INTRODUCTION
Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of
practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically
sound and that it supports patient health. This committee reviews and evaluates medications
on the formulary based on safety and efficacy to help maintain clinical integrity in all
therapeutic categories.
FORMULARY DESIGN
Catamaran has chosen a formulary structure which includes most prescription drugs. The
formulary structure features generics (with the lowest co-payments), preferred and non-
preferred brand-name drugs.
Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under
“GENERIC” have the same active ingredient as the brand-name versions but at a lower
cost.
Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs
that will generally have lower co-payments than non-preferred brand name drugs.
Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-
payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the Catamaran formulary to help manage the overall cost of providing
prescription drug benefits. This formulary offers a wide range of medications from which to
choose. We realize that this formulary reference guide may not include every drug from every
manufacturer. However, choosing a generic or preferred drug when it is appropriate can
provide access to the necessary medications to stay healthy, at a cost that is more affordable.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic,
preferred brand-name, and non-preferred brand-name medications. Health plans often design
prescription drug plans to encourage the use of generic and preferred brand-name drugs.
Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as
coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients
may also pay less for generic drugs, or they may be asked to pay the cost difference between
brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version
becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose
to provide coverage only for certain medications, time periods, doses, quantities, or for specific
indications (e.g. they may exclude coverage for medications for unapproved, unproven, or
cosmetic indications). When coverage for medications is provided based on use or quantity,
Catamaran may contact your prescriber’s office for additional information to determine
whether coverage is available under your plan. Patients who are unsure whether these
coverage rules apply for a particular medication can consult their prescription drug benefit
manual or contact a Catamaran Member Services representative to determine specific
coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in
each drug category. The preferred brand name products are listed next, and non-preferred
brand products are listed last.
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design
determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change
pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not
guarantee coverage. To determine the most up-to-date formulary status of your medication, please visit your member website
or call member services at the number listed on your ID card.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
NON PREFERRED
Cefaclor
Cefaclor ER
Cefotetan
October 2015
Cefotetan/Dextrose
Cefoxitin Sodium
ANTI-INFECTIVES
Ceftin
Cefuroxime Sodium
PENICILLINS
Cefuroxime/Dextrose
GENERIC
Mefoxin
amoxicillin
Zinacef
amoxicillin/clavulanate potassium
THIRD GENERATION
amoxicillin/clavulanate potassium ER
GENERIC
ampicillin
cefdinir
ampicillin sodium
cefixime
ampicillin-sulbactam
cefotaxime sodium
dicloxacillin sodium
cefpodoxime proxetil
nafcillin sodium
ceftazidime
oxacillin sodium
ceftriaxone sodium
penicillin v potassium
NON PREFERRED
penicillin G potassium
Cedax
piperacillin sodium/ tazobactam sodium
Cefditoren Pivoxil
piperacillin sodium/tazobactam sodium
Ceftazidime
piperacillin/tazobactam
Ceftazidime/Dextrose
NON PREFERRED
Ceftibuten
Amoxicillin
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin ER
Ceftriaxone Sodium
Ampicillin
Ceftriaxone/Dextrose
Ampicillin Sodium
Claforan
Ampicillin-sulbactam
Claforan/D5W
Augmentin
Fortaz
Augmentin ES-600
Rocephin
Augmentin XR
Spectracef
Bactocill IN Dextrose
Suprax
Bicillin C-R
Tazicef
Bicillin L-a
FOURTH GENERATION
Moxatag
GENERIC
Nafcillin Sodium
cefepime
Nallpen Iso-osmotic IN Dextrose
NON PREFERRED
Nallpen/Dextrose
Cefepime
Penicillin G Potassium IN Iso-osmotic Dextrose
Maxipime
Penicillin G Procaine
Penicillin G Sodium
MACROLIDES
Pfizerpen-G
GENERIC
Timentin
azithromycin
Unasyn
clarithromycin
Unasyn Bulk Pack
clarithromycin ER
Zosyn
erythromycin
NON PREFERRED
CEPHALOSPORIN
Azithromycin
FIRST GENERATION
Biaxin
GENERIC
Biaxin XL
cefadroxil
Biaxin XL PAC
cefazolin sodium
Dificid
cephalexin
E.e.s. Granules
NON PREFERRED
E.e.s. 400
Ancef
Ery-TAB
Cefazolin Sodium
Eryped 200
Cefazolin Sodium/Dextrose
Eryped 400
Cephalexin
Erythrocin Lactobionate
Keflex
Erythrocin Stearate
SECOND GENERATION
Erythromycin Base
GENERIC
Erythromycin Ethylsuccinate
cefaclor
PCE
cefoxitin sodium
Zithromax
cefprozil
Zithromax Tri-PAK
cefuroxime axetil
Zithromax Z-PAK
cefuroxime sodium
Zmax
Effective October 1, 2015 v.1 ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.
1
TETRACYCLINES
NON PREFERRED
Bethkis
GENERIC
Gentamicin Sulfate/0.9% Sodium Chloride
demeclocycline HCL
Isotonic Gentamicin
doxycycline
Kitabis PAK
doxycycline hyclate
Streptomycin Sulfate
doxycycline hyclate DR
Tobi
doxycycline monohydrate
Tobramycin Sulfate/Sodium Chloride
minocycline HCL
minocycline HCL ER
SULFONAMIDES
Tetracycline HCL
NON PREFERRED
PREFERRED
Acticlate
Sulfisoxizole
Adoxa
NON PREFERRED
Adoxa PAK 1/100
Sulfadiazine
Adoxa PAK 1/150
Adoxa PAK 2/100
ANTIMYCOBACTERIAL AGENTS
Alodox Convenience Kit
GENERIC
Avidoxy DK
ethambutol HCL
Doryx
isoniazid
Minocin
pyrazinamide
Minocin Kit
rifabutin
Monodox
rifampin
Morgidox 1X100MG
PREFERRED
Morgidox 2X100MG
Priftin
Nicazeldoxy 30 Kit
Sirturo
Nicazeldoxy 60 Kit
NON PREFERRED
Nutridox
Capastat Sulfate
Ocudox
Cycloserine
Solodyn
Isoniazid
Targadox
Myambutol
Vibramycin
Mycobutin
Paser
QUINOLONES
Rifadin
GENERIC
Rifamate
ciprofloxacin
Rifater
ciprofloxacin ER
Trecator
ciprofloxacin HCL
ciprofloxacin I.V.-IN D5W
ANTIFUNGALS
levofloxacin
GENERIC
levofloxacin IN D5W
fluconazole
moxifloxacin HCL
fluconazole IN dextrose
ofloxacin
fluconazole IN NACL
Ciprofloxacin HCL
flucytosine
Ofloxacin
griseofulvin microsize
NON PREFERRED
griseofulvin ultramicrosize
Avelox
itraconazole
Avelox Abc Pack
ketoconazole
Cipro
nystatin
Cipro I.V.-IN D5W
terbinafine HCL
Cipro XR
voriconazole
Factive
PREFERRED
Levaquin
Cancidas
Moxifloxacin HCL
Mycamine
Noroxin
Noxafil
NON PREFERRED
AMINOGLYCOSIDES
Abelcet
GENERIC
Ambisome
amikacin sulfate
Amphotec
gentamicin sulfate
Amphotericin B
gentamicin sulfate pediatric
Ancobon
gentamicin sulfate/0.9% sodium chloride
Cresemba
isotonic gentamicin
Diflucan
neomycin sulfate
Eraxis
paromomycin sulfate
Fluconazole IN NACL
tobramycin
Grifulvin V
tobramycin sulfate
Gris-peg
PREFERRED
Lamisil
Tobi Podhaler
Onmel
Sporanox
Effective October 1, 2015
2
Sporanox Pulsepak
Truvada
Terbinex
Tybost
Vfend
Videx Pediatric
Vfend IV
Viracept
Viread
ANTIVIRALS
NON PREFERRED
Acyclovir Sodium
GENERIC
Baraclude
abacavir
Combivir
abacavir sulfate/lamivudine/zidovudine
Copegus
acyclovir
Cytovene
acyclovir sodium
Daklinza
adefovir dipivoxil
Epivir
cidofovir
Epivir HBV
didanosine
Evotaz
entecavir
Famvir
famciclovir
Flumadine
ganciclovir
Foscavir
lamivudine
Hepsera
lamivudine/zidovudine
Infergen
nevirapine
Olysio
nevirapine ER
Prezcobix
ribavirin
Rebetol
rimantadine HCL
Retrovir
stavudine
Rimantalist
valacyclovir HCL
Sitavig
valganciclovir
Technivie
zidovudine
Trizivir
PREFERRED
Tyzeka
Aptivus
Valcyte
Atripla
Valtrex
Complera
Victrelis
Crixivan
Videx EC
Edurant
Viekira PAK
Emtriva
Viramune
Epzicom
Viramune XR
Fuzeon
Virazole
Harvoni
Vistide
Intelence
Vitekta
Invirase
Zerit
Isentress
Ziagen
Kaletra
Zovirax
Lexiva
Moderiba
ANTIMALARIALS
Moderiba 1200 Dose Pack
Moderiba 800 Dose Pack
GENERIC
Nevirapine
atovaquone/proguanil HCL
Norvir
chloroquine phosphate
Peg-intron
hydroxychloroquine sulfate
Peg-intron Redipen
mefloquine HCL
Peg-intron Redipen PAK 4
quinine sulfate
Pegasys
Primaquine Phosphate
Pegasys Proclick
PREFERRED
Pegintron
Coartem
Prezista
Daraprim
Rapivab
NON PREFERRED
Relenza Diskhaler
Aralen
Rescriptor
Malarone
Retrovir IV Infusion
Plaquenil
Reyataz
Qualaquin
Ribasphere
Ribasphere Ribapak
AMEBICIDES
Ribatab
NON PREFERRED
Selzentry
Yodoxin
Sovaldi
Stribild
ANTHELMINTICS
Sustiva
GENERIC
Tamiflu
ivermectin
Tivicay
PREFERRED
Triumeq
Albenza
Effective October 1, 2015
3
NON PREFERRED
Primaxin IV Add-vantage
Biltricide
Primsol
Stromectol
Sulfamethoxazole/Trimethoprim
Synercid
MISC. ANTI-INFECTIVES
Tindamax
Vancocin HCL
GENERIC
Vancomycin HCL
atovaquone
Vancomycin HCL IN Dextrose
aztreonam
Vibativ
bacitracin
Zyvox
clindamycin palmitate HCL
clindamycin phosphate
ANTINEOPLASTICS, ETC
clindamycin phosphate add-vantage
clindamycin phosphate pharmacy bulk package
ALKYLATING AGENTS
clindamycin phosphate IN D5W
GENERIC
clindamycin HCL
carboplatin
colistimethate sodium
cisplatin
imipenem/cilastatin
cyclophosphamide
linezolid
ifosfamide
meropenem
melphalan hydrochloride
metronidazole
oxaliplatin
metronidazole IN NACL 0.79%
temozolomide
polymyxin b sulfate
Lomustine
sulfamethoxazole/trimethoprim
PREFERRED
sulfamethoxazole/trimethoprim DS
Alkeran
tinidazole
Bicnu
trimethoprim
Busulfex
vancomycin HCL
Gleostine
Dapsone
Gliadel Wafer
PREFERRED
Hexalen
Alinia
Leukeran
Cayston
Mustargen
Dalvance
Myleran
Nebupent
Treanda
Orbactiv
Valchlor
Sivextro
Zanosar
Tygacil
NON PREFERRED
Xifaxan
Cisplatin
Zerbaxa
Cyclophosphamide
NON PREFERRED
Eloxatin
Avycaz
Ifex
Azactam
Ifosfamide
Azactam IN Iso-osmotic Dextrose
Temodar
Bacitracin
Bactrim
ANTIBIOTICS
Bactrim DS
GENERIC
Chloramphenicol Sodium Succinate
bleomycin sulfate
Cleocin
daunorubicin HCL
Cleocin IN D5W
doxorubicin HCL
Cleocin Pediatric Granules
doxorubicin HCL liposome
Cleocin Phosphate
epirubicin HCL
Clin-lido
idarubicin HCL
Clindamycin Phosphate
mitomycin
Coly-mycin M
mitoxantrone HCL
Cubicin
Doxorubicin HCL
Doribax
Mitomycin
First-vancomycin 25
PREFERRED
First-vancomycin 50
Daunoxome
Flagyl
Valstar
Flagyl ER
NON PREFERRED
Invanz
Adriamycin
Ketek
Cosmegen
Lincocin
Doxil
Lincomycin/Lidocaine
Ellence
Mepron
Epirubicin HCL
Merrem
Idamycin PFS
Metro IV
Neutrexin
ANTINEOPLASTIC ENZYMES
Pentam 300
PREFERRED
Primaxin IV
Elspar
Effective October 1, 2015
4
Erwinaze
exemestane
Oncaspar
flutamide
letrozole
ANTIMETABOLITES
leuprolide acetate
megestrol acetate
GENERIC
tamoxifen citrate
azacitidine
PREFERRED
capecitabine
Depo-provera
cladribine
Eligard
cytarabine
Emcyt
cytarabine aqueous
Fareston
decitabine
Faslodex
floxuridine
Firmagon
fludarabine phosphate
Lupron Depot
fluorouracil
Lysodren
gemcitabine HCL
Megestrol Acetate
mercaptopurine
Nilandron
methotrexate
Soltamox
methotrexate sodium
Trelstar
Floxuridine
Trelstar Mixject
PREFERRED
Vantas
Alimta
Xtandi
Arranon
Zoladex
Clolar
Zytiga
Depocyt
NON PREFERRED
Folotyn
Arimidex
Purixan
Aromasin
Tabloid
Casodex
Trexall
Femara
NON PREFERRED
Megace Oral
Cytarabine
Dacogen
IMMUNOMODULATORS
Fludara
Fludarabine Phosphate
GENERIC
Gemcitabine
azathioprine
Gemzar
cyclosporine
Purinethol
cyclosporine modified
Vidaza
mycophenolate mofetil
Xeloda
mycophenolic acid DR
sirolimus
ANGIOGENESIS INHIBITORS
tacrolimus
PREFERRED
PREFERRED
Azasan
Avastin
Pomalyst
Cyramza
Rapamune
Zaltrap
Revlimid
Thalomid
ANTIBODIES
NON PREFERRED
PREFERRED
Astagraf XL
Adcetris
Atgam
Arzerra
Cellcept
Bexxar
Cellcept Intravenous
Erbitux
Cyclosporine Modified
Gazyva
Imuran
Herceptin
Myfortic
Kadcyla
Neoral
Keytruda
Nulojix
Perjeta
Prograf
Rituxan
Sandimmune
Vectibix
Simulect
Yervoy
Thymoglobulin
Zevalin Y-90
Zortress
NON PREFERRED
Blincyto
MITOTIC INHIBITORS
Opdivo
GENERIC
Unituxin
docetaxel
etoposide
HORMONAL AGENTS
paclitaxel
GENERIC
vincristine sulfate
anastrozole
vinorelbine tartrate
bicalutamide
Effective October 1, 2015
5
Docetaxel
RADIOPHARMACEUTICALS
PREFERRED
PREFERRED
Abraxane
Bexxar 131 Iodine
Docefrez
Metastron
Etopophos
Quadramet
Halaven
NON PREFERRED
Ixempra Kit
Xofigo
Jevtana
Marqibo
CELLULAR IMMUNOTHERAPY
Teniposide
PREFERRED
NON PREFERRED
Provenge
Etoposide
Navelbine
ANTINEOPLASTICS MISC.
Paclitaxel
GENERIC
Taxotere
bexarotene
Vinblastine Sulfate
dacarbazine
hydroxyurea
ENZYME INHIBITORS
tretinoin
PREFERRED
PREFERRED
Afinitor
Actimmune
Afinitor Disperz
Alferon N
Bosulif
Intron A
Caprelsa
Intron A W/Diluent
Cometriq
Matulane
Gilotrif
Photofrin
Gleevec
Proleukin
Ibrance
Sylatron
Iclusig
Synribo
Imbruvica
Theracys
Inlyta
Tice Bcg
Iressa
Trisenox
Istodax
Uvadex
Jakafi
NON PREFERRED
Kyprolis
Dacarbazine
Mekinist
Hydrea
Nexavar
Nipent
Sprycel
Targretin
Stivarga
Sutent
CHEMOTHERAPY RESCUE
Tafinlar
GENERIC
Tarceva
amifostine
Tasigna
dexrazoxane
Torisel
leucovorin calcium
Tykerb
mesna
Velcade
Levoleucovorin Calcium
Votrient
PREFERRED
Xalkori
Fusilev
Zelboraf
Totect
Zolinza
Voraxaze
Zydelig
NON PREFERRED
Zykadia
Calcium Folinate
NON PREFERRED
Ethyol
Beleodaq
Leucovorin Calcium
Farydak
Mesnex
Lenvima 10MG Daily Dose
Zinecard
Lenvima 14MG Daily Dose
Lenvima 20MG Daily Dose
CHEMOTHERAPY ADJUNCTS
Lenvima 24MG Daily Dose
PREFERRED
Lynparza
Elitek
Kepivance
TOPOISOMERASE I INHIBITOR
GENERIC
ANTINEOPLASTIC COMBO
irinotecan
NON PREFERRED
topotecan HCL
Ifosfamide/Mesna
NON PREFERRED
Camptosar
CARDIOVASCULAR DRUGS
Hycamtin
PHOSPHODIESTERASE INHBTR
Irinotecan
Topotecan HCL
Effective October 1, 2015
6
GENERIC
Inderal LA
milrinone lactate
Inderal XL
milrinone IN dextrose
Innopran XL
Kerlone
CARDIAC GLYCOSIDES
Levatol
Lopressor
GENERIC
Propranolol HCL
digoxin
Sectral
NON PREFERRED
Sotalol Hydrochloride
Digoxin
Sotylize
Lanoxin
Tenormin
Lanoxin Pediatric
Timolol Maleate
Toprol XL
ANTIANGINAL AGENTS
Trandate
GENERIC
Zebeta
isosorbide dinitrate
isosorbide dinitrate ER
CALCIUM CHANNEL BLOCKERS
isosorbide mononitrate
GENERIC
isosorbide mononitrate ER
amlodipine besylate
nitroglycerin
diltiazem CD
nitroglycerin lingual
diltiazem HCL
nitroglycerin transdermal
diltiazem HCL ER
nitroglycerin ER
felodipine ER
nitroglycerin IN dextrose 5%
isradipine
nitroglycerin IN 5% dextrose
nicardipine HCL
Isosorbide Dinitrate
nifedipine
Nitroglycerin Lingual
nifedipine ER
PREFERRED
nimodipine
Dilatrate SR
nisoldipine
Nitro-bid
verapamil HCL
Nitrostat
verapamil HCL ER
Ranexa
verapamil HCL SR
NON PREFERRED
Verapamil HCL
Imdur
NON PREFERRED
Isordil Titradose
Adalat CC
Nitro-dur
Calan
Nitroglycerin
Calan SR
Nitroglycerin IN Dextrose 5%
Cardene I.v.
Nitrolingual Pumpspray
Cardene IV
Nitromist
Cardene SR
Nitronal
Cardizem
Cardizem CD
BETA BLOCKERS
Cardizem LA
GENERIC
Cleviprex
acebutolol HCL
Dilacor XR
atenolol
Diltiazem HCL
betaxolol HCL
Hypertenipine-2.5
bisoprolol fumarate
Nisoldipine
carvedilol
Nisoldipine ER
esmolol HCL
Norvasc
labetalol HCL
Nymalize
metoprolol succinate ER
Procardia
metoprolol tartrate
Procardia XL
nadolol
Sular
pindolol
Tiazac
propranolol HCL
Verelan
propranolol HCL ER
Verelan PM
sotalol HCL
sotalol HCL (AF)
ANTIARRHYTHMICS
PREFERRED
GENERIC
Bystolic
adenosine
Coreg CR
amiodarone HCL
NON PREFERRED
disopyramide phosphate
Betapace
flecainide acetate
Betapace AF
ibutilide fumarate
Brevibloc
lidocaine HCL
Coreg
lidocaine HCL IN D5W
Corgard
lidocaine HCL/dextrose
Hemangeol
mexiletine HCL
Hypertenevide-12.5
Effective October 1, 2015
7
propafenone HCL
DIRECT RENIN INHIBITORS
propafenone HCL ER
PREFERRED
quinidine gluconate CR
Tekturna
quinidine gluconate ER
quinidine sulfate
ANTIHYPERTENSIVES MISC.
Quinidine Sulfate
GENERIC
PREFERRED
clonidine HCL
Tikosyn
doxazosin
NON PREFERRED
doxazosin mesylate
Adenocard
eplerenone
Amiodarone HCL
fenoldopam mesylate
Cordarone
guanfacine HCL
Corvert
hydralazine HCL
Lidocaine HCL
methyldopa
Multaq
minoxidil
Nexterone
prazosin HCL
Norpace
terazosin HCL
Norpace CR
PREFERRED
Procainamide HCL
Demser
Quinidine Gluconate
Dibenzyline
Quinidine Sulfate ER
NON PREFERRED
Rythmol
Cardura
Rythmol SR
Catapres
Xylocaine
Catapres-tts-1
Catapres-tts-2
ACE INHIBITORS
Catapres-tts-3
GENERIC
Corlopam
benazepril HCL
Inspra
captopril
Methyldopate HCL
enalapril maleate
Minipress
enalaprilat
Nitropress
fosinopril sodium
Phentolamine Mesylate
lisinopril
Reserpine
moexipril HCL
Tenex
perindopril erbumine
Vecamyl
quinapril HCL
ramipril
ANTIHYPERTENSIVE COMBO
trandolapril
GENERIC
NON PREFERRED
amlodipine besylate/benazepril hydrochloride
Accupril
amlodipine besylate/benazepril HCL
Aceon
amlodipine besylate/valsartan
Altace
amlodipine/valsartan/hctz
Epaned
atenolol/chlorthalidone
Lotensin
benazepril HCL/hydrochlorothiazide
Mavik
bisoprolol fumarate/hydrochlorothiazide
Prinivil
candesartan cilexetil/hydrochlorothiazide
Univasc
enalapril maleate/hydrochlorothiazide
Vasotec
fosinopril sodium/hydrochlorothiazide
Zestril
irbesartan/hydrochlorothiazide
lisinopril/hydrochlorothiazide
ANGIOTENSIN RCPTR BLOCKER
losartan potassium/hydrochlorothiazide
GENERIC
metoprolol/hydrochlorothiazide
candesartan cilexetil
moexipril/hydrochlorothiazide
irbesartan
nadolol/bendroflumethiazide
losartan potassium
quinapril/hydrochlorothiazide
telmisartan
telmisartan/amlodipine
valsartan
telmisartan/hydrochloroth
Eprosartan Mesylate
telmisartan/hydrochlorothiazide
PREFERRED
trandolapril/verapamil HCL
Benicar
trandolapril/verapamil HCL ER
NON PREFERRED
valsartan/hydrochlorothiazide
Atacand
PREFERRED
Avapro
Amturnide
Cozaar
Azor
Diovan
Benicar HCT
Edarbi
Tekamlo
Micardis
Tekturna HCT
Teveten
Tribenzor
Effective October 1, 2015
8
NON PREFERRED
Introl
Accuretic
Lasix
Atacand HCT
Maxzide
Avalide
Maxzide-25
Captopril/Hydrochlorothiazide
Methyclothiazide
Clorpres
Microzide
Corzide
Neptazane
Diovan HCT
Sodium Diuril
Dutoprol
Sodium Edecrin
Edarbyclor
Torsemide
Exforge
Zaroxolyn
Exforge HCT
Hypertensolol
VASOPRESSORS
Hyzaar
GENERIC
Lopressor HCT
dobutamine HCL
Lotensin HCT
dobutamine HCL/D5W
Lotrel
dobutamine/dextrose 5%
Lytensopril Kit
dopamine HCL
Lytensopril-90
dopamine HCL-dextrose 5%
Lytensopril-90 Kit
dopamine HCL/dextrose 5%
Methyldopa/Hydrochlorothiazide
dopamine/D5W
Micardis HCT
ephedrine sulfate
Prestalia
midodrine HCL
Propranolol/Hydrochlorothiazide
norepinephrine bitartrate
Tarka
phenylephrine HCL
Tenoretic 100
PREFERRED
Tenoretic 50
Auvi-q
Teveten HCT
Epipen 2-PAK
Twynsta
Epipen-JR 2-PAK
Uniretic
NON PREFERRED
Vaseretic
Adrenaclick
Zestoretic
Adrenalin
Ziac
Dobutamine/Dextrose 5%
Dopamine HCL
DIURETICS
Epinephrine
GENERIC
Epinephrine HCL
acetazolamide
Levophed
acetazolamide sodium
Northera
acetazolamide ER
Phenylephrine HCL
amiloride HCL
Vazculep
amiloride/hydrochlorothiazide
bumetanide
ANTIHYPERLIPIDEMICS
chlorothiazide
GENERIC
chlorothiazide sodium
atorvastatin calcium
furosemide
cholestyramine
hydrochlorothiazide
cholestyramine light
indapamide
colestipol HCL
mannitol
colestipol HCL for oral suspension
methazolamide
fenofibrate
metolazone
fenofibrate micronized
spironolactone
fenofibric acid DR
spironolactone/hydrochlorothiazide
fluvastatin
torsemide
gemfibrozil
triamterene/hydrochlorothiazide
lovastatin
Acetazolamide
niacin ER
Chlorothiazide
omega-3-acid ethyl esters
Chlorthalidone
pravastatin sodium
Triamterene/Hydrochlorothiazide
simvastatin
NON PREFERRED
Fenofibrate
Aldactazide
Fenofibric Acid
Aldactone
PREFERRED
Demadex
Crestor
Diamox
Juxtapid
Diuril
Lipofen
Dyazide
Liptruzet
Dyrenium
Simcor
Edecrin
Vascepa
Ethacrynate Sodium
Vytorin
Furosemide
Welchol
Effective October 1, 2015
9
Zetia
GENERIC
NON PREFERRED
adapalene
Advicor
benzoyl peroxide
Altoprev
benzoyl peroxide SHORT contact
Antara
clindamycin phosphate
Colestid
clindamycin/benzoyl peroxide
Colestid Flavored
erythromycin
Fenoglide
erythromycin/benzoyl peroxide
Fibricor
sodium sulfacetamide
Kynamro
sodium sulfacetamide/sulfur
Lescol
sodium sulfacetamide/sulfur cleanser
Lescol XL
sodium sulfacetamide/sulfur cleansing cloths
Lipitor
sodium sulfacetamide/sulfur green
Livalo
sodium sulfacetamide/sulfur w/sunscreen
Lofibra
sodium sulfacetamide/sulfur wash
Lopid
sulfacetamide sodium
Lovaza
sulfacetamide sodium/sulfur cleanser
Mevacor
tretinoin
Niacor
tretinoin microsphere
Niaspan
tretinoin microsphere P.M.
Praluent
PREFERRED
Pravachol
Acanya
Questran
Adapalene
Questran Light
Atralin
Tricor
Epiduo
Triglide
Epiduo Forte
Trilipix
Ziana
Zocor
NON PREFERRED
Absorica
CARDIOVASCULAR - MISC.
Aczone
Akne-mycin
GENERIC
Avar
amlodipine besylate/atorvastatin calcium
Avar LS
epoprostenol sodium
Avar LS Cleanser
papaverine HCL
Avar-e LS
sildenafil
Azelex
sildenafil citrate
Benzac Ac Wash
PREFERRED
Benzac W Wash
Adcirca
Benzaclin
Adempas
Benzaclin With P.M.
Caverject
Benzamycin
Caverject Impulse
Benzamycinpak
Cialis
Benzefoam
Letairis
Benzefoamultra
Muse
Benziq
Opsumit
Benziq LS
Remodulin
Clarifoam EF
Tracleer
Cleocin-t
Tyvaso
Clindacin Etz
Tyvaso Refill
Clindacin PAC
Tyvaso Starter
Clindagel
Veletri
Clindap-t
Ventavis
Clinoin
Viagra
Differin
NON PREFERRED
Duac
Bidil
Erygel
Caduet
Evoclin
Corlanor
Fabior
Entresto
Inova
Flolan
Inova 4/1 Acne Control Therapy
Levitra
Inova 8/2 Acne Control Therapy
Natrecor
Klaron
Orenitram
Neuac Kit
Revatio
Nuox
Staxyn
Onexton
Stendra
Plexion
Plexion Cleanser
DERMATOLOGICALS
Plexion Cleansing Cloths
ACNE PRODUCTS
Prascion Ra With Sunscreens
Retin-a
Effective October 1, 2015
10
Retin-a Micro
nystatin/triamcinolone
Retin-a Micro P.M.
PREFERRED
Riax
Nystatin
Rosanil
Nystatin Foreign
Rosula
NON PREFERRED
Sodium Sulfacetamide/Sulfur
Ciclodan Cream Kit
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
Ciclodan Solution Kit
Sodium Sulfacetamide/Sulfur IN Urea
Ciclopirox Topical Solution Kit
Sulfoam
Cnl8 Nail Kit
Sumadan Kit
Ecoza
Sumadan Wash
Ertaczo
Sumadan XLT
Exelderm
Sumaxin
Exoderm
Sumaxin CP Kit
Extina
Sumaxin Ts
Halotin
Sumaxin Wash
Jublia
Tretin-x
Kerydin
Triseon
Ketodan Kit
Vanoxide-HC
Lamisil Spray
Veltin
Loprox
Zacare 4% Kit
Loprox Shampoo
Zacare 8% Kit
Lotrisone
Luzu
ROSACEA AGENTS
Mentax
Naftin
GENERIC
Nizoral
metronidazole
Oxistat
Doxycycline
Pediaderm AF Complete Kit
PREFERRED
Pedipirox-4 Nail
Finacea
Penlac Nail Lacquer
Mirvaso
Vusion
Oracea
Xolegel
NON PREFERRED
Xolegel Corepak
Metrocream
Xolegel Duo/Head & Shoulders
Metrogel
Xolegel Duo/Xolex
Metrolotion
Noritate
ANTIVIRALS - TOPICAL
Rosadan Kit
Soolantra
GENERIC
acyclovir
ANALGESICS - TOPICAL
PREFERRED
Denavir
NON PREFERRED
NON PREFERRED
A.a.g.c. Kit IN Teroderm
Lidovir
Baclofen
Xerese
Equipto-baclofen
Zovirax
ANTIBIOTICS - TOPICAL
ANTIHISTAMINES-TOPICAL
GENERIC
NON PREFERRED
mupirocin
Allo-pax
mupirocin calcium
Nazirex
NON PREFERRED
Altabax
ANTI-INFLAMMATORY AGENTS
Bactroban
Centany AT
GENERIC
Cortisporin
diclofenac sodium
Gentamicin Sulfate
PREFERRED
Neo-synalar
Voltaren
Neo-synalar Kit
NON PREFERRED
Dermacinrx Lexitral Pharmapak
ANTIFUNGALS - TOPICAL
Dipentocaine
Emvoren
GENERIC
Equipto-naproxen
ciclopirox
Extardol
ciclopirox nail lacquer
Flector
ciclopirox olamine
Innoprax-5
clotrimazole
K.b.g.l. IN Teroderm Cream
clotrimazole/betamethasone dipropionate
Ketorolac 2% Gel
econazole nitrate
Lidoprofen
ketoconazole
Novoclair
naftifine HCL
Nuvya
nystatin
Effective October 1, 2015
11
Pennsaid
hydrocortisone butyrate
Vopac
hydrocortisone butyrate (lipid)
Vopac GB
hydrocortisone butyrate (lipophilic)
Vopac Kt
hydrocortisone valerate
Zyvodol
hydrocortisone IN absorbase
mometasone furoate
ANTIPRURITICS
prednicarbate
triamcinolone acetonide
NON PREFERRED
Amcinonide
Prudoxin
Desoximetasone
Zonalon
Diflorasone Diacetate
PREFERRED
ANTIPSORIATICS
Pramosone
GENERIC
Pramosone E
acitretin
Tucks Anti-itch
calcipotriene
NON PREFERRED
methoxsalen
Aclovate
Calcitriol
Advanced Allergy Collection Kit
PREFERRED
Ala Scalp
Tazorac
Capex
8-mop
Carmol-HC
NON PREFERRED
Clobex
Cosentyx
Clocortolone Pivalate
Cosentyx Sensoready Pen
Clocortolone Pivalate P.M.
