Premium Formulary Reference Guide - Optum Formulary Reference Guide ... your member website or call member services at the number listed on your ID card. ... cefazolin sodium NON

Premium Formulary Reference Guide

Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.

FORMULARY DESIGN

The Optum Premium Formulary is a partially-closed formulary. The Premium Formulary is considered partially-closed because it excludes coverage of some brand-name drugs that do not offer a clear clinical advantage over other less costly brand or generic alternatives. Most other prescription drugs are on the formulary including specialty medications. Some medications may be subject to utilization management programs to ensure appropriate clinical use and cost efficiency. The formulary structure features medications generics (with the lowest copayments), preferred and non-preferred brand-name drugs.

• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.

• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.

• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is

Premium Formulary Reference Guide

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is

covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management

activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary

status of your medication, please visit your member website or call member services at the number listed on your ID card.

appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.

PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.

All OptumTM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or

registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

cefprozil

cefuroxime axetil

cefuroxime sodium

PREFERRED

January 2016 Cefaclor

NON PREFERRED

ANTI-INFECTIVES Cefaclor ER

Cefotetan

PENICILLINS

Cefotetan/Dextrose

GENERIC

Cefoxitin Sodium

amoxicillin

Ceftin

amoxicillin/clavulanate potassium

Cefuroxime Sodium

amoxicillin/clavulanate potassium ER

Cefuroxime/Dextrose

ampicillin

Mefoxin

ampicillin sodium

Zinacef

ampicillin-sulbactam

THIRD GENERATION

dicloxacillin sodium

GENERIC

nafcillin sodium

cefdinir

oxacillin sodium

cefixime

penicillin v potassium

cefotaxime sodium

penicillin G potassium

cefpodoxime proxetil

piperacillin sodium/ tazobactam sodium

ceftazidime

piperacillin sodium/tazobactam sodium

ceftriaxone sodium

piperacillin/tazobactam

NON PREFERRED

Amoxicillin/Clavulanate Potassium

Cedax

PREFERRED

Cefditoren Pivoxil

Amoxicillin

Ceftazidime/Dextrose

Ampicillin

Ceftibuten

NON PREFERRED

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin ER

Ceftriaxone Sodium

Ampicillin Sodium

Ceftriaxone/Dextrose

Ampicillin-sulbactam

Claforan

Augmentin

Claforan/D5W

Augmentin ES-600

Fortaz

Augmentin XR

Rocephin

Bactocill IN Dextrose

Spectracef

Bicillin C-R

Suprax

Bicillin L-a

Tazicef

Moxatag

FOURTH GENERATION

Nafcillin Sodium

GENERIC

Nallpen Iso-osmotic IN Dextrose

cefepime

Nallpen/Dextrose

NON PREFERRED

Penicillin G Potassium IN Iso-osmotic Dextrose

Cefepime

Penicillin G Procaine

Maxipime

Penicillin G Sodium

Pfizerpen-G

MACROLIDES

Timentin

GENERIC

Unasyn

azithromycin

Unasyn Bulk Pack

clarithromycin

Zosyn

clarithromycin ER

erythromycin

CEPHALOSPORIN

PREFERRED

FIRST GENERATION

E.e.s. 400

GENERIC

Erythromycin Base

cefadroxil

Erythromycin Ethylsuccinate

cefazolin sodium

NON PREFERRED

cephalexin

Azithromycin

PREFERRED

Biaxin

Cephalexin

Biaxin XL

NON PREFERRED

Biaxin XL PAC

Ancef

Dificid

Cefazolin

E.e.s. Granules

Cefazolin Sodium

Ery-TAB

Cefazolin Sodium/Dextrose

Eryped 200

Keflex

Eryped 400

SECOND GENERATION

Erythrocin Lactobionate

GENERIC

Erythrocin Stearate

cefaclor

PCE

cefoxitin sodium

Zithromax

Effective January 1, 2016 v.5 All Optum

TM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

1

Zithromax Tri-PAK paromomycin sulfate

Zithromax Z-PAK tobramycin

Zmax tobramycin sulfate

PREFERRED

TETRACYCLINES Bethkis

NON PREFERRED

GENERIC

Gentamicin Sulfate/0.9% Sodium Chloride

demeclocycline HCL

Isotonic Gentamicin

doxycycline

Streptomycin Sulfate

doxycycline hyclate

Tobramycin Sulfate/Sodium Chloride

doxycycline hyclate DR

doxycycline monohydrate

SULFONAMIDES

minocycline HCL

minocycline HCL ER PREFERRED

Tetracycline HCL Sulfadiazine

NON PREFERRED

Acticlate ANTIMYCOBACTERIAL AGENTS

Adoxa

GENERIC

Adoxa PAK 1/100

ethambutol HCL

Adoxa PAK 1/150

isoniazid

Adoxa PAK 2/100

pyrazinamide

Alodox Convenience Kit

rifabutin

Avidoxy DK

rifampin

Benzodox 30 Kit

NON PREFERRED

Benzodox 60 Kit

Capastat Sulfate

Doryx

Cycloserine

Minocin

Isoniazid

Minocin Kit

Myambutol

Monodox

Mycobutin

Morgidox 1X100MG

Paser

Morgidox 2X100MG

Priftin

Nicazeldoxy 30 Kit

Rifadin

Nicazeldoxy 60 Kit

Rifamate

Nutridox

Rifater

Ocudox

Sirturo

Solodyn

Trecator

Targadox

Vibramycin

ANTIFUNGALS

GENERIC

QUINOLONES

fluconazole

GENERIC

fluconazole IN dextrose

ciprofloxacin

fluconazole IN NACL

ciprofloxacin ER

flucytosine

ciprofloxacin HCL

griseofulvin microsize

ciprofloxacin I.V.-IN D5W

griseofulvin ultramicrosize

levofloxacin

itraconazole

levofloxacin IN D5W

ketoconazole

moxifloxacin HCL

nystatin

ofloxacin

terbinafine HCL

Ciprofloxacin HCL

voriconazole

Ofloxacin

NON PREFERRED

NON PREFERRED

Abelcet

Avelox

Ambisome

Avelox Abc Pack

Amphotec

Cipro

Amphotericin B

Cipro I.V.-IN D5W

Ancobon

Cipro XR

Cancidas

Factive

Cresemba

Levaquin

Diflucan

Moxifloxacin HCL

Eraxis

Noroxin

Fluconazole IN NACL

Grifulvin V

AMINOGLYCOSIDES

Gris-peg

GENERIC Lamisil

amikacin sulfate Mycamine

gentamicin sulfate Noxafil

gentamicin sulfate pediatric Onmel

gentamicin sulfate/0.9% sodium chloride Sporanox

isotonic gentamicin Sporanox Pulsepak

neomycin sulfate Terbinex

Effective January 1, 2016

2

Vfend Copegus

Vfend IV Cytovene

Epivir

ANTIVIRALS Epivir HBV

Famvir

GENERIC

Flumadine

abacavir

Foscavir

abacavir sulfate/lamivudine/zidovudine

Hepsera

acyclovir

Moderiba

acyclovir sodium

Moderiba 1200 Dose Pack

adefovir dipivoxil

Moderiba 800 Dose Pack

cidofovir

Olysio

didanosine

Peg-intron

entecavir

Peg-intron Redipen

famciclovir

Peg-intron Redipen PAK 4

ganciclovir

Pegintron

lamivudine

Rapivab

lamivudine/zidovudine

Rebetol

nevirapine

Relenza Diskhaler

nevirapine ER

Retrovir

ribavirin

Ribasphere

rimantadine HCL

Ribasphere Ribapak

stavudine

Rimantalist

valacyclovir HCL

Sitavig

valganciclovir

Tamiflu

zidovudine

Technivie

Trizivir

PREFERRED

Tyzeka

Aptivus

Valcyte

Atripla

Valtrex

Complera

Victrelis

Crixivan

Videx EC

Daklinza

Viekira PAK

Edurant

Viramune

Emtriva

Viramune XR

Epzicom

Virazole

Evotaz

Vistide

Fuzeon

Zepatier

Harvoni

Zerit

Intelence

Ziagen

Invirase

Zovirax

Isentress

Kaletra

ANTIMALARIALS

Lexiva

Nevirapine GENERIC

Norvir atovaquone/proguanil HCL

Pegasys chloroquine phosphate

Pegasys Proclick hydroxychloroquine sulfate

Prezcobix mefloquine HCL

Prezista quinine sulfate

Rescriptor Primaquine Phosphate

Retrovir IV Infusion PREFERRED

Reyataz Daraprim

Ribatab NON PREFERRED

Selzentry Aralen

Sovaldi Coartem

Stribild Malarone

Sustiva Plaquenil

Tivicay Qualaquin

Triumeq

Truvada AMEBICIDES

Tybost

PREFERRED

Videx Pediatric

Yodoxin

Viracept

Viread

ANTHELMINTICS

Vitekta

GENERIC

NON PREFERRED

ivermectin

Acyclovir Sodium

PREFERRED

Baraclude

Biltricide

Combivir


3

NON PREFERRED Primaxin IV Add-vantage

Albenza Primsol

Stromectol Sivextro

Sulfamethoxazole/Trimethoprim

MISC. ANTI-INFECTIVES Synercid

Tindamax

GENERIC

Tygacil

atovaquone

Vancocin HCL

aztreonam

Vancomycin HCL

bacitracin

Vancomycin HCL + Syrspendsf PH4

clindamycin

Vancomycin HCL IN Dextrose

clindamycin palmitate HCL

Vibativ

clindamycin phosphate

Xifaxan

clindamycin phosphate add-vantage

Zerbaxa

clindamycin phosphate pharmacy bulk package

Zyvox

clindamycin phosphate IN D5W

clindamycin HCL

ANTINEOPLASTICS, ETC

colistimethate sodium

imipenem/cilastatin

ALKYLATING AGENTS

lincomycin HCL

GENERIC

linezolid

carboplatin

meropenem

cisplatin

metronidazole

cyclophosphamide

metronidazole IN NACL 0.79%

ifosfamide

polymyxin b sulfate

melphalan hydrochloride

sulfamethoxazole/trimethoprim

oxaliplatin

sulfamethoxazole/trimethoprim DS

temozolomide

tinidazole

Lomustine

trimethoprim

PREFERRED

vancomycin HCL

Alkeran

Dapsone

Bicnu

PREFERRED

Busulfex

Alinia

Hexalen

Nebupent

Leukeran

NON PREFERRED

Mustargen

Avycaz

Myleran

Azactam

Treanda

Azactam IN Iso-osmotic Dextrose

Zanosar

Bacitracin

NON PREFERRED

Bactrim

Cisplatin

Bactrim DS

Cyclophosphamide

Cayston

Eloxatin

Chloramphenicol Sodium Succinate

Gleostine

Cleocin

Gliadel Wafer

Cleocin IN D5W

Ifex

Cleocin Pediatric Granules

Ifosfamide

Cleocin Phosphate

Temodar

Clin Single Use Kit

Thiotepa

Clin-lido

Valchlor

Clindamycin Phosphate

Coly-mycin M

ANTIBIOTICS

Cubicin

GENERIC

Dalvance

bleomycin sulfate

Doribax

daunorubicin HCL

First-vancomycin 25

doxorubicin HCL

First-vancomycin 50

doxorubicin HCL liposome

Flagyl

epirubicin HCL

Flagyl ER

idarubicin HCL

Invanz

mitomycin

Ketek

mitoxantrone HCL

Lincocin

Doxorubicin HCL

Lincomycin/Lidocaine

Mitomycin

Mepron

PREFERRED

Meropenem/Sodium Chloride

Daunoxome

Merrem

NON PREFERRED

Metro IV

Adriamycin

Neutrexin

Cosmegen

Orbactiv

Doxil

Pentam 300

Ellence

Primaxin IV

Epirubicin HCL


4

Idamycin PFS HORMONAL AGENTS

GENERIC

ANTINEOPLASTIC ENZYMES

anastrozole

PREFERRED bicalutamide

Oncaspar exemestane

NON PREFERRED flutamide

Erwinaze letrozole

leuprolide acetate

ANTIMETABOLITES megestrol acetate

tamoxifen citrate

GENERIC

azacitidine

PREFERRED

capecitabine

Eligard

cladribine

Emcyt

cytarabine

Fareston

cytarabine aqueous

Faslodex

decitabine

Lupron Depot

floxuridine

Lysodren

fludarabine phosphate

Nilandron

fluorouracil

Zoladex

gemcitabine HCL

NON PREFERRED

mercaptopurine

Arimidex

methotrexate

Aromasin

methotrexate sodium

Casodex

Floxuridine

Depo-provera

PREFERRED

Femara

Alimta

Firmagon

Arranon

Megace Oral

Clolar

Soltamox

Folotyn

Trelstar

Tabloid

Trelstar Mixject

NON PREFERRED

Vantas

Cytarabine

Xtandi

Dacogen

Zytiga

Fludara

Fludarabine Phosphate

IMMUNOMODULATORS

Gemcitabine

Gemzar GENERIC

Purinethol azathioprine

Purixan cyclosporine

Trexall cyclosporine modified

Vidaza mycophenolate mofetil

Xeloda mycophenolic acid DR

sirolimus

ANGIOGENESIS INHIBITORS tacrolimus

PREFERRED

PREFERRED

Atgam

Avastin

Cellcept Intravenous

Zaltrap

Cyclosporine Modified

NON PREFERRED

Thalomid

Cyramza

NON PREFERRED

Astagraf XL

ANTIBODIES

Azasan

PREFERRED

Cellcept

Adcetris

Envarsus XR

Arzerra

Imuran

Bexxar

Myfortic

Erbitux

Neoral

Herceptin

Nulojix

Perjeta

Pomalyst

Yervoy

Prograf

NON PREFERRED

Rapamune

Blincyto

Revlimid

Gazyva

Sandimmune

Kadcyla

Simulect

Keytruda

Thymoglobulin

Opdivo

Zortress

Rituxan

Unituxin

MITOTIC INHIBITORS

Vectibix

Zevalin Y-90


5

GENERIC TOPOISOMERASE I INHIBITOR

docetaxel

GENERIC

etoposide

irinotecan

paclitaxel

topotecan HCL

vincristine sulfate

NON PREFERRED

vinorelbine tartrate

Camptosar

PREFERRED

Hycamtin

Abraxane

Irinotecan

Etoposide

Topotecan HCL

Halaven

Ixempra Kit

RADIOPHARMACEUTICALS

Jevtana

PREFERRED

NON PREFERRED

Bexxar 131 Iodine

Docefrez

Xofigo

Docetaxel

NON PREFERRED

Docetaxel (non- Alcohol Formula)

Metastron

Docetaxel (non-alcohol Formula)

Quadramet

Etopophos

Marqibo

CELLULAR IMMUNOTHERAPY

Navelbine

PREFERRED

Paclitaxel

Provenge

Taxotere

Teniposide

ANTINEOPLASTICS MISC.

Vinblastine Sulfate

GENERIC

bexarotene

ENZYME INHIBITORS

dacarbazine

GENERIC

hydroxyurea

imatinib mesylate

tretinoin

PREFERRED

PREFERRED

Afinitor

Actimmune

Caprelsa

Alferon N

Istodax

Matulane

Jakafi

Proleukin

Kyprolis

Theracys

Mekinist

Tice Bcg

Nexavar

Trisenox

Tafinlar

NON PREFERRED

Tasigna

Dacarbazine

Torisel

Hydrea

Tykerb

Intron A

Velcade

Intron A W/Diluent

Xalkori

Nipent

Zolinza

Photofrin

NON PREFERRED

Sylatron

Afinitor Disperz

Synribo

Beleodaq

Targretin

Bosulif

Uvadex

Cometriq

Farydak

CHEMOTHERAPY RESCUE

Gilotrif

GENERIC

Gleevec

amifostine

Ibrance

dexrazoxane

Iclusig

leucovorin calcium

Imbruvica

levoleucovorin

Inlyta

levoleucovorin calcium

Iressa

mesna

Lenvima 10MG Daily Dose

PREFERRED


Leucovorin Calcium


NON PREFERRED


Calcium Folinate

Lynparza

Ethyol

Sprycel

Fusilev

Stivarga

Levoleucovorin

Sutent

Mesnex

Tarceva

Totect

Votrient

Voraxaze

Zelboraf

Zinecard

Zydelig

Zykadia


6

CHEMOTHERAPY ADJUNCTS sotalol HCL (AF)

PREFERRED

PREFERRED

Kepivance

Bystolic

NON PREFERRED

Propranolol HCL

Elitek

Timolol Maleate

NON PREFERRED

ANTINEOPLASTIC COMBO

Betapace

NON PREFERRED

Betapace AF

Lonsurf

Brevibloc

Coreg

CARDIOVASCULAR DRUGS

Coreg CR

PHOSPHODIESTERASE INHBTR

Corgard

GENERIC

Hemangeol

milrinone lactate

Hypertenevide-12.5

milrinone IN dextrose

Inderal LA

Inderal XL

CARDIAC GLYCOSIDES

Innopran XL

GENERIC

Kerlone

digoxin

Levatol

PREFERRED

Lopressor

Lanoxin

Sectral

NON PREFERRED

Sotalol Hydrochloride

Digoxin

Sotylize

Lanoxin Pediatric

Tenormin

Toprol XL

ANTIANGINAL AGENTS

Trandate

GENERIC

Zebeta

isosorbide dinitrate

isosorbide mononitrate

CALCIUM CHANNEL BLOCKERS

isosorbide mononitrate ER

GENERIC

nitroglycerin lingual

amlodipine besylate

nitroglycerin transdermal

diltiazem CD

nitroglycerin ER

diltiazem HCL

nitroglycerin IN dextrose 5%

diltiazem HCL ER

nitroglycerin IN 5% dextrose

felodipine ER

Isosorbide Dinitrate

isradipine

Nitroglycerin Lingual

nicardipine HCL

PREFERRED

nifedipine

Dilatrate SR

nifedipine ER

Isosorbide Dinitrate ER

nimodipine

Nitro-bid

nisoldipine

Nitro-dur

verapamil HCL

Nitrostat

verapamil HCL ER

Ranexa

verapamil HCL SR

NON PREFERRED

NON PREFERRED

Imdur

Adalat CC

Isordil Titradose

Calan

Nitroglycerin

Calan SR

Nitroglycerin IN Dextrose 5%

Cardene I.v.

Nitrolingual Pumpspray

Cardene IV

Nitromist

Cardene SR

Nitronal

Cardizem

Cardizem CD

BETA BLOCKERS

Cardizem LA

GENERIC

Cleviprex

acebutolol HCL

Dilacor XR

atenolol

Diltiazem HCL

betaxolol HCL

Hypertenipine-2.5

bisoprolol fumarate

Nisoldipine

carvedilol

Nisoldipine ER

esmolol HCL

Norvasc

labetalol HCL

Nymalize

metoprolol succinate ER

Procardia

metoprolol tartrate

Procardia XL

nadolol

Sular

pindolol

Tiazac

propranolol HCL

Verelan

propranolol HCL ER

Verelan PM

sotalol HCL


7

ANTIARRHYTHMICS PREFERRED

Benicar

GENERIC

NON PREFERRED

adenosine

Atacand

amiodarone HCL

Avapro

disopyramide phosphate

Cozaar

flecainide acetate

Diovan

ibutilide fumarate

Edarbi

lidocaine HCL

Micardis

lidocaine HCL IN D5W

Teveten

lidocaine HCL/dextrose

mexiletine HCL

DIRECT RENIN INHIBITORS

propafenone HCL

propafenone HCL ER PREFERRED

quinidine gluconate CR Tekturna

quinidine gluconate ER

quinidine sulfate ANTIHYPERTENSIVES MISC.

PREFERRED

GENERIC

Norpace CR

clonidine HCL

Quinidine Sulfate

doxazosin

Quinidine Sulfate ER

doxazosin mesylate

NON PREFERRED

eplerenone

Adenocard

fenoldopam mesylate

Amiodarone HCL

guanfacine HCL

Cordarone

hydralazine HCL

Corvert

methyldopa

Lidocaine HCL

minoxidil

Multaq

phenoxybenzamine hydrochloride

Nexterone

prazosin HCL

Norpace

terazosin HCL

Procainamide HCL

PREFERRED

Quinidine Gluconate

Reserpine

Rythmol

NON PREFERRED

Rythmol SR

Cardura

Tikosyn

Catapres

Xylocaine

Catapres-tts-1

Catapres-tts-2

ACE INHIBITORS

Catapres-tts-3

GENERIC Corlopam

benazepril HCL Demser

captopril Dibenzyline

enalapril maleate Inspra

enalaprilat Methyldopate HCL

fosinopril sodium Minipress

lisinopril Nitropress

moexipril HCL Phentolamine Mesylate

perindopril erbumine Tenex

quinapril HCL Vecamyl

ramipril

trandolapril ANTIHYPERTENSIVE COMBO

NON PREFERRED

GENERIC

Accupril

amlodipine besylate/benazepril hydrochloride

Aceon

amlodipine besylate/benazepril HCL

Altace

amlodipine besylate/valsartan

Epaned

amlodipine/valsartan/hctz

Lotensin

atenolol/chlorthalidone

Mavik

benazepril HCL/hydrochlorothiazide

Prinivil

bisoprolol fumarate/hydrochlorothiazide

Univasc

candesartan cilexetil/hydrochlorothiazide

Vasotec

enalapril maleate/hydrochlorothiazide

Zestril

fosinopril sodium/hydrochlorothiazide

irbesartan/hydrochlorothiazide

ANGIOTENSIN RCPTR BLOCKER

lisinopril/hydrochlorothiazide

GENERIC losartan potassium/hydrochlorothiazide

candesartan cilexetil metoprolol/hydrochlorothiazide

irbesartan moexipril/hydrochlorothiazide

losartan potassium nadolol/bendroflumethiazide

telmisartan quinapril/hydrochlorothiazide

valsartan telmisartan/amlodipine

Eprosartan Mesylate telmisartan/hydrochlorothiazide


8

trandolapril/verapamil HCL Triamterene/Hydrochlorothiazide

trandolapril/verapamil HCL ER PREFERRED

valsartan/hydrochlorothiazide Furosemide

PREFERRED Methyclothiazide

Azor NON PREFERRED

Benicar HCT Aldactazide

Captopril/Hydrochlorothiazide Aldactone

Dutoprol Bumex

Methyldopa/Hydrochlorothiazide Demadex

Propranolol/Hydrochlorothiazide Diamox

Tekturna HCT Diuril

Tribenzor Dyazide

NON PREFERRED Dyrenium

Accuretic Edecrin

Amturnide Keveyis

Atacand HCT Lasix

Avalide Maxzide

Clorpres Maxzide-25

Corzide Microzide

Diovan HCT Neptazane

Edarbyclor Sodium Diuril

Exforge Sodium Edecrin

Exforge HCT Torsemide

Hypertensolol Zaroxolyn

Hyzaar

Lopressor HCT VASOPRESSORS

Lotensin HCT

GENERIC

Lotrel

dobutamine HCL

Lytensopril Kit

dobutamine HCL/D5W

Lytensopril-90

dobutamine/dextrose 5%

Lytensopril-90 Kit

dopamine HCL

Micardis HCT

dopamine HCL-dextrose 5%

Prestalia

dopamine HCL/dextrose 5%

Tarka

dopamine/D5W

Tekamlo

ephedrine sulfate

Tenoretic 100

midodrine HCL

Tenoretic 50

norepinephrine bitartrate

Teveten HCT

phenylephrine HCL

Twynsta

PREFERRED

Uniretic

Epipen 2-PAK

Vaseretic

Epipen-JR 2-PAK

Zestoretic

NON PREFERRED

Ziac

Adrenalin

Dobutamine/Dextrose 5%

DIURETICS

Dopamine HCL

GENERIC Ephedrine Sulfate/Sodium Chloride

acetazolamide Epinephrine

acetazolamide sodium Epinephrine HCL

acetazolamide ER Episnap

amiloride HCL Levophed

amiloride/hydrochlorothiazide Northera

bumetanide Phenylephrine HCL

chlorothiazide Phenylephrine HCL/Sodium Chloride

chlorothiazide sodium Vazculep

ethacrynate sodium

furosemide ANTIHYPERLIPIDEMICS

hydrochlorothiazide

GENERIC

indapamide

atorvastatin calcium

intravenous ethacrynate sodium

cholestyramine

mannitol

cholestyramine light

methazolamide

colestipol HCL

metolazone

fenofibrate

spironolactone

fenofibrate micronized

spironolactone/hydrochlorothiazide

fenofibric acid DR

torsemide

fluvastatin

triamterene/hydrochlorothiazide

fluvastatin sodium ER

Acetazolamide

gemfibrozil

Chlorothiazide

lovastatin

Chlorthalidone

niacin ER


9

omega-3-acid ethyl esters DERMATOLOGICALS

pravastatin sodium

ACNE PRODUCTS

simvastatin

GENERIC

Fenofibric Acid

adapalene

PREFERRED

adapalene P.M.

Crestor

benzoyl peroxide

Fibricor

benzoyl peroxide SHORT contact

Lipofen


Niacor

clindamycin/benzoyl peroxide

Praluent

erythromycin

Simcor

erythromycin/benzoyl peroxide

Vascepa

sodium sulfacetamide

Welchol

sodium sulfacetamide/sulfur

NON PREFERRED

sodium sulfacetamide/sulfur cleanser

Advicor

sodium sulfacetamide/sulfur cleansing cloths

Antara

sodium sulfacetamide/sulfur green

Colestid

sodium sulfacetamide/sulfur w/sunscreen

Colestid Flavored

sodium sulfacetamide/sulfur wash

Fenofibrate

sulfacetamide sodium

Fenoglide

sulfacetamide sodium/sulfur

Juxtapid

sulfacetamide sodium/sulfur cleanser

Kynamro

tretinoin

Lescol XL

tretinoin microsphere

Lofibra

tretinoin microsphere P.M.

Lopid

PREFERRED

Lovaza

Benzamycinpak

Niaspan

Clindagel

Omega-3/D-3 Wellness Pack

Retinoic Acid

Questran

Retinoic Acid-all Trans

Questran Light

Tretinoin

Repatha

Tretinoin (all-trans Retinoic Acid)

Repatha Sureclick

NON PREFERRED

Tricor

Absorica

Triglide

Acanya

Trilipix

Aczone

Zetia

Adapalene

Akne-mycin

CARDIOVASCULAR - MISC.

Atralin

GENERIC

Avar

amlodipine besylate/atorvastatin calcium

Avar LS

epoprostenol sodium

Avar LS Cleanser

papaverine HCL

Avar-e LS

sildenafil

Azelex

sildenafil citrate

Benzac Ac Wash

PREFERRED

Benzac W Wash

Adempas

Benzaclin

Cialis

Benzaclin With P.M.

Isoxsuprine HCL

Benzamycin

Letairis

Benzefoam

Opsumit

Benzefoamultra

Remodulin

Benziq

Stendra

Benziq LS

Tracleer

Clarifoam EF

Veletri

Cleocin-t

NON PREFERRED

Clindacin Etz

Adcirca

Clindacin PAC

Bidil

Clindap-t

Caduet

Clinoin

Corlanor

Dermapak Plus

Entresto

Differin

Flolan

Duac

Muse

Epiduo

Natrecor

Epiduo Forte

Orenitram

Erygel

Revatio

Evoclin

Tyvaso

Fabior

Tyvaso Refill

Inova

Tyvaso Starter

Inova 4/1 Acne Control Therapy

Ventavis

Inova 8/2 Acne Control Therapy


10

Klaron ANTIFUNGALS - TOPICAL

Neuac Kit

GENERIC

Nuox

ciclopirox

Onexton

ciclopirox nail lacquer

Plexion

ciclopirox olamine

Plexion Cleanser

clotrimazole

Plexion Cleansing Cloths

clotrimazole/betamethasone dipropionate

Prascion Ra With Sunscreens

econazole nitrate

Retin-a

ketoconazole

Retin-a Micro

naftifine hydrochloride

Retin-a Micro P.M.

nystatin

Riax

nystatin/triamcinolone

Rosanil

PREFERRED

Rosula

Ala-quin

Sodium Sulfacetamide/Sulfur

Exoderm

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

NON PREFERRED

Sodium Sulfacetamide/Sulfur IN Urea

Ciclodan Cream Kit

Sulfoam

Ciclodan Solution Kit

Sumadan Kit

Ciclopirox Topical Solution Kit

Sumadan Wash

Cnl8 Nail Kit

Sumadan XLT

Ecoza

Sumaxin

Ertaczo

Sumaxin CP Kit

Exelderm

Sumaxin Ts

Extina

Sumaxin Wash

Halotin

Tretin-x

Jublia

Triseon

Kerydin

Vanoxide-HC

Ketodan Kit

Veltin

Lamisil Spray

Zacare 4% Kit

Loprox

Zacare 8% Kit

Loprox Shampoo

Ziana

Lotrisone

Luzu

ROSACEA AGENTS

Mentax

GENERIC Naftifine HCL

metronidazole Naftin

Doxycycline Nizoral

PREFERRED Nyata

Finacea Oxistat

NON PREFERRED Pediaderm AF Complete Kit

Metrocream Pedipirox-4 Nail

Metrogel Penlac Nail Lacquer

Metrolotion Recura

Mirvaso Vusion

Noritate Xolegel

Oracea Xolegel Corepak

Rosadan Kit Xolegel Duo/Head & Shoulders

Soolantra Xolegel Duo/Xolex

ANALGESICS - TOPICAL ANTIVIRALS - TOPICAL

NON PREFERRED GENERIC

A.a.g.c. Kit IN Teroderm acyclovir

Baclofen NON PREFERRED

Equipto-baclofen Denavir

Lidovir

ANTIBIOTICS - TOPICAL Xerese

Zovirax

GENERIC

mupirocin

ANTIHISTAMINES-TOPICAL

mupirocin calcium

PREFERRED NON PREFERRED

Centany Allo-pax

Gentamicin Sulfate Nazirex

NON PREFERRED

Altabax ANTI-INFLAMMATORY AGENTS

Bactroban

GENERIC

Centany AT

diclofenac sodium

Cortisporin

PREFERRED

Neo-synalar

Voltaren

Neo-synalar Kit


11

NON PREFERRED GENERIC

Dermacinrx Lexitral Pharmapak alclometasone dipropionate

Dipentocaine augmented betamethasone dipropionate

Dsg PAK betamethasone dipropionate

Emvoren betamethasone valerate

Equipto-naproxen calcipotriene/betamethasone dipropionate

Extardol clobetasol propionate

Flector clobetasol propionate emollient

Innoprax-5 desonide

K.b.g.l. IN Teroderm Cream desoximetasone

Ketorolac 2% Gel fluocinolone acetonide

Lidoprofen fluocinonide

Novoclair fluocinonide-e

Nuvya fluticasone propionate

Pennsaid halobetasol propionate

Vopac hydrocortisone

Vopac GB hydrocortisone acetate/aloe

Vopac Kt hydrocortisone butyrate

Zyvodol hydrocortisone butyrate (lipid)

hydrocortisone butyrate (lipophilic)

ANTIPRURITICS hydrocortisone valerate

hydrocortisone IN absorbase

NON PREFERRED

mometasone furoate

Prudoxin

prednicarbate

Zonalon

triamcinolone acetonide

Amcinonide

ANTIPSORIATICS

Desoximetasone

GENERIC

Diflorasone Diacetate

acitretin

PREFERRED

calcipotriene

Pramosone

methoxsalen

Triamcinolone Acetonide

Calcitriol

NON PREFERRED

PREFERRED

Aclovate

Anthralin

Advanced Allergy Collection Kit

Dritho-creme HP

Ala Scalp

Stelara

Capex

Vectical

Carmol-HC

NON PREFERRED

Clobex

Cosentyx

Clocortolone Pivalate

Cosentyx Sensoready Pen

Clocortolone Pivalate P.M.

