Select-National-Advantage Formulary Reference … Formulary Reference ... Select-National-Advantage Formulary Reference Guide ... call member services at the number listed on your

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

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

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

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

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

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

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

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

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

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

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

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

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

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

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

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

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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

HEMATOLOGAICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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

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

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

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

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

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

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

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

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

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

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

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

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

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

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

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

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

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

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

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

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

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

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

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

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

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

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

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

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

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

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

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

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

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

cefprozil

cefuroxime axetil

cefuroxime sodium

PREFERRED

January 2016 Cefaclor

NON PREFERRED

ANTI-INFECTIVES Cefaclor ER

Cefotetan

PENICILLINS

Cefotetan/Dextrose

GENERIC

Cefoxitin Sodium

amoxicillin

Ceftin

amoxicillin/clavulanate potassium

Cefuroxime Sodium

amoxicillin/clavulanate potassium ER

Cefuroxime/Dextrose

ampicillin

Mefoxin

ampicillin sodium

Zinacef

ampicillin-sulbactam

THIRD GENERATION

dicloxacillin sodium

GENERIC

nafcillin sodium

cefdinir

oxacillin sodium

cefixime

penicillin v potassium

cefotaxime sodium

penicillin G potassium

cefpodoxime proxetil

piperacillin sodium/ tazobactam sodium

ceftazidime

piperacillin sodium/tazobactam sodium

ceftriaxone sodium

piperacillin/tazobactam

NON PREFERRED

PREFERRED

Cedax

Amoxicillin

Cefditoren Pivoxil

Amoxicillin/Clavulanate Potassium

Ceftazidime/Dextrose

Ampicillin

Ceftibuten

NON PREFERRED

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin ER

Ceftriaxone Sodium

Ampicillin Sodium

Ceftriaxone/Dextrose

Ampicillin-sulbactam

Claforan

Augmentin

Claforan/D5W

Augmentin ES-600

Fortaz

Augmentin XR

Rocephin

Bactocill IN Dextrose

Spectracef

Bicillin C-R

Suprax

Bicillin L-a

Tazicef

Moxatag

FOURTH GENERATION

Nafcillin Sodium

GENERIC

Nallpen Iso-osmotic IN Dextrose

cefepime

Nallpen/Dextrose

NON PREFERRED

Penicillin G Potassium IN Iso-osmotic Dextrose

Cefepime

Penicillin G Procaine

Maxipime

Penicillin G Sodium

Pfizerpen-G

MACROLIDES

Timentin

GENERIC

Unasyn

azithromycin

Unasyn Bulk Pack

clarithromycin

Zosyn

clarithromycin ER

erythromycin

CEPHALOSPORIN

PREFERRED

FIRST GENERATION

E.e.s. 400

GENERIC

Erythromycin Base

cefadroxil

Erythromycin Ethylsuccinate

cefazolin sodium

NON PREFERRED

cephalexin

Azithromycin

PREFERRED

Biaxin

Cephalexin

Biaxin XL

NON PREFERRED

Biaxin XL PAC

Ancef

Dificid

Cefazolin

E.e.s. Granules

Cefazolin Sodium

Ery-TAB

Cefazolin Sodium/Dextrose

Eryped 200

Keflex

Eryped 400

SECOND GENERATION

Erythrocin Lactobionate

GENERIC

Erythrocin Stearate

cefaclor

PCE

cefoxitin sodium

Zithromax

Effective January 1, 2016 v.2 All Optum

TM

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

1

Zithromax Tri-PAK tobramycin sulfate

Zithromax Z-PAK PREFERRED

Zmax Bethkis

NON PREFERRED

TETRACYCLINES Gentamicin Sulfate/0.9% Sodium Chloride

Isotonic Gentamicin

GENERIC

Kitabis PAK

demeclocycline HCL

Streptomycin Sulfate

doxycycline

Tobi

doxycycline hyclate

Tobi Podhaler

doxycycline hyclate DR

Tobramycin Sulfate/Sodium Chloride

doxycycline monohydrate

minocycline HCL

SULFONAMIDES

minocycline HCL ER

Tetracycline HCL PREFERRED

NON PREFERRED Sulfadiazine

Acticlate

Adoxa ANTIMYCOBACTERIAL AGENTS

Adoxa PAK 1/100

GENERIC

Adoxa PAK 1/150

ethambutol HCL

Adoxa PAK 2/100

isoniazid

Alodox Convenience Kit

pyrazinamide

Avidoxy DK

rifabutin

Doryx

rifampin

Minocin

NON PREFERRED

Minocin Kit

Capastat Sulfate

Monodox

Cycloserine

Morgidox 1X100MG

Isoniazid

Morgidox 2X100MG

Myambutol

Nicazeldoxy 30 Kit

Mycobutin

Nicazeldoxy 60 Kit

Paser

Nutridox

Priftin

Ocudox

Rifadin

Solodyn

Rifamate

Targadox

Rifater

Vibramycin

Sirturo

Trecator

QUINOLONES

GENERIC ANTIFUNGALS

ciprofloxacin

GENERIC

ciprofloxacin ER

fluconazole

ciprofloxacin HCL

fluconazole IN dextrose

ciprofloxacin I.V.-IN D5W

fluconazole IN NACL

levofloxacin

flucytosine

levofloxacin IN D5W

griseofulvin microsize

moxifloxacin HCL

griseofulvin ultramicrosize

ofloxacin

itraconazole

Ciprofloxacin HCL

ketoconazole

Ofloxacin

nystatin

NON PREFERRED

terbinafine HCL

Avelox

voriconazole

Avelox Abc Pack

NON PREFERRED

Cipro

Abelcet

Cipro I.V.-IN D5W

Ambisome

Cipro XR

Amphotec

Factive

Amphotericin B

Levaquin

Ancobon

Moxifloxacin HCL

Cancidas

Noroxin

Cresemba

Diflucan

AMINOGLYCOSIDES

Eraxis

GENERIC Fluconazole IN NACL

amikacin sulfate Grifulvin V

gentamicin sulfate Gris-peg

gentamicin sulfate pediatric Lamisil

gentamicin sulfate/0.9% sodium chloride Mycamine

isotonic gentamicin Noxafil

neomycin sulfate Onmel

paromomycin sulfate Sporanox

tobramycin Sporanox Pulsepak

Effective January 1, 2016

2

Terbinex Combivir

Vfend Copegus

Vfend IV Cytovene

Epivir

Epivir HBV

ANTIVIRALS Famvir

Flumadine

GENERIC

Foscavir

abacavir

Genvoya

abacavir sulfate/lamivudine/zidovudine

Hepsera

acyclovir

Infergen

acyclovir sodium

Moderiba

adefovir dipivoxil

Moderiba 1200 Dose Pack

cidofovir

Moderiba 800 Dose Pack

didanosine

Olysio

entecavir

Peg-intron

famciclovir

Peg-intron Redipen

ganciclovir

Peg-intron Redipen PAK 4

lamivudine

Pegintron

lamivudine/zidovudine

Rapivab

nevirapine

Rebetol

nevirapine ER

Relenza Diskhaler

ribavirin

Retrovir

rimantadine HCL

Ribasphere

stavudine

Ribasphere Ribapak

valacyclovir HCL

Rimantalist

valganciclovir

Sitavig

zidovudine

Tamiflu

PREFERRED

Technivie

Aptivus

Trizivir

Atripla

Tyzeka

Complera

Valcyte

Crixivan

Valtrex

Daklinza

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


3

PREFERRED Primaxin IV Add-vantage

Biltricide Primsol

NON PREFERRED Sivextro

Albenza Sulfamethoxazole/Trimethoprim

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

Yondelis

Coly-mycin M

Cubicin

Dalvance

ANTIBIOTICS

Doribax

GENERIC

First-vancomycin 25

bleomycin sulfate

First-vancomycin 50

daunorubicin HCL

Flagyl

doxorubicin HCL

Flagyl ER

doxorubicin HCL liposome

Invanz

epirubicin HCL

Ketek

idarubicin HCL

Lincocin

mitomycin

Lincomycin/Lidocaine

mitoxantrone HCL

Mepron

Doxorubicin HCL

Meropenem/Sodium Chloride

Mitomycin

Merrem

PREFERRED

Metro IV

Daunoxome

Neutrexin

NON PREFERRED

Orbactiv

Adriamycin

Pentam 300

Cosmegen

Primaxin IV

Doxil


4

Ellence Vectibix

Epirubicin HCL Zevalin Y-90

Idamycin PFS

HORMONAL AGENTS

ANTINEOPLASTIC ENZYMES

GENERIC

PREFERRED anastrozole

Oncaspar bicalutamide

NON PREFERRED exemestane

Erwinaze flutamide

letrozole

ANTIMETABOLITES leuprolide acetate

megestrol acetate

GENERIC

tamoxifen citrate

azacitidine

PREFERRED

capecitabine

Eligard

cladribine

Emcyt

cytarabine

Fareston

cytarabine aqueous

Faslodex

decitabine

Lupron Depot

floxuridine

Lysodren

fludarabine phosphate

Nilandron

fluorouracil

Zoladex

gemcitabine HCL

NON PREFERRED

mercaptopurine

Arimidex

methotrexate

Aromasin

methotrexate sodium

Casodex

Floxuridine

Depo-provera

PREFERRED

Femara

Alimta

Firmagon

Arranon

Megace Oral

Clolar

Soltamox

Folotyn

Trelstar

Tabloid

Trelstar Mixject

NON PREFERRED

Vantas

Cytarabine

Xtandi

Dacogen

Zytiga

Fludara

Fludarabine Phosphate

IMMUNOMODULATORS

Gemcitabine

Gemzar GENERIC

Purinethol azathioprine

Purixan cyclosporine

Trexall cyclosporine modified

Vidaza mycophenolate mofetil

Xeloda mycophenolic acid DR

sirolimus

ANGIOGENESIS INHIBITORS tacrolimus

PREFERRED

PREFERRED

Atgam

Avastin

Cellcept Intravenous

Zaltrap

Cyclosporine Modified

NON PREFERRED

Thalomid

Cyramza

NON PREFERRED

Astagraf XL

ANTIBODIES

Azasan

PREFERRED

Cellcept

Adcetris

Envarsus XR

Arzerra

Imuran

Bexxar

Myfortic

Erbitux

Neoral

Herceptin

Nulojix

Perjeta

Pomalyst

Yervoy

Prograf

NON PREFERRED

Rapamune

Blincyto

Revlimid

Gazyva

Sandimmune

Kadcyla

Simulect

Keytruda

Thymoglobulin

Opdivo

Zortress

Rituxan

Unituxin


5

MITOTIC INHIBITORS GENERIC

irinotecan

GENERIC

topotecan HCL

docetaxel

NON PREFERRED

etoposide

Camptosar

paclitaxel

Hycamtin

vincristine sulfate

Irinotecan

vinorelbine tartrate

Onivyde

Docetaxel

Topotecan HCL

PREFERRED

Abraxane

RADIOPHARMACEUTICALS

Etoposide

Halaven PREFERRED

Ixempra Kit Bexxar 131 Iodine

Jevtana Xofigo

NON PREFERRED NON PREFERRED

Docefrez Metastron

Etopophos Quadramet

Marqibo

Navelbine CELLULAR IMMUNOTHERAPY

Paclitaxel

PREFERRED

Taxotere

Provenge

Teniposide

Vinblastine Sulfate

ANTINEOPLASTICS MISC.

GENERIC

ENZYME INHIBITORS

bexarotene

PREFERRED

dacarbazine

Afinitor

hydroxyurea

Caprelsa

tretinoin

Gleevec

PREFERRED

Istodax

Actimmune

Jakafi

Alferon N

Kyprolis

Matulane

Mekinist

Proleukin

Nexavar

Theracys

Tafinlar

Tice Bcg

Tasigna

Trisenox

Torisel

NON PREFERRED

Tykerb

Dacarbazine

Velcade

Hydrea

Xalkori

Intron A

Zolinza

Intron A W/Diluent

NON PREFERRED

Nipent

Afinitor Disperz

Photofrin

Beleodaq

Sylatron

Bosulif

Synribo

Cometriq

Targretin

Farydak

Uvadex

Gilotrif

Ibrance

CHEMOTHERAPY RESCUE

Iclusig

GENERIC

Imbruvica

amifostine

Inlyta

dexrazoxane

Iressa

leucovorin calcium

Lenvima 10MG Daily Dose

levoleucovorin


levoleucovorin calcium


mesna


PREFERRED

Lynparza

Leucovorin Calcium

Sprycel

NON PREFERRED

Stivarga

Calcium Folinate

Sutent

Ethyol

Tarceva

Fusilev

Votrient

Levoleucovorin

Zelboraf

Mesnex

Zydelig

Totect

Zykadia

Voraxaze

Zinecard

TOPOISOMERASE I INHIBITOR


6

CHEMOTHERAPY ADJUNCTS sotalol HCL (AF)

PREFERRED

PREFERRED

Bystolic

Kepivance

Propranolol HCL

NON PREFERRED

Timolol Maleate

Elitek

NON PREFERRED

Betapace

ANTINEOPLASTIC COMBO

Betapace AF

NON PREFERRED

Brevibloc

Lonsurf

Coreg

Coreg CR

CARDIOVASCULAR DRUGS

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


7

ANTIARRHYTHMICS PREFERRED

Benicar

GENERIC

NON PREFERRED

adenosine

Atacand

amiodarone HCL

Avapro

disopyramide phosphate

Cozaar

flecainide acetate

Diovan

ibutilide fumarate

Edarbi

lidocaine HCL

Micardis

lidocaine HCL IN D5W

Teveten

lidocaine HCL/dextrose

mexiletine HCL

DIRECT RENIN INHIBITORS

propafenone HCL

propafenone HCL ER PREFERRED

quinidine gluconate CR Tekturna

quinidine gluconate ER

quinidine sulfate ANTIHYPERTENSIVES MISC.

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/hydrochlorothiazide


8

trandolapril/verapamil HCL PREFERRED

trandolapril/verapamil HCL ER Furosemide

valsartan/hydrochlorothiazide Methyclothiazide

PREFERRED NON PREFERRED

Azor Aldactazide

Benicar HCT Aldactone

Captopril/Hydrochlorothiazide Bumex

Dutoprol Demadex

Methyldopa/Hydrochlorothiazide Diamox

Propranolol/Hydrochlorothiazide Diuril

Tekturna HCT Dyazide

Tribenzor Dyrenium

NON PREFERRED Edecrin

Accuretic Ethacrynate Sodium

Amturnide Keveyis

Atacand HCT Lasix

Avalide Maxzide

Clorpres Maxzide-25

Corzide Microzide

Diovan HCT Neptazane

Edarbyclor Sodium Diuril

Exforge Sodium Edecrin

Exforge HCT Torsemide

Hypertensolol Zaroxolyn

Hyzaar

Lopressor HCT VASOPRESSORS

Lotensin HCT

GENERIC

Lotrel

dobutamine HCL

Lytensopril Kit

dobutamine HCL/D5W

Lytensopril-90

dobutamine/dextrose 5%

Lytensopril-90 Kit

dopamine HCL

Micardis HCT

dopamine HCL-dextrose 5%

Prestalia

dopamine HCL/dextrose 5%

Tarka

dopamine/D5W

Tekamlo

ephedrine sulfate

Tenoretic 100

midodrine HCL

Tenoretic 50

norepinephrine bitartrate

Teveten HCT

phenylephrine HCL

Twynsta

PREFERRED

Uniretic

Epipen 2-PAK

Vaseretic

Epipen-JR 2-PAK

Zestoretic

NON PREFERRED

Ziac

Adrenaclick

Adrenalin

DIURETICS

Auvi-q

GENERIC Dobutamine/Dextrose 5%

acetazolamide Dopamine HCL

acetazolamide sodium Ephedrine Sulfate/Sodium Chloride

acetazolamide ER Epinephrine

amiloride HCL Epinephrine HCL

amiloride/hydrochlorothiazide Episnap

bumetanide Levophed

chlorothiazide Northera

chlorothiazide sodium Phenylephrine HCL

furosemide Phenylephrine HCL/Sodium Chloride

hydrochlorothiazide Vazculep

indapamide

mannitol ANTIHYPERLIPIDEMICS

methazolamide

GENERIC

metolazone

atorvastatin calcium

spironolactone

cholestyramine

spironolactone/hydrochlorothiazide

cholestyramine light

torsemide

colestipol HCL

triamterene/hydrochlorothiazide

colestipol HCL for oral suspension

Acetazolamide

fenofibrate

Chlorothiazide

fenofibrate micronized

Chlorthalidone

fenofibric acid DR

Triamterene/Hydrochlorothiazide

fluvastatin

fluvastatin sodium ER


9

gemfibrozil Corlanor

lovastatin Entresto

niacin ER Flolan

omega-3-acid ethyl esters Levitra

pravastatin sodium Muse

simvastatin Natrecor

Fenofibric Acid Orenitram

PREFERRED Revatio

Crestor Staxyn

Fibricor Tyvaso

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


10

Clindap-t ANTIBIOTICS - TOPICAL

Clinoin

GENERIC

Dermapak Plus

mupirocin

Differin

mupirocin calcium

Duac

PREFERRED

Epiduo

Gentamicin Sulfate

Epiduo Forte

NON PREFERRED

Erygel

Altabax

Evoclin

Bactroban

Fabior

Centany AT

Inova

Cortisporin

Inova 4/1 Acne Control Therapy

Neo-synalar

Inova 8/2 Acne Control Therapy

Neo-synalar Kit

Klaron

Neuac Kit

ANTIFUNGALS - TOPICAL

Nuox

GENERIC

Onexton

ciclopirox

Plexion

ciclopirox nail lacquer

Plexion Cleanser

ciclopirox olamine

Plexion Cleansing Cloths

clotrimazole

Prascion Ra With Sunscreens

clotrimazole/betamethasone dipropionate

Retin-a

econazole nitrate

Retin-a Micro

ketoconazole

Retin-a Micro P.M.

naftifine HCL

Riax

nystatin

Rosanil

nystatin/triamcinolone

Rosula

PREFERRED

Sodium Sulfacetamide/Sulfur

Ala-quin

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

Exoderm

Sodium Sulfacetamide/Sulfur IN Urea

NON PREFERRED

Sulfoam

Ciclodan Cream Kit

Sumadan Kit

Ciclodan Solution Kit

Sumadan Wash

Ciclopirox Topical Solution Kit

Sumadan XLT

Cnl8 Nail Kit

Sumaxin

Ecoza

Sumaxin CP Kit

Ertaczo

Sumaxin Ts

Exelderm

Sumaxin Wash

Extina

Tretin-x

Halotin

Triseon

Jublia

Vanoxide-HC

Kerydin

Veltin

Ketodan Kit

Zacare 4% Kit

Lamisil Spray

Zacare 8% Kit

Loprox

Ziana

Loprox Shampoo

Lotrisone

ROSACEA AGENTS

Luzu

GENERIC

Mentax

metronidazole

Naftin

Doxycycline

Nizoral

PREFERRED

Oxistat

Finacea

Pediaderm AF Complete Kit

NON PREFERRED

Pedipirox-4 Nail

Metrocream

Penlac Nail Lacquer

Metrogel

Vusion

Metrolotion

Xolegel

Mirvaso

Xolegel Corepak

Noritate

Xolegel Duo/Head & Shoulders

Oracea

Xolegel Duo/Xolex

Rosadan Kit

Soolantra

ANTIVIRALS - TOPICAL

GENERIC

ANALGESICS - TOPICAL

acyclovir

NON PREFERRED

NON PREFERRED

A.a.g.c. Kit IN Teroderm

Denavir

Baclofen

Lidovir

Equipto-baclofen

Xerese

Zovirax


11

ANTIHISTAMINES-TOPICAL Ovace Plus Wash

Ovace Wash

NON PREFERRED

Promiseb

Allo-pax

Promiseb Complete

Nazirex

Selrx

Tersi Foam

ANTI-INFLAMMATORY AGENTS

TL Triseb

GENERIC

diclofenac sodium

CORTICOSTEROIDS - TOPICAL

PREFERRED

GENERIC

Voltaren

alclometasone dipropionate

NON PREFERRED

augmented betamethasone dipropionate

Dermacinrx Lexitral Pharmapak

betamethasone dipropionate

Dipentocaine

betamethasone valerate

Dsg PAK

calcipotriene/betamethasone dipropionate

Emvoren

clobetasol propionate

Equipto-naproxen

clobetasol propionate emollient

Extardol

desonide

Flector

desoximetasone

Innoprax-5

fluocinolone acetonide

K.b.g.l. IN Teroderm Cream

fluocinonide

Ketorolac 2% Gel

fluocinonide-e

Lidoprofen

fluticasone propionate

Novoclair

halobetasol propionate

Nuvya

hydrocortisone

Pennsaid

hydrocortisone acetate/aloe

Vopac

hydrocortisone butyrate

Vopac GB

hydrocortisone butyrate (lipid)

Vopac Kt

hydrocortisone butyrate (lipophilic)

Zyvodol

hydrocortisone valerate

hydrocortisone IN absorbase

ANTIPRURITICS

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


12

Elocon urea

Epifoam urea topical

First-hydrocortisone urea IN zinc undecylenate/lactic acid vehicle

Halog urea 40% nail film

Halonate PREFERRED

Kenalog Drysol

Locoid Eurax

Locoid Lipocream NON PREFERRED

Luxiq Acuicyn Daily Eyelid & Eyelash Cleanser

Nucort Alevicyn Antipruritic SG

Nuzon Aluvea

Olux Anacaine

Olux-e Arnica Flower

Pandel Atopiclair

Pediaderm HC Aurstat Anti-itch Hydrogel

Pediaderm Ta Aurstat Anti-itch Hydrogel Kit

Scalacort DK Avenova

Silazone Pharmapak Benzoin Compound Tincture

Synalar Benzoin Tincture

Synalar Cream Kit Boric Acid

Synalar Ointment Kit Capsiderm

Synalar Ts Clever Choice Comfort EZ Patch

Taclonex Coal TAR

Temovate Cocaine HCL

Temovate E Condylox

Texacort Copasil

Topicort Dermacinrx Duopatch Pharmapak

Triamsil Combipak Dermacinrx Neurotral Pharmapak

Trianex Dermacinrx Surgical Pharmapak

Triderma Forte Dermasorb XM

Ultravate Eletone

Ultravate PAC Eletone Twinpack

Ultravate X Elimite

Validerm Emla

Vanos Emulsion SB

Verdeso Epiceram

Westcort Ethyl Chloride

Ethyl Chloride/Fine Pinpoint

IMMUNOMODULATING AGENTS Ethyl Chloride/Fine Stream

Ethyl Chloride/Medium Jet Stream

GENERIC

Ethyl Chloride/Medium Stream

imiquimod

Ethyl Chloride/Mist

tacrolimus

Gebauers Pain Ease

PREFERRED

Gebauers Spray And Stretch

Elidel

Genadur

NON PREFERRED

Genadur Kit

Aldara

Gordofilm

Protopic

Gordons Urea

Zyclara

Hydro 35

Zyclara P.M.

Hydro 40 Foam

Hylatopic

DERMATOLOGICALS - MISC.

