Nebraska WellCare Over The Counter Drug List

Nebraska WellCare Over The Counter Drug List

2019 Q4 Page 1 of 79

NDC Drug Name Term Date

*ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS*

00113040951 Stay Awake Maximum Strength 200 MG Oral Tablet



00904795544 Stay Awake 200 MG Oral Tablet

24385060173 GNP Stay Awake 200 MG Oral Tablet



46122045773 GNP Alert Aid 200 MG Oral Tablet

62011000501 HM Stay Awake 200 MG Oral Tablet

62011034001 HM Stay Awake 200 MG Oral Tablet

70000015401 Alertness Aid 200 MG Oral Tablet 6/14/2020

70000040901 Caffeine 200 MG Oral Tablet

70677002101 SM Stay Awake 200 MG Oral Tablet

*Analgesic Combinations**

00113037462 GoodSense Migraine Formula 250-250-65 MG Oral Tablet

00113037478 GoodSense Migraine Formula 250-250-65 MG Oral Tablet

00904513559 Pain Reliever Plus 250-250-65 MG Oral Tablet

24385036571 GNP Migraine Relief 250-250-65 MG Oral Tablet

24385036578 GNP Migraine Relief 250-250-65 MG Oral Tablet

36800037462 Migraine Formula 250-250-65 MG Oral Tablet

36800037478 Migraine Formula 250-250-65 MG Oral Tablet

36800043078 Headache Formula Added St 250-250-65 MG Oral Tablet

46122038278 GNP Headache Relief Extra Str 250-250-65 MG Oral Tablet

49348050610 SM Migraine Relief 250-250-65 MG Oral Tablet

54859011010 Dologesic 30-500 MG Oral Tablet

62011024301 HM Migraine Relief 250-250-65 MG Oral Tablet

63868003224 QC Menstrual Complete Max St 500-60-15 MG Oral Tablet

63868048501 QC Headache Relief 250-250-65 MG Oral Tablet

63868048524 QC Headache Relief 250-250-65 MG Oral Tablet

70000012701 Back & Body Extra Strength 500-32.5 MG Oral Tablet

70000012702 Back & Body Extra Strength 500-32.5 MG Oral Tablet

70000014501 Menstrual Pain Relief 500-25-15 MG Oral Tablet

70000014601 Headache Relief 250-250-65 MG Oral Tablet

70000015901 Tension Headache 500-65 MG Oral Tablet

70000015902 Tension Headache 500-65 MG Oral Tablet

70000024701 Migraine Relief 250-250-65 MG Oral Tablet

70000024702 Migraine Relief 250-250-65 MG Oral Tablet

70000025801 Headache Relief 250-250-65 MG Oral Tablet

*ANALGESICS - ANTI-INFLAMMATORY*

00113005705 GoodSense Ibuprofen Infants 50 MG/1.25ML Oral Suspension

00113007471 GoodSense Ibuprofen 200 MG Oral Tablet


00113016626 GoodSense Ibuprofen Childrens 100 MG/5ML Oral Suspension

2019 Q4 Page 2 of 79


00113046162 GoodSense Ibuprofen Junior St 100 MG Oral Tablet Chewable













00113090162 GoodSense Naproxen Sodium 220 MG Oral Tablet





00121183605 Childrens Ibuprofen 100 MG/5ML Oral Suspension

00472176094 Ibuprofen Childrens 100 MG/5ML Oral Suspension





00536108901 Ibuprofen 200 MG Oral Tablet

00536109301 All Day Relief 220 MG Oral Tablet




00536114730 Ibuprofen 200 MG Oral Capsule



00904546335 Ibuprofen Infants 50 MG/1.25ML Oral Suspension










00904791451 IBU-200 200 MG Oral Tablet

2019 Q4 Page 3 of 79





00904791551 Ibuprofen 200 MG Oral Tablet 8/31/2020



15127046624 SB Naproxen Sodium 220 MG Oral Tablet

15127046650 SB Naproxen Sodium 220 MG Oral Tablet



24385000926 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension


24385005878 GNP Ibuprofen 200 MG Oral Tablet





24385036881 GNP All Day Pain Relief 220 MG Oral Tablet




24385054662 GNP Ibuprofen Junior Strength 100 MG Oral Tablet Chewable

24385055010 GNP Ibuprofen Infants 50 MG/1.25ML Oral Suspension










36800005705 Infants Ibuprofen 50 MG/1.25ML Oral Suspension







36800036862 All Day Pain Relief 220 MG Oral Tablet




2019 Q4 Page 4 of 79


36800046162 Ibuprofen Junior Strength 100 MG Oral Tablet Chewable


















36800074206 Naproxen Sodium 220 MG Oral Capsule








45802049071 Naproxen Sodium 220 MG Oral Tablet






46122001062 GNP Ibuprofen Junior Strength 100 MG Oral Tablet Chewable


46122030971 GNP Naproxen Sodium 220 MG Oral Tablet








46122061762 GNP Ibuprofen Childrens 100 MG Oral Tablet Chewable

2019 Q4 Page 5 of 79


49348019609 SM Ibuprofen 200 MG Oral Tablet



49348022934 SM Childrens Ibuprofen 100 MG/5ML Oral Suspension


49348030609 SM Naproxen Sodium 220 MG Oral Tablet

49348030610 SM Naproxen Sodium 220 MG Oral Tablet

49348037469 SM Infants Ibuprofen 50 MG/1.25ML Oral Suspension



49348056859 SM Ibuprofen 200 MG Oral Capsule

49348063904 SM Ibuprofen IB 100 MG Oral Tablet Chewable

49348064227 SM Infants Ibuprofen 50 MG/1.25ML Oral Suspension






49348072709 SM Ibuprofen IB 200 MG Oral Tablet













62011000401 HM Ibuprofen Infants 50 MG/1.25ML Oral Suspension

62011001001 HM Ibuprofen Childrens 100 MG/5ML Oral Suspension


62011001201 HM Ibuprofen Infants 50 MG/1.25ML Oral Suspension

62011001401 HM Ibuprofen 200 MG Oral Tablet







62011001601 HM Ibuprofen 200 MG Oral Capsule

2019 Q4 Page 6 of 79


62011001701 HM Naproxen Sodium 220 MG Oral Tablet

62011001702 HM Naproxen Sodium 220 MG Oral Tablet



62011021301 HM Ibuprofen IB 200 MG Oral Tablet




62011024901 HM Naproxen Sodium 220 MG Oral Capsule

62011033401 HM Ibuprofen 100 MG Oral Tablet Chewable

62011036701 HM Ibuprofen IB 100 MG Oral Tablet Chewable

62011036901 HM Naproxen Sodium 220 MG Oral Capsule

62107000201 Provil 200 MG Oral Tablet

62107000250 Provil 200 MG Oral Tablet

63868007630 QC Ibuprofen Infants 50 MG/1.25ML Oral Suspension

63868046501 QC Naproxen Sodium 220 MG Oral Tablet

63868046550 QC Naproxen Sodium 220 MG Oral Tablet

63868075618 QC Childrens Ibuprofen 100 MG/5ML Oral Suspension


63868075940 QC Ibuprofen 200 MG Oral Capsule

63868077324 QC Ibuprofen 200 MG Oral Tablet




63868079050 QC Ibuprofen IB 200 MG Oral Tablet




63868097924 QC Ibuprofen 200 MG Oral Tablet 9/2/2014

63868098350 QC Ibuprofen 200 MG Oral Tablet














2019 Q4 Page 7 of 79



































70000030701 Ibuprofen Infants Drops 50 MG/1.25ML Oral Suspension





70677004601 SM Ibuprofen 200 MG Oral Capsule

*Analgesics Other**

00113002026 GoodSense Pain & Fever Child 160 MG/5ML Oral Suspension

00113002562 GoodSense Pain Relief Extra St 500 MG Oral Tablet



2019 Q4 Page 8 of 79


00113016110 GoodSense Pain & Fever Infants 160 MG/5ML Oral Suspension








00113054462 GoodSense Arthritis Pain 650 MG Oral Tablet ER







00121065700 Acetaminophen 160 MG/5ML Oral Solution


00121131400 Acetaminophen 325 MG/10.15ML Oral Solution


00121178100 Childrens Acetaminophen 160 MG/5ML Oral Suspension




00485005708 Ed-APAP 160 MG/5ML Oral Liquid

00536101407 Pain & Fever Childrens 80 MG Oral Tablet Chewable 5/31/2021

00536116401 Acetaminophen 325 MG Oral Tablet



00536121277 Acetaminophen Infants 160 MG/5ML Oral Suspension

00536322201 Pain & Fever 325 MG Oral Tablet

00536322210 Pain & Fever 325 MG Oral Tablet

00536323101 Pain & Fever Extra Strength 500 MG Oral Tablet 6/30/2021

00713011801 Acephen 120 MG Rectal Suppository



00713016401 Acephen 325 MG Rectal Suppository 4/30/2022






00904198251 Mapap 325 MG Oral Tablet


2019 Q4 Page 9 of 79




00904198351 Mapap 500 MG Oral Tablet 5/31/2020

00904198520 Mapap 160 MG/5ML Oral Liquid 9/30/2020

00904198760 Mapap 500 MG Oral Capsule





00904576960 Mapap Arthritis Pain 650 MG Oral Tablet ER

00904579146 Mapap Childrens 80 MG Oral Tablet Chewable

00904581660 Mapap Extra Strength 500 MG Oral Tablet 6/30/2020

00904584709 Mapap Acetaminophen Extra Str 500 MG/15ML Oral Liquid

00904653620 Mapap Childrens 160 MG/5ML Oral Suspension 8/31/2020

00904664524 Mapap Childrens 160 MG Oral Tablet Chewable




00904672024 Acetaminophen Extra Strength 500 MG Oral Tablet













00904676620 Acetaminophen Childrens 160 MG/5ML Oral Suspension



00904688365 Acetaminophen ER 650 MG Oral Tablet ER

00904701416 Acetaminophen Childrens 160 MG/5ML Oral Solution

16103035307 Pharbetol 325 MG Oral Tablet



16103037606 Pharbetol Extra Strength 500 MG Oral Tablet



24385013026 GNP Childrens Pain Relief 160 MG/5ML Oral Suspension

2019 Q4 Page 10 of 79


24385014571 GNP Pain Relief Extra Strength 500 MG Oral Tablet




24385062971 GNP Arthritis Pain Relief 650 MG Oral Tablet ER


36800000805 Infants Pain Relief 80 MG/0.8ML Oral Suspension

36800001071 Pain Relief Extra Strength 500 MG Oral Tablet


36800004662 Extra Strength Pain Relief 500 MG Oral Tablet




36800010526 Pain Relief Childrens 160 MG/5ML Oral Suspension



36800020226 Pain & Fever Childrens 160 MG/5ML Oral Suspension

36800021778 8 Hour Pain Relief 650 MG Oral Tablet ER






36800040378 Pain Relief 325 MG Oral Tablet








36800054462 Arthritis Pain Relief 650 MG Oral Tablet ER



36800059016 Pain & Fever Infants 160 MG/5ML Oral Suspension







45802073030 Acetaminophen 650 MG Rectal Suppository


2019 Q4 Page 11 of 79






46122004203 GNP Infants Pain/Fever 160 MG/5ML Oral Suspension

46122005603 GNP Infants Pain/Fever 160 MG/5ML Oral Suspension

46122006271 GNP 8 Hour Pain Reliever 650 MG Oral Tablet ER

46122006278 GNP 8 Hour Pain Reliever 650 MG Oral Tablet ER


46122020926 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension





46122024778 GNP Pain Relief 325 MG Oral Tablet

46122031346 GNP Infants Pain Relief 160 MG/5ML Oral Suspension 4/28/2020



46122034046 GNP Infants Pain Relief 160 MG/5ML Oral Suspension 4/28/2020

46122035734 GNP Pain Relief Extra Strength 500 MG/15ML Oral Liquid

46122039078 GNP Pain Relief 325 MG Oral Tablet

46122042462 GNP Acetaminophen 160 MG Oral Tablet Chewable

46122043078 GNP Acetaminophen 325 MG Oral Tablet


49348004209 SM Pain Reliever Ex St 500 MG Oral Tablet



49348006304 SM Rapid Melts Junior 160 MG Oral Tablet Disint

49348008130 SM Pain & Fever Infants 160 MG/5ML Oral Suspension

49348009334 SM Pain & Fever Childrens 160 MG/5ML Oral Suspension

49348011610 SM Pain Reliever 500 MG Oral Capsule




49348043030 SM Pain & Fever Infants 160 MG/5ML Oral Suspension



49348092110 SM Arthritis Pain Relief 650 MG Oral Tablet ER

49348092410 SM 8 Hour Pain Relief 650 MG Oral Tablet ER

49348097310 SM Pain Reliever 325 MG Oral Tablet

49348097316 SM Pain Reliever 325 MG Oral Tablet



2019 Q4 Page 12 of 79










51672211402 FeverAll Infants 80 MG Rectal Suppository

51672211404 FeverAll Infants 80 MG Rectal Suppository

51672211502 FeverAll Childrens 120 MG Rectal Suppository

51672211504 FeverAll Childrens 120 MG Rectal Suppository

51672211602 FeverAll Junior Strength 325 MG Rectal Suppository

51672211604 FeverAll Junior Strength 325 MG Rectal Suppository

51672211704 FeverAll Adults 650 MG Rectal Suppository

54838014440 Childrens Silapap 160 MG/5ML Oral Liquid



58657052016 Acetaminophen 160 MG/5ML Oral Liquid 6/30/2021

58657052504 M-PAP 160 MG/5ML Oral Liquid

58657052516 M-PAP 160 MG/5ML Oral Liquid

62011000101 HM Pain & Fever Infants 160 MG/5ML Oral Suspension

62011000201 HM Pain & Fever Infants 160 MG/5ML Oral Suspension

62011002301 HM Pain Relief Extra Strength 500 MG Oral Tablet



62011002601 HM Arthritis Pain Relief 650 MG Oral Tablet ER


62011003201 HM Pain Reliever 325 MG Oral Tablet

62011003202 HM Pain Reliever 325 MG Oral Tablet


62011018301 HM Pain & Fever Childrens 160 MG/5ML Oral Suspension

62011023001 HM Rapid Melts Junior 160 MG Oral Tablet Disint



62011033601 HM Pain Relief 650 MG Oral Tablet ER



62011033901 HM Acetaminophen Childrens 160 MG Oral Tablet Chewable

62107005001 Tactinal Extra Strength 500 MG Oral Tablet




2019 Q4 Page 13 of 79


62107005201 Tactinal 325 MG Oral Tablet

62107005210 Tactinal 325 MG Oral Tablet


63868008210 QC Pain Relief 325 MG Oral Tablet

63868008405 QC Pain Relief Extra Strength 500 MG Oral Tablet



63868008901 QC Arthritis Pain Relief 650 MG Oral Tablet ER

63868008950 QC Arthritis Pain Relief 650 MG Oral Tablet ER

63868009150 QC Acetaminophen 8 Hours 650 MG Oral Tablet ER

63868015824 QC Non-Aspirin Jr Strength 160 MG Oral Tablet Disint

63868017418 QC Pain Relief Childrens 160 MG/5ML Oral Suspension

63868017526 Non-Aspirin Childrens 160 MG/5ML Oral Suspension

63868017626 QC Non-Aspirin Childrens 160 MG/5ML Oral Suspension

63868050350 QC Non-Aspirin Extra Strength 500 MG Oral Tablet












68094003059 Acetaminophen 650 MG/20.3ML Oral Suspension

68094003062 Acetaminophen 650 MG/20.3ML Oral Suspension






68094058859 Childrens Acetaminophen 325 MG/10.15ML Oral Suspension

68094058862 Childrens Acetaminophen 325 MG/10.15ML Oral Suspension


70000015003 Acetaminophen Extra Strength 500 MG Oral Tablet 4/3/2020

70000015301 Acetaminophen Extra Strength 500 MG Oral Tablet 4/4/2020

70000017301 Pain & Fever Childrens 160 MG/5ML Oral Suspension 6/19/2020

70000018001 8 Hour Arthritis Pain Reliever 650 MG Oral Tablet ER




2019 Q4 Page 14 of 79


70000030601 8HR Muscle Aches & Pain 650 MG Oral Tablet ER

70000030901 Acetaminophen 160 MG Oral Tablet Chewable

70000031001 Acetaminophen Childrens 160 MG Oral Tablet Chewable

70000031202 Acetaminophen 500 MG Oral Tablet 8/27/2020
















70677001701 SM Pain Reliever Ex St 650 MG Oral Tablet ER

70677001801 SM Arthritis Pain Reliever 650 MG Oral Tablet ER

70677001901 SM Arthritis Pain Reliever 650 MG Oral Tablet ER

*ANORECTAL AND RELATED PRODUCTS*

00113018816 GoodSense Hemorrhoidal 0.25-14-74.9 % Rectal Ointment

00113027953 GoodSense Hemorrhoidal 0.25-88.44 % Rectal Suppository

00113094424 Hemorrhoidal 1-0.25-14.4-15 % External Cream

00536118612 Hemorrhoidal 0.25-88.44 % Rectal Suppository

00904635602 Major-Prep Hemorrhoidal 0.25-14-74.9 % Rectal Ointment 8/31/2020

00904672602 Major-Prep Hemorrhoidal 0.25-14-74.9 % Rectal Ointment

00904768822 Anu-Med 88.7-0.25 % Rectal Suppository 7/31/2020

24385042106 GNP Hemorrhoidal Cooling 0.25-50 % External Gel



36800039453 Hemorrhoidal 0.25-3-85.5 % Rectal Suppository

36800039462 Hemorrhoidal 0.25-3-85.5 % Rectal Suppository

36800040016 Hemorrhoidal 0.25-3-14-71.9 % Rectal Ointment

36800049916 Hemorrhoidal 0.25-14-74.9 % Rectal Ointment

36800094424 Hemorrhoidal Max St/Aloe 1-0.25-14.4-15 % External Cream


46122010346 GNP Hemorrhoidal 0.25-14-74.9 % Rectal Ointment

62011029601 HM Hemorrhoidal 0.25-14-74.9 % Rectal Ointment

63868020102 QC Hemorrhoidal 0.25-14-74.9 % Rectal Ointment

63868020812 QC Hemorrhoidal 0.25-88.44 % Rectal Suppository


2019 Q4 Page 15 of 79



70000042501 Hemorrhoidal 1-0.25-14.4-15 % External Cream

43199005415 Lidocaine (Anorectal) 5 % External Cream


45802005003 Dibucaine (Perianal) 1 % External Ointment



51862018015 Pramoxine HCl (Perianal) 1 % External Foam


*ANTACIDS*

00113034040 Antacid Plus Anti-Gas Relief 400-400-40 MG/5ML Oral Suspension

00113035740 Antacid Plus Anti-Gas Relief 200-200-20 MG/5ML Oral Suspension

00113058840 Antacid Anti-Gas Max Strength 400-400-40 MG/5ML Oral Suspension

00113085140 Antacid 200-200-20 MG/5ML Oral Suspension

00121176030 Mag-Al 200-200 MG/5ML Oral Liquid

00121176130 Mag-Al Plus 200-200-20 MG/5ML Oral Liquid

00121176230 Mag-Al Plus XS 400-400-40 MG/5ML Oral Liquid

00135009626 Gaviscon 80-14.2 MG Oral Tablet Chewable

