MEMBER 2020 PREFERRED DRUG LIST · 2020-03-13 · While extensive, this is not an exhaustive list of all available medications and this list is subject to change. See the most current

MEMBER

PREFERRED DRUG LIST2020

For group HMO, PPO and EPO members with an insurance plan that includes a prescription drug benefit

Effective January 1, 2020

Blue Cross and Blue Shield of Kansas City 2020 Preferred Drug List

IntroductionThe Prescription Drug List (PDL) has been developed and is maintained by the Medical and Pharmacy Management Committee of Blue Cross and Blue Shield of Kansas City (Blue KC). The committee is composed of practicing doctors and pharmacists within the Kansas City area. Quarterly meetings are held to evaluate new drug therapies and review drug utilization issues.

Medications are evaluated on the basis of safety, effectiveness, adverse events, proven advantages over existing agents and cost. Tier 1 medications are typically generic drugs that contain the same active ingredients as brand name drugs and have the lowest copay. New drugs will require an exception or prior authorization until they are reviewed by the committee.

While extensive, this is not an exhaustive list of all available medications and this list is subject to change. See the most current PDL by visiting your member portal at MyBlueKC.com. If you require additional information or clarification, contact our Clinical Pharmacy unit at 816-395-2176 or 800-228-1436.

Please be aware that as new products are released and post-marketing information on existing therapies becomes available, changes in the PDL status may occur. The committee may also implement prior authorization or other utilization management processes as deemed necessary. Doctors and pharmacists will be notified of any such changes via direct mailings.

How to use this list:1 Find the page number for your drug by searching the alphabetical index at the end.

2 Locate your drug and identify the Drug Tier. You will also want to note restrictions and preferred alternatives if applicable.

3 Refer to the Drug Tier description tables at the end of this introduction to identify the tier copay for your drug (based on the benefit schedule described in your member certificate or in your Blue KC benefit summary.

Prior Authorization/Drug Utilization ManagementSome drugs have coverage rules or have limits on the amount dispensed. In some cases, the prescriber must do something in order to obtain the drug. For example:

• Prior approval (or prior authorization): For some drugs, the prescriber must get approval from BlueKC before the prescription can be filled. Without that approval, the drug may not be covered.

• Quantity limits: For some drugs, there are limits to the amount of drug that may be obtained.

• Step Therapy: For some drugs, BlueKC requires step therapy. This means that drugs will have to be tried in a certain order for a medical condition. If the doctor feels that the first drugs are not appropriate, the prescriber will have to submit a prior authorization request.

Prescribers may request exceptions to these coverage rules or limits by submitting an electronic prior authorization request form. www.BlueKC.com > Providers > Forms > Prior Authorizations for Medications.

HOW TO REACH USBlue Cross and Blue Shield of Kansas City Pharmacy Services P.O. Box 419169 Kansas City, MO 64141-2735

816-395-2176 or 800-228-1436

www.BlueKC.com

Frequently asked questionsWhat is the difference between brand name drugs and generic drugs?When a drug company develops a new medication they apply for a patent. This patent protects the drug from being copied by other drug companies for a certain period of time. These drugs are brand name drugs. Once the patent period expires, other manufacturers can produce the same drug as long as they follow strict guidelines established by the Food and Drug Administration's (FDA) guidelines. These same drugs are generic drugs. Generic drugs are less expensive versions of those brand name drugs whose patents have expired. They are made with the same active ingredients of the brand name drug, but they may have a different color, shape or filler material. The cost of a generic drug is typically less than a brand name drug. All generic medications are approved by the FDA before they are released on the market.

What is the difference between a generic equivalent and a generic alternative?A generic equivalent is a medication that contains the same active ingredient and works the same way as the original brand name drug. A generic alternative is a generic medication that may not have the same active ingredient, but works in the same way as another drug.

What is a maintenance drug?A maintenance drug is a medication used to treat a chronic condition like diabetes or high blood pressure. The FDA must approve maintenance drugs as safe for long-term use. Blue KC uses a national drug information database called Medispan to determine which medications are included on the maintenance drug list. If your prescription is a maintenance drug, you can have it filled for several months instead of just one prescription at a time.

Does Blue KC cover all prescription drugs?Blue KC covers most prescription drugs. However, some drug classes require an additional benefit be added to your health insurance plan in order to be covered. This additional benefit is referred to as a ‘rider.’ Examples of such drug classes are fertility, birth control, impotency, and weight loss.

How is the tier level status determined for medications?The PDL is a list of prescription medications that have been reviewed and recommended by the Blue KC Medical and Pharmacy Management Committee.

The list has a combination of brand name and generic medications. Each of these medications has been reviewed for its safety, effectiveness, clinical outcomes, and cost. Doctors and pharmacists on the committee look at drug utilization issues, the number of adverse events, and any proven advantages over other drugs on the PDL. The most efficient and cost-effective drugs are on Tier 1 of the PDL.

Why does Blue KC require prior authorization for some drugs before they are covered?Blue KC may require prior authorization for some drugs or a class. Medications on the prior authorization list may have safety concerns or have FDA approval, only for a certain use. Some of the prior authorization medications may also have a lower-cost alternative that should be considered first or the drug may not be as effective as something else in the same drug class. Some medications are also on the prior authorization list because they have the potential to be misused. Your doctor and Blue KC will work together to get prior authorization and approval for your prescription when needed.

Do I need to show my member ID card at the pharmacy?Yes, show your member ID card to your pharmacist whenever you have a prescription filled. Your prescription claim is electronically transmitted to Blue KC when you fill your prescription. Please make sure the pharmacy has your most current health insurance information and correct birth date so there won’t be any delays or claim denials when we process your claim.

What do I do if I need to refill my prescription early (i.e., leaving on vacation, the doctor increased my dosage)? To have a prescription refilled early, have your pharmacist call the Pharmacy Customer Service unit at 816-395- 2176 or 800-228-1436, Monday through Friday from 8 a.m. to 5 p.m. Central Time.

What if I am out of town and need to have a prescription filled?Blue KC contracts with most major pharmacy chains and has a network of over 44,000 pharmacies nationwide. If the pharmacy you are using has difficulty in processing your prescription claim, have them contact the Pharmacy Customer Service unit for assistance at 816-395-2176 or 800-228-1436, Monday through Friday from 8 a.m. to 5 p.m. Central Time.

Why must some drugs be purchased through a Specialty Pharmacy?Specialty drugs are those that require special ordering, handling, clinical monitoring and/or customer service. These drugs are best purchased through a Specialty Pharmacy. Blue KC has a network of Specialty Pharmacies available to provide specialized care for patients with complex chronic health conditions to obtain

their medications and manage their health conditions. Specialty medications are limited to a 34 day supply.

What if I have questions about my prescription drug coverage?For more information on your prescription drug coverage, call the Pharmacy Customer Service unit at 816-395-2176 or 800-228-1436, Monday through Friday from 8 a.m. to 5 p.m. Central Time.

Miscellaneous Information

Specialty PharmacyA Specialty Pharmacy is one that provides specialized care for patients with complex chronic health conditions such as Rheumatoid Arthritis, Multiple Sclerosis or Psoriasis. Specialty drugs may be oral or injectable medications that can either be self-administered or administered by a health care professional. These pharmacies do everything from dispense the specialty medication to help patients manage their health condition. Most specialty medications are covered under the pharmacy benefit. Specialty medications are limited to a 34 day supply. The following is a list of other services provided by the Specialty Pharmacies:

• Assigns a Patient Care Coordinator who serves as a personal advocate and point of contact

• Offers access to a dedicated clinical staff of nurses and pharmacists who are knowledgeable about the medications and conditions

• Provides the necessary supplies to administer the medications — at no additional cost

• Offers care management programs to help patients get the most from their medications

• Provides patients with refill reminder calls

• Allows the medications to be delivered to either the physician’s office or patients home

• Works directly with patients to arrange a convenient shipment date

• Ships all medications overnight

• Coordinates with Blue KC to take care of billing issues

These services are provided to you at no additional cost. Prescriptions for a specialty medication will need to be filled at the Specialty Pharmacy listed below.

Optum Specialty Pharmacy Phone: 1-855-427-4682

Drug Tier DescriptionsTo find out what prescription drug tier is on your plan, please see the benefit schedule in your member certificate or in your Blue KC benefit summary.

2-Tier Benefit Drug Tier

Tier 1 copayG

G-S

Tier 2 copayPB

PB-S

Not CoveredNPB

NPB-S


Tier 1 copayG

G-S

Tier 2 copayPB

PB-S

Tier 3 copayNPB

NPB-S

3-Tier Retail/Specialty Benefit Drug Tier

Tier 1 copay G

Tier 2 copay PB

Tier 3 copay NPB

Generic Specialty copay G-S

Preferred Brand Specialty copay PB-S

Non-Preferred Brand Specialty copay NPB-S


Tier 1 copayG

G-S

Tier 2 copay PB

Tier 3 copayPB-S

NPB

Tier 4 copay NPB-S

List of AbbreviationsG Generic Drug.

G-S Generic Specialty Drug.

NPB Non-preferred Brand Drug.

NPB-S Non-preferred Brand Specialty Drug.

PB Preferred Brand Drug.

PB-S Preferred Brand Specialty Drug.

ACA Affordable Care Act. These preventative drugs may be covered at no cost (check your benefits to confirm).

M Maintenance Drug.

OTC Over the Counter. An OTC drug is a non-prescription drug.

PA Prior Authorization. The Plan requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval before you fill your prescription. If you don’t get approval, your plan may not cover the drug.

QL Quantity Limit. For certain drugs, the Plan limits the amount of the drug that we will cover.

ST Step Therapy. In some cases, the Plan requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B.

Discrimination is Against the LawBlue KC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue KC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blue KC:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as: › Qualified sign language interpreters › Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as: › Qualified interpreters › Information written in other languages

If you need these services, contact Customer Service, 844-395-7126 (Toll free), [email protected].

If you believe that Blue KC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with the Appeals Department, PO Box 419169, Kansas City, MO 64141-6169, 816-395-3537, TTY: 816-842-5607, [email protected]. You can file a grievance in person or by mail, or email. If you need help filing a grievance, the Appeals Department is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 202011-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

If you, or someone you’re helping, has questions about Blue KC, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1-844-395-7126.

Spanish: Si usted, o alguien a quien usted está ayudando, tiene preguntas acerca de Blue KC, tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para hablar con un intérprete, llame al 1-844-395-7126.

Chinese: 如果您，或是您正在協助的對象，有關於 Blue KC方面的問題，您有權利免費以您的母語得到幫助和訊息。洽詢一位翻譯員，請撥電話1-844-395-7126。

Vietnamese: Nếu quý vị, hay người mà quý vị đang giúp đỡ, có câu hỏi về Blue KC, quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn ngữ của mình miễn phí. Để nói chuyện với một thông dịch viên, xin gọi 1-844-395-7126.

German: Falls Sie oder jemand, dem Sie helfen, Fragen zum Blue KC haben, haben Sie das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Um mit einem Dolmetscher zu sprechen, rufen Sie bitte die Nummer 1-844-395-7126 an.

Korean: 만약 귀하 또는 귀하가 돕고 있는 어떤 사람이 [Blue KC]에 관해서 질문이 있다면 귀하는 그러한 도움과 정보를 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가 있습니다. 그렇게 통역사와 얘기하기 위해서는 1-844-395-7126 로 전화하십시오.

Serbo-Croatian: Ukoliko Vi ili neko kome Vi pomažete ima pitanje o Blue KC, imate pravo da besplatno dobijete pomoć i informacije na Vašem jeziku. Da biste razgovarali sa prevodiocem, nazovite 1-844-395-7126.

M57313-C 9/19

Arabic:إن كان لديك أو لدى شخص تساعده أسئلة بخصوص Blue KC ، .فلديك الحق في الحصول على المساعدة والمعلومات الضرورية بلغتك من دون اية تكلفة

للتحدث مع مترجم اتصل ب. 7126 -1-844-395.

Russian: Если у вас или лица, которому вы помогаете, имеются вопросы по поводу Blue KC, то вы имеете право на бесплатное получение помощи и информации на вашем языке. Для разговора с переводчиком позвоните по телефону1-844-395-7126.

French: Si vous, ou quelqu’un que vous êtes en train d’aider, a des questions à propos de Blue KC, vous avez le droit d’obtenir de l’aide et l’information dans votre langue à aucun coût. Pour parler à un interprète, appelez 1-844-395-7126.

Tagalog: Kung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Blue KC, may karapatan ka na makakuha ng tulong at impormasyon sa iyong wika ng walang gastos. Upang makausap ang isang tagasalin, tumawag sa1-844-395-7126.

Laotian: ຖ້ າທ່ ານ, ືຫຼ ຄົ ນ ່◌ທທ່ ານກໍ າລັ ງຊ່ ວຍເຫືຼ ອ, ມ ໍ◌ຄາຖາມກ່ ຽວກັ ບ Blue KC, ທ່ ານມ ິ◌ສດ ່◌ທຈະໄດ້ ຮັ ບການຊ່ ວຍເຫືຼ ອແລະໍ◌ຂ້ ມູ ນຂ່ າວສານ ່◌ທເປັ ນພາສາຂອງທ່ າໍນ ່◌ບມ ຄ່ າໃຊ້ ຈ່ າຍ. ການໂອ້ ລົ ມກັ ບນາຍພາສາ, ໃຫ້ ໂທຫາ 1-844-395-7126.

Pennsylvanian Dutch: Wann du hoscht en Froog, odder ebber, wu du helfscht, hot en Froog baut Blue KC, hoscht du es Recht fer Hilf un Information in deinre eegne Schprooch griege, un die Hilf koschtet nix. Wann du mit me Interpreter schwetze witt, kannscht du 1-844-395-7126 uffrufe.

Persian:اگر شما، يا کسی که شما به او کمک ميکنيد ، سوال در مورد Blue KC ، داشته باشيد حق اين را داريد که کمکو اطالعات به زبان خود را به طور

رايگان دريافت مناييد 7126-395-844-1.متاس حاصل مناييد.

Cushite: Isin yookan namni biraa isin deeggartan Blue KC irratti gaaffii yo qabaattan, kaffaltii irraa bilisa haala ta’een afaan keessaniin odeeffannoo argachuu fi deeggarsa argachuuf mirga ni qabdu. Nama isiniif ibsu argachuuf, lakkoofsa bilbilaa 1-844-395-7126 tiin bilbilaa.

Portuguese: Se você, ou alguém a quem você está ajudando, tem perguntas sobre o Blue KC, você tem o direito de obter ajuda e informação em seu idioma e sem custos. Para falar com um intérprete, ligue para 1-844-395-7126.

For TTY services, please call 1-816-842-5607.

An Independent Licensee of the Blue Cross and Blue Shield Association

All Optum trademarks and logos are owned by Optum, Inc. All other trademarks are the property of their respective owners.

Table of Contents

Analgesics - Drugs for Pain...............................................................................................................................10Analgesics - Drugs for Pain and Inflammation.................................................................................................. 13Anesthetics........................................................................................................................................................16Anti-Addiction / Substance Abuse Treatment Agents....................................................................................... 17Antibacterials.....................................................................................................................................................17Anticoagulants...................................................................................................................................................21Anticonvulsants - Drugs for Seizures................................................................................................................ 21Antidementia Agents - Drugs for Alzheimer's Disease and Dementia.............................................................. 23Antidepressants.................................................................................................................................................24Antiemetics - Drugs for Nausea and Vomiting.................................................................................................. 26Antifungals.........................................................................................................................................................27Antigout Agents................................................................................................................................................. 29Anti-inflammatory Agents.................................................................................................................................. 29Antimigraine Agents.......................................................................................................................................... 29Antimyasthenic Agents......................................................................................................................................30Antimycobacterials............................................................................................................................................ 31Antineoplastics - Drugs for Cancer....................................................................................................................31Antiparasitics..................................................................................................................................................... 35Antiparkinson Agents........................................................................................................................................ 36Antiplatelets.......................................................................................................................................................37Antipsychotics - Drugs for Mood Disorders....................................................................................................... 37Antivirals............................................................................................................................................................39Anxiolytics - Drugs for Anxiety...........................................................................................................................42Bipolar Agents - Drugs for Mood Disorders.......................................................................................................43Blood Products / Modifiers / Volume Expanders - Drugs for Bleeding Disorders..............................................43Cardiovascular Agents - Drugs for Heart and Circulation Conditions............................................................... 43Central Nervous System Agents - Drugs for Attention Deficit Disorder........................................................... 52Central Nervous System Agents - Drugs for Multiple Sclerosis........................................................................ 53Central Nervous System Agents - Miscellaneous............................................................................................. 54Dental and Oral Agents - Drugs for Mouth and Throat Conditions....................................................................55Dermatological Agents - Drugs for Skin Conditions.......................................................................................... 56Diabetes - Antidiabetic Agents.......................................................................................................................... 65Diabetes - Glucose Monitoring.......................................................................................................................... 67Diabetes - Glycemic Agents.............................................................................................................................. 68Diabetes - Insulins.............................................................................................................................................69Electrolytes / Minerals / Metals / Vitamins.........................................................................................................70Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer................................................................................76Gastrointestinal Agents - Drugs for Bowel, Intestine and Stomach Conditions.................................................77Genetic or Enzyme Disorder - Drugs for Replacement, Modification, Treatment............................................. 80Genitourinary Agents - Drugs for Bladder, Genital and Kidney Conditions.......................................................80Genitourinary Agents - Drugs for Prostate Conditions...................................................................................... 82Hormonal Agents - Adrenal............................................................................................................................... 82Hormonal Agents - Men's Health.......................................................................................................................84Hormonal Agents - Osteoporosis...................................................................................................................... 85Hormonal Agents - Parathyroid......................................................................................................................... 85Hormonal Agents - Pituitary.............................................................................................................................. 85Hormonal Agents - Prostaglandins....................................................................................................................87Hormonal Agents - Sex Hormones and Birth Control........................................................................................87Hormonal Agents - Thyroid............................................................................................................................... 94Immunological Agents - Drugs for Immune System Stimulation or Suppression.............................................. 95Immunological Agents - Drugs for Vaccination................................................................................................. 97

8

Inflammatory Bowel Disease Agents.................................................................................................................98Metabolic Bone Disease Agents - Drugs for Osteoporosis............................................................................. 100Metabolic Bone Disease Agents - Other......................................................................................................... 100Miscellaneous Therapeutic Agents................................................................................................................. 100Ophthalmic Agents - Drugs for Eye Allergy, Infection and Inflammation.........................................................102Ophthalmic Agents - Drugs for Glaucoma.......................................................................................................103Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions....................................................................... 105Otic Agents - Drugs for Ear Conditions........................................................................................................... 106Respiratory Tract / Pulmonary Agents - Drugs for Allergies, Cough, Cold......................................................107Respiratory Tract / Pulmonary Agents - Drugs for Asthma and Other Lung Conditions................................. 109Respiratory Tract / Pulmonary Agents - Drugs for Cystic Fibrosis.................................................................. 112Respiratory Tract / Pulmonary Agents - Drugs for Pulmonary Hypertension.................................................. 112Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm.................................................................... 113Sleep Disorder Agents.................................................................................................................................... 114

9

Drug Name Drug Tier Restrictions / Limits

Analgesics - Drugs for Pain

ABSTRAL NPB ST; QL

acetaminophen-codeine G QL

acetaminophen-codeine #2 G QL



ACTIQ NPB ST; QL

ALLZITAL NPB ST

APADAZ NPB QL

apap-caff-dihydrocodeine G QL

ARYMO ER NPB ST; QL

ascomp-codeine G

BELBUCA PB ST; QL

BENZHYDROCODONE-ACETAMINOPHEN NPB QL

BUPAP NPB ST

buprenorphine transdermal patch weekly 10 mcg/hr, 15 mcg/hr, 20 mcg/hr, 5 mcg/hr

G ST; QL

BUPRENORPHINE TRANSDERMAL PATCH WEEKLY 7.5 MCG/HR

NPB ST; QL

BUTALBITAL-ACETAMINOPHEN ORAL CAPSULE

G ST

butalbital-acetaminophen oral tablet G

butalbital-apap-caff-cod G

butalbital-apap-caffeine G

butalbital-asa-caff-codeine G

butalbital-aspirin-caffeine G

butorphanol tartrate nasal G QL

BUTRANS NPB ST; QL

carisoprodol-aspirin-codeine G

codeine sulfate G QL

CONZIP NPB ST; QL

DILAUDID ORAL NPB QL

DOLOPHINE G ST

DSUVIA NPB

DURAGESIC-100 NPB ST; QL





Last Updated: 11/18/2019

10


duraxin G

DVORAH G QL

endocet G QL

ESGIC NPB ST

fentanyl G ST; QL

fentanyl citrate buccal lozenge on a handle G ST; QL

FENTANYL CITRATE BUCCAL TABLET NPB ST; QL

FENTORA NPB ST; QL

FIORICET NPB ST

FIORICET/CODEINE NPB

FIORINAL NPB ST

FIORINAL/CODEINE #3 NPB

hydrocodone-acetaminophen G QL

hydrocodone-ibuprofen G QL

hydromorphone hcl er G ST; QL

HYDROMORPHONE HCL INJECTION SOLUTION 0.2 MG/ML

NPB

hydromorphone hcl oral G QL

hydromorphone hcl rectal G QL

HYSINGLA ER PB ST; QL

IONSYS NPB

KADIAN NPB ST; QL

LAZANDA NPB ST; QL

levorphanol tartrate oral tablet 2 mg G QL

levorphanol tartrate oral tablet 3 mg NPB

lorcet G QL

lorcet hd G QL

lorcet plus G QL

LORTAB G QL

MEDROX-RX NPB

meperidine hcl oral G QL

methadone hcl intensol G ST

methadone hcl oral G ST

methadose oral concentrate 10 mg/ml G ST

methadose oral tablet soluble G ST

methadose sugar-free G ST

MORPHABOND ER NPB ST; QL

morphine sulfate (concentrate) oral solution 100 mg/5ml, 20 mg/ml

G QL


11


morphine sulfate er G ST; QL

morphine sulfate er beads G ST; QL

morphine sulfate oral G QL

morphine sulfate rectal G QL

MORPHINE SULFATE-NACL INJECTION NPB

MS CONTIN NPB ST; QL

NALOCET NPB QL

NORCO NPB ST; QL

NUCYNTA PB QL

NUCYNTA ER PB ST; QL

OPANA NPB QL

OXAYDO NPB QL

OXYCODONE HCL ER NPB ST; QL

oxycodone hcl oral capsule G QL

oxycodone hcl oral concentrate 100 mg/5ml G QL

oxycodone hcl oral solution G QL

oxycodone hcl oral tablet G QL

oxycodone-acetaminophen G QL

oxycodone-aspirin G QL

oxycodone-ibuprofen G QL

OXYCONTIN PB ST; QL

oxymorphone hcl G QL

oxymorphone hcl er G ST; QL

pentazocine-naloxone hcl G QL

PERCOCET NPB QL

PRIMLEV NPB QL

ROXICODONE NPB QL

SUBSYS NPB ST; QL

SYNAPRYN FUSEPAQ NPB

tencon G

tramadol hcl er (biphasic) G ST; QL

TRAMADOL HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR 100 MG, 200 MG, 300 MG

NPB ST; QL

tramadol hcl er oral capsule extended release 24 hour 150 mg

G ST; QL

tramadol hcl er oral tablet extended release 24 hour

G ST; QL

tramadol hcl ir G QL


12


tramadol-acetaminophen G QL

TREZIX NPB QL

TYLENOL WITH CODEINE #3 NPB QL

TYLENOL WITH CODEINE #4 NPB QL

ULTRACET NPB QL

ULTRAM NPB QL

VANATOL LQ NPB ST

VANATOL S NPB ST

vicodin es G QL

vicodin hp G QL

XTAMPZA ER NPB ST; QL

ZEBUTAL NPB ST

ZOHYDRO ER NPB ST; QL

Analgesics - Drugs for Pain and Inflammation

ACTIVE INJECTION KET-L NPB

ACTIVE INJECTION KETMARC-L NPB

ACTIVE-KETOPROFEN NPB

ACTIVE-PREP KIT I NPB

ACTIVE-PREP KIT II NPB

ACTIVE-PREP KIT III NPB

AIF #2 DRUG PREPARATION KIT NPB

AIF #3 DRUG PREPARATION KIT NPB

ARTHROTEC NPB ST

CAMBIA NPB ST; QL

CELEBREX NPB ST; QL

celecoxib oral G QL

choline-mag trisalicylate G

DAYPRO NPB ST

DICLOFENAC EPOLAMINE NPB ST; QL

diclofenac potassium G

diclofenac sodium er G

diclofenac sodium oral G

diclofenac sodium transdermal gel 1 % G QL

diclofenac sodium transdermal solution G

diclofenac-misoprostol G

diflunisal oral G

DUAL COMPLEX FORMULA 1 KIT NPB


13


DUEXIS NPB ST; QL

EC-NAPROSYN NPB ST

ec-naproxen G

ENOVARX-DICLOFENAC SODIUM NPB

ENOVARX-IBUPROFEN NPB

ENOVARX-NAPROXEN NPB

etodolac G

etodolac er G

FBL KIT NPB

FELDENE NPB ST

fenoprofen calcium oral capsule NPB ST

fenoprofen calcium oral tablet G ST

fenortho NPB ST

FLECTOR PB ST; QL

flurbiprofen oral G

ibu G

ibuprofen oral suspension G

ibuprofen oral tablet 400 mg, 600 mg, 800 mg G

IC 400 NPB

IC 800 NPB

INDOCIN ORAL NPB ST

INDOCIN RECTAL NPB

indomethacin er G

indomethacin oral G

K.B.G.L IN TERODERM NPB

KETOPHENE RAPIDPAQ NPB

ketoprofen er G

ketoprofen oral G

KETOROCAINE-L NPB

KETOROCAINE-LM NPB

KETOROLAC TROMETHAMINE EXTERNAL NPB

KETOROLAC TROMETHAMINE INTRAMUSCULAR

NPB-S

ketorolac tromethamine oral G QL

KETOROLAC-BUPIV-KETAMINE NPB

KETOROLAC-ROPIV-KETAMINE NPB

LIDOPROFEN NPB

LIDOVIX NPB


14


LODINE NPB ST

meclofenamate sodium oral G

mefenamic acid oral G

meloxicam oral tablet 15 mg G

meloxicam oral tablet 7.5 mg G QL

MOBIC ORAL TABLET 15 MG NPB ST

MOBIC ORAL TABLET 7.5 MG NPB ST; QL

nabumetone oral G

NALFON NPB ST

NAPRELAN NPB ST

NAPRO NPB

NAPROSYN ORAL SUSPENSION NPB ST

naproxen dr G

naproxen oral G

naproxen sodium er G

naproxen sodium oral tablet 275 mg, 550 mg G

NP #2 DRUG PREPARATION KIT NPB

oxaprozin G

PENNSAID NPB ST; QL

piroxicam oral G

PRASTERA NPB

QMIIZ ODT NPB ST

READYSHARP ANESTH + KETOROLAC NPB

salsalate oral G

SPRIX NPB-S ST; QL

sulindac oral G

TIVORBEX ORAL CAPSULE 20 MG NPB ST

TIVORBEX ORAL CAPSULE 40 MG NPB

tolmetin sodium G

TRIPLE COMPLEX FORMULA 3 KIT NPB

VIMOVO NPB ST; QL

VIVLODEX NPB ST

VOLTAREN NPB ST; QL

VOPAC GB NPB

VOPAC KT NPB

VP FC KIT NPB

VP GKL KIT NPB

ZIPSOR NPB ST; QL


15


ZORVOLEX NPB ST; QL

Anesthetics

ACTIVE INJECTION LM-2 NPB

bd pudendal/local tray/1% lido G

BUPIVACAINE HCL INJECTION SOLUTION 312.5 MG/10ML

NPB

BUPIVACAINE HCL INJECTION SOLUTION PREFILLED SYRINGE 0.125 % (50 ML), 0.5 % (60 ML)

NPB

BUPIVACAINE HCL-NACL INJECTION SOLUTION 0.1-0.9 %, 0.2-0.9 %

NPB

BUPIVACAINE HCL-NACL INJECTION SOLUTION PREFILLED SYRINGE 0.0625-0.9 % (50 ML), 0.1-0.9 % (50 ML), 0.125-0.9 % (50 ML), 0.375-0.9 %

NPB

CETACAINE EXTERNAL AEROSOL NPB

cocaine hcl external solution 4 % G

ENOVARX-LIDOCAINE HCL NPB

ethyl chloride G

GEBAUERS PAIN EASE NPB

GEBAUERS SPRAY AND STRETCH NPB

glydo external gel 2 % G

L.E.T. NPB

lidocaine external ointment G

lidocaine external patch G

lidocaine hcl external solution G

LIDOCAINE HCL INJECTION SOLUTION PREFILLED SYRINGE 60 MG/3ML

NPB

lidocaine hcl urethral/mucosal external gel G

LIDOCAINE HCL-SODIUM CHLORIDE INJECTION SOLUTION PREFILLED SYRINGE 1-0.9 % (3 ML)

