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1 A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
NM NP 11-16
Excluded Drugs Moving from the Enhanced Drug List (formerly Generics Plus) to new Performance Drug List
ABILIFY TAB 2 MG
ABILIFY TAB 5 MG
ABILIFY TAB 10 MG
ABILIFY TAB 15 MG
ABILIFY TAB 20 MG
ABILIFY TAB 30 MG
ABSORICA CAP 10 MG
ABSORICA CAP 20 MG
ABSORICA CAP 25 MG
ABSORICA CAP 30 MG
ABSORICA CAP 35 MG
ABSORICA CAP 40 MG
ABSTRAL SUB 100 MCG
ABSTRAL SUB 200 MCG
ABSTRAL SUB 300 MCG
ABSTRAL SUB 400 MCG
ABSTRAL SUB 600 MCG
ABSTRAL SUB 800 MCG
ACANYA GEL 1.2-2.5%
ACCOLATE TAB 10 MG
ACCOLATE TAB 20 MG
ACCUPRIL TAB 5 MG
ACCUPRIL TAB 10 MG
ACCUPRIL TAB 20 MG
ACCUPRIL TAB 40 MG
ACCURETIC TAB 10-12.5
ACCURETIC TAB 20-25 MG
ACEON TAB 4 MG
ACEON TAB 8 MG
ACETADOTE INJ 200 MG/ML
ACIPHEX SPR CAP 5 MG
ACIPHEX SPR CAP 10 MG
ACIPHEX TAB 20 MG
ACLOVATE CRE 0.05%
ACTICLATE TAB 75 MG
ACTICLATE TAB 150 MG
ACTIGALL CAP 300 MG
ACTIQ LOZ 200 MCG
ACTIQ LOZ 400 MCG
ACTIQ LOZ 600 MCG
ACTIQ LOZ 800 MCG
ACTIQ LOZ 1200 MCG
ACTIQ LOZ 1600 MCG
ACTIVE OB CAP
ACTIVELLA TAB 0.5-0.1 MG
ACTIVELLA TAB 1-0.5 MG
ACTONEL TAB 5 MG
ACTONEL TAB 30 MG
ACTONEL TAB 35 MG
ACTONEL TAB 150 MG
ACTOPLUS MET TAB 15-500 MG
ACTOPLUS MET TAB 15-850 MG
ACTOS TAB 15 MG
ACTOS TAB 30 MG
ACTOS TAB 45 MG
ACULAR SOL 0.5% OP
ACULAR LS SOL 0.4%
ACUVAIL SOL 0.45%
ACYCLOVIR OIN 5%
ACZONE GEL 5%
ADALAT CC TAB 30 MG ER
ADALAT CC TAB 60 MG ER
ADALAT CC TAB 90 MG ER
ADAPALENE LOT 0.1%
ADDERALL TAB 5 MG
ADDERALL TAB 7.5MG
ADDERALL TAB 10 MG
ADDERALL TAB 12.5 MG
ADDERALL TAB 15 MG
ADDERALL TAB 20 MG
ADDERALL TAB 30 MG
ADENOCARD INJ 3 MG/ML
ADENOCARD INJ 6 MG/2 ML
ADENOCARD INJ 12 MG/4 ML
ADIPEX-P CAP 37.5 MG
ADIPEX-P TAB 37.5 MG
ADOXA CAP 150 MG
ADOXA TAB 50 MG
ADOXA TAB 75 MG
ADOXA TAB 100 MG
ADOXA PAK 1/ TAB 100 MG
ADOXA PAK 1/ TAB 150 MG
ADOXA PAK 2/ TAB 100 MG
ADRENACLICK INJ 0.15 MG
ADRENACLICK INJ 0.3 MG
AEROSPAN AER 80 MCG
AFREZZA POW 4 & 8 UNIT
AFREZZA POW 4 UNIT
AFREZZA POW 8 &12 UNIT
AGRYLIN CAP 0.5 MG
AKNE-MYCIN OIN 2%
ALA CORT CRE 1%
ALA SCALP LOT 2%
ALCAINE SOL 0.5% OP
ALDACTAZIDE TAB 25/25
ALDACTONE TAB 25 MG
ALDACTONE TAB 50 MG
ALDACTONE TAB 100 MG
ALDARA CRE 5%
ALFENTA INJ 500/ML
ALKERAN INJ 50 MG
ALOCRIL SOL 2%
Excluded Drugs
2
NM NP 11-16
ALOG/PIOGLIP TAB 12.5-15 MG
ALOG/PIOGLIP TAB 12.5-30 MG
ALOG/PIOGLIT TAB 12.5-45 MG
ALOG/PIOGLIT TAB 25-15 MG
ALOG/PIOGLIT TAB 25-30 MG
ALOG/PIOGLIT TAB 25-45 MG
ALOGLIPTIN TAB 6.25MG
ALOGLIPTIN TAB 12.5 MG
ALOGLIPTIN TAB 25 MG
ALOGLIPTIN/ TAB METFORM
ALOMIDE SOL 0.1% OP
ALOSETRON TAB 0.5 MG
ALOSETRON TAB 1 MG
ALPHAGAN P SOL 0.1%
ALPHAGAN P SOL 0.15%
ALSUMA INJ 6 MG/0.5
ALTABAX OIN 1%
ALTACE CAP 1.25 MG
ALTACE CAP 2.5 MG
ALTACE CAP 5 MG
ALTACE CAP 10 MG
ALTOPREV TAB 20 MG ER
ALTOPREV TAB 40 MG ER
ALTOPREV TAB 60 MG ER
ALVESCO AER 80 MCG
ALVESCO AER 160 MCG
AMARYL TAB 1 MG
AMARYL TAB 2 MG
AMARYL TAB 4 MG
AMBIEN TAB 5 MG
AMBIEN TAB 10 MG
AMBIEN CR TAB 6.25 MG
AMBIEN CR TAB 12.56 MG
AMCINONIDE CRE 0.1%
AMCINONIDE LOT 0.1%
AMCINONIDE OIN 0.1%
AMERGE TAB 1 MG
AMERGE TAB 2.5 MG
AMIDATE INJ 2 MG/ML
AMINOSYN II INJ 15%
AMLOD/ATORVA TAB 2.5-10 MG
AMLOD/ATORVA TAB 2.5-20 MG
AMLOD/ATORVA TAB 2.5-40 MG
AMLOD/ATORVA TAB 5-10 MG
AMLOD/ATORVA TAB 5-20 MG
AMLOD/ATORVA TAB 5-40 MG
AMLOD/ATORVA TAB 5-80 MG
AMLOD/ATORVA TAB 10-10 MG
AMLOD/ATORVA TAB 10-20 MG
AMLOD/ATORVA TAB 10-40 MG
AMLOD/ATORVA TAB 10-80 MG
AMMONIUM LAC CRE 12%
AMMONIUM LAC LOT 12%
AMOXAPINE TAB 25 MG
AMOXAPINE TAB 50 MG
AMOXAPINE TAB 100 MG
AMOXAPINE TAB 150 MG
AMRIX CAP 15 MG
AMRIX CAP 30 MG
AMTURNIDE 150 TAB -5-12.5 MG
AMTURNIDE 300 TAB -10-12.5 MG
AMTURNIDE 300 TAB -10-25 MG
AMTURNIDE 300 TAB -5-12.5 MG
AMTURNIDE 300 TAB -5-25 MG
ANAFRANIL CAP 25 MG
ANAFRANIL CAP 50 MG
ANAFRANIL CAP 75 MG
ANALPRAM HC CRE 1-1%
ANALPRAM-HC CRE 2.5-1%
ANALPRAM-HC CRE SINGLES
ANALPRM SNGL CRE HC 2.5-1
ANAPROX DS TAB 550 MG
ANCOBON CAP 250 MG
ANCOBON CAP 500 MG
ANDRODERM DIS 2 MG/24 HR
ANDRODERM DIS 4 MG/24 HR
ANDROGEL GEL 1%(25 MG)
ANDROGEL GEL 1%(50 MG)
ANDROGEL GEL PUMP 1%
ANDROID CAP 10 MG
ANECTINE INJ 20 MG/ML
ANGIOMAX INJ 250 MG
ANTABUSE TAB 250 MG
ANTABUSE TAB 500 MG
ANTARA CAP 30 MG
ANTARA CAP 90 MG
ANTIZOL INJ 1 GM/ML
ANUSOL-HC CRE 2.5%
APEXICON E CRE 0.05%
APIDRA INJ SOLOSTAR
APIDRA INJ U-100
APLENZIN TAB 174 MG
APLENZIN TAB 348 MG
APLENZIN TAB 522 MG
APRISO CAP 0.375 GM
APTENSIO XR CAP 10 MG
APTENSIO XR CAP 15 MG
APTENSIO XR CAP 20 MG
APTENSIO XR CAP 30 MG
APTENSIO XR CAP 40 MG
APTENSIO XR CAP 50 MG
APTENSIO XR CAP 60 MG
ARALEN TAB 500 MG
ARAVA TAB 10 MG
ARAVA TAB 20 MG
ARESTIN MIS 1 MG
ARICEPT TAB 5 MG
ARICEPT TAB 10 MG
ARICEPT TAB 23 MG
ARICEPT ODT TAB 10 MG
ARIMIDEX TAB 1 MG
ARIXTRA INJ 2.5/0.5 ML
ARIXTRA INJ 5/0.4 ML
ARIXTRA INJ 7.5/0.6 ML
Excluded Drugs
3
NM NP 11-16
ARIXTRA INJ 10/0.8 ML
ARMODAFINIL TAB 50 MG
ARMODAFINIL TAB 150 MG
ARMODAFINIL TAB 200 MG
ARMODAFINIL TAB 250 MG
AROMASIN TAB 25 MG
ARTHROTEC 50 TAB
ARTHROTEC 75 TAB
ASTEPRO SPR 0.15%
ATACAND TAB 4 MG
ATACAND TAB 8 MG
ATACAND TAB 16 MG
ATACAND TAB 32 MG
ATACAND HCT TAB 16-12.5 MG
ATACAND HCT TAB 32-12.5 MG
ATACAND HCT TAB 32-25 MG
ATELVIA TAB
ATIVAN INJ 2 MG/ML
ATIVAN INJ 4 MG/ML
ATIVAN TAB 0.5 MG
ATIVAN TAB 1 MG
ATIVAN TAB 2 MG
ATRALIN GEL 0.05%
ATROVENT NAS SOL 0.03%
ATROVENT NAS SOL 0.06%
AUGMENTIN SUS 250/5 ML
AUGMENTIN SUS ES-600
AUGMENTIN TAB 500 MG
AUGMENTIN TAB 875 MG
AUGMENTIN XR TAB 12 HR
AUVI-Q INJ 0.15 MG
AUVI-Q INJ 0.3 MG
AVALIDE TAB 150-12.5
AVALIDE TAB 300-12.5
AVANDAMET TAB 2-500 MG
AVANDAMET TAB 2-1000 MG
AVANDAMET TAB 4-1 MG
AVANDARYL TAB 4-2 MG
AVANDARYL TAB 4-4 MG
AVANDARYL TAB 4-500 MG
AVANDARYL TAB 8-4 MG
AVANDIA TAB 2 MG
AVANDIA TAB 4 MG
AVANDIA TAB 8 MG
AVAPRO TAB 75 MG
AVAPRO TAB 150 MG
AVAPRO TAB 300 MG
AVEED INJ 750/3 ML
AVELOX TAB 400 MG
AVELOX ABC TAB 400 MG
AVINZA CAP 30 MG
AVINZA CAP 45 MG
AVINZA CAP 60 MG
AVINZA CAP 75 MG
AVINZA CAP 90 MG
AVINZA CAP 120 MG
AVODART CAP 0.5 MG
AXERT TAB 6.25 MG
AXERT TAB 12.5 MG
AYGESTIN TAB 5 MG
AZACTAM INJ 1 GM
AZACTAM INJ 2 GM
AZASITE SOL 1%
AZELASTINE SPR 0.15%
AZELEX CRE 20%
AZOPT SUS 1% OP
AZOR TAB 5-20 MG
AZOR TAB 5-40 MG
AZOR TAB 10-20 MG
AZOR TAB 10-40 MG
AZULFIDINE TAB 500 MG
AZULFIDINE TAB 500 MG EN
BACTRIM TAB 400-80 MG
BACTRIM DS TAB 800-160
BACTROBAN CRE 2%
BACTROBAN OIN 2%
BAL-CARE MIS DHA
BARACLUDE TAB 0.5 MG
BARACLUDE TAB 1 MG
BECONASE AQ SUS 0.042%
BELBUCA MIS 75 MCG
BELBUCA MIS 150 MCG
BELBUCA MIS 300 MCG
BELBUCA MIS 450 MCG
BELBUCA MIS 600 MCG
BELBUCA MIS 750 MCG
BELBUCA MIS 900 MCG
BELSOMRA TAB 5 MG
BELSOMRA TAB 10 MG
BELSOMRA TAB 15 MG
BELSOMRA TAB 20 MG
BENICAR TAB 5 MG
BENICAR TAB 20 MG
BENICAR TAB 40 MG
BENICAR HCT TAB 20-12.5 MG
BENICAR HCT TAB 40-12.5 MG
BENICAR HCT TAB 40-25 MG
BENTYL CAP 10 MG
BENTYL INJ 10 MG/ML
BENTYL TAB 20 MG
BENZACLIN GEL 1-5%
BENZACLIN GEL 1-5% PUMP
BENZAMYCIN GEL 5-3%
BENZAMYCIN GEL PAK
BENZPHETAMINE TAB 25 MG
BENZPHETMINE TAB 50 MG
BEPREVE DRO 1.5%
BESIVANCE SUS 0.6%
BETADINE SOL 5% OP
BETAGAN SOL 0.5% OP
BETAPACE TAB 80 MG
BETAPACE TAB 120 MG
BETAPACE TAB 160 MG
BETAPACE AF TAB 80 MG
Excluded Drugs
4
NM NP 11-16
BETAPACE AF TAB 120 MG
BETAPACE AF TAB 160 MG
BETIMOL SOL 0.25%
BETIMOL SOL 0.5%
BETOPTIC-S SUS 0.25% OP
BETTERMILK PAK GLYTACTI
BETTERMILK15 POW GLYTACTN
BIAXIN SUS 250/5 ML
BIAXIN TAB 250 MG
BIAXIN TAB 500 MG
BIAXIN XL TAB 500 MG
BIAXIN XL TAB PAC 500 MG
BIMATOPROST SOL 0.03%
BINOSTO TAB 70 MG
BLEPH-10 SOL 10% OP
BLEPHAMIDE OIN S.O.P.
