Select-National-Advantage Formulary Reference …das.ohio.gov/Portals/0/DASDivisions/HumanResources/BA/Prescription...Select-National-Advantage Formulary Reference ... Select-National-Advantage

Select-National-Advantage 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

Your formulary has a formulary structure which includes most prescription drugs. The

formulary structure features medications generics (with the lowest co-payments),

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

appropriate can provide access to the necessary medications to stay healthy, at a

cost that is more affordable.

Select-National-Advantage 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.

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

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

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

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

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

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

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

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

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

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

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

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

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

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

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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

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

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

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

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

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

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

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

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

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

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

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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

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

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

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

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

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

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

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

cefuroxime sodium

PREFERRED

Cefaclor

NON PREFERRED

January 2016 Cefaclor ER

Cefotetan

ANTI-INFECTIVES Cefotetan/Dextrose

Cefoxitin Sodium

PENICILLINS

Ceftin

GENERIC

Cefuroxime Sodium

amoxicillin

Cefuroxime/Dextrose

amoxicillin/clavulanate potassium

Mefoxin

amoxicillin/clavulanate potassium ER

Zinacef

ampicillin

THIRD GENERATION

ampicillin sodium

GENERIC

ampicillin-sulbactam

cefdinir

dicloxacillin sodium

cefixime

nafcillin sodium

cefotaxime sodium

oxacillin sodium

cefpodoxime proxetil

penicillin v potassium

ceftazidime

penicillin G potassium

ceftriaxone sodium

piperacillin sodium/ tazobactam sodium

NON PREFERRED

piperacillin sodium/tazobactam sodium

Cedax

piperacillin/tazobactam

Cefditoren Pivoxil

PREFERRED

Ceftazidime/Dextrose

Amoxicillin

Ceftibuten

Ampicillin

Ceftriaxone IN Iso-osmotic Dextrose

NON PREFERRED

Ceftriaxone Sodium

Amoxicillin ER

Ceftriaxone/Dextrose

Ampicillin Sodium

Claforan

Ampicillin-sulbactam

Claforan/D5W

Augmentin

Fortaz

Augmentin ES-600

Rocephin

Augmentin XR

Spectracef

Bactocill IN Dextrose

Suprax

Bicillin C-R

Tazicef

Bicillin L-a

FOURTH GENERATION

Moxatag

GENERIC

Nafcillin Sodium

cefepime

Nallpen Iso-osmotic IN Dextrose

NON PREFERRED

Nallpen/Dextrose

Cefepime

Penicillin G Potassium IN Iso-osmotic Dextrose

Maxipime

Penicillin G Procaine

Penicillin G Sodium

MACROLIDES

Pfizerpen-G

GENERIC

Timentin

azithromycin

Unasyn

clarithromycin

Unasyn Bulk Pack

clarithromycin ER

Zosyn

erythromycin

PREFERRED

CEPHALOSPORIN

E.e.s. 400

FIRST GENERATION

Erythromycin Base

GENERIC

Erythromycin Ethylsuccinate

cefadroxil

NON PREFERRED

cefazolin sodium

Azithromycin

cephalexin

Biaxin

PREFERRED

Biaxin XL

Cephalexin

Biaxin XL PAC

NON PREFERRED

Dificid

Ancef

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

cefprozil

Zithromax Tri-PAK

cefuroxime axetil

Zithromax Z-PAK

Effective January 1, 2016 v.1 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

Zmax PREFERRED

Bethkis

TETRACYCLINES NON PREFERRED

Gentamicin Sulfate/0.9% Sodium Chloride

GENERIC

Isotonic Gentamicin

demeclocycline HCL

Kitabis PAK

doxycycline

Streptomycin Sulfate

doxycycline hyclate

Tobi

doxycycline hyclate DR

Tobi Podhaler

doxycycline monohydrate

Tobramycin Sulfate/Sodium Chloride

minocycline HCL

minocycline HCL ER

SULFONAMIDES

Tetracycline HCL

NON PREFERRED PREFERRED

Acticlate Sulfadiazine

Adoxa

Adoxa PAK 1/100 ANTIMYCOBACTERIAL AGENTS

Adoxa PAK 1/150

GENERIC

Adoxa PAK 2/100

ethambutol HCL

Alodox Convenience Kit

isoniazid

Avidoxy DK

pyrazinamide

Doryx

rifabutin

Minocin

rifampin

Minocin Kit

NON PREFERRED

Monodox

Capastat Sulfate

Morgidox 1X100MG

Cycloserine

Morgidox 2X100MG

Isoniazid

Nicazeldoxy 30 Kit

Myambutol

Nicazeldoxy 60 Kit

Mycobutin

Nutridox

Paser

Ocudox

Priftin

Solodyn

Rifadin

Targadox

Rifamate

Vibramycin

Rifater

Sirturo

QUINOLONES

Trecator

GENERIC

ciprofloxacin ANTIFUNGALS

ciprofloxacin ER

GENERIC

ciprofloxacin HCL

fluconazole

ciprofloxacin I.V.-IN D5W

fluconazole IN dextrose

levofloxacin

fluconazole IN NACL

levofloxacin IN D5W

flucytosine

moxifloxacin HCL

griseofulvin microsize

ofloxacin

griseofulvin ultramicrosize

Ciprofloxacin HCL

itraconazole

Ofloxacin

ketoconazole

NON PREFERRED

nystatin

Avelox

terbinafine HCL

Avelox Abc Pack

voriconazole

Cipro

NON PREFERRED

Cipro I.V.-IN D5W

Abelcet

Cipro XR

Ambisome

Factive

Amphotec

Levaquin

Amphotericin B

Moxifloxacin HCL

Ancobon

Noroxin

Cancidas

Cresemba

AMINOGLYCOSIDES

Diflucan

GENERIC Eraxis

amikacin sulfate Fluconazole IN NACL

gentamicin sulfate Grifulvin V

gentamicin sulfate pediatric Gris-peg

gentamicin sulfate/0.9% sodium chloride Lamisil

isotonic gentamicin Mycamine

neomycin sulfate Noxafil

paromomycin sulfate Onmel

tobramycin Sporanox

tobramycin sulfate Sporanox Pulsepak

Terbinex

Effective January 1, 2016

2

Vfend Daklinza

Vfend IV Epivir

Epivir HBV

ANTIVIRALS Famvir

Flumadine

GENERIC

Foscavir

abacavir

Hepsera

abacavir sulfate/lamivudine/zidovudine

Infergen

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

PREFERRED

Trizivir

Aptivus

Tyzeka

Atripla

Valcyte

Complera

Valtrex

Crixivan

Victrelis

Edurant

Videx EC

Emtriva

Viekira PAK

Epzicom

Viramune

Evotaz

Viramune XR

Fuzeon

Virazole

Harvoni

Vistide

Intelence

Zerit

Invirase

Ziagen

Isentress

Zovirax

Kaletra

Lexiva

ANTIMALARIALS

Nevirapine

Norvir GENERIC

Pegasys atovaquone/proguanil HCL

Pegasys Proclick chloroquine phosphate

Prezcobix hydroxychloroquine sulfate

Prezista mefloquine HCL

Rescriptor quinine sulfate

Retrovir IV Infusion Primaquine Phosphate

Reyataz PREFERRED

Ribatab Daraprim

Selzentry NON PREFERRED

Sovaldi Aralen

Stribild Coartem

Sustiva Malarone

Tivicay Plaquenil

Triumeq Qualaquin

Truvada

Tybost AMEBICIDES

Videx Pediatric

PREFERRED

Viracept

Yodoxin

Viread

Vitekta

ANTHELMINTICS

NON PREFERRED

GENERIC

Acyclovir Sodium

ivermectin

Baraclude

PREFERRED

Combivir

Biltricide

Copegus

NON PREFERRED

Cytovene

Albenza


3

Stromectol Synercid

Tindamax

MISC. ANTI-INFECTIVES Tygacil

Vancocin HCL

GENERIC

Vancomycin HCL

atovaquone

Vancomycin HCL + Syrspendsf PH4

aztreonam

Vancomycin HCL IN Dextrose

bacitracin

Vibativ

clindamycin palmitate HCL

Xifaxan

clindamycin phosphate

Zerbaxa

clindamycin phosphate add-vantage

Zyvox

clindamycin phosphate pharmacy bulk package

clindamycin phosphate IN D5W

ANTINEOPLASTICS, ETC

clindamycin HCL

colistimethate sodium

ALKYLATING AGENTS

imipenem/cilastatin

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

Primaxin IV Add-vantage

Idamycin PFS

Primsol

Sivextro

ANTINEOPLASTIC ENZYMES

Sulfamethoxazole/Trimethoprim


4

PREFERRED GENERIC

Oncaspar anastrozole

NON PREFERRED bicalutamide

Erwinaze exemestane

flutamide

ANTIMETABOLITES letrozole

leuprolide acetate

GENERIC

megestrol acetate

azacitidine

tamoxifen citrate

capecitabine

PREFERRED

cladribine

Eligard

cytarabine

Emcyt

cytarabine aqueous

Fareston

decitabine

Faslodex

floxuridine

Lupron Depot

fludarabine phosphate

Lysodren

fluorouracil

Nilandron

gemcitabine HCL

Zoladex

mercaptopurine

NON PREFERRED

methotrexate

Arimidex

methotrexate sodium

Aromasin

Floxuridine

Casodex

PREFERRED

Depo-provera

Alimta

Femara

Arranon

Firmagon

Clolar

Megace Oral

Folotyn

Soltamox

Tabloid

Trelstar

NON PREFERRED

Trelstar Mixject

Cytarabine

Vantas

Dacogen

Xtandi

Fludara

Zytiga

Fludarabine Phosphate

Gemcitabine

IMMUNOMODULATORS

Gemzar

Purinethol GENERIC

Purixan azathioprine

Trexall cyclosporine

Vidaza cyclosporine modified

Xeloda mycophenolate mofetil

mycophenolic acid DR

ANGIOGENESIS INHIBITORS sirolimus

tacrolimus

PREFERRED

PREFERRED

Avastin

Atgam

Zaltrap

Cellcept Intravenous

NON PREFERRED

Cyclosporine Modified

Cyramza

Thalomid

NON PREFERRED

ANTIBODIES

Astagraf XL

PREFERRED

Azasan

Adcetris

Cellcept

Arzerra

Envarsus XR

Bexxar

Imuran

Erbitux

Myfortic

Herceptin

Neoral

Perjeta

Nulojix

Yervoy

Pomalyst

NON PREFERRED

Prograf

Blincyto

Rapamune

Gazyva

Revlimid

Kadcyla

Sandimmune

Keytruda

Simulect

Opdivo

Thymoglobulin

Rituxan

Zortress

Unituxin

Vectibix

MITOTIC INHIBITORS

Zevalin Y-90

GENERIC

docetaxel

HORMONAL AGENTS

etoposide


5

paclitaxel Hycamtin

vincristine sulfate Irinotecan

vinorelbine tartrate Topotecan HCL

Docetaxel

PREFERRED RADIOPHARMACEUTICALS

Abraxane

PREFERRED

Etoposide

Bexxar 131 Iodine

Halaven

Xofigo

Ixempra Kit

NON PREFERRED

Jevtana

Metastron

NON PREFERRED

Quadramet

Docefrez

Etopophos

CELLULAR IMMUNOTHERAPY

Marqibo

PREFERRED

Navelbine

Provenge

Paclitaxel

Taxotere

ANTINEOPLASTICS MISC.

Teniposide

GENERIC

Vinblastine Sulfate

bexarotene

dacarbazine

ENZYME INHIBITORS

hydroxyurea

PREFERRED

tretinoin

Afinitor

PREFERRED

Caprelsa

Actimmune

Gleevec

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

Ibrance

amifostine

Iclusig

dexrazoxane

Imbruvica

leucovorin calcium

Inlyta

mesna

Iressa

Levoleucovorin Calcium

Lenvima 10MG Daily Dose

PREFERRED


Leucovorin Calcium


NON PREFERRED


Calcium Folinate

Lynparza

Ethyol

Sprycel

Fusilev

Stivarga

Mesnex

Sutent

Totect

Tarceva

Voraxaze

Votrient

Zinecard

Zelboraf

Zydelig

CHEMOTHERAPY ADJUNCTS

Zykadia

PREFERRED

Kepivance

TOPOISOMERASE I INHIBITOR

NON PREFERRED

GENERIC

Elitek

irinotecan

topotecan HCL

ANTINEOPLASTIC COMBO

NON PREFERRED

NON PREFERRED

Camptosar

Lonsurf


6

CARDIOVASCULAR DRUGS Coreg CR

Corgard

PHOSPHODIESTERASE INHBTR

Hemangeol

GENERIC

Hypertenevide-12.5

milrinone lactate

Inderal LA

milrinone IN dextrose

Inderal XL

Innopran XL

CARDIAC GLYCOSIDES

Kerlone

GENERIC

Levatol

digoxin

Lopressor

PREFERRED

Sectral

Lanoxin

Sotalol Hydrochloride

NON PREFERRED

Sotylize

Digoxin

Tenormin

Lanoxin Pediatric

Toprol XL

Trandate

ANTIANGINAL AGENTS

Zebeta

GENERIC

isosorbide dinitrate

CALCIUM CHANNEL BLOCKERS

isosorbide mononitrate

GENERIC

isosorbide mononitrate ER

amlodipine besylate

nitroglycerin lingual

diltiazem CD

nitroglycerin transdermal

diltiazem HCL

nitroglycerin ER

diltiazem HCL ER

nitroglycerin IN dextrose 5%

felodipine ER

nitroglycerin IN 5% dextrose

isradipine

Isosorbide Dinitrate

nicardipine HCL

Nitroglycerin Lingual

nifedipine

PREFERRED

nifedipine ER

Dilatrate SR

nimodipine

Isosorbide Dinitrate ER

nisoldipine

Nitro-bid

verapamil HCL

Nitro-dur

verapamil HCL ER

Nitrostat

verapamil HCL SR

Ranexa

Verapamil HCL

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

sotalol HCL (AF)

ANTIARRHYTHMICS

PREFERRED

GENERIC

Bystolic

adenosine

Propranolol HCL

amiodarone HCL

Timolol Maleate

disopyramide phosphate

NON PREFERRED

flecainide acetate

Betapace

ibutilide fumarate

Betapace AF

lidocaine HCL

Brevibloc

lidocaine HCL IN D5W

Coreg


7

lidocaine HCL/dextrose Teveten

mexiletine HCL

propafenone HCL DIRECT RENIN INHIBITORS

propafenone HCL ER

PREFERRED

quinidine gluconate CR

Tekturna

quinidine gluconate ER

quinidine sulfate

ANTIHYPERTENSIVES MISC.

Quinidine Sulfate

GENERIC

PREFERRED

clonidine HCL

Norpace CR

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/hydrochloroth

PREFERRED

telmisartan/hydrochlorothiazide

Benicar

trandolapril/verapamil HCL

NON PREFERRED

trandolapril/verapamil HCL ER

Atacand

valsartan/hydrochlorothiazide

Avapro

PREFERRED

Cozaar

Azor

Diovan

Benicar HCT

Edarbi

Captopril/Hydrochlorothiazide

Micardis

Dutoprol


8

Methyldopa/Hydrochlorothiazide Dyazide

Propranolol/Hydrochlorothiazide Dyrenium

Tekturna HCT Edecrin

Tribenzor Ethacrynate Sodium

NON PREFERRED Keveyis

Accuretic Lasix

Amturnide Maxzide

Atacand HCT Maxzide-25

Avalide Microzide

Clorpres Neptazane

Corzide Sodium Diuril

Diovan HCT Sodium Edecrin

Edarbyclor Torsemide

Exforge Zaroxolyn

Exforge HCT

Hypertensolol VASOPRESSORS

Hyzaar

GENERIC

Lopressor HCT

dobutamine HCL

Lotensin HCT

dobutamine HCL/D5W

Lotrel

dobutamine/dextrose 5%

Lytensopril Kit

dopamine HCL

Lytensopril-90

dopamine HCL-dextrose 5%

Lytensopril-90 Kit

dopamine HCL/dextrose 5%

Micardis HCT

dopamine/D5W

Prestalia

ephedrine sulfate

Tarka

midodrine HCL

Tekamlo

norepinephrine bitartrate

Tenoretic 100

phenylephrine HCL

Tenoretic 50

PREFERRED

Teveten HCT

Epipen 2-PAK

Twynsta

Epipen-JR 2-PAK

Uniretic

NON PREFERRED

Vaseretic

Adrenaclick

Zestoretic

Adrenalin

Ziac

Auvi-q

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

furosemide

hydrochlorothiazide ANTIHYPERLIPIDEMICS

indapamide

GENERIC

mannitol

atorvastatin calcium

methazolamide

cholestyramine

metolazone

cholestyramine light

spironolactone

colestipol HCL

spironolactone/hydrochlorothiazide

colestipol HCL for oral suspension

torsemide

fenofibrate

triamterene/hydrochlorothiazide

fenofibrate micronized

Acetazolamide

fenofibric acid DR

Chlorothiazide

fluvastatin

Chlorthalidone

fluvastatin sodium ER

Triamterene/Hydrochlorothiazide

gemfibrozil

PREFERRED

lovastatin

Furosemide

niacin ER

Methyclothiazide

omega-3-acid ethyl esters

NON PREFERRED

pravastatin sodium

Aldactazide

simvastatin

Aldactone

Fenofibric Acid

Demadex

PREFERRED

Diamox

Crestor

Diuril

Fibricor


9

Lipofen Tyvaso Refill

Niacor Tyvaso Starter

Simcor Ventavis

Vascepa Viagra

Vytorin

Welchol DERMATOLOGICALS

NON PREFERRED

ACNE PRODUCTS

Advicor

GENERIC

Altoprev

adapalene

Antara

benzoyl peroxide

Colestid

benzoyl peroxide SHORT contact

Colestid Flavored


Fenofibrate

clindamycin/benzoyl peroxide

Fenoglide

erythromycin

Juxtapid

erythromycin/benzoyl peroxide

Kynamro

sodium sulfacetamide

Lescol

sodium sulfacetamide/sulfur

Lescol XL

sodium sulfacetamide/sulfur cleanser

Lipitor

sodium sulfacetamide/sulfur cleansing cloths

Livalo

sodium sulfacetamide/sulfur green

Lofibra

sodium sulfacetamide/sulfur w/sunscreen

Lopid

sodium sulfacetamide/sulfur wash

Lovaza

sulfacetamide sodium

Mevacor

sulfacetamide sodium/sulfur cleanser

Niaspan

tretinoin

Omega-3/D-3 Wellness Pack

tretinoin microsphere

Praluent

tretinoin microsphere P.M.

Pravachol

PREFERRED

Questran

Benzamycinpak

Questran Light

Clindagel

Repatha

Retinoic Acid

Repatha Sureclick

Retinoic Acid-all Trans

Tricor

Tretinoin

Triglide

Tretinoin (all-trans Retinoic Acid)

Trilipix

NON PREFERRED

Zetia

Absorica

Zocor

Acanya

Aczone

CARDIOVASCULAR - MISC.

Adapalene

GENERIC

Akne-mycin

amlodipine besylate/atorvastatin calcium

Atralin

epoprostenol sodium

Avar

papaverine HCL

Avar LS

sildenafil

Avar LS Cleanser

sildenafil citrate

Avar-e LS

PREFERRED

Azelex

Adempas

Benzac Ac Wash

Cialis

Benzac W Wash

Isoxsuprine HCL

Benzaclin

Letairis

Benzaclin With P.M.

Opsumit

Benzamycin

Remodulin

Benzefoam

Stendra

Benzefoamultra

Tracleer

Benziq

Veletri

Benziq LS

NON PREFERRED

Clarifoam EF

Adcirca

Cleocin-t

Bidil

Clindacin Etz

Caduet

Clindacin PAC

Corlanor

Clindap-t

Entresto

Clinoin

Flolan

Dermapak Plus

Levitra

Differin

Muse

Duac

Natrecor

Epiduo

Orenitram

Epiduo Forte

Revatio

Erygel

Staxyn

Evoclin

Tyvaso

Fabior


10

Inova Neo-synalar

Inova 4/1 Acne Control Therapy Neo-synalar Kit

Inova 8/2 Acne Control Therapy

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 HCL

Retin-a Micro P.M.

nystatin

Riax

nystatin/triamcinolone

Rosanil

PREFERRED

Rosula

Exoderm

Sodium Sulfacetamide/Sulfur

NON PREFERRED

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

Ciclodan Cream Kit

Sodium Sulfacetamide/Sulfur IN Urea

Ciclodan Solution Kit

Sulfoam

Ciclopirox Topical Solution Kit

Sumadan Kit

Cnl8 Nail Kit

Sumadan Wash

Ecoza

Sumadan XLT

Ertaczo

Sumaxin

Exelderm

Sumaxin CP Kit

Extina

Sumaxin Ts

Halotin

Sumaxin Wash

Jublia

Tretin-x

Kerydin

Triseon

Ketodan Kit

Vanoxide-HC

Lamisil Spray

Veltin

Loprox

Zacare 4% Kit

Loprox Shampoo

Zacare 8% Kit

Lotrisone

Ziana

Luzu

Mentax

ROSACEA AGENTS

Naftin

GENERIC Nizoral

metronidazole Oxistat

Doxycycline Pediaderm AF Complete Kit

PREFERRED Pedipirox-4 Nail

Finacea Penlac Nail Lacquer

NON PREFERRED Vusion

Metrocream Xolegel

Metrogel Xolegel Corepak

Metrolotion Xolegel Duo/Head & Shoulders

Mirvaso Xolegel Duo/Xolex

Noritate

Oracea ANTIVIRALS - TOPICAL

Rosadan Kit

GENERIC

Soolantra

acyclovir

NON PREFERRED

ANALGESICS - TOPICAL

Denavir

NON PREFERRED Lidovir

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

Baclofen Zovirax

Equipto-baclofen

ANTIHISTAMINES-TOPICAL

ANTIBIOTICS - TOPICAL

NON PREFERRED

GENERIC Allo-pax

mupirocin Nazirex

mupirocin calcium

PREFERRED ANTI-INFLAMMATORY AGENTS

Gentamicin Sulfate

GENERIC

NON PREFERRED

diclofenac sodium

Altabax

PREFERRED

Bactroban

Voltaren

Centany AT

NON PREFERRED

Cortisporin

Dermacinrx Lexitral Pharmapak


11

Dipentocaine betamethasone valerate

Emvoren calcipotriene/betamethasone dipropionate

Equipto-naproxen clobetasol propionate

Extardol clobetasol propionate emollient

Flector desonide

Innoprax-5 desoximetasone

K.b.g.l. IN Teroderm Cream fluocinolone acetonide

Ketorolac 2% Gel fluocinonide

Lidoprofen fluocinonide-e

Novoclair fluticasone propionate

Nuvya halobetasol propionate

Pennsaid hydrocortisone

Vopac hydrocortisone acetate/aloe

Vopac GB hydrocortisone butyrate

Vopac Kt hydrocortisone butyrate (lipid)

Zyvodol hydrocortisone butyrate (lipophilic)

hydrocortisone valerate

ANTIPRURITICS hydrocortisone IN absorbase

mometasone furoate

NON PREFERRED

prednicarbate

Prudoxin

triamcinolone acetonide

Zonalon

Amcinonide

Desoximetasone

ANTIPSORIATICS

Diflorasone Diacetate

GENERIC

PREFERRED

acitretin

Pramosone

calcipotriene

Triamcinolone Acetonide

methoxsalen

NON PREFERRED

Calcitriol

Aclovate

PREFERRED

Advanced Allergy Collection Kit

Anthralin

Ala Scalp

Dritho-creme HP

Capex

Stelara

Carmol-HC

Vectical

Clobex

NON PREFERRED

Clocortolone Pivalate

Cosentyx

Clocortolone Pivalate P.M.

Cosentyx Sensoready Pen

Clodan Kit

Dovonex

Cloderm

Oxsoralen Ultra

Cloderm P.M.

Soriatane

Cordran

Sorilux

Cordran Tape

Tazorac

Cortalo

Zithranol

Cutivate

Zithranol-rr

Derma Silkrx Sds PAK

8-mop

Derma-smoothe/FS Body

Derma-smoothe/FS Scalp

ANTISEBORRHEIC AGENTS

Dermasorb HC

GENERIC

Dermasorb Ta

selenium sulfide

Dermatop


Desonate

sodium sulfacetamide wash

Desowen

PREFERRED

Desowen Cream/Cetaphil Lotion

Seb-prev

Desowen Lotion/Cetaphil Cream

NON PREFERRED

Desowen Ointment/Cetaphil Lotion

Glycolic Acid

Diprolene

Glycolic Acid 70% High Purity

Diprolene AF

Ovace Plus

Elocon

Ovace Plus Wash

Epifoam

Ovace Wash

First-hydrocortisone

Promiseb

Halog

Promiseb Complete

Halonate

Selrx

Kenalog

Tersi Foam

Locoid

TL Triseb

Locoid Lipocream

Luxiq

CORTICOSTEROIDS - TOPICAL

Nucort

GENERIC

Nuzon

alclometasone dipropionate

Olux

augmented betamethasone dipropionate

Olux-e

betamethasone dipropionate

Pandel


12

Pediaderm HC Aurstat Anti-itch Hydrogel Kit

Pediaderm Ta Benzoin Compound Tincture

Scalacort DK Benzoin Tincture

Synalar Boric Acid

Synalar Cream Kit Capsiderm

Synalar Ointment Kit Clever Choice Comfort EZ Patch

Synalar Ts Coal TAR

Taclonex Cocaine HCL

Temovate Condylox

Temovate E Copasil

Texacort Dermacinrx Duopatch Pharmapak

Topicort Dermacinrx Neurotral Pharmapak

Triamsil Combipak Dermacinrx Surgical Pharmapak

Trianex Dermasorb XM

Triderma Forte Eletone

Ultravate Eletone Twinpack

Ultravate PAC Elimite

Ultravate X Emla

Validerm Emulsion SB

Vanos Epiceram

Verdeso Ethyl Chloride

Westcort Ethyl Chloride/Fine Pinpoint

Ethyl Chloride/Fine Stream

IMMUNOMODULATING AGENTS Ethyl Chloride/Medium Jet Stream

Ethyl Chloride/Medium Stream

GENERIC

Ethyl Chloride/Mist

imiquimod

Gebauers Pain Ease

tacrolimus

Gebauers Spray And Stretch

PREFERRED

Genadur

Elidel

Genadur Kit

NON PREFERRED

Gordofilm

Aldara

Gordons Urea

Protopic

Hydro 35

Zyclara

Hydro 40 Foam

Zyclara P.M.

Hylatopic

Hylatopic Plus

DERMATOLOGICALS - MISC.

Hylira

GENERIC

HPR

ammonium lactate

HPR Plus

episone CRE

HPR Plus Hydrogel Kit

lactic acid

HPR Plus/Mb Hydrogel

lactic acid e

Kerafoam

lactic acid w/vitamin e

Kerafoam 42

lidocaine

Keralac

lidocaine HCL

Keralyt

lidocaine HCL jelly

Keralyt Scalp

lidocaine/prilocaine

Lac-hydrin

lindane

Latrix XM

malathion

Ldo Plus

permethrin

Lidocaine And Tetracaine Cream

podofilox

Lidocaine HCL

salicylic acid

Lidoderm

salicylic acid cream

Lidothol

salicylic acid lotion

Lycelle

sodium hyaluronate

Mb Hydrogel

urea

Medi-derm/L-RX

urea topical

Megrix

urea IN zinc undecylenate/lactic acid vehicle

Natroba

urea 40% nail film

Neosalus

PREFERRED

Neosalus CP

Drysol

Neuvaxin

Eurax

Nivatopic Plus

NON PREFERRED

Nuvail

Acuicyn Daily Eyelid & Eyelash Cleanser

Ovide

Alevicyn Antipruritic SG

Oxsoralen

Aluvea

Pharmacist Choice Tsx Patch

Anacaine

Pliaglis

Arnica Flower

Pr Cream

Atopiclair

Presera

Aurstat Anti-itch Hydrogel

Pruclair


13

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

Solu-cortef

budesonide

Solu-medrol

dexamethasone

Triamcinolone

dexamethasone sodium phosphate

Triamcinolone PF

fludrocortisone acetate

Triamcinolone/Lidocaine

hydrocortisone

Uceris

methylprednisolone

Veripred 20

methylprednisolone acetate

methylprednisolone dose pack

ANDROGENS-ANABOLIC

methylprednisolone sodiumsuccinate

prednisolone GENERIC

prednisolone sodium phosphate danazol

prednisolone sodium phosphate odt oxandrolone

prednisone testosterone

Dexamethasone Sodium Phosphate testosterone cypionate

PREFERRED testosterone enanthate

Cortisone Acetate Testosterone

Dexamethasone Testosterone P.M.