00135062401 Tums Gas Relief Chewy Bites 750-80 MG Oral Tablet Chewable

00135062402 Tums Gas Relief Chewy Bites 750-80 MG Oral Tablet Chewable

00536001583 Almacone Double Strength 400-400-40 MG/5ML Oral Suspension

00536118583 Almacone 200-200-20 MG/5ML Oral Suspension

00904000414 Mi-Acid 200-200-20 MG/5ML Oral Suspension

00904536560 Acid Gone 160-105 MG Oral Tablet Chewable

00904572514 Mintox Maximum Strength 400-400-40 MG/5ML Oral Suspension

00904670060 Mintox Plus 200-200-25 MG Oral Tablet Chewable

00904675514 Mi-Acid Maximum Strength 400-400-40 MG/5ML Oral Suspension

00904676414 Mintox Regular Strength 200-200-20 MG/5ML Oral Suspension

00904683314 Mi-Acid 200-200-20 MG/5ML Oral Suspension

00904772714 Acid Gone 95-358 MG/15ML Oral Suspension

24385035640 GNP Antacid Anti-Gas 200-200-20 MG/5ML Oral Suspension

36800034040 Fast Acting Antacid/Anti-Gas 400-400-40 MG/5ML Oral Suspension

36800035740 Antacid Plus Anti-Gas Fast Act 200-200-20 MG/5ML Oral Suspension

36800058840 Antacid Maximum Strength 400-400-40 MG/5ML Oral Suspension

36800085140 Antacid Fast Relief 200-200-20 MG/5ML Oral Suspension

37205031440 Antacid 200-200-20 MG/5ML Oral Suspension 8/8/2020

37205053040 Antacid Fast Acting 200-200-20 MG/5ML Oral Suspension 8/12/2020

37205053640 Antacid Maximum Strength 400-400-40 MG/5ML Oral Suspension 5/22/2020

46122015078 GNP Antacid Extra Strength 160-105 MG Oral Tablet Chewable

46122015175 GNP Antacid & Anti-Gas 1000-60 MG Oral Tablet Chewable

46122015347 GNP Antacid 550-110 MG Oral Tablet Chewable

46122043140 GNP Antacid & Anti-Gas 400-400-40 MG/5ML Oral Suspension


46122043340 GNP Antacid Regular Strength 200-200-20 MG/5ML Oral Suspension

2019 Q4 Page 16 of 79



49348001939 SM Antacid/Antigas 200-200-20 MG/5ML Oral Suspension

49348015339 SM Antacid Advanced 200-200-20 MG/5ML Oral Suspension

49348030239 SM Antacid Advanced Max St 400-400-40 MG/5ML Oral Suspension

62011012201 HM Advanced Antacid Max St 400-400-40 MG/5ML Oral Suspension

62011014801 HM Antacid/Antigas 200-200-20 MG/5ML Oral Suspension

62011014901 HM Antacid Anti-Gas Ex St 400-400-40 MG/5ML Oral Suspension

62011029201 HM Antacid 200-200-20 MG/5ML Oral Suspension

63868069457 QC Antacid 200-200-20 MG/5ML Oral Suspension

63868071257 QC Antacid/Anti-Gas 200-200-20 MG/5ML Oral Suspension

63868071557 QC Antacid/Anti-Gas 400-400-40 MG/5ML Oral Suspension

70000023401 Antacid Extra Strength 160-105 MG Oral Tablet Chewable

70000036301 Heartburn Relief Ex St 254-237.5 MG/5ML Oral Suspension


70000047601 Antacid 200-200-20 MG/5ML Oral Suspension


70000048601 Antacid Regular Strength 200-200-20 MG/5ML Oral Suspension

00536009185 Aluminum Hydroxide Gel 320 MG/5ML Oral Suspension

00536104610 Sodium Bicarbonate 325 MG Oral Tablet

00536104710 Sodium Bicarbonate 650 MG Oral Tablet

64980018210 Sodium Bicarbonate 650 MG Oral Tablet 4/30/2020

00054311763 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension


00113017980 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable


00113046880 Antacid Extra Strength 750 MG Oral Tablet Chewable


00113047847 Calcium Antacid 500 MG Oral Tablet Chewable


00113048547 Antacid 500 MG Oral Tablet Chewable




00113059523 Calcium Antacid Ultra Max St 1000 MG Oral Tablet Chewable

00113059523 Calcium Antacid Ultra Max St 1000 MG Oral Tablet Chewable





00135056001 Tums Chewy Delights 1177 MG Oral Tablet Chewable




2019 Q4 Page 17 of 79


00536100715 Cal-Gest Antacid 500 MG Oral Tablet Chewable

00536100715 Cal-Gest Antacid 500 MG Oral Tablet Chewable

00536102410 Calcium Carbonate Antacid 648 MG Oral Tablet 5/31/2020

00536102410 Calcium Carbonate Antacid 648 MG Oral Tablet 5/31/2020

00536104815 Antacid Calcium 500 MG Oral Tablet Chewable




00536105022 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable 4/30/2021

00536105022 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable 4/30/2021

00536120610 Calcium Carbonate Antacid 648 MG Oral Tablet

00536120610 Calcium Carbonate Antacid 648 MG Oral Tablet







24385010680 GNP Antacid Extra Strength 750 MG Oral Tablet Chewable


36800017980 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable

36800017980 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable









36800059523 Calcium Antacid Ultra Strength 1000 MG Oral Tablet Chewable

36800059523 Calcium Antacid Ultra Strength 1000 MG Oral Tablet Chewable



37205033369 Calcium Antacid Ultra 1000 MG Oral Tablet Chewable

37205033369 Calcium Antacid Ultra 1000 MG Oral Tablet Chewable





49348009434 SM Calcium Antacid Ex St 750 MG Oral Tablet Chewable

49348009434 SM Calcium Antacid Ex St 750 MG Oral Tablet Chewable

49348010621 SM Calcium Antacid 500 MG Oral Tablet Chewable

2019 Q4 Page 18 of 79





49348095916 SM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable

49348095916 SM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable

62011022901 HM Calcium Antacid Ex St 750 MG Oral Tablet Chewable




62011028101 HM Calcium Antacid 500 MG Oral Tablet Chewable


62011029401 HM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable








63868004715 QC Antacid 500 MG Oral Tablet Chewable

63868004715 QC Antacid 500 MG Oral Tablet Chewable





70000003401 Antacid Regular Strength 500 MG Oral Tablet Chewable

70000003401 Antacid Regular Strength 500 MG Oral Tablet Chewable





70000043601 Antacid Ultra Strength 1000 MG Oral Tablet Chewable






00603020922 Magnesium Oxide 400 MG Oral Tablet






2019 Q4 Page 19 of 79




*ANTIDIARRHEAL/PROBIOTIC AGENTS*

00113030234 Stomach Relief 262 MG/15ML Oral Suspension

00113046991 GoodSense Stomach Relief 262 MG Oral Tablet Chewable

00536102107 Peptic Relief 262 MG Oral Tablet Chewable

00603023516 Pink Bismuth 262 MG Oral Tablet Chewable 5/31/2020

00904131309 Bismatrol 262 MG/15ML Oral Suspension

00904131409 Bismatrol Maximum Strength 525 MG/15ML Oral Suspension

00904131546 Bismatrol 262 MG Oral Tablet Chewable

24385001758 GNP Pink Bismuth 262 MG Oral Tablet

24385002465 GNP Pink Bismuth 262 MG Oral Tablet Chewable

24385030226 GNP Stomach Relief 262 MG/15ML Oral Suspension



36800033734 Stomach Relief Max St 525 MG/15ML Oral Suspension

36800033740 Stomach Relief Max St 525 MG/15ML Oral Suspension

36800046965 Stomach Relief 262 MG Oral Tablet Chewable

37205072065 Pink Bismuth 262 MG Oral Tablet Chewable

46122030834 GNP Stomach Relief Max St 525 MG/15ML Oral Suspension

49348001441 SM Stomach Relief 525 MG/30ML Oral Suspension

49348051159 SM Stomach Relief 262 MG Oral Tablet

49348095344 SM Stomach Relief 262 MG Oral Tablet Chewable

62011014001 HM Stomach Relief 262 MG Oral Tablet Chewable

62011027801 HM Stomach Relief 525 MG/30ML Oral Suspension

62011027901 HM Stomach Relief Max Strength 525 MG/15ML Oral Suspension

62011039301 HM Stomach Relief 525 MG/30ML Oral Suspension

62011039401 HM Stomach Relief Ultra 525 MG/15ML Oral Suspension






70677006201 SM Stomach Relief 525 MG/30ML Oral Suspension

62011036501 HM Anti-Diarrheal Anti-Gas 2-125 MG Oral Tablet

00113022453 Anti-Diarrheal 2 MG Oral Tablet



00113064526 Loperamide HCl 1 MG/7.5ML Oral Suspension

00113164526 GoodSense Anti-Diarrheal 1 MG/7.5ML Oral Liquid

00113222468 Loperamide HCl 2 MG Oral Tablet

00904625620 Loperamide HCl 1 MG/7.5ML Oral Suspension 6/30/2020

00904683620 Loperamide HCl 1 MG/7.5ML Oral Liquid


2019 Q4 Page 20 of 79



24385055453 GNP Anti-Diarrheal 2 MG Oral Tablet







36800052012 Anti-Diarrheal 2 MG Oral Capsule


36800064526 Loperamide HCl 1 MG/7.5ML Oral Suspension


46122011126 GNP Loperamide HCl 1 MG/7.5ML Oral Suspension


46122020762 GNP Anti-Diarrheal 2 MG Oral Capsule

46122054426 GNP Loperamide HCl 1 MG/7.5ML Oral Liquid

46122058162 GNP Anti-Diarrheal 2 MG Oral Capsule

49348052902 SM Anti-Diarrheal 2 MG Oral Tablet




49348075204 SM Anti-Diarrheal 2 MG Oral Capsule

49348099934 SM Loperamide HCl 1 MG/7.5ML Oral Suspension

50383061804 Loperamide HCl 1 MG/5ML Oral Liquid 7/6/2021

50383061805 Loperamide HCl 1 MG/5ML Oral Liquid


50383061810 Loperamide HCl 1 MG/5ML Oral Liquid



62011015001 HM Anti-Diarrheal 2 MG Oral Tablet



62011015101 HM Loperamide HCl 1 MG/7.5ML Oral Suspension

62011015801 HM Loperamide HCl 2 MG Oral Capsule

62011023601 HM Loperamide HCl 1 MG/7.5ML Oral Liquid

62011039001 HM Anti-Diarrheal 2 MG Oral Capsule

63868033812 QC Anti-Diarrheal 2 MG Oral Tablet

63868087612 QC Anti-Diarrheal 2 MG Oral Capsule

63868087624 QC Anti-Diarrheal 2 MG Oral Capsule

70000041701 Anti-Diarrheal 1 MG/7.5ML Oral Liquid

70000041801 Anti-Diarrheal 1 MG/7.5ML Oral Liquid


70677005401 SM Anti-Diarrheal 1 MG/7.5ML Oral Liquid

2019 Q4 Page 21 of 79


70677006001 SM Anti-Diarrheal 2 MG Oral Capsule

*ANTIDOTES AND SPECIFIC ANTAGONISTS*

00178031430 Potassium Iodide (Antidote) 65 MG/ML Oral Solution

00574012004 Actidose with Sorbitol 25 GM/120ML Oral Liquid




00574012104 Actidose-Aqua 25 GM/120ML Oral Liquid





*ANTIEMETICS*

00536101801 Travel Sickness 25 MG Oral Tablet Chewable

00536101810 Travel Sickness 25 MG Oral Tablet Chewable

00904205112 Driminate 50 MG Oral Tablet 7/31/2021

00904205159 Driminate 50 MG Oral Tablet

00904677212 Driminate 50 MG Oral Tablet

24385000412 GNP Motion Sickness Relief 50 MG Oral Tablet 7/28/2020

24385038851 GNP Motion Sickness Relief 25 MG Oral Tablet 9/28/2020

49348007002 SM Motion Sickness Relief 50 MG Oral Tablet

49348036367 SM Motion Sickness 25 MG Oral Tablet

49483033301 Motion-Time 25 MG Oral Tablet Chewable

49483033310 Motion-Time 25 MG Oral Tablet Chewable

62011003501 HM Motion Relief 25 MG Oral Tablet

62011034101 HM Motion Sickness 50 MG Oral Tablet

62011034501 HM Motion Sickness Relief 25 MG Oral Tablet

63868003424 QC Motion Sickness Relief 50 MG Oral Tablet

63868016012 Travel Sickness 50 MG Oral Tablet

63868016316 QC Travel Ease 25 MG Oral Tablet Chewable

70000025001 Motion Sickness Relief 50 MG Oral Tablet 5/21/2020

70000040401 Motion Sickness Relief 50 MG Oral Tablet



00904004920 Formula EM 1.87-1.87-21.5 Oral Solution

46122029626 GNP Nausea Relief 1.87-1.87-21.5 Oral Solution

62011015201 HM Anti-Nausea 1.87-1.87-21.5 Oral Solution

70000044901 Nausea Relief 1.87-1.87-21.5 Oral Solution

*Antihistamines - Alkylamines**

00113004278 Allergy Relief 4 MG Oral Tablet

00485009816 Ed Chlorped Jr 2 MG/5ML Oral Syrup

00536100601 Aller-Chlor 4 MG Oral Tablet

00536100610 Aller-Chlor 4 MG Oral Tablet

00904001224 Allergy 4 MG Oral Tablet

2019 Q4 Page 22 of 79





24385046362 GNP Allergy 4 MG Oral Tablet



49483024201 Allergy-Time 4 MG Oral Tablet

49483024210 Allergy-Time 4 MG Oral Tablet

50991078360 Ala-Hist IR 2 MG Oral Tablet

58657053530 M-Hist PD 0.625 MG/ML Oral Liquid

58809065150 PediaClear PD Childrens 0.625 MG/ML Oral Liquid

58809074050 PediaClear Allergy Childrens 0.313 MG/ML Oral Liquid

62011005901 HM Allergy Relief 4 MG Oral Tablet


63868083324 QC Allergy Relief 4-Hour 4 MG Oral Tablet

64661003130 J-Tan PD 1 MG/ML Oral Liquid

69367018530 Triprolidine HCl 0.625 MG/ML Oral Liquid





70677000401 SM Allergy 4 Hour 4 MG Oral Tablet

*Antihistamines - Ethanolamines**

00113037926 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid

00113046262 Allergy Relief 25 MG Oral Capsule




00536077085 Diphenhist 12.5 MG/5ML Oral Liquid 8/31/2020

00536077097 Diphenhist 12.5 MG/5ML Oral Liquid 7/31/2020

00536101001 Diphenhist 25 MG Oral Capsule

00536101601 Diphenhist 25 MG Oral Tablet 8/31/2021

00536121429 diphenhydrAMINE HCl 25 MG Oral Tablet

00904203524 Banophen 25 MG Oral Capsule






00904555124 Banophen 25 MG Oral Tablet

00904555159 Banophen 25 MG Oral Tablet

00904674070 diphenhydrAMINE HCl 12.5 MG/5ML Oral Liquid



2019 Q4 Page 23 of 79


16103034711 Pharbedryl 50 MG Oral Capsule




24385037926 GNP Childrens Allergy 12.5 MG/5ML Oral Liquid


36800028251 Dayhist Allergy 12 Hour Relief 1.34 MG Oral Tablet



36800046262 Multi-Symptom Allergy 25 MG Oral Capsule







46122036126 GNP Allergy Antihistamine 12.5 MG/5ML Oral Liquid

46122042589 GNP Allergy Relief 12.5 MG Oral Tablet Chewable

46122042762 GNP Allergy Relief 25 MG Oral Capsule



49348004534 SM Allergy Relief 12.5 MG/5ML Oral Liquid

49348004537 SM Allergy Relief 12.5 MG/5ML Oral Liquid



54838013540 Siladryl Allergy 12.5 MG/5ML Oral Liquid



54838015440 Silphen Cough 12.5 MG/5ML Oral Syrup



58657052804 M-Dryl 12.5 MG/5ML Oral Liquid

58657052816 M-Dryl 12.5 MG/5ML Oral Liquid

58809075050 PediaClear Cough Childrens 6.25 MG/ML Oral Liquid

62011028401 HM Allergy Relief Childrens 12.5 MG/5ML Oral Liquid

62011030901 HM Allergy Relief 25 MG Oral Capsule



62011031701 HM Allergy Relief 25 MG Oral Capsule

63868008701 Complete Allergy Medicine 25 MG Oral Capsule

63868008724 Complete Allergy Medicine 25 MG Oral Capsule

63868037004 QC Allergy Childrens 12.5 MG/5ML Oral Liquid

63868049224 QC Allergy Relief 25 MG Oral Tablet

2019 Q4 Page 24 of 79


63868082354 Allergy Childrens 12.5 MG/5ML Oral Liquid



68094002259 diphenhydrAMINE HCl Childrens 12.5 MG/5ML Oral Liquid




69367018730 diphenhydrAMINE HCl 6.25 MG/ML Oral Liquid









70000024601 Dye-Free Allergy Relief 12.5 MG/5ML Oral Liquid 9/17/2020


70677000201 SM Allergy Relief 25 MG Oral Capsule

70677000301 SM Allergy Relief 25 MG Oral Tablet

70677000901 SM Allergy Relief 25 MG Oral Tablet

70677001001 SM Allergy Relief 25 MG Oral Capsule

*Antihistamines - Ethylenediamines**

58809077008 PediaClear 8 Childrens 12.5 MG/15ML Oral Liquid

*Antihistamines - Non-Sedating**

00113018926 GoodSense All Day Allergy 5 MG/5ML Oral Solution

00113042553 Aller-Ease 60 MG Oral Tablet

00113050326 GoodSense All Day Allergy 5 MG/5ML Oral Solution

00113057122 GoodSense Aller-Ease 180 MG Oral Tablet







00113945839 GoodSense All Day Allergy 10 MG Oral Tablet



00121084940 Loratadine Childrens 5 MG/5ML Oral Syrup

00378078105 Fexofenadine HCl 60 MG Oral Tablet




00378363501 Cetirizine HCl 5 MG Oral Tablet

2019 Q4 Page 25 of 79




00472052794 Fexofenadine HCl Childrens 30 MG/5ML Oral Suspension

00536104105 Cetirizine HCl 10 MG Oral Tablet 6/30/2020

00536109201 Allergy Non-Drowsy 10 MG Oral Tablet 9/30/2020

00536109203 Allergy Non-Drowsy 10 MG Oral Tablet 6/30/2020



00781507701 Loratadine 10 MG Oral Tablet 9/30/2020

00781528306 Cetirizine HCl 5 MG Oral Tablet Chewable





00904579361 Loratadine 10 MG Oral Tablet 6/30/2020

00904585243 All Day Allergy 10 MG Oral Tablet 4/30/2020

00904585246 All Day Allergy 10 MG Oral Tablet




00904623420 Loratadine Childrens 5 MG/5ML Oral Solution 9/30/2020

00904663220 Loratadine Childrens 5 MG/5ML Oral Solution














00904685207 Loratadine 10 MG Oral Tablet








2019 Q4 Page 26 of 79


















24385016152 GNP Allergy Relief 10 MG Oral Tablet Disint

24385018826 GNP All Day Allergy Childrens 1 MG/ML Oral Solution