Dovonex

Clodan Kit

Oxsoralen Ultra

Cloderm

Soriatane

Cloderm P.M.

Sorilux

Cordran

Tazorac

Cordran Tape

Zithranol

Cortalo

Zithranol-rr

Cutivate

8-mop

Derma Silkrx Sds PAK

Derma-smoothe/FS Body

ANTISEBORRHEIC AGENTS

Derma-smoothe/FS Scalp

GENERIC

Dermasorb HC

selenium sulfide

Dermasorb Ta


Dermatop

sodium sulfacetamide wash

Desonate

PREFERRED

Desowen

Seb-prev

Desowen Cream/Cetaphil Lotion

NON PREFERRED

Desowen Lotion/Cetaphil Cream

Glycolic Acid

Desowen Ointment/Cetaphil Lotion

Glycolic Acid 70% High Purity

Diprolene

Ovace Plus

Diprolene AF

Ovace Plus Wash

Elocon

Ovace Wash

Enstilar

Promiseb

Epifoam

Promiseb Complete

First-hydrocortisone

Selrx

Halog

Tersi Foam

Halonate

TL Triseb

Kenalog

Locoid

CORTICOSTEROIDS - TOPICAL

Locoid Lipocream

Luxiq


12

Nucort NON PREFERRED

Nuzon Acuicyn Daily Eyelid & Eyelash Cleanser

Olux Alevicyn Antipruritic SG

Olux-e Aluvea

Pandel Anacaine

Pediaderm HC Arnica Flower

Pediaderm Ta Atopiclair

Scalacort DK Aurstat Anti-itch Hydrogel

Silazone Pharmapak Aurstat Anti-itch Hydrogel Kit

Silazone-II Avenova

Synalar Avenova With Neutrox

Synalar Cream Kit Benzoin Compound Tincture

Synalar Ointment Kit Benzoin Tincture

Synalar Ts Boric Acid

Taclonex Clever Choice Comfort EZ Patch

Temovate Coal TAR

Temovate E Cocaine HCL

Texacort Condylox

Topicort Copasil

Triamsil Combipak Dermacinrx Duopatch Pharmapak

Trianex Dermacinrx Neurotral Pharmapak

Triderma Forte Dermacinrx Surgical Pharmapak

Ultravate Dermasorb XM

Ultravate PAC Dermawerx Surgical Plus PAK

Ultravate X Eletone

Validerm Eletone Twinpack

Vanos Elimite

Verdeso Emla

Westcort Emulsion SB

Epiceram

IMMUNOMODULATING AGENTS Ethyl Chloride

Ethyl Chloride/Fine Pinpoint

GENERIC

Ethyl Chloride/Fine Stream

imiquimod

Ethyl Chloride/Medium Jet Stream

tacrolimus

Ethyl Chloride/Medium Stream

PREFERRED

Ethyl Chloride/Mist

Elidel

Gebauers Pain Ease

NON PREFERRED

Gebauers Spray And Stretch

Aldara

Genadur

Protopic

Genadur Kit

Zyclara

Gordofilm

Zyclara P.M.

Gordons Urea

Hydro 35

DERMATOLOGICALS - MISC.

Hydro 40 Foam

GENERIC

Hylatopic

ammonium lactate

Hylatopic Plus

episone CRE

Hylira

lactic acid

HPR

lactic acid e

HPR Plus

lactic acid w/vitamin e

HPR Plus Hydrogel Kit

lidocaine

HPR Plus/Mb Hydrogel

lidocaine HCL

Kerafoam

lidocaine HCL jelly

Kerafoam 42

lidocaine-prilocaine-cream base

Keralac

lidocaine/prilocaine

Keralyt

lindane

Keralyt Scalp

malathion

Lac-hydrin

permethrin

Latrix XM

podofilox

Ldo Plus

salicylic acid

Lidocaine And Tetracaine Cream

salicylic acid cream

Lidocaine HCL

salicylic acid lotion

Lidoderm

sodium hyaluronate

Lidothol

urea

Lycelle

urea topical

Mb Hydrogel

urea IN zinc undecylenate/lactic acid vehicle

Medi-derm/L-RX

urea 40% nail film

Megrix

PREFERRED

Natroba

Drysol

Neosalus

Eurax

Neosalus CP


13

Neuvaxin PREFERRED

Nivatopic Plus Cortisone Acetate

Nuvail Dexamethasone

Ovide Medrol

Oxsoralen Millipred

Pharmacist Choice Tsx Patch Prednisone

Pliaglis Prednisone Intensol

Pr Cream NON PREFERRED

Presera Aristospan Intra-articular

Pruclair Aristospan Intralesional

Prumyx Beta Inject Kit

Pyrogallic Acid Betalido

Qutenza Betamethasone SP

Relyyks Celestone-soluspan

Relyyt Cortef

Salex Depo-medrol

Salex Cream Dexamethasone Intensol

Salex Lotion Dexlido

Salicylic Acid Dexlido-m

Salicylic Acid IN Ammonium Lactate Vehicle Dexpak 10 Day

Salkera Dexpak 13 Day

Salvax Dexpak 6 Day

Salvax Duo Plus Doubledex

Scar Patch Dyural-l

Sinelee Dyural-lm

Sklice Dyural-40

Solaice Dyural-80

Soothee Entocort EC

Spinosad FLO-pred

Sulfurated Lime Interarticular Joint Kit

Supracil Kenalog-10

Synera Kenalog-40

Tetrix K10-lido

Tropazone K40-lido

Ulesfia LT Injection Kit

Ultrasal-ER Marbeta-l

Umecta Marbeta-25

Umecta Nail Film Mardex-25

Umecta PD Medrol Dosepak

Uramaxin Methylprednisolone

Uramaxin GT Methylprednisolone PF

Uramaxin GT Kit Methylprednisolone/Lidocaine

Utopic Millipred DP

Veregen Mlk F4 Kit

Verrunex Orapred

Vexa Orapred Odt

Virasal Pediapred

Xerac Ac Prednisolone Sodium Phosphate

Xylocaine Pro-c-dure 1 Kit

Pro-c-dure 2 Kit

ENDOCRINE AND METABOLIC Pro-c-dure 3 Kit

Pro-c-dure 4 Kit

CORTICOSTEROIDS

Pro-c-dure 5 Kit

GENERIC

Pro-c-dure 6 Kit

betamethasone sodium phosphate/betamethasone acetate

Rayos

Readysharp-k

budesonide

Readysharp-p40

dexamethasone

Readysharp-p80

dexamethasone sodium phosphate

Solu-cortef

fludrocortisone acetate

Solu-medrol

hydrocortisone

Triamcinolone

methylprednisolone

Triamcinolone PF

methylprednisolone acetate

Triamcinolone/Lidocaine

methylprednisolone dose pack

Uceris

methylprednisolone sodiumsuccinate

Veripred 20

prednisolone

prednisolone sodium phosphate

ANDROGENS-ANABOLIC

prednisolone sodium phosphate odt

prednisone GENERIC

Dexamethasone Sodium Phosphate danazol


14

methyltestosterone levonorgestrel/ethinyl estradiol

oxandrolone norethindrone

testosterone cypionate norethindrone & ethinyl estradiol ferrous fumarate

testosterone enanthate norethindrone acetate/ethinyl estradiol

PREFERRED norethindrone acetate/ethinyl estradiol/ferrous fumarate

Androderm norgestimate/ethinyl estradiol

Androgel Levonorgestrel

Androgel P.M. PREFERRED

Androxy Natazia

NON PREFERRED Necon 1/50-28

Anadrol-50 Necon 10/11-28

Android Norinyl 1+50

Aveed Nuvaring

Depo-testosterone Zovia 1/50e

First-testosterone NON PREFERRED

First-testosterone Mc Compounding Kit Beyaz

Natesto Brevicon-28

Oxandrin Cyclessa

Striant Desogen

Testone Cik Ella

Testopel Estrostep FE

Testosterone Falessa

Testred Femcon FE

Generess FE

ESTROGENS Loestrin FE 1.5/30

Loestrin FE 1/20

GENERIC

Loestrin 1.5/30-21

estradiol

Loestrin 1/20-21

estradiol valerate

Loseasonique

estradiol/norethindrone acetate

LO Loestrin FE

estropipate

LO Minastrin FE

norethindrone acetate/ethinyl estradiol

Minastrin 24 FE

PREFERRED

Mircette

Alora

Modicon

Climara Pro

Nor-QD

Duavee

Norinyl 1+35

Estropipate

Ortho Evra

Menest

Ortho Micronor

Premphase

Ortho Tri-cyclen

Prempro

Ortho Tri-cyclen LO

NON PREFERRED

Ortho-cept

Activella

Ortho-cyclen

Angeliq

Ortho-novum 1/35

Biest/Progesterone

Ortho-novum 7/7/7

Cenestin

Ovcon-35

Climara

Plan B

Combipatch

Plan B One-step

Delestrogen

Quartette

Depo-estradiol

Safyral

Divigel

Seasonique

Elestrin

Tri-norinyl 28

Enjuvia

Yasmin 28

Estrace

Yaz

Estradiol

Estrasorb

PROGESTINS

Estrogel

Evamist GENERIC

Femhrt Low Dose medroxyprogesterone acetate

Menostar megestrol acetate

Minivelle norethindrone acetate

Prefest progesterone

Premarin PREFERRED

Vivelle-dot Makena

NON PREFERRED

CONTRACEPTIVES Aygestin

Medroxyprogesterone/Lidocaine

GENERIC

Megace ES

desogestrel/ethinyl estradiol

Progesterone 10% Kit

drospirenone/ethinyl estradiol

Prometrium

levonorgestrel

Provera

levonorgestrel and ethinyl estradiol


15

ANTIDIABETIC AGENTS PREFERRED

Glucagen Hypokit

INSULIN

Glucagon Emergency Kit

PREFERRED

Invokana

Humalog

Jardiance

Humalog Kwikpen

Proglycem

Humalog Mix 50/50

NON PREFERRED

Humalog Mix 50/50 Kwikpen

Korlym

Humalog Mix 75/25

ALPHA-GLUCOSIDASE INHIBIT

Humalog Mix 75/25 Kwikpen

GENERIC

Humulin N

acarbose

Humulin N Kwikpen

NON PREFERRED

Humulin N U-100 Pen

Glyset

Humulin R

Precose

Humulin R U-500 (concentrated)

DPP-4 INHIBITORS

Humulin 70/30

PREFERRED

Humulin 70/30 Kwikpen

Januvia

Humulin 70/30 Pen

Onglyza

Lantus

INSULIN SENSITIZING AGENT

Lantus Solostar

GENERIC

NON PREFERRED

pioglitazone HCL

Afrezza

NON PREFERRED

Toujeo Solostar

Actos

Tresiba Flextouch

Avandia

AMYLIN ANALOGS

ANTIDIABETIC COMBINATIONS

NON PREFERRED

GENERIC

Symlinpen 120

glipizide/metformin HCL

Symlinpen 60

glyburide/metformin HCL

INCRETIN MIMETIC AGENTS

pioglitazone HCL-glimepiride

PREFERRED

pioglitazone HCL/metformin HCL

Bydureon

Repaglinide/Metformin Hydrochloride

Byetta

PREFERRED

Victoza

Invokamet

SULFONYLUREAS

Janumet

GENERIC

Janumet XR

glimepiride

Kombiglyze XR

glipizide

Synjardy

glipizide ER

NON PREFERRED

glyburide

Actoplus Met

glyburide micronized

Actoplus Met XR

tolazamide

Appformin

Glyburide

Appformin-d

PREFERRED

Avandamet

Chlorpropamide

Avandaryl

Diabeta

Duetact

Tolazamide

Glucovance

Tolbutamide

Glyxambi

NON PREFERRED

Prandimet

Amaryl

Xigduo XR

Glucotrol

Glucotrol XL

BISPHOSPHONATES

Glynase

BIGUANIDES GENERIC

GENERIC alendronate sodium

metformin HCL ibandronate sodium

metformin HCL ER pamidronate disodium

NON PREFERRED risedronate sodium

Fortamet risedronate sodium DR

Glucophage zoledronic acid

Glucophage XR PREFERRED

Glumetza Alendronate Sodium

Riomet NON PREFERRED

MEGLITINIDE ANALOGUES Actonel

GENERIC Atelvia

nateglinide Binosto

repaglinide Boniva

NON PREFERRED Etidronate Disodium

Prandin Fosamax

Starlix Fosamax Plus D

DIABETIC OTHER Pamidronate Disodium


16

Reclast Norditropin Nordiflex Pen

Zoledronic Acid Nutropin AQ Nuspin 10

Zometa Nutropin AQ Nuspin 20

Nutropin AQ Nuspin 5

CALCITONINS Nutropin AQ Pen

Saizen

GENERIC

Saizen Click.easy

calcitonin salmon

Serostim

calcitonin-salmon

NON PREFERRED

NON PREFERRED

Zorbtive

Fortical

Miacalcin

GHRH

PARATHYROID HORMONE NON PREFERRED

Egrifta

PREFERRED

Forteo

SOMATOMEDINS

NON PREFERRED

Natpara PREFERRED

Increlex

RANK LIGAND INHIBITORS

SOMATOSTATIC AGENTS

PREFERRED

Prolia GENERIC

Xgeva octreotide acetate

NON PREFERRED

CALCIUM REGULATORS - MISC Sandostatin

Sandostatin Lar Depot

NON PREFERRED

Signifor

Ganite

Signifor Lar

Somatuline Depot

HORMONE RECEPTOR MDLTR

GENERIC

GH RECEPTOR ANTAGONISTS

raloxifene hydrochloride

NON PREFERRED

NON PREFERRED

Somavert

Evista

Osphena

POSTERIOR PITUITARY

FERTILITY REGULATORS GENERIC

desmopressin acetate

GENERIC

vasopressin

chorionic gonadotropin

NON PREFERRED

clomiphene citrate

Ddavp

PREFERRED

Pitressin Synthetic

Follistim AQ

Stimate

Gonal-f

Vasostrict

Gonal-f RFF

Gonal-f RFF Pen

CORTICOTROPIN

Gonal-f RFF Rediject

NON PREFERRED NON PREFERRED

Bravelle H.p. Acthar

Menopur

Ovidrel PROLACTIN INHIBITORS

Repronex

GENERIC

cabergoline

LHRH/GNRH AGONIST

PREFERRED VASOPRESSIN ANTAGONISTS

Lupron Depot-PED

PREFERRED

Supprelin LA

Samsca

Synarel

NON PREFERRED

NON PREFERRED

Vaprisol

Lupaneta Pack

PROGESTERONE ANTAGONISTS

GNRH/LHRH ANTAGONISTS

NON PREFERRED

PREFERRED

Mifeprex

Cetrotide

NON PREFERRED

METABOLIC MODIFIERS

Ganirelix Acetate

GENERIC

calcitriol

GROWTH HORMONES

doxercalciferol

PREFERRED

levocarnitine

Norditropin Cartridge

paricalcitol

Norditropin Flexpro

sodium phenylbutyrate


17

PREFERRED Suprep Bowel Prep

Aldurazyme

Carbaglu ANTIDIARRHEALS

Elaprase

GENERIC

Fabrazyme

diphenoxylate/atropine

Kuvan

loperamide HCL

Lumizyme

opium

Myozyme

opium tincture

Naglazyme

PREFERRED

NON PREFERRED

Diphenoxylate/Atropine

Ammonul

Opium Tincture (paregoric)

Buphenyl

NON PREFERRED

Carnitor

Fulyzaq

Carnitor SF

Lomotil

Cystadane

Motofen

Hectorol

Restora RX

Myalept

Restora Sprinkles

Orfadin

Rezyst IM

Ravicti

Rezyst SB

Rocaltrol

Vsl#3 DS

Sensipar

Vimizim

ANTACIDS

Zemplar

PREFERRED

Calcium Carbonate

NON PREFERRED

THYROID AGENTS

Sodium Bicarbonate

GENERIC

levothyroxine sodium

ULCER DRUGS

liothyronine sodium

GENERIC

methimazole

atropine sulfate

propylthiouracil

cimetidine

NON PREFERRED

cimetidine HCL

Armour Thyroid

dicyclomine HCL

Cytomel

esomeprazole magnesium

Levothyroxine Sodium

esomeprazole sodium

Nature-throid

famotidine

Nature-throid Nt-2.5

glycopyrrolate

Synthroid

hyoscyamine sulfate

Tapazole

hyoscyamine sulfate odt

Thyrolar-1

hyoscyamine sulfate ER

Thyrolar-1/2

hyoscyamine sulfate SR

Thyrolar-1/4

lansoprazole

Thyrolar-2

lansoprazole/amoxicillin/clarithromycin

Thyrolar-3

methscopolamine bromide

Tirosint

misoprostol

Triostat

nizatidine

Westhroid

omeprazole

Wp Thyroid

omeprazole/sodium bicarbonate

pantoprazole sodium

GASTROINTESTINAL

rabeprazole sodium

LAXATIVES ranitidine HCL

sucralfate

GENERIC

Esomeprazole Sodium

lactulose

Famotidine

peg 3350/electrolytes

PREFERRED

peg-3350/electrolytes

Carafate

peg-3350/NACL/NA bicarbonate/KCL

Dexilant

polyethylene glycol 3350

Nexium

NON PREFERRED

Nexium 24HR

Cascara Sagrada

Omeclamox-PAK

Colyte-flavor Packs

Propantheline Bromide

Golytely

Pylera

Kristalose

Symax Duotab

Mineral Oil Heavy

NON PREFERRED

Moviprep

Aciphex

Nulytely/Flavor Packs

Aciphex Sprinkle

Osmoprep

Anaspaz

Pcp 100

Atropen

Prepopik

Atropine Sulfate

Suclear


18

Axid NON PREFERRED

Belladonna & Opium Sucraid

Belladonna Alkaloids & Opium

Bentyl GASTROINTESTINAL - MISC.

Cantil

GENERIC

Cuvposa

alosetron hydrochloride

Cytotec

balsalazide disodium

Deprizine Fusepaq

calcium acetate

Esomeprazole Strontium

cromolyn sodium

Famotidine Premixed

hydrocort ene 100MG

First-lansoprazole

hydrocortisone

First-omeprazole

hydrocortisone acetate/lidocaine HCL

Gabitidine

hydrocortisone acetate/pramoxine

Gastrinex NF

lactulose

Glycate

lidocaine HCL/hydrocortisone acetate

Helidac

mesalamine

Levbid

metoclopramide odt

Levsin

metoclopramide HCL

Levsin/SL

sulfasalazine

Nexium I.v.

ursodiol

Omeprazole + Syrspend SF Alka

PREFERRED

Pamine

Amitiza

Pamine Forte

Canasa

Pamine FQ

Cimzia

Pepcid

Cimzia Starter Kit

Prevacid

Lialda

Prevacid Solutab

Linzess

Prevpac

Movantik

Prilosec

Proctofoam HC

Protonix

Relistor

Robinul

Remicade

Robinul Forte

Renvela

Scopolamine Hydrobromide

Sevelamer Carbonate

Sentradine

Sfrowasa

Zantac

NON PREFERRED

Zegerid

Actigall

Analpram Advanced

ANTIEMETICS

Analpram-HC

GENERIC Analpram-HC Singles

dronabinol Anusol-HC

granisetron HCL Auryxia

meclizine HCL Azulfidine

ondansetron odt Azulfidine EN-TABS

ondansetron HCL Chenodal

trimethobenzamide HCL Cholbam

PREFERRED Colazal

Aloxi Cortenema

NON PREFERRED Cortifoam

Akynzeo Dexpanthenol

Anzemet Dipentum

Cesamet Eliphos

Diclegis Entereg

Dimenhydrinate Entyvio

Emend Fosrenol

Granisol Gastrocrom

Marinol Gattex

Sancuso Giazo

Tigan Lidocaine HCL-hydrocortisone Acetate With Aloe

Transderm-scop Lotronex

Varubi Metoclopramide Odt

Zofran Metozolv Odt

Zofran Odt Pentasa

Zuplenz Phoslo

Phoslyra

DIGESTIVE AIDS Procort

Proctocort

PREFERRED

Rectiv

Creon

Reglan

Pancrelipase

Renagel

Zenpep


19

Rowasa Fem PH

Uceris Femring

Urso Forte First-progesterone VGS 100 Compounding Kit

Urso 250 First-progesterone VGS 200 Compounding Kit

Velphoro First-progesterone VGS 25 Compounding Kit

First-progesterone VGS 400 Compounding Kit

GENITOURINARY First-progesterone VGS 50 Compounding Kit

Gynazole-1

URINARY ANTI-INFECTIVES

Metrogel-vaginal

GENERIC

Nuvessa

methenamine hippurate

Relagard

methenamine mandelate

Terazol 3

nitrofurantoin

Terazol 7

nitrofurantoin macrocrystals

Vagifem

nitrofurantoin monohydrate

nitrofurantoin monohydrate/macrocrystals

GENITOURINARY - MISC.

PREFERRED

GENERIC

Methenamine Mandelate

alfuzosin HCL ER

NON PREFERRED

citric acid/sodium citrate

Furadantin

dutasteride

Hiprex

dutasteride/tamsulosin hydrochloride

Macrobid

finasteride

Macrodantin

hydrochloric acid

Monurol

phenazopyridine HCL

Prosed/DS

potassium citrate ER

Uretron D/S

potassium citrate-citric acid crystals

Urimar-t

potassium citrate/citric acid

Urogesic-blue

potassium citrate/sodium citrate/citric acid

Uroqid #2

sodium citrate/citric acid

tamsulosin HCL

URINARY ANTISPASMODICS

tricitrates

GENERIC

PREFERRED

bethanechol chloride

Cytra-3

flavoxate HCL

Elmiron

oxybutynin chloride

Rapaflo

oxybutynin chloride ER

NON PREFERRED

tolterodine tartrate

Avodart

tolterodine tartrate ER

Cardura XL

trospium chloride

Cystagon

trospium chloride ER

Flomax

PREFERRED

Jalyn

Gelnique

K-phos NO 2

Vesicare

Lithostat

NON PREFERRED

Oracit

Detrol

Procysbi

Detrol LA

Proscar

Ditropan XL

Pyridium

Enablex

Shohls Solution Modified

Myrbetriq

Thiola

Oxytrol

Urocit-k 10

Sanctura

Urocit-k 15

Sanctura XR

Urocit-k 5

Toviaz

Uroxatral

Urecholine

HEMATOLOGICAL

VAGINAL PRODUCTS

HEMATOPOIETIC AGENTS

GENERIC

GENERIC


cyanocobalamin

metronidazole vaginal

folic acid

terconazole

folic acid/vitamin b-6/vitamin b-12

PREFERRED

sodium ferric gluconate complex/sucrose

Premarin

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

NON PREFERRED

Avc

PREFERRED

Cleocin

Cerezyme

Clindesse

Folitab 500

Crinone

Mozobil

Endometrin

Neumega

Estrace

Nplate

Estring


20

Procrit Promacta

NON PREFERRED Protectiron

Abaneu-SL Tandem F

Albafort Tandem Plus

Animi-3 Triferic

Animi-3/Vitamin D Venofer

B-6 Folic Acid Vpriv

Biferarx Zarxio

Cenfol Zavesca

Centratex

Cerdelga ANTICOAGULANTS

Ciferex

GENERIC

Corvite 150

argatroban

Dermacinrx Purefolix

bivalirudin

Divista

enoxaparin sodium

Droxia

fondaparinux sodium

Ed Cyte F

heparin lock

Elelyso

heparin lock flush

Feraheme

heparin lock flush for flushing vascular access devices

Feriva

heparin lock flush/NACL for flushing vascular access devices

Feriva 21/7

heparin sodium

Ferivafa

heparin sodium dcu

Ferralet 90

heparin sodium lock flush

Ferrex 150 Forte Plus

heparin sodium/sodium chloride 0.9% premix

Ferrex 28

heparin sodium/D5W

Ferrlecit

heparin sodium/NACL 0.9%

Ferro-plex Hematinic

warfarin sodium

Ferrotrin

PREFERRED

Focalgin Dss

Pradaxa

Folgard RX

Xarelto

Folic Acid

Xarelto Starter Pack

Folivane-f

NON PREFERRED

Folivane-plus

Angiomax

Foltrate

Argatroban

Fusion Plus

Arixtra

Fusion Sprinkles

Coumadin

Granix

Eliquis

Hematogen Fa

Fragmin

Hematron-AF

Heparin Lock Flush

Hemocyte Plus

Heparin Sodium

Hemocyte-f

Heparin Sodium/D5W

Hydroxocobalamin

Heparin Sodium/NACL 0.45%

Icar-c Plus

Heparin Sodium/Sodium Chloride 0.9%

Infed

Iprivask

Injectafer

Lovenox

Integra F

Savaysa

Integra Plus

Irospan 24/6

HEMOSTATICS

Is 24/6

Leukine GENERIC

Maxaron Forte aminocaproic acid

Maxfe tranexamic acid

Mircera NON PREFERRED

Multigen Amicar

Multigen Folic Aminocaproic Acid

Multigen Plus Artiss

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa

Astringyn

Cyklokapron

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

Evicel

Evithrom

Nascobal

Lysteda

Natalvirt Flt

Recothrom

Nephron Fa

Recothrom Spray Kit

Neulasta

Thrombin-jmi Diluent

Neulasta Onpro Kit

Thrombin-jmi Epistaxis

Neupogen

Thrombin-jmi Syringe Spray Kit

Novaferrum

Thrombin-jmi W/Dil Spray P.M. Actuator

Nufera

Thrombogen

Omontys

Tisseel

Pre-folic

Proferrin-forte


21

Tisseel VH Voluven

Xyntha

HEMATOLOGICAL - MISC. Xyntha Solofuse

Zontivity

GENERIC

anagrelide hydrochloride

MOUTH/THROAT/DENTAL AGENT

cilostazol

clopidogrel

dipyridamole

GENERIC

eptifibatide

cevimeline HCL

hetastarch 6%/NACL

chlorhexidine gluconate

pentoxifylline ER

chlorhexidine gluconate oral rinse

ticlopidine HCL

clotrimazole

Aspirin/Dipyridamole

lidocaine viscous

PREFERRED

lidocaine HCL

Advate

lidocaine HCL viscous

Alphanate/Von Willebrand Factor Complex/Human

nystatin

Alphanine SD

pilocarpine hydrochloride

Bebulin

pilocarpine HCL

Benefix

stannous fluoride oral rinse

Berinert

triamcinolone acetonide

Brilinta

triamcinolone IN orabase

Cinryze

NON PREFERRED

Corifact

Aquoral

Effient

Caphosol

Feiba

Debacterol

Feiba NF

Evoxac

Firazyr

First-bxn Mouthwash

Hemofil M

First-dukes Mouthwash

Humate-p

First-marys Mouthwash

Koate-dvi

First-mouthwash Blm

Monoclate-p

Gel-kam Oral Care Rinse

Mononine

Gelclair

Novoseven Rt

Lta 360 Kit

Profilnine

Nafrinse Daily/Acidulated

Profilnine SD

Nafrinse Daily/Neutral

Recombinate

Nafrinse Weekly

Riastap

Neutrasal

Soliris

Numoisyn

Ticlopidine HCL

Orafate

Wilate

Oravig

NON PREFERRED

Peridex

Activase

Prevident

Aggrastat

Prothelial

Aggrenox

Salagen

Agrylin

Salivamax

Cathflo Activase

Durlaza

Helixate FS

NEUROLOGY, CNS, PSYCH

Hespan

ANTIANXIETY AGENTS

Hextend

GENERIC

Integrilin

alprazolam

Ixinity

alprazolam odt

Kalbitor

alprazolam ER

Kengreal

buspirone HCL

Kinlytic

chlordiazepoxide HCL

Kogenate FS

clorazepate dipotassium

Kogenate FS Bio-set

diazepam

LMD 10% Dextrose 5%

droperidol

LMD 10% Sodium Chloride 0.9%

gene-xene TAB 15MG

Novoeight

gene-xene TAB 3.75MG

Nuwiq

gene-xene TAB 7.5MG

Persantine

hydroxyzine pamoate

Plavix

hydroxyzine HCL

Pletal

lorazepam

Protamine Sulfate

meprobamate

Reopro

oxazepam

Retavase

Hydroxyzine Pamoate

Retavase Half-kit

NON PREFERRED

Tnkase

Alprazolam Intensol


22

Ativan Emsam

Diazepam Fetzima

Gabavale-5 Fetzima Titration Pack

Gabazolamine Gaboxetine

Gabazolamine-0.5 Irenka

Hydroxyzine HCL Khedezla

Niravam Lexapro

Sentrazolam AM 0.25 Luvox CR

Tranxene T Marplan

Valium Nardil

Vistaril Norpramin

Xanax Oleptro

Xanax XR Pamelor

Parnate

ANTIDEPRESSANTS Paxil CR

Pexeva

GENERIC

Prozac

amitriptyline HCL

Prozac Weekly

bupropion HCL

Remeron

bupropion HCL ER

Remeron Soltab

bupropion HCL SR

Sentraflox AM-10

bupropion HCL XL

Sentralopram AM-10

citalopram hydrobromide

Sentravil PM-25

clomipramine HCL

Sentroxatine

desipramine HCL

Surmontil

doxepin HCL

Tofranil

duloxetine HCL

Tofranil-PM

escitalopram oxalate

Trazamine

fluoxetine DR

Viibryd

fluoxetine HCL

Viibryd Starter Pack

fluvoxamine maleate

Vivactil

fluvoxamine maleate ER

Wellbutrin

imipramine pamoate

Wellbutrin SR

imipramine HCL

Wellbutrin XL

mirtazapine

Zoloft

mirtazapine odt

nefazodone HCL

ANTIPSYCHOTICS

nortriptyline HCL

paroxetine HCL GENERIC

paroxetine HCL ER aripiprazole

phenelzine sulfate chlorpromazine HCL

protriptyline HCL clozapine

sertraline HCL clozapine odt

tranylcypromine sulfate fluphenazine decanoate

trazodone HCL fluphenazine HCL

trimipramine maleate haloperidol

venlafaxine HCL haloperidol decanoate

venlafaxine HCL ER haloperidol lactate

Amoxapine lithium carbonate

Doxepin HCL lithium carbonate ER

Nefazodone HCL loxapine

Nortriptyline HCL loxapine succinate

Venlafaxine HCL ER olanzapine

PREFERRED olanzapine odt

Fluoxetine HCL paliperidone ER

Forfivo XL perphenazine

Maprotiline HCL prochlorperazine

Paxil prochlorperazine edisylate

Pristiq prochlorperazine maleate

NON PREFERRED quetiapine fumarate

Anafranil risperidone

Aplenzin risperidone odt

Appbutamone thioridazine HCL

Appbutamone-d thiothixene

Brintellix trifluoperazine HCL

Celexa ziprasidone HCL

Cymbalta Aripiprazole Odt

Desvenlafaxine ER Clozapine Odt

Duloxetine HCL

Effexor XR


23

PREFERRED Quazepam

Abilify Discmelt Restoril

Fluphenazine HCL Rozerem

Saphris Seconal

Seroquel XR Sentrazolpidem PM-5

NON PREFERRED Silenor

Abilify Sonata

Abilify Maintena Strazepam

Adasuve Zolpimist

Chlorpromazine HCL

Clozaril ADHD, NARCOLEPSY, ETC.