NPB

lidocaine-prilocaine external cream G

LIDODERM NPB ST

marlido G

MARLIDO-25 NPB

P-CARE 100MX NPB

POINT OF CARE LM-2.2 NPB

POINT OF CARE LM-2.5 NPB

PRILO PATCH NPB

READYSHARP-A NPB


16


ROPIVACAINE HCL INJECTION SOLUTION 33.4 MG/ML

NPB

SX1 MEDICATED POST-OPERATIVE NPB

SYNERA NPB

VENIPUNCTURE PX1 PHLEBOTOMY NPB

ZTLIDO PB ST

Anti-Addiction / Substance Abuse Treatment Agents

acamprosate calcium G

ANTABUSE NPB

BUNAVAIL G QL

buprenorphine hcl sublingual G QL

buprenorphine hcl-naloxone hcl G QL

bupropion hcl er (smoking det) G M; ACA; QL

CHANTIX PB ACA; QL

CHANTIX CONTINUING MONTH PAK PB ACA; QL

CHANTIX STARTING MONTH PAK PB ACA; QL

disulfiram oral G

EVZIO G ST

LUCEMYRA NPB QL

naloxone hcl injection G

naltrexone hcl oral G

NALTREXONE SUBCUTANEOUS NPB

NARCAN G

NICOTROL NPB M; ACA; QL

NICOTROL NS NPB M; ACA; QL

SUBOXONE G QL

ZUBSOLV G QL

Antibacterials

ACTICLATE NPB ST

AEMCOLO NPB

ALTABAX NPB

amoxicillin G

amoxicillin-potassium clavulanate er G

amoxicillin-potassium clavulanate oral G

ampicillin G

ARIKAYCE PB-S PA

AUGMENTIN ES-600 NPB


17


AUGMENTIN ORAL SUSPENSION RECONSTITUTED 125-31.25 MG/5ML

PB

AUGMENTIN ORAL SUSPENSION RECONSTITUTED 250-62.5 MG/5ML

NPB

AUGMENTIN ORAL TABLET NPB

avidoxy G

azithromycin oral G

BACTRIM NPB

BACTRIM DS NPB

BAXDELA ORAL NPB

cefaclor G

cefaclor er G

cefadroxil G

cefdinir G

cefditoren pivoxil G

cefixime G

cefpodoxime proxetil G

cefprozil G

cefuroxime axetil G

CENTANY NPB

cephalexin G

CIPRO NPB

ciprofloxacin hcl oral G

ciprofloxacin oral G

clarithromycin er G

clarithromycin oral G

CLEOCIN NPB

clindamycin hcl oral G

clindamycin palmitate hcl G

clindamycin phosphate vaginal G

CLINDESSE NPB

colistimethate sodium (cba) G

COLY-MYCIN M NPB

coremino G

demeclocycline hcl G

dicloxacillin sodium G

DIFICID NPB

DORYX NPB ST

DORYX MPC NPB ST


18


doxycycline hyclate oral G

doxycycline monohydrate oral G

E.E.S. 400 NPB

E.E.S. GRANULES NPB

ERYPED 200 NPB

ERYPED 400 NPB

ERY-TAB G

ERYTHROCIN STEARATE G

erythromycin base G

erythromycin ethylsuccinate oral G

FIRST-METRONIDAZOLE NPB

FIRST-VANCOMYCIN NPB

FIRVANQ NPB

FLAGYL NPB

gentamicin sulfate external G

HIPREX NPB

KEFLEX NPB

LEVAQUIN ORAL TABLET 500 MG, 750 MG NPB

levofloxacin oral G

linezolid oral G PA; QL

MACROBID NPB

MACRODANTIN NPB

mafenide acetate external G

methenamine hippurate G

methenamine mandelate oral G

METRONIDAZOLE BENZO+SYRSPEND NPB

metronidazole oral G

metronidazole vaginal G

MINOCIN ORAL CAPSULE 50 MG NPB ST

minocycline hcl er G

minocycline hcl oral G

MINOLIRA NPB ST

mondoxyne nl G

MONUROL NPB

morgidox oral G

moxifloxacin hcl oral G

mupirocin calcium G

mupirocin external G


19


neomycin sulfate oral G

nitrofurantoin G

nitrofurantoin macrocrystal oral G

nitrofurantoin monohydrate macrocrystals G

NUTRIDOX NPB ST

NUVESSA NPB

NUZYRA ORAL NPB

ofloxacin oral G

okebo G

paromomycin sulfate oral G

penicillin v potassium G

PRIMSOL NPB

SEYSARA NPB ST

SILVADENE NPB

silver nitrate external G

silver sulfadiazine external G

SIVEXTRO ORAL NPB PA; QL

SOLODYN NPB ST

SPECTRACEF NPB

ssd G

sulfadiazine oral G

sulfamethoxazole-trimethoprim oral G

SULFAMYLON EXTERNAL CREAM PB

SULFAMYLON EXTERNAL PACKET NPB

sulfatrim pediatric G

SUPRAX NPB

TARGADOX NPB ST

tetracycline hcl oral G

tinidazole oral G

trimethoprim oral G

VANCOCIN HCL NPB

vancomycin hcl oral G

VANCOMYCIN+SYRSPEND SF NPB

vandazole G

VIBRAMYCIN NPB ST

XEPI NPB PA

XIFAXAN PB

XIMINO NPB ST


20


ZITHROMAX ORAL NPB

ZITHROMAX TRI-PAK NPB

ZITHROMAX Z-PAK NPB

ZYVOX ORAL NPB ST; QL

Anticoagulants

ARIXTRA NPB QL

BEVYXXA NPB QL

COUMADIN NPB

ELIQUIS PB M; QL

ELIQUIS STARTER PACK PB M; QL

enoxaparin sodium subcutaneous G QL

fondaparinux sodium G QL

FRAGMIN PB QL

heparin sodium (porcine) G

heparin sodium (porcine) pf G

jantoven G

LOVENOX SUBCUTANEOUS NPB ST; QL

PRADAXA NPB PA; M; QL

SAVAYSA NPB M; QL

warfarin sodium oral G

XARELTO PB PA; M; QL

XARELTO STARTER PACK PB PA; M; QL

Anticonvulsants - Drugs for Seizures

APTIOM NPB

BANZEL PB

BRIVIACT ORAL NPB ST

carbamazepine er G

carbamazepine oral G

CARBATROL NPB

CELONTIN PB

clobazam G

DEPAKOTE NPB ST

DEPAKOTE ER NPB ST

DEPAKOTE SPRINKLES NPB ST

DIACOMIT NPB PA

DIASTAT ACUDIAL NPB QL

DIASTAT PEDIATRIC NPB QL

diazepam rectal G QL


21


DILANTIN INFATABS NPB

DILANTIN ORAL CAPSULE 100 MG NPB

DILANTIN ORAL CAPSULE 30 MG PB

DILANTIN ORAL SUSPENSION NPB

divalproex sodium er G

divalproex sodium oral G

EPIDIOLEX PB-S PA

epitol G

EQUETRO NPB

ethosuximide oral G

FANATREX FUSEPAQ NPB

felbamate G

FELBATOL NPB

FYCOMPA PB

gabapentin oral G

GABITRIL NPB

KEPPRA ORAL NPB ST

KEPPRA XR NPB ST

LAMICTAL NPB ST

LAMICTAL ODT NPB ST

LAMICTAL STARTER NPB ST

LAMICTAL XR NPB ST

lamotrigine er G

lamotrigine oral G

lamotrigine starter kit-blue G

lamotrigine starter kit-green G

lamotrigine starter kit-orange G

levetiracetam er G

levetiracetam oral G

MYSOLINE NPB

NEURONTIN NPB ST

ONFI NPB

oxcarbazepine G

OXTELLAR XR NPB ST

PEGANONE PB

phenobarbital oral G

PHENYTEK NPB

phenytoin infatabs G


22


phenytoin oral G

phenytoin sodium extended G

primidone oral G

QUDEXY XR PB ST

roweepra G

roweepra xr G

SABRIL NPB-S PA

SPRITAM NPB ST

subvenite G

subvenite starter kit-blue G

subvenite starter kit-green G

subvenite starter kit-orange G

SYMPAZAN NPB ST

TEGRETOL NPB

TEGRETOL-XR NPB

tiagabine hcl G

TOPAMAX NPB ST

TOPAMAX SPRINKLE NPB ST

topiramate er NPB

topiramate oral G

TRILEPTAL NPB ST

TROKENDI XR NPB ST

valproic acid oral G

vigabatrin G-S PA

vigadrone G-S PA

VIMPAT ORAL PB

ZARONTIN NPB

ZONEGRAN NPB ST

zonisamide oral G

Antidementia Agents - Drugs for Alzheimer's Disease and Dementia

ARICEPT NPB ST; M

donepezil hcl G M

EXELON NPB ST; M; QL

galantamine hydrobromide er G M; QL

galantamine hydrobromide oral solution G M; QL

galantamine hydrobromide oral tablet 12 mg G M

galantamine hydrobromide oral tablet 4 mg, 8 mg

G M; QL


23


memantine hcl er G M; QL

memantine hcl oral solution G M

memantine hcl oral tablet 10 mg, 5 mg G M

memantine hcl oral tablet 28 x 5 mg & 21 x 10 mg

NPB M

NAMENDA NPB ST; M

NAMENDA TITRATION PAK NPB ST; M

NAMENDA XR NPB ST; M; QL

NAMENDA XR TITRATION PACK NPB ST; M; QL

NAMZARIC PB ST; QL

RAZADYNE ER NPB ST; M; QL

RAZADYNE ORAL TABLET 12 MG NPB ST; M

RAZADYNE ORAL TABLET 4 MG, 8 MG NPB ST; M; QL

rivastigmine G M; QL

rivastigmine tartrate G M; QL

Antidepressants

amitriptyline hcl oral G

amoxapine G

ANAFRANIL NPB

APLENZIN NPB ST; M; QL

BRISDELLE NPB ST; M; QL

bupropion hcl er (sr) G M; QL

bupropion hcl er (xl) oral tablet extended release 24 hour 150 mg, 300 mg

G M; QL

BUPROPION HCL ER (XL) ORAL TABLET EXTENDED RELEASE 24 HOUR 450 MG

NPB ST; M; QL

bupropion hcl oral G M

CELEXA NPB ST; M; QL

chlordiazepoxide-amitriptyline G

citalopram hydrobromide oral solution G M

citalopram hydrobromide oral tablet G M; QL

clomipramine hcl oral G

CYMBALTA NPB ST; M; QL

desipramine hcl oral G

DESVENLAFAXINE ER NPB ST; M; QL

desvenlafaxine succinate er G M; QL

doxepin hcl oral G

duloxetine hcl oral G M; QL

EFFEXOR XR NPB ST; M; QL


24


EMSAM NPB QL

escitalopram oxalate oral solution G M

escitalopram oxalate oral tablet G M; QL

FETZIMA PB ST; M; QL

FETZIMA TITRATION PB ST; M; QL

fluoxetine hcl (pmdd) oral tablet 10 mg G M; QL

fluoxetine hcl (pmdd) oral tablet 20 mg G M

fluoxetine hcl oral capsule 10 mg, 40 mg G M; QL

fluoxetine hcl oral capsule 20 mg G M

fluoxetine hcl oral capsule delayed release G M; QL

fluoxetine hcl oral solution G M

fluoxetine hcl oral tablet 10 mg G M; QL

fluoxetine hcl oral tablet 20 mg, 60 mg G M

fluvoxamine maleate G M

fluvoxamine maleate er G M; QL

FORFIVO XL NPB ST; M; QL

imipramine hcl oral G

imipramine pamoate G

KHEDEZLA NPB ST; M; QL

LEXAPRO NPB ST; M; QL

maprotiline hcl G

MARPLAN NPB

mirtazapine oral G QL

NARDIL NPB

nefazodone hcl G M

NORPRAMIN NPB

nortriptyline hcl oral G

olanzapine-fluoxetine hcl G QL

PAMELOR NPB

PARNATE NPB

paroxetine hcl G M; QL

paroxetine hcl er G M; QL

paroxetine mesylate G M; QL

PAXIL CR NPB ST; M; QL

PAXIL ORAL SUSPENSION NPB ST; M

PAXIL ORAL TABLET NPB ST; M; QL

perphenazine-amitriptyline G

PEXEVA NPB ST; M; QL


25


phenelzine sulfate oral G

PRISTIQ NPB ST; M; QL

protriptyline hcl G

PROZAC ORAL CAPSULE 10 MG, 40 MG NPB ST; M; QL

PROZAC ORAL CAPSULE 20 MG NPB ST; M

REMERON NPB QL

REMERON SOLTAB NPB QL

SARAFEM ORAL TABLET 10 MG NPB ST; M; QL

SARAFEM ORAL TABLET 20 MG NPB ST; M

sertraline hcl oral concentrate G M

sertraline hcl oral tablet G M; QL

SPRAVATO (56 MG DOSE) NPB-S PA

SPRAVATO (84 MG DOSE) NPB-S PA

SYMBYAX NPB QL

tranylcypromine sulfate G

trazodone hcl oral G

trimipramine maleate oral G

TRINTELLIX NPB ST; QL

venlafaxine hcl G M; QL

venlafaxine hcl er oral capsule extended release 24 hour

G M; QL

venlafaxine hcl er oral tablet extended release 24 hour

G ST; M; QL

VIIBRYD PB ST; M; QL

VIIBRYD STARTER PACK PB ST; M; QL

WELLBUTRIN SR NPB ST; M; QL

WELLBUTRIN XL NPB ST; M; QL

ZOLOFT NPB ST; M; QL

Antiemetics - Drugs for Nausea and Vomiting

AKYNZEO ORAL PB QL

ANZEMET NPB QL

aprepitant G QL

BONJESTA NPB QL

compro G

DICLEGIS NPB QL

dimenhydrinate injection G

doxylamine-pyridoxine G QL

dronabinol G QL

EMEND ORAL NPB QL


26


EMEND TRI-PACK NPB QL

granisetron hcl oral G QL

MARINOL NPB QL

meclizine hcl oral tablet G

metoclopramide hcl oral G

ONDANSETRON HCL INJECTION SOLUTION 4 MG/2ML

NPB

ondansetron hcl oral G QL

ondansetron odt G QL

perphenazine oral G

prochlorperazine G

prochlorperazine maleate oral G

REGLAN NPB

SANCUSO PB QL

scopolamine G

SYNDROS NPB QL

TIGAN ORAL NPB

TRANSDERM SCOP (1.5 MG) NPB

TRANSDERM-SCOP (1.5 MG) NPB

trimethobenzamide hcl oral G

VARUBI PB QL

ZOFRAN NPB QL

ZUPLENZ NPB QL

Antifungals

ANCOBON NPB

AVC VAGINAL NPB

BIO-STATIN ORAL CAPSULE NPB

bio-statin oral powder G

ciclodan G

CICLODAN SOLUTION NPB ST

ciclopirox G

ciclopirox olamine external G

clotrimazole external G

clotrimazole mouth/throat G

CRESEMBA ORAL PB

DIFLUCAN ORAL SUSPENSION RECONSTITUTED

NPB

DIFLUCAN ORAL TABLET 100 MG, 200 MG, 50 MG

NPB


27


DIFLUCAN ORAL TABLET 150 MG NPB QL

econazole nitrate external G

ECOZA NPB

ERTACZO NPB

EXELDERM NPB

exoderm external lotion NPB

EXTINA NPB

fluconazole oral suspension reconstituted G

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

fluconazole oral tablet 150 mg G QL

flucytosine oral G

griseofulvin microsize oral G

griseofulvin ultramicrosize G

GYNAZOLE-1 NPB

itraconazole oral capsule G QL

itraconazole oral solution G

JUBLIA NPB ST; QL

KERYDIN NPB ST; QL

ketoconazole external G

ketoconazole oral G

LOPROX EXTERNAL CREAM NPB

LOPROX EXTERNAL KIT 0.77 % (SUSP) NPB

LOPROX EXTERNAL SHAMPOO NPB

LOPROX EXTERNAL SUSPENSION NPB

LULICONAZOLE NPB ST; QL

LUZU NPB ST; QL

MENTAX NPB

miconazole 3 vaginal suppository G QL

MICONAZOLE-ZINC OXIDE-PETROLAT NPB

naftifine hcl G

NAFTIN NPB

NIZORAL NPB

NOXAFIL ORAL SUSPENSION PB

NOXAFIL ORAL TABLET DELAYED RELEASE NPB

nyamyc G

nystatin external G

nystatin mouth/throat G

nystatin oral G


28


nystatin-triamcinolone G

nystop G

ORAVIG NPB

oxiconazole nitrate G

OXISTAT NPB

PENLAC NPB ST

posaconazole G

RECURA NPB

SPORANOX ORAL CAPSULE NPB QL

SPORANOX ORAL SOLUTION NPB

SPORANOX PULSEPAK NPB QL

terbinafine hcl oral G QL

terconazole G QL

TOLSURA NPB ST

VFEND NPB

voriconazole oral G

VUSION NPB

XOLEGEL NPB

XOLEGEL COREPAK NPB

XOLEGEL DUO/HEAD & SHOULDERS NPB

XOLEGEL DUO/XOLEX NPB

Antigout Agents

allopurinol oral G M

COLCHICINE ORAL NPB ST

colchicine-probenecid G

COLCRYS PB ST

febuxostat G ST; M

MITIGARE PB ST

probenecid G M

ULORIC PB ST; M

ZYLOPRIM NPB M

Anti-inflammatory Agents

EMFLAZA NPB-S PA

Antimigraine Agents

AIMOVIG PB PA; M

AJOVY PB PA; M

almotriptan malate G QL

AMERGE NPB ST; QL


29


CAFERGOT NPB

D.H.E. 45 NPB

dihydroergotamine mesylate injection G

dihydroergotamine mesylate nasal G QL

eletriptan hydrobromide G QL

EMGALITY PB PA; M

EMGALITY (300 MG DOSE) PB PA; M

ERGOMAR NPB

ergotamine-caffeine G

FROVA NPB ST; QL

frovatriptan succinate G QL

IMITREX NPB ST; QL

IMITREX STATDOSE REFILL NPB ST; QL

IMITREX STATDOSE SYSTEM NPB ST; QL

MAXALT NPB ST; QL

MAXALT-MLT NPB ST; QL

MIGERGOT G

MIGRANAL NPB QL

naratriptan hcl G QL

ONZETRA XSAIL NPB ST; QL

RELPAX NPB ST; QL

rizatriptan benzoate G QL

sumatriptan nasal G QL

sumatriptan succinate oral G QL

sumatriptan succinate refill G QL

sumatriptan succinate subcutaneous G QL

sumatriptan-naproxen sodium G QL

TREXIMET NPB ST; QL

ZEMBRACE SYMTOUCH NPB ST; QL

zolmitriptan oral G QL

ZOMIG NASAL PB ST; QL

ZOMIG ORAL NPB ST; QL

ZOMIG ZMT NPB ST; QL

Antimyasthenic Agents

GUANIDINE HCL G

MESTINON ORAL SYRUP 60 MG/5ML PB M

MESTINON ORAL TABLET NPB M


30


MESTINON ORAL TABLET EXTENDED RELEASE

NPB M

pyridostigmine bromide er G M

pyridostigmine bromide oral G M

Antimycobacterials

cycloserine oral NPB

dapsone oral G

ethambutol hcl oral G

isoniazid oral G

MYAMBUTOL NPB

MYCOBUTIN NPB

PASER NPB

PRETOMANID NPB

PRIFTIN PB

pyrazinamide oral G

rifabutin G

RIFADIN ORAL NPB

RIFAMATE NPB

rifampin oral G

RIFAMPIN+SYRSPEND SF NPB

RIFATER NPB

SIRTURO PB-S

TRECATOR NPB

Antineoplastics - Drugs for Cancer

abiraterone acetate G-S PA; QL

AFINITOR PB-S QL

AFINITOR DISPERZ PB-S QL

ALECENSA PB-S

ALKERAN ORAL NPB

ALUNBRIG NPB-S PA; QL

anastrozole oral G

ARIMIDEX NPB ST

AROMASIN NPB

BALVERSA NPB PA

bexarotene G-S

bicalutamide G

BOSULIF PB-S

BRAFTOVI NPB-S PA


31


CABOMETYX PB-S QL

CALQUENCE NPB-S

capecitabine G-S

CAPRELSA PB-S QL

CASODEX NPB

COMETRIQ (100 MG DAILY DOSE) NPB-S QL



COPIKTRA NPB-S PA

COTELLIC PB-S

cyclophosphamide oral G

DAURISMO NPB-S PA

DROXIA PB-S

EMCYT PB-S

ERIVEDGE PB-S

ERLEADA PB-S PA

erlotinib hcl oral tablet 100 mg, 150 mg G

erlotinib hcl oral tablet 25 mg G QL

etoposide oral G-S

exemestane G

FARESTON NPB-S

FARYDAK NPB-S

FEMARA NPB

flutamide G

GILOTRIF PB-S QL

GLEEVEC NPB-S ST; QL

GLEOSTINE PB-S

HYCAMTIN ORAL PB-S

HYDREA NPB

hydroxyurea oral G

IBRANCE PB-S

ICLUSIG ORAL TABLET 15 MG PB-S QL

ICLUSIG ORAL TABLET 45 MG PB-S

IDHIFA PB-S PA; QL

imatinib mesylate G-S QL

IMBRUVICA PB-S

INLYTA PB-S QL

IRESSA PB-S


32


JAKAFI ORAL TABLET 10 MG PB-S QL

JAKAFI ORAL TABLET 15 MG, 20 MG, 25 MG, 5 MG

PB-S

KISQALI (200 MG DOSE) NPB-S PA



KISQALI FEMARA (400 MG DOSE) NPB-S PA

KISQALI FEMARA (600 MG DOSE) NPB-S PA

KISQALI FEMARA(200 MG DOSE) NPB-S PA

LENVIMA (10 MG DAILY DOSE) PB-S








letrozole oral G

leucovorin calcium oral G

LEUKERAN PB

LONSURF PB-S

LORBRENA PB-S PA

LYNPARZA PB-S

LYSODREN PB-S

MATULANE PB-S

MEKINIST PB-S

MEKTOVI NPB-S PA

melphalan G

mercaptopurine oral G

MESNEX ORAL PB

MYLERAN PB-S

NERLYNX PB-S PA; QL

NEXAVAR PB-S QL

NILANDRON NPB-S

nilutamide G-S

NINLARO PB-S

ODOMZO NPB-S

PANRETIN NPB


33


PIQRAY (200 MG DAILY DOSE) NPB PA



POMALYST PB-S QL

PURIXAN PB-S

REVLIMID PB-S

RUBRACA PB-S PA

RYDAPT PB-S PA

SIKLOS NPB-S ST

SOLTAMOX NPB ACA

SPRYCEL PB-S QL

STIVARGA PB-S

SUTENT PB-S QL

SYLATRON PB-S PA; QL

TABLOID PB-S

TAFINLAR PB-S

TAGRISSO ORAL TABLET 40 MG PB-S QL

TAGRISSO ORAL TABLET 80 MG PB-S

TALZENNA PB-S PA

tamoxifen citrate oral G ACA

TARCEVA ORAL TABLET 100 MG, 150 MG PB-S

TARCEVA ORAL TABLET 25 MG PB-S QL

TARGRETIN EXTERNAL PB

TARGRETIN ORAL NPB-S

TASIGNA PB-S QL

TEMODAR ORAL NPB-S

temozolomide G-S

THALOMID PB-S

TIBSOVO PB-S PA

toremifene citrate G-S

tretinoin oral G-S

TYKERB PB-S QL

VALCHLOR PB-S

VENCLEXTA PB-S

VENCLEXTA STARTING PACK PB-S

VERZENIO PB-S

VITRAKVI PB-S PA

VIZIMPRO PB-S PA


34


VOTRIENT PB-S QL

XALKORI PB-S QL

XELODA NPB-S

XOSPATA PB-S PA

XTANDI PB-S QL

YONSA PB-S PA

ZEJULA PB-S PA

ZELBORAF PB-S QL

ZOLINZA PB-S QL

ZYDELIG PB-S

ZYKADIA NPB

ZYTIGA ORAL TABLET 250 MG NPB-S PA; QL

ZYTIGA ORAL TABLET 500 MG PB-S PA; QL

Antiparasitics

albendazole oral G

ALBENZA NPB

ALINIA PB

ARAKODA NPB

atovaquone oral G

atovaquone-proguanil hcl G

BENZNIDAZOLE PB

BILTRICIDE NPB

chloroquine phosphate oral G

COARTEM PB

crotan G

DARAPRIM PB-S PA

EGATEN NPB

ELIMITE NPB

EMVERM PB

EURAX NPB

hydroxychloroquine sulfate oral G M

IMPAVIDO PB-S

ivermectin oral G

KRINTAFEL NPB

lindane G QL

MALARONE NPB

malathion G

mefloquine hcl G


35


MEPRON NPB

NATROBA NPB QL

NEBUPENT PB QL

OVIDE NPB

permethrin external G

PLAQUENIL NPB ST; M

praziquantel oral G

primaquine phosphate PB

QUALAQUIN NPB

quinine sulfate oral G

SKLICE NPB

SOLOSEC NPB

spinosad G QL

STROMECTOL NPB

sulfurated lime G

ULESFIA NPB

Antiparkinson Agents

amantadine hcl oral G M

APOKYN PB-S QL

AZILECT NPB M

benztropine mesylate oral G

bromocriptine mesylate oral G

carbidopa oral G M

carbidopa-levodopa G M

carbidopa-levodopa er G M

carbidopa-levodopa-entacapone G M

COMTAN NPB M

entacapone G M

GOCOVRI NPB-S PA; M

INBRIJA NPB

LODOSYN NPB M

MIRAPEX NPB M

MIRAPEX ER NPB M

NEUPRO NPB M

OSMOLEX ER NPB ST; M

PARLODEL NPB

pramipexole dihydrochloride G M

pramipexole dihydrochloride er G M


36


rasagiline mesylate oral G M

REQUIP XL NPB M

ropinirole hcl G M

ropinirole hcl er G M

RYTARY NPB M

selegiline hcl oral G M

SINEMET NPB M

SINEMET CR NPB M

STALEVO 100 NPB M

STALEVO 125 NPB M

STALEVO 150 NPB M

STALEVO 200 NPB M

STALEVO 50 NPB M

STALEVO 75 NPB M

TASMAR NPB M

tolcapone G M

trihexyphenidyl hcl oral elixir G

trihexyphenidyl hcl oral tablet G

XADAGO NPB ST; M; QL

ZELAPAR NPB M

Antiplatelets

AGGRENOX NPB M

aspirin-dipyridamole er G M

BRILINTA PB M

cilostazol G M

clopidogrel bisulfate oral G M

dipyridamole oral G M

DURLAZA NPB ST

EFFIENT NPB ST; M

PLAVIX NPB ST; M

prasugrel hcl G M

ZONTIVITY PB M

Antipsychotics - Drugs for Mood Disorders

ABILIFY NPB-S ST; QL

ABILIFY MAINTENA PB

ABILIFY MYCITE NPB-S PA; QL

ADASUVE NPB

aripiprazole G QL


37


ARISTADA PB

ARISTADA INITIO PB

chlorpromazine hcl injection G

chlorpromazine hcl oral G

clozapine oral tablet G QL

clozapine oral tablet dispersible 100 mg, 12.5 mg, 25 mg

G QL

clozapine oral tablet dispersible 150 mg, 200 mg NPB QL

CLOZARIL NPB QL

FANAPT NPB QL

FANAPT TITRATION PACK NPB QL

FAZACLO NPB QL

fluphenazine hcl G

GEODON INTRAMUSCULAR NPB

GEODON ORAL NPB QL

HALDOL DECANOATE NPB

haloperidol decanoate intramuscular G

haloperidol lactate oral G

haloperidol oral G

INVEGA NPB QL

INVEGA SUSTENNA NPB

INVEGA TRINZA NPB

LATUDA PB QL

loxapine succinate G

molindone hcl G

NUPLAZID NPB-S

olanzapine oral G QL

paliperidone er G QL

PERSERIS NPB

pimozide G

quetiapine fumarate G QL

quetiapine fumarate er G QL

REXULTI NPB QL

RISPERDAL NPB QL

RISPERDAL CONSTA INTRAMUSCULAR SUSPENSION RECONSTITUTED 12.5 MG, 25 MG, 37.5 MG, 50 MG

PB

risperidone G QL

SAPHRIS NPB QL


38


SEROQUEL NPB ST; QL

SEROQUEL XR NPB ST; QL

thioridazine hcl oral G

thiothixene G

trifluoperazine hcl G

VERSACLOZ NPB QL

VRAYLAR NPB QL

ziprasidone hcl G QL

ZYPREXA ORAL NPB QL

ZYPREXA RELPREVV NPB

ZYPREXA ZYDIS NPB QL

Antivirals

abacavir sulfate G QL

abacavir sulfate-lamivudine G QL

abacavir-lamivudine-zidovudine G QL

acyclovir external G QL

acyclovir oral G

adefovir dipivoxil G

APTIVUS PB QL

atazanavir sulfate G

ATRIPLA PB ST; QL

BARACLUDE ORAL SOLUTION PB QL

BARACLUDE ORAL TABLET NPB ST; QL

BIKTARVY PB

CIMDUO PB

COMBIVIR NPB QL

COMPLERA PB QL

CRIXIVAN PB QL

DELSTRIGO NPB ST

DENAVIR NPB

DESCOVY PB

didanosine G QL

DOVATO NPB

EDURANT PB QL

efavirenz G QL

EMTRIVA PB QL

entecavir G QL

EPCLUSA PB-S PA; QL


39


EPIVIR NPB QL

EPIVIR HBV ORAL SOLUTION PB

EPIVIR HBV ORAL TABLET NPB QL

EPZICOM NPB QL

EVOTAZ NPB QL

famciclovir G

FLUMADINE NPB

fosamprenavir calcium G QL

FUZEON PB QL

GENVOYA PB

HARVONI ORAL TABLET 45-200 MG NPB PA; QL

HARVONI ORAL TABLET 90-400 MG PB-S PA; QL

HEPSERA NPB

INTELENCE PB QL

INTRON A PB-S

INVIRASE PB QL

ISENTRESS PB QL

ISENTRESS HD PB

JULUCA NPB

KALETRA ORAL SOLUTION NPB QL

KALETRA ORAL TABLET PB QL

lamivudine G QL

lamivudine-zidovudine G QL

LEXIVA ORAL SUSPENSION PB QL

LEXIVA ORAL TABLET NPB QL

lopinavir-ritonavir G QL

MAVYRET NPB-S PA; QL

nevirapine G QL

nevirapine er G QL

NORVIR ORAL PACKET PB

NORVIR ORAL SOLUTION PB QL

NORVIR ORAL TABLET NPB QL

ODEFSEY PB

oseltamivir phosphate oral G QL

PEGASYS PB-S QL

PEGASYS PROCLICK PB-S QL

PEGINTRON NPB-S QL

PIFELTRO NPB ST


40


PREVYMIS ORAL PB

PREZCOBIX NPB

PREZISTA PB QL

RELENZA DISKHALER PB QL

RESCRIPTOR PB QL

RETROVIR ORAL NPB QL

REYATAZ ORAL CAPSULE NPB

REYATAZ ORAL PACKET PB

ribavirin inhalation G-S

ribavirin oral G-S

rimantadine hcl G

ritonavir G QL

SELZENTRY ORAL SOLUTION PB

SELZENTRY ORAL TABLET 150 MG, 300 MG PB QL

SELZENTRY ORAL TABLET 25 MG, 75 MG PB

SITAVIG NPB QL

SOVALDI NPB-S PA; QL

stavudine G QL

STRIBILD PB QL

SUSTIVA NPB QL

SYMFI PB

SYMFI LO PB

SYMTUZA NPB

TAMIFLU NPB QL

tenofovir disoproxil fumarate G QL

TIVICAY ORAL TABLET 10 MG, 25 MG PB

TIVICAY ORAL TABLET 50 MG PB QL

TRIUMEQ PB QL

TRIZIVIR NPB QL

TRUVADA ORAL TABLET 100-150 MG, 133-200 MG, 167-250 MG

PB

TRUVADA ORAL TABLET 200-300 MG PB QL

TYBOST NPB QL

valacyclovir hcl oral G QL

VALCYTE NPB

valganciclovir hcl G

VALTREX NPB ST; QL

VEMLIDY PB


41


VIDEX PB QL

VIDEX EC NPB QL

VIEKIRA PAK NPB-S PA; QL

VIRACEPT PB QL

VIRAMUNE NPB QL

VIRAMUNE XR NPB QL

VIRAZOLE NPB-S

VIREAD ORAL POWDER PB QL

VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG

PB QL

VIREAD ORAL TABLET 300 MG NPB QL

VOSEVI PB-S PA

XERESE NPB ST; QL

XOFLUZA PB QL

ZEPATIER PB-S PA; QL

ZIAGEN NPB QL

zidovudine G QL

ZOVIRAX EXTERNAL NPB QL

ZOVIRAX ORAL NPB

Anxiolytics - Drugs for Anxiety

alprazolam er G QL

alprazolam intensol G QL

alprazolam oral G QL

alprazolam xr G QL

ATIVAN ORAL NPB QL

buspirone hcl oral G M

chlordiazepoxide hcl G QL

clonazepam oral G QL

clorazepate dipotassium G QL

diazepam intensol G

diazepam oral G

DORAL NPB QL

estazolam G QL

HALCION NPB QL

hydroxyzine hcl oral G

hydroxyzine pamoate oral G

KLONOPIN NPB QL

lorazepam intensol G QL


42


lorazepam oral concentrate 2 mg/ml G QL

lorazepam oral tablet G QL

meprobamate G

oxazepam G QL

quazepam G QL

TRANXENE-T NPB QL

triazolam G QL

VALIUM NPB ST

VISTARIL NPB

XANAX NPB ST; QL

XANAX XR NPB ST; QL

Bipolar Agents - Drugs for Mood Disorders

lithium G

lithium carbonate er G

lithium carbonate oral G

LITHOBID NPB

Blood Products / Modifiers / Volume Expanders - Drugs for Bleeding Disorders

AGRYLIN NPB M

AMICAR NPB

aminocaproic acid oral G

anagrelide hcl G M

DOPTELET PB-S PA

LYSTEDA NPB

MONSELS FERRIC SUBSULFATE PB

MULPLETA PB-S PA

PROMACTA PB PA

REBLOZYL NPB

TAVALISSE NPB-S PA

THROMBIN-JMI NPB

THROMBIN-JMI EPISTAXIS NPB

THROMBOGEN NPB

tranexamic acid oral G

ZIEXTENZO NPB

Cardiovascular Agents - Drugs for Heart and Circulation Conditions

ACCUPRIL NPB M

ACCURETIC NPB ST; M

acebutolol hcl oral G M


43


acetazolamide oral tablet 125 mg G M

ADALAT CC NPB ST; M

ALDACTAZIDE NPB M

ALDACTONE NPB M

aliskiren fumarate G M

ALTACE NPB M

ALTOPREV NPB ST; M; QL

amiloride hcl oral G M

amiloride-hydrochlorothiazide G M

amiodarone hcl oral G M

AMLODIPINE BES+SYRSPEND SF NPB ST; M

amlodipine besylate oral G M

amlodipine besylate-benazepril hcl G M

amlodipine besylate-valsartan G M

amlodipine-atorvastatin G M; QL

amlodipine-olmesartan G M

amlodipine-valsartan-hctz G M

ANTARA NPB ST; M; QL

ATACAND NPB ST; M

ATACAND HCT NPB ST; M

atenolol oral G M

ATENOLOL+SYRSPEND SF NPB ST; M

atenolol-chlorthalidone G M

atorvastatin calcium oral tablet 10 mg, 20 mg G M; ACA; QL

atorvastatin calcium oral tablet 40 mg, 80 mg G M; QL

AVALIDE NPB ST; M

AVAPRO NPB ST; M

AZOR NPB ST; M

benazepril hcl oral G M

benazepril-hydrochlorothiazide G M

BENICAR NPB ST; M

BENICAR HCT NPB ST; M

BETAPACE NPB ST; M

BETAPACE AF NPB ST; M

betaxolol hcl oral G M

BIDIL NPB M

bisoprolol fumarate G M

bisoprolol-hydrochlorothiazide G M


44


bumetanide oral G M

BUMEX NPB M

BYSTOLIC PB ST; M

CADUET NPB ST; M; QL

CALAN NPB ST; M

CALAN SR NPB ST; M

candesartan cilexetil G M

candesartan cilexetil-hctz G M

captopril oral G M

captopril-hydrochlorothiazide G M

CARDIZEM NPB ST; M

CARDIZEM CD NPB ST; M

CARDIZEM LA NPB ST; M

CARDURA NPB ST; M; QL

CAROSPIR NPB ST; M

cartia xt G M

carvedilol G M

carvedilol phosphate er G M

CATAPRES NPB M

CATAPRES-TTS-1 NPB M; QL



chlorothiazide G M

chlorthalidone G M

cholestyramine light G M

cholestyramine oral G M

choline fenofibrate G M; QL

clonidine G M; QL

clonidine hcl oral G M

colesevelam hcl G M

COLESTID NPB ST; M

COLESTID FLAVORED NPB ST; M

colestipol hcl G M

COREG NPB ST; M

COREG CR NPB ST; M

CORGARD NPB ST; M

CORLANOR ORAL TABLET PB M; QL

COZAAR NPB ST; M


45


CRESTOR NPB ST; M; QL

DEMSER PB

DIBENZYLINE NPB

digitek G M

digox G M

digoxin oral G M

DILATRATE-SR PB M

diltiazem hcl er beads G M

diltiazem hcl er coated beads G M

diltiazem hcl er oral capsule extended release 12 hour

G M

diltiazem hcl oral G M

dilt-xr G M

DIOVAN NPB ST; M

DIOVAN HCT NPB ST; M

disopyramide phosphate G M

DIURIL NPB M

dofetilide G

doxazosin mesylate oral G M; QL

DUTOPROL NPB ST; M

DYAZIDE NPB M

DYRENIUM NPB M

EDARBI PB ST; M

EDARBYCLOR PB ST; M

EDECRIN NPB M

enalapril maleate oral G M

enalapril-hydrochlorothiazide G M

ENTRESTO PB M; QL

EPANED NPB M

EPHEDRINE SULFATE (PRESSORS) NPB

epinephrine pf injection solution prefilled syringe G

eplerenone G M

eprosartan mesylate G M

ethacrynic acid G M

EXFORGE NPB ST; M

EXFORGE HCT NPB ST; M

EZALLOR SPRINKLE NPB ST; M

ezetimibe G M


46


ezetimibe-simvastatin G M; QL

felodipine er G M

fenofibrate micronized G M; QL

fenofibrate oral capsule 134 mg, 200 mg, 67 mg G M; QL

fenofibrate oral capsule 150 mg, 50 mg NPB M; QL

fenofibrate oral tablet G M; QL

fenofibric acid G M; QL

FENOGLIDE NPB ST; M; QL

FIBRICOR NPB ST; M; QL

FIRST - METOPROLOL NPB ST; M

FIRST-ATENOLOL NPB ST; M

flecainide acetate G M

FLOLIPID NPB ST; M

fluvastatin sodium G M; ACA; QL

fluvastatin sodium er G M; ACA; QL

fosinopril sodium G M

fosinopril sodium-hctz G M

furosemide oral G M

gemfibrozil oral G M; QL

GONITRO NPB M

guanfacine hcl G M

HEMANGEOL NPB-S M

hydralazine hcl oral G M

hydrochlorothiazide oral G M

HYZAAR NPB ST; M

indapamide G M

INDERAL LA NPB ST; M

INDERAL XL NPB ST; M

INNOPRAN XL NPB ST; M

INSPRA NPB M

irbesartan G M

irbesartan-hydrochlorothiazide G M

ISORDIL TITRADOSE NPB M

isosorbide dinitrate G M

isosorbide dinitrate er G M

isosorbide mononitrate G M

isosorbide mononitrate er G M

isoxsuprine hcl oral G M


47


isradipine G M

JUXTAPID PB-S PA; QL

KAPSPARGO SPRINKLE NPB ST; M

labetalol hcl oral G M

LANOXIN ORAL NPB M

LASIX NPB M

LESCOL XL NPB ST; M; QL

LIPITOR NPB ST; M; QL

LIPOFEN PB ST; M; QL

lisinopril oral G M

lisinopril-hydrochlorothiazide G M

LIVALO PB ST; M; QL

LOPID NPB ST; M; QL

LOPRESSOR NPB ST; M

LOPRESSOR HCT NPB ST; M

losartan potassium G M

losartan potassium-hctz G M

LOTENSIN NPB M

LOTENSIN HCT NPB ST; M

LOTREL NPB ST; M

lovastatin G M; ACA; QL

LOVAZA NPB PA; M

matzim la G M

MAXZIDE NPB M

MAXZIDE-25 NPB ST; M

methyldopa G M

methyldopa-hydrochlorothiazide G M

metolazone G M

metoprolol succinate er G M

metoprolol tartrate oral G M

METOPROLOL-HCTZ ER NPB ST; M

metoprolol-hydrochlorothiazide G M

mexiletine hcl oral G M

MICARDIS NPB ST; M

MICARDIS HCT NPB ST; M

midodrine hcl G

MINIPRESS NPB M

minitran G M


48


minoxidil oral G M

moexipril hcl G M

MULTAQ NPB M

nadolol oral G M

niacin (antihyperlipidemic) G M

niacin er (antihyperlipidemic) G M

niacor G M

NIASPAN NPB M

nicardipine hcl oral G M

nifedipine er G M

nifedipine er osmotic release G M

nifedipine oral G M

nimodipine oral G

nisoldipine er G M

NITRO-BID G M

NITRO-DUR NPB M

nitroglycerin sublingual G M

nitroglycerin transdermal G M

nitroglycerin translingual G M

NITROLINGUAL NPB M

NITROMIST NPB M

NITROSTAT NPB M

nitro-time G M

NORPACE NPB M

NORPACE CR NPB M

NORTHERA NPB-S PA

NORVASC NPB ST; M

NYMALIZE NPB ST

olmesartan medoxomil oral G M

olmesartan medoxomil-hctz G M

olmesartan-amlodipine-hctz G M

OMEGA-3/D-3 WELLNESS PACK NPB

omega-3-acid ethyl esters G PA; M

PACERONE ORAL TABLET 100 MG, 400 MG NPB M

pacerone oral tablet 200 mg G M

papaverine hcl injection G

pentoxifylline er G M

perindopril erbumine G M


49


phenoxybenzamine hcl oral G

pindolol G M

PRALUENT SUBCUTANEOUS SOLUTION AUTO-INJECTOR 75 MG/ML

NPB PA; QL

PRAVACHOL NPB ST; M; QL

pravastatin sodium G M; ACA; QL

prazosin hcl oral G M

PRESTALIA NPB ST; M

prevalite G M

PRINIVIL NPB M

PROCARDIA NPB ST; M

PROCARDIA XL NPB ST; M

propafenone hcl G M

propafenone hcl er G M

propranolol hcl er G M

propranolol hcl oral G M

propranolol-hctz G M

QBRELIS NPB M

QUESTRAN NPB ST; M

QUESTRAN LIGHT NPB ST; M

quinapril hcl G M

quinapril-hydrochlorothiazide G M

quinidine gluconate er G M

quinidine sulfate G M

ramipril G M

RANEXA NPB M

ranolazine er G M

RECTIV PB

REPATHA PB PA; QL

REPATHA PUSHTRONEX SYSTEM PB PA; QL

REPATHA SURECLICK PB PA; QL

rosuvastatin calcium oral tablet 10 mg, 5 mg G M; ACA; QL

rosuvastatin calcium oral tablet 20 mg, 40 mg G M; QL

RYTHMOL SR NPB M

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

G M; ACA; QL

simvastatin oral tablet 80 mg G M; QL

sorine G M

sotalol hcl (af) G M


50


sotalol hcl oral G M

SOTYLIZE PB ST; M

spironolactone oral G M

spironolactone-hctz G M

SULAR NPB ST; M

SURE RESULT O3D3 SYSTEM NPB

TARKA NPB ST; M

taztia xt G M

TEKTURNA NPB ST; M

TEKTURNA HCT PB ST; M

telmisartan G M

telmisartan-amlodipine G M

telmisartan-hctz G M

TENORETIC 100 NPB ST; M

TENORETIC 50 NPB ST; M

TENORMIN NPB ST; M

tiadylt er G M

TIAZAC NPB ST; M

TIKOSYN NPB ST

timolol maleate oral G M

TOPROL XL NPB ST; M

torsemide G M

trandolapril G M

trandolapril-verapamil hcl er G M

triamterene oral G M

triamterene-hctz G M

TRIBENZOR NPB ST; M

TRICOR NPB ST; M; QL

TRILIPIX NPB ST; M; QL

TWYNSTA NPB ST; M

valsartan G M

valsartan-hydrochlorothiazide G M

VASCEPA PB PA; M

VASERETIC NPB ST; M

VASOTEC NPB M

VECAMYL NPB-S

verapamil hcl er G M

verapamil hcl oral G M


51


VERELAN NPB ST; M

VERELAN PM NPB ST; M

VYNDAQEL NPB PA; QL

VYTORIN NPB ST; M; QL

WELCHOL NPB ST; M

ZESTORETIC NPB ST; M

ZESTRIL NPB M

ZETIA NPB ST; M

ZIAC NPB ST; M

ZOCOR ORAL TABLET 10 MG, 20 MG, 40 MG, 80 MG

NPB ST; M; QL

ZYPITAMAG NPB ST; M

Central Nervous System Agents - Drugs for Attention Deficit Disorder

ADDERALL NPB ST; QL

ADDERALL XR NPB ST; QL

ADHANSIA XR NPB ST; QL

ADZENYS ER NPB ST; QL

ADZENYS XR-ODT NPB ST; QL

amphetamine sulfate G QL

amphetamine-dextroamphetamine G QL

amphetamine-dextroamphetamine er G QL

APTENSIO XR NPB ST; QL

atomoxetine hcl G QL

clonidine hcl er G QL

CONCERTA NPB ST; QL

COTEMPLA XR-ODT NPB ST; QL

DAYTRANA PB ST; QL

DESOXYN NPB ST; QL

DEXEDRINE NPB ST; QL

dexmethylphenidate hcl G QL

dexmethylphenidate hcl er G QL

dextroamphetamine sulfate G QL

dextroamphetamine sulfate er G QL

DYANAVEL XR NPB ST; QL

EVEKEO NPB ST; QL

EVEKEO ODT NPB ST; QL

FOCALIN NPB ST; QL

FOCALIN XR NPB ST; QL


52


guanfacine hcl er G QL

INTUNIV NPB ST; QL

JORNAY PM NPB ST; QL

KAPVAY NPB ST; QL

metadate er G QL

methamphetamine hcl G QL

METHYLIN NPB ST; QL

methylphenidate hcl er (cd) G QL

methylphenidate hcl er (la) G QL

methylphenidate hcl er oral tablet extended release 10 mg, 18 mg, 20 mg, 27 mg, 36 mg, 54 mg