24385047152 GNP Loratadine 10 MG Oral Tablet



24385053126 GNP Loratadine 5 MG/5ML Oral Syrup

24385054053 GNP Allergy Relief 10 MG Oral Tablet Disint

24385099865 GNP All Day Allergy 10 MG Oral Tablet




36800018926 All Day Allergy Childrens 5 MG/5ML Oral Solution









36800047526 All-Day Allergy Childrens 5 MG/5ML Oral Solution







2019 Q4 Page 27 of 79
















45802097426 Cetirizine HCl Childrens Alrgy 1 MG/ML Oral Solution

46122002026 GNP All Day Allergy Childrens 5 MG/5ML Oral Solution

46122010126 GNP All Day Allergy Childrens 5 MG/5ML Oral Solution


46122016426 GNP Loratadine Childrens 5 MG/5ML Oral Syrup

46122020326 GNP All Day Allergy Childrens 1 MG/ML Oral Solution

46122042326 GNP Loratadine Childrens 5 MG/5ML Oral Solution

46122046265 GNP Allergy Relief 180 MG Oral Tablet

46122053952 GNP Loratadine 10 MG Oral Tablet Disint

46122055060 GNP Loratadine Childrens 5 MG Oral Tablet Chewable



49348007834 SM All Day Allergy Childrens 5 MG/5ML Oral Solution

49348011201 SM Loratadine 10 MG Oral Tablet




49348033334 SM Childrens Loratadine 5 MG/5ML Oral Syrup

49348063634 SM Loratadine 5 MG/5ML Oral Syrup




49348096856 SM Fexofenadine HCl 180 MG Oral Tablet

49348098446 SM All Day Allergy 10 MG Oral Tablet

49483068607 Loratadine 10 MG Oral Capsule

49483068630 Loratadine 10 MG Oral Capsule




2019 Q4 Page 28 of 79














51660052731 Allergy Relief 10 MG Oral Tablet Disint

51660075331 Loratadine 5 MG Oral Tablet Chewable

51660075431 Loratadine Childrens 5 MG Oral Tablet Chewable





51672207308 Childrens Loratadine 5 MG/5ML Oral Syrup

51672208508 Childrens Loratadine 5 MG/5ML Oral Syrup

51672208808 Cetirizine HCl Childrens Alrgy 1 MG/ML Oral Solution



54838055440 Loratadine Hives Relief 5 MG/5ML Oral Solution

54838055840 Childrens Loratadine 5 MG/5ML Oral Solution




59746028532 Cetirizine HCl Childrens 5 MG Oral Tablet Chewable

59746028632 Cetirizine HCl Childrens 10 MG Oral Tablet Chewable








62011005201 HM All Day Allergy 10 MG Oral Tablet

62011009301 HM Cetirizine HCl Childrens 5 MG/5ML Oral Solution

62011018101 HM Loratadine Childrens 5 MG/5ML Oral Syrup

62011023301 HM Fexofenadine HCl 180 MG Oral Tablet

62011024804 HM Loratadine 10 MG Oral Tablet

2019 Q4 Page 29 of 79







62011028501 HM All Day Allergy 5 MG/5ML Oral Solution


62011030701 HM Cetirizine HCl 10 MG Oral Tablet







62011032201 HM All Day Allergy Childrens 5 MG/5ML Oral Solution

62011032301 HM All Day Allergy Childrens 5 MG/5ML Oral Solution




63824092605 Mucinex Allergy 180 MG Oral Tablet




63868013214 QC All Day Allergy 10 MG Oral Tablet



63868014130 QC Fexofenadine Hydrochloride 180 MG Oral Tablet

63868015101 QC Loratadine Allergy Relief 10 MG Oral Tablet



63868043004 QC Childrens Allergy 5 MG/5ML Oral Solution






68094000459 Cetirizine HCl Childrens 5 MG/5ML Oral Solution

68094000462 Cetirizine HCl Childrens 5 MG/5ML Oral Solution






2019 Q4 Page 30 of 79




69230030401 Allergy Relief/Indoor/Outdoor 10 MG Oral Tablet






69230031611 Allergy Relief Childrens 1 MG/ML Oral Solution

70000012501 Allergy Childrens 5 MG/5ML Oral Syrup


70000021203 Allergy Relief 180 MG Oral Tablet 5/20/2020







70000021701 Loratadine 10 MG Oral Capsule 4/5/2020

70000025201 Allergy Childrens 5 MG/5ML Oral Syrup

70000036101 24HR Allergy Relief 180 MG Oral Tablet


















70677002901 SM Allergy Childrens 5 MG/5ML Oral Syrup


*Antihistamines - Piperazines**

58407002530 Ahist 25 MG Oral Tablet

*ANTISEPTICS & DISINFECTANTS*

24385011316 GNP Hydrogen Peroxide 3 % External Solution

2019 Q4 Page 31 of 79


37205087134 Hydrogen Peroxide 3 % External Solution 8/30/2020



46122033443 GNP Hydrogen Peroxide 3 % External Solution

49348017934 SM Hydrogen Peroxide 3 % External Solution



62011026701 HM Hydrogen Peroxide 3 % External Solution



63868092616 QC Hydrogen Peroxide 3 % External Solution

63868092632 QC Hydrogen Peroxide 3 % External Solution

66689071006 Kerr Triple Dye Swabs External Swab

70000002201 Hydrogen Peroxide 3 % External Solution



46122013734 GNP Antiseptic Skin Cleanser 4 % External Solution

50268035301 Germbloc Health 0.13 % External Lotion






50268035408 Germbloc Health 0.1 % External Foam



53329015808 Remedy Antimicrobial Cleanser 0.12 % External Liquid

53329015844 Remedy Antimicrobial Cleanser 0.12 % External Liquid

62011023701 HM Antiseptic Skin Cleanser 4 % External Solution

67618020004 Betasept Surgical Scrub 4 % External Liquid





70000040701 Antiseptic Skin Cleanser 4 % External Solution

00904110231 Povidone-Iodine 10 % External Ointment

00904110309 Povidone-Iodine 10 % External Solution

24385005355 GNP Povidone-Iodine 10 % External Solution

24385020746 GNP Iodides External Tincture

24385021310 GNP Iodine External Tincture

37205064816 Iodides Tincture External Tincture 7/2/2020

49348062237 SM Povidone-Iodine 10 % External Solution

49348062238 SM Povidone-Iodine 10 % External Solution

2019 Q4 Page 32 of 79


49348071130 SM Iodides External Tincture

62011011601 HM Iodides External Tincture

62011011701 HM Iodine External Tincture

62011011801 HM Povidone-Iodine 10 % External Solution

63868023008 QC Povidone Iodine 10 % External Solution

63868033001 QC Iodine Tincture External Tincture

63868033102 QC Iodides External Tincture

67618016003 Betadine 5 % External Solution

70000039901 Decolorized Iodine 48 % External Tincture

70000040101 Iodine External Tincture

70000040201 Povidone-Iodine 10 % External Solution

*Artificial Tears and Lubricants**

00023024004 Refresh P.M. Ophthalmic Ointment

00023031204 Refresh Lacri-Lube Ophthalmic Ointment

00023031207 Refresh Lacri-Lube Ophthalmic Ointment

00023050601 Refresh 1.4-0.6 % Ophthalmic Solution

00023050650 Refresh 1.4-0.6 % Ophthalmic Solution

00023341630 Refresh Optive PF 0.5-0.9 % Ophthalmic Solution

00023341660 Refresh Optive PF 0.5-0.9 % Ophthalmic Solution

00023430710 Refresh Optive Advanced 0.5-1-0.5 % Ophthalmic Solution

00023430720 Refresh Optive Advanced 0.5-1-0.5 % Ophthalmic Solution

00023449130 Refresh Optive Advanced PF 0.5-1-0.5 % Ophthalmic Solution

00023455430 Refresh Celluvisc 1 % Ophthalmic Gel

00023545910 Refresh Optive 1-0.9 % Ophthalmic Gel

00023577330 Refresh Optive Mega-3 0.5-1-0.5 % Ophthalmic Solution

00065041880 GenTeal Tears 0.1-0.3 % Ophthalmic Solution

00065041881 GenTeal Tears 0.1-0.3 % Ophthalmic Solution

00065041928 Bion Tears PF 0.1-0.3 % Ophthalmic Solution

00065042636 GenTeal Tears 0.1-0.2-0.3 % Ophthalmic Solution

00065042637 GenTeal Tears 0.1-0.2-0.3 % Ophthalmic Solution

00065045407 Systane 0.4-0.3 % Ophthalmic Gel

00065047401 Systane Overnight Therapy 0.3 % Ophthalmic Gel

00065050935 Systane Nighttime Ophthalmic Ointment

00065051801 GenTeal Tears Night-Time Ophthalmic Ointment

00078042947 GenTeal Severe 0.3 % Ophthalmic Gel

00078042957 GenTeal Severe 0.3 % Ophthalmic Gel

00113032365 GoodSense Lubricating Eye Drop 0.5 % Ophthalmic Solution

00113089665 GoodSense Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution

00536108691 Artificial Tears 83-15 % Ophthalmic Ointment 9/30/2020

00536121994 Lubricating Eye Drops 0.4-0.3 % Ophthalmic Solution

00904632946 Lubricating Plus Eye Drops 0.5 % Ophthalmic Solution

00904632951 Lubricating Plus Eye Drops 0.5 % Ophthalmic Solution

00904648838 LubriFresh P.M. Ophthalmic Ointment

00998040815 Isopto Tears 0.5 % Ophthalmic Solution

2019 Q4 Page 33 of 79


17478006012 Artificial Tears 1.4 % Ophthalmic Solution

17478006235 Akwa Tears 2-15-83 % Ophthalmic Ointment

24385000605 GNP Artificial Tears 5-6 MG/ML Ophthalmic Solution

36800089665 Lubricant Eye Drops (PF) 0.4-0.3 % Ophthalmic Solution

37205063605 Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution 4/23/2020

46122019565 GNP Lubricating Plus Eye Drops 0.5 % Ophthalmic Solution

46122020204 GNP Lubricant PM Ophthalmic Ointment

46122037705 GNP Eye Drops 0.5 % Ophthalmic Solution

49348014929 SM Lubricating Tears 0.4-0.3 % Ophthalmic Solution

49348032944 SM Lubricating Plus 0.5 % Ophthalmic Solution

49348094729 SM Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution

62011019601 HM Dry Eye Relief 0.2-0.2-1 % Ophthalmic Solution

62011020301 HM Lubricating Plus 0.5 % Ophthalmic Solution

62011025401 HM Lubricating Tears 0.4-0.3 % Ophthalmic Solution

70000035101 Lubricant Eye Drops (PF) 0.4-0.3 % Ophthalmic Solution 5/10/2020

70000045501 Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution

70000045502 Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution

70000045701 Ultra Lubricating Eye Drops 0.4-0.3 % Ophthalmic Solution

70000045702 Ultra Lubricating Eye Drops 0.4-0.3 % Ophthalmic Solution

70000050201 Dry Eye Relief Drops 0.2-0.2-1 % Ophthalmic Solution

70403092115 Artificial Tears 1 % Ophthalmic Solution 5/20/2020

*CHEMICALS*

37205097643 Alcohol (Rubbing) 70 % Solution 9/6/2020

46122032943 GNP Rubbing Alcohol 70 % Solution

49348003040 SM Isopropyl Alcohol 70 % Solution

49348017338 SM Isopropyl Alcohol 70 % Solution

49348017538 SM Alcohol 70 % Solution

62011026601 HM Isopropyl Alcohol 70 % Solution

63868092516 QC Isopropyl Rubbing Alcohol 70 % Solution



*COUGH/COLD/ALLERGY*

00113038428 GoodSense Cough DM 30 MG/5ML Oral Suspension ER

00113095821 GoodSense Cough DM Childrens 30 MG/5ML Oral Suspension ER

00113095828 GoodSense Cough DM Childrens 30 MG/5ML Oral Suspension ER

00536106834 Robafen Cough 15 MG Oral Capsule

00904631256 Cough DM 30 MG/5ML Oral Suspension ER

24385049326 GNP Tussin Cough Long Acting 15 MG/5ML Oral Syrup

36800030026 Tussin Cough 15 MG/5ML Oral Syrup

36800047338 Day Time Cough 15 MG/15ML Oral Liquid



45802043321 Dextromethorphan Polistirex ER 30 MG/5ML Oral Suspension ER

46122014121 GNP Cough DM ER 30 MG/5ML Oral Suspension ER

2019 Q4 Page 34 of 79




46122042660 GNP Cough Gels 15 MG Oral Capsule

62011017601 HM Cough DM 30 MG/5ML Oral Suspension ER




70000019501 Cough DM Childrens 30 MG/5ML Oral Suspension ER


00067609401 Theraflu PowerPods Severe Cold 20-10-650 MG Oral

00067609501 Theraflu PowerPods Severe Cold 25-10-650 MG Oral

00067810504 Triaminic Cold/Cough Day Time 2.5-5 MG/5ML Oral Syrup

00067810604 Triaminic Night Time Cold/Cgh 6.25-2.5 MG/5ML Oral Syrup

00067811604 Triaminic Fever & Cold 2.5-1-5-160 MG/5ML Oral Suspension

00067812406 Theraflu Severe Cold Nighttime 25-10-500 MG Oral Packet

00067812708 Theraflu ExpressMax 20-10-650 MG/30ML Oral Liquid

00067812908 Theraflu ExpressMax Sev Cld/Cg 12.5-5-325 MG/15ML Oral Liquid

00067813108 Theraflu ExpressMax 12.5-5-325 MG/15ML Oral Liquid

00067813208 Theraflu ExpressMax Sev Cld/Fl 5-10-200-325 MG/15ML Oral Liquid

00067813620 Theraflu ExpressMax Sev Cld/Cg 10-5-325 MG Oral Tablet

00067814501 Theraflu ExpressMax Sev Cld/Fl 5-10-200-325 MG Oral Tablet

00095086006 Lodrane D 4-60 MG Oral Capsule

00113001940 GoodSense Nighttime Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid

00113002391 GoodSense Flu/Cold/Daytime 20-10-500 MG Oral Packet

00113005651 GoodSense Nighttime Cold & Flu 15-6.25-325 MG Oral Capsule

00113006462 GoodSense Cold Max 10-5-325 MG Oral Tablet

00113017653 All Day Allergy-D 5-120 MG Oral Tablet ER 12HR


00113029962 GoodSense Cold & Flu 5-10-200-325 MG Oral Tablet

00113033534 Nighttime Cold/Flu Relief 15-6.25-325 MG/15ML Oral Liquid


00113035926 Tussin DM 100-10 MG/5ML Oral Syrup

00113035934 Tussin DM 100-10 MG/5ML Oral Syrup

00113041926 Mucus Relief Cough Childrens 5-100 MG/5ML Oral Liquid



00113054853 GoodSense Day Time Cold & Flu 5-10-200-325 MG Oral Tablet

00113054862 GoodSense Day Time Cold & Flu 5-10-200-325 MG Oral Tablet

00113057826 Tussin DM 100-10 MG/5ML Oral Liquid

00113060334 GoodSense Day Time Cold & Flu 5-10-200-325 MG/15ML Oral Liquid

00113060340 GoodSense Day Time Cold & Flu 5-10-200-325 MG/15ML Oral Liquid

00113065634 GoodSense Cold & Flu 10-5-325 MG/15ML Oral Liquid

00113065640 GoodSense Cold & Flu 10-5-325 MG/15ML Oral Liquid

2019 Q4 Page 35 of 79


00113066834 Nighttime Cough 6.25-15 MG/15ML Oral Liquid

00113070326 GoodSense Tussin CF 5-10-100 MG/5ML Oral Liquid

00113070334 GoodSense Tussin CF 5-10-100 MG/5ML Oral Liquid

00113076340 GoodSense Nighttime Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid

00113079926 Tussin DM Max Adult 10-200 MG/5ML Oral Liquid

00113081266 GoodSense Mucus DM 60-1200 MG Oral Tablet ER 12HR

00113083926 GoodSense Mucus Relief Child 2.5-5-100 MG/5ML Oral Liquid

00113090626 Childrens Cold & Allergy 1-2.5 MG/5ML Oral Elixir

00113096491 GoodSense Flu/Cold/Cough/Night 25-10-650 MG Oral Packet

00113098726 Cold/Cough Childrens 2.5-1-5 MG/5ML Oral Liquid

00113099451 GoodSense Day Time Cold & Flu 10-5-325 MG Oral Capsule



00113200289 Mucus D 60-600 MG Oral Tablet ER 12HR

00113200760 Allergy/Congestion Relief 5-120 MG Oral Tablet ER 12HR


00121063800 guaiFENesin-DM 100-10 MG/5ML Oral Syrup




00485008001 Rymed 2-10 MG Oral Tablet

00485009602 Ed ChlorPed D 2-5 MG/ML Oral Liquid

00485017116 Ed-A-Hist DM 10-4-15 MG/5ML Oral Liquid

00485020216 Rynex PE 1-2.5 MG/5ML Oral Elixir

00485020404 Rynex DM 2.5-1-5 MG/5ML Oral Liquid

00485020416 Rynex DM 2.5-1-5 MG/5ML Oral Liquid

00485020616 Rynex PSE 1-15 MG/5ML Oral Liquid

00485020816 ED Bron GP 5-100 MG/5ML Oral Liquid

00485021001 Ed A-Hist PSE 2.5-60 MG Oral Tablet

00485024001 Ed A-Hist DM 10-4-10 MG Oral Tablet

00485025401 Ed A-Hist 4-10 MG Oral Tablet

00536097085 Extra Action Cough 100-10 MG/5ML Oral Syrup 5/31/2020

00536116134 Mucus Relief DM 30-600 MG Oral Tablet ER 12HR


00536118485 Extra Action Cough 10-100 MG/5ML Oral Syrup

00536118497 Cough/Chest Congestion DM 10-100 MG/5ML Oral Syrup

00536120521 Mucus Relief D 60-600 MG Oral Tablet ER 12HR

00536120536 Mucus Relief D 60-600 MG Oral Tablet ER 12HR

00536121388 Mucus Relief DM Max 60-1200 MG Oral Tablet ER 12HR

00536231097 Kidkare Cough/Cold 15-1-5 MG/5ML Oral Liquid 9/30/2020

00904005309 Robafen DM 100-10 MG/5ML Oral Syrup 7/31/2020

00904025024 Aprodine 2.5-60 MG Oral Tablet

00904025059 Aprodine 2.5-60 MG Oral Tablet

2019 Q4 Page 36 of 79


00904505020 Pedia Relief Cough/Cold 15-1-5 MG/5ML Oral Liquid 9/30/2020

00904535124 SudoGest Sinus/Allergy 4-60 MG Oral Tablet

00904535196 SudoGest Sinus/Allergy 4-60 MG Oral Tablet

00904576444 Night Time Cold/Flu Relief 15-6.25-325 MG Oral Capsule 8/31/2021

00904578324 Mapap Sinus Maximum Strength 5-325 MG Oral Tablet

00904578624 Mapap Cold Formula Multi-Sympt 10-5-325 MG Oral Tablet

00904579246 MucusRelief Sinus 10-400 MG Oral Tablet

00904579252 MucusRelief Sinus 10-400 MG Oral Tablet


00904583315 Loratadine-D 24HR 10-240 MG Oral Tablet ER 24HR


00904630620 Robafen DM Cough Clear 100-10 MG/5ML Oral Syrup 4/30/2020

00904646220 Dimaphen Childrens 1-2.5 MG/5ML Oral Elixir

00904646320 Dimaphen DM Cold/Cough 2.5-1-5 MG/5ML Oral Liquid