Hylatopic Plus

GENERIC

Hylira

ammonium lactate

HPR

episone CRE

HPR Plus

lactic acid

HPR Plus Hydrogel Kit

lactic acid e

HPR Plus/Mb Hydrogel

lactic acid w/vitamin e

Kerafoam

lidocaine

Kerafoam 42

lidocaine HCL

Keralac

lidocaine HCL jelly

Keralyt

lidocaine/prilocaine

Keralyt Scalp

lindane

Lac-hydrin

malathion

Latrix XM

permethrin

Ldo Plus

podofilox

Lidocaine And Tetracaine Cream

salicylic acid

Lidocaine HCL

salicylic acid cream

Lidoderm

salicylic acid lotion

Lidothol

sodium hyaluronate

Lidotral


13

Lycelle methylprednisolone dose pack

Mb Hydrogel methylprednisolone sodiumsuccinate

Medi-derm/L-RX prednisolone

Megrix prednisolone sodium phosphate

Natroba prednisolone sodium phosphate odt

Neosalus prednisone

Neosalus CP Dexamethasone Sodium Phosphate

Neuvaxin PREFERRED

Nivatopic Plus Cortisone Acetate

Nuvail Dexamethasone

Ovide Medrol

Oxsoralen Millipred

Pharmacist Choice Tsx Patch Prednisone

Pliaglis Prednisone Intensol

Pr Cream NON PREFERRED

Presera Aristospan Intra-articular

Pruclair Aristospan Intralesional

Prumyx Beta Inject Kit

Pyrogallic Acid Betalido

Qutenza Betamethasone SP

Relyyks Celestone-soluspan

Relyyt Cortef

Salex Depo-medrol

Salex Cream Dexamethasone Intensol

Salex Lotion Dexlido

Salicylic Acid Dexlido-m

Salicylic Acid IN Ammonium Lactate Vehicle Dexpak 10 Day

Salkera Dexpak 13 Day

Salvax Dexpak 6 Day

Salvax Duo Plus Doubledex

Scar Patch Dyural-l

Sinelee Dyural-lm

Sklice Dyural-40

Solaice Dyural-80

Soothee Entocort EC

Spinosad FLO-pred

Sulfurated Lime Interarticular Joint Kit

Supracil Kenalog-10

Synera Kenalog-40

Tetrix K10-lido

Tropazone K40-lido

Ulesfia LT Injection Kit

Ultrasal-ER Marbeta-l

Umecta Marbeta-25

Umecta Nail Film Mardex-25

Umecta PD Medrol Dosepak

Uramaxin Methylprednisolone

Uramaxin GT Methylprednisolone PF

Uramaxin GT Kit Methylprednisolone/Lidocaine

Utopic Millipred DP

Veregen Mlk F4 Kit

Verrunex Orapred

Vexa Orapred Odt

Virasal Pediapred

Xerac Ac Prednisolone Sodium Phosphate

Xylocaine Pro-c-dure 1 Kit

Pro-c-dure 2 Kit

ENDOCRINE AND METABOLIC Pro-c-dure 3 Kit

Pro-c-dure 4 Kit

CORTICOSTEROIDS

Pro-c-dure 5 Kit

GENERIC

Pro-c-dure 6 Kit

betamethasone sodium phosphate/betamethasone acetate

Rayos

Solu-cortef

budesonide

Solu-medrol

dexamethasone

Triamcinolone

dexamethasone sodium phosphate

Triamcinolone PF

fludrocortisone acetate

Triamcinolone/Lidocaine

hydrocortisone

Uceris

methylprednisolone

Veripred 20

methylprednisolone acetate


14

ANDROGENS-ANABOLIC Minivelle

Prefest

GENERIC

Premarin

danazol

Vivelle-dot

methyltestosterone

oxandrolone

CONTRACEPTIVES

testosterone

testosterone cypionate GENERIC

testosterone enanthate desogestrel/ethinyl estradiol

Testosterone drospirenone/ethinyl estradiol

Testosterone P.M. levonorgestrel

levonorgestrel and ethinyl estradiol

PREFERRED levonorgestrel/ethinyl estradiol

Androderm norethindrone

Androgel P.M. norethindrone & ethinyl estradiol ferrous fumarate

Androxy norethindrone acetate/ethinyl estradiol

NON PREFERRED norethindrone acetate/ethinyl estradiol/ferrous fumarate

Anadrol-50 norgestimate/ethinyl estradiol

Androgel Levonorgestrel

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


15

norethindrone acetate tolazamide

progesterone Glyburide

PREFERRED PREFERRED

Makena Chlorpropamide

NON PREFERRED Diabeta

Aygestin Tolazamide

Medroxyprogesterone/Lidocaine Tolbutamide

Megace ES NON PREFERRED

Progesterone 10% Kit Amaryl

Prometrium Glucotrol

Provera Glucotrol XL

Glynase

ANTIDIABETIC AGENTS BIGUANIDES

GENERIC

INSULIN

metformin HCL

PREFERRED

metformin HCL ER

Humalog

NON PREFERRED

Humalog Kwikpen

Fortamet

Humalog Mix 50/50

Glucophage

Humalog Mix 50/50 Kwikpen

Glucophage XR

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

Tresiba Flextouch

Tradjenta

AMYLIN ANALOGS

INSULIN SENSITIZING AGENT

NON PREFERRED

GENERIC

Symlinpen 120

pioglitazone HCL

Symlinpen 60

NON PREFERRED

INCRETIN MIMETIC AGENTS

Actos

PREFERRED

Avandia

Bydureon

ANTIDIABETIC COMBINATIONS

Byetta

GENERIC

Victoza

glipizide/metformin HCL

NON PREFERRED

glyburide/metformin HCL

Tanzeum

pioglitazone HCL-glimepiride

Trulicity

pioglitazone HCL/metformin HCL

SULFONYLUREAS

PREFERRED

GENERIC

Invokamet

glimepiride

Janumet

glipizide

Janumet XR

glipizide ER

Kombiglyze XR

glyburide

glyburide micronized


16

NON PREFERRED FERTILITY REGULATORS

Actoplus Met

GENERIC

Actoplus Met XR

chorionic gonadotropin

Appformin

clomiphene citrate

Appformin-d

PREFERRED

Avandamet

Follistim AQ

Avandaryl

Gonal-f

Duetact

Gonal-f RFF

Glucovance

Gonal-f RFF Pen

Glyxambi

Gonal-f RFF Rediject

Jentadueto

NON PREFERRED

Kazano

Bravelle

Oseni

Menopur

Prandimet

Ovidrel

Synjardy

Repronex

Xigduo XR

LHRH/GNRH AGONIST

BISPHOSPHONATES

PREFERRED

GENERIC

Lupron Depot-PED

alendronate sodium

Supprelin LA

ibandronate sodium

Synarel

pamidronate disodium

NON PREFERRED

risedronate sodium

Lupaneta Pack

risedronate sodium DR

zoledronic acid

GNRH/LHRH ANTAGONISTS

PREFERRED

PREFERRED

Alendronate Sodium

Cetrotide

NON PREFERRED

NON PREFERRED

Actonel

Ganirelix Acetate

Atelvia

Binosto

GROWTH HORMONES

Boniva

PREFERRED

Etidronate Disodium

Nutropin AQ Nuspin 10

Fosamax


Fosamax Plus D


Pamidronate Disodium

Nutropin AQ Pen

Reclast

Saizen

Zoledronic Acid

Saizen Click.easy

Zometa

Serostim

NON PREFERRED

CALCITONINS

Genotropin

GENERIC

Genotropin Miniquick

calcitonin salmon

Humatrope

calcitonin-salmon

Humatrope Combo Pack

NON PREFERRED

Norditropin Cartridge

Fortical

Norditropin Flexpro

Miacalcin

Norditropin Nordiflex Pen

Omnitrope

PARATHYROID HORMONE

Tev-tropin

PREFERRED

Zomacton

Forteo

Zorbtive

NON PREFERRED

Natpara

GHRH

NON PREFERRED

RANK LIGAND INHIBITORS

Egrifta

PREFERRED

Prolia

SOMATOMEDINS

Xgeva

PREFERRED

Increlex

CALCIUM REGULATORS - MISC

NON PREFERRED

SOMATOSTATIC AGENTS

Ganite

GENERIC

octreotide acetate

HORMONE RECEPTOR MDLTR

NON PREFERRED

GENERIC

Sandostatin

raloxifene hydrochloride

Sandostatin Lar Depot

NON PREFERRED

Signifor

Evista

Signifor Lar

Osphena

Somatuline Depot


17

GH RECEPTOR ANTAGONISTS propylthiouracil

NP thyroid 30

NON PREFERRED

NON PREFERRED

Somavert

Armour Thyroid

Cytomel

POSTERIOR PITUITARY

Levothyroxine Sodium

GENERIC

Nature-throid

desmopressin acetate

Nature-throid Nt-2.5

vasopressin

Synthroid

NON PREFERRED

Tapazole

Ddavp

Thyrolar-1

Pitressin Synthetic

Thyrolar-1/2

Stimate

Thyrolar-1/4

Vasostrict

Thyrolar-2

Thyrolar-3

CORTICOTROPIN

Tirosint

NON PREFERRED

Triostat

H.p. Acthar

Westhroid

Wp Thyroid

PROLACTIN INHIBITORS

GENERIC

GASTROINTESTINAL

cabergoline

LAXATIVES

GENERIC

VASOPRESSIN ANTAGONISTS

lactulose

PREFERRED

peg 3350/electrolytes

Samsca

peg-3350/electrolytes

NON PREFERRED

peg-3350/NACL/NA bicarbonate/KCL

Vaprisol

polyethylene glycol 3350

NON PREFERRED

PROGESTERONE ANTAGONISTS

Cascara Sagrada

NON PREFERRED

Colyte-flavor Packs

Mifeprex

Golytely

Kristalose

METABOLIC MODIFIERS

Mineral Oil Heavy

GENERIC

Moviprep

calcitriol

Nulytely/Flavor Packs

doxercalciferol

Osmoprep

levocarnitine

Pcp 100

paricalcitol

Prepopik

sodium phenylbutyrate

Suclear

PREFERRED

Suprep Bowel Prep

Aldurazyme

Carbaglu

ANTIDIARRHEALS

Elaprase

GENERIC

Fabrazyme

diphenoxylate/atropine

Kuvan

loperamide HCL

Lumizyme

opium

Myozyme

opium tincture

Naglazyme

PREFERRED

NON PREFERRED

Diphenoxylate/Atropine

Ammonul

Opium Tincture (paregoric)

Buphenyl

NON PREFERRED

Carnitor

Fulyzaq

Carnitor SF

Lomotil

Cystadane

Motofen

Hectorol

Restora RX

Myalept

Restora Sprinkles

Orfadin

Rezyst IM

Ravicti

Rezyst SB

Rocaltrol

Vsl#3 DS

Sensipar

Strensiq

ANTACIDS

Vimizim

PREFERRED

Zemplar

Calcium Carbonate

NON PREFERRED

THYROID AGENTS

Sodium Bicarbonate

GENERIC

levothyroxine sodium

ULCER DRUGS

liothyronine sodium

methimazole


18

GENERIC Protonix

atropine sulfate Robinul

cimetidine Robinul Forte

cimetidine HCL Scopolamine Hydrobromide

dicyclomine HCL Sentradine

esomeprazole magnesium Zantac

esomeprazole sodium Zegerid

famotidine

glycopyrrolate ANTIEMETICS

hyoscyamine sulfate

GENERIC

hyoscyamine sulfate odt

dronabinol

hyoscyamine sulfate ER

granisetron HCL

hyoscyamine sulfate SR

meclizine HCL

lansoprazole

ondansetron odt

lansoprazole/amoxicillin/clarithromycin

ondansetron HCL

methscopolamine bromide

trimethobenzamide HCL

misoprostol

PREFERRED

nizatidine

Aloxi

omeprazole

NON PREFERRED

omeprazole/sodium bicarbonate

Akynzeo

pantoprazole sodium

Anzemet

rabeprazole sodium

Cesamet

ranitidine HCL

Diclegis

sucralfate

Dimenhydrinate

Esomeprazole Sodium

Emend

Famotidine

Granisol

PREFERRED

Marinol

Carafate

Sancuso

Dexilant

Tigan

Nexium

Transderm-scop

Nexium 24HR

Varubi

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

Pepcid

PREFERRED

Prevacid

Amitiza

Prevacid Solutab

Canasa

Prevpac

Cimzia

Prilosec


19

Cimzia Starter Kit Macrodantin

Lialda Monurol

Linzess Prosed/DS

Movantik Uretron D/S

Proctofoam HC Urimar-t

Relistor Urogesic-blue

Remicade Uroqid #2

Renvela

Sevelamer Carbonate URINARY ANTISPASMODICS

Sfrowasa

GENERIC

NON PREFERRED

bethanechol chloride

Actigall

flavoxate HCL

Analpram Advanced

oxybutynin chloride

Analpram-HC

oxybutynin chloride ER

Analpram-HC Singles

tolterodine tartrate

Anusol-HC

tolterodine tartrate ER

Apriso

trospium chloride

Asacol HD

trospium chloride ER

Auryxia

PREFERRED

Azulfidine

Gelnique

Azulfidine EN-TABS

Vesicare

Chenodal

NON PREFERRED

Cholbam

Detrol

Colazal

Detrol LA

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

Metoclopramide Hydrochloride

PREFERRED

Metozolv Odt

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


URINARY ANTI-INFECTIVES Gynazole-1

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

Methenamine Mandelate GENERIC

NON PREFERRED alfuzosin HCL ER

Furadantin citric acid/sodium citrate

Hiprex dutasteride

Macrobid finasteride


20

hydrochloric acid Ferivafa

phenazopyridine HCL Ferralet 90

potassium citrate ER Ferrex 150 Forte Plus

potassium citrate-citric acid crystals Ferrex 28

potassium citrate/citric acid Ferrlecit

potassium citrate/sodium citrate/citric acid Ferro-plex Hematinic

sodium citrate/citric acid Ferrotrin

tamsulosin HCL Focalgin Dss

tricitrates Folgard RX

PREFERRED Folic Acid

Cytra-3 Folivane-f

Elmiron Folivane-plus

Jalyn Foltrate

Rapaflo Fusion Plus

NON PREFERRED Fusion Sprinkles

Avodart Granix

Cardura XL Hematogen Fa

Cystagon Hematron-AF

Flomax Hemocyte Plus

K-phos NO 2 Hemocyte-f

Lithostat Hydroxocobalamin

Oracit Icar-c Plus

Procysbi Infed

Proscar Injectafer

Pyridium Integra F

Shohls Solution Modified Integra Plus

Thiola Irospan 24/6

Urocit-k 10 Is 24/6

Urocit-k 15 Leukine

Urocit-k 5 Maxaron Forte

Uroxatral Maxfe

Mircera

HEMATOLOGAICAL Multigen

Multigen Folic

HEMATOPOIETIC AGENTS

Multigen Plus

GENERIC

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

cyanocobalamin

folic acid

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

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

sodium ferric gluconate complex/sucrose

Nascobal

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

Natalvirt Flt

Nephron Fa

PREFERRED

Neulasta

Cerezyme

Neulasta Delivery Kit

Folitab 500

Neupogen

Mozobil

Novaferrum

Neumega

Omontys

Nplate

Pre-folic

NON PREFERRED

Procrit

Abaneu-SL

Proferrin-forte

Albafort

Promacta

Animi-3

Protectiron

Animi-3/Vitamin D

Tandem F

Aranesp Albumin Free

Tandem Plus

B-6 Folic Acid

Triferic

Biferarx

Venofer

Cenfol

Vpriv

Centratex

Zarxio

Cerdelga

Zavesca

Ciferex

Corvite 150

ANTICOAGULANTS

Dermacinrx Purefolix

GENERIC

Divista

argatroban

Droxia

bivalirudin

Ed Cyte F

enoxaparin sodium

Elelyso

fondaparinux sodium

Epogen

heparin lock

Feraheme

heparin lock flush

Feriva

heparin lock flush for flushing vascular access devices

Feriva 21/7


21

heparin lock flush/NACL for flushing vascular access devices

Cinryze

Corifact

heparin sodium

Effient

heparin sodium dcu

Feiba

heparin sodium lock flush

Feiba NF

heparin sodium/sodium chloride 0.9% premix

Firazyr

heparin sodium/D5W

Hemofil M

heparin sodium/NACL 0.9%

Humate-p

warfarin sodium

Koate-dvi

PREFERRED

Monoclate-p

Pradaxa

Mononine

Xarelto

Novoseven Rt

Xarelto Starter Pack

Profilnine

NON PREFERRED

Profilnine SD

Angiomax

Recombinate

Argatroban

Riastap

Arixtra

Soliris

Coumadin

Ticlopidine HCL

Eliquis

Wilate

Fragmin

NON PREFERRED

Heparin Lock Flush

Activase

Heparin Sodium

Aggrastat

Heparin Sodium/D5W

Aggrenox

Heparin Sodium/NACL 0.45%

Agrylin

Heparin Sodium/Sodium Chloride 0.9%

Brilinta

Iprivask

Cathflo Activase

Lovenox

Durlaza

Savaysa

Helixate FS

Hespan

HEMOSTATICS

Hextend

GENERIC

Integrilin

aminocaproic acid

Ixinity

tranexamic acid

Kalbitor

NON PREFERRED

Kengreal

Amicar

Kinlytic

Aminocaproic Acid

Kogenate FS

Artiss

Kogenate FS Bio-set

Astringyn

LMD 10% Dextrose 5%

Cyklokapron

LMD 10% Sodium Chloride 0.9%

Evicel

Novoeight

Evithrom

Nuwiq

Lysteda

Persantine

Recothrom

Plavix

Recothrom Spray Kit

Pletal

Thrombin-jmi Diluent

Protamine Sulfate

Thrombin-jmi Epistaxis

Reopro

Thrombin-jmi Syringe Spray Kit

Retavase

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

Retavase Half-kit

Thrombogen

Tnkase

Tisseel

Voluven

Tisseel VH

Xyntha

Xyntha Solofuse

HEMATOLOGICAL - MISC.

Zontivity

GENERIC

anagrelide hydrochloride MOUTH/THROAT/DENTAL AGENT

cilostazol

clopidogrel

GENERIC

dipyridamole

cevimeline HCL

hetastarch 6%/NACL

chlorhexidine gluconate

pentoxifylline ER

chlorhexidine gluconate oral rinse

ticlopidine HCL

clotrimazole

Aspirin/Dipyridamole

lidocaine viscous

PREFERRED

lidocaine HCL

Advate

lidocaine HCL viscous

Alphanate/Von Willebrand Factor Complex/Human

nystatin

Alphanine SD

pilocarpine hydrochloride

Bebulin

pilocarpine HCL

Benefix

stannous fluoride oral rinse

Berinert



22

triamcinolone IN orabase clomipramine HCL

NON PREFERRED desipramine HCL

Aquoral doxepin HCL

Caphosol duloxetine HCL

Debacterol escitalopram oxalate

Evoxac fluoxetine DR

First-bxn Mouthwash fluoxetine HCL

First-dukes Mouthwash fluvoxamine maleate

First-marys Mouthwash fluvoxamine maleate ER

First-mouthwash Blm imipramine pamoate

Gel-kam Oral Care Rinse imipramine HCL

Gelclair mirtazapine

Lta 360 Kit mirtazapine odt

Nafrinse Daily/Acidulated nefazodone HCL

Nafrinse Daily/Neutral nortriptyline HCL

Nafrinse Weekly paroxetine HCL

Neutrasal paroxetine HCL ER

Numoisyn phenelzine sulfate

Orafate protriptyline HCL

Oravig sertraline HCL

Peridex tranylcypromine sulfate

Prevident trazodone HCL

Prothelial trimipramine maleate

Salagen venlafaxine HCL

venlafaxine HCL ER

NEUROLOGY, CNS, PSYCH Amoxapine

Doxepin HCL

ANTIANXIETY AGENTS

Nefazodone HCL

GENERIC

Nortriptyline HCL

alprazolam

Venlafaxine HCL ER

alprazolam odt

PREFERRED

alprazolam ER

Fluoxetine HCL

buspirone HCL

Forfivo XL

chlordiazepoxide HCL

Maprotiline HCL

clorazepate dipotassium

Paxil

diazepam

Pristiq

droperidol

NON PREFERRED

gene-xene TAB 15MG

Anafranil

gene-xene TAB 3.75MG

Aplenzin

gene-xene TAB 7.5MG

Appbutamone

hydroxyzine pamoate

Appbutamone-d

hydroxyzine HCL

Brintellix

lorazepam

Celexa

meprobamate

Cymbalta

oxazepam

Desvenlafaxine ER

Hydroxyzine Pamoate

Duloxetine HCL

NON PREFERRED

Effexor XR

Alprazolam Intensol

Emsam

Ativan

Fetzima

Diazepam

Fetzima Titration Pack

Gabavale-5

Gaboxetine

Gabazolamine

Irenka

Gabazolamine-0.5

Khedezla

Hydroxyzine HCL

Lexapro

Niravam

Luvox CR

Sentrazolam AM 0.25

Marplan

Tranxene T

Nardil

Valium

Norpramin

Vistaril

Oleptro

Xanax

Pamelor

Xanax XR

Parnate

Paxil CR

ANTIDEPRESSANTS

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


23

Sentroxatine Latuda

Surmontil Lithium

Tofranil Lithium Carbonate

Tofranil-PM Lithobid

Trazamine Loxitane

Viibryd Rexulti

Viibryd Starter Pack Risperdal

Vivactil Risperdal Consta

Wellbutrin Risperdal M-TAB

Wellbutrin SR Seroquel

Wellbutrin XL Versacloz

Zoloft Zyprexa

Zyprexa Relprevv

ANTIPSYCHOTICS Zyprexa Zydis

GENERIC

HYPNOTICS

aripiprazole

chlorpromazine HCL GENERIC

clozapine dexmedetomidine HCL

clozapine odt estazolam

fluphenazine decanoate eszopiclone

fluphenazine HCL flurazepam HCL

haloperidol phenobarbital

haloperidol decanoate temazepam

haloperidol lactate triazolam

lithium carbonate zaleplon

lithium carbonate ER zolpidem tartrate

loxapine zolpidem tartrate ER

loxapine succinate Flurazepam HCL

olanzapine Phenobarbital

olanzapine odt NON PREFERRED

paliperidone ER Ambien

perphenazine Ambien CR

prochlorperazine Amytal Sodium

prochlorperazine edisylate Belsomra

prochlorperazine maleate Butisol Sodium

quetiapine fumarate Doral

risperidone Edluar

risperidone odt Gabazolpidem-5

thioridazine HCL Halcion

thiothixene Hetlioz

trifluoperazine HCL Intermezzo

ziprasidone HCL Lunesta

Aripiprazole Odt Nembutal Sodium

Clozapine Odt Phenobarbital Sodium

Precedex

PREFERRED Quazepam

Abilify Discmelt Restoril

Fluphenazine HCL Rozerem

Saphris Seconal

Seroquel XR Sentrazolpidem PM-5

NON PREFERRED Silenor

Abilify Sonata

Abilify Maintena Strazepam

Adasuve Zolpimist

Aristada

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


24

methylphenidate HCL CD Diazepam

methylphenidate HCL ER Lamictal

methylphenidate HCL SR Lamictal Chewable Dispersible

modafinil Lamictal Starter/Not Taking Carbamazepine

Methylphenidate HCL ER Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

PREFERRED

Lamictal Starter/Taking Valproate

Strattera

Lyrica

Vyvanse

Phenytek

NON PREFERRED

NON PREFERRED

Adderall

Aptiom

Adderall XR

Banzel

Aptensio XR

Carbatrol

Cafcit

Celontin

Caffeine/Sodium Benzoate

Cerebyx

Concerta

Depacon

Daytrana

Depakene

Desoxyn

Depakote

Dexedrine

Depakote ER

Dopram

Depakote Sprinkles

Evekeo

Dilantin

Focalin

Dilantin Infatabs

Focalin XR

Dilantin-125

Intuniv

Fanatrex Fusepaq

Kapvay

Felbatol

Kapvay Dose Pack

Fycompa

Metadate CD

Gabitril

Methylin

Keppra

Nuvigil

Keppra XR

Procentra

Klonopin

Provigil

Lamictal Odt

Quillivant XR

Lamictal XR

Ritalin

Levetiracetam

Ritalin LA

Mysoline

Ritalin SR

Neurontin

Sentramodafin AM-100

Onfi

Zenzedi

Oxtellar XR

Peganone

ANTICONVULSANTS

Potiga

GENERIC

Qudexy XR

carbamazepine

Sabril

carbamazepine ER

Stavzor

clonazepam

Tegretol

clonazepam odt

Tegretol-XR

divalproex sodium

Therapentin-60

divalproex sodium DR

Therapentin-90

divalproex sodium ER

Topamax

ethosuximide

Topamax Sprinkle

felbamate

Topiramate ER

fosphenytoin sodium

Trileptal

gabapentin

Trokendi XR

lamotrigine

Vimpat

lamotrigine odt

Zarontin

lamotrigine titration

Zonegran

lamotrigine ER

levetiracetam

ANTIPARKINSON AGENTS

levetiracetam ER

GENERIC

oxcarbazepine

amantadine HCL

phenytoin

benztropine mesylate

phenytoin sodium

bromocriptine mesylate

phenytoin sodium extended

carbidopa

primidone

carbidopa/levodopa

tiagabine hydrochloride

carbidopa/levodopa odt

topiramate

carbidopa/levodopa ER

valproate sodium

entacapone

valproic acid

pramipexole dihydrochloride

zonisamide

pramipexole dihydrochloride ER

PREFERRED

ropinirole ER

Diastat Acudial

ropinirole HCL

Diastat Pediatric


25

selegiline HCL Aricept Odt

tolcapone Aubagio

trihexyphenidyl HCL Betaseron

Carbidopa/Levodopa/Entacapone Brisdelle

Campral

PREFERRED Exelon

Apokyn Extavia

NON PREFERRED Gilenya

Amantadine HCL Gralise

Azilect Gralise Starter

Cogentin Horizant

Comtan Lemtrada

Duopa Namenda

Eldepryl Namenda Titration PAK

Lodosyn Namzaric

Mirapex Nuedexta

Mirapex ER Orap

Neupro Razadyne

Parcopa Razadyne ER

Parlodel Rebif

Requip Rebif Rebidose

Requip XL Rebif Rebidose Titration Pack

Rytary Rebif Titration Pack

Sinemet Sarafem

Sinemet CR Savella

Stalevo 100 Savella Titration Pack

Stalevo 125 Symbyax

Stalevo 150 Tysabri

Stalevo 200 Xenazine

Stalevo 50 Xyrem

Stalevo 75

Tasmar NEUROMUSCULAR AGENTS

Zelapar

GENERIC

atracurium besylate

NEUROLOGY, PSYCH - MISC.

cisatracurium besylate

GENERIC pancuronium bromide

acamprosate calcium DR riluzole

disulfiram rocuronium bromide

donepezil HCL vecuronium bromide

ergoloid mesylates PREFERRED

fluoxetine Botox

galantamine hydrobromide NON PREFERRED

memantine hydrochloride Anectine

memantine HCL Dysport

memantine HCL titration PAK Myobloc

olanzapine/fluoxetine Nimbex

pimozide Quelicin

rivastigmine tartrate Quelicin 1000

rivastigmine transdermal system Rilutek

tetrabenazine Xeomin

Galantamine Hydrobromide Zemuron

PREFERRED

Ampyra MUSCULOSKELETAL AGENTS

Avonex

GENERIC

Avonex Pen

baclofen

Chlordiazepoxide/Amitriptyline

carisoprodol

Copaxone

carisoprodol/aspirin

Ergoloid Mesylates

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


26

PREFERRED trifluridine

Euflexxa trimethoprim sulfate/polymyxin b sulfate

Gablofen PREFERRED

Lioresal Intrathecal Bacitracin

Synvisc Moxeza

Synvisc One Natacyn

NON PREFERRED Sulfacetamide Sodium

Amrix Vigamox

Cyclobenzaprine Comfort PAC NON PREFERRED

Dantrium Azasite

Dantrium IV Besivance

Fexmid Betadine Ophthalmic Prep

Flexepax Bleph-10

Gel-one Ciloxan

Hyalgan Garamycin

Lorzone Mitosol

Metaxalone Neosporin

Monovisc Ocuflox

Norflex Polytrim

Orthovisc Tobrex

Parafon Forte DSC Viroptic

Prazolamine Zirgan

Robaxin Zymaxid

Robaxin-750

Ryanodex ARTIFICIAL TEAR/LUBRICANT

Skelaxin

NON PREFERRED

Soma

Lacrisert

Supartz

Supartz Fx

BETA-BLOCKERS

Tabradol Fusepaq

GENERIC

Therabenzaprine-60

betaxolol HCL

Therabenzaprine-90

carteolol HCL

Therabenzaprine-90-5

dorzolamide HCL/timolol maleate

Tizanidine Comfort PAC

levobunolol HCL

Zanaflex

timolol maleate

timolol maleate ophthalmic gel forming

ANTIMYASTHENIC AGENTS

Metipranolol

GENERIC

PREFERRED

neostigmine methylsulfate

Betoptic-s

pyridostigmine bromide

Combigan

PREFERRED

Levobunolol HCL

Guanidine HCL

Timoptic Ocudose

NON PREFERRED

NON PREFERRED

Bloxiverz

Betagan

Enlon

Betimol

Enlon-plus

Cosopt

Mestinon

Cosopt PF

Mestinon Timespan

Istalol

Neostigmine Methylsulfate

Timoptic

Prostigmin

Timoptic-xe

Regonol

OPHTHALMIC STEROIDS

OPHTHALMOLOGY AND OTIC

GENERIC

ANTI-INFECTIVES dexamethasone sodium phosphate

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

Dexamethasone Sodium Phosphate

neomycin/bacitracin/polymyxin

FML

neomycin/polymyxin/bacitracin zinc

FML Forte

neomycin/polymyxin/gramicidin

Pred Mild

ofloxacin

Prednisolone Sodium Phosphate

polymyxin b sulfate/trimethoprim sulfate

NON PREFERRED


Alrex

sulfacetamide sodium

Blephamide

tobramycin sulfate


27

Blephamide S.o.p. Simbrinza

Durezol

Flarex IMMUNOMODULATORS

FML Liquifilm

NON PREFERRED

Lotemax

Restasis

Maxidex

Maxitrol

LOCAL ANESTHETICS

Neomycin/Polymyxin/Hydrocortisone

GENERIC

Omnipred

proparacaine HCL

Pred Forte

tetracaine HCL

Pred-G

NON PREFERRED

Pred-G S.o.p.