Compazine

GENERIC

Equetro

amphetamine/dextroamphetamine

Fanapt

caffeine citrate

Fanapt Titration Pack

clonidine HCL ER

Fazaclo

dexmethylphenidate HCL

Geodon

dexmethylphenidate HCL ER

Haldol

dextroamphetamine sulfate

Haldol Decanoate 100

dextroamphetamine sulfate ER

Haldol Decanoate 50

doxapram HCL

Invega

guanfacine ER

Invega Sustenna

methamphetamine HCL

Invega Trinza

methylphenidate hydrochloride

Latuda

methylphenidate HCL

Lithium

methylphenidate HCL CD

Lithium Carbonate

methylphenidate HCL ER

Lithobid

methylphenidate HCL SR

Loxitane

modafinil

Molindone Hydrochloride

Methylphenidate HCL ER

Rexulti

PREFERRED

Risperdal

Strattera

Risperdal Consta

Vyvanse

Risperdal M-TAB

NON PREFERRED

Seroquel

Adderall

Versacloz

Adderall XR

Zyprexa

Aptensio XR

Zyprexa Relprevv

Cafcit

Zyprexa Zydis

Caffeine/Sodium Benzoate

Concerta

HYPNOTICS

Daytrana

GENERIC Desoxyn

dexmedetomidine HCL Dexedrine

estazolam Dopram

eszopiclone Dyanavel XR

flurazepam HCL Evekeo

phenobarbital Focalin

temazepam Focalin XR

triazolam Intuniv

zaleplon Kapvay

zolpidem tartrate Metadate CD

zolpidem tartrate ER Methylin

Flurazepam HCL Nuvigil

Phenobarbital Procentra

NON PREFERRED Provigil

Ambien Quillichew ER

Ambien CR Quillivant XR

Amytal Sodium Ritalin

Belsomra Ritalin LA

Butisol Sodium Ritalin SR

Doral Sentramodafin AM-100

Edluar Zenzedi

Gabazolpidem-5

Halcion ANTICONVULSANTS

Hetlioz

GENERIC

Intermezzo

carbamazepine

Lunesta

carbamazepine ER

Nembutal Sodium

clonazepam

Phenobarbital Sodium

clonazepam odt

Precedex

divalproex sodium


24

divalproex sodium DR Topamax

divalproex sodium ER Topamax Sprinkle

ethosuximide Topiramate ER

felbamate Trileptal

fosphenytoin sodium Trokendi XR

gabapentin Vimpat

lamotrigine Zarontin

lamotrigine odt Zonegran

lamotrigine titration

lamotrigine ER ANTIPARKINSON AGENTS

levetiracetam

GENERIC

levetiracetam ER

amantadine HCL

oxcarbazepine

benztropine mesylate

phenytoin

bromocriptine mesylate

phenytoin sodium

carbidopa

phenytoin sodium extended

carbidopa/levodopa

primidone

carbidopa/levodopa odt

tiagabine hydrochloride

carbidopa/levodopa ER

topiramate

entacapone

valproate sodium

pramipexole dihydrochloride

valproic acid

pramipexole dihydrochloride ER

zonisamide

ropinirole ER

PREFERRED

ropinirole HCL

Diastat Acudial

selegiline HCL

Diastat Pediatric

tolcapone

Diazepam

trihexyphenidyl HCL

Lamictal

Carbidopa/Levodopa/Entacapone

Lamictal Chewable Dispersible

PREFERRED

Lamictal Starter/Not Taking Carbamazepine

Apokyn

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

NON PREFERRED

Amantadine HCL

Lamictal Starter/Taking Valproate

Azilect

Lyrica

Cogentin

NON PREFERRED

Comtan

Aptiom

Duopa

Banzel

Eldepryl

Carbatrol

Lodosyn

Celontin

Mirapex

Cerebyx

Mirapex ER

Depacon

Neupro

Depakene

Parcopa

Depakote

Parlodel

Depakote ER

Requip

Depakote Sprinkles

Requip XL

Dilantin

Rytary

Dilantin Infatabs

Sinemet

Dilantin-125

Sinemet CR

Fanatrex Fusepaq

Stalevo 100

Felbatol

Stalevo 125

Fycompa

Stalevo 150

Gabitril

Stalevo 200

Keppra

Stalevo 50

Keppra XR

Stalevo 75

Klonopin

Tasmar

Lamictal Odt

Zelapar

Lamictal XR

Levetiracetam

NEUROLOGY, PSYCH - MISC.

Mysoline

GENERIC

Neurontin

acamprosate calcium DR

Onfi

disulfiram

Oxtellar XR

donepezil HCL

Peganone

ergoloid mesylates

Phenytek

fluoxetine

Potiga

galantamine hydrobromide

Qudexy XR

glatopa

Sabril

memantine hydrochloride

Stavzor

memantine HCL

Tegretol

memantine HCL titration PAK

Tegretol-XR

olanzapine/fluoxetine

Therapentin-60

Therapentin-90


25

pimozide MUSCULOSKELETAL AGENTS

rivastigmine tartrate

GENERIC

rivastigmine transdermal system

baclofen

tetrabenazine

carisoprodol

Ergoloid Mesylates

carisoprodol/aspirin

Galantamine Hydrobromide

carisoprodol/aspirin/codeine

PREFERRED

chlorzoxazone

Ampyra

cyclobenzaprine HCL

Avonex

dantrolene sodium

Avonex Pen

metaxalone

Chlordiazepoxide/Amitriptyline

methocarbamol

Copaxone

orphenadrine citrate

Namenda XR

orphenadrine citrate ER

Namenda XR Titration Pack

orphenadrine/asa/caffeine

Perphenazine/Amitriptyline

tizanidine HCL

Plegridy

Dantrolene Sodium

Plegridy Starter Pack

PREFERRED

Tecfidera

Euflexxa

Tecfidera Starter Pack

Gablofen

NON PREFERRED

Lioresal Intrathecal

Antabuse

Synvisc

Aricept

Synvisc One

Aricept Odt

NON PREFERRED

Aubagio

Amrix

Brisdelle

Cyclobenzaprine Comfort PAC

Campral

Dantrium

Exelon

Dantrium IV

Gilenya

Fexmid

Gralise

Flexepax

Gralise Starter

Gel-one

Horizant

Genvisc 850

Lemtrada

Hyalgan

Namenda

Lorzone

Namenda Titration PAK

Metaxalone

Namzaric

Monovisc

Nuedexta

Norflex

Orap

Orthovisc

Razadyne

Parafon Forte DSC

Razadyne ER

Prazolamine

Sarafem

Robaxin

Savella

Robaxin-750

Savella Titration Pack

Ryanodex

Symbyax

Skelaxin

Tysabri

Soma

Xenazine

Supartz

Xyrem

Supartz Fx

Tabradol Fusepaq

NEUROMUSCULAR AGENTS

Therabenzaprine-60

GENERIC Therabenzaprine-90

atracurium besylate Therabenzaprine-90-5

cisatracurium besylate Tizanidine Comfort PAC

pancuronium bromide Zanaflex

riluzole

rocuronium bromide ANTIMYASTHENIC AGENTS

vecuronium bromide

GENERIC

PREFERRED

neostigmine methylsulfate

Botox

pyridostigmine bromide

NON PREFERRED

PREFERRED

Anectine

Guanidine HCL

Dysport

NON PREFERRED

Myobloc

Bloxiverz

Nimbex

Enlon

Quelicin

Enlon-plus

Quelicin 1000

Mestinon

Rilutek

Mestinon Timespan

Xeomin

Neostigmine Methylsulfate

Zemuron

Prostigmin

Regonol


26

OPHTHALMOLOGY AND OTIC OPHTHALMIC STEROIDS

GENERIC

ANTI-INFECTIVES

dexamethasone sodium phosphate

GENERIC

fluorometholone

bacitracin/polymyxin b

neomycin/polymyxin/bacitracin/hydrocortisone

ciprofloxacin HCL

neomycin/polymyxin/dexamethasone

erythromycin

prednisolone acetate

gatifloxacin

sulfacetamide sodium/prednisolone sodium phosphate

gentamicin sulfate

tobramycin/dexamethasone

levofloxacin

PREFERRED

neomycin/bacitracin/polymyxin

Dexamethasone Sodium Phosphate

neomycin/polymyxin/bacitracin zinc

FML

neomycin/polymyxin/gramicidin

FML Forte

ofloxacin

Pred Mild

polymyxin b sulfate/trimethoprim sulfate

Prednisolone Sodium Phosphate


NON PREFERRED

sulfacetamide sodium

Alrex

tobramycin sulfate

Blephamide

trifluridine

Blephamide S.o.p.

trimethoprim sulfate/polymyxin b sulfate

Durezol

PREFERRED

Flarex

Bacitracin

FML Liquifilm

Moxeza

Lotemax

Natacyn

Maxidex

Sulfacetamide Sodium

Maxitrol

Vigamox

Neomycin/Polymyxin/Hydrocortisone

NON PREFERRED

Omnipred

Azasite

Pred Forte

Besivance

Pred-G

Betadine Ophthalmic Prep

Pred-G S.o.p.

Bleph-10

Tobradex

Ciloxan

Tobradex ST

Garamycin

Vexol

Mitosol

Zylet

Neosporin

Ocuflox

PROSTAGLANDINS

Polytrim

GENERIC

Tobrex

latanoprost

Viroptic

Bimatoprost

Zirgan

PREFERRED

Zymaxid

Lumigan

Travatan Z

ARTIFICIAL TEAR/LUBRICANT

Travoprost

NON PREFERRED

NON PREFERRED

Lacrisert

Xalatan

BETA-BLOCKERS

CYCLOPLEGIC MYDRIATICS

GENERIC

GENERIC

betaxolol HCL

atropine sulfate

carteolol HCL

cyclopentolate HCL

dorzolamide HCL/timolol maleate

homatropine HBR

levobunolol HCL

PREFERRED

timolol maleate

Atropine Sulfate

timolol maleate ophthalmic gel forming

Cyclogyl

Metipranolol

Isopto Homatropine

PREFERRED

NON PREFERRED

Betoptic-s

Cyclomydril

Combigan

Isopto Atropine

Levobunolol HCL

Isopto Hyoscine

Timoptic Ocudose

NON PREFERRED

DECONGESTANTS

Betagan

GENERIC

Betimol

phenylephrine HCL

Cosopt

PREFERRED

Cosopt PF

Naphazoline HCL

Istalol

NON PREFERRED

Timoptic

Mydfrin

Timoptic-xe


27

MIOTICS antipyrine/benzocaine

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

pilocarpine HCL

hydrocortisone/acetic acid

PREFERRED

neomycin/polymyxin/hydrocortisone

Isopto Carbachol

neomycin/polymyxin/HC

Phospholine Iodide

ofloxacin

NON PREFERRED

PREFERRED

Isopto Carpine

Acetic Acid/Aluminum Acetate

NON PREFERRED

ADRENERGIC AGENTS

Antipyrine/Benzocaine

GENERIC

Auralgan

apraclonidine

Cetraxal

brimonidine tartrate

Cipro HC

PREFERRED

Ciprodex

Alphagan P

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Iopidine

Cortisporin

Simbrinza

Cortisporin-tc

Cresylate

IMMUNOMODULATORS

Dermotic

NON PREFERRED

Myoxin

Restasis

Otozin

Pramotic

LOCAL ANESTHETICS

Vosol HC

GENERIC

proparacaine HCL

OXYTOCICS

tetracaine HCL

NON PREFERRED

GENERIC

Akten

methylergonovine maleate

Alcaine

oxytocin

NON PREFERRED

OPHTHALMICS - MISC.

Cervidil

GENERIC

Hemabate

azelastine HCL

Oxytocin/Lactated Ringers

bromfenac

Pitocin

cromolyn sodium

Prepidil

diclofenac sodium

Prostin E2

dorzolamide HCL

epinastine HCL

PAIN MANAGEMENT

flurbiprofen sodium

ANALGESICS - NONNARCOTIC

ketorolac tromethamine

olopatadine HCL GENERIC

PREFERRED butalbital/acetaminophen

Azopt butalbital/acetaminophen/caffeine

Pataday butalbital/aspirin/caffeine

NON PREFERRED choline magnesium trisalicylate

Acular diflunisal

Acular LS salsalate

Acuvail PREFERRED

Alocril Choline Magnesium Trisalicylate

Alomide Dologesic

Bepreve Prialt

Bromfenac Tencon

Cystaran NON PREFERRED

Elestat Bupap

Emadine Disalcid

Ilevro Equagesic

Lastacaft Esgic

Nevanac Fioricet

Ocufen Fiorinal

Optivar Levacet

Patanol Ofirmev

Pazeo Phrenilin Forte

Prolensa Rhinoflex-650

Trusopt Staflex

Vanatol LQ

OTIC AGENTS

ANALGESICS - OPIOID

GENERIC

acetic acid


28

GENERIC Fentanyl Citrate/Sodium Chloride

acetaminophen/caffeine/dihydrocodeine Fioricet/Codeine

acetaminophen/codeine Fiorinal/Codeine #3

acetaminophen/codeine #2 Hycet

acetaminophen/codeine #3 Hydromorphone HCL ER

acetaminophen/codeine #4 Hydromorphone HCL/NACL

acetaminophen/codeine phosphate Hysingla ER

alfentanil Ibudone

buprenorphine HCL Infumorph 200

buprenorphine HCL/naloxone HCL Infumorph 500

butalbital/acetaminophen/caffeine/codeine Ionsys

butalbital/aspirin/caffeine/codeine Levorphanol Tartrate

butorphanol tartrate Liquicet

codeine sulfate Lortab

fentanyl Meperidine HCL

fentanyl citrate oral transmucosal Methadone HCL

hydrocodone bitartrate/acetaminophen Methadose

hydrocodone/acetaminophen Methadose Sugar-free

hydrocodone/ibuprofen Morphine Sulfate Add-vantage

hydromorphone HCL Morphine Sulfate/Sodium Chloride

hydromorphone HCL dosette MS Contin

hydromorphone HCL ER Norco

meperidine HCL Nucynta

methadone HCL Opana

morphine sulfate Opana ER (crush Resistant)

morphine sulfate ER Oxaydo

nalbuphine HCL Oxecta

oxycodone HCL Oxycodone HCL

oxycodone/acetaminophen Percocet

oxycodone/aspirin Percodan

oxycodone/ibuprofen Primlev

oxymorphone hydrochloride Reprexain

oxymorphone hydrochloride ER Roxicet

pentazocine/acetaminophen Roxicodone

pentazocine/naloxone HCL Subsys

tramadol hydrochloride/acetaminophen Synalgos-dc

tramadol HCL Synapryn Fusepaq

tramadol HCL ER Talwin

Aspirin-caffeine-dihydrocodeine Theracodeine-300

Fentanyl Theracodophen-low-90

Hydrocodone Bitartrate/Acetaminophen Theracodophen-325

Hydrocodone/Acetaminophen Theracodophen-650

Hydromorphone HCL/Sodium Chloride Theracodophen-750

Morphine Sulfate ER Theratramadol-60

Oxycodone HCL ER Theratramadol-90

Tramadol HCL ER

PREFERRED Trezix

Hydromorphone HCL Tylenol/Codeine #3

Morphine Sulfate Tylenol/Codeine #4

Oxycontin Ultiva

Suboxone Ultracet

Zubsolv Ultram

NON PREFERRED Ultram ER

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate Vicoprofen

Actiq Xartemis XR

Alfenta Xodol

Avinza Xolox

Belbuca Zamicet

Bunavail Zohydro ER

Buprenex Zydone

Butrans

Capital/Codeine ANTI-INFLAMMATORY

Codeine Sulfate

GENERIC

Conzip

celecoxib

Demerol

diclofenac potassium

Dilaudid

diclofenac sodium DR

Dilaudid-HP

diclofenac sodium ER

Dolophine

diclofenac sodium/misoprostol

Duragesic

etodolac

Exalgo


29

etodolac ER Naprelan

flurbiprofen Naprosyn

ibuprofen Naproxen Comfort PAC

indomethacin Neoprofen

indomethacin ER Orencia

ketoprofen Otezla

ketorolac tromethamine Otrexup

leflunomide Ponstel

mefenamic acid Prastera

meloxicam Rheumatrex

nabumetone Ridaura

naproxen Sprix

naproxen sodium Therafeldamine

naproxen sodium CR Theraprofen-60

naproxen sodium ER Theraprofen-800

oxaprozin Theraprofen-90

piroxicam Theraproxen-500

sulindac Theraproxen-60

tolmetin sodium Theraproxen-90

Meclofenamate Sodium Tivorbex

Naproxen Trepadiclofen-25

Tolmetin Sodium Trepoxen-250

Trepoxicam-7.5

PREFERRED Vivlodex

Fenoprofen Calcium Voltaren-XR

Humira Xeljanz

Humira Pediatric Crohns Disease Starter Pack Zipsor

Humira Pen

Humira Pen-crohns Diseasestarter MIGRAINE PRODUCTS

Humira Pen-psoriasis Starter

GENERIC

Ilaris

almotriptan malate

Ketoprofen ER

dihydroergotamine mesylate

Meloxicam

naratriptan HCL

Rasuvo

rizatriptan benzoate

Simponi

rizatriptan benzoate odt

Simponi Aria

sumatriptan succinate

NON PREFERRED

sumatriptan succinate refill

Actemra

zolmitriptan

Anaprox

zolmitriptan odt

Anaprox DS

Dihydroergotamine Mesylate

Arava

Sumatriptan Succinate

Arcalyst

PREFERRED

Arthrotec 50

Sumatriptan

Arthrotec 75

Zomig Nasal Spray

Caldolor

NON PREFERRED

Cataflam

Alsuma

Celebrex

Amerge

Daypro

Axert

Derma Silkrx Anodynexa PAK

Cafergot

Derma Silkrx Diclopak

Cambia

Dermacinrx Inflammatral PAK

D.h.e. 45

Dyloject

Ergomar

Enbrel

Frova

Enbrel Sureclick

Imitrex

EC-naprosyn

Imitrex Statdose Refill

Feldene

Imitrex Statdose System

Flanax Pain Relief Kit

Maxalt

Ibuprofen Comfort PAC

Maxalt-MLT

Indocin

Migergot

Indomethacin

Migral

Indomethacin Sodium

Migranal

IC 400

Relpax

IC 800

Sumavel Dosepro

Ketorocaine-l

Treximet

Ketorocaine-lm

Zomig

Ketorolac Tromethamine

Zomig ZMT

Kineret

Meloxicam Comfort PAC

GOUT AGENTS

Mobic

Nalfon


30

GENERIC desloratadine odt

allopurinol diphenhydramine HCL

probenecid levocetirizine dihydrochloride

probenecid/colchicine promethazine HCL

PREFERRED promethazine HCL plain

Colcrys Clemastine Fumarate

Uloric PREFERRED

NON PREFERRED Allegra Allergy Childrens

Aloprim Dexchlorpheniramine Maleate

Colchicine NON PREFERRED

Krystexxa Brompheniramine

Mitigare Brompheniramine Tannate

Zyloprim Clarinex

Clarinex Reditabs

LOCAL ANESTHETICS-INJ Dicopanol Fusepaq

Karbinal ER

GENERIC

Palgic

bupivacaine HCL

Phenergan

bupivacaine/epinephrine

Respa-BR

chloroprocaine HCL

Xyzal

lidocaine HCL

lidocaine/epinephrine

NASAL AGENTS

ropivacaine

ropivacaine HCL GENERIC

Tetracaine HCL azelastine HCL

NON PREFERRED budesonide

Articadent Dental flunisolide

BD Pudendal/Local Block Tray 1% Lidocaine fluticasone propionate

Carbocaine ipratropium bromide

Citanest Forte Dental olopatadine HCL

Citanest Plain Dental triamcinolone acetonide

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

PREFERRED

Nasonex

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

Veramyst

NON PREFERRED

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH

Adrenalin

Astelin

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH

Astepro

Atrovent

Exparel

Bactroban Nasal

Lidocaine HCL/Dextrose

Beconase AQ

Marcaine

Dermacinrx Azenase PAK

Marcaine W/O Epi

Dermacinrx Ticanase PAK

Marcaine/Epinephrine

Dymista

Marlido-25

Flonase

Monoject Bone Marrow Biopsy Prepping Tray

Omnaris

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

Patanase

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

Qnasl

Qnasl Childrens

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

Rhinocort Aqua

Tyzine

Naropin

Tyzine Pediatric Nasal Drops

Nesacaine

Zetonna

Nesacaine-mpf

Readysharp-a

COUGH/COLD/ALLERGY

Sensorcaine-mpf/Epinephrine

GENERIC

Turkel Paracentesis Procedure Tray/8french

acetylcysteine

Xylocaine

benzonatate

Xylocaine-mpf

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Xylocaine-mpf/Epinephrine

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Xylocaine/Epinephrine

hydrocodone bitartrate/homatropine methylbromide

hydrocodone polistirex/chlorpheniramine polistirex

RESPIRATORY, ALLERGY, ETC

hydrocodone/homatropine

ANTIHISTAMINES

phenylephrine/guaifenesin

GENERIC

promethazine-DM

carbinoxamine maleate

promethazine/codeine

cetirizine HCL

promethazine/dextromethorphan

clemastine fumarate

promethazine/phenylephrine

cyproheptadine HCL

promethazine/phenylephrine/codeine

desloratadine

sodium chloride


31

PREFERRED Arnuity Ellipta

Dallergy Breo Ellipta

J-max Combivent Respimat

Mucinex D Elixophyllin

Promethazine/Phenylephrine Flovent Diskus

NON PREFERRED Flovent HFA

Carbaphen 12 Foradil Aerolizer

Carbaphen 12 PED Incruse Ellipta

Clarinex-d 12 HOUR Metaproterenol Sulfate

Clarinex-d 24 HOUR Proair HFA

Codar AR Proair Respiclick

Cpb Wc Pulmicort Flexhaler

Decon-a Serevent Diskus

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Spiriva Handihaler

Spiriva Respimat

Exactuss

Symbicort

Flowtuss

Ventolin HFA

Gilphex TR

Xolair

Giltuss

NON PREFERRED

Giltuss PED-c

Accolate

Giltuss TR

Aerospan

Hycofenix

Arcapta Neohaler

Hyper-sal

Atrovent HFA

Hypersal

Brovana

Nebusal

Daliresp

Neotuss Plus

Duoneb

Obredon

Isuprel

Panatuss Dxp

Lufyllin

Pediatex TD

Nucala

Pediatex TDM

Perforomist

Relhist

Pulmicort

Rescon-JR

Pulmophylline

Rescon-MX

Senophylline

Rezira

Singulair

Semprex-d

Stiolto Respimat

Suttar-SF

Striverdi Respimat

Suttar-2

Theo-24

Tessalon Perles

Theophylline/D5W

Tussicaps

Vospire ER

Tussionex Pennkinetic Extended Release

Xopenex

Tuzistra XR

Xopenex Concentrate

Vituz

Zyflo

Zonatuss

Zyflo CR

Zutripro

RESPIRATORY AGENTS - MISC

ANTIASTHMATIC/COPD AGENTS

PREFERRED

GENERIC

Pulmozyme

albuterol

NON PREFERRED

albuterol sulfate

Aralast NP

albuterol sulfate ER

Curosurf

albuterol TAB 4MG

Esbriet

aminophylline

Glassia

budesonide

Infasurf

epinephrine HCL

Kalydeco

ipratropium bromide

Ofev

ipratropium bromide/albuterol sulfate

Orkambi

levalbuterol

Prolastin-c

levalbuterol HCL

Surfaxin

montelukast sodium

Survanta Intratracheal

terbutaline sulfate

Zemaira

theophylline

theophylline CR

TOXOIDS

theophylline ER

zafirlukast

NON PREFERRED

Cromolyn Sodium

Adacel

PREFERRED

Boostrix

Advair Diskus

Daptacel

Advair HFA

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Anoro Ellipta

Infanrix


32

Kinrix Medical Provider EZ Flu Shot 2014-2015

Pediarix Medical Provider EZ Flu Shot 2015-2016

Pentacel Medical Provider Single Use EZ Flu Shot

Quadracel Menactra

Tenivac Menhibrix

Tetanus Toxoid Adsorbed Menomune-a/C/Y/W-135

Tetanus/Diphtheria Toxoids-adsorbed Menveo

Tetanus/Diphtheria Toxoids-adsorbed Adult Pedvax HIB

Pneumovax 23

VACCINES Pneumovax 23/1 Dose

Pneumovax 23/5 Dose

Prevnar 13

NON PREFERRED

Proquad

Acthib

Rabavert

Afluria PF 2012-2013

Recombivax HB


Rotarix


Rotateq


Trumenba

Afluria 2012-2013

Twinrix

Afluria 2013-2014

Typhim VI

Afluria 2014-2015

Vaqta

Afluria 2015-2016

Varivax

Bcg Vaccine

Vivotif

Bexsero

Yf-vax

Biothrax

Zostavax

Cervarix

Comvax

VITAMINS

Engerix-b

Fluarix Quadrivalent 2013-2014 VITAMINS

Fluarix Quadrivalent 2014-2015

GENERIC

Fluarix Quadrivalent 2015-2016

ascorbic acid

Fluarix 2013-2014

ergocalciferol

Fluarix 2014-2015

phytonadione

Flublok 2013-2014

thiamine HCL

Flublok 2014-2015

vitamin c 222MG

Flublok 2015-2016

vitamin d

Flucelvax 2013-2014

vitamin k1

Flucelvax 2014-2015

PREFERRED

Flucelvax 2015-2016

Mephyton

Flulaval Quadrivalent 2013-2014

Vitamin A


NON PREFERRED


Aquasol A Parenteral

Flulaval 2013-2014

Drisdol

Flulaval 2014-2015

Niacin

Flumist Quadrivalent

Pyridoxine HCL

Fluvirin PF 2013-2014

Vitamin K1

Fluvirin PF 2014-2015

Wheat Germ

Fluvirin 2013-2014

Fluvirin 2014-2015

MULTIVITAMINS

Fluvirin 2015-2016

GENERIC

Fluzone High-dose PF 2013-2014

b-complex 100


niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper


PREFERRED

Fluzone Pediatric PF 2013-2014

Atabex EC

Fluzone PF 2013-2014

Atabex Prenatal

Fluzone PF 2014-2015

Bal-care DHA

Fluzone Quadrivalent 2013-2014

Bal-care DHA Essential


Citranatal B-calm


Citranatal RX

Fluzone Split 2013-2014

Clinical Nutrients Prenatal Formula


Concept DHA


Concept OB

Gardasil

Duet DHA Balanced

Gardasil 9

Duet DHA 400

Havrix

Duet DHA 400EC

Hiberix

Duet DHA 430

Imovax Rabies (h.d.c.v.)

Duet DHA 430EC

Ipol Inactivated IPV

Enbrace HR

Ixiaro

Escavite

M-m-r II

Escavite D


33

Folcaps Omega 3 Citranatal Assure

Folivane-OB Citranatal DHA

Healthy Mama Be Well Rounded Citranatal Harmony

Marnatal-f Citranatal 90 DHA

Mission Prenatal Cod Liver Oil

Moms Choice RX Corvite

Mykidz Iron Fl Crnatal

Mynatal Dialyvite Supreme D

Natachew Dialyvite 3000

Natalvit Dialyvite 5000

Natelle One Dialyvite/Zinc

Neevo DHA Diatx ZN

Nestabs Floriva

Nestabs DHA Focalgin CA

Newgen Focalgin 90 DHA

Niva-plus Folet DHA

O-CAL Fa Folet One

O-CAL Prenatal Folgard OS

Obstetrix DHA Folivane-prx DHA NF

Obtrex Fortavit

Obtrex DHA Gesticare DHA

One A Day Womens Prenatal/DHA M.v.i. Adult

One A Day Womens Prenatal1 M.v.i. Pediatric

One-a-day Womens Prenatal M.v.i.-12 Without Vitamin K

OB Complete Natalvirt CA

OB Complete One Natalvirt 90 DHA

OB Complete Petite Nephplex RX

OB Complete Premier Nephro-vite RX

OB Complete 400 Nephrocaps

OB Complete/DHA Nephrocaps QT

Poly-VI-flor Nestabs Abc

Poly-VI-flor FS Nexa Plus

Poly-VI-flor/Iron Nicadan

Prefera OB Nicazel

Prefera OB + DHA Nicazel Forte

Prenata Nicomide

Prenatal Vitamin Nutricap

Prenatal Vitamins Nutrivit

Prenate AM Ocuvel

Prenate Elite OB Complete Gold

Prenate Essential Paire OB

Prenate Star Preferaob +dha

Provida OB Preferaob One

Right Step Prenatal Prefol-DHA

Select-OB Prenate

Stuart Prenatal Prenate DHA

Taron-bc Prenate Enhance

Taron-c DHA Prenate Mini

Theranatal Core Nutrition Prenate Pixie

Tri-VI-flor Prenate Restore

Tricare Prenatal Compleat Preque 10

Tricare Prenatal DHA One Protect Plus

Vinacal B Provida DHA

Vinate AZ Extra R-natal OB

Vinate Calcium Renatabs

Vinate DHA RF Renatabs With Iron

Vita-pren Req 49+

Vitafol-nano Select-ob+dha

Vitafol-pn Siderol

Vitamedmd Redichew RX Strovite Forte

Vitamedmd Redichew RX/Quatrefolic Strovite One

Vitapearl Supervite

Viva DHA Supervite EC

Your Life Multi Prenatal Support-500

Zatean-pn Synagex

Zatean-pn Plus Synatek

NON PREFERRED Texavite LQ

Adrenal C Formula Triveen-duo DHA

Albafort Triveen-prx RNF

Bacmin TL G-FOL OS


34

Udamin SP Bayer Microlet Lancets

Vemavite-prx 2 Bullseye Safety Lancets

Vitafol BD Autoshield Duo 30G X 3/16"

Vitafol Fe+ BD Autoshield 29G X 3/16"

Vitafol Ultra BD Autoshield 29G X 5/16"

Vitafol-ob+dha BD Insulin Syringe LUER-LOK/U-100/1ML

Vitafol-one BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"

Vital-d RX BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"

Vitamedmd One RX/Quatrefolic BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"

Vitamedmd Plus RX/Quatre Folic BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"

Vitaroca Plus BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"

Vitatrue BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"

Zatean-pn DHA BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"

Zatean-CH BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"

MEDICAL DEVICES BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"

BD Insulin Syringe Safetyglide/1ML/29G X 1/2"

DIABETIC SUPPLIES

BD Insulin Syringe Slip Tip/U-100/1ML

PREFERRED

BD Insulin Syringe U-40/1ML/25G X 5/8"

Accu-chek Safe-t-pro Lancets

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"

Accu-chek Safe-t-pro Pluslancets

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"

Accu-chek Soft Touch Lancets

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"

Accu-chek Softclix Lancets

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"

Active 1ST Blood Lancets 30G/Easy Twist CAP


Advocate Insulin Pen Needles 29GX12.7MM


Advocate Insulin Pen Needles 31GX5MM


Advocate Insulin Pen Needles 31GX8MM


Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"







BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"





Advocate Insulin Syringe/U-100/1ML/29GX1/2"



BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"



Advocate Lancets


Advocate Lancets 30G


Advocate Safety Lancets

BD Insulin Syringe Ultrafine/1ML/30G X 1/2"

Advocate Safety Lancets 26G

BD Insulin Syringe Ultrafine/1ML/31G X 5/16"

Agamatrix Ultra-thin Lancets 33G

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"

Assure Haemolance Plus High Flow 18G

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"

Assure Haemolance Plus Low Flow 25G

Assure Haemolance Plus Micro Flow 28G

BD Insulin Syringe/U-100/0.5ML/30G X 1/2"

Assure Haemolance Plus Normal Flow 21G

BD Insulin Syringe/U-100/1ML/27G X 1/2"

Assure Haemolance Plus Pediatric Blade


Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"

BD Insulin Syringe/U-100/2ML/27.5G X 5/8"

Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"


Assure Lance Lancets

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"

Assure Lance Lancets 21G

BD Integra Syringe/Retracting Needle/1ML/25G X 1"