BLEPHAMIDE SUS OP
BLOXIVERZ INJ 5 MG/10 ML
BLOXIVERZ INJ 10 MG/10 ML
BONIVA INJ 3 MG/3 ML
BONIVA TAB 150 MG
BONTRIL PDM TAB 35 MG
BP FOLINATAL TAB PLUS B
BP MULTINATL CHW PLUS
BP MULTINATL TAB PLUS
BRAVELLE INJ 75 UNIT
BREVIBLOC INJ 10 MG/ML
BREVICON TAB 0.5/35
BRISDELLE CAP 7.5 MG
BROM/PSE/DM SYP
BROMFED DM SYP
BSS PLUS SOL OP
BUDESONIDE SUS 32 MCG
BUMEX TAB 0.5 MG
BUMEX TAB 1 MG
BUMEX TAB 2 MG
BUNAVAIL MIS 2.1-0.3 MG
BUNAVAIL MIS 4.2-0.7 MG
BUNAVAIL MIS 6.3-1 MG
BUPAP TAB 50-300 MG
BUPHENYL POW
BUPRENEX INJ 0.3 MG/ML
BUTISOL SOD ELX 30 MG/5 ML
BUTISOL SOD TAB 30 MG
BUTISOL SOD TAB 50 MG
BUTRANS DIS 5 MCG/HR
BUTRANS DIS 7.5 MCG/HR
BUTRANS DIS 10 MCG/HR
BUTRANS DIS 15 MCG/HR
BUTRANS DIS 20 MCG/HR
BYETTA INJ 5 MCG
BYETTA INJ 10 MCG
BYSTOLIC TAB 2.5 MG
BYSTOLIC TAB 5 MG
BYSTOLIC TAB 10 MG
BYSTOLIC TAB 20 MG
CADUET TAB 2.5-10 MG
CADUET TAB 2.5-20 MG
CADUET TAB 2.5-40 MG
CADUET TAB 5-10 MG
CADUET TAB 5-20 MG
CADUET TAB 5-40 MG
CADUET TAB 5-80 MG
CADUET TAB 10-10 MG
CADUET TAB 10-20 MG
CADUET TAB 10-40 MG
CADUET TAB 10-80 MG
CAFCIT INJ 60 MG/3 ML
CAFCIT SOL 60 MG/3 ML
CALAN TAB 80 MG
CALAN TAB 120 MG
CALAN SR TAB 120 MG
CALAN SR TAB 180 MG
CALAN SR TAB 240 MG
CALC ACETATE TAB 667 MG
CALCITRIOL OIN 3 MCG/GM
CALCIUM PNV CAP
CAMBIA POW 50 MG
CAMINO PRO LIQ 15PE
CAMPRAL TAB 333 MG
CAMPTOSAR INJ 40 MG/2 ML
CAMPTOSAR INJ 100 MG/5 ML
CANDIN INJ
CAPEX SHA 0.01%
CAPITAL/COD SUS 120-12/5
CAPTOPR/HCTZ TAB 25-15 MG
CAPTOPR/HCTZ TAB 25-25 MG
CAPTOPR/HCTZ TAB 50-15 MG
CAPTOPR/HCTZ TAB 50-25 MG
CARAC CRE 0.5%
CARAFATE TAB 1 GM
CARBOCAINE INJ 1%
CARBOCAINE INJ 2%
CARBOCAINE INJ 1% PF
CARBOCAINE INJ 1.5% PF
CARBOCAINE INJ 2% PF
CARDIZEM TAB 30 MG
CARDIZEM TAB 60 MG
CARDIZEM TAB 120 MG
CARDIZEM CD CAP 120 MG/24
CARDIZEM CD CAP 180 MG/24
CARDIZEM CD CAP 240 MG/24
CARDIZEM CD CAP 300 MG/24
CARDIZEM CD CAP 360 MG/24
CARDIZEM LA TAB 180 MG/24
CARDIZEM LA TAB 240 MG/24
CARDIZEM LA TAB 300 MG/24
CARDIZEM LA TAB 360 MG/24
CARDIZEM LA TAB 420 MG/24
CARDURA TAB 1 MG
CARDURA TAB 2 MG
CARDURA TAB 4 MG
CARDURA TAB 8 MG
CARDURA XL TAB 4 MG
Excluded Drugs
5
NM NP 11-16
CARDURA XL TAB 8MG
CARISOPR/ASA TAB 200-325 mg
CARISOPRODOL TAB 250 MG
CARISOPRODOL TAB 350 MG
CARISOPRODOL TAB ASA/COD
CARNITOR INJ 1 GM/5 ML
CARNITOR SOL 1 GM/10 ML
CARNITOR SF SOL 1 GM/10 ML
CARNITOR TAB 330 MG
CASODEX TAB 50 MG
CATAFLAM TAB 50 MG
CATAPRES TAB 0.1 MG
CATAPRES TAB 0.2 MG
CATAPRES TAB 0.3 MG
CATAPRES-TTS DIS 0.1/24 HR
CATAPRES-TTS DIS 0.2/24 HR
CATAPRES-TTS DIS 0.3/24 HR
CEFACLOR SUS 125/5 ML
CEFACLOR SUS 250/5 ML
CEFACLOR SUS 375/5 ML
CEFACLOR ER TAB 500 MG
CEFDITOREN TAB 200 MG
CEFDITOREN TAB 400 MG
CEFOTAN INJ 1 GM/10 ML
CEFOTAN INJ 2 GM
CEFTIN TAB 250 MG
CEFTIN TAB 500 MG
CELEBREX CAP 50 MG
CELEBREX CAP 100 MG
CELEBREX CAP 200 MG
CELEBREX CAP 400 MG
CELESTONE INJ SOLUSPAN
CELEXA TAB 10 MG
CELEXA TAB 20 MG
CELEXA TAB 40 MG
CELLCEPT SUS 200 MG/ML
CENTANY OIN 2%
CEPHALEXIN TAB 250 MG
CEPHALEXIN TAB 500 MG
CEREBYX INJ 100/2 ML
CEREBYX INJ 500/10 ML
CETIRIZINE SYP 1 MG/ML
CHLORD/CLIDI CAP 5-2.5 MG
CHOR GONADOT INJ 10000 UNT
CILOXAN OIN 0.3% OP
CILOXAN SOL 0.3% OP
CIMETIDINE SOL 300/5 ML
CIMETIDINE TAB 200 MG
CIMETIDINE TAB 300 MG
CIMETIDINE TAB 400 MG
CIMETIDINE TAB 800 MG
CIMZIA KIT
CIMZIA KIT STARTER
CIMZIA PREFL KIT 200 MG/ML
CIPRO TAB 250 MG
CIPRO TAB 500 MG
CIPRO (5%) SUS 250 MG/5
CIPRO (10%) SUS 500 MG/5
CIPRO I.V. INJ 400 MG
CIPRO XR TAB 500 MG
CIPRO XR TAB 1000 MG
CITRANATAL CAP HARMONY
CITRANATAL MIS 90 DHA
CITRANATAL MIS B-CALM
CITRANATAL PAK ASSURE
CITRANATAL PAK DHA
CITRANATAL TAB RX
CLAFORAN INJ 1 GM
CLAFORAN INJ 2 GM
CLAFORAN INJ 10 GM
CLAFORAN INJ 500 MG
CLARINEX SYP 0.5 MG/ML
CLARINEX TAB 5 MG
CLARINEX-D TAB 2.5-120 MG
CLEOCIN CAP 75 MG
CLEOCIN CAP 150 MG
CLEOCIN CAP 300 MG
CLEOCIN CRE 2% VAG
CLEOCIN PED SOL 75 MG/5 ML
CLEOCIN PHOS INJ 9 GM/60 ML
CLEOCIN PHOS INJ 300 MG
CLEOCIN PHOS INJ 600 MG
CLEOCIN PHOS INJ 900 MG
CLEOCIN/D5W INJ 300 MG
CLEOCIN/D5W INJ 600 MG
CLEOCIN/D5W INJ 900 MG
CLEOCIN-T GEL 1%
CLEOCIN-T LOT 1%
CLEOCIN-T PAD 1%
CLEOCIN-T SOL 1%
CLIMARA DIS 0.1 MG
CLIMARA DIS 0.025 MG
CLIMARA DIS 0.0375 MG
CLIMARA DIS 0.05 MG
CLIMARA DIS 0.06 MG
CLIMARA DIS 0.075 MG
CLOBEX LOT 0.05%
CLOBEX SHA 0.05%
CLOBEX SPR 0.05%
CLOCORTOLONE CRE PIV 0.1%
CLODERM CRE 0.1%
CLODERM CRE 0.1% PMP
CLORPRES TAB 0.1-15 MG
CLORPRES TAB 0.2-15 MG
CLORPRES TAB 0.3-15 MG
CLOTRIMAZOLE CRE 1%
CLOTRIMAZOLE SOL 1%
CLOZARIL TAB 25 MG
CLOZARIL TAB 100 MG
C-NATE DHA CAP 28-1-200
CODEINE SULF SOL 30 MG/5 ML
CODEINE SULF TAB 15 MG
CODEINE SULF TAB 30 MG
CODEINE SULF TAB 60 MG
Excluded Drugs
6
NM NP 11-16
COGENTIN INJ 1 MG/ML
COLAZAL CAP 750 MG
COLCHICINE CAP 0.6 MG
COLCHICINE TAB 0.6 MG
COLESTID FLA GRA 5 GM
COLESTID FLA GRA 5/7.5 GM
COLESTID GRA 5 GM
COLESTID POW 5 GM
COLESTID TAB 1 GM
COLY-MYCIN M INJ 150 MG
COLYTE/FLAVR SOL PACKS
COMBIGAN SOL 0.2/0.5%
COMBIVIR TAB 150-300 MG
COMPAZINE PAK 5 MG
COMPAZINE TAB 10 MG
COMPLETE NAT PAK DHA
COMPLETENATE CHW
COMTAN TAB 200 MG
CO-NATAL FA TAB 29-1 MG
CONCEPT DHA CAP
CONCEPT OB CAP
CONDYLOX SOL 0.5%
CONZIP CAP 100 MG
CONZIP CAP 200 MG
CONZIP CAP 300 MG
COPAXONE INJ 20 MG/ML
COPEGUS TAB 200 MG
CORDARONE TAB 200 MG
CORDRAN CRE 0.05%
CORDRAN LOT 0.05%
CORDRAN OIN 0.05%
CORDRAN 24X3 TAP 4 MCG/CM
CORDRAN 80X3 TAP 4 MCG/CM
COREG TAB 3.125 MG
COREG TAB 6.25 MG
COREG TAB 12.5 MG
COREG TAB 25 MG
CORGARD TAB 20 MG
CORGARD TAB 40 MG
CORGARD TAB 80 MG
CORLOPAM INJ 10 MG/ML
CORTEF TAB 5 MG
CORTEF TAB 10 MG
CORTEF TAB 20 MG
CORTENEMA ENE 100 MG
CORTISPORIN CRE 0.5%
CORTISPORIN OIN 1%
CORTROSYN INJ 0.25 MG
CORVERT INJ 1 MG/10 ML
CORZIDE TAB 40-5 MG
CORZIDE TAB 80-5 MG
COSOPT SOL 22.3-6.8 MG/ML
COSOPT PF SOL
COZAAR TAB 25 MG
COZAAR TAB 50 MG
COZAAR TAB 100 MG
CRESTOR TAB 5 MG
CRESTOR TAB 10 MG
CRESTOR TAB 20 MG
CRESTOR TAB 40 MG
CRNATAL PAK
CUPRIMINE CAP 250 MG
CUTIVATE CRE 0.05%
CUTIVATE LOT 0.05%
CYCLESSA PAK
CYCLOGYL SOL 0.5% OP
CYCLOGYL SOL 1% OP
CYCLOGYL SOL 2% OP
CYCLOSET TAB 0.8 MG
CYKLOKAPRON INJ 100 MG/ML
CYMBALTA CAP 20 MG
CYMBALTA CAP 30 MG
CYMBALTA CAP 60 MG
CYTOMEL TAB 5 MCG
CYTOMEL TAB 25 MCG
CYTOMEL TAB 50 MCG
CYTOTEC TAB 100 MCG
CYTOTEC TAB 200 MCG
CYTOVENE INJ 500 MG
D.H.E. 45 INJ 1 MG/ML
DACOGEN INJ 50 MG
DANTRIUM CAP 25 MG
DANTRIUM CAP 50 MG
DANTRIUM IV INJ 20 MG
DARIFENACIN TAB HBR ER
DAYPRO TAB 600 MG
DAYTRANA DIS 10 MG/9 HR
DAYTRANA DIS 15 MG/9 HR
DAYTRANA DIS 20 MG/9 HR
DAYTRANA DIS 30 MG/9 HR
DDAVP INJ 4 MCG/ML
DDAVP SOL 0.01%
DDAVP SPR 0.01%
DDAVP TAB 0.1 MG
DDAVP TAB 0.2 MG
DELESTROGEN INJ 20 MG/ML
DELESTROGEN INJ 40 MG/ML
DEMADEX TAB 5 MG
DEMADEX TAB 10 MG
DEMADEX TAB 20 MG
DEMADEX TAB 100 MG
DEMEROL INJ 25 MG/ML
DEMEROL INJ 50 MG/ML
DEMEROL INJ 100 MG/ML
DEMEROL TAB 50 MG
DEMEROL TAB 100 MG
DEMSER CAP 250 MG
DENAVIR CRE 1%
DEPACON INJ 100 MG/ML
DEPAKOTE TAB 125 MG DR
DEPAKOTE TAB 250 MG DR
DEPAKOTE TAB 500 MG DR
DEPAKOTE ER TAB 250 MG
DEPAKOTE ER TAB 500 MG
Excluded Drugs
7
NM NP 11-16
DEPAKOTE SPR CAP 125 MG
DEPO-MEDROL INJ 40 MG/ML
DEPO-MEDROL INJ 80 MG/ML
DEPO-PROVERA INJ 150MG/ML
DEPO-TESTOST INJ 100 MG/ML
DEPO-TESTOST INJ 200 MG/ML
DERMA-SMOOTH OIL /FS BODY
DERMA-SMOOTH OIL /FS SCLP
DERMATOP CRE 0.1%
DERMATOP OIN 0.1%
DERMOTIC OIL 0.01%
DESFERAL INJ 2 GM