Akten

Tobradex

Alcaine

Tobradex ST

Vexol

OPHTHALMICS - MISC.

Zylet

GENERIC

azelastine HCL

PROSTAGLANDINS

bromfenac

GENERIC

cromolyn sodium

latanoprost

diclofenac sodium

Bimatoprost

dorzolamide HCL

PREFERRED

epinastine HCL

Lumigan

flurbiprofen sodium

Travatan Z

ketorolac tromethamine

Travoprost

PREFERRED

NON PREFERRED

Azopt

Rescula

Pataday

Xalatan

Patanol

Zioptan

NON PREFERRED

Acular

CYCLOPLEGIC MYDRIATICS

Acular LS

GENERIC

Acuvail

atropine sulfate

Alocril

cyclopentolate HCL

Alomide

homatropine HBR

Bepreve

PREFERRED

Cystaran

Atropine Sulfate

Elestat

Cyclogyl

Emadine

Isopto Homatropine

Ilevro

NON PREFERRED

Lastacaft

Cyclomydril

Nevanac

Isopto Atropine

Ocufen

Isopto Hyoscine

Optivar

Pazeo

DECONGESTANTS

Prolensa

GENERIC Trusopt

phenylephrine HCL

PREFERRED OTIC AGENTS

Naphazoline HCL

GENERIC

NON PREFERRED

acetic acid

Mydfrin

antipyrine/benzocaine

fluocinolone acetonide

MIOTICS

fluocinolone acetonide ear drops

GENERIC hydrocortisone/acetic acid

pilocarpine HCL neomycin/polymyxin/hydrocortisone

PREFERRED neomycin/polymyxin/HC

Isopto Carbachol ofloxacin

Phospholine Iodide PREFERRED

NON PREFERRED Acetic Acid/Aluminum Acetate

Isopto Carpine NON PREFERRED

Antipyrine/Benzocaine

ADRENERGIC AGENTS Auralgan

Cetraxal

GENERIC

Cipro HC

apraclonidine

Ciprodex

brimonidine tartrate

Ciprofloxacin

PREFERRED

Coly-mycin S

Alphagan P

Cortisporin

NON PREFERRED

Cortisporin-tc

Iopidine


28

Cresylate hydromorphone HCL

Dermotic hydromorphone HCL dosette

Myoxin hydromorphone HCL ER

Otozin meperidine HCL

Pramotic methadone HCL

Vosol HC morphine sulfate

morphine sulfate ER

OXYTOCICS nalbuphine HCL

oxycodone HCL

oxycodone/acetaminophen

GENERIC

oxycodone/aspirin

methylergonovine maleate

oxycodone/ibuprofen

oxytocin

oxymorphone hydrochloride

NON PREFERRED

oxymorphone hydrochloride ER

Cervidil

pentazocine/acetaminophen

Hemabate

pentazocine/naloxone HCL

Oxytocin/Lactated Ringers

tramadol hydrochloride/acetaminophen

Pitocin

tramadol HCL

Prepidil

tramadol HCL ER

Prostin E2

Aspirin-caffeine-dihydrocodeine

Fentanyl

PAIN MANAGEMENT

Hydrocodone Bitartrate/Acetaminophen

ANALGESICS - NONNARCOTIC

Hydrocodone/Acetaminophen

GENERIC

Hydromorphone HCL/Sodium Chloride

butalbital/acetaminophen

Morphine Sulfate ER

butalbital/acetaminophen/caffeine

Oxycodone HCL ER

butalbital/aspirin/caffeine

PREFERRED

choline magnesium trisalicylate

Hydromorphone HCL

diflunisal

Morphine Sulfate

salsalate

Oxycontin

PREFERRED

Suboxone

Choline Magnesium Trisalicylate

NON PREFERRED

Dologesic

Abstral

Prialt

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Tencon

Actiq

NON PREFERRED

Alfenta

Bupap

Avinza

Disalcid

Bunavail

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

Duragesic

Vanatol LQ

Embeda

Exalgo

ANALGESICS - OPIOID

Fentanyl Citrate/Sodium Chloride

GENERIC

Fentora

acetaminophen/caffeine/dihydrocodeine

Fioricet/Codeine

acetaminophen/codeine

Fiorinal/Codeine #3

acetaminophen/codeine #2

Hycet


Hydromorphone HCL ER


Hydromorphone HCL/NACL

acetaminophen/codeine phosphate

Hysingla ER

alfentanil

Ibudone

buprenorphine HCL

Infumorph 200

buprenorphine HCL/naloxone HCL

Infumorph 500

butalbital/acetaminophen/caffeine/codeine

Ionsys

butalbital/aspirin/caffeine/codeine

Kadian

butorphanol tartrate

Lazanda

codeine sulfate

Levorphanol Tartrate

fentanyl

Liquicet

fentanyl citrate oral transmucosal

Lortab

hydrocodone bitartrate/acetaminophen

Magnacet

hydrocodone/acetaminophen

Maxidone

hydrocodone/ibuprofen

Meperidine HCL


29

Methadone HCL naproxen sodium CR

Methadose naproxen sodium ER

Methadose Sugar-free oxaprozin

Morphine Sulfate Add-vantage piroxicam

Morphine Sulfate/Sodium Chloride sulindac

MS Contin tolmetin sodium

Norco Meclofenamate Sodium

Nucynta Tolmetin Sodium

Nucynta ER PREFERRED

Opana Fenoprofen Calcium

Opana ER (crush Resistant) Humira

Oxaydo Humira Pediatric Crohns Disease Starter Pack

Oxecta Humira Pen

Oxycodone HCL Humira Pen-crohns Diseasestarter

Percocet Humira Pen-psoriasis Starter

Percodan Ilaris

Primlev Ketoprofen ER

Reprexain Meloxicam

Roxicet Naproxen

Roxicodone Rasuvo

Subsys Simponi

Synalgos-dc Simponi Aria

Synapryn Fusepaq NON PREFERRED

Talwin Actemra

Theracodeine-300 Anaprox

Theracodophen-low-90 Anaprox DS

Theracodophen-325 Arava

Theracodophen-650 Arcalyst

Theracodophen-750 Arthrotec 50

Theratramadol-60 Arthrotec 75

Theratramadol-90 Caldolor

Tramadol HCL ER Cataflam

Trezix Celebrex

Tylenol/Codeine #3 Daypro

Tylenol/Codeine #4 Derma Silkrx Anodynexa PAK

Ultiva Derma Silkrx Diclopak

Ultracet Dermacinrx Inflammatral PAK

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


30

Theraprofen-60 Mitigare

Theraprofen-800 Zyloprim

Theraprofen-90

Theraproxen-500 LOCAL ANESTHETICS-INJ

Theraproxen-60

GENERIC

Theraproxen-90

bupivacaine HCL

Tivorbex

bupivacaine/epinephrine

Trepadiclofen-25

chloroprocaine HCL

Trepoxen-250

lidocaine HCL

Trepoxicam-7.5

lidocaine/epinephrine

Vimovo

ropivacaine

Voltaren-XR

ropivacaine HCL

Xeljanz

Tetracaine HCL

Zipsor

NON PREFERRED

Zorvolex

Articadent Dental

BD Pudendal/Local Block Tray 1% Lidocaine

MIGRAINE PRODUCTS

Carbocaine

GENERIC Citanest Forte Dental

almotriptan malate Citanest Plain Dental

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

naratriptan HCL

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

rizatriptan benzoate

rizatriptan benzoate odt

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

sumatriptan succinate

sumatriptan succinate refill

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

zolmitriptan

zolmitriptan odt

Exparel

Dihydroergotamine Mesylate

Lidocaine HCL/Dextrose

Sumatriptan Succinate

Marcaine

PREFERRED

Marcaine W/O Epi

Sumatriptan

Marcaine/Epinephrine

Zomig Nasal Spray

Marlido-25

NON PREFERRED

Monoject Bone Marrow Biopsy Prepping Tray

Alsuma

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

Amerge

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

Cafergot

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

Cambia

D.h.e. 45

Naropin

Ergomar

Nesacaine

Frova

Nesacaine-mpf

Imitrex

Sensorcaine-mpf/Epinephrine

Imitrex Statdose Refill

Turkel Paracentesis Procedure Tray/8french

Imitrex Statdose System

Xylocaine

Maxalt

Xylocaine-mpf

Maxalt-MLT

Xylocaine-mpf/Epinephrine

Migergot

Xylocaine/Epinephrine

Migral

Migranal

RESPIRATORY, ALLERGY, ETC

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

Clemastine Fumarate

PREFERRED

PREFERRED

Colcrys

Allegra Allergy Childrens

Uloric

Dexchlorpheniramine Maleate

NON PREFERRED

NON PREFERRED

Aloprim

Brompheniramine

Colchicine

Brompheniramine Tannate

Krystexxa


31

Clarinex J-max

Clarinex Reditabs Mucinex D

Dicopanol Fusepaq Mucinex Maximum Strength

Karbinal ER Promethazine/Phenylephrine

Palgic NON PREFERRED

Phenergan Carbaphen 12

Respa-BR Carbaphen 12 PED

Xyzal Clarinex-d 12 HOUR

Clarinex-d 24 HOUR

NASAL AGENTS Codar AR

Cpb Wc

GENERIC

Decon-a

azelastine HCL

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

budesonide

flunisolide

Exactuss

fluticasone propionate

Flowtuss

ipratropium bromide

Gilphex TR

olopatadine HCL

Giltuss


Giltuss PED-c

PREFERRED

Giltuss TR

Nasonex

Hycofenix

Veramyst

Hyper-sal

NON PREFERRED

Hypersal

Adrenalin

Nebusal

Astelin

Neotuss Plus

Astepro

Obredon

Atrovent

Panatuss Dxp

Bactroban Nasal

Pediatex TD

Beconase AQ

Pediatex TDM

Dermacinrx Azenase PAK

Relhist

Dymista

Rescon-JR

Flonase

Rescon-MX

Omnaris

Rezira

Patanase

Semprex-d

Qnasl

Suttar-SF

Qnasl Childrens

Suttar-2

Rhinocort Aqua

Tessalon Perles

Tyzine

Tussicaps

Tyzine Pediatric Nasal Drops

Tussionex Pennkinetic Extended Release

Zetonna

Tuzistra XR

Vituz

COUGH/COLD/ALLERGY

Zonatuss

GENERIC

Zutripro

acetylcysteine

ambitussin ac

ANTIASTHMATIC/COPD AGENTS

benzonatate

GENERIC

bromphen/pseudoephedrine HCL/dextromethorphan HBR

albuterol

cheratussin ac

albuterol sulfate

cheratussin DAC

albuterol sulfate ER

guaiatussin ac

albuterol TAB 4MG

guaifenesin ac

aminophylline

guaifenesin DAC

budesonide

guaifenesin/codeine

epinephrine HCL

hydrocodone bitartrate/chlorpheniramine maleate/PSE

ipratropium bromide

hydrocodone bitartrate/homatropine methylbromide

ipratropium bromide/albuterol sulfate

hydrocodone polistirex/chlorpheniramine polistirex

levalbuterol

hydrocodone/homatropine

levalbuterol HCL

iophen C-NR

montelukast sodium

mytussin DAC

terbutaline sulfate

phenylephrine/guaifenesin

theophylline

promethazine-DM

theophylline CR

promethazine/codeine

theophylline ER

promethazine/dextromethorphan

zafirlukast

promethazine/phenylephrine

Cromolyn Sodium

promethazine/phenylephrine/codeine

sodium chloride

PREFERRED

virtussin a/c

Advair Diskus

virtussin DAC

Advair HFA

PREFERRED

Anoro Ellipta

Dallergy


32

Breo Ellipta Ofev

Combivent Respimat Orkambi

Elixophyllin Prolastin-c

Flovent Diskus Surfaxin

Flovent HFA Survanta Intratracheal

Foradil Aerolizer Zemaira

Incruse Ellipta

Metaproterenol Sulfate TOXOIDS

Proair HFA

Proair Respiclick

NON PREFERRED

Pulmicort Flexhaler

Adacel

Qvar

Boostrix

Serevent Diskus

Daptacel

Spiriva Handihaler

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Spiriva Respimat

Infanrix

Symbicort

Kinrix

Tudorza Pressair

Pediarix

Ventolin HFA

Pentacel

Xolair

Quadracel

NON PREFERRED

Tenivac

Accolate

Tetanus Toxoid Adsorbed

Aerospan

Tetanus/Diphtheria Toxoids-adsorbed

Alvesco

Tetanus/Diphtheria Toxoids-adsorbed Adult

Arcapta Neohaler

Arnuity Ellipta

VACCINES

Asmanex HFA

Asmanex Twisthaler 120 Metered Doses

NON PREFERRED


Acthib


Afluria PF 2012-2013





Atrovent HFA


Brovana

Afluria 2012-2013

Daliresp

Afluria 2013-2014

Dulera

Afluria 2014-2015

Duoneb

Afluria 2015-2016

Isuprel

Bcg Vaccine

Lufyllin

Bexsero

Maxair Autohaler

Biothrax

Nucala

Cervarix

Perforomist

Comvax

Proventil HFA

Engerix-b

Pulmicort

Fluarix Quadrivalent 2013-2014

Pulmophylline


Seebri Neohaler


Senophylline

Fluarix 2013-2014

Singulair

Fluarix 2014-2015

Stiolto Respimat

Flublok 2013-2014

Striverdi Respimat

Flublok 2014-2015

Theo-24

Flublok 2015-2016

Theophylline/D5W

Flucelvax 2013-2014

Utibron Neohaler

Flucelvax 2014-2015

Vospire ER

Flucelvax 2015-2016

Xopenex

Flulaval Quadrivalent 2013-2014

Xopenex Concentrate


Xopenex HFA


Zyflo

Flulaval 2013-2014

Zyflo CR

Flulaval 2014-2015

Flumist Quadrivalent

RESPIRATORY AGENTS - MISC

Fluvirin PF 2013-2014

PREFERRED

Fluvirin PF 2014-2015

Pulmozyme

Fluvirin 2013-2014

NON PREFERRED

Fluvirin 2014-2015

Aralast NP

Fluvirin 2015-2016

Curosurf

Fluzone High-dose PF 2013-2014

Esbriet


Glassia


Infasurf

Fluzone Pediatric PF 2013-2014

Kalydeco

Fluzone PF 2013-2014


33

Fluzone PF 2014-2015 Bal-care DHA Essential

Fluzone Quadrivalent 2013-2014 Citranatal B-calm

Fluzone Quadrivalent 2014-2015 Citranatal RX

Fluzone Quadrivalent 2015-2016 Clinical Nutrients Prenatal Formula

Fluzone Split 2013-2014 Concept DHA

Fluzone Split 2014-2015 Concept OB

Fluzone Split 2015-2016 Duet DHA Balanced

Gardasil Duet DHA 400

Gardasil 9 Duet DHA 400EC

Havrix Duet DHA 430

Hiberix Duet DHA 430EC

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

Ipol Inactivated IPV Escavite

Ixiaro Escavite D

M-m-r II Folcaps Omega 3

Medical Provider EZ Flu Shot 2014-2015 Folivane-OB

Medical Provider EZ Flu Shot 2015-2016 Healthy Mama Be Well Rounded

Medical Provider Single Use EZ Flu Shot Marnatal-f

Menactra Mission Prenatal

Menhibrix Moms Choice RX

Menomune-a/C/Y/W-135 Mykidz Iron Fl

Menveo Mynatal

Pedvax HIB Natachew

Pneumovax 23 Natafort

Pneumovax 23/1 Dose Natalvit

Pneumovax 23/5 Dose Natelle One

Prevnar 13 Neevo DHA

Proquad Nestabs

Rabavert Nestabs DHA

Recombivax HB Newgen

Rotarix Niva-plus

Rotateq O-CAL Fa

Trumenba O-CAL Prenatal

Twinrix Obstetrix DHA

Typhim VI Obtrex

Vaqta Obtrex DHA

Varivax One A Day Womens Prenatal/DHA

Vivotif Berna One A Day Womens Prenatal1

Yf-vax One-a-day Womens Prenatal

Zostavax OB Complete

OB Complete One

VITAMINS OB Complete Petite

OB Complete Premier

VITAMINS

OB Complete 400

GENERIC

OB Complete/DHA

ascorbic acid

Poly-VI-flor

ergocalciferol

Poly-VI-flor FS

phytonadione

Poly-VI-flor/Iron

thiamine HCL

Prefera OB

vitamin c 222MG

Prefera OB + DHA

vitamin d

Prenata

vitamin k1

Prenatal Vitamin

PREFERRED

Prenatal Vitamins

Mephyton

Prenate AM

Vitamin A

Prenate Elite

NON PREFERRED

Prenate Essential

Aquasol A Parenteral

Prenate Star

Drisdol

Provida OB

Pyridoxine HCL

Right Step Prenatal

Vitamin K1

Select-OB

Wheat Germ

Stuart Prenatal

Taron-bc

MULTIVITAMINS

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


34

Vinate DHA Renatabs With Iron

Vinate DHA RF Req 49+

Vita-pren Select-ob+dha

Vitafol-nano Siderol

Vitafol-pn Strovite Forte

Vitamedmd Redichew RX Strovite One

Vitamedmd Redichew RX/Quatrefolic Supervite

Vitapearl Supervite EC

Viva DHA Support-500

Your Life Multi Prenatal Synagex

Zatean-pn Synatek

Zatean-pn Plus Texavite LQ

NON PREFERRED Triveen-duo DHA

Adrenal C Formula Triveen-prx RNF

Albafort TL G-FOL OS

Bacmin Udamin SP

Citranatal Assure Vemavite-prx 2

Citranatal DHA Vitafol

Citranatal Harmony Vitafol Fe+

Citranatal 90 DHA Vitafol Ultra

Cod Liver Oil Vitafol-ob+dha

Corvite Vitafol-one

Crnatal Vital-d RX

Dialyvite Supreme D Vitamedmd One RX/Quatrefolic

Dialyvite 3000 Vitamedmd Plus RX/Quatre Folic

Dialyvite 5000 Vitaroca Plus

Dialyvite/Zinc Zatean-pn DHA

Diatx ZN Zatean-CH

Floriva

Focalgin CA MEDICAL DEVICES

Focalgin 90 DHA

DIABETIC SUPPLIES

Folet DHA

PREFERRED

Folet One

Accu-chek Active Strips

Folgard OS

Accu-chek Aviva

Folivane-prx DHA NF

Accu-chek Aviva Connect

Fortavit

Accu-chek Aviva Plus

Gesticare DHA

Accu-chek Comfort Curve Test Strips

M.v.i. Adult

Accu-chek Compact Plus

M.v.i. Pediatric

Accu-chek Compact Plus Care Kit

M.v.i.-12 Without Vitamin K

Accu-chek Compact Test Drum

Natalvirt CA

Accu-chek Fastclix Lancetdevice Kit

Natalvirt 90 DHA

Accu-chek Fastclix Lancets

Nephplex RX

Accu-chek Multiclix Lanc Et Device Kit

Nephro-vite RX

Accu-chek Multiclix Lancets

Nephrocaps

Accu-chek Nano Smartview

Nephrocaps QT

Accu-chek Safe-t-pro Lancets

Nestabs Abc

Accu-chek Safe-t-pro Pluslancets

Nexa Plus

Accu-chek Smartview Strips

Nicadan

Accu-chek Soft Touch Lancets

Nicazel

Accu-chek Softclix Lancetdevice Kit

Nicazel Forte

Accu-chek Softclix Lancets

Nicomide

Accu-chek Voicemate

Nutricap

Accutrend Glucose

Nutrivit

Advocate Insulin Pen Needles 29GX12.7MM

Ocuvel

Advocate Insulin Pen Needles 31GX5MM

Paire OB

Advocate Insulin Pen Needles 31GX8MM

Preferaob +dha

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

Preferaob One


Prefol-DHA


Prenate


Prenate DHA


Prenate Enhance


Prenate Mini

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

Prenate Pixie


Prenate Restore


Preque 10

Advocate Lancets

Protect Plus

Advocate Lancets 30G

Provida DHA

Advocate Safety Lancets

R-natal OB

Advocate Safety Lancets 26G

Renatabs


35

Agamatrix Ultra-thin Lancets 33G BD Insulin Syringe/U-100/1ML/27G X 1/2"

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

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2" BD Insulin Syringe/U-100/2ML/27.5G X 5/8"

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

Assure Haemolance Plus High Flow 18G BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"

Assure Haemolance Plus Low Flow 25G BD Integra Syringe/Retracting Needle/1ML/25G X 1"

Assure Haemolance Plus Micro Flow 28G BD Lancet Ultrafine 30G

Assure Haemolance Plus Normal Flow 21G BD Lancet Ultrafine 33G

Assure Haemolance Plus Pediatric Blade BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

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

BD Microtainer Lancets

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

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

Assure Lance Lancets

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

Assure Lance Lancets 21G

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

Assure Lance Plus Safety Lancets 25G

BD Pen Needle/Ultrafine/29G X 12.7MM

Assure Lance Plus Safety Lancets 30G

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

Assure Lancets

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

Aurora Lancet Super Thin 30G

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

Aurora Lancet Thin 23G

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

Aurora Pen Needles 29GX12MM

Aurora Pen Needles 31G X 6MM

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

Aurora Pen Needles 31G X 8MM

BD-insul SYR Mis LO Dose

Autolet Platforms

Carefine Pen Needle 32GX4MM

AF Lancets Super Thin

Carefine Pen Needles 29GX1/2"

AT Last Lancets

Carefine Pen Needles 30GX5/16"

Bayer Microlet Lancets

Carefine Pen Needles 31GX6MM

Bullseye Safety Lancets

Carefine Pen Needles 31GX8MM

BD Autoshield Duo 30G X 3/16"

Careone Lancet Thin

BD Autoshield 29G X 3/16"

Careone Lancet Ultra Thin

BD Autoshield 29G X 5/16"

Cleanlet Lancets 28G

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

Clever Chek Lancets Ultrathin

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

Clever Chek Lancets Ultrathin 30G

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

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM

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

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

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

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

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

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

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


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

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"

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


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

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


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

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


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

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


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

BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"








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



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




Clever Choice Comfort EZ Pen Needles 29GX12MM



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








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


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


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



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"

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

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


36

Comfort Assist Insulin Syringe/0.5ML/29G X 1/2" Easy Twist & CAP Lancets

Comfort Assist Insulin Syringe/0.5ML/30G X 5/16" Easytest II Lancets

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

Comfort Assist Insulin Syringe/1ML/29G X 1/2" Embrace Lancets Ultra Thin 30G

Comfort Assist Insulin Syringe/1ML/30G X 5/16" Eql SHORT Pen Needles 31G X 8MM

Comfort Assist Insulin Syringe/1ML/31G X 5/16" Eql Ultra SHORT Pen Needles 31G X 6MM

Comfort Lancets Excel Comfort Point Insulin Pen Needles 31G X 4MM

Diastar Easy Test II Lancets 30G Exel Comfort Point Insulin Pen Needles 29G X 12MM

Diastar Easy Test Lancets30G Exel Comfort Point Insulin Pen Needles 31G X 6MM

Droplet Lancets Ultra Thin 30G Exel Comfort Point Insulin Pen Needles 31G X 8MM

Drug Mart On-the-go Lancets Gentle 30G Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"

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

Drug Mart Unilet Lancets Ultra Thin 28G Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"

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

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"

Duane Reade Unifine Pentips 31G X 8MM SHORT Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"

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

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

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

E-z Ject Lancets Super Thin 30G EZ-lets Lancets 21G

E-z Ject Lancets Thin 26G EZ-lets Lancets 23G

E-z Ject Lancets 21G EZ-lets Lancets 26G Super-soft

E-ZJECT Lancets Micro-thin 33G EZ-lets Lancets 28G Ultra-soft

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

EZ-lets Lancets 30G

Fasttake Compact Monitoring System

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

Fasttake Test Strips

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

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

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

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

Fifty50 Safety Seal Lancets 30G

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

Fifty50 Safety Seal Lancets 32G


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



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


Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2" Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"

Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2" Fine 30

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

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

Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16" Freestyle Lancets

Easy Touch Insulin Syringe/0.3ML/30G X 5/16" Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"

Easy Touch Insulin Syringe/0.3ML/31G X 5/16"

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



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

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

Easy Touch Lancets 21G/Pressure Activated

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



Freestyle Unistick II Lancets

Easy Touch Lancets 26G/Pull-top

Gentle-let GP Lancets

Easy Touch Lancets 26G/Twist

Gentle-let Lancets General Purpose Style/Fine Point


Gentle-let Lancets General Purpose Style/Medium Point


Gentle-let Lancets Safety Style/Fine Point


Gentle-let Lancets Safety Style/Medium Point

Easy Touch Lancets 30G/Button-activated

Gentle-let Platforms 2.4MM


Gentle-let Platforms 3.0MM


Glucocom Lancets 28G






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





Easy Touch Pen Needles 29GX1/2"







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

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


Easy Touch Safety Lancets21G/Pressure Activated



Glucosource Lancets

Easy Touch Safety Lancets26G/Button Activated

Gmate Lancets 30G


H&h Thinlet Lancets 26G

Easy Touch Safety Lancets28G/Button Activated

H&h Thinlet Super Thin Lancets 30G


H-e-b Incontrol Pen Needles 29GX12MM


37

H-e-b IN Control Pen Needles 31GX6MM Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"

H-e-b IN Control Pen Needles 31GX8MM Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"

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

Haemolance Low Flow Lancets Litetouch Insulin Syringe/0.3ML/30G X 5/16"

Haemolance Plus Litetouch Insulin Syringe/0.3ML/31G X 5/16"

Haemolance Plus High Flow Litetouch Insulin Syringe/0.5ML/30G X 5/16"

Haemolance Plus Low Flow Litetouch Insulin Syringe/0.5ML/31G X 5/16"

Haemolance Plus Max Flow Litetouch Insulin Syringe/1ML/30G X 5/16"

Haemolance Plus Pediatric Flow Litetouch Lancets Micro Thin 33G

Healthwise Mini Pen Needles 31GX6MM Litetouch Pen Needles 29GX12.7MM

Healthwise Pen Needles 29GX12MM Litetouch Pen Needles 31G X 6MM

Healthwise SHORT Pen Needles 31GX8MM Litetouch Pen Needles 31GX8MM SHORT

Hy-vee Lancets Live Better Lancet Super Thin 30G

Insulin Syringe/U-100/0.3ML/29G X 1/2" Live Better Lancet Ultra Thin 28G

Insulin Syringe/U-100/0.5ML/28G X 1/2" Live Better Pen Needles 29G X 12MM

Insulin Syringe/U-100/0.5ML/29G X 1/2" Live Better Pen Needles 31G X 12MM

Insulin Syringe/U-100/1ML/28G X 1/2" Live Better Pen Needles 31G X 6MM

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



Insulin Syringe/0.3ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16"

