2016 Formulary - Common Ground Healthcare Cooperative

2016 Formulary Reference Guide

FORMERLY

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2016 Essential Health Benefits With Oral Chemotherapy Designation

Formulary Reference Guide

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

FORMULARY DESIGN

Optum has chosen a closed formulary structure for our Essential Health Benefits Formulary. The formulary structure features generics, preferred and non-preferred brand-name drugs, specialty drugs, oral chemotherapy drugs, and ACA (Affordable Care Act) preventive drugs. A closed formulary limits coverage to only those products listed in these levels. Products not listed on the formulary are generally not covered.

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

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

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

• Specialty drugs: Drugs listed under “SPECIALTY” generally have the highest co-payment and cost. Specialty drugs are prescription medications that are sometimes used to treat complex and chronic conditions. They may require special monitoring or handling.

• ACA preventive drugs: Drugs listed under “PREVENTIVE” may have coverage and no co-payment when health care reform requirements are met for age, gender, and/or risk factors.

• Oral chemotherapy: Drugs listed under “ORAL CHEMO” may have a designated copayment or co-insurance specific to these products based on state laws surrounding oral chemotherapeutic agents.

Essential Health Benefits (with oral chemotherapy designation) Formulary Reference Guide

REASONABLE MEDICAL MANAGEMENT

Optum’s formulary also uses medical and utilization management functions to determine whether a prescription is medically necessary. These industry recognized and accepted management functions include but are not limited to quantity limits, step therapy, and prior authorization and help Optum and its clients determine whether the prescribed medication was prescribed in accordance with generally accepted medical practice standards, is clinically appropriate, and confirm that the prescribed medication is not more costly than an alternative product that is as likely to produce therapeutically equivalent results. As recommended by the United States Department of Labor, Optum’s reasonable medical and utilization management functions apply to ACA preventive drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

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

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include oral chemo, generic, preferred brand-name, non-preferred brand-name, and specialty medications. Co-payments and deductibles for preventive products follow health care reform rules. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs (or specialty drugs) may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs.

PLEASE NOTE: Brand-name drugs may become non-formulary if a generic version becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications

Essential Health Benefits (with oral chemotherapy designation) Formulary Reference Guide

for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed in the following order: oral chemo, generics, generic preventive, preferred brand name, non-preferred brand name, brand name preventive, specialty drugs. In addition, immediately preceding the index is a section listing ACA preventive drugs by category.

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

All OptumTM

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

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

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

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

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

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

Table of Contents

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

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

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

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

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

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

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

FIFTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

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

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

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

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

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

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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