Medrol PREFERRED

Millipred Androderm

Prednisone Androgel P.M.

Prednisone Intensol Androxy

NON PREFERRED NON PREFERRED

Aristospan Intra-articular Anadrol-50

Aristospan Intralesional Androgel


14

Android PREFERRED

Aveed Natazia

Axiron Necon 1/50-28

Depo-testosterone Necon 10/11-28

First-testosterone Norinyl 1+50

First-testosterone Mc Compounding Kit Nuvaring

Fortesta Zovia 1/50e

Natesto NON PREFERRED

Oxandrin Beyaz

Striant Brevicon-28

Testim Cyclessa

Testone Cik Desogen

Testopel Ella

Testred Estrostep FE

Vogelxo Falessa

Vogelxo P.M. 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

levonorgestrel/ethinyl estradiol

ANTIDIABETIC AGENTS

norethindrone

norethindrone & ethinyl estradiol ferrous fumarate INSULIN

norethindrone acetate/ethinyl estradiol PREFERRED

norethindrone acetate/ethinyl estradiol/ferrous fumarate Humalog

norgestimate/ethinyl estradiol Humalog Kwikpen

Levonorgestrel Humalog Mix 50/50

Humalog Mix 50/50 Kwikpen


15

Humalog Mix 75/25 Glumetza

Humalog Mix 75/25 Kwikpen Riomet

Humulin N MEGLITINIDE ANALOGUES

Humulin N Kwikpen GENERIC

Humulin N U-100 Pen nateglinide

Humulin R repaglinide

Humulin R U-500 (concentrated) NON PREFERRED

Humulin 70/30 Prandin

Humulin 70/30 Kwikpen Starlix

Humulin 70/30 Pen DIABETIC OTHER

Lantus PREFERRED

Lantus Solostar Glucagen Hypokit

Levemir Glucagon Emergency Kit

Levemir Flexpen Invokana

Levemir Flextouch Jardiance

Novolin N Proglycem

Novolin N Relion NON PREFERRED

Novolin R Farxiga

Novolin R Relion Korlym

Novolin 70/30 ALPHA-GLUCOSIDASE INHIBIT

Novolin 70/30 Relion GENERIC

Novolog acarbose

Novolog Flexpen NON PREFERRED

Novolog Mix 70/30 Glyset

Novolog Mix 70/30 Prefilled Flexpen Precose

Novolog Penfill DPP-4 INHIBITORS

Toujeo Solostar PREFERRED

NON PREFERRED Januvia

Afrezza Onglyza

Apidra NON PREFERRED

Apidra Solostar Nesina

AMYLIN ANALOGS Tradjenta

NON PREFERRED INSULIN SENSITIZING AGENT

Symlinpen 120 GENERIC

Symlinpen 60 pioglitazone HCL

INCRETIN MIMETIC AGENTS NON PREFERRED

PREFERRED Actos

Bydureon Avandia

Byetta ANTIDIABETIC COMBINATIONS

Victoza GENERIC

NON PREFERRED glipizide/metformin HCL

Tanzeum glyburide/metformin HCL

Trulicity pioglitazone HCL-glimepiride

SULFONYLUREAS pioglitazone HCL/metformin HCL

GENERIC PREFERRED

glimepiride Invokamet

glipizide Janumet

glipizide ER Janumet XR

glyburide Kombiglyze XR

glyburide micronized NON PREFERRED

tolazamide Actoplus Met

Glyburide Actoplus Met XR

PREFERRED Appformin

Chlorpropamide Appformin-d

Diabeta Avandamet

Tolazamide Avandaryl

Tolbutamide Duetact

NON PREFERRED Glucovance

Amaryl Glyxambi

Glucotrol Jentadueto

Glucotrol XL Kazano

Glynase Oseni

BIGUANIDES Prandimet

GENERIC Synjardy

metformin HCL Xigduo XR

metformin HCL ER

NON PREFERRED BISPHOSPHONATES

Fortamet

GENERIC

Glucophage

alendronate sodium

Glucophage XR


16

ibandronate sodium Supprelin LA

pamidronate disodium Synarel

risedronate sodium NON PREFERRED

risedronate sodium DR Lupaneta Pack

zoledronic acid

PREFERRED GNRH/LHRH ANTAGONISTS

Alendronate Sodium

PREFERRED

NON PREFERRED

Cetrotide

Actonel

NON PREFERRED

Atelvia

Ganirelix Acetate

Binosto

Boniva

GROWTH HORMONES

Etidronate Disodium

PREFERRED

Fosamax

Nutropin AQ Nuspin 10

Fosamax Plus D


Pamidronate Disodium


Reclast

Nutropin AQ Pen

Zoledronic Acid

Saizen

Zometa

Saizen Click.easy

Serostim

CALCITONINS

NON PREFERRED

GENERIC

Genotropin

calcitonin salmon

Genotropin Miniquick

calcitonin-salmon

Humatrope

NON PREFERRED

Humatrope Combo Pack

Fortical

Norditropin Cartridge

Miacalcin

Norditropin Flexpro

Norditropin Nordiflex Pen

PARATHYROID HORMONE

Omnitrope

PREFERRED Tev-tropin

Forteo Zomacton

NON PREFERRED Zorbtive

Natpara

GHRH

RANK LIGAND INHIBITORS

NON PREFERRED

PREFERRED Egrifta

Prolia

Xgeva SOMATOMEDINS

PREFERRED

CALCIUM REGULATORS - MISC

Increlex

NON PREFERRED

Ganite SOMATOSTATIC AGENTS

GENERIC

HORMONE RECEPTOR MDLTR

octreotide acetate

GENERIC NON PREFERRED

raloxifene hydrochloride Sandostatin

NON PREFERRED Sandostatin Lar Depot

Evista Signifor

Osphena Signifor Lar

Somatuline Depot

FERTILITY REGULATORS

GH RECEPTOR ANTAGONISTS

GENERIC

chorionic gonadotropin NON PREFERRED

clomiphene citrate Somavert

PREFERRED

Follistim AQ POSTERIOR PITUITARY

Gonal-f

GENERIC

Gonal-f RFF

desmopressin acetate

Gonal-f RFF Pen

vasopressin

Gonal-f RFF Rediject

NON PREFERRED

NON PREFERRED

Ddavp

Bravelle

Pitressin Synthetic

Menopur

Stimate

Ovidrel

Vasostrict

Repronex

CORTICOTROPIN

LHRH/GNRH AGONIST

NON PREFERRED

PREFERRED

H.p. Acthar

Lupron Depot-PED


17

PROLACTIN INHIBITORS GASTROINTESTINAL

GENERIC

LAXATIVES

cabergoline

GENERIC

lactulose

VASOPRESSIN ANTAGONISTS

peg 3350/electrolytes

PREFERRED

peg-3350/electrolytes

Samsca

peg-3350/NACL/NA bicarbonate/KCL

NON PREFERRED

polyethylene glycol 3350

Vaprisol

NON PREFERRED

Cascara Sagrada

PROGESTERONE ANTAGONISTS

Colyte-flavor Packs

NON PREFERRED Golytely

Mifeprex Kristalose

Mineral Oil Heavy

METABOLIC MODIFIERS Moviprep

Nulytely/Flavor Packs

GENERIC

Osmoprep

calcitriol

Pcp 100

doxercalciferol

Prepopik

levocarnitine

Suclear

paricalcitol

Suprep Bowel Prep

sodium phenylbutyrate

PREFERRED

ANTIDIARRHEALS

Aldurazyme

Carbaglu GENERIC

Elaprase diphenoxylate/atropine

Fabrazyme loperamide HCL

Kuvan opium

Lumizyme opium tincture

Myozyme PREFERRED

Naglazyme Diphenoxylate/Atropine

NON PREFERRED Opium Tincture (paregoric)

Ammonul NON PREFERRED

Buphenyl Fulyzaq

Carnitor Lomotil

Carnitor SF Motofen

Cystadane Restora RX

Hectorol Rezyst IM

Myalept Rezyst SB

Orfadin Vsl#3 DS

Ravicti

Rocaltrol ANTACIDS

Sensipar

PREFERRED

Vimizim

Calcium Carbonate

Zemplar

NON PREFERRED

Sodium Bicarbonate

THYROID AGENTS

GENERIC ULCER DRUGS

levothyroxine sodium

GENERIC

liothyronine sodium

atropine sulfate

methimazole

cimetidine

propylthiouracil

cimetidine HCL

NON PREFERRED

dicyclomine HCL

Armour Thyroid

esomeprazole magnesium

Cytomel

esomeprazole sodium

Levothyroxine Sodium

famotidine

Nature-throid

glycopyrrolate

Nature-throid Nt-2.5

hyoscyamine sulfate

Synthroid

hyoscyamine sulfate odt

Tapazole

hyoscyamine sulfate ER

Thyrolar-1

hyoscyamine sulfate SR

Thyrolar-1/2

lansoprazole

Thyrolar-1/4

lansoprazole/amoxicillin/clarithromycin

Thyrolar-2

methscopolamine bromide

Thyrolar-3

misoprostol

Tirosint

nizatidine

Triostat

omeprazole

Westhroid

omeprazole/sodium bicarbonate

Wp Thyroid

pantoprazole sodium

rabeprazole sodium


18

ranitidine HCL Cesamet

sucralfate Diclegis

Esomeprazole Sodium Dimenhydrinate

Famotidine Emend

PREFERRED Granisol

Carafate Marinol

Dexilant Sancuso

Nexium Tigan

Nexium 24HR Transderm-scop

Omeclamox-PAK Zofran

Propantheline Bromide Zofran Odt

Pylera Zuplenz

Symax Duotab

NON PREFERRED DIGESTIVE AIDS

Aciphex

PREFERRED

Aciphex Sprinkle

Creon

Anaspaz

Pancrelipase

Atropen

Zenpep

Atropine Sulfate

NON PREFERRED

Axid

Pancreaze

Belladonna & Opium

Pertzye

Belladonna Alkaloids & Opium

Sucraid

Bentyl

Ultresa

Cantil

Viokace

Cuvposa

Cytotec

GASTROINTESTINAL - MISC.

Deprizine Fusepaq

GENERIC

Esomeprazole Strontium

alosetron hydrochloride

Famotidine Premixed

balsalazide disodium

First-lansoprazole

calcium acetate

First-omeprazole

cromolyn sodium

Gabitidine

hydrocort ene 100MG

Gastrinex NF

hydrocortisone

Glycate

hydrocortisone acetate/lidocaine HCL

Helidac

hydrocortisone acetate/pramoxine

Levbid

lactulose

Levsin

lidocaine HCL/hydrocortisone acetate

Levsin/SL

mesalamine

Nexium I.v.

metoclopramide odt

Omeprazole + Syrspend SF Alka

metoclopramide HCL

Pamine

sulfasalazine

Pamine Forte

ursodiol

Pamine FQ

PREFERRED

Pepcid

Amitiza

Prevacid

Canasa

Prevacid Solutab

Cimzia

Prevpac

Cimzia Starter Kit

Prilosec

Lialda

Protonix

Linzess

Robinul

Proctofoam HC

Robinul Forte

Relistor

Scopolamine Hydrobromide

Remicade

Sentradine

Renvela

Zantac

Sevelamer Carbonate

Zegerid

Sfrowasa

NON PREFERRED

ANTIEMETICS

Actigall

GENERIC

Analpram Advanced

dronabinol

Analpram-HC

granisetron HCL

Analpram-HC Singles

meclizine HCL

Anusol-HC

ondansetron odt

Apriso

ondansetron HCL

Asacol HD

trimethobenzamide HCL

Auryxia

PREFERRED

Azulfidine

Aloxi

Azulfidine EN-TABS

NON PREFERRED

Chenodal

Akynzeo

Cholbam

Anzemet

Colazal


19

Cortenema Ditropan XL

Cortifoam Enablex

Delzicol Myrbetriq

Dexpanthenol Oxytrol

Dipentum Sanctura

Eliphos Sanctura XR

Entereg Toviaz

Entyvio Urecholine

Fosrenol

Gastrocrom VAGINAL PRODUCTS

Gattex

GENERIC

Giazo


Lidocaine HCL-hydrocortisone Acetate With Aloe

metronidazole vaginal

Lotronex

terconazole

Metozolv Odt

PREFERRED

Movantik

Premarin

Pentasa

NON PREFERRED

Phoslo

Avc

Phoslyra

Cleocin

Procort

Clindesse

Proctocort

Crinone

Rectiv

Endometrin

Reglan

Estrace

Renagel

Estring

Rowasa

Fem PH

Uceris

Femring

Urso Forte

First-progesterone VGS 100 Compounding Kit

Urso 250


Velphoro



GENITOURINARY


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

finasteride

Hiprex

hydrochloric acid

Macrobid

phenazopyridine HCL

Macrodantin

potassium citrate ER

Monurol

potassium citrate-citric acid crystals

Prosed/DS

potassium citrate/citric acid

Uretron D/S

potassium citrate/sodium citrate/citric acid

Urimar-t

sodium citrate/citric acid

Urogesic-blue

tamsulosin HCL

Uroqid #2

tricitrates

PREFERRED

URINARY ANTISPASMODICS

Avodart

GENERIC

Cytra-3

bethanechol chloride

Elmiron

flavoxate HCL

Jalyn

oxybutynin chloride

Rapaflo

oxybutynin chloride ER

NON PREFERRED

tolterodine tartrate

Cardura XL

tolterodine tartrate ER

Cystagon

trospium chloride

Flomax

trospium chloride ER

K-phos NO 2

PREFERRED

Lithostat

Gelnique

Oracit

Vesicare

Procysbi

NON PREFERRED

Proscar

Detrol

Pyridium

Detrol LA


20

Shohls Solution Modified Is 24/6

Thiola Leukine

Urocit-k 10 Maxaron Forte

Urocit-k 15 Maxfe

Urocit-k 5 Mircera

Uroxatral Multigen

Multigen Folic

HEMATOLOGICAL Multigen Plus

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

HEMATOPOIETIC AGENTS

GENERIC

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

cyanocobalamin

folic acid

Nascobal

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

Natalvirt Flt

sodium ferric gluconate complex/sucrose

Nephron Fa

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

Neulasta

Neulasta Delivery Kit

PREFERRED

Neupogen

Cerezyme

Novaferrum

Folitab 500

Omontys

Mozobil

Pre-folic

Neumega

Procrit

Nplate

Proferrin-forte

NON PREFERRED

Promacta

Abaneu-SL

Protectiron

Albafort

Tandem F

Animi-3

Tandem Plus

Animi-3/Vitamin D

Triferic

Aranesp Albumin Free

Venofer

B-6 Folic Acid

Vpriv

Biferarx

Zarxio

Cenfol

Zavesca

Centratex

Cerdelga

ANTICOAGULANTS

Ciferex

GENERIC

Corvite 150

argatroban

Divista

bivalirudin

Droxia

enoxaparin sodium

Ed Cyte F

fondaparinux sodium

Elelyso

heparin lock

Epogen

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

Ferivafa

heparin sodium

Ferralet 90

heparin sodium dcu

Ferrex 150 Forte Plus

heparin sodium lock flush

Ferrex 28

heparin sodium/sodium chloride 0.9% premix

Ferrlecit

heparin sodium/D5W

Ferro-plex Hematinic

heparin sodium/NACL 0.9%

Ferrotrin

warfarin sodium

Focalgin Dss

PREFERRED

Folgard RX

Pradaxa

Folic Acid

Xarelto

Folivane-f

Xarelto Starter Pack

Folivane-plus

NON PREFERRED

Foltrate

Angiomax

Fusion Plus

Argatroban

Granix

Arixtra

Hematogen Fa

Coumadin

Hematron-AF

Eliquis

Hemocyte Plus

Fragmin

Hemocyte-f

Heparin Lock Flush

Hydroxocobalamin

Heparin Sodium

Icar-c Plus

Heparin Sodium/D5W

Infed

Heparin Sodium/NACL 0.45%

Injectafer

Heparin Sodium/Sodium Chloride 0.9%

Integra F

Iprivask

Integra Plus

Lovenox

Irospan 24/6

Savaysa


21

HEMOSTATICS Hextend

Integrilin

GENERIC

Ixinity

aminocaproic acid

Kalbitor

tranexamic acid

Kengreal

NON PREFERRED

Kinlytic

Amicar

Kogenate FS

Aminocaproic Acid

Kogenate FS Bio-set

Artiss

LMD 10% Dextrose 5%

Astringyn

LMD 10% Sodium Chloride 0.9%

Cyklokapron

Novoeight

Evicel

Persantine

Evithrom

Plavix

Lysteda

Pletal

Recothrom

Protamine Sulfate

Recothrom Spray Kit

Reopro

Thrombin-jmi Diluent

Retavase

Thrombin-jmi Epistaxis

Retavase Half-kit

Thrombin-jmi Syringe Spray Kit

Tnkase

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

Voluven

Thrombogen

Xyntha

Tisseel

Xyntha Solofuse

Tisseel VH

Zontivity

HEMATOLOGICAL - MISC.

MOUTH/THROAT/DENTAL AGENT

GENERIC

anagrelide hydrochloride

cilostazol GENERIC

clopidogrel cevimeline HCL

dipyridamole chlorhexidine gluconate

hetastarch 6%/NACL chlorhexidine gluconate oral rinse

pentoxifylline ER clotrimazole

ticlopidine HCL lidocaine viscous

Aspirin/Dipyridamole lidocaine HCL

PREFERRED lidocaine HCL viscous

Advate nystatin

Alphanate/Von Willebrand Factor Complex/Human pilocarpine hydrochloride

Alphanine SD pilocarpine HCL

Bebulin stannous fluoride oral rinse

Benefix triamcinolone acetonide

Berinert 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

Brilinta NEUROLOGY, CNS, PSYCH

Cathflo Activase

ANTIANXIETY AGENTS

Durlaza

GENERIC

Helixate FS

alprazolam

Hespan

alprazolam odt


22

alprazolam ER PREFERRED

buspirone HCL Fluoxetine HCL

chlordiazepoxide HCL Forfivo XL

clorazepate dipotassium Maprotiline HCL

diazepam Paxil

droperidol Pristiq

gene-xene TAB 15MG NON PREFERRED

gene-xene TAB 3.75MG Anafranil

gene-xene TAB 7.5MG Aplenzin

hydroxyzine pamoate Appbutamone

hydroxyzine HCL Appbutamone-d

lorazepam Brintellix

meprobamate Celexa

oxazepam Cymbalta

Hydroxyzine Pamoate Desvenlafaxine ER

NON PREFERRED Duloxetine HCL

Alprazolam Intensol Effexor XR

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 fluphenazine decanoate

tranylcypromine sulfate fluphenazine HCL

trazodone HCL 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

olanzapine odt


23

paliperidone ER Belsomra

perphenazine Butisol Sodium

prochlorperazine Doral

prochlorperazine edisylate Edluar

prochlorperazine maleate Gabazolpidem-5

quetiapine fumarate Halcion

risperidone Hetlioz

risperidone odt Intermezzo

thioridazine HCL Lunesta

thiothixene Nembutal Sodium

trifluoperazine HCL Phenobarbital Sodium

ziprasidone HCL Precedex

Clozapine Odt Quazepam

PREFERRED Restoril

Abilify Discmelt Rozerem

Fluphenazine HCL Seconal

Saphris Sentrazolpidem PM-5

Seroquel XR Silenor

NON PREFERRED Sonata

Abilify Strazepam

Abilify Maintena Zolpimist

Adasuve

Chlorpromazine HCL ADHD, NARCOLEPSY, ETC.

Clozaril

GENERIC

Compazine

amphetamine/dextroamphetamine

Equetro

caffeine citrate

Fanapt

clonidine HCL ER

Fanapt Titration Pack

dexmethylphenidate HCL

Fazaclo

dexmethylphenidate HCL ER

Geodon

dextroamphetamine sulfate

Haldol

dextroamphetamine sulfate ER

Haldol Decanoate 100

doxapram HCL

Haldol Decanoate 50

guanfacine ER

Invega

methamphetamine HCL

Invega Sustenna

methylphenidate hydrochloride

Invega Trinza

methylphenidate HCL

Latuda

methylphenidate HCL CD

Lithium

methylphenidate HCL ER

Lithium Carbonate

methylphenidate HCL SR

Lithobid

modafinil

Loxitane

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 Evekeo

flurazepam HCL Focalin

phenobarbital Focalin XR

temazepam Intuniv

triazolam Kapvay

zaleplon Kapvay Dose Pack

zolpidem tartrate Metadate CD

zolpidem tartrate ER Methylin

Flurazepam HCL Nuvigil

Phenobarbital Procentra

NON PREFERRED Provigil

Ambien Quillivant XR

Ambien CR Ritalin

Amytal Sodium Ritalin LA


24

Ritalin SR Neurontin

Sentramodafin AM-100 Onfi

Zenzedi Oxtellar XR

Peganone

ANTICONVULSANTS Potiga

Qudexy XR

GENERIC

Sabril

carbamazepine

Stavzor

carbamazepine ER

Tegretol

clonazepam

Tegretol-XR

clonazepam odt

Therapentin-60

divalproex sodium

Therapentin-90

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 ER

levetiracetam

ANTIPARKINSON AGENTS

levetiracetam ER

oxcarbazepine GENERIC

phenytoin amantadine HCL

phenytoin sodium benztropine mesylate

phenytoin sodium extended bromocriptine mesylate

primidone carbidopa

tiagabine hydrochloride carbidopa/levodopa

topiramate carbidopa/levodopa odt

valproate sodium carbidopa/levodopa ER

valproic acid entacapone

zonisamide pramipexole dihydrochloride

PREFERRED pramipexole dihydrochloride ER

Diastat Acudial ropinirole ER

Diastat Pediatric ropinirole HCL

Diazepam selegiline HCL

Lamictal tolcapone

Lamictal Chewable Dispersible trihexyphenidyl HCL

Lamictal Starter/Not Taking Carbamazepine Carbidopa/Levodopa/Entacapone

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

PREFERRED

Apokyn

Lamictal Starter/Taking Valproate

NON PREFERRED

Lyrica

Amantadine HCL

Phenytek

Azilect

NON PREFERRED

Cogentin

Aptiom

Comtan

Banzel

Duopa

Carbatrol

Eldepryl

Celontin

Lodosyn

Cerebyx

Mirapex

Depacon

Mirapex ER

Depakene

Neupro

Depakote

Parcopa

Depakote ER

Parlodel

Depakote Sprinkles

Requip

Dilantin

Requip XL

Dilantin Infatabs

Rytary

Dilantin-125

Sinemet

Fanatrex Fusepaq

Sinemet CR

Felbatol

Stalevo 100

Fycompa

Stalevo 125

Gabitril

Stalevo 150

Keppra

Stalevo 200

Keppra XR

Stalevo 50

Klonopin

Stalevo 75

Lamictal Odt

Tasmar

Lamictal XR

Zelapar

Levetiracetam

Mysoline


25

NEUROLOGY, PSYCH - MISC. riluzole

rocuronium bromide

GENERIC

vecuronium bromide

acamprosate calcium DR

PREFERRED

disulfiram

Botox

donepezil HCL

NON PREFERRED

ergoloid mesylates

Anectine

fluoxetine

Dysport

galantamine hydrobromide

Myobloc

memantine HCL

Nimbex

memantine HCL titration PAK

Quelicin

olanzapine/fluoxetine

Quelicin 1000

pimozide

Rilutek

rivastigmine tartrate

Xeomin

rivastigmine transdermal system

Zemuron

tetrabenazine

Galantamine Hydrobromide

MUSCULOSKELETAL AGENTS

PREFERRED

Ampyra GENERIC

Avonex baclofen

Chlordiazepoxide/Amitriptyline carisoprodol

Copaxone carisoprodol/aspirin

Namenda carisoprodol/aspirin/codeine

Namenda XR chlorzoxazone

Namenda XR Titration Pack cyclobenzaprine HCL

Perphenazine/Amitriptyline dantrolene sodium

Plegridy metaxalone

Plegridy Starter Pack methocarbamol

Tecfidera orphenadrine citrate

Tecfidera Starter Pack orphenadrine citrate ER

NON PREFERRED orphenadrine/asa/caffeine

Addyi tizanidine HCL

Antabuse Carisoprodol

Aricept Dantrolene Sodium

Aricept Odt PREFERRED

Aubagio Euflexxa

Avonex Pen Gablofen

Betaseron Lioresal Intrathecal

Brisdelle Synvisc

Campral Synvisc One

Exelon NON PREFERRED

Extavia Amrix

Gilenya Cyclobenzaprine Comfort PAC

Gralise Dantrium

Gralise Starter Dantrium IV

Horizant Fexmid

Lemtrada Flexepax

Namenda Titration PAK Gel-one

Namzaric Hyalgan

Nuedexta Lorzone

Orap Metaxalone

Razadyne Monovisc

Razadyne ER Norflex

Rebif Orthovisc

Rebif Rebidose Parafon Forte DSC

Rebif Rebidose Titration Pack Prazolamine

Rebif Titration Pack Robaxin

Sarafem Robaxin-750

Savella Ryanodex

Savella Titration Pack Skelaxin

Symbyax Soma

Tysabri Supartz

Xenazine Supartz Fx

Xyrem Tabradol Fusepaq

Therabenzaprine-60

NEUROMUSCULAR AGENTS Therabenzaprine-90

Therabenzaprine-90-5

GENERIC

Tizanidine Comfort PAC

atracurium besylate

Zanaflex

cisatracurium besylate

pancuronium bromide


26

ANTIMYASTHENIC AGENTS Metipranolol

PREFERRED

GENERIC

Betoptic-s

neostigmine methylsulfate

Combigan

pyridostigmine bromide

Levobunolol HCL

PREFERRED

Timoptic Ocudose

Guanidine HCL

NON PREFERRED

NON PREFERRED

Betagan

Bloxiverz

Betimol

Enlon

Cosopt

Enlon-plus

Cosopt PF

Mestinon

Istalol

Mestinon Timespan

Timoptic

Neostigmine Methylsulfate

Timoptic-xe

Prostigmin

Regonol

OPHTHALMIC STEROIDS

OPHTHALMOLOGY AND OTIC GENERIC

dexamethasone sodium phosphate

ANTI-INFECTIVES

fluorometholone

GENERIC

neomycin/polymyxin/bacitracin/hydrocortisone

bacitracin/polymyxin b

neomycin/polymyxin/dexamethasone

ciprofloxacin HCL

prednisolone acetate

erythromycin

sulfacetamide sodium/prednisolone sodium phosphate

gatifloxacin

tobramycin/dexamethasone

gentamicin sulfate

PREFERRED

levofloxacin

FML

neomycin/bacitracin/polymyxin

FML Forte

neomycin/polymyxin/bacitracin zinc

Pred Mild

neomycin/polymyxin/gramicidin

Prednisolone Sodium Phosphate

ofloxacin

NON PREFERRED

polymyxin b sulfate/trimethoprim sulfate

Alrex


Blephamide

sulfacetamide sodium

Blephamide S.o.p.

tobramycin sulfate

Durezol

trifluridine

Flarex

trimethoprim sulfate/polymyxin b sulfate

FML Liquifilm

PREFERRED

Lotemax

Bacitracin

Maxidex

Moxeza

Maxitrol

Natacyn

Neomycin/Polymyxin/Hydrocortisone

Sulfacetamide Sodium

Omnipred

Vigamox

Pred Forte

NON PREFERRED

Pred-G

Azasite

Pred-G S.o.p.