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

Insulin Syringe/0.3ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"

Insulin Syringe/0.3ML/31G X 5/16" Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"

Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"

Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets

Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G

Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets

Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G

Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G

Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM

Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G

Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max

Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G

Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G

Insupen Ultrafin 29GX12MM Medlance/Extra

Insupen Ultrafin 30GX8MM Medlance/Lite

Insupen Ultrafin 31GX6MM Medlance/Universal

Insupen Ultrafin 31GX8MM Meijer Super Thin Lancets

IN Touch Sterile Lancets 30G Microlet Lancets

Lancet Transporter Case Microtainer Safety Flow Lancet/Sterile/Single-use

Lancets Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

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

Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

Lancets Safety Seal 26G Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"

Lancets Safety Seal 28G

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

Lancets Safety Seal 30G

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

Lancets Thin

Lancets Twist Top

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

Lancets Ultra Fine

Lancets Ultra Thin

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

Lancets 26G Twist Top

Lancets 28G

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

Lancets 30G

Lancets 30G Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"

Lancets 30G/Twist Top

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

Lancets 31G Twist Top

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

Lancets 33G Universal Design


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


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


Lifescan Unistik 2 Deep Penetration


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


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


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


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



38

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2" Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"

Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"

Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"

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

Monojector Opd End CAPS

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

Monolet Lancets

Precision Thin Lancets

Monolet Opd Lancets

Precision Thins GP Lancet

Monolettor Safety Lancets

Precision Ultra Lancet

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

Preferred Plus Unifine Pentips 29G X 12MM

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

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Preferred Plus Unifine Pentips 31G X 8MM SHORT

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

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

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

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

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

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

Myglucohealth Mgh Softlance Lancets 30G

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

Netgroup Lancets

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

Nova Safety Lancets 23G

Prodigy Pressure Activated Safety Lancets

Nova Safety Lancets 28G

Prodigy Twist Top Lancets

Nova Sureflex Lancets

Pss Select GP Lancets

Novofine Plus 32GX4MM

Pss Select Platforms

On Call Lancets

Pss Select Safety Lancets

On Call Plus Lancets

Px Lancets Ultra Thin

Onetouch Basic System

PC Unifine Pentips 29G X 1/2"

Onetouch Basic/Profile Test Strips

PC Unifine Pentips 31G X 6MM Ultra SHORT

Onetouch Club Lancets Fine Point

PC Unifine Pentips 31G X 8MM SHORT

Onetouch Combo Pack

Qc Lancets Super Thin

Onetouch Delica Lancets Extra Fine 33G

Qc Lancets Ultra Thin

Onetouch Delica Lancets Fine 30G

Qc Pen Needles 29G X 12MM

Onetouch Finepoint Lancets


Onetouch Lancets


Onetouch Profile System

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

Onetouch Suresoft Lancing Device/18G

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


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


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

Onetouch Ultra Blue


Onetouch Ultra Mini


Onetouch Ultra System Kit


Onetouch Ultra 2


Onetouch Ultralink System (hex)


Onetouch Ultralink System (DEC)


Onetouch Ultrasmart


Onetouch Ultrasoft Lancets

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

Onetouch Verio


Onetouch Verio IQ Blood Glucose Monitoring System


Onetouch Verio Sync Bloodglucose Monitoring System

Relion Lancets Micro-thin33G

Onetouch Verio Test Strips

Relion Lancets Standard 21G

Pen Needles 29G X 12MM

Relion Lancets Thin 26G

Pen Needles 29GX1/2"

Relion Lancets Ultra-thin30G


Relion Mini Pen Needles 31GX6MM

Pen Needles 31G X 1/4" SHORT

Relion Pen Needles 29GX12MM

Pen Needles 31G X 3/16"


Pen Needles 31G X 6MM



Relion SHORT Pen Needles 31GX8MM

Penlet II Replacement CAPS

Relion Thin Lancets

Penlet II Replacement CAPS-deep

Relion Ultra Thin Lancets

Penlet II Replacement CAPS-regular

Relion Ultra Thin Lancets30G

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


Safe-t-lance Normal Flow 21G


Safe-t-lance Plus Safety Lancet High Flow


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/28G X 1/2"

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


39

Safesnap Insulin Syringe/0.5ML/30G X 5/16" Thinlets Lancet

Safesnap Insulin Syringe/1ML/28G X 1/2" Thinpro Insulin Syringe/0.3ML/29G X 1/2"

Safesnap Insulin Syringe/1ML/29G X 1/2" Thinpro Insulin Syringe/0.3ML/30G X 3/8"

Safety Lancet 21G/Pressure Activated Thinpro Insulin Syringe/0.3ML/31G X 3/8"

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

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

Safety Lancets 21G Thinpro Insulin Syringe/0.5ML/30G X 3/8"

Safety Lancets 28G Thinpro Insulin Syringe/0.5ML/31G X 3/8"

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

Safety Seal Lancets 28G Thinpro Insulin Syringe/1ML/29G X 1/2"

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

Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Thinpro Insulin Syringe/1ML/31G X 3/8"

Shopko On-the-go Comfort Lancets 30G Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16"

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16"

Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"

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

Shopko Unilet Lancets Ultra Thin 28G Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"

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

Smart Diabetes Vantage Universal Lancets 30G Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"

Smart Sense Color Lancets Universal 33G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"

Smart Sense Standard Lancets Universal 21G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"

Smart Sense Super Thin Lancets Universal 30G Trueplus Lancets 26G

Smart Sense Thin Lancets Universal 26G Trueplus Lancets 28G

Smartest Lancets 28G Trueplus Lancets 28G Super Thin

Solus V2 Pressure Activated Safety Lancets 28G Trueplus Lancets 30G

Solus V2 Twist Lancets 30G Trueplus Lancets 30G Ultra Thin

Sterilance PA Trueplus Lancets 33G

Sterilance TL Trueplus Lancets 33G Micro Thin

Sure-fine Pen Needles 29GX1/2" 12.7MM Trueplus Safety Lancets 28G

Sure-fine Pen Needles 31GX3/16" 5MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"

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

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"

Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16" Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"

Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16" Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"

Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2" Ulticare Insulin Syringe 1CC/28G U-100 1/2"

Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2" Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"



Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2" Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16"

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

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

Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16" Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"

Sure-lance Flat Lancets Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"

Sure-lance Lancets 26G Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16"

Sure-lance Thin Lancets 28G Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16"

Sure-lance Ultra Thin Lancets Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2"

Sure-touch Lancets Universal Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2"

Surelite Lancets Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16"

Surestep Test Strips Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16"

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

Techlite Lancets Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"

Techlite Lancets 30G Ulticare Insulin Syringe/U-100/1ML/30G X 5/16"

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"

Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2" Ulticare Insulin Syringe/0.3ML/29G X 1/2"

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


40

Ulticare Mini Pen Needles31GX6MM Unistik CZT Normal

Ulticare Original Pen Needles Ulti-fine Unistik Safety Lancets 28G

Ulticare Pen Needles/29G X 12.7MM Unistik Safety Lancets 30G

Ulticare SHORT Pen Needles Ulti-fine IV Unistik 1

Ulticare SHORT Pen Needles 31GX8MM Unistik 2

Ulticare SHORT Pen Needles/31G X 8MM Unistik 2 Comfort

Ulticare Thin Lancets 30G Unistik 2 Extra

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

Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16" Unistik 2 Normal

Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2" Unistik 2 Super

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Unistik 3

Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2" Unistik 3 Comfort

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Unistik 3 Extra

Ultilet Classic Lancets Unistik 3 Gentle

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3 Neonatal

Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Normal

Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Universal 1 Lancets Thin 26G

Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Universal 1 Lancets Ultra Thin 30G

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Ultilet Lancets V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Ultilet Lancets 33G V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Ultilet Pen Needle 32GX4MM/SHORT V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Ultilet Safety Lancets 23G Valumark Lancet Super Thin 30G

Ultilet SHORT Pen Needles 31GX5/16" Valumark Lancet Ultra Thin 28G

Ultilet SHORT Pen Needles31GX3/16" Valumark Pen Needles 29GX12MM

Ultra-thin II Auto Lancet Valumark Pen Needles 31G X 6MM

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

Valumark Pen Needles 31G X 8MM

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


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

Vida Mia Unifine Pentips Mini 31GX6MM


Vida Mia Unifine Pentips Original 29GX12MM

Vida Mia Unifine Pentips 32GX4MM


Vida Mia Unilet Lancets Super Thin 30G

Vida Mia Unilet Lancets Ultra Thin 28G

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

Vida Mia Unipfine Pentipsshort 31GX8MM

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

Vitalet Pro Lancets

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

Vitalet Pro Plus Lancets

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

W&f Lancets Colored 21G

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

W&f Lancets 26G

Ultra-thin II Lancets 28G

Walgreens Lancets

Ultra-thin II Lancets 30G

Walgreens Thin Lancets

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

Walgreens Ultra Thin Lancets

Ultra-thin II Pen Needles 29GX1/2"

1ST Choice Lancets Super Thin

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

1ST Choice Lancets Thin

Ultra-thin II Safety Autolancets 26G

1ST Choice Lancets Ultra Thin

Ultralance

1ST Tier Unifine Pentips 29GX12MM

Unifine Pentips Plus 29GX12MM






Unifine Pentips 29GX12MM

MEDICAL DEVICES - MISC

Unifine Pentips 31G X 3/16"

PREFERRED

Unifine Pentips 31G X 6MM

Aerochamber Mini Aerosol Chamber

Unifine Pentips 31G X 8MM

Aerochamber MV


Aerochamber Plus Flow VU


Aerochamber Plus Flow-VU


Aerochamber Plus Flow-VU/Large Mask


Aerochamber Plus Flow-VU/Mask

Unilet Comfortouch Lancet

Aerochamber Plus Flow-VU/Medium Mask

Unilet Excelite

Aerochamber Plus Flow-VU/Small Mask

Unilet Excelite II

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

Unilet G.p. Lancet

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

Unistik CZT Comfort


41

Arial Chamber

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Mask Vortex/Baby Whirl Duckling

Mask Vortex/Child/Frog

Mask Vortex/Spinner The Duck

Mask Vortex/Toddler/Lady Bug

Microchamber

Microspacer

Nessi Spacer/Large Mask

Nessi Spacer/Mouthpiece

Nessi Spacer/Small/MED Mask

Optichamber Advantage

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optihaler

Optihaler MDI Drug Delivery System

Panda Mask Large

Panda Mask Medium

Panda Mask Small

Pediatric Panda Mask

Pocket Chamber

Pocket Spacer

Riteflo

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

NON PREFERRED

Chemet

Exjade

Ferriprox

Jadenu

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective January 1, 2016 v.2 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, 20 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, 17 Advocate Safety Lancets, 35

Abilify, 24

Actoplus Met XR, 17 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, 33

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, 25 Aerochamber Z-stat Plus/Small Mask, 41

Accu-chek Fastclix Lancets, 35

Adderall XR, 25 Aerochamber/Flowsignal, 41

Accu-chek Multiclix Lanc Et Device Kit, 35

Addyi, 26 Aerospan, 33

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, 36

Accu-chek Safe-t-pro Lancets, 35

adenosine, 8 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, 35 Afluria PF 2012-2013, 33

Accupril, 8

Adrenalin, 9, 32 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, 36

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


Ala-quin, 11

acetaminophen/codeine phosphate, 29

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

Albafort, 21, 35

acetazolamide, 9

Albenza, 4

Acetazolamide, 9


albuterol, 32

acetazolamide ER, 9

albuterol sulfate, 32

acetazolamide sodium, 9


albuterol sulfate ER, 32

acetic acid, 28

albuterol TAB 4MG, 32

Acetic Acid/Aluminum Acetate, 28


Alcaine, 28

acetylcysteine, 32

alclometasone dipropionate, 12

Aciphex, 19


Aldactazide, 9

Aciphex Sprinkle, 19

Aldactone, 9

acitretin, 12


Aldara, 13

Aclovate, 12

Aldurazyme, 18

Actemra, 30

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

alendronate sodium, 17

Acthib, 33

Alendronate Sodium, 17

Acticlate, 2

Alevicyn Antipruritic SG, 13

Amoxicillin ER, 1 Aquoral, 23

Alfenta, 29

amoxicillin/clavulanate potassium, 1 Aralast NP, 33

alfentanil, 29

Amoxicillin/Clavulanate Potassium, 1 Aralen, 3

Alferon N, 6

amoxicillin/clavulanate potassium ER, 1 Aranesp Albumin Free, 21

alfuzosin HCL ER, 20

amphetamine/dextroamphetamine, 24 Arava, 30

Alimta, 5

Amphotec, 2 Arcalyst, 30

Alinia, 4

Amphotericin B, 2 Arcapta Neohaler, 33

Alkeran, 4

ampicillin, 1 argatroban, 21

Allegra Allergy Childrens, 31

Ampicillin, 1 Argatroban, 22

Allo-pax, 12

ampicillin sodium, 1 Arial Chamber, 42

allopurinol, 31

Ampicillin Sodium, 1 Aricept, 26

almotriptan malate, 31

ampicillin-sulbactam, 1 Aricept Odt, 26

Alocril, 28

Ampicillin-sulbactam, 1 Arimidex, 5

Alodox Convenience Kit, 2

Ampyra, 26 aripiprazole, 24

Alomide, 28

Amrix, 27 Aripiprazole Odt, 24

Aloprim, 31

Amturnide, 9 Aristada, 24

Alora, 15

Amytal Sodium, 24 Aristospan Intra-articular, 14

alosetron hydrochloride, 19

Anacaine, 13 Aristospan Intralesional, 14

Aloxi, 19

Anadrol-50, 15 Arixtra, 22

Alphagan P, 28

Anafranil, 23 Armour Thyroid, 18

Alphanate/Von Willebrand Factor Complex/Human, 22

anagrelide hydrochloride, 22 Arnica Flower, 13

Analpram Advanced, 20 Arnuity Ellipta, 33

Alphanine SD, 22

Analpram-HC, 20 Aromasin, 5

alprazolam, 23

Analpram-HC Singles, 20 Arranon, 5

alprazolam ER, 23

Anaprox, 30 Arthrotec 50, 30

Alprazolam Intensol, 23

Anaprox DS, 30 Arthrotec 75, 30

alprazolam odt, 23

Anaspaz, 19 Articadent Dental, 31

Alrex, 27

anastrozole, 5 Artiss, 22

Alsuma, 31

Ancef, 1 Arzerra, 5

Altabax, 11

Ancobon, 2 Asacol HD, 20

Altace, 8

Androderm, 15 ascorbic acid, 34

Altoprev, 10

Androgel, 15 Asmanex HFA, 33

Aluvea, 13

Androgel P.M., 15 Asmanex Twisthaler 120 Metered Doses, 33

Alvesco, 33

Android, 15

amantadine HCL, 25

Androxy, 15 Asmanex Twisthaler 14 Metered Doses, 33

Amantadine HCL, 26

Anectine, 26

Amaryl, 16

Angeliq, 15 Asmanex Twisthaler 30 Metered Doses, 33

Ambien, 24

Angiomax, 22

Ambien CR, 24

Animi-3, 21 Asmanex Twisthaler 60 Metered Doses, 33

Ambisome, 2

Animi-3/Vitamin D, 21

ambitussin ac, 32

Anoro Ellipta, 32 Asmanex Twisthaler 7 Metered Doses, 33

Amcinonide, 12

Antabuse, 26

Amerge, 31

Antara, 10 Aspirin-caffeine-dihydrocodeine, 29

Amicar, 22

Anthralin, 12 Aspirin/Dipyridamole, 22

amifostine, 6

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 36

Assure Haemolance Plus High Flow 18G, 36

amikacin sulfate, 2

amiloride HCL, 9

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 36

Assure Haemolance Plus Low Flow 25G, 36

amiloride/hydrochlorothiazide, 9

aminocaproic acid, 22

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 36

Assure Haemolance Plus Micro Flow 28G, 36

Aminocaproic Acid, 22

aminophylline, 32

antipyrine/benzocaine, 28 Assure Haemolance Plus Normal Flow 21G, 36

amiodarone HCL, 8

Antipyrine/Benzocaine, 28

Amiodarone HCL, 8

Anusol-HC, 20 Assure Haemolance Plus Pediatric Blade, 36

Amitiza, 19

Anzemet, 19

amitriptyline HCL, 23

Apidra, 16 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 36

amlodipine besylate, 7

Apidra Solostar, 16

amlodipine besylate/atorvastatin calcium, 10

Aplenzin, 23 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 36

Apokyn, 26

amlodipine besylate/benazepril HCL, 8

Appbutamone, 23 Assure Lance Lancets, 36

amlodipine besylate/benazepril hydrochloride, 8

Appbutamone-d, 23 Assure Lance Lancets 21G, 36

Appformin, 17 Assure Lance Plus Safety Lancets 25G, 36

amlodipine besylate/valsartan, 8

Appformin-d, 17

amlodipine/valsartan/hctz, 8

apraclonidine, 28 Assure Lance Plus Safety Lancets 30G, 36

ammonium lactate, 13

Apriso, 20

Ammonul, 18

Aptensio XR, 25 Assure Lancets, 36

Amoxapine, 23

Aptiom, 25 Astagraf XL, 5

amoxicillin, 1

Aptivus, 3 Astelin, 32

Amoxicillin, 1

Aquasol A Parenteral, 34 Astepro, 32

Astringyn, 22

Azasan, 5 5ML/31G X 5/16", 36

AT Last Lancets, 36

Azasite, 27 BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36

Atabex EC, 34

azathioprine, 5

Atabex Prenatal, 34

azelastine HCL, 28, 32 BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

Atacand, 8

Azelex, 10

Atacand HCT, 9

Azilect, 26 BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 36

Atelvia, 17

azithromycin, 1

atenolol, 7

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

atenolol/chlorthalidone, 8

Azopt, 28

Atgam, 5

Azor, 9 BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 36

Ativan, 23

aztreonam, 4

Atopiclair, 13

Azulfidine, 20 BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 36

atorvastatin calcium, 9

Azulfidine EN-TABS, 20

atovaquone, 4

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

atovaquone/proguanil HCL, 3

B-6 Folic Acid, 21

atracurium besylate, 26

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 36

b-complex 100, 34

Atralin, 10

bacitracin, 4

Atripla, 3


Bacitracin, 4, 27

Atropen, 19

bacitracin/polymyxin b, 27

atropine sulfate, 19, 28


Baclofen, 11

Atropine Sulfate, 19, 28

baclofen, 26

Atrovent, 32


Bacmin, 35

Atrovent HFA, 33

Bactocill IN Dextrose, 1

Aubagio, 26


Bactrim, 4

augmented betamethasone dipropionate, 12

Bactrim DS, 4


Bactroban, 11

Augmentin, 1

Bactroban Nasal, 32

Augmentin ES-600, 1


Bal-care DHA, 34

Augmentin XR, 1

Bal-care DHA Essential, 34

Auralgan, 28


balsalazide disodium, 19

Aurora Lancet Super Thin 30G, 36

Banzel, 25

Aurora Lancet Thin 23G, 36

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

Baraclude, 3

Aurora Pen Needles 29GX12MM, 36

Bayer Microlet Lancets, 36

Aurora Pen Needles 31G X 6MM, 36


Bcg Vaccine, 33

Aurora Pen Needles 31G X 8MM, 36

BD Autoshield 29G X 3/16", 36

Aurstat Anti-itch Hydrogel, 13


BD Autoshield 29G X 5/16", 36

Aurstat Anti-itch Hydrogel Kit, 13

BD Autoshield Duo 30G X 3/16", 36

Auryxia, 20


BD Insulin Syringe LUER-LOK/U-100/1ML, 36

Autolet Platforms, 36

Auvi-q, 9

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", 36

Avalide, 9

Avandamet, 17

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", 36

Avandaryl, 17

Avandia, 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", 36

Avapro, 8

Avar, 10

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

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36

Avar LS, 10

Avar LS Cleanser, 10

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

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36

Avar-e LS, 10

Avastin, 5


BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 36

Avc, 20

Aveed, 15

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

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36

Avelox, 2

Avelox Abc Pack, 2


BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36

Avenova, 13

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", 36

Avinza, 29

Avodart, 21

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

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36

Avonex, 26

Avonex Pen, 26

BD Lancet Ultrafine 30G, 36

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36

Avycaz, 4

BD Lancet Ultrafine 33G, 36

Axert, 31

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

BD Insulin Syringe Slip Tip/U-100/1ML, 36

Axid, 19

Axiron, 15

BD Microtainer Lancets, 36

BD Insulin Syringe U-40/1ML/25G X 5/8", 36

Aygestin, 16

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

azacitidine, 5

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

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.

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

Bexxar 131 Iodine, 6 bupivacaine HCL, 31

Beyaz, 15 bupivacaine/epinephrine, 31

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

Biaxin, 1 Buprenex, 29

Biaxin XL, 1 buprenorphine HCL, 29

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

Biaxin XL PAC, 1 buprenorphine HCL/naloxone HCL, 29

bicalutamide, 5 bupropion HCL, 23

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

Bicillin C-R, 1 bupropion HCL ER, 23

Bicillin L-a, 1 bupropion HCL SR, 23

BD Pudendal/Local Block Tray 1% Lidocaine, 31

Bicnu, 4 bupropion HCL XL, 23

Bidil, 10 buspirone HCL, 23

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

Biest/Progesterone, 15 Busulfex, 4

Biferarx, 21 butalbital/acetaminophen, 29

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

Biltricide, 4 butalbital/acetaminophen/caffeine, 29

Bimatoprost, 28 butalbital/acetaminophen/caffeine/codeine, 29

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

Binosto, 17

Biothrax, 33 butalbital/aspirin/caffeine, 29

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, 32

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., 28 C

benazepril HCL/hydrochlorothiazide, 8

Blincyto, 5

cabergoline, 18

Benefix, 22

Bloxiverz, 27

Caduet, 10

Benicar, 8

Boniva, 17

Cafcit, 25

Benicar HCT, 9

Boostrix, 33

Cafergot, 31

Bentyl, 19

Boric Acid, 13

caffeine citrate, 24

Benzac Ac Wash, 10

Bosulif, 6

Caffeine/Sodium Benzoate, 25

Benzac W Wash, 10

Botox, 26

Calan, 7

Benzaclin, 10

Bravelle, 17

Calan SR, 7

Benzaclin With P.M., 10

Breatherite, 42

calcipotriene, 12

Benzamycin, 10

Breatherite Collapsible Adult Spacer W/Mask, 42

calcipotriene/betamethasone dipropionate, 12

Benzamycinpak, 10

Benzefoam, 10

Breatherite Collapsible Child Spacer W/Mask, 42

calcitonin salmon, 17

Benzefoamultra, 10

calcitonin-salmon, 17

Benziq, 10

Breatherite Collapsible Infant Spacer W/Mask, 42

Calcitriol, 12

Benziq LS, 10

calcitriol, 18

Benzoin Compound Tincture, 13

Breatherite Collapsible Small Child Spacer W/Mask, 42

calcium acetate, 19

Benzoin Tincture, 13

Calcium Carbonate, 18

benzonatate, 32

Breatherite Collapsible Spacer W/ Neonate Mask, 42

Calcium Folinate, 6

benzoyl peroxide, 10

Caldolor, 30

benzoyl peroxide SHORT contact, 10

Breatherite Rigid Spacer W/Mask, 42

Cambia, 31

benztropine mesylate, 25

Breatherite W/Large Mask, 42

Campral, 26

Bepreve, 28

Breatherite W/Medium Mask, 42

Camptosar, 6

Berinert, 22

Breatherite W/Small Mask, 42

Canasa, 19

Besivance, 27

Breo Ellipta, 33

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, 23

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, 33

Captopril/Hydrochlorothiazide, 9

bethanechol chloride, 20

budesonide, 14, 32(2)

Carafate, 19

Bethkis, 2

Bullseye Safety Lancets, 36

Carbaglu, 18

Betimol, 27

bumetanide, 9

carbamazepine, 25

Betoptic-s, 27

Bumex, 9

carbamazepine ER, 25

bexarotene, 6

Bunavail, 29

Carbaphen 12, 32

Bexsero, 33

Bupap, 29

Carbaphen 12 PED, 32

Bexxar, 5

Buphenyl, 18

Carbatrol, 25

carbidopa, 25

Ceftriaxone Sodium, 1 Cimzia Starter Kit, 20

carbidopa/levodopa, 25

Ceftriaxone/Dextrose, 1 Cinryze, 22

carbidopa/levodopa ER, 25

cefuroxime axetil, 1 Cipro, 2

carbidopa/levodopa odt, 25

cefuroxime sodium, 1 Cipro HC, 28

Carbidopa/Levodopa/Entacapone, 26

Cefuroxime Sodium, 1 Cipro I.V.-IN D5W, 2

carbinoxamine maleate, 31

Cefuroxime/Dextrose, 1 Cipro XR, 2

Carbocaine, 31

Celebrex, 30 Ciprodex, 28

carboplatin, 4

celecoxib, 30 ciprofloxacin, 2

Cardene I.v., 7

Celestone-soluspan, 14 Ciprofloxacin, 28

Cardene IV, 7

Celexa, 23 ciprofloxacin ER, 2

Cardene SR, 7

Cellcept, 5 ciprofloxacin HCL, 2, 27

Cardizem, 7

Cellcept Intravenous, 5 Ciprofloxacin HCL, 2

Cardizem CD, 7

Celontin, 25 ciprofloxacin I.V.-IN D5W, 2

Cardizem LA, 7

Cenestin, 15 cisatracurium besylate, 26

Cardura, 8

Cenfol, 21 cisplatin, 4

Cardura XL, 21

Centany AT, 11 Cisplatin, 4

Carefine Pen Needle 32GX4MM, 36

Centratex, 21 citalopram hydrobromide, 23

Carefine Pen Needles 29GX1/2", 36

cephalexin, 1 Citanest Forte Dental, 31

Carefine Pen Needles 30GX5/16", 36

Cephalexin, 1 Citanest Plain Dental, 31

Carefine Pen Needles 31GX6MM, 36

Cerdelga, 21 Citranatal 90 DHA, 35

Carefine Pen Needles 31GX8MM, 36

Cerebyx, 25 Citranatal Assure, 35

Careone Lancet Thin, 36

Cerezyme, 21 Citranatal B-calm, 34

Careone Lancet Ultra Thin, 36

Cervarix, 33 Citranatal DHA, 35

carisoprodol, 26

Cervidil, 29 Citranatal Harmony, 35

Carisoprodol, 26

Cesamet, 19 Citranatal RX, 34

carisoprodol/aspirin, 26

cetirizine HCL, 31 citric acid/sodium citrate, 20

carisoprodol/aspirin/codeine, 26

Cetraxal, 28 cladribine, 5

Carmol-HC, 12

Cetrotide, 17 Claforan, 1

Carnitor, 18

cevimeline HCL, 22 Claforan/D5W, 1

Carnitor SF, 18

Chemet, 42 Clarifoam EF, 10

carteolol HCL, 27

Chenodal, 20 Clarinex, 32

carvedilol, 7

cheratussin ac, 32 Clarinex Reditabs, 32

Cascara Sagrada, 18

cheratussin DAC, 32 Clarinex-d 12 HOUR, 32

Casodex, 5

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

Cataflam, 30

chlordiazepoxide HCL, 23 clarithromycin, 1

Catapres, 8

Chlordiazepoxide/Amitriptyline, 26 clarithromycin ER, 1

Catapres-tts-1, 8

chlorhexidine gluconate, 22 Cleanlet Lancets 28G, 36

Catapres-tts-2, 8

chlorhexidine gluconate oral rinse, 22 clemastine fumarate, 31

Catapres-tts-3, 8

chloroprocaine HCL, 31 Clemastine Fumarate, 31

Cathflo Activase, 22

chloroquine phosphate, 3 Cleocin, 4, 20

Cayston, 4

chlorothiazide, 9 Cleocin IN D5W, 4

Cedax, 1

Chlorothiazide, 9 Cleocin Pediatric Granules, 4

cefaclor, 1

chlorothiazide sodium, 9 Cleocin Phosphate, 4

Cefaclor, 1

chlorpromazine HCL, 24 Cleocin-t, 10

Cefaclor ER, 1

Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin, 36

cefadroxil, 1

Chlorpropamide, 16 Clever Chek Lancets Ultrathin 30G, 36

Cefazolin, 1

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

cefazolin sodium, 1

chlorzoxazone, 26

Cefazolin Sodium, 1

Cholbam, 20 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36

Cefazolin Sodium/Dextrose, 1

cholestyramine, 9

cefdinir, 1

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

Cefditoren Pivoxil, 1

choline magnesium trisalicylate, 29

cefepime, 1

Choline Magnesium Trisalicylate, 29 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36

