Your Prescription Drug List/Formulary

Your Prescription Drug ListFormulary

Effective July 1 2021

For a complete list of covered drugs or if you have questions

bull Call a customer care representative toll-free at (855) 828-9834 (TTY 711)

bull Visit wwwHealthSelectRxcom

mdash Locate an OptumRx in-network pharmacy

mdash Look up possible lower-cost medication alternatives

mdash Compare medication pricing and options

Please read This document contains information about the drugs covered under your pharmacy benefit plan

HealthSelectSM

Your Prescription Drug List Formulary

This formulary outlines the most commonly prescribed medications covered under your planrsquos prescription drug benefits The formulary is also known as the Prescription Drug List (PDL) A formulary identifies the drugs available for certain conditions and organizes them into cost levels also known as tiers An important part of the formulary is giving you choices so you and your doctor can choose the best course of treatment for you

Go to wwwHealthSelectRxcom for complete and up-to-date drug information

Since the formulary may change we encourage you to visit our website wwwHealthSelectRxcom and click on Prescription Drug List This website is the best source for up-to-date information about all of the medications your pharmacy benefit covers possible lower-cost options and cost comparisons

Understanding your Prescription Drug ListformularyWhat is a formulary

This document is a list of prescription medications covered by your plan for their safety cost and effectiveness Medications are listed by categories or class and are placed into cost levels known as tiers It includes both brand and generic prescription medications approved by the US Food and Drug Administration (FDA)

Where differences exist between this formulary and your benefit plan documents the benefit plan documents will rule This may not be a complete list of medications and not all medications listed may be covered under your plan Please look at the Master Benefit Plan Document (MBPD) provided by your plan for full details

How do I use my formulary

You and your doctor can consult the formulary to help you select the most cost-effective prescription medications This guide tells you if a medication is generic or brand and if special rules apply Bring this list with you when you see your doctor It is organized by common medical conditions Medications are then listed alphabetically

If your medication is not listed on this document it may not be covered by the HealthSelect Prescription Drug Program or Consumer Directed HealthSelect Prescription Drug Program Please visit wwwHealthSelectRxcom and click on Prescription Drug List for the most up to date list of medications covered under your plan If you have any questions call a customer care representative toll-free at (855) 828-9834 (TTY 711)

What are tiers

Tiers are the different cost levels you pay for a medication Each tier is assigned a cost which is determined by your plan This is how much you will pay when you fill a prescription The HealthSelect of Texas Prescription Drug Program has different copays assigned depending on which tier a drug is The Consumer Directed HealthSelect Prescription Drug Program has coinsurance assigned for each drug tier that applies once the annual combined medical and pharmacy deductible is met Tier 1 medications are your lowest-cost options If your medication is placed in Tier 2 or 3 look to see if there is a Tier 1 option available Discuss these options with your doctor

When does the formulary change

bull Medications may move to a lower tier at any time

bull Medications may move to a higher tier when its generic becomes available

bull Medications may move to a higher tier or be excluded from coverage on January 1 or July 1 of each year

When a medication changes tiers you may have to pay a different amount for that medication

For the most up-to-date list call a customer care representative 24 hours a day 7 days a week toll-free at (855) 828-9834 (TTY 711)

Why are some medications excluded from coverage

A medication may be excluded from coverage under your prescription drug plan when it works the same as or similar to another prescription medication or an over-the-counter (OTC) medication that is more cost-effective

What if I donrsquot agree with a decision about an excluded medication

You (or your authorized representative) and your doctor can ask for an appeal to cover an excluded medication by calling a customer care representative toll-free at (855) 828-9834 (TTY 711)

Medication Tips What is the difference between brand-name and generic medications

Generic medications contain the same active ingredients (what makes the medication work) as brand-name medications but they often cost less Once the patent of a brand-name medication ends the FDA can approve a generic version with the same active ingredients

What if my doctor writes a brand-name prescription

If your doctor gives you a prescription for a brand-name medication ask if a generic equivalent or lower-cost option is available and if it might be right for you Generic medications are usually your lowest-cost option but not always

An OTC medication may be the right treatment option for some conditions Talk to your doctor about available OTC options Even though these medications may not be covered under your pharmacy benefit they may cost less than prescription medications covered under your prescription drug plan

What if I am taking a specialty medication

Specialty medications treat rare or complex conditions and are typically higher cost medications Please note not all specialty medications are listed in the Formulary Optum Specialty Pharmacy can provide most of your specialty medications along with helpful programs and services Call Optum Specialty Pharmacy at (855) 427-4682 and have your prescriptions delivered right to your home or doctorrsquos office

Reading your formularyThe formulary give your choices so you and your doctor can determine your best course of treatment In this formulary brand-name medications are shown in UPPERCASE (for example CLOBEX) and generic medications in lowercase (for example clobetasol)

Tier information

Using lower tier or preferred medications can help you pay your lowest out-of-pocket cost Your prescription drug plan has multiple tiers Please note If you have a high deductible plan the tier cost levels will apply once you hit your deductible

Drug Tier Includes Helpful Tips

Tier 1 Lowest Cost

Lower-cost commonly used generic drugs Some low-cost brands may be included

Use Tier 1 drugs for the lowest out-of-pocket costs

Tier 2 Mid-range Cost

Many common brand-name drugs called preferred brands

Use Tier 2 drugs instead of Tier 3 to help reduce your out-of-pocket costs

Tier 3 Highest Cost

Mostly higher-cost brand drugs also known as non-preferred brands

Many Tier 3 drugs have lower-cost options in Tier 1 or 2 Ask your doctor if they could work for you

Tier E Excluded May be excluded from coverage or subject to prior authorization Lower-cost options are available and covered

Drug list information

In this drug list some medications are noted with letters next to them to help you see which ones may have coverage requirements or limits Your benefit plan determines how these medications may be covered for you

PA Prior Authorization ndash Your doctor is required to provide additional information before the drug will be covered by your prescription drug plan

ST Step Therapy ndash Requires you to first try a cost-effective medication before the more expensive medication will be covered

QL Quantity Limit ndash Limits the amount of a medication that will be covered under your prescription drug plan

SP Specialty Medication ndash Drugs that are used in the treatment of rare or complex conditions and are typically injected or infused are high cost have special delivery and storage requirements or require close monitoring or care coordination with your doctor

E Excluded ndash Drugs that are not covered by your health plan Lower-cost options are available and covered

Table of Contents

Analgesics - Drugs for Pain9Analgesics - Drugs for Pain and Inflammation 14Anesthetics17Anti-Addiction Substance Abuse Treatment Agents 20Antibacterials21Anticoagulants26Anticonvulsants - Drugs for Seizures 27Antidementia Agents - Drugs for Alzheimers Disease and Dementia 29Antidepressants29Antiemetics - Drugs for Nausea and Vomiting 30Antifungals31Antigout Agents 34Anti-inflammatory Agents 34Antimigraine Agents 34Antimyasthenic Agents35Antimycobacterials 35Antineoplastics - Drugs for Cancer35Antiparasitics 41Antiparkinson Agents 42Antiplatelets43Antipsychotics - Drugs for Mood Disorders 43Antivirals44Anxiolytics - Drugs for Anxiety47Bipolar Agents - Drugs for Mood Disorders47Blood Products and Modifiers - Drugs for Blood Disorders48Cardiovascular Agents - Drugs for Heart and Circulation Conditions 50Central Nervous System Agents - Drugs for Attention Deficit Disorder 56Central Nervous System Agents - Drugs for Multiple Sclerosis 57Central Nervous System Agents - Miscellaneous 58Dental and Oral Agents - Drugs for Mouth and Throat Conditions59Dermatological Agents - Drugs for Skin Conditions 60Diabetes - Antidiabetic Agents 72Diabetes - Glucose Monitoring 73Diabetes - Glycemic Agents 75Diabetes - Insulins75Electrolytes Minerals Metals Vitamins77Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer85Gastrointestinal Agents - Drugs for Bowel Intestine and Stomach Conditions86Genetic or Enzyme Disorder - Drugs for Replacement Modification Treatment 91Genitourinary Agents - Drugs for Bladder Genital and Kidney Conditions92Genitourinary Agents - Drugs for Prostate Conditions 94Hormonal Agents - Adrenal 94Hormonal Agents - Mens Health96Hormonal Agents - Osteoporosis 97Hormonal Agents - Pituitary 97Hormonal Agents - Prostaglandins99Hormonal Agents - Sex Hormones and Birth Control99Hormonal Agents - Thyroid 104Immunological Agents - Drugs for Immune System Stimulation or Suppression 105Immunological Agents - Drugs for Vaccination 108Inflammatory Bowel Disease Agents110

Metabolic Bone Disease Agents - Drugs for Osteoporosis 111Metabolic Bone Disease Agents - Other 112Miscellaneous Therapeutic Agents 112Ophthalmic Agents - Drugs for Eye Allergy Infection and Inflammation120Ophthalmic Agents - Drugs for Glaucoma122Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions 123Otic Agents - Drugs for Ear Conditions 126Respiratory Tract Pulmonary Agents - Drugs for Allergies Cough Cold126Respiratory Tract Pulmonary Agents - Drugs for Asthma and Other Lung Conditions 130Respiratory Tract Pulmonary Agents - Drugs for Cystic Fibrosis 133Respiratory Tract Pulmonary Agents - Drugs for Pulmonary Hypertension 133Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm 134Sleep Disorder Agents 134

Drug Name Drug Tier Notes

Analgesics - Drugs for Pain

8 hour pain reliever E

8 hr arthritis pain relief E

acetaminophen 8 hour oral tablet extended release

acetaminophen childrens oral solution

acetaminophen childrens oral suspension 160 mg5ml

acetaminophen childrens oral tablet chewable 160 mg

acetaminophen er E

acetaminophen extra strength oral tablet

acetaminophen oral solution 160 mg5ml 325 mg1015ml 650 mg203ml

acetaminophen oral suspension 160 mg5ml

acetaminophen oral tablet

acetaminophen oral tablet chewable 160 mg

acetaminophen rectal suppository 120 mg 650 mg

acetaminophen-codeine

acetaminophen-codeine 2

ACTIQ 3 PA QL

ALLZITAL E

APADAZ E

apap-caff-dihydrocodeine oral capsule

apap-caff-dihydrocodeine oral tablet 325-30-16 mg

arthritis pain reliever oral

ascomp-codeine 1

aurophen childrens E

BELBUCA 2 PA QL

BENZHYDROCODONE-ACETAMINOPHEN

BUPAP ORAL TABLET 50-300 MG

BUPRENEX E

buprenorphine hcl injection solution 03 mgml

buprenorphine transdermal

1 PA QL

butalbital-acetaminophen capsule 50-300 mg oral

BUTALBITAL-ACETAMINOPHEN CAPSULE 50-300 MG ORAL

butalbital-acetaminophen oral tablet

butalbital-apap-caff-cod 1

butalbital-apap-caffeine oral capsule

butalbital-apap-caffeine oral tablet 50-325-40 mg

butalbital-asa-caff-codeine

butalbital-aspirin-caffeine

For more information regarding the tiers and designations in this drug list please see the Reading your formulary section on page 6 of this booklet

butorphanol tartrate injection

butorphanol tartrate nasal

BUTRANS 3 PA QL

carisoprodol-aspirin-codeine

codeine sulfate oral tablet

CONZIP E

cvs acetaminophen ex st oral tablet

DEMEROL INJECTION SOLUTION 50 MGML

DILAUDID ORAL E

DSUVIA E

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph E

endocet oral tablet 10-325 mg 25-325 mg 5-325 mg 75-325 mg

ESGIC 3

fentanyl 1 PA QL

fentanyl citrate (pf) E

fentanyl citrate buccal lozenge on a handle

1 PA QL

FENTANYL CITRATE BUCCAL TABLET

FENTANYL CITRATE SOLUTION PREFILLED SYRINGE 100 MCG2ML INTRAVENOUS

FENTANYL CITRATE-NACL INJECTION

FENTANYL CITRATE-NACL INTRAVENOUS SOLUTION 125-09 MG250ML-

FENTANYL CITRATE-NACL SOLUTION 1-09 MG100ML- INTRAVENOUS

FENTANYL CITRATE-NACL SOLUTION PREFILLED SYRINGE 500-09 MCG50ML- INTRAVENOUS

FENTANYL-BUPIVACAINE-NACL EPIDURAL SOLUTION 08-01667-09 MG200ML-

FENTANYL-BUPIVACAINE-NACL INJECTION

FENTANYL-BUPIVACAINE-NACL SOLUTION 02-01-09 MG100ML- EPIDURAL

FENTORA BUCCAL TABLET 100 MCG 200 MCG 400 MCG 600 MCG 800 MCG

FIORICET ORAL CAPSULE

FIORICETCODEINE ORAL CAPSULE 50-300-40-30 MG

goodsense pain relief oral tablet

headache relief oral E

hydrocodone bitartrate er oral capsule extended release 12 hour

1 PA ST QL

hydrocodone bitartrate er oral tablet er 24 hour abuse-deterrent

1 PA QL

hydrocodone-acetaminophen oral solution 10-325 mg15ml 75-325 mg15ml

hydrocodone-acetaminophen oral tablet 10-300 mg 10-325 mg 5-300 mg 5-325 mg 75-300 mg 75-325 mg

hydrocodone-ibuprofen oral tablet 10-200 mg 5-200 mg 75-200 mg

hydromorphone hcl er oral tablet extended release 24 hour

1 PA QL

hydromorphone hcl injection solution 2 mgml

hydromorphone hcl oral 1 QL

hydromorphone hcl rectal

HYDROMORPHONE HCL-NACL INTRAVENOUS SOLUTION 25-09 MG50ML- 50-09 MG50ML-

HYDROMORPHONE HCL-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 10-09 MG50ML- 15-09 MG30ML-

HYSINGLA ER 2 PA QL

INFUMORPH 200 E

INFUMORPH 500 E

LAZANDA NASAL SOLUTION 100 MCGACT 400 MCGACT

levorphanol tartrate oral E

liquid acetaminophen E

LORTAB ORAL ELIXIR 10-300 MG15ML

meperidine hcl injection solution 50 mgml

meperidine hcl oral solution

meperidine hcl oral tablet 50 mg

methadone hcl injection E

methadone hcl intensol 1

methadone hcl oral concentrate

methadone hcl oral solution

methadone hcl oral tablet

methadone hcl oral tablet soluble

methadose oral concentrate 10 mgml

methadose oral tablet soluble

methadose sugar-free 1

migraine relief E

mitigo E

morphine sulfate (concentrate) oral solution 100 mg5ml 20 mgml

morphine sulfate (pf) injection

morphine sulfate (pf) intravenous solution 10 mgml 2 mgml 4 mgml 8 mgml

morphine sulfate er beads

1 PA QL

morphine sulfate er oral capsule extended release 24 hour

1 PA QL

morphine sulfate er oral tablet extended release

1 PA QL

MORPHINE SULFATE INJECTION SOLUTION 1 MGML

morphine sulfate injection solution 2 mgml 4 mgml

MORPHINE SULFATE INTRAVENOUS SOLUTION 05 MGML

morphine sulfate intravenous solution 50 mgml

morphine sulfate oral 1 QL

morphine sulfate rectal E

MORPHINE SULFATE SOLUTION 1 MGML INTRAVENOUS

morphine sulfate solution 1 mgml intravenous

MORPHINE SULFATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 50-09 MG50ML-

m-pap E

MS CONTIN ORAL TABLET EXTENDED RELEASE

nalbuphine hcl injection solution 20 mgml

NALOCET E

NUCYNTA E

NUCYNTA ER E

OXAYDO ORAL TABLET

OXYCODONE HCL ER ORAL TABLET ER 12 HOUR ABUSE-DETERRENT 15 MG 30 MG 60 MG 80 MG

OXYCODONE HCL ER TABLET ER 12 HOUR ABUSE-DETERRENT 10 MG ORAL

oxycodone hcl oral capsule

oxycodone hcl oral concentrate 100 mg5ml

oxycodone hcl oral solution

oxycodone hcl oral tablet

OXYCODONE-ACETAMINOPHEN ORAL SOLUTION 10-300 MG5ML

OXYCODONE-ACETAMINOPHEN ORAL TABLET 10-300 MG 25-300 MG 5-300 MG

oxycodone-acetaminophen oral tablet 10-325 mg 25-325 mg 5-325 mg 75-325 mg

oxycodone-aspirin oral tablet 48355-325 mg

OXYCONTIN ORAL TABLET ER 12 HOUR ABUSE-DETERRENT

2 PA QL

oxymorphone hcl 1 QL

oxymorphone hcl er 1 PA QL

pain amp fever childrens oral suspension

pain amp fever infants E

pain relief childrens oral elixir

pain relief extra strength oral capsule 500 mg

pain relief extra strength oral tablet 500 mg

pain relief oral liquid E

pain relief regular strength

pain reliever extra strength oral tablet 250-250-65 mg

PANADOL CHILDRENS

PANADOL EXTRA E

PANADOL EXTRA STRENGTH

PANADOL INFANTS E

pentazocine-naloxone hcl

PERCOCET ORAL TABLET 10-325 MG 25-325 MG 5-325 MG 75-325 MG

PRIALT 2 SP

PROBUPHINE IMPLANT KIT

PROLATE E

QDOLO E

ROXICODONE ORAL TABLET

SUBSYS E

SYNAPRYN FUSEPAQ E

TENCON ORAL TABLET 50-325 MG

tramadol hcl er (biphasic) oral tablet extended release 24 hour 100 mg 200 mg 300 mg

1 PA ST QL

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

tramadol hcl er oral tablet extended release 24 hour

1 PA QL

tramadol hcl ir 1 QL

tramadol-acetaminophen

TREZIX ORAL CAPSULE 3205-30-16 MG

TYLENOL 8 HOUR E

TYLENOL EXTRA STRENGTH ORAL TABLET

TYLENOL INFANTS PAIN+FEVER

TYLENOL ORAL TABLET

ULTRACET E

ULTRAM E

VTOL LQ E

XTAMPZA ER 2 PA QL

ZEBUTAL ORAL CAPSULE 50-325-40 MG

ZOHYDRO ER ORAL CAPSULE EXTENDED RELEASE 12 HOUR

Analgesics - Drugs for Pain and Inflammation

adult aspirin regimen $0

ADVIL E

ADVIL JUNIOR STRENGTH

ADVIL LIQUI-GELS MINIS

ADVIL MIGRAINE E

aif 2 drug preparation kit

AIF 3 DRUG PREPARATION KIT

ALEVE ORAL TABLET E

ARTHROTEC ORAL TABLET DELAYED RELEASE

aspirin adult low strength oral tablet delayed release

aspirin childrens $0

aspirin ec low dose $0

aspirin ec low strength $0

aspirin ec oral tablet delayed release 325 mg

aspirin low dose oral tablet chewable

aspirin low dose oral tablet delayed release

aspirin oral tablet 325 mg

aspirin oral tablet delayed release 325 mg 81 mg

aspirin rectal suppository 300 mg 600 mg

BAYER ASPIRIN EC LOW DOSE

BAYER ASPIRIN ORAL TABLET

BAYER ASPIRIN ORAL TABLET DELAYED RELEASE

BIIFENAC 1000 E

BIIFENAC 500 E

CALDOLOR INTRAVENOUS SOLUTION 800 MG200ML 800 MG8ML

CAMBIA E

CAPSFENAC PAK E

CAPSINAC E

CATAFLAM 3

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3

DERMACINRX LEXITRAL PHARMAPAK

DFS DRMSMENTHCAP PAK

DFSMSMENTHCAP PAK

DICLOFENAC CAP 35MG

DICLOFENAC PATCH EXTERNAL

diclofenac potassium 1

diclofenac sodium er 1

diclofenac sodium external gel 1

diclofenac sodium external solution

diclofenac sodium oral 1

diclofenac-misoprostol oral tablet delayed release

DICLOFONO GEL 16 EXTERNAL

DICLOPR E

DICLOSTREAM E

DICLOTREX E

DICLOVIX E

DICLOVIX M E

DICLOZOR EXTERNAL

diflunisal oral 1

DIMENTHO E

DUAL COMPLEX FORMULA 1 KIT

DUEXIS E

EC-NAPROSYN 3

ec-naproxen 1

ENOVARX-DICLOFENAC SODIUM EXTERNAL

enovarx-ibuprofen E

enovarx-naproxen external

etodolac er 1

etodolac oral 1

FBL KIT E

FELDENE 3

fenoprofen calcium oral E

fenortho oral capsule 200 mg

FLECTOR EXTERNAL E

FLEXIPAK E

flurbiprofen oral 1

FROTEK E

GABAPENTIN-NAPROXEN CMPD KIT

goodsense aspirin low dose

goodsense ibuprofen oral capsule

IBUPAK E

ibuprofen 1

ibuprofen infants E

ibuprofen oral capsule E

ibuprofen oral suspension

ibuprofen oral tablet 200 mg

inavix E

INDOCIN ORAL 3 ST

INDOCIN RECTAL E

indomethacin er 1

INDOMETHACIN ORAL CAPSULE 20 MG

indomethacin oral capsule 25 mg 50 mg

INFLAMMACIN E

INFLATHERM COMBINATION THERAPY PACK

KBGL IN TERODERM

kapzin dc E

KETOPHENE RAPIDPAQ

ketoprofen er 1

ketoprofen oral 1

KETOROLAC TROMETHAMINE EXTERNAL

ketorolac tromethamine injection solution 15 mgml

ketorolac tromethamine intramuscular solution 60 mg2ml

KETOROLAC TROMETHAMINE NASAL

3 PA QL

ketorolac tromethamine oral

ketorolac tromethamine solution 30 mgml injection

KETOROLAC TROMETHAMINE SOLUTION 30 MGML INJECTION

LICART EXTERNAL E

LODINE 3

meclofenamate sodium oral

mefenamic acid oral E

meloxicam oral capsule 1

meloxicam oral tablet 1

MOBIC ORAL TABLET E

MOTRIN IB ORAL CAPSULE

MOTRIN INFANTS DROPS

nabumetone oral 1

NALFON ORAL CAPSULE 400 MG

NALFON ORAL TABLET

NAPRELAN ORAL TABLET EXTENDED RELEASE 24 HOUR 375 MG 500 MG

NAPRELAN ORAL TABLET EXTENDED RELEASE 24 HOUR 750 MG

NAPROSYN ORAL SUSPENSION

NAPROSYN ORAL TABLET 500 MG

naproxen oral suspension

naproxen oral tablet 1

naproxen oral tablet delayed release

naproxen sodium er oral tablet extended release 24 hour 375 mg 500 mg

NAPROXEN SODIUM ER ORAL TABLET EXTENDED RELEASE 24 HOUR 750 MG

naproxen sodium oral tablet 220 mg

naproxen sodium oral tablet 275 mg 550 mg

naproxen-esomeprazole

1 PA QL

NP 2 DRUG PREPARATION KIT

NUDICLO SOLUPAK E

NUDICLO TABPAK E

NUDROXIPAK E

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400 E

NUDROXIPAK I-800 E

NUDROXIPAK M-15 E

NUDROXIPAK N-500 E

ORMECA E

oxaprozin 1

PENNSAID EXTERNAL

piroxicam oral 1

PRASTERA E

PREVIDOLRX ANALGESIC

previdolrx plus analgesic

QMIIZ ODT E

RELAFEN E

RELAFEN DS E

salsalate oral E

SPRIX 3 PA QL

ST JOSEPH LOW DOSE ORAL TABLET DELAYED RELEASE

sulindac oral 1

sure result dss premium pack

TIVORBEX ORAL CAPSULE 20 MG

tolmetin sodium oral capsule

tolmetin sodium oral tablet 600 mg

TORONOVA II SUIK E

TORONOVA SUIK E

tri-buffered aspirin oral tablet 325 mg

TRIPLE COMPLEX FORMULA 3 KIT

VAROPHEN E

VENNGEL ONE E

VIMOVO E

VIVLODEX 3 ST

VOLTAREN EXTERNAL

VP FC KIT E

VP GKL KIT E

XRYLIX EXTERNAL E

ZIPSOR E

ZORVOLEX E

Anesthetics

1ST MEDX-PATCH LIDOCAINE EXTERNAL PATCH 4-00375-5-20

7T LIDO E

ACCUCAINE E

ACTIVE INJECTION LM-2

AGONEAZE E

ANODYNE LPT E

APRIZIO PAK E

APRIZIO PAK II E

ASTERO E

BENZO-LIDOCAINE-TETRACAINE

blue tube aloe E

bupivacaine fisiopharma

bupivacaine hcl (pf) E

BUPIVACAINE HCL INJECTION SOLUTION 0125

bupivacaine hcl injection solution 025 05

BUPIVACAINE HCL INJECTION SOLUTION PREFILLED SYRINGE 0125 (50 ML)

CADIRAMD E

CAPSAICIN-MENTHOL

CETACAINE EXTERNAL AEROSOL

COCAINE HCL NASAL E

DERMACINRX EMPRICAINE

DERMACINRX PHN E

DERMACINRX PRIZOPAK

DERMACINRX ZRM E

DERMALID E

EMPRICAINE-II E

enovarx-lidocaine hcl E

ENZNONUTY E

ethyl chloride 1

EXPAREL E

FLEXIN E

GEBAUERS PAIN EASE

GEBAUERS SPRAY AND STRETCH

GEN7T E

GEN7T PLUS E

glydo external prefilled syringe

GOPRELTO E

LDO PLUS E

lets E

LEVATIO E

LIDO BDK E

lidocaine external cream 4

lidocaine external patch 5

lidocaine hcl (pf) injection solution

lidocaine hcl external cream 3

LIDOCAINE HCL EXTERNAL CREAM 412

lidocaine hcl external lotion

lidocaine hcl external solution

lidocaine hcl injection solution 05

LIDOCAINE HCL INJECTION SOLUTION PREFILLED SYRINGE 10 MGML 100 MG10ML 100 MG5ML 200 MG10ML 60 MG3ML

LIDOCAINE HCL INTRADERMAL

LIDOCAINE HCL SOLUTION 1 INJECTION

lidocaine hcl solution 1 injection

lidocaine hcl urethralmucosal

lidocaine ointment 5 external

lidocaine-prilocaine external cream

lidocaine-prilocaine external kit

LIDOCAINE-TETRACAINE

LIDOCANNA E

LIDODERM E

LIDO-EPINEPHRINE-TETRACAINE SOLUTION 4-005-05 EXTERNAL

LIDOMARK 25 E

LIDOPAC E

lidopin external cream 3

LIDOPIN EXTERNAL CREAM 325

LIDOPRIL EXTERNAL KIT

LIDOPRIL XR E

LIDO-PRILO CAINE PACK

LIDOPURE PATCH E

LIDORX E

LIDO-SORB E

LIDOSTREAM E

LIDOTHOL E

LIDOTRAL E

LIDOVIX L E

LIDTOPIC MAX E

LIVIXIL PAK E

LMR PLUS E

LYDEXA E

MARCAINE E

MARCAINE PRESERVATIVE FREE

marlido E

MARLIDO-25 E

MARVONA SUIK E

NUMBRINO E

NUVAKAAN E

NUVAKAAN-II E

pain relieving + lidocaine

PAINGO KFT E

PLIAGLIS E

POINT OF CARE LM-22

POINT OF CARE LM-25

premium lidocaine E

PREMIUM SCAR E

PREPIV SUPPLY 3

PRILO PATCH E

PRILO PATCH II E

PRILOLID E

PRILOVIX E

PRILOVIX LITE E

PRILOVIX LITE PLUS E

PRILOVIX PLUS E

PRILOVIX ULTRALITE E

PRILOVIX ULTRALITE PLUS

PRILOVIXIL E

PRIZOPAK II E

PRIZOTRAL E

PRIZOTRAL-II E

READYSHARP-A E

RELADOR PAK EXTERNAL KIT

RELADOR PAK PLUS E

SENSORCAINE E

SENSORCAINE-MPF INJECTION SOLUTION 075

sensorcaine-mpf solution 025 injection

SENSORCAINE-MPF SOLUTION 025 INJECTION

SKYADERM-LP E

SOOTHEE EXTERNAL PATCH 05-00375-5-2

STERILE TOPICAL LET GEL

SX1 MEDICATED POST-OPERATIVE

SYNERA E

VENIPUNCTURE PX1 PHLEBOTOMY

VEXATROL E

WPR PLUS WOUND HEALING SYSTEM

XARACOLL E

XYLOCAINE INJECTION

XYLOCAINE-MPF INJECTION SOLUTION 05 1 15 2

ZERUVIA E

ZILACAINE PATCH E

ZINGO INTRADERMAL JET-INJECTOR

ZIONODIL E

ZIONODIL 100 E

ZTLIDO E

Anti-Addiction Substance Abuse Treatment Agents

acamprosate calcium 1

BUNAVAIL BUCCAL FILM 42-07 MG 63-1 MG

buprenorphine hcl sublingual

buprenorphine hcl-naloxone hcl

bupropion hcl er (smoking det)

CHANTIX $0 QL

CHANTIX CONTINUING MONTH PAK

CHANTIX STARTING MONTH PAK

disulfiram oral 1

goodsense nicotine mouththroat lozenge 4 mg

habitrol $0 QL

LIFEMS NALOXONE E

LUCEMYRA 3 ST QL

naloxone hcl injection solution 04 mgml 4 mg10ml

naloxone hcl injection solution cartridge

naloxone hcl injection solution prefilled syringe

naltrexone hcl oral 1

NALTREXONE SUBCUTANEOUS

NARCAN 2

NICORETTE MOUTHTHROAT GUM 2 MG

nicotine polacrilex mouththroat

nicotine step 1 $0 QL

NICOTROL $0 QL

NICOTROL NS $0 QL

SUBLOCADE 3 SP

SUBOXONE SUBLINGUAL FILM

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA

ALTABAX 3

amikacin sulfate injection solution 500 mg2ml

amoxicillin oral capsule 1

amoxicillin oral suspension reconstituted

amoxicillin oral tablet 1

amoxicillin oral tablet chewable 125 mg 250 mg

amoxicillin-potassium clavulanate er

amoxicillin-potassium clavulanate oral

ampicillin oral capsule 500 mg

ampicillin-sulbactam sodium injection solution reconstituted 3 (2-1) gm

ARIKAYCE 3 PA SP

AUGMENTIN ES-600 3

AUGMENTIN ORAL SUSPENSION RECONSTITUTED 125-3125 MG5ML 250-625 MG5ML

AUGMENTIN ORAL TABLET 500-125 MG

avidoxy 1 ST

AVIDOXY DK E

azithromycin oral packet

azithromycin oral suspension reconstituted

azithromycin oral tablet 250 mg 500 mg 600 mg

bacitracin external E

bacitracin zinc external E

BACTRIM 3

BACTRIM DS 3

BAXDELA INTRAVENOUS

BAXDELA ORAL 3

BENZALKONIUM CHLORIDE EXTERNAL SOLUTION

benzalkonium chloride external solution 50

BENZODOX E

BICILLIN L-A E

cefaclor 1

cefaclor er 1

cefadroxil 1

cefazolin sodium injection solution reconstituted 1 gm 10 gm

cefazolin sodium-dextrose intravenous solution 2-4 gm100ml-

cefdinir 1

cefepime hcl injection solution reconstituted 2 gm

cefixime 1

CEFOTAN E

cefotaxime sodium injection solution reconstituted 1 gm 2 gm

cefotetan disodium injection solution reconstituted 1 gm 2 gm

cefoxitin sodium injection

cefpodoxime proxetil 1

cefprozil 1

ceftazidime injection solution reconstituted 1 gm 2 gm 6 gm

ceftriaxone sodium injection solution reconstituted 1 gm 2 gm 250 mg 500 mg

cefuroxime axetil oral tablet

CENTANY 3

CENTANY AT E

cephalexin 1

chloramphenicol sod succinate

CIPRO ORAL SUSPENSION RECONSTITUTED

CIPRO ORAL TABLET 250 MG 500 MG

ciprofloxacin hcl oral 1

clarithromycin er 1

clarithromycin oral 1

CLEOCIN ORAL 3

CLEOCIN VAGINAL CREAM

CLEOCIN VAGINAL SUPPOSITORY

clindamycin hcl oral 1

clindamycin palmitate hcl

clindamycin phosphate vaginal

CLINDESSE 3

colistimethate sodium (cba)

COLY-MYCIN M E

coremino E

CUBICIN E

CUBICIN RF E

daptomycin E

demeclocycline hcl oral 1

dicloxacillin sodium 1

DIFICID 3

DORYX MPC E

DORYX ORAL TABLET DELAYED RELEASE 200 MG 50 MG

DORYX ORAL TABLET DELAYED RELEASE 80 MG

doxy 100 E

doxycycline hyclate intravenous

doxycycline hyclate oral capsule

doxycycline hyclate oral tablet 100 mg 50 mg

doxycycline hyclate oral tablet 20 mg

doxycycline hyclate oral tablet delayed release 100 mg 75 mg

doxycycline hyclate oral tablet delayed release 150 mg 200 mg 50 mg

DOXYCYCLINE HYCLATE ORAL TABLET DELAYED RELEASE 80 MG

doxycycline monohydrate oral capsule 100 mg 150 mg 75 mg

doxycycline monohydrate oral capsule 50 mg

doxycycline monohydrate oral suspension reconstituted

doxycycline monohydrate oral tablet

EES GRANULES 3

ertapenem sodium E

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

ERYTHROCIN STEARATE ORAL TABLET 250 MG

erythromycin base oral 1

erythromycin ethylsuccinate oral

erythromycin oral 1

FETROJA E

FIRST-METRONIDAZOLE ORAL SUSPENSION RECONSTITUTED 50 MGML

FIRVANQ 3

FLAGYL ORAL CAPSULE

FLAGYL ORAL TABLET 500 MG

FORTAZ INJECTION SOLUTION RECONSTITUTED 1 GM

fosfomycin tromethamine

gentamicin sulfate external

HIPREX 3

imipenem-cilastatin intravenous solution reconstituted 250 mg

INVANZ INJECTION E

iodine tincture external tincture 2

KEFLEX ORAL CAPSULE 750 MG

levofloxacin oral 1

LINCOCIN E

lincomycin hcl injection E

linezolid in sodium chloride

linezolid intravenous solution 600 mg300ml

linezolid oral 1 QL

LUGOLS STRONG IODINE

MACROBID 3

MACRODANTIN 3

mafenide acetate external

meropenem intravenous solution reconstituted 500 mg

MEROPENEM-SODIUM CHLORIDE INTRAVENOUS SOLUTION RECONSTITUTED 1 GM50ML 500 MG50ML

methenamine hippurate 1

methenamine mandelate oral

METRONIDAZOLE BENZO+SYRSPEND

metronidazole oral 1

metronidazole vaginal 1

MINOCYCLINE HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR

minocycline hcl er oral tablet extended release 24 hour

minocycline hcl oral 1

MINOLIRA E

mondoxyne nl oral capsule 100 mg 75 mg

MONUROL 3

MORGIDOX COMBINATION KIT 1 X 100 MG 2 X 100 MG

morgidox oral capsule 100 mg

moxifloxacin hcl in nacl E

moxifloxacin hcl oral 1

mupirocin calcium E

mupirocin external 1

nafcillin sodium injection solution reconstituted 1 gm

nafcillin sodium intravenous solution reconstituted 10 gm

neomycin sulfate oral 1

neomycin-polymyxin b gu

nitrofurantoin macrocrystal oral

nitrofurantoin monohydrate macrocrystals

nitrofurantoin oral suspension

NUTRIDOX E

NUVESSA E

NUZYRA ORAL TABLET 150 MG

ofloxacin oral tablet 300 mg 400 mg

oxacillin sodium injection solution reconstituted 1 gm

oxacillin sodium intravenous

paromomycin sulfate oral

penicillin g potassium injection solution reconstituted 5000000 unit

penicillin g procaine E

penicillin g sodium E

penicillin v potassium 1

PFIZERPEN INJECTION SOLUTION RECONSTITUTED 5000000 UNIT

piperacillin sod-tazobactam so intravenous solution reconstituted 45 (4-05) gm

polymyxin b sulfate injection

POLYSPORIN EXTERNAL OINTMENT 500-10000 UNITGM

PRIMSOL 3

RECARBRIO E

SCRUB CARE POVIDONE-IODINE

SEYSARA 3 ST

SILVADENE 3

silver nitrate external solution

silver sulfadiazine external

SIVEXTRO E

SOLODYN ORAL TABLET EXTENDED RELEASE 24 HOUR 105 MG 115 MG 55 MG 65 MG 80 MG

SOLOSEC 3

streptomycin sulfate intramuscular

sulfadiazine oral 1

sulfamethoxazole-trimethoprim oral suspension 200-40 mg5ml

sulfamethoxazole-trimethoprim oral tablet

SULFAMYLON EXTERNAL CREAM

SULFAMYLON EXTERNAL PACKET

sulfatrim pediatric 1

SUPRAX ORAL CAPSULE

SUPRAX ORAL SUSPENSION RECONSTITUTED

SUPRAX ORAL TABLET CHEWABLE

TARGADOX E

tazicef injection E

tazicef intravenous solution reconstituted 1 gm

TEFLARO INTRAVENOUS SOLUTION RECONSTITUTED 600 MG

tetracycline hcl oral 1

tigecycline E

tinidazole oral 1

trimethoprim oral 1

TYGACIL E

UNASYN INJECTION SOLUTION RECONSTITUTED 3 (2-1) GM

VANCOCIN 3

VANCOCIN HCL ORAL CAPSULE 125 MG

vancomycin hcl in nacl intravenous solution 1-09 gm200ml-

vancomycin hcl intravenous solution 1000 mg200ml 1250 mg250ml 1500 mg300ml 1750 mg350ml 2000 mg400ml 500 mg100ml 750 mg150ml

vancomycin hcl oral 1

VANCOMYCIN+SYRSPEND SF

vandazole 1

VIBRAMYCIN 3 ST

XENLETA INTRAVENOUS

XENLETA ORAL 3

XEPI 3

XIFAXAN 3 PA

XIMINO 3

ZEMDRI E

ZITHROMAX ORAL PACKET

ZITHROMAX ORAL SUSPENSION RECONSTITUTED

ZITHROMAX ORAL TABLET 250 MG 500 MG

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

ZYVOX INTRAVENOUS SOLUTION 200 MG100ML 600 MG300ML

ZYVOX ORAL 3 QL

Anticoagulants

ACD-A NOCLOT-50 3

ACTIVASE E

ANTICOAGULANT SODIUM CITRATE

ARIXTRA 3 SP QL

CATHFLO ACTIVASE E

ELIQUIS 2 QL

ELIQUIS DVTPE STARTER PACK ORAL TABLET THERAPY PACK

enoxaparin sodium 1 SP QL

fondaparinux sodium 1 SP QL

FRAGMIN SUBCUTANEOUS SOLUTION 10000 UNITML 12500 UNIT05ML 15000 UNIT06ML 18000 UNT072ML 2500 UNIT02ML 5000 UNIT02ML 7500 UNIT03ML 95000 UNIT38ML

3 SP QL

heparin (porcine) in nacl intravenous solution 1000-09 ut500ml- 2000-09 unitl-

heparin sodium (porcine) injection solution 1000 unitml 10000 unitml 20000 unitml 5000 unitml

heparin sodium (porcine) injection solution prefilled syringe

heparin sodium (porcine) pf injection solution 5000 unit05ml

heparin sodium (porcine) pf injection solution 5000 unitml

jantoven 1

LOVENOX 3 SP QL

PRADAXA 2 QL

REGIOCIT E

SAVAYSA 3 QL

THROMBATE III 3 SP

TRICITRASOL 3

warfarin sodium oral 1

XARELTO 2 QL

XARELTO STARTER PACK

Anticonvulsants - Drugs for Seizures

APTIOM 3

BANZEL 3 PA

BRIVIACT INTRAVENOUS

BRIVIACT ORAL 3 ST

carbamazepine er 1

carbamazepine oral 1

CARBATROL 3

CELONTIN 3

CEREBYX INJECTION SOLUTION 500 MG PE10ML

clobazam 1 PA

DEPAKOTE 3

DEPAKOTE ER 3

DEPAKOTE SPRINKLES ORAL CAPSULE DELAYED RELEASE SPRINKLE

DIACOMIT 3 PA SP

DIASTAT ACUDIAL 3 QL

DIASTAT PEDIATRIC 3 QL

diazepam rectal 1 QL

DILANTIN INFATABS E

DILANTIN ORAL CAPSULE 100 MG

DILANTIN ORAL SUSPENSION

divalproex sodium er oral tablet extended release 24 hour

divalproex sodium oral capsule delayed release sprinkle

divalproex sodium oral tablet delayed release

ELEPSIA XR E

EPIDIOLEX 3 PA SP

epitol 1

ethosuximide oral 1

FANATREX FUSEPAQ E

felbamate 1

FELBATOL 3

FINTEPLA 3 PA SP

fosphenytoin sodium injection solution 500 mg pe10ml

FYCOMPA 3

gabapentin oral capsule

gabapentin oral solution 250 mg5ml

gabapentin oral tablet 1

GABITRIL 3

KEPPRA INTRAVENOUS

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL ODT ORAL KIT 21 X 25 MG amp 7 X 50 MG 42 X 50 MG amp 14X100 MG

LAMICTAL ODT ORAL KIT 25 amp 50 amp 100 MG

LAMICTAL ODT ORAL TABLET DISPERSIBLE

LAMICTAL ORAL TABLET

LAMICTAL ORAL TABLET CHEWABLE 25 MG 5 MG

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

lamotrigine oral kit 25 amp 50 amp 100 mg

lamotrigine oral tablet 1

lamotrigine oral tablet chewable

lamotrigine oral tablet dispersible

lamotrigine starter kit-blue

lamotrigine starter kit-green

lamotrigine starter kit-orange

levetiracetam er 1

levetiracetam intravenous

levetiracetam oral 1

MYSOLINE 3

NAYZILAM 3 QL

NEURONTIN 3

ONFI ORAL SUSPENSION

ONFI ORAL TABLET 10 MG 20 MG

oxcarbazepine 1

OXTELLAR XR E

phenobarbital oral elixir 1

phenobarbital oral tablet

PHENYTEK 3

phenytoin infatabs 1

phenytoin oral suspension 125 mg5ml

phenytoin oral tablet chewable

phenytoin sodium extended

primidone oral 1

QUDEXY XR 3

roweepra oral tablet 500 mg

rufinamide 1 PA

SABRIL ORAL PACKET

SABRIL ORAL TABLET

3 PA SP

SPRITAM E

subvenite 1

subvenite starter kit-blue

subvenite starter kit-green

subvenite starter kit-orange

SYMPAZAN 3 PA

TEGRETOL ORAL SUSPENSION

TEGRETOL ORAL TABLET

TEGRETOL-XR 3

tiagabine hcl 1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TRILEPTAL 3

TROKENDI XR 3 ST

valproic acid oral capsule

valproic acid oral solution

VALTOCO 3 QL

vigabatrin 1 PA SP

vigadrone 1 PA SP

VIMPAT INTRAVENOUS

VIMPAT ORAL 3

XCOPRI 3 ST

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

Antidementia Agents - Drugs for Alzheimers Disease and Dementia

ARICEPT 3

donepezil hcl 1

EXELON TRANSDERMAL

galantamine hydrobromide

galantamine hydrobromide er

memantine hcl er 1 QL

memantine hcl oral solution 2 mgml

memantine hcl oral tablet

NAMENDA ORAL TABLET

NAMENDA TITRATION PAK

NAMENDA XR 3 QL

NAMENDA XR TITRATION PACK

NAMZARIC 2 QL

RAZADYNE ER 3

rivastigmine 1

rivastigmine tartrate 1

Antidepressants

amitriptyline hcl oral 1

amoxapine 1

ANAFRANIL 3

APLENZIN E

BRISDELLE 3 ST QL

bupropion hcl er (sr) 1 QL

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

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

bupropion hcl oral 1

CELEXA ORAL TABLET

chlordiazepoxide-amitriptyline

citalopram hydrobromide

clomipramine hcl oral 1

CYMBALTA E

desipramine hcl oral 1

DESVENLAFAXINE ER

3 ST QL

desvenlafaxine succinate er

doxepin hcl oral capsule

doxepin hcl oral concentrate

DRIZALMA SPRINKLE 3 ST QL

duloxetine hcl oral 1 QL

EFFEXOR XR E

EMSAM 3 QL

escitalopram oxalate 1

FETZIMA 3 ST QL

FETZIMA TITRATION 3 ST QL

fluoxetine hcl (pmdd) oral tablet

fluoxetine hcl oral capsule

fluoxetine hcl oral capsule delayed release

fluoxetine hcl oral solution

fluoxetine hcl oral tablet 1

fluvoxamine maleate 1

fluvoxamine maleate er 1 QL

FORFIVO XL E

imipramine hcl oral 1

imipramine pamoate 1

LEXAPRO ORAL TABLET

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3

nefazodone hcl 1

NORPRAMIN ORAL TABLET 10 MG 25 MG

nortriptyline hcl oral 1

olanzapine-fluoxetine hcl

PAMELOR ORAL CAPSULE

PARNATE 3

paroxetine hcl er 1

paroxetine hcl oral tablet

paroxetine mesylate 1 QL

PAXIL CR 3

PAXIL ORAL SUSPENSION

PAXIL ORAL TABLET 3

perphenazine-amitriptyline

PEXEVA E

phenelzine sulfate oral 1

PRISTIQ E

protriptyline hcl 1

PROZAC ORAL CAPSULE

REMERON ORAL TABLET 15 MG 30 MG

REMERON SOLTAB 3

sertraline hcl oral 1

SPRAVATO (56 MG DOSE)

3 PA SP

SYMBYAX ORAL CAPSULE 12-50 MG 3-25 MG 6-25 MG 6-50 MG

tranylcypromine sulfate 1

trazodone hcl oral 1

trimipramine maleate oral

TRINTELLIX 3 ST QL

venlafaxine hcl 1

venlafaxine hcl er 1

VIIBRYD ORAL TABLET

VIIBRYD STARTER PACK

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA SP

Antiemetics - Drugs for Nausea and Vomiting

AKYNZEO INTRAVENOUS

AKYNZEO ORAL 3 QL

ALOXI INTRAVENOUS SOLUTION 025 MG5ML

ANZEMET ORAL 3 QL

aprepitant 1 QL

BONJESTA 3 PA QL

compro 1

cvs motion sickness E

DICLEGIS 3 PA QL

doxylamine-pyridoxine 1 PA QL

dronabinol 1 PA QL

EMEND INTRAVENOUS SOLUTION RECONSTITUTED 150 MG

EMEND ORAL CAPSULE 80 MG

EMEND ORAL SUSPENSION RECONSTITUTED

EMEND TRI-PACK 3 QL

fosaprepitant dimeglumine

GIMOTI E

goodsense motion sickness

granisetron hcl intravenous solution 1 mgml 4 mg4ml

granisetron hcl oral 1 QL

MARINOL 3 PA QL

meclizine hcl oral tablet 1

meclizine hcl tablet chewable 25 mg oral (otc)

meclizine hcl tablet chewable 25 mg oral (rx)

metoclopramide hcl oral solution 10 mg10ml 5 mg5ml

metoclopramide hcl oral tablet

metoclopramide hcl oral tablet dispersible

motion sickness relief E

ondansetron hcl injection solution 4 mg2ml 40 mg20ml

ondansetron hcl oral solution

ondansetron hcl oral tablet 24 mg

ondansetron hcl oral tablet 4 mg 8 mg

ondansetron odt 1

palonosetron hcl E

perphenazine oral 1

prochlorperazine 1

prochlorperazine maleate oral

REGLAN ORAL 3

SANCUSO 3 QL

scopolamine 1

SUSTOL E

SYNDROS 3 PA QL

TIGAN INTRAMUSCULAR

TIGAN ORAL 3

TRANSDERM SCOP (15 MG)

TRANSDERM-SCOP (15 MG)

trimethobenzamide hcl oral

VARUBI (180 MG DOSE)

ZOFRAN ORAL TABLET 4 MG

ZUPLENZ E

Antifungals

ALA-QUIN E

ALCORTIN A E

ALOE VESTA CLEAR ANTIFUNGAL

ANCOBON 3

athletes foot (terbinafine)

CANCIDAS INTRAVENOUS SOLUTION RECONSTITUTED 70 MG

caspofungin acetate intravenous solution reconstituted 70 mg

ciclodan external solution

ciclopirox external 1

ciclopirox olamine external

ciclopirox treatment E

clotrimazole external cream

clotrimazole external solution

clotrimazole mouththroat troche

clotrimazole vaginal cream 1

clotrimazole-betamethasone

CRESEMBA ORAL 3

cvs clotrimazole 3 E

DERMACINRX THERAZOLE PAK

DESENEX EXTERNAL POWDER

DIFLUCAN 3

DIFMETIOXRIME E

ECONASIL E

econazole nitrate external

ECONAZOLE NITRATE-NIACINAMIDE

ECOZA E

ERAXIS INTRAVENOUS SOLUTION RECONSTITUTED 100 MG

ERTACZO E

EXELDERM E

EXODERM EXTERNAL LOTION

EXTINA 3

fluconazole oral 1

FLUCON-IBUPROF-ITRACON-TERBINA

flucytosine oral 1

FUNGIMEZ E

griseofulvin microsize oral

griseofulvin ultramicrosize

GYNAZOLE-1 3

HIXDEFRIMA E

hydrocortisone-iodoquinol external cream 1-1

IMIOXIA E

IODOQUIMEZ-HC E

iodoquinol-hc-aloe polysacch

IODOQUINOL-HC-KETOCONAZOLE

iodoquinol-hydrocortisone-aloe

itraconazole oral 1 PA

JUBLIA E

KERYDIN 3 PA

ketoconazole external cream

ketoconazole external foam

ketoconazole external shampoo 2

ketoconazole oral 1

KETOCONAZOLE-HYDROCORTISONE

ketodan external foam E

KETODAN EXTERNAL KIT

LOPROX EXTERNAL CREAM

LOPROX EXTERNAL KIT

LOPROX EXTERNAL SHAMPOO

LOPROX EXTERNAL SUSPENSION

LOTRIMIN AF EXTERNAL POWDER

LULICONAZOLE E

LUZU E

MENTAX E

micaderm E

micafungin sodium intravenous solution reconstituted 100 mg

miconazole 1 E

miconazole 3 vaginal suppository

miconazole 7 E

miconazole nitrate external cream

MICONAZOLE-ZINC OXIDE-PETROLAT

MYCAMINE INTRAVENOUS SOLUTION RECONSTITUTED 100 MG

MYCOZYL AP E

naftifine hcl 1

NAFTIN EXTERNAL GEL

NOXAFIL ORAL 3 PA

nyamyc 1

nystatin external 1

nystatin mouththroat 1

nystatin oral tablet 1

nystatin-triamcinolone 1

nystop 1

ONYCHO-MED E

ORAVIG E

oxiconazole nitrate E

OXISTAT EXTERNAL CREAM

OXISTAT EXTERNAL LOTION

PEDIZOLPAK E

PHEODOYO E

PHEYO E

posaconazole 1 PA

QUINJA E

RECURA E

SPORANOX 3 PA

SPORANOX PULSEPAK

SULCONAZOLE NITRATE

tavaborole 1 PA

terbinafine hcl oral 1 QL

terconazole 1

tolnaftate antifungal E

tolnaftate external powder

TOLSURA E

VFEND 3

voriconazole oral 1

VUSION E

VYTONE E

XOLEGEL E

XOLEGEL COREPAK E

XOLEGEL DUOHEAD amp SHOULDERS

XOLEGEL DUOXOLEX

ZEASORB-AF EXTERNAL POWDER

ZOLPAK E

Antigout Agents

allopurinol oral 1

COLCHICINE ORAL CAPSULE

colchicine oral tablet 1

colchicine-probenecid 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA SP

MITIGARE E

probenecid oral 1

ULORIC 3 ST

ZYLOPRIM 3

Anti-inflammatory Agents

EMFLAZA 3 PA SP

Antimigraine Agents

AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 140 MGML 70 MGML

2 PA QL

AJOVY E

almotriptan malate 1 QL

AMERGE 3 QL

CAFERGOT 3

DHE 45 3 PA QL

dihydroergotamine mesylate injection

1 PA QL

dihydroergotamine mesylate nasal

1 PA QL

eletriptan hydrobromide 1 QL

EMGALITY 2 PA QL

EMGALITY (300 MG DOSE)

2 PA QL

ERGOMAR 3

ergotamine-caffeine 1

FROVA 3 QL

frovatriptan succinate 1 QL

IMITREX 3 QL

IMITREX STATDOSE REFILL SUBCUTANEOUS SOLUTION CARTRIDGE

IMITREX STATDOSE SYSTEM SUBCUTANEOUS SOLUTION AUTO-INJECTOR

MAXALT ORAL TABLET 10 MG

MAXALT-MLT ORAL TABLET DISPERSIBLE 10 MG

MIGERGOT 3

MIGRAINE PACK E

MIGRANAL 3 PA QL

MIGRANOW E

naratriptan hcl 1 QL

NURTEC 2 PA QL

ONZETRA XSAIL 3 ST QL

RELPAX 3 QL

REYVOW E

rizatriptan benzoate 1 QL

SUMANSETRON E

sumatriptan nasal 1 QL

sumatriptan succinate oral

sumatriptan succinate refill subcutaneous solution cartridge

sumatriptan succinate subcutaneous solution 6 mg05ml

sumatriptan succinate subcutaneous solution auto-injector 4 mg05ml 6 mg05ml

sumatriptan succinate subcutaneous solution prefilled syringe 6 mg05ml

sumatriptan-naproxen sodium

TOSYMRA E

TREXIMET ORAL TABLET 85-500 MG

3 ST QL

UBRELVY 2 PA QL

VYEPTI E

ZEMBRACE SYMTOUCH

ZOLMITRIPTAN NASAL

3 ST QL

zolmitriptan oral 1 QL

ZOMIG NASAL 3 ST QL

ZOMIG ORAL E

ZOMIG ZMT E

Antimyasthenic Agents

GUANIDINE HCL ORAL

MESTINON ORAL SOLUTION

MESTINON ORAL TABLET

MESTINON ORAL TABLET EXTENDED RELEASE

NEOSTIGMINE METHYLSULFATE SOLUTION PREFILLED SYRINGE 5 MG5ML INTRAVENOUS

pyridostigmine bromide er

pyridostigmine bromide oral solution

pyridostigmine bromide oral tablet

Antimycobacterials

CAPASTAT SULFATE E

cycloserine oral 1

dapsone oral 1

ethambutol hcl oral 1

isoniazid oral 1

MYAMBUTOL ORAL TABLET 400 MG

MYCOBUTIN 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifabutin 1

rifampin oral 1

RIFAMPIN+SYRSPEND SF

SIRTURO 3

TRECATOR 3

Antineoplastics - Drugs for Cancer

abiraterone acetate 1 PA SP

ABRAXANE 2 SP

ADCETRIS 2 PA SP

adriamycin intravenous solution

adriamycin intravenous solution reconstituted 10 mg 50 mg

AFINITOR DISPERZ 3 PA SP

AFINITOR ORAL TABLET 10 MG

2 PA SP QL

AFINITOR ORAL TABLET 25 MG 5 MG 75 MG

ALECENSA 2 PA SP

ALIMTA 2 SP

ALIQOPA 3 PA SP

ALKERAN 3 SP

ALUNBRIG 2 PA SP QL

anastrozole oral $0

ARIMIDEX E

AROMASIN 3

ARRANON 2 SP

arsenic trioxide intravenous

ARZERRA 2 PA SP

ASPARLAS 3 SP

AVASTIN 3 PA SP

AYVAKIT 3 PA SP QL

azacitidine 1 PA SP

BALVERSA 3 PA SP

BAVENCIO 3 PA SP

BELEODAQ 3 PA SP

BELRAPZO E SP

BENDEKA 3 PA SP

BESPONSA 3 PA SP

bexarotene 1 PA SP

bicalutamide 1

BICNU 3 SP

BLENREP 3 PA SP

bleomycin sulfate 1 SP

BLINCYTO 3 PA SP

BORTEZOMIB 3 PA SP

BOSULIF 3 PA SP

BRAFTOVI ORAL CAPSULE 75 MG

3 PA SP

BREYANZI E SP

BRUKINSA 3 PA SP

busulfan 1 SP

BUSULFEX 3 SP

CABOMETYX 2 PA SP

CALQUENCE 3 PA SP

CAMPATH 2 SP

CAMPTOSAR 3 SP

capecitabine 1 PA SP

CAPRELSA ORAL TABLET 100 MG

2 PA SP QL

2 PA SP

carboplatin intravenous solution

carmustine 1 SP

CASODEX 3

cisplatin intravenous solution 100 mg100ml 200 mg200ml 50 mg50ml

CISPLATIN INTRAVENOUS SOLUTION RECONSTITUTED

cladribine intravenous solution 10 mg10ml

clofarabine 1 SP

CLOLAR 3 SP

COMETRIQ ORAL KIT 20 MG 3 X 20 MG amp 80 MG 80 amp 20 MG

3 PA SP

COPIKTRA 3 PA SP

COSELA E SP

COSMEGEN 3 SP

COTELLIC 3 PA SP

cyclophosphamide injection

CYCLOPHOSPHAMIDE INTRAVENOUS

cyclophosphamide oral capsule

CYCLOPHOSPHAMIDE ORAL TABLET

CYRAMZA 3 PA SP

cytarabine (pf) 1 SP

cytarabine injection solution

dacarbazine intravenous

DACOGEN 3 PA SP

dactinomycin 1 SP

DANYELZA 3 PA SP

DARZALEX 3 PA SP

DARZALEX FASPRO E SP

daunorubicin hcl intravenous solution

DAURISMO 3 PA SP

decitabine 1 PA SP

dexrazoxane hcl 1 SP

docetaxel intravenous concentrate 160 mg8ml 20 mgml 80 mg4ml

docetaxel intravenous solution 160 mg16ml 20 mg2ml 80 mg8ml

DOXIL 3 SP

doxorubicin hcl intravenous solution

doxorubicin hcl liposomal

DROXIA 3

ELITEK 3 SP

ELLENCE 3 SP

ELZONRIS 3 PA SP

EMCYT 2

EMPLICITI 3 PA SP

ENHERTU 3 PA SP

epirubicin hcl intravenous solution 200 mg100ml 50 mg25ml

ERBITUX 2 PA SP

ERIVEDGE 2 PA SP

ERLEADA E SP

erlotinib hcl oral tablet 100 mg 150 mg

1 PA SP

erlotinib hcl oral tablet 25 mg

1 PA SP QL

ERWINAZE INJECTION

ETHYOL 3 SP

ETOPOPHOS 3 SP

etoposide intravenous solution 1 gm50ml 100 mg5ml 500 mg25ml

etoposide oral 1 SP

everolimus oral tablet 25 mg 5 mg 75 mg

1 PA SP QL

EVOMELA 3 SP

exemestane $0

FARESTON 3

FARYDAK 3 PA SP

FASLODEX INTRAMUSCULAR SOLUTION 250 MG5ML

FEMARA 3

floxuridine injection 1 SP

fludarabine phosphate 1 SP

fluorouracil intravenous 1 SP

flutamide 1

FOLOTYN 2 PA SP

FOTIVDA E SP

fulvestrant 1 SP

GAVRETO E SP

GAZYVA 3 PA SP

gemcitabine hcl 1 SP

GILOTRIF 3 PA SP QL

GLEEVEC 3 PA SP

GLEOSTINE ORAL CAPSULE 10 MG 100 MG 40 MG

HALAVEN 2 PA SP

HERCEPTIN HYLECTA

3 PA SP

HERCEPTIN INTRAVENOUS SOLUTION RECONSTITUTED 150 MG

3 PA SP

HERZUMA E SP

HYCAMTIN 3 SP

HYDREA 3

hydroxyurea oral 1

IBRANCE 3 PA SP

ICLUSIG ORAL TABLET 10 MG 15 MG

3 PA SP QL

3 PA SP

IDAMYCIN PFS 3 SP

idarubicin hcl 1 SP

IDHIFA 3 PA SP QL

IFEX 3 SP

ifosfamide 1 SP

imatinib mesylate 1 PA SP

IMBRUVICA 3 PA SP

IMFINZI 3 PA SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA 3 PA SP

INQOVI E SP

INREBIC 3 PA SP

IRESSA 3 PA SP

irinotecan hcl 1 SP

ISTODAX (OVERFILL) 3 PA SP

IXEMPRA KIT 2 SP

JAKAFI ORAL TABLET 10 MG

2 PA SP QL

JAKAFI ORAL TABLET 15 MG 20 MG 25 MG 5 MG

2 PA SP

JELMYTO E SP

JEVTANA 2 PA SP

KADCYLA 3 PA SP

KANJINTI 2 PA SP

KEYTRUDA INTRAVENOUS SOLUTION

3 PA SP

KHAPZORY 3 ST SP

KISQALI FEMARA 3 PA SP

KISQALI ORAL TABLET THERAPY PACK 200 MG

3 PA SP

KOSELUGO 3 PA SP

KYPROLIS 2 PA SP

lapatinib ditosylate 1 PA SP

LENVIMA ORAL CAPSULE THERAPY PACK 10 amp 4 MG 10 MG 10 MG amp 2 X 4 MG 2 X 10 MG 2 X 10 MG amp 4 MG 2 X 4 MG 3 X 4 MG 4 MG

3 PA SP

letrozole oral 1

leucovorin calcium injection

leucovorin calcium oral 1

LEUKERAN 2

levoleucovorin calcium intravenous solution reconstituted 50 mg

levoleucovorin calcium pf

LIBTAYO 3 PA SP

LONSURF 3 PA SP

LORBRENA 3 PA SP

LUMOXITI 3 PA SP

LUTATHERA E

LYNPARZA ORAL TABLET

2 PA SP

LYSODREN 2

MARQIBO 3 SP

MATULANE 2 SP

MEKINIST 2 PA SP

MEKTOVI 3 PA SP

melphalan 1 SP

melphalan hcl 1 SP

mercaptopurine oral 1

mesna 1 SP

MESNEX 3 SP

mitomycin intravenous 1 SP

MITOMYCIN INTRAVESICAL

mitoxantrone hcl 1 PA SP

MONJUVI 3 PA SP

mutamycin 1 SP

MVASI 2 PA SP

MYLERAN 2

MYLOTARG INTRAVENOUS SOLUTION RECONSTITUTED 45 MG

3 PA SP

NAVELBINE 3 SP

NERLYNX 3 PA SP QL

NEXAVAR 2 PA SP

NILANDRON 3 SP

nilutamide 1 SP

NINLARO 3 PA SP

NIPENT 3 SP

NUBEQA 3 PA SP

ODOMZO 3 PA SP

OGIVRI E SP

ONCASPAR INJECTION

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG 3 PA SP

OPDIVO 3 PA SP

ORGOVYX 3 PA SP

oxaliplatin intravenous solution 100 mg20ml 50 mg10ml

oxaliplatin intravenous solution 200 mg40ml

oxaliplatin intravenous solution reconstituted

paclitaxel 1 SP

PADCEV 3 PA SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE 3 PA SP QL

PERJETA 2 PA SP

PHESGO 2 PA SP

PHOTOFRIN 3 SP

PIQRAY 3 PA SP

POLIVY 3 PA SP

POMALYST 3 PA SP

PORTRAZZA 3 PA SP

POTELIGEO 3 PA SP

PROLEUKIN 2 SP

PURIXAN 3 SP

QINLOCK 3 PA SP

RETEVMO 3 PA SP

REVLIMID 2 PA SP

RIABNI 3 PA SP

RITUXAN HYCELA 3 PA SP

RITUXAN INTRAVENOUS SOLUTION

3 PA SP

ROMIDEPSIN INTRAVENOUS SOLUTION

3 PA SP

ROZLYTREK 3 PA SP

RUBRACA 2 PA SP

RUXIENCE 2 PA SP

RYDAPT 3 PA SP

SARCLISA 3 PA SP

SIKLOS 3 PA

SOLTAMOX $0

SPRYCEL 2 PA SP

STIVARGA 3 PA SP

SUTENT 2 PA SP

SYLVANT 3 PA SP

SYNRIBO 3 PA SP

TABLOID 2 SP

TABRECTA E SP

TAFINLAR 2 PA SP

TAGRISSO ORAL TABLET 40 MG

3 PA SP QL

3 PA SP

TALZENNA 3 PA SP

tamoxifen citrate oral 1

TARCEVA ORAL TABLET 100 MG 150 MG

3 PA SP

TARCEVA ORAL TABLET 25 MG

3 PA SP QL

TARGRETIN EXTERNAL

3 PA SP

TARGRETIN ORAL E SP

TASIGNA 3 PA SP

TAZVERIK E SP

TECARTUS 3 PA SP

TECENTRIQ 3 PA SP

TEMODAR INTRAVENOUS

TEMODAR ORAL CAPSULE 100 MG 140 MG 180 MG 250 MG

3 PA SP

temozolomide 1 PA SP

teniposide 1 SP

TEPADINA 3 SP

TEPMETKO E SP

THALOMID 2 PA SP

thiotepa injection 1 SP

TIBSOVO 3 PA SP

toposar intravenous solution 1 gm50ml 100 mg5ml 500 mg25ml

topotecan hcl 1 SP

toremifene citrate 1

TOTECT 3 SP

TRAZIMERA 2 PA SP

TREANDA INTRAVENOUS SOLUTION RECONSTITUTED

tretinoin oral 1 SP

TRISENOX INTRAVENOUS SOLUTION 12 MG6ML

TRODELVY 3 PA SP

TRUXIMA E SP

TUKYSA 3 PA SP

TURALIO 3 PA SP

TYKERB 3 PA SP

UKONIQ E SP

UNITUXIN 3 PA SP

VALCHLOR 3 PA SP

valrubicin E

VALSTAR E

VECTIBIX INTRAVENOUS SOLUTION 100 MG5ML 400 MG20ML

VELCADE INJECTION 2 PA SP

VENCLEXTA 3 PA SP

VENCLEXTA STARTING PACK

3 PA SP

VERZENIO 3 PA SP

VIDAZA 3 PA SP

vinblastine sulfate intravenous solution

vincristine sulfate intravenous

vinorelbine tartrate 1 SP

VITRAKVI 3 PA SP

VIZIMPRO 3 PA SP

VORAXAZE E

VOTRIENT 3 PA SP

VYXEOS INTRAVENOUS SUSPENSION RECONSTITUTED 44-100 MG

3 PA SP

XALKORI 3 PA SP

XELODA 3 PA SP

XOFIGO INTRAVENOUS SOLUTION 30 MCCIML

XOSPATA 3 PA SP

XPOVIO (100 MG ONCE WEEKLY)

3 PA SP

XPOVIO (40 MG TWICE WEEKLY)

3 PA SP

XTANDI 3 PA SP

YERVOY 2 PA SP

YESCARTA 3 PA SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA SP

ZANOSAR 2 SP

ZEJULA 2 PA SP

ZELBORAF 3 PA SP

ZEPZELCA 3 PA SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA SP

ZOLINZA 2 PA SP

ZYDELIG 3 PA SP

ZYKADIA ORAL TABLET

3 PA SP

ZYTIGA E SP

Antiparasitics

albendazole oral 1 PA

ALBENZA 3 PA

ALINIA ORAL SUSPENSION RECONSTITUTED

ALINIA ORAL TABLET 3

ARAKODA 3

atovaquone oral 1

atovaquone-proguanil hcl

BENZNIDAZOLE 3

BILTRICIDE 3

chloroquine phosphate oral

COARTEM 3

crotan 1

DARAPRIM 3 PA SP

EGATEN 3

ELIMITE 3

EMVERM 2

hydroxychloroquine sulfate oral

IMPAVIDO 3

ivermectin external lotion

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

lice killing external shampoo 4-033

lice treatment external liquid 1

lindane external shampoo

MALARONE 3

malathion external 1

mefloquine hcl 1

MEPRON 3

NATROBA 3

NEBUPENT 3

nitazoxanide 1

OVIDE 3

PENTAM E

pentamidine isethionate inhalation

pentamidine isethionate injection

permethrin external cream

PLAQUENIL 3

praziquantel oral 1

primaquine phosphate oral

pyrimethamine oral 1 PA SP

PYRIMETHAMINE-LEUCOVORIN

QUALAQUIN 3 PA

quinine sulfate oral 1 PA

spinosad 1

stop lice complete treatment

STROMECTOL 3

SULFURATED LIME 3

Antiparkinson Agents

amantadine hcl oral 1

APOKYN SUBCUTANEOUS SOLUTION CARTRIDGE

3 PA SP QL

AZILECT 3

benztropine mesylate oral

bromocriptine mesylate oral

carbidopa oral 1

carbidopa-levodopa 1

carbidopa-levodopa er oral tablet extended release 25-100 mg 50-200 mg

carbidopa-levodopa-entacapone

COMTAN 3

DUOPA ENTERAL 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA SP

KYNMOBI 3 PA SP QL

KYNMOBI TITRATION KIT

3 PA SP QL

LODOSYN 3

MIRAPEX ER 3

MIRAPEX ORAL TABLET 0125 MG 05 MG 075 MG 1 MG

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3 ST

OSMOLEX ER E

PARLODEL 3

pramipexole dihydrochloride

pramipexole dihydrochloride er

rasagiline mesylate oral 1

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

selegiline hcl oral 1

SINEMET ORAL TABLET 10-100 MG 25-100 MG

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

TASMAR ORAL TABLET 100 MG

tolcapone 1

trihexyphenidyl hcl 1

XADAGO 3 ST QL

ZELAPAR 3

Antiplatelets

aspirin-dipyridamole er 1

ASPIRIN-OMEPRAZOLE

BRILINTA 2

CABLIVI 3 PA SP QL

cilostazol 1

clopidogrel bisulfate oral

dipyridamole oral 1

DURLAZA E

EFFIENT 3

PLAVIX ORAL TABLET 75 MG

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

Antipsychotics - Drugs for Mood Disorders

ABILIFY MAINTENA INTRAMUSCULAR PREFILLED SYRINGE

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION RECONSTITUTED ER

ABILIFY MYCITE E

ABILIFY MYCITE MAINTENANCE KIT

ABILIFY MYCITE STARTER KIT

ABILIFY ORAL TABLET

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA E

ARISTADA INITIO E

asenapine maleate 1 QL

CAPLYTA 3 ST QL

chlorpromazine hcl injection

chlorpromazine hcl oral 1

clozapine 1 QL

CLOZARIL 3 QL

FANAPT 3 ST QL

FANAPT TITRATION PACK

3 ST QL

fluphenazine decanoate injection

fluphenazine hcl injection

fluphenazine hcl oral 1

GEODON INTRAMUSCULAR

GEODON ORAL 3 QL

HALDOL DECANOATE E

haloperidol decanoate intramuscular solution 100 mgml 50 mgml

haloperidol lactate oral 1

haloperidol oral 1

INVEGA 3 QL

INVEGA SUSTENNA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

INVEGA TRINZA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

LATUDA 3 QL

loxapine succinate oral 1

molindone hcl 1

NUPLAZID ORAL CAPSULE

NUPLAZID ORAL TABLET 10 MG

olanzapine intramuscular

olanzapine oral 1 QL

paliperidone er 1 QL

PERSERIS E

pimozide 1

quetiapine fumarate 1 QL

quetiapine fumarate er 1 QL

REXULTI 3 QL

RISPERDAL CONSTA INTRAMUSCULAR SUSPENSION RECONSTITUTED ER

RISPERDAL ORAL SOLUTION

RISPERDAL ORAL TABLET 05 MG 1 MG 2 MG 3 MG 4 MG

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL 3 QL

SEROQUEL XR 3 QL

thioridazine hcl oral 1

thiothixene oral 1

trifluoperazine hcl oral 1

VERSACLOZ 3 QL

VRAYLAR 3 ST QL

ziprasidone hcl 1 QL

ziprasidone mesylate E

ZYPREXA INTRAMUSCULAR

ZYPREXA ORAL 3 QL

ZYPREXA RELPREVV E

ZYPREXA ZYDIS 3 QL

Antivirals

abacavir sulfate 1

abacavir sulfate-lamivudine

abacavir-lamivudine-zidovudine

acyclovir external 1

acyclovir oral 1

ACYCLOVIX E

adefovir dipivoxil 1 SP

APTIVUS 2

atazanavir sulfate 1

ATRIPLA E

BARACLUDE 3 SP QL

BIKTARVY 3

CABENUVA E

cidofovir intravenous E

CIMDUO 2

COMBIVIR 3

COMPLERA 2

CRIXIVAN ORAL CAPSULE 400 MG

DELSTRIGO 3

DENAVIR E

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

efavirenz-emtricitab-tenofovir

efavirenz-lamivudine-tenofovir

emtricitabine 1

emtricitabine-tenofovir df

EMTRIVA ORAL CAPSULE

EMTRIVA ORAL SOLUTION

entecavir 1 SP QL

EPCLUSA 2 PA SP QL

EPIVIR 3

EPIVIR HBV ORAL SOLUTION

EPIVIR HBV ORAL TABLET

EPZICOM 3

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3

fosamprenavir calcium 1

foscarnet sodium intravenous solution 6000 mg250ml

FOSCAVIR INTRAVENOUS SOLUTION 6000 MG250ML

FUZEON SUBCUTANEOUS SOLUTION RECONSTITUTED

GENVOYA 3

HARVONI 2 PA SP QL

HEPSERA 3 SP

INTELENCE 2

INTRON A 3 PA SP

INVIRASE ORAL TABLET

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL SOLUTION

KALETRA ORAL TABLET

lamivudine oral solution 1

lamivudine oral tablet 100 mg

lamivudine oral tablet 150 mg 300 mg

lamivudine-zidovudine 1

LEDIPASVIR-SOFOSBUVIR

LEXIVA ORAL SUSPENSION

LEXIVA ORAL TABLET 3

lopinavir-ritonavir 1

MAVYRET 2 PA SP QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET

NORVIR ORAL SOLUTION

NORVIR ORAL TABLET

ODEFSEY 3

oseltamivir phosphate oral

PEGASYS SUBCUTANEOUS SOLUTION

2 PA SP

PEGINTRON SUBCUTANEOUS KIT 50 MCG05ML

3 PA SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2

PREZISTA ORAL SUSPENSION

PREZISTA ORAL TABLET 150 MG 600 MG 75 MG 800 MG

RAPIVAB E

RELENZA DISKHALER 3 QL

RETROVIR INTRAVENOUS

RETROVIR ORAL CAPSULE

RETROVIR ORAL SYRUP

REYATAZ ORAL CAPSULE 150 MG 200 MG 300 MG

REYATAZ ORAL PACKET

ribavirin inhalation 1

ribavirin oral capsule 1 SP

ribavirin oral tablet 200 mg

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG E

SOFOSBUVIR-VELPATASVIR

SOVALDI 3 PA SP QL

stavudine oral capsule 1

STRIBILD 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

SYMTUZA 3

TAMIFLU ORAL CAPSULE

TAMIFLU ORAL SUSPENSION RECONSTITUTED 6 MGML

TEMIXYS E

tenofovir disoproxil fumarate

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3

TROGARZO 3 PA

TRUVADA E

TYBOST 2

valacyclovir hcl oral 1 QL

VALCYTE 3

valganciclovir hcl 1

VALTREX 3 QL

VEMLIDY 3 SP

VIEKIRA PAK 3 PA SP QL

VIRACEPT ORAL TABLET

VIRAMUNE ORAL SUSPENSION

VIRAMUNE XR ORAL TABLET EXTENDED RELEASE 24 HOUR 400 MG

VIRAZOLE 3

VIREAD ORAL POWDER

VIREAD ORAL TABLET 150 MG 200 MG 250 MG

VIREAD ORAL TABLET 300 MG

VOCABRIA E

VOSEVI 2 PA SP QL

XERESE E

XOFLUZA (40 MG DOSE)

ZEPATIER 3 PA SP QL

ZIAGEN 3

zidovudine 1

ZOVIRAX EXTERNAL CREAM

ZOVIRAX EXTERNAL OINTMENT

ZOVIRAX ORAL SUSPENSION

Anxiolytics - Drugs for Anxiety

alprazolam er 1 QL

alprazolam intensol 1 QL

alprazolam oral 1 QL

alprazolam xr 1 QL

ATIVAN E

buspirone hcl oral 1

chlordiazepoxide hcl 1 QL

clonazepam oral 1 QL

clorazepate dipotassium

diazepam intensol 1

diazepam oral concentrate

diazepam oral solution 5 mg5ml

diazepam oral tablet 1

DORAL 3 QL

estazolam 1 QL

HALCION 3 QL

hydroxyzine hcl oral syrup

hydroxyzine hcl oral tablet

hydroxyzine pamoate oral

KLONOPIN 3 QL

lorazepam injection E

lorazepam intensol 1 QL

lorazepam oral concentrate 2 mgml

lorazepam oral tablet 1 QL

meprobamate 1

midazolam hcl oral 1

MIDAZOLAM HCL-SODIUM CHLORIDE INTRAVENOUS SOLUTION 100-08 MG100ML- 50-08 MG50ML- 50-09 MG50ML-

MIDAZOLAM HCL-SODIUM CHLORIDE SOLUTION 100-09 MG100ML- INTRAVENOUS

MIDAZOLAM+SYRSPEND SF

oxazepam 1 QL

quazepam 1 QL

TRANXENE-T ORAL TABLET 75 MG

triazolam 1 QL

VALIUM E

VISTARIL 3

XANAX E

XANAX XR E

Bipolar Agents - Drugs for Mood Disorders

EQUETRO 3

lithium 1

lithium carbonate er 1

lithium carbonate oral 1

LITHOBID 3

Blood Products and Modifiers - Drugs for Blood Disorders

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3

ALPHANATE INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT 1500 UNIT 2000 UNIT 250 UNIT 500 UNIT

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR ORAL SOLUTION

AMICAR ORAL TABLET

aminocaproic acid oral solution

aminocaproic acid oral tablet

anagrelide hcl 1

ARANESP (ALBUMIN FREE) INJECTION SOLUTION 100 MCGML 200 MCGML 25 MCGML 300 MCGML 40 MCGML 60 MCGML

2 PA SP

ARANESP (ALBUMIN FREE) INJECTION SOLUTION PREFILLED SYRINGE

2 PA SP

ASTRINGYN SOLUTION 259 MGGM EXTERNAL

BENEFIX INTRAVENOUS KIT

CEPROTIN 3 SP

COAGADEX 3 SP

CORIFACT 2 SP

CYKLOKAPRON INTRAVENOUS SOLUTION 1000 MG10ML

DOPTELET ORAL TABLET 20 MG

3 PA SP

ELOCTATE 3 SP

EPOGEN INJECTION SOLUTION 10000 UNITML 2000 UNITML 20000 UNITML 3000 UNITML 4000 UNITML

ESPEROCT E SP

FEIBA INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT 2500 UNIT 500 UNIT

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

HEMOFIL M INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT 1700 UNIT 250 UNIT 500 UNIT

HUMATE-P INTRAVENOUS SOLUTION RECONSTITUTED 1000-2400 UNIT 250-600 UNIT 500-1200 UNIT

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

LEUKINE INJECTION SOLUTION RECONSTITUTED

3 PA SP

LYSTEDA 3

MIRCERA INJECTION SOLUTION PREFILLED SYRINGE

3 PA SP

MONONINE INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT

monsels ferric subsulfate external

MOZOBIL 2 PA SP QL

MULPLETA 2 PA SP

NEULASTA ONPRO 3 PA SP

NEULASTA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

3 PA SP

NEUPOGEN INJECTION SOLUTION 300 MCGML 480 MCG16ML

NEUPOGEN INJECTION SOLUTION PREFILLED SYRINGE

NIVESTYM 2 PA SP

NOVOEIGHT 2 SP

NOVOSEVEN RT 2 SP

NPLATE 3 PA SP

NUWIQ 2 SP

NYVEPRIA 3 PA SP

OBIZUR 3 SP

PANHEMATIN INTRAVENOUS SOLUTION RECONSTITUTED 350 MG

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA SP

REBINYN 3 SP

REBLOZYL 3 PA SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

RETACRIT INJECTION SOLUTION 10000 UNITML 2000 UNITML 20000 UNITML 3000 UNITML 4000 UNITML 40000 UNITML

2 PA SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT E SP

SOLIRIS INTRAVENOUS SOLUTION 300 MG30ML

3 PA SP

TAVALISSE 3 PA SP

THROMBIN-JMI EPISTAXIS

THROMBIN-JMI EXTERNAL KIT

THROMBOGEN 3

tranexamic acid intravenous solution 1000 mg10ml

tranexamic acid oral 1

TRANEXAMIC ACID-NACL

TRETTEN 3 SP

UDENYCA E SP

ULTOMIRIS INTRAVENOUS SOLUTION 1100 MG11ML 300 MG3ML

3 PA SP

ULTOMIRIS INTRAVENOUS SOLUTION 300 MG30ML

2 PA SP

VONVENDI 3 SP

WILATE INTRAVENOUS KIT

XYNTHA INTRAVENOUS KIT 1000 UNIT 2000 UNIT 250 UNIT 500 UNIT

XYNTHA SOLOFUSE 2 SP

ZARXIO 2 PA SP

ZIEXTENZO 3 PA SP

Cardiovascular Agents - Drugs for Heart and Circulation Conditions

ACCUPRIL 3

ACCURETIC 3

acebutolol hcl oral 1

AKOVAZ SOLUTION 50 MGML INTRAVENOUS

ALDACTAZIDE 3

ALDACTONE 3

aliskiren fumarate 1 ST

ALTACE ORAL CAPSULE

ALTOPREV E

amiloride hcl oral 1

amiloride-hydrochlorothiazide

amiodarone hcl oral 1

AMLODIPINE BES+SYRSPEND SF

amlodipine besylate oral

amlodipine besylate-benazepril hcl

amlodipine besylate-valsartan

amlodipine-atorvastatin 1

amlodipine-olmesartan 1

amlodipine-valsartan-hctz

ANTARA ORAL CAPSULE 30 MG 90 MG

ATACAND E

ATACAND HCT 3

atenolol oral 1

ATENOLOL+SYRSPEND SF

atenolol-chlorthalidone 1

atorvastatin calcium oral

AVALIDE ORAL TABLET 150-125 MG 300-125 MG

AVAPRO 3

AZOR E

benazepril hcl oral 1

benazepril-hydrochlorothiazide

BENICAR E

BENICAR HCT E

BETAPACE AF 3

BETAPACE ORAL TABLET 120 MG 160 MG 80 MG

betaxolol hcl oral 1

BIDIL 3

bisoprolol fumarate oral 1

bisoprolol-hydrochlorothiazide

bumetanide oral 1

BUMEX ORAL TABLET 05 MG

BYSTOLIC 2

CADUET ORAL TABLET 10-10 MG 10-20 MG 10-40 MG 10-80 MG 5-10 MG 5-20 MG 5-40 MG 5-80 MG

CALAN SR 3

candesartan cilexetil 1

candesartan cilexetil-hctz

captopril oral 1

captopril-hydrochlorothiazide

CARDIZEM CD 3

CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HOUR 120 MG

CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HOUR 180 MG 240 MG 300 MG 360 MG 420 MG

CARDIZEM ORAL TABLET 120 MG 30 MG 60 MG

CARDURA 3

CAROSPIR 3

cartia xt 1

carvedilol 1

carvedilol phosphate er 1

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

chlorthalidone oral tablet 25 mg 50 mg

cholestyramine light 1

cholestyramine oral 1

clonidine 1

clonidine hcl oral 1

colesevelam hcl 1

COLESTID E

COLESTID FLAVORED

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG 3

COREG CR 3

CORGARD 3

CORLANOR 3 PA QL

COZAAR 3

CRESTOR E

DEMSER 3

DIBENZYLINE 3

digitek 1

digox 1

digoxin oral 1

DILATRATE-SR 3

diltiazem hcl er beads 1

diltiazem hcl er coated beads

diltiazem hcl er oral capsule extended release 12 hour

diltiazem hcl er oral capsule extended release 24 hour 120 mg 180 mg 240 mg

diltiazem hcl oral 1

DILTIAZEM HCL-DEXTROSE SOLUTION 125-5 MG125ML- INTRAVENOUS

dilt-xr 1

DIOVAN E

DIOVAN HCT E

disopyramide phosphate oral

DIURIL 3

dofetilide 1

doxazosin mesylate oral

droxidopa 1 PA SP

DUTOPROL E

DYRENIUM 3

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3

enalapril maleate oral 1

enalapril-hydrochlorothiazide

ENTRESTO 2 QL

EPANED ORAL SOLUTION

ephedrine sulfate intravenous solution

EPHEDRINE SULFATE-NACL SOLUTION PREFILLED SYRINGE 50-09 MG10ML- INTRAVENOUS

eplerenone 1

ESMOLOL HCL INTRAVENOUS SOLUTION PREFILLED SYRINGE

ethacrynic acid oral 1

EVKEEZA E SP

EXFORGE 3

EXFORGE HCT 3

EZALLOR SPRINKLE 3 ST

ezetimibe 1

ezetimibe-simvastatin 1

felodipine er 1

fenofibrate micronized oral capsule 130 mg 43 mg

fenofibrate micronized oral capsule 134 mg 200 mg 67 mg

fenofibrate oral capsule 134 mg 200 mg 67 mg

fenofibrate oral capsule 150 mg 50 mg

fenofibrate oral tablet 120 mg 40 mg

fenofibric acid oral capsule delayed release

fenofibric acid oral tablet

FENOGLIDE 3 ST

FIBRICOR E

flecainide acetate 1

FLOLIPID 3 ST

fluvastatin sodium 1

fluvastatin sodium er 1

fosinopril sodium 1

fosinopril sodium-hctz 1

furosemide oral solution 10 mgml 8 mgml

furosemide oral tablet 1

gemfibrozil oral 1

GONITRO 3

guanfacine hcl oral 1

HEMANGEOL 3

hydralazine hcl oral 1

hydrochlorothiazide oral

HYZAAR 3

icosapent ethyl 1 PA

indapamide oral 1

INDERAL LA E

INDERAL XL E

INNOPRAN XL E

INSPRA 3

irbesartan 1

irbesartan-hydrochlorothiazide

ISORDIL TITRADOSE 3

isosorbide dinitrate oral 1

isosorbide mononitrate 1

isosorbide mononitrate er

ISOXSUPRINE HCL ORAL TABLET 10 MG

isoxsuprine hcl oral tablet 20 mg

isradipine 1

JUXTAPID ORAL CAPSULE 10 MG 20 MG 30 MG 5 MG

3 PA SP QL

KAPSPARGO SPRINKLE

KATERZIA E

labetalol hcl oral 1

LANOXIN ORAL TABLET 125 MCG 250 MCG 625 MCG

LASIX 3

LESCOL XL E

LIPITOR E

LIPOFEN 3

lisinopril oral 1

lisinopril-hydrochlorothiazide

LIVALO E

LOPID 3

LOPRESSOR ORAL 3

losartan potassium oral 1

losartan potassium-hctz 1

LOTENSIN HCT ORAL TABLET 10-125 MG 20-125 MG 20-25 MG

LOTENSIN ORAL TABLET 10 MG 20 MG 40 MG

LOTREL ORAL CAPSULE 10-20 MG 10-40 MG 5-10 MG 5-20 MG

lovastatin oral 1

LOVAZA E

matzim la 1

MAXZIDE 3

MAXZIDE-25 3

methyldopa oral 1

methyldopa-hydrochlorothiazide

metolazone 1

metoprolol succinate er 1

metoprolol tartrate oral 1

metoprolol-hydrochlorothiazide

metyrosine 1

mexiletine hcl oral 1

MICARDIS 3

MICARDIS HCT 3

midodrine hcl 1

milrinone lactate in dextrose

milrinone lactate intravenous solution 10 mg10ml 20 mg20ml 50 mg50ml

MINIPRESS 3

minitran 1

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

nadolol oral tablet 20 mg 40 mg 80 mg

NEXLETOL 2 PA QL

NEXLIZET 2 PA QL

niacin (antihyperlipidemic)

niacin er (antihyperlipidemic)

niacor 1

NIASPAN 3

nicardipine hcl oral 1

nifedipine er 1

nifedipine er osmotic release

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

nitroglycerin sublingual 1

nitroglycerin transdermal patch 24 hour

nitroglycerin translingual solution

NITROLINGUAL 3

NITROMIST 3

NITROSTAT E

NITRO-TIME E

NORPACE 3

NORPACE CR 2

NORTHERA 3 PA SP

NORVASC E

NYMALIZE ORAL SOLUTION 6 MGML

olmesartan medoxomil oral

olmesartan medoxomil-hctz

olmesartan-amlodipine-hctz

OMEGA-3 RX COMPLETE

omega-3-acid ethyl esters

PACERONE ORAL TABLET 100 MG 200 MG 400 MG

papaverine hcl injection E

pentoxifylline er 1

perindopril erbumine 1

phenoxybenzamine hcl oral

phentolamine mesylate injection solution reconstituted

PHENYLEPHRINE HCL-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 1-09 MG10ML- 100-09 MCG10ML- 20-09 MG50ML-

pindolol 1

PRALUENT SUBCUTANEOUS SOLUTION AUTO-INJECTOR

2 PA QL

pravastatin sodium 1

prazosin hcl oral 1

PRESTALIA 3 ST

prevalite 1

PRINIVIL ORAL TABLET 20 MG

procainamide hcl injection

PROCARDIA 3

PROCARDIA XL 3

propafenone hcl 1

propafenone hcl er 1

propranolol hcl er 1

propranolol hcl oral 1

propranolol-hctz 1

QBRELIS E

QUESTRAN E

QUESTRAN LIGHT ORAL POWDER

quinapril hcl 1

quinapril-hydrochlorothiazide

quinidine gluconate er 1

quinidine sulfate oral 1

ramipril 1

RANEXA 3 ST

ranolazine er 1 ST

RECTIV 3

REPATHA 2 PA QL

REPATHA PUSHTRONEX SYSTEM

2 PA QL

REPATHA SURECLICK

2 PA QL

rosuvastatin calcium 1

ROSZET TABLET 10-10 MG ORAL

RYTHMOL SR 3

simvastatin oral tablet 1

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

spironolactone oral 1

spironolactone-hctz 1

SULAR ORAL TABLET EXTENDED RELEASE 24 HOUR 17 MG 34 MG 85 MG

SURE RESULT O3D3 SYSTEM

TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG 2-240 MG 4-240 MG

taztia xt 1

TEKTURNA 2 ST

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-amlodipine 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

TENORMIN E

tiadylt er 1

TIAZAC 3

TIKOSYN E

timolol maleate oral 1

TOPROL XL E

torsemide oral 1

trandolapril 1

trandolapril-verapamil hcl er

triamterene oral 1

triamterene-hctz oral capsule 375-25 mg

triamterene-hctz oral tablet

TRIBENZOR E

TRICOR 3

TRILIPIX 3

TWYNSTA 3

valsartan 1

valsartan-hydrochlorothiazide

VASCEPA 2 PA

VASERETIC 3

VASOTEC 3

VECAMYL 3

verapamil hcl er oral capsule extended release 24 hour

verapamil hcl er oral tablet extended release 120 mg 180 mg 240 mg

verapamil hcl oral 1

VERELAN 3

VERELAN PM 3

VERQUVO E

VYNDAMAX 3 PA SP QL

VYNDAQEL 3 PA SP QL

VYTORIN E

WELCHOL 3

ZESTORETIC 3

ZESTRIL ORAL TABLET 10 MG 20 MG 5 MG

ZETIA E

ZIAC 3

ZOCOR ORAL TABLET 10 MG 20 MG 40 MG 80 MG

ZYPITAMAG ORAL TABLET 2 MG 4 MG

Central Nervous System Agents - Drugs for Attention Deficit Disorder

ADDERALL 3 PA QL

ADDERALL XR E

ADHANSIA XR E

ADZENYS ER 3 PA ST QL

ADZENYS XR-ODT 3 PA ST QL

AMPHETAMINE ER 3 PA ST QL

amphetamine sulfate 1 PA ST QL

amphetamine-dextroamphetamine

1 PA QL

amphetamine-dextroamphetamine er

1 PA QL

APTENSIO XR 3 PA ST QL

atomoxetine hcl 1 QL

clonidine hcl er 1 ST

CONCERTA E

COTEMPLA XR-ODT 3 PA ST QL

DAYTRANA 3 PA ST QL

DESOXYN 3 PA ST QL

DEXEDRINE ORAL CAPSULE EXTENDED RELEASE 24 HOUR

3 PA QL

dexmethylphenidate hcl 1 PA QL

dexmethylphenidate hcl er

1 PA ST QL

dextroamphetamine sulfate er

1 PA QL

dextroamphetamine sulfate oral

1 PA ST QL

DYANAVEL XR 3 PA ST QL

EVEKEO 3 PA ST QL

EVEKEO ODT 3 PA QL

FOCALIN 3 PA QL

FOCALIN XR 3 PA ST QL

guanfacine hcl er 1

INTUNIV 3

JORNAY PM 3 PA ST QL

KAPVAY ORAL TABLET EXTENDED RELEASE 12 HOUR

methamphetamine hcl 1 PA ST QL

METHYLIN ORAL SOLUTION

3 PA ST QL

methylphenidate hcl er (cd)

1 PA ST QL

methylphenidate hcl er (la)

1 PA ST QL

methylphenidate hcl er (xr)

1 PA ST QL

methylphenidate hcl er oral tablet extended release

1 PA ST QL

methylphenidate hcl er oral tablet extended release 24 hour

1 PA QL

methylphenidate hcl oral solution

1 PA ST QL

methylphenidate hcl oral tablet

1 PA QL

methylphenidate hcl oral tablet chewable

1 PA ST QL

MYDAYIS 3 PA ST QL

PROCENTRA 3 PA ST QL

QUILLICHEW ER 3 PA ST QL

QUILLIVANT XR ORAL SUSPENSION RECONSTITUTED ER

3 PA ST QL

relexxii 1 PA ST QL

RITALIN 3 PA QL

RITALIN LA ORAL CAPSULE EXTENDED RELEASE 24 HOUR 10 MG 20 MG 30 MG 40 MG

3 PA ST QL

STRATTERA 3 QL

VYVANSE 2 PA QL

ZENZEDI 3 PA ST QL

Central Nervous System Agents - Drugs for Multiple Sclerosis

AMPYRA 3 PA SP QL

AUBAGIO 3 PA SP QL

AVONEX PEN INTRAMUSCULAR AUTO-INJECTOR KIT

2 PA SP QL

AVONEX PREFILLED INTRAMUSCULAR PREFILLED SYRINGE KIT

2 PA SP QL

BAFIERTAM 2 PA SP QL

BETASERON SUBCUTANEOUS KIT

2 PA SP QL

COPAXONE SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 PA SP QL

dalfampridine er 1 PA SP QL

dimethyl fumarate oral 1 PA SP QL

dimethyl fumarate starter pack

1 PA SP QL

EXTAVIA SUBCUTANEOUS KIT

GILENYA 3 PA SP QL

glatiramer acetate 1 PA SP QL

glatopa 1 PA SP QL

KESIMPTA 2 PA SP QL

LEMTRADA 3 PA SP

MAVENCLAD 3 PA SP

MAYZENT 3 PA SP QL

OCREVUS 3 PA SP QL

PLEGRIDY E SP

PLEGRIDY STARTER PACK

PONVORY E SP

PONVORY STARTER PACK

REBIF REBIDOSE SUBCUTANEOUS SOLUTION AUTO-INJECTOR

REBIF REBIDOSE TITRATION PACK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

REBIF SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

REBIF TITRATION PACK SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

TECFIDERA E SP

TYSABRI 3 PA SP QL

VUMERITY 2 PA SP QL

ZEPOSIA 3 PA SP QL

ZEPOSIA 7-DAY STARTER PACK

3 PA SP QL

ZEPOSIA STARTER KIT

3 PA SP QL

Central Nervous System Agents - Miscellaneous

ADDYI 3 PA QL

ADIPEX-P E

AUSTEDO 3 PA SP QL

benzphetamine hcl E

caffeine citrate oral 1

CONTRAVE E

CONVENIENCE PAK E

diethylpropion hcl er E

diethylpropion hcl oral E

GRALISE 3 ST QL

HORIZANT ORAL TABLET EXTENDED RELEASE

3 PA QL

IMCIVREE 3 PA SP QL

INGREZZA 3 PA SP QL

LIPRITIN II COMBINATION THERAPY PACK 100 MG

LOMAIRA E

LYRICA CR 3 ST QL

LYRICA ORAL CAPSULE

LYRICA ORAL SOLUTION

NEURAPTINE E

NUEDEXTA 3 PA

ONPATTRO 3 PA SP

phendimetrazine tartrate

phendimetrazine tartrate er

phentermine hcl oral E

pregabalin oral 1 QL

QSYMIA E

RADICAVA 3 PA SP

RILUTEK 3 PA QL

riluzole 1 PA QL

SAVELLA 3 ST QL

SAVELLA TITRATION PACK

3 ST QL

SAXENDA E

SUCCINYLCHOLINE CHLORIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE 140 MG7ML

