18 ZYLOPRIM ............................................................................... 6 ZYRTEC ..................................................................................26 ZYRTEC-D 12 Hour .................................................................26 ZYVOX ....................................................................................10