DESFERAL INJ 500 MG
DESLORATADIN TAB 5 MG
DESLORATADIN TAB 5 MG ODT
DESLORATADIN TAB 2.5 ODT
DESOGEN-28 TAB
DESONATE GEL 0.05%
DESOWEN CRE 0.05%
DESOWEN LOT 0.05%
DESOXIMETAS CRE 0.05%
DESOXIMETAS OIN 0.05%
DESOXYN TAB 5 MG
DESVENLAFAX TAB 50 MG ER
DESVENLAFAX TAB 100 MG ER
DETROL TAB 1 MG
DETROL TAB 2 MG
DETROL LA CAP 2 MG
DETROL LA CAP 4 MG
DEXEDRINE CAP 5 MG CR
DEXEDRINE CAP 10 MG CR
DEXEDRINE CAP 15 MG CR
DEXILANT CAP 30 MG DR
DEXILANT CAP 60 MG DR
DEXPAK PAK 6 DAY
DEXPAK PAK 10 DAY
DEXPAK PAK 13 DAY
DIAMOX SEQUE CAP 500 MG CR
DIBENZYLINE CAP 10 MG
DIDREX TAB 50 MG
DIETHYLPROP TAB 25 MG
DIETHYLPROP TAB 75 MG ER
DIFFERIN CRE 0.1%
DIFFERIN GEL 0.1%
DIFFERIN GEL 0.3%
DIFFERIN LOT 0.1%
DIFLORASONE CRE 0.05%
DIFLORASONE OIN 0.05%
DIFLUCAN SUS 10 MG/ML
DIFLUCAN SUS 40 MG/ML
DIFLUCAN TAB 50 MG
DIFLUCAN TAB 100 MG
DIFLUCAN TAB 150 MG
DIFLUCAN TAB 200 MG
DIHYDROCOD/ CAP ASA/CAFF
DILAUDID-HP INJ 10 MG/ML
DILAUDID INJ 1 MG/ML
DILAUDID LIQ 1 MG/ML
DILAUDID TAB 2 MG
DILAUDID TAB 4 MG
DILAUDID TAB 8 MG
DIOVAN TAB 40 MG
DIOVAN TAB 80 MG
DIOVAN TAB 160 MG
DIOVAN TAB 320 MG
DIOVAN HCT TAB 80/12.5 MG
DIOVAN HCT TAB 160-12.5 MG
DIOVAN HCT TAB 160-25 MG
DIOVAN HCT TAB 320-12.5 MG
DIOVAN HCT TAB 320-25 MG
DIPENTUM CAP 250 MG
DIPHENHYDRAM ELX 12.5/5 ML
DIPRIVAN INJ
DIPRIVAN INJ 200/20 ML
DIPRIVAN INJ 500/50 ML
DIPROLENE AF CRE 0.05%
DIPROLENE LOT 0.05%
DIPROLENE OIN 0.05%
DITROPAN XL TAB 5 MG
DITROPAN XL TAB 10 MG
DITROPAN XL TAB 15 MG
DOLOPHINE TAB 5 MG
DOLOPHINE TAB 10 MG
DONNATAL ELX GRAPE
DONNATAL ELX MINT
DONNATAL TAB 16.2 MG
DOPRAM INJ 20 MG/ML
DORYX TAB 50 MG
DORYX TAB 200 MG
DORYX MPC TAB 120 MG
DOTHELLE DHA CAP
DOVONEX CRE 0.005%
DOXIL INJ 2 MG/ML
DOXYCYCL HYC TAB 50 MG DR
DOXYCYCL HYC TAB 75 MG DR
DOXYCYCL HYC TAB 100 MG DR
DOXYCYCL HYC TAB 150 MG DR
DOXYCYCL HYC TAB 200 MG DR
DOXYCYCLINE CAP 40 MG
DRISDOL CAP 50000 UNT
DUAC GEL 1.2-5%
DUET DHA MIS BALANCED
DUET DHA 400 MIS 25-1-400
DUET DHA 430 MIS 25-1-430
DUETACT TAB 30-2 MG
DUETACT TAB 30-4 MG
DUEXIS TAB 800-26.6
DULOXETINE CAP 40 MG
DURACLON INJ
DURAGESIC DIS 12 MCG/H
DURAGESIC DIS 25 MCG/HR
DURAGESIC DIS 50 MCG/HR
DURAGESIC DIS 75 MCG/HR
DURAGESIC DIS 100 MCG/HR
Excluded Drugs
8
NM NP 11-16
DUREZOL EMU 0.05%
DURLAZA CAP 162.5 MG
DUTOPROL TAB 25-12.5 MG
DUTOPROL TAB 50-12.5 MG
DUTOPROL TAB 100-12.5 MG
DYANAVEL XR SUS 2.5 MG/ML
DYAZIDE CAP 37.5-25 MG
DYMISTA SPR 137-50
EC-NAPROSYN TAB 375 MG
EC-NAPROSYN TAB 500 MG
ECOZA AER 1%
EDARBI TAB 40 MG
EDARBI TAB 80 MG
EDARBYCLOR TAB 40-12.5 MG
EDARBYCLOR TAB 40-25 MG
EDECRIN TAB 25 MG
EDLUAR SUB 5 MG
EDLUAR SUB 10 MG
EFFEXOR XR CAP 37.5 MG
EFFEXOR XR CAP 75 MG
EFFEXOR XR CAP 150 MG
EFUDEX CRE 5%
ELAVIL TAB 25 MG
ELDEPRYL CAP 5 MG
ELESTAT DRO 0.05%
ELIDEL CRE 1%
ELIMITE CRE 5%
ELIPHOS TAB 667 MG
ELITE-OB TAB
ELLENCE INJ 2 MG/ML
ELOCON CRE 0.1%
ELOCON LOT 0.1%
ELOCON OIN 0.1%
ELOXATIN INJ 50 MG
ELOXATIN INJ 100 MG
EMADINE SOL 0.05% OP
EMBEDA CAP 20-0.8 MG
EMBEDA CAP 30-1.2 MG
EMBEDA CAP 50-2 MG
EMBEDA CAP 60-2.4 MG
EMBEDA CAP 80-3.2 MG
EMBEDA CAP 100-4 MG
EMLA CRE 2.5-2.5%
ENABLEX TAB 7.5 MG
ENABLEX TAB 15 MG
ENBRACE HR CAP
ENDOMETRIN SUP 100 MG
ENSTILAR AER
ENTOCORT EC CAP 3 MG/24 HR
EPIDUO GEL 0.1-2.5%
EPIDUO FORTE GEL 0.3-2.5%
EPIFOAM AER 1%
EPINASTINE DRO 0.05%
EPINEPHRINE INJ 0.15 MG
EPINEPHRINE INJ 0.3 MG
EPIVIR SOL 10 MG/ML
EPIVIR TAB 150 MG
EPIVIR TAB 300 MG
EPIVIR HBV TAB 100 MG
EPROSART MES TAB 600 MG
ERGOLOID MES TAB 1 MG ORAL
ERTACZO CRE 2%
ERYGEL GEL 2%
ESGIC TAB
ESOMEPRA MAG CAP 20 MG DR
ESOMEPRA MAG CAP 40 MG DR
ESOMEPRAZOLE CAP 49.3 MG
ESTRACE TAB 0.5 MG
ESTRACE TAB 1 MG
ESTRACE TAB 2 MG
ESTROSTEP FE TAB
ETHYOL INJ 500 MG
ETIDRON DISD TAB 200 MG
ETIDRON DISD TAB 400 MG
EVEKEO TAB 5 MG
EVEKEO TAB 10 MG
EVISTA TAB 60 MG
EVOCLIN AER 1%
EVOXAC CAP 30 MG
EVZIO INJ
EXALGO TAB 8 MG
EXALGO TAB 12 MG
EXALGO TAB 16 MG
EXALGO TAB 32 MG
EXELDERM CRE 1%
EXELDERM SOL 1%
EXELON CAP 1.5 MG
EXELON CAP 3 MG
EXELON CAP 4.5 MG
EXELON CAP 6 MG
EXELON DIS 4.6 MG /24 HR
EXELON DIS 9.5 MG /24 HR
EXELON DIS 13.3 MG/24 HR
EXFORGE TAB 5-160 MG
EXFORGE TAB 5-320 MG
EXFORGE TAB 10-160 MG
EXFORGE TAB 10-320 MG
EXFORGEH/5- TAB 160-12.5 MG
EXFORGEH/5- TAB 160-25 MG
EXFORGEH/10- TAB 160-12.5 MG
EXFORGEH/10- TAB 160-25 MG
EXFORGEH/10- TAB 320-25 MG
EXTAVIA INJ 0.3 MG
EXTINA AER 2%
EXTRA-VIRT CAP PLUS DHA
FABIOR AER 0.1%
FAMOTIDINE SUS 40 MG/5 ML
FAMOTIDINE TAB 20 MG
FAMVIR TAB 125 MG
FAMVIR TAB 250 MG
FAMVIR TAB 500 MG
FAZACLO TAB 25 MG ODT
FAZACLO TAB 100 ODT
FELBATOL SUS 600/5M L
Excluded Drugs
9
NM NP 11-16
FELBATOL TAB 400 MG
FELBATOL TAB 600 MG
FELDENE CAP 10 MG
FELDENE CAP 20 MG
FEMARA TAB 2.5 MG
FEMCON FE CHW
FEMHRT TAB 0.5 MG-2.5 MCG
FENOFIBRATE CAP 50 MG
FENOFIBRATE CAP 150 MG
FENOFIBRATE CAP 200 MG
FENOFIBRATE TAB 40 MG
FENOFIBRATE TAB 120 MG
FENOFIBRIC TAB 35 MG
FENOFIBRIC TAB 105 MG
FENOGLIDE TAB 40 MG
FENOGLIDE TAB 120 MG
FENOPROFEN CAP 200 MG
FENOPROFEN CAP 400 MG
FENOPROFEN TAB 600 MG
FENORTHO CAP 200 MG
FENORTHO CAP 400 MG
FENTANYL DIS 37.5 MCG
FENTANYL DIS 62.5 MCG
FENTANYL DIS 87.5 MCG
FENTORA TAB 100 MCG
FENTORA TAB 200 MCG
FENTORA TAB 400 MCG
FENTORA TAB 600 MCG
FENTORA TAB 800 MCG
FERRLECIT INJ 12.5 MG/M
FEXMID TAB 7.5 MG
FIBRICOR TAB 35 MG
FIBRICOR TAB 105 MG
FIORICET CAP
FIORICET CAP CODEINE
FIORINAL CAP
FIORINAL/COD CAP 30 MG
FLAGYL CAP 375 MG
FLAGYL TAB 250 MG
FLAGYL TAB 500 MG
FLAVOXATE TAB 100 MG
FLECTOR DIS 1.3%
FLOLAN INJ 0.5 MG
FLOLAN INJ 1.5 MG
FLOMAX CAP 0.4 MG
FLONASE SPR 0.05%
FLOWTUSS SOL 2.5-200
FLUDARA INJ 50 MG
FLUMADINE TAB 100 MG
FLUNISOLIDE SPR 0.025%
FLUORESCITE INJ 10% OP
FLUOROPLEX CRE 1%
FLUOROURACIL CRE 0.5%
FLUOXETINE TAB 60 MG
FLUVOXAMINE CAP 100 MG ER
FLUVOXAMINE CAP 150 MG ER
FML OIN 0.1% OP
FML FORTE SUS 0.25% OP
FML LIQUIFLM SUS 0.1% OP
FOCALGIN 90 MIS DHA
FOCALGIN CA MIS
FOCALGIN-B TAB
FOCALIN TAB 2.5 MG
FOCALIN TAB 5 MG
FOCALIN TAB 10 MG
FOCALIN XR CAP 5 MG
FOCALIN XR CAP 10 MG
FOCALIN XR CAP 15 MG
FOCALIN XR CAP 20 MG
FOCALIN XR CAP 25 MG
FOCALIN XR CAP 30 MG
FOCALIN XR CAP 35 MG
FOCALIN XR CAP 40 MG
FOLCAL DHA CAP
FOLCAPS CAP OMEGA 3
FOLET DHA PAK
FOLET ONE CAP 38-1-225
FOLIVANE-OB CAP
FOLIVANE-PRX CAP DHA NF
FORADIL CAP AEROLIZE
FORANE SOL
FORFIVO XL TAB 450 MG
FORTAMET TAB 500 MG
FORTAMET TAB 1000 MG
FORTAZ INJ 1 GM
FORTAZ INJ 2 GM
FORTAZ INJ 6 GM
FORTESTA GEL 10 MG/ACT
FORTICAL SPR 200/ACT
FOSAMAX TAB 70 MG
FOSAMAX + D TAB 70-2800
FOSAMAX + D TAB 70-5600
FROVA TAB 2.5 MG
FURADANTIN SUS 25 MG/5 ML
FUROSEMIDE SOL 8 MG/ML
GABITRIL TAB 2 MG
GABITRIL TAB 4 MG
GARAMYCIN SOL 0.3% OP
GASTROCROM CON 100/5 ML
GASTROGRAFIN SOL 66-10%
GEL-KAM CON 0.63%
GELNIQUE GEL 3%
GELNIQUE GEL 10%
GEMZAR INJ 1 GM
GEMZAR INJ 200 MG
GENERESS FE CHW
GENOTROPIN INJ 0.2 MG
GENOTROPIN INJ 0.4 MG
GENOTROPIN INJ 0.6 MG
GENOTROPIN INJ 0.8 MG
GENOTROPIN INJ 1 MG
GENOTROPIN INJ 1.2 MG
GENOTROPIN INJ 1.4 MG
GENOTROPIN INJ 1.6 MG
Excluded Drugs
10
NM NP 11-16
GENOTROPIN INJ 1.8 MG
GENOTROPIN INJ 2 MG
GENOTROPIN INJ 5MG
GENOTROPIN INJ 12 MG
GENTAMICIN OIN 0.1%
GEODON CAP 20 MG
GEODON CAP 40 MG
GEODON CAP 60 MG
GEODON CAP 80 MG
GESTICARE PAK DHA
GIALAX KIT
GIAZO TAB 1.1 GM
GLEEVEC TAB 100 MG
GLEEVEC TAB 400 MG
GLUCOPHAGE TAB 500 MG
GLUCOPHAGE TAB 850 MG