Besivance

Tobradex

Betadine Ophthalmic Prep

Tobradex ST

Bleph-10

Vexol

Ciloxan

Zylet

Garamycin

Mitosol

PROSTAGLANDINS

Neosporin

GENERIC

Ocuflox

latanoprost

Polytrim

Bimatoprost

Tobrex

PREFERRED

Viroptic

Lumigan

Zirgan

Travatan Z

Zymaxid

Travoprost

NON PREFERRED

ARTIFICIAL TEAR/LUBRICANT

Rescula

NON PREFERRED

Xalatan

Lacrisert

Zioptan

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


27

Cyclogyl Emadine

Isopto Homatropine Ilevro

NON PREFERRED Lastacaft

Cyclomydril Nevanac

Isopto Atropine Ocufen

Isopto Hyoscine Optivar

Pazeo

DECONGESTANTS Prolensa

Trusopt

GENERIC

phenylephrine HCL

OTIC AGENTS

PREFERRED

Naphazoline HCL GENERIC

NON PREFERRED acetic acid

Mydfrin antipyrine/benzocaine

fluocinolone acetonide

MIOTICS fluocinolone acetonide ear drops

hydrocortisone/acetic acid

GENERIC

neomycin/polymyxin/hydrocortisone

pilocarpine HCL

neomycin/polymyxin/HC

PREFERRED

ofloxacin

Isopto Carbachol

PREFERRED

Phospholine Iodide

Acetic Acid/Aluminum Acetate

NON PREFERRED

NON PREFERRED

Isopto Carpine

Antipyrine/Benzocaine

Auralgan

ADRENERGIC AGENTS

Cetraxal

GENERIC

Cipro HC

apraclonidine

Ciprodex

brimonidine tartrate

Ciprofloxacin

PREFERRED

Coly-mycin S

Alphagan P

Cortisporin

NON PREFERRED

Cortisporin-tc

Iopidine

Cresylate

Simbrinza

Dermotic

Myoxin

IMMUNOMODULATORS

Otozin

NON PREFERRED

Pramotic

Restasis

Vosol HC

LOCAL ANESTHETICS

OXYTOCICS

GENERIC

proparacaine HCL

GENERIC

tetracaine HCL

methylergonovine maleate

NON PREFERRED

oxytocin

Akten

NON PREFERRED

Alcaine

Cervidil

Hemabate

OPHTHALMICS - MISC.

Pitocin

GENERIC

Prepidil

azelastine HCL

Prostin E2

bromfenac

cromolyn sodium

PAIN MANAGEMENT

diclofenac sodium

ANALGESICS - NONNARCOTIC

dorzolamide HCL

epinastine HCL GENERIC

flurbiprofen sodium butalbital/acetaminophen

ketorolac tromethamine butalbital/acetaminophen/caffeine

PREFERRED butalbital/apap/caffeine

Azopt butalbital/aspirin/caffeine

Pataday choline magnesium trisalicylate

Patanol diflunisal

NON PREFERRED salsalate

Acular PREFERRED

Acular LS Choline Magnesium Trisalicylate

Acuvail Dologesic

Alocril Prialt

Alomide Tencon

Bepreve NON PREFERRED

Cystaran Bupap

Elestat Disalcid


28

Dolgic Plus Buprenex

Equagesic Butrans

Esgic Capital/Codeine

Fioricet Codeine Sulfate

Fiorinal Conzip

Levacet Demerol

Ofirmev Dilaudid

Phrenilin Forte Dilaudid-HP

Rhinoflex-650 Dolophine

Staflex Dolophine HCL

Vanatol LQ Duragesic

Embeda

ANALGESICS - OPIOID Exalgo

Fentanyl Citrate/Sodium Chloride

GENERIC

Fentora

acetaminophen/caffeine/dihydrocodeine

Fioricet/Codeine

acetaminophen/codeine

Fiorinal/Codeine #3

acetaminophen/codeine #2

Hycet


Hydromorphone HCL ER


Hysingla ER

acetaminophen/codeine phosphate

Ibudone

alfentanil

Infumorph 200

buprenorphine HCL

Infumorph 500

buprenorphine HCL/naloxone HCL

Ionsys

butalbital/acetaminophen/caffeine/codeine

Kadian

butalbital/aspirin/caffeine/codeine

Lazanda

butorphanol tartrate

Levorphanol Tartrate

codeine sulfate

Liquicet

fentanyl

Lortab

fentanyl citrate oral transmucosal

Magnacet

hydrocodone bitartrate/acetaminophen

Maxidone

hydrocodone/acetaminophen

Meperidine HCL

hydrocodone/ibuprofen

Methadone HCL

hydromorphone HCL

Methadose

hydromorphone HCL dosette

Methadose Sugar-free

hydromorphone HCL ER

Morphine Sulfate Add-vantage

meperidine HCL

Morphine Sulfate/Sodium Chloride

methadone HCL

MS Contin

morphine sulfate

Norco

morphine sulfate ER

Nucynta

nalbuphine HCL

Nucynta ER

oxycodone HCL

Opana

oxycodone/acetaminophen

Opana ER (crush Resistant)

oxycodone/aspirin

Oxaydo

oxycodone/ibuprofen

Oxecta

oxymorphone hydrochloride

Oxycodone HCL

oxymorphone hydrochloride ER

Oxycontin

pentazocine/acetaminophen

Percocet

pentazocine/naloxone HCL

Percodan

tramadol hydrochloride/acetaminophen

Primlev

tramadol HCL

Reprexain

tramadol HCL ER

Roxicet

Aspirin-caffeine-dihydrocodeine

Roxicodone

Fentanyl

Subsys

Hydrocodone Bitartrate/Acetaminophen

Synalgos-dc

Hydrocodone/Acetaminophen

Synapryn Fusepaq

Hydromorphone HCL/Sodium Chloride

Talwin

Morphine Sulfate ER

Theracodeine-300

Oxycodone HCL ER

Theracodophen-low-90

PREFERRED

Theracodophen-325

Hydromorphone HCL

Theracodophen-650

Morphine Sulfate

Theracodophen-750

Suboxone

Theratramadol-60

NON PREFERRED

Theratramadol-90

Abstral

Tramadol HCL ER

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Trezix

Actiq

Tylenol/Codeine #3

Alfenta

Tylenol/Codeine #4

Avinza

Ultiva

Bunavail

Ultracet


29

Ultram Duexis

Ultram ER Dyloject

Vicoprofen Enbrel

Xartemis XR Enbrel Sureclick

Xodol EC-naprosyn

Xolox Feldene

Zamicet Flanax Pain Relief Kit

Zohydro ER Ibuprofen Comfort PAC

Zubsolv Indocin

Zydone Indomethacin

Indomethacin Sodium

ANTI-INFLAMMATORY IC 400

IC 800

GENERIC

Ketorocaine-l

celecoxib

Ketorocaine-lm

diclofenac potassium

Ketorolac Tromethamine

diclofenac sodium DR

Kineret

diclofenac sodium ER

Meloxicam Comfort PAC

diclofenac sodium/misoprostol

Mobic

etodolac

Nalfon

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

Tolmetin Sodium

Trepadiclofen-25

PREFERRED

Trepoxen-250

Fenoprofen Calcium

Trepoxicam-7.5

Humira

Vimovo

Humira Pediatric Crohns Disease Starter Pack

Voltaren-XR

Humira Pen

Xeljanz

Humira Pen-crohns Diseasestarter

Zipsor

Humira Pen-psoriasis Starter

Zorvolex

Ilaris

Ketoprofen ER

MIGRAINE PRODUCTS

Meloxicam

Naproxen GENERIC

Rasuvo almotriptan malate

Simponi dihydroergotamine mesylate

Simponi Aria naratriptan HCL

NON PREFERRED rizatriptan benzoate

Actemra rizatriptan benzoate odt

Anaprox sumatriptan succinate

Anaprox DS sumatriptan succinate refill

Arava zolmitriptan

Arcalyst zolmitriptan odt

Arthrotec 50 Dihydroergotamine Mesylate

Arthrotec 75 Sumatriptan Succinate

Caldolor PREFERRED

Cataflam Sumatriptan

Celebrex Zomig Nasal Spray

Daypro NON PREFERRED

Derma Silkrx Anodynexa PAK Alsuma

Derma Silkrx Diclopak Amerge

Dermacinrx Inflammatral PAK Axert


30

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

Cambia

Naropin

D.h.e. 45

Nesacaine

Ergomar

Nesacaine-mpf

Frova

Sensorcaine-mpf/Epinephrine

Imitrex

Turkel Paracentesis Procedure Tray/8french

Imitrex Statdose Refill

Xylocaine

Imitrex Statdose System

Xylocaine-mpf

Maxalt

Xylocaine-mpf/Epinephrine

Maxalt-MLT

Xylocaine/Epinephrine

Migergot

Migral

RESPIRATORY, ALLERGY, ETC

Migranal

Relpax ANTIHISTAMINES

Sumavel Dosepro

GENERIC

Treximet

carbinoxamine maleate

Zecuity

cetirizine HCL

Zomig

clemastine fumarate

Zomig ZMT

cyproheptadine HCL

desloratadine

GOUT AGENTS

desloratadine odt

GENERIC diphenhydramine HCL

allopurinol levocetirizine dihydrochloride

probenecid promethazine HCL

probenecid/colchicine promethazine HCL plain

PREFERRED Clemastine Fumarate

Colcrys PREFERRED

Uloric Allegra Allergy Childrens

NON PREFERRED Dexchlorpheniramine Maleate

Aloprim NON PREFERRED

Colchicine Brompheniramine

Krystexxa Brompheniramine Tannate

Mitigare Clarinex

Zyloprim Clarinex Reditabs

Dicopanol Fusepaq

LOCAL ANESTHETICS-INJ Karbinal ER

Palgic

GENERIC

Phenergan

bupivacaine HCL

Respa-BR

bupivacaine/epinephrine

Xyzal

chloroprocaine HCL

lidocaine HCL

NASAL AGENTS

lidocaine/epinephrine

ropivacaine GENERIC

ropivacaine HCL azelastine HCL

Tetracaine HCL budesonide

NON PREFERRED flunisolide

Articadent Dental fluticasone propionate

BD Pudendal/Local Block Tray 1% Lidocaine ipratropium bromide

Carbocaine olopatadine HCL

Citanest Forte Dental triamcinolone acetonide

Citanest Plain Dental PREFERRED

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

Nasonex

Veramyst

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

NON PREFERRED

Adrenalin

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

Astelin

Astepro

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

Atrovent

Bactroban Nasal

Exparel

Beconase AQ

Lidocaine HCL/Dextrose

Dymista

Marcaine

Flonase

Marcaine W/O Epi

Omnaris

Marcaine/Epinephrine

Patanase

Marlido-25

Qnasl

Monoject Bone Marrow Biopsy Prepping Tray

Qnasl Childrens

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

Rhinocort Aqua

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

Tyzine

Tyzine Pediatric Nasal Drops


31

Zetonna aminophylline

budesonide

COUGH/COLD/ALLERGY epinephrine HCL

ipratropium bromide

GENERIC

ipratropium bromide/albuterol sulfate

acetylcysteine

levalbuterol

benzonatate

levalbuterol HCL

bromphen/pseudoephedrine HCL/dextromethorphan HBR

montelukast sodium

hydrocodone bitartrate/chlorpheniramine maleate/PSE

terbutaline sulfate

hydrocodone bitartrate/homatropine methylbromide

theophylline

hydrocodone polistirex/chlorpheniramine polistirex

theophylline CR

hydrocodone/homatropine

theophylline ER

phenylephrine/guaifenesin

zafirlukast

promethazine-DM

Cromolyn Sodium

promethazine/codeine

PREFERRED

promethazine/dextromethorphan

Advair Diskus

promethazine/phenylephrine

Advair HFA

promethazine/phenylephrine/codeine

Breo Ellipta

sodium chloride

Combivent Respimat

PREFERRED

Elixophyllin

Dallergy

Flovent Diskus

J-max

Flovent HFA

Mucinex D

Foradil Aerolizer

Mucinex Maximum Strength

Incruse Ellipta

Promethazine/Phenylephrine

Metaproterenol Sulfate

NON PREFERRED

Proair HFA

Carbaphen 12

Proair Respiclick

Carbaphen 12 PED

Pulmicort Flexhaler

Clarinex-d 12 HOUR

Qvar

Clarinex-d 24 HOUR

Serevent Diskus

Codar AR

Spiriva Handihaler

Cpb Wc

Spiriva Respimat

Decon-a

Symbicort

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Tudorza Pressair

Exactuss

Ventolin HFA

Flowtuss

Xolair

Gilphex TR

NON PREFERRED

Giltuss

Accolate

Giltuss PED-c

Aerospan

Giltuss TR

Alvesco

Hycofenix

Anoro Ellipta

Hyper-sal

Arcapta Neohaler

Hypersal

Arnuity Ellipta

Nebusal

Asmanex HFA

Neotuss Plus

Asmanex Twisthaler 120 Metered Doses

Obredon


Panatuss Dxp


Pediatex TD


Pediatex TDM


Relhist

Atrovent HFA

Rescon-JR

Brovana

Rescon-MX

Daliresp

Rezira

Dulera

Semprex-d

Duoneb

Suttar-SF

Isuprel

Suttar-2

Lufyllin

Tessalon Perles

Maxair Autohaler

Tussicaps

Perforomist

Tussionex Pennkinetic Extended Release

Proventil HFA

Tuzistra XR

Pulmicort

Vituz

Pulmophylline

Zonatuss

Senophylline

Zutripro

Singulair

Stiolto Respimat

ANTIASTHMATIC/COPD AGENTS

Striverdi Respimat

GENERIC Theo-24

albuterol sulfate Theophylline/D5W

albuterol sulfate ER Vospire ER

albuterol TAB 4MG Xopenex

Xopenex Concentrate


32

Xopenex HFA Flulaval Quadrivalent 2015-2016

Zyflo Flulaval 2013-2014

Zyflo CR Flulaval 2014-2015

Flumist Quadrivalent

RESPIRATORY AGENTS - MISC Fluvirin PF 2013-2014

Fluvirin PF 2014-2015

PREFERRED

Fluvirin 2013-2014

Pulmozyme

Fluvirin 2014-2015

NON PREFERRED

Fluvirin 2015-2016

Aralast NP

Fluzone High-dose PF 2013-2014

Curosurf


Esbriet


Glassia

Fluzone Pediatric PF 2013-2014

Infasurf

Fluzone PF 2013-2014

Kalydeco

Fluzone PF 2014-2015

Ofev

Fluzone Quadrivalent 2013-2014

Orkambi


Prolastin-c


Surfaxin

Fluzone Split 2013-2014

Survanta Intratracheal


Zemaira


Gardasil

TOXOIDS

Gardasil 9

Havrix

NON PREFERRED

Hiberix

Adacel

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

Boostrix

Ipol Inactivated IPV

Daptacel

Ixiaro

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

M-m-r II

Infanrix

Medical Provider EZ Flu Shot 2014-2015

Kinrix

Menactra

Pediarix

Menhibrix

Pentacel

Menomune-a/C/Y/W-135

Quadracel

Menveo

Tenivac

Pedvax HIB

Tetanus Toxoid Adsorbed

Pneumovax 23

Tetanus/Diphtheria Toxoids-adsorbed

Pneumovax 23/1 Dose

Tetanus/Diphtheria Toxoids-adsorbed Adult

Pneumovax 23/5 Dose

Prevnar 13

VACCINES

Proquad

Rabavert

NON PREFERRED

Recombivax HB

Acthib

Rotarix

Afluria PF 2012-2013

Rotateq


Trumenba


Twinrix


Typhim VI

Afluria 2012-2013

Vaqta

Afluria 2013-2014

Varivax

Afluria 2014-2015

Vivotif Berna

Afluria 2015-2016

Yf-vax

Bcg Vaccine

Zostavax

Bexsero

Biothrax

VITAMINS

Cervarix

VITAMINS

Comvax

GENERIC

Engerix-b

ascorbic acid

Fluarix Quadrivalent 2013-2014

ergocalciferol


phytonadione


thiamine HCL

Fluarix 2013-2014

vitamin c 222MG

Fluarix 2014-2015

vitamin d

Flublok 2013-2014

vitamin k1

Flublok 2014-2015

PREFERRED

Flublok 2015-2016

Mephyton

Flucelvax 2013-2014

Vitamin A

Flucelvax 2014-2015

NON PREFERRED

Flucelvax 2015-2016

Aquasol A Parenteral

Flulaval Quadrivalent 2013-2014

Drisdol

Flulaval Quadrivalent 2014-2015


33

Pyridoxine HCL Provida OB

Vitamin K1 Right Step Prenatal

Wheat Germ Select-OB

Stuart Prenatal

MULTIVITAMINS Taron-bc

Taron-c DHA

GENERIC

Theranatal Core Nutrition

b-complex 100

Tri-VI-flor

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

Tricare Prenatal Compleat

PREFERRED

Tricare Prenatal DHA One

Atabex EC

Vinacal B

Atabex Prenatal

Vinate AZ Extra

Bal-care DHA

Vinate Calcium

Bal-care DHA Essential

Vinate DHA

Citranatal B-calm

Vinate DHA RF

Citranatal RX

Vita-pren

Clinical Nutrients Prenatal Formula

Vitafol-nano

Concept DHA

Vitafol-pn

Concept OB

Vitamedmd Redichew RX

Duet DHA Balanced

Vitamedmd Redichew RX/Quatrefolic

Duet DHA 400

Vitapearl

Duet DHA 400EC

Viva DHA

Duet DHA 430

Your Life Multi Prenatal

Duet DHA 430EC

Zatean-pn

Enbrace HR

Zatean-pn Plus

Escavite

NON PREFERRED

Escavite D

Adrenal C Formula

Folcaps Omega 3

Albafort

Folivane-OB

Bacmin

Healthy Mama Be Well Rounded

Citranatal Assure

Marnatal-f

Citranatal DHA

Mission Prenatal

Citranatal Harmony

Moms Choice RX

Citranatal 90 DHA

Mykidz Iron Fl

Cod Liver Oil

Mynatal

Corvite

Natachew

Crnatal

Natafort

Dialyvite Supreme D

Natalvit

Dialyvite 3000

Natelle One

Dialyvite 5000

Neevo DHA

Dialyvite/Zinc

Nestabs

Diatx ZN

Nestabs DHA

Floriva

Newgen

Focalgin CA

Niva-plus

Focalgin 90 DHA

O-CAL Fa

Folet DHA

O-CAL Prenatal

Folet One

Obstetrix DHA

Folgard OS

Obtrex

Folivane-prx DHA NF

Obtrex DHA

Fortavit

One A Day Womens Prenatal/DHA

Gesticare DHA

One A Day Womens Prenatal1

M.v.i. Adult

One-a-day Womens Prenatal

M.v.i. Pediatric

OB Complete

M.v.i.-12 Without Vitamin K

OB Complete One

Natalvirt CA

OB Complete Petite

Natalvirt 90 DHA

OB Complete Premier

Nephplex RX

OB Complete 400

Nephro-vite RX

OB Complete/DHA

Nephrocaps

Poly-VI-flor

Nephrocaps QT

Poly-VI-flor FS

Nestabs Abc

Poly-VI-flor/Iron

Nexa Plus

Prefera OB

Nicadan

Prefera OB + DHA

Nicazel

Prenata

Nicazel Forte

Prenatal Vitamin

Nicomide

Prenatal Vitamins

Nutricap

Prenate AM

Nutrivit

Prenate Elite

Ocuvel

Prenate Essential

Paire OB

Prenate Star

Preferaob +dha


34

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

Prefol-DHA Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"

Prenate Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"

Prenate DHA Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"

Prenate Enhance Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"

Prenate Mini Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"

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

Prenate Restore Advocate Insulin Syringe/U-100/1ML/30GX5/16"

Preque 10 Advocate Insulin Syringe/U-100/1ML/31GX5/16"

Protect Plus Advocate Lancets

Provida DHA Advocate Lancets 30G

R-natal OB Advocate Safety Lancets

Renatabs Advocate Safety Lancets 26G

Renatabs With Iron Agamatrix Ultra-thin Lancets 33G

Req 49+ Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"

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

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

Strovite Forte Assure Haemolance Plus High Flow 18G

Strovite One Assure Haemolance Plus Low Flow 25G

Supervite Assure Haemolance Plus Micro Flow 28G

Supervite EC Assure Haemolance Plus Normal Flow 21G

Support-500 Assure Haemolance Plus Pediatric Blade

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

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

Texavite LQ Assure Lance Lancets

Triveen-duo DHA Assure Lance Lancets 21G

Triveen-prx RNF Assure Lance Plus Safety Lancets 25G

TL G-FOL OS Assure Lance Plus Safety Lancets 30G

Udamin SP Assure Lancets

Vemavite-prx 2 Aurora Lancet Super Thin 30G

Vitafol Aurora Lancet Thin 23G

Vitafol Fe+ Aurora Pen Needles 29GX12MM

Vitafol Ultra Aurora Pen Needles 31G X 6MM

Vitafol-ob+dha Aurora Pen Needles 31G X 8MM

Vitafol-one Autolet Platforms

Vital-d RX AF Lancets Super Thin

Vitamedmd One RX/Quatrefolic AT Last Lancets

Vitamedmd Plus RX/Quatre Folic Bayer Microlet Lancets

Vitaroca Plus Bullseye Safety Lancets

Zatean-pn DHA BD Autoshield Duo 30G X 3/16"

Zatean-CH BD Autoshield 29G X 3/16"

BD Autoshield 29G X 5/16"

MEDICAL DEVICES BD Insulin Syringe LUER-LOK/U-100/1ML

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

DIABETIC SUPPLIES

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

PREFERRED

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

Accu-chek Active Strips

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

Accu-chek Aviva

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

Accu-chek Aviva Connect

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

Accu-chek Aviva Plus

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

Accu-chek Comfort Curve Test Strips

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

Accu-chek Compact Plus

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

Accu-chek Compact Plus Care Kit

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

Accu-chek Compact Test Drum

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

Accu-chek Fastclix Lancetdevice Kit

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

Accu-chek Fastclix Lancets

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

Accu-chek Multiclix Lanc Et Device Kit

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

Accu-chek Multiclix Lancets

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

Accu-chek Nano Smartview

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

Accu-chek Safe-t-pro Lancets

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

Accu-chek Safe-t-pro Pluslancets


Accu-chek Smartview Strips


Accu-chek Soft Touch Lancets


Accu-chek Softclix Lancetdevice Kit


Accu-chek Softclix Lancets


Accu-chek Voicemate


Accutrend Glucose


Advocate Insulin Pen Needles 29GX12.7MM

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

Advocate Insulin Pen Needles 31GX5MM


Advocate Insulin Pen Needles 31GX8MM



35

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 31GX5MM

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 31GX6MM




BD Insulin Syringe Ultrafine/1ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 33GX4MM

BD Insulin Syringe Ultrafine/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 33GX5MM

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

Clever Choice Comfort EZ Pen Needles 33GX6MM

Clever Choice Comfort EZ Pen Needles 33GX8MM

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

Coaguchek Lancets

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

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

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


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


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




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

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



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


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

Comfort Lancets

BD Lancet Ultrafine 30G

Diastar Easy Test II Lancets 30G

BD Lancet Ultrafine 33G

Diastar Easy Test Lancets30G

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

Droplet Lancets Ultra Thin 30G

Drug Mart On-the-go Lancets Gentle 30G

BD Microtainer Lancets

Drug Mart Unilet Lancets Super Thin 30G

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

Drug Mart Unilet Lancets Ultra Thin 28G

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

Duane Reade Unifine Pentips 29G X 12MM

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

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

BD Pen Needle/Ultrafine/29G X 12.7MM

Duane Reade Unifine Pentips 31G X 8MM SHORT

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

E-z Ject Lancets

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

E-z Ject Lancets Color

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

E-z Ject Lancets Super Thin

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

E-z Ject Lancets Super Thin 30G

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16" E-z Ject Lancets Thin 26G

BD-insul SYR Mis LO Dose E-z Ject Lancets 21G

Carefine Pen Needle 32GX4MM E-ZJECT Lancets Micro-thin 33G

Carefine Pen Needles 29GX1/2" Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"

Carefine Pen Needles 30GX5/16"

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

Carefine Pen Needles 31GX6MM

Carefine Pen Needles 31GX8MM

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

Careone Lancet Thin

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

Careone Lancet Ultra Thin

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

Cleanlet Lancets 28G


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/Pull-top


36

Easy Touch Lancets 32G/Twist Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16"

Easy Touch Lancets 33G/Twist Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16"

Easy Touch Pen Needles 29GX1/2" Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2"



Easy Touch Pen Needles 32GX5/32" Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"

Easy Touch Pen Needles/31G X 3/16" Glucopro Insulin Syringe/U-100/1ML/30G X 5/16"

Easy Touch Safety Lancets21G/Pressure Activated Glucopro Insulin Syringe/U-100/1ML/31G X 5/16"

Easy Touch Safety Lancets23G/Pressure Activated Glucosource Lancets

Easy Touch Safety Lancets26G/Button Activated Gmate Lancets 30G

Easy Touch Safety Lancets26G/Pressure Activated H&h Thinlet Lancets 26G

Easy Touch Safety Lancets28G/Button Activated H&h Thinlet Super Thin Lancets 30G

Easy Touch Safety Lancets28G/Pressure Activated H-e-b Incontrol Pen Needles 29GX12MM

Easy Twist & CAP Lancets H-e-b IN Control Pen Needles 31GX6MM

Easytest II Lancets H-e-b IN Control Pen Needles 31GX8MM

Easytest Lancets Haemolance

Embrace Lancets Ultra Thin 30G Haemolance Low Flow Lancets

Eql SHORT Pen Needles 31G X 8MM Haemolance Plus

Eql Ultra SHORT Pen Needles 31G X 6MM Haemolance Plus High Flow

Excel Comfort Point Insulin Pen Needles 31G X 4MM Haemolance Plus Low Flow

Exel Comfort Point Insulin Pen Needles 29G X 12MM Haemolance Plus Max Flow

Exel Comfort Point Insulin Pen Needles 31G X 6MM Haemolance Plus Pediatric Flow

Exel Comfort Point Insulin Pen Needles 31G X 8MM Healthwise Mini Pen Needles 31GX6MM

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2" Healthwise Pen Needles 29GX12MM

Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16" Healthwise SHORT Pen Needles 31GX8MM

Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2" Hy-vee Lancets

Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2" Insulin Syringe/U-100/0.3ML/29G X 1/2"

Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16" Insulin Syringe/U-100/0.5ML/28G X 1/2"

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2" Insulin Syringe/U-100/0.5ML/29G X 1/2"

Exel Comfort Point Insulin Syringe/1ML/29G X 1/2" Insulin Syringe/U-100/1ML/28G X 1/2"

Exel Comfort Point Insulin Syringe/1ML/30G X 5/16" Insulin Syringe/U-100/1ML/29G X 1/2"

EZ Smart Blood Glucose Lancets Insulin Syringe/U-100/1ML/30G X 5/16"

EZ-lets Lancets 21G Insulin Syringe/U-100/1ML/31G X 5/16"

EZ-lets Lancets 23G Insulin Syringe/0.3ML/29G X 1/2"

EZ-lets Lancets 26G Super-soft Insulin Syringe/0.3ML/29G X 1"

EZ-lets Lancets 28G Ultra-soft Insulin Syringe/0.3ML/30G X 5/16"

EZ-lets Lancets 30G Insulin Syringe/0.3ML/31G X 5/16"

Fasttake Compact Monitoring System Insulin Syringe/0.5ML/27G X 1/2"

Fasttake Test Strips 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"


37

Lancets 33G Universal Design Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Leader Unifine Pentips Plus/Mini/31GX3/16" Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16"

Leader Unifine Pentips Plus/SHORT/31GX5/16" Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Leader Unifine Pentips/Mini/31GX3/16" Monoject Insulin Syringe/U-100/1ML/30G X 5/16"

Leader Unifine Pentips/Nano/32GX5/32" Monoject Insulin Syringe/1ML

Leader Unifine Pentips/Plus/32GX5/32" Monoject Insulin Syringe/1ML/31G X 5/16"

Liberty Medical Lancets 30G Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"

Lifescan Unistik II Lancets Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"

Lifescan Unistik 2 Deep Penetration Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"

Lite Touch Pen Needles/31G X 3/16" Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"

Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2"

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"

Litetouch Insulin Syringe/U-100/1ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"

Litetouch Insulin Syringe/U-100/1ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"

Litetouch Insulin Syringe/U-100/1ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"