Cefepime, 1

chorionic gonadotropin, 17

cefixime, 1

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

cefotaxime sodium, 1

Ciclodan Cream Kit, 11

Cefotetan, 1

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

Cefotetan/Dextrose, 1

ciclopirox, 11

cefoxitin sodium, 1

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

Cefoxitin Sodium, 1

ciclopirox olamine, 11

cefpodoxime proxetil, 1

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

cefprozil, 1

cidofovir, 3

ceftazidime, 1

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

Ceftazidime/Dextrose, 1

cilostazol, 22

Ceftibuten, 1

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

Ceftin, 1

cimetidine, 19

Ceftriaxone IN Iso-osmotic Dextrose, 1

cimetidine HCL, 19 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36

ceftriaxone sodium, 1

Cimzia, 19

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

clotrimazole, 11, 22 Coreg CR, 7

clotrimazole/betamethasone dipropionate, 11

Corgard, 7


Corifact, 22

clozapine, 24 Corlanor, 10


clozapine odt, 24 Corlopam, 8

Clozapine Odt, 24 Cortalo, 12

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

Clozaril, 24 Cortef, 14

Cnl8 Nail Kit, 11 Cortenema, 20

Clever Choice Comfort EZ Patch, 13

Coaguchek Lancets, 36 Cortifoam, 20

Clever Choice Comfort EZ Pen Needles 29GX12MM, 36

Coal TAR, 13 Cortisone Acetate, 14

Coartem, 3 Cortisporin, 11, 28


Cocaine HCL, 13 Cortisporin-tc, 28

Cod Liver Oil, 35 Corvert, 8


Codar AR, 32 Corvite, 35

codeine sulfate, 29 Corvite 150, 21


Codeine Sulfate, 29 Corzide, 9

Cogentin, 26 Cosentyx, 12


Colazal, 20 Cosentyx Sensoready Pen, 12

Colchicine, 31 Cosmegen, 4


Colcrys, 31 Cosopt, 27

Colestid, 10 Cosopt PF, 27


Colestid Flavored, 10 Coumadin, 22

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, 10


Colyte-flavor Packs, 18 Cresylate, 29

Combigan, 27 Crinone, 20

Cleviprex, 7

Combipatch, 15 Crixivan, 3

Climara, 15

Combivent Respimat, 33 Crnatal, 35

Climara Pro, 15

Combivir, 3 cromolyn sodium, 19, 28

Clin Single Use Kit, 4

Cometriq, 6 Cromolyn Sodium, 32

Clin-lido, 4

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

Cubicin, 4

Clindacin Etz, 10

Curosurf, 33

Clindacin PAC, 10

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

Cutivate, 12

Clindagel, 10

Cuvposa, 19

clindamycin HCL, 4


cyanocobalamin, 21

clindamycin palmitate HCL, 4

Cyclessa, 15

clindamycin phosphate, 4, 10, 20


Cyclobenzaprine Comfort PAC, 27

Clindamycin Phosphate, 4

cyclobenzaprine HCL, 26

clindamycin phosphate add-vantage, 4


Cyclogyl, 28

clindamycin phosphate IN D5W, 4

Cyclomydril, 28

clindamycin phosphate pharmacy bulk package, 4


cyclopentolate HCL, 28

cyclophosphamide, 4

clindamycin/benzoyl peroxide, 10

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 37

Cyclophosphamide, 4

Clindap-t, 11

Cycloserine, 2

Clindesse, 20


cyclosporine, 5

Clinical Nutrients Prenatal Formula, 34

cyclosporine modified, 5

Clinoin, 11


Cyclosporine Modified, 5

clobetasol propionate, 12

Cyklokapron, 22

clobetasol propionate emollient, 12

Comfort Lancets, 37 Cymbalta, 23

Clobex, 12

Compazine, 24 cyproheptadine HCL, 31

Clocortolone Pivalate, 12

Complera, 3 Cyramza, 5

Clocortolone Pivalate P.M., 12

Comtan, 26 Cystadane, 18

Clodan Kit, 12

Comvax, 33 Cystagon, 21

Cloderm, 12

Concept DHA, 34 Cystaran, 28

Cloderm P.M., 12

Concept OB, 34 cytarabine, 5

Clolar, 5

Concerta, 25 Cytarabine, 5

clomiphene citrate, 17

Condylox, 13 cytarabine aqueous, 5

clomipramine HCL, 23

Conzip, 29 Cytomel, 18

clonazepam, 25

Copasil, 13 Cytotec, 19

clonazepam odt, 25

Copaxone, 26 Cytovene, 3

clonidine HCL, 8

Copegus, 3 Cytra-3, 21

clonidine HCL ER, 24

Cordarone, 8 D

clopidogrel, 22

Cordran, 12

D.h.e. 45, 31

clorazepate dipotassium, 23

Cordran Tape, 12

dacarbazine, 6

Clorpres, 9

Coreg, 7

Dacarbazine, 6

Dacogen, 5

desoximetasone, 12 Dilatrate SR, 7

Daklinza, 3

Desoximetasone, 12 Dilaudid, 29

Daliresp, 33

Desoxyn, 25 Dilaudid-HP, 29

Dallergy, 32

Desvenlafaxine ER, 23 diltiazem CD, 7

Dalvance, 4

Detrol, 20 diltiazem HCL, 7

danazol, 15

Detrol LA, 20 Diltiazem HCL, 7

Dantrium, 27

dexamethasone, 14 diltiazem HCL ER, 7

Dantrium IV, 27

Dexamethasone, 14 Dimenhydrinate, 19

dantrolene sodium, 26

Dexamethasone Intensol, 14 Diovan, 8

Dantrolene Sodium, 26

dexamethasone sodium phosphate, 14, 27

Diovan HCT, 9

Dapsone, 4

Dipentocaine, 12

Daptacel, 33

Dexamethasone Sodium Phosphate, 14, 27

Dipentum, 20

Daraprim, 3

diphenhydramine HCL, 31

daunorubicin HCL, 4

Dexchlorpheniramine Maleate, 31 diphenoxylate/atropine, 18

Daunoxome, 4

Dexedrine, 25 Diphenoxylate/Atropine, 18

Daypro, 30

Dexilant, 19 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 33

Daytrana, 25

Dexlido, 14

Ddavp, 18

Dexlido-m, 14 Diprolene, 12

Debacterol, 23

dexmedetomidine HCL, 24 Diprolene AF, 12

decitabine, 5

dexmethylphenidate HCL, 24 dipyridamole, 22

Decon-a, 32

dexmethylphenidate HCL ER, 24 Disalcid, 29

Delestrogen, 15

Dexpak 10 Day, 14 disopyramide phosphate, 8

Delzicol, 20

Dexpak 13 Day, 14 disulfiram, 26

Demadex, 9

Dexpak 6 Day, 14 Ditropan XL, 20

demeclocycline HCL, 2

Dexpanthenol, 20 Diuril, 9

Demerol, 29

dexrazoxane, 6 divalproex sodium, 25

Demser, 8

dextroamphetamine sulfate, 24 divalproex sodium DR, 25

Denavir, 11

dextroamphetamine sulfate ER, 24 divalproex sodium ER, 25

Depacon, 25

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 32

Divigel, 15

Depakene, 25

Divista, 21

Depakote, 25

dobutamine HCL, 9

Depakote ER, 25

dobutamine HCL/D5W, 9

Diabeta, 16

Depakote Sprinkles, 25

dobutamine/dextrose 5%, 9

Dialyvite 3000, 35

Depo-estradiol, 15

Dobutamine/Dextrose 5%, 9

Dialyvite 5000, 35

Depo-medrol, 14

Docefrez, 6

Dialyvite Supreme D, 35

Depo-provera, 5

docetaxel, 6

Dialyvite/Zinc, 35

Depo-testosterone, 15

Docetaxel, 6

Diamox, 9

Deprizine Fusepaq, 19

Dolgic Plus, 29

Diastar Easy Test II Lancets 30G, 37

Derma Silkrx Anodynexa PAK, 30

Dologesic, 29

Diastar Easy Test Lancets30G, 37

Derma Silkrx Diclopak, 30

Dolophine, 29

Diastat Acudial, 25

Derma Silkrx Sds PAK, 12

donepezil HCL, 26

Diastat Pediatric, 25

Derma-smoothe/FS Body, 12

dopamine HCL, 9

Diatx ZN, 35

Derma-smoothe/FS Scalp, 12

Dopamine HCL, 9

diazepam, 23

Dermacinrx Azenase PAK, 32

dopamine HCL-dextrose 5%, 9

Diazepam, 23, 25

Dermacinrx Duopatch Pharmapak, 13

dopamine HCL/dextrose 5%, 9

Dibenzyline, 8

Dermacinrx Inflammatral PAK, 30

dopamine/D5W, 9

Diclegis, 19

Dermacinrx Lexitral Pharmapak, 12

Dopram, 25

diclofenac potassium, 30

Dermacinrx Neurotral Pharmapak, 13

Doral, 24

diclofenac sodium, 12, 28

Dermacinrx Purefolix, 21

Doribax, 4

diclofenac sodium DR, 30

Dermacinrx Surgical Pharmapak, 13

Doryx, 2

diclofenac sodium ER, 30

Dermapak Plus, 11

dorzolamide HCL, 28

diclofenac sodium/misoprostol, 30

Dermasorb HC, 12

dorzolamide HCL/timolol maleate, 27

dicloxacillin sodium, 1

Dermasorb Ta, 12

Doubledex, 14

Dicopanol Fusepaq, 32

Dermasorb XM, 13

Dovonex, 12

dicyclomine HCL, 19

Dermatop, 12

doxapram HCL, 24

didanosine, 3

Dermotic, 29

doxazosin, 8

Differin, 11

desipramine HCL, 23

doxazosin mesylate, 8

Dificid, 1

desloratadine, 31

doxepin HCL, 23

Diflorasone Diacetate, 12

desloratadine odt, 31

Doxepin HCL, 23

Diflucan, 2

desmopressin acetate, 18

doxercalciferol, 18

diflunisal, 29

Desogen, 15

Doxil, 4

digoxin, 7

desogestrel/ethinyl estradiol, 15

doxorubicin HCL, 4

Digoxin, 7

Desonate, 12

Doxorubicin HCL, 4

dihydroergotamine mesylate, 31

desonide, 12

doxorubicin HCL liposome, 4

Dihydroergotamine Mesylate, 31

Desowen, 12

doxycycline, 2

Dilacor XR, 7

Desowen Cream/Cetaphil Lotion, 12

Doxycycline, 11

Dilantin, 25

Desowen Lotion/Cetaphil Cream, 12

doxycycline hyclate, 2

Dilantin Infatabs, 25

Desowen Ointment/Cetaphil Lotion, 12

doxycycline hyclate DR, 2

Dilantin-125, 25

doxycycline monohydrate, 2

E.e.s. 400, 1 Easy Touch Pen Needles 31GX1/4", 37

Drisdol, 34

E.e.s. Granules, 1 Easy Touch Pen Needles 31GX5/16", 37

Dritho-creme HP, 12

Easivent, 42 Easy Touch Pen Needles 32GX5/32", 37

dronabinol, 19

Easivent/Mask-large, 42 Easy Touch Pen Needles/31G X 3/16", 37

droperidol, 23

Easivent/Mask-medium, 42

Droplet Lancets Ultra Thin 30G, 37

Easivent/Mask-small, 42 Easy Touch Safety Lancets21G/Pressure Activated, 37

drospirenone/ethinyl estradiol, 15

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 37

Droxia, 21

Easy Touch Safety Lancets23G/Pressure Activated, 37

Drug Mart On-the-go Lancets Gentle 30G, 37


Easy Touch Safety Lancets26G/Button Activated, 37

Drug Mart Unilet Lancets Super Thin 30G, 37



Drug Mart Unilet Lancets Ultra Thin 28G, 37


Easy Touch Safety Lancets28G/Button Activated, 37

Drysol, 13

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

Dsg PAK, 12


Duac, 11

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

Duane Reade Unifine Pentips 29G X 12MM, 37

Easy Twist & CAP Lancets, 37

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 37

Easytest II Lancets, 37

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37

Easytest Lancets, 37

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

EC-naprosyn, 30

Duane Reade Unifine Pentips 31G X 8MM SHORT, 37

econazole nitrate, 11

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 37

Ecoza, 11

Duavee, 15

Ed Cyte F, 21

Duet DHA 400, 34

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

Edarbi, 8

Duet DHA 400EC, 34

Edarbyclor, 9

Duet DHA 430, 34


Edecrin, 9

Duet DHA 430EC, 34

Edluar, 24

Duet DHA Balanced, 34


Edurant, 3

Duetact, 17

Effexor XR, 23

Duexis, 30


Effient, 22

Dulera, 33

Egrifta, 17

duloxetine HCL, 23


Elaprase, 18

Duloxetine HCL, 23

Eldepryl, 26

Duoneb, 33

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 37

Elelyso, 21

Duopa, 26

Elestat, 28

Duragesic, 29


Elestrin, 15

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

Eletone, 13


Eletone Twinpack, 13

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

Elidel, 13


Eligard, 5

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

Elimite, 13


Eliphos, 20

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

Eliquis, 22

Easy Touch Lancets 21G/Pressure Activated, 37

Elitek, 7

Durezol, 28

Elixophyllin, 33

Durlaza, 22


Ella, 15

dutasteride, 20

Ellence, 5

Dutoprol, 9


Elmiron, 21

Dyazide, 9

Elocon, 13

Dyloject, 30

Easy Touch Lancets 26G/Pull-top, 37 Eloxatin, 4

Dymista, 32

Easy Touch Lancets 26G/Twist, 37 Emadine, 28

Dyrenium, 9


Embeda, 29

Dysport, 26

Embrace Lancets Ultra Thin 30G, 37

Dyural-40, 14

Easy Touch Lancets 28G/Pull-top, 37 Emcyt, 5

Dyural-80, 14

Easy Touch Lancets 28G/Twist, 37 Emend, 19

Dyural-l, 14

Easy Touch Lancets 30G/Button-activated, 37

Emla, 13

Dyural-lm, 14

Emsam, 23

E


Emtriva, 3

Emulsion SB, 13

E-z Ject Lancets, 37

Easy Touch Lancets 30G/Pull-top, 37 Emvoren, 12

E-z Ject Lancets 21G, 37

Easy Touch Lancets 30G/Twist, 37 Enablex, 20

E-z Ject Lancets Color, 37


enalapril maleate, 8

E-z Ject Lancets Super Thin, 37

enalapril maleate/hydrochlorothiazide, 8

E-z Ject Lancets Super Thin 30G, 37

Easy Touch Lancets 32G/Pull-top, 37 enalaprilat, 8

E-z Ject Lancets Thin 26G, 37

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

E-z Spacer, 42

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

E-z Spacer The Body Guards Pack, 42

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

E-ZJECT Lancets Micro-thin 33G, 37

Endometrin, 20

esmolol HCL, 7 Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 37

Engerix-b, 33

esomeprazole magnesium, 19

Enjuvia, 15

esomeprazole sodium, 19 Exelderm, 11

Enlon, 27

Esomeprazole Sodium, 19 Exelon, 26

Enlon-plus, 27

Esomeprazole Strontium, 19 exemestane, 5

enoxaparin sodium, 21

estazolam, 24 Exforge, 9

entacapone, 25

Estrace, 15, 20 Exforge HCT, 9

entecavir, 3

estradiol, 15 Exjade, 42

Entereg, 20

Estradiol, 15 Exoderm, 11

Entocort EC, 14

estradiol valerate, 15 Exparel, 31

Entresto, 10

estradiol/norethindrone acetate, 15 Extardol, 12

Entyvio, 20

Estrasorb, 15 Extavia, 26

Envarsus XR, 5

Estring, 20 Extina, 11

Epaned, 8

Estrogel, 15 EZ Smart Blood Glucose Lancets, 37

ephedrine sulfate, 9

estropipate, 15 EZ-lets Lancets 21G, 37

Ephedrine Sulfate/Sodium Chloride, 9

Estropipate, 15 EZ-lets Lancets 23G, 37

Epiceram, 13

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

Epiduo, 11

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

Epiduo Forte, 11

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

Epifoam, 13

ethambutol HCL, 2 F

epinastine HCL, 28

ethosuximide, 25

Fabior, 11

Epinephrine, 9

Ethyl Chloride, 13

Fabrazyme, 18

Epinephrine HCL, 9

Ethyl Chloride/Fine Pinpoint, 13

Factive, 2

epinephrine HCL, 32

Ethyl Chloride/Fine Stream, 13

Falessa, 15

Epipen 2-PAK, 9

Ethyl Chloride/Medium Jet Stream, 13

famciclovir, 3

Epipen-JR 2-PAK, 9

Ethyl Chloride/Medium Stream, 13

famotidine, 19

epirubicin HCL, 4

Ethyl Chloride/Mist, 13

Famotidine, 19

Epirubicin HCL, 5

Ethyol, 6

Famotidine Premixed, 19

Episnap, 9

Etidronate Disodium, 17

Famvir, 3

episone CRE, 13

etodolac, 30

Fanapt, 24

Epivir, 3

etodolac ER, 30

Fanapt Titration Pack, 24

Epivir HBV, 3

Etopophos, 6

Fanatrex Fusepaq, 25

eplerenone, 8

etoposide, 6

Fareston, 5

Epogen, 21

Etoposide, 6

Farxiga, 16

epoprostenol sodium, 10

Euflexxa, 27

Farydak, 6

Eprosartan Mesylate, 8

Eurax, 13

Faslodex, 5

Epzicom, 3

Evamist, 15

Fasttake Compact Monitoring System, 37

Eql SHORT Pen Needles 31G X 8MM, 37

Evekeo, 25

Evicel, 22

Fasttake Test Strips, 37

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

Evista, 17

Fazaclo, 24

Evithrom, 22

Feiba, 22

Equagesic, 29

Evoclin, 11

Feiba NF, 22

Equetro, 24

Evotaz, 3

felbamate, 25

Equipto-baclofen, 11

Evoxac, 23

Felbatol, 25

Equipto-naproxen, 12

Exactuss, 32

Feldene, 30

Eraxis, 2

Exalgo, 29

felodipine ER, 7

Erbitux, 5

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

Fem PH, 20

ergocalciferol, 34

Femara, 5

ergoloid mesylates, 26

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, 11

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

Fenofibric Acid, 10

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

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

Feriva 21/7, 21

Esgic, 29

Ferivafa, 21

Ferralet 90, 21

Floriva, 35 Fluzone Quadrivalent 2013-2014, 34

Ferrex 150 Forte Plus, 21

Flovent Diskus, 33 Fluzone Quadrivalent 2014-2015, 34

Ferrex 28, 21

Flovent HFA, 33 Fluzone Quadrivalent 2015-2016, 34

Ferriprox, 42

Flowtuss, 32 Fluzone Split 2013-2014, 34

Ferrlecit, 21

floxuridine, 5 Fluzone Split 2014-2015, 34

Ferro-plex Hematinic, 21

Floxuridine, 5 Fluzone Split 2015-2016, 34

Ferrotrin, 21

Fluarix 2013-2014, 33 FML, 27

Fetzima, 23

Fluarix 2014-2015, 33 FML Forte, 27

Fetzima Titration Pack, 23

Fluarix Quadrivalent 2013-2014, 33 FML Liquifilm, 28

Fexmid, 27

Fluarix Quadrivalent 2014-2015, 33 Focalgin 90 DHA, 35

Fibricor, 10

Fluarix Quadrivalent 2015-2016, 33 Focalgin CA, 35

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

Flublok 2013-2014, 33 Focalgin Dss, 21

Flublok 2014-2015, 33 Focalin, 25

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

Flublok 2015-2016, 33 Focalin XR, 25

Flucelvax 2013-2014, 33 Folcaps Omega 3, 34

Fifty50 Safety Seal Lancets 30G, 37

Flucelvax 2014-2015, 33 Folet DHA, 35

Fifty50 Safety Seal Lancets 32G, 37

Flucelvax 2015-2016, 33 Folet One, 35

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

fluconazole, 2 Folgard OS, 35

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, 35

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, 33

First-bxn Mouthwash, 23

flunisolide, 32 Forfivo XL, 23

First-dukes Mouthwash, 23

fluocinolone acetonide, 12, 28 Fortamet, 16

First-hydrocortisone, 13

fluocinolone acetonide ear drops, 28 Fortavit, 35

First-lansoprazole, 19

fluocinonide, 12 Fortaz, 1

First-marys Mouthwash, 23

fluocinonide-e, 12 Forteo, 17

First-mouthwash Blm, 23

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, 24 fosinopril sodium/hydrochlorothiazide, 8

