Medicaid-Approved Preferred Drug List Documents/FLFL_CAID_PDL.pdf · Reference. Notes. morphine oral solution 10 mg/5 ml, 20 mg/5 ml (4 mg/ml) QL. morphine oral tablet 15 mg, 30 mg

Florida Healthy Kids

Medicaid-Approved

Preferred Drug List

Effective November 1, 2017

Legend

In each class, drugs are listed alphabetically by either brand name or generic name.

Brand name drug: Uppercase in bold type

Generic drug: Lowercase in plain type

AL: Age Limit Restrictions

DO: Dose Optimization Program

GR: Gender Restriction

OTC: Over the counter medication available with a prescription. (Prescribers please indicate OTC on the prescription)

PA: Prior authorization is required. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled.

QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month.

SP: Specialty Pharmacy

ST: Step therapy is required. You may need to use one medication before benefits for the use of another medication can be authorized.

lowercase = Generic drugsUPPERCASE BOLD = Brand name drugs Notes

Drug Name Reference Notes

ALTERNATIVE THERAPY

ALTERNATIVE THERAPY - ANTIOXIDANT

antioxidant a/c/e/selenium oral capsule OTC

antioxidant vitamins oral tablet OTC; QL

e-400 c-500 and beta carotene oral tablet OTC

eye health plus lutein oral tablet OTC; QL

healthy eyes oral tablet OTC; QL

healthy eyes supervision oral capsule OTC

ICAPS AREDS ORAL CAPSULE OTC

i-vite oral tablet OTC; QL

i-vite protect oral tablet OTC; QL

MACUVITE WITH LUTEIN ORAL TABLET OTC

multi-betic oral tablet OTC; QL

OCUVITE LUTEIN AND ZEAXANTHIN ORAL CAPSULE

OTC

OCUVITE ORAL CAPSULE OTC

OCUVITE WITH LUTEIN ORAL TABLET OTC; QL

opti-vitamins oral tablet OTC; QL

PRESERVISION AREDS ORAL CAPSULE OTC

PRESERVISION AREDS ORAL TABLET OTC; QL

prosight oral tablet OTC; QL

SAVISION ORAL TABLET OTC; QL

super antioxidant oral capsule OTC

ultra antioxidant formula oral tablet OTC

vision formula (with lutein) oral tablet OTC; QL

ALTERNATIVE THERAPY - UNCLASSIFIED

CHEW Q ORAL TABLET,CHEWABLE OTC

CHEW Q ORAL WAFER OTC

co q-10 (with vit e) oral capsule OTC

co q-10 oral capsule OTC

coenzyme q10 oral capsule OTC

coenzyme q10 oral tablet OTC

coenzyme q10-vitamin e oral capsule Co Q-10 (with Vit E) OTC

coq-10 oral capsule OTC

echinacea herb oral capsule OTC

1


echinacea oral capsule OTC

echinacea purp leaf-ang rt ext oral capsule OTC

echinacea purpurea aerial oral capsule OTC

effervescent formula oral tablet, effervescent OTC

goldenseal root oral capsule OTC

h2q oral capsule OTC

healthy heart complex oral tablet OTC

melatonin (with b6) oral tablet OTC; QL

melatonin-pyridoxine (vit b6) oral tablet Melatonin (with B6) OTC; QL

mg-plus-protein oral tablet OTC

q-gel forte oral capsule OTC

q-gel mega oral capsule OTC

q-gel oral capsule OTC

q-gel ultra oral capsule OTC

q-sorb co q-10 oral capsule OTC

q-up oral liquid OTC

SYSTANE VITAMIN ORAL CAPSULE OTC

ESTROGENIC AGENTS

MENOPAUSE SUPPORT ORAL TABLET OTC

ANALGESIC, ANTI-INFLAMMATORY OR ANTIPYRETIC

ANALGESIC/ANTIPYRETICS, SALICYLATES

added strength headache relief oral tablet OTC

adult low dose aspirin oral tablet,delayed release (dr/ec)

OTC; QL

antacid and pain relief oral tablet, effervescent OTC

aspir-81 oral tablet,delayed release (dr/ec) OTC; QL

aspirin childrens oral tablet,chewable OTC; QL

aspirin low dose oral tablet,delayed release (dr/ec)

OTC; QL

aspirin oral tablet Bayer Aspirin OTC; QL

aspirin oral tablet,chewable Aspirin Childrens OTC; QL

aspirin oral tablet,delayed release (dr/ec) 325 mg

Aspir-Trin OTC; QL

aspirin oral tablet,delayed release (dr/ec) 500 mg, 650 mg

OTC


Adult Low Dose Aspirin OTC; QL

aspirin rectal suppository OTC

aspirin, buffered oral tablet Buffered Aspirin OTC

2


aspir-low oral tablet,delayed release (dr/ec) OTC; QL

aspir-trin oral tablet,delayed release (dr/ec) OTC; QL

back and body pain reliever oral tablet OTC

bayer advanced oral tablet OTC

bayer aspirin oral tablet OTC; QL

bufferin oral tablet OTC

butalbital-aspirin-caffeine oral capsule Fiorinal QL

butalbital-aspirin-caffeine oral tablet

children's aspirin oral tablet,chewable OTC; QL

choline,magnesium salicylate oral liquid

diflunisal oral tablet

e.c. prin oral tablet,delayed release (dr/ec) OTC; QL

efferves pain relief antacid oral tablet, effervescent

OTC

enteric coated aspirin oral tablet,delayed release (dr/ec)

OTC; QL

headache relief (asa-acet-caf) oral tablet OTC

lite coat aspirin oral tablet OTC; QL

lo-dose aspirin oral tablet,delayed release (dr/ec)

OTC; QL

migraine formula oral tablet OTC

migraine relief oral tablet OTC

pain relief (acetamin-asp-caf) oral tablet OTC

pain reliever (acetam-aspirin) oral tablet OTC

pain reliever plus oral tablet OTC

pain-off oral tablet OTC

pamprin max oral tablet OTC

salsalate oral tablet Disalcid

super pain relief oral tablet OTC

tri-buffered aspirin oral tablet OTC

ANALGESICS, NARCOTICS

acetaminophen-codeine oral solution 120 mg-12 mg /5 ml (5 ml), 120-12 mg/5 ml

QL

acetaminophen-codeine oral solution 240 mg-24 mg /10 ml (10 ml), 300 mg-30 mg /12.5 ml

acetaminophen-codeine oral tablet 300-15 mg QL

acetaminophen-codeine oral tablet 300-30 mg Tylenol-Codeine #3 QL

acetaminophen-codeine oral tablet 300-60 mg Tylenol-Codeine #4 QL

ascomp with codeine oral capsule QL

aspirin-caffeine-dihydrocodein oral capsule Synalgos-DC QL

butalbital compound w/codeine oral capsule QL

3


butalbital compound-codeine oral capsule QL

butalbital-acetaminop-caf-cod oral capsule QL

butorphanol tartrate nasal spray,non-aerosol PA; QL

codeine sulfate oral tablet 15 mg, 30 mg, 60 mg

QL

codeine-butalbital-asa-caff oral capsule Ascomp with Codeine QL

diskets oral tablet,soluble QL

endocet oral tablet QL

fentanyl citrate buccal lozenge on a handle Actiq PA; QL

fentanyl transdermal patch 72 hour Duragesic PA; QL

hydrocodone-acetaminophen oral solution Hycet QL

hydrocodone-acetaminophen oral tablet 10-300 mg

Vicodin HP QL


Lorcet HD QL

hydrocodone-acetaminophen oral tablet 2.5-325 mg

Verdrocet QL


Vicodin QL


Lorcet (hydrocodone) QL


Vicodin ES QL


Lorcet Plus QL

hydrocodone-ibuprofen oral tablet QL

hydromorphone oral liquid Dilaudid QL

hydromorphone oral tablet 2 mg, 4 mg, 8 mg Dilaudid QL

hydromorphone rectal suppository QL

meperidine oral solution QL

meperidine oral tablet 100 mg Demerol QL

meperidine oral tablet 50 mg QL

methadone intensol oral concentrate PA; QL

methadone oral concentrate Methadone Intensol PA; QL

methadone oral solution 10 mg/5 ml, 5 mg/5 ml

PA; QL

methadone oral tablet 10 mg, 5 mg Dolophine PA; QL

methadone oral tablet,soluble Diskets PA; QL

methadose oral concentrate PA; QL

methadose oral tablet,soluble PA; QL

morphine concentrate oral solution QL

4


morphine oral solution 10 mg/5 ml, 20 mg/5 ml (4 mg/ml)

QL

morphine oral tablet 15 mg, 30 mg QL

morphine oral tablet extended release 100 mg, 15 mg, 200 mg, 30 mg, 60 mg

MS Contin PA; QL

morphine rectal suppository QL

oxycodone oral capsule QL

oxycodone oral concentrate QL

oxycodone oral solution QL

oxycodone oral tablet 10 mg, 20 mg QL

oxycodone oral tablet 15 mg, 30 mg, 5 mg Roxicodone QL

oxycodone-acetaminophen oral tablet Endocet QL

oxycodone-aspirin oral tablet QL

pentazocine-naloxone oral tablet QL

tramadol oral tablet Ultram QL

tramadol-acetaminophen oral tablet Ultracet QL

vicodin es oral tablet QL

vicodin hp oral tablet QL

vicodin oral tablet QL

zamicet oral solution QL

ANALGESICS, NON-NARCOTIC

8 hour pain reliever oral tablet extended release

OTC; QL

acephen rectal suppository OTC

acetaminophen extra strength oral tablet OTC; QL

acetaminophen oral drops,suspension Infant's Pain Relief OTC; QL

acetaminophen oral elixir Non-Aspirin OTC

acetaminophen oral liquid Children's Pain-Fever Relief OTC

acetaminophen oral solution Mapap (acetaminophen) OTC

acetaminophen oral suspension 160 mg/5 ml BetaTemp OTC; QL

acetaminophen oral suspension 160 mg/5 ml (5 ml)

Children's Acetaminophen OTC

acetaminophen oral tablet 325 mg Athenol OTC

acetaminophen oral tablet 500 mg Acetaminophen Extra Strength OTC; QL

acetaminophen oral tablet extended release 8 Hour Pain Reliever OTC; QL

acetaminophen oral tablet,chewable Children's Acetaminophen OTC; QL

acetaminophen oral tablet,disintegrating Children's Acetaminophen OTC

acetaminophen pain relief oral tablet OTC; QL

acetaminophen rectal suppository Acephen OTC

arthritis pain relief (acetam) oral tablet extended release

OTC; QL

5


arthritis pain reliever oral tablet extended release

OTC; QL

athenol oral tablet OTC

betatemp oral suspension OTC; QL

butalbital-acetaminophen oral tablet Marten-Tab QL

butalbital-acetaminophen-caff oral capsule Capacet QL

butalbital-acetaminophen-caff oral tablet Esgic QL

capacet oral capsule QL

child pain rel-fever reducer rectal suppository OTC

children's acetaminophen oral suspension OTC; QL

children's acetaminophen oral tablet,chewable OTC; QL

children's acetaminophen oral tablet,disintegrating

OTC

children's easy-melts oral tablet,disintegrating OTC

children's fever reducing rectal suppository OTC

children's mapap oral tablet,disintegrating OTC

children's non-aspirin oral suspension OTC; QL

children's non-aspirin oral tablet,chewable OTC; QL

children's non-aspirin pain oral tablet,chewable

OTC; QL

children's pain relief oral suspension OTC; QL

children's pain reliever oral suspension OTC; QL

children's pain reliever oral tablet,disintegrating

OTC

children's pain-fever relief oral liquid OTC

children's pain-fever relief oral suspension OTC; QL

children's pain-fever relief oral tablet,chewable OTC; QL

children's pain-fever relief oral tablet,disintegrating

OTC

children's silapap oral liquid OTC

children's tactinal oral tablet,chewable OTC; QL

ed-apap oral liquid OTC

fever reducer an pain reliever oral suspension OTC; QL

fever reducer rectal suppository OTC

feverall rectal suppository OTC

infant fever reducer-pain relf oral suspension OTC; QL

infant pain reliever oral suspension OTC; QL

infant's non-aspirin oral drops,suspension OTC; QL

infants' pain and fever oral suspension OTC; QL

infant's pain relief oral drops,suspension OTC; QL

infants' pain relief oral suspension OTC; QL

6


infant's pain relief oral suspension OTC; QL

infant's pain reliever oral drops,suspension OTC; QL

jr. acetaminophen oral tablet,disintegrating OTC

jr. str non-aspirin pain oral tablet,disintegrating OTC

jr. strength pain reliever oral tablet,disintegrating

OTC

junior mapap oral tablet,disintegrating OTC

little remedies fever and pain oral liquid OTC; QL

mapap (acetaminophen) oral capsule OTC; QL

mapap (acetaminophen) oral drops,suspension

OTC; QL

mapap (acetaminophen) oral liquid OTC

mapap (acetaminophen) oral suspension OTC; QL

mapap (acetaminophen) oral tablet OTC

mapap (acetaminophen) oral tablet,chewable OTC; QL

mapap arthritis pain oral tablet extended release

OTC; QL

mapap extra strength oral tablet OTC; QL

marten-tab oral tablet QL

masophen oral tablet 325 mg OTC

masophen oral tablet 500 mg OTC; QL

non-aspirin childrens oral drops OTC

non-aspirin children's oral tablet,chewable OTC; QL

non-aspirin extra strength oral liquid OTC

non-aspirin extra strength oral tablet OTC; QL

non-aspirin jr strength oral tablet,chewable OTC; QL

non-aspirin oral elixir OTC

non-aspirin oral suspension OTC; QL

non-aspirin oral tablet OTC

non-aspirin oral tablet,chewable OTC; QL

non-aspirin pain relief oral tablet 325 mg OTC

non-aspirin pain relief oral tablet 500 mg OTC; QL

nortemp oral drops OTC

nortemp oral suspension OTC; QL

pain and fever oral tablet 325 mg OTC

pain and fever oral tablet 500 mg OTC; QL

pain relief adult oral liquid OTC

pain relief extra strength oral tablet OTC; QL

pain relief oral liquid OTC

pain relief oral tablet OTC; QL

7


pain relief oral tablet extended release OTC; QL

pain relief regular strength oral tablet OTC

pain reliever extra strength oral tablet OTC; QL

pain reliever jr strength oral tablet,chewable OTC; QL

pain reliever oral capsule OTC; QL

pain reliever oral tablet 325 mg OTC

pain reliever oral tablet 500 mg OTC; QL

pediacare fever reducer oral suspension OTC; QL

pharbetol oral tablet 325 mg OTC

pharbetol oral tablet 500 mg OTC; QL

pre-menstrual relief oral tablet OTC

premsyn pms oral tablet OTC

tactinal extra strength oral tablet OTC; QL

tactinal oral tablet OTC

tencon oral tablet 50-325 mg QL

tencon oral tablet 50-650 mg

tylophen oral capsule OTC; QL

ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR

ENBREL SUBCUTANEOUS RECON SOLN PA; QL

ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML)

PA; QL

ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL

HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT

PA; QL

HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT

PA; QL

HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT

PA; QL

HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT

PA; QL

HUMIRA SUBCUTANEOUS SYRINGE KIT PA; QL

ANTI-INFLAMMATORY, PYRIMIDINE SYNTHESIS INHIBITOR

leflunomide oral tablet Arava

RIDAURA ORAL CAPSULE

CHELATING AGENTS

DEPEN TITRATABS ORAL TABLET PA

minocycline oral capsule Minocin

minocycline oral tablet

8


sulfasalazine oral tablet Azulfidine QL

sulfasalazine oral tablet,delayed release (dr/ec)

Azulfidine EN-tabs QL

DMARD - ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITING AGENTS

ENBREL SUBCUTANEOUS RECON SOLN PA; QL

ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML)

PA; QL

ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL


PA; QL


PA; QL


PA; QL


PA; QL


IMMUNOSUPRESSANTS

cyclosporine modified oral capsule Gengraf

cyclosporine modified oral solution Gengraf

cyclosporine oral capsule Sandimmune

gengraf oral capsule

gengraf oral solution

mycophenolate mofetil oral suspension for reconstitution

CellCept

SANDIMMUNE ORAL SOLUTION

NSAIDS

advil oral tablet OTC

advil oral tablet,chewable OTC; QL

all day pain relief oral tablet OTC; QL

all day relief oral tablet OTC; QL

child ibuprofen oral suspension OTC; QL

children's advil oral suspension OTC; QL

children's ibuprofen oral suspension OTC; QL

children's profen ib oral suspension OTC; QL

diclofenac potassium oral tablet

diclofenac sodium oral tablet extended release 24 hr

Voltaren-XR PA

9


diclofenac sodium oral tablet,delayed release (dr/ec)

etodolac oral capsule

etodolac oral tablet Lodine

etodolac oral tablet extended release 24 hr

fenoprofen oral tablet ProFeno QL

flanax (naproxen) oral tablet OTC; QL

flurbiprofen oral tablet

ibu-drops oral drops,suspension OTC

ibuprofen ib oral tablet OTC; QL

ibuprofen ib oral tablet,chewable OTC; QL

ibuprofen jr strength oral tablet,chewable OTC; QL

ibuprofen oral capsule Advil Liqui-Gel PA; OTC

ibuprofen oral drops,suspension Ibu-Drops OTC; QL

ibuprofen oral suspension Child Ibuprofen OTC; QL

ibuprofen oral tablet 100 mg Advil OTC

ibuprofen oral tablet 200 mg Advil OTC; QL

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

ibuprofen pm oral tablet OTC

ibuprofen-diphenhydramine cit oral tablet Advil PM OTC

indomethacin oral capsule

indomethacin oral capsule, extended release

infants ibu-drops oral drops,suspension OTC; QL

infant's ibuprofen oral drops,suspension OTC; QL

infants profenib oral drops,suspension OTC; QL

i-prin oral tablet OTC; QL

ketoprofen oral capsule

ketoprofen oral capsule,ext rel. pellets 24 hr QL

ketorolac oral tablet QL

meclofenamate oral capsule 100 mg, 50 mg QL

mediproxen oral tablet OTC; QL

meloxicam oral suspension

meloxicam oral tablet 15 mg Mobic

meloxicam oral tablet 7.5 mg Mobic PA

motrin pm oral tablet OTC

nabumetone oral tablet

naproxen oral suspension Naprosyn PA

naproxen oral tablet

naproxen oral tablet,delayed release (dr/ec) EC-Naprosyn PA

naproxen sodium oral capsule Aleve OTC

10


naproxen sodium oral tablet 220 mg Aleve OTC; QL

naproxen sodium oral tablet 275 mg

naproxen sodium oral tablet 550 mg Anaprox DS

oxaprozin oral tablet Daypro

piroxicam oral capsule Feldene PA

provil oral tablet OTC; QL

sulindac oral tablet

tolmetin oral capsule

tolmetin oral tablet

wal-profen oral capsule PA; OTC

wal-profen oral tablet OTC; QL

wal-proxen oral tablet OTC; QL

ANESTHETICS

TOPICAL ANESTHETICS

lidocaine hcl laryngotracheal solution LTA Pre-Attached QL

lidocaine topical ointment QL

ANORECTAL PREPARATIONS

HEMORRHOIDAL PREPARATIONS

anu-med rectal suppository OTC

hemorrhoid rectal ointment OTC

hemorrhoidal (phenyleph-cocoa) rectal suppository

OTC

hemorrhoidal rectal ointment OTC

hemorrhoidal rectal suppository OTC

hemorrhoidal suppository rectal suppository OTC

hydrocortisone topical cream with perineal applicator

Anusol-HC QL

proctosol hc topical cream with perineal applicator

proctozone-hc topical cream with perineal applicator

QL

ANTIDOTES AND OTHER REVERSAL AGENTS

CHELATING AGENTS

CHEMET ORAL CAPSULE PA

deferoxamine injection recon soln Desferal

DEPEN TITRATABS ORAL TABLET PA

SYPRINE ORAL CAPSULE PA; QL

NARCOTIC ANTAGONISTS

naloxone injection solution QL

11


naloxone injection syringe QL

naltrexone oral tablet

NARCAN NASAL SPRAY,NON-AEROSOL QL

ANTI-INFECTIVE AGENTS

ABSORBABLE SULFONAMIDES

sulfamethoxazole-trimethoprim oral suspension

Sulfatrim

sulfamethoxazole-trimethoprim oral tablet Bactrim

trimethoprim oral tablet

AMEBICIDES

paromomycin oral capsule

AMINOGLYCOSIDES

neomycin oral tablet

ANAEROBIC ANTIPROTOZOAL ANTIBACTERIAL AGENTS

metronidazole oral capsule Flagyl

metronidazole oral tablet Flagyl

tinidazole oral tablet 250 mg QL

tinidazole oral tablet 500 mg Tindamax QL

ANTHELMINTICS

ALBENZA ORAL TABLET

BILTRICIDE ORAL TABLET

ivermectin oral tablet Stromectol

pin-x oral suspension OTC

pin-x oral tablet,chewable OTC

reese's pinworm medicine oral suspension OTC

ANTIFUNGAL ANTIBIOTICS

fluconazole oral suspension for reconstitution 10 mg/ml, 40 mg/ml

Diflucan QL

fluconazole oral tablet 100 mg, 150 mg, 200 mg, 50 mg

Diflucan QL

flucytosine oral capsule Ancobon

griseofulvin microsize oral suspension

griseofulvin ultramicrosize oral tablet Gris-PEG (ultramicrosize)

itraconazole oral capsule Sporanox PA

ketoconazole oral tablet QL

nystatin oral powder

nystatin oral tablet

terbinafine hcl oral tablet Lamisil QL

voriconazole intravenous solution Vfend IV PA

12


voriconazole oral suspension for reconstitution

Vfend PA

voriconazole oral tablet 200 mg Vfend PA; QL

voriconazole oral tablet 50 mg Vfend PA

ANTIMYCOBACTERIUM AGENTS

ethambutol oral tablet Myambutol

isoniazid oral solution

isoniazid oral tablet

PRIFTIN ORAL TABLET

pyrazinamide oral tablet

rifabutin oral capsule Mycobutin

rifampin oral capsule Rifadin

RIFATER ORAL TABLET

sulfadiazine oral tablet

ANTIVIRALS, GENERAL

acyclovir oral capsule Zovirax

acyclovir oral suspension Zovirax

acyclovir oral tablet Zovirax

famciclovir oral tablet 125 mg, 250 mg, 500 mg

QL

oseltamivir oral capsule 30 mg, 45 mg, 75 mg Tamiflu QL

oseltamivir oral suspension for reconstitution Tamiflu QL

RELENZA DISKHALER INHALATION BLISTER WITH DEVICE

QL

rimantadine oral tablet Flumadine

TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION

QL

valacyclovir oral tablet Valtrex QL

valganciclovir oral recon soln Valcyte

valganciclovir oral tablet Valcyte

ANTIVIRALS, HIV SPECIFIC

abacavir oral solution Ziagen

abacavir oral tablet Ziagen

abacavir-lamivudine oral tablet Epzicom

abacavir-lamivudine-zidovudine oral tablet Trizivir

APTIVUS ORAL CAPSULE

APTIVUS ORAL SOLUTION

CRIXIVAN ORAL CAPSULE

DESCOVY ORAL TABLET

didanosine oral capsule,delayed release(dr/ec)

Videx EC

13


EDURANT ORAL TABLET

EMTRIVA ORAL CAPSULE

EMTRIVA ORAL SOLUTION

EVOTAZ ORAL TABLET

FUZEON SUBCUTANEOUS RECON SOLN PA

GENVOYA ORAL TABLET

INTELENCE ORAL TABLET AL

ISENTRESS HD ORAL TABLET

ISENTRESS ORAL POWDER IN PACKET

ISENTRESS ORAL TABLET

ISENTRESS ORAL TABLET,CHEWABLE

KALETRA ORAL TABLET

lamivudine oral solution Epivir AL

lamivudine oral tablet Epivir

lamivudine-zidovudine oral tablet Combivir

lopinavir-ritonavir oral solution Kaletra

nevirapine oral suspension Viramune

nevirapine oral tablet Viramune

nevirapine oral tablet extended release 24 hr Viramune XR

NORVIR ORAL CAPSULE

NORVIR ORAL SOLUTION

NORVIR ORAL TABLET

PREZCOBIX ORAL TABLET

PREZISTA ORAL SUSPENSION

PREZISTA ORAL TABLET

RESCRIPTOR ORAL TABLET

RESCRIPTOR ORAL TABLET, DISPERSIBLE

RETROVIR INTRAVENOUS SOLUTION

REYATAZ ORAL CAPSULE

REYATAZ ORAL POWDER IN PACKET

SELZENTRY ORAL SOLUTION

SELZENTRY ORAL TABLET

stavudine oral capsule Zerit

stavudine oral recon soln Zerit

STRIBILD ORAL TABLET

TIVICAY ORAL TABLET

TRIUMEQ ORAL TABLET

TRUVADA ORAL TABLET

14


VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN

VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN

VIRACEPT ORAL TABLET

VIREAD ORAL POWDER PA; QL

VIREAD ORAL TABLET PA; QL

zidovudine oral capsule Retrovir

zidovudine oral syrup Retrovir

zidovudine oral tablet

CEPHALOSPORINS

cefaclor oral capsule

cefaclor oral suspension for reconstitution

cefaclor oral tablet extended release 12 hr

cefadroxil oral capsule

cefadroxil oral suspension for reconstitution

cefadroxil oral tablet

cefdinir oral capsule QL

cefdinir oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml

QL

cefpodoxime oral suspension for reconstitution

cefpodoxime oral tablet

cefprozil oral suspension for reconstitution

cefprozil oral tablet

CEFTIN ORAL SUSPENSION FOR RECONSTITUTION

ceftriaxone injection recon soln 1 gram, 2 gram, 250 mg, 500 mg

QL

ceftriaxone injection recon soln 10 gram

cefuroxime axetil oral tablet

cephalexin oral capsule Keflex

cephalexin oral suspension for reconstitution

cephalexin oral tablet

CHEMOTHERAPEUTICS, ANTIBACTERIAL, MISCELLANEOUS

dapsone oral tablet

HEPATITIS B TREATMENT AGENTS

adefovir oral tablet Hepsera PA; QL

BARACLUDE ORAL SOLUTION PA; QL

entecavir oral tablet Baraclude PA; QL

15


EPIVIR HBV ORAL SOLUTION PA; QL

lamivudine oral tablet Epivir HBV PA; QL

HEPATITIS C TREATMENT AGENTS

EPCLUSA ORAL TABLET PA; QL

MAVYRET ORAL TABLET PA

PEGASYS PROCLICK SUBCUTANEOUS PEN INJECTOR

PA

PEGASYS SUBCUTANEOUS SOLUTION PA; QL

PEGASYS SUBCUTANEOUS SYRINGE PA

PEGINTRON REDIPEN SUBCUTANEOUS PEN INJECTOR KIT

PA

PEGINTRON SUBCUTANEOUS KIT PA

ribavirin oral capsule Ribasphere PA; QL

ribavirin oral tablet Copegus PA; QL

SOVALDI ORAL TABLET PA; QL

ZEPATIER ORAL TABLET PA; QL

LINCOSAMIDES

clindamycin hcl oral capsule Cleocin HCl

clindamycin palmitate hcl oral recon soln Cleocin Pediatric

clindamycin pediatric oral recon soln

MACROLIDES

azithromycin oral packet Zithromax QL

azithromycin oral suspension for reconstitution

Zithromax QL

azithromycin oral tablet 250 mg, 500 mg, 600 mg

Zithromax QL

clarithromycin oral suspension for reconstitution

clarithromycin oral tablet

clarithromycin oral tablet extended release 24 hr

e.e.s. 400 oral tablet

ery-tab oral tablet,delayed release (dr/ec)

erythrocin (as stearate) oral tablet

erythromycin ethylsuccinate oral tablet E.E.S. 400

erythromycin oral capsule,delayed release(dr/ec)

erythromycin oral tablet

PENICILLINS

amoxicillin oral capsule

amoxicillin oral suspension for reconstitution QL

16


amoxicillin oral tablet

amoxicillin oral tablet,chewable

amoxicillin-pot clavulanate oral suspension for reconstitution

Augmentin ES-600

amoxicillin-pot clavulanate oral tablet

amoxicillin-pot clavulanate oral tablet extended release 12 hr

Augmentin XR QL

amoxicillin-pot clavulanate oral tablet,chewable

ampicillin oral capsule

dicloxacillin oral capsule

penicillin v potassium oral recon soln

penicillin v potassium oral tablet

PLASMOCIDES

atovaquone-proguanil oral tablet Malarone Pediatric

chloroquine phosphate oral tablet

hydroxychloroquine oral tablet Plaquenil

mefloquine oral tablet QL

PRIMAQUINE ORAL TABLET

QUINOLONES

ciprofloxacin hcl oral tablet QL

levofloxacin oral solution QL

levofloxacin oral tablet Levaquin

ofloxacin oral tablet 300 mg, 400 mg QL

TETRACYCLINES

demeclocycline oral tablet

doxycycline monohydrate oral capsule 100 mg, 50 mg

Mondoxyne NL QL

doxycycline monohydrate oral capsule 150 mg

doxycycline monohydrate oral capsule 75 mg Mondoxyne NL

doxycycline monohydrate oral suspension for reconstitution

Vibramycin

minocycline oral capsule Minocin

minocycline oral tablet

tetracycline oral capsule

VANCOMYCIN AND DERIVATIVES

linezolid oral suspension for reconstitution Zyvox PA; QL

linezolid oral tablet Zyvox PA; QL

vancomycin oral capsule Vancocin PA

17


ANTINEOPLASTICS

ANTINEOPLASTIC - ANTIANDROGENIC AGENTS

bicalutamide oral tablet Casodex

flutamide oral capsule

ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS

anastrozole oral tablet Arimidex QL

EMCYT ORAL CAPSULE PA

exemestane oral tablet Aromasin QL

HEXALEN ORAL CAPSULE PA

hydroxyurea oral capsule Hydrea

imatinib oral tablet 100 mg, 400 mg Gleevec PA; QL

IRESSA ORAL TABLET PA; QL

letrozole oral tablet Femara QL

leucovorin calcium injection recon soln

leucovorin calcium oral tablet

megestrol oral tablet

melphalan oral tablet Alkeran

MESNEX ORAL TABLET PA

mitoxantrone intravenous concentrate

MYLERAN ORAL TABLET

PROLEUKIN INTRAVENOUS RECON SOLN

tamoxifen oral tablet

tretinoin (chemotherapy) oral capsule

VANTAS IMPLANT KIT PA

ANTISEPTICS AND DISINFECTANTS

ANTISEPTICS, GENERAL

alcohol pads topical pads, medicated OTC

alcohol prep pads topical pads, medicated OTC

alcohol swabs topical pads, medicated Alcohol Pads OTC

alcohol wipes topical pads, medicated OTC

alcoh-wipe towelette OTC

antiseptic skin clnsr(chlorhe) topical liquid OTC; QL

betasept surgical scrub topical liquid OTC; QL

chlorhexidine gluconate topical liquid Hand Wash OTC

curity alcohol swabs topical pads, medicated OTC

easy touch alcohol prep pads topical pads, medicated

OTC

hibiclens topical liquid OTC; QL

18


hydrogen peroxide solution OTC

sure comfort alcohol prep pads topical pads, medicated

OTC

webcol topical pads, medicated OTC

BIOLOGICALS

IMMUNE GLOBULINS

GAMUNEX-C INJECTION SOLUTION PA

OCTAGAM INTRAVENOUS SOLUTION PA

IMMUNOLOGICALS VACCINES

AFLURIA 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

AFLURIA 2017-2018 INTRAMUSCULAR SUSPENSION

QL

AFLURIA QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

AFLURIA QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUAD 2017-2018 (65 YR UP)(PF) INTRAMUSCULAR SYRINGE

QL

FLUARIX QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUBLOK 2017-2018 (PF) INTRAMUSCULAR SOLUTION

QL

FLUBLOK QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUCELVAX QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUCELVAX QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLULAVAL QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLULAVAL QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUVIRIN 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUVIRIN 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUZONE HIGH-DOSE 2017-18 (PF) INTRAMUSCULAR SYRINGE