G QL

methylphenidate hcl er oral tablet extended release 24 hour

G QL

methylphenidate hcl er oral tablet extended release 72 mg

NPB QL

methylphenidate hcl oral G QL

MYDAYIS PB QL

PROCENTRA G ST; QL

QUILLICHEW ER PB ST; QL

QUILLIVANT XR PB ST; QL

relexxii NPB QL

RITALIN NPB ST; QL

RITALIN LA NPB ST; QL

STRATTERA NPB ST; QL

VYVANSE PB QL

ZENZEDI NPB ST; QL

Central Nervous System Agents - Drugs for Multiple Sclerosis

AMPYRA NPB-S ST; QL

AUBAGIO NPB-S QL

AVONEX PEN PB-S QL

AVONEX PREFILLED PB-S QL

BETASERON PB-S ST; QL

COPAXONE SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 20 MG/ML

NPB-S ST; QL

COPAXONE SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 40 MG/ML

PB-S ST; QL

dalfampridine er G-S PA; QL

EXTAVIA NPB-S ST; QL


53


GILENYA PB-S QL

glatiramer acetate G-S QL

glatopa G-S QL

MAVENCLAD (10 TABS) NPB PA







MAYZENT NPB-S PA; QL

MAYZENT STARTER PACK NPB QL

PLEGRIDY PB-S QL

PLEGRIDY STARTER PACK PB-S QL

REBIF PB-S QL

REBIF REBIDOSE PB-S QL

REBIF REBIDOSE TITRATION PACK PB-S QL

REBIF TITRATION PACK PB-S QL

TECFIDERA PB-S QL

Central Nervous System Agents - Miscellaneous

ADDYI NPB PA; QL

ADIPEX-P NPB

AUSTEDO PB-S PA; QL

BELVIQ NPB

BELVIQ XR NPB

benzphetamine hcl G

caffeine citrate oral G

CONTRAVE NPB ST

diethylpropion hcl er G

diethylpropion hcl oral G

GRALISE PB ST; QL

GRALISE STARTER PB ST; QL

HORIZANT NPB ST; QL

INGREZZA ORAL CAPSULE NPB-S PA; QL

INGREZZA ORAL CAPSULE THERAPY PACK NPB PA; QL

LOMAIRA NPB

LYRICA NPB ST; QL


54


LYRICA CR NPB ST; QL

NUEDEXTA PB

phendimetrazine tartrate G

phendimetrazine tartrate er G

phentermine hcl oral G

pregabalin oral G QL

QSYMIA NPB ST

RILUTEK NPB QL

riluzole G QL

SAVELLA PB M; QL

SAVELLA TITRATION PACK PB M; QL

SAXENDA NPB

SUCCINYLCHOLINE CHLORIDE INJECTION SOLUTION PREFILLED SYRINGE

NPB

TEGSEDI NPB-S PA

tetrabenazine G-S PA

TIGLUTIK NPB QL

XENAZINE NPB-S ST

XENICAL NPB

Dental and Oral Agents - Drugs for Mouth and Throat Conditions

cavarest G M

cevimeline hcl G M

chlorhexidine gluconate mouth/throat G

clinpro 5000 NPB M

DEBACTEROL NPB

denta 5000 plus G M

dentagel G M

easygel G M

EVOXAC NPB M

fluoridex NPB M

fluoridex daily renewal G M

fluoridex enhanced whitening NPB M

fluoridex sensitivity relief G M

lidocaine hcl mouth/throat G

lidocaine viscous mouth/throat solution 2 % G

NAFRINSE DAILY ACIDULATED NPB

NAFRINSE DAILY/NEUTRAL NPB M

NAFRINSE WEEKLY NPB M


55


neutral sodium fluoride G M

NUMOISYN MOUTH/THROAT LOZENGE NPB

oralone G

paroex G

PERIDEX NPB

periogard G

pilocarpine hcl oral G

PREVIDENT 5000 BOOSTER PLUS NPB M

PREVIDENT 5000 DRY MOUTH NPB M

PREVIDENT 5000 ENAMEL PROTECT NPB M

PREVIDENT 5000 ORTHO DEFENSE NPB M

PREVIDENT 5000 PLUS NPB M

PREVIDENT 5000 SENSITIVE NPB M

PREVIDENT DENTAL NPB M

prevident mouth/throat G M

REMESENSE NPB

SALAGEN NPB

sf G M

sf 5000 plus G M

sodium fluoride 5000 plus G M

sodium fluoride dental gel G M

sodium fluoride dental paste NPB M

TOPEX TOPICAL ANESTHETIC NPB

triamcinolone acetonide mouth/throat G

Dermatological Agents - Drugs for Skin Conditions

ABSORICA PB QL

ACANYA NPB ST; QL

acitretin G

ACTIVE-PREP KIT IV NPB

ACTIVE-PREP KIT V NPB

ACTIVE-TRAMADOL NPB

ACZONE NPB ST

adapalene external cream G QL

adapalene external gel G QL

ADAPALENE EXTERNAL PAD NPB ST

ADAPALENE EXTERNAL SOLUTION G ST

adapalene-benzoyl peroxide G QL


56


AKTIPAK NPB ST

ALA SCALP NPB ST

ala-cort G

alclometasone dipropionate G

ALDARA NPB QL

ALTRENO NPB

amcinonide G

ammonium lactate external G

amnesteem G QL

APEXICON E G ST; QL

AQUACEL AG BURN NPB

arzol silver nit applicators G

ATRALIN NPB QL

AVAR LS CLEANSER NPB ST

AVAR-E EMOLLIENT NPB ST

AVAR-E GREEN NPB ST

AVAR-E LS NPB ST

avita external cream G QL

avita external gel NPB

azelaic acid external G

AZELEX NPB ST; QL

BENZAC AC WASH NPB ST

BENZACLIN NPB ST; QL

BENZACLIN WITH PUMP NPB ST; QL

BENZAMYCIN NPB ST

benzepro external foam 5.3 % G

benzepro foaming cloths G

BENZEPRO SHORT CONTACT NPB ST

BENZIQ NPB ST

BENZIQ LS NPB ST

BENZIQ WASH NPB ST

BENZOYL PEROX-HYDROCORTISONE NPB ST

benzoyl peroxide external foam 9.8 % G

BENZOYL PEROXIDE EXTERNAL GEL 6.5 %, 8 %

NPB

BENZOYL PEROXIDE FORTE- HC NPB

benzoyl peroxide-erythromycin G

beser external lotion G


57


betamethasone dipropionate aug G

betamethasone dipropionate external G

betamethasone valerate external G

bp cleansing wash G

bp foam G

bp wash external liquid 2.5 % NPB

bpo G

BRYHALI NPB ST

calcipotriene G QL

calcipotriene-betameth diprop G QL

CALCITRENE NPB QL

calcitriol external G QL

CANTHARIDIN EXTERNAL NPB

CAPEX NPB ST; QL

CARAC PB QL

claravis G QL

CLEOCIN-T NPB ST

clindacin etz external swab G

clindacin-p G

CLINDAGEL NPB ST

clindamycin phosphate-benzoyl peroxide G QL

clindamycin phosphate external foam G

clindamycin phosphate external lotion G

clindamycin phosphate external solution G

clindamycin phosphate external swab G

CLINDAMYCIN PHOSPHATE GEL 1 % EXTERNAL

NPB ST

clindamycin phosphate gel 1 % external G

clindamycin-tretinoin G

CLINOIN NPB

clobetasol prop emollient base G

clobetasol propionate e G

clobetasol propionate emulsion G

clobetasol propionate external G

CLOBEX NPB ST

CLOBEX SPRAY NPB ST

clocortolone pivalate NPB QL

clodan external shampoo G


58


CLODERM NPB ST; QL

clotrimazole-betamethasone G

coal tar external PB

CONDYLOX NPB

CORDRAN EXTERNAL CREAM NPB ST

CORDRAN EXTERNAL LOTION NPB ST

CORDRAN EXTERNAL OINTMENT NPB ST

CORDRAN EXTERNAL TAPE NPB ST; QL

CORTANE-B NPB

CORTISPORIN NPB

CUTIVATE NPB ST

dapsone external G

DERMA-SMOOTHE/FS BODY NPB ST; QL

DERMA-SMOOTHE/FS SCALP NPB ST; QL

DESONATE NPB ST

desonide external G QL

DESOWEN NPB ST; QL

desoximetasone external cream G QL

desoximetasone external gel G QL

desoximetasone external liquid G

desoximetasone external ointment G QL

diclofenac sodium transdermal gel 3 % G QL

DIFFERIN EXTERNAL CREAM NPB ST; QL

DIFFERIN EXTERNAL GEL 0.3 % NPB ST; QL

DIFFERIN EXTERNAL LOTION NPB ST; QL

diflorasone diacetate external cream G QL

diflorasone diacetate external ointment G

DIPROLENE NPB ST

DIPROLENE AF NPB ST

DOVONEX NPB QL

doxepin hcl external G QL

doxycycline NPB ST

DRITHO-CREME HP NPB

DRYSOL NPB

DUAC NPB ST; QL

DUOBRII NPB

DUPIXENT PB-S PA; QL

EFUDEX NPB


59


ELIDEL NPB ST; QL

ELOCON NPB ST

ENOVARX-TRAMADOL NPB

ENSTILAR PB QL

ENZOCLEAR NPB ST

EPIDUO NPB ST; QL

EPIDUO FORTE PB ST

EPIFOAM NPB ST

ery G

ERYGEL G

erythromycin external G

EUCRISA NPB ST; QL

EVOCLIN NPB ST

FABIOR NPB PA; QL

FINACEA EXTERNAL FOAM PB ST

FINACEA EXTERNAL GEL NPB ST

fluocinolone acetonide body G QL

fluocinolone acetonide external cream 0.01 % G

fluocinolone acetonide external cream 0.025 % G QL

fluocinolone acetonide external ointment G QL

fluocinolone acetonide external solution G QL

fluocinolone acetonide scalp G QL

fluocinonide emulsified base G

fluocinonide external cream 0.05 % G

fluocinonide external cream 0.1 % G QL

fluocinonide external gel G

fluocinonide external ointment G

fluocinonide external solution G

FLUOROPLEX NPB QL

FLUOROURACIL EXTERNAL CREAM 0.5 % NPB ST; QL

fluorouracil external cream 5 % G

fluorouracil external solution G QL

flurandrenolide G

fluticasone propionate external G

GORDOFILM NPB

grafco silver nit applicator G

halcinonide G

halobetasol propionate external cream G QL


60


HALOBETASOL PROPIONATE EXTERNAL FOAM

NPB ST

halobetasol propionate external ointment G QL

HALOG NPB ST

HYALUCIL-4 NPB

HYDRO 35 NPB

HYDRO 40 NPB

hydrocortisone ace-pramoxine external G

hydrocortisone butyr lipo base G

hydrocortisone butyrate G

hydrocortisone external cream 1 %, 2.5 % G

hydrocortisone external lotion 2.5 % G

hydrocortisone external ointment 1 %, 2.5 % G

hydrocortisone valerate G

imiquimod external G QL

IMIQUIMOD PUMP NPB ST; QL

IMPOYZ NPB ST

INOVA 4/1 ACNE CONTROL THERAPY NPB ST

INOVA EXTERNAL KIT 4 & 5 % NPB ST

isotretinoin oral G QL

ivermectin external G

KENALOG EXTERNAL NPB ST

KERALYT EXTERNAL GEL 6 % NPB

KLARON NPB ST

LAC-HYDRIN NPB

lactic acid e G

lactic acid external G

latrix xm G

LEXETTE NPB ST

LOCOID NPB ST

LOCOID LIPOCREAM NPB ST

LOTRISONE NPB

LUXIQ NPB ST

methoxsalen oral G

methoxsalen rapid G

methyl salicylate external liquid G

METROCREAM NPB ST

METROGEL NPB ST


61


METROLOTION NPB ST

metronidazole external G

MICORT-HC NPB ST

MIRVASO PB PA

mometasone furoate external G

myorisan G QL

NEO-SYNALAR EXTERNAL CREAM NPB

neuac external gel G QL

nolix G

NORITATE NPB ST

OLUX NPB ST

OLUX-E NPB ST

ONEXTON PB ST; QL

ORACEA PB ST

OVACE PLUS EXTERNAL SHAMPOO NPB

OVACE PLUS WASH EXTERNAL LIQUID NPB

OVACE WASH NPB

OXSORALEN ULTRA NPB

PANDEL NPB ST

PICATO PB QL

pimecrolimus G QL

PLEXION CLEANSER NPB ST

PLEXION EXTERNAL LOTION NPB ST

podocon NPB

podofilox external G

PRAMOSONE NPB ST

prednicarbate G

PROTOPIC NPB ST; QL

PRUDOXIN G ST; QL

PSORCON NPB ST; QL

PYROGALLIC ACID NPB

QBREXZA PB PA; QL

REGRANEX PB QL

RETIN-A EXTERNAL CREAM 0.025 % NPB QL

RETIN-A EXTERNAL CREAM 0.05 %, 0.1 % NPB

RETIN-A EXTERNAL GEL NPB

RETIN-A MICRO GEL 0.04 %, 0.1 % NPB

RETIN-A MICRO PUMP NPB


62


RHOFADE NPB PA

RIAX NPB

rosadan external cream G

rosadan external gel G

SALEX NPB

salicylic acid er G

salicylic acid external foam G

salicylic acid external gel G

salicylic acid external lotion G

salicylic acid external shampoo G

salicylic acid-cleanser external kit 6 % (lotion) G

SALVAX G

SALVAX DUO PLUS NPB

SANTYL PB

selenium sulfide external G

SERNIVO NPB ST

sodium hyaluronate external G

sodium sulfacetamide G

sodium sulfacetamide wash liquid 10 % external G

SODIUM SULFACETAMIDE WASH LIQUID 10 % EXTERNAL

G

SOOLANTRA NPB ST

SORIATANE NPB

SORILUX NPB QL

sss 10-5 external foam G

sulfacetamide sodium (acne) G

sulfacetamide sodium external G

sulfacetamide sodium-sulfur external cream 10-2 %

G

sulfacetamide sodium-sulfur external liquid 10-2 %, 9-4 %, 9.8-4.8 %

G

sulfacetamide sodium-sulfur external lotion 10-5 %

G

sulfacetamide sodium-sulfur external pad G

sulfacetamide sodium-sulfur external suspension

G

sulfacetamide-sulfur in urea G

sulfacleanse 8/4 G

SYNALAR NPB ST; QL


63


TACLONEX EXTERNAL OINTMENT NPB QL

TACLONEX EXTERNAL SUSPENSION PB QL

tacrolimus external G QL

tazarotene external G PA; QL

TAZORAC CREAM 0.05 % EXTERNAL PB PA; QL

TAZORAC EXTERNAL CREAM 0.1 % NPB PA; QL

TAZORAC EXTERNAL GEL PB PA; QL

TEMOVATE NPB ST

TEXACORT NPB ST

TOLAK NPB QL

TOPICORT NPB ST; QL

TOPICORT SPRAY NPB ST

tovet external foam G

tretinoin external cream 0.025 % G QL

tretinoin external cream 0.05 %, 0.1 % G

tretinoin external gel 0.01 %, 0.025 % G

tretinoin external gel 0.05 % G QL

tretinoin microsphere G

tretinoin microsphere pump G

triamcinolone acetonide external G

TRIANEX G

TRI-CHLOR G

triderm G

TRIDESILON NPB ST; QL

turpentine external PB

ULTRAVATE NPB ST

UMECTA MOUSSE NPB

urea external cream 39 %, 45 % G

urea hydrating G

urea in zn undecyl-lactic acid G

urea nail G

VANOS NPB ST; QL

VANOXIDE-HC NPB ST

VECTICAL NPB QL

VELTIN NPB ST

VERDESO NPB ST

VEREGEN NPB

VIRASAL NPB


64


XERAC AC NPB

ZACARE NPB ST

zaclir cleansing G

zenatane G QL

ZIANA NPB ST

ZONALON NPB ST; QL

ZYCLARA NPB ST; QL

ZYCLARA PUMP NPB ST; QL

Diabetes - Antidiabetic Agents

acarbose oral G M

ACTOPLUS MET NPB ST; M; QL

ACTOS NPB M; QL

ADLYXIN NPB ST; M; QL

ADLYXIN STARTER PACK NPB ST; M; QL

ALOGLIPTIN BENZOATE NPB ST; M; QL

ALOGLIPTIN-METFORMIN HCL NPB ST; M; QL

ALOGLIPTIN-PIOGLITAZONE NPB ST; M; QL

AMARYL NPB M

AVANDIA NPB ST; M; QL

BYDUREON PB ST; M; QL

BYDUREON BCISE AUTOINJECTOR PB ST; M; QL

BYETTA 10 MCG PEN PB ST; M; QL

BYETTA 5 MCG PEN PB ST; M; QL

CYCLOSET NPB M; QL

DUETACT NPB ST; M; QL

FARXIGA PB ST; M; QL

FORTAMET NPB ST; M

glimepiride G M

glipizide er G M

glipizide ir G M

glipizide xl G M

glipizide-metformin hcl G M

GLUCOPHAGE NPB ST; M

GLUCOPHAGE XR NPB ST; M

GLUCOTROL NPB M

GLUCOTROL XL NPB M

GLUMETZA NPB ST; M; QL

glyburide micronized G M


65


glyburide oral G M

glyburide-metformin G M

GLYNASE NPB M

GLYSET NPB M

GLYXAMBI PB ST; M

INVOKAMET PB ST; M; QL

INVOKAMET XR PB ST; M; QL

INVOKANA PB ST; M; QL

JANUMET PB ST; M; QL

JANUMET XR PB ST; M; QL

JANUVIA PB ST; M; QL

JARDIANCE PB ST; M; QL

JENTADUETO PB ST; M; QL

JENTADUETO XR PB ST; M

KAZANO NPB ST; M; QL

KOMBIGLYZE XR NPB ST; M; QL

metformin hcl er G M

metformin hcl er (mod) G ST; M; QL

metformin hcl er (osm) G ST; M

METFORMIN HCL ORAL SOLUTION NPB ST; M; QL

metformin hcl oral tablet G M

miglitol G M

nateglinide G M

NESINA NPB ST; M; QL

ONGLYZA NPB ST; M; QL

OSENI NPB ST; M; QL

OZEMPIC PB ST; M; QL

pioglitazone hcl G M; QL

pioglitazone hcl-glimepiride G M; QL

pioglitazone hcl-metformin hcl G M; QL

PRECOSE NPB M

QTERN NPB ST; M

repaglinide G M

repaglinide-metformin hcl G M; QL

RIOMET NPB ST; M; QL

SEGLUROMET PB ST; M

SOLIQUA PB ST; M; QL

STARLIX NPB M


66


STEGLATRO PB ST; M

STEGLUJAN NPB ST; M

SYMLINPEN 120 PB ST; M; QL

SYMLINPEN 60 PB ST; M; QL

SYNJARDY PB ST; M

SYNJARDY XR PB ST; M

tolbutamide G M

TRADJENTA PB ST; QL

TRULICITY PB ST; M; QL

VICTOZA NPB ST; M; QL

XIGDUO XR ORAL TABLET EXTENDED RELEASE 24 HOUR 10-1000 MG, 10-500 MG, 5-1000 MG, 5-500 MG

PB ST; M; QL

XIGDUO XR ORAL TABLET EXTENDED RELEASE 24 HOUR 2.5-1000 MG

PB ST; M

XULTOPHY PB ST; M; QL

Diabetes - Glucose Monitoring

ACCU-CHEK AVIVA CONNECT KIT W/DEVICE NPB ST; OTC; QL

ACCU-CHEK AVIVA PLUS NPB ST; OTC; QL

ACCU-CHEK COMPACT PLUS TEST STRIPS NPB ST; OTC; QL

ACCU-CHEK GUIDE NPB ST; OTC; QL

ACCU-CHEK GUIDE ME NPB ST; OTC; QL

ACCU-CHEK GUIDE STRIP IN VITRO NPB OTC; QL

ACCU-CHEK GUIDE STRIP IN VITRO NPB ST; OTC; QL

ACCU-CHEK NANO SMARTVIEW KIT W/DEVICE

NPB ST; OTC; QL

ACCU-CHEK SMARTVIEW TEST STRIPS NPB ST; OTC; QL

BIOTEL CARE BLOOD GLUCOSE SYST NPB ST; OTC; QL

CONTOUR NEXT MONITOR NPB ST; OTC; QL

CONTOUR NEXT TEST NPB ST; OTC; QL

CONTOUR TEST NPB ST; OTC; QL

DIATHRIVE BLOOD GLUCOSE TEST NPB ST; OTC; QL

DIATHRIVE GLUCOSE TEST NPB ST; OTC; QL

EASYPLUS BLOOD GLUCOSE TEST NPB ST; OTC; QL

EMBRACE TALK GLUCOSE TEST NPB ST; OTC; QL

EMBRACE TALK MONITORING SYSTEM NPB ST; OTC; QL

FORA GTEL BLOOD GLUCOSE TEST NPB ST; OTC; QL

FREESTYLE FREEDOM LITE NPB ST; OTC; QL

FREESTYLE INSULINX SYSTEM NPB ST; OTC; QL


67


FREESTYLE INSULINX TEST NPB ST; OTC; QL

FREESTYLE LITE TEST NPB ST; OTC; QL

FREESTYLE PRECISION NEO TEST NPB ST; OTC; QL

FREESTYLE TEST NPB ST; OTC; QL

GLUCOCARD 01 SENSOR PLUS NPB ST; OTC; QL

GLUCOCARD EXPRESSION TEST NPB ST; OTC; QL

GLUCOCARD SHINE CONNEX NPB ST; OTC; QL

GLUCOCARD SHINE EXPRESS NPB ST; OTC; QL

GLUCOCARD SHINE TEST NPB ST; OTC; QL

GLUCOCARD VITAL TEST NPB ST; OTC; QL

HW EMBRACE PRO GLUCOSE TEST NPB ST; OTC; QL

HW EMBRACE TALK GLUCOSE TEST NPB ST; OTC; QL

ONE DROP BLOOD GLUCOSE MONITOR NPB ST; OTC; QL

ONE DROP TEST NPB ST; OTC; QL

ONETOUCH ULTRA 2 PB OTC; QL

ONETOUCH ULTRA BLUE TEST STRIPS PB OTC; QL

ONETOUCH ULTRA MINI PB OTC; QL

ONE TOUCH VERIO KIT W/DEVICE PB OTC; QL

ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE

PB OTC; QL

ONETOUCH VERIO TEST STRIPS PB OTC; QL

ONETOUCH VERIO IQ SYSTEM PB OTC; QL

ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE

PB OTC; QL

PRECISION LINK NPB ST; OTC; QL

PRECISION PCX PLUS TEST NPB ST; OTC; QL

PRECISION QID TEST NPB ST; OTC; QL

PRECISION SOF-TACT TEST NPB ST; OTC; QL

PRECISION XTRA BLOOD GLUCOSE NPB ST; OTC; QL

PRODIGY NO CODING BLOOD GLUC NPB OTC; QL

RELION BLOOD GLUCOSE TEST NPB ST; OTC; QL

RELION PREMIER TEST NPB ST; OTC; QL

RELION ULTIMA TEST NPB ST; OTC; QL

TRUE METRIX BLOOD GLUCOSE TEST NPB ST; OTC; QL

TRUETRACK TEST NPB ST; OTC; QL

VIVAGUARD INO TEST STRIPS NPB ST; OTC; QL

Diabetes - Glycemic Agents

GLUCAGEN HYPOKIT PB

GLUCAGON EMERGENCY PB


68


PROGLYCEM PB M

Diabetes - Insulins

ADMELOG NPB ST; M; QL

ADMELOG SOLOSTAR NPB ST; M; QL

AFREZZA INHALATION POWDER 12 UNIT, 4 & 8 & 12 UNIT, 8 UNIT, 90 X 4 UNIT & 90X8 UNIT, 90 X 8 UNIT & 90X12 UNIT

NPB M

AFREZZA INHALATION POWDER 4 UNIT NPB M; QL

APIDRA SOLOSTAR NPB ST; M; QL

APIDRA VIAL NPB ST; M; QL

BASAGLAR KWIKPEN PB M; QL

FIASP NPB ST; M; QL

FIASP FLEXTOUCH NPB ST; M; QL

FIASP PENFILL NPB ST; M; QL

HUMALOG KWIKPEN PB M; QL

HUMALOG MIX 50/50 KWIKPEN PB M; QL

HUMALOG MIX 50/50 VIAL PB M; QL

HUMALOG MIX 75/25 KWIKPEN PB M; QL

HUMALOG MIX 75/25 VIAL PB M; QL

HUMALOG U-100 JUNIOR KWIKPEN PB M; QL

HUMALOG U-100 VIAL AND CARTRIDGE PB M; QL

HUMULIN 70/30 KWIKPEN PB M; OTC; QL

HUMULIN 70/30 VIAL PB M; OTC; QL

HUMULIN N KWIKPEN PB M; OTC

HUMULIN N VIAL PB M; OTC; QL

HUMULIN R U-500 KWIKPEN PB M; QL

HUMULIN R U-500 VIAL (CONCENTRATED) PB M; QL

HUMULIN R VIAL PB M; OTC; QL

INSULIN LISPRO NPB M; QL

INSULIN LISPRO SUBCUTANEOUS SOLUTION PEN-INJECTOR 100 UNIT/ML

NPB M; QL

LANTUS SOLOSTAR PB M; QL

LANTUS U-100 VIAL PB M; QL

LEVEMIR U-100 FLEXTOUCH PB M; QL

LEVEMIR U-100 VIAL PB M; QL

NOVOLIN 70/30 FLEXPEN NPB ST; M; OTC; QL

NOVOLIN 70/30 FLEXPEN RELION NPB ST; M; OTC; QL

NOVOLIN 70/30 RELION NPB ST; M; OTC; QL

NOVOLIN 70/30 VIAL NPB ST; M; OTC; QL


69


NOVOLIN N RELION NPB ST; M; OTC; QL

NOVOLIN N VIAL NPB ST; M; OTC; QL

NOVOLIN R RELION NPB ST; M; OTC; QL

NOVOLIN R VIAL NPB ST; M; OTC; QL

NOVOLOG FLEXPEN NPB ST; M; QL

NOVOLOG MIX 70/30 FLEXPEN NPB ST; M

NOVOLOG MIX 70/30 VIAL NPB ST; M

NOVOLOG PENFILL NPB ST; M; QL

NOVOLOG U-100 VIAL NPB ST; M

TOUJEO MAX SOLOSTAR PB M; QL

TOUJEO SOLOSTAR PB M; QL

TRESIBA PB M; QL

TRESIBA FLEXTOUCH PB M; QL

Electrolytes / Minerals / Metals / Vitamins

ACTIVE FE NPB

adc/f (0.5mg/ml) G ACA

aminobenzoate potassium G M

ARGININE HCL INJECTION NPB

ATABEX OB NPB

AXIFOL NPB

BCAA INJECTION NPB

CALCIFOL NPB

calcium-folic acid plus d G

CARBAGLU PB-S PA

CARNITOR ORAL NPB M

CARNITOR SF NPB M

CENTRATEX NPB

CHEMET PB

CITRANATAL BLOOM NPB

CITRANATAL MEDLEY NPB

clovique G ST; QL

corvita 150 G

CORVITE 150 NPB

CORVITE FE NPB

cyanocobalamin injection solution 1000 mcg/ml G M

CYANOCOBALAMIN INJECTION SOLUTION 2000 MCG/ML

PB M

cytra k crystals G


70


deferasirox G-S

DEXPANTHENOL INJECTION NPB

DRISDOL NPB

EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ, 20 MEQ

NPB M

effer-k oral tablet effervescent 25 meq G M

ELITE-OB NPB

ENBRACE HR NPB

ERGOCAL NPB

ergocalciferol oral capsule G

ESCAVITE NPB

EXJADE PB-S

FERIVA 21/7 NPB

ferocon G

ferotrinsic G

FERRALET 90 NPB

ferraplus 90 G

FERRIPROX PB-S

ferrocite plus G

FERRO-PLEX HEMATINIC NPB

FERROTRIN NPB

FLORIVA ORAL LIQUID NPB M; ACA

FLORIVA ORAL TABLET CHEWABLE NPB

FLORIVA PLUS NPB ACA

FLUORABON NPB M; ACA

fluoritab oral solution G M; ACA

fluoritab oral tablet chewable 0.55 (0.25 f) mg, 1.1 (0.5 f) mg

G M; ACA

fluoritab oral tablet chewable 2.2 (1 f) mg G M

FLURA-DROPS NPB M; ACA

folic acid oral tablet 1 mg G M

FOLI-D NPB

FOLITE NPB

FOLIVANE-F NPB

foltrin G

FOLVITE-D NPB

FUSION PLUS NPB

FUSION SPRINKLES NPB

GALZIN NPB


71


GENICIN VITA-D NPB

GLUTATHIONE INJECTION NPB

GLYCINE INJECTION NPB

hematinic plus vit/minerals G

hematogen fa G

hematogen forte G

HEMATRON-AF NPB

HEMETAB G

HEMOCYTE PLUS NPB

hemocyte-plus G

hydroxocobalamin acetate G

ICAR-C PLUS NPB

iferex 150 forte G

INTEGRA F NPB

iodine strong oral G

IROSPAN 24/6 NPB

IS 24/6 NPB

JADENU PB-S

JADENU SPRINKLE PB-S

JYNARQUE ORAL TABLET PB-S PA; QL

JYNARQUE ORAL TABLET THERAPY PACK NPB-S PA; QL

kionex G

klor-con G M

klor-con 10 G M

klor-con m10 G M

KLOR-CON M15 G M

klor-con m20 G M

klor-con sprinkle G M

klor-con/ef G M

K-PHOS PB

K-PHOS NO 2 NPB

K-PHOS-NEUTRAL G

k-prime G M

K-TAB G M

k-tan plus G

LEVOCARNITINE INJECTION NPB M

levocarnitine oral solution G M

levocarnitine oral tablet G M


72


levocarnitine sf G M

LIPO NPB

LIPO-C NPB

LOKELMA PB

ludent oral tablet chewable 0.55 (0.25 f) mg, 1.1 (0.5 f) mg

G M; ACA

ludent oral tablet chewable 2.2 (1 f) mg G M

LYSINE HCL INJECTION NPB

MAGNEBIND 400 NPB

MAGNESIUM SULFATE INJECTION NPB

MAXFE ORAL TABLET NPB

MEPHYTON NPB

METHYLCOBALAMIN INJECTION NPB

M-NATAL PLUS G

multigen G

multigen folic G

multigen plus G

multi-vit/iron/fluoride G ACA

multi-vitamin/fluoride G ACA

multivitamin/fluoride oral solution G ACA

multivitamin/fluoride oral tablet chewable 0.25 mg, 0.5 mg

G ACA