GLUCOPHAGE TAB 1000 MG
GLUCOPHAGE TAB 500 MG XR
GLUCOPHAGE TAB 750 MG XR
GLUCOTROL TAB 5 MG
GLUCOTROL TAB 10 MG
GLUCOTROL XL TAB 2.5 MG
GLUCOTROL XL TAB 5 MG
GLUCOTROL XL TAB 10 MG
GLUCOVANCE TAB 1.25-250 MG
GLUCOVANCE TAB 2.5-500 MG
GLUCOVANCE TAB 5-500MG MG
GLUMETZA TAB 500 MG
GLUMETZA TAB 1000 MG
GLYDO GEL 2%
GLYNASE TAB 1.5 MG
GLYNASE TAB 3 MG
GLYNASE TAB 6 MG
GLYSET TAB 25 MG
GLYSET TAB 50 MG
GLYSET TAB 100 MG
GLYTACTIN LIQ RTD 10
GLYTACTIN LIQ RTD 15
GLYXAMBI TAB 10-5 MG
GLYXAMBI TAB 25-5 MG
GOLYTELY SOL
GOLYTELY SOL PINEAPPL
GONAL-F INJ 450 UNIT
GONAL-F INJ 1050 UNIT
GONAL-F RFF INJ 75 UNIT
GONAL-F RFF INJ 300/0.5 UNIT
GONAL-F RFF INJ 450/0.75 UNIT
GONAL-F RFF INJ 900/1.5 UNIT
GRALISE STAR MIS 300/600
GRALISE TAB 300 MG
GRALISE TAB 600 MG
GRIFULVIN V TAB 500 MG
GRIS-PEG TAB 125 MG
GRIS-PEG TAB 250 MG
HALCION TAB 0.25 MG
HALDOL DECAN INJ 50 MG/ML
HALDOL DECAN INJ 100 MG/ML
HALDOL INJ 5 MG/ML
HALOG CRE 0.1%
HALOG OIN 0.1%
HECTOROL CAP 0.5 MCG
HECTOROL CAP 1 MCG
HECTOROL CAP 2.5 MCG
HECTOROL INJ 4 MCG/2 ML
HEMANGEOL SOL 4.28/ML
HEMENATAL OB MIS + DHA
HEMENATAL OB TAB 28-6-1 MG
HEP SOD/D5W INJ 50 UNT/ML
HEP SOD/NACL INJ 1000 UNIT
HEP SOD/NACL INJ 2000 UNIT
HEPSERA TAB 10 MG
HESPAN INJ 6%/NACL
HIPREX TAB 1 GM
HOMACTIN AA LIQ PLUS
HORIZANT TAB 300 MG
HORIZANT TAB 600 MG
HUMALOG INJ 100/ML
HUMALOG KWIK INJ 100/ML
HUMALOG KWIK INJ 200/ML
HUMALOG MIX INJ 50/50
HUMALOG MIX INJ 50/50KWP
HUMALOG MIX INJ 75/25KWP
HUMALOG MIX SUS 75/25
HUMATROPE INJ 5 MG
HUMATROPE INJ 6 MG
HUMATROPE INJ 12 MG
HUMATROPE INJ 24 MG
HYCAMTIN INJ 4 MG
HYCET SOL 7.5-325
HYCOFENIX SOL
HYDREA CAP 500 MG
HYDROCO/APAP SOL 7.5-500
HYDROCORT CRE 1%
HYDROCORT OIN 1%
HYDROCORT/AB OIN 1%
HYDROMORPHON TAB 32 MG ER
HYSINGLA ER TAB 20 MG
HYSINGLA ER TAB 30 MG
HYSINGLA ER TAB 40 MG
HYSINGLA ER TAB 60 MG
HYSINGLA ER TAB 80 MG
HYSINGLA ER TAB 100 MG
HYSINGLA ER TAB 120 MG
HYZAAR TAB 50-12.5
HYZAAR TAB 100-12.5
HYZAAR TAB 100-25
IBUDONE TAB 10-200 MG
IBUPROFEN SUS 100/5 ML
IC GREEN INJ 25 MG
IDAMYCIN PFS INJ 5 MG/5 ML
IDAMYCIN PFS INJ 10/10 ML
IDAMYCIN PFS INJ 20/20 ML
IFEX INJ 1 GM
ILEVRO DRO 0.3% OP
Excluded Drugs
11
NM NP 11-16
IMDUR TAB 30 MG ER
IMDUR TAB 60 MG ER
IMDUR TAB 120 MG ER
IMITREX INJ 4 MG/0.5
IMITREX INJ 6 MG/0.5
IMITREX SPR 5 MG/ACT
IMITREX SPR 20 MG/ACT
IMITREX TAB 25 MG
IMITREX TAB 50 MG
IMITREX TAB 100 MG
INATAL ADV TAB
INATAL GT TAB
INATAL ULTRA TAB
INCIVEK TAB 375 MG
INDERAL LA CAP 60 MG
INDERAL LA CAP 80 MG
INDERAL LA CAP 120 MG
INDERAL LA CAP 160 MG
INDERAL XL CAP 80 MG
INDERAL XL CAP 120 MG
INDOCIN SUP 25 MG/5 ML
INDOCIN SUS 50 MG
INFANATE CAP BALANCE
INFANATE CAP PLUS
INNOPRAN XL CAP 80 MG
INNOPRAN XL CAP 120 MG
INSPRA TAB 25 MG
INSPRA TAB 50 MG
INTEGRILIN INJ
INTEGRILIN INJ 0.75 MG/1 ML
INTEGRILIN INJ 2 MG/ML
INTEGRILIN INJ 20 MG/10 ML
INTERMEZZO SUB 1.75 MG
INTERMEZZO SUB 3.5 MG
INTUNIV TAB 1 MG
INTUNIV TAB 2 MG
INTUNIV TAB 3 MG
INTUNIV TAB 4 MG
INVEGA TAB 1.5 MG
INVEGA TAB 3 MG
INVEGA TAB 6 MG
INVEGA TAB 9 MG
IOPIDINE SOL 0.5% OP
IOPIDINE SOL 1% OP
IRENKA CAP 40 MG
ISOPTO CARP SOL 1% OP
ISOPTO CARP SOL 2% OP
ISOPTO CARP SOL 4% OP
ISORDIL TAB 5 MG
ISOVACTIN AA LIQ PLUS
ISTALOL SOL 0.5% OP
JALYN CAP
JUBLIA SOL 10%
KADIAN CAP 10 MG ER
KADIAN CAP 20 MG ER
KADIAN CAP 30 MG ER
KADIAN CAP 40 MG ER
KADIAN CAP 50 MG ER
KADIAN CAP 60 MG ER
KADIAN CAP 80 MG ER
KADIAN CAP 100 MG ER
KADIAN CAP 200 MG ER
KAPVAY TAB 0.1 MG
KAYEXALATE POW
KAZANO 12.5- TAB 500 MG
KAZANO 12.5- TAB 1000 MG
KEFLEX CAP 250 MG
KEFLEX CAP 500 MG
KEFLEX CAP 750 MG
KENALOG AER SPRAY
KEPPRA INJ 500/5 ML
KEPPRA SOL 100 MG/ML
KEPPRA TAB 250 MG
KEPPRA TAB 500 MG
KEPPRA TAB 750 MG
KEPPRA TAB 1000 MG
KEPPRA XR TAB 500 MG
KEPPRA XR TAB 750 MG
KERLONE TAB 10 MG
KERLONE TAB 20 MG
KERYDIN SOL 5%
KETALAR INJ 10 MG/ML
KETALAR INJ 50 MG/ML
KETALAR INJ 100 MG/ML
KETEK TAB 300 MG
KETEK TAB 400 MG
KETOCONAZOLE TAB 200 MG
KETOPROFEN CAP 200 MG ER
KETOVIE LIQ CHOCOLAT
KETOVIE LIQ PEPTIDE
KETOVIE LIQ VANILLA
KEVEYIS TAB 50 MG
KHEDEZLA TAB 50 MG ER
KHEDEZLA TAB 100 MG ER
KINERET INJ
KLARON LOT 10%
KLONOPIN TAB 0.5 MG
KLONOPIN TAB 1 MG
KLONOPIN TAB 2 MG
KRISTALOSE PAK 10 GM
KRISTALOSE PAK 20 GM
K-TAB TAB 10 MEQ CR
LAC-HYDRIN CRE 12%
LAC-HYDRIN LOT 12%
LACRISERT MIS 5 MG OP
LAMICTAL CHW 5 MG
LAMICTAL CHW 25 MG
LAMICTAL TAB 25 MG
LAMICTAL TAB 100 MG
LAMICTAL TAB 150 MG
LAMICTAL TAB 200 MG
LAMICTAL ODT KIT
LAMICTAL ODT TAB 25 MG
LAMICTAL ODT TAB 50 MG
Excluded Drugs
12
NM NP 11-16
LAMICTAL ODT TAB 100 MG
LAMICTAL ODT TAB 200 MG
LAMICTAL XR TAB 25 MG
LAMICTAL XR TAB 50 MG
LAMICTAL XR TAB 100 MG
LAMICTAL XR TAB 200 MG
LAMICTAL XR TAB 250 MG
LAMICTAL XR TAB 300 MG
LAMISIL SPR 1%
LAMISIL TAB 250 MG
LANOXIN INJ 0.25 MG/1 ML
LANSOPR/AMOX MIS /CLARITH
LANSOPRAZOLE CAP 15 MG DR
LANSOPRAZOLE CAP 30 MG DR
LASIX TAB 20 MG
LASIX TAB 40 MG
LASIX TAB 80 MG
LASTACAFT SOL 0.25%
LAZANDA SPR 100 MCG
LAZANDA SPR 300 MCG
LAZANDA SPR 400 MCG
LESCOL CAP 20 MG
LESCOL CAP 40 MG
LESCOL XL TAB 80 MG
LEVAQUIN SOL 25 MG/ML
LEVAQUIN TAB 250 MG
LEVAQUIN TAB 500 MG
LEVAQUIN TAB 750 MG
LEVAQUIN/D5W INJ 250 MG/50 ML
LEVAQUIN/D5W INJ 500 MG/100 ML
LEVAQUIN/D5W INJ 750 MG/150 ML
LEVATOL TAB 20 MG
LEVOCETIRIZINE SOL 2.5 MG/5 ML
LEVOCETIRIZINE TAB 5 MG
LEVOMEFOLATE CAP DHA
LEVOPHED INJ 1 MG/ML
LEVORPHANOL TAB 2 MG
LEVULAN KERA SOL 20%
LEXAPRO SOL 5 MG/5 ML
LEXAPRO TAB 5 MG
LEXAPRO TAB 10 MG
LEXAPRO TAB 20 MG
LIBRAX CAP 5-2.5 MG
LIDOCAINE GEL 2%
LIDOCAINE GEL 2% JELLY
LIDODERM DIS 5%
LINCOCIN INJ 300 MG/ML
LIPITOR TAB 10 MG
LIPITOR TAB 20 MG
LIPITOR TAB 40 MG
LIPITOR TAB 80 MG
LIPOFEN CAP 50 MG
LIPOFEN CAP 150 MG
LIVALO TAB 1 MG
LIVALO TAB 2 MG
LIVALO TAB 4 MG
LOCOID CRE 0.1%
LOCOID LIPO CRE 0.1%
LOCOID LOT 0.1%
LOCOID OIN 0.1%
LOCOID SOL 0.1%
LODOSYN TAB 25 MG
LOESTRIN TAB 1/20-21
LOESTRIN 21 TAB 1.5/30
LOESTRIN FE TAB 1/20
LOESTRIN FE TAB 1.5/30
LOFIBRA CAP 67 MG
LOFIBRA CAP 134 MG
LOFIBRA CAP 200 MG
LOFIBRA TAB 54 MG
LOFIBRA TAB 160 MG
LOMOTIL TAB 2.5 MG
LOPERAMIDE CAP 2 MG
LOPID TAB 600 MG
LOPRESS HCT TAB 50-25MG
LOPRESS HCT TAB 100-25 MG
LOPRESSOR INJ 5 MG/5 ML
LOPRESSOR TAB 50 MG
LOPRESSOR TAB 100 MG
LOPROX SHA 1%
LORTAB ELX 10-300 MG
LORZONE TAB 375 MG
LORZONE TAB 750 MG
LOSEASONIQUE TAB
LOTENSIN TAB 10 MG
LOTENSIN TAB 20 MG
LOTENSIN TAB 40 MG
LOTENSIN HCT TAB 10-12.5 MG
LOTENSIN HCT TAB 20-12.5 MG
LOTENSIN HCT TAB 20-25 MG
LOTREL CAP 2.5-10 MG
LOTREL CAP 5-10 MG
LOTREL CAP 5-20 MG
LOTREL CAP 5-40 MG
LOTREL CAP 10-20 MG
LOTREL CAP 10-40 MG
LOTRISONE CRE
LOTRONEX TAB 0.5 MG
LOTRONEX TAB 1 MG
LOVAZA CAP 1 GM
LOVENOX INJ 30 MG/0.3 ML
LOVENOX INJ 40 MG/0.4 ML
LOVENOX INJ 60 MG/0.6 ML
LOVENOX INJ 80 MG/0.8 ML
LOVENOX INJ 100 MG/ML
LOVENOX INJ 120 MG/0.8 ML
LOVENOX INJ 150 MG/ ML
LOVENOX INJ 300 MG/3 ML
LUMIGAN SOL 0.01%
LUNESTA TAB 1 MG
LUNESTA TAB 2 MG
LUNESTA TAB 3 MG
LUVOX CR CAP 100 MG
LUVOX CR CAP 150 MG
Excluded Drugs
13
NM NP 11-16
LUXIQ AER 0.12%
LUZU CRE 1%
LYSTEDA TAB 650 MG
MACNATAL CN CAP DHA
MACROBID CAP 100 MG
MACRODANTIN CAP 25 MG
MACRODANTIN CAP 50 MG
MACRODANTIN CAP 100 MG
MALARONE TAB 62.5-25 MG
MALARONE TAB 250-100 MG
MAPROTILINE TAB 25 MG
MAPROTILINE TAB 50 MG
MAPROTILINE TAB 75 MG
MARCAINE INJ 0.25%
MARCAINE INJ 0.5%
MARCAINE INJ 0.75%