Assure Lance Plus Safety Lancets 25G

BD Lancet Ultrafine 30G

Assure Lance Plus Safety Lancets 30G

BD Lancet Ultrafine 33G

Assure Lancets

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

Aurora Lancet Super Thin 30G

BD Microtainer Lancets

Aurora Lancet Thin 23G

BD Pen Needle/Mini/Ultrafine/31G X 3/16"

Aurora Pen Needles 29GX12MM

BD Pen Needle/Nano/Ultra Fine/32G X 4MM

Aurora Pen Needles 31G X 6MM

BD Pen Needle/SHORT/Ultrafine/31G X 5/16"

Aurora Pen Needles 31G X 8MM

BD Pen Needle/Ultrafine/29G X 12.7MM

Autolet Platforms

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM

AF Lancets Super Thin

BD Pen Needles SHORT/Ultrafine/31G X 5/16"

AT Last Lancets

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"

BD-insul SYR Mis LO Dose

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"

Carefine Pen Needle 32GX4MM

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"

Carefine Pen Needles 29GX1/2"


35

Carefine Pen Needles 30GX5/16" Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"

Carefine Pen Needles 31GX6MM

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"

Carefine Pen Needles 31GX8MM

Careone Lancet Thin

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"

Careone Lancet Ultra Thin

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"

Cleanlet Lancets 28G

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"

Clever Chek Lancets Ultrathin


Clever Chek Lancets Ultrathin 30G


Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM


Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"


Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"







Easy Touch Insulin Syringe/0.3ML/30G X 5/16"






Easy Touch Insulin Syringe/1ML/30G X 5/16"


Easy Touch Lancets 21G/Pressure Activated





Easy Touch Lancets 26G/Pull-top

Easy Touch Lancets 26G/Twist






Easy Touch Lancets 30G/Button-activated

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"






Clever Choice Comfort EZ Pen Needles 29GX12MM Easy Touch Lancets 32G/Pressure Activated

Clever Choice Comfort EZ Pen Needles 31GX5MM Easy Touch Lancets 32G/Pull-top

Clever Choice Comfort EZ Pen Needles 31GX6MM Easy Touch Lancets 32G/Twist

Clever Choice Comfort EZ Pen Needles 31GX8MM Easy Touch Lancets 33G/Twist

Clever Choice Comfort EZ Pen Needles 32GX4MM Easy Touch Pen Needles 29GX1/2"




Clever Choice Comfort EZ Pen Needles 33GX6MM Easy Touch Pen Needles/31G X 3/16"

Clever Choice Comfort EZ Pen Needles 33GX8MM Easy Touch Safety Lancets21G/Pressure Activated

Coaguchek Lancets Easy Touch Safety Lancets23G/Pressure Activated

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2" Easy Touch Safety Lancets26G/Button Activated

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16" Easy Touch Safety Lancets26G/Pressure Activated

Comfort Assist Insulin Syringe/0.3ML/31G X 5/16" Easy Touch Safety Lancets28G/Button Activated

Comfort Assist Insulin Syringe/0.5ML/29G X 1/2" Easy Touch Safety Lancets28G/Pressure Activated

Comfort Assist Insulin Syringe/0.5ML/30G X 5/16" Easy Twist & CAP Lancets

Comfort Assist Insulin Syringe/0.5ML/31G X 5/16" Easytest II Lancets

Comfort Assist Insulin Syringe/1ML/29G X 1/2" Easytest Lancets

Comfort Assist Insulin Syringe/1ML/30G X 5/16" Embrace Lancets Ultra Thin 30G

Comfort Assist Insulin Syringe/1ML/31G X 5/16" Eql SHORT Pen Needles 31G X 8MM

Comfort Lancets Eql Ultra SHORT Pen Needles 31G X 6MM

Diastar Easy Test II Lancets 30G Excel Comfort Point Insulin Pen Needles 31G X 4MM

Diastar Easy Test Lancets30G Exel Comfort Point Insulin Pen Needles 29G X 12MM

Droplet Lancets Ultra Thin 30G Exel Comfort Point Insulin Pen Needles 31G X 6MM

Drug Mart On-the-go Lancets Gentle 30G Exel Comfort Point Insulin Pen Needles 31G X 8MM

Drug Mart Unilet Lancets Super Thin 30G Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"

Drug Mart Unilet Lancets Ultra Thin 28G Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"

Duane Reade Unifine Pentips 29G X 12MM Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"

Duane Reade Unifine Pentips 31G X 8MM SHORT Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"

E-z Ject Lancets Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"

E-z Ject Lancets Color Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"

E-z Ject Lancets Super Thin Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"

E-z Ject Lancets Super Thin 30G EZ Smart Blood Glucose Lancets

E-z Ject Lancets Thin 26G EZ-lets Lancets 21G

E-z Ject Lancets 21G EZ-lets Lancets 23G

E-ZJECT Lancets Micro-thin 33G EZ-lets Lancets 26G Super-soft

EZ-lets Lancets 28G Ultra-soft


36

EZ-lets Lancets 30G Insulin Syringe/0.5ML/28G X 1/2"

Fifty50 Pen Needles 31G X3/16" (5MM) Insulin Syringe/0.5ML/29G X 1/2"

Fifty50 Pen Needles 31G X5/16" (8MM) Insulin Syringe/0.5ML/30G X 1/2"

Fifty50 Safety Seal Lancets 30G Insulin Syringe/0.5ML/30G X 5/16"

Fifty50 Safety Seal Lancets 32G Insulin Syringe/0.5ML/31G X 5/16"

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"

Insulin Syringe/1ML/28G X 1/2"


Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"



Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"

Insupen Sensitive 32GX8MM

Fine 30

Insupen Ultrafin 29GX12MM

Fingerstix Lancets


Fora Lancets


Freestyle Lancets


Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"

IN Touch Sterile Lancets 30G

Lancet Transporter Case

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"

Lancets

Lancets Bullseye Safety

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"

Lancets Safety Seal 21G

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"



Freestyle Unistick II Lancets


Gentle-let GP Lancets

Lancets Thin

Gentle-let Lancets General Purpose Style/Fine Point

Lancets Twist Top

Gentle-let Lancets General Purpose Style/Medium Point

Lancets Ultra Fine

Gentle-let Lancets Safety Style/Fine Point

Lancets Ultra Thin

Gentle-let Lancets Safety Style/Medium Point

Lancets 26G Twist Top

Gentle-let Platforms 2.4MM

Lancets 28G

Gentle-let Platforms 3.0MM

Lancets 30G

Glucocom Lancets 28G



Lancets 30G/Twist Top



Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"

Lancets 33G Universal Design


Leader Unifine Pentips Plus/Mini/31GX3/16"


Leader Unifine Pentips Plus/SHORT/31GX5/16"


Leader Unifine Pentips/Mini/31GX3/16"


Leader Unifine Pentips/Nano/32GX5/32"


Leader Unifine Pentips/Plus/32GX5/32"

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"

Liberty Medical Lancets 30G


Lifescan Unistik II Lancets


Lifescan Unistik 2 Deep Penetration

Glucosource Lancets

Lite Touch Pen Needles/31G X 3/16"

Gmate Lancets 30G

Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"

H&h Thinlet Lancets 26G

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"

H&h Thinlet Super Thin Lancets 30G

Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"

H-e-b Incontrol Pen Needles 29GX12MM


H-e-b IN Control Pen Needles 31GX6MM


H-e-b IN Control Pen Needles 31GX8MM

Litetouch Insulin Syringe/0.3ML/29G X 1/2"

Haemolance


Haemolance Low Flow Lancets


Haemolance Plus


Haemolance Plus High Flow


Haemolance Plus Low Flow

Litetouch Insulin Syringe/1ML/30G X 5/16"

Haemolance Plus Max Flow

Litetouch Lancets Micro Thin 33G

Haemolance Plus Pediatric Flow

Litetouch Pen Needles 29GX12.7MM

Healthwise Mini Pen Needles 31GX6MM

Litetouch Pen Needles 31G X 6MM

Healthwise Pen Needles 29GX12MM

Litetouch Pen Needles 31GX8MM SHORT

Healthwise SHORT Pen Needles 31GX8MM

Live Better Lancet Super Thin 30G

Hy-vee Lancets

Live Better Lancet Ultra Thin 28G

Insulin Syringe/U-100/0.3ML/29G X 1/2"

Live Better Pen Needles 29G X 12MM





Insulin Syringe/U-100/1ML/28G X 1/2"

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2"







Insulin Syringe/0.3ML/29G X 1/2"

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2"

Insulin Syringe/0.3ML/29G X 1"

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"


Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"


Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"



37

Medisense Thin Lancets Onetouch Combo Pack

Medlance Plus Extra Lancets 21G Onetouch Delica Lancets Extra Fine 33G

Medlance Plus Lancets Onetouch Delica Lancets Fine 30G

Medlance Plus Lancets Lite 25G Onetouch Finepoint Lancets

Medlance Plus Lite Lancets 25G Onetouch Lancets

Medlance Plus Special Lancets 0.8MM Onetouch Suresoft Lancing Device/18G

Medlance Plus Superlite 30G Onetouch Suresoft Lancing Device/21G

Medlance Plus Superlite 30G/Comfort Max Onetouch Suresoft Lancing Device/28G

Medlance Plus Universal Lancets 21G Onetouch Ultra Blue

Medlance Plus/Lite 25G Onetouch Ultra Mini

Medlance/Extra Onetouch Ultra System Kit

Medlance/Lite Onetouch Ultra 2

Medlance/Universal Onetouch Ultralink System (hex)

Meijer Super Thin Lancets Onetouch Ultralink System (DEC)

Microlet Lancets Onetouch Ultrasmart

Microtainer Safety Flow Lancet/Sterile/Single-use Onetouch Ultrasoft Lancets

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML Onetouch Verio

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8" Onetouch Verio IQ Blood Glucose Monitoring System

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2" Onetouch Verio Sync Bloodglucose Monitoring System

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"

Onetouch Verio Test Strips

Pen Needles 29G X 12MM

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"

Pen Needles 29GX1/2"

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"


Pen Needles 31G X 1/4" SHORT

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"

Pen Needles 31G X 3/16"

Pen Needles 31G X 6MM

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"


Penlet II Replacement CAPS

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"

Penlet II Replacement CAPS-deep

Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"

Penlet II Replacement CAPS-regular

Pentips 31GX5MM

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"

Pentips 31GX8MM

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"

Pentips 32GX4MM


Perfect Lancets 30G


Perfect Pressure Activated Safety Lancets 28G

Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Pharmacist Choice Ultra Thin Lancets

Monoject Insulin Syringe/U-100/1ML/30G X 5/16"

Pharmacist Choice Ultra Thin Lancets 28G

Monoject Insulin Syringe/1ML


Monoject Insulin Syringe/1ML/31G X 5/16"


Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"



Pharmacy Counter Lancets


Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"








Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"

Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"

Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"

Monojector End CAPS Precision Thin Lancets

Monojector Opd End CAPS Precision Thins GP Lancet

Monolet Lancets Precision Ultra Lancet

Monolet Opd Lancets Preferred Plus Unifine Pentips 29G X 12MM

Monolettor Safety Lancets Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Preferred Plus Unifine Pentips 31G X 8MM SHORT

Prodigy Insulin Mini Pen Needles/31G X 3/16"

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Prodigy Insulin Pen Needles/29G X 1/2"

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Prodigy Insulin Syringe/1/2ML/31G X 5/16"

Prodigy Insulin Syringe/1ML/28G X 1/2"

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Prodigy Insulin SHORT Penneedles/31G X 5/16"

Prodigy Pressure Activated Safety Lancets

Myglucohealth Mgh Softlance Lancets 30G

Prodigy Safety Lancets

Netgroup Lancets

Prodigy Twist Top Lancets

Nova Safety Lancets 23G

Pss Select GP Lancets

Nova Safety Lancets 28G

Pss Select Platforms

Nova Sureflex Lancets

Pss Select Safety Lancets

Novofine Plus 32GX4MM

Px Lancets Ultra Thin

On Call Lancets

PC Unifine Pentips 29G X 1/2"

On Call Plus Lancets

PC Unifine Pentips 31G X 6MM Ultra SHORT

Onetouch Club Lancets Fine Point

PC Unifine Pentips 31G X 8MM SHORT


38

Qc Lancets Super Thin Solus V2 Pressure Activated Safety Lancets 28G

Qc Lancets Ultra Thin Solus V2 Twist Lancets 30G

Qc Pen Needles 29G X 12MM Sterilance PA

Qc Pen Needles 31G X 6MM Sterilance TL

Qc Pen Needles 31G X 8MM Sure-fine Pen Needles 29GX1/2" 12.7MM

Relion Insulin Syringe/U -100/0.5ML/29G Sure-fine Pen Needles 31GX3/16" 5MM

Relion Insulin Syringe/U-00/1ML/29G X 1/2" Sure-fine Pen Needles 31GX5/16" 8MM

Relion Insulin Syringe/U-100/0.3ML/29G Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16"






Relion Insulin Syringe/U-100/0.5ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"

Relion Insulin Syringe/U-100/0.5ML/31G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"

Relion Insulin Syringe/U-100/1ML/30G Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16"

Relion Insulin Syringe/U-100/1ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16"

Relion Insulin Syringe/U-100/1ML/31G X 5/16" Sure-lance Flat Lancets

Relion Lancets Micro-thin33G Sure-lance Lancets 26G

Relion Lancets Standard 21G Sure-lance Thin Lancets 28G

Relion Lancets Thin 26G Sure-lance Ultra Thin Lancets

Relion Lancets Ultra-thin30G Sure-touch Lancets Universal

Relion Mini Pen Needles 31GX6MM Surelite Lancets

Relion Pen Needles 29GX12MM Techlite AST Lancets

Relion Pen Needles 31GX8MM Techlite Lancets

Relion Pen Needles 32GX4MM Techlite Lancets 30G

Relion SHORT Pen Needles 31GX8MM Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2"

Relion Thin Lancets Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2"

Relion Ultra Thin Lancets Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2"

Relion Ultra Thin Lancets30G Terumo Insulin Syringe/U-100/1ML/28G X 1/2"

Relion Ultra Thin Plus Lancets 32G Terumo Insulin Syringe/0.3ML/30G X 3/8"

Relion Ultra Thin Plus Lancets 33G Terumo Insulin Syringe/0.5ML/29G X 1/2"

Renew Advanced Lancing Cartridge Refills Terumo Insulin Syringe/0.5ML/30G X 3/8"

Rexall Lancets Ultra Thin Terumo Insulin Syringe/1ML/27G X 1/2"

Rightest Gl300 Lancets Terumo Insulin Syringe/1ML/29G X 1/2"

Rightest GD-L500 Alternate Site Adapter Terumo Insulin Syringe/1ML/30G X 3/8"

Safe-t-lance Low Flow 25G Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2"

Safe-t-lance Normal Flow 21G Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2"

Safe-t-lance Plus Safety Lancet High Flow Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2"

Safe-t-lance Plus Safety Lancet Low Flow Terumo Surguard Insulin Syringe/1ML/28G X 1/2"

Safe-t-lance Plus Safety Lancet Normal Flow Terumo Surguard Insulin Syringe/1ML/29G X 1/2"

Safesnap Insulin Syringe/0.3ML/30G X 5/16" Thinlets GP Lancets

Safesnap Insulin Syringe/0.5ML/29G X 1/2" Thinlets Lancet

Safesnap Insulin Syringe/0.5ML/30G X 5/16" Thinpro Insulin Syringe/0.3ML/29G X 1/2"

Safesnap Insulin Syringe/1ML/28G X 1/2" Thinpro Insulin Syringe/0.3ML/30G X 3/8"

Safesnap Insulin Syringe/1ML/29G X 1/2" Thinpro Insulin Syringe/0.3ML/31G X 3/8"

Safety Lancet 21G/Pressure Activated Thinpro Insulin Syringe/0.5ML/28G X 1/2"

Safety Lancet 28G/Pressure Activated Thinpro Insulin Syringe/0.5ML/29G X 1/2"

Safety Lancets Thinpro Insulin Syringe/0.5ML/30G X 3/8"

Safety Lancets 21G Thinpro Insulin Syringe/0.5ML/31G X 3/8"

Safety Lancets 28G Thinpro Insulin Syringe/1ML/28G X 1/2"

Safety Let Lancets Thinpro Insulin Syringe/1ML/29G X 1/2"

Safety Seal Lancets 28G Thinpro Insulin Syringe/1ML/30G X 3/8"

Safety Seal Lancets 30G Thinpro Insulin Syringe/1ML/31G X 3/8"

Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"

Shopko On-the-go Comfort Lancets 30G Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16"

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16"

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"

Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"

Shopko Unilet Lancets Super Thin 30G Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"

Shopko Unilet Lancets Ultra Thin 28G Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"

Single-let Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"

Smart Diabetes Vantage Universal Lancets 30G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"

Smart Sense Color Lancets Universal 33G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"

Smart Sense Standard Lancets Universal 21G Trueplus Lancets 26G

Smart Sense Super Thin Lancets Universal 30G Trueplus Lancets 28G

Smart Sense Thin Lancets Universal 26G Trueplus Lancets 28G Super Thin

Smartest Lancets 28G Trueplus Lancets 30G


39

Trueplus Lancets 30G Ultra Thin Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"

Trueplus Lancets 33G

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"

Trueplus Lancets 33G Micro Thin

Trueplus Safety Lancets 28G


Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"

Ulticare Insulin Safety Syringe/1ML/29G X 1/2"


Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"

Ulticare Insulin Syringe 1CC/28G U-100 1/2"

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"

Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"


Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"


Ultra-thin II Lancets 28G


Ultra-thin II Lancets 30G

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"

Ultra-thin II Mini Pen Neeedles/31GX3/16"

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"

Ultra-thin II Pen Needles 29GX1/2"

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultra-thin II Pen Needles/SHORT/31GX5/16"


Ultra-thin II Safety Autolancets 26G


Ultralance


Unifine Pentips Plus 29GX12MM








Unifine Pentips 29GX12MM

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"

Unifine Pentips 31G X 3/16"


Unifine Pentips 31G X 6MM


Unifine Pentips 31G X 8MM



Ulticare Insulin Syringe/0.3ML/29G X 1/2"







Unilet Comfortouch Lancet


Unilet Excelite


Unilet Excelite II


Unilet G.p. Lancet

Ulticare Insulin Syringe/1ML/28G X 1/2"

Unilet G.p. Superlite Lancet


Unilet GP 28 Ultra Thin


Unilet Lancet


Unilet Lancets Micro-thin33G

Ulticare Micro Pen Needles/32G X 4MM

Unilet Lancets Super-thin30G

Ulticare Mini Pen Needles Ulti-fine IV

Unilet Lancets Ultra-thin 28G

Ulticare Mini Pen Needles 31GX6MM

Unilet Superlite Lancet

Ulticare Mini Pen Needles/31G X 6MM

Unistik CZT Comfort

Ulticare Mini Pen Needles31GX6MM

Unistik CZT Normal

Ulticare Original Pen Needles Ulti-fine

Unistik Safety Lancets 28G

Ulticare Pen Needles/29G X 12.7MM

Unistik Safety Lancets 30G

Ulticare SHORT Pen Needles Ulti-fine IV

Unistik Touch Safety Lancets 21G

Ulticare SHORT Pen Needles 31GX8MM


Ulticare SHORT Pen Needles/31G X 8MM


Ulticare Thin Lancets 30G


Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2"

Unistik 1


Unistik 2


Unistik 2 Comfort


Unistik 2 Extra

Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2"

Unistik 2 Neonatal

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"

Unistik 2 Normal

Ultilet Classic Lancets

Unistik 2 Super

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Unistik 3


Unistik 3 Comfort


Unistik 3 Extra


Unistik 3 Gentle

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"

Unistik 3 Neonatal

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"

Unistik 3 Normal

Ultilet Lancets

Universal 1 Lancets Thin 26G

Ultilet Lancets 33G

Universal 1 Lancets Ultra Thin 30G

Ultilet Pen Needle 32GX4MM/SHORT

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultilet Safety Lancets 23G


Ultilet SHORT Pen Needles 31GX5/16"


Ultilet SHORT Pen Needles31GX3/16"

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Ultra-thin II Auto Lancet

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"


40

Valumark Lancet Super Thin 30G Inspirease Reservoir Bags

Valumark Lancet Ultra Thin 28G Liteaire

Valumark Pen Needles 29GX12MM Mask Vortex/Baby Whirl Duckling

Valumark Pen Needles 31G X 6MM Mask Vortex/Child/Frog

Valumark Pen Needles 31G X 8MM Mask Vortex/Spinner The Duck

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2" Mask Vortex/Toddler/Lady Bug

Vanishpoint Insulin Syringe/1ML/29G X 1/2" Microchamber

Vida Mia Unifine Pentips Mini 31GX6MM Microspacer

Vida Mia Unifine Pentips Original 29GX12MM Nessi Spacer/Large Mask

Vida Mia Unifine Pentips 32GX4MM Nessi Spacer/Mouthpiece

Vida Mia Unilet Lancets Super Thin 30G Nessi Spacer/Small/MED Mask

Vida Mia Unilet Lancets Ultra Thin 28G Optichamber Advantage

Vida Mia Unipfine Pentipsshort 31GX8MM Optichamber Diamond

Vitalet Pro Lancets Optichamber Diamond/Largeface Mask

Vitalet Pro Plus Lancets Optichamber Diamond/Medium Face Mask

W&f Lancets Colored 21G Optichamber Diamond/Smallface Mask

W&f Lancets 26G Optihaler

Walgreens Lancets Optihaler MDI Drug Delivery System

Walgreens Thin Lancets Panda Mask Large

Walgreens Ultra Thin Lancets Panda Mask Medium

1ST Choice Lancets Super Thin Panda Mask Small

1ST Choice Lancets Thin Pediatric Panda Mask

1ST Choice Lancets Ultra Thin Pocket Chamber

1ST Tier Unifine Pentips 29GX12MM Pocket Spacer

1ST Tier Unifine Pentips 31GX6MM Riteflo

1ST Tier Unifine Pentips 31GX8MM Vortex Valved Holding Chamber

Watchhaler

MEDICAL DEVICES - MISC

MISCELLANEOUS

PREFERRED

Aerochamber Mini Aerosol Chamber

Aerochamber MV

NON PREFERRED

Aerochamber Plus Flow VU

Chemet

Aerochamber Plus Flow-VU

Exjade

Aerochamber Plus Flow-VU/Large Mask

Ferriprox

Aerochamber Plus Flow-VU/Mask

Jadenu

Aerochamber Plus Flow-VU/Medium Mask

Pentetate Calcium Trisodium

Aerochamber Plus Flow-VU/Small Mask

Pentetate Zinc Trisodium

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU

Aerochamber Z-stat Plus/Flowsignal

Aerochamber Z-stat Plus/Large Mask

Aerochamber Z-stat Plus/Medium Mask

Aerochamber Z-stat Plus/Small Mask

Aerochamber/Flowsignal

Aerovent Plus Holding Chamber/Collapsible

Arial Chamber

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Effective January 1, 2016 v.5 All Optum

TM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

41

Index

A

Aczone, 10 41

Adacel, 32 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 41

A.a.g.c. Kit IN Teroderm, 11

Adalat CC, 7

abacavir, 3

adapalene, 10 Aerochamber Z-stat Plus/Flowsignal, 41

abacavir sulfate/lamivudine/zidovudine, 3

Adapalene, 10 Aerochamber Z-stat Plus/Large Mask, 41

Abaneu-SL, 21

adapalene P.M., 10 Aerochamber Z-stat Plus/Medium Mask, 41

Abelcet, 2

Adasuve, 24

Abilify, 24

Adcetris, 5 Aerochamber Z-stat Plus/Small Mask, 41

Abilify Discmelt, 24

Adcirca, 10 Aerochamber/Flowsignal, 41

Abilify Maintena, 24

Adderall, 2 Aerospan, 32

Abraxane, 6

Adderall XR, 2 Aerovent Plus Holding Chamber/Collapsible, 41

Absorica, 10

adefovir dipivoxil, 3

acamprosate calcium DR, 3

Adempas, 10 AF Lancets Super Thin, 35

Acanya, 10

Adenocard, 8 Afinitor, 6

acarbose, 16

adenosine, 8 Afinitor Disperz, 6

Accolate, 32

Adoxa, 2 Afluria 2012-2013, 33

Accu-chek Safe-t-pro Lancets, 35

Adoxa PAK 1/100, 2 Afluria 2013-2014, 33

Accu-chek Safe-t-pro Pluslancets, 35


Accu-chek Soft Touch Lancets, 35


Accu-chek Softclix Lancets, 35

Adrenal C Formula, 34 Afluria PF 2012-2013, 33

Accupril, 8

Adrenalin, 9, 31 Afluria PF 2013-2014, 33

Accuretic, 9

Adriamycin, 4 Afluria PF 2014-2015, 33

acebutolol HCL, 7

Advair Diskus, 32 Afluria PF 2015-2016, 33

Aceon, 8

Advair HFA, 32 Afrezza, 16

acetaminophen/caffeine/dihydrocodeine, 29

Advanced Allergy Collection Kit, 12 Agamatrix Ultra-thin Lancets 33G, 35

Advate, 22 Aggrastat, 22

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 29

Advicor, 10 Aggrenox, 22

Advocate Insulin Pen Needles 29GX12.7MM, 35

Agrylin, 22

acetaminophen/codeine, 29

Akne-mycin, 10

acetaminophen/codeine #2, 29

Advocate Insulin Pen Needles 31GX5MM, 35

Akten, 28


Akynzeo, 19


Advocate Insulin Pen Needles 31GX8MM, 35

Ala Scalp, 12

acetaminophen/codeine phosphate, 29

Ala-quin, 11

acetazolamide, 9

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 35

Albafort, 21, 34

Acetazolamide, 9

Albenza, 4

acetazolamide ER, 9


albuterol, 32

acetazolamide sodium, 9

albuterol sulfate, 32

acetic acid, 28


albuterol sulfate ER, 32

Acetic Acid/Aluminum Acetate, 28

albuterol TAB 4MG, 32

acetylcysteine, 31


Alcaine, 28

Aciphex, 18

alclometasone dipropionate, 12

Aciphex Sprinkle, 18


Aldactazide, 9

acitretin, 12

Aldactone, 9

Aclovate, 12


Aldara, 13

Actemra, 30

Aldurazyme, 18

Acthib, 33

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 35

alendronate sodium, 16

Acticlate, 2

Alendronate Sodium, 16

Actigall, 19


Alevicyn Antipruritic SG, 13

Actimmune, 6

Alfenta, 29

Actiq, 29


alfentanil, 29

Activase, 22

Alferon N, 6

Active 1ST Blood Lancets 30G/Easy Twist CAP, 35

Advocate Lancets, 35 alfuzosin HCL ER, 20

Advocate Lancets 30G, 35 Alimta, 5

Activella, 15

Advocate Safety Lancets, 35 Alinia, 4

Actonel, 16

Advocate Safety Lancets 26G, 35 Alkeran, 4

Actoplus Met, 16

Aerochamber Mini Aerosol Chamber, 41 Allegra Allergy Childrens, 31

Actoplus Met XR, 16

Aerochamber MV, 41 Allo-pax, 11

Actos, 16

Aerochamber Plus Flow VU, 41 allopurinol, 31

Acuicyn Daily Eyelid & Eyelash Cleanser, 13

Aerochamber Plus Flow-VU, 41 almotriptan malate, 30

Aerochamber Plus Flow-VU/Large Mask, 41

Alocril, 28

Acular, 28

Alodox Convenience Kit, 2

Acular LS, 28

Aerochamber Plus Flow-VU/Mask, 41 Alomide, 28

Acuvail, 28

Aerochamber Plus Flow-VU/Medium Mask, 41

Aloprim, 31

acyclovir, 3, 11

Alora, 15

acyclovir sodium, 3

Aerochamber Plus Flow-VU/Small Mask, alosetron hydrochloride, 19

Acyclovir Sodium, 3

Aloxi, 19

Analpram Advanced, 19 Articadent Dental, 31

Alphagan P, 28

Analpram-HC, 19 Artiss, 21

Alphanate/Von Willebrand Factor Complex/Human, 22

Analpram-HC Singles, 19 Arzerra, 5

Anaprox, 30 ascorbic acid, 33

Alphanine SD, 22

Anaprox DS, 30 Aspirin-caffeine-dihydrocodeine, 29

alprazolam, 22

Anaspaz, 18 Aspirin/Dipyridamole, 22

alprazolam ER, 22

anastrozole, 5 Assure Haemolance Plus High Flow 18G, 35

Alprazolam Intensol, 1

Ancef, 1

alprazolam odt, 22

Ancobon, 2 Assure Haemolance Plus Low Flow 25G, 35

Alrex, 5

Androderm, 15

Alsuma, 30

Androgel, 15 Assure Haemolance Plus Micro Flow 28G, 35

Altabax, 11

Androgel P.M., 15

Altace, 8

Android, 15 Assure Haemolance Plus Normal Flow 21G, 35

Aluvea, 13

Androxy, 15

amantadine HCL, 3

Anectine, 4 Assure Haemolance Plus Pediatric Blade, 35

Amantadine HCL, 3

Angeliq, 15

Amaryl, 16

Angiomax, 21 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 35

Ambien, 2

Animi-3, 21

Ambien CR, 2

Animi-3/Vitamin D, 21 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 35

Ambisome, 2

Anoro Ellipta, 32

Amcinonide, 12

Antabuse, 26 Assure Lance Lancets, 35

Amerge, 30

Antara, 10 Assure Lance Lancets 21G, 35

Amicar, 21

Anthralin, 12 Assure Lance Plus Safety Lancets 25G, 35

amifostine, 6

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 35

amikacin sulfate, 2

Assure Lance Plus Safety Lancets 30G, 35

amiloride HCL, 9

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 35

amiloride/hydrochlorothiazide, 9

Assure Lancets, 35

aminocaproic acid, 21

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 35

Astagraf XL, 5

Aminocaproic Acid, 21

Astelin, 31

aminophylline, 32

antipyrine/benzocaine, 28 Astepro, 31

amiodarone HCL, 8

Antipyrine/Benzocaine, 28 Astringyn, 21

Amiodarone HCL, 8

Anusol-HC, 19 AT Last Lancets, 35

Amitiza, 19

Anzemet, 19 Atabex EC, 33

amitriptyline HCL, 23

Aplenzin, 23 Atabex Prenatal, 33

amlodipine besylate, 7

Apokyn, 3 Atacand, 8

amlodipine besylate/atorvastatin calcium, 10

Appbutamone, 23 Atacand HCT, 9

Appbutamone-d, 23 Atelvia, 16

amlodipine besylate/benazepril HCL, 8

Appformin, 16 atenolol, 7

amlodipine besylate/benazepril hydrochloride, 8

Appformin-d, 16 atenolol/chlorthalidone, 8

apraclonidine, 28 Atgam, 5

amlodipine besylate/valsartan, 8

Aptensio XR, 2 Ativan, 23

amlodipine/valsartan/hctz, 8

Aptiom, 3 Atopiclair, 13

ammonium lactate, 13

Aptivus, 3 atorvastatin calcium, 9

Ammonul, 18

Aquasol A Parenteral, 33 atovaquone, 4

Amoxapine, 23

Aquoral, 22 atovaquone/proguanil HCL, 3

amoxicillin, 1

Aralast NP, 32 atracurium besylate, 26

Amoxicillin, 1

Aralen, 3 Atralin, 10

Amoxicillin ER, 1

Arava, 30 Atripla, 3

amoxicillin/clavulanate potassium, 1

Arcalyst, 30 Atropen, 18

Amoxicillin/Clavulanate Potassium, 1

Arcapta Neohaler, 32 atropine sulfate, 5, 18

amoxicillin/clavulanate potassium ER, 1

argatroban, 21 Atropine Sulfate, 5, 18

amphetamine/dextroamphetamine, 2

Argatroban, 21 Atrovent, 31

Amphotec, 2

Arial Chamber, 41 Atrovent HFA, 32

Amphotericin B, 2

Aricept, 26 Aubagio, 26

ampicillin, 1

Aricept Odt, 26 augmented betamethasone dipropionate, 12

Ampicillin, 1

Arimidex, 5

ampicillin sodium, 1

aripiprazole, 23 Augmentin, 1

Ampicillin Sodium, 1

Aripiprazole Odt, 23 Augmentin ES-600, 1

ampicillin-sulbactam, 1

Aristospan Intra-articular, 14 Augmentin XR, 1

Ampicillin-sulbactam, 1

Aristospan Intralesional, 14 Auralgan, 28

Ampyra, 26

Arixtra, 21 Aurora Lancet Super Thin 30G, 35

Amrix, 4

Armour Thyroid, 18 Aurora Lancet Thin 23G, 35

Amturnide, 9

Arnica Flower, 13 Aurora Pen Needles 29GX12MM, 35

Amytal Sodium, 2

Arnuity Ellipta, 32 Aurora Pen Needles 31G X 6MM, 35

Anacaine, 13

Aromasin, 5 Aurora Pen Needles 31G X 8MM, 35

Anadrol-50, 15

Arranon, 5 Aurstat Anti-itch Hydrogel, 13

Anafranil, 23

Arthrotec 50, 30 Aurstat Anti-itch Hydrogel Kit, 13

anagrelide hydrochloride, 22

Arthrotec 75, 30 Auryxia, 19

Autolet Platforms, 35

Bal-care DHA, 33 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 35

Avalide, 9

Bal-care DHA Essential, 33

Avandamet, 16

balsalazide disodium, 19 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 35