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

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

ACA PREVENTIVE DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

ASPIRIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

FLUORIDE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

FOLIC ACID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

IMMUNIZATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

IRON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

SMOKING CESSATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

VITAMIN D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

BOWEL PREPARATION AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

BREAST CANCER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

NON PREFERRED

Cedax

Claforan

Suprax

July 2016 FOURTH GENERATION

GENERIC

ANTI-INFECTIVES cefepime

NON PREFERRED

PENICILLINS

Maxipime

GENERIC

FIFTH GENERATION

amoxicillin

NON PREFERRED

amoxicillin/clavulanate potassium

Teflaro

amoxicillin/clavulanate potassium ER

ampicillin

MACROLIDES

ampicillin sodium

GENERIC

ampicillin-sulbactam

azithromycin

dicloxacillin sodium

clarithromycin

nafcillin sodium

clarithromycin ER

oxacillin sodium

erythromycin

penicillin v potassium

Erythromycin Base

penicillin G potassium

NON PREFERRED

piperacillin sodium/ tazobactam sodium

Azithromycin

piperacillin sodium/tazobactam sodium

DificidQL

piperacillin/tazobactam

Ery-TAB

Amoxicillin/Clavulanate Potassium

Erythrocin Lactobionate

Ampicillin-sulbactam

PCE

PREFERRED

Zithromax

Augmentin

NON PREFERRED

TETRACYCLINES

Bactocill IN Dextrose

GENERIC

Bicillin C-R

avidoxy

Bicillin L-a

demeclocycline HCL

Moxatag

doxy 100

Timentin

doxycycline

doxycycline hyclate

CEPHALOSPORIN

doxycycline hyclate DR

FIRST GENERATION

doxycycline monohydrate

GENERIC

minocycline HCL

cefadroxil

minocycline HCL ER

cefazolin sodium

mondoxyne nl

cephalexin

morgidox 1X100MG

SECOND GENERATION

morgidox 2X100MG

GENERIC

tetracycline HCL

cefaclor

Tetracycline HCL

cefotetan

cefoxitin sodium

QUINOLONES

cefprozil

GENERIC

cefuroxime axetil

ciprofloxacin

cefuroxime sodium

ciprofloxacin ER

Cefaclor

ciprofloxacin HCL

Cefotetan

ciprofloxacin I.V.-IN D5W

Cefotetan/Dextrose

levofloxacin

Cefuroxime Sodium

levofloxacin IN D5W

NON PREFERRED

moxifloxacin HCL

Ceftin

ofloxacin

Mefoxin

Ciprofloxacin HCL

Zinacef

Ofloxacin

THIRD GENERATION

PREFERRED

GENERIC

Avelox

cefdinir

NON PREFERRED

cefixime

Factive

cefotaxime sodium

Noroxin

cefpodoxime proxetil

ceftazidime

AMINOGLYCOSIDES

ceftriaxone sodium

tazicef GENERIC

tazidime amikacin sulfate

Cefditoren Pivoxil gentamicin sulfate

Ceftriaxone IN Iso-osmotic Dextrose gentamicin sulfate pediatric

gentamicin sulfate/0.9% sodium chloride

Effective July 1, 2016 v.1

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.