TEGSEDI 3 PA SP

tetrabenazine 1 PA SP

TIGLUTIK 3 PA SP QL

VECURONIUM BROMIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE

VYLEESI 3 PA QL

XENAZINE 3 PA SP

XENICAL E

Dental and Oral Agents - Drugs for Mouth and Throat Conditions

ARESTIN E

cavarest E

cevimeline hcl 1

chlorhexidine gluconate mouththroat

CLINPRO 5000 E

DEBACTEROL SOLUTION 30-50 MOUTHTHROAT

DENTA 5000 PLUS E

DENTAGEL E

DERMACINRX CLORHEXACIN

easygel dental E

EVOXAC 3

FIRST-MOUTHWASH BLM

FLUORIDEX E

fluoridex daily renewal E

FLUORIDEX ENHANCED WHITENING DENTAL PASTE

FLUORIDEX SENSITIVITY RELIEF DENTAL PASTE

HURRICAINE MOUTHTHROAT GEL

instant oral pain relief max

KEPIVANCE 2 SP

lidocaine hcl mouththroat

lidocaine viscous hcl 1

MOUTH KOTE REMINT

MUCOSITISRX E

NAFRINSE DAILY ACIDULATED

NAFRINSE DAILYNEUTRAL

NAFRINSE WEEKLY E

NUSURGEPAK SURGICAL PREPCARE

oralone 1

PERIDEX E

periogard E

pilocarpine hcl oral 1

PREVIDENT E

PREVIDENT 5000 BOOSTER PLUS

PREVIDENT 5000 DRY MOUTH DENTAL GEL

PREVIDENT 5000 ENAMEL PROTECT

PREVIDENT 5000 ORTHO DEFENSE

PREVIDENT 5000 PLUS

PREVIDENT 5000 SENSITIVE

SALAGEN 3

SALIVAMAX E

sf 5000 plus E

sodium fluoride 5000 enamel

sodium fluoride 5000 plus

sodium fluoride 5000 ppm

sodium fluoride 5000 sensitive

sodium fluoride dental cream

sodium fluoride dental gel 11

triamcinolone acetonide mouththroat

XEROSTOMIA RELIEF SPRAY

Dermatological Agents - Drugs for Skin Conditions

AAGC KIT IN TERODERM

ABREVA E

ABSORICA E

ABSORICA LD 3 PA

ACANYA E

accutane oral capsule 20 mg 30 mg 40 mg

ACESO AG E

ACIOXIAY E

acitretin 1

ACZONE EXTERNAL GEL 5

ADAINZDE E

ADAINZOXIA E

adapalene external cream

adapalene external gel 1 PA

ADAPALENE EXTERNAL PAD

ADAPALENE EXTERNAL SOLUTION

ADAPALENE-BENZOYL PER-CLINDAMY

ADAPALENE-BENZOYL PER-NIACINAM

adapalene-benzoyl peroxide external gel

ADAPALENE-BENZOYL PEROXIDE EXTERNAL PAD

ADVANCED ALLERGY COLLECTION

AKLIEF E

ALA SCALP E

ala-cort external cream 1

alclometasone dipropionate

ALDARA E

ALEVAMAX E

ALTRENO 3 PA

amcinonide external cream

amcinonide external lotion

amcinonide external ointment

AMELUZ E

ammonium lactate external

amnesteem 1 PA

AMZEEQ 3

ANACAINE E

APEXICON E E

AQUAPHILIC E

ARAZLO E

ARIDA E

ARZOL SILVER NIT APPLICATORS

ATOPADERM E

ATOPICLAIR E

ATRALIN 3 PA

AVAR CLEANSER E

AVAR LS CLEANSER E

AVAR-E EMOLLIENT E

AVAR-E GREEN E

AVAR-E LS E

AVEIDAOXIA E

AVITA E

AZADROX E

azelaic acid external 1 ST

AZELAIC ACID-NIACINAMIDE

AZELEX 3

balsam peru-castor oil 1

BEAU RX E

BENSAL HP EXTERNAL OINTMENT 3

BENZ PER-CLIND-NIACIN-TRETIN

BENZAC AC WASH EXTERNAL LIQUID

BENZACLIN E

BENZACLIN WITH PUMP

BENZAMYCIN E

BENZEPRO CREAMY WASH

BENZEPRO EXTERNAL

BENZEPRO EXTERNAL FOAM 52 97

benzepro external foam 53

BENZEPRO EXTERNAL LIQUID

BENZEPRO FOAMING CLOTHS

BENZEPRO SHORT CONTACT

benzoin compound E

BENZOIN EXTERNAL TINCTURE

BENZOYL PEROX-HYDROCORTISONE

benzoyl peroxide external foam 98

BENZOYL PEROXIDE EXTERNAL GEL 65 8

BENZOYL PEROXIDE FORTE- HC

benzoyl peroxide-erythromycin

BESER EXTERNAL KIT

beser external lotion 1

betamethasone dipropionate aug

betamethasone dipropionate external

BETAMETHASONE DIPROP-MINOXIDIL

betamethasone valerate external

BIAFINE E

BIONECT EXTERNAL CREAM

blanche E

BOTOX COSMETIC 3 PA SP

bp 10-1 E

bp cleansing wash E

bp wash external liquid 25 7

BPCO 3

BRYHALI E

calamine external lotion 8-8

calcipotriene external cream

CALCIPOTRIENE EXTERNAL FOAM

calcipotriene external ointment

calcipotriene external solution

calcipotriene-betameth diprop external ointment

calcipotriene-betameth diprop external suspension

CALCIPOTRIENE-CLOBETASOL PROP

CALCITRENE 3

calcitriol external 1

CANTHARIDIN EXTERNAL

CAPEX E

capsaicin external cream 0025

capzix E

CARAC 3

CEM-UREA E

CERACADE E

cerovel external lotion E

CHLOOXIA E

CICLOPIROX-CLOBETASOL

CICLOPIROX-CLOBETASOL-SAL ACID

CICLOPIROX-SALICYLIC ACID

CIMETIDINE-LIDO-SALICYLIC ACID

claravis 1 PA

CLENIA PLUS E

CLEOCIN-T EXTERNAL LOTION

CLINDACIN ETZ EXTERNAL KIT

clindacin etz external swab

CLINDACIN PAC E

clindacin-p 1

CLINDAGEL E

CLINDAMY-BENZOYL PER-NIACINAM

clindamycin phos-benzoyl perox external gel 1-5 12-25 12-5

CLINDAMYCIN PHOS-NIACINAMIDE

clindamycin phosphate external foam

clindamycin phosphate external lotion

clindamycin phosphate external solution

clindamycin phosphate external swab

CLINDAMYCIN PHOSPHATE GEL 1 EXTERNAL

clindamycin phosphate gel 1 external

CLINDAMYCIN-NIACIN-TRETINOIN

clindamycin-tretinoin 1 ST

CLIND-NIACIN-SPIRONOLAC-TRETIN

CLINOIN E

clobetasol prop emollient base

clobetasol propionate e 1

clobetasol propionate emulsion

clobetasol propionate external

CLOBETASOL PROP-LEVOCETIRIZINE

CLOBETASOL PROP-NIACINAMIDE

CLOBETAVIX E

CLOBEX 3

CLOBEX SPRAY 3

clocortolone pivalate 1

CLODAN EXTERNAL KIT

clodan external shampoo

CLODERM E

COAL TAR EXTERNAL SOLUTION

COLLATYL E

CONDYLOX EXTERNAL GEL

COPADERM E

COPASIL EXTERNAL E

CORDRAN EXTERNAL CREAM 0025

CORDRAN EXTERNAL LOTION

CORDRAN EXTERNAL OINTMENT

CORDRAN EXTERNAL TAPE

corn amp callus remover E

CORTANE-B EXTERNAL

CUTIVATE EXTERNAL LOTION

dapsone external gel 5

dapsone gel 75 external

DAPSONE GEL 75 EXTERNAL

DAPSONE-NIACINAMIDE

DAPSONE-NIACINAMIDE-SPIRONOLAC

DELUO E

DEOXIA E

DERMACINRX PENETRAL

DERMACINRX SURGICAL COMBOPAK

DERMA-SMOOTHEFS BODY

DERMA-SMOOTHEFS SCALP

DERMELLE E

DERMULCERA 3

DERPIXA E

DESONATE E

desonide external 1

DESOWEN EXTERNAL CREAM

desoximetasone external cream

desoximetasone external gel

desoximetasone external liquid

desoximetasone external ointment 005

DEXERYL E

DIADIMAXIA E

DIAOXIA E

diaper rash external ointment

DIASDIMAXIA E

DIASOXIA E

dibucaine (perianal) E

diclofenac sodium gel 3 external

1 ST QL

1 PA QL

DICLOFENAC-NA HYALURON-NIACIN

DIFFERIN EXTERNAL CREAM

DIFFERIN EXTERNAL GEL 03

DIFFERIN EXTERNAL LOTION

diflorasone diacetate external

DIMOXIA E

DIOCHLOY E

DIPROLENE AF 3

DIPROLENE EXTERNAL OINTMENT

docosanol external E

DOVONEX EXTERNAL CREAM

doxepin hcl external 1 PA

doxycycline 1

DR SMITHS ADULT BARRIER EXTERNAL OINTMENT

DRAXACE E

DRAXACE LOTION CLEANSER

DRITHO-CREME HP E

DRIXECE E

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA SP QL

ECEOXIA E

EFUDEX EXTERNAL CREAM

ELETONE E

ELIDEL 3 ST

EMULSION SB E

enovarx-tramadol E

ENSTILAR E

ENTTY SPRAY E

ENZOCLEAR E

EPICERAM E

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

ERYGEL 3

erythromycin external gel

erythromycin external solution

ESKATA E

ETHOXIA E

EUCRISA 2 ST

EVOCLIN 3

FABIOR E

FINACEA 3 ST

FINAPOD E

finasteride oral tablet 1 mg

FINASTERIDE-MINOXIDIL

FLUOCINOLONE ACET-NIACINAMIDE

fluocinolone acetonide body

fluocinolone acetonide external

fluocinolone acetonide scalp

fluocinonide cream 01 external

fluocinonide emulsified base

fluocinonide external cream 005

fluocinonide external gel

fluocinonide external ointment

fluocinonide external solution

FLUOPAR E

FLUOROPLEX 3

FLUOROURACIL EXTERNAL CREAM 05

fluorouracil external cream 5

fluorouracil external solution

FLUOVIX E

FLUOVIX PLUS E

flurandrenolide E

fluticasone propionate external

FORAXA E

GEAMETDRAY E

GENADUR E

GORDOFILM 3

GUANENDRUX E

halcinonide E

halobetasol propionate external cream

HALOBETASOL PROPIONATE EXTERNAL FOAM

halobetasol propionate external ointment

HALOG E

HALUCORT E

HAXCHLO E

HPR PLUS EXTERNAL CREAM

hpr plus external foam E

HPR PLUS HYDROGEL

HYALURONATE-NIACINAM-TRETINOIN

HYALURONATE-NIACIN-TACROLIMUS

HYALURONIC ACID-HYDROQUINONE

HYDRO 40 E

hydrocortisone ace-pramoxine external cream 25-1

hydrocortisone acetate external cream

hydrocortisone acetate external ointment 1

hydrocortisone butyr lipo base

hydrocortisone butyrate external cream

hydrocortisone butyrate external lotion

hydrocortisone butyrate external ointment

hydrocortisone butyrate external solution

hydrocortisone external cream 05

hydrocortisone external cream 1 25

hydrocortisone external lotion 25

hydrocortisone external ointment 1 25

hydrocortisone valerate 1

hydroquinone external cream

HYDROQUINONE EXTERNAL EMULSION

HYDROQUINONE-HC-TRETINOIN

HYDROQUINONE-HYDROCORTISONE

HYLATOPIC PLUS EXTERNAL CREAM

HYLATOPIC PLUS EXTERNAL LOTION

imiquimod external E

IMIQUIMOD PUMP E

IMIQUIMOD-LEVOCETIRIZIN-NIACIN

IMIQUIMOD-LEVOCET-TRETINOIN

IMPEKLO E

IMPOYZ E

INOVA E

INOVA 41 ACNE CONTROL THERAPY

isotretinoin oral 1 PA

ITHOXIA E

IVERMECTIN-METRONIDAZOL-NIACIN

KAMDOY E

KATARYA E

KATARYAXN E

KAXM E

KEIDO E

KELARX E

KENALOG EXTERNAL 3

KERAGEL E

KERALAC EXTERNAL CREAM 47

KERALYT EXTERNAL GEL 6

KERALYT EXTERNAL SHAMPOO

KERALYT SCALP E

KERAMATRIX REPLICINE 5CMX5CM EXTERNAL SHEET

KETARYA E

KEVARYA E

KEXM E

KEYA E

KIVIK E

KLARON 3

KLISYRI E

KUTARYAXM E

KUTARYAXMPA E

KUTEA E

KUVARYA E

KUVARYE E

KUXM E

lactic acid e 1

lactic acid external lotion

LACTIC ACID-NIACINAMIDE

lavare wound wash E

LEVULAN KERASTICK 3

LEXETTE E

LIDOCAINE (ANORECTAL) RECTAL

LIDOCAINE-HYDROCORTISONE ACE EXTERNAL CREAM 1-1

LIDOTREX (ALOE VERA)

LOCOID EXTERNAL LOTION

LOCOID LIPOCREAM E

LUXIQ 3

MEDERMA E

MEDERMA FOR KIDS E

MEDERMA SPF 30 E

MEDPURA ALCOHOL PADS

medpura hand sanitizer external gel 70

methoxsalen rapid 1

methyl salicylate external liquid

METROCREAM 3

METROGEL EXTERNAL GEL

METROLOTION 3

metronidazole external 1

MIMYX E

MINOXIDIL-PROGEST-TRETINOIN

MIRVASO 3

moisturel external lotion 3

mometasone furoate external

myorisan 1 PA

NEOSALUS E

NEOSPORIN ORIGINAL EXTERNAL OINTMENT

NEO-SYNALAR EXTERNAL CREAM

NEO-SYNALAR EXTERNAL KIT

neuac external gel 1 ST

NEUAC EXTERNAL KIT

NIACINAMIDE-SPIRONOLACTONE

NIACINAMIDE-SULFACETAMIDE

NIACINAMIDE-TACROLIMUS

NIACINAMIDE-TAZAROTENE

NIACINAMIDE-TRETINOIN

NIACINAMIDE-TRIAMCINOLONE ACET

NIACIN-SPIRONOLACTON-TRETINOIN

nolix E

NORITATE E

NOVACORT EXTERNAL GEL 1-2

NUCARACLINPAK E

NUCARARXPAK E

NUCORT E

NUDERMRXPAK 120 E

NUDERMRXPAK 60 E

NUTRASEB E

NUTRIARX CREAMPAK

NUVAIL E

OLUX 3

OLUX-E 3

ONEXTON 3

ONZDEOXIA E

ORACEA 3

OVACE PLUS E

OVACE PLUS WASH E

OVACE WASH E

OXIANUJO E

OXIATAR E

OXIAVARRY E

OXIAZAR E

OXOPOD E

OXSORALEN ULTRA 3

PANDEL E

PENLEN E

PHLAG SPRAY E

pimecrolimus 1 ST

PLEXION E

PLEXION CLEANSER EXTERNAL LIQUID

PLEXION CLEANSING CLOTH EXTERNAL PAD

podocon E

podofilox external 1

PODPROG E

PR BENZOYL PEROXIDE

PR BENZOYL PEROXIDE WASH

PR CREAM E

pramosone external cream 1-1

PRAMOSONE EXTERNAL CREAM 1-25

PRAMOSONE EXTERNAL LOTION

PRAMOSONE EXTERNAL OINTMENT

pramox E

PRE amp POST SX POUCH

prednicarbate 1

PRESERA E

PROGESTERONE-MINOXIDIL

PROMISEB CREAM EXTERNAL

PROMISEB EXTERNAL CREAM

PROPECIA E

PROSILK EXTERNAL E

PROTEXA E

PROTOPIC 3

PROTYL AG E

PRUCLAIR E

PRUDOXIN 3 PA

PRUMYX E

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR E

QUINIXIL E

QUTENZA E

QUTENZA (2 PATCH) E

QUTENZA (4 PATCH) E

RADIAGEL E

RADIAPLEXRX GEL EXTERNAL

RECEDO E

REFISSA E

REGENECARE 3

REGRANEX 3 PA

remergent hq E

REMIGEN E

RENOVA E

RENOVA PUMP E

RESORCINOL-SULFUR

RETIN-A 3 PA

RETIN-A MICRO GEL 004 01

RETIN-A MICRO PUMP EXTERNAL GEL 004 01

REXASIL PATCH amp VITAMIN E LIQ

RHOFADE 3

RIAX E

ROAOXIA E

rosadan external cream 1

rosadan external gel 1

ROSADAN EXTERNAL KIT

SALEX EXTERNAL SHAMPOO

salicylic acid er E

salicylic acid external foam

salicylic acid external gel

salicylic acid external shampoo

salicylic acid external solution 26

salicylic acid wart remover

salicylic acid-cleanser external kit 6 (cream)

SALICYLIC ACID-SULFACETAMIDE

salimez E

SALIMEZ FORTE E

SALVAX E

SALVAX DUO PLUS E

SANADERMRX SKIN REPAIR

SANTYL 3

SCALACORT DK E

SCARCARE GEL-PAD KITLARGE

SCARCIN E

SCARSILK EXTERNAL E

SCARZEN SKIN REPAIR

SCENESSE 3 PA SP

selenium sulfide external lotion

selenium sulfide external shampoo

SELRX E

SERNIVO 3

SILA III E

SILIPAC E

SILVERSEAL HYDROGEL DRESSING EXTERNAL PAD 2X3

skarjel E

sodium sulfacetamide external shampoo

sodium sulfacetamide wash

SODIUM SULFACETAMIDE-BAKUCHIOL

SOLARAVIX EXTERNAL

SOLOX E

SOOLANTRA 3

SORIATANE ORAL CAPSULE 10 MG 25 MG

SORILUX E

sss 10-5 E

STRATA CTX E

STRATA GRT E

STRATA MARK E

STRATA TRIZ E

STRATA XRT E

sulfacetamide sodium (acne)

sulfacetamide sodium external gel

sulfacetamide sodium external liquid

sulfacetamide sodium-sulfur emulsion 10-5 external

sulfacetamide sodium-sulfur external cream

sulfacetamide sodium-sulfur external liquid

sulfacetamide sodium-sulfur external lotion

sulfacetamide sodium-sulfur external pad 10-4

sulfacetamide sodium-sulfur external suspension

sulfacetamide sod-sulfur wash external kit

sulfacetamide sod-sulfur wash external liquid

sulfacetamide-sulfur in urea external emulsion

SULFACLEANSE 84 E

sulfamez wash E

SUMADAN E

SUMADAN WASH E

SUMADAN XLT E

SUMAXIN E

SUMAXIN CP E

SUMAXIN WASH E

SUVICORT E

SYNALAR 3

SYNALAR (CREAM) E

SYNALAR (OINTMENT)

SYNALAR TS E

SYNERDERM E

TACLONEX EXTERNAL OINTMENT

TACLONEX EXTERNAL SUSPENSION

TACROLIMUS EXTERNAL CREAM

tacrolimus external ointment

TARDEOXIA E

TARDIMAXIA E

TAROXIA E

TASOPROL E

tazarotene external cream

TAZAROTENE EXTERNAL FOAM

TAZORAC EXTERNAL CREAM 005

TAZORAC EXTERNAL GEL

TEMOVATE EXTERNAL CREAM

TEMOVATE EXTERNAL OINTMENT

TETRIX EXTERNAL CREAM

TEXACORT 3

TOPICORT EXTERNAL CREAM

TOPICORT EXTERNAL GEL

TOPICORT EXTERNAL OINTMENT

TOPICORT SPRAY E

tovet external foam 1

TOVET EXTERNAL KIT

tretinoin (emollient) E

tretinoin external 1 PA

tretinoin microsphere 1 PA

tretinoin microsphere pump

triamcinolone acetonide external aerosol solution

triamcinolone acetonide external cream

triamcinolone acetonide external lotion

triamcinolone acetonide external ointment

TRIANEX E

TRI-CHLOR 3

triderm external cream 1

TRIDESILON 3

TRILOCICLO E

TRI-LUMA E

triple antibiotic external ointment 35-400-5000 5-400-5000

triple antibiotic+pain relief

TRIVIX E

TURPENTINE EXTERNAL

ULTRASAL-ER E

ULTRAVATE EXTERNAL LOTION

UMECTA MOUSSE E

URAMAXIN EXTERNAL GEL

urea external cream 39 40 41 45 47

UREA EXTERNAL FOAM

urea external lotion 40

urea hydrating E

urea nail external gel 45

ureacin-10 E

ureacin-20 E

uredeb E

UREMEZ-40 E

URESOL E

UTOPIC E

VANICREAM EXTERNAL OINTMENT

VANIQA E

VANOS 3

VANOXIDE-HC E

VARDIMAXIA E

VAROXIA E

VECTICAL E

VELTIN E

VENELEX 3

VERDESO E

VEREGEN E

VEXASYN E

VIRASAL E

WINLEVI 3 PA

WYNZORA E

XALIX E

XERAC AC 3

XERALUX E

xurea E

ZACARE E

zaclir cleansing external lotion 8

zenatane 1 PA

ZIANA E

ZILXI 3 ST

ZITHRANOL E

ZONALON 3 PA

ZYCLARA E

ZYCLARA PUMP E

Diabetes - Antidiabetic Agents

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN E

ADLYXIN STARTER PACK

ALOGLIPTIN BENZOATE

ALOGLIPTIN-METFORMIN HCL

ALOGLIPTIN-PIOGLITAZONE

AMARYL 3

BYDUREON BCISE AUTOINJECTOR

2 ST QL

BYETTA 10 MCG PEN 2 ST QL

CYCLOSET 3 ST

DUETACT 3

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

glipizide-metformin hcl 1 ST

GLUCOTROL ORAL TABLET 10 MG

GLUCOTROL XL 3

GLUMETZA E

glyburide micronized 1

glyburide oral 1

glyburide-metformin 1

GLYNASE 3

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl er (mod) E

metformin hcl er (osm) oral tablet extended release 24 hour 1000 mg 500 mg

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E

OSENI E

OZEMPIC 2 ST QL

pioglitazone hcl 1

pioglitazone hcl-glimepiride

pioglitazone hcl-metformin hcl

PRECOSE 3

QTERN E

repaglinide 1

RIOMET 3 ST

RYBELSUS 2 ST QL

SEGLUROMET E

SOLIQUA 2 ST QL

STARLIX ORAL TABLET 120 MG

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1 ST

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST QL

VICTOZA 2 ST QL

XIGDUO XR 2 ST

XULTOPHY 3 ST QL

Diabetes - Glucose Monitoring

ACCU-CHEK AVIVA IN VITRO SOLUTION

ACCU-CHEK AVIVA PLUS TEST STRIPS

ACCU-CHEK COMPACT PLUS CONTROL

ACCU-CHEK COMPACT PLUS TEST STRIPS

ACCU-CHEK FASTCLIX LANCET KIT

ACCU-CHEK GUIDE TEST STRIPS

ACCU-CHEK GUIDE CONTROL

ACCU-CHEK SMARTVIEW CONTROL

ACCU-CHEK SMARTVIEW TEST STRIPS

ACCU-CHEK SOFTCLIX LANCET DEVICE KIT

AUTOLET LANCING DEVICE

BLUESTAR E

CARETOUCH CONTROL SOL LEVEL 2

CARETOUCH LANCINGEJECTOR

CARETOUCH TEST E

CEQUR SIMPLICITY 2U

CONTOUR CONTROL SOLUTION

CONTOUR MONITOR DEVICE DEVICE

CONTOUR MONITOR KIT WDEVICE KIT

CONTOUR NEXT CONTROL SOLUTION

CONTOUR NEXT EZ KIT WDEVICE

CONTOUR NEXT LINK KIT WDEVICE

CONTOUR NEXT MONITOR KIT WDEVICE

CONTOUR NEXT ONE KIT

CONTOUR NEXT TEST STRIPS

CONTOUR TEST STRIPS

EASYMAX 15 LEVEL 2-3 CONTROL

EASYMAX CONTROL IN VITRO SOLUTION NORMAL

GLUCOSE CONTROL SOLUTIONS

ENLITE GLUCOSE SENSOR

FORTISCARE CONTROL

FORTISCARE GLUCOSE SYSTEM DEVICE

FORTISCARE T1 GLUCOSE SYSTEM

FREESTYLE LIBRE 14 DAY READER

FREESTYLE LIBRE 14 DAY SENSOR

FREESTYLE LIBRE 2 READER

FREESTYLE LIBRE 2 SENSOR

FREESTYLE LIBRE READER

FREESTYLE LIBRE SENSOR SYSTEM

FREESTYLE PRECISION NEO TEST

GUARDIAN CONNECT TRANSMITTER

GUARDIAN LINK 3 TRANSMITTER

GUARDIAN SENSOR (3)

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST E

MICROLET NEXT LANCING DEVICE

NOVOPEN ECHO 3

ONETOUCH DELICA LANCING DEV

ONETOUCH DELICA PLUS LANCING

ONETOUCH ULTRA $0 QL

ONETOUCH ULTRA 2 KIT WDEVICE

ONETOUCH ULTRA MINI KIT WDEVICE

ONETOUCH VERIO KIT WDEVICE

ONETOUCH VERIO FLEX SYSTEM KIT WDEVICE

ONETOUCH VERIO IN VITRO SOLUTION HIGH

ONETOUCH VERIO TEST STRIPS

ONETOUCH VERIO IQ SYSTEM

ONETOUCH VERIO REFLECT

ONETOUCH VERIO SYNC SYSTEM KIT WDEVICE

PRECISION LINK E

PRECISION PCX PLUS TEST

PRECISION QID MONITOR

PRECISION QID TEST E

PRECISION SOF-TACT MONITOR

PRECISION SOF-TACT TEST

PRECISION XTRA BLOOD GLUCOSE

PRECISION XTRA DEVICE

PRECISION XTRA KIT E

PRECISION XTRA MONITOR

RELION BLOOD GLUCOSE TEST

SURESTEP PRO HIGH GLUCOSE

SURESTEP PRO LOW GLUCOSE

SURESTEP PRO NORMAL GLUCOSE

TRUE METRIX BLOOD GLUCOSE TEST

TRUE METRIX LEVEL 1

TRUE METRIX LEVEL 2

TRUE METRIX LEVEL 3

TRUE METRIX PRO BLOOD GLUCOSE

TRUETRACK TEST E

UNISTRIP CONTROL IN VITRO SOLUTION LOW

Diabetes - Glycemic Agents

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

GLUCAGEN HYPOKIT 3 ST

glucagon emergency kit 1 mg injection 1 mg

GLUCAGON EMERGENCY KIT 1 MG INJECTION 1 MG

3 Made by Lilly

GLUCAGON EMERGENCY KIT

2Made by Fresenius

GVOKE HYPOPEN 1-PACK

GVOKE PFS 2

PROGLYCEM 3

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR

AFREZZA INHALATION POWDER 12 UNIT 4 amp 8 amp 12 UNIT 4 UNIT 8 UNIT 90 X 4 UNIT amp 90X8 UNIT 90 X 8 UNIT amp 90X12 UNIT

APIDRA SOLOSTAR E

APIDRA VIAL E

BASAGLAR KWIKPEN E

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG U-100 AND U-200 KWIKPEN

HUMALOG MIX 5050 KWIKPEN

HUMALOG MIX 5050 VIAL

HUMALOG U-100 JUNIOR KWIKPEN

HUMALOG VIAL 2

HUMULIN 7030 KWIKPEN

HUMULIN 7030 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R U-500 KWIKPEN

HUMULIN R U-500 VIAL

HUMULIN R VIAL 2

INSULIN ASP PROT amp ASP FLEXPEN

INSULIN ASPART E

INSULIN ASPART FLEXPEN

INSULIN ASPART PENFILL

INSULIN ASPART PROT amp ASPART

INSULIN LISPRO (1 UNIT DIAL)

INSULIN LISPRO JUNIOR KWIKPEN

INSULIN LISPRO PROT amp LISPRO

INSULIN LISPRO SUBCUTANEOUS SOLUTION

INSULIN PEN NEEDLES 29G X 127MM 29G X 12MM 29G X 5MM 29G X 8MM 31G X 5 MM 31G X 6 MM 31G X 8 MM 32G X 4 MM 33G X 4 MM 33G X 5 MM 33G X 6 MM

INSULIN SYRINGES $0

LANTUS U-100 SOLOSTAR

LANTUS U-100 VIAL 2

LEVEMIR U-100 FLEXTOUCH

LEVEMIR U-100 VIAL E

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MAXICOMFORT SYR 27G X 12

MYXREDLIN 3

NOVOFINE AUTOCOVER PEN NEEDLE

NOVOFINE PEN NEEDLE 32G X 6 MM

NOVOFINE PLUS PEN NEEDLE

NOVOLIN 7030 FLEXPEN

NOVOLIN 7030 FLEXPEN RELION

NOVOLIN 7030 RELION

NOVOLIN 7030 VIAL E

NOVOLIN N FLEXPEN E

NOVOLIN N FLEXPEN RELION

NOVOLIN N RELION E

NOVOLIN N VIAL E

NOVOLIN R FLEXPEN E

NOVOLIN R FLEXPEN RELION

NOVOLIN R RELION E

NOVOLIN R VIAL E

NOVOLOG U-100 FLEXPEN

NOVOLOG MIX 7030 FLEXPEN

NOVOLOG MIX 7030 VIAL

NOVOLOG U-100 PENFILL

NOVOLOG U-100 VIAL E

NOVOTWIST PEN NEEDLE 32G X 5 MM

SEMGLEE E

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH

Electrolytes Minerals Metals Vitamins

ABANEU-SL E

ACTITROM-D E

ACTIVE FE E

ACTIVITE E

adcf (05mgml) 1

ADRENAL C FORMULA

airavite E

aminoamrms E

aminoreliefrms E

ANIMI-3 E

ANIMI-3VITAMIN D E

AQUASOL A INTRAMUSCULAR SOLUTION 15 MGML 50000 UNITML

ASCOR E

ASCORBIC ACID SOLUTION 500 MGML INJECTION

ascorbic acid solution 500 mgml injection

ATABEX OB 2

AZESCHEW PRENATALPOSTNATAL

AZESCO E

B-12 COMPLIANCE INJECTION

b-6 folic acid oral capsule 8333-100-1 mg

BACMIN E

b-complexb-12 oral E

biocel E

biopetit E

biotin oral tablet 1000 mcg

bp vit 3 E

b-plex E

b-plex plus E

calcidol oral solution 200 mcgml

CALCIFOL 3

calcium-folic acid plus d E

CARBAGLU 2 SP

CARDIOPLEGIA DEL NIDO FORMULA

CARDIOPLEGIA IND PLASMA HIGH K

CARDIOPLEGIA IND PLASMA-TROMET

CARDIOPLEGIA INDUCTION HIGH K

CARDIOPLEGIA INDUCTION LOW DEX

CARDIOPLEGIA INDUCTION NON-ENR

CARDIOPLEGIA MAIN LOW DEXTROSE

CARDIOPLEGIA MAIN LOW TROMETHA

CARDIOPLEGIA MAIN PLASMA-TROME

CARDIOPLEGIA MAINTENANCE

CARDIOPLEGIA REPERFUSATE 41

CARNITOR INTRAVENOUS

CARNITOR ORAL 3

CARNITOR SF 3

CENFOL E

CENTRATEX E

CEREFOLIN E

cerefolin nac oral tablet 6-90314-2-600 mg

CHEMET 3

CHOLECAL DF E

CHROMAGEN ORAL CAPSULE

CIFEREX E

CITRANATAL BLOOM E

CITRANATAL MEDLEY

clovique 1 PA SP

COD LIVER OIL ORAL OIL

CORVITE 150 E

corvite fe E

cyanocobalamin injection solution 1000 mcgml

CYANOCOBALAMIN INJECTION SOLUTION 2000 MCGML

cytra k crystals E

d3 high potency oral capsule 25 mcg (1000 ut)

d3 super strength E

daflonex-xl oral capsule E

DECARA E

deferasirox 1 PA

deferasirox granules 1 PA

deferiprone 1 PA

DEPLIN 15 E

DEPLIN 75 E

DERMACINRX PUREFOLIX

DEXIFOL E

DIALYVITE E

DIALYVITE 3000 E

DIALYVITE 5000 E

DIALYVITE SUPREME D

DIALYVITEZINC E

DRISDOL ORAL CAPSULE

d-vite pediatric E

EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ 20 MEQ

effer-k tablet effervescent 25 meq oral

ELFOLATE E

ELFOLATE PLUS ORAL TABLET 3-35-2 MG

ENBRACE HR E

ERGOCAL E

ergocalciferol oral capsule

ergocalciferol oral solution 200 mcgml

EXJADE 3 PA

fabb E

fa-vitamin b-6-vitamin b-12

FEONYX E

FERAHEME E

FERIVA 217 E

FERIVAFA E

ferocon E

ferotrinsic E

FERRALET 90 E

ferraplus 90 E

FERRIPROX 3 PA

FERRIPROX TWICE-A-DAY

FERRLECIT E

ferrocite plus oral tablet E

FERRO-PLEX HEMATINIC

ferrous sulfate oral solution 75 (15 fe) mgml

ferrous sulfate oral syrup

ferrous sulfate oral tablet 325 (65 fe) mg

ferrous sulfate oral tablet delayed release 324 (65 fe) mg 325 (65 fe) mg

FLORIVA E

FLORIVA PLUS E

fluoritab oral solution $0

folbee E

folbee plus E

FOLBEE PLUS CZ E

FOLBIC RF E

FOLGARD OS E

FOLGARD RX E

folic acid injection E

folic acid oral tablet 1 mg

FOLIC D3 E

FOLIC-K E

FOLI-D E

FOLITE E

FOLITIN-Z E

FOLIXAPURE E

folplex 22 E

foltanx E

FOLTANX RF E

FOLTRATE E

FOLTREXYL E

foltrin E

FOLTX ORAL TABLET 113-25-2 MG

FOLVITE-D E

FOSTEUM E

FUSION PLUS E

GALZIN 3

GENICIN VITA-D E

GENICIN VITA-Q E

GENICIN VITA-S E

hematinic plus vitminerals

hematinicfolic acid E

HEMATOGEN E

HEMATOGEN FA E

HEMATRON-AF E

HEMETAB E

HEMOCYTE PLUS E

hemocyte-f oral tablet E

HYLAVITE E

HYLAZINC E

ICAR-C PLUS E

iferex 150 forte E

INFED E

INFUVITE ADULT E

INFUVITE PEDIATRIC INTRAVENOUS SOLUTION

INTEGRA F E

INTEGRA PLUS E

IODINE STRONG ORAL

IROSPAN 246 E

ISOLYTE-S E

JADENU 3 PA

JADENU SPRINKLE 3 PA

JENLIVA PRENATALPOSTNATAL

JYNARQUE 3 SP QL

KCL-LIDOCAINE-NACL SOLUTION 10-10 MEQ-MG 100ML INTRAVENOUS

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-con oral packet 20 meq

klor-con oral tablet extended release

klor-conef 1

K-PHOS NO 2 E

K-PHOS TABLET 500 MG ORAL

K-PHOS-NEUTRAL E

k-prime 1

K-TAB 3

k-tan plus E

L-CYSTINE E

levocarnitine oral solution

levocarnitine oral tablet 1

levocarnitine sf 1

L-ISOLEUCINE E

l-methylfolate E

l-methylfolate ca me-cbl nac

l-methylfolate calcium oral

l-methylfolate forte E

l-methylfolate-algae oral capsule 15-90314 mg

l-methylfolate-algae-b12-b6

l-methylfolate-b6-b12 oral tablet 3-35-2 mg

l-methyl-mc E

l-methyl-mc nac E

LOKELMA 3

LORID E

lysiplex plus oral tablet E

MVI ADULT E

MVI PEDIATRIC INTRAVENOUS SOLUTION RECONSTITUTED

MAGNEBIND 400 3

magnesium oxide oral tablet 400 (2413 mg) mg

magnesium sulfate intravenous solution 2 gm50ml 20 gm500ml 4 gm100ml 4 gm50ml 40 gm1000ml

MAGNESIUM SULFATE SOLUTION 50 INJECTION

magnesium sulfate solution 50 injection

magnesium-oxide E

mag-oxide oral tablet 200 mg

MEPHYTON 3

metafolbic E

metafolbic plus E

METAFOLBIC PLUS RF

METANX ORAL CAPSULE

methylfol-algae-b12-acetylcyst

MICROPLEGIA MSA-MSG

MIFEPREX 3

mifepristone 1

M-NATAL PLUS 2

MONOFERRIC E

MULTIGEN E

MULTIGEN FOLIC E

MULTIGEN PLUS E

MULTIPRO E

multi-vitironfluoride 1

multivitaminfluoride oral solution

multi-vitaminfluoride oral solution

multivitaminfluoride oral tablet chewable 025 mg 05 mg 1 mg

MULTIVITAMINFLUORIDE ORAL TABLET CHEWABLE 025-03 MG 05-03 MG 1-03 MG

multi-vitaminfluorideiron

myferon 150 forte E

mynephrocaps capsule 1 mg oral

MYNEPHRON E

na ferric gluc cplx in sucrose

n-acetyl-l-cysteine oral 1

nafrinse $0

nafrinse drops $0

NASCOBAL 3

NEONATAL + DHA E

NEONATAL 19 2

NEONATAL COMPLETE

NEONATAL FE E

NEONATAL PLUS 2

NEOVITE E

NEPHPLEX RX E

nephronex oral tablet E

NEPHRO-VITE RX E

NESTABS 2

NESTABS ONE E

NEURIN-SL E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NICOMIDE ORAL TABLET 750-27-2-05 MG

NIFEREX ORAL TABLET

NOVAMV PEDIATRIC MULTI-VITAMIN

NUFERA E

nufol E

NUTRICAP E

nutrifac zx E

NUTRIVIT E

OCUVEL ORAL CAPSULE 05 MG

ONE VITE WOMENS $0

ONE VITE WOMENS PLUS

ONEVITE E

ORACIT 3

ORTHO DF E

OVEEZA E

oyster shell calciumd oral tablet 250-250 mg-unit 500-200 mg-unit 500-400 mg-unit

oyster shell calciumvitamin d oral tablet 500-200 mg-unit

pediatric electrolyte oral solution

pediavit E

PHOSPHA 250 NEUTRAL

phosphorous 1

phosphorus supplement

phosphorus wsod amp potassium

phospho-trin 250 neutral

PHOXILLUM B22K40 E

PHOXILLUM BK425 E

PHYSICIANS EZ USE B-12

PHYSIOLYTE E

PHYSIOSOL IRRIGATION

phytonadione injection solution 1 mg05ml 10 mgml

phytonadione oral 1

PLASMA-LYTE 148 E

PLASMA-LYTE A E

PNV TABS 20-1 E

PODIAPN ORAL CAPSULE

poly-iron 150 forte E

polysaccharide iron forte

POLY-VI-FLOR ORAL SUSPENSION

POLY-VI-FLOR ORAL TABLET CHEWABLE

POLY-VI-FLORIRON ORAL SUSPENSION

POLY-VI-FLORIRON ORAL TABLET CHEWABLE

POLY-VITE PEDIATRIC ORAL SOLUTION

POTABA ORAL CAPSULE

potassium chloride crys er

potassium chloride er 1

potassium chloride in nacl intravenous solution 20-045 meql- 20-09 meql- 40-09 meql-

potassium chloride oral packet

potassium chloride oral solution 20 meq15ml (10) 40 meq15ml (20)

potassium citrate er 1

potassium citrate-citric acid oral solution

PREGEN DHA E

PREGENNA E

PREMESISRX E

PRENAISSANCE E

PRENARA E

prenatal oral tablet 27-08 mg

prenatal plus iron 1

prenatal tablet 27-1 mg oral

prenatal vitamin plus low iron

PRENATE E

PRENATE DHA ORAL CAPSULE 18-06-04-300 MG

PRENATE ELITE ORAL TABLET 20-06-04 MG

PRENATE ENHANCE E

PRENATE ESSENTIAL ORAL CAPSULE 18-06-04-300 MG

PRENATE MINI ORAL CAPSULE 18-06-04-350 MG

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRIMACARE ORAL CAPSULE

PRO HERS RX E

PRO HIS RX E

PRO PCOS RX E

PROTEINEX P18 E

purevit dualfe plus E

pyridoxine hcl injection E

QUFLORA FE E

QUFLORA FE PEDIATRIC

QUFLORA GUMMIES E

QUFLORA PEDIATRIC E

RELNATE DHA 2

REMEDIENT E

RENAL MULTIVITAMIN FORMULA

RENAL ORAL CAPSULE

RENATABS E

RENATABS WITH IRON

rena-vite E

reno caps capsule 1 mg oral (rx)

REQ 49+ E

REVESTA E

ringers irrigation E

SAMSCA 3 SP QL

SELECT-OB ORAL TABLET CHEWABLE 29-1 MG

se-tan plus E

SIDEROL ORAL TABLET

SLOWMAG MG MUSCLEHEART

sod citrate-citric acid 1

sodium bicarbonate intravenous solution 75

sodium bicarbonate solution 42 intravenous

SODIUM BICARBONATE SOLUTION 84 INTRAVENOUS

sodium chloride (pf) solution 09 injection

sodium chloride injection solution 25 meqml

sodium chloride intravenous solution 045 09 3 5

sodium chloride solution 4 meqml intravenous

sodium fluoride oral $0

sodium polystyrene sulfonate oral powder

soluvita e E

STROVITE FORTE E

STROVITE ONE E

SUPERVITE E

support E

SUPPORT-500 E

SYPRINE 3 PA SP

SYSTANE ICAPS AREDS2 ORAL TABLET CHEWABLE

TALIVA E

thiamine hcl injection E

tis-u-sol E

tl-hem 150 E

TOLVAPTAN ORAL TABLET 15 MG

3 SP QL

tolvaptan oral tablet 30 mg

1 SP QL

TRICARE PRENATAL DHA ONE ORAL CAPSULE 27-1-500 MG

tricitrates E

TRICON E

trientine hcl 1 PA SP

TRIFERIC HEMODIALYSIS PACKET

TRINATE 2

TRINAZ E

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 3

TRI-VI-FLORO 3

tri-vite pediatric E

tri-vitefluoride 1

TRONVITE E

UDAMIN SP E

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urosex E

v-c forte E

VELTASSA 3

VENEXA E

VENOFER E

vic-forte E

VINATE ONE 2

virt-caps E

VIRT-FEFA PLUS E

virt-gard E

virt-phos 250 neutral 1

vita s forte E

vitacel E

VITAFOL FE+ ORAL CAPSULE

VITAFOL STRIPS 2

VITAFOL-NANO E

VITAFOL-OB+DHA E

VITAL-D RX E

VITAMEZ E

vitamin b complex 100 E

vitamin b-complex 100 E

vitamin d (ergocalciferol) oral capsule 125 mg (50000 ut)

VITAMIN DEFICIENCY SYSTEM-B12

vitamin k1 injection solution 1 mg05ml 10 mgml

vitamins acd-fluoride 1

VITAROCA PLUS E

VITA-RX DIABETIC VITAMIN

VITASURE E

VITATHELY WITH GINGER

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

vp-vite rx E

weekly-d E

westab mini E

westab one E

WESTAB PLUS 2

WESTGEL DHA E

WHEAT GERM OIL ORAL OIL

WILZIN 3

XAQUIL XR E

XVITE E

ZALVIT E

zinc sulfate oral tablet 220 (50 zn) mg

ZYVANA E

Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer

acid reducer oral tablet 10 mg

acid reducer oral tablet delayed release

ACIPHEX E

ACIPHEX SPRINKLE E

CARAFATE ORAL SUSPENSION

CARAFATE ORAL TABLET

cimetidine hcl oral 1

cimetidine oral 1

CYTOTEC 3

DEXILANT 2 QL

ESOMEP-EZS E

esomeprazole magnesium oral capsule delayed release

esomeprazole magnesium oral packet

ESOMEPRAZOLE STRONTIUM ORAL CAPSULE DELAYED RELEASE 493 MG

famotidine oral suspension reconstituted

famotidine oral tablet 20 mg 40 mg

famotidine orig st E

FIRST-LANSOPRAZOLE

FIRST-OMEPRAZOLE 3 ST

lansoprazole oral capsule delayed release

1 ST QL

lansoprazole oral tablet delayed release dispersible

misoprostol oral 1

NEXIUM ORAL CAPSULE DELAYED RELEASE

NEXIUM ORAL PACKET

nizatidine 1

omeprazole magnesium oral tablet delayed release

omeprazole oral capsule delayed release

1 ST QL

omeprazole oral tablet delayed release

OMEPRAZOLE+SYRSPEND SF ALKA

omeprazole-sodium bicarbonate

pantoprazole sodium oral

1 ST QL

PEPCID ORAL TABLET

PREVACID E

PREVACID 24HR E

PREVACID SOLUTAB ORAL TABLET DELAYED RELEASE DISPERSIBLE

3 ST QL

PRILOSEC ORAL PACKET

3 ST QL

PROTONIX ORAL 3 ST QL

RABEPRAZOLE SODIUM ORAL CAPSULE SPRINKLE

rabeprazole sodium oral tablet delayed release

1 ST QL

sucralfate oral 1

ZEGERID E

Gastrointestinal Agents - Drugs for Bowel Intestine and Stomach Conditions

ACTIPHLORA E

alosetron hcl 1 PA

alum amp mag hydroxide-simeth

alumina-magnesia-simethicone

alvimopan 1

AMITIZA E

amoxicill-clarithro-lansopraz

ANASPAZ 3

antacid anti-gas max strength

antacid calcium E

antacid calcium rich E

antacid extra strength oral tablet chewable 160-105 mg 750 mg

antacid maximum E

antacid oral tablet chewable 500 mg 750 mg

antacid regular strength E

antacid ultra strength oral tablet chewable 1000 mg

antacidantigas E

antacidanti-gas E

anti-diarrheal oral liquid E

anti-diarrheal oral tablet E

ATROPEN INTRAMUSCULAR SOLUTION AUTO-INJECTOR

atropine sulfate injection solution 04 mgml 1 mgml

atropine sulfate injection solution prefilled syringe 025 mg5ml

atropine sulfate intravenous solution

ATROPINE SULFATE INTRAVENOUS SOLUTION PREFILLED SYRINGE 08 MG2ML 1 MG25ML 12 MG3ML

atropine sulfate solution 8 mg20ml injection

atropine sulfate solution prefilled syringe 05 mg5ml injection

BACICAP E

belladonna alkaloids-opium

bisacodyl ec $0 QL

bisacodyl rectal E

bismuth subsalicylate oral suspension 525 mg30ml

cascara sagrada oral fluid extract

CHENODAL 3 PA SP

chlordiazepoxide-clidinium

chocolated laxative E

citroma $0 QL

clearlax oral powder $0 QL

CLENPIQ 3

constulose 1

cromolyn sodium oral 1

CUVPOSA 3

cvs antacid extra strength oral tablet chewable 750 mg

cvs gentle laxative rectal

dicyclomine hcl oral 1

diotame instydose E

diphenoxylate-atropine oral liquid

diphenoxylate-atropine oral tablet 25-0025 mg

docusate calcium E

docusate mini E

docusate sodium oral capsule

docusate sodium oral syrup

docuzen E

dok oral tablet E

DONNATAL E

ED-SPAZ 3

ENTEREG 3

enulose 1

EX-LAX ULTRA E

fiber laxative oral tablet E

fiber oral powder 283

FOLIKA PROBIOTIC E

gas relief extra strength oral capsule

gas relief infants oral suspension

gas relief oral tablet chewable

GASTROCROM 3

GATTEX 3 PA SP

gavilax oral powder $0 QL

gavilyte-c $0 QL

gavilyte-g $0 QL

gavilyte-h 1

gavilyte-n with flavor pack

GELUSIL E

generlac 1

gentle laxative oral $0 QL

gentle laxative rectal E

geri-kot E

GIALAX E

GLYCATE E

glycolax $0 QL

GLYCOPYRROLATE INJECTION SOLUTION PREFILLED SYRINGE 06 MG3ML

glycopyrrolate oral tablet 1 mg 2 mg

GLYCOPYRROLATE ORAL TABLET 15 MG

glycopyrrolate pf E

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 06 MG3ML INTRAVENOUS

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 1 MG5ML INJECTION

GLYRX-PF INJECTION SOLUTION PREFILLED SYRINGE

gnp senna lax E

GOLYTELY ORAL SOLUTION RECONSTITUTED 236 GM

goodsense antacid amp gas relief

goodsense antacid oral tablet chewable 500 mg 750 mg

goodsense anti-diarrheal

HELIDAC THERAPY 3

high potency probiotic E

hm stomach relief oral suspension 525 mg30ml

hm stool softener oral capsule 100 mg

hyoscyamine sulfate er oral tablet extended release 12 hour

hyoscyamine sulfate oral elixir

hyoscyamine sulfate oral tablet

hyoscyamine sulfate oral tablet dispersible

hyoscyamine sulfate sl 1

hyoscyamine sulfate solution 0125 mgml oral

hyoscyamine sulfate tablet sublingual 0125 mg sublingual

hyosyne 1

IMODIUM A-D ORAL TABLET

IMODIUM MULTI-SYMPTOM RELIEF ORAL TABLET

infants gas relief oral suspension 20 mg03ml

KRISTALOSE E

LACTEROL E

lactobacillus oral tablet E

LACTOJEN E

lactulose encephalopathy

lactulose oral 1

laxative max str E

laxative regular strength

LEVBID E

LEVSIN ORAL TABLET

LEVSINSL E

LIBRAX 3

LINZESS 2 ST QL

LOMOTIL ORAL TABLET

loperamide hcl oral capsule

loperamide hcl oral solution

loperamide hcl oral suspension

LOTRONEX 3 PA

LUBIPROSTONE E

MAALOX MULTI SYMPTOM MAX ST ORAL SUSPENSION

magnesium citrate oral solution 1745 gm30ml

magnesium oxide oral tablet 400 mg 420 mg

methscopolamine bromide oral

milk of magnesia oral suspension 1200 mg15ml 400 mg5ml

mineral oil heavy oral 1

mm clearlax $0 QL

mm stool softener laxative

MOTEGRITY 3 ST QL

MOTOFEN E

MOVANTIK E

MOVIPREP E

MYTESI 3 QL

natural senna laxative oral tablet 86 mg

NULEV 3

NULYTELY LEMON-LIME

OMECLAMOX-PAK 2

opium E

oscimin oral tablet 1

oscimin sr E

oscimin sublingual 1

OSMOPREP E

pb-hyoscy-atropine-scopolamine

PCP 100 E

peg 3350-kcl-na bicarb-nacl

peg-3350electrolytes $0 QL

peg-3350electrolytesascorbat

peg-kcl-nacl-nasulf-na asc-c

peg-prep 1

PERDIEM OVERNIGHT RELIEF

phenobarbital-belladonna alk oral elixir

phenobarbital-belladonna alk oral tablet

PHENOHYTRO E

pink bismuth maximum strength

PLENVU E

PROBICHEW E

PROBITROL E

PRODIGEN E

PROMELLA IN PREBIOTIC

PROMEROL E

PYLERA 2

qc magnesium citrate $0 QL

quad-probiotic E

RELISTOR ORAL E

RELISTOR SUBCUTANEOUS SOLUTION 12 MG06ML 8 MG04ML

RELTONE E

RESTORA RX 3

saccharomyces boulardii

senexon-s E

senna oral liquid E

senna oral syrup 88 mg5ml

senna oral tablet 86 mg

senna plus oral tablet E

senna s E

senna smooth E

senna-docusate sodium

senna-plus E

SENOKOT EXTRA STRENGTH

SENOKOT S E

SEROSTIM SUBCUTANEOUS SOLUTION RECONSTITUTED 4 MG 5 MG 6 MG

3 PA SP

simethicone oral capsule 125 mg

simethicone oral suspension 40 mg06ml

simethicone oral tablet chewable 80 mg

simethicone ultra strength

SODIUM BICARBONATE ORAL POWDER

sodium bicarbonate oral tablet 325 mg 650 mg

soothe oral tablet E

stimulant laxative oral tablet

stomach relief oral tablet chewable

stool softener laxative oral capsule 100 mg

stool softener oral capsule 100 mg 250 mg

stool softener plus laxative

stool softenerlaxative oral tablet

SUPREP BOWEL PREP KIT

SUTAB 3

SYMAX DUOTAB E

SYMAX-SL E

SYMAX-SR E

SYMPROIC 2 ST QL

TALICIA 3

TRULANCE E

TUMS CHEWY BITES E

URSO 250 3

URSO FORTE 3

ursodiol oral 1

URSODIOL+SYRSPEND SF

vegetable lax+stool softener

VIBERZI 3 PA QL

VISBIOME E

womens 50 billion E

XERMELO TABLET 250 MG ORAL

3 PA SP QL

ZELAC E

ZELNORM 3 PA QL

ZORBTIVE 3 PA SP

Genetic or Enzyme Disorder - Drugs for Replacement Modification Treatment

ALDURAZYME 2 PA SP

AMONDYS 45 E SP

BRINEURA KIT 3 PA SP

BUPHENYL ORAL POWDER 3 GMTSP

BUPHENYL ORAL TABLET

CERDELGA 3 PA SP

CEREZYME INTRAVENOUS SOLUTION RECONSTITUTED 400 UNIT

2 PA SP

CHOLBAM 3 PA SP

CITRULLINE EASY E

CREON 2

CRYSVITA 3 PA SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA SP

ELELYSO 3 PA SP

ENZADYNE E

EVRYSDI 3 PA SP QL

EXONDYS 51 E SP

FABRAZYME 2 PA SP

GALAFOLD 3 PA SP QL

KANUMA 3 PA SP

KUVAN ORAL PACKET

KUVAN ORAL TABLET E SP

LUMIZYME 2 PA SP

MEPSEVII 3 PA SP

miglustat 1 PA SP

MYALEPT 3 PA SP

NAGLAZYME 2 PA SP

nitisinone 1 PA SP

NITYR 3 PA SP

OCALIVA 3 PA SP QL

ORFADIN 3 PA SP

PALYNZIQ 3 PA SP QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA SP

RAVICTI 3 PA SP

REVCOVI 3 PA SP

sapropterin dihydrochloride oral packet

1 PA SP

sapropterin dihydrochloride oral tablet

1 PA SP

sodium phenylbutyrate oral powder 3 gmtsp

sodium phenylbutyrate oral tablet

STRENSIQ 2 PA SP

SUCRAID 3 SP

VIMIZIM 3 PA SP

VIOKACE E

VPRIV 3 PA SP

VYONDYS 53 E SP

XURIDEN 3 PA SP QL

ZAVESCA 3 PA SP

ZENPEP ORAL CAPSULE DELAYED RELEASE PARTICLES 10000-32000 UNIT 15000-47000 UNIT 20000-63000 UNIT 25000-79000 UNIT 3000-14000 UNIT 40000-126000 UNIT 5000-24000 UNIT

ZOLGENSMA 3 PA SP

Genitourinary Agents - Drugs for Bladder Genital and Kidney Conditions

aminoacetic acid E

AURYXIA 3

azo tabs E

bethanechol chloride oral

BI-MIX 3

calcium acetate (phos binder)

calcium acetate oral tablet 667 mg

CAVERJECT IMPULSE

CAVERJECT INTRACAVERNOSAL SOLUTION RECONSTITUTED 40 MCG

CERVIDIL 3

CIALIS 3 QL

CUPRIMINE ORAL CAPSULE 250 MG

3 PA SP

darifenacin hydrobromide er

DEPEN TITRATABS 2 SP

DETROL 3

DETROL LA 3

DITROPAN XL ORAL TABLET EXTENDED RELEASE 24 HOUR 10 MG 5 MG

EDEX 3 QL

ELMIRON E

ENABLEX ORAL TABLET EXTENDED RELEASE 24 HOUR 75 MG

FEM PH E

flavoxate hcl 1

FOSRENOL ORAL PACKET

FOSRENOL ORAL TABLET CHEWABLE 1000 MG 500 MG 750 MG

GELNIQUE TRANSDERMAL GEL 10

GEMTESA E

glycine irrigation E

glycine urologic E

HYOPHEN E

INTRAROSA 3 ST

lanthanum carbonate 1

LEVITRA ORAL TABLET 10 MG 20 MG

LITHOSTAT 3

menaphosmbhyo1 E

MUSE 3 QL

MYRBETRIQ 2

OXLUMO 3 PA SP

oxybutynin chloride er 1

oxybutynin chloride oral 1

OXYTROL 3 ST QL

OXYTROL FOR WOMEN

penicillamine oral capsule

1 PA SP

penicillamine oral tablet 1 SP

PENTOSAN POLYSULFATE SODIUM ORAL

phenazo oral tablet 200 mg

phenazopyridine hcl oral tablet 100 mg 200 mg

PHENYLEPHRINE HCL INTRACAVERNOSAL

PHOSLYRA 3

PHOSPHASAL E

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM E

QUAD-MIX 3

RENACIDIN E

RENAGEL ORAL TABLET 800 MG

RENVELA 3

RIMSO-50 E

sevelamer carbonate 1

sevelamer hcl 1

sildenafil citrate oral tablet 100 mg 25 mg 50 mg

solifenacin succinate 1

STAXYN E

STENDRA E

SUPER BI-MIX 3

SUPER QUAD-MIX 3

SUPER TRI-MIX E

tadalafil oral 1 QL

THIOLA EC 3 SP

tolterodine tartrate 1

tolterodine tartrate er 1

TOVIAZ 3

TRI-MIX E

trospium chloride 1 ST

trospium chloride er 1

URELLE E

uretron ds oral tablet 816 mg

URIBEL E

URIMAR-T E

urin ds oral tablet 816 mg

urinary pain relief oral tablet 95 mg

URO-458 E

UROGESIC-BLUE E

uro-mp E

USTELL E

UTIRA-C E

vardenafil hcl oral 1 QL

VELPHORO 3

VESICARE 3

VESICARE LS E

VIAGRA E

VILAMIT MB E

VILEVEV MB E

Genitourinary Agents - Drugs for Prostate Conditions

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3 ST

dutasteride oral 1

dutasteride-tamsulosin hcl

FLOMAX E

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

terazosin hcl oral 1

UROXATRAL 3

Hormonal Agents - Adrenal

ACTIVE INJECTION D E

ACTIVE INJECTION KIT L

ACTIVE INJECTION KL-3

ACTIVE INJECTION LM-DEP-2

ALKINDI SPRINKLE E

BETA 1 KIT E

BETALOAN SUIK E

BETAMETHASONE COMBO

BETAMETHASONE SOD PHOS amp ACET INJECTION SUSPENSION 7 (4-3) MGML

BETAMETHASONE SOD PHOS amp ACET SUSPENSION 6 (3-3) MGML INJECTION

betamethasone sod phos amp acet suspension 6 (3-3) mgml injection

BSP 0820 E

CELESTONE SOLUSPAN

CONTRAST ALLERGY PREMED PACK

CORTEF 3

DECADRON ORAL TABLET

DEPO-MEDROL E

DEXABLISS E

dexamethasone intensol

dexamethasone oral 1

dexamethasone sod phosphate pf

dexamethasone sodium phosphate injection solution 100 mg10ml 120 mg30ml 20 mg5ml

DEXAMETHASONE SODIUM PHOSPHATE SOLUTION 10 MGML INJECTION

dexamethasone sodium phosphate solution 10 mgml injection

DEXONTO 04 3

DMT SUIK E

DOUBLEDEX E

DXEVO 11-DAY E

DYURAL-40 E

DYURAL-80 E

DYURAL-L E

DYURAL-LM E

fludrocortisone acetate oral

HEMADY E

HIDEX 6-DAY E

hydrocortisone oral 1

KENALOG INJECTION 3

KENALOG-80 3

MAS CARE-PAK E

MEDROL ORAL TABLET 16 MG 32 MG 4 MG 8 MG

MEDROL ORAL TABLET 2 MG

MEDROL ORAL TABLET THERAPY PACK

MEDROLOAN II SUIK E

MEDROLOAN SUIK E

METHYLPREDNISOLONE ACETATE INJECTION SUSPENSION 50 MGML

METHYLPREDNISOLONE ACETATE SUSPENSION 40 MGML INJECTION

methylprednisolone acetate suspension 40 mgml injection

methylprednisolone oral

MILLIPRED ORAL TABLET

MULTI-SPECIALTY E

ORAPRED ODT 3

P-CARE K40 E

P-CARE K40G E

P-CARE K40MX E

P-CARE K80 E

P-CARE K80G E

P-CARE K80MX E

PEDIAPRED 3

physicians ez use jointtunnel

PHYSICIANS EZ USE M-PRED

POD-CARE 100K E

POINT OF CARE L2 E

POINT OF CARE L5 E

POINT OF CARE LM DEP 2

prednisolone oral solution

prednisolone sodium phosphate oral solution 10 mg5ml 15 mg5ml 20 mg5ml 25 mg5ml 67 (5 base) mg5ml

prednisolone sodium phosphate oral tablet dispersible

prednisone intensol 1

prednisone oral 1

PRO-C-DURE 5 E

PRO-C-DURE 6 E

RAYOS E

READYSHARP ANESTH + METHYLPRED

READYSHARP BETAMETHASONE

READYSHARP DEXAMETHASONE

SOLU-CORTEF INJECTION SOLUTION RECONSTITUTED 100 MG

TAPERDEX 12-DAY E

TAPERDEX 6-DAY E

TAPERDEX 7-DAY ORAL TABLET THERAPY PACK 15 MG (27)

TOPIDEX E

TRIAMCINOLONE ACETONIDE INJECTION SUSPENSION 50 MGML

triamcinolone acetonide suspension 40 mgml injection

TRIAMCINOLONE ACETONIDE SUSPENSION 40 MGML INJECTION

TRILOAN II SUIK E

TRILOAN SUIK E

ZCORT 7-DAY E

ZILRETTA E

Hormonal Agents - Mens Health

ANDRODERM TRANSDERMAL PATCH 24 HOUR

ANDROGEL PUMP TRANSDERMAL GEL 2025 MGACT (162)

ANDROGEL TRANSDERMAL GEL 2025 MG125GM (162) 405 MG25GM (162)

AVEED E

danazol oral 1

DEPO-TESTOSTERONE INTRAMUSCULAR SOLUTION

EC-RX TESTOSTERONE

FORTESTA E

JATENZO E

METHITEST 3 PA

methyltestosterone oral 1 PA

NATESTO E

oxandrolone oral 1 PA QL

TESTIM E

TESTONE CIK E

TESTOPEL E

TESTOSTERONE CYPIONATE INJECTION SOLUTION 200 MGML

testosterone cypionate intramuscular solution 100 mgml 200 mgml

testosterone enanthate intramuscular solution

TESTOSTERONE IMPLANT PELLET 100 MG 200 MG 25 MG 50 MG

testosterone transdermal gel 162 10 mgact (2) 125 mgact (1) 2025 mg125gm (162) 2025 mgact (162) 25 mg25gm (1) 405 mg25gm (162) 50 mg5gm (1)

testosterone transdermal solution

VOGELXO PUMP E

VOGELXO TRANSDERMAL GEL 50 MG5GM (1)

XYOSTED 3 PA

Hormonal Agents - Osteoporosis

EVISTA 3

OSPHENA 3

raloxifene hcl 1

Hormonal Agents - Pituitary

ACTHAR 2 PA SP

BYNFEZIA PEN E SP

cabergoline 1

CETROTIDE SUBCUTANEOUS KIT 025 MG

chorionic gonadotropin intramuscular

1 PA SP

clomiphene citrate oral 1 PA

DDAVP INJECTION SOLUTION 4 MCGML

DDAVP ORAL 3

DDAVP PF 3

DDAVP RHINAL TUBE 2

desmopressin ace spray refrig

desmopressin acetate injection

desmopressin acetate oral

desmopressin acetate pf

desmopressin acetate spray

EGRIFTA SV 3 PA SP QL

ELIGARD 3 PA SP QL

FENSOLVI (6 MONTH) 3 PA SP QL

FIRMAGON (240 MG DOSE)

3 PA SP QL

FIRMAGON SUBCUTANEOUS SOLUTION RECONSTITUTED 80 MG

3 PA SP QL

FOLLISTIM AQ SUBCUTANEOUS

2 PA SP

ganirelix acetate solution prefilled syringe 250 mcg05ml subcutaneous

1 PA SP

1PA Made by Organon SP

GENOTROPIN E SP

GENOTROPIN MINIQUICK

GONAL-F E SP

GONAL-F RFF E SP

GONAL-F RFF REDIJECT

HUMATROPE E SP

INCRELEX 2 PA SP

ISTURISA E SP

leuprolide acetate injection

1 PA SP

LUPANETA PACK 3 PA SP QL

LUPRON DEPOT (1-MONTH) INTRAMUSCULAR KIT 375 MG

3 PA SP

2 PA SP

3 PA SP

2 PA SP

LUPRON DEPOT (4-MONTH) INTRAMUSCULAR KIT 30MG

2 PA SP

LUPRON DEPOT-PED (1-MONTH) INTRAMUSCULAR KIT 1125 MG

3 PA SP

LUPRON DEPOT-PED (1-MONTH) INTRAMUSCULAR KIT 15 MG 75 MG

2 PA SP

LUPRON DEPOT-PED (3-MONTH) INTRAMUSCULAR KIT 1125 MG (PED)

3 PA SP

2 PA SP

MENOPUR 3 PA SP

MYCAPSSA E SP

NOCDURNA 3

NORDITROPIN FLEXPRO SUBCUTANEOUS SOLUTION PEN-INJECTOR

2 PA SP

novarel intramuscular solution reconstituted 10000 unit

1 PA SP

NOVAREL INTRAMUSCULAR SOLUTION RECONSTITUTED 5000 UNIT

3 PA SP

NUTROPIN AQ NUSPIN 10 SUBCUTANEOUS SOLUTION PEN-INJECTOR

2 PA SP

octreotide acetate injection solution 100 mcgml 1000 mcgml 200 mcgml 50 mcgml 500 mcgml

1 PA SP

OMNITROPE SUBCUTANEOUS SOLUTION CARTRIDGE

OMNITROPE SUBCUTANEOUS SOLUTION RECONSTITUTED

ORILISSA 2 PA QL

OVIDREL 3 PA SP

OXYTOCIN-LACTATED RINGERS INTRAVENOUS SOLUTION 30 UNIT500ML

OXYTOCIN-SODIUM CHLORIDE INTRAVENOUS SOLUTION 20-09 UNITL- 20-09 UNTL-

pregnyl 1 PA SP

SAIZEN E SP

SAIZENPREP E SP

SANDOSTATIN INJECTION SOLUTION 100 MCGML 50 MCGML 500 MCGML

SANDOSTATIN LAR DEPOT

SIGNIFOR E SP

SIGNIFOR LAR INTRAMUSCULAR SUSPENSION RECONSTITUTED ER

3 PA SP QL

SOMATULINE DEPOT 3 PA SP

SOMAVERT 3 PA SP

STIMATE 3

SUPPRELIN LA 2 PA SP QL

SYNAREL 2

TEPEZZA 3 PA SP

TRELSTAR MIXJECT 3 PA SP QL

TRIPTODUR 3 PA SP QL

VANTAS 3 PA SP QL

ZOLADEX SUBCUTANEOUS IMPLANT 108 MG

3 SP QL

2 SP QL

ZOMACTON E SP

ZOMACTON (FOR ZOMA-JET 10)

Hormonal Agents - Prostaglandins

KORLYM 3 PA SP QL

Hormonal Agents - Sex Hormones and Birth Control

ACTIVELLA ORAL TABLET 1-05 MG

afirmelle $0 QL

ALORA 3 ST

altavera $0 QL

alyacen 135 $0 QL

alyacen 777 $0 QL

amabelz 1

amethia $0 QL

amethyst $0 QL

ANGELIQ 3

ANNOVERA E

apri $0 QL

aranelle $0 QL

ashlyna $0 QL

aubra $0 QL

aubra eq $0 QL

aurovela 1530 $0 QL

aurovela 120 $0 QL

aurovela 24 fe $0 QL

aurovela fe 1530 $0 QL

aviane $0 QL

AYGESTIN 3

ayuna $0 QL

azurette $0 QL

BALCOLTRA E

balziva $0 QL

bekyree $0 QL

BEYAZ E

BIESTPROGESTERONE

BIJUVA 3

blisovi 24 fe $0 QL

blisovi fe 1530 $0 QL

briellyn $0 QL

camila $0 QL

camrese $0 QL

camrese lo $0 QL

caziant $0 QL

charlotte 24 fe $0 QL

chateal $0 QL

chateal eq $0 QL

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

COVARYX E

COVARYX HS E

CRINONE VAGINAL GEL 4

3 PA QL

cryselle-28 $0 QL

cyclafem 135 $0 QL

cyclafem 777 $0 QL

cyred $0 QL

cyred eq $0 QL

dasetta 135 $0 QL

dasetta 777 $0 QL

daysee $0 QL

deblitane $0 QL

DELESTROGEN 3

delyla $0 QL

DEPO-ESTRADIOL 3

DEPO-PROVERA INTRAMUSCULAR SUSPENSION 150 MGML

DEPO-PROVERA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

DEPO-SUBQ PROVERA 104 SUBCUTANEOUS SUSPENSION PREFILLED SYRINGE

desogestrel-ethinyl estradiol

DIVIGEL 3

dotti 1

drospiren-eth estrad-levomefol

drospirenone-ethinyl estradiol

DUAVEE 2

EC-RX ESTRADIOL E

EC-RX PROGESTERONE

EEMT E

EEMT HS E

ELESTRIN 3

elinest $0 QL

ELLA $0 QL

eluryng $0 QL

emoquette $0 QL

ENDOMETRIN 2 PA

enpresse-28 $0 QL

enskyce oral tablet 015-30 mg-mcg

errin $0 QL

est estrogens-methyltest

est estrogens-methyltest ds

est estrogens-methyltest hs

estarylla $0 QL

ESTRACE 3

estradiol oral 1

estradiol transdermal 1

estradiol vaginal 1

estradiol valerate intramuscular oil 20 mgml 40 mgml

estradiol-norethindrone acet

ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 QL

ethynodiol diac-eth estradiol

etonogestrel-ethinyl estradiol

EVAMIST 3

FALESSA ORAL KIT 20-1-01 MCG-MG

falmina $0 QL

fayosim $0 QL

FEMHRT LOW DOSE 3

FEMRING 3 ST QL

femynor $0 QL

FIRST-PROGESTERONE VGS VAGINAL SUPPOSITORY 100 MG 200 MG

fyavolv 1

gemmily $0 QL

GENERESS FE 3 QL

hailey 1530 $0 QL

hailey 24 fe $0 QL

hailey fe 1530 $0 QL

hailey fe 120 $0 QL

heather $0 QL

hydroxyprogesterone caproate intramuscular

1 PA SP

iclevia $0 QL

IMVEXXY MAINTENANCE PACK

IMVEXXY STARTER PACK

incassia $0 QL

introvale $0 QL

isibloom $0 QL

jaimiess $0 QL

jasmiel $0 QL

jencycla $0 QL

jinteli 1

jolessa $0 QL

juleber $0 QL

junel 1530 $0 QL

junel 120 $0 QL

junel fe 1530 $0 QL

junel fe 120 $0 QL

junel fe 24 $0 QL

kaitlib fe $0 QL

kalliga $0 QL

kariva $0 QL

kelnor 135 $0 QL

kelnor 150 $0 QL

kurvelo $0 QL

KYLEENA E

larin 1530 $0 QL

larin 120 $0 QL

larin 24 fe $0 QL

larin fe 1530 $0 QL

larin fe 120 $0 QL

larissia $0 QL

layolis fe $0 QL

leena $0 QL

lessina $0 QL

levonest $0 QL

levonorgest-eth est amp eth est

levonorgest-eth estrad 91-day

levonorgestrel oral tablet 15 mg

levonorgestrel-ethinyl estrad

levonorg-eth estrad triphasic oral tablet 50-3075-40 125-30 mcg

levora 01530 (28) $0 QL

LILETTA (52 MG) INTRAUTERINE INTRAUTERINE DEVICE 195 MCGDAY

lillow $0 QL

LO LOESTRIN FE $0 QL

LOESTRIN 1530 (21) 3 QL

LOESTRIN FE 1530 3 QL

lojaimiess $0 QL

loryna $0 QL

LOSEASONIQUE 3 QL

low-ogestrel $0 QL

lo-zumandimine $0 QL

lutera $0 QL

lyleq $0 QL

lyllana 1

lyza $0 QL

MAKENA 2 PA SP

marlissa $0 QL

medroxyprogesterone acetate intramuscular

medroxyprogesterone acetate oral

megestrol acetate oral suspension 40 mgml 625 mg5ml

megestrol acetate oral tablet

MENEST ORAL TABLET 03 MG 0625 MG 125 MG

MENOSTAR 3 ST

merzee $0 QL

mibelas 24 fe $0 QL

microgestin 1530 $0 QL

microgestin 24 fe $0 QL

microgestin fe 1530 $0 QL

mili $0 QL

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 ST

MIRCETTE 3 QL

MIRENA (52 MG) E

mono-linyah $0 QL

NATAZIA $0 QL

necon 0535 (28) $0 QL

NEXPLANON E

nikki $0 QL

nora-be $0 QL

norethin ace-eth estrad-fe oral capsule

norethin ace-eth estrad-fe oral tablet 1-20 mg-mcg 15-30 mg-mcg

norethin ace-eth estrad-fe oral tablet chewable

norethindrone acetate oral

norethindrone acet-ethinyl est oral tablet

norethindrone oral $0 QL

norethindrone-eth estradiol

norethin-eth estradiol-fe $0 QL

norgestimate-eth estradiol oral tablet 025-35 mg-mcg

norgestimate-ethinyl estradiol triphasic

norlyda $0 QL

norlyroc $0 QL

nortrel 0535 (28) $0 QL

nortrel 135 (21) $0 QL

nortrel 777 $0 QL

NUVARING 3 QL

nylia 777 $0 QL

nymyo $0 QL

ocella $0 QL

ORIAHNN 2 PA QL

orsythia $0 QL

ORTHO MICRONOR E

PARAGARD INTRAUTERINE COPPER

philith $0 QL

pimtrea $0 QL

pirmella 135 $0 QL

pirmella 777 $0 QL

PLAN B ONE-STEP $0 QL

portia-28 $0 QL

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem $0 QL

progesterone intramuscular

PROGESTERONE MICRONIZED TRANSDERMAL

progesterone oral 1

PROMETRIUM 3

PROVERA 3

QUARTETTE 3 QL

reclipsen $0 QL

rivelsa $0 QL

SAFYRAL 3 QL

SEASONIQUE 3 QL

setlakin $0 QL

sharobel $0 QL

simliya $0 QL

simpesse $0 QL

SKYLA E

SLYND E

sprintec 28 $0 QL

sronyx $0 QL

syeda $0 QL

tarina 24 fe $0 QL

tarina fe 120 $0 QL

tarina fe 120 eq $0 QL

TAYTULLA E

tilia fe $0 QL

tri femynor $0 QL

tri-estarylla $0 QL

tri-legest fe $0 QL

tri-linyah $0 QL

tri-lo-estarylla $0 QL

tri-lo-marzia $0 QL

tri-lo-mili $0 QL

tri-lo-sprintec $0 QL

tri-mili $0 QL

tri-nymyo $0 QL

tri-previfem $0 QL

tri-sprintec $0 QL

trivora (28) $0 QL

tri-vylibra $0 QL

tri-vylibra lo $0 QL

tulana $0 QL

TWIRLA E

tyblume oral tablet chewable

tydemy $0 QL

VAGIFEM VAGINAL TABLET 10 MCG

velivet $0 QL

vestura $0 QL

vienva $0 QL

viorele $0 QL

VIVELLE-DOT E

volnea $0 QL

vyfemla $0 QL

vylibra $0 QL

wera $0 QL

wymzya fe $0 QL

xulane $0 QL

YASMIN 28 3 QL

yuvafem 1

zafemy $0 QL

zarah $0 QL

zovia 135 (28) $0 QL

zovia 135e (28) $0 QL

zumandimine $0 QL

Hormonal Agents - Thyroid

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

LEVOTHYROXINE SODIUM ORAL CAPSULE

levothyroxine sodium oral tablet

levoxyl 1

liothyronine sodium oral 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

propylthiouracil oral 1

SYNTHROID 3

TAPAZOLE 3

THYQUIDITY 3

TIROSINT E

TIROSINT-SOL 3

unithroid 1

WESTHROID ORAL TABLET 130 MG 195 MG 325 MG 65 MG 975 MG

WP THYROID 3 ST

Immunological Agents - Drugs for Immune System Stimulation or Suppression

ACTEMRA 3 PA SP

ACTEMRA ACTPEN 3 PA SP

ACTIMMUNE 2 PA SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 PA SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA SP

AZASAN 3

azathioprine oral 1

azathioprine sodium E

BAMLANIVIMAB E

BENLYSTA 3 PA SP

BERINERT 3 PA SP QL

BIVIGAM INTRAVENOUS SOLUTION 5 GM50ML

3 PA SP

CARIMUNE NF INTRAVENOUS SOLUTION RECONSTITUTED 12 GM 6 GM

3 PA SP

CASIRIVIMAB E

CELLCEPT 3 SP

CELLCEPT INTRAVENOUS

CIMZIA PREFILLED KIT

2 PA SP

CIMZIA STARTER KIT 2 PA SP

CIMZIA VIAL KIT 2 PA SP

CINRYZE 2 PA SP

COSENTYX (300 MG DOSE)

COSENTYX 150 MGML

COSENTYX SENSOREADY (300 MG)

COSENTYX SENSOREADY PEN SUBCUTANEOUS SOLUTION AUTO-INJECTOR 150 MGML

CUTAQUIG E SP

CUVITRU 3 PA SP

cyclosporine intravenous

cyclosporine modified 1 SP

cyclosporine oral capsule

CYTOGAM 2 PA SP

ENBREL MINI 3 PA SP

ENBREL SUBCUTANEOUS SOLUTION 25 MG05ML

3 PA SP

ENBREL SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

3 PA SP

ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED

3 PA SP

ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO-INJECTOR

3 PA SP

ENSPRYNG 3 PA SP

ENTYVIO 3 PA SP

ENVARSUS XR 3 SP

ETESEVIMAB E

FIRAZYR 3 PA SP QL

FLEBOGAMMA DIF 3 PA SP

GAMASTAN 2 PA SP

GAMIFANT 3 PA SP

GAMMAGARD 3 PA SP

GAMMAGARD SD LESS IGA

3 PA SP

GAMMAKED INJECTION SOLUTION 1 GM10ML 10 GM100ML 20 GM200ML 5 GM50ML

3 PA SP

GAMMAPLEX INTRAVENOUS SOLUTION 10 GM100ML 10 GM200ML 20 GM200ML 20 GM400ML 5 GM100ML 5 GM50ML

3 PA SP

GAMUNEX-C 3 PA SP

gengraf oral capsule 100 mg 25 mg

gengraf oral solution 1 SP

HAEGARDA 3 PA SP

HEPAGAM B E

HIZENTRA SUBCUTANEOUS SOLUTION 1 GM5ML 10 GM50ML 2 GM10ML 4 GM20ML

3 PA SP

HIZENTRA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

3 PA SP

HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 80 MG08ML 80 MG08ML amp 40MG04ML

2 PA SP

HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT

2 PA SP

HUMIRA PEN-CDUCHS STARTER

2 PA SP

HUMIRA PEN-PEDIATRIC UC START

2 PA SP

HUMIRA PEN-PSUVADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 40 MG08ML

2 PA SP

HUMIRA PEN-PSORUVEIT STARTER

2 PA SP

HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 MG01ML 20 MG02ML 40 MG04ML 40 MG08ML

2 PA SP

HYPERHEP B E

HYPERRAB E

HYPERRAB SD INJECTION

HYPERRHO SD INTRAMUSCULAR SOLUTION PREFILLED SYRINGE

HYPERTET SD E

HYQVIA 3 PA SP

icatibant acetate 1 PA SP QL

ILARIS SUBCUTANEOUS SOLUTION

2 PA SP QL

ILUMYA 3 PA SP

IMDEVIMAB E

IMOGAM RABIES-HT INJECTION

IMURAN 3

INFLECTRA 2 PA SP

KALBITOR 3 PA SP QL

KEDRAB INJECTION E

KEVZARA 3 PA SP

KINERET SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

3 PA SP

KYMRIAH 3 PA SP

leflunomide oral 1

LUPKYNIS E SP

methotrexate oral 1

methotrexate sodium (pf) injection solution 1 gm40ml 250 mg10ml 50 mg2ml

methotrexate sodium injection solution 250 mg10ml 50 mg2ml

methotrexate sodium injection solution reconstituted

methotrexate sodium oral

MICRHOGAM ULTRA-FILTERED PLUS INTRAMUSCULAR SOLUTION PREFILLED SYRINGE

mycophenolate mofetil hcl

mycophenolate mofetil intravenous

mycophenolate mofetil oral

mycophenolate sodium 1 SP

MYFORTIC 3 SP

NABI-HB E

NEORAL 3 SP

NULOJIX 3 SP

OCTAGAM 3 PA SP

OLUMIANT E SP

ORENCIA CLICKJECT 3 PA SP

ORENCIA INTRAVENOUS

3 PA SP

ORENCIA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

3 PA SP

ORLADEYO 3 PA SP QL

OTEZLA ORAL TABLET

2 PA SP

OTEZLA ORAL TABLET THERAPY PACK

2 PA SP

OTREXUP SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 MG04ML 15 MG04ML 20 MG04ML 25 MG04ML

3 PA QL

OTREXUP SUBCUTANEOUS SOLUTION AUTO-INJECTOR 125 MG04ML 175 MG04ML 225 MG04ML

PANZYGA E SP

PRIVIGEN 3 PA SP

PROGRAF 3 SP

PROVENGE 2 PA SP

RAPAMUNE 3 SP

RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 MG02ML 125 MG025ML 15 MG03ML 175 MG035ML 20 MG04ML 225 MG045ML 25 MG05ML 30 MG06ML 75 MG015ML

2 PA QL

REDITREX E

REMICADE E SP

RENFLEXIS E SP

RHOGAM ULTRA-FILTERED PLUS INTRAMUSCULAR SOLUTION PREFILLED SYRINGE

RHOPHYLAC INJECTION SOLUTION PREFILLED SYRINGE

RIDAURA 3 SP

RINVOQ 2 PA SP

RUCONEST 3 PA SP QL

SANDIMMUNE INTRAVENOUS

SANDIMMUNE ORAL CAPSULE

SANDIMMUNE ORAL SOLUTION

SILIQ 3 PA SP

SIMPONI ARIA 2 PA SP

SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR

2 PA SP

SIMPONI SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 PA SP

SIMULECT E

sirolimus oral 1 SP

SKYRIZI (150 MG DOSE)

2 PA SP QL

STELARA INTRAVENOUS

2 PA SP

STELARA SUBCUTANEOUS SOLUTION 45 MG05ML

2 PA SP QL

STELARA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 PA SP QL

SYNAGIS 2 PA SP

tacrolimus oral 1 SP

TAKHZYRO 3 PA SP

TALTZ 3 PA SP

temsirolimus 1 SP

THYMOGLOBULIN E

TICE BCG 2 SP

TORISEL 3 SP

TREMFYA 2 PA SP

TREXALL 3

UPLIZNA 3 PA SP

VARIZIG INTRAMUSCULAR SOLUTION

WINRHO SDF 2 SP

XATMEP 3

XELJANZ 2 PA SP

XELJANZ XR 2 PA SP

XEMBIFY 3 PA SP

ZINPLAVA E

ZORTRESS 3 SP

Immunological Agents - Drugs for Vaccination

ACTHIB $0

ADACEL INTRAMUSCULAR SUSPENSION 5-2-155 LF-MCG05

AFLURIA QUADRIVALENT

ASTRAZENECA COVID-19 VACCINE

BCG VACCINE E

BEXSERO $0

BIOTHRAX E

BOOSTRIX INTRAMUSCULAR SUSPENSION 5-25-185 LF-MCG05

DAPTACEL INTRAMUSCULAR SUSPENSION 23-15-5

DIPHTHERIA-TETANUS TOXOIDS DT

ENGERIX-B INJECTION SUSPENSION 10 MCG05ML 20 MCGML

FLUAD $0

FLUAD QUADRIVALENT

FLUARIX QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

FLUCELVAX QUADRIVALENT

FLULAVAL QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

FLUMIST QUADRIVALENT

FLUZONE HIGH-DOSE QUADRIVALENT

FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION 05 ML

FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE 05 ML

GARDASIL 9 $0

HAVRIX INTRAMUSCULAR SUSPENSION 1440 EL UML 720 EL U05ML

HEPLISAV-B INTRAMUSCULAR SOLUTION PREFILLED SYRINGE

HIBERIX INJECTION $0

IMOVAX RABIES E

INFANRIX $0

IPOL INJECTION INJECTABLE

IXIARO E

JANSSEN COVID-19 VACCINE

MENACTRA $0

MENQUADFI $0

MENVEO $0

M-M-R II INJECTION $0

MODERNA COVID-19 VACCINE

PEDVAX HIB INTRAMUSCULAR SUSPENSION

PFIZER-BIONTECH COVID-19 VACC

PNEUMOVAX 23 $0

PREVNAR 13 $0

RABAVERT E

RECOMBIVAX HB INJECTION SUSPENSION 10 MCGML 40 MCGML 5 MCG05ML

ROTARIX $0

ROTATEQ ORAL SOLUTION

SHINGRIX INTRAMUSCULAR SUSPENSION RECONSTITUTED 50 MCG05ML

STAMARIL E

TDVAX $0

TENIVAC $0

TETANUS-DIPHTHERIA TOXOIDS TD

TRUMENBA $0

TWINRIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE

TYPHIM VI INTRAMUSCULAR SOLUTION 25 MCG05ML

VAQTA INTRAMUSCULAR SUSPENSION 25 UNIT05ML 50 UNITML

VARIVAX $0

VAXCHORA E

VIVOTIF E

YF-VAX E

Inflammatory Bowel Disease Agents

ana-lex E

ANALPRAM HC EXTERNAL

ANALPRAM HC SINGLES EXTERNAL

ANALPRAM-HC EXTERNAL CREAM

ANALPRAM-HC EXTERNAL LOTION

anucort-hc E

ANUSOL-HC EXTERNAL

ANUSOL-HC RECTAL SUPPOSITORY

APRISO 2

ASACOL HD E

AZULFIDINE 3

AZULFIDINE EN-TABS 3

balsalazide disodium 1

budesonide er oral tablet extended release 24 hour

budesonide oral 1

CANASA E

COLAZAL 3

CORTENEMA 3

CORTIFOAM EXTERNAL

DELZICOL E

DIPENTUM E

ENTOCORT EC ORAL CAPSULE DELAYED RELEASE PARTICLES

HEMMOREX-HC RECTAL SUPPOSITORY 25 MG

hydrocortisone (perianal)

hydrocortisone acetate rectal

hydrocortisone rectal enema

hydrocort-pramoxine (perianal)

LIALDA E

lidocaine-hydrocort (perianal)

LIDOCAINE-HYDROCORTISONE ACE RECTAL GEL

lidocaine-hydrocortisone ace rectal kit

LIDOCORT EXTERNAL

mesalamine er oral capsule 0375 gm

mesalamine oral 1

mesalamine rectal 1

mesalamine-cleanser 1

ORTIKOS E

PENTASA 3

PROCORT EXTERNAL E

PROCTOCORT EXTERNAL

PROCTOCORT RECTAL SUPPOSITORY

PROCTOFOAM HC EXTERNAL

procto-med hc external 1

procto-pak external 1

proctozone-hc external 1

ROWASA RECTAL 3

SFROWASA 2

sulfasalazine oral 1

UCERIS 3

Metabolic Bone Disease Agents - Drugs for Osteoporosis

ACTONEL ORAL TABLET 150 MG 35 MG

alendronate sodium oral solution

alendronate sodium oral tablet 10 mg 5 mg

ATELVIA 3 QL

BINOSTO 3 QL

BONIVA INTRAVENOUS

BONIVA ORAL TABLET 150 MG

calcitonin (salmon) 1 QL

EVENITY 3 PA SP QL

FORTEO SUBCUTANEOUS SOLUTION PEN-INJECTOR 620 MCG248ML

FOSAMAX ORAL TABLET 70 MG

FOSAMAX PLUS D E

ibandronate sodium intravenous solution 3 mg3ml

ibandronate sodium oral

MIACALCIN INJECTION

pamidronate disodium 1 SP

PROLIA SUBCUTANEOUS SOLUTION PREFILLED SYRINGE

2 PA SP QL

RAYALDEE 3

RECLAST 3 SP

risedronate sodium oral tablet 150 mg 35 mg

risedronate sodium oral tablet delayed release

TERIPARATIDE (RECOMBINANT)

2 PA SP

TYMLOS 2 PA SP

XGEVA 2 PA SP

zoledronic acid intravenous concentrate

zoledronic acid intravenous solution

Metabolic Bone Disease Agents - Other

calcitriol intravenous solution 1 mcgml

calcitriol oral 1

cinacalcet hcl 1 PA

doxercalciferol oral 1

NATPARA 3 PA SP QL

paricalcitol intravenous E

paricalcitol oral 1

PARSABIV 3 SP

ROCALTROL 3

SENSIPAR 3 PA

ZEMPLAR INTRAVENOUS

ZEMPLAR ORAL CAPSULE 1 MCG 2 MCG

Miscellaneous Therapeutic Agents

3232a infant formula E

ACACIA SUBCUTANEOUS

ACCU-CHEK TENDER 1 INFUSION

ACCU-CHEK ULTRAFLEX INF SET

ACREMONIUM E

ACST KIT E

ACTIFOAM COLLAGEN SPONGE

ACUNOL E

ADAKVEO 3 PA SP

ADULT AEROSOL MASK

AERIVA CONCENTRATOR NEBULIZER

ALCOHOL PREP PADS PAD

ALCOHOL PREP PADS PAD 70

ALCOHOL PREP PADS SHEET 70

ALDER E

ALTERNARIA E

AMERICAN BEECH E

AMERICAN COCKROACH

AMERICAN ELM E

AMINOPMRMS E

ANDEXXA INTRAVENOUS SOLUTION RECONSTITUTED 200 MG

ANTIVENIN LATRODECTUS MACTANS

ANTIVENIN MICRURUS FULVIUS INTRAVENOUS

APP SLIM RMS E

ARIDOL INHALATION KIT 0 amp 5 amp 10 amp 20 amp 40 MG

ARIZONA CYPRESS E

ARTISS EXTERNAL SOLUTION

asilnasalrms E

ASPARTAME E

ASPARTAME (NUTRASWEET)

AUREOBASIDIUM E

AUSTRALIAN PINE E

AUTOSOFT 30 INFUSION SET

AUTOSOFT XC INFUSION SET

AVAILNEX E

AVITENE E

AVITENE FLOUR E

AXONA E

AZALGIA E

BAHIA E

BALD CYPRESS E

BAYBERRY (WAX MYRTLE)

BERMUDA GRASS SUBCUTANEOUS

BHI URI-CONTROL E

BLACK WILLOW E

BOTOX 2PA Non-Cosmetic SP

BOTRYTIS SUBCUTANEOUS

BREATHE EASE HUMIDIFIER

BREATHE EASE NEB MASKCHILD

BREATHE EASE NEB MASKINFANT

BRIDION INTRAVENOUS SOLUTION 500 MG5ML

BRIDION SOLUTION 200 MG2ML INTRAVENOUS

BROME E

CALIFORNIA PEPPER TREE

CAMINO PRO COMPLETEGLYTACTIN

CANDIDA ALBICANS EXTRACT SUBCUTANEOUS SOLUTION 10000 PNUML

CARDIOVID PLUS E

CARETOUCH 2 CPAP HOSE HANGER

CARETOUCH CPAP amp BIPAP HOSE

CARETOUCH CPAP MASK WIPES

CARETOUCH CPAP PRE-WASH SOLN

CARETOUCH CPAP TUBE BRUSH

CARETOUCH UNIVERSL CPAP FILTER

CARTICEL E

CAT HAIR EXTRACT SUBCUTANEOUS

CATTLE EPITHELIUM E

CAYA $0 QL

CEDAR ELM E

CLADOSPORIUM CLADOSPORIOIDES SUBCUTANEOUS

CLADOSPORIUM SPHAEROSPERMUM

COCKLEBUR E

coenzyme q10 oral capsule 100 mg 50 mg

COLCIGEL E

COLD-EEZE NATURAL MULTI-SYMP MOUTHTHROAT

COLD-EEZE PLUS DEFENSE MOUTHTHROAT

COLD-EEZE SUGAR FREE MOUTHTHROAT LOZENGE

COMFORT TOUCH ALCOHOL PREP

COMPRESSOR NEBULIZER

CONDOMS E

CORN POLLEN E

CORTROSYN E

cosyntropin injection E

COVID-19 SPECIMEN COLLECTION

CROFAB E

CURVULARIA E

DANDELION E

deferoxamine mesylate E

DESFERAL INJECTION SOLUTION RECONSTITUTED 500 MG

desflurane 1

dexmedetomidine hcl in nacl intravenous solution 200-09 mcg50ml-

dexmedetomidine hcl in nacl solution 200 mcg50ml intravenous

dexmedetomidine hcl intravenous solution 200 mcg2ml

DIGIFAB E

DOG EPITHELIUM E

DOG FENNEL E

DOJOLVI E

DRECHSLERA E

DUROLANE INTRA-ARTICULAR

2 PA SP

DUST MITE MIXED ALLERGEN EXT SUBCUTANEOUS

DYSPORT 3 PA SP

EASIVENT 2

EASTERN COTTONWOOD

EC-RX DHEA E

ECZEMOL E

ENDARI 3 PA

ENDO AVITENE E

ENFAGROW NEUROPRO TODDLER

ENFAMIL GENTLEASE ORAL POWDER

ENFAMIL INFANT ORAL POWDER

ENFAMIL NEUROPRO INFANT ORAL POWDER

ENFAMIL NEUROPRO SENSITIVE

ENFAMIL NUTRAMIGEN LIPIL ORAL LIQUID

ENFAMIL NUTRAMIGEN LIPIL ORAL POWDER

ENFAMIL NUTRAMIGEN ORAL LIQUID

ENLYTE E

enovarx-amitriptyline E

ENTERAGAM E

enteric fish oil E

ENU PRO3 PLUS E

EPICOCCUM E

EPISIL E

EQUACARE JR E

ergoloid mesylates oral 1

ESSENTIAL CARE JR E

EUFLEXXA INTRA-ARTICULAR SOLUTION PREFILLED SYRINGE

2 PA SP

FIRDAPSE E SP

FIRE ANT E

FLEXICHAMBER ADULT MASKSMALL

FLEXICHAMBER CHILD MASKLARGE

FLEXICHAMBER CHILD MASKSMALL

FORANE 3

formaldehyde external solution 10

FORMALDEHYDE SOLUTION 37 EXTERNAL (RX)

FOSTEUM PLUS E

FUSARIUM E

GELCLAIR E

GELFILM EXTERNAL E

GEL-FLOW E

GEL-FLOW NT E

GELFOAM E

GELFOAM COMPRESSED SIZE 100

GELFOAM DENTAL PACK SIZE 4

GELFOAM SPONGE E

GELFOAM SPONGE SIZE 100

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GELSYN-3 2 PA SP

GELX E

GERMAN COCKROACH

GIVLAARI 3 PA SP

GLEOLAN E

GLUTARALDEHYDE EXTERNAL

GLYTACTIN BETTERMILK 15

GLYTACTIN BETTERMILK DE-LITE

GLYTACTIN BUILD 10PE

GLYTACTIN BUILD 2020

GLYTACTIN BUILD 2020 PKU

GLYTACTIN BURST E

GLYTACTIN COMPLETE 10PE

GLYTACTIN RESTORE 10

GLYTACTIN RESTORE 5

GLYTACTIN RESTORE LITE 10

GLYTACTIN RESTORE LITE 10PE

GLYTACTIN RTD 10 LIQUID ORAL

GLYTACTIN RTD 15 E

GLYTACTIN RTD LITE 15 LIQUID ORAL

GLYTACTIN SWIRL 15PE

GOLDENROD E

GRASTEK 3 PA QL

HACKBERRY E

HCU EASY E

heparin lock flush intravenous solution 10 unitml

heparin sodium lock flush intravenous solution 100 unitml

HEPMED E

HIBICLENS E

HOMACTIN AA PLUS E

HOME PAP KIT E

HONEY BEE VENOM SUBCUTANEOUS SOLUTION RECONSTITUTED 1100 MCG

HORSE EPITHELIUM E

HUMATROPEN FOR 12MG

HUMATROPEN FOR 24MG

HUMATROPEN FOR 6MG

HYALGAN E SP

HYLAFEM E

HYMOVIS E SP

INSPIREASE RESERVOIR BAGS

INTERCEED E

IOSAT E

isoflurane 1

JOHNSON GRASS E

JUNE GRASS POLLEN STANDARDIZED

KAPOK E

KETAMINE HCL SUBLINGUAL

KETAMINE HCL-SODIUM CHLORIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE 50-09 MG5ML-