Litetouch Insulin Syringe/0.3ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16"

Litetouch Insulin Syringe/0.3ML/30G X 5/16" Monojector End CAPS

Litetouch Insulin Syringe/0.3ML/31G X 5/16" Monojector Opd End CAPS

Litetouch Insulin Syringe/0.5ML/30G X 5/16" Monolet Lancets

Litetouch Insulin Syringe/0.5ML/31G X 5/16" Monolet Opd Lancets

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

Litetouch Lancets Micro Thin 33G Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Litetouch Pen Needles 29GX12.7MM

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

Litetouch Pen Needles 31G X 6MM

Litetouch Pen Needles 31GX8MM SHORT

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

Live Better Lancet Super Thin 30G

Live Better Lancet Ultra Thin 28G

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

Live Better Pen Needles 29G X 12MM


Myglucohealth Mgh Softlance Lancets 30G


Netgroup Lancets

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

Nova Safety Lancets 23G


Nova Safety Lancets 28G


Nova Sureflex Lancets


Novofine Plus 32GX4MM

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

On Call Lancets

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

On Call Plus Lancets

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

Onetouch Basic System

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

Onetouch Basic/Profile Test Strips

Medisense Thin Lancets

Onetouch Club Lancets Fine Point

Medlance Plus Extra Lancets 21G

Onetouch Combo Pack

Medlance Plus Lancets

Onetouch Delica Lancets Extra Fine 33G

Medlance Plus Lancets Lite 25G

Onetouch Delica Lancets Fine 30G

Medlance Plus Lite Lancets 25G

Onetouch Finepoint Lancets

Medlance Plus Special Lancets 0.8MM

Onetouch Lancets

Medlance Plus Superlite 30G

Onetouch Profile System

Medlance Plus Superlite 30G/Comfort Max

Onetouch Suresoft Lancing Device/18G

Medlance Plus Universal Lancets 21G


Medlance Plus/Lite 25G


Medlance/Extra

Onetouch Ultra Blue

Medlance/Lite

Onetouch Ultra Mini

Medlance/Universal

Onetouch Ultra System Kit

Meijer Super Thin Lancets

Onetouch Ultra 2

Microlet Lancets

Onetouch Ultralink System (hex)

Microtainer Safety Flow Lancet/Sterile/Single-use

Onetouch Ultralink System (DEC)

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Onetouch Ultrasmart

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"

Onetouch Ultrasoft Lancets

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

Onetouch Verio

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

Onetouch Verio IQ Blood Glucose Monitoring System

Onetouch Verio Sync Bloodglucose Monitoring System

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

Onetouch Verio Test Strips

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

Pen Needles 29G X 12MM

Pen Needles 29GX1/2"

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


Pen Needles 31G X 1/4" SHORT

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

Pen Needles 31G X 3/16"

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

Pen Needles 31G X 6MM


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

Penlet II Replacement CAPS

Penlet II Replacement CAPS-deep

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

Penlet II Replacement CAPS-regular

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


38

Pentips 31GX5MM Relion Ultra Thin Plus Lancets 32G

Pentips 31GX8MM Relion Ultra Thin Plus Lancets 33G

Pentips 32GX4MM Renew Advanced Lancing Cartridge Refills

Perfect Lancets 30G Rexall Lancets Ultra Thin

Perfect Pressure Activated Safety Lancets 28G Rightest Gl300 Lancets

Pharmacist Choice Ultra Thin Lancets Rightest GD-L500 Alternate Site Adapter

Pharmacist Choice Ultra Thin Lancets 28G Safe-t-lance Low Flow 25G

Pharmacist Choice Ultra Thin Lancets 30G Safe-t-lance Normal Flow 21G

Pharmacist Choice Ultra Thin Lancets 31G Safe-t-lance Plus Safety Lancet High Flow

Pharmacist Choice Ultra Thin Lancets 33G Safe-t-lance Plus Safety Lancet Low Flow

Pharmacy Counter Lancets Safe-t-lance Plus Safety Lancet Normal Flow

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



Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Safesnap Insulin Syringe/1ML/28G X 1/2"

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2" Safesnap Insulin Syringe/1ML/29G X 1/2"

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

Safety Lancet 21G/Pressure Activated

Safety Lancet 28G/Pressure Activated

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

Safety Lancets

Precision Thin Lancets

Safety Lancets 21G

Precision Thins GP Lancet

Safety Lancets 28G

Precision Ultra Lancet

Safety Let Lancets

Preferred Plus Unifine Pentips 29G X 12MM

Safety Seal Lancets 28G

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Safety Seal Lancets 30G

Preferred Plus Unifine Pentips 31G X 8MM SHORT

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

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

Shopko On-the-go Comfort Lancets 30G

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

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM

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

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM

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

Shopko Unifine Pentips Pen Needles/Original/29GX12MM

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

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM

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

Shopko Unilet Lancets Super Thin 30G

Prodigy Pressure Activated Safety Lancets

Shopko Unilet Lancets Ultra Thin 28G

Prodigy Twist Top Lancets

Single-let

Pss Select GP Lancets

Smart Diabetes Vantage Universal Lancets 30G

Pss Select Platforms

Smart Sense Color Lancets Universal 33G

Pss Select Safety Lancets

Smart Sense Standard Lancets Universal 21G

Px Lancets Ultra Thin

Smart Sense Super Thin Lancets Universal 30G

PC Unifine Pentips 29G X 1/2"

Smart Sense Thin Lancets Universal 26G

PC Unifine Pentips 31G X 6MM Ultra SHORT

Smartest Lancets 28G

PC Unifine Pentips 31G X 8MM SHORT

Solus V2 Pressure Activated Safety Lancets 28G

Qc Lancets Super Thin

Solus V2 Twist Lancets 30G

Qc Lancets Ultra Thin

Sterilance PA

Qc Pen Needles 29G X 12MM

Sterilance TL


Sure-fine Pen Needles 29GX1/2" 12.7MM


Sure-fine Pen Needles 31GX3/16" 5MM

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

Sure-fine Pen Needles 31GX5/16" 8MM

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

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

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


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











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





Relion Insulin Syringe/U-100/1ML/30G



Sure-lance Flat Lancets


Sure-lance Lancets 26G

Relion Lancets Micro-thin33G

Sure-lance Thin Lancets 28G

Relion Lancets Standard 21G

Sure-lance Ultra Thin Lancets

Relion Lancets Thin 26G

Sure-touch Lancets Universal

Relion Lancets Ultra-thin30G

Surelite Lancets

Relion Mini Pen Needles 31GX6MM

Surestep Pro Test Strips

Relion Pen Needles 29GX12MM

Surestep Test Strips


Techlite AST Lancets


Techlite Lancets

Relion SHORT Pen Needles 31GX8MM

Techlite Lancets 30G

Relion Thin Lancets

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

Relion Ultra Thin Lancets

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

Relion Ultra Thin Lancets30G


39

Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 1/2"

Terumo Insulin Syringe/U-100/1ML/28G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 5/16"

Terumo Insulin Syringe/0.3ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/28G X 1/2"



Terumo Insulin Syringe/1ML/27G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 5/16"

Terumo Insulin Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe/1ML/28G X 1/2"

Terumo Insulin Syringe/1ML/30G X 3/8" Ulticare Insulin Syringe/1ML/29G X 1/2"

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2" Ulticare Insulin Syringe/1ML/30G X 1/2"

Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2" Ulticare Insulin Syringe/1ML/30G X 5/16"

Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2" Ulticare Micro Pen Needles/32G X 4MM

Terumo Surguard Insulin Syringe/1ML/28G X 1/2" Ulticare Mini Pen Needles Ulti-fine IV

Terumo Surguard Insulin Syringe/1ML/29G X 1/2" Ulticare Mini Pen Needles 31GX6MM

Thinlets GP Lancets Ulticare Mini Pen Needles/31G X 6MM

Thinlets Lancet Ulticare Mini Pen Needles31GX6MM

Thinpro Insulin Syringe/0.3ML/29G X 1/2" Ulticare Original Pen Needles Ulti-fine

Thinpro Insulin Syringe/0.3ML/30G X 3/8" Ulticare Pen Needles/29G X 12.7MM

Thinpro Insulin Syringe/0.3ML/31G X 3/8" Ulticare SHORT Pen Needles Ulti-fine IV

Thinpro Insulin Syringe/0.5ML/28G X 1/2" Ulticare SHORT Pen Needles 31GX8MM

Thinpro Insulin Syringe/0.5ML/29G X 1/2" Ulticare SHORT Pen Needles/31G X 8MM

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

Thinpro Insulin Syringe/0.5ML/31G X 3/8" Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2"

Thinpro Insulin Syringe/1ML/28G X 1/2" Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16"



Thinpro Insulin Syringe/1ML/31G X 3/8" Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2"

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2" Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"

Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16" Ultilet Classic Lancets

Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"




Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2" Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"

Trueplus Insulin Syringe/U-100/1ML/29G X 1/2" Ultilet Lancets

Trueplus Insulin Syringe/U-100/1ML/30G X 5/16" Ultilet Lancets 33G

Trueplus Insulin Syringe/U-100/1ML/31G X 5/16" Ultilet Pen Needle 32GX4MM/SHORT

Trueplus Lancets 26G Ultilet Safety Lancets 23G

Trueplus Lancets 28G Ultilet SHORT Pen Needles 31GX5/16"

Trueplus Lancets 28G Super Thin Ultilet SHORT Pen Needles31GX3/16"

Trueplus Lancets 30G Ultra-thin II Auto Lancet

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"



40

Unifine Pentips 31GX8MM Aerochamber Plus Flow-VU

Unifine Pentips 32GX4MM Aerochamber Plus Flow-VU/Large Mask

Unilet Comfortouch Lancet Aerochamber Plus Flow-VU/Mask

Unilet Excelite Aerochamber Plus Flow-VU/Medium Mask

Unilet Excelite II Aerochamber Plus Flow-VU/Small Mask

Unilet G.p. Lancet Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU

Unilet G.p. Superlite Lancet

Aerochamber Z-stat Plus/Flowsignal

Unilet GP 28 Ultra Thin

Aerochamber Z-stat Plus/Large Mask

Unilet Lancet

Aerochamber Z-stat Plus/Medium Mask

Unilet Lancets Micro-thin33G

Aerochamber Z-stat Plus/Small Mask

Unilet Lancets Super-thin30G

Aerochamber/Flowsignal

Unilet Lancets Ultra-thin 28G

Aerovent Plus Holding Chamber/Collapsible

Unilet Superlite Lancet

Arial Chamber

Unistik CZT Comfort

Breatherite

Unistik CZT Normal

Breatherite Collapsible Adult Spacer W/Mask

Unistik Safety Lancets 28G

Breatherite Collapsible Child Spacer W/Mask

Unistik Safety Lancets 30G

Breatherite Collapsible Infant Spacer W/Mask

Unistik 1

Breatherite Collapsible Small Child Spacer W/Mask

Unistik 2

Breatherite Collapsible Spacer W/ Neonate Mask

Unistik 2 Comfort

Breatherite Rigid Spacer W/Mask

Unistik 2 Extra

Breatherite W/Large Mask

Unistik 2 Neonatal

Breatherite W/Medium Mask

Unistik 2 Normal

Breatherite W/Small Mask

Unistik 2 Super

E-z Spacer

Unistik 3

E-z Spacer The Body Guards Pack

Unistik 3 Comfort

Easivent

Unistik 3 Extra

Easivent/Mask-large

Unistik 3 Gentle

Easivent/Mask-medium

Unistik 3 Neonatal

Easivent/Mask-small

Unistik 3 Normal

Flexichamber

Universal 1 Lancets Thin 26G

Inspirachamber/Anti-static Valved/Mouthpiece

Universal 1 Lancets Ultra Thin 30G

Inspirachamber/Soothermask/Inspiramask/Medium

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

Inspirachamber/Soothermask/Inspiramask/Small


Inspirease Bags


Inspirease Drug Delivery System

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

Inspirease Mouthpiece

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

Inspirease Reservoir Bags

Valumark Lancet Super Thin 30G

Liteaire

Valumark Lancet Ultra Thin 28G

Mask Vortex/Baby Whirl Duckling

Valumark Pen Needles 29GX12MM

Mask Vortex/Child/Frog

Valumark Pen Needles 31G X 6MM

Mask Vortex/Spinner The Duck

Valumark Pen Needles 31G X 8MM

Mask Vortex/Toddler/Lady Bug

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"

Microchamber

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

Microspacer

Vida Mia Unifine Pentips Mini 31GX6MM

Nessi Spacer/Large Mask

Vida Mia Unifine Pentips Original 29GX12MM

Nessi Spacer/Mouthpiece

Vida Mia Unifine Pentips 32GX4MM

Nessi Spacer/Small/MED Mask

Vida Mia Unilet Lancets Super Thin 30G

Optichamber Advantage

Vida Mia Unilet Lancets Ultra Thin 28G

Optichamber Diamond

Vida Mia Unipfine Pentipsshort 31GX8MM

Optichamber Diamond/Largeface Mask

Vitalet Pro Lancets

Optichamber Diamond/Medium Face Mask

Vitalet Pro Plus Lancets

Optichamber Diamond/Smallface Mask

W&f Lancets Colored 21G

Optihaler

W&f Lancets 26G

Optihaler MDI Drug Delivery System

Walgreens Lancets

Panda Mask Large

Walgreens Thin Lancets

Panda Mask Medium

Walgreens Ultra Thin Lancets

Panda Mask Small

1ST Choice Lancets Super Thin

Pediatric Panda Mask

1ST Choice Lancets Thin

Pocket Chamber

1ST Choice Lancets Ultra Thin

Pocket Spacer

1ST Tier Unifine Pentips 29GX12MM

Riteflo


Vortex Valved Holding Chamber


Watchhaler

MEDICAL DEVICES - MISC

MISCELLANEOUS

PREFERRED

Aerochamber Mini Aerosol Chamber

NON PREFERRED

Aerochamber MV

Chemet

Aerochamber Plus Flow VU


41

Exjade

Ferriprox

Jadenu

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective January 1, 2016 v.1 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.