1

isotonic gentamicin ganciclovir

neomycin sulfate lamivudine

paromomycin sulfate lamivudine/zidovudine

tobramycin sulfate nevirapine

Streptomycin Sulfate nevirapine ER

SPECIALTY rimantadine HCL

tobramycinPA stavudine

tobramycin inhalation solution PAKPA valacyclovir HCLQL

Tobi PodhalerQL,PA zidovudine

PREFERRED

SULFONAMIDES Aptivus

AtriplaQL

GENERIC

CompleraQL

Sulfadiazine

Crixivan

Edurant

ANTIMYCOBACTERIAL AGENTS

Emtriva

GENERIC

Epivir HBV

ethambutol HCL

Epzicom

isoniazid

Evotaz

pyrazinamide

FuzeonQL

rifabutin

Intelence

rifampin

Invirase

PREFERRED

Isentress

Isoniazid

Kaletra

Priftin

Lexiva

Sirturo

Nevirapine

NON PREFERRED

Norvir

Capastat Sulfate

Prezcobix

Paser

Prezista

Rifamate

Relenza DiskhalerQL

Rifater

Rescriptor

Trecator

Retrovir IV Infusion

Reyataz

ANTIFUNGALS

SelzentryPA

GENERIC

StribildQL

bio-statin

Sustiva

fluconazole

TamifluQL

fluconazole IN dextrose

Tivicay

fluconazole IN NACL

TriumeqQL

flucytosine

Truvada

griseofulvin microsize

Tybost

griseofulvin ultramicrosize

Videx Pediatric

itraconazolePA

Viracept

ketoconazole

Viramune

nystatin

Viread

terbinafine HCLQL

Vitekta

voriconazole

Ziagen

Amphotericin B

SPECIALTY

PREFERRED

adefovir dipivoxilQL,PA

Cancidas

entecavirQL,PA

Lamisil

moderiba

Mycamine

ribasphere

Noxafil

ribavirin

SporanoxPA

valganciclovir

NON PREFERRED

BaracludeQL,PA

Abelcet

DaklinzaQL,PA

Ambisome

HarvoniPA

Amphotec

Moderiba

Cresemba

Moderiba 1200 Dose Pack

Eraxis

Moderiba 800 Dose Pack

Peg-intronPA

ANTIVIRALS

Peg-intron RedipenPA

GENERIC

Peg-intron Redipen PAK 4PA

abacavir

PegasysPA

abacavir sulfate/lamivudine/zidovudineQL

Pegasys ProclickPA

acyclovir

PegintronPA

acyclovir sodium

Rebetol

cidofovir

Ribasphere

didanosine

Ribasphere Ribapak

famciclovirQL

Ribatab

Effective July 1, 2016

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; 2

SovaldiPA Ketek

TyzekaQL,PA Primsol

Valcyte Vibativ

Victrelis Zyvox

Virazole SPECIALTY

ZepatierQL,PA CaystonPA

ANTIMALARIALS ANTINEOPLASTICS, ETC

GENERIC

ALKYLATING AGENTS

atovaquone/proguanil HCL

ORAL CHEMO

chloroquine phosphate

temozolomidePA

hydroxychloroquine sulfate

Alkeran

mefloquine HCL

Cyclophosphamide

quinine sulfatePA

Gleostine

Primaquine Phosphate

Hexalen

PREFERRED

Leukeran

Coartem

Lomustine

Daraprim

Myleran

SPECIALTY

ANTHELMINTICS

carboplatin

GENERIC

cisplatin

ivermectin

cyclophosphamide

PREFERRED

ifosfamide

Albenza

melphalan hydrochloride

NON PREFERRED

oxaliplatin

Biltricide

Bendeka

Bicnu

MISC. ANTI-INFECTIVES

Busulfex

GENERIC Cisplatin

atovaquone Gliadel Wafer

aztreonam Ifex

baciim Ifosfamide

bacitracin Mustargen

clindamycin Temodar

clindamycin palmitate HCL Treanda

clindamycin phosphate ValchlorPA

clindamycin phosphate add-vantage Yondelis

clindamycin phosphate pharmacy bulk package Zanosar

clindamycin phosphate IN D5W

clindamycin HCL ANTIBIOTICS

colistimethate sodium

GENERIC

e.s.p.

bleomycin sulfate

imipenem/cilastatin

SPECIALTY

lincomycin HCL

adriamycin

linezolidQL

daunorubicin HCL

meropenem

doxorubicin HCL

metronidazole

doxorubicin HCL liposome

metronidazole IN NACL 0.79%

epirubicin HCL

polymyxin b sulfate

idarubicin HCL

sulfamethoxazole/trimethoprim

lipodox

sulfamethoxazole/trimethoprim DS

lipodox 50

sulfatrim pediatric

mitomycin

tinidazole

mitoxantrone HCLQL,PA

trimethoprim

Adriamycin

vancomycin HCL

Daunoxome

Dapsone

Doxorubicin HCL

Linezolid

Epirubicin HCL

PREFERRED

Mitomycin

Alinia

Valstar

Nebupent

SivextroQL

ANTINEOPLASTIC ENZYMES

Tygacil

SPECIALTY

XifaxanPA

Erwinaze

NON PREFERRED

Oncaspar

Azactam IN Iso-osmotic Dextrose

Cubicin

ANTIMETABOLITES

Doribax

ORAL CHEMO

Flagyl ER

capecitabinePA

Invanz

mercaptopurine



methotrexate SPECIALTY

Tabloid leuprolide acetatePA

Trexall EligardQL,PA

GENERIC Faslodex

methotrexate sodium FirmagonQL,PA

Methotrexate Sodium Lupron DepotQL,PA

SPECIALTY TrelstarQL,PA

adrucil Trelstar MixjectQL,PA

azacitidinePA VantasQL,PA

cladribine ZoladexQL

cytarabine

cytarabine aqueous IMMUNOMODULATORS

decitabinePA

ORAL CHEMO

floxuridine

PomalystPA

fludarabine phosphate

RevlimidPA

fluorouracil

ThalomidPA

gemcitabine

GENERIC

gemcitabine HCL

azathioprine

Alimta

cyclosporine

Arranon

cyclosporine modified

Clolar

gengraf

Cytarabine

hecoria

Depocyt

mycophenolate mofetil

Floxuridine

mycophenolic acid DR

Folotyn

sirolimus

tacrolimus

ANGIOGENESIS INHIBITORS

Azathioprine

SPECIALTY PREFERRED

Avastin Azasan

ZaltrapQL,PA Rapamune

Sandimmune

ANTIBODIES NON PREFERRED

Atgam

SPECIALTY

Cellcept Intravenous

AdcetrisPA

NulojixPA

ArzerraPA

Prograf

BlincytoPA

Simulect

DarzalexPA

Thymoglobulin

EmplicitiPA

ZortressPA

Erbitux

GazyvaPA

MITOTIC INHIBITORS

HerceptinPA

KadcylaPA ORAL CHEMO

OpdivoPA Etoposide

PerjetaPA PREFERRED

PortrazzaPA Teniposide

Rituxan SPECIALTY

Unituxin docetaxel

Vectibix etoposide

YervoyPA paclitaxel

Zevalin Y-90 toposar

vincasar PFS

HORMONAL AGENTS vincristine sulfate

vinorelbine tartrate

ORAL CHEMO

Abraxane

anastrozole

Docefrez

bicalutamide

Docetaxel

exemestane

Docetaxel (non- Alcohol Formula)