MULTIVITAMIN/FLUORIDE ORAL TABLET CHEWABLE 0.25-0.3 MG, 0.5-0.3 MG, 1-0.3 MG

NPB

multivitamin/fluoride oral tablet chewable 1 mg G

multivitamin/fluoride/iron G ACA

multi-vitamin/fluoride/iron G ACA

multivitamins/fluoride G ACA

mvc-fluoride oral tablet chewable 0.25 mg, 0.5 mg

G ACA

mvc-fluoride oral tablet chewable 1 mg G

myferon 150 forte G

nafrinse G M

nafrinse drops G M; ACA

NASCOBAL PB M

NEONATAL COMPLETE G

NEONATAL PLUS G

NEPHRON FA NPB


73


NESTABS NPB

NESTABS ONE NPB

NIFEREX NPB

NUFERA NPB

NUTRIVIT PB

ORACIT NPB

phospha 250 neutral G

phosphorous G

phospho-trin 250 neutral G

phytonadione injection solution 1 mg/0.5ml PB

phytonadione injection solution 10 mg/ml G

phytonadione oral G

pnv prenatal plus multivit+dha NPB

poly-iron 150 forte G

polysaccharide iron forte G

POLY-VI-FLOR NPB

POLY-VI-FLOR FS NPB

POLY-VI-FLOR/IRON NPB

pot bicarb-pot chloride G M

POTABA NPB M

potassium bicarbonate oral G M

potassium chloride crys er G M

potassium chloride er G M

potassium chloride oral G M

potassium citrate er G M

potassium citrate-citric acid G

PRENAISSANCE NPB

PRENATA NPB

prenatal oral tablet 27-1 mg NPB

prenatal plus iron G

PRIMACARE NPB

purevit dualfe plus G

QUFLORA FE NPB

QUFLORA FE PEDIATRIC NPB ACA

QUFLORA GUMMIES NPB

QUFLORA PEDIATRIC ORAL SOLUTION NPB ACA

QUFLORA PEDIATRIC ORAL TABLET CHEWABLE 0.25 MG, 0.5 MG

NPB ACA


74


QUFLORA PEDIATRIC ORAL TABLET CHEWABLE 1 MG

NPB

RELNATE DHA NPB

RENATABS WITH IRON NPB

SALINE-PHENOL NPB

SAMSCA PB-S PA; QL

SELECT-OB ORAL TABLET CHEWABLE 29-1 MG

NPB

se-tan plus G

sod citrate-citric acid G

sodium fluoride oral solution G M; ACA

sodium fluoride oral tablet 1.1 (0.5 f) mg G M; ACA

sodium fluoride oral tablet 2.2 (1 f) mg G M

sodium fluoride oral tablet chewable 0.55 (0.25 f) mg, 1.1 (0.5 f) mg

G M; ACA

sodium fluoride oral tablet chewable 2.2 (1 f) mg G M

sodium polystyrene sulfonate oral G

sodium polystyrene sulfonate rectal suspension 30 gm/120ml

G

sodium polystyrene sulfonate rectal suspension 50 gm/200ml

NPB

sps G

SYPRINE NPB ST; QL

TARON FORTE G

taron-crystals G

TAURINE INJECTION NPB

TEXAVITE LQ NPB

TRI-AMINO NPB

TRICARE PRENATAL DHA ONE NPB

tricitrates G

tricon G

trientine hcl G ST; QL

trigels-f forte G

trinate G

TRISTART ONE NPB

TRI-VI-FLOR NPB

TRI-VI-FLORO NPB

tri-vitamin/fluoride G ACA

tri-vite/fluoride G ACA


75


tryptophan oral G

UROCIT-K 10 NPB M

UROCIT-K 15 NPB M

UROCIT-K 5 NPB M

VELTASSA PB-S

virt-phos 250 neutral G

VITAFOL NPB

VITAFOL-OB+DHA NPB

vitamin d (ergocalciferol) oral capsule 1.25 mg (50000 ut)

G

vitamin k1 injection G

vitamins acd-fluoride G ACA

vp-pnv-dha NPB

Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer

ACIPHEX NPB ST; M; QL

ACIPHEX SPRINKLE NPB ST; M; QL

CARAFATE ORAL SUSPENSION PB M

CARAFATE ORAL TABLET NPB M

cimetidine hcl G M

cimetidine oral G M

CYTOTEC NPB M

DEPRIZINE FUSEPAQ NPB M

DEXILANT NPB ST; M; QL

esomeprazole magnesium PB M; QL

famotidine oral suspension reconstituted G M

famotidine oral tablet 20 mg, 40 mg G M

lansoprazole oral capsule delayed release PB M; QL

lansoprazole oral tablet dispersible 15 mg, 30 mg

PB M; QL

misoprostol oral G M

NEXIUM ORAL CAPSULE DELAYED RELEASE 40 MG

NPB ST; M; QL

NEXIUM ORAL PACKET PB ST; M; QL

nizatidine G M

omeppi PB M; QL

omeprazole oral capsule delayed release PB M; QL

omeprazole-sodium bicarbonate PB M; QL

pantoprazole sodium oral PB M; QL


76


PEPCID NPB M

PREVACID ORAL CAPSULE DELAYED RELEASE 30 MG

NPB ST; M; QL

PREVACID SOLUTAB ORAL TABLET DISPERSIBLE 15 MG, 30 MG

NPB ST; M; QL

PRILOSEC NPB ST; M; QL

PROTONIX ORAL NPB ST; M; QL

rabeprazole sodium oral tablet delayed release PB M; QL

ranitidine hcl injection solution 1000 mg/40ml G M

ranitidine hcl oral capsule G M

ranitidine hcl oral syrup G M

ranitidine hcl oral tablet 300 mg G M

ranitidine hcl tablet 150 mg oral (rx) G M

sucralfate oral tablet G M

YOSPRALA NPB ST; QL

ZEGERID NPB ST; M; QL

Gastrointestinal Agents - Drugs for Bowel, Intestine and Stomach Conditions

ACTIGALL NPB M

alosetron hcl G

AMITIZA PB QL

amoxicill-clarithro-lansopraz G QL

ANASPAZ G

ATROPEN NPB

belladonna alkaloids-opium G

cascara sagrada oral fluid extract NPB

CHENODAL PB-S PA

chlordiazepoxide-clidinium G

CHOLBAM PB-S

CLENPIQ PB ACA

COLYTE WITH FLAVOR PACKS NPB

constulose G

cromolyn sodium oral G

CUVPOSA NPB

dicyclomine hcl oral G

diphenoxylate-atropine G

DONNATAL NPB

ENTEREG NPB

enulose G


77


GASTROCROM NPB

GATTEX NPB-S

gavilyte-c G ACA

gavilyte-n with flavor pack G ACA

generlac G

GIALAX NPB ACA

GLYCATE NPB

glycopyrrolate oral tablet 1 mg, 2 mg G

GLYCOPYRROLATE ORAL TABLET 1.5 MG G

GOLYTELY ORAL SOLUTION RECONSTITUTED 227.1 GM

NPB ACA

GOLYTELY ORAL SOLUTION RECONSTITUTED 236 GM

NPB

hyoscyamine sulfate er G

hyoscyamine sulfate injection G

hyoscyamine sulfate oral elixir G

hyoscyamine sulfate oral solution G

hyoscyamine sulfate oral tablet G

hyoscyamine sulfate sl G

hyoscyamine sulfate sublingual G

hyosyne G

KRISTALOSE NPB

lactulose G

lactulose encephalopathy G

LEVBID NPB

LEVSIN ORAL NPB

LEVSIN/SL NPB

LIBRAX NPB ST

LINZESS PB QL

LOMOTIL NPB

loperamide hcl oral capsule G

LOTRONEX NPB

methscopolamine bromide oral G

mineral oil heavy oral PB

MOTEGRITY NPB ST

MOTOFEN NPB

MOVANTIK PB QL

MOVIPREP NPB ACA

MYTESI NPB QL


78


NULYTELY WITH FLAVOR PACKS NPB

OMECLAMOX-PAK NPB QL

opium G

oscimin oral tablet G

oscimin sr G

oscimin sublingual G

OSMOPREP NPB ACA

paregoric G

PCP 100 NPB

peg 3350/electrolytes G ACA

peg 3350-kcl-na bicarb-nacl G ACA

peg-3350/electrolytes G ACA

phenobarbital-belladonna alk G

phenohytro G

PLENVU NPB ACA

PREPOPIK PB ACA

PRODIGEN NPB

propantheline bromide oral G

PYLERA PB

RELISTOR ORAL NPB QL

RELISTOR SUBCUTANEOUS PB QL

RESTORA RX NPB

SEROSTIM PB-S PA

SUPREP BOWEL PREP KIT PB ACA

SYMAX DUOTAB NPB

symax-sl G

symax-sr G

SYMPROIC PB QL

trilyte G ACA

TRULANCE PB QL

URSO 250 NPB M

URSO FORTE NPB M

ursodiol oral G M

VIBERZI PB QL

VSL#3 DS NPB

XERMELO PB-S PA; QL

ZELAC NPB

ZORBTIVE NPB-S PA


79


Genetic or Enzyme Disorder - Drugs for Replacement, Modification, Treatment

BUPHENYL NPB

CERDELGA PB-S

CREON PB

CYSTAGON PB-S PA

ENZADYNE NPB

GALAFOLD NPB-S PA; QL

KUVAN PB-S PA

miglustat G-S

MYALEPT PB-S PA

nitisinone G

NITYR PB-S

OCALIVA PB-S PA; QL

ORFADIN PB-S

PALYNZIQ PB-S PA; QL

PANCREAZE NPB ST

PERTZYE NPB ST

PROCYSBI NPB-S ST

RAVICTI PB-S

sodium phenylbutyrate oral G

STRENSIQ PB-S PA

SUCRAID PB-S

VIOKACE PB

XURIDEN PB-S QL

ZAVESCA NPB-S ST

ZENPEP PB

Genitourinary Agents - Drugs for Bladder, Genital and Kidney Conditions

AURYXIA NPB

bethanechol chloride oral G

calcium acetate (phos binder) G

CUPRIMINE NPB ST; M

darifenacin hydrobromide er G M

DEPEN TITRATABS PB M

DETROL NPB ST; M

DETROL LA NPB ST; M

DITROPAN XL ORAL TABLET EXTENDED RELEASE 24 HOUR 10 MG

NPB ST; M


80


DITROPAN XL ORAL TABLET EXTENDED RELEASE 24 HOUR 5 MG

NPB ST; M; QL

D-PENAMINE PB M

ELMIRON PB

ENABLEX NPB ST; M

FEM PH G

flavoxate hcl G M

FOSRENOL NPB ST

GELNIQUE PB ST; M; QL

GELNIQUE PUMP PB ST; M; QL

hyophen G

INTRAROSA NPB

lanthanum carbonate G

LITHOSTAT NPB

me/naphos/mb/hyo1 G

MYRBETRIQ PB ST

oxybutynin chloride er oral tablet extended release 24 hour 10 mg, 15 mg

G M

oxybutynin chloride er oral tablet extended release 24 hour 5 mg

G M; QL

oxybutynin chloride oral G M

OXYTROL NPB ST; M; QL

penicillamine oral G M

phenazo oral tablet 200 mg G

phenazopyridine hcl oral tablet 100 mg, 200 mg G

PHOSLYRA PB

phosphasal G

PYRIDIUM NPB

RENAGEL NPB ST

RENVELA NPB

RIMSO-50 NPB

sevelamer carbonate G

sevelamer hcl G

solifenacin succinate G M

THIOLA NPB-S

THIOLA EC NPB

tolterodine tartrate G M

tolterodine tartrate er G M

TOVIAZ PB ST


81


trospium chloride G M

trospium chloride er G M

URECHOLINE NPB

URELLE NPB

uretron d/s G

URIMAR-T NPB

urin ds G

URO-458 NPB

UROGESIC-BLUE G

URYL G

ustell G

uticap G

utira-c G

utrona-c G

VELPHORO PB

VESICARE PB ST; M

VILEVEV MB NPB

Genitourinary Agents - Drugs for Prostate Conditions

alfuzosin hcl er G M

AVODART NPB ST; M

CARDURA XL NPB M; QL

dutasteride oral G M

dutasteride-tamsulosin hcl G M

finasteride oral tablet 5 mg G M

FLOMAX NPB ST; M

JALYN NPB ST; M

PROSCAR NPB ST; M

RAPAFLO NPB ST; M

silodosin G M

tamsulosin hcl G M

terazosin hcl G M; QL

UROXATRAL NPB ST; M

Hormonal Agents - Adrenal

ACTIVE INJECTION BLM-1 NPB

ACTIVE INJECTION BM NPB

ACTIVE INJECTION DL NPB

ACTIVE INJECTION DLM NPB


82


ACTIVE INJECTION KIT L NPB

ACTIVE INJECTION KM NPB

ACTIVE INJECTION LM-DEP-2 NPB

ACTIVE INJECTION M-1 NPB

BETALIDO NPB

BUPIVILOG NPB

CONTRAST ALLERGY PREMED PACK NPB

CORTEF NPB

cortisone acetate oral G

DECADRON G

DEPO-MEDROL INJECTION SUSPENSION 20 MG/ML

NPB

dexamethasone intensol G

dexamethasone oral elixir G

dexamethasone oral solution G

dexamethasone oral tablet G

dexamethasone oral tablet therapy pack G ST

DEXAMETHASONE SOD PHOS-BUPIV NPB

dexamethasone sod phosphate pf injection solution prefilled syringe

G

DEXLIDO NPB

DEXLIDO-M NPB

DEXOPIN NPB

DEXPAK 10 DAY NPB ST

DEXPAK 13 DAY NPB ST

DEXPAK 6 DAY NPB ST

DXEVO 11-DAY NPB ST

DYURAL-40 NPB

DYURAL-80 NPB

DYURAL-L NPB

DYURAL-LM NPB

fludrocortisone acetate oral G M

HIDEX 6-DAY PB ST

hydrocortisone oral G

KENALOG-80 NPB

lidolog G

LT INJECTION KIT NPB

MARBETA-25 NPB

MARBETA-L NPB


83


MARDEX-25 NPB

MEDROL NPB

METHYLPREDNISOLONE ACE-LIDO NPB

methylprednisolone acetate injection suspension 40 mg/ml, 80 mg/ml

G

methylprednisolone oral G

methylprednisolone sodium succ injection solution reconstituted 500 mg

G

MILLIPRED G

MILLIPRED DP G

MILLIPRED DP 12-DAY G

MULTI-SPECIALTY NPB

ORAPRED ODT NPB

P-CARE D40MX NPB

P-CARE D80MX NPB

P-CARE K40MX NPB

P-CARE K80MX NPB

PEDIAPRED G

POINT OF CARE KM NPB

POINT OF CARE L.2 NPB

POINT OF CARE L.5 NPB

POINT OF CARE LM DEP 2 NPB

prednisolone oral solution G

prednisolone sodium phosphate oral G

prednisone intensol G

prednisone oral G

RAYOS NPB ST

READYSHARP ANESTH + BETAMETH NPB

READYSHARP ANESTH + DEXAMETH NPB

READYSHARP ANESTH + METHYLPRED NPB

ROPIDEX NPB

SOLU-CORTEF PB

TAPERDEX 12-DAY NPB ST



Hormonal Agents - Men's Health

ANDRODERM PB PA

ANDROGEL PUMP NPB PA


84


ANDROGEL TRANSDERMAL GEL 20.25 MG/1.25GM (1.62%), 40.5 MG/2.5GM (1.62%)

NPB PA

ANDROGEL TRANSDERMAL GEL 25 MG/2.5GM (1%), 50 MG/5GM (1%)

NPB ST

danazol oral G

DEPO-TESTOSTERONE NPB PA

FORTESTA NPB ST

METHITEST PB

methyltestosterone oral G

NANDROLONE-TESTOSTERONE CYP NPB

NATESTO NPB ST

STRIANT NPB

TESTIM NPB ST

TESTOSTERONE CYPIONATE INJECTION NPB PA

testosterone cypionate intramuscular G PA

testosterone enanthate intramuscular G PA

testosterone transdermal gel 10 mg/act (2%), 12.5 mg/act (1%), 20.25 mg/1.25gm (1.62%), 20.25 mg/act (1.62%), 25 mg/2.5gm (1%), 40.5 mg/2.5gm (1.62%), 50 mg/5gm (1%)

G PA

testosterone transdermal solution G

VOGELXO NPB ST

VOGELXO PUMP NPB ST

XYOSTED NPB PA

Hormonal Agents - Osteoporosis

clomiphene citrate oral G

EVISTA NPB PA; M

OSPHENA NPB

raloxifene hcl G PA; M

Hormonal Agents - Parathyroid

cinacalcet hcl G

SENSIPAR NPB

Hormonal Agents - Pituitary

cabergoline G M; QL

CETROTIDE PB

chorionic gonadotropin intramuscular G ST; QL

DDAVP NASAL NPB M

DDAVP ORAL NPB M

DDAVP RHINAL TUBE NPB M


85


desmopressin ace spray refrig G M

desmopressin acetate oral G M

desmopressin acetate spray G M

EGRIFTA PB-S PA; QL

ELIGARD PB-S QL

FIRMAGON PB-S QL

FOLLISTIM AQ NPB ST

ganirelix acetate subcutaneous solution 250 mcg/0.5ml

G-S ST

GENOTROPIN PB-S PA

GENOTROPIN MINIQUICK PB-S PA

GONAL-F PB ST

GONAL-F RFF PB ST

GONAL-F RFF REDIJECT PB ST

HUMATROPE NPB-S PA

INCRELEX PB-S PA

leuprolide acetate injection G-S

LEUPROLIDE ACETATE-BUPIVACAINE NPB

LUPANETA PACK PB QL

LUPRON DEPOT (1-MONTH) INTRAMUSCULAR KIT 3.75 MG

PB-S


NPB-S


PB-S


NPB-S

LUPRON DEPOT (4-MONTH) INTRAMUSCULAR KIT 30MG

NPB-S

LUPRON DEPOT (6-MONTH) INTRAMUSCULAR KIT 45MG

NPB-S

LUPRON DEPOT-PED (1-MONTH) PB-S PA

LUPRON DEPOT-PED (3-MONTH) PB PA

MENOPUR PB

NOCDURNA NPB M

NOCTIVA NPB ST; M

NORDITROPIN FLEXPRO PB-S PA

NOVAREL PB

NUTROPIN AQ NUSPIN 10 NPB-S PA



86



octreotide acetate G-S

OMNITROPE SUBCUTANEOUS SOLUTION PB-S PA

OMNITROPE SUBCUTANEOUS SOLUTION RECONSTITUTED

NPB-S PA

ORILISSA PB PA; QL

OVIDREL PB

pregnyl NPB ST; QL

SAIZEN NPB-S PA

SAIZENPREP NPB-S PA

SANDOSTATIN NPB-S

SOMATULINE DEPOT PB-S

SOMAVERT PB-S

STIMATE PB M

SYNAREL PB

ZOMACTON NPB-S PA

Hormonal Agents - Prostaglandins

KORLYM NPB-S PA; QL

Hormonal Agents - Sex Hormones and Birth Control

ACTIVELLA NPB M

afirmelle G M; ACA

ALORA NPB M; QL

altavera G M; ACA

alyacen 1/35 G M; ACA

alyacen 7/7/7 G M; ACA

amabelz G M

amethia G M; ACA; QL

amethia lo G M; ACA; QL

amethyst G M; ACA

ANGELIQ NPB M

apri G M; ACA

aranelle G M; ACA

ashlyna G M; ACA; QL

aubra G M; ACA

aubra eq G M; ACA

aurovela 1.5/30 G M; ACA

aurovela 1/20 G M; ACA

aurovela 24 fe G M; ACA


87


aurovela fe 1.5/30 G M; ACA

aurovela fe 1/20 G M; ACA

aviane G M; ACA

AYGESTIN NPB M

ayuna G M; ACA

azurette G M; ACA

BALCOLTRA NPB ST; M; ACA

balziva G M; ACA

bekyree G M; ACA

BEYAZ NPB ST; M

BI-EST 80:20 PROGESTERONE NPB

BIEST/PROGESTERONE NPB

BIJUVA NPB

blisovi 24 fe G M; ACA

blisovi fe 1.5/30 G M; ACA

blisovi fe 1/20 G M; ACA

briellyn G M; ACA

camila G M; ACA

camrese G M; ACA; QL

camrese lo G M; ACA; QL

caziant G M; ACA

chateal G M; ACA

chateal eq G M; ACA

CLIMARA NPB M; QL

CLIMARA PRO NPB ST; M; QL

COMBIPATCH PB M

covaryx G

covaryx hs G

CRINONE PB QL

cryselle-28 G M; ACA

cyclafem 1/35 G M; ACA

cyclafem 7/7/7 G M; ACA

cyred G M; ACA

cyred eq G M; ACA

dasetta 1/35 G M; ACA

dasetta 7/7/7 G M; ACA

daysee G M; ACA; QL

deblitane G M; ACA


88


DELESTROGEN NPB

delyla G M; ACA

DEPO-ESTRADIOL PB

DEPO-PROVERA INTRAMUSCULAR SUSPENSION 150 MG/ML

NPB QL

DEPO-PROVERA INTRAMUSCULAR SUSPENSION 400 MG/ML

PB

DEPO-PROVERA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

NPB QL

DEPO-SUBQ PROVERA 104 NPB ACA; QL

desogestrel-ethinyl estradiol G M; ACA

DIVIGEL TRANSDERMAL GEL 0.25 MG/0.25GM, 0.5 MG/0.5GM, 1 MG/GM

PB M; QL

DIVIGEL TRANSDERMAL GEL 0.75 MG/0.75GM

PB M

dotti G M; QL

drospiren-eth estrad-levomefol G M; ACA

drospirenone-ethinyl estradiol G M; ACA

DUAVEE PB

EC-RX ESTRADIOL NPB

EC-RX PROGESTERONE NPB

eemt G

eemt hs G

ELESTRIN NPB M; QL

elinest G M; ACA

ELLA NPB ACA; QL

emoquette G M; ACA

ENDOMETRIN NPB ST

enpresse-28 G M; ACA

enskyce G M; ACA

errin G M; ACA

est estrogens-methyltest G

est estrogens-methyltest ds G

est estrogens-methyltest hs G

estarylla G M; ACA

ESTRACE NPB M

estradiol oral G M

estradiol transdermal G M; QL

estradiol vaginal G M


89


estradiol valerate intramuscular G

estradiol-norethindrone acet G M

ESTRING PB M; QL

ESTROGEL NPB ST; M; QL

ESTROSTEP FE NPB ST; M

ethynodiol diac-eth estradiol G M; ACA

EVAMIST NPB M; QL

FALESSA NPB ST; ACA

falmina G M; ACA

fayosim G M; ACA; QL

FEMHRT LOW DOSE NPB M

FEMRING NPB ST; M; QL

femynor G M; ACA

fyavolv G M

GENERESS FE NPB ST; M

gianvi G M; ACA

hailey 1.5/30 G M; ACA

hailey 24 fe G M; ACA

heather G M; ACA

IMVEXXY MAINTENANCE PACK NPB M

IMVEXXY STARTER PACK NPB M

incassia G M; ACA

introvale G M; ACA; QL

isibloom G M; ACA

jasmiel G M; ACA

jencycla G M; ACA

jinteli G M

jolessa G M; ACA; QL

juleber G M; ACA

junel 1.5/30 G M; ACA

junel 1/20 G M; ACA

junel fe 1.5/30 G M; ACA

junel fe 1/20 G M; ACA

junel fe 24 G M; ACA

kaitlib fe G M; ACA

kalliga G M; ACA

kariva G M; ACA

kelnor 1/35 G M; ACA


90


kelnor 1/50 G M; ACA

kurvelo G M; ACA

larin 1.5/30 G M; ACA

larin 1/20 G M; ACA

larin 24 fe G M; ACA

larin fe 1.5/30 G M; ACA

larin fe 1/20 G M; ACA

larissia G M; ACA

layolis fe G M; ACA

leena G M; ACA

lessina G M; ACA

levonest G M; ACA

levonorgest-eth est & eth est G M; ACA; QL

levonorgest-eth estrad 91-day G M; ACA; QL

levonorgestrel-ethinyl estrad G M; ACA

levonorg-eth estrad triphasic oral tablet G M; ACA

levora 0.15/30 (28) G M; ACA

lillow G M; ACA

LO LOESTRIN FE PB ST; M; ACA

LOESTRIN 1.5/30 (21) NPB ST; M

LOESTRIN 1/20 (21) NPB ST; M

LOESTRIN FE 1.5/30 NPB ST; M

LOESTRIN FE 1/20 NPB ST; M

lopreeza G M

loryna G M; ACA

LOSEASONIQUE NPB ST; M; QL

low-ogestrel G M; ACA

lo-zumandimine G M; ACA

lutera G M; ACA

lyza G M; ACA

marlissa G M; ACA

medroxyprogesterone acetate intramuscular G ACA; QL

medroxyprogesterone acetate oral G M

MEGACE ES NPB

megestrol acetate oral suspension G

megestrol acetate oral tablet G-S

melodetta 24 fe G M; ACA

MENEST NPB M


91


MENOSTAR NPB M; QL

mibelas 24 fe G M; ACA

microgestin 1.5/30 G M; ACA

microgestin 1/20 G M; ACA

microgestin fe 1.5/30 G M; ACA

microgestin fe 1/20 G M; ACA

mili G M; ACA

mimvey G M

MINASTRIN 24 FE NPB ST; M

MINIVELLE NPB ST; M; QL

MIRCETTE NPB ST; M

mono-linyah G M; ACA

NATAZIA NPB ST; M; ACA

necon 0.5/35 (28) G M; ACA

nikki G M; ACA

nora-be G M; ACA

norethin ace-eth estrad-fe G M; ACA

norethindrone acetate oral G M

norethindrone acet-ethinyl est G M; ACA

norethindrone oral G M; ACA

norethindrone-eth estradiol G M

norethin-eth estradiol-fe G M; ACA

norgestimate-eth estradiol G M; ACA

norgestimate-ethinyl estradiol triphasic G M; ACA

norlyda G M; ACA

norlyroc G M; ACA

nortrel 0.5/35 (28) G M; ACA

nortrel 1/35 (21) G M; ACA

nortrel 1/35 (28) G M; ACA

nortrel 7/7/7 G M; ACA

NUVARING PB M; ACA; QL

ocella G M; ACA

ogestrel G M; ACA

orsythia G M; ACA

ORTHO MICRONOR NPB ST; M

ORTHO TRI-CYCLEN LO NPB ST; M

ORTHO-NOVUM 1/35 (28) NPB ST; M

ORTHO-NOVUM 7/7/7 (28) NPB ST; M


92


philith G M; ACA

pimtrea G M; ACA

pirmella 1/35 G M; ACA

pirmella 7/7/7 G M; ACA

portia-28 G M; ACA

PREFEST NPB M

PREMARIN ORAL PB M

PREMARIN VAGINAL PB M

PREMPHASE PB M

PREMPRO PB M

previfem G M; ACA

PROGESTERONE COMPOUNDING KIT NPB

progesterone intramuscular G

progesterone micronized oral G

progesterone micronized transdermal G

PROMETRIUM NPB

PROVERA NPB M

QUARTETTE NPB ST; M; QL

reclipsen G M; ACA

rivelsa G M; ACA; QL

SAFYRAL NPB ST; M

SEASONIQUE NPB ST; M; QL

setlakin G M; ACA; QL

sharobel G M; ACA

simliya G M; ACA

simpesse G M; ACA; QL

sprintec 28 G M; ACA

sronyx G M; ACA

syeda G M; ACA

tarina 24 fe G M; ACA

tarina fe 1/20 G M; ACA

tarina fe 1/20 eq G M; ACA

TAYTULLA PB ST; M; ACA

tilia fe G M; ACA

tri femynor G M; ACA

tri-estarylla G M; ACA

tri-legest fe G M; ACA

tri-linyah G M; ACA


93


tri-lo-estarylla G M; ACA

tri-lo-marzia G M; ACA

tri-lo-mili G M; ACA

tri-lo-sprintec G M; ACA

tri-mili G M; ACA

tri-previfem G M; ACA

tri-sprintec G M; ACA

trivora (28) G M; ACA

tri-vylibra G M; ACA

tri-vylibra lo G M; ACA

tulana G M; ACA

tydemy G M; ACA

VAGIFEM NPB ST; M

velivet G M; ACA

vienva G M; ACA

viorele G M; ACA

VIVELLE-DOT NPB ST; M; QL

vyfemla G M; ACA

vylibra G M; ACA

wera G M; ACA

wymzya fe G M; ACA

xulane G M; ACA

YASMIN 28 NPB ST; M

YAZ NPB ST; M

yuvafem G M

zarah G M; ACA

zovia 1/35e (28) G M; ACA

zumandimine G M; ACA

Hormonal Agents - Thyroid

ARMOUR THYROID G M

CYTOMEL NPB ST; M

euthyrox NPB M

levo-t NPB M

levothyroxine sodium oral G M

levothyroxine-liothyronine oral tablet 30 mg, 60 mg, 90 mg

G M

levoxyl G M

liothyronine sodium oral G M


94


methimazole oral G M

NATURE-THROID G M

np thyroid G M

propylthiouracil oral G M

SYNTHROID NPB M

TAPAZOLE NPB M

thyroid oral tablet 120 mg, 15 mg G M

TIROSINT NPB M

TIROSINT-SOL NPB M

unithroid G M

WESTHROID G M

WP THYROID G M

Immunological Agents - Drugs for Immune System Stimulation or Suppression

ACTEMRA ACTPEN PB-S PA

ACTEMRA SUBCUTANEOUS PB-S PA; QL

ARAVA NPB M; QL

ARCALYST NPB-S PA

ASTAGRAF XL NPB ST

AZASAN NPB

azathioprine oral G

BENLYSTA SUBCUTANEOUS PB-S PA

CELLCEPT NPB

CIMZIA NPB-S PA

CIMZIA PREFILLED KIT NPB-S PA

CIMZIA STARTER KIT NPB-S PA

COSENTYX (300 MG DOSE) PB-S PA; QL

COSENTYX 150 MG/ML PB-S PA; QL

COSENTYX SENSOREADY (300 MG) PB-S PA; QL

COSENTYX SENSOREADY PEN PB-S PA; QL

CUTAQUIG NPB

cyclosporine modified G

cyclosporine oral G

ENBREL PB-S PA; QL

ENBREL MINI PB-S PA; QL

ENBREL SURECLICK PB-S PA; QL

ENVARSUS XR NPB ST

FIRAZYR PB-S PA


95


gengraf G

HUMIRA PB-S PA; QL

HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 40 MG/0.8ML, 80 MG/0.8ML & 40MG/0.4ML