42

Index

A

Actigall, 19 Advocate Insulin Syringe/U-100/1ML/30GX5/16", 35

Actimmune, 6

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

Actiq, 29 Advocate Insulin Syringe/U-100/1ML/31GX5/16", 35

abacavir, 3

Activase, 22

abacavir sulfate/lamivudine/zidovudine, 3

Activella, 15 Advocate Lancets, 35

Abaneu-SL, 21

Actonel, 17 Advocate Lancets 30G, 35

Abelcet, 2

Actoplus Met, 16 Advocate Safety Lancets, 35

Abilify, 24

Actoplus Met XR, 16 Advocate Safety Lancets 26G, 35

Abilify Discmelt, 24

Actos, 16 Aerochamber Mini Aerosol Chamber, 41

Abilify Maintena, 24

Acuicyn Daily Eyelid & Eyelash Cleanser, 13

Aerochamber MV, 41

Abraxane, 6

Aerochamber Plus Flow VU, 41

Absorica, 10

Acular, 28 Aerochamber Plus Flow-VU, 41

Abstral, 29

Acular LS, 28 Aerochamber Plus Flow-VU/Large Mask, 41

acamprosate calcium DR, 26

Acuvail, 28

Acanya, 10

acyclovir, 3, 11 Aerochamber Plus Flow-VU/Mask, 41

acarbose, 16

acyclovir sodium, 3 Aerochamber Plus Flow-VU/Medium Mask, 41

Accolate, 32

Acyclovir Sodium, 3

Accu-chek Active Strips, 35

Aczone, 10 Aerochamber Plus Flow-VU/Small Mask, 41

Accu-chek Aviva, 35

Adacel, 33

Accu-chek Aviva Connect, 35

Adalat CC, 7 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 41

Accu-chek Aviva Plus, 35

adapalene, 10

Accu-chek Comfort Curve Test Strips, 35

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

Accu-chek Compact Plus, 35

Adasuve, 24 Aerochamber Z-stat Plus/Large Mask, 41

Accu-chek Compact Plus Care Kit, 35

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

Accu-chek Compact Test Drum, 35

Adcirca, 10

Accu-chek Fastclix Lancetdevice Kit, 35

Adderall, 24 Aerochamber Z-stat Plus/Small Mask, 41

Accu-chek Fastclix Lancets, 35

Adderall XR, 24 Aerochamber/Flowsignal, 41

Accu-chek Multiclix Lanc Et Device Kit, 35

Addyi, 26 Aerospan, 32

adefovir dipivoxil, 3 Aerovent Plus Holding Chamber/Collapsible, 41

Accu-chek Multiclix Lancets, 35

Adempas, 10

Accu-chek Nano Smartview, 35

Adenocard, 8 AF Lancets Super Thin, 35

Accu-chek Safe-t-pro Lancets, 35

adenosine, 7 Afinitor, 6

Accu-chek Safe-t-pro Pluslancets, 35

Adoxa, 2 Afinitor Disperz, 6

Accu-chek Smartview Strips, 35

Adoxa PAK 1/100, 2 Afluria 2012-2013, 33

Accu-chek Soft Touch Lancets, 35


Accu-chek Softclix Lancetdevice Kit, 35


Accu-chek Softclix Lancets, 35

Adrenaclick, 9 Afluria 2015-2016, 33

Accu-chek Voicemate, 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

Accutrend Glucose, 35

Advair Diskus, 32 Afluria PF 2015-2016, 33

acebutolol HCL, 7

Advair HFA, 32 Afrezza, 16

Aceon, 8

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

acetaminophen/caffeine/dihydrocodeine, 29

Advate, 22 Aggrastat, 22

Advicor, 10 Aggrenox, 22

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 29

Advocate Insulin Pen Needles 29GX12.7MM, 35

Agrylin, 22

Akne-mycin, 10

acetaminophen/codeine, 29

Advocate Insulin Pen Needles 31GX5MM, 35

Akten, 28

acetaminophen/codeine #2, 29

Akynzeo, 19


Advocate Insulin Pen Needles 31GX8MM, 35

Ala Scalp, 12


Albafort, 21, 34

acetaminophen/codeine phosphate, 29

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

Albenza, 3

acetazolamide, 9

albuterol sulfate, 32

Acetazolamide, 9


albuterol sulfate ER, 32

acetazolamide ER, 9

albuterol TAB 4MG, 32

acetazolamide sodium, 9


Alcaine, 28

acetic acid, 28

alclometasone dipropionate, 12

Acetic Acid/Aluminum Acetate, 28


Aldactazide, 9

acetylcysteine, 32

Aldactone, 9

Aciphex, 19


Aldara, 13

Aciphex Sprinkle, 19

Aldurazyme, 18

acitretin, 12


alendronate sodium, 16

Aclovate, 12

Alendronate Sodium, 17

Actemra, 30

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

Alevicyn Antipruritic SG, 13

Acthib, 33

Alfenta, 29

Acticlate, 2

alfentanil, 29

amphetamine/dextroamphetamine, 24 Arava, 30

Alferon N, 6

Amphotec, 2 Arcalyst, 30

alfuzosin HCL ER, 20

Amphotericin B, 2 Arcapta Neohaler, 32

Alimta, 5

ampicillin, 1 argatroban, 21

Alinia, 4

Ampicillin, 1 Argatroban, 21

Alkeran, 4

ampicillin sodium, 1 Arial Chamber, 41

Allegra Allergy Childrens, 31

Ampicillin Sodium, 1 Aricept, 26

Allo-pax, 11

ampicillin-sulbactam, 1 Aricept Odt, 26

allopurinol, 31

Ampicillin-sulbactam, 1 Arimidex, 5

almotriptan malate, 30

Ampyra, 26 aripiprazole, 23

Alocril, 28

Amrix, 26 Aristospan Intra-articular, 14

Alodox Convenience Kit, 2

Amturnide, 9 Aristospan Intralesional, 14

Alomide, 28

Amytal Sodium, 24 Arixtra, 21

Aloprim, 31

Anacaine, 13 Armour Thyroid, 18

Alora, 15

Anadrol-50, 14 Arnica Flower, 13

alosetron hydrochloride, 19

Anafranil, 23 Arnuity Ellipta, 32

Aloxi, 19

anagrelide hydrochloride, 22 Aromasin, 5

Alphagan P, 28

Analpram Advanced, 19 Arranon, 5

Alphanate/Von Willebrand Factor Complex/Human, 22

Analpram-HC, 19 Arthrotec 50, 30

Analpram-HC Singles, 19 Arthrotec 75, 30

Alphanine SD, 22

Anaprox, 30 Articadent Dental, 31

alprazolam, 22

Anaprox DS, 30 Artiss, 22

alprazolam ER, 23

Anaspaz, 19 Arzerra, 5

Alprazolam Intensol, 23

anastrozole, 5 Asacol HD, 19

alprazolam odt, 22

Ancef, 1 ascorbic acid, 33

Alrex, 27

Ancobon, 2 Asmanex HFA, 32

Alsuma, 30

Androderm, 14 Asmanex Twisthaler 120 Metered Doses, 32

Altabax, 11

Androgel, 14

Altace, 8

Androgel P.M., 14 Asmanex Twisthaler 14 Metered Doses, 32

Altoprev, 10

Android, 15

Aluvea, 13

Androxy, 14 Asmanex Twisthaler 30 Metered Doses, 32

Alvesco, 32

Anectine, 26

amantadine HCL, 25

Angeliq, 15 Asmanex Twisthaler 60 Metered Doses, 32

Amantadine HCL, 25

Angiomax, 21

Amaryl, 16

Animi-3, 21 Asmanex Twisthaler 7 Metered Doses, 32

Ambien, 24

Animi-3/Vitamin D, 21

Ambien CR, 24

Anoro Ellipta, 32 Aspirin-caffeine-dihydrocodeine, 29

Ambisome, 2

Antabuse, 26 Aspirin/Dipyridamole, 22

Amcinonide, 12

Antara, 10 Assure Haemolance Plus High Flow 18G, 35

Amerge, 30

Anthralin, 12

Amicar, 22

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

Assure Haemolance Plus Low Flow 25G, 35

amifostine, 6

amikacin sulfate, 2

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

Assure Haemolance Plus Micro Flow 28G, 35

amiloride HCL, 9

amiloride/hydrochlorothiazide, 9

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

Assure Haemolance Plus Normal Flow 21G, 35

aminocaproic acid, 22

Aminocaproic Acid, 22

antipyrine/benzocaine, 28 Assure Haemolance Plus Pediatric Blade, 35

aminophylline, 32

Antipyrine/Benzocaine, 28

amiodarone HCL, 7

Anusol-HC, 19 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 35

Amiodarone HCL, 8

Anzemet, 19

Amitiza, 19

Apidra, 16 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 35

amitriptyline HCL, 23

Apidra Solostar, 16

amlodipine besylate, 7

Aplenzin, 23 Assure Lance Lancets, 35

amlodipine besylate/atorvastatin calcium, 10

Apokyn, 25 Assure Lance Lancets 21G, 35

Appbutamone, 23 Assure Lance Plus Safety Lancets 25G, 35

amlodipine besylate/benazepril HCL, 8

Appbutamone-d, 23

amlodipine besylate/benazepril hydrochloride, 8

Appformin, 16 Assure Lance Plus Safety Lancets 30G, 35

Appformin-d, 16

amlodipine besylate/valsartan, 8

apraclonidine, 28 Assure Lancets, 35

amlodipine/valsartan/hctz, 8

Apriso, 19 Astagraf XL, 5

ammonium lactate, 13

Aptensio XR, 24 Astelin, 31

Ammonul, 18

Aptiom, 25 Astepro, 31

Amoxapine, 23

Aptivus, 3 Astringyn, 22

amoxicillin, 1

Aquasol A Parenteral, 33 AT Last Lancets, 35

Amoxicillin, 1

Aquoral, 22 Atabex EC, 34

Amoxicillin ER, 1

Aralast NP, 33 Atabex Prenatal, 34

amoxicillin/clavulanate potassium, 1

Aralen, 3 Atacand, 8

amoxicillin/clavulanate potassium ER, 1

Aranesp Albumin Free, 21 Atacand HCT, 9

Atelvia, 17

Azithromycin, 1 BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36

atenolol, 7

Azopt, 28

atenolol/chlorthalidone, 8

Azor, 8 BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 36

Atgam, 5

aztreonam, 4

Ativan, 23

Azulfidine, 19 BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 36

Atopiclair, 13

Azulfidine EN-TABS, 19

atorvastatin calcium, 9

B BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 36

atovaquone, 4

B-6 Folic Acid, 21

atovaquone/proguanil HCL, 3

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

b-complex 100, 34

atracurium besylate, 26

bacitracin, 4

Atralin, 10


Bacitracin, 4, 27

Atripla, 3

bacitracin/polymyxin b, 27

Atropen, 19


Baclofen, 11

atropine sulfate, 18, 27

baclofen, 26

Atropine Sulfate, 19, 27


Bacmin, 34

Atrovent, 31

Bactocill IN Dextrose, 1

Atrovent HFA, 32


Bactrim, 4

Aubagio, 26

Bactrim DS, 4

augmented betamethasone dipropionate, 12


Bactroban, 11

Bactroban Nasal, 31

Augmentin, 1


Bal-care DHA, 34

Augmentin ES-600, 1

Bal-care DHA Essential, 34

Augmentin XR, 1


balsalazide disodium, 19

Auralgan, 28

Banzel, 25

Aurora Lancet Super Thin 30G, 35

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

Baraclude, 3

Aurora Lancet Thin 23G, 35

Bayer Microlet Lancets, 35

Aurora Pen Needles 29GX12MM, 35


Bcg Vaccine, 33

Aurora Pen Needles 31G X 6MM, 35

BD Autoshield 29G X 3/16", 35

Aurora Pen Needles 31G X 8MM, 35


BD Autoshield 29G X 5/16", 35

Aurstat Anti-itch Hydrogel, 13

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

Aurstat Anti-itch Hydrogel Kit, 13


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

Auryxia, 19

Autolet Platforms, 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 36

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

Auvi-q, 9

Avalide, 9

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 36

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

Avandamet, 16

Avandaryl, 16

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 36

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

Avandia, 16

Avapro, 8

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 36

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

Avar, 10

Avar LS, 10

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

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

Avar LS Cleanser, 10

Avar-e LS, 10


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

Avastin, 5

Avc, 20

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 36

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

Aveed, 15

Avelox, 2


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

Avelox Abc Pack, 2

Avidoxy DK, 2

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 36

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

Avinza, 29

Avodart, 20

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 36

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

Avonex, 26

Avonex Pen, 26

BD Lancet Ultrafine 30G, 36

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

Avycaz, 4

BD Lancet Ultrafine 33G, 36

Axert, 30

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 36

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

Axid, 19

Axiron, 15

BD Microtainer Lancets, 36

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

Aygestin, 15

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36

azacitidine, 5

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

Azactam, 4

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36

Azactam IN Iso-osmotic Dextrose, 4

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

Azasan, 5

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36

Azasite, 27

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

azathioprine, 5

BD Pen Needle/Ultrafine/29G X 12.7MM, 36

azelastine HCL, 28, 31

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

Azelex, 10

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 36

Azilect, 25

BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 36

azithromycin, 1

BD Pen Needles SHORT/Ultrafine/31G X

5/16", 36

Bicillin L-a, 1 bupropion HCL XL, 23

BD Pudendal/Local Block Tray 1% Lidocaine, 31

Bicnu, 4 buspirone HCL, 23

Bidil, 10 Busulfex, 4

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 36

Biest/Progesterone, 15 butalbital/acetaminophen, 28

Biferarx, 21 butalbital/acetaminophen/caffeine, 28

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 36

Biltricide, 3 butalbital/acetaminophen/caffeine/codeine, 29

Bimatoprost, 27

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 36

Binosto, 17 butalbital/apap/caffeine, 28

Biothrax, 33 butalbital/aspirin/caffeine, 28

BD-insul SYR Mis LO Dose, 36

bisoprolol fumarate, 7 butalbital/aspirin/caffeine/codeine, 29

Bebulin, 22

bisoprolol fumarate/hydrochlorothiazide, 8

Butisol Sodium, 24

Beconase AQ, 31

butorphanol tartrate, 29

Beleodaq, 6

bivalirudin, 21 Butrans, 29

Belladonna & Opium, 19

bleomycin sulfate, 4 Bydureon, 16

Belladonna Alkaloids & Opium, 19

Bleph-10, 27 Byetta, 16

Belsomra, 24

Blephamide, 27 Bystolic, 7

benazepril HCL, 8

Blephamide S.o.p., 27 C

benazepril HCL/hydrochlorothiazide, 8

Blincyto, 5

cabergoline, 18

Benefix, 22

Bloxiverz, 27

Caduet, 10

Benicar, 8

Boniva, 17

Cafcit, 24

Benicar HCT, 8

Boostrix, 33

Cafergot, 31

Bentyl, 19

Boric Acid, 13

caffeine citrate, 24

Benzac Ac Wash, 10

Bosulif, 6

Caffeine/Sodium Benzoate, 24

Benzac W Wash, 10

Botox, 26

Calan, 7

Benzaclin, 10

Bravelle, 17

Calan SR, 7

Benzaclin With P.M., 10

Breatherite, 41

calcipotriene, 12

Benzamycin, 10

Breatherite Collapsible Adult Spacer W/Mask, 41

calcipotriene/betamethasone dipropionate, 12

Benzamycinpak, 10

Benzefoam, 10

Breatherite Collapsible Child Spacer W/Mask, 41

calcitonin salmon, 17

Benzefoamultra, 10

calcitonin-salmon, 17

Benziq, 10

Breatherite Collapsible Infant Spacer W/Mask, 41

Calcitriol, 12

Benziq LS, 10

calcitriol, 18

Benzoin Compound Tincture, 13

Breatherite Collapsible Small Child Spacer W/Mask, 41

calcium acetate, 19

Benzoin Tincture, 13

Calcium Carbonate, 18

benzonatate, 32

Breatherite Collapsible Spacer W/ Neonate Mask, 41

Calcium Folinate, 6

benzoyl peroxide, 10

Caldolor, 30

benzoyl peroxide SHORT contact, 10

Breatherite Rigid Spacer W/Mask, 41

Cambia, 31

benztropine mesylate, 25

Breatherite W/Large Mask, 41

Campral, 26

Bepreve, 28

Breatherite W/Medium Mask, 41

Camptosar, 6

Berinert, 22

Breatherite W/Small Mask, 41

Canasa, 19

Besivance, 27

Breo Ellipta, 32

Cancidas, 2

Beta Inject Kit, 14

Brevibloc, 7

candesartan cilexetil, 8

Betadine Ophthalmic Prep, 27

Brevicon-28, 15

candesartan cilexetil/hydrochlorothiazide, 8

Betagan, 27

Brilinta, 22

Betalido, 14

brimonidine tartrate, 28

Cantil, 19

betamethasone dipropionate, 12

Brintellix, 23

Capastat Sulfate, 2

betamethasone sodium phosphate/betamethasone acetate, 14

Brisdelle, 26

capecitabine, 5

bromfenac, 28

Capex, 12

Betamethasone SP, 14

bromocriptine mesylate, 25

Caphosol, 22

betamethasone valerate, 12

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 32

Capital/Codeine, 29

Betapace, 7

Caprelsa, 6

Betapace AF, 7

Brompheniramine, 31

Capsiderm, 13

Betaseron, 26

Brompheniramine Tannate, 31

captopril, 8

betaxolol HCL, 7, 27

Brovana, 32

Captopril/Hydrochlorothiazide, 8

bethanechol chloride, 20

budesonide, 14, 31, 32

Carafate, 19

Bethkis, 2

Bullseye Safety Lancets, 35

Carbaglu, 18

Betimol, 27

bumetanide, 9

carbamazepine, 25

Betoptic-s, 27

Bunavail, 29

carbamazepine ER, 25

bexarotene, 6

Bupap, 28

Carbaphen 12, 32

Bexsero, 33

Buphenyl, 18

Carbaphen 12 PED, 32

Bexxar, 5

bupivacaine HCL, 31

Carbatrol, 25

Bexxar 131 Iodine, 6

bupivacaine/epinephrine, 31

carbidopa, 25

Beyaz, 15

Buprenex, 29

carbidopa/levodopa, 25

Biaxin, 1

buprenorphine HCL, 29

carbidopa/levodopa ER, 25

Biaxin XL, 1

buprenorphine HCL/naloxone HCL, 29

carbidopa/levodopa odt, 25

Biaxin XL PAC, 1

bupropion HCL, 23

Carbidopa/Levodopa/Entacapone, 25

bicalutamide, 5

bupropion HCL ER, 23

carbinoxamine maleate, 31

Bicillin C-R, 1

bupropion HCL SR, 23

Carbocaine, 31

carboplatin, 4

Celestone-soluspan, 14 ciprofloxacin HCL, 2, 27

Cardene I.v., 7

Celexa, 23 Ciprofloxacin HCL, 2

Cardene IV, 7

Cellcept, 5 ciprofloxacin I.V.-IN D5W, 2

Cardene SR, 7

Cellcept Intravenous, 5 cisatracurium besylate, 26

Cardizem, 7

Celontin, 25 cisplatin, 4

Cardizem CD, 7

Cenestin, 15 Cisplatin, 4

Cardizem LA, 7

Cenfol, 21 citalopram hydrobromide, 23

Cardura, 8

Centany AT, 11 Citanest Forte Dental, 31

Cardura XL, 20

Centratex, 21 Citanest Plain Dental, 31

Carefine Pen Needle 32GX4MM, 36

cephalexin, 1 Citranatal 90 DHA, 34

Carefine Pen Needles 29GX1/2", 36

Cephalexin, 1 Citranatal Assure, 34

Carefine Pen Needles 30GX5/16", 36

Cerdelga, 21 Citranatal B-calm, 34

Carefine Pen Needles 31GX6MM, 36

Cerebyx, 25 Citranatal DHA, 34

Carefine Pen Needles 31GX8MM, 36

Cerezyme, 21 Citranatal Harmony, 34

Careone Lancet Thin, 36

Cervarix, 33 Citranatal RX, 34

Careone Lancet Ultra Thin, 36

Cervidil, 28 citric acid/sodium citrate, 20

carisoprodol, 26

Cesamet, 19 cladribine, 5

Carisoprodol, 26

cetirizine HCL, 31 Claforan, 1

carisoprodol/aspirin, 26

Cetraxal, 28 Claforan/D5W, 1

carisoprodol/aspirin/codeine, 26

Cetrotide, 17 Clarifoam EF, 10

Carmol-HC, 12

cevimeline HCL, 22 Clarinex, 31

Carnitor, 18

Chemet, 41 Clarinex Reditabs, 31

Carnitor SF, 18

Chenodal, 19 Clarinex-d 12 HOUR, 32

carteolol HCL, 27

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

carvedilol, 7

chlordiazepoxide HCL, 23 clarithromycin, 1

Cascara Sagrada, 18

Chlordiazepoxide/Amitriptyline, 26 clarithromycin ER, 1

Casodex, 5

chlorhexidine gluconate, 22 Cleanlet Lancets 28G, 36

Cataflam, 30

chlorhexidine gluconate oral rinse, 22 clemastine fumarate, 31

Catapres, 8

chloroprocaine HCL, 31 Clemastine Fumarate, 31

Catapres-tts-1, 8

chloroquine phosphate, 3 Cleocin, 4, 20

Catapres-tts-2, 8

chlorothiazide, 9 Cleocin IN D5W, 4

Catapres-tts-3, 8

Chlorothiazide, 9 Cleocin Pediatric Granules, 4

Cathflo Activase, 22

chlorothiazide sodium, 9 Cleocin Phosphate, 4

Cayston, 4

chlorpromazine HCL, 23 Cleocin-t, 10

Cedax, 1

Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin, 36

cefaclor, 1

Chlorpropamide, 16 Clever Chek Lancets Ultrathin 30G, 36

Cefaclor, 1

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

Cefaclor ER, 1

chlorzoxazone, 26

cefadroxil, 1

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

cefazolin sodium, 1

cholestyramine, 9

Cefazolin Sodium, 1

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

Cefazolin Sodium/Dextrose, 1

choline magnesium trisalicylate, 28

cefdinir, 1

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

Cefditoren Pivoxil, 1

chorionic gonadotropin, 17

cefepime, 1

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

Cefepime, 1

Ciclodan Cream Kit, 11

cefixime, 1

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

cefotaxime sodium, 1

ciclopirox, 11

Cefotetan, 1

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

Cefotetan/Dextrose, 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

Cefoxitin Sodium, 1

cidofovir, 3

cefpodoxime proxetil, 1

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

cefprozil, 1

cilostazol, 22

ceftazidime, 1

Ciloxan, 27 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36

Ceftazidime/Dextrose, 1

cimetidine, 18

Ceftibuten, 1

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

Ceftin, 1

Cimzia, 19

Ceftriaxone IN Iso-osmotic Dextrose, 1

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

ceftriaxone sodium, 1

Cinryze, 22

Ceftriaxone Sodium, 1

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

Ceftriaxone/Dextrose, 1

Cipro HC, 28

cefuroxime axetil, 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 Sodium, 1