flutamide

Docetaxel (non-alcohol Formula)

letrozole

Etopophos

megestrol acetate

HalavenPA

tamoxifen citrate

Ixempra Kit

Emcyt

JevtanaPA

Fareston

Marqibo

Lysodren

Paclitaxel

Nilandron

Vinblastine Sulfate

Soltamox

XtandiPA

ENZYME INHIBITORS

ZytigaPA

PREFERRED ORAL CHEMO

Depo-provera imatinib mesylatePA



AfinitorQL,PA Intron A W/DiluentPA

Afinitor DisperzPA Nipent

BosulifPA Proleukin

CaprelsaQL,PA SylatronPA

CometriqPA SynriboPA

CotellicQL,PA Theracys

FarydakQL,PA Tice Bcg

GilotrifQL,PA Trisenox

GleevecPA

IbrancePA CHEMOTHERAPY RESCUE

IclusigPA

ORAL CHEMO

ImbruvicaPA

leucovorin calcium

InlytaPA

Leucovorin Calcium

JakafiPA

Mesnex

Lenvima 10MG Daily DosePA

SPECIALTY


amifostine


dexrazoxane


levoleucovorin

LynparzaPA

levoleucovorin calcium

MekinistPA

mesna

NexavarPA

Fusilev

NinlaroQL,PA

Levoleucovorin

SprycelPA

Totect

StivargaPA

Voraxaze

SutentPA

TafinlarPA

CHEMOTHERAPY ADJUNCTS

TagrissoQL,PA

SPECIALTY

TarcevaQL,PA

Elitek

TasignaPA

Kepivance

TykerbPA

VotrientPA

ANTINEOPLASTIC COMBO

XalkoriPA

ORAL CHEMO

ZelborafQL,PA

LonsurfQL,PA

ZolinzaPA

ZydeligPA

CARDIOVASCULAR DRUGS

ZykadiaPA

PHOSPHODIESTERASE INHBTR

SPECIALTY

GENERIC

IstodaxPA

milrinone lactate

KyprolisPA

milrinone IN dextrose

Torisel

VelcadePA

CARDIAC GLYCOSIDES

GENERIC

TOPOISOMERASE I INHIBITOR

digitek

ORAL CHEMO

digox

Hycamtin

digoxin

SPECIALTY

irinotecan

ANTIANGINAL AGENTS

topotecan HCL

GENERIC

Camptosar

isosorbide dinitrate

Irinotecan

isosorbide mononitrate

Onivyde

isosorbide mononitrate ER

Topotecan HCL

minitran

nitro-time

ANTINEOPLASTICS MISC.