Dovonex
Clodan Kit
Dritho-creme HP
Cloderm
Oxsoralen Ultra
Cloderm P.M.
Soriatane
Cordran
Sorilux
Cordran Tape
Stelara
Cortalo
Vectical
Cutivate
Zithranol
Derma Silkrx Sds PAK
Zithranol-rr
Derma-smoothe/FS Body
Derma-smoothe/FS Scalp
ANTISEBORRHEIC AGENTS
Dermasorb HC
GENERIC
Dermasorb Ta
selenium sulfide
Dermatop
sodium sulfacetamide
Desonate
sodium sulfacetamide wash
Desowen
NON PREFERRED
Desowen Cream/Cetaphil Lotion
Glycolic Acid
Desowen Lotion/Cetaphil Cream
Glycolic Acid 70% High Purity
Desowen Ointment/Cetaphil Lotion
Ovace Plus
Diprolene
Ovace Plus Wash
Diprolene AF
Ovace Wash
Elocon
Promiseb
Epifoam
Promiseb Complete
First-hydrocortisone
Seb-prev
Halog
Selrx
Halonate
Tersi Foam
Kenalog
TL Triseb
Locoid
Locoid Lipocream
CORTICOSTEROIDS - TOPICAL
Luxiq
GENERIC
Nucort
alclometasone dipropionate
Nuzon
augmented betamethasone dipropionate
Olux
betamethasone dipropionate
Olux-e
betamethasone valerate
Pandel
calcipotriene/betamethasone dipropionate
Pediaderm HC
clobetasol propionate
Pediaderm Ta
clobetasol propionate emollient
Scalacort DK
desonide
Synalar
desoximetasone
Synalar Cream Kit
fluocinolone acetonide
Synalar Ointment Kit
fluocinonide
Synalar Ts
fluocinonide-e
Taclonex
fluticasone propionate
Temovate
halobetasol propionate
Temovate E
hydrocortisone
Texacort
hydrocortisone acetate/aloe
Topicort
Effective October 1, 2015
12
Triamcinolone Acetonide
Drysol
Trianex
Elenzapatch
Triderma Forte
Eletone
Ultravate
Eletone Twinpack
Ultravate PAC
Elimite
Ultravate X
Emla
Validerm
Emulsion SB
Vanos
Epiceram
Verdeso
Ethyl Chloride
Westcort
Ethyl Chloride/Fine Pinpoint
Ethyl Chloride/Fine Stream
IMMUNOMODULATING AGENTS
Ethyl Chloride/Medium Jet Stream
Ethyl Chloride/Medium Stream
GENERIC
Ethyl Chloride/Mist
imiquimod
Eurax
tacrolimus
Gebauers Pain Ease
PREFERRED
Gebauers Spray And Stretch
Elidel
Genadur
NON PREFERRED
Genadur Kit
Aldara
Gordofilm
Protopic
Gordons Urea
Zyclara
Hydro 35
Zyclara P.M.
Hydro 40 Foam
Hylatopic
DERMATOLOGICALS - MISC.
Hylatopic Plus
GENERIC
Hylira
ammonium lactate
HPR
episone CRE
HPR Plus
lactic acid
HPR Plus Hydrogel Kit
lactic acid e
HPR Plus/Mb Hydrogel
lactic acid w/vitamin e
Kerafoam
lidocaine
Kerafoam 42
lidocaine HCL
Keralac
lidocaine HCL jelly
Keralyt
lidocaine/prilocaine
Keralyt Scalp
lindane
K2k Pain Relieving Patch
malathion
Lac-hydrin
permethrin
Latrix XM
podofilox
Lidocaine And Tetracaine Cream
salicylic acid
Lidocaine HCL
salicylic acid cream
Lidocaine/Prilocaine
salicylic acid lotion
Lidoderm
sodium hyaluronate
Lidothol
urea
Livixil PAK
urea topical
Lycelle
urea IN zinc undecylenate/lactic acid vehicle
Mb Hydrogel
urea 40% nail film
Medi-derm/L-RX
PREFERRED
Megrix
Condylox
Natroba
Oxsoralen
Neosalus
NON PREFERRED
Neosalus CP
Acuicyn Daily Eyelid & Eyelash Cleanser
Neuvaxin
Aluvea
Nivatopic Plus
Anacaine
Nuvail
Arnica Flower
Ovide
Atopiclair
Pliaglis
Aurstat Anti-itch Hydrogel
Pr Cream
Aurstat Anti-itch Hydrogel Kit
Presera
Avenova
Prolida
Benzoin Compound Tincture
Pruclair
Benzoin Tincture
Prumyx
Boric Acid
Pyrogallic Acid
Capsiderm
Qutenza
Coal TAR
Relyyt
Cocaine HCL
Salex
Copasil
Salex Cream
Dermacinrx Duopatch Pharmapak
Salex Lotion
Dermacinrx Neurotral Pharmapak
Salicylic Acid
Dermacinrx Surgical Pharmapak
Salicylic Acid IN Ammonium Lactate Vehicle
Dermasorb XM
Salkera
Effective October 1, 2015
13
Salvax
Dyural-lm
Salvax Duo Plus
Dyural-40
Scar Patch
Dyural-80
Sinelee
Entocort EC
Sklice
FLO-pred
Solaice
Interarticular Joint Kit
Soothee
Kenalog-10
Spinosad
Kenalog-40
Sulfurated Lime
K10-lido
Supracil
K40-lido
Synera
Marbeta-l
Tetrix
Marbeta-25
Tropazone
Mardex-25
Ulesfia
Medrol
Ultrasal-ER
Medrol Dosepak
Umecta
Methylprednisolone
Umecta Nail Film
Methylprednisolone PF
Umecta PD
Methylprednisolone/Lidocaine
Uramaxin
Millipred
Uramaxin GT
Millipred DP
Uramaxin GT Kit
Mlk F4 Kit
Utopic
Orapred
Veregen
Orapred Odt
Verrunex
Pediapred
Vexa
Prednisolone Sodium Phosphate
Virasal
Prednisone
Xylocaine
Prednisone Intensol
Xyphex
Pro-c-dure 1 Kit
Pro-c-dure 2 Kit
ENDOCRINE AND METABOLIC
Pro-c-dure 3 Kit
Pro-c-dure 4 Kit
CORTICOSTEROIDS
Rayos
GENERIC
Solu-cortef
betamethasone sodium phosphate/betamethasone acetate
Solu-medrol
Triamcinolone
budesonide
Triamcinolone PF
dexamethasone
Triamcinolone/Lidocaine
dexamethasone sodium phosphate
Veripred 20
fludrocortisone acetate
hydrocortisone
ANDROGENS-ANABOLIC
methylprednisolone
methylprednisolone acetate
GENERIC
methylprednisolone dose pack
danazol
methylprednisolone sodiumsuccinate
oxandrolone
prednisolone
testosterone cypionate
prednisolone sodium phosphate
testosterone enanthate
prednisolone sodium phosphate odt
Testosterone
prednisone
Testosterone P.M.
Dexamethasone Sodium Phosphate
PREFERRED
PREFERRED
Androgel
Uceris
Androgel P.M.
NON PREFERRED
Androxy
Aristospan Intra-articular
Axiron
Aristospan Intralesional
NON PREFERRED
Beta Inject Kit
Anadrol-50
Betalido
Androderm
Betamethasone SP
Android
Celestone-soluspan
Aveed
Cortef
Depo-testosterone
Cortisone Acetate
First-testosterone
Depo-medrol
First-testosterone Mc Compounding Kit
Dexamethasone
Fortesta
Dexamethasone Intensol
Natesto
Dexlido
Oxandrin
Dexlido-m
Striant
Dexpak 10 Day
Testim
Dexpak 13 Day
Testone Cik
Dexpak 6 Day
Testopel
Doubledex
Testred
Dyural-l
Vogelxo
Effective October 1, 2015
14
Vogelxo P.M.
Generess FE
Loestrin FE 1.5/30
ESTROGENS
Loestrin FE 1/20
Loestrin 1.5/30-21
GENERIC
Loestrin 1/20-21
estradiol
Loseasonique
estradiol valerate
LO Minastrin FE
estradiol/norethindrone acetate
Mircette
estropipate
Modicon
norethindrone acetate/ethinyl estradiol
Necon 1/50-28
PREFERRED
Necon 10/11-28
Alora
Nor-QD
Cenestin
Norinyl 1+35
Combipatch
Norinyl 1+50
Duavee
Ortho Evra
Enjuvia
Ortho Micronor
Evamist
Ortho Tri-cyclen
Minivelle
Ortho Tri-cyclen LO
Premphase
Ortho-cept
Prempro
Ortho-cyclen
NON PREFERRED
Ortho-novum 1/35
Activella
Ortho-novum 7/7/7
Angeliq
Ovcon-35
Biest/Progesterone
Plan B
Climara
Plan B One-step
Climara Pro
Quartette
Delestrogen
Seasonique
Depo-estradiol
Tri-norinyl 28
Divigel
Yasmin 28
Elestrin
Yaz
Estrace
Zovia 1/50e
Estradiol
Estrasorb
PROGESTINS
Estrogel
Estropipate
GENERIC
Femhrt Low Dose
medroxyprogesterone acetate
Menest
megestrol acetate
Menostar
norethindrone acetate
Prefest
progesterone
Premarin
Megestrol Acetate
Vivelle-dot
PREFERRED
Makena
CONTRACEPTIVES
NON PREFERRED
Aygestin
GENERIC
Medroxyprogesterone/Lidocaine
desogestrel/ethinyl estradiol
Megace ES
drospirenone/ethinyl estradiol
Progesterone 10% Kit
levonorgestrel
Prometrium
levonorgestrel and ethinyl estradiol
Provera
levonorgestrel/ethinyl estradiol
norethindrone
ANTIDIABETIC AGENTS
norethindrone & ethinyl estradiol ferrous fumarate
norethindrone acetate/ethinyl estradiol
INSULIN
norethindrone acetate/ethinyl estradiol/ferrous fumarate
PREFERRED
norgestimate/ethinyl estradiol
Lantus
Levonorgestrel
Lantus Solostar
PREFERRED
Novolin N
Beyaz
Novolin N Relion
LO Loestrin FE
Novolin R
Minastrin 24 FE
Novolin R Relion
Natazia
Novolin 70/30
Nuvaring
Novolin 70/30 Relion
Safyral
Novolog
NON PREFERRED
Novolog Flexpen
Brevicon-28
Novolog Mix 70/30
Cyclessa
Novolog Mix 70/30 Prefilled Flexpen
Desogen
Novolog Penfill
Ella
NON PREFERRED
Estrostep FE
Afrezza
Falessa
Apidra
Femcon FE
Apidra Solostar
Humalog
Effective October 1, 2015
15
Humalog Kwikpen
Glucagon Emergency Kit
Humalog Mix 50/50
Invokana
Humalog Mix 50/50 Kwikpen
Jardiance
Humalog Mix 75/25
Proglycem
Humalog Mix 75/25 Kwikpen
NON PREFERRED
Humulin N
Korlym
Humulin N Kwikpen
ALPHA-GLUCOSIDASE INHIBIT
Humulin N U-100 Pen
GENERIC
Humulin R
acarbose
Humulin R U-500 (concentrated)
NON PREFERRED
Humulin 70/30
Glyset
Humulin 70/30 Kwikpen
Precose
Humulin 70/30 Pen
DPP-4 INHIBITORS
Levemir
PREFERRED
Levemir Flexpen
Januvia
Levemir Flextouch
Onglyza
Relion R
NON PREFERRED
Toujeo Solostar
Nesina
AMYLIN ANALOGS
Tradjenta
PREFERRED
INSULIN SENSITIZING AGENT
Symlinpen 120
GENERIC
Symlinpen 60
pioglitazone HCL
INCRETIN MIMETIC AGENTS
NON PREFERRED
PREFERRED
Actos
Bydureon
Avandia
Byetta
ANTIDIABETIC COMBINATIONS
Victoza
GENERIC
NON PREFERRED
glipizide/metformin HCL
Tanzeum
glyburide/metformin HCL
Trulicity
pioglitazone HCL-glimepiride
SULFONYLUREAS
pioglitazone HCL/metformin HCL
GENERIC
PREFERRED
glimepiride
Actoplus Met XR
glipizide
Invokamet
glipizide ER
Janumet
glyburide
Janumet XR
glyburide micronized
Kombiglyze XR
tolazamide
Prandimet
Glyburide
Xigduo XR
NON PREFERRED
NON PREFERRED
Amaryl
Actoplus Met
Chlorpropamide
Appformin
Diabeta
Appformin-d
Glucotrol
Avandamet
Glucotrol XL
Avandaryl
Glynase
Duetact
Tolazamide
Glucovance
Tolbutamide
Glyxambi
BIGUANIDES
Jentadueto
GENERIC
Kazano
metformin HCL
Oseni
metformin HCL ER
PREFERRED
BISPHOSPHONATES
Riomet
GENERIC
NON PREFERRED
alendronate sodium
Fortamet
ibandronate sodium
Glucophage
pamidronate disodium
Glucophage XR
risedronate sodium
Glumetza
risedronate sodium DR
MEGLITINIDE ANALOGUES
zoledronic acid
GENERIC
PREFERRED
nateglinide
Fosamax Plus D
repaglinide
NON PREFERRED
NON PREFERRED
Actonel
Prandin
Alendronate Sodium
Starlix
Atelvia
DIABETIC OTHER
Binosto
PREFERRED
Boniva
Farxiga
Etidronate Disodium
Glucagen Hypokit
Effective October 1, 2015
16
Fosamax
PREFERRED
Pamidronate Disodium
Norditropin Cartridge
Reclast
Norditropin Flexpro
Zoledronic Acid
Norditropin Nordiflex Pen
Zometa
Nutropin AQ Nuspin 10
Nutropin AQ Nuspin 20
CALCITONINS
Nutropin AQ Nuspin 5
Nutropin AQ Pen
GENERIC
NON PREFERRED
calcitonin salmon
Genotropin
calcitonin-salmon
Genotropin Miniquick
NON PREFERRED
Humatrope
Fortical
Humatrope Combo Pack
Miacalcin
Omnitrope
Saizen
PARATHYROID HORMONE
Saizen Click.easy
PREFERRED
Serostim
Forteo
Tev-tropin
NON PREFERRED
Zomacton
Natpara
Zorbtive
RANK LIGAND INHIBITORS
GHRH
PREFERRED
NON PREFERRED
Xgeva
Egrifta
NON PREFERRED
Prolia
SOMATOMEDINS
NON PREFERRED
CALCIUM REGULATORS - MISC
Increlex
NON PREFERRED
Ganite
SOMATOSTATIC AGENTS
GENERIC
HORMONE RECEPTOR MDLTR
octreotide acetate
GENERIC
PREFERRED
raloxifene hydrochloride
Sandostatin Lar Depot
NON PREFERRED
Signifor
Evista
Somatuline Depot
Osphena
NON PREFERRED
Sandostatin
FERTILITY REGULATORS
Signifor Lar
GENERIC
chorionic gonadotropin
GH RECEPTOR ANTAGONISTS
clomiphene citrate
PREFERRED
PREFERRED
Somavert
Bravelle
Follistim AQ
POSTERIOR PITUITARY
Repronex
GENERIC
NON PREFERRED
desmopressin acetate
Gonal-f
vasopressin
Gonal-f RFF
PREFERRED
Gonal-f RFF Pen
Stimate
Gonal-f RFF Rediject
NON PREFERRED
Menopur
Ddavp
Ovidrel
Pitressin Synthetic
Vasostrict
LHRH/GNRH AGONIST
PREFERRED
CORTICOTROPIN
Lupron Depot-PED
PREFERRED
Supprelin LA
H.p. Acthar
Synarel
NON PREFERRED
PROLACTIN INHIBITORS
Lupaneta Pack
GENERIC
GNRH/LHRH ANTAGONISTS
cabergoline
PREFERRED
VASOPRESSIN ANTAGONISTS
Cetrotide
Ganirelix Acetate
PREFERRED
Samsca
GROWTH HORMONES
NON PREFERRED
Vaprisol
Effective October 1, 2015
17
PROGESTERONE ANTAGONISTS
PREFERRED
Moviprep
NON PREFERRED
Suclear
Mifeprex
Suprep Bowel Prep
NON PREFERRED
METABOLIC MODIFIERS
Cascara Sagrada
GENERIC
Colyte-flavor Packs
calcitriol
Golytely
doxercalciferol
Kristalose
levocarnitine
Mineral Oil Heavy
paricalcitol
Nulytely/Flavor Packs
sodium phenylbutyrate
Osmoprep
Paricalcitol
Pcp 100
PREFERRED
Prepopik
Aldurazyme
Carbaglu
ANTIDIARRHEALS
Cystadane
GENERIC
Elaprase
diphenoxylate/atropine
Fabrazyme
loperamide HCL
Kuvan
opium
Lumizyme
opium tincture
Myalept
NON PREFERRED
Myozyme
Diphenoxylate/Atropine
Naglazyme
Fulyzaq
Orfadin
Lomotil
Ravicti
Motofen
Sensipar
Opium Tincture (paregoric)
Vimizim
Restora RX
NON PREFERRED
Rezyst IM
Ammonul
Rezyst SB
Buphenyl
Vsl#3 DS
Carnitor
Carnitor SF
ANTACIDS
Hectorol
Rocaltrol
NON PREFERRED
Zemplar
Sodium Bicarbonate
THYROID AGENTS
ULCER DRUGS
GENERIC
GENERIC
levothyroxine sodium
atropine sulfate
liothyronine sodium
cimetidine
methimazole
cimetidine HCL
propylthiouracil
dicyclomine HCL
PREFERRED
esomeprazole magnesium
Armour Thyroid
esomeprazole sodium
NON PREFERRED
famotidine
Cytomel
glycopyrrolate
Levothyroxine Sodium
hyoscyamine sulfate
Nature-throid
hyoscyamine sulfate odt
Nature-throid Nt-2.5
hyoscyamine sulfate ER
Synthroid
hyoscyamine sulfate SR
Tapazole
lansoprazole
Thyrolar-1
lansoprazole/amoxicillin/clarithromycin
Thyrolar-1/2
methscopolamine bromide
Thyrolar-1/4
misoprostol
Thyrolar-2
nizatidine
Thyrolar-3
omeprazole
Tirosint
omeprazole/sodium bicarbonate
Triostat
pantoprazole sodium
Westhroid
rabeprazole sodium
Wp Thyroid
ranitidine HCL
sucralfate
GASTROINTESTINAL
Dicyclomine HCL
Esomeprazole Sodium
LAXATIVES
Famotidine
GENERIC
PREFERRED
lactulose
Carafate
peg 3350/electrolytes
Pylera
peg-3350/electrolytes
NON PREFERRED
peg-3350/NACL/NA bicarbonate/KCL
Aciphex
polyethylene glycol 3350
Effective October 1, 2015
18
Aciphex Sprinkle
Zofran Odt
Anaspaz
Zuplenz
Atropen
Atropine Sulfate
DIGESTIVE AIDS
Axid
PREFERRED
Belladonna & Opium
Creon
Belladonna Alkaloids & Opium
Pancrelipase
Bentyl
Sucraid
Cantil
Viokace
Cuvposa
NON PREFERRED
Cytotec
Pancreaze
Deprizine Fusepaq
Pertzye
Dexilant
Ultresa
Esomeprazole Strontium
Zenpep
Famotidine Premixed
First-lansoprazole
GASTROINTESTINAL - MISC.
First-omeprazole
GENERIC
Gabitidine
alosetron hydrochloride
Gastrinex NF
balsalazide disodium
Glycate
calcium acetate
Helidac
cromolyn sodium
Levbid
hydrocort ene 100MG
Levsin
hydrocortisone
Levsin/SL
hydrocortisone acetate/lidocaine HCL
Nexium
hydrocortisone acetate/pramoxine
Nexium I.v.
lactulose
Omeclamox-PAK
lidocaine HCL/hydrocortisone acetate
Omeprazole + Syrspend SF Alka
mesalamine
Pamine
metoclopramide odt
Pamine Forte
metoclopramide HCL
Pamine FQ
sulfasalazine
Pepcid
ursodiol
Prevacid
PREFERRED
Prevacid Solutab
Amitiza
Prevpac
Analpram Advanced
Prilosec
Asacol HD
Propantheline Bromide
Canasa
Protonix
Chenodal
Robinul
Cimzia
Robinul Forte
Cimzia Starter Kit
Scopolamine Hydrobromide
Cortifoam
Sentradine
Delzicol
Symax Duotab
Fosrenol
Zantac
Lialda
Zegerid
Linzess
Movantik
ANTIEMETICS
Pentasa
GENERIC
Proctofoam HC
dronabinol
Rectiv
granisetron HCL
Relistor
meclizine HCL
Renvela
ondansetron odt
Sevelamer Carbonate
ondansetron HCL
NON PREFERRED
trimethobenzamide HCL
Actigall
PREFERRED
Analpram-HC
Aloxi
Analpram-HC Singles
Emend
Anusol-HC
Sancuso
Apriso
Transderm-scop
Auryxia
NON PREFERRED
Azulfidine
Akynzeo
Azulfidine EN-TABS
Anzemet
Cholbam
Cesamet
Colazal
Diclegis
Cortenema
Dimenhydrinate
Dexpanthenol
Granisol
Dipentum
Marinol
Eliphos
Tigan
Entereg
Zofran
Entyvio
Effective October 1, 2015
19
Gastrocrom
VAGINAL PRODUCTS
Gattex
GENERIC
Giazo
clindamycin phosphate
Lidocaine HCL-hydrocortisone Acetate With Aloe
metronidazole vaginal
Lotronex
terconazole
Metozolv Odt
PREFERRED
Phoslo
Clindesse
Phoslyra
Crinone
Procort
Endometrin
Proctocort
Estrace
Reglan
Estring
Remicade
Vagifem
Renagel
NON PREFERRED
Rowasa
Avc
Sfrowasa
Cleocin
Uceris
Fem PH
Urso Forte
Femring
Urso 250
First-progesterone VGS 100 Compounding Kit
Velphoro
First-progesterone VGS 200 Compounding Kit
First-progesterone VGS 25 Compounding Kit
GENITOURINARY
First-progesterone VGS 400 Compounding Kit
First-progesterone VGS 50 Compounding Kit
URINARY ANTI-INFECTIVES
Gynazole-1
GENERIC
Metrogel-vaginal
methenamine hippurate
Nuvessa
methenamine mandelate
Premarin
nitrofurantoin
Relagard
nitrofurantoin macrocrystals
Terazol 3
nitrofurantoin monohydrate
Terazol 7
nitrofurantoin monohydrate/macrocrystals
NON PREFERRED
GENITOURINARY - MISC.
Furadantin
GENERIC
Hiprex
alfuzosin HCL ER
Macrobid
citric acid/sodium citrate
Macrodantin
finasteride
Methenamine Mandelate
hydrochloric acid
Monurol
phenazopyridine HCL
Prosed/DS
potassium citrate ER
Uretron D/S
potassium citrate-citric acid crystals
Urimar-t
potassium citrate/citric acid
Urogesic-blue
potassium citrate/sodium citrate/citric acid
Uroqid #2
sodium citrate/citric acid
Uta
tamsulosin HCL
tricitrates
URINARY ANTISPASMODICS
PREFERRED
GENERIC
Cystagon
bethanechol chloride
Elmiron
flavoxate HCL
Procysbi
oxybutynin chloride
Rapaflo
oxybutynin chloride ER
Renacidin
tolterodine tartrate
NON PREFERRED
tolterodine tartrate ER
Avodart
trospium chloride
Cardura XL
trospium chloride ER
Cytra-3
PREFERRED
Flomax
Gelnique
Jalyn
Myrbetriq
K-phos NO 2
Oxytrol
Lithostat
Oxytrol For Women
Oracit
Toviaz
Proscar
Vesicare
Pyridium
NON PREFERRED
Shohls Solution Modified
Detrol
Thiola
Detrol LA
Urocit-k 10
Ditropan XL
Urocit-k 15
Enablex
Urocit-k 5
Sanctura
Uroxatral
Sanctura XR
Urecholine
HEMATOLOGICAL
Effective October 1, 2015
20
HEMATOPOIETIC AGENTS
Irospan 24/6
Is 24/6
GENERIC
Maxaron Forte
cyanocobalamin
Maxfe
folic acid
Mircera
folic acid/vitamin b-6/vitamin b-12
Multigen
sodium ferric gluconate complex/sucrose
Multigen Folic
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Multigen Plus
PREFERRED
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
Cerdelga
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Cerezyme
Cyanocobalamin
Natalvirt Flt
Droxia
Nephron Fa
Elelyso
Novaferrum
Feraheme
Omontys
Ferrex 150 Forte Plus
Pre-folic
Ferrex 28
Proferrin-forte
Leukine
Protectiron
Mozobil
Tandem F
Nascobal
Tandem Plus
Neulasta
Zavesca
Neulasta Delivery Kit
Neumega
ANTICOAGULANTS
Neupogen
GENERIC
Nplate
argatroban
Procrit
enoxaparin sodium
Promacta
fondaparinux sodium
Venofer
heparin lock
Vpriv
heparin lock flush
NON PREFERRED
heparin lock flush for flushing vascular access devices
Abaneu-SL
heparin lock flush/NACL for flushing vascular access devices
Albafort
Animi-3
heparin sodium
Animi-3/Vitamin D
heparin sodium dcu
Aranesp Albumin Free
heparin sodium lock flush
B-6 Folic Acid
heparin sodium/sodium chloride 0.9% premix
Biferarx
heparin sodium/D5W
Cenfol
heparin sodium/NACL 0.9%
Centratex
warfarin sodium
Ciferex
PREFERRED
Corvite 150
Eliquis
Divista
Pradaxa
Ed Cyte F
Xarelto
Epogen
Xarelto Starter Pack
Feriva
NON PREFERRED
Feriva 21/7
Angiomax
Ferivafa
Argatroban
Ferralet 90
Arixtra
Ferrlecit
Bivalirudin
Ferro-plex Hematinic
Coumadin
Ferrotrin
Fragmin
Focalgin Dss
Heparin Lock Flush
Folgard RX
Heparin Sodium
Folic Acid
Heparin Sodium/D5W
Folivane-f
Heparin Sodium/NACL 0.45%
Folivane-plus
Heparin Sodium/Sodium Chloride 0.9%
Foltrate
Iprivask
Fusion Plus
Lovenox
Granix
Savaysa
Hematogen Fa
Hematron-AF
HEMOSTATICS
Hemocyte Plus
GENERIC
Hemocyte-f
aminocaproic acid
Hydroxocobalamin
tranexamic acid
Icar-c Plus
NON PREFERRED
Infed
Amicar
Injectafer
Aminocaproic Acid
Integra F
Artiss
Integra Plus
Astringyn
Effective October 1, 2015
21
Cyklokapron
LMD 10% Sodium Chloride 0.9%
Evicel
Persantine
Evithrom
Plavix
Lysteda
Pletal
Recothrom
Protamine Sulfate
Recothrom Spray Kit
Reopro
Thrombin-jmi Diluent
Retavase
Thrombin-jmi Epistaxis
Retavase Half-kit
Thrombin-jmi Syringe Spray Kit
Tnkase
Thrombin-jmi W/Dil Spray P.M. Actuator
Voluven
Thrombogen
Tisseel
MOUTH/THROAT/DENTAL AGENT
Tisseel VH
GENERIC
HEMATOLOGICAL - MISC.
cevimeline HCL
GENERIC
chlorhexidine gluconate
anagrelide hydrochloride
chlorhexidine gluconate oral rinse
cilostazol
clotrimazole
clopidogrel
lidocaine viscous
dipyridamole
lidocaine HCL
hetastarch 6%/NACL
lidocaine HCL viscous
pentoxifylline ER
nystatin
ticlopidine HCL
pilocarpine hydrochloride
Aspirin/Dipyridamole
pilocarpine HCL
PREFERRED
stannous fluoride oral rinse
Advate
triamcinolone acetonide
Aggrenox
triamcinolone IN orabase
Alphanate/Von Willebrand Factor Complex/Human
NON PREFERRED
Alphanine SD
Aquoral
Alprolix
Caphosol
Benefix
Debacterol
Berinert
Evoxac
Brilinta
First-bxn Mouthwash
Corifact
First-dukes Mouthwash
Effient
First-marys Mouthwash
Eloctate
First-mouthwash Blm
Feiba
Gel-kam Oral Care Rinse
Feiba NF
Gelclair
Helixate FS
Lta 360 Kit
Hemofil M
Nafrinse Daily/Acidulated
Humate-p
Nafrinse Daily/Neutral
Koate-dvi
Nafrinse Weekly
Kogenate FS
Neutrasal
Kogenate FS Bio-set
Numoisyn
Monoclate-p
Orafate
Mononine
Oravig
Novoseven
Peridex
Novoseven Rt
Prevident
Recombinate
Prothelial
Riastap
Salagen
Soliris
Tretten
NEUROLOGY, CNS, PSYCH
Wilate
ANTIANXIETY AGENTS
Xyntha
GENERIC
Xyntha Solofuse
alprazolam
Zontivity
alprazolam odt
NON PREFERRED
alprazolam ER
Activase
buspirone HCL
Aggrastat
chlordiazepoxide HCL
Agrylin
clorazepate dipotassium
Cathflo Activase
diazepam
Firazyr
droperidol
Hespan
gene-xene TAB 15MG
Hextend
gene-xene TAB 3.75MG
Integrilin
gene-xene TAB 7.5MG
Kalbitor
hydroxyzine pamoate
Kengreal
hydroxyzine HCL
Kinlytic
lorazepam
LMD 10% Dextrose 5%
meprobamate
Effective October 1, 2015
22
oxazepam
Emsam
Hydroxyzine Pamoate
Fetzima
Lorazepam Intensol
Fetzima Titration Pack
NON PREFERRED
Fluoxetine HCL
Alprazolam Intensol
Forfivo XL
Ativan
Gaboxetine
Diazepam
Irenka
Gabavale-5
Khedezla
Gabazolamine
Lexapro
Gabazolamine-0.5
Luvox CR
Hydroxyzine HCL
Maprotiline HCL
Niravam
Marplan
Sentrazolam AM 0.25
Nardil
Tranxene T
Norpramin
Valium
Oleptro
Vistaril
Pamelor
Xanax
Parnate
Xanax XR
Paxil
Paxil CR
ANTIDEPRESSANTS
Pexeva
Prozac
GENERIC
Prozac Weekly
amitriptyline HCL
Remeron
bupropion HCL
Remeron Soltab
bupropion HCL ER
Sentraflox AM-10
bupropion HCL SR
Sentralopram AM-10
bupropion HCL XL
Sentravil PM-25
citalopram hydrobromide
Sentroxatine
clomipramine HCL
Surmontil
desipramine HCL
Tofranil
doxepin HCL
Tofranil-PM
duloxetine HCL
Trazamine
escitalopram oxalate
Viibryd
fluoxetine DR
Vivactil
fluoxetine HCL
Wellbutrin
fluvoxamine maleate
Wellbutrin SR
fluvoxamine maleate ER
Wellbutrin XL
imipramine pamoate
Zoloft
imipramine HCL
mirtazapine
ANTIPSYCHOTICS
mirtazapine odt
nefazodone HCL
GENERIC
nortriptyline HCL
aripiprazole
paroxetine HCL
chlorpromazine HCL
paroxetine HCL ER
clozapine
phenelzine sulfate
fluphenazine decanoate
protriptyline HCL
fluphenazine HCL
sertraline HCL
haloperidol
tranylcypromine sulfate
haloperidol decanoate
trazodone HCL
haloperidol lactate
venlafaxine HCL
lithium carbonate
venlafaxine HCL ER
lithium carbonate ER
Amoxapine
loxapine
Doxepin HCL
loxapine succinate
Nefazodone HCL
olanzapine
Nortriptyline HCL
olanzapine odt
Venlafaxine HCL ER
perphenazine
PREFERRED
prochlorperazine
Pristiq
prochlorperazine edisylate
NON PREFERRED
prochlorperazine maleate
Anafranil
quetiapine fumarate
Aplenzin
risperidone
Appbutamone
risperidone odt
Appbutamone-d
thioridazine HCL
Brintellix
thiothixene
Celexa
trifluoperazine HCL
Cymbalta
ziprasidone HCL
Desvenlafaxine ER
Clozapine Odt
Duloxetine HCL
PREFERRED
Effexor XR
Abilify Discmelt
Effective October 1, 2015
23
Abilify Maintena
Quazepam
Latuda
Restoril
Risperdal Consta
Seconal
Seroquel XR
Sentrazolpidem PM-5
NON PREFERRED
Silenor
Abilify
Sonata
Adasuve
Strazepam
Chlorpromazine HCL
Zolpimist
Clozaril
Compazine
ADHD, NARCOLEPSY, ETC.