MARCAINE INJ SPINAL
MARCAINE/EPI INJ 0.25%
MARCAINE/EPI INJ 0.5%
MARINOL CAP 2.5 MG
MARINOL CAP 5 MG
MARINOL CAP 10 MG
MARNATAL-F CAP
MAVIK TAB 1 MG
MAVIK TAB 2 MG
MAVIK TAB 4 MG
MAXALT TAB 10 MG
MAXALT TAB 5 MG
MAXALT-MLT TAB 5 MG
MAXALT-MLT TAB 10 MG
MAXIPIME INJ 1 GM
MAXIPIME INJ 2 GM
MAXITROL OIN 0.1% OP
MAXITROL SUS 0.1% OP
MAXZIDE TAB 75-50 MG
MAXZIDE-25 TAB MG
MECLIZINE TAB 12.5 MG
MECLIZINE TAB 25 MG
MECLOFEN SOD CAP 50 MG
MECLOFEN SOD CAP 100 MG
MEDROL TAB 4 MG
MEDROL TAB 8 MG
MEDROL TAB 16 MG
MEDROL TAB 32 MG
MEGACE ES SUS 625 MG/5 ML
MEGACE ORAL SUS 40 MG/ML
MELOXICAM SUS 7.5 MG/5 ML
MENTAX CRE 1%
MEPERIDINE SOL 50 MG/5 ML
MEPERIDINE TAB 50 MG
MEPERIDINE TAB 100 MG
MEPROBAMATE TAB 200 MG
MEPROBAMATE TAB 400 MG
MEPRON SUS
MERREM INJ 500 MG
MERREM INJ 1 GM
MESNEX INJ 1 GM
MESTINON TAB 60 MG
MESTINON TAB TIMESPAN
METADATE CD CAP 10 MG
METADATE CD CAP 20 MG
METADATE CD CAP 30 MG
METADATE CD CAP 40 MG
METADATE CD CAP 50 MG
METADATE CD CAP 60 MG
METAPROTEREN SYP 10 MG/5 ML
METAPROTEREN TAB 10 MG
METAPROTEREN TAB 20 MG
METFORMIN TAB 1000 MG
METFORMIN TAB 500 MG ER
METHADONE SOL 5 MG/5 ML
METHADONE SOL 10 MG/5 ML
METHADOSE CON 10 MG/ML
METHADOSE SF CON 10 MG/ML
METHYLD/HCTZ TAB 250/15 MG
METHYLD/HCTZ TAB 250/25 MG
METHYLIN CHW 2.5 MG
METHYLIN CHW 5 MG
METHYLIN CHW 10 MG
METHYLIN SOL 5 MG/5 ML
METHYLIN SOL 10 MG/5 ML
METHYLPHENID TAB 18 MG ER
METHYLPHENID TAB 27 MG ER
METHYLPHENID TAB 36 MG ER
METHYLPHENID TAB 54 MG ER
METOZOLV ODT TAB 5 MG
METROCREAM CRE 0.75%
METROGEL GEL 1%
METROGEL-VAG GEL 0.75%
METROLOTION LOT 0.75%
MEVACOR TAB 40 MG
MIACALCIN SPR 200/ACT
MICARDIS TAB 20 MG
MICARDIS TAB 40 MG
MICARDIS TAB 80 MG
MICARDIS HCT TAB 40/12.5 MG
MICARDIS HCT TAB 80/12.5 MG
MICARDIS HCT TAB 80/25 MG
MICRO-K CAP 8 MEQ CR
MICRO-K CAP 10 MEQ CR
MICROZIDE CAP 12.5 MG
MINIPRESS CAP 1 MG
MINIPRESS CAP 2 MG
MINIPRESS CAP 5 MG
MINOCIN CAP 50 MG
MINOCIN CAP 75 MG
MINOCIN CAP 100 MG
MIRAPEX TAB 0.125 MG
MIRAPEX TAB 0.25 MG
MIRAPEX TAB 0.5 MG
MIRAPEX TAB 0.75 MG
MIRAPEX TAB 1 MG
MIRAPEX TAB 1.5 MG
MIRAPEX ER TAB 0.375 MG
Excluded Drugs
14
NM NP 11-16
MIRAPEX ER TAB 0.75 MG
MIRAPEX ER TAB 1.5 MG
MIRAPEX ER TAB 2.25 MG
MIRAPEX ER TAB 3 MG
MIRAPEX ER TAB 3.75 MG
MIRAPEX ER TAB 4.5 MG
MIRCETTE TAB 28 DAY
MITIGARE CAP 0.6 MG
MITOSOL KIT 0.2 MG
MOBIC SUS 7.5 MG /5 ML
MOBIC TAB 7.5 MG
MOBIC TAB 15 MG
MODICON TAB 0.5/35 MG
MOMETASONE SPR 50 MCG
MONODOX CAP 75 MG
MONODOX CAP 100 MG
MONTELUKAST GRA 4 MG
MORPHINE SUL CAP 30 MG ER
MORPHINE SUL CAP 45 MG ER
MORPHINE SUL CAP 60 MG ER
MORPHINE SUL CAP 75 MG ER
MORPHINE SUL CAP 90 MG ER
MORPHINE SUL CAP 120 MG ER
MORPHINE SUL INJ 4 MG/ML
MORPHINE SUL INJ 8 MG/ML
MORPHINE SUL INJ 10 MG/ML
MOVIPREP SOL
MOXEZA SOL 0.5%
MS CONTIN TAB 15 MG CR
MS CONTIN TAB 30 MG CR
MS CONTIN TAB 60 MG CR
MS CONTIN TAB 100 MG CR
MS CONTIN TAB 200 MG CR
M-VIT TAB 27-1 MG
MYAMBUTOL TAB 100 MG
MYAMBUTOL TAB 400 MG
MYCOBUTIN CAP 150 MG
MYDRIACYL SOL 1% OP
MYNATAL CAP
MYNATE 90 TAB PLUS
NAFTIFINE CRE HCL 1%
NAFTIFINE CRE HCL 2%
NAFTIN CRE 1%
NAFTIN CRE 2%
NAFTIN GEL 1%
NAFTIN GEL 2%
NALFON CAP 400 MG
NAMENDA SOL 10 MG/5 ML
NAMENDA TAB 5 MG
NAMENDA TAB 5-10 MG
NAMENDA TAB 10 MG
NAMENDA XR CAP 7 MG
NAMENDA XR CAP 14 MG
NAMENDA XR CAP 21 MG
NAMENDA XR CAP 28 MG
NAMENDA XR CAP TITRATIO
NAMZARIC CAP 14-10 MG
NAMZARIC CAP 28-10 MG
NAPRELAN TAB 375 MG CR
NAPRELAN TAB 500 MG CR
NAPRELAN TAB 750 MG CR
NAPROSYN SUS 125 MG/5 ML
NAPROSYN TAB 250 MG
NAPROSYN TAB 375 MG
NAPROSYN TAB 500 MG
NARDIL TAB 15 MG
NAROPIN INJ 2 MG/ML
NAROPIN INJ 5 MG/ML
NAROPIN INJ 7.5 MG/ML
NAROPIN INJ 10 MG/ML
NASONEX SPR 50 MCG/AC
NATACHEW CHW
NATALVIRT CA PAK
NATALVIRT MIS 90 DHA
NATALVIT TAB 75-1 MG
NATELLE ONE CAP
NATESTO GEL 5.5 MG
NAVELBINE INJ 10 MG/ML
NAVELBINE INJ 50 MG/5 ML
NEEVO DHA CAP 27-1.13 MG
NEFAZODONE TAB 50 MG
NEFAZODONE TAB 100 MG
NEFAZODONE TAB 150 MG
NEFAZODONE TAB 200 MG
NEFAZODONE TAB 250 MG
NEO/POLY/HC SUS OP
NEOSPORIN SOL OP
NEOSPORIN GU SOL 40/ML IR
NEO-SYNALAR CRE
NEPTAZANE TAB 25 MG
NEPTAZANE TAB 50 MG
NESACAINE INJ 2%
NESACAINE INJ -MPF 2%
NESACAINE INJ -MPF 3%
NESINA TAB 6.25 MG
NESINA TAB 12.5 MG
NESINA TAB 25 MG
NESTABS TAB
NESTABS ABC MIS
NESTABS DHA PAK
NEURONTIN CAP 100 MG
NEURONTIN CAP 300 MG
NEURONTIN CAP 400 MG
NEURONTIN SOL 250 MG/ 5 ML
NEURONTIN TAB 600 MG
NEURONTIN TAB 800 MG
NEVANAC SUS 0.1%
NEWGEN TAB 32-1 MG
NEXA PLUS CAP
NEXIUM CAP 20 MG
NEXIUM CAP 40 MG
NEXIUM I.V. INJ 40 MG
NIACOR TAB 500 MG
NIASPAN TAB 500 MG ER
Excluded Drugs
15
NM NP 11-16
NIASPAN TAB 750 MG ER
NIASPAN TAB 1000 MG ER
NICAZELDOXY KIT 30
NICAZELDOXY KIT 60
NIMBEX INJ 2 MG/ML
NIMBEX INJ 10 MG/ML
NIRAVAM TAB 0.25 MG
NISOLDIPINE TAB 8.5 MG ER
NISOLDIPINE TAB 17 MG ER
NISOLDIPINE TAB 34 MG ER
NITRO-DUR DIS 0.1 MG/HR
NITRO-DUR DIS 0.2 MG/HR
NITRO-DUR DIS 0.4 MG/HR
NITRO-DUR DIS 0.6 MG/HR
NITROGLY/D5W INJ 25 MG
NITROGLY/D5W INJ 50 MG
NITROGLY/D5W INJ 100 MG
NITROLINGUAL SPR PUMPSPRA
NIVA-PLUS TAB
NIZATIDINE CAP 150 MG
NIZATIDINE CAP 300 MG
NIZATIDINE SOL 15 MG/ML
NIZORAL SHA 2%
NORCO TAB 5-325 MG
NORCO TAB 7.5-325 MG
NORCO TAB 10-325 MG
NORDITROPIN INJ 5 MG/1.5 ML
NORDITROPIN INJ 10 MG/1.5 ML
NORDITROPIN INJ 15 MG/1.5 ML
NORDITROPIN INJ 30 MG/3 ML
NORFLEX INJ 30 MG/ML
NORINYL TAB 1/35
NORITATE CRE 1%
NORPRAMIN TAB 10 MG
NORPRAMIN TAB 25 MG
NORPRAMIN TAB 50 MG
NORPRAMIN TAB 75 MG
NORPRAMIN TAB 100 MG
NORPRAMIN TAB 150 MG
NOR-QD TAB 0.35 MG
NORTHERA CAP 100 MG
NORTHERA CAP 200 MG
NORTHERA CAP 300 MG
NORVASC TAB 2.5 MG
NORVASC TAB 5 MG
NORVASC TAB 10 MG
NOVAREL INJ 10000 UNT
NUCYNTA TAB 50 MG
NUCYNTA TAB 75 MG
NUCYNTA TAB 100 MG
NUCYNTA ER TAB 50 MG
NUCYNTA ER TAB 100 MG
NUCYNTA ER TAB 150 MG
NUCYNTA ER TAB 200 MG
NUCYNTA ER TAB 250 MG
NULYTELY SOL FLAV PKS
NUTRITIONAL DRINK
NUTROPIN AQ INJ 10 MG/2 ML
NUTROPIN AQ INJ 20 MG/2 ML
NUTROPIN AQ INJ NUSPIN 5
NUVIGIL TAB 50 MG
NUVIGIL TAB 150 MG
NUVIGIL TAB 200 MG
NUVIGIL TAB 250 MG
NYSTAT/TRIAM CRE
NYSTAT/TRIAM OIN
OB COMPLETE CAP GOLD
OB COMPLETE CAP ONE
OB COMPLETE CAP PETITE
OB COMPLETE TAB
OB COMPLETE TAB PREMIER
OB COMPLETE/ CAP DHA
OBREDON SOL 2.5-200
OBSTETRIX PAK DHA
OBSTETRIX EC TAB
O-CAL TAB PRENATAL
O-CAL FA TAB
OCUFEN SOL 0.03% OP
OCUFLOX DRO 0.3% OP
OLANZA/FLUOX CAP 3-25 MG
OLANZA/FLUOX CAP 6-25 MG
OLANZA/FLUOX CAP 6-50 MG
OLANZA/FLUOX CAP 12-25 MG
OLANZA/FLUOX CAP12-50 MG
OLEPTRO TAB 24 HR 150 MG
OLEPTRO TAB 24 HR 300 MG
OLOPATADINE DRO 0.1%
OLOPATADINE SPR 0.6%
OLUX AER 0.05%
OLUX-E AER 0.05%
OMECLAMOX- MIS PAK
OMEGA-3-ACID CAP 1 GM
OMEPRA/BICAR CAP 20-1100 MG
OMEPRA/BICAR CAP 40-1100 MG
OMNARIS SPR
OMNIPRED SUS 1% OP
OMONTYS INJ 10 MG/ML
OMONTYS INJ 20 MG/2 ML
ONEXTON GEL 1.2-3.75%
ONMEL TAB 200 MG
OPANA TAB 5 MG
OPANA TAB 10 MG
OPANA ER TAB 5 MG
OPANA ER TAB 7.5 MG
OPANA ER TAB 10 MG
OPANA ER TAB 15 MG
OPANA ER TAB 20 MG
OPANA ER TAB 30 MG
OPANA ER TAB 40 MG
OPTIVAR DRO 0.05%
ORACEA CAP 40 MG
ORAP TAB 1 MG
ORAP TAB 2 MG
ORAPRED ODT TAB 10 MG
Excluded Drugs
16
NM NP 11-16
ORAPRED ODT TAB 15 MG
ORAPRED ODT TAB 30 MG
ORTHO-CEPT TAB 28
ORTHO-CYCLEN TAB 0.25/35
ORTHO EVRA DIS WEEK
ORTHO MICRON TAB 0.35 MG
ORTHO-NOVUM TAB 1/35
ORTHO-NOVUM TAB 7/7/7
ORTHO TRI- TAB CYCLEN
ORTHO TRI- TAB CYCLN LO
OSENI TAB 12.5-15 MG
OSENI TAB 12.5-30 MG