KETOVIE LIQUID ORAL

KETOVIE PEPTIDE E

KOCHIA E

LENSCALE E

LIMBREL E

LIMBREL250 E

LIMBREL500 E

LORMATE E

MACRILEN E

MEADOW FESCUE GRASS POLLEN

MELALEUCA E

MESQUITE E

METHACHOLINE CHLORIDE INHALATION

METHAVER E

methergine oral 1 QL

METHOHEXITAL SODIUM INTRAVENOUS SOLUTION PREFILLED SYRINGE 100 MG10ML

methylergonovine maleate oral

METOPIRONE E

MINIMED PUMP RESERVOIR 3ML

MITE (D FARINAE) SUBCUTANEOUS

MITE (D PTERONYSSINUS) SUBCUTANEOUS

MIXED ASPERGILLUS E

MIXED FEATHERS E

MIXED RAGWEED E

MIXED VESPID VENOM PROTEIN SUBCUTANEOUS SOLUTION RECONSTITUTED 1100-1100-1100 MCG

MKO MELT DOSE PACK

mlk f1 E

mlk f2 E

mlk f3 E

mlk f4 E

MONOVISC E SP

MORCIN E

MOUNTAIN CEDAR E

MOUSE EPITHELIUM E

MSUD EASY E

MUCOR SUBCUTANEOUS

MUCOTROL E

MUGARD E

MUGWORT E

MYOBLOC 3 PA SP

NEODOT THERMOMETER

NICAPRIN E

NICAZYME E

NORDIPEN 5 INJECTION DEVICE

ODACTRA 3 PA QL

odorless coated fish oil E

OLIVE TREE E

OMNIVEX E

ORALAIR 3 PA QL

ORALAIR ADULT STARTER PACK

3 PA QL

ORALAIR CHILDRENS STARTER PACK

3 PA QL

ORAMAGICRX E

ORCHARD GRASS POLLEN

ORTHOVISC INTRA-ARTICULAR SOLUTION PREFILLED SYRINGE

OXBRYTA E SP

PALFORZIA E SP

PARI ALTERA NEBULIZER HANDSET

PARI TREK S COMBO PACK

PARI VORTEX ADULT MASK

PEDIATRIC COMPRESSOR NEBULIZER

PENICILLIUM NOTATUM SUBCUTANEOUS

PH STRIPS E

PHEXXI E

PHOMA EXIGUA E

PHOTREXA-PHOTREXA VISCOUS KIT

PKU EASY E

PKU EASY MICROTABS

PKU GO E

PRAXBIND E

PRECEDEX INTRAVENOUS SOLUTION 1000 MCG250ML 200 MCG2ML 200 MCG50ML 400 MCG100ML 80 MCG20ML

PREMIUM CONDOMS LUBRICATED

PRID E

PRIVET E

PRO-CRITIC E

PROFESSIONAL DNA COLLECTION

PROLEVA E

PRONEB ULTRA FILTER SET

PSORIZIDE FORTE E

PSORIZIDE ULTRA E

PURAMINO DHAARA E

QUEEN PALM E

RABBIT EPITHELIUM E

RADIOGARDASE 3

RAGWITEK 3 PA QL

RAPID GEL RX E

RED MAPLE E

RED MULBERRY E

RED TOP GRASS POLLEN

RESECTISOL E

RESOURCE THICKENUP JUICE

RHEUMATE E

RHIZOPUS E

RIBOZEL E

ROUGH MARSH ELDER

RUSSIAN THISTLE E

RUZURGI 3 PA SP

SACCHAROMYCES CEREVISIAE SUBCUTANEOUS

SALICEPT MOUTHTHROAT SUSPENSION RECONSTITUTED

sevoflurane 1

SHAGBARK HICKORY E

SHARPS CONTAINER E

SHEEP SORREL E

SHORT RAGWEED POLLEN EXT

SILTREX E

SORBITOL IRRIGATION

sorbitol-mannitol E

SORRELDOCK MIX E

SPEEDGEL RX E

SPINRAZA 3 PA SP

SPINY PIGWEED E

STEMPHYLIUM E

SUPARTZ FX E SP

SUPRANE 3

SWEET GUM E

SWEET VERNAL GRASS POLLEN

SYNVISC INTRA-ARTICULAR SOLUTION PREFILLED SYRINGE

SYNVISC ONE INTRA-ARTICULAR SOLUTION PREFILLED SYRINGE

SYRINGE AVITENE E

TACHOSIL 3

TALL RAGWEED E

terrell 1

THROMBI-GEL 10 E

THROMBI-GEL 100 E

THROMBI-GEL 40 E

THROMBI-PAD E

THYROGEN 2 PA SP

TIMOTHY GRASS POLLEN ALLERGEN SUBCUTANEOUS

TISSEEL EXTERNAL KIT

TOBAKIENT E

TRANZGEL E

TRAUMEEL EXTERNAL OINTMENT

TRAUMEEL ORAL TABLET

TRICHOPHYTON MENTAGROPHYTES

TRICHOPHYTON SUBCUTANEOUS

TRILURON E SP

TRUSTEEL INFUSION SET

T-SUPPORT MAX E

TYLACTIN BUILD 20PE TYR

TYLACTIN COMPLETE 15 PE

TYLACTIN RESTORE 10

TYLACTIN RESTORE 5PE

TYLACTIN RTD 15 E

TYR EASY E

TYROS 2 E

ULTANE 3

ULTRA HERS RX E

ULTRA HIS E

ULTRA PCOS E

ULTRAFOAM SPONGE 2X625X7CM

VARISOFT INFUSION SET

VASCULERA E

VCF VAGINAL CONTRACEPTIVE VAGINAL FILM

vcf vaginal contraceptive vaginal gel

VILACTIN AA PLUS E

VILTEPSO E SP

VISTOGARD 3

VITRASE INJECTION SOLUTION

WASP VENOM PROTEIN SUBCUTANEOUS SOLUTION RECONSTITUTED 1100 MCG

WELLMIND VERTIGO E

westab max E

WESTERN JUNIPER E

WHITE BIRCH E

WHITE FACED HORNET VENOM SUBCUTANEOUS SOLUTION RECONSTITUTED 1100 MCG

WHITE MULBERRY E

WHITE OAK E

WHITE PINE E

WIDE-SEAL DIAPHRAGM 60

XEOMIN 3 PA SP

XIAFLEX 2 PA SP

XYZBAC E

XYZMUNE E

YELLOW DOCK E

YELLOW HORNET VENOM PROTEIN SUBCUTANEOUS SOLUTION RECONSTITUTED 1100 MCG

YELLOW JACKET VENOM PROTEIN SUBCUTANEOUS

ZOKINVY 3 PA SP QL

ZYVEXOL E

ZYVIT E

Ophthalmic Agents - Drugs for Eye Allergy Infection and Inflammation

ACULAR 3

ACULAR LS 3

ACUVAIL E

ALAWAY E

ALOCRIL E

ALOMIDE 3

ALREX E

AZASITE 3

azelastine hcl ophthalmic

bacitracin ophthalmic 1

BEPREVE E

BESIVANCE 3

BETADINE OPHTHALMIC PREP

BLEPH-10 3

bromfenac sodium (once-daily)

BROMSITE E

CILOXAN 3

ciprofloxacin hcl ophthalmic

cromolyn sodium ophthalmic

dexamethasone sodium phosphate ophthalmic

DEXTENZA E SP

DEXYCU E

diclofenac sodium ophthalmic

DUREZOL E

epinastine hcl 1

erythromycin ophthalmic

eye itch relief E

EYSUVIS 3 PA

FLAREX 3

fluorometholone ophthalmic

flurbiprofen sodium 1

FML FORTE 3

FML LIQUIFILM 3

gatifloxacin ophthalmic 1

gentak ophthalmic ointment

gentamicin sulfate ophthalmic solution

ILEVRO E

ILUVIEN INTRAVITREAL

INVELTYS 3

ketorolac tromethamine ophthalmic

KLARITY-A E

KLARITY-L E

levofloxacin ophthalmic 1

LOTEMAX OPHTHALMIC GEL

LOTEMAX OPHTHALMIC OINTMENT

LOTEMAX OPHTHALMIC SUSPENSION

LOTEMAX SM 3

loteprednol etabonate ophthalmic gel

loteprednol etabonate ophthalmic suspension

MAXIDEX 3

MITOSOL 3

MOXEZA 2

moxifloxacin hcl (2x day)

moxifloxacin hcl ophthalmic solution

MOXIFLOXACIN HCL OPHTHALMIC SOLUTION PREFILLED SYRINGE

NATACYN 2

NEVANAC E

OCUFLOX 3

ofloxacin ophthalmic 1

olopatadine hcl solution 01 ophthalmic (otc)

olopatadine hcl solution 01 ophthalmic (rx)

OZURDEX INTRAVITREAL

PATADAY OPHTHALMIC SOLUTION 01 02

POVIDONE-IODINE OPHTHALMIC

PRED FORTE 3

PRED MILD 3

PREDNISOL ACE-MOXIFLOX-BROMFEN

prednisolone acetate ophthalmic

prednisolone acetate p-f

prednisolone sodium phosphate ophthalmic

PREDNISOLON-MOXIFLOX-NEPAFENAC

PROLENSA 2 QL

RETISERT INTRAVITREAL

sulfacetamide sodium ophthalmic

tobramycin ophthalmic 1

TOBREX 3

trifluridine ophthalmic 1

TRIPLE PMB E

TRIPLE PMK E

UPNEEQ 3 PA

VANCOMYCIN HCL OPHTHALMIC

VIGAMOX 3

YUTIQ E SP

ZADITOR E

ZERVIATE E

ZIRGAN 3

ZYMAXID 3

Ophthalmic Agents - Drugs for Glaucoma

acetazolamide er 1

acetazolamide oral 1

ALPHAGAN P OPHTHALMIC SOLUTION 01

apraclonidine hcl 1

AZOPT 3

betaxolol hcl ophthalmic

BETIMOL 3

BETOPTIC-S 3

bimatoprost ophthalmic 1 QL

brimonidine tartrate ophthalmic

BRIMONIDINE-DORZOLAMIDE

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

COSOPT PF OPHTHALMIC SOLUTION 2-05

DORZOLAMIDE HCL SOLUTION 2 OPHTHALMIC

dorzolamide hcl solution 2 ophthalmic

dorzolamide hcl-timolol mal

dorzolamide hcl-timolol mal pf

DURYSTA E

IOPIDINE OPHTHALMIC SOLUTION 1

ISOPTO CARPINE 3

ISTALOL 3

KEVEYIS 3 PA SP QL

latanoprost ophthalmic 1

LATANOPROST-TIMOLOL MALEATE

levobunolol hcl ophthalmic solution 05

LUMIGAN OPHTHALMIC SOLUTION 001

methazolamide oral 1

PHOSPHOLINE IODIDE

pilocarpine hcl ophthalmic solution 1 2 4

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

timolol maleate ophthalmic

timolol maleate pf 1

TIMOLOL-BRIMON-DORZOL-LATANOPR

TIMOLOL-BRIMONIDINE-DORZOLAMID

TIMOLOL-DORZOLAMID-LATANOPROST

TIMOPTIC E

TIMOPTIC OCUDOSE OPHTHALMIC SOLUTION 025

TIMOPTIC-XE E

TRAVATAN Z 3 QL

travoprost (bak free) 1 QL

TRUSOPT 3

VYZULTA E

XALATAN 3

XELPROS 3 ST QL

ZIOPTAN E

Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions

ak-poly-bac 1

AKTEN 3

ALCAINE 3

ALTACAINE 3

altachlore E

ALTAFLUOR BENOX E

altafrin ophthalmic solution 10 25

artificial eye E

artificial tears ophthalmic solution 05-06 14

atropine sulfate ophthalmic ointment

ATROPINE SULFATE OPHTHALMIC SOLUTION 001

atropine sulfate ophthalmic solution 1

bacitracin-polymyxin b ophthalmic ointment 500-10000 unitgm

bacitra-neomycin-polymyxin-hc

BEOVU E SP

BEVACIZUMAB 3 SP

bimatoprost external E

BIO GLO E

BLEPHAMIDE 3

BLEPHAMIDE SOP 3

carboxymethylcellulose sodium ophthalmic solution 05

CEQUA E

CHONDROITIN SULFATE OPHTHALMIC

cvs lubricant eye drops ophthalmic solution 04-03

CYCLOGYL 3

CYCLOMYDRIL 3

cyclopentolate hcl ophthalmic

CYCLOSPORINE IN KLARITY

CYSTADROPS 3 PA SP QL

CYSTARAN 3 PA SP QL

DOUBLE PM E

EYLEA INTRAVITREAL

3 PA SP

FLUCAINE E

FLUORESCEIN SODIUMBENOXINATE

fluorescein-benoxinate E

fluor-i-strips at E

FLURA-SAFE E

FUL-GLO E

GELFILM OPHTHALMIC

GENTEAL TEARS NIGHT-TIME

GENTEAL TEARS OPHTHALMIC SOLUTION 01-03

GENTEAL TEARS SEVERE DAYNIGHT

GLOSTRIPS OPHTHALMIC STRIP 1 MG

GREEN GLO LISSAMINE GREEN

homatropaire 1

HYPOCYN EXTERNAL SOLUTION

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT E

LATISSE E

lubricant eye drops ophthalmic solution 04-03

lubricant eye drops pf E

lubricant eye pm E

lubricant pm E

lubricating eye drops E

lubricating plus eye drops

LUCENTIS INTRAVITREAL

2 PA SP

LUXTURNA INTRAOCULAR SUSPENSION 5000000000000 VGML

3 PA SP

MAXITROL 3

MURO 128 OPHTHALMIC OINTMENT

MURO 128 OPHTHALMIC SOLUTION 5

MYDRIACYL E

neomycin-bacitracin zn-polymyx

neomycin-polymyxin-dexameth ophthalmic ointment

neomycin-polymyxin-dexameth ophthalmic suspension 35-10000-01

neomycin-polymyxin-gramicidin ophthalmic solution 175-10000-025

neomycin-polymyxin-hc ophthalmic suspension 35-10000-1

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 PA SP QL

PAREMYD E

phenylephrine hcl ophthalmic solution 10 25

polycin 1

polymyxin b-trimethoprim

POLYTRIM 3

PRED-G 3

PRED-G SOP 3

PREDNISOLONE ACETATE-NEPAFENAC

PREDNISOLONE ACET-MOXIFLOXACIN

PREDNISOLONE-BROMFENAC

PREDNISOLONE-GATIFLOXACIN OPHTHALMIC SUSPENSION

PREDNISOLONE-MOXIFLOXACIN

PREDNISOLON-GATIFLOX-BROMFENAC

PREDNISOLON-MOXIFLOX-BROMFENAC OPHTHALMIC SOLUTION 1-05-0075

proparacaine hcl ophthalmic

proparacaine-fluorescein

REFRESH RELIEVA E

REFRESH RELIEVA PF OPHTHALMIC SOLUTION 05-09

RESTASIS 2 PA

RESTASIS MULTIDOSE OPHTHALMIC EMULSION 005

sodium chloride (hypertonic)

sulfacetamide-prednisolone ophthalmic solution

SYSTANE COMPLETE E

SYSTANE HYDRATION PF

SYSTANE ULTRA PF E

tetracaine hcl ophthalmic

TOBRADEX OPHTHALMIC OINTMENT

TOBRADEX OPHTHALMIC SUSPENSION

TOBRADEX ST 3

tobramycin-dexamethasone

tropicamide ophthalmic E

TROPICAMIDE-CYCLOPENTOLATE-PE

TROPICAMIDE-PHENYLEPHRINE

TROPIC-CYCLOPENT-PE-KETOROLAC

TROPIC-CYCLOP-PE-KETO-PROPAR

TROPIC-PROPARACA-PE-KETOROLAC

ultra fresh pm E

ultra lubricating eye drops

VISIONBLUE 3

VISTA GEL DRY EYE RELIEF

VISTA MEIBO TEARS E

VISTA TEARS E

VISUDYNE 3 SP

XIIDRA 2 PA

ZYLET 3

Otic Agents - Drugs for Ear Conditions

acetic acid otic 1

CETRAXAL 3 ST

CIPRO HC 3

CIPRODEX E

ciprofloxacin hcl otic 1 ST

ciprofloxacin-dexamethasone

CIPROFLOXACIN-FLUOCINOLONE PF

cortic-nd 1

CORTISPORIN-TC 3

DERMOTIC 3

exotic-hc 1

flac 1

fluocinolone acetonide otic

hydrocortisone-acetic acid

neomycin-polymyxin-hc otic

ofloxacin otic 1

OTIPRIO E

OTOVEL E

PRAMOTIC 3

Respiratory Tract Pulmonary Agents - Drugs for Allergies Cough Cold

12 hour allergy-d E

12 hour nasal decongestant nasal

12hr allergy amp congestion

24hr allergy relief E

ADRENALIN NASAL E

all day allergy d E

all day allergy d-12 E

allergy 24hour indooroutdoor

allergy 24-hr E

allergy childrens E

allergy rel child (loratadine)

allergy relief cetirizine E

allergy relief d-12 E

allergy relief oral capsule 10 mg

allergy relief oral tablet 10 mg 180 mg 25 mg 4 mg

allergy relief oral tablet dispersible

allergy reliefindooroutdoor

allergy reliefnasal decongest oral tablet extended release 12 hour

allergy relief-d oral tablet extended release 12 hour

antihistamine amp nasal deconges

aurodryl allergy childrens

azelastine hcl nasal 1 QL

azelastine-fluticasone 1 QL

banophen oral capsule 25 mg

banophen oral tablet E

BECONASE AQ 3 QL

benzonatate 1

carbinoxamine maleate oral solution

carbinoxamine maleate oral tablet 4 mg

cetirizine hcl childrens oral tablet chewable 5 mg

cetirizine hcl oral solution

cetirizine hcl oral tablet E

cetirizine hcl oral tablet chewable 10 mg

cetirizine-pseudoephedrine er

chest congestion relief dm oral syrup

chest congestion relief oral syrup

chlorpheniramine maleate er

CHLOR-TRIMETON ORAL TABLET

CINQAIR 3 PA SP

CLARINEX ORAL TABLET

CLARINEX-D 12 HOUR

CLARITIN CHILDRENS TABLET CHEWABLE 5 MG ORAL

CLARITIN ORAL TABLET

CLARITIN REDITABS ORAL TABLET DISPERSIBLE 10 MG

CLARITIN-D 12 HOUR E

clemastine fumarate oral tablet 268 mg

cold amp flu relief daytime E

coldflu daytime relief E

cough dm oral suspension extended release

coughchest congestion dm

CUROSURF INTRATRACHEAL SUSPENSION 120 MG15ML

cyproheptadine hcl oral 1

DAYHIST ALLERGY 12 HOUR RELIEF

daytime cold amp flu relief oral capsule

daytime coldflu relief oral capsule

DERMACINRX AZENASE PAK

desloratadine oral tablet

desloratadine oral tablet dispersible 5 mg

dexchlorpheniramine maleate oral solution

DICOPANOL FUSEPAQ

DICOPANOL RAPIDPAQ

dimaphen dm coldcough oral liquid

DI-PHEN E

diphen oral elixir 1

diphenhydramine hcl injection

diphenhydramine hcl oral capsule

diphenhydramine hcl oral elixir

diphenhydramine hcl oral liquid 125 mg5ml

diphenhydramine hcl oral tablet 25 mg

DYMISTA 2 QL

FASENRA 2 PA SP

FASENRA PEN 2 PA SP

fexofenadine hcl oral tablet 180 mg 60 mg

fexofenadine-pseudoephed er oral tablet extended release 12 hour

flunisolide nasal solution 25 mcgact (0025)

fluticasone propionate nasal

geri-dryl oral liquid E

geri-dryl oral tablet E

GILPHEX TR E

giltuss severe sinus E

goodsense tussin dm max

guaiatussin ac 1 PA QL

guaifenesin ac 1 PA QL

guaifenesin oral tablet 400 mg

guaifenesin-dm oral syrup

hm adult tussin cough amp chest

HYCODAN 3 PA QL

hydrocodone polst-chlorphen polst er susp oral suspension extended release

1 PA QL

hydrocodone-homatropine

1 PA QL

hydromet 1 PA QL

HYPERSAL 3

INFASURF INTRATRACHEAL

ipratropium bromide nasal

KARBINAL ER ORAL SUSPENSION EXTENDED RELEASE

levocetirizine dihydrochloride oral

liquid allergy relief E

loratadine childrens oral tablet chewable

loratadine oral syrup E

loratadine oral tablet E

loratadine-d 12hr E

loratadine-d 24hr E

maxi-tuss ac 1 PA QL

maxi-tuss gmx E

maxi-tuss pe max E

m-dryl E

MICLARA LQ E

mometasone furoate nasal

MUCINEX CHILDRENS FREEFROM ORAL LIQUID 5-100 MG5ML

MUCINEX CHILDRENS STUFFY NOSE

MUCINEX DM E

MUCINEX FAST-MAX DM MAX

mucus dm E

mucus relief d oral tablet extended release 12 hour 60-600 mg

mucus relief dm oral liquid

mucus relief max st E

mucus-d E

NASACORT ALLERGY 24HR

nasal decongestant oral tablet 30 mg

nasal decongestant pe E

nasal moisturizing spray

nasal spray 12 hour E

nasal spray no drip E

NASONEX E

NEO-SYNEPHRINE COLDALLRG MILD

NEO-SYNEPHRINE COLDALLRGY EXT

NEO-SYNEPHRINE COLDALLRGY REG

NEOTUSS PLUS E

NUCALA 2 PA SP QL

olopatadine hcl nasal 1 QL

OMNARIS 3 QL

PATANASE 3 QL

pediaclear pd childrens E

PHENERGAN INJECTION

promethazine hcl injection

promethazine hcl oral 1

promethazine hcl rectal suppository 125 mg 25 mg

promethazine vc 1

promethazine vccodeine

1 PA QL

promethazine-codeine 1 PA QL

promethazine-dm oral syrup

promethazine-phenyleph-codeine

1 PA QL

promethazine-phenylephrine

promethegan 1

PROPEL E

PROPEL MINI E

pseudoephedrine hcl er E

pseudoephedrine-bromphen-dm oral syrup 30-2-10 mg5ml

pseudoephedrine-guaifenesin er

QNASL 3 QL

QNASL CHILDRENS 3 QL

ROBITUSSIN 12 HOUR COUGH CHILD

ROBITUSSIN COUGH+CHEST CONG DM ORAL LIQUID 20-400 MG20ML

RYCLORA ORAL SOLUTION

ryvent E

sinus 12 hour E

SINUVA E

sodium chloride inhalation nebulization solution 09 10 3 7

SSKI E

SUDAFED CONGESTION

sudogest 12 hour E

sudogest maximum strength

sudogest oral tablet 30 mg

SURVANTA INTRATRACHEAL

TESSALON PERLES 3

triprolidine hcl oral liquid 0313 mgml 0625 mgml 0938 mgml 25 mg5ml

TUSSICAPS ORAL CAPSULE EXTENDED RELEASE 12 HOUR 10-8 MG

tussin cf multi-symptom cold

tussin dm max adult oral liquid 5-100 mg5ml

tussin dm max oral liquid 20-400 mg20ml

tussin dm oral syrup 100-10 mg5ml

TUXARIN ER E

TUZISTRA XR ORAL SUSPENSION EXTENDED RELEASE

virtussin ac walc 1 PA QL

wal-tap coldallergy oral elixir

XHANCE E

XOLAIR 2 PA SP

ZETONNA 3 QL

ZYRTEC ALLERGY ORAL TABLET

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

ACCOLATE 3

acetylcysteine inhalation

ADRENALIN INJECTION SOLUTION 1 MGML

ADVAIR DISKUS 1 QL

ADVAIR HFA 2 QL

ADYPHREN E

ADYPHREN AMP E

ADYPHREN AMP II E

ADYPHREN II E

AIRDUO DIGIHALER E

AIRDUO RESPICLICK 11314

albuterol sulfate er 1

albuterol sulfate hfa aerosol solution 108 (90 base) mcgact inhalation

ALBUTEROL SULFATE HFA AEROSOL SOLUTION 108 (90 BASE) MCGACT INHALATION

albuterol sulfate inhalation nebulization solution (25 mg3ml) 0083 063 mg3ml 125 mg3ml 25 mg05ml

ALBUTEROL SULFATE NEBULIZATION SOLUTION (5 MGML) 05 INHALATION

albuterol sulfate nebulization solution (5 mgml) 05 inhalation

albuterol sulfate oral 1

ALVESCO E

ANORO ELLIPTA 2 QL

ARALAST NP INTRAVENOUS SOLUTION RECONSTITUTED 1000 MG 500 MG

3 PA SP

ARMONAIR DIGIHALER

ARNUITY ELLIPTA 2 QL

ASMANEX (120 METERED DOSES)

ASMANEX HFA E

ATROVENT HFA 3 QL

AUVI-Q INJECTION SOLUTION AUTO-INJECTOR 01 MG01ML

AUVI-Q INJECTION SOLUTION AUTO-INJECTOR 015 MG015ML 03 MG03ML

BEVESPI AEROSPHERE

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE

BROVANA 3 QL

budesonide inhalation 1 QL

BUDESONIDE-FORMOTEROL FUMARATE

COMBIVENT RESPIMAT

cromolyn sodium inhalation

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E

ELIXOPHYLLIN 2

epinephrine injection solution auto-injector 015 mg015ml

EPINEPHRINE PROFESSIONAL

epinephrine solution auto-injector 03 mg03ml injection

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V E

EPIPEN 2-PAK INJECTION SOLUTION AUTO-INJECTOR

EPIPEN JR 2-PAK INJECTION SOLUTION AUTO-INJECTOR

EPISNAP E

ESBRIET 3 PA SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

fluticasone-salmeterol aerosol powder breath activated 100-50 mcgdose inhalation

FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCGACT 232-14 MCGACT 55-14 MCGACT

1 ST QL

fluticasone-salmeterol inhalation aerosol powder breath activated 500-50 mcgdose

GLASSIA 3 PA SP

INCRUSE ELLIPTA E

ipratropium bromide inhalation

ipratropium-albuterol 1 QL

levalbuterol hcl inhalation nebulization solution 031 mg3ml 063 mg3ml 125 mg05ml 125 mg3ml

LEVALBUTEROL HFA INHALATION AEROSOL 45 MCGACT

LONHALA MAGNAIR REFILL KIT

LONHALA MAGNAIR STARTER KIT

montelukast sodium oral

OFEV 3 PA SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

PROAIR RESPICLICK 2 QL

PROLASTIN-C INTRAVENOUS SOLUTION

3 PA SP

PROLASTIN-C INTRAVENOUS SOLUTION RECONSTITUTED 1000 MG

3 PA SP

PROVENTIL HFA E

PULMICORT FLEXHALER

PULMICORT SUSPENSION

QVAR REDIHALER E

SEEBRI NEOHALER E

SEREVENT DISKUS 2 QL

SINGULAIR E

SPIRIVA HANDIHALER

SPIRIVA RESPIMAT INHALATION AEROSOL SOLUTION 125 MCGACT 25 MCGACT

STERITALC 3

STIOLTO RESPIMAT INHALATION AEROSOL SOLUTION 25-25 MCGACT

STRIVERDI RESPIMAT

2 ST QL

SYMBICORT 2 QL

SYMJEPI 3

terbutaline sulfate injection

terbutaline sulfate oral 1

THEO-24 3

theophylline 1

theophylline er oral tablet extended release 12 hour 300 mg 450 mg

theophylline er oral tablet extended release 24 hour

INHALATION AEROSOL POWDER BREATH ACTIVATED 400 MCGACT

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub E

XOPENEX NEB 3 QL

XOPENEX CONCENTRATE

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA SP

zileuton er 1 ST

ZYFLO E

Respiratory Tract Pulmonary Agents - Drugs for Cystic Fibrosis

BETHKIS E SP

BRONCHITOL E

BRONCHITOL TOLERANCE TEST

CAYSTON E SP

KALYDECO 3 PA SP

KITABIS PAK E SP

ORKAMBI 3 PA SP QL

PULMOZYME 2 PA SP

SYMDEKO 3 PA SP QL

TOBI NEBULIZER E SP

TOBI PODHALER 3 ST SP QL

tobramycin inhalation nebulization solution 300 mg4ml

tobramycin nebulization solution 300 mg5ml inhalation

TOBRAMYCIN NEBULIZATION SOLUTION 300 MG5ML INHALATION

TRIKAFTA 3 PA SP QL

Respiratory Tract Pulmonary Agents - Drugs for Pulmonary Hypertension

ADCIRCA 3 PA SP QL

ADEMPAS 2 PA SP QL

alyq 1 PA SP QL

ambrisentan 1 PA SP QL

bosentan 1 PA SP QL

epoprostenol sodium 1 PA SP

FLOLAN 3 PA SP

LETAIRIS 3 PA SP QL

OPSUMIT 2 PA SP QL

ORENITRAM 3 PA SP

REMODULIN INJECTION SOLUTION 100 MG20ML 20 MG20ML 200 MG20ML 50 MG20ML

REVATIO INTRAVENOUS

3 PA SP

REVATIO ORAL 3 PA SP QL

sildenafil citrate intravenous

1 PA SP

sildenafil citrate oral suspension reconstituted

1 PA SP QL

sildenafil citrate oral tablet 20 mg

1 PA SP QL

tadalafil (pah) 1 PA SP QL

TRACLEER 625 MG 125 MG

TRACLEER 32 MG 3 PA SP QL

treprostinil 1 PA SP

TRELEGY ELLIPTA 2 QL

TUDORZA PRESSAIR

TYVASO 3 PA SP QL

TYVASO REFILL 3 PA SP QL

TYVASO STARTER 3 PA SP QL

UPTRAVI 3 PA SP QL

VELETRI 3 PA SP

VENTAVIS 3 PA SP QL

Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm

AMRIX E

BACLOFEN EXTERNAL

baclofen intrathecal E

baclofen oral 1

carisoprodol oral 1

chlorzoxazone oral tablet 250 mg

chlorzoxazone oral tablet 375 mg 500 mg 750 mg

CYCLOGABA 10300 E

cyclobenzaprine hcl er 1

cyclobenzaprine hcl oral tablet 5 mg 75 mg

cyclobenzaprine hcl tablet 10 mg oral

CYCLOPAK E

CYCLOPHENE RAPIDPAQ

DANTRIUM ORAL CAPSULE 25 MG 50 MG

dantrolene sodium oral 1

enovarx-baclofen E

enovarx-cyclobenzaprine hcl

FEXMID 3

FIRST-BACLOFEN E

GABLOFEN INTRATHECAL SOLUTION 10000 MCG20ML 20000 MCG20ML 40000 MCG20ML

GABLOFEN INTRATHECAL SOLUTION PREFILLED SYRINGE 10000 MCG20ML 20000 MCG20ML 40000 MCG20ML 50 MCGML

LIORESAL E

LORZONE 3

METAXALL CP E

metaxalone 1

methocarbamol oral 1

NOPIOID-LMC KIT E

NORGESIC FORTE E

orphenadrine citrate er 1

orphenadrine-asa-caffeine

ORPHENGESIC FORTE ORAL TABLET 50-770-60 MG

OZOBAX E

SKELAXIN E

SOMA 3

TABRADOL FUSEPAQ E

TABRADOL RAPIDPAQ

tizanidine hcl oral 1

VANADOM 3

ZANAFLEX E

Sleep Disorder Agents

AMBIEN E

AMBIEN CR E

armodafinil 1 PA QL

BELSOMRA 3 ST QL

DAYVIGO 3 ST QL

doxepin hcl oral tablet 1 QL

EDLUAR E

eszopiclone 1 QL

flurazepam hcl 1 PA QL

HETLIOZ 3 PA SP QL

HETLIOZ LQ E SP

LUNESTA E

modafinil 1 PA QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 QL

SILENOR 3 QL

sleep aid (diphenhydramine)

sleep-aid oral capsule E

SUNOSI 2 PA QL

temazepam 1 QL

WAKIX 3 PA SP QL

XYREM 3 PA SP QL

XYWAV 3 PA SP QL

zaleplon 1 QL

zolpidem tartrate 1 QL

zolpidem tartrate er 1 QL

ZOLPIMIST 3 ST QL

Index of Drugs

12 hour allergy-d 12612 hour nasal decongestant12612hr allergy amp congestion 1261ST MEDX-PATCH LIDOCAINE1724hr allergy relief 1263232a infant formula 1127T LIDO 178 hour pain reliever 98 hr arthritis pain relief 9AAGC KIT IN TERODERM 60abacavir sulfate44abacavir sulfate-lamivudine 44abacavir-lamivudine-zidovudine44ABANEU-SL77ABILIFY43ABILIFY MAINTENA 43ABILIFY MYCITE 43ABILIFY MYCITE MAINTENANCE KIT 43ABILIFY MYCITE STARTER KIT 43abiraterone acetate 35ABRAXANE 35ABREVA 60ABSORICA 60ABSORICA LD60ACACIA112acamprosate calcium 20ACANYA 60acarbose 72ACCOLATE130ACCUCAINE17ACCU-CHEK AVIVA DEVICE73ACCU-CHEK AVIVA PLUS KIT WDEVICE73ACCU-CHEK COMPACT PLUS CONTROL 73ACCU-CHEK COMPACT PLUS TEST STRIPS 73ACCU-CHEK FASTCLIX LANCET KIT 73ACCU-CHEK GUIDE CONTROL 73ACCU-CHEK GUIDE TEST STRIPS 73ACCU-CHEK SMARTVIEW CONTROL 73ACCU-CHEK SMARTVIEW TEST STRIPS73ACCU-CHEK SOFTCLIX LANCET DEVICE KIT73

ACCU-CHEK TENDER 1 INFUSION112ACCU-CHEK ULTRAFLEX INF SET 112ACCUPRIL50ACCURETIC 50accutane 60ACD-A NOCLOT-5026acebutolol hcl 50ACESO AG 60acetaminophen 9acetaminophen 8 hour 9acetaminophen childrens 9acetaminophen er 9acetaminophen extra strength 9acetaminophen-codeine9acetaminophen-codeine 29acetaminophen-codeine 39acetaminophen-codeine 49acetazolamide122acetazolamide er122acetic acid 126acetylcysteine 130acid reducer 85ACIOXIAY 60ACIPHEX 85ACIPHEX SPRINKLE 85acitretin 60ACREMONIUM 112ACST KIT112ACTEMRA 105ACTEMRA ACTPEN105ACTHAR 97ACTHIB108ACTICLATE 21ACTIFOAM COLLAGEN SPONGE112ACTIMMUNE 105ACTIPHLORA 86ACTIQ 9ACTITROM-D 77ACTIVASE 26ACTIVE FE 77ACTIVE INJECTION D 94ACTIVE INJECTION KIT L 94ACTIVE INJECTION KL-3 94ACTIVE INJECTION LM-217ACTIVE INJECTION LM-DEP-2 94ACTIVELLA99ACTIVITE77ACTONEL 111ACTOPLUS MET 72

ACTOS72ACULAR 120ACULAR LS 120ACUNOL 112ACUVAIL120acyclovir 44ACYCLOVIX 44ACZONE 60ADACEL109ADAINZDE60ADAINZOXIA 60ADAKVEO112adapalene 60ADAPALENE 60ADAPALENE-BENZOYL PER-CLINDAMY 60ADAPALENE-BENZOYL PER-NIACINAM 60adapalene-benzoyl peroxide60ADAPALENE-BENZOYL PEROXIDE 60ADASUVE43adcf (05mgml) 77ADCETRIS35ADCIRCA133ADDERALL 56ADDERALL XR 56ADDYI 58adefovir dipivoxil 44ADEMPAS 133ADHANSIA XR56ADIPEX-P 58ADLYXIN72ADLYXIN STARTER PACK 72ADMELOG 75ADMELOG SOLOSTAR 75ADRENAL C FORMULA77ADRENALIN 126 130adriamycin35ADULT AEROSOL MASK112adult aspirin regimen14ADVAIR DISKUS 130ADVAIR HFA 130ADVANCED ALLERGY COLLECTION 60ADVATE48ADVIL14ADVIL JUNIOR STRENGTH 14ADVIL LIQUI-GELS MINIS 14ADVIL MIGRAINE14ADYNOVATE48ADYPHREN 130ADYPHREN AMP 130

ADYPHREN AMP II 130ADYPHREN II 130ADZENYS ER 56ADZENYS XR-ODT 56AEMCOLO 21AERIVA CONCENTRATOR NEBULIZER112AFINITOR 35AFINITOR DISPERZ35afirmelle 99AFLURIA QUADRIVALENT109AFREZZA75AFSTYLA 48AGONEAZE 17AGRYLIN 48aif 2 drug preparation kit 14AIF 3 DRUG PREPARATION KIT 14AIMOVIG34airavite 77AIRDUO DIGIHALER130AIRDUO RESPICLICK 11314130AIRDUO RESPICLICK 23214130AIRDUO RESPICLICK 5514130AJOVY 34AKLIEF60AKOVAZ 50ak-poly-bac 123AKTEN 123AKYNZEO30ALA SCALP 60ala-cort 60ALA-QUIN 31ALAWAY 120albendazole41ALBENZA41albuterol sulfate130ALBUTEROL SULFATE 130albuterol sulfate er 130albuterol sulfate hfa130ALBUTEROL SULFATE HFA 130ALCAINE123alclometasone dipropionate 60ALCOHOL PREP PADS 112ALCORTIN A 31ALDACTAZIDE 50ALDACTONE 50ALDARA60ALDER 112ALDURAZYME 91ALECENSA35alendronate sodium 111ALEVAMAX60

ALEVE 14ALFERON N 105alfuzosin hcl er 94ALIMTA 35ALINIA41ALIQOPA 35aliskiren fumarate50ALKERAN 35ALKINDI SPRINKLE 94all day allergy d 126all day allergy d-12126allergy 24hour indooroutdoor 126allergy 24-hr 126allergy childrens 126allergy rel child (loratadine)126allergy relief126allergy relief cetirizine 126allergy relief d-12 126allergy reliefindooroutdoor 126allergy reliefnasal decongest 126allergy relief-d 126allopurinol34ALLZITAL9almotriptan malate 34ALOCRIL120ALOE VESTA CLEAR ANTIFUNGAL 31ALOGLIPTIN BENZOATE 72ALOGLIPTIN-METFORMIN HCL72ALOGLIPTIN-PIOGLITAZONE 72ALOMIDE120ALORA99alosetron hcl86ALOXI 30ALPHAGAN P 122ALPHANATE48ALPHANINE SD48alprazolam 47alprazolam er 47alprazolam intensol 47alprazolam xr 47ALPROLIX 48ALREX 120ALTABAX21ALTACAINE 123ALTACE 50altachlore 123ALTAFLUOR BENOX 123altafrin 123altavera 99ALTERNARIA 112ALTOPREV50

ALTRENO 60alum amp mag hydroxide-simeth 86alumina-magnesia-simethicone 86ALUNBRIG36ALVESCO 130alvimopan86alyacen 13599alyacen 77799alyq 133amabelz 99amantadine hcl42AMARYL 72AMBIEN 134AMBIEN CR 134ambrisentan 133amcinonide60 61AMELUZ 61AMERGE 34AMERICAN BEECH112AMERICAN COCKROACH112AMERICAN ELM112amethia 99amethyst 99AMICAR 48amikacin sulfate 21amiloride hcl50amiloride-hydrochlorothiazide 50aminoacetic acid 92aminoamrms 77aminocaproic acid 48AMINOPMRMS112aminoreliefrms 77amiodarone hcl 50AMITIZA86amitriptyline hcl 29AMLODIPINE BES+SYRSPEND SF 50amlodipine besylate 50amlodipine besylate-benazepril hcl 50amlodipine besylate-valsartan 50amlodipine-atorvastatin50amlodipine-olmesartan50amlodipine-valsartan-hctz 50ammonium lactate61amnesteem 61AMONDYS 4591amoxapine 29amoxicill-clarithro-lansopraz 86amoxicillin 21amoxicillin-potassium clavulanate21

amoxicillin-potassium clavulanate er21AMPHETAMINE ER56amphetamine sulfate56amphetamine-dextroamphetamine 56amphetamine-dextroamphetamine er 56ampicillin 21ampicillin-sulbactam sodium 21AMPYRA57AMRIX134AMZEEQ61ANACAINE61ANAFRANIL29anagrelide hcl48ana-lex 110ANALPRAM HC 110ANALPRAM HC SINGLES 110ANALPRAM-HC110ANASPAZ 86anastrozole 36ANCOBON31ANDEXXA112ANDRODERM 96ANDROGEL96ANDROGEL PUMP 96ANGELIQ 99ANIMI-377ANIMI-3VITAMIN D77ANNOVERA99ANODYNE LPT17ANORO ELLIPTA 130antacid 86antacid anti-gas max strength86antacid calcium 86antacid calcium rich 86antacid extra strength 86antacid maximum86antacid regular strength 86antacid ultra strength 86antacidantigas86antacidanti-gas86ANTARA 50ANTICOAGULANT SODIUM CITRATE26anti-diarrheal 86 87antihistamine amp nasal deconges 126ANTIVENIN LATRODECTUS MACTANS 112ANTIVENIN MICRURUS FULVIUS112

anucort-hc 110ANUSOL-HC110ANZEMET30APADAZ9apap-caff-dihydrocodeine 9APEXICON E 61APIDRA SOLOSTAR 75APIDRA VIAL75APLENZIN 29APOKYN 42APP SLIM RMS 112apraclonidine hcl 122aprepitant 30apri 100APRISO 110APRIZIO PAK 17APRIZIO PAK II 17APTENSIO XR56APTIOM 27APTIVUS44AQUAPHILIC 61AQUASOL A 77ARAKODA 41ARALAST NP130aranelle 100ARANESP (ALBUMIN FREE)48ARAVA105ARAZLO61ARCALYST 105ARESTIN 59ARICEPT 29ARIDA 61ARIDOL113ARIKAYCE21ARIMIDEX36aripiprazole 43ARISTADA 43ARISTADA INITIO 43ARIXTRA 26ARIZONA CYPRESS113armodafinil 135ARMONAIR DIGIHALER 130ARMOUR THYROID104ARNUITY ELLIPTA130AROMASIN36ARRANON 36arsenic trioxide36arthritis pain reliever9ARTHROTEC14artificial eye 123artificial tears123ARTISS 113ARZERRA36

ARZOL SILVER NIT APPLICATORS61ASACOL HD 110ASCENIV 105ascomp-codeine9ASCOR 77ASCORBIC ACID77ascorbic acid 77asenapine maleate43ashlyna100asilnasalrms 113ASMANEX (120 METERED DOSES) 131ASMANEX (14 METERED DOSES) 131ASMANEX (30 METERED DOSES) 131ASMANEX (60 METERED DOSES) 131ASMANEX (7 METERED DOSES) 131ASMANEX HFA 131ASPARLAS 36ASPARTAME113ASPARTAME (NUTRASWEET) 113aspirin 14aspirin adult low strength 14aspirin childrens 14aspirin ec14aspirin ec low dose 14aspirin ec low strength 14aspirin low dose 14aspirin-dipyridamole er43ASPIRIN-OMEPRAZOLE 43ASTAGRAF XL 105ASTERO 17ASTRAZENECA COVID-19 VACCINE 109ASTRINGYN 48ATABEX OB77ATACAND50ATACAND HCT 50atazanavir sulfate44ATELVIA 111atenolol 50ATENOLOL+SYRSPEND SF 50atenolol-chlorthalidone50ATGAM 105athletes foot (terbinafine) 31ATIVAN 47atomoxetine hcl56ATOPADERM 61

ATOPICLAIR61atorvastatin calcium 50atovaquone 41atovaquone-proguanil hcl41ATRALIN61ATRIPLA 44ATROPEN87atropine sulfate 87 123ATROPINE SULFATE 87 123ATROVENT HFA 131AUBAGIO57aubra100aubra eq100AUGMENTIN 21AUGMENTIN ES-600 21AUREOBASIDIUM113aurodryl allergy childrens 126aurophen childrens 9aurovela 1530 100aurovela 120 100aurovela 24 fe 100aurovela fe 1530 100aurovela fe 120 100AURYXIA 92AUSTEDO58AUSTRALIAN PINE 113AUTOLET LANCING DEVICE 73AUTOSOFT 30 INFUSION SET 113AUTOSOFT 90 INFUSION SET 113AUTOSOFT XC INFUSION SET 113AUVI-Q131AVAILNEX 113AVALIDE50AVAPRO 50AVAR CLEANSER61AVAR LS CLEANSER 61AVAR-E EMOLLIENT 61AVAR-E GREEN61AVAR-E LS 61AVASTIN36AVEED96AVEIDAOXIA 61aviane 100avidoxy21AVIDOXY DK 21AVITA61AVITENE113AVITENE FLOUR 113AVODART94AVONEX PEN57

AVONEX PREFILLED 57AVSOLA105AXONA 113AYGESTIN100ayuna 100AYVAKIT36azacitidine 36AZADROX61AZALGIA113AZASAN105AZASITE 120azathioprine 105azathioprine sodium105azelaic acid 61AZELAIC ACID-NIACINAMIDE61azelastine hcl 120 126azelastine-fluticasone 126AZELEX 61AZESCHEW PRENATALPOSTNATAL77AZESCO 77AZILECT 42azithromycin21azo tabs 92AZOPT 122AZOR 50AZULFIDINE 110AZULFIDINE EN-TABS 110azurette 100B-12 COMPLIANCE INJECTION 77b-6 folic acid77bac 9BACICAP 87bacitracin21 120bacitracin zinc 21bacitracin-polymyxin b 123bacitra-neomycin-polymyxin-hc 123BACLOFEN134baclofen 134BACMIN 77BACTRIM21BACTRIM DS21BAFIERTAM 57BAHIA 113BALCOLTRA100BALD CYPRESS 113balsalazide disodium110balsam peru-castor oil 61BALVERSA 36balziva100BAMLANIVIMAB 105

banophen 126BANZEL 27BAQSIMI ONE PACK 75BAQSIMI TWO PACK75BARACLUDE 44BASAGLAR KWIKPEN 75BAVENCIO 36BAXDELA 21BAYBERRY (WAX MYRTLE) 113BAYER ASPIRIN 14BAYER ASPIRIN EC LOW DOSE14BCG VACCINE 109b-complexb-12 77BEAU RX 61BECONASE AQ126bekyree 100BELBUCA 9BELEODAQ 36belladonna alkaloids-opium 87BELRAPZO36BELSOMRA 135benazepril hcl50benazepril-hydrochlorothiazide 51BENDEKA36BENEFIX48BENICAR 51BENICAR HCT51BENLYSTA 105BENSAL HP61BENZ PER-CLIND-NIACIN-TRETIN 61BENZAC AC WASH61BENZACLIN61BENZACLIN WITH PUMP 61BENZALKONIUM CHLORIDE 21benzalkonium chloride 21BENZAMYCIN 61BENZEPRO 61benzepro 61BENZEPRO CREAMY WASH 61BENZEPRO FOAMING CLOTHS 61BENZEPRO SHORT CONTACT61BENZHYDROCODONE-ACETAMINOPHEN9BENZNIDAZOLE 41BENZODOX21BENZOIN 61benzoin compound61BENZO-LIDOCAINE-TETRACAINE 17

benzonatate 126BENZOYL PEROX-HYDROCORTISONE61benzoyl peroxide61BENZOYL PEROXIDE61BENZOYL PEROXIDE FORTE- HC 61benzoyl peroxide-erythromycin 61benzphetamine hcl58benztropine mesylate42BEOVU 123BEPREVE 120BERINERT105BERMUDA GRASS 113BESER61beser 61BESIVANCE 120BESPONSA 36BETA 1 KIT 94BETADINE OPHTHALMIC PREP 120BETALOAN SUIK 94BETAMETHASONE COMBO 94betamethasone dipropionate 61betamethasone dipropionate aug 61BETAMETHASONE DIPROP-MINOXIDIL61BETAMETHASONE SOD PHOS amp ACET94betamethasone sod phos amp acet 94betamethasone valerate 62BETAPACE51BETAPACE AF 51BETASERON57betaxolol hcl 51 122bethanechol chloride92BETHKIS133BETIMOL 122BETOPTIC-S 122BEVACIZUMAB 123BEVESPI AEROSPHERE131bexarotene 36BEXSERO109BEYAZ 100BHI URI-CONTROL 113BIAFINE 62bicalutamide36BICILLIN L-A21BICNU36BIDIL 51BIESTPROGESTERONE 100

BIIFENAC 1000 14BIIFENAC 500 14BIJUVA 100BIKTARVY 44BILTRICIDE 41bimatoprost 122 123BI-MIX 92BINOSTO111BIO GLO 123biocel77BIONECT 62biopetit 77BIOTHRAX109biotin 77bisacodyl 87bisacodyl ec 87bismuth subsalicylate87bisoprolol fumarate 51bisoprolol-hydrochlorothiazide 51BIVIGAM 105BLACK WILLOW113blanche 62BLENREP 36bleomycin sulfate 36BLEPH-10 120BLEPHAMIDE123BLEPHAMIDE SOP 123BLINCYTO 36blisovi 24 fe 100blisovi fe 1530 100blisovi fe 120 100blue tube aloe 17BLUESTAR 73BONIVA 111BONJESTA 30BOOSTRIX 109BORTEZOMIB 36bosentan 133BOSULIF36BOTOX 113BOTOX COSMETIC 62BOTRYTIS 113bp 10-162bp cleansing wash 62bp vit 3 77bp wash62BPCO62b-plex 77b-plex plus77BRAFTOVI 36BREATHE EASE HUMIDIFIER 113

BREATHE EASE NEB MASKCHILD 113BREATHE EASE NEB MASKINFANT113BREO ELLIPTA 131BREYANZI 36BREZTRI AEROSPHERE131BRIDION 113briellyn100BRILINTA43brimonidine tartrate 122BRIMONIDINE-DORZOLAMIDE122BRINEURA 91brinzolamide122BRISDELLE 29BRIVIACT 27BROME113bromfenac sodium (once-daily) 120bromocriptine mesylate42BROMSITE 120BRONCHITOL 133BRONCHITOL TOLERANCE TEST133BROVANA 131BRUKINSA36BRYHALI62BSP 082094budesonide 110 131budesonide er 110BUDESONIDE-FORMOTEROL FUMARATE131bumetanide 51BUMEX 51BUNAVAIL 20BUPAP9BUPHENYL91bupivacaine fisiopharma 17BUPIVACAINE HCL17 18bupivacaine hcl 17bupivacaine hcl (pf)17BUPRENEX 9buprenorphine9buprenorphine hcl 9 20buprenorphine hcl-naloxone hcl 20bupropion hcl 29bupropion hcl er (smoking det) 20bupropion hcl er (sr)29bupropion hcl er (xl) 29BUPROPION HCL ER (XL) 29buspirone hcl47

busulfan 36BUSULFEX 36butalbital-acetaminophen9BUTALBITAL-ACETAMINOPHEN9butalbital-apap-caff-cod 9butalbital-apap-caffeine9butalbital-asa-caff-codeine9butalbital-aspirin-caffeine 9butorphanol tartrate10BUTRANS10BYDUREON BCISE AUTOINJECTOR 72BYETTA 10 MCG PEN 72BYETTA 5 MCG PEN 72BYNFEZIA PEN 97BYSTOLIC 51CABENUVA 44cabergoline 97CABLIVI 43CABOMETYX 36CADIRAMD18CADUET 51CAFERGOT 34caffeine citrate58calamine62CALAN SR 51calcidol 77CALCIFOL 77calcipotriene62CALCIPOTRIENE 62calcipotriene-betameth diprop62CALCIPOTRIENE-CLOBETASOL PROP62calcitonin (salmon) 111CALCITRENE 62calcitriol 62 112calcium acetate 92calcium acetate (phos binder)92calcium-folic acid plus d 77CALDOLOR 14CALIFORNIA PEPPER TREE 113CALQUENCE36CAMBIA 14camila100CAMINO PRO COMPLETEGLYTACTIN 113CAMPATH 36CAMPTOSAR 36camrese 100camrese lo 100CANASA 110CANCIDAS 31

candesartan cilexetil 51candesartan cilexetil-hctz51CANDIDA ALBICANS EXTRACT 113CANTHARIDIN 62CAPASTAT SULFATE35capecitabine36CAPEX62CAPLYTA43CAPRELSA36capsaicin 62CAPSAICIN-MENTHOL18CAPSFENAC PAK14CAPSINAC14captopril 51captopril-hydrochlorothiazide 51capzix62CARAC 62CARAFATE85CARBAGLU 77carbamazepine 27carbamazepine er 27CARBATROL 27carbidopa 42carbidopa-levodopa 42carbidopa-levodopa er 42carbidopa-levodopa-entacapone 42carbinoxamine maleate127carboplatin 36carboxymethylcellulose sodium 123CARDIOPLEGIA DEL NIDO FORMULA 77CARDIOPLEGIA IND PLASMA HIGH K77CARDIOPLEGIA IND PLASMA-TROMET 77CARDIOPLEGIA INDUCTION HIGH K77CARDIOPLEGIA INDUCTION LOW DEX 77CARDIOPLEGIA INDUCTION NON-ENR 78CARDIOPLEGIA MAIN LOW DEXTROSE 78CARDIOPLEGIA MAIN LOW TROMETHA78CARDIOPLEGIA MAIN PLASMA-TROME 78CARDIOPLEGIA MAINTENANCE78

CARDIOPLEGIA REPERFUSATE 41 78CARDIOVID PLUS113CARDIZEM 51CARDIZEM CD 51CARDIZEM LA51CARDURA 51CARDURA XL94CARETOUCH 2 CPAP HOSE HANGER113CARETOUCH CONTROL SOL LEVEL 273CARETOUCH CPAP amp BIPAP HOSE113CARETOUCH CPAP MASK WIPES 113CARETOUCH CPAP PRE-WASH SOLN 113CARETOUCH CPAP TUBE BRUSH 113CARETOUCH LANCINGEJECTOR 73CARETOUCH TEST 73CARETOUCH UNIVERSL CPAP FILTER113CARIMUNE NF 105carisoprodol 134carisoprodol-aspirin-codeine10carmustine 36CARNITOR 78CARNITOR SF78CAROSPIR 51carteolol hcl122cartia xt 51CARTICEL 113carvedilol51carvedilol phosphate er51cascara sagrada 87CASIRIVIMAB105CASODEX 36caspofungin acetate32CAT HAIR EXTRACT 113CATAFLAM14CATAPRES-TTS-1 51CATAPRES-TTS-2 51CATAPRES-TTS-3 51CATHFLO ACTIVASE 26CATTLE EPITHELIUM113cavarest 59CAVERJECT92CAVERJECT IMPULSE92CAYA 113CAYSTON133

caziant100CEDAR ELM 113cefaclor 21cefaclor er 21cefadroxil 21cefazolin sodium 21cefazolin sodium-dextrose 22cefdinir 22cefepime hcl22cefixime22CEFOTAN22cefotaxime sodium 22cefotetan disodium22cefoxitin sodium 22cefpodoxime proxetil 22cefprozil 22ceftazidime22ceftriaxone sodium22cefuroxime axetil 22CELEBREX14celecoxib 14CELESTONE SOLUSPAN94CELEXA29CELLCEPT 105CELLCEPT INTRAVENOUS 105CELONTIN27CEM-UREA62CENFOL 78CENTANY22CENTANY AT 22CENTRATEX 78cephalexin22CEPROTIN 48CEQUA 123CEQUR SIMPLICITY 2U 73CERACADE 62CERDELGA 91CEREBYX27CEREFOLIN 78cerefolin nac78CEREZYME 91cerovel 62CERVIDIL 92CETACAINE 18cetirizine hcl 127cetirizine hcl childrens127cetirizine-pseudoephedrine er127CETRAXAL 126CETROTIDE 97cevimeline hcl 59CHANTIX 20CHANTIX CONTINUING MONTH PAK20

CHANTIX STARTING MONTH PAK20charlotte 24 fe 100chateal 100chateal eq 100CHEMET78CHENODAL 87chest congestion relief 127chest congestion relief dm 127CHLOOXIA 62chloramphenicol sod succinate22chlordiazepoxide hcl 47chlordiazepoxide-amitriptyline29chlordiazepoxide-clidinium87chlorhexidine gluconate 59chloroquine phosphate41chlorpheniramine maleate er 127chlorpromazine hcl43chlorthalidone51CHLOR-TRIMETON 127chlorzoxazone134chocolated laxative 87CHOLBAM 91CHOLECAL DF78cholestyramine51cholestyramine light 51CHONDROITIN SULFATE 123chorionic gonadotropin97CHROMAGEN 78CIALIS92ciclodan32ciclopirox 32ciclopirox olamine 32ciclopirox treatment32CICLOPIROX-CLOBETASOL62CICLOPIROX-CLOBETASOL-SAL ACID62CICLOPIROX-SALICYLIC ACID 62cidofovir44CIFEREX 78cilostazol 43CILOXAN 120CIMDUO 44cimetidine85cimetidine hcl 85CIMETIDINE-LIDO-SALICYLIC ACID 62CIMZIA105CIMZIA PREFILLED KIT105CIMZIA STARTER KIT 105cinacalcet hcl 112CINQAIR 127

CINRYZE 105CIPRO22CIPRO HC 126CIPRODEX 126ciprofloxacin hcl 22 120 126ciprofloxacin-dexamethasone 126CIPROFLOXACIN-FLUOCINOLONE PF 126cisplatin 36CISPLATIN 36citalopram hydrobromide 29CITRANATAL BLOOM78CITRANATAL MEDLEY78citroma 87CITRULLINE EASY 91CLADOSPORIUM CLADOSPORIOIDES 113CLADOSPORIUM SPHAEROSPERMUM 114cladribine36claravis62CLARINEX 127CLARINEX-D 12 HOUR127clarithromycin22clarithromycin er22CLARITIN127CLARITIN CHILDRENS127CLARITIN REDITABS127CLARITIN-D 12 HOUR 127clearlax87clemastine fumarate127CLENIA PLUS62CLENPIQ 87CLEOCIN 22CLEOCIN-T62CLIMARA 100CLIMARA PRO 100CLINDACIN ETZ62clindacin etz 62CLINDACIN PAC 62clindacin-p62CLINDAGEL62CLINDAMY-BENZOYL PER-NIACINAM 62clindamycin hcl22clindamycin palmitate hcl 22CLINDAMYCIN PHOS-NIACINAMIDE 62clindamycin phosphate 22 62 63CLINDAMYCIN PHOSPHATE 62clindamycin phosphate-benzoyl peroxide62

CLINDAMYCIN-NIACIN-TRETINOIN63clindamycin-tretinoin 63CLINDESSE22CLIND-NIACIN-SPIRONOLAC-TRETIN 63CLINOIN 63CLINPRO 5000 59clobazam27clobetasol prop emollient base 63clobetasol propionate63clobetasol propionate e63clobetasol propionate emulsion 63CLOBETASOL PROP-LEVOCETIRIZINE 63CLOBETASOL PROP-NIACINAMIDE 63CLOBETAVIX 63CLOBEX 63CLOBEX SPRAY 63clocortolone pivalate 63CLODAN 63clodan 63CLODERM 63clofarabine 36CLOLAR36clomiphene citrate97clomipramine hcl 29clonazepam47clonidine51clonidine hcl 51clonidine hcl er 56clopidogrel bisulfate 43clorazepate dipotassium 47clotrimazole32clotrimazole-betamethasone32clovique78clozapine43CLOZARIL 43COAGADEX48COAL TAR 63COARTEM 41COCAINE HCL 18COCKLEBUR114COD LIVER OIL78codeine sulfate10coenzyme q10114COLAZAL110COLCHICINE34colchicine 34colchicine-probenecid 34COLCIGEL114COLCRYS34

cold amp flu relief daytime127coldflu daytime relief 127COLD-EEZE NATURAL MULTI-SYMP114COLD-EEZE PLUS DEFENSE 114COLD-EEZE SUGAR FREE 114colesevelam hcl 51COLESTID 51COLESTID FLAVORED51colestipol hcl 51colistimethate sodium (cba) 22COLLATYL63COLY-MYCIN M 22COMBIGAN 122COMBIPATCH 100COMBIVENT RESPIMAT 131COMBIVIR 44COMETRIQ36COMFORT TOUCH ALCOHOL PREP 114COMPLERA44COMPRESSOR NEBULIZER114compro 30COMTAN 42CONCERTA56CONDOMS 114CONDYLOX63CONJUPRI51CONSENSI 51constulose87CONTOUR CONTROL SOLUTION73CONTOUR MONITOR DEVICE73CONTOUR MONITOR KIT WDEVICE 74CONTOUR NEXT CONTROL SOLUTION74CONTOUR NEXT EZ KIT WDEVICE 74CONTOUR NEXT LINK KIT WDEVICE 74CONTOUR NEXT MONITOR KIT WDEVICE74CONTOUR NEXT ONE KIT74CONTOUR NEXT TEST STRIPS 74CONTOUR TEST STRIPS74CONTRAST ALLERGY PREMED PACK94CONTRAVE 58CONVENIENCE PAK 58

CONZIP 10COPADERM 63COPASIL 63COPAXONE57COPIKTRA36CORDRAN63COREG51COREG CR51coremino 22CORGARD51CORIFACT48CORLANOR51corn amp callus remover 63CORN POLLEN 114CORTANE-B63CORTEF 94CORTENEMA 110cortic-nd 126CORTIFOAM 110CORTISPORIN-TC 126CORTROSYN 114CORVITE 150 78corvite fe 78COSELA 36COSENTYX (300 MG DOSE)105COSENTYX 150 MGML 105COSENTYX SENSOREADY (300 MG)105COSENTYX SENSOREADY PEN105COSMEGEN 36COSOPT122COSOPT PF 122cosyntropin114COTELLIC 36COTEMPLA XR-ODT 56cough dm 127coughchest congestion dm 127COVARYX 100COVARYX HS 100COVID-19 SPECIMEN COLLECTION 114COZAAR 51CREON 91CRESEMBA32CRESTOR 51CRINONE 100CRIXIVAN 44CROFAB 114cromolyn sodium87 120 131crotan 41cryselle-28100CRYSVITA 91

CUBICIN 22CUBICIN RF 22CUPRIMINE92CUROSURF127CURVULARIA114CUTAQUIG 105CUTIVATE 63CUVITRU 105CUVPOSA 87cvs acetaminophen ex st 10cvs antacid extra strength 87cvs clotrimazole 3 32cvs gentle laxative87cvs lubricant eye drops 124cvs motion sickness 30cyanocobalamin 78CYANOCOBALAMIN 78cyclafem 135100cyclafem 777100CYCLOGABA 10300134cyclobenzaprine hcl 134cyclobenzaprine hcl er 134CYCLOGYL 124CYCLOMYDRIL 124CYCLOPAK 134cyclopentolate hcl 124CYCLOPHENE RAPIDPAQ134cyclophosphamide 36CYCLOPHOSPHAMIDE 36cycloserine 35CYCLOSET72cyclosporine 105CYCLOSPORINE IN KLARITY 124cyclosporine modified 105CYKLOKAPRON48CYMBALTA29cyproheptadine hcl127CYRAMZA 36cyred 100cyred eq 100CYSTADANE 91CYSTADROPS 124CYSTAGON91CYSTARAN 124cytarabine 36cytarabine (pf) 36CYTOGAM105CYTOMEL104CYTOTEC85cytra k crystals 78DHE 45 34d3 high potency78

d3 super strength 78dacarbazine 36DACOGEN37dactinomycin 37daflonex-xl78dalfampridine er 57DALIRESP 131danazol 96DANDELION 114DANTRIUM 134dantrolene sodium 134DANYELZA 37dapsone 35 63DAPSONE 63DAPSONE-NIACINAMIDE63DAPSONE-NIACINAMIDE-SPIRONOLAC 63DAPTACEL 109daptomycin22DARAPRIM 41darifenacin hydrobromide er 92DARZALEX 37DARZALEX FASPRO 37dasetta 135 100dasetta 777 100daunorubicin hcl37DAURISMO37DAYHIST ALLERGY 12 HOUR RELIEF 127DAYPRO14daysee 100daytime cold amp flu relief127daytime coldflu relief 127DAYTRANA 56DAYVIGO135DDAVP97DDAVP PF 97DDAVP RHINAL TUBE97DEBACTEROL59deblitane 100DECADRON 94DECARA 78decitabine37deferasirox 78deferasirox granules 78deferiprone78deferoxamine mesylate114DELESTROGEN100DELSTRIGO 45DELUO63delyla100DELZICOL 110demeclocycline hcl22

DEMEROL 10DEMSER51DENAVIR 45DENTA 5000 PLUS 59DENTAGEL59DEOXIA 63DEPAKOTE 27DEPAKOTE ER 27DEPAKOTE SPRINKLES 27DEPEN TITRATABS92DEPLIN 15 78DEPLIN 75 78DEPO-ESTRADIOL 100DEPO-MEDROL 94DEPO-PROVERA 100DEPO-SUBQ PROVERA 104100DEPO-TESTOSTERONE 96DERMACINRX AZENASE PAK127DERMACINRX CLORHEXACIN 59DERMACINRX EMPRICAINE 18DERMACINRX LEXITRAL PHARMAPAK 14DERMACINRX PENETRAL63DERMACINRX PHN 18DERMACINRX PRIZOPAK18DERMACINRX PUREFOLIX 78DERMACINRX SURGICAL COMBOPAK 63DERMACINRX THERAZOLE PAK32DERMACINRX ZRM 18DERMALID 18DERMA-SMOOTHEFS BODY63DERMA-SMOOTHEFS SCALP 63DERMELLE63DERMOTIC126DERMULCERA63DERPIXA 63DESCOVY 45DESENEX32DESFERAL 114desflurane 114desipramine hcl29desloratadine 127desmopressin ace spray refrig97desmopressin acetate97desmopressin acetate pf97desmopressin acetate spray 97desogestrel-ethinyl estradiol 100DESONATE 63

desonide 63DESOWEN 63desoximetasone64DESOXYN 56DESVENLAFAXINE ER29desvenlafaxine succinate er29DETROL 92DETROL LA 92DEXABLISS 94dexamethasone 94dexamethasone intensol 94dexamethasone sod phosphate pf 94dexamethasone sodium phosphate 94 95 121DEXAMETHASONE SODIUM PHOSPHATE94 95dexchlorpheniramine maleate127DEXEDRINE 57DEXERYL 64DEXIFOL78DEXILANT 85dexmedetomidine hcl 114dexmedetomidine hcl in nacl114dexmethylphenidate hcl 57dexmethylphenidate hcl er 57DEXONTO 04 95dexrazoxane hcl37DEXTENZA121dextroamphetamine sulfate57dextroamphetamine sulfate er 57DEXYCU 121DFS DRMSMENTHCAP PAK15DFSMSMENTHCAP PAK 15DIACOMIT 27DIADIMAXIA 64DIALYVITE78DIALYVITE 300078DIALYVITE 500078DIALYVITE SUPREME D 78DIALYVITEZINC 78DIAOXIA 64diaper rash 64DIASDIMAXIA64DIASOXIA 64DIASTAT ACUDIAL 27DIASTAT PEDIATRIC27diazepam 27 47diazepam intensol 47diazoxide75DIBENZYLINE 51dibucaine (perianal) 64

DICLEGIS 30DICLOFENAC CAP 35MG15DICLOFENAC PATCH 13 15diclofenac potassium 15diclofenac sodium 15 64 121diclofenac sodium er 15diclofenac-misoprostol 15DICLOFENAC-NA HYALURON-NIACIN64DICLOFONO15DICLOPR 15DICLOSTREAM 15DICLOTREX 15DICLOVIX 15DICLOVIX M 15dicloxacillin sodium 22DICLOZOR 15DICOPANOL FUSEPAQ127DICOPANOL RAPIDPAQ 127dicyclomine hcl87diethylpropion hcl 58diethylpropion hcl er58DIFFERIN 64DIFICID 22diflorasone diacetate64DIFLUCAN 32diflunisal 15DIFMETIOXRIME 32DIGIFAB114digitek51digox 51digoxin51dihydroergotamine mesylate34DILANTIN27DILANTIN INFATABS 27DILATRATE-SR 51DILAUDID 10diltiazem hcl 52diltiazem hcl er 52diltiazem hcl er beads 51diltiazem hcl er coated beads 51DILTIAZEM HCL-DEXTROSE 52dilt-xr 52dimaphen dm coldcough127DIMENTHO15dimethyl fumarate 57dimethyl fumarate starter pack57DIMOXIA64DIOCHLOY 64diotame instydose 87DIOVAN 52DIOVAN HCT52DIPENTUM 110

diphen 127DI-PHEN 127diphenhydramine hcl127 128diphenoxylate-atropine87DIPHTHERIA-TETANUS TOXOIDS DT 109DIPROLENE 64DIPROLENE AF64dipyridamole43disopyramide phosphate52disulfiram20DITROPAN XL 92DIURIL 52divalproex sodium 27divalproex sodium er27DIVIGEL100DMT SUIK95docetaxel37docosanol64docusate calcium 87docusate mini87docusate sodium87docuzen 87dofetilide52DOG EPITHELIUM 114DOG FENNEL114DOJOLVI114dok 87donepezil hcl 29DONNATAL 87DOPTELET 48DORAL47DORYX 22DORYX MPC 22DORZOLAMIDE HCL 122dorzolamide hcl122dorzolamide hcl-timolol mal 122dorzolamide hcl-timolol mal pf 122dotti 100DOUBLE PM124DOUBLEDEX95DOVATO45DOVONEX 64doxazosin mesylate 52doxepin hcl29 64 135doxercalciferol112DOXIL 37doxorubicin hcl 37doxorubicin hcl liposomal37doxy 100 22doxycycline 64doxycycline hyclate 22 23DOXYCYCLINE HYCLATE23

doxycycline monohydrate 23doxylamine-pyridoxine 30DR SMITHS ADULT BARRIER 64DRAXACE64DRAXACE LOTION CLEANSER64DRECHSLERA 114DRISDOL 78DRITHO-CREME HP 64DRIXECE 64DRIZALMA SPRINKLE 29dronabinol 30drospiren-eth estrad-levomefol100drospirenone-ethinyl estradiol100DROXIA 37droxidopa 52DRYSOL 64DSUVIA10DUAKLIR PRESSAIR 131DUAL COMPLEX FORMULA 1 KIT 15DUAVEE 100DUETACT 72DUEXIS15DULERA 131duloxetine hcl 29DUOBRII 64DUOPA 42DUPIXENT64DURAGESIC-100 10DURAGESIC-12 10DURAGESIC-25 10DURAGESIC-50 10DURAGESIC-75 10duramorph10DUREZOL121DURLAZA 43DUROLANE 114DURYSTA122DUST MITE MIXED ALLERGEN EXT114dutasteride 94dutasteride-tamsulosin hcl 94DUTOPROL 52d-vite pediatric78DXEVO 11-DAY95DYANAVEL XR57DYMISTA 128DYRENIUM52DYSPORT114DYURAL-40 95DYURAL-80 95DYURAL-L 95

DYURAL-LM 95EES GRANULES 23EASIVENT 114EASTERN COTTONWOOD 114easygel59EASYMAX 15 LEVEL 2-3 CONTROL 74EASYMAX CONTROL 74ECEOXIA 64EC-NAPROSYN15ec-naproxen 15ECONASIL32econazole nitrate32ECONAZOLE NITRATE-NIACINAMIDE 32ECOZA32EC-RX DHEA114EC-RX ESTRADIOL 100EC-RX PROGESTERONE 100EC-RX TESTOSTERONE 96ECZEMOL114EDARBI52EDARBYCLOR 52EDECRIN52EDEX 92EDLUAR 135ED-SPAZ 87EDURANT45EEMT 101EEMT HS 101efavirenz 45efavirenz-emtricitab-tenofovir45efavirenz-lamivudine-tenofovir 45EFFER-K78effer-k78EFFEXOR XR 29EFFIENT 43EFUDEX 64EGATEN 41EGRIFTA SV97EHA18ELAPRASE 91ELELYSO91ELEPSIA XR 27ELESTRIN 101ELETONE 64eletriptan hydrobromide 34ELFOLATE78ELFOLATE PLUS 78ELIDEL64ELIGARD 97ELIMITE 41elinest101

ELIQUIS26ELIQUIS DVTPE STARTER PACK 26ELITEK37ELIXOPHYLLIN 131ELLA 101ELLENCE37ELMIRON92ELOCTATE 48eluryng 101ELZONRIS 37EMCYT 37EMEND 31EMEND TRI-PACK 31EMFLAZA 34EMGALITY34EMGALITY (300 MG DOSE) 34emoquette 101EMPLICITI 37EMPRICAINE-II 18EMSAM29emtricitabine45emtricitabine-tenofovir df45EMTRIVA 45EMULSION SB 64EMVERM 41ENABLEX 92enalapril maleate52enalapril-hydrochlorothiazide 52ENBRACE HR 78ENBREL105ENBREL MINI 105ENBREL SURECLICK 105ENDARI 114ENDO AVITENE 114endocet 10ENDOMETRIN101ENFAGROW NEUROPRO TODDLER114ENFAMIL GENTLEASE114ENFAMIL INFANT 114ENFAMIL NEUROPRO INFANT 114ENFAMIL NEUROPRO SENSITIVE 115ENFAMIL NUTRAMIGEN 115ENFAMIL NUTRAMIGEN LIPIL115ENGERIX-B 109ENHERTU37ENLITE GLUCOSE SENSOR74ENLYTE 115enovarx-amitriptyline115

enovarx-baclofen 134enovarx-cyclobenzaprine hcl 134ENOVARX-DICLOFENAC SODIUM15enovarx-ibuprofen 15enovarx-lidocaine hcl 18enovarx-naproxen 15enovarx-tramadol 64enoxaparin sodium26enpresse-28 101enskyce101ENSPRYNG105ENSTILAR 64entacapone 42entecavir 45ENTERAGAM 115ENTEREG87enteric fish oil 115ENTOCORT EC110ENTRESTO 52ENTTY SPRAY 64ENTYVIO 105ENU PRO3 PLUS 115enulose 87ENVARSUS XR 105ENZADYNE 91ENZNONUTY18ENZOCLEAR 64EPANED 52EPCLUSA 45ephedrine sulfate 52EPHEDRINE SULFATE-NACL 52EPICERAM 64EPICOCCUM 115EPIDIOLEX 27EPIDUO 64EPIDUO FORTE 64EPIFOAM64epinastine hcl 121epinephrine 131EPINEPHRINE PROFESSIONAL 131EPINEPHRINESNAP-EMS131EPINEPHRINESNAP-V 131EPIPEN 2-PAK 131EPIPEN JR 2-PAK 131epirubicin hcl 37EPISIL115EPISNAP 131epitol 27EPIVIR 45EPIVIR HBV45eplerenone 52

EPOGEN48epoprostenol sodium133EPZICOM45EQUACARE JR 115EQUETRO 47ERAXIS32ERBITUX 37ERGOCAL 78ergocalciferol79ergoloid mesylates 115ERGOMAR 34ergotamine-caffeine 34ERIVEDGE 37ERLEADA 37erlotinib hcl37errin101ERTACZO32ertapenem sodium 23ERWINAZE 37ery 64ERYGEL 64ERYPED 200 23ERYPED 400 23ERY-TAB 23ERYTHROCIN STEARATE 23erythromycin 23 64 121erythromycin base23erythromycin ethylsuccinate23ESBRIET131escitalopram oxalate 29ESGIC10ESKATA65ESMOLOL HCL 52ESOMEP-EZS 85esomeprazole magnesium85ESOMEPRAZOLE STRONTIUM85ESPEROCT 48ESSENTIAL CARE JR115est estrogens-methyltest101est estrogens-methyltest ds 101est estrogens-methyltest hs 101estarylla101estazolam47ESTRACE 101estradiol 101estradiol valerate101estradiol-norethindrone acet 101ESTRING 101ESTROGEL 101ESTROSTEP FE101eszopiclone 135ETESEVIMAB 105

ethacrynic acid 52ethambutol hcl35ethosuximide27ETHOXIA 65ethyl chloride18ethynodiol diac-eth estradiol 101ETHYOL37etodolac 15etodolac er 15etonogestrel-ethinyl estradiol 101ETOPOPHOS 37etoposide 37EUCRISA 65EUFLEXXA 115euthyrox 104EVAMIST 101EVEKEO 57EVEKEO ODT57EVENITY111everolimus37 106EVISTA 97EVKEEZA 52EVOCLIN 65EVOMELA37EVOTAZ45EVOXAC 59EVRYSDI 91EXELDERM 32EXELON 29exemestane 37EXFORGE 52EXFORGE HCT 52EXJADE 79EX-LAX ULTRA 87EXODERM32EXONDYS 51 91exotic-hc126EXPAREL 18EXTAVIA58EXTINA 32eye itch relief121EYLEA 124EYSUVIS 121EZALLOR SPRINKLE52ezetimibe52ezetimibe-simvastatin 52fabb 79FABIOR65FABRAZYME 91FALESSA101falmina 101famciclovir 45famotidine 85

famotidine orig st85FANAPT43FANAPT TITRATION PACK 43FANATREX FUSEPAQ27FARESTON 37FARXIGA 72FARYDAK 37FASENRA 128FASENRA PEN128FASLODEX37FAVIPIRAVIR45fa-vitamin b-6-vitamin b-12 79fayosim101FBL KIT15febuxostat 34FEIBA48felbamate 27FELBATOL27FELDENE 15felodipine er 52FEM PH 92FEMARA 37FEMHRT LOW DOSE101FEMRING 101femynor 101fenofibrate 52fenofibrate micronized52fenofibric acid52FENOGLIDE 52fenoprofen calcium15fenortho15FENSOLVI (6 MONTH)97fentanyl 10fentanyl citrate10FENTANYL CITRATE10fentanyl citrate (pf) 10FENTANYL CITRATE-NACL 10FENTANYL-BUPIVACAINE-NACL 10 11FENTORA11FEONYX 79FERAHEME 79FERIVA 217 79FERIVAFA 79ferocon 79ferotrinsic 79FERRALET 90 79ferraplus 90 79FERRIPROX 79FERRIPROX TWICE-A-DAY 79FERRLECIT 79ferrocite plus 79FERRO-PLEX HEMATINIC 79

ferrous sulfate 79FETROJA23FETZIMA29FETZIMA TITRATION29FEXMID 134fexofenadine hcl128fexofenadine-pseudoephed er 128FIASP75FIASP FLEXTOUCH75FIASP PENFILL 75fiber 87fiber laxative87FIBRICOR52FIBRYGA 48FINACEA 65FINAPOD 65finasteride 65 94FINASTERIDE-MINOXIDIL65FINTEPLA27FIORICET 11FIORICETCODEINE11FIRAZYR106FIRDAPSE 115FIRE ANT115FIRMAGON97FIRMAGON (240 MG DOSE) 97FIRST-BACLOFEN 134FIRST-LANSOPRAZOLE 86FIRST-METRONIDAZOLE 23FIRST-MOUTHWASH BLM 59FIRST-OMEPRAZOLE 86FIRST-PROGESTERONE VGS 101FIRVANQ 23flac 126FLAGYL 23FLAREX 121flavoxate hcl 92FLEBOGAMMA DIF106flecainide acetate 53FLECTOR 15FLEXICHAMBER ADULT MASKSMALL 115FLEXICHAMBER CHILD MASKLARGE115FLEXICHAMBER CHILD MASKSMALL 115FLEXIN 18FLEXIPAK15FLOLAN 133FLOLIPID 53FLOMAX 94FLORIVA79

FLORIVA PLUS 79FLOVENT DISKUS 131FLOVENT HFA 131floxuridine37FLUAD 109FLUAD QUADRIVALENT 109FLUARIX QUADRIVALENT109FLUCAINE 124FLUCELVAX QUADRIVALENT 109fluconazole32FLUCON-IBUPROF-ITRACON-TERBINA 32flucytosine 32fludarabine phosphate 37fludrocortisone acetate95FLULAVAL QUADRIVALENT 109FLUMIST QUADRIVALENT109flunisolide 128FLUOCINOLONE ACET-NIACINAMIDE 65fluocinolone acetonide 65 126fluocinolone acetonide body 65fluocinolone acetonide scalp65fluocinonide65fluocinonide emulsified base65FLUOPAR 65FLUORESCEIN SODIUMBENOXINATE 124fluorescein-benoxinate124FLUORIDEX 59fluoridex daily renewal 59FLUORIDEX ENHANCED WHITENING 59FLUORIDEX SENSITIVITY RELIEF 59fluor-i-strips at 124fluoritab 79fluorometholone 121FLUOROPLEX65fluorouracil 37 65FLUOROURACIL65FLUOVIX65FLUOVIX PLUS 65fluoxetine hcl 29fluoxetine hcl (pmdd)29fluphenazine decanoate43fluphenazine hcl 43flurandrenolide 65FLURA-SAFE124flurazepam hcl135flurbiprofen 15flurbiprofen sodium 121

flutamide 37fluticasone propionate65 128fluticasone-salmeterol 131 132FLUTICASONE-SALMETEROL132fluvastatin sodium 53fluvastatin sodium er 53fluvoxamine maleate 29fluvoxamine maleate er29FLUZONE HIGH-DOSE QUADRIVALENT 109FLUZONE QUADRIVALENT 109FML121FML FORTE121FML LIQUIFILM 121FOCALIN 57FOCALIN XR 57folbee 79folbee plus79FOLBEE PLUS CZ79FOLBIC RF 79FOLGARD OS 79FOLGARD RX79folic acid 79FOLIC D379FOLIC-K79FOLI-D 79FOLIKA PROBIOTIC 87FOLITE 79FOLITIN-Z79FOLIXAPURE 79FOLLISTIM AQ 97FOLOTYN 37folplex 2279foltanx 79FOLTANX RF79FOLTRATE 79FOLTREXYL 79foltrin 79FOLTX 79FOLVITE-D 79fondaparinux sodium26FORANE 115FORAXA 65FORFIVO XL30formaldehyde 115FORMALDEHYDE 115FORTAMET 72FORTAZ23FORTEO 111FORTESTA96FORTISCARE CONTROL 74

FORTISCARE GLUCOSE SYSTEM 74FORTISCARE T1 GLUCOSE SYSTEM 74FOSAMAX 111FOSAMAX PLUS D 111fosamprenavir calcium 45fosaprepitant dimeglumine31foscarnet sodium45FOSCAVIR45fosfomycin tromethamine23fosinopril sodium 53fosinopril sodium-hctz 53fosphenytoin sodium 27FOSRENOL 92FOSTEUM 79FOSTEUM PLUS 115FOTIVDA 37FRAGMIN 26FREESTYLE LIBRE 14 DAY READER 74FREESTYLE LIBRE 14 DAY SENSOR74FREESTYLE LIBRE 2 READER 74FREESTYLE LIBRE 2 SENSOR74FREESTYLE LIBRE READER74FREESTYLE LIBRE SENSOR SYSTEM 74FREESTYLE PRECISION NEO TEST 74FROTEK 15FROVA34frovatriptan succinate34FUL-GLO 124FULPHILA48fulvestrant 37FUNGIMEZ 32furosemide 53FUSARIUM 115FUSION PLUS 79FUZEON 45fyavolv101FYCOMPA 27gabapentin 27GABAPENTIN-NAPROXEN CMPD KIT15GABITRIL27GABLOFEN 134GALAFOLD91galantamine hydrobromide 29galantamine hydrobromide er 29

GALZIN 79GAMASTAN106GAMIFANT 106GAMMAGARD 106GAMMAGARD SD LESS IGA106GAMMAKED 106GAMMAPLEX 106GAMUNEX-C 106ganirelix acetate97 98GARDASIL 9109gas relief 87gas relief extra strength 87gas relief infants87GASTROCROM88gatifloxacin 121GATTEX88gavilax88gavilyte-c88gavilyte-g88gavilyte-h88gavilyte-n with flavor pack88GAVRETO 37GAZYVA 37GEAMETDRAY65GEBAUERS PAIN EASE 18GEBAUERS SPRAY AND STRETCH 18GELCLAIR 115GELFILM115 124GEL-FLOW 115GEL-FLOW NT 115GELFOAM 115GELFOAM COMPRESSED SIZE 100 115GELFOAM DENTAL PACK SIZE 4 115GELFOAM SPONGE 115GELFOAM SPONGE SIZE 100 115GELFOAM SPONGE SIZE 200 115GELFOAM SPONGE SIZE 50 115GELFOAM-JMI POWDER 115GELFOAM-JMI SPONGE 115GELNIQUE 92GELSYN-3 115GELUSIL88GELX 115gemcitabine hcl 37gemfibrozil 53gemmily101GEMTESA 92GEN7T 18

GEN7T PLUS18GENADUR 65GENERESS FE 101generlac 88gengraf106GENICIN VITA-D 79GENICIN VITA-Q 79GENICIN VITA-S 79GENOTROPIN98GENOTROPIN MINIQUICK98gentak 121gentamicin sulfate 23 121GENTEAL TEARS 124GENTEAL TEARS NIGHT-TIME 124GENTEAL TEARS SEVERE DAYNIGHT 124gentle laxative 88GENVOYA 45GEODON 43geri-dryl 128geri-kot 88GERMAN COCKROACH115GIALAX 88GILENYA 58GILOTRIF 37GILPHEX TR128giltuss severe sinus128GIMOTI 31GIVLAARI 115GLASSIA132glatiramer acetate 58glatopa 58GLEEVEC 37GLEOLAN 115GLEOSTINE 37glimepiride72glipizide er72glipizide ir 72glipizide xl 72glipizide-metformin hcl 72GLOPERBA 34GLOSTRIPS 124GLUCAGEN HYPOKIT 75glucagon emergency kit 75GLUCAGON EMERGENCY KIT 75GLUCOSE CONTROL SOLUTIONS 74GLUCOTROL72GLUCOTROL XL 72GLUMETZA 72GLUTARALDEHYDE 115

glyburide 72glyburide micronized 72glyburide-metformin 72GLYCATE 88glycine92glycine urologic 92glycolax 88GLYCOPYRROLATE88glycopyrrolate88glycopyrrolate pf88glydo 18GLYNASE 72GLYRX-PF 88GLYTACTIN BETTERMILK 15115GLYTACTIN BETTERMILK DE-LITE 115GLYTACTIN BUILD 10PE 115GLYTACTIN BUILD 2020 116GLYTACTIN BUILD 2020 PKU116GLYTACTIN BURST116GLYTACTIN COMPLETE 10PE 116GLYTACTIN RESTORE 10 116GLYTACTIN RESTORE 5 116GLYTACTIN RESTORE LITE 10 116GLYTACTIN RESTORE LITE 10PE 116GLYTACTIN RTD 10 116GLYTACTIN RTD 15 116GLYTACTIN RTD LITE 15116GLYTACTIN SWIRL 15PE116GLYXAMBI72gnp senna lax88GOCOVRI 42GOLDENROD116GOLYTELY 88GONAL-F 98GONAL-F RFF 98GONAL-F RFF REDIJECT 98GONITRO 53goodsense antacid88goodsense antacid amp gas relief88goodsense anti-diarrheal 88goodsense aspirin low dose15goodsense ibuprofen 15goodsense motion sickness31goodsense nicotine 20goodsense pain relief11goodsense tussin dm max 128GOPRELTO 18GORDOFILM 65

GRALISE 58granisetron hcl 31GRANIX 48GRASTEK116GREEN GLO LISSAMINE GREEN 124griseofulvin microsize32griseofulvin ultramicrosize32guaiatussin ac 128guaifenesin128guaifenesin ac128guaifenesin-dm 128GUANENDRUX 65guanfacine hcl53guanfacine hcl er57GUANIDINE HCL35GUARDIAN CONNECT TRANSMITTER 74GUARDIAN LINK 3 TRANSMITTER 74GUARDIAN SENSOR (3) 74GVOKE HYPOPEN 1-PACK75GVOKE HYPOPEN 2-PACK75GVOKE PFS 75GYNAZOLE-1 32habitrol 20HACKBERRY116HAEGARDA106hailey 1530101hailey 24 fe101hailey fe 1530101hailey fe 120101HALAVEN 37halcinonide65HALCION 47HALDOL DECANOATE 43halobetasol propionate65HALOBETASOL PROPIONATE 65HALOG 65haloperidol 44haloperidol decanoate44haloperidol lactate44HALUCORT 65HARVONI45HAVRIX109HAXCHLO65HCU EASY116headache relief 11heather101HELIDAC THERAPY 88HEMADY95HEMANGEOL 53

hematinic plus vitminerals79hematinicfolic acid79HEMATOGEN79HEMATOGEN FA 79HEMATRON-AF79HEMETAB79HEMLIBRA48HEMMOREX-HC 110HEMOCYTE PLUS 79hemocyte-f 79HEMOFIL M 48HEPAGAM B106heparin (porcine) in nacl 26heparin lock flush 116heparin sodium (porcine) 26heparin sodium (porcine) pf 26heparin sodium lock flush 116HEPLISAV-B109HEPMED116HEPSERA45HERCEPTIN 38HERCEPTIN HYLECTA37HERZUMA 38HETLIOZ135HETLIOZ LQ 135HIBERIX109HIBICLENS 116HIDEX 6-DAY 95high potency probiotic 88HIPREX23HIXDEFRIMA32HIZENTRA 106hm adult tussin cough amp chest 128hm stomach relief88hm stool softener 88HOMACTIN AA PLUS116homatropaire124HOME PAP KIT 116HONEY BEE VENOM116HORIZANT58HORSE EPITHELIUM116HPR PLUS 65hpr plus 65HPR PLUS HYDROGEL65HUMALOG KWIKPEN 75HUMALOG MIX 5050 KWIKPEN 75HUMALOG MIX 5050 VIAL76HUMALOG MIX 7525 KWIKPEN 76HUMALOG MIX 7525 VIAL76HUMALOG U-100 JUNIOR KWIKPEN 76

HUMALOG VIAL 76HUMATE-P 49HUMATROPE 98HUMATROPEN FOR 12MG 116HUMATROPEN FOR 24MG 116HUMATROPEN FOR 6MG 116HUMIRA106HUMIRA PEDIATRIC CROHNS START106HUMIRA PEN 106HUMIRA PEN-CDUCHS STARTER 106HUMIRA PEN-PEDIATRIC UC START 106HUMIRA PEN-PSUVADOL HS START 106HUMIRA PEN-PSORUVEIT STARTER 106HUMULIN 7030 KWIKPEN 76HUMULIN 7030 VIAL76HUMULIN N KWIKPEN 76HUMULIN N VIAL 76HUMULIN R U-500 KWIKPEN76HUMULIN R U-500 VIAL 76HUMULIN R VIAL 76HURRICAINE59HYALGAN116HYALURONATE-NIACINAM-TRETINOIN65HYALURONATE-NIACIN-TACROLIMUS 65HYALURONIC ACID-HYDROQUINONE 65HYCAMTIN 38HYCODAN 128hydralazine hcl 53HYDREA 38HYDRO 40 65hydrochlorothiazide53hydrocodone bitartrate er11hydrocodone polst-chlorphen polst er susp128hydrocodone-acetaminophen 11hydrocodone-homatropine 128hydrocodone-ibuprofen 11hydrocortisone 66 95 111hydrocortisone (perianal) 110hydrocortisone ace-pramoxine 65 110hydrocortisone acetate65 111hydrocortisone butyr lipo base 66hydrocortisone butyrate 66hydrocortisone valerate66

hydrocortisone-acetic acid 126hydrocortisone-iodoquinol32hydrocort-pramoxine (perianal) 111hydromet 128hydromorphone hcl 11hydromorphone hcl er 11HYDROMORPHONE HCL-NACL 11hydroquinone 66HYDROQUINONE 66HYDROQUINONE-HC-TRETINOIN66HYDROQUINONE-HYDROCORTISONE66hydroxychloroquine sulfate 41hydroxyprogesterone caproate101hydroxyurea 38hydroxyzine hcl 47hydroxyzine pamoate47HYLAFEM 116HYLATOPIC PLUS 66HYLAVITE79HYLAZINC 79HYMOVIS 116HYOPHEN 93hyoscyamine sulfate 88 89hyoscyamine sulfate er 88hyoscyamine sulfate sl88hyosyne89HYPERHEP B106HYPERRAB 106HYPERRAB SD 106HYPERRHO SD106HYPERSAL128HYPERTET SD106HYPOCYN 124HYQVIA 106HYSINGLA ER11HYZAAR 53ibandronate sodium 111IBRANCE 38IBUPAK15ibuprofen 15ibuprofen infants 15ICAR-C PLUS 80icatibant acetate106iclevia 101ICLUSIG38icosapent ethyl 53IDAMYCIN PFS 38idarubicin hcl 38IDELVION 49

IDHIFA 38iferex 150 forte 80IFEX 38ifosfamide38ILARIS107ILEVRO121ILUMYA107ILUVIEN 121imatinib mesylate 38IMBRUVICA 38IMCIVREE58IMDEVIMAB107IMFINZI 38IMIOXIA 32imipenem-cilastatin 23imipramine hcl30imipramine pamoate 30imiquimod66IMIQUIMOD PUMP66IMIQUIMOD-LEVOCETIRIZIN-NIACIN66IMIQUIMOD-LEVOCET-TRETINOIN66IMITREX 34IMITREX STATDOSE REFILL34IMITREX STATDOSE SYSTEM 34IMLYGIC 38IMODIUM A-D89IMODIUM MULTI-SYMPTOM RELIEF 89IMOGAM RABIES-HT107IMOVAX RABIES109IMPAVIDO 41IMPEKLO 66IMPOYZ 66IMURAN107IMVEXXY MAINTENANCE PACK 101IMVEXXY STARTER PACK 101inavix15INBRIJA 42incassia 101INCRELEX 98INCRUSE ELLIPTA 132indapamide 53INDERAL LA 53INDERAL XL 53INDOCIN15INDOMETHACIN 15indomethacin15indomethacin er 15INFANRIX 109

infants gas relief89INFASURF 128INFED 80INFLAMMACIN 15INFLATHERM 16INFLECTRA 107INFUGEM 38INFUMORPH 200 11INFUMORPH 500 11INFUVITE ADULT80INFUVITE PEDIATRIC 80INGREZZA58INLYTA 38INNOPRAN XL53INOVA66INOVA 41 ACNE CONTROL THERAPY 66INOVA 82 ACNE CONTROL THERAPY 66INQOVI 38INREBIC 38INSPIREASE RESERVOIR BAGS 116INSPRA53instant oral pain relief max 59INSULIN ASP PROT amp ASP FLEXPEN76INSULIN ASPART 76INSULIN ASPART FLEXPEN 76INSULIN ASPART PENFILL76INSULIN ASPART PROT amp ASPART76INSULIN LISPRO76INSULIN LISPRO (1 UNIT DIAL)76INSULIN LISPRO JUNIOR KWIKPEN 76INSULIN LISPRO PROT amp LISPRO76INSULIN PEN NEEDLES76INSULIN SYRINGES 76INTEGRA F80INTEGRA PLUS80INTELENCE45INTERCEED 116INTRAROSA 93INTRON A45introvale 101INTUNIV57INVANZ23INVEGA 44INVEGA SUSTENNA44INVEGA TRINZA 44

INVELTYS121INVIRASE 45INVOKAMET72INVOKAMET XR72INVOKANA 72IODINE STRONG 80iodine tincture23IODOQUIMEZ-HC 32iodoquinol-hc-aloe polysacch32IODOQUINOL-HC-KETOCONAZOLE 32iodoquinol-hydrocortisone-aloe32IOPIDINE 122IOSAT 116IPOL109ipratropium bromide 128 132ipratropium-albuterol 132irbesartan 53irbesartan-hydrochlorothiazide53IRESSA38irinotecan hcl38IROSPAN 24680ISENTRESS45ISENTRESS HD 45isibloom101isoflurane 116ISOLYTE-S 80isoniazid 35ISOPTO ATROPINE 124ISOPTO CARPINE 122ISORDIL TITRADOSE 53isosorbide dinitrate53isosorbide mononitrate53isosorbide mononitrate er 53isotretinoin66ISOXSUPRINE HCL 53isoxsuprine hcl 53isradipine53ISTALOL 122ISTODAX (OVERFILL) 38ISTURISA 98ITHOXIA66itraconazole32ivermectin41IVERMECTIN-METRONIDAZOL-NIACIN 66IXEMPRA KIT 38IXIARO109IXINITY 49JADENU80JADENU SPRINKLE80jaimiess 101JAKAFI38