PB-S PA; QL

HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 80 MG/0.8ML

PB-S PA

HUMIRA PEN PB-S PA; QL

HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN-INJECTOR KIT 40 MG/0.8ML

PB-S PA; QL

HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN-INJECTOR KIT 80 MG/0.8ML

PB-S PA

HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 40 MG/0.8ML

PB-S PA; QL

HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML

PB-S PA

icatibant acetate G PA

IMURAN NPB

KEVZARA NPB-S PA

KINERET NPB-S PA; QL

leflunomide oral G M; QL

methotrexate oral G

methotrexate sodium (pf) injection solution 250 mg/10ml, 50 mg/2ml

G

methotrexate sodium injection solution G

methotrexate sodium oral G

mycophenolate mofetil G

mycophenolate sodium G

MYFORTIC NPB

NEORAL NPB

OLUMIANT NPB-S PA

ORENCIA CLICKJECT NPB-S PA

ORENCIA SUBCUTANEOUS NPB-S PA

OTEZLA PB-S PA; QL

OTREXUP PB-S QL

PROGRAF ORAL NPB


96


RAPAMUNE NPB

RASUVO PB-S QL

RIDAURA PB M

RINVOQ NPB

SANDIMMUNE ORAL CAPSULE NPB

SANDIMMUNE ORAL SOLUTION PB

SILIQ NPB-S PA

SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR 100 MG/ML

PB-S PA; QL

SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR 50 MG/0.5ML

NPB-S PA; QL

SIMPONI SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 100 MG/ML

PB-S PA; QL

SIMPONI SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 50 MG/0.5ML

NPB-S PA; QL

sirolimus oral G

SKYRIZI (150 MG DOSE) NPB PA

STELARA SUBCUTANEOUS PB-S PA

tacrolimus oral G

TALTZ NPB-S PA

TREMFYA PB-S PA

TREXALL NPB

XATMEP NPB-S PA

XELJANZ PB-S PA; QL

XELJANZ XR PB-S PA; QL

ZORTRESS PB

Immunological Agents - Drugs for Vaccination

ACTHIB PB ACA

ADACEL PB ACA

AFLURIA QUADRIVALENT PB ACA

BEXSERO PB ACA

BOOSTRIX PB ACA

DAPTACEL PB ACA

DIPHTHERIA-TETANUS TOXOIDS DT PB ACA

ENGERIX-B INJECTION PB ACA

ENGERIX-B INTRAMUSCULAR NPB ACA

FLUAD PB ACA

FLUARIX QUADRIVALENT PB ACA


97


FLUBLOK QUADRIVALENT PB ACA

FLUCELVAX QUADRIVALENT PB ACA

FLULAVAL QUADRIVALENT PB ACA

FLUZONE HIGH-DOSE PB ACA

FLUZONE QUADRIVALENT PB ACA

GARDASIL 9 PB ACA

HAVRIX NPB ACA

HEPLISAV-B NPB ACA

HIBERIX PB ACA

INFANRIX PB ACA

IPOL PB ACA

KINRIX NPB ACA

MENACTRA PB ACA

MENVEO NPB ACA

M-M-R II SUBCUTANEOUS INJECTABLE PB ACA

PEDIARIX PB ACA

PEDVAX HIB PB ACA

PENTACEL PB ACA

PNEUMOVAX 23 PB ACA

PREVNAR 13 PB ACA

PROQUAD PB ACA

QUADRACEL PB ACA

RECOMBIVAX HB PB ACA

ROTARIX NPB ACA

ROTATEQ PB ACA

SHINGRIX PB ACA

TDVAX PB ACA

TENIVAC NPB ACA

TRUMENBA PB ACA

TWINRIX PB ACA

VAQTA NPB ACA

VARIVAX PB ACA

ZOSTAVAX NPB ACA

Inflammatory Bowel Disease Agents

ANALPRAM HC NPB

ANALPRAM HC SINGLES NPB

ANALPRAM-HC NPB

anucort-hc G


98


ANUSOL-HC RECTAL CREAM NPB ST

anusol-hc rectal suppository NPB

APRISO PB M

ASACOL HD NPB ST; M

AZULFIDINE NPB M

AZULFIDINE EN-TABS NPB M

balsalazide disodium G

budesonide er G

budesonide oral G

CANASA NPB M

COLAZAL NPB

colocort G

CORTENEMA NPB

CORTIFOAM NPB ST

DELZICOL NPB ST; M

DIPENTUM NPB ST; M

ENTOCORT EC NPB

hemmorex-hc G

hydrocortisone ace-pramoxine rectal G

hydrocortisone acetate rectal G

hydrocortisone rectal G

LIALDA NPB M

LIDOCAINE-HYDROCORTISONE ACE RECTAL GEL

NPB

mesalamine oral G M

mesalamine rectal G M

mesalamine-cleanser G

PENTASA PB M

PROCORT NPB

PROCTOCORT RECTAL CREAM NPB ST

PROCTOCORT RECTAL SUPPOSITORY NPB

PROCTOFOAM HC NPB

procto-med hc G

procto-pak G

proctosol hc G

proctozone-hc G

ROWASA NPB

SFROWASA NPB M


99


sulfasalazine oral G M

UCERIS ORAL NPB

UCERIS RECTAL PB

Metabolic Bone Disease Agents - Drugs for Osteoporosis

ACTONEL ORAL TABLET 150 MG, 35 MG, 5 MG

NPB ST; M; QL

ACTONEL ORAL TABLET 30 MG NPB ST; M

alendronate sodium G M; QL

ATELVIA NPB ST; M; QL

BINOSTO NPB ST; M; QL

BONIVA ORAL NPB ST; M; QL

calcitonin (salmon) G M; QL

FORTEO PB-S ST; QL

FOSAMAX NPB ST; M; QL

FOSAMAX PLUS D NPB ST; QL

ibandronate sodium oral G M; QL

RAYALDEE NPB M

risedronate sodium oral tablet 150 mg, 35 mg, 5 mg

G M; QL

risedronate sodium oral tablet 30 mg G M

risedronate sodium oral tablet delayed release G M; QL

TYMLOS PB-S PA

Metabolic Bone Disease Agents - Other

calcitriol oral G M

doxercalciferol oral G M

etidronate disodium G M

NATPARA PB-S PA; QL

paricalcitol oral G M

ROCALTROL NPB M

ZEMPLAR ORAL NPB M

Miscellaneous Therapeutic Agents

ALPHA-LIPOIC ACID INJECTION NPB

BACTERIOSTATIC WATER(BENZ ALC) NPB

COENZYME Q-10 INJECTION NPB

DANDELION NPB

EC-RX DHEA NPB

ENDARI NPB-S PA

ergoloid mesylates oral G M


100


FIRDAPSE PB-S PA

GRASTEK PB QL

HONEY BEE VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 1300 MCG

NPB

INSPIREASE RESERVOIR BAGS NPB

LENSCALE NPB

methergine G

methylergonovine maleate oral G

MIXED VESPID VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 1300-1300-1300 MCG

NPB

mlk f1 G

mlk f2 G

mlk f3 G

MLK F4 NPB

ODACTRA PB QL

ORAFATE NPB-S

ORALAIR NPB-S QL

ORALAIR ADULT SAMPLE KIT NPB-S QL

ORALAIR ADULT STARTER PACK NPB-S QL

ORALAIR CHILDRENS STARTER PACK NPB-S QL

PROTHELIAL NPB-S

RAGWITEK PB QL

RUZURGI NPB PA

STEMPHYLIUM NPB

TAKHZYRO NPB-S PA

VENOMIL HONEY BEE VENOM NPB

VENOMIL WASP VENOM NPB

VENOMIL WHITE FACED HORNET NPB

VENOMIL YELLOW HORNET VENOM NPB

VENOMIL YELLOW JACKET VENOM NPB

VISTOGARD PB-S

WASP VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 1300 MCG

NPB

WHITE-FACED HORNET VENOM INJECTION SOLUTION RECONSTITUTED 1300 MCG

NPB

YELLOW JACKET VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 1300 MCG

NPB


101


Ophthalmic Agents - Drugs for Eye Allergy, Infection and Inflammation

ACULAR NPB

ACULAR LS NPB

ACUVAIL NPB ST

ALOCRIL NPB ST

ALOMIDE NPB ST

ALREX PB ST

AZASITE PB

azelastine hcl ophthalmic G

bacitracin ophthalmic G

BEPREVE PB ST

BESIVANCE NPB

BETADINE OPHTHALMIC PREP NPB

BLEPH-10 NPB

bromfenac sodium (once-daily) G QL

BROMSITE NPB QL

CILOXAN NPB

ciprofloxacin hcl ophthalmic G

cromolyn sodium ophthalmic G

dexamethasone sodium phosphate ophthalmic G

diclofenac sodium ophthalmic G

DUREZOL NPB

epinastine hcl G

erythromycin ophthalmic G

FLAREX NPB ST

fluorometholone G

flurbiprofen sodium G

FML NPB ST

FML FORTE NPB ST

FML LIQUIFILM NPB ST

gatifloxacin ophthalmic G

gentak G

gentamicin sulfate ophthalmic G

ILEVRO PB QL

INVELTYS PB ST

ketorolac tromethamine ophthalmic G

KLARITY-A PB


102


KLARITY-B NPB

KLARITY-L NPB

levofloxacin ophthalmic G

LOTEMAX OPHTHALMIC GEL PB QL

LOTEMAX OPHTHALMIC OINTMENT PB QL

LOTEMAX OPHTHALMIC SUSPENSION PB

LOTEMAX SM PB

loteprednol etabonate G

MAXIDEX NPB ST

MITOSOL NPB

MOXEZA PB

moxifloxacin hcl ophthalmic G

NATACYN PB

NEVANAC NPB ST; QL

OCUFLOX NPB

ofloxacin ophthalmic G

olopatadine hcl ophthalmic G

PATADAY NPB ST

PATANOL NPB ST

PAZEO PB ST

POVIDONE-IODINE OPHTHALMIC NPB

PRED FORTE NPB ST

PRED MILD NPB ST

PREDNISOL ACE-MOXIFLOX-BROMFEN NPB

prednisolone sodium phosphate ophthalmic G

PREDNISOLON-MOXIFLOX-NEPAFENAC NPB

PROLENSA PB QL

sulfacetamide sodium ophthalmic G

tobramycin ophthalmic G

TOBREX NPB

trifluridine G

TRIPLE PMB NPB

TRIPLE PMK NPB

VIGAMOX NPB

ZIRGAN NPB

ZYMAXID NPB

Ophthalmic Agents - Drugs for Glaucoma

acetazolamide er G M


103


acetazolamide oral tablet 250 mg G M

ALPHAGAN P OPHTHALMIC SOLUTION 0.1 % PB M

ALPHAGAN P OPHTHALMIC SOLUTION 0.15 %

NPB M

apraclonidine hcl G

AZOPT NPB M

betaxolol hcl ophthalmic G M

BETIMOL NPB M

BETOPTIC-S NPB M

bimatoprost ophthalmic G M; QL

brimonidine tartrate ophthalmic G M

carteolol hcl G M

COMBIGAN PB M

COSOPT NPB ST; M

COSOPT PF OPHTHALMIC SOLUTION 22.3-6.8 MG/ML

NPB ST; M

dorzolamide hcl ophthalmic G M

dorzolamide hcl-timolol mal pf ophthalmic solution 22.3-6.8 mg/ml

G M

DORZOLAMIDE HCL-TIMOLOL MAL SOLUTION 22.3-6.8 MG/ML OPHTHALMIC

NPB ST; M

dorzolamide hcl-timolol mal solution 22.3-6.8 mg/ml ophthalmic

G M

IOPIDINE NPB

ISOPTO CARPINE NPB M

ISTALOL NPB ST; M

KEVEYIS NPB-S PA; QL

latanoprost ophthalmic G M

levobunolol hcl G M

LUMIGAN PB M; QL

methazolamide oral G M

PHOSPHOLINE IODIDE PB M

pilocarpine hcl ophthalmic G M

RHOPRESSA PB M

ROCKLATAN NPB ST; M; QL

SIMBRINZA NPB M

timolol maleate ophthalmic G M

TIMOPTIC NPB M

TIMOPTIC OCUDOSE NPB ST; M


104


TIMOPTIC-XE NPB M

TRAVATAN Z PB M; QL

VYZULTA NPB M; QL

XELPROS NPB ST; M; QL

ZIOPTAN NPB ST; M; QL

Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions

ak-poly-bac G

AKTEN NPB

ALCAINE NPB

altafrin G

ATROPINE SULFATE OPHTHALMIC EMULSION

NPB M

atropine sulfate ophthalmic ointment G M

atropine sulfate ophthalmic solution G M

bacitracin-polymyxin b ophthalmic G

bacitra-neomycin-polymyxin-hc G

BLEPHAMIDE NPB

BLEPHAMIDE S.O.P. NPB

CEQUA NPB M; QL

CYCLOGYL NPB M

CYCLOMYDRIL NPB M

cyclopentolate hcl ophthalmic G M

CYSTARAN PB-S PA; QL

DOUBLE PM NPB

GELFILM OPHTHALMIC NPB

homatropaire G M

homatropine hbr G M

ISOPTO ATROPINE NPB M

LACRISERT NPB

LASTACAFT NPB ST

MAXITROL NPB

neomycin-bacitracin zn-polymyx G

neomycin-polymyxin-dexameth ophthalmic ointment

G

neomycin-polymyxin-dexameth ophthalmic suspension 3.5-10000-0.1

G

neomycin-polymyxin-gramicidin G

neomycin-polymyxin-hc ophthalmic G


105


neo-polycin G

neo-polycin hc G

OXERVATE PB-S PA; QL

phenylephrine hcl ophthalmic G

polycin G

polymyxin b-trimethoprim G

POLYTRIM NPB

PRED-G NPB

PRED-G S.O.P. NPB

PREDNISOLONE ACETATE-NEPAFENAC NPB

PREDNISOLONE ACET-MOXIFLOXACIN NPB

PREDNISOLONE-BROMFENAC OPHTHALMIC SOLUTION

NPB

PREDNISOLONE-GATIFLOXACIN NPB

PREDNISOLONE-MOXIFLOXACIN NPB

PREDNISOLON-GATIFLOX-BROMFENAC OPHTHALMIC SOLUTION

NPB

PREDNISOLON-MOXIFLOX-BROMFENAC NPB

proparacaine hcl ophthalmic G

RESTASIS PB PA; M; QL

RESTASIS MULTIDOSE OPHTHALMIC EMULSION 0.05 %

PB PA; M; QL

sulfacetamide-prednisolone ophthalmic solution G

TOBRADEX OPHTHALMIC OINTMENT PB

TOBRADEX OPHTHALMIC SUSPENSION NPB

TOBRADEX ST PB

tobramycin-dexamethasone G

TROPICAMIDE-PHENYLEPHRINE NPB

XIIDRA PB M

ZYLET PB

Otic Agents - Drugs for Ear Conditions

acetic acid otic G

CETRAXAL NPB ST

CIPRO HC NPB

CIPRODEX PB

ciprofloxacin hcl otic G

COLY-MYCIN S NPB

cortic-nd G

DERMOTIC NPB


106


exotic-hc G

flac G

FLOXIN OTIC G

fluocinolone acetonide otic G

hydrocortisone-acetic acid G

neomycin-polymyxin-hc otic G

ofloxacin otic G

OTICIN HC NR NPB

OTIPRIO NPB

OTOVEL PB

PRAMOTIC NPB

Respiratory Tract / Pulmonary Agents - Drugs for Allergies, Cough, Cold

ADRENALIN NASAL NPB

ASTEPRO NPB QL

azelastine hcl nasal G QL

BECONASE AQ NPB ST; QL

benzonatate G

bromfed dm G

BROMPHENIRAMINE MALEATE INTRAMUSCULAR

NPB

brompheniramine tannate G

carbinoxamine maleate G

cetirizine hcl oral solution PB QL

CLARINEX NPB QL

CLARINEX-D 12 HOUR NPB QL

clemastine fumarate oral tablet 2.68 mg G

cyproheptadine hcl oral G

desloratadine PB QL

dexchlorpheniramine maleate oral G

DICOPANOL FUSEPAQ NPB

DICOPANOL RAPIDPAQ NPB

diphen oral elixir G

diphenhydramine hcl oral elixir G

DYMISTA PB ST; QL

flunisolide nasal PB QL

fluticasone propionate nasal PB

GILPHEX TR NPB

GILTUSS TR NPB


107


guaiatussin ac G OTC; QL

guaifenesin ac G OTC; QL

hydrocodone polst-cpm polst er G QL

hydrocodone-homatropine G QL

hydromet G QL

HYPERSAL NPB

ipratropium bromide nasal G

KARBINAL ER NPB

levocetirizine dihydrochloride oral solution PB

levocetirizine dihydrochloride oral tablet PB QL

mometasone furoate nasal PB QL

NASONEX NPB ST; QL

nebusal inhalation nebulization solution 3 % G

NEBUSAL INHALATION NEBULIZATION SOLUTION 6 %

NPB

NEOTUSS PLUS PB

NUCALA SUBCUTANEOUS SOLUTION AUTO-INJECTOR

PB-S PA; QL

NUCALA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

PB-S PA; QL

NUCALA SUBCUTANEOUS SOLUTION RECONSTITUTED

NPB QL

olopatadine hcl nasal G QL

OMNARIS NPB ST; QL

PATANASE NPB QL

phenadoz G

phenylephrine-guaifenesin oral liquid G

promethazine hcl oral syrup G

promethazine hcl oral tablet G

promethazine hcl rectal G

promethazine-codeine G QL

promethazine-dm G

promethazine-phenyleph-codeine G QL

promethazine-phenylephrine G

promethegan G

pseudoephedrine-bromphen-dm G

pulmosal G

QNASL PB ST; QL

QNASL CHILDRENS PB ST; QL


108


RYCLORA NPB

ryvent NPB

SEMPREX-D NPB

sodium chloride inhalation G

SSKI NPB

TESSALON PERLES NPB

TUSSICAPS NPB QL

TUXARIN ER NPB QL

TUZISTRA XR NPB QL

virtussin ac w/alc G OTC; QL

XHANCE NPB ST; QL

ZETONNA NPB ST; QL

Z-TUSS AC NPB OTC; QL

Respiratory Tract / Pulmonary Agents - Drugs for Asthma and Other Lung Conditions

ACCOLATE NPB ST; M; QL

acetylcysteine inhalation G

ADVAIR DISKUS NPB M; QL

ADVAIR HFA PB M; QL

AIRDUO RESPICLICK 113/14 PB M; QL



albuterol sulfate er G M

ALBUTEROL SULFATE HFA NPB M; QL

albuterol sulfate inhalation G M; QL

albuterol sulfate oral G M

ALVESCO NPB ST; M; QL

ANORO ELLIPTA PB M; QL

ARCAPTA NEOHALER PB M; QL

ARNUITY ELLIPTA PB M; QL

ASMANEX (120 METERED DOSES) PB M; QL





ASMANEX HFA PB M; QL

ATROVENT HFA PB M; QL


109


AUVI-Q INJECTION SOLUTION AUTO-INJECTOR 0.1 MG/0.1ML

NPB ST; QL

AUVI-Q INJECTION SOLUTION AUTO-INJECTOR 0.15 MG/0.15ML, 0.3 MG/0.3ML

NPB ST

BEVESPI AEROSPHERE PB M; QL

BREO ELLIPTA PB M; QL

BROVANA NPB ST; M; QL

budesonide inhalation G M; QL

COMBIVENT RESPIMAT PB QL

cromolyn sodium inhalation G M

DALIRESP ORAL TABLET 250 MCG PB PA

DALIRESP ORAL TABLET 500 MCG PB PA; QL

difil-g forte G

DULERA PB M; QL

ELIXOPHYLLIN NPB M

epinephrine injection solution 0.3 mg/0.3ml NPB

epinephrine injection solution auto-injector 0.15 mg/0.15ml

NPB


PB QL


G

EPIPEN 2-PAK NPB

EPIPEN JR 2-PAK PB QL

ESBRIET ORAL CAPSULE PB-S PA; QL

ESBRIET ORAL TABLET 267 MG PB-S PA; QL

ESBRIET ORAL TABLET 801 MG PB-S PA

FLOVENT DISKUS PB M; QL

FLOVENT HFA PB M; QL

fluticasone-salmeterol inhalation aerosol powder breath activated 100-50 mcg/dose, 250-50 mcg/dose, 500-50 mcg/dose

G M; QL

FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 MCG/ACT, 55-14 MCG/ACT

PB M; QL

INCRUSE ELLIPTA PB M; QL

ipratropium bromide inhalation G M; QL

ipratropium-albuterol G QL

levalbuterol hcl inhalation G QL


110


LEVALBUTEROL HFA INHALATION AEROSOL 45 MCG/ACT

NPB ST; QL

LONHALA MAGNAIR REFILL KIT NPB M; QL

LONHALA MAGNAIR STARTER KIT NPB M; QL

metaproterenol sulfate oral G M

montelukast sodium oral packet G M

montelukast sodium oral tablet G M; QL

montelukast sodium oral tablet chewable G M; QL

OFEV PB-S PA; QL

PERFOROMIST PB M; QL

PROAIR HFA G M; QL

PROAIR RESPICLICK PB M; QL

PROVENTIL HFA NPB ST; M; QL

PULMICORT FLEXHALER PB M; QL

PULMICORT SUSPENSION NPB ST; M; QL

QVAR REDIHALER PB M; QL

SEEBRI NEOHALER NPB M; QL

SEREVENT DISKUS PB M; QL

SINGULAIR ORAL PACKET NPB ST; M

SINGULAIR ORAL TABLET NPB ST; M; QL

SINGULAIR ORAL TABLET CHEWABLE NPB ST; M; QL

SPIRIVA HANDIHALER PB ST; M; QL

SPIRIVA RESPIMAT PB M; QL

STIOLTO RESPIMAT PB M; QL

STRIVERDI RESPIMAT PB M; QL

SYMBICORT PB M; QL

SYMJEPI NPB

terbutaline sulfate oral G M

THEO-24 NPB M

theochron G M

theophylline G M

theophylline er G M

TRELEGY ELLIPTA PB M; QL

TUDORZA PRESSAIR PB QL

UTIBRON NEOHALER NPB M; QL

VENTOLIN HFA PB M; QL

wixela inhub G M; QL

XOPENEX NPB QL


111


XOPENEX CONCENTRATE NPB QL

XOPENEX HFA NPB ST; QL

YUPELRI PB M; QL

zafirlukast G M; QL

zileuton er G ST; M; QL

ZYFLO NPB ST; M

Respiratory Tract / Pulmonary Agents - Drugs for Cystic Fibrosis

CAYSTON PB-S QL

KALYDECO PB-S PA

KITABIS PAK PB QL

ORKAMBI PB-S PA; QL

PULMOZYME PB

SYMDEKO PB-S PA; QL

TOBI NEBULIZER NPB QL

TOBI PODHALER PB QL

tobramycin nebulization solution 300 mg/5ml inhalation

G QL

TOBRAMYCIN NEBULIZATION SOLUTION 300 MG/5ML INHALATION

NPB QL

Respiratory Tract / Pulmonary Agents - Drugs for Pulmonary Hypertension

ADCIRCA NPB-S PA; QL

ADEMPAS PB-S PA; QL

alyq G-S PA; QL

ambrisentan G PA; QL

bosentan G PA; QL

LETAIRIS PB-S PA; QL

OPSUMIT PB-S PA; QL

ORENITRAM NPB-S PA

REVATIO ORAL NPB-S PA; QL

sildenafil citrate oral suspension reconstituted G PA; QL

sildenafil citrate oral tablet 20 mg G-S PA; QL

tadalafil (pah) G-S PA; QL

TRACLEER PB-S PA; QL

UPTRAVI PB-S PA; QL

VENTAVIS NPB-S PA; QL


112


Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm

ACTIVE-CYCLOBENZAPRINE NPB

AMRIX NPB ST

baclofen external G

baclofen oral tablet 10 mg, 20 mg G

baclofen oral tablet 5 mg NPB

carisoprodol oral G

carisoprodol-aspirin G

chlorzoxazone oral tablet 250 mg G ST

chlorzoxazone oral tablet 375 mg, 500 mg, 750 mg

G PA

cyclobenzaprine hcl er G

cyclobenzaprine hcl oral G

CYCLOPHENE RAPIDPAQ NPB

DANTRIUM ORAL NPB ST

dantrolene sodium oral G

ENOVARX-BACLOFEN NPB

enovarx-cyclobenzaprine hcl cream 20 mg/gm transdermal

G

ENOVARX-CYCLOBENZAPRINE HCL CREAM 20 MG/GM TRANSDERMAL

NPB

FEXMID NPB ST

FIRST-BACLOFEN NPB

LORZONE NPB ST

METAXALL CP NPB

metaxalone G

methocarbamol oral G

NORGESIC FORTE NPB ST

orphenadrine citrate er G

orphenadrine-aspirin-caffeine G ST

ORPHENGESIC FORTE NPB ST

ROBAXIN-750 NPB ST

SKELAXIN NPB ST

SOMA NPB ST

TABRADOL FUSEPAQ NPB

TABRADOL RAPIDPAQ NPB

tizanidine hcl oral G

ZANAFLEX NPB ST


113


Sleep Disorder Agents

AMBIEN NPB ST; QL

AMBIEN CR NPB ST; QL

armodafinil G PA; QL

BELSOMRA NPB ST; QL

BUTISOL SODIUM NPB

EDLUAR NPB ST; QL

eszopiclone G QL

flurazepam hcl G QL

HETLIOZ NPB-S ST; QL

INTERMEZZO NPB ST; QL

LUNESTA NPB ST; QL

modafinil G PA; QL

NUVIGIL NPB PA; QL

PROVIGIL NPB PA; QL

ramelteon G ST; QL

RESTORIL NPB QL

ROZEREM NPB ST; QL

SECONAL G

SILENOR NPB ST; QL

temazepam G QL

XYREM PB-S PA; QL

zaleplon G QL

zolpidem tartrate G QL

zolpidem tartrate er G QL


114


115

Index of Drugs

abacavir sulfate.........................39abacavir sulfate-lamivudine...... 39abacavir-lamivudine-zidovudine.................................39ABILIFY.....................................37ABILIFY MAINTENA................. 37ABILIFY MYCITE...................... 37abiraterone acetate................... 31ABSORICA............................... 56ABSTRAL..................................10acamprosate calcium................ 17ACANYA................................... 56acarbose................................... 65ACCOLATE.............................109ACCU-CHEK AVIVA CONNECT KIT W/DEVICE.......67ACCU-CHEK AVIVA PLUS.......67ACCU-CHEK COMPACT PLUS TEST STRIPS................ 67ACCU-CHEK GUIDE................ 67ACCU-CHEK GUIDE ME..........67ACCU-CHEK NANO SMARTVIEW KIT W/DEVICE...67ACCU-CHEK SMARTVIEW TEST STRIPS...........................67ACCUPRIL................................43ACCURETIC............................. 43acebutolol hcl............................ 43acetaminophen-codeine............10acetaminophen-codeine #2.......10acetaminophen-codeine #3.......10acetaminophen-codeine #4.......10acetazolamide...................44, 104acetazolamide er.....................103acetic acid............................... 106acetylcysteine......................... 109ACIPHEX.................................. 76ACIPHEX SPRINKLE............... 76acitretin..................................... 56ACTEMRA................................ 95ACTEMRA ACTPEN.................95ACTHIB.....................................97ACTICLATE.............................. 17ACTIGALL.................................77ACTIQ....................................... 10ACTIVE FE............................... 70ACTIVE INJECTION BLM-1..... 82ACTIVE INJECTION BM...........82ACTIVE INJECTION DL........... 82ACTIVE INJECTION DLM........ 82ACTIVE INJECTION KET-L......13

ACTIVE INJECTION KETMARC-L............................. 13ACTIVE INJECTION KIT L....... 83ACTIVE INJECTION KM...........83ACTIVE INJECTION LM-2........16ACTIVE INJECTION LM-DEP-2................................................ 83ACTIVE INJECTION M-1..........83ACTIVE-CYCLOBENZAPRINE................................................ 113ACTIVE-KETOPROFEN........... 13ACTIVELLA...............................87ACTIVE-PREP KIT I................. 13ACTIVE-PREP KIT II ................ 13ACTIVE-PREP KIT III ............... 13ACTIVE-PREP KIT IV............... 56ACTIVE-PREP KIT V................ 56ACTIVE-TRAMADOL................56ACTONEL............................... 100ACTOPLUS MET...................... 65ACTOS......................................65ACULAR................................. 102ACULAR LS............................ 102ACUVAIL.................................102acyclovir.................................... 39ACZONE................................... 56ADACEL....................................97ADALAT CC..............................44adapalene................................. 56ADAPALENE............................ 56adapalene-benzoyl peroxide.....56ADASUVE.................................37adc/f (0.5mg/ml)........................ 70ADCIRCA................................112ADDERALL............................... 52ADDERALL XR......................... 52ADDYI....................................... 54adefovir dipivoxil ....................... 39ADEMPAS.............................. 112ADHANSIA XR..........................52ADIPEX-P................................. 54ADLYXIN...................................65ADLYXIN STARTER PACK...... 65ADMELOG................................ 69ADMELOG SOLOSTAR........... 69ADRENALIN........................... 107ADVAIR DISKUS.................... 109ADVAIR HFA.......................... 109ADZENYS ER........................... 52ADZENYS XR-ODT.................. 52AEMCOLO................................ 17AFINITOR................................. 31

AFINITOR DISPERZ.................31afirmelle.................................... 87AFLURIA QUADRIVALENT......97AFREZZA..................................69AGGRENOX............................. 37AGRYLIN.................................. 43AIF #2 DRUG PREPARATION KIT............................................ 13AIF #3 DRUG PREPARATION KIT............................................ 13AIMOVIG...................................29AIRDUO RESPICLICK 113/14109AIRDUO RESPICLICK 232/14109AIRDUO RESPICLICK 55/14..109AJOVY...................................... 29ak-poly-bac............................. 105AKTEN.................................... 105AKTIPAK...................................57AKYNZEO.................................26ALA SCALP.............................. 57ala-cort...................................... 57albendazole...............................35ALBENZA..................................35albuterol sulfate.......................109albuterol sulfate er.................. 109ALBUTEROL SULFATE HFA. 109ALCAINE.................................105alclometasone dipropionate...... 57ALDACTAZIDE......................... 44ALDACTONE............................ 44ALDARA....................................57ALECENSA...............................31alendronate sodium................ 100alfuzosin hcl er.......................... 82ALINIA.......................................35aliskiren fumarate......................44ALKERAN................................. 31allopurinol..................................29ALLZITAL..................................10almotriptan malate.................... 29ALOCRIL.................................102ALOGLIPTIN BENZOATE........ 65ALOGLIPTIN-METFORMIN HCL...........................................65ALOGLIPTIN-PIOGLITAZONE. 65ALOMIDE................................102ALORA......................................87alosetron hcl..............................77ALPHAGAN P......................... 104ALPHA-LIPOIC ACID..............100alprazolam................................ 42alprazolam er............................ 42

116

alprazolam intensol................... 42alprazolam xr............................ 42ALREX.................................... 102ALTABAX..................................17ALTACE.................................... 44altafrin..................................... 105altavera..................................... 87ALTOPREV...............................44ALTRENO................................. 57ALUNBRIG................................31ALVESCO............................... 109alyacen 1/35..............................87alyacen 7/7/7.............................87alyq......................................... 112amabelz.................................... 87amantadine hcl..........................36AMARYL................................... 65AMBIEN.................................. 114AMBIEN CR............................ 114ambrisentan............................ 112amcinonide................................57AMERGE.................................. 29amethia..................................... 87amethia lo................................. 87amethyst................................... 87AMICAR.................................... 43amiloride hcl..............................44amiloride-hydrochlorothiazide... 44aminobenzoate potassium........ 70aminocaproic acid..................... 43amiodarone hcl......................... 44AMITIZA....................................77amitriptyline hcl......................... 24AMLODIPINE BES+SYRSPEND SF............... 44amlodipine besylate.................. 44amlodipine besylate-benazepril hcl............................................. 44amlodipine besylate-valsartan.. 44amlodipine-atorvastatin.............44amlodipine-olmesartan..............44amlodipine-valsartan-hctz......... 44ammonium lactate.....................57amnesteem............................... 57amoxapine................................ 24amoxicill-clarithro-lansopraz..... 77amoxicillin................................. 17amoxicillin-potassium clavulanate................................17amoxicillin-potassium clavulanate er............................17amphetamine sulfate.................52

amphetamine-dextroamphetamine.................. 52amphetamine-dextroamphetamine er.............. 52ampicillin................................... 17AMPYRA...................................53AMRIX.....................................113ANAFRANIL..............................24anagrelide hcl............................43ANALPRAM HC........................ 98ANALPRAM HC SINGLES....... 98ANALPRAM-HC........................98ANASPAZ................................. 77anastrozole............................... 31ANCOBON................................27ANDRODERM.......................... 84ANDROGEL..............................85ANDROGEL PUMP.................. 84ANGELIQ.................................. 87ANORO ELLIPTA................... 109ANTABUSE...............................17ANTARA................................... 44anucort-hc................................. 98ANUSOL-HC.............................99anusol-hc.................................. 99ANZEMET.................................26APADAZ....................................10apap-caff-dihydrocodeine......... 10APEXICON E............................ 57APIDRA SOLOSTAR................ 69APIDRA VIAL............................69APLENZIN................................ 24APOKYN................................... 36apraclonidine hcl..................... 104aprepitant.................................. 26apri............................................ 87APRISO.................................... 99APTENSIO XR..........................52APTIOM.................................... 21APTIVUS...................................39AQUACEL AG BURN............... 57ARAKODA................................ 35aranelle..................................... 87ARAVA......................................95ARCALYST............................... 95ARCAPTA NEOHALER.......... 109ARGININE HCL........................ 70ARICEPT.................................. 23ARIKAYCE................................17ARIMIDEX.................................31aripiprazole............................... 37ARISTADA................................ 38ARISTADA INITIO.................... 38