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

Cefuroxime/Dextrose, 1

ciprofloxacin, 2

Celebrex, 30

Ciprofloxacin, 28 Clever Choice Comfort EZ Patch, 13

celecoxib, 30

ciprofloxacin ER, 2 Clever Choice Comfort EZ Pen Needles

29GX12MM, 36

Cocaine HCL, 13 Cortisporin-tc, 28

Clever Choice Comfort EZ Pen Needles 31GX5MM, 36

Cod Liver Oil, 34 Corvert, 8

Codar AR, 32 Corvite, 34


codeine sulfate, 29 Corvite 150, 21

Codeine Sulfate, 29 Corzide, 9


Cogentin, 25 Cosentyx, 12

Colazal, 19 Cosentyx Sensoready Pen, 12


Colchicine, 31 Cosmegen, 4

Colcrys, 31 Cosopt, 27


Colestid, 10 Cosopt PF, 27

Colestid Flavored, 10 Coumadin, 21


colestipol HCL, 9 Cozaar, 8

colestipol HCL for oral suspension, 9 Cpb Wc, 32


colistimethate sodium, 4 Creon, 19

Coly-mycin M, 4 Cresemba, 2


Coly-mycin S, 28 Crestor, 9

Colyte-flavor Packs, 18 Cresylate, 28


Combigan, 27 Crinone, 20

Combipatch, 15 Crixivan, 3

Cleviprex, 7

Combivent Respimat, 32 Crnatal, 34

Climara, 15

Combivir, 3 cromolyn sodium, 19, 28

Climara Pro, 15

Cometriq, 6 Cromolyn Sodium, 32

Clin Single Use Kit, 4

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

Cubicin, 4

Clin-lido, 4

Curosurf, 33

Clindacin Etz, 10

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

Cutivate, 12

Clindacin PAC, 10

Cuvposa, 19

Clindagel, 10


cyanocobalamin, 21

clindamycin HCL, 4

Cyclessa, 15

clindamycin palmitate HCL, 4


Cyclobenzaprine Comfort PAC, 26

clindamycin phosphate, 4, 10, 20

cyclobenzaprine HCL, 26

Clindamycin Phosphate, 4


Cyclogyl, 28

clindamycin phosphate add-vantage, 4

Cyclomydril, 28

clindamycin phosphate IN D5W, 4


cyclopentolate HCL, 27

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, 34


Cyclosporine Modified, 5

Clinoin, 10

Cyklokapron, 22

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, 25 Cystadane, 18

Clocortolone Pivalate P.M., 12

Comvax, 33 Cystagon, 20

Clodan Kit, 12

Concept DHA, 34 Cystaran, 28

Cloderm, 12

Concept OB, 34 cytarabine, 5

Cloderm P.M., 12

Concerta, 24 Cytarabine, 5

Clolar, 5

Condylox, 13 cytarabine aqueous, 5

clomiphene citrate, 17

Conzip, 29 Cytomel, 18

clomipramine HCL, 23

Copasil, 13 Cytotec, 19

clonazepam, 25

Copaxone, 26 Cytovene, 3

clonazepam odt, 25

Copegus, 3 Cytra-3, 20

clonidine HCL, 8

Cordarone, 8 D

clonidine HCL ER, 24

Cordran, 12

D.h.e. 45, 31

clopidogrel, 22

Cordran Tape, 12

dacarbazine, 6

clorazepate dipotassium, 23

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, 24

Cortalo, 12

danazol, 14

Clozaril, 24

Cortef, 14

Dantrium, 26

Cnl8 Nail Kit, 11

Cortenema, 20

Dantrium IV, 26

Coaguchek Lancets, 36

Cortifoam, 20

dantrolene sodium, 26

Coal TAR, 13

Cortisone Acetate, 14

Dantrolene Sodium, 26

Coartem, 3

Cortisporin, 11, 28

Dapsone, 4

Daptacel, 33

Dexedrine, 24 Diphenoxylate/Atropine, 18

Daraprim, 3

Dexilant, 19 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 33

daunorubicin HCL, 4

Dexlido, 14

Daunoxome, 4

Dexlido-m, 14 Diprolene, 12

Daypro, 30

dexmedetomidine HCL, 24 Diprolene AF, 12

Daytrana, 24

dexmethylphenidate HCL, 24 dipyridamole, 22

Ddavp, 17

dexmethylphenidate HCL ER, 24 Disalcid, 28

Debacterol, 22

Dexpak 10 Day, 14 disopyramide phosphate, 7

decitabine, 5

Dexpak 13 Day, 14 disulfiram, 26

Decon-a, 32

Dexpak 6 Day, 14 Ditropan XL, 20

Delestrogen, 15

Dexpanthenol, 20 Diuril, 9

Delzicol, 20

dexrazoxane, 6 divalproex sodium, 25

Demadex, 9

dextroamphetamine sulfate, 24 divalproex sodium DR, 25

demeclocycline HCL, 2

dextroamphetamine sulfate ER, 24 divalproex sodium ER, 25

Demerol, 29

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 32

Divigel, 15

Demser, 8

Divista, 21

Denavir, 11

dobutamine HCL, 9

Depacon, 25

dobutamine HCL/D5W, 9

Diabeta, 16

Depakene, 25

dobutamine/dextrose 5%, 9

Dialyvite 3000, 34

Depakote, 25

Dobutamine/Dextrose 5%, 9

Dialyvite 5000, 34

Depakote ER, 25

Docefrez, 6

Dialyvite Supreme D, 34

Depakote Sprinkles, 25

docetaxel, 5

Dialyvite/Zinc, 34

Depo-estradiol, 15

Docetaxel, 6

Diamox, 9

Depo-medrol, 14

Dolgic Plus, 29

Diastar Easy Test II Lancets 30G, 36

Depo-provera, 5

Dologesic, 28

Diastar Easy Test Lancets30G, 36

Depo-testosterone, 15

Dolophine, 29

Diastat Acudial, 25

Deprizine Fusepaq, 19

Dolophine HCL, 29

Diastat Pediatric, 25

Derma Silkrx Anodynexa PAK, 30

donepezil HCL, 26

Diatx ZN, 34

Derma Silkrx Diclopak, 30

dopamine HCL, 9

diazepam, 23

Derma Silkrx Sds PAK, 12

Dopamine HCL, 9

Diazepam, 23, 25

Derma-smoothe/FS Body, 12

dopamine HCL-dextrose 5%, 9

Dibenzyline, 8

Derma-smoothe/FS Scalp, 12

dopamine HCL/dextrose 5%, 9

Diclegis, 19

Dermacinrx Duopatch Pharmapak, 13

dopamine/D5W, 9

diclofenac potassium, 30

Dermacinrx Inflammatral PAK, 30

Dopram, 24

diclofenac sodium, 11, 28

Dermacinrx Lexitral Pharmapak, 11

Doral, 24

diclofenac sodium DR, 30

Dermacinrx Neurotral Pharmapak, 13

Doribax, 4

diclofenac sodium ER, 30

Dermacinrx Surgical Pharmapak, 13

Doryx, 2

diclofenac sodium/misoprostol, 30

Dermapak Plus, 10

dorzolamide HCL, 28

dicloxacillin sodium, 1

Dermasorb HC, 12

dorzolamide HCL/timolol maleate, 27

Dicopanol Fusepaq, 31

Dermasorb Ta, 12

Doubledex, 14

dicyclomine HCL, 18

Dermasorb XM, 13

Dovonex, 12

didanosine, 3

Dermatop, 12

doxapram HCL, 24

Differin, 10

Dermotic, 28

doxazosin, 8

Dificid, 1

desipramine HCL, 23

doxazosin mesylate, 8

Diflorasone Diacetate, 12

desloratadine, 31

doxepin HCL, 23

Diflucan, 2

desloratadine odt, 31

Doxepin HCL, 23

diflunisal, 28

desmopressin acetate, 17

doxercalciferol, 18

digoxin, 7

Desogen, 15

Doxil, 4

Digoxin, 7

desogestrel/ethinyl estradiol, 15

doxorubicin HCL, 4

dihydroergotamine mesylate, 30

Desonate, 12

Doxorubicin HCL, 4

Dihydroergotamine Mesylate, 30

desonide, 12

doxorubicin HCL liposome, 4

Dilacor XR, 7

Desowen, 12

doxycycline, 2

Dilantin, 25

Desowen Cream/Cetaphil Lotion, 12

Doxycycline, 11

Dilantin Infatabs, 25

Desowen Lotion/Cetaphil Cream, 12

doxycycline hyclate, 2

Dilantin-125, 25

Desowen Ointment/Cetaphil Lotion, 12

doxycycline hyclate DR, 2

Dilatrate SR, 7

desoximetasone, 12

doxycycline monohydrate, 2

Dilaudid, 29

Desoximetasone, 12

Drisdol, 33

Dilaudid-HP, 29

Desoxyn, 24

Dritho-creme HP, 12

diltiazem CD, 7

Desvenlafaxine ER, 23

dronabinol, 19

diltiazem HCL, 7

Detrol, 20

droperidol, 23

Diltiazem HCL, 7

Detrol LA, 20

Droplet Lancets Ultra Thin 30G, 36

diltiazem HCL ER, 7

dexamethasone, 14

drospirenone/ethinyl estradiol, 15

Dimenhydrinate, 19

Dexamethasone, 14

Droxia, 21

Diovan, 8

Dexamethasone Intensol, 14

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

Diovan HCT, 9

dexamethasone sodium phosphate, 14, 27

Dipentocaine, 12

Drug Mart Unilet Lancets Super Thin 30G, 36

Dipentum, 20

Dexamethasone Sodium Phosphate, 14

diphenhydramine HCL, 31

Dexchlorpheniramine Maleate, 31

Drug Mart Unilet Lancets Ultra Thin 28G,

diphenoxylate/atropine, 18

36

5/16", 36 Easy Touch Safety Lancets28G/Pressure Activated, 37

Drysol, 13

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

Duac, 10

Easy Twist & CAP Lancets, 37

Duane Reade Unifine Pentips 29G X 12MM, 36

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

Easytest II Lancets, 37

Easytest Lancets, 37

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

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

EC-naprosyn, 30

econazole nitrate, 11

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

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

Ecoza, 11

Ed Cyte F, 21

Duavee, 15

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

Edarbi, 8

Duet DHA 400, 34

Edarbyclor, 9

Duet DHA 400EC, 34


Edecrin, 9

Duet DHA 430, 34

Edluar, 24

Duet DHA 430EC, 34


Edurant, 3

Duet DHA Balanced, 34

Effexor XR, 23

Duetact, 16


Effient, 22

Duexis, 30

Egrifta, 17

Dulera, 32


Elaprase, 18

duloxetine HCL, 23

Eldepryl, 25

Duloxetine HCL, 23

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

Elelyso, 21

Duoneb, 32

Elestat, 28

Duopa, 25


Elestrin, 15

Duragesic, 29

Eletone, 13

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


Eletone Twinpack, 13

Elidel, 13

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


Eligard, 5

Elimite, 13

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


Eliphos, 20

Eliquis, 21

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

Easy Touch Lancets 21G/Pressure Activated, 36

Elitek, 6

Elixophyllin, 32

Durezol, 27


Ella, 15

Durlaza, 22

Ellence, 4

Dutoprol, 8


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


Embeda, 29

Dysport, 26

Embrace Lancets Ultra Thin 30G, 37

Dyural-40, 14

Easy Touch Lancets 28G/Pull-top, 36 Emcyt, 5

Dyural-80, 14

Easy Touch Lancets 28G/Twist, 36 Emend, 19

Dyural-l, 14

Easy Touch Lancets 30G/Button-activated, 36

Emla, 13

Dyural-lm, 14

Emsam, 23

E


Emtriva, 3

Emulsion SB, 13

E-z Ject Lancets, 36

Easy Touch Lancets 30G/Pull-top, 36 Emvoren, 12

E-z Ject Lancets 21G, 36

Easy Touch Lancets 30G/Twist, 36 Enablex, 20

E-z Ject Lancets Color, 36


enalapril maleate, 8

E-z Ject Lancets Super Thin, 36

enalapril maleate/hydrochlorothiazide, 8

E-z Ject Lancets Super Thin 30G, 36

Easy Touch Lancets 32G/Pull-top, 36 enalaprilat, 8

E-z Ject Lancets Thin 26G, 36

Easy Touch Lancets 32G/Twist, 37 Enbrace HR, 34

E-z Spacer, 41

Easy Touch Lancets 33G/Twist, 37 Enbrel, 30

E-z Spacer The Body Guards Pack, 41

Easy Touch Pen Needles 29GX1/2", 37 Enbrel Sureclick, 30

E-ZJECT Lancets Micro-thin 33G, 36

Easy Touch Pen Needles 31GX1/4", 37 Endometrin, 20

E.e.s. 400, 1

Easy Touch Pen Needles 31GX5/16", 37 Engerix-b, 33

E.e.s. Granules, 1

Easy Touch Pen Needles 32GX5/32", 37 Enjuvia, 15

Easivent, 41

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

Enlon, 27

Easivent/Mask-large, 41

Enlon-plus, 27

Easivent/Mask-medium, 41

Easy Touch Safety Lancets21G/Pressure Activated, 37

enoxaparin sodium, 21

Easivent/Mask-small, 41

entacapone, 25

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


entecavir, 3

Entereg, 20


Easy Touch Safety Lancets26G/Button Activated, 37

Entocort EC, 14

Entresto, 10



Entyvio, 20

Envarsus XR, 5


Easy Touch Safety Lancets28G/Button Activated, 37

Epaned, 8

ephedrine sulfate, 9

Easy Touch Insulin Syringe/1ML/30G X

Ephedrine Sulfate/Sodium Chloride, 9

Estrostep FE, 15 EZ-lets Lancets 26G Super-soft, 37

Epiceram, 13

eszopiclone, 24 EZ-lets Lancets 28G Ultra-soft, 37

Epiduo, 10

Ethacrynate Sodium, 9 EZ-lets Lancets 30G, 37

Epiduo Forte, 10

ethambutol HCL, 2 F

Epifoam, 12

ethosuximide, 25

Fabior, 10

epinastine HCL, 28

Ethyl Chloride, 13

Fabrazyme, 18

Epinephrine, 9

Ethyl Chloride/Fine Pinpoint, 13

Factive, 2

Epinephrine HCL, 9

Ethyl Chloride/Fine Stream, 13

Falessa, 15

epinephrine HCL, 32

Ethyl Chloride/Medium Jet Stream, 13

famciclovir, 3

Epipen 2-PAK, 9

Ethyl Chloride/Medium Stream, 13

famotidine, 18

Epipen-JR 2-PAK, 9

Ethyl Chloride/Mist, 13

Famotidine, 19

epirubicin HCL, 4

Ethyol, 6

Famotidine Premixed, 19

Epirubicin HCL, 4

Etidronate Disodium, 17

Famvir, 3

Episnap, 9

etodolac, 30

Fanapt, 24

episone CRE, 13

etodolac ER, 30

Fanapt Titration Pack, 24

Epivir, 3

Etopophos, 6

Fanatrex Fusepaq, 25

Epivir HBV, 3

etoposide, 5

Fareston, 5

eplerenone, 8

Etoposide, 6

Farxiga, 16

Epogen, 21

Euflexxa, 26

Farydak, 6

epoprostenol sodium, 10

Eurax, 13

Faslodex, 5

Eprosartan Mesylate, 8

Evamist, 15

Fasttake Compact Monitoring System, 37

Epzicom, 3

Evekeo, 24

Eql SHORT Pen Needles 31G X 8MM, 37

Evicel, 22

Fasttake Test Strips, 37

Evista, 17

Fazaclo, 24

Eql Ultra SHORT Pen Needles 31G X 6MM, 37

Evithrom, 22

Feiba, 22

Evoclin, 10

Feiba NF, 22

Equagesic, 29

Evotaz, 3

felbamate, 25

Equetro, 24

Evoxac, 22

Felbatol, 25

Equipto-baclofen, 11

Exactuss, 32

Feldene, 30

Equipto-naproxen, 12

Exalgo, 29

felodipine ER, 7

Eraxis, 2

Excel Comfort Point Insulin Pen Needles 31G X 4MM, 37

Fem PH, 20

Erbitux, 5

Femara, 5

ergocalciferol, 33

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 37

Femcon FE, 15

ergoloid mesylates, 26

Femhrt Low Dose, 15

Ergomar, 31


Femring, 20

Ertaczo, 11

fenofibrate, 9

Erwinaze, 5


Fenofibrate, 10

Ery-TAB, 1

fenofibrate micronized, 9

Erygel, 10

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 37

Fenofibric Acid, 9

Eryped 200, 1

fenofibric acid DR, 9

Eryped 400, 1


Fenoglide, 10

Erythrocin Lactobionate, 1

fenoldopam mesylate, 8

Erythrocin Stearate, 1


Fenoprofen Calcium, 30

erythromycin, 1, 10, 27

fentanyl, 29

Erythromycin Base, 1


Fentanyl, 29

Erythromycin Ethylsuccinate, 1

fentanyl citrate oral transmucosal, 29

erythromycin/benzoyl peroxide, 10


Fentanyl Citrate/Sodium Chloride, 29

Esbriet, 33

Fentora, 29

Escavite, 34

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

Feraheme, 21

Escavite D, 34

Feriva, 21

escitalopram oxalate, 23


Feriva 21/7, 21

Esgic, 29

Ferivafa, 21

esmolol HCL, 7


Ferralet 90, 21

esomeprazole magnesium, 18

Ferrex 150 Forte Plus, 21

esomeprazole sodium, 18

Exelderm, 11

Ferrex 28, 21

Esomeprazole Sodium, 19

Exelon, 26

Ferriprox, 42

Esomeprazole Strontium, 19

exemestane, 5

Ferrlecit, 21

estazolam, 24

Exforge, 9

Ferro-plex Hematinic, 21

Estrace, 15, 20

Exforge HCT, 9

Ferrotrin, 21

estradiol, 15

Exjade, 42

Fetzima, 23

Estradiol, 15

Exoderm, 11

Fetzima Titration Pack, 23

estradiol valerate, 15

Exparel, 31

Fexmid, 26

estradiol/norethindrone acetate, 15

Extardol, 12

Fibricor, 9

Estrasorb, 15

Extavia, 26

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

Estring, 20

Extina, 11

Estrogel, 15

EZ Smart Blood Glucose Lancets, 37

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

estropipate, 15

EZ-lets Lancets 21G, 37

Estropipate, 15

EZ-lets Lancets 23G, 37

Fifty50 Safety Seal Lancets 30G, 37

Fifty50 Safety Seal Lancets 32G, 37

Flucelvax 2015-2016, 33 Folet One, 34

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

fluconazole, 2 Folgard OS, 34

fluconazole IN dextrose, 2 Folgard RX, 21

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 37

fluconazole IN NACL, 2 folic acid, 21

Fluconazole IN NACL, 2 Folic Acid, 21

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 37

flucytosine, 2 folic acid/vitamin b-6/vitamin b-12, 21

Fludara, 5 Folitab 500, 21

Finacea, 11

fludarabine phosphate, 5 Folivane-f, 21

finasteride, 20

Fludarabine Phosphate, 5 Folivane-OB, 34

Fine 30, 37

fludrocortisone acetate, 14 Folivane-plus, 21

Fingerstix Lancets, 37

Flulaval 2013-2014, 33 Folivane-prx DHA NF, 34

Fioricet, 29

Flulaval 2014-2015, 33 Follistim AQ, 17

Fioricet/Codeine, 29

Flulaval Quadrivalent 2013-2014, 33 Folotyn, 5

Fiorinal, 29

Flulaval Quadrivalent 2014-2015, 33 Foltrate, 21

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, 27 Fortesta, 15

First-omeprazole, 19

fluorouracil, 5 Fortical, 17

First-progesterone VGS 100 Compounding Kit, 20

fluoxetine, 26 Fosamax, 17

fluoxetine DR, 23 Fosamax Plus D, 17


fluoxetine HCL, 23 Foscavir, 3

Fluoxetine HCL, 23 fosinopril sodium, 8


fluphenazine decanoate, 23 fosinopril sodium/hydrochlorothiazide, 8

fluphenazine HCL, 23 fosphenytoin sodium, 25


Fluphenazine HCL, 24 Fosrenol, 20

flurazepam HCL, 24 Fragmin, 21


Flurazepam HCL, 24 Freestyle Lancets, 37

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

First-testosterone, 15

flurbiprofen sodium, 28

First-testosterone Mc Compounding Kit, 15

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

fluticasone propionate, 12, 31

First-vancomycin 25, 4

fluvastatin, 9 Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 37

First-vancomycin 50, 4

fluvastatin sodium ER, 9

Flagyl, 4

Fluvirin 2013-2014, 33 Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 37

Flagyl ER, 4

Fluvirin 2014-2015, 33

Flanax Pain Relief Kit, 30

Fluvirin 2015-2016, 33 Freestyle Unistick II Lancets, 37

Flarex, 27

Fluvirin PF 2013-2014, 33 Frova, 31

flavoxate HCL, 20

Fluvirin PF 2014-2015, 33 Fulyzaq, 18

flecainide acetate, 7

fluvoxamine maleate, 23 Furadantin, 20

Flector, 12

fluvoxamine maleate ER, 23 furosemide, 9

Flexepax, 26

Fluzone High-dose PF 2013-2014, 33 Furosemide, 9

Flexichamber, 41

Fluzone High-dose PF 2014-2015, 33 Fusilev, 6

FLO-pred, 14

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

Flolan, 10

Fluzone Pediatric PF 2013-2014, 33 Fuzeon, 3

Flomax, 20

Fluzone PF 2013-2014, 33 Fycompa, 25

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, 24

Floxuridine, 5


Gabitidine, 19

Fluarix 2013-2014, 33

FML, 27

Gabitril, 25

Fluarix 2014-2015, 33

FML Forte, 27

Gablofen, 26

Fluarix Quadrivalent 2013-2014, 33

FML Liquifilm, 27

Gaboxetine, 23


Focalgin 90 DHA, 34

galantamine hydrobromide, 26


Focalgin CA, 34

Galantamine Hydrobromide, 26

Flublok 2013-2014, 33

Focalgin Dss, 21

ganciclovir, 3

Flublok 2014-2015, 33

Focalin, 24

Ganirelix Acetate, 17

Flublok 2015-2016, 33

Focalin XR, 24

Ganite, 17

Flucelvax 2013-2014, 33

Folcaps Omega 3, 34

Garamycin, 27

Flucelvax 2014-2015, 33

Folet DHA, 34

Gardasil, 33

Gardasil 9, 33

Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 37

Haemolance Plus Max Flow, 37

Gastrinex NF, 19

Haemolance Plus Pediatric Flow, 37

Gastrocrom, 20


Halaven, 6

gatifloxacin, 27

Halcion, 24

Gattex, 20


Haldol, 24

Gazyva, 5

Haldol Decanoate 100, 24

Gebauers Pain Ease, 13


Haldol Decanoate 50, 24

Gebauers Spray And Stretch, 13

halobetasol propionate, 12

Gel-kam Oral Care Rinse, 22


Halog, 12

Gel-one, 26

Halonate, 12

Gelclair, 22

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

haloperidol, 23

Gelnique, 20

haloperidol decanoate, 23

Gemcitabine, 5


haloperidol lactate, 23

gemcitabine HCL, 5

Halotin, 11

gemfibrozil, 9


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, 23

Glucotrol XL, 16 Healthwise Pen Needles 29GX12MM, 37

gene-xene TAB 3.75MG, 23

Glucovance, 16 Healthwise SHORT Pen Needles 31GX8MM, 37

gene-xene TAB 7.5MG, 23

Glumetza, 16

Generess FE, 15

glyburide, 16 Healthy Mama Be Well Rounded, 34

Genotropin, 17

Glyburide, 16 Hectorol, 18

Genotropin Miniquick, 17

glyburide micronized, 16 Helidac, 19

gentamicin sulfate, 2, 27

glyburide/metformin HCL, 16 Helixate FS, 22

Gentamicin Sulfate, 11

Glycate, 19 Hemabate, 28

gentamicin sulfate pediatric, 2

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

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Glynase, 16 Hemocyte Plus, 21

Glyset, 16 Hemocyte-f, 21

Gentle-let GP Lancets, 37

Glyxambi, 16 Hemofil M, 22

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

Gmate Lancets 30G, 37 heparin lock, 21

Golytely, 18 heparin lock flush, 21

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

Gonal-f RFF Pen, 17

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

Gentle-let Lancets Safety Style/Medium Point, 37

Gordofilm, 13

Gordons Urea, 13 heparin sodium, 21

Gentle-let Platforms 2.4MM, 37

Gralise, 26 Heparin Sodium, 21

Gentle-let Platforms 3.0MM, 37

Gralise Starter, 26 heparin sodium dcu, 21

Geodon, 24

granisetron HCL, 19 heparin sodium lock flush, 21

Gesticare DHA, 34

Granisol, 19 heparin sodium/D5W, 21

Giazo, 20

Granix, 21 Heparin Sodium/D5W, 21

Gilenya, 26

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

Gilotrif, 6

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

Gilphex TR, 32

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

Giltuss, 32

griseofulvin ultramicrosize, 2

Giltuss PED-c, 32

guanfacine ER, 24 heparin sodium/sodium chloride 0.9% premix, 21

Giltuss TR, 32

guanfacine HCL, 8

Glassia, 33

Guanidine HCL, 27 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, 24

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, 27

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


Humalog, 15

Haemolance Plus High Flow, 37

Humalog Kwikpen, 15

Haemolance Plus Low Flow, 37

Humalog Mix 50/50, 15

Hydroxyzine HCL, 23 Inova 4/1 Acne Control Therapy, 11

Humalog Mix 50/50 Kwikpen, 15

hydroxyzine pamoate, 23 Inova 8/2 Acne Control Therapy, 11

Humalog Mix 75/25, 16

Hydroxyzine Pamoate, 23 Inspirachamber/Anti-static Valved/Mouthpiece, 41

Humalog Mix 75/25 Kwikpen, 16

Hylatopic, 13

Humate-p, 22

Hylatopic Plus, 13 Inspirachamber/Soothermask/Inspiramask/Medium, 41

Humatrope, 17

Hylira, 13

Humatrope Combo Pack, 17

hyoscyamine sulfate, 18 Inspirachamber/Soothermask/Inspiramask/Small, 41

Humira, 30

hyoscyamine sulfate ER, 18

Humira Pediatric Crohns Disease Starter Pack, 30

hyoscyamine sulfate odt, 18 Inspirease Bags, 41

hyoscyamine sulfate SR, 18 Inspirease Drug Delivery System, 41

Humira Pen, 30

Hyper-sal, 32 Inspirease Mouthpiece, 41

Humira Pen-crohns Diseasestarter, 30

Hypersal, 32 Inspirease Reservoir Bags, 41

Humira Pen-psoriasis Starter, 30

Hypertenevide-12.5, 7 Inspra, 8

Humulin 70/30, 16

Hypertenipine-2.5, 7 Insulin Syringe/0.3ML/29G X 1", 37

Humulin 70/30 Kwikpen, 16

Hypertensolol, 9 Insulin Syringe/0.3ML/29G X 1/2", 37

Humulin 70/30 Pen, 16

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

Humulin N, 16

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

Humulin N Kwikpen, 16

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

Humulin N U-100 Pen, 16

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

ibandronate sodium, 17

Humulin R, 16


Ibrance, 6

Humulin R U-500 (concentrated), 16


Ibudone, 29

Hy-vee Lancets, 37


ibuprofen, 30

Hyalgan, 26


Ibuprofen Comfort PAC, 30

Hycamtin, 6

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

ibutilide fumarate, 7

Hycet, 29


IC 400, 30

Hycofenix, 32


IC 800, 30

hydralazine HCL, 8


Icar-c Plus, 21

Hydrea, 6

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

Iclusig, 6

Hydro 35, 13

Idamycin PFS, 4

Hydro 40 Foam, 13


idarubicin HCL, 4

hydrochloric acid, 20

Ifex, 4

hydrochlorothiazide, 9


ifosfamide, 4

hydrocodone bitartrate/acetaminophen, 29

Ifosfamide, 4

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

Ilaris, 30

Hydrocodone Bitartrate/Acetaminophen, 29

Ilevro, 28


Imbruvica, 6

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 32

Imdur, 7


imipenem/cilastatin, 4

hydrocodone bitartrate/homatropine methylbromide, 32

imipramine HCL, 23


imipramine pamoate, 23

hydrocodone polistirex/chlorpheniramine polistirex, 32

imiquimod, 13

Insupen Sensitive 32GX8MM, 37

Imitrex, 31

hydrocodone/acetaminophen, 29

Insupen Ultrafin 29GX12MM, 37

Imitrex Statdose Refill, 31

Hydrocodone/Acetaminophen, 29


Imitrex Statdose System, 31

hydrocodone/homatropine, 32


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

hydrocodone/ibuprofen, 29


Imuran, 5

hydrocort ene 100MG, 19

Integra F, 21

IN Touch Sterile Lancets 30G, 37

hydrocortisone, 12, 14, 19

Integra Plus, 21

Increlex, 17

hydrocortisone acetate/aloe, 12

Integrilin, 22

Incruse Ellipta, 32

hydrocortisone acetate/lidocaine HCL, 19

Intelence, 3

indapamide, 9

hydrocortisone acetate/pramoxine, 19

Interarticular Joint Kit, 14

Inderal LA, 7

hydrocortisone butyrate, 12

Intermezzo, 24

Inderal XL, 7

hydrocortisone butyrate (lipid), 12

Intron A, 6

Indocin, 30

hydrocortisone butyrate (lipophilic), 12

Intron A W/Diluent, 6

indomethacin, 30

hydrocortisone IN absorbase, 12

Intuniv, 24

Indomethacin, 30

hydrocortisone valerate, 12

Invanz, 4

indomethacin ER, 30

hydrocortisone/acetic acid, 28

Invega, 24

Indomethacin Sodium, 30

hydromorphone HCL, 29

Invega Sustenna, 24

Infanrix, 33

Hydromorphone HCL, 29

Invega Trinza, 24

Infasurf, 33

hydromorphone HCL dosette, 29

Invirase, 3

Infed, 21

hydromorphone HCL ER, 29

Invokamet, 16

Infergen, 3

Hydromorphone HCL ER, 29

Invokana, 16

Infumorph 200, 29

Hydromorphone HCL/Sodium Chloride, 29

Ionsys, 29

Infumorph 500, 29

Iopidine, 28

Injectafer, 21

Hydroxocobalamin, 21

Ipol Inactivated IPV, 33

Inlyta, 6

hydroxychloroquine sulfate, 3

ipratropium bromide, 31, 32

Innopran XL, 7

hydroxyurea, 6

ipratropium bromide/albuterol sulfate, 32

Innoprax-5, 12

hydroxyzine HCL, 23

Iprivask, 21

Inova, 11

irbesartan, 8

Kengreal, 22 Lancets 28G, 37

irbesartan/hydrochlorothiazide, 8

Kepivance, 6 Lancets 30G, 37

Irenka, 23

Keppra, 25 Lancets 30G Twist Top, 37

Iressa, 6

Keppra XR, 25 Lancets 30G/Twist Top, 37

irinotecan, 6

Kerafoam, 13 Lancets 31G Twist Top, 37

Irinotecan, 6

Kerafoam 42, 13 Lancets 33G Universal Design, 38

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21

Keralac, 13 Lancets Bullseye Safety, 37

Keralyt, 13 Lancets Safety Seal 21G, 37

Irospan 24/6, 21

Keralyt Scalp, 13 Lancets Safety Seal 26G, 37

Is 24/6, 21

Kerlone, 7 Lancets Safety Seal 28G, 37

Isentress, 3

Kerydin, 11 Lancets Safety Seal 30G, 37

isoniazid, 2

Ketek, 4 Lancets Thin, 37

Isoniazid, 2

ketoconazole, 2, 11 Lancets Twist Top, 37

Isopto Atropine, 28

Ketodan Kit, 11 Lancets Ultra Fine, 37

Isopto Carbachol, 28

ketoprofen, 30 Lancets Ultra Thin, 37

Isopto Carpine, 28

Ketoprofen ER, 30 Lanoxin, 7

Isopto Homatropine, 28

Ketorocaine-l, 30 Lanoxin Pediatric, 7

Isopto Hyoscine, 28

Ketorocaine-lm, 30 lansoprazole, 18

Isordil Titradose, 7

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

isosorbide dinitrate, 7

ketorolac tromethamine, 28, 30

Isosorbide Dinitrate, 7

Ketorolac Tromethamine, 30 Lantus, 16

Isosorbide Dinitrate ER, 7

Keveyis, 9 Lantus Solostar, 16

isosorbide mononitrate, 7

Keytruda, 5 Lasix, 9

isosorbide mononitrate ER, 7

Khedezla, 23 Lastacaft, 28

isotonic gentamicin, 2

Kineret, 30 latanoprost, 27

Isotonic Gentamicin, 2

Kinlytic, 22 Latrix XM, 13

Isoxsuprine HCL, 10

Kinrix, 33 Latuda, 24

isradipine, 7

Kitabis PAK, 2 Lazanda, 29

Istalol, 27

Klaron, 11 Ldo Plus, 13

Istodax, 6

Klonopin, 25 Leader Unifine Pentips Plus/Mini/31GX3/16", 38

Isuprel, 32

Koate-dvi, 22

itraconazole, 2

Kogenate FS, 22 Leader Unifine Pentips Plus/SHORT/31GX5/16", 38

ivermectin, 3

Kogenate FS Bio-set, 22

Ixempra Kit, 6

Kombiglyze XR, 16 Leader Unifine Pentips/Mini/31GX3/16", 38

Ixiaro, 33

Korlym, 16

Ixinity, 22

Kristalose, 18 Leader Unifine Pentips/Nano/32GX5/32", 38

J

Krystexxa, 31

Kuvan, 18 Leader Unifine Pentips/Plus/32GX5/32", 38

J-max, 32

Kynamro, 10

Jadenu, 42

Kyprolis, 6 leflunomide, 30

Jakafi, 6

L Lemtrada, 26

Jalyn, 20

Lenvima 10MG Daily Dose, 6

Janumet, 16

labetalol HCL, 7


Janumet XR, 16

Lac-hydrin, 13


Januvia, 16

Lacrisert, 27


Jardiance, 16

lactic acid, 13

Lescol, 10

Jentadueto, 16

lactic acid e, 13

Lescol XL, 10

Jevtana, 6

lactic acid w/vitamin e, 13

Letairis, 10

Jublia, 11

lactulose, 18, 19

letrozole, 5

Juxtapid, 10

Lamictal, 25

leucovorin calcium, 6

K

Lamictal Chewable Dispersible, 25

Leucovorin Calcium, 6

Lamictal Odt, 25

Leukeran, 4

K-phos NO 2, 20

Lamictal Starter/Not Taking Carbamazepine, 25

Leukine, 21

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

leuprolide acetate, 5

K10-lido, 14

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25

Levacet, 29

K40-lido, 14

levalbuterol, 32

Kadcyla, 5

levalbuterol HCL, 32

Kadian, 29

Lamictal Starter/Taking Valproate, 25

Levaquin, 2

Kalbitor, 22

Lamictal XR, 25

Levatol, 7

Kaletra, 3

Lamisil, 2

Levbid, 19

Kalydeco, 33

Lamisil Spray, 11

Levemir, 16

Kapvay, 24

lamivudine, 3

Levemir Flexpen, 16

Kapvay Dose Pack, 24

lamivudine/zidovudine, 3

Levemir Flextouch, 16

Karbinal ER, 31

lamotrigine, 25

levetiracetam, 25

Kazano, 16

lamotrigine ER, 25

Levetiracetam, 25

Keflex, 1

lamotrigine odt, 25

levetiracetam ER, 25

Kenalog, 12

Lancet Transporter Case, 37

Levitra, 10

Kenalog-10, 14

Lancets, 37

levobunolol HCL, 27

Kenalog-40, 14

Lancets 26G Twist Top, 37

Levobunolol HCL, 27

5ML/28G X 1/2", 38 LT Injection Kit, 14

levocarnitine, 18

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

Lta 360 Kit, 22

levocetirizine dihydrochloride, 31

Lufyllin, 32

levofloxacin, 2, 27

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

Lumigan, 27

levofloxacin IN D5W, 2

Lumizyme, 18

Levoleucovorin Calcium, 6


Lunesta, 24

levonorgestrel, 15

Lupaneta Pack, 17

Levonorgestrel, 15


Lupron Depot, 5

levonorgestrel and ethinyl estradiol, 15

Lupron Depot-PED, 17

levonorgestrel/ethinyl estradiol, 15

Litetouch Lancets Micro Thin 33G, 38 Luvox CR, 23

Levophed, 9

Litetouch Pen Needles 29GX12.7MM, 38 Luxiq, 12

Levorphanol Tartrate, 29

Litetouch Pen Needles 31G X 6MM, 38 Luzu, 11

levothyroxine sodium, 18

Litetouch Pen Needles 31GX8MM SHORT, 38

Lycelle, 13

Levothyroxine Sodium, 18

Lynparza, 6

Levsin, 19

Lithium, 24 Lyrica, 25

Levsin/SL, 19

lithium carbonate, 23 Lysodren, 5

Lexapro, 23

Lithium Carbonate, 24 Lysteda, 22

Lexiva, 3

lithium carbonate ER, 23 Lytensopril Kit, 9

Lialda, 19

Lithobid, 24 Lytensopril-90, 9

Liberty Medical Lancets 30G, 38

Lithostat, 20 Lytensopril-90 Kit, 9

lidocaine, 13

Livalo, 10 M

Lidocaine And Tetracaine Cream, 13

Live Better Lancet Super Thin 30G, 38

M-m-r II, 33

lidocaine HCL, 7, 13, 22, 31

Live Better Lancet Ultra Thin 28G, 38

M.v.i. Adult, 34

Lidocaine HCL, 8, 13

Live Better Pen Needles 29G X 12MM, 38

M.v.i. Pediatric, 34

lidocaine HCL IN D5W, 7

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

lidocaine HCL jelly, 13


Macrobid, 20

lidocaine HCL viscous, 22

Macrodantin, 20

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20


Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 38

LMD 10% Dextrose 5%, 22

lidocaine HCL/dextrose, 8

LMD 10% Sodium Chloride 0.9%, 22


Lidocaine HCL/Dextrose, 31

LO Loestrin FE, 15

lidocaine HCL/hydrocortisone acetate, 19

LO Minastrin FE, 15


lidocaine viscous, 22

Locoid, 12

lidocaine/epinephrine, 31

Locoid Lipocream, 12


lidocaine/prilocaine, 13

Lodosyn, 25

Lidoderm, 13

Loestrin 1.5/30-21, 15

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 38

Lidoprofen, 12

Loestrin 1/20-21, 15

Lidothol, 13

Loestrin FE 1.5/30, 15

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

Lidovir, 11

Loestrin FE 1/20, 15

Lifescan Unistik 2 Deep Penetration, 38

Lofibra, 10

Magnacet, 29

Lifescan Unistik II Lancets, 38

Lomotil, 18

Makena, 15

Lincocin, 4

Lomustine, 4

Malarone, 3

Lincomycin/Lidocaine, 4

Lonsurf, 6

malathion, 13

lindane, 13

loperamide HCL, 18

mannitol, 9

linezolid, 4

Lopid, 10

Maprotiline HCL, 23

Linzess, 19

Lopressor, 7

Marbeta-25, 14

Lioresal Intrathecal, 26

Lopressor HCT, 9

Marbeta-l, 14

liothyronine sodium, 18

Loprox, 11

Marcaine, 31

Lipitor, 10

Loprox Shampoo, 11

Marcaine W/O Epi, 31

Lipofen, 10

lorazepam, 23

Marcaine/Epinephrine, 31

Liquicet, 29

Lortab, 29

Mardex-25, 14

lisinopril, 8

Lorzone, 26

Marinol, 19

lisinopril/hydrochlorothiazide, 8

losartan potassium, 8

Marlido-25, 31

Lite Touch Pen Needles/31G X 3/16", 38

losartan potassium/hydrochlorothiazide, 8

Marnatal-f, 34

Liteaire, 41

Marplan, 23

Litetouch Insulin Syringe/0.3ML/29G X 1/2", 38

Loseasonique, 15

Marqibo, 6

Lotemax, 27

Mask Vortex/Baby Whirl Duckling, 41


Lotensin, 8

Mask Vortex/Child/Frog, 41

Lotensin HCT, 9

Mask Vortex/Spinner The Duck, 41


Lotrel, 9

Mask Vortex/Toddler/Lady Bug, 41

Lotrisone, 11

Matulane, 6


Lotronex, 20

Mavik, 8

lovastatin, 9

Maxair Autohaler, 32


Lovaza, 10

Maxalt, 31

Lovenox, 21

Maxalt-MLT, 31

Litetouch Insulin Syringe/1ML/30G X 5/16", 38

loxapine, 23

Maxaron Forte, 21

loxapine succinate, 23

Maxfe, 21

Litetouch Insulin Syringe/U-100/0.

Loxitane, 24

Maxi-comfort Insulin Syringe/U-100/0.

5ML/28GX1/2", 38

mesna, 6 Microspacer, 41

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 38

Mesnex, 6 Microtainer Safety Flow Lancet/Sterile/Single-use, 38

Mestinon, 27

Maxidex, 27

Mestinon Timespan, 27 Microzide, 9

Maxidone, 29

Metadate CD, 24 midodrine HCL, 9

Maxipime, 1

Metaproterenol Sulfate, 32 Mifeprex, 18

Maxitrol, 27

Metastron, 6 Migergot, 31

Maxzide, 9

metaxalone, 26 Migral, 31

Maxzide-25, 9

Metaxalone, 26 Migranal, 31

Mb Hydrogel, 13

metformin HCL, 16 Millipred, 14

meclizine HCL, 19

metformin HCL ER, 16 Millipred DP, 14

Meclofenamate Sodium, 30

methadone HCL, 29 milrinone IN dextrose, 7

Medi-derm/L-RX, 13

Methadone HCL, 29 milrinone lactate, 7

Medical Provider EZ Flu Shot 2014-2015, 33

Methadose, 29 Minastrin 24 FE, 15

Methadose Sugar-free, 29 Mineral Oil Heavy, 18

Medisense Thin Lancets, 38

methamphetamine HCL, 24 Minipress, 8

Medlance Plus Extra Lancets 21G, 38

methazolamide, 9 Minivelle, 15

Medlance Plus Lancets, 38

methenamine hippurate, 20 Minocin, 2

Medlance Plus Lancets Lite 25G, 38

methenamine mandelate, 20 Minocin Kit, 2

Medlance Plus Lite Lancets 25G, 38

Methenamine Mandelate, 20 minocycline HCL, 2

Medlance Plus Special Lancets 0.8MM, 38

methimazole, 18 minocycline HCL ER, 2

methocarbamol, 26 minoxidil, 8

Medlance Plus Superlite 30G, 38

methotrexate, 5 Mirapex, 25

Medlance Plus Superlite 30G/Comfort Max, 38

methotrexate sodium, 5 Mirapex ER, 25

methoxsalen, 12 Mircera, 21

Medlance Plus Universal Lancets 21G, 38

methscopolamine bromide, 18 Mircette, 15

Methyclothiazide, 9 mirtazapine, 23

Medlance Plus/Lite 25G, 38

methyldopa, 8 mirtazapine odt, 23

Medlance/Extra, 38

Methyldopa/Hydrochlorothiazide, 9 Mirvaso, 11

Medlance/Lite, 38

Methyldopate HCL, 8 misoprostol, 18

Medlance/Universal, 38

methylergonovine maleate, 28 Mission Prenatal, 34

Medrol, 14

Methylin, 24 Mitigare, 31

Medrol Dosepak, 14

methylphenidate HCL, 24 mitomycin, 4

medroxyprogesterone acetate, 15

methylphenidate HCL CD, 24 Mitomycin, 4

Medroxyprogesterone/Lidocaine, 15

methylphenidate HCL ER, 24 Mitosol, 27

mefenamic acid, 30

Methylphenidate HCL ER, 24 mitoxantrone HCL, 4

mefloquine HCL, 3

methylphenidate HCL SR, 24 Mlk F4 Kit, 14

Mefoxin, 1

methylphenidate hydrochloride, 24 Mobic, 30

Megace ES, 15

methylprednisolone, 14 modafinil, 24

Megace Oral, 5

Methylprednisolone, 14 Moderiba, 3

megestrol acetate, 5, 15

methylprednisolone acetate, 14 Moderiba 1200 Dose Pack, 3

Megrix, 13

methylprednisolone dose pack, 14 Moderiba 800 Dose Pack, 3

Meijer Super Thin Lancets, 38

Methylprednisolone PF, 14 Modicon, 15

Mekinist, 6

methylprednisolone sodiumsuccinate, 14 moexipril HCL, 8

meloxicam, 30

Methylprednisolone/Lidocaine, 14 moexipril/hydrochlorothiazide, 8

Meloxicam, 30

Metipranolol, 27 mometasone furoate, 12

Meloxicam Comfort PAC, 30

metoclopramide HCL, 19 Moms Choice RX, 34

melphalan hydrochloride, 4

metoclopramide odt, 19 Monoclate-p, 22

memantine HCL, 26

metolazone, 9 Monodox, 2

memantine HCL titration PAK, 26

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

Menactra, 33

metoprolol tartrate, 7

Menest, 15

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

Menhibrix, 33

Metozolv Odt, 20

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

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

Menopur, 17

Metrocream, 11

Menostar, 15

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

Mentax, 11

Metrogel-vaginal, 20

Menveo, 33

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

meperidine HCL, 29

metronidazole, 4, 11

Meperidine HCL, 29

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

Mephyton, 33

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

meprobamate, 23

Mevacor, 10

Mepron, 4

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

mercaptopurine, 5

Miacalcin, 17

meropenem, 4

Micardis, 8 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 38

Meropenem/Sodium Chloride, 4

Micardis HCT, 9

Merrem, 4

Microchamber, 41 Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 38

mesalamine, 19

Microlet Lancets, 38

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

Morphine Sulfate/Sodium Chloride, 29 Naproxen Comfort PAC, 30

Motofen, 18 naproxen sodium, 30

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

Movantik, 20 naproxen sodium CR, 30

Moviprep, 18 naproxen sodium ER, 30

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

Moxatag, 1 naratriptan HCL, 30

Moxeza, 27 Nardil, 23

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

moxifloxacin HCL, 2 Naropin, 31

Moxifloxacin HCL, 2 Nascobal, 21

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

Mozobil, 21 Nasonex, 31

MS Contin, 29 Natachew, 34

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 38

Mucinex D, 32 Natacyn, 27

Mucinex Maximum Strength, 32 Natafort, 34

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

Multaq, 8 Natalvirt 90 DHA, 34

Multigen, 21 Natalvirt CA, 34

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

Multigen Folic, 21 Natalvirt Flt, 21

Multigen Plus, 21 Natalvit, 34


mupirocin, 11 Natazia, 15

mupirocin calcium, 11 nateglinide, 16


Muse, 10 Natelle One, 34

Mustargen, 4 Natesto, 15

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

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

Natpara, 17

Natrecor, 10

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

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

Natroba, 13

Nature-throid, 18

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

Myalept, 18 Nature-throid Nt-2.5, 18

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, 28 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, 24