JALYN94JANSSEN COVID-19 VACCINE 109jantoven 26JANUMET 72JANUMET XR 72JANUVIA72JARDIANCE72jasmiel101JATENZO96JELMYTO 38jencycla 101JENLIVA PRENATALPOSTNATAL80JENTADUETO 72JENTADUETO XR 72JEVTANA38jinteli 101JIVI49JOHNSON GRASS116jolessa101JORNAY PM 57JUBLIA32juleber 101JULUCA 45JUNE GRASS POLLEN STANDARDIZED 116junel 1530 101junel 120 101junel fe 1530 101junel fe 120 101junel fe 24 101JUXTAPID53JYNARQUE 80KBGL IN TERODERM 16KADCYLA 38kaitlib fe101KALBITOR 107KALETRA45kalliga102KALYDECO 133KAMDOY 66KANJINTI 38KANUMA91KAPOK116KAPSPARGO SPRINKLE53KAPVAY57kapzin dc16KARBINAL ER 128kariva 102KATARYA 66KATARYAXN 66KATERZIA 53

KAXM66KAZANO 72KCL-LIDOCAINE-NACL80KEDRAB 107KEFLEX 23KEIDO66KELARX66kelnor 135 102kelnor 150 102KENALOG66 95KENALOG-80 95KEPIVANCE 59KEPPRA 27KEPPRA XR 27KERAGEL 66KERALAC 66KERALYT66KERALYT SCALP66KERAMATRIX REPLICINE 5CMX5CM 66KERYDIN 32KESIMPTA58KETAMINE HCL 116KETAMINE HCL-SODIUM CHLORIDE 116KETARYA 66ketoconazole32KETOCONAZOLE-HYDROCORTISONE32ketodan 32KETODAN32KETONE TEST 74KETOPHENE RAPIDPAQ 16ketoprofen 16ketoprofen er16KETOROLAC TROMETHAMINE16ketorolac tromethamine 16 121KETOSTIX 74KETOVIE 116KETOVIE PEPTIDE 116KEVARYA 66KEVEYIS122KEVZARA 107KEXM66KEYA 66KEYTRUDA 38KHAPZORY 38KINERET 107KISQALI 38KISQALI FEMARA 38KITABIS PAK 133KIVIK66

KLARITY-A 121KLARITY-L121KLARON 66KLISYRI 66KLONOPIN 47klor-con 80klor-con 10 80klor-con m10 80KLOR-CON M15 80klor-con m20 80klor-conef 80KOATE49KOATE-DVI49KOCHIA 116KOGENATE FS 49KOMBIGLYZE XR72KORLYM99KOSELUGO38KOVALTRY49K-PHOS 80K-PHOS NO 280K-PHOS-NEUTRAL 80k-prime 80KRINTAFEL 41KRISTALOSE 89KRYSTEXXA 34K-TAB 80k-tan plus 80kurvelo 102KUTARYAXM66KUTARYAXMPA66KUTEA 66KUVAN91KUVARYA66KUVARYE66KUXM67KYLEENA 102KYMRIAH107KYNMOBI 42KYNMOBI TITRATION KIT42KYPROLIS 38labetalol hcl 53LACRISERT124LACTEROL 89lactic acid 67lactic acid e 67LACTIC ACID-NIACINAMIDE67lactobacillus 89LACTOJEN 89lactulose89lactulose encephalopathy 89LAMICTAL 27LAMICTAL ODT27

LAMICTAL STARTER27LAMICTAL XR 27lamivudine45lamivudine-zidovudine 45lamotrigine 27 28lamotrigine er 27lamotrigine starter kit-blue28lamotrigine starter kit-green 28lamotrigine starter kit-orange 28LAMPIT 41LANOXIN 53lansoprazole86lanthanum carbonate 93LANTUS SOLOSTAR 76LANTUS U-100 VIAL 76lapatinib ditosylate 38larin 1530 102larin 120 102larin 24 fe 102larin fe 1530 102larin fe 120 102larissia102LASIX53LASTACAFT 124latanoprost 122LATANOPROST-TIMOLOL MALEATE 122LATISSE 124LATUDA44lavare wound wash 67laxative max str 89laxative regular strength89layolis fe 102LAZANDA 11L-CYSTINE 80LDO PLUS 18LEDIPASVIR-SOFOSBUVIR 45leena 102leflunomide107LEMTRADA 58LENSCALE 116LENVIMA 38LESCOL XL 53lessina102LETAIRIS 133letrozole 38lets 18leucovorin calcium 38LEUKERAN38LEUKINE49leuprolide acetate98levalbuterol hcl 132LEVALBUTEROL HFA132

LEVATIO18LEVBID 89LEVEMIR U-100 FLEXTOUCH76LEVEMIR U-100 VIAL76levetiracetam28levetiracetam er 28LEVITRA 93levobunolol hcl 122levocarnitine80levocarnitine sf 80levocetirizine dihydrochloride128levofloxacin 23 121levoleucovorin calcium38levoleucovorin calcium pf38levonest102levonorgest-eth est amp eth est 102levonorgest-eth estrad 91-day 102levonorgestrel 102levonorgestrel-ethinyl estrad102levonorg-eth estrad triphasic102levora 01530 (28)102levorphanol tartrate 11levo-t 104LEVOTHYROXINE SODIUM 104levothyroxine sodium 104levoxyl 104LEVSIN 89LEVSINSL89LEVULAN KERASTICK 67LEXAPRO 30LEXETTE 67LEXIVA 45LIALDA111LIBRAX 89LIBTAYO38LICART 16lice killing42lice treatment 42LIDO BDK 18lidocaine18LIDOCAINE (ANORECTAL) 67lidocaine hcl 18 59LIDOCAINE HCL 18lidocaine hcl (pf)18lidocaine hcl urethralmucosal18lidocaine viscous hcl 59lidocaine-hydrocort (perianal) 111LIDOCAINE-HYDROCORTISONE ACE67 111lidocaine-hydrocortisone ace 111lidocaine-prilocaine 18 19LIDOCAINE-TETRACAINE19LIDOCANNA 19

LIDOCORT 111LIDODERM 19LIDO-EPINEPHRINE-TETRACAINE 19LIDOMARK 25 19LIDOPAC 19lidopin19LIDOPIN19LIDOPRIL19LIDOPRIL XR19LIDO-PRILO CAINE PACK19LIDOPURE PATCH 19LIDORX19LIDO-SORB 19LIDOSTREAM19LIDOTHOL 19LIDOTRAL 19LIDOTREX (ALOE VERA) 67LIDOVIX L19LIDTOPIC MAX19LIFEMS NALOXONE 20LILETTA (52 MG)102lillow 102LIMBREL116LIMBREL250116LIMBREL500116LINCOCIN23lincomycin hcl23lindane 42linezolid 23linezolid in sodium chloride 23LINZESS 89LIORESAL 134liothyronine sodium 104LIPITOR 53LIPOFEN53LIPRITIN II 58liquid acetaminophen 11liquid allergy relief 128lisinopril 53lisinopril-hydrochlorothiazide53L-ISOLEUCINE 80lithium47lithium carbonate48lithium carbonate er 47LITHOBID 48LITHOSTAT 93LIVALO 53LIVIXIL PAK 19l-methylfolate80l-methylfolate ca me-cbl nac 80l-methylfolate calcium 80l-methylfolate forte 80

l-methylfolate-algae80l-methylfolate-algae-b12-b6 80l-methylfolate-b6-b12 80l-methyl-mc 80l-methyl-mc nac80LMR PLUS 19LO LOESTRIN FE102LOCOID 67LOCOID LIPOCREAM 67LODINE16LODOSYN 42LOESTRIN 1530 (21)102LOESTRIN 120 (21)102LOESTRIN FE 1530 102LOESTRIN FE 120 102lojaimiess 102LOKELMA 80LOMAIRA58LOMOTIL 89LONHALA MAGNAIR REFILL KIT 132LONHALA MAGNAIR STARTER KIT132LONSURF38loperamide hcl89LOPID 53lopinavir-ritonavir45LOPRESSOR53LOPROX 33loratadine 128loratadine childrens128loratadine-d 12hr128loratadine-d 24hr128lorazepam 47lorazepam intensol47LORBRENA 38LORID 80LORMATE116LORTAB11loryna 102LORZONE134losartan potassium53losartan potassium-hctz 53LOSEASONIQUE 102LOTEMAX121LOTEMAX SM 121LOTENSIN 53LOTENSIN HCT53loteprednol etabonate 121LOTREL 53LOTRIMIN AF 33LOTRONEX 89lovastatin53

LOVAZA53LOVENOX26low-ogestrel102loxapine succinate 44lo-zumandimine102LUBIPROSTONE89lubricant eye drops124lubricant eye drops pf124lubricant eye pm124lubricant pm 124lubricating eye drops124lubricating plus eye drops 124LUCEMYRA 20LUCENTIS 124LUGOLS STRONG IODINE23LULICONAZOLE33LUMIGAN123LUMIZYME 91LUMOXITI 38LUNESTA 135LUPANETA PACK 98LUPKYNIS 107LUPRON DEPOT (1-MONTH)98LUPRON DEPOT (3-MONTH)98LUPRON DEPOT (4-MONTH) INTRAMUSCULAR KIT 30MG98LUPRON DEPOT (6-MONTH) INTRAMUSCULAR KIT 45MG98LUPRON DEPOT-PED (1-MONTH)98LUPRON DEPOT-PED (3-MONTH)98LUTATHERA38lutera 102LUXIQ 67LUXTURNA124LUZU33LYDEXA19lyleq102lyllana102LYNPARZA 38LYRICA 58LYRICA CR58lysiplex plus80LYSODREN 38LYSTEDA49LYUMJEV KWIKPEN76LYUMJEV VIAL76lyza102MVI ADULT80MVI PEDIATRIC 80MAALOX MULTI SYMPTOM MAX ST89

MACRILEN 116MACROBID23MACRODANTIN 23mafenide acetate 23MAGNEBIND 400 80magnesium citrate89magnesium oxide80 89magnesium sulfate80 81MAGNESIUM SULFATE81magnesium-oxide81mag-oxide 81MAKENA102MALARONE42malathion 42maprotiline hcl30MARCAINE 19MARCAINE PRESERVATIVE FREE 19MARINOL31marlido 19MARLIDO-25 19marlissa102MARPLAN30MARQIBO 38MARVONA SUIK 19MAS CARE-PAK95MATULANE 38matzim la53MAVENCLAD58MAVYRET45MAXALT34MAXALT-MLT 34MAXICOMFORT SYR 27G X 1276MAXIDEX121MAXITROL124maxi-tuss ac128maxi-tuss gmx128maxi-tuss pe max128MAXZIDE 53MAXZIDE-2553MAYZENT58m-dryl 128menaphosmbhyo1 93MEADOW FESCUE GRASS POLLEN116meclizine hcl 31meclofenamate sodium16MEDERMA67MEDERMA FOR KIDS67MEDERMA SPF 3067MEDPURA ALCOHOL PADS 67medpura hand sanitizer 67

MEDROL95MEDROLOAN II SUIK 95MEDROLOAN SUIK 95medroxyprogesterone acetate 102mefenamic acid16mefloquine hcl42megestrol acetate 102MEKINIST 38MEKTOVI39MELALEUCA 117meloxicam16melphalan 39melphalan hcl39memantine hcl29memantine hcl er 29MENACTRA109MENEST 102MENOPUR98MENOSTAR102MENQUADFI 109MENTAX 33MENVEO 109meperidine hcl11MEPHYTON81meprobamate47MEPRON 42MEPSEVII 91mercaptopurine 39meropenem23MEROPENEM-SODIUM CHLORIDE 24merzee 102mesalamine111mesalamine er oral capsule 0375 gm 111mesalamine-cleanser111mesna 39MESNEX39MESQUITE 117MESTINON 35metafolbic81metafolbic plus 81METAFOLBIC PLUS RF81METANX 81METAXALL CP 134metaxalone 134metformin hcl er 72metformin hcl er (mod)72metformin hcl er (osm) 73metformin hcl ir 73METHACHOLINE CHLORIDE 117methadone hcl 11 12methadone hcl intensol 11

methadose 12methadose sugar-free12methamphetamine hcl57METHAVER 117methazolamide123methenamine hippurate 24methenamine mandelate 24methergine 117methimazole104METHITEST96methocarbamol 134METHOHEXITAL SODIUM117methotrexate 107methotrexate sodium 107methotrexate sodium (pf) 107methoxsalen rapid67methscopolamine bromide89methyl salicylate67methyldopa 53methyldopa-hydrochlorothiazide53methylergonovine maleate117methylfol-algae-b12-acetylcyst 81METHYLIN57methylphenidate hcl 57methylphenidate hcl er57methylphenidate hcl er (cd)57methylphenidate hcl er (la)57methylphenidate hcl er (xr) 57methylprednisolone95METHYLPREDNISOLONE ACETATE 95methylprednisolone acetate 95methyltestosterone96metoclopramide hcl31metolazone 54METOPIRONE117metoprolol succinate er54metoprolol tartrate54metoprolol-hydrochlorothiazide54METROCREAM 67METROGEL67METROLOTION67metronidazole 24 67METRONIDAZOLE BENZO+SYRSPEND24metyrosine 54mexiletine hcl 54MIACALCIN 111mibelas 24 fe102micaderm 33micafungin sodium 33MICARDIS 54

MICARDIS HCT 54MICLARA LQ 128miconazole 133miconazole 333miconazole 733miconazole nitrate33MICONAZOLE-ZINC OXIDE-PETROLAT 33MICRHOGAM ULTRA-FILTERED PLUS 107MICRODOT TEST 74microgestin 1530102microgestin 120102microgestin 24 fe102microgestin fe 1530102microgestin fe 120102MICROLET NEXT LANCING DEVICE74MICROPLEGIA MSA-MSG81midazolam hcl 47MIDAZOLAM HCL-SODIUM CHLORIDE 47MIDAZOLAM+SYRSPEND SF 47midodrine hcl54MIFEPREX81mifepristone 81MIGERGOT 34miglitol73miglustat91MIGRAINE PACK 34migraine relief 12MIGRANAL 34MIGRANOW 34mili 102milk of magnesia 89MILLIPRED 95milrinone lactate54milrinone lactate in dextrose 54mimvey102MIMYX 67MINASTRIN 24 FE102mineral oil heavy 89MINIMED PUMP RESERVOIR 3ML 117MINIPRESS 54minitran 54MINIVELLE 102minocycline hcl24MINOCYCLINE HCL ER24minocycline hcl er 24MINOLIRA24minoxidil 54

MINOXIDIL-PROGEST-TRETINOIN67MIRAPEX42MIRAPEX ER42MIRCERA 49MIRCETTE102MIRENA (52 MG)102mirtazapine 30MIRVASO 67misoprostol86MITE (D FARINAE)117MITE (D PTERONYSSINUS)117MITIGARE34mitigo 12mitomycin39MITOMYCIN 39MITOSOL121mitoxantrone hcl39MIXED ASPERGILLUS117MIXED FEATHERS 117MIXED RAGWEED 117MIXED VESPID VENOM PROTEIN 117MKO MELT DOSE PACK 117mlk f1 117mlk f2 117mlk f3 117mlk f4 117mm clearlax89mm stool softener laxative 89M-M-R II 109M-NATAL PLUS81MOBIC 16modafinil 135MODERNA COVID-19 VACCINE 109moexipril hcl 54moisturel 67molindone hcl44mometasone furoate 67 128mondoxyne nl24MONJUVI39MONOFERRIC 81mono-linyah 102MONONINE 49MONOVISC 117monsels ferric subsulfate 49montelukast sodium 132MONUROL24MORCIN 117MORGIDOX 24morgidox 24MORPHINE SULFATE 12

morphine sulfate 12morphine sulfate (concentrate) 12morphine sulfate (pf) 12morphine sulfate er 12morphine sulfate er beads 12MORPHINE SULFATE-NACL12MOTEGRITY89motion sickness relief31MOTOFEN 89MOTRIN IB 16MOTRIN INFANTS DROPS16MOUNTAIN CEDAR 117MOUSE EPITHELIUM 117MOUTH KOTE REMINT 59MOVANTIK 89MOVIPREP 89MOXEZA121moxifloxacin hcl24 121MOXIFLOXACIN HCL121moxifloxacin hcl (2x day)121moxifloxacin hcl in nacl 24MOZOBIL49m-pap12MS CONTIN12MSUD EASY117MUCINEX CHILDRENS FREEFROM128MUCINEX CHILDRENS STUFFY NOSE128MUCINEX DM128MUCINEX FAST-MAX DM MAX 128MUCOR 117MUCOSITISRX 59MUCOTROL 117mucus dm 128mucus relief d128mucus relief dm128mucus relief max st 128mucus-d 128MUGARD 117MUGWORT117MULPLETA 49MULTAQ 54MULTIGEN 81MULTIGEN FOLIC81MULTIGEN PLUS 81MULTIPRO 81MULTI-SPECIALTY 95multi-vitironfluoride81multivitaminfluoride 81MULTIVITAMINFLUORIDE 81multi-vitaminfluoride 81

multi-vitaminfluorideiron 81mupirocin 24mupirocin calcium 24MURO 128 124MUSE93mutamycin39MVASI39MYALEPT 91MYAMBUTOL 35MYCAMINE33MYCAPSSA 98MYCOBUTIN 35mycophenolate mofetil 107mycophenolate mofetil hcl 107mycophenolate sodium 107MYCOZYL AP33MYDAYIS57MYDRIACYL 124myferon 150 forte81MYFORTIC 107MYLERAN39MYLOTARG39mynephrocaps 81MYNEPHRON81MYOBLOC 117myorisan 67MYRBETRIQ93MYSOLINE 28MYTESI89MYXREDLIN 76na ferric gluc cplx in sucrose81NABI-HB 107nabumetone 16n-acetyl-l-cysteine 81nadolol 54nafcillin sodium 24nafrinse 81NAFRINSE DAILY ACIDULATED 59NAFRINSE DAILYNEUTRAL59nafrinse drops 81NAFRINSE WEEKLY59naftifine hcl33NAFTIN 33NAGLAZYME91nalbuphine hcl12NALFON 16NALOCET 12naloxone hcl20NALTREXONE20naltrexone hcl20NAMENDA 29NAMENDA TITRATION PAK29

NAMENDA XR 29NAMENDA XR TITRATION PACK 29NAMZARIC 29NAPRELAN16NAPROSYN16naproxen 16naproxen sodium 16naproxen sodium er 16NAPROXEN SODIUM ER 16naproxen-esomeprazole 16naratriptan hcl 34NARCAN20NARDIL30NASACORT ALLERGY 24HR 128nasal decongestant129nasal decongestant pe129nasal moisturizing spray 129nasal spray 12 hour 129nasal spray no drip129NASCOBAL 81NASONEX 129NATACYN121NATAZIA102nateglinide73NATESTO 96NATPARA 112NATROBA42natural senna laxative 89NATURE-THROID 104NAVELBINE39NAYZILAM 28NEBUPENT 42necon 0535 (28)103nefazodone hcl30NEODOT THERMOMETER 117neomycin sulfate 24neomycin-bacitracin zn-polymyx124neomycin-polymyxin b gu 24neomycin-polymyxin-dexameth 124neomycin-polymyxin-gramicidin124neomycin-polymyxin-hc 124 126NEONATAL + DHA81NEONATAL 1981NEONATAL COMPLETE81NEONATAL FE 81NEONATAL PLUS 81neo-polycin124neo-polycin hc125NEORAL 107

NEOSALUS 67NEOSPORIN ORIGINAL 67NEOSTIGMINE METHYLSULFATE 35NEO-SYNALAR 67NEO-SYNEPHRINE COLDALLRG MILD129NEO-SYNEPHRINE COLDALLRGY EXT129NEO-SYNEPHRINE COLDALLRGY REG 129NEOTUSS PLUS 129NEOVITE 81NEPHPLEX RX81nephronex 81NEPHRO-VITE RX 81NERLYNX 39NESINA73NESTABS 81NESTABS ONE 81neuac 67NEUAC 67NEULASTA 49NEULASTA ONPRO49NEUPOGEN 49NEUPRO42NEURAPTINE58NEURIN-SL81NEURONTIN28NEVANAC121nevirapine 45nevirapine er 45NEXAVAR39NEXIUM 86NEXLETOL 54NEXLIZET54NEXPLANON103niacin (antihyperlipidemic) 54niacin er (antihyperlipidemic) 54NIACINAMIDE-SPIRONOLACTONE 67NIACINAMIDE-SULFACETAMIDE67NIACINAMIDE-TACROLIMUS67NIACINAMIDE-TAZAROTENE 67NIACINAMIDE-TRETINOIN67NIACINAMIDE-TRIAMCINOLONE ACET 67NIACIN-SPIRONOLACTON-TRETINOIN67niacor 54NIASPAN 54NICADAN81

NICAPRIN117nicardipine hcl 54NICAZEL81NICAZEL FORTE81NICAZYME 117NICOMIDE 81NICORETTE 20nicotine polacrilex 21nicotine step 121nicotine step 221nicotine step 321NICOTROL 21NICOTROL NS 21nifedipine54nifedipine er 54nifedipine er osmotic release 54NIFEREX 81nikki103NILANDRON39nilutamide39nimodipine54NINLARO 39NIPENT39nisoldipine er54nitazoxanide42nitisinone91NITRO-BID54NITRO-DUR54nitrofurantoin 24nitrofurantoin macrocrystal24nitrofurantoin monohydrate macrocrystals24nitroglycerin54NITROLINGUAL 54NITROMIST 54NITROSTAT54NITRO-TIME 54NITYR 91NIVESTYM49nizatidine86NOCDURNA 98nolix67NOPIOID-LMC KIT 134nora-be103NORDIPEN 5 INJECTION DEVICE117NORDITROPIN FLEXPRO 98norethin ace-eth estrad-fe103norethindrone103norethindrone acetate 103norethindrone acet-ethinyl est103norethindrone-eth estradiol 103norethin-eth estradiol-fe 103

NORGESIC FORTE134norgestimate-eth estradiol 103norgestimate-ethinyl estradiol triphasic103NORITATE67norlyda 103norlyroc 103NORPACE 54NORPACE CR 54NORPRAMIN 30NORTHERA54nortrel 0535 (28) 103nortrel 135 (21) 103nortrel 135 (28) 103nortrel 777103nortriptyline hcl30NORVASC 54NORVIR 45NOURIANZ 42NOVACORT67NOVAMV PEDIATRIC MULTI-VITAMIN 81novarel 98NOVAREL98NOVOEIGHT 49NOVOFINE AUTOCOVER PEN NEEDLE 76NOVOFINE PEN NEEDLE 76NOVOFINE PLUS PEN NEEDLE76NOVOLIN 7030 FLEXPEN 76NOVOLIN 7030 FLEXPEN RELION76NOVOLIN 7030 RELION 76NOVOLIN 7030 VIAL 76NOVOLIN N FLEXPEN76NOVOLIN N FLEXPEN RELION76NOVOLIN N RELION76NOVOLIN N VIAL 76NOVOLIN R FLEXPEN76NOVOLIN R FLEXPEN RELION77NOVOLIN R RELION77NOVOLIN R VIAL 77NOVOLOG FLEXPEN 77NOVOLOG MIX 7030 FLEXPEN77NOVOLOG MIX 7030 VIAL77NOVOLOG PENFILL 77NOVOLOG U-100 VIAL 77NOVOPEN ECHO74NOVOSEVEN RT 49

NOVOTWIST PEN NEEDLE 77NOXAFIL33NP 2 DRUG PREPARATION KIT 16np thyroid 104NPLATE 49NUBEQA39NUCALA 129NUCARACLINPAK 67NUCARARXPAK67NUCORT67NUCYNTA12NUCYNTA ER12NUDERMRXPAK 120 67NUDERMRXPAK 60 68NUDICLO SOLUPAK16NUDICLO TABPAK16NUDROXIPAK 16NUDROXIPAK DSDR-5017NUDROXIPAK DSDR-7517NUDROXIPAK E-40017NUDROXIPAK I-800 17NUDROXIPAK M-15 17NUDROXIPAK N-500 17NUEDEXTA 58NUFERA 81nufol 81NULEV 89NULOJIX107NULYTELY LEMON-LIME 89NUMBRINO 19NUPLAZID 44NURTEC 34NUSURGEPAK SURGICAL PREPCARE 59NUTRASEB 68NUTRIARX CREAMPAK 68NUTRICAP81NUTRIDOX 24nutrifac zx81NUTRIVIT 82NUTROPIN AQ NUSPIN 10 98NUTROPIN AQ NUSPIN 20 98NUTROPIN AQ NUSPIN 5 99NUVAIL 68NUVAKAAN 19NUVAKAAN-II 19NUVARING 103NUVESSA24NUVIGIL135NUWIQ49NUZYRA 24nyamyc33

nylia 777103NYMALIZE 54nymyo 103nystatin33nystatin-triamcinolone 33nystop 33NYVEPRIA49OBIZUR 49OCALIVA 91ocella103OCREVUS 58OCTAGAM107octreotide acetate 99OCUFLOX121OCUVEL 82ODACTRA 117ODEFSEY45ODOMZO39odorless coated fish oil 117OFEV 132ofloxacin24 121 126OGIVRI 39olanzapine44olanzapine-fluoxetine hcl 30OLIVE TREE117olmesartan medoxomil54olmesartan medoxomil-hctz 54olmesartan-amlodipine-hctz54olopatadine hcl121 129OLUMIANT 107OLUX 68OLUX-E68OMECLAMOX-PAK 89OMEGA-3 RX COMPLETE54omega-3-acid ethyl esters54omeprazole 86omeprazole magnesium86OMEPRAZOLE+SYRSPEND SF ALKA 86omeprazole-sodium bicarbonate 86OMNARIS 129OMNITROPE 99OMNIVEX 117ONCASPAR39ondansetron hcl 31ondansetron odt 31ONE VITE WOMENS82ONE VITE WOMENS PLUS 82ONETOUCH DELICA LANCING DEV74ONETOUCH DELICA PLUS LANCING 74

ONETOUCH ULTRA74ONETOUCH ULTRA 2 KIT WDEVICE 74ONETOUCH ULTRA MINI KIT WDEVICE 74ONETOUCH VERIO FLEX SYSTEM KIT WDEVICE74ONETOUCH VERIO IQ SYSTEM 74ONETOUCH VERIO KIT WDEVICE 74ONETOUCH VERIO REFLECT74ONETOUCH VERIO SYNC SYSTEM KIT WDEVICE75ONEVITE 82ONEXTON 68ONFI 28ONGENTYS42ONGLYZA73ONIVYDE39ONPATTRO 58ONTRUZANT39ONUREG 39ONYCHO-MED 33ONZDEOXIA68ONZETRA XSAIL34OPDIVO 39opium 89OPSUMIT133ORACEA68ORACIT 82ORALAIR 117ORALAIR ADULT STARTER PACK 117ORALAIR CHILDRENS STARTER PACK 117oralone 59ORAMAGICRX 117ORAPRED ODT95ORAVIG 33ORCHARD GRASS POLLEN 117ORENCIA107ORENCIA CLICKJECT 107ORENITRAM 133ORFADIN91ORGOVYX39ORIAHNN 103ORILISSA 99ORKAMBI 133ORLADEYO 107ORMECA 17orphenadrine citrate er134

orphenadrine-asa-caffeine 134ORPHENGESIC FORTE 134orsythia 103ORTHO DF 82ORTHO MICRONOR 103ORTHOVISC117ORTIKOS111oscimin89oscimin sr89oseltamivir phosphate 45OSENI73OSMOLEX ER 42OSMOPREP 89OSPHENA 97OTEZLA 107OTIPRIO 126OTOVEL 126OTREXUP107OVACE PLUS 68OVACE PLUS WASH 68OVACE WASH68OVEEZA 82OVIDE42OVIDREL 99oxacillin sodium24oxaliplatin 39oxandrolone 97oxaprozin 17OXAYDO12oxazepam 47OXBRYTA117oxcarbazepine28OXERVATE 125OXIANUJO68OXIATAR 68OXIAVARRY 68OXIAZAR 68oxiconazole nitrate 33OXISTAT33OXLUMO 93OXOPOD 68OXSORALEN ULTRA68OXTELLAR XR 28oxybutynin chloride 93oxybutynin chloride er 93oxycodone hcl 12 13OXYCODONE HCL ER 12OXYCODONE-ACETAMINOPHEN13oxycodone-acetaminophen13oxycodone-aspirin13OXYCONTIN13oxymorphone hcl13

oxymorphone hcl er 13OXYTOCIN-LACTATED RINGERS99OXYTOCIN-SODIUM CHLORIDE 99OXYTROL93OXYTROL FOR WOMEN 93oyster shell calciumd82oyster shell calciumvitamin d 82OZEMPIC73OZOBAX 134OZURDEX 121PACERONE54paclitaxel 39PADCEV 39pain amp fever childrens 13pain amp fever infants 13pain relief 13pain relief childrens 13pain relief extra strength 13pain relief regular strength 13pain reliever extra strength 13pain relieving + lidocaine19PAINGO KFT 19PALFORZIA 117paliperidone er 44palonosetron hcl31PALYNZIQ 91PAMELOR 30pamidronate disodium111PANADOL CHILDRENS 13PANADOL EXTRA13PANADOL EXTRA STRENGTH 13PANADOL INFANTS 13PANCREAZE 91PANDEL68PANHEMATIN 49PANRETIN39pantoprazole sodium86PANZYGA107papaverine hcl54PARAGARD INTRAUTERINE COPPER103paraplatin 39PAREMYD 125PARI ALTERA NEBULIZER HANDSET117PARI TREK S COMBO PACK 117PARI VORTEX ADULT MASK 117paricalcitol 112PARLODEL42PARNATE 30

paromomycin sulfate24paroxetine hcl30paroxetine hcl er 30paroxetine mesylate30PARSABIV 112PASER35PATADAY 121PATANASE129PAXIL30PAXIL CR30pb-hyoscy-atropine-scopolamine89P-CARE K40 95P-CARE K40G 95P-CARE K40MX95P-CARE K80 95P-CARE K80G 95P-CARE K80MX95PCP 10089pediaclear pd childrens 129PEDIAPRED 95PEDIATRIC COMPRESSOR NEBULIZER118pediatric electrolyte 82pediavit82PEDIZOLPAK 33PEDVAX HIB 109peg 3350-kcl-na bicarb-nacl89peg-3350electrolytes89peg-3350electrolytesascorbat89PEGASYS45PEGINTRON46peg-kcl-nacl-nasulf-na asc-c 89peg-prep90PEMAZYRE 39penicillamine 93penicillin g potassium24penicillin g procaine 24penicillin g sodium24penicillin v potassium 24PENICILLIUM NOTATUM118PENLEN68PENNSAID17PENTAM 42pentamidine isethionate 42PENTASA 111pentazocine-naloxone hcl 13PENTOSAN POLYSULFATE SODIUM93pentoxifylline er 54PEPCID86PERCOCET 13

PERDIEM OVERNIGHT RELIEF 90PERFOROMIST132PERIDEX 59perindopril erbumine 54periogard59PERJETA39permethrin42perphenazine 31perphenazine-amitriptyline30PERSERIS44PERTZYE 91PEXEVA30PFIZER-BIONTECH COVID-19 VACC 109PFIZERPEN24PH STRIPS 118phenazo 93phenazopyridine hcl 93phendimetrazine tartrate 58phendimetrazine tartrate er58phenelzine sulfate 30PHENERGAN 129phenobarbital 28phenobarbital-belladonna alk90PHENOHYTRO90phenoxybenzamine hcl 54phentermine hcl 58phentolamine mesylate 54PHENYLEPHRINE HCL 93phenylephrine hcl125PHENYLEPHRINE HCL-NACL55PHENYTEK28phenytoin 28phenytoin infatabs28phenytoin sodium extended 28PHEODOYO 33PHESGO39PHEXXI118PHEYO 33philith103PHLAG SPRAY68PHOMA EXIGUA 118PHOSLYRA 93PHOSPHA 250 NEUTRAL82PHOSPHASAL93PHOSPHOLINE IODIDE123phosphorous 82phosphorus supplement82phosphorus wsod amp potassium82phospho-trin 250 neutral 82PHOTOFRIN39

PHOTREXA-PHOTREXA VISCOUS KIT 118PHOXILLUM B22K40 82PHOXILLUM BK425 82PHYSICIANS EZ USE B-1282physicians ez use jointtunnel 95PHYSICIANS EZ USE M-PRED 95PHYSIOLYTE 82PHYSIOSOL IRRIGATION 82phytonadione 82PIFELTRO 46pilocarpine hcl 59 123pimecrolimus68pimozide44pimtrea 103pindolol55pink bismuth maximum strength 90pioglitazone hcl 73pioglitazone hcl-glimepiride73pioglitazone hcl-metformin hcl 73piperacillin sod-tazobactam so24PIQRAY 39pirmella 135 103pirmella 777 103piroxicam17PKU EASY 118PKU EASY MICROTABS118PKU GO 118PLAN B ONE-STEP103PLAQUENIL42PLASMA-LYTE 148 82PLASMA-LYTE A82PLAVIX 43PLEGRIDY58PLEGRIDY STARTER PACK 58PLENVU90PLEXION 68PLEXION CLEANSER 68PLEXION CLEANSING CLOTH68PLIAGLIS 19PNEUMOVAX 23 109PNV TABS 20-1 82POD-CARE 100K95PODIAPN82podocon 68podofilox68PODPROG68POINT OF CARE L2 95POINT OF CARE L5 95POINT OF CARE LM DEP 295

POINT OF CARE LM-2219POINT OF CARE LM-2519POLIVY 39polycin125poly-iron 150 forte 82polymyxin b sulfate 24polymyxin b-trimethoprim125polysaccharide iron forte82POLYSPORIN25POLYTRIM125POLY-VI-FLOR 82POLY-VI-FLORIRON 82POLY-VITE PEDIATRIC 82POMALYST 39PONVORY 58PONVORY STARTER PACK 58portia-28103PORTRAZZA 39posaconazole33POTABA 82potassium chloride 82potassium chloride crys er 82potassium chloride er82potassium chloride in nacl82potassium citrate er82potassium citrate-citric acid82POTELIGEO 39POVIDONE-IODINE 121PR BENZOYL PEROXIDE68PR BENZOYL PEROXIDE WASH 68PR CREAM 68PRADAXA26PRALUENT55pramipexole dihydrochloride 42pramipexole dihydrochloride er42pramosone 68PRAMOSONE68PRAMOTIC 126pramox 68PRASTERA17prasugrel hcl 43pravastatin sodium55PRAXBIND118praziquantel 42prazosin hcl55PRE amp POST SX POUCH68PRECEDEX 118PRECISION LINK 75PRECISION PCX PLUS TEST 75PRECISION QID MONITOR75PRECISION QID TEST75

PRECISION SOF-TACT MONITOR 75PRECISION SOF-TACT TEST 75PRECISION XTRA75PRECISION XTRA BLOOD GLUCOSE 75PRECISION XTRA MONITOR75PRECOSE 73PRED FORTE121PRED MILD 121PRED-G 125PRED-G SOP 125prednicarbate 68PREDNISOL ACE-MOXIFLOX-BROMFEN 122prednisolone 95prednisolone acetate122prednisolone acetate p-f 122PREDNISOLONE ACETATE-NEPAFENAC 125PREDNISOLONE ACET-MOXIFLOXACIN125prednisolone sodium phosphate 96 122PREDNISOLONE-BROMFENAC 125PREDNISOLONE-GATIFLOXACIN125PREDNISOLONE-MOXIFLOXACIN125PREDNISOLON-GATIFLOX-BROMFENAC 125PREDNISOLON-MOXIFLOX-BROMFENAC 125PREDNISOLON-MOXIFLOX-NEPAFENAC 122prednisone 96prednisone intensol96PREFEST 103pregabalin 58PREGEN DHA 82PREGENNA82pregnyl 99PREMARIN 103PREMESISRX 82PREMIUM CONDOMS LUBRICATED 118premium lidocaine19PREMIUM SCAR 19PREMPHASE 103PREMPRO103PRENAISSANCE82PRENARA83

prenatal 83prenatal plus iron 83prenatal vitamin plus low iron83PRENATE 83PRENATE DHA 83PRENATE ELITE 83PRENATE ENHANCE 83PRENATE ESSENTIAL 83PRENATE MINI 83PRENATE PIXIE83PRENATE RESTORE83PRENATRIX 83PRENATRYL 83PRENATVITE COMPLETE83PRENATVITE PLUS 83PRENATVITE RX 83PREPIDIL93PREPIV SUPPLY19preplus 83PRESERA68PRESTALIA 55PRETAB83PRETOMANID 35PREVACID86PREVACID 24HR 86PREVACID SOLUTAB86prevalite 55PREVIDENT 59PREVIDENT 5000 BOOSTER PLUS59PREVIDENT 5000 DRY MOUTH59PREVIDENT 5000 ENAMEL PROTECT60PREVIDENT 5000 ORTHO DEFENSE 60PREVIDENT 5000 PLUS 60PREVIDENT 5000 SENSITIVE60PREVIDOLRX ANALGESIC 17previdolrx plus analgesic17previfem 103PREVNAR 13110PREVYMIS 46PREZCOBIX 46PREZISTA 46PRIALT 13PRID 118PRIFTIN 35PRILO PATCH 19PRILO PATCH II 19PRILOLID19PRILOSEC86PRILOVIX 19

PRILOVIX LITE19PRILOVIX LITE PLUS 19PRILOVIX PLUS 19PRILOVIX ULTRALITE 19PRILOVIX ULTRALITE PLUS19PRILOVIXIL 19PRIMACARE83primaquine phosphate 42primidone 28PRIMSOL25PRINIVIL 55PRISTIQ30PRIVET 118PRIVIGEN107PRIZOPAK II19PRIZOTRAL19PRIZOTRAL-II19PRO HERS RX 83PRO HIS RX 83PRO PCOS RX 83PROAIR DIGIHALER132PROAIR HFA 132PROAIR RESPICLICK132probenecid 34PROBICHEW90PROBITROL 90PROBUPHINE IMPLANT KIT 13procainamide hcl55PROCARDIA55PROCARDIA XL 55PRO-C-DURE 5 96PRO-C-DURE 6 96PROCENTRA 57prochlorperazine 31prochlorperazine maleate 31PROCORT 111PROCRIT49PRO-CRITIC 118PROCTOCORT 111PROCTOFOAM HC 111procto-med hc 111procto-pak 111proctozone-hc 111PROCYSBI 91PRODIGEN90PROFESSIONAL DNA COLLECTION 118PROFILNINE 49progesterone103PROGESTERONE MICRONIZED 103PROGESTERONE-MINOXIDIL68

PROGLYCEM 75PROGRAF 107PROLASTIN-C132PROLATE 13PROLENSA 122PROLEUKIN 39PROLEVA 118PROLIA111PROMACTA49PROMELLA IN PREBIOTIC 90PROMEROL 90promethazine hcl129promethazine vc129promethazine vccodeine 129promethazine-codeine 129promethazine-dm 129promethazine-phenyleph-codeine 129promethazine-phenylephrine 129promethegan129PROMETRIUM 103PROMISEB 68PRONEB ULTRA FILTER SET 118propafenone hcl 55propafenone hcl er 55proparacaine hcl 125proparacaine-fluorescein 125PROPECIA 68PROPEL 129PROPEL MINI129propranolol hcl 55propranolol hcl er 55propranolol-hctz 55propylthiouracil 104PROSCAR 94PROSILK 68PROSTIN E293PROTEINEX P1883PROTEXA68PROTONIX 86PROTOPIC 68protriptyline hcl30PROTYL AG 68PROVENGE107PROVENTIL HFA 132PROVERA 103PROVIGIL 135PROZAC 30PRUCLAIR68PRUDOXIN 68PRUMYX68pseudoephedrine hcl er 129

pseudoephedrine-bromphen-dm 129pseudoephedrine-guaifenesin er129PSORCON68PSORIZIDE FORTE 118PSORIZIDE ULTRA118PULMICORT FLEXHALER132PULMICORT SUSPENSION 132PULMOZYME 133PURAMINO DHAARA118purevit dualfe plus83PURIXAN 39PYLERA90pyrazinamide35PYRIDIUM 93pyridostigmine bromide35pyridostigmine bromide er35pyridoxine hcl 83pyrimethamine 42PYRIMETHAMINE-LEUCOVORIN 42PYROGALLIC ACID 68QBRELIS 55QBREXZA68qc magnesium citrate90QDOLO 13QINLOCK39QMIIZ ODT 17QNASL129QNASL CHILDRENS 129QSYMIA 58QTERN 73QUAD-MIX 93quad-probiotic 90QUALAQUIN42QUARTETTE 103quazepam 47QUDEXY XR28QUEEN PALM 118QUESTRAN 55QUESTRAN LIGHT 55quetiapine fumarate 44quetiapine fumarate er 44QUFLORA FE 83QUFLORA FE PEDIATRIC83QUFLORA GUMMIES 83QUFLORA PEDIATRIC 83QUIHOXVAR 68QUILLICHEW ER57QUILLIVANT XR 57quinapril hcl55quinapril-hydrochlorothiazide 55

quinidine gluconate er55quinidine sulfate 55quinine sulfate42QUINIXIL68QUINJA33QUTENZA68QUTENZA (2 PATCH) 68QUTENZA (4 PATCH) 68QVAR REDIHALER 132RABAVERT110RABBIT EPITHELIUM 118RABEPRAZOLE SODIUM 86rabeprazole sodium 86RADIAGEL68RADIAPLEXRX68RADICAVA58RADIOGARDASE 118RAGWITEK118raloxifene hcl97ramelteon 135ramipril 55RANEXA 55ranolazine er 55RAPAFLO 94RAPAMUNE107RAPID GEL RX118RAPIVAB 46rasagiline mesylate 42RASUVO108RAVICTI91RAYALDEE111RAYOS 96RAZADYNE ER 29READYSHARP ANESTH + METHYLPRED 96READYSHARP BETAMETHASONE96READYSHARP DEXAMETHASONE 96READYSHARP-A19REBIF 58REBIF REBIDOSE58REBIF REBIDOSE TITRATION PACK 58REBIF TITRATION PACK58REBINYN 49REBLOZYL 49RECARBRIO25RECEDO69RECLAST 112reclipsen103RECOMBINATE49RECOMBIVAX HB 110

RECOTHROM 49RECOTHROM SPRAY KIT49RECTIV55RECURA33RED MAPLE 118RED MULBERRY 118RED TOP GRASS POLLEN 118REDITREX108REFISSA69REFRESH RELIEVA125REFRESH RELIEVA PF 125REGENECARE69REGIOCIT26REGLAN 31REGRANEX69RELADOR PAK 19RELADOR PAK PLUS 19RELAFEN 17RELAFEN DS 17RELENZA DISKHALER 46relexxii 57RELION BLOOD GLUCOSE TEST75RELISTOR 90RELNATE DHA83RELPAX34RELTONE 90REMEDIENT83remergent hq69REMERON30REMERON SOLTAB 30REMICADE 108REMIGEN 69REMODULIN 133RENACIDIN 93RENAGEL93RENAL 83RENAL MULTIVITAMIN FORMULA 83RENATABS83RENATABS WITH IRON 83rena-vite 83RENFLEXIS 108reno caps 83RENOVA69RENOVA PUMP 69RENVELA 93repaglinide 73REPATHA 55REPATHA PUSHTRONEX SYSTEM 55REPATHA SURECLICK 55REQ 49+ 83

RESECTISOL 118RESORCINOL-SULFUR69RESOURCE THICKENUP JUICE118RESTASIS 125RESTASIS MULTIDOSE 125RESTORA RX90RESTORIL 135RETACRIT 49RETEVMO 39RETIN-A69RETIN-A MICRO GEL 004 01 69RETIN-A MICRO PUMP 69RETISERT 122RETROVIR 46REVATIO 133REVCOVI91REVESTA 83REVLIMID 39REXASIL PATCH amp VITAMIN E LIQ69REXULTI44REYATAZ 46REYVOW 34RHEUMATE118RHIZOPUS 118RHOFADE 69RHOGAM ULTRA-FILTERED PLUS108RHOPHYLAC108RHOPRESSA 123RIABNI 39RIASTAP49RIAX69ribavirin 46RIBOZEL118RIDAURA108rifabutin 35rifampin 35RIFAMPIN+SYRSPEND SF 35RILUTEK58riluzole59rimantadine hcl46RIMSO-50 93ringers irrigation 83RINVOQ108RIOMET 73risedronate sodium 112RISPERDAL44RISPERDAL CONSTA44risperidone 44RITALIN 57

RITALIN LA57ritonavir 46RITUXAN 39RITUXAN HYCELA39rivastigmine29rivastigmine tartrate 29rivelsa103RIXUBIS49rizatriptan benzoate 34ROAOXIA69ROBITUSSIN 12 HOUR COUGH CHILD129ROBITUSSIN COUGH+CHEST CONG DM129ROCALTROL 112ROCKLATAN 123ROMIDEPSIN 39ropinirole hcl43ropinirole hcl er 43rosadan 69ROSADAN 69rosuvastatin calcium 55ROSZET 55ROTARIX 110ROTATEQ110ROUGH MARSH ELDER118ROWASA 111roweepra 28ROXICODONE 13ROZEREM 135ROZLYTREK 39RUBRACA 39RUCONEST108rufinamide 28RUKOBIA46RUSSIAN THISTLE 118RUXIENCE 39RUZURGI118RYBELSUS73RYCLORA129RYDAPT 39RYTARY 43RYTHMOL SR 55ryvent 129SABRIL 28saccharomyces boulardii 90SACCHAROMYCES CEREVISIAE 118SAFYRAL103SAIZEN 99SAIZENPREP 99SALAGEN 60SALEX 69

SALICEPT118salicylic acid 69salicylic acid er69salicylic acid wart remover 69salicylic acid-cleanser 69SALICYLIC ACID-SULFACETAMIDE69salimez69SALIMEZ FORTE 69SALIVAMAX60salsalate17SALVAX 69SALVAX DUO PLUS69SAMSCA83SANADERMRX SKIN REPAIR69SANCUSO 31SANDIMMUNE 108SANDOSTATIN 99SANDOSTATIN LAR DEPOT 99SANTYL 69SAPHRIS 44sapropterin dihydrochloride92SARCLISA 39SAVAYSA 26SAVELLA 59SAVELLA TITRATION PACK 59SAXENDA59SCALACORT DK 69SCARCARE GEL-PAD KITLARGE 69SCARCIN69SCARSILK 69SCARZEN SKIN REPAIR 69SCENESSE 69scopolamine31SCRUB CARE POVIDONE-IODINE25SEASONIQUE 103SECUADO 44SEEBRI NEOHALER 132SEGLUROMET73SELECT-OB83selegiline hcl 43selenium sulfide 69SELRX 69SELZENTRY46SEMGLEE77senexon-s 90senna 90senna plus90senna s 90senna smooth 90senna-docusate sodium90

senna-plus 90SENOKOT EXTRA STRENGTH 90SENOKOT S 90SENSIPAR112SENSORCAINE19SENSORCAINE-MPF 19 20sensorcaine-mpf 20SEREVENT DISKUS 132SERNIVO69SEROQUEL 44SEROQUEL XR 44SEROSTIM 90sertraline hcl30se-tan plus 83setlakin103sevelamer carbonate 93sevelamer hcl93SEVENFACT 49sevoflurane 118SEYSARA 25sf 60sf 5000 plus60SFROWASA 111SHAGBARK HICKORY118sharobel 103SHARPS CONTAINER 118SHEEP SORREL 118SHINGRIX110SHORT RAGWEED POLLEN EXT 118SIDEROL 83SIGNIFOR99SIGNIFOR LAR99SIKLOS 39SILA III 69sildenafil citrate 93 133SILENOR 135SILIPAC 69SILIQ108silodosin 94SILTREX 118SILVADENE25silver nitrate25silver sulfadiazine25SILVERSEAL HYDROGEL DRESSING 69SIMBRINZA 123simethicone90simethicone ultra strength90simliya 103simpesse103SIMPONI108

SIMPONI ARIA 108SIMULECT108simvastatin 55SINEMET 43SINGULAIR132sinus 12 hour 129SINUVA129sirolimus108SIRTURO35SITAVIG46SIVEXTRO25skarjel69SKELAXIN 134SKYADERM-LP 20SKYLA 103SKYRIZI (150 MG DOSE)108sleep aid (diphenhydramine)135sleep-aid 135SLOWMAG MG MUSCLEHEART83SLYND 103sod citrate-citric acid 83sodium bicarbonate83 84 90SODIUM BICARBONATE84 90sodium chloride84 129sodium chloride (hypertonic)125sodium chloride (pf) 84sodium fluoride60 84sodium fluoride 5000 enamel60sodium fluoride 5000 plus 60sodium fluoride 5000 ppm60sodium fluoride 5000 sensitive60sodium phenylbutyrate92sodium polystyrene sulfonate 84sodium sulfacetamide 69sodium sulfacetamide wash69SODIUM SULFACETAMIDE-BAKUCHIOL 69SOFOSBUVIR-VELPATASVIR46SOLARAVIX70solifenacin succinate93SOLIQUA 73SOLIRIS49SOLODYN 25SOLOSEC25SOLOX70SOLTAMOX 39SOLU-CORTEF 96soluvita e84SOMA 134SOMATULINE DEPOT 99SOMAVERT99SOOLANTRA70

soothe 90SOOTHEE 20SORBITOL118sorbitol-mannitol118SORIATANE 70SORILUX 70SORRELDOCK MIX 118sotalol hcl 55sotalol hcl (af)55SOTYLIZE55SOVALDI 46SPEEDGEL RX118spinosad42SPINRAZA 118SPINY PIGWEED 118SPIRIVA HANDIHALER132SPIRIVA RESPIMAT 132spironolactone55spironolactone-hctz55SPORANOX33SPORANOX PULSEPAK33SPRAVATO (56 MG DOSE) 30SPRAVATO (84 MG DOSE) 30sprintec 28 103SPRITAM 28SPRIX 17SPRYCEL 39sps 84sronyx 103ssd 25SSKI129sss 10-5 70ST JOSEPH LOW DOSE17STALEVO 100 43STALEVO 125 43STALEVO 150 43STALEVO 200 43STALEVO 50 43STALEVO 75 43STAMARIL 110STARLIX 73stavudine46STAXYN93STEGLATRO 73STEGLUJAN73STELARA108STEMPHYLIUM 118STENDRA93STERILE TOPICAL LET GEL20STERITALC 132STIMATE 99stimulant laxative 90

STIOLTO RESPIMAT 132STIVARGA40stomach relief90stool softener 90stool softener laxative 90stool softener plus laxative90stool softenerlaxative 90stop lice complete treatment 42STRATA CTX70STRATA GRT 70STRATA MARK 70STRATA TRIZ70STRATA XRT70STRATTERA57STRENSIQ92streptomycin sulfate 25STRIBILD46STRIVERDI RESPIMAT 132STROMECTOL 42STROVITE FORTE84STROVITE ONE 84SUBLOCADE21SUBOXONE21SUBSYS 13subvenite28subvenite starter kit-blue28subvenite starter kit-green 28subvenite starter kit-orange 28SUCCINYLCHOLINE CHLORIDE 59SUCRAID92sucralfate 86SUDAFED CONGESTION129sudogest 129sudogest 12 hour 129sudogest maximum strength129SULAR 55SULCONAZOLE NITRATE33sulfacetamide sodium 70 122sulfacetamide sodium (acne) 70sulfacetamide sodium-sulfur 70sulfacetamide sod-sulfur wash70sulfacetamide-prednisolone 125sulfacetamide-sulfur in urea70SULFACLEANSE 8470sulfadiazine 25sulfamethoxazole-trimethoprim25sulfamez wash 70SULFAMYLON25sulfasalazine 111sulfatrim pediatric25SULFURATED LIME42sulindac17

SUMADAN 70SUMADAN WASH 70SUMADAN XLT 70SUMANSETRON 34sumatriptan 34sumatriptan succinate 34 35sumatriptan succinate refill 34sumatriptan-naproxen sodium 35SUMAXIN70SUMAXIN CP70SUMAXIN WASH70SUNOSI 135SUPARTZ FX118SUPER BI-MIX93SUPER QUAD-MIX93SUPER TRI-MIX 93SUPERVITE84support 84SUPPORT-500 84SUPPRELIN LA 99SUPRANE119SUPRAX 25SUPREP BOWEL PREP KIT90sure result dss premium pack 17SURE RESULT O3D3 SYSTEM 55SURESTEP PRO HIGH GLUCOSE 75SURESTEP PRO LOW GLUCOSE 75SURESTEP PRO NORMAL GLUCOSE 75SURVANTA 129SUSTIVA46SUSTOL31SUTAB 91SUTENT40SUVICORT 70SWEET GUM119SWEET VERNAL GRASS POLLEN119SX1 MEDICATED POST-OPERATIVE 20syeda 103SYLVANT40SYMAX DUOTAB 91SYMAX-SL91SYMAX-SR 91SYMBICORT132SYMBYAX30SYMDEKO 133SYMFI 46SYMFI LO 46

SYMJEPI132SYMLINPEN 120 73SYMLINPEN 60 73SYMPAZAN 28SYMPROIC91SYMTUZA46SYNAGIS 108SYNALAR 70SYNALAR (CREAM)70SYNALAR (OINTMENT) 70SYNALAR TS70SYNAPRYN FUSEPAQ 13SYNAREL 99SYNDROS 31SYNERA 20SYNERDERM 70SYNJARDY73SYNJARDY XR73SYNRIBO40SYNTHROID104SYNVISC 119SYNVISC ONE 119SYPRINE 84SYRINGE AVITENE 119SYSTANE COMPLETE 125SYSTANE HYDRATION PF 125SYSTANE ICAPS AREDS2 84SYSTANE ULTRA PF125TABLOID40TABRADOL FUSEPAQ 134TABRADOL RAPIDPAQ 134TABRECTA40TACHOSIL 119TACLONEX70TACROLIMUS 70tacrolimus70 108tadalafil 93tadalafil (pah) 133TAFINLAR40TAGRISSO 40TAKHZYRO 108TALICIA 91TALIVA84TALL RAGWEED119TALTZ 108TALZENNA 40TAMIFLU46tamoxifen citrate40tamsulosin hcl 94TAPAZOLE 104TAPERDEX 12-DAY 96TAPERDEX 6-DAY 96TAPERDEX 7-DAY 96

TARCEVA 40TARDEOXIA 70TARDIMAXIA 70TARGADOX25TARGRETIN 40tarina 24 fe 103tarina fe 120 104tarina fe 120 eq 104TARKA 55TAROXIA 70TASIGNA 40TASMAR 43TASOPROL 70tavaborole 33TAVALISSE 49TAYTULLA104tazarotene 70TAZAROTENE70tazicef25TAZORAC70 71taztia xt55TAZVERIK 40TDVAX 110TECARTUS40TECENTRIQ 40TECFIDERA58TEFLARO 25TEGRETOL28TEGRETOL-XR 28TEGSEDI 59TEKTURNA55TEKTURNA HCT 55telmisartan 55telmisartan-amlodipine55telmisartan-hctz55temazepam 135TEMIXYS 46TEMODAR 40TEMOVATE 71temozolomide40temsirolimus108TENCON13teniposide40TENIVAC 110tenofovir disoproxil fumarate46TENORETIC 100 55TENORETIC 50 56TENORMIN56TEPADINA 40TEPEZZA99TEPMETKO 40terazosin hcl94terbinafine hcl33

terbutaline sulfate132terconazole 33TERIPARATIDE (RECOMBINANT) 112terrell 119TESSALON PERLES129TESTIM97TESTONE CIK 97TESTOPEL 97TESTOSTERONE97testosterone 97TESTOSTERONE CYPIONATE 97testosterone cypionate97testosterone enanthate 97TETANUS-DIPHTHERIA TOXOIDS TD 110tetrabenazine 59tetracaine hcl125tetracycline hcl 25TETRIX 71TEXACORT 71THALOMID 40THEO-24132theophylline132theophylline er132thiamine hcl84THIOLA EC 93thioridazine hcl 44thiotepa 40thiothixene44THROMBATE III 26THROMBI-GEL 10 119THROMBI-GEL 100 119THROMBI-GEL 40 119THROMBIN-JMI50THROMBIN-JMI EPISTAXIS 50THROMBI-PAD119THROMBOGEN50THYMOGLOBULIN108THYQUIDITY 104THYROGEN119tiadylt er 56tiagabine hcl28TIAZAC 56TIBSOVO 40TICE BCG 108TIGAN 31tigecycline 25TIGLUTIK59TIKOSYN 56tilia fe104timolol maleate56 123

timolol maleate pf123TIMOLOL-BRIMON-DORZOL-LATANOPR123TIMOLOL-BRIMONIDINE-DORZOLAMID 123TIMOLOL-DORZOLAMID-LATANOPROST 123TIMOPTIC123TIMOPTIC OCUDOSE123TIMOPTIC-XE123TIMOTHY GRASS POLLEN ALLERGEN119tinidazole25TIROSINT 104TIROSINT-SOL104TISSEEL 119tis-u-sol 84TIVICAY 46TIVICAY PD 46TIVORBEX17tizanidine hcl 134tl-hem 150 84TOBAKIENT119TOBI NEBULIZER 133TOBI PODHALER133TOBRADEX 125TOBRADEX ST125tobramycin 122 133TOBRAMYCIN 133tobramycin-dexamethasone125TOBREX 122tolbutamide 73tolcapone 43tolmetin sodium17tolnaftate 33tolnaftate antifungal33TOLSURA 33tolterodine tartrate93tolterodine tartrate er93TOLVAPTAN84tolvaptan 84TOPAMAX 28TOPAMAX SPRINKLE28TOPICORT 71TOPICORT SPRAY 71TOPIDEX 96topiramate 28topiramate er28toposar 40topotecan hcl40TOPROL XL56toremifene citrate 40TORISEL108

TORONOVA II SUIK 17TORONOVA SUIK 17torsemide 56TOSYMRA 35TOTECT40TOUJEO MAX SOLOSTAR 77TOUJEO SOLOSTAR77tovet 71TOVET 71TOVIAZ 93TRACLEER133TRADJENTA73TRAMADOL HCL ER13tramadol hcl er 13tramadol hcl er (biphasic)13tramadol hcl ir 13tramadol-acetaminophen 13trandolapril 56trandolapril-verapamil hcl er56tranexamic acid50TRANEXAMIC ACID-NACL 50TRANSDERM SCOP (15 MG)31TRANSDERM-SCOP (15 MG)31TRANXENE-T 47tranylcypromine sulfate 30TRANZGEL119TRAUMEEL 119TRAVATAN Z123travoprost (bak free)123TRAZIMERA 40trazodone hcl 30TREANDA40TRECATOR 35TRELEGY ELLIPTA133TRELSTAR MIXJECT99TREMFYA108treprostinil 133TRESIBA77TRESIBA FLEXTOUCH77tretinoin 40 71tretinoin (emollient) 71tretinoin microsphere 71tretinoin microsphere pump 71TRETTEN 50TREXALL 108TREXIMET35TREZIX 14tri femynor 104triamcinolone acetonide 60 71 96TRIAMCINOLONE ACETONIDE 96triamterene56triamterene-hctz 56

TRIANEX 71triazolam 47TRIBENZOR 56tri-buffered aspirin 17TRICARE PRENATAL DHA ONE 84TRI-CHLOR 71TRICHOPHYTON 119TRICHOPHYTON MENTAGROPHYTES119TRICITRASOL 26tricitrates 84TRICON 84TRICOR 56triderm71TRIDESILON 71trientine hcl84tri-estarylla 104TRIFERIC 84trifluoperazine hcl44trifluridine 122trihexyphenidyl hcl 43TRIJARDY XR 73TRIKAFTA133tri-legest fe 104TRILEPTAL28tri-linyah 104TRILIPIX 56TRILOAN II SUIK 96TRILOAN SUIK 96TRILOCICLO 71tri-lo-estarylla 104tri-lo-marzia 104tri-lo-mili 104tri-lo-sprintec 104TRI-LUMA 71TRILURON119trimethobenzamide hcl31trimethoprim 25tri-mili 104trimipramine maleate 30TRI-MIX93TRINATE84TRINAZ 84TRINTELLIX30tri-nymyo 104triple antibiotic 71triple antibiotic+pain relief 71TRIPLE COMPLEX FORMULA 3 KIT 17TRIPLE PMB122TRIPLE PMK122tri-previfem 104

triprolidine hcl129TRIPTODUR 99TRISENOX40tri-sprintec 104TRISTART DHA84TRISTART FREE84TRISTART ONE84TRIUMEQ 46TRI-VI-FLOR84TRI-VI-FLORO 84tri-vite pediatric84tri-vitefluoride 84TRIVIX 71trivora (28)104tri-vylibra 104tri-vylibra lo104TRIZIVIR 46TRODELVY40TROGARZO46TROKENDI XR 28TRONVITE84tropicamide 125TROPICAMIDE-CYCLOPENTOLATE-PE 125TROPICAMIDE-PHENYLEPHRINE125TROPIC-CYCLOPENT-PE-KETOROLAC125TROPIC-CYCLOP-PE-KETO-PROPAR125TROPIC-PROPARACA-PE-KETOROLAC125trospium chloride93trospium chloride er 93TRUE METRIX BLOOD GLUCOSE TEST 75TRUE METRIX LEVEL 1 75TRUE METRIX LEVEL 2 75TRUE METRIX LEVEL 3 75TRUE METRIX PRO BLOOD GLUCOSE 75TRUETRACK TEST75TRULANCE91TRULICITY 73TRUMENBA110TRUSOPT123TRUSTEEL INFUSION SET 119TRUVADA46TRUXIMA40T-SUPPORT MAX 119TUDORZA PRESSAIR 133TUKYSA40tulana 104

TUMS CHEWY BITES 91TURALIO 40TURPENTINE 71TUSSICAPS130tussin cf multi-symptom cold130tussin dm130tussin dm max130tussin dm max adult 130TUXARIN ER 130TUZISTRA XR 130TWINRIX110TWIRLA 104TWYNSTA 56tyblume 104TYBOST46tydemy 104TYGACIL25TYKERB40TYLACTIN BUILD 20PE TYR 119TYLACTIN COMPLETE 15 PE 119TYLACTIN RESTORE 10 119TYLACTIN RESTORE 5PE 119TYLACTIN RTD 15 119TYLENOL14TYLENOL 8 HOUR 14TYLENOL EXTRA STRENGTH 14TYLENOL INFANTS PAIN+FEVER14TYMLOS 112TYPHIM VI 110TYR EASY 119TYROS 2119TYSABRI58TYVASO 134TYVASO REFILL 134TYVASO STARTER134UBRELVY 35UCERIS 111UDAMIN SP 84UDENYCA 50UKONIQ40ULORIC 34ULTANE119ULTOMIRIS 50ultra fresh pm 125ULTRA HERS RX 119ULTRA HIS 119ultra lubricating eye drops125ULTRA PCOS 119ULTRACET 14

ULTRAFOAM SPONGE 2X625X7CM119ULTRAFOAM SPONGE 8X125X1CM119ULTRAFOAM SPONGE 8X125X3CM119ULTRAFOAM SPONGE 8X25X1CM119ULTRAFOAM SPONGE 8X625X1CM119ULTRAM 14ULTRASAL-ER 71ULTRAVATE71UMECTA MOUSSE 71UNASYN 25UNISTRIP CONTROL75unithroid 104UNITUXIN 40UPLIZNA108UPNEEQ122UPTRAVI 134URAMAXIN 71urea71UREA 71urea hydrating 71urea nail 71ureacin-10 71ureacin-20 71uredeb71URELLE 93UREMEZ-4071URESOL 71uretron ds93URIBEL 93URIMAR-T 93urin ds 93urinary pain relief 93URO-45893UROCIT-K 1084UROCIT-K 1584UROCIT-K 584UROGESIC-BLUE 93uro-mp93urosex 84UROXATRAL 94URSO 25091URSO FORTE 91ursodiol 91URSODIOL+SYRSPEND SF91USTELL 93UTIBRON NEOHALER 133UTIRA-C 93UTOPIC 71

VAGIFEM104valacyclovir hcl46VALCHLOR40VALCYTE46valganciclovir hcl46VALIUM47valproic acid 28valrubicin40valsartan 56valsartan-hydrochlorothiazide 56VALSTAR40VALTOCO28VALTREX46VANADOM134VANCOCIN 25VANCOCIN HCL25vancomycin hcl 25VANCOMYCIN HCL 122vancomycin hcl in nacl 25VANCOMYCIN+SYRSPEND SF 25vandazole25VANICREAM71VANIQA 71VANOS 71VANOXIDE-HC 71VANTAS99VAQTA110vardenafil hcl93VARDIMAXIA71VARISOFT INFUSION SET119VARIVAX 110VARIZIG108VAROPHEN17VAROXIA 71VARUBI (180 MG DOSE) 31VASCEPA 56VASCULERA 119VASERETIC56VASOTEC56VAXCHORA110v-c forte 84VCF VAGINAL CONTRACEPTIVE 119vcf vaginal contraceptive119VECAMYL56VECTIBIX40VECTICAL 72VECURONIUM BROMIDE59vegetable lax+stool softener 91VELCADE 40VELETRI 134velivet104

VELPHORO 93VELTASSA 84VELTIN 72VEMLIDY 46VENCLEXTA40VENCLEXTA STARTING PACK 40VENELEX 72VENEXA 84VENIPUNCTURE PX1 PHLEBOTOMY 20venlafaxine hcl 30venlafaxine hcl er 30VENNGEL ONE 17VENOFER84VENTAVIS 134VENTOLIN HFA133verapamil hcl56verapamil hcl er56VERDESO 72VEREGEN 72VERELAN 56VERELAN PM56VERQUVO 56VERSACLOZ 44VERZENIO40VESICARE93VESICARE LS 93vestura 104VEXASYN 72VEXATROL20VFEND33VIAGRA 94VIBERZI 91VIBRAMYCIN25vic-forte 84VICTOZA 73VIDAZA 40VIEKIRA PAK46vienva104vigabatrin 28vigadrone 28VIGAMOX 122VIIBRYD30VIIBRYD STARTER PACK 30VILACTIN AA PLUS119VILAMIT MB94VILEVEV MB94VILTEPSO 119VIMIZIM 92VIMOVO17VIMPAT28VINATE ONE 84

vinblastine sulfate 40vincristine sulfate 41vinorelbine tartrate 41VIOKACE 92viorele 104VIRACEPT 46VIRAMUNE 46VIRAMUNE XR 46VIRASAL72VIRAZOLE 46VIREAD46virt-caps 84VIRT-FEFA PLUS 84virt-gard84virt-phos 250 neutral 84virtussin ac walc130VISBIOME91VISIONBLUE 125VISTA GEL DRY EYE RELIEF 126VISTA MEIBO TEARS 126VISTA TEARS126VISTARIL 47VISTOGARD119VISUDYNE126vita s forte 84vitacel84VITAFOL FE+ 85VITAFOL STRIPS 85VITAFOL-NANO 85VITAFOL-OB+DHA85VITAL-D RX 85VITAMEZ 85vitamin b complex 100 85vitamin b-complex 100 85vitamin d (ergocalciferol)85VITAMIN DEFICIENCY SYSTEM-B1285vitamin k185vitamins acd-fluoride 85VITAROCA PLUS 85VITA-RX DIABETIC VITAMIN85VITASURE 85VITATHELY WITH GINGER 85VITRAKVI41VITRANOL FE 85VITRASE119VITREXATE 85VITREXATE FE 85VITREXYL85VITREXYL + IRON85VIVELLE-DOT104VIVITROL21

VIVLODEX 17VIVOTIF 110VIZIMPRO41VOCABRIA 47VOGELXO 97VOGELXO PUMP 97volnea 104VOLTAREN17VONVENDI 50VORAXAZE 41voriconazole33VOSEVI47VOTRIENT41VP FC KIT17VP GKL KIT 17vp-pnv-dha 85VPRIV 92vp-vite rx 85VRAYLAR 44VTOL LQ14VUMERITY 58VUSION 33VYEPTI 35vyfemla104VYLEESI 59vylibra104VYNDAMAX56VYNDAQEL 56VYONDYS 53 92VYTONE 33VYTORIN 56VYVANSE 57VYXEOS 41VYZULTA123WAKIX 135wal-tap coldallergy 130warfarin sodium26WASP VENOM PROTEIN 120weekly-d85WELCHOL 56WELLBUTRIN SR30WELLBUTRIN XL 30WELLMIND VERTIGO120wera 104westab max120westab mini 85westab one85WESTAB PLUS 85WESTERN JUNIPER120WESTGEL DHA85WESTHROID 104WHEAT GERM OIL 85WHITE BIRCH 120

WHITE FACED HORNET VENOM120WHITE MULBERRY 120WHITE OAK120WHITE PINE 120WIDE-SEAL DIAPHRAGM 60 120WIDE-SEAL DIAPHRAGM 65 120WIDE-SEAL DIAPHRAGM 70 120WIDE-SEAL DIAPHRAGM 75 120WIDE-SEAL DIAPHRAGM 80 120WIDE-SEAL DIAPHRAGM 85 120WIDE-SEAL DIAPHRAGM 90 120WIDE-SEAL DIAPHRAGM 95 120WILATE50WILZIN85WINLEVI 72WINRHO SDF108wixela inhub 133womens 50 billion 91WP THYROID 104WPR PLUS WOUND HEALING SYSTEM 20wymzya fe 104WYNZORA72XADAGO43XALATAN123XALIX72XALKORI 41XANAX47XANAX XR47XAQUIL XR85XARACOLL20XARELTO 26XARELTO STARTER PACK26XATMEP 108XCOPRI 28XELJANZ 108XELJANZ XR 108XELODA 41XELPROS 123XEMBIFY 108XENAZINE 59XENICAL59XENLETA25 26XEOMIN120XEPI26XERAC AC72XERALUX 72XERESE 47XERMELO 91XEROSTOMIA RELIEF SPRAY60XGEVA112

XHANCE 130XIAFLEX 120XIFAXAN26XIGDUO XR73XIIDRA 126XIMINO 26XOFIGO 41XOFLUZA (40 MG DOSE) 47XOFLUZA (80 MG DOSE) 47XOLAIR130XOLEGEL 33XOLEGEL COREPAK33XOLEGEL DUOHEAD amp SHOULDERS33XOLEGEL DUOXOLEX 33XOPENEX CONCENTRATE 133XOPENEX HFA 133XOPENEX NEB 133XOSPATA 41XPOVIO (100 MG ONCE WEEKLY)41XPOVIO (40 MG ONCE WEEKLY)41XPOVIO (40 MG TWICE WEEKLY)41XPOVIO (60 MG ONCE WEEKLY)41XPOVIO (60 MG TWICE WEEKLY)41XPOVIO (80 MG ONCE WEEKLY)41XPOVIO (80 MG TWICE WEEKLY)41XRYLIX 17XTAMPZA ER 14XTANDI41xulane 104XULTOPHY73xurea 72XURIDEN92XVITE85XYLOCAINE 20XYLOCAINE-MPF20XYNTHA 50XYNTHA SOLOFUSE50XYOSTED97XYREM 135XYWAV 135XYZBAC120XYZMUNE 120YASMIN 28 104YAZ 104YELLOW DOCK120

YELLOW HORNET VENOM PROTEIN 120YELLOW JACKET VENOM PROTEIN 120YERVOY 41YESCARTA41YF-VAX 110YONDELIS41YONSA 41YOSPRALA43YUPELRI133YUTIQ 122yuvafem 104ZACARE 72zaclir cleansing 72ZADITOR 122zafemy 104zafirlukast133zaleplon135ZALTRAP41ZALVIT85ZANAFLEX 134ZANOSAR41zarah 104ZARONTIN28ZARXIO50ZAVESCA 92ZCORT 7-DAY 96ZEASORB-AF 33ZEBUTAL14ZEGERID 86ZEJULA41ZELAC 91ZELAPAR43ZELBORAF 41ZELNORM 91ZEMAIRA 133ZEMBRACE SYMTOUCH 35ZEMDRI 26ZEMPLAR 112zenatane 72ZENPEP92ZENZEDI57ZEPATIER 47ZEPOSIA 58ZEPOSIA 7-DAY STARTER PACK 58ZEPOSIA STARTER KIT 58ZEPZELCA 41ZERUVIA 20ZERVIATE 122ZESTORETIC 56ZESTRIL 56

ZETIA56ZETONNA130ZEVALIN Y-90 41ZIAC56ZIAGEN47ZIANA 72zidovudine47ZIEXTENZO50ZILACAINE PATCH 20zileuton er 133ZILRETTA 96ZILXI 72zinc sulfate 85ZINGO20ZINPLAVA108ZIONODIL 20ZIONODIL 100 20ZIOPTAN 123ziprasidone hcl 44ziprasidone mesylate 44ZIPSOR17ZIRABEV41ZIRGAN 122ZITHRANOL72ZITHROMAX26ZITHROMAX TRI-PAK26ZITHROMAX Z-PAK 26ZOCOR 56ZOFRAN 31ZOHYDRO ER 14ZOKINVY 120ZOLADEX 99zoledronic acid 112ZOLGENSMA 92ZOLINZA41ZOLMITRIPTAN35zolmitriptan35ZOLOFT30ZOLPAK33zolpidem tartrate 135zolpidem tartrate er 135ZOLPIMIST 135ZOMACTON 99ZOMACTON (FOR ZOMA-JET 10)99ZOMIG 35ZOMIG ZMT35ZONALON72ZONEGRAN28zonisamide28ZONTIVITY 43ZORBTIVE 91ZORTRESS 108

ZORVOLEX 17zovia 135 (28) 104zovia 135e (28) 104ZOVIRAX 47ZTLIDO 20ZUBSOLV 21ZULRESSO30zumandimine104ZUPLENZ31ZYCLARA 72ZYCLARA PUMP 72ZYDELIG41ZYFLO 133ZYKADIA41ZYLET126ZYLOPRIM34ZYMAXID 122ZYPITAMAG 56ZYPREXA 44ZYPREXA RELPREVV 44ZYPREXA ZYDIS44ZYRTEC ALLERGY 130ZYTIGA 41ZYVANA85ZYVEXOL 120ZYVIT120ZYVOX26

ldquoMy Medicationsrdquo worksheet

Take this worksheet with you each time you visit a doctor Each of your doctors should be aware of every drug you take and you should have a list as well

Name of Medicine and Strength

Drug Tier

I Take This Medicine For

Directions Doctor

Example Lisinopril 20 mg Tier 1 High blood pressure One tablet daily Dr Johnson

-Continued on back-

Notice of Nondiscrimination

Optum companies (together ldquoOptumrdquo) provide services to health plans and other health programs or activities Optum on behalf of itself and its affiliated companies complies with applicable Federal civil rights laws and does not discriminate on the basis of race color national origin age disability or sex Optum does not exclude people or treat them differently because of race color national origin age disability or sex Optum provides free aids and services to people with disabilities to communicate effectively with us such as

bull Qualified sign language interpreters bull Written information in other formats (large print audio accessible electronic formats other formats) bull Provides free language services to people whose primary language is not English such as

Qualified interpreters bull Information written in other languages

If you need these services please call toll-free (855) 828-9834 (TTY 711) 24 hours a day 7 days a week If you believe that the Company has failed to provide these services or discriminated in another way on the basis of race color national origin age disability or sex you can file a grievance in writing by mail or email A grievance must be sent within 60 calendar days of the date that you become aware of the discriminatory action and contain the name and address of the person filing it along with the problem and the requested remedy A written decision will be sent to you within 30 calendar days If you disagree with the decision you may file an appeal within 15 calendar days of receiving the decision

Optum Civil Rights Coordinator 11000 Optum Circle Eden Prairie MN 55344 Phone (888) 445-8745 (TTY 711) Fax (855) 351-5495 Email Optum_Civil_RightsOptumcom

If you need help filing a grievance please call toll-free (855) 828-9834 (TTY 711) 24 hours a day 7 days a week You can also file a complaint directly with the US Dept of Health and Human services online by phone or mail Online httpsocrportalhhsgovocrportallobbyjsf Complaint forms are available at httpwwwhhsgovocrofficefileindexhtml Phone Toll-free (800) 868-1019 (800) 537-7697 (TDD) Mail US Dept of Health and Human Services 200 Independence Avenue SW Room 509F HHH Building Washington DC 20201 English Text You have the right to get help and information in your language at no cost To request an interpreter please call toll-free (855) 828-9834 (TTY 711) 24 hours a day 7 days a week This letter is also available in other formats like large print To request the document in another format please call toll-free (855) 828-9834 (TTY 711) 24 hours a day 7 days a week

1 Spanish Tiene derecho a recibir ayuda e informacioacuten en su idioma sin costo Para solicitar un inteacuterprete llame al nuacutemero de teleacutefono gratuito para miembros que se encuentra en su tarjeta de identificacioacuten del plan de salud y presione 0 TTY 711

2 Vietnamese Quyacute vị coacute quyền được giuacutep đỡ vagrave cấp thocircng tin bằng ngocircn ngữ của quyacute vị miễn phiacute Để yecircu cầu được thocircng dịch viecircn giuacutep đỡ vui lograveng gọi số điện thoại miễn phiacute dagravenh cho hội viecircn được necircu trecircn thẻ ID chương trigravenh bảo hiểm y tế của quyacute vị bấm số 0 TTY 711

3 Chinese 您有權利免費以您的母語得到幫助和訊息洽詢一位翻譯員請撥打您健保計劃會員卡上的免付費會員電話號碼再按 0聽力語言殘障服務專線 711

4 Korean 귀하는 도움과 정보를 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가 있습니다 통역사를 요청하기 위해서는 귀하의 플랜 ID카드에 기재된 무료 회원 전화번호로 전화하여 0번을 누르십시오 TTY 711

5 Arabic يناجملا فتاھلا مقرب لصتا يروف مجرتم بلطل ةفلكت يأ لمحت نود كتغلب تامولعملاو ةدعاسملا ىلع لوصحلا يف قحلا كل TTY( 711( يصنلا فتاھلا 0 ىلع طغضاو ةیحصلا كتطخب ةصاخلا ةیوضعلا فرعم ةقاطبب جردملا ءاضعلأاب صاخلا

6 Urdu یرف لوٹ ےئل ےک ےنرک تاب ےس نامجرت یسک ےہ قح اک ےنرک لصاح تامولعم روا ددم تفم ںیم نابز ینپا وک پآ TTY 711 ںیئابد 0 ےہ جرد رپ ڈراک یڈ یئآ نلاپ ھتلیہ ےک پآ وج ںیرک لاک رپ ربمن نوف ربمم

7 Tagalog May karapatan kang makatanggap ng tulong at impormasyon sa iyong wika nang walang bayad Upang humiling ng tagasalin tawagan ang toll-free na numero ng telepono na nakalagay sa iyong ID card ng planong pangkalusugan pindutin ang 0 TTY 711

8 French Vous avez le droit dobtenir gratuitement de laide et des renseignements dans votre langue Pour demander agrave parler agrave un interpregravete appelez le numeacutero de teacuteleacutephone sans frais figurant sur votre carte drsquoaffilieacute du reacutegime de soins de santeacute et appuyez sur la touche 0 ATS 711

9 Hindi आप क पास अपनी भाषा म- सहायता एव जानकार6 7नशक ाltत करन का अ=धकार ह दभाBषए क Cलएअनरोध करन क Cलए अपन हथ ltलान ID काडH पर सचीबLध टोल-NO नबर पर फ़ोन कर- 0 दबाए TTY711

10 Persian هرامش اب یھافش مجرتم تساوخرد یارب دییامن تفایرد ناگیار روط ھب ار دوخ نابز ھب تاعلاطا و کمک ھک دیراد قح امش TTY 711 دیھد راشف ار 0 و هدومن لصاح سامت دوخ یتشادھب ھمانرب ییاسانش تراک رد هدش دیق ناگیار نفلت

11 German Sie haben das Recht kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten Um einen Dolmetscher anzufordern rufen Sie die gebuumlhrenfreie Nummer auf Ihrer Krankenversicherungskarte an und druumlcken Sie die 0 TTY 711

12 Gujarati તમન િવના (ય મદદ અન તમાર ભાષામા મા3હતી મળવવાનો અિધકાર છ ભાિષયા માટgt િવનતી કરવા તમારા હgtથ લાન ID કાડC પરની Eચીમા આપલ ટોલ-H મIબર ફોન નબર ઉપર કોલ કરો ૦

દબાવો TTY 711 13 Russian Вы имеете право на бесплатное получение помощи и информации на вашем языке

Чтобы подать запрос переводчика позвоните по бесплатному номеру телефона указанному на обратной стороне вашей идентификационной карты и нажмите 0 Линия TTY 711

14 Japanese ご希望の言語でサポートを受けたり情報を入手したりすることができます料金はか

かりません通訳をご希望の場合は医療プランのID カードに記載されているメンバー用のフリーダイヤルまでお電話の上0を押してくださいTTY専用番号は 711です

15 Laotian ທານມສ ດທ ຈະໄດຮບການຊວຍເຫອແລະຂມນຂາວສານທ ເປນພາສາຂອງທານບ ມຄາໃຊຈາຍ ເພອຂ ຮອງນາຍພາສາໂທຟຣ ຫາຫມາຍເລກໂທລະສບສ າລບ ສະມາຊ ກທ ໄດລະບໄວໃນບດສະມາຊ ກຂອງທານກດເລກ 0 TTY 711

72462-022018 INV-PSI3637-INS-MMISC-13918_MC_021318

(Farsi)

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HealthSelectSM

Premium standard

Anesthetics

Antibacterials

Anticoagulants

Antidepressants

Antifungals

Antigout Agents

Antimigraine Agents

Antimycobacterials

Antiparasitics

Antiplatelets

Antivirals

Diabetes - Insulins

Your Prescription Drug List Formulary

This formulary outlines the most commonly prescribed medications covered under your planrsquos prescription drug benefits The formulary is also known as the Prescription Drug List (PDL) A formulary identifies the drugs available for certain conditions and organizes them into cost levels also known as tiers An important part of the formulary is giving you choices so you and your doctor can choose the best course of treatment for you

Go to wwwHealthSelectRxcom for complete and up-to-date drug information

Since the formulary may change we encourage you to visit our website wwwHealthSelectRxcom and click on Prescription Drug List This website is the best source for up-to-date information about all of the medications your pharmacy benefit covers possible lower-cost options and cost comparisons