00904646420 Robafen DM Cgh/Chest Congest 10-100 MG/5ML Oral Liquid

00904646509 All-Nite Cold & Flu Nighttime 30-12.5-650 MG/30ML Oral Liquid

00904653720 Robafen CF Multi-Symptom Cold 5-10-100 MG/5ML Oral Liquid

00904663444 Cough & Cold 4-30 MG Oral Tablet

00904675816 Robafen DM Cough 10-100 MG/5ML Oral Liquid



00904676024 Acetaminophen Congestion/Pain 5-325 MG Oral Tablet

00904681646 MucusRelief DM Cough 20-400 MG Oral Tablet

00904681652 MucusRelief DM Cough 20-400 MG Oral Tablet

00904684470 Dextromethorphan-guaiFENesin 10-100 MG/5ML Oral Liquid

00904698072 Dextromethorphan-guaiFENesin 20-200 MG/10ML Oral Liquid

00904699644 Cold & Flu Nighttime Relief 15-6.25-325 MG Oral Capsule

12830076216 Chlo Tuss 30-1-12.5 MG/5ML Oral Liquid

12830081616 M-End DMX 20-0.667-10 MG/5ML Oral Liquid

12830086404 Chlo Hist 12.5-1 MG/5ML Oral Solution

12830086416 Chlo Hist 12.5-1 MG/5ML Oral Solution

15370003110 Ru-Hist-D 30-10 MG Oral Tablet

15370014016 Atuss DA 30-2-12.5 MG/5ML Oral Liquid

23359003216 Ninjacof 12.5-12.5 MG/5ML Oral Liquid

24385000534 GNP Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid

24385000540 GNP Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid

24385002671 GNP Mucus Relief DM 20-400 MG Oral Tablet

24385003662 GNP Day Time Cold/Flu 10-5-325 MG Oral Capsule

24385014762 GNP Allergy Multi-Symptom 2-5-325 MG Oral Tablet

24385016962 GNP Sinus Congestion/Pain Day 5-325 MG Oral Tablet

24385017553 GNP All Day Allergy-D 5-120 MG Oral Tablet ER 12HR

24385017562 GNP All Day Allergy-D 5-120 MG Oral Tablet ER 12HR

24385035152 GNP Loratadine-D 24 Hour 10-240 MG Oral Tablet ER 24HR

2019 Q4 Page 37 of 79


24385035926 GNP Tussin DM 100-10 MG/5ML Oral Liquid

24385035934 GNP Tussin DM 100-10 MG/5ML Oral Liquid

24385046134 GNP Night Time Cough 6.25-15 MG/15ML Oral Liquid

24385046140 GNP Night Time Cough 6.25-15 MG/15ML Oral Liquid

24385046560 GNP Ibuprofen Cold/Sinus 30-200 MG Oral Tablet

24385051726 GNP Cold/Allergy Childrens 1-2.5 MG/5ML Oral Elixir

24385051734 GNP Cold/Allergy Childrens 1-2.5 MG/5ML Oral Elixir

24385051926 GNP Cold/Cough Childrens 2.5-1-5 MG/5ML Oral Liquid

24385057826 GNP Tussin DM Cough 100-10 MG/5ML Oral Liquid

24385090426 GNP Tussin CF Cough & Cold 5-10-100 MG/5ML Oral Syrup

24385090434 GNP Tussin CF Cough & Cold 5-10-100 MG/5ML Oral Syrup

24385092571 GNP Mucus Relief PE 10-400 MG Oral Tablet

24385096162 GNP Sinus/Allergy PE 4-10 MG Oral Tablet

24385098526 GNP Mucus Relief Cough Child 5-100 MG/5ML Oral Liquid

28595090060 Ru-Hist D 4-10 MG Oral Tablet

29978012716 Capron DM 7.5-7.5 MG/5ML Oral Liquid

29978012810 Capron DMT 30-30 MG Oral Tablet

29978058701 Aquanaz 10-15-400 MG Oral Tablet

29978060190 Capmist DM 60-15-400 MG Oral Tablet



36800000004 Pain Relief Plus Multi-Symptom 2.5-1-5-160 MG/5ML Oral Suspension

36800001462 Cold Multi-Symptom Nighttime 5-2-10-325 MG Oral Tablet

36800004130 Nite-Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid

36800004138 Nite-Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid

36800008360 Ibuprofen Cold & Sinus 30-200 MG Oral Tablet

36800009691 Flu/Severe Cold & Cough Day 20-10-650 MG Oral Packet

36800013391 Flu & Sore Throat 20-10-650 MG Oral Packet

36800013962 Cold & Allergy 4-10 MG Oral Tablet

36800017653 All Day Allergy D 5-120 MG Oral Tablet ER 12HR

36800017662 All Day Allergy D 5-120 MG Oral Tablet ER 12HR

36800021553 Day Time PE Cold/Flu Relief 10-5-325 MG Oral Capsule

36800021560 Day Time PE Cold/Flu Relief 10-5-325 MG Oral Capsule

36800023462 Cold Head Congestion Severe 5-10-200-325 MG Oral Tablet

36800027262 Sinus Congestion/Pain Daytime 5-325 MG Oral Tablet

36800029626 Tussin CF Max Multi-Symptom 5-10-200 MG/5ML Oral Liquid

36800029634 Tussin CF Max Multi-Symptom 5-10-200 MG/5ML Oral Liquid

36800030862 Cold Multi-Symptom Severe Day 5-10-200-325 MG Oral Tablet

36800035862 Sinus & Allergy PE Max St 4-10 MG Oral Tablet




36800037162 Cold Multi-Symptom Daytime 10-5-325 MG Oral Tablet

2019 Q4 Page 38 of 79


36800039362 Cold Head Congestion Nighttime 5-2-10-325 MG Oral Tablet

36800040262 Cold Head Congestion Daytime 10-5-325 MG Oral Tablet

36800041926 Childrens Mucus Relief Cough 5-100 MG/5ML Oral Liquid

36800042321 Ibuprofen Cold & Sinus 30-200 MG Oral Tablet

36800044426 Triacting Day Time Cold/Cough 2.5-5 MG/5ML Oral Solution

36800047662 Allergy Multi-Symptom 2-5-325 MG Oral Tablet


36800051626 Tussin CF 5-10-100 MG/5ML Oral Liquid

36800051634 Tussin CF 5-10-100 MG/5ML Oral Liquid


36800060938 Nite Time-D 60-12.5-30-1000 MG/30ML Oral Liquid

36800065630 Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid

36800065638 Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid

36800066634 Cough & Sore Throat NightTime 15-6.25-500 MG/15ML Oral Liquid

36800066838 Nite Time Cough 6.25-15 MG/15ML Oral Liquid

36800069834 Cough & Sore Throat Day 500-15 MG/15ML Oral Liquid

36800073301 Day Time/Nite Time Cold/Flu (Liquid) Oral

36800079926 Tussin DM Max 10-200 MG/5ML Oral Liquid

36800079934 Tussin DM Max 10-200 MG/5ML Oral Liquid

36800083926 Mucus Relief Multi Symptom 2.5-5-100 MG/5ML Oral Liquid

36800090326 Multi-Symptom Cold Childrens 2.5-1-5-160 MG/5ML Oral Suspension



36800090830 Nite Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid


36800091326 Triacting Nightime Cold&Cough 6.25-2.5 MG/5ML Oral Liquid

36800093562 Sinus Congestion/Pain Night 2-5-325 MG Oral Tablet

36800097753 Nite Time Multi-Symptom Relief 15-6.25-325 MG Oral Capsule

36800097760 Nite Time Multi-Symptom Relief 15-6.25-325 MG Oral Capsule

36800098726 Cold/Cough Childrens 2.5-1-5 MG/5ML Oral Liquid





45802023068 Pseudoephedrine-guaiFENesin ER 60-600 MG Oral Tablet ER 12HR


45802072153 Cetirizine-Pseudoephedrine ER 5-120 MG Oral Tablet ER 12HR

45802072162 Cetirizine-Pseudoephedrine ER 5-120 MG Oral Tablet ER 12HR

46017002324 Contac Cold+Flu Max St 2-5-500 MG Oral Tablet

46017002408 Contac Cold+Flu Max St 5-500 MG Oral Tablet

46017002424 Contac Cold+Flu Max St 5-500 MG Oral Tablet

46017002528 Contac Cold/Flu Day & Night 2-5-500 MG Oral Tablet

46122001726 GNP Tussin DM Max 10-200 MG/5ML Oral Liquid

2019 Q4 Page 39 of 79


46122001734 GNP Tussin DM Max 10-200 MG/5ML Oral Liquid 4/30/2020

46122005262 GNP Allergy Pls Sinus Headache 12.5-5-325 MG Oral Tablet 4/30/2020

46122005862 GNP Tab Tussin DM 20-400 MG Oral Tablet

46122007362 GNP Cold Relief Multi-Symptom 10-5-325 MG Oral Tablet 6/30/2020

46122013634 GNP Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid



46122016752 GNP Allergy & Congestion 10-240 MG Oral Tablet ER 24HR

46122018162 GNP Cold & Allergy 4-10 MG Oral Tablet

46122019260 GNP Mucus Relief Cold Flu 5-10-200-325 MG Oral Tablet

46122019460 GNP Mucus Relief Cold & Sinus 5-325-200 MG Oral Tablet

46122019752 GNP Sinus & Cold-D 120-220 MG Oral Tablet ER 12HR



46122024562 GNP Night Time Cold-Flu 15-6.25-325 MG Oral Capsule

46122027060 GNP Sinus Relief Severe Cng 5-325-200 MG Oral Tablet

46122027160 GNP Sinus Relief Pressure/Pain 5-325-200 MG Oral Tablet

46122030330 GNP Mucus Relief Max St 5-10-200-325 MG/10ML Oral Liquid

46122038322 GNP Allergy/Congestion Relief 10-240 MG Oral Tablet ER 24HR

46122040213 GNP Flu & Sev Cold/Cough Night 25-10-650 MG Oral Packet


46122042074 GNP Mucus DM Max Strength 60-1200 MG Oral Tablet ER 12HR

46122045260 GNP Fexofenadine/PSE ER 60-120 MG Oral Tablet ER 12HR


46122054234 GNP Tussin DM Max Nighttime 12.5-30 MG/20ML Oral Liquid

49348001734 SM Tussin DM 100-10 MG/5ML Oral Syrup



49348009747 SM Cold & Sinus Relief 30-200 MG Oral Tablet

49348010404 SM Cold & Flu Severe 5-10-200-325 MG Oral Tablet

49348011348 SM Mucus Relief D 60-600 MG Oral Tablet ER 12HR

49348015703 SM Night Time Cold & Flu 15-6.25-325 MG Oral Capsule

49348018347 SM Loratadine D 5-120 MG Oral Tablet ER 12HR

49348019946 HM Mucus Relief DM Max St 60-1200 MG Oral Tablet ER 12HR

49348039301 SM Sinus & Cold-D 120-220 MG Oral Tablet ER 12HR

49348054301 SM Lorata-dine D 10-240 MG Oral Tablet ER 24HR

49348054357 SM Lorata-dine D 10-240 MG Oral Tablet ER 24HR

49348072809 SM Chest Congestion Relief DM 20-400 MG Oral Tablet

49348073734 SM Tussin CF 5-10-100 MG/5ML Oral Liquid

49348073737 SM Tussin CF 5-10-100 MG/5ML Oral Liquid

49348075337 SM Day Time Cold & Flu Relief 10-5-325 MG/15ML Oral Liquid

49348077409 SM Chest Congestion Relief PE 10-400 MG Oral Tablet

49348077534 SM Cold & Cough DM Childrens 2.5-1-5 MG/5ML Oral Liquid

2019 Q4 Page 40 of 79


49348077734 SM Cold & Allergy Childrens 1-2.5 MG/5ML Oral Elixir

49348082834 SM Mucus Relief Cough Children 5-100 MG/5ML Oral Liquid

49348085104 SM All Day Allergy-D 5-120 MG Oral Tablet ER 12HR

49348086134 SM Tussin Cough/Chest Congest 100-10 MG/5ML Oral Syrup

49348086137 SM Tussin Cough/Chest Congest 100-10 MG/5ML Oral Syrup

49348097537 SM Nite Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid

49348097539 SM Nite Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid

49483028006 Mucosa DM 20-400 MG Oral Tablet

50991021201 Poly-Vent IR 60-380 MG Oral Tablet

50991021401 Poly-Vent DM 60-20-380 MG Oral Tablet

50991022016 Poly-Hist DM 5-25-10 MG/5ML Oral Liquid

50991022245 Poly-Hist PD 6.25-6.25 MG/ML Oral Liquid

50991049216 Polytussin DM 5-10-1 MG/5ML Oral Syrup

50991053501 Duraflu 60-20-200-325 MG Oral Tablet

50991062601 Poly Hist Forte 10.5-10 MG Oral Tablet

50991073690 Deconex IR 10-385 MG Oral Tablet

50991074001 Deconex DMX 10-17.5-400 MG Oral Tablet

50991078490 Alahist CF 10-2-20 MG Oral Tablet

50991082616 Alahist DM 7.5-2-15 MG/5ML Oral Liquid

51660042321 Cold & Sinus Relief 30-200 MG Oral Tablet

51660072415 Allergy Relief/Nasal Decongest 10-240 MG Oral Tablet ER 24HR



52544023912 Allergy Relief-D 10-240 MG Oral Tablet ER 24HR

52544023954 Allergy Relief-D 10-240 MG Oral Tablet ER 24HR

52747047570 Norel AD 4-10-325 MG Oral Tablet

54838011540 Pediatric Cough/Cold 15-1-5 MG/5ML Oral Liquid

54838012540 Brotapp 1-15 MG/5ML Oral Liquid



54838013340 Siltussin DM DAS 100-10 MG/5ML Oral Liquid

54838013640 Brotapp DM 15-1-5 MG/5ML Oral Liquid

54838013670 Brotapp DM 15-1-5 MG/5ML Oral Liquid

54838013940 Diabetic Siltussin-DM 100-10 MG/5ML Oral Liquid

54838014040 Diabetic Siltussin-DM Max St 10-200 MG/5ML Oral Liquid

54838020940 Siltussin-DM Alcohol Free 100-10 MG/5ML Oral Syrup



54859050206 Tusnel 30-15-200 MG/5ML Oral Liquid



54859050504 Tusnel Diabetic 10-100 MG/5ML Oral Liquid

54859050516 Tusnel Diabetic 10-100 MG/5ML Oral Liquid

2019 Q4 Page 41 of 79


54859054404 Tusnel Pediatric 15-5-50 MG/5ML Oral Liquid

54859060202 Tusnel Pediatric 7.5-50 MG/ML Oral Liquid

54859060302 Tusnel-DM Pediatric 7.5-2.5-25 MG/ML Oral Liquid

54859070260 Conex Cold/Allergy 2-60 MG Oral Tablet

54859080160 Tusnel 60-30-400 MG Oral Tablet

54859080204 Conex Cold/Allergy 1-30 MG/5ML Oral Solution

55111044714 Fexofenadine-Pseudoephed ER 60-120 MG Oral Tablet ER 12HR

55111055735 Fexofenadine-Pseudoephed ER 180-240 MG Oral Tablet ER 24HR


58407062530 Stahist AD 25-60 MG Oral Tablet

58605010101 Maxifed 60-360 MG Oral Tablet

58605010301 Maxichlor PEH DM 10-4-18 MG Oral Tablet

58605030416 Maxi-Tuss DM 4-18 MG/5ML Oral Liquid

58605040101 Allfen DM 400-20 MG Oral Tablet

58605042201 Maxiphen 10-400 MG Oral Tablet

58657050508 Dextromethorphan-guaiFENesin 10-100 MG/5ML Oral Syrup

58809019860 Vanatab DM 5-9-198 MG Oral Tablet

58809022130 DayClear Allergy Relief 25-50 MG Oral Tablet

58809022360 Day Clear Allergy/Cough 12.5-12.5 MG Oral Tablet Chewable

58809072904 NasOpen PE 50-10 MG/15ML Oral Liquid

58809085008 Vanacof DMX 10-18-396 MG/15ML Oral Liquid

62011005501 HM Allergy Complete-D 5-120 MG Oral Tablet ER 12HR

62011006201 HM Cold & Allergy Childrens 1-2.5 MG/5ML Oral Elixir

62011006301 HM Cold & Cough Childrens 2.5-1-5 MG/5ML Oral Liquid

62011006502 HM Daytime Cold & Flu 10-5-325 MG/15ML Oral Liquid

62011007001 HM Cold & Sinus Relief 30-200 MG Oral Tablet

62011007101 HM Allergy Relief/Nasal Decong 10-240 MG Oral Tablet ER 24HR

62011007102 HM Allergy Relief/Nasal Decong 10-240 MG Oral Tablet ER 24HR

62011008202 HM Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid

62011008302 HM Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid

62011009001 HM Tussin Adult Multi-Symptom 5-10-100 MG/5ML Oral Liquid 5/1/2020

62011009101 HM Tussin Adult DM 100-10 MG/5ML Oral Liquid




62011012001 HM Allergy & Congestion 5-120 MG Oral Tablet ER 12HR

62011020401 HM Sinus & Cold-D 120-220 MG Oral Tablet ER 12HR


62011025301 HM Severe Cold/Cough/Flu 20-10-650 MG Oral Packet

62011025901 HM Mucus Relief D 60-600 MG Oral Tablet ER 12HR

62011026201 HM Night Time MS Cold & Flu 15-6.25-325 MG Oral Capsule

62011031801 HM Day Time 10-5-325 MG Oral Capsule

62011031901 HM Chest Congestion Relief DM 20-400 MG Oral Tablet

2019 Q4 Page 42 of 79


62011032401 HM Severe Cold/Flu 5-10-200-325 MG Oral Tablet

62011035401 HM Allergy & Congestion 5-120 MG Oral Tablet ER 12HR

62011037201 HM Adult Tussin Cough & Chest 20-400 MG/20ML Oral Liquid

62011038901 HM Nighttime Cold & Flu Relief 15-6.25-325 MG Oral Capsule

62011040601 HM Daytime Cold & Flu 5-10-200-325 MG Oral Tablet

63824001966 Mucinex Fast-Max DM Max 20-400 MG/20ML Oral Liquid

63824019020 Mucinex Fast-Max Cold & Sinus 5-325-200 MG Oral Tablet

63824019030 Mucinex Fast-Max Cold & Sinus 5-325-200 MG Oral Tablet

63824019120 Mucinex Fast-Max Cold Flu 5-10-200-325 MG Oral Tablet

63824019130 Mucinex Fast-Max Cold Flu 5-10-200-325 MG Oral Tablet

63824019220 Mucinex Fast-Max Congest Cold 5-10-200-325 MG Oral Tablet

63824019230 Mucinex Fast-Max Congest Cold 5-10-200-325 MG Oral Tablet

63824019320 Mucinex Fast-Max Congest Cough 5-10-200 MG Oral Tablet

63824019330 Mucinex Fast-Max Congest Cough 5-10-200 MG Oral Tablet

63824019620 Mucinex Fast-Max Severe Cold 5-10-200-325 MG Oral Tablet

63824019630 Mucinex Fast-Max Severe Cold 5-10-200-325 MG Oral Tablet

63824020020 Mucinex Sinus-Max Press & Pain 5-325-200 MG Oral Tablet

63824020030 Mucinex Sinus-Max Press & Pain 5-325-200 MG Oral Tablet

63824020120 Mucinex Sinus-Max Congestion 5-325-200 MG Oral Tablet



63824020220 Mucinex Sinus-Max Day/Night Oral

63824021166 Delsym Cough/Cold Night Time 12.5-5-325 MG/10ML Oral Liquid

63824021266 Delsym Cgh/Cld Nighttime Child 12.5-5-325 MG/10ML Oral Liquid

63824021366 Delsym Cough/Chest Congest DM 5-100 MG/5ML Oral Liquid

63824021464 Delsym Cgh/Chest Cong DM Child 5-100 MG/5ML Oral Liquid

63824021466 Delsym Cgh/Chest Cong DM Child 5-100 MG/5ML Oral Liquid

63824021566 Delsym Cough/Cold Daytime 5-10-200-325 MG/10ML Oral Liquid

63824021822 Delsym Childrens Day Night Oral

63824022022 Delsym Day Night Oral

63824022166 Delsym Cough + Sore Throat 650-20 MG/20ML Oral Liquid

63824023104 Mucinex Fast-Max Severe Cold 10-20-400-650 MG Oral Packet

63824023208 Mucinex Fast-Max 10-20-400-650 MG Oral Packet