Avandaryl, 16

Banzel, 3

Avandia, 16

Baraclude, 3 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35

Avapro, 8

Bayer Microlet Lancets, 35

Avar, 10

Bcg Vaccine, 33 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35

Avar LS, 10

BD Autoshield 29G X 3/16", 35

Avar LS Cleanser, 10

BD Autoshield 29G X 5/16", 35 BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 35

Avar-e LS, 10

BD Autoshield Duo 30G X 3/16", 35

Avastin, 5

BD Insulin Syringe LUER-LOK/U-100/1ML, 35

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 35

Avc, 20

Aveed, 15

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35

Avelox, 2

Avelox Abc Pack, 2

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35

Avenova, 13

Avenova With Neutrox, 13

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35

Avidoxy DK, 2

Avinza, 29

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35

Avodart, 20

Avonex, 26

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35

BD Insulin Syringe/U-100/1ML/27G X 1/2", 35

Avonex Pen, 26

Avycaz, 4

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 35


Axert, 30

Axid, 19

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35

Aygestin, 15

azacitidine, 5

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35


Azactam, 4

Azactam IN Iso-osmotic Dextrose, 4

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 35

Azasan, 5

Azasite, 5

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 35

azathioprine, 5

azelastine HCL, 28, 31

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 35

BD Lancet Ultrafine 30G, 35

Azelex, 10

BD Lancet Ultrafine 33G, 35

Azilect, 3

BD Insulin Syringe Slip Tip/U-100/1ML, 35

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35

azithromycin, 1

Azithromycin, 1

BD Insulin Syringe U-40/1ML/25G X 5/8", 35

BD Microtainer Lancets, 35

Azopt, 28

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35

Azor, 9

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 35

aztreonam, 4

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35

Azulfidine, 19

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 35

Azulfidine EN-TABS, 19

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35

B

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 35

BD Pen Needle/Ultrafine/29G X 12.7MM, 35

B-6 Folic Acid, 21

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35

b-complex 100, 33

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 35


BD Pen Needles SHORT/Ultrafine/31G X 5/16", 35

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 35


BD Pudendal/Local Block Tray 1% Lidocaine, 31

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 35


BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 35

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 35

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 35

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 35

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 35

BD-insul SYR Mis LO Dose, 35

bacitracin, 4


Bebulin, 22

Bacitracin, 4, 5

Beconase AQ, 31

bacitracin/polymyxin b, 27


Belbuca, 29

Baclofen, 11

Beleodaq, 6

baclofen, 4


Belladonna & Opium, 19

Bacmin, 34

Belladonna Alkaloids & Opium, 19

Bactocill IN Dextrose, 1


Belsomra, 2

Bactrim, 4

benazepril HCL, 8

Bactrim DS, 4


benazepril HCL/hydrochlorothiazide, 8

Bactroban, 11

Benefix, 22

Bactroban Nasal, 31

Benicar, 8

Bloxiverz, 4 C

Benicar HCT, 9

Boniva, 16

cabergoline, 17

Bentyl, 19

Boostrix, 32

Caduet, 10

Benzac Ac Wash, 10

Boric Acid, 13

Cafcit, 2

Benzac W Wash, 10

Bosulif, 6

Cafergot, 30

Benzaclin, 10

Botox, 26

caffeine citrate, 2

Benzaclin With P.M., 10

Bravelle, 17

Caffeine/Sodium Benzoate, 2

Benzamycin, 10

Breatherite, 41

Calan, 7

Benzamycinpak, 10

Breatherite Collapsible Adult Spacer W/Mask, 41

Calan SR, 7

Benzefoam, 10

calcipotriene, 12

Benzefoamultra, 10

Breatherite Collapsible Child Spacer W/Mask, 41

calcipotriene/betamethasone dipropionate, 12

Benziq, 10

Benziq LS, 10

Breatherite Collapsible Infant Spacer W/Mask, 41

calcitonin salmon, 17

Benzodox 30 Kit, 2

calcitonin-salmon, 17

Benzodox 60 Kit, 2

Breatherite Collapsible Small Child Spacer W/Mask, 41

Calcitriol, 12

Benzoin Compound Tincture, 13

calcitriol, 17

Benzoin Tincture, 13

Breatherite Collapsible Spacer W/ Neonate Mask, 41

calcium acetate, 19

benzonatate, 31

Calcium Carbonate, 18

benzoyl peroxide, 10

Breatherite Rigid Spacer W/Mask, 41

Calcium Folinate, 6

benzoyl peroxide SHORT contact, 10

Breatherite W/Large Mask, 41

Caldolor, 30

benztropine mesylate, 3

Breatherite W/Medium Mask, 41

Cambia, 30

Bepreve, 28

Breatherite W/Small Mask, 41

Campral, 26

Berinert, 22

Breo Ellipta, 32

Camptosar, 6

Besivance, 5

Brevibloc, 7

Canasa, 19

Beta Inject Kit, 14

Brevicon-28, 15

Cancidas, 2

Betadine Ophthalmic Prep, 5

Brilinta, 22

candesartan cilexetil, 8

Betagan, 5

brimonidine tartrate, 28

candesartan cilexetil/hydrochlorothiazide, 8

Betalido, 14

Brintellix, 23

betamethasone dipropionate, 12

Brisdelle, 26

Cantil, 19

betamethasone sodium phosphate/betamethasone acetate, 14

bromfenac, 28

Capastat Sulfate, 2

Bromfenac, 28

capecitabine, 5

Betamethasone SP, 14

bromocriptine mesylate, 3

Capex, 12

betamethasone valerate, 12

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31

Caphosol, 22

Betapace, 7

Capital/Codeine, 29

Betapace AF, 7

Brompheniramine, 31

Caprelsa, 6

betaxolol HCL, 5, 7

Brompheniramine Tannate, 31

captopril, 8

bethanechol chloride, 20

Brovana, 32

Captopril/Hydrochlorothiazide, 9

Bethkis, 2

budesonide, 14, 31, 32

Carafate, 18

Betimol, 5

Bullseye Safety Lancets, 35

Carbaglu, 18

Betoptic-s, 5

bumetanide, 9

carbamazepine, 2

bexarotene, 6

Bumex, 9

carbamazepine ER, 2

Bexsero, 33

Bunavail, 29

Carbaphen 12, 32

Bexxar, 5

Bupap, 28

Carbaphen 12 PED, 32

Bexxar 131 Iodine, 6

Buphenyl, 18

Carbatrol, 3

Beyaz, 15

bupivacaine HCL, 31

carbidopa, 3

Biaxin, 1

bupivacaine/epinephrine, 31

carbidopa/levodopa, 3

Biaxin XL, 1

Buprenex, 29

carbidopa/levodopa ER, 3

Biaxin XL PAC, 1

buprenorphine HCL, 29

carbidopa/levodopa odt, 3

bicalutamide, 5

buprenorphine HCL/naloxone HCL, 29

Carbidopa/Levodopa/Entacapone, 3

Bicillin C-R, 1

bupropion HCL, 23

carbinoxamine maleate, 31

Bicillin L-a, 1

bupropion HCL ER, 23

Carbocaine, 31

Bicnu, 4

bupropion HCL SR, 23

carboplatin, 4

Bidil, 10

bupropion HCL XL, 23

Cardene I.v., 7

Biest/Progesterone, 15

buspirone HCL, 1

Cardene IV, 7

Biferarx, 21

Busulfex, 4

Cardene SR, 7

Biltricide, 3

butalbital/acetaminophen, 28

Cardizem, 7

Bimatoprost, 5

butalbital/acetaminophen/caffeine, 28

Cardizem CD, 7

Binosto, 16

butalbital/acetaminophen/caffeine/codeine, 29

Cardizem LA, 7

Biothrax, 33

Cardura, 8

bisoprolol fumarate, 7

butalbital/aspirin/caffeine, 28

Cardura XL, 20

bisoprolol fumarate/hydrochlorothiazide, 8

butalbital/aspirin/caffeine/codeine, 29

Carefine Pen Needle 32GX4MM, 35

Butisol Sodium, 2

Carefine Pen Needles 29GX1/2", 35

bivalirudin, 21

butorphanol tartrate, 29

Carefine Pen Needles 30GX5/16", 36

bleomycin sulfate, 4

Butrans, 29

Carefine Pen Needles 31GX6MM, 36

Bleph-10, 5

Bydureon, 16

Carefine Pen Needles 31GX8MM, 36

Blephamide, 5

Byetta, 16

Careone Lancet Thin, 36

Blephamide S.o.p., 5

Bystolic, 7

Careone Lancet Ultra Thin, 36

Blincyto, 5

carisoprodol, 4

carisoprodol/aspirin, 4

Cesamet, 19 cladribine, 5

carisoprodol/aspirin/codeine, 4

cetirizine HCL, 31 Claforan, 1

Carmol-HC, 12

Cetraxal, 28 Claforan/D5W, 1

Carnitor, 18

Cetrotide, 17 Clarifoam EF, 10

Carnitor SF, 18

cevimeline HCL, 22 Clarinex, 31

carteolol HCL, 5

Chemet, 41 Clarinex Reditabs, 31

carvedilol, 7

Chenodal, 19 Clarinex-d 12 HOUR, 32

Cascara Sagrada, 18

Chloramphenicol Sodium Succinate, 4 Clarinex-d 24 HOUR, 32

Casodex, 5

chlordiazepoxide HCL, 1 clarithromycin, 1

Cataflam, 30

Chlordiazepoxide/Amitriptyline, 26 clarithromycin ER, 1

Catapres, 8

chlorhexidine gluconate, 22 Cleanlet Lancets 28G, 36

Catapres-tts-1, 8

chlorhexidine gluconate oral rinse, 22 clemastine fumarate, 31

Catapres-tts-2, 8

chloroprocaine HCL, 31 Clemastine Fumarate, 31

Catapres-tts-3, 8

chloroquine phosphate, 3 Cleocin, 4, 20

Cathflo Activase, 22

chlorothiazide, 9 Cleocin IN D5W, 4

Cayston, 4

Chlorothiazide, 9 Cleocin Pediatric Granules, 4

Cedax, 1

chlorothiazide sodium, 9 Cleocin Phosphate, 4

cefaclor, 1

chlorpromazine HCL, 23 Cleocin-t, 10

Cefaclor, 1

Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin, 36

Cefaclor ER, 1

Chlorpropamide, 16 Clever Chek Lancets Ultrathin 30G, 36

cefadroxil, 1

Chlorthalidone, 9 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 36

Cefazolin, 1

chlorzoxazone, 4

cefazolin sodium, 1

Cholbam, 19 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36

Cefazolin Sodium, 1

cholestyramine, 9

Cefazolin Sodium/Dextrose, 1

cholestyramine light, 9 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 36

cefdinir, 1

choline magnesium trisalicylate, 28

Cefditoren Pivoxil, 1

Choline Magnesium Trisalicylate, 28 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36

cefepime, 1

chorionic gonadotropin, 17

Cefepime, 1

Cialis, 10 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 36

cefixime, 1

Ciclodan Cream Kit, 11

cefotaxime sodium, 1

Ciclodan Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 36

Cefotetan, 1

ciclopirox, 11

Cefotetan/Dextrose, 1

ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 36

cefoxitin sodium, 1

ciclopirox olamine, 11

Cefoxitin Sodium, 1

Ciclopirox Topical Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 36

cefpodoxime proxetil, 1

cidofovir, 3

cefprozil, 1

Ciferex, 21 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 36

ceftazidime, 1

cilostazol, 22

Ceftazidime/Dextrose, 1

Ciloxan, 5 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36

Ceftibuten, 1

cimetidine, 18

Ceftin, 1

cimetidine HCL, 18 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36

Ceftriaxone IN Iso-osmotic Dextrose, 1

Cimzia, 19

ceftriaxone sodium, 1

Cimzia Starter Kit, 19 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 36

Ceftriaxone Sodium, 1

Cinryze, 22

Ceftriaxone/Dextrose, 1

Cipro, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 36

cefuroxime axetil, 1

Cipro HC, 28

cefuroxime sodium, 1

Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 36

Cefuroxime Sodium, 1

Cipro XR, 2

Cefuroxime/Dextrose, 1

Ciprodex, 28 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 36

Celebrex, 30

ciprofloxacin, 2

celecoxib, 29

Ciprofloxacin, 28 Clever Choice Comfort EZ Patch, 13

Celestone-soluspan, 14

ciprofloxacin ER, 2 Clever Choice Comfort EZ Pen Needles 29GX12MM, 36

Celexa, 23

ciprofloxacin HCL, 2, 27

Cellcept, 5

Ciprofloxacin HCL, 2 Clever Choice Comfort EZ Pen Needles 31GX5MM, 36

Cellcept Intravenous, 5

ciprofloxacin I.V.-IN D5W, 2

Celontin, 3

cisatracurium besylate, 26 Clever Choice Comfort EZ Pen Needles 31GX6MM, 36

Cenestin, 15

cisplatin, 4

Cenfol, 21

Cisplatin, 4 Clever Choice Comfort EZ Pen Needles 31GX8MM, 36

Centany, 11

citalopram hydrobromide, 23

Centany AT, 11

Citanest Forte Dental, 31 Clever Choice Comfort EZ Pen Needles 32GX4MM, 36

Centratex, 21

Citanest Plain Dental, 31

cephalexin, 1

Citranatal 90 DHA, 34 Clever Choice Comfort EZ Pen Needles 32GX8MM, 36

Cephalexin, 1

Citranatal Assure, 34

Cerdelga, 21

Citranatal B-calm, 33 Clever Choice Comfort EZ Pen Needles 33GX4MM, 36

Cerebyx, 3

Citranatal DHA, 34

Cerezyme, 20

Citranatal Harmony, 34 Clever Choice Comfort EZ Pen Needles 33GX5MM, 36

Cervarix, 33

Citranatal RX, 33

Cervidil, 28

citric acid/sodium citrate, 20 Clever Choice Comfort EZ Pen Needles

33GX6MM, 36

Coly-mycin S, 28 Crestor, 10

Clever Choice Comfort EZ Pen Needles 33GX8MM, 36

Colyte-flavor Packs, 18 Cresylate, 28

Combigan, 5 Crinone, 20

Cleviprex, 7

Combipatch, 15 Crixivan, 3

Climara, 15

Combivent Respimat, 32 Crnatal, 34

Climara Pro, 15

Combivir, 3 cromolyn sodium, 19, 28

Clin Single Use Kit, 4

Cometriq, 6 Cromolyn Sodium, 32

Clin-lido, 4

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 36

Cubicin, 4

Clindacin Etz, 10

Curosurf, 32

Clindacin PAC, 10

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 36

Cutivate, 12

Clindagel, 10

Cuvposa, 19

clindamycin, 4


cyanocobalamin, 20

clindamycin HCL, 4

Cyclessa, 15

clindamycin palmitate HCL, 4


Cyclobenzaprine Comfort PAC, 4

clindamycin phosphate, 4, 10, 20

cyclobenzaprine HCL, 4

Clindamycin Phosphate, 4


Cyclogyl, 5

clindamycin phosphate add-vantage, 4

Cyclomydril, 5

clindamycin phosphate IN D5W, 4


cyclopentolate HCL, 5

clindamycin phosphate pharmacy bulk package, 4

cyclophosphamide, 4

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 36

Cyclophosphamide, 4

clindamycin/benzoyl peroxide, 10

Cycloserine, 2

Clindap-t, 10


cyclosporine, 5

Clindesse, 20

cyclosporine modified, 5

Clinical Nutrients Prenatal Formula, 33


Cyclosporine Modified, 5

Clinoin, 10

Cyklokapron, 21

clobetasol propionate, 12

Comfort Lancets, 36 Cymbalta, 23

clobetasol propionate emollient, 12

Compazine, 24 cyproheptadine HCL, 31

Clobex, 12

Complera, 3 Cyramza, 5

Clocortolone Pivalate, 12

Comtan, 3 Cystadane, 18

Clocortolone Pivalate P.M., 12

Comvax, 33 Cystagon, 20

Clodan Kit, 12

Concept DHA, 33 Cystaran, 28

Cloderm, 12

Concept OB, 33 cytarabine, 5

Cloderm P.M., 12

Concerta, 2 Cytarabine, 5

Clolar, 5

Condylox, 13 cytarabine aqueous, 5

clomiphene citrate, 17

Conzip, 29 Cytomel, 18

clomipramine HCL, 23

Copasil, 13 Cytotec, 19

clonazepam, 2

Copaxone, 26 Cytovene, 3

clonazepam odt, 2

Copegus, 3 Cytra-3, 20

clonidine HCL, 8

Cordarone, 8 D

clonidine HCL ER, 2

Cordran, 12

D.h.e. 45, 30

clopidogrel, 22

Cordran Tape, 12

dacarbazine, 6

clorazepate dipotassium, 1

Coreg, 7

Dacarbazine, 6

Clorpres, 9

Coreg CR, 7

Dacogen, 5

clotrimazole, 11, 22

Corgard, 7

Daklinza, 3

clotrimazole/betamethasone dipropionate, 11

Corifact, 22

Daliresp, 32

Corlanor, 10

Dallergy, 32

clozapine, 23

Corlopam, 8

Dalvance, 4

clozapine odt, 23

Cortalo, 12

danazol, 14

Clozapine Odt, 23

Cortef, 14

Dantrium, 4

Clozaril, 24

Cortenema, 19

Dantrium IV, 4

Cnl8 Nail Kit, 11

Cortifoam, 19

dantrolene sodium, 4

Coaguchek Lancets, 36

Cortisone Acetate, 14

Dantrolene Sodium, 4

Coal TAR, 13

Cortisporin, 11, 28

Dapsone, 4

Coartem, 3

Cortisporin-tc, 28

Daptacel, 32

Cocaine HCL, 13

Corvert, 8

Daraprim, 3

Cod Liver Oil, 34

Corvite, 34

daunorubicin HCL, 4

Codar AR, 32

Corvite 150, 21

Daunoxome, 4

codeine sulfate, 29

Corzide, 9

Daypro, 30

Codeine Sulfate, 29

Cosentyx, 12

Daytrana, 2

Cogentin, 3

Cosentyx Sensoready Pen, 12

Ddavp, 17

Colazal, 19

Cosmegen, 4

Debacterol, 22

Colchicine, 31

Cosopt, 5

decitabine, 5

Colcrys, 31

Cosopt PF, 5

Decon-a, 32

Colestid, 10

Coumadin, 21

Delestrogen, 15

Colestid Flavored, 10

Cozaar, 8

Demadex, 9

colestipol HCL, 9

Cpb Wc, 32

demeclocycline HCL, 2

colistimethate sodium, 4

Creon, 19

Demerol, 29

Coly-mycin M, 4

Cresemba, 2

Demser, 8

Denavir, 11

dexrazoxane, 6 divalproex sodium, 2

Depacon, 3

dextroamphetamine sulfate, 2 divalproex sodium DR, 25

Depakene, 3

dextroamphetamine sulfate ER, 2 divalproex sodium ER, 25

Depakote, 3

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 32

Divigel, 15

Depakote ER, 3

Divista, 21

Depakote Sprinkles, 3

dobutamine HCL, 9

Depo-estradiol, 15

dobutamine HCL/D5W, 9

Diabeta, 16

Depo-medrol, 14

dobutamine/dextrose 5%, 9

Dialyvite 3000, 34

Depo-provera, 5

Dobutamine/Dextrose 5%, 9

Dialyvite 5000, 34

Depo-testosterone, 15

Docefrez, 6

Dialyvite Supreme D, 34

Deprizine Fusepaq, 19

docetaxel, 6

Dialyvite/Zinc, 34

Derma Silkrx Anodynexa PAK, 30

Docetaxel, 6

Diamox, 9

Derma Silkrx Diclopak, 30

Docetaxel (non- Alcohol Formula), 6

Diastar Easy Test II Lancets 30G, 36

Derma Silkrx Sds PAK, 12

Docetaxel (non-alcohol Formula), 6

Diastar Easy Test Lancets30G, 36

Derma-smoothe/FS Body, 12

Dologesic, 28

Diastat Acudial, 25

Derma-smoothe/FS Scalp, 12

Dolophine, 29

Diastat Pediatric, 25

Dermacinrx Azenase PAK, 31

donepezil HCL, 3

Diatx ZN, 34

Dermacinrx Duopatch Pharmapak, 13

dopamine HCL, 9

diazepam, 1

Dermacinrx Inflammatral PAK, 30

Dopamine HCL, 9

Diazepam, 23, 25

Dermacinrx Lexitral Pharmapak, 12

dopamine HCL-dextrose 5%, 9

Dibenzyline, 8

Dermacinrx Neurotral Pharmapak, 13

dopamine HCL/dextrose 5%, 9

Diclegis, 19

Dermacinrx Purefolix, 21

dopamine/D5W, 9

diclofenac potassium, 29

Dermacinrx Surgical Pharmapak, 13

Dopram, 2

diclofenac sodium, 11, 28

Dermacinrx Ticanase PAK, 31

Doral, 2

diclofenac sodium DR, 29

Dermapak Plus, 10

Doribax, 4

diclofenac sodium ER, 29

Dermasorb HC, 12

Doryx, 2

diclofenac sodium/misoprostol, 29

Dermasorb Ta, 12

dorzolamide HCL, 28

dicloxacillin sodium, 1

Dermasorb XM, 13

dorzolamide HCL/timolol maleate, 5

Dicopanol Fusepaq, 31

Dermatop, 12

Doubledex, 14

dicyclomine HCL, 18

Dermawerx Surgical Plus PAK, 13

Dovonex, 12

didanosine, 3

Dermotic, 28

doxapram HCL, 2

Differin, 10

desipramine HCL, 23

doxazosin, 8

Dificid, 1

desloratadine, 31

doxazosin mesylate, 8

Diflorasone Diacetate, 12

desloratadine odt, 31

doxepin HCL, 23

Diflucan, 2

desmopressin acetate, 17

Doxepin HCL, 23

diflunisal, 28

Desogen, 15

doxercalciferol, 17

digoxin, 7

desogestrel/ethinyl estradiol, 15

Doxil, 4

Digoxin, 7

Desonate, 12

doxorubicin HCL, 4

dihydroergotamine mesylate, 30

desonide, 12

Doxorubicin HCL, 4

Dihydroergotamine Mesylate, 30

Desowen, 12

doxorubicin HCL liposome, 4

Dilacor XR, 7

Desowen Cream/Cetaphil Lotion, 12

doxycycline, 2

Dilantin, 3

Desowen Lotion/Cetaphil Cream, 12

Doxycycline, 11

Dilantin Infatabs, 3

Desowen Ointment/Cetaphil Lotion, 12

doxycycline hyclate, 2

Dilantin-125, 3

desoximetasone, 12

doxycycline hyclate DR, 2

Dilatrate SR, 7

Desoximetasone, 12

doxycycline monohydrate, 2

Dilaudid, 29

Desoxyn, 2

Drisdol, 33

Dilaudid-HP, 29

Desvenlafaxine ER, 23

Dritho-creme HP, 12

diltiazem CD, 7

Detrol, 20

dronabinol, 19

diltiazem HCL, 7

Detrol LA, 20

droperidol, 1

Diltiazem HCL, 7

dexamethasone, 14

Droplet Lancets Ultra Thin 30G, 36

diltiazem HCL ER, 7

Dexamethasone, 14

drospirenone/ethinyl estradiol, 15

Dimenhydrinate, 19

Dexamethasone Intensol, 14

Droxia, 21

Diovan, 8

dexamethasone sodium phosphate, 5, 14

Drug Mart On-the-go Lancets Gentle 30G, 36

Diovan HCT, 9

Dipentocaine, 12

Dexamethasone Sodium Phosphate, 5, 14

Drug Mart Unilet Lancets Super Thin 30G, 36

Dipentum, 19

diphenhydramine HCL, 31

Dexchlorpheniramine Maleate, 31

Drug Mart Unilet Lancets Ultra Thin 28G, 36

diphenoxylate/atropine, 18

Dexedrine, 2

Diphenoxylate/Atropine, 18

Dexilant, 18

Drysol, 13

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32

Dexlido, 14

Dsg PAK, 12

Dexlido-m, 14

Duac, 10

Diprolene, 12

dexmedetomidine HCL, 2

Duane Reade Unifine Pentips 29G X 12MM, 36

Diprolene AF, 12

dexmethylphenidate HCL, 2

dipyridamole, 22

dexmethylphenidate HCL ER, 2

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 36

Disalcid, 28

Dexpak 10 Day, 14

disopyramide phosphate, 8

Dexpak 13 Day, 14

Duane Reade Unifine Pentips 31G X 8MM SHORT, 36

disulfiram, 3

Dexpak 6 Day, 14

Ditropan XL, 20

Dexpanthenol, 19

Duavee, 15

Diuril, 9

Duet DHA 400, 33

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 36

Edarbi, 8

Duet DHA 400EC, 33

Edarbyclor, 9

Duet DHA 430, 33


Edecrin, 9

Duet DHA 430EC, 33

Edluar, 2

Duet DHA Balanced, 33


Edurant, 3

Duetact, 16

Effexor XR, 23

duloxetine HCL, 23


Effient, 22

Duloxetine HCL, 23

Egrifta, 17

Duoneb, 32


Elaprase, 18

Duopa, 3

Eldepryl, 3

Duragesic, 29

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 36

Elelyso, 21

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 31

Elestat, 28


Elestrin, 15

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 31

Eletone, 13


Eletone Twinpack, 13

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 31

Elidel, 13


Eligard, 5

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 31

Elimite, 13


Eliphos, 19

Durezol, 5

Eliquis, 21

Durlaza, 22

Easy Touch Lancets 21G/Pressure Activated, 36

Elitek, 7

dutasteride, 20

Elixophyllin, 32

dutasteride/tamsulosin hydrochloride, 20


Ella, 15

Dutoprol, 9

Ellence, 4

Dyanavel XR, 2


Elmiron, 20

Dyazide, 9

Elocon, 12

Dyloject, 30

Easy Touch Lancets 26G/Pull-top, 36 Eloxatin, 4

Dymista, 31

Easy Touch Lancets 26G/Twist, 36 Emadine, 28

Dyrenium, 9


Embrace Lancets Ultra Thin 30G, 36

Dysport, 4

Emcyt, 5

Dyural-40, 14

Easy Touch Lancets 28G/Pull-top, 36 Emend, 19

Dyural-80, 14

Easy Touch Lancets 28G/Twist, 36 Emla, 13

Dyural-l, 14

Easy Touch Lancets 30G/Button-activated, 36

Emsam, 23

Dyural-lm, 14

Emtriva, 3

E


Emulsion SB, 13

Emvoren, 12

E-z Ject Lancets, 36

Easy Touch Lancets 30G/Pull-top, 36 Enablex, 20

E-z Ject Lancets 21G, 36

Easy Touch Lancets 30G/Twist, 36 enalapril maleate, 8

E-z Ject Lancets Color, 36


enalapril maleate/hydrochlorothiazide, 8

E-z Ject Lancets Super Thin, 36

enalaprilat, 8

E-z Ject Lancets Super Thin 30G, 36

Easy Touch Lancets 32G/Pull-top, 36 Enbrace HR, 33

E-z Ject Lancets Thin 26G, 36

Easy Touch Lancets 32G/Twist, 36 Enbrel, 30

E-z Spacer, 41

Easy Touch Lancets 33G/Twist, 36 Enbrel Sureclick, 30

E-z Spacer The Body Guards Pack, 41

Easy Touch Pen Needles 29GX1/2", 36 Endometrin, 20

E-ZJECT Lancets Micro-thin 33G, 36

Easy Touch Pen Needles 31GX1/4", 36 Engerix-b, 33

E.e.s. 400, 1

Easy Touch Pen Needles 31GX5/16", 36 Enjuvia, 15

E.e.s. Granules, 1

Easy Touch Pen Needles 32GX5/32", 36 Enlon, 4

Easivent, 41

Easy Touch Pen Needles/31G X 3/16", 36

Enlon-plus, 4

Easivent/Mask-large, 41

enoxaparin sodium, 21

Easivent/Mask-medium, 41

Easy Touch Safety Lancets21G/Pressure Activated, 36

Enstilar, 12

Easivent/Mask-small, 41

entacapone, 3

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 36


entecavir, 3

Entereg, 19


Easy Touch Safety Lancets26G/Button Activated, 36

Entocort EC, 14

Entresto, 10



Entyvio, 19

Envarsus XR, 5


Easy Touch Safety Lancets28G/Button Activated, 36

Epaned, 8

ephedrine sulfate, 9

Easy Touch Insulin Syringe/1ML/30G X 5/16", 36


Ephedrine Sulfate/Sodium Chloride, 9

Epiceram, 13

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 36

Easy Twist & CAP Lancets, 36 Epiduo, 10

Easytest II Lancets, 36 Epiduo Forte, 10

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 36

Easytest Lancets, 36 Epifoam, 12

EC-naprosyn, 30 epinastine HCL, 28

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 36

econazole nitrate, 11 Epinephrine, 9

Ecoza, 11 Epinephrine HCL, 9

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 36

Ed Cyte F, 21 epinephrine HCL, 32

Epipen 2-PAK, 9

Ethyl Chloride/Medium Jet Stream, 13 famotidine, 18

Epipen-JR 2-PAK, 9

Ethyl Chloride/Medium Stream, 13 Famotidine, 18

epirubicin HCL, 4

Ethyl Chloride/Mist, 13 Famotidine Premixed, 19

Epirubicin HCL, 4

Ethyol, 6 Famvir, 3

Episnap, 9

Etidronate Disodium, 16 Fanapt, 24

episone CRE, 13

etodolac, 29 Fanapt Titration Pack, 24

Epivir, 3

etodolac ER, 30 Fanatrex Fusepaq, 3

Epivir HBV, 3

Etopophos, 6 Fareston, 5

eplerenone, 8

etoposide, 6 Farydak, 6

epoprostenol sodium, 10

Etoposide, 6 Faslodex, 5

Eprosartan Mesylate, 8

Euflexxa, 4 Fazaclo, 24

eptifibatide, 22

Eurax, 13 Feiba, 22

Epzicom, 3

Evamist, 15 Feiba NF, 22

Eql SHORT Pen Needles 31G X 8MM, 36

Evekeo, 2 felbamate, 25

Evicel, 21 Felbatol, 3

Eql Ultra SHORT Pen Needles 31G X 6MM, 36

Evista, 17 Feldene, 30

Evithrom, 21 felodipine ER, 7

Equagesic, 28

Evoclin, 10 Fem PH, 20

Equetro, 24

Evotaz, 3 Femara, 5

Equipto-baclofen, 11

Evoxac, 22 Femcon FE, 15

Equipto-naproxen, 12

Exactuss, 32 Femhrt Low Dose, 15

Eraxis, 2

Exalgo, 29 Femring, 20

Erbitux, 5

Excel Comfort Point Insulin Pen Needles 31G X 4MM, 36

fenofibrate, 9

ergocalciferol, 33

Fenofibrate, 10

ergoloid mesylates, 3

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 36

fenofibrate micronized, 9

Ergoloid Mesylates, 26

Fenofibric Acid, 10

Ergomar, 30


fenofibric acid DR, 9

Ertaczo, 11

Fenoglide, 10

Erwinaze, 5


fenoldopam mesylate, 8

Ery-TAB, 1

Fenoprofen Calcium, 30

Erygel, 10

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 36

fentanyl, 29

Eryped 200, 1

Fentanyl, 29

Eryped 400, 1


fentanyl citrate oral transmucosal, 29

Erythrocin Lactobionate, 1

Fentanyl Citrate/Sodium Chloride, 29

Erythrocin Stearate, 1


Feraheme, 21

erythromycin, 1, 10, 27

Feriva, 21

Erythromycin Base, 1


Feriva 21/7, 21

Erythromycin Ethylsuccinate, 1

Ferivafa, 21

erythromycin/benzoyl peroxide, 10


Ferralet 90, 21

Esbriet, 32

Ferrex 150 Forte Plus, 21

Escavite, 33

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 36

Ferrex 28, 21

Escavite D, 33

Ferriprox, 41

escitalopram oxalate, 23


Ferrlecit, 21

Esgic, 28

Ferro-plex Hematinic, 21

esmolol HCL, 7


Ferrotrin, 21

esomeprazole magnesium, 18

Fetzima, 23

esomeprazole sodium, 18

Exelderm, 11 Fetzima Titration Pack, 23

Esomeprazole Sodium, 18

Exelon, 26 Fexmid, 4

Esomeprazole Strontium, 19

exemestane, 5 Fibricor, 10

estazolam, 2

Exforge, 9 Fifty50 Pen Needles 31G X3/16" (5MM), 37

Estrace, 15, 20

Exforge HCT, 9

estradiol, 15

Exjade, 41 Fifty50 Pen Needles 31G X5/16" (8MM), 37

Estradiol, 15

Exoderm, 11

estradiol valerate, 15

Exparel, 31 Fifty50 Safety Seal Lancets 30G, 37

estradiol/norethindrone acetate, 15

Extardol, 12 Fifty50 Safety Seal Lancets 32G, 37

Estrasorb, 15

Extina, 11 Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 37

Estring, 20

EZ Smart Blood Glucose Lancets, 36

Estrogel, 15

EZ-lets Lancets 21G, 36 Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 37

estropipate, 15

EZ-lets Lancets 23G, 36

Estropipate, 15

EZ-lets Lancets 26G Super-soft, 36 Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 37