Equetro
GENERIC
Fanapt
amphetamine/dextroamphetamine
Fanapt Titration Pack
caffeine citrate
Fazaclo
clonidine HCL ER
Fluphenazine HCL
dexmethylphenidate HCL
Geodon
dexmethylphenidate HCL ER
Haldol
dextroamphetamine sulfate
Haldol Decanoate 100
dextroamphetamine sulfate ER
Haldol Decanoate 50
doxapram HCL
Invega
guanfacine ER
Invega Sustenna
methamphetamine HCL
Invega Trinza
methylphenidate hydrochloride
Lithium
methylphenidate HCL
Lithium Carbonate
methylphenidate HCL CD
Lithobid
methylphenidate HCL ER
Loxitane
methylphenidate HCL SR
Rexulti
modafinil
Risperdal
Methylphenidate HCL ER
Risperdal M-TAB
PREFERRED
Saphris
Daytrana
Seroquel
Nuvigil
Versacloz
Quillivant XR
Zyprexa
Strattera
Zyprexa Relprevv
Vyvanse
Zyprexa Zydis
NON PREFERRED
Adderall
HYPNOTICS
Adderall XR
GENERIC
Aptensio XR
dexmedetomidine HCL
Cafcit
estazolam
Caffeine/Sodium Benzoate
eszopiclone
Concerta
flurazepam HCL
Desoxyn
phenobarbital
Dexedrine
temazepam
Dopram
triazolam
Evekeo
zaleplon
Focalin
zolpidem tartrate
Focalin XR
zolpidem tartrate ER
Intuniv
Flurazepam HCL
Kapvay
Phenobarbital
Kapvay Dose Pack
PREFERRED
Metadate CD
Chloral Hydrate
Methylin
Hetlioz
Procentra
Rozerem
Provigil
NON PREFERRED
Ritalin
Ambien
Ritalin LA
Ambien CR
Ritalin SR
Amytal Sodium
Sentramodafin AM-100
Belsomra
Zenzedi
Butisol Sodium
Doral
ANTICONVULSANTS
Edluar
GENERIC
Gabazolpidem-5
carbamazepine
Halcion
carbamazepine ER
Intermezzo
clonazepam
Lunesta
clonazepam odt
Nembutal Sodium
divalproex sodium
Phenobarbital Sodium
divalproex sodium DR
Precedex
divalproex sodium ER
Effective October 1, 2015
24
ethosuximide
Trileptal
felbamate
Trokendi XR
fosphenytoin sodium
Vimpat
gabapentin
Zarontin
lamotrigine
Zonegran
lamotrigine odt
lamotrigine ER
ANTIPARKINSON AGENTS
levetiracetam
GENERIC
levetiracetam ER
amantadine HCL
oxcarbazepine
benztropine mesylate
phenytoin
bromocriptine mesylate
phenytoin sodium
carbidopa
phenytoin sodium extended
carbidopa/levodopa
primidone
carbidopa/levodopa odt
tiagabine hydrochloride
carbidopa/levodopa ER
topiramate
entacapone
valproate sodium
pramipexole dihydrochloride
valproic acid
pramipexole dihydrochloride ER
zonisamide
ropinirole ER
PREFERRED
ropinirole HCL
Banzel
selegiline HCL
Celontin
tolcapone
Diazepam
trihexyphenidyl HCL
Fycompa
Carbidopa/Levodopa/Entacapone
Lyrica
PREFERRED
Onfi
Apokyn
Oxtellar XR
Azilect
Peganone
NON PREFERRED
Potiga
Amantadine HCL
Tegretol-XR
Cogentin
NON PREFERRED
Comtan
Aptiom
Duopa
Carbatrol
Eldepryl
Cerebyx
Lodosyn
Depacon
Mirapex
Depakene
Mirapex ER
Depakote
Neupro
Depakote ER
Parcopa
Depakote Sprinkles
Parlodel
Diastat Acudial
Requip
Diastat Pediatric
Requip XL
Dilantin
Rytary
Dilantin Infatabs
Sinemet
Dilantin-125
Sinemet CR
Fanatrex Fusepaq
Stalevo 100
Felbatol
Stalevo 125
Gabitril
Stalevo 150
Keppra
Stalevo 200
Keppra XR
Stalevo 50
Klonopin
Stalevo 75
Lamictal
Tasmar
Lamictal Chewable Dispersible
Zelapar
Lamictal Odt
Lamictal Starter/Not Taking Carbamazepine
NEUROLOGY, PSYCH - MISC.
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
GENERIC
acamprosate calcium DR
Lamictal Starter/Taking Valproate
disulfiram
Lamictal XR
donepezil HCL
Levetiracetam
ergoloid mesylates
Mysoline
fluoxetine
Neurontin
galantamine
Phenytek
galantamine hydrobromide
Qudexy XR
memantine HCL
Sabril
memantine HCL titration PAK
Stavzor
olanzapine/fluoxetine
Tegretol
rivastigmine tartrate
Therapentin-60
Galantamine Hydrobromide
Therapentin-90
PREFERRED
Topamax
Ampyra
Topamax Sprinkle
Topiramate ER
Effective October 1, 2015
25
Aubagio
carisoprodol/aspirin
Avonex
carisoprodol/aspirin/codeine
Avonex Pen
chlorzoxazone
Betaseron
cyclobenzaprine HCL
Brisdelle
dantrolene sodium
Copaxone
metaxalone
Gilenya
methocarbamol
Gralise
orphenadrine citrate
Gralise Starter
orphenadrine citrate ER
Namenda
orphenadrine/asa/caffeine
Namenda XR
tizanidine HCL
Namenda XR Titration Pack
Carisoprodol
Nuedexta
Dantrolene Sodium
Plegridy
PREFERRED
Plegridy Starter Pack
Gablofen
Rebif
Lioresal Intrathecal
Rebif Rebidose
Monovisc
Rebif Rebidose Titration Pack
Orthovisc
Rebif Titration Pack
Synvisc
Savella
Synvisc One
Tecfidera
NON PREFERRED
Tecfidera Starter Pack
Amrix
Tysabri
Cyclobenzaprine Comfort PAC
Xenazine
Dantrium
Xyrem
Dantrium IV
NON PREFERRED
Euflexxa
Antabuse
Fexmid
Aricept
Gel-one
Aricept Odt
Hyalgan
Campral
Lorzone
Chlordiazepoxide/Amitriptyline
Metaxalone
Exelon
Norflex
Extavia
Parafon Forte DSC
Horizant
Prazolamine
Lemtrada
Robaxin
Namenda Titration PAK
Robaxin-750
Namzaric
Ryanodex
Orap
Skelaxin
Perphenazine/Amitriptyline
Soma
Razadyne
Supartz
Razadyne ER
Tabradol Fusepaq
Sarafem
Therabenzaprine-60
Savella Titration Pack
Therabenzaprine-90
Symbyax
Therabenzaprine-90-5
Tizanidine Comfort PAC
NEUROMUSCULAR AGENTS
Zanaflex
GENERIC
ANTIMYASTHENIC AGENTS
atracurium besylate
cisatracurium besylate
GENERIC
pancuronium bromide
neostigmine methylsulfate
riluzole
pyridostigmine bromide
rocuronium bromide
PREFERRED
vecuronium bromide
Prostigmin
NON PREFERRED
NON PREFERRED
Anectine
Bloxiverz
Botox
Enlon
Dysport
Enlon-plus
Myobloc
Guanidine HCL
Nimbex
Mestinon
Quelicin
Mestinon Timespan
Quelicin 1000
Neostigmine Methylsulfate
Rilutek
Regonol
Xeomin
Zemuron
OPHTHALMOLOGY AND OTIC
ANTI-INFECTIVES
MUSCULOSKELETAL AGENTS
GENERIC
GENERIC
bacitracin/polymyxin b
baclofen
ciprofloxacin HCL
carisoprodol
erythromycin
Effective October 1, 2015
26
gatifloxacin
sulfacetamide sodium/prednisolone sodium phosphate
gentamicin sulfate
tobramycin/dexamethasone
levofloxacin
PREFERRED
neomycin/bacitracin/polymyxin
Alrex
neomycin/polymyxin/bacitracin zinc
FML
neomycin/polymyxin/gramicidin
Lotemax
ofloxacin
Ozurdex
polymyxin b sulfate/trimethoprim sulfate
Pred Mild
sodium sulfacetamide
Retisert
sulfacetamide sodium
Tobradex ST
tobramycin sulfate
Zylet
trifluridine
NON PREFERRED
trimethoprim sulfate/polymyxin b sulfate
Blephamide
PREFERRED
Blephamide S.o.p.
Besivance
Durezol
Moxeza
Flarex
Natacyn
FML Forte
Vigamox
FML Liquifilm
NON PREFERRED
Maxidex
Azasite
Maxitrol
Bacitracin
Neomycin/Polymyxin/Hydrocortisone
Betadine Ophthalmic Prep
Omnipred
Bleph-10
Pred Forte
Ciloxan
Pred-G
Garamycin
Pred-G S.o.p.
Mitosol
Prednisolone Sodium Phosphate
Neosporin
Tobradex
Ocuflox
Vexol
Polytrim
Sulfacetamide Sodium
PROSTAGLANDINS
Tobrex
GENERIC
Viroptic
latanoprost
Zirgan
Bimatoprost
Zymaxid
PREFERRED
Lumigan
ARTIFICIAL TEAR/LUBRICANT
Travatan Z
NON PREFERRED
Travoprost
Lacrisert
NON PREFERRED
Rescula
BETA-BLOCKERS
Xalatan
Zioptan
GENERIC
betaxolol HCL
CYCLOPLEGIC MYDRIATICS
carteolol HCL
dorzolamide HCL/timolol maleate
GENERIC
levobunolol HCL
atropine sulfate
timolol maleate
cyclopentolate HCL
timolol maleate ophthalmic gel forming
homatropine HBR
Metipranolol
NON PREFERRED
PREFERRED
Atropine Sulfate
Combigan
Cyclogyl
NON PREFERRED
Cyclomydril
Betagan
Isopto Atropine
Betimol
Isopto Homatropine
Betoptic-s
Isopto Hyoscine
Cosopt
Cosopt PF
DECONGESTANTS
Istalol
GENERIC
Levobunolol HCL
phenylephrine HCL
Timoptic
NON PREFERRED
Timoptic Ocudose
Mydfrin
Timoptic-xe
Naphazoline HCL
OPHTHALMIC STEROIDS
MIOTICS
GENERIC
GENERIC
dexamethasone sodium phosphate
pilocarpine HCL
fluorometholone
PREFERRED
neomycin/polymyxin/bacitracin/hydrocortisone
Phospholine Iodide
neomycin/polymyxin/dexamethasone
NON PREFERRED
prednisolone acetate
Isopto Carbachol
Effective October 1, 2015
27
Isopto Carpine
NON PREFERRED
Acetic Acid/Aluminum Acetate
ADRENERGIC AGENTS
Antipyrine/Benzocaine
Auralgan
GENERIC
Cetraxal
apraclonidine
Cipro HC
brimonidine tartrate
Ciprofloxacin
NON PREFERRED
Coly-mycin S
Alphagan P
Cortisporin
Iopidine
Cortisporin-tc
Simbrinza
Cresylate
Dermotic
IMMUNOMODULATORS
Myoxin
PREFERRED
Otozin
Restasis
Pramotic
Vosol HC
LOCAL ANESTHETICS
GENERIC
OXYTOCICS
proparacaine HCL
tetracaine HCL
GENERIC
NON PREFERRED
methylergonovine maleate
Akten
oxytocin
Alcaine
NON PREFERRED
Cervidil
OPHTHALMICS - MISC.
Hemabate
GENERIC
Pitocin
azelastine HCL
Prepidil
bromfenac
Prostin E2
cromolyn sodium
diclofenac sodium
PAIN MANAGEMENT
dorzolamide HCL
epinastine HCL
ANALGESICS - NONNARCOTIC
flurbiprofen sodium
GENERIC
ketorolac tromethamine
butalbital/acetaminophen
PREFERRED
butalbital/acetaminophen/caffeine
Bepreve
butalbital/apap/caffeine
Cystaran
butalbital/aspirin/caffeine
Ilevro
choline magnesium trisalicylate
Jetrea
diflunisal
Nevanac
salsalate
Pataday
NON PREFERRED
Patanol
Bupap
Pazeo
Choline Magnesium Trisalicylate
Prolensa
Disalcid
NON PREFERRED
Dolgic Plus
Acular
Dologesic
Acular LS
Equagesic
Acuvail
Esgic
Alocril
Fioricet
Alomide
Fiorinal
Azopt
Levacet
Elestat
Ofirmev
Emadine
Phrenilin Forte
Lastacaft
Rhinoflex-650
Ocufen
Staflex
Optivar
Tencon
Trusopt
Vanatol LQ
OTIC AGENTS
ANALGESICS - OPIOID
GENERIC
GENERIC
acetic acid
acetaminophen/codeine
antipyrine/benzocaine
acetaminophen/codeine #2
fluocinolone acetonide
acetaminophen/codeine #3
fluocinolone acetonide ear drops
acetaminophen/codeine #4
hydrocortisone/acetic acid
acetaminophen/codeine phosphate
neomycin/polymyxin/hydrocortisone
alfentanil
neomycin/polymyxin/HC
buprenorphine HCL
ofloxacin
buprenorphine HCL/naloxone HCL
PREFERRED
butalbital/acetaminophen/caffeine/codeine
Ciprodex
butalbital/aspirin/caffeine/codeine
Effective October 1, 2015
28
butorphanol tartrate
Ionsys
codeine sulfate
Kadian
fentanyl
Levorphanol Tartrate
fentanyl citrate oral transmucosal
Liquicet
hydrocodone bitartrate/acetaminophen
Lorcet Plus
hydrocodone/acetaminophen
Lorcet 10/650
hydrocodone/ibuprofen
Lortab
hydromorphone HCL
Magnacet
hydromorphone HCL ER
Maxidone
meperidine HCL
Meperidine HCL
methadone HCL
Methadone HCL
morphine sulfate
Methadose
morphine sulfate ER
Methadose Sugar-free
nalbuphine HCL
Morphine Sulfate
oxycodone HCL
Morphine Sulfate Add-vantage
oxycodone/acetaminophen
MS Contin
oxycodone/aspirin
Norco
oxycodone/ibuprofen
Opana
oxymorphone hydrochloride
Oxecta
oxymorphone hydrochloride ER
Oxycodone HCL
pentazocine/acetaminophen
Percocet
pentazocine/naloxone HCL
Percodan
tramadol hydrochloride/acetaminophen
Primlev
tramadol HCL
Reprexain
tramadol HCL ER
Roxicet
Fentanyl
Roxicodone
Hydrocodone Bitartrate/Acetaminophen
Subsys
Hydrocodone/Acetaminophen
Synalgos-dc
Morphine Sulfate ER
Synapryn Fusepaq
PREFERRED
Talwin
Butrans
Theracodeine-300
Lazanda
Theracodophen-low-90
Nucynta
Theracodophen-325
Nucynta ER
Theracodophen-650
Opana ER (crush Resistant)
Theracodophen-750
Oxycodone HCL ER
Theratramadol-60
Oxycontin
Theratramadol-90
Suboxone
Tramadol HCL ER
Zubsolv
Trezix
NON PREFERRED
Tylenol/Codeine #3
Abstral
Tylenol/Codeine #4
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate
Ultiva
Actiq
Ultracet
Alfenta
Ultram
Aspirin-caffeine-dihydrocodeine
Ultram ER
Avinza
Vicoprofen
Bunavail
Xartemis XR
Buprenex
Xodol
Capital/Codeine
Xolox
Codeine Sulfate
Zamicet
Conzip
Zohydro ER
Demerol
Zydone
Dilaudid
Dilaudid-HP
ANTI-INFLAMMATORY
Dolophine
GENERIC
Dolophine HCL
celecoxib
Duragesic
diclofenac potassium
Embeda
diclofenac sodium DR
Exalgo
diclofenac sodium ER
Fentora
diclofenac sodium/misoprostol
Fioricet/Codeine
etodolac
Fiorinal/Codeine #3
etodolac ER
Hycet
flurbiprofen
Hydromorphone HCL
ibuprofen
Hydromorphone HCL Dosette
indomethacin
Hydromorphone HCL ER
indomethacin ER
Hysingla ER
ketoprofen
Ibudone
ketorolac tromethamine
Infumorph 200
leflunomide
Infumorph 500
Effective October 1, 2015
29
mefenamic acid
Simponi Aria
meloxicam
Sprix
nabumetone
Therafeldamine
naproxen
Theraprofen-60
naproxen sodium
Theraprofen-800
naproxen sodium ER
Theraprofen-90
oxaprozin
Theraproxen-500
piroxicam
Theraproxen-60
sulindac
Theraproxen-90
tolmetin sodium
Tivorbex
Meclofenamate Sodium
Trepadiclofen-25
Tolmetin Sodium
Trepoxen-250
PREFERRED
Trepoxicam-7.5
Arcalyst
Vimovo
Humira
Voltaren-XR
Humira Pediatric Crohns Disease Starter Pack
Xeljanz
Humira Pen
Zipsor
Humira Pen-crohns Diseasestarter
Humira Pen-psoriasis Starter
MIGRAINE PRODUCTS
Ridaura
GENERIC
Zorvolex
almotriptan malate
NON PREFERRED
dihydroergotamine mesylate
Actemra
naratriptan HCL
Anaprox
rizatriptan benzoate
Anaprox DS
rizatriptan benzoate odt
Arava
sumatriptan succinate
Arthrotec 50
sumatriptan succinate refill
Arthrotec 75
zolmitriptan
Caldolor
zolmitriptan odt
Cataflam
Dihydroergotamine Mesylate
Celebrex
Isometheptene/Caffeine/Acetaminophen
Daypro
Sumatriptan Succinate
Derma Silkrx Anodynexa PAK
PREFERRED
Dermacinrx Inflammatral PAK
Relpax
Duexis
NON PREFERRED
Dyloject
Alsuma
Enbrel
Amerge
Enbrel Sureclick
Axert
EC-naprosyn
Cafergot
Feldene
Cambia
Fenoprofen Calcium
D.h.e. 45
Ibuprofen Comfort PAC
Ergomar
Ilaris
Frova
Indocin
Imitrex
Indomethacin
Imitrex Statdose Refill
Indomethacin Sodium
Imitrex Statdose System
IC 400
Maxalt
IC 800
Maxalt-MLT
Ketoprofen ER
Migergot
Ketorocaine-l
Migral
Ketorocaine-lm
Migranal
Ketorolac Tromethamine
Sumatriptan
Kineret
Sumavel Dosepro
Meloxicam
Treximet
Meloxicam Comfort PAC
Zomig
Mobic
Zomig Nasal Spray
Nalfon
Zomig ZMT
Naprelan
Naprosyn
GOUT AGENTS
Naproxen
GENERIC
Naproxen Comfort PAC
allopurinol
Neoprofen
probenecid
Orencia
probenecid/colchicine
Otezla
PREFERRED
Otrexup
Colcrys
Ponstel
Krystexxa
Prastera
Uloric
Rasuvo
NON PREFERRED
Rheumatrex
Aloprim
Simponi
Effective October 1, 2015
30
Colchicine
Clarinex Reditabs
Mitigare
Dexchlorpheniramine Maleate
Zyloprim
Dicopanol Fusepaq
Doxytex
LOCAL ANESTHETICS-INJ
Karbinal ER
Palgic
GENERIC
Phenergan
bupivacaine HCL
Respa-BR
bupivacaine/epinephrine
Xyzal
chloroprocaine HCL
lidocaine HCL
NASAL AGENTS
lidocaine/epinephrine
ropivacaine
GENERIC
ropivacaine HCL
azelastine HCL
Tetracaine HCL
budesonide
NON PREFERRED
flunisolide
Articadent Dental
fluticasone propionate
BD Pudendal/Local Block Tray 1% Lidocaine
ipratropium bromide
Carbocaine
olopatadine HCL
Citanest Forte Dental
triamcinolone acetonide
Citanest Plain Dental
Flunisolide
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
PREFERRED
Dymista
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
Nasonex
Phenylephrine HCL
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
NON PREFERRED
Adrenalin
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
Astelin
Astepro
Exparel
Atrovent
Lidocaine HCL/Dextrose
Bactroban Nasal
Marcaine
Beconase AQ
Marcaine W/O Epi
Flonase
Marcaine/Epinephrine
Nasacort AQ
Marlido-25
Omnaris
Mepivacaine HCL
Patanase
Monoject Bone Marrow Biopsy Prepping Tray
Qnasl
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Qnasl Childrens
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Rhinocort Aqua
Tyzine
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Tyzine Pediatric Nasal Drops
Veramyst
Naropin
Zetonna
Nesacaine
Nesacaine-mpf
COUGH/COLD/ALLERGY
Sensorcaine-mpf/Epinephrine
GENERIC
Turkel Paracentesis Procedure Tray/8french
acetylcysteine
Xylocaine
benzonatate
Xylocaine-mpf
bromphen/pseudoephedrine HCL/dextromethorphan HBR
Xylocaine-mpf/Epinephrine
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Xylocaine/Epinephrine
hydrocodone bitartrate/homatropine methylbromide
hydrocodone polistirex/chlorpheniramine polistirex
RESPIRATORY, ALLERGY, ETC
hydrocodone/homatropine
ANTIHISTAMINES
phenylephrine/guaifenesin
GENERIC
promethazine-DM
carbinoxamine maleate
promethazine/codeine
cetirizine HCL
promethazine/dextromethorphan
clemastine fumarate
sodium chloride
cyproheptadine HCL
PREFERRED
desloratadine
Tussicaps
desloratadine odt
Tuzistra XR
diphenhydramine HCL
NON PREFERRED
levocetirizine dihydrochloride
Carbaphen 12
promethazine HCL
Carbaphen 12 PED
promethazine HCL plain
Clarinex-d 12 HOUR
Clemastine Fumarate
Clarinex-d 24 HOUR
NON PREFERRED
Codar AR
Brompheniramine
Cpb Wc
Brompheniramine Tannate
Decon-a
Clarinex
Effective October 1, 2015
31
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Symbicort
Tudorza Pressair
Exactuss
NON PREFERRED
Gilphex TR
Accolate
Giltuss
Advair Diskus
Giltuss PED-c
Advair HFA
Giltuss TR
Aerospan
Hyper-sal
Alvesco
Hypersal
Arnuity Ellipta
Nebusal
Breo Ellipta
Neotuss Plus
Brovana
Obredon
Duoneb
Panatuss Dxp
Elixophyllin
Pediatex TD
Flovent Diskus
Pediatex TDM
Flovent HFA
Relhist
Incruse Ellipta
Rescon-JR
Isuprel
Rescon-MX
Lufyllin
Rezira
Maxair Autohaler
Semprex-d
Metaproterenol Sulfate
Suttar-SF
Proventil HFA
Suttar-2
Pulmicort
Tessalon Perles
Pulmophylline
Tussionex Pennkinetic Extended Release
Senophylline
Vituz
Singulair
Zonatuss
Stiolto Respimat
Zutripro
Striverdi Respimat
Theo-24
ANTIASTHMATIC/COPD AGENTS
Theophylline/D5W
GENERIC
Ventolin HFA
albuterol sulfate
Vospire ER
albuterol sulfate ER
Xolair
albuterol TAB 4MG
Xopenex
aminophylline
Xopenex Concentrate
budesonide
Xopenex HFA
epinephrine HCL
Zyflo
ipratropium bromide
Zyflo CR
ipratropium bromide/albuterol sulfate
levalbuterol
RESPIRATORY AGENTS - MISC
levalbuterol HCL
PREFERRED
montelukast sodium
Aralast NP
terbutaline sulfate
Esbriet
theophylline
Kalydeco
theophylline CR
Prolastin-c
theophylline ER
Pulmozyme
zafirlukast
Zemaira
Cromolyn Sodium
NON PREFERRED
PREFERRED
Curosurf
Anoro Ellipta
Glassia
Arcapta Neohaler
Infasurf
Asmanex HFA
Ofev
Asmanex Twisthaler 120 Metered Doses
Orkambi
Asmanex Twisthaler 14 Metered Doses
Surfaxin
Asmanex Twisthaler 30 Metered Doses
Survanta Intratracheal
Asmanex Twisthaler 60 Metered Doses
Asmanex Twisthaler 7 Metered Doses
TOXOIDS
Atrovent HFA
Combivent Respimat
PREFERRED
Daliresp
Adacel
Dulera
Boostrix
Foradil Aerolizer
Daptacel
Perforomist
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Proair HFA
Infanrix
Proair Respiclick
Kinrix
Pulmicort Flexhaler
Pediarix
Qvar
Pentacel
Serevent Diskus
Quadracel
Spiriva Handihaler
Tenivac
Spiriva Respimat
Tetanus Toxoid Adsorbed
Effective October 1, 2015
32
Tetanus/Diphtheria Toxoids-adsorbed
Menomune-a/C/Y/W-135
Tetanus/Diphtheria Toxoids-adsorbed Adult
Menveo
Pedvax HIB
VACCINES
Pneumovax 23
Pneumovax 23/1 Dose
Pneumovax 23/5 Dose
PREFERRED
Prevnar 13
Acthib
Proquad
Afluria PF 2012-2013
Rabavert
Afluria PF 2013-2014
Recombivax HB
Afluria PF 2014-2015
Rotarix
Afluria PF 2015-2016
Rotateq
Afluria 2012-2013
Trumenba
Afluria 2013-2014
Twinrix
Afluria 2014-2015
Typhim VI
Afluria 2015-2016
Vaqta
Bcg Vaccine
Varivax
Bexsero
Vivotif Berna
Biothrax
Yf-vax
Cervarix
Zostavax
Comvax
Engerix-b
VITAMINS
Fluarix Quadrivalent 2013-2014
Fluarix Quadrivalent 2014-2015
VITAMINS
Fluarix Quadrivalent 2015-2016
GENERIC
Fluarix 2013-2014
ascorbic acid
Fluarix 2014-2015
ergocalciferol
Flublok 2013-2014
phytonadione
Flublok 2014-2015
thiamine HCL
Flublok 2015-2016
vitamin c 222MG
Flucelvax 2013-2014
vitamin d
Flucelvax 2014-2015
vitamin k1
Flucelvax 2015-2016
PREFERRED
Flulaval Quadrivalent 2013-2014
Mephyton
Flulaval Quadrivalent 2014-2015
NON PREFERRED
Flulaval Quadrivalent 2015-2016
Aquasol A Parenteral
Flulaval 2013-2014
Drisdol
Flulaval 2014-2015
Pyridoxine HCL
Flumist Quadrivalent
Vitamin K1
Fluvirin PF 2013-2014
Wheat Germ
Fluvirin PF 2014-2015
Fluvirin 2013-2014
MULTIVITAMINS
Fluvirin 2014-2015
GENERIC
Fluvirin 2015-2016
b-complex
Fluzone High-dose PF 2013-2014
b-complex 100
Fluzone High-dose PF 2014-2015
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Fluzone High-dose PF 2015-2016
Prenatal Vitamins
Fluzone Intradermal
NON PREFERRED
Fluzone Intradermal Quadrivalent
Adrenal C Formula
Fluzone Intradermal Quadrivalent 2015-2016
Albafort
Fluzone Pediatric PF 2013-2014
Atabex EC
Fluzone PF 2013-2014
Bacmin
Fluzone PF 2014-2015
Bal-care DHA
Fluzone Quadrivalent 2013-2014
Bal-care DHA Essential
Fluzone Quadrivalent 2014-2015
Citranatal Assure
Fluzone Quadrivalent 2015-2016
Citranatal B-calm
Fluzone Split 2013-2014
Citranatal DHA
Fluzone Split 2014-2015
Citranatal Harmony
Fluzone Split 2015-2016
Citranatal RX
Gardasil
Citranatal 90 DHA
Gardasil 9
Cod Liver Oil
Havrix
Concept DHA
Hiberix
Concept OB
Imovax Rabies (h.d.c.v.)