nitroglycerin lingual

ORAL CHEMO

nitroglycerin transdermal

bexarotenePA

nitroglycerin ER

hydroxyurea

nitroglycerin IN dextrose 5%

tretinoin

nitroglycerin IN 5% dextrose

ErivedgePA

Isosorbide Dinitrate

Matulane

Nitroglycerin Lingual

PREFERRED

PREFERRED

Photofrin

Dilatrate SR

Uvadex

Nitro-bid

SPECIALTY

Nitrostat

dacarbazine

Ranexa

Actimmune

NON PREFERRED

Alferon N

Nitromist

Dacarbazine

Intron APA



BETA BLOCKERS quinidine gluconate CR

quinidine gluconate ER

GENERIC

quinidine sulfate

acebutolol HCL

Quinidine Sulfate

atenolol

PREFERRED

betaxolol HCL

Tikosyn

bisoprolol fumarate

NON PREFERRED

carvedilol

Multaq

esmolol HCL

Nexterone

labetalol HCL

Norpace CR

metoprolol succinate ER

metoprolol tartrate

ACE INHIBITORS

nadolol

pindolol GENERIC

propranolol HCL benazepril HCL

propranolol HCL ER captopril

sorine enalapril maleate

sotalol HCL enalaprilat

sotalol HCL (AF) fosinopril sodium

Metoprolol Tartrate lisinopril

Timolol Maleate moexipril HCL

PREFERRED perindopril erbumine

Bystolic quinapril HCL

Coreg CR ramipril

NON PREFERRED trandolapril

Inderal XL

Innopran XL ANGIOTENSIN RCPTR BLOCKER

Levatol

GENERIC

candesartan cilexetilST

CALCIUM CHANNEL BLOCKERS

irbesartan

GENERIC losartan potassium

afeditab CR telmisartan

amlodipine besylate valsartan

cartia XT Eprosartan Mesylate

dilt-XR PREFERRED

diltiazem CD Benicar

diltiazem HCL NON PREFERRED

diltiazem HCL CD EdarbiST

diltiazem HCL ER

felodipine ER DIRECT RENIN INHIBITORS

isradipine

PREFERRED

matzim LA

Tekturna

nicardipine HCL

nifedical XL

ANTIHYPERTENSIVES MISC.

nifedipine

GENERIC

nifedipine ER

clonidine HCL

nimodipine

doxazosin

nisoldipine

doxazosin mesylate

taztia XT

eplerenone

verapamil HCL

fenoldopam mesylate

verapamil HCL ER

guanfacine HCL

verapamil HCL SR

hydralazine HCL

NON PREFERRED

methyldopa

Cardene IV

minoxidil

Cardizem LA

phenoxybenzamine hydrochloride

prazosin HCL

ANTIARRHYTHMICS

terazosin HCL

GENERIC

Methyldopate HCL

adenosine

PREFERRED

amiodarone HCL

Demser

disopyramide phosphate

flecainide acetate

ANTIHYPERTENSIVE COMBO

ibutilide fumarate

GENERIC

lidocaine HCL

amlodipine besylate/benazepril hydrochloride

lidocaine HCL IN D5W

amlodipine besylate/benazepril HCL

lidocaine HCL/dextrose

amlodipine besylate/valsartan

mexiletine HCL

amlodipine/valsartan/hctz

pacerone

atenolol/chlorthalidone

propafenone HCL

benazepril HCL/hydrochlorothiazide

propafenone HCL ER

bisoprolol fumarate/hydrochlorothiazide



candesartan cilexetil/hydrochlorothiazide Dopamine HCL

enalapril maleate/hydrochlorothiazide Epinephrine

fosinopril sodium/hydrochlorothiazide PREFERRED

irbesartan/hydrochlorothiazide Auvi-q

lisinopril/hydrochlorothiazide Epipen 2-PAK

losartan potassium/hydrochlorothiazide Epipen-JR 2-PAK

metoprolol/hydrochlorothiazide

moexipril/hydrochlorothiazide ANTIHYPERLIPIDEMICS

nadolol/bendroflumethiazide

GENERIC

quinapril/hydrochlorothiazide

atorvastatin calcium

telmisartan/amlodipine

cholestyramine

telmisartan/hydrochlorothiazide

cholestyramine light

trandolapril/verapamil HCL

colestipol HCL

trandolapril/verapamil HCL ER

fenofibrate

valsartan/hydrochlorothiazide

fenofibrate micronized

PREFERRED

fenofibric acid DR

Amturnide

fluvastatin

Azor

fluvastatin sodium ER

Benicar HCT

gemfibrozil

Tekamlo

lovastatin

Tekturna HCT

micronized colestipol HCL

Tribenzor

niacin ER

omega-3-acid ethyl esters

DIURETICS

pravastatin sodium

GENERIC prevalite

acetazolamide rosuvastatin calcium

acetazolamide sodium simvastatin

acetazolamide ER Fenofibric Acid

amiloride HCL PREFERRED

amiloride/hydrochlorothiazide Vascepa

bumetanide Vytorin

chlorothiazide Welchol

chlorothiazide sodium Zetia

ethacrynate sodium NON PREFERRED

furosemide Fenofibrate

hydrochlorothiazide Fenoglide

indapamide Fibricor

mannitol Livalo

methazolamide Triglide

metolazone SPECIALTY

osmitrol viaflex JuxtapidQL,PA

spironolactone PraluentQL,PA

spironolactone/hydrochlorothiazide RepathaQL,PA

torsemide Repatha SureclickQL,PA

triamterene/hydrochlorothiazide

Acetazolamide CARDIOVASCULAR - MISC.