Myleran, 4 Neo-synalar, 11


Mynatal, 34 Neo-synalar Kit, 11

Myobloc, 26 neomycin sulfate, 2

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

Myoxin, 28 neomycin/bacitracin/polymyxin, 27

Myozyme, 18 neomycin/polymyxin/bacitracin zinc, 27


Myrbetriq, 20 neomycin/polymyxin/bacitracin/hydrocortisone, 27

Mysoline, 25


N neomycin/polymyxin/dexamethasone, 27

neomycin/polymyxin/gramicidin, 27

nabumetone, 30

Monojector End CAPS, 38

neomycin/polymyxin/HC, 28

nadolol, 7

Monojector Opd End CAPS, 38

Neomycin/Polymyxin/Hydrocortisone, 27

nadolol/bendroflumethiazide, 8

Monolet Lancets, 38

neomycin/polymyxin/hydrocortisone, 28

nafcillin sodium, 1

Monolet Opd Lancets, 38

Neoprofen, 30

Nafcillin Sodium, 1

Monolettor Safety Lancets, 38

Neoral, 5

Nafrinse Daily/Acidulated, 22

Mononine, 22

Neosalus, 13

Nafrinse Daily/Neutral, 22

Monovisc, 26

Neosalus CP, 13

Nafrinse Weekly, 22

montelukast sodium, 32

Neosporin, 27

naftifine HCL, 11

Monurol, 20

neostigmine methylsulfate, 27

Naftin, 11

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

Neostigmine Methylsulfate, 27

Naglazyme, 18

Neotuss Plus, 32

nalbuphine HCL, 29

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

Nephplex RX, 34

Nalfon, 30

Nephro-vite RX, 34

Nallpen Iso-osmotic IN Dextrose, 1

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

Nephrocaps, 34

Nallpen/Dextrose, 1

Nephrocaps QT, 34

Namenda, 26

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

Nephron Fa, 21

Namenda Titration PAK, 26

Neptazane, 9

Namenda XR, 26

Morgidox 1X100MG, 2

Nesacaine, 31

Namenda XR Titration Pack, 26

Morgidox 2X100MG, 2

Nesacaine-mpf, 31

Namzaric, 26

morphine sulfate, 29

Nesina, 16

Naphazoline HCL, 28

Morphine Sulfate, 29

Nessi Spacer/Large Mask, 41

Naprelan, 30

Morphine Sulfate Add-vantage, 29

Nessi Spacer/Mouthpiece, 41

Naprosyn, 30

morphine sulfate ER, 29

Nessi Spacer/Small/MED Mask, 41

naproxen, 30

Morphine Sulfate ER, 29

Nestabs, 34

Naproxen, 30

Nestabs Abc, 34

nizatidine, 18 Nuvessa, 20

Nestabs DHA, 34

Nizoral, 11 Nuvigil, 24

Netgroup Lancets, 38

Nor-QD, 15 Nuvya, 12

Neuac Kit, 11

Norco, 29 Nuzon, 12

Neulasta, 21

Norditropin Cartridge, 17 Nymalize, 7

Neulasta Delivery Kit, 21

Norditropin Flexpro, 17 nystatin, 2, 11, 22

Neumega, 21

Norditropin Nordiflex Pen, 17 nystatin/triamcinolone, 11

Neupogen, 21

norepinephrine bitartrate, 9 O

Neupro, 25

norethindrone, 15

O-CAL Fa, 34

Neurontin, 25

norethindrone & ethinyl estradiol ferrous fumarate, 15

O-CAL Prenatal, 34

Neutrasal, 22

OB Complete, 34

Neutrexin, 4

norethindrone acetate, 15

OB Complete 400, 34

Neuvaxin, 13

norethindrone acetate/ethinyl estradiol, 15(2)