What are tiers

Tier information

Tier 1 Lowest Cost

Tier 3 Highest Cost

Table of Contents

acetaminophen er E

ACTIQ 3 PA QL

ALLZITAL E

APADAZ E

ascomp-codeine 1

BELBUCA 2 PA QL

BUPRENEX E

1 PA QL

BUTRANS 3 PA QL

CONZIP E

DILAUDID ORAL E

DSUVIA E

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph E

ESGIC 3

fentanyl 1 PA QL

1 PA QL

1 PA ST QL

1 PA QL

HYSINGLA ER 2 PA QL

INFUMORPH 200 E

INFUMORPH 500 E

migraine relief E

mitigo E

1 PA QL

m-pap E

NALOCET E

NUCYNTA E

NUCYNTA ER E

OXAYDO ORAL TABLET

2 PA QL

PANADOL CHILDRENS

PANADOL EXTRA E

PANADOL INFANTS E

PRIALT 2 SP

PROLATE E

QDOLO E

SUBSYS E

SYNAPRYN FUSEPAQ E

1 PA ST QL

1 PA QL

TYLENOL 8 HOUR E

TYLENOL ORAL TABLET

ULTRACET E

ULTRAM E

VTOL LQ E

XTAMPZA ER 2 PA QL

ADVIL E

ADVIL MIGRAINE E

ALEVE ORAL TABLET E

BIIFENAC 1000 E

BIIFENAC 500 E

CAMBIA E

CAPSFENAC PAK E

CAPSINAC E

CATAFLAM 3

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3

DFSMSMENTHCAP PAK

DICLOFENAC CAP 35MG

DICLOPR E

DICLOSTREAM E

DICLOTREX E

DICLOVIX E

DICLOVIX M E

DICLOZOR EXTERNAL

diflunisal oral 1

DIMENTHO E

DUEXIS E

EC-NAPROSYN 3

ec-naproxen 1

enovarx-ibuprofen E

etodolac er 1

etodolac oral 1

FBL KIT E

FELDENE 3

FLECTOR EXTERNAL E

FLEXIPAK E

flurbiprofen oral 1

FROTEK E

IBUPAK E

ibuprofen 1

ibuprofen infants E

inavix E

INDOCIN ORAL 3 ST

INDOCIN RECTAL E

indomethacin er 1

INFLAMMACIN E

KBGL IN TERODERM

kapzin dc E

KETOPHENE RAPIDPAQ

ketoprofen er 1

ketoprofen oral 1

3 PA QL

LICART EXTERNAL E

LODINE 3

MOBIC ORAL TABLET E

nabumetone oral 1

NALFON ORAL TABLET

1 PA QL

NUDICLO SOLUPAK E

NUDICLO TABPAK E

NUDROXIPAK E

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400 E

NUDROXIPAK I-800 E

NUDROXIPAK M-15 E

NUDROXIPAK N-500 E

ORMECA E

oxaprozin 1

PENNSAID EXTERNAL

piroxicam oral 1

PRASTERA E

QMIIZ ODT E

RELAFEN E

RELAFEN DS E

salsalate oral E

SPRIX 3 PA QL

sulindac oral 1

TORONOVA II SUIK E

TORONOVA SUIK E

VAROPHEN E

VENNGEL ONE E

VIMOVO E

VIVLODEX 3 ST

VOLTAREN EXTERNAL

VP FC KIT E

VP GKL KIT E

XRYLIX EXTERNAL E

ZIPSOR E

ZORVOLEX E

Anesthetics

7T LIDO E

ACCUCAINE E

AGONEAZE E

ANODYNE LPT E

APRIZIO PAK E

APRIZIO PAK II E

ASTERO E

blue tube aloe E

CADIRAMD E

CAPSAICIN-MENTHOL

COCAINE HCL NASAL E

DERMACINRX PHN E

DERMACINRX PRIZOPAK

DERMACINRX ZRM E

DERMALID E

EMPRICAINE-II E

ENZNONUTY E

ethyl chloride 1

EXPAREL E

FLEXIN E

GEBAUERS PAIN EASE

GEN7T E

GEN7T PLUS E

GOPRELTO E

LDO PLUS E

lets E

LEVATIO E

LIDO BDK E

LIDOCANNA E

LIDODERM E

LIDOMARK 25 E

LIDOPAC E

LIDOPRIL XR E

LIDOPURE PATCH E

LIDORX E

LIDO-SORB E

LIDOSTREAM E

LIDOTHOL E

LIDOTRAL E

LIDOVIX L E

LIDTOPIC MAX E

LIVIXIL PAK E

LMR PLUS E

LYDEXA E

MARCAINE E

marlido E

MARLIDO-25 E

MARVONA SUIK E

NUMBRINO E

NUVAKAAN E

NUVAKAAN-II E

PAINGO KFT E

PLIAGLIS E

POINT OF CARE LM-22

POINT OF CARE LM-25

premium lidocaine E

PREMIUM SCAR E

PREPIV SUPPLY 3

PRILO PATCH E

PRILO PATCH II E

PRILOLID E

PRILOVIX E

PRILOVIX LITE E

PRILOVIX PLUS E

PRILOVIXIL E

PRIZOPAK II E

PRIZOTRAL E

PRIZOTRAL-II E

READYSHARP-A E

RELADOR PAK PLUS E

SENSORCAINE E

SKYADERM-LP E

SYNERA E

VEXATROL E

XARACOLL E

XYLOCAINE INJECTION

ZERUVIA E

ZILACAINE PATCH E

ZIONODIL E

ZIONODIL 100 E

ZTLIDO E

CHANTIX $0 QL

disulfiram oral 1

habitrol $0 QL

LIFEMS NALOXONE E

LUCEMYRA 3 ST QL

NARCAN 2

NICOTROL $0 QL

NICOTROL NS $0 QL

SUBLOCADE 3 SP

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA

ALTABAX 3

ARIKAYCE 3 PA SP

AUGMENTIN ES-600 3

avidoxy 1 ST

AVIDOXY DK E

BACTRIM 3

BACTRIM DS 3

BAXDELA INTRAVENOUS

BAXDELA ORAL 3

BENZODOX E

BICILLIN L-A E

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefixime 1

CEFOTAN E

cefprozil 1

CENTANY 3

CENTANY AT E

cephalexin 1

clarithromycin er 1

CLEOCIN ORAL 3

CLINDESSE 3

COLY-MYCIN M E

coremino E

CUBICIN E

CUBICIN RF E

daptomycin E

DIFICID 3

DORYX MPC E

doxy 100 E

EES GRANULES 3

ertapenem sodium E

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

erythromycin oral 1

FETROJA E

FIRVANQ 3

FLAGYL ORAL CAPSULE

HIPREX 3

INVANZ INJECTION E

levofloxacin oral 1

LINCOCIN E

linezolid oral 1 QL

MACROBID 3

MACRODANTIN 3

MINOLIRA E

MONUROL 3

mupirocin calcium E

NUTRIDOX E

NUVESSA E

PRIMSOL 3

RECARBRIO E

SEYSARA 3 ST

SILVADENE 3

SIVEXTRO E

SOLOSEC 3

sulfadiazine oral 1

SUPRAX ORAL CAPSULE

TARGADOX E

tazicef injection E

tigecycline E

tinidazole oral 1

trimethoprim oral 1

TYGACIL E

VANCOCIN 3

vandazole 1

VIBRAMYCIN 3 ST

XENLETA INTRAVENOUS

XENLETA ORAL 3

XEPI 3

XIFAXAN 3 PA

XIMINO 3

ZEMDRI E

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

ZYVOX ORAL 3 QL

Anticoagulants

ACD-A NOCLOT-50 3

ACTIVASE E

ARIXTRA 3 SP QL

CATHFLO ACTIVASE E

ELIQUIS 2 QL

3 SP QL

jantoven 1

LOVENOX 3 SP QL

PRADAXA 2 QL

REGIOCIT E

SAVAYSA 3 QL

THROMBATE III 3 SP

TRICITRASOL 3

XARELTO 2 QL

APTIOM 3

BANZEL 3 PA

BRIVIACT ORAL 3 ST

carbamazepine er 1

CARBATROL 3

CELONTIN 3

clobazam 1 PA

DEPAKOTE 3

DEPAKOTE ER 3

DIACOMIT 3 PA SP

DILANTIN INFATABS E

ELEPSIA XR E

EPIDIOLEX 3 PA SP

epitol 1

ethosuximide oral 1

FANATREX FUSEPAQ E

felbamate 1

FELBATOL 3

FINTEPLA 3 PA SP

FYCOMPA 3

GABITRIL 3

KEPPRA INTRAVENOUS

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

levetiracetam er 1

MYSOLINE 3

NAYZILAM 3 QL

NEURONTIN 3

oxcarbazepine 1

OXTELLAR XR E

PHENYTEK 3

primidone oral 1

QUDEXY XR 3

rufinamide 1 PA

SABRIL ORAL PACKET

SABRIL ORAL TABLET

3 PA SP

SPRITAM E

subvenite 1

SYMPAZAN 3 PA

TEGRETOL-XR 3

tiagabine hcl 1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TRILEPTAL 3

TROKENDI XR 3 ST

VALTOCO 3 QL

vigabatrin 1 PA SP

vigadrone 1 PA SP

VIMPAT INTRAVENOUS

VIMPAT ORAL 3

XCOPRI 3 ST

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

ARICEPT 3

donepezil hcl 1

EXELON TRANSDERMAL

NAMENDA ORAL TABLET

NAMENDA XR 3 QL

NAMZARIC 2 QL

RAZADYNE ER 3

rivastigmine 1

Antidepressants

amoxapine 1

ANAFRANIL 3

APLENZIN E

BRISDELLE 3 ST QL

CELEXA ORAL TABLET

CYMBALTA E

DESVENLAFAXINE ER

3 ST QL

EFFEXOR XR E

EMSAM 3 QL

FETZIMA 3 ST QL

FORFIVO XL E

LEXAPRO ORAL TABLET

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3

nefazodone hcl 1

PARNATE 3

paroxetine hcl er 1

PAXIL CR 3

PAXIL ORAL TABLET 3

PEXEVA E

PRISTIQ E

protriptyline hcl 1

PROZAC ORAL CAPSULE

REMERON SOLTAB 3

3 PA SP

TRINTELLIX 3 ST QL

venlafaxine hcl 1

VIIBRYD ORAL TABLET

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA SP

AKYNZEO INTRAVENOUS

AKYNZEO ORAL 3 QL

ANZEMET ORAL 3 QL

aprepitant 1 QL

BONJESTA 3 PA QL

compro 1

DICLEGIS 3 PA QL

dronabinol 1 PA QL

EMEND TRI-PACK 3 QL

GIMOTI E

MARINOL 3 PA QL

ondansetron odt 1

palonosetron hcl E

perphenazine oral 1

prochlorperazine 1

REGLAN ORAL 3

SANCUSO 3 QL

scopolamine 1

SUSTOL E

SYNDROS 3 PA QL

TIGAN INTRAMUSCULAR

TIGAN ORAL 3

ZUPLENZ E

Antifungals

ALA-QUIN E

ALCORTIN A E

ANCOBON 3

CRESEMBA ORAL 3

DIFLUCAN 3

DIFMETIOXRIME E

ECONASIL E

ECOZA E

ERTACZO E

EXELDERM E

EXTINA 3

fluconazole oral 1

flucytosine oral 1

FUNGIMEZ E

GYNAZOLE-1 3

HIXDEFRIMA E

IMIOXIA E

IODOQUIMEZ-HC E

JUBLIA E

KERYDIN 3 PA

ketoconazole oral 1

LOPROX EXTERNAL KIT

LULICONAZOLE E

LUZU E

MENTAX E

micaderm E

miconazole 1 E

miconazole 7 E

MYCOZYL AP E

naftifine hcl 1

NAFTIN EXTERNAL GEL

NOXAFIL ORAL 3 PA

nyamyc 1

nystatin external 1

nystop 1

ONYCHO-MED E

ORAVIG E

PEDIZOLPAK E

PHEODOYO E

PHEYO E

posaconazole 1 PA

QUINJA E

RECURA E

SPORANOX 3 PA

SPORANOX PULSEPAK

SULCONAZOLE NITRATE

tavaborole 1 PA

terconazole 1

TOLSURA E

VFEND 3

voriconazole oral 1

VUSION E

VYTONE E

XOLEGEL E

XOLEGEL COREPAK E

XOLEGEL DUOXOLEX

ZOLPAK E

Antigout Agents

allopurinol oral 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA SP

MITIGARE E

probenecid oral 1

ULORIC 3 ST

ZYLOPRIM 3

EMFLAZA 3 PA SP

Antimigraine Agents

2 PA QL

AJOVY E

AMERGE 3 QL

CAFERGOT 3

DHE 45 3 PA QL

1 PA QL

EMGALITY 2 PA QL

2 PA QL

ERGOMAR 3

FROVA 3 QL

IMITREX 3 QL

MIGERGOT 3

MIGRAINE PACK E

MIGRANAL 3 PA QL

MIGRANOW E

NURTEC 2 PA QL

RELPAX 3 QL

REYVOW E

SUMANSETRON E

TOSYMRA E

3 ST QL

UBRELVY 2 PA QL

VYEPTI E

ZEMBRACE SYMTOUCH

ZOLMITRIPTAN NASAL

3 ST QL

ZOMIG NASAL 3 ST QL

ZOMIG ORAL E

ZOMIG ZMT E

GUANIDINE HCL ORAL

Antimycobacterials

CAPASTAT SULFATE E

cycloserine oral 1

dapsone oral 1

isoniazid oral 1

MYCOBUTIN 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifabutin 1

rifampin oral 1

SIRTURO 3

TRECATOR 3

ABRAXANE 2 SP

ADCETRIS 2 PA SP

2 PA SP QL

ALECENSA 2 PA SP

ALIMTA 2 SP

ALIQOPA 3 PA SP

ALKERAN 3 SP

ALUNBRIG 2 PA SP QL

anastrozole oral $0

ARIMIDEX E

AROMASIN 3

ARRANON 2 SP

ARZERRA 2 PA SP

ASPARLAS 3 SP

AVASTIN 3 PA SP

AYVAKIT 3 PA SP QL

azacitidine 1 PA SP

BALVERSA 3 PA SP

BAVENCIO 3 PA SP

BELEODAQ 3 PA SP

BELRAPZO E SP

BENDEKA 3 PA SP

BESPONSA 3 PA SP

bexarotene 1 PA SP

bicalutamide 1

BICNU 3 SP

BLENREP 3 PA SP

BLINCYTO 3 PA SP

BORTEZOMIB 3 PA SP

BOSULIF 3 PA SP

3 PA SP

BREYANZI E SP

BRUKINSA 3 PA SP

busulfan 1 SP

BUSULFEX 3 SP

CABOMETYX 2 PA SP

CALQUENCE 3 PA SP

CAMPATH 2 SP

CAMPTOSAR 3 SP

2 PA SP QL

2 PA SP

carmustine 1 SP

CASODEX 3

clofarabine 1 SP

CLOLAR 3 SP

3 PA SP

COPIKTRA 3 PA SP

COSELA E SP

COSMEGEN 3 SP

COTELLIC 3 PA SP

CYRAMZA 3 PA SP

DACOGEN 3 PA SP

dactinomycin 1 SP

DANYELZA 3 PA SP

DARZALEX 3 PA SP

DAURISMO 3 PA SP

decitabine 1 PA SP

DOXIL 3 SP

DROXIA 3

ELITEK 3 SP

ELLENCE 3 SP

ELZONRIS 3 PA SP

EMCYT 2

EMPLICITI 3 PA SP

ENHERTU 3 PA SP

ERBITUX 2 PA SP

ERIVEDGE 2 PA SP

ERLEADA E SP

1 PA SP

1 PA SP QL

ERWINAZE INJECTION

ETHYOL 3 SP

ETOPOPHOS 3 SP

etoposide oral 1 SP

1 PA SP QL

EVOMELA 3 SP

exemestane $0

FARESTON 3

FARYDAK 3 PA SP

FEMARA 3

flutamide 1

FOLOTYN 2 PA SP

FOTIVDA E SP

fulvestrant 1 SP

GAVRETO E SP

GAZYVA 3 PA SP

GILOTRIF 3 PA SP QL

GLEEVEC 3 PA SP

HALAVEN 2 PA SP

HERCEPTIN HYLECTA

3 PA SP

HERZUMA E SP

HYCAMTIN 3 SP

HYDREA 3

hydroxyurea oral 1

IBRANCE 3 PA SP

3 PA SP QL

3 PA SP

IDAMYCIN PFS 3 SP

idarubicin hcl 1 SP

IDHIFA 3 PA SP QL

IFEX 3 SP

ifosfamide 1 SP

IMBRUVICA 3 PA SP

IMFINZI 3 PA SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA 3 PA SP

INQOVI E SP

INREBIC 3 PA SP

IRESSA 3 PA SP

irinotecan hcl 1 SP

IXEMPRA KIT 2 SP

2 PA SP QL

2 PA SP

JELMYTO E SP

JEVTANA 2 PA SP

KADCYLA 3 PA SP

KANJINTI 2 PA SP

3 PA SP

KHAPZORY 3 ST SP

3 PA SP

KOSELUGO 3 PA SP

KYPROLIS 2 PA SP

3 PA SP

letrozole oral 1

LEUKERAN 2

LIBTAYO 3 PA SP

LONSURF 3 PA SP

LORBRENA 3 PA SP

LUMOXITI 3 PA SP

LUTATHERA E

2 PA SP

LYSODREN 2

MARQIBO 3 SP

MATULANE 2 SP

MEKINIST 2 PA SP

MEKTOVI 3 PA SP

melphalan 1 SP

melphalan hcl 1 SP

mesna 1 SP

MESNEX 3 SP

MONJUVI 3 PA SP

mutamycin 1 SP

MVASI 2 PA SP

MYLERAN 2

3 PA SP

NAVELBINE 3 SP

NERLYNX 3 PA SP QL

NEXAVAR 2 PA SP

NILANDRON 3 SP

nilutamide 1 SP

NINLARO 3 PA SP

NIPENT 3 SP

NUBEQA 3 PA SP

ODOMZO 3 PA SP

OGIVRI E SP

ONCASPAR INJECTION

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG 3 PA SP

OPDIVO 3 PA SP

ORGOVYX 3 PA SP

paclitaxel 1 SP

PADCEV 3 PA SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE 3 PA SP QL

PERJETA 2 PA SP

PHESGO 2 PA SP

PHOTOFRIN 3 SP

PIQRAY 3 PA SP

POLIVY 3 PA SP

POMALYST 3 PA SP

PORTRAZZA 3 PA SP

POTELIGEO 3 PA SP

PROLEUKIN 2 SP

PURIXAN 3 SP

QINLOCK 3 PA SP

RETEVMO 3 PA SP

REVLIMID 2 PA SP

RIABNI 3 PA SP

3 PA SP

ROZLYTREK 3 PA SP

RUBRACA 2 PA SP

RUXIENCE 2 PA SP

RYDAPT 3 PA SP

SARCLISA 3 PA SP

SIKLOS 3 PA

SOLTAMOX $0

SPRYCEL 2 PA SP

STIVARGA 3 PA SP

SUTENT 2 PA SP

SYLVANT 3 PA SP

SYNRIBO 3 PA SP

TABLOID 2 SP

TABRECTA E SP

TAFINLAR 2 PA SP

3 PA SP QL

3 PA SP

TALZENNA 3 PA SP

3 PA SP

3 PA SP QL

TARGRETIN EXTERNAL

3 PA SP

TARGRETIN ORAL E SP

TASIGNA 3 PA SP

TAZVERIK E SP

TECARTUS 3 PA SP

TECENTRIQ 3 PA SP

TEMODAR INTRAVENOUS

3 PA SP

teniposide 1 SP

TEPADINA 3 SP

TEPMETKO E SP

THALOMID 2 PA SP

TIBSOVO 3 PA SP

topotecan hcl 1 SP

TOTECT 3 SP

TRAZIMERA 2 PA SP

tretinoin oral 1 SP

TRODELVY 3 PA SP

TRUXIMA E SP

TUKYSA 3 PA SP

TURALIO 3 PA SP

TYKERB 3 PA SP

UKONIQ E SP

UNITUXIN 3 PA SP

VALCHLOR 3 PA SP

valrubicin E

VALSTAR E

VENCLEXTA 3 PA SP

3 PA SP

VERZENIO 3 PA SP

VIDAZA 3 PA SP

VITRAKVI 3 PA SP

VIZIMPRO 3 PA SP

VORAXAZE E

VOTRIENT 3 PA SP

3 PA SP

XALKORI 3 PA SP

XELODA 3 PA SP

XOSPATA 3 PA SP

3 PA SP

XTANDI 3 PA SP

YERVOY 2 PA SP

YESCARTA 3 PA SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA SP

ZANOSAR 2 SP

ZEJULA 2 PA SP

ZELBORAF 3 PA SP

ZEPZELCA 3 PA SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA SP

ZOLINZA 2 PA SP

ZYDELIG 3 PA SP

ZYKADIA ORAL TABLET

3 PA SP

ZYTIGA E SP

Antiparasitics

ALBENZA 3 PA

ARAKODA 3

atovaquone oral 1

BENZNIDAZOLE 3

BILTRICIDE 3

COARTEM 3

crotan 1

DARAPRIM 3 PA SP

EGATEN 3

ELIMITE 3

EMVERM 2

IMPAVIDO 3

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NATROBA 3

NEBUPENT 3

nitazoxanide 1

OVIDE 3

PENTAM E

PLAQUENIL 3

praziquantel oral 1

QUALAQUIN 3 PA

spinosad 1

STROMECTOL 3

SULFURATED LIME 3

3 PA SP QL

AZILECT 3

carbidopa oral 1

COMTAN 3

DUOPA ENTERAL 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA SP

KYNMOBI 3 PA SP QL

3 PA SP QL

LODOSYN 3

MIRAPEX ER 3

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3 ST

OSMOLEX ER E

PARLODEL 3

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

tolcapone 1

XADAGO 3 ST QL

ZELAPAR 3

Antiplatelets

ASPIRIN-OMEPRAZOLE

BRILINTA 2

CABLIVI 3 PA SP QL

cilostazol 1

dipyridamole oral 1

DURLAZA E

EFFIENT 3

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

ABILIFY MYCITE E

ABILIFY ORAL TABLET

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA E

ARISTADA INITIO E

CAPLYTA 3 ST QL

clozapine 1 QL

CLOZARIL 3 QL

FANAPT 3 ST QL

3 ST QL

GEODON ORAL 3 QL

HALDOL DECANOATE E

haloperidol oral 1

INVEGA 3 QL

LATUDA 3 QL

molindone hcl 1

PERSERIS E

pimozide 1

REXULTI 3 QL

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL 3 QL

SEROQUEL XR 3 QL

thiothixene oral 1

VERSACLOZ 3 QL

VRAYLAR 3 ST QL

ZYPREXA ORAL 3 QL

ZYPREXA RELPREVV E

ZYPREXA ZYDIS 3 QL

Antivirals

abacavir sulfate 1

acyclovir oral 1

ACYCLOVIX E

APTIVUS 2

ATRIPLA E

BARACLUDE 3 SP QL

BIKTARVY 3

CABENUVA E

CIMDUO 2

COMBIVIR 3

COMPLERA 2

DELSTRIGO 3

DENAVIR E

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

emtricitabine 1

entecavir 1 SP QL

EPCLUSA 2 PA SP QL

EPIVIR 3

EPZICOM 3

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3

GENVOYA 3

HARVONI 2 PA SP QL

HEPSERA 3 SP

INTELENCE 2

INTRON A 3 PA SP

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL TABLET

MAVYRET 2 PA SP QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET

NORVIR ORAL TABLET

ODEFSEY 3

2 PA SP

3 PA SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2

RAPIVAB E

RETROVIR ORAL SYRUP

REYATAZ ORAL PACKET

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG E

SOVALDI 3 PA SP QL

STRIBILD 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

SYMTUZA 3

TEMIXYS E

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3

TROGARZO 3 PA

TRUVADA E

TYBOST 2

VALCYTE 3

VALTREX 3 QL

VEMLIDY 3 SP

VIRAZOLE 3

VIREAD ORAL POWDER

VOCABRIA E

VOSEVI 2 PA SP QL

XERESE E

ZEPATIER 3 PA SP QL

ZIAGEN 3

zidovudine 1

alprazolam er 1 QL

alprazolam xr 1 QL

ATIVAN E

diazepam intensol 1

DORAL 3 QL

estazolam 1 QL

HALCION 3 QL

KLONOPIN 3 QL

meprobamate 1

oxazepam 1 QL

quazepam 1 QL

triazolam 1 QL

VALIUM E

VISTARIL 3

XANAX E

XANAX XR E

EQUETRO 3

lithium 1

LITHOBID 3

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR ORAL TABLET

anagrelide hcl 1

2 PA SP

CEPROTIN 3 SP

COAGADEX 3 SP

CORIFACT 2 SP

3 PA SP

ELOCTATE 3 SP

ESPEROCT E SP

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

3 PA SP

LYSTEDA 3

3 PA SP

MOZOBIL 2 PA SP QL

MULPLETA 2 PA SP

3 PA SP

NIVESTYM 2 PA SP

NOVOEIGHT 2 SP

NOVOSEVEN RT 2 SP

NPLATE 3 PA SP

NUWIQ 2 SP

NYVEPRIA 3 PA SP

OBIZUR 3 SP

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA SP

REBINYN 3 SP

REBLOZYL 3 PA SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

2 PA SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT E SP

3 PA SP

TAVALISSE 3 PA SP

THROMBOGEN 3

TRETTEN 3 SP

UDENYCA E SP

3 PA SP

2 PA SP

VONVENDI 3 SP

ZARXIO 2 PA SP

ZIEXTENZO 3 PA SP

ACCUPRIL 3

ACCURETIC 3

ALDACTAZIDE 3

ALDACTONE 3

ALTACE ORAL CAPSULE

ALTOPREV E

ATACAND E

ATACAND HCT 3

atenolol oral 1

AVAPRO 3

AZOR E

BENICAR E

BENICAR HCT E

BETAPACE AF 3

BIDIL 3

bumetanide oral 1

BYSTOLIC 2

CALAN SR 3

captopril oral 1

CARDIZEM CD 3

CARDURA 3

CAROSPIR 3

cartia xt 1

carvedilol 1

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

colesevelam hcl 1

COLESTID E

COLESTID FLAVORED

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG 3

COREG CR 3

CORGARD 3

CORLANOR 3 PA QL

COZAAR 3

CRESTOR E

DEMSER 3

DIBENZYLINE 3

digitek 1

digox 1

digoxin oral 1

DILATRATE-SR 3

dilt-xr 1

DIOVAN E

DIOVAN HCT E

DIURIL 3

dofetilide 1

droxidopa 1 PA SP

DUTOPROL E

DYRENIUM 3

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3

ENTRESTO 2 QL

eplerenone 1

EVKEEZA E SP

EXFORGE 3

EXFORGE HCT 3

ezetimibe 1

felodipine er 1

FENOGLIDE 3 ST

FIBRICOR E

FLOLIPID 3 ST

fosinopril sodium 1

gemfibrozil oral 1

GONITRO 3

HEMANGEOL 3

HYZAAR 3

indapamide oral 1

INDERAL LA E

INDERAL XL E

INNOPRAN XL E

INSPRA 3

irbesartan 1

ISORDIL TITRADOSE 3

isradipine 1

3 PA SP QL

KAPSPARGO SPRINKLE

KATERZIA E

LASIX 3

LESCOL XL E

LIPITOR E

LIPOFEN 3

lisinopril oral 1

LIVALO E

LOPID 3

LOPRESSOR ORAL 3

lovastatin oral 1

LOVAZA E

matzim la 1

MAXZIDE 3

MAXZIDE-25 3

methyldopa oral 1

metolazone 1

metyrosine 1

MICARDIS 3

MICARDIS HCT 3

midodrine hcl 1

MINIPRESS 3

minitran 1

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

NEXLETOL 2 PA QL

NEXLIZET 2 PA QL

niacor 1

NIASPAN 3

nifedipine er 1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

NITROLINGUAL 3

NITROMIST 3

NITROSTAT E

NITRO-TIME E

NORPACE 3

NORPACE CR 2

NORTHERA 3 PA SP

NORVASC E

OMEGA-3 RX COMPLETE

pentoxifylline er 1

pindolol 1

2 PA QL

prazosin hcl oral 1

PRESTALIA 3 ST

prevalite 1

PROCARDIA 3

PROCARDIA XL 3

propafenone hcl 1

propranolol-hctz 1

QBRELIS E

QUESTRAN E

quinapril hcl 1

ramipril 1

RANEXA 3 ST

ranolazine er 1 ST

RECTIV 3

REPATHA 2 PA QL

2 PA QL

REPATHA SURECLICK

2 PA QL

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

taztia xt 1

TEKTURNA 2 ST

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

TENORMIN E

tiadylt er 1

TIAZAC 3

TIKOSYN E

TOPROL XL E

torsemide oral 1

trandolapril 1

triamterene oral 1

TRIBENZOR E

TRICOR 3

TRILIPIX 3

TWYNSTA 3

valsartan 1

VASCEPA 2 PA

VASERETIC 3

VASOTEC 3

VECAMYL 3

VERELAN 3

VERELAN PM 3

VERQUVO E

VYNDAMAX 3 PA SP QL

VYNDAQEL 3 PA SP QL

VYTORIN E

WELCHOL 3

ZESTORETIC 3

ZETIA E

ZIAC 3

ADDERALL 3 PA QL

ADDERALL XR E

ADHANSIA XR E

1 PA QL

CONCERTA E

DAYTRANA 3 PA ST QL

DESOXYN 3 PA ST QL

3 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

EVEKEO 3 PA ST QL

EVEKEO ODT 3 PA QL

FOCALIN 3 PA QL

guanfacine hcl er 1

INTUNIV 3

3 PA ST QL

1 PA ST QL

1 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

MYDAYIS 3 PA ST QL

3 PA ST QL

relexxii 1 PA ST QL

RITALIN 3 PA QL

3 PA ST QL

STRATTERA 3 QL

VYVANSE 2 PA QL

ZENZEDI 3 PA ST QL

AMPYRA 3 PA SP QL

AUBAGIO 3 PA SP QL

2 PA SP QL

1 PA SP QL

GILENYA 3 PA SP QL

glatopa 1 PA SP QL

KESIMPTA 2 PA SP QL

LEMTRADA 3 PA SP

MAVENCLAD 3 PA SP

MAYZENT 3 PA SP QL

OCREVUS 3 PA SP QL

PLEGRIDY E SP

PONVORY E SP

TECFIDERA E SP

TYSABRI 3 PA SP QL

VUMERITY 2 PA SP QL

ZEPOSIA 3 PA SP QL

3 PA SP QL

ZEPOSIA STARTER KIT

3 PA SP QL

ADDYI 3 PA QL

ADIPEX-P E

AUSTEDO 3 PA SP QL

benzphetamine hcl E

CONTRAVE E

CONVENIENCE PAK E

GRALISE 3 ST QL

3 PA QL

IMCIVREE 3 PA SP QL

INGREZZA 3 PA SP QL

LOMAIRA E

LYRICA CR 3 ST QL

LYRICA ORAL CAPSULE

NEURAPTINE E

NUEDEXTA 3 PA

ONPATTRO 3 PA SP

QSYMIA E

RADICAVA 3 PA SP

RILUTEK 3 PA QL

riluzole 1 PA QL

SAVELLA 3 ST QL

3 ST QL

SAXENDA E

TEGSEDI 3 PA SP

TIGLUTIK 3 PA SP QL

VYLEESI 3 PA QL

XENAZINE 3 PA SP

XENICAL E

ARESTIN E

cavarest E

cevimeline hcl 1

CLINPRO 5000 E

DENTA 5000 PLUS E

DENTAGEL E

easygel dental E

EVOXAC 3

FIRST-MOUTHWASH BLM

FLUORIDEX E

KEPIVANCE 2 SP

MOUTH KOTE REMINT

MUCOSITISRX E

NAFRINSE WEEKLY E

oralone 1

PERIDEX E

periogard E

PREVIDENT E

PREVIDENT 5000 PLUS

SALAGEN 3

SALIVAMAX E

sf 5000 plus E

ABREVA E

ABSORICA E

ABSORICA LD 3 PA

ACANYA E

ACESO AG E

ACIOXIAY E

acitretin 1

ADAINZDE E

ADAINZOXIA E

AKLIEF E

ALA SCALP E

ALDARA E

ALEVAMAX E

ALTRENO 3 PA

AMELUZ E

amnesteem 1 PA

AMZEEQ 3

ANACAINE E

APEXICON E E

AQUAPHILIC E

ARAZLO E

ARIDA E

ATOPADERM E

ATOPICLAIR E

ATRALIN 3 PA

AVAR CLEANSER E

AVAR LS CLEANSER E

AVAR-E EMOLLIENT E

AVAR-E GREEN E

AVAR-E LS E

AVEIDAOXIA E

AVITA E

AZADROX E

AZELEX 3

BEAU RX E

BENZACLIN E

BENZACLIN WITH PUMP

BENZAMYCIN E

BENZEPRO EXTERNAL

benzoin compound E

BESER EXTERNAL KIT

BIAFINE E

blanche E

bp 10-1 E

bp cleansing wash E

BPCO 3

BRYHALI E

CALCITRENE 3

CAPEX E

capzix E

CARAC 3

CEM-UREA E

CERACADE E

CHLOOXIA E

claravis 1 PA

CLENIA PLUS E

CLINDACIN PAC E

clindacin-p 1

CLINDAGEL E

CLINOIN E

CLOBETAVIX E

CLOBEX 3

CLOBEX SPRAY 3

CLODAN EXTERNAL KIT

CLODERM E

COLLATYL E

COPADERM E

COPASIL EXTERNAL E

CORTANE-B EXTERNAL

DAPSONE-NIACINAMIDE

DELUO E

DEOXIA E

DERMACINRX PENETRAL

DERMELLE E

DERMULCERA 3

DERPIXA E

DESONATE E

desonide external 1

DEXERYL E

DIADIMAXIA E

DIAOXIA E

DIASDIMAXIA E

DIASOXIA E

1 ST QL

1 PA QL

DIMOXIA E

DIOCHLOY E

DIPROLENE AF 3

doxycycline 1

DRAXACE E

DRITHO-CREME HP E

DRIXECE E

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA SP QL

ECEOXIA E

ELETONE E

ELIDEL 3 ST

EMULSION SB E

enovarx-tramadol E

ENSTILAR E

ENTTY SPRAY E

ENZOCLEAR E

EPICERAM E

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

ERYGEL 3

ESKATA E

ETHOXIA E

EUCRISA 2 ST

EVOCLIN 3

FABIOR E

FINACEA 3 ST

FINAPOD E

FLUOPAR E

FLUOROPLEX 3

FLUOVIX E

FLUOVIX PLUS E

flurandrenolide E

FORAXA E

GEAMETDRAY E

GENADUR E

GORDOFILM 3

GUANENDRUX E

halcinonide E

HALOG E

HALUCORT E

HAXCHLO E

HPR PLUS HYDROGEL

HYDRO 40 E

IMIQUIMOD PUMP E

IMPEKLO E

IMPOYZ E

INOVA E

ITHOXIA E

KAMDOY E

KATARYA E

KATARYAXN E

KAXM E

KEIDO E

KELARX E

KENALOG EXTERNAL 3

KERAGEL E

KERALYT SCALP E

KETARYA E

KEVARYA E

KEXM E

KEYA E

KIVIK E

KLARON 3

KLISYRI E

KUTARYAXM E

KUTARYAXMPA E

KUTEA E

KUVARYA E

KUVARYE E

KUXM E

lactic acid e 1

lavare wound wash E

LEVULAN KERASTICK 3

LEXETTE E

LOCOID LIPOCREAM E

LUXIQ 3

MEDERMA E

MEDERMA FOR KIDS E

MEDERMA SPF 30 E

methoxsalen rapid 1

METROCREAM 3

METROLOTION 3

MIMYX E

MIRVASO 3

myorisan 1 PA

NEOSALUS E

NEUAC EXTERNAL KIT

nolix E

NORITATE E

NUCARACLINPAK E

NUCARARXPAK E

NUCORT E

NUDERMRXPAK 120 E

NUDERMRXPAK 60 E

NUTRASEB E

NUTRIARX CREAMPAK

NUVAIL E

OLUX 3

OLUX-E 3

ONEXTON 3

ONZDEOXIA E

ORACEA 3

OVACE PLUS E

OVACE PLUS WASH E

OVACE WASH E

OXIANUJO E

OXIATAR E

OXIAVARRY E

OXIAZAR E

OXOPOD E

OXSORALEN ULTRA 3

PANDEL E

PENLEN E

PHLAG SPRAY E

pimecrolimus 1 ST

PLEXION E

podocon E

PODPROG E

PR BENZOYL PEROXIDE

PR CREAM E

pramox E

prednicarbate 1

PRESERA E

PROPECIA E

PROSILK EXTERNAL E

PROTEXA E

PROTOPIC 3

PROTYL AG E

PRUCLAIR E

PRUDOXIN 3 PA

PRUMYX E

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR E

QUINIXIL E

QUTENZA E

QUTENZA (2 PATCH) E

QUTENZA (4 PATCH) E

RADIAGEL E

RECEDO E

REFISSA E

REGENECARE 3

REGRANEX 3 PA

remergent hq E

REMIGEN E

RENOVA E

RENOVA PUMP E

RESORCINOL-SULFUR

RETIN-A 3 PA

RHOFADE 3

RIAX E

ROAOXIA E

salicylic acid er E

salimez E

SALIMEZ FORTE E

SALVAX E

SALVAX DUO PLUS E

SANTYL 3

SCALACORT DK E

SCARCIN E

SCARSILK EXTERNAL E

SCARZEN SKIN REPAIR

SCENESSE 3 PA SP

SELRX E

SERNIVO 3

SILA III E

SILIPAC E

skarjel E

SOLARAVIX EXTERNAL

SOLOX E

SOOLANTRA 3

SORILUX E

sss 10-5 E

STRATA CTX E

STRATA GRT E

STRATA MARK E

STRATA TRIZ E

STRATA XRT E

SULFACLEANSE 84 E

sulfamez wash E

SUMADAN E

SUMADAN WASH E

SUMADAN XLT E

SUMAXIN E

SUMAXIN CP E

SUMAXIN WASH E

SUVICORT E

SYNALAR 3

SYNALAR (CREAM) E

SYNALAR (OINTMENT)

SYNALAR TS E

SYNERDERM E

TARDEOXIA E

TARDIMAXIA E

TAROXIA E

TASOPROL E

TEXACORT 3

TOPICORT SPRAY E

TOVET EXTERNAL KIT

TRIANEX E

TRI-CHLOR 3

TRIDESILON 3

TRILOCICLO E

TRI-LUMA E

TRIVIX E

TURPENTINE EXTERNAL

ULTRASAL-ER E

UMECTA MOUSSE E

UREA EXTERNAL FOAM

urea hydrating E

ureacin-10 E

ureacin-20 E

uredeb E

UREMEZ-40 E

URESOL E

UTOPIC E

VANIQA E

VANOS 3

VANOXIDE-HC E

VARDIMAXIA E

VAROXIA E

VECTICAL E

VELTIN E

VENELEX 3

VERDESO E

VEREGEN E

VEXASYN E

VIRASAL E

WINLEVI 3 PA

WYNZORA E

XALIX E

XERAC AC 3

XERALUX E

xurea E

ZACARE E

zenatane 1 PA

ZIANA E

ZILXI 3 ST

ZITHRANOL E

ZONALON 3 PA

ZYCLARA E

ZYCLARA PUMP E

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN E

ALOGLIPTIN BENZOATE

AMARYL 3

2 ST QL

CYCLOSET 3 ST

DUETACT 3

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

GLUCOTROL XL 3

GLUMETZA E

glyburide oral 1

GLYNASE 3

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E

OSENI E

OZEMPIC 2 ST QL

pioglitazone hcl 1

PRECOSE 3

QTERN E

repaglinide 1

RIOMET 3 ST

RYBELSUS 2 ST QL

SEGLUROMET E

SOLIQUA 2 ST QL

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1 ST

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST QL

VICTOZA 2 ST QL

XIGDUO XR 2 ST

XULTOPHY 3 ST QL

BLUESTAR E

CARETOUCH TEST E

CEQUR SIMPLICITY 2U

CONTOUR TEST STRIPS

FORTISCARE CONTROL

GUARDIAN SENSOR (3)

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST E

NOVOPEN ECHO 3

PRECISION LINK E

TRUE METRIX LEVEL 1

TRUE METRIX LEVEL 2

TRUE METRIX LEVEL 3

TRUETRACK TEST E

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

3 Made by Lilly

2Made by Fresenius

GVOKE PFS 2

PROGLYCEM 3

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR

APIDRA SOLOSTAR E

APIDRA VIAL E

BASAGLAR KWIKPEN E

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG VIAL 2

HUMULIN 7030 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R VIAL 2

INSULIN ASPART E

INSULIN SYRINGES $0

LANTUS U-100 VIAL 2

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MYXREDLIN 3

NOVOLIN 7030 RELION

NOVOLIN 7030 VIAL E

NOVOLIN N FLEXPEN E

NOVOLIN N RELION E

NOVOLIN N VIAL E

NOVOLIN R FLEXPEN E

NOVOLIN R RELION E

NOVOLIN R VIAL E

SEMGLEE E

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH

ABANEU-SL E

ACTITROM-D E

ACTIVE FE E

ACTIVITE E

adcf (05mgml) 1

ADRENAL C FORMULA

airavite E

aminoamrms E

aminoreliefrms E

ANIMI-3 E

ANIMI-3VITAMIN D E

ASCOR E

ATABEX OB 2

AZESCO E

BACMIN E

biocel E

biopetit E

bp vit 3 E

b-plex E

b-plex plus E

CALCIFOL 3

CARBAGLU 2 SP

CARNITOR ORAL 3

CARNITOR SF 3

CENFOL E

CENTRATEX E

CEREFOLIN E

CHEMET 3

CHOLECAL DF E

CIFEREX E

CITRANATAL BLOOM E

CITRANATAL MEDLEY

clovique 1 PA SP

CORVITE 150 E

corvite fe E

cytra k crystals E

d3 super strength E

DECARA E

deferasirox 1 PA

deferiprone 1 PA

DEPLIN 15 E

DEPLIN 75 E

DEXIFOL E

DIALYVITE E

DIALYVITE 3000 E

DIALYVITE 5000 E

DIALYVITE SUPREME D

DIALYVITEZINC E

d-vite pediatric E

ELFOLATE E

ENBRACE HR E

ERGOCAL E

EXJADE 3 PA

fabb E

FEONYX E

FERAHEME E

FERIVA 217 E

FERIVAFA E

ferocon E

ferotrinsic E

FERRALET 90 E

ferraplus 90 E

FERRIPROX 3 PA

FERRLECIT E

FLORIVA E

FLORIVA PLUS E

folbee E

folbee plus E

FOLBEE PLUS CZ E

FOLBIC RF E

FOLGARD OS E

FOLGARD RX E

FOLIC D3 E

FOLIC-K E

FOLI-D E

FOLITE E

FOLITIN-Z E

FOLIXAPURE E

folplex 22 E

foltanx E

FOLTANX RF E

FOLTRATE E

FOLTREXYL E

foltrin E

FOLVITE-D E

FOSTEUM E

FUSION PLUS E

GALZIN 3

GENICIN VITA-D E

GENICIN VITA-Q E

GENICIN VITA-S E

HEMATOGEN E

HEMATOGEN FA E

HEMATRON-AF E

HEMETAB E

HEMOCYTE PLUS E

HYLAVITE E

HYLAZINC E

ICAR-C PLUS E

iferex 150 forte E

INFED E

INFUVITE ADULT E

INTEGRA F E

INTEGRA PLUS E

IODINE STRONG ORAL

IROSPAN 246 E

ISOLYTE-S E

JADENU 3 PA

JYNARQUE 3 SP QL

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-conef 1

K-PHOS NO 2 E

K-PHOS-NEUTRAL E

k-prime 1

K-TAB 3

k-tan plus E

L-CYSTINE E

levocarnitine sf 1

L-ISOLEUCINE E

l-methylfolate E

l-methyl-mc E

l-methyl-mc nac E

LOKELMA 3

LORID E

MVI ADULT E

MAGNEBIND 400 3

magnesium-oxide E

MEPHYTON 3

metafolbic E

metafolbic plus E

METAFOLBIC PLUS RF

METANX ORAL CAPSULE

MICROPLEGIA MSA-MSG

MIFEPREX 3

mifepristone 1

M-NATAL PLUS 2

MONOFERRIC E

MULTIGEN E

MULTIGEN FOLIC E

MULTIGEN PLUS E

MULTIPRO E

myferon 150 forte E

MYNEPHRON E

nafrinse $0

nafrinse drops $0

NASCOBAL 3

NEONATAL + DHA E

NEONATAL 19 2

NEONATAL COMPLETE

NEONATAL FE E

NEONATAL PLUS 2

NEOVITE E

NEPHPLEX RX E

NEPHRO-VITE RX E

NESTABS 2

NESTABS ONE E

NEURIN-SL E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NIFEREX ORAL TABLET

NUFERA E

nufol E

NUTRICAP E

nutrifac zx E

NUTRIVIT E

ONE VITE WOMENS $0

ONEVITE E

ORACIT 3

ORTHO DF E

OVEEZA E

pediavit E

PHOSPHA 250 NEUTRAL

phosphorous 1

PHOXILLUM B22K40 E

PHOXILLUM BK425 E

PHYSIOLYTE E

phytonadione oral 1

PLASMA-LYTE 148 E

PLASMA-LYTE A E

PNV TABS 20-1 E

POTABA ORAL CAPSULE

PREGEN DHA E

PREGENNA E

PREMESISRX E

PRENAISSANCE E

PRENARA E

PRENATE E

PRENATE ENHANCE E

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRO HERS RX E

PRO HIS RX E

PRO PCOS RX E

PROTEINEX P18 E

QUFLORA FE E

QUFLORA GUMMIES E

QUFLORA PEDIATRIC E

RELNATE DHA 2

REMEDIENT E

RENAL ORAL CAPSULE

RENATABS E

RENATABS WITH IRON

rena-vite E

REQ 49+ E

REVESTA E

SAMSCA 3 SP QL

se-tan plus E

SIDEROL ORAL TABLET

soluvita e E

STROVITE FORTE E

STROVITE ONE E

SUPERVITE E

support E

SUPPORT-500 E

SYPRINE 3 PA SP

TALIVA E

tis-u-sol E

tl-hem 150 E

3 SP QL

1 SP QL

tricitrates E

TRICON E

TRINATE 2

TRINAZ E

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 3

TRI-VI-FLORO 3

tri-vitefluoride 1

TRONVITE E

UDAMIN SP E

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urosex E

v-c forte E

VELTASSA 3

VENEXA E

VENOFER E

vic-forte E

VINATE ONE 2

virt-caps E

VIRT-FEFA PLUS E

virt-gard E

vita s forte E

vitacel E

VITAFOL STRIPS 2

VITAFOL-NANO E

VITAFOL-OB+DHA E

VITAL-D RX E

VITAMEZ E

VITAROCA PLUS E

VITASURE E

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

vp-vite rx E

weekly-d E

westab mini E

westab one E

WESTAB PLUS 2

WESTGEL DHA E

WILZIN 3

XAQUIL XR E

XVITE E

ZALVIT E

ZYVANA E

ACIPHEX E

ACIPHEX SPRINKLE E

cimetidine oral 1

CYTOTEC 3

DEXILANT 2 QL

ESOMEP-EZS E

FIRST-LANSOPRAZOLE

1 ST QL

misoprostol oral 1

NEXIUM ORAL PACKET

nizatidine 1

1 ST QL

PEPCID ORAL TABLET

PREVACID E

PREVACID 24HR E

3 ST QL

1 ST QL

sucralfate oral 1

ZEGERID E

ACTIPHLORA E

alosetron hcl 1 PA

alvimopan 1

AMITIZA E

ANASPAZ 3

antacid calcium E

antacid maximum E

antacidantigas E

antacidanti-gas E

BACICAP E

bisacodyl ec $0 QL

bisacodyl rectal E

CHENODAL 3 PA SP

citroma $0 QL

CLENPIQ 3

constulose 1

CUVPOSA 3

diotame instydose E

docusate calcium E

docusate mini E

docuzen E

dok oral tablet E

DONNATAL E

ED-SPAZ 3

ENTEREG 3

enulose 1

EX-LAX ULTRA E

FOLIKA PROBIOTIC E

GASTROCROM 3

GATTEX 3 PA SP

gavilyte-c $0 QL

gavilyte-g $0 QL

gavilyte-h 1

GELUSIL E

generlac 1

geri-kot E

GIALAX E

GLYCATE E

glycolax $0 QL

glycopyrrolate pf E

gnp senna lax E

HELIDAC THERAPY 3

hyosyne 1

KRISTALOSE E

LACTEROL E

LACTOJEN E

lactulose oral 1

laxative max str E

LEVBID E

LEVSIN ORAL TABLET

LEVSINSL E

LIBRAX 3

LINZESS 2 ST QL

LOMOTIL ORAL TABLET

LOTRONEX 3 PA

LUBIPROSTONE E

mm clearlax $0 QL

MOTEGRITY 3 ST QL

MOTOFEN E

MOVANTIK E

MOVIPREP E

MYTESI 3 QL

NULEV 3

NULYTELY LEMON-LIME

OMECLAMOX-PAK 2

opium E

oscimin sr E

OSMOPREP E

PCP 100 E

peg-prep 1

PHENOHYTRO E

PLENVU E

PROBICHEW E

PROBITROL E

PRODIGEN E

PROMEROL E

PYLERA 2

quad-probiotic E

RELISTOR ORAL E

RELTONE E

RESTORA RX 3

senexon-s E

senna oral liquid E

senna s E

senna smooth E

senna-plus E

SENOKOT S E

3 PA SP

SUTAB 3

SYMAX DUOTAB E

SYMAX-SL E

SYMAX-SR E

SYMPROIC 2 ST QL

TALICIA 3

TRULANCE E

TUMS CHEWY BITES E

URSO 250 3

URSO FORTE 3

ursodiol oral 1

VIBERZI 3 PA QL

VISBIOME E

womens 50 billion E

3 PA SP QL

ZELAC E

ZELNORM 3 PA QL

ZORBTIVE 3 PA SP

ALDURAZYME 2 PA SP

AMONDYS 45 E SP

CERDELGA 3 PA SP

2 PA SP

CHOLBAM 3 PA SP

CITRULLINE EASY E

CREON 2

CRYSVITA 3 PA SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA SP

ELELYSO 3 PA SP

ENZADYNE E

EVRYSDI 3 PA SP QL

EXONDYS 51 E SP

FABRAZYME 2 PA SP

GALAFOLD 3 PA SP QL

KANUMA 3 PA SP

KUVAN ORAL PACKET

LUMIZYME 2 PA SP

MEPSEVII 3 PA SP

miglustat 1 PA SP

MYALEPT 3 PA SP

NAGLAZYME 2 PA SP

nitisinone 1 PA SP

NITYR 3 PA SP

OCALIVA 3 PA SP QL

ORFADIN 3 PA SP

PALYNZIQ 3 PA SP QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA SP

RAVICTI 3 PA SP

REVCOVI 3 PA SP

1 PA SP

STRENSIQ 2 PA SP

SUCRAID 3 SP

VIMIZIM 3 PA SP

VIOKACE E

VPRIV 3 PA SP

VYONDYS 53 E SP

XURIDEN 3 PA SP QL

ZAVESCA 3 PA SP

ZOLGENSMA 3 PA SP

aminoacetic acid E

AURYXIA 3

azo tabs E

BI-MIX 3

CAVERJECT IMPULSE

CERVIDIL 3

CIALIS 3 QL

3 PA SP

DETROL 3

DETROL LA 3

EDEX 3 QL

ELMIRON E

FEM PH E

flavoxate hcl 1

GEMTESA E

glycine urologic E

HYOPHEN E

INTRAROSA 3 ST

LITHOSTAT 3

menaphosmbhyo1 E

MUSE 3 QL

MYRBETRIQ 2

OXLUMO 3 PA SP

OXYTROL 3 ST QL

OXYTROL FOR WOMEN

1 PA SP

PHOSLYRA 3

PHOSPHASAL E

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM E

QUAD-MIX 3

RENACIDIN E

RENVELA 3

RIMSO-50 E

sevelamer hcl 1

STAXYN E

STENDRA E

SUPER BI-MIX 3

SUPER QUAD-MIX 3

SUPER TRI-MIX E

tadalafil oral 1 QL

THIOLA EC 3 SP

TOVIAZ 3

TRI-MIX E

URELLE E

URIBEL E

URIMAR-T E

URO-458 E

UROGESIC-BLUE E

uro-mp E

USTELL E

UTIRA-C E

VELPHORO 3

VESICARE 3

VESICARE LS E

VIAGRA E

VILAMIT MB E

VILEVEV MB E

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3 ST

dutasteride oral 1

FLOMAX E

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

UROXATRAL 3

ALKINDI SPRINKLE E

BETA 1 KIT E

BETALOAN SUIK E

BETAMETHASONE COMBO

BSP 0820 E

CELESTONE SOLUSPAN

CORTEF 3

DEPO-MEDROL E

DEXABLISS E

DEXONTO 04 3

DMT SUIK E

DOUBLEDEX E

DXEVO 11-DAY E

DYURAL-40 E

DYURAL-80 E

DYURAL-L E

DYURAL-LM E

HEMADY E

HIDEX 6-DAY E

KENALOG INJECTION 3

KENALOG-80 3

MAS CARE-PAK E

MEDROLOAN II SUIK E

MEDROLOAN SUIK E

MULTI-SPECIALTY E

ORAPRED ODT 3

P-CARE K40 E

P-CARE K40G E

P-CARE K40MX E

P-CARE K80 E

P-CARE K80G E

P-CARE K80MX E

PEDIAPRED 3

POD-CARE 100K E

POINT OF CARE L2 E

POINT OF CARE L5 E

prednisone oral 1

PRO-C-DURE 5 E

PRO-C-DURE 6 E

RAYOS E

TAPERDEX 12-DAY E

TAPERDEX 6-DAY E

TOPIDEX E

TRILOAN II SUIK E

TRILOAN SUIK E

ZCORT 7-DAY E

ZILRETTA E

AVEED E

danazol oral 1

EC-RX TESTOSTERONE

FORTESTA E

JATENZO E

METHITEST 3 PA

NATESTO E

TESTIM E

TESTONE CIK E

TESTOPEL E

VOGELXO PUMP E

XYOSTED 3 PA

EVISTA 3

OSPHENA 3

raloxifene hcl 1

ACTHAR 2 PA SP

BYNFEZIA PEN E SP

cabergoline 1

1 PA SP

DDAVP ORAL 3

DDAVP PF 3

DDAVP RHINAL TUBE 2

ELIGARD 3 PA SP QL

3 PA SP QL

2 PA SP

1 PA SP

GENOTROPIN E SP

GONAL-F E SP

GONAL-F RFF E SP

HUMATROPE E SP

INCRELEX 2 PA SP

ISTURISA E SP

1 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

MENOPUR 3 PA SP

MYCAPSSA E SP

NOCDURNA 3

2 PA SP

1 PA SP

3 PA SP

2 PA SP

1 PA SP

ORILISSA 2 PA QL

OVIDREL 3 PA SP

pregnyl 1 PA SP

SAIZEN E SP

SAIZENPREP E SP

SIGNIFOR E SP

3 PA SP QL

SOMAVERT 3 PA SP

STIMATE 3

SYNAREL 2

TEPEZZA 3 PA SP

VANTAS 3 PA SP QL

3 SP QL

2 SP QL

ZOMACTON E SP

KORLYM 3 PA SP QL

afirmelle $0 QL

ALORA 3 ST

altavera $0 QL

alyacen 135 $0 QL

alyacen 777 $0 QL

amabelz 1

amethia $0 QL

amethyst $0 QL

ANGELIQ 3

ANNOVERA E

apri $0 QL

aranelle $0 QL

ashlyna $0 QL

aubra $0 QL

aubra eq $0 QL

aurovela 1530 $0 QL

aurovela 120 $0 QL

aviane $0 QL

AYGESTIN 3

ayuna $0 QL

azurette $0 QL

BALCOLTRA E

balziva $0 QL

bekyree $0 QL

BEYAZ E

BIESTPROGESTERONE

BIJUVA 3

blisovi 24 fe $0 QL

briellyn $0 QL

camila $0 QL

camrese $0 QL

camrese lo $0 QL

caziant $0 QL

chateal $0 QL

chateal eq $0 QL

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

COVARYX E

COVARYX HS E

3 PA QL

cryselle-28 $0 QL

cyclafem 135 $0 QL

cyclafem 777 $0 QL

cyred $0 QL

cyred eq $0 QL

dasetta 135 $0 QL

dasetta 777 $0 QL

daysee $0 QL

deblitane $0 QL

DELESTROGEN 3

delyla $0 QL

DEPO-ESTRADIOL 3

DIVIGEL 3

dotti 1

DUAVEE 2

EC-RX ESTRADIOL E

EC-RX PROGESTERONE

EEMT E

EEMT HS E

ELESTRIN 3

elinest $0 QL

ELLA $0 QL

eluryng $0 QL

emoquette $0 QL

ENDOMETRIN 2 PA

enpresse-28 $0 QL

errin $0 QL

estarylla $0 QL

ESTRACE 3

estradiol oral 1

estradiol vaginal 1

ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 QL

EVAMIST 3

falmina $0 QL

fayosim $0 QL

FEMHRT LOW DOSE 3

FEMRING 3 ST QL

femynor $0 QL

fyavolv 1

gemmily $0 QL

GENERESS FE 3 QL

hailey 1530 $0 QL

hailey 24 fe $0 QL

hailey fe 120 $0 QL

heather $0 QL

1 PA SP

iclevia $0 QL

incassia $0 QL

introvale $0 QL

isibloom $0 QL

jaimiess $0 QL

jasmiel $0 QL

jencycla $0 QL

jinteli 1

jolessa $0 QL

juleber $0 QL

junel 1530 $0 QL

junel 120 $0 QL

junel fe 1530 $0 QL

junel fe 120 $0 QL

junel fe 24 $0 QL

kaitlib fe $0 QL

kalliga $0 QL

kariva $0 QL

kelnor 135 $0 QL

kelnor 150 $0 QL

kurvelo $0 QL

KYLEENA E

larin 1530 $0 QL

larin 120 $0 QL

larin 24 fe $0 QL

larin fe 1530 $0 QL

larin fe 120 $0 QL

larissia $0 QL

layolis fe $0 QL

leena $0 QL

lessina $0 QL

levonest $0 QL

levora 01530 (28) $0 QL

lillow $0 QL

lojaimiess $0 QL

loryna $0 QL

LOSEASONIQUE 3 QL

low-ogestrel $0 QL

lutera $0 QL

lyleq $0 QL

lyllana 1

lyza $0 QL

MAKENA 2 PA SP

marlissa $0 QL

MENOSTAR 3 ST

merzee $0 QL

mibelas 24 fe $0 QL

mili $0 QL

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 ST

MIRCETTE 3 QL

MIRENA (52 MG) E

mono-linyah $0 QL

NATAZIA $0 QL

necon 0535 (28) $0 QL

NEXPLANON E

nikki $0 QL

nora-be $0 QL

norlyda $0 QL

norlyroc $0 QL

nortrel 0535 (28) $0 QL

nortrel 777 $0 QL

NUVARING 3 QL

nylia 777 $0 QL

nymyo $0 QL

ocella $0 QL

ORIAHNN 2 PA QL

orsythia $0 QL

ORTHO MICRONOR E

philith $0 QL

pimtrea $0 QL

pirmella 135 $0 QL

pirmella 777 $0 QL

portia-28 $0 QL

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem $0 QL

progesterone oral 1

PROMETRIUM 3

PROVERA 3

QUARTETTE 3 QL

reclipsen $0 QL

rivelsa $0 QL

SAFYRAL 3 QL

SEASONIQUE 3 QL

setlakin $0 QL

sharobel $0 QL

simliya $0 QL

simpesse $0 QL

SKYLA E

SLYND E

sprintec 28 $0 QL

sronyx $0 QL

syeda $0 QL

tarina 24 fe $0 QL

tarina fe 120 $0 QL

TAYTULLA E

tilia fe $0 QL

tri femynor $0 QL

tri-estarylla $0 QL

tri-legest fe $0 QL

tri-linyah $0 QL

tri-lo-marzia $0 QL

tri-lo-mili $0 QL

tri-mili $0 QL

tri-nymyo $0 QL

tri-previfem $0 QL

tri-sprintec $0 QL

trivora (28) $0 QL

tri-vylibra $0 QL

tulana $0 QL

TWIRLA E

tydemy $0 QL

velivet $0 QL

vestura $0 QL

vienva $0 QL

viorele $0 QL

VIVELLE-DOT E

volnea $0 QL

vyfemla $0 QL

vylibra $0 QL

wera $0 QL

wymzya fe $0 QL

xulane $0 QL

YASMIN 28 3 QL

yuvafem 1

zafemy $0 QL

zarah $0 QL

zovia 135 (28) $0 QL

zovia 135e (28) $0 QL

zumandimine $0 QL

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

levoxyl 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

SYNTHROID 3

TAPAZOLE 3

THYQUIDITY 3

TIROSINT E

TIROSINT-SOL 3

unithroid 1

WP THYROID 3 ST

ACTEMRA 3 PA SP

ACTIMMUNE 2 PA SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 PA SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA SP

AZASAN 3

azathioprine oral 1

BAMLANIVIMAB E

BENLYSTA 3 PA SP

BERINERT 3 PA SP QL

3 PA SP

CASIRIVIMAB E

CELLCEPT 3 SP

2 PA SP

CINRYZE 2 PA SP

COSENTYX 150 MGML

CUTAQUIG E SP

CUVITRU 3 PA SP

CYTOGAM 2 PA SP

ENBREL MINI 3 PA SP

3 PA SP

ENSPRYNG 3 PA SP

ENTYVIO 3 PA SP

ENVARSUS XR 3 SP

ETESEVIMAB E

FIRAZYR 3 PA SP QL

GAMASTAN 2 PA SP

GAMIFANT 3 PA SP

GAMMAGARD 3 PA SP

3 PA SP

GAMUNEX-C 3 PA SP

HAEGARDA 3 PA SP

HEPAGAM B E

3 PA SP

2 PA SP

HYPERHEP B E

HYPERRAB E

HYPERTET SD E

HYQVIA 3 PA SP

2 PA SP QL

ILUMYA 3 PA SP

IMDEVIMAB E

IMURAN 3

INFLECTRA 2 PA SP

KALBITOR 3 PA SP QL

KEDRAB INJECTION E

KEVZARA 3 PA SP

3 PA SP

KYMRIAH 3 PA SP

leflunomide oral 1

LUPKYNIS E SP

methotrexate oral 1

MYFORTIC 3 SP

NABI-HB E

NEORAL 3 SP

NULOJIX 3 SP

OCTAGAM 3 PA SP

OLUMIANT E SP

ORENCIA INTRAVENOUS

3 PA SP

ORLADEYO 3 PA SP QL

OTEZLA ORAL TABLET

2 PA SP

3 PA QL

PANZYGA E SP

PRIVIGEN 3 PA SP

PROGRAF 3 SP

PROVENGE 2 PA SP

RAPAMUNE 3 SP

2 PA QL

REDITREX E

REMICADE E SP

RENFLEXIS E SP

RIDAURA 3 SP

RINVOQ 2 PA SP

RUCONEST 3 PA SP QL

SILIQ 3 PA SP

2 PA SP

SIMULECT E

sirolimus oral 1 SP

2 PA SP QL

STELARA INTRAVENOUS

2 PA SP

2 PA SP QL

SYNAGIS 2 PA SP

TAKHZYRO 3 PA SP

TALTZ 3 PA SP

temsirolimus 1 SP

THYMOGLOBULIN E

TICE BCG 2 SP

TORISEL 3 SP

TREMFYA 2 PA SP

TREXALL 3

UPLIZNA 3 PA SP

WINRHO SDF 2 SP

XATMEP 3

XELJANZ 2 PA SP

XELJANZ XR 2 PA SP

XEMBIFY 3 PA SP

ZINPLAVA E

ZORTRESS 3 SP

ACTHIB $0

BCG VACCINE E

BEXSERO $0

BIOTHRAX E

FLUAD $0

FLUAD QUADRIVALENT

GARDASIL 9 $0

IMOVAX RABIES E

INFANRIX $0

IXIARO E

MENACTRA $0

MENQUADFI $0

MENVEO $0

PNEUMOVAX 23 $0

PREVNAR 13 $0

RABAVERT E

ROTARIX $0

STAMARIL E

TDVAX $0

TENIVAC $0

TRUMENBA $0

VARIVAX $0

VAXCHORA E

VIVOTIF E

YF-VAX E

ana-lex E

anucort-hc E

ANUSOL-HC EXTERNAL

APRISO 2

ASACOL HD E

AZULFIDINE 3

budesonide oral 1

CANASA E

COLAZAL 3

CORTENEMA 3

CORTIFOAM EXTERNAL

DELZICOL E

DIPENTUM E

LIALDA E

LIDOCORT EXTERNAL

mesalamine oral 1

mesalamine rectal 1

ORTIKOS E

PENTASA 3

PROCORT EXTERNAL E

PROCTOCORT EXTERNAL

ROWASA RECTAL 3

SFROWASA 2

UCERIS 3

ATELVIA 3 QL

BINOSTO 3 QL

BONIVA INTRAVENOUS

EVENITY 3 PA SP QL

FOSAMAX PLUS D E

MIACALCIN INJECTION

2 PA SP QL

RAYALDEE 3

RECLAST 3 SP

2 PA SP

TYMLOS 2 PA SP

XGEVA 2 PA SP

calcitriol oral 1

cinacalcet hcl 1 PA

NATPARA 3 PA SP QL

paricalcitol oral 1

PARSABIV 3 SP

ROCALTROL 3

SENSIPAR 3 PA

ZEMPLAR INTRAVENOUS

ACACIA SUBCUTANEOUS

ACREMONIUM E

ACST KIT E

ACUNOL E

ADAKVEO 3 PA SP

ADULT AEROSOL MASK

ALDER E

ALTERNARIA E

AMERICAN BEECH E

AMERICAN COCKROACH

AMERICAN ELM E

AMINOPMRMS E

APP SLIM RMS E

ARIZONA CYPRESS E

asilnasalrms E

ASPARTAME E

AUREOBASIDIUM E

AUSTRALIAN PINE E

AVAILNEX E

AVITENE E

AVITENE FLOUR E

AXONA E

AZALGIA E

BAHIA E

BALD CYPRESS E

BHI URI-CONTROL E

BLACK WILLOW E

BROME E

CARDIOVID PLUS E

CARTICEL E

CATTLE EPITHELIUM E

CAYA $0 QL

CEDAR ELM E

COCKLEBUR E

COLCIGEL E

CONDOMS E

CORN POLLEN E

CORTROSYN E

CROFAB E

CURVULARIA E

DANDELION E

desflurane 1

DIGIFAB E

DOG EPITHELIUM E

DOG FENNEL E

DOJOLVI E

DRECHSLERA E

2 PA SP

DYSPORT 3 PA SP

EASIVENT 2

EASTERN COTTONWOOD

EC-RX DHEA E

ECZEMOL E

ENDARI 3 PA

ENDO AVITENE E

ENLYTE E

ENTERAGAM E

enteric fish oil E

ENU PRO3 PLUS E

EPICOCCUM E

EPISIL E

EQUACARE JR E

ESSENTIAL CARE JR E

2 PA SP

FIRDAPSE E SP

FIRE ANT E

FORANE 3

FOSTEUM PLUS E

FUSARIUM E

GELCLAIR E

GELFILM EXTERNAL E

GEL-FLOW E

GEL-FLOW NT E

GELFOAM E

GELFOAM SPONGE E

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GELSYN-3 2 PA SP

GELX E

GERMAN COCKROACH

GIVLAARI 3 PA SP

GLEOLAN E

GLYTACTIN BURST E

GLYTACTIN RESTORE 5

GLYTACTIN RTD 15 E

GOLDENROD E

GRASTEK 3 PA QL

HACKBERRY E

HCU EASY E

HEPMED E

HIBICLENS E

HOMACTIN AA PLUS E

HOME PAP KIT E

HORSE EPITHELIUM E

HUMATROPEN FOR 12MG

HUMATROPEN FOR 24MG

HUMATROPEN FOR 6MG

HYALGAN E SP

HYLAFEM E

HYMOVIS E SP

INTERCEED E

IOSAT E

isoflurane 1

JOHNSON GRASS E

KAPOK E

KETOVIE LIQUID ORAL

KETOVIE PEPTIDE E

KOCHIA E

LENSCALE E

LIMBREL E

LIMBREL250 E

LIMBREL500 E

LORMATE E

MACRILEN E

MELALEUCA E

MESQUITE E

METHAVER E

METOPIRONE E

MIXED ASPERGILLUS E

MIXED FEATHERS E

MIXED RAGWEED E

MKO MELT DOSE PACK

mlk f1 E

mlk f2 E

mlk f3 E

mlk f4 E

MONOVISC E SP

MORCIN E

MOUNTAIN CEDAR E

MOUSE EPITHELIUM E

MSUD EASY E

MUCOR SUBCUTANEOUS

MUCOTROL E

MUGARD E

MUGWORT E

MYOBLOC 3 PA SP

NEODOT THERMOMETER

NICAPRIN E

NICAZYME E

ODACTRA 3 PA QL

OLIVE TREE E

OMNIVEX E

ORALAIR 3 PA QL

3 PA QL

ORAMAGICRX E

OXBRYTA E SP

PALFORZIA E SP

PH STRIPS E

PHEXXI E

PHOMA EXIGUA E

PKU EASY E

PKU EASY MICROTABS

PKU GO E

PRAXBIND E

PRID E

PRIVET E

PRO-CRITIC E

PROLEVA E

PSORIZIDE FORTE E

PSORIZIDE ULTRA E

PURAMINO DHAARA E

QUEEN PALM E

RABBIT EPITHELIUM E

RADIOGARDASE 3

RAGWITEK 3 PA QL

RAPID GEL RX E

RED MAPLE E

RED MULBERRY E

RESECTISOL E

RHEUMATE E

RHIZOPUS E

RIBOZEL E

ROUGH MARSH ELDER

RUSSIAN THISTLE E

RUZURGI 3 PA SP

sevoflurane 1

SHAGBARK HICKORY E

SHARPS CONTAINER E

SHEEP SORREL E

SILTREX E

SORBITOL IRRIGATION

sorbitol-mannitol E

SORRELDOCK MIX E

SPEEDGEL RX E

SPINRAZA 3 PA SP

SPINY PIGWEED E

STEMPHYLIUM E

SUPARTZ FX E SP

SUPRANE 3

SWEET GUM E

SYRINGE AVITENE E

TACHOSIL 3

TALL RAGWEED E

terrell 1

THROMBI-GEL 10 E

THROMBI-GEL 100 E

THROMBI-GEL 40 E

THROMBI-PAD E

THYROGEN 2 PA SP

TOBAKIENT E

TRANZGEL E

TRILURON E SP

T-SUPPORT MAX E

TYLACTIN RESTORE 10

TYLACTIN RTD 15 E

TYR EASY E

TYROS 2 E

ULTANE 3

ULTRA HERS RX E

ULTRA HIS E

ULTRA PCOS E

VASCULERA E

VILACTIN AA PLUS E

VILTEPSO E SP

VISTOGARD 3

WELLMIND VERTIGO E

westab max E

WESTERN JUNIPER E

WHITE BIRCH E

WHITE MULBERRY E

WHITE OAK E

WHITE PINE E

XEOMIN 3 PA SP

XIAFLEX 2 PA SP

XYZBAC E

XYZMUNE E

YELLOW DOCK E

ZOKINVY 3 PA SP QL

ZYVEXOL E

ZYVIT E

ACULAR 3

ACULAR LS 3

ACUVAIL E

ALAWAY E

ALOCRIL E

ALOMIDE 3

ALREX E

AZASITE 3

BEPREVE E

BESIVANCE 3

BLEPH-10 3

BROMSITE E

CILOXAN 3

DEXTENZA E SP

DEXYCU E

DUREZOL E

epinastine hcl 1

eye itch relief E

EYSUVIS 3 PA

FLAREX 3

FML FORTE 3

FML LIQUIFILM 3

ILEVRO E

INVELTYS 3

KLARITY-A E

KLARITY-L E

LOTEMAX SM 3

MAXIDEX 3

MITOSOL 3

MOXEZA 2

NATACYN 2

NEVANAC E

OCUFLOX 3

PRED FORTE 3

PRED MILD 3

PROLENSA 2 QL

TOBREX 3

TRIPLE PMB E

TRIPLE PMK E

UPNEEQ 3 PA

VIGAMOX 3

YUTIQ E SP

ZADITOR E

ZERVIATE E

ZIRGAN 3

ZYMAXID 3

acetazolamide er 1

apraclonidine hcl 1

AZOPT 3

BETIMOL 3

BETOPTIC-S 3

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

DURYSTA E

ISOPTO CARPINE 3

ISTALOL 3

KEVEYIS 3 PA SP QL

PHOSPHOLINE IODIDE

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

TIMOPTIC E

TIMOPTIC-XE E

TRAVATAN Z 3 QL

TRUSOPT 3

VYZULTA E

XALATAN 3

XELPROS 3 ST QL

ZIOPTAN E

ak-poly-bac 1

AKTEN 3

ALCAINE 3

ALTACAINE 3

altachlore E

ALTAFLUOR BENOX E

artificial eye E

BEOVU E SP

BEVACIZUMAB 3 SP

BIO GLO E

BLEPHAMIDE 3

BLEPHAMIDE SOP 3

CEQUA E

CYCLOGYL 3

CYCLOMYDRIL 3

CYSTARAN 3 PA SP QL

DOUBLE PM E

EYLEA INTRAVITREAL

3 PA SP

FLUCAINE E

fluor-i-strips at E

FLURA-SAFE E

FUL-GLO E

GELFILM OPHTHALMIC

homatropaire 1

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT E

LATISSE E

lubricant eye pm E

lubricant pm E

2 PA SP

3 PA SP

MAXITROL 3

MYDRIACYL E

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 PA SP QL

PAREMYD E

polycin 1

POLYTRIM 3

PRED-G 3

PRED-G SOP 3

REFRESH RELIEVA E

RESTASIS 2 PA

SYSTANE COMPLETE E

SYSTANE ULTRA PF E

TOBRADEX ST 3

ultra fresh pm E

VISIONBLUE 3

VISTA MEIBO TEARS E

VISTA TEARS E

VISUDYNE 3 SP

XIIDRA 2 PA

ZYLET 3

acetic acid otic 1

CETRAXAL 3 ST

CIPRO HC 3

CIPRODEX E

cortic-nd 1

CORTISPORIN-TC 3

DERMOTIC 3

exotic-hc 1

flac 1

ofloxacin otic 1

OTIPRIO E

OTOVEL E

PRAMOTIC 3

12 hour allergy-d E

ADRENALIN NASAL E

all day allergy d E

allergy 24-hr E

allergy childrens E

BECONASE AQ 3 QL

benzonatate 1

CINQAIR 3 PA SP

CLARINEX-D 12 HOUR

DICOPANOL FUSEPAQ

DICOPANOL RAPIDPAQ

DI-PHEN E

DYMISTA 2 QL

FASENRA 2 PA SP

FASENRA PEN 2 PA SP

GILPHEX TR E

HYCODAN 3 PA QL

1 PA QL

hydromet 1 PA QL

HYPERSAL 3

loratadine-d 12hr E

loratadine-d 24hr E

maxi-tuss gmx E

maxi-tuss pe max E

m-dryl E

MICLARA LQ E

MUCINEX DM E

mucus dm E

mucus-d E

NASONEX E

NEOTUSS PLUS E

NUCALA 2 PA SP QL

OMNARIS 3 QL

PATANASE 3 QL

PHENERGAN INJECTION

promethazine vc 1

1 PA QL

promethegan 1

PROPEL E

PROPEL MINI E

QNASL 3 QL

ryvent E

sinus 12 hour E

SINUVA E

SSKI E

SUDAFED CONGESTION

sudogest 12 hour E

TESSALON PERLES 3

TUXARIN ER E

XHANCE E

XOLAIR 2 PA SP

ZETONNA 3 QL

ACCOLATE 3

ADVAIR DISKUS 1 QL

ADVAIR HFA 2 QL

ADYPHREN E

ADYPHREN AMP E

ADYPHREN AMP II E

ADYPHREN II E

AIRDUO DIGIHALER E

ALVESCO E

ANORO ELLIPTA 2 QL

3 PA SP

ARMONAIR DIGIHALER

ASMANEX HFA E

ATROVENT HFA 3 QL

BEVESPI AEROSPHERE

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE

BROVANA 3 QL

COMBIVENT RESPIMAT

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E

ELIXOPHYLLIN 2

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V E

EPISNAP E

ESBRIET 3 PA SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

1 ST QL

GLASSIA 3 PA SP

INCRUSE ELLIPTA E

OFEV 3 PA SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

3 PA SP

PROVENTIL HFA E

PULMICORT FLEXHALER

QVAR REDIHALER E

SEEBRI NEOHALER E

SINGULAIR E

SPIRIVA HANDIHALER

STERITALC 3

STRIVERDI RESPIMAT

2 ST QL

SYMBICORT 2 QL

SYMJEPI 3

THEO-24 3

theophylline 1

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub E

XOPENEX NEB 3 QL

XOPENEX CONCENTRATE

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA SP

zileuton er 1 ST

ZYFLO E

BETHKIS E SP

BRONCHITOL E

CAYSTON E SP

KALYDECO 3 PA SP

KITABIS PAK E SP

ORKAMBI 3 PA SP QL

PULMOZYME 2 PA SP

SYMDEKO 3 PA SP QL

TOBI NEBULIZER E SP

TRIKAFTA 3 PA SP QL

ADCIRCA 3 PA SP QL

ADEMPAS 2 PA SP QL

alyq 1 PA SP QL

bosentan 1 PA SP QL

FLOLAN 3 PA SP

LETAIRIS 3 PA SP QL

OPSUMIT 2 PA SP QL

ORENITRAM 3 PA SP

REVATIO INTRAVENOUS

3 PA SP

1 PA SP

1 PA SP QL

TUDORZA PRESSAIR

TYVASO 3 PA SP QL

UPTRAVI 3 PA SP QL

VELETRI 3 PA SP

VENTAVIS 3 PA SP QL

AMRIX E

BACLOFEN EXTERNAL

baclofen oral 1

carisoprodol oral 1

CYCLOGABA 10300 E

CYCLOPAK E

CYCLOPHENE RAPIDPAQ

enovarx-baclofen E

FEXMID 3

FIRST-BACLOFEN E

LIORESAL E

LORZONE 3

METAXALL CP E

metaxalone 1

NOPIOID-LMC KIT E

NORGESIC FORTE E

OZOBAX E

SKELAXIN E

SOMA 3

TABRADOL FUSEPAQ E

TABRADOL RAPIDPAQ

VANADOM 3

ZANAFLEX E

AMBIEN E

AMBIEN CR E

armodafinil 1 PA QL

BELSOMRA 3 ST QL

DAYVIGO 3 ST QL

EDLUAR E

eszopiclone 1 QL

HETLIOZ 3 PA SP QL

HETLIOZ LQ E SP

LUNESTA E

modafinil 1 PA QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 QL

SILENOR 3 QL

SUNOSI 2 PA QL

temazepam 1 QL

WAKIX 3 PA SP QL

XYREM 3 PA SP QL

XYWAV 3 PA SP QL

zaleplon 1 QL

ZOLPIMIST 3 ST QL

Index of Drugs

Drug Tier

Directions Doctor

-Continued on back-

(Farsi)

HealthSelectSM

Premium standard

Anesthetics

Antibacterials

Anticoagulants

Antidepressants

Antifungals

Antigout Agents

Antimigraine Agents

Antimycobacterials

Antiparasitics

Antiplatelets

Antivirals

Diabetes - Insulins

What are tiers

Tier information

Tier 1 Lowest Cost

Tier 3 Highest Cost

Table of Contents

acetaminophen er E

ACTIQ 3 PA QL

ALLZITAL E

APADAZ E

ascomp-codeine 1

BELBUCA 2 PA QL

BUPRENEX E

1 PA QL

BUTRANS 3 PA QL

CONZIP E

DILAUDID ORAL E

DSUVIA E

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph E

ESGIC 3

fentanyl 1 PA QL

1 PA QL

1 PA ST QL

1 PA QL

HYSINGLA ER 2 PA QL

INFUMORPH 200 E

INFUMORPH 500 E

migraine relief E

mitigo E

1 PA QL

m-pap E

NALOCET E

NUCYNTA E

NUCYNTA ER E

OXAYDO ORAL TABLET

2 PA QL

PANADOL CHILDRENS

PANADOL EXTRA E

PANADOL INFANTS E

PRIALT 2 SP

PROLATE E

QDOLO E

SUBSYS E

SYNAPRYN FUSEPAQ E

1 PA ST QL

1 PA QL

TYLENOL 8 HOUR E

TYLENOL ORAL TABLET

ULTRACET E

ULTRAM E

VTOL LQ E

XTAMPZA ER 2 PA QL

ADVIL E

ADVIL MIGRAINE E

ALEVE ORAL TABLET E

BIIFENAC 1000 E

BIIFENAC 500 E

CAMBIA E

CAPSFENAC PAK E

CAPSINAC E

CATAFLAM 3

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3

DFSMSMENTHCAP PAK

DICLOFENAC CAP 35MG

DICLOPR E

DICLOSTREAM E

DICLOTREX E

DICLOVIX E

DICLOVIX M E

DICLOZOR EXTERNAL

diflunisal oral 1

DIMENTHO E

DUEXIS E

EC-NAPROSYN 3

ec-naproxen 1

enovarx-ibuprofen E

etodolac er 1

etodolac oral 1

FBL KIT E

FELDENE 3

FLECTOR EXTERNAL E

FLEXIPAK E

flurbiprofen oral 1

FROTEK E

IBUPAK E

ibuprofen 1

ibuprofen infants E

inavix E

INDOCIN ORAL 3 ST

INDOCIN RECTAL E

indomethacin er 1

INFLAMMACIN E

KBGL IN TERODERM

kapzin dc E

KETOPHENE RAPIDPAQ

ketoprofen er 1

ketoprofen oral 1

3 PA QL

LICART EXTERNAL E

LODINE 3

MOBIC ORAL TABLET E

nabumetone oral 1

NALFON ORAL TABLET

1 PA QL

NUDICLO SOLUPAK E

NUDICLO TABPAK E

NUDROXIPAK E

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400 E

NUDROXIPAK I-800 E

NUDROXIPAK M-15 E

NUDROXIPAK N-500 E

ORMECA E

oxaprozin 1

PENNSAID EXTERNAL

piroxicam oral 1

PRASTERA E

QMIIZ ODT E

RELAFEN E

RELAFEN DS E

salsalate oral E

SPRIX 3 PA QL

sulindac oral 1

TORONOVA II SUIK E

TORONOVA SUIK E

VAROPHEN E

VENNGEL ONE E

VIMOVO E

VIVLODEX 3 ST

VOLTAREN EXTERNAL

VP FC KIT E

VP GKL KIT E

XRYLIX EXTERNAL E

ZIPSOR E

ZORVOLEX E

Anesthetics

7T LIDO E

ACCUCAINE E

AGONEAZE E

ANODYNE LPT E

APRIZIO PAK E

APRIZIO PAK II E

ASTERO E

blue tube aloe E

CADIRAMD E

CAPSAICIN-MENTHOL

COCAINE HCL NASAL E

DERMACINRX PHN E

DERMACINRX PRIZOPAK

DERMACINRX ZRM E

DERMALID E

EMPRICAINE-II E

ENZNONUTY E

ethyl chloride 1

EXPAREL E

FLEXIN E

GEBAUERS PAIN EASE

GEN7T E

GEN7T PLUS E

GOPRELTO E

LDO PLUS E

lets E

LEVATIO E

LIDO BDK E

LIDOCANNA E

LIDODERM E

LIDOMARK 25 E

LIDOPAC E

LIDOPRIL XR E

LIDOPURE PATCH E

LIDORX E

LIDO-SORB E

LIDOSTREAM E

LIDOTHOL E

LIDOTRAL E

LIDOVIX L E

LIDTOPIC MAX E

LIVIXIL PAK E

LMR PLUS E

LYDEXA E

MARCAINE E

marlido E

MARLIDO-25 E

MARVONA SUIK E

NUMBRINO E

NUVAKAAN E

NUVAKAAN-II E

PAINGO KFT E

PLIAGLIS E

POINT OF CARE LM-22

POINT OF CARE LM-25

premium lidocaine E

PREMIUM SCAR E

PREPIV SUPPLY 3

PRILO PATCH E

PRILO PATCH II E

PRILOLID E

PRILOVIX E

PRILOVIX LITE E

PRILOVIX PLUS E

PRILOVIXIL E

PRIZOPAK II E

PRIZOTRAL E

PRIZOTRAL-II E

READYSHARP-A E

RELADOR PAK PLUS E

SENSORCAINE E

SKYADERM-LP E

SYNERA E

VEXATROL E

XARACOLL E

XYLOCAINE INJECTION

ZERUVIA E

ZILACAINE PATCH E

ZIONODIL E

ZIONODIL 100 E

ZTLIDO E

CHANTIX $0 QL

disulfiram oral 1

habitrol $0 QL

LIFEMS NALOXONE E

LUCEMYRA 3 ST QL

NARCAN 2

NICOTROL $0 QL

NICOTROL NS $0 QL

SUBLOCADE 3 SP

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA

ALTABAX 3

ARIKAYCE 3 PA SP

AUGMENTIN ES-600 3

avidoxy 1 ST

AVIDOXY DK E

BACTRIM 3

BACTRIM DS 3

BAXDELA INTRAVENOUS

BAXDELA ORAL 3

BENZODOX E

BICILLIN L-A E

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefixime 1

CEFOTAN E

cefprozil 1

CENTANY 3

CENTANY AT E

cephalexin 1

clarithromycin er 1

CLEOCIN ORAL 3

CLINDESSE 3

COLY-MYCIN M E

coremino E

CUBICIN E

CUBICIN RF E

daptomycin E

DIFICID 3

DORYX MPC E

doxy 100 E

EES GRANULES 3

ertapenem sodium E

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

erythromycin oral 1

FETROJA E

FIRVANQ 3

FLAGYL ORAL CAPSULE

HIPREX 3

INVANZ INJECTION E

levofloxacin oral 1

LINCOCIN E

linezolid oral 1 QL

MACROBID 3

MACRODANTIN 3

MINOLIRA E

MONUROL 3

mupirocin calcium E

NUTRIDOX E

NUVESSA E

PRIMSOL 3

RECARBRIO E

SEYSARA 3 ST

SILVADENE 3

SIVEXTRO E

SOLOSEC 3

sulfadiazine oral 1

SUPRAX ORAL CAPSULE

TARGADOX E

tazicef injection E

tigecycline E

tinidazole oral 1

trimethoprim oral 1

TYGACIL E

VANCOCIN 3

vandazole 1

VIBRAMYCIN 3 ST

XENLETA INTRAVENOUS

XENLETA ORAL 3

XEPI 3

XIFAXAN 3 PA

XIMINO 3

ZEMDRI E

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

ZYVOX ORAL 3 QL

Anticoagulants

ACD-A NOCLOT-50 3

ACTIVASE E

ARIXTRA 3 SP QL

CATHFLO ACTIVASE E

ELIQUIS 2 QL

3 SP QL

jantoven 1

LOVENOX 3 SP QL

PRADAXA 2 QL

REGIOCIT E

SAVAYSA 3 QL

THROMBATE III 3 SP

TRICITRASOL 3

XARELTO 2 QL

APTIOM 3

BANZEL 3 PA

BRIVIACT ORAL 3 ST

carbamazepine er 1

CARBATROL 3

CELONTIN 3

clobazam 1 PA

DEPAKOTE 3

DEPAKOTE ER 3

DIACOMIT 3 PA SP

DILANTIN INFATABS E

ELEPSIA XR E

EPIDIOLEX 3 PA SP

epitol 1

ethosuximide oral 1

FANATREX FUSEPAQ E

felbamate 1

FELBATOL 3

FINTEPLA 3 PA SP

FYCOMPA 3

GABITRIL 3

KEPPRA INTRAVENOUS

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

levetiracetam er 1

MYSOLINE 3

NAYZILAM 3 QL

NEURONTIN 3

oxcarbazepine 1

OXTELLAR XR E

PHENYTEK 3

primidone oral 1

QUDEXY XR 3

rufinamide 1 PA

SABRIL ORAL PACKET

SABRIL ORAL TABLET

3 PA SP

SPRITAM E

subvenite 1

SYMPAZAN 3 PA

TEGRETOL-XR 3

tiagabine hcl 1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TRILEPTAL 3

TROKENDI XR 3 ST

VALTOCO 3 QL

vigabatrin 1 PA SP

vigadrone 1 PA SP

VIMPAT INTRAVENOUS

VIMPAT ORAL 3

XCOPRI 3 ST

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

ARICEPT 3

donepezil hcl 1

EXELON TRANSDERMAL

NAMENDA ORAL TABLET

NAMENDA XR 3 QL

NAMZARIC 2 QL

RAZADYNE ER 3

rivastigmine 1

Antidepressants

amoxapine 1

ANAFRANIL 3

APLENZIN E

BRISDELLE 3 ST QL

CELEXA ORAL TABLET

CYMBALTA E

DESVENLAFAXINE ER

3 ST QL

EFFEXOR XR E

EMSAM 3 QL

FETZIMA 3 ST QL

FORFIVO XL E

LEXAPRO ORAL TABLET

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3

nefazodone hcl 1

PARNATE 3

paroxetine hcl er 1

PAXIL CR 3

PAXIL ORAL TABLET 3

PEXEVA E

PRISTIQ E

protriptyline hcl 1

PROZAC ORAL CAPSULE

REMERON SOLTAB 3

3 PA SP

TRINTELLIX 3 ST QL

venlafaxine hcl 1

VIIBRYD ORAL TABLET

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA SP

AKYNZEO INTRAVENOUS

AKYNZEO ORAL 3 QL

ANZEMET ORAL 3 QL

aprepitant 1 QL

BONJESTA 3 PA QL

compro 1

DICLEGIS 3 PA QL

dronabinol 1 PA QL

EMEND TRI-PACK 3 QL

GIMOTI E

MARINOL 3 PA QL

ondansetron odt 1

palonosetron hcl E

perphenazine oral 1

prochlorperazine 1

REGLAN ORAL 3

SANCUSO 3 QL

scopolamine 1

SUSTOL E

SYNDROS 3 PA QL

TIGAN INTRAMUSCULAR

TIGAN ORAL 3

ZUPLENZ E

Antifungals

ALA-QUIN E

ALCORTIN A E

ANCOBON 3

CRESEMBA ORAL 3

DIFLUCAN 3

DIFMETIOXRIME E

ECONASIL E

ECOZA E

ERTACZO E

EXELDERM E

EXTINA 3

fluconazole oral 1

flucytosine oral 1

FUNGIMEZ E

GYNAZOLE-1 3

HIXDEFRIMA E

IMIOXIA E

IODOQUIMEZ-HC E

JUBLIA E

KERYDIN 3 PA

ketoconazole oral 1

LOPROX EXTERNAL KIT

LULICONAZOLE E

LUZU E

MENTAX E

micaderm E

miconazole 1 E

miconazole 7 E

MYCOZYL AP E

naftifine hcl 1

NAFTIN EXTERNAL GEL

NOXAFIL ORAL 3 PA

nyamyc 1

nystatin external 1

nystop 1

ONYCHO-MED E

ORAVIG E

PEDIZOLPAK E

PHEODOYO E

PHEYO E

posaconazole 1 PA

QUINJA E

RECURA E

SPORANOX 3 PA

SPORANOX PULSEPAK

SULCONAZOLE NITRATE

tavaborole 1 PA

terconazole 1

TOLSURA E

VFEND 3

voriconazole oral 1

VUSION E

VYTONE E

XOLEGEL E

XOLEGEL COREPAK E

XOLEGEL DUOXOLEX

ZOLPAK E

Antigout Agents

allopurinol oral 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA SP

MITIGARE E

probenecid oral 1

ULORIC 3 ST

ZYLOPRIM 3

EMFLAZA 3 PA SP

Antimigraine Agents

2 PA QL

AJOVY E

AMERGE 3 QL

CAFERGOT 3

DHE 45 3 PA QL

1 PA QL

EMGALITY 2 PA QL

2 PA QL

ERGOMAR 3

FROVA 3 QL

IMITREX 3 QL

MIGERGOT 3

MIGRAINE PACK E

MIGRANAL 3 PA QL

MIGRANOW E

NURTEC 2 PA QL

RELPAX 3 QL

REYVOW E

SUMANSETRON E

TOSYMRA E

3 ST QL

UBRELVY 2 PA QL

VYEPTI E

ZEMBRACE SYMTOUCH

ZOLMITRIPTAN NASAL

3 ST QL

ZOMIG NASAL 3 ST QL

ZOMIG ORAL E

ZOMIG ZMT E

GUANIDINE HCL ORAL

Antimycobacterials

CAPASTAT SULFATE E

cycloserine oral 1

dapsone oral 1

isoniazid oral 1

MYCOBUTIN 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifabutin 1

rifampin oral 1

SIRTURO 3

TRECATOR 3

ABRAXANE 2 SP

ADCETRIS 2 PA SP

2 PA SP QL

ALECENSA 2 PA SP

ALIMTA 2 SP

ALIQOPA 3 PA SP

ALKERAN 3 SP

ALUNBRIG 2 PA SP QL

anastrozole oral $0

ARIMIDEX E

AROMASIN 3

ARRANON 2 SP

ARZERRA 2 PA SP

ASPARLAS 3 SP

AVASTIN 3 PA SP

AYVAKIT 3 PA SP QL

azacitidine 1 PA SP

BALVERSA 3 PA SP

BAVENCIO 3 PA SP

BELEODAQ 3 PA SP

BELRAPZO E SP

BENDEKA 3 PA SP

BESPONSA 3 PA SP

bexarotene 1 PA SP

bicalutamide 1

BICNU 3 SP

BLENREP 3 PA SP

BLINCYTO 3 PA SP

BORTEZOMIB 3 PA SP

BOSULIF 3 PA SP

3 PA SP

BREYANZI E SP

BRUKINSA 3 PA SP

busulfan 1 SP

BUSULFEX 3 SP

CABOMETYX 2 PA SP

CALQUENCE 3 PA SP

CAMPATH 2 SP

CAMPTOSAR 3 SP

2 PA SP QL

2 PA SP

carmustine 1 SP

CASODEX 3

clofarabine 1 SP

CLOLAR 3 SP

3 PA SP

COPIKTRA 3 PA SP

COSELA E SP

COSMEGEN 3 SP

COTELLIC 3 PA SP

CYRAMZA 3 PA SP

DACOGEN 3 PA SP

dactinomycin 1 SP

DANYELZA 3 PA SP

DARZALEX 3 PA SP

DAURISMO 3 PA SP

decitabine 1 PA SP

DOXIL 3 SP

DROXIA 3

ELITEK 3 SP

ELLENCE 3 SP

ELZONRIS 3 PA SP

EMCYT 2

EMPLICITI 3 PA SP

ENHERTU 3 PA SP

ERBITUX 2 PA SP

ERIVEDGE 2 PA SP

ERLEADA E SP

1 PA SP

1 PA SP QL

ERWINAZE INJECTION

ETHYOL 3 SP

ETOPOPHOS 3 SP

etoposide oral 1 SP

1 PA SP QL

EVOMELA 3 SP

exemestane $0

FARESTON 3

FARYDAK 3 PA SP

FEMARA 3

flutamide 1

FOLOTYN 2 PA SP

FOTIVDA E SP

fulvestrant 1 SP

GAVRETO E SP

GAZYVA 3 PA SP

GILOTRIF 3 PA SP QL

GLEEVEC 3 PA SP

HALAVEN 2 PA SP

HERCEPTIN HYLECTA

3 PA SP

HERZUMA E SP

HYCAMTIN 3 SP

HYDREA 3

hydroxyurea oral 1

IBRANCE 3 PA SP

3 PA SP QL

3 PA SP

IDAMYCIN PFS 3 SP

idarubicin hcl 1 SP

IDHIFA 3 PA SP QL

IFEX 3 SP

ifosfamide 1 SP

IMBRUVICA 3 PA SP

IMFINZI 3 PA SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA 3 PA SP

INQOVI E SP

INREBIC 3 PA SP

IRESSA 3 PA SP

irinotecan hcl 1 SP

IXEMPRA KIT 2 SP

2 PA SP QL

2 PA SP

JELMYTO E SP

JEVTANA 2 PA SP

KADCYLA 3 PA SP

KANJINTI 2 PA SP

3 PA SP

KHAPZORY 3 ST SP

3 PA SP

KOSELUGO 3 PA SP

KYPROLIS 2 PA SP

3 PA SP

letrozole oral 1

LEUKERAN 2

LIBTAYO 3 PA SP

LONSURF 3 PA SP

LORBRENA 3 PA SP

LUMOXITI 3 PA SP

LUTATHERA E

2 PA SP

LYSODREN 2

MARQIBO 3 SP

MATULANE 2 SP

MEKINIST 2 PA SP

MEKTOVI 3 PA SP

melphalan 1 SP

melphalan hcl 1 SP

mesna 1 SP

MESNEX 3 SP

MONJUVI 3 PA SP

mutamycin 1 SP

MVASI 2 PA SP

MYLERAN 2

3 PA SP

NAVELBINE 3 SP

NERLYNX 3 PA SP QL

NEXAVAR 2 PA SP

NILANDRON 3 SP

nilutamide 1 SP

NINLARO 3 PA SP

NIPENT 3 SP

NUBEQA 3 PA SP

ODOMZO 3 PA SP

OGIVRI E SP

ONCASPAR INJECTION

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG 3 PA SP

OPDIVO 3 PA SP

ORGOVYX 3 PA SP

paclitaxel 1 SP

PADCEV 3 PA SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE 3 PA SP QL

PERJETA 2 PA SP

PHESGO 2 PA SP

PHOTOFRIN 3 SP

PIQRAY 3 PA SP

POLIVY 3 PA SP

POMALYST 3 PA SP

PORTRAZZA 3 PA SP

POTELIGEO 3 PA SP

PROLEUKIN 2 SP

PURIXAN 3 SP

QINLOCK 3 PA SP

RETEVMO 3 PA SP

REVLIMID 2 PA SP

RIABNI 3 PA SP

3 PA SP

ROZLYTREK 3 PA SP

RUBRACA 2 PA SP

RUXIENCE 2 PA SP

RYDAPT 3 PA SP

SARCLISA 3 PA SP

SIKLOS 3 PA

SOLTAMOX $0

SPRYCEL 2 PA SP

STIVARGA 3 PA SP

SUTENT 2 PA SP

SYLVANT 3 PA SP

SYNRIBO 3 PA SP

TABLOID 2 SP

TABRECTA E SP

TAFINLAR 2 PA SP

3 PA SP QL

3 PA SP

TALZENNA 3 PA SP

3 PA SP

3 PA SP QL

TARGRETIN EXTERNAL

3 PA SP

TARGRETIN ORAL E SP

TASIGNA 3 PA SP

TAZVERIK E SP

TECARTUS 3 PA SP

TECENTRIQ 3 PA SP

TEMODAR INTRAVENOUS

3 PA SP

teniposide 1 SP

TEPADINA 3 SP

TEPMETKO E SP

THALOMID 2 PA SP

TIBSOVO 3 PA SP

topotecan hcl 1 SP

TOTECT 3 SP

TRAZIMERA 2 PA SP

tretinoin oral 1 SP

TRODELVY 3 PA SP

TRUXIMA E SP

TUKYSA 3 PA SP

TURALIO 3 PA SP

TYKERB 3 PA SP

UKONIQ E SP

UNITUXIN 3 PA SP

VALCHLOR 3 PA SP

valrubicin E

VALSTAR E

VENCLEXTA 3 PA SP

3 PA SP

VERZENIO 3 PA SP

VIDAZA 3 PA SP

VITRAKVI 3 PA SP

VIZIMPRO 3 PA SP

VORAXAZE E

VOTRIENT 3 PA SP

3 PA SP

XALKORI 3 PA SP

XELODA 3 PA SP

XOSPATA 3 PA SP

3 PA SP

XTANDI 3 PA SP

YERVOY 2 PA SP

YESCARTA 3 PA SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA SP

ZANOSAR 2 SP

ZEJULA 2 PA SP

ZELBORAF 3 PA SP

ZEPZELCA 3 PA SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA SP

ZOLINZA 2 PA SP

ZYDELIG 3 PA SP

ZYKADIA ORAL TABLET

3 PA SP

ZYTIGA E SP

Antiparasitics

ALBENZA 3 PA

ARAKODA 3

atovaquone oral 1

BENZNIDAZOLE 3

BILTRICIDE 3

COARTEM 3

crotan 1

DARAPRIM 3 PA SP

EGATEN 3

ELIMITE 3

EMVERM 2

IMPAVIDO 3

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NATROBA 3

NEBUPENT 3

nitazoxanide 1

OVIDE 3

PENTAM E

PLAQUENIL 3

praziquantel oral 1

QUALAQUIN 3 PA

spinosad 1

STROMECTOL 3

SULFURATED LIME 3

3 PA SP QL

AZILECT 3

carbidopa oral 1

COMTAN 3

DUOPA ENTERAL 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA SP

KYNMOBI 3 PA SP QL

3 PA SP QL

LODOSYN 3

MIRAPEX ER 3

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3 ST

OSMOLEX ER E

PARLODEL 3

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

tolcapone 1

XADAGO 3 ST QL

ZELAPAR 3

Antiplatelets

ASPIRIN-OMEPRAZOLE

BRILINTA 2

CABLIVI 3 PA SP QL

cilostazol 1

dipyridamole oral 1

DURLAZA E

EFFIENT 3

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

ABILIFY MYCITE E

ABILIFY ORAL TABLET

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA E

ARISTADA INITIO E

CAPLYTA 3 ST QL

clozapine 1 QL

CLOZARIL 3 QL

FANAPT 3 ST QL

3 ST QL

GEODON ORAL 3 QL

HALDOL DECANOATE E

haloperidol oral 1

INVEGA 3 QL

LATUDA 3 QL

molindone hcl 1

PERSERIS E

pimozide 1

REXULTI 3 QL

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL 3 QL

SEROQUEL XR 3 QL

thiothixene oral 1

VERSACLOZ 3 QL

VRAYLAR 3 ST QL

ZYPREXA ORAL 3 QL

ZYPREXA RELPREVV E

ZYPREXA ZYDIS 3 QL

Antivirals

abacavir sulfate 1

acyclovir oral 1

ACYCLOVIX E

APTIVUS 2

ATRIPLA E

BARACLUDE 3 SP QL

BIKTARVY 3

CABENUVA E

CIMDUO 2

COMBIVIR 3

COMPLERA 2

DELSTRIGO 3

DENAVIR E

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

emtricitabine 1

entecavir 1 SP QL

EPCLUSA 2 PA SP QL

EPIVIR 3

EPZICOM 3

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3

GENVOYA 3

HARVONI 2 PA SP QL

HEPSERA 3 SP

INTELENCE 2

INTRON A 3 PA SP

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL TABLET

MAVYRET 2 PA SP QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET

NORVIR ORAL TABLET

ODEFSEY 3

2 PA SP

3 PA SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2

RAPIVAB E

RETROVIR ORAL SYRUP

REYATAZ ORAL PACKET

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG E

SOVALDI 3 PA SP QL

STRIBILD 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

SYMTUZA 3

TEMIXYS E

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3

TROGARZO 3 PA

TRUVADA E

TYBOST 2

VALCYTE 3

VALTREX 3 QL

VEMLIDY 3 SP

VIRAZOLE 3

VIREAD ORAL POWDER

VOCABRIA E

VOSEVI 2 PA SP QL

XERESE E

ZEPATIER 3 PA SP QL

ZIAGEN 3

zidovudine 1

alprazolam er 1 QL

alprazolam xr 1 QL

ATIVAN E

diazepam intensol 1

DORAL 3 QL

estazolam 1 QL

HALCION 3 QL

KLONOPIN 3 QL

meprobamate 1

oxazepam 1 QL

quazepam 1 QL

triazolam 1 QL

VALIUM E

VISTARIL 3

XANAX E

XANAX XR E

EQUETRO 3

lithium 1

LITHOBID 3

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR ORAL TABLET

anagrelide hcl 1

2 PA SP

CEPROTIN 3 SP

COAGADEX 3 SP

CORIFACT 2 SP

3 PA SP

ELOCTATE 3 SP

ESPEROCT E SP

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

3 PA SP

LYSTEDA 3

3 PA SP

MOZOBIL 2 PA SP QL

MULPLETA 2 PA SP

3 PA SP

NIVESTYM 2 PA SP

NOVOEIGHT 2 SP

NOVOSEVEN RT 2 SP

NPLATE 3 PA SP

NUWIQ 2 SP

NYVEPRIA 3 PA SP

OBIZUR 3 SP

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA SP

REBINYN 3 SP

REBLOZYL 3 PA SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

2 PA SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT E SP

3 PA SP

TAVALISSE 3 PA SP

THROMBOGEN 3

TRETTEN 3 SP

UDENYCA E SP

3 PA SP

2 PA SP

VONVENDI 3 SP

ZARXIO 2 PA SP

ZIEXTENZO 3 PA SP

ACCUPRIL 3

ACCURETIC 3

ALDACTAZIDE 3

ALDACTONE 3

ALTACE ORAL CAPSULE

ALTOPREV E

ATACAND E

ATACAND HCT 3

atenolol oral 1

AVAPRO 3

AZOR E

BENICAR E

BENICAR HCT E

BETAPACE AF 3

BIDIL 3

bumetanide oral 1

BYSTOLIC 2

CALAN SR 3

captopril oral 1

CARDIZEM CD 3

CARDURA 3

CAROSPIR 3

cartia xt 1

carvedilol 1

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

colesevelam hcl 1

COLESTID E

COLESTID FLAVORED

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG 3

COREG CR 3

CORGARD 3

CORLANOR 3 PA QL

COZAAR 3

CRESTOR E

DEMSER 3

DIBENZYLINE 3

digitek 1

digox 1

digoxin oral 1

DILATRATE-SR 3

dilt-xr 1

DIOVAN E

DIOVAN HCT E

DIURIL 3

dofetilide 1

droxidopa 1 PA SP

DUTOPROL E

DYRENIUM 3

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3

ENTRESTO 2 QL

eplerenone 1

EVKEEZA E SP

EXFORGE 3

EXFORGE HCT 3

ezetimibe 1

felodipine er 1

FENOGLIDE 3 ST

FIBRICOR E

FLOLIPID 3 ST

fosinopril sodium 1

gemfibrozil oral 1

GONITRO 3

HEMANGEOL 3

HYZAAR 3

indapamide oral 1

INDERAL LA E

INDERAL XL E

INNOPRAN XL E

INSPRA 3

irbesartan 1

ISORDIL TITRADOSE 3

isradipine 1

3 PA SP QL

KAPSPARGO SPRINKLE

KATERZIA E

LASIX 3

LESCOL XL E

LIPITOR E

LIPOFEN 3

lisinopril oral 1

LIVALO E

LOPID 3

LOPRESSOR ORAL 3

lovastatin oral 1

LOVAZA E

matzim la 1

MAXZIDE 3

MAXZIDE-25 3

methyldopa oral 1

metolazone 1

metyrosine 1

MICARDIS 3

MICARDIS HCT 3

midodrine hcl 1

MINIPRESS 3

minitran 1

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

NEXLETOL 2 PA QL

NEXLIZET 2 PA QL

niacor 1

NIASPAN 3

nifedipine er 1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

NITROLINGUAL 3

NITROMIST 3

NITROSTAT E

NITRO-TIME E

NORPACE 3

NORPACE CR 2

NORTHERA 3 PA SP

NORVASC E

OMEGA-3 RX COMPLETE

pentoxifylline er 1

pindolol 1

2 PA QL

prazosin hcl oral 1

PRESTALIA 3 ST

prevalite 1

PROCARDIA 3

PROCARDIA XL 3

propafenone hcl 1

propranolol-hctz 1

QBRELIS E

QUESTRAN E

quinapril hcl 1

ramipril 1

RANEXA 3 ST

ranolazine er 1 ST

RECTIV 3

REPATHA 2 PA QL

2 PA QL

REPATHA SURECLICK

2 PA QL

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

taztia xt 1

TEKTURNA 2 ST

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

TENORMIN E

tiadylt er 1

TIAZAC 3

TIKOSYN E

TOPROL XL E

torsemide oral 1

trandolapril 1

triamterene oral 1

TRIBENZOR E

TRICOR 3

TRILIPIX 3

TWYNSTA 3

valsartan 1

VASCEPA 2 PA

VASERETIC 3

VASOTEC 3

VECAMYL 3

VERELAN 3

VERELAN PM 3

VERQUVO E

VYNDAMAX 3 PA SP QL

VYNDAQEL 3 PA SP QL

VYTORIN E

WELCHOL 3

ZESTORETIC 3

ZETIA E

ZIAC 3

ADDERALL 3 PA QL

ADDERALL XR E

ADHANSIA XR E

1 PA QL

CONCERTA E

DAYTRANA 3 PA ST QL

DESOXYN 3 PA ST QL

3 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

EVEKEO 3 PA ST QL

EVEKEO ODT 3 PA QL

FOCALIN 3 PA QL

guanfacine hcl er 1

INTUNIV 3

3 PA ST QL

1 PA ST QL

1 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

MYDAYIS 3 PA ST QL

3 PA ST QL

relexxii 1 PA ST QL

RITALIN 3 PA QL

3 PA ST QL

STRATTERA 3 QL

VYVANSE 2 PA QL

ZENZEDI 3 PA ST QL

AMPYRA 3 PA SP QL

AUBAGIO 3 PA SP QL

2 PA SP QL

1 PA SP QL

GILENYA 3 PA SP QL

glatopa 1 PA SP QL

KESIMPTA 2 PA SP QL

LEMTRADA 3 PA SP

MAVENCLAD 3 PA SP

MAYZENT 3 PA SP QL

OCREVUS 3 PA SP QL

PLEGRIDY E SP

PONVORY E SP

TECFIDERA E SP

TYSABRI 3 PA SP QL

VUMERITY 2 PA SP QL

ZEPOSIA 3 PA SP QL

3 PA SP QL

ZEPOSIA STARTER KIT

3 PA SP QL

ADDYI 3 PA QL

ADIPEX-P E

AUSTEDO 3 PA SP QL

benzphetamine hcl E

CONTRAVE E

CONVENIENCE PAK E

GRALISE 3 ST QL

3 PA QL

IMCIVREE 3 PA SP QL

INGREZZA 3 PA SP QL

LOMAIRA E

LYRICA CR 3 ST QL

LYRICA ORAL CAPSULE

NEURAPTINE E

NUEDEXTA 3 PA

ONPATTRO 3 PA SP

QSYMIA E

RADICAVA 3 PA SP

RILUTEK 3 PA QL

riluzole 1 PA QL

SAVELLA 3 ST QL

3 ST QL

SAXENDA E

TEGSEDI 3 PA SP

TIGLUTIK 3 PA SP QL

VYLEESI 3 PA QL

XENAZINE 3 PA SP

XENICAL E

ARESTIN E

cavarest E

cevimeline hcl 1

CLINPRO 5000 E

DENTA 5000 PLUS E

DENTAGEL E

easygel dental E

EVOXAC 3

FIRST-MOUTHWASH BLM

FLUORIDEX E

KEPIVANCE 2 SP

MOUTH KOTE REMINT

MUCOSITISRX E

NAFRINSE WEEKLY E

oralone 1

PERIDEX E

periogard E

PREVIDENT E

PREVIDENT 5000 PLUS

SALAGEN 3

SALIVAMAX E

sf 5000 plus E

ABREVA E

ABSORICA E

ABSORICA LD 3 PA

ACANYA E

ACESO AG E

ACIOXIAY E

acitretin 1

ADAINZDE E

ADAINZOXIA E

AKLIEF E

ALA SCALP E

ALDARA E

ALEVAMAX E

ALTRENO 3 PA

AMELUZ E

amnesteem 1 PA

AMZEEQ 3

ANACAINE E

APEXICON E E

AQUAPHILIC E

ARAZLO E

ARIDA E

ATOPADERM E

ATOPICLAIR E

ATRALIN 3 PA

AVAR CLEANSER E

AVAR LS CLEANSER E

AVAR-E EMOLLIENT E

AVAR-E GREEN E

AVAR-E LS E

AVEIDAOXIA E

AVITA E

AZADROX E

AZELEX 3

BEAU RX E

BENZACLIN E

BENZACLIN WITH PUMP

BENZAMYCIN E

BENZEPRO EXTERNAL

benzoin compound E

BESER EXTERNAL KIT

BIAFINE E

blanche E

bp 10-1 E

bp cleansing wash E

BPCO 3

BRYHALI E

CALCITRENE 3

CAPEX E

capzix E

CARAC 3

CEM-UREA E

CERACADE E

CHLOOXIA E

claravis 1 PA

CLENIA PLUS E

CLINDACIN PAC E

clindacin-p 1

CLINDAGEL E

CLINOIN E

CLOBETAVIX E

CLOBEX 3

CLOBEX SPRAY 3

CLODAN EXTERNAL KIT

CLODERM E

COLLATYL E

COPADERM E

COPASIL EXTERNAL E

CORTANE-B EXTERNAL

DAPSONE-NIACINAMIDE

DELUO E

DEOXIA E

DERMACINRX PENETRAL

DERMELLE E

DERMULCERA 3

DERPIXA E

DESONATE E

desonide external 1

DEXERYL E

DIADIMAXIA E

DIAOXIA E

DIASDIMAXIA E

DIASOXIA E

1 ST QL

1 PA QL

DIMOXIA E

DIOCHLOY E

DIPROLENE AF 3

doxycycline 1

DRAXACE E

DRITHO-CREME HP E

DRIXECE E

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA SP QL

ECEOXIA E

ELETONE E

ELIDEL 3 ST

EMULSION SB E

enovarx-tramadol E

ENSTILAR E

ENTTY SPRAY E

ENZOCLEAR E

EPICERAM E

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

ERYGEL 3

ESKATA E

ETHOXIA E

EUCRISA 2 ST

EVOCLIN 3

FABIOR E

FINACEA 3 ST

FINAPOD E

FLUOPAR E

FLUOROPLEX 3

FLUOVIX E

FLUOVIX PLUS E

flurandrenolide E

FORAXA E

GEAMETDRAY E

GENADUR E

GORDOFILM 3

GUANENDRUX E

halcinonide E

HALOG E

HALUCORT E

HAXCHLO E

HPR PLUS HYDROGEL

HYDRO 40 E

IMIQUIMOD PUMP E

IMPEKLO E

IMPOYZ E

INOVA E

ITHOXIA E

KAMDOY E

KATARYA E

KATARYAXN E

KAXM E

KEIDO E

KELARX E

KENALOG EXTERNAL 3

KERAGEL E

KERALYT SCALP E

KETARYA E

KEVARYA E

KEXM E

KEYA E

KIVIK E

KLARON 3

KLISYRI E

KUTARYAXM E

KUTARYAXMPA E

KUTEA E

KUVARYA E

KUVARYE E

KUXM E

lactic acid e 1

lavare wound wash E

LEVULAN KERASTICK 3

LEXETTE E

LOCOID LIPOCREAM E

LUXIQ 3

MEDERMA E

MEDERMA FOR KIDS E

MEDERMA SPF 30 E

methoxsalen rapid 1

METROCREAM 3

METROLOTION 3

MIMYX E

MIRVASO 3

myorisan 1 PA

NEOSALUS E

NEUAC EXTERNAL KIT

nolix E

NORITATE E

NUCARACLINPAK E

NUCARARXPAK E

NUCORT E

NUDERMRXPAK 120 E

NUDERMRXPAK 60 E

NUTRASEB E

NUTRIARX CREAMPAK

NUVAIL E

OLUX 3

OLUX-E 3

ONEXTON 3

ONZDEOXIA E

ORACEA 3

OVACE PLUS E

OVACE PLUS WASH E

OVACE WASH E

OXIANUJO E

OXIATAR E

OXIAVARRY E

OXIAZAR E

OXOPOD E

OXSORALEN ULTRA 3

PANDEL E

PENLEN E

PHLAG SPRAY E

pimecrolimus 1 ST

PLEXION E

podocon E

PODPROG E

PR BENZOYL PEROXIDE

PR CREAM E

pramox E

prednicarbate 1

PRESERA E

PROPECIA E

PROSILK EXTERNAL E

PROTEXA E

PROTOPIC 3

PROTYL AG E

PRUCLAIR E

PRUDOXIN 3 PA

PRUMYX E

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR E

QUINIXIL E

QUTENZA E

QUTENZA (2 PATCH) E

QUTENZA (4 PATCH) E

RADIAGEL E

RECEDO E

REFISSA E

REGENECARE 3

REGRANEX 3 PA

remergent hq E

REMIGEN E

RENOVA E

RENOVA PUMP E

RESORCINOL-SULFUR

RETIN-A 3 PA

RHOFADE 3

RIAX E

ROAOXIA E

salicylic acid er E

salimez E

SALIMEZ FORTE E

SALVAX E

SALVAX DUO PLUS E

SANTYL 3

SCALACORT DK E

SCARCIN E

SCARSILK EXTERNAL E

SCARZEN SKIN REPAIR

SCENESSE 3 PA SP

SELRX E

SERNIVO 3

SILA III E

SILIPAC E

skarjel E

SOLARAVIX EXTERNAL

SOLOX E

SOOLANTRA 3

SORILUX E

sss 10-5 E

STRATA CTX E

STRATA GRT E

STRATA MARK E

STRATA TRIZ E

STRATA XRT E

SULFACLEANSE 84 E

sulfamez wash E

SUMADAN E

SUMADAN WASH E

SUMADAN XLT E

SUMAXIN E

SUMAXIN CP E

SUMAXIN WASH E

SUVICORT E

SYNALAR 3

SYNALAR (CREAM) E

SYNALAR (OINTMENT)