QL

FLUZONE INTRADERM QUAD 2017-18 INTRADERMAL SYRINGE

QL

FLUZONE QUAD 2017-2018 (PF) INTRAMUSCULAR SUSPENSION

QL

19


FLUZONE QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUZONE QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUZONE QUAD PEDI 2017-18 (PF) INTRAMUSCULAR SYRINGE

QL

SYNAGIS INTRAMUSCULAR SOLUTION PA

VACCINE BACTERIAL - GRAM POSITIVE COCCI

PREVNAR 13 (PF) INTRAMUSCULAR SYRINGE

CARDIOVASCULAR THERAPY AGENTS

HYPOTENSIVES, SYMPATHOLYTIC

methyldopa-hydrochlorothiazide oral tablet

ACE INHIBITOR/CALCIUM CHANNEL BLOCK COMBINATION

amlodipine-benazepril oral capsule QL

ADRENERGIC VASOPRESSOR

midodrine oral tablet

ALDOSTERONE RECEPTOR ANTAGONISTS

spironolactone oral tablet Aldactone

ALPHA/BETA-ADRENERGIC BLOCKING AGENTS

carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg

Coreg QL

labetalol oral tablet

ALPHA-ADRENERGIC BLOCKING AGENTS

doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg Cardura QL

prazosin oral capsule Minipress

terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg

QL

ANAPHYLAXIS THERAPY AGENTS

epinephrine injection auto-injector EpiPen Jr QL

epinephrine injection solution Adrenalin

ANTIARRHYTHMICS

amiodarone oral tablet 200 mg Pacerone QL

amiodarone oral tablet 400 mg Pacerone

disopyramide phosphate oral capsule Norpace

flecainide oral tablet 100 mg, 150 mg, 50 mg QL

20


mexiletine oral capsule

pacerone oral tablet 200 mg QL

pacerone oral tablet 400 mg

propafenone oral capsule,extended release 12 hr

Rythmol SR

propafenone oral tablet

quinidine gluconate oral tablet extended release

quinidine sulfate oral tablet

sorine oral tablet QL

sotalol af oral tablet QL

sotalol oral tablet Betapace QL

verapamil oral tablet QL

BETA-ADRENERGIC BLOCKING AGENTS

acebutolol oral capsule

atenolol oral tablet Tenormin

betaxolol oral tablet

bisoprolol fumarate oral tablet

metoprolol succinate oral tablet extended release 24 hr

Toprol XL

metoprolol tartrate oral tablet 100 mg, 50 mg Lopressor QL

metoprolol tartrate oral tablet 25 mg, 37.5 mg, 75 mg

nadolol oral tablet 20 mg, 40 mg Corgard

nadolol oral tablet 80 mg Corgard PA

pindolol oral tablet

propranolol oral capsule,extended release 24 hr

Inderal LA

propranolol oral solution

propranolol oral tablet

sorine oral tablet QL

sotalol af oral tablet QL

sotalol oral tablet Betapace QL

timolol maleate oral tablet

CALCIUM CHANNEL BLOCKING AGENTS

afeditab cr oral tablet extended release 30 mg DO; QL

afeditab cr oral tablet extended release 60 mg QL

amlodipine oral tablet 10 mg Norvasc QL

amlodipine oral tablet 2.5 mg, 5 mg Norvasc DO; QL

21


cartia xt oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg

DO; QL

cartia xt oral capsule,extended release 24hr 300 mg

QL

diltiazem hcl oral capsule,ext.rel 24h degradable 120 mg, 180 mg

DILT-XR DO; QL

diltiazem hcl oral capsule,ext.rel 24h degradable 240 mg

DILT-XR QL

diltiazem hcl oral capsule,extended release 12 hr

QL

diltiazem hcl oral capsule,extended release 24 hr 120 mg, 180 mg

Taztia XT DO; QL

diltiazem hcl oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg

Taztia XT QL

diltiazem hcl oral capsule,extended release 24 hr 420 mg

Tiazac QL

diltiazem hcl oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg

Cardizem CD DO; QL

diltiazem hcl oral capsule,extended release 24hr 300 mg, 360 mg

Cardizem CD QL

diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg Cardizem QL

diltiazem hcl oral tablet 90 mg QL

diltiazem hcl oral tablet extended release 24 hr 180 mg, 240 mg

Cardizem LA DO; QL

diltiazem hcl oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg

Cardizem LA QL

dilt-xr oral capsule,ext.rel 24h degradable 120 mg, 180 mg

DO; QL

dilt-xr oral capsule,ext.rel 24h degradable 240 mg

QL

felodipine oral tablet extended release 24 hr 10 mg

QL

felodipine oral tablet extended release 24 hr 2.5 mg, 5 mg

DO; QL

isradipine oral capsule 2.5 mg, 5 mg QL

matzim la oral tablet extended release 24 hr 180 mg, 240 mg

DO; QL

matzim la oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg

QL

nicardipine oral capsule 20 mg, 30 mg QL

nifedipine oral capsule QL

nifedipine oral tablet extended release 24hr 30 mg

Procardia XL DO; QL

nifedipine oral tablet extended release 24hr 60 mg, 90 mg

Procardia XL QL

22


nifedipine oral tablet extended release 30 mg Adalat CC DO; QL

nifedipine oral tablet extended release 60 mg, 90 mg

Adalat CC QL

taztia xt oral capsule,extended release 24 hr 120 mg, 180 mg

DO; QL

taztia xt oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg

QL

verapamil oral capsule, 24 hr er pellet ct Verelan PM DO; QL

verapamil oral capsule,ext rel. pellets 24 hr 120 mg, 180 mg

Verelan DO; QL

verapamil oral capsule,ext rel. pellets 24 hr 240 mg, 360 mg

Verelan QL

verapamil oral tablet QL

verapamil oral tablet extended release Calan SR QL

DIGITALIS GLYCOSIDES

digox oral tablet

digoxin injection solution Lanoxin

digoxin injection syringe

digoxin oral solution

digoxin oral tablet Digitek

LANOXIN INJECTION SOLUTION

LANOXIN PEDIATRIC INJECTION SOLUTION

DIURETIC - CARBONIC ANHYDRASE INHIBITORS

acetazolamide oral capsule, extended release Diamox Sequels

acetazolamide oral tablet

methazolamide oral tablet Neptazane

HYPOTENSIVES, ACE INHIBITORS, COMBINATIONS

benazepril oral tablet QL

benazepril-hydrochlorothiazide oral tablet QL

captopril oral tablet QL

captopril-hydrochlorothiazide oral tablet QL

enalapril maleate oral tablet Vasotec QL

enalapril-hydrochlorothiazide oral tablet QL

fosinopril oral tablet QL

fosinopril-hydrochlorothiazide oral tablet QL

lisinopril oral tablet 10 mg, 20 mg, 5 mg Prinivil DO; QL

lisinopril oral tablet 2.5 mg Zestril DO; QL

lisinopril oral tablet 30 mg, 40 mg Zestril QL

23


lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg

Zestoretic DO; QL

lisinopril-hydrochlorothiazide oral tablet 20-12.5 mg, 20-25 mg

Zestoretic QL

moexipril oral tablet

moexipril-hydrochlorothiazide oral tablet

perindopril erbumine oral tablet QL

quinapril oral tablet Accupril QL

quinapril-hydrochlorothiazide oral tablet Accuretic QL

ramipril oral capsule Altace QL

trandolapril oral tablet

HYPOTENSIVES, ANGIOTENSIN RECEPTOR ANTAGONIST

candesartan oral tablet Atacand

candesartan-hydrochlorothiazid oral tablet Atacand HCT

irbesartan oral tablet 150 mg, 75 mg Avapro DO; QL

irbesartan oral tablet 300 mg Avapro QL

irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300-12.5 mg

Avalide QL

losartan oral tablet Cozaar QL

losartan-hydrochlorothiazide oral tablet 100-12.5 mg, 100-25 mg

Hyzaar QL

losartan-hydrochlorothiazide oral tablet 50-12.5 mg

Hyzaar DO; QL

valsartan oral tablet Diovan QL

valsartan-hydrochlorothiazide oral tablet Diovan HCT

HYPOTENSIVES, MISCELLANEOUS

atenolol-chlorthalidone oral tablet Tenoretic 100

bisoprolol-hydrochlorothiazide oral tablet Ziac

metoprolol ta-hydrochlorothiaz oral tablet 100-25 mg, 100-50 mg

QL

metoprolol ta-hydrochlorothiaz oral tablet 50-25 mg

Lopressor HCT QL

nadolol-bendroflumethiazide oral tablet Corzide QL

propranolol-hydrochlorothiazid oral tablet

HYPOTENSIVES, SYMPATHOLYTIC

clonidine hcl oral tablet Catapres

guanfacine oral tablet

methyldopa oral tablet

HYPOTENSIVES, VASODILATORS

hydralazine oral tablet

24


minoxidil oral tablet

LIPOTROPICS

ALGAL-900 DHA ORAL CAPSULE OTC; QL

atorvastatin oral tablet 10 mg, 20 mg, 40 mg Lipitor DO; QL

atorvastatin oral tablet 80 mg Lipitor QL

cholestyramine (with sugar) oral powder Questran

cholestyramine (with sugar) oral powder in packet

Questran

cholestyramine light oral powder

cholestyramine light oral powder in packet

colestipol oral granules Colestid

colestipol oral packet Colestid

colestipol oral tablet Colestid

DHA ALGAL-900 ORAL CAPSULE OTC; QL

fenofibrate micronized oral capsule 130 mg, 200 mg, 43 mg

QL

fenofibrate micronized oral capsule 134 mg

fenofibrate micronized oral capsule 67 mg PA; QL

fenofibrate nanocrystallized oral tablet Tricor QL

fenofibrate oral tablet QL

fenofibric acid (choline) oral capsule,delayed release(dr/ec) 135 mg

Trilipix QL

fenofibric acid (choline) oral capsule,delayed release(dr/ec) 45 mg

Trilipix PA; QL

fenofibric acid oral tablet Fibricor PA; QL

fish oil concentrate oral capsule OTC

fish oil oral capsule 1,000 mg (120 mg-180 mg), 100-160-1,000 mg, 120-180 mg, 138-183-1,000 mg, 300 mg, 300-1,000 mg, 300-500 mg, 340-1,000 mg

OTC

fish oil oral capsule 360-1,200 mg OTC; QL

fish oil oral capsule,delayed release(dr/ec) 150-217-840 mg, 300-1,000 mg, 300-108-162-600 mg, 60-90-500 mg, 900 (253-647) mg, 900-1,400 mg

OTC

fish oil oral capsule,delayed release(dr/ec) 360 mg-144 mg- 216 mg-1,200 mg, 360-1,200 mg

OTC; QL

fish oil-dha-epa oral capsule OTC

gemfibrozil oral tablet Lopid

GRAM-O-LECI ORAL TABLET,CHEWABLE OTC

inositol oral tablet OTC

lecithin oral capsule OTC

25


lecithin, soy oral capsule OTC

lovastatin oral tablet QL

maxepa oral capsule OTC

niacin oral tablet Niacor OTC

omega 3-dha-epa-fish oil oral capsule OTC

omega-3 (with dpa) oral capsule OTC; QL

omega-3 2100 oral capsule PA; OTC; QL

omega-3 fatty acids oral capsule Fish Oil Concentrate OTC

omega-3 fatty acids oral tablet,chewable OTC

omega-3 fatty acids-fish oil oral capsule 300-1,000 mg

Fish Oil OTC

omega-3 fatty acids-fish oil oral capsule 360-1,200 mg

Fish Oil OTC; QL

omega-3 fatty acids-fish oil oral capsule 440-880 mg

OTC

omega-3 fish oil oral capsule OTC

omega-3s-dha-epa-fish oil oral capsule,delayed release(dr/ec)

OTC

one-per-day omega-3 oral capsule,delayed release(dr/ec)

OTC; QL

pravastatin oral tablet Pravachol

prevalite oral powder

prevalite oral powder in packet

salmon oil-omega-3 fatty acids oral capsule OTC

sea-omega 30 oral capsule OTC; QL

simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg

Zocor DO; QL

simvastatin oral tablet 80 mg Zocor PA; QL

super omega-3 oral capsule OTC

super twin epa-dha oral capsule OTC

THEROMEGA ORAL CAPSULE OTC

vitamin e oral capsule OTC

LOOP DIURETICS

bumetanide oral tablet

furosemide oral solution

furosemide oral tablet Lasix

torsemide oral tablet Demadex

PCSK-9 INHIBITORS

REPATHA PUSHTRONEX SUBCUTANEOUS WEARABLE INJECTOR

PA; QL

26


REPATHA SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL

REPATHA SYRINGE SUBCUTANEOUS SYRINGE

PA; QL

POTASSIUM SPARING DIURETICS

amiloride oral tablet

amiloride-hydrochlorothiazide oral tablet

spironolactone oral tablet Aldactone

spironolacton-hydrochlorothiaz oral tablet Aldactazide

triamterene-hydrochlorothiazid oral capsule

triamterene-hydrochlorothiazid oral tablet Maxzide-25mg

PULMONARY ARTERIAL HYPERTENSION

LETAIRIS ORAL TABLET PA; QL

THIAZIDE AND RELATED DIURETICS

chlorothiazide oral tablet

chlorthalidone oral tablet

hydrochlorothiazide oral capsule Microzide QL

hydrochlorothiazide oral tablet 12.5 mg QL

hydrochlorothiazide oral tablet 25 mg, 50 mg

indapamide oral tablet

metolazone oral tablet

VASODILATING DRUGS

ADCIRCA ORAL TABLET PA; QL

sildenafil (antihypertensive) oral tablet Revatio PA; QL

VASODILATORS, CORONARY

isosorbide dinitrate oral tablet

isosorbide dinitrate oral tablet extended release

ISOCHRON

isosorbide mononitrate oral tablet

isosorbide mononitrate oral tablet extended release 24 hr

nitro-bid transdermal ointment

NITRO-DUR TRANSDERMAL PATCH 24 HOUR

nitroglycerin oral capsule, extended release Nitro-Time

nitroglycerin sublingual tablet Nitrostat

nitroglycerin transdermal patch 24 hour Minitran

nitro-time oral capsule, extended release

27


CENTRAL NERVOUS SYSTEM AGENTS

ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS

mirtazapine oral tablet Remeron

mirtazapine oral tablet,disintegrating Remeron SolTab

ANTI-ANXIETY DRUGS

alprazolam oral tablet Xanax

alprazolam oral tablet,disintegrating

buspirone oral tablet

chlordiazepoxide hcl oral capsule

clonazepam oral tablet Klonopin

clonazepam oral tablet,disintegrating

clorazepate dipotassium oral tablet

diazepam intensol oral concentrate

diazepam oral concentrate Diazepam Intensol

diazepam oral solution

diazepam oral tablet Valium

hydroxyzine hcl oral solution

hydroxyzine hcl oral tablet

hydroxyzine pamoate oral capsule

lorazepam oral tablet Ativan

oxazepam oral capsule

ANTICONVULSANTS

carbamazepine oral capsule, er multiphase 12 hr 100 mg, 200 mg, 300 mg

Carbatrol QL

carbamazepine oral suspension Tegretol

carbamazepine oral tablet Epitol

carbamazepine oral tablet extended release 12 hr

Tegretol XR

carbamazepine oral tablet,chewable

clonazepam oral tablet Klonopin

clonazepam oral tablet,disintegrating

diazepam rectal kit Diastat QL

divalproex oral capsule, delayed rel sprinkle Depakote Sprinkles QL

divalproex oral tablet extended release 24 hr 250 mg, 500 mg

Depakote ER QL

divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg

Depakote QL

divalproex oral tablet,delayed release (dr/ec) 500 mg

Depakote

28


epitol oral tablet

ethosuximide oral capsule Zarontin

ethosuximide oral solution Zarontin

felbamate oral suspension Felbatol

felbamate oral tablet Felbatol

gabapentin oral capsule 100 mg, 300 mg, 400 mg

Neurontin QL

gabapentin oral solution Neurontin

gabapentin oral tablet 600 mg, 800 mg Neurontin QL

lamotrigine oral tablet Lamictal

lamotrigine oral tablet disintegrating, dose pk Lamictal ODT Starter (Orange)

lamotrigine oral tablet extended release 24hr Lamictal XR

lamotrigine oral tablet, chewable dispersible Lamictal

lamotrigine oral tablet,disintegrating 100 mg, 200 mg, 25 mg

Lamictal ODT

lamotrigine oral tablet,disintegrating 50 mg Lamictal ODT QL

lamotrigine oral tablets,dose pack Lamictal Starter (Blue) Kit

levetiracetam oral solution Keppra

levetiracetam oral tablet 1,000 mg, 250 mg, 500 mg, 750 mg

Keppra QL

levetiracetam oral tablet extended release 24 hr 500 mg, 750 mg

Keppra XR QL

oxcarbazepine oral suspension Trileptal

oxcarbazepine oral tablet Trileptal

phenobarbital oral elixir

phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg

phenobarbital oral tablet 32.4 mg QL

phenytoin oral suspension Dilantin-125

phenytoin oral tablet,chewable Dilantin Infatabs

phenytoin sodium extended oral capsule Phenytek

primidone oral tablet Mysoline

ROWEEPRA ORAL TABLET 1,000 MG, 500 MG, 750 MG

QL

tiagabine oral tablet Gabitril

topiramate oral capsule, sprinkle Topamax

topiramate oral tablet Topamax

valproic acid (as sodium salt) oral solution Depakene

valproic acid oral capsule Depakene QL

zonisamide oral capsule 100 mg Zonegran

zonisamide oral capsule 25 mg Zonegran QL

29


zonisamide oral capsule 50 mg QL

ANTIMANIA DRUGS

lithium carbonate oral capsule

lithium carbonate oral tablet

lithium carbonate oral tablet extended release Lithobid

lithium citrate oral solution 8 meq/5 ml AL

lithium citrate oral solution 8 meq/5 ml (5 ml)

ANTIMIGRAINE PREPARATIONS

divalproex oral tablet extended release 24 hr 250 mg, 500 mg

Depakote ER QL

ergotamine-caffeine oral tablet Cafergot

isometh-dichloral-acetaminophn oral capsule Nodolor

migergot rectal suppository

naratriptan oral tablet Amerge QL

nodolor oral capsule

sumatriptan nasal spray,non-aerosol Imitrex PA; QL

sumatriptan succinate oral tablet Imitrex QL

sumatriptan succinate subcutaneous cartridge 4 mg/0.5 ml, 6 mg/0.5 ml

Imitrex STATdose Kit Refill PA; QL

sumatriptan succinate subcutaneous pen injector 4 mg/0.5 ml, 6 mg/0.5 ml

Imitrex STATdose Pen PA; QL

sumatriptan succinate subcutaneous solution Imitrex PA; QL

sumatriptan succinate subcutaneous syringe PA; QL

ANTIPARKINSONISM DRUGS, ANTICHOLINERGIC

benztropine oral tablet

trihexyphenidyl oral elixir

trihexyphenidyl oral tablet

ANTIPARKINSONISM DRUGS, OTHER

amantadine hcl oral capsule QL

amantadine hcl oral solution

amantadine hcl oral tablet

bromocriptine oral capsule Parlodel

bromocriptine oral tablet Parlodel

carbidopa-levodopa oral tablet Sinemet

carbidopa-levodopa oral tablet extended release

Sinemet CR

carbidopa-levodopa oral tablet,disintegrating

carbidopa-levodopa-entacapone oral tablet 12.5-50-200 mg

Stalevo 50 QL

30



Stalevo 75 QL

carbidopa-levodopa-entacapone oral tablet 25-100-200 mg

Stalevo 100 QL


Stalevo 125 QL


Stalevo 150 QL

carbidopa-levodopa-entacapone oral tablet 50-200-200 mg

Stalevo 200 QL

entacapone oral tablet Comtan

pramipexole oral tablet Mirapex QL

ropinirole oral tablet Requip

selegiline hcl oral capsule Eldepryl

selegiline hcl oral tablet

ANTIPSYCHOTICS, ATYPICAL DOPAMINE, AND SEROTONIN ANTAGONISTS

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON

PA; AL; QL

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING

PA; AL

aripiprazole oral tablet Abilify PA; AL; QL

ARISTADA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING

PA; AL

clozapine oral tablet 100 mg, 25 mg Clozaril AL; QL

clozapine oral tablet 200 mg, 50 mg AL; QL

INVEGA SUSTENNA INTRAMUSCULAR SYRINGE 117 MG/0.75 ML, 156 MG/ML, 234 MG/1.5 ML, 39 MG/0.25 ML, 78 MG/0.5 ML

PA; AL; QL

INVEGA TRINZA INTRAMUSCULAR SYRINGE

PA; AL; QL

olanzapine intramuscular recon soln Zyprexa AL

olanzapine oral tablet Zyprexa AL

paliperidone oral tablet extended release 24hr Invega AL

quetiapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg

Seroquel AL; QL

quetiapine oral tablet 300 mg, 400 mg Seroquel AL

RISPERDAL CONSTA INTRAMUSCULAR SYRINGE

PA; AL; QL

risperidone oral solution Risperdal AL; QL

risperidone oral tablet 0.25 mg, 1 mg, 2 mg, 3 mg, 4 mg

Risperdal AL; QL

31


risperidone oral tablet 0.5 mg Risperdal AL

ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg

Geodon PA; AL; QL

ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION

PA; AL

ANTIPSYCHOTICS, TYPICAL

chlorpromazine oral tablet AL

fluphenazine decanoate injection solution AL

fluphenazine hcl injection solution AL

fluphenazine hcl oral concentrate AL

fluphenazine hcl oral elixir AL

fluphenazine hcl oral tablet AL

haloperidol decanoate intramuscular solution 100 mg/ml

Haldol Decanoate AL; QL

haloperidol decanoate intramuscular solution 50 mg/ml

Haldol Decanoate AL

haloperidol lactate injection solution Haldol AL

haloperidol lactate oral concentrate AL

haloperidol oral tablet AL

loxapine succinate oral capsule AL

perphenazine oral tablet AL

prochlorperazine maleate oral tablet Compazine

thioridazine oral tablet

thiothixene oral capsule AL

trifluoperazine oral tablet AL

ATTENTION DEFICIT - HYPERACTIVITY (ADHD)/NARCOLEPSY

atomoxetine oral capsule 10 mg, 100 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg

Strattera PA; DO; QL

caffeine citrate intravenous solution Cafcit

caffeine citrate oral solution

clonidine hcl oral tablet extended release 12 hr

Kapvay PA; AL; QL

dexmethylphenidate oral capsule,er biphasic 50-50 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 5 mg

Focalin XR PA; AL; QL

dexmethylphenidate oral capsule,er biphasic 50-50 25 mg, 35 mg

Focalin XR PA; QL

dexmethylphenidate oral tablet 10 mg, 2.5 mg Focalin PA; AL

dexmethylphenidate oral tablet 5 mg Focalin PA; AL; QL

dextroamphetamine oral capsule, extended release 10 mg, 15 mg, 5 mg

Dexedrine Spansule PA; AL; QL

32


dextroamphetamine oral tablet 10 mg, 5 mg Zenzedi PA; AL; QL

dextroamphetamine-amphetamine oral capsule,extended release 24hr

Adderall XR PA; AL; QL

dextroamphetamine-amphetamine oral tablet Adderall PA; AL

metadate er oral tablet extended release PA; AL; QL

methylphenidate hcl oral capsule, er biphasic 30-70 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg

PA; AL; QL

methylphenidate hcl oral capsule,er biphasic 50-50 20 mg, 30 mg, 40 mg

Ritalin LA PA; AL; QL

methylphenidate hcl oral capsule,er biphasic 50-50 60 mg

PA; QL

methylphenidate hcl oral solution Methylin PA; AL

methylphenidate hcl oral tablet Ritalin PA; AL

methylphenidate hcl oral tablet extended release 10 mg

PA; AL

methylphenidate hcl oral tablet extended release 20 mg

Metadate ER PA; AL; QL

methylphenidate hcl oral tablet extended release 24hr 18 mg, 27 mg, 36 mg, 54 mg

Concerta PA; AL; QL

BENZODIAZEPINES

amitriptyline-chlordiazepoxide oral tablet

diazepam intensol oral concentrate

diazepam oral concentrate Diazepam Intensol

diazepam oral solution

diazepam oral tablet Valium

diazepam rectal kit Diastat AcuDial QL

lorazepam oral tablet Ativan

MAO INHIBITORS

phenelzine oral tablet Nardil

tranylcypromine oral tablet Parnate

NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIBITORS (NDRIS)

bupropion hcl oral tablet

bupropion hcl oral tablet extended release 12 hr

Wellbutrin SR


Wellbutrin XL QL

SEDATIVE-HYPNOTIC - ANTIHISTAMINES

alka-seltzer plus allergy oral tablet OTC

diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL

33


diphenhydramine hcl oral capsule 50 mg Banophen OTC

diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC; QL

nightime sleep oral capsule OTC

nighttime sleep aid (diphen) oral capsule OTC

nighttime sleep aid (diphen) oral tablet OTC

rest simply nighttime sleep oral tablet OTC

restfully sleep oral tablet OTC

sleep aid (diphenhydramine) oral capsule OTC

sleep aid (diphenhydramine) oral liquid OTC

sleep aid (diphenhydramine) oral tablet OTC

sleep aid (doxylamine) oral tablet OTC

sleep aid max str (diphenhydr) oral capsule OTC

sleep ii oral tablet OTC

sleep oral tablet OTC

sleep tablet (diphenhydramine) oral tablet OTC

sleep-tabs oral tablet OTC

ultra sleep (doxylamine succ) oral tablet OTC

UNISOM (DIPHENHYDRAMINE) ORAL LIQUID

OTC

UNISOM SLEEPGELS ORAL CAPSULE OTC

wal-sleep z oral liquid OTC

wal-som (diphenhydramine) oral capsule OTC

ZZZQUIL ORAL CAPSULE OTC

ZZZQUIL ORAL LIQUID OTC

SEDATIVE-HYPNOTICS, BARBITURATES

phenobarbital oral elixir

phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg

phenobarbital oral tablet 32.4 mg QL

SEDATIVE-HYPNOTICS, NON-BARBITURATES

estazolam oral tablet

flurazepam oral capsule

melatonin (with b6) oral tablet OTC; QL

melatonin-pyridoxine (vit b6) oral tablet Melatonin (with B6) OTC; QL

temazepam oral capsule 15 mg, 30 mg Restoril QL

temazepam oral capsule 22.5 mg, 7.5 mg Restoril

triazolam oral tablet Halcion QL

zaleplon oral capsule Sonata QL

34


zolpidem oral tablet Ambien QL

SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)

citalopram oral solution QL

citalopram oral tablet Celexa

escitalopram oxalate oral solution

escitalopram oxalate oral tablet 10 mg, 20 mg, 5 mg

Lexapro QL

fluoxetine oral capsule 10 mg, 20 mg, 40 mg Prozac QL

fluoxetine oral capsule,delayed release(dr/ec)

fluoxetine oral solution

fluoxetine oral tablet Sarafem

fluvoxamine oral tablet

paroxetine hcl oral tablet 10 mg, 20 mg Paxil QL

paroxetine hcl oral tablet 30 mg, 40 mg Paxil

paroxetine hcl oral tablet extended release 24 hr 12.5 mg, 37.5 mg

Paxil CR

paroxetine hcl oral tablet extended release 24 hr 25 mg

Paxil CR QL

sertraline oral concentrate Zoloft QL

sertraline oral tablet 100 mg Zoloft

sertraline oral tablet 25 mg, 50 mg Zoloft QL

SEROTONIN-2 ANTAGONIST REUPTAKE INHIBITORS (SARIS)

nefazodone oral tablet

trazodone oral tablet

SEROTONIN-NOREPINEPHRINE REUPTAKE INHIBITORS (SNRIS)

venlafaxine oral capsule,extended release 24hr 150 mg, 37.5 mg, 75 mg

Effexor XR QL

venlafaxine oral tablet

venlafaxine oral tablet extended release 24hr QL

TRICYCLIC ANTIDEPRESSANT/BENZODIAZEPINE COMBINATIONS

amitriptyline-chlordiazepoxide oral tablet

TRICYCLIC ANTIDEPRESSANT/PHENOTHIAZINE COMBINATIONS

perphenazine-amitriptyline oral tablet

35


TRICYCLIC ANTIDEPRESSANTS AND RELATED NON-SELECT REUPTAKE INHIBITORS

amitriptyline oral tablet

amoxapine oral tablet

clomipramine oral capsule Anafranil

desipramine oral tablet Norpramin

doxepin oral capsule

doxepin oral concentrate

imipramine hcl oral tablet Tofranil

imipramine pamoate oral capsule

maprotiline oral tablet

nortriptyline oral capsule Pamelor

nortriptyline oral solution

protriptyline oral tablet

trimipramine oral capsule Surmontil

CHEMICAL DEPENDENCY, AGENTS TO TREAT

ALCOHOL ANTAGONIST

acamprosate oral tablet,delayed release (dr/ec)