Estrostep FE, 15

EZ-lets Lancets 28G Ultra-soft, 36

eszopiclone, 2

EZ-lets Lancets 30G, 37 Finacea, 11

ethacrynate sodium, 9

F finasteride, 20

ethambutol HCL, 2

Fine 30, 37

Fabior, 10

ethosuximide, 25

Fingerstix Lancets, 37

Fabrazyme, 18

Ethyl Chloride, 13

Fioricet, 28

Factive, 2

Ethyl Chloride/Fine Pinpoint, 13

Fioricet/Codeine, 29

Falessa, 15

Ethyl Chloride/Fine Stream, 13

Fiorinal, 28

famciclovir, 3

Fiorinal/Codeine #3, 29

Flulaval Quadrivalent 2015-2016, 33 fondaparinux sodium, 21

Firazyr, 22

Flumadine, 3 Fora Lancets, 37

Firmagon, 5

Flumist Quadrivalent, 33 Foradil Aerolizer, 32

First-bxn Mouthwash, 22

flunisolide, 31 Forfivo XL, 23

First-dukes Mouthwash, 22

fluocinolone acetonide, 12, 28 Fortamet, 16

First-hydrocortisone, 12

fluocinolone acetonide ear drops, 28 Fortavit, 34

First-lansoprazole, 19

fluocinonide, 12 Fortaz, 1

First-marys Mouthwash, 22

fluocinonide-e, 12 Forteo, 17

First-mouthwash Blm, 22

fluorometholone, 5 Fortical, 17

First-omeprazole, 19

fluorouracil, 5 Fosamax, 16

First-progesterone VGS 100 Compounding Kit, 20

fluoxetine, 3 Fosamax Plus D, 16

fluoxetine DR, 23 Foscavir, 3


fluoxetine HCL, 23 fosinopril sodium, 8

Fluoxetine HCL, 23 fosinopril sodium/hydrochlorothiazide, 8


fluphenazine decanoate, 23 fosphenytoin sodium, 25

fluphenazine HCL, 23 Fosrenol, 19


Fluphenazine HCL, 24 Fragmin, 21

flurazepam HCL, 2 Freestyle Lancets, 37


Flurazepam HCL, 2 Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 37

flurbiprofen, 30

First-testosterone, 15

flurbiprofen sodium, 28 Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 37

First-testosterone Mc Compounding Kit, 15

flutamide, 5

fluticasone propionate, 12, 31 Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 37

First-vancomycin 25, 4

fluvastatin, 9

First-vancomycin 50, 4

fluvastatin sodium ER, 9 Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 37

Flagyl, 4

Fluvirin 2013-2014, 33

Flagyl ER, 4

Fluvirin 2014-2015, 33 Freestyle Unistick II Lancets, 37

Flanax Pain Relief Kit, 30

Fluvirin 2015-2016, 33 Frova, 30

Flarex, 5

Fluvirin PF 2013-2014, 33 Fulyzaq, 18

flavoxate HCL, 20

Fluvirin PF 2014-2015, 33 Furadantin, 20

flecainide acetate, 8

fluvoxamine maleate, 23 furosemide, 9

Flector, 12

fluvoxamine maleate ER, 23 Furosemide, 9

Flexepax, 4

Fluzone High-dose PF 2013-2014, 33 Fusilev, 6

Flexichamber, 41

Fluzone High-dose PF 2014-2015, 33 Fusion Plus, 21

FLO-pred, 14

Fluzone High-dose PF 2015-2016, 33 Fusion Sprinkles, 21

Flolan, 10

Fluzone Pediatric PF 2013-2014, 33 Fuzeon, 3

Flomax, 20

Fluzone PF 2013-2014, 33 Fycompa, 3

Flonase, 31

Fluzone PF 2014-2015, 33 G

Floriva, 34

Fluzone Quadrivalent 2013-2014, 33

gabapentin, 25

Flovent Diskus, 32


Gabavale-5, 23

Flovent HFA, 32


Gabazolamine, 23

Flowtuss, 32

Fluzone Split 2013-2014, 33

Gabazolamine-0.5, 23

floxuridine, 5


Gabazolpidem-5, 2

Floxuridine, 5


Gabitidine, 19

Fluarix 2013-2014, 33

FML, 5

Gabitril, 3

Fluarix 2014-2015, 33

FML Forte, 5

Gablofen, 4

Fluarix Quadrivalent 2013-2014, 33

FML Liquifilm, 5

Gaboxetine, 23


Focalgin 90 DHA, 34

galantamine hydrobromide, 3


Focalgin CA, 34

Galantamine Hydrobromide, 26

Flublok 2013-2014, 33

Focalgin Dss, 21

ganciclovir, 3

Flublok 2014-2015, 33

Focalin, 2

Ganirelix Acetate, 17

Flublok 2015-2016, 33

Focalin XR, 2

Ganite, 17

Flucelvax 2013-2014, 33

Folcaps Omega 3, 34

Garamycin, 5

Flucelvax 2014-2015, 33

Folet DHA, 34

Gardasil, 33

Flucelvax 2015-2016, 33

Folet One, 34

Gardasil 9, 33

fluconazole, 2

Folgard OS, 34

Gastrinex NF, 19

fluconazole IN dextrose, 2

Folgard RX, 21

Gastrocrom, 19

fluconazole IN NACL, 2

folic acid, 20

gatifloxacin, 27

Fluconazole IN NACL, 2

Folic Acid, 21

Gattex, 19

flucytosine, 2

folic acid/vitamin b-6/vitamin b-12, 20

Gazyva, 5

Fludara, 5

Folitab 500, 20

Gebauers Pain Ease, 13

fludarabine phosphate, 5

Folivane-f, 21

Gebauers Spray And Stretch, 13

Fludarabine Phosphate, 5

Folivane-OB, 34

Gel-kam Oral Care Rinse, 22

fludrocortisone acetate, 14

Folivane-plus, 21

Gel-one, 4

Flulaval 2013-2014, 33

Folivane-prx DHA NF, 34

Gelclair, 22

Flulaval 2014-2015, 33

Follistim AQ, 17

Gelnique, 20

Flulaval Quadrivalent 2013-2014, 33

Folotyn, 5

Gemcitabine, 5

Flulaval Quadrivalent 2014-2015, 33

Foltrate, 21

gemcitabine HCL, 5

gemfibrozil, 9

Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 37

Harvoni, 3

Gemzar, 5

Havrix, 33

Genadur, 13

Glucosource Lancets, 37 Healthwise Mini Pen Needles 31GX6MM, 37

Genadur Kit, 13

Glucotrol, 16

gene-xene TAB 15MG, 1

Glucotrol XL, 16 Healthwise Pen Needles 29GX12MM, 37

gene-xene TAB 3.75MG, 1

Glucovance, 16 Healthwise SHORT Pen Needles 31GX8MM, 37

gene-xene TAB 7.5MG, 1

Glumetza, 16

Generess FE, 15

glyburide, 16 Healthy Mama Be Well Rounded, 34

gentamicin sulfate, 2, 27

Glyburide, 16 Hectorol, 18

Gentamicin Sulfate, 11

glyburide micronized, 16 Helidac, 19

gentamicin sulfate pediatric, 2

glyburide/metformin HCL, 16 Helixate FS, 22

gentamicin sulfate/0.9% sodium chloride, 2

Glycate, 19 Hemabate, 28

Glycolic Acid, 12 Hemangeol, 7

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Glycolic Acid 70% High Purity, 12 Hematogen Fa, 21

glycopyrrolate, 18 Hematron-AF, 21

Gentle-let GP Lancets, 37

Glynase, 16 Hemocyte Plus, 21

Gentle-let Lancets General Purpose Style/Fine Point, 37

Glyset, 16 Hemocyte-f, 21

Glyxambi, 16 Hemofil M, 22

Gentle-let Lancets General Purpose Style/Medium Point, 37

Gmate Lancets 30G, 37 heparin lock, 21

Golytely, 18 heparin lock flush, 21

Gentle-let Lancets Safety Style/Fine Point, 37

Gonal-f, 17 Heparin Lock Flush, 21

Gonal-f RFF, 17 heparin lock flush for flushing vascular access devices, 21

Gentle-let Lancets Safety Style/Medium Point, 37

Gonal-f RFF Pen, 17

Gonal-f RFF Rediject, 17 heparin lock flush/NACL for flushing vascular access devices, 21

Gentle-let Platforms 2.4MM, 37

Gordofilm, 13

Gentle-let Platforms 3.0MM, 37

Gordons Urea, 13 heparin sodium, 21

Genvisc 850, 4

Gralise, 26 Heparin Sodium, 21

Geodon, 24

Gralise Starter, 26 heparin sodium dcu, 21

Gesticare DHA, 34

granisetron HCL, 19 heparin sodium lock flush, 21

Giazo, 19

Granisol, 19 heparin sodium/D5W, 21

Gilenya, 26

Granix, 21 Heparin Sodium/D5W, 21

Gilotrif, 6

Grifulvin V, 2 Heparin Sodium/NACL 0.45%, 21

Gilphex TR, 32

Gris-peg, 2 heparin sodium/NACL 0.9%, 21

Giltuss, 32

griseofulvin microsize, 2 Heparin Sodium/Sodium Chloride 0.9%, 21

Giltuss PED-c, 32

griseofulvin ultramicrosize, 2

Giltuss TR, 32

guanfacine ER, 2 heparin sodium/sodium chloride 0.9% premix, 21

Glassia, 32

guanfacine HCL, 8

glatopa, 3

Guanidine HCL, 4 Hepsera, 3

Gleevec, 6

Gynazole-1, 20 Herceptin, 5

Gleostine, 4

H Hespan, 22

Gliadel Wafer, 4

hetastarch 6%/NACL, 22

H&h Thinlet Lancets 26G, 37

glimepiride, 16

Hetlioz, 2

H&h Thinlet Super Thin Lancets 30G, 37

glipizide, 16

Hexalen, 4

H-e-b IN Control Pen Needles 31GX6MM, 37

glipizide ER, 16

Hextend, 22

glipizide/metformin HCL, 16

Hiberix, 33

H-e-b IN Control Pen Needles 31GX8MM, 37

Glucagen Hypokit, 16

Hiprex, 20

Glucagon Emergency Kit, 16

homatropine HBR, 5

H-e-b Incontrol Pen Needles 29GX12MM, 37

Glucocom Lancets 28G, 37

Horizant, 26


HPR, 13

H.p. Acthar, 17


HPR Plus, 13

Haemolance, 37

Glucophage, 16

HPR Plus Hydrogel Kit, 13

Haemolance Low Flow Lancets, 37

Glucophage XR, 16

HPR Plus/Mb Hydrogel, 13

Haemolance Plus, 37

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 37

Humalog, 16

Haemolance Plus High Flow, 37

Humalog Kwikpen, 16

Haemolance Plus Low Flow, 37


Humalog Mix 50/50, 16

Haemolance Plus Max Flow, 37

Humalog Mix 50/50 Kwikpen, 16

Haemolance Plus Pediatric Flow, 37


Humalog Mix 75/25, 16

Halaven, 6

Humalog Mix 75/25 Kwikpen, 16

Halcion, 2


Humate-p, 22

Haldol, 24

Humira, 30

Haldol Decanoate 100, 24


Humira Pediatric Crohns Disease Starter Pack, 30

Haldol Decanoate 50, 24

halobetasol propionate, 12


Humira Pen, 30

Halog, 12

Humira Pen-crohns Diseasestarter, 30

Halonate, 12


Humira Pen-psoriasis Starter, 30

haloperidol, 23

Humulin 70/30, 16

haloperidol decanoate, 23


Humulin 70/30 Kwikpen, 16

haloperidol lactate, 23

Humulin 70/30 Pen, 16

Halotin, 11

Humulin N, 16

Hysingla ER, 29 Insulin Syringe/0.3ML/30G X 5/16", 37

Humulin N Kwikpen, 16

Hyzaar, 9 Insulin Syringe/0.3ML/31G X 5/16", 37

Humulin N U-100 Pen, 16

I Insulin Syringe/0.5ML/27G X 1/2", 37

Humulin R, 16

Insulin Syringe/0.5ML/28G X 1/2", 37

ibandronate sodium, 16

Humulin R U-500 (concentrated), 16


Ibrance, 6

Hy-vee Lancets, 37


Ibudone, 29

Hyalgan, 4


ibuprofen, 30

Hycamtin, 6


Ibuprofen Comfort PAC, 30

Hycet, 29

Insulin Syringe/1ML/28G X 1/2", 37

ibutilide fumarate, 8

Hycofenix, 32


IC 400, 30

hydralazine HCL, 8


IC 800, 30

Hydrea, 6


Icar-c Plus, 21

Hydro 35, 13

Insulin Syringe/U-100/0.3ML/29G X 1/2", 37

Iclusig, 6

Hydro 40 Foam, 13

Idamycin PFS, 5

hydrochloric acid, 20


idarubicin HCL, 4

hydrochlorothiazide, 9

Ifex, 4

hydrocodone bitartrate/acetaminophen, 29


ifosfamide, 4

Ifosfamide, 4

Hydrocodone Bitartrate/Acetaminophen, 29

Insulin Syringe/U-100/1ML/28G X 1/2", 37

Ilaris, 30

Ilevro, 28

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31


imatinib mesylate, 6

Imbruvica, 6

hydrocodone bitartrate/homatropine methylbromide, 31


Imdur, 7

imipenem/cilastatin, 4

hydrocodone polistirex/chlorpheniramine polistirex, 31


imipramine HCL, 23

imipramine pamoate, 23

hydrocodone/acetaminophen, 29

Insupen Sensitive 32GX8MM, 37

imiquimod, 13

Hydrocodone/Acetaminophen, 29

Insupen Ultrafin 29GX12MM, 37

Imitrex, 30

hydrocodone/homatropine, 31


Imitrex Statdose Refill, 30

hydrocodone/ibuprofen, 29


Imitrex Statdose System, 30

hydrocort ene 100MG, 19


Imovax Rabies (h.d.c.v.), 33

hydrocortisone, 12, 14, 19

Integra F, 21

Imuran, 5

hydrocortisone acetate/aloe, 12

Integra Plus, 21

IN Touch Sterile Lancets 30G, 37

hydrocortisone acetate/lidocaine HCL, 19

Integrilin, 22

Increlex, 17

hydrocortisone acetate/pramoxine, 19

Intelence, 3

Incruse Ellipta, 32

hydrocortisone butyrate, 12

Interarticular Joint Kit, 14

indapamide, 9

hydrocortisone butyrate (lipid), 12

Intermezzo, 2

Inderal LA, 7

hydrocortisone butyrate (lipophilic), 12

intravenous ethacrynate sodium, 9

Inderal XL, 7

hydrocortisone IN absorbase, 12

Intron A, 6

Indocin, 30

hydrocortisone valerate, 12

Intron A W/Diluent, 6

indomethacin, 30

hydrocortisone/acetic acid, 28

Intuniv, 2

Indomethacin, 30

hydromorphone HCL, 29

Invanz, 4

indomethacin ER, 30

Hydromorphone HCL, 29

Invega, 24

Indomethacin Sodium, 30

hydromorphone HCL dosette, 29

Invega Sustenna, 24

Infanrix, 32

hydromorphone HCL ER, 29

Invega Trinza, 24

Infasurf, 32

Hydromorphone HCL ER, 29

Invirase, 3

Infed, 21

Hydromorphone HCL/NACL, 29

Invokamet, 16

Infumorph 200, 29

Hydromorphone HCL/Sodium Chloride, 29

Invokana, 16

Infumorph 500, 29

Ionsys, 29

Injectafer, 21

Hydroxocobalamin, 21

Iopidine, 28

Inlyta, 6

hydroxychloroquine sulfate, 3

Ipol Inactivated IPV, 33

Innopran XL, 7

hydroxyurea, 6

ipratropium bromide, 31, 32

Innoprax-5, 12

hydroxyzine HCL, 1

ipratropium bromide/albuterol sulfate, 32

Inova, 10

Hydroxyzine HCL, 23

Iprivask, 21

Inova 4/1 Acne Control Therapy, 10

hydroxyzine pamoate, 1

irbesartan, 8

Inova 8/2 Acne Control Therapy, 10

Hydroxyzine Pamoate, 1

irbesartan/hydrochlorothiazide, 8

Inspirachamber/Anti-static Valved/Mouthpiece, 41

Hylatopic, 13

Irenka, 23

Hylatopic Plus, 13

Iressa, 6

Inspirachamber/Soothermask/Inspiramask/Medium, 41

Hylira, 13

irinotecan, 6

hyoscyamine sulfate, 18

Irinotecan, 6

Inspirachamber/Soothermask/Inspiramask/Small, 41

hyoscyamine sulfate ER, 18

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20

hyoscyamine sulfate odt, 18

Inspirease Bags, 41

hyoscyamine sulfate SR, 18

Irospan 24/6, 21

Inspirease Drug Delivery System, 41

Hyper-sal, 32

Is 24/6, 21

Inspirease Mouthpiece, 41

Hypersal, 32

Isentress, 3

Inspirease Reservoir Bags, 41

Hypertenevide-12.5, 7

isoniazid, 2

Inspra, 8

Hypertenipine-2.5, 7

Isoniazid, 2

Insulin Syringe/0.3ML/29G X 1", 37

Hypertensolol, 9

Isopto Atropine, 5


Isopto Carbachol, 28

Ketorolac 2% Gel, 12 lansoprazole/amoxicillin/clarithromycin, 18

Isopto Carpine, 28

ketorolac tromethamine, 28, 30

Isopto Homatropine, 5

Ketorolac Tromethamine, 30 Lantus, 16

Isopto Hyoscine, 5

Keveyis, 9 Lantus Solostar, 16

Isordil Titradose, 7

Keytruda, 5 Lasix, 9

isosorbide dinitrate, 7

Khedezla, 23 Lastacaft, 28

Isosorbide Dinitrate, 7

Kineret, 30 latanoprost, 5

Isosorbide Dinitrate ER, 7

Kinlytic, 22 Latrix XM, 13

isosorbide mononitrate, 7

Kinrix, 33 Latuda, 24

isosorbide mononitrate ER, 7

Klaron, 11 Ldo Plus, 13

isotonic gentamicin, 2

Klonopin, 3 Leader Unifine Pentips Plus/Mini/31GX3/16", 37

Isotonic Gentamicin, 2

Koate-dvi, 22

Isoxsuprine HCL, 10

Kogenate FS, 22 Leader Unifine Pentips Plus/SHORT/31GX5/16", 37

isradipine, 7

Kogenate FS Bio-set, 22

Istalol, 5

Kombiglyze XR, 16 Leader Unifine Pentips/Mini/31GX3/16", 37

Istodax, 6

Korlym, 16

Isuprel, 32

Kristalose, 18 Leader Unifine Pentips/Nano/32GX5/32", 37

itraconazole, 2

Krystexxa, 31

ivermectin, 3

Kuvan, 18 Leader Unifine Pentips/Plus/32GX5/32", 37

Ixempra Kit, 6

Kynamro, 10

Ixiaro, 33

Kyprolis, 6 leflunomide, 30

Ixinity, 22

L Lemtrada, 26

J

Lenvima 10MG Daily Dose, 6

labetalol HCL, 7


J-max, 32

Lac-hydrin, 13


Jadenu, 41

Lacrisert, 5


Jakafi, 6

lactic acid, 13

Lescol XL, 10

Jalyn, 20

lactic acid e, 13

Letairis, 10

Janumet, 16

lactic acid w/vitamin e, 13

letrozole, 5

Janumet XR, 16

lactulose, 18, 19

leucovorin calcium, 6

Januvia, 16

Lamictal, 25

Leucovorin Calcium, 6

Jardiance, 16

Lamictal Chewable Dispersible, 25

Leukeran, 4

Jevtana, 6

Lamictal Odt, 3

Leukine, 21

Jublia, 11

Lamictal Starter/Not Taking Carbamazepine, 25

leuprolide acetate, 5

Juxtapid, 10

Levacet, 28

K

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25

levalbuterol, 32

levalbuterol HCL, 32

K-phos NO 2, 20

Levaquin, 2

K.b.g.l. IN Teroderm Cream, 12

Lamictal Starter/Taking Valproate, 25

Levatol, 7

K10-lido, 14

Lamictal XR, 3

Levbid, 19

K40-lido, 14

Lamisil, 2

levetiracetam, 25

Kadcyla, 5

Lamisil Spray, 11

Levetiracetam, 3

Kalbitor, 22

lamivudine, 3

levetiracetam ER, 25

Kaletra, 3

lamivudine/zidovudine, 3

levobunolol HCL, 5

Kalydeco, 32

lamotrigine, 25

Levobunolol HCL, 5

Kapvay, 2

lamotrigine ER, 25

levocarnitine, 17

Karbinal ER, 31

lamotrigine odt, 25

levocetirizine dihydrochloride, 31

Keflex, 1

lamotrigine titration, 25

levofloxacin, 2, 27

Kenalog, 12

Lancet Transporter Case, 37

levofloxacin IN D5W, 2

Kenalog-10, 14

Lancets, 37

levoleucovorin, 6

Kenalog-40, 14

Lancets 26G Twist Top, 37

Levoleucovorin, 6

Kengreal, 22

Lancets 28G, 37

levoleucovorin calcium, 6

Kepivance, 7

Lancets 30G, 37

levonorgestrel, 15

Keppra, 3


Levonorgestrel, 15

Keppra XR, 3

Lancets 30G/Twist Top, 37

levonorgestrel and ethinyl estradiol, 15

Kerafoam, 13


levonorgestrel/ethinyl estradiol, 15

Kerafoam 42, 13

Lancets 33G Universal Design, 37

Levophed, 9

Keralac, 13

Lancets Bullseye Safety, 37

Levorphanol Tartrate, 29

Keralyt, 13

Lancets Safety Seal 21G, 37

levothyroxine sodium, 18

Keralyt Scalp, 13


Levothyroxine Sodium, 18

Kerlone, 7


Levsin, 19

Kerydin, 11


Levsin/SL, 19

Ketek, 4

Lancets Thin, 37

Lexapro, 23

ketoconazole, 2, 11

Lancets Twist Top, 37

Lexiva, 3

Ketodan Kit, 11

Lancets Ultra Fine, 37

Lialda, 19

ketoprofen, 30

Lancets Ultra Thin, 37

Liberty Medical Lancets 30G, 37

Ketoprofen ER, 30

Lanoxin, 7

lidocaine, 13

Ketorocaine-l, 30

Lanoxin Pediatric, 7

Lidocaine And Tetracaine Cream, 13

Ketorocaine-lm, 30

lansoprazole, 18

lidocaine HCL, 8, 13, 22, 31

Live Better Lancet Ultra Thin 28G, 37 M

Lidocaine HCL, 8, 13

Live Better Pen Needles 29G X 12MM, 37

M-m-r II, 33

lidocaine HCL IN D5W, 8

M.v.i. Adult, 34

lidocaine HCL jelly, 13


M.v.i. Pediatric, 34

lidocaine HCL viscous, 22

M.v.i.-12 Without Vitamin K, 34

Lidocaine HCL-hydrocortisone Acetate With Aloe, 19


Macrobid, 20

LMD 10% Dextrose 5%, 22

Macrodantin, 20

lidocaine HCL/dextrose, 8

LMD 10% Sodium Chloride 0.9%, 22

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 37

Lidocaine HCL/Dextrose, 31

LO Loestrin FE, 15

lidocaine HCL/hydrocortisone acetate, 19

LO Minastrin FE, 15


lidocaine viscous, 22

Locoid, 12

lidocaine-prilocaine-cream base, 13

Locoid Lipocream, 12


lidocaine/epinephrine, 31

Lodosyn, 3

lidocaine/prilocaine, 13

Loestrin 1.5/30-21, 15


Lidoderm, 13

Loestrin 1/20-21, 15

Lidoprofen, 12

Loestrin FE 1.5/30, 15

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 37

Lidothol, 13

Loestrin FE 1/20, 15

Lidovir, 11

Lofibra, 10

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 37

Lifescan Unistik 2 Deep Penetration, 37

Lomotil, 18

Lifescan Unistik II Lancets, 37

Lomustine, 4

Makena, 15

Lincocin, 4

Lonsurf, 7

Malarone, 3

lincomycin HCL, 4

loperamide HCL, 18

malathion, 13

Lincomycin/Lidocaine, 4

Lopid, 10

mannitol, 9

lindane, 13

Lopressor, 7

Maprotiline HCL, 23

linezolid, 4

Lopressor HCT, 9

Marbeta-25, 14

Linzess, 19

Loprox, 11

Marbeta-l, 14

Lioresal Intrathecal, 4

Loprox Shampoo, 11

Marcaine, 31

liothyronine sodium, 18

lorazepam, 1

Marcaine W/O Epi, 31

Lipofen, 10

Lortab, 29

Marcaine/Epinephrine, 31

Liquicet, 29

Lorzone, 4

Mardex-25, 14

lisinopril, 8

losartan potassium, 8

Marinol, 19

lisinopril/hydrochlorothiazide, 8

losartan potassium/hydrochlorothiazide, 8

Marlido-25, 31

Lite Touch Pen Needles/31G X 3/16", 37

Marnatal-f, 34

Liteaire, 41

Loseasonique, 15

Marplan, 23

Litetouch Insulin Syringe/0.3ML/29G X 1/2", 37

Lotemax, 5

Marqibo, 6

Lotensin, 8

Mask Vortex/Baby Whirl Duckling, 41


Lotensin HCT, 9

Mask Vortex/Child/Frog, 41

Lotrel, 9

Mask Vortex/Spinner The Duck, 41


Lotrisone, 11

Mask Vortex/Toddler/Lady Bug, 41

Lotronex, 19

Matulane, 6


lovastatin, 9

Mavik, 8

Lovaza, 10

Maxalt, 30


Lovenox, 21

Maxalt-MLT, 30

loxapine, 23

Maxaron Forte, 21

Litetouch Insulin Syringe/1ML/30G X 5/16", 37

loxapine succinate, 23

Maxfe, 21

Loxitane, 24

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 37

Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 37

LT Injection Kit, 14

Lta 360 Kit, 22

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 37

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 37

Lufyllin, 32

Lumigan, 5

Maxidex, 5

Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 37

Lumizyme, 18

Maxipime, 1

Lunesta, 2

Maxitrol, 5


Lupaneta Pack, 17

Maxzide, 9

Lupron Depot, 5

Maxzide-25, 9


Lupron Depot-PED, 17

Mb Hydrogel, 13

Luvox CR, 23

meclizine HCL, 19

Litetouch Lancets Micro Thin 33G, 37

Luxiq, 12

Meclofenamate Sodium, 30

Litetouch Pen Needles 29GX12.7MM, 37

Luzu, 11

Medi-derm/L-RX, 13

Litetouch Pen Needles 31G X 6MM, 37

Lycelle, 13

Medical Provider EZ Flu Shot 2014-2015, 33

Litetouch Pen Needles 31GX8MM SHORT, 37

Lynparza, 6

Lyrica, 25

Medical Provider EZ Flu Shot 2015-2016, 33

Lithium, 24

Lysodren, 5

lithium carbonate, 23

Lysteda, 21

Medical Provider Single Use EZ Flu Shot, 33

Lithium Carbonate, 24

Lytensopril Kit, 9

lithium carbonate ER, 23

Lytensopril-90, 9

Medisense Thin Lancets, 38

Lithobid, 24

Lytensopril-90 Kit, 9

Medlance Plus Extra Lancets 21G, 38

Lithostat, 20

Medlance Plus Lancets, 38

Live Better Lancet Super Thin 30G, 37

Medlance Plus Lancets Lite 25G, 38

Medlance Plus Lite Lancets 25G, 38

methenamine mandelate, 20 Minocin, 2

Medlance Plus Special Lancets 0.8MM, 38

Methenamine Mandelate, 20 Minocin Kit, 2

methimazole, 18 minocycline HCL, 2

Medlance Plus Superlite 30G, 38

methocarbamol, 4 minocycline HCL ER, 2

Medlance Plus Superlite 30G/Comfort Max, 38

methotrexate, 5 minoxidil, 8

methotrexate sodium, 5 Mirapex, 3

Medlance Plus Universal Lancets 21G, 38

methoxsalen, 12 Mirapex ER, 3

methscopolamine bromide, 18 Mircera, 21

Medlance Plus/Lite 25G, 38

Methyclothiazide, 9 Mircette, 15

Medlance/Extra, 38

methyldopa, 8 mirtazapine, 23

Medlance/Lite, 38

Methyldopa/Hydrochlorothiazide, 9 mirtazapine odt, 23

Medlance/Universal, 38

Methyldopate HCL, 8 Mirvaso, 11

Medrol, 14

methylergonovine maleate, 28 misoprostol, 18

Medrol Dosepak, 14

Methylin, 2 Mission Prenatal, 34

medroxyprogesterone acetate, 15

methylphenidate HCL, 2 Mitigare, 31

Medroxyprogesterone/Lidocaine, 15

methylphenidate HCL CD, 2 mitomycin, 4

mefenamic acid, 30

methylphenidate HCL ER, 2 Mitomycin, 4

mefloquine HCL, 3

Methylphenidate HCL ER, 2 Mitosol, 5

Mefoxin, 1

methylphenidate HCL SR, 2 mitoxantrone HCL, 4

Megace ES, 15

methylphenidate hydrochloride, 2 Mlk F4 Kit, 14

Megace Oral, 5

methylprednisolone, 14 Mobic, 30

megestrol acetate, 5, 15

Methylprednisolone, 14 modafinil, 2

Megrix, 13

methylprednisolone acetate, 14 Moderiba, 3

Meijer Super Thin Lancets, 38

methylprednisolone dose pack, 14 Moderiba 1200 Dose Pack, 3

Mekinist, 6

Methylprednisolone PF, 14 Moderiba 800 Dose Pack, 3

meloxicam, 30

methylprednisolone sodiumsuccinate, 14 Modicon, 15

Meloxicam, 30

Methylprednisolone/Lidocaine, 14 moexipril HCL, 8

Meloxicam Comfort PAC, 30

methyltestosterone, 15 moexipril/hydrochlorothiazide, 8

melphalan hydrochloride, 4

Metipranolol, 5 Molindone Hydrochloride, 24

memantine HCL, 3

metoclopramide HCL, 19 mometasone furoate, 12

memantine HCL titration PAK, 3

metoclopramide odt, 19 Moms Choice RX, 34

memantine hydrochloride, 3

Metoclopramide Odt, 19 Monoclate-p, 22

Menactra, 33

metolazone, 9 Monodox, 2

Menest, 15

metoprolol succinate ER, 7 Monoject Bone Marrow Biopsy Prepping Tray, 31

Menhibrix, 33

metoprolol tartrate, 7

Menomune-a/C/Y/W-135, 33

metoprolol/hydrochlorothiazide, 8 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 31