SYNALAR TS E

SYNERDERM E

TARDEOXIA E

TARDIMAXIA E

TAROXIA E

TASOPROL E

TEXACORT 3

TOPICORT SPRAY E

TOVET EXTERNAL KIT

TRIANEX E

TRI-CHLOR 3

TRIDESILON 3

TRILOCICLO E

TRI-LUMA E

TRIVIX E

TURPENTINE EXTERNAL

ULTRASAL-ER E

UMECTA MOUSSE E

UREA EXTERNAL FOAM

urea hydrating E

ureacin-10 E

ureacin-20 E

uredeb E

UREMEZ-40 E

URESOL E

UTOPIC E

VANIQA E

VANOS 3

VANOXIDE-HC E

VARDIMAXIA E

VAROXIA E

VECTICAL E

VELTIN E

VENELEX 3

VERDESO E

VEREGEN E

VEXASYN E

VIRASAL E

WINLEVI 3 PA

WYNZORA E

XALIX E

XERAC AC 3

XERALUX E

xurea E

ZACARE E

zenatane 1 PA

ZIANA E

ZILXI 3 ST

ZITHRANOL E

ZONALON 3 PA

ZYCLARA E

ZYCLARA PUMP E

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN E

ALOGLIPTIN BENZOATE

AMARYL 3

2 ST QL

CYCLOSET 3 ST

DUETACT 3

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

GLUCOTROL XL 3

GLUMETZA E

glyburide oral 1

GLYNASE 3

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E

OSENI E

OZEMPIC 2 ST QL

pioglitazone hcl 1

PRECOSE 3

QTERN E

repaglinide 1

RIOMET 3 ST

RYBELSUS 2 ST QL

SEGLUROMET E

SOLIQUA 2 ST QL

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1 ST

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST QL

VICTOZA 2 ST QL

XIGDUO XR 2 ST

XULTOPHY 3 ST QL

BLUESTAR E

CARETOUCH TEST E

CEQUR SIMPLICITY 2U

CONTOUR TEST STRIPS

FORTISCARE CONTROL

GUARDIAN SENSOR (3)

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST E

NOVOPEN ECHO 3

PRECISION LINK E

TRUE METRIX LEVEL 1

TRUE METRIX LEVEL 2

TRUE METRIX LEVEL 3

TRUETRACK TEST E

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

3 Made by Lilly

2Made by Fresenius

GVOKE PFS 2

PROGLYCEM 3

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR

APIDRA SOLOSTAR E

APIDRA VIAL E

BASAGLAR KWIKPEN E

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG VIAL 2

HUMULIN 7030 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R VIAL 2

INSULIN ASPART E

INSULIN SYRINGES $0

LANTUS U-100 VIAL 2

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MYXREDLIN 3

NOVOLIN 7030 RELION

NOVOLIN 7030 VIAL E

NOVOLIN N FLEXPEN E

NOVOLIN N RELION E

NOVOLIN N VIAL E

NOVOLIN R FLEXPEN E

NOVOLIN R RELION E

NOVOLIN R VIAL E

SEMGLEE E

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH

ABANEU-SL E

ACTITROM-D E

ACTIVE FE E

ACTIVITE E

adcf (05mgml) 1

ADRENAL C FORMULA

airavite E

aminoamrms E

aminoreliefrms E

ANIMI-3 E

ANIMI-3VITAMIN D E

ASCOR E

ATABEX OB 2

AZESCO E

BACMIN E

biocel E

biopetit E

bp vit 3 E

b-plex E

b-plex plus E

CALCIFOL 3

CARBAGLU 2 SP

CARNITOR ORAL 3

CARNITOR SF 3

CENFOL E

CENTRATEX E

CEREFOLIN E

CHEMET 3

CHOLECAL DF E

CIFEREX E

CITRANATAL BLOOM E

CITRANATAL MEDLEY

clovique 1 PA SP

CORVITE 150 E

corvite fe E

cytra k crystals E

d3 super strength E

DECARA E

deferasirox 1 PA

deferiprone 1 PA

DEPLIN 15 E

DEPLIN 75 E

DEXIFOL E

DIALYVITE E

DIALYVITE 3000 E

DIALYVITE 5000 E

DIALYVITE SUPREME D

DIALYVITEZINC E

d-vite pediatric E

ELFOLATE E

ENBRACE HR E

ERGOCAL E

EXJADE 3 PA

fabb E

FEONYX E

FERAHEME E

FERIVA 217 E

FERIVAFA E

ferocon E

ferotrinsic E

FERRALET 90 E

ferraplus 90 E

FERRIPROX 3 PA

FERRLECIT E

FLORIVA E

FLORIVA PLUS E

folbee E

folbee plus E

FOLBEE PLUS CZ E

FOLBIC RF E

FOLGARD OS E

FOLGARD RX E

FOLIC D3 E

FOLIC-K E

FOLI-D E

FOLITE E

FOLITIN-Z E

FOLIXAPURE E

folplex 22 E

foltanx E

FOLTANX RF E

FOLTRATE E

FOLTREXYL E

foltrin E

FOLVITE-D E

FOSTEUM E

FUSION PLUS E

GALZIN 3

GENICIN VITA-D E

GENICIN VITA-Q E

GENICIN VITA-S E

HEMATOGEN E

HEMATOGEN FA E

HEMATRON-AF E

HEMETAB E

HEMOCYTE PLUS E

HYLAVITE E

HYLAZINC E

ICAR-C PLUS E

iferex 150 forte E

INFED E

INFUVITE ADULT E

INTEGRA F E

INTEGRA PLUS E

IODINE STRONG ORAL

IROSPAN 246 E

ISOLYTE-S E

JADENU 3 PA

JYNARQUE 3 SP QL

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-conef 1

K-PHOS NO 2 E

K-PHOS-NEUTRAL E

k-prime 1

K-TAB 3

k-tan plus E

L-CYSTINE E

levocarnitine sf 1

L-ISOLEUCINE E

l-methylfolate E

l-methyl-mc E

l-methyl-mc nac E

LOKELMA 3

LORID E

MVI ADULT E

MAGNEBIND 400 3

magnesium-oxide E

MEPHYTON 3

metafolbic E

metafolbic plus E

METAFOLBIC PLUS RF

METANX ORAL CAPSULE

MICROPLEGIA MSA-MSG

MIFEPREX 3

mifepristone 1

M-NATAL PLUS 2

MONOFERRIC E

MULTIGEN E

MULTIGEN FOLIC E

MULTIGEN PLUS E

MULTIPRO E

myferon 150 forte E

MYNEPHRON E

nafrinse $0

nafrinse drops $0

NASCOBAL 3

NEONATAL + DHA E

NEONATAL 19 2

NEONATAL COMPLETE

NEONATAL FE E

NEONATAL PLUS 2

NEOVITE E

NEPHPLEX RX E

NEPHRO-VITE RX E

NESTABS 2

NESTABS ONE E

NEURIN-SL E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NIFEREX ORAL TABLET

NUFERA E

nufol E

NUTRICAP E

nutrifac zx E

NUTRIVIT E

ONE VITE WOMENS $0

ONEVITE E

ORACIT 3

ORTHO DF E

OVEEZA E

pediavit E

PHOSPHA 250 NEUTRAL

phosphorous 1

PHOXILLUM B22K40 E

PHOXILLUM BK425 E

PHYSIOLYTE E

phytonadione oral 1

PLASMA-LYTE 148 E

PLASMA-LYTE A E

PNV TABS 20-1 E

POTABA ORAL CAPSULE

PREGEN DHA E

PREGENNA E

PREMESISRX E

PRENAISSANCE E

PRENARA E

PRENATE E

PRENATE ENHANCE E

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRO HERS RX E

PRO HIS RX E

PRO PCOS RX E

PROTEINEX P18 E

QUFLORA FE E

QUFLORA GUMMIES E

QUFLORA PEDIATRIC E

RELNATE DHA 2

REMEDIENT E

RENAL ORAL CAPSULE

RENATABS E

RENATABS WITH IRON

rena-vite E

REQ 49+ E

REVESTA E

SAMSCA 3 SP QL

se-tan plus E

SIDEROL ORAL TABLET

soluvita e E

STROVITE FORTE E

STROVITE ONE E

SUPERVITE E

support E

SUPPORT-500 E

SYPRINE 3 PA SP

TALIVA E

tis-u-sol E

tl-hem 150 E

3 SP QL

1 SP QL

tricitrates E

TRICON E

TRINATE 2

TRINAZ E

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 3

TRI-VI-FLORO 3

tri-vitefluoride 1

TRONVITE E

UDAMIN SP E

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urosex E

v-c forte E

VELTASSA 3

VENEXA E

VENOFER E

vic-forte E

VINATE ONE 2

virt-caps E

VIRT-FEFA PLUS E

virt-gard E

vita s forte E

vitacel E

VITAFOL STRIPS 2

VITAFOL-NANO E

VITAFOL-OB+DHA E

VITAL-D RX E

VITAMEZ E

VITAROCA PLUS E

VITASURE E

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

vp-vite rx E

weekly-d E

westab mini E

westab one E

WESTAB PLUS 2

WESTGEL DHA E

WILZIN 3

XAQUIL XR E

XVITE E

ZALVIT E

ZYVANA E

ACIPHEX E

ACIPHEX SPRINKLE E

cimetidine oral 1

CYTOTEC 3

DEXILANT 2 QL

ESOMEP-EZS E

FIRST-LANSOPRAZOLE

1 ST QL

misoprostol oral 1

NEXIUM ORAL PACKET

nizatidine 1

1 ST QL

PEPCID ORAL TABLET

PREVACID E

PREVACID 24HR E

3 ST QL

1 ST QL

sucralfate oral 1

ZEGERID E

ACTIPHLORA E

alosetron hcl 1 PA

alvimopan 1

AMITIZA E

ANASPAZ 3

antacid calcium E

antacid maximum E

antacidantigas E

antacidanti-gas E

BACICAP E

bisacodyl ec $0 QL

bisacodyl rectal E

CHENODAL 3 PA SP

citroma $0 QL

CLENPIQ 3

constulose 1

CUVPOSA 3

diotame instydose E

docusate calcium E

docusate mini E

docuzen E

dok oral tablet E

DONNATAL E

ED-SPAZ 3

ENTEREG 3

enulose 1

EX-LAX ULTRA E

FOLIKA PROBIOTIC E

GASTROCROM 3

GATTEX 3 PA SP

gavilyte-c $0 QL

gavilyte-g $0 QL

gavilyte-h 1

GELUSIL E

generlac 1

geri-kot E

GIALAX E

GLYCATE E

glycolax $0 QL

glycopyrrolate pf E

gnp senna lax E

HELIDAC THERAPY 3

hyosyne 1

KRISTALOSE E

LACTEROL E

LACTOJEN E

lactulose oral 1

laxative max str E

LEVBID E

LEVSIN ORAL TABLET

LEVSINSL E

LIBRAX 3

LINZESS 2 ST QL

LOMOTIL ORAL TABLET

LOTRONEX 3 PA

LUBIPROSTONE E

mm clearlax $0 QL

MOTEGRITY 3 ST QL

MOTOFEN E

MOVANTIK E

MOVIPREP E

MYTESI 3 QL

NULEV 3

NULYTELY LEMON-LIME

OMECLAMOX-PAK 2

opium E

oscimin sr E

OSMOPREP E

PCP 100 E

peg-prep 1

PHENOHYTRO E

PLENVU E

PROBICHEW E

PROBITROL E

PRODIGEN E

PROMEROL E

PYLERA 2

quad-probiotic E

RELISTOR ORAL E

RELTONE E

RESTORA RX 3

senexon-s E

senna oral liquid E

senna s E

senna smooth E

senna-plus E

SENOKOT S E

3 PA SP

SUTAB 3

SYMAX DUOTAB E

SYMAX-SL E

SYMAX-SR E

SYMPROIC 2 ST QL

TALICIA 3

TRULANCE E

TUMS CHEWY BITES E

URSO 250 3

URSO FORTE 3

ursodiol oral 1

VIBERZI 3 PA QL

VISBIOME E

womens 50 billion E

3 PA SP QL

ZELAC E

ZELNORM 3 PA QL

ZORBTIVE 3 PA SP

ALDURAZYME 2 PA SP

AMONDYS 45 E SP

CERDELGA 3 PA SP

2 PA SP

CHOLBAM 3 PA SP

CITRULLINE EASY E

CREON 2

CRYSVITA 3 PA SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA SP

ELELYSO 3 PA SP

ENZADYNE E

EVRYSDI 3 PA SP QL

EXONDYS 51 E SP

FABRAZYME 2 PA SP

GALAFOLD 3 PA SP QL

KANUMA 3 PA SP

KUVAN ORAL PACKET

LUMIZYME 2 PA SP

MEPSEVII 3 PA SP

miglustat 1 PA SP

MYALEPT 3 PA SP

NAGLAZYME 2 PA SP

nitisinone 1 PA SP

NITYR 3 PA SP

OCALIVA 3 PA SP QL

ORFADIN 3 PA SP

PALYNZIQ 3 PA SP QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA SP

RAVICTI 3 PA SP

REVCOVI 3 PA SP

1 PA SP

STRENSIQ 2 PA SP

SUCRAID 3 SP

VIMIZIM 3 PA SP

VIOKACE E

VPRIV 3 PA SP

VYONDYS 53 E SP

XURIDEN 3 PA SP QL

ZAVESCA 3 PA SP

ZOLGENSMA 3 PA SP

aminoacetic acid E

AURYXIA 3

azo tabs E

BI-MIX 3

CAVERJECT IMPULSE

CERVIDIL 3

CIALIS 3 QL

3 PA SP

DETROL 3

DETROL LA 3

EDEX 3 QL

ELMIRON E

FEM PH E

flavoxate hcl 1

GEMTESA E

glycine urologic E

HYOPHEN E

INTRAROSA 3 ST

LITHOSTAT 3

menaphosmbhyo1 E

MUSE 3 QL

MYRBETRIQ 2

OXLUMO 3 PA SP

OXYTROL 3 ST QL

OXYTROL FOR WOMEN

1 PA SP

PHOSLYRA 3

PHOSPHASAL E

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM E

QUAD-MIX 3

RENACIDIN E

RENVELA 3

RIMSO-50 E

sevelamer hcl 1

STAXYN E

STENDRA E

SUPER BI-MIX 3

SUPER QUAD-MIX 3

SUPER TRI-MIX E

tadalafil oral 1 QL

THIOLA EC 3 SP

TOVIAZ 3

TRI-MIX E

URELLE E

URIBEL E

URIMAR-T E

URO-458 E

UROGESIC-BLUE E

uro-mp E

USTELL E

UTIRA-C E

VELPHORO 3

VESICARE 3

VESICARE LS E

VIAGRA E

VILAMIT MB E

VILEVEV MB E

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3 ST

dutasteride oral 1

FLOMAX E

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

UROXATRAL 3

ALKINDI SPRINKLE E

BETA 1 KIT E

BETALOAN SUIK E

BETAMETHASONE COMBO

BSP 0820 E

CELESTONE SOLUSPAN

CORTEF 3

DEPO-MEDROL E

DEXABLISS E

DEXONTO 04 3

DMT SUIK E

DOUBLEDEX E

DXEVO 11-DAY E

DYURAL-40 E

DYURAL-80 E

DYURAL-L E

DYURAL-LM E

HEMADY E

HIDEX 6-DAY E

KENALOG INJECTION 3

KENALOG-80 3

MAS CARE-PAK E

MEDROLOAN II SUIK E

MEDROLOAN SUIK E

MULTI-SPECIALTY E

ORAPRED ODT 3

P-CARE K40 E

P-CARE K40G E

P-CARE K40MX E

P-CARE K80 E

P-CARE K80G E

P-CARE K80MX E

PEDIAPRED 3

POD-CARE 100K E

POINT OF CARE L2 E

POINT OF CARE L5 E

prednisone oral 1

PRO-C-DURE 5 E

PRO-C-DURE 6 E

RAYOS E

TAPERDEX 12-DAY E

TAPERDEX 6-DAY E

TOPIDEX E

TRILOAN II SUIK E

TRILOAN SUIK E

ZCORT 7-DAY E

ZILRETTA E

AVEED E

danazol oral 1

EC-RX TESTOSTERONE

FORTESTA E

JATENZO E

METHITEST 3 PA

NATESTO E

TESTIM E

TESTONE CIK E

TESTOPEL E

VOGELXO PUMP E

XYOSTED 3 PA

EVISTA 3

OSPHENA 3

raloxifene hcl 1

ACTHAR 2 PA SP

BYNFEZIA PEN E SP

cabergoline 1

1 PA SP

DDAVP ORAL 3

DDAVP PF 3

DDAVP RHINAL TUBE 2

ELIGARD 3 PA SP QL

3 PA SP QL

2 PA SP

1 PA SP

GENOTROPIN E SP

GONAL-F E SP

GONAL-F RFF E SP

HUMATROPE E SP

INCRELEX 2 PA SP

ISTURISA E SP

1 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

MENOPUR 3 PA SP

MYCAPSSA E SP

NOCDURNA 3

2 PA SP

1 PA SP

3 PA SP

2 PA SP

1 PA SP

ORILISSA 2 PA QL

OVIDREL 3 PA SP

pregnyl 1 PA SP

SAIZEN E SP

SAIZENPREP E SP

SIGNIFOR E SP

3 PA SP QL

SOMAVERT 3 PA SP

STIMATE 3

SYNAREL 2

TEPEZZA 3 PA SP

VANTAS 3 PA SP QL

3 SP QL

2 SP QL

ZOMACTON E SP

KORLYM 3 PA SP QL

afirmelle $0 QL

ALORA 3 ST

altavera $0 QL

alyacen 135 $0 QL

alyacen 777 $0 QL

amabelz 1

amethia $0 QL

amethyst $0 QL

ANGELIQ 3

ANNOVERA E

apri $0 QL

aranelle $0 QL

ashlyna $0 QL

aubra $0 QL

aubra eq $0 QL

aurovela 1530 $0 QL

aurovela 120 $0 QL

aviane $0 QL

AYGESTIN 3

ayuna $0 QL

azurette $0 QL

BALCOLTRA E

balziva $0 QL

bekyree $0 QL

BEYAZ E

BIESTPROGESTERONE

BIJUVA 3

blisovi 24 fe $0 QL

briellyn $0 QL

camila $0 QL

camrese $0 QL

camrese lo $0 QL

caziant $0 QL

chateal $0 QL

chateal eq $0 QL

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

COVARYX E

COVARYX HS E

3 PA QL

cryselle-28 $0 QL

cyclafem 135 $0 QL

cyclafem 777 $0 QL

cyred $0 QL

cyred eq $0 QL

dasetta 135 $0 QL

dasetta 777 $0 QL

daysee $0 QL

deblitane $0 QL

DELESTROGEN 3

delyla $0 QL

DEPO-ESTRADIOL 3

DIVIGEL 3

dotti 1

DUAVEE 2

EC-RX ESTRADIOL E

EC-RX PROGESTERONE

EEMT E

EEMT HS E

ELESTRIN 3

elinest $0 QL

ELLA $0 QL

eluryng $0 QL

emoquette $0 QL

ENDOMETRIN 2 PA

enpresse-28 $0 QL

errin $0 QL

estarylla $0 QL

ESTRACE 3

estradiol oral 1

estradiol vaginal 1

ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 QL

EVAMIST 3

falmina $0 QL

fayosim $0 QL

FEMHRT LOW DOSE 3

FEMRING 3 ST QL

femynor $0 QL

fyavolv 1

gemmily $0 QL

GENERESS FE 3 QL

hailey 1530 $0 QL

hailey 24 fe $0 QL

hailey fe 120 $0 QL

heather $0 QL

1 PA SP

iclevia $0 QL

incassia $0 QL

introvale $0 QL

isibloom $0 QL

jaimiess $0 QL

jasmiel $0 QL

jencycla $0 QL

jinteli 1

jolessa $0 QL

juleber $0 QL

junel 1530 $0 QL

junel 120 $0 QL

junel fe 1530 $0 QL

junel fe 120 $0 QL

junel fe 24 $0 QL

kaitlib fe $0 QL

kalliga $0 QL

kariva $0 QL

kelnor 135 $0 QL

kelnor 150 $0 QL

kurvelo $0 QL

KYLEENA E

larin 1530 $0 QL

larin 120 $0 QL

larin 24 fe $0 QL

larin fe 1530 $0 QL

larin fe 120 $0 QL

larissia $0 QL

layolis fe $0 QL

leena $0 QL

lessina $0 QL

levonest $0 QL

levora 01530 (28) $0 QL

lillow $0 QL

lojaimiess $0 QL

loryna $0 QL

LOSEASONIQUE 3 QL

low-ogestrel $0 QL

lutera $0 QL

lyleq $0 QL

lyllana 1

lyza $0 QL

MAKENA 2 PA SP

marlissa $0 QL

MENOSTAR 3 ST

merzee $0 QL

mibelas 24 fe $0 QL

mili $0 QL

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 ST

MIRCETTE 3 QL

MIRENA (52 MG) E

mono-linyah $0 QL

NATAZIA $0 QL

necon 0535 (28) $0 QL

NEXPLANON E

nikki $0 QL

nora-be $0 QL

norlyda $0 QL

norlyroc $0 QL

nortrel 0535 (28) $0 QL

nortrel 777 $0 QL

NUVARING 3 QL

nylia 777 $0 QL

nymyo $0 QL

ocella $0 QL

ORIAHNN 2 PA QL

orsythia $0 QL

ORTHO MICRONOR E

philith $0 QL

pimtrea $0 QL

pirmella 135 $0 QL

pirmella 777 $0 QL

portia-28 $0 QL

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem $0 QL

progesterone oral 1

PROMETRIUM 3

PROVERA 3

QUARTETTE 3 QL

reclipsen $0 QL

rivelsa $0 QL

SAFYRAL 3 QL

SEASONIQUE 3 QL

setlakin $0 QL

sharobel $0 QL

simliya $0 QL

simpesse $0 QL

SKYLA E

SLYND E

sprintec 28 $0 QL

sronyx $0 QL

syeda $0 QL

tarina 24 fe $0 QL

tarina fe 120 $0 QL

TAYTULLA E

tilia fe $0 QL

tri femynor $0 QL

tri-estarylla $0 QL

tri-legest fe $0 QL

tri-linyah $0 QL

tri-lo-marzia $0 QL

tri-lo-mili $0 QL

tri-mili $0 QL

tri-nymyo $0 QL

tri-previfem $0 QL

tri-sprintec $0 QL

trivora (28) $0 QL

tri-vylibra $0 QL

tulana $0 QL

TWIRLA E

tydemy $0 QL

velivet $0 QL

vestura $0 QL

vienva $0 QL

viorele $0 QL

VIVELLE-DOT E

volnea $0 QL

vyfemla $0 QL

vylibra $0 QL

wera $0 QL

wymzya fe $0 QL

xulane $0 QL

YASMIN 28 3 QL

yuvafem 1

zafemy $0 QL

zarah $0 QL

zovia 135 (28) $0 QL

zovia 135e (28) $0 QL

zumandimine $0 QL

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

levoxyl 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

SYNTHROID 3

TAPAZOLE 3

THYQUIDITY 3

TIROSINT E

TIROSINT-SOL 3

unithroid 1

WP THYROID 3 ST

ACTEMRA 3 PA SP

ACTIMMUNE 2 PA SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 PA SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA SP

AZASAN 3

azathioprine oral 1

BAMLANIVIMAB E

BENLYSTA 3 PA SP

BERINERT 3 PA SP QL

3 PA SP

CASIRIVIMAB E

CELLCEPT 3 SP

2 PA SP

CINRYZE 2 PA SP

COSENTYX 150 MGML

CUTAQUIG E SP

CUVITRU 3 PA SP

CYTOGAM 2 PA SP

ENBREL MINI 3 PA SP

3 PA SP

ENSPRYNG 3 PA SP

ENTYVIO 3 PA SP

ENVARSUS XR 3 SP

ETESEVIMAB E

FIRAZYR 3 PA SP QL

GAMASTAN 2 PA SP

GAMIFANT 3 PA SP

GAMMAGARD 3 PA SP

3 PA SP

GAMUNEX-C 3 PA SP

HAEGARDA 3 PA SP

HEPAGAM B E

3 PA SP

2 PA SP

HYPERHEP B E

HYPERRAB E

HYPERTET SD E

HYQVIA 3 PA SP

2 PA SP QL

ILUMYA 3 PA SP

IMDEVIMAB E

IMURAN 3

INFLECTRA 2 PA SP

KALBITOR 3 PA SP QL

KEDRAB INJECTION E

KEVZARA 3 PA SP

3 PA SP

KYMRIAH 3 PA SP

leflunomide oral 1

LUPKYNIS E SP

methotrexate oral 1

MYFORTIC 3 SP

NABI-HB E

NEORAL 3 SP

NULOJIX 3 SP

OCTAGAM 3 PA SP

OLUMIANT E SP

ORENCIA INTRAVENOUS

3 PA SP

ORLADEYO 3 PA SP QL

OTEZLA ORAL TABLET

2 PA SP

3 PA QL

PANZYGA E SP

PRIVIGEN 3 PA SP

PROGRAF 3 SP

PROVENGE 2 PA SP

RAPAMUNE 3 SP

2 PA QL

REDITREX E

REMICADE E SP

RENFLEXIS E SP

RIDAURA 3 SP

RINVOQ 2 PA SP

RUCONEST 3 PA SP QL

SILIQ 3 PA SP

2 PA SP

SIMULECT E

sirolimus oral 1 SP

2 PA SP QL

STELARA INTRAVENOUS

2 PA SP

2 PA SP QL

SYNAGIS 2 PA SP

TAKHZYRO 3 PA SP

TALTZ 3 PA SP

temsirolimus 1 SP

THYMOGLOBULIN E

TICE BCG 2 SP

TORISEL 3 SP

TREMFYA 2 PA SP

TREXALL 3

UPLIZNA 3 PA SP

WINRHO SDF 2 SP

XATMEP 3

XELJANZ 2 PA SP

XELJANZ XR 2 PA SP

XEMBIFY 3 PA SP

ZINPLAVA E

ZORTRESS 3 SP

ACTHIB $0

BCG VACCINE E

BEXSERO $0

BIOTHRAX E

FLUAD $0

FLUAD QUADRIVALENT

GARDASIL 9 $0

IMOVAX RABIES E

INFANRIX $0

IXIARO E

MENACTRA $0

MENQUADFI $0

MENVEO $0

PNEUMOVAX 23 $0

PREVNAR 13 $0

RABAVERT E

ROTARIX $0

STAMARIL E

TDVAX $0

TENIVAC $0

TRUMENBA $0

VARIVAX $0

VAXCHORA E

VIVOTIF E

YF-VAX E

ana-lex E

anucort-hc E

ANUSOL-HC EXTERNAL

APRISO 2

ASACOL HD E

AZULFIDINE 3

budesonide oral 1

CANASA E

COLAZAL 3

CORTENEMA 3

CORTIFOAM EXTERNAL

DELZICOL E

DIPENTUM E

LIALDA E

LIDOCORT EXTERNAL

mesalamine oral 1

mesalamine rectal 1

ORTIKOS E

PENTASA 3

PROCORT EXTERNAL E

PROCTOCORT EXTERNAL

ROWASA RECTAL 3

SFROWASA 2

UCERIS 3

ATELVIA 3 QL

BINOSTO 3 QL

BONIVA INTRAVENOUS

EVENITY 3 PA SP QL

FOSAMAX PLUS D E

MIACALCIN INJECTION

2 PA SP QL

RAYALDEE 3

RECLAST 3 SP

2 PA SP

TYMLOS 2 PA SP

XGEVA 2 PA SP

calcitriol oral 1

cinacalcet hcl 1 PA

NATPARA 3 PA SP QL

paricalcitol oral 1

PARSABIV 3 SP

ROCALTROL 3

SENSIPAR 3 PA

ZEMPLAR INTRAVENOUS

ACACIA SUBCUTANEOUS

ACREMONIUM E

ACST KIT E

ACUNOL E

ADAKVEO 3 PA SP

ADULT AEROSOL MASK

ALDER E

ALTERNARIA E

AMERICAN BEECH E

AMERICAN COCKROACH

AMERICAN ELM E

AMINOPMRMS E

APP SLIM RMS E

ARIZONA CYPRESS E

asilnasalrms E

ASPARTAME E

AUREOBASIDIUM E

AUSTRALIAN PINE E

AVAILNEX E

AVITENE E

AVITENE FLOUR E

AXONA E

AZALGIA E

BAHIA E

BALD CYPRESS E

BHI URI-CONTROL E

BLACK WILLOW E

BROME E

CARDIOVID PLUS E

CARTICEL E

CATTLE EPITHELIUM E

CAYA $0 QL

CEDAR ELM E

COCKLEBUR E

COLCIGEL E

CONDOMS E

CORN POLLEN E

CORTROSYN E

CROFAB E

CURVULARIA E

DANDELION E

desflurane 1

DIGIFAB E

DOG EPITHELIUM E

DOG FENNEL E

DOJOLVI E

DRECHSLERA E

2 PA SP

DYSPORT 3 PA SP

EASIVENT 2

EASTERN COTTONWOOD

EC-RX DHEA E

ECZEMOL E

ENDARI 3 PA

ENDO AVITENE E

ENLYTE E

ENTERAGAM E

enteric fish oil E

ENU PRO3 PLUS E

EPICOCCUM E

EPISIL E

EQUACARE JR E

ESSENTIAL CARE JR E

2 PA SP

FIRDAPSE E SP

FIRE ANT E

FORANE 3

FOSTEUM PLUS E

FUSARIUM E

GELCLAIR E

GELFILM EXTERNAL E

GEL-FLOW E

GEL-FLOW NT E

GELFOAM E

GELFOAM SPONGE E

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GELSYN-3 2 PA SP

GELX E

GERMAN COCKROACH

GIVLAARI 3 PA SP

GLEOLAN E

GLYTACTIN BURST E

GLYTACTIN RESTORE 5

GLYTACTIN RTD 15 E

GOLDENROD E

GRASTEK 3 PA QL

HACKBERRY E

HCU EASY E

HEPMED E

HIBICLENS E

HOMACTIN AA PLUS E

HOME PAP KIT E

HORSE EPITHELIUM E

HUMATROPEN FOR 12MG

HUMATROPEN FOR 24MG

HUMATROPEN FOR 6MG

HYALGAN E SP

HYLAFEM E

HYMOVIS E SP

INTERCEED E

IOSAT E

isoflurane 1

JOHNSON GRASS E

KAPOK E

KETOVIE LIQUID ORAL

KETOVIE PEPTIDE E

KOCHIA E

LENSCALE E

LIMBREL E

LIMBREL250 E

LIMBREL500 E

LORMATE E

MACRILEN E

MELALEUCA E

MESQUITE E

METHAVER E

METOPIRONE E

MIXED ASPERGILLUS E

MIXED FEATHERS E

MIXED RAGWEED E

MKO MELT DOSE PACK

mlk f1 E

mlk f2 E

mlk f3 E

mlk f4 E

MONOVISC E SP

MORCIN E

MOUNTAIN CEDAR E

MOUSE EPITHELIUM E

MSUD EASY E

MUCOR SUBCUTANEOUS

MUCOTROL E

MUGARD E

MUGWORT E

MYOBLOC 3 PA SP

NEODOT THERMOMETER

NICAPRIN E

NICAZYME E

ODACTRA 3 PA QL

OLIVE TREE E

OMNIVEX E

ORALAIR 3 PA QL

3 PA QL

ORAMAGICRX E

OXBRYTA E SP

PALFORZIA E SP

PH STRIPS E

PHEXXI E

PHOMA EXIGUA E

PKU EASY E

PKU EASY MICROTABS

PKU GO E

PRAXBIND E

PRID E

PRIVET E

PRO-CRITIC E

PROLEVA E

PSORIZIDE FORTE E

PSORIZIDE ULTRA E

PURAMINO DHAARA E

QUEEN PALM E

RABBIT EPITHELIUM E

RADIOGARDASE 3

RAGWITEK 3 PA QL

RAPID GEL RX E

RED MAPLE E

RED MULBERRY E

RESECTISOL E

RHEUMATE E

RHIZOPUS E

RIBOZEL E

ROUGH MARSH ELDER

RUSSIAN THISTLE E

RUZURGI 3 PA SP

sevoflurane 1

SHAGBARK HICKORY E

SHARPS CONTAINER E

SHEEP SORREL E

SILTREX E

SORBITOL IRRIGATION

sorbitol-mannitol E

SORRELDOCK MIX E

SPEEDGEL RX E

SPINRAZA 3 PA SP

SPINY PIGWEED E

STEMPHYLIUM E

SUPARTZ FX E SP

SUPRANE 3

SWEET GUM E

SYRINGE AVITENE E

TACHOSIL 3

TALL RAGWEED E

terrell 1

THROMBI-GEL 10 E

THROMBI-GEL 100 E

THROMBI-GEL 40 E

THROMBI-PAD E

THYROGEN 2 PA SP

TOBAKIENT E

TRANZGEL E

TRILURON E SP

T-SUPPORT MAX E

TYLACTIN RESTORE 10

TYLACTIN RTD 15 E

TYR EASY E

TYROS 2 E

ULTANE 3

ULTRA HERS RX E

ULTRA HIS E

ULTRA PCOS E

VASCULERA E

VILACTIN AA PLUS E

VILTEPSO E SP

VISTOGARD 3

WELLMIND VERTIGO E

westab max E

WESTERN JUNIPER E

WHITE BIRCH E

WHITE MULBERRY E

WHITE OAK E

WHITE PINE E

XEOMIN 3 PA SP

XIAFLEX 2 PA SP

XYZBAC E

XYZMUNE E

YELLOW DOCK E

ZOKINVY 3 PA SP QL

ZYVEXOL E

ZYVIT E

ACULAR 3

ACULAR LS 3

ACUVAIL E

ALAWAY E

ALOCRIL E

ALOMIDE 3

ALREX E

AZASITE 3

BEPREVE E

BESIVANCE 3

BLEPH-10 3

BROMSITE E

CILOXAN 3

DEXTENZA E SP

DEXYCU E

DUREZOL E

epinastine hcl 1

eye itch relief E

EYSUVIS 3 PA

FLAREX 3

FML FORTE 3

FML LIQUIFILM 3

ILEVRO E

INVELTYS 3

KLARITY-A E

KLARITY-L E

LOTEMAX SM 3

MAXIDEX 3

MITOSOL 3

MOXEZA 2

NATACYN 2

NEVANAC E

OCUFLOX 3

PRED FORTE 3

PRED MILD 3

PROLENSA 2 QL

TOBREX 3

TRIPLE PMB E

TRIPLE PMK E

UPNEEQ 3 PA

VIGAMOX 3

YUTIQ E SP

ZADITOR E

ZERVIATE E

ZIRGAN 3

ZYMAXID 3

acetazolamide er 1

apraclonidine hcl 1

AZOPT 3

BETIMOL 3

BETOPTIC-S 3

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

DURYSTA E

ISOPTO CARPINE 3

ISTALOL 3

KEVEYIS 3 PA SP QL

PHOSPHOLINE IODIDE

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

TIMOPTIC E

TIMOPTIC-XE E

TRAVATAN Z 3 QL

TRUSOPT 3

VYZULTA E

XALATAN 3

XELPROS 3 ST QL

ZIOPTAN E

ak-poly-bac 1

AKTEN 3

ALCAINE 3

ALTACAINE 3

altachlore E

ALTAFLUOR BENOX E

artificial eye E

BEOVU E SP

BEVACIZUMAB 3 SP

BIO GLO E

BLEPHAMIDE 3

BLEPHAMIDE SOP 3

CEQUA E

CYCLOGYL 3

CYCLOMYDRIL 3

CYSTARAN 3 PA SP QL

DOUBLE PM E

EYLEA INTRAVITREAL

3 PA SP

FLUCAINE E

fluor-i-strips at E

FLURA-SAFE E

FUL-GLO E

GELFILM OPHTHALMIC

homatropaire 1

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT E

LATISSE E

lubricant eye pm E

lubricant pm E

2 PA SP

3 PA SP

MAXITROL 3

MYDRIACYL E

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 PA SP QL

PAREMYD E

polycin 1

POLYTRIM 3

PRED-G 3

PRED-G SOP 3

REFRESH RELIEVA E

RESTASIS 2 PA

SYSTANE COMPLETE E

SYSTANE ULTRA PF E

TOBRADEX ST 3

ultra fresh pm E

VISIONBLUE 3

VISTA MEIBO TEARS E

VISTA TEARS E

VISUDYNE 3 SP

XIIDRA 2 PA

ZYLET 3

acetic acid otic 1

CETRAXAL 3 ST

CIPRO HC 3

CIPRODEX E

cortic-nd 1

CORTISPORIN-TC 3

DERMOTIC 3

exotic-hc 1

flac 1

ofloxacin otic 1

OTIPRIO E

OTOVEL E

PRAMOTIC 3

12 hour allergy-d E

ADRENALIN NASAL E

all day allergy d E

allergy 24-hr E

allergy childrens E

BECONASE AQ 3 QL

benzonatate 1

CINQAIR 3 PA SP

CLARINEX-D 12 HOUR

DICOPANOL FUSEPAQ

DICOPANOL RAPIDPAQ

DI-PHEN E

DYMISTA 2 QL

FASENRA 2 PA SP

FASENRA PEN 2 PA SP

GILPHEX TR E

HYCODAN 3 PA QL

1 PA QL

hydromet 1 PA QL

HYPERSAL 3

loratadine-d 12hr E

loratadine-d 24hr E

maxi-tuss gmx E

maxi-tuss pe max E

m-dryl E

MICLARA LQ E

MUCINEX DM E

mucus dm E

mucus-d E

NASONEX E

NEOTUSS PLUS E

NUCALA 2 PA SP QL

OMNARIS 3 QL

PATANASE 3 QL

PHENERGAN INJECTION

promethazine vc 1

1 PA QL

promethegan 1

PROPEL E

PROPEL MINI E

QNASL 3 QL

ryvent E

sinus 12 hour E

SINUVA E

SSKI E

SUDAFED CONGESTION

sudogest 12 hour E

TESSALON PERLES 3

TUXARIN ER E

XHANCE E

XOLAIR 2 PA SP

ZETONNA 3 QL

ACCOLATE 3

ADVAIR DISKUS 1 QL

ADVAIR HFA 2 QL

ADYPHREN E

ADYPHREN AMP E

ADYPHREN AMP II E

ADYPHREN II E

AIRDUO DIGIHALER E

ALVESCO E

ANORO ELLIPTA 2 QL

3 PA SP

ARMONAIR DIGIHALER

ASMANEX HFA E

ATROVENT HFA 3 QL

BEVESPI AEROSPHERE

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE

BROVANA 3 QL

COMBIVENT RESPIMAT

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E

ELIXOPHYLLIN 2

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V E

EPISNAP E

ESBRIET 3 PA SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

1 ST QL

GLASSIA 3 PA SP

INCRUSE ELLIPTA E

OFEV 3 PA SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

3 PA SP

PROVENTIL HFA E

PULMICORT FLEXHALER

QVAR REDIHALER E

SEEBRI NEOHALER E

SINGULAIR E

SPIRIVA HANDIHALER

STERITALC 3

STRIVERDI RESPIMAT

2 ST QL

SYMBICORT 2 QL

SYMJEPI 3

THEO-24 3

theophylline 1

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub E

XOPENEX NEB 3 QL

XOPENEX CONCENTRATE

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA SP

zileuton er 1 ST

ZYFLO E

BETHKIS E SP

BRONCHITOL E

CAYSTON E SP

KALYDECO 3 PA SP

KITABIS PAK E SP

ORKAMBI 3 PA SP QL

PULMOZYME 2 PA SP

SYMDEKO 3 PA SP QL

TOBI NEBULIZER E SP

TRIKAFTA 3 PA SP QL

ADCIRCA 3 PA SP QL

ADEMPAS 2 PA SP QL

alyq 1 PA SP QL

bosentan 1 PA SP QL

FLOLAN 3 PA SP

LETAIRIS 3 PA SP QL

OPSUMIT 2 PA SP QL

ORENITRAM 3 PA SP

REVATIO INTRAVENOUS

3 PA SP

1 PA SP

1 PA SP QL

TUDORZA PRESSAIR

TYVASO 3 PA SP QL

UPTRAVI 3 PA SP QL

VELETRI 3 PA SP

VENTAVIS 3 PA SP QL

AMRIX E

BACLOFEN EXTERNAL

baclofen oral 1

carisoprodol oral 1

CYCLOGABA 10300 E

CYCLOPAK E

CYCLOPHENE RAPIDPAQ

enovarx-baclofen E

FEXMID 3

FIRST-BACLOFEN E

LIORESAL E

LORZONE 3

METAXALL CP E

metaxalone 1

NOPIOID-LMC KIT E

NORGESIC FORTE E

OZOBAX E

SKELAXIN E

SOMA 3

TABRADOL FUSEPAQ E

TABRADOL RAPIDPAQ

VANADOM 3

ZANAFLEX E

AMBIEN E

AMBIEN CR E

armodafinil 1 PA QL

BELSOMRA 3 ST QL

DAYVIGO 3 ST QL

EDLUAR E

eszopiclone 1 QL

HETLIOZ 3 PA SP QL

HETLIOZ LQ E SP

LUNESTA E

modafinil 1 PA QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 QL

SILENOR 3 QL

SUNOSI 2 PA QL

temazepam 1 QL

WAKIX 3 PA SP QL

XYREM 3 PA SP QL

XYWAV 3 PA SP QL

zaleplon 1 QL

ZOLPIMIST 3 ST QL

Index of Drugs

Drug Tier

Directions Doctor

-Continued on back-

(Farsi)

HealthSelectSM

Premium standard

Anesthetics

Antibacterials

Anticoagulants

Antidepressants

Antifungals

Antigout Agents

Antimigraine Agents

Antimycobacterials

Antiparasitics

Antiplatelets

Antivirals

Diabetes - Insulins

Tier information

Tier 1 Lowest Cost

Tier 3 Highest Cost

Table of Contents

acetaminophen er E

ACTIQ 3 PA QL

ALLZITAL E

APADAZ E

ascomp-codeine 1

BELBUCA 2 PA QL

BUPRENEX E

1 PA QL

BUTRANS 3 PA QL

CONZIP E

DILAUDID ORAL E

DSUVIA E

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph E

ESGIC 3

fentanyl 1 PA QL

1 PA QL

1 PA ST QL

1 PA QL

HYSINGLA ER 2 PA QL

INFUMORPH 200 E

INFUMORPH 500 E

migraine relief E

mitigo E

1 PA QL

m-pap E

NALOCET E

NUCYNTA E

NUCYNTA ER E

OXAYDO ORAL TABLET

2 PA QL

PANADOL CHILDRENS

PANADOL EXTRA E

PANADOL INFANTS E

PRIALT 2 SP

PROLATE E

QDOLO E

SUBSYS E

SYNAPRYN FUSEPAQ E

1 PA ST QL

1 PA QL

TYLENOL 8 HOUR E

TYLENOL ORAL TABLET

ULTRACET E

ULTRAM E

VTOL LQ E

XTAMPZA ER 2 PA QL

ADVIL E

ADVIL MIGRAINE E

ALEVE ORAL TABLET E

BIIFENAC 1000 E

BIIFENAC 500 E

CAMBIA E

CAPSFENAC PAK E

CAPSINAC E

CATAFLAM 3

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3

DFSMSMENTHCAP PAK

DICLOFENAC CAP 35MG

DICLOPR E

DICLOSTREAM E

DICLOTREX E

DICLOVIX E

DICLOVIX M E

DICLOZOR EXTERNAL

diflunisal oral 1

DIMENTHO E

DUEXIS E

EC-NAPROSYN 3

ec-naproxen 1

enovarx-ibuprofen E

etodolac er 1

etodolac oral 1

FBL KIT E

FELDENE 3

FLECTOR EXTERNAL E

FLEXIPAK E

flurbiprofen oral 1

FROTEK E

IBUPAK E

ibuprofen 1

ibuprofen infants E

inavix E

INDOCIN ORAL 3 ST

INDOCIN RECTAL E

indomethacin er 1

INFLAMMACIN E

KBGL IN TERODERM

kapzin dc E

KETOPHENE RAPIDPAQ

ketoprofen er 1

ketoprofen oral 1

3 PA QL

LICART EXTERNAL E

LODINE 3

MOBIC ORAL TABLET E

nabumetone oral 1

NALFON ORAL TABLET

1 PA QL

NUDICLO SOLUPAK E

NUDICLO TABPAK E

NUDROXIPAK E

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400 E

NUDROXIPAK I-800 E

NUDROXIPAK M-15 E

NUDROXIPAK N-500 E

ORMECA E

oxaprozin 1

PENNSAID EXTERNAL

piroxicam oral 1

PRASTERA E

QMIIZ ODT E

RELAFEN E

RELAFEN DS E

salsalate oral E

SPRIX 3 PA QL

sulindac oral 1

TORONOVA II SUIK E

TORONOVA SUIK E

VAROPHEN E

VENNGEL ONE E

VIMOVO E

VIVLODEX 3 ST

VOLTAREN EXTERNAL

VP FC KIT E

VP GKL KIT E

XRYLIX EXTERNAL E

ZIPSOR E

ZORVOLEX E

Anesthetics

7T LIDO E

ACCUCAINE E

AGONEAZE E

ANODYNE LPT E

APRIZIO PAK E

APRIZIO PAK II E

ASTERO E

blue tube aloe E

CADIRAMD E

CAPSAICIN-MENTHOL

COCAINE HCL NASAL E

DERMACINRX PHN E

DERMACINRX PRIZOPAK

DERMACINRX ZRM E

DERMALID E

EMPRICAINE-II E

ENZNONUTY E

ethyl chloride 1

EXPAREL E

FLEXIN E

GEBAUERS PAIN EASE

GEN7T E

GEN7T PLUS E

GOPRELTO E

LDO PLUS E

lets E

LEVATIO E

LIDO BDK E

LIDOCANNA E

LIDODERM E

LIDOMARK 25 E

LIDOPAC E

LIDOPRIL XR E

LIDOPURE PATCH E

LIDORX E

LIDO-SORB E

LIDOSTREAM E

LIDOTHOL E

LIDOTRAL E

LIDOVIX L E

LIDTOPIC MAX E

LIVIXIL PAK E

LMR PLUS E

LYDEXA E

MARCAINE E

marlido E

MARLIDO-25 E

MARVONA SUIK E

NUMBRINO E

NUVAKAAN E

NUVAKAAN-II E

PAINGO KFT E

PLIAGLIS E

POINT OF CARE LM-22

POINT OF CARE LM-25

premium lidocaine E

PREMIUM SCAR E

PREPIV SUPPLY 3

PRILO PATCH E

PRILO PATCH II E

PRILOLID E

PRILOVIX E

PRILOVIX LITE E

PRILOVIX PLUS E

PRILOVIXIL E

PRIZOPAK II E

PRIZOTRAL E

PRIZOTRAL-II E

READYSHARP-A E

RELADOR PAK PLUS E

SENSORCAINE E

SKYADERM-LP E

SYNERA E

VEXATROL E

XARACOLL E

XYLOCAINE INJECTION

ZERUVIA E

ZILACAINE PATCH E

ZIONODIL E

ZIONODIL 100 E

ZTLIDO E

CHANTIX $0 QL

disulfiram oral 1

habitrol $0 QL

LIFEMS NALOXONE E

LUCEMYRA 3 ST QL

NARCAN 2

NICOTROL $0 QL

NICOTROL NS $0 QL

SUBLOCADE 3 SP

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA

ALTABAX 3

ARIKAYCE 3 PA SP

AUGMENTIN ES-600 3

avidoxy 1 ST

AVIDOXY DK E

BACTRIM 3

BACTRIM DS 3

BAXDELA INTRAVENOUS

BAXDELA ORAL 3

BENZODOX E

BICILLIN L-A E

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefixime 1

CEFOTAN E

cefprozil 1

CENTANY 3

CENTANY AT E

cephalexin 1

clarithromycin er 1

CLEOCIN ORAL 3

CLINDESSE 3

COLY-MYCIN M E

coremino E

CUBICIN E

CUBICIN RF E

daptomycin E

DIFICID 3

DORYX MPC E

doxy 100 E

EES GRANULES 3

ertapenem sodium E

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

erythromycin oral 1

FETROJA E

FIRVANQ 3

FLAGYL ORAL CAPSULE

HIPREX 3

INVANZ INJECTION E

levofloxacin oral 1

LINCOCIN E

linezolid oral 1 QL

MACROBID 3

MACRODANTIN 3

MINOLIRA E

MONUROL 3

mupirocin calcium E

NUTRIDOX E

NUVESSA E

PRIMSOL 3

RECARBRIO E

SEYSARA 3 ST

SILVADENE 3

SIVEXTRO E

SOLOSEC 3

sulfadiazine oral 1

SUPRAX ORAL CAPSULE

TARGADOX E

tazicef injection E

tigecycline E

tinidazole oral 1

trimethoprim oral 1

TYGACIL E

VANCOCIN 3

vandazole 1

VIBRAMYCIN 3 ST

XENLETA INTRAVENOUS

XENLETA ORAL 3

XEPI 3

XIFAXAN 3 PA

XIMINO 3

ZEMDRI E

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

ZYVOX ORAL 3 QL

Anticoagulants

ACD-A NOCLOT-50 3

ACTIVASE E

ARIXTRA 3 SP QL

CATHFLO ACTIVASE E

ELIQUIS 2 QL

3 SP QL

jantoven 1

LOVENOX 3 SP QL

PRADAXA 2 QL

REGIOCIT E

SAVAYSA 3 QL

THROMBATE III 3 SP

TRICITRASOL 3

XARELTO 2 QL

APTIOM 3

BANZEL 3 PA

BRIVIACT ORAL 3 ST

carbamazepine er 1

CARBATROL 3

CELONTIN 3

clobazam 1 PA

DEPAKOTE 3

DEPAKOTE ER 3

DIACOMIT 3 PA SP

DILANTIN INFATABS E

ELEPSIA XR E

EPIDIOLEX 3 PA SP

epitol 1

ethosuximide oral 1

FANATREX FUSEPAQ E

felbamate 1

FELBATOL 3

FINTEPLA 3 PA SP

FYCOMPA 3

GABITRIL 3

KEPPRA INTRAVENOUS

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

levetiracetam er 1

MYSOLINE 3

NAYZILAM 3 QL

NEURONTIN 3

oxcarbazepine 1

OXTELLAR XR E

PHENYTEK 3

primidone oral 1

QUDEXY XR 3

rufinamide 1 PA

SABRIL ORAL PACKET

SABRIL ORAL TABLET

3 PA SP

SPRITAM E

subvenite 1

SYMPAZAN 3 PA

TEGRETOL-XR 3

tiagabine hcl 1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TRILEPTAL 3

TROKENDI XR 3 ST

VALTOCO 3 QL

vigabatrin 1 PA SP

vigadrone 1 PA SP

VIMPAT INTRAVENOUS

VIMPAT ORAL 3

XCOPRI 3 ST

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

ARICEPT 3

donepezil hcl 1

EXELON TRANSDERMAL

NAMENDA ORAL TABLET

NAMENDA XR 3 QL

NAMZARIC 2 QL

RAZADYNE ER 3

rivastigmine 1

Antidepressants

amoxapine 1

ANAFRANIL 3

APLENZIN E

BRISDELLE 3 ST QL

CELEXA ORAL TABLET

CYMBALTA E

DESVENLAFAXINE ER

3 ST QL

EFFEXOR XR E

EMSAM 3 QL

FETZIMA 3 ST QL

FORFIVO XL E

LEXAPRO ORAL TABLET

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3

nefazodone hcl 1

PARNATE 3

paroxetine hcl er 1

PAXIL CR 3

PAXIL ORAL TABLET 3

PEXEVA E

PRISTIQ E

protriptyline hcl 1

PROZAC ORAL CAPSULE

REMERON SOLTAB 3

3 PA SP

TRINTELLIX 3 ST QL

venlafaxine hcl 1

VIIBRYD ORAL TABLET

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA SP

AKYNZEO INTRAVENOUS

AKYNZEO ORAL 3 QL

ANZEMET ORAL 3 QL

aprepitant 1 QL

BONJESTA 3 PA QL

compro 1

DICLEGIS 3 PA QL

dronabinol 1 PA QL

EMEND TRI-PACK 3 QL

GIMOTI E

MARINOL 3 PA QL

ondansetron odt 1

palonosetron hcl E

perphenazine oral 1

prochlorperazine 1

REGLAN ORAL 3

SANCUSO 3 QL

scopolamine 1

SUSTOL E

SYNDROS 3 PA QL

TIGAN INTRAMUSCULAR

TIGAN ORAL 3

ZUPLENZ E

Antifungals

ALA-QUIN E

ALCORTIN A E

ANCOBON 3

CRESEMBA ORAL 3

DIFLUCAN 3

DIFMETIOXRIME E

ECONASIL E

ECOZA E

ERTACZO E

EXELDERM E

EXTINA 3

fluconazole oral 1

flucytosine oral 1

FUNGIMEZ E

GYNAZOLE-1 3

HIXDEFRIMA E

IMIOXIA E

IODOQUIMEZ-HC E

JUBLIA E

KERYDIN 3 PA

ketoconazole oral 1

LOPROX EXTERNAL KIT

LULICONAZOLE E

LUZU E

MENTAX E

micaderm E

miconazole 1 E

miconazole 7 E

MYCOZYL AP E

naftifine hcl 1

NAFTIN EXTERNAL GEL

NOXAFIL ORAL 3 PA

nyamyc 1

nystatin external 1

nystop 1

ONYCHO-MED E

ORAVIG E

PEDIZOLPAK E

PHEODOYO E

PHEYO E

posaconazole 1 PA

QUINJA E

RECURA E

SPORANOX 3 PA

SPORANOX PULSEPAK

SULCONAZOLE NITRATE

tavaborole 1 PA

terconazole 1

TOLSURA E

VFEND 3

voriconazole oral 1

VUSION E

VYTONE E

XOLEGEL E

XOLEGEL COREPAK E

XOLEGEL DUOXOLEX

ZOLPAK E

Antigout Agents

allopurinol oral 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA SP

MITIGARE E

probenecid oral 1

ULORIC 3 ST

ZYLOPRIM 3

EMFLAZA 3 PA SP

Antimigraine Agents

2 PA QL

AJOVY E

AMERGE 3 QL

CAFERGOT 3

DHE 45 3 PA QL

1 PA QL

EMGALITY 2 PA QL

2 PA QL

ERGOMAR 3

FROVA 3 QL

IMITREX 3 QL

MIGERGOT 3

MIGRAINE PACK E

MIGRANAL 3 PA QL

MIGRANOW E

NURTEC 2 PA QL

RELPAX 3 QL

REYVOW E

SUMANSETRON E

TOSYMRA E

3 ST QL

UBRELVY 2 PA QL

VYEPTI E

ZEMBRACE SYMTOUCH

ZOLMITRIPTAN NASAL

3 ST QL

ZOMIG NASAL 3 ST QL

ZOMIG ORAL E

ZOMIG ZMT E

GUANIDINE HCL ORAL

Antimycobacterials

CAPASTAT SULFATE E

cycloserine oral 1

dapsone oral 1

isoniazid oral 1

MYCOBUTIN 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifabutin 1

rifampin oral 1

SIRTURO 3

TRECATOR 3

ABRAXANE 2 SP

ADCETRIS 2 PA SP

2 PA SP QL

ALECENSA 2 PA SP

ALIMTA 2 SP

ALIQOPA 3 PA SP

ALKERAN 3 SP

ALUNBRIG 2 PA SP QL

anastrozole oral $0

ARIMIDEX E

AROMASIN 3

ARRANON 2 SP

ARZERRA 2 PA SP

ASPARLAS 3 SP

AVASTIN 3 PA SP

AYVAKIT 3 PA SP QL

azacitidine 1 PA SP

BALVERSA 3 PA SP

BAVENCIO 3 PA SP

BELEODAQ 3 PA SP

BELRAPZO E SP

BENDEKA 3 PA SP

BESPONSA 3 PA SP

bexarotene 1 PA SP

bicalutamide 1

BICNU 3 SP

BLENREP 3 PA SP

BLINCYTO 3 PA SP

BORTEZOMIB 3 PA SP

BOSULIF 3 PA SP

3 PA SP

BREYANZI E SP

BRUKINSA 3 PA SP

busulfan 1 SP

BUSULFEX 3 SP

CABOMETYX 2 PA SP

CALQUENCE 3 PA SP

CAMPATH 2 SP

CAMPTOSAR 3 SP

2 PA SP QL

2 PA SP

carmustine 1 SP

CASODEX 3

clofarabine 1 SP

CLOLAR 3 SP

3 PA SP

COPIKTRA 3 PA SP

COSELA E SP

COSMEGEN 3 SP

COTELLIC 3 PA SP

CYRAMZA 3 PA SP

DACOGEN 3 PA SP

dactinomycin 1 SP

DANYELZA 3 PA SP

DARZALEX 3 PA SP

DAURISMO 3 PA SP

decitabine 1 PA SP

DOXIL 3 SP

DROXIA 3

ELITEK 3 SP

ELLENCE 3 SP

ELZONRIS 3 PA SP

EMCYT 2

EMPLICITI 3 PA SP

ENHERTU 3 PA SP

ERBITUX 2 PA SP

ERIVEDGE 2 PA SP

ERLEADA E SP

1 PA SP

1 PA SP QL

ERWINAZE INJECTION

ETHYOL 3 SP

ETOPOPHOS 3 SP

etoposide oral 1 SP

1 PA SP QL

EVOMELA 3 SP

exemestane $0

FARESTON 3

FARYDAK 3 PA SP

FEMARA 3

flutamide 1

FOLOTYN 2 PA SP

FOTIVDA E SP

fulvestrant 1 SP

GAVRETO E SP

GAZYVA 3 PA SP

GILOTRIF 3 PA SP QL

GLEEVEC 3 PA SP

HALAVEN 2 PA SP

HERCEPTIN HYLECTA

3 PA SP

HERZUMA E SP

HYCAMTIN 3 SP

HYDREA 3

hydroxyurea oral 1

IBRANCE 3 PA SP

3 PA SP QL

3 PA SP

IDAMYCIN PFS 3 SP

idarubicin hcl 1 SP

IDHIFA 3 PA SP QL

IFEX 3 SP

ifosfamide 1 SP

IMBRUVICA 3 PA SP

IMFINZI 3 PA SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA 3 PA SP

INQOVI E SP

INREBIC 3 PA SP

IRESSA 3 PA SP

irinotecan hcl 1 SP

IXEMPRA KIT 2 SP

2 PA SP QL

2 PA SP

JELMYTO E SP

JEVTANA 2 PA SP

KADCYLA 3 PA SP

KANJINTI 2 PA SP

3 PA SP

KHAPZORY 3 ST SP

3 PA SP

KOSELUGO 3 PA SP

KYPROLIS 2 PA SP

3 PA SP

letrozole oral 1

LEUKERAN 2

LIBTAYO 3 PA SP

LONSURF 3 PA SP

LORBRENA 3 PA SP

LUMOXITI 3 PA SP

LUTATHERA E

2 PA SP

LYSODREN 2

MARQIBO 3 SP

MATULANE 2 SP

MEKINIST 2 PA SP

MEKTOVI 3 PA SP

melphalan 1 SP

melphalan hcl 1 SP

mesna 1 SP

MESNEX 3 SP

MONJUVI 3 PA SP

mutamycin 1 SP

MVASI 2 PA SP

MYLERAN 2

3 PA SP

NAVELBINE 3 SP

NERLYNX 3 PA SP QL

NEXAVAR 2 PA SP

NILANDRON 3 SP

nilutamide 1 SP

NINLARO 3 PA SP

NIPENT 3 SP

NUBEQA 3 PA SP

ODOMZO 3 PA SP

OGIVRI E SP

ONCASPAR INJECTION

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG 3 PA SP

OPDIVO 3 PA SP

ORGOVYX 3 PA SP

paclitaxel 1 SP

PADCEV 3 PA SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE 3 PA SP QL

PERJETA 2 PA SP

PHESGO 2 PA SP

PHOTOFRIN 3 SP

PIQRAY 3 PA SP

POLIVY 3 PA SP

POMALYST 3 PA SP

PORTRAZZA 3 PA SP

POTELIGEO 3 PA SP

PROLEUKIN 2 SP

PURIXAN 3 SP

QINLOCK 3 PA SP

RETEVMO 3 PA SP

REVLIMID 2 PA SP

RIABNI 3 PA SP

3 PA SP

ROZLYTREK 3 PA SP

RUBRACA 2 PA SP

RUXIENCE 2 PA SP

RYDAPT 3 PA SP

SARCLISA 3 PA SP

SIKLOS 3 PA

SOLTAMOX $0

SPRYCEL 2 PA SP

STIVARGA 3 PA SP

SUTENT 2 PA SP

SYLVANT 3 PA SP

SYNRIBO 3 PA SP

TABLOID 2 SP

TABRECTA E SP

TAFINLAR 2 PA SP

3 PA SP QL

3 PA SP

TALZENNA 3 PA SP

3 PA SP

3 PA SP QL

TARGRETIN EXTERNAL

3 PA SP

TARGRETIN ORAL E SP

TASIGNA 3 PA SP

TAZVERIK E SP

TECARTUS 3 PA SP

TECENTRIQ 3 PA SP

TEMODAR INTRAVENOUS

3 PA SP

teniposide 1 SP

TEPADINA 3 SP

TEPMETKO E SP

THALOMID 2 PA SP

TIBSOVO 3 PA SP

topotecan hcl 1 SP

TOTECT 3 SP

TRAZIMERA 2 PA SP

tretinoin oral 1 SP

TRODELVY 3 PA SP

TRUXIMA E SP

TUKYSA 3 PA SP

TURALIO 3 PA SP

TYKERB 3 PA SP

UKONIQ E SP

UNITUXIN 3 PA SP

VALCHLOR 3 PA SP

valrubicin E

VALSTAR E

VENCLEXTA 3 PA SP

3 PA SP

VERZENIO 3 PA SP

VIDAZA 3 PA SP

VITRAKVI 3 PA SP

VIZIMPRO 3 PA SP

VORAXAZE E

VOTRIENT 3 PA SP

3 PA SP

XALKORI 3 PA SP

XELODA 3 PA SP

XOSPATA 3 PA SP

3 PA SP

XTANDI 3 PA SP

YERVOY 2 PA SP

YESCARTA 3 PA SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA SP

ZANOSAR 2 SP

ZEJULA 2 PA SP

ZELBORAF 3 PA SP

ZEPZELCA 3 PA SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA SP

ZOLINZA 2 PA SP

ZYDELIG 3 PA SP

ZYKADIA ORAL TABLET

3 PA SP

ZYTIGA E SP

Antiparasitics

ALBENZA 3 PA

ARAKODA 3

atovaquone oral 1

BENZNIDAZOLE 3

BILTRICIDE 3

COARTEM 3

crotan 1

DARAPRIM 3 PA SP

EGATEN 3

ELIMITE 3

EMVERM 2

IMPAVIDO 3

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NATROBA 3

NEBUPENT 3

nitazoxanide 1

OVIDE 3

PENTAM E

PLAQUENIL 3

praziquantel oral 1

QUALAQUIN 3 PA

spinosad 1

STROMECTOL 3

SULFURATED LIME 3

3 PA SP QL

AZILECT 3

carbidopa oral 1

COMTAN 3

DUOPA ENTERAL 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA SP

KYNMOBI 3 PA SP QL

3 PA SP QL

LODOSYN 3

MIRAPEX ER 3

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3 ST

OSMOLEX ER E

PARLODEL 3

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

tolcapone 1

XADAGO 3 ST QL

ZELAPAR 3

Antiplatelets

ASPIRIN-OMEPRAZOLE

BRILINTA 2

CABLIVI 3 PA SP QL

cilostazol 1

dipyridamole oral 1

DURLAZA E

EFFIENT 3

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

ABILIFY MYCITE E

ABILIFY ORAL TABLET

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA E

ARISTADA INITIO E

CAPLYTA 3 ST QL

clozapine 1 QL

CLOZARIL 3 QL

FANAPT 3 ST QL

3 ST QL

GEODON ORAL 3 QL

HALDOL DECANOATE E

haloperidol oral 1

INVEGA 3 QL

LATUDA 3 QL

molindone hcl 1

PERSERIS E

pimozide 1

REXULTI 3 QL

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL 3 QL

SEROQUEL XR 3 QL

thiothixene oral 1

VERSACLOZ 3 QL

VRAYLAR 3 ST QL

ZYPREXA ORAL 3 QL

ZYPREXA RELPREVV E

ZYPREXA ZYDIS 3 QL

Antivirals

abacavir sulfate 1

acyclovir oral 1

ACYCLOVIX E

APTIVUS 2

ATRIPLA E

BARACLUDE 3 SP QL

BIKTARVY 3

CABENUVA E

CIMDUO 2

COMBIVIR 3

COMPLERA 2

DELSTRIGO 3

DENAVIR E

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

emtricitabine 1

entecavir 1 SP QL

EPCLUSA 2 PA SP QL

EPIVIR 3

EPZICOM 3

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3

GENVOYA 3

HARVONI 2 PA SP QL

HEPSERA 3 SP

INTELENCE 2

INTRON A 3 PA SP

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL TABLET

MAVYRET 2 PA SP QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET

NORVIR ORAL TABLET

ODEFSEY 3

2 PA SP

3 PA SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2

RAPIVAB E

RETROVIR ORAL SYRUP

REYATAZ ORAL PACKET

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG E

SOVALDI 3 PA SP QL

STRIBILD 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

SYMTUZA 3

TEMIXYS E

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3

TROGARZO 3 PA

TRUVADA E

TYBOST 2

VALCYTE 3

VALTREX 3 QL

VEMLIDY 3 SP

VIRAZOLE 3

VIREAD ORAL POWDER

VOCABRIA E

VOSEVI 2 PA SP QL

XERESE E

ZEPATIER 3 PA SP QL

ZIAGEN 3

zidovudine 1

alprazolam er 1 QL

alprazolam xr 1 QL

ATIVAN E

diazepam intensol 1

DORAL 3 QL

estazolam 1 QL

HALCION 3 QL

KLONOPIN 3 QL

meprobamate 1

oxazepam 1 QL

quazepam 1 QL

triazolam 1 QL

VALIUM E

VISTARIL 3

XANAX E

XANAX XR E

EQUETRO 3

lithium 1

LITHOBID 3

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR ORAL TABLET

anagrelide hcl 1

2 PA SP

CEPROTIN 3 SP

COAGADEX 3 SP

CORIFACT 2 SP

3 PA SP

ELOCTATE 3 SP

ESPEROCT E SP

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

3 PA SP

LYSTEDA 3

3 PA SP

MOZOBIL 2 PA SP QL

MULPLETA 2 PA SP

3 PA SP

NIVESTYM 2 PA SP

NOVOEIGHT 2 SP

NOVOSEVEN RT 2 SP

NPLATE 3 PA SP

NUWIQ 2 SP

NYVEPRIA 3 PA SP

OBIZUR 3 SP

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA SP

REBINYN 3 SP

REBLOZYL 3 PA SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

2 PA SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT E SP

3 PA SP

TAVALISSE 3 PA SP

THROMBOGEN 3

TRETTEN 3 SP

UDENYCA E SP

3 PA SP

2 PA SP

VONVENDI 3 SP

ZARXIO 2 PA SP

ZIEXTENZO 3 PA SP

ACCUPRIL 3

ACCURETIC 3

ALDACTAZIDE 3

ALDACTONE 3

ALTACE ORAL CAPSULE

ALTOPREV E

ATACAND E

ATACAND HCT 3

atenolol oral 1

AVAPRO 3

AZOR E

BENICAR E

BENICAR HCT E

BETAPACE AF 3

BIDIL 3

bumetanide oral 1

BYSTOLIC 2

CALAN SR 3

captopril oral 1

CARDIZEM CD 3

CARDURA 3

CAROSPIR 3

cartia xt 1

carvedilol 1

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

colesevelam hcl 1

COLESTID E

COLESTID FLAVORED

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG 3

COREG CR 3

CORGARD 3

CORLANOR 3 PA QL

COZAAR 3

CRESTOR E

DEMSER 3

DIBENZYLINE 3

digitek 1

digox 1

digoxin oral 1

DILATRATE-SR 3

dilt-xr 1

DIOVAN E

DIOVAN HCT E

DIURIL 3

dofetilide 1

droxidopa 1 PA SP

DUTOPROL E

DYRENIUM 3

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3

ENTRESTO 2 QL

eplerenone 1

EVKEEZA E SP

EXFORGE 3

EXFORGE HCT 3

ezetimibe 1

felodipine er 1

FENOGLIDE 3 ST

FIBRICOR E

FLOLIPID 3 ST

fosinopril sodium 1

gemfibrozil oral 1

GONITRO 3

HEMANGEOL 3

HYZAAR 3

indapamide oral 1

INDERAL LA E

INDERAL XL E

INNOPRAN XL E

INSPRA 3

irbesartan 1

ISORDIL TITRADOSE 3

isradipine 1

3 PA SP QL

KAPSPARGO SPRINKLE

KATERZIA E

LASIX 3

LESCOL XL E

LIPITOR E

LIPOFEN 3

lisinopril oral 1

LIVALO E

LOPID 3

LOPRESSOR ORAL 3

lovastatin oral 1

LOVAZA E

matzim la 1

MAXZIDE 3

MAXZIDE-25 3

methyldopa oral 1

metolazone 1

metyrosine 1

MICARDIS 3

MICARDIS HCT 3

midodrine hcl 1

MINIPRESS 3

minitran 1

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

NEXLETOL 2 PA QL

NEXLIZET 2 PA QL

niacor 1

NIASPAN 3

nifedipine er 1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

NITROLINGUAL 3

NITROMIST 3

NITROSTAT E

NITRO-TIME E

NORPACE 3

NORPACE CR 2

NORTHERA 3 PA SP

NORVASC E

OMEGA-3 RX COMPLETE

pentoxifylline er 1

pindolol 1

2 PA QL

prazosin hcl oral 1

PRESTALIA 3 ST

prevalite 1

PROCARDIA 3

PROCARDIA XL 3

propafenone hcl 1

propranolol-hctz 1

QBRELIS E

QUESTRAN E

quinapril hcl 1

ramipril 1

RANEXA 3 ST

ranolazine er 1 ST

RECTIV 3

REPATHA 2 PA QL

2 PA QL

REPATHA SURECLICK

2 PA QL

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

taztia xt 1

TEKTURNA 2 ST

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

TENORMIN E

tiadylt er 1

TIAZAC 3

TIKOSYN E

TOPROL XL E

torsemide oral 1

trandolapril 1

triamterene oral 1

TRIBENZOR E

TRICOR 3

TRILIPIX 3

TWYNSTA 3

valsartan 1

VASCEPA 2 PA

VASERETIC 3

VASOTEC 3

VECAMYL 3

VERELAN 3

VERELAN PM 3

VERQUVO E

VYNDAMAX 3 PA SP QL

VYNDAQEL 3 PA SP QL

VYTORIN E

WELCHOL 3

ZESTORETIC 3

ZETIA E

ZIAC 3

ADDERALL 3 PA QL

ADDERALL XR E

ADHANSIA XR E

1 PA QL

CONCERTA E

DAYTRANA 3 PA ST QL

DESOXYN 3 PA ST QL

3 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

EVEKEO 3 PA ST QL

EVEKEO ODT 3 PA QL

FOCALIN 3 PA QL

guanfacine hcl er 1

INTUNIV 3

3 PA ST QL

1 PA ST QL

1 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

MYDAYIS 3 PA ST QL

3 PA ST QL

relexxii 1 PA ST QL

RITALIN 3 PA QL

3 PA ST QL

STRATTERA 3 QL

VYVANSE 2 PA QL

ZENZEDI 3 PA ST QL

AMPYRA 3 PA SP QL

AUBAGIO 3 PA SP QL

2 PA SP QL

1 PA SP QL

GILENYA 3 PA SP QL

glatopa 1 PA SP QL

KESIMPTA 2 PA SP QL

LEMTRADA 3 PA SP

MAVENCLAD 3 PA SP

MAYZENT 3 PA SP QL

OCREVUS 3 PA SP QL

PLEGRIDY E SP

PONVORY E SP

TECFIDERA E SP

TYSABRI 3 PA SP QL

VUMERITY 2 PA SP QL

ZEPOSIA 3 PA SP QL

3 PA SP QL

ZEPOSIA STARTER KIT

3 PA SP QL

ADDYI 3 PA QL

ADIPEX-P E

AUSTEDO 3 PA SP QL

benzphetamine hcl E

CONTRAVE E

CONVENIENCE PAK E

GRALISE 3 ST QL

3 PA QL

IMCIVREE 3 PA SP QL

INGREZZA 3 PA SP QL

LOMAIRA E

LYRICA CR 3 ST QL

LYRICA ORAL CAPSULE

NEURAPTINE E

NUEDEXTA 3 PA

ONPATTRO 3 PA SP

QSYMIA E

RADICAVA 3 PA SP

RILUTEK 3 PA QL

riluzole 1 PA QL

SAVELLA 3 ST QL

3 ST QL

SAXENDA E

TEGSEDI 3 PA SP

TIGLUTIK 3 PA SP QL

VYLEESI 3 PA QL

XENAZINE 3 PA SP

XENICAL E

ARESTIN E

cavarest E

cevimeline hcl 1

CLINPRO 5000 E

DENTA 5000 PLUS E

DENTAGEL E

easygel dental E

EVOXAC 3

FIRST-MOUTHWASH BLM

FLUORIDEX E

KEPIVANCE 2 SP

MOUTH KOTE REMINT

MUCOSITISRX E

NAFRINSE WEEKLY E

oralone 1

PERIDEX E

periogard E

PREVIDENT E

PREVIDENT 5000 PLUS

SALAGEN 3

SALIVAMAX E

sf 5000 plus E

ABREVA E

ABSORICA E

ABSORICA LD 3 PA

ACANYA E

ACESO AG E

ACIOXIAY E

acitretin 1

ADAINZDE E

ADAINZOXIA E

AKLIEF E

ALA SCALP E

ALDARA E

ALEVAMAX E

ALTRENO 3 PA

AMELUZ E

amnesteem 1 PA

AMZEEQ 3

ANACAINE E

APEXICON E E

AQUAPHILIC E

ARAZLO E

ARIDA E

ATOPADERM E

ATOPICLAIR E

ATRALIN 3 PA

AVAR CLEANSER E

AVAR LS CLEANSER E

AVAR-E EMOLLIENT E

AVAR-E GREEN E

AVAR-E LS E

AVEIDAOXIA E

AVITA E

AZADROX E

AZELEX 3

BEAU RX E

BENZACLIN E

BENZACLIN WITH PUMP

BENZAMYCIN E

BENZEPRO EXTERNAL

benzoin compound E

BESER EXTERNAL KIT

BIAFINE E

blanche E

bp 10-1 E

bp cleansing wash E

BPCO 3

BRYHALI E

CALCITRENE 3

CAPEX E

capzix E

CARAC 3

CEM-UREA E

CERACADE E

CHLOOXIA E

claravis 1 PA

CLENIA PLUS E

CLINDACIN PAC E

clindacin-p 1

CLINDAGEL E

CLINOIN E

CLOBETAVIX E

CLOBEX 3

CLOBEX SPRAY 3

CLODAN EXTERNAL KIT

CLODERM E

COLLATYL E

COPADERM E

COPASIL EXTERNAL E

CORTANE-B EXTERNAL

DAPSONE-NIACINAMIDE

DELUO E

DEOXIA E

DERMACINRX PENETRAL

DERMELLE E

DERMULCERA 3

DERPIXA E

DESONATE E

desonide external 1

DEXERYL E

DIADIMAXIA E

DIAOXIA E

DIASDIMAXIA E

DIASOXIA E

1 ST QL

1 PA QL

DIMOXIA E

DIOCHLOY E

DIPROLENE AF 3

doxycycline 1

DRAXACE E

DRITHO-CREME HP E

DRIXECE E

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA SP QL

ECEOXIA E

ELETONE E

ELIDEL 3 ST

EMULSION SB E

enovarx-tramadol E

ENSTILAR E

ENTTY SPRAY E

ENZOCLEAR E

EPICERAM E

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

ERYGEL 3

ESKATA E

ETHOXIA E

EUCRISA 2 ST

EVOCLIN 3

FABIOR E

FINACEA 3 ST

FINAPOD E

FLUOPAR E

FLUOROPLEX 3

FLUOVIX E

FLUOVIX PLUS E

flurandrenolide E

FORAXA E

GEAMETDRAY E

GENADUR E

GORDOFILM 3

GUANENDRUX E

halcinonide E

HALOG E

HALUCORT E

HAXCHLO E

HPR PLUS HYDROGEL

HYDRO 40 E

IMIQUIMOD PUMP E

IMPEKLO E

IMPOYZ E

INOVA E

ITHOXIA E

KAMDOY E

KATARYA E

KATARYAXN E

KAXM E

KEIDO E

KELARX E

KENALOG EXTERNAL 3

KERAGEL E

KERALYT SCALP E

KETARYA E

KEVARYA E

KEXM E

KEYA E

KIVIK E

KLARON 3

KLISYRI E

KUTARYAXM E

KUTARYAXMPA E

KUTEA E

KUVARYA E

KUVARYE E

KUXM E

lactic acid e 1

lavare wound wash E

LEVULAN KERASTICK 3

LEXETTE E

LOCOID LIPOCREAM E

LUXIQ 3

MEDERMA E

MEDERMA FOR KIDS E

MEDERMA SPF 30 E

methoxsalen rapid 1

METROCREAM 3

METROLOTION 3

MIMYX E

MIRVASO 3

myorisan 1 PA

NEOSALUS E

NEUAC EXTERNAL KIT

nolix E

NORITATE E

NUCARACLINPAK E

NUCARARXPAK E

NUCORT E

NUDERMRXPAK 120 E

NUDERMRXPAK 60 E

NUTRASEB E

NUTRIARX CREAMPAK

NUVAIL E

OLUX 3

OLUX-E 3

ONEXTON 3

ONZDEOXIA E

ORACEA 3

OVACE PLUS E

OVACE PLUS WASH E

OVACE WASH E

OXIANUJO E

OXIATAR E

OXIAVARRY E

OXIAZAR E

OXOPOD E

OXSORALEN ULTRA 3

PANDEL E

PENLEN E

PHLAG SPRAY E

pimecrolimus 1 ST

PLEXION E

podocon E

PODPROG E

PR BENZOYL PEROXIDE

PR CREAM E

pramox E

prednicarbate 1

PRESERA E

PROPECIA E

PROSILK EXTERNAL E

PROTEXA E

PROTOPIC 3

PROTYL AG E

PRUCLAIR E

PRUDOXIN 3 PA

PRUMYX E

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR E

QUINIXIL E

QUTENZA E

QUTENZA (2 PATCH) E

QUTENZA (4 PATCH) E

RADIAGEL E

RECEDO E

REFISSA E

REGENECARE 3

REGRANEX 3 PA

remergent hq E

REMIGEN E

RENOVA E

RENOVA PUMP E

RESORCINOL-SULFUR

RETIN-A 3 PA

RHOFADE 3

RIAX E

ROAOXIA E

salicylic acid er E

salimez E

SALIMEZ FORTE E

SALVAX E

SALVAX DUO PLUS E

SANTYL 3

SCALACORT DK E

SCARCIN E

SCARSILK EXTERNAL E

SCARZEN SKIN REPAIR

SCENESSE 3 PA SP

SELRX E

SERNIVO 3

SILA III E

SILIPAC E

skarjel E

SOLARAVIX EXTERNAL

SOLOX E

SOOLANTRA 3

SORILUX E

sss 10-5 E

STRATA CTX E

STRATA GRT E

STRATA MARK E

STRATA TRIZ E

STRATA XRT E

SULFACLEANSE 84 E

sulfamez wash E

SUMADAN E

SUMADAN WASH E

SUMADAN XLT E

SUMAXIN E

SUMAXIN CP E

SUMAXIN WASH E

SUVICORT E

SYNALAR 3

SYNALAR (CREAM) E

SYNALAR (OINTMENT)

SYNALAR TS E

SYNERDERM E

TARDEOXIA E

TARDIMAXIA E

TAROXIA E

TASOPROL E

TEXACORT 3

TOPICORT SPRAY E

TOVET EXTERNAL KIT

TRIANEX E

TRI-CHLOR 3

TRIDESILON 3

TRILOCICLO E

TRI-LUMA E

TRIVIX E

TURPENTINE EXTERNAL

ULTRASAL-ER E

UMECTA MOUSSE E

UREA EXTERNAL FOAM

urea hydrating E

ureacin-10 E

ureacin-20 E

uredeb E

UREMEZ-40 E

URESOL E

UTOPIC E

VANIQA E

VANOS 3

VANOXIDE-HC E

VARDIMAXIA E

VAROXIA E

VECTICAL E

VELTIN E

VENELEX 3

VERDESO E

VEREGEN E

VEXASYN E

VIRASAL E

WINLEVI 3 PA

WYNZORA E

XALIX E

XERAC AC 3

XERALUX E

xurea E

ZACARE E

zenatane 1 PA

ZIANA E

ZILXI 3 ST

ZITHRANOL E

ZONALON 3 PA

ZYCLARA E

ZYCLARA PUMP E

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN E

ALOGLIPTIN BENZOATE

AMARYL 3

2 ST QL

CYCLOSET 3 ST

DUETACT 3

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

GLUCOTROL XL 3

GLUMETZA E

glyburide oral 1

GLYNASE 3

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E

OSENI E

OZEMPIC 2 ST QL

pioglitazone hcl 1

PRECOSE 3

QTERN E

repaglinide 1

RIOMET 3 ST

RYBELSUS 2 ST QL

SEGLUROMET E

SOLIQUA 2 ST QL

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1 ST

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST QL

VICTOZA 2 ST QL

XIGDUO XR 2 ST

XULTOPHY 3 ST QL

BLUESTAR E

CARETOUCH TEST E

CEQUR SIMPLICITY 2U

CONTOUR TEST STRIPS

FORTISCARE CONTROL

GUARDIAN SENSOR (3)

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST E

NOVOPEN ECHO 3

PRECISION LINK E

TRUE METRIX LEVEL 1

TRUE METRIX LEVEL 2

TRUE METRIX LEVEL 3

TRUETRACK TEST E

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

3 Made by Lilly

2Made by Fresenius

GVOKE PFS 2

PROGLYCEM 3

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR

APIDRA SOLOSTAR E

APIDRA VIAL E

BASAGLAR KWIKPEN E

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG VIAL 2

HUMULIN 7030 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R VIAL 2

INSULIN ASPART E

INSULIN SYRINGES $0

LANTUS U-100 VIAL 2

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MYXREDLIN 3

NOVOLIN 7030 RELION

NOVOLIN 7030 VIAL E

NOVOLIN N FLEXPEN E

NOVOLIN N RELION E

NOVOLIN N VIAL E

NOVOLIN R FLEXPEN E

NOVOLIN R RELION E

NOVOLIN R VIAL E

SEMGLEE E

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH

ABANEU-SL E

ACTITROM-D E

ACTIVE FE E

ACTIVITE E

adcf (05mgml) 1

ADRENAL C FORMULA

airavite E

aminoamrms E

aminoreliefrms E

ANIMI-3 E

ANIMI-3VITAMIN D E

ASCOR E

ATABEX OB 2

AZESCO E

BACMIN E

biocel E

biopetit E

bp vit 3 E

b-plex E

b-plex plus E

CALCIFOL 3

CARBAGLU 2 SP

CARNITOR ORAL 3

CARNITOR SF 3

CENFOL E

CENTRATEX E

CEREFOLIN E

CHEMET 3

CHOLECAL DF E

CIFEREX E

CITRANATAL BLOOM E

CITRANATAL MEDLEY

clovique 1 PA SP

CORVITE 150 E

corvite fe E

cytra k crystals E

d3 super strength E

DECARA E

deferasirox 1 PA

deferiprone 1 PA

DEPLIN 15 E

DEPLIN 75 E

DEXIFOL E

DIALYVITE E

DIALYVITE 3000 E

DIALYVITE 5000 E

DIALYVITE SUPREME D

DIALYVITEZINC E

d-vite pediatric E

ELFOLATE E

ENBRACE HR E

ERGOCAL E

EXJADE 3 PA

fabb E

FEONYX E

FERAHEME E

FERIVA 217 E

FERIVAFA E

ferocon E

ferotrinsic E

FERRALET 90 E

ferraplus 90 E

FERRIPROX 3 PA

FERRLECIT E

FLORIVA E

FLORIVA PLUS E

folbee E

folbee plus E

FOLBEE PLUS CZ E

FOLBIC RF E

FOLGARD OS E

FOLGARD RX E

FOLIC D3 E

FOLIC-K E

FOLI-D E

FOLITE E

FOLITIN-Z E

FOLIXAPURE E

folplex 22 E

foltanx E

FOLTANX RF E

FOLTRATE E

FOLTREXYL E

foltrin E

FOLVITE-D E

FOSTEUM E

FUSION PLUS E

GALZIN 3

GENICIN VITA-D E

GENICIN VITA-Q E

GENICIN VITA-S E

HEMATOGEN E

HEMATOGEN FA E

HEMATRON-AF E

HEMETAB E

HEMOCYTE PLUS E

HYLAVITE E

HYLAZINC E

ICAR-C PLUS E

iferex 150 forte E

INFED E

INFUVITE ADULT E

INTEGRA F E

INTEGRA PLUS E

IODINE STRONG ORAL

IROSPAN 246 E

ISOLYTE-S E

JADENU 3 PA

JYNARQUE 3 SP QL

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-conef 1

K-PHOS NO 2 E

K-PHOS-NEUTRAL E

k-prime 1

K-TAB 3

k-tan plus E

L-CYSTINE E

levocarnitine sf 1

L-ISOLEUCINE E

l-methylfolate E

l-methyl-mc E

l-methyl-mc nac E

LOKELMA 3

LORID E

MVI ADULT E

MAGNEBIND 400 3

magnesium-oxide E

MEPHYTON 3

metafolbic E

metafolbic plus E

METAFOLBIC PLUS RF

METANX ORAL CAPSULE

MICROPLEGIA MSA-MSG

MIFEPREX 3

mifepristone 1

M-NATAL PLUS 2

MONOFERRIC E

MULTIGEN E

MULTIGEN FOLIC E

MULTIGEN PLUS E

MULTIPRO E

myferon 150 forte E

MYNEPHRON E

nafrinse $0

nafrinse drops $0

NASCOBAL 3

NEONATAL + DHA E

NEONATAL 19 2

NEONATAL COMPLETE

NEONATAL FE E

NEONATAL PLUS 2

NEOVITE E

NEPHPLEX RX E

NEPHRO-VITE RX E

NESTABS 2

NESTABS ONE E

NEURIN-SL E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NIFEREX ORAL TABLET