63824023304 Mucinex Fast-Max Cold Flu Nght 25-10-650 MG Oral Packet

63824023444 Mucinex Fast-Max Day/Night (Packet) Oral

63824024220 Mucinex Sinus-Max 5-10-200-325 MG Oral Tablet

63824025612 Mucinex Cough For Kids 5-100 MG Oral Packet

63824026066 Mucinex Sinus-Max 10-650-400 MG/20ML Oral Liquid

63824026166 Mucinex Sinus-Max 10-650-400 MG/20ML Oral Liquid

63824026266 Mucinex Sinus-Max Night Time 12.5-5-325 MG/10ML Oral Liquid

63824026566 Mucinex Sinus-Max Congestion 10-650-400 MG/20ML Oral Liquid

63824028664 Mucinex Cough Childrens 5-100 MG/5ML Oral Liquid

63824028722 Mucinex Child MS Day-Night Cld Oral

2019 Q4 Page 43 of 79


63824050064 Mucinex Fast-Max Cold Flu Nght 12.5-5-325 MG/10ML Oral Liquid

63824050066 Mucinex Fast-Max Cold Flu Nght 12.5-5-325 MG/10ML Oral Liquid

63824051130 Mucinex Fast-Max Cld/Flu Dy/Nt Oral

63824051601 Mucinex Fast-Max Cld/Flu Dy/Nt Oral

63824052822 Mucinex Fast-Max Day/Nighttime Oral

63824054422 Mucinex Fast-Max Day/Nght Cool Oral

63824055020 Mucinex Fast-Max Cold Flu Nght 25-5-325 MG Oral Tablet

63824055130 Mucinex Fast-Max Day/Night Tab Oral

63824055530 Mucinex Fast-Max Day/Night (Tablet) Oral

63824055730 Mucinex Fast-Max Day/Night Tab Oral

63824055830 Mucinex Fast-Max Day/Night M/S (Tablet) Oral

63824057520 Mucinex Fast-Max Cold/Flu 5-10-200-325 MG Oral Tablet

63824059216 Mucinex Fast-Max Cold & Sinus 10-5-325 MG Oral Capsule

63824059316 Mucinex Fast-Max Cold Flu Nght 5-6.25-10-325 MG Oral Capsule

63824059916 Mucinex Fast-Max Cong Headache 10-5-325 MG Oral Capsule

63824060064 Mucinex MS Cold Night Children 12.5-5-325 MG/10ML Oral Liquid

63824069216 Mucinex Sinus-Max Cong & Pain 10-5-325 MG Oral Capsule

63824094603 Mucinex Cough Childrens 5-100 MG/5ML Oral Liquid

63868002008 QC DayTime Cold/Flu 10-5-325 MG/15ML Oral Liquid

63868002012 QC DayTime Cold/Flu 10-5-325 MG/15ML Oral Liquid

63868007124 QC Sinus Congest/Pain Severe 5-325-200 MG Oral Tablet

63868007224 QC Cold Multi-Symptom Night 5-2-10-325 MG Oral Tablet

63868007324 QC Cold Multi-Symptom Daytime 5-10-200-325 MG Oral Tablet

63868007424 QC Cold Head Congestion Night 5-2-10-325 MG Oral Tablet

63868014012 QC Nighttime Cold & Flu 15-6.25-325 MG/15ML Oral Liquid

63868015410 QC Loratadine-D 10-240 MG Oral Tablet ER 24HR

63868017901 QC Cough/Cold HBP 4-30 MG Oral Tablet

63868017916 QC Cough/Cold HBP 4-30 MG Oral Tablet

63868022820 Cold Relief Plus 2-7.8-325 MG Oral Tablet Effer

63868023412 QC Nighttime Cold & Flu 15-6.25-325 MG/15ML Oral Liquid

63868023506 QC Mucus Relief DM Max 5-100 MG/5ML Oral Liquid

63868024404 QC Tussin CF 5-10-100 MG/5ML Oral Liquid

63868024408 QC Tussin CF 5-10-100 MG/5ML Oral Liquid

63868036904 QC Triacting Daytime Childrens 5-2.5 MG/5ML Oral Syrup

63868075350 QC Medifin DM 20-400 MG Oral Tablet

63868076306 QC Severe Cold/Cough Daytime 20-10-650 MG Oral Packet

63868076406 QC Severe Cold/Cough Nighttime 25-10-650 MG Oral Packet

63868077104 QC Mucus & Cough Relief Child 5-100 MG/5ML Oral Liquid

63868079220 QC Severe Allergy Relief Sinus 25-5-325 MG Oral Tablet

63868086854 QC Tussin DM Cough/Congestion 10-100 MG/5ML Oral Liquid

63868097124 QC Pressure & Pain PE 5-325 MG Oral Tablet

63868098124 QC Allergy Relief Multi-Sympt 2-5-325 MG Oral Tablet

63868098424 QC Sinus Pain Relief 5-325 MG Oral Tablet

2019 Q4 Page 44 of 79


63868098524 QC Allergy/Sinus Headache 12.5-5-325 MG Oral Tablet

64543009790 Rescon 2-60 MG Oral Tablet

64543010504 Rescon DM 30-2-10 MG/5ML Oral Syrup

64543010516 Rescon DM 30-2-10 MG/5ML Oral Syrup

64661001116 J-Max 5-200 MG/5ML Oral Syrup

64661003230 J-Tan D PD 1-7.5 MG/ML Oral Liquid

68047012016 LoHist-D 2-30 MG/5ML Oral Liquid

68047012916 LoHist-DM 5-2-10 MG/5ML Oral Syrup

68047014316 EndaCof-DM 2.5-1-5 MG/5ML Oral Liquid

68047018516 NoHist-LQ 4-10 MG/5ML Oral Liquid

69367018408 Phenylephrine-DM-GG 10-18-200 MG/15ML Oral Liquid

69367019760 Dexbrompheniramine-Phenyleph 2-10 MG Oral Tablet

69367019890 Phenylephrine-DM-GG 10-17.5-385 MG Oral Tablet

69367019901 Doxylamine-Phenylephrine 7.5-10 MG Oral Tablet

69536042524 Bronkaid 25-400 MG Oral Tablet

69536042560 Bronkaid 25-400 MG Oral Tablet

70000012801 Severe Cold & Cough Nighttime 25-10-650 MG Oral Packet

70000012901 Mucus Relief DM Max 20-400 MG/20ML Oral Liquid

70000013101 Mucus & Cough Relief Childrens 5-100 MG/5ML Oral Liquid

70000013301 Tussin Multi-Symptom Cold CF 5-10-100 MG/5ML Oral Liquid

70000013302 Tussin Multi-Symptom Cold CF 5-10-100 MG/5ML Oral Liquid

70000013402 Nighttime Cold/Flu Relief 15-6.25-325 MG Oral Capsule 5/30/2020

70000013801 Flu HBP 15-500-2 MG Oral Tablet

70000014101 Mucus Relief PE Sinus 10-400 MG Oral Tablet

70000015601 Multi Symptom Flu/Severe Cold 20-10-500 MG Oral Packet

70000016101 Sinus Pressure + Pain 5-325 MG Oral Tablet

70000016201 Allergy Relief D-24 10-240 MG Oral Tablet ER 24HR

70000016202 Allergy Relief D-24 10-240 MG Oral Tablet ER 24HR

70000016801 Cold Relief 10-5-325 MG Oral Tablet


70000018301 NightTime Cold & Flu Max Str 15-6.25-325 MG/15ML Oral Liquid




70000018801 Cold & Allergy Childrens 1-2.5 MG/5ML Oral Elixir

70000018901 Cold & Cough Childrens 2.5-1-5 MG/5ML Oral Liquid

70000019101 Daytime Cold & Flu Relief 10-5-325 MG/15ML Oral Liquid

70000019102 Daytime Cold & Flu Relief 10-5-325 MG/15ML Oral Liquid

70000019201 Daytime Severe Cold & Flu 5-10-200-325 MG/15ML Oral Liquid

70000019301 Nighttime Cough 12.5-30 MG/30ML Oral Liquid

70000019401 NightTime Severe Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid 5/21/2020

70000019601 Sinus Congestion/Pain Daytime 5-325-200 MG Oral Tablet


2019 Q4 Page 45 of 79


70000026101 Mucus Relief Childrens 2.5-5-100 MG/5ML Oral Liquid

70000027801 Mucus Relief DM Cough 20-400 MG Oral Tablet

70000027802 Mucus Relief DM Cough 20-400 MG Oral Tablet

70000028201 Mucus Relief Severe Cold 5-10-200-325 MG Oral Tablet 5/13/2020

70000028601 Mucus Relief Cold/Sinus Max St 5-325-200 MG Oral Tablet 9/6/2020

70000028701 Flu/Severe Cold & Cough Day 20-10-650 MG Oral Packet

70000028901 Severe Cold & Flu 5-10-200-325 MG Oral Tablet


70000031301 Tussin CF Severe Multi-Symptom 5-10-200-325 MG/10ML Oral Liquid

70000031401 Sinus and Headache 5-325 MG Oral Tablet

70000031901 Tussin DM Cough + Chest 10-100 MG/5ML Oral Liquid

70000031902 Tussin DM Cough + Chest 10-100 MG/5ML Oral Liquid

70000032401 Cough & Cold HBP 4-30 MG Oral Tablet

70000037201 Mucus-DM Maximum Strength 60-1200 MG Oral Tablet ER 12HR

70000037202 Mucus-DM Maximum Strength 60-1200 MG Oral Tablet ER 12HR



70000039201 Allergy Relief D 5-120 MG Oral Tablet ER 12HR

70000042701 Cold & Flu Relief Nighttime 15-6.25-325 MG Oral Capsule


70000045301 NightTime Severe Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid

70000046301 Daytime Cold & Flu Relief 10-5-325 MG Oral Capsule



70000046501 Mucus Relief DM 20-400 MG/20ML Oral Liquid



70677001101 SM Day Time 10-5-325 MG Oral Capsule

70677001201 SM Chest Congestion Relief DM 20-400 MG Oral Tablet

70677003601 SM Loratadine D 12HR 5-120 MG Oral Tablet ER 12HR

70677003701 SM Daytime Liquid 10-5-325 MG Oral Capsule

70677004801 SM Tussin DM Max 20-400 MG/20ML Oral Liquid

75834004060 Nivanex DMX 10-15-380 MG Oral Tablet 4/30/2020

00113006126 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Syrup

00113006134 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Syrup

00113206126 Tussin Mucus & Chest Congest 100 MG/5ML Oral Liquid

00121148800 guaiFENesin 100 MG/5ML Oral Liquid


00121174400 guaiFENesin 100 MG/5ML Oral Solution




00536082585 Cough Syrup 100 MG/5ML Oral Syrup 8/31/2020

2019 Q4 Page 46 of 79


00536116361 Mucus Relief 600 MG Oral Tablet ER 12HR

00536118285 Mucus & Chest Congestion 100 MG/5ML Oral Liquid

00536118297 Mucus & Chest Congestion 100 MG/5ML Oral Liquid

00904006100 Robafen 100 MG/5ML Oral Syrup 4/30/2020

00904006116 Robafen 100 MG/5ML Oral Syrup 9/30/2020

00904515460 guaiFENesin 200 MG Oral Tablet

00904623246 Mucus Relief 400 MG Oral Tablet 5/31/2020

00904671839 Mucus Relief ER 600 MG Oral Tablet ER 12HR

00904676316 Robafen 100 MG/5ML Oral Syrup

00904676320 Robafen Mucus/Chest Congestion 200 MG/10ML Oral Liquid



00904698640 Mucus Relief 600 MG Oral Tablet ER 12HR

24385031034 GNP Tussin 100 MG/5ML Oral Syrup

24385098226 GNP Mucus Relief Childrens 100 MG/5ML Oral Liquid

36800028826 Childrens Mucus Relief Expect 100 MG/5ML Oral Liquid

36800031026 Tussin Chest Congestion 100 MG/5ML Oral Syrup

36800049858 Mucus-ER 600 MG Oral Tablet ER 12HR

36800049860 Mucus-ER 600 MG Oral Tablet ER 12HR

36800051526 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Liquid

45802032530 guaiFENesin ER 1200 MG Oral Tablet ER 12HR

45802032566 guaiFENesin ER 1200 MG Oral Tablet ER 12HR

46122005762 GNP Tab Tussin 400 MG Oral Tablet

46122029926 GNP Tussin Mucus & Chest Cong 100 MG/5ML Oral Liquid

46122029934 GNP Tussin Mucus & Chest Cong 100 MG/5ML Oral Liquid

46122041660 GNP Mucus ER 600 MG Oral Tablet ER 12HR

46122041774 GNP Mucus ER 1200 MG Oral Tablet ER 12HR

49348013534 SM Tussin Mucus+Chest Congest 100 MG/5ML Oral Liquid

49348013537 SM Tussin Mucus+Chest Congest 100 MG/5ML Oral Liquid

49348072909 SM Chest Congestion Relief 400 MG Oral Tablet

49483027206 Mucosa 400 MG Oral Tablet





54838011740 Siltussin SA 100 MG/5ML Oral Syrup



54838013840 Diabetic Siltussin DAS-Na 100 MG/5ML Oral Liquid


62011006001 HM Chest Congestion Relief 400 MG Oral Tablet

62011008901 HM Tussin Adult 100 MG/5ML Oral Liquid

62011008902 HM Tussin Adult 100 MG/5ML Oral Liquid

2019 Q4 Page 47 of 79


62011037701 HM Mucus Relief 600 MG Oral Tablet ER 12HR

63824025412 Mucinex For Kids 100 MG Oral Packet

63824028564 Mucinex Chest Congestion Child 100 MG/5ML Oral Liquid

63868038920 QC Mucus Relief 600 MG Oral Tablet ER 12HR

63868039014 QC Mucus Relief ER 1200 MG Oral Tablet ER 12HR

63868077004 QC Mucus Relief Childrens 100 MG/5ML Oral Liquid

63868085904 QC Tussin Mucus/Congestion 100 MG/5ML Oral Liquid

63868099850 QC Medifin 400 400 MG Oral Tablet

70000025101 Mucus Relief Chest Congestion 200 MG Oral Tablet



70000045201 Chest Congestion Relief 400 MG Oral Tablet

70000047901 Mucus Relief Max St 1200 MG Oral Tablet ER 12HR

70000047902 Mucus Relief Max St 1200 MG Oral Tablet ER 12HR

70677004901 SM Mucus Relief 600 MG Oral Tablet ER 12HR

70677005001 SM Mucus Relief Max Strength 1200 MG Oral Tablet ER 12HR

70677005501 SM Mucus Relief 600 MG Oral Tablet ER 12HR

46122015754 GNP Chest Rub 4.8-1.2-2.6 % External Ointment

49348039896 SM Medicated Chest Rub 4.73-1.2-2.6 % External Ointment

62011007501 HM Chest Rub 4.8-1.2-2.6 % External Ointment

70000027501 Chest Rub External Ointment

70000048001 Chest Rub External Ointment

*DERMATOLOGICALS*

00145098505 PanOxyl Wash 10 % External Liquid

00316022706 PanOxyl Creamy Wash 4 % External Liquid

00316022855 PanOxyl Foaming Wash 10 % External Liquid

00536105656 Acne Medication 10 10 % External Gel

00536105775 Acne Medication 5 5 % External Lotion

00536105875 Acne Medication 10 10 % External Lotion

45802010196 Benzoyl Peroxide 2.5 % External Gel

45802021601 Benzoyl Peroxide 5 % External Gel

45802021696 Benzoyl Peroxide 5 % External Gel

45802028001 Benzoyl Peroxide Wash 5 % External Liquid




67405083506 Benzoyl Peroxide Cleanser 6 % External Liquid

67405083512 Benzoyl Peroxide Cleanser 6 % External Liquid

00067206708 Mineral Ice 2 % External Gel





00536106139 Blue Gel 2 % External Gel

2019 Q4 Page 48 of 79


24385022540 GNP Therapeutic Blue 2 % External Gel

62011032901 HM Pain Relief Therapy 5 % External Patch

70000018501 Pain Relieving Ultra St 5 % External Patch 5/14/2020

70000026001 Ice Blue 2 % External Gel

70000036701 Cold & Hot Medicated 5 % External Patch

00113008464 First Aid Antibiotic 3.5-400-5000 MG-UNIT External Ointment

00472017934 Triple Antibiotic 3.5-400-5000 External Ointment


00536117420 Double Antibiotic 500-10000 UNIT/GM External Ointment

00536117428 Double Antibiotic 500-10000 UNIT/GM External Ointment


00713028031 Bacitracin 500 UNIT/GM External Ointment

00713062231 Triple Antibiotic Plus 1 % External Ointment

00904073431 Triple Antibiotic 5-400-5000 External Ointment

00904668067 Triple Antibiotic First Aid 3.5-400-5000 External Ointment

24385006003 GNP Bacitracin Zinc 500 UNIT/GM External Ointment

24385014303 GNP Triple Antibiotic Plus 1 % External Ointment

37205027510 Bacitracin 500 UNIT/GM External Ointment 9/20/2020







46122041403 GNP Triple Antibiotic External Ointment

46122041405 GNP Triple Antibiotic External Ointment

49348002972 SM Triple Antibiotic 3.5-400-5000 External Ointment

49348015472 SM Antibiotic 500 UNIT/GM External Ointment

49348027472 SM Double Antibiotic 500-10000 UNIT/GM External Ointment

49348060072 SM Triple Antibiotic Max St 1 % External Ointment

49348069069 SM Antibiotic Plus Pain Relief 3.5-10000-10 External Cream







62011009401 HM Bacitracin Zinc 500 UNIT/GM External Ointment

62011009701 HM Double Antibiotic 500-10000 UNIT/GM External Ointment

62011009801 HM Triple Antibiotic 3.5-400-5000 External Ointment

62011009901 HM Triple Antibiotic Max St 1 % External Ointment

62011032101 HM Triple Antibiotic 3.5-400-5000 External Ointment

63868091001 QC Triple Antibiotic Max St 1 % External Ointment

2019 Q4 Page 49 of 79


63868096028 QC Bacitracin 500 UNIT/GM External Ointment

70000011101 Poly Bacitracin 500-10000 UNIT/GM External Ointment 8/29/2020


70000039001 Triple Antibiotic+Pain Relief 1 % External Ointment

70000047101 Poly Bacitracin 500-10000 UNIT/GM External Ointment

70677001301 SM Triple Antibiotic Original 3.5-400-5000 External Ointment

00067094915 Desenex 2 % External Powder

00067611446 LamISIL AF Defense 1 % External Aerosol Powder

00067629283 LamISIL AT Spray 1 % External Solution

00067629383 LamISIL AT Spray 1 % External Solution

00113015473 Athletes Foot Spray 1 % External Aerosol

00113069590 Jock Itch Spray 1 % External Aerosol Powder

00145150103 Zeasorb-AF 2 % External Powder






00472073514 Antifungal 2 % External Cream



00536111728 Terbinafine HCl 1 % External Cream

00536515026 Anti-Fungal 1 % External Powder

00884029301 Fungoid Tincture 2 % External Solution

00884289301 Castellani Paint Modified 1.5 % External Liquid

00884299301 Castellani Paint Modified 1.5 % External Liquid

00884549301 Fungoid Tincture 2 % External Kit


00904072645 Tolnaftate 1 % External Powder

24385003203 GNP Tolnaftate 1 % External Cream

24385020501 GNP Athletes Foot 1 % External Cream

24385020503 GNP Athletes Foot 1 % External Cream

24385052403 GNP Terbinafine Hydrochloride 1 % External Cream

24385052405 GNP Terbinafine Hydrochloride 1 % External Cream

29978091860 Alevazol 1 % External Ointment

37205094199 Athletes Foot AF 1 % External Cream

46122003927 GNP Miconazorb AF 2 % External Powder