OSENI TAB 12.5-45 MG
OSENI TAB 25-15 MG
OSENI TAB 25-30 MG
OSENI TAB 25-45 MG
OSMOPREP TAB 1.5 GM
OSPHENA TAB 60 MG
OVCON-35 TAB
OVIDE LOT 0.5%
OXANDRIN TAB 2.5 MG
OXANDRIN TAB 10 MG
OXAYDO TAB 5 MG
OXAYDO TAB 7.5 MG
OXISTAT CRE 1%
OXISTAT LOT 1%
OXSORALEN-UL CAP 10 MG
OXTELLAR XR TAB 150 MG
OXTELLAR XR TAB 300 MG
OXTELLAR XR TAB 600 MG
OXYCODONE TAB 10 MG ER
OXYCODONE TAB 15 MG ER
OXYCODONE TAB 20 MG ER
OXYCODONE TAB 30 MG ER
OXYCODONE TAB 40 MG ER
OXYCODONE TAB 60 MG ER
OXYCODONE TAB 80 MG ER
OXYTROL DIS 3.9 MG/24 HR
PAIRE OB MIS
PAMELOR CAP 10 MG
PAMELOR CAP 25 MG
PAMELOR CAP 50 MG
PAMELOR CAP 75 MG
PAMINE TAB 2.5 MG
PAMINE FORTE TAB 5 MG
PANCREAZE CAP 4200 UNT
PANCREAZE CAP 10500 UNT
PANCREAZE CAP 16800 UNT
PANCREAZE CAP 21000 UNIT
PANCRELIPASE CAP 5000 UNIT
PANDEL CRE 0.1%
PANRETIN GEL 0.1%
PARAFON FORT TAB 500 MG
PARLODEL CAP 5 MG
PARNATE TAB 10 MG
PAROXETIN ER TAB 12.5 MG
PAROXETIN ER TAB 37.5 MG
PATADAY SOL 0.2%
PATANASE SPR 0.6%
PATANOL SOL 0.1% OP
PAXIL SUS 10 MG/5 ML
PAXIL TAB 10 MG
PAXIL TAB 20 MG
PAXIL TAB 30 MG
PAXIL TAB 40 MG
PAXIL CR TAB 12.5 MG
PAXIL CR TAB 25 MG
PAXIL CR TAB 37.5 MG
PAZEO DRO 0.7%
PCP 100 KIT
PEDIAPRED SOL 6.7/5 ML
PEGYLAX POW
PENLAC SOL 8%
PENNSAID SOL 1.5%
PENNSAID SOL 2%
PENTAZ/NALOX TAB 50-0.5 MG
PEPCID SUS 40 MG/5 ML
PEPCID TAB 20 MG
PEPCID TAB 40 MG
PERCOCET TAB 2.5-325 MG
PERCOCET TAB 5-325 MG
PERCOCET TAB 7.5-325 MG
PERCOCET TAB 10-325 MG
PERCODAN TAB
PERIDEX SOL 0.12%
PERSANTINE TAB 25 MG
PERSANTINE TAB 50 MG
PERSANTINE TAB 75 MG
PERTZYE CAP
PEXEVA TAB 10 MG
PEXEVA TAB 20 MG
PEXEVA TAB 30 MG
PEXEVA TAB 40 MG
PFIZERPEN-G INJ 5 MU
PFIZERPEN-G INJ 20 MU
PHENACTIN AA LIQ PLUS
PHENDIMETRAZ CAP 105 MG ER
PHENDIMETRAZ TAB 35 MG
PHENERGAN INJ 25 MG/ML
PHENERGAN INJ 50 MG/ML
PHOSLO CAP 667 MG
PHOSPHOLINE SOL 0.125% OP
PICATO GEL 0.015%
PICATO GEL 0.05%
PIOGLIT/GLIM TAB 30-2 MG
PIOGLIT/GLIM TAB 30-4 MG
PITOCIN INJ 10 UNT/ML
PLAQUENIL TAB 200 MG
PLAVIX TAB 75 MG
PLAVIX TAB 300 MG
PLEGISOL SOL
PLETAL TAB 50 MG
PLETAL TAB 100 MG
PLIAGLIS CRE 7-7%
Excluded Drugs
17
NM NP 11-16
PNV-DHA CAP
PNV-DHA CAP DOCUSATE
PNV FE FUM TAB DOC/FA
PNV FOLIC AC TAB + IRON
PNV OB+DHA PAK
PNV-OMEGA CAP
PNV PRENATAL TAB PLUS
PNV-SELECT TAB
PNV TABS TAB 29-1 MG
PNV-TOTAL CAP
PNV-VP-U CAP 106.5-1 MG
POLYETH GLYC POW 3350 NF
POLYTRIM SOL OP
PONSTEL CAP 250 MG
PR NATAL 400 PAK
PR NATAL 400 PAK EC
PR NATAL 430 PAK
PR NATAL 430 PAK EC
PRAMOSONE CRE 1%
PRAMOSONE CRE 1-1%
PRAMOSONE CRE 1-2.5%
PRAMOSONE LOT 1%
PRAMOSONE LOT 2.5%
PRANDIMET TAB 1-500 MG
PRANDIMET TAB 2-500 MG
PRANDIN TAB 0.5 MG
PRANDIN TAB 1 MG
PRANDIN TAB 2 MG
PRAVACHOL TAB 20 MG
PRAVACHOL TAB 40 MG
PRAVACHOL TAB 80 MG
PRECEDEX INJ 100 MCG
PRECOSE TAB 25 MG
PRECOSE TAB 50 MG
PRECOSE TAB 100 MG
PRED FORTE SUS 1% OP
PRED MILD SUS 0.12% OP
PREFERA OB MIS + DHA
PREFERA OB TAB
PREFERAOB CAP ONE
PREFERAOB MIS +DHA
PREFOL-DHA CAP
PREGNYL INJ 10000 UNT
PRENA1 CAP QUATREFO
PRENA1 CHW
PRENA1 PEARL CAP
PRENA1 PLUS MIS QUATREFO
PRENAISSANCE CAP
PRENAISSANCE CAP BALANCE
PRENAISSANCE CAP PLUS
PRENAISSANCE MIS HARMONY
PRENAISSANCE PAK 90 DHA
PRENAISSANCE PAK DHA
PRENAISSANCE PAK PROMISE
PRENAISSANCE TAB NEXT
PRENAISSANCE TAB NEXT-B
PRENATA CHW 29-1 MG
PRENATAL MIS COMPLEAT
PRENATAL TAB 27-1 MG
PRENATE AM TAB 1 MG
PRENATE CAP ENHANCE
PRENATE CAP ESSENT
PRENATE CAP ESSENTIA
PRENATE CAP PIXIE
PRENATE CAP RESTORE
PRENATE CHW 0.6-0.4
PRENATE DHA CAP
PRENATE MINI CAP
PRENATE STAR TAB 20-1 MG
PRENATE TAB ELITE
PREPLUS TAB 27-1 MG
PREPOPIK PAK
PREQUE 10 TAB
PRESTALIA TAB 3.5-2.5 MG
PRESTALIA TAB 7-5 MG
PRESTALIA TAB 14-10 MG
PRETAB TAB 29-1 MG
PREVACID CAP 15 MG DR
PREVACID CAP 30 MG DR
PREVACID TAB 15 MG STB
PREVACID TAB 30 MG STB
PREVIDENT 5000 PST 1.1%
PREVIDENT CRE 5000 PLS
PREVIDENT GEL 1.1%
PREVIDENT GEL 1.1% BER
PREVIDENT GEL 1.1% CHR
PREVIDENT GEL 1.1% MIN
PREVIDENT PST 5000 BST
PREVIDENT PST 5000 SEN
PREVIDENT SOL RINSE
PREVPAC MIS
PRILOSEC CAP 10 MG
PRILOSEC CAP 20 MG
PRILOSEC CAP 40 MG
PRILOSEC POW 2.5 MG
PRILOSEC POW 10 MG
PRIMAXIN IV INJ 250 MG
PRIMAXIN IV INJ 500 MG
PRIMLEV TAB 5-300 MG
PRIMLEV TAB 7.5-300 MG
PRIMLEV TAB 10-300 MG
PRINIVIL TAB 5 MG
PRINIVIL TAB 10 MG
PRINIVIL TAB 20 MG
PROCARDIA CAP 10 MG
PROCARDIA XL TAB 30 MG CR
PROCARDIA XL TAB 60 MG CR
PROCARDIA XL TAB 90 MG CR
PROCENTRA SOL 5 MG/5 ML
PROCTOCORT CRE 1%
PROLENSA SOL 0.07%
PROMETRIUM CAP 100 MG
PROMETRIUM CAP 200 MG
PROSCAR TAB 5 MG
Excluded Drugs
18
NM NP 11-16
PROSTIN VR INJ 500 MCG
PROTONIX PAK
PROTONIX TAB 20 MG
PROTONIX TAB 40 MG
PROTOPIC OIN 0.03%
PROTOPIC OIN 0.1%
PROVENTIL AER HFA
PROVERA TAB 2.5 MG
PROVERA TAB 5 MG
PROVERA TAB 10 MG
PROVIDA DHA CAP
PROVIDA OB CAP
PROVIGIL TAB 100 MG
PROVIGIL TAB 200 MG
PROZAC CAP 10 MG
PROZAC CAP 20 MG
PROZAC CAP 40 MG
PROZAC WEEKLY CAP 90 MG
PRVDNT 5000 PST ENAML PR
PSORCON CRE 0.05%
PULMICORT INH 90 MCG
PULMICORT INH 180 MCG
PULMICORT SUS 0.25 MG/2 ML
PULMICORT SUS 0.5 MG/2 ML
PULMICORT SUS 1 MG/2 ML
PUREFE OB CAP PLUS
PURINETHOL TAB 50 MG
PYLERA CAP
QNASL AER 80 MCG
QNASL CHILD SPR 40 MCG
QUALAQUIN CAP 324 MG
QUELICIN INJ 20 MG/ML
QUESTRAN POW 4 GM
QUESTRAN POW 4 GM LITE
QUILLICHEW CHW 20 MG ER
QUILLICHEW CHW 30 MG ER
QUILLICHEW CHW 40 MG ER
QUILLIVANT SUS 25 MG/5 ML
RABEPRAZOLE TAB 20 MG
RANITIDINE CAP 150 MG
RANITIDINE CAP 300 MG
RANITIDINE SYP 15 MG/ML
RANITIDINE SYP 75 MG/5 ML
RANITIDINE SYP 150 MG/10 ML
RANITIDINE TAB 150 MG
RAPAFLO CAP 4 MG
RAPAFLO CAP 8 MG
RAPAMUNE TAB 0.5 MG
RAPAMUNE TAB 1 MG
RAPAMUNE TAB 2 MG
RAYOS TAB 1 MG
RAYOS TAB 2 MG
RAYOS TAB 5 MG
RAZADYNE ER CAP 8 MG
RAZADYNE ER CAP 16 MG
RAZADYNE ER CAP 24 MG
RAZADYNE SOL 4 MG/ML
RAZADYNE TAB 4 MG
RAZADYNE TAB 8 MG
RAZADYNE TAB 12 MG
REBETOL CAP 200 MG
RECLAST INJ 5 MG/100 ML
REDICHEW RX CHW
REGIMEX TAB 25 MG
REGLAN TAB 5 MG
REGLAN TAB 10 MG
RELISTOR INJ 8 MG/0.4 ML
RELISTOR INJ 12 MG/0.6 ML
RELISTOR KIT 12 MG/0.6 ML
RELNATE DHA CAP
REMERON TAB 15 MG
REMERON TAB 30 MG
REMERON TAB 45 MG
REMERON SLTB TAB 15 MG
REMERON SLTB TAB 30 MG
REMERON SLTB TAB 45 MG
REPREXAIN TAB 2.5-200 MG
REPREXAIN TAB 5-200 MG
REQUIP TAB 0.25 MG
REQUIP TAB 0.5 MG
REQUIP TAB 1 MG
REQUIP TAB 2 MG
REQUIP TAB 3 MG
REQUIP TAB 4 MG
REQUIP TAB 5 MG
REQUIP XL TAB 2 MG
REQUIP XL TAB 4 MG
REQUIP XL TAB 6 MG
REQUIP XL TAB 8 MG
REQUIP XL TAB 12 MG
RESCULA SOL 0.15%
RESERPINE TAB 0.1 MG
RESERPINE TAB 0.25 MG
RESTASIS EMU 0.05%
RESTORIL CAP 7.5 MG
RESTORIL CAP 15 MG
RESTORIL CAP 22.5 MG
RESTORIL CAP 30 MG
RETIN-A CRE 0.025%
RETIN-A CRE 0.05%
RETIN-A CRE 0.1%
RETIN-A GEL 0.01%
RETIN-A GEL 0.025%
RETIN-A MICR GEL 0.04%
RETIN-A MICR GEL 0.04% PMP
RETIN-A MICR GEL 0.08%
RETIN-A MICR GEL 0.1%
RETIN-A MICR GEL 0.1% PUMP
RETROVIR CAP 100 MG
RETROVIR SYP 50 MG/5 ML
REVATIO INJ
REVATIO TAB 20 MG
REVIA TAB 50 MG
REZIRA SOL 60-5/5ML
Excluded Drugs
19
NM NP 11-16
RHINOCORT SUS AQUA
RIFADIN CAP 150 MG
RIFADIN CAP 300 MG
RIFADIN INJ 600 MG
RILUTEK TAB 50 MG
RIOMET SOL
RIOMET SOL 500/5 ML
RISPERDAL SOL 1 MG/ML
RISPERDAL TAB 0.25 MG
RISPERDAL TAB 0.5 MG
RISPERDAL TAB 1 MG
RISPERDAL TAB 2 MG
RISPERDAL TAB 3 MG
RISPERDAL TAB 4 MG
RISPERDAL M TAB 0.5 MG
RISPERDAL M TAB 1 MG
RISPERDAL M TAB 2 MG
RISPERDAL M TAB 3 MG
RISPERDAL M TAB 4 MG
RITALIN LA CAP 10 MG