Corvite
Ipol Inactivated IPV
Crnatal
Ixiaro
Dialyvite Supreme D
M-m-r II
Dialyvite 3000
Medical Provider EZ Flu Shot 2014-2015
Dialyvite 5000
Menactra
Dialyvite/Zinc
Menhibrix
Diatx ZN
Effective October 1, 2015
33
Duet DHA Balanced
Prenate AM
Duet DHA 400
Prenate DHA
Duet DHA 400EC
Prenate Elite
Duet DHA 430
Prenate Enhance
Duet DHA 430EC
Prenate Essential
Enbrace HR
Prenate Mini
Escavite
Prenate Pixie
Escavite D
Prenate Restore
Floriva
Prenate Star
Focalgin CA
Preque 10
Focalgin 90 DHA
Protect Plus
Folcaps Omega 3
Protectbone
Folet DHA
Protectnatal
Folet One
Provida DHA
Folgard OS
Provida OB
Folivane-prx DHA NF
R-natal OB
Folivane-OB
Renatabs
Fortavit
Renatabs With Iron
Gesticare DHA
Req 49+
M.v.i. Adult
Select-ob+dha
M.v.i. Pediatric
Select-OB
M.v.i.-12 Without Vitamin K
Siderol
Marnatal-f
Strovite
Moms Choice RX
Strovite Forte
Mykidz Iron Fl
Strovite One
Mynatal
Supervite
Natachew
Supervite EC
Natafort
Support-500
Natalvirt CA
Synagex
Natalvirt 90 DHA
Synatek
Natalvit
Taron-bc
Natelle One
Taron-c DHA
Neevo DHA
Texavite LQ
Nephplex RX
Tri-VI-flor
Nephro-vite RX
Tricare Prenatal Compleat
Nephrocaps
Tricare Prenatal DHA One
Nephrocaps QT
Triveen-duo DHA
Nestabs
Triveen-prx RNF
Nestabs Abc
TL G-FOL OS
Nestabs DHA
Udamin
Newgen
Udamin SP
Nexa Plus
Vemavite-prx 2
Nicadan
Vinacal B
Nicazel
Vinate AZ Extra
Nicazel Forte
Vinate Calcium
Nicomide
Vinate DHA
Niva-plus
Vinate DHA RF
Nutricap
Vita-pren
Nutrivit
Vitafol
O-CAL Fa
Vitafol Ultra
O-CAL Prenatal
Vitafol-nano
Obstetrix DHA
Vitafol-ob+dha
Ocuvel
Vitafol-one
OB Complete
Vitafol-pn
OB Complete One
Vital-d RX
OB Complete Petite
Vitamedmd One RX/Quatrefolic
OB Complete Premier
Vitamedmd Plus RX/Quatre Folic
OB Complete 400
Vitamedmd Redichew RX
OB Complete/DHA
Vitamedmd Redichew RX/Quatrefolic
Paire OB
Vitapearl
Poly-VI-flor
Vitaroca Plus
Poly-VI-flor FS
Viva DHA
Poly-VI-flor/Iron
Zatean-pn
Prefera OB
Zatean-pn DHA
Prefera OB + DHA
Zatean-pn Plus
Preferaob +dha
Zatean-CH
Preferaob One
Prefol-DHA
MEDICAL DEVICES
Prenata
Prenate
Effective October 1, 2015
34
DIABETIC SUPPLIES
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
PREFERRED
BD Microtainer Lancets
Accu-chek Fastclix Lancets
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Accu-chek Multiclix Lancets
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Accu-chek Safe-t-pro Lancets
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Accu-chek Safe-t-pro Pluslancets
BD Pen Needle/Ultrafine/29G X 12.7MM
Accu-chek Soft Touch Lancets
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Accu-chek Softclix Lancets
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Advocate Lancets
Careone Lancet Thin
Advocate Lancets 30G
Careone Lancet Ultra Thin
Advocate Safety Lancets
Cleanlet Lancets 28G
Advocate Safety Lancets 26G
Clever Chek Lancets Ultrathin
Agamatrix Ultra-thin Lancets 33G
Clever Chek Lancets Ultrathin 30G
Assure Haemolance Plus High Flow 18G
Coaguchek Lancets
Assure Haemolance Plus Low Flow 25G
Comfort Lancets
Assure Haemolance Plus Micro Flow 28G
Diastar Easy Test II Lancets 30G
Assure Haemolance Plus Normal Flow 21G
Diastar Easy Test Lancets30G
Assure Haemolance Plus Pediatric Blade
Droplet Lancets Ultra Thin 30G
Assure Lance Lancets
Drug Mart On-the-go Lancets Gentle 30G
Assure Lance Lancets 21G
Drug Mart Unilet Lancets Super Thin 30G
Assure Lance Plus Safety Lancets 25G
Drug Mart Unilet Lancets Ultra Thin 28G
Assure Lance Plus Safety Lancets 30G
E-z Ject Lancets
Assure Lancets
E-z Ject Lancets Color
Aurora Lancet Super Thin 30G
E-z Ject Lancets Super Thin
Aurora Lancet Thin 23G
E-z Ject Lancets Super Thin 30G
AF Lancets Super Thin
E-z Ject Lancets Thin 26G
AT Last Lancets
E-z Ject Lancets 21G
Bayer Microlet Lancets
E-ZJECT Lancets Micro-thin 33G
Bullseye Safety Lancets
Easy Touch Lancets 21G/Pressure Activated
BD Insulin Syringe LUER-LOK/U-100/1ML
Easy Touch Lancets 23G/Pressure Activated
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Easy Touch Lancets 26G/Pressure Activated
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Easy Touch Lancets 26G/Pull-top
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Easy Touch Lancets 26G/Twist
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Easy Touch Lancets 28G/Pressure Activated
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Easy Touch Lancets 28G/Pull-top
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Easy Touch Lancets 28G/Twist
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Easy Touch Lancets 30G/Button-activated
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Easy Touch Lancets 30G/Pressure Activated
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Easy Touch Lancets 30G/Pull-top
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Easy Touch Lancets 30G/Twist
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Easy Touch Lancets 32G/Pressure Activated
BD Insulin Syringe Slip Tip/U-100/1ML
Easy Touch Lancets 32G/Pull-top
BD Insulin Syringe U-40/1ML/25G X 5/8"
Easy Touch Lancets 32G/Twist
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Easy Touch Lancets 33G/Twist
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Easy Touch Safety Lancets21G/Pressure Activated
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Easy Touch Safety Lancets23G/Pressure Activated
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Easy Touch Safety Lancets26G/Button Activated
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Easy Touch Safety Lancets26G/Pressure Activated
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Easy Touch Safety Lancets28G/Button Activated
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Easy Touch Safety Lancets28G/Pressure Activated
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Easy Twist & CAP Lancets
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Easytest II Lancets
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Easytest Lancets
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Embrace Lancets Ultra Thin 30G
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
EZ Smart Blood Glucose Lancets
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
EZ-lets Lancets 21G
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
EZ-lets Lancets 23G
EZ-lets Lancets 26G Super-soft
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
EZ-lets Lancets 28G Ultra-soft
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
EZ-lets Lancets 30G
Fasttake Compact Monitoring System
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Fasttake Test Strips
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Fifty50 Safety Seal Lancets 30G
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Fifty50 Safety Seal Lancets 32G
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Fine 30
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Fingerstix Lancets
BD Lancet Ultrafine 30G
Fora Lancets
BD Lancet Ultrafine 33G
Freestyle Lancets
Freestyle Unistick II Lancets
Gentle-let GP Lancets
Effective October 1, 2015
35
Gentle-let Lancets General Purpose Style/Fine Point
Nova Sureflex Lancets
Gentle-let Lancets General Purpose Style/Medium Point
Novofine Autocover 30GX8MM
Gentle-let Lancets Safety Style/Fine Point
Novofine 30GX8MM
Gentle-let Lancets Safety Style/Medium Point
Novofine 32GX6MM
Glucocom Lancets 28G
Novotwist 30GX8MM
Glucocom Lancets 30G
Novotwist 32GX5MM
Glucocom Lancets 33G
On Call Lancets
Glucose Control Normal
On Call Plus Lancets
Glucose Control Solution
Onetouch Basic System
Glucosource Lancets
Onetouch Basic/Profile Test Strips
Gmate Lancets 30G
Onetouch Club Lancets Fine Point
H&h Thinlet Lancets 26G
Onetouch Combo Pack
H&h Thinlet Super Thin Lancets 30G
Onetouch Delica Lancets Extra Fine 33G
Haemolance
Onetouch Delica Lancets Fine 30G
Haemolance Low Flow Lancets
Onetouch Finepoint Lancets
Haemolance Plus
Onetouch Lancets
Haemolance Plus High Flow
Onetouch Ping Meter Remote
Haemolance Plus Low Flow
Onetouch Profile System
Haemolance Plus Max Flow
Onetouch Ultra Blue
Haemolance Plus Pediatric Flow
Onetouch Ultra Control
Hy-vee Lancets
Onetouch Ultra Mini
IN Touch Sterile Lancets 30G
Onetouch Ultra System Kit
Lancets
Onetouch Ultra 2
Lancets Bullseye Safety
Onetouch Ultralink System (hex)
Lancets Safety Seal 21G
Onetouch Ultralink System (DEC)
Lancets Safety Seal 26G
Onetouch Ultrasmart
Lancets Safety Seal 28G
Onetouch Ultrasoft Lancets
Lancets Safety Seal 30G
Onetouch Verio
Lancets Thin
Onetouch Verio Control Solution High
Lancets Twist Top
Onetouch Verio IQ Blood Glucose Monitoring System
Lancets Ultra Fine
Onetouch Verio Mid Control Solution
Lancets Ultra Thin
Onetouch Verio Sync Bloodglucose Monitoring System
Lancets 26G Twist Top
Onetouch Verio Test Strips
Lancets 28G
Pen Needles 29G X 12MM
Lancets 30G
Pen Needles 29GX1/2"
Lancets 30G Twist Top
Pen Needles 30GX5/16"
Lancets 30G/Twist Top
Pen Needles 31G X 1/4" SHORT
Lancets 31G Twist Top
Pen Needles 31G X 3/16"
Lancets 33G Universal Design
Pen Needles 31G X 6MM
Liberty Glucose Control Mid
Pen Needles 31GX5/16"
Liberty Glucose Control Normal
Perfect Lancets 30G
Liberty Medical Lancets 30G
Perfect Pressure Activated Safety Lancets 28G
Lifescan Unistik II Lancets
Pharmacy Counter Lancets
Lifescan Unistik 2 Deep Penetration
Precision Thin Lancets
Litetouch Lancets Micro Thin 33G
Precision Thins GP Lancet
Live Better Lancet Super Thin 30G
Precision Ultra Lancet
Live Better Lancet Ultra Thin 28G
Prodigy Pressure Activated Safety Lancets
Medisense Thin Lancets
Prodigy Twist Top Lancets
Medlance Plus Extra Lancets 21G
Pss Select GP Lancets
Medlance Plus Lancets
Pss Select Safety Lancets
Medlance Plus Lancets Lite 25G
Px Lancets Ultra Thin
Medlance Plus Lite Lancets 25G
Qc Lancets Super Thin
Medlance Plus Special Lancets 0.8MM
Qc Lancets Ultra Thin
Medlance Plus Superlite 30G
Relion Lancets Micro-thin33G
Medlance Plus Superlite 30G/Comfort Max
Relion Lancets Standard 21G
Medlance Plus Universal Lancets 21G
Relion Lancets Thin 26G
Medlance Plus/Lite 25G
Relion Lancets Ultra-thin30G
Medlance/Extra
Relion Thin Lancets
Medlance/Lite
Relion Ultra Thin Lancets
Medlance/Universal
Relion Ultra Thin Lancets30G
Meijer Super Thin Lancets
Relion Ultra Thin Plus Lancets 32G
Microlet Lancets
Relion Ultra Thin Plus Lancets 33G
Microtainer Safety Flow Lancet/Sterile/Single-use
Renew Advanced Lancing Cartridge Refills
Monolet Lancets
Rexall Lancets Ultra Thin
Monolet Opd Lancets
Rightest Gl300 Lancets
Monolettor Safety Lancets
Safe-t-lance Low Flow 25G
Myglucohealth Mgh Softlance Lancets 30G
Safe-t-lance Normal Flow 21G
Netgroup Lancets
Safe-t-lance Plus Safety Lancet High Flow
Nova Safety Lancets 23G
Safe-t-lance Plus Safety Lancet Low Flow
Nova Safety Lancets 28G
Safe-t-lance Plus Safety Lancet Normal Flow
Effective October 1, 2015
36
Safety Lancet 2MM
Unistik Safety Lancets 30G
Safety Lancet 21G/Pressure Activated
Unistik 3 Gentle
Safety Lancet 28G/Pressure Activated
Universal 1 Lancets Thin 26G
Safety Lancets
Universal 1 Lancets Ultra Thin 30G
Safety Lancets 21G
Valumark Lancet Super Thin 30G
Safety Lancets 28G
Valumark Lancet Ultra Thin 28G
Safety Let Lancets
Vida Mia Unilet Lancets Super Thin 30G
Safety Seal Lancets 28G
Vida Mia Unilet Lancets Ultra Thin 28G
Safety Seal Lancets 30G
Vitalet Pro Lancets
Shopko On-the-go Comfort Lancets 30G
Vitalet Pro Plus Lancets
Shopko Unilet Lancets Super Thin 30G
W&f Lancets Colored 21G
Shopko Unilet Lancets Ultra Thin 28G
W&f Lancets 26G
Single-let
Walgreens Lancets
Smart Diabetes Vantage Universal Lancets 30G
Walgreens Thin Lancets
Smart Sense Color Lancets Universal 33G
Walgreens Ultra Thin Lancets
Smart Sense Standard Lancets Universal 21G
1ST Choice Lancets Super Thin
Smart Sense Super Thin Lancets Universal 30G
1ST Choice Lancets Thin
Smart Sense Thin Lancets Universal 26G
1ST Choice Lancets Ultra Thin
Smartest Lancets 28G
NON PREFERRED
Solus V2 Pressure Activated Safety Lancets 28G
Accu-chek Active Strips
Solus V2 Twist Lancets 30G
Accu-chek Aviva
Sterilance TL
Accu-chek Aviva Plus
Sure-lance Flat Lancets
Accu-chek Comfort Curve Test Strips
Sure-lance Lancets 26G
Accu-chek Compact Plus
Sure-lance Thin Lancets 28G
Accu-chek Compact Test Drum
Sure-lance Ultra Thin Lancets
Accu-chek Smartview Strips
Sure-touch Lancets Universal
Accutrend Glucose
Surelite Lancets
Acura Blood Glucose Test Strips
Surestep Glucose Control
Advance Intuition Test Strips
Surestep Glucose Control Solution
Advance Micro-draw Test Strips
Surestep Pro High Glucosecontrol
Advocate Redi-code
Surestep Pro Low Glucose Control
Advocate Redi-code+ Test Strips
Surestep Pro Normal Glucose Control
Advocate Test Strips
Surestep Pro Test Strips
Agamatrix Amp NO Code Test Strips
Surestep Test Strips
Agamatrix Jazz Test Strips
Techlite AST Lancets
Agamatrix Keynote Test Strips
Techlite Lancets
Agamatrix Presto Test Strips
Techlite Lancets 30G
Ascensia Autodisc Test Strips
Thinlets GP Lancets
Assure II
Thinlets Lancet
Assure II Check Strip
Trueplus Lancets 26G
Assure II Test Strips
Trueplus Lancets 28G
Assure Platinum Test Strips
Trueplus Lancets 28G Super Thin
Assure Prism Multi Test Strips
Trueplus Lancets 30G
Assure Pro Test Strips
Trueplus Lancets 30G Ultra Thin
Assure 3 Test Strips
Trueplus Lancets 33G
Assure 4 Test Strips
Trueplus Lancets 33G Micro Thin
AT Last Test Strips
Trueplus Safety Lancets 28G
Bayer Breeze 2 Test Disc
Ulticare Thin Lancets 30G
Bayer Contour Blood Glucose Test Strips
Ultilet Basic Lancets 30G
Bayer Contour Next Blood Glucose Test
Ultilet Classic Lancets
Bg Star Blood Glucose Test
Ultilet Lancets
Bioscanner Glucose Test Strips
Ultilet Lancets 33G
Blood Glucose Test Strips
Ultilet Safety Lancets 23G
Blood Glucose Test Strips Premium
Ultra-thin II Auto Lancet
Careone Blood Glucose Test Strips/Premium
Ultra-thin II Lancets 28G
Careone Blood Glucose Test Strips/Value
Ultra-thin II Lancets 30G
Caresens N Blood Glucose Test Strips
Ultra-thin II Safety Autolancets 26G
Choice DM Fora G20 Test Strips
Unilet Comfortouch Lancet
Clever Chek Auto-code Test Strips
Unilet Excelite
Clever Chek Auto-code Voice Test Strips
Unilet Excelite II
Clever Chek Test Strips
Unilet G.p. Lancet
Clever Choice Auto-code Pro Test Strips
Unilet G.p. Superlite Lancet
Clever Choice Micro Test Strips
Unilet GP 28 Ultra Thin
Control AST
Unilet Lancet
Control Test Strips
Unilet Lancets Micro-thin33G
CVS Advanced Glucose Meter Test Strips
Unilet Lancets Super-thin30G
Duo-care Test Strips
Unilet Lancets Ultra-thin 28G
Easy Step Test Strips
Unilet Superlite Lancet
Easy Touch Glucose Test Strips
Unistik Safety Lancets 28G
Easy Touch Healthpro Glucose Test Strips
Effective October 1, 2015
37
Easygluco
Optium Test Strips
Easygluco Plus
Optiumez Test Strips
Easymax Test Strips
Optumrx Blood Glucose Test
Easymax 15 Test Strips
Pharmacist Choice Autocode Blood Glucose Test Strips
Easypro Blood Glucose Test Strips
Pocketchem EZ Blood Glucose Test Strips
Easypro Plus
Precision Point Of Care Test Strips
Element Test Strips
Precision PCX
Embrace Blood Glucose Test Strips
Precision PCX Plus Test Strips
Embrace Evo Blood Glucosetest Strips
Precision QID Test Strips
Embrace Pro Blood Glucosetest Strips
Precision Sof-tact Test Strips
Eql Truetrack Test
Precision XTRA Blood Glucose Test Strips
Evencare + Blood Glucose Test Strip
Prestige Test Strips
Evencare Blood Glucose Test Strip
Prodigy NO Coding Blood Glucose Test Strips
Evencare G2 Test Strips
Pts Panels Glucose Test
Evencare G3 Test Strips
Quicktek Test Strips
Evolution Autocode
Quintet Ac Blood Glucose Test Strips
Exactech R-s-G Test Strips
Quintet Blood Glucose Test Strips
Exactech Test Strips
Refuah Plus Blood Glucosetest Strips
EZ Smart Blood Glucose Test Strips
Relion Blood Glucose Teststrips
EZ Smart Plus Blood Glucose Test Strips
Relion Confirm/Micro Test Strips
Fifty50 Glucose Test Strip 2.0
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Fora D10 Blood Glucose Test Strips
Relion Prime Blood Glucose Test Strips
Fora D15c Blood Glucose Test Strips
Relion Ultima Blood Glucose Test Strips
Fora D15z Blood Glucose Test Strips
Relion Ultima Test Strips
Fora D15G Blood Glucose Test Strips
Reveal Blood Glucose Test
Fora D20 Blood Glucose Test Strips
Rexall Blood Glucose Test Strips
Fora GD20 Test Strips
Rightest GS100 Blood Glucose Test Strips
Fora GD50 Blood Glucose Test Strips
Rightest GS300 Blood Glucose Test Strips
Fora G20 Blood Glucose Test Strips
Rightest GS550 Blood Glucose Test Strips
Fora G30a Blood Glucose Test Strips
Smart Diabetes Xpres Blood Glucose Test Strips
Fora G71a Blood Glucose Test Strips
Smart Sense Premium Bloodglucose Strips
Fora G90 Blood Glucose Test Strips
Smart Sense Value Blood Glucose Strips
Fora Test N' Go Blood Glucose Test Strips
Smartest Blood Glucose Test Strips
Fora V10 Blood Glucose Test Strips
Solus V2 Audible Test
Fora V12 Blood Glucose Test Strips
Supreme Test Strips
Fora V20 Blood Glucose Test Strips
Sure Edge Blood Glucose Test Strips
Fora V22 Blood Glucose Test Strips
Sure-test Easyplus Mini Blood Glucose Test Strips
Fora V30a Blood Glucose Test Strips
Surechek Blood Glucose Test Strips
Foracare GD40
Telcare Blood Glucose Test Strips
Foracare Premium V10 Teststrips
True Metrix Blood Glucosetest Strips
Foracare Test N Go Test Strips
True Metrix Self Monitoring Blod Glucose Strips
Fortiscare Blood Glucose Test Strip
Truetest Blood Glucose T Est
Freestyle Insulinx Blood Glucose Test
Truetest Blood Glucose T Est Strips
Freestyle Insulinx Blood Glucose Test Strips
Truetest Strips
Freestyle Lite Test Strips
Truetrack Blood Glucose Test
Freestyle Test Strips
Truetrack Test
Gluco Perfect 3 Test Strips
Ultima Test Strips
Glucocard Expression Blood Glucose Test Strips
Ultratrak Pro Test Strips
Glucocard Shine Test Strips
Ultratrak Ultimate Test Strips
Glucocard Vital Test Strips
Unistrip1 Generic
Glucocard X-sensor
Victory Agm-4000 Test Strips
Glucocard 01 Sensor Plus
Vocal Point Blood Glucose Test Strips
Glucocard 01 Sensor Plus Test Strips
Wavesense Presto Test Strips
Glucocom Test Strips
Gluconavii Blood Glucose Test Strips
Gmate Blood Glucose Test Strips
MEDICAL DEVICES - MISC
Infinity Blood Glucose Test Strips
PREFERRED
Insulin Syringe/0.5ML/30G X 5/16"
Aerochamber Mini Aerosol Chamber
IN Touch Blood Glucose Test Strips
Aerochamber MV
Liberty Next Generation Blood Glucose Test Strips
Aerochamber Plus Flow VU
Maxima Blood Glucose Teststrips
Aerochamber Plus Flow-VU
Microdot Test Strips
Aerochamber Plus Flow-VU/Large Mask
Myglucohealth Blood Glucose Test
Aerochamber Plus Flow-VU/Mask
Neutek 2tek Test Strips
Aerochamber Plus Flow-VU/Medium Mask
Nexgen Test Strips
Aerochamber Plus Flow-VU/Small Mask
Nova Max Glucose Test Strips
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
On Call Express Blood Glucose Test Strips
Aerochamber Z-stat Plus/Flowsignal
On Call Plus Blood Glucose Test
Aerochamber Z-stat Plus/Large Mask
On Call Vivid Blood Glucose Test
On Call Vivid Blood Glucose Test Strips
Effective October 1, 2015
38
Aerochamber Z-stat Plus/Medium Mask
Aerochamber Z-stat Plus/Small Mask
Aerochamber/Flowsignal
Aerovent Plus Holding Chamber/Collapsible
Arial Chamber
Breatherite
Breatherite Collapsible Adult Spacer W/Mask
Breatherite Collapsible Child Spacer W/Mask
Breatherite Collapsible Infant Spacer W/Mask
Breatherite Collapsible Small Child Spacer W/Mask
Breatherite Collapsible Spacer W/ Neonate Mask
Breatherite Rigid Spacer W/Mask
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Flexichamber
Inspirachamber/Anti-static Valved/Mouthpiece
Inspirachamber/Soothermask/Inspiramask/Medium
Inspirachamber/Soothermask/Inspiramask/Small
Inspirease Bags
Inspirease Drug Delivery System
Inspirease Mouthpiece
Inspirease Reservoir Bags
Liteaire
Mask Vortex/Baby Whirl Duckling
Mask Vortex/Child/Frog
Mask Vortex/Spinner The Duck
Mask Vortex/Toddler/Lady Bug
Microchamber
Microspacer
Nessi Spacer/Large Mask
Nessi Spacer/Mouthpiece
Nessi Spacer/Small/MED Mask
Optichamber Advantage
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Vortex Valved Holding Chamber
Watchhaler
MISCELLANEOUS
PREFERRED
Chemet
Exjade
Jadenu
NON PREFERRED
Ferriprox
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective October 1, 2015 v.1 ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.