QL

disulfiram oral tablet Antabuse

NARCOTIC ANTAGONISTS

buprenorphine hcl sublingual tablet 2 mg, 8 mg

QL

buprenorphine-naloxone sublingual tablet 2-0.5 mg, 8-2 mg

PA; QL

SUBOXONE SUBLINGUAL FILM 12-3 MG, 2-0.5 MG, 4-1 MG, 8-2 MG

PA; QL

SMOKING DETERRENT AGENTS

bupropion hcl (smoking deter) oral tablet extended release 12 hr

Zyban QL


Wellbutrin SR

nicorelief buccal gum OTC; QL

NICORETTE BUCCAL LOZENGE OTC; QL

NICORETTE BUCCAL MINI LOZENGE OTC; QL

nicotine (polacrilex) buccal gum Nicorelief OTC; QL

nicotine (polacrilex) buccal lozenge Nicorette OTC; QL

nicotine (polacrilex) buccal mini lozenge Nicorette OTC; QL

nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

36


nts step 1 transdermal patch 24 hour OTC; QL

quit 2 buccal gum OTC; QL

quit 4 buccal gum OTC; QL

stop smoking aid buccal lozenge OTC; QL

CHEMICALS-PHARMACEUTICAL ADJUVANTS

CHEMICALS - SOLVENTS

alcohol, rubbing solution OTC

isopropyl alcohol solution OTC

PHARMACEUTICAL ADJUVANT - CREAM/OINTMENT VEHICLES

dermafix topical ointment OTC

petrolatum topical ointment OTC

petroleum jelly topical gel OTC

petroleum jelly, white topical gel OTC

white petrolatum topical gel Lip Treatment OTC

white petroleum jelly topical gel OTC

PHARMACEUTICAL ADJUVANT - INHALATION VEHICLES

HYPER-SAL INHALATION SOLUTION FOR NEBULIZATION

NEBUSAL INHALATION SOLUTION FOR NEBULIZATION

pulmosal inhalation solution for nebulization

sodium chloride inhalation solution for nebulization

NebuSal

COGNITIVE DISORDER THERAPY

CHOLINESTERASE INHIBITORS

donepezil oral tablet 10 mg, 5 mg Aricept QL

donepezil oral tablet 23 mg Aricept PA; QL

donepezil oral tablet,disintegrating QL

galantamine oral capsule,ext rel. pellets 24 hr Razadyne ER

galantamine oral solution

galantamine oral tablet Razadyne

memantine oral solution

memantine oral tablet Namenda

memantine oral tablets,dose pack Namenda Titration Pak

NAMENDA TITRATION PAK ORAL TABLETS,DOSE PACK

rivastigmine tartrate oral capsule

37


CONTRACEPTIVES

CONTRACEPTIVES

altavera (28) oral tablet AL; QL

alyacen 1/35 (28) oral tablet AL

alyacen 7/7/7 (28) oral tablet AL

amethia lo oral tablets,dose pack,3 month AL; QL

amethia oral tablets,dose pack,3 month AL; QL

amethyst oral tablet AL

apri oral tablet AL

aranelle (28) oral tablet AL

ashlyna oral tablets,dose pack,3 month AL; QL

aubra oral tablet AL

aviane oral tablet AL

azurette (28) oral tablet AL

balziva (28) oral tablet AL

bekyree (28) oral tablet AL

blisovi 24 fe oral tablet AL

blisovi fe 1.5/30 (28) oral tablet AL

blisovi fe 1/20 (28) oral tablet AL

briellyn oral tablet AL

camila oral tablet AL

camrese lo oral tablets,dose pack,3 month AL; QL

camrese oral tablets,dose pack,3 month AL; QL

caziant (28) oral tablet AL

chateal oral tablet AL; QL

cryselle (28) oral tablet AL

cyclafem 1/35 (28) oral tablet AL

cyclafem 7/7/7 (28) oral tablet AL

cyred oral tablet AL

dasetta 1/35 (28) oral tablet AL

dasetta 7/7/7 (28) oral tablet AL

daysee oral tablets,dose pack,3 month AL; QL

deblitane oral tablet AL

delyla (28) oral tablet AL

desog-e.estradiol/e.estradiol oral tablet Azurette (28) AL

desogestrel-ethinyl estradiol oral tablet Apri AL

drospirenone-e.estradiol-lm.fa oral tablet Beyaz AL

drospirenone-ethinyl estradiol oral tablet Ocella AL

elinest oral tablet AL

38


emoquette oral tablet AL

enpresse oral tablet AL

enskyce oral tablet AL

errin oral tablet AL

estarylla oral tablet AL

ethynodiol diac-eth estradiol oral tablet Zovia 1/50E (28) AL

falmina (28) oral tablet AL

fayosim oral tablets,dose pack,3 month AL; QL

femynor oral tablet AL

gianvi (28) oral tablet AL

gildagia oral tablet AL

heather oral tablet AL

introvale oral tablets,dose pack,3 month AL; QL

jencycla oral tablet AL

jolessa oral tablets,dose pack,3 month AL; QL

jolivette oral tablet AL

juleber oral tablet AL

junel 1.5/30 (21) oral tablet AL

junel 1/20 (21) oral tablet AL

junel fe 1.5/30 (28) oral tablet AL

junel fe 1/20 (28) oral tablet AL

junel fe 24 oral tablet AL

kaitlib fe oral tablet,chewable AL

kariva (28) oral tablet AL

kelnor 1/35 (28) oral tablet AL

kimidess (28) oral tablet AL

kurvelo oral tablet AL; QL

l norgest/e.estradiol-e.estrad oral tablets,dose pack,3 month

Amethia AL; QL

larin 1.5/30 (21) oral tablet AL

larin 1/20 (21) oral tablet AL

larin 24 fe oral tablet AL

larin fe 1.5/30 (28) oral tablet AL

larin fe 1/20 (28) oral tablet AL

larissia oral tablet AL

layolis fe oral tablet,chewable AL

leena 28 oral tablet AL

lessina oral tablet AL

levonest (28) oral tablet AL

39


levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg

Aubra AL

levonorgestrel-ethinyl estrad oral tablet 0.15-0.03 mg

Altavera (28) AL; QL

levonorgestrel-ethinyl estrad oral tablet 90-20 mcg

Amethyst AL

levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month

Introvale AL; QL

levonorg-eth estrad triphasic oral tablet Enpresse AL

levora-28 oral tablet AL; QL

lomedia 24 fe oral tablet AL

loryna (28) oral tablet AL

low-ogestrel (28) oral tablet AL

lutera (28) oral tablet AL

lyza oral tablet AL

marlissa oral tablet AL; QL

medroxyprogesterone intramuscular suspension

Depo-Provera AL; QL

medroxyprogesterone intramuscular syringe Depo-Provera AL; QL

mibelas 24 fe oral tablet,chewable AL

microgestin 1.5/30 (21) oral tablet AL

microgestin 1/20 (21) oral tablet AL

microgestin fe 1.5/30 (28) oral tablet AL

microgestin fe 1/20 (28) oral tablet AL

mono-linyah oral tablet AL

mononessa (28) oral tablet AL

myzilra oral tablet AL

necon 0.5/35 (28) oral tablet AL

necon 1/50 (28) oral tablet AL

necon 7/7/7 (28) oral tablet AL

nikki (28) oral tablet AL

nora-be oral tablet AL

noreth-ethinyl estradiol-iron oral tablet,chewable

Wymzya Fe AL

norethindrone (contraceptive) oral tablet Camila AL

norethindrone ac-eth estradiol oral tablet Junel 1/20 (21) AL

norethindrone-e.estradiol-iron oral tablet Blisovi Fe 1/20 (28) AL

norethindrone-e.estradiol-iron oral tablet,chewable

Melodetta 24 Fe AL

norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-25 mcg

Ortho Tri-Cyclen LO (28) AL; QL

40


norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-35 mcg (28)