NUFERA E

nufol E

NUTRICAP E

nutrifac zx E

NUTRIVIT E

ONE VITE WOMENS $0

ONEVITE E

ORACIT 3

ORTHO DF E

OVEEZA E

pediavit E

PHOSPHA 250 NEUTRAL

phosphorous 1

PHOXILLUM B22K40 E

PHOXILLUM BK425 E

PHYSIOLYTE E

phytonadione oral 1

PLASMA-LYTE 148 E

PLASMA-LYTE A E

PNV TABS 20-1 E

POTABA ORAL CAPSULE

PREGEN DHA E

PREGENNA E

PREMESISRX E

PRENAISSANCE E

PRENARA E

PRENATE E

PRENATE ENHANCE E

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRO HERS RX E

PRO HIS RX E

PRO PCOS RX E

PROTEINEX P18 E

QUFLORA FE E

QUFLORA GUMMIES E

QUFLORA PEDIATRIC E

RELNATE DHA 2

REMEDIENT E

RENAL ORAL CAPSULE

RENATABS E

RENATABS WITH IRON

rena-vite E

REQ 49+ E

REVESTA E

SAMSCA 3 SP QL

se-tan plus E

SIDEROL ORAL TABLET

soluvita e E

STROVITE FORTE E

STROVITE ONE E

SUPERVITE E

support E

SUPPORT-500 E

SYPRINE 3 PA SP

TALIVA E

tis-u-sol E

tl-hem 150 E

3 SP QL

1 SP QL

tricitrates E

TRICON E

TRINATE 2

TRINAZ E

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 3

TRI-VI-FLORO 3

tri-vitefluoride 1

TRONVITE E

UDAMIN SP E

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urosex E

v-c forte E

VELTASSA 3

VENEXA E

VENOFER E

vic-forte E

VINATE ONE 2

virt-caps E

VIRT-FEFA PLUS E

virt-gard E

vita s forte E

vitacel E

VITAFOL STRIPS 2

VITAFOL-NANO E

VITAFOL-OB+DHA E

VITAL-D RX E

VITAMEZ E

VITAROCA PLUS E

VITASURE E

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

vp-vite rx E

weekly-d E

westab mini E

westab one E

WESTAB PLUS 2

WESTGEL DHA E

WILZIN 3

XAQUIL XR E

XVITE E

ZALVIT E

ZYVANA E

ACIPHEX E

ACIPHEX SPRINKLE E

cimetidine oral 1

CYTOTEC 3

DEXILANT 2 QL

ESOMEP-EZS E

FIRST-LANSOPRAZOLE

1 ST QL

misoprostol oral 1

NEXIUM ORAL PACKET

nizatidine 1

1 ST QL

PEPCID ORAL TABLET

PREVACID E

PREVACID 24HR E

3 ST QL

1 ST QL

sucralfate oral 1

ZEGERID E

ACTIPHLORA E

alosetron hcl 1 PA

alvimopan 1

AMITIZA E

ANASPAZ 3

antacid calcium E

antacid maximum E

antacidantigas E

antacidanti-gas E

BACICAP E

bisacodyl ec $0 QL

bisacodyl rectal E

CHENODAL 3 PA SP

citroma $0 QL

CLENPIQ 3

constulose 1

CUVPOSA 3

diotame instydose E

docusate calcium E

docusate mini E

docuzen E

dok oral tablet E

DONNATAL E

ED-SPAZ 3

ENTEREG 3

enulose 1

EX-LAX ULTRA E

FOLIKA PROBIOTIC E

GASTROCROM 3

GATTEX 3 PA SP

gavilyte-c $0 QL

gavilyte-g $0 QL

gavilyte-h 1

GELUSIL E

generlac 1

geri-kot E

GIALAX E

GLYCATE E

glycolax $0 QL

glycopyrrolate pf E

gnp senna lax E

HELIDAC THERAPY 3

hyosyne 1

KRISTALOSE E

LACTEROL E

LACTOJEN E

lactulose oral 1

laxative max str E

LEVBID E

LEVSIN ORAL TABLET

LEVSINSL E

LIBRAX 3

LINZESS 2 ST QL

LOMOTIL ORAL TABLET

LOTRONEX 3 PA

LUBIPROSTONE E

mm clearlax $0 QL

MOTEGRITY 3 ST QL

MOTOFEN E

MOVANTIK E

MOVIPREP E

MYTESI 3 QL

NULEV 3

NULYTELY LEMON-LIME

OMECLAMOX-PAK 2

opium E

oscimin sr E

OSMOPREP E

PCP 100 E

peg-prep 1

PHENOHYTRO E

PLENVU E

PROBICHEW E

PROBITROL E

PRODIGEN E

PROMEROL E

PYLERA 2

quad-probiotic E

RELISTOR ORAL E

RELTONE E

RESTORA RX 3

senexon-s E

senna oral liquid E

senna s E

senna smooth E

senna-plus E

SENOKOT S E

3 PA SP

SUTAB 3

SYMAX DUOTAB E

SYMAX-SL E

SYMAX-SR E

SYMPROIC 2 ST QL

TALICIA 3

TRULANCE E

TUMS CHEWY BITES E

URSO 250 3

URSO FORTE 3

ursodiol oral 1

VIBERZI 3 PA QL

VISBIOME E

womens 50 billion E

3 PA SP QL

ZELAC E

ZELNORM 3 PA QL

ZORBTIVE 3 PA SP

ALDURAZYME 2 PA SP

AMONDYS 45 E SP

CERDELGA 3 PA SP

2 PA SP

CHOLBAM 3 PA SP

CITRULLINE EASY E

CREON 2

CRYSVITA 3 PA SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA SP

ELELYSO 3 PA SP

ENZADYNE E

EVRYSDI 3 PA SP QL

EXONDYS 51 E SP

FABRAZYME 2 PA SP

GALAFOLD 3 PA SP QL

KANUMA 3 PA SP

KUVAN ORAL PACKET

LUMIZYME 2 PA SP

MEPSEVII 3 PA SP

miglustat 1 PA SP

MYALEPT 3 PA SP

NAGLAZYME 2 PA SP

nitisinone 1 PA SP

NITYR 3 PA SP

OCALIVA 3 PA SP QL

ORFADIN 3 PA SP

PALYNZIQ 3 PA SP QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA SP

RAVICTI 3 PA SP

REVCOVI 3 PA SP

1 PA SP

STRENSIQ 2 PA SP

SUCRAID 3 SP

VIMIZIM 3 PA SP

VIOKACE E

VPRIV 3 PA SP

VYONDYS 53 E SP

XURIDEN 3 PA SP QL

ZAVESCA 3 PA SP

ZOLGENSMA 3 PA SP

aminoacetic acid E

AURYXIA 3

azo tabs E

BI-MIX 3

CAVERJECT IMPULSE

CERVIDIL 3

CIALIS 3 QL

3 PA SP

DETROL 3

DETROL LA 3

EDEX 3 QL

ELMIRON E

FEM PH E

flavoxate hcl 1

GEMTESA E

glycine urologic E

HYOPHEN E

INTRAROSA 3 ST

LITHOSTAT 3

menaphosmbhyo1 E

MUSE 3 QL

MYRBETRIQ 2

OXLUMO 3 PA SP

OXYTROL 3 ST QL

OXYTROL FOR WOMEN

1 PA SP

PHOSLYRA 3

PHOSPHASAL E

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM E

QUAD-MIX 3

RENACIDIN E

RENVELA 3

RIMSO-50 E

sevelamer hcl 1

STAXYN E

STENDRA E

SUPER BI-MIX 3

SUPER QUAD-MIX 3

SUPER TRI-MIX E

tadalafil oral 1 QL

THIOLA EC 3 SP

TOVIAZ 3

TRI-MIX E

URELLE E

URIBEL E

URIMAR-T E

URO-458 E

UROGESIC-BLUE E

uro-mp E

USTELL E

UTIRA-C E

VELPHORO 3

VESICARE 3

VESICARE LS E

VIAGRA E

VILAMIT MB E

VILEVEV MB E

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3 ST

dutasteride oral 1

FLOMAX E

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

UROXATRAL 3

ALKINDI SPRINKLE E

BETA 1 KIT E

BETALOAN SUIK E

BETAMETHASONE COMBO

BSP 0820 E

CELESTONE SOLUSPAN

CORTEF 3

DEPO-MEDROL E

DEXABLISS E

DEXONTO 04 3

DMT SUIK E

DOUBLEDEX E

DXEVO 11-DAY E

DYURAL-40 E

DYURAL-80 E

DYURAL-L E

DYURAL-LM E

HEMADY E

HIDEX 6-DAY E

KENALOG INJECTION 3

KENALOG-80 3

MAS CARE-PAK E

MEDROLOAN II SUIK E

MEDROLOAN SUIK E

MULTI-SPECIALTY E

ORAPRED ODT 3

P-CARE K40 E

P-CARE K40G E

P-CARE K40MX E

P-CARE K80 E

P-CARE K80G E

P-CARE K80MX E

PEDIAPRED 3

POD-CARE 100K E

POINT OF CARE L2 E

POINT OF CARE L5 E

prednisone oral 1

PRO-C-DURE 5 E

PRO-C-DURE 6 E

RAYOS E

TAPERDEX 12-DAY E

TAPERDEX 6-DAY E

TOPIDEX E

TRILOAN II SUIK E

TRILOAN SUIK E

ZCORT 7-DAY E

ZILRETTA E

AVEED E

danazol oral 1

EC-RX TESTOSTERONE

FORTESTA E

JATENZO E

METHITEST 3 PA

NATESTO E

TESTIM E

TESTONE CIK E

TESTOPEL E

VOGELXO PUMP E

XYOSTED 3 PA

EVISTA 3

OSPHENA 3

raloxifene hcl 1

ACTHAR 2 PA SP

BYNFEZIA PEN E SP

cabergoline 1

1 PA SP

DDAVP ORAL 3

DDAVP PF 3

DDAVP RHINAL TUBE 2

ELIGARD 3 PA SP QL

3 PA SP QL

2 PA SP

1 PA SP

GENOTROPIN E SP

GONAL-F E SP

GONAL-F RFF E SP

HUMATROPE E SP

INCRELEX 2 PA SP

ISTURISA E SP

1 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

MENOPUR 3 PA SP

MYCAPSSA E SP

NOCDURNA 3

2 PA SP

1 PA SP

3 PA SP

2 PA SP

1 PA SP

ORILISSA 2 PA QL

OVIDREL 3 PA SP

pregnyl 1 PA SP

SAIZEN E SP

SAIZENPREP E SP

SIGNIFOR E SP

3 PA SP QL

SOMAVERT 3 PA SP

STIMATE 3

SYNAREL 2

TEPEZZA 3 PA SP

VANTAS 3 PA SP QL

3 SP QL

2 SP QL

ZOMACTON E SP

KORLYM 3 PA SP QL

afirmelle $0 QL

ALORA 3 ST

altavera $0 QL

alyacen 135 $0 QL

alyacen 777 $0 QL

amabelz 1

amethia $0 QL

amethyst $0 QL

ANGELIQ 3

ANNOVERA E

apri $0 QL

aranelle $0 QL

ashlyna $0 QL

aubra $0 QL

aubra eq $0 QL

aurovela 1530 $0 QL

aurovela 120 $0 QL

aviane $0 QL

AYGESTIN 3

ayuna $0 QL

azurette $0 QL

BALCOLTRA E

balziva $0 QL

bekyree $0 QL

BEYAZ E

BIESTPROGESTERONE

BIJUVA 3

blisovi 24 fe $0 QL

briellyn $0 QL

camila $0 QL

camrese $0 QL

camrese lo $0 QL

caziant $0 QL

chateal $0 QL

chateal eq $0 QL

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

COVARYX E

COVARYX HS E

3 PA QL

cryselle-28 $0 QL

cyclafem 135 $0 QL

cyclafem 777 $0 QL

cyred $0 QL

cyred eq $0 QL

dasetta 135 $0 QL

dasetta 777 $0 QL

daysee $0 QL

deblitane $0 QL

DELESTROGEN 3

delyla $0 QL

DEPO-ESTRADIOL 3

DIVIGEL 3

dotti 1

DUAVEE 2

EC-RX ESTRADIOL E

EC-RX PROGESTERONE

EEMT E

EEMT HS E

ELESTRIN 3

elinest $0 QL

ELLA $0 QL

eluryng $0 QL

emoquette $0 QL

ENDOMETRIN 2 PA

enpresse-28 $0 QL

errin $0 QL

estarylla $0 QL

ESTRACE 3

estradiol oral 1

estradiol vaginal 1

ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 QL

EVAMIST 3

falmina $0 QL

fayosim $0 QL

FEMHRT LOW DOSE 3

FEMRING 3 ST QL

femynor $0 QL

fyavolv 1

gemmily $0 QL

GENERESS FE 3 QL

hailey 1530 $0 QL

hailey 24 fe $0 QL

hailey fe 120 $0 QL

heather $0 QL

1 PA SP

iclevia $0 QL

incassia $0 QL

introvale $0 QL

isibloom $0 QL

jaimiess $0 QL

jasmiel $0 QL

jencycla $0 QL

jinteli 1

jolessa $0 QL

juleber $0 QL

junel 1530 $0 QL

junel 120 $0 QL

junel fe 1530 $0 QL

junel fe 120 $0 QL

junel fe 24 $0 QL

kaitlib fe $0 QL

kalliga $0 QL

kariva $0 QL

kelnor 135 $0 QL

kelnor 150 $0 QL

kurvelo $0 QL

KYLEENA E

larin 1530 $0 QL

larin 120 $0 QL

larin 24 fe $0 QL

larin fe 1530 $0 QL

larin fe 120 $0 QL

larissia $0 QL

layolis fe $0 QL

leena $0 QL

lessina $0 QL

levonest $0 QL

levora 01530 (28) $0 QL

lillow $0 QL

lojaimiess $0 QL

loryna $0 QL

LOSEASONIQUE 3 QL

low-ogestrel $0 QL

lutera $0 QL

lyleq $0 QL

lyllana 1

lyza $0 QL

MAKENA 2 PA SP

marlissa $0 QL

MENOSTAR 3 ST

merzee $0 QL

mibelas 24 fe $0 QL

mili $0 QL

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 ST

MIRCETTE 3 QL

MIRENA (52 MG) E

mono-linyah $0 QL

NATAZIA $0 QL

necon 0535 (28) $0 QL

NEXPLANON E

nikki $0 QL

nora-be $0 QL

norlyda $0 QL

norlyroc $0 QL

nortrel 0535 (28) $0 QL

nortrel 777 $0 QL

NUVARING 3 QL

nylia 777 $0 QL

nymyo $0 QL

ocella $0 QL

ORIAHNN 2 PA QL

orsythia $0 QL

ORTHO MICRONOR E

philith $0 QL

pimtrea $0 QL

pirmella 135 $0 QL

pirmella 777 $0 QL

portia-28 $0 QL

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem $0 QL

progesterone oral 1

PROMETRIUM 3

PROVERA 3

QUARTETTE 3 QL

reclipsen $0 QL

rivelsa $0 QL

SAFYRAL 3 QL

SEASONIQUE 3 QL

setlakin $0 QL

sharobel $0 QL

simliya $0 QL

simpesse $0 QL

SKYLA E

SLYND E

sprintec 28 $0 QL

sronyx $0 QL

syeda $0 QL

tarina 24 fe $0 QL

tarina fe 120 $0 QL

TAYTULLA E

tilia fe $0 QL

tri femynor $0 QL

tri-estarylla $0 QL

tri-legest fe $0 QL

tri-linyah $0 QL

tri-lo-marzia $0 QL

tri-lo-mili $0 QL

tri-mili $0 QL

tri-nymyo $0 QL

tri-previfem $0 QL

tri-sprintec $0 QL

trivora (28) $0 QL

tri-vylibra $0 QL

tulana $0 QL

TWIRLA E

tydemy $0 QL

velivet $0 QL

vestura $0 QL

vienva $0 QL

viorele $0 QL

VIVELLE-DOT E

volnea $0 QL

vyfemla $0 QL

vylibra $0 QL

wera $0 QL

wymzya fe $0 QL

xulane $0 QL

YASMIN 28 3 QL

yuvafem 1

zafemy $0 QL

zarah $0 QL

zovia 135 (28) $0 QL

zovia 135e (28) $0 QL

zumandimine $0 QL

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

levoxyl 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

SYNTHROID 3

TAPAZOLE 3

THYQUIDITY 3

TIROSINT E

TIROSINT-SOL 3

unithroid 1

WP THYROID 3 ST

ACTEMRA 3 PA SP

ACTIMMUNE 2 PA SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 PA SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA SP

AZASAN 3

azathioprine oral 1

BAMLANIVIMAB E

BENLYSTA 3 PA SP

BERINERT 3 PA SP QL

3 PA SP

CASIRIVIMAB E

CELLCEPT 3 SP

2 PA SP

CINRYZE 2 PA SP

COSENTYX 150 MGML

CUTAQUIG E SP

CUVITRU 3 PA SP

CYTOGAM 2 PA SP

ENBREL MINI 3 PA SP

3 PA SP

ENSPRYNG 3 PA SP

ENTYVIO 3 PA SP

ENVARSUS XR 3 SP

ETESEVIMAB E

FIRAZYR 3 PA SP QL

GAMASTAN 2 PA SP

GAMIFANT 3 PA SP

GAMMAGARD 3 PA SP

3 PA SP

GAMUNEX-C 3 PA SP

HAEGARDA 3 PA SP

HEPAGAM B E

3 PA SP

2 PA SP

HYPERHEP B E

HYPERRAB E

HYPERTET SD E

HYQVIA 3 PA SP

2 PA SP QL

ILUMYA 3 PA SP

IMDEVIMAB E

IMURAN 3

INFLECTRA 2 PA SP

KALBITOR 3 PA SP QL

KEDRAB INJECTION E

KEVZARA 3 PA SP

3 PA SP

KYMRIAH 3 PA SP

leflunomide oral 1

LUPKYNIS E SP

methotrexate oral 1

MYFORTIC 3 SP

NABI-HB E

NEORAL 3 SP

NULOJIX 3 SP

OCTAGAM 3 PA SP

OLUMIANT E SP

ORENCIA INTRAVENOUS

3 PA SP

ORLADEYO 3 PA SP QL

OTEZLA ORAL TABLET

2 PA SP

3 PA QL

PANZYGA E SP

PRIVIGEN 3 PA SP

PROGRAF 3 SP

PROVENGE 2 PA SP

RAPAMUNE 3 SP

2 PA QL

REDITREX E

REMICADE E SP

RENFLEXIS E SP

RIDAURA 3 SP

RINVOQ 2 PA SP

RUCONEST 3 PA SP QL

SILIQ 3 PA SP

2 PA SP

SIMULECT E

sirolimus oral 1 SP

2 PA SP QL

STELARA INTRAVENOUS

2 PA SP

2 PA SP QL

SYNAGIS 2 PA SP

TAKHZYRO 3 PA SP

TALTZ 3 PA SP

temsirolimus 1 SP

THYMOGLOBULIN E

TICE BCG 2 SP

TORISEL 3 SP

TREMFYA 2 PA SP

TREXALL 3

UPLIZNA 3 PA SP

WINRHO SDF 2 SP

XATMEP 3

XELJANZ 2 PA SP

XELJANZ XR 2 PA SP

XEMBIFY 3 PA SP

ZINPLAVA E

ZORTRESS 3 SP

ACTHIB $0

BCG VACCINE E

BEXSERO $0

BIOTHRAX E

FLUAD $0

FLUAD QUADRIVALENT

GARDASIL 9 $0

IMOVAX RABIES E

INFANRIX $0

IXIARO E

MENACTRA $0

MENQUADFI $0

MENVEO $0

PNEUMOVAX 23 $0

PREVNAR 13 $0

RABAVERT E

ROTARIX $0

STAMARIL E

TDVAX $0

TENIVAC $0

TRUMENBA $0

VARIVAX $0

VAXCHORA E

VIVOTIF E

YF-VAX E

ana-lex E

anucort-hc E

ANUSOL-HC EXTERNAL

APRISO 2

ASACOL HD E

AZULFIDINE 3

budesonide oral 1

CANASA E

COLAZAL 3

CORTENEMA 3

CORTIFOAM EXTERNAL

DELZICOL E

DIPENTUM E

LIALDA E

LIDOCORT EXTERNAL

mesalamine oral 1

mesalamine rectal 1

ORTIKOS E

PENTASA 3

PROCORT EXTERNAL E

PROCTOCORT EXTERNAL

ROWASA RECTAL 3

SFROWASA 2

UCERIS 3

ATELVIA 3 QL

BINOSTO 3 QL

BONIVA INTRAVENOUS

EVENITY 3 PA SP QL

FOSAMAX PLUS D E

MIACALCIN INJECTION

2 PA SP QL

RAYALDEE 3

RECLAST 3 SP

2 PA SP

TYMLOS 2 PA SP

XGEVA 2 PA SP

calcitriol oral 1

cinacalcet hcl 1 PA

NATPARA 3 PA SP QL

paricalcitol oral 1

PARSABIV 3 SP

ROCALTROL 3

SENSIPAR 3 PA

ZEMPLAR INTRAVENOUS

ACACIA SUBCUTANEOUS

ACREMONIUM E

ACST KIT E

ACUNOL E

ADAKVEO 3 PA SP

ADULT AEROSOL MASK

ALDER E

ALTERNARIA E

AMERICAN BEECH E

AMERICAN COCKROACH

AMERICAN ELM E

AMINOPMRMS E

APP SLIM RMS E

ARIZONA CYPRESS E

asilnasalrms E

ASPARTAME E

AUREOBASIDIUM E

AUSTRALIAN PINE E

AVAILNEX E

AVITENE E

AVITENE FLOUR E

AXONA E

AZALGIA E

BAHIA E

BALD CYPRESS E

BHI URI-CONTROL E

BLACK WILLOW E

BROME E

CARDIOVID PLUS E

CARTICEL E

CATTLE EPITHELIUM E

CAYA $0 QL

CEDAR ELM E

COCKLEBUR E

COLCIGEL E

CONDOMS E

CORN POLLEN E

CORTROSYN E

CROFAB E

CURVULARIA E

DANDELION E

desflurane 1

DIGIFAB E

DOG EPITHELIUM E

DOG FENNEL E

DOJOLVI E

DRECHSLERA E

2 PA SP

DYSPORT 3 PA SP

EASIVENT 2

EASTERN COTTONWOOD

EC-RX DHEA E

ECZEMOL E

ENDARI 3 PA

ENDO AVITENE E

ENLYTE E

ENTERAGAM E

enteric fish oil E

ENU PRO3 PLUS E

EPICOCCUM E

EPISIL E

EQUACARE JR E

ESSENTIAL CARE JR E

2 PA SP

FIRDAPSE E SP

FIRE ANT E

FORANE 3

FOSTEUM PLUS E

FUSARIUM E

GELCLAIR E

GELFILM EXTERNAL E

GEL-FLOW E

GEL-FLOW NT E

GELFOAM E

GELFOAM SPONGE E

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GELSYN-3 2 PA SP

GELX E

GERMAN COCKROACH

GIVLAARI 3 PA SP

GLEOLAN E

GLYTACTIN BURST E

GLYTACTIN RESTORE 5

GLYTACTIN RTD 15 E

GOLDENROD E

GRASTEK 3 PA QL

HACKBERRY E

HCU EASY E

HEPMED E

HIBICLENS E

HOMACTIN AA PLUS E

HOME PAP KIT E

HORSE EPITHELIUM E

HUMATROPEN FOR 12MG

HUMATROPEN FOR 24MG

HUMATROPEN FOR 6MG

HYALGAN E SP

HYLAFEM E

HYMOVIS E SP

INTERCEED E

IOSAT E

isoflurane 1

JOHNSON GRASS E

KAPOK E

KETOVIE LIQUID ORAL

KETOVIE PEPTIDE E

KOCHIA E

LENSCALE E

LIMBREL E

LIMBREL250 E

LIMBREL500 E

LORMATE E

MACRILEN E

MELALEUCA E

MESQUITE E

METHAVER E

METOPIRONE E

MIXED ASPERGILLUS E

MIXED FEATHERS E

MIXED RAGWEED E

MKO MELT DOSE PACK

mlk f1 E

mlk f2 E

mlk f3 E

mlk f4 E

MONOVISC E SP

MORCIN E

MOUNTAIN CEDAR E

MOUSE EPITHELIUM E

MSUD EASY E

MUCOR SUBCUTANEOUS

MUCOTROL E

MUGARD E

MUGWORT E

MYOBLOC 3 PA SP

NEODOT THERMOMETER

NICAPRIN E

NICAZYME E

ODACTRA 3 PA QL

OLIVE TREE E

OMNIVEX E

ORALAIR 3 PA QL

3 PA QL

ORAMAGICRX E

OXBRYTA E SP

PALFORZIA E SP

PH STRIPS E

PHEXXI E

PHOMA EXIGUA E

PKU EASY E

PKU EASY MICROTABS

PKU GO E

PRAXBIND E

PRID E

PRIVET E

PRO-CRITIC E

PROLEVA E

PSORIZIDE FORTE E

PSORIZIDE ULTRA E

PURAMINO DHAARA E

QUEEN PALM E

RABBIT EPITHELIUM E

RADIOGARDASE 3

RAGWITEK 3 PA QL

RAPID GEL RX E

RED MAPLE E

RED MULBERRY E

RESECTISOL E

RHEUMATE E

RHIZOPUS E

RIBOZEL E

ROUGH MARSH ELDER

RUSSIAN THISTLE E

RUZURGI 3 PA SP

sevoflurane 1

SHAGBARK HICKORY E

SHARPS CONTAINER E

SHEEP SORREL E

SILTREX E

SORBITOL IRRIGATION

sorbitol-mannitol E

SORRELDOCK MIX E

SPEEDGEL RX E

SPINRAZA 3 PA SP

SPINY PIGWEED E

STEMPHYLIUM E

SUPARTZ FX E SP

SUPRANE 3

SWEET GUM E

SYRINGE AVITENE E

TACHOSIL 3

TALL RAGWEED E

terrell 1

THROMBI-GEL 10 E

THROMBI-GEL 100 E

THROMBI-GEL 40 E

THROMBI-PAD E

THYROGEN 2 PA SP

TOBAKIENT E

TRANZGEL E

TRILURON E SP

T-SUPPORT MAX E

TYLACTIN RESTORE 10

TYLACTIN RTD 15 E

TYR EASY E

TYROS 2 E

ULTANE 3

ULTRA HERS RX E

ULTRA HIS E

ULTRA PCOS E

VASCULERA E

VILACTIN AA PLUS E

VILTEPSO E SP

VISTOGARD 3

WELLMIND VERTIGO E

westab max E

WESTERN JUNIPER E

WHITE BIRCH E

WHITE MULBERRY E

WHITE OAK E

WHITE PINE E

XEOMIN 3 PA SP

XIAFLEX 2 PA SP

XYZBAC E

XYZMUNE E

YELLOW DOCK E

ZOKINVY 3 PA SP QL

ZYVEXOL E

ZYVIT E

ACULAR 3

ACULAR LS 3

ACUVAIL E

ALAWAY E

ALOCRIL E

ALOMIDE 3

ALREX E

AZASITE 3

BEPREVE E

BESIVANCE 3

BLEPH-10 3

BROMSITE E

CILOXAN 3

DEXTENZA E SP

DEXYCU E

DUREZOL E

epinastine hcl 1

eye itch relief E

EYSUVIS 3 PA

FLAREX 3

FML FORTE 3

FML LIQUIFILM 3

ILEVRO E

INVELTYS 3

KLARITY-A E

KLARITY-L E

LOTEMAX SM 3

MAXIDEX 3

MITOSOL 3

MOXEZA 2

NATACYN 2

NEVANAC E

OCUFLOX 3

PRED FORTE 3

PRED MILD 3

PROLENSA 2 QL

TOBREX 3

TRIPLE PMB E

TRIPLE PMK E

UPNEEQ 3 PA

VIGAMOX 3

YUTIQ E SP

ZADITOR E

ZERVIATE E

ZIRGAN 3

ZYMAXID 3

acetazolamide er 1

apraclonidine hcl 1

AZOPT 3

BETIMOL 3

BETOPTIC-S 3

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

DURYSTA E

ISOPTO CARPINE 3

ISTALOL 3

KEVEYIS 3 PA SP QL

PHOSPHOLINE IODIDE

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

TIMOPTIC E

TIMOPTIC-XE E

TRAVATAN Z 3 QL

TRUSOPT 3

VYZULTA E

XALATAN 3

XELPROS 3 ST QL

ZIOPTAN E

ak-poly-bac 1

AKTEN 3

ALCAINE 3

ALTACAINE 3

altachlore E

ALTAFLUOR BENOX E

artificial eye E

BEOVU E SP

BEVACIZUMAB 3 SP

BIO GLO E

BLEPHAMIDE 3

BLEPHAMIDE SOP 3

CEQUA E

CYCLOGYL 3

CYCLOMYDRIL 3

CYSTARAN 3 PA SP QL

DOUBLE PM E

EYLEA INTRAVITREAL

3 PA SP

FLUCAINE E

fluor-i-strips at E

FLURA-SAFE E

FUL-GLO E

GELFILM OPHTHALMIC

homatropaire 1

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT E

LATISSE E

lubricant eye pm E

lubricant pm E

2 PA SP

3 PA SP

MAXITROL 3

MYDRIACYL E

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 PA SP QL

PAREMYD E

polycin 1

POLYTRIM 3

PRED-G 3

PRED-G SOP 3

REFRESH RELIEVA E

RESTASIS 2 PA

SYSTANE COMPLETE E

SYSTANE ULTRA PF E

TOBRADEX ST 3

ultra fresh pm E

VISIONBLUE 3

VISTA MEIBO TEARS E

VISTA TEARS E

VISUDYNE 3 SP

XIIDRA 2 PA

ZYLET 3

acetic acid otic 1

CETRAXAL 3 ST

CIPRO HC 3

CIPRODEX E

cortic-nd 1

CORTISPORIN-TC 3

DERMOTIC 3

exotic-hc 1

flac 1

ofloxacin otic 1

OTIPRIO E

OTOVEL E

PRAMOTIC 3

12 hour allergy-d E

ADRENALIN NASAL E

all day allergy d E

allergy 24-hr E

allergy childrens E

BECONASE AQ 3 QL

benzonatate 1

CINQAIR 3 PA SP

CLARINEX-D 12 HOUR

DICOPANOL FUSEPAQ

DICOPANOL RAPIDPAQ

DI-PHEN E

DYMISTA 2 QL

FASENRA 2 PA SP

FASENRA PEN 2 PA SP

GILPHEX TR E

HYCODAN 3 PA QL

1 PA QL

hydromet 1 PA QL

HYPERSAL 3

loratadine-d 12hr E

loratadine-d 24hr E

maxi-tuss gmx E

maxi-tuss pe max E

m-dryl E

MICLARA LQ E

MUCINEX DM E

mucus dm E

mucus-d E

NASONEX E

NEOTUSS PLUS E

NUCALA 2 PA SP QL

OMNARIS 3 QL

PATANASE 3 QL

PHENERGAN INJECTION

promethazine vc 1

1 PA QL

promethegan 1

PROPEL E

PROPEL MINI E

QNASL 3 QL

ryvent E

sinus 12 hour E

SINUVA E

SSKI E

SUDAFED CONGESTION

sudogest 12 hour E

TESSALON PERLES 3

TUXARIN ER E

XHANCE E

XOLAIR 2 PA SP

ZETONNA 3 QL

ACCOLATE 3

ADVAIR DISKUS 1 QL

ADVAIR HFA 2 QL

ADYPHREN E

ADYPHREN AMP E

ADYPHREN AMP II E

ADYPHREN II E

AIRDUO DIGIHALER E

ALVESCO E

ANORO ELLIPTA 2 QL

3 PA SP

ARMONAIR DIGIHALER

ASMANEX HFA E

ATROVENT HFA 3 QL

BEVESPI AEROSPHERE

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE

BROVANA 3 QL

COMBIVENT RESPIMAT

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E

ELIXOPHYLLIN 2

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V E

EPISNAP E

ESBRIET 3 PA SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

1 ST QL

GLASSIA 3 PA SP

INCRUSE ELLIPTA E

OFEV 3 PA SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

3 PA SP

PROVENTIL HFA E

PULMICORT FLEXHALER

QVAR REDIHALER E

SEEBRI NEOHALER E

SINGULAIR E

SPIRIVA HANDIHALER

STERITALC 3

STRIVERDI RESPIMAT

2 ST QL

SYMBICORT 2 QL

SYMJEPI 3

THEO-24 3

theophylline 1

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub E

XOPENEX NEB 3 QL

XOPENEX CONCENTRATE

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA SP

zileuton er 1 ST

ZYFLO E

BETHKIS E SP

BRONCHITOL E

CAYSTON E SP

KALYDECO 3 PA SP

KITABIS PAK E SP

ORKAMBI 3 PA SP QL

PULMOZYME 2 PA SP

SYMDEKO 3 PA SP QL

TOBI NEBULIZER E SP

TRIKAFTA 3 PA SP QL

ADCIRCA 3 PA SP QL

ADEMPAS 2 PA SP QL

alyq 1 PA SP QL

bosentan 1 PA SP QL

FLOLAN 3 PA SP

LETAIRIS 3 PA SP QL

OPSUMIT 2 PA SP QL

ORENITRAM 3 PA SP

REVATIO INTRAVENOUS

3 PA SP

1 PA SP

1 PA SP QL

TUDORZA PRESSAIR

TYVASO 3 PA SP QL

UPTRAVI 3 PA SP QL

VELETRI 3 PA SP

VENTAVIS 3 PA SP QL

AMRIX E

BACLOFEN EXTERNAL

baclofen oral 1

carisoprodol oral 1

CYCLOGABA 10300 E

CYCLOPAK E

CYCLOPHENE RAPIDPAQ

enovarx-baclofen E

FEXMID 3

FIRST-BACLOFEN E

LIORESAL E

LORZONE 3

METAXALL CP E

metaxalone 1

NOPIOID-LMC KIT E

NORGESIC FORTE E

OZOBAX E

SKELAXIN E

SOMA 3

TABRADOL FUSEPAQ E

TABRADOL RAPIDPAQ

VANADOM 3

ZANAFLEX E

AMBIEN E

AMBIEN CR E

armodafinil 1 PA QL

BELSOMRA 3 ST QL

DAYVIGO 3 ST QL

EDLUAR E

eszopiclone 1 QL

HETLIOZ 3 PA SP QL

HETLIOZ LQ E SP

LUNESTA E

modafinil 1 PA QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 QL

SILENOR 3 QL

SUNOSI 2 PA QL

temazepam 1 QL

WAKIX 3 PA SP QL

XYREM 3 PA SP QL

XYWAV 3 PA SP QL

zaleplon 1 QL

ZOLPIMIST 3 ST QL

Index of Drugs

Drug Tier

Directions Doctor

-Continued on back-

(Farsi)

HealthSelectSM

Premium standard

Anesthetics

Antibacterials

Anticoagulants

Antidepressants

Antifungals

Antigout Agents

Antimigraine Agents

Antimycobacterials

Antiparasitics

Antiplatelets

Antivirals

Diabetes - Insulins

Tier information

Tier 1 Lowest Cost

Tier 3 Highest Cost

Table of Contents

acetaminophen er E

ACTIQ 3 PA QL

ALLZITAL E

APADAZ E

ascomp-codeine 1

BELBUCA 2 PA QL

BUPRENEX E

1 PA QL

BUTRANS 3 PA QL

CONZIP E

DILAUDID ORAL E

DSUVIA E

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph E

ESGIC 3

fentanyl 1 PA QL

1 PA QL

1 PA ST QL

1 PA QL

HYSINGLA ER 2 PA QL

INFUMORPH 200 E

INFUMORPH 500 E

migraine relief E

mitigo E

1 PA QL

m-pap E

NALOCET E

NUCYNTA E

NUCYNTA ER E

OXAYDO ORAL TABLET

2 PA QL

PANADOL CHILDRENS

PANADOL EXTRA E

PANADOL INFANTS E

PRIALT 2 SP

PROLATE E

QDOLO E

SUBSYS E

SYNAPRYN FUSEPAQ E

1 PA ST QL

1 PA QL

TYLENOL 8 HOUR E

TYLENOL ORAL TABLET

ULTRACET E

ULTRAM E

VTOL LQ E

XTAMPZA ER 2 PA QL

ADVIL E

ADVIL MIGRAINE E

ALEVE ORAL TABLET E

BIIFENAC 1000 E

BIIFENAC 500 E

CAMBIA E

CAPSFENAC PAK E

CAPSINAC E

CATAFLAM 3

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3

DFSMSMENTHCAP PAK

DICLOFENAC CAP 35MG

DICLOPR E

DICLOSTREAM E

DICLOTREX E

DICLOVIX E

DICLOVIX M E

DICLOZOR EXTERNAL

diflunisal oral 1

DIMENTHO E

DUEXIS E

EC-NAPROSYN 3

ec-naproxen 1

enovarx-ibuprofen E

etodolac er 1

etodolac oral 1

FBL KIT E

FELDENE 3

FLECTOR EXTERNAL E

FLEXIPAK E

flurbiprofen oral 1

FROTEK E

IBUPAK E

ibuprofen 1

ibuprofen infants E

inavix E

INDOCIN ORAL 3 ST

INDOCIN RECTAL E

indomethacin er 1

INFLAMMACIN E

KBGL IN TERODERM

kapzin dc E

KETOPHENE RAPIDPAQ

ketoprofen er 1

ketoprofen oral 1

3 PA QL

LICART EXTERNAL E

LODINE 3

MOBIC ORAL TABLET E

nabumetone oral 1

NALFON ORAL TABLET

1 PA QL

NUDICLO SOLUPAK E

NUDICLO TABPAK E

NUDROXIPAK E

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400 E

NUDROXIPAK I-800 E

NUDROXIPAK M-15 E

NUDROXIPAK N-500 E

ORMECA E

oxaprozin 1

PENNSAID EXTERNAL

piroxicam oral 1

PRASTERA E

QMIIZ ODT E

RELAFEN E

RELAFEN DS E

salsalate oral E

SPRIX 3 PA QL

sulindac oral 1

TORONOVA II SUIK E

TORONOVA SUIK E

VAROPHEN E

VENNGEL ONE E

VIMOVO E

VIVLODEX 3 ST

VOLTAREN EXTERNAL

VP FC KIT E

VP GKL KIT E

XRYLIX EXTERNAL E

ZIPSOR E

ZORVOLEX E

Anesthetics

7T LIDO E

ACCUCAINE E

AGONEAZE E

ANODYNE LPT E

APRIZIO PAK E

APRIZIO PAK II E

ASTERO E

blue tube aloe E

CADIRAMD E

CAPSAICIN-MENTHOL

COCAINE HCL NASAL E

DERMACINRX PHN E

DERMACINRX PRIZOPAK

DERMACINRX ZRM E

DERMALID E

EMPRICAINE-II E

ENZNONUTY E

ethyl chloride 1

EXPAREL E

FLEXIN E

GEBAUERS PAIN EASE

GEN7T E

GEN7T PLUS E

GOPRELTO E

LDO PLUS E

lets E

LEVATIO E

LIDO BDK E

LIDOCANNA E

LIDODERM E

LIDOMARK 25 E

LIDOPAC E

LIDOPRIL XR E

LIDOPURE PATCH E

LIDORX E

LIDO-SORB E

LIDOSTREAM E

LIDOTHOL E

LIDOTRAL E

LIDOVIX L E

LIDTOPIC MAX E

LIVIXIL PAK E

LMR PLUS E

LYDEXA E

MARCAINE E

marlido E

MARLIDO-25 E

MARVONA SUIK E

NUMBRINO E

NUVAKAAN E

NUVAKAAN-II E

PAINGO KFT E

PLIAGLIS E

POINT OF CARE LM-22

POINT OF CARE LM-25

premium lidocaine E

PREMIUM SCAR E

PREPIV SUPPLY 3

PRILO PATCH E

PRILO PATCH II E

PRILOLID E

PRILOVIX E

PRILOVIX LITE E

PRILOVIX PLUS E

PRILOVIXIL E

PRIZOPAK II E

PRIZOTRAL E

PRIZOTRAL-II E

READYSHARP-A E

RELADOR PAK PLUS E

SENSORCAINE E

SKYADERM-LP E

SYNERA E

VEXATROL E

XARACOLL E

XYLOCAINE INJECTION

ZERUVIA E

ZILACAINE PATCH E

ZIONODIL E

ZIONODIL 100 E

ZTLIDO E

CHANTIX $0 QL

disulfiram oral 1

habitrol $0 QL

LIFEMS NALOXONE E

LUCEMYRA 3 ST QL

NARCAN 2

NICOTROL $0 QL

NICOTROL NS $0 QL

SUBLOCADE 3 SP

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA

ALTABAX 3

ARIKAYCE 3 PA SP

AUGMENTIN ES-600 3

avidoxy 1 ST

AVIDOXY DK E

BACTRIM 3

BACTRIM DS 3

BAXDELA INTRAVENOUS

BAXDELA ORAL 3

BENZODOX E

BICILLIN L-A E

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefixime 1

CEFOTAN E

cefprozil 1

CENTANY 3

CENTANY AT E

cephalexin 1

clarithromycin er 1

CLEOCIN ORAL 3

CLINDESSE 3

COLY-MYCIN M E

coremino E

CUBICIN E

CUBICIN RF E

daptomycin E

DIFICID 3

DORYX MPC E

doxy 100 E

EES GRANULES 3

ertapenem sodium E

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

erythromycin oral 1

FETROJA E

FIRVANQ 3

FLAGYL ORAL CAPSULE

HIPREX 3

INVANZ INJECTION E

levofloxacin oral 1

LINCOCIN E

linezolid oral 1 QL

MACROBID 3

MACRODANTIN 3

MINOLIRA E

MONUROL 3

mupirocin calcium E

NUTRIDOX E

NUVESSA E

PRIMSOL 3

RECARBRIO E

SEYSARA 3 ST

SILVADENE 3

SIVEXTRO E

SOLOSEC 3

sulfadiazine oral 1

SUPRAX ORAL CAPSULE

TARGADOX E

tazicef injection E

tigecycline E

tinidazole oral 1

trimethoprim oral 1

TYGACIL E

VANCOCIN 3

vandazole 1

VIBRAMYCIN 3 ST

XENLETA INTRAVENOUS

XENLETA ORAL 3

XEPI 3

XIFAXAN 3 PA

XIMINO 3

ZEMDRI E

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

ZYVOX ORAL 3 QL

Anticoagulants

ACD-A NOCLOT-50 3

ACTIVASE E

ARIXTRA 3 SP QL

CATHFLO ACTIVASE E

ELIQUIS 2 QL

3 SP QL

jantoven 1

LOVENOX 3 SP QL

PRADAXA 2 QL

REGIOCIT E

SAVAYSA 3 QL

THROMBATE III 3 SP

TRICITRASOL 3

XARELTO 2 QL

APTIOM 3

BANZEL 3 PA

BRIVIACT ORAL 3 ST

carbamazepine er 1

CARBATROL 3

CELONTIN 3

clobazam 1 PA

DEPAKOTE 3

DEPAKOTE ER 3

DIACOMIT 3 PA SP

DILANTIN INFATABS E

ELEPSIA XR E

EPIDIOLEX 3 PA SP

epitol 1

ethosuximide oral 1

FANATREX FUSEPAQ E

felbamate 1

FELBATOL 3

FINTEPLA 3 PA SP

FYCOMPA 3

GABITRIL 3

KEPPRA INTRAVENOUS

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

levetiracetam er 1

MYSOLINE 3

NAYZILAM 3 QL

NEURONTIN 3

oxcarbazepine 1

OXTELLAR XR E

PHENYTEK 3

primidone oral 1

QUDEXY XR 3

rufinamide 1 PA

SABRIL ORAL PACKET

SABRIL ORAL TABLET

3 PA SP

SPRITAM E

subvenite 1

SYMPAZAN 3 PA

TEGRETOL-XR 3

tiagabine hcl 1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TRILEPTAL 3

TROKENDI XR 3 ST

VALTOCO 3 QL

vigabatrin 1 PA SP

vigadrone 1 PA SP

VIMPAT INTRAVENOUS

VIMPAT ORAL 3

XCOPRI 3 ST

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

ARICEPT 3

donepezil hcl 1

EXELON TRANSDERMAL

NAMENDA ORAL TABLET

NAMENDA XR 3 QL

NAMZARIC 2 QL

RAZADYNE ER 3

rivastigmine 1

Antidepressants

amoxapine 1

ANAFRANIL 3

APLENZIN E

BRISDELLE 3 ST QL

CELEXA ORAL TABLET

CYMBALTA E

DESVENLAFAXINE ER

3 ST QL

EFFEXOR XR E

EMSAM 3 QL

FETZIMA 3 ST QL

FORFIVO XL E

LEXAPRO ORAL TABLET

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3

nefazodone hcl 1

PARNATE 3

paroxetine hcl er 1

PAXIL CR 3

PAXIL ORAL TABLET 3

PEXEVA E

PRISTIQ E

protriptyline hcl 1

PROZAC ORAL CAPSULE

REMERON SOLTAB 3

3 PA SP

TRINTELLIX 3 ST QL

venlafaxine hcl 1

VIIBRYD ORAL TABLET

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA SP

AKYNZEO INTRAVENOUS

AKYNZEO ORAL 3 QL

ANZEMET ORAL 3 QL

aprepitant 1 QL

BONJESTA 3 PA QL

compro 1

DICLEGIS 3 PA QL

dronabinol 1 PA QL

EMEND TRI-PACK 3 QL

GIMOTI E

MARINOL 3 PA QL

ondansetron odt 1

palonosetron hcl E

perphenazine oral 1

prochlorperazine 1

REGLAN ORAL 3

SANCUSO 3 QL

scopolamine 1

SUSTOL E

SYNDROS 3 PA QL

TIGAN INTRAMUSCULAR

TIGAN ORAL 3

ZUPLENZ E

Antifungals

ALA-QUIN E

ALCORTIN A E

ANCOBON 3

CRESEMBA ORAL 3

DIFLUCAN 3

DIFMETIOXRIME E

ECONASIL E

ECOZA E

ERTACZO E

EXELDERM E

EXTINA 3

fluconazole oral 1

flucytosine oral 1

FUNGIMEZ E

GYNAZOLE-1 3

HIXDEFRIMA E

IMIOXIA E

IODOQUIMEZ-HC E

JUBLIA E

KERYDIN 3 PA

ketoconazole oral 1

LOPROX EXTERNAL KIT

LULICONAZOLE E

LUZU E

MENTAX E

micaderm E

miconazole 1 E

miconazole 7 E

MYCOZYL AP E

naftifine hcl 1

NAFTIN EXTERNAL GEL

NOXAFIL ORAL 3 PA

nyamyc 1

nystatin external 1

nystop 1

ONYCHO-MED E

ORAVIG E

PEDIZOLPAK E

PHEODOYO E

PHEYO E

posaconazole 1 PA

QUINJA E

RECURA E

SPORANOX 3 PA

SPORANOX PULSEPAK

SULCONAZOLE NITRATE

tavaborole 1 PA

terconazole 1

TOLSURA E

VFEND 3

voriconazole oral 1

VUSION E

VYTONE E

XOLEGEL E

XOLEGEL COREPAK E

XOLEGEL DUOXOLEX

ZOLPAK E

Antigout Agents

allopurinol oral 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA SP

MITIGARE E

probenecid oral 1

ULORIC 3 ST

ZYLOPRIM 3

EMFLAZA 3 PA SP

Antimigraine Agents

2 PA QL

AJOVY E

AMERGE 3 QL

CAFERGOT 3

DHE 45 3 PA QL

1 PA QL

EMGALITY 2 PA QL

2 PA QL

ERGOMAR 3

FROVA 3 QL

IMITREX 3 QL

MIGERGOT 3

MIGRAINE PACK E

MIGRANAL 3 PA QL

MIGRANOW E

NURTEC 2 PA QL

RELPAX 3 QL

REYVOW E

SUMANSETRON E

TOSYMRA E

3 ST QL

UBRELVY 2 PA QL

VYEPTI E

ZEMBRACE SYMTOUCH

ZOLMITRIPTAN NASAL

3 ST QL

ZOMIG NASAL 3 ST QL

ZOMIG ORAL E

ZOMIG ZMT E

GUANIDINE HCL ORAL

Antimycobacterials

CAPASTAT SULFATE E

cycloserine oral 1

dapsone oral 1

isoniazid oral 1

MYCOBUTIN 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifabutin 1

rifampin oral 1

SIRTURO 3

TRECATOR 3

ABRAXANE 2 SP

ADCETRIS 2 PA SP

2 PA SP QL

ALECENSA 2 PA SP

ALIMTA 2 SP

ALIQOPA 3 PA SP

ALKERAN 3 SP

ALUNBRIG 2 PA SP QL

anastrozole oral $0

ARIMIDEX E

AROMASIN 3

ARRANON 2 SP

ARZERRA 2 PA SP

ASPARLAS 3 SP

AVASTIN 3 PA SP

AYVAKIT 3 PA SP QL

azacitidine 1 PA SP

BALVERSA 3 PA SP

BAVENCIO 3 PA SP

BELEODAQ 3 PA SP

BELRAPZO E SP

BENDEKA 3 PA SP

BESPONSA 3 PA SP

bexarotene 1 PA SP

bicalutamide 1

BICNU 3 SP

BLENREP 3 PA SP

BLINCYTO 3 PA SP

BORTEZOMIB 3 PA SP

BOSULIF 3 PA SP

3 PA SP

BREYANZI E SP

BRUKINSA 3 PA SP

busulfan 1 SP

BUSULFEX 3 SP

CABOMETYX 2 PA SP

CALQUENCE 3 PA SP

CAMPATH 2 SP

CAMPTOSAR 3 SP

2 PA SP QL

2 PA SP

carmustine 1 SP

CASODEX 3

clofarabine 1 SP

CLOLAR 3 SP

3 PA SP

COPIKTRA 3 PA SP

COSELA E SP

COSMEGEN 3 SP

COTELLIC 3 PA SP

CYRAMZA 3 PA SP

DACOGEN 3 PA SP

dactinomycin 1 SP

DANYELZA 3 PA SP

DARZALEX 3 PA SP

DAURISMO 3 PA SP

decitabine 1 PA SP

DOXIL 3 SP

DROXIA 3

ELITEK 3 SP

ELLENCE 3 SP

ELZONRIS 3 PA SP

EMCYT 2

EMPLICITI 3 PA SP

ENHERTU 3 PA SP

ERBITUX 2 PA SP

ERIVEDGE 2 PA SP

ERLEADA E SP

1 PA SP

1 PA SP QL

ERWINAZE INJECTION

ETHYOL 3 SP

ETOPOPHOS 3 SP

etoposide oral 1 SP

1 PA SP QL

EVOMELA 3 SP

exemestane $0

FARESTON 3

FARYDAK 3 PA SP

FEMARA 3

flutamide 1

FOLOTYN 2 PA SP

FOTIVDA E SP

fulvestrant 1 SP

GAVRETO E SP

GAZYVA 3 PA SP

GILOTRIF 3 PA SP QL

GLEEVEC 3 PA SP

HALAVEN 2 PA SP

HERCEPTIN HYLECTA

3 PA SP

HERZUMA E SP

HYCAMTIN 3 SP

HYDREA 3

hydroxyurea oral 1

IBRANCE 3 PA SP

3 PA SP QL

3 PA SP

IDAMYCIN PFS 3 SP

idarubicin hcl 1 SP

IDHIFA 3 PA SP QL

IFEX 3 SP

ifosfamide 1 SP

IMBRUVICA 3 PA SP

IMFINZI 3 PA SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA 3 PA SP

INQOVI E SP

INREBIC 3 PA SP

IRESSA 3 PA SP

irinotecan hcl 1 SP

IXEMPRA KIT 2 SP

2 PA SP QL

2 PA SP

JELMYTO E SP

JEVTANA 2 PA SP

KADCYLA 3 PA SP

KANJINTI 2 PA SP

3 PA SP

KHAPZORY 3 ST SP

3 PA SP

KOSELUGO 3 PA SP

KYPROLIS 2 PA SP

3 PA SP

letrozole oral 1

LEUKERAN 2

LIBTAYO 3 PA SP

LONSURF 3 PA SP

LORBRENA 3 PA SP

LUMOXITI 3 PA SP

LUTATHERA E

2 PA SP

LYSODREN 2

MARQIBO 3 SP

MATULANE 2 SP

MEKINIST 2 PA SP

MEKTOVI 3 PA SP

melphalan 1 SP

melphalan hcl 1 SP

mesna 1 SP

MESNEX 3 SP

MONJUVI 3 PA SP

mutamycin 1 SP

MVASI 2 PA SP

MYLERAN 2

3 PA SP

NAVELBINE 3 SP

NERLYNX 3 PA SP QL

NEXAVAR 2 PA SP

NILANDRON 3 SP

nilutamide 1 SP

NINLARO 3 PA SP

NIPENT 3 SP

NUBEQA 3 PA SP

ODOMZO 3 PA SP

OGIVRI E SP

ONCASPAR INJECTION

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG 3 PA SP

OPDIVO 3 PA SP

ORGOVYX 3 PA SP

paclitaxel 1 SP

PADCEV 3 PA SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE 3 PA SP QL

PERJETA 2 PA SP

PHESGO 2 PA SP

PHOTOFRIN 3 SP

PIQRAY 3 PA SP

POLIVY 3 PA SP

POMALYST 3 PA SP

PORTRAZZA 3 PA SP

POTELIGEO 3 PA SP

PROLEUKIN 2 SP

PURIXAN 3 SP

QINLOCK 3 PA SP

RETEVMO 3 PA SP

REVLIMID 2 PA SP

RIABNI 3 PA SP

3 PA SP

ROZLYTREK 3 PA SP

RUBRACA 2 PA SP

RUXIENCE 2 PA SP

RYDAPT 3 PA SP

SARCLISA 3 PA SP

SIKLOS 3 PA

SOLTAMOX $0

SPRYCEL 2 PA SP

STIVARGA 3 PA SP

SUTENT 2 PA SP

SYLVANT 3 PA SP

SYNRIBO 3 PA SP

TABLOID 2 SP

TABRECTA E SP

TAFINLAR 2 PA SP

3 PA SP QL

3 PA SP

TALZENNA 3 PA SP

3 PA SP

3 PA SP QL

TARGRETIN EXTERNAL

3 PA SP

TARGRETIN ORAL E SP

TASIGNA 3 PA SP

TAZVERIK E SP

TECARTUS 3 PA SP

TECENTRIQ 3 PA SP

TEMODAR INTRAVENOUS

3 PA SP

teniposide 1 SP

TEPADINA 3 SP

TEPMETKO E SP

THALOMID 2 PA SP

TIBSOVO 3 PA SP

topotecan hcl 1 SP

TOTECT 3 SP

TRAZIMERA 2 PA SP

tretinoin oral 1 SP

TRODELVY 3 PA SP

TRUXIMA E SP

TUKYSA 3 PA SP

TURALIO 3 PA SP

TYKERB 3 PA SP

UKONIQ E SP

UNITUXIN 3 PA SP

VALCHLOR 3 PA SP

valrubicin E

VALSTAR E

VENCLEXTA 3 PA SP

3 PA SP

VERZENIO 3 PA SP

VIDAZA 3 PA SP

VITRAKVI 3 PA SP

VIZIMPRO 3 PA SP

VORAXAZE E

VOTRIENT 3 PA SP

3 PA SP

XALKORI 3 PA SP

XELODA 3 PA SP

XOSPATA 3 PA SP

3 PA SP

XTANDI 3 PA SP

YERVOY 2 PA SP

YESCARTA 3 PA SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA SP

ZANOSAR 2 SP

ZEJULA 2 PA SP

ZELBORAF 3 PA SP

ZEPZELCA 3 PA SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA SP

ZOLINZA 2 PA SP

ZYDELIG 3 PA SP

ZYKADIA ORAL TABLET

3 PA SP

ZYTIGA E SP

Antiparasitics

ALBENZA 3 PA

ARAKODA 3

atovaquone oral 1

BENZNIDAZOLE 3

BILTRICIDE 3

COARTEM 3

crotan 1

DARAPRIM 3 PA SP

EGATEN 3

ELIMITE 3

EMVERM 2

IMPAVIDO 3

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NATROBA 3

NEBUPENT 3

nitazoxanide 1

OVIDE 3

PENTAM E

PLAQUENIL 3

praziquantel oral 1

QUALAQUIN 3 PA

spinosad 1

STROMECTOL 3

SULFURATED LIME 3

3 PA SP QL

AZILECT 3

carbidopa oral 1

COMTAN 3

DUOPA ENTERAL 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA SP

KYNMOBI 3 PA SP QL

3 PA SP QL

LODOSYN 3

MIRAPEX ER 3

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3 ST

OSMOLEX ER E

PARLODEL 3

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

tolcapone 1

XADAGO 3 ST QL

ZELAPAR 3

Antiplatelets

ASPIRIN-OMEPRAZOLE

BRILINTA 2

CABLIVI 3 PA SP QL

cilostazol 1

dipyridamole oral 1

DURLAZA E

EFFIENT 3

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

ABILIFY MYCITE E

ABILIFY ORAL TABLET

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA E

ARISTADA INITIO E

CAPLYTA 3 ST QL

clozapine 1 QL

CLOZARIL 3 QL

FANAPT 3 ST QL

3 ST QL

GEODON ORAL 3 QL

HALDOL DECANOATE E

haloperidol oral 1

INVEGA 3 QL

LATUDA 3 QL

molindone hcl 1

PERSERIS E

pimozide 1

REXULTI 3 QL

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL 3 QL

SEROQUEL XR 3 QL

thiothixene oral 1

VERSACLOZ 3 QL

VRAYLAR 3 ST QL

ZYPREXA ORAL 3 QL

ZYPREXA RELPREVV E

ZYPREXA ZYDIS 3 QL

Antivirals

abacavir sulfate 1

acyclovir oral 1

ACYCLOVIX E

APTIVUS 2

ATRIPLA E

BARACLUDE 3 SP QL

BIKTARVY 3

CABENUVA E

CIMDUO 2

COMBIVIR 3

COMPLERA 2

DELSTRIGO 3

DENAVIR E

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

emtricitabine 1

entecavir 1 SP QL

EPCLUSA 2 PA SP QL

EPIVIR 3

EPZICOM 3

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3

GENVOYA 3

HARVONI 2 PA SP QL

HEPSERA 3 SP

INTELENCE 2

INTRON A 3 PA SP

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL TABLET

MAVYRET 2 PA SP QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET

NORVIR ORAL TABLET

ODEFSEY 3

2 PA SP

3 PA SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2

RAPIVAB E

RETROVIR ORAL SYRUP

REYATAZ ORAL PACKET

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG E

SOVALDI 3 PA SP QL

STRIBILD 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

SYMTUZA 3

TEMIXYS E

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3

TROGARZO 3 PA

TRUVADA E

TYBOST 2

VALCYTE 3

VALTREX 3 QL

VEMLIDY 3 SP

VIRAZOLE 3

VIREAD ORAL POWDER

VOCABRIA E

VOSEVI 2 PA SP QL

XERESE E

ZEPATIER 3 PA SP QL

ZIAGEN 3

zidovudine 1

alprazolam er 1 QL

alprazolam xr 1 QL

ATIVAN E

diazepam intensol 1

DORAL 3 QL

estazolam 1 QL

HALCION 3 QL

KLONOPIN 3 QL

meprobamate 1

oxazepam 1 QL

quazepam 1 QL

triazolam 1 QL

VALIUM E

VISTARIL 3

XANAX E

XANAX XR E

EQUETRO 3

lithium 1

LITHOBID 3

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR ORAL TABLET

anagrelide hcl 1

2 PA SP

CEPROTIN 3 SP

COAGADEX 3 SP

CORIFACT 2 SP

3 PA SP

ELOCTATE 3 SP

ESPEROCT E SP

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

3 PA SP

LYSTEDA 3

3 PA SP

MOZOBIL 2 PA SP QL

MULPLETA 2 PA SP

3 PA SP

NIVESTYM 2 PA SP

NOVOEIGHT 2 SP

NOVOSEVEN RT 2 SP

NPLATE 3 PA SP

NUWIQ 2 SP

NYVEPRIA 3 PA SP

OBIZUR 3 SP

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA SP

REBINYN 3 SP

REBLOZYL 3 PA SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

2 PA SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT E SP

3 PA SP

TAVALISSE 3 PA SP

THROMBOGEN 3

TRETTEN 3 SP

UDENYCA E SP

3 PA SP

2 PA SP

VONVENDI 3 SP

ZARXIO 2 PA SP

ZIEXTENZO 3 PA SP

ACCUPRIL 3

ACCURETIC 3

ALDACTAZIDE 3

ALDACTONE 3

ALTACE ORAL CAPSULE

ALTOPREV E

ATACAND E

ATACAND HCT 3

atenolol oral 1

AVAPRO 3

AZOR E

BENICAR E

BENICAR HCT E

BETAPACE AF 3

BIDIL 3

bumetanide oral 1

BYSTOLIC 2

CALAN SR 3

captopril oral 1

CARDIZEM CD 3

CARDURA 3

CAROSPIR 3

cartia xt 1

carvedilol 1

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

colesevelam hcl 1

COLESTID E

COLESTID FLAVORED

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG 3

COREG CR 3

CORGARD 3

CORLANOR 3 PA QL

COZAAR 3

CRESTOR E

DEMSER 3

DIBENZYLINE 3

digitek 1

digox 1

digoxin oral 1

DILATRATE-SR 3

dilt-xr 1

DIOVAN E

DIOVAN HCT E

DIURIL 3

dofetilide 1

droxidopa 1 PA SP

DUTOPROL E

DYRENIUM 3

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3

ENTRESTO 2 QL

eplerenone 1

EVKEEZA E SP

EXFORGE 3

EXFORGE HCT 3

ezetimibe 1

felodipine er 1

FENOGLIDE 3 ST

FIBRICOR E

FLOLIPID 3 ST

fosinopril sodium 1

gemfibrozil oral 1

GONITRO 3

HEMANGEOL 3

HYZAAR 3

indapamide oral 1

INDERAL LA E

INDERAL XL E

INNOPRAN XL E

INSPRA 3

irbesartan 1

ISORDIL TITRADOSE 3

isradipine 1

3 PA SP QL

KAPSPARGO SPRINKLE

KATERZIA E

LASIX 3

LESCOL XL E

LIPITOR E

LIPOFEN 3

lisinopril oral 1

LIVALO E

LOPID 3

LOPRESSOR ORAL 3

lovastatin oral 1

LOVAZA E

matzim la 1

MAXZIDE 3

MAXZIDE-25 3

methyldopa oral 1

metolazone 1

metyrosine 1

MICARDIS 3

MICARDIS HCT 3

midodrine hcl 1

MINIPRESS 3

minitran 1

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

NEXLETOL 2 PA QL

NEXLIZET 2 PA QL

niacor 1

NIASPAN 3

nifedipine er 1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

NITROLINGUAL 3

NITROMIST 3

NITROSTAT E

NITRO-TIME E

NORPACE 3

NORPACE CR 2

NORTHERA 3 PA SP

NORVASC E

OMEGA-3 RX COMPLETE

pentoxifylline er 1

pindolol 1

2 PA QL

prazosin hcl oral 1

PRESTALIA 3 ST

prevalite 1

PROCARDIA 3

PROCARDIA XL 3

propafenone hcl 1

propranolol-hctz 1

QBRELIS E

QUESTRAN E

quinapril hcl 1

ramipril 1

RANEXA 3 ST

ranolazine er 1 ST

RECTIV 3

REPATHA 2 PA QL

2 PA QL

REPATHA SURECLICK

2 PA QL

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

taztia xt 1

TEKTURNA 2 ST

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

TENORMIN E

tiadylt er 1

TIAZAC 3

TIKOSYN E

TOPROL XL E

torsemide oral 1

trandolapril 1

triamterene oral 1

TRIBENZOR E

TRICOR 3

TRILIPIX 3

TWYNSTA 3

valsartan 1

VASCEPA 2 PA

VASERETIC 3

VASOTEC 3

VECAMYL 3

VERELAN 3

VERELAN PM 3

VERQUVO E

VYNDAMAX 3 PA SP QL

VYNDAQEL 3 PA SP QL

VYTORIN E

WELCHOL 3

ZESTORETIC 3

ZETIA E

ZIAC 3

ADDERALL 3 PA QL

ADDERALL XR E

ADHANSIA XR E

1 PA QL

CONCERTA E

DAYTRANA 3 PA ST QL

DESOXYN 3 PA ST QL

3 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

EVEKEO 3 PA ST QL

EVEKEO ODT 3 PA QL

FOCALIN 3 PA QL

guanfacine hcl er 1

INTUNIV 3

3 PA ST QL

1 PA ST QL

1 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

MYDAYIS 3 PA ST QL

3 PA ST QL

relexxii 1 PA ST QL

RITALIN 3 PA QL

3 PA ST QL

STRATTERA 3 QL

VYVANSE 2 PA QL

ZENZEDI 3 PA ST QL

AMPYRA 3 PA SP QL

AUBAGIO 3 PA SP QL

2 PA SP QL

1 PA SP QL

GILENYA 3 PA SP QL

glatopa 1 PA SP QL

KESIMPTA 2 PA SP QL

LEMTRADA 3 PA SP

MAVENCLAD 3 PA SP

MAYZENT 3 PA SP QL

OCREVUS 3 PA SP QL

PLEGRIDY E SP

PONVORY E SP

TECFIDERA E SP

TYSABRI 3 PA SP QL

VUMERITY 2 PA SP QL

ZEPOSIA 3 PA SP QL

3 PA SP QL

ZEPOSIA STARTER KIT

3 PA SP QL

ADDYI 3 PA QL

ADIPEX-P E

AUSTEDO 3 PA SP QL

benzphetamine hcl E

CONTRAVE E

CONVENIENCE PAK E

GRALISE 3 ST QL

3 PA QL

IMCIVREE 3 PA SP QL

INGREZZA 3 PA SP QL

LOMAIRA E

LYRICA CR 3 ST QL

LYRICA ORAL CAPSULE

NEURAPTINE E

NUEDEXTA 3 PA

ONPATTRO 3 PA SP

QSYMIA E

RADICAVA 3 PA SP

RILUTEK 3 PA QL

riluzole 1 PA QL

SAVELLA 3 ST QL

3 ST QL

SAXENDA E

TEGSEDI 3 PA SP

TIGLUTIK 3 PA SP QL

VYLEESI 3 PA QL

XENAZINE 3 PA SP

XENICAL E

ARESTIN E

cavarest E

cevimeline hcl 1

CLINPRO 5000 E

DENTA 5000 PLUS E

DENTAGEL E

easygel dental E

EVOXAC 3

FIRST-MOUTHWASH BLM

FLUORIDEX E

KEPIVANCE 2 SP

MOUTH KOTE REMINT

MUCOSITISRX E

NAFRINSE WEEKLY E

oralone 1

PERIDEX E

periogard E

PREVIDENT E

PREVIDENT 5000 PLUS

SALAGEN 3

SALIVAMAX E

sf 5000 plus E

ABREVA E

ABSORICA E

ABSORICA LD 3 PA

ACANYA E

ACESO AG E

ACIOXIAY E

acitretin 1

ADAINZDE E

ADAINZOXIA E

AKLIEF E

ALA SCALP E

ALDARA E

ALEVAMAX E

ALTRENO 3 PA

AMELUZ E

amnesteem 1 PA

AMZEEQ 3

ANACAINE E

APEXICON E E

AQUAPHILIC E

ARAZLO E

ARIDA E

ATOPADERM E

ATOPICLAIR E

ATRALIN 3 PA

AVAR CLEANSER E

AVAR LS CLEANSER E

AVAR-E EMOLLIENT E

AVAR-E GREEN E

AVAR-E LS E

AVEIDAOXIA E

AVITA E

AZADROX E

AZELEX 3

BEAU RX E

BENZACLIN E

BENZACLIN WITH PUMP

BENZAMYCIN E

BENZEPRO EXTERNAL

benzoin compound E

BESER EXTERNAL KIT

BIAFINE E

blanche E

bp 10-1 E

bp cleansing wash E

BPCO 3

BRYHALI E

CALCITRENE 3

CAPEX E

capzix E

CARAC 3

CEM-UREA E

CERACADE E

CHLOOXIA E

claravis 1 PA

CLENIA PLUS E

CLINDACIN PAC E

clindacin-p 1

CLINDAGEL E

CLINOIN E

CLOBETAVIX E

CLOBEX 3

CLOBEX SPRAY 3

CLODAN EXTERNAL KIT

CLODERM E

COLLATYL E

COPADERM E

COPASIL EXTERNAL E

CORTANE-B EXTERNAL

DAPSONE-NIACINAMIDE

DELUO E

DEOXIA E

DERMACINRX PENETRAL

DERMELLE E

DERMULCERA 3

DERPIXA E

DESONATE E

desonide external 1

DEXERYL E

DIADIMAXIA E

DIAOXIA E

DIASDIMAXIA E

DIASOXIA E

1 ST QL

1 PA QL

DIMOXIA E

DIOCHLOY E

DIPROLENE AF 3

doxycycline 1

DRAXACE E

DRITHO-CREME HP E

DRIXECE E

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA SP QL

ECEOXIA E

ELETONE E

ELIDEL 3 ST

EMULSION SB E

enovarx-tramadol E

ENSTILAR E

ENTTY SPRAY E

ENZOCLEAR E

EPICERAM E

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

ERYGEL 3

ESKATA E

ETHOXIA E

EUCRISA 2 ST

EVOCLIN 3

FABIOR E

FINACEA 3 ST

FINAPOD E

FLUOPAR E

FLUOROPLEX 3

FLUOVIX E

FLUOVIX PLUS E

flurandrenolide E

FORAXA E

GEAMETDRAY E

GENADUR E

GORDOFILM 3

GUANENDRUX E

halcinonide E

HALOG E

HALUCORT E

HAXCHLO E

HPR PLUS HYDROGEL

HYDRO 40 E

IMIQUIMOD PUMP E

IMPEKLO E

IMPOYZ E

INOVA E

ITHOXIA E

KAMDOY E

KATARYA E

KATARYAXN E

KAXM E

KEIDO E

KELARX E

KENALOG EXTERNAL 3

KERAGEL E

KERALYT SCALP E

KETARYA E

KEVARYA E

KEXM E

KEYA E

KIVIK E

KLARON 3

KLISYRI E

KUTARYAXM E

KUTARYAXMPA E

KUTEA E

KUVARYA E

KUVARYE E

KUXM E

lactic acid e 1

lavare wound wash E

LEVULAN KERASTICK 3

LEXETTE E

LOCOID LIPOCREAM E

LUXIQ 3

MEDERMA E

MEDERMA FOR KIDS E

MEDERMA SPF 30 E

methoxsalen rapid 1

METROCREAM 3

METROLOTION 3

MIMYX E

MIRVASO 3

myorisan 1 PA

NEOSALUS E

NEUAC EXTERNAL KIT

nolix E

NORITATE E

NUCARACLINPAK E

NUCARARXPAK E

NUCORT E

NUDERMRXPAK 120 E

NUDERMRXPAK 60 E

NUTRASEB E

NUTRIARX CREAMPAK

NUVAIL E

OLUX 3

OLUX-E 3

ONEXTON 3

ONZDEOXIA E

ORACEA 3

OVACE PLUS E

OVACE PLUS WASH E

OVACE WASH E

OXIANUJO E

OXIATAR E

OXIAVARRY E

OXIAZAR E

OXOPOD E

OXSORALEN ULTRA 3

PANDEL E

PENLEN E

PHLAG SPRAY E

pimecrolimus 1 ST

PLEXION E

podocon E

PODPROG E

PR BENZOYL PEROXIDE

PR CREAM E

pramox E

prednicarbate 1

PRESERA E

PROPECIA E

PROSILK EXTERNAL E

PROTEXA E

PROTOPIC 3

PROTYL AG E

PRUCLAIR E

PRUDOXIN 3 PA

PRUMYX E

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR E

QUINIXIL E

QUTENZA E

QUTENZA (2 PATCH) E

QUTENZA (4 PATCH) E

RADIAGEL E

RECEDO E

REFISSA E

REGENECARE 3

REGRANEX 3 PA

remergent hq E

REMIGEN E

RENOVA E

RENOVA PUMP E

RESORCINOL-SULFUR

RETIN-A 3 PA

RHOFADE 3

RIAX E

ROAOXIA E

salicylic acid er E

salimez E

SALIMEZ FORTE E

SALVAX E

SALVAX DUO PLUS E

SANTYL 3

SCALACORT DK E

SCARCIN E

SCARSILK EXTERNAL E

SCARZEN SKIN REPAIR

SCENESSE 3 PA SP

SELRX E

SERNIVO 3

SILA III E

SILIPAC E

skarjel E

SOLARAVIX EXTERNAL

SOLOX E

SOOLANTRA 3

SORILUX E

sss 10-5 E

STRATA CTX E

STRATA GRT E

STRATA MARK E

STRATA TRIZ E

STRATA XRT E

SULFACLEANSE 84 E

sulfamez wash E

SUMADAN E

SUMADAN WASH E

SUMADAN XLT E

SUMAXIN E

SUMAXIN CP E

SUMAXIN WASH E

SUVICORT E

SYNALAR 3

SYNALAR (CREAM) E

SYNALAR (OINTMENT)

SYNALAR TS E

SYNERDERM E

TARDEOXIA E

TARDIMAXIA E

TAROXIA E

TASOPROL E

TEXACORT 3

TOPICORT SPRAY E

TOVET EXTERNAL KIT

TRIANEX E

TRI-CHLOR 3

TRIDESILON 3

TRILOCICLO E

TRI-LUMA E

TRIVIX E

TURPENTINE EXTERNAL

ULTRASAL-ER E

UMECTA MOUSSE E

UREA EXTERNAL FOAM

urea hydrating E

ureacin-10 E

ureacin-20 E

uredeb E

UREMEZ-40 E

URESOL E

UTOPIC E

VANIQA E

VANOS 3

VANOXIDE-HC E

VARDIMAXIA E

VAROXIA E

VECTICAL E

VELTIN E

VENELEX 3

VERDESO E

VEREGEN E

VEXASYN E

VIRASAL E

WINLEVI 3 PA

WYNZORA E

XALIX E

XERAC AC 3

XERALUX E

xurea E

ZACARE E

zenatane 1 PA

ZIANA E

ZILXI 3 ST

ZITHRANOL E

ZONALON 3 PA

ZYCLARA E

ZYCLARA PUMP E

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN E

ALOGLIPTIN BENZOATE

AMARYL 3

2 ST QL

CYCLOSET 3 ST

DUETACT 3

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

GLUCOTROL XL 3

GLUMETZA E

glyburide oral 1

GLYNASE 3

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E

OSENI E

OZEMPIC 2 ST QL

pioglitazone hcl 1

PRECOSE 3

QTERN E

repaglinide 1

RIOMET 3 ST

RYBELSUS 2 ST QL

SEGLUROMET E

SOLIQUA 2 ST QL

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1 ST

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST QL

VICTOZA 2 ST QL

XIGDUO XR 2 ST

XULTOPHY 3 ST QL

BLUESTAR E

CARETOUCH TEST E

CEQUR SIMPLICITY 2U

CONTOUR TEST STRIPS

FORTISCARE CONTROL

GUARDIAN SENSOR (3)

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST E

NOVOPEN ECHO 3

PRECISION LINK E

TRUE METRIX LEVEL 1

TRUE METRIX LEVEL 2

TRUE METRIX LEVEL 3

TRUETRACK TEST E

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

3 Made by Lilly

2Made by Fresenius

GVOKE PFS 2

PROGLYCEM 3

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR

APIDRA SOLOSTAR E

APIDRA VIAL E

BASAGLAR KWIKPEN E

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG VIAL 2

HUMULIN 7030 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R VIAL 2

INSULIN ASPART E

INSULIN SYRINGES $0

LANTUS U-100 VIAL 2

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MYXREDLIN 3

NOVOLIN 7030 RELION

NOVOLIN 7030 VIAL E

NOVOLIN N FLEXPEN E

NOVOLIN N RELION E

NOVOLIN N VIAL E

NOVOLIN R FLEXPEN E

NOVOLIN R RELION E

NOVOLIN R VIAL E

SEMGLEE E

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH

ABANEU-SL E

ACTITROM-D E

ACTIVE FE E

ACTIVITE E

adcf (05mgml) 1

ADRENAL C FORMULA

airavite E

aminoamrms E

aminoreliefrms E

ANIMI-3 E

ANIMI-3VITAMIN D E

ASCOR E

ATABEX OB 2

AZESCO E

BACMIN E

biocel E

biopetit E

bp vit 3 E

b-plex E

b-plex plus E

CALCIFOL 3

CARBAGLU 2 SP

CARNITOR ORAL 3

CARNITOR SF 3

CENFOL E

CENTRATEX E

CEREFOLIN E

CHEMET 3

CHOLECAL DF E

CIFEREX E

CITRANATAL BLOOM E

CITRANATAL MEDLEY

clovique 1 PA SP

CORVITE 150 E

corvite fe E

cytra k crystals E

d3 super strength E

DECARA E

deferasirox 1 PA

deferiprone 1 PA

DEPLIN 15 E

DEPLIN 75 E

DEXIFOL E

DIALYVITE E

DIALYVITE 3000 E

DIALYVITE 5000 E

DIALYVITE SUPREME D

DIALYVITEZINC E

d-vite pediatric E

ELFOLATE E

ENBRACE HR E

ERGOCAL E

EXJADE 3 PA

fabb E

FEONYX E

FERAHEME E

FERIVA 217 E

FERIVAFA E

ferocon E

ferotrinsic E

FERRALET 90 E

ferraplus 90 E

FERRIPROX 3 PA

FERRLECIT E

FLORIVA E

FLORIVA PLUS E

folbee E

folbee plus E

FOLBEE PLUS CZ E

FOLBIC RF E

FOLGARD OS E

FOLGARD RX E

FOLIC D3 E

FOLIC-K E

FOLI-D E

FOLITE E

FOLITIN-Z E

FOLIXAPURE E

folplex 22 E

foltanx E

FOLTANX RF E

FOLTRATE E

FOLTREXYL E

foltrin E

FOLVITE-D E

FOSTEUM E

FUSION PLUS E

GALZIN 3

GENICIN VITA-D E

GENICIN VITA-Q E

GENICIN VITA-S E

HEMATOGEN E

HEMATOGEN FA E

HEMATRON-AF E

HEMETAB E

HEMOCYTE PLUS E

HYLAVITE E

HYLAZINC E

ICAR-C PLUS E

iferex 150 forte E

INFED E

INFUVITE ADULT E

INTEGRA F E

INTEGRA PLUS E

IODINE STRONG ORAL

IROSPAN 246 E

ISOLYTE-S E

JADENU 3 PA

JYNARQUE 3 SP QL

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-conef 1

K-PHOS NO 2 E

K-PHOS-NEUTRAL E

k-prime 1

K-TAB 3

k-tan plus E

L-CYSTINE E

levocarnitine sf 1

L-ISOLEUCINE E

l-methylfolate E

l-methyl-mc E

l-methyl-mc nac E

LOKELMA 3

LORID E

MVI ADULT E

MAGNEBIND 400 3

magnesium-oxide E

MEPHYTON 3

metafolbic E

metafolbic plus E

METAFOLBIC PLUS RF

METANX ORAL CAPSULE

MICROPLEGIA MSA-MSG

MIFEPREX 3

mifepristone 1

M-NATAL PLUS 2

MONOFERRIC E

MULTIGEN E

MULTIGEN FOLIC E

MULTIGEN PLUS E

MULTIPRO E

myferon 150 forte E

MYNEPHRON E

nafrinse $0

nafrinse drops $0

NASCOBAL 3

NEONATAL + DHA E

NEONATAL 19 2

NEONATAL COMPLETE

NEONATAL FE E

NEONATAL PLUS 2

NEOVITE E

NEPHPLEX RX E

NEPHRO-VITE RX E

NESTABS 2

NESTABS ONE E

NEURIN-SL E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NIFEREX ORAL TABLET

NUFERA E

nufol E

NUTRICAP E

nutrifac zx E

NUTRIVIT E

ONE VITE WOMENS $0

ONEVITE E

ORACIT 3

ORTHO DF E

OVEEZA E

pediavit E

PHOSPHA 250 NEUTRAL

phosphorous 1

PHOXILLUM B22K40 E

PHOXILLUM BK425 E

PHYSIOLYTE E

phytonadione oral 1

PLASMA-LYTE 148 E

PLASMA-LYTE A E

PNV TABS 20-1 E

POTABA ORAL CAPSULE

PREGEN DHA E

PREGENNA E

PREMESISRX E

PRENAISSANCE E

PRENARA E

PRENATE E

PRENATE ENHANCE E

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRO HERS RX E

PRO HIS RX E

PRO PCOS RX E

PROTEINEX P18 E

QUFLORA FE E

QUFLORA GUMMIES E

QUFLORA PEDIATRIC E

RELNATE DHA 2

REMEDIENT E

RENAL ORAL CAPSULE

RENATABS E

RENATABS WITH IRON

rena-vite E

REQ 49+ E

REVESTA E

SAMSCA 3 SP QL

se-tan plus E

SIDEROL ORAL TABLET

soluvita e E

STROVITE FORTE E

STROVITE ONE E

SUPERVITE E

support E

SUPPORT-500 E

SYPRINE 3 PA SP

TALIVA E

tis-u-sol E

tl-hem 150 E

3 SP QL

1 SP QL

tricitrates E

TRICON E

TRINATE 2

TRINAZ E

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 3

TRI-VI-FLORO 3

tri-vitefluoride 1

TRONVITE E

UDAMIN SP E

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urosex E

v-c forte E

VELTASSA 3

VENEXA E

VENOFER E

vic-forte E

VINATE ONE 2

virt-caps E

VIRT-FEFA PLUS E

virt-gard E

vita s forte E

vitacel E

VITAFOL STRIPS 2

VITAFOL-NANO E

VITAFOL-OB+DHA E

VITAL-D RX E

VITAMEZ E

VITAROCA PLUS E

VITASURE E

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

vp-vite rx E

weekly-d E

westab mini E

westab one E

WESTAB PLUS 2

WESTGEL DHA E

WILZIN 3

XAQUIL XR E

XVITE E

ZALVIT E

ZYVANA E

ACIPHEX E

ACIPHEX SPRINKLE E

cimetidine oral 1

CYTOTEC 3

DEXILANT 2 QL

ESOMEP-EZS E

FIRST-LANSOPRAZOLE

1 ST QL

misoprostol oral 1

NEXIUM ORAL PACKET

nizatidine 1

1 ST QL

PEPCID ORAL TABLET

PREVACID E

PREVACID 24HR E

3 ST QL

1 ST QL

sucralfate oral 1

ZEGERID E

ACTIPHLORA E

alosetron hcl 1 PA

alvimopan 1

AMITIZA E

ANASPAZ 3

antacid calcium E

antacid maximum E

antacidantigas E

antacidanti-gas E

BACICAP E

bisacodyl ec $0 QL

bisacodyl rectal E

CHENODAL 3 PA SP

citroma $0 QL

CLENPIQ 3

constulose 1

CUVPOSA 3

diotame instydose E

docusate calcium E

docusate mini E

docuzen E

dok oral tablet E

DONNATAL E

ED-SPAZ 3

ENTEREG 3

enulose 1

EX-LAX ULTRA E

FOLIKA PROBIOTIC E

GASTROCROM 3

GATTEX 3 PA SP

gavilyte-c $0 QL

gavilyte-g $0 QL

gavilyte-h 1

GELUSIL E

generlac 1

geri-kot E

GIALAX E

GLYCATE E

glycolax $0 QL

glycopyrrolate pf E

gnp senna lax E

HELIDAC THERAPY 3

hyosyne 1

KRISTALOSE E

LACTEROL E

LACTOJEN E

lactulose oral 1

laxative max str E

LEVBID E

LEVSIN ORAL TABLET

LEVSINSL E

LIBRAX 3

LINZESS 2 ST QL

LOMOTIL ORAL TABLET

LOTRONEX 3 PA

LUBIPROSTONE E

mm clearlax $0 QL

MOTEGRITY 3 ST QL

MOTOFEN E

MOVANTIK E

MOVIPREP E

MYTESI 3 QL

NULEV 3

NULYTELY LEMON-LIME

OMECLAMOX-PAK 2

opium E

oscimin sr E

OSMOPREP E

PCP 100 E

peg-prep 1

PHENOHYTRO E

PLENVU E

PROBICHEW E

PROBITROL E

PRODIGEN E

PROMEROL E

PYLERA 2

quad-probiotic E

RELISTOR ORAL E

RELTONE E

RESTORA RX 3

senexon-s E

senna oral liquid E

senna s E

senna smooth E

senna-plus E

SENOKOT S E

3 PA SP

SUTAB 3

SYMAX DUOTAB E

SYMAX-SL E

SYMAX-SR E

SYMPROIC 2 ST QL

TALICIA 3

TRULANCE E

TUMS CHEWY BITES E

URSO 250 3

URSO FORTE 3

ursodiol oral 1

VIBERZI 3 PA QL

VISBIOME E

womens 50 billion E

3 PA SP QL

ZELAC E

ZELNORM 3 PA QL

ZORBTIVE 3 PA SP

ALDURAZYME 2 PA SP

AMONDYS 45 E SP

CERDELGA 3 PA SP

2 PA SP

CHOLBAM 3 PA SP

CITRULLINE EASY E

CREON 2

CRYSVITA 3 PA SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA SP

ELELYSO 3 PA SP

ENZADYNE E

EVRYSDI 3 PA SP QL

EXONDYS 51 E SP

FABRAZYME 2 PA SP

GALAFOLD 3 PA SP QL

KANUMA 3 PA SP

KUVAN ORAL PACKET

LUMIZYME 2 PA SP

MEPSEVII 3 PA SP

miglustat 1 PA SP

MYALEPT 3 PA SP

NAGLAZYME 2 PA SP

nitisinone 1 PA SP

NITYR 3 PA SP

OCALIVA 3 PA SP QL

ORFADIN 3 PA SP

PALYNZIQ 3 PA SP QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA SP

RAVICTI 3 PA SP

REVCOVI 3 PA SP

1 PA SP

STRENSIQ 2 PA SP

SUCRAID 3 SP

VIMIZIM 3 PA SP

VIOKACE E

VPRIV 3 PA SP

VYONDYS 53 E SP

XURIDEN 3 PA SP QL

ZAVESCA 3 PA SP

ZOLGENSMA 3 PA SP

aminoacetic acid E

AURYXIA 3

azo tabs E

BI-MIX 3

CAVERJECT IMPULSE

CERVIDIL 3

CIALIS 3 QL

3 PA SP

DETROL 3

DETROL LA 3

EDEX 3 QL

ELMIRON E

FEM PH E

flavoxate hcl 1

GEMTESA E

glycine urologic E

HYOPHEN E

INTRAROSA 3 ST

LITHOSTAT 3

menaphosmbhyo1 E

MUSE 3 QL

MYRBETRIQ 2

OXLUMO 3 PA SP

OXYTROL 3 ST QL

OXYTROL FOR WOMEN

1 PA SP

PHOSLYRA 3

PHOSPHASAL E

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM E

QUAD-MIX 3

RENACIDIN E

RENVELA 3

RIMSO-50 E

sevelamer hcl 1

STAXYN E

STENDRA E

SUPER BI-MIX 3

SUPER QUAD-MIX 3

SUPER TRI-MIX E

tadalafil oral 1 QL

THIOLA EC 3 SP

TOVIAZ 3

TRI-MIX E

URELLE E

URIBEL E

URIMAR-T E

URO-458 E

UROGESIC-BLUE E

uro-mp E

USTELL E

UTIRA-C E

VELPHORO 3

VESICARE 3

VESICARE LS E

VIAGRA E

VILAMIT MB E

VILEVEV MB E

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3 ST

dutasteride oral 1

FLOMAX E

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

UROXATRAL 3

ALKINDI SPRINKLE E

BETA 1 KIT E

BETALOAN SUIK E

BETAMETHASONE COMBO

BSP 0820 E

CELESTONE SOLUSPAN

CORTEF 3

DEPO-MEDROL E

DEXABLISS E

DEXONTO 04 3

DMT SUIK E

DOUBLEDEX E

DXEVO 11-DAY E

DYURAL-40 E

DYURAL-80 E

DYURAL-L E

DYURAL-LM E

HEMADY E

HIDEX 6-DAY E

KENALOG INJECTION 3

KENALOG-80 3

MAS CARE-PAK E

MEDROLOAN II SUIK E

MEDROLOAN SUIK E

MULTI-SPECIALTY E

ORAPRED ODT 3

P-CARE K40 E

P-CARE K40G E

P-CARE K40MX E

P-CARE K80 E

P-CARE K80G E

P-CARE K80MX E

PEDIAPRED 3

POD-CARE 100K E

POINT OF CARE L2 E

POINT OF CARE L5 E

prednisone oral 1

PRO-C-DURE 5 E

PRO-C-DURE 6 E

RAYOS E

TAPERDEX 12-DAY E

TAPERDEX 6-DAY E

TOPIDEX E

TRILOAN II SUIK E

TRILOAN SUIK E

ZCORT 7-DAY E

ZILRETTA E

AVEED E

danazol oral 1

EC-RX TESTOSTERONE

FORTESTA E

JATENZO E

METHITEST 3 PA

NATESTO E

TESTIM E

TESTONE CIK E

TESTOPEL E

VOGELXO PUMP E

XYOSTED 3 PA

EVISTA 3

OSPHENA 3

raloxifene hcl 1

ACTHAR 2 PA SP

BYNFEZIA PEN E SP

cabergoline 1

1 PA SP

DDAVP ORAL 3

DDAVP PF 3

DDAVP RHINAL TUBE 2

ELIGARD 3 PA SP QL

3 PA SP QL

2 PA SP

1 PA SP

GENOTROPIN E SP

GONAL-F E SP

GONAL-F RFF E SP

HUMATROPE E SP

INCRELEX 2 PA SP

ISTURISA E SP

1 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

MENOPUR 3 PA SP

MYCAPSSA E SP

NOCDURNA 3

2 PA SP

1 PA SP

3 PA SP

2 PA SP

1 PA SP

ORILISSA 2 PA QL

OVIDREL 3 PA SP

pregnyl 1 PA SP

SAIZEN E SP

SAIZENPREP E SP

SIGNIFOR E SP

3 PA SP QL

SOMAVERT 3 PA SP

STIMATE 3

SYNAREL 2

TEPEZZA 3 PA SP

VANTAS 3 PA SP QL

3 SP QL

2 SP QL

ZOMACTON E SP

KORLYM 3 PA SP QL

afirmelle $0 QL

ALORA 3 ST

altavera $0 QL

alyacen 135 $0 QL

alyacen 777 $0 QL

amabelz 1

amethia $0 QL

amethyst $0 QL

ANGELIQ 3

ANNOVERA E

apri $0 QL

aranelle $0 QL

ashlyna $0 QL

aubra $0 QL

aubra eq $0 QL

aurovela 1530 $0 QL

aurovela 120 $0 QL

aviane $0 QL

AYGESTIN 3

ayuna $0 QL

azurette $0 QL

BALCOLTRA E

balziva $0 QL

bekyree $0 QL

BEYAZ E

BIESTPROGESTERONE

BIJUVA 3

blisovi 24 fe $0 QL

briellyn $0 QL

camila $0 QL

camrese $0 QL

camrese lo $0 QL

caziant $0 QL

chateal $0 QL

chateal eq $0 QL

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

COVARYX E

COVARYX HS E

3 PA QL

cryselle-28 $0 QL

cyclafem 135 $0 QL

cyclafem 777 $0 QL

cyred $0 QL

cyred eq $0 QL

dasetta 135 $0 QL

dasetta 777 $0 QL

daysee $0 QL

deblitane $0 QL

DELESTROGEN 3

delyla $0 QL

DEPO-ESTRADIOL 3

DIVIGEL 3

dotti 1

DUAVEE 2

EC-RX ESTRADIOL E

EC-RX PROGESTERONE

EEMT E

EEMT HS E

ELESTRIN 3

elinest $0 QL

ELLA $0 QL

eluryng $0 QL

emoquette $0 QL

ENDOMETRIN 2 PA

enpresse-28 $0 QL

errin $0 QL

estarylla $0 QL

ESTRACE 3

estradiol oral 1

estradiol vaginal 1

ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 QL

EVAMIST 3

falmina $0 QL

fayosim $0 QL

FEMHRT LOW DOSE 3

FEMRING 3 ST QL

femynor $0 QL

fyavolv 1

gemmily $0 QL

GENERESS FE 3 QL

hailey 1530 $0 QL

hailey 24 fe $0 QL

hailey fe 120 $0 QL

heather $0 QL

1 PA SP

iclevia $0 QL

incassia $0 QL

introvale $0 QL

isibloom $0 QL

jaimiess $0 QL

jasmiel $0 QL

jencycla $0 QL

jinteli 1

jolessa $0 QL

juleber $0 QL

junel 1530 $0 QL

junel 120 $0 QL

junel fe 1530 $0 QL

junel fe 120 $0 QL

junel fe 24 $0 QL

kaitlib fe $0 QL

kalliga $0 QL

kariva $0 QL

kelnor 135 $0 QL

kelnor 150 $0 QL

kurvelo $0 QL

KYLEENA E

larin 1530 $0 QL

larin 120 $0 QL

larin 24 fe $0 QL

larin fe 1530 $0 QL

larin fe 120 $0 QL

larissia $0 QL

layolis fe $0 QL

leena $0 QL

lessina $0 QL

levonest $0 QL

levora 01530 (28) $0 QL

lillow $0 QL

lojaimiess $0 QL

loryna $0 QL

LOSEASONIQUE 3 QL

low-ogestrel $0 QL

lutera $0 QL

lyleq $0 QL

lyllana 1

lyza $0 QL

MAKENA 2 PA SP

marlissa $0 QL

MENOSTAR 3 ST

merzee $0 QL

mibelas 24 fe $0 QL

mili $0 QL

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 ST

MIRCETTE 3 QL

MIRENA (52 MG) E

mono-linyah $0 QL

NATAZIA $0 QL

necon 0535 (28) $0 QL

NEXPLANON E

nikki $0 QL

nora-be $0 QL

norlyda $0 QL

norlyroc $0 QL

nortrel 0535 (28) $0 QL

nortrel 777 $0 QL

NUVARING 3 QL

nylia 777 $0 QL

nymyo $0 QL

ocella $0 QL

ORIAHNN 2 PA QL

orsythia $0 QL

ORTHO MICRONOR E

philith $0 QL

pimtrea $0 QL

pirmella 135 $0 QL

pirmella 777 $0 QL

portia-28 $0 QL

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem $0 QL

progesterone oral 1

PROMETRIUM 3

PROVERA 3

QUARTETTE 3 QL

reclipsen $0 QL

rivelsa $0 QL

SAFYRAL 3 QL

SEASONIQUE 3 QL

setlakin $0 QL

sharobel $0 QL

simliya $0 QL

simpesse $0 QL

SKYLA E

SLYND E

sprintec 28 $0 QL

sronyx $0 QL

syeda $0 QL

tarina 24 fe $0 QL

tarina fe 120 $0 QL

TAYTULLA E

tilia fe $0 QL

tri femynor $0 QL

tri-estarylla $0 QL

tri-legest fe $0 QL

tri-linyah $0 QL

tri-lo-marzia $0 QL

tri-lo-mili $0 QL

tri-mili $0 QL

tri-nymyo $0 QL

tri-previfem $0 QL

tri-sprintec $0 QL

trivora (28) $0 QL

tri-vylibra $0 QL

tulana $0 QL

TWIRLA E

tydemy $0 QL

velivet $0 QL

vestura $0 QL

vienva $0 QL

viorele $0 QL

VIVELLE-DOT E

volnea $0 QL

vyfemla $0 QL

vylibra $0 QL

wera $0 QL

wymzya fe $0 QL

xulane $0 QL

YASMIN 28 3 QL

yuvafem 1

zafemy $0 QL

zarah $0 QL

zovia 135 (28) $0 QL

zovia 135e (28) $0 QL

zumandimine $0 QL

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

levoxyl 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

SYNTHROID 3

TAPAZOLE 3

THYQUIDITY 3

TIROSINT E

TIROSINT-SOL 3

unithroid 1

WP THYROID 3 ST

ACTEMRA 3 PA SP

ACTIMMUNE 2 PA SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 PA SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA SP