ARIXTRA.................................. 21armodafinil .............................. 114ARMOUR THYROID.................94ARNUITY ELLIPTA.................109AROMASIN...............................31ARTHROTEC............................13ARYMO ER...............................10arzol silver nit applicators..........57ASACOL HD............................. 99ascomp-codeine........................10ashlyna......................................87ASMANEX (120 METERED DOSES).................................. 109ASMANEX (14 METERED DOSES).................................. 109ASMANEX (30 METERED DOSES).................................. 109ASMANEX (60 METERED DOSES).................................. 109ASMANEX (7 METERED DOSES).................................. 109ASMANEX HFA...................... 109aspirin-dipyridamole er..............37ASTAGRAF XL......................... 95ASTEPRO...............................107ATABEX OB..............................70ATACAND.................................44ATACAND HCT........................ 44atazanavir sulfate......................39ATELVIA................................. 100atenolol..................................... 44ATENOLOL+SYRSPEND SF... 44atenolol-chlorthalidone..............44ATIVAN..................................... 42atomoxetine hcl.........................52atorvastatin calcium.................. 44atovaquone............................... 35atovaquone-proguanil hcl..........35ATRALIN...................................57ATRIPLA................................... 39ATROPEN.................................77ATROPINE SULFATE............ 105atropine sulfate....................... 105ATROVENT HFA.................... 109AUBAGIO..................................53aubra.........................................87aubra eq....................................87AUGMENTIN............................ 18AUGMENTIN ES-600............... 17aurovela 1.5/30......................... 87aurovela 1/20............................ 87aurovela 24 fe........................... 87aurovela fe 1.5/30..................... 88

117

aurovela fe 1/20........................ 88AURYXIA.................................. 80AUSTEDO.................................54AUVI-Q....................................110AVALIDE...................................44AVANDIA.................................. 65AVAPRO................................... 44AVAR LS CLEANSER.............. 57AVAR-E EMOLLIENT............... 57AVAR-E GREEN.......................57AVAR-E LS............................... 57AVC VAGINAL.......................... 27aviane....................................... 88avidoxy......................................18avita.......................................... 57AVODART.................................82AVONEX PEN...........................53AVONEX PREFILLED.............. 53AXIFOL..................................... 70AYGESTIN................................88ayuna........................................ 88AZASAN....................................95AZASITE................................. 102azathioprine.............................. 95azelaic acid............................... 57azelastine hcl.................. 102, 107AZELEX.................................... 57AZILECT................................... 36azithromycin..............................18AZOPT.................................... 104AZOR........................................ 44AZULFIDINE............................. 99AZULFIDINE EN-TABS............ 99azurette..................................... 88bacitracin.................................102bacitracin-polymyxin b............ 105bacitra-neomycin-polymyxin-hc................................................ 105baclofen.................................. 113BACTERIOSTATIC WATER(BENZ ALC)............... 100BACTRIM..................................18BACTRIM DS............................18BALCOLTRA.............................88balsalazide disodium.................99BALVERSA............................... 31balziva.......................................88BANZEL.................................... 21BARACLUDE............................ 39BASAGLAR KWIKPEN............. 69BAXDELA................................. 18BCAA........................................ 70bd pudendal/local tray/1% lido.. 16

BECONASE AQ......................107bekyree..................................... 88BELBUCA................................. 10belladonna alkaloids-opium...... 77BELSOMRA............................ 114BELVIQ..................................... 54BELVIQ XR............................... 54benazepril hcl............................44benazepril-hydrochlorothiazide. 44BENICAR.................................. 44BENICAR HCT..........................44BENLYSTA............................... 95BENZAC AC WASH..................57BENZACLIN..............................57BENZACLIN WITH PUMP........ 57BENZAMYCIN.......................... 57benzepro................................... 57benzepro foaming cloths...........57BENZEPRO SHORT CONTACT.................................57BENZHYDROCODONE-ACETAMINOPHEN...................10BENZIQ.....................................57BENZIQ LS............................... 57BENZIQ WASH.........................57BENZNIDAZOLE...................... 35benzonatate............................ 107BENZOYL PEROX-HYDROCORTISONE................57benzoyl peroxide.......................57BENZOYL PEROXIDE..............57BENZOYL PEROXIDE FORTE- HC.............................. 57benzoyl peroxide-erythromycin. 57benzphetamine hcl....................54benztropine mesylate................36BEPREVE............................... 102beser......................................... 57BESIVANCE........................... 102BETADINE OPHTHALMIC PREP...................................... 102BETALIDO................................ 83betamethasone dipropionate.... 58betamethasone dipropionate aug............................................ 58betamethasone valerate........... 58BETAPACE...............................44BETAPACE AF......................... 44BETASERON............................53betaxolol hcl...................... 44, 104bethanechol chloride.................80BETIMOL................................ 104BETOPTIC-S.......................... 104

BEVESPI AEROSPHERE.......110BEVYXXA................................. 21bexarotene................................ 31BEXSERO.................................97BEYAZ...................................... 88bicalutamide..............................31BIDIL......................................... 44BI-EST 80:20 PROGESTERONE....................88BIEST/PROGESTERONE........ 88BIJUVA..................................... 88BIKTARVY................................ 39BILTRICIDE.............................. 35bimatoprost............................. 104BINOSTO................................100BIO-STATIN..............................27bio-statin................................... 27BIOTEL CARE BLOOD GLUCOSE SYST...................... 67bisoprolol fumarate................... 44bisoprolol-hydrochlorothiazide.. 44BLEPH-10............................... 102BLEPHAMIDE.........................105BLEPHAMIDE S.O.P.............. 105blisovi 24 fe............................... 88blisovi fe 1.5/30......................... 88blisovi fe 1/20............................ 88BONIVA.................................. 100BONJESTA............................... 26BOOSTRIX............................... 97bosentan................................. 112BOSULIF...................................31bp cleansing wash.................... 58bp foam..................................... 58bp wash.....................................58bpo............................................ 58BRAFTOVI................................ 31BREO ELLIPTA...................... 110briellyn.......................................88BRILINTA..................................37brimonidine tartrate................. 104BRISDELLE.............................. 24BRIVIACT................................. 21bromfed dm.............................107bromfenac sodium (once-daily)................................................ 102bromocriptine mesylate.............36BROMPHENIRAMINE MALEATE............................... 107brompheniramine tannate....... 107BROMSITE............................. 102BROVANA.............................. 110BRYHALI...................................58

118

budesonide....................... 99, 110budesonide er........................... 99bumetanide............................... 45BUMEX..................................... 45BUNAVAIL................................ 17BUPAP......................................10BUPHENYL...............................80BUPIVACAINE HCL..................16BUPIVACAINE HCL-NACL.......16BUPIVILOG...............................83buprenorphine...........................10BUPRENORPHINE...................10buprenorphine hcl..................... 17buprenorphine hcl-naloxone hcl............................................. 17bupropion hcl............................ 24bupropion hcl er (smoking det). 17bupropion hcl er (sr)..................24bupropion hcl er (xl).................. 24BUPROPION HCL ER (XL)...... 24buspirone hcl.............................42BUTALBITAL-ACETAMINOPHEN...................10butalbital-acetaminophen..........10butalbital-apap-caff-cod............ 10butalbital-apap-caffeine.............10butalbital-asa-caff-codeine........10butalbital-aspirin-caffeine.......... 10BUTISOL SODIUM................. 114butorphanol tartrate...................10BUTRANS.................................10BYDUREON..............................65BYDUREON BCISE AUTOINJECTOR...................... 65BYETTA 10 MCG PEN............. 65BYETTA 5 MCG PEN............... 65BYSTOLIC................................ 45cabergoline............................... 85CABOMETYX........................... 32CADUET................................... 45CAFERGOT.............................. 30caffeine citrate...........................54CALAN...................................... 45CALAN SR................................ 45CALCIFOL................................ 70calcipotriene..............................58calcipotriene-betameth diprop...58calcitonin (salmon).................. 100CALCITRENE........................... 58calcitriol............................. 58, 100calcium acetate (phos binder)...80calcium-folic acid plus d............ 70CALQUENCE............................32

CAMBIA.................................... 13camila........................................88camrese.................................... 88camrese lo................................ 88CANASA................................... 99candesartan cilexetil ................. 45candesartan cilexetil-hctz..........45CANTHARIDIN......................... 58capecitabine..............................32CAPEX......................................58CAPRELSA...............................32captopril .................................... 45captopril-hydrochlorothiazide.... 45CARAC..................................... 58CARAFATE...............................76CARBAGLU.............................. 70carbamazepine......................... 21carbamazepine er..................... 21CARBATROL............................ 21carbidopa.................................. 36carbidopa-levodopa.................. 36carbidopa-levodopa er.............. 36carbidopa-levodopa-entacapone............................... 36carbinoxamine maleate...........107CARDIZEM............................... 45CARDIZEM CD......................... 45CARDIZEM LA..........................45CARDURA................................ 45CARDURA XL...........................82carisoprodol............................ 113carisoprodol-aspirin.................113carisoprodol-aspirin-codeine.....10CARNITOR............................... 70CARNITOR SF..........................70CAROSPIR............................... 45carteolol hcl.............................104cartia xt..................................... 45carvedilol...................................45carvedilol phosphate er.............45cascara sagrada....................... 77CASODEX................................ 32CATAPRES...............................45CATAPRES-TTS-1................... 45CATAPRES-TTS-2................... 45CATAPRES-TTS-3................... 45cavarest.................................... 55CAYSTON...............................112caziant.......................................88cefaclor..................................... 18cefaclor er................................. 18cefadroxil ...................................18cefdinir...................................... 18

cefditoren pivoxil ....................... 18cefixime.....................................18cefpodoxime proxetil ................. 18cefprozil .....................................18cefuroxime axetil ....................... 18CELEBREX...............................13celecoxib................................... 13CELEXA....................................24CELLCEPT............................... 95CELONTIN................................21CENTANY.................................18CENTRATEX............................ 70cephalexin.................................18CEQUA................................... 105CERDELGA.............................. 80CETACAINE............................. 16cetirizine hcl............................ 107CETRAXAL............................. 106CETROTIDE............................. 85cevimeline hcl........................... 55CHANTIX.................................. 17CHANTIX CONTINUING MONTH PAK.............................17CHANTIX STARTING MONTH PAK...........................................17chateal...................................... 88chateal eq................................. 88CHEMET...................................70CHENODAL.............................. 77chlordiazepoxide hcl................. 42chlordiazepoxide-amitriptyline...24chlordiazepoxide-clidinium........77chlorhexidine gluconate............ 55chloroquine phosphate..............35chlorothiazide............................45chlorpromazine hcl....................38chlorthalidone............................45chlorzoxazone.........................113CHOLBAM................................ 77cholestyramine..........................45cholestyramine light.................. 45choline fenofibrate.....................45choline-mag trisalicylate............13chorionic gonadotropin..............85ciclodan.....................................27CICLODAN SOLUTION............ 27ciclopirox................................... 27ciclopirox olamine..................... 27cilostazol................................... 37CILOXAN................................ 102CIMDUO................................... 39cimetidine..................................76cimetidine hcl............................ 76

119

CIMZIA......................................95CIMZIA PREFILLED KIT...........95CIMZIA STARTER KIT............. 95cinacalcet hcl............................ 85CIPRO.......................................18CIPRO HC.............................. 106CIPRODEX............................. 106ciprofloxacin.............................. 18ciprofloxacin hcl........ 18, 102, 106citalopram hydrobromide.......... 24CITRANATAL BLOOM..............70CITRANATAL MEDLEY............70claravis......................................58CLARINEX.............................. 107CLARINEX-D 12 HOUR..........107clarithromycin............................18clarithromycin er........................18clemastine fumarate................107CLENPIQ.................................. 77CLEOCIN.................................. 18CLEOCIN-T...............................58CLIMARA.................................. 88CLIMARA PRO......................... 88clindacin etz.............................. 58clindacin-p.................................58CLINDAGEL..............................58clindamycin hcl..........................18clindamycin palmitate hcl.......... 18clindamycin phosphate....... 18, 58CLINDAMYCIN PHOSPHATE.. 58clindamycin phosphate-benzoyl peroxide.......................58clindamycin-tretinoin................. 58CLINDESSE..............................18CLINOIN................................... 58clinpro 5000.............................. 55clobazam...................................21clobetasol prop emollient base. 58clobetasol propionate................58clobetasol propionate e.............58clobetasol propionate emulsion 58CLOBEX................................... 58CLOBEX SPRAY...................... 58clocortolone pivalate................. 58clodan....................................... 58CLODERM................................ 59clomiphene citrate.....................85clomipramine hcl....................... 24clonazepam...............................42clonidine....................................45clonidine hcl.............................. 45clonidine hcl er.......................... 52clopidogrel bisulfate.................. 37

clorazepate dipotassium........... 42clotrimazole...............................27clotrimazole-betamethasone.....59clovique.....................................70clozapine...................................38CLOZARIL................................ 38coal tar...................................... 59COARTEM................................ 35cocaine hcl................................ 16codeine sulfate..........................10COENZYME Q-10...................100COLAZAL..................................99COLCHICINE............................29colchicine-probenecid............... 29COLCRYS.................................29colesevelam hcl........................ 45COLESTID................................ 45COLESTID FLAVORED............45colestipol hcl............................. 45colistimethate sodium (cba)...... 18colocort..................................... 99COLY-MYCIN M....................... 18COLY-MYCIN S...................... 106COLYTE WITH FLAVOR PACKS......................................77COMBIGAN............................ 104COMBIPATCH.......................... 88COMBIVENT RESPIMAT....... 110COMBIVIR................................ 39COMETRIQ (100 MG DAILY DOSE).......................................32COMETRIQ (140 MG DAILY DOSE).......................................32COMETRIQ (60 MG DAILY DOSE).......................................32COMPLERA..............................39compro...................................... 26COMTAN.................................. 36CONCERTA..............................52CONDYLOX..............................59constulose.................................77CONTOUR NEXT MONITOR... 67CONTOUR NEXT TEST........... 67CONTOUR TEST......................67CONTRAST ALLERGY PREMED PACK........................83CONTRAVE.............................. 54CONZIP.................................... 10COPAXONE..............................53COPIKTRA................................32CORDRAN................................59COREG.....................................45COREG CR...............................45

coremino................................... 18CORGARD................................45CORLANOR..............................45CORTANE-B.............................59CORTEF................................... 83CORTENEMA........................... 99cortic-nd.................................. 106CORTIFOAM............................ 99cortisone acetate.......................83CORTISPORIN......................... 59corvita 150................................ 70CORVITE 150........................... 70CORVITE FE............................ 70COSENTYX (300 MG DOSE)...95COSENTYX 150 MG/ML.......... 95COSENTYX SENSOREADY (300 MG)...................................95COSENTYX SENSOREADY PEN...........................................95COSOPT.................................104COSOPT PF........................... 104COTELLIC................................ 32COTEMPLA XR-ODT............... 52COUMADIN.............................. 21covaryx......................................88covaryx hs.................................88COZAAR................................... 45CREON..................................... 80CRESEMBA..............................27CRESTOR................................ 46CRINONE................................. 88CRIXIVAN................................. 39cromolyn sodium.......77, 102, 110crotan........................................ 35cryselle-28.................................88CUPRIMINE..............................80CUTAQUIG............................... 95CUTIVATE................................ 59CUVPOSA................................ 77cyanocobalamin........................ 70CYANOCOBALAMIN................ 70cyclafem 1/35............................88cyclafem 7/7/7...........................88cyclobenzaprine hcl................ 113cyclobenzaprine hcl er............ 113CYCLOGYL............................ 105CYCLOMYDRIL...................... 105cyclopentolate hcl................... 105CYCLOPHENE RAPIDPAQ....113cyclophosphamide.................... 32cycloserine................................ 31CYCLOSET...............................65cyclosporine.............................. 95

120

cyclosporine modified............... 95CYMBALTA...............................24cyproheptadine hcl..................107cyred......................................... 88cyred eq.................................... 88CYSTAGON..............................80CYSTARAN............................ 105CYTOMEL.................................94CYTOTEC.................................76cytra k crystals.......................... 70D.H.E. 45.................................. 30dalfampridine er........................ 53DALIRESP.............................. 110danazol..................................... 85DANDELION........................... 100DANTRIUM............................. 113dantrolene sodium.................. 113dapsone.............................. 31, 59DAPTACEL............................... 97DARAPRIM............................... 35darifenacin hydrobromide er..... 80dasetta 1/35.............................. 88dasetta 7/7/7............................. 88DAURISMO...............................32DAYPRO...................................13daysee...................................... 88DAYTRANA.............................. 52DDAVP......................................85DDAVP RHINAL TUBE.............85DEBACTEROL..........................55deblitane................................... 88DECADRON............................. 83deferasirox................................ 71DELESTROGEN.......................89DELSTRIGO............................. 39delyla.........................................89DELZICOL................................ 99demeclocycline hcl....................18DEMSER...................................46DENAVIR.................................. 39denta 5000 plus........................ 55dentagel.................................... 55DEPAKOTE.............................. 21DEPAKOTE ER........................ 21DEPAKOTE SPRINKLES......... 21DEPEN TITRATABS.................80DEPO-ESTRADIOL.................. 89DEPO-MEDROL....................... 83DEPO-PROVERA..................... 89DEPO-SUBQ PROVERA 104...89DEPO-TESTOSTERONE......... 85DEPRIZINE FUSEPAQ.............76DERMA-SMOOTHE/FS BODY.59

DERMA-SMOOTHE/FS SCALP...................................... 59DERMOTIC.............................106DESCOVY................................ 39desipramine hcl.........................24desloratadine.......................... 107desmopressin ace spray refrig..86desmopressin acetate...............86desmopressin acetate spray..... 86desogestrel-ethinyl estradiol..... 89DESONATE.............................. 59desonide................................... 59DESOWEN............................... 59desoximetasone........................59DESOXYN................................ 52DESVENLAFAXINE ER............24desvenlafaxine succinate er......24DETROL................................... 80DETROL LA.............................. 80dexamethasone........................ 83dexamethasone intensol........... 83DEXAMETHASONE SOD PHOS-BUPIV............................83dexamethasone sod phosphate pf............................. 83dexamethasone sodium phosphate............................... 102dexchlorpheniramine maleate.107DEXEDRINE............................. 52DEXILANT................................ 76DEXLIDO.................................. 83DEXLIDO-M.............................. 83dexmethylphenidate hcl............ 52dexmethylphenidate hcl er........ 52DEXOPIN..................................83DEXPAK 10 DAY...................... 83DEXPAK 13 DAY...................... 83DEXPAK 6 DAY........................ 83DEXPANTHENOL.....................71dextroamphetamine sulfate.......52dextroamphetamine sulfate er.. 52DIACOMIT................................ 21DIASTAT ACUDIAL.................. 21DIASTAT PEDIATRIC...............21DIATHRIVE BLOOD GLUCOSE TEST...................... 67DIATHRIVE GLUCOSE TEST.. 67diazepam............................ 21, 42diazepam intensol..................... 42DIBENZYLINE.......................... 46DICLEGIS................................. 26DICLOFENAC EPOLAMINE.....13diclofenac potassium................ 13

diclofenac sodium....... 13, 59, 102diclofenac sodium er................. 13diclofenac-misoprostol.............. 13dicloxacillin sodium................... 18DICOPANOL FUSEPAQ.........107DICOPANOL RAPIDPAQ....... 107dicyclomine hcl..........................77didanosine.................................39diethylpropion hcl...................... 54diethylpropion hcl er..................54DIFFERIN................................. 59DIFICID..................................... 18difil-g forte............................... 110diflorasone diacetate.................59DIFLUCAN.......................... 27, 28diflunisal.................................... 13digitek........................................46digox......................................... 46digoxin.......................................46dihydroergotamine mesylate.....30DILANTIN..................................22DILANTIN INFATABS............... 22DILATRATE-SR........................ 46DILAUDID................................. 10diltiazem hcl.............................. 46diltiazem hcl er.......................... 46diltiazem hcl er beads............... 46diltiazem hcl er coated beads... 46dilt-xr......................................... 46dimenhydrinate......................... 26DIOVAN.................................... 46DIOVAN HCT............................46DIPENTUM............................... 99diphen..................................... 107diphenhydramine hcl...............107diphenoxylate-atropine..............77DIPHTHERIA-TETANUS TOXOIDS DT............................ 97DIPROLENE............................. 59DIPROLENE AF........................59dipyridamole..............................37disopyramide phosphate...........46disulfiram...................................17DITROPAN XL.................... 80, 81DIURIL...................................... 46divalproex sodium..................... 22divalproex sodium er.................22DIVIGEL....................................89dofetilide....................................46DOLOPHINE.............................10donepezil hcl............................. 23DONNATAL.............................. 77DOPTELET............................... 43

121

DORAL......................................42DORYX..................................... 18DORYX MPC............................ 18dorzolamide hcl.......................104DORZOLAMIDE HCL-TIMOLOL MAL........................104dorzolamide hcl-timolol mal.... 104dorzolamide hcl-timolol mal pf 104dotti ........................................... 89DOUBLE PM...........................105DOVATO...................................39DOVONEX................................ 59doxazosin mesylate.................. 46doxepin hcl..........................24, 59doxercalciferol.........................100doxycycline............................... 59doxycycline hyclate................... 19doxycycline monohydrate......... 19doxylamine-pyridoxine.............. 26D-PENAMINE........................... 81DRISDOL.................................. 71DRITHO-CREME HP................ 59dronabinol................................. 26drospiren-eth estrad-levomefol. 89drospirenone-ethinyl estradiol...89DROXIA.................................... 32DRYSOL................................... 59DSUVIA.....................................10DUAC........................................59DUAL COMPLEX FORMULA 1 KIT............................................ 13DUAVEE................................... 89DUETACT................................. 65DUEXIS.....................................14DULERA................................. 110duloxetine hcl............................ 24DUOBRII................................... 59DUPIXENT................................59DURAGESIC-100..................... 10DURAGESIC-12....................... 10DURAGESIC-25....................... 10DURAGESIC-50....................... 10DURAGESIC-75....................... 10duraxin...................................... 11DUREZOL...............................102DURLAZA................................. 37dutasteride................................ 82dutasteride-tamsulosin hcl........ 82DUTOPROL.............................. 46DVORAH...................................11DXEVO 11-DAY........................83DYANAVEL XR.........................52DYAZIDE.................................. 46

DYMISTA................................ 107DYRENIUM...............................46DYURAL-40.............................. 83DYURAL-80.............................. 83DYURAL-L................................ 83DYURAL-LM............................. 83E.E.S. 400.................................19E.E.S. GRANULES................... 19easygel......................................55EASYPLUS BLOOD GLUCOSE TEST...................... 67EC-NAPROSYN........................14ec-naproxen.............................. 14econazole nitrate.......................28ECOZA......................................28EC-RX DHEA..........................100EC-RX ESTRADIOL................. 89EC-RX PROGESTERONE....... 89EDARBI.....................................46EDARBYCLOR......................... 46EDECRIN..................................46EDLUAR................................. 114EDURANT.................................39eemt.......................................... 89eemt hs..................................... 89efavirenz................................... 39EFFER-K...................................71effer-k........................................71EFFEXOR XR........................... 24EFFIENT................................... 37EFUDEX................................... 59EGATEN................................... 35EGRIFTA.................................. 86ELESTRIN................................ 89eletriptan hydrobromide............ 30ELIDEL......................................60ELIGARD.................................. 86ELIMITE.................................... 35elinest........................................89ELIQUIS....................................21ELIQUIS STARTER PACK....... 21ELITE-OB..................................71ELIXOPHYLLIN...................... 110ELLA......................................... 89ELMIRON..................................81ELOCON...................................60EMBRACE TALK GLUCOSE TEST.........................................67EMBRACE TALK MONITORING SYSTEM...........67EMCYT..................................... 32EMEND..................................... 26EMEND TRI-PACK................... 27

EMFLAZA................................. 29EMGALITY................................30EMGALITY (300 MG DOSE).... 30emoquette................................. 89EMSAM.....................................25EMTRIVA.................................. 39EMVERM.................................. 35ENABLEX................................. 81enalapril maleate.......................46enalapril-hydrochlorothiazide.... 46ENBRACE HR.......................... 71ENBREL....................................95ENBREL MINI........................... 95ENBREL SURECLICK.............. 95ENDARI.................................. 100endocet..................................... 11ENDOMETRIN..........................89ENGERIX-B.............................. 97ENOVARX-BACLOFEN..........113enovarx-cyclobenzaprine hcl.. 113ENOVARX-CYCLOBENZAPRINE HCL.... 113ENOVARX-DICLOFENAC SODIUM....................................14ENOVARX-IBUPROFEN.......... 14ENOVARX-LIDOCAINE HCL....16ENOVARX-NAPROXEN........... 14ENOVARX-TRAMADOL........... 60enoxaparin sodium....................21enpresse-28.............................. 89enskyce.....................................89ENSTILAR................................ 60entacapone............................... 36entecavir................................... 39ENTEREG.................................77ENTOCORT EC........................99ENTRESTO.............................. 46enulose..................................... 77ENVARSUS XR........................ 95ENZADYNE.............................. 80ENZOCLEAR............................ 60EPANED................................... 46EPCLUSA................................. 39EPHEDRINE SULFATE (PRESSORS)............................46EPIDIOLEX............................... 22EPIDUO.................................... 60EPIDUO FORTE....................... 60EPIFOAM..................................60epinastine hcl.......................... 102epinephrine............................. 110epinephrine pf........................... 46EPIPEN 2-PAK....................... 110

122

EPIPEN JR 2-PAK.................. 110epitol......................................... 22EPIVIR...................................... 40EPIVIR HBV..............................40eplerenone................................ 46eprosartan mesylate................. 46EPZICOM..................................40EQUETRO................................ 22ERGOCAL................................ 71ergocalciferol.............................71ergoloid mesylates.................. 100ERGOMAR............................... 30ergotamine-caffeine.................. 30ERIVEDGE............................... 32ERLEADA................................. 32erlotinib hcl................................32errin...........................................89ERTACZO.................................28ery............................................. 60ERYGEL................................... 60ERYPED 200............................ 19ERYPED 400............................ 19ERY-TAB.................................. 19ERYTHROCIN STEARATE...... 19erythromycin..................... 60, 102erythromycin base.....................19erythromycin ethylsuccinate......19ESBRIET.................................110ESCAVITE................................ 71escitalopram oxalate................. 25ESGIC.......................................11esomeprazole magnesium........76est estrogens-methyltest...........89est estrogens-methyltest ds...... 89est estrogens-methyltest hs...... 89estarylla.....................................89estazolam..................................42ESTRACE................................. 89estradiol.................................... 89estradiol valerate.......................90estradiol-norethindrone acet..... 90ESTRING.................................. 90ESTROGEL.............................. 90ESTROSTEP FE.......................90eszopiclone............................. 114ethacrynic acid.......................... 46ethambutol hcl...........................31ethosuximide.............................22ethyl chloride.............................16ethynodiol diac-eth estradiol..... 90etidronate disodium.................100etodolac.................................... 14etodolac er................................ 14

etoposide.................................. 32EUCRISA.................................. 60EURAX......................................35euthyrox.................................... 94EVAMIST.................................. 90EVEKEO................................... 52EVEKEO ODT...........................52EVISTA..................................... 85EVOCLIN.................................. 60EVOTAZ....................................40EVOXAC................................... 55EVZIO....................................... 17EXELDERM.............................. 28EXELON................................... 23exemestane.............................. 32EXFORGE................................ 46EXFORGE HCT........................ 46EXJADE.................................... 71exoderm.................................... 28exotic-hc..................................107EXTAVIA...................................53EXTINA..................................... 28EZALLOR SPRINKLE...............46ezetimibe...................................46ezetimibe-simvastatin............... 47FABIOR.....................................60FALESSA..................................90falmina...................................... 90famciclovir................................. 40famotidine................................. 76FANAPT....................................38FANAPT TITRATION PACK..... 38FANATREX FUSEPAQ.............22FARESTON.............................. 32FARXIGA.................................. 65FARYDAK................................. 32fayosim......................................90FAZACLO................................. 38FBL KIT.....................................14febuxostat................................. 29felbamate.................................. 22FELBATOL................................22FELDENE................................. 14felodipine er.............................. 47FEM PH.................................... 81FEMARA................................... 32FEMHRT LOW DOSE...............90FEMRING................................. 90femynor..................................... 90fenofibrate................................. 47fenofibrate micronized...............47fenofibric acid............................47FENOGLIDE............................. 47

fenoprofen calcium....................14fenortho.....................................14fentanyl..................................... 11fentanyl citrate...........................11FENTANYL CITRATE...............11FENTORA.................................11FERIVA 21/7............................. 71ferocon...................................... 71ferotrinsic.................................. 71FERRALET 90.......................... 71ferraplus 90............................... 71FERRIPROX............................. 71ferrocite plus............................. 71FERRO-PLEX HEMATINIC...... 71FERROTRIN............................. 71FETZIMA...................................25FETZIMA TITRATION...............25FEXMID.................................. 113FIASP........................................69FIASP FLEXTOUCH.................69FIASP PENFILL........................ 69FIBRICOR.................................47FINACEA.................................. 60finasteride................................. 82FIORICET................................. 11FIORICET/CODEINE................11FIORINAL................................. 11FIORINAL/CODEINE #3........... 11FIRAZYR...................................95FIRDAPSE.............................. 101FIRMAGON...............................86FIRST - METOPROLOL........... 47FIRST-ATENOLOL................... 47FIRST-BACLOFEN................. 113FIRST-METRONIDAZOLE....... 19FIRST-VANCOMYCIN.............. 19FIRVANQ.................................. 19flac.......................................... 107FLAGYL.................................... 19FLAREX.................................. 102flavoxate hcl.............................. 81flecainide acetate...................... 47FLECTOR................................. 14FLOLIPID.................................. 47FLOMAX................................... 82FLORIVA...................................71FLORIVA PLUS........................ 71FLOVENT DISKUS................. 110FLOVENT HFA....................... 110FLOXIN OTIC......................... 107FLUAD...................................... 97FLUARIX QUADRIVALENT......97FLUBLOK QUADRIVALENT.....98

123

FLUCELVAX QUADRIVALENT...................... 98fluconazole................................28flucytosine................................. 28fludrocortisone acetate..............83FLULAVAL QUADRIVALENT... 98FLUMADINE............................. 40flunisolide................................ 107fluocinolone acetonide...... 60, 107fluocinolone acetonide body..... 60fluocinolone acetonide scalp.....60fluocinonide...............................60fluocinonide emulsified base.....60FLUORABON............................71fluoridex.................................... 55fluoridex daily renewal.............. 55fluoridex enhanced whitening... 55fluoridex sensitivity relief........... 55fluoritab..................................... 71fluorometholone...................... 102FLUOROPLEX..........................60FLUOROURACIL......................60fluorouracil ................................ 60fluoxetine hcl............................. 25fluoxetine hcl (pmdd).................25fluphenazine hcl........................ 38FLURA-DROPS........................ 71flurandrenolide.......................... 60flurazepam hcl.........................114flurbiprofen................................ 14flurbiprofen sodium................. 102flutamide................................... 32fluticasone propionate.......60, 107fluticasone-salmeterol............. 110FLUTICASONE-SALMETEROL........................110fluvastatin sodium..................... 47fluvastatin sodium er................. 47fluvoxamine maleate................. 25fluvoxamine maleate er.............25FLUZONE HIGH-DOSE............98FLUZONE QUADRIVALENT.... 98FML.........................................102FML FORTE............................102FML LIQUIFILM...................... 102FOCALIN.................................. 52FOCALIN XR............................ 52folic acid.................................... 71FOLI-D...................................... 71FOLITE..................................... 71FOLIVANE-F.............................71FOLLISTIM AQ......................... 86foltrin......................................... 71