46122044427 GNP Miconazorb AF 2 % External Powder

49348015529 SM Antifungal Tolnaftate 1 % External Cream

49348027972 SM Antifungal Clotrimazole 1 % External Cream

49348068972 SM Antifungal Miconazole 2 % External Cream

49348079072 SM Athletes Foot 1 % External Cream

51672202001 Tolnaftate 1 % External Cream

2019 Q4 Page 50 of 79


51672202002 Tolnaftate 1 % External Cream



51672210002 Butenafine HCl 1 % External Cream

51672210008 Butenafine HCl 1 % External Cream

53329007964 Carrington Antifungal 2 % External Cream

53329008057 Soothe & Cool INZO Antifungal 2 % External Cream

53329008058 Soothe & Cool INZO Antifungal 2 % External Cream

53329016204 Remedy Antifungal 2 % External Cream

63868010446 QC Tolnaftate 1 % External Cream

70000032101 Athletes Foot Powder Spray 2 % External Aerosol Powder

70000032201 Athletes Foot Powder Spray 1 % External Aerosol Powder

70000032301 Antifungal 2 % External Powder

70000033801 Athletes Foot 1 % External Cream

70000049301 Clotrimazole Athletes Foot 1 % External Cream

70000049401 Tolnaftate Antifungal 1 % External Cream

00113062264 Itch Relief Extra Strength 2-0.1 % External Cream

00904535431 Banophen 2-0.1 % External Cream

24385021003 GNP Anti-Itch 2-0.1 % External Cream

36800050602 Anti-Itch 2-0.1 % External Cream

45802035803 diphenhydrAMINE-Zinc Acetate 2-0.1 % External Cream

46122011421 GNP Itch Relief Extra Strength 2-0.1 % External Liquid

49348085472 SM Anti-Itch Extra Strength 2-0.1 % External Cream


63868021801 QC Anti-Itch Extra Strength 2-0.1 % External Cream

70000002301 Itch Relief Extra Strength 2-0.1 % External Liquid


46122014310 GNP Anti-Itch 0.5-0.5 % External Lotion

63868006045 QC Antiseptic Pain Relief 10.8-4.7 % External Liquid

00536196297 Sebex 2-2 % External Shampoo

00536199553 Anti-Dandruff 1 % External Shampoo

00591298135 Docosanol 10 % External Cream

00113054164 Anti-Itch Maximum Strength 1 % External Cream

00113097364 Anti-Itch Maximum Strength 1 % External Cream

00168001631 Hydrocortisone 0.5 % External Ointment 7/31/2021

00472033956 Hydrocortisone-Aloe 1 % External Cream

24385002103 GNP Hydrocortisone Plus 1 % External Cream

24385019003 GNP Hydrocortisone 0.5 % External Cream

24385027403 GNP Hydrocortisone/Aloe 1 % External Cream

24385027603 GNP Hydrocortisone Max St 1 % External Ointment

49348044172 SM Hydrocortisone Plus 1 % External Cream

49348052172 SM Hydrocortisone 1 % External Cream

49348052178 SM Hydrocortisone 1 % External Cream

2019 Q4 Page 51 of 79


49348052272 SM Hydrocortisone Max St 1 % External Ointment

51672201002 Hydrocortisone-Aloe 0.5 % External Cream

51672206302 Hydrocortisone Max St/12 Moist 1 % External Cream

51672206902 Hydrocortisone Max St 1 % External Cream

62011009501 HM Hydrocortisone-Aloe Max St 1 % External Cream

62011009601 HM Hydrocortisone Plus 1 % External Cream

63824085015 Scalpicin Maximum Strength 1 % External Solution

70000048901 Hydrocortisone Acetate 1 % External Ointment

00168003504 Vitamins A & D External Ointment 4/30/2021

00168003516 Vitamins A & D External Ointment 4/30/2021

00904584327 Vitamins A & D External Ointment

24385007026 GNP Vitamin A & D 15.5-53.4 % External Ointment

43553000402 Aloe Vesta Clear Barrier 36 % External Aerosol


49348083936 SM Glycerin 99.5 % External Liquid


62011011501 HM Glycerin External Liquid

70000035801 A&D External Ointment

70211070202 Coats Aloe 0.5 % External Lotion



70211070304 Coats Aloe 0.5 % External Cream

70211070316 Coats Aloe 0.5 % External Cream

70211070508 Coats Aloe 0.5 % External Gel

00096073804 DHS Sal 3 % External Shampoo

00884259215 Salactic Film 17 % External Solution

00884519215 Sal-Plant 17 % External Gel

24385023663 GNP Wart Remover 17 % External Liquid

24385067827 GNP Scalp Relief 3 % External Liquid

46122036229 GNP Wart Remover 17 % External Liquid

63824086015 Scalpicin 2 in 1 3 % External Liquid

70000032901 Wart Remover Maximum Strength 17 % External Liquid

70000033001 Medicated Corn Removers 40 % External Pad

70000033101 Wart Remover Maximum Strength 40 % External Strip

70000033201 Corn & Callus Remover 17 % External Liquid

70000033301 Medicated Callus Removers 40 % External Pad

00178032003 Thera-Gesic 1-15 % External Cream

00178032005 Thera-Gesic 1-15 % External Cream

00178035003 Thera-Gesic Plus External Cream

00536110145 Pain Relieving External Cream

24385001121 GNP Muscle Rub 10-15 % External Cream

24385016553 GNP Arthricream 10 % External Cream

24385024154 GNP Cold & Hot Extra Strength 7.6-29 % External Ointment

2019 Q4 Page 52 of 79


45802017453 Muscle Rub 10-15 % External Cream

45802035653 Trolamine Salicylate 10 % External Cream 6/30/2021

49348042684 SM Muscle Rub 10-15 % External Cream

49348088384 SM Arthricream Rub 10 % External Cream

62011020901 HM Muscle Rub 10-15 % External Cream

62011032801 HM Salonpas Pain Relief 1.2-5.7-6.3 % External Patch

62011033301 HM Arthritis Creme 10 % External Cream

63044003060 Ziks Arthritis Pain Relief 0.025-1-12 % External Cream

70000016901 Pain Relieving 10 % External Cream

70000020801 Muscle Rub Ultra Strength 4-10-30 % External Cream

70000020802 Muscle Rub Ultra Strength 4-10-30 % External Cream

70000023801 Muscle Rub Ultra Strength 4-10-30 % External Cream 5/14/2020

70211070408 Coats Aloe Liniment 10 % External Lotion

70211070433 Coats Aloe Liniment 10 % External Lotion

00145063005 Sarna Sensitive 1 % External Lotion

00225049533 Itch-X 1-10 % External Gel

00225051651 Itch-X 1-10 % External Solution

00316023075 Sarna Sensitive 1 % External Lotion

00536111825 Arthritis Pain Relieving 0.075 % External Cream

00536113920 Pain Relieving 4 % External Cream

00536120215 Lidocaine Pain Relief 4 % External Patch

00536121195 Dibucaine 1 % External Ointment

00536252525 Capsaicin 0.025 % External Cream

00904776021 Callergy Clear 1-0.1 % External Lotion

24385007282 GNP Caldyphen 1-8 % External Lotion

24385008334 GNP Aloe Vera/Lidocaine 0.5 % External Gel

24385043930 GNP Caldyphen Clear 1-0.1 % External Lotion

36800021830 Clear Anti-Itch 1-0.1 % External Lotion

36800033630 Calamine Medicated 1-8 % External Lotion

37205028130 Caldyphen Clear 1-0.1 % External Lotion 6/11/2020

39328002415 Lidocaine 4 % External Cream



43199004015 Lidocaine-Transparent Dressing 4 % External Kit




46122011203 GNP Capsaicin 0.15 % External Liquid

46122011321 GNP Burn Relief Spray 0.5 % External Aerosol

46122011521 GNP Medicated First Aid Spray 20-0.13 % External Aerosol

46122045021 GNP Lidocaine Pain Relief 4 % External Patch

46122055528 GNP Burn Relief 0.5 % External Aerosol


2019 Q4 Page 53 of 79




47781057089 Lidocaine-Transparent Dressing 4 % External Kit

49348033736 SM Caldyphen 1-8 % External Lotion

49348061036 SM Caldyphen Clear 1-0.1 % External Lotion

49348097410 SM Alcohol Prep/Benzocaine 6-70 % External Pad




62011041501 HM Lidocaine Patch 4 % External Patch

63868009706 QC Anti-Itch Clear 1-0.1 % External Lotion

70000036601 Lidocaine Pain Relief 4 % External Patch

70000039701 Calamine Clear 1-0.1 % External Lotion

70000040001 Calamine Plus 1-8 % External Lotion




00093320414 Moisturel 3 % External Lotion

00168006202 Zinc Oxide 20 % External Ointment 6/30/2021



00178034003 Dr Smiths Diaper Rash 10 % External Aerosol

00178034503 Dr Smiths Rash + Skin 10 % External Aerosol

00178034806 Dr Smiths Adult Barrier 10 % External Aerosol

00430310010 Moisturel 3 % External Lotion

00430310011 Moisturel 3 % External Lotion 4/30/2021

00536120473 Menthol-Zinc Oxide 0.45-20 % External Ointment

00536570025 Zinc Oxide 20 % External Ointment



00884170610 Pedi-Boro Soak External Packet

00884170627 Pedi-Boro Soak External Packet

00904253321 Calamine 8-8 % External Lotion

00904505960 Medi Pads 50-10 % External Pad

00904682960 Medi-Pads 50 % External Pad

24385040796 GNP Calamine Phenolated External Lotion

24385041396 GNP Calamine 8-8 % External Lotion

36800002026 Tippy Toes Diaper Rash 40 % External Ointment

37205073434 Advanced Hand Sanitizer/Aloe 70 % External Liquid 5/10/2020

43553000203 Sensi-Care Body 1-30 % External Cream

43553000702 Sensi-Care Clear Zinc 5-5 % External Ointment

43553000705 Sensi-Care Clear Zinc 5-5 % External Ointment

43553324903 Aloe Vesta Protective External Ointment

2019 Q4 Page 54 of 79




43553325604 Sensi-Care Protective Barrier 49-15 % External Ointment

43553325614 Sensi-Care Protective Barrier 49-15 % External Ointment

46122005478 GNP Hygienic Cleansing 50 % External Pad

46122011846 GNP Zinc Oxide 20 % External Ointment

46122027946 GNP Diaper Rash 13 % External Cream

49348001134 SM Calamine External Lotion

49348040531 SM Advanced Hand Sanitizer 70 % External Liquid



49348080130 SM Benzoin Tincture External Tincture

49348080234 SM Calamine Phenolated External Lotion

50484004409 Proshield Plus Skin Protectant 1 % External Cream

51224016212 Alum Sulfate-Ca Acetate External Packet

53329000410 Soothe & Cool Free Skin Paste External Ointment

53329004244 Soothe & Cool Free Medseptic External Ointment

53329004277 Soothe & Cool Free Medseptic External Ointment

53329005128 Soothe & Cool Body External Powder

53329007115 Soothe & Cool Protect Moisture External Ointment

53329007157 Soothe & Cool Protect Moisture External Ointment

53329007296 Soothe & Cool Free Moisture External Ointment

53329007681 Carrington Moisture Barrier External Cream

53329007781 Carrington Moist Barrier/Zinc External Cream

53329015104 Remedy Moisture Barrier 5 % External Cream

53329015704 Remedy Nutrashield 1 % External Cream



53329016008 Remedy Cleansing Body 1.5 % External Lotion

53329016023 Remedy Cleansing Body 1.5 % External Lotion

53329016104 Remedy Skin Repair 1.5 % External Cream




53329016444 Remedy Calazime 0.2-20 % External Paste

53329016496 Remedy Calazime 0.2-20 % External Paste

53329077704 Soothe & Cool Inzo Barrier 5-5 % External Cream



58809037504 Z-Bum 22.5 % External Cream

58809045004 Cozima 24 % External Cream

62011011401 HM Calamine 8-8 % External Lotion

62011026801 HM Witch Hazel External Liquid

2019 Q4 Page 55 of 79


62011033101 HM Medicated Cooling 50 % External Pad

63868031706 QC Calamine External Lotion

63868092716 QC Witch Hazel 86 % External Liquid

70000032001 Advanced Hand Sanitizer 70 % External Gel

70000032002 Advanced Hand Sanitizer 70 % External Gel


70000036401 Hemorrhoidal 50 % External Pad

70000046201 Advanced Hand Sanitizer/Aloe 70 % External Gel

70000046901 Diaper Rash 40 % External Ointment

70000039801 Poison Ivy Wash 1 % External Lotion

00096068204 Solbar Shield SPF 40 External Cream

00096068504 Solbar SPF30 External Gel

00096068704 Solbar Avo External Lotion

00096068804 Solbar Zinc SPF38 External Cream

00096074104 Solbar Fifty External Cream

37205072134 Baby Sunscreen SPF50 External Lotion

37205072564 Sport Sunscreen SPF50 External Lotion

37205072834 General Protection Sunscreen External Lotion


70000032501 Kids Continuous Spray SPF50 External Aerosol

70000032601 General Protection Sunscreen External Aerosol

70000032701 General Protection Sunscreen External Aerosol

70000032801 Sport Sunscreen SPF30 External Aerosol


00113086626 Lice Killing Maximum Strength 0.33-4 % External Shampoo

00904252820 Lice Killing Maximum Strength 0.33-4 % External Shampoo

24385011603 GNP Lice Treatment 0.33-4 % External Shampoo

36800086634 Lice Killing 4-0.33 % External Shampoo

36800095526 Lice Treatment 1 % External Lotion

46122010846 GNP Lice Treatment 1 % External Liquid

49348012619 SM Lice Solution Kit 0.33-4-0.5 % Combination Kit

49348015078 SM Lice Treatment 1 % External Lotion

49348044334 SM Lice Killing Max Strength 0.33-4 % External Shampoo

58809065008 VanaLice 0.3-3.5 % External Gel

62011011902 HM Lice Killing Max St 0.33-4 % External Shampoo

62011025501 HM Lice Treatment 1 % External Liquid

63824091600 LiceMD Complete 0.33-4 % External Kit

70000035301 Lice Killing 0.33-4 % External Shampoo

00904525944 Therapeutic 0.5 % External Shampoo

49348060247 SM Anti-Dandruff Coal Tar 0.5 % External Shampoo

*GASTROINTESTINAL AGENTS - MISC.*

00067627418 Gas-X Ultra Strength 180 MG Oral Capsule

00067627450 Gas-X Ultra Strength 180 MG Oral Capsule

00067627510 Gas-X Extra Strength 125 MG Oral Capsule

2019 Q4 Page 56 of 79





00113042860 Gas Relief Extra Strength 125 MG Oral Capsule

00113065772 Gas Relief Ultra Strength 180 MG Oral Capsule

00113088210 Infants Simethicone 20 MG/0.3ML Oral Suspension

00536101901 Gas Relief 80 MG Oral Tablet Chewable 7/31/2020

00536120704 Gas Relief 80 MG Oral Tablet Chewable

00536122308 Gas Relief Extra Strength 125 MG Oral Tablet Chewable

00536222075 Gas Relief 20 MG/0.3ML Oral Suspension

00536360408 Simethicone 180 MG Oral Capsule

00904506860 Mi-Acid Gas Relief 80 MG Oral Tablet Chewable


00904589430 Infants Gas Relief 20 MG/0.3ML Oral Suspension

00904660636 Gas Relief Extra Strength 125 MG Oral Capsule 5/31/2020


24385011878 GNP Gas Relief 80 MG Oral Tablet Chewable

24385030789 GNP Gas Relief Extra Strength 125 MG Oral Tablet Chewable

24385046072 GNP Anti-Gas 180 MG Oral Capsule




36800088210 Gas Relief 20 MG/0.3ML Oral Suspension


37205011910 Simethicone 40 MG/0.6ML Oral Suspension 4/25/2020

46122045965 GNP Gas Relief Extra Strength 125 MG Oral Capsule

49348007309 SM Gas Relief Extra Strength 125 MG Oral Capsule

49348014707 SM Gas Relief 80 MG Oral Tablet Chewable


49348048912 SM Gas Relief Antiflatuent 180 MG Oral Capsule

49348074027 SM Gas Relief Infants 20 MG/0.3ML Oral Suspension


62011018701 HM Gas Relief Infants Drops 20 MG/0.3ML Oral Suspension

62011018901 HM Gas Relief 125 MG Oral Tablet Chewable

62011029101 HM Gas Relief 80 MG Oral Tablet Chewable

62011030401 HM Gas Relief Extra Strength 125 MG Oral Capsule

63868023630 QC Gas Relief Extra Strength 125 MG Oral Capsule



70000042301 Gas Relief Drops Infants 20 MG/0.3ML Oral Suspension


59528033102 Calphron 667 MG Oral Tablet

*GENITOURINARY AGENTS - MISCELLANEOUS*

60258000116 Cytra-2 500-334 MG/5ML Oral Solution

2019 Q4 Page 57 of 79


60258000216 Cytra-3 550-500-334 MG/5ML Oral Syrup

60258000316 Cytra-K 1100-334 MG/5ML Oral Solution

46122033765 GNP Urinary Pain Relief 95 MG Oral Tablet

49348007644 SM Urinary Pain Relief 95 MG Oral Tablet

49348094102 SM Urinary Pain Relief Max St 97.5 MG Oral Tablet

63868010112 QC Urinary Pain Relief Max St 97.5 MG Oral Tablet

70000024101 Urinary Pain Relief Max St 97.5 MG Oral Tablet

70000024301 Urinary Pain Relief 95 MG Oral Tablet

*HEMATOPOIETIC AGENTS*

63044020301 IFerex 150 150 MG Oral Capsule

63044020361 IFerex 150 150 MG Oral Capsule

*LAXATIVES*

00224050080 Konsyl Fiber 625 MG Oral Tablet

00224050090 Konsyl Fiber 625 MG Oral Tablet

00224180124 Konsyl Daily Fiber 100 % Oral Packet



00224182203 Konsyl-D 52.3 % Oral Powder