OB Complete One, 34

Nevanac, 28

OB Complete Petite, 34

nevirapine, 3

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

OB Complete Premier, 34

Nevirapine, 3

OB Complete/DHA, 34

nevirapine ER, 3

Norflex, 26

Obredon, 32

Newgen, 34

norgestimate/ethinyl estradiol, 15

Obstetrix DHA, 34

Nexa Plus, 34

Norinyl 1+35, 15

Obtrex, 34

Nexavar, 6

Norinyl 1+50, 15

Obtrex DHA, 34

Nexium, 19

Noritate, 11

octreotide acetate, 17

Nexium 24HR, 19

Noroxin, 2

Ocudox, 2

Nexium I.v., 19

Norpace, 8

Ocufen, 28

Nexterone, 8

Norpace CR, 8

Ocuflox, 27

niacin ER, 9

Norpramin, 23

Ocuvel, 34

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 34

Northera, 9

Ofev, 33

nortriptyline HCL, 23

Ofirmev, 29

Niacor, 10

Nortriptyline HCL, 23

ofloxacin, 2, 27, 28

Niaspan, 10

Norvasc, 7

Ofloxacin, 2

Nicadan, 34

Norvir, 3

olanzapine, 23

nicardipine HCL, 7

Nova Safety Lancets 23G, 38

olanzapine odt, 23

Nicazel, 34

Nova Safety Lancets 28G, 38

olanzapine/fluoxetine, 26

Nicazel Forte, 34

Nova Sureflex Lancets, 38

Oleptro, 23

Nicazeldoxy 30 Kit, 2

Novaferrum, 21

olopatadine HCL, 31

Nicazeldoxy 60 Kit, 2

Novoclair, 12

Olux, 12

Nicomide, 34

Novoeight, 22

Olux-e, 12

nifedipine, 7

Novofine Plus 32GX4MM, 38

Olysio, 3

nifedipine ER, 7

Novolin 70/30, 16

Omeclamox-PAK, 19

Nilandron, 5

Novolin 70/30 Relion, 16

omega-3-acid ethyl esters, 9

Nimbex, 26

Novolin N, 16

Omega-3/D-3 Wellness Pack, 10

nimodipine, 7

Novolin N Relion, 16

omeprazole, 18

Nipent, 6

Novolin R, 16

Omeprazole + Syrspend SF Alka, 19

Niravam, 23

Novolin R Relion, 16

omeprazole/sodium bicarbonate, 18

nisoldipine, 7

Novolog, 16

Omnaris, 31

Nisoldipine, 7

Novolog Flexpen, 16

Omnipred, 27

Nisoldipine ER, 7

Novolog Mix 70/30, 16

Omnitrope, 17

Nitro-bid, 7

Novolog Mix 70/30 Prefilled Flexpen, 16

Omontys, 21

Nitro-dur, 7

Novolog Penfill, 16

On Call Lancets, 38

nitrofurantoin, 20

Novoseven Rt, 22

On Call Plus Lancets, 38

nitrofurantoin macrocrystals, 20

Noxafil, 2

Oncaspar, 5

nitrofurantoin monohydrate, 20

Nplate, 21

ondansetron HCL, 19

nitrofurantoin monohydrate/macrocrystals, 20

Nucort, 12

ondansetron odt, 19

Nucynta, 29

One A Day Womens Prenatal/DHA, 34

Nitroglycerin, 7

Nucynta ER, 29

One A Day Womens Prenatal1, 34

nitroglycerin ER, 7

Nuedexta, 26

One-a-day Womens Prenatal, 34

nitroglycerin IN 5% dextrose, 7

Nulojix, 5

Onetouch Basic System, 38

nitroglycerin IN dextrose 5%, 7

Nulytely/Flavor Packs, 18

Onetouch Basic/Profile Test Strips, 38

Nitroglycerin IN Dextrose 5%, 7

Numoisyn, 22

Onetouch Club Lancets Fine Point, 38

nitroglycerin lingual, 7

Nuox, 11

Onetouch Combo Pack, 38

Nitroglycerin Lingual, 7

Nutricap, 34

Onetouch Delica Lancets Extra Fine 33G, 38

nitroglycerin transdermal, 7

Nutridox, 2

Nitrolingual Pumpspray, 7

Nutrivit, 34

Onetouch Delica Lancets Fine 30G, 38

Nitromist, 7

Nutropin AQ Nuspin 10, 17

Onetouch Finepoint Lancets, 38

Nitronal, 7


Onetouch Lancets, 38

Nitropress, 8


Onetouch Profile System, 38

Nitrostat, 7

Nutropin AQ Pen, 17

Onetouch Suresoft Lancing Device/18G, 38

Niva-plus, 34

Nuvail, 13

Nivatopic Plus, 13

Nuvaring, 15

Onetouch Suresoft Lancing Device/21G,

38

Otrexup, 30 Paxil CR, 23

Onetouch Suresoft Lancing Device/28G, 38

Ovace Plus, 12 Pazeo, 28

Ovace Plus Wash, 12 PC Unifine Pentips 29G X 1/2", 39

Onetouch Ultra 2, 38

Ovace Wash, 12 PC Unifine Pentips 31G X 6MM Ultra SHORT, 39

Onetouch Ultra Blue, 38

Ovcon-35, 15

Onetouch Ultra Mini, 38

Ovide, 13 PC Unifine Pentips 31G X 8MM SHORT, 39

Onetouch Ultra System Kit, 38

Ovidrel, 17

Onetouch Ultralink System (DEC), 38

oxacillin sodium, 1 PCE, 1

Onetouch Ultralink System (hex), 38

oxaliplatin, 4 Pcp 100, 18

Onetouch Ultrasmart, 38

Oxandrin, 15 Pediaderm AF Complete Kit, 11

Onetouch Ultrasoft Lancets, 38

oxandrolone, 14 Pediaderm HC, 13

Onetouch Verio, 38

oxaprozin, 30 Pediaderm Ta, 13

Onetouch Verio IQ Blood Glucose Monitoring System, 38

Oxaydo, 29 Pediapred, 14

oxazepam, 23 Pediarix, 33

Onetouch Verio Sync Bloodglucose Monitoring System, 38

oxcarbazepine, 25 Pediatex TD, 32

Oxecta, 29 Pediatex TDM, 32

Onetouch Verio Test Strips, 38

Oxistat, 11 Pediatric Panda Mask, 41

Onexton, 11

Oxsoralen, 13 Pedipirox-4 Nail, 11

Onfi, 25

Oxsoralen Ultra, 12 Pedvax HIB, 33

Onglyza, 16

Oxtellar XR, 25 peg 3350/electrolytes, 18

Onmel, 2

oxybutynin chloride, 20 peg-3350/electrolytes, 18

Opana, 29

oxybutynin chloride ER, 20 peg-3350/NACL/NA bicarbonate/KCL, 18

Opana ER (crush Resistant), 29

oxycodone HCL, 29 Peg-intron, 3

Opdivo, 5

Oxycodone HCL, 29 Peg-intron Redipen, 3

opium, 18

Oxycodone HCL ER, 29 Peg-intron Redipen PAK 4, 3

opium tincture, 18

oxycodone/acetaminophen, 29 Peganone, 25

Opium Tincture (paregoric), 18

oxycodone/aspirin, 29 Pegasys, 3

Opsumit, 10

oxycodone/ibuprofen, 29 Pegasys Proclick, 3

Optichamber Advantage, 41

Oxycontin, 29 Pegintron, 3

Optichamber Diamond, 41

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

Optichamber Diamond/Largeface Mask, 41

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

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

Optichamber Diamond/Medium Face Mask, 41

Oxytrol, 20 Pen Needles 31G X 1/4" SHORT, 38

P Pen Needles 31G X 3/16", 38

Optichamber Diamond/Smallface Mask, 41

Pen Needles 31G X 6MM, 38

paclitaxel, 6

Pen Needles 31GX5/16", 38

Paclitaxel, 6

Optihaler, 41

penicillin G potassium, 1

Paire OB, 34

Optihaler MDI Drug Delivery System, 41

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Palgic, 31

Optivar, 28

paliperidone ER, 24

Oracea, 11

Penicillin G Procaine, 1

Pamelor, 23

Oracit, 20

Penicillin G Sodium, 1

pamidronate disodium, 17

Orafate, 22

penicillin v potassium, 1

Pamidronate Disodium, 17

Orap, 26

Penlac Nail Lacquer, 11

Pamine, 19

Orapred, 14

Penlet II Replacement CAPS, 38

Pamine Forte, 19

Orapred Odt, 14

Penlet II Replacement CAPS-deep, 38

Pamine FQ, 19

Oravig, 22

Penlet II Replacement CAPS-regular, 38

Panatuss Dxp, 32

Orbactiv, 4

Pennsaid, 12

Pancreaze, 19

Orencia, 30

Pentacel, 33

Pancrelipase, 19

Orenitram, 10

Pentam 300, 4

pancuronium bromide, 26

Orfadin, 18

Pentasa, 20

Panda Mask Large, 41

Orkambi, 33

pentazocine/acetaminophen, 29

Panda Mask Medium, 41

orphenadrine citrate, 26

pentazocine/naloxone HCL, 29

Panda Mask Small, 41

orphenadrine citrate ER, 26

Pentetate Calcium Trisodium, 42

Pandel, 12

orphenadrine/asa/caffeine, 26

Pentetate Zinc Trisodium, 42

pantoprazole sodium, 18

Ortho Evra, 15

Pentips 31GX5MM, 39

papaverine HCL, 10

Ortho Micronor, 15

Pentips 31GX8MM, 39

Parafon Forte DSC, 26

Ortho Tri-cyclen, 15

Pentips 32GX4MM, 39

Parcopa, 25

Ortho Tri-cyclen LO, 15

pentoxifylline ER, 22

paricalcitol, 18

Ortho-cept, 15

Pepcid, 19

Parlodel, 25

Ortho-cyclen, 15

Percocet, 29

Parnate, 23

Ortho-novum 1/35, 15

Percodan, 29

paromomycin sulfate, 2

Ortho-novum 7/7/7, 15

Perfect Lancets 30G, 39

paroxetine HCL, 23

Orthovisc, 26

Perfect Pressure Activated Safety Lancets 28G, 39

paroxetine HCL ER, 23

Oseni, 16

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

permethrin, 13

Pneumovax 23/5 Dose, 33 Prefera OB, 34

perphenazine, 24

Pocket Chamber, 41 Prefera OB + DHA, 34

Perphenazine/Amitriptyline, 26

Pocket Spacer, 41 Preferaob +dha, 34

Persantine, 22

podofilox, 13 Preferaob One, 35

Pertzye, 19

Poly-VI-flor, 34 Preferred Plus Unifine Pentips 29G X 12MM, 39

Pexeva, 23

Poly-VI-flor FS, 34

Pfizerpen-G, 1

Poly-VI-flor/Iron, 34 Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 39

Pharmacist Choice Tsx Patch, 13

polyethylene glycol 3350, 18

Pharmacist Choice Ultra Thin Lancets, 39

polymyxin b sulfate, 4 Preferred Plus Unifine Pentips 31G X 8MM SHORT, 39

polymyxin b sulfate/trimethoprim sulfate, 27

Pharmacist Choice Ultra Thin Lancets 28G, 39

Prefest, 15

Polytrim, 27 Prefol-DHA, 35


Pomalyst, 5 Premarin, 15, 20

Ponstel, 30 Premphase, 15


potassium citrate ER, 20 Prempro, 15

potassium citrate-citric acid crystals, 20 Prenata, 34


potassium citrate/citric acid, 20 Prenatal Vitamin, 34

potassium citrate/sodium citrate/citric acid, 20

Prenatal Vitamins, 34

Pharmacy Counter Lancets, 39

Prenate, 35

phenazopyridine HCL, 20

Potiga, 25 Prenate AM, 34

phenelzine sulfate, 23

Pr Cream, 13 Prenate DHA, 35

Phenergan, 31

Pradaxa, 21 Prenate Elite, 34

phenobarbital, 24

Praluent, 10 Prenate Enhance, 35

Phenobarbital, 24

pramipexole dihydrochloride, 25 Prenate Essential, 34

Phenobarbital Sodium, 24

pramipexole dihydrochloride ER, 25 Prenate Mini, 35

phenoxybenzamine hydrochloride, 8

Pramosone, 12 Prenate Pixie, 35

Phentolamine Mesylate, 8

Pramotic, 28 Prenate Restore, 35

phenylephrine HCL, 9, 28

Prandimet, 16 Prenate Star, 34

Phenylephrine HCL, 9

Prandin, 16 Prepidil, 28

Phenylephrine HCL/Sodium Chloride, 9

Prascion Ra With Sunscreens, 11 Prepopik, 18

phenylephrine/guaifenesin, 32

Prastera, 30 Preque 10, 35

Phenytek, 25

Pravachol, 10 Presera, 13

phenytoin, 25

pravastatin sodium, 9 Prestalia, 9

phenytoin sodium, 25

Prazolamine, 26 Prevacid, 19

phenytoin sodium extended, 25

prazosin HCL, 8 Prevacid Solutab, 19

Phoslo, 20

Pre-folic, 21 Prevident, 22

Phoslyra, 20

Precedex, 24 Prevnar 13, 33

Phospholine Iodide, 28

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39

Prevpac, 19

Photofrin, 6

Prezcobix, 3

Phrenilin Forte, 29


Prezista, 3

phytonadione, 33

Prialt, 28

pilocarpine HCL, 22, 28


Priftin, 2

pilocarpine hydrochloride, 22

Prilosec, 19

pimozide, 26


Primaquine Phosphate, 3

pindolol, 7

Primaxin IV, 4

pioglitazone HCL, 16

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39

Primaxin IV Add-vantage, 4

pioglitazone HCL-glimepiride, 16

primidone, 25

pioglitazone HCL/metformin HCL, 16

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39

Primlev, 29

piperacillin sodium/ tazobactam sodium, 1

Primsol, 4

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 39

Prinivil, 8

piperacillin sodium/tazobactam sodium, 1

Pristiq, 23

piperacillin/tazobactam, 1

Precision Thin Lancets, 39 Pro-c-dure 1 Kit, 14

piroxicam, 30

Precision Thins GP Lancet, 39 Pro-c-dure 2 Kit, 14

Pitocin, 28

Precision Ultra Lancet, 39 Pro-c-dure 3 Kit, 14

Pitressin Synthetic, 17

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

Plan B, 15

Pred Forte, 27 Pro-c-dure 5 Kit, 14

Plan B One-step, 15

Pred Mild, 27 Pro-c-dure 6 Kit, 14

Plaquenil, 3

Pred-G, 27 Proair HFA, 32

Plavix, 22

Pred-G S.o.p., 27 Proair Respiclick, 32

Plegridy, 26

prednicarbate, 12 probenecid, 31

Plegridy Starter Pack, 26

prednisolone, 14 probenecid/colchicine, 31

Pletal, 22

prednisolone acetate, 27 Procainamide HCL, 8

Plexion, 11

prednisolone sodium phosphate, 14 Procardia, 7

Plexion Cleanser, 11

Prednisolone Sodium Phosphate, 14, 27 Procardia XL, 7

Plexion Cleansing Cloths, 11

prednisolone sodium phosphate odt, 14 Procentra, 24

Pliaglis, 13

prednisone, 14 prochlorperazine, 24

Pneumovax 23, 33

Prednisone, 14 prochlorperazine edisylate, 24

Pneumovax 23/1 Dose, 33

Prednisone Intensol, 14 prochlorperazine maleate, 24

Procort, 20

Provida OB, 34 Rayos, 14

Procrit, 21

Provigil, 24 Razadyne, 26

Proctocort, 20

Prozac, 23 Razadyne ER, 26

Proctofoam HC, 19

Prozac Weekly, 23 Rebetol, 3

Procysbi, 20

Pruclair, 13 Rebif, 26

Prodigy Insulin Mini Pen Needles/31G X 3/16", 39

Prudoxin, 12 Rebif Rebidose, 26

Prumyx, 14 Rebif Rebidose Titration Pack, 26

Prodigy Insulin Pen Needles/29G X 1/2", 39

Pss Select GP Lancets, 39 Rebif Titration Pack, 26

Pss Select Platforms, 39 Reclast, 17

Prodigy Insulin SHORT Penneedles/31G X 5/16", 39

Pss Select Safety Lancets, 39 Recombinate, 22

Pulmicort, 32 Recombivax HB, 33

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 39

Pulmicort Flexhaler, 32 Recothrom, 22

Pulmophylline, 32 Recothrom Spray Kit, 22

Prodigy Insulin Syringe/1/2ML/31G X 5/16", 39

Pulmozyme, 33 Rectiv, 20

Purinethol, 5 Reglan, 20

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

Purixan, 5 Regonol, 27

Px Lancets Ultra Thin, 39 Relagard, 20

Prodigy Pressure Activated Safety Lancets, 39

Pylera, 19 Relenza Diskhaler, 3

pyrazinamide, 2 Relhist, 32

Prodigy Twist Top Lancets, 39

Pyridium, 20 Relion Insulin Syringe/U -100/0.5ML/29G, 39

Proferrin-forte, 21

pyridostigmine bromide, 27

Profilnine, 22

Pyridoxine HCL, 34 Relion Insulin Syringe/U-00/1ML/29G X 1/2", 39

Profilnine SD, 22

Pyrogallic Acid, 14

progesterone, 15

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

Progesterone 10% Kit, 15

Qc Lancets Super Thin, 39

Proglycem, 16

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

Qc Lancets Ultra Thin, 39

Prograf, 5

Qc Pen Needles 29G X 12MM, 39

Prolastin-c, 33

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


Prolensa, 28


Proleukin, 6


Qnasl, 31

Prolia, 17

Qnasl Childrens, 31

Promacta, 21


Quadracel, 33

promethazine HCL, 31

Quadramet, 6

promethazine HCL plain, 31


Qualaquin, 3

promethazine-DM, 32

Quartette, 15

promethazine/codeine, 32

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

Quazepam, 24

promethazine/dextromethorphan, 32

Qudexy XR, 25

promethazine/phenylephrine, 32


Quelicin, 26

Promethazine/Phenylephrine, 32

Quelicin 1000, 26

promethazine/phenylephrine/codeine, 32


Questran, 10

Prometrium, 15

Questran Light, 10

Promiseb, 12

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

quetiapine fumarate, 24

Promiseb Complete, 12

Quillivant XR, 24

propafenone HCL, 8

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

quinapril HCL, 8

propafenone HCL ER, 8

quinapril/hydrochlorothiazide, 8

Propantheline Bromide, 19

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

Quinidine Gluconate, 8

proparacaine HCL, 28

quinidine gluconate CR, 8

propranolol HCL, 7

Relion Lancets Micro-thin33G, 39

quinidine gluconate ER, 8

Propranolol HCL, 7

Relion Lancets Standard 21G, 39

quinidine sulfate, 8

propranolol HCL ER, 7

Relion Lancets Thin 26G, 39

Quinidine Sulfate, 8

Propranolol/Hydrochlorothiazide, 9

Relion Lancets Ultra-thin30G, 39

Quinidine Sulfate ER, 8

propylthiouracil, 18

Relion Mini Pen Needles 31GX6MM, 39

quinine sulfate, 3

Proquad, 33

Relion Pen Needles 29GX12MM, 39

Qutenza, 14

Proscar, 20


Qvar, 32

Prosed/DS, 20


R

Prostigmin, 27

Relion SHORT Pen Needles 31GX8MM, 39

Prostin E2, 28

R-natal OB, 35

Protamine Sulfate, 22

Relion Thin Lancets, 39

Rabavert, 33

Protect Plus, 35

Relion Ultra Thin Lancets, 39

rabeprazole sodium, 18

Protectiron, 21

Relion Ultra Thin Lancets30G, 39

raloxifene hydrochloride, 17

Prothelial, 22

Relion Ultra Thin Plus Lancets 32G, 39

ramipril, 8

Protonix, 19

Relion Ultra Thin Plus Lancets 33G, 39

Ranexa, 7

Protopic, 13

Relistor, 19

ranitidine HCL, 19

protriptyline HCL, 23

Relpax, 31

Rapaflo, 20

Provenge, 6

Relyyks, 14

Rapamune, 5

Proventil HFA, 32

Relyyt, 14

Rapivab, 3

Provera, 15

Remeron, 23

Rasuvo, 30

Provida DHA, 35

Remeron Soltab, 23

Ravicti, 18

Remicade, 19

risedronate sodium DR, 17 Safety Seal Lancets 30G, 39

Remodulin, 10

Risperdal, 24 Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 39

Renagel, 20

Risperdal Consta, 24

Renatabs, 35

Risperdal M-TAB, 24 Safyral, 15

Renatabs With Iron, 35

risperidone, 24 Saizen, 17

Renew Advanced Lancing Cartridge Refills, 39

risperidone odt, 24 Saizen Click.easy, 17

Ritalin, 24 Salagen, 22

Renvela, 19

Ritalin LA, 24 Salex, 14

Reopro, 22

Ritalin SR, 25 Salex Cream, 14

repaglinide, 16

Riteflo, 41 Salex Lotion, 14

Repatha, 10

Rituxan, 5 salicylic acid, 13

Repatha Sureclick, 10

rivastigmine tartrate, 26 Salicylic Acid, 14

Reprexain, 29

rivastigmine transdermal system, 26 salicylic acid cream, 13

Repronex, 17

rizatriptan benzoate, 30 Salicylic Acid IN Ammonium Lactate Vehicle, 14

Req 49+, 35

rizatriptan benzoate odt, 30

Requip, 25

Robaxin, 26 salicylic acid lotion, 13

Requip XL, 25

Robaxin-750, 26 Salkera, 14

Rescon-JR, 32

Robinul, 19 salsalate, 28

Rescon-MX, 32

Robinul Forte, 19 Salvax, 14

Rescriptor, 3

Rocaltrol, 18 Salvax Duo Plus, 14

Rescula, 27

Rocephin, 1 Samsca, 18

Reserpine, 8

rocuronium bromide, 26 Sanctura, 20

Respa-BR, 31

ropinirole ER, 25 Sanctura XR, 20

Restasis, 28

ropinirole HCL, 25 Sancuso, 19

Restora RX, 18

ropivacaine, 31 Sandimmune, 5

Restoril, 24

ropivacaine HCL, 31 Sandostatin, 17

Retavase, 22

Rosadan Kit, 11 Sandostatin Lar Depot, 17

Retavase Half-kit, 22

Rosanil, 11 Saphris, 24

Retin-a, 11

Rosula, 11 Sarafem, 26

Retin-a Micro, 11

Rotarix, 33 Savaysa, 21

Retin-a Micro P.M., 11

Rotateq, 33 Savella, 26

Retinoic Acid, 10

Rowasa, 20 Savella Titration Pack, 26

Retinoic Acid-all Trans, 10

Roxicet, 29 Scalacort DK, 13

Retrovir, 3

Roxicodone, 29 Scar Patch, 14

Retrovir IV Infusion, 3

Rozerem, 24 Scopolamine Hydrobromide, 19

Revatio, 10

Ryanodex, 26 Seasonique, 15

Revlimid, 5

Rytary, 25 Seb-prev, 12

Rexall Lancets Ultra Thin, 39

Rythmol, 8 Seconal, 24

Rexulti, 24

Rythmol SR, 8 Sectral, 7

Reyataz, 3

S Select-OB, 34

Rezira, 32

Select-ob+dha, 35

Sabril, 25

Rezyst IM, 18

selegiline HCL, 25

Safe-t-lance Low Flow 25G, 39

Rezyst SB, 18

selenium sulfide, 12

Safe-t-lance Normal Flow 21G, 39

Rheumatrex, 30

Selrx, 12

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

Rhinocort Aqua, 31

Selzentry, 3

Rhinoflex-650, 29

Semprex-d, 32

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

Riastap, 22

Senophylline, 32

Riax, 11

Sensipar, 18

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

Ribasphere, 3

Sensorcaine-mpf/Epinephrine, 31

Ribasphere Ribapak, 3

Sentradine, 19

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

Ribatab, 3

Sentraflox AM-10, 23

ribavirin, 3

Sentralopram AM-10, 23


Ridaura, 30

Sentramodafin AM-100, 25

rifabutin, 2

Sentravil PM-25, 23


Rifadin, 2

Sentrazolam AM 0.25, 23

Rifamate, 2

Sentrazolpidem PM-5, 24

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

rifampin, 2

Sentroxatine, 23

Rifater, 2

Serevent Diskus, 32

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

Right Step Prenatal, 34

Seroquel, 24

Rightest GD-L500 Alternate Site Adapter, 39

Seroquel XR, 24

Safety Lancet 21G/Pressure Activated, 39

Serostim, 17

Rightest Gl300 Lancets, 39

sertraline HCL, 23

Safety Lancet 28G/Pressure Activated, 39

Rilutek, 26

Sevelamer Carbonate, 19

riluzole, 26

Sfrowasa, 19

Safety Lancets, 39

rimantadine HCL, 3

Shohls Solution Modified, 21

Safety Lancets 21G, 39

Rimantalist, 3

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

Safety Lancets 28G, 39

Riomet, 16

Safety Let Lancets, 39

risedronate sodium, 17

Shopko Unifine Pentips Pen

Safety Seal Lancets 28G, 39

Needles/Micro/32GX4MM, 39

Solaice, 14 Sulfacetamide Sodium, 27

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

Soliris, 22 sulfacetamide sodium/prednisolone sodium phosphate, 27

Solodyn, 2

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

Soltamox, 5 sulfacetamide sodium/sulfur cleanser, 10

Solu-cortef, 14 Sulfadiazine, 2

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

Solu-medrol, 14 sulfamethoxazole/trimethoprim, 4

Solus V2 Pressure Activated Safety Lancets 28G, 39

Sulfamethoxazole/Trimethoprim, 4

Shopko Unilet Lancets Super Thin 30G, 39

sulfamethoxazole/trimethoprim DS, 4

Solus V2 Twist Lancets 30G, 39 sulfasalazine, 19

Shopko Unilet Lancets Ultra Thin 28G, 39

Soma, 26 Sulfoam, 11

Somatuline Depot, 17 Sulfurated Lime, 14

Siderol, 35

Somavert, 17 sulindac, 30

Signifor, 17

Sonata, 24 Sumadan Kit, 11

Signifor Lar, 17

Soolantra, 11 Sumadan Wash, 11

sildenafil, 10

Soothee, 14 Sumadan XLT, 11

sildenafil citrate, 10

Soriatane, 12 Sumatriptan, 30

Silenor, 24

Sorilux, 12 sumatriptan succinate, 30

Simbrinza, 28

sotalol HCL, 7 Sumatriptan Succinate, 30

Simcor, 10

sotalol HCL (AF), 7 sumatriptan succinate refill, 30

Simponi, 30

Sotalol Hydrochloride, 7 Sumavel Dosepro, 31

Simponi Aria, 30

Sotylize, 7 Sumaxin, 11

Simulect, 5

Sovaldi, 3 Sumaxin CP Kit, 11

simvastatin, 9

Spectracef, 1 Sumaxin Ts, 11

Sinelee, 14

Spinosad, 14 Sumaxin Wash, 11

Sinemet, 25

Spiriva Handihaler, 32 Supartz, 26

Sinemet CR, 25

Spiriva Respimat, 32 Supartz Fx, 26

Single-let, 39

spironolactone, 9 Supervite, 35

Singulair, 32

spironolactone/hydrochlorothiazide, 9 Supervite EC, 35

sirolimus, 5

Sporanox, 2 Support-500, 35

Sirturo, 2

Sporanox Pulsepak, 2 Supprelin LA, 17

Sitavig, 3

Sprix, 30 Supracil, 14

Sivextro, 4

Sprycel, 6 Suprax, 1

Skelaxin, 26

Staflex, 29 Suprep Bowel Prep, 18

Sklice, 14

Stalevo 100, 25 Sure-fine Pen Needles 29GX1/2" 12.7MM, 39

Smart Diabetes Vantage Universal Lancets 30G, 39

Stalevo 125, 25

Stalevo 150, 25 Sure-fine Pen Needles 31GX3/16" 5MM, 39

Smart Sense Color Lancets Universal 33G, 39

Stalevo 200, 25

Stalevo 50, 25 Sure-fine Pen Needles 31GX5/16" 8MM, 39

Smart Sense Standard Lancets Universal 21G, 39

Stalevo 75, 25

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, 25

Staxyn, 10 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 39

Smartest Lancets 28G, 39

Stelara, 12

Sodium Bicarbonate, 18

Stendra, 10 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

sodium chloride, 32

Sterilance PA, 39

sodium citrate/citric acid, 20

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

Sodium Diuril, 9

Stimate, 17

Sodium Edecrin, 9

Stiolto Respimat, 32 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39

sodium ferric gluconate complex/sucrose, 21

Stivarga, 6

Strattera, 24 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 39

sodium hyaluronate, 13

Strazepam, 24

sodium phenylbutyrate, 18

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

sodium sulfacetamide, 10, 12, 27

Striant, 15

sodium sulfacetamide wash, 12

Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 39

sodium sulfacetamide/sulfur, 10

Striverdi Respimat, 32

Sodium Sulfacetamide/Sulfur, 11

Stromectol, 4 Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 39

sodium sulfacetamide/sulfur cleanser, 10

Strovite Forte, 35

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite One, 35 Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 39

Stuart Prenatal, 34

sodium sulfacetamide/sulfur cleansing cloths, 10

Suboxone, 29 Sure-lance Flat Lancets, 39

Subsys, 29 Sure-lance Lancets 26G, 39

sodium sulfacetamide/sulfur green, 10

Suclear, 18 Sure-lance Thin Lancets 28G, 39

Sodium Sulfacetamide/Sulfur IN Urea, 11

Sucraid, 19 Sure-lance Ultra Thin Lancets, 39

sodium sulfacetamide/sulfur w/sunscreen, 10

sucralfate, 19 Sure-touch Lancets Universal, 39

Sular, 7 Surelite Lancets, 39

sodium sulfacetamide/sulfur wash, 10

sulfacetamide sodium, 10, 27 Surestep Pro Test Strips, 39

Surestep Test Strips, 39

telmisartan/hydrochloroth, 8 tetracaine HCL, 28

Surfaxin, 33

telmisartan/hydrochlorothiazide, 8 Tetracaine HCL, 31

Surmontil, 23

temazepam, 24 Tetracycline HCL, 2

Survanta Intratracheal, 33

Temodar, 4 Tetrix, 14

Sustiva, 3

Temovate, 13 Tev-tropin, 17

Sutent, 6

Temovate E, 13 Teveten, 8

Suttar-2, 32

temozolomide, 4 Teveten HCT, 9

Suttar-SF, 32

Tencon, 28 Texacort, 13

Sylatron, 6

Tenex, 8 Texavite LQ, 35

Symax Duotab, 19

Teniposide, 6 Thalomid, 5

Symbicort, 32

Tenivac, 33 Theo-24, 32

Symbyax, 26

Tenoretic 100, 9 theophylline, 32

Symlinpen 120, 16

Tenoretic 50, 9 theophylline CR, 32

Symlinpen 60, 16

Tenormin, 7 theophylline ER, 32

Synagex, 35

Terazol 3, 20 Theophylline/D5W, 32

Synalar, 13

Terazol 7, 20 Therabenzaprine-60, 26

Synalar Cream Kit, 13

terazosin HCL, 8 Therabenzaprine-90, 26

Synalar Ointment Kit, 13

terbinafine HCL, 2 Therabenzaprine-90-5, 26

Synalar Ts, 13

Terbinex, 2 Theracodeine-300, 29

Synalgos-dc, 29

terbutaline sulfate, 32 Theracodophen-325, 29

Synapryn Fusepaq, 29

terconazole, 20 Theracodophen-650, 29

Synarel, 17

Tersi Foam, 12 Theracodophen-750, 29

Synatek, 35

Terumo Insulin Syringe/0.3ML/30G X 3/8", 40

Theracodophen-low-90, 29

Synera, 14

Theracys, 6

Synercid, 4


Therafeldamine, 30

Synjardy, 16

Theranatal Core Nutrition, 34

Synribo, 6


Therapentin-60, 25

Synthroid, 18

Therapentin-90, 25

Synvisc, 26

Terumo Insulin Syringe/1ML/27G X 1/2", 40

Theraprofen-60, 30

Synvisc One, 26

Theraprofen-800, 30

T


Theraprofen-90, 30

Theraproxen-500, 30

Tabloid, 5


Theraproxen-60, 30

Tabradol Fusepaq, 26

Theraproxen-90, 30

Taclonex, 13

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

Theratramadol-60, 29

tacrolimus, 5, 13

Theratramadol-90, 29

Tafinlar, 6


thiamine HCL, 33

Talwin, 29

Thinlets GP Lancets, 40

Tamiflu, 3


Thinlets Lancet, 40

tamoxifen citrate, 5

Thinpro Insulin Syringe/0.3ML/29G X 1/2", 40

tamsulosin HCL, 20

Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 40

Tandem F, 21


Tandem Plus, 21

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 40

Tanzeum, 16


Tapazole, 18


Tarceva, 6


Targadox, 2


Targretin, 6


Tarka, 9

Terumo Surguard Insulin Syringe/1ML/28G X 1/2", 40

Taron-bc, 34


Taron-c DHA, 34

Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 40

Tasigna, 6


Tasmar, 25

Tessalon Perles, 32

Taxotere, 6

Testim, 15 Thinpro Insulin Syringe/1ML/28G X 1/2", 40

Tazicef, 1

Testone Cik, 15

Tazorac, 12

Testopel, 15 Thinpro Insulin Syringe/1ML/29G X 1/2", 40

Tecfidera, 26

testosterone, 14

Tecfidera Starter Pack, 26

Testosterone, 14 Thinpro Insulin Syringe/1ML/30G X 3/8", 40

Techlite AST Lancets, 39

testosterone cypionate, 14

Techlite Lancets, 39

testosterone enanthate, 14 Thinpro Insulin Syringe/1ML/31G X 3/8", 40

Techlite Lancets 30G, 39

Testosterone P.M., 14

Technivie, 3

Testred, 15 Thiola, 21

Tegretol, 25

Tetanus Toxoid Adsorbed, 33 thioridazine HCL, 24

Tegretol-XR, 25

Tetanus/Diphtheria Toxoids-adsorbed, 33

Thiotepa, 4

Tekamlo, 9

thiothixene, 24

Tekturna, 8

Tetanus/Diphtheria Toxoids-adsorbed Adult, 33

Thrombin-jmi Diluent, 22

Tekturna HCT, 9

Thrombin-jmi Epistaxis, 22

telmisartan, 8

tetrabenazine, 26 Thrombin-jmi Syringe Spray Kit, 22

telmisartan/amlodipine, 8

Thrombin-jmi W/Dil Spray P.M. Actuator, 22

Toviaz, 20 Triseon, 11

Tracleer, 10 Triumeq, 3

Thrombogen, 22

Tradjenta, 16 Triveen-duo DHA, 35

Thymoglobulin, 5

tramadol HCL, 29 Triveen-prx RNF, 35

Thyrolar-1, 18

tramadol HCL ER, 29 Trizivir, 3

Thyrolar-1/2, 18

Tramadol HCL ER, 29 Trokendi XR, 25

Thyrolar-1/4, 18

tramadol hydrochloride/acetaminophen, 29

Tropazone, 14

Thyrolar-2, 18

trospium chloride, 20

Thyrolar-3, 18

Trandate, 7 trospium chloride ER, 20

tiagabine hydrochloride, 25

trandolapril, 8 Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Tiazac, 7

trandolapril/verapamil HCL, 8

Tice Bcg, 6

trandolapril/verapamil HCL ER, 8 Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 40

ticlopidine HCL, 22

tranexamic acid, 22

Ticlopidine HCL, 22

Transderm-scop, 19 Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 40

Tigan, 19

Tranxene T, 23

Tikosyn, 8

tranylcypromine sulfate, 23 Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 40

Timentin, 1

Travatan Z, 27

Timolol Maleate, 7

Travoprost, 27 Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 40

timolol maleate, 27

Trazamine, 23

timolol maleate ophthalmic gel forming, 27

trazodone HCL, 23 Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 40

Treanda, 4

Timoptic, 27

Trecator, 2 Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 40

Timoptic Ocudose, 27

Trelstar, 5

Timoptic-xe, 27

Trelstar Mixject, 5 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 40

Tindamax, 4

Trepadiclofen-25, 30

tinidazole, 4

Trepoxen-250, 30 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 40

Tirosint, 18

Trepoxicam-7.5, 30

Tisseel, 22

Tretin-x, 11 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 40

Tisseel VH, 22

tretinoin, 6, 10

Tivicay, 3

Tretinoin, 10 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 40

Tivorbex, 30

Tretinoin (all-trans Retinoic Acid), 10

Tizanidine Comfort PAC, 26

tretinoin microsphere, 10 Trueplus Lancets 26G, 40

tizanidine HCL, 26

tretinoin microsphere P.M., 10 Trueplus Lancets 28G, 40

TL G-FOL OS, 35

Trexall, 5 Trueplus Lancets 28G Super Thin, 40

TL Triseb, 12

Treximet, 31 Trueplus Lancets 30G, 40

Tnkase, 22

Trezix, 29 Trueplus Lancets 30G Ultra Thin, 40

Tobi, 2

Tri-norinyl 28, 15 Trueplus Lancets 33G, 40

Tobi Podhaler, 2

Tri-VI-flor, 34 Trueplus Lancets 33G Micro Thin, 40

Tobradex, 27

Triamcinolone, 14 Trueplus Safety Lancets 28G, 40

Tobradex ST, 27

triamcinolone acetonide, 12, 22, 31 Trulicity, 16

tobramycin, 2

Triamcinolone Acetonide, 12 Trumenba, 33

tobramycin sulfate, 2, 27

triamcinolone IN orabase, 22 Trusopt, 28

Tobramycin Sulfate/Sodium Chloride, 2

Triamcinolone PF, 14 Truvada, 3

tobramycin/dexamethasone, 27

Triamcinolone/Lidocaine, 14 Tudorza Pressair, 32

Tobrex, 27

Triamsil Combipak, 13 Turkel Paracentesis Procedure Tray/8french, 31

Tofranil, 23

triamterene/hydrochlorothiazide, 9

Tofranil-PM, 23

Triamterene/Hydrochlorothiazide, 9 Tussicaps, 32

tolazamide, 16

Trianex, 13 Tussionex Pennkinetic Extended Release, 32

Tolazamide, 16

triazolam, 24

Tolbutamide, 16

Tribenzor, 9 Tuzistra XR, 32

tolcapone, 25

Tricare Prenatal Compleat, 34 Twinrix, 33

tolmetin sodium, 30

Tricare Prenatal DHA One, 34 Twynsta, 9

Tolmetin Sodium, 30

tricitrates, 20 Tybost, 3

tolterodine tartrate, 20

Tricor, 10 Tygacil, 4

tolterodine tartrate ER, 20

Triderma Forte, 13 Tykerb, 6

Topamax, 25

Triferic, 21 Tylenol/Codeine #3, 29

Topamax Sprinkle, 25

trifluoperazine HCL, 24 Tylenol/Codeine #4, 29

Topicort, 13

trifluridine, 27 Typhim VI, 33

topiramate, 25

Triglide, 10 Tysabri, 26

Topiramate ER, 25

trihexyphenidyl HCL, 25 Tyvaso, 10

topotecan HCL, 6

Trileptal, 25 Tyvaso Refill, 10

Topotecan HCL, 6

Trilipix, 10 Tyvaso Starter, 10

Toprol XL, 7

trimethobenzamide HCL, 19 Tyzeka, 3

Torisel, 6

trimethoprim, 4 Tyzine, 31

torsemide, 9

trimethoprim sulfate/polymyxin b sulfate, 27

Tyzine Pediatric Nasal Drops, 31

Torsemide, 9

U

Totect, 6

Triostat, 18

Uceris, 14, 20

Toujeo Solostar, 16

Trisenox, 6

Udamin SP, 35

Ulesfia, 14

Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 40

100/1ML/31GX5/16", 40

Uloric, 31

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 40

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 40


Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 40

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 40

Ulticare Micro Pen Needles/32G X 4MM, 40

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 40

Ulticare Insulin Syringe 1CC/28G U-100 1/2", 40

Ulticare Mini Pen Needles 31GX6MM, 40

Ulticare Mini Pen Needles Ulti-fine IV, 40 Ultra-thin II Lancets 28G, 40

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 40

Ulticare Mini Pen Needles/31G X 6MM, 40

Ultra-thin II Lancets 30G, 40

Ultra-thin II Mini Pen Neeedles/31GX3/16", 40

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 40

Ulticare Mini Pen Needles31GX6MM, 40

Ulticare Original Pen Needles Ulti-fine, 40

Ultra-thin II Pen Needles 29GX1/2", 40

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 40

Ultra-thin II Pen Needles/SHORT/31GX5/16", 40

Ulticare Pen Needles/29G X 12.7MM, 40

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 40

Ulticare SHORT Pen Needles 31GX8MM, 40

Ultra-thin II Safety Autolancets 26G, 40

Ultracet, 29


Ulticare SHORT Pen Needles Ulti-fine IV, 40

Ultralance, 40

Ultram, 30


Ulticare SHORT Pen Needles/31G X 8MM, 40

Ultram ER, 30

Ultrasal-ER, 14


Ulticare Thin Lancets 30G, 40 Ultravate, 13

Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ultravate PAC, 13


Ultravate X, 13


Ultresa, 19


Umecta, 14


Umecta Nail Film, 14


Umecta PD, 14


Unasyn, 1

Ulticare Insulin Syringe/1ML/28G X 1/2", 40

Unasyn Bulk Pack, 1

Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 40

Unifine Pentips 29GX12MM, 40


Unifine Pentips 31G X 3/16", 40

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 40

Unifine Pentips 31G X 6MM, 40


Unifine Pentips 31G X 8MM, 40

Ultilet Classic Lancets, 40 Unifine Pentips 31GX5MM, 40


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40



Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40



Unifine Pentips Plus 29GX12MM, 40








Unilet Comfortouch Lancet, 41


Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 40

Unilet Excelite, 41

Unilet Excelite II, 41

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 40

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 40

Unilet G.p. Lancet, 41

Unilet G.p. Superlite Lancet, 41

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 40

Ultilet Lancets, 40 Unilet GP 28 Ultra Thin, 41

Ultilet Lancets 33G, 40 Unilet Lancet, 41

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ultilet Pen Needle 32GX4MM/SHORT, 40

Unilet Lancets Micro-thin33G, 41

Unilet Lancets Super-thin30G, 41


Ultilet Safety Lancets 23G, 40 Unilet Lancets Ultra-thin 28G, 41

Ultilet SHORT Pen Needles 31GX5/16", 40

Unilet Superlite Lancet, 41


Uniretic, 9

Ultilet SHORT Pen Needles31GX3/16", 40

Unistik 1, 41


Unistik 2, 41

Ultiva, 29 Unistik 2 Comfort, 41


Ultra-thin II Auto Lancet, 40 Unistik 2 Extra, 41

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 40

Unistik 2 Neonatal, 41


Unistik 2 Normal, 41


Unistik 2 Super, 41


Unistik 3, 41


Unistik 3 Comfort, 41


Unistik 3 Extra, 41


Unistik 3 Gentle, 41


Unistik 3 Neonatal, 41

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 40

Unistik 3 Normal, 41


Unistik CZT Comfort, 41

Ultra-thin II Insulin Syringe SHORT/U- Unistik CZT Normal, 41

Unistik Safety Lancets 28G, 41

Vantas, 5 Vimpat, 25

Unistik Safety Lancets 30G, 41

Vaprisol, 18 Vinacal B, 34

Unituxin, 5

Vaqta, 33 Vinate AZ Extra, 34

Univasc, 8

Varivax, 33 Vinate Calcium, 34

Universal 1 Lancets Thin 26G, 41

Vascepa, 10 Vinate DHA, 34

Universal 1 Lancets Ultra Thin 30G, 41

Vaseretic, 9 Vinate DHA RF, 34

Uramaxin, 14

vasopressin, 17 Vinblastine Sulfate, 6

Uramaxin GT, 14

Vasostrict, 17 vincristine sulfate, 6

Uramaxin GT Kit, 14

Vasotec, 8 vinorelbine tartrate, 6

urea, 13

Vazculep, 9 Viokace, 19

urea 40% nail film, 13

Vecamyl, 8 Viracept, 3

urea IN zinc undecylenate/lactic acid vehicle, 13

Vectibix, 5 Viramune, 3

Vectical, 12 Viramune XR, 3

urea topical, 13

vecuronium bromide, 26 Virasal, 14

Urecholine, 20

Velcade, 6 Virazole, 3

Uretron D/S, 20

Veletri, 10 Viread, 3

Urimar-t, 20

Velphoro, 20 Viroptic, 27

Urocit-k 10, 21

Veltin, 11 Vistaril, 23

Urocit-k 15, 21

Vemavite-prx 2, 35 Vistide, 3

Urocit-k 5, 21

venlafaxine HCL, 23 Vita-pren, 34

Urogesic-blue, 20

venlafaxine HCL ER, 23 Vitafol, 35

Uroqid #2, 20

Venlafaxine HCL ER, 23 Vitafol Fe+, 35

Uroxatral, 21

Venofer, 21 Vitafol Ultra, 35

Urso 250, 20

Ventavis, 10 Vitafol-nano, 34

Urso Forte, 20

Ventolin HFA, 32 Vitafol-ob+dha, 35

ursodiol, 19

Veramyst, 31 Vitafol-one, 35

Utopic, 14

verapamil HCL, 7 Vitafol-pn, 34

Uvadex, 6

Verapamil HCL, 7 Vital-d RX, 35

V

verapamil HCL ER, 7 Vitalet Pro Lancets, 41

verapamil HCL SR, 7 Vitalet Pro Plus Lancets, 41

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Verdeso, 13 Vitamedmd One RX/Quatrefolic, 35

Veregen, 14 Vitamedmd Plus RX/Quatre Folic, 35


Verelan, 7 Vitamedmd Redichew RX, 34

Verelan PM, 7 Vitamedmd Redichew RX/Quatrefolic, 34


Veripred 20, 14 Vitamin A, 33

Verrunex, 14 vitamin c 222MG, 33

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 41

Versacloz, 24 vitamin d, 33

Vesicare, 20 vitamin k1, 33

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 41

Vexa, 14 Vitamin K1, 34

Vexol, 27 Vitapearl, 34

Vagifem, 20

Vfend, 3 Vitaroca Plus, 35

valacyclovir HCL, 3

Vfend IV, 3 Vitekta, 3

Valchlor, 4

Viagra, 10 Vituz, 32

Valcyte, 3

Vibativ, 4 Viva DHA, 34

valganciclovir, 3

Vibramycin, 2 Vivactil, 23

Validerm, 13

Vicoprofen, 30 Vivelle-dot, 15

Valium, 23

Victoza, 16 Vivotif Berna, 33

valproate sodium, 25

Victrelis, 3 Vogelxo, 15

valproic acid, 25

Vida Mia Unifine Pentips 32GX4MM, 41 Vogelxo P.M., 15

valsartan, 8

Vida Mia Unifine Pentips Mini 31GX6MM, 41

Voltaren, 11

valsartan/hydrochlorothiazide, 8

Voltaren-XR, 30

Valtrex, 3

Vida Mia Unifine Pentips Original 29GX12MM, 41

Voluven, 22

Valumark Lancet Super Thin 30G, 41

Vopac, 12

Valumark Lancet Ultra Thin 28G, 41

Vida Mia Unilet Lancets Super Thin 30G, 41

Vopac GB, 12

Valumark Pen Needles 29GX12MM, 41

Vopac Kt, 12

Valumark Pen Needles 31G X 6MM, 41

Vida Mia Unilet Lancets Ultra Thin 28G, 41

Voraxaze, 6

Valumark Pen Needles 31G X 8MM, 41

voriconazole, 2

Vanatol LQ, 29

Vida Mia Unipfine Pentipsshort 31GX8MM, 41

Vortex Valved Holding Chamber, 41

Vancocin HCL, 4

Vosol HC, 28

vancomycin HCL, 4

Vidaza, 5 Vospire ER, 32

Vancomycin HCL, 4

Videx EC, 3 Votrient, 6

Vancomycin HCL + Syrspendsf PH4, 4

Videx Pediatric, 3 Vpriv, 21

Vancomycin HCL IN Dextrose, 4

Viekira PAK, 3 Vsl#3 DS, 18

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41

Vigamox, 27 Vusion, 11

Viibryd, 23 Vytorin, 10

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41

Viibryd Starter Pack, 23 Vyvanse, 24

Vimizim, 18

Vanos, 13

Vimovo, 30

Vanoxide-HC, 11

W

Zaltrap, 5 zonisamide, 25

Zamicet, 30 Zontivity, 22

W&f Lancets 26G, 41

Zanaflex, 26 Zorbtive, 17

W&f Lancets Colored 21G, 41

Zanosar, 4 Zortress, 5

Walgreens Lancets, 41

Zantac, 19 Zorvolex, 30

Walgreens Thin Lancets, 41

Zarontin, 25 Zostavax, 33

Walgreens Ultra Thin Lancets, 41

Zaroxolyn, 9 Zosyn, 1

warfarin sodium, 21

Zarxio, 21 Zovia 1/50e, 15

Watchhaler, 41

Zatean-CH, 35 Zovirax, 3, 11

Welchol, 10

Zatean-pn, 34 Zubsolv, 30

Wellbutrin, 23

Zatean-pn DHA, 35 Zuplenz, 19

Wellbutrin SR, 23

Zatean-pn Plus, 34 Zutripro, 32

Wellbutrin XL, 23

Zavesca, 21 Zyclara, 13

Westcort, 13

Zebeta, 7 Zyclara P.M., 13

Westhroid, 18

Zecuity, 31 Zydelig, 6

Wheat Germ, 34

Zegerid, 19 Zydone, 30

Wilate, 22

Zelapar, 25 Zyflo, 33

Wp Thyroid, 18

Zelboraf, 6 Zyflo CR, 33

X

Zemaira, 33 Zykadia, 6

Zemplar, 18 Zylet, 27

Xalatan, 27

Zemuron, 26 Zyloprim, 31

Xalkori, 6

Zenpep, 19 Zymaxid, 27

Xanax, 23

Zenzedi, 25 Zyprexa, 24

Xanax XR, 23

Zerbaxa, 4 Zyprexa Relprevv, 24

Xarelto, 21

Zerit, 3 Zyprexa Zydis, 24

Xarelto Starter Pack, 21

Zestoretic, 9 Zytiga, 5

Xartemis XR, 30

Zestril, 8 Zyvodol, 12

Xeljanz, 30

Zetia, 10 Zyvox, 4

Xeloda, 5

Zetonna, 32 1

Xenazine, 26

Zevalin Y-90, 5

Xeomin, 26

1ST Choice Lancets Super Thin, 41

Ziac, 9

Xerac Ac, 14

1ST Choice Lancets Thin, 41

Ziagen, 3

Xerese, 11

1ST Choice Lancets Ultra Thin, 41

Ziana, 11

Xgeva, 17

1ST Tier Unifine Pentips 29GX12MM, 41

zidovudine, 3

Xifaxan, 4


Zinacef, 1

Xigduo XR, 16


Zinecard, 6

Xodol, 30

8

Zioptan, 27

Xofigo, 6

ziprasidone HCL, 24

Xolair, 32

8-mop, 12

Zipsor, 30

Xolegel, 11

Zirgan, 27

Xolegel Corepak, 11

Zithranol, 12

Xolegel Duo/Head & Shoulders, 11

Zithranol-rr, 12

Xolegel Duo/Xolex, 11

Zithromax, 1

Xolox, 30

Zithromax Tri-PAK, 1

Xopenex, 32

Zithromax Z-PAK, 1

Xopenex Concentrate, 32

Zmax, 2

Xopenex HFA, 33

Zocor, 10

Xtandi, 5

Zofran, 19

Xylocaine, 8, 14, 31

Zofran Odt, 19

Xylocaine-mpf, 31

Zohydro ER, 30

Xylocaine-mpf/Epinephrine, 31

Zoladex, 5

Xylocaine/Epinephrine, 31

zoledronic acid, 17

Xyntha, 22

Zoledronic Acid, 17

Xyntha Solofuse, 22

Zolinza, 6

Xyrem, 26

zolmitriptan, 30

Xyzal, 31

zolmitriptan odt, 30

Y

Zoloft, 23

Yasmin 28, 15

zolpidem tartrate, 24

Yaz, 15

zolpidem tartrate ER, 24

Yervoy, 5

Zolpimist, 24

Yf-vax, 33

Zomacton, 17

Yodoxin, 3

Zometa, 17

Your Life Multi Prenatal, 34

Zomig, 31

Z

Zomig Nasal Spray, 30

Zomig ZMT, 31

Zacare 4% Kit, 11

Zonalon, 12

Zacare 8% Kit, 11

Zonatuss, 32

zafirlukast, 32

Zonegran, 25

zaleplon, 24

Documents

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