Menopur, 17

Metozolv Odt, 19

Menostar, 15

Metro IV, 4 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 31

Mentax, 11

Metrocream, 11

Menveo, 33

Metrogel, 11 Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 31

meperidine HCL, 29

Metrogel-vaginal, 20

Meperidine HCL, 29

Metrolotion, 11 Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 38

Mephyton, 33

metronidazole, 4, 11

meprobamate, 1

metronidazole IN NACL 0.79%, 4 Monoject Insulin Syringe/1ML, 38

Mepron, 4

metronidazole vaginal, 20 Monoject Insulin Syringe/1ML/31G X 5/16", 38

mercaptopurine, 5

mexiletine HCL, 8

meropenem, 4

Miacalcin, 17 Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 38

Meropenem/Sodium Chloride, 4

Micardis, 8

Merrem, 4

Micardis HCT, 9 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 38

mesalamine, 19

Microchamber, 41

mesna, 6

Microlet Lancets, 38 Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 38

Mesnex, 6

Microspacer, 41

Mestinon, 4

Microtainer Safety Flow Lancet/Sterile/Single-use, 38

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 38

Mestinon Timespan, 4

Metadate CD, 2

Microzide, 9 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 38

Metaproterenol Sulfate, 32

midodrine HCL, 9

Metastron, 6

Mifeprex, 17 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 38

metaxalone, 4

Migergot, 30

Metaxalone, 4

Migral, 30 Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 38

metformin HCL, 16

Migranal, 30

metformin HCL ER, 16

Millipred, 14 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 38

methadone HCL, 29

Millipred DP, 14

Methadone HCL, 29

milrinone IN dextrose, 7 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 38

Methadose, 29

milrinone lactate, 7

Methadose Sugar-free, 29

Minastrin 24 FE, 15 Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 38

methamphetamine HCL, 2

Mineral Oil Heavy, 18

methazolamide, 9

Minipress, 8 Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 38

methenamine hippurate, 20

Minivelle, 15

Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 38

mupirocin calcium, 11 nateglinide, 16

Muse, 10 Natelle One, 34

Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

Mustargen, 4 Natesto, 15

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21

Natpara, 17

Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 38

Natrecor, 10

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21

Natroba, 13

Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 38

Nature-throid, 18

Myalept, 18 Nature-throid Nt-2.5, 18

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 38

Myambutol, 2 Navelbine, 6

Mycamine, 2 Nazirex, 11


Mycobutin, 2 Nebupent, 4

mycophenolate mofetil, 5 Nebusal, 32


mycophenolic acid DR, 5 Necon 1/50-28, 15

Mydfrin, 5 Necon 10/11-28, 15


Myfortic, 5 Neevo DHA, 34

Myglucohealth Mgh Softlance Lancets 30G, 38

nefazodone HCL, 23


Nefazodone HCL, 23

Mykidz Iron Fl, 34 Nembutal Sodium, 2


Myleran, 4 Neo-synalar, 11

Mynatal, 34 Neo-synalar Kit, 11


Myobloc, 4 neomycin sulfate, 2

Myoxin, 28 neomycin/bacitracin/polymyxin, 27

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 38

Myozyme, 18 neomycin/polymyxin/bacitracin zinc, 27

Myrbetriq, 20 neomycin/polymyxin/bacitracin/hydrocortisone, 5


Mysoline, 3

N neomycin/polymyxin/dexamethasone, 5


neomycin/polymyxin/gramicidin, 27

nabumetone, 30

neomycin/polymyxin/HC, 28

nadolol, 7

Monojector End CAPS, 38

Neomycin/Polymyxin/Hydrocortisone, 5

nadolol/bendroflumethiazide, 8

Monojector Opd End CAPS, 38

neomycin/polymyxin/hydrocortisone, 28

nafcillin sodium, 1

Monolet Lancets, 38

Neoprofen, 30

Nafcillin Sodium, 1

Monolet Opd Lancets, 38

Neoral, 5

Nafrinse Daily/Acidulated, 22

Monolettor Safety Lancets, 38

Neosalus, 13

Nafrinse Daily/Neutral, 22

Mononine, 22

Neosalus CP, 13

Nafrinse Weekly, 22

Monovisc, 4

Neosporin, 5

Naftifine HCL, 11

montelukast sodium, 32

neostigmine methylsulfate, 4

naftifine hydrochloride, 11

Monurol, 20

Neostigmine Methylsulfate, 4

Naftin, 11

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 38

Neotuss Plus, 32

Naglazyme, 18

Nephplex RX, 34

nalbuphine HCL, 29

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

Nephro-vite RX, 34

Nalfon, 30

Nephrocaps, 34

Nallpen Iso-osmotic IN Dextrose, 1

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 38

Nephrocaps QT, 34

Nallpen/Dextrose, 1

Nephron Fa, 21

Namenda, 26

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 38

Neptazane, 9

Namenda Titration PAK, 26

Nesacaine, 31

Namenda XR, 26

Morgidox 1X100MG, 2

Nesacaine-mpf, 31

Namenda XR Titration Pack, 26

Morgidox 2X100MG, 2

Nessi Spacer/Large Mask, 41

Namzaric, 26

morphine sulfate, 29

Nessi Spacer/Mouthpiece, 41

Naphazoline HCL, 5

Morphine Sulfate, 29

Nessi Spacer/Small/MED Mask, 41

Naprelan, 30

Morphine Sulfate Add-vantage, 29

Nestabs, 34

Naprosyn, 30

morphine sulfate ER, 29

Nestabs Abc, 34

naproxen, 30

Morphine Sulfate ER, 29

Nestabs DHA, 34

Naproxen, 30

Morphine Sulfate/Sodium Chloride, 29

Netgroup Lancets, 38

Naproxen Comfort PAC, 30

Motofen, 18

Neuac Kit, 11

naproxen sodium, 30

Movantik, 19

Neulasta, 21

naproxen sodium CR, 30

Moviprep, 18

Neulasta Onpro Kit, 21

naproxen sodium ER, 30

Moxatag, 1

Neumega, 20

naratriptan HCL, 30

Moxeza, 5

Neupogen, 21

Nardil, 23

moxifloxacin HCL, 2

Neupro, 3

Naropin, 31

Moxifloxacin HCL, 2

Neurontin, 3

Nascobal, 21

Mozobil, 20

Neutrasal, 22

Nasonex, 31

MS Contin, 29

Neutrexin, 4

Natachew, 34

Mucinex D, 32

Neuvaxin, 14

Natacyn, 5

Multaq, 8

Nevanac, 28

Natalvirt 90 DHA, 34

Multigen, 21

nevirapine, 3

Natalvirt CA, 34

Multigen Folic, 21

Nevirapine, 3

Natalvirt Flt, 21

Multigen Plus, 21

nevirapine ER, 3

Natalvit, 34

mupirocin, 11

Newgen, 34

Natazia, 15

Nexa Plus, 34

norgestimate/ethinyl estradiol, 15 Ocuvel, 34

Nexavar, 6

Norinyl 1+35, 15 Ofev, 32

Nexium, 18

Norinyl 1+50, 15 Ofirmev, 28

Nexium 24HR, 18

Noritate, 11 ofloxacin, 2, 27, 28

Nexium I.v., 19

Noroxin, 2 Ofloxacin, 2

Nexterone, 8

Norpace, 8 olanzapine, 23

Niacin, 33

Norpace CR, 8 olanzapine odt, 23

niacin ER, 9

Norpramin, 23 olanzapine/fluoxetine, 3

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33

Northera, 9 Oleptro, 23

nortriptyline HCL, 23 olopatadine HCL, 28, 31

Niacor, 10

Nortriptyline HCL, 23 Olux, 13

Niaspan, 10

Norvasc, 7 Olux-e, 13

Nicadan, 34

Norvir, 3 Olysio, 3

nicardipine HCL, 7

Nova Safety Lancets 23G, 38 Omeclamox-PAK, 18

Nicazel, 34

Nova Safety Lancets 28G, 38 omega-3-acid ethyl esters, 10

Nicazel Forte, 34

Nova Sureflex Lancets, 38 Omega-3/D-3 Wellness Pack, 10

Nicazeldoxy 30 Kit, 2

Novaferrum, 21 omeprazole, 18

Nicazeldoxy 60 Kit, 2

Novoclair, 12 Omeprazole + Syrspend SF Alka, 19

Nicomide, 34

Novoeight, 22 omeprazole/sodium bicarbonate, 18

nifedipine, 7

Novofine Plus 32GX4MM, 38 Omnaris, 31

nifedipine ER, 7

Novoseven Rt, 22 Omnipred, 5

Nilandron, 5

Noxafil, 2 Omontys, 21

Nimbex, 4

Nplate, 20 On Call Lancets, 38

nimodipine, 7

Nucala, 32 On Call Plus Lancets, 38

Nipent, 6

Nucort, 13 Oncaspar, 5

Niravam, 23

Nucynta, 29 ondansetron HCL, 19

nisoldipine, 7

Nuedexta, 26 ondansetron odt, 19

Nisoldipine, 7

Nufera, 21 One A Day Womens Prenatal/DHA, 34

Nisoldipine ER, 7

Nulojix, 5 One A Day Womens Prenatal1, 34

Nitro-bid, 7

Nulytely/Flavor Packs, 18 One-a-day Womens Prenatal, 34

Nitro-dur, 7

Numoisyn, 22 Onetouch Club Lancets Fine Point, 38

nitrofurantoin, 20

Nuox, 11 Onetouch Combo Pack, 38

nitrofurantoin macrocrystals, 20

Nutricap, 34 Onetouch Delica Lancets Extra Fine 33G, 38

nitrofurantoin monohydrate, 20

Nutridox, 2

nitrofurantoin monohydrate/macrocrystals, 20

Nutrivit, 34 Onetouch Delica Lancets Fine 30G, 38

Nutropin AQ Nuspin 10, 17 Onetouch Finepoint Lancets, 38

Nitroglycerin, 7

Nutropin AQ Nuspin 20, 17 Onetouch Lancets, 38

nitroglycerin ER, 7

Nutropin AQ Nuspin 5, 17 Onetouch Suresoft Lancing Device/18G, 38

nitroglycerin IN 5% dextrose, 7

Nutropin AQ Pen, 17

nitroglycerin IN dextrose 5%, 7

Nuvail, 14 Onetouch Suresoft Lancing Device/21G, 38

Nitroglycerin IN Dextrose 5%, 7

Nuvaring, 15

nitroglycerin lingual, 7

Nuvessa, 20 Onetouch Suresoft Lancing Device/28G, 38

Nitroglycerin Lingual, 7

Nuvigil, 2

nitroglycerin transdermal, 7

Nuvya, 12 Onetouch Ultra 2, 38

Nitrolingual Pumpspray, 7

Nuwiq, 22 Onetouch Ultra Blue, 38

Nitromist, 7

Nuzon, 13 Onetouch Ultra Mini, 38

Nitronal, 7

Nyata, 11 Onetouch Ultra System Kit, 38

Nitropress, 8

Nymalize, 7 Onetouch Ultralink System (DEC), 38

Nitrostat, 7

nystatin, 2, 11, 22 Onetouch Ultralink System (hex), 38

Niva-plus, 34

nystatin/triamcinolone, 11 Onetouch Ultrasmart, 38

Nivatopic Plus, 14

O Onetouch Ultrasoft Lancets, 38

nizatidine, 18

Onetouch Verio, 38

O-CAL Fa, 34

Nizoral, 11

Onetouch Verio IQ Blood Glucose Monitoring System, 38

O-CAL Prenatal, 34

Nor-QD, 15

OB Complete, 34

Norco, 29

Onetouch Verio Sync Bloodglucose Monitoring System, 38

OB Complete 400, 34

Norditropin Cartridge, 17

OB Complete Gold, 34

Norditropin Flexpro, 17

Onetouch Verio Test Strips, 38

OB Complete One, 34

Norditropin Nordiflex Pen, 17

Onexton, 11

OB Complete Petite, 34

norepinephrine bitartrate, 9

Onfi, 3

OB Complete Premier, 34

norethindrone, 15

Onglyza, 16

OB Complete/DHA, 34

norethindrone & ethinyl estradiol ferrous fumarate, 15

Onmel, 2

Obredon, 32

Opana, 29

Obstetrix DHA, 34

norethindrone acetate, 15

Opana ER (crush Resistant), 29

Obtrex, 34

norethindrone acetate/ethinyl estradiol, 15(2)

Opdivo, 5

Obtrex DHA, 34

opium, 18

octreotide acetate, 17

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

opium tincture, 18

Ocudox, 2

Opium Tincture (paregoric), 18

Ocufen, 28

Norflex, 4

Opsumit, 10

Ocuflox, 5

Optichamber Advantage, 41

oxymorphone hydrochloride, 29 Pen Needles 29G X 12MM, 38

Optichamber Diamond, 41

oxymorphone hydrochloride ER, 29 Pen Needles 29GX1/2", 38

Optichamber Diamond/Largeface Mask, 41

oxytocin, 28 Pen Needles 30GX5/16", 38

Oxytocin/Lactated Ringers, 28 Pen Needles 31G X 1/4" SHORT, 38

Optichamber Diamond/Medium Face Mask, 41

Oxytrol, 20 Pen Needles 31G X 3/16", 38

P Pen Needles 31G X 6MM, 38

Optichamber Diamond/Smallface Mask, 41

Pen Needles 31GX5/16", 38

paclitaxel, 6

penicillin G potassium, 1

Paclitaxel, 6

Optihaler, 41

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Paire OB, 34

Optihaler MDI Drug Delivery System, 41

Palgic, 31

Optivar, 28

Penicillin G Procaine, 1

paliperidone ER, 23

Oracea, 11

Penicillin G Sodium, 1

Pamelor, 23

Oracit, 20

penicillin v potassium, 1

pamidronate disodium, 16

Orafate, 22

Penlac Nail Lacquer, 11

Pamidronate Disodium, 16

Orap, 26

Penlet II Replacement CAPS, 38

Pamine, 19

Orapred, 14

Penlet II Replacement CAPS-deep, 38

Pamine Forte, 19

Orapred Odt, 14

Penlet II Replacement CAPS-regular, 38

Pamine FQ, 19

Oravig, 22

Pennsaid, 12

Panatuss Dxp, 32

Orbactiv, 4

Pentacel, 33

Pancrelipase, 19

Orencia, 30

Pentam 300, 4

pancuronium bromide, 26

Orenitram, 10

Pentasa, 19

Panda Mask Large, 41

Orfadin, 18

pentazocine/acetaminophen, 29

Panda Mask Medium, 41

Orkambi, 32

pentazocine/naloxone HCL, 29

Panda Mask Small, 41

orphenadrine citrate, 4

Pentetate Calcium Trisodium, 41

Pandel, 13

orphenadrine citrate ER, 4

Pentetate Zinc Trisodium, 41

pantoprazole sodium, 18

orphenadrine/asa/caffeine, 4

Pentips 31GX5MM, 38

papaverine HCL, 10

Ortho Evra, 15

Pentips 31GX8MM, 38

Parafon Forte DSC, 4

Ortho Micronor, 15

Pentips 32GX4MM, 38

Parcopa, 3

Ortho Tri-cyclen, 15

pentoxifylline ER, 22

paricalcitol, 17

Ortho Tri-cyclen LO, 15

Pepcid, 19

Parlodel, 3

Ortho-cept, 15

Percocet, 29

Parnate, 23

Ortho-cyclen, 15

Percodan, 29

paromomycin sulfate, 2

Ortho-novum 1/35, 15

Perfect Lancets 30G, 38

paroxetine HCL, 23

Ortho-novum 7/7/7, 15

Perfect Pressure Activated Safety Lancets 28G, 38

paroxetine HCL ER, 23

Orthovisc, 4

Paser, 2

Osmoprep, 18

Perforomist, 32

Pataday, 28

Osphena, 17

Peridex, 22

Patanase, 31

Otezla, 30

perindopril erbumine, 8

Patanol, 28

Otozin, 28

Perjeta, 5

Paxil, 23

Otrexup, 30

permethrin, 13

Paxil CR, 23

Ovace Plus, 12

perphenazine, 23

Pazeo, 28

Ovace Plus Wash, 12

Perphenazine/Amitriptyline, 26

PC Unifine Pentips 29G X 1/2", 38

Ovace Wash, 12

Persantine, 22

PC Unifine Pentips 31G X 6MM Ultra SHORT, 38

Ovcon-35, 15

Pexeva, 23

Ovide, 14

Pfizerpen-G, 1

PC Unifine Pentips 31G X 8MM SHORT, 38

Ovidrel, 17

Pharmacist Choice Tsx Patch, 14

oxacillin sodium, 1

Pharmacist Choice Ultra Thin Lancets, 38

PCE, 1

oxaliplatin, 4

Pcp 100, 18

Oxandrin, 15

Pharmacist Choice Ultra Thin Lancets 28G, 38

Pediaderm AF Complete Kit, 11

oxandrolone, 15

Pediaderm HC, 13

oxaprozin, 30


Pediaderm Ta, 13

Oxaydo, 29

Pediapred, 14

oxazepam, 1


Pediarix, 33

oxcarbazepine, 25

Pediatex TD, 32

Oxecta, 29


Pediatex TDM, 32

Oxistat, 11

Pediatric Panda Mask, 41

Oxsoralen, 14

Pharmacy Counter Lancets, 38

Pedipirox-4 Nail, 11

Oxsoralen Ultra, 12

phenazopyridine HCL, 20

Pedvax HIB, 33

Oxtellar XR, 3

phenelzine sulfate, 23

peg 3350/electrolytes, 18

oxybutynin chloride, 20

Phenergan, 31

peg-3350/electrolytes, 18

oxybutynin chloride ER, 20

phenobarbital, 2

peg-3350/NACL/NA bicarbonate/KCL, 18

oxycodone HCL, 29

Phenobarbital, 2

Peg-intron, 3

Oxycodone HCL, 29

Phenobarbital Sodium, 2

Peg-intron Redipen, 3

Oxycodone HCL ER, 29

phenoxybenzamine hydrochloride, 8

Peg-intron Redipen PAK 4, 3

oxycodone/acetaminophen, 29

Phentolamine Mesylate, 8

Peganone, 3

oxycodone/aspirin, 29

phenylephrine HCL, 5, 9

Pegasys, 3

oxycodone/ibuprofen, 29

Phenylephrine HCL, 9

Pegasys Proclick, 3

Oxycontin, 29

Phenylephrine HCL/Sodium Chloride, 9

Pegintron, 3

phenylephrine/guaifenesin, 31

Prastera, 30 Presera, 14

Phenytek, 3

pravastatin sodium, 10 Prestalia, 9

phenytoin, 25

Prazolamine, 4 Prevacid, 19

phenytoin sodium, 25

prazosin HCL, 8 Prevacid Solutab, 19

phenytoin sodium extended, 25

Pre-folic, 21 Prevident, 22

Phoslo, 19

Precedex, 2 Prevnar 13, 33

Phoslyra, 19

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 38

Prevpac, 19

Phospholine Iodide, 28

Prezcobix, 3

Photofrin, 6


Prezista, 3

Phrenilin Forte, 28

Prialt, 28

phytonadione, 33


Priftin, 2

pilocarpine HCL, 22, 28

Prilosec, 19

pilocarpine hydrochloride, 22


Primaquine Phosphate, 3

pimozide, 26

Primaxin IV, 4

pindolol, 7

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 38

Primaxin IV Add-vantage, 4

pioglitazone HCL, 16

primidone, 25

pioglitazone HCL-glimepiride, 16

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 38

Primlev, 29

pioglitazone HCL/metformin HCL, 16

Primsol, 4

piperacillin sodium/ tazobactam sodium, 1

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 38

Prinivil, 8

Pristiq, 23

piperacillin sodium/tazobactam sodium, 1

Precision Thin Lancets, 38 Pro-c-dure 1 Kit, 14

piperacillin/tazobactam, 1

Precision Thins GP Lancet, 38 Pro-c-dure 2 Kit, 14

piroxicam, 30

Precision Ultra Lancet, 38 Pro-c-dure 3 Kit, 14

Pitocin, 28

Precose, 16 Pro-c-dure 4 Kit, 14

Pitressin Synthetic, 17

Pred Forte, 5 Pro-c-dure 5 Kit, 14

Plan B, 15

Pred Mild, 5 Pro-c-dure 6 Kit, 14

Plan B One-step, 15

Pred-G, 5 Proair HFA, 32

Plaquenil, 3

Pred-G S.o.p., 5 Proair Respiclick, 32

Plavix, 22

prednicarbate, 12 probenecid, 31

Plegridy, 26

prednisolone, 14 probenecid/colchicine, 31

Plegridy Starter Pack, 26

prednisolone acetate, 5 Procainamide HCL, 8

Pletal, 22

prednisolone sodium phosphate, 14 Procardia, 7

Plexion, 11

Prednisolone Sodium Phosphate, 5, 14 Procardia XL, 7

Plexion Cleanser, 11

prednisolone sodium phosphate odt, 14 Procentra, 2

Plexion Cleansing Cloths, 11

prednisone, 14 prochlorperazine, 23

Pliaglis, 14

Prednisone, 14 prochlorperazine edisylate, 23

Pneumovax 23, 33

Prednisone Intensol, 14 prochlorperazine maleate, 23

Pneumovax 23/1 Dose, 33

Prefera OB, 34 Procort, 19

Pneumovax 23/5 Dose, 33

Prefera OB + DHA, 34 Procrit, 21

Pocket Chamber, 41

Preferaob +dha, 34 Proctocort, 19

Pocket Spacer, 41

Preferaob One, 34 Proctofoam HC, 19

podofilox, 13

Preferred Plus Unifine Pentips 29G X 12MM, 38

Procysbi, 20

Poly-VI-flor, 34

Prodigy Insulin Mini Pen Needles/31G X 3/16", 38

Poly-VI-flor FS, 34

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 38

Poly-VI-flor/Iron, 34

Prodigy Insulin Pen Needles/29G X 1/2", 38

polyethylene glycol 3350, 18

Preferred Plus Unifine Pentips 31G X 8MM SHORT, 38

polymyxin b sulfate, 4

Prodigy Insulin SHORT Penneedles/31G X 5/16", 38

polymyxin b sulfate/trimethoprim sulfate, 27

Prefest, 15

Prefol-DHA, 34 Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 38

Polytrim, 5

Premarin, 15, 20

Pomalyst, 5

Premphase, 15 Prodigy Insulin Syringe/1/2ML/31G X 5/16", 38

Ponstel, 30

Prempro, 15

potassium citrate ER, 20

Prenata, 34 Prodigy Insulin Syringe/1ML/28G X 1/2", 38

potassium citrate-citric acid crystals, 20

Prenatal Vitamin, 34

potassium citrate/citric acid, 20

Prenatal Vitamins, 34 Prodigy Pressure Activated Safety Lancets, 38

potassium citrate/sodium citrate/citric acid, 20

Prenate, 34

Prenate AM, 34 Prodigy Safety Lancets, 38

Potiga, 3

Prenate DHA, 34 Prodigy Twist Top Lancets, 38

Pr Cream, 14

Prenate Elite, 34 Proferrin-forte, 21

Pradaxa, 21

Prenate Enhance, 34 Profilnine, 22

Praluent, 10

Prenate Essential, 34 Profilnine SD, 22

pramipexole dihydrochloride, 3

Prenate Mini, 34 progesterone, 15

pramipexole dihydrochloride ER, 3

Prenate Pixie, 34 Progesterone 10% Kit, 15

Pramosone, 12

Prenate Restore, 34 Proglycem, 16

Pramotic, 28

Prenate Star, 34 Prograf, 5

Prandimet, 16

Prepidil, 28 Prolastin-c, 32

Prandin, 16

Prepopik, 18 Prolensa, 28

Prascion Ra With Sunscreens, 11

Preque 10, 34 Proleukin, 6

Prolia, 17

Quadracel, 33 Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 39

Promacta, 21

Quadramet, 6

promethazine HCL, 31

Qualaquin, 3 Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

promethazine HCL plain, 31

Quartette, 15

promethazine-DM, 31

Quazepam, 2 Relion Insulin Syringe/U-100/0.5ML/30G, 39

promethazine/codeine, 31

Qudexy XR, 3

promethazine/dextromethorphan, 31

Quelicin, 4 Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 39

promethazine/phenylephrine, 31

Quelicin 1000, 4

Promethazine/Phenylephrine, 32

Questran, 10 Relion Insulin Syringe/U-100/0.5ML/31G X 5/16", 39

promethazine/phenylephrine/codeine, 31

Questran Light, 10

Prometrium, 15

quetiapine fumarate, 23 Relion Insulin Syringe/U-100/1ML/30G, 39

Promiseb, 12

Quillichew ER, 2

Promiseb Complete, 12

Quillivant XR, 2 Relion Insulin Syringe/U-100/1ML/30G X 5/16", 39

propafenone HCL, 8

quinapril HCL, 8

propafenone HCL ER, 8

quinapril/hydrochlorothiazide, 8 Relion Insulin Syringe/U-100/1ML/31G X 5/16", 39