00224184710 Konsyl 520 MG Oral Capsule

00224184780 Konsyl 520 MG Oral Capsule

00224185206 Konsyl Daily Fiber 28.3 % Oral Powder

00224185213 Konsyl Daily Fiber 28.3 % Oral Packet



00224185606 Konsyl 71.67 % Oral Powder

00224185680 Konsyl 71.67 % Oral Powder



00536187516 Reguloid 58.6 % Oral Powder




00536430605 Fiber-Lax 625 MG Oral Tablet







00904250091 Fiber 625 MG Oral Tablet

00904519966 Natural Fiber Therapy 48.57 % Oral Powder

00904520066 Natural Fiber Therapy 28.3 % Oral Powder

2019 Q4 Page 58 of 79


00904567516 Soluble Fiber Therapy Oral Powder

24385012576 GNP Fiber-Caps 625 MG Oral Tablet

24385030127 GNP Natural Fiber 48.57 % Oral Powder

24385046678 GNP Fiber Therapy 500 MG Oral Tablet

36800047775 Fiber Laxative 625 MG Oral Tablet



37205066620 Natural Fiber 28.3 % Oral Powder

37205066710 Natural Fiber Laxative 58.6 % Oral Powder

49348004765 SM Fiber 28.3 % Oral Powder

49348009092 SM Fiber 58.6 % Oral Powder

49348019013 SM Fiber 625 MG Oral Tablet

49348054110 SM Fiber Laxative 500 MG Oral Tablet

62011013401 HM Fiber 500 MG Oral Tablet

62011013601 HM Fiber 48.57 % Oral Powder

62011013701 HM Fiber 58.6 % Oral Powder 5/1/2020


00224186060 Senna Prompt 9-500 MG Oral Capsule

00224186081 Senna Prompt 9-500 MG Oral Capsule

00536035510 Senna-Docusate Sodium 8.6-50 MG Oral Tablet 4/30/2020

00536116701 Sennosides-Docusate Sodium 8.6-50 MG Oral Tablet 4/30/2022

00536116901 Senexon-S 8.6-50 MG Oral Tablet 4/30/2022

00536124701 Senexon-S 8.6-50 MG Oral Tablet

00536124710 Senexon-S 8.6-50 MG Oral Tablet



00904564360 DOK Plus 50-8.6 MG Oral Tablet 6/30/2020


00904633961 Senna Plus 8.6-50 MG Oral Tablet 8/31/2020

00904672360 DOK Plus 50-8.6 MG Oral Tablet



36800008401 Stool Softener Plus Laxative 8.6-50 MG Oral Tablet

36800008560 Vegetable Lax+Stool Softener 8.6-50 MG Oral Tablet

36800016260 Senna-S 8.6-50 MG Oral Tablet

46122034372 GNP Senna Plus 8.6-50 MG Oral Tablet

46122034478 GNP Stool Softener/Laxative 8.6-50 MG Oral Tablet

46122056778 GNP Stool Softener/Laxative 8.6-50 MG Oral Tablet

49348015619 SM Senna-S 8.6-50 MG Oral Tablet

49348018719 SM Stool Softener 8.6-50 MG Oral Tablet

49483008101 Senna-Time S 8.6-50 MG Oral Tablet

49483008110 Senna-Time S 8.6-50 MG Oral Tablet

60258095106 Senna-S 8.6-50 MG Oral Tablet

2019 Q4 Page 59 of 79


62011027301 HM Stool Softener/Laxative 8.6-50 MG Oral Tablet

62011029001 HM Senna-S 8.6-50 MG Oral Tablet

62011036401 HM Senna-S 8.6-50 MG Oral Tablet

62011039501 HM Stool Softener/Laxative 8.6-50 MG Oral Tablet

63739043201 Sennosides-Docusate Sodium 8.6-50 MG Oral Tablet

63739043210 Sennosides-Docusate Sodium 8.6-50 MG Oral Tablet

63868013510 QC Stool Softener Pls Laxative 8.6-50 MG Oral Tablet

67618011010 Colace 2-IN-1 8.6-50 MG Oral Tablet




70000044201 Stool Softener/Laxative 50-8.6 MG Oral Capsule

70000044501 Senna Plus 50-8.6 MG Oral Capsule

70000052601 Stool Softener Plus Laxative 8.6-50 MG Oral Tablet

70677004201 SM Senna-S 8.6-50 MG Oral Tablet

70677005901 SM Stool Softener/Laxative 8.6-50 MG Oral Tablet

00113030601 ClearLax Oral Powder

00113030602 GoodSense ClearLax Oral Powder




00132018582 Fleet Liquid Glycerin Supp 5.4 GM/DOSE Rectal Enema

00132019012 Pedia-Lax 2.8 GM Rectal Suppository

00536105224 PEG 3350 Oral Powder



00713010102 Glycerin (Adult) 2.1 GM Rectal Suppository




00713010209 Sani-Supp Pediatric 1.2 GM Rectal Suppository 5/31/2020

00713010213 Glycerin (Pediatric) 1.2 GM Rectal Suppository

00713010225 Sani-Supp Pediatric 1.2 GM Rectal Suppository 4/30/2020

00713010226 Glycerin (Pediatric) 1.2 GM Rectal Suppository


00904642213 PEG 3350 Oral Packet








2019 Q4 Page 60 of 79


36800030652 ClearLax Oral Packet

37205061271 ClearLax Oral Powder 4/23/2020

37205061272 ClearLax Oral Powder 7/25/2020

43386031208 GaviLAX Oral Powder

43386031214 GaviLAX Oral Powder

46122001431 GNP ClearLax Oral Powder



46122001452 GNP ClearLax Oral Packet


49348089350 SM ClearLax Oral Powder

62011015304 HM ClearLax Oral Powder



62011029801 HM ClearLax Oral Packet

62175019015 GlycoLax Oral Powder

62175019031 GlycoLax Oral Powder

63868000214 QC Natura-LAX Oral Powder

63868000230 QC Natura-LAX Oral Powder

68084043098 HealthyLax Oral Packet 9/30/2020

68084043099 HealthyLax Oral Packet 9/30/2020




70000042901 Glycerin Childrens 1 GM Rectal Suppository

70000045001 Glycerin Adult 2 GM Rectal Suppository

24385068516 GNP Mineral Oil Heavy Oral Oil

46122036328 GNP Mineral Oil Rectal Enema

46122039516 GNP Mineral Oil Oral Oil

49348018520 SM Mineral Oil Rectal Enema

62011027001 HM Enema Mineral Oil Rectal Enema

63868093816 QC Mineral Oil Heavy Oral Oil

70000010901 Enema Mineral Oil Rectal Enema

70000044801 Mineral Oil Oral Oil

00054356749 Milk of Magnesia Concentrate 2400 MG/10ML Oral Suspension


00113033240 Milk of Magnesia 1200 MG/15ML Oral Suspension


00113094940 Milk of Magnesia 7.75 % Oral Suspension



00132065501 Pedia-Lax 400 MG Oral Tablet Chewable


2019 Q4 Page 61 of 79


00536741551 Enema 7-19 GM/118ML Rectal Enema


00904078914 Milk of Magnesia 7.75 % Oral Suspension 8/31/2020

00904630477 Magnesium Citrate 1.745 GM/30ML Oral Solution 6/30/2020




00904678744 Magnesium Citrate 1.745 GM/30ML Oral Solution



24385003936 GNP Enema 7-19 GM/118ML Rectal Enema

24385033240 GNP Milk of Magnesia 1200 MG/15ML Oral Suspension


24385067510 GNP Magnesium Citrate 1.745 GM/30ML Oral Solution

24385080701 GNP Epsom Salt Oral Granules

24385080704 GNP Epsom Salt Oral Granules









37205083440 Milk of Magnesia 7.75 % Oral Suspension 5/9/2020



46122036428 GNP Enema Rectal Enema

46122036436 GNP Enema Rectal Enema




49348001863 SM Epsom Salt Oral Granules


49348017138 SM Milk of Magnesia 1200 MG/15ML Oral Suspension

49348018614 SM Enema 7-19 GM/118ML Rectal Enema

49348018620 SM Enema 7-19 GM/118ML Rectal Enema




49348050449 SM Magnesium Citrate 1.745 GM/30ML Oral Solution


62011010901 HM Epsom Salt Oral Granules

2019 Q4 Page 62 of 79


62011012301 HM Milk of Magnesia 1200 MG/15ML Oral Suspension

62011012401 HM Milk of Magnesia 1200 MG/15ML Oral Suspension

62011016601 HM Magnesium Citrate 1.745 GM/30ML Oral Solution


62011027101 HM Enema 7-19 GM/118ML Rectal Enema

62011027102 HM Enema 7-19 GM/118ML Rectal Enema



63868031012 QC Milk of Magnesia 400 MG/5ML Oral Suspension

63868038045 QC Enema 16-6 GM/133ML Rectal Enema

63868038090 QC Enema 16-6 GM/133ML Rectal Enema



63868093510 QC Magnesium Citrate 1.745 GM/30ML Oral Solution




70000010801 Enema Ready-To-Use 7-19 GM/118ML Rectal Enema

70000010802 Enema Ready-To-Use 7-19 GM/118ML Rectal Enema







00067602560 Perdiem Overnight Relief 15 MG Oral Tablet

00132070336 Fleet Bisacodyl 10 MG/30ML Rectal Enema

00536123801 Bisacodyl 10 MG Rectal Suppository

00536126659 Senna 8.8 MG/5ML Oral Liquid



00713010901 Bisac-Evac 10 MG Rectal Suppository 4/30/2021


00713010906 Bisac-Evac 10 MG Rectal Suppository




00904640761 Bisacodyl EC 5 MG Oral Tablet DR

00904643459 Senna 8.6 MG Oral Tablet 7/31/2020

00904643480 Senna 8.6 MG Oral Tablet

00904652261 Senna-Lax 8.6 MG Oral Tablet



2019 Q4 Page 63 of 79







00904792717 Bisacodyl EC 5 MG Oral Tablet DR 7/31/2020


00904792780 Bisacodyl EC 5 MG Oral Tablet DR 4/30/2021

16103036308 Senna-Tabs 8.6 MG Oral Tablet

16103036311 Senna-Tabs 8.6 MG Oral Tablet

24385019365 GNP Womens Laxative 5 MG Oral Tablet DR

24385040471 GNP Senna-Lax 8.6 MG Oral Tablet

24385090363 GNP Laxative 5 MG Oral Tablet DR

24385090378 GNP Bisa-Lax 5 MG Oral Tablet DR

36800008663 Laxative 5 MG Oral Tablet DR

36800017465 Womans Laxative 5 MG Oral Tablet DR

36800078601 Senna Laxative 8.6 MG Oral Tablet


37205029865 Laxative Feminine 5 MG Oral Tablet DR 8/20/2020

46122038451 GNP Gentle Laxative 10 MG Rectal Suppository

46122039678 GNP Senna Lax 8.6 MG Oral Tablet

46122042963 GNP Womens Gentle Laxative 5 MG Oral Tablet DR

46122052978 GNP Gentle Laxative 5 MG Oral Tablet DR

46122057578 GNP Senna Lax 8.6 MG Oral Tablet

46122060851 GNP Gentle Laxative 10 MG Rectal Suppository

49348001636 SM Castor Oil 100 % Oral Oil

49348003205 SM Gentle Laxative 5 MG Oral Tablet DR

49348003210 SM Gentle Laxative 5 MG Oral Tablet DR

49348016510 SM Senna Laxative 8.6 MG Oral Tablet

49348019304 SM Laxative Maximum Strength 25 MG Oral Tablet



49483008001 Senna-Time 8.6 MG Oral Tablet

49483008010 Senna-Time 8.6 MG Oral Tablet


62011027701 HM Laxative 5 MG Oral Tablet DR



62011028901 HM Senna 8.6 MG Oral Tablet



62107003001 Ducodyl 5 MG Oral Tablet DR

62107003010 Ducodyl 5 MG Oral Tablet DR

2019 Q4 Page 64 of 79


62107003101 Senno 8.6 MG Oral Tablet

63868025710 QC Natural Vegetable Laxative 8.6 MG Oral Tablet

63868032808 QC Gentle Laxative 10 MG Rectal Suppository

67618012012 Senokot Extra Strength 17.2 MG Oral Tablet

70000022101 Gentle Laxative 5 MG Oral Tablet DR



70000038601 Laxative Max Str 25 MG Oral Tablet

70000044101 Senna 8.6 MG Oral Capsule

70000044301 Laxative Regular Strength 15 MG Oral Tablet

70000044401 Womens Laxative 5 MG Oral Tablet DR



70000045101 Gentle Laxative 10 MG Rectal Suppository

70000045102 Gentle Laxative 10 MG Rectal Suppository

70000047701 Chocolated Laxative 15 MG Oral Tablet Chewable



00113048672 Stool Softener 100 MG Oral Capsule

00121054410 Docusate Sodium 50 MG/5ML Oral Liquid

00132010624 Pedia-Lax 50 MG/15ML Oral Liquid








00904586960 DOK 100 MG Oral Tablet

00904645561 DOK 100 MG Oral Capsule




00904645959 Kao-Tin 240 MG Oral Capsule

00904675060 DOK 100 MG Oral Tablet

00904692093 Docusate Mini 283 MG/5ML Rectal Enema

16103038408 Docusate Sodium 100 MG Oral Capsule


17433987603 Enemeez Mini 283 MG/5ML Rectal Enema

17433987703 Enemeez Plus 20-283 MG Rectal Enema

17433987805 DocuSol Mini 283 MG/5ML Rectal Enema

17433988305 DocuSol Plus Mini-Enema 20-283 MG Rectal Enema

24385043578 GNP Docusate Calcium 240 MG Oral Capsule

2019 Q4 Page 65 of 79


24385043678 GNP Stool Softener 100 MG Oral Capsule

24385044378 GNP Stool Softener Ex St 250 MG Oral Capsule





46122023178 GNP Stool Softener 100 MG Oral Capsule 8/28/2020



46122039943 GNP Stool Softener 50 MG/5ML Oral Liquid

46122040043 GNP Stool Softener 60 MG/15ML Oral Syrup


49348012105 SM Stool Softener 100 MG Oral Capsule




49348048390 SM Stool Softener 100 MG Oral Capsule 4/28/2020

50383077110 Docu 50 MG/5ML Oral Liquid



54838010780 Silace 60 MG/15ML Oral Syrup

54838011680 Silace 150 MG/15ML Oral Liquid



62011022401 HM Stool Softener 100 MG Oral Capsule


62011028601 HM Stool Softener 100 MG Oral Tablet



62107003301 Docusil 100 MG Oral Capsule

62107003310 Docusil 100 MG Oral Capsule





63868011625 QC Stool Softener 100 MG Oral Capsule




70000036501 Stool Softener Laxative 100 MG Oral Capsule




2019 Q4 Page 66 of 79



*MEDICAL DEVICES AND SUPPLIES*

46122004378 GNP Alcohol Swabs 70 % Pad

49348089610 SM Alcohol Prep 70 % Pad

62011004501 HM Sterile Alcohol Prep Pad

00135012602 Aquafresh for Kids Dental Paste

00135013203 Aquafresh Sensitive 5 % Dental Paste 6/30/2020

00135023408 Aquafresh Extreme Clean 0.25 % Dental Paste

00135046001 Sensodyne Pronamel Dental Paste

00135049202 Sensodyne Pronamel 5-0.25 % Dental Paste

00135052001 Sensodyne Pronamel Dental Paste

00135055701 Biotene Dry Mouth Gentle Dental Paste

00135059301 Sensodyne Maximum Strength 5-0.25 % Dental Paste



*MINERALS & ELECTROLYTES*

59528050805 MagneBind 300 250-300 MG Oral Tablet

*MISCELLANEOUS THERAPEUTIC CLASSES*

46017032944 Cold-Eeze Daytime Nighttime Oral Tablet Disint 6/30/2020

46017034125 Cold-Eeze Plus Defense Oral Tablet Chewable

39822990001 Ammonia Aromatic Inhalation Inhaler

39822990002 Ammonia Aromatic Inhalation Inhaler

*MOUTH/THROAT/DENTAL AGENTS*

00904625549 Sore Throat 15-3.6 MG Mouth/Throat Lozenge

54859050301 Orasep 2-0.5-0.1 % Mouth/Throat Solution

54859050401 Orasep 2-0.5-0.1 % Mouth/Throat Solution

63824076816 Cepacol 15-2.3 MG Mouth/Throat Lozenge

63824077016 Cepacol INSTAMAX 15-20 MG Mouth/Throat Lozenge

63824077216 Cepacol INSTAMAX 15-20 MG Mouth/Throat Lozenge

00536122858 Phenaseptic 1.4 % Mouth/Throat Liquid

00904630521 Sore Throat Spray 1.4 % Mouth/Throat Liquid

24385053230 GNP Sore Throat 1.4 % Mouth/Throat Liquid



46122026530 GNP Sore Throat Spray 1.4 % Mouth/Throat Liquid

46122027830 GNP Sore Throat Spray 1.4 % Mouth/Throat Liquid

49348099136 SM Sore Throat Spray 1.4 % Mouth/Throat Liquid

63868081155 Sore Throat Mouth/Throat Liquid

70000027701 Sore Throat Spray 1.4 % Mouth/Throat Liquid 5/17/2020

70000045801 Sore Throat 1.4 % Mouth/Throat Liquid

00135057202 Sensodyne Complete Protection 0.454 % Mouth/Throat Paste

00135057501 Sensodyne Repair & Protect 0.454 % Mouth/Throat Paste

00135059801 Parodontax 0.454 % Mouth/Throat Paste


2019 Q4 Page 67 of 79



00135062101 Sensodyne Rapid Relief 0.454 % Mouth/Throat Paste




49348098605 SM Cough Drops 5.8 MG Mouth/Throat Lozenge

49348098744 SM Cough Drops 7 MG Mouth/Throat Lozenge

49348099044 SM Cough Drops 5.4 MG Mouth/Throat Lozenge

63824016316 Delsym Cough+ Soothing Action 5-5 MG Mouth/Throat Lozenge

70000026501 Cough Drops 5.8 MG Mouth/Throat Lozenge






*NASAL AGENTS - SYSTEMIC AND TOPICAL*

57782039726 Cromolyn Sodium 5.2 MG/ACT Nasal Aerosol Soln

00113044301 GoodSense Nasal Allergy Spray 55 MCG/ACT Nasal Aerosol

00135061502 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension






46122033802 GNP Fluticasone Propionate 50 MCG/ACT Nasal Suspension

46122033805 GNP Fluticasone Propionate 50 MCG/ACT Nasal Suspension

46122038576 GNP 24 Hour Nasal Allergy 55 MCG/ACT Nasal Aerosol

46122038672 GNP Fluticasone Propionate Chl 50 MCG/ACT Nasal Suspension

46122038976 GNP Budesonide Nasal Spray 32 MCG/ACT Nasal Suspension

49348018229 SM Allergy Relief 50 MCG/ACT Nasal Suspension

49348018243 SM Allergy Relief 50 MCG/ACT Nasal Suspension

62011026901 HM Allergy Relief 50 MCG/ACT Nasal Suspension

62011026902 HM Allergy Relief 50 MCG/ACT Nasal Suspension

63868040006 QC Allergy Relief 50 MCG/ACT Nasal Suspension

70000011001 Allergy Relief 50 MCG/ACT Nasal Suspension

70000020401 Nasal Allergy 24 Hour 55 MCG/ACT Nasal Aerosol

00067208601 4-Way Fast Acting 1 % Nasal Solution

00113005452 Decongestant 12Hour Max St 120 MG Oral Tablet ER 12HR

00113006510 Nasal Spray Extra Moisturizing 0.05 % Nasal Solution

00113009423 Nasal Decongestant PE Max St 10 MG Oral Tablet



00113030410 Nasal Spray 12 Hour 0.05 % Nasal Solution

00113038810 12 Hour Nasal Spray 0.05 % Nasal Solution

2019 Q4 Page 68 of 79


00113043262 Nasal Decongestant 30 MG Oral Tablet

00113064810 Nasal Four 1 % Nasal Solution

00113081710 Sinus Nasal Spray 0.05 % Nasal Solution

00113201760 Sinus 12 Hour 120 MG Oral Tablet ER 12HR

00113205460 12 Hour Decongestant 120 MG Oral Tablet ER 12HR

00113243280 Nasal Decongestant 30 MG Oral Tablet 7/31/2020