FOLVITE-D............................... 71fondaparinux sodium.................21FORA GTEL BLOOD GLUCOSE TEST...................... 67FORFIVO XL.............................25FORTAMET.............................. 65FORTEO................................. 100FORTESTA...............................85FOSAMAX.............................. 100FOSAMAX PLUS D................ 100fosamprenavir calcium.............. 40fosinopril sodium....................... 47fosinopril sodium-hctz............... 47FOSRENOL.............................. 81FRAGMIN................................. 21FREESTYLE FREEDOM LITE. 67FREESTYLE INSULINX SYSTEM................................... 67FREESTYLE INSULINX TEST. 68FREESTYLE LITE TEST.......... 68FREESTYLE PRECISION NEO TEST................................ 68FREESTYLE TEST...................68FROVA......................................30frovatriptan succinate................30furosemide................................ 47FUSION PLUS.......................... 71FUSION SPRINKLES............... 71FUZEON................................... 40fyavolv.......................................90FYCOMPA................................ 22gabapentin................................ 22GABITRIL..................................22GALAFOLD...............................80galantamine hydrobromide....... 23galantamine hydrobromide er... 23GALZIN..................................... 71ganirelix acetate........................86GARDASIL 9.............................98GASTROCROM........................78gatifloxacin.............................. 102GATTEX....................................78gavilyte-c...................................78gavilyte-n with flavor pack.........78GEBAUERS PAIN EASE.......... 16GEBAUERS SPRAY AND STRETCH................................. 16GELFILM.................................105GELNIQUE............................... 81GELNIQUE PUMP.................... 81gemfibrozil .................................47GENERESS FE........................ 90generlac.................................... 78

gengraf......................................96GENICIN VITA-D...................... 72GENOTROPIN..........................86GENOTROPIN MINIQUICK......86gentak..................................... 102gentamicin sulfate............. 19, 102GENVOYA................................ 40GEODON.................................. 38GIALAX..................................... 78gianvi.........................................90GILENYA.................................. 54GILOTRIF................................. 32GILPHEX TR...........................107GILTUSS TR...........................107glatiramer acetate..................... 54glatopa...................................... 54GLEEVEC................................. 32GLEOSTINE............................. 32glimepiride.................................65glipizide er.................................65glipizide ir.................................. 65glipizide xl................................. 65glipizide-metformin hcl.............. 65GLUCAGEN HYPOKIT............. 68GLUCAGON EMERGENCY..... 68GLUCOCARD 01 SENSOR PLUS.........................................68GLUCOCARD EXPRESSION TEST.........................................68GLUCOCARD SHINE CONNEX...................................68GLUCOCARD SHINE EXPRESS................................. 68GLUCOCARD SHINE TEST.....68GLUCOCARD VITAL TEST......68GLUCOPHAGE.........................65GLUCOPHAGE XR...................65GLUCOTROL............................65GLUCOTROL XL...................... 65GLUMETZA.............................. 65GLUTATHIONE........................ 72glyburide................................... 66glyburide micronized................. 65glyburide-metformin.................. 66GLYCATE................................. 78GLYCINE.................................. 72glycopyrrolate............................78GLYCOPYRROLATE................78glydo......................................... 16GLYNASE................................. 66GLYSET....................................66GLYXAMBI................................66GOCOVRI................................. 36

124

GOLYTELY............................... 78GONAL-F.................................. 86GONAL-F RFF.......................... 86GONAL-F RFF REDIJECT....... 86GONITRO................................. 47GORDOFILM............................ 60grafco silver nit applicator......... 60GRALISE.................................. 54GRALISE STARTER.................54granisetron hcl.......................... 27GRASTEK...............................101griseofulvin microsize................28griseofulvin ultramicrosize.........28guaiatussin ac......................... 108guaifenesin ac.........................108guanfacine hcl...........................47guanfacine hcl er.......................53GUANIDINE HCL......................30GYNAZOLE-1........................... 28hailey 1.5/30..............................90hailey 24 fe................................90halcinonide................................60HALCION.................................. 42HALDOL DECANOATE............ 38halobetasol propionate........60, 61HALOBETASOL PROPIONATE.......................... 61HALOG..................................... 61haloperidol................................ 38haloperidol decanoate...............38haloperidol lactate.....................38HARVONI..................................40HAVRIX.....................................98heather......................................90HEMANGEOL........................... 47hematinic plus vit/minerals........72hematogen fa............................ 72hematogen forte........................72HEMATRON-AF........................72HEMETAB.................................72hemmorex-hc............................ 99HEMOCYTE PLUS................... 72hemocyte-plus...........................72heparin sodium (porcine).......... 21heparin sodium (porcine) pf...... 21HEPLISAV-B.............................98HEPSERA.................................40HETLIOZ.................................114HIBERIX....................................98HIDEX 6-DAY........................... 83HIPREX.....................................19homatropaire...........................105homatropine hbr......................105

HONEY BEE VENOM PROTEIN................................ 101HORIZANT................................54HUMALOG KWIKPEN.............. 69HUMALOG MIX 50/50 KWIKPEN................................. 69HUMALOG MIX 50/50 VIAL......69HUMALOG MIX 75/25 KWIKPEN................................. 69HUMALOG MIX 75/25 VIAL......69HUMALOG U-100 JUNIOR KWIKPEN................................. 69HUMALOG U-100 VIAL AND CARTRIDGE.............................69HUMATROPE........................... 86HUMIRA....................................96HUMIRA PEDIATRIC CROHNS START......................96HUMIRA PEN........................... 96HUMIRA PEN-CD/UC/HS STARTER................................. 96HUMIRA PEN-PS/UV/ADOL HS START................................ 96HUMULIN 70/30 KWIKPEN...... 69HUMULIN 70/30 VIAL...............69HUMULIN N KWIKPEN............ 69HUMULIN N VIAL..................... 69HUMULIN R U-500 KWIKPEN..69HUMULIN R U-500 VIAL (CONCENTRATED)..................69HUMULIN R VIAL..................... 69HW EMBRACE PRO GLUCOSE TEST...................... 68HW EMBRACE TALK GLUCOSE TEST...................... 68HYALUCIL-4............................. 61HYCAMTIN............................... 32hydralazine hcl.......................... 47HYDREA................................... 32HYDRO 35................................ 61HYDRO 40................................ 61hydrochlorothiazide...................47hydrocodone polst-cpm polst er.............................................108hydrocodone-acetaminophen... 11hydrocodone-homatropine...... 108hydrocodone-ibuprofen............. 11hydrocortisone.............. 61, 83, 99hydrocortisone ace-pramoxine............................................ 61, 99hydrocortisone acetate..............99hydrocortisone butyr lipo base.. 61hydrocortisone butyrate............ 61

hydrocortisone valerate.............61hydrocortisone-acetic acid...... 107hydromet................................. 108HYDROMORPHONE HCL........11hydromorphone hcl................... 11hydromorphone hcl er............... 11hydroxocobalamin acetate........ 72hydroxychloroquine sulfate....... 35hydroxyurea.............................. 32hydroxyzine hcl......................... 42hydroxyzine pamoate................42hyophen.................................... 81hyoscyamine sulfate................. 78hyoscyamine sulfate er............. 78hyoscyamine sulfate sl..............78hyosyne.....................................78HYPERSAL.............................108HYSINGLA ER..........................11HYZAAR................................... 47ibandronate sodium................ 100IBRANCE.................................. 32ibu............................................. 14ibuprofen................................... 14IC 400....................................... 14IC 800....................................... 14ICAR-C PLUS........................... 72icatibant acetate........................96ICLUSIG....................................32IDHIFA...................................... 32iferex 150 forte.......................... 72ILEVRO...................................102imatinib mesylate...................... 32IMBRUVICA.............................. 32imipramine hcl...........................25imipramine pamoate................. 25imiquimod..................................61IMIQUIMOD PUMP...................61IMITREX................................... 30IMITREX STATDOSE REFILL..30IMITREX STATDOSE SYSTEM................................... 30IMPAVIDO................................ 35IMPOYZ.................................... 61IMURAN....................................96IMVEXXY MAINTENANCE PACK........................................ 90IMVEXXY STARTER PACK..... 90INBRIJA.................................... 36incassia..................................... 90INCRELEX................................ 86INCRUSE ELLIPTA................ 110indapamide............................... 47INDERAL LA............................. 47

125

INDERAL XL............................. 47INDOCIN...................................14indomethacin.............................14indomethacin er........................ 14INFANRIX................................. 98INGREZZA................................54INLYTA..................................... 32INNOPRAN XL..........................47INOVA.......................................61INOVA 4/1 ACNE CONTROL THERAPY................................. 61INSPIREASE RESERVOIR BAGS...................................... 101INSPRA.....................................47INSULIN LISPRO......................69INTEGRA F...............................72INTELENCE..............................40INTERMEZZO.........................114INTRAROSA............................. 81INTRON A.................................40introvale.................................... 90INTUNIV....................................53INVEGA.................................... 38INVEGA SUSTENNA................38INVEGA TRINZA...................... 38INVELTYS...............................102INVIRASE................................. 40INVOKAMET.............................66INVOKAMET XR.......................66INVOKANA............................... 66iodine strong............................. 72IONSYS.................................... 11IOPIDINE................................ 104IPOL..........................................98ipratropium bromide........ 108, 110ipratropium-albuterol............... 110irbesartan.................................. 47irbesartan-hydrochlorothiazide..47IRESSA.....................................32IROSPAN 24/6..........................72IS 24/6.......................................72ISENTRESS..............................40ISENTRESS HD....................... 40isibloom.....................................90isoniazid.................................... 31ISOPTO ATROPINE............... 105ISOPTO CARPINE................. 104ISORDIL TITRADOSE.............. 47isosorbide dinitrate....................47isosorbide dinitrate er................47isosorbide mononitrate..............47isosorbide mononitrate er......... 47isotretinoin.................................61

isoxsuprine hcl.......................... 47isradipine...................................48ISTALOL................................. 104itraconazole...............................28ivermectin............................35, 61JADENU....................................72JADENU SPRINKLE.................72JAKAFI......................................33JALYN.......................................82jantoven.................................... 21JANUMET................................. 66JANUMET XR........................... 66JANUVIA...................................66JARDIANCE..............................66jasmiel.......................................90jencycla..................................... 90JENTADUETO.......................... 66JENTADUETO XR.................... 66jinteli ..........................................90jolessa.......................................90JORNAY PM............................. 53JUBLIA......................................28juleber....................................... 90JULUCA.................................... 40junel 1.5/30............................... 90junel 1/20.................................. 90junel fe 1.5/30........................... 90junel fe 1/20.............................. 90junel fe 24................................. 90JUXTAPID.................................48JYNARQUE.............................. 72K.B.G.L IN TERODERM........... 14KADIAN.....................................11kaitlib fe.....................................90KALETRA..................................40kalliga........................................90KALYDECO............................ 112KAPSPARGO SPRINKLE.........48KAPVAY....................................53KARBINAL ER........................ 108kariva........................................ 90KAZANO................................... 66KEFLEX.................................... 19kelnor 1/35................................ 90kelnor 1/50................................ 91KENALOG.................................61KENALOG-80........................... 83KEPPRA................................... 22KEPPRA XR............................. 22KERALYT..................................61KERYDIN.................................. 28ketoconazole.............................28KETOPHENE RAPIDPAQ........ 14

ketoprofen................................. 14ketoprofen er.............................14KETOROCAINE-L.....................14KETOROCAINE-LM..................14KETOROLAC TROMETHAMINE.....................14ketorolac tromethamine.... 14, 102KETOROLAC-BUPIV-KETAMINE................................14KETOROLAC-ROPIV-KETAMINE................................14KEVEYIS.................................104KEVZARA................................. 96KHEDEZLA............................... 25KINERET.................................. 96KINRIX...................................... 98kionex........................................72KISQALI (200 MG DOSE).........33KISQALI (400 MG DOSE).........33KISQALI (600 MG DOSE).........33KISQALI FEMARA (400 MG DOSE).......................................33KISQALI FEMARA (600 MG DOSE).......................................33KISQALI FEMARA(200 MG DOSE).......................................33KITABIS PAK.......................... 112KLARITY-A............................. 102KLARITY-B............................. 103KLARITY-L..............................103KLARON................................... 61KLONOPIN............................... 42klor-con..................................... 72klor-con 10................................ 72klor-con m10............................. 72KLOR-CON M15....................... 72klor-con m20............................. 72klor-con sprinkle........................72klor-con/ef................................. 72KOMBIGLYZE XR.....................66KORLYM...................................87K-PHOS.................................... 72K-PHOS NO 2...........................72K-PHOS-NEUTRAL.................. 72k-prime...................................... 72KRINTAFEL.............................. 35KRISTALOSE........................... 78K-TAB....................................... 72k-tan plus.................................. 72kurvelo...................................... 91KUVAN......................................80L.E.T......................................... 16labetalol hcl............................... 48

126

LAC-HYDRIN............................ 61LACRISERT............................105lactic acid.................................. 61lactic acid e............................... 61lactulose....................................78lactulose encephalopathy......... 78LAMICTAL................................ 22LAMICTAL ODT........................22LAMICTAL STARTER...............22LAMICTAL XR.......................... 22lamivudine.................................40lamivudine-zidovudine.............. 40lamotrigine................................ 22lamotrigine er............................ 22lamotrigine starter kit-blue.........22lamotrigine starter kit-green...... 22lamotrigine starter kit-orange.... 22LANOXIN.................................. 48lansoprazole..............................76lanthanum carbonate................ 81LANTUS SOLOSTAR............... 69LANTUS U-100 VIAL................ 69larin 1.5/30................................ 91larin 1/20................................... 91larin 24 fe.................................. 91larin fe 1.5/30............................ 91larin fe 1/20............................... 91larissia.......................................91LASIX........................................48LASTACAFT........................... 105latanoprost.............................. 104latrix xm.....................................61LATUDA....................................38layolis fe.................................... 91LAZANDA................................. 11leena......................................... 91leflunomide................................96LENSCALE............................. 101LENVIMA (10 MG DAILY DOSE).......................................33LENVIMA (12 MG DAILY DOSE).......................................33LENVIMA (14 MG DAILY DOSE).......................................33LENVIMA (18 MG DAILY DOSE).......................................33LENVIMA (20 MG DAILY DOSE).......................................33LENVIMA (24 MG DAILY DOSE).......................................33LENVIMA (4 MG DAILY DOSE).......................................33

LENVIMA (8 MG DAILY DOSE).......................................33LESCOL XL.............................. 48lessina.......................................91LETAIRIS................................ 112letrozole.................................... 33leucovorin calcium.................... 33LEUKERAN...............................33leuprolide acetate......................86LEUPROLIDE ACETATE-BUPIVACAINE..........................86levalbuterol hcl........................ 110LEVALBUTEROL HFA............111LEVAQUIN................................19LEVBID..................................... 78LEVEMIR U-100 FLEXTOUCH.69LEVEMIR U-100 VIAL...............69levetiracetam.............................22levetiracetam er........................ 22levobunolol hcl........................ 104LEVOCARNITINE..................... 72levocarnitine..............................72levocarnitine sf.......................... 73levocetirizine dihydrochloride..108levofloxacin....................... 19, 103levonest.....................................91levonorgest-eth est & eth est.... 91levonorgest-eth estrad 91-day.. 91levonorgestrel-ethinyl estrad.....91levonorg-eth estrad triphasic.....91levora 0.15/30 (28)....................91levorphanol tartrate................... 11levo-t......................................... 94levothyroxine sodium................ 94levothyroxine-liothyronine......... 94levoxyl....................................... 94LEVSIN..................................... 78LEVSIN/SL................................78LEXAPRO................................. 25LEXETTE.................................. 61LEXIVA..................................... 40LIALDA......................................99LIBRAX..................................... 78lidocaine....................................16lidocaine hcl........................ 16, 55LIDOCAINE HCL...................... 16lidocaine hcl urethral/mucosal...16LIDOCAINE HCL-SODIUM CHLORIDE............................... 16lidocaine viscous.......................55LIDOCAINE-HYDROCORTISONE ACE....... 99lidocaine-prilocaine................... 16

LIDODERM............................... 16lidolog........................................83LIDOPROFEN...........................14LIDOVIX....................................14lillow.......................................... 91lindane...................................... 35linezolid..................................... 19LINZESS................................... 78liothyronine sodium................... 94LIPITOR.................................... 48LIPO..........................................73LIPO-C...................................... 73LIPOFEN...................................48lisinopril ..................................... 48lisinopril-hydrochlorothiazide.....48lithium........................................43lithium carbonate.......................43lithium carbonate er.................. 43LITHOBID................................. 43LITHOSTAT.............................. 81LIVALO..................................... 48LO LOESTRIN FE.....................91LOCOID.................................... 61LOCOID LIPOCREAM.............. 61LODINE.....................................15LODOSYN................................ 36LOESTRIN 1.5/30 (21)..............91LOESTRIN 1/20 (21).................91LOESTRIN FE 1.5/30............... 91LOESTRIN FE 1/20.................. 91LOKELMA................................. 73LOMAIRA..................................54LOMOTIL.................................. 78LONHALA MAGNAIR REFILL KIT.......................................... 111LONHALA MAGNAIR STARTER KIT.........................111LONSURF.................................33loperamide hcl...........................78LOPID....................................... 48lopinavir-ritonavir.......................40lopreeza.................................... 91LOPRESSOR............................48LOPRESSOR HCT................... 48LOPROX................................... 28lorazepam................................. 43lorazepam intensol....................42LORBRENA.............................. 33lorcet......................................... 11lorcet hd.................................... 11lorcet plus..................................11LORTAB....................................11loryna........................................ 91

127

LORZONE...............................113losartan potassium....................48losartan potassium-hctz............ 48LOSEASONIQUE..................... 91LOTEMAX...............................103LOTEMAX SM........................ 103LOTENSIN................................ 48LOTENSIN HCT........................48loteprednol etabonate............. 103LOTREL.................................... 48LOTRISONE............................. 61LOTRONEX.............................. 78lovastatin...................................48LOVAZA....................................48LOVENOX.................................21low-ogestrel...............................91loxapine succinate.................... 38lo-zumandimine.........................91LT INJECTION KIT................... 83LUCEMYRA.............................. 17ludent........................................ 73LULICONAZOLE.......................28LUMIGAN................................104LUNESTA............................... 114LUPANETA PACK.................... 86LUPRON DEPOT (1-MONTH)..86LUPRON DEPOT (3-MONTH)..86LUPRON DEPOT (4-MONTH) INTRAMUSCULAR KIT 30MG..86LUPRON DEPOT (6-MONTH) INTRAMUSCULAR KIT 45MG..86LUPRON DEPOT-PED (1-MONTH)....................................86LUPRON DEPOT-PED (3-MONTH)....................................86lutera......................................... 91LUXIQ....................................... 61LUZU.........................................28LYNPARZA............................... 33LYRICA..................................... 54LYRICA CR...............................55LYSINE HCL............................. 73LYSODREN.............................. 33LYSTEDA..................................43lyza............................................91MACROBID...............................19MACRODANTIN....................... 19mafenide acetate...................... 19MAGNEBIND 400..................... 73MAGNESIUM SULFATE...........73MALARONE..............................35malathion.................................. 35maprotiline hcl...........................25

MARBETA-25........................... 83MARBETA-L............................. 83MARDEX-25............................. 84MARINOL..................................27marlido...................................... 16MARLIDO-25............................ 16marlissa.....................................91MARPLAN.................................25MATULANE.............................. 33matzim la...................................48MAVENCLAD (10 TABS)..........54MAVENCLAD (4 TABS)............54MAVENCLAD (5 TABS)............54MAVENCLAD (6 TABS)............54MAVENCLAD (7 TABS)............54MAVENCLAD (8 TABS)............54MAVENCLAD (9 TABS)............54MAVYRET.................................40MAXALT....................................30MAXALT-MLT........................... 30MAXFE......................................73MAXIDEX................................103MAXITROL..............................105MAXZIDE.................................. 48MAXZIDE-25.............................48MAYZENT.................................54MAYZENT STARTER PACK.... 54me/naphos/mb/hyo1................. 81meclizine hcl............................. 27meclofenamate sodium.............15MEDROL...................................84MEDROX-RX............................ 11medroxyprogesterone acetate.. 91mefenamic acid.........................15mefloquine hcl...........................35MEGACE ES.............................91megestrol acetate..................... 91MEKINIST................................. 33MEKTOVI..................................33melodetta 24 fe......................... 91meloxicam.................................15melphalan................................. 33memantine hcl...........................24memantine hcl er...................... 24MENACTRA..............................98MENEST................................... 91MENOPUR................................86MENOSTAR..............................92MENTAX................................... 28MENVEO.................................. 98meperidine hcl...........................11MEPHYTON..............................73meprobamate............................43

MEPRON.................................. 36mercaptopurine......................... 33mesalamine...............................99mesalamine-cleanser................99MESNEX...................................33MESTINON......................... 30, 31metadate er...............................53metaproterenol sulfate............ 111METAXALL CP....................... 113metaxalone............................. 113metformin hcl er........................ 66metformin hcl er (mod)..............66metformin hcl er (osm).............. 66METFORMIN HCL IR............... 66metformin hcl ir ......................... 66methadone hcl.......................... 11methadone hcl intensol............. 11methadose................................ 11methadose sugar-free...............11methamphetamine hcl...............53methazolamide........................104methenamine hippurate............ 19methenamine mandelate.......... 19methergine.............................. 101methimazole..............................95METHITEST..............................85methocarbamol....................... 113methotrexate............................. 96methotrexate sodium................ 96methotrexate sodium (pf).......... 96methoxsalen..............................61methoxsalen rapid.....................61methscopolamine bromide........78methyl salicylate........................61METHYLCOBALAMIN.............. 73methyldopa............................... 48methyldopa-hydrochlorothiazide...................48methylergonovine maleate......101METHYLIN................................53methylphenidate hcl.................. 53methylphenidate hcl er..............53methylphenidate hcl er (cd).......53methylphenidate hcl er (la)........53methylprednisolone...................84METHYLPREDNISOLONE ACE-LIDO................................. 84methylprednisolone acetate...... 84methylprednisolone sodium succ...........................................84methyltestosterone....................85metoclopramide hcl...................27metolazone............................... 48

128

metoprolol succinate er.............48metoprolol tartrate.....................48METOPROLOL-HCTZ ER........ 48metoprolol-hydrochlorothiazide.48METROCREAM........................ 61METROGEL..............................61METROLOTION........................62metronidazole..................... 19, 62METRONIDAZOLE BENZO+SYRSPEND................19mexiletine hcl............................ 48mibelas 24 fe.............................92MICARDIS................................ 48MICARDIS HCT........................ 48miconazole 3.............................28MICONAZOLE-ZINC OXIDE-PETROLAT............................... 28MICORT-HC............................. 62microgestin 1.5/30.....................92microgestin 1/20........................92microgestin fe 1.5/30.................92microgestin fe 1/20....................92midodrine hcl.............................48MIGERGOT.............................. 30miglitol.......................................66miglustat....................................80MIGRANAL............................... 30mili .............................................92MILLIPRED............................... 84MILLIPRED DP......................... 84MILLIPRED DP 12-DAY........... 84mimvey......................................92MINASTRIN 24 FE....................92mineral oil heavy....................... 78MINIPRESS.............................. 48minitran..................................... 48MINIVELLE............................... 92MINOCIN.................................. 19minocycline hcl..........................19minocycline hcl er..................... 19MINOLIRA.................................19minoxidil .................................... 49MIRAPEX..................................36MIRAPEX ER............................36MIRCETTE................................92mirtazapine............................... 25MIRVASO................................. 62misoprostol................................76MITIGARE.................................29MITOSOL................................103MIXED VESPID VENOM PROTEIN................................ 101mlk f1...................................... 101

mlk f2...................................... 101mlk f3...................................... 101MLK F4................................... 101M-M-R II.................................... 98M-NATAL PLUS........................73MOBIC...................................... 15modafinil ..................................114moexipril hcl.............................. 49molindone hcl............................38mometasone furoate......... 62, 108mondoxyne nl............................19mono-linyah.............................. 92MONSELS FERRIC SUBSULFATE.......................... 43montelukast sodium................ 111MONUROL................................19morgidox................................... 19MORPHABOND ER..................11morphine sulfate....................... 12morphine sulfate (concentrate). 11morphine sulfate er................... 12morphine sulfate er beads........ 12MORPHINE SULFATE-NACL...12MOTEGRITY.............................78MOTOFEN................................ 78MOVANTIK............................... 78MOVIPREP............................... 78MOXEZA.................................103moxifloxacin hcl.................19, 103MS CONTIN..............................12MULPLETA............................... 43MULTAQ................................... 49multigen.................................... 73multigen folic............................. 73multigen plus.............................73MULTI-SPECIALTY.................. 84multi-vit/iron/fluoride..................73multivitamin/fluoride.................. 73MULTIVITAMIN/FLUORIDE..... 73multi-vitamin/fluoride................. 73multivitamin/fluoride/iron........... 73multi-vitamin/fluoride/iron.......... 73multivitamins/fluoride................ 73mupirocin.................................. 19mupirocin calcium..................... 19mvc-fluoride.............................. 73MYALEPT................................. 80MYAMBUTOL........................... 31MYCOBUTIN............................ 31mycophenolate mofetil .............. 96mycophenolate sodium............. 96MYDAYIS..................................53myferon 150 forte......................73

MYFORTIC............................... 96MYLERAN.................................33myorisan................................... 62MYRBETRIQ.............................81MYSOLINE............................... 22MYTESI.....................................78nabumetone.............................. 15nadolol...................................... 49nafrinse..................................... 73NAFRINSE DAILY ACIDULATED........................... 55NAFRINSE DAILY/NEUTRAL...55nafrinse drops........................... 73NAFRINSE WEEKLY................55naftifine hcl................................28NAFTIN..................................... 28NALFON................................... 15NALOCET................................. 12naloxone hcl..............................17NALTREXONE..........................17naltrexone hcl............................17NAMENDA................................ 24NAMENDA TITRATION PAK....24NAMENDA XR.......................... 24NAMENDA XR TITRATION PACK........................................ 24NAMZARIC............................... 24NANDROLONE-TESTOSTERONE CYP .....85NAPRELAN...............................15NAPRO..................................... 15NAPROSYN..............................15naproxen................................... 15naproxen dr...............................15naproxen sodium...................... 15naproxen sodium er.................. 15naratriptan hcl........................... 30NARCAN...................................17NARDIL.....................................25NASCOBAL.............................. 73NASONEX.............................. 108NATACYN...............................103NATAZIA...................................92nateglinide.................................66NATESTO................................. 85NATPARA............................... 100NATROBA.................................36NATURE-THROID.................... 95NEBUPENT.............................. 36nebusal................................... 108NEBUSAL............................... 108necon 0.5/35 (28)......................92nefazodone hcl..........................25

129

neomycin sulfate....................... 20neomycin-bacitracin zn-polymyx...................................105neomycin-polymyxin-dexameth................................................ 105neomycin-polymyxin-gramicidin................................105neomycin-polymyxin-hc.. 105, 107NEONATAL COMPLETE..........73NEONATAL PLUS.................... 73neo-polycin..............................106neo-polycin hc.........................106NEORAL................................... 96NEO-SYNALAR........................ 62NEOTUSS PLUS.................... 108NEPHRON FA.......................... 73NERLYNX................................. 33NESINA.....................................66NESTABS................................. 74NESTABS ONE........................ 74neuac........................................ 62NEUPRO...................................36NEURONTIN.............................22neutral sodium fluoride..............56NEVANAC...............................103nevirapine................................. 40nevirapine er............................. 40NEXAVAR.................................33NEXIUM.................................... 76niacin (antihyperlipidemic)........ 49niacin er (antihyperlipidemic).... 49niacor........................................ 49NIASPAN.................................. 49nicardipine hcl........................... 49NICOTROL............................... 17NICOTROL NS......................... 17nifedipine...................................49nifedipine er.............................. 49nifedipine er osmotic release.... 49NIFEREX.................................. 74nikki...........................................92NILANDRON.............................33nilutamide..................................33nimodipine.................................49NINLARO.................................. 33nisoldipine er.............................49nitisinone...................................80NITRO-BID................................49NITRO-DUR..............................49nitrofurantoin............................. 20nitrofurantoin macrocrystal........20nitrofurantoin monohydrate macrocrystals............................20

nitroglycerin...............................49NITROLINGUAL....................... 49NITROMIST.............................. 49NITROSTAT..............................49nitro-time................................... 49NITYR....................................... 80nizatidine...................................76NIZORAL.................................. 28NOCDURNA............................. 86NOCTIVA.................................. 86nolix...........................................62nora-be......................................92NORCO.....................................12NORDITROPIN FLEXPRO....... 86norethin ace-eth estrad-fe.........92norethindrone............................92norethindrone acetate............... 92norethindrone acet-ethinyl est...92norethindrone-eth estradiol....... 92norethin-eth estradiol-fe............ 92NORGESIC FORTE................113norgestimate-eth estradiol........ 92norgestimate-ethinyl estradiol triphasic.....................................92NORITATE................................62norlyda...................................... 92norlyroc..................................... 92NORPACE................................ 49NORPACE CR.......................... 49NORPRAMIN............................ 25NORTHERA..............................49nortrel 0.5/35 (28)..................... 92nortrel 1/35 (21)........................ 92nortrel 1/35 (28)........................ 92nortrel 7/7/7...............................92nortriptyline hcl..........................25NORVASC................................ 49NORVIR.................................... 40NOVAREL.................................86NOVOLIN 70/30 FLEXPEN...... 69NOVOLIN 70/30 FLEXPEN RELION.....................................69NOVOLIN 70/30 RELION......... 69NOVOLIN 70/30 VIAL............... 69NOVOLIN N RELION................70NOVOLIN N VIAL..................... 70NOVOLIN R RELION................70NOVOLIN R VIAL..................... 70NOVOLOG FLEXPEN.............. 70NOVOLOG MIX 70/30 FLEXPEN..................................70NOVOLOG MIX 70/30 VIAL......70NOVOLOG PENFILL................ 70

NOVOLOG U-100 VIAL............ 70NOXAFIL...................................28NP #2 DRUG PREPARATION KIT............................................ 15np thyroid.................................. 95NUCALA................................. 108NUCYNTA.................................12NUCYNTA ER...........................12NUEDEXTA.............................. 55NUFERA................................... 74NULYTELY WITH FLAVOR PACKS......................................79NUMOISYN...............................56NUPLAZID................................ 38NUTRIDOX............................... 20NUTRIVIT................................. 74NUTROPIN AQ NUSPIN 10..... 86NUTROPIN AQ NUSPIN 20..... 86NUTROPIN AQ NUSPIN 5....... 87NUVARING............................... 92NUVESSA.................................20NUVIGIL..................................114NUZYRA................................... 20nyamyc......................................28NYMALIZE................................ 49nystatin......................................28nystatin-triamcinolone............... 29nystop....................................... 29OCALIVA.................................. 80ocella.........................................92octreotide acetate..................... 87OCUFLOX...............................103ODACTRA.............................. 101ODEFSEY.................................40ODOMZO..................................33OFEV...................................... 111ofloxacin....................20, 103, 107ogestrel..................................... 92okebo........................................ 20olanzapine.................................38olanzapine-fluoxetine hcl.......... 25olmesartan medoxomil..............49olmesartan medoxomil-hctz...... 49olmesartan-amlodipine-hctz......49olopatadine hcl................103, 108OLUMIANT............................... 96OLUX........................................ 62OLUX-E.....................................62OMECLAMOX-PAK.................. 79OMEGA-3/D-3 WELLNESS PACK........................................ 49omega-3-acid ethyl esters.........49omeppi...................................... 76

130

omeprazole............................... 76omeprazole-sodium bicarbonate............................... 76OMNARIS............................... 108OMNITROPE............................ 87ONDANSETRON HCL..............27ondansetron hcl........................ 27ondansetron odt........................ 27ONE DROP BLOOD GLUCOSE MONITOR.............. 68ONE DROP TEST.....................68ONE TOUCH VERIO KIT W/DEVICE................................ 68ONETOUCH ULTRA 2..............68ONETOUCH ULTRA BLUE TEST STRIPS...........................68ONETOUCH ULTRA MINI........ 68ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE..........68ONETOUCH VERIO IQ SYSTEM................................... 68ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE..........68ONEXTON................................ 62ONFI......................................... 22ONGLYZA.................................66ONZETRA XSAIL......................30OPANA..................................... 12opium........................................ 79OPSUMIT................................112ORACEA...................................62ORACIT.................................... 74ORAFATE............................... 101ORALAIR................................ 101ORALAIR ADULT SAMPLE KIT.......................................... 101ORALAIR ADULT STARTER PACK...................................... 101ORALAIR CHILDRENS STARTER PACK.................... 101oralone...................................... 56ORAPRED ODT........................84ORAVIG.................................... 29ORENCIA..................................96ORENCIA CLICKJECT............. 96ORENITRAM.......................... 112ORFADIN..................................80ORILISSA................................. 87ORKAMBI............................... 112orphenadrine citrate er............113orphenadrine-aspirin-caffeine. 113ORPHENGESIC FORTE........ 113orsythia..................................... 92

ORTHO MICRONOR................ 92ORTHO TRI-CYCLEN LO.........92ORTHO-NOVUM 1/35 (28)....... 92ORTHO-NOVUM 7/7/7 (28)...... 92oscimin......................................79oscimin sr..................................79oseltamivir phosphate............... 40OSENI.......................................66OSMOLEX ER.......................... 36OSMOPREP............................. 79OSPHENA................................ 85OTEZLA.................................... 96OTICIN HC NR....................... 107OTIPRIO................................. 107OTOVEL................................. 107OTREXUP.................................96OVACE PLUS........................... 62OVACE PLUS WASH............... 62OVACE WASH..........................62OVIDE.......................................36OVIDREL.................................. 87oxaprozin.................................. 15OXAYDO...................................12oxazepam................................. 43oxcarbazepine...........................22OXERVATE............................ 106oxiconazole nitrate.................... 29OXISTAT...................................29OXSORALEN ULTRA...............62OXTELLAR XR......................... 22oxybutynin chloride................... 81oxybutynin chloride er............... 81oxycodone hcl........................... 12OXYCODONE HCL ER............ 12oxycodone-acetaminophen.......12oxycodone-aspirin.....................12oxycodone-ibuprofen................ 12OXYCONTIN.............................12oxymorphone hcl.......................12oxymorphone hcl er.................. 12OXYTROL.................................81OZEMPIC..................................66PACERONE..............................49pacerone................................... 49paliperidone er.......................... 38PALYNZIQ................................ 80PAMELOR................................ 25PANCREAZE............................ 80PANDEL....................................62PANRETIN................................33pantoprazole sodium.................76papaverine hcl...........................49paregoric................................... 79

paricalcitol............................... 100PARLODEL...............................36PARNATE................................. 25paroex....................................... 56paromomycin sulfate.................20paroxetine hcl............................25paroxetine hcl er....................... 25paroxetine mesylate..................25PASER......................................31PATADAY............................... 103PATANASE.............................108PATANOL............................... 103PAXIL........................................25PAXIL CR..................................25PAZEO....................................103P-CARE 100MX........................ 16P-CARE D40MX....................... 84P-CARE D80MX....................... 84P-CARE K40MX........................84P-CARE K80MX........................84PCP 100....................................79PEDIAPRED............................. 84PEDIARIX................................. 98PEDVAX HIB............................ 98peg 3350/electrolytes................79peg 3350-kcl-na bicarb-nacl......79peg-3350/electrolytes................79PEGANONE..............................22PEGASYS.................................40PEGASYS PROCLICK............. 40PEGINTRON.............................40penicillamine............................. 81penicillin v potassium................ 20PENLAC....................................29PENNSAID................................15PENTACEL............................... 98PENTASA................................. 99pentazocine-naloxone hcl......... 12pentoxifylline er......................... 49PEPCID.....................................77PERCOCET.............................. 12PERFOROMIST......................111PERIDEX.................................. 56perindopril erbumine................. 49periogard...................................56permethrin.................................36perphenazine............................ 27perphenazine-amitriptyline........25PERSERIS................................38PERTZYE................................. 80PEXEVA....................................25phenadoz................................ 108phenazo.................................... 81