Chlorothiazide

GENERIC

Chlorthalidone

amlodipine besylate/atorvastatin calcium

Methyclothiazide

cardioplegic

Triamterene/Hydrochlorothiazide

papaverine HCL

NON PREFERRED

PREFERRED

Dyrenium

CialisQL

Edecrin

ViagraQL

SPECIALTY

NON PREFERRED

KeveyisQL,PA

Bidil

SPECIALTY

VASOPRESSORS

epoprostenol sodiumPA

GENERIC sildenafilQL,PA

dobutamine HCL sildenafil citrateQL,PA

dobutamine HCL/D5W AdcircaQL,PA

dobutamine/dextrose 5% AdempasQL,PA

dopamine HCL LetairisQL,PA

dopamine HCL-dextrose 5% OpsumitQL,PA

dopamine HCL/dextrose 5% OrenitramPA

dopamine/D5W RemodulinPA

ephedrine sulfate TracleerQL,PA

midodrine HCL TyvasoQL,PA

norepinephrine bitartrate Tyvaso RefillQL,PA

phenylephrine HCL Tyvaso StarterQL,PA



UptraviQL,PA Doxycycline

VeletriPA PREFERRED

VentavisQL,PA Finacea

Oracea

DERMATOLOGICALS

ANTIBIOTICS - TOPICAL

ACNE PRODUCTS

GENERIC

GENERIC

mupirocin

amnesteem

mupirocin calcium

avar cleanser

NON PREFERRED

avar-e emollient

Altabax

avar-e green

Cortisporin

benzepro

Neo-synalar

benzepro creamy wash

benzepro foaming cloths

ANTIFUNGALS - TOPICAL

benzepro SHORT contact

GENERIC

benziq wash

ciclodan

benzoyl peroxide

ciclopirox

benzoyl peroxide SHORT contact

ciclopirox nail lacquer

bp foam

ciclopirox olamine

bp foaming wash

ciclopirox treatmentPA

bp wash

clotrimazole

bp 10-1

clotrimazole/betamethasone dipropionate

bpo 6% foaming cloths

econazole nitrate

cerisa wash

ketoconazole

claravis

ketodan

claris clarifying wash

naftifine hydrochlorideST

clearplex x

nyamyc

clindacin etz pledgets

nystatin

clindacin-p

nystatin/triamcinolone

clindamax

nystop

clindamycin phosphate

oxiconazole nitrate

clindamycin/benzoyl peroxide

pedi-dri

ery

NON PREFERRED

erythromycin

Cnl8 Nail KitPA

erythromycin/benzoyl peroxide

ErtaczoST

myorisan

ExeldermST

neuac

MentaxST

oscion cleanser

Oxistat

pr benzoyl peroxide wash

Pedipirox-4 NailPA

prascion

XolegelST

prascion fc

rosanil cleanser

ANTIVIRALS - TOPICAL

rosula

se bpo wash GENERIC

se 10-5 ss acyclovir

sodium sulfacetamide PREFERRED

sodium sulfacetamide/sulfur Denavir

sodium sulfacetamide/sulfur cleanser Zovirax

sodium sulfacetamide/sulfur cleansing cloths

sodium sulfacetamide/sulfur green ANTI-INFLAMMATORY AGENTS

sodium sulfacetamide/sulfur w/sunscreen

GENERIC

sodium sulfacetamide/sulfur wash

diclofenac sodiumQL,PA

ss 10-2

diclotral PAK

sss 10-5

klofensaid IIQL,PA

sss 10%-5%

sure result dss premium pack

sulfacetamide sodium

sulfacetamide sodium/sulfur

ANTIPRURITICS

sulfacetamide sodium/sulfur cleanser

GENERIC

sulfacleanse 8/4

Doxepin Hydrochloride

virti-sulf

zenatane

ANTIPSORIATICS

zencia

GENERIC

NON PREFERRED

acitretin

Azelex

calcipotriene

calcitrene

ROSACEA AGENTS

methoxsalen

GENERIC

Calcitriol

metronidazole

PREFERRED

rosadan

TazoracQL,PA



8-mop DERMATOLOGICALS - MISC.