00225061023 Benzedrex Nasal Inhaler

00536185085 Nasal Decongestant 30 MG/5ML Oral Syrup 9/30/2020

00536185097 Nasal Decongestant 30 MG/5ML Oral Liquid 6/30/2020


00904505324 SudoGest 30 MG Oral Tablet



00904571130 Nasal Decongestant Spray 0.05 % Nasal Solution 6/30/2020

00904573349 Sudogest PE 10 MG Oral Tablet

00904580315 SudoGest 12 Hour 120 MG Oral Tablet ER 12HR 8/31/2020

00904633724 SudoGest Maximum Strength 30 MG Oral Tablet

00904633860 SudoGest 30 MG Oral Tablet 5/30/2020






00904675415 SudoGest 12 Hour 120 MG Oral Tablet ER 12HR

00904676130 12 Hour Nasal Decongestant 0.05 % Nasal Solution

00904699061 Pseudoephedrine HCl 30 MG Oral Tablet

00904700635 Nasal Decongestant Spray 0.05 % Nasal Solution

24385005452 GNP Pseudoephedrine HCl 12 Hr 120 MG Oral Tablet ER 12HR

24385006710 GNP Nasal Spray Extra Moist 0.05 % Nasal Solution

24385035210 GNP No Drip Nasal Spray 0.05 % Nasal Solution

24385039010 GNP Nose Drops Extra Strength 1 % Nasal Solution

24385043262 GNP Nasal Decongestant 30 MG Oral Tablet


24385060368 GNP Nasal Decongestant PE 10 MG Oral Tablet

24385060389 GNP Nasal Decongestant PE 10 MG Oral Tablet




36800009423 Nasal Decongestant PE 10 MG Oral Tablet





2019 Q4 Page 69 of 79


36800038810 No Drip Nasal Spray 0.05 % Nasal Solution

36800039010 Nose Drops Extra Strength 1 % Nasal Solution



36800064810 Nasal Four 1 % Nasal Solution

36800068805 Sinus Relief Nasal Spray 0.05 % Nasal Solution


45802010752 Pseudoephedrine HCl ER 120 MG Oral Tablet ER 12HR

45802041059 Nasal Relief 0.05 % Nasal Solution

45802043262 Pseudoephedrine HCl 30 MG Oral Tablet

46122014903 GNP Nasal Spray Fast Acting 1 % Nasal Solution

46122016510 GNP Nasal Spray 0.05 % Nasal Solution

46122016660 GNP Pseudoephedrine HCl 12 Hr 120 MG Oral Tablet ER 12HR


49348002827 SM Nasal Spray 12 Hour 0.05 % Nasal Solution

49348013027 SM Nasal Spray 0.05 % Nasal Solution

49348019727 SM Nose Drops Nasal Decongest 1 % Nasal Solution

49348023027 SM Nasal Spray Moisturizing 0.05 % Nasal Solution

49348023127 SM Nasal Spray Sinus 0.05 % Nasal Solution

49348070007 SM Nasal Decongestant PE 10 MG Oral Tablet

49348070048 SM Nasal Decongestant PE 10 MG Oral Tablet

51660020469 Pseudoephedrine HCl ER 120 MG Oral Tablet ER 12HR



54838010440 Childrens Silfedrine 15 MG/5ML Oral Liquid

54838010470 Childrens Silfedrine 15 MG/5ML Oral Liquid

62011007701 HM Nasal Decongestant PE 10 MG Oral Tablet

62011007702 HM Nasal Decongestant PE 10 MG Oral Tablet

62011007901 HM Sinus Nasal Spray 0.05 % Nasal Solution

62011008001 HM Nasal Spray 0.05 % Nasal Solution

62011008501 HM Nose Drops 1 % Nasal Solution

62011030601 HM Nasal Decongestant 12 Hour 120 MG Oral Tablet ER 12HR

62011031201 HM Nasal Decongestant 30 MG Oral Tablet



63824012675 Mucinex Sinus-Max Moist Smart 0.05 % Nasal Solution

63824012775 Mucinex Sinus-Max Full Force 0.05 % Nasal Solution

63824012917 Mucinex Sinus-Max Clear & Cool 0.05 % Nasal Solution

63868014310 QC Suphedrine Maximum Strength 120 MG Oral Tablet ER 12HR

63868069830 QC Nasal Spray 0.05 % Nasal Solution



70000013201 Sinus Relief Extra Strength 1 % Nasal Solution

2019 Q4 Page 70 of 79


70000013501 Nasal Decongestant Max St 30 MG Oral Tablet

70000013502 Nasal Decongestant Max St 30 MG Oral Tablet

70000016401 12 Hour Nasal Decongestant 120 MG Oral Tablet ER 12HR 4/29/2020

70000047501 12 Hour Nasal Decongestant 120 MG Oral Tablet ER 12HR

70677000101 SM Nasal Decongestant 120 MG Oral Tablet ER 12HR

70677000501 SM Nasal Decongestant Max St 30 MG Oral Tablet



*Ophthalmic Adrenergic Agents**

24208053708 Lumify 0.025 % Ophthalmic Solution

24208053725 Lumify 0.025 % Ophthalmic Solution

*Ophthalmic Decongestants**

00536100294 Eye Drops 0.05 % Ophthalmic Solution


00904633435 Opti-Clear 0.05 % Ophthalmic Solution 8/31/2020

24385007505 GNP Eye Drops 0.05 % Ophthalmic Solution

24385007705 GNP Eye Drops 0.05-0.1-1-1 % Ophthalmic Solution

37205013905 Eye Drops 0.05 % Ophthalmic Solution 5/10/2019

37205022405 Advanced Formula Eye Drops 0.05-0.1-1-1 % Ophthalmic Solution 9/7/2020

46122037805 GNP Redness Relief 0.012-0.25 % Ophthalmic Solution

49348069729 SM Eye Drops 0.05-0.1-1-1 % Ophthalmic Solution

49348089429 SM Redness Relief 0.012-0.2 % Ophthalmic Solution

62011010001 HM Eye Drops 0.012-0.2 % Ophthalmic Solution

62011010201 HM Eye Drops 0.05 % Ophthalmic Solution

62011010401 HM Eye Drops Advanced Relief 0.05-0.1-1-1 % Ophthalmic Solution

70000001001 Redness Relief 0.012-0.25 % Ophthalmic Solution

70000001002 Redness Relief 0.012-0.25 % Ophthalmic Solution


70000045601 Eye Drops Advanced Relief 0.05-0.1-1-1 % Ophthalmic Solution

*Ophthalmics - Misc.**

00065053001 Eye Stream Ophthalmic Solution

00065053004 Eye Stream Ophthalmic Solution

00536109640 Eye Itch Relief 0.025 % Ophthalmic Solution 4/30/2021

00536112697 Eye Irrigating 99.05 % Ophthalmic Solution 4/30/2020

00536122497 Eye Wash Ophthalmic Solution

00904663320 Eye Wash 99.05 % Ophthalmic Solution 4/30/2020

17478062235 Sodium Chloride (Hypertonic) 5 % Ophthalmic Ointment

17478062312 Sodium Chloride (Hypertonic) 5 % Ophthalmic Solution

24208027615 Muro 128 2 % Ophthalmic Solution

24208060105 Alaway Childrens Allergy 0.025 % Ophthalmic Solution

24208060110 Alaway 0.025 % Ophthalmic Solution

49348010717 SM Eye Itch Relief 0.025 % Ophthalmic Solution

62011023201 HM Eye Itch Relief 0.025 % Ophthalmic Solution

70000001801 Eye Wash Ophthalmic Solution

2019 Q4 Page 71 of 79


70000012401 Eye Itch Relief 0.025 % Ophthalmic Solution

*OTIC AGENTS*

00904662735 Ear Drops 6.5 % Otic Solution

24385050305 GNP Ear Systems 6.5 % Otic Solution

36800083533 Earwax Removal Kit 6.5 % Otic Solution

49348096029 SM Ear Drops 6.5 % Otic Solution

62011016701 HM Earwax Removal Aid 6.5 % Otic Solution

62011016901 HM Earwax Removal Kit 6.5 % Otic Solution

*PHARMACEUTICAL ADJUVANTS*

00536114397 Petrolatum 42 % External Ointment

00536114398 Petrolatum 42 % External Ointment

00904573182 White Petroleum Jelly External Gel

70000048701 Petroleum Jelly External Gel

*Salicylates**

00113025968 GoodSense Aspirin Adult Low St 81 MG Oral Tablet Chewable

00113027468 GoodSense Aspirin 81 MG Oral Tablet Chewable

00113041678 GoodSense Aspirin 325 MG Oral Tablet

00113041690 GoodSense Aspirin 325 MG Oral Tablet



00536100410 Aspirin 81 MG Oral Tablet DR

00536100836 Aspirin 81 MG Oral Tablet Chewable

00536105305 Aspirin 325 MG Oral Tablet 7/31/2020

00536105429 Aspirin 325 MG Oral Tablet


00536123441 Aspirin Low Dose 81 MG Oral Tablet DR



00536331310 Aspirin EC 325 MG Oral Tablet DR 5/31/2020

00574703412 Aspirin 300 MG Rectal Suppository

00574703612 Aspirin 600 MG Rectal Suppository


00904201380 Aspirin EC 325 MG Oral Tablet DR

00904201559 Tri-Buffered Aspirin 325 MG Oral Tablet


00904628880 Aspirin Low Dose 81 MG Oral Tablet Chewable 5/30/2020

00904674460 Aspirin Adult 325 MG Oral Tablet




00904679480 Aspirin Low Dose 81 MG Oral Tablet Chewable


00904680940 Aspirin Adult 325 MG Oral Tablet

00904770418 Aspir-Low 81 MG Oral Tablet DR

2019 Q4 Page 72 of 79


00904770470 Aspir-Low 81 MG Oral Tablet DR 4/30/2020

00904770480 Aspir-Low 81 MG Oral Tablet DR 4/30/2021









24385002868 GNP Adult Aspirin Low Strength 81 MG Oral Tablet Chewable



24385042902 GNP Aspirin 325 MG Oral Tablet DR

36800002712 Aspirin Adult Low Dose 81 MG Oral Tablet DR


36800025968 Aspirin Adult Low Strength 81 MG Oral Tablet Chewable


36800027748 Aspirin EC Low Strength 81 MG Oral Tablet DR



46122018076 GNP Aspirin Low Dose 81 MG Oral Tablet DR

46122018087 GNP Aspirin Low Dose 81 MG Oral Tablet DR




46122029278 GNP Aspirin 325 MG Oral Tablet

49348000110 SM Aspirin 325 MG Oral Tablet



49348019107 SM Childrens Aspirin 81 MG Oral Tablet Chewable

49348049807 SM Aspirin Adult Low Strength 81 MG Oral Tablet Chewable

49348075707 SM Aspirin Low Dose 81 MG Oral Tablet Chewable

49348093782 SM Aspirin EC 325 MG Oral Tablet DR

49348098015 SM Aspirin Adult Low Strength 81 MG Oral Tablet DR









2019 Q4 Page 73 of 79





50844022712 EQ Aspirin 325 MG Oral Tablet DR

62011000301 HM Aspirin EC Low Dose 81 MG Oral Tablet DR



62011002001 HM Aspirin 325 MG Oral Tablet



62011002101 HM Aspirin 81 MG Oral Tablet Chewable


62011004001 HM Aspirin EC 325 MG Oral Tablet DR


62011040501 HM Aspirin 325 MG Oral Tablet DR

62107002636 Childrens Aspirin Low Strength 81 MG Oral Tablet Chewable

62107002726 Aspirin 81 81 MG Oral Tablet DR

62107002732 Aspirin 81 81 MG Oral Tablet DR

62107002801 EcPirin 325 MG Oral Tablet DR

62107002832 EcPirin 325 MG Oral Tablet DR

63739043401 Aspirin Low Strength 81 MG Oral Tablet Chewable




63868002936 QC Aspirin Low Dose 81 MG Oral Tablet Chewable

63868024036 QC Aspirin Low Dose 81 MG Oral Tablet Chewable

63868035203 QC Aspirin 325 MG Oral Tablet

63868035210 QC Aspirin 325 MG Oral Tablet

63868036320 QC Aspirin Low Dose 81 MG Oral Tablet DR



63868089810 QC Enteric Aspirin 325 MG Oral Tablet DR

69536018112 St Joseph Low Dose 81 MG Oral Tablet DR

69536028136 St Joseph Low Dose 81 MG Oral Tablet Chewable



70000014701 Tri-Buffered Aspirin 325 MG Oral Tablet


70000017801 Adult Aspirin Regimen 81 MG Oral Tablet DR





2019 Q4 Page 74 of 79









70000042101 Effervescent Antacid/Pain 325-1000-1916 MG Oral Tablet Effer

70000042801 Aspirin Low Dose 81 MG Oral Tablet DR 9/9/2020

*ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS*

00093274865 Famotidine 10 MG Oral Tablet



00113002239 Heartburn Relief 200 MG Oral Tablet

00113014165 Acid Reducer 10 MG Oral Tablet

00113019402 Acid Reducer Maximum Strength 20 MG Oral Tablet

00113085251 GoodSense Acid Reducer 150 MG Oral Tablet





00904578017 Heartburn Relief Max St 20 MG Oral Tablet


00904634952 raNITIdine HCl 75 MG Oral Tablet 4/30/2020

00904671546 raNITIdine HCl 75 MG Oral Tablet 4/30/2021

24385011165 GNP Heartburn Relief 200 MG Oral Tablet

24385026862 GNP Acid Control 150 Max St 150 MG Oral Tablet

24385038551 GNP Acid Reducer Max St 20 MG Oral Tablet




36800004702 Heartburn Relief 150 Max St 150 MG Oral Tablet













2019 Q4 Page 75 of 79






46122020565 GNP Acid Reducer 10 MG Oral Tablet






49348010904 SM Acid Reducer Max St 150 MG Oral Tablet


49348012812 SM Acid Reducer 10 MG Oral Tablet








51660003531 Acid Controller Original Str 10 MG Oral Tablet

51660003626 Acid Controller Max St 20 MG Oral Tablet

51660003650 Acid Controller Max St 20 MG Oral Tablet




62011014201 HM Famotidine 10 MG Oral Tablet

62011014301 HM Famotidine 20 MG Oral Tablet

62011028201 HM Acid Reducer Max Strength 150 MG Oral Tablet

62011028301 HM Acid Reducer 75 MG Oral Tablet

62011028302 HM Acid Reducer 75 MG Oral Tablet

63868048625 QC Acid Controller Max St 20 MG Oral Tablet

63868071430 QC Acid Controller 10 MG Oral Tablet

70000037501 Acid Reducer 75 MG Oral Tablet 9/25/2020

70000037701 Acid Control Maximum Strength 150 MG Oral Tablet

70000037801 Acid Control Maximum Strength 150 MG Oral Tablet

00113011701 GoodSense Lansoprazole 15 MG Oral Capsule DR



00113052055 Omeprazole 20 MG Oral Tab DR Disint


00113089801 GoodSense Esomeprazole 20 MG Oral Capsule DR


2019 Q4 Page 76 of 79



00113091530 Omeprazole 20 MG Oral Tablet DR



00536103413 Heartburn Treatment 24 Hour 15 MG Oral Capsule DR

00536103488 Heartburn Treatment 24 Hour 15 MG Oral Capsule DR











46122002903 GNP Omeprazole 20 MG Oral Tablet DR




46122010703 GNP Lansoprazole 15 MG Oral Capsule DR





49348030146 SM Lansoprazole 15 MG Oral Capsule DR

49348030161 SM Lansoprazole 15 MG Oral Capsule DR

49348084646 SM Omeprazole 20 MG Oral Tablet DR



55111039727 Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR

55111039733 Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR 5/31/2013

55111039752 Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR

62011015701 HM Omeprazole 20 MG Oral Tablet DR



62011016801 HM Lansoprazole 15 MG Oral Capsule DR

62011016803 HM Lansoprazole 15 MG Oral Capsule DR

62011033201 HM Esomeprazole Magnesium DR 20 MG Oral Capsule DR



63868017715 QC Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR

63868017742 QC Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR

2019 Q4 Page 77 of 79


63868042514 QC Esomeprazole Magnesium 20 MG Oral Capsule DR

70000023201 Acid Reducer 20.6 (20 Base) MG Oral Capsule DR



70000025501 Heartburn Treatment 24 Hour 20 MG Oral Capsule DR 4/25/2020

70000035601 Omeprazole 20 MG Oral Tablet DR 7/11/2020






70677001601 SM Esomeprazole Magnesium 20 MG Oral Capsule DR

70677001603 SM Esomeprazole Magnesium 20 MG Oral Capsule DR

36800032163 Dual Action Complete 10-800-165 MG Oral Tablet Chewable




70000041601 Acid Reducer Complete 10-800-165 MG Oral Tablet Chewable

*URINARY ANTISPASMODICS*

00023963708 Oxytrol For Women 3.9 MG/24HR Transdermal Patch TW

52544016608 Oxytrol For Women 3.9 MG/24HR Transdermal Patch TW 9/30/2020

*VAGINAL AND RELATED PRODUCTS*

00113008100 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit

00113021429 Miconazole 7 2 % Vaginal Cream


00113091600 GoodSense Miconazole 1 1200 & 2 MG & % Vaginal Kit

00472022041 Clotrimazole 1 % Vaginal Cream


00472073041 Miconazole Nitrate 2 % Vaginal Cream


00472173607 Miconazole 7 100 MG Vaginal Suppository

00713019757 Miconazole Nitrate 100 MG Vaginal Suppository 8/31/2020



24385011009 GNP Clotrimazole 3 2 % Vaginal Cream

24385059029 GNP Miconazole 7 2 % Vaginal Cream

24385060602 GNP Miconazole 3 200 & 2 MG-% (9GM) Vaginal Kit

36800006200 Clotrimazole 3 2 % Vaginal Cream



36800011036 Medicated Feminine Douche 0.3 % Vaginal Solution

36800019900 Miconazole 1 1200 & 2 MG & % Vaginal Kit

36800042654 Tioconazole-1 6.5 % Vaginal Ointment


2019 Q4 Page 78 of 79



36800098200 Miconazole 3 Applicator 200 & 2 MG-% (9GM) Vaginal Kit

37205058303 Miconazole 3 Vaginal Kit

37205058903 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit 9/19/2000

46122014404 GNP Miconazole 3 Applicator 200 & 2 MG-% (9GM) Vaginal Kit

49348035543 SM Miconazole 3 200 & 2 MG-% (9GM) Vaginal Kit

49348037954 SM 3-Day Vaginal 2 % Vaginal Cream

49348050859 SM Tioconazole-1 6.5 % Vaginal Ointment

49348053077 SM Miconazole 7 2 % Vaginal Cream

49348064573 SM Miconazole 3 Applicator 200 & 2 MG-% (9GM) Vaginal Kit

49348079376 SM Clotrimazole Vaginal 1 % Vaginal Cream

49348083361 SM Miconazole 7 100 MG Vaginal Suppository

49348087277 SM Miconazole 7 2 % Vaginal Cream



51672206200 3 Day Vaginal 2 % Vaginal Cream

63868019725 QC 3 Day 4 % Vaginal Cream

63868019845 QC Miconazole 7 2 % Vaginal Cream




70000035701 Tioconazole-1 6.5 % Vaginal Ointment

*VITAMINS*

63044040101 Vitamin D3 250 MCG (10000 UT) Oral Capsule

49483001401 Niacin ER 250 MG Oral Capsule ER



2019 Q4 Page 79 of 79

Documents

Nebraska WellCare Over The Counter Drug List