Propantheline Bromide, 18

Quinidine Gluconate, 8

proparacaine HCL, 28

quinidine gluconate CR, 8 Relion Lancets Micro-thin33G, 39

propranolol HCL, 7

quinidine gluconate ER, 8 Relion Lancets Standard 21G, 39

Propranolol HCL, 7

quinidine sulfate, 8 Relion Lancets Thin 26G, 39

propranolol HCL ER, 7

Quinidine Sulfate, 8 Relion Lancets Ultra-thin30G, 39

Propranolol/Hydrochlorothiazide, 9

Quinidine Sulfate ER, 8 Relion Mini Pen Needles 31GX6MM, 39

propylthiouracil, 18

quinine sulfate, 3 Relion Pen Needles 29GX12MM, 39

Proquad, 33

Qutenza, 14 Relion Pen Needles 31GX8MM, 39

Proscar, 20

R Relion Pen Needles 32GX4MM, 39

Prosed/DS, 20

Relion SHORT Pen Needles 31GX8MM, 39

R-natal OB, 34

Prostigmin, 4

Rabavert, 33

Prostin E2, 28

Relion Thin Lancets, 39

rabeprazole sodium, 18

Protamine Sulfate, 22

Relion Ultra Thin Lancets, 39

raloxifene hydrochloride, 17

Protect Plus, 34

Relion Ultra Thin Lancets30G, 39

ramipril, 8

Protectiron, 21

Relion Ultra Thin Plus Lancets 32G, 39

Ranexa, 7

Prothelial, 22

Relion Ultra Thin Plus Lancets 33G, 39

ranitidine HCL, 18

Protonix, 19

Relistor, 19

Rapaflo, 20

Protopic, 13

Relpax, 30

Rapamune, 5

protriptyline HCL, 23

Relyyks, 14

Rapivab, 3

Provenge, 6

Relyyt, 14

Rasuvo, 30

Provera, 15

Remeron, 23

Ravicti, 18

Provida DHA, 34

Remeron Soltab, 23

Rayos, 14

Provida OB, 34

Remicade, 19

Razadyne, 26

Provigil, 2

Remodulin, 10

Razadyne ER, 26

Prozac, 23

Renagel, 19

Readysharp-a, 31

Prozac Weekly, 23

Renatabs, 34

Readysharp-k, 14

Pruclair, 14

Renatabs With Iron, 34

Readysharp-p40, 14

Prudoxin, 12

Renew Advanced Lancing Cartridge Refills, 39

Readysharp-p80, 14

Prumyx, 14

Rebetol, 3

Pss Select GP Lancets, 38

Renvela, 19

Reclast, 17

Pss Select Platforms, 38

Reopro, 22

Recombinate, 22

Pss Select Safety Lancets, 38

repaglinide, 16

Recombivax HB, 33

Pulmicort, 32

Repaglinide/Metformin Hydrochloride, 16

Recothrom, 21

Pulmicort Flexhaler, 32

Repatha, 10

Recothrom Spray Kit, 21

Pulmophylline, 32

Repatha Sureclick, 10

Rectiv, 19

Pulmozyme, 32

Reprexain, 29

Recura, 11

Purinethol, 5

Repronex, 17

Reglan, 19

Purixan, 5

Req 49+, 34

Regonol, 4

Px Lancets Ultra Thin, 38

Requip, 3

Relagard, 20

Pylera, 18

Requip XL, 3

Relenza Diskhaler, 3

pyrazinamide, 2

Rescon-JR, 32

Relhist, 32

Pyridium, 20

Rescon-MX, 32

Relion Insulin Syringe/U -100/0.5ML/29G, 39

pyridostigmine bromide, 4

Rescriptor, 3

Pyridoxine HCL, 33

Reserpine, 8

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 39

Pyrogallic Acid, 14

Respa-BR, 31

Q

Restasis, 28

Relion Insulin Syringe/U-100/0.3ML/29G, 39

Restora RX, 18

Qc Lancets Super Thin, 39

Restora Sprinkles, 18

Qc Lancets Ultra Thin, 39

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

Restoril, 2

Qc Pen Needles 29G X 12MM, 39

Retavase, 22


Relion Insulin Syringe/U-100/0.3ML/30G, 39

Retavase Half-kit, 22


Retin-a, 11

Qnasl, 31

Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 39

Retin-a Micro, 11

Qnasl Childrens, 31

Retin-a Micro P.M., 11

Rotateq, 33 Savaysa, 21

Retinoic Acid, 10

Rowasa, 20 Savella, 26

Retinoic Acid-all Trans, 10

Roxicet, 29 Savella Titration Pack, 26

Retrovir, 3

Roxicodone, 29 Scalacort DK, 13

Retrovir IV Infusion, 3

Rozerem, 2 Scar Patch, 14

Revatio, 10

Ryanodex, 4 Scopolamine Hydrobromide, 19

Revlimid, 5

Rytary, 3 Seasonique, 15

Rexall Lancets Ultra Thin, 39

Rythmol, 8 Seb-prev, 12

Rexulti, 24

Rythmol SR, 8 Seconal, 2

Reyataz, 3

S Sectral, 7

Rezira, 32

Select-OB, 34

Sabril, 3

Rezyst IM, 18

Select-ob+dha, 34

Safe-t-lance Low Flow 25G, 39

Rezyst SB, 18

selegiline HCL, 3

Safe-t-lance Normal Flow 21G, 39

Rheumatrex, 30

selenium sulfide, 12

Safe-t-lance Plus Safety Lancet High Flow, 39

Rhinocort Aqua, 31

Selrx, 12

Rhinoflex-650, 28

Selzentry, 3

Safe-t-lance Plus Safety Lancet Low Flow, 39

Riastap, 22

Semprex-d, 32

Riax, 11

Senophylline, 32

Safe-t-lance Plus Safety Lancet Normal Flow, 39

Ribasphere, 3

Sensipar, 18

Ribasphere Ribapak, 3

Sensorcaine-mpf/Epinephrine, 31

Safesnap Insulin Syringe/0.3ML/30G X 5/16", 39

Ribatab, 3

Sentradine, 19

ribavirin, 3

Sentraflox AM-10, 23


Ridaura, 30

Sentralopram AM-10, 23

rifabutin, 2

Sentramodafin AM-100, 2


Rifadin, 2

Sentravil PM-25, 23

Rifamate, 2

Sentrazolam AM 0.25, 23

Safesnap Insulin Syringe/1ML/28G X 1/2", 39

rifampin, 2

Sentrazolpidem PM-5, 2

Rifater, 2

Sentroxatine, 23

Safesnap Insulin Syringe/1ML/29G X 1/2", 39

Right Step Prenatal, 34

Serevent Diskus, 32

Rightest GD-L500 Alternate Site Adapter, 39

Seroquel, 24

Safety Lancet 21G/Pressure Activated, 39

Seroquel XR, 24

Rightest Gl300 Lancets, 39

Serostim, 17

Safety Lancet 28G/Pressure Activated, 39

Rilutek, 4

sertraline HCL, 23

riluzole, 26

Sevelamer Carbonate, 19

Safety Lancets, 39

rimantadine HCL, 3

Sfrowasa, 19

Safety Lancets 21G, 39

Rimantalist, 3

Shohls Solution Modified, 20

Safety Lancets 28G, 39

Riomet, 16

Shopko On-the-go Comfort Lancets 30G, 39

Safety Let Lancets, 39

risedronate sodium, 16

Safety Seal Lancets 28G, 39

risedronate sodium DR, 16

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 39

Safety Seal Lancets 30G, 39

Risperdal, 24

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 39

Risperdal Consta, 24

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 39

Risperdal M-TAB, 24

Safyral, 15

risperidone, 23

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 39

Saizen, 17

risperidone odt, 23

Saizen Click.easy, 17

Ritalin, 2

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 39

Salagen, 22

Ritalin LA, 2

Salex, 14

Ritalin SR, 2

Shopko Unilet Lancets Super Thin 30G, 39

Salex Cream, 14

Riteflo, 41

Salex Lotion, 14

Rituxan, 5

Shopko Unilet Lancets Ultra Thin 28G, 39

salicylic acid, 13

rivastigmine tartrate, 26

Salicylic Acid, 14

rivastigmine transdermal system, 26

Siderol, 34

salicylic acid cream, 13

rizatriptan benzoate, 30

Signifor, 17

Salicylic Acid IN Ammonium Lactate Vehicle, 14

rizatriptan benzoate odt, 30

Signifor Lar, 17

Robaxin, 4

Silazone Pharmapak, 13

salicylic acid lotion, 13

Robaxin-750, 4

Silazone-II, 13

Salivamax, 22

Robinul, 19

sildenafil, 10

Salkera, 14

Robinul Forte, 19

sildenafil citrate, 10

salsalate, 28

Rocaltrol, 18

Silenor, 2

Salvax, 14

Rocephin, 1

Simbrinza, 28

Salvax Duo Plus, 14

rocuronium bromide, 26

Simcor, 10

Samsca, 17

ropinirole ER, 3

Simponi, 30

Sanctura, 20

ropinirole HCL, 3

Simponi Aria, 30

Sanctura XR, 20

ropivacaine, 31

Simulect, 5

Sancuso, 19

ropivacaine HCL, 31

simvastatin, 10

Sandimmune, 5

Rosadan Kit, 11

Sinelee, 14

Sandostatin, 17

Rosanil, 11

Sinemet, 3

Sandostatin Lar Depot, 17

Rosula, 11

Sinemet CR, 3

Saphris, 24

Rotarix, 33

Single-let, 39

Sarafem, 26

Singulair, 32

spironolactone/hydrochlorothiazide, 9 Supervite EC, 34

sirolimus, 5

Sporanox, 2 Support-500, 34

Sirturo, 2

Sporanox Pulsepak, 2 Supprelin LA, 17

Sitavig, 3

Sprix, 30 Supracil, 14

Sivextro, 4

Sprycel, 6 Suprax, 1

Skelaxin, 4

Staflex, 28 Suprep Bowel Prep, 18

Sklice, 14

Stalevo 100, 3 Sure-fine Pen Needles 29GX1/2" 12.7MM, 39

Smart Diabetes Vantage Universal Lancets 30G, 39

Stalevo 125, 3

Stalevo 150, 3 Sure-fine Pen Needles 31GX3/16" 5MM, 39

Smart Sense Color Lancets Universal 33G, 39

Stalevo 200, 3

Stalevo 50, 3 Sure-fine Pen Needles 31GX5/16" 8MM, 39

Smart Sense Standard Lancets Universal 21G, 39

Stalevo 75, 3

stannous fluoride oral rinse, 22 Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

Smart Sense Super Thin Lancets Universal 30G, 39

Starlix, 16

stavudine, 3 Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39

Smart Sense Thin Lancets Universal 26G, 39

Stavzor, 3

Stelara, 12 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 39

Smartest Lancets 28G, 39

Stendra, 10

Sodium Bicarbonate, 18

Sterilance PA, 39 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

sodium chloride, 31

Sterilance TL, 39

sodium citrate/citric acid, 20

Stimate, 17 Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

Sodium Diuril, 9

Stiolto Respimat, 32

Sodium Edecrin, 9

Stivarga, 6 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39

sodium ferric gluconate complex/sucrose, 20

Strattera, 2

Strazepam, 2 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 39

sodium hyaluronate, 13

Streptomycin Sulfate, 2

sodium phenylbutyrate, 17

Striant, 15 Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 39

sodium sulfacetamide, 10, 12, 27

Stribild, 3

sodium sulfacetamide wash, 12

Striverdi Respimat, 32 Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 39

sodium sulfacetamide/sulfur, 10

Stromectol, 4

Sodium Sulfacetamide/Sulfur, 11

Strovite Forte, 34 Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 39

sodium sulfacetamide/sulfur cleanser, 10

Strovite One, 34

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Stuart Prenatal, 34 Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 39

Suboxone, 29

sodium sulfacetamide/sulfur cleansing cloths, 10

Subsys, 29 Sure-lance Flat Lancets, 39

Suclear, 18 Sure-lance Lancets 26G, 39

sodium sulfacetamide/sulfur green, 10

Sucraid, 19 Sure-lance Thin Lancets 28G, 39

Sodium Sulfacetamide/Sulfur IN Urea, 11

sucralfate, 18 Sure-lance Ultra Thin Lancets, 39

sodium sulfacetamide/sulfur w/sunscreen, 10

Sular, 7 Sure-touch Lancets Universal, 39

sulfacetamide sodium, 10, 27 Surelite Lancets, 39

sodium sulfacetamide/sulfur wash, 10

Sulfacetamide Sodium, 5 Surfaxin, 32

Solaice, 14

sulfacetamide sodium/prednisolone sodium phosphate, 5

Surmontil, 23

Soliris, 22

Survanta Intratracheal, 32

Solodyn, 2

sulfacetamide sodium/sulfur, 10 Sustiva, 3

Soltamox, 5

sulfacetamide sodium/sulfur cleanser, 10 Sutent, 6

Solu-cortef, 14

Sulfadiazine, 2 Suttar-2, 32

Solu-medrol, 14

sulfamethoxazole/trimethoprim, 4 Suttar-SF, 32

Solus V2 Pressure Activated Safety Lancets 28G, 39

Sulfamethoxazole/Trimethoprim, 4 Sylatron, 6

sulfamethoxazole/trimethoprim DS, 4 Symax Duotab, 18

Solus V2 Twist Lancets 30G, 39

sulfasalazine, 19 Symbicort, 32

Soma, 4

Sulfoam, 11 Symbyax, 26

Somatuline Depot, 17

Sulfurated Lime, 14 Symlinpen 120, 16

Somavert, 17

sulindac, 30 Symlinpen 60, 16

Sonata, 2

Sumadan Kit, 11 Synagex, 34

Soolantra, 11

Sumadan Wash, 11 Synalar, 13

Soothee, 14

Sumadan XLT, 11 Synalar Cream Kit, 13

Soriatane, 12

Sumatriptan, 30 Synalar Ointment Kit, 13

Sorilux, 12

sumatriptan succinate, 30 Synalar Ts, 13

sotalol HCL, 7

Sumatriptan Succinate, 30 Synalgos-dc, 29

sotalol HCL (AF), 7

sumatriptan succinate refill, 30 Synapryn Fusepaq, 29

Sotalol Hydrochloride, 7

Sumavel Dosepro, 30 Synarel, 17

Sotylize, 7

Sumaxin, 11 Synatek, 34

Sovaldi, 3

Sumaxin CP Kit, 11 Synera, 14

Spectracef, 1

Sumaxin Ts, 11 Synercid, 4

Spinosad, 14

Sumaxin Wash, 11 Synjardy, 16

Spiriva Handihaler, 32

Supartz, 4 Synribo, 6

Spiriva Respimat, 32

Supartz Fx, 4 Synthroid, 18

spironolactone, 9

Supervite, 34 Synvisc, 4

Synvisc One, 4

Terumo Insulin Syringe/1ML/29G X 1/2", 39

Theratramadol-60, 29

Theratramadol-90, 29

T


thiamine HCL, 33

Tabloid, 5

Thinlets GP Lancets, 39

Tabradol Fusepaq, 4

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

Thinlets Lancet, 39

Taclonex, 13

Thinpro Insulin Syringe/0.3ML/29G X 1/2", 39

tacrolimus, 5, 13


Tafinlar, 6


Talwin, 29


Tamiflu, 3


tamoxifen citrate, 5

Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 39

tamsulosin HCL, 20


Tandem F, 21

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 39

Tandem Plus, 21


Tapazole, 18


Tarceva, 6


Targadox, 2


Targretin, 6


Tarka, 9

Terumo Surguard Insulin Syringe/1ML/28G X 1/2", 39

Taron-bc, 34

Thinpro Insulin Syringe/1ML/28G X 1/2", 39

Taron-c DHA, 34

Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 39

Tasigna, 6

Thinpro Insulin Syringe/1ML/29G X 1/2", 39

Tasmar, 3

Tessalon Perles, 32

Taxotere, 6

Testone Cik, 15 Thinpro Insulin Syringe/1ML/30G X 3/8", 39

Tazicef, 1

Testopel, 15

Tazorac, 12

Testosterone, 15 Thinpro Insulin Syringe/1ML/31G X 3/8", 39

Tecfidera, 26

testosterone cypionate, 15

Tecfidera Starter Pack, 26

testosterone enanthate, 15 Thiola, 20

Techlite AST Lancets, 39

Testred, 15 thioridazine HCL, 23

Techlite Lancets, 39

Tetanus Toxoid Adsorbed, 33 Thiotepa, 4

Techlite Lancets 30G, 39

Tetanus/Diphtheria Toxoids-adsorbed, 33

thiothixene, 23

Technivie, 3

Thrombin-jmi Diluent, 21

Tegretol, 3

Tetanus/Diphtheria Toxoids-adsorbed Adult, 33

Thrombin-jmi Epistaxis, 21

Tegretol-XR, 3

Thrombin-jmi Syringe Spray Kit, 21

Tekamlo, 9

tetrabenazine, 26 Thrombin-jmi W/Dil Spray P.M. Actuator, 21

Tekturna, 8

tetracaine HCL, 28

Tekturna HCT, 9

Tetracaine HCL, 31 Thrombogen, 21

telmisartan, 8

Tetracycline HCL, 2 Thymoglobulin, 5

telmisartan/amlodipine, 8

Tetrix, 14 Thyrolar-1, 18

telmisartan/hydrochlorothiazide, 8

Teveten, 8 Thyrolar-1/2, 18

temazepam, 2

Teveten HCT, 9 Thyrolar-1/4, 18

Temodar, 4

Texacort, 13 Thyrolar-2, 18

Temovate, 13

Texavite LQ, 34 Thyrolar-3, 18

Temovate E, 13

Thalomid, 5 tiagabine hydrochloride, 25

temozolomide, 4

Theo-24, 32 Tiazac, 7

Tencon, 28

theophylline, 32 Tice Bcg, 6

Tenex, 8

theophylline CR, 32 ticlopidine HCL, 22

Teniposide, 6

theophylline ER, 32 Ticlopidine HCL, 22

Tenivac, 33

Theophylline/D5W, 32 Tigan, 19

Tenoretic 100, 9

Therabenzaprine-60, 4 Tikosyn, 8

Tenoretic 50, 9

Therabenzaprine-90, 4 Timentin, 1

Tenormin, 7

Therabenzaprine-90-5, 4 Timolol Maleate, 7

Terazol 3, 20

Theracodeine-300, 29 timolol maleate, 5

Terazol 7, 20

Theracodophen-325, 29 timolol maleate ophthalmic gel forming, 5

terazosin HCL, 8

Theracodophen-650, 29 Timoptic, 5

terbinafine HCL, 2

Theracodophen-750, 29 Timoptic Ocudose, 5

Terbinex, 2

Theracodophen-low-90, 29 Timoptic-xe, 5

terbutaline sulfate, 32

Theracys, 6 Tindamax, 4

terconazole, 20

Therafeldamine, 30 tinidazole, 4

Tersi Foam, 12

Theranatal Core Nutrition, 34 Tirosint, 18

Terumo Insulin Syringe/0.3ML/30G X 3/8", 39

Therapentin-60, 3 Tisseel, 21

Therapentin-90, 3 Tisseel VH, 22


Theraprofen-60, 30 Tivicay, 3

Theraprofen-800, 30 Tivorbex, 30


Theraprofen-90, 30 Tizanidine Comfort PAC, 4

Theraproxen-500, 30 tizanidine HCL, 4


Theraproxen-60, 30 TL G-FOL OS, 34

Theraproxen-90, 30 TL Triseb, 12

Tnkase, 22

Tri-VI-flor, 34 Trueplus Lancets 33G, 40

Tobradex, 5

Triamcinolone, 14 Trueplus Lancets 33G Micro Thin, 40

Tobradex ST, 5

triamcinolone acetonide, 12, 22, 31 Trueplus Safety Lancets 28G, 40

tobramycin, 2

Triamcinolone Acetonide, 12 Trumenba, 33

tobramycin sulfate, 2, 5

triamcinolone IN orabase, 22 Trusopt, 28

Tobramycin Sulfate/Sodium Chloride, 2

Triamcinolone PF, 14 Truvada, 3

tobramycin/dexamethasone, 5

Triamcinolone/Lidocaine, 14 Turkel Paracentesis Procedure Tray/8french, 31

Tobrex, 5

Triamsil Combipak, 13

Tofranil, 23

triamterene/hydrochlorothiazide, 9 Tussicaps, 32

Tofranil-PM, 23

Triamterene/Hydrochlorothiazide, 9 Tussionex Pennkinetic Extended Release, 32

tolazamide, 16

Trianex, 13

Tolazamide, 16

triazolam, 2 Tuzistra XR, 32

Tolbutamide, 16

Tribenzor, 9 Twinrix, 33

tolcapone, 3

Tricare Prenatal Compleat, 34 Twynsta, 9

tolmetin sodium, 30

Tricare Prenatal DHA One, 34 Tybost, 3

Tolmetin Sodium, 30

tricitrates, 20 Tygacil, 4

tolterodine tartrate, 20

Tricor, 10 Tykerb, 6

tolterodine tartrate ER, 20

Triderma Forte, 13 Tylenol/Codeine #3, 29

Topamax, 3

Triferic, 21 Tylenol/Codeine #4, 29

Topamax Sprinkle, 3

trifluoperazine HCL, 23 Typhim VI, 33

Topicort, 13

trifluridine, 5 Tysabri, 26

topiramate, 25

Triglide, 10 Tyvaso, 10

Topiramate ER, 3

trihexyphenidyl HCL, 3 Tyvaso Refill, 10

topotecan HCL, 6

Trileptal, 3 Tyvaso Starter, 10

Topotecan HCL, 6

Trilipix, 10 Tyzeka, 3

Toprol XL, 7

trimethobenzamide HCL, 19 Tyzine, 31

Torisel, 6

trimethoprim, 4 Tyzine Pediatric Nasal Drops, 31

torsemide, 9

trimethoprim sulfate/polymyxin b sulfate, 5

U

Torsemide, 9

Uceris, 14, 20

Totect, 6

trimipramine maleate, 23

Udamin SP, 35

Toujeo Solostar, 16

Triostat, 18

Ulesfia, 14

Toviaz, 20

Trisenox, 6

Uloric, 31

Tracleer, 10

Triseon, 11

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 40

tramadol HCL, 29

Triumeq, 3

tramadol HCL ER, 29

Triveen-duo DHA, 34

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 40

Tramadol HCL ER, 29

Triveen-prx RNF, 34

tramadol hydrochloride/acetaminophen, 29

Trizivir, 3

Ulticare Insulin Syringe 1CC/28G U-100 1/2", 40

Trokendi XR, 3

Trandate, 7

Tropazone, 14

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 40

trandolapril, 8

trospium chloride, 20

trandolapril/verapamil HCL, 9

trospium chloride ER, 20

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 40

trandolapril/verapamil HCL ER, 9

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

tranexamic acid, 21

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 40

Transderm-scop, 19


Tranxene T, 23

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 40

tranylcypromine sulfate, 23


Travatan Z, 5


Travoprost, 5


Trazamine, 23


trazodone HCL, 23


Treanda, 4


Trecator, 2


Trelstar, 5


Trelstar Mixject, 5


Trepadiclofen-25, 30


Trepoxen-250, 30

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 39

Trepoxicam-7.5, 30


Tresiba Flextouch, 16


Tretin-x, 11

Ulticare Insulin Syringe/1ML/28G X 1/2", 40

tretinoin, 6, 10


Tretinoin, 10


Tretinoin (all-trans Retinoic Acid), 10


tretinoin microsphere, 10


tretinoin microsphere P.M., 10

Trueplus Lancets 26G, 39

Trexall, 5



Treximet, 30

Trueplus Lancets 28G Super Thin, 39

Trezix, 29


Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40

Tri-norinyl 28, 15

Trueplus Lancets 30G Ultra Thin, 40


Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 40

Unifine Pentips Plus 31GX6MM, 40




Unilet Comfortouch Lancet, 40

Unilet Excelite, 40


Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 40

Unilet Excelite II, 40

Unilet G.p. Lancet, 40

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 40

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 40

Unilet G.p. Superlite Lancet, 40

Unilet GP 28 Ultra Thin, 40

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 40

Ultilet Lancets, 40 Unilet Lancet, 40

Ultilet Lancets 33G, 40 Unilet Lancets Micro-thin33G, 40

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ultilet Pen Needle 32GX4MM/SHORT, 40

Unilet Lancets Super-thin30G, 40

Unilet Lancets Ultra-thin 28G, 40


Ultilet Safety Lancets 23G, 40 Unilet Superlite Lancet, 40

Ultilet SHORT Pen Needles 31GX5/16", 40

Uniretic, 9


Unistik 1, 40

Ultilet SHORT Pen Needles31GX3/16", 40

Unistik 2, 40


Unistik 2 Comfort, 40

Ultiva, 29 Unistik 2 Extra, 40


Ultra-thin II Auto Lancet, 40 Unistik 2 Neonatal, 40

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 40

Unistik 2 Normal, 40


Unistik 2 Super, 40


Unistik 3, 40


Unistik 3 Comfort, 40


Unistik 3 Extra, 40


Unistik 3 Gentle, 40


Unistik 3 Neonatal, 40

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 40

Unistik 3 Normal, 40

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 40

Unistik CZT Comfort, 40


Unistik CZT Normal, 40

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 40

Unistik Safety Lancets 28G, 40


Unistik Safety Lancets 30G, 40

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 40

Unistik Touch Safety Lancets 21G, 40



Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 40


Ulticare Micro Pen Needles/32G X 4MM, 40


Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 40

Unituxin, 5

Ulticare Mini Pen Needles 31GX6MM, 40

Univasc, 8

Ulticare Mini Pen Needles Ulti-fine IV, 40

Ultra-thin II Lancets 28G, 40 Universal 1 Lancets Thin 26G, 40

Ulticare Mini Pen Needles/31G X 6MM, 40

Ultra-thin II Lancets 30G, 40 Universal 1 Lancets Ultra Thin 30G, 40

Ultra-thin II Mini Pen Neeedles/31GX3/16", 40

Uramaxin, 14

Ulticare Mini Pen Needles31GX6MM, 40

Uramaxin GT, 14

Ulticare Original Pen Needles Ulti-fine, 40

Ultra-thin II Pen Needles 29GX1/2", 40 Uramaxin GT Kit, 14

Ultra-thin II Pen Needles/SHORT/31GX5/16", 40

urea, 13

Ulticare Pen Needles/29G X 12.7MM, 40

urea 40% nail film, 13

Ulticare SHORT Pen Needles 31GX8MM, 40

Ultra-thin II Safety Autolancets 26G, 40 urea IN zinc undecylenate/lactic acid vehicle, 13

Ultracet, 29

Ulticare SHORT Pen Needles Ulti-fine IV, 40

Ultralance, 40 urea topical, 13

Ultram, 29 Urecholine, 20

Ulticare SHORT Pen Needles/31G X 8MM, 40

Ultram ER, 29 Uretron D/S, 20

Ultrasal-ER, 14 Urimar-t, 20

Ulticare Thin Lancets 30G, 40

Ultravate, 13 Urocit-k 10, 20

Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ultravate PAC, 13 Urocit-k 15, 20

Ultravate X, 13 Urocit-k 5, 20


Umecta, 14 Urogesic-blue, 20

Umecta Nail Film, 14 Uroqid #2, 20


Umecta PD, 14 Uroxatral, 20

Unasyn, 1 Urso 250, 20


Unasyn Bulk Pack, 1 Urso Forte, 20

Unifine Pentips 29GX12MM, 40 ursodiol, 19

Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 40

Unifine Pentips 31G X 3/16", 40 Utopic, 14

Unifine Pentips 31G X 6MM, 40 Uvadex, 6

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 40

Unifine Pentips 31G X 8MM, 40 V

Unifine Pentips 31GX5MM, 40

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ultilet Classic Lancets, 40










V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 40

Verrunex, 14 Vitapearl, 34

Versacloz, 24 Vitaroca Plus, 35

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 40

Vesicare, 20 Vitatrue, 35

Vexa, 14 Vitekta, 3

Vagifem, 20

Vexol, 5 Vituz, 32

valacyclovir HCL, 3

Vfend, 3 Viva DHA, 34

Valchlor, 4

Vfend IV, 3 Vivactil, 23

Valcyte, 3

Vibativ, 4 Vivelle-dot, 15

valganciclovir, 3

Vibramycin, 2 Vivlodex, 30

Validerm, 13

Vicoprofen, 29 Vivotif, 33

Valium, 23

Victoza, 16 Voltaren, 11

valproate sodium, 25

Victrelis, 3 Voltaren-XR, 30

valproic acid, 25

Vida Mia Unifine Pentips 32GX4MM, 41 Voluven, 22

valsartan, 8

Vida Mia Unifine Pentips Mini 31GX6MM, 41

Vopac, 12

valsartan/hydrochlorothiazide, 9

Vopac GB, 12

Valtrex, 3

Vida Mia Unifine Pentips Original 29GX12MM, 41

Vopac Kt, 12

Valumark Lancet Super Thin 30G, 41

Voraxaze, 6

Valumark Lancet Ultra Thin 28G, 41

Vida Mia Unilet Lancets Super Thin 30G, 41

voriconazole, 2

Valumark Pen Needles 29GX12MM, 41

Vortex Valved Holding Chamber, 41

Valumark Pen Needles 31G X 6MM, 41

Vida Mia Unilet Lancets Ultra Thin 28G, 41

Vosol HC, 28

Valumark Pen Needles 31G X 8MM, 41

Vospire ER, 32

Vanatol LQ, 28

Vida Mia Unipfine Pentipsshort 31GX8MM, 41

Votrient, 6

Vancocin HCL, 4

Vpriv, 21

vancomycin HCL, 4

Vidaza, 5 Vsl#3 DS, 18

Vancomycin HCL, 4

Videx EC, 3 Vusion, 11

Vancomycin HCL + Syrspendsf PH4, 4

Videx Pediatric, 3 Vyvanse, 2

Vancomycin HCL IN Dextrose, 4

Viekira PAK, 3 W

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41

Vigamox, 5

W&f Lancets 26G, 41

Viibryd, 23

W&f Lancets Colored 21G, 41

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41

Viibryd Starter Pack, 23

Walgreens Lancets, 41

Vimizim, 18

Walgreens Thin Lancets, 41

Vanos, 13

Vimpat, 3

Walgreens Ultra Thin Lancets, 41

Vanoxide-HC, 11

Vinacal B, 34

warfarin sodium, 21

Vantas, 5

Vinate AZ Extra, 34

Watchhaler, 41

Vaprisol, 17

Vinate Calcium, 34

Welchol, 10

Vaqta, 33

Vinate DHA RF, 34

Wellbutrin, 23

Varivax, 33

Vinblastine Sulfate, 6

Wellbutrin SR, 23

Varubi, 19

vincristine sulfate, 6

Wellbutrin XL, 23

Vascepa, 10

vinorelbine tartrate, 6

Westcort, 13

Vaseretic, 9

Viracept, 3

Westhroid, 18

vasopressin, 17

Viramune, 3

Wheat Germ, 33

Vasostrict, 17

Viramune XR, 3

Wilate, 22

Vasotec, 8

Virasal, 14

Wp Thyroid, 18

Vazculep, 9

Virazole, 3

X

Vecamyl, 8

Viread, 3

Vectibix, 5

Viroptic, 5

Xalatan, 5

Vectical, 12

Vistaril, 23

Xalkori, 6

vecuronium bromide, 26

Vistide, 3

Xanax, 23

Velcade, 6

Vita-pren, 34

Xanax XR, 23

Veletri, 10

Vitafol, 35

Xarelto, 21

Velphoro, 20

Vitafol Fe+, 35

Xarelto Starter Pack, 21

Veltin, 11

Vitafol Ultra, 35

Xartemis XR, 29

Vemavite-prx 2, 35

Vitafol-nano, 34

Xeljanz, 30

venlafaxine HCL, 23

Vitafol-ob+dha, 35

Xeloda, 5

venlafaxine HCL ER, 23

Vitafol-one, 35

Xenazine, 26

Venlafaxine HCL ER, 23

Vitafol-pn, 34

Xeomin, 4

Venofer, 21

Vital-d RX, 35

Xerac Ac, 14

Ventavis, 10

Vitalet Pro Lancets, 41

Xerese, 11

Ventolin HFA, 32

Vitalet Pro Plus Lancets, 41

Xgeva, 17

Veramyst, 31

Vitamedmd One RX/Quatrefolic, 35

Xifaxan, 4

verapamil HCL, 7

Vitamedmd Plus RX/Quatre Folic, 35

Xigduo XR, 16

verapamil HCL ER, 7

Vitamedmd Redichew RX, 34

Xodol, 29

verapamil HCL SR, 7

Vitamedmd Redichew RX/Quatrefolic, 34

Xofigo, 6

Verdeso, 13

Vitamin A, 33

Xolair, 32

Veregen, 14

vitamin c 222MG, 33

Xolegel, 11

Verelan, 7

vitamin d, 33

Xolegel Corepak, 11

Verelan PM, 7

vitamin k1, 33

Xolegel Duo/Head & Shoulders, 11

Veripred 20, 14

Vitamin K1, 33

Xolegel Duo/Xolex, 11

Xolox, 29

Zithromax Z-PAK, 2

Xopenex, 32

Zmax, 2

Xopenex Concentrate, 32

Zofran, 19

Xtandi, 5

Zofran Odt, 19

Xylocaine, 8, 14, 31

Zohydro ER, 29

Xylocaine-mpf, 31

Zoladex, 5

Xylocaine-mpf/Epinephrine, 31

zoledronic acid, 16

Xylocaine/Epinephrine, 31

Zoledronic Acid, 17

Xyntha, 22

Zolinza, 6

Xyntha Solofuse, 22

zolmitriptan, 30

Xyrem, 26

zolmitriptan odt, 30

Xyzal, 31

Zoloft, 23

Y

zolpidem tartrate, 2

zolpidem tartrate ER, 2

Yasmin 28, 15

Zolpimist, 2

Yaz, 15

Zometa, 17

Yervoy, 5

Zomig, 30

Yf-vax, 33

Zomig Nasal Spray, 30

Yodoxin, 3

Zomig ZMT, 30

Your Life Multi Prenatal, 34

Zonalon, 12

Z

Zonatuss, 32

Zonegran, 3

Zacare 4% Kit, 11

zonisamide, 25

Zacare 8% Kit, 11

Zontivity, 22

zafirlukast, 32

Zorbtive, 17

zaleplon, 2

Zortress, 5

Zaltrap, 5

Zostavax, 33

Zamicet, 29

Zosyn, 1

Zanaflex, 4

Zovia 1/50e, 15

Zanosar, 4

Zovirax, 3, 11

Zantac, 19

Zubsolv, 29

Zarontin, 3

Zuplenz, 19

Zaroxolyn, 9

Zutripro, 32

Zarxio, 21

Zyclara, 13

Zatean-CH, 35

Zyclara P.M., 13

Zatean-pn, 34

Zydelig, 6

Zatean-pn DHA, 35

Zydone, 29

Zatean-pn Plus, 34

Zyflo, 32

Zavesca, 21

Zyflo CR, 32

Zebeta, 7

Zykadia, 6

Zegerid, 19

Zylet, 5

Zelapar, 3

Zyloprim, 31

Zelboraf, 6

Zymaxid, 5

Zemaira, 32

Zyprexa, 24

Zemplar, 18

Zyprexa Relprevv, 24

Zemuron, 4

Zyprexa Zydis, 24

Zenpep, 19

Zytiga, 5

Zenzedi, 2

Zyvodol, 12

Zepatier, 3

Zyvox, 4

Zerbaxa, 4

1

Zerit, 3

Zestoretic, 9

1ST Choice Lancets Super Thin, 41

Zestril, 8

1ST Choice Lancets Thin, 41

Zetia, 10

1ST Choice Lancets Ultra Thin, 41

Zetonna, 31

1ST Tier Unifine Pentips 29GX12MM, 41

Zevalin Y-90, 5


Ziac, 9


Ziagen, 3

8

Ziana, 11

zidovudine, 3

8-mop, 12

Zinacef, 1

Zinecard, 6

ziprasidone HCL, 23

Zipsor, 30

Zirgan, 5

Zithranol, 12

Zithranol-rr, 12

Zithromax, 1

Zithromax Tri-PAK, 2

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