39
Index
A
13
Chamber/Collapsible, 39
Acular, 28
AF Lancets Super Thin, 35
A.a.g.c. Kit IN Teroderm, 11
Acular LS, 28
Afinitor, 6
abacavir, 3
Acura Blood Glucose Test Strips, 37
Afinitor Disperz, 6
abacavir sulfate/lamivudine/zidovudine, 3
Acuvail, 28
Afluria 2012-2013, 33
Abaneu-SL, 21
acyclovir, 3, 11
Afluria 2013-2014, 33
Abelcet, 2
acyclovir sodium, 3
Afluria 2014-2015, 33
Abilify, 24
Acyclovir Sodium, 3
Afluria 2015-2016, 33
Abilify Discmelt, 23
Aczone, 10
Afluria PF 2012-2013, 33
Abilify Maintena, 24
Adacel, 32
Afluria PF 2013-2014, 33
Abraxane, 6
Adalat CC, 7
Afluria PF 2014-2015, 33
Absorica, 10
adapalene, 10
Afluria PF 2015-2016, 33
Abstral, 29
Adapalene, 10
Afrezza, 15
acamprosate calcium DR, 25
Adasuve, 24
Agamatrix Amp NO Code Test Strips, 37
Acanya, 10
Adcetris, 5
Agamatrix Jazz Test Strips, 37
acarbose, 16
Adcirca, 10
Agamatrix Keynote Test Strips, 37
Accolate, 32
Adderall, 24
Agamatrix Presto Test Strips, 37
Accu-chek Active Strips, 37
Adderall XR, 24
Agamatrix Ultra-thin Lancets 33G, 35
Accu-chek Aviva, 37
adefovir dipivoxil, 3
Aggrastat, 22
Accu-chek Aviva Plus, 37
Adempas, 10
Aggrenox, 22
Accu-chek Comfort Curve Test Strips, 37
Adenocard, 8
Agrylin, 22
Accu-chek Compact Plus, 37
adenosine, 7
Akne-mycin, 10
Accu-chek Compact Test Drum, 37
Adoxa, 2
Akten, 28
Accu-chek Fastclix Lancets, 35
Adoxa PAK 1/100, 2
Akynzeo, 19
Accu-chek Multiclix Lancets, 35
Adoxa PAK 1/150, 2
Ala Scalp, 12
Accu-chek Safe-t-pro Lancets, 35
Adoxa PAK 2/100, 2
Albafort, 21, 33
Accu-chek Safe-t-pro Pluslancets, 35
Adrenaclick, 9
Albenza, 3
Accu-chek Smartview Strips, 37
Adrenal C Formula, 33
albuterol sulfate, 32
Accu-chek Soft Touch Lancets, 35
Adrenalin, 9, 31
albuterol sulfate ER, 32
Accu-chek Softclix Lancets, 35
Adriamycin, 4
albuterol TAB 4MG, 32
Accupril, 8
Advair Diskus, 32
Alcaine, 28
Accuretic, 9
Advair HFA, 32
alclometasone dipropionate, 12
Accutrend Glucose, 37
Advance Intuition Test Strips, 37
Aldactazide, 9
acebutolol HCL, 7
Advance Micro-draw Test Strips, 37
Aldactone, 9
Aceon, 8
Advanced Allergy Collection Kit, 12
Aldara, 13
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 29
Advate, 22
Aldurazyme, 18
Advicor, 10
alendronate sodium, 16
acetaminophen/codeine, 28
Advocate Lancets, 35
Alendronate Sodium, 16
acetaminophen/codeine #2, 28
Advocate Lancets 30G, 35
Alfenta, 29
acetaminophen/codeine #3, 28
Advocate Redi-code, 37
alfentanil, 28
acetaminophen/codeine #4, 28
Advocate Redi-code+ Test Strips, 37
Alferon N, 6
acetaminophen/codeine phosphate, 28
Advocate Safety Lancets, 35
alfuzosin HCL ER, 20
acetazolamide, 9
Advocate Safety Lancets 26G, 35
Alimta, 5
Acetazolamide, 9
Advocate Test Strips, 37
Alinia, 4
acetazolamide ER, 9
Aerochamber Mini Aerosol Chamber, 38
Alkeran, 4
acetazolamide sodium, 9
Aerochamber MV, 38
Allo-pax, 11
acetic acid, 28
Aerochamber Plus Flow VU, 38
allopurinol, 30
Acetic Acid/Aluminum Acetate, 28
Aerochamber Plus Flow-VU, 38
almotriptan malate, 30
acetylcysteine, 31
Aerochamber Plus Flow-VU/Large Mask, 38
Alocril, 28
Aciphex, 18
Alodox Convenience Kit, 2
Aciphex Sprinkle, 19
Aerochamber Plus Flow-VU/Mask, 38
Alomide, 28
acitretin, 12
Aerochamber Plus Flow-VU/Medium Mask, 38
Aloprim, 30
Aclovate, 12
Alora, 15
Actemra, 30
Aerochamber Plus Flow-VU/Small Mask, 38
alosetron hydrochloride, 19
Acthib, 33
Aloxi, 19
Acticlate, 2
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 38
Alphagan P, 28
Actigall, 19
Alphanate/Von Willebrand Factor Complex/Human, 22
Actimmune, 6
Aerochamber Z-stat Plus/Flowsignal, 38
Actiq, 29
Aerochamber Z-stat Plus/Large Mask, 38
Alphanine SD, 22
Activase, 22
Aerochamber Z-stat Plus/Medium Mask, 39
alprazolam, 22
Activella, 15
alprazolam ER, 22
Actonel, 16
Aerochamber Z-stat Plus/Small Mask, 39
Alprazolam Intensol, 23
Actoplus Met, 16
Aerochamber/Flowsignal, 39
alprazolam odt, 22
Actoplus Met XR, 16
Aerospan, 32
Alprolix, 22
Actos, 16
Aerovent Plus Holding
Alrex, 27
Acuicyn Daily Eyelid & Eyelash Cleanser,
Alsuma, 30
Androderm, 14
Asmanex Twisthaler 60 Metered Doses, 32
Altabax, 11
Androgel, 14
Altace, 8
Androgel P.M., 14
Asmanex Twisthaler 7 Metered Doses, 32
Altoprev, 10
Android, 14
Aluvea, 13
Androxy, 14
Aspirin-caffeine-dihydrocodeine, 29
Alvesco, 32
Anectine, 26
Aspirin/Dipyridamole, 22
amantadine HCL, 25
Angeliq, 15
Assure 3 Test Strips, 37
Amantadine HCL, 25
Angiomax, 21
Assure 4 Test Strips, 37
Amaryl, 16
Animi-3, 21
Assure Haemolance Plus High Flow 18G, 35
Ambien, 24
Animi-3/Vitamin D, 21
Ambien CR, 24
Anoro Ellipta, 32
Assure Haemolance Plus Low Flow 25G, 35
Ambisome, 2
Antabuse, 26
Amcinonide, 12
Antara, 10
Assure Haemolance Plus Micro Flow 28G, 35
Amerge, 30
antipyrine/benzocaine, 28
Amicar, 21
Antipyrine/Benzocaine, 28
Assure Haemolance Plus Normal Flow 21G, 35
amifostine, 6
Anusol-HC, 19
amikacin sulfate, 2
Anzemet, 19
Assure Haemolance Plus Pediatric Blade, 35
amiloride HCL, 9
Apidra, 15
amiloride/hydrochlorothiazide, 9
Apidra Solostar, 15
Assure II, 37
aminocaproic acid, 21
Aplenzin, 23
Assure II Check Strip, 37
Aminocaproic Acid, 21
Apokyn, 25
Assure II Test Strips, 37
aminophylline, 32
Appbutamone, 23
Assure Lance Lancets, 35
amiodarone HCL, 7
Appbutamone-d, 23
Assure Lance Lancets 21G, 35
Amiodarone HCL, 8
Appformin, 16
Assure Lance Plus Safety Lancets 25G, 35
Amitiza, 19
Appformin-d, 16
amitriptyline HCL, 23
apraclonidine, 28
Assure Lance Plus Safety Lancets 30G, 35
amlodipine besylate, 7
Apriso, 19
amlodipine besylate/atorvastatin calcium, 10
Aptensio XR, 24
Assure Lancets, 35
Aptiom, 25
Assure Platinum Test Strips, 37
amlodipine besylate/benazepril HCL, 8
Aptivus, 3
Assure Prism Multi Test Strips, 37
amlodipine besylate/benazepril hydrochloride, 8
Aquasol A Parenteral, 33
Assure Pro Test Strips, 37
Aquoral, 22
Astagraf XL, 5
amlodipine besylate/valsartan, 8
Aralast NP, 32
Astelin, 31
amlodipine/valsartan/hctz, 8
Aralen, 3
Astepro, 31
ammonium lactate, 13
Aranesp Albumin Free, 21
Astringyn, 21
Ammonul, 18
Arava, 30
AT Last Lancets, 35
Amoxapine, 23
Arcalyst, 30
AT Last Test Strips, 37
amoxicillin, 1
Arcapta Neohaler, 32
Atabex EC, 33
Amoxicillin, 1
argatroban, 21
Atacand, 8
Amoxicillin ER, 1
Argatroban, 21
Atacand HCT, 9
amoxicillin/clavulanate potassium, 1
Arial Chamber, 39
Atelvia, 16
amoxicillin/clavulanate potassium ER, 1
Aricept, 26
atenolol, 7
amphetamine/dextroamphetamine, 24
Aricept Odt, 26
atenolol/chlorthalidone, 8
Amphotec, 2
Arimidex, 5
Atgam, 5
Amphotericin B, 2
aripiprazole, 23
Ativan, 23
ampicillin, 1
Aristospan Intra-articular, 14
Atopiclair, 13
Ampicillin, 1
Aristospan Intralesional, 14
atorvastatin calcium, 9
ampicillin sodium, 1
Arixtra, 21
atovaquone, 4
Ampicillin Sodium, 1
Armour Thyroid, 18
atovaquone/proguanil HCL, 3
ampicillin-sulbactam, 1
Arnica Flower, 13
atracurium besylate, 26
Ampicillin-sulbactam, 1
Arnuity Ellipta, 32
Atralin, 10
Ampyra, 25
Aromasin, 5
Atripla, 3
Amrix, 26
Arranon, 5
Atropen, 19
Amturnide, 8
Arthrotec 50, 30
atropine sulfate, 18, 27
Amytal Sodium, 24
Arthrotec 75, 30
Atropine Sulfate, 19, 27
Anacaine, 13
Articadent Dental, 31
Atrovent, 31
Anadrol-50, 14
Artiss, 21
Atrovent HFA, 32
Anafranil, 23
Arzerra, 5
Aubagio, 26
anagrelide hydrochloride, 22
Asacol HD, 19
augmented betamethasone dipropionate, 12
Analpram Advanced, 19
Ascensia Autodisc Test Strips, 37
Analpram-HC, 19
ascorbic acid, 33
Augmentin, 1
Analpram-HC Singles, 19
Asmanex HFA, 32
Augmentin ES-600, 1
Anaprox, 30
Asmanex Twisthaler 120 Metered Doses, 32
Augmentin XR, 1
Anaprox DS, 30
Auralgan, 28
Anaspaz, 19
Asmanex Twisthaler 14 Metered Doses, 32
Aurora Lancet Super Thin 30G, 35
anastrozole, 5
Aurora Lancet Thin 23G, 35
Ancef, 1
Asmanex Twisthaler 30 Metered Doses, 32
Aurstat Anti-itch Hydrogel, 13
Ancobon, 2
Aurstat Anti-itch Hydrogel Kit, 13
Auryxia, 19
Bayer Microlet Lancets, 35
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35
Auvi-q, 9
Bcg Vaccine, 33
Avalide, 9
BD Insulin Syringe LUER-LOK/U-100/1ML, 35
BD Insulin Syringe/U-100/2ML/29G X 1/2", 35
Avandamet, 16
Avandaryl, 16
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35
BD Lancet Ultrafine 30G, 35
Avandia, 16
BD Lancet Ultrafine 33G, 35
Avapro, 8
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35
Avar, 10
Avar LS, 10
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35
BD Microtainer Lancets, 35
Avar LS Cleanser, 10
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35
Avar-e LS, 10
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35
Avastin, 5
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35
Avc, 20
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35
Aveed, 14
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35
Avelox, 2
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 35
Avelox Abc Pack, 2
BD Pen Needle/Ultrafine/29G X 12.7MM, 35
Avenova, 13
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35
Avidoxy DK, 2
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35
Avinza, 29
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35
Avodart, 20
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 35
Avonex, 26
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35
Avonex Pen, 26
BD Pudendal/Local Block Tray 1% Lidocaine, 31
Avycaz, 4
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35
Axert, 30
Beconase AQ, 31
Axid, 19
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 35
Beleodaq, 6
Axiron, 14
Belladonna & Opium, 19
Aygestin, 15
BD Insulin Syringe Slip Tip/U-100/1ML, 35
Belladonna Alkaloids & Opium, 19
azacitidine, 5
Belsomra, 24
Azactam, 4
BD Insulin Syringe U-40/1ML/25G X 5/8", 35
benazepril HCL, 8
Azactam IN Iso-osmotic Dextrose, 4
benazepril HCL/hydrochlorothiazide, 8
Azasan, 5
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 35
Benefix, 22
Azasite, 27
Benicar, 8
azathioprine, 5
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 35
Benicar HCT, 8
azelastine HCL, 28, 31
Bentyl, 19
Azelex, 10
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 35
Benzac Ac Wash, 10
Azilect, 25
Benzac W Wash, 10
azithromycin, 1
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35
Benzaclin, 10
Azithromycin, 1
Benzaclin With P.M., 10
Azopt, 28
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 35
Benzamycin, 10
Azor, 8
Benzamycinpak, 10
aztreonam, 4
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35
Benzefoam, 10
Azulfidine, 19
Benzefoamultra, 10
Azulfidine EN-TABS, 19
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 35
Benziq, 10
B
Benziq LS, 10
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35
Benzoin Compound Tincture, 13
B-6 Folic Acid, 21
Benzoin Tincture, 13
b-complex, 33
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35
benzonatate, 31
b-complex 100, 33
benzoyl peroxide, 10
bacitracin, 4
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 35
benzoyl peroxide SHORT contact, 10
Bacitracin, 4, 27
benztropine mesylate, 25
bacitracin/polymyxin b, 26
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35
Bepreve, 28
Baclofen, 11
Berinert, 22
baclofen, 26
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35
Besivance, 27
Bacmin, 33
Beta Inject Kit, 14
Bactocill IN Dextrose, 1
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35
Betadine Ophthalmic Prep, 27
Bactrim, 4
Betagan, 27
Bactrim DS, 4
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35
Betalido, 14
Bactroban, 11
betamethasone dipropionate, 12
Bactroban Nasal, 31
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35
betamethasone sodium phosphate/betamethasone acetate, 14
Bal-care DHA, 33
Bal-care DHA Essential, 33
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35
Betamethasone SP, 14
balsalazide disodium, 19
betamethasone valerate, 12
Banzel, 25
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35
Betapace, 7
Baraclude, 3
Betapace AF, 7
Bayer Breeze 2 Test Disc, 37
BD Insulin Syringe/U-100/1ML/27G X 1/2", 35
Betaseron, 26
Bayer Contour Blood Glucose Test Strips, 37
betaxolol HCL, 7, 27
BD Insulin Syringe/U-100/1ML/28G X 1/2", 35
bethanechol chloride, 20
Bayer Contour Next Blood Glucose Test, 37
Bethkis, 2
Betimol, 27
Brompheniramine Tannate, 31
Captopril/Hydrochlorothiazide, 9
Betoptic-s, 27
Brovana, 32
Carafate, 18
bexarotene, 6
budesonide, 14, 31, 32
Carbaglu, 18
Bexsero, 33
Bullseye Safety Lancets, 35
carbamazepine, 24
Bexxar, 5
bumetanide, 9
carbamazepine ER, 24
Bexxar 131 Iodine, 6
Bunavail, 29
Carbaphen 12, 31
Beyaz, 15
Bupap, 28
Carbaphen 12 PED, 31
Bg Star Blood Glucose Test, 37
Buphenyl, 18
Carbatrol, 25
Biaxin, 1
bupivacaine HCL, 31
carbidopa, 25
Biaxin XL, 1
bupivacaine/epinephrine, 31
carbidopa/levodopa, 25
Biaxin XL PAC, 1
Buprenex, 29
carbidopa/levodopa ER, 25
bicalutamide, 5
buprenorphine HCL, 28
carbidopa/levodopa odt, 25
Bicillin C-R, 1
buprenorphine HCL/naloxone HCL, 28
Carbidopa/Levodopa/Entacapone, 25
Bicillin L-a, 1
bupropion HCL, 23
carbinoxamine maleate, 31
Bicnu, 4
bupropion HCL ER, 23
Carbocaine, 31
Bidil, 10
bupropion HCL SR, 23
carboplatin, 4
Biest/Progesterone, 15
bupropion HCL XL, 23
Cardene I.v., 7
Biferarx, 21
buspirone HCL, 22
Cardene IV, 7
Biltricide, 4
Busulfex, 4
Cardene SR, 7
Bimatoprost, 27
butalbital/acetaminophen, 28
Cardizem, 7
Binosto, 16
butalbital/acetaminophen/caffeine, 28
Cardizem CD, 7
Bioscanner Glucose Test Strips, 37
butalbital/acetaminophen/caffeine/codeine, 28
Cardizem LA, 7
Biothrax, 33
Cardura, 8
bisoprolol fumarate, 7
butalbital/apap/caffeine, 28
Cardura XL, 20
bisoprolol fumarate/hydrochlorothiazide, 8
butalbital/aspirin/caffeine, 28
Careone Blood Glucose Test Strips/Premium, 37
butalbital/aspirin/caffeine/codeine, 28
Bivalirudin, 21
Butisol Sodium, 24
Careone Blood Glucose Test Strips/Value, 37
bleomycin sulfate, 4
butorphanol tartrate, 29
Bleph-10, 27
Butrans, 29
Careone Lancet Thin, 35
Blephamide, 27
Bydureon, 16
Careone Lancet Ultra Thin, 35
Blephamide S.o.p., 27
Byetta, 16
Caresens N Blood Glucose Test Strips, 37
Blincyto, 5
Bystolic, 7
Blood Glucose Test Strips, 37
C
carisoprodol, 26
Blood Glucose Test Strips Premium, 37
Carisoprodol, 26
cabergoline, 17
Bloxiverz, 26
carisoprodol/aspirin, 26
Caduet, 10
Boniva, 16
carisoprodol/aspirin/codeine, 26
Cafcit, 24
Boostrix, 32
Carmol-HC, 12
Cafergot, 30
Boric Acid, 13
Carnitor, 18
caffeine citrate, 24
Bosulif, 6
Carnitor SF, 18
Caffeine/Sodium Benzoate, 24
Botox, 26
carteolol HCL, 27
Calan, 7
Bravelle, 17
carvedilol, 7
Calan SR, 7
Breatherite, 39
Cascara Sagrada, 18
calcipotriene, 12
Breatherite Collapsible Adult Spacer W/Mask, 39
Casodex, 5
calcipotriene/betamethasone dipropionate, 12
Cataflam, 30
Breatherite Collapsible Child Spacer W/Mask, 39
Catapres, 8
calcitonin salmon, 17
Catapres-tts-1, 8
calcitonin-salmon, 17
Breatherite Collapsible Infant Spacer W/Mask, 39
Catapres-tts-2, 8
Calcitriol, 12
Catapres-tts-3, 8
calcitriol, 18
Breatherite Collapsible Small Child Spacer W/Mask, 39
Cathflo Activase, 22
calcium acetate, 19
Caverject, 10
Calcium Folinate, 6
Breatherite Collapsible Spacer W/ Neonate Mask, 39
Caverject Impulse, 10
Caldolor, 30
Cayston, 4
Cambia, 30
Breatherite Rigid Spacer W/Mask, 39
Cedax, 1
Campral, 26
Breatherite W/Large Mask, 39
cefaclor, 1
Camptosar, 6
Breatherite W/Medium Mask, 39
Cefaclor, 1
Canasa, 19
Breatherite W/Small Mask, 39
Cefaclor ER, 1
Cancidas, 2
Breo Ellipta, 32
cefadroxil, 1
candesartan cilexetil, 8
Brevibloc, 7
cefazolin sodium, 1
candesartan cilexetil/hydrochlorothiazide, 8
Brevicon-28, 15
Cefazolin Sodium, 1
Brilinta, 22
Cefazolin Sodium/Dextrose, 1
Cantil, 19
brimonidine tartrate, 28
cefdinir, 1
Capastat Sulfate, 2
Brintellix, 23
Cefditoren Pivoxil, 1
capecitabine, 5
Brisdelle, 26
cefepime, 1
Capex, 12
bromfenac, 28
Cefepime, 1
Caphosol, 22
bromocriptine mesylate, 25
cefixime, 1
Capital/Codeine, 29
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31
cefotaxime sodium, 1
Caprelsa, 6
Cefotetan, 1
Capsiderm, 13
Brompheniramine, 31
Cefotetan/Dextrose, 1
captopril, 8
cefoxitin sodium, 1
ciclopirox, 11
Clindacin PAC, 10
Cefoxitin Sodium, 1
ciclopirox nail lacquer, 11
Clindagel, 10
cefpodoxime proxetil, 1
ciclopirox olamine, 11
clindamycin HCL, 4
cefprozil, 1
Ciclopirox Topical Solution Kit, 11
clindamycin palmitate HCL, 4
ceftazidime, 1
cidofovir, 3
clindamycin phosphate, 4, 10, 20
Ceftazidime, 1
Ciferex, 21
Clindamycin Phosphate, 4
Ceftazidime/Dextrose, 1
cilostazol, 22
clindamycin phosphate add-vantage, 4
Ceftibuten, 1
Ciloxan, 27
clindamycin phosphate IN D5W, 4
Ceftin, 1
cimetidine, 18
clindamycin phosphate pharmacy bulk package, 4
Ceftriaxone IN Iso-osmotic Dextrose, 1
cimetidine HCL, 18
ceftriaxone sodium, 1
Cimzia, 19
clindamycin/benzoyl peroxide, 10
Ceftriaxone Sodium, 1
Cimzia Starter Kit, 19
Clindap-t, 10
Ceftriaxone/Dextrose, 1
Cipro, 2
Clindesse, 20
cefuroxime axetil, 1
Cipro HC, 28
Clinoin, 10
cefuroxime sodium, 1
Cipro I.V.-IN D5W, 2
clobetasol propionate, 12
Cefuroxime Sodium, 1
Cipro XR, 2
clobetasol propionate emollient, 12
Cefuroxime/Dextrose, 1
Ciprodex, 28
Clobex, 12
Celebrex, 30
ciprofloxacin, 2
Clocortolone Pivalate, 12
celecoxib, 29
Ciprofloxacin, 28
Clocortolone Pivalate P.M., 12
Celestone-soluspan, 14
ciprofloxacin ER, 2
Clodan Kit, 12
Celexa, 23
ciprofloxacin HCL, 2, 26
Cloderm, 12
Cellcept, 5
Ciprofloxacin HCL, 2
Cloderm P.M., 12
Cellcept Intravenous, 5
ciprofloxacin I.V.-IN D5W, 2
Clolar, 5
Celontin, 25
cisatracurium besylate, 26
clomiphene citrate, 17
Cenestin, 15
cisplatin, 4
clomipramine HCL, 23
Cenfol, 21
Cisplatin, 4
clonazepam, 24
Centany AT, 11
citalopram hydrobromide, 23
clonazepam odt, 24
Centratex, 21
Citanest Forte Dental, 31
clonidine HCL, 8
cephalexin, 1
Citanest Plain Dental, 31
clonidine HCL ER, 24
Cephalexin, 1
Citranatal 90 DHA, 33
clopidogrel, 22
Cerdelga, 21
Citranatal Assure, 33
clorazepate dipotassium, 22
Cerebyx, 25
Citranatal B-calm, 33
Clorpres, 9
Cerezyme, 21
Citranatal DHA, 33
clotrimazole, 11, 22
Cervarix, 33
Citranatal Harmony, 33
clotrimazole/betamethasone dipropionate, 11
Cervidil, 28
Citranatal RX, 33
Cesamet, 19
citric acid/sodium citrate, 20
clozapine, 23
cetirizine HCL, 31
cladribine, 5
Clozapine Odt, 23
Cetraxal, 28
Claforan, 1
Clozaril, 24
Cetrotide, 17
Claforan/D5W, 1
Cnl8 Nail Kit, 11
cevimeline HCL, 22
Clarifoam EF, 10
Coaguchek Lancets, 35
Chemet, 39
Clarinex, 31
Coal TAR, 13
Chenodal, 19
Clarinex Reditabs, 31
Coartem, 3
Chloral Hydrate, 24
Clarinex-d 12 HOUR, 31
Cocaine HCL, 13
Chloramphenicol Sodium Succinate, 4
Clarinex-d 24 HOUR, 31
Cod Liver Oil, 33
chlordiazepoxide HCL, 22
clarithromycin, 1
Codar AR, 31
Chlordiazepoxide/Amitriptyline, 26
clarithromycin ER, 1
codeine sulfate, 29
chlorhexidine gluconate, 22
Cleanlet Lancets 28G, 35
Codeine Sulfate, 29
chlorhexidine gluconate oral rinse, 22
clemastine fumarate, 31
Cogentin, 25
chloroprocaine HCL, 31
Clemastine Fumarate, 31
Colazal, 19
chloroquine phosphate, 3
Cleocin, 4, 20
Colchicine, 31
chlorothiazide, 9
Cleocin IN D5W, 4
Colcrys, 30
Chlorothiazide, 9
Cleocin Pediatric Granules, 4
Colestid, 10
chlorothiazide sodium, 9
Cleocin Phosphate, 4
Colestid Flavored, 10
chlorpromazine HCL, 23
Cleocin-t, 10
colestipol HCL, 9
Chlorpromazine HCL, 24
Clever Chek Auto-code Test Strips, 37
colestipol HCL for oral suspension, 9
Chlorpropamide, 16
Clever Chek Auto-code Voice Test Strips, 37
colistimethate sodium, 4
Chlorthalidone, 9
Coly-mycin M, 4
chlorzoxazone, 26
Clever Chek Lancets Ultrathin, 35
Coly-mycin S, 28
Choice DM Fora G20 Test Strips, 37
Clever Chek Lancets Ultrathin 30G, 35
Colyte-flavor Packs, 18
Cholbam, 19
Clever Chek Test Strips, 37
Combigan, 27
cholestyramine, 9
Clever Choice Auto-code Pro Test Strips, 37
Combipatch, 15
cholestyramine light, 9
Combivent Respimat, 32
choline magnesium trisalicylate, 28
Clever Choice Micro Test Strips, 37
Combivir, 3
Choline Magnesium Trisalicylate, 28
Cleviprex, 7
Cometriq, 6
chorionic gonadotropin, 17
Climara, 15
Comfort Lancets, 35
Cialis, 10
Climara Pro, 15
Compazine, 24
Ciclodan Cream Kit, 11
Clin-lido, 4
Complera, 3
Ciclodan Solution Kit, 11
Clindacin Etz, 10
Comtan, 25
Comvax, 33
Cyklokapron, 22
Dermatop, 12
Concept DHA, 33
Cymbalta, 23
Dermotic, 28
Concept OB, 33
cyproheptadine HCL, 31
desipramine HCL, 23
Concerta, 24
Cyramza, 5
desloratadine, 31
Condylox, 13
Cystadane, 18
desloratadine odt, 31
Control AST, 37
Cystagon, 20
desmopressin acetate, 17
Control Test Strips, 37
Cystaran, 28
Desogen, 15
Conzip, 29
cytarabine, 5
desogestrel/ethinyl estradiol, 15
Copasil, 13
Cytarabine, 5
Desonate, 12
Copaxone, 26
cytarabine aqueous, 5
desonide, 12
Copegus, 3
Cytomel, 18
Desowen, 12
Cordarone, 8
Cytotec, 19
Desowen Cream/Cetaphil Lotion, 12
Cordran, 12
Cytovene, 3
Desowen Lotion/Cetaphil Cream, 12
Cordran Tape, 12
Cytra-3, 20
Desowen Ointment/Cetaphil Lotion, 12
Coreg, 7
D
desoximetasone, 12
Coreg CR, 7
Desoximetasone, 12
D.h.e. 45, 30
Corgard, 7
Desoxyn, 24
dacarbazine, 6
Corifact, 22
Desvenlafaxine ER, 23
Dacarbazine, 6
Corlanor, 10
Detrol, 20
Dacogen, 5
Corlopam, 8
Detrol LA, 20
Daklinza, 3
Cortalo, 12
dexamethasone, 14
Daliresp, 32
Cortef, 14
Dexamethasone, 14
Dalvance, 4
Cortenema, 19
Dexamethasone Intensol, 14
danazol, 14
Cortifoam, 19
dexamethasone sodium phosphate, 14, 27
Dantrium, 26
Cortisone Acetate, 14
Dantrium IV, 26
Cortisporin, 11, 28
Dexamethasone Sodium Phosphate, 14
dantrolene sodium, 26
Cortisporin-tc, 28
Dexchlorpheniramine Maleate, 31
Dantrolene Sodium, 26
Corvert, 8
Dexedrine, 24
Dapsone, 4
Corvite, 33
Dexilant, 19
Daptacel, 32
Corvite 150, 21
Dexlido, 14
Daraprim, 3
Corzide, 9
Dexlido-m, 14
daunorubicin HCL, 4
Cosentyx, 12
dexmedetomidine HCL, 24
Daunoxome, 4
Cosentyx Sensoready Pen, 12
dexmethylphenidate HCL, 24
Daypro, 30
Cosmegen, 4
dexmethylphenidate HCL ER, 24
Daytrana, 24
Cosopt, 27
Dexpak 10 Day, 14
Ddavp, 17
Cosopt PF, 27
Dexpak 13 Day, 14
Debacterol, 22
Coumadin, 21
Dexpak 6 Day, 14
decitabine, 5
Cozaar, 8
Dexpanthenol, 19
Decon-a, 31
Cpb Wc, 31
dexrazoxane, 6
Delestrogen, 15
Creon, 19
dextroamphetamine sulfate, 24
Delzicol, 19
Cresemba, 2
dextroamphetamine sulfate ER, 24
Demadex, 9
Crestor, 9
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31
demeclocycline HCL, 2
Cresylate, 28
Demerol, 29
Crinone, 20
Demser, 8
Crixivan, 3
Diabeta, 16
Denavir, 11
Crnatal, 33
Dialyvite 3000, 33
Depacon, 25
cromolyn sodium, 19, 28
Dialyvite 5000, 33
Depakene, 25
Cromolyn Sodium, 32
Dialyvite Supreme D, 33
Depakote, 25
Cubicin, 4
Dialyvite/Zinc, 33
Depakote ER, 25
Curosurf, 32
Diamox, 9
Depakote Sprinkles, 25
Cutivate, 12
Diastar Easy Test II Lancets 30G, 35
Depo-estradiol, 15
Cuvposa, 19
Diastar Easy Test Lancets30G, 35
Depo-medrol, 14
CVS Advanced Glucose Meter Test Strips, 37
Diastat Acudial, 25
Depo-provera, 5
Diastat Pediatric, 25
Depo-testosterone, 14
cyanocobalamin, 21
Diatx ZN, 33
Depocyt, 5
Cyanocobalamin, 21
diazepam, 22
Deprizine Fusepaq, 19
Cyclessa, 15
Diazepam, 23, 25
Derma Silkrx Anodynexa PAK, 30