Ortho Tri-Cyclen (28) AL

norgestimate-ethinyl estradiol oral tablet 0.25-35 mg-mcg

Estarylla AL

norgestrel-ethinyl estradiol oral tablet Ogestrel (28) AL

norlyroc oral tablet AL

nortrel 0.5/35 (28) oral tablet AL

nortrel 1/35 (21) oral tablet AL

nortrel 1/35 (28) oral tablet AL

nortrel 7/7/7 (28) oral tablet AL

NUVARING VAGINAL RING AL; QL

ocella oral tablet AL

ogestrel (28) oral tablet AL

orsythia oral tablet AL

philith oral tablet AL

pimtrea (28) oral tablet AL

pirmella oral tablet AL

portia oral tablet AL; QL

previfem oral tablet AL

quasense oral tablets,dose pack,3 month AL; QL

rajani oral tablet AL

reclipsen (28) oral tablet AL

RIVELSA ORAL TABLETS,DOSE PACK,3 MONTH

AL; QL

setlakin oral tablets,dose pack,3 month AL; QL

sharobel oral tablet AL

sprintec (28) oral tablet AL

sronyx oral tablet AL

syeda oral tablet AL

tarina fe 1/20 (28) oral tablet AL

tilia fe oral tablet AL; QL

tri femynor oral tablet AL

tri-estarylla oral tablet AL

tri-legest fe oral tablet AL; QL

tri-linyah oral tablet AL

tri-lo-estarylla oral tablet AL; QL

tri-lo-marzia oral tablet AL; QL

tri-lo-sprintec oral tablet AL; QL

trinessa (28) oral tablet AL

trinessa lo oral tablet AL; QL

41


tri-previfem (28) oral tablet AL

tri-sprintec (28) oral tablet AL

trivora (28) oral tablet AL

velivet triphasic regimen (28) oral tablet AL

vestura (28) oral tablet AL

vienva oral tablet AL

viorele (28) oral tablet AL

vyfemla (28) oral tablet AL

wera (28) oral tablet AL

wymzya fe oral tablet,chewable AL

xulane transdermal patch weekly AL; QL

zarah oral tablet AL

zenchent (28) oral tablet AL

zenchent fe oral tablet,chewable AL

zovia 1/35e (28) oral tablet AL

zovia 1/50e (28) oral tablet AL

EMERGENCY CONTRACEPTIVES

econtra ez oral tablet OTC; QL

ELLA ORAL TABLET

fallback solo oral tablet OTC; QL

my way oral tablet OTC; QL

next choice one dose oral tablet OTC; QL

opcicon one-step oral tablet OTC; QL

option-2 oral tablet OTC; QL

SPERMICIDES

TODAY CONTRACEPTIVE SPONGE VAGINAL CONTRACEPTIVE SPONGE

OTC

vaginal contraceptive film vaginal film OTC

vaginal contraceptive foam vaginal foam OTC

vcf contraceptive film vaginal film OTC

DERMATOLOGICAL

ACNE AGENTS, SYSTEMIC

claravis oral capsule PA

myorisan oral capsule PA

zenatane oral capsule PA

ACNE AGENTS, TOPICAL

clindamycin phosphate topical gel Cleocin T

clindamycin phosphate topical solution Cleocin T QL

clindamycin phosphate topical swab Cleocin T QL

clindamycin-benzoyl peroxide topical gel Duac QL

42


ery pads topical swab QL

erygel topical gel QL

erythromycin with ethanol topical solution QL

erythromycin with ethanol topical swab Ery Pads QL

metronidazole topical cream MetroCream QL

metronidazole topical lotion MetroLotion

rosadan topical cream QL

ANTIPSORIATIC AGENTS

calcipotriene scalp solution QL

calcipotriene topical cream Dovonex QL

calcipotriene topical ointment Calcitrene

calcitrene topical ointment

KERATOLYTICS

acne cleanser topical cleanser OTC

acne cleansing bar topical bar OTC

acne control cleanser topical cream OTC

acne foaming wash topical cleanser OTC

acne medication topical gel 10 % OTC; QL

acne medication topical gel 5 % OTC

acne medication topical lotion OTC; QL

acne pads topical pads, medicated OTC

acne treatment (benzoyl perox) topical gel OTC; QL

acne vanishing topical cream OTC

acne-clear topical gel OTC; QL

advanced acne wash topical cleanser,extended release

OTC

benzepro topical foam OTC

benzoyl peroxide topical cleanser 10 % Acne Foaming Wash OTC

benzoyl peroxide topical cleanser 5 % Advanced Exfoliating Cleanser OTC; QL

benzoyl peroxide topical cleanser 6 % OTC; QL

benzoyl peroxide topical foam BenzEFoam OTC

benzoyl peroxide topical gel 10 % Acne Medication OTC; QL

benzoyl peroxide topical gel 2.5 % OTC

benzoyl peroxide topical gel 5 % Acne Medication OTC

bp foam topical foam OTC

bp gel topical gel OTC

bp topical gel 10 % OTC; QL

bp topical gel 5 % OTC

bp wash acne treatment topical kit OTC

bp wash topical cleanser 10 %, 2.5 %, 7 % OTC

43


bp wash topical cleanser 5 % OTC; QL

bpo-10 topical cleanser OTC

bpo-5 topical cleanser OTC; QL

creamy acne face topical cleanser OTC

daily face wash topical cleanser OTC

foaming acne face wash topical cleanser OTC

panoxyl topical cleanser OTC

panoxyl topical cream OTC

panoxyl-4 topical cleanser OTC

persa-gel topical gel OTC; QL

rapid clear treatment pads topical pads, medicated

OTC

RIAX TOPICAL FOAM OTC

ROSACEA AGENTS, TOPICAL

metronidazole topical gel 0.75 % Rosadan

metronidazole topical gel 1 % Metrogel QL

metronidazole topical gel with pump Metrogel QL

rosadan topical gel

SCABICIDE AND PEDICULICIDE COMBINATIONS

complete lice treatment topical kit OTC; QL

lice complete kit 1-2-3 topical kit OTC; QL

lice killing topical shampoo OTC

lice pyrinyl shampoo topical shampoo OTC

lice solution topical kit OTC; QL

lice treatment topical shampoo OTC

rid complete lice elim kit topical kit OTC; QL

SCABICIDE AND PEDICULICIDE SINGLE AGENTS

lice bedding spray aerosol,spray OTC

lice killing (permethrin) topical liquid OTC; QL

lice treatment (permethrin) topical liquid OTC; QL

lice treatment topical liquid OTC; QL

permethrin topical cream Elimite QL

permethrin topical liquid Lice Killing (permethrin) OTC; QL

spinosad topical suspension Natroba

SKIN REPLACEMENT, LIVE TISSUE DRESSINGS

APLIGRAF TOPICAL DISK

44


TOPICAL AGENTS, MISCELLANEOUS

a and d (lan, pet) topical ointment OTC; QL

absorbine pain relieving topical gel OTC

advanced healing (petrolatum) topical ointment

OTC

alphabath topical oil OTC

ameriphor topical ointment OTC

amlactin topical lotion OTC

ammonium lactate topical cream Geri-Hydrolac OTC; QL

ammonium lactate topical lotion AmLactin OTC

anti-dandruff topical shampoo OTC

aqua glycolic face topical cream OTC

aqua glycolic topical shampoo OTC

aqua lube topical lubricant OTC

arthricream rub topical cream OTC

aveeno intense relief topical cream OTC

bath oil topical oil OTC

beta care topical cream OTC

beta care topical lotion OTC

blue gel topical gel OTC

calamine phenolated topical lotion OTC

calamine topical lotion OTC

calamine-zinc oxide topical lotion OTC

calamine-zinc oxide-phenol topical suspension

OTC

callus remover topical adhesive patch,medicated

OTC

callus removers topical adhesive patch,medicated

OTC

cam topical lotion OTC

cameo oil topical oil OTC

CERAVE PM TOPICAL LOTION,EXTENDED RELEASE

OTC

CERAVE SUNSCREEN TOPICAL LOTION OTC

CERAVE TOPICAL CLEANSER OTC

CERAVE TOPICAL CREAM OTC

cetaphil moisturizing topical cream OTC

cloverine topical ointment OTC

compound w topical liquid OTC

corn remover topical adhesive patch,medicated

OTC

45


CUTTER BACKWOODS TOPICAL AEROSOL,SPRAY

OTC

CUTTER SKINSATIONS TOPICAL SPRAY,NON-AEROSOL

OTC

daily moisturizing lotion topical lotion OTC

dermabase topical cream OTC

dermacerin topical cream OTC

dermaphor topical ointment OTC

dermarest psoriasis medicated topical lotion OTC

dermarest psoriasis medicated topical shampoo

OTC

dermavantage topical lotion OTC

DESENEX TOPICAL AEROSOL POWDER OTC

diaper rash relief topical ointment OTC

diaper rash topical ointment OTC; QL

diclofenac sodium topical drops QL

dr scholl's clear away topical adhesive patch,medicated

OTC

dry skin care topical lotion OTC

dry skin therapy moisturizing topical lotion OTC

dry skin therapy topical cream OTC

duofilm topical liquid OTC

emollient topical cream Aqua Glycolic Face OTC

eucerin original topical lotion OTC; QL

excel-gel topical gel OTC

finger cream topical cream OTC

geri-hydrolac topical cream OTC; QL

geri-hydrolac topical lotion OTC

glycerin topical liquid OTC

glycerin topical solution OTC

gordon's vite a topical cream OTC

gordons-vite e topical cream OTC

gordo-vite a topical cream OTC

gordo-vite e topical cream OTC

hydrocerin (with petrolatum) topical cream OTC

hydrocerin topical lotion OTC

hydrolatum topical ointment OTC

ice blue gel topical gel OTC

johnson's baby oil topical oil OTC

lan-o-soothe topical cream OTC

liquid corn and callus remover topical liquid OTC

46


lubriderm daily moisture (pet) topical lotion OTC

lubriderm skin nourishing topical lotion OTC

lubrisilk topical lotion OTC

lubrisoft topical lotion OTC

mapo bath topical oil OTC

mediplast corn-callus-wart topical adhesive patch,medicated

OTC

menthol topical gel Pain Relief (menthol) OTC

mineral oil light topical oil OTC

mineral oil topical oil Lobana Bath OTC

minerin topical cream OTC

minerin topical lotion OTC

moisturizing cream topical cream OTC

moiturizing lotion topical lotion OTC

mosco callus-corn remover topical liquid OTC

mosco corn remover topical adhesive patch,medicated

OTC

natural oatmeal bath treatment topical packet OTC

nivatopic plus topical cream

oatmeal bath regular topical packet OTC

OFF ACTIVE TOPICAL AEROSOL,SPRAY OTC

OFF DEEP WOODS DRY TOPICAL AEROSOL POWDER

OTC

OFF DEEP WOODS TOPICAL AEROSOL,SPRAY

OTC

OFF FAMILYCARE (WITH DEET) TOPICAL AEROSOL POWDER

OTC

pain relief (menthol) topical gel OTC

pain relieving (menthol) topical gel OTC

pediatric oint (cod liver oil) topical ointment OTC

petrolatum topical ointment OTC

petroleum jelly topical gel OTC

petroleum jelly, white topical gel OTC

podofilox topical solution

protective ointment topical ointment OTC

prumyx topical cream

psoriasis medicated topical shampoo OTC

REPEL SPORTSMEN DRY TOPICAL AEROSOL,SPRAY

OTC

REPEL SPORTSMEN MAX TOPICAL AEROSOL,SPRAY

OTC

47


REPEL SPORTSMEN TOPICAL AEROSOL,SPRAY

OTC

salactic film topical liquid OTC

salicylic acid topical cream

salicylic acid topical cream,extended release

salicylic acid topical film forming liquid w/appl Virasal

salicylic acid topical film-forming soln er w/ appl

UltraSal-ER

salicylic acid topical foam Salvax

salicylic acid topical gel Keralyt Rx

salicylic acid topical liquid

salicylic acid topical lotion

salicylic acid topical lotion,extended release

salicylic acid topical shampoo Salex

sal-plant topical gel OTC

salvax topical foam

scar gel topical gel OTC

scar topical gel OTC

sebex topical shampoo OTC

secura protective topical ointment OTC

selenium sulfide topical lotion QL

selenium sulfide topical shampoo

selsun blue (salicylic acid) topical shampoo OTC

selsun blue naturals topical shampoo OTC

selsun blue topical shampoo OTC

silver sulfadiazine topical cream Silvadene

skin treatment topical lotion OTC

sorbidon hydrate topical cream OTC

special care lotion topical lotion OTC

ssd topical cream

sween cream topical cream OTC

sween topical cream OTC

thera bath topical oil OTC

thera-derm topical lotion OTC

therapeutic blue topical gel OTC

therapeutic moisturizing topical cream OTC

therapeutic shampoo topical shampoo OTC

therapeutic t plus topical shampoo OTC

thermazene topical cream

ultra mide 25 topical lotion OTC

48


unscented cold cream topical cream OTC

urea topical cream 20 % Gormel OTC

urea topical cream 40 % QL

urea topical cream 45 % Uramaxin QL

urea topical cream 50 % Ure-K

urea topical gel 40 % QL

urea topical gel 45 % CEM-Urea

urea topical lotion Uramaxin

vanicream topical cream OTC

vitamin a and d topical ointment OTC

vitamin e plus topical cream OTC

vitamin e topical cream Gordo-Vite E OTC

vitamin e topical oil OTC

vitamin e-vitamins a and d topical cream OTC

vits a and d-white pet-lanolin topical ointment A and D (lan, pet) OTC; QL

vits a and d-white pet-lanolin topical ointment in packet

Vitamin A and D GRx OTC

walgreens dry skin treatment topical ointment OTC

wart remover topical adhesive patch,medicated

OTC

wart remover topical gel OTC

wart remover topical liquid OTC

wart remover topical plaster OTC

white petrolatum topical ointment Cloverine OTC

white petrolatum topical ointment in packet Vaseline White Petroleum OTC

white petroleum jelly topical gel OTC

x-seb t pearl topical shampoo OTC

zinc oxide diaper cream topical cream OTC

zinc oxide topical ointment Triple Paste OTC; QL

zinc oxide topical ointment 20 % OTC

zinc oxide topical ointment 40 % Boudreauxs Butt Paste OTC; QL

TOPICAL ANESTHETICS

lidocaine hcl mucous membrane jelly

lidocaine topical adhesive patch,medicated Lidoderm PA; QL

lidocaine topical ointment QL

lidocaine-prilocaine topical cream QL

TOPICAL ANTIBIOTICS

antibiotic (bacitracin zinc) topical ointment OTC; QL

antibiotic (neomy-bacit-polym) topical ointment

OTC; QL

49


antibiotic-pain relief (bacit) topical ointment OTC; QL

bacitracin topical ointment Bacitraycin Plus OTC; QL

bacitracin topical packet OTC; QL

bacitracin zinc topical ointment Antibiotic (bacitracin zinc) OTC; QL

bacitracin zinc topical packet OTC; QL

bacitracin-polymyxin b topical ointment Double Antibiotic OTC

bacitracin-polymyxin b topical packet Polysporin OTC

bacitraycin plus topical ointment OTC; QL

double antibiotic (b.tracn zn) topical ointment OTC

double antibiotic topical ointment OTC

gentamicin topical cream

gentamicin topical ointment

mupirocin topical ointment Centany QL

NEOSPORIN PLUS PAINRELIEF(BAC) TOPICAL OINTMENT

OTC; QL

poly bacitracin topical ointment OTC

sss 10-5 topical cream

sulfacetamide sodium-sulfur topical cream Avar-E

triple antibiotic (pram) extra topical ointment OTC; QL

triple antibiotic plus topical ointment OTC; QL

triple antibiotic topical ointment OTC; QL

triple antibiotic topical ointment in packet OTC

wal-sporin topical ointment OTC

TOPICAL ANTIFUNGALS

af topical aerosol powder OTC

ALEVAZOL TOPICAL OINTMENT OTC

antifungal (clotrimazole) topical cream OTC; QL

antifungal (tolnaftate) topical aerosol,spray OTC

antifungal (tolnaftate) topical cream OTC

antifungal (tolnaftate) topical powder OTC

antifungal cream topical cream OTC

antifungal spray topical aerosol powder OTC

antifungal topical liquid OTC

anti-fungal topical powder OTC

antifungal topical solution OTC

athlete's foot (clotrimazole) topical cream OTC; QL

athlete's foot (terbinafine) topical cream OTC

athlete's foot (tolnaftate) topical aerosol powder

OTC

athlete's foot (tolnaftate) topical aerosol,spray OTC

50


athlete's foot (tolnaftate) topical cream OTC

athlete's foot af topical cream OTC

athlete's foot topical aerosol powder OTC

athlete's foot topical powder OTC

athletic foot cream topical cream OTC; QL

baza antifungal topical cream OTC

baza cream hospital care pack topical combo pack

OTC

blis-to-sol (tolnaftate) topical solution OTC

ciclopirox topical cream Ciclodan PA; QL

ciclopirox topical solution Ciclodan PA; QL

ciclopirox topical suspension Loprox (as olamine) QL

clotrimazole af topical cream OTC; QL

clotrimazole topical cream Antifungal (clotrimazole) OTC; QL

clotrimazole topical solution OTC

clotrimazole-betamethasone topical cream Lotrisone QL

clotrimazole-betamethasone topical lotion QL

desenex topical powder OTC

ELON DUAL DEFENSE TOPICAL SOLUTION

OTC

foot and sneaker topical aerosol powder OTC

FUNGI-NAIL TOPICAL SOLUTION OTC

fungoid-d topical cream OTC

GORDOCHOM TOPICAL SOLUTION OTC

HONGO CURA SPRAY TOPICAL AEROSOL,SPRAY

OTC

inzo antifungal topical cream OTC

itch relief (clotrimazole) topical cream OTC; QL

jock itch (clotrimazole) topical cream OTC; QL

jock itch (terbinafine) topical cream OTC

jock itch topical aerosol powder OTC

ketoconazole topical cream QL

ketoconazole topical shampoo Nizoral QL

lamisil (aerosol) topical aerosol,spray OTC

lamisil af topical aerosol powder OTC

lamisil af topical powder OTC

lamisil at topical cream OTC

lamisil at topical gel OTC

lotrimin af (clotrimazole) topical cream OTC; QL

lotrimin af jock itch powder topical aerosol powder

OTC

51


lotrimin af powder topical aerosol powder OTC

lotrimin af topical aerosol,spray OTC

lotrimin af topical powder OTC

lotrimin ultra topical cream PA; OTC; QL

medi-first anti-fungal topical packet OTC

micatin topical cream OTC

miconazole nitrate topical aerosol powder Athlete's Foot OTC

miconazole nitrate topical cream Antifungal Cream OTC

miconazorb af topical powder OTC

micro-guard topical powder OTC

MYCO NAIL A TOPICAL SOLUTION OTC

MYCO NAIL TOPICAL LIQUID OTC

NIZORAL A-D TOPICAL SHAMPOO OTC

nyamyc topical powder QL

nyata topical powder QL

nystatin topical cream QL

nystatin topical ointment QL

nystatin topical powder Nyamyc QL

nystop topical powder QL

odor control foot-sneaker topical aerosol powder

OTC

remedy antifungal topical cream OTC

remedy antifungal topical powder OTC

remedy phytoplex antifungal topical ointment OTC

remedy phytoplex antifungal topical powder OTC

ringworm topical cream OTC; QL

secura antifungal extra thick topical cream OTC

secura antifungal topical cream OTC

terbinafine hcl topical cream Antifungal (terbinafine) OTC

tinactin topical aerosol powder OTC

tinactin topical cream OTC

tinactin topical powder OTC

tolnaftate topical aerosol powder AF OTC

tolnaftate topical cream Antifungal (tolnaftate) OTC

tolnaftate topical powder Antifungal (tolnaftate) OTC

tolnaftate topical solution Blis-To-Sol (tolnaftate) OTC

zeasorb (miconazole) topical powder OTC

TOPICAL ANTI-INFLAMMATORY STEROIDAL AGENTS

amcinonide topical lotion

52


amcinonide topical ointment QL

anti-itch (hc) topical cream OTC; QL

anti-itch (hc) topical ointment OTC

anti-itch (hc) with aloe-vit e topical cream OTC; QL

anti-itch plus topical cream OTC; QL

betamethasone dipropionate topical lotion QL

betamethasone valerate topical cream QL

betamethasone valerate topical ointment QL

betamethasone, augmented topical cream

clobetasol scalp solution Cormax QL

clobetasol topical cream Temovate QL

clobetasol topical gel

clobetasol topical ointment Temovate QL

clobetasol-emollient topical cream QL

cormax scalp solution QL

CORTAID TOPICAL CREAM OTC; QL

cortisone (hydrocortisone) topical cream OTC; QL

diflorasone topical cream Psorcon QL

eczema anti-itch topical cream OTC; QL

fluocinonide-e topical cream

fluocinonide-emollient topical cream Fluocinonide-E

fluticasone topical cream Cutivate QL

fluticasone topical ointment QL

halobetasol propionate topical cream Ultravate QL

halobetasol propionate topical ointment Ultravate QL

hydrocortisone acetate topical cream OTC; QL

hydrocortisone acetate topical ointment OTC

hydrocortisone plus topical cream OTC; QL

hydrocortisone topical cream 0.5 % OTC; QL

hydrocortisone topical cream 1 % Ala-Cort PA; OTC; QL

hydrocortisone topical cream 2.5 % Ala-Cort QL

hydrocortisone topical cream in packet OTC

hydrocortisone topical cream with perineal applicator

Anusol-HC QL

hydrocortisone topical ointment 0.5 % OTC

hydrocortisone topical ointment 1 % Anti-Itch (HC) OTC

hydrocortisone topical ointment 2.5 % QL

hydrocortisone-aloe vera topical cream Cortizone-10 with aloe PA; OTC; QL

hydrocortisone-pramoxine topical cream Pramosone

hydrocream topical cream OTC; QL

53


mometasone topical cream Elocon QL

mometasone topical ointment Elocon QL

mometasone topical solution QL

noble formula hc topical cream OTC; QL

prednicarbate topical ointment Dermatop QL

proctosol hc topical cream with perineal applicator

proctozone-hc topical cream with perineal applicator

QL

scalp relief topical solution OTC

scalpicin anti-itch topical solution OTC

TEXACORT TOPICAL SOLUTION

triamcinolone acetonide topical cream 0.025 %

QL

triamcinolone acetonide topical cream 0.1 %, 0.5 %

Triderm QL

triamcinolone acetonide topical ointment 0.025 %, 0.1 %, 0.5 %

QL

trianex topical ointment QL

triderm topical cream QL

TOPICAL ANTINEOPLASTIC AND PREMALIGNANT

fluorouracil topical cream Efudex QL

fluorouracil topical solution QL

TOPICAL ANTIPARASITICS

CUTTER BACKWOODS TOPICAL AEROSOL,SPRAY

OTC

CUTTER SKINSATIONS TOPICAL SPRAY,NON-AEROSOL

OTC

OFF ACTIVE TOPICAL AEROSOL,SPRAY OTC

OFF DEEP WOODS DRY TOPICAL AEROSOL POWDER

OTC

OFF DEEP WOODS TOPICAL AEROSOL,SPRAY

OTC

OFF FAMILYCARE (WITH DEET) TOPICAL AEROSOL POWDER

OTC

REPEL SPORTSMEN DRY TOPICAL AEROSOL,SPRAY

OTC

REPEL SPORTSMEN MAX TOPICAL AEROSOL,SPRAY

OTC

REPEL SPORTSMEN TOPICAL AEROSOL,SPRAY

OTC

54


TOPICAL ANTIVIRALS

ABREVA TOPICAL CREAM OTC; QL

acyclovir topical ointment Zovirax PA; QL

TOPICAL IMMUNOMODULATORS

imiquimod topical cream in packet Aldara PA; QL

tacrolimus topical ointment Protopic PA; QL

VITAMIN A DERIVATIVES

adapalene topical cream Differin PA; QL

adapalene topical gel Differin PA; QL

DIFFERIN TOPICAL GEL OTC; QL

tretinoin (emollient) topical cream Refissa PA; AL

tretinoin microspheres topical gel Retin-A Micro PA; AL; QL

tretinoin topical cream Retin-A PA

tretinoin topical gel Retin-A QL

DIAGNOSTIC AGENTS

DIAGNOSTIC - MULTIPLE URINE TESTS

CHEMSTRIP 10 MD STRIP OTC

MULTISTIX 9 SG STRIP OTC

MULTISTIX 9 STRIP OTC

DIAGNOSTIC - URINE TEST OTHERS

URINARY TRACT INF.TEST (WBCS) STRIP OTC

DIAGNOSTIC DRUGS - GASTROINTESTINAL RADIOLOGICAL ADJUNCT

GLUCAGEN DIAGNOSTIC KIT INJECTION RECON SOLN

QL

DIAGNOSTIC DRUGS - PITUITARY FUNCTION

cosyntropin injection recon soln Cortrosyn QL

cosyntropin intravenous solution

DRUGS TO TREAT MULTIPLE SCLEROSIS

DRUGS TO TREAT MULTIPLE SCLEROSIS

AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT

PA; QL

AVONEX INTRAMUSCULAR PEN INJECTOR KIT

PA; QL

AVONEX INTRAMUSCULAR SYRINGE KIT PA; QL

BETASERON SUBCUTANEOUS KIT PA; QL

55


EXTAVIA SUBCUTANEOUS KIT PA; QL

EXTAVIA SUBCUTANEOUS RECON SOLN PA

GILENYA ORAL CAPSULE PA; QL

glatiramer subcutaneous syringe Copaxone PA; QL

glatopa subcutaneous syringe PA; QL

REBIF (WITH ALBUMIN) SUBCUTANEOUS SYRINGE

PA

REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR

PA

REBIF TITRATION PACK SUBCUTANEOUS SYRINGE

PA

TECFIDERA ORAL CAPSULE,DELAYED RELEASE(DR/EC) 120 MG, 120 MG (14)- 240 MG (46), 240 MG

PA; QL

EATING DISORDER THERAPY

ANTI-OBESITY - FAT ABSORPTION DECREASING AGENTS

ALLI ORAL CAPSULE PA; OTC; QL

APPETITE STIMULANTS - PROGESTIN HORMONE TYPE

megestrol oral suspension

ELECTROLYTE BALANCE-NUTRITIONAL PRODUCTS

AMINO ACID - CARNITINE DERIVATIVES

l-carnitine (tartrate) oral capsule OTC

BIOFLAVONOID COMBINATIONS

bioflex oral tablet OTC

ear care oral tablet OTC

ear health formula oral tablet OTC

CALCIUM REPLACEMENT

BIOCAL ORAL CAPSULE OTC

ca-d3-mag-zinc-cop-mang-bor oral tablet OTC

cal mag zinc + d3 oral tablet OTC

calci-chew oral tablet,chewable OTC; QL

calci-mix oral capsule OTC

calcitrate oral tablet OTC

calcium 500 + d (d3) oral tablet OTC

calcium 500 + d oral tablet OTC

calcium 500 oral tablet OTC; QL

calcium 500 oral tablet,chewable OTC; QL

56


calcium 600 + d(3) oral capsule OTC

calcium 600 + d(3) oral tablet 600 mg(1,500mg) -200 unit

OTC

calcium 600 + d(3) oral tablet 600 mg(1,500mg) -400 unit

OTC; QL

calcium 600 + minerals oral tablet OTC

calcium 600 oral tablet OTC

calcium 600 with vitamin d3 oral capsule OTC; QL

calcium 600 with vitamin d3 oral tablet OTC

calcium acetate oral tablet Calphron PA

calcium amino acid chelate oral tablet OTC

calcium carb-d3-mag cmb11-zinc oral tablet OTC

calcium carbonate oral powder OTC

calcium carbonate oral suspension OTC

calcium carbonate oral tablet 500 mg calcium (1,250 mg)

Calcium 500 OTC; QL


Calcium 600 OTC


OTC; QL

calcium carbonate oral tablet,chewable 260 mg calcium (650 mg)

Cal-Mint OTC

calcium carbonate oral tablet,chewable 500 mg calcium (1,250 mg)

Calci-Chew OTC; QL

calcium carbonate-vitamin d3 oral capsule Calcium 600 with Vitamin D3 OTC; QL

calcium carbonate-vitamin d3 oral tablet 250-125 mg-unit

Oyster Shell + D3 OTC; QL

calcium carbonate-vitamin d3 oral tablet 500 mg(1,250mg) -125 unit

Calcium 500 + D (D3) OTC


Calcium 500 + D OTC


Calcium 600 + D(3) OTC; QL


Caltrate with Vitamin D3 OTC

calcium citrate malate-vit d3 oral tablet OTC

calcium citrate oral tablet Calcitrate OTC

calcium gluconate oral tablet 45 mg (500 mg) OTC; QL

calcium gluconate oral tablet 50 mg calcium, 60 mg (650 mg), 61 mg (648 mg)

OTC

calcium with vitamin d oral tablet OTC; QL

calcium-folic acid-vitamin d oral wafer

calcium-magnesium-zinc oral tablet OTC

57


cal-mag oral tablet,chewable OTC

cal-mint oral tablet,chewable OTC

cal-quick oral liquid OTC

CITRACAL + BONE DENSITY ORAL TABLET

OTC

CITRACAL PLUS MAGNESIUM ORAL TABLET

OTC

FEM-CAL CITRATE ORAL TABLET OTC

hi-cal plus vit d oral tablet OTC

liquid calcium with vitamin d oral capsule OTC

LOCALNESIUM ORAL TABLET OTC

OS-CAL 500 + D3 ORAL TABLET OTC

oysco 500/d oral tablet OTC

oysco-500 oral tablet OTC; QL

oyst-cal-500 oral tablet OTC; QL

oyster shell + d3 oral tablet OTC; QL

oyster shell calcium 500 oral tablet OTC; QL

oyster shell calcium oral tablet OTC; QL

oyster shell calcium-vit d2 oral tablet OTC; QL

oyster shell calcium-vit d3 oral tablet 250-125 mg-unit

OTC; QL

oyster shell calcium-vit d3 oral tablet 500 mg(1,250mg) -200 unit, 500 mg(1,250mg) -400 unit

OTC

parva-cal 250 oral tablet OTC

parva-cal 500 oral tablet OTC

PRO-CAL ORAL TABLET OTC

PROSTEON ORAL TABLET OTC

THERACAL D2000 ORAL TABLET OTC

THERACAL D4000 ORAL TABLET OTC

THERACAL ORAL TABLET OTC

tl g-fol os oral tablet

DIETARY PRODUCT - DIETARY SUPPLEMENTS

AIRSHIELD ORAL TABLET, EFFERVESCENT

OTC

BRAIN MIGHT-DHA-CO Q10 ORAL TABLET OTC

DIABETIC SUPPORT FORMULA ORAL TABLET

OTC

ESTROPLUS ORAL TABLET OTC

hair, skin and nails advanced oral tablet OTC

58


MEGAVITE GOLDEN YEARS 55+ ORAL TABLET

OTC

MEGAVITE ORAL TABLET OTC

NICAZEL ORAL TABLET QL

omega-3 + vitamin d3 oral tablet,chewable OTC

one daily oral tablet OTC

one daily women's metabolism oral tablet OTC

sea-omega oral capsule OTC

vitamin d3 complete oral tablet OTC

vp-zel oral tablet QL

DILUENTS - SODIUM CHLORIDE

sodium chloride 0.9 % injection solution

ELECTROLYTE REPLACEMENT

electrolytes-dextrose oral solution Enfamil Enfalyte OTC; QL

oralyte oral solution OTC; QL

pedialyte freezer pops oral solution OTC; QL

pedialyte oral solution OTC; QL

pedialyte singles oral solution OTC; QL

pediatric electrolyte oral solution OTC; QL

pediatric freezer pops oral solution OTC; QL

FOLIC ACID PREPARATIONS

folbic oral tablet QL

folic acid injection solution

folic acid oral tablet OTC

virt-vite forte oral tablet QL

IRON REPLACEMENT

centratex oral capsule

children's iron oral drops OTC

corvita 150 oral tablet

elite-ob oral tablet AL; QL

ezfe 200 oral capsule OTC

fe c oral tablet OTC

fe c plus oral tablet OTC

feosol oral tablet OTC; QL

ferate oral tablet OTC; QL

ferocon oral capsule QL

ferosul oral elixir OTC

ferosul oral tablet OTC; QL

ferraplus 90 oral tablet

ferretts oral tablet OTC

59


ferrex 150 forte oral capsule

ferrex 150 forte plus oral capsule

ferrex 150 oral capsule OTC

ferrex 150 plus oral capsule OTC

ferrex 28 oral tablet

ferric x-150 oral capsule OTC

ferrocite oral tablet OTC

ferrocite plus oral tablet

ferro-sequels (iron-vit c) oral tablet extended release

OTC

ferro-time oral tablet OTC; QL

ferrous fumarate oral tablet Ferrocite OTC

ferrous gluconate oral tablet Ferate OTC; QL

ferrous sulfate oral drops Children's Iron OTC

ferrous sulfate oral elixir FeroSul OTC

ferrous sulfate oral liquid OTC

ferrous sulfate oral solution OTC

ferrous sulfate oral tablet Feosol OTC; QL

ferrous sulfate oral tablet extended release OTC

ferrous sulfate oral tablet,delayed release (dr/ec) 324 mg (65 mg iron)

OTC; QL

ferrous sulfate oral tablet,delayed release (dr/ec) 325 mg (65 mg iron)

OTC

ferrousul oral tablet OTC; QL

folitab oral tablet extended release OTC

folivane-f oral capsule

folivane-plus oral capsule

hematinic plus vit/minerals oral tablet

hematinic/folic acid oral tablet

hematogen fa oral capsule

hematogen forte oral capsule

hematogen oral capsule

hemetab oral tablet QL

high potency iron oral tablet OTC

ICAR ORAL SUSPENSION OTC; QL

iferex 150 forte oral capsule

iferex 150 oral capsule OTC

infed injection solution

iron (dried) oral tablet extended release OTC

iron (ferrous sulfate) oral tablet OTC; QL

60


iron 100 plus oral tablet OTC

iron chews oral tablet,chewable OTC

iron high potency oral tablet OTC; QL

iron oral tablet OTC; QL

iron oral tablet extended release OTC

iron, carbonyl oral tablet Feosol OTC

iron,carbonyl-vitamin c oral tablet FE C OTC

IRONUP ORAL DROPS OTC

multigen folic oral tablet

multigen oral tablet OTC

multigen plus oral tablet

myferon 150 forte oral capsule

myferon 150 oral capsule OTC

PARVLEX ORAL TABLET OTC

poly-iron 150 forte oral capsule

poly-iron oral capsule OTC

slow release iron oral tablet extended release OTC

sodium ferric gluconat-sucrose intravenous solution

Ferrlecit

stress formula oral tablet OTC; QL

taron forte oral capsule

tl icon oral capsule QL

tl-hem 150 oral tablet extended release 24 hr

tricon oral capsule QL

trigels-f forte oral capsule

VENOFER INTRAVENOUS SOLUTION

wee care oral suspension OTC; QL

IRRIGATION SOLUTIONS

sodium chloride irrigation solution Sterile Saline

sterile saline irrigation solution OTC

MINERALS AND ELECTROLYTES - MAGNESIUM

mag 64 oral tablet,delayed release (dr/ec) OTC; QL

mag-delay oral tablet,delayed release (dr/ec) OTC

magnesium oxide oral tablet 200 mg magnesium

OTC

magnesium oxide oral tablet 400 mg MagOx OTC; QL

MINERALS AND ELECTROLYTES - PHOSPHATE

k-phos-neutral oral tablet

61


phospha 250 neutral oral tablet

MULTIVITAMINS

a thru z advanced formula oral tablet OTC; QL

a thru z high potency oral tablet OTC; QL

a thru z oral tablet OTC; QL

a thru z select 50+ formula oral tablet OTC

a thru z select oral tablet OTC; QL

a thru z select women's oral tablet OTC; QL

abc plus oral tablet OTC

actical oral capsule OTC

adult multivitamin gummies oral tablet,chewable

OTC

adult one daily gummies oral tablet,chewable OTC

adults 50 plus oral tablet OTC

AIRSHIELD ORAL TABLET, EFFERVESCENT

OTC

antioxidant a/c/e/selenium oral capsule OTC

antioxidant vitamins oral tablet OTC; QL

apatate forte oral liquid OTC; QL

AQUADEKS ORAL TABLET,CHEWABLE OTC

BACMIN ORAL TABLET QL

bee-zee oral tablet OTC; QL

BIO-35, GLUTEN FREE ORAL CAPSULE OTC

biosupp oral liquid OTC; QL

biotect plus oral liquid OTC

BIOTIN PLUS-CALCIUM AND VIT D3 ORAL TABLET

OTC

biovol oral syrup OTC; QL

body, hair, skin and nails oral capsule OTC

calcium citrate + d with mag oral tablet OTC

calcium citrate plus (vit b6) oral tablet OTC

centamin oral liquid OTC

central vite with lutein oral tablet OTC

central-vite cardio oral tablet OTC; QL

central-vite select oral tablet OTC; QL

centravites 50 plus oral tablet OTC; QL

centravites 50 plus oral tablet 0.4-300-250 mg-mcg-mcg

OTC

centravites oral tablet OTC; QL

CENTRUM COMPLETE ORAL TABLET OTC; QL

62


CENTRUM SILVER ORAL TABLET,CHEWABLE

OTC

CENTRUM SPECIALIST ENERGY ORAL TABLET

OTC

CENTRUM SPECIALIST HEART ORAL TABLET

OTC; QL

CENTRUM ULTRA MEN'S ORAL TABLET OTC; QL

century adults 50+ oral tablet OTC

century cardio oral tablet OTC; QL

century energy metabolism oral tablet OTC

century mature oral tablet OTC

century oral tablet OTC; QL

century ultimate men's oral tablet 300-600-300 mcg

OTC

century ultimate men's oral tablet 8 mg iron- 200 mcg-600 mcg

OTC; QL

century ultimate women's oral tablet 18-400 mg-mcg

OTC; QL

century ultimate women's oral tablet 8 mg iron-400 mcg-300 mcg

OTC

cerovite advanced formula oral tablet OTC; QL

cerovite senior oral tablet OTC; QL

certa plus oral tablet OTC; QL

certavite senior-antioxidant oral tablet OTC

certavite-antioxidant oral tablet OTC; QL

chewable-vite oral tablet,chewable OTC

compete oral tablet OTC; QL

complete 50+ oral tablet OTC

complete multi 50+ oral tablet OTC; QL

complete multi oral tablet OTC; QL

complete multivitamin oral tablet OTC; QL

complete multivitamin oral tablet 0.4-300-250 mg-mcg-mcg

OTC

complete multivitamin-mineral oral liquid OTC

complete multivitamin-mineral oral tablet OTC; QL

complete oral tablet OTC; QL

complete premium vitamin oral tablet OTC; QL

complete senior oral tablet OTC; QL

complete senior oral tablet 0.4-300-250 mg-mcg-mcg

OTC

corvita oral tablet

CORVITE FREE ORAL TABLET QL

63


daily gummies oral tablet,chewable OTC

daily multiple for men oral tablet OTC; QL

daily multiple for women 50+ oral tablet OTC; QL

daily multiple for women oral tablet OTC; QL

daily multiple oral tablet , 18-400 mg-mcg OTC; QL

daily multiple oral tablet 400-120 mcg-mg OTC

daily multiple vitamins/iron oral tablet OTC; QL

daily multi-vitamin oral tablet OTC; QL

daily multivitamin with iron oral tablet OTC; QL

daily multivitamin-minerals oral tablet OTC; QL

daily multi-vitamins/iron oral tablet OTC; QL

daily value oral tablet OTC; QL

daily vitamin formula oral tablet OTC; QL

daily vitamin formula-iron oral tablet OTC; QL

daily vitamin formula-minerals oral tablet OTC; QL

daily vitamin with iron and ca oral tablet OTC; QL

daily vitamin with iron oral tablet OTC; QL

daily vites/iron oral tablet OTC; QL

daily-vite oral tablet OTC; QL

DECUBI VITE ORAL CAPSULE OTC

DIABETES HEALTH FORMULA ORAL TABLET

OTC

e-400 c-500 and beta carotene oral tablet OTC

eldertonic oral elixir OTC; QL

ellis tonic oral elixir OTC; QL

ELON MATRIX COMPLETE ORAL TABLET OTC; QL

essentia oral tablet OTC; QL

essential balance with lutein oral tablet OTC; QL

essential daily oral tablet OTC; QL

essential man 50+ oral tablet OTC

essential man oral tablet OTC

essential woman 50+ oral tablet OTC; QL

eye health plus lutein oral tablet OTC; QL

FORTAVIT ORAL CAPSULE

fosfree oral tablet OTC; QL

FREEDAVITE ORAL TABLET OTC

geriaton oral liquid OTC; QL

GERITOL COMPLETE ORAL TABLET OTC

GERITOL TONIC WITH FERREX 18 ORAL LIQUID

OTC

64


hair vitamins oral tablet OTC; QL

hair,skin and nails oral tablet OTC; QL

hair,skin and nails oral tablet 1 mg iron-66.7 mcg-1,000 mcg

OTC

healthy eyes oral tablet OTC; QL

healthy eyes supervision oral capsule OTC

ICAPS AREDS ORAL CAPSULE OTC

ICAPS MV ORAL TABLET,DELAYED RELEASE (DR/EC)

OTC; QL

I-CAPS ORAL CAPSULE OTC

ICAPS PLUS ORAL TABLET OTC; QL

i-vite oral tablet OTC; QL

i-vite protect oral tablet OTC; QL

K-PAX IMMUNE SUPPORT ORAL TABLET OTC; QL

K-PAX ORAL CAPSULE OTC

maximum daily green oral tablet OTC

maximum daily multivitamin oral tablet OTC; QL

mega multi for women oral tablet OTC

mega multiple/chelated mineral oral tablet OTC; QL

mega multivitamin for men oral tablet OTC

mega multivitamin with mineral oral tablet OTC

men's daily multivit-mineral oral tablet OTC; QL

men's daily oral capsule OTC; QL

men's multi-vitamin oral tablet OTC; QL

men's one daily oral tablet OTC; QL

milltrium senior oral tablet OTC; QL

MONOCAPS ORAL TABLET OTC

multi complete with iron oral tablet OTC; QL

multi for her 50 plus oral capsule OTC

multi for her oral capsule OTC

multi for her oral tablet OTC

multi vitamin oral liquid OTC

multi-betic oral tablet OTC; QL

multi-day with iron oral tablet OTC; QL

multi-delyn with iron oral liquid OTC

multilex oral tablet OTC; QL

multilex-t and m oral tablet OTC; QL

multiple vitamin, womens oral tablet OTC; QL

multiple vitamin-minerals oral tablet OTC; QL

multiple vitamins oral tablet OTC; QL

65


multivitamin 50 plus oral tablet OTC; QL

multi-vitamin hp/minerals oral capsule OTC

multivitamin oral capsule OTC

multivitamin oral tablet Daily Multi-Vitamin OTC; QL

multivitamin with iron oral tablet Daily Multi-Vitamins/Iron OTC; QL

multivitamin with minerals oral liquid OTC

multivitamin with minerals oral tablet Bee-Zee OTC; QL

multi-vite 50 and over oral tablet OTC; QL

multi-vite oral tablet OTC; QL

mv-min-folic acid-lutein oral tablet,chewable Adult Multivitamin (w-lutein) OTC

my-vitalife oral capsule OTC; QL

NUTRICAP ORAL TABLET QL

ocutabs oral tablet OTC; QL

OCUVITE ORAL CAPSULE OTC

OCUVITE WITH LUTEIN ORAL TABLET OTC; QL

omnicap oral tablet OTC; QL

once daily oral tablet OTC; QL

one daily calcium/iron oral tablet OTC; QL

one daily complete oral tablet OTC; QL

one daily energy oral tablet OTC; QL

one daily essential oral tablet , 0.4 mg OTC; QL

one daily essential oral tablet 400 mcg OTC

one daily for men 50+ advanced oral tablet OTC; QL

one daily for men oral tablet OTC; QL

one daily for women oral tablet OTC; QL

one daily healthy weight oral tablet OTC; QL

one daily maximum oral tablet OTC; QL

one daily men's 50+ oral tablet 400-120 mcg-mg

OTC

one daily men's 50+ oral tablet 400-600-120 mcg-mcg-mg

OTC; QL

one daily multi-vit w-mineral oral tablet OTC; QL

one daily multivitamin oral tablet OTC; QL

one daily multivitamin oral tablet 400 mcg OTC

one daily oral tablet OTC; QL

one daily plus iron oral tablet OTC; QL

one daily plus minerals oral tablet OTC; QL

one daily with iron oral tablet OTC; QL

one daily women 50 plus oral tablet OTC

one daily womens 50 plus oral tablet OTC; QL

66


one daily women's health oral tablet OTC; QL

one daily women's oral tablet OTC; QL

ONE-A-DAY ENERGY ORAL TABLET OTC

ONE-A-DAY ESSENTIAL ORAL TABLET OTC; QL

ONE-A-DAY MAXIMUM FORMULA ORAL TABLET

OTC; QL

ONE-A-DAY MEN VITACRAVES ORAL TABLET,CHEWABLE

OTC

ONE-A-DAY MENOPAUSE FORMULA ORAL TABLET

OTC

ONE-A-DAY MEN'S 50 PLUS ORAL TABLET

OTC

ONE-A-DAY MEN'S MULTIVITAMIN ORAL TABLET

OTC; QL

ONE-A-DAY TEEN ADVANTAGE ORAL TABLET

OTC; QL

ONE-A-DAY VITACRAVES IMMUNITY ORAL TABLET,CHEWABLE

OTC

ONE-A-DAY VITACRAVES OMEGA-3 ORAL TABLET,CHEWABLE

OTC

ONE-A-DAY VITACRAVES ORAL TABLET,CHEWABLE

OTC

ONE-A-DAY WEIGHTSMART ORAL TABLET

OTC; QL

ONE-A-DAY WOMEN VITACRAVES ORAL TABLET,CHEWABLE

OTC

ONE-A-DAY WOMEN'S ACTIVE ORAL TABLET

OTC

ONE-A-DAY WOMENS FORMULA ORAL TABLET 18 MG IRON-400 MCG-500 MG

OTC

ONE-A-DAY WOMENS FORMULA ORAL TABLET 18 MG IRON-400 MCG-500 MG CA

OTC; QL

ONE-A-DAY WOMEN'S HEALTHY SKIN ORAL TABLET

OTC

ONE-A-DAY WOMEN'S PETITES ORAL TABLET

OTC

one-tablet-daily oral tablet OTC; QL

OPTISOURCE ORAL TABLET,CHEWABLE OTC

opti-vitamins oral tablet OTC; QL

PRESERVISION AREDS ORAL CAPSULE OTC

PRESERVISION AREDS ORAL TABLET OTC; QL

PRESERVISION LUTEIN ORAL CAPSULE OTC

PREVENT ORAL CAPSULE OTC

PROCERV HP ORAL TABLET OTC

67


PRORENAL QD ORAL CAPSULE OTC

purevit dualfe plus oral capsule

quintabs oral tablet OTC

quintabs-m iron free oral tablet OTC; QL

quintabs-m oral tablet OTC

REQ49+ ORAL TABLET QL

SAVISION ORAL TABLET OTC; QL

senior tabs oral tablet OTC

sentry (with lutein) oral tablet OTC; QL

sentry oral tablet OTC; QL

sentry senior oral tablet 0.4-300-250 mg-mcg-mcg

OTC

sentry senior oral tablet 500-300-250 mcg OTC; QL

se-tan plus oral capsule

SOLO ORAL TABLET OTC

spectravite adult 50+ oral tablet OTC

spectravite adult 50+ oral tablet,chewable OTC

spectravite adult oral tablet,chewable OTC

spectravite advanced formula oral tablet OTC; QL

spectravite men's oral tablet OTC; QL

spectravite senior oral tablet OTC; QL

spectravite ultra men 50+ oral tablet OTC

spectravite ultra men's sr oral tablet OTC

spectravite ultra women oral tablet OTC; QL

spectravite ultra women's sr oral tablet OTC

stress b-complex oral tablet OTC

sunvite oral tablet OTC

super antioxidant oral capsule OTC

super ginseng multivitamin oral capsule OTC

super multiple - low iron oral tablet OTC

super multiple oral capsule OTC

super multiple oral tablet OTC; QL

super multivitamin oral tablet OTC; QL

super thera vite m oral tablet OTC; QL

support oral liquid OTC; QL

tab-a-vite oral tablet OTC; QL

tab-a-vite/iron oral tablet OTC; QL

tab-a-vite-minerals oral tablet OTC; QL

thera m plus (ferrous fumarat) oral tablet OTC; QL

thera oral tablet OTC; QL

68


THERADEX M ORAL TABLET OTC; QL

THERAGRAN-M PREMIER 50 PLUS ORAL TABLET

OTC

theralogix companion oral tablet OTC

thera-m oral tablet OTC; QL

therapeutic liquid oral liquid OTC

therapeutic-m oral tablet OTC; QL

therapeutic-m vitamin/minerals oral tablet OTC; QL

thera-tabs m oral tablet OTC; QL

thera-tabs oral tablet OTC; QL

theratrum complete 50 plus oral tablet OTC; QL

theratrum complete 50 plus/lut oral tablet OTC; QL

theratrum complete with lutein oral tablet OTC; QL

therems oral tablet OTC; QL

therems-h oral tablet OTC

therems-m oral tablet OTC; QL

totalday multiple oral tablet extended release OTC; QL

ultimate men's complete 50+ oral tablet OTC

ultimate women's complete 50+ oral tablet OTC

ultra antioxidant formula oral tablet OTC

ultra freeda oral tablet OTC

unicomplex-m oral tablet OTC; QL

UROSEX ORAL TABLET OTC

v-c forte oral capsule

vic-forte oral capsule

vision formula (with lutein) oral tablet OTC; QL

vitacel (with lutein) oral tablet OTC

vitalee oral tablet OTC; QL

vitamins a-d-e selenium oral tablet OTC

vitamins and minerals oral tablet OTC; QL

vitamins for hair oral tablet OTC; QL

vitatrum oral tablet OTC; QL

vitrum senior oral tablet OTC; QL

women's active oral tablet OTC

women's daily caplet oral tablet OTC; QL

women's daily formula oral tablet OTC; QL

women's daily multivitamin oral tablet OTC; QL

women's one daily oral tablet OTC; QL

yelets oral tablet OTC; QL

69


NUTRITIONAL PRODUCT - CARBOHYDRATES, ORAL

ENFAMIL GLUCOSE ORAL SOLUTION OTC

GERBER GOOD START GLUCOSE ORAL SOLUTION

OTC

PEDIATRIC VITAMIN PREPARATIONS

animal chews oral tablet,chewable OTC

animal shape vitamins oral tablet,chewable OTC

animal shapes complete oral tablet,chewable OTC

AQUADEKS PEDIATRIC ORAL DROPS OTC

cerovite jr oral tablet,chewable OTC; QL

chewable-vite oral tablet,chewable OTC

chewable-vite with iron oral tablet,chewable OTC

child multivitamins oral tablet,chewable OTC

child vitamin with minerals oral tablet,chewable

OTC; QL

children's chewable oral tablet,chewable OTC

children's chewable vitamin oral tablet,chewable

OTC

children's chewables extra c oral tablet,chewable

OTC

children's chewables oral tablet,chewable OTC

children's chewables with iron oral tablet,chewable

OTC

children's multi-vit gummies oral tablet,chewable

OTC

childs chew vite oral tablet,chewable OTC

child's chewable vitamins/iron oral tablet,chewable

OTC

child's vitamin with iron oral tablet,chewable OTC

childs/iron oral tablet,chewable OTC

dino-life oral tablet,chewable OTC

dino-life with extra c oral tablet,chewable OTC

dino-life with iron-zinc oral tablet,chewable OTC; QL

FLINTSTONES COMPLETE (IRON) ORAL TABLET,CHEWABLE

OTC

FLINTSTONES GUMMIES OMEGA-3 ORAL TABLET,CHEWABLE

OTC

FLINTSTONES GUMMIES ORAL TABLET,CHEWABLE

OTC

FLINTSTONES MULTI-VIT GUMMIES ORAL TABLET,CHEWABLE

OTC

70


FLINTSTONES PLUS CALCIUM ORAL TABLET,CHEWABLE

OTC

FLINTSTONES SOUR GUMMIES ORAL TABLET,CHEWABLE

OTC

FLINTSTONES TAB CHEW ORAL TABLET,CHEWABLE

OTC

FLINTSTONES/EXTRA C ORAL TABLET,CHEWABLE

OTC

fruity vitamin oral tablet,chewable OTC

gummi bear multivitamin oral tablet,chewable OTC

gummy dinos oral tablet,chewable OTC

honey bears with iron-zinc oral tablet,chewable

OTC; QL

little animals oral tablet,chewable OTC

little animals-iron oral tablet,chewable OTC

lysiplex plus oral liquid OTC; QL

multi-vit with fluoride-iron oral drops OTC

multi-vitamin with fluoride oral drops OTC

multivitamin with fluoride oral tablet,chewable

multi-vitamin with fluoride oral tablet,chewable

multivitamins with fluoride oral tablet,chewable

multi-vitamins with iron oral tablet,chewable OTC; QL

multivit-fluor (vit e acetate) oral drops

mvc-fluoride oral tablet,chewable

ONE-A-DAY KID'S ORAL TABLET,CHEWABLE

OTC

POLY-VI-SOL WITH IRON ORAL DROPS OTC

polyvitamin with iron oral tablet,chewable OTC; QL

poly-vitamins oral tablet,chewable OTC

SCOOBY-DOO ONE A DAY KIDS ORAL TABLET,CHEWABLE

OTC

triple vitamin with fluoride oral drops

tri-vit with fluoride and iron oral drops

tri-vitamin with fluoride oral drops

vitalets oral tablet,chewable OTC

vitamins a,c,d and fluoride oral drops

zoo chews oral tablet,chewable OTC

zoo friends original oral tablet,chewable OTC

POTASSIUM REMOVING RESINS

kionex (with sorbitol) oral suspension

71


sodium polystyrene (sorb free) oral suspension

sodium polystyrene sulfonate oral suspension sodium polystyrene (sorb free)