fluphenazine HCL, 24 fosphenytoin sodium, 25


Fluphenazine HCL, 24 Fosrenol, 20

flurazepam HCL, 24 Fragmin, 22


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, 32

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, 28

Fluvirin PF 2013-2014, 33 Frova, 31

flavoxate HCL, 20

Fluvirin PF 2014-2015, 33 Fulyzaq, 18

flecainide acetate, 8

fluvoxamine maleate, 23 Furadantin, 20

Flector, 12

fluvoxamine maleate ER, 23 furosemide, 9

Flexepax, 27

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

Flexichamber, 42

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 Fusion Sprinkles, 21

Flomax, 21

Fluzone PF 2013-2014, 33 Fuzeon, 3

Flonase, 32

Fluzone PF 2014-2015, 34 Fycompa, 25

G

Giltuss TR, 32 guaifenesin ac, 32

Glassia, 33 guaifenesin DAC, 32

gabapentin, 25

Gleevec, 6 guaifenesin/codeine, 32

Gabavale-5, 23

Gleostine, 4 guanfacine ER, 24

Gabazolamine, 23

Gliadel Wafer, 4 guanfacine HCL, 8

Gabazolamine-0.5, 23

glimepiride, 16 Guanidine HCL, 27

Gabazolpidem-5, 24

glipizide, 16 Gynazole-1, 20

Gabitidine, 19

glipizide ER, 16 H

Gabitril, 25

glipizide/metformin HCL, 16

Gablofen, 27

H&h Thinlet Lancets 26G, 37

Glucagen Hypokit, 16

Gaboxetine, 23

H&h Thinlet Super Thin Lancets 30G, 37

Glucagon Emergency Kit, 16

galantamine hydrobromide, 26

H-e-b IN Control Pen Needles 31GX6MM, 38

Glucocom Lancets 28G, 37

Galantamine Hydrobromide, 26


ganciclovir, 3

H-e-b IN Control Pen Needles 31GX8MM, 38


Ganirelix Acetate, 17

Glucophage, 16

Ganite, 17

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

Glucophage XR, 16

Garamycin, 27

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

Gardasil, 34

H.p. Acthar, 18

Gardasil 9, 34

Haemolance, 38


Gastrinex NF, 19

Haemolance Low Flow Lancets, 38

Gastrocrom, 20

Haemolance Plus, 38


gatifloxacin, 27

Haemolance Plus High Flow, 38

Gattex, 20

Haemolance Plus Low Flow, 38


Gazyva, 5

Haemolance Plus Max Flow, 38

Gebauers Pain Ease, 13

Haemolance Plus Pediatric Flow, 38


Gebauers Spray And Stretch, 13

Halaven, 6

Gel-kam Oral Care Rinse, 23

Halcion, 24


Gel-one, 27

Haldol, 24

Gelclair, 23

Haldol Decanoate 100, 24

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

Gelnique, 20

Haldol Decanoate 50, 24

Gemcitabine, 5

halobetasol propionate, 12


gemcitabine HCL, 5

Halog, 13

gemfibrozil, 10

Halonate, 13


Gemzar, 5

haloperidol, 24

Genadur, 13

haloperidol decanoate, 24

Glucosource Lancets, 37

Genadur Kit, 13

haloperidol lactate, 24

Glucotrol, 16

gene-xene TAB 15MG, 23

Halotin, 11

Glucotrol XL, 16

gene-xene TAB 3.75MG, 23

Harvoni, 3

Glucovance, 17

gene-xene TAB 7.5MG, 23

Havrix, 34

Glumetza, 16

Generess FE, 15

Healthwise Mini Pen Needles 31GX6MM, 38

glyburide, 16

Genotropin, 17

Glyburide, 16

Genotropin Miniquick, 17

Healthwise Pen Needles 29GX12MM, 38

glyburide micronized, 16

gentamicin sulfate, 2, 27

Healthwise SHORT Pen Needles 31GX8MM, 38

glyburide/metformin HCL, 16

Gentamicin Sulfate, 11

Glycate, 19

gentamicin sulfate pediatric, 2

Healthy Mama Be Well Rounded, 34

Glycolic Acid, 12

gentamicin sulfate/0.9% sodium chloride, 2

Hectorol, 18

Glycolic Acid 70% High Purity, 12

Helidac, 19

glycopyrrolate, 19

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Helixate FS, 22

Glynase, 16

Hemabate, 29

Glyset, 16

Gentle-let GP Lancets, 37

Hemangeol, 7

Glyxambi, 17

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

Hematogen Fa, 21

Gmate Lancets 30G, 37

Hematron-AF, 21

Golytely, 18

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

Hemocyte Plus, 21

Gonal-f, 17

Hemocyte-f, 21

Gonal-f RFF, 17

Gentle-let Lancets Safety Style/Fine Point, 37

Hemofil M, 22

Gonal-f RFF Pen, 17

heparin lock, 21

Gonal-f RFF Rediject, 17

Gentle-let Lancets Safety Style/Medium Point, 37

heparin lock flush, 21

Gordofilm, 13

Heparin Lock Flush, 22

Gordons Urea, 13

Gentle-let Platforms 2.4MM, 37

heparin lock flush for flushing vascular access devices, 21

Gralise, 26

Gentle-let Platforms 3.0MM, 37

Gralise Starter, 26

Genvoya, 3

heparin lock flush/NACL for flushing vascular access devices, 21

granisetron HCL, 19

Geodon, 24

Granisol, 19

Gesticare DHA, 35

heparin sodium, 22

Granix, 21

Giazo, 20

Heparin Sodium, 22

Grifulvin V, 2

Gilenya, 26

heparin sodium dcu, 22

Gris-peg, 2

Gilotrif, 6

heparin sodium lock flush, 22

griseofulvin microsize, 2

Gilphex TR, 32

heparin sodium/D5W, 22

griseofulvin ultramicrosize, 2

Giltuss, 32

Heparin Sodium/D5W, 22

guaiatussin ac, 32

Giltuss PED-c, 32

Heparin Sodium/NACL 0.45%, 22

heparin sodium/NACL 0.9%, 22

hydrocort ene 100MG, 19 Imuran, 5

Heparin Sodium/Sodium Chloride 0.9%, 22

hydrocortisone, 12, 14, 19 IN Touch Sterile Lancets 30G, 38

hydrocortisone acetate/aloe, 12 Increlex, 17

heparin sodium/sodium chloride 0.9% premix, 22

hydrocortisone acetate/lidocaine HCL, 19 Incruse Ellipta, 33

hydrocortisone acetate/pramoxine, 19 indapamide, 9

Hepsera, 3

hydrocortisone butyrate, 12 Inderal LA, 7

Herceptin, 5

hydrocortisone butyrate (lipid), 12 Inderal XL, 7

Hespan, 22

hydrocortisone butyrate (lipophilic), 12 Indocin, 30

hetastarch 6%/NACL, 22

hydrocortisone IN absorbase, 12 indomethacin, 30

Hetlioz, 24

hydrocortisone valerate, 12 Indomethacin, 30

Hexalen, 4

hydrocortisone/acetic acid, 28 indomethacin ER, 30

Hextend, 22

hydromorphone HCL, 29 Indomethacin Sodium, 30

Hiberix, 34

Hydromorphone HCL, 29 Infanrix, 33

Hiprex, 20

hydromorphone HCL dosette, 29 Infasurf, 33

homatropine HBR, 28

hydromorphone HCL ER, 29 Infed, 21

Horizant, 26

Hydromorphone HCL ER, 29 Infergen, 3

HPR, 13

Hydromorphone HCL/NACL, 29 Infumorph 200, 29

HPR Plus, 13

Hydromorphone HCL/Sodium Chloride, 29

Infumorph 500, 29

HPR Plus Hydrogel Kit, 13

Injectafer, 21

HPR Plus/Mb Hydrogel, 13

Hydroxocobalamin, 21 Inlyta, 6

Humalog, 16

hydroxychloroquine sulfate, 3 Innopran XL, 7

Humalog Kwikpen, 16

hydroxyurea, 6 Innoprax-5, 12

Humalog Mix 50/50, 16

hydroxyzine HCL, 23 Inova, 11

Humalog Mix 50/50 Kwikpen, 16

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

Humalog Mix 75/25, 16

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

Humalog Mix 75/25 Kwikpen, 16

Hydroxyzine Pamoate, 23 Inspirachamber/Anti-static Valved/Mouthpiece, 42

Humate-p, 22

Hylatopic, 13

Humatrope, 17

Hylatopic Plus, 13 Inspirachamber/Soothermask/Inspiramask/Medium, 42

Humatrope Combo Pack, 17

Hylira, 13

Humira, 30

hyoscyamine sulfate, 19 Inspirachamber/Soothermask/Inspiramask/Small, 42

Humira Pediatric Crohns Disease Starter Pack, 30

hyoscyamine sulfate ER, 19

hyoscyamine sulfate odt, 19 Inspirease Bags, 42

Humira Pen, 30

hyoscyamine sulfate SR, 19 Inspirease Drug Delivery System, 42

Humira Pen-crohns Diseasestarter, 30

Hyper-sal, 32 Inspirease Mouthpiece, 42

Humira Pen-psoriasis Starter, 30

Hypersal, 32 Inspirease Reservoir Bags, 42

Humulin 70/30, 16

Hypertenevide-12.5, 7 Inspra, 8

Humulin 70/30 Kwikpen, 16

Hypertenipine-2.5, 7 Insulin Syringe/0.3ML/29G X 1", 38

Humulin 70/30 Pen, 16

Hypertensolol, 9 Insulin Syringe/0.3ML/29G X 1/2", 38

Humulin N, 16

Hysingla ER, 29 Insulin Syringe/0.3ML/30G X 5/16", 38

Humulin N Kwikpen, 16

Hyzaar, 9 Insulin Syringe/0.3ML/31G X 5/16", 38

Humulin N U-100 Pen, 16

I Insulin Syringe/0.5ML/27G X 1/2", 38

Humulin R, 16

Insulin Syringe/0.5ML/28G X 1/2", 38

ibandronate sodium, 17

Humulin R U-500 (concentrated), 16


Ibrance, 6

Hy-vee Lancets, 38


Ibudone, 29

Hyalgan, 27


ibuprofen, 30

Hycamtin, 6


Ibuprofen Comfort PAC, 30

Hycet, 29

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

ibutilide fumarate, 8

Hycofenix, 32


IC 400, 30

hydralazine HCL, 8


IC 800, 30

Hydrea, 6


Icar-c Plus, 21

Hydro 35, 13

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

Iclusig, 6

Hydro 40 Foam, 13

Idamycin PFS, 5

hydrochloric acid, 21


idarubicin HCL, 4

hydrochlorothiazide, 9

Ifex, 4

hydrocodone bitartrate/acetaminophen, 29


ifosfamide, 4

Ifosfamide, 4

Hydrocodone Bitartrate/Acetaminophen, 29

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

Ilaris, 30

Ilevro, 28

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 32


Imbruvica, 6

Imdur, 7

hydrocodone bitartrate/homatropine methylbromide, 32


imipenem/cilastatin, 4

imipramine HCL, 23

hydrocodone polistirex/chlorpheniramine polistirex, 32


imipramine pamoate, 23

imiquimod, 13

hydrocodone/acetaminophen, 29

Insupen Sensitive 32GX8MM, 38

Imitrex, 31

Hydrocodone/Acetaminophen, 29

Insupen Ultrafin 29GX12MM, 38

Imitrex Statdose Refill, 31

hydrocodone/homatropine, 32


Imitrex Statdose System, 31

hydrocodone/ibuprofen, 29


Imovax Rabies (h.d.c.v.), 34


Jardiance, 16 lactic acid, 13

Integra F, 21

Jentadueto, 17 lactic acid e, 13

Integra Plus, 21

Jevtana, 6 lactic acid w/vitamin e, 13

Integrilin, 22

Jublia, 11 lactulose, 18, 19

Intelence, 3

Juxtapid, 10 Lamictal, 25

Interarticular Joint Kit, 14

K Lamictal Chewable Dispersible, 25

Intermezzo, 24

Lamictal Odt, 25

K-phos NO 2, 21

Intron A, 6

Lamictal Starter/Not Taking Carbamazepine, 25

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

Intron A W/Diluent, 6

K10-lido, 14

Intuniv, 25

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25

K40-lido, 14

Invanz, 4

Kadcyla, 5

Invega, 24

Kadian, 29

Invega Sustenna, 24

Lamictal Starter/Taking Valproate, 25

Kalbitor, 22

Invega Trinza, 24

Lamictal XR, 25

Kaletra, 3

Invirase, 3

Lamisil, 2

Kalydeco, 33

Invokamet, 16

Lamisil Spray, 11

Kapvay, 25

Invokana, 16

lamivudine, 3

Kapvay Dose Pack, 25

Ionsys, 29

lamivudine/zidovudine, 3

Karbinal ER, 32

iophen C-NR, 32

lamotrigine, 25

Kazano, 17

Iopidine, 28

lamotrigine ER, 25

Keflex, 1

Ipol Inactivated IPV, 34

lamotrigine odt, 25

Kenalog, 13

ipratropium bromide, 32(2)

lamotrigine titration, 25

Kenalog-10, 14

ipratropium bromide/albuterol sulfate, 32

Lancet Transporter Case, 38

Kenalog-40, 14

Iprivask, 22

Lancets, 38

Kengreal, 22

irbesartan, 8

Lancets 26G Twist Top, 38

Kepivance, 7

irbesartan/hydrochlorothiazide, 8

Lancets 28G, 38

Keppra, 25

Irenka, 23

Lancets 30G, 38

Keppra XR, 25

Iressa, 6


Kerafoam, 13

irinotecan, 6

Lancets 30G/Twist Top, 38

Kerafoam 42, 13

Irinotecan, 6


Keralac, 13

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

Lancets 33G Universal Design, 38

Keralyt, 13

Lancets Bullseye Safety, 38

Keralyt Scalp, 13

Irospan 24/6, 21

Lancets Safety Seal 21G, 38

Kerlone, 7

Is 24/6, 21


Kerydin, 11

Isentress, 3


Ketek, 4

isoniazid, 2


ketoconazole, 2, 11

Isoniazid, 2

Lancets Thin, 38

Ketodan Kit, 11

Isopto Atropine, 28

Lancets Twist Top, 38

ketoprofen, 30

Isopto Carbachol, 28

Lancets Ultra Fine, 38

Ketoprofen ER, 30

Isopto Carpine, 28

Lancets Ultra Thin, 38

Ketorocaine-l, 30

Isopto Homatropine, 28

Lanoxin, 7

Ketorocaine-lm, 30

Isopto Hyoscine, 28

Lanoxin Pediatric, 7

Ketorolac 2% Gel, 12

Isordil Titradose, 7

lansoprazole, 19

ketorolac tromethamine, 28, 30

isosorbide dinitrate, 7

lansoprazole/amoxicillin/clarithromycin, 19

Ketorolac Tromethamine, 30

Isosorbide Dinitrate, 7

Keveyis, 9

Isosorbide Dinitrate ER, 7

Lantus, 16

Keytruda, 5

isosorbide mononitrate, 7

Lantus Solostar, 16

Khedezla, 23

isosorbide mononitrate ER, 7

Lasix, 9

Kineret, 30

isotonic gentamicin, 2

Lastacaft, 28

Kinlytic, 22

Isotonic Gentamicin, 2

latanoprost, 28

Kinrix, 33

Isoxsuprine HCL, 10

Latrix XM, 13

Kitabis PAK, 2

isradipine, 7

Latuda, 24

Klaron, 11

Istalol, 27

Lazanda, 29

Klonopin, 25

Istodax, 6

Ldo Plus, 13

Koate-dvi, 22

Isuprel, 33

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

Kogenate FS, 22

itraconazole, 2

Kogenate FS Bio-set, 22

ivermectin, 3

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

Kombiglyze XR, 16

Ixempra Kit, 6

Korlym, 16

Ixiaro, 34

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

Kristalose, 18

Ixinity, 22

Krystexxa, 31

J

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

Kuvan, 18

J-max, 32

Kynamro, 10

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

Jadenu, 42

Kyprolis, 6

Jakafi, 6

L

leflunomide, 30

Jalyn, 21

labetalol HCL, 7 Lemtrada, 26

Janumet, 16

Lac-hydrin, 13 Lenvima 10MG Daily Dose, 6

Janumet XR, 16

Lacrisert, 27 Lenvima 14MG Daily Dose, 6

Januvia, 16

Lenvima 20MG Daily Dose, 6

Lifescan Unistik II Lancets, 38 Lomotil, 18

Lenvima 24MG Daily Dose, 6

Lincocin, 4 Lomustine, 4

Lescol, 10

Lincomycin/Lidocaine, 4 Lonsurf, 7

Lescol XL, 10

lindane, 13 loperamide HCL, 18

Letairis, 10

linezolid, 4 Lopid, 10

letrozole, 5

Linzess, 20 Lopressor, 7

leucovorin calcium, 6

Lioresal Intrathecal, 27 Lopressor HCT, 9

Leucovorin Calcium, 6

liothyronine sodium, 18 Loprox, 11

Leukeran, 4

Lipitor, 10 Loprox Shampoo, 11

Leukine, 21

Lipofen, 10 lorazepam, 23

leuprolide acetate, 5

Liquicet, 29 Lortab, 29

Levacet, 29

lisinopril, 8 Lorzone, 27

levalbuterol, 32

lisinopril/hydrochlorothiazide, 8 losartan potassium, 8

levalbuterol HCL, 32

Lite Touch Pen Needles/31G X 3/16", 38 losartan potassium/hydrochlorothiazide, 8

Levaquin, 2

Liteaire, 42

Levatol, 7

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

Loseasonique, 15

Levbid, 19

Lotemax, 28

Levemir, 16


Lotensin, 8

Levemir Flexpen, 16

Lotensin HCT, 9

Levemir Flextouch, 16


Lotrel, 9

levetiracetam, 25

Lotrisone, 11

Levetiracetam, 25


Lotronex, 20

levetiracetam ER, 25

lovastatin, 10

Levitra, 10


Lovaza, 10

levobunolol HCL, 27

Lovenox, 22

Levobunolol HCL, 27

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

loxapine, 24

levocarnitine, 18

loxapine succinate, 24

levocetirizine dihydrochloride, 31

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

Loxitane, 24

levofloxacin, 2, 27

LT Injection Kit, 14

levofloxacin IN D5W, 2

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

Lta 360 Kit, 23

levoleucovorin, 6

Lufyllin, 33

Levoleucovorin, 6

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

Lumigan, 28

levoleucovorin calcium, 6

Lumizyme, 18

levonorgestrel, 15


Lunesta, 24

Levonorgestrel, 15

Lupaneta Pack, 17

levonorgestrel and ethinyl estradiol, 15


Lupron Depot, 5

levonorgestrel/ethinyl estradiol, 15

Lupron Depot-PED, 17

Levophed, 9

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

Levorphanol Tartrate, 29

Litetouch Pen Needles 29GX12.7MM, 38 Luxiq, 13

levothyroxine sodium, 18

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

Levothyroxine Sodium, 18

Litetouch Pen Needles 31GX8MM SHORT, 38

Lycelle, 14

Levsin, 19

Lynparza, 6

Levsin/SL, 19

Lithium, 24 Lyrica, 25

Lexapro, 23

lithium carbonate, 24 Lysodren, 5

Lexiva, 3

Lithium Carbonate, 24 Lysteda, 22

Lialda, 20

lithium carbonate ER, 24 Lytensopril Kit, 9

Liberty Medical Lancets 30G, 38

Lithobid, 24 Lytensopril-90, 9

lidocaine, 13

Lithostat, 21 Lytensopril-90 Kit, 9

Lidocaine And Tetracaine Cream, 13

Livalo, 10 M

lidocaine HCL, 8, 13, 22, 31

Live Better Lancet Super Thin 30G, 38

M-m-r II, 34

Lidocaine HCL, 8, 13

Live Better Lancet Ultra Thin 28G, 38

M.v.i. Adult, 35

lidocaine HCL IN D5W, 8

Live Better Pen Needles 29G X 12MM, 38

M.v.i. Pediatric, 35

lidocaine HCL jelly, 13

M.v.i.-12 Without Vitamin K, 35

lidocaine HCL viscous, 22


Macrobid, 20

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20

Macrodantin, 20


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

lidocaine HCL/dextrose, 8

LMD 10% Dextrose 5%, 22

Lidocaine HCL/Dextrose, 31

LMD 10% Sodium Chloride 0.9%, 22


lidocaine HCL/hydrocortisone acetate, 19

LO Loestrin FE, 15

lidocaine viscous, 22

LO Minastrin FE, 15


lidocaine/epinephrine, 31

Locoid, 13

lidocaine/prilocaine, 13

Locoid Lipocream, 13


Lidoderm, 13

Lodosyn, 26

Lidoprofen, 12

Loestrin 1.5/30-21, 15

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

Lidothol, 13

Loestrin 1/20-21, 15

Lidotral, 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

Makena, 16

mefloquine HCL, 3 Methylphenidate HCL ER, 25

Malarone, 3

Mefoxin, 1 methylphenidate HCL SR, 25

malathion, 13

Megace ES, 16 methylphenidate hydrochloride, 24

mannitol, 9

Megace Oral, 5 methylprednisolone, 14

Maprotiline HCL, 23

megestrol acetate, 5, 15 Methylprednisolone, 14

Marbeta-25, 14

Megrix, 14 methylprednisolone acetate, 14

Marbeta-l, 14

Meijer Super Thin Lancets, 38 methylprednisolone dose pack, 14

Marcaine, 31

Mekinist, 6 Methylprednisolone PF, 14

Marcaine W/O Epi, 31

meloxicam, 30 methylprednisolone sodiumsuccinate, 14

Marcaine/Epinephrine, 31

Meloxicam, 30 Methylprednisolone/Lidocaine, 14

Mardex-25, 14

Meloxicam Comfort PAC, 30 methyltestosterone, 15

Marinol, 19

melphalan hydrochloride, 4 Metipranolol, 27

Marlido-25, 31

memantine HCL, 26 metoclopramide HCL, 19

Marnatal-f, 34

memantine HCL titration PAK, 26 Metoclopramide Hydrochloride, 20

Marplan, 23

memantine hydrochloride, 26 metoclopramide odt, 19

Marqibo, 6

Menactra, 34 metolazone, 9

Mask Vortex/Baby Whirl Duckling, 42

Menest, 15 metoprolol succinate ER, 7

Mask Vortex/Child/Frog, 42

Menhibrix, 34 metoprolol tartrate, 7

Mask Vortex/Spinner The Duck, 42

Menomune-a/C/Y/W-135, 34 metoprolol/hydrochlorothiazide, 8

Mask Vortex/Toddler/Lady Bug, 42

Menopur, 17 Metozolv Odt, 20

Matulane, 6

Menostar, 15 Metro IV, 4

Mavik, 8

Mentax, 11 Metrocream, 11

Maxair Autohaler, 33

Menveo, 34 Metrogel, 11

Maxalt, 31

meperidine HCL, 29 Metrogel-vaginal, 20

Maxalt-MLT, 31

Meperidine HCL, 29 Metrolotion, 11

Maxaron Forte, 21

Mephyton, 34 metronidazole, 4, 11

Maxfe, 21

meprobamate, 23 metronidazole IN NACL 0.79%, 4

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 38

Mepron, 4 metronidazole vaginal, 20

mercaptopurine, 5 Mevacor, 10

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

meropenem, 4 mexiletine HCL, 8

Meropenem/Sodium Chloride, 4 Miacalcin, 17

Maxidex, 28

Merrem, 4 Micardis, 8

Maxidone, 29

mesalamine, 19 Micardis HCT, 9

Maxipime, 1

mesna, 6 Microchamber, 42

Maxitrol, 28

Mesnex, 6 Microlet Lancets, 38

Maxzide, 9

Mestinon, 27 Microspacer, 42

Maxzide-25, 9

Mestinon Timespan, 27 Microtainer Safety Flow Lancet/Sterile/Single-use, 38

Mb Hydrogel, 14

Metadate CD, 25

meclizine HCL, 19

Metaproterenol Sulfate, 33 Microzide, 9

Meclofenamate Sodium, 30

Metastron, 6 midodrine HCL, 9

Medi-derm/L-RX, 14

metaxalone, 26 Mifeprex, 18

Medical Provider EZ Flu Shot 2014-2015, 34

Metaxalone, 27 Migergot, 31

metformin HCL, 16 Migral, 31

Medical Provider EZ Flu Shot 2015-2016, 34

metformin HCL ER, 16 Migranal, 31

methadone HCL, 29 Millipred, 14

Medical Provider Single Use EZ Flu Shot, 34

Methadone HCL, 30 Millipred DP, 14

Methadose, 30 milrinone IN dextrose, 7

Medisense Thin Lancets, 38

Methadose Sugar-free, 30 milrinone lactate, 7

Medlance Plus Extra Lancets 21G, 38

methamphetamine HCL, 24 Minastrin 24 FE, 15

Medlance Plus Lancets, 38

methazolamide, 9 Mineral Oil Heavy, 18

Medlance Plus Lancets Lite 25G, 38

methenamine hippurate, 20 Minipress, 8

Medlance Plus Lite Lancets 25G, 38

methenamine mandelate, 20 Minivelle, 15

Medlance Plus Special Lancets 0.8MM, 38

Methenamine Mandelate, 20 Minocin, 2

methimazole, 18 Minocin Kit, 2

Medlance Plus Superlite 30G, 38

methocarbamol, 26 minocycline HCL, 2

Medlance Plus Superlite 30G/Comfort Max, 38

methotrexate, 5 minocycline HCL ER, 2

methotrexate sodium, 5 minoxidil, 8

Medlance Plus Universal Lancets 21G, 38

methoxsalen, 12 Mirapex, 26

methscopolamine bromide, 19 Mirapex ER, 26

Medlance Plus/Lite 25G, 38

Methyclothiazide, 9 Mircera, 21

Medlance/Extra, 38

methyldopa, 8 Mircette, 15

Medlance/Lite, 38

Methyldopa/Hydrochlorothiazide, 9 mirtazapine, 23

Medlance/Universal, 38

Methyldopate HCL, 8 mirtazapine odt, 23

Medrol, 14

methylergonovine maleate, 29 Mirvaso, 11

Medrol Dosepak, 14

Methylin, 25 misoprostol, 19

medroxyprogesterone acetate, 15

methylphenidate HCL, 24 Mission Prenatal, 34

Medroxyprogesterone/Lidocaine, 16

methylphenidate HCL CD, 25 Mitigare, 31

mefenamic acid, 30

methylphenidate HCL ER, 25 mitomycin, 4

Mitomycin, 4

5ML/29G X 1/2", 38 30G, 39

Mitosol, 27

Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 38

Mykidz Iron Fl, 34

mitoxantrone HCL, 4

Myleran, 4

Mlk F4 Kit, 14


Mynatal, 34

Mobic, 30

Myobloc, 26

modafinil, 25

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39

Myoxin, 29

Moderiba, 3

Myozyme, 18

Moderiba 1200 Dose Pack, 3


Myrbetriq, 20

Moderiba 800 Dose Pack, 3

Mysoline, 25

Modicon, 15


mytussin DAC, 32

moexipril HCL, 8

N

moexipril/hydrochlorothiazide, 8

Monojector End CAPS, 39

nabumetone, 30

mometasone furoate, 12

Monojector Opd End CAPS, 39

nadolol, 7

Moms Choice RX, 34

Monolet Lancets, 39

nadolol/bendroflumethiazide, 8

Monoclate-p, 22

Monolet Opd Lancets, 39

nafcillin sodium, 1

Monodox, 2

Monolettor Safety Lancets, 39

Nafcillin Sodium, 1

Monoject Bone Marrow Biopsy Prepping Tray, 31

Mononine, 22

Nafrinse Daily/Acidulated, 23

Monovisc, 27

Nafrinse Daily/Neutral, 23

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

montelukast sodium, 32

Nafrinse Weekly, 23

Monurol, 20

naftifine HCL, 11

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

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

Naftin, 11

Naglazyme, 18

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

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

nalbuphine HCL, 29

Nalfon, 30

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

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39

Nallpen Iso-osmotic IN Dextrose, 1

Nallpen/Dextrose, 1

Monoject Insulin Syringe/1ML, 38

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 39

Namenda, 26

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

Namenda Titration PAK, 26

Morgidox 1X100MG, 2

Namenda XR, 26

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

Morgidox 2X100MG, 2

Namenda XR Titration Pack, 26

morphine sulfate, 29

Namzaric, 26

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

Morphine Sulfate, 29

Naphazoline HCL, 28

Morphine Sulfate Add-vantage, 30

Naprelan, 30

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

morphine sulfate ER, 29

Naprosyn, 30

Morphine Sulfate ER, 29

naproxen, 30

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

Morphine Sulfate/Sodium Chloride, 30

Naproxen, 30

Motofen, 18

Naproxen Comfort PAC, 30

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

Movantik, 20

naproxen sodium, 30

Moviprep, 18

naproxen sodium CR, 30

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

Moxatag, 1

naproxen sodium ER, 30

Moxeza, 27

naratriptan HCL, 31

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

moxifloxacin HCL, 2

Nardil, 23

Moxifloxacin HCL, 2

Naropin, 31

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

Mozobil, 21

Nascobal, 21

MS Contin, 30

Nasonex, 32

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

Mucinex D, 32

Natachew, 34

Mucinex Maximum Strength, 32

Natacyn, 27

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

Multaq, 8

Natafort, 34

Multigen, 21

Natalvirt 90 DHA, 35

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

Multigen Folic, 21

Natalvirt CA, 35

Multigen Plus, 21

Natalvirt Flt, 21


mupirocin, 11

Natalvit, 34

mupirocin calcium, 11

Natazia, 15


Muse, 10

nateglinide, 16

Mustargen, 4

Natelle One, 34

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

Natesto, 15

Natpara, 17

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

Natrecor, 10

Natroba, 14


Myalept, 18

Nature-throid, 18

Myambutol, 2

Nature-throid Nt-2.5, 18


Mycamine, 2

Navelbine, 6

Mycobutin, 2

Nazirex, 12


mycophenolate mofetil, 5

Nebupent, 4

mycophenolic acid DR, 5

Nebusal, 32


Mydfrin, 28

Necon 1/50-28, 15

Myfortic, 5

Necon 10/11-28, 15

Monoject Ultra Comfort Insulin Syringe/0.