NON PREFERRED

GENERIC

Vectical

ammonium lactate

anodynz

ANTISEBORRHEIC AGENTS

avalin-RX

GENERIC ceramax

seb-prev wash cerovel

selenium sulfide cidaleaze

sodium sulfacetamide diclofenac sodium

sodium sulfacetamide wash elenzapatch

episone CRE

CORTICOSTEROIDS - TOPICAL fluorouracil

glydo

GENERIC

grafco silver nitrate applicator

ala cort

grafco silver nitrate applicator 12"

alclometasone dipropionate

hypercare

alphatrex

k2k pain relieving patch

augmented betamethasone dipropionate

lactic acid

betamethasone dipropionate

lactic acid e

betamethasone valerate

lactic acid w/vitamin e

calcipotriene/betamethasone dipropionateQL,PA

latrix

clobetasol propionate

lidenza patch

clobetasol propionate e

lidocaine

clobetasol propionate emollient

lidocaine HCL

clodan

lidocaine HCL jelly

cormax scalp application

lidocaine-prilocaine-cream base

desonide

lidocaine/prilocaine

desoximetasone

lidodextrapine

fluocinolone acetonide

lidopin

fluocinolone acetonide body

lindane

fluocinolone acetonide scalp

livixil PAK

fluocinonide

lorenza

fluocinonide-e

mafenide acetate

flurandrenolide

malathion

fluticasone propionate

migryl

halobetasol propionate

permethrin

halonate PAC

podofilox

hydrocortisone

pramox gel

hydrocortisone acetate/aloe

premium lidocaine

hydrocortisone butyrate

provenza

hydrocortisone butyrate (lipid)

rea LO 39

hydrocortisone butyrate (lipophilic)

rea LO 40

hydrocortisone valerate

reciphexamine

hydrocortisone IN absorbase

relador PAK

lokara

relador PAK plus

mometasone furoate

releevia ML

prednicarbate

remeven

scalacort

salacyn

triamcinolone acetonide

salicylic acid

triderm

salicylic acid cream

Amcinonide

salicylic acid lotion

Apexicon E

salicylic acid wart remover

Desoximetasone

silver sulfadiazine

Diflorasone Diacetate

sodium hyaluronate

PREFERRED

ssd

TaclonexQL,PA

synvexia

NON PREFERRED

tetrix

Capex

thermazene

Cordran

tropazone

Cordran Tape

u-kera e

Halog

umecta mousse

Locoid

ure-k

Texacort

urea

urea hydrating

IMMUNOMODULATING AGENTS

urea nail

GENERIC

urea topical

imiquimod

urea IN zinc undecylenate/lactic acid vehicle

tacrolimus

urea 40% nail film

PREFERRED

urea-c40

Elidel



x-viate PREFERRED

xyphex Androgel

zeruvia Androgel P.M.