sodium polystyrene sulfonate rectal enema

sps (with sorbitol) oral suspension

sps (with sorbitol) rectal enema

POTASSIUM REPLACEMENT

effer-k oral tablet, effervescent

k-effervescent oral tablet, effervescent

klor-con 10 oral tablet extended release

klor-con 8 oral tablet extended release

klor-con m10 oral tablet,er particles/crystals

klor-con m20 oral tablet,er particles/crystals

klor-con oral packet

klor-con/ef oral tablet, effervescent

K-TAB ORAL TABLET EXTENDED RELEASE

potassium bicarb-citric acid oral tablet, effervescent

Effer-K

potassium chloride oral capsule, extended release

Klor-Con Sprinkle

potassium chloride oral liquid

potassium chloride oral packet Klor-Con

potassium chloride oral tablet extended release

K-Tab

potassium chloride oral tablet,er particles/crystals

Klor-Con M20

potassium gluconate oral tablet OTC; QL

PRENATAL VITAMIN PREPARATIONS

classic prenatal oral tablet AL; OTC; QL

daily prenatal oral combo pack AL; OTC; QL

elite-ob oral tablet AL; QL

kpn oral tablet AL; OTC; QL

MINI PRENATAL ORAL TABLET AL; OTC; QL

mynatal advance oral tablet AL; QL

mynatal oral capsule AL; QL

mynatal oral tablet AL; QL

mynatal plus oral tablet AL; QL

mynatal-z oral tablet AL; QL

mynate 90 plus oral tablet extended release AL; QL

one daily prenatal oral combo pack AL; OTC; QL

72


perry prenatal oral capsule AL; OTC; QL

pnv cmb#95-ferrous fumarate-fa oral tablet Prenatal AL; OTC; QL

prenatal + dha oral combo pack AL; OTC; QL

prenatal formula oral tablet AL; OTC; QL

prenatal gummy oral tablet,chewable AL; OTC; QL

prenatal multivitamins oral tablet AL; OTC; QL

prenatal one daily oral tablet AL; OTC; QL

prenatal oral tablet AL; OTC; QL

prenatal tablet oral tablet AL; OTC; QL

prenatal vitamin oral tablet AL; OTC; QL

prenatal vitamin plus low iron oral tablet AL

prenatal vitamin with minerals oral tablet AL; OTC; QL

prenatal vits96-iron fum-folic oral tablet AL; OTC; QL

women's prenatal + dha oral combo pack AL; OTC; QL

SODIUM CHLORIDE FLUSHES

sodium chloride 0.9 % injection solution

SODIUM CHLORIDE, PARENTERAL

sodium chloride 0.45 % intravenous parenteral solution

sodium chloride 0.9 % intravenous parenteral solution

sodium chloride 0.9 % intravenous piggyback

VITAMIN B PREPARATIONS

b complex 1 oral tablet OTC

b complex 100 oral tablet OTC

b complex plus vitamin c oral capsule OTC

b complex w-vit c oral tablet OTC

b complex-vitamin b12 oral tablet OTC

b complex-vitamin c-folic acid oral tablet OTC

b-100 complex oral tablet extended release OTC

b-12 dots oral tablet OTC

bal b-100 oral tablet OTC

bal b-50 oral tablet OTC

balance b-100 oral tablet OTC

balance b-50 oral tablet OTC

balanced b-100 complex oral tablet extended release

OTC

balanced b-100 oral tablet OTC

balanced b-50 complex oral tablet OTC

balanced b-50 oral tablet OTC

73


b-complex oral tablet OTC

b-complex with vitamin c oral capsule Super B/C OTC; QL

b-complex with vitamin c oral tablet Super B Complex-Vitamin C OTC; QL

b-complex with vitamin c oral tablet 400-500 mcg-mg

OTC

complex b-100 oral tablet extended release OTC

cyanocobalamin (vitamin b-12) injection solution

Vitamin B-12

cyanocobalamin (vitamin b-12) oral liquid Liquid B 12 OTC

cyanocobalamin (vitamin b-12) oral lozenge OTC

cyanocobalamin (vitamin b-12) oral tablet Vitamin B-12 OTC

cyanocobalamin (vitamin b-12) oral tablet extended release

Vitamin B-12 OTC

cyanocobalamin (vitamin b-12) sublingual lozenge

OTC

cyanocobalamin (vitamin b-12) sublingual tablet

Vitamin B-12 OTC

DIALYVITE 800 ORAL TABLET OTC

DIALYVITE 800-ULTRA D ORAL TABLET OTC; QL

DIALYVITE ORAL TABLET

folbee plus oral tablet

folbic oral tablet QL

foltabs 800 oral tablet OTC

full spectrum b-vitamin c oral tablet OTC

hydroxocobalamin intramuscular solution

kobee oral tablet OTC

liquid b 12 oral liquid OTC

LYSIPLEX PLUS ORAL TABLET QL

MEDTYCHOLL-B COMPLEX-LIVER ORAL CAPSULE

OTC

mynephrocaps oral capsule

mynephron oral capsule

natural b-100 complex oral tablet OTC

nephplex rx oral tablet

nephronex oral liquid OTC

nephronex-sl oral tablet,disintegrating OTC

NEPHRO-VITE ORAL TABLET OTC

NEPHRO-VITE RX ORAL TABLET

niacin (niacinamide) oral tablet OTC

niacin oral capsule, extended release 125 mg, 250 mg, 500 mg

OTC; QL

74


niacin oral tablet OTC

niacin oral tablet extended release Endur-Acin OTC

niacinamide oral tablet Niacin (niacinamide) OTC

pantothenic acid (vit b5) oral tablet OTC

PRORENAL ORAL TABLET OTC; QL

pyridoxine (vitamin b6) injection solution

pyridoxine (vitamin b6) oral tablet Vitamin B-6 OTC

QUIN B STRONG ORAL TABLET OTC

RABANO YODADO ORAL LIQUID OTC

renal caps oral capsule

rena-vite oral tablet OTC

rena-vite rx oral tablet

reno caps oral capsule

riboflavin (vitamin b2) oral tablet Vitamin B-2 OTC

slo-niacin oral tablet extended release OTC

stress b plus zinc oral tablet OTC; QL

stress formula 600 c oral tablet OTC; QL

stress formula oral tablet OTC; QL

stress formula plus iron oral tablet OTC; QL

stress formula with iron oral tablet OTC

stress formula with iron(sulf) oral tablet OTC

stress formula with zinc oral tablet OTC; QL

stresstabs with zinc oral tablet OTC

super b complex + c oral tablet OTC

super b complex-vitamin c oral tablet OTC; QL

super b maxi complex oral tablet OTC

super b/c oral capsule OTC; QL

super b-50 complex oral capsule OTC

super b-50 complex plus oral tablet OTC

super quints b-50 oral tablet OTC

super quints oral tablet OTC

superplex-t oral tablet OTC; QL

thiamine hcl (vitamin b1) injection solution

thiamine hcl (vitamin b1) oral tablet Vitamin B-1 OTC

thiamine mononitrate (vit b1) oral tablet Vitamin B-1 (mononitrate) OTC

total b/c oral tablet OTC; QL

triphrocaps oral capsule

ultra b-100 complex oral tablet OTC

virt-vite forte oral tablet QL

virt-vite plus oral tablet

75


vit b complex-folic acid oral tablet B Complex 100 OTC

vitamin b complex oral capsule Super B-50 Complex OTC

vitamin b complex oral tablet B Complex 1 OTC

vitamin b complex with c oral capsule OTC; QL

vitamin b-1 (mononitrate) oral tablet OTC

vitamin b-1 oral tablet OTC

vitamin b-12 injection solution

vitamin b-12 oral lozenge OTC


vitamin b-12 oral tablet extended release OTC

vitamin b-12 sublingual drops OTC

vitamin b-12 sublingual tablet OTC



vitamins b complex oral capsule OTC

vitamins b complex oral tablet OTC

vitamins for hair oral tablet OTC; QL

vol-care rx oral tablet

vp-vite rx oral tablet

VITAMIN D PREPARATIONS

calcitriol oral capsule Rocaltrol PA

calcitriol oral solution Rocaltrol PA

cholecalciferol (vitamin d3) oral capsule 1,000 unit

Vitamin D3 OTC


D3-2000 OTC; QL


Dialyvite Vitamin D OTC; QL

cholecalciferol (vitamin d3) oral drops D-Vi-Sol OTC; QL

cholecalciferol (vitamin d3) oral tablet 1,000 unit, 5,000 unit

Vitamin D3 OTC

cholecalciferol (vitamin d3) oral tablet 2,000 unit

D3 DOTS OTC

cholecalciferol (vitamin d3) oral tablet 400 unit Delta D3 OTC; QL

d3-2000 oral capsule OTC; QL

delta d3 oral tablet OTC; QL

DIALYVITE VITAMIN D ORAL CAPSULE OTC; QL

d-vi-sol oral drops OTC; QL

ergocalciferol (vitamin d2) oral capsule Vitamin D2

ergocalciferol (vitamin d2) oral tablet OTC

JUST D ORAL DROPS OTC; QL

76


vitamin d2 oral capsule

vitamin d3 oral capsule 1,000 unit OTC

vitamin d3 oral capsule 2,000 unit OTC; QL

vitamin d3 oral tablet 1,000 unit, 2,000 unit, 5,000 unit

OTC

vitamin d3 oral tablet 400 unit OTC; QL

VITAMIN K PREPARATIONS

MEPHYTON ORAL TABLET

phytonadione (vitamin k1) oral tablet OTC

vitamin k injection solution

vitamin k1 injection solution

VITAMINS - A

beta carotene oral capsule OTC

vitamin a oral capsule 10,000 unit, 8,000 unit OTC

vitamin a oral capsule 25,000 unit OTC; QL

vitamin a palmitate oral tablet OTC

VITAMINS - BIOTIN

biotin oral capsule Meribin OTC

biotin oral tablet OTC

VITAMINS - C, ASCORBIC ACID AND DERIVATIVES

acerola c-500 oral wafer OTC

ascorbate calcium oral tablet OTC

ascorbic acid (vitamin c) injection solution

ascorbic acid (vitamin c) oral capsule, extended release

Vitamin C OTC

ascorbic acid (vitamin c) oral tablet 1,000 mg C-1000 OTC

ascorbic acid (vitamin c) oral tablet 250 mg Vitamin C OTC; QL

ascorbic acid (vitamin c) oral tablet 500 mg Ascorbic Acid with Rose Hips OTC; QL

ascorbic acid (vitamin c) oral tablet extended release

OTC

ascorbic acid (vitamin c) oral tablet,chewable Acerola C OTC

ascorbic acid with rose hips oral tablet OTC; QL

c complex oral tablet extended release OTC

c-1000 oral tablet OTC

c-1000 oral tablet extended release OTC

c-1000 with rose hips oral tablet OTC

c-500 oral tablet OTC; QL

c-500 oral tablet extended release OTC

c-500 oral tablet,chewable OTC; QL

77


fruit c oral tablet,chewable OTC

fruit c-100 oral tablet,chewable OTC

fruit c-500 oral tablet,chewable OTC; QL

halls defense oral lozenge OTC

soothing pureway-c oral tablet OTC; QL

strawberry c oral tablet,chewable OTC; QL

vita-c oral crystals OTC

vitamin c drops oral lozenge OTC

vitamin c oral capsule, extended release OTC

vitamin c oral liquid OTC

vitamin c oral lozenge OTC

vitamin c oral powder OTC

vitamin c oral tablet 1,000 mg, 100 mg OTC

vitamin c oral tablet 250 mg, 500 mg OTC; QL

vitamin c oral tablet extended release OTC

vitamin c oral tablet,chewable 250 mg OTC

vitamin c oral tablet,chewable 500 mg OTC; QL

vitamin c with rose hips oral tablet 1,000 mg OTC

vitamin c with rose hips oral tablet 500 mg OTC; QL

vitamin c with rose hips oral tablet extended release

OTC

VITAMINS - E

aquasol e (d-alpha tocopherol) oral drops OTC

vitamin e (dl, acetate) oral capsule OTC

vitamin e acetate oral capsule OTC

vitamin e mixed oral capsule OTC

vitamin e mixed oral tablet OTC

vitamin e oral capsule OTC

vitamin e oral drops Aquasol E (d-alpha tocopherol) OTC

vitamin e succinate oral tablet OTC

ZINC REPLACEMENT

chelated zinc oral tablet OTC; QL

zinc amino acid chelate oral tablet OTC; QL

zinc gluconate oral tablet OTC; QL

zinc oral tablet Chelated Zinc OTC; QL

zinc sulfate oral capsule Orazinc OTC

zinc-220 oral capsule OTC

ENDOCRINE

ANDROGENIC AGENTS

testosterone cypionate intramuscular oil Depo-Testosterone PA

78


testosterone enanthate intramuscular oil PA

testosterone transdermal gel Testim PA; QL

testosterone transdermal gel in metered-dose pump

Vogelxo PA; QL

testosterone transdermal gel in packet 1 % (25 mg/2.5gram), 1 % (50 mg/5 gram)

AndroGel PA; QL

ANTIDIURETIC AND VASOPRESSOR HORMONES

DDAVP NASAL SOLUTION

desmopressin nasal aerosol,spray DDAVP

desmopressin nasal solution DDAVP

desmopressin nasal spray,non-aerosol

desmopressin oral tablet 0.1 mg, 0.2 mg DDAVP QL

ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPE

SYMLINPEN 120 SUBCUTANEOUS PEN INJECTOR

PA; QL

SYMLINPEN 60 SUBCUTANEOUS PEN INJECTOR

PA; QL

ANTIHYPERGLYCEMIC, INCRETIN MIMETIC (GLP-1 RECEPTOR AGONIST)

TANZEUM SUBCUTANEOUS PEN INJECTOR

PA; QL

VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR

PA; QL

VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR

PA; QL

ANTITHYROID PREPARATIONS

methimazole oral tablet Tapazole

propylthiouracil oral tablet

BONE RESORPTION INHIBITORS

alendronate oral solution QL

alendronate oral tablet 10 mg, 40 mg, 5 mg QL

alendronate oral tablet 35 mg

alendronate oral tablet 70 mg Fosamax QL

etidronate disodium oral tablet

CALCITONINS

calcitonin (salmon) nasal spray,non-aerosol

DIPEPTIDYL PEPTIDASE-IV INHIBITOR AND COMBINATIONS

JANUMET ORAL TABLET PA

79


JANUMET XR ORAL TABLET, ER MULTIPHASE 24 HR 100-1,000 MG, 50-1,000 MG, 50-500 MG

PA; QL

JANUVIA ORAL TABLET PA

JENTADUETO ORAL TABLET PA; QL

JENTADUETO XR ORAL TABLET, IR - ER, BIPHASIC 24HR 2.5-1,000 MG, 5-1,000 MG

PA; QL

TRADJENTA ORAL TABLET PA; QL

ESTROGENIC AGENTS

ALORA TRANSDERMAL PATCH SEMIWEEKLY

PA; QL

estradiol oral tablet Estrace

estradiol transdermal patch transdermal patch weekly

PA; QL

estradiol transdermal patch weekly Climara PA; QL

estropipate oral tablet

jinteli oral tablet

MINIVELLE TRANSDERMAL PATCH SEMIWEEKLY

PA; QL

norethindrone ac-eth estradiol oral tablet Fyavolv

PREMARIN INJECTION RECON SOLN

PREMARIN ORAL TABLET QL

PREMPHASE ORAL TABLET

PREMPRO ORAL TABLET

raloxifene oral tablet Evista

FERTILITY ENHANCER - PRETERM BIRTH PREVENTION, PROGESTERONE-TYPE

MAKENA INTRAMUSCULAR OIL PA; QL

GLUCOCORTICOIDS

cortisone oral tablet

dexamethasone intensol oral drops

dexamethasone oral elixir

dexamethasone oral solution

dexamethasone oral tablet

dexamethasone sodium phosphate injection solution

DEXPAK 10 DAY ORAL TABLETS,DOSE PACK


80



hydrocortisone oral tablet Cortef

MEDROL ORAL TABLET

methylprednisolone acetate injection suspension

Depo-Medrol

methylprednisolone oral tablet Medrol

methylprednisolone oral tablets,dose pack Medrol (Pak)

millipred oral tablet

prednisolone oral solution

prednisolone sodium phosphate oral solution

prednisone intensol oral concentrate

prednisone oral solution

prednisone oral tablet

prednisone oral tablets,dose pack

GROWTH HORMONES

ZOMACTON SUBCUTANEOUS RECON SOLN

PA; QL

HYPERGLYCEMICS

dex4 glucose bits oral tablet,chewable OTC

dex4 glucose oral tablet,chewable OTC

dex4 glucose pouch pack oral tablet,chewable OTC

dex4 glucose quick dissolve oral tablet,chewable

OTC

dextrose oral gel Dex4 Glucose OTC

GLUCAGEN HYPOKIT INJECTION RECON SOLN

QL

GLUCAGON EMERGENCY KIT (HUMAN) INJECTION KIT

QL

gluco burst oral gel OTC

glucose bits oral tablet,chewable OTC

glucose gel oral gel OTC

glucose oral tablet,chewable Dex4 Glucose OTC

HYPOGLYCEMICS, ALPHA GLUCOSIDASE INHIBITOR TYPE

acarbose oral tablet 100 mg Precose

acarbose oral tablet 25 mg, 50 mg Precose QL

HYPOGLYCEMICS, BIGUANIDINE TYPE

metformin oral tablet Glucophage

metformin oral tablet extended release 24 hr Glucophage XR

81


HYPOGLYCEMICS, INSULIN - RELEASE STIMULANT TYPE

glimepiride oral tablet Amaryl

glipizide oral tablet Glucotrol

glipizide oral tablet extended release 24hr Glucotrol XL

glyburide micronized oral tablet Glynase

glyburide oral tablet

nateglinide oral tablet Starlix PA; QL

repaglinide oral tablet Prandin PA

HYPOGLYCEMICS, INSULIN - RESPONSE ENHANCER

glipizide-metformin oral tablet

glyburide-metformin oral tablet

pioglitazone-glimepiride oral tablet DUETACT PA

pioglitazone-metformin oral tablet Actoplus MET PA

INSULIN RESPONSE ENHANCERS - THIAZOLIDINEDIONES (PPAR-GAMMA AGONISTS)

pioglitazone oral tablet Actos PA

INSULINS

APIDRA SOLOSTAR SUBCUTANEOUS INSULIN PEN

QL

APIDRA SUBCUTANEOUS SOLUTION QL

BASAGLAR KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

HUMALOG MIX 50-50 KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

HUMALOG MIX 50-50 SUBCUTANEOUS SUSPENSION

QL

HUMALOG MIX 75-25 KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

HUMALOG MIX 75-25 SUBCUTANEOUS SUSPENSION

QL

HUMULIN 70/30 KWIKPEN SUBCUTANEOUS INSULIN PEN

OTC; QL

HUMULIN 70/30 SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN N KWIKPEN SUBCUTANEOUS INSULIN PEN

OTC; QL

HUMULIN N SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN R U-100 INJECTION SOLUTION OTC; QL

82


HUMULIN R U-500 (CONC) KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

HUMULIN R U-500 (CONCENTRATED) SUBCUTANEOUS SOLUTION

QL

NOVOLIN 70/30 SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN N SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN R INJECTION SOLUTION OTC; QL

NOVOLOG MIX 70-30 FLEXPEN SUBCUTANEOUS INSULIN PEN

QL

NOVOLOG MIX 70-30 SUBCUTANEOUS SOLUTION

QL

MINERALOCORTICOIDS

fludrocortisone oral tablet

OXYTOCICS

methylergonovine injection solution

PITUITARY SUPPRESSIVE AGENTS

cabergoline oral tablet QL

PROGESTATIONAL AGENTS

hydroxyprogesterone caproate intramuscular oil

PA; QL

MAKENA INTRAMUSCULAR OIL PA; QL

medroxyprogesterone oral tablet Provera QL

norethindrone acetate oral tablet Aygestin

progesterone micronized oral capsule 100 mg, 200 mg

Prometrium QL

SODIUM GLUCOSE (SGLT2) INHIBITORS

JARDIANCE ORAL TABLET PA; QL

SYNJARDY ORAL TABLET PA; QL

SYNJARDY XR ORAL TABLET, IR - ER, BIPHASIC 24HR 10-1,000 MG, 12.5-1,000 MG, 25-1,000 MG, 5-1,000 MG

PA; QL

THYROID HORMONES

levothyroxine oral tablet Levo-T

levoxyl oral tablet

liothyronine oral tablet Cytomel

nature-throid oral tablet QL

np thyroid oral tablet 120 mg

np thyroid oral tablet 15 mg, 30 mg, 60 mg, 90 mg

QL

83


unithroid oral tablet

westhroid oral tablet QL

GASTROINTESTINAL THERAPY AGENTS

ANTACIDS

acid gone antacid e.strength oral tablet,chewable

OTC

acid gone antacid oral suspension OTC

advanced antacid-antigas oral suspension OTC

almacone oral suspension OTC

almacone-2 oral suspension OTC

aluminum hydroxide gel oral suspension OTC

antacid (calcium carb-mag hyd) oral tablet,chewable

OTC

antacid (calcium carbonate) oral tablet,chewable

OTC; QL

antacid anti-gas double str oral suspension OTC

antacid anti-gas oral suspension OTC

antacid exst (mag carb-al hyd) oral tablet,chewable

OTC

antacid ext str (calcium carb) oral tablet,chewable

OTC

antacid extra-strength oral suspension OTC

antacid extra-strength oral tablet,chewable OTC

antacid liquid oral suspension OTC

antacid m oral suspension OTC

antacid maximum strength oral suspension OTC

antacid oral suspension OTC

antacid plus anti-gas oral suspension OTC

antacid regular strength oral suspension OTC

antacid supreme oral suspension OTC

antacid ultra strength oral tablet,chewable OTC

antacid-antigas oral suspension OTC

antacid-simethicone oral suspension OTC

calcium antacid oral tablet,chewable 200 mg calcium (500 mg)

OTC; QL

calcium antacid oral tablet,chewable 300 mg (750 mg), 320 mg calcium (750 mg), 400 mg calcium (1,000 mg)

OTC

calcium antacid tropical oral tablet,chewable OTC

calcium antacid ultra max st oral tablet,chewable

OTC

84


calcium carbonate oral tablet OTC; QL

calcium carbonate oral tablet,chewable 200 mg calcium (500 mg)

Antacid (calcium carbonate) OTC; QL

calcium carbonate oral tablet,chewable 400 mg calcium (1,000 mg)

Antacid Ultra Strength OTC

cal-gest antacid oral tablet,chewable OTC; QL

children's pepto oral tablet,chewable OTC

children's soothe oral tablet,chewable OTC

comfort gel extra strength oral suspension OTC

comfort gel oral suspension OTC

flanax antacid oral suspension OTC

foaming antacid oral suspension OTC

foaming antacid oral tablet,chewable OTC; QL

geri-lanta oral suspension OTC

heartburn antacid oral tablet,chewable OTC

heartburn relief oral tablet,chewable OTC

liquid antacid oral suspension OTC

maalox maximum strength oral suspension OTC

mag-al plus extra strength oral suspension OTC

mag-al plus oral suspension OTC

masanti double strength oral suspension OTC

mi-acid oral suspension OTC

mi-acid oral tablet,chewable OTC

mintox maximum strength oral suspension OTC

mintox oral suspension OTC

mintox plus oral tablet,chewable OTC

ri-gel ii oral suspension OTC

ri-gel oral suspension OTC

riginic oral suspension OTC

ri-mag oral suspension OTC

ri-mag plus oral suspension OTC

ri-mox oral suspension OTC

ri-mox plus oral suspension OTC

smooth antacid oral tablet,chewable OTC

sodium bicarbonate oral tablet OTC

tums ultra oral tablet,chewable OTC

ultra strength antacid oral tablet,chewable OTC

ultra strength calcium antacid oral tablet,chewable

OTC

85


ANTIDIARRHEALS

anti-diarrhea oral tablet OTC; QL

anti-diarrheal (loperamide) oral capsule OTC; QL

anti-diarrheal (loperamide) oral liquid OTC; QL

anti-diarrheal (loperamide) oral tablet OTC; QL

bismatrol oral suspension 262 mg/15 ml OTC; QL

bismatrol oral suspension 525 mg/15 ml OTC

bismatrol oral tablet,chewable OTC

bismuth maximum strength oral suspension OTC

bismuth oral suspension OTC; QL

bismuth oral tablet OTC

bismuth oral tablet,chewable OTC

bismuth subsalicylate oral suspension Anti-Diarrheal OTC; QL

bismuth subsalicylate oral tablet,chewable Bismatrol OTC

cvs loperamide 1 mg/7.5 ml liq mint Anti-Diarrheal (loperamide) OTC

diamode oral tablet OTC; QL

diarrhea relief (bismuth subs) oral suspension OTC; QL

diotame oral tablet,chewable OTC

diphenoxylate-atropine oral liquid

diphenoxylate-atropine oral tablet Lomotil

kaopectate (bismuth subsalicy) oral suspension

OTC; QL

kaopectate ex str (bismuth ss) oral suspension

OTC

kao-tin (bismuth subsalicylat) oral suspension OTC; QL

k-pec antidiarrheal (bism sub) oral suspension OTC; QL

loperamide oral capsule Anti-Diarrheal (loperamide) OTC; QL

loperamide oral liquid 1 mg/5 ml Anti-Diarrheal (loperamide) OTC; QL

loperamide oral tablet Anti-Diarrhea OTC; QL

peptic relief oral suspension OTC; QL

peptic relief oral tablet,chewable OTC

pepto-bismol oral tablet,chewable OTC

pepto-bismol to-go oral tablet,chewable OTC

pink bismuth maximum strength oral suspension

OTC

pink bismuth oral suspension 262 mg/15 ml OTC; QL

pink bismuth oral suspension 525 mg/15 ml OTC

pink bismuth oral tablet OTC

pink bismuth oral tablet,chewable OTC

soothe (bismuth subsalicylate) oral tablet OTC

86


soothe (bismuth subsalicylate) oral tablet,chewable

OTC

soothe regular strength oral suspension OTC; QL

stomach relief max strength oral suspension OTC

stomach relief oral suspension 262 mg/15 ml OTC; QL

stomach relief oral suspension 525 mg/15 ml OTC

stomach relief oral tablet OTC

stomach relief oral tablet,chewable OTC

stomach relief original oral suspension OTC; QL

ANTIEMETIC/ANTIVERTIGO AGENTS

anti-nausea oral solution OTC

compro rectal suppository

dimenhydrinate oral tablet Dramamine OTC

dramamine less drowsy oral tablet OTC

dramamine oral tablet OTC

driminate oral tablet OTC

formula em oral solution OTC

meclizine oral tablet OTC

meclizine oral tablet,chewable Bonine OTC

medi-meclizine oral tablet OTC

motion relief (meclizine) oral tablet OTC

motion sickness (meclizine) oral tablet OTC

motion sickness ii oral tablet OTC

motion sickness oral tablet OTC

motion sickness relief oral tablet OTC

motion sickness relief(mecliz) oral tablet OTC

motion sickness relief(mecliz) oral tablet,chewable

OTC

nausea control oral solution OTC

nausea relief oral solution OTC

ondansetron oral tablet,disintegrating 4 mg, 8 mg

Zofran ODT QL

phenadoz rectal suppository

prochlorperazine edisylate injection solution

prochlorperazine maleate oral tablet Compazine

prochlorperazine rectal suppository Compazine

promethazine rectal suppository Phenadoz AL

promethegan rectal suppository AL

travel sickness (meclizine) oral tablet,chewable

OTC

travel sickness oral tablet OTC

87


trimethobenzamide oral capsule Tigan

wal-dram oral tablet OTC

ANTIFLATULENTS

anti-gas ultra strength oral capsule OTC

bicarsim forte oral tablet OTC

gas relief 80 oral tablet,chewable OTC

gas relief extra strength oral capsule OTC

gas relief extra strength oral tablet,chewable OTC

gas relief oral capsule OTC

gas relief oral drops,suspension OTC

gas relief oral tablet,chewable OTC

gas relief ultra strength oral capsule OTC

infants gas relief oral drops,suspension OTC

mi-acid gas relief oral tablet,chewable OTC

mytab gas maximum strength oral tablet,chewable

OTC

mytab gas oral tablet,chewable OTC

simethicone oral capsule Anti-Gas Ultra Strength OTC

simethicone oral drops,suspension Gas Relief OTC

simethicone oral tablet,chewable Gas Relief OTC

ANTISPASMODICS

dicyclomine oral capsule Bentyl

dicyclomine oral solution

dicyclomine oral tablet

glycopyrrolate oral tablet Robinul

hyoscyamine sulfate oral drops Hyosyne

hyoscyamine sulfate oral elixir Hyosyne

hyoscyamine sulfate oral tablet Levsin

hyoscyamine sulfate oral tablet extended release 12 hr

Levbid

hyoscyamine sulfate oral tablet,disintegrating Anaspaz

hyoscyamine sulfate sublingual tablet Levsin/SL

hyosyne oral drops

hyosyne oral elixir

oscimin oral tablet

oscimin oral tablet,disintegrating

oscimin sl sublingual tablet

oscimin sr oral tablet extended release 12 hr

propantheline oral tablet

symax fastabs oral tablet,disintegrating

88


symax-sr oral tablet extended release 12 hr

BILE SALTS

ursodiol oral capsule Actigall

ursodiol oral tablet URSO 250

CHRONIC INFLAMMATION, COLON DISEASE, 5-AMINOSALICYLATES

APRISO ORAL CAPSULE,EXTENDED RELEASE 24HR

QL

balsalazide oral capsule Colazal QL

mesalamine rectal enema sfRowasa QL

mesalamine with cleansing wipe rectal enema kit

Rowasa QL

sulfasalazine oral tablet Azulfidine QL

sulfasalazine oral tablet,delayed release (dr/ec)