Cyclobenzaprine Comfort PAC, 26
Dibenzyline, 8
Derma Silkrx Sds PAK, 12
cyclobenzaprine HCL, 26
Diclegis, 19
Derma-smoothe/FS Body, 12
Cyclogyl, 27
diclofenac potassium, 29
Derma-smoothe/FS Scalp, 12
Cyclomydril, 27
diclofenac sodium, 11, 28
Dermacinrx Duopatch Pharmapak, 13
cyclopentolate HCL, 27
diclofenac sodium DR, 29
Dermacinrx Inflammatral PAK, 30
cyclophosphamide, 4
diclofenac sodium ER, 29
Dermacinrx Lexitral Pharmapak, 11
Cyclophosphamide, 4
diclofenac sodium/misoprostol, 29
Dermacinrx Neurotral Pharmapak, 13
Cycloserine, 2
dicloxacillin sodium, 1
Dermacinrx Surgical Pharmapak, 13
cyclosporine, 5
Dicopanol Fusepaq, 31
Dermasorb HC, 12
cyclosporine modified, 5
dicyclomine HCL, 18
Dermasorb Ta, 12
Cyclosporine Modified, 5
Dicyclomine HCL, 18
Dermasorb XM, 13
didanosine, 3
Dovonex, 12
E
Differin, 10
doxapram HCL, 24
E-z Ject Lancets, 35
Dificid, 1
doxazosin, 8
E-z Ject Lancets 21G, 35
Diflorasone Diacetate, 12
doxazosin mesylate, 8
E-z Ject Lancets Color, 35
Diflucan, 2
doxepin HCL, 23
E-z Ject Lancets Super Thin, 35
diflunisal, 28
Doxepin HCL, 23
E-z Ject Lancets Super Thin 30G, 35
digoxin, 7
doxercalciferol, 18
E-z Ject Lancets Thin 26G, 35
Digoxin, 7
Doxil, 4
E-z Spacer, 39
dihydroergotamine mesylate, 30
doxorubicin HCL, 4
E-z Spacer The Body Guards Pack, 39
Dihydroergotamine Mesylate, 30
Doxorubicin HCL, 4
E-ZJECT Lancets Micro-thin 33G, 35
Dilacor XR, 7
doxorubicin HCL liposome, 4
E.e.s. 400, 1
Dilantin, 25
doxycycline, 2
E.e.s. Granules, 1
Dilantin Infatabs, 25
Doxycycline, 11
Easivent, 39
Dilantin-125, 25
doxycycline hyclate, 2
Easivent/Mask-large, 39
Dilatrate SR, 7
doxycycline hyclate DR, 2
Easivent/Mask-medium, 39
Dilaudid, 29
doxycycline monohydrate, 2
Easivent/Mask-small, 39
Dilaudid-HP, 29
Doxytex, 31
Easy Step Test Strips, 37
diltiazem CD, 7
Drisdol, 33
Easy Touch Glucose Test Strips, 37
diltiazem HCL, 7
Dritho-creme HP, 12
Easy Touch Healthpro Glucose Test Strips, 37
Diltiazem HCL, 7
dronabinol, 19
diltiazem HCL ER, 7
droperidol, 22
Easy Touch Lancets 21G/Pressure Activated, 35
Dimenhydrinate, 19
Droplet Lancets Ultra Thin 30G, 35
Diovan, 8
drospirenone/ethinyl estradiol, 15
Easy Touch Lancets 23G/Pressure Activated, 35
Diovan HCT, 9
Droxia, 21
Dipentocaine, 11
Drug Mart On-the-go Lancets Gentle 30G, 35
Easy Touch Lancets 26G/Pressure Activated, 35
Dipentum, 19
diphenhydramine HCL, 31
Drug Mart Unilet Lancets Super Thin 30G, 35
Easy Touch Lancets 26G/Pull-top, 35
diphenoxylate/atropine, 18
Easy Touch Lancets 26G/Twist, 35
Diphenoxylate/Atropine, 18
Drug Mart Unilet Lancets Ultra Thin 28G, 35
Easy Touch Lancets 28G/Pressure Activated, 35
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32
Drysol, 13
Easy Touch Lancets 28G/Pull-top, 35
Diprolene, 12
Duac, 10
Easy Touch Lancets 28G/Twist, 35
Diprolene AF, 12
Duavee, 15
Easy Touch Lancets 30G/Button-activated, 35
dipyridamole, 22
Duet DHA 400, 34
Disalcid, 28
Duet DHA 400EC, 34
Easy Touch Lancets 30G/Pressure Activated, 35
disopyramide phosphate, 7
Duet DHA 430, 34
disulfiram, 25
Duet DHA 430EC, 34
Easy Touch Lancets 30G/Pull-top, 35
Ditropan XL, 20
Duet DHA Balanced, 34
Easy Touch Lancets 30G/Twist, 35
Diuril, 9
Duetact, 16
Easy Touch Lancets 32G/Pressure Activated, 35
divalproex sodium, 24
Duexis, 30
divalproex sodium DR, 24
Dulera, 32
Easy Touch Lancets 32G/Pull-top, 35
divalproex sodium ER, 24
duloxetine HCL, 23
Easy Touch Lancets 32G/Twist, 35
Divigel, 15
Duloxetine HCL, 23
Easy Touch Lancets 33G/Twist, 35
Divista, 21
Duo-care Test Strips, 37
Easy Touch Safety Lancets21G/Pressure Activated, 35
dobutamine HCL, 9
Duoneb, 32
dobutamine HCL/D5W, 9
Duopa, 25
Easy Touch Safety Lancets23G/Pressure Activated, 35
dobutamine/dextrose 5%, 9
Duragesic, 29
Dobutamine/Dextrose 5%, 9
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 31
Easy Touch Safety Lancets26G/Button Activated, 35
Docefrez, 6
docetaxel, 5
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 31
Easy Touch Safety Lancets26G/Pressure Activated, 35
Docetaxel, 6
Dolgic Plus, 28
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 31
Easy Touch Safety Lancets28G/Button Activated, 35
Dologesic, 28
Dolophine, 29
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 31
Easy Touch Safety Lancets28G/Pressure Activated, 35
Dolophine HCL, 29
donepezil HCL, 25
Durezol, 27
Easy Twist & CAP Lancets, 35
dopamine HCL, 9
Dutoprol, 9
Easygluco, 38
Dopamine HCL, 9
Dyazide, 9
Easygluco Plus, 38
dopamine HCL-dextrose 5%, 9
Dyloject, 30
Easymax 15 Test Strips, 38
dopamine HCL/dextrose 5%, 9
Dymista, 31
Easymax Test Strips, 38
dopamine/D5W, 9
Dyrenium, 9
Easypro Blood Glucose Test Strips, 38
Dopram, 24
Dysport, 26
Easypro Plus, 38
Doral, 24
Dyural-40, 14
Easytest II Lancets, 35
Doribax, 4
Dyural-80, 14
Easytest Lancets, 35
Doryx, 2
Dyural-l, 14
EC-naprosyn, 30
dorzolamide HCL, 28
Dyural-lm, 14
econazole nitrate, 11
dorzolamide HCL/timolol maleate, 27
Ecoza, 11
Doubledex, 14
Ed Cyte F, 21
Edarbi, 8
Epiduo, 10
Ethyl Chloride/Fine Pinpoint, 13
Edarbyclor, 9
Epiduo Forte, 10
Ethyl Chloride/Fine Stream, 13
Edecrin, 9
Epifoam, 12
Ethyl Chloride/Medium Jet Stream, 13
Edluar, 24
epinastine HCL, 28
Ethyl Chloride/Medium Stream, 13
Edurant, 3
Epinephrine, 9
Ethyl Chloride/Mist, 13
Effexor XR, 23
Epinephrine HCL, 9
Ethyol, 6
Effient, 22
epinephrine HCL, 32
Etidronate Disodium, 16
Egrifta, 17
Epipen 2-PAK, 9
etodolac, 29
Elaprase, 18
Epipen-JR 2-PAK, 9
etodolac ER, 29
Eldepryl, 25
epirubicin HCL, 4
Etopophos, 6
Elelyso, 21
Epirubicin HCL, 4
etoposide, 5
Element Test Strips, 38
episone CRE, 13
Etoposide, 6
Elenzapatch, 13
Epivir, 3
Euflexxa, 26
Elestat, 28
Epivir HBV, 3
Eurax, 13
Elestrin, 15
eplerenone, 8
Evamist, 15
Eletone, 13
Epogen, 21
Evekeo, 24
Eletone Twinpack, 13
epoprostenol sodium, 10
Evencare + Blood Glucose Test Strip, 38
Elidel, 13
Eprosartan Mesylate, 8
Evencare Blood Glucose Test Strip, 38
Eligard, 5
Epzicom, 3
Evencare G2 Test Strips, 38
Elimite, 13
Eql Truetrack Test, 38
Evencare G3 Test Strips, 38
Eliphos, 19
Equagesic, 28
Evicel, 22
Eliquis, 21
Equetro, 24
Evista, 17
Elitek, 6
Equipto-baclofen, 11
Evithrom, 22
Elixophyllin, 32
Equipto-naproxen, 11
Evoclin, 10
Ella, 15
Eraxis, 2
Evolution Autocode, 38
Ellence, 4
Erbitux, 5
Evotaz, 3
Elmiron, 20
ergocalciferol, 33
Evoxac, 22
Elocon, 12
ergoloid mesylates, 25
Exactech R-s-G Test Strips, 38
Eloctate, 22
Ergomar, 30
Exactech Test Strips, 38
Eloxatin, 4
Ertaczo, 11
Exactuss, 32
Elspar, 4
Erwinaze, 5
Exalgo, 29
Emadine, 28
Ery-TAB, 1
Exelderm, 11
Embeda, 29
Erygel, 10
Exelon, 26
Embrace Blood Glucose Test Strips, 38
Eryped 200, 1
exemestane, 5
Embrace Evo Blood Glucosetest Strips, 38
Eryped 400, 1
Exforge, 9
Erythrocin Lactobionate, 1
Exforge HCT, 9
Embrace Lancets Ultra Thin 30G, 35
Erythrocin Stearate, 1
Exjade, 39
Embrace Pro Blood Glucosetest Strips, 38
erythromycin, 1, 10, 26
Exoderm, 11
Erythromycin Base, 1
Exparel, 31
Emcyt, 5
Erythromycin Ethylsuccinate, 1
Extardol, 11
Emend, 19
erythromycin/benzoyl peroxide, 10
Extavia, 26
Emla, 13
Esbriet, 32
Extina, 11
Emsam, 23
Escavite, 34
EZ Smart Blood Glucose Lancets, 35
Emtriva, 3
Escavite D, 34
EZ Smart Blood Glucose Test Strips, 38
Emulsion SB, 13
escitalopram oxalate, 23
EZ Smart Plus Blood Glucose Test Strips, 38
Emvoren, 11
Esgic, 28
Enablex, 20
esmolol HCL, 7
EZ-lets Lancets 21G, 35
enalapril maleate, 8
esomeprazole magnesium, 18
EZ-lets Lancets 23G, 35
enalapril maleate/hydrochlorothiazide, 8
esomeprazole sodium, 18
EZ-lets Lancets 26G Super-soft, 35
enalaprilat, 8
Esomeprazole Sodium, 18
EZ-lets Lancets 28G Ultra-soft, 35
Enbrace HR, 34
Esomeprazole Strontium, 19
EZ-lets Lancets 30G, 35
Enbrel, 30
estazolam, 24
F
Enbrel Sureclick, 30
Estrace, 15, 20
Fabior, 10
Endometrin, 20
estradiol, 15
Fabrazyme, 18
Engerix-b, 33
Estradiol, 15
Factive, 2
Enjuvia, 15
estradiol valerate, 15
Falessa, 15
Enlon, 26
estradiol/norethindrone acetate, 15
famciclovir, 3
Enlon-plus, 26
Estrasorb, 15
famotidine, 18
enoxaparin sodium, 21
Estring, 20
Famotidine, 18
entacapone, 25
Estrogel, 15
Famotidine Premixed, 19
entecavir, 3
estropipate, 15
Famvir, 3
Entereg, 19
Estropipate, 15
Fanapt, 24
Entocort EC, 14
Estrostep FE, 15
Fanapt Titration Pack, 24
Entresto, 10
eszopiclone, 24
Fanatrex Fusepaq, 25
Entyvio, 19
Ethacrynate Sodium, 9
Fareston, 5
Epaned, 8
ethambutol HCL, 2
Farxiga, 16
ephedrine sulfate, 9
ethosuximide, 25
Farydak, 6
Epiceram, 13
Ethyl Chloride, 13
Faslodex, 5
Fasttake Compact Monitoring System, 35
First-progesterone VGS 400 Compounding Kit, 20
Flurazepam HCL, 24
flurbiprofen, 29
Fasttake Test Strips, 35
First-progesterone VGS 50 Compounding Kit, 20
flurbiprofen sodium, 28
Fazaclo, 24
flutamide, 5
Feiba, 22
First-testosterone, 14
fluticasone propionate, 12, 31
Feiba NF, 22
First-testosterone Mc Compounding Kit, 14
fluvastatin, 9
felbamate, 25
Fluvirin 2013-2014, 33
Felbatol, 25
First-vancomycin 25, 4
Fluvirin 2014-2015, 33
Feldene, 30
First-vancomycin 50, 4
Fluvirin 2015-2016, 33
felodipine ER, 7
Flagyl, 4
Fluvirin PF 2013-2014, 33
Fem PH, 20
Flagyl ER, 4
Fluvirin PF 2014-2015, 33
Femara, 5
Flarex, 27
fluvoxamine maleate, 23
Femcon FE, 15
flavoxate HCL, 20
fluvoxamine maleate ER, 23
Femhrt Low Dose, 15
flecainide acetate, 7
Fluzone High-dose PF 2013-2014, 33
Femring, 20
Flector, 11
Fluzone High-dose PF 2014-2015, 33
fenofibrate, 9
Flexichamber, 39
Fluzone High-dose PF 2015-2016, 33
Fenofibrate, 9
FLO-pred, 14
Fluzone Intradermal, 33
fenofibrate micronized, 9
Flolan, 10
Fluzone Intradermal Quadrivalent, 33
Fenofibric Acid, 9
Flomax, 20
Fluzone Intradermal Quadrivalent 2015-2016, 33
fenofibric acid DR, 9
Flonase, 31
Fenoglide, 10
Floriva, 34
Fluzone Pediatric PF 2013-2014, 33
fenoldopam mesylate, 8
Flovent Diskus, 32
Fluzone PF 2013-2014, 33
Fenoprofen Calcium, 30
Flovent HFA, 32
Fluzone PF 2014-2015, 33
fentanyl, 29
floxuridine, 5
Fluzone Quadrivalent 2013-2014, 33
Fentanyl, 29
Floxuridine, 5
Fluzone Quadrivalent 2014-2015, 33
fentanyl citrate oral transmucosal, 29
Fluarix 2013-2014, 33
Fluzone Quadrivalent 2015-2016, 33
Fentora, 29
Fluarix 2014-2015, 33
Fluzone Split 2013-2014, 33
Feraheme, 21
Fluarix Quadrivalent 2013-2014, 33
Fluzone Split 2014-2015, 33
Feriva, 21
Fluarix Quadrivalent 2014-2015, 33
Fluzone Split 2015-2016, 33
Feriva 21/7, 21
Fluarix Quadrivalent 2015-2016, 33
FML, 27
Ferivafa, 21
Flublok 2013-2014, 33
FML Forte, 27
Ferralet 90, 21
Flublok 2014-2015, 33
FML Liquifilm, 27
Ferrex 150 Forte Plus, 21
Flublok 2015-2016, 33
Focalgin 90 DHA, 34
Ferrex 28, 21
Flucelvax 2013-2014, 33
Focalgin CA, 34
Ferriprox, 39
Flucelvax 2014-2015, 33
Focalgin Dss, 21
Ferrlecit, 21
Flucelvax 2015-2016, 33
Focalin, 24
Ferro-plex Hematinic, 21
fluconazole, 2
Focalin XR, 24
Ferrotrin, 21
fluconazole IN dextrose, 2
Folcaps Omega 3, 34
Fetzima, 23
fluconazole IN NACL, 2
Folet DHA, 34
Fetzima Titration Pack, 23
Fluconazole IN NACL, 2
Folet One, 34
Fexmid, 26
flucytosine, 2
Folgard OS, 34
Fibricor, 10
Fludara, 5
Folgard RX, 21
Fifty50 Glucose Test Strip 2.0, 38
fludarabine phosphate, 5
folic acid, 21
Fifty50 Safety Seal Lancets 30G, 35
Fludarabine Phosphate, 5
Folic Acid, 21
Fifty50 Safety Seal Lancets 32G, 35
fludrocortisone acetate, 14
folic acid/vitamin b-6/vitamin b-12, 21
Finacea, 11
Flulaval 2013-2014, 33
Folivane-f, 21
finasteride, 20
Flulaval 2014-2015, 33
Folivane-OB, 34
Fine 30, 35
Flulaval Quadrivalent 2013-2014, 33
Folivane-plus, 21
Fingerstix Lancets, 35
Flulaval Quadrivalent 2014-2015, 33
Folivane-prx DHA NF, 34
Fioricet, 28
Flulaval Quadrivalent 2015-2016, 33
Follistim AQ, 17
Fioricet/Codeine, 29
Flumadine, 3
Folotyn, 5
Fiorinal, 28
Flumist Quadrivalent, 33
Foltrate, 21
Fiorinal/Codeine #3, 29
flunisolide, 31
fondaparinux sodium, 21
Firazyr, 22
Flunisolide, 31
Fora D10 Blood Glucose Test Strips, 38
Firmagon, 5
fluocinolone acetonide, 12, 28
Fora D15c Blood Glucose Test Strips, 38
First-bxn Mouthwash, 22
fluocinolone acetonide ear drops, 28
Fora D15G Blood Glucose Test Strips, 38
First-dukes Mouthwash, 22
fluocinonide, 12
First-hydrocortisone, 12
fluocinonide-e, 12
Fora D15z Blood Glucose Test Strips, 38
First-lansoprazole, 19
fluorometholone, 27
Fora D20 Blood Glucose Test Strips, 38
First-marys Mouthwash, 22
fluorouracil, 5
Fora G20 Blood Glucose Test Strips, 38
First-mouthwash Blm, 22
fluoxetine, 25
Fora G30a Blood Glucose Test Strips, 38
First-omeprazole, 19
fluoxetine DR, 23
Fora G71a Blood Glucose Test Strips, 38
First-progesterone VGS 100 Compounding Kit, 20
fluoxetine HCL, 23
Fora G90 Blood Glucose Test Strips, 38
Fluoxetine HCL, 23
Fora GD20 Test Strips, 38
First-progesterone VGS 200 Compounding Kit, 20
fluphenazine decanoate, 23
Fora GD50 Blood Glucose Test Strips, 38
fluphenazine HCL, 23
First-progesterone VGS 25 Compounding Kit, 20
Fluphenazine HCL, 24
Fora Lancets, 35
flurazepam HCL, 24
Fora Test N' Go Blood Glucose Test
Strips, 38
Gebauers Spray And Stretch, 13
Glucose Control Normal, 36
Fora V10 Blood Glucose Test Strips, 38
Gel-kam Oral Care Rinse, 22
Glucose Control Solution, 36
Fora V12 Blood Glucose Test Strips, 38
Gel-one, 26
Glucosource Lancets, 36
Fora V20 Blood Glucose Test Strips, 38
Gelclair, 22
Glucotrol, 16
Fora V22 Blood Glucose Test Strips, 38
Gelnique, 20
Glucotrol XL, 16
Fora V30a Blood Glucose Test Strips, 38
Gemcitabine, 5
Glucovance, 16
Foracare GD40, 38
gemcitabine HCL, 5
Glumetza, 16
Foracare Premium V10 Teststrips, 38
gemfibrozil, 9
glyburide, 16
Foracare Test N Go Test Strips, 38
Gemzar, 5
Glyburide, 16
Foradil Aerolizer, 32
Genadur, 13
glyburide micronized, 16
Forfivo XL, 23
Genadur Kit, 13
glyburide/metformin HCL, 16
Fortamet, 16
gene-xene TAB 15MG, 22
Glycate, 19
Fortavit, 34
gene-xene TAB 3.75MG, 22
Glycolic Acid, 12
Fortaz, 1
gene-xene TAB 7.5MG, 22
Glycolic Acid 70% High Purity, 12
Forteo, 17
Generess FE, 15
glycopyrrolate, 18
Fortesta, 14
Genotropin, 17
Glynase, 16
Fortical, 17
Genotropin Miniquick, 17
Glyset, 16
Fortiscare Blood Glucose Test Strip, 38
gentamicin sulfate, 2, 27
Glyxambi, 16
Fosamax, 17
Gentamicin Sulfate, 11
Gmate Blood Glucose Test Strips, 38
Fosamax Plus D, 16
gentamicin sulfate pediatric, 2
Gmate Lancets 30G, 36
Foscavir, 3
gentamicin sulfate/0.9% sodium chloride, 2
Golytely, 18
fosinopril sodium, 8
Gonal-f, 17
fosinopril sodium/hydrochlorothiazide, 8
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Gonal-f RFF, 17
fosphenytoin sodium, 25
Gonal-f RFF Pen, 17
Fosrenol, 19
Gentle-let GP Lancets, 35
Gonal-f RFF Rediject, 17
Fragmin, 21
Gentle-let Lancets General Purpose Style/Fine Point, 36
Gordofilm, 13
Freestyle Insulinx Blood Glucose Test, 38
Gordons Urea, 13
Gentle-let Lancets General Purpose Style/Medium Point, 36
Gralise, 26
Freestyle Insulinx Blood Glucose Test Strips, 38
Gralise Starter, 26
Gentle-let Lancets Safety Style/Fine Point, 36
granisetron HCL, 19
Freestyle Lancets, 35
Granisol, 19
Freestyle Lite Test Strips, 38
Gentle-let Lancets Safety Style/Medium Point, 36
Granix, 21
Freestyle Test Strips, 38
Grifulvin V, 2
Freestyle Unistick II Lancets, 35
Geodon, 24
Gris-peg, 2
Frova, 30
Gesticare DHA, 34
griseofulvin microsize, 2
Fulyzaq, 18
Giazo, 20
griseofulvin ultramicrosize, 2
Furadantin, 20
Gilenya, 26
guanfacine ER, 24
furosemide, 9
Gilotrif, 6
guanfacine HCL, 8
Furosemide, 9
Gilphex TR, 32
Guanidine HCL, 26
Fusilev, 6
Giltuss, 32
Gynazole-1, 20
Fusion Plus, 21
Giltuss PED-c, 32
H
Fuzeon, 3
Giltuss TR, 32
H&h Thinlet Lancets 26G, 36
Fycompa, 25
Glassia, 32
H&h Thinlet Super Thin Lancets 30G, 36
G
Gleevec, 6
H.p. Acthar, 17
Gleostine, 4
gabapentin, 25
Haemolance, 36
Gliadel Wafer, 4
Gabavale-5, 23
Haemolance Low Flow Lancets, 36
glimepiride, 16
Gabazolamine, 23
Haemolance Plus, 36
glipizide, 16
Gabazolamine-0.5, 23
Haemolance Plus High Flow, 36
glipizide ER, 16
Gabazolpidem-5, 24
Haemolance Plus Low Flow, 36
glipizide/metformin HCL, 16
Gabitidine, 19
Haemolance Plus Max Flow, 36
Glucagen Hypokit, 16
Gabitril, 25
Haemolance Plus Pediatric Flow, 36
Glucagon Emergency Kit, 16
Gablofen, 26
Halaven, 6
Gluco Perfect 3 Test Strips, 38
Gaboxetine, 23
Halcion, 24
Glucocard 01 Sensor Plus, 38
galantamine, 25
Haldol, 24
Glucocard 01 Sensor Plus Test Strips, 38
galantamine hydrobromide, 25
Haldol Decanoate 100, 24
Galantamine Hydrobromide, 25
Haldol Decanoate 50, 24
Glucocard Expression Blood Glucose Test Strips, 38
ganciclovir, 3
halobetasol propionate, 12
Ganirelix Acetate, 17
Halog, 12
Glucocard Shine Test Strips, 38
Ganite, 17
Halonate, 12
Glucocard Vital Test Strips, 38
Garamycin, 27
haloperidol, 23
Glucocard X-sensor, 38
Gardasil, 33
haloperidol decanoate, 23
Glucocom Lancets 28G, 36
Gardasil 9, 33
haloperidol lactate, 23
Glucocom Lancets 30G, 36
Gastrinex NF, 19
Halotin, 11
Glucocom Lancets 33G, 36
Gastrocrom, 20
Harvoni, 3
Glucocom Test Strips, 38
gatifloxacin, 27
Havrix, 33
Gluconavii Blood Glucose Test Strips, 38
Gattex, 20
Hectorol, 18
Glucophage, 16
Gazyva, 5
Helidac, 19
Glucophage XR, 16
Gebauers Pain Ease, 13
Helixate FS, 22
Hemabate, 28
hydralazine HCL, 8
Idamycin PFS, 4
Hemangeol, 7
Hydrea, 6
idarubicin HCL, 4
Hematogen Fa, 21
Hydro 35, 13
Ifex, 4
Hematron-AF, 21
Hydro 40 Foam, 13
ifosfamide, 4
Hemocyte Plus, 21
hydrochloric acid, 20
Ifosfamide, 4
Hemocyte-f, 21
hydrochlorothiazide, 9
Ifosfamide/Mesna, 6
Hemofil M, 22
hydrocodone bitartrate/acetaminophen, 29
Ilaris, 30
heparin lock, 21
Ilevro, 28
heparin lock flush, 21
Hydrocodone Bitartrate/Acetaminophen, 29
Imbruvica, 6
Heparin Lock Flush, 21
Imdur, 7
heparin lock flush for flushing vascular access devices, 21
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31
imipenem/cilastatin, 4
imipramine HCL, 23
heparin lock flush/NACL for flushing vascular access devices, 21
hydrocodone bitartrate/homatropine methylbromide, 31
imipramine pamoate, 23
imiquimod, 13
heparin sodium, 21
hydrocodone polistirex/chlorpheniramine polistirex, 31
Imitrex, 30
Heparin Sodium, 21
Imitrex Statdose Refill, 30
heparin sodium dcu, 21
hydrocodone/acetaminophen, 29
Imitrex Statdose System, 30
heparin sodium lock flush, 21
Hydrocodone/Acetaminophen, 29
Imovax Rabies (h.d.c.v.), 33
heparin sodium/D5W, 21
hydrocodone/homatropine, 31
Imuran, 5
Heparin Sodium/D5W, 21
hydrocodone/ibuprofen, 29
IN Touch Blood Glucose Test Strips, 38
Heparin Sodium/NACL 0.45%, 21
hydrocort ene 100MG, 19
IN Touch Sterile Lancets 30G, 36
heparin sodium/NACL 0.9%, 21
hydrocortisone, 12, 14, 19
Increlex, 17
Heparin Sodium/Sodium Chloride 0.9%, 21
hydrocortisone acetate/aloe, 12
Incruse Ellipta, 32
hydrocortisone acetate/lidocaine HCL, 19
indapamide, 9
heparin sodium/sodium chloride 0.9% premix, 21
hydrocortisone acetate/pramoxine, 19
Inderal LA, 7
hydrocortisone butyrate, 12
Inderal XL, 7
Hepsera, 3
hydrocortisone butyrate (lipid), 12
Indocin, 30
Herceptin, 5
hydrocortisone butyrate (lipophilic), 12
indomethacin, 29
Hespan, 22
hydrocortisone IN absorbase, 12
Indomethacin, 30
hetastarch 6%/NACL, 22
hydrocortisone valerate, 12
indomethacin ER, 29
Hetlioz, 24
hydrocortisone/acetic acid, 28
Indomethacin Sodium, 30
Hexalen, 4
hydromorphone HCL, 29
Infanrix, 32
Hextend, 22
Hydromorphone HCL, 29
Infasurf, 32
Hiberix, 33
Hydromorphone HCL Dosette, 29
Infed, 21
Hiprex, 20
hydromorphone HCL ER, 29
Infergen, 3
homatropine HBR, 27
Hydromorphone HCL ER, 29
Infinity Blood Glucose Test Strips, 38
Horizant, 26
Hydroxocobalamin, 21
Infumorph 200, 29
HPR, 13
hydroxychloroquine sulfate, 3
Infumorph 500, 29
HPR Plus, 13
hydroxyurea, 6
Injectafer, 21
HPR Plus Hydrogel Kit, 13
hydroxyzine HCL, 22
Inlyta, 6
HPR Plus/Mb Hydrogel, 13
Hydroxyzine HCL, 23
Innopran XL, 7
Humalog, 15
hydroxyzine pamoate, 22
Innoprax-5, 11
Humalog Kwikpen, 16
Hydroxyzine Pamoate, 23
Inova, 10
Humalog Mix 50/50, 16
Hylatopic, 13
Inova 4/1 Acne Control Therapy, 10
Humalog Mix 50/50 Kwikpen, 16
Hylatopic Plus, 13
Inova 8/2 Acne Control Therapy, 10
Humalog Mix 75/25, 16
Hylira, 13
Inspirachamber/Anti-static Valved/Mouthpiece, 39
Humalog Mix 75/25 Kwikpen, 16
hyoscyamine sulfate, 18
Humate-p, 22
hyoscyamine sulfate ER, 18
Inspirachamber/Soothermask/Inspiramask/Medium, 39
Humatrope, 17
hyoscyamine sulfate odt, 18
Humatrope Combo Pack, 17
hyoscyamine sulfate SR, 18
Inspirachamber/Soothermask/Inspiramask/Small, 39
Humira, 30
Hyper-sal, 32
Humira Pediatric Crohns Disease Starter Pack, 30
Hypersal, 32
Inspirease Bags, 39
Hypertenevide-12.5, 7
Inspirease Drug Delivery System, 39
Humira Pen, 30
Hypertenipine-2.5, 7
Inspirease Mouthpiece, 39
Humira Pen-crohns Diseasestarter, 30
Hypertensolol, 9
Inspirease Reservoir Bags, 39
Humira Pen-psoriasis Starter, 30
Hysingla ER, 29
Inspra, 8
Humulin 70/30, 16
Hyzaar, 9
Insulin Syringe/0.5ML/30G X 5/16", 38
Humulin 70/30 Kwikpen, 16
I
Integra F, 21
Humulin 70/30 Pen, 16
Integra Plus, 21
ibandronate sodium, 16
Humulin N, 16
Integrilin, 22
Ibrance, 6
Humulin N Kwikpen, 16
Intelence, 3
Ibudone, 29
Humulin N U-100 Pen, 16
Interarticular Joint Kit, 14
ibuprofen, 29
Humulin R, 16
Intermezzo, 24
Ibuprofen Comfort PAC, 30
Humulin R U-500 (concentrated), 16
Introl, 9
ibutilide fumarate, 7
Hy-vee Lancets, 36
Intron A, 6
IC 400, 30
Hyalgan, 26
Intron A W/Diluent, 6
IC 800, 30
Hycamtin, 6
Intuniv, 24
Icar-c Plus, 21
Hycet, 29
Invanz, 4
Iclusig, 6
Invega, 24
Kadcyla, 5
Lamictal Starter/Taking Valproate, 25
Invega Sustenna, 24
Kadian, 29
Lamictal XR, 25
Invega Trinza, 24
Kalbitor, 22
Lamisil, 2
Invirase, 3
Kaletra, 3
Lamisil Spray, 11
Invokamet, 16
Kalydeco, 32
lamivudine, 3
Invokana, 16
Kapvay, 24
lamivudine/zidovudine, 3
Ionsys, 29
Kapvay Dose Pack, 24
lamotrigine, 25
Iopidine, 28
Karbinal ER, 31
lamotrigine ER, 25
Ipol Inactivated IPV, 33
Kazano, 16
lamotrigine odt, 25
ipratropium bromide, 31, 32
Keflex, 1
Lancets, 36
ipratropium bromide/albuterol sulfate, 32
Kenalog, 12
Lancets 26G Twist Top, 36
Iprivask, 21
Kenalog-10, 14
Lancets 28G, 36
irbesartan, 8
Kenalog-40, 14
Lancets 30G, 36
irbesartan/hydrochlorothiazide, 8
Kengreal, 22
Lancets 30G Twist Top, 36
Irenka, 23
Kepivance, 6
Lancets 30G/Twist Top, 36
Iressa, 6
Keppra, 25
Lancets 31G Twist Top, 36
irinotecan, 6
Keppra XR, 25
Lancets 33G Universal Design, 36
Irinotecan, 6
Kerafoam, 13
Lancets Bullseye Safety, 36
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21
Kerafoam 42, 13
Lancets Safety Seal 21G, 36
Keralac, 13
Lancets Safety Seal 26G, 36
Irospan 24/6, 21
Keralyt, 13
Lancets Safety Seal 28G, 36
Is 24/6, 21
Keralyt Scalp, 13
Lancets Safety Seal 30G, 36
Isentress, 3
Kerlone, 7
Lancets Thin, 36
Isometheptene/Caffeine/Acetaminophen, 30
Kerydin, 11
Lancets Twist Top, 36
Ketek, 4
Lancets Ultra Fine, 36
isoniazid, 2
ketoconazole, 2, 11
Lancets Ultra Thin, 36
Isoniazid, 2
Ketodan Kit, 11
Lanoxin, 7
Isopto Atropine, 27
ketoprofen, 29
Lanoxin Pediatric, 7
Isopto Carbachol, 27
Ketoprofen ER, 30
lansoprazole, 18
Isopto Carpine, 28
Ketorocaine-l, 30
lansoprazole/amoxicillin/clarithromycin, 18
Isopto Homatropine, 27
Ketorocaine-lm, 30