Myglucohealth Mgh Softlance Lancets

Neevo DHA, 34

nefazodone HCL, 23

Nicazel Forte, 35 Nova Sureflex Lancets, 39

Nefazodone HCL, 23

Nicazeldoxy 30 Kit, 2 Novaferrum, 21

Nembutal Sodium, 24

Nicazeldoxy 60 Kit, 2 Novoclair, 12

Neo-synalar, 11

Nicomide, 35 Novoeight, 22

Neo-synalar Kit, 11

nifedipine, 7 Novofine Plus 32GX4MM, 39

neomycin sulfate, 2

nifedipine ER, 7 Novolin 70/30, 16

neomycin/bacitracin/polymyxin, 27

Nilandron, 5 Novolin 70/30 Relion, 16

neomycin/polymyxin/bacitracin zinc, 27

Nimbex, 26 Novolin N, 16

neomycin/polymyxin/bacitracin/hydrocortisone, 27

nimodipine, 7 Novolin N Relion, 16

Nipent, 6 Novolin R, 16

neomycin/polymyxin/dexamethasone, 27

Niravam, 23 Novolin R Relion, 16

neomycin/polymyxin/gramicidin, 27

nisoldipine, 7 Novolog, 16

neomycin/polymyxin/HC, 28

Nisoldipine, 7 Novolog Flexpen, 16

Neomycin/Polymyxin/Hydrocortisone, 28

Nisoldipine ER, 7 Novolog Mix 70/30, 16

neomycin/polymyxin/hydrocortisone, 28

Nitro-bid, 7 Novolog Mix 70/30 Prefilled Flexpen, 16

Neoprofen, 30

Nitro-dur, 7 Novolog Penfill, 16

Neoral, 5

nitrofurantoin, 20 Novoseven Rt, 22

Neosalus, 14

nitrofurantoin macrocrystals, 20 Noxafil, 2

Neosalus CP, 14

nitrofurantoin monohydrate, 20 NP thyroid 30, 18

Neosporin, 27

nitrofurantoin monohydrate/macrocrystals, 20

Nplate, 21

neostigmine methylsulfate, 27

Nucala, 33

Neostigmine Methylsulfate, 27

Nitroglycerin, 7 Nucort, 13

Neotuss Plus, 32

nitroglycerin ER, 7 Nucynta, 30

Nephplex RX, 35

nitroglycerin IN 5% dextrose, 7 Nucynta ER, 30

Nephro-vite RX, 35

nitroglycerin IN dextrose 5%, 7 Nuedexta, 26

Nephrocaps, 35

Nitroglycerin IN Dextrose 5%, 7 Nulojix, 5

Nephrocaps QT, 35

nitroglycerin lingual, 7 Nulytely/Flavor Packs, 18

Nephron Fa, 21

Nitroglycerin Lingual, 7 Numoisyn, 23

Neptazane, 9

nitroglycerin transdermal, 7 Nuox, 11

Nesacaine, 31

Nitrolingual Pumpspray, 7 Nutricap, 35

Nesacaine-mpf, 31

Nitromist, 7 Nutridox, 2

Nesina, 16

Nitronal, 7 Nutrivit, 35

Nessi Spacer/Large Mask, 42

Nitropress, 8 Nutropin AQ Nuspin 10, 17

Nessi Spacer/Mouthpiece, 42

Nitrostat, 7 Nutropin AQ Nuspin 20, 17

Nessi Spacer/Small/MED Mask, 42

Niva-plus, 34 Nutropin AQ Nuspin 5, 17

Nestabs, 34

Nivatopic Plus, 14 Nutropin AQ Pen, 17

Nestabs Abc, 35

nizatidine, 19 Nuvail, 14

Nestabs DHA, 34

Nizoral, 11 Nuvaring, 15

Netgroup Lancets, 39

Nor-QD, 15 Nuvessa, 20

Neuac Kit, 11

Norco, 30 Nuvigil, 25

Neulasta, 21

Norditropin Cartridge, 17 Nuvya, 12

Neulasta Delivery Kit, 21

Norditropin Flexpro, 17 Nuwiq, 22

Neumega, 21

Norditropin Nordiflex Pen, 17 Nuzon, 13

Neupogen, 21

norepinephrine bitartrate, 9 Nymalize, 7

Neupro, 26

norethindrone, 15 nystatin, 2, 11, 22

Neurontin, 25

norethindrone & ethinyl estradiol ferrous fumarate, 15

nystatin/triamcinolone, 11

Neutrasal, 23

O

Neutrexin, 4

norethindrone acetate, 16

O-CAL Fa, 34

Neuvaxin, 14

norethindrone acetate/ethinyl estradiol, 15(2)

O-CAL Prenatal, 34

Nevanac, 28

OB Complete, 34

nevirapine, 3

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

OB Complete 400, 34

Nevirapine, 3

OB Complete One, 34

nevirapine ER, 3

Norflex, 27

OB Complete Petite, 34

Newgen, 34

norgestimate/ethinyl estradiol, 15

OB Complete Premier, 34

Nexa Plus, 35

Norinyl 1+35, 15

OB Complete/DHA, 34

Nexavar, 6

Norinyl 1+50, 15

Obredon, 32

Nexium, 19

Noritate, 11

Obstetrix DHA, 34

Nexium 24HR, 19

Noroxin, 2

Obtrex, 34

Nexium I.v., 19

Norpace, 8

Obtrex DHA, 34

Nexterone, 8

Norpace CR, 8

octreotide acetate, 17

niacin ER, 10

Norpramin, 23

Ocudox, 2

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

Northera, 9

Ocufen, 28

nortriptyline HCL, 23

Ocuflox, 27

Niacor, 10

Nortriptyline HCL, 23

Ocuvel, 35

Niaspan, 10

Norvasc, 7

Ofev, 33

Nicadan, 35

Norvir, 3

Ofirmev, 29

nicardipine HCL, 7

Nova Safety Lancets 23G, 39

ofloxacin, 2, 27, 28

Nicazel, 35

Nova Safety Lancets 28G, 39

Ofloxacin, 2

olanzapine, 24

Optichamber Advantage, 42 Oxycontin, 29

olanzapine odt, 24

Optichamber Diamond, 42 oxymorphone hydrochloride, 29

olanzapine/fluoxetine, 26

Optichamber Diamond/Largeface Mask, 42

oxymorphone hydrochloride ER, 29

Oleptro, 23

oxytocin, 29

olopatadine HCL, 32

Optichamber Diamond/Medium Face Mask, 42

Oxytocin/Lactated Ringers, 29

Olux, 13

Oxytrol, 20

Olux-e, 13

Optichamber Diamond/Smallface Mask, 42

P

Olysio, 3

paclitaxel, 6

Omeclamox-PAK, 19

Optihaler, 42

Paclitaxel, 6

omega-3-acid ethyl esters, 10

Optihaler MDI Drug Delivery System, 42

Paire OB, 35

Omega-3/D-3 Wellness Pack, 10

Optivar, 28

Palgic, 32

omeprazole, 19

Oracea, 11

paliperidone ER, 24

Omeprazole + Syrspend SF Alka, 19

Oracit, 21

Pamelor, 23

omeprazole/sodium bicarbonate, 19

Orafate, 23

pamidronate disodium, 17

Omnaris, 32

Orap, 26

Pamidronate Disodium, 17

Omnipred, 28

Orapred, 14

Pamine, 19

Omnitrope, 17

Orapred Odt, 14

Pamine Forte, 19

Omontys, 21

Oravig, 23

Pamine FQ, 19

On Call Lancets, 39

Orbactiv, 4

Panatuss Dxp, 32

On Call Plus Lancets, 39

Orencia, 30

Pancreaze, 19

Oncaspar, 5

Orenitram, 10

Pancrelipase, 19

ondansetron HCL, 19

Orfadin, 18

pancuronium bromide, 26

ondansetron odt, 19

Orkambi, 33

Panda Mask Large, 42

One A Day Womens Prenatal/DHA, 34

orphenadrine citrate, 26

Panda Mask Medium, 42

One A Day Womens Prenatal1, 34

orphenadrine citrate ER, 26

Panda Mask Small, 42

One-a-day Womens Prenatal, 34

orphenadrine/asa/caffeine, 26

Pandel, 13

Onetouch Basic System, 39

Ortho Evra, 15

pantoprazole sodium, 19

Onetouch Basic/Profile Test Strips, 39

Ortho Micronor, 15

papaverine HCL, 10

Onetouch Club Lancets Fine Point, 39

Ortho Tri-cyclen, 15

Parafon Forte DSC, 27

Onetouch Combo Pack, 39

Ortho Tri-cyclen LO, 15

Parcopa, 26

Onetouch Delica Lancets Extra Fine 33G, 39

Ortho-cept, 15

paricalcitol, 18

Ortho-cyclen, 15

Parlodel, 26

Onetouch Delica Lancets Fine 30G, 39

Ortho-novum 1/35, 15

Parnate, 23

Onetouch Finepoint Lancets, 39

Ortho-novum 7/7/7, 15

paromomycin sulfate, 2

Onetouch Lancets, 39

Orthovisc, 27

paroxetine HCL, 23

Onetouch Profile System, 39

Oseni, 17

paroxetine HCL ER, 23

Onetouch Suresoft Lancing Device/18G, 39

Osmoprep, 18

Paser, 2

Osphena, 17

Pataday, 28


Otezla, 30

Patanase, 32

Otozin, 29

Patanol, 28


Otrexup, 30

Paxil, 23

Ovace Plus, 12

Paxil CR, 23

Onetouch Ultra 2, 39

Ovace Plus Wash, 12

Pazeo, 28

Onetouch Ultra Blue, 39

Ovace Wash, 12

PC Unifine Pentips 29G X 1/2", 39

Onetouch Ultra Mini, 39

Ovcon-35, 15

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

Onetouch Ultra System Kit, 39

Ovide, 14

Onetouch Ultralink System (DEC), 39

Ovidrel, 17

PC Unifine Pentips 31G X 8MM SHORT, 39

Onetouch Ultralink System (hex), 39

oxacillin sodium, 1

Onetouch Ultrasmart, 39

oxaliplatin, 4

PCE, 1

Onetouch Ultrasoft Lancets, 39

Oxandrin, 15

Pcp 100, 18

Onetouch Verio, 39

oxandrolone, 15

Pediaderm AF Complete Kit, 11

Onetouch Verio IQ Blood Glucose Monitoring System, 39

oxaprozin, 30

Pediaderm HC, 13

Oxaydo, 30

Pediaderm Ta, 13

Onetouch Verio Sync Bloodglucose Monitoring System, 39

oxazepam, 23

Pediapred, 14

oxcarbazepine, 25

Pediarix, 33

Onetouch Verio Test Strips, 39

Oxecta, 30

Pediatex TD, 32

Onexton, 11

Oxistat, 11

Pediatex TDM, 32

Onfi, 25

Oxsoralen, 14

Pediatric Panda Mask, 42

Onglyza, 16

Oxsoralen Ultra, 12

Pedipirox-4 Nail, 11

Onivyde, 6

Oxtellar XR, 25

Pedvax HIB, 34

Onmel, 2

oxybutynin chloride, 20

peg 3350/electrolytes, 18

Opana, 30

oxybutynin chloride ER, 20

peg-3350/electrolytes, 18

Opana ER (crush Resistant), 30

oxycodone HCL, 29

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

Opdivo, 5

Oxycodone HCL, 30

Peg-intron, 3

opium, 18

Oxycodone HCL ER, 29

Peg-intron Redipen, 3

opium tincture, 18

oxycodone/acetaminophen, 29

Peg-intron Redipen PAK 4, 3

Opium Tincture (paregoric), 18

oxycodone/aspirin, 29

Peganone, 25

Opsumit, 10

oxycodone/ibuprofen, 29

Pegasys, 3

Pegasys Proclick, 3

phenylephrine HCL, 9, 28 Prandimet, 17

Pegintron, 3

Phenylephrine HCL, 9 Prandin, 16

Pen Needles 29G X 12MM, 39

Phenylephrine HCL/Sodium Chloride, 9 Prascion Ra With Sunscreens, 11

Pen Needles 29GX1/2", 39

phenylephrine/guaifenesin, 32 Prastera, 30


Phenytek, 25 Pravachol, 10

Pen Needles 31G X 1/4" SHORT, 39

phenytoin, 25 pravastatin sodium, 10

Pen Needles 31G X 3/16", 39

phenytoin sodium, 25 Prazolamine, 27

Pen Needles 31G X 6MM, 39

phenytoin sodium extended, 25 prazosin HCL, 8


Phoslo, 20 Pre-folic, 21

penicillin G potassium, 1

Phoslyra, 20 Precedex, 24

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Phospholine Iodide, 28 Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39

Photofrin, 6

Penicillin G Procaine, 1

Phrenilin Forte, 29 Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 39

Penicillin G Sodium, 1

phytonadione, 34

penicillin v potassium, 1

pilocarpine HCL, 22, 28 Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 39

Penlac Nail Lacquer, 11

pilocarpine hydrochloride, 22

Penlet II Replacement CAPS, 39

pimozide, 26 Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 39

Penlet II Replacement CAPS-deep, 39

pindolol, 7

Penlet II Replacement CAPS-regular, 39

pioglitazone HCL, 16 Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39

Pennsaid, 12

pioglitazone HCL-glimepiride, 16

Pentacel, 33

pioglitazone HCL/metformin HCL, 16 Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39

Pentam 300, 4

piperacillin sodium/ tazobactam sodium, 1

Pentasa, 20

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

pentazocine/acetaminophen, 29

piperacillin sodium/tazobactam sodium, 1

pentazocine/naloxone HCL, 29

piperacillin/tazobactam, 1 Precision Thin Lancets, 39

Pentetate Calcium Trisodium, 42

piroxicam, 30 Precision Thins GP Lancet, 39

Pentetate Zinc Trisodium, 42

Pitocin, 29 Precision Ultra Lancet, 39

Pentips 31GX5MM, 39

Pitressin Synthetic, 18 Precose, 16

Pentips 31GX8MM, 39

Plan B, 15 Pred Forte, 28

Pentips 32GX4MM, 39

Plan B One-step, 15 Pred Mild, 27

pentoxifylline ER, 22

Plaquenil, 3 Pred-G, 28

Pepcid, 19

Plavix, 22 Pred-G S.o.p., 28

Percocet, 30

Plegridy, 26 prednicarbate, 12

Percodan, 30

Plegridy Starter Pack, 26 prednisolone, 14

Perfect Lancets 30G, 39

Pletal, 22 prednisolone acetate, 27

Perfect Pressure Activated Safety Lancets 28G, 39

Plexion, 11 prednisolone sodium phosphate, 14

Plexion Cleanser, 11 Prednisolone Sodium Phosphate, 14, 27

Perforomist, 33

Plexion Cleansing Cloths, 11 prednisolone sodium phosphate odt, 14

Peridex, 23

Pliaglis, 14 prednisone, 14

perindopril erbumine, 8

Pneumovax 23, 34 Prednisone, 14

Perjeta, 5

Pneumovax 23/1 Dose, 34 Prednisone Intensol, 14

permethrin, 13

Pneumovax 23/5 Dose, 34 Prefera OB, 34

perphenazine, 24

Pocket Chamber, 42 Prefera OB + DHA, 34

Perphenazine/Amitriptyline, 26

Pocket Spacer, 42 Preferaob +dha, 35

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, 14

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, 21 Prempro, 15

potassium citrate-citric acid crystals, 21 Prenata, 34


potassium citrate/citric acid, 21 Prenatal Vitamin, 34

potassium citrate/sodium citrate/citric acid, 21

Prenatal Vitamins, 34

Pharmacy Counter Lancets, 39

Prenate, 35

phenazopyridine HCL, 21

Potiga, 25 Prenate AM, 34

phenelzine sulfate, 23

Pr Cream, 14 Prenate DHA, 35

Phenergan, 32

Pradaxa, 22 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, 29 Prenate Restore, 35