Azulfidine EN-tabs QL

GASTRIC ACID SECRETION REDUCERS

acid control (ranitidine) oral tablet OTC; QL

acid controller complete oral tablet,chewable OTC

acid controller oral tablet 10 mg, 20 mg OTC; QL

acid reducer (famotidine) oral tablet 10 mg, 20 mg

OTC; QL

acid reducer (ranitidine) oral tablet 150 mg, 75 mg

OTC; QL

acid reducer complete (famot) oral tablet,chewable

OTC

CARAFATE ORAL SUSPENSION

complete oral tablet,chewable OTC

dual action complete oral tablet,chewable OTC

famotidine (pf) intravenous solution

famotidine oral suspension Pepcid AL

famotidine oral tablet 10 mg, 20 mg Acid Controller OTC; QL

famotidine oral tablet 40 mg Pepcid QL

heartburn prevention oral tablet 10 mg, 20 mg OTC; QL

heartburn relief (famotidine) oral tablet 10 mg, 20 mg

OTC; QL

heartburn relief (ranitidine) oral tablet 150 mg, 75 mg

OTC; QL

heartburn treatment 24 hour oral capsule,delayed release(dr/ec)

PA; OTC; QL

lansoprazole oral capsule,delayed release(dr/ec)

Heartburn Treatment 24 Hour PA; OTC; QL

89


NEXIUM 24HR ORAL TABLET,DELAYED RELEASE (DR/EC)

OTC; QL

nizatidine oral capsule

nizatidine oral solution

omeprazole magnesium oral capsule,delayed release(dr/ec)

Acid Reducer (omeprazole) OTC; QL

omeprazole oral tablet,delayed release (dr/ec) OTC; QL

pepcid ac oral tablet OTC; QL

PREVACID 24HR ORAL CAPSULE,DELAYED RELEASE(DR/EC)

PA; OTC; QL

ranitidine hcl oral capsule 150 mg

ranitidine hcl oral capsule 300 mg QL

ranitidine hcl oral syrup

ranitidine hcl oral tablet 150 mg Acid Control (ranitidine) OTC; QL

ranitidine hcl oral tablet 300 mg Zantac QL

ranitidine hcl oral tablet 75 mg Acid Reducer (ranitidine) OTC; QL

sucralfate oral suspension Carafate

sucralfate oral tablet Carafate

wal-zan 150 oral tablet OTC; QL

wal-zan 75 oral tablet OTC; QL

zantac 75 oral tablet OTC; QL

zantac maximum strength oral tablet OTC; QL

zantac oral tablet OTC; QL

GASTRIC MUCOSA - CYTOPROTECTIVE PROSTAGLANDIN ANALOGS

misoprostol oral tablet Cytotec

GLUCOCORTICOIDS

budesonide oral capsule,delayed,extend.release

Entocort EC QL

colocort rectal enema

hydrocortisone rectal enema Colocort

INFLAMMATORY BOWEL AGENT - TUMOR NECROSIS FACTOR ALPHA BLOCKERS


PA; QL


PA; QL


PA; QL

90



PA; QL


INTESTINAL MOTILITY STIMULANTS

metoclopramide hcl oral solution

metoclopramide hcl oral tablet Reglan

LAXATIVES AND CATHARTICS

alophen oral tablet,delayed release (dr/ec) OTC; QL

bisac-evac rectal suppository OTC

bisacodyl oral tablet,delayed release (dr/ec) Alophen OTC; QL

bisacodyl rectal suppository Bisac-Evac OTC

bisa-lax oral tablet,delayed release (dr/ec) OTC; QL

biscolax rectal suppository OTC

chocolate laxative oral tablet,chewable OTC

citrate of magnesia oral solution OTC

citroma oral solution OTC

citrucel oral tablet OTC

clearlax oral powder OTC

clearlax oral powder in packet OTC; QL

col-rite oral capsule 100 mg OTC; QL

col-rite oral capsule 250 mg OTC

constulose oral solution QL

daily fiber oral capsule OTC

diocto oral liquid OTC

diocto oral syrup OTC

dioctyl oral syrup OTC

doc-q-lace oral capsule OTC; QL

docu oral liquid OTC

docuprene oral tablet OTC

docusate calcium oral capsule Kao-Tin (docusate calcium) OTC

docusate sodium oral capsule 100 mg Col-Rite OTC; QL

docusate sodium oral capsule 250 mg Col-Rite OTC

docusate sodium oral liquid Diocto OTC

docusate sodium oral syrup Diocto OTC

docusate sodium oral tablet Docuprene OTC

docusil oral capsule OTC; QL

dok oral capsule 100 mg OTC; QL

dok oral capsule 250 mg OTC

dok oral tablet OTC

dok plus oral tablet OTC

91


dss oral capsule OTC

ducodyl oral tablet,delayed release (dr/ec) OTC; QL

dulcolax stool softener (dss) oral capsule OTC; QL

easy fiber oral powder OTC

enema disposable rectal enema OTC

enema rectal enema OTC

enulose oral solution

epsom salt oral granules OTC; QL

fiber (calcium polycarbophil) oral tablet OTC; QL

fiber (dextrin) oral powder OTC

fiber (psyllium husk) oral capsule OTC

fiber (psyllium husk/sugar) oral powder OTC

fiber (with aspartame) oral powder OTC

fiber laxative (ca polycarbo) oral tablet OTC; QL

fiber laxative (methylcellulo) oral tablet OTC

fiber laxative (psyllium husk) oral capsule OTC

fiber oral powder OTC

fiber smooth (sucrose) oral powder OTC

fiber smooth oral powder OTC

fiber supplement (inulin) oral tablet,chewable OTC

fiber therapy (ca polycarboph) oral tablet OTC; QL

fiber therapy (m-cell/sugar) oral powder OTC

fiber therapy (m-cellulose) oral tablet OTC

fiber therapy laxative (husk) oral capsule OTC

fiber-caps (psyllium husk) oral capsule OTC

fiber-lax oral tablet OTC; QL

fiber-tabs oral tablet OTC; QL

fleet enema rectal enema OTC

fleet glycerin (adult) rectal suppository OTC

fleet laxative oral tablet,delayed release (dr/ec)

OTC

gavilax oral powder OTC

gavilax oral powder in packet OTC; QL

gavilyte-c oral recon soln QL

gavilyte-g oral recon soln QL

gavilyte-n oral recon soln QL

generlac oral solution

gentle laxative oral tablet,delayed release (dr/ec)

OTC; QL

gentle laxative rectal suppository OTC

92


gentlelax oral powder OTC

geri-kot oral tablet OTC

glycerin (adult) rectal suppository Fleet Glycerin (Adult) OTC

glycerin (child) rectal suppository Fleet Glycerin (Child) OTC

glycolax oral powder OTC

healthylax oral powder in packet OTC; QL

kao-tin (docusate calcium) oral capsule OTC

konsyl (sugar) oral powder OTC

lactulose oral solution Constulose QL

laxacin oral tablet OTC

laxaclear oral powder OTC

laxative (bisacodyl) oral tablet OTC; QL

laxative (bisacodyl) oral tablet,delayed release (dr/ec)

OTC; QL

laxative (bisacodyl) rectal suppository OTC

laxative (sennosides) oral tablet OTC

laxative (sennosides) oral tablet,chewable OTC

laxative feminine oral tablet OTC; QL

laxative maximum strength oral tablet OTC

laxative peg 3350 oral powder OTC

laxative pills oral tablet OTC

laxative pills regular oral tablet OTC

laxative plus stool softener oral tablet OTC

magnesium citrate oral solution Citrate of Magnesia OTC

medi-laxx oral tablet OTC

milk of magnesia concentrated oral suspension

OTC

milk of magnesia oral suspension OTC

mineral oil extra heavy oral oil OTC

mineral oil heavy oral oil OTC

mineral oil laxative oral oil OTC

mineral oil oral oil Mineral Oil Extra Heavy OTC

mineral oil rectal enema Fleet Mineral Oil OTC

miralax oral powder in packet OTC; QL

natural fiber laxative (sugar) oral powder OTC

natural fiber laxative oral capsule OTC

natural fiber laxative therapy oral powder OTC

natural fiber laxative(aspart) oral powder OTC

natural fiber supplement oral powder in packet OTC

natural laxative oral tablet OTC

93


natural veg laxative(sennosid) oral tablet OTC

natural vegetable (psyllium) oral powder OTC

natural vegetable oral powder OTC

natural vegetable powder oral powder OTC

oral saline laxative oral liquid OTC

p-col rite oral tablet OTC

peg 3350-electrolytes oral recon soln GaviLyte-G QL

peg-3350 with flavor packs oral recon soln QL

peg-electrolyte soln oral recon soln GaviLyte-N QL

perdiem overnight relief oral tablet OTC

phosphate laxative oral liquid OTC

polyethylene glycol 3350 oral powder ClearLax OTC

polyethylene glycol 3350 oral powder in packet

ClearLax OTC; QL

promolaxin oral tablet OTC

psyllium husk oral capsule Daily Fiber OTC

purelax oral powder OTC

purelax oral powder in packet OTC; QL

ready-to-use enema rectal enema OTC

reguloid (psyllium husk) oral capsule OTC

reguloid oral powder OTC

reguloid, sugar free oral powder OTC

sani-supp (adult) rectal suppository OTC

sani-supp (infant) rectal suppository OTC

senexon oral tablet OTC

senexon-s oral tablet OTC

senna concentrate oral tablet OTC

senna lax oral tablet OTC

senna laxative oral tablet OTC

senna laxative-stool softener oral tablet OTC

senna oral syrup OTC

senna oral tablet OTC

senna plus oral tablet OTC

senna with docusate sodium oral tablet OTC

senna-extra oral tablet OTC

SENNA-GEN ORAL TABLET OTC

senna-s oral tablet OTC

senna-time s oral tablet OTC

senno oral tablet OTC

sennosides oral tablet Evac-U-Gen (sennosides) OTC

94


sennosides-docusate sodium oral tablet Colace 2-In-1 OTC

sen-o-tab oral tablet OTC

silace oral liquid OTC

silace oral syrup OTC

smoothlax oral powder OTC

smoothlax oral powder in packet OTC; QL

sof-lax oral capsule OTC; QL

stimulant laxative plus oral tablet OTC

stool softener (docusate cal) oral capsule OTC

stool softener oral capsule 100 mg OTC; QL

stool softener oral capsule 250 mg, 50 mg OTC

stool softener oral liquid OTC

stool softener oral syrup OTC

stool softener oral tablet OTC

stool softener-laxative oral tablet OTC

stool softener-stimulant laxat oral tablet OTC

suppository adult rectal suppository OTC

surfak oral capsule OTC

the magic bullet rectal suppository OTC

trilyte with flavor packets oral recon soln QL

vegetable laxative oral tablet OTC

wal-mucil fiber (aspartame) oral powder OTC

wal-mucil fiber (sugar) oral powder OTC

wal-mucil fiber oral capsule OTC

wal-mucil natural fiber lax oral powder OTC

woman's laxative oral tablet OTC; QL

woman's laxative oral tablet,delayed release (dr/ec)

OTC; QL

women's gentle laxative(bisac) oral tablet,delayed release (dr/ec)

OTC; QL

women's laxative (bisacodyl) oral tablet OTC; QL

women's laxative (bisacodyl) oral tablet,delayed release (dr/ec)

OTC; QL

PANCREATIC ENZYMES

CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 12,000-38,000 -60,000 UNIT, 24,000-76,000 -120,000 UNIT, 6,000-19,000 -30,000 UNIT

QL

CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 3,000-9,500- 15,000 UNIT, 36,000-114,000- 180,000 UNIT

dairy aid oral tablet,chewable OTC

95


dairy digestive oral tablet OTC

dairy digestive supplement oral tablet OTC

dairy relief oral tablet OTC

dairy relief oral tablet,chewable OTC

lac-dose oral tablet OTC

lactase fast acting oral tablet OTC

lactase fast acting oral tablet,chewable OTC

lactase oral tablet Dairy Relief OTC

PANCREAZE ORAL CAPSULE,DELAYED RELEASE(DR/EC)

QL

PERTZYE ORAL CAPSULE,DELAYED RELEASE(DR/EC)

QL

ultra dairy digestive oral tablet OTC

VIOKACE ORAL TABLET

ZENPEP ORAL CAPSULE,DELAYED RELEASE(DR/EC) 10,000-34,000 -55,000 UNIT, 15,000-51,000 -82,000 UNIT, 20,000-68,000 -109,000 UNIT, 5,000-17,000 -27,000 UNIT

QL

ZENPEP ORAL CAPSULE,DELAYED RELEASE(DR/EC) 25,000-85,000- 136,000 UNIT, 3,000-10,000- 16,000 UNIT

GENITOURINARY THERAPY

BENIGN PROSTATIC HYPERTROPHY/MICTURITION AGENTS

alfuzosin oral tablet extended release 24 hr Uroxatral QL

finasteride oral tablet Proscar PA; QL

tamsulosin oral capsule,extended release 24hr

Flomax QL

BLOOD DETOXICANTS

calcium acetate oral capsule PA

calcium acetate oral tablet Calphron PA

eliphos oral tablet PA

VELPHORO ORAL TABLET,CHEWABLE PA

CHEMOTHERAPEUTICS, ANTIBACTERIAL, MISCELLANEOUS

methenamine hippurate oral tablet Hiprex

methenamine mandelate oral tablet

nitrofurantoin macrocrystal oral capsule Macrodantin

nitrofurantoin monohyd/m-cryst oral capsule Macrobid

96


PARASYMPATHETIC AGENTS

bethanechol chloride oral tablet Urecholine QL

QUINOLONES

ciprofloxacin (mixture) oral tablet, er multiphase 24 hr

Cipro XR

URINARY ACIDIFIER - PHOSPHATES

k-phos-neutral oral tablet

phospha 250 neutral oral tablet

URINARY PH MODIFIERS

cytra k crystals oral packet

cytra-2 oral solution

cytra-3 oral solution

potassium citrate oral tablet extended release Urocit-K 10

potassium citrate-citric acid oral packet Cytra K Crystals

SHOHL'S MODIFIED ORAL SOLUTION

sodium citrate-citric acid oral solution Cytra-2

tricitrates oral solution

URINARY TRACT ANESTHETIC/ANALGESIC AGENT

phenazopyridine oral tablet Pyridium

urinary pain relief oral tablet OTC; QL

urinary tract oral tablet OTC; QL

URINARY TRACT ANTISPASMODIC/ANTI-INCONTINENCE AGENT

darifenacin oral tablet extended release 24 hr Enablex

flavoxate oral tablet QL

oxybutynin chloride oral syrup QL

oxybutynin chloride oral tablet

oxybutynin chloride oral tablet extended release 24hr

Ditropan XL QL

OXYTROL FOR WOMEN TRANSDERMAL PATCH 4 DAY

OTC

tolterodine oral capsule,extended release 24hr

Detrol LA

tolterodine oral tablet Detrol

trospium oral capsule,extended release 24hr

trospium oral tablet

97


GOUT AND HYPERURICEMIA THERAPY

COLCHICINE COMBINATION

probenecid-colchicine oral tablet

HYPERURICEMIA THERAPY - PURINE INHIBITORS

allopurinol oral tablet Zyloprim

URICOSURIC AGENTS

probenecid oral tablet

HEMATOLOGICAL AGENTS

ANTIFIBRINOLYTIC AGENTS

tranexamic acid oral tablet Lysteda QL

C1 ESTERASE INHIBITOR AGENTS

BERINERT INTRAVENOUS RECON SOLN PA

HEMATINICS, OTHER

ARANESP (IN POLYSORBATE) INJECTION SOLUTION 100 MCG/ML, 150 MCG/0.75 ML, 200 MCG/ML, 25 MCG/ML, 300 MCG/ML, 40 MCG/ML, 60 MCG/ML

PA; QL

ARANESP (IN POLYSORBATE) INJECTION SYRINGE 10 MCG/0.4 ML, 100 MCG/0.5 ML, 200 MCG/0.4 ML, 25 MCG/0.42 ML, 300 MCG/0.6 ML, 40 MCG/0.4 ML, 60 MCG/0.3 ML

PA

ARANESP (IN POLYSORBATE) INJECTION SYRINGE 150 MCG/0.3 ML, 500 MCG/ML

PA; QL

EPOGEN INJECTION SOLUTION PA

PROCRIT INJECTION SOLUTION PA

HEMORRHEOLOGIC AGENTS

pentoxifylline oral tablet extended release

HEPARIN AND RELATED PREPARATIONS

enoxaparin subcutaneous solution Lovenox QL

enoxaparin subcutaneous syringe 100 mg/ml, 120 mg/0.8 ml, 150 mg/ml, 30 mg/0.3 ml, 40 mg/0.4 ml, 60 mg/0.6 ml, 80 mg/0.8 ml

Lovenox QL

heparin (porcine) injection cartridge

heparin (porcine) injection solution

heparin (porcine) injection syringe

heparin, porcine (pf) injection solution

heparin, porcine (pf) injection syringe

98


ORAL ANTICOAGULANTS

ELIQUIS ORAL TABLET

jantoven oral tablet

warfarin oral tablet Coumadin

XARELTO ORAL TABLET

XARELTO ORAL TABLETS,DOSE PACK

PLATELET AGGREGATION INHIBITORS

adult low dose aspirin oral tablet,delayed release (dr/ec)

OTC; QL

anagrelide oral capsule Agrylin

aspir-81 oral tablet,delayed release (dr/ec) OTC; QL

aspirin childrens oral tablet,chewable OTC; QL

aspirin low dose oral tablet,delayed release (dr/ec)

OTC; QL

aspirin oral tablet Bayer Aspirin OTC; QL

aspirin oral tablet,chewable Aspirin Childrens OTC; QL


Aspir-Trin OTC; QL

aspirin oral tablet,delayed release (dr/ec) 500 mg, 650 mg

OTC


Adult Low Dose Aspirin OTC; QL

aspir-low oral tablet,delayed release (dr/ec) OTC; QL

aspir-trin oral tablet,delayed release (dr/ec) OTC; QL

bayer advanced oral tablet OTC

bayer aspirin oral tablet OTC; QL

children's aspirin oral tablet,chewable OTC; QL

cilostazol oral tablet

clopidogrel oral tablet 300 mg Plavix

clopidogrel oral tablet 75 mg Plavix QL

dipyridamole oral tablet

e.c. prin oral tablet,delayed release (dr/ec) OTC; QL

enteric coated aspirin oral tablet,delayed release (dr/ec)

OTC; QL

lite coat aspirin oral tablet OTC; QL

lo-dose aspirin oral tablet,delayed release (dr/ec)

OTC; QL

ticlopidine oral tablet

SICKLE CELL ANEMIA AGENTS

DROXIA ORAL CAPSULE

99


IMMUNOSUPPRESSIVE AGENTS

IMMUNOSUPRESSANTS

azathioprine oral tablet Imuran

cyclosporine modified oral capsule Gengraf

cyclosporine modified oral solution Gengraf

cyclosporine oral capsule Sandimmune

gengraf oral capsule

gengraf oral solution

mycophenolate mofetil oral capsule CellCept

mycophenolate mofetil oral suspension for reconstitution

CellCept

mycophenolate mofetil oral tablet CellCept

mycophenolate sodium oral tablet,delayed release (dr/ec)

Myfortic

RAPAMUNE ORAL SOLUTION

SANDIMMUNE ORAL SOLUTION

sirolimus oral tablet Rapamune

tacrolimus oral capsule Prograf

LOCOMOTOR SYSTEM

MUSCULOSKELETAL THERAPY AGENT - VISCOSUPPLEMENTS

EUFLEXXA INTRA-ARTICULAR SYRINGE PA; QL

GELSYN-3 INTRA-ARTICULAR SYRINGE PA; QL

SUPARTZ FX INTRA-ARTICULAR SYRINGE

PA; QL

OTHER CNS/AUTONOMIC DRUGS

MESTINON ORAL SYRUP

pyridostigmine bromide oral tablet Mestinon

pyridostigmine bromide oral tablet extended release

Mestinon Timespan

SKELETAL MUSCLE RELAXANTS

baclofen oral tablet

carisoprodol oral tablet 250 mg, 350 mg Soma QL

carisoprodol-asa-codeine oral tablet QL

carisoprodol-aspirin oral tablet QL

chlorzoxazone oral tablet

cyclobenzaprine oral tablet 10 mg QL

cyclobenzaprine oral tablet 5 mg

dantrolene oral capsule Dantrium

methocarbamol oral tablet 500 mg Robaxin QL

100


methocarbamol oral tablet 750 mg Robaxin-750 QL

orphenadrine citrate oral tablet extended release

QL

riluzole oral tablet Rilutek PA

tizanidine oral tablet 2 mg QL

tizanidine oral tablet 4 mg Zanaflex QL

MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT (DME)

BLOOD SUGAR DIAGNOSTICS

TRUE METRIX GLUCOSE TEST STRIP STRIP

OTC; QL

TRUETEST TEST STRIPS STRIP OTC; QL

CONDOMS

AIMSCO LATEX CONDOM DEVICE OTC

CONDOMS-PREM LUBRICATED DEVICE OTC

FANTASY CONDOM DEVICE OTC

FC2 FEMALE CONDOM OTC

KIMONO CONDOMS(NON-LUBRICATED) DEVICE

OTC

KIMONO MAXX CONDOMS DEVICE OTC

KIMONO MICROTHIN AQUA LUBE CON DEVICE

OTC

KIMONO MICROTHIN CONDOMS DEVICE OTC

KIMONO MICROTHIN LARGE CONDOMS DEVICE

OTC

KIMONO TEXTURED CONDOMS DEVICE OTC

TRUSTEX LATEX CONDOM DEVICE OTC

TRUSTEX LUBRICATED CONDOMS DEVICE

OTC

TRUSTEX NON-LUB CONDOMS DEVICE OTC

TRUSTEX-RIA LUB/SPERMICIDE DEVICE OTC

TRUSTEX-RIA LUBRICATED CONDOMS DEVICE

OTC

TRUSTEX-RIA NON-LUB CONDOMS DEVICE

OTC

DIAPHRAGMS/CERVICAL CAP

WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM



101







MEDICAL SUPPLIES AND DME - EQUIPMENT CLEANING AGENTS

alcoh-wipe towelette OTC

MEDICAL SUPPLIES AND DME - GLUCOSE MONITORING TEST SUPPLIES

1ST TIER UNILET COMFORTOUCH OTC; QL

ACCU-CHEK SOFTCLIX LANCET DEV OTC; QL

ADJUSTABLE LANCING DEVICE OTC; QL

ADVANCED LANCING DEVICE KIT OTC; QL

ADVANCED TRAVEL LANCETS OTC; QL

ADVOCATE LANCING DEVICE OTC; QL

ADVOCATE RAPID-SAFE LANCING OTC; QL

ALTERNATE SITE LANCET OTC; QL

ALTERNATE SITE LANCING DEVICE OTC; QL

AQUA LANCE LANCING DEVICE OTC; QL

ASSURE HAEMOLANCE PLUS OTC; QL

ASSURE LANCE OTC; QL

ASSURE LANCE PLUS OTC; QL

AUTOLET IMPRESSION LANC DEV KIT OTC; QL

AUTOLET LANCING DEVICE OTC; QL

AUTOLET PLUS LANCING DEVICE OTC; QL

CAREONE LANCING DEVICE OTC; QL

CAREONE THIN LANCET OTC; QL

CAREONE ULTRA THIN LANCET OTC; QL

CARETOUCH TWIST LANCET OTC; QL

COLOR LANCETS OTC; QL

COMFORT LANCETS OTC; QL

DROPLET LANCING DEVICE OTC; QL

EASY CLICK LANCING DEVICE OTC; QL

EASY TOUCH LANCETS OTC; QL

102


EASY TOUCH LANCING DEVICE OTC; QL

EASY TOUCH SAFETY LANCETS OTC; QL

EASY TOUCH TWIST LANCETS OTC; QL

E-Z JECT LANCETS OTC; QL

E-Z JECT THIN LANCETS OTC; QL

EZ SMART LANCETS OTC; QL

FINE 30 UNIVERSAL LANCETS OTC; QL

FORA LANCING DEVICE OTC; QL

FORACARE LANCETS OTC; QL

GLUCOCOM LANCETS OTC; QL

HEALTHY ACCENTS AUTOLET OTC; QL

HEALTHY ACCENTS UNILET LANCET OTC; QL

HYPOLANCE AST LANCING KIT OTC; QL

INCONTROL LANCING DEVICE OTC; QL

INCONTROL SUPER THIN LANCETS OTC; QL

INCONTROL ULTRA THIN LANCETS OTC; QL

INVACARE LANCETS OTC; QL

lancets Accu-Chek FastClix OTC; QL

lancets, super thin OTC; QL

lancets,thin OTC; QL

lancets,ultra thin OTC; QL

lancing device Adjustable Lancing Device OTC; QL

lancing device with lancets OTC; QL

lancing device with lancets kit Accu-Chek FastClix OTC; QL

lancing system OTC; QL

LANZO LANCING DEVICE KIT OTC; QL

LITE TOUCH LANCING DEVICE OTC; QL

MEDLANCE PLUS LANCETS OTC; QL

MICRO THIN LANCETS OTC; QL

MINI LANCING DEVICE OTC; QL

MONOLET LANCETS OTC; QL

MONOLET THIN LANCETS OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC; QL

MYGLUCOHEALTH LANCETS OTC; QL

ON CALL LANCING DEVICE OTC; QL

ON CALL PLUS LANCING DEVICE OTC; QL

ON-THE-GO LANCETS OTC; QL

PRODIGY LANCING DEVICE OTC; QL

RELIAMED MINI LANCING DEVICE OTC; QL

RELION THIN LANCETS OTC; QL

103


RELION ULTRA THIN PLUS LANCETS OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC; QL

RIGHTEST GL300 LANCETS OTC; QL

SAFETY LANCETS OTC; QL

SMART SENSE LANCETS OTC; QL

SMARTDIABETES VANTAGE OTC; QL

STERILANCE TL OTC; QL

SUPER THIN LANCETS OTC; QL

SURE COMFORT LANCING PEN OTC; QL

SURE-PEN LANCING DEVICE OTC; QL

TECHLITE LANCETS OTC; QL

THIN LANCETS OTC; QL

TOPCARE UNIVERSAL1 LANCET OTC; QL

TRUE METRIX AIR GLUCOSE METER OTC

TRUE METRIX GLUCOSE METER OTC

TRUE METRIX LEVEL 1 SOLUTION OTC



TRUEPLUS LANCETS OTC; QL

TRUERESULT BLOOD GLUCOSE SYSTM KIT

OTC

ULTI-LANCE OTC; QL

ULTRA THIN LANCETS OTC; QL

ULTRA THIN PLUS LANCETS OTC; QL

UNILET COMFORTOUCH LANCET OTC; QL

UNILET EXCELITE II LANCET OTC; QL

UNILET EXCELITE LANCET OTC; QL

UNILET GP LANCET OTC; QL

UNILET LANCET OTC; QL

UNILET LANCETS OTC; QL

UNILET SUPER THIN LANCETS OTC; QL

UNISTIK 2 DEVICE KIT OTC; QL

UNISTIK 2 EXTRA KIT OTC

UNISTIK 3 COMFORT DEVICE KIT OTC; QL

UNISTIK 3 COMFORT LANCET OTC; QL

UNISTIK 3 EXTRA LANCET OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 KIT OTC; QL