131

phenazopyridine hcl.................. 81phendimetrazine tartrate........... 55phendimetrazine tartrate er.......55phenelzine sulfate..................... 26phenobarbital............................ 22phenobarbital-belladonna alk....79phenohytro................................ 79phenoxybenzamine hcl............. 50phentermine hcl........................ 55phenylephrine hcl....................106phenylephrine-guaifenesin......108PHENYTEK...............................22phenytoin.................................. 23phenytoin infatabs.....................22phenytoin sodium extended...... 23philith.........................................93PHOSLYRA.............................. 81phospha 250 neutral................. 74phosphasal................................81PHOSPHOLINE IODIDE.........104phosphorous............................. 74phospho-trin 250 neutral........... 74phytonadione............................ 74PICATO.....................................62PIFELTRO................................ 40pilocarpine hcl................... 56, 104pimecrolimus.............................62pimozide....................................38pimtrea...................................... 93pindolol......................................50pioglitazone hcl......................... 66pioglitazone hcl-glimepiride.......66pioglitazone hcl-metformin hcl.. 66PIQRAY (200 MG DAILY DOSE).......................................34PIQRAY (250 MG DAILY DOSE).......................................34PIQRAY (300 MG DAILY DOSE).......................................34pirmella 1/35............................. 93pirmella 7/7/7............................ 93piroxicam...................................15PLAQUENIL..............................36PLAVIX..................................... 37PLEGRIDY................................54PLEGRIDY STARTER PACK... 54PLENVU....................................79PLEXION.................................. 62PLEXION CLEANSER.............. 62PNEUMOVAX 23...................... 98pnv prenatal plus multivit+dha.. 74podocon.................................... 62podofilox....................................62

POINT OF CARE KM................84POINT OF CARE L.2................ 84POINT OF CARE L.5................ 84POINT OF CARE LM DEP 2.....84POINT OF CARE LM-2.2..........16POINT OF CARE LM-2.5..........16polycin.....................................106poly-iron 150 forte..................... 74polymyxin b-trimethoprim........106polysaccharide iron forte...........74POLYTRIM..............................106POLY-VI-FLOR......................... 74POLY-VI-FLOR FS................... 74POLY-VI-FLOR/IRON............... 74POMALYST.............................. 34portia-28....................................93posaconazole............................29pot bicarb-pot chloride.............. 74POTABA................................... 74potassium bicarbonate..............74potassium chloride.................... 74potassium chloride crys er........ 74potassium chloride er................74potassium citrate er...................74potassium citrate-citric acid.......74POVIDONE-IODINE............... 103PRADAXA.................................21PRALUENT...............................50pramipexole dihydrochloride..... 36pramipexole dihydrochloride er.36PRAMOSONE...........................62PRAMOTIC............................. 107PRASTERA...............................15prasugrel hcl............................. 37PRAVACHOL............................50pravastatin sodium....................50praziquantel.............................. 36prazosin hcl...............................50PRECISION LINK..................... 68PRECISION PCX PLUS TEST. 68PRECISION QID TEST.............68PRECISION SOF-TACT TEST. 68PRECISION XTRA BLOOD GLUCOSE................................ 68PRECOSE................................ 66PRED FORTE.........................103PRED MILD............................ 103PRED-G.................................. 106PRED-G S.O.P....................... 106prednicarbate............................ 62PREDNISOL ACE-MOXIFLOX-BROMFEN.......... 103prednisolone............................. 84

PREDNISOLONE ACETATE-NEPAFENAC.......................... 106PREDNISOLONE ACET-MOXIFLOXACIN.....................106prednisolone sodium phosphate......................... 84, 103PREDNISOLONE-BROMFENAC......................... 106PREDNISOLONE-GATIFLOXACIN......................106PREDNISOLONE-MOXIFLOXACIN.....................106PREDNISOLON-GATIFLOX-BROMFENAC......................... 106PREDNISOLON-MOXIFLOX-BROMFENAC......................... 106PREDNISOLON-MOXIFLOX-NEPAFENAC.......................... 103prednisone................................ 84prednisone intensol...................84PREFEST................................. 93pregabalin................................. 55pregnyl...................................... 87PREMARIN............................... 93PREMPHASE........................... 93PREMPRO................................93PRENAISSANCE......................74PRENATA................................. 74prenatal..................................... 74prenatal plus iron...................... 74PREPOPIK................................79PRESTALIA.............................. 50PRETOMANID.......................... 31PREVACID................................77PREVACID SOLUTAB..............77prevalite.................................... 50PREVIDENT............................. 56prevident................................... 56PREVIDENT 5000 BOOSTER PLUS.........................................56PREVIDENT 5000 DRY MOUTH.....................................56PREVIDENT 5000 ENAMEL PROTECT.................................56PREVIDENT 5000 ORTHO DEFENSE................................. 56PREVIDENT 5000 PLUS.......... 56PREVIDENT 5000 SENSITIVE.56previfem.................................... 93PREVNAR 13............................98PREVYMIS............................... 41PREZCOBIX............................. 41PREZISTA................................ 41

132

PRIFTIN.................................... 31PRILO PATCH.......................... 16PRILOSEC................................77PRIMACARE.............................74primaquine phosphate.............. 36primidone.................................. 23PRIMLEV.................................. 12PRIMSOL..................................20PRINIVIL................................... 50PRISTIQ....................................26PROAIR HFA.......................... 111PROAIR RESPICLICK............111probenecid................................ 29PROCARDIA.............................50PROCARDIA XL....................... 50PROCENTRA........................... 53prochlorperazine....................... 27prochlorperazine maleate......... 27PROCORT................................ 99PROCTOCORT........................ 99PROCTOFOAM HC.................. 99procto-med hc........................... 99procto-pak................................. 99proctosol hc...............................99proctozone-hc........................... 99PROCYSBI............................... 80PRODIGEN...............................79PRODIGY NO CODING BLOOD GLUC.......................... 68progesterone.............................93PROGESTERONE COMPOUNDING KIT................93progesterone micronized.......... 93PROGLYCEM........................... 69PROGRAF................................ 96PROLENSA............................ 103PROMACTA..............................43promethazine hcl.....................108promethazine-codeine............ 108promethazine-dm.................... 108promethazine-phenyleph-codeine................................... 108promethazine-phenylephrine.. 108promethegan...........................108PROMETRIUM......................... 93propafenone hcl........................ 50propafenone hcl er.................... 50propantheline bromide.............. 79proparacaine hcl..................... 106propranolol hcl.......................... 50propranolol hcl er...................... 50propranolol-hctz........................ 50propylthiouracil ..........................95

PROQUAD................................98PROSCAR................................ 82PROTHELIAL..........................101PROTONIX............................... 77PROTOPIC............................... 62protriptyline hcl..........................26PROVENTIL HFA................... 111PROVERA................................ 93PROVIGIL............................... 114PROZAC................................... 26PRUDOXIN............................... 62pseudoephedrine-bromphen-dm........................................... 108PSORCON................................62PULMICORT FLEXHALER.....111PULMICORT SUSPENSION.. 111pulmosal..................................108PULMOZYME......................... 112purevit dualfe plus.....................74PURIXAN.................................. 34PYLERA....................................79pyrazinamide.............................31PYRIDIUM................................ 81pyridostigmine bromide.............31pyridostigmine bromide er.........31PYROGALLIC ACID................. 62QBRELIS.................................. 50QBREXZA.................................62QMIIZ ODT............................... 15QNASL....................................108QNASL CHILDRENS.............. 108QSYMIA.................................... 55QTERN..................................... 66QUADRACEL............................98QUALAQUIN.............................36QUARTETTE............................ 93quazepam................................. 43QUDEXY XR.............................23QUESTRAN.............................. 50QUESTRAN LIGHT.................. 50quetiapine fumarate.................. 38quetiapine fumarate er.............. 38QUFLORA FE........................... 74QUFLORA FE PEDIATRIC.......74QUFLORA GUMMIES.............. 74QUFLORA PEDIATRIC...... 74, 75QUILLICHEW ER......................53QUILLIVANT XR....................... 53quinapril hcl...............................50quinapril-hydrochlorothiazide.... 50quinidine gluconate er...............50quinidine sulfate........................ 50quinine sulfate...........................36

QVAR REDIHALER................ 111rabeprazole sodium.................. 77RAGWITEK.............................101raloxifene hcl.............................85ramelteon................................ 114ramipril ...................................... 50RANEXA................................... 50ranitidine hcl..............................77ranolazine er............................. 50RAPAFLO................................. 82RAPAMUNE..............................97rasagiline mesylate................... 37RASUVO...................................97RAVICTI....................................80RAYALDEE.............................100RAYOS..................................... 84RAZADYNE.............................. 24RAZADYNE ER........................ 24READYSHARP ANESTH + BETAMETH.............................. 84READYSHARP ANESTH + DEXAMETH.............................. 84READYSHARP ANESTH + KETOROLAC............................15READYSHARP ANESTH + METHYLPRED......................... 84READYSHARP-A......................16REBIF....................................... 54REBIF REBIDOSE....................54REBIF REBIDOSE TITRATION PACK.................... 54REBIF TITRATION PACK.........54REBLOZYL............................... 43reclipsen....................................93RECOMBIVAX HB.................... 98RECTIV.....................................50RECURA...................................29REGLAN................................... 27REGRANEX..............................62RELENZA DISKHALER............ 41relexxii .......................................53RELION BLOOD GLUCOSE TEST.........................................68RELION PREMIER TEST......... 68RELION ULTIMA TEST............ 68RELISTOR................................ 79RELNATE DHA.........................75RELPAX....................................30REMERON................................26REMERON SOLTAB................ 26REMESENSE........................... 56RENAGEL.................................81RENATABS WITH IRON.......... 75

133

RENVELA................................. 81repaglinide................................ 66repaglinide-metformin hcl..........66REPATHA................................. 50REPATHA PUSHTRONEX SYSTEM................................... 50REPATHA SURECLICK........... 50REQUIP XL...............................37RESCRIPTOR.......................... 41RESTASIS.............................. 106RESTASIS MULTIDOSE........ 106RESTORA RX...........................79RESTORIL.............................. 114RETIN-A....................................62RETIN-A MICRO GEL 0.04 %, 0.1 %.........................................62RETIN-A MICRO PUMP........... 62RETROVIR............................... 41REVATIO................................ 112REVLIMID................................. 34REXULTI...................................38REYATAZ................................. 41RHOFADE................................ 63RHOPRESSA......................... 104RIAX..........................................63ribavirin..................................... 41RIDAURA..................................97rifabutin..................................... 31RIFADIN....................................31RIFAMATE................................31rifampin..................................... 31RIFAMPIN+SYRSPEND SF..... 31RIFATER...................................31RILUTEK...................................55riluzole.......................................55rimantadine hcl..........................41RIMSO-50................................. 81RINVOQ....................................97RIOMET.................................... 66risedronate sodium................. 100RISPERDAL..............................38RISPERDAL CONSTA..............38risperidone................................ 38RITALIN.................................... 53RITALIN LA...............................53ritonavir..................................... 41rivastigmine...............................24rivastigmine tartrate.................. 24rivelsa........................................93rizatriptan benzoate.................. 30ROBAXIN-750.........................113ROCALTROL.......................... 100ROCKLATAN.......................... 104

ROPIDEX..................................84ropinirole hcl..............................37ropinirole hcl er......................... 37ROPIVACAINE HCL................. 17rosadan..................................... 63rosuvastatin calcium................. 50ROTARIX.................................. 98ROTATEQ.................................98ROWASA.................................. 99roweepra................................... 23roweepra xr............................... 23ROXICODONE......................... 12ROZEREM.............................. 114RUBRACA................................ 34RUZURGI................................101RYCLORA...............................109RYDAPT................................... 34RYTARY................................... 37RYTHMOL SR.......................... 50ryvent...................................... 109SABRIL..................................... 23SAFYRAL..................................93SAIZEN..................................... 87SAIZENPREP........................... 87SALAGEN................................. 56SALEX...................................... 63salicylic acid.............................. 63salicylic acid er..........................63salicylic acid-cleanser............... 63SALINE-PHENOL..................... 75salsalate....................................15SALVAX.................................... 63SALVAX DUO PLUS.................63SAMSCA...................................75SANCUSO................................ 27SANDIMMUNE......................... 97SANDOSTATIN........................ 87SANTYL.................................... 63SAPHRIS.................................. 38SARAFEM.................................26SAVAYSA................................. 21SAVELLA.................................. 55SAVELLA TITRATION PACK... 55SAXENDA.................................55scopolamine..............................27SEASONIQUE.......................... 93SECONAL...............................114SEEBRI NEOHALER.............. 111SEGLUROMET.........................66SELECT-OB..............................75selegiline hcl............................. 37selenium sulfide........................ 63SELZENTRY.............................41

SEMPREX-D...........................109SENSIPAR................................85SEREVENT DISKUS.............. 111SERNIVO..................................63SEROQUEL.............................. 39SEROQUEL XR........................ 39SEROSTIM............................... 79sertraline hcl..............................26se-tan plus................................ 75setlakin......................................93sevelamer carbonate................ 81sevelamer hcl............................81SEYSARA................................. 20sf............................................... 56sf 5000 plus...............................56SFROWASA............................. 99sharobel.................................... 93SHINGRIX.................................98SIKLOS..................................... 34sildenafil citrate....................... 112SILENOR................................ 114SILIQ.........................................97silodosin.................................... 82SILVADENE..............................20silver nitrate...............................20silver sulfadiazine......................20SIMBRINZA............................ 104simliya....................................... 93simpesse...................................93SIMPONI...................................97simvastatin................................ 50SINEMET.................................. 37SINEMET CR............................37SINGULAIR.............................111sirolimus....................................97SIRTURO..................................31SITAVIG....................................41SIVEXTRO................................20SKELAXIN.............................. 113SKLICE..................................... 36SKYRIZI (150 MG DOSE).........97sod citrate-citric acid................. 75sodium chloride.......................109sodium fluoride....................56, 75sodium fluoride 5000 plus......... 56sodium hyaluronate...................63sodium phenylbutyrate..............80sodium polystyrene sulfonate... 75sodium sulfacetamide............... 63sodium sulfacetamide wash......63SODIUM SULFACETAMIDE WASH....................................... 63solifenacin succinate.................81

134

SOLIQUA.................................. 66SOLODYN................................ 20SOLOSEC.................................36SOLTAMOX.............................. 34SOLU-CORTEF........................ 84SOMA..................................... 113SOMATULINE DEPOT............. 87SOMAVERT..............................87SOOLANTRA............................63SORIATANE............................. 63SORILUX.................................. 63sorine........................................ 50sotalol hcl.................................. 51sotalol hcl (af)............................50SOTYLIZE.................................51SOVALDI.................................. 41SPECTRACEF..........................20spinosad....................................36SPIRIVA HANDIHALER..........111SPIRIVA RESPIMAT.............. 111spironolactone...........................51spironolactone-hctz...................51SPORANOX..............................29SPORANOX PULSEPAK..........29SPRAVATO (56 MG DOSE)..... 26SPRAVATO (84 MG DOSE)..... 26sprintec 28................................ 93SPRITAM.................................. 23SPRIX....................................... 15SPRYCEL................................. 34sps............................................ 75sronyx....................................... 93ssd............................................ 20SSKI........................................109sss 10-5.................................... 63STALEVO 100.......................... 37STALEVO 125.......................... 37STALEVO 150.......................... 37STALEVO 200.......................... 37STALEVO 50............................ 37STALEVO 75............................ 37STARLIX................................... 66stavudine...................................41STEGLATRO............................ 67STEGLUJAN.............................67STELARA..................................97STEMPHYLIUM...................... 101STIMATE.................................. 87STIOLTO RESPIMAT............. 111STIVARGA................................34STRATTERA.............................53STRENSIQ................................80STRIANT...................................85

STRIBILD..................................41STRIVERDI RESPIMAT......... 111STROMECTOL......................... 36SUBOXONE..............................17SUBSYS................................... 12subvenite...................................23subvenite starter kit-blue...........23subvenite starter kit-green........ 23subvenite starter kit-orange...... 23SUCCINYLCHOLINE CHLORIDE............................... 55SUCRAID..................................80sucralfate.................................. 77SULAR...................................... 51sulfacetamide sodium....... 63, 103sulfacetamide sodium (acne).... 63sulfacetamide sodium-sulfur..... 63sulfacetamide-prednisolone.... 106sulfacetamide-sulfur in urea......63sulfacleanse 8/4........................ 63sulfadiazine............................... 20sulfamethoxazole-trimethoprim.20SULFAMYLON..........................20sulfasalazine........................... 100sulfatrim pediatric......................20sulfurated lime...........................36sulindac.....................................15sumatriptan............................... 30sumatriptan succinate............... 30sumatriptan succinate refill ....... 30sumatriptan-naproxen sodium.. 30SUPRAX................................... 20SUPREP BOWEL PREP KIT....79SURE RESULT O3D3 SYSTEM................................... 51SUSTIVA...................................41SUTENT....................................34SX1 MEDICATED POST-OPERATIVE............................. 17syeda........................................ 93SYLATRON...............................34SYMAX DUOTAB..................... 79symax-sl....................................79symax-sr................................... 79SYMBICORT...........................111SYMBYAX.................................26SYMDEKO.............................. 112SYMFI....................................... 41SYMFI LO................................. 41SYMJEPI.................................111SYMLINPEN 120...................... 67SYMLINPEN 60........................ 67SYMPAZAN.............................. 23

SYMPROIC...............................79SYMTUZA.................................41SYNALAR................................. 63SYNAPRYN FUSEPAQ............ 12SYNAREL................................. 87SYNDROS................................ 27SYNERA................................... 17SYNJARDY...............................67SYNJARDY XR.........................67SYNTHROID.............................95SYPRINE.................................. 75TABLOID...................................34TABRADOL FUSEPAQ.......... 113TABRADOL RAPIDPAQ......... 113TACLONEX...............................64tacrolimus............................64, 97tadalafil (pah).......................... 112TAFINLAR.................................34TAGRISSO............................... 34TAKHZYRO............................ 101TALTZ....................................... 97TALZENNA............................... 34TAMIFLU...................................41tamoxifen citrate........................34tamsulosin hcl........................... 82TAPAZOLE............................... 95TAPERDEX 12-DAY................. 84TAPERDEX 6-DAY................... 84TAPERDEX 7-DAY................... 84TARCEVA................................. 34TARGADOX..............................20TARGRETIN............................. 34tarina 24 fe................................ 93tarina fe 1/20............................. 93tarina fe 1/20 eq........................ 93TARKA...................................... 51TARON FORTE........................ 75taron-crystals............................ 75TASIGNA.................................. 34TASMAR................................... 37TAURINE.................................. 75TAVALISSE.............................. 43TAYTULLA................................93tazarotene................................. 64TAZORAC.................................64taztia xt......................................51TDVAX...................................... 98TECFIDERA..............................54TEGRETOL...............................23TEGRETOL-XR........................ 23TEGSEDI.................................. 55TEKTURNA...............................51TEKTURNA HCT...................... 51

135

telmisartan................................ 51telmisartan-amlodipine..............51telmisartan-hctz.........................51temazepam............................. 114TEMODAR................................ 34TEMOVATE.............................. 64temozolomide............................34tencon....................................... 12TENIVAC.................................. 98tenofovir disoproxil fumarate.....41TENORETIC 100...................... 51TENORETIC 50........................ 51TENORMIN...............................51terazosin hcl..............................82terbinafine hcl............................29terbutaline sulfate....................111terconazole............................... 29TESSALON PERLES..............109TESTIM.....................................85testosterone.............................. 85TESTOSTERONE CYPIONATE............................. 85testosterone cypionate..............85testosterone enanthate............. 85tetrabenazine............................ 55tetracycline hcl.......................... 20TEXACORT.............................. 64TEXAVITE LQ...........................75THALOMID............................... 34THEO-24.................................111theochron................................ 111theophylline.............................111theophylline er.........................111THIOLA..................................... 81THIOLA EC............................... 81thioridazine hcl.......................... 39thiothixene.................................39THROMBIN-JMI........................43THROMBIN-JMI EPISTAXIS.... 43THROMBOGEN........................43thyroid....................................... 95tiadylt er.................................... 51tiagabine hcl..............................23TIAZAC..................................... 51TIBSOVO.................................. 34TIGAN....................................... 27TIGLUTIK..................................55TIKOSYN.................................. 51tilia fe.........................................93timolol maleate..................51, 104TIMOPTIC...............................104TIMOPTIC OCUDOSE............104TIMOPTIC-XE.........................105

tinidazole...................................20TIROSINT................................. 95TIROSINT-SOL.........................95TIVICAY.................................... 41TIVORBEX................................15tizanidine hcl........................... 113TOBI NEBULIZER.................. 112TOBI PODHALER...................112TOBRADEX............................ 106TOBRADEX ST.......................106tobramycin...................... 103, 112TOBRAMYCIN........................ 112tobramycin-dexamethasone....106TOBREX................................. 103TOLAK...................................... 64tolbutamide............................... 67tolcapone.................................. 37tolmetin sodium.........................15TOLSURA................................. 29tolterodine tartrate.....................81tolterodine tartrate er.................81TOPAMAX................................ 23TOPAMAX SPRINKLE..............23TOPEX TOPICAL ANESTHETIC........................... 56TOPICORT............................... 64TOPICORT SPRAY.................. 64topiramate................................. 23topiramate er.............................23TOPROL XL..............................51toremifene citrate...................... 34torsemide.................................. 51TOUJEO MAX SOLOSTAR...... 70TOUJEO SOLOSTAR...............70tovet.......................................... 64TOVIAZ..................................... 81TRACLEER.............................112TRADJENTA.............................67TRAMADOL HCL ER................12tramadol hcl er.......................... 12tramadol hcl er (biphasic)..........12tramadol hcl ir ........................... 12tramadol-acetaminophen.......... 13trandolapril ................................ 51trandolapril-verapamil hcl er......51tranexamic acid.........................43TRANSDERM SCOP (1.5 MG).27TRANSDERM-SCOP (1.5 MG).27TRANXENE-T........................... 43tranylcypromine sulfate............. 26TRAVATAN Z..........................105trazodone hcl............................ 26TRECATOR.............................. 31

TRELEGY ELLIPTA................111TREMFYA.................................97TRESIBA...................................70TRESIBA FLEXTOUCH............70tretinoin............................... 34, 64tretinoin microsphere................ 64tretinoin microsphere pump...... 64TREXALL.................................. 97TREXIMET................................30TREZIX..................................... 13tri femynor................................. 93triamcinolone acetonide...... 56, 64TRI-AMINO............................... 75triamterene................................51triamterene-hctz........................ 51TRIANEX.................................. 64triazolam................................... 43TRIBENZOR............................. 51TRICARE PRENATAL DHA ONE.......................................... 75TRI-CHLOR.............................. 64tricitrates................................... 75tricon......................................... 75TRICOR.................................... 51triderm.......................................64TRIDESILON............................ 64trientine hcl................................75tri-estarylla................................ 93trifluoperazine hcl......................39trifluridine................................ 103trigels-f forte.............................. 75trihexyphenidyl hcl.................... 37tri-legest fe................................ 93TRILEPTAL...............................23tri-linyah.................................... 93TRILIPIX................................... 51tri-lo-estarylla............................ 94tri-lo-marzia............................... 94tri-lo-mili .................................... 94tri-lo-sprintec............................. 94trilyte......................................... 79trimethobenzamide hcl..............27trimethoprim.............................. 20tri-mili ........................................ 94trimipramine maleate................ 26trinate........................................ 75TRINTELLIX..............................26TRIPLE COMPLEX FORMULA 3 KIT......................................... 15TRIPLE PMB...........................103TRIPLE PMK...........................103tri-previfem................................ 94tri-sprintec................................. 94

136

TRISTART ONE........................75TRIUMEQ................................. 41TRI-VI-FLOR.............................75TRI-VI-FLORO.......................... 75tri-vitamin/fluoride......................75tri-vite/fluoride........................... 75trivora (28).................................94tri-vylibra................................... 94tri-vylibra lo................................94TRIZIVIR................................... 41TROKENDI XR......................... 23TROPICAMIDE-PHENYLEPHRINE..................106trospium chloride.......................82trospium chloride er.................. 82TRUE METRIX BLOOD GLUCOSE TEST...................... 68TRUETRACK TEST..................68TRULANCE...............................79TRULICITY............................... 67TRUMENBA..............................98TRUVADA.................................41tryptophan................................. 76TUDORZA PRESSAIR........... 111tulana........................................ 94turpentine.................................. 64TUSSICAPS............................109TUXARIN ER.......................... 109TUZISTRA XR........................ 109TWINRIX...................................98TWYNSTA................................ 51TYBOST....................................41tydemy...................................... 94TYKERB....................................34TYLENOL WITH CODEINE #3. 13TYLENOL WITH CODEINE #4. 13TYMLOS................................. 100UCERIS.................................. 100ULESFIA................................... 36ULORIC.................................... 29ULTRACET............................... 13ULTRAM................................... 13ULTRAVATE.............................64UMECTA MOUSSE.................. 64unithroid.................................... 95UPTRAVI................................ 112urea...........................................64urea hydrating........................... 64urea in zn undecyl-lactic acid....64urea nail .................................... 64URECHOLINE.......................... 82URELLE.................................... 82uretron d/s.................................82

URIMAR-T................................ 82urin ds....................................... 82URO-458...................................82UROCIT-K 10............................76UROCIT-K 15............................76UROCIT-K 5..............................76UROGESIC-BLUE.................... 82UROXATRAL............................ 82URSO 250.................................79URSO FORTE.......................... 79ursodiol..................................... 79URYL........................................ 82ustell ..........................................82UTIBRON NEOHALER........... 111uticap........................................ 82utira-c........................................ 82utrona-c.....................................82VAGIFEM..................................94valacyclovir hcl..........................41VALCHLOR...............................34VALCYTE..................................41valganciclovir hcl.......................41VALIUM.....................................43valproic acid.............................. 23valsartan................................... 51valsartan-hydrochlorothiazide... 51VALTREX..................................41VANATOL LQ........................... 13VANATOL S..............................13VANCOCIN HCL.......................20vancomycin hcl......................... 20VANCOMYCIN+SYRSPEND SF............................................. 20vandazole..................................20VANOS..................................... 64VANOXIDE-HC......................... 64VAQTA......................................98VARIVAX.................................. 98VARUBI.....................................27VASCEPA................................. 51VASERETIC..............................51VASOTEC.................................51VECAMYL.................................51VECTICAL................................ 64velivet........................................94VELPHORO.............................. 82VELTASSA............................... 76VELTIN..................................... 64VEMLIDY.................................. 41VENCLEXTA.............................34VENCLEXTA STARTING PACK........................................ 34

VENIPUNCTURE PX1 PHLEBOTOMY......................... 17venlafaxine hcl.......................... 26venlafaxine hcl er...................... 26VENOMIL HONEY BEE VENOM...................................101VENOMIL WASP VENOM...... 101VENOMIL WHITE FACED HORNET.................................101VENOMIL YELLOW HORNET VENOM...................................101VENOMIL YELLOW JACKET VENOM...................................101VENTAVIS.............................. 112VENTOLIN HFA......................111verapamil hcl.............................51verapamil hcl er.........................51VERDESO................................ 64VEREGEN................................ 64VERELAN................................. 52VERELAN PM...........................52VERSACLOZ............................ 39VERZENIO................................34VESICARE................................82VFEND......................................29VIBERZI.................................... 79VIBRAMYCIN............................20vicodin es.................................. 13vicodin hp..................................13VICTOZA.................................. 67VIDEX....................................... 42VIDEX EC................................. 42VIEKIRA PAK............................42vienva........................................94vigabatrin.................................. 23vigadrone.................................. 23VIGAMOX............................... 103VIIBRYD....................................26VIIBRYD STARTER PACK....... 26VILEVEV MB.............................82VIMOVO....................................15VIMPAT.....................................23VIOKACE.................................. 80viorele....................................... 94VIRACEPT................................ 42VIRAMUNE............................... 42VIRAMUNE XR......................... 42VIRASAL...................................64VIRAZOLE................................ 42VIREAD.....................................42virt-phos 250 neutral................. 76virtussin ac w/alc.....................109VISTARIL.................................. 43

137

VISTOGARD...........................101VITAFOL................................... 76VITAFOL-OB+DHA...................76vitamin d (ergocalciferol)...........76vitamin k1..................................76vitamins acd-fluoride................. 76VITRAKVI..................................34VIVAGUARD INO TEST STRIPS..................................... 68VIVELLE-DOT...........................94VIVLODEX................................ 15VIZIMPRO.................................34VOGELXO................................ 85VOGELXO PUMP..................... 85VOLTAREN...............................15VOPAC GB............................... 15VOPAC KT................................15voriconazole..............................29VOSEVI.....................................42VOTRIENT................................35VP FC KIT.................................15VP GKL KIT.............................. 15vp-pnv-dha................................ 76VRAYLAR................................. 39VSL#3 DS................................. 79VUSION.................................... 29vyfemla......................................94vylibra........................................94VYNDAQEL.............................. 52VYTORIN.................................. 52VYVANSE................................. 53VYZULTA................................105warfarin sodium.........................21WASP VENOM PROTEIN...... 101WELCHOL................................ 52WELLBUTRIN SR.....................26WELLBUTRIN XL..................... 26wera.......................................... 94WESTHROID............................ 95WHITE-FACED HORNET VENOM...................................101wixela inhub............................ 111WP THYROID........................... 95wymzya fe................................. 94XADAGO...................................37XALKORI.................................. 35XANAX......................................43XANAX XR................................43XARELTO................................. 21XARELTO STARTER PACK.....21XATMEP................................... 97XELJANZ.................................. 97XELJANZ XR............................ 97

XELODA................................... 35XELPROS............................... 105XENAZINE................................ 55XENICAL...................................55XEPI..........................................20XERAC AC................................65XERESE................................... 42XERMELO................................ 79XHANCE................................. 109XIFAXAN...................................20XIGDUO XR..............................67XIIDRA.................................... 106XIMINO..................................... 20XOFLUZA................................. 42XOLEGEL................................. 29XOLEGEL COREPAK...............29XOLEGEL DUO/HEAD & SHOULDERS............................29XOLEGEL DUO/XOLEX........... 29XOPENEX...............................111XOPENEX CONCENTRATE.. 112XOPENEX HFA...................... 112XOSPATA................................. 35XTAMPZA ER........................... 13XTANDI.....................................35xulane....................................... 94XULTOPHY...............................67XURIDEN..................................80XYOSTED.................................85XYREM................................... 114YASMIN 28............................... 94YAZ........................................... 94YELLOW JACKET VENOM PROTEIN................................ 101YONSA..................................... 35YOSPRALA...............................77YUPELRI.................................112yuvafem.................................... 94ZACARE................................... 65zaclir cleansing......................... 65zafirlukast................................112zaleplon...................................114ZANAFLEX............................. 113zarah......................................... 94ZARONTIN................................23ZAVESCA................................. 80ZEBUTAL..................................13ZEGERID.................................. 77ZEJULA.....................................35ZELAC...................................... 79ZELAPAR..................................37ZELBORAF............................... 35ZEMBRACE SYMTOUCH........ 30

ZEMPLAR............................... 100zenatane................................... 65ZENPEP....................................80ZENZEDI...................................53ZEPATIER................................ 42ZESTORETIC........................... 52ZESTRIL................................... 52ZETIA........................................52ZETONNA...............................109ZIAC..........................................52ZIAGEN.....................................42ZIANA....................................... 65zidovudine.................................42ZIEXTENZO..............................43zileuton er............................... 112ZIOPTAN................................ 105ziprasidone hcl.......................... 39ZIPSOR.....................................15ZIRGAN.................................. 103ZITHROMAX.............................21ZITHROMAX TRI-PAK..............21ZITHROMAX Z-PAK................. 21ZOCOR..................................... 52ZOFRAN................................... 27ZOHYDRO ER.......................... 13ZOLINZA...................................35zolmitriptan................................30ZOLOFT....................................26zolpidem tartrate..................... 114zolpidem tartrate er................. 114ZOMACTON............................. 87ZOMIG...................................... 30ZOMIG ZMT..............................30ZONALON.................................65ZONEGRAN..............................23zonisamide................................23ZONTIVITY............................... 37ZORBTIVE................................ 79ZORTRESS.............................. 97ZORVOLEX.............................. 16ZOSTAVAX...............................98zovia 1/35e (28)........................ 94ZOVIRAX.................................. 42ZTLIDO..................................... 17Z-TUSS AC............................. 109ZUBSOLV................................. 17zumandimine.............................94ZUPLENZ..................................27ZYCLARA................................. 65ZYCLARA PUMP...................... 65ZYDELIG...................................35ZYFLO.................................... 112ZYKADIA...................................35

138

ZYLET.....................................106ZYLOPRIM................................29ZYMAXID................................ 103ZYPITAMAG............................. 52ZYPREXA................................. 39ZYPREXA RELPREVV............. 39ZYPREXA ZYDIS......................39ZYTIGA..................................... 35ZYVOX......................................21

139

Documents

MEMBER 2020 PREFERRED DRUG LIST · 2020-03-13 · While extensive, this is not an exhaustive list of all available medications and this list is subject to change. See the most current