RITALIN LA CAP 20 MG
RITALIN LA CAP 30 MG
RITALIN LA CAP 40 MG
RITALIN LA CAP 60 MG
RITALIN TAB 5 MG
RITALIN TAB 10 MG
RITALIN TAB 20 MG
RITALIN TAB 20 MG SR
R-NATAL OB CAP 20-1-320
ROBAXIN INJ 100 MG/ML
ROBAXIN TAB 500 MG
ROBAXIN-750 TAB 750 MG
ROBINUL INJ 0.2 MG/ML
ROBINUL INJ 0.4 MG/2 ML
ROBINUL TAB 1 MG
ROBINUL FORT TAB 2 MG
ROCALTROL CAP 0.25 MCG
ROCALTROL CAP 0.5 MCG
ROCALTROL SOL 1 MCG/ML
ROCEPHIN INJ 1 GM
ROWASA KIT 4 GM
ROXICET SOL 5-325/5
ROXICODONE TAB 5 MG
ROXICODONE TAB 15 MG
ROXICODONE TAB 30 MG
RULAVITE DHA CAP
RYTHMOL SR CAP 225 MG
RYTHMOL SR CAP 325 MG
RYTHMOL SR CAP 425 MG
RYTHMOL TAB 150 MG
RYTHMOL TAB 225 MG
SAIZEN INJ 5 MG
SAIZEN INJ 8.8 MG
SALAGEN TAB 5 MG
SALAGEN TAB 7.5 MG
SANCTURA TAB 20 MG
SANCUSO DIS 3.1 MG
SANDIMMUNE INJ 50 MG/ML
SANDOSTATIN INJ 50 MCG
SANDOSTATIN INJ 100 MCG/ML
SANDOSTATIN INJ 200 MCG/ML
SANDOSTATIN INJ 500 MCG/ML
SANDOSTATIN INJ 1000 MCG/ML
SARAFEM TAB 10 MG
SARAFEM TAB 20 MG
SEASONIQUE TAB
SECONAL CAP 100 MG
SECONAL SOD CAP 100 MG
SECTRAL CAP 200 MG
SECTRAL CAP 400 MG
SELECT-OB CHW
SELECT-OB+ PAK DHA
SEMPREX-D CAP 8-60 MG
SEROQUEL TAB 25 MG
SEROQUEL TAB 50 MG
SEROQUEL TAB 100 MG
SEROQUEL TAB 200 MG
SEROQUEL TAB 300 MG
SEROQUEL TAB 400 MG
SEROSTIM INJ 4 MG
SEROSTIM INJ 5 MG
SEROSTIM INJ 6 MG
SE-TAN DHA CAP
SILENOR TAB 3 MG
SILENOR TAB 6 MG
SILVADENE CRE 1%
SINEMET TAB 10-100 MG
SINEMET TAB 25-100 MG
SINEMET TAB 25-250 MG
SINEMET CR TAB 25-100 MG
SINEMET CR TAB 50-200 MG
SINGULAIR CHW 4 MG
SINGULAIR CHW 5 MG
SINGULAIR GRA 4 MG
SINGULAIR TAB 10 MG
SKELAXIN TAB 800 MG
SOD DIURIL INJ 500 MG
SOLARAZE GEL 3% W/W
SOLODYN TAB 55 MG
SOLODYN TAB 65 MG
SOLODYN TAB 80 MG
SOLODYN TAB 105 MG
SOLODYN TAB 115 MG
SOLU-MEDROL INJ 1 MG
SOLU-MEDROL INJ 40 GM
SOLU-MEDROL INJ 125 MG
SOLU-MEDROL INJ 500 MG
SOMA TAB 250 MG
SOMA TAB 350 MG
SONATA CAP 5 MG
SONATA CAP 10 MG
SOOLANTRA CRE 1%
SORIATANE CAP 10 MG
SORIATANE CAP 17.5 MG
Excluded Drugs
20
NM NP 11-16
SORIATANE CAP 25 MG
SORILUX AER 0.005%
SOTYLIZE SOL 5 MG/ML
SPECTRACEF TAB 200 MG
SPECTRACEF TAB 400 MG
SPORANOX CAP 100 MG
SPORANOX CAP PULSEPAK
SPRIX SPR 15.75 MG
STARLIX TAB 60 MG
STARLIX TAB 120 MG
STIOLTO AER 2.5-2.5
STRIANT MIS 30 MG
STROMECTOL TAB 3 MG
SUBLIMAZE INJ 100 MCG
SUBLIMAZE INJ 250 MCG
SUBLIMAZE INJ 1000 MCG
SUBSYS SPR 100 MCG
SUBSYS SPR 200 MCG
SUBSYS SPR 400 MCG
SUBSYS SPR 600 MCG
SUBSYS SPR 800 MCG
SUBSYS SPR 1200 MCG
SUBSYS SPR 1600 MCG
SUCLEAR KIT
SUFENTA INJ 50 MCG/ML
SULAR TAB 8.5 MG
SULAR TAB 17 MG
SULAR TAB 34 MG
SULFAMYLON PAK 5%
SUMAVEL DOSE INJ 4 MG/0.5 ML
SUMAVEL DOSE INJ 6 MG/0.5 ML
SUPRAX CHW 100 MG
SUPRAX CHW 200 MG
SUPRAX SUS 100 MG/5 ML
SUPRAX SUS 200 MG/5 ML
SUPRAX SUS 500 MG/5 ML
SURMONTIL CAP 25 MG
SURMONTIL CAP 50 MG
SURMONTIL CAP 100 MG
SYMBYAX CAP 3-25 MG
SYMBYAX CAP 6-25 MG
SYMBYAX CAP 6-50 MG
SYMBYAX CAP 12-25 MG
SYMBYAX CAP 12-50 MG
SYNALAR CRE 0.025%
SYNALAR OIN 0.025%
SYNALAR SOL 0.01%
SYNALGOS-DC CAP
SYNERA DIS 70-70 MG
TACLONEX OIN
TAPAZOLE TAB 5 MG
TAPAZOLE TAB 10 MG
TARGADOX TAB 50 MG
TARGRETIN CAP 75 MG
TARGRETIN GEL 1%
TARKA TAB 1-240 CR
TARKA TAB 2-180 CR
TARKA TAB 2-240 CR
TARKA TAB 4-240 CR
TARON-BC MIS
TARON-C DHA CAP
TARON-PREX CAP
TASMAR TAB 100 MG
TAXOTERE INJ 20 MG/ML
TAXOTERE INJ 80 MG/4 ML
TECHNIVIE TAB
TEKAMLO TAB 150-5 MG
TEKAMLO TAB 150-10 MG
TEKAMLO TAB 300-5 MG
TEKAMLO TAB 300-10 MG
TEKTURNA TAB 150 MG
TEKTURNA TAB 300 MG
TEKTURNA HCT TAB 150-12.5 MG
TEKTURNA HCT TAB 150-25 MG
TEKTURNA HCT TAB 300-12.5 MG
TEKTURNA HCT TAB 300-25 MG
TEMODAR CAP 5 MG
TEMODAR CAP 20 MG
TEMODAR CAP 100 MG
TEMODAR CAP 140 MG
TEMODAR CAP 180 MG
TEMODAR CAP 250 MG
TEMOVATE CRE 0.05%
TEMOVATE GEL 0.05%
TEMOVATE OIN 0.05%
TEMOVATE SOL 0.05%
TEMOVATE E CRE 0.05%EML
TENEX TAB 1 MG
TENEX TAB 2 MG
TENORETIC TAB 100
TENORETIC TAB 50
TENORMIN TAB 25 MG
TENORMIN TAB 50 MG
TENORMIN TAB 100 MG
TERAZOL 3 CRE 0.8%
TERAZOL 7 CRE 0.4%
TESSALON PER CAP 100 MG
TESTIM GEL 1%(50 MG)
TESTOSTERONE GEL 1%(25 MG)
TESTOSTERONE GEL 1%(50 MG)
TESTOSTERONE GEL 10 MG/ACT
TESTOSTERONE GEL PUMP 1%
TESTRED CAP 10 MG
TETRACYCLINE CAP 250 MG
TETRACYCLINE CAP 500 MG
TEVETEN TAB 600 MG
TEVETEN HCT TAB 600-12.5 MG
TEVETEN HCT TAB 600-25 MG
TEV-TROPIN INJ 5 MG
TEXACORT SOL 2.5%
THERA-FLUR-N DRO 1.1%
THIORIDAZINE TAB 10 MG
THIORIDAZINE TAB 25 MG
THIORIDAZINE TAB 50 MG
Excluded Drugs
21
NM NP 11-16
THIORIDAZINE TAB 100 MG
THRIVITE 19 TAB
THRIVITE RX TAB 29-1 MG
TIAZAC CAP 120 MG/24
TIAZAC CAP 180 MG/24
TIAZAC CAP 240 MG/24
TIAZAC CAP 300 MG/24
TIAZAC CAP 360 MG/24
TIAZAC CAP 420 MG/24
TICLOPIDINE TAB 250 MG
TIGAN CAP 300 MG
TIKOSYN CAP 125 MCG
TIKOSYN CAP 250 MCG
TIKOSYN CAP 500 MCG
TIMOLOL MAL TAB 5 MG
TIMOLOL MAL TAB 10 MG
TIMOLOL MAL TAB 20 MG
TIMOPTIC SOL 0.25% OP
TIMOPTIC SOL 0.5% OP
TIMOPTIC OCU SOL 0.25% OP
TIMOPTIC OCU SOL 0.5% OP
TIMOPTIC-XE SOL 0.25% OP
TIMOPTIC-XE SOL 0.5% OP
TINDAMAX TAB 250 MG
TINDAMAX TAB 500 MG
TIVORBEX CAP 20 MG
TIVORBEX CAP 40 MG
TL-CARE DHA CAP 27-1-500
TL FOLATE TAB
TL-SELECT CAP
TOBI NEB 300 MG/5 ML
TOBRADEX SUS 0.3-0.1%
TOBRADEX ST SUS 0.3-0.05%
TOBREX SOL 0.3% OP
TOFRANIL TAB 10 MG
TOFRANIL TAB 25 MG
TOFRANIL TAB 50 MG
TOFRANIL-PM CAP 75 MG
TOFRANIL-PM CAP 100 MG
TOFRANIL-PM CAP 125 MG
TOFRANIL-PM CAP 150 MG
TOLAK CRE 4%
TOLMETIN SOD TAB 200 MG
TOLMETIN SOD TAB 600 MG
TOPAMAX TAB 25 MG
TOPAMAX TAB 50 MG
TOPAMAX TAB 100 MG
TOPAMAX TAB 200 MG
TOPAMAX SPR CAP 15 MG
TOPAMAX SPR CAP 25 MG
TOPICORT CRE 0.05%
TOPICORT CRE 0.25%
TOPICORT GEL 0.05%
TOPICORT OIN 0.05%
TOPICORT OIN 0.25%
TOPICORT SPR 0.25%
TOPROL XL TAB 25 MG
TOPROL XL TAB 50 MG
TOPROL XL TAB 100 MG
TOPROL XL TAB 200 MG
TOVIAZ TAB 4 MG
TOVIAZ TAB 8 MG
TRAMADOL HCL CAP ER 100 MG
TRAMADOL HCL CAP ER 150 MG
TRAMADOL HCL CAP ER 200 MG
TRAMADOL HCL CAP ER 300 MG
TRANDATE TAB 100 MG
TRANDATE TAB 200 MG
TRANDATE TAB 300 MG
TRANXENE T TAB 3.75 MG
TRANXENE T TAB 7.5 MG
TRANXENE T TAB 15 MG
TRAVATAN Z DRO 0.004%
TRAVOPROST DRO 0.004%
TRETIN-X CRE 0.0375%
TRETIN-X CRE 0.075%
TREXIMET TAB 85-500 MG
TREZIX CAP
TRIADVANCE TAB
TRIAMCINOLON AER 55 MCG/AC
TRIAMCINOLON OIN 0.5%
TRIANEX OIN 0.05%
TRIAZOLAM TAB 0.125 MG
TRIAZOLAM TAB 0.25 MG
TRIBENZOR 20- TAB 5-12.5 MG
TRIBENZOR 40- TAB 5-12.5 MG
TRIBENZOR 40- TAB 5-25 MG
TRIBENZOR 40- TAB 10-12.5 MG
TRIBENZOR 40- TAB 10-25 MG
TRICARE PAK PRENATAL
TRICARE TAB PRENATAL
TRICARE PRE CAP 27-1-500
TRICOR TAB 48 MG
TRICOR TAB 145 MG
TRIGLIDE TAB 160 MG
TRILEPTAL SUS 300 MG/5 ML
TRILEPTAL TAB 150 MG
TRILEPTAL TAB 300 MG
TRILEPTAL TAB 600 MG
TRILIPIX CAP 45 MG
TRILIPIX CAP 135 MG
TRINATAL GT TAB
TRINATAL RX TAB 1
TRI-NORINYL TAB 28
TRIOSTAT INJ 10 MCG/ML
TRISTART DHA CAP
TRI-TABS DHA MIS
TRIVEEN-DUO PAK DHA
TRIVEEN-PRX CAP RNF
TRIZIVIR TAB
TROPHAMINE INJ 6%
TRUSOPT SOL 2% OP
TUDORZA PRES AER 400 MCG/ACT
TUSSICAPS CAP 5-4 MG
Excluded Drugs
22
NM NP 11-16
TUSSICAPS CAP 10-8 MG
TUSSIONEX SUS 10-8/5 ML
TUZISTRA XR SUS
TWYNSTA TAB 40-5 MG
TWYNSTA TAB 40-10 MG
TWYNSTA TAB 80-5 MG
TWYNSTA TAB 80-10 MG
TYLACTIN LIQ REST 10
TYLACTIN LIQ RTD 15
TYLENOL/COD TAB #3
TYLENOL/COD TAB #4
TYZINE SOL 0.1%
TYZINE PED DRO 0.05%
UCERIS TAB 9 MG
ULTANE SOL
ULTIMATECARE CAP ONE
ULTIMATECARE CAP ONE NF
ULTRA TABS TAB
ULTRACET TAB 37.5-325 MG
ULTRAM TAB 50 MG
ULTRAM ER TAB 100 MG