UNISTIK 3 LANCETS OTC; QL

UNISTIK 3 NEONATAL DEVICE KIT OTC; QL

104


UNISTIK 3 NEONATAL KIT OTC; QL

UNISTIK 3 NORMAL LANCET OTC; QL

UNISTIK CZT LANCET OTC; QL

UNISTIK SAFETY OTC; QL

UNISTIK TOUCH LANCETS OTC; QL

UNIVERSAL 1 LANCETS OTC; QL

MEDICAL SUPPLIES AND DME - PEAK FLOW METERS

AIRZONE PEAK FLOW METER DEVICE OTC

ASTHMA CHECK METER DEVICE OTC

IN-CHECK NASAL WITH MASK DEVICE OTC

IN-CHECK ORAL FLOW METER DEVICE OTC

MICROLIFE PEAK FLOW METER DEVICE OTC

MINI WRIGHT PEAK FLOW METER DEVICE

MINI-WRIGHT PEAK FLOW METER DEVICE

PEAK AIR PEAK FLOW METER DEVICE OTC

PERSONAL BEST FULL RANGE DEVICE OTC

PERSONAL BEST LOW RANGE DEVICE OTC

PIKO 1 DEVICE OTC

POCKET PEAK FLOW METER DEVICE OTC

TRUZONE PEAK FLOW METER DEVICE

NEEDLES/NEEDLELESS DEVICES, SYRINGES AND ACCESSORIES

1ST TIER UNIFINE PENTIPS NEEDLE OTC; QL

1ST TIER UNIFINE PENTIPS PLUS NEEDLE OTC; QL

ADVOCATE PEN NEEDLE NEEDLE OTC; QL

ADVOCATE SYRINGES SYRINGE OTC; QL

ASSURE ID INSULIN SAFETY SYRINGE OTC; QL

BD AUTOSHIELD DUO PEN NEEDLE NEEDLE

OTC; QL

BD ECLIPSE LUER-LOK SYRINGE OTC; QL

BD INSULIN PEN NEEDLE UF MINI NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF ORIG NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF SHORT NEEDLE

OTC; QL

BD INSULIN SYRINGE HALF UNIT SYRINGE

OTC; QL

BD INSULIN SYRINGE MICRO-FINE SYRINGE

OTC; QL

105


BD INSULIN SYRINGE SAFETY-LOK SYRINGE

OTC; QL

BD INSULIN SYRINGE SLIP TIP SYRINGE OTC; QL

BD INSULIN SYRINGE SYRINGE OTC; QL

BD INSULIN SYRINGE ULT-FINE II SYRINGE

OTC; QL

BD INSULIN SYRINGE ULTRA-FINE SYRINGE

OTC; QL

BD LO-DOSE MICRO-FINE IV SYRINGE OTC; QL

BD LO-DOSE ULTRA-FINE SYRINGE OTC; QL

BD LUER-LOK SYRINGE SYRINGE OTC

BD SAFETYGLIDE INSULIN SYRINGE SYRINGE

OTC; QL

BD SAFETYGLIDE SYRINGE SYRINGE OTC; QL

BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE

OTC; QL

BD ULTRA-FINE NANO PEN NEEDLES NEEDLE

OTC; QL

CAREFINE PEN NEEDLE NEEDLE OTC; QL

CARETOUCH PEN NEEDLE NEEDLE OTC; QL

CLICKFINE NEEDLE OTC; QL

COMFORT EZ PEN NEEDLES NEEDLE OTC; QL

COMFORT EZ SYRINGE SYRINGE OTC; QL

DROPLET PEN NEEDLE NEEDLE OTC; QL

EASY COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

EASY COMFORT PEN NEEDLES NEEDLE OTC; QL

EASY TOUCH INSULIN SAFETY SYR SYRINGE

OTC; QL

EASY TOUCH INSULIN SYRINGE SYRINGE OTC; QL

EASY TOUCH NEEDLE OTC; QL

EXEL INSULIN SYRINGE OTC; QL

FREESTYLE PRECISION SYRINGE OTC; QL

HEALTHY ACCENTS UNIFINE PENTIP NEEDLE

OTC; QL

INCONTROL PEN NEEDLE NEEDLE OTC; QL

insulin syringe microfine syringe OTC; QL

insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC; QL

insulin syringe syringe OTC; QL

insulin syringe-needle u-100 syringe Lite Touch Insulin Syringe OTC; QL

insulin syringes (disposable) syringe Monoject Insulin Syringe OTC; QL

INSUPEN NEEDLE OTC; QL

106


LITE TOUCH INSULIN PEN NEEDLES NEEDLE

OTC; QL

LITE TOUCH INSULIN SYRINGE SYRINGE OTC; QL

MAXI-COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

MINI ULTRA-THIN II NEEDLE OTC; QL

MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 29 GAUGE X 1/2", 29 GAUGE X 1/2"

OTC; QL

MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 30 GAUGE X 5/16, 0.5 ML 29 GAUGE X 1/2", 1/2 ML 30 GAUGE X 5/16

QL

MONOJECT INSULIN SYRINGE SYRINGE OTC; QL

MONOJECT SAFETY SYRINGES SYRINGE OTC

MONOJECT SYRINGE SYRINGE QL

MONOJECT ULTRA COMFORT INSULIN SYRINGE

OTC; QL

NOVOFINE 30 NEEDLE OTC; QL


pen needle needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"

OTC; QL

pen needle needle 30 gauge x 5/16" QL

pen needle, diabetic needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"

1st Tier Unifine Pentips OTC; QL

pen needle, diabetic needle 31 gauge x 1/3", 31 gauge x 1/6"

OTC; QL

pen needle, diabetic needle 32 gauge x 1/4"BD Ultra-Fine Micro Pen Needle

OTC; QL

PEN NEEDLE, DIABETIC NEEDLE 32 GAUGE X 3/16"

CareFine Pen Needle OTC

PENTIPS NEEDLE OTC; QL

PRO COMFORT PEN NEEDLE NEEDLE OTC; QL

PRODIGY INSULIN SYRINGE SYRINGE OTC; QL

RELION NEEDLES NEEDLE OTC; QL

RELION PEN NEEDLES NEEDLE OTC; QL

SURE COMFORT INS. SYR. U-100 SYRINGE

OTC; QL

SURE COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

SURE COMFORT PEN NEEDLE NEEDLE OTC; QL

SURE-FINE PEN NEEDLES NEEDLE OTC; QL

SURE-JECT INSULIN SYRINGE SYRINGE OTC; QL

107


TECHLITE PEN NEEDLE NEEDLE OTC; QL

TERUMO INSULIN SYRINGE SYRINGE OTC; QL

THINPRO INSULIN SYRINGE SYRINGE OTC; QL

TOPCARE CLICKFINE NEEDLE OTC; QL

TOPCARE ULTRA COMFORT SYRINGE OTC; QL

TRUEPLUS INSULIN SYRINGE OTC; QL

TRUEPLUS PEN NEEDLE NEEDLE OTC; QL

ULTICARE PEN NEEDLE NEEDLE OTC; QL

ULTICARE SYRINGE OTC; QL

ULTILET INSULIN SYRINGE SYRINGE OTC; QL

ULTILET PEN NEEDLE NEEDLE OTC; QL

ULTRA CMFT INS SYR HALF UNIT SYRINGE

OTC; QL

ULTRA COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

ULTRA-THIN II (SHORT) INS SYR SYRINGE OTC; QL

ULTRA-THIN II (SHORT) PEN NDL NEEDLE OTC; QL

ULTRA-THIN II INS PEN NEEDLES NEEDLE OTC; QL

ULTRA-THIN II INSULIN SYRINGE SYRINGE

OTC; QL

UNIFINE PENTIPS NEEDLE OTC; QL

UNIFINE PENTIPS PLUS NEEDLE OTC; QL

VANISHPOINT SYRINGE SYRINGE OTC; QL

RESPIRATORY AIDS, SPACERS, DEVICES AND EQUIPMENT

ACE AEROSOL CLOUD ENHANCER SPACER

QL

AEROTRACH PLUS SPACER QL

AEROVENT PLUS SPACER QL

BREATHERITE MDI SPACER SPACER QL

BREATHERITE RIGID SPACER-MASK SPACER

QL

BREATHERITE SPACER-MASK,ADULT SPACER

QL

BREATHERITE SPACER-MASK,CHILD SPACER

QL

BREATHERITE SPACER-MASK,INFANT SPACER

QL

BREATHERITE SPACER-MASK,S.CHLD SPACER

QL

BREATHERITE VALVED MDI CHAMBER SPACER

QL

108


BREATHERITE VALVED MDI SPACER SPACER

QL

BREATHERITE WITH MASK, LARGE SPACER

QL

BREATHERITE WITH MASK, MEDIUM SPACER

QL

BREATHERITE WITH MASK, SMALL SPACER

QL

COMPACT SPACE CHAMBER SPACER QL

COMPACT SPACE CHAMBER-LRG MASK SPACER

QL

COMPACT SPACE CHAMBER-MED MASK SPACER

QL

COMPACT SPACE CHAMBER-SM MASK SPACER

QL

EASIVENT MASK LARGE DEVICE QL

EASIVENT MASK MEDIUM DEVICE QL

EASIVENT MASK SMALL DEVICE QL

LITEAIRE MDI CHAMBER SPACER QL

MICROCHAMBER SPACER QL

MICROSPACER SPACER QL

OPTICHAMBER ADULT MASK-LARGE DEVICE

QL

OPTICHAMBER DIAMOND LG MASK SPACER

QL

OPTICHAMBER DIAMOND VHC SPACER QL

OPTICHAMBER DIAMOND-MED MSK SPACER

QL

OPTICHAMBER DIAMOND-SML MASK SPACER

QL

POCKET CHAMBER SPACER QL

PRIMEAIRE SPACER QL

PROCHAMBER SPACER QL

RITEFLO AEROCHAMBER SPACER QL

VORTEX HOLDING CHAMBER CHILD SPACER

QL

VORTEX HOLDING CHAMBER SPACER QL

VORTEX HOLDING CHAMBER TODDLER SPACER

QL

VORTEX VHC FROG MASK-CHILD SPACER

QL

VORTEX VHC LADYBUG MASK-TODDLR SPACER

QL

109


URINE KETONE TEST AIDS

TRUEPLUS KETONE STRIP OTC; QL

METABOLIC MODIFIERS

METABOLIC DEFICIENCY AGENTS

calcitriol oral capsule Rocaltrol PA

calcitriol oral solution Rocaltrol PA

CARNITOR (SUGAR-FREE) ORAL SOLUTION

levocarnitine oral tablet Carnitor OTC

METABOLIC MODIFIER - UREA CYCLE DISORDER AGENTS-CONJUGATING AGENTS

RAVICTI ORAL LIQUID

PHARMACOENHANCER - CYTOCHROME P450 INHIBITORS

TYBOST ORAL TABLET

MOUTH-THROAT-DENTAL - PREPARATIONS

ANTIFUNGAL ANTIBIOTICS

clotrimazole mucous membrane troche QL

nystatin oral suspension

ANTISEPTICS, GENERAL

chloraseptic mucous membrane aerosol,spray OTC

chlorhexidine gluconate mucous membrane mouthwash

Paroex Oral Rinse QL

paroex oral rinse mucous membrane mouthwash

QL

periogard mucous membrane mouthwash QL

sore throat (hexylresorcinol) mucous membrane lozenge

OTC

FLUORIDE PREPARATIONS

dentagel dental gel

FLUOR-A-DAY ORAL DROPS

fluoride (sodium) dental solution PreviDent

fluoride (sodium) oral drops QL

fluoride (sodium) oral tablet,chewable Fluoritab

fluoridex daily defense dental gel

fluoritab oral tablet,chewable

FLURA-DROPS ORAL DROPS

ludent fluoride oral tablet,chewable

perio med dental solution OTC

110


sf dental gel

GLUCOCORTICOIDS

oralone dental paste

triamcinolone acetonide dental paste Oralone

MOUTH AND THROAT - LOCAL ANESTHETIC AMIDES

lidocaine hcl mucous membrane jelly

lidocaine hcl mucous membrane solution QL

lidocaine viscous mucous membrane solution QL

MOUTH AND THROAT - LOCAL ANESTHETIC OTHERS

chloraseptic throat spray mucous membrane aerosol,spray

OTC

throat lozenges mucous membrane lozenge OTC

MOUTH AND THROAT - LOZENGES

cherry cough drops mucous membrane lozenge

OTC

cherry menthol mucous membrane lozenge OTC

chloraseptic sore throat mucous membrane lozenge

OTC

cough drops (with eucalyptus) mucous membrane lozenge

OTC

honey lemon mucous membrane lozenge OTC

medikoff drops mucous membrane lozenge OTC

menthol drops mucous membrane lozenge OTC

sore throat (benzocaine-menth) mucous membrane lozenge

OTC

sore throat relief (pectin) mucous membrane lozenge on a handle

OTC

throat drops mucous membrane lozenge OTC

throat lozenges mucous membrane lozenge OTC

zinc with vitamins a and c oral lozenge OTC

MOUTH AND THROAT - SALIVA STIMULANTS

pilocarpine hcl oral tablet Salagen (pilocarpine) QL

OPHTHALMIC AGENTS

ARTIFICIAL TEARS

artificial tears (petro/min) ophthalmic (eye) ointment

OTC

artificial tears (pf) ophthalmic (eye) dropperette

OTC

111


artificial tears (polyvin alc) ophthalmic (eye) drops

OTC

artificial tears(dext70-hypro) ophthalmic (eye) drops

OTC

bion tears (pf) ophthalmic (eye) dropperette OTC

for sty relief ophthalmic (eye) ointment OTC

hypotears ophthalmic (eye) drops OTC

liquitears ophthalmic (eye) drops OTC

lubricant eye drops ophthalmic (eye) dropperette

OTC

lubricant eye ophthalmic (eye) ointment OTC

lubricant eye(dextran70-hypml) ophthalmic (eye) dropperette

OTC

lubricating plus ophthalmic (eye) dropperette OTC

lubrifresh pm ophthalmic (eye) ointment OTC

natural tears (pf) ophthalmic (eye) dropperette OTC

polyvinyl alcohol ophthalmic (eye) drops Artificial Tears (polyvin alc) OTC

puralube ophthalmic (eye) ointment OTC

REFRESH PLUS OPHTHALMIC (EYE) DROPPERETTE

OTC

REFRESH TEARS OPHTHALMIC (EYE) DROPS

OTC

revive plus ophthalmic (eye) dropperette OTC

TEARFAIR OPHTHALMIC (EYE) DROPS OTC

tears again (pva) ophthalmic (eye) drops OTC

ultra fresh ophthalmic (eye) drops OTC

MIOTICS/OTHER INTRAOCULAR PRESSURE REDUCERS

apraclonidine ophthalmic (eye) drops Iopidine

betaxolol ophthalmic (eye) drops

brimonidine ophthalmic (eye) drops QL

carteolol ophthalmic (eye) drops QL

dorzolamide ophthalmic (eye) drops Trusopt QL

dorzolamide-timolol ophthalmic (eye) drops Cosopt QL

latanoprost ophthalmic (eye) drops Xalatan QL

levobunolol ophthalmic (eye) drops Betagan

metipranolol ophthalmic (eye) drops QL

pilocarpine hcl ophthalmic (eye) drops Isopto Carpine

timolol maleate ophthalmic (eye) drops Timoptic QL

timolol maleate ophthalmic (eye) gel forming solution

Timoptic-XE QL

112


MYDRIATICS

atropine ophthalmic (eye) drops QL

atropine ophthalmic (eye) ointment QL

OPHTHALMIC - HYPEROSMOLAR AGENTS

artificial tears(dext70-hypro) ophthalmic (eye) drops

OTC

OPHTHALMIC ANTIBIOTIC - CORTICOID COMBINATIONS

neomycin-bacitracin-poly-hc ophthalmic (eye) ointment

Neo-Polycin HC

neomycin-polymyxin b-dexameth ophthalmic (eye) drops,suspension

Maxitrol

neomycin-polymyxin b-dexameth ophthalmic (eye) ointment

Maxitrol

neomycin-polymyxin-hc ophthalmic (eye) drops,suspension

neo-polycin hc ophthalmic (eye) ointment

sulfacetamide-prednisolone ophthalmic (eye) drops

QL

tobramycin-dexamethasone ophthalmic (eye) drops,suspension

TobraDex QL

OPHTHALMIC ANTIBIOTICS

bacitracin ophthalmic (eye) ointment QL

bacitracin-polymyxin b ophthalmic (eye) ointment

Polycin

ciprofloxacin hcl ophthalmic (eye) drops Ciloxan

erythromycin ophthalmic (eye) ointment

gentak ophthalmic (eye) ointment QL

gentamicin ophthalmic (eye) drops QL

gentamicin ophthalmic (eye) ointment Gentak QL

neomycin-bacitracin-polymyxin ophthalmic (eye) ointment

Neo-Polycin QL

neomycin-polymyxin-gramicidin ophthalmic (eye) drops

QL

neo-polycin ophthalmic (eye) ointment QL

ofloxacin ophthalmic (eye) drops Ocuflox QL

polycin ophthalmic (eye) ointment

polymyxin b sulf-trimethoprim ophthalmic (eye) drops

Polytrim QL

sulfacetamide sodium ophthalmic (eye) drops Bleph-10 QL

sulfacetamide sodium ophthalmic (eye) ointment

QL

113


tobramycin ophthalmic (eye) drops Tobrex QL

OPHTHALMIC ANTIHISTAMINES

alaway ophthalmic (eye) drops OTC; QL

allergy eye (ketotifen) ophthalmic (eye) drops OTC; QL

azelastine ophthalmic (eye) drops QL

children's alaway ophthalmic (eye) drops OTC; QL

epinastine ophthalmic (eye) drops Elestat QL

eye allergy relief ophthalmic (eye) drops OTC; QL

eye itch relief ophthalmic (eye) drops OTC; QL

itchy eye drops ophthalmic (eye) drops OTC; QL

ketotifen fumarate ophthalmic (eye) drops Alaway OTC; QL

NAPHCON-A OPHTHALMIC (EYE) DROPS OTC; QL

visine-a ophthalmic (eye) drops OTC; QL

wal-zyr (ketotifen) ophthalmic (eye) drops OTC; QL

ZADITOR OPHTHALMIC (EYE) DROPS OTC; QL

OPHTHALMIC ANTI-INFLAMMATORY AGENTS

dexamethasone sodium phosphate ophthalmic (eye) drops

diclofenac sodium ophthalmic (eye) drops

fluorometholone ophthalmic (eye) drops,suspension

FML Liquifilm

flurbiprofen sodium ophthalmic (eye) drops

prednisolone acetate ophthalmic (eye) drops,suspension

Omnipred

prednisolone sodium phosphate ophthalmic (eye) drops

XIIDRA OPHTHALMIC (EYE) DROPPERETTE

PA; QL

OPHTHALMIC ANTIVIRALS

trifluridine ophthalmic (eye) drops Viroptic QL

OPHTHALMIC MAST CELL STABILIZERS

cromolyn ophthalmic (eye) drops

OPHTHALMIC VASOCONSTRICTORS

altazine ophthalmic (eye) drops OTC; QL

eye drops (tetrahydrozoline) ophthalmic (eye) drops

OTC; QL

opti-clear ophthalmic (eye) drops OTC; QL

redness reliever eye drops ophthalmic (eye) drops

OTC; QL

114


sterile eye drops ophthalmic (eye) drops OTC; QL

tetrahydrozoline ophthalmic (eye) drops Altazine OTC; QL

OTIC

OTIC - WAX REMOVERS-SOFTENERS

carbamide peroxide otic (ear) drops Auro Eardrops OTC

carbamoxide ear drops otic (ear) drops OTC

ear drops (carbamide peroxide) otic (ear) drops

OTC

ear drops otc otic (ear) drops OTC

ear wax drops otic (ear) drops OTC

ear wax removal drops otic (ear) drops OTC

ear wax removal kit otic (ear) drops OTC

ear wax removal system otic (ear) drops OTC

murine ear wax removal system otic (ear) drops

OTC

OTIC PREPARATIONS, ANTI-INFLAMMATORY - ANTIBIOTICS

neomycin-polymyxin-hc otic (ear) drops,suspension

neomycin-polymyxin-hc otic (ear) solution

OTIC PREPARATIONS, LOCAL ANESTHETICS

treagan otic otic (ear) drops

OTIC PREPARATIONS, MISCELLANEOUS ANTI-INFECTIVES

acetic acid otic (ear) solution

ciprofloxacin hcl otic (ear) dropperette Cetraxal QL

floxin otic (ear) drops QL

ofloxacin otic (ear) drops Floxin QL



1ST TIER UNIFINE PENTIPS NEEDLE OTC; QL

1ST TIER UNIFINE PENTIPS PLUS NEEDLE OTC; QL

1ST TIER UNILET COMFORTOUCH OTC; QL

ACCU-CHEK SOFTCLIX LANCET DEV OTC; QL

ACE AEROSOL CLOUD ENHANCER SPACER

QL

ADJUSTABLE LANCING DEVICE OTC; QL

ADVANCED LANCING DEVICE KIT OTC; QL

115


ADVANCED TRAVEL LANCETS OTC; QL

ADVOCATE LANCING DEVICE OTC; QL

ADVOCATE PEN NEEDLE NEEDLE OTC; QL

ADVOCATE RAPID-SAFE LANCING OTC; QL

ADVOCATE SYRINGES SYRINGE OTC; QL

AEROTRACH PLUS SPACER QL

AEROVENT PLUS SPACER QL

AIMSCO LATEX CONDOM DEVICE OTC

AIRZONE PEAK FLOW METER DEVICE OTC

ALTERNATE SITE LANCET OTC; QL

ALTERNATE SITE LANCING DEVICE OTC; QL

AQUA LANCE LANCING DEVICE OTC; QL

ASSURE HAEMOLANCE PLUS OTC; QL

ASSURE ID INSULIN SAFETY SYRINGE OTC; QL

ASSURE LANCE OTC; QL

ASSURE LANCE PLUS OTC; QL

ASTHMA CHECK METER DEVICE OTC

AUTOLET IMPRESSION LANC DEV KIT OTC; QL

AUTOLET LANCING DEVICE OTC; QL

AUTOLET PLUS LANCING DEVICE OTC; QL

BD AUTOSHIELD DUO PEN NEEDLE NEEDLE

OTC; QL

BD ECLIPSE LUER-LOK SYRINGE OTC; QL

BD INSULIN PEN NEEDLE UF MINI NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF ORIG NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF SHORT NEEDLE

OTC; QL

BD INSULIN SYRINGE HALF UNIT SYRINGE

OTC; QL

BD INSULIN SYRINGE MICRO-FINE SYRINGE

OTC; QL

BD INSULIN SYRINGE SAFETY-LOK SYRINGE

OTC; QL

BD INSULIN SYRINGE SLIP TIP SYRINGE OTC; QL

BD INSULIN SYRINGE SYRINGE OTC; QL

BD INSULIN SYRINGE ULT-FINE II SYRINGE

OTC; QL

BD INSULIN SYRINGE ULTRA-FINE SYRINGE

OTC; QL

BD LO-DOSE MICRO-FINE IV SYRINGE OTC; QL

116


BD LO-DOSE ULTRA-FINE SYRINGE OTC; QL

BD LUER-LOK SYRINGE SYRINGE OTC

BD SAFETYGLIDE INSULIN SYRINGE SYRINGE

OTC; QL

BD SAFETYGLIDE SYRINGE SYRINGE OTC; QL

BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE

OTC; QL

BD ULTRA-FINE NANO PEN NEEDLES NEEDLE

OTC; QL

BREATHERITE MDI SPACER SPACER QL

BREATHERITE RIGID SPACER-MASK SPACER

QL

BREATHERITE SPACER-MASK,ADULT SPACER

QL

BREATHERITE SPACER-MASK,CHILD SPACER

QL

BREATHERITE SPACER-MASK,INFANT SPACER

QL

BREATHERITE SPACER-MASK,S.CHLD SPACER

QL

BREATHERITE VALVED MDI CHAMBER SPACER

QL

BREATHERITE VALVED MDI SPACER SPACER

QL

BREATHERITE WITH MASK, LARGE SPACER

QL

BREATHERITE WITH MASK, MEDIUM SPACER

QL

BREATHERITE WITH MASK, SMALL SPACER

QL

CAREFINE PEN NEEDLE NEEDLE OTC; QL

CAREONE LANCING DEVICE OTC; QL

CAREONE THIN LANCET OTC; QL

CAREONE ULTRA THIN LANCET OTC; QL

CARETOUCH PEN NEEDLE NEEDLE OTC; QL

CARETOUCH TWIST LANCET OTC; QL

CHEMSTRIP 10 MD STRIP OTC

CHEMSTRIP K STRIP OTC; QL

CLICKFINE NEEDLE OTC; QL

COLOR LANCETS OTC; QL

COMFORT EZ PEN NEEDLES NEEDLE OTC; QL

COMFORT EZ SYRINGE SYRINGE OTC; QL

COMFORT LANCETS OTC; QL

117


COMPACT SPACE CHAMBER SPACER QL

COMPACT SPACE CHAMBER-LRG MASK SPACER

QL

COMPACT SPACE CHAMBER-MED MASK SPACER

QL

COMPACT SPACE CHAMBER-SM MASK SPACER

QL

CONDOMS-PREM LUBRICATED DEVICE OTC

DROPLET LANCING DEVICE OTC; QL

DROPLET PEN NEEDLE NEEDLE OTC; QL

EASIVENT MASK LARGE DEVICE QL

EASIVENT MASK MEDIUM DEVICE QL

EASIVENT MASK SMALL DEVICE QL

EASY CLICK LANCING DEVICE OTC; QL

EASY COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

EASY COMFORT PEN NEEDLES NEEDLE OTC; QL

EASY TOUCH INSULIN SAFETY SYR SYRINGE

OTC

EASY TOUCH INSULIN SYRINGE SYRINGE OTC; QL

EASY TOUCH LANCETS OTC; QL

EASY TOUCH LANCING DEVICE OTC; QL

EASY TOUCH NEEDLE OTC; QL

EASY TOUCH SAFETY LANCETS OTC; QL

EASY TOUCH TWIST LANCETS OTC; QL

EXEL INSULIN SYRINGE OTC; QL

E-Z JECT LANCETS OTC; QL

E-Z JECT THIN LANCETS OTC; QL

EZ SMART LANCETS OTC; QL

FANTASY CONDOM DEVICE OTC

FC2 FEMALE CONDOM OTC

FINE 30 UNIVERSAL LANCETS OTC; QL

FORA LANCING DEVICE OTC; QL

FORACARE LANCETS OTC; QL

FREESTYLE PRECISION SYRINGE OTC; QL

GLUCOCOM LANCETS OTC; QL

HEALTHY ACCENTS AUTOLET OTC; QL

HEALTHY ACCENTS UNIFINE PENTIP NEEDLE

OTC; QL

HEALTHY ACCENTS UNILET LANCET OTC; QL

HYPOLANCE AST LANCING KIT OTC; QL

118


IN-CHECK NASAL WITH MASK DEVICE OTC

IN-CHECK ORAL FLOW METER DEVICE OTC

INCONTROL LANCING DEVICE OTC; QL

INCONTROL PEN NEEDLE NEEDLE OTC; QL

INCONTROL SUPER THIN LANCETS OTC; QL

INCONTROL ULTRA THIN LANCETS OTC; QL

insulin syringe microfine syringe OTC; QL

insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC; QL

insulin syringe syringe OTC; QL

insulin syringe-needle u-100 syringe Lite Touch Insulin Syringe OTC; QL

insulin syringes (disposable) syringe Monoject Insulin Syringe OTC; QL

INSUPEN NEEDLE OTC; QL

INVACARE LANCETS OTC; QL

KETONE CARE STRIP OTC; QL

KETONE URINE TEST STRIP OTC; QL

KETOSTIX STRIP OTC; QL

KIMONO CONDOMS(NON-LUBRICATED) DEVICE

OTC

KIMONO MAXX CONDOMS DEVICE OTC

KIMONO MICROTHIN AQUA LUBE CON DEVICE

OTC

KIMONO MICROTHIN CONDOMS DEVICE OTC

KIMONO MICROTHIN LARGE CONDOMS DEVICE

OTC

KIMONO TEXTURED CONDOMS DEVICE OTC

lancets Accu-Chek FastClix OTC; QL

lancets, super thin OTC; QL

lancets,thin OTC; QL

lancets,ultra thin OTC; QL

lancing device Adjustable Lancing Device OTC; QL

lancing device with lancets OTC; QL

lancing device with lancets kit Accu-Chek FastClix OTC; QL

lancing system OTC; QL

LANZO LANCING DEVICE KIT OTC; QL

LITE TOUCH INSULIN PEN NEEDLES NEEDLE

OTC; QL

LITE TOUCH INSULIN SYRINGE SYRINGE OTC; QL

LITE TOUCH LANCING DEVICE OTC; QL

LITEAIRE MDI CHAMBER SPACER QL

MAXI-COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

119


MEDLANCE PLUS LANCETS OTC; QL

MICRO THIN LANCETS OTC; QL

MICROCHAMBER SPACER QL

MICROLIFE PEAK FLOW METER DEVICE OTC

MICROSPACER SPACER QL

MINI LANCING DEVICE OTC; QL

MINI ULTRA-THIN II NEEDLE OTC; QL

MINI WRIGHT PEAK FLOW METER DEVICE

MINI-WRIGHT PEAK FLOW METER DEVICE

MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 29 GAUGE X 1/2", 29 GAUGE X 1/2"

OTC; QL

MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 30 GAUGE X 5/16, 0.5 ML 29 GAUGE X 1/2", 1/2 ML 30 GAUGE X 5/16

QL

MONOJECT INSULIN SYRINGE SYRINGE OTC; QL

MONOJECT SAFETY SYRINGES SYRINGE OTC

MONOJECT SYRINGE SYRINGE QL

MONOJECT ULTRA COMFORT INSULIN SYRINGE

OTC; QL

MONOLET LANCETS OTC; QL

MONOLET THIN LANCETS OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC; QL

MULTISTIX 9 SG STRIP OTC

MULTISTIX 9 STRIP OTC

MYGLUCOHEALTH LANCETS OTC; QL



ON CALL LANCING DEVICE OTC; QL

ON CALL PLUS LANCING DEVICE OTC; QL

ON-THE-GO LANCETS OTC; QL

OPTICHAMBER ADULT MASK-LARGE DEVICE

QL

OPTICHAMBER DIAMOND LG MASK SPACER

QL

OPTICHAMBER DIAMOND VHC SPACER QL

OPTICHAMBER DIAMOND-MED MSK SPACER

QL

OPTICHAMBER DIAMOND-SML MASK SPACER

QL

PEAK AIR PEAK FLOW METER DEVICE OTC

120


pen needle needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"