Prenate Star, 34

Prolastin-c, 33 Qc Pen Needles 31G X 6MM, 39

Prepidil, 29

Prolensa, 28 Qc Pen Needles 31G X 8MM, 39

Prepopik, 18

Proleukin, 6 Qnasl, 32

Preque 10, 35

Prolia, 17 Qnasl Childrens, 32

Presera, 14

Promacta, 21 Quadracel, 33

Prestalia, 9

promethazine HCL, 31 Quadramet, 6

Prevacid, 19

promethazine HCL plain, 31 Qualaquin, 3

Prevacid Solutab, 19

promethazine-DM, 32 Quartette, 15

Prevident, 23

promethazine/codeine, 32 Quazepam, 24

Prevnar 13, 34

promethazine/dextromethorphan, 32 Qudexy XR, 25

Prevpac, 19

promethazine/phenylephrine, 32 Quelicin, 26

Prezcobix, 3

Promethazine/Phenylephrine, 32 Quelicin 1000, 26

Prezista, 3

promethazine/phenylephrine/codeine, 32 Questran, 10

Prialt, 29

Prometrium, 16 Questran Light, 10

Priftin, 2

Promiseb, 12 quetiapine fumarate, 24

Prilosec, 19

Promiseb Complete, 12 Quillivant XR, 25

Primaquine Phosphate, 3

propafenone HCL, 8 quinapril HCL, 8

Primaxin IV, 4

propafenone HCL ER, 8 quinapril/hydrochlorothiazide, 8

Primaxin IV Add-vantage, 4

Propantheline Bromide, 19 Quinidine Gluconate, 8

primidone, 25

proparacaine HCL, 28 quinidine gluconate CR, 8

Primlev, 30

propranolol HCL, 7 quinidine gluconate ER, 8

Primsol, 4

Propranolol HCL, 7 quinidine sulfate, 8

Prinivil, 8

propranolol HCL ER, 7 Quinidine Sulfate, 8

Pristiq, 23

Propranolol/Hydrochlorothiazide, 9 Quinidine Sulfate ER, 8

Pro-c-dure 1 Kit, 14

propylthiouracil, 18 quinine sulfate, 3


Proquad, 34 Qutenza, 14


Proscar, 21 Qvar, 33


Prosed/DS, 20 R


Prostigmin, 27

R-natal OB, 35


Prostin E2, 29

Rabavert, 34

Proair HFA, 33

Protamine Sulfate, 22

rabeprazole sodium, 19

Proair Respiclick, 33

Protect Plus, 35

raloxifene hydrochloride, 17

probenecid, 31

Protectiron, 21

ramipril, 8

probenecid/colchicine, 31

Prothelial, 23

Ranexa, 7

Procainamide HCL, 8

Protonix, 19

ranitidine HCL, 19

Procardia, 7

Protopic, 13

Rapaflo, 21

Procardia XL, 7

protriptyline HCL, 23

Rapamune, 5

Procentra, 25

Provenge, 6

Rapivab, 3

prochlorperazine, 24

Proventil HFA, 33

Rasuvo, 30

prochlorperazine edisylate, 24

Provera, 16

Ravicti, 18

prochlorperazine maleate, 24

Provida DHA, 35

Rayos, 14

Procort, 20

Provida OB, 34

Razadyne, 26

Procrit, 21

Provigil, 25

Razadyne ER, 26

Proctocort, 20

Prozac, 23

Rebetol, 3

Proctofoam HC, 20

Prozac Weekly, 23

Rebif, 26

Procysbi, 21

Pruclair, 14

Rebif Rebidose, 26

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

Prudoxin, 12

Rebif Rebidose Titration Pack, 26

Prumyx, 14

Rebif Titration Pack, 26

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

Pss Select GP Lancets, 39

Reclast, 17

Pss Select Platforms, 39

Recombinate, 22

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

Pss Select Safety Lancets, 39

Recombivax HB, 34

Pulmicort, 33

Recothrom, 22

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

Pulmicort Flexhaler, 33

Recothrom Spray Kit, 22

Pulmophylline, 33

Rectiv, 20

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

Pulmozyme, 33

Reglan, 20

Purinethol, 5

Regonol, 27

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

Purixan, 5

Relagard, 20

Px Lancets Ultra Thin, 39

Relenza Diskhaler, 3

Prodigy Pressure Activated Safety Lancets, 39

Pylera, 19

Relhist, 32

pyrazinamide, 2

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

Prodigy Twist Top Lancets, 39

Pyridium, 21

Proferrin-forte, 21

pyridostigmine bromide, 27

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

Profilnine, 22

Pyridoxine HCL, 34

Profilnine SD, 22

Pyrogallic Acid, 14

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

progesterone, 16

Q

Progesterone 10% Kit, 16

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

Proglycem, 16

Qc Lancets Ultra Thin, 39

Prograf, 5

Qc Pen Needles 29G X 12MM, 39 Relion Insulin Syringe/U-100/0.3ML/30G,

39

Retavase Half-kit, 22 Rosanil, 11

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

Retin-a, 11 Rosula, 11

Retin-a Micro, 11 Rotarix, 34


Retin-a Micro P.M., 11 Rotateq, 34

Retinoic Acid, 10 Rowasa, 20


Retinoic Acid-all Trans, 10 Roxicet, 30

Retrovir, 3 Roxicodone, 30

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

Retrovir IV Infusion, 3 Rozerem, 24

Revatio, 10 Ryanodex, 27


Revlimid, 5 Rytary, 26

Rexall Lancets Ultra Thin, 39 Rythmol, 8


Rexulti, 24 Rythmol SR, 8

Reyataz, 3 S

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

Rezira, 32

Sabril, 25

Rezyst IM, 18

Safe-t-lance Low Flow 25G, 39


Rezyst SB, 18

Safe-t-lance Normal Flow 21G, 39

Rheumatrex, 30

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


Rhinocort Aqua, 32

Rhinoflex-650, 29

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

Relion Lancets Micro-thin33G, 39

Riastap, 22

Relion Lancets Standard 21G, 39

Riax, 11

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

Relion Lancets Thin 26G, 39

Ribasphere, 3

Relion Lancets Ultra-thin30G, 39

Ribasphere Ribapak, 3

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

Relion Mini Pen Needles 31GX6MM, 39

Ribatab, 3

Relion Pen Needles 29GX12MM, 39

ribavirin, 3



Ridaura, 30


rifabutin, 2


Relion SHORT Pen Needles 31GX8MM, 39

Rifadin, 2

Rifamate, 2

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

Relion Thin Lancets, 39

rifampin, 2

Relion Ultra Thin Lancets, 39

Rifater, 2

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

Relion Ultra Thin Lancets30G, 39

Right Step Prenatal, 34

Relion Ultra Thin Plus Lancets 32G, 39

Rightest GD-L500 Alternate Site Adapter, 39

Safety Lancet 21G/Pressure Activated, 40

Relion Ultra Thin Plus Lancets 33G, 39

Relistor, 20

Rightest Gl300 Lancets, 39

Safety Lancet 28G/Pressure Activated, 40

Relpax, 31

Rilutek, 26

Relyyks, 14

riluzole, 26

Safety Lancets, 40

Relyyt, 14

rimantadine HCL, 3

Safety Lancets 21G, 40

Remeron, 23

Rimantalist, 3

Safety Lancets 28G, 40

Remeron Soltab, 23

Riomet, 16

Safety Let Lancets, 40

Remicade, 20

risedronate sodium, 17

Safety Seal Lancets 28G, 40

Remodulin, 10

risedronate sodium DR, 17

Safety Seal Lancets 30G, 40

Renagel, 20

Risperdal, 24

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 40

Renatabs, 35

Risperdal Consta, 24

Renatabs With Iron, 35

Risperdal M-TAB, 24

Safyral, 15

Renew Advanced Lancing Cartridge Refills, 39

risperidone, 24

Saizen, 17

risperidone odt, 24

Saizen Click.easy, 17

Renvela, 20

Ritalin, 25

Salagen, 23

Reopro, 22

Ritalin LA, 25

Salex, 14

repaglinide, 16

Ritalin SR, 25

Salex Cream, 14

Repatha, 10

Riteflo, 42

Salex Lotion, 14

Repatha Sureclick, 10

Rituxan, 5

salicylic acid, 13

Reprexain, 30

rivastigmine tartrate, 26

Salicylic Acid, 14

Repronex, 17

rivastigmine transdermal system, 26

salicylic acid cream, 13

Req 49+, 35

rizatriptan benzoate, 31

Salicylic Acid IN Ammonium Lactate Vehicle, 14

Requip, 26

rizatriptan benzoate odt, 31

Requip XL, 26

Robaxin, 27

salicylic acid lotion, 13

Rescon-JR, 32

Robaxin-750, 27

Salkera, 14

Rescon-MX, 32

Robinul, 19

salsalate, 29

Rescriptor, 3

Robinul Forte, 19

Salvax, 14

Rescula, 28

Rocaltrol, 18

Salvax Duo Plus, 14

Reserpine, 8

Rocephin, 1

Samsca, 18

Respa-BR, 32

rocuronium bromide, 26

Sanctura, 20

Restasis, 28

ropinirole ER, 25

Sanctura XR, 20

Restora RX, 18

ropinirole HCL, 25

Sancuso, 19

Restora Sprinkles, 18

ropivacaine, 31

Sandimmune, 5

Restoril, 24

ropivacaine HCL, 31

Sandostatin, 17

Retavase, 22

Rosadan Kit, 11

Sandostatin Lar Depot, 17

Saphris, 24

Sinemet CR, 26 Spiriva Respimat, 33

Sarafem, 26

Single-let, 40 spironolactone, 9

Savaysa, 22

Singulair, 33 spironolactone/hydrochlorothiazide, 9

Savella, 26

sirolimus, 5 Sporanox, 2

Savella Titration Pack, 26

Sirturo, 2 Sporanox Pulsepak, 2

Scalacort DK, 13

Sitavig, 3 Sprix, 30

Scar Patch, 14

Sivextro, 4 Sprycel, 6

Scopolamine Hydrobromide, 19

Skelaxin, 27 Staflex, 29

Seasonique, 15

Sklice, 14 Stalevo 100, 26

Seb-prev, 12

Smart Diabetes Vantage Universal Lancets 30G, 40

Stalevo 125, 26

Seconal, 24

Stalevo 150, 26

Sectral, 7

Smart Sense Color Lancets Universal 33G, 40

Stalevo 200, 26

Seebri Neohaler, 33

Stalevo 50, 26

Select-OB, 34

Smart Sense Standard Lancets Universal 21G, 40

Stalevo 75, 26

Select-ob+dha, 35

stannous fluoride oral rinse, 22

selegiline HCL, 26

Smart Sense Super Thin Lancets Universal 30G, 40

Starlix, 16

selenium sulfide, 12

stavudine, 3

Selrx, 12

Smart Sense Thin Lancets Universal 26G, 40

Stavzor, 25

Selzentry, 3

Staxyn, 10

Semprex-d, 32

Smartest Lancets 28G, 40 Stelara, 12

Senophylline, 33

Sodium Bicarbonate, 18 Stendra, 10

Sensipar, 18

sodium chloride, 32 Sterilance PA, 40

Sensorcaine-mpf/Epinephrine, 31

sodium citrate/citric acid, 21 Sterilance TL, 40

Sentradine, 19

Sodium Diuril, 9 Stimate, 18

Sentraflox AM-10, 23

Sodium Edecrin, 9 Stiolto Respimat, 33

Sentralopram AM-10, 23

sodium ferric gluconate complex/sucrose, 21

Stivarga, 6

Sentramodafin AM-100, 25

Strattera, 25

Sentravil PM-25, 23

sodium hyaluronate, 13 Strazepam, 24

Sentrazolam AM 0.25, 23

sodium phenylbutyrate, 18 Strensiq, 18

Sentrazolpidem PM-5, 24

sodium sulfacetamide, 10, 12, 27 Streptomycin Sulfate, 2

Sentroxatine, 24

sodium sulfacetamide wash, 12 Striant, 15

Serevent Diskus, 33

sodium sulfacetamide/sulfur, 10 Stribild, 3

Seroquel, 24

Sodium Sulfacetamide/Sulfur, 11 Striverdi Respimat, 33

Seroquel XR, 24

sodium sulfacetamide/sulfur cleanser, 10 Stromectol, 4

Serostim, 17

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite Forte, 35

sertraline HCL, 23

Strovite One, 35

Sevelamer Carbonate, 20

sodium sulfacetamide/sulfur cleansing cloths, 10

Stuart Prenatal, 34

Sfrowasa, 20

Suboxone, 29

Shohls Solution Modified, 21

sodium sulfacetamide/sulfur green, 10 Subsys, 30

Shopko On-the-go Comfort Lancets 30G, 40

Sodium Sulfacetamide/Sulfur IN Urea, 11 Suclear, 18

sodium sulfacetamide/sulfur w/sunscreen, 10

Sucraid, 19

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 40

sucralfate, 19

sodium sulfacetamide/sulfur wash, 10 Sular, 7

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 40

Solaice, 14 sulfacetamide sodium, 10, 27

Soliris, 22 Sulfacetamide Sodium, 27

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 40

Solodyn, 2 sulfacetamide sodium/prednisolone sodium phosphate, 27

Soltamox, 5

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 40

Solu-cortef, 14 sulfacetamide sodium/sulfur cleanser, 10

Solu-medrol, 14 Sulfadiazine, 2

Shopko Unilet Lancets Super Thin 30G, 40

Solus V2 Pressure Activated Safety Lancets 28G, 40

sulfamethoxazole/trimethoprim, 4

Sulfamethoxazole/Trimethoprim, 4

Shopko Unilet Lancets Ultra Thin 28G, 40

Solus V2 Twist Lancets 30G, 40 sulfamethoxazole/trimethoprim DS, 4

Soma, 27 sulfasalazine, 19

Siderol, 35

Somatuline Depot, 17 Sulfoam, 11

Signifor, 17

Somavert, 18 Sulfurated Lime, 14

Signifor Lar, 17

Sonata, 24 sulindac, 30

Silazone Pharmapak, 13

Soolantra, 11 Sumadan Kit, 11

sildenafil, 10

Soothee, 14 Sumadan Wash, 11

sildenafil citrate, 10

Soriatane, 12 Sumadan XLT, 11

Silenor, 24

Sorilux, 12 Sumatriptan, 31

Simbrinza, 28

sotalol HCL, 7 sumatriptan succinate, 31

Simcor, 10

sotalol HCL (AF), 7 Sumatriptan Succinate, 31

Simponi, 30

Sotalol Hydrochloride, 7 sumatriptan succinate refill, 31

Simponi Aria, 30

Sotylize, 7 Sumavel Dosepro, 31

Simulect, 5

Sovaldi, 3 Sumaxin, 11

simvastatin, 10

Spectracef, 1 Sumaxin CP Kit, 11

Sinelee, 14

Spinosad, 14 Sumaxin Ts, 11

Sinemet, 26

Spiriva Handihaler, 33 Sumaxin Wash, 11

Supartz, 27

Synjardy, 17 Terumo Insulin Syringe/0.5ML/30G X 3/8", 40

Supartz Fx, 27

Synribo, 6

Supervite, 35

Synthroid, 18 Terumo Insulin Syringe/1ML/27G X 1/2", 40

Supervite EC, 35

Synvisc, 27

Support-500, 35

Synvisc One, 27 Terumo Insulin Syringe/1ML/29G X 1/2", 40

Supprelin LA, 17

T

Supracil, 14

Terumo Insulin Syringe/1ML/30G X 3/8", 40

Tabloid, 5

Suprax, 1

Tabradol Fusepaq, 27

Suprep Bowel Prep, 18

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

Taclonex, 13

Sure-fine Pen Needles 29GX1/2" 12.7MM, 40

tacrolimus, 5, 13


Tafinlar, 6

Sure-fine Pen Needles 31GX3/16" 5MM, 40

Talwin, 30


Tamiflu, 3

Sure-fine Pen Needles 31GX5/16" 8MM, 40

tamoxifen citrate, 5

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

tamsulosin HCL, 21

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

Tandem F, 21

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

Tandem Plus, 21


Tanzeum, 16


Tapazole, 18


Tarceva, 6


Targadox, 2


Targretin, 6

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

Tarka, 9


Taron-bc, 34

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

Taron-c DHA, 34


Tasigna, 6

Tessalon Perles, 32

Tasmar, 26


Testim, 15

Taxotere, 6

Testone Cik, 15

Tazicef, 1

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

Testopel, 15

Tazorac, 12

testosterone, 15

Tecfidera, 26


Testosterone, 15

Tecfidera Starter Pack, 26

testosterone cypionate, 15

Techlite AST Lancets, 40


testosterone enanthate, 15

Techlite Lancets, 40

Testosterone P.M., 15

Techlite Lancets 30G, 40


Testred, 15

Technivie, 3

Tetanus Toxoid Adsorbed, 33

Tegretol, 25

Sure-lance Flat Lancets, 40

Tetanus/Diphtheria Toxoids-adsorbed, 33

Tegretol-XR, 25

Sure-lance Lancets 26G, 40

Tekamlo, 9

Sure-lance Thin Lancets 28G, 40

Tetanus/Diphtheria Toxoids-adsorbed Adult, 33

Tekturna, 8

Sure-lance Ultra Thin Lancets, 40

Tekturna HCT, 9

Sure-touch Lancets Universal, 40

tetrabenazine, 26

telmisartan, 8

Surelite Lancets, 40

tetracaine HCL, 28

telmisartan/amlodipine, 8

Surestep Test Strips, 40

Tetracaine HCL, 31

telmisartan/hydrochlorothiazide, 8

Surfaxin, 33

Tetracycline HCL, 2

temazepam, 24

Surmontil, 24

Tetrix, 14

Temodar, 4

Survanta Intratracheal, 33

Tev-tropin, 17

Temovate, 13

Sustiva, 3

Teveten, 8

Temovate E, 13

Sutent, 6

Teveten HCT, 9

temozolomide, 4

Suttar-2, 32

Texacort, 13

Tencon, 29

Suttar-SF, 32

Texavite LQ, 35

Tenex, 8

Sylatron, 6

Thalomid, 5

Teniposide, 6

Symax Duotab, 19

Theo-24, 33

Tenivac, 33

Symbicort, 33

theophylline, 32

Tenoretic 100, 9

Symbyax, 26

theophylline CR, 32

Tenoretic 50, 9

Symlinpen 120, 16

theophylline ER, 32

Tenormin, 7

Symlinpen 60, 16

Theophylline/D5W, 33

Terazol 3, 20

Synagex, 35

Therabenzaprine-60, 27

Terazol 7, 20

Synalar, 13

Therabenzaprine-90, 27

terazosin HCL, 8

Synalar Cream Kit, 13

Therabenzaprine-90-5, 27

terbinafine HCL, 2

Synalar Ointment Kit, 13

Theracodeine-300, 30

Terbinex, 3

Synalar Ts, 13

Theracodophen-325, 30

terbutaline sulfate, 32

Synalgos-dc, 30


terconazole, 20

Synapryn Fusepaq, 30


Tersi Foam, 12

Synarel, 17

Theracodophen-low-90, 30

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

Synatek, 35

Theracys, 6

Synera, 14

Therafeldamine, 30

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

Synercid, 4

Theranatal Core Nutrition, 34

Therapentin-60, 25

Tirosint, 18 Trepoxicam-7.5, 31

Therapentin-90, 25

Tisseel, 22 Tresiba Flextouch, 16

Theraprofen-60, 31

Tisseel VH, 22 Tretin-x, 11

Theraprofen-800, 31

Tivicay, 3 tretinoin, 6, 10

Theraprofen-90, 31

Tivorbex, 31 Tretinoin, 10

Theraproxen-500, 31

Tizanidine Comfort PAC, 27 Tretinoin (all-trans Retinoic Acid), 10

Theraproxen-60, 31

tizanidine HCL, 26 tretinoin microsphere, 10

Theraproxen-90, 31

TL G-FOL OS, 35 tretinoin microsphere P.M., 10

Theratramadol-60, 30

TL Triseb, 12 Trexall, 5

Theratramadol-90, 30

Tnkase, 22 Treximet, 31

thiamine HCL, 34

Tobi, 2 Trezix, 30

Thinlets GP Lancets, 40

Tobi Podhaler, 2 Tri-norinyl 28, 15

Thinlets Lancet, 40

Tobradex, 28 Tri-VI-flor, 34

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

Tobradex ST, 28 Triamcinolone, 14

tobramycin, 2 triamcinolone acetonide, 12, 22, 32


tobramycin sulfate, 2, 27 Triamcinolone Acetonide, 12

Tobramycin Sulfate/Sodium Chloride, 2 triamcinolone IN orabase, 23


tobramycin/dexamethasone, 27 Triamcinolone PF, 14

Tobrex, 27 Triamcinolone/Lidocaine, 14


Tofranil, 24 Triamsil Combipak, 13

Tofranil-PM, 24 triamterene/hydrochlorothiazide, 9


tolazamide, 16 Triamterene/Hydrochlorothiazide, 9

Tolazamide, 16 Trianex, 13


Tolbutamide, 16 triazolam, 24

tolcapone, 26 Tribenzor, 9


tolmetin sodium, 30 Tricare Prenatal Compleat, 34

Tolmetin Sodium, 30 Tricare Prenatal DHA One, 34

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

tolterodine tartrate, 20 tricitrates, 21

tolterodine tartrate ER, 20 Tricor, 10


Topamax, 25 Triderma Forte, 13

Topamax Sprinkle, 25 Triferic, 21


Topicort, 13 trifluoperazine HCL, 24

topiramate, 25 trifluridine, 27


Topiramate ER, 25 Triglide, 10

topotecan HCL, 6 trihexyphenidyl HCL, 26

Thiola, 21

Topotecan HCL, 6 Trileptal, 25

thioridazine HCL, 24

Toprol XL, 7 Trilipix, 10

Thiotepa, 4

Torisel, 6 trimethobenzamide HCL, 19

thiothixene, 24

torsemide, 9 trimethoprim, 4

Thrombin-jmi Diluent, 22

Torsemide, 9 trimethoprim sulfate/polymyxin b sulfate, 27

Thrombin-jmi Epistaxis, 22

Totect, 6

Thrombin-jmi Syringe Spray Kit, 22

Toujeo Solostar, 16 trimipramine maleate, 23

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

Toviaz, 20 Triostat, 18

Tracleer, 10 Trisenox, 6

Thrombogen, 22

Tradjenta, 16 Triseon, 11

Thymoglobulin, 5

tramadol HCL, 29 Triumeq, 3

Thyrolar-1, 18

tramadol HCL ER, 29 Triveen-duo DHA, 35

Thyrolar-1/2, 18

Tramadol HCL ER, 30 Triveen-prx RNF, 35

Thyrolar-1/4, 18

tramadol hydrochloride/acetaminophen, 29

Trizivir, 3

Thyrolar-2, 18

Trokendi XR, 25

Thyrolar-3, 18

Trandate, 7 Tropazone, 14

tiagabine hydrochloride, 25

trandolapril, 8 trospium chloride, 20

Tiazac, 7

trandolapril/verapamil HCL, 9 trospium chloride ER, 20

Tice Bcg, 6

trandolapril/verapamil HCL ER, 9 Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

ticlopidine HCL, 22

tranexamic acid, 22

Ticlopidine HCL, 22

Transderm-scop, 19 Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 40

Tigan, 19

Tranxene T, 23

Tikosyn, 8

tranylcypromine sulfate, 23 Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 40

Timentin, 1

Travatan Z, 28

Timolol Maleate, 7

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

timolol maleate, 27

Trazamine, 24

timolol maleate ophthalmic gel forming, 27

trazodone HCL, 23 Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 40

Treanda, 4

Timoptic, 27

Trecator, 2 Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 40

Timoptic Ocudose, 27

Trelstar, 5

Timoptic-xe, 27

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

Tindamax, 4

Trepadiclofen-25, 31

tinidazole, 4

Trepoxen-250, 31 Trueplus Insulin Syringe/U-100/1ML/28G

X 1/2", 40

Ulticare Insulin Syringe/0.5ML/30G X 1/2", 40

3ML/30G X 5/16", 41

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

Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2", 41




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


Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 41


Trueplus Lancets 26G, 40

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 41



Trueplus Lancets 28G Super Thin, 40

Ultilet Classic Lancets, 41



Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41

Trueplus Lancets 30G Ultra Thin, 40


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


Trueplus Lancets 33G Micro Thin, 40

Trueplus Safety Lancets 28G, 40



Trulicity, 16

Trumenba, 34



Trusopt, 28

Truvada, 3


Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 41

Tudorza Pressair, 33

Turkel Paracentesis Procedure Tray/8french, 31

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

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 41

Tussicaps, 32

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

Ultilet Lancets, 41

Tussionex Pennkinetic Extended Release, 32

Ultilet Lancets 33G, 41

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

Ultilet Pen Needle 32GX4MM/SHORT, 41

Tuzistra XR, 32

Twinrix, 34


Ultilet Safety Lancets 23G, 41

Twynsta, 9

Ultilet SHORT Pen Needles 31GX5/16", 41

Tybost, 3


Tygacil, 4

Ultilet SHORT Pen Needles31GX3/16", 41

Tykerb, 6


Tylenol/Codeine #3, 30

Ultiva, 30

Tylenol/Codeine #4, 30


Ultra-thin II Auto Lancet, 41

Typhim VI, 34

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 41

Tysabri, 26


Tyvaso, 10


Tyvaso Refill, 10


Tyvaso Starter, 10


Tyzeka, 3


Tyzine, 32


Tyzine Pediatric Nasal Drops, 32

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

U

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 41


Uceris, 14, 20

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 41

Udamin SP, 35


Ulesfia, 14

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 41

Uloric, 31


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

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 41

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

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

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 41

Ulticare Mini Pen Needles 31GX6MM, 40

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

Ulticare Mini Pen Needles Ulti-fine IV, 40 Ultra-thin II Lancets 28G, 41

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

Ultra-thin II Lancets 30G, 41

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

Ultra-thin II Mini Pen Neeedles/31GX3/16", 41

Ulticare Mini Pen Needles31GX6MM, 41

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

Ulticare Original Pen Needles Ulti-fine, 41

Ultra-thin II Pen Needles 29GX1/2", 41

Ultra-thin II Pen Needles/SHORT/31GX5/16", 41

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

Ulticare Pen Needles/29G X 12.7MM, 41

Ulticare SHORT Pen Needles 31GX8MM, 41

Ultra-thin II Safety Autolancets 26G, 41


Ultracet, 30

Ulticare SHORT Pen Needles Ulti-fine IV, 41

Ultralance, 41


Ultram, 30

Ulticare SHORT Pen Needles/31G X 8MM, 41

Ultram ER, 30


Ultrasal-ER, 14

Ulticare Thin Lancets 30G, 41 Ultravate, 13



Ultravate PAC, 13

Ultravate X, 13


Ultiguard Insulin Syringe/U-100/0. Ultresa, 19

Umecta, 14

Urso Forte, 20 Venofer, 21

Umecta Nail Film, 14

ursodiol, 19 Ventavis, 10

Umecta PD, 14

Utibron Neohaler, 33 Ventolin HFA, 33

Unasyn, 1

Utopic, 14 Veramyst, 32

Unasyn Bulk Pack, 1

Uvadex, 6 verapamil HCL, 7

Unifine Pentips 29GX12MM, 41

V Verapamil HCL, 7

Unifine Pentips 31G X 3/16", 41

verapamil HCL ER, 7

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

Unifine Pentips 31G X 6MM, 41

verapamil HCL SR, 7

Unifine Pentips 31G X 8MM, 41

Verdeso, 13



Veregen, 14


Verelan, 7



Verelan PM, 7


Veripred 20, 14

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

Unifine Pentips Plus 29GX12MM, 41

Verrunex, 14


Versacloz, 24

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


Vesicare, 20


Vexa, 14

Vagifem, 20

Unilet Comfortouch Lancet, 41

Vexol, 28

valacyclovir HCL, 3

Unilet Excelite, 41

Vfend, 3

Valchlor, 4

Unilet Excelite II, 41

Vfend IV, 3

Valcyte, 3

Unilet G.p. Lancet, 41

Viagra, 10

valganciclovir, 3

Unilet G.p. Superlite Lancet, 41

Vibativ, 4

Validerm, 13

Unilet GP 28 Ultra Thin, 41

Vibramycin, 2

Valium, 23

Unilet Lancet, 41

Vicoprofen, 30

valproate sodium, 25

Unilet Lancets Micro-thin33G, 41

Victoza, 16

valproic acid, 25

Unilet Lancets Super-thin30G, 41

Victrelis, 3

valsartan, 8

Unilet Lancets Ultra-thin 28G, 41

Vida Mia Unifine Pentips 32GX4MM, 41

valsartan/hydrochlorothiazide, 9

Unilet Superlite Lancet, 41

Vida Mia Unifine Pentips Mini 31GX6MM, 41

Valtrex, 3

Uniretic, 9

Valumark Lancet Super Thin 30G, 41

Unistik 1, 41

Vida Mia Unifine Pentips Original 29GX12MM, 41

Valumark Lancet Ultra Thin 28G, 41

Unistik 2, 41

Valumark Pen Needles 29GX12MM, 41

Unistik 2 Comfort, 41

Vida Mia Unilet Lancets Super Thin 30G, 41

Valumark Pen Needles 31G X 6MM, 41

Unistik 2 Extra, 41

Valumark Pen Needles 31G X 8MM, 41

Unistik 2 Neonatal, 41

Vida Mia Unilet Lancets Ultra Thin 28G, 41

Vanatol LQ, 29

Unistik 2 Normal, 41

Vancocin HCL, 4

Unistik 2 Super, 41

Vida Mia Unipfine Pentipsshort 31GX8MM, 41

vancomycin HCL, 4

Unistik 3, 41

Vancomycin HCL, 4

Unistik 3 Comfort, 41

Vidaza, 5

Vancomycin HCL + Syrspendsf PH4, 4

Unistik 3 Extra, 41

Videx EC, 3

Vancomycin HCL IN Dextrose, 4

Unistik 3 Gentle, 41

Videx Pediatric, 3

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

Unistik 3 Neonatal, 41

Viekira PAK, 3

Unistik 3 Normal, 41

Vigamox, 27

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

Unistik CZT Comfort, 41

Viibryd, 24

Unistik CZT Normal, 41

Viibryd Starter Pack, 24

Vanos, 13

Unistik Safety Lancets 28G, 41

Vimizim, 18

Vanoxide-HC, 11

Unistik Safety Lancets 30G, 41

Vimovo, 31

Vantas, 5

Unituxin, 5

Vimpat, 25

Vaprisol, 18

Univasc, 8

Vinacal B, 34

Vaqta, 34

Universal 1 Lancets Thin 26G, 41

Vinate AZ Extra, 34

Varivax, 34

Universal 1 Lancets Ultra Thin 30G, 41

Vinate Calcium, 34

Varubi, 19

Uramaxin, 14

Vinate DHA, 35

Vascepa, 10

Uramaxin GT, 14

Vinate DHA RF, 35

Vaseretic, 9

Uramaxin GT Kit, 14

Vinblastine Sulfate, 6

vasopressin, 18

urea, 13

vincristine sulfate, 6

Vasostrict, 18

urea 40% nail film, 13

vinorelbine tartrate, 6

Vasotec, 8

urea IN zinc undecylenate/lactic acid vehicle, 13

Viokace, 19

Vazculep, 9

Viracept, 3

Vecamyl, 8

urea topical, 13

Viramune, 3

Vectibix, 5

Urecholine, 20

Viramune XR, 3

Vectical, 12

Uretron D/S, 20

Virasal, 14

vecuronium bromide, 26

Urimar-t, 20

Virazole, 3

Velcade, 6

Urocit-k 10, 21

Viread, 3

Veletri, 10

Urocit-k 15, 21

Viroptic, 27

Velphoro, 20

Urocit-k 5, 21

virtussin a/c, 32

Veltin, 11

Urogesic-blue, 20

virtussin DAC, 32

Vemavite-prx 2, 35

Uroqid #2, 20

Vistaril, 23

venlafaxine HCL, 23

Uroxatral, 21

Vistide, 3

venlafaxine HCL ER, 23

Urso 250, 20

Vita-pren, 35

Venlafaxine HCL ER, 23

Vitafol, 35

Xanax XR, 23 Zenpep, 19

Vitafol Fe+, 35

Xarelto, 22 Zenzedi, 25

Vitafol Ultra, 35

Xarelto Starter Pack, 22 Zerbaxa, 4

Vitafol-nano, 35

Xartemis XR, 30 Zerit, 3

Vitafol-ob+dha, 35

Xeljanz, 31 Zestoretic, 9

Vitafol-one, 35

Xeloda, 5 Zestril, 8

Vitafol-pn, 35

Xenazine, 26 Zetia, 10

Vital-d RX, 35

Xeomin, 26 Zetonna, 32

Vitalet Pro Lancets, 41

Xerac Ac, 14 Zevalin Y-90, 5

Vitalet Pro Plus Lancets, 41

Xerese, 11 Ziac, 9

Vitamedmd One RX/Quatrefolic, 35

Xgeva, 17 Ziagen, 3

Vitamedmd Plus RX/Quatre Folic, 35

Xifaxan, 4 Ziana, 11

Vitamedmd Redichew RX, 35

Xigduo XR, 17 zidovudine, 3

Vitamedmd Redichew RX/Quatrefolic, 35

Xodol, 30 Zinacef, 1

Vitamin A, 34

Xofigo, 6 Zinecard, 6

vitamin c 222MG, 34

Xolair, 33 Zioptan, 28

vitamin d, 34

Xolegel, 11 ziprasidone HCL, 24

vitamin k1, 34

Xolegel Corepak, 11 Zipsor, 31

Vitamin K1, 34

Xolegel Duo/Head & Shoulders, 11 Zirgan, 27

Vitapearl, 35

Xolegel Duo/Xolex, 11 Zithranol, 12

Vitaroca Plus, 35

Xolox, 30 Zithranol-rr, 12

Vitekta, 3

Xopenex, 33 Zithromax, 1

Vituz, 32

Xopenex Concentrate, 33 Zithromax Tri-PAK, 2

Viva DHA, 35

Xopenex HFA, 33 Zithromax Z-PAK, 2

Vivactil, 24

Xtandi, 5 Zmax, 2

Vivelle-dot, 15

Xylocaine, 8, 14, 31 Zocor, 10

Vivotif Berna, 34

Xylocaine-mpf, 31 Zofran, 19

Vogelxo, 15

Xylocaine-mpf/Epinephrine, 31 Zofran Odt, 19

Vogelxo P.M., 15

Xylocaine/Epinephrine, 31 Zohydro ER, 30

Voltaren, 12

Xyntha, 22 Zoladex, 5

Voltaren-XR, 31

Xyntha Solofuse, 22 zoledronic acid, 17

Voluven, 22

Xyrem, 26 Zoledronic Acid, 17

Vopac, 12

Xyzal, 32 Zolinza, 6

Vopac GB, 12

Y zolmitriptan, 31

Vopac Kt, 12

zolmitriptan odt, 31

Yasmin 28, 15

Voraxaze, 6

Zoloft, 24

Yaz, 15

voriconazole, 2

zolpidem tartrate, 24

Yervoy, 5

Vortex Valved Holding Chamber, 42

zolpidem tartrate ER, 24

Yf-vax, 34

Vosol HC, 29

Zolpimist, 24

Yodoxin, 3

Vospire ER, 33

Zomacton, 17

Yondelis, 4

Votrient, 6

Zometa, 17

Your Life Multi Prenatal, 35

Vpriv, 21

Zomig, 31

Z

Vsl#3 DS, 18

Zomig Nasal Spray, 31

Vusion, 11

Zomig ZMT, 31

Zacare 4% Kit, 11

Vytorin, 10

Zonalon, 12

Zacare 8% Kit, 11

Vyvanse, 25

Zonatuss, 32

zafirlukast, 32

W

Zonegran, 25

zaleplon, 24

zonisamide, 25

Zaltrap, 5

W&f Lancets 26G, 41

Zontivity, 22

Zamicet, 30

W&f Lancets Colored 21G, 41

Zorbtive, 17

Zanaflex, 27

Walgreens Lancets, 41

Zortress, 5

Zanosar, 4

Walgreens Thin Lancets, 41

Zorvolex, 31

Zantac, 19

Walgreens Ultra Thin Lancets, 41

Zostavax, 34

Zarontin, 25

warfarin sodium, 22

Zosyn, 1

Zaroxolyn, 9

Watchhaler, 42

Zovia 1/50e, 15

Zarxio, 21

Welchol, 10

Zovirax, 3, 11

Zatean-CH, 35

Wellbutrin, 24

Zubsolv, 30

Zatean-pn, 35

Wellbutrin SR, 24

Zuplenz, 19

Zatean-pn DHA, 35

Wellbutrin XL, 24

Zutripro, 32

Zatean-pn Plus, 35

Westcort, 13

Zyclara, 13

Zavesca, 21

Westhroid, 18

Zyclara P.M., 13

Zebeta, 7

Wheat Germ, 34

Zydelig, 6

Zecuity, 31

Wilate, 22

Zydone, 30

Zegerid, 19

Wp Thyroid, 18

Zyflo, 33

Zelapar, 26

X

Zyflo CR, 33

Zelboraf, 6

Zykadia, 6

Xalatan, 28

Zemaira, 33

Zylet, 28

Xalkori, 6

Zemplar, 18

Zyloprim, 31

Xanax, 23

Zemuron, 26

Zymaxid, 27

Zyprexa, 24

Zyprexa Relprevv, 24

Zyprexa Zydis, 24

Zytiga, 5

Zyvodol, 12

Zyvox, 4

1

1ST Choice Lancets Super Thin, 41

1ST Choice Lancets Thin, 41

1ST Choice Lancets Ultra Thin, 41

1ST Tier Unifine Pentips 29GX12MM, 41



8

8-mop, 12

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