ULTRAM ER TAB 200 MG
ULTRAM ER TAB 300 MG
ULTRAVATE CRE 0.05%
ULTRAVATE OIN 0.05%
ULTRESA CAP 13800 UNIT
ULTRESA CAP 20700 UNIT
ULTRESA CAP 23000 UNIT
UNASYN INJ 1.5 GM
UNASYN INJ 3 GM
UNASYN INJ 15 GM
UNIRETIC TAB 15-12.5 MG
UNIVASC TAB 7.5 MG
UNIVASC TAB 15 MG
URECHOLINE TAB 5 MG
URECHOLINE TAB 10 MG
URECHOLINE TAB 25 MG
URECHOLINE TAB 50 MG
UROCIT-K 5 TAB
UROCIT-K 10 TAB
UROCIT-K 15 TAB
UROXATRAL TAB 10 MG
URSO 250 TAB 250 MG
URSO FORTE TAB 500 MG
UTIBRON CAP NEOHALER
VALCYTE TAB 450 MG
VALIUM TAB 2 MG
VALIUM TAB 5 MG
VALIUM TAB 10 MG
VALTREX TAB 1 GM
VALTREX TAB 500 MG
VANATOL LQ SOL
VANCOCIN HCL CAP 125 MG
VANCOCIN HCL CAP 250 MG
VANOS CRE 0.1%
VASCEPA CAP 1 GM
VASERETIC TAB 10-25 MG
VASOTEC TAB 2.5 MG
VASOTEC TAB 5 MG
VASOTEC TAB 10 MG
VASOTEC TAB 20 MG
VECTICAL OIN 3 MCG/GM
VELTIN GEL
VEMAVITE- CAP PRX 2
VENA-BAL MIS DHA
VENATAL-FA TAB
VENLAFAXINE TAB 37.5 MG ER
VENLAFAXINE TAB 75 MG ER
VENLAFAXINE TAB 150 MG ER
VENLAFAXINE TAB 225 MG ER
VERAMYST SPR 27.5 MCG
VERDESO AER 0.05%
VERELAN CAP 120 MG SR
VERELAN CAP 180 MG SR
VERELAN CAP 240 MG SR
VERELAN CAP 360 MG SR
VERELAN PM CAP 100 MG ER
VERELAN PM CAP 200 MG ER
VERELAN PM CAP 300 MG ER
VFEND SUS 40 MG/ML
VFEND TAB 50 MG
VFEND TAB 200 MG
VFEND IV INJ 200 MG
VIBERZI TAB 75 MG
VIBERZI TAB 100 MG
VIBRAMYCIN CAP 100 MG
VIBRAMYCIN SUS 25 MG/5 ML
VIBRAMYCIN SYP 50 MG/5 ML
VICOPROFEN TAB 7.5-200 MG
VICTRELIS CAP 200 MG
VIDAZA INJ 100 MG
VIDEX EC CAP 125 MG
VIDEX EC CAP 200 MG
VIDEX EC CAP 250 MG
VIDEX EC CAP 400 MG
VIEKIRA PAK TAB
VIGAMOX DRO 0.5%
VILACTIN AA LIQ PLUS
VIMOVO TAB 375-20 MG
VIMOVO TAB 500-20 MG
VINACAL B MIS
VINATE AZ EX TAB
VINATE C TAB
VINATE CARE CHW
VINATE DHA CAP 27-1.13 MG
VIOKACE TAB
VIOKACE TAB 20880
VIRAMUNE TAB 200 MG
VIRAMUNE XR TAB 100 MG
VIRAMUNE XR TAB 400 MG
VIROPTIC SOL 1% OP
VIRT-ADVANCE TAB 90-1 MG
VIRT-C DHA CAP
VIRT-CARE CAP ONE
Excluded Drugs
23
NM NP 11-16
VIRT-NATE CAP DHA
VIRT NATE TAB
VIRT NATE TAB 28-1 MG
VIRT-PN DHA CAP
VIRT-PN PLUS CAP
VIRT-PN TAB
VIRTPREX CAP
VIRT-SELECT CAP
VIRT-VITE GT TAB 90-1 MG
VISTARIL CAP 25 MG
VISTARIL CAP 50 MG
VISTIDE INJ 75 MG/ML
VITAFOL CAP ULTRA
VITAFOL CHW GUMMIES
VITAFOL FE+ CAP
VITAFOL-NANO TAB
VITAFOL-OB PAK +DHA
VITAFOL-OB TAB 65-1 MG
VITAFOL-ONE CAP
VITAMEDMD CAP ONE RX
VITAMEDMD MIS PLUS RX
VITAPEARL CAP
VITA-PREN TAB
VITATRUE MIS
VITUZ SOL 5-4 MG
VIVA DHA CAP
VIVACTIL TAB 5 MG
VIVACTIL TAB 10 MG
VIVELLE-DOT DIS 0.025 MG
VIVELLE-DOT DIS 0.0375 MG
VIVELLE-DOT DIS 0.05 MG
VIVELLE-DOT DIS 0.075 MG
VIVELLE-DOT DIS 0.1 MG
VIVLODEX CAP 5 MG
VIVLODEX CAP 10 MG
VOGELXO GEL 1%(50 MG)
VOGELXO GEL PUMP 1%
VOL-NATE TAB
VOL-PLUS TAB
VOL-TAB RX TAB
VOLTAREN GEL 1%
VOLTAREN-XR TAB 100 MG
VOSOL HC SOL OTIC
VOSPIRE ER TAB 4 MG
VOSPIRE ER TAB 8 MG
VP-CH PLUS CAP
VP-CH-PNV CAP
VP CH ULTRA CAP
VP-GGR-B6 TAB PRENATAL
VP-HEME OB MIS + DHA
VP-HEME OB TAB
VP-HEME-OB TAB 28-6-1 MG
VP-HEME ONE CAP
VP-PNV-DHA CAP
VUSION OIN
VYTORIN TAB 10-10 MG
VYTORIN TAB 10-20 MG
VYTORIN TAB 10-40 MG
VYTORIN TAB 10-80 MG
WELLBUTRIN TAB 75 MG
WELLBUTRIN TAB 100 MG
WELLBUTRIN TAB 100 MG SR
WELLBUTRIN TAB 150 MG SR
WELLBUTRIN TAB 200 MG SR
WELLBUTRIN TAB XL 150 MG
WELLBUTRIN TAB XL 300 MG
WESTCORT OIN 0.2%
XALATAN SOL 0.005%
XANAX TAB 0.25 MG
XANAX TAB 0.5 MG
XANAX TAB 1 MG
XANAX TAB 2 MG
XANAX XR TAB 0.5 MG
XANAX XR TAB 1 MG
XANAX XR TAB 2 MG
XANAX XR TAB 3 MG
XARTEMIS XR TAB 7.5-325 MG
XELODA TAB 150 MG
XELODA TAB 500 MG
XENAZINE TAB 12.5 MG
XENAZINE TAB 25 MG
XERESE CRE 5-1%
XIGDUO XR TAB 5-500 MG
XIGDUO XR TAB 5-1000 MG
XIGDUO XR TAB 10-500 MG
XIGDUO XR TAB 10-1000 MG
XODOL TAB 5-300 MG
XODOL TAB 7.5-300 MG
XODOL TAB 10-300 MG
XOLEGEL GEL 2%
XOPENEX NEB 0.31 MG
XOPENEX NEB 0.63 MG
XOPENEX NEB 1.25 MG/3 ML XOPENEX CONC NEB 1.25 MG/0.5 ML
XOPENEX HFA AER
XURIDEN POW 2 GM
XYLO/EPI INJ 0.5%
XYLO/EPI INJ 2%
XYLO/EPI 1%- INJ 1:100000
XYLOCAINE INJ 0.5%
XYLOCAINE INJ 1%
XYLOCAINE INJ 2%
XYLOCAINE INJ MPF 0.5%
XYLOCAINE INJ -MPF 1%
XYLOCAINE INJ MPF 1.5%
XYLOCAINE INJ -MPF 2%
XYLOCAINE INJ -MPF 4%
XYLOCAINE SOL 4%
XYLO-MPF/EPI INJ 1.5%
XYLO-MPF/EPI INJ 2%
XYZAL SOL
XYZAL SOL 2.5 MG/5 ML
XYZAL TAB 5 MG
YASMIN 28 TAB 3-0.03 MG
Excluded Drugs
24
NM NP 11-16
YAZ TAB 3-0.02 MG
ZAMICET SOL 10-325 MG
ZANAFLEX CAP 2 MG
ZANAFLEX CAP 4 MG
ZANAFLEX CAP 6MG
ZANAFLEX TAB 4 MG
ZANTAC INJ 25 MG/ML
ZANTAC INJ 50 MG/2 ML
ZANTAC TAB 150 MG
ZANTAC TAB 300 MG
ZAROXOLYN TAB 2.5 MG
ZAROXOLYN TAB 5 MG
ZATEAN-CH CAP
ZATEAN-PN CAP DHA
ZATEAN-PN CAP PLUS
ZATEAN-PN TAB
ZEBETA TAB 5 MG
ZEBETA TAB 10 MG
ZECUITY PAD 6.5 MG/4H
ZEGERID CAP 20-1100 MG
ZEGERID CAP 40-1100 MG
ZEGERID POW 20-1680
ZEGERID POW 40-1680
ZEMPLAR CAP 1 MCG
ZEMPLAR CAP 2 MCG
ZEMPLAR INJ 2 MCG/ML
ZEMPLAR INJ 5 MCG/ML
ZEMURON INJ 10 MG/ML
ZENZEDI TAB 2.5 MG
ZENZEDI TAB 7.5 MG
ZENZEDI TAB 15 MG
ZENZEDI TAB 20 MG
ZENZEDI TAB 30 MG
ZEPATIER TAB 50-100 MG
ZERIT CAP 15 MG
ZERIT CAP 20 MG
ZERIT CAP 30 MG
ZERIT CAP 40 MG
ZERIT SOL 1 MG/ML
ZESTORETIC TAB 10-12.5 MG
ZESTORETIC TAB 20-12.5 MG
ZESTORETIC TAB 20-25 MG
ZESTRIL TAB 2.5 MG
ZESTRIL TAB 5 MG
ZESTRIL TAB 10 MG
ZESTRIL TAB 20 MG
ZESTRIL TAB 30 MG
ZESTRIL TAB 40 MG
ZETONNA AER 37 MCG
ZIAC TAB 2.5/6.25 MG
ZIAC TAB 5/6.25 MG
ZIAC TAB 10/6.25 MG
ZIAGEN TAB 300 MG
ZIANA GEL
ZINACEF INJ 1.5 GM
ZINACEF INJ 7.5 GM
ZINACEF INJ 750 MG
ZINECARD INJ 250 MG
ZINECARD INJ 500 MG
ZIOPTAN DRO 0.0015%
ZIPSOR CAP 25 MG
ZIRGAN GEL 0.15%
ZITHROMAX INJ 500 MG
ZITHROMAX SUS 100 MG/5 ML
ZITHROMAX SUS 200 MG/5 ML
ZITHROMAX TAB 250 MG
ZITHROMAX TAB 500 MG
ZITHROMAX TAB 600 MG
ZITHROMAX TAB TRI-PAK
ZITHROMAX TAB Z-PAK
ZOCOR TAB 5 MG
ZOCOR TAB 10 MG
ZOCOR TAB 20 MG
ZOCOR TAB 40 MG
ZOCOR TAB 80 MG
ZOFRAN INJ 40 MG/20 ML
ZOFRAN SOL 4 MG/5 ML
ZOFRAN TAB 4 MG
ZOFRAN TAB 4 MG ODT
ZOFRAN TAB 8 MG
ZOFRAN TAB 8 MG ODT
ZOHYDRO ER CAP 10 MG
ZOHYDRO ER CAP 15 MG
ZOHYDRO ER CAP 20 MG
ZOHYDRO ER CAP 30 MG
ZOHYDRO ER CAP 40 MG
ZOHYDRO ER CAP 50 MG
ZOLOFT CON 20 MG/ML
ZOLOFT TAB 25 MG
ZOLOFT TAB 50 MG
ZOLOFT TAB 100 MG
ZOLPIMIST SPR 5 MG
ZOMACTON INJ 5 MG
ZOMACTON INJ 10 MG
ZOMETA INJ 4 MG/5 ML
ZOMIG SPR 2.5 MG
ZOMIG TAB 2.5 MG
ZOMIG TAB 5 MG
ZOMIG NASAL SPR 5 MG
ZOMIG ZMT TAB 2.5 MG
ZOMIG ZMT TAB 5 MG
ZONATUSS CAP 150 MG
ZONEGRAN CAP 25 MG
ZONEGRAN CAP 100 MG
ZORBTIVE INJ 8.8 MG
ZORVOLEX CAP 18 MG
ZORVOLEX CAP 35 MG
ZOSYN INJ 2-0.25 GM
ZOSYN INJ 3-0.375G GM
ZOSYN INJ 4-0.5 GM
ZOSYN INJ 36-4.5 GM
ZOVIRAX CAP 200 MG
ZOVIRAX CRE 5%
ZOVIRAX OIN 5%
Excluded Drugs
25
NM NP 11-16
ZOVIRAX SUS 200 MG/5 ML
ZOVIRAX TAB 400 MG
ZOVIRAX TAB 800 MG
ZUBSOLV SUB 1.4-0.36 MG
ZUBSOLV SUB 2.9-0.71 MG
ZUBSOLV SUB 5.7-1.4 MG
ZUBSOLV SUB 8.6-2.1 MG
ZUBSOLV SUB 11.4-2.9 MG
ZUPLENZ MIS 4 MG
ZUPLENZ MIS 8 MG
ZUTRIPRO LIQ 60-4-5 MG
ZYBAN TAB 150 MG SR
ZYCLARA CRE 3.75%
ZYCLARA PUMP CRE 2.5%
ZYCLARA PUMP CRE 3.75%
ZYFLO TAB 600 MG
ZYFLO CR TAB 600 MG
ZYLET SUS 0.5-0.3%
ZYLOPRIM TAB 100 MG
ZYLOPRIM TAB 300 MG
ZYMAXID SOL 0.5%
ZYPREXA INJ 10 MG
ZYPREXA TAB 2.5 MG
ZYPREXA TAB 5 MG
ZYPREXA TAB 7.5 MG
ZYPREXA TAB 10 MG
ZYPREXA TAB 15 MG
ZYPREXA TAB 20 MG
ZYPREXA ZYDI TAB 5 MG
ZYPREXA ZYDI TAB 10 MG
ZYPREXA ZYDI TAB 15 MG
ZYPREXA ZYDI TAB 20 MG
ZYVOX SOL 2 MG/ML
ZYVOX SUS 100 MG/5 ML
ZYVOX TAB 600 MG
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