OTC; QL

pen needle needle 30 gauge x 5/16" QL

pen needle, diabetic needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"

1st Tier Unifine Pentips OTC; QL

pen needle, diabetic needle 31 gauge x 1/3", 31 gauge x 1/6"

OTC; QL

pen needle, diabetic needle 32 gauge x 1/4"BD Ultra-Fine Micro Pen Needle

OTC; QL

PEN NEEDLE, DIABETIC NEEDLE 32 GAUGE X 3/16"

CareFine Pen Needle OTC

PENTIPS NEEDLE OTC; QL

PERSONAL BEST FULL RANGE DEVICE OTC

PERSONAL BEST LOW RANGE DEVICE OTC

PIKO 1 DEVICE OTC

POCKET CHAMBER SPACER QL

POCKET PEAK FLOW METER DEVICE OTC

PRIMEAIRE SPACER QL

PRO COMFORT PEN NEEDLE NEEDLE OTC; QL

PROCHAMBER SPACER QL

PRODIGY INSULIN SYRINGE SYRINGE OTC; QL

PRODIGY LANCING DEVICE OTC; QL

RELIAMED MINI LANCING DEVICE OTC; QL

RELION NEEDLES NEEDLE OTC; QL

RELION PEN NEEDLES NEEDLE OTC; QL

RELION THIN LANCETS OTC; QL

RELION ULTRA THIN PLUS LANCETS OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC; QL

RIGHTEST GL300 LANCETS OTC; QL

RITEFLO AEROCHAMBER SPACER QL

SAFETY LANCETS OTC; QL

SMART SENSE LANCETS OTC; QL

SMARTDIABETES VANTAGE OTC; QL

STERILANCE TL OTC; QL

SUPER THIN LANCETS OTC; QL

SURE COMFORT INS. SYR. U-100 SYRINGE

OTC; QL

SURE COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

SURE COMFORT LANCING PEN OTC; QL

121


SURE COMFORT PEN NEEDLE NEEDLE OTC; QL

SURE-FINE PEN NEEDLES NEEDLE OTC; QL

SURE-JECT INSULIN SYRINGE SYRINGE OTC; QL

SURE-PEN LANCING DEVICE OTC; QL

TECHLITE LANCETS OTC; QL

TECHLITE PEN NEEDLE NEEDLE OTC; QL

TERUMO INSULIN SYRINGE SYRINGE OTC; QL

THIN LANCETS OTC; QL

THINPRO INSULIN SYRINGE SYRINGE OTC; QL

TOPCARE CLICKFINE NEEDLE OTC; QL

TOPCARE ULTRA COMFORT SYRINGE OTC; QL

TOPCARE UNIVERSAL1 LANCET OTC; QL

TRUE METRIX AIR GLUCOSE METER OTC

TRUE METRIX GLUCOSE METER OTC

TRUE METRIX GLUCOSE TEST STRIP STRIP

OTC; QL




TRUEPLUS INSULIN SYRINGE OTC; QL

TRUEPLUS KETONE STRIP OTC; QL

TRUEPLUS LANCETS OTC; QL

TRUEPLUS PEN NEEDLE NEEDLE OTC; QL

TRUERESULT BLOOD GLUCOSE SYSTM KIT

OTC

TRUETEST TEST STRIPS STRIP OTC; QL

TRUSTEX LATEX CONDOM DEVICE OTC

TRUSTEX LUBRICATED CONDOMS DEVICE

OTC

TRUSTEX NON-LUB CONDOMS DEVICE OTC

TRUSTEX-RIA LUB/SPERMICIDE DEVICE OTC

TRUSTEX-RIA LUBRICATED CONDOMS DEVICE

OTC

TRUSTEX-RIA NON-LUB CONDOMS DEVICE

OTC

TRUZONE PEAK FLOW METER DEVICE

ULTICARE PEN NEEDLE NEEDLE OTC; QL

ULTICARE SYRINGE OTC; QL

ULTI-LANCE OTC; QL

ULTILET INSULIN SYRINGE SYRINGE OTC; QL

ULTILET PEN NEEDLE NEEDLE OTC; QL

122


ULTRA CMFT INS SYR HALF UNIT SYRINGE

OTC; QL

ULTRA COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

ULTRA THIN LANCETS OTC; QL

ULTRA THIN PLUS LANCETS OTC; QL

ULTRA-THIN II (SHORT) INS SYR SYRINGE OTC; QL

ULTRA-THIN II (SHORT) PEN NDL NEEDLE OTC; QL

ULTRA-THIN II INS PEN NEEDLES NEEDLE OTC; QL

ULTRA-THIN II INSULIN SYRINGE SYRINGE

OTC; QL

UNIFINE PENTIPS NEEDLE OTC; QL

UNIFINE PENTIPS PLUS NEEDLE OTC; QL

UNILET COMFORTOUCH LANCET OTC; QL

UNILET EXCELITE II LANCET OTC; QL

UNILET EXCELITE LANCET OTC; QL

UNILET GP LANCET OTC; QL

UNILET LANCET OTC; QL

UNILET LANCETS OTC; QL

UNILET SUPER THIN LANCETS OTC; QL

UNISTIK 2 DEVICE KIT OTC; QL

UNISTIK 2 EXTRA KIT OTC

UNISTIK 3 COMFORT DEVICE KIT OTC; QL

UNISTIK 3 COMFORT LANCET OTC; QL

UNISTIK 3 EXTRA LANCET OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 KIT OTC; QL

UNISTIK 3 LANCETS OTC; QL

UNISTIK 3 NEONATAL DEVICE KIT OTC; QL

UNISTIK 3 NEONATAL KIT OTC; QL

UNISTIK 3 NORMAL LANCET OTC; QL

UNISTIK CZT LANCET OTC; QL

UNISTIK SAFETY OTC; QL

UNISTIK TOUCH LANCETS OTC; QL

UNIVERSAL 1 LANCETS OTC; QL

URINARY TRACT INF.TEST (WBCS) STRIP OTC

VANISHPOINT SYRINGE SYRINGE OTC; QL

VORTEX HOLDING CHAMBER CHILD SPACER

QL

VORTEX HOLDING CHAMBER SPACER QL

123


VORTEX HOLDING CHAMBER TODDLER SPACER

QL

VORTEX VHC FROG MASK-CHILD SPACER

QL

VORTEX VHC LADYBUG MASK-TODDLR SPACER

QL









RESPIRATORY THERAPY AGENTS

AMINOGLYCOSIDES

tobramycin in 0.225 % nacl inhalation solution for nebulization

Tobi QL

ANALGESIC/ANTIPYRETICS, NON-SALICYLATE

acetadryl oral tablet OTC

aceta-gesic oral tablet OTC

acetaminophen pm extra str oral tablet OTC

acetaminophen pm oral tablet OTC

diphenhydramine-acetaminophen oral tablet Acetadryl OTC

headache pm oral tablet OTC

headache relief pm oral tablet OTC

mapap pm oral tablet OTC

menstrual relief oral tablet OTC

midol pm oral tablet OTC

non-aspirin nightime oral tablet OTC

non-aspirin pain relief pm oral tablet OTC

non-aspirin pm oral tablet OTC

pain relief pm oral tablet OTC

pain relief pm rapid release oral tablet OTC

124


pain reliever pm ex-strength oral tablet OTC

pain reliever pm oral tablet OTC

percogesic extra strength oral tablet OTC

percogesic oral tablet OTC

ANTIHISTAMINE AND DECONGESTANT COMBINATIONS

alavert d-12 allergy-sinus oral tablet extended release 12 hr

OTC; QL

allerclear d-12hr oral tablet extended release 12 hr

OTC; QL

allerclear d-24hr oral tablet extended release 24 hr

OTC; QL

allergy and congestion relief oral tablet extended release 12 hr

OTC; QL

allergy and congestion relief oral tablet extended release 24 hr

OTC; QL

allergy relief d12 oral tablet extended release 12 hr

OTC; QL

allergy relief d-24 oral tablet extended release 24 hr

OTC; QL

allergy relief,nasal decongest oral tablet extended release 24 hr

OTC; QL

allergy relief-d (loratadine) oral tablet extended release 12 hr

OTC; QL

allergy relief-d(fexofenadine) oral tablet extended release 12 hr

OTC

allergy-congestion relief-d oral tablet extended release 24 hr

OTC; QL

aprodine oral tablet OTC

brotapp oral liquid OTC

BROVEX PEB ORAL LIQUID OTC

ed a-hist pse oral tablet OTC

fexofenadine-pseudoephedrine oral tablet extended release 12 hr

Allegra-D 12 Hour OTC

LODRANE D ORAL CAPSULE OTC

lohist - d oral liquid OTC

lorata-d oral tablet extended release 24 hr OTC; QL

lorata-dine d oral tablet extended release 24 hr

OTC; QL

loratadine-d oral tablet extended release 12 hr OTC; QL

loratadine-d oral tablet extended release 24 hr OTC; QL

loratadine-pseudoephedrine oral tablet extended release 24 hr

AllerClear D-24hr OTC; QL

125


promethazine vc oral syrup AL; QL

promethazine-phenylephrine oral syrup Promethazine VC AL

ritifed oral syrup OTC

r-tanna oral tablet

rynex pse oral liquid OTC

valu-tapp oral liquid OTC

wal-act d cold and allergy oral tablet OTC

wal-fex d 12 hour oral tablet extended release 12 hr

OTC

wal-fex d 24 hour oral tablet extended release 24 hr

OTC

wal-itin d 12 hour oral tablet extended release 12 hr

OTC; QL

wal-itin d oral tablet extended release 24 hr OTC; QL

ANTIHISTAMINES

alavert oral tablet,disintegrating OTC; QL

aler-cap oral capsule OTC; QL

alka-seltzer plus allergy oral tablet OTC

aller-chlor oral tablet OTC

allerclear oral tablet OTC; QL

aller-ease oral tablet 180 mg OTC; QL

aller-ease oral tablet 60 mg OTC

aller-fex oral tablet OTC; QL

allergy (chlorpheniramine) oral tablet OTC

allergy (diphenhydramine) oral capsule OTC; QL

allergy (diphenhydramine) oral liquid OTC; QL

allergy (diphenhydramine) oral tablet OTC; QL

allergy 4-hour oral tablet OTC

allergy medication oral capsule OTC; QL

allergy medicine oral capsule OTC; QL

allergy medicine oral liquid OTC; QL

allergy medicine oral tablet OTC; QL

allergy relief (clemastine) oral tablet OTC

allergy relief (fexofenadine) oral tablet 180 mg OTC; QL

allergy relief (fexofenadine) oral tablet 60 mg OTC

allergy relief (loratadine) oral solution OTC; QL

allergy relief (loratadine) oral tablet OTC; QL

allergy relief (loratadine) oral tablet,disintegrating

OTC; QL

allergy relief(chlorpheniramn) oral tablet OTC

allergy relief(diphenhydramin) oral capsule OTC; QL

126


allergy relief(diphenhydramin) oral liquid OTC; QL

allergy relief(diphenhydramin) oral tablet OTC; QL

allergy-time oral tablet OTC

banophen allergy oral liquid OTC; QL

banophen oral capsule 25 mg OTC; QL

banophen oral capsule 50 mg OTC

banophen oral liquid OTC; QL

banophen oral tablet OTC; QL

carbinoxamine maleate oral liquid

carbinoxamine maleate oral tablet

child allergy relief (diphen) oral tablet,disintegrating

OTC

children's allegra allergy oral suspension OTC; QL

children's allegra allergy oral tablet,disintegrating

OTC

children's allergy (diphenhyd) oral elixir OTC; QL

children's allergy (diphenhyd) oral liquid OTC; QL

children's allergy (diphenhyd) oral tablet,disintegrating

OTC

children's allergy relief(lor) oral solution OTC; QL

children's wal-dryl allergy oral liquid OTC; QL

children's wal-dryl allergy oral prefilled spoon OTC; QL

children's wal-dryl allergy oral tablet,disintegrating

OTC

chlorhist oral tablet OTC

chlorpheniramine maleate oral tablet Aller-Chlor OTC

chlorpheniramine maleate oral tablet extended release

Allergy Relief(chlorpheniramn) OTC

chlortabs oral tablet OTC

clemastine oral tablet 1.34 mg Allergy Relief (clemastine) OTC

clemastine oral tablet 2.68 mg

complete allergy medicine oral capsule OTC; QL

complete allergy medicine oral tablet OTC; QL

complete allergy oral capsule OTC; QL

complete allergy oral liquid OTC; QL

complete allergy oral tablet OTC; QL

cyproheptadine oral syrup

cyproheptadine oral tablet

dayhist allergy oral tablet OTC

diphedryl allergy oral liquid OTC; QL

diphedryl oral capsule OTC; QL

127


diphedryl oral liquid OTC; QL

diphedryl oral tablet OTC; QL

diphen oral tablet OTC; QL

diphenhist oral capsule OTC; QL

diphenhist oral liquid OTC; QL

diphenhist oral tablet OTC; QL

diphenhydramine hcl injection solution

diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL

diphenhydramine hcl oral capsule 50 mg Banophen OTC

diphenhydramine hcl oral elixir Children's Allergy (diphenhyd) OTC; QL

diphenhydramine hcl oral liquid Allergy (diphenhydramine) OTC; QL

diphenhydramine hcl oral syrup Silphen Cough OTC

diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC; QL

ed chlorped jr oral syrup OTC

ed-chlorped oral drops OTC

fexofenadine oral suspension Aller-ease OTC; QL

fexofenadine oral tablet 180 mg Allegra Allergy OTC; QL

fexofenadine oral tablet 60 mg Allegra Allergy OTC

loradamed oral tablet OTC; QL

loratadine oral solution Allergy Relief (loratadine) OTC; QL

loratadine oral tablet Allerclear OTC; QL

loratadine oral tablet,disintegrating Alavert OTC; QL

nightime sleep oral capsule OTC

nighttime sleep aid (diphen) oral capsule OTC

nighttime sleep aid (diphen) oral tablet OTC

non-drowsy allergy oral tablet OTC; QL

pharbechlor oral tablet OTC

pharbedryl oral capsule 25 mg OTC; QL

pharbedryl oral capsule 50 mg OTC

promethazine oral syrup AL

promethazine oral tablet 12.5 mg, 50 mg AL

promethazine oral tablet 25 mg AL; QL

rest simply nighttime sleep oral tablet OTC

restfully sleep oral tablet OTC

siladryl sa oral liquid OTC; QL

silphen cough oral syrup OTC

sleep aid (diphenhydramine) oral capsule OTC

sleep aid (diphenhydramine) oral liquid OTC

sleep aid (diphenhydramine) oral tablet OTC

sleep aid max str (diphenhydr) oral capsule OTC

128


sleep ii oral tablet OTC

sleep oral tablet OTC

sleep tablet (diphenhydramine) oral tablet OTC

sleep-tabs oral tablet OTC

UNISOM (DIPHENHYDRAMINE) ORAL LIQUID

OTC

UNISOM SLEEPGELS ORAL CAPSULE OTC

valu-dryl allergy oral capsule OTC; QL

wal-dryl allergy oral capsule OTC; QL

wal-dryl allergy oral liquid OTC; QL

wal-dryl allergy oral tablet OTC; QL

wal-fex allergy oral tablet 180 mg OTC; QL

wal-fex allergy oral tablet 60 mg OTC

wal-finate oral tablet OTC

wal-itin oral solution OTC; QL

wal-itin oral tablet OTC; QL

wal-sleep z oral liquid OTC

wal-som (diphenhydramine) oral capsule OTC

ZZZQUIL ORAL CAPSULE OTC

ZZZQUIL ORAL LIQUID OTC

ANTITUSSIVES - NONNARCOTIC

benzonatate oral capsule

cough dm er oral suspension,extended rel 12 hr

OTC

cough relief oral liquid OTC; QL

day-time cough oral syrup OTC

DELSYM 12 HOUR ORAL SUSPENSION,EXTENDED REL 12 HR

OTC

dextromethorphan polistirex oral suspension,extended rel 12 hr

12-Hour Cough Relief OTC

tussin cough (dm only) oral liquid OTC; QL

tussin maximum strength cough oral syrup OTC; QL

vicks dayquil cough oral syrup OTC

wal-tussin max strength cough oral syrup OTC; QL

AROMATIC ANTITUSSIVE DEMULCENTS

cough drops mucous membrane lozenge OTC

ASTHMA THERAPY - ALPHA/BETA ADRENERGIC AGENTS

epinephrine injection solution Adrenalin

epinephrine injection syringe

129


ASTHMA THERAPY - MAST CELL STABILIZERS

cromolyn inhalation solution for nebulization

BETA-ADRENERGIC AGENTS

albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 2.5 mg/0.5 ml, 5 mg/ml

QL

albuterol sulfate oral syrup

albuterol sulfate oral tablet

albuterol sulfate oral tablet extended release 12 hr

metaproterenol oral syrup

SEREVENT DISKUS INHALATION BLISTER WITH DEVICE

QL

terbutaline oral tablet

VENTOLIN HFA INHALATION HFA AEROSOL INHALER

QL

BETA-ADRENERGIC COMBINATION AGENTS

ANORO ELLIPTA INHALATION BLISTER WITH DEVICE

COMBIVENT RESPIMAT INHALATION MIST

AL; QL

ipratropium-albuterol inhalation solution for nebulization

AL

BETA-ADRENERGICS AND GLUCOCORTICOIDS COMBINATIONS

BREO ELLIPTA INHALATION BLISTER WITH DEVICE 100-25 MCG/DOSE

PA; QL

BREO ELLIPTA INHALATION BLISTER WITH DEVICE 200-25 MCG/DOSE

PA

DULERA INHALATION HFA AEROSOL INHALER

PA; QL

DECONGESTANT - EXPECTORANT COMBINATIONS

congestac oral tablet OTC

ENTEX T ORAL TABLET OTC

mucinex d maximum strength oral tablet extended release 12 hr

OTC

mucinex d oral tablet extended release 12 hr AL; OTC; QL

pe-guai oral drops AL

RESPAIRE-30 ORAL CAPSULE OTC

SUPRESS-PE ORAL DROPS OTC

130


TRIAMINIC CHEST-NASAL CONGEST ORAL LIQUID

OTC

tusnel pediatric oral drops OTC

DECONGESTANT-ANALGESIC, NON-SALICYLATE COMBINATIONS

pain reliever pm oral tablet OTC

ELASTASE INHIBITORS

ARALAST NP INTRAVENOUS RECON SOLN

PA

GLASSIA INTRAVENOUS SOLUTION PA

ZEMAIRA INTRAVENOUS RECON SOLN PA

EXPECTORANTS

adult tussin chest congestion oral liquid OTC

allfen oral tablet OTC

chest congestion relief oral tablet OTC

CHILD MUCINEX CHEST CONGESTION ORAL LIQUID

OTC

child mucus relief expectorant oral liquid OTC

children's chest congestion oral liquid OTC

coughtab oral tablet AL; OTC

diabetic siltussin das-na oral liquid OTC

diabetic tussin ex oral liquid OTC

fenesin ir oral tablet OTC

guaifenesin oral liquid Adult Tussin Chest Congestion OTC

guaifenesin oral tablet 200 mg Coughtab AL; OTC

guaifenesin oral tablet 400 mg Allfen OTC

guaifenesin oral tablet extended release 12hr Mucinex OTC; QL

MUCINEX ORAL TABLET EXTENDED RELEASE 12HR 1,200 MG

OTC

MUCINEX ORAL TABLET EXTENDED RELEASE 12HR 600 MG

OTC; QL

mucosa oral tablet OTC

mucus relief chest oral tablet OTC

mucus relief er oral tablet extended release 12hr

OTC; QL

mucus relief oral tablet OTC

organ-i nr oral tablet AL; OTC

refenesen oral tablet OTC

scot-tussin expectorant oral liquid OTC

tussin chest congestion oral liquid OTC

tussin expectorant oral liquid OTC

131


tussin oral liquid OTC

tussin oral tablet OTC

GENERAL BRONCHODILATOR AGENTS

ATROVENT HFA INHALATION HFA AEROSOL INHALER

QL

ipratropium bromide inhalation solution QL

SPIRIVA RESPIMAT INHALATION MIST QL

GENERAL INHALATION AGENTS

PULMOZYME INHALATION SOLUTION PA; QL

INHALED CORTICOSTEROIDS

AEROSPAN INHALATION HFA AEROSOL INHALER

ARNUITY ELLIPTA INHALATION BLISTER WITH DEVICE

QL

budesonide inhalation suspension for nebulization 0.25 mg/2 ml, 0.5 mg/2 ml, 1 mg/2 ml

Pulmicort PA; QL

LEUKOTRIENE RECEPTOR ANTAGONISTS

montelukast oral granules in packet Singulair QL

montelukast oral tablet Singulair

montelukast oral tablet,chewable Singulair

zafirlukast oral tablet Accolate QL

MAST CELL STABILIZERS

cromolyn nasal spray,non-aerosolNasal Allergy Symptom Control

OTC

nasal allergy symptom control nasal spray,non-aerosol

OTC

NARCOTIC ANTITUSSIVE COMBINATIONS

cheratussin ac oral liquid OTC; QL

codeine-guaifenesin oral liquid Cheratussin AC AL; OTC; QL

guaiatussin ac oral liquid OTC; QL

guaifenesin ac oral liquid OTC; QL

guaifenesin dac oral syrup AL; OTC

hydrocodone compound oral syrup

hydrocodone-homatropine oral syrup Hydrocodone Compound

hydrocodone-homatropine oral tablet Tussigon

hydromet oral syrup

mar-cof cg oral liquid OTC

m-clear wc oral liquid OTC

132


promethazine vc-codeine oral syrup QL

promethazine-codeine oral syrup AL; QL

promethazine-phenyleph-codeine oral syrup Promethazine VC-Codeine QL

relcof c oral liquid OTC

REZIRA ORAL SOLUTION

tusnel c oral syrup OTC

tussigon oral tablet

virtussin ac oral liquid OTC; QL

NASAL ANTIBIOTICS

BACTROBAN NASAL NASAL OINTMENT QL

NASAL ANTIHISTAMINE

azelastine nasal aerosol,spray QL

azelastine nasal spray,non-aerosol Astepro QL

NASAL ANTI-INFLAMMATORY STEROIDS

24 hour allergy relief nasal spray,suspension OTC; QL

aller-flo nasal spray,suspension OTC; QL

allergy relief (fluticasone) nasal spray,suspension

OTC; QL

CHILDREN'S FLONASE ALLERGY RLF NASAL SPRAY,SUSPENSION

OTC; QL

CHILDREN'S NASACORT NASAL AEROSOL,SPRAY

OTC; QL

CLARISPRAY NASAL SPRAY,SUSPENSION

OTC; QL

FLONASE ALLERGY RELIEF NASAL SPRAY,SUSPENSION

OTC; QL

fluticasone nasal spray,suspension 24 Hour Allergy Relief OTC; QL

ipratropium bromide nasal spray,non-aerosol

NASACORT NASAL AEROSOL,SPRAY OTC; QL

nasal allergy nasal aerosol,spray OTC; QL

triamcinolone acetonide nasal aerosol,spray Children's Nasacort OTC; QL

NASAL MOISTURIZERS

altamist nasal aerosol,spray OTC

ayr saline nasal aerosol,spray AL; OTC

ayr saline nasal drops OTC; QL

baby ayr saline nasal drops AL; OTC; QL

deep sea nasal nasal aerosol,spray OTC

little remedies nasal aerosol,spray OTC

nasal mist nasal aerosol,spray OTC

nasal moisturizing nasal aerosol,spray OTC

133


nasal spray (sodium chloride) nasal aerosol,spray

OTC

ocean nasal nasal aerosol,spray OTC

saline mist nasal aerosol,spray AL; OTC

saline nasal mist nasal aerosol,spray OTC

saline nasal nasal aerosol,spray OTC

saline nose nasal aerosol,spray OTC

sterile saline nasal aerosol,spray OTC

NON-NARCOTIC ANTITUSSIVE COMBINATIONS

adult robitussin peak cold dm oral liquid OTC; QL

adult tussin cough congest dm oral liquid OTC; QL

adult tussin dm oral syrup OTC; QL

antitussive dm oral syrup OTC; QL

biocotron oral liquid OTC; QL

biogil oral liquid OTC

brotapp dm oral elixir OTC

BROVEX PEB DM ORAL LIQUID OTC

child chest congestion + cough oral liquid AL; OTC

CHILD MUCINEX CONGESTION-COUGH ORAL LIQUID

OTC

child mucus relief cough oral liquid AL; OTC

child multi-symptom cold/cough oral liquid OTC

children's cough oral liquid AL; OTC

CHILDREN'S MUCINEX COUGH ORAL LIQUID

AL; OTC

CHILDREN'S MUCINEX MULTI-SYMP ORAL LIQUID

OTC

chlorpheniramine-phenyleph-dm oral liquid OTC

cough control dm oral syrup OTC; QL

cough formula dm oral syrup OTC; QL

cough suppressant-expectorant oral syrup OTC; QL

cough syrup dm oral syrup OTC; QL

despec eda cough-cold drops oral drops OTC

dextromethorphan-guaifenesin oral syrup Adult Tussin DM OTC; QL

diabetic siltussin-dm oral liquid OTC; QL

diabetic tussin dm oral liquid OTC; QL

g-tron oral liquid OTC; QL

guaicon dms oral liquid in packet OTC

guiatuss dm oral syrup OTC; QL

g-zyncof oral liquid OTC; QL

134


kidkare cough/cold oral liquid OTC

MAXIFED DM ORAL SUSPENSION OTC

MUCINEX DM ORAL TABLET EXTENDED RELEASE 12 HR

OTC

MUCINEX FAST-MAX CONGEST-COUGH ORAL LIQUID

OTC

MUCINEX FAST-MAX DM MAX ORAL LIQUID

AL; OTC

mucus dm max oral tablet extended release 12 hr

OTC

mucus dm oral tablet extended release 12 hr OTC

mucus relief congestion-cough oral liquid OTC

mucus relief cough oral liquid AL; OTC

mucus relief dm max oral liquid AL; OTC

neo-tuss oral liquid OTC

neotuss-d (improved formula) oral liquid OTC

non-aspirin flu oral tablet OTC

PECGEN DMX ORAL LIQUID OTC

pedia relief cough-cold oral liquid OTC

pediatric cough and cold oral liquid OTC

PRESGEN B ORAL LIQUID OTC

promethazine-dm oral syrup AL; QL

ri-tussin dm oral syrup OTC; QL

robafen dm cough oral liquid OTC; QL

robafen dm cough-chest congest oral syrup OTC; QL

robafen dm oral syrup OTC; QL

SCOT-TUSSIN SENIOR ORAL LIQUID OTC

siltussin dm das oral liquid OTC; QL

siltussin-dm oral syrup OTC; QL

sorbugen nr oral liquid OTC; QL

supress dx oral drops OTC

tusnel diabetic oral liquid OTC; QL

TUSNEL-DM PEDIATRIC ORAL DROPS OTC

tussi pres-b oral liquid OTC

tussin cf oral syrup OTC

tussin cough-chest congestion oral liquid OTC; QL

tussin dm clear oral syrup OTC; QL

tussin dm cough and chest oral syrup OTC; QL

tussin dm cough oral syrup OTC; QL

tussin dm oral liquid OTC; QL

tussin dm oral syrup OTC; QL

135


wal-tussin dm oral syrup OTC; QL

ZYNCOF ORAL LIQUID OTC; QL

SYSTEMIC SYMPATHOMIMETIC DECONGESTANTS

nasal decongestant (pseudoeph) oral liquid OTC

nasal decongestant (pseudoeph) oral tablet OTC

pedia relief infant nasal oral drops OTC

pseudoephedrine hcl oral liquidNasal Decongestant (pseudoeph)

OTC

pseudoephedrine hcl oral tabletNasal Decongestant (pseudoeph)

AL; OTC

sudogest oral tablet OTC

suphedrin oral tablet OTC

suphedrine oral tablet OTC

wal-phed oral tablet OTC

XANTHINES

THEO-24 ORAL CAPSULE,EXTENDED RELEASE 24HR

QL

theochron oral tablet extended release 12 hr

theophylline oral elixir Elixophyllin

theophylline oral solution

theophylline oral tablet extended release 12 hr Theochron

theophylline oral tablet extended release 24 hr

VAGINAL PRODUCTS

VAGINAL ANTIBIOTICS

CLEOCIN VAGINAL SUPPOSITORY

clindamycin phosphate vaginal cream Cleocin

metronidazole vaginal gel Metrogel Vaginal

vandazole vaginal gel

VAGINAL ANTIFUNGALS

3 day vaginal vaginal cream OTC

3-day vaginal vaginal cream OTC

clotrimazole 3 day vaginal cream OTC

clotrimazole vaginal cream Clotrimazole-7 OTC; QL

clotrimazole-3 vaginal cream OTC

clotrimazole-7 vaginal cream OTC; QL

miconazole 7 vaginal cream OTC

miconazole 7 vaginal suppository OTC

miconazole nitrate vaginal comb pack,prefill appl, cream

Miconazole-3 OTC; QL

136


miconazole nitrate vaginal cream Miconazole 7 OTC

miconazole nitrate vaginal kit Monistat 1 Combo Pack OTC

miconazole nitrate vaginal suppository Miconazole 7 OTC

miconazole-3 prefil,cream,wipe vaginal kit OTC; QL

miconazole-3 vaginal comb pack,prefill appl, cream

OTC

miconazole-3 vaginal kit OTC; QL

miconazole-skin clnsr17 vaginal kit Miconazole-3 prefil,cream,wipe OTC; QL

terconazole vaginal cream 0.4 % Terazol 7 QL

terconazole vaginal cream 0.8 % QL

terconazole vaginal suppository QL

tioconazole vaginal ointment 1-Day OTC

tioconazole-1 vaginal ointment OTC

VAGINAL ESTROGEN PREPARATIONS

estradiol vaginal tablet Vagifem

PREMARIN VAGINAL CREAM PA

yuvafem vaginal tablet

137

138

Medical Benefit


VELCADE INJECTION RECON SOLN PA

139

140