Isopto Hyoscine, 27
Ketorolac 2% Gel, 11
Lantus, 15
Isordil Titradose, 7
ketorolac tromethamine, 28, 29
Lantus Solostar, 15
isosorbide dinitrate, 7
Ketorolac Tromethamine, 30
Lasix, 9
Isosorbide Dinitrate, 7
Keytruda, 5
Lastacaft, 28
isosorbide dinitrate ER, 7
Khedezla, 23
latanoprost, 27
isosorbide mononitrate, 7
Kineret, 30
Latrix XM, 13
isosorbide mononitrate ER, 7
Kinlytic, 22
Latuda, 24
isotonic gentamicin, 2
Kinrix, 32
Lazanda, 29
Isotonic Gentamicin, 2
Kitabis PAK, 2
leflunomide, 29
isradipine, 7
Klaron, 10
Lemtrada, 26
Istalol, 27
Klonopin, 25
Lenvima 10MG Daily Dose, 6
Istodax, 6
Koate-dvi, 22
Lenvima 14MG Daily Dose, 6
Isuprel, 32
Kogenate FS, 22
Lenvima 20MG Daily Dose, 6
itraconazole, 2
Kogenate FS Bio-set, 22
Lenvima 24MG Daily Dose, 6
ivermectin, 3
Kombiglyze XR, 16
Lescol, 10
Ixempra Kit, 6
Korlym, 16
Lescol XL, 10
Ixiaro, 33
Kristalose, 18
Letairis, 10
J
Krystexxa, 30
letrozole, 5
Kuvan, 18
leucovorin calcium, 6
Jadenu, 39
Kynamro, 10
Leucovorin Calcium, 6
Jakafi, 6
Kyprolis, 6
Leukeran, 4
Jalyn, 20
L
Leukine, 21
Janumet, 16
leuprolide acetate, 5
Janumet XR, 16
labetalol HCL, 7
Levacet, 28
Januvia, 16
Lac-hydrin, 13
levalbuterol, 32
Jardiance, 16
Lacrisert, 27
levalbuterol HCL, 32
Jentadueto, 16
lactic acid, 13
Levaquin, 2
Jetrea, 28
lactic acid e, 13
Levatol, 7
Jevtana, 6
lactic acid w/vitamin e, 13
Levbid, 19
Jublia, 11
lactulose, 18, 19
Levemir, 16
Juxtapid, 9
Lamictal, 25
Levemir Flexpen, 16
K
Lamictal Chewable Dispersible, 25
Levemir Flextouch, 16
Lamictal Odt, 25
levetiracetam, 25
K-phos NO 2, 20
Lamictal Starter/Not Taking Carbamazepine, 25
Levetiracetam, 25
K.b.g.l. IN Teroderm Cream, 11
levetiracetam ER, 25
K10-lido, 14
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25
Levitra, 10
K2k Pain Relieving Patch, 13
levobunolol HCL, 27
K40-lido, 14
Levobunolol HCL, 27
Live Better Lancet Super Thin 30G, 36
M.v.i.-12 Without Vitamin K, 34
levocarnitine, 18
Live Better Lancet Ultra Thin 28G, 36
Macrobid, 20
levocetirizine dihydrochloride, 31
Livixil PAK, 13
Macrodantin, 20
levofloxacin, 2, 27
LMD 10% Dextrose 5%, 22
Magnacet, 29
levofloxacin IN D5W, 2
LMD 10% Sodium Chloride 0.9%, 22
Makena, 15
Levoleucovorin Calcium, 6
LO Loestrin FE, 15
Malarone, 3
levonorgestrel, 15
LO Minastrin FE, 15
malathion, 13
Levonorgestrel, 15
Locoid, 12
mannitol, 9
levonorgestrel and ethinyl estradiol, 15
Locoid Lipocream, 12
Maprotiline HCL, 23
levonorgestrel/ethinyl estradiol, 15
Lodosyn, 25
Marbeta-25, 14
Levophed, 9
Loestrin 1.5/30-21, 15
Marbeta-l, 14
Levorphanol Tartrate, 29
Loestrin 1/20-21, 15
Marcaine, 31
levothyroxine sodium, 18
Loestrin FE 1.5/30, 15
Marcaine W/O Epi, 31
Levothyroxine Sodium, 18
Loestrin FE 1/20, 15
Marcaine/Epinephrine, 31
Levsin, 19
Lofibra, 10
Mardex-25, 14
Levsin/SL, 19
Lomotil, 18
Marinol, 19
Lexapro, 23
Lomustine, 4
Marlido-25, 31
Lexiva, 3
loperamide HCL, 18
Marnatal-f, 34
Lialda, 19
Lopid, 10
Marplan, 23
Liberty Glucose Control Mid, 36
Lopressor, 7
Marqibo, 6
Liberty Glucose Control Normal, 36
Lopressor HCT, 9
Mask Vortex/Baby Whirl Duckling, 39
Liberty Medical Lancets 30G, 36
Loprox, 11
Mask Vortex/Child/Frog, 39
Liberty Next Generation Blood Glucose Test Strips, 38
Loprox Shampoo, 11
Mask Vortex/Spinner The Duck, 39
lorazepam, 22
Mask Vortex/Toddler/Lady Bug, 39
lidocaine, 13
Lorazepam Intensol, 23
Matulane, 6
Lidocaine And Tetracaine Cream, 13
Lorcet 10/650, 29
Mavik, 8
lidocaine HCL, 7, 13, 22, 31
Lorcet Plus, 29
Maxair Autohaler, 32
Lidocaine HCL, 8, 13
Lortab, 29
Maxalt, 30
lidocaine HCL IN D5W, 7
Lorzone, 26
Maxalt-MLT, 30
lidocaine HCL jelly, 13
losartan potassium, 8
Maxaron Forte, 21
lidocaine HCL viscous, 22
losartan potassium/hydrochlorothiazide, 8
Maxfe, 21
Lidocaine HCL-hydrocortisone Acetate With Aloe, 20
Maxidex, 27
Loseasonique, 15
Maxidone, 29
lidocaine HCL/dextrose, 7
Lotemax, 27
Maxima Blood Glucose Teststrips, 38
Lidocaine HCL/Dextrose, 31
Lotensin, 8
Maxipime, 1
lidocaine HCL/hydrocortisone acetate, 19
Lotensin HCT, 9
Maxitrol, 27
lidocaine viscous, 22
Lotrel, 9
Maxzide, 9
lidocaine/epinephrine, 31
Lotrisone, 11
Maxzide-25, 9
lidocaine/prilocaine, 13
Lotronex, 20
Mb Hydrogel, 13
Lidocaine/Prilocaine, 13
lovastatin, 9
meclizine HCL, 19
Lidoderm, 13
Lovaza, 10
Meclofenamate Sodium, 30
Lidoprofen, 11
Lovenox, 21
Medi-derm/L-RX, 13
Lidothol, 13
loxapine, 23
Medical Provider EZ Flu Shot 2014-2015, 33
Lidovir, 11
loxapine succinate, 23
Lifescan Unistik 2 Deep Penetration, 36
Loxitane, 24
Medisense Thin Lancets, 36
Lifescan Unistik II Lancets, 36
Lta 360 Kit, 22
Medlance Plus Extra Lancets 21G, 36
Lincocin, 4
Lufyllin, 32
Medlance Plus Lancets, 36
Lincomycin/Lidocaine, 4
Lumigan, 27
Medlance Plus Lancets Lite 25G, 36
lindane, 13
Lumizyme, 18
Medlance Plus Lite Lancets 25G, 36
linezolid, 4
Lunesta, 24
Medlance Plus Special Lancets 0.8MM, 36
Linzess, 19
Lupaneta Pack, 17
Lioresal Intrathecal, 26
Lupron Depot, 5
Medlance Plus Superlite 30G, 36
liothyronine sodium, 18
Lupron Depot-PED, 17
Medlance Plus Superlite 30G/Comfort Max, 36
Lipitor, 10
Luvox CR, 23
Lipofen, 9
Luxiq, 12
Medlance Plus Universal Lancets 21G, 36
Liptruzet, 9
Luzu, 11
Liquicet, 29
Lycelle, 13
Medlance Plus/Lite 25G, 36
lisinopril, 8
Lynparza, 6
Medlance/Extra, 36
lisinopril/hydrochlorothiazide, 8
Lyrica, 25
Medlance/Lite, 36
Liteaire, 39
Lysodren, 5
Medlance/Universal, 36
Litetouch Lancets Micro Thin 33G, 36
Lysteda, 22
Medrol, 14
Lithium, 24
Lytensopril Kit, 9
Medrol Dosepak, 14
lithium carbonate, 23
Lytensopril-90, 9
medroxyprogesterone acetate, 15
Lithium Carbonate, 24
Lytensopril-90 Kit, 9
Medroxyprogesterone/Lidocaine, 15
lithium carbonate ER, 23
M
mefenamic acid, 30
Lithobid, 24
mefloquine HCL, 3
M-m-r II, 33
Lithostat, 20
Mefoxin, 1
M.v.i. Adult, 34
Livalo, 10
Megace ES, 15
M.v.i. Pediatric, 34
Megace Oral, 5
methylprednisolone, 14
modafinil, 24
megestrol acetate, 5, 15
Methylprednisolone, 14
Moderiba, 3
Megestrol Acetate, 5, 15
methylprednisolone acetate, 14
Moderiba 1200 Dose Pack, 3
Megrix, 13
methylprednisolone dose pack, 14
Moderiba 800 Dose Pack, 3
Meijer Super Thin Lancets, 36
Methylprednisolone PF, 14
Modicon, 15
Mekinist, 6
methylprednisolone sodiumsuccinate, 14
moexipril HCL, 8
meloxicam, 30
Methylprednisolone/Lidocaine, 14
moexipril/hydrochlorothiazide, 8
Meloxicam, 30
Metipranolol, 27
mometasone furoate, 12
Meloxicam Comfort PAC, 30
metoclopramide HCL, 19
Moms Choice RX, 34
melphalan hydrochloride, 4
metoclopramide odt, 19
Monoclate-p, 22
memantine HCL, 25
metolazone, 9
Monodox, 2
memantine HCL titration PAK, 25
metoprolol succinate ER, 7
Monoject Bone Marrow Biopsy Prepping Tray, 31
Menactra, 33
metoprolol tartrate, 7
Menest, 15
metoprolol/hydrochlorothiazide, 8
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 31
Menhibrix, 33
Metozolv Odt, 20
Menomune-a/C/Y/W-135, 33
Metro IV, 4
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 31
Menopur, 17
Metrocream, 11
Menostar, 15
Metrogel, 11
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 31
Mentax, 11
Metrogel-vaginal, 20
Menveo, 33
Metrolotion, 11
Monolet Lancets, 36
meperidine HCL, 29
metronidazole, 4, 11
Monolet Opd Lancets, 36
Meperidine HCL, 29
metronidazole IN NACL 0.79%, 4
Monolettor Safety Lancets, 36
Mephyton, 33
metronidazole vaginal, 20
Mononine, 22
Mepivacaine HCL, 31
Mevacor, 10
Monovisc, 26
meprobamate, 22
mexiletine HCL, 7
montelukast sodium, 32
Mepron, 4
Miacalcin, 17
Monurol, 20
mercaptopurine, 5
Micardis, 8
Morgidox 1X100MG, 2
meropenem, 4
Micardis HCT, 9
Morgidox 2X100MG, 2
Merrem, 4
Microchamber, 39
morphine sulfate, 29
mesalamine, 19
Microdot Test Strips, 38
Morphine Sulfate, 29
mesna, 6
Microlet Lancets, 36
Morphine Sulfate Add-vantage, 29
Mesnex, 6
Microspacer, 39
morphine sulfate ER, 29
Mestinon, 26
Microtainer Safety Flow Lancet/Sterile/Single-use, 36
Morphine Sulfate ER, 29
Mestinon Timespan, 26
Motofen, 18
Metadate CD, 24
Microzide, 9
Movantik, 19
Metaproterenol Sulfate, 32
midodrine HCL, 9
Moviprep, 18
Metastron, 6
Mifeprex, 18
Moxatag, 1
metaxalone, 26
Migergot, 30
Moxeza, 27
Metaxalone, 26
Migral, 30
moxifloxacin HCL, 2
metformin HCL, 16
Migranal, 30
Moxifloxacin HCL, 2
metformin HCL ER, 16
Millipred, 14
Mozobil, 21
methadone HCL, 29
Millipred DP, 14
MS Contin, 29
Methadone HCL, 29
milrinone IN dextrose, 7
Multaq, 8
Methadose, 29
milrinone lactate, 7
Multigen, 21
Methadose Sugar-free, 29
Minastrin 24 FE, 15
Multigen Folic, 21
methamphetamine HCL, 24
Mineral Oil Heavy, 18
Multigen Plus, 21
methazolamide, 9
Minipress, 8
mupirocin, 11
methenamine hippurate, 20
Minivelle, 15
mupirocin calcium, 11
methenamine mandelate, 20
Minocin, 2
Muse, 10
Methenamine Mandelate, 20
Minocin Kit, 2
Mustargen, 4
methimazole, 18
minocycline HCL, 2
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21
methocarbamol, 26
minocycline HCL ER, 2
methotrexate, 5
minoxidil, 8
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21
methotrexate sodium, 5
Mirapex, 25
methoxsalen, 12
Mirapex ER, 25
Myalept, 18
methscopolamine bromide, 18
Mircera, 21
Myambutol, 2
Methyclothiazide, 9
Mircette, 15
Mycamine, 2
methyldopa, 8
mirtazapine, 23
Mycobutin, 2
Methyldopa/Hydrochlorothiazide, 9
mirtazapine odt, 23
mycophenolate mofetil, 5
Methyldopate HCL, 8
Mirvaso, 11
mycophenolic acid DR, 5
methylergonovine maleate, 28
misoprostol, 18
Mydfrin, 27
Methylin, 24
Mitigare, 31
Myfortic, 5
methylphenidate HCL, 24
mitomycin, 4
Myglucohealth Blood Glucose Test, 38
methylphenidate HCL CD, 24
Mitomycin, 4
Myglucohealth Mgh Softlance Lancets 30G, 36
methylphenidate HCL ER, 24
Mitosol, 27
Methylphenidate HCL ER, 24
mitoxantrone HCL, 4
Mykidz Iron Fl, 34
methylphenidate HCL SR, 24
Mlk F4 Kit, 14
Myleran, 4
methylphenidate hydrochloride, 24
Mobic, 30
Mynatal, 34
Myobloc, 26
neomycin sulfate, 2
nifedipine, 7
Myoxin, 28
neomycin/bacitracin/polymyxin, 27
nifedipine ER, 7
Myozyme, 18
neomycin/polymyxin/bacitracin zinc, 27
Nilandron, 5
Myrbetriq, 20
neomycin/polymyxin/bacitracin/hydrocortisone, 27
Nimbex, 26
Mysoline, 25
nimodipine, 7
N
neomycin/polymyxin/dexamethasone, 27
Nipent, 6
neomycin/polymyxin/gramicidin, 27
Niravam, 23
nabumetone, 30
neomycin/polymyxin/HC, 28
nisoldipine, 7
nadolol, 7
Neomycin/Polymyxin/Hydrocortisone, 27
Nisoldipine, 7
nadolol/bendroflumethiazide, 8
neomycin/polymyxin/hydrocortisone, 28
Nisoldipine ER, 7
nafcillin sodium, 1
Neoprofen, 30
Nitro-bid, 7
Nafcillin Sodium, 1
Neoral, 5
Nitro-dur, 7
Nafrinse Daily/Acidulated, 22
Neosalus, 13
nitrofurantoin, 20
Nafrinse Daily/Neutral, 22
Neosalus CP, 13
nitrofurantoin macrocrystals, 20
Nafrinse Weekly, 22
Neosporin, 27
nitrofurantoin monohydrate, 20
naftifine HCL, 11
neostigmine methylsulfate, 26
nitrofurantoin monohydrate/macrocrystals, 20
Naftin, 11
Neostigmine Methylsulfate, 26
Naglazyme, 18
Neotuss Plus, 32
nitroglycerin, 7
nalbuphine HCL, 29
Nephplex RX, 34
Nitroglycerin, 7
Nalfon, 30
Nephro-vite RX, 34
nitroglycerin ER, 7
Nallpen Iso-osmotic IN Dextrose, 1
Nephrocaps, 34
nitroglycerin IN 5% dextrose, 7
Nallpen/Dextrose, 1
Nephrocaps QT, 34
nitroglycerin IN dextrose 5%, 7
Namenda, 26
Nephron Fa, 21
Nitroglycerin IN Dextrose 5%, 7
Namenda Titration PAK, 26
Neptazane, 9
nitroglycerin lingual, 7
Namenda XR, 26
Nesacaine, 31
Nitroglycerin Lingual, 7
Namenda XR Titration Pack, 26
Nesacaine-mpf, 31
nitroglycerin transdermal, 7
Namzaric, 26
Nesina, 16
Nitrolingual Pumpspray, 7
Naphazoline HCL, 27
Nessi Spacer/Large Mask, 39
Nitromist, 7
Naprelan, 30
Nessi Spacer/Mouthpiece, 39
Nitronal, 7
Naprosyn, 30
Nessi Spacer/Small/MED Mask, 39
Nitropress, 8
naproxen, 30
Nestabs, 34
Nitrostat, 7
Naproxen, 30
Nestabs Abc, 34
Niva-plus, 34
Naproxen Comfort PAC, 30
Nestabs DHA, 34
Nivatopic Plus, 13
naproxen sodium, 30
Netgroup Lancets, 36
nizatidine, 18
naproxen sodium ER, 30
Neuac Kit, 10
Nizoral, 11
naratriptan HCL, 30
Neulasta, 21
Nor-QD, 15
Nardil, 23
Neulasta Delivery Kit, 21
Norco, 29
Naropin, 31
Neumega, 21
Norditropin Cartridge, 17
Nasacort AQ, 31
Neupogen, 21
Norditropin Flexpro, 17
Nascobal, 21
Neupro, 25
Norditropin Nordiflex Pen, 17
Nasonex, 31
Neurontin, 25
norepinephrine bitartrate, 9
Natachew, 34
Neutek 2tek Test Strips, 38
norethindrone, 15
Natacyn, 27
Neutrasal, 22
norethindrone & ethinyl estradiol ferrous fumarate, 15
Natafort, 34
Neutrexin, 4
Natalvirt 90 DHA, 34
Neuvaxin, 13
norethindrone acetate, 15
Natalvirt CA, 34
Nevanac, 28
norethindrone acetate/ethinyl estradiol, 15(2)
Natalvirt Flt, 21
nevirapine, 3
Natalvit, 34
Nevirapine, 3
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15
Natazia, 15
nevirapine ER, 3
nateglinide, 16
Newgen, 34
Norflex, 26
Natelle One, 34
Nexa Plus, 34
norgestimate/ethinyl estradiol, 15
Natesto, 14
Nexavar, 6
Norinyl 1+35, 15
Natpara, 17
Nexgen Test Strips, 38
Norinyl 1+50, 15
Natrecor, 10
Nexium, 19
Noritate, 11
Natroba, 13
Nexium I.v., 19
Noroxin, 2
Nature-throid, 18
Nexterone, 8
Norpace, 8
Nature-throid Nt-2.5, 18
niacin ER, 9
Norpace CR, 8
Navelbine, 6
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33
Norpramin, 23
Nazirex, 11
Northera, 9
Nebupent, 4
Niacor, 10
nortriptyline HCL, 23
Nebusal, 32
Niaspan, 10
Nortriptyline HCL, 23
Necon 1/50-28, 15
Nicadan, 34
Norvasc, 7
Necon 10/11-28, 15
nicardipine HCL, 7
Norvir, 3
Neevo DHA, 34
Nicazel, 34
Nova Max Glucose Test Strips, 38
nefazodone HCL, 23
Nicazel Forte, 34
Nova Safety Lancets 23G, 36
Nefazodone HCL, 23
Nicazeldoxy 30 Kit, 2
Nova Safety Lancets 28G, 36
Nembutal Sodium, 24
Nicazeldoxy 60 Kit, 2
Nova Sureflex Lancets, 36
Neo-synalar, 11
Nicomide, 34
Novaferrum, 21
Neo-synalar Kit, 11
Novoclair, 11
olanzapine odt, 23
Optichamber Diamond, 39
Novofine 30GX8MM, 36
olanzapine/fluoxetine, 25
Optichamber Diamond/Largeface Mask, 39
Novofine 32GX6MM, 36
Oleptro, 23
Novofine Autocover 30GX8MM, 36
olopatadine HCL, 31
Optichamber Diamond/Medium Face Mask, 39
Novolin 70/30, 15
Olux, 12
Novolin 70/30 Relion, 15
Olux-e, 12
Optichamber Diamond/Smallface Mask, 39
Novolin N, 15
Olysio, 3
Novolin N Relion, 15
Omeclamox-PAK, 19
Optihaler, 39
Novolin R, 15
omega-3-acid ethyl esters, 9
Optihaler MDI Drug Delivery System, 39
Novolin R Relion, 15
omeprazole, 18
Optium Test Strips, 38
Novolog, 15
Omeprazole + Syrspend SF Alka, 19
Optiumez Test Strips, 38
Novolog Flexpen, 15
omeprazole/sodium bicarbonate, 18
Optivar, 28
Novolog Mix 70/30, 15
Omnaris, 31
Optumrx Blood Glucose Test, 38
Novolog Mix 70/30 Prefilled Flexpen, 15
Omnipred, 27
Oracea, 11
Novolog Penfill, 15
Omnitrope, 17
Oracit, 20
Novoseven, 22
Omontys, 21
Orafate, 22
Novoseven Rt, 22
On Call Express Blood Glucose Test Strips, 38
Orap, 26
Novotwist 30GX8MM, 36
Orapred, 14
Novotwist 32GX5MM, 36
On Call Lancets, 36
Orapred Odt, 14
Noxafil, 2
On Call Plus Blood Glucose Test, 38
Oravig, 22
Nplate, 21
On Call Plus Lancets, 36
Orbactiv, 4
Nucort, 12
On Call Vivid Blood Glucose Test, 38
Orencia, 30
Nucynta, 29
On Call Vivid Blood Glucose Test Strips, 38
Orenitram, 10
Nucynta ER, 29
Orfadin, 18
Nuedexta, 26
Oncaspar, 5
Orkambi, 32
Nulojix, 5
ondansetron HCL, 19
orphenadrine citrate, 26
Nulytely/Flavor Packs, 18
ondansetron odt, 19
orphenadrine citrate ER, 26
Numoisyn, 22
Onetouch Basic System, 36
orphenadrine/asa/caffeine, 26
Nuox, 10
Onetouch Basic/Profile Test Strips, 36
Ortho Evra, 15
Nutricap, 34
Onetouch Club Lancets Fine Point, 36
Ortho Micronor, 15
Nutridox, 2
Onetouch Combo Pack, 36
Ortho Tri-cyclen, 15
Nutrivit, 34
Onetouch Delica Lancets Extra Fine 33G, 36
Ortho Tri-cyclen LO, 15
Nutropin AQ Nuspin 10, 17
Ortho-cept, 15
Nutropin AQ Nuspin 20, 17
Onetouch Delica Lancets Fine 30G, 36
Ortho-cyclen, 15
Nutropin AQ Nuspin 5, 17
Onetouch Finepoint Lancets, 36
Ortho-novum 1/35, 15
Nutropin AQ Pen, 17
Onetouch Lancets, 36
Ortho-novum 7/7/7, 15
Nuvail, 13
Onetouch Ping Meter Remote, 36
Orthovisc, 26
Nuvaring, 15
Onetouch Profile System, 36
Oseni, 16
Nuvessa, 20
Onetouch Ultra 2, 36
Osmoprep, 18
Nuvigil, 24
Onetouch Ultra Blue, 36
Osphena, 17
Nuvya, 11
Onetouch Ultra Control, 36
Otezla, 30
Nuzon, 12
Onetouch Ultra Mini, 36
Otozin, 28
Nymalize, 7
Onetouch Ultra System Kit, 36
Otrexup, 30
nystatin, 2, 11, 22
Onetouch Ultralink System (DEC), 36
Ovace Plus, 12
Nystatin, 11
Onetouch Ultralink System (hex), 36
Ovace Plus Wash, 12
Nystatin Foreign, 11
Onetouch Ultrasmart, 36
Ovace Wash, 12
nystatin/triamcinolone, 11
Onetouch Ultrasoft Lancets, 36
Ovcon-35, 15
O
Onetouch Verio, 36
Ovide, 13
Onetouch Verio Control Solution High, 36
Ovidrel, 17
O-CAL Fa, 34
oxacillin sodium, 1
O-CAL Prenatal, 34
Onetouch Verio IQ Blood Glucose Monitoring System, 36
oxaliplatin, 4
OB Complete, 34
Oxandrin, 14
OB Complete 400, 34
Onetouch Verio Mid Control Solution, 36
oxandrolone, 14
OB Complete One, 34
Onetouch Verio Sync Bloodglucose Monitoring System, 36
oxaprozin, 30
OB Complete Petite, 34
oxazepam, 23
OB Complete Premier, 34
Onetouch Verio Test Strips, 36
oxcarbazepine, 25
OB Complete/DHA, 34
Onexton, 10
Oxecta, 29
Obredon, 32
Onfi, 25
Oxistat, 11
Obstetrix DHA, 34
Onglyza, 16
Oxsoralen, 13
octreotide acetate, 17
Onmel, 2
Oxsoralen Ultra, 12
Ocudox, 2
Opana, 29
Oxtellar XR, 25
Ocufen, 28
Opana ER (crush Resistant), 29
oxybutynin chloride, 20
Ocuflox, 27
Opdivo, 5
oxybutynin chloride ER, 20
Ocuvel, 34
opium, 18
oxycodone HCL, 29
Ofev, 32
opium tincture, 18
Oxycodone HCL, 29
Ofirmev, 28
Opium Tincture (paregoric), 18
Oxycodone HCL ER, 29
ofloxacin, 2, 27, 28
Opsumit, 10
oxycodone/acetaminophen, 29
Ofloxacin, 2
Optichamber Advantage, 39
oxycodone/aspirin, 29
olanzapine, 23
oxycodone/ibuprofen, 29
Pen Needles 29GX1/2", 36
piperacillin sodium/ tazobactam sodium, 1
Oxycontin, 29
Pen Needles 30GX5/16", 36
oxymorphone hydrochloride, 29
Pen Needles 31G X 1/4" SHORT, 36
piperacillin sodium/tazobactam sodium, 1
oxymorphone hydrochloride ER, 29
Pen Needles 31G X 3/16", 36
piperacillin/tazobactam, 1
oxytocin, 28
Pen Needles 31G X 6MM, 36
piroxicam, 30
Oxytrol, 20
Pen Needles 31GX5/16", 36
Pitocin, 28
Oxytrol For Women, 20
penicillin G potassium, 1
Pitressin Synthetic, 17
Ozurdex, 27
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Plan B, 15
P
Plan B One-step, 15
Penicillin G Procaine, 1
Plaquenil, 3
paclitaxel, 5
Penicillin G Sodium, 1
Plavix, 22
Paclitaxel, 6
penicillin v potassium, 1
Plegridy, 26
Paire OB, 34
Penlac Nail Lacquer, 11
Plegridy Starter Pack, 26
Palgic, 31
Pennsaid, 12
Pletal, 22
Pamelor, 23
Pentacel, 32
Plexion, 10
pamidronate disodium, 16
Pentam 300, 4
Plexion Cleanser, 10
Pamidronate Disodium, 17
Pentasa, 19
Plexion Cleansing Cloths, 10
Pamine, 19
pentazocine/acetaminophen, 29
Pliaglis, 13
Pamine Forte, 19
pentazocine/naloxone HCL, 29
Pneumovax 23, 33
Pamine FQ, 19
Pentetate Calcium Trisodium, 39
Pneumovax 23/1 Dose, 33
Panatuss Dxp, 32
Pentetate Zinc Trisodium, 39
Pneumovax 23/5 Dose, 33
Pancreaze, 19
pentoxifylline ER, 22
Pocket Chamber, 39
Pancrelipase, 19
Pepcid, 19
Pocket Spacer, 39
pancuronium bromide, 26
Percocet, 29
Pocketchem EZ Blood Glucose Test Strips, 38
Panda Mask Large, 39
Percodan, 29
Panda Mask Medium, 39
Perfect Lancets 30G, 36
podofilox, 13
Panda Mask Small, 39
Perfect Pressure Activated Safety Lancets 28G, 36
Poly-VI-flor, 34
Pandel, 12
Poly-VI-flor FS, 34
pantoprazole sodium, 18
Perforomist, 32
Poly-VI-flor/Iron, 34
papaverine HCL, 10
Peridex, 22
polyethylene glycol 3350, 18
Parafon Forte DSC, 26
perindopril erbumine, 8
polymyxin b sulfate, 4
Parcopa, 25
Perjeta, 5
polymyxin b sulfate/trimethoprim sulfate, 27
paricalcitol, 18
permethrin, 13
Paricalcitol, 18
perphenazine, 23
Polytrim, 27
Parlodel, 25
Perphenazine/Amitriptyline, 26
Pomalyst, 5
Parnate, 23
Persantine, 22
Ponstel, 30
paromomycin sulfate, 2
Pertzye, 19
potassium citrate ER, 20
paroxetine HCL, 23
Pexeva, 23
potassium citrate-citric acid crystals, 20
paroxetine HCL ER, 23
Pfizerpen-G, 1
potassium citrate/citric acid, 20
Paser, 2
Pharmacist Choice Autocode Blood Glucose Test Strips, 38
potassium citrate/sodium citrate/citric acid, 20
Pataday, 28
Patanase, 31
Pharmacy Counter Lancets, 36
Potiga, 25
Patanol, 28
phenazopyridine HCL, 20
Pr Cream, 13
Paxil, 23
phenelzine sulfate, 23
Pradaxa, 21
Paxil CR, 23
Phenergan, 31
Praluent, 10
Pazeo, 28
phenobarbital, 24
pramipexole dihydrochloride, 25
PCE, 1
Phenobarbital, 24
pramipexole dihydrochloride ER, 25
Pcp 100, 18
Phenobarbital Sodium, 24
Pramosone, 12
Pediaderm AF Complete Kit, 11
Phentolamine Mesylate, 8
Pramosone E, 12
Pediaderm HC, 12
phenylephrine HCL, 9, 27
Pramotic, 28
Pediaderm Ta, 12
Phenylephrine HCL, 9, 31
Prandimet, 16
Pediapred, 14
phenylephrine/guaifenesin, 31
Prandin, 16
Pediarix, 32
Phenytek, 25
Prascion Ra With Sunscreens, 10
Pediatex TD, 32
phenytoin, 25
Prastera, 30
Pediatex TDM, 32
phenytoin sodium, 25
Pravachol, 10
Pediatric Panda Mask, 39
phenytoin sodium extended, 25
pravastatin sodium, 9
Pedipirox-4 Nail, 11
Phoslo, 20
Prazolamine, 26
Pedvax HIB, 33
Phoslyra, 20
prazosin HCL, 8
peg 3350/electrolytes, 18
Phospholine Iodide, 27
Pre-folic, 21
peg-3350/electrolytes, 18
Photofrin, 6
Precedex, 24
peg-3350/NACL/NA bicarbonate/KCL, 18
Phrenilin Forte, 28
Precision PCX, 38
Peg-intron, 3
phytonadione, 33
Precision PCX Plus Test Strips, 38
Peg-intron Redipen, 3
pilocarpine HCL, 22, 27
Precision Point Of Care Test Strips, 38
Peg-intron Redipen PAK 4, 3
pilocarpine hydrochloride, 22
Precision QID Test Strips, 38
Peganone, 25
pindolol, 7
Precision Sof-tact Test Strips, 38
Pegasys, 3
pioglitazone HCL, 16
Precision Thin Lancets, 36
Pegasys Proclick, 3
pioglitazone HCL-glimepiride, 16
Precision Thins GP Lancet, 36
Pegintron, 3
pioglitazone HCL/metformin HCL, 16
Precision Ultra Lancet, 36
Pen Needles 29G X 12MM, 36
Precision XTRA Blood Glucose Test Strips, 38
Procainamide HCL, 8
Prudoxin, 12
Procardia, 7
Prumyx, 13
Precose, 16
Procardia XL, 7
Pss Select GP Lancets, 36
Pred Forte, 27
Procentra, 24
Pss Select Safety Lancets, 36
Pred Mild, 27
prochlorperazine, 23
Pts Panels Glucose Test, 38
Pred-G, 27
prochlorperazine edisylate, 23
Pulmicort, 32
Pred-G S.o.p., 27
prochlorperazine maleate, 23
Pulmicort Flexhaler, 32
prednicarbate, 12
Procort, 20
Pulmophylline, 32
prednisolone, 14
Procrit, 21
Pulmozyme, 32
prednisolone acetate, 27
Proctocort, 20
Purinethol, 5
prednisolone sodium phosphate, 14
Proctofoam HC, 19
Purixan, 5
Prednisolone Sodium Phosphate, 14, 27
Procysbi, 20
Px Lancets Ultra Thin, 36
prednisolone sodium phosphate odt, 14
Prodigy NO Coding Blood Glucose Test Strips, 38
Pylera, 18
prednisone, 14
pyrazinamide, 2
Prednisone, 14
Prodigy Pressure Activated Safety Lancets, 36
Pyridium, 20
Prednisone Intensol, 14
pyridostigmine bromide, 26
Prefera OB, 34
Prodigy Twist Top Lancets, 36
Pyridoxine HCL, 33
Prefera OB + DHA, 34
Proferrin-forte, 21
Pyrogallic Acid, 13
Preferaob +dha, 34
progesterone, 15
Q
Preferaob One, 34
Progesterone 10% Kit, 15
Qc Lancets Super Thin, 36
Prefest, 15
Proglycem, 16
Qc Lancets Ultra Thin, 36
Prefol-DHA, 34
Prograf, 5
Qnasl, 31