AZASAN 3

azathioprine oral 1

BAMLANIVIMAB E

BENLYSTA 3 PA SP

BERINERT 3 PA SP QL

3 PA SP

CASIRIVIMAB E

CELLCEPT 3 SP

2 PA SP

CINRYZE 2 PA SP

COSENTYX 150 MGML

CUTAQUIG E SP

CUVITRU 3 PA SP

CYTOGAM 2 PA SP

ENBREL MINI 3 PA SP

3 PA SP

ENSPRYNG 3 PA SP

ENTYVIO 3 PA SP

ENVARSUS XR 3 SP

ETESEVIMAB E

FIRAZYR 3 PA SP QL

GAMASTAN 2 PA SP

GAMIFANT 3 PA SP

GAMMAGARD 3 PA SP

3 PA SP

GAMUNEX-C 3 PA SP

HAEGARDA 3 PA SP

HEPAGAM B E

3 PA SP

2 PA SP

HYPERHEP B E

HYPERRAB E

HYPERTET SD E

HYQVIA 3 PA SP

2 PA SP QL

ILUMYA 3 PA SP

IMDEVIMAB E

IMURAN 3

INFLECTRA 2 PA SP

KALBITOR 3 PA SP QL

KEDRAB INJECTION E

KEVZARA 3 PA SP

3 PA SP

KYMRIAH 3 PA SP

leflunomide oral 1

LUPKYNIS E SP

methotrexate oral 1

MYFORTIC 3 SP

NABI-HB E

NEORAL 3 SP

NULOJIX 3 SP

OCTAGAM 3 PA SP

OLUMIANT E SP

ORENCIA INTRAVENOUS

3 PA SP

ORLADEYO 3 PA SP QL

OTEZLA ORAL TABLET

2 PA SP

3 PA QL

PANZYGA E SP

PRIVIGEN 3 PA SP

PROGRAF 3 SP

PROVENGE 2 PA SP

RAPAMUNE 3 SP

2 PA QL

REDITREX E

REMICADE E SP

RENFLEXIS E SP

RIDAURA 3 SP

RINVOQ 2 PA SP

RUCONEST 3 PA SP QL

SILIQ 3 PA SP

2 PA SP

SIMULECT E

sirolimus oral 1 SP

2 PA SP QL

STELARA INTRAVENOUS

2 PA SP

2 PA SP QL

SYNAGIS 2 PA SP

TAKHZYRO 3 PA SP

TALTZ 3 PA SP

temsirolimus 1 SP

THYMOGLOBULIN E

TICE BCG 2 SP

TORISEL 3 SP

TREMFYA 2 PA SP

TREXALL 3

UPLIZNA 3 PA SP

WINRHO SDF 2 SP

XATMEP 3

XELJANZ 2 PA SP

XELJANZ XR 2 PA SP

XEMBIFY 3 PA SP

ZINPLAVA E

ZORTRESS 3 SP

ACTHIB $0

BCG VACCINE E

BEXSERO $0

BIOTHRAX E

FLUAD $0

FLUAD QUADRIVALENT

GARDASIL 9 $0

IMOVAX RABIES E

INFANRIX $0

IXIARO E

MENACTRA $0

MENQUADFI $0

MENVEO $0

PNEUMOVAX 23 $0

PREVNAR 13 $0

RABAVERT E

ROTARIX $0

STAMARIL E

TDVAX $0

TENIVAC $0

TRUMENBA $0

VARIVAX $0

VAXCHORA E

VIVOTIF E

YF-VAX E

ana-lex E

anucort-hc E

ANUSOL-HC EXTERNAL

APRISO 2

ASACOL HD E

AZULFIDINE 3

budesonide oral 1

CANASA E

COLAZAL 3

CORTENEMA 3

CORTIFOAM EXTERNAL

DELZICOL E

DIPENTUM E

LIALDA E

LIDOCORT EXTERNAL

mesalamine oral 1

mesalamine rectal 1

ORTIKOS E

PENTASA 3

PROCORT EXTERNAL E

PROCTOCORT EXTERNAL

ROWASA RECTAL 3

SFROWASA 2

UCERIS 3

ATELVIA 3 QL

BINOSTO 3 QL

BONIVA INTRAVENOUS

EVENITY 3 PA SP QL

FOSAMAX PLUS D E

MIACALCIN INJECTION

2 PA SP QL

RAYALDEE 3

RECLAST 3 SP

2 PA SP

TYMLOS 2 PA SP

XGEVA 2 PA SP

calcitriol oral 1

cinacalcet hcl 1 PA

NATPARA 3 PA SP QL

paricalcitol oral 1

PARSABIV 3 SP

ROCALTROL 3

SENSIPAR 3 PA

ZEMPLAR INTRAVENOUS

ACACIA SUBCUTANEOUS

ACREMONIUM E

ACST KIT E

ACUNOL E

ADAKVEO 3 PA SP

ADULT AEROSOL MASK

ALDER E

ALTERNARIA E

AMERICAN BEECH E

AMERICAN COCKROACH

AMERICAN ELM E

AMINOPMRMS E

APP SLIM RMS E

ARIZONA CYPRESS E

asilnasalrms E

ASPARTAME E

AUREOBASIDIUM E

AUSTRALIAN PINE E

AVAILNEX E

AVITENE E

AVITENE FLOUR E

AXONA E

AZALGIA E

BAHIA E

BALD CYPRESS E

BHI URI-CONTROL E

BLACK WILLOW E

BROME E

CARDIOVID PLUS E

CARTICEL E

CATTLE EPITHELIUM E

CAYA $0 QL

CEDAR ELM E

COCKLEBUR E

COLCIGEL E

CONDOMS E

CORN POLLEN E

CORTROSYN E

CROFAB E

CURVULARIA E

DANDELION E

desflurane 1

DIGIFAB E

DOG EPITHELIUM E

DOG FENNEL E

DOJOLVI E

DRECHSLERA E

2 PA SP

DYSPORT 3 PA SP

EASIVENT 2

EASTERN COTTONWOOD

EC-RX DHEA E

ECZEMOL E

ENDARI 3 PA

ENDO AVITENE E

ENLYTE E

ENTERAGAM E

enteric fish oil E

ENU PRO3 PLUS E

EPICOCCUM E

EPISIL E

EQUACARE JR E

ESSENTIAL CARE JR E

2 PA SP

FIRDAPSE E SP

FIRE ANT E

FORANE 3

FOSTEUM PLUS E

FUSARIUM E

GELCLAIR E

GELFILM EXTERNAL E

GEL-FLOW E

GEL-FLOW NT E

GELFOAM E

GELFOAM SPONGE E

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GELSYN-3 2 PA SP

GELX E

GERMAN COCKROACH

GIVLAARI 3 PA SP

GLEOLAN E

GLYTACTIN BURST E

GLYTACTIN RESTORE 5

GLYTACTIN RTD 15 E

GOLDENROD E

GRASTEK 3 PA QL

HACKBERRY E

HCU EASY E

HEPMED E

HIBICLENS E

HOMACTIN AA PLUS E

HOME PAP KIT E

HORSE EPITHELIUM E

HUMATROPEN FOR 12MG

HUMATROPEN FOR 24MG

HUMATROPEN FOR 6MG

HYALGAN E SP

HYLAFEM E

HYMOVIS E SP

INTERCEED E

IOSAT E

isoflurane 1

JOHNSON GRASS E

KAPOK E

KETOVIE LIQUID ORAL

KETOVIE PEPTIDE E

KOCHIA E

LENSCALE E

LIMBREL E

LIMBREL250 E

LIMBREL500 E

LORMATE E

MACRILEN E

MELALEUCA E

MESQUITE E

METHAVER E

METOPIRONE E

MIXED ASPERGILLUS E

MIXED FEATHERS E

MIXED RAGWEED E

MKO MELT DOSE PACK

mlk f1 E

mlk f2 E

mlk f3 E

mlk f4 E

MONOVISC E SP

MORCIN E

MOUNTAIN CEDAR E

MOUSE EPITHELIUM E

MSUD EASY E

MUCOR SUBCUTANEOUS

MUCOTROL E

MUGARD E

MUGWORT E

MYOBLOC 3 PA SP

NEODOT THERMOMETER

NICAPRIN E

NICAZYME E

ODACTRA 3 PA QL

OLIVE TREE E

OMNIVEX E

ORALAIR 3 PA QL

3 PA QL

ORAMAGICRX E

OXBRYTA E SP

PALFORZIA E SP

PH STRIPS E

PHEXXI E

PHOMA EXIGUA E

PKU EASY E

PKU EASY MICROTABS

PKU GO E

PRAXBIND E

PRID E

PRIVET E

PRO-CRITIC E

PROLEVA E

PSORIZIDE FORTE E

PSORIZIDE ULTRA E

PURAMINO DHAARA E

QUEEN PALM E

RABBIT EPITHELIUM E

RADIOGARDASE 3

RAGWITEK 3 PA QL

RAPID GEL RX E

RED MAPLE E

RED MULBERRY E

RESECTISOL E

RHEUMATE E

RHIZOPUS E

RIBOZEL E

ROUGH MARSH ELDER

RUSSIAN THISTLE E

RUZURGI 3 PA SP

sevoflurane 1

SHAGBARK HICKORY E

SHARPS CONTAINER E

SHEEP SORREL E

SILTREX E

SORBITOL IRRIGATION

sorbitol-mannitol E

SORRELDOCK MIX E

SPEEDGEL RX E

SPINRAZA 3 PA SP

SPINY PIGWEED E

STEMPHYLIUM E

SUPARTZ FX E SP

SUPRANE 3

SWEET GUM E

SYRINGE AVITENE E

TACHOSIL 3

TALL RAGWEED E

terrell 1

THROMBI-GEL 10 E

THROMBI-GEL 100 E

THROMBI-GEL 40 E

THROMBI-PAD E

THYROGEN 2 PA SP

TOBAKIENT E

TRANZGEL E

TRILURON E SP

T-SUPPORT MAX E

TYLACTIN RESTORE 10

TYLACTIN RTD 15 E

TYR EASY E

TYROS 2 E

ULTANE 3

ULTRA HERS RX E

ULTRA HIS E

ULTRA PCOS E

VASCULERA E

VILACTIN AA PLUS E

VILTEPSO E SP

VISTOGARD 3

WELLMIND VERTIGO E

westab max E

WESTERN JUNIPER E

WHITE BIRCH E

WHITE MULBERRY E

WHITE OAK E

WHITE PINE E

XEOMIN 3 PA SP

XIAFLEX 2 PA SP

XYZBAC E

XYZMUNE E

YELLOW DOCK E

ZOKINVY 3 PA SP QL

ZYVEXOL E

ZYVIT E

ACULAR 3

ACULAR LS 3

ACUVAIL E

ALAWAY E

ALOCRIL E

ALOMIDE 3

ALREX E

AZASITE 3

BEPREVE E

BESIVANCE 3

BLEPH-10 3

BROMSITE E

CILOXAN 3

DEXTENZA E SP

DEXYCU E

DUREZOL E

epinastine hcl 1

eye itch relief E

EYSUVIS 3 PA

FLAREX 3

FML FORTE 3

FML LIQUIFILM 3

ILEVRO E

INVELTYS 3

KLARITY-A E

KLARITY-L E

LOTEMAX SM 3

MAXIDEX 3

MITOSOL 3

MOXEZA 2

NATACYN 2

NEVANAC E

OCUFLOX 3

PRED FORTE 3

PRED MILD 3

PROLENSA 2 QL

TOBREX 3

TRIPLE PMB E

TRIPLE PMK E

UPNEEQ 3 PA

VIGAMOX 3

YUTIQ E SP

ZADITOR E

ZERVIATE E

ZIRGAN 3

ZYMAXID 3

acetazolamide er 1

apraclonidine hcl 1

AZOPT 3

BETIMOL 3

BETOPTIC-S 3

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

DURYSTA E

ISOPTO CARPINE 3

ISTALOL 3

KEVEYIS 3 PA SP QL

PHOSPHOLINE IODIDE

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

TIMOPTIC E

TIMOPTIC-XE E

TRAVATAN Z 3 QL

TRUSOPT 3

VYZULTA E

XALATAN 3

XELPROS 3 ST QL

ZIOPTAN E

ak-poly-bac 1

AKTEN 3

ALCAINE 3

ALTACAINE 3

altachlore E

ALTAFLUOR BENOX E

artificial eye E

BEOVU E SP

BEVACIZUMAB 3 SP

BIO GLO E

BLEPHAMIDE 3

BLEPHAMIDE SOP 3

CEQUA E

CYCLOGYL 3

CYCLOMYDRIL 3

CYSTARAN 3 PA SP QL

DOUBLE PM E

EYLEA INTRAVITREAL

3 PA SP

FLUCAINE E

fluor-i-strips at E

FLURA-SAFE E

FUL-GLO E

GELFILM OPHTHALMIC

homatropaire 1

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT E

LATISSE E

lubricant eye pm E

lubricant pm E

2 PA SP

3 PA SP

MAXITROL 3

MYDRIACYL E

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 PA SP QL

PAREMYD E

polycin 1

POLYTRIM 3

PRED-G 3

PRED-G SOP 3

REFRESH RELIEVA E

RESTASIS 2 PA

SYSTANE COMPLETE E

SYSTANE ULTRA PF E

TOBRADEX ST 3

ultra fresh pm E

VISIONBLUE 3

VISTA MEIBO TEARS E

VISTA TEARS E

VISUDYNE 3 SP

XIIDRA 2 PA

ZYLET 3

acetic acid otic 1

CETRAXAL 3 ST

CIPRO HC 3

CIPRODEX E

cortic-nd 1

CORTISPORIN-TC 3

DERMOTIC 3

exotic-hc 1

flac 1

ofloxacin otic 1

OTIPRIO E

OTOVEL E

PRAMOTIC 3

12 hour allergy-d E

ADRENALIN NASAL E

all day allergy d E

allergy 24-hr E

allergy childrens E

BECONASE AQ 3 QL

benzonatate 1

CINQAIR 3 PA SP

CLARINEX-D 12 HOUR

DICOPANOL FUSEPAQ

DICOPANOL RAPIDPAQ

DI-PHEN E

DYMISTA 2 QL

FASENRA 2 PA SP

FASENRA PEN 2 PA SP

GILPHEX TR E

HYCODAN 3 PA QL

1 PA QL

hydromet 1 PA QL

HYPERSAL 3

loratadine-d 12hr E

loratadine-d 24hr E

maxi-tuss gmx E

maxi-tuss pe max E

m-dryl E

MICLARA LQ E

MUCINEX DM E

mucus dm E

mucus-d E

NASONEX E

NEOTUSS PLUS E

NUCALA 2 PA SP QL

OMNARIS 3 QL

PATANASE 3 QL

PHENERGAN INJECTION

promethazine vc 1

1 PA QL

promethegan 1

PROPEL E

PROPEL MINI E

QNASL 3 QL

ryvent E

sinus 12 hour E

SINUVA E

SSKI E

SUDAFED CONGESTION

sudogest 12 hour E

TESSALON PERLES 3

TUXARIN ER E

XHANCE E

XOLAIR 2 PA SP

ZETONNA 3 QL

ACCOLATE 3

ADVAIR DISKUS 1 QL

ADVAIR HFA 2 QL

ADYPHREN E

ADYPHREN AMP E

ADYPHREN AMP II E

ADYPHREN II E

AIRDUO DIGIHALER E

ALVESCO E

ANORO ELLIPTA 2 QL

3 PA SP

ARMONAIR DIGIHALER

ASMANEX HFA E

ATROVENT HFA 3 QL

BEVESPI AEROSPHERE

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE

BROVANA 3 QL

COMBIVENT RESPIMAT

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E

ELIXOPHYLLIN 2

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V E

EPISNAP E

ESBRIET 3 PA SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

1 ST QL

GLASSIA 3 PA SP

INCRUSE ELLIPTA E

OFEV 3 PA SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

3 PA SP

PROVENTIL HFA E

PULMICORT FLEXHALER

QVAR REDIHALER E

SEEBRI NEOHALER E

SINGULAIR E

SPIRIVA HANDIHALER

STERITALC 3

STRIVERDI RESPIMAT

2 ST QL

SYMBICORT 2 QL

SYMJEPI 3

THEO-24 3

theophylline 1

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub E

XOPENEX NEB 3 QL

XOPENEX CONCENTRATE

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA SP

zileuton er 1 ST

ZYFLO E

BETHKIS E SP

BRONCHITOL E

CAYSTON E SP

KALYDECO 3 PA SP

KITABIS PAK E SP

ORKAMBI 3 PA SP QL

PULMOZYME 2 PA SP

SYMDEKO 3 PA SP QL

TOBI NEBULIZER E SP

TRIKAFTA 3 PA SP QL

ADCIRCA 3 PA SP QL

ADEMPAS 2 PA SP QL

alyq 1 PA SP QL

bosentan 1 PA SP QL

FLOLAN 3 PA SP

LETAIRIS 3 PA SP QL

OPSUMIT 2 PA SP QL

ORENITRAM 3 PA SP

REVATIO INTRAVENOUS

3 PA SP

1 PA SP

1 PA SP QL

TUDORZA PRESSAIR

TYVASO 3 PA SP QL

UPTRAVI 3 PA SP QL

VELETRI 3 PA SP

VENTAVIS 3 PA SP QL

AMRIX E

BACLOFEN EXTERNAL

baclofen oral 1

carisoprodol oral 1

CYCLOGABA 10300 E

CYCLOPAK E

CYCLOPHENE RAPIDPAQ

enovarx-baclofen E

FEXMID 3

FIRST-BACLOFEN E

LIORESAL E

LORZONE 3

METAXALL CP E

metaxalone 1

NOPIOID-LMC KIT E

NORGESIC FORTE E

OZOBAX E

SKELAXIN E

SOMA 3

TABRADOL FUSEPAQ E

TABRADOL RAPIDPAQ

VANADOM 3

ZANAFLEX E

AMBIEN E

AMBIEN CR E

armodafinil 1 PA QL

BELSOMRA 3 ST QL

DAYVIGO 3 ST QL

EDLUAR E

eszopiclone 1 QL

HETLIOZ 3 PA SP QL

HETLIOZ LQ E SP

LUNESTA E

modafinil 1 PA QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 QL

SILENOR 3 QL

SUNOSI 2 PA QL

temazepam 1 QL

WAKIX 3 PA SP QL

XYREM 3 PA SP QL

XYWAV 3 PA SP QL

zaleplon 1 QL

ZOLPIMIST 3 ST QL

Index of Drugs

Drug Tier

Directions Doctor

-Continued on back-

(Farsi)

HealthSelectSM

Premium standard

Anesthetics

Antibacterials

Anticoagulants

Antidepressants

Antifungals

Antigout Agents

Antimigraine Agents

Antimycobacterials

Antiparasitics

Antiplatelets

Antivirals

Diabetes - Insulins

Tier information

Tier 1 Lowest Cost

Tier 3 Highest Cost

Table of Contents

acetaminophen er E

ACTIQ 3 PA QL

ALLZITAL E

APADAZ E

ascomp-codeine 1

BELBUCA 2 PA QL

BUPRENEX E

1 PA QL

BUTRANS 3 PA QL

CONZIP E

DILAUDID ORAL E

DSUVIA E

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph E

ESGIC 3

fentanyl 1 PA QL

1 PA QL

1 PA ST QL

1 PA QL

HYSINGLA ER 2 PA QL

INFUMORPH 200 E

INFUMORPH 500 E

migraine relief E

mitigo E

1 PA QL

m-pap E

NALOCET E

NUCYNTA E

NUCYNTA ER E

OXAYDO ORAL TABLET

2 PA QL

PANADOL CHILDRENS

PANADOL EXTRA E

PANADOL INFANTS E

PRIALT 2 SP

PROLATE E

QDOLO E

SUBSYS E

SYNAPRYN FUSEPAQ E

1 PA ST QL

1 PA QL

TYLENOL 8 HOUR E

TYLENOL ORAL TABLET

ULTRACET E

ULTRAM E

VTOL LQ E

XTAMPZA ER 2 PA QL

ADVIL E

ADVIL MIGRAINE E

ALEVE ORAL TABLET E

BIIFENAC 1000 E

BIIFENAC 500 E

CAMBIA E

CAPSFENAC PAK E

CAPSINAC E

CATAFLAM 3

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3

DFSMSMENTHCAP PAK

DICLOFENAC CAP 35MG

DICLOPR E

DICLOSTREAM E

DICLOTREX E

DICLOVIX E

DICLOVIX M E

DICLOZOR EXTERNAL

diflunisal oral 1

DIMENTHO E

DUEXIS E

EC-NAPROSYN 3

ec-naproxen 1

enovarx-ibuprofen E

etodolac er 1

etodolac oral 1

FBL KIT E

FELDENE 3

FLECTOR EXTERNAL E

FLEXIPAK E

flurbiprofen oral 1

FROTEK E

IBUPAK E

ibuprofen 1

ibuprofen infants E

inavix E

INDOCIN ORAL 3 ST

INDOCIN RECTAL E

indomethacin er 1

INFLAMMACIN E

KBGL IN TERODERM

kapzin dc E

KETOPHENE RAPIDPAQ

ketoprofen er 1

ketoprofen oral 1

3 PA QL

LICART EXTERNAL E

LODINE 3

MOBIC ORAL TABLET E

nabumetone oral 1

NALFON ORAL TABLET

1 PA QL

NUDICLO SOLUPAK E

NUDICLO TABPAK E

NUDROXIPAK E

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400 E

NUDROXIPAK I-800 E

NUDROXIPAK M-15 E

NUDROXIPAK N-500 E

ORMECA E

oxaprozin 1

PENNSAID EXTERNAL

piroxicam oral 1

PRASTERA E

QMIIZ ODT E

RELAFEN E

RELAFEN DS E

salsalate oral E

SPRIX 3 PA QL

sulindac oral 1

TORONOVA II SUIK E

TORONOVA SUIK E

VAROPHEN E

VENNGEL ONE E

VIMOVO E

VIVLODEX 3 ST

VOLTAREN EXTERNAL

VP FC KIT E

VP GKL KIT E

XRYLIX EXTERNAL E

ZIPSOR E

ZORVOLEX E

Anesthetics

7T LIDO E

ACCUCAINE E

AGONEAZE E

ANODYNE LPT E

APRIZIO PAK E

APRIZIO PAK II E

ASTERO E

blue tube aloe E

CADIRAMD E

CAPSAICIN-MENTHOL

COCAINE HCL NASAL E

DERMACINRX PHN E

DERMACINRX PRIZOPAK

DERMACINRX ZRM E

DERMALID E

EMPRICAINE-II E

ENZNONUTY E

ethyl chloride 1

EXPAREL E

FLEXIN E

GEBAUERS PAIN EASE

GEN7T E

GEN7T PLUS E

GOPRELTO E

LDO PLUS E

lets E

LEVATIO E

LIDO BDK E

LIDOCANNA E

LIDODERM E

LIDOMARK 25 E

LIDOPAC E

LIDOPRIL XR E

LIDOPURE PATCH E

LIDORX E

LIDO-SORB E

LIDOSTREAM E

LIDOTHOL E

LIDOTRAL E

LIDOVIX L E

LIDTOPIC MAX E

LIVIXIL PAK E

LMR PLUS E

LYDEXA E

MARCAINE E

marlido E

MARLIDO-25 E

MARVONA SUIK E

NUMBRINO E

NUVAKAAN E

NUVAKAAN-II E

PAINGO KFT E

PLIAGLIS E

POINT OF CARE LM-22

POINT OF CARE LM-25

premium lidocaine E

PREMIUM SCAR E

PREPIV SUPPLY 3

PRILO PATCH E

PRILO PATCH II E

PRILOLID E

PRILOVIX E

PRILOVIX LITE E

PRILOVIX PLUS E

PRILOVIXIL E

PRIZOPAK II E

PRIZOTRAL E

PRIZOTRAL-II E

READYSHARP-A E

RELADOR PAK PLUS E

SENSORCAINE E

SKYADERM-LP E

SYNERA E

VEXATROL E

XARACOLL E

XYLOCAINE INJECTION

ZERUVIA E

ZILACAINE PATCH E

ZIONODIL E

ZIONODIL 100 E

ZTLIDO E

CHANTIX $0 QL

disulfiram oral 1

habitrol $0 QL

LIFEMS NALOXONE E

LUCEMYRA 3 ST QL

NARCAN 2

NICOTROL $0 QL

NICOTROL NS $0 QL

SUBLOCADE 3 SP

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA

ALTABAX 3

ARIKAYCE 3 PA SP

AUGMENTIN ES-600 3

avidoxy 1 ST

AVIDOXY DK E

BACTRIM 3

BACTRIM DS 3

BAXDELA INTRAVENOUS

BAXDELA ORAL 3

BENZODOX E

BICILLIN L-A E

cefaclor 1

cefaclor er 1

cefadroxil 1

cefdinir 1

cefixime 1

CEFOTAN E

cefprozil 1

CENTANY 3

CENTANY AT E

cephalexin 1

clarithromycin er 1

CLEOCIN ORAL 3

CLINDESSE 3

COLY-MYCIN M E

coremino E

CUBICIN E

CUBICIN RF E

daptomycin E

DIFICID 3

DORYX MPC E

doxy 100 E

EES GRANULES 3

ertapenem sodium E

ERYPED 200 3

ERYPED 400 3

ERY-TAB 3

erythromycin oral 1

FETROJA E

FIRVANQ 3

FLAGYL ORAL CAPSULE

HIPREX 3

INVANZ INJECTION E

levofloxacin oral 1

LINCOCIN E

linezolid oral 1 QL

MACROBID 3

MACRODANTIN 3

MINOLIRA E

MONUROL 3

mupirocin calcium E

NUTRIDOX E

NUVESSA E

PRIMSOL 3

RECARBRIO E

SEYSARA 3 ST

SILVADENE 3

SIVEXTRO E

SOLOSEC 3

sulfadiazine oral 1

SUPRAX ORAL CAPSULE

TARGADOX E

tazicef injection E

tigecycline E

tinidazole oral 1

trimethoprim oral 1

TYGACIL E

VANCOCIN 3

vandazole 1

VIBRAMYCIN 3 ST

XENLETA INTRAVENOUS

XENLETA ORAL 3

XEPI 3

XIFAXAN 3 PA

XIMINO 3

ZEMDRI E

ZITHROMAX TRI-PAK 3

ZITHROMAX Z-PAK 3

ZYVOX ORAL 3 QL

Anticoagulants

ACD-A NOCLOT-50 3

ACTIVASE E

ARIXTRA 3 SP QL

CATHFLO ACTIVASE E

ELIQUIS 2 QL

3 SP QL

jantoven 1

LOVENOX 3 SP QL

PRADAXA 2 QL

REGIOCIT E

SAVAYSA 3 QL

THROMBATE III 3 SP

TRICITRASOL 3

XARELTO 2 QL

APTIOM 3

BANZEL 3 PA

BRIVIACT ORAL 3 ST

carbamazepine er 1

CARBATROL 3

CELONTIN 3

clobazam 1 PA

DEPAKOTE 3

DEPAKOTE ER 3

DIACOMIT 3 PA SP

DILANTIN INFATABS E

ELEPSIA XR E

EPIDIOLEX 3 PA SP

epitol 1

ethosuximide oral 1

FANATREX FUSEPAQ E

felbamate 1

FELBATOL 3

FINTEPLA 3 PA SP

FYCOMPA 3

GABITRIL 3

KEPPRA INTRAVENOUS

KEPPRA ORAL 3

KEPPRA XR 3

LAMICTAL STARTER 3

LAMICTAL XR 3

lamotrigine er 1

levetiracetam er 1

MYSOLINE 3

NAYZILAM 3 QL

NEURONTIN 3

oxcarbazepine 1

OXTELLAR XR E

PHENYTEK 3

primidone oral 1

QUDEXY XR 3

rufinamide 1 PA

SABRIL ORAL PACKET

SABRIL ORAL TABLET

3 PA SP

SPRITAM E

subvenite 1

SYMPAZAN 3 PA

TEGRETOL-XR 3

tiagabine hcl 1

TOPAMAX 3

TOPAMAX SPRINKLE 3

topiramate er 1

topiramate oral 1

TRILEPTAL 3

TROKENDI XR 3 ST

VALTOCO 3 QL

vigabatrin 1 PA SP

vigadrone 1 PA SP

VIMPAT INTRAVENOUS

VIMPAT ORAL 3

XCOPRI 3 ST

ZARONTIN 3

ZONEGRAN 3

zonisamide oral 1

ARICEPT 3

donepezil hcl 1

EXELON TRANSDERMAL

NAMENDA ORAL TABLET

NAMENDA XR 3 QL

NAMZARIC 2 QL

RAZADYNE ER 3

rivastigmine 1

Antidepressants

amoxapine 1

ANAFRANIL 3

APLENZIN E

BRISDELLE 3 ST QL

CELEXA ORAL TABLET

CYMBALTA E

DESVENLAFAXINE ER

3 ST QL

EFFEXOR XR E

EMSAM 3 QL

FETZIMA 3 ST QL

FORFIVO XL E

LEXAPRO ORAL TABLET

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3

nefazodone hcl 1

PARNATE 3

paroxetine hcl er 1

PAXIL CR 3

PAXIL ORAL TABLET 3

PEXEVA E

PRISTIQ E

protriptyline hcl 1

PROZAC ORAL CAPSULE

REMERON SOLTAB 3

3 PA SP

TRINTELLIX 3 ST QL

venlafaxine hcl 1

VIIBRYD ORAL TABLET

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA SP

AKYNZEO INTRAVENOUS

AKYNZEO ORAL 3 QL

ANZEMET ORAL 3 QL

aprepitant 1 QL

BONJESTA 3 PA QL

compro 1

DICLEGIS 3 PA QL

dronabinol 1 PA QL

EMEND TRI-PACK 3 QL

GIMOTI E

MARINOL 3 PA QL

ondansetron odt 1

palonosetron hcl E

perphenazine oral 1

prochlorperazine 1

REGLAN ORAL 3

SANCUSO 3 QL

scopolamine 1

SUSTOL E

SYNDROS 3 PA QL

TIGAN INTRAMUSCULAR

TIGAN ORAL 3

ZUPLENZ E

Antifungals

ALA-QUIN E

ALCORTIN A E

ANCOBON 3

CRESEMBA ORAL 3

DIFLUCAN 3

DIFMETIOXRIME E

ECONASIL E

ECOZA E

ERTACZO E

EXELDERM E

EXTINA 3

fluconazole oral 1

flucytosine oral 1

FUNGIMEZ E

GYNAZOLE-1 3

HIXDEFRIMA E

IMIOXIA E

IODOQUIMEZ-HC E

JUBLIA E

KERYDIN 3 PA

ketoconazole oral 1

LOPROX EXTERNAL KIT

LULICONAZOLE E

LUZU E

MENTAX E

micaderm E

miconazole 1 E

miconazole 7 E

MYCOZYL AP E

naftifine hcl 1

NAFTIN EXTERNAL GEL

NOXAFIL ORAL 3 PA

nyamyc 1

nystatin external 1

nystop 1

ONYCHO-MED E

ORAVIG E

PEDIZOLPAK E

PHEODOYO E

PHEYO E

posaconazole 1 PA

QUINJA E

RECURA E

SPORANOX 3 PA

SPORANOX PULSEPAK

SULCONAZOLE NITRATE

tavaborole 1 PA

terconazole 1

TOLSURA E

VFEND 3

voriconazole oral 1

VUSION E

VYTONE E

XOLEGEL E

XOLEGEL COREPAK E

XOLEGEL DUOXOLEX

ZOLPAK E

Antigout Agents

allopurinol oral 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA SP

MITIGARE E

probenecid oral 1

ULORIC 3 ST

ZYLOPRIM 3

EMFLAZA 3 PA SP

Antimigraine Agents

2 PA QL

AJOVY E

AMERGE 3 QL

CAFERGOT 3

DHE 45 3 PA QL

1 PA QL

EMGALITY 2 PA QL

2 PA QL

ERGOMAR 3

FROVA 3 QL

IMITREX 3 QL

MIGERGOT 3

MIGRAINE PACK E

MIGRANAL 3 PA QL

MIGRANOW E

NURTEC 2 PA QL

RELPAX 3 QL

REYVOW E

SUMANSETRON E

TOSYMRA E

3 ST QL

UBRELVY 2 PA QL

VYEPTI E

ZEMBRACE SYMTOUCH

ZOLMITRIPTAN NASAL

3 ST QL

ZOMIG NASAL 3 ST QL

ZOMIG ORAL E

ZOMIG ZMT E

GUANIDINE HCL ORAL

Antimycobacterials

CAPASTAT SULFATE E

cycloserine oral 1

dapsone oral 1

isoniazid oral 1

MYCOBUTIN 3

PASER 3

PRETOMANID 3

PRIFTIN 3

pyrazinamide oral 1

rifabutin 1

rifampin oral 1

SIRTURO 3

TRECATOR 3

ABRAXANE 2 SP

ADCETRIS 2 PA SP

2 PA SP QL

ALECENSA 2 PA SP

ALIMTA 2 SP

ALIQOPA 3 PA SP

ALKERAN 3 SP

ALUNBRIG 2 PA SP QL

anastrozole oral $0

ARIMIDEX E

AROMASIN 3

ARRANON 2 SP

ARZERRA 2 PA SP

ASPARLAS 3 SP

AVASTIN 3 PA SP

AYVAKIT 3 PA SP QL

azacitidine 1 PA SP

BALVERSA 3 PA SP

BAVENCIO 3 PA SP

BELEODAQ 3 PA SP

BELRAPZO E SP

BENDEKA 3 PA SP

BESPONSA 3 PA SP

bexarotene 1 PA SP

bicalutamide 1

BICNU 3 SP

BLENREP 3 PA SP

BLINCYTO 3 PA SP

BORTEZOMIB 3 PA SP

BOSULIF 3 PA SP

3 PA SP

BREYANZI E SP

BRUKINSA 3 PA SP

busulfan 1 SP

BUSULFEX 3 SP

CABOMETYX 2 PA SP

CALQUENCE 3 PA SP

CAMPATH 2 SP

CAMPTOSAR 3 SP

2 PA SP QL

2 PA SP

carmustine 1 SP

CASODEX 3

clofarabine 1 SP

CLOLAR 3 SP

3 PA SP

COPIKTRA 3 PA SP

COSELA E SP

COSMEGEN 3 SP

COTELLIC 3 PA SP

CYRAMZA 3 PA SP

DACOGEN 3 PA SP

dactinomycin 1 SP

DANYELZA 3 PA SP

DARZALEX 3 PA SP

DAURISMO 3 PA SP

decitabine 1 PA SP

DOXIL 3 SP

DROXIA 3

ELITEK 3 SP

ELLENCE 3 SP

ELZONRIS 3 PA SP

EMCYT 2

EMPLICITI 3 PA SP

ENHERTU 3 PA SP

ERBITUX 2 PA SP

ERIVEDGE 2 PA SP

ERLEADA E SP

1 PA SP

1 PA SP QL

ERWINAZE INJECTION

ETHYOL 3 SP

ETOPOPHOS 3 SP

etoposide oral 1 SP

1 PA SP QL

EVOMELA 3 SP

exemestane $0

FARESTON 3

FARYDAK 3 PA SP

FEMARA 3

flutamide 1

FOLOTYN 2 PA SP

FOTIVDA E SP

fulvestrant 1 SP

GAVRETO E SP

GAZYVA 3 PA SP

GILOTRIF 3 PA SP QL

GLEEVEC 3 PA SP

HALAVEN 2 PA SP

HERCEPTIN HYLECTA

3 PA SP

HERZUMA E SP

HYCAMTIN 3 SP

HYDREA 3

hydroxyurea oral 1

IBRANCE 3 PA SP

3 PA SP QL

3 PA SP

IDAMYCIN PFS 3 SP

idarubicin hcl 1 SP

IDHIFA 3 PA SP QL

IFEX 3 SP

ifosfamide 1 SP

IMBRUVICA 3 PA SP

IMFINZI 3 PA SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA 3 PA SP

INQOVI E SP

INREBIC 3 PA SP

IRESSA 3 PA SP

irinotecan hcl 1 SP

IXEMPRA KIT 2 SP

2 PA SP QL

2 PA SP

JELMYTO E SP

JEVTANA 2 PA SP

KADCYLA 3 PA SP

KANJINTI 2 PA SP

3 PA SP

KHAPZORY 3 ST SP

3 PA SP

KOSELUGO 3 PA SP

KYPROLIS 2 PA SP

3 PA SP

letrozole oral 1

LEUKERAN 2

LIBTAYO 3 PA SP

LONSURF 3 PA SP

LORBRENA 3 PA SP

LUMOXITI 3 PA SP

LUTATHERA E

2 PA SP

LYSODREN 2

MARQIBO 3 SP

MATULANE 2 SP

MEKINIST 2 PA SP

MEKTOVI 3 PA SP

melphalan 1 SP

melphalan hcl 1 SP

mesna 1 SP

MESNEX 3 SP

MONJUVI 3 PA SP

mutamycin 1 SP

MVASI 2 PA SP

MYLERAN 2

3 PA SP

NAVELBINE 3 SP

NERLYNX 3 PA SP QL

NEXAVAR 2 PA SP

NILANDRON 3 SP

nilutamide 1 SP

NINLARO 3 PA SP

NIPENT 3 SP

NUBEQA 3 PA SP

ODOMZO 3 PA SP

OGIVRI E SP

ONCASPAR INJECTION

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG 3 PA SP

OPDIVO 3 PA SP

ORGOVYX 3 PA SP

paclitaxel 1 SP

PADCEV 3 PA SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE 3 PA SP QL

PERJETA 2 PA SP

PHESGO 2 PA SP

PHOTOFRIN 3 SP

PIQRAY 3 PA SP

POLIVY 3 PA SP

POMALYST 3 PA SP

PORTRAZZA 3 PA SP

POTELIGEO 3 PA SP

PROLEUKIN 2 SP

PURIXAN 3 SP

QINLOCK 3 PA SP

RETEVMO 3 PA SP

REVLIMID 2 PA SP

RIABNI 3 PA SP

3 PA SP

ROZLYTREK 3 PA SP

RUBRACA 2 PA SP

RUXIENCE 2 PA SP

RYDAPT 3 PA SP

SARCLISA 3 PA SP

SIKLOS 3 PA

SOLTAMOX $0

SPRYCEL 2 PA SP

STIVARGA 3 PA SP

SUTENT 2 PA SP

SYLVANT 3 PA SP

SYNRIBO 3 PA SP

TABLOID 2 SP

TABRECTA E SP

TAFINLAR 2 PA SP

3 PA SP QL

3 PA SP

TALZENNA 3 PA SP

3 PA SP

3 PA SP QL

TARGRETIN EXTERNAL

3 PA SP

TARGRETIN ORAL E SP

TASIGNA 3 PA SP

TAZVERIK E SP

TECARTUS 3 PA SP

TECENTRIQ 3 PA SP

TEMODAR INTRAVENOUS

3 PA SP

teniposide 1 SP

TEPADINA 3 SP

TEPMETKO E SP

THALOMID 2 PA SP

TIBSOVO 3 PA SP

topotecan hcl 1 SP

TOTECT 3 SP

TRAZIMERA 2 PA SP

tretinoin oral 1 SP

TRODELVY 3 PA SP

TRUXIMA E SP

TUKYSA 3 PA SP

TURALIO 3 PA SP

TYKERB 3 PA SP

UKONIQ E SP

UNITUXIN 3 PA SP

VALCHLOR 3 PA SP

valrubicin E

VALSTAR E

VENCLEXTA 3 PA SP

3 PA SP

VERZENIO 3 PA SP

VIDAZA 3 PA SP

VITRAKVI 3 PA SP

VIZIMPRO 3 PA SP

VORAXAZE E

VOTRIENT 3 PA SP

3 PA SP

XALKORI 3 PA SP

XELODA 3 PA SP

XOSPATA 3 PA SP

3 PA SP

XTANDI 3 PA SP

YERVOY 2 PA SP

YESCARTA 3 PA SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA SP

ZANOSAR 2 SP

ZEJULA 2 PA SP

ZELBORAF 3 PA SP

ZEPZELCA 3 PA SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA SP

ZOLINZA 2 PA SP

ZYDELIG 3 PA SP

ZYKADIA ORAL TABLET

3 PA SP

ZYTIGA E SP

Antiparasitics

ALBENZA 3 PA

ARAKODA 3

atovaquone oral 1

BENZNIDAZOLE 3

BILTRICIDE 3

COARTEM 3

crotan 1

DARAPRIM 3 PA SP

EGATEN 3

ELIMITE 3

EMVERM 2

IMPAVIDO 3

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

MALARONE 3

mefloquine hcl 1

MEPRON 3

NATROBA 3

NEBUPENT 3

nitazoxanide 1

OVIDE 3

PENTAM E

PLAQUENIL 3

praziquantel oral 1

QUALAQUIN 3 PA

spinosad 1

STROMECTOL 3

SULFURATED LIME 3

3 PA SP QL

AZILECT 3

carbidopa oral 1

COMTAN 3

DUOPA ENTERAL 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA SP

KYNMOBI 3 PA SP QL

3 PA SP QL

LODOSYN 3

MIRAPEX ER 3

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3 ST

OSMOLEX ER E

PARLODEL 3

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

STALEVO 100 3

STALEVO 125 3

STALEVO 150 3

STALEVO 200 3

STALEVO 50 3

STALEVO 75 3

tolcapone 1

XADAGO 3 ST QL

ZELAPAR 3

Antiplatelets

ASPIRIN-OMEPRAZOLE

BRILINTA 2

CABLIVI 3 PA SP QL

cilostazol 1

dipyridamole oral 1

DURLAZA E

EFFIENT 3

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

ABILIFY MYCITE E

ABILIFY ORAL TABLET

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA E

ARISTADA INITIO E

CAPLYTA 3 ST QL

clozapine 1 QL

CLOZARIL 3 QL

FANAPT 3 ST QL

3 ST QL

GEODON ORAL 3 QL

HALDOL DECANOATE E

haloperidol oral 1

INVEGA 3 QL

LATUDA 3 QL

molindone hcl 1

PERSERIS E

pimozide 1

REXULTI 3 QL

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL 3 QL

SEROQUEL XR 3 QL

thiothixene oral 1

VERSACLOZ 3 QL

VRAYLAR 3 ST QL

ZYPREXA ORAL 3 QL

ZYPREXA RELPREVV E

ZYPREXA ZYDIS 3 QL

Antivirals

abacavir sulfate 1

acyclovir oral 1

ACYCLOVIX E

APTIVUS 2

ATRIPLA E

BARACLUDE 3 SP QL

BIKTARVY 3

CABENUVA E

CIMDUO 2

COMBIVIR 3

COMPLERA 2

DELSTRIGO 3

DENAVIR E

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

emtricitabine 1

entecavir 1 SP QL

EPCLUSA 2 PA SP QL

EPIVIR 3

EPZICOM 3

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3

GENVOYA 3

HARVONI 2 PA SP QL

HEPSERA 3 SP

INTELENCE 2

INTRON A 3 PA SP

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL TABLET

MAVYRET 2 PA SP QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET

NORVIR ORAL TABLET

ODEFSEY 3

2 PA SP

3 PA SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2

RAPIVAB E

RETROVIR ORAL SYRUP

REYATAZ ORAL PACKET

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG E

SOVALDI 3 PA SP QL

STRIBILD 3

SUSTIVA 3

SYMFI 2

SYMFI LO 2

SYMTUZA 3

TEMIXYS E

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3

TROGARZO 3 PA

TRUVADA E

TYBOST 2

VALCYTE 3

VALTREX 3 QL

VEMLIDY 3 SP

VIRAZOLE 3

VIREAD ORAL POWDER

VOCABRIA E

VOSEVI 2 PA SP QL

XERESE E

ZEPATIER 3 PA SP QL

ZIAGEN 3

zidovudine 1

alprazolam er 1 QL

alprazolam xr 1 QL

ATIVAN E

diazepam intensol 1

DORAL 3 QL

estazolam 1 QL

HALCION 3 QL

KLONOPIN 3 QL

meprobamate 1

oxazepam 1 QL

quazepam 1 QL

triazolam 1 QL

VALIUM E

VISTARIL 3

XANAX E

XANAX XR E

EQUETRO 3

lithium 1

LITHOBID 3

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR ORAL TABLET

anagrelide hcl 1

2 PA SP

CEPROTIN 3 SP

COAGADEX 3 SP

CORIFACT 2 SP

3 PA SP

ELOCTATE 3 SP

ESPEROCT E SP

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

3 PA SP

LYSTEDA 3

3 PA SP

MOZOBIL 2 PA SP QL

MULPLETA 2 PA SP

3 PA SP

NIVESTYM 2 PA SP

NOVOEIGHT 2 SP

NOVOSEVEN RT 2 SP

NPLATE 3 PA SP

NUWIQ 2 SP

NYVEPRIA 3 PA SP

OBIZUR 3 SP

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA SP

REBINYN 3 SP

REBLOZYL 3 PA SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT

2 PA SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT E SP

3 PA SP

TAVALISSE 3 PA SP

THROMBOGEN 3

TRETTEN 3 SP

UDENYCA E SP

3 PA SP

2 PA SP

VONVENDI 3 SP

ZARXIO 2 PA SP

ZIEXTENZO 3 PA SP

ACCUPRIL 3

ACCURETIC 3

ALDACTAZIDE 3

ALDACTONE 3

ALTACE ORAL CAPSULE

ALTOPREV E

ATACAND E

ATACAND HCT 3

atenolol oral 1

AVAPRO 3

AZOR E

BENICAR E

BENICAR HCT E

BETAPACE AF 3

BIDIL 3

bumetanide oral 1

BYSTOLIC 2

CALAN SR 3

captopril oral 1

CARDIZEM CD 3

CARDURA 3

CAROSPIR 3

cartia xt 1

carvedilol 1

CATAPRES-TTS-1 3

CATAPRES-TTS-2 3

CATAPRES-TTS-3 3

clonidine 1

colesevelam hcl 1

COLESTID E

COLESTID FLAVORED

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG 3

COREG CR 3

CORGARD 3

CORLANOR 3 PA QL

COZAAR 3

CRESTOR E

DEMSER 3

DIBENZYLINE 3

digitek 1

digox 1

digoxin oral 1

DILATRATE-SR 3

dilt-xr 1

DIOVAN E

DIOVAN HCT E

DIURIL 3

dofetilide 1

droxidopa 1 PA SP

DUTOPROL E

DYRENIUM 3

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3

ENTRESTO 2 QL

eplerenone 1

EVKEEZA E SP

EXFORGE 3

EXFORGE HCT 3

ezetimibe 1

felodipine er 1

FENOGLIDE 3 ST

FIBRICOR E

FLOLIPID 3 ST

fosinopril sodium 1

gemfibrozil oral 1

GONITRO 3

HEMANGEOL 3

HYZAAR 3

indapamide oral 1

INDERAL LA E

INDERAL XL E

INNOPRAN XL E

INSPRA 3

irbesartan 1

ISORDIL TITRADOSE 3

isradipine 1

3 PA SP QL

KAPSPARGO SPRINKLE

KATERZIA E

LASIX 3

LESCOL XL E

LIPITOR E

LIPOFEN 3

lisinopril oral 1

LIVALO E

LOPID 3

LOPRESSOR ORAL 3

lovastatin oral 1

LOVAZA E

matzim la 1

MAXZIDE 3

MAXZIDE-25 3

methyldopa oral 1

metolazone 1

metyrosine 1

MICARDIS 3

MICARDIS HCT 3

midodrine hcl 1

MINIPRESS 3

minitran 1

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

NEXLETOL 2 PA QL

NEXLIZET 2 PA QL

niacor 1

NIASPAN 3

nifedipine er 1

nifedipine oral 1

nimodipine oral 1

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

NITROLINGUAL 3

NITROMIST 3

NITROSTAT E

NITRO-TIME E

NORPACE 3

NORPACE CR 2

NORTHERA 3 PA SP

NORVASC E

OMEGA-3 RX COMPLETE

pentoxifylline er 1

pindolol 1

2 PA QL

prazosin hcl oral 1

PRESTALIA 3 ST

prevalite 1

PROCARDIA 3

PROCARDIA XL 3

propafenone hcl 1

propranolol-hctz 1

QBRELIS E

QUESTRAN E

quinapril hcl 1

ramipril 1

RANEXA 3 ST

ranolazine er 1 ST

RECTIV 3

REPATHA 2 PA QL

2 PA QL

REPATHA SURECLICK

2 PA QL

RYTHMOL SR 3

sotalol hcl (af) 1

sotalol hcl oral 1

SOTYLIZE 3

taztia xt 1

TEKTURNA 2 ST

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-hctz 1

TENORETIC 100 3

TENORETIC 50 3

TENORMIN E

tiadylt er 1

TIAZAC 3

TIKOSYN E

TOPROL XL E

torsemide oral 1

trandolapril 1

triamterene oral 1

TRIBENZOR E

TRICOR 3

TRILIPIX 3

TWYNSTA 3

valsartan 1

VASCEPA 2 PA

VASERETIC 3

VASOTEC 3

VECAMYL 3

VERELAN 3

VERELAN PM 3

VERQUVO E

VYNDAMAX 3 PA SP QL

VYNDAQEL 3 PA SP QL

VYTORIN E

WELCHOL 3

ZESTORETIC 3

ZETIA E

ZIAC 3

ADDERALL 3 PA QL

ADDERALL XR E

ADHANSIA XR E

1 PA QL

CONCERTA E

DAYTRANA 3 PA ST QL

DESOXYN 3 PA ST QL

3 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

EVEKEO 3 PA ST QL

EVEKEO ODT 3 PA QL

FOCALIN 3 PA QL

guanfacine hcl er 1

INTUNIV 3

3 PA ST QL

1 PA ST QL

1 PA QL

1 PA ST QL

1 PA QL

1 PA ST QL

MYDAYIS 3 PA ST QL

3 PA ST QL

relexxii 1 PA ST QL

RITALIN 3 PA QL

3 PA ST QL

STRATTERA 3 QL

VYVANSE 2 PA QL

ZENZEDI 3 PA ST QL

AMPYRA 3 PA SP QL

AUBAGIO 3 PA SP QL

2 PA SP QL

1 PA SP QL

GILENYA 3 PA SP QL

glatopa 1 PA SP QL

KESIMPTA 2 PA SP QL

LEMTRADA 3 PA SP

MAVENCLAD 3 PA SP

MAYZENT 3 PA SP QL

OCREVUS 3 PA SP QL

PLEGRIDY E SP

PONVORY E SP

TECFIDERA E SP

TYSABRI 3 PA SP QL

VUMERITY 2 PA SP QL

ZEPOSIA 3 PA SP QL

3 PA SP QL

ZEPOSIA STARTER KIT

3 PA SP QL

ADDYI 3 PA QL

ADIPEX-P E

AUSTEDO 3 PA SP QL

benzphetamine hcl E

CONTRAVE E

CONVENIENCE PAK E

GRALISE 3 ST QL

3 PA QL

IMCIVREE 3 PA SP QL

INGREZZA 3 PA SP QL

LOMAIRA E

LYRICA CR 3 ST QL

LYRICA ORAL CAPSULE

NEURAPTINE E

NUEDEXTA 3 PA

ONPATTRO 3 PA SP

QSYMIA E

RADICAVA 3 PA SP

RILUTEK 3 PA QL

riluzole 1 PA QL

SAVELLA 3 ST QL

3 ST QL

SAXENDA E

TEGSEDI 3 PA SP

TIGLUTIK 3 PA SP QL

VYLEESI 3 PA QL

XENAZINE 3 PA SP

XENICAL E

ARESTIN E

cavarest E

cevimeline hcl 1

CLINPRO 5000 E

DENTA 5000 PLUS E

DENTAGEL E

easygel dental E

EVOXAC 3

FIRST-MOUTHWASH BLM

FLUORIDEX E

KEPIVANCE 2 SP

MOUTH KOTE REMINT

MUCOSITISRX E

NAFRINSE WEEKLY E

oralone 1

PERIDEX E

periogard E

PREVIDENT E

PREVIDENT 5000 PLUS

SALAGEN 3

SALIVAMAX E

sf 5000 plus E

ABREVA E

ABSORICA E

ABSORICA LD 3 PA

ACANYA E

ACESO AG E

ACIOXIAY E

acitretin 1

ADAINZDE E

ADAINZOXIA E

AKLIEF E

ALA SCALP E

ALDARA E

ALEVAMAX E

ALTRENO 3 PA

AMELUZ E

amnesteem 1 PA

AMZEEQ 3

ANACAINE E

APEXICON E E

AQUAPHILIC E

ARAZLO E

ARIDA E

ATOPADERM E

ATOPICLAIR E

ATRALIN 3 PA

AVAR CLEANSER E

AVAR LS CLEANSER E

AVAR-E EMOLLIENT E

AVAR-E GREEN E

AVAR-E LS E

AVEIDAOXIA E

AVITA E

AZADROX E

AZELEX 3

BEAU RX E

BENZACLIN E

BENZACLIN WITH PUMP

BENZAMYCIN E

BENZEPRO EXTERNAL

benzoin compound E

BESER EXTERNAL KIT

BIAFINE E

blanche E

bp 10-1 E

bp cleansing wash E

BPCO 3

BRYHALI E

CALCITRENE 3

CAPEX E

capzix E

CARAC 3

CEM-UREA E

CERACADE E

CHLOOXIA E

claravis 1 PA

CLENIA PLUS E

CLINDACIN PAC E

clindacin-p 1

CLINDAGEL E

CLINOIN E

CLOBETAVIX E

CLOBEX 3

CLOBEX SPRAY 3

CLODAN EXTERNAL KIT

CLODERM E

COLLATYL E

COPADERM E

COPASIL EXTERNAL E

CORTANE-B EXTERNAL

DAPSONE-NIACINAMIDE

DELUO E

DEOXIA E

DERMACINRX PENETRAL

DERMELLE E

DERMULCERA 3

DERPIXA E

DESONATE E

desonide external 1

DEXERYL E

DIADIMAXIA E

DIAOXIA E

DIASDIMAXIA E

DIASOXIA E

1 ST QL

1 PA QL

DIMOXIA E

DIOCHLOY E

DIPROLENE AF 3

doxycycline 1

DRAXACE E

DRITHO-CREME HP E

DRIXECE E

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA SP QL

ECEOXIA E

ELETONE E

ELIDEL 3 ST

EMULSION SB E

enovarx-tramadol E

ENSTILAR E

ENTTY SPRAY E

ENZOCLEAR E

EPICERAM E

EPIDUO 3

EPIDUO FORTE 3

EPIFOAM 3

ERYGEL 3

ESKATA E

ETHOXIA E

EUCRISA 2 ST

EVOCLIN 3

FABIOR E

FINACEA 3 ST

FINAPOD E

FLUOPAR E

FLUOROPLEX 3

FLUOVIX E

FLUOVIX PLUS E

flurandrenolide E

FORAXA E

GEAMETDRAY E

GENADUR E

GORDOFILM 3

GUANENDRUX E

halcinonide E

HALOG E

HALUCORT E

HAXCHLO E

HPR PLUS HYDROGEL

HYDRO 40 E

IMIQUIMOD PUMP E

IMPEKLO E

IMPOYZ E

INOVA E

ITHOXIA E

KAMDOY E

KATARYA E

KATARYAXN E

KAXM E

KEIDO E

KELARX E

KENALOG EXTERNAL 3

KERAGEL E

KERALYT SCALP E

KETARYA E

KEVARYA E

KEXM E

KEYA E

KIVIK E

KLARON 3

KLISYRI E

KUTARYAXM E

KUTARYAXMPA E

KUTEA E

KUVARYA E

KUVARYE E

KUXM E

lactic acid e 1

lavare wound wash E

LEVULAN KERASTICK 3

LEXETTE E

LOCOID LIPOCREAM E

LUXIQ 3

MEDERMA E

MEDERMA FOR KIDS E

MEDERMA SPF 30 E

methoxsalen rapid 1

METROCREAM 3

METROLOTION 3

MIMYX E

MIRVASO 3

myorisan 1 PA

NEOSALUS E

NEUAC EXTERNAL KIT

nolix E

NORITATE E

NUCARACLINPAK E

NUCARARXPAK E

NUCORT E

NUDERMRXPAK 120 E

NUDERMRXPAK 60 E

NUTRASEB E

NUTRIARX CREAMPAK

NUVAIL E

OLUX 3

OLUX-E 3

ONEXTON 3

ONZDEOXIA E

ORACEA 3

OVACE PLUS E

OVACE PLUS WASH E

OVACE WASH E

OXIANUJO E

OXIATAR E

OXIAVARRY E

OXIAZAR E

OXOPOD E

OXSORALEN ULTRA 3

PANDEL E

PENLEN E

PHLAG SPRAY E

pimecrolimus 1 ST

PLEXION E

podocon E

PODPROG E

PR BENZOYL PEROXIDE

PR CREAM E

pramox E

prednicarbate 1

PRESERA E

PROPECIA E

PROSILK EXTERNAL E

PROTEXA E

PROTOPIC 3

PROTYL AG E

PRUCLAIR E

PRUDOXIN 3 PA

PRUMYX E

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR E

QUINIXIL E

QUTENZA E

QUTENZA (2 PATCH) E

QUTENZA (4 PATCH) E

RADIAGEL E

RECEDO E

REFISSA E

REGENECARE 3

REGRANEX 3 PA

remergent hq E

REMIGEN E

RENOVA E

RENOVA PUMP E

RESORCINOL-SULFUR

RETIN-A 3 PA

RHOFADE 3

RIAX E

ROAOXIA E

salicylic acid er E

salimez E

SALIMEZ FORTE E

SALVAX E

SALVAX DUO PLUS E

SANTYL 3

SCALACORT DK E

SCARCIN E

SCARSILK EXTERNAL E

SCARZEN SKIN REPAIR

SCENESSE 3 PA SP

SELRX E

SERNIVO 3

SILA III E

SILIPAC E

skarjel E

SOLARAVIX EXTERNAL

SOLOX E

SOOLANTRA 3

SORILUX E

sss 10-5 E

STRATA CTX E

STRATA GRT E

STRATA MARK E

STRATA TRIZ E

STRATA XRT E

SULFACLEANSE 84 E

sulfamez wash E

SUMADAN E

SUMADAN WASH E

SUMADAN XLT E

SUMAXIN E

SUMAXIN CP E

SUMAXIN WASH E

SUVICORT E

SYNALAR 3

SYNALAR (CREAM) E

SYNALAR (OINTMENT)

SYNALAR TS E

SYNERDERM E

TARDEOXIA E

TARDIMAXIA E

TAROXIA E

TASOPROL E

TEXACORT 3

TOPICORT SPRAY E

TOVET EXTERNAL KIT

TRIANEX E

TRI-CHLOR 3

TRIDESILON 3

TRILOCICLO E

TRI-LUMA E

TRIVIX E

TURPENTINE EXTERNAL

ULTRASAL-ER E

UMECTA MOUSSE E

UREA EXTERNAL FOAM

urea hydrating E

ureacin-10 E

ureacin-20 E

uredeb E

UREMEZ-40 E

URESOL E

UTOPIC E

VANIQA E

VANOS 3

VANOXIDE-HC E

VARDIMAXIA E

VAROXIA E

VECTICAL E

VELTIN E

VENELEX 3

VERDESO E

VEREGEN E

VEXASYN E

VIRASAL E

WINLEVI 3 PA

WYNZORA E

XALIX E

XERAC AC 3

XERALUX E

xurea E

ZACARE E

zenatane 1 PA

ZIANA E

ZILXI 3 ST

ZITHRANOL E

ZONALON 3 PA

ZYCLARA E

ZYCLARA PUMP E

acarbose oral 1

ACTOPLUS MET 3

ACTOS 3

ADLYXIN E

ALOGLIPTIN BENZOATE

AMARYL 3

2 ST QL

CYCLOSET 3 ST

DUETACT 3

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

GLUCOTROL XL 3

GLUMETZA E

glyburide oral 1

GLYNASE 3

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E

OSENI E

OZEMPIC 2 ST QL

pioglitazone hcl 1

PRECOSE 3

QTERN E

repaglinide 1

RIOMET 3 ST

RYBELSUS 2 ST QL

SEGLUROMET E

SOLIQUA 2 ST QL

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1 ST

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST QL

VICTOZA 2 ST QL

XIGDUO XR 2 ST

XULTOPHY 3 ST QL

BLUESTAR E

CARETOUCH TEST E

CEQUR SIMPLICITY 2U

CONTOUR TEST STRIPS

FORTISCARE CONTROL

GUARDIAN SENSOR (3)

KETONE TEST 3

KETOSTIX 3

MICRODOT TEST E

NOVOPEN ECHO 3

PRECISION LINK E

TRUE METRIX LEVEL 1

TRUE METRIX LEVEL 2

TRUE METRIX LEVEL 3

TRUETRACK TEST E

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

3 Made by Lilly

2Made by Fresenius

GVOKE PFS 2

PROGLYCEM 3

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR

APIDRA SOLOSTAR E

APIDRA VIAL E

BASAGLAR KWIKPEN E

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG VIAL 2

HUMULIN 7030 VIAL 2

HUMULIN N KWIKPEN 2

HUMULIN N VIAL 2

HUMULIN R VIAL 2

INSULIN ASPART E

INSULIN SYRINGES $0

LANTUS U-100 VIAL 2

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MYXREDLIN 3

NOVOLIN 7030 RELION

NOVOLIN 7030 VIAL E

NOVOLIN N FLEXPEN E

NOVOLIN N RELION E

NOVOLIN N VIAL E

NOVOLIN R FLEXPEN E

NOVOLIN R RELION E

NOVOLIN R VIAL E

SEMGLEE E

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH

ABANEU-SL E

ACTITROM-D E

ACTIVE FE E

ACTIVITE E

adcf (05mgml) 1

ADRENAL C FORMULA

airavite E

aminoamrms E

aminoreliefrms E

ANIMI-3 E

ANIMI-3VITAMIN D E

ASCOR E

ATABEX OB 2

AZESCO E

BACMIN E

biocel E

biopetit E

bp vit 3 E

b-plex E

b-plex plus E

CALCIFOL 3

CARBAGLU 2 SP

CARNITOR ORAL 3

CARNITOR SF 3

CENFOL E

CENTRATEX E

CEREFOLIN E

CHEMET 3

CHOLECAL DF E

CIFEREX E

CITRANATAL BLOOM E

CITRANATAL MEDLEY

clovique 1 PA SP

CORVITE 150 E

corvite fe E

cytra k crystals E

d3 super strength E

DECARA E

deferasirox 1 PA

deferiprone 1 PA

DEPLIN 15 E

DEPLIN 75 E

DEXIFOL E

DIALYVITE E

DIALYVITE 3000 E

DIALYVITE 5000 E

DIALYVITE SUPREME D

DIALYVITEZINC E

d-vite pediatric E

ELFOLATE E

ENBRACE HR E

ERGOCAL E

EXJADE 3 PA

fabb E

FEONYX E

FERAHEME E

FERIVA 217 E

FERIVAFA E

ferocon E

ferotrinsic E

FERRALET 90 E

ferraplus 90 E

FERRIPROX 3 PA

FERRLECIT E

FLORIVA E

FLORIVA PLUS E

folbee E

folbee plus E

FOLBEE PLUS CZ E

FOLBIC RF E

FOLGARD OS E

FOLGARD RX E

FOLIC D3 E

FOLIC-K E

FOLI-D E

FOLITE E

FOLITIN-Z E

FOLIXAPURE E

folplex 22 E

foltanx E

FOLTANX RF E

FOLTRATE E

FOLTREXYL E

foltrin E

FOLVITE-D E

FOSTEUM E

FUSION PLUS E

GALZIN 3

GENICIN VITA-D E

GENICIN VITA-Q E

GENICIN VITA-S E

HEMATOGEN E

HEMATOGEN FA E

HEMATRON-AF E

HEMETAB E

HEMOCYTE PLUS E

HYLAVITE E

HYLAZINC E

ICAR-C PLUS E

iferex 150 forte E

INFED E

INFUVITE ADULT E

INTEGRA F E

INTEGRA PLUS E

IODINE STRONG ORAL

IROSPAN 246 E

ISOLYTE-S E

JADENU 3 PA

JYNARQUE 3 SP QL

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3

klor-con m20 1

klor-conef 1

K-PHOS NO 2 E

K-PHOS-NEUTRAL E

k-prime 1

K-TAB 3

k-tan plus E

L-CYSTINE E

levocarnitine sf 1

L-ISOLEUCINE E

l-methylfolate E

l-methyl-mc E

l-methyl-mc nac E

LOKELMA 3

LORID E

MVI ADULT E

MAGNEBIND 400 3

magnesium-oxide E

MEPHYTON 3

metafolbic E

metafolbic plus E

METAFOLBIC PLUS RF

METANX ORAL CAPSULE

MICROPLEGIA MSA-MSG

MIFEPREX 3

mifepristone 1

M-NATAL PLUS 2

MONOFERRIC E

MULTIGEN E

MULTIGEN FOLIC E

MULTIGEN PLUS E

MULTIPRO E

myferon 150 forte E

MYNEPHRON E

nafrinse $0

nafrinse drops $0

NASCOBAL 3

NEONATAL + DHA E

NEONATAL 19 2

NEONATAL COMPLETE

NEONATAL FE E

NEONATAL PLUS 2

NEOVITE E

NEPHPLEX RX E

NEPHRO-VITE RX E

NESTABS 2

NESTABS ONE E

NEURIN-SL E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NIFEREX ORAL TABLET

NUFERA E

nufol E

NUTRICAP E

nutrifac zx E

NUTRIVIT E

ONE VITE WOMENS $0

ONEVITE E

ORACIT 3

ORTHO DF E

OVEEZA E

pediavit E

PHOSPHA 250 NEUTRAL

phosphorous 1

PHOXILLUM B22K40 E

PHOXILLUM BK425 E

PHYSIOLYTE E

phytonadione oral 1

PLASMA-LYTE 148 E

PLASMA-LYTE A E

PNV TABS 20-1 E

POTABA ORAL CAPSULE

PREGEN DHA E

PREGENNA E

PREMESISRX E

PRENAISSANCE E

PRENARA E

PRENATE E

PRENATE ENHANCE E

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRO HERS RX E

PRO HIS RX E

PRO PCOS RX E

PROTEINEX P18 E

QUFLORA FE E

QUFLORA GUMMIES E

QUFLORA PEDIATRIC E

RELNATE DHA 2

REMEDIENT E

RENAL ORAL CAPSULE

RENATABS E

RENATABS WITH IRON

rena-vite E

REQ 49+ E

REVESTA E

SAMSCA 3 SP QL

se-tan plus E

SIDEROL ORAL TABLET

soluvita e E

STROVITE FORTE E

STROVITE ONE E

SUPERVITE E

support E

SUPPORT-500 E

SYPRINE 3 PA SP

TALIVA E

tis-u-sol E

tl-hem 150 E

3 SP QL

1 SP QL

tricitrates E

TRICON E

TRINATE 2

TRINAZ E

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 3

TRI-VI-FLORO 3

tri-vitefluoride 1

TRONVITE E

UDAMIN SP E

UROCIT-K 10 3

UROCIT-K 15 3

UROCIT-K 5 3

urosex E

v-c forte E

VELTASSA 3

VENEXA E

VENOFER E

vic-forte E

VINATE ONE 2

virt-caps E

VIRT-FEFA PLUS E

virt-gard E

vita s forte E

vitacel E

VITAFOL STRIPS 2

VITAFOL-NANO E

VITAFOL-OB+DHA E

VITAL-D RX E

VITAMEZ E

VITAROCA PLUS E

VITASURE E

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

vp-vite rx E

weekly-d E

westab mini E

westab one E

WESTAB PLUS 2

WESTGEL DHA E

WILZIN 3

XAQUIL XR E

XVITE E

ZALVIT E

ZYVANA E

ACIPHEX E

ACIPHEX SPRINKLE E

cimetidine oral 1

CYTOTEC 3

DEXILANT 2 QL

ESOMEP-EZS E

FIRST-LANSOPRAZOLE

1 ST QL

misoprostol oral 1

NEXIUM ORAL PACKET

nizatidine 1

1 ST QL

PEPCID ORAL TABLET

PREVACID E

PREVACID 24HR E

3 ST QL

1 ST QL

sucralfate oral 1

ZEGERID E

ACTIPHLORA E

alosetron hcl 1 PA

alvimopan 1

AMITIZA E

ANASPAZ 3

antacid calcium E

antacid maximum E

antacidantigas E

antacidanti-gas E

BACICAP E

bisacodyl ec $0 QL

bisacodyl rectal E

CHENODAL 3 PA SP

citroma $0 QL

CLENPIQ 3

constulose 1

CUVPOSA 3

diotame instydose E

docusate calcium E

docusate mini E

docuzen E

dok oral tablet E

DONNATAL E

ED-SPAZ 3

ENTEREG 3

enulose 1

EX-LAX ULTRA E

FOLIKA PROBIOTIC E

GASTROCROM 3

GATTEX 3 PA SP

gavilyte-c $0 QL

gavilyte-g $0 QL

gavilyte-h 1

GELUSIL E

generlac 1

geri-kot E

GIALAX E

GLYCATE E

glycolax $0 QL

glycopyrrolate pf E

gnp senna lax E

HELIDAC THERAPY 3

hyosyne 1

KRISTALOSE E

LACTEROL E

LACTOJEN E

lactulose oral 1

laxative max str E

LEVBID E

LEVSIN ORAL TABLET

LEVSINSL E

LIBRAX 3

LINZESS 2 ST QL

LOMOTIL ORAL TABLET

LOTRONEX 3 PA

LUBIPROSTONE E

mm clearlax $0 QL

MOTEGRITY 3 ST QL

MOTOFEN E

MOVANTIK E

MOVIPREP E

MYTESI 3 QL

NULEV 3

NULYTELY LEMON-LIME

OMECLAMOX-PAK 2

opium E

oscimin sr E

OSMOPREP E

PCP 100 E

peg-prep 1

PHENOHYTRO E

PLENVU E

PROBICHEW E

PROBITROL E

PRODIGEN E

PROMEROL E

PYLERA 2

quad-probiotic E

RELISTOR ORAL E

RELTONE E

RESTORA RX 3

senexon-s E

senna oral liquid E

senna s E

senna smooth E

senna-plus E

SENOKOT S E

3 PA SP

SUTAB 3

SYMAX DUOTAB E

SYMAX-SL E

SYMAX-SR E

SYMPROIC 2 ST QL

TALICIA 3

TRULANCE E

TUMS CHEWY BITES E

URSO 250 3

URSO FORTE 3

ursodiol oral 1

VIBERZI 3 PA QL

VISBIOME E

womens 50 billion E

3 PA SP QL

ZELAC E

ZELNORM 3 PA QL

ZORBTIVE 3 PA SP

ALDURAZYME 2 PA SP

AMONDYS 45 E SP

CERDELGA 3 PA SP

2 PA SP

CHOLBAM 3 PA SP

CITRULLINE EASY E

CREON 2

CRYSVITA 3 PA SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA SP

ELELYSO 3 PA SP

ENZADYNE E

EVRYSDI 3 PA SP QL

EXONDYS 51 E SP

FABRAZYME 2 PA SP

GALAFOLD 3 PA SP QL

KANUMA 3 PA SP

KUVAN ORAL PACKET

LUMIZYME 2 PA SP

MEPSEVII 3 PA SP

miglustat 1 PA SP

MYALEPT 3 PA SP

NAGLAZYME 2 PA SP

nitisinone 1 PA SP

NITYR 3 PA SP

OCALIVA 3 PA SP QL

ORFADIN 3 PA SP

PALYNZIQ 3 PA SP QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA SP

RAVICTI 3 PA SP

REVCOVI 3 PA SP

1 PA SP

STRENSIQ 2 PA SP

SUCRAID 3 SP

VIMIZIM 3 PA SP

VIOKACE E

VPRIV 3 PA SP

VYONDYS 53 E SP

XURIDEN 3 PA SP QL

ZAVESCA 3 PA SP

ZOLGENSMA 3 PA SP

aminoacetic acid E

AURYXIA 3

azo tabs E

BI-MIX 3

CAVERJECT IMPULSE

CERVIDIL 3

CIALIS 3 QL

3 PA SP

DETROL 3

DETROL LA 3

EDEX 3 QL

ELMIRON E

FEM PH E

flavoxate hcl 1

GEMTESA E

glycine urologic E

HYOPHEN E

INTRAROSA 3 ST

LITHOSTAT 3

menaphosmbhyo1 E

MUSE 3 QL

MYRBETRIQ 2

OXLUMO 3 PA SP

OXYTROL 3 ST QL

OXYTROL FOR WOMEN

1 PA SP

PHOSLYRA 3

PHOSPHASAL E

PREPIDIL 3

PROSTIN E2 3

PYRIDIUM E

QUAD-MIX 3

RENACIDIN E

RENVELA 3

RIMSO-50 E

sevelamer hcl 1

STAXYN E

STENDRA E

SUPER BI-MIX 3

SUPER QUAD-MIX 3

SUPER TRI-MIX E

tadalafil oral 1 QL

THIOLA EC 3 SP

TOVIAZ 3

TRI-MIX E

URELLE E

URIBEL E

URIMAR-T E

URO-458 E

UROGESIC-BLUE E

uro-mp E

USTELL E

UTIRA-C E

VELPHORO 3

VESICARE 3

VESICARE LS E

VIAGRA E

VILAMIT MB E

VILEVEV MB E

alfuzosin hcl er 1

AVODART 3

CARDURA XL 3 ST

dutasteride oral 1

FLOMAX E

JALYN 3

PROSCAR 3

RAPAFLO 3

silodosin 1

tamsulosin hcl 1

UROXATRAL 3

ALKINDI SPRINKLE E

BETA 1 KIT E

BETALOAN SUIK E

BETAMETHASONE COMBO

BSP 0820 E

CELESTONE SOLUSPAN

CORTEF 3

DEPO-MEDROL E

DEXABLISS E

DEXONTO 04 3

DMT SUIK E

DOUBLEDEX E

DXEVO 11-DAY E

DYURAL-40 E

DYURAL-80 E

DYURAL-L E

DYURAL-LM E

HEMADY E

HIDEX 6-DAY E

KENALOG INJECTION 3

KENALOG-80 3

MAS CARE-PAK E

MEDROLOAN II SUIK E

MEDROLOAN SUIK E

MULTI-SPECIALTY E

ORAPRED ODT 3

P-CARE K40 E

P-CARE K40G E

P-CARE K40MX E

P-CARE K80 E

P-CARE K80G E

P-CARE K80MX E

PEDIAPRED 3

POD-CARE 100K E

POINT OF CARE L2 E

POINT OF CARE L5 E

prednisone oral 1

PRO-C-DURE 5 E

PRO-C-DURE 6 E

RAYOS E

TAPERDEX 12-DAY E

TAPERDEX 6-DAY E

TOPIDEX E

TRILOAN II SUIK E

TRILOAN SUIK E

ZCORT 7-DAY E

ZILRETTA E

AVEED E

danazol oral 1

EC-RX TESTOSTERONE

FORTESTA E

JATENZO E

METHITEST 3 PA

NATESTO E

TESTIM E

TESTONE CIK E

TESTOPEL E

VOGELXO PUMP E

XYOSTED 3 PA

EVISTA 3

OSPHENA 3

raloxifene hcl 1

ACTHAR 2 PA SP

BYNFEZIA PEN E SP

cabergoline 1

1 PA SP

DDAVP ORAL 3

DDAVP PF 3

DDAVP RHINAL TUBE 2

ELIGARD 3 PA SP QL

3 PA SP QL

2 PA SP

1 PA SP

GENOTROPIN E SP

GONAL-F E SP

GONAL-F RFF E SP

HUMATROPE E SP

INCRELEX 2 PA SP

ISTURISA E SP

1 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

3 PA SP

2 PA SP

MENOPUR 3 PA SP

MYCAPSSA E SP

NOCDURNA 3

2 PA SP

1 PA SP

3 PA SP

2 PA SP

1 PA SP

ORILISSA 2 PA QL

OVIDREL 3 PA SP

pregnyl 1 PA SP

SAIZEN E SP

SAIZENPREP E SP

SIGNIFOR E SP

3 PA SP QL

SOMAVERT 3 PA SP

STIMATE 3

SYNAREL 2

TEPEZZA 3 PA SP

VANTAS 3 PA SP QL

3 SP QL

2 SP QL

ZOMACTON E SP

KORLYM 3 PA SP QL

afirmelle $0 QL

ALORA 3 ST

altavera $0 QL

alyacen 135 $0 QL

alyacen 777 $0 QL

amabelz 1

amethia $0 QL

amethyst $0 QL

ANGELIQ 3

ANNOVERA E

apri $0 QL

aranelle $0 QL

ashlyna $0 QL

aubra $0 QL

aubra eq $0 QL

aurovela 1530 $0 QL

aurovela 120 $0 QL

aviane $0 QL

AYGESTIN 3

ayuna $0 QL

azurette $0 QL

BALCOLTRA E

balziva $0 QL

bekyree $0 QL

BEYAZ E

BIESTPROGESTERONE

BIJUVA 3

blisovi 24 fe $0 QL

briellyn $0 QL

camila $0 QL

camrese $0 QL

camrese lo $0 QL

caziant $0 QL

chateal $0 QL

chateal eq $0 QL

CLIMARA 3

CLIMARA PRO 2

COMBIPATCH 3

COVARYX E

COVARYX HS E

3 PA QL

cryselle-28 $0 QL

cyclafem 135 $0 QL

cyclafem 777 $0 QL

cyred $0 QL

cyred eq $0 QL

dasetta 135 $0 QL

dasetta 777 $0 QL

daysee $0 QL

deblitane $0 QL

DELESTROGEN 3

delyla $0 QL

DEPO-ESTRADIOL 3

DIVIGEL 3

dotti 1

DUAVEE 2

EC-RX ESTRADIOL E

EC-RX PROGESTERONE

EEMT E

EEMT HS E

ELESTRIN 3

elinest $0 QL

ELLA $0 QL

eluryng $0 QL

emoquette $0 QL

ENDOMETRIN 2 PA

enpresse-28 $0 QL

errin $0 QL

estarylla $0 QL

ESTRACE 3

estradiol oral 1

estradiol vaginal 1

ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 QL

EVAMIST 3

falmina $0 QL

fayosim $0 QL

FEMHRT LOW DOSE 3

FEMRING 3 ST QL

femynor $0 QL

fyavolv 1

gemmily $0 QL

GENERESS FE 3 QL

hailey 1530 $0 QL

hailey 24 fe $0 QL

hailey fe 120 $0 QL

heather $0 QL

1 PA SP

iclevia $0 QL

incassia $0 QL

introvale $0 QL

isibloom $0 QL

jaimiess $0 QL

jasmiel $0 QL

jencycla $0 QL

jinteli 1

jolessa $0 QL

juleber $0 QL

junel 1530 $0 QL

junel 120 $0 QL

junel fe 1530 $0 QL

junel fe 120 $0 QL

junel fe 24 $0 QL

kaitlib fe $0 QL

kalliga $0 QL

kariva $0 QL

kelnor 135 $0 QL

kelnor 150 $0 QL

kurvelo $0 QL

KYLEENA E

larin 1530 $0 QL

larin 120 $0 QL

larin 24 fe $0 QL

larin fe 1530 $0 QL

larin fe 120 $0 QL

larissia $0 QL

layolis fe $0 QL

leena $0 QL

lessina $0 QL

levonest $0 QL

levora 01530 (28) $0 QL

lillow $0 QL

lojaimiess $0 QL

loryna $0 QL

LOSEASONIQUE 3 QL

low-ogestrel $0 QL

lutera $0 QL

lyleq $0 QL

lyllana 1

lyza $0 QL

MAKENA 2 PA SP

marlissa $0 QL

MENOSTAR 3 ST

merzee $0 QL

mibelas 24 fe $0 QL

mili $0 QL

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 ST

MIRCETTE 3 QL

MIRENA (52 MG) E

mono-linyah $0 QL

NATAZIA $0 QL

necon 0535 (28) $0 QL

NEXPLANON E

nikki $0 QL

nora-be $0 QL

norlyda $0 QL

norlyroc $0 QL

nortrel 0535 (28) $0 QL

nortrel 777 $0 QL

NUVARING 3 QL

nylia 777 $0 QL

nymyo $0 QL

ocella $0 QL

ORIAHNN 2 PA QL

orsythia $0 QL

ORTHO MICRONOR E

philith $0 QL

pimtrea $0 QL

pirmella 135 $0 QL

pirmella 777 $0 QL

portia-28 $0 QL

PREFEST 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem $0 QL

progesterone oral 1

PROMETRIUM 3

PROVERA 3

QUARTETTE 3 QL

reclipsen $0 QL

rivelsa $0 QL

SAFYRAL 3 QL

SEASONIQUE 3 QL

setlakin $0 QL

sharobel $0 QL

simliya $0 QL

simpesse $0 QL

SKYLA E

SLYND E

sprintec 28 $0 QL

sronyx $0 QL

syeda $0 QL

tarina 24 fe $0 QL

tarina fe 120 $0 QL

TAYTULLA E

tilia fe $0 QL

tri femynor $0 QL

tri-estarylla $0 QL

tri-legest fe $0 QL

tri-linyah $0 QL

tri-lo-marzia $0 QL

tri-lo-mili $0 QL

tri-mili $0 QL

tri-nymyo $0 QL

tri-previfem $0 QL

tri-sprintec $0 QL

trivora (28) $0 QL

tri-vylibra $0 QL

tulana $0 QL

TWIRLA E

tydemy $0 QL

velivet $0 QL

vestura $0 QL

vienva $0 QL

viorele $0 QL

VIVELLE-DOT E

volnea $0 QL

vyfemla $0 QL

vylibra $0 QL

wera $0 QL

wymzya fe $0 QL

xulane $0 QL

YASMIN 28 3 QL

yuvafem 1

zafemy $0 QL

zarah $0 QL

zovia 135 (28) $0 QL

zovia 135e (28) $0 QL

zumandimine $0 QL

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

levoxyl 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

SYNTHROID 3

TAPAZOLE 3

THYQUIDITY 3

TIROSINT E

TIROSINT-SOL 3

unithroid 1

WP THYROID 3 ST

ACTEMRA 3 PA SP

ACTIMMUNE 2 PA SP

ALFERON N 2 SP

ARAVA 3

ARCALYST 3 PA SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA SP

AZASAN 3

azathioprine oral 1

BAMLANIVIMAB E

BENLYSTA 3 PA SP

BERINERT 3 PA SP QL

3 PA SP

CASIRIVIMAB E

CELLCEPT 3 SP

2 PA SP

CINRYZE 2 PA SP

COSENTYX 150 MGML

CUTAQUIG E SP

CUVITRU 3 PA SP

CYTOGAM 2 PA SP

ENBREL MINI 3 PA SP

3 PA SP

ENSPRYNG 3 PA SP

ENTYVIO 3 PA SP

ENVARSUS XR 3 SP

ETESEVIMAB E

FIRAZYR 3 PA SP QL

GAMASTAN 2 PA SP

GAMIFANT 3 PA SP

GAMMAGARD 3 PA SP

3 PA SP

GAMUNEX-C 3 PA SP

HAEGARDA 3 PA SP

HEPAGAM B E

3 PA SP

2 PA SP

HYPERHEP B E

HYPERRAB E

HYPERTET SD E

HYQVIA 3 PA SP

2 PA SP QL

ILUMYA 3 PA SP

IMDEVIMAB E

IMURAN 3

INFLECTRA 2 PA SP

KALBITOR 3 PA SP QL

KEDRAB INJECTION E

KEVZARA 3 PA SP

3 PA SP

KYMRIAH 3 PA SP

leflunomide oral 1

LUPKYNIS E SP

methotrexate oral 1

MYFORTIC 3 SP

NABI-HB E

NEORAL 3 SP

NULOJIX 3 SP

OCTAGAM 3 PA SP

OLUMIANT E SP

ORENCIA INTRAVENOUS

3 PA SP

ORLADEYO 3 PA SP QL

OTEZLA ORAL TABLET

2 PA SP

3 PA QL

PANZYGA E SP

PRIVIGEN 3 PA SP

PROGRAF 3 SP

PROVENGE 2 PA SP

RAPAMUNE 3 SP

2 PA QL

REDITREX E

REMICADE E SP

RENFLEXIS E SP

RIDAURA 3 SP

RINVOQ 2 PA SP

RUCONEST 3 PA SP QL

SILIQ 3 PA SP

2 PA SP

SIMULECT E

sirolimus oral 1 SP

2 PA SP QL

STELARA INTRAVENOUS

2 PA SP

2 PA SP QL

SYNAGIS 2 PA SP

TAKHZYRO 3 PA SP

TALTZ 3 PA SP

temsirolimus 1 SP

THYMOGLOBULIN E

TICE BCG 2 SP

TORISEL 3 SP

TREMFYA 2 PA SP

TREXALL 3

UPLIZNA 3 PA SP

WINRHO SDF 2 SP

XATMEP 3

XELJANZ 2 PA SP

XELJANZ XR 2 PA SP

XEMBIFY 3 PA SP

ZINPLAVA E

ZORTRESS 3 SP

ACTHIB $0

BCG VACCINE E

BEXSERO $0

BIOTHRAX E

FLUAD $0

FLUAD QUADRIVALENT

GARDASIL 9 $0

IMOVAX RABIES E

INFANRIX $0

IXIARO E

MENACTRA $0

MENQUADFI $0

MENVEO $0

PNEUMOVAX 23 $0

PREVNAR 13 $0

RABAVERT E

ROTARIX $0

STAMARIL E

TDVAX $0

TENIVAC $0

TRUMENBA $0

VARIVAX $0

VAXCHORA E

VIVOTIF E

YF-VAX E

ana-lex E

anucort-hc E

ANUSOL-HC EXTERNAL

APRISO 2

ASACOL HD E

AZULFIDINE 3

budesonide oral 1

CANASA E

COLAZAL 3

CORTENEMA 3

CORTIFOAM EXTERNAL

DELZICOL E

DIPENTUM E

LIALDA E

LIDOCORT EXTERNAL

mesalamine oral 1

mesalamine rectal 1

ORTIKOS E

PENTASA 3

PROCORT EXTERNAL E

PROCTOCORT EXTERNAL

ROWASA RECTAL 3

SFROWASA 2

UCERIS 3

ATELVIA 3 QL

BINOSTO 3 QL

BONIVA INTRAVENOUS

EVENITY 3 PA SP QL

FOSAMAX PLUS D E

MIACALCIN INJECTION

2 PA SP QL

RAYALDEE 3

RECLAST 3 SP

2 PA SP

TYMLOS 2 PA SP

XGEVA 2 PA SP

calcitriol oral 1

cinacalcet hcl 1 PA

NATPARA 3 PA SP QL

paricalcitol oral 1

PARSABIV 3 SP

ROCALTROL 3

SENSIPAR 3 PA

ZEMPLAR INTRAVENOUS

ACACIA SUBCUTANEOUS

ACREMONIUM E

ACST KIT E

ACUNOL E

ADAKVEO 3 PA SP

ADULT AEROSOL MASK

ALDER E

ALTERNARIA E

AMERICAN BEECH E

AMERICAN COCKROACH

AMERICAN ELM E

AMINOPMRMS E

APP SLIM RMS E

ARIZONA CYPRESS E

asilnasalrms E

ASPARTAME E

AUREOBASIDIUM E

AUSTRALIAN PINE E

AVAILNEX E

AVITENE E

AVITENE FLOUR E

AXONA E

AZALGIA E

BAHIA E

BALD CYPRESS E

BHI URI-CONTROL E

BLACK WILLOW E

BROME E

CARDIOVID PLUS E

CARTICEL E

CATTLE EPITHELIUM E

CAYA $0 QL

CEDAR ELM E

COCKLEBUR E

COLCIGEL E

CONDOMS E

CORN POLLEN E

CORTROSYN E

CROFAB E

CURVULARIA E

DANDELION E

desflurane 1

DIGIFAB E

DOG EPITHELIUM E

DOG FENNEL E

DOJOLVI E

DRECHSLERA E

2 PA SP

DYSPORT 3 PA SP

EASIVENT 2

EASTERN COTTONWOOD

EC-RX DHEA E

ECZEMOL E

ENDARI 3 PA

ENDO AVITENE E

ENLYTE E

ENTERAGAM E

enteric fish oil E

ENU PRO3 PLUS E

EPICOCCUM E

EPISIL E

EQUACARE JR E

ESSENTIAL CARE JR E

2 PA SP

FIRDAPSE E SP

FIRE ANT E

FORANE 3

FOSTEUM PLUS E

FUSARIUM E

GELCLAIR E

GELFILM EXTERNAL E

GEL-FLOW E

GEL-FLOW NT E

GELFOAM E

GELFOAM SPONGE E

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GELSYN-3 2 PA SP

GELX E

GERMAN COCKROACH

GIVLAARI 3 PA SP

GLEOLAN E

GLYTACTIN BURST E

GLYTACTIN RESTORE 5

GLYTACTIN RTD 15 E

GOLDENROD E

GRASTEK 3 PA QL

HACKBERRY E

HCU EASY E

HEPMED E

HIBICLENS E

HOMACTIN AA PLUS E

HOME PAP KIT E

HORSE EPITHELIUM E

HUMATROPEN FOR 12MG

HUMATROPEN FOR 24MG

HUMATROPEN FOR 6MG

HYALGAN E SP

HYLAFEM E

HYMOVIS E SP

INTERCEED E

IOSAT E

isoflurane 1

JOHNSON GRASS E

KAPOK E

KETOVIE LIQUID ORAL

KETOVIE PEPTIDE E

KOCHIA E

LENSCALE E

LIMBREL E

LIMBREL250 E

LIMBREL500 E

LORMATE E

MACRILEN E

MELALEUCA E

MESQUITE E

METHAVER E

METOPIRONE E

MIXED ASPERGILLUS E

MIXED FEATHERS E

MIXED RAGWEED E

MKO MELT DOSE PACK

mlk f1 E

mlk f2 E

mlk f3 E

mlk f4 E

MONOVISC E SP

MORCIN E

MOUNTAIN CEDAR E

MOUSE EPITHELIUM E

MSUD EASY E

MUCOR SUBCUTANEOUS

MUCOTROL E

MUGARD E

MUGWORT E

MYOBLOC 3 PA SP

NEODOT THERMOMETER

NICAPRIN E

NICAZYME E

ODACTRA 3 PA QL

OLIVE TREE E

OMNIVEX E

ORALAIR 3 PA QL

3 PA QL

ORAMAGICRX E

OXBRYTA E SP

PALFORZIA E SP

PH STRIPS E

PHEXXI E

PHOMA EXIGUA E

PKU EASY E

PKU EASY MICROTABS

PKU GO E

PRAXBIND E

PRID E

PRIVET E

PRO-CRITIC E

PROLEVA E

PSORIZIDE FORTE E

PSORIZIDE ULTRA E

PURAMINO DHAARA E

QUEEN PALM E

RABBIT EPITHELIUM E

RADIOGARDASE 3

RAGWITEK 3 PA QL

RAPID GEL RX E

RED MAPLE E

RED MULBERRY E

RESECTISOL E

RHEUMATE E

RHIZOPUS E

RIBOZEL E

ROUGH MARSH ELDER

RUSSIAN THISTLE E

RUZURGI 3 PA SP

sevoflurane 1

SHAGBARK HICKORY E

SHARPS CONTAINER E

SHEEP SORREL E

SILTREX E

SORBITOL IRRIGATION

sorbitol-mannitol E

SORRELDOCK MIX E

SPEEDGEL RX E

SPINRAZA 3 PA SP

SPINY PIGWEED E

STEMPHYLIUM E

SUPARTZ FX E SP

SUPRANE 3

SWEET GUM E

SYRINGE AVITENE E

TACHOSIL 3

TALL RAGWEED E

terrell 1

THROMBI-GEL 10 E

THROMBI-GEL 100 E

THROMBI-GEL 40 E

THROMBI-PAD E

THYROGEN 2 PA SP

TOBAKIENT E

TRANZGEL E

TRILURON E SP

T-SUPPORT MAX E

TYLACTIN RESTORE 10

TYLACTIN RTD 15 E

TYR EASY E

TYROS 2 E

ULTANE 3

ULTRA HERS RX E

ULTRA HIS E

ULTRA PCOS E

VASCULERA E

VILACTIN AA PLUS E

VILTEPSO E SP

VISTOGARD 3

WELLMIND VERTIGO E

westab max E

WESTERN JUNIPER E

WHITE BIRCH E

WHITE MULBERRY E

WHITE OAK E

WHITE PINE E

XEOMIN 3 PA SP

XIAFLEX 2 PA SP

XYZBAC E

XYZMUNE E

YELLOW DOCK E

ZOKINVY 3 PA SP QL

ZYVEXOL E

ZYVIT E

ACULAR 3

ACULAR LS 3

ACUVAIL E

ALAWAY E

ALOCRIL E

ALOMIDE 3

ALREX E

AZASITE 3

BEPREVE E

BESIVANCE 3

BLEPH-10 3

BROMSITE E

CILOXAN 3

DEXTENZA E SP

DEXYCU E

DUREZOL E

epinastine hcl 1

eye itch relief E

EYSUVIS 3 PA

FLAREX 3

FML FORTE 3

FML LIQUIFILM 3

ILEVRO E

INVELTYS 3

KLARITY-A E

KLARITY-L E

LOTEMAX SM 3

MAXIDEX 3

MITOSOL 3

MOXEZA 2

NATACYN 2

NEVANAC E

OCUFLOX 3

PRED FORTE 3

PRED MILD 3

PROLENSA 2 QL

TOBREX 3

TRIPLE PMB E

TRIPLE PMK E

UPNEEQ 3 PA

VIGAMOX 3

YUTIQ E SP

ZADITOR E

ZERVIATE E

ZIRGAN 3

ZYMAXID 3

acetazolamide er 1

apraclonidine hcl 1

AZOPT 3

BETIMOL 3

BETOPTIC-S 3

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT 3

DURYSTA E

ISOPTO CARPINE 3

ISTALOL 3

KEVEYIS 3 PA SP QL

PHOSPHOLINE IODIDE

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

TIMOPTIC E

TIMOPTIC-XE E

TRAVATAN Z 3 QL

TRUSOPT 3

VYZULTA E

XALATAN 3

XELPROS 3 ST QL

ZIOPTAN E

ak-poly-bac 1

AKTEN 3

ALCAINE 3

ALTACAINE 3

altachlore E

ALTAFLUOR BENOX E

artificial eye E

BEOVU E SP

BEVACIZUMAB 3 SP

BIO GLO E

BLEPHAMIDE 3

BLEPHAMIDE SOP 3

CEQUA E

CYCLOGYL 3

CYCLOMYDRIL 3

CYSTARAN 3 PA SP QL

DOUBLE PM E

EYLEA INTRAVITREAL

3 PA SP

FLUCAINE E

fluor-i-strips at E

FLURA-SAFE E

FUL-GLO E

GELFILM OPHTHALMIC

homatropaire 1

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT E

LATISSE E

lubricant eye pm E

lubricant pm E

2 PA SP

3 PA SP

MAXITROL 3

MYDRIACYL E

neo-polycin 1

neo-polycin hc 1

OXERVATE 3 PA SP QL

PAREMYD E

polycin 1

POLYTRIM 3

PRED-G 3

PRED-G SOP 3

REFRESH RELIEVA E

RESTASIS 2 PA

SYSTANE COMPLETE E

SYSTANE ULTRA PF E

TOBRADEX ST 3

ultra fresh pm E

VISIONBLUE 3

VISTA MEIBO TEARS E

VISTA TEARS E

VISUDYNE 3 SP

XIIDRA 2 PA

ZYLET 3

acetic acid otic 1

CETRAXAL 3 ST

CIPRO HC 3

CIPRODEX E

cortic-nd 1

CORTISPORIN-TC 3

DERMOTIC 3

exotic-hc 1

flac 1

ofloxacin otic 1

OTIPRIO E

OTOVEL E

PRAMOTIC 3

12 hour allergy-d E

ADRENALIN NASAL E

all day allergy d E

allergy 24-hr E

allergy childrens E

BECONASE AQ 3 QL

benzonatate 1

CINQAIR 3 PA SP

CLARINEX-D 12 HOUR

DICOPANOL FUSEPAQ

DICOPANOL RAPIDPAQ

DI-PHEN E

DYMISTA 2 QL

FASENRA 2 PA SP

FASENRA PEN 2 PA SP

GILPHEX TR E

HYCODAN 3 PA QL

1 PA QL

hydromet 1 PA QL

HYPERSAL 3

loratadine-d 12hr E

loratadine-d 24hr E

maxi-tuss gmx E

maxi-tuss pe max E

m-dryl E

MICLARA LQ E

MUCINEX DM E

mucus dm E

mucus-d E

NASONEX E

NEOTUSS PLUS E

NUCALA 2 PA SP QL

OMNARIS 3 QL

PATANASE 3 QL

PHENERGAN INJECTION

promethazine vc 1

1 PA QL

promethegan 1

PROPEL E

PROPEL MINI E

QNASL 3 QL

ryvent E

sinus 12 hour E

SINUVA E

SSKI E

SUDAFED CONGESTION

sudogest 12 hour E

TESSALON PERLES 3

TUXARIN ER E

XHANCE E

XOLAIR 2 PA SP

ZETONNA 3 QL

ACCOLATE 3

ADVAIR DISKUS 1 QL

ADVAIR HFA 2 QL

ADYPHREN E

ADYPHREN AMP E

ADYPHREN AMP II E

ADYPHREN II E

AIRDUO DIGIHALER E

ALVESCO E

ANORO ELLIPTA 2 QL

3 PA SP

ARMONAIR DIGIHALER

ASMANEX HFA E

ATROVENT HFA 3 QL

BEVESPI AEROSPHERE

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE

BROVANA 3 QL

COMBIVENT RESPIMAT

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E

ELIXOPHYLLIN 2

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V E

EPISNAP E

ESBRIET 3 PA SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

1 ST QL

GLASSIA 3 PA SP

INCRUSE ELLIPTA E

OFEV 3 PA SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

3 PA SP

PROVENTIL HFA E

PULMICORT FLEXHALER

QVAR REDIHALER E

SEEBRI NEOHALER E

SINGULAIR E

SPIRIVA HANDIHALER

STERITALC 3

STRIVERDI RESPIMAT

2 ST QL

SYMBICORT 2 QL

SYMJEPI 3

THEO-24 3

theophylline 1

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub E

XOPENEX NEB 3 QL

XOPENEX CONCENTRATE

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA SP

zileuton er 1 ST

ZYFLO E

BETHKIS E SP

BRONCHITOL E

CAYSTON E SP

KALYDECO 3 PA SP

KITABIS PAK E SP

ORKAMBI 3 PA SP QL

PULMOZYME 2 PA SP

SYMDEKO 3 PA SP QL

TOBI NEBULIZER E SP

TRIKAFTA 3 PA SP QL

ADCIRCA 3 PA SP QL

ADEMPAS 2 PA SP QL

alyq 1 PA SP QL

bosentan 1 PA SP QL

FLOLAN 3 PA SP

LETAIRIS 3 PA SP QL

OPSUMIT 2 PA SP QL

ORENITRAM 3 PA SP

REVATIO INTRAVENOUS

3 PA SP

1 PA SP

1 PA SP QL

TUDORZA PRESSAIR

TYVASO 3 PA SP QL

UPTRAVI 3 PA SP QL

VELETRI 3 PA SP

VENTAVIS 3 PA SP QL

AMRIX E

BACLOFEN EXTERNAL

baclofen oral 1

carisoprodol oral 1

CYCLOGABA 10300 E

CYCLOPAK E

CYCLOPHENE RAPIDPAQ

enovarx-baclofen E

FEXMID 3

FIRST-BACLOFEN E

LIORESAL E

LORZONE 3

METAXALL CP E

metaxalone 1

NOPIOID-LMC KIT E

NORGESIC FORTE E

OZOBAX E

SKELAXIN E

SOMA 3

TABRADOL FUSEPAQ E

TABRADOL RAPIDPAQ

VANADOM 3

ZANAFLEX E

AMBIEN E

AMBIEN CR E

armodafinil 1 PA QL

BELSOMRA 3 ST QL

DAYVIGO 3 ST QL

EDLUAR E

eszopiclone 1 QL

HETLIOZ 3 PA SP QL

HETLIOZ LQ E SP

LUNESTA E

modafinil 1 PA QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 QL

SILENOR 3 QL

SUNOSI 2 PA QL

temazepam 1 QL

WAKIX 3 PA SP QL

XYREM 3 PA SP QL

XYWAV 3 PA SP QL

zaleplon 1 QL

ZOLPIMIST 3 ST QL

Index of Drugs

Drug Tier

Directions Doctor

-Continued on back-

(Farsi)

HealthSelectSM

Premium standard

Anesthetics

Antibacterials

Anticoagulants

Antidepressants

Antifungals

Antigout Agents

Antimigraine Agents

Antimycobacterials

Antiparasitics

Antiplatelets

Antivirals

Diabetes - Insulins

Documents

Your Prescription Drug List/Formulary