Premarin, 15, 20
Prolastin-c, 32
Qnasl Childrens, 31
Premphase, 15
Prolensa, 28
Quadracel, 32
Prempro, 15
Proleukin, 6
Quadramet, 6
Prenata, 34
Prolia, 17
Qualaquin, 3
Prenatal Vitamins, 33
Prolida, 13
Quartette, 15
Prenate, 34
Promacta, 21
Quazepam, 24
Prenate AM, 34
promethazine HCL, 31
Qudexy XR, 25
Prenate DHA, 34
promethazine HCL plain, 31
Quelicin, 26
Prenate Elite, 34
promethazine-DM, 31
Quelicin 1000, 26
Prenate Enhance, 34
promethazine/codeine, 31
Questran, 10
Prenate Essential, 34
promethazine/dextromethorphan, 31
Questran Light, 10
Prenate Mini, 34
Prometrium, 15
quetiapine fumarate, 23
Prenate Pixie, 34
Promiseb, 12
Quicktek Test Strips, 38
Prenate Restore, 34
Promiseb Complete, 12
Quillivant XR, 24
Prenate Star, 34
propafenone HCL, 8
quinapril HCL, 8
Prepidil, 28
propafenone HCL ER, 8
quinapril/hydrochlorothiazide, 8
Prepopik, 18
Propantheline Bromide, 19
Quinidine Gluconate, 8
Preque 10, 34
proparacaine HCL, 28
quinidine gluconate CR, 8
Presera, 13
propranolol HCL, 7
quinidine gluconate ER, 8
Prestalia, 9
Propranolol HCL, 7
quinidine sulfate, 8
Prestige Test Strips, 38
propranolol HCL ER, 7
Quinidine Sulfate, 8
Prevacid, 19
Propranolol/Hydrochlorothiazide, 9
Quinidine Sulfate ER, 8
Prevacid Solutab, 19
propylthiouracil, 18
quinine sulfate, 3
Prevident, 22
Proquad, 33
Quintet Ac Blood Glucose Test Strips, 38
Prevnar 13, 33
Proscar, 20
Quintet Blood Glucose Test Strips, 38
Prevpac, 19
Prosed/DS, 20
Qutenza, 13
Prezcobix, 3
Prostigmin, 26
Qvar, 32
Prezista, 3
Prostin E2, 28
R
Priftin, 2
Protamine Sulfate, 22
Prilosec, 19
Protect Plus, 34
R-natal OB, 34
Primaquine Phosphate, 3
Protectbone, 34
Rabavert, 33
Primaxin IV, 4
Protectiron, 21
rabeprazole sodium, 18
Primaxin IV Add-vantage, 4
Protectnatal, 34
raloxifene hydrochloride, 17
primidone, 25
Prothelial, 22
ramipril, 8
Primlev, 29
Protonix, 19
Ranexa, 7
Primsol, 4
Protopic, 13
ranitidine HCL, 18
Prinivil, 8
protriptyline HCL, 23
Rapaflo, 20
Pristiq, 23
Provenge, 6
Rapamune, 5
Pro-c-dure 1 Kit, 14
Proventil HFA, 32
Rapivab, 3
Pro-c-dure 2 Kit, 14
Provera, 15
Rasuvo, 30
Pro-c-dure 3 Kit, 14
Provida DHA, 34
Ravicti, 18
Pro-c-dure 4 Kit, 14
Provida OB, 34
Rayos, 14
Proair HFA, 32
Provigil, 24
Razadyne, 26
Proair Respiclick, 32
Prozac, 23
Razadyne ER, 26
probenecid, 30
Prozac Weekly, 23
Rebetol, 3
probenecid/colchicine, 30
Pruclair, 13
Rebif, 26
Rebif Rebidose, 26
Retin-a Micro, 11
Rosadan Kit, 11
Rebif Rebidose Titration Pack, 26
Retin-a Micro P.M., 11
Rosanil, 11
Rebif Titration Pack, 26
Retisert, 27
Rosula, 11
Reclast, 17
Retrovir, 3
Rotarix, 33
Recombinate, 22
Retrovir IV Infusion, 3
Rotateq, 33
Recombivax HB, 33
Revatio, 10
Rowasa, 20
Recothrom, 22
Reveal Blood Glucose Test, 38
Roxicet, 29
Recothrom Spray Kit, 22
Revlimid, 5
Roxicodone, 29
Rectiv, 19
Rexall Blood Glucose Test Strips, 38
Rozerem, 24
Refuah Plus Blood Glucosetest Strips, 38
Rexall Lancets Ultra Thin, 36
Ryanodex, 26
Rexulti, 24
Rytary, 25
Reglan, 20
Reyataz, 3
Rythmol, 8
Regonol, 26
Rezira, 32
Rythmol SR, 8
Relagard, 20
Rezyst IM, 18
S
Relenza Diskhaler, 3
Rezyst SB, 18
Sabril, 25
Relhist, 32
Rheumatrex, 30
Safe-t-lance Low Flow 25G, 36
Relion Blood Glucose Teststrips, 38
Rhinocort Aqua, 31
Safe-t-lance Normal Flow 21G, 36
Relion Confirm/Micro Test Strips, 38
Rhinoflex-650, 28
Safe-t-lance Plus Safety Lancet High Flow, 36
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Riastap, 22
Riax, 11
Safe-t-lance Plus Safety Lancet Low Flow, 36
Relion Lancets Micro-thin33G, 36
Ribasphere, 3
Relion Lancets Standard 21G, 36
Ribasphere Ribapak, 3
Safe-t-lance Plus Safety Lancet Normal Flow, 36
Relion Lancets Thin 26G, 36
Ribatab, 3
Relion Lancets Ultra-thin30G, 36
ribavirin, 3
Safety Lancet 21G/Pressure Activated, 37
Relion Prime Blood Glucose Test Strips, 38
Ridaura, 30
rifabutin, 2
Safety Lancet 28G/Pressure Activated, 37
Relion R, 16
Rifadin, 2
Relion Thin Lancets, 36
Rifamate, 2
Safety Lancet 2MM, 37
Relion Ultima Blood Glucose Test Strips, 38
rifampin, 2
Safety Lancets, 37
Rifater, 2
Safety Lancets 21G, 37
Relion Ultima Test Strips, 38
Rightest Gl300 Lancets, 36
Safety Lancets 28G, 37
Relion Ultra Thin Lancets, 36
Rightest GS100 Blood Glucose Test Strips, 38
Safety Let Lancets, 37
Relion Ultra Thin Lancets30G, 36
Safety Seal Lancets 28G, 37
Relion Ultra Thin Plus Lancets 32G, 36
Rightest GS300 Blood Glucose Test Strips, 38
Safety Seal Lancets 30G, 37
Relion Ultra Thin Plus Lancets 33G, 36
Safyral, 15
Relistor, 19
Rightest GS550 Blood Glucose Test Strips, 38
Saizen, 17
Relpax, 30
Saizen Click.easy, 17
Relyyt, 13
Rilutek, 26
Salagen, 22
Remeron, 23
riluzole, 26
Salex, 13
Remeron Soltab, 23
rimantadine HCL, 3
Salex Cream, 13
Remicade, 20
Rimantalist, 3
Salex Lotion, 13
Remodulin, 10
Riomet, 16
salicylic acid, 13
Renacidin, 20
risedronate sodium, 16
Salicylic Acid, 13
Renagel, 20
risedronate sodium DR, 16
salicylic acid cream, 13
Renatabs, 34
Risperdal, 24
Salicylic Acid IN Ammonium Lactate Vehicle, 13
Renatabs With Iron, 34
Risperdal Consta, 24
Renew Advanced Lancing Cartridge Refills, 36
Risperdal M-TAB, 24
salicylic acid lotion, 13
risperidone, 23
Salkera, 13
Renvela, 19
risperidone odt, 23
salsalate, 28
Reopro, 22
Ritalin, 24
Salvax, 14
repaglinide, 16
Ritalin LA, 24
Salvax Duo Plus, 14
Reprexain, 29
Ritalin SR, 24
Samsca, 17
Repronex, 17
Riteflo, 39
Sanctura, 20
Req 49+, 34
Rituxan, 5
Sanctura XR, 20
Requip, 25
rivastigmine tartrate, 25
Sancuso, 19
Requip XL, 25
rizatriptan benzoate, 30
Sandimmune, 5
Rescon-JR, 32
rizatriptan benzoate odt, 30
Sandostatin, 17
Rescon-MX, 32
Robaxin, 26
Sandostatin Lar Depot, 17
Rescriptor, 3
Robaxin-750, 26
Saphris, 24
Rescula, 27
Robinul, 19
Sarafem, 26
Reserpine, 8
Robinul Forte, 19
Savaysa, 21
Respa-BR, 31
Rocaltrol, 18
Savella, 26
Restasis, 28
Rocephin, 1
Savella Titration Pack, 26
Restora RX, 18
rocuronium bromide, 26
Scalacort DK, 12
Restoril, 24
ropinirole ER, 25
Scar Patch, 14
Retavase, 22
ropinirole HCL, 25
Scopolamine Hydrobromide, 19
Retavase Half-kit, 22
ropivacaine, 31
Seasonique, 15
Retin-a, 10
ropivacaine HCL, 31
Seb-prev, 12
Seconal, 24
Universal 30G, 37
Stalevo 50, 25
Sectral, 7
Smart Sense Thin Lancets Universal 26G, 37
Stalevo 75, 25
Select-OB, 34
stannous fluoride oral rinse, 22
Select-ob+dha, 34
Smart Sense Value Blood Glucose Strips, 38
Starlix, 16
selegiline HCL, 25
stavudine, 3
selenium sulfide, 12
Smartest Blood Glucose Test Strips, 38
Stavzor, 25
Selrx, 12
Smartest Lancets 28G, 37
Staxyn, 10
Selzentry, 3
Sodium Bicarbonate, 18
Stelara, 12
Semprex-d, 32
sodium chloride, 31
Stendra, 10
Senophylline, 32
sodium citrate/citric acid, 20
Sterilance TL, 37
Sensipar, 18
Sodium Diuril, 9
Stimate, 17
Sensorcaine-mpf/Epinephrine, 31
Sodium Edecrin, 9
Stiolto Respimat, 32
Sentradine, 19
sodium ferric gluconate complex/sucrose, 21
Stivarga, 6
Sentraflox AM-10, 23
Strattera, 24
Sentralopram AM-10, 23
sodium hyaluronate, 13
Strazepam, 24
Sentramodafin AM-100, 24
sodium phenylbutyrate, 18
Streptomycin Sulfate, 2
Sentravil PM-25, 23
sodium sulfacetamide, 10, 12, 27
Striant, 14
Sentrazolam AM 0.25, 23
sodium sulfacetamide wash, 12
Stribild, 3
Sentrazolpidem PM-5, 24
sodium sulfacetamide/sulfur, 10
Striverdi Respimat, 32
Sentroxatine, 23
Sodium Sulfacetamide/Sulfur, 11
Stromectol, 4
Serevent Diskus, 32
sodium sulfacetamide/sulfur cleanser, 10
Strovite, 34
Seroquel, 24
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11
Strovite Forte, 34
Seroquel XR, 24
Strovite One, 34
Serostim, 17
sodium sulfacetamide/sulfur cleansing cloths, 10
Suboxone, 29
sertraline HCL, 23
Subsys, 29
Sevelamer Carbonate, 19
sodium sulfacetamide/sulfur green, 10
Suclear, 18
Sfrowasa, 20
Sodium Sulfacetamide/Sulfur IN Urea, 11
Sucraid, 19
Shohls Solution Modified, 20
sodium sulfacetamide/sulfur w/sunscreen, 10
sucralfate, 18
Shopko On-the-go Comfort Lancets 30G, 37
Sular, 7
sodium sulfacetamide/sulfur wash, 10
sulfacetamide sodium, 10, 27
Shopko Unilet Lancets Super Thin 30G, 37
Solaice, 14
Sulfacetamide Sodium, 27
Soliris, 22
sulfacetamide sodium/prednisolone sodium phosphate, 27
Shopko Unilet Lancets Ultra Thin 28G, 37
Solodyn, 2
Soltamox, 5
sulfacetamide sodium/sulfur cleanser, 10
Siderol, 34
Solu-cortef, 14
Sulfadiazine, 2
Signifor, 17
Solu-medrol, 14
sulfamethoxazole/trimethoprim, 4
Signifor Lar, 17
Solus V2 Audible Test, 38
Sulfamethoxazole/Trimethoprim, 4
sildenafil, 10
Solus V2 Pressure Activated Safety Lancets 28G, 37
sulfamethoxazole/trimethoprim DS, 4
sildenafil citrate, 10
sulfasalazine, 19
Silenor, 24
Solus V2 Twist Lancets 30G, 37
Sulfisoxizole, 2
Simbrinza, 28
Soma, 26
Sulfoam, 11
Simcor, 9
Somatuline Depot, 17
Sulfurated Lime, 14
Simponi, 30
Somavert, 17
sulindac, 30
Simponi Aria, 30
Sonata, 24
Sumadan Kit, 11
Simulect, 5
Soolantra, 11
Sumadan Wash, 11
simvastatin, 9
Soothee, 14
Sumadan XLT, 11
Sinelee, 14
Soriatane, 12
Sumatriptan, 30
Sinemet, 25
Sorilux, 12
sumatriptan succinate, 30
Sinemet CR, 25
sotalol HCL, 7
Sumatriptan Succinate, 30
Single-let, 37
sotalol HCL (AF), 7
sumatriptan succinate refill, 30
Singulair, 32
Sotalol Hydrochloride, 7
Sumavel Dosepro, 30
sirolimus, 5
Sotylize, 7
Sumaxin, 11
Sirturo, 2
Sovaldi, 3
Sumaxin CP Kit, 11
Sitavig, 3
Spectracef, 1
Sumaxin Ts, 11
Sivextro, 4
Spinosad, 14
Sumaxin Wash, 11
Skelaxin, 26
Spiriva Handihaler, 32
Supartz, 26
Sklice, 14
Spiriva Respimat, 32
Supervite, 34
Smart Diabetes Vantage Universal Lancets 30G, 37
spironolactone, 9
Supervite EC, 34
spironolactone/hydrochlorothiazide, 9
Support-500, 34
Smart Diabetes Xpres Blood Glucose Test Strips, 38
Sporanox, 2
Supprelin LA, 17
Sporanox Pulsepak, 3
Supracil, 14
Smart Sense Color Lancets Universal 33G, 37
Sprix, 30
Suprax, 1
Sprycel, 6
Supreme Test Strips, 38
Smart Sense Premium Bloodglucose Strips, 38
Staflex, 28
Suprep Bowel Prep, 18
Stalevo 100, 25
Sure Edge Blood Glucose Test Strips, 38
Smart Sense Standard Lancets Universal 21G, 37
Stalevo 125, 25
Sure-lance Flat Lancets, 37
Stalevo 150, 25
Sure-lance Lancets 26G, 37
Smart Sense Super Thin Lancets
Stalevo 200, 25
Sure-lance Thin Lancets 28G, 37
Sure-lance Ultra Thin Lancets, 37
Tecfidera Starter Pack, 26
Theracodophen-325, 29
Sure-test Easyplus Mini Blood Glucose Test Strips, 38
Techlite AST Lancets, 37
Theracodophen-650, 29
Techlite Lancets, 37
Theracodophen-750, 29
Sure-touch Lancets Universal, 37
Techlite Lancets 30G, 37
Theracodophen-low-90, 29
Surechek Blood Glucose Test Strips, 38
Technivie, 3
Theracys, 6
Surelite Lancets, 37
Tegretol, 25
Therafeldamine, 30
Surestep Glucose Control, 37
Tegretol-XR, 25
Therapentin-60, 25
Surestep Glucose Control Solution, 37
Tekamlo, 8
Therapentin-90, 25
Surestep Pro High Glucosecontrol, 37
Tekturna, 8
Theraprofen-60, 30
Surestep Pro Low Glucose Control, 37
Tekturna HCT, 8
Theraprofen-800, 30
Surestep Pro Normal Glucose Control, 37
Telcare Blood Glucose Test Strips, 38
Theraprofen-90, 30
telmisartan, 8
Theraproxen-500, 30
Surestep Pro Test Strips, 37
telmisartan/amlodipine, 8
Theraproxen-60, 30
Surestep Test Strips, 37
telmisartan/hydrochloroth, 8
Theraproxen-90, 30
Surfaxin, 32
telmisartan/hydrochlorothiazide, 8
Theratramadol-60, 29
Surmontil, 23
temazepam, 24
Theratramadol-90, 29
Survanta Intratracheal, 32
Temodar, 4
thiamine HCL, 33
Sustiva, 3
Temovate, 12
Thinlets GP Lancets, 37
Sutent, 6
Temovate E, 12
Thinlets Lancet, 37
Suttar-2, 32
temozolomide, 4
Thiola, 20
Suttar-SF, 32
Tencon, 28
thioridazine HCL, 23
Sylatron, 6
Tenex, 8
thiothixene, 23
Symax Duotab, 19
Teniposide, 6
Thrombin-jmi Diluent, 22
Symbicort, 32
Tenivac, 32
Thrombin-jmi Epistaxis, 22
Symbyax, 26
Tenoretic 100, 9
Thrombin-jmi Syringe Spray Kit, 22
Symlinpen 120, 16
Tenoretic 50, 9
Thrombin-jmi W/Dil Spray P.M. Actuator, 22
Symlinpen 60, 16
Tenormin, 7
Synagex, 34
Terazol 3, 20
Thrombogen, 22
Synalar, 12
Terazol 7, 20
Thymoglobulin, 5
Synalar Cream Kit, 12
terazosin HCL, 8
Thyrolar-1, 18
Synalar Ointment Kit, 12
terbinafine HCL, 2
Thyrolar-1/2, 18
Synalar Ts, 12
Terbinex, 3
Thyrolar-1/4, 18
Synalgos-dc, 29
terbutaline sulfate, 32
Thyrolar-2, 18
Synapryn Fusepaq, 29
terconazole, 20
Thyrolar-3, 18
Synarel, 17
Tersi Foam, 12
tiagabine hydrochloride, 25
Synatek, 34
Tessalon Perles, 32
Tiazac, 7
Synera, 14
Testim, 14
Tice Bcg, 6
Synercid, 4
Testone Cik, 14
ticlopidine HCL, 22
Synribo, 6
Testopel, 14
Tigan, 19
Synthroid, 18
Testosterone, 14
Tikosyn, 8
Synvisc, 26
testosterone cypionate, 14
Timentin, 1
Synvisc One, 26
testosterone enanthate, 14
Timolol Maleate, 7
T
Testosterone P.M., 14
timolol maleate, 27
Testred, 14
timolol maleate ophthalmic gel forming, 27
Tabloid, 5
Tetanus Toxoid Adsorbed, 32
Tabradol Fusepaq, 26
Tetanus/Diphtheria Toxoids-adsorbed, 33
Timoptic, 27
Taclonex, 12
Timoptic Ocudose, 27
tacrolimus, 5, 13
Tetanus/Diphtheria Toxoids-adsorbed Adult, 33
Timoptic-xe, 27
Tafinlar, 6
Tindamax, 4
Talwin, 29
tetracaine HCL, 28
tinidazole, 4
Tamiflu, 3
Tetracaine HCL, 31
Tirosint, 18
tamoxifen citrate, 5
Tetracycline HCL, 2
Tisseel, 22
tamsulosin HCL, 20
Tetrix, 14
Tisseel VH, 22
Tandem F, 21
Tev-tropin, 17
Tivicay, 3
Tandem Plus, 21
Teveten, 8
Tivorbex, 30
Tanzeum, 16
Teveten HCT, 9
Tizanidine Comfort PAC, 26
Tapazole, 18
Texacort, 12
tizanidine HCL, 26
Tarceva, 6
Texavite LQ, 34
TL G-FOL OS, 34
Targadox, 2
Thalomid, 5
TL Triseb, 12
Targretin, 6
Theo-24, 32
Tnkase, 22
Tarka, 9
theophylline, 32
Tobi, 2
Taron-bc, 34
theophylline CR, 32
Tobi Podhaler, 2
Taron-c DHA, 34
theophylline ER, 32
Tobradex, 27
Tasigna, 6
Theophylline/D5W, 32
Tobradex ST, 27
Tasmar, 25
Therabenzaprine-60, 26
tobramycin, 2
Taxotere, 6
Therabenzaprine-90, 26
tobramycin sulfate, 2, 27
Tazicef, 1
Therabenzaprine-90-5, 26
Tobramycin Sulfate/Sodium Chloride, 2
Tazorac, 12
Theracodeine-300, 29
tobramycin/dexamethasone, 27
Tecfidera, 26
Tobrex, 27
Triamterene/Hydrochlorothiazide, 9
Tyvaso Refill, 10
Tofranil, 23
Trianex, 13
Tyvaso Starter, 10
Tofranil-PM, 23
triazolam, 24
Tyzeka, 3
tolazamide, 16
Tribenzor, 8
Tyzine, 31
Tolazamide, 16
Tricare Prenatal Compleat, 34
Tyzine Pediatric Nasal Drops, 31
Tolbutamide, 16
Tricare Prenatal DHA One, 34
U
tolcapone, 25
tricitrates, 20
Uceris, 14, 20
tolmetin sodium, 30
Tricor, 10
Udamin, 34
Tolmetin Sodium, 30
Triderma Forte, 13
Udamin SP, 34
tolterodine tartrate, 20
trifluoperazine HCL, 23
Ulesfia, 14
tolterodine tartrate ER, 20
trifluridine, 27
Uloric, 30
Topamax, 25
Triglide, 10
Ulticare Thin Lancets 30G, 37
Topamax Sprinkle, 25
trihexyphenidyl HCL, 25
Ultilet Basic Lancets 30G, 37
Topicort, 12
Trileptal, 25
Ultilet Classic Lancets, 37
topiramate, 25
Trilipix, 10
Ultilet Lancets, 37
Topiramate ER, 25
trimethobenzamide HCL, 19
Ultilet Lancets 33G, 37
topotecan HCL, 6
trimethoprim, 4
Ultilet Safety Lancets 23G, 37
Topotecan HCL, 6
trimethoprim sulfate/polymyxin b sulfate, 27
Ultima Test Strips, 38
Toprol XL, 7
Ultiva, 29
Torisel, 6
Triostat, 18
Ultra-thin II Auto Lancet, 37
torsemide, 9
Trisenox, 6
Ultra-thin II Lancets 28G, 37
Torsemide, 9
Triseon, 11
Ultra-thin II Lancets 30G, 37
Totect, 6
Triumeq, 3
Ultra-thin II Safety Autolancets 26G, 37
Toujeo Solostar, 16
Triveen-duo DHA, 34
Ultracet, 29
Toviaz, 20
Triveen-prx RNF, 34
Ultram, 29
Tracleer, 10
Trizivir, 3
Ultram ER, 29
Tradjenta, 16
Trokendi XR, 25
Ultrasal-ER, 14
tramadol HCL, 29
Tropazone, 14
Ultratrak Pro Test Strips, 38
tramadol HCL ER, 29
trospium chloride, 20
Ultratrak Ultimate Test Strips, 38
Tramadol HCL ER, 29
trospium chloride ER, 20
Ultravate, 13
tramadol hydrochloride/acetaminophen, 29
True Metrix Blood Glucosetest Strips, 38
Ultravate PAC, 13
True Metrix Self Monitoring Blod Glucose Strips, 38
Ultravate X, 13
Trandate, 7
Ultresa, 19
trandolapril, 8
Trueplus Lancets 26G, 37
Umecta, 14
trandolapril/verapamil HCL, 8
Trueplus Lancets 28G, 37
Umecta Nail Film, 14
trandolapril/verapamil HCL ER, 8
Trueplus Lancets 28G Super Thin, 37
Umecta PD, 14
tranexamic acid, 21
Trueplus Lancets 30G, 37
Unasyn, 1
Transderm-scop, 19
Trueplus Lancets 30G Ultra Thin, 37
Unasyn Bulk Pack, 1
Tranxene T, 23
Trueplus Lancets 33G, 37
Unilet Comfortouch Lancet, 37
tranylcypromine sulfate, 23
Trueplus Lancets 33G Micro Thin, 37
Unilet Excelite, 37
Travatan Z, 27
Trueplus Safety Lancets 28G, 37
Unilet Excelite II, 37
Travoprost, 27
Truetest Blood Glucose T Est, 38
Unilet G.p. Lancet, 37
Trazamine, 23
Truetest Blood Glucose T Est Strips, 38
Unilet G.p. Superlite Lancet, 37
trazodone HCL, 23
Truetest Strips, 38
Unilet GP 28 Ultra Thin, 37
Treanda, 4
Truetrack Blood Glucose Test, 38
Unilet Lancet, 37
Trecator, 2
Truetrack Test, 38
Unilet Lancets Micro-thin33G, 37
Trelstar, 5
Trulicity, 16
Unilet Lancets Super-thin30G, 37
Trelstar Mixject, 5
Trumenba, 33
Unilet Lancets Ultra-thin 28G, 37
Trepadiclofen-25, 30
Trusopt, 28
Unilet Superlite Lancet, 37
Trepoxen-250, 30
Truvada, 3
Uniretic, 9
Trepoxicam-7.5, 30
Tucks Anti-itch, 12
Unistik 3 Gentle, 37
Tretin-x, 11
Tudorza Pressair, 32
Unistik Safety Lancets 28G, 37
tretinoin, 6, 10
Turkel Paracentesis Procedure Tray/8french, 31
Unistik Safety Lancets 30G, 37
tretinoin microsphere, 10
Unistrip1 Generic, 38
tretinoin microsphere P.M., 10
Tussicaps, 31
Unituxin, 5
Tretten, 22
Tussionex Pennkinetic Extended Release, 32
Univasc, 8
Trexall, 5
Universal 1 Lancets Thin 26G, 37
Treximet, 30
Tuzistra XR, 31
Universal 1 Lancets Ultra Thin 30G, 37
Trezix, 29
Twinrix, 33
Uramaxin, 14
Tri-norinyl 28, 15
Twynsta, 9
Uramaxin GT, 14
Tri-VI-flor, 34
Tybost, 3
Uramaxin GT Kit, 14
Triamcinolone, 14
Tygacil, 4
urea, 13
triamcinolone acetonide, 12, 22, 31
Tykerb, 6
urea 40% nail film, 13
Triamcinolone Acetonide, 13
Tylenol/Codeine #3, 29
urea IN zinc undecylenate/lactic acid vehicle, 13
triamcinolone IN orabase, 22
Tylenol/Codeine #4, 29
Triamcinolone PF, 14
Typhim VI, 33
urea topical, 13
Triamcinolone/Lidocaine, 14
Tysabri, 26
Urecholine, 20
triamterene/hydrochlorothiazide, 9
Tyvaso, 10
Uretron D/S, 20
Urimar-t, 20
Verelan, 7
Vitekta, 3
Urocit-k 10, 20
Verelan PM, 7
Vituz, 32
Urocit-k 15, 20
Veripred 20, 14
Viva DHA, 34
Urocit-k 5, 20
Verrunex, 14
Vivactil, 23
Urogesic-blue, 20
Versacloz, 24
Vivelle-dot, 15
Uroqid #2, 20
Vesicare, 20
Vivotif Berna, 33
Uroxatral, 20
Vexa, 14
Vocal Point Blood Glucose Test Strips, 38
Urso 250, 20
Vexol, 27
Urso Forte, 20
Vfend, 3
Vogelxo, 14
ursodiol, 19
Vfend IV, 3
Vogelxo P.M., 15
Uta, 20
Viagra, 10
Voltaren, 11
Utopic, 14
Vibativ, 4
Voltaren-XR, 30
Uvadex, 6
Vibramycin, 2
Voluven, 22
V
Vicoprofen, 29
Vopac, 12
Victory Agm-4000 Test Strips, 38
Vopac GB, 12
Vagifem, 20
Victoza, 16
Vopac Kt, 12
valacyclovir HCL, 3
Victrelis, 3
Voraxaze, 6
Valchlor, 4
Vida Mia Unilet Lancets Super Thin 30G, 37
voriconazole, 2
Valcyte, 3
Vortex Valved Holding Chamber, 39
valganciclovir, 3
Vida Mia Unilet Lancets Ultra Thin 28G, 37
Vosol HC, 28
Validerm, 13
Vospire ER, 32
Valium, 23
Vidaza, 5
Votrient, 6
valproate sodium, 25
Videx EC, 3
Vpriv, 21
valproic acid, 25
Videx Pediatric, 3
Vsl#3 DS, 18
valsartan, 8
Viekira PAK, 3
Vusion, 11
valsartan/hydrochlorothiazide, 8
Vigamox, 27
Vytorin, 9
Valstar, 4
Viibryd, 23
Vyvanse, 24
Valtrex, 3
Vimizim, 18
W
Valumark Lancet Super Thin 30G, 37
Vimovo, 30
Valumark Lancet Ultra Thin 28G, 37
W&f Lancets 26G, 37
Vimpat, 25
Vanatol LQ, 28
W&f Lancets Colored 21G, 37
Vinacal B, 34
Vancocin HCL, 4
Walgreens Lancets, 37
Vinate AZ Extra, 34
vancomycin HCL, 4
Walgreens Thin Lancets, 37
Vinate Calcium, 34
Vancomycin HCL, 4
Walgreens Ultra Thin Lancets, 37
Vinate DHA, 34
Vancomycin HCL IN Dextrose, 4
warfarin sodium, 21
Vinate DHA RF, 34
Vanos, 13
Watchhaler, 39
Vinblastine Sulfate, 6
Vanoxide-HC, 11
Wavesense Presto Test Strips, 38
vincristine sulfate, 5
Vantas, 5
Welchol, 9
vinorelbine tartrate, 5
Vaprisol, 17
Wellbutrin, 23
Viokace, 19
Vaqta, 33
Wellbutrin SR, 23
Viracept, 3
Varivax, 33
Wellbutrin XL, 23
Viramune, 3
Vascepa, 9
Westcort, 13
Viramune XR, 3
Vaseretic, 9
Westhroid, 18
Virasal, 14
vasopressin, 17
Wheat Germ, 33
Virazole, 3
Vasostrict, 17
Wilate, 22
Viread, 3
Vasotec, 8
Wp Thyroid, 18
Viroptic, 27
Vazculep, 9
X
Vistaril, 23
Vecamyl, 8
Vistide, 3
Xalatan, 27
Vectibix, 5
Vita-pren, 34
Xalkori, 6
Vectical, 12
Vitafol, 34
Xanax, 23
vecuronium bromide, 26
Vitafol Ultra, 34
Xanax XR, 23
Velcade, 6
Vitafol-nano, 34
Xarelto, 21
Veletri, 10
Vitafol-ob+dha, 34
Xarelto Starter Pack, 21
Velphoro, 20
Vitafol-one, 34
Xartemis XR, 29
Veltin, 11
Vitafol-pn, 34
Xeljanz, 30
Vemavite-prx 2, 34
Vital-d RX, 34
Xeloda, 5
venlafaxine HCL, 23
Vitalet Pro Lancets, 37
Xenazine, 26
venlafaxine HCL ER, 23
Vitalet Pro Plus Lancets, 37
Xeomin, 26
Venlafaxine HCL ER, 23
Vitamedmd One RX/Quatrefolic, 34
Xerese, 11
Venofer, 21
Vitamedmd Plus RX/Quatre Folic, 34
Xgeva, 17
Ventavis, 10
Vitamedmd Redichew RX, 34
Xifaxan, 4
Ventolin HFA, 32
Vitamedmd Redichew RX/Quatrefolic, 34
Xigduo XR, 16
Veramyst, 31
vitamin c 222MG, 33
Xodol, 29
verapamil HCL, 7
vitamin d, 33
Xofigo, 6
Verapamil HCL, 7
vitamin k1, 33
Xolair, 32
verapamil HCL ER, 7
Vitamin K1, 33
Xolegel, 11
verapamil HCL SR, 7
Vitapearl, 34
Xolegel Corepak, 11
Verdeso, 13
Vitaroca Plus, 34
Xolegel Duo/Head & Shoulders, 11
Veregen, 14
Xolegel Duo/Xolex, 11
Zithromax Tri-PAK, 1
Xolox, 29
Zithromax Z-PAK, 1
Xopenex, 32
Zmax, 1
Xopenex Concentrate, 32
Zocor, 10
Xopenex HFA, 32
Zofran, 19
Xtandi, 5
Zofran Odt, 19
Xylocaine, 8, 14, 31
Zohydro ER, 29
Xylocaine-mpf, 31
Zoladex, 5
Xylocaine-mpf/Epinephrine, 31
zoledronic acid, 16
Xylocaine/Epinephrine, 31
Zoledronic Acid, 17
Xyntha, 22
Zolinza, 6
Xyntha Solofuse, 22
zolmitriptan, 30
Xyphex, 14
zolmitriptan odt, 30
Xyrem, 26
Zoloft, 23
Xyzal, 31
zolpidem tartrate, 24
Y
zolpidem tartrate ER, 24
Zolpimist, 24
Yasmin 28, 15
Zomacton, 17
Yaz, 15
Zometa, 17
Yervoy, 5
Zomig, 30
Yf-vax, 33
Zomig Nasal Spray, 30
Yodoxin, 3
Zomig ZMT, 30
Z
Zonalon, 12
Zonatuss, 32
Zacare 4% Kit, 11
Zonegran, 25
Zacare 8% Kit, 11
zonisamide, 25
zafirlukast, 32
Zontivity, 22
zaleplon, 24
Zorbtive, 17
Zaltrap, 5
Zortress, 5
Zamicet, 29
Zorvolex, 30
Zanaflex, 26
Zostavax, 33
Zanosar, 4
Zosyn, 1
Zantac, 19
Zovia 1/50e, 15
Zarontin, 25
Zovirax, 3, 11
Zaroxolyn, 9
Zubsolv, 29
Zatean-CH, 34
Zuplenz, 19
Zatean-pn, 34
Zutripro, 32
Zatean-pn DHA, 34
Zyclara, 13
Zatean-pn Plus, 34
Zyclara P.M., 13
Zavesca, 21
Zydelig, 6
Zebeta, 7
Zydone, 29
Zegerid, 19
Zyflo, 32
Zelapar, 25
Zyflo CR, 32
Zelboraf, 6
Zykadia, 6
Zemaira, 32
Zylet, 27
Zemplar, 18
Zyloprim, 31
Zemuron, 26
Zymaxid, 27
Zenpep, 19
Zyprexa, 24
Zenzedi, 24
Zyprexa Relprevv, 24
Zerbaxa, 4
Zyprexa Zydis, 24
Zerit, 3
Zytiga, 5
Zestoretic, 9
Zyvodol, 12
Zestril, 8
Zyvox, 4
Zetia, 10
1
Zetonna, 31
Zevalin Y-90, 5
1ST Choice Lancets Super Thin, 37
Ziac, 9
1ST Choice Lancets Thin, 37
Ziagen, 3
1ST Choice Lancets Ultra Thin, 37
Ziana, 10
8
zidovudine, 3
Zinacef, 1
8-mop, 12
Zinecard, 6
Zioptan, 27
ziprasidone HCL, 23
Zipsor, 30
Zirgan, 27
Zithranol, 12
Zithranol-rr, 12
Zithromax, 1
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