Cem-urea Androxy

CARB-o-philic 40 Axiron

CARB-o-philic/40 Methitest

LP lite PAK NON PREFERRED

Salicylic Acid Anadrol-50PA

PREFERRED StriantST

Condylox

Oxsoralen ESTROGENS

RegranexPA

GENERIC

Sulfamylon

estradiol

NON PREFERRED

estradiol valerate

Eurax

estradiol/norethindrone acetate

Fluoroplex

estropipate

Panretin

fyavolv

Picato

jevantique LO

Sklice

jinteli

Ulesfia

lopreeza

Veregen

mimvey

SPECIALTY

mimvey LO

TargretinPA

norethindrone acetate/ethinyl estradiol

ValchlorPA

ortho-est

PREFERRED

ENDOCRINE AND METABOLIC

Cenestin

Combipatch

CORTICOSTEROIDS

Enjuvia

GENERIC

Evamist

baycadron

Premarin

betamethasone sodium phosphate/betamethasone acetate

Premphase

budesonide Prempro

deltasone NON PREFERRED

dexamethasone Menest

dexamethasone sodium phosphate

fludrocortisone acetate CONTRACEPTIVES

hydrocortisone

PREVENTIVE

methylprednisolone

aftera

methylprednisolone acetate

altavera

methylprednisolone dose pack

alyacen 1/35

methylprednisolone sodiumsuccinate

alyacen 7/7/7

prednisolone

amethiaQL

prednisolone sodium phosphate

amethia LOQL

prednisolone sodium phosphate odt

amethyst

prednisone

apri

A-hydrocort

aranelle

Dexamethasone

ashlynaQL

Dexamethasone Sodium Phosphate

aubra

Prednisone

aviane

NON PREFERRED

azurette

Depo-medrol

balziva

Dexamethasone Intensol

bekyree

Dexpak 10 Day

blisovi FE 1.5/30

Dexpak 13 Day

blisovi FE 1/20

Dexpak 6 Day

blisovi 24 FE

Prednisone Intensol

briellyn

Solu-cortef

camila

camreseQL

ANDROGENS-ANABOLIC

camrese LOQL

GENERIC caziant

danazol chateal

methyltestosterone cryselle-28

oxandroloneQL,PA cyclafem 1/35

testosterone cyclafem 7/7/7

testosterone cypionatePA cyred

testosterone enanthatePA dasetta 1/35

testosterone P.M. dasetta 7/7/7

Testosterone dayseeQL

Testosterone P.M. deblitane



delyla norethindrone

desogestrel/ethinyl estradiol norethindrone & ethinyl estradiol ferrous fumarate

drospirenone/ethinyl estradiol norethindrone acetate/ethinyl estradiol

econtra EZ norethindrone acetate/ethinyl estradiol/ferrous fumarate

elinest norgestimate/ethinyl estradiol

emoquette norlyroc

enpresse-28 nortrel 0.5/35 (28)

enskyce nortrel 1/35

errin nortrel 7/7/7

estarylla ocella

fallback solo opcicon one-step

falmina orsythia

gianvi philith

gildagia pimtrea

gildess FE 1.5/30 pirmella 1/35

gildess FE 1/20 pirmella 7/7/7

gildess 1.5/30 portia-28

gildess 1/20 previfem

gildess 24 FE quasenseQL

heather reclipsen

introvaleQL setlakinQL

jencycla sharobel

jolessaQL sprintec 28

jolivette sronyx

juleber syeda

junel FE 1.5/30 take action

junel FE 1/20 tarina FE 1/20

junel FE 24 tilia FE

junel 1.5/30 tri-estarylla

junel 1/20 tri-legest FE

kaitlib FE tri-linyah

kariva tri-previfem

kelnor 1/35 tri-sprintec

kimidess tri-LO-estarylla

kurvelo tri-LO-marzia

larin FE 1.5/30 tri-LO-sprintec

larin FE 1/20 trinessa

larin 1.5/30 trinessa LO

larin 1/20 trivora-28

larin 24 FE velivet

layolis FE vestura

leena vienva

lessina viorele

levonest vyfemla

levonorgestrel wera

levonorgestrel and ethinyl estradiolQL wymzya FE

levonorgestrel/ethinyl estradiol zarah

levora 0.15/30-28 zenchent

lomedia 24 FE zenchent FE

loryna zovia 1/35e

low-ogestrel Levonorgestrel

lutera Ogestrel

lyza Xulane

marlissa PREFERRED

medroxyprogesterone acetateQL LO Loestrin FE

microgestin FE Minastrin 24 FE

microgestin FE 1.5/30 PREVENTIVE

microgestin 1.5/30 Natazia

microgestin 1/20 NuvaringQL

microgestin 24 FE NON PREFERRED

mono-linyah Depo-subq Provera 104QL

mononessa PREVENTIVE

my way Ella

myzilra PREVENTIVE

necon 0.5/35-28 Implanon

necon 1/35 Liletta

necon 7/7/7 Mirena

next choice one dose Nexplanon

nikki Paragard Intrauterine Copper Contraceptive T380a

nora-be Skyla



BIGUANIDES

PROGESTINS GENERIC

metformin HCL

GENERIC

metformin HCL ER

medroxyprogesterone acetate

PREFERRED

megestrol acetate

Riomet

norethindrone acetate

MEGLITINIDE ANALOGUES

progesterone

GENERIC

SPECIALTY

nateglinide

MakenaPA

repaglinide

DIABETIC OTHER

ANTIDIABETIC AGENTS

PREFERRED

INSULIN

Glucagen Hypokit

PREFERRED

Glucagon Emergency Kit

Lantus

InvokanaPA

Lantus Solostar

Proglycem

Novolin N

NON PREFERRED

Novolin N Relion

Cycloset

Novolin R

JardianceST

Novolin R Relion

ALPHA-GLUCOSIDASE INHIBIT

Novolin 70/30

GENERIC

Novolin 70/30 Relion

acarbose

Novolog

NON PREFERRED

Novolog Flexpen

Glyset

Novolog Mix 70/30

DPP-4 INHIBITORS

Novolog Mix 70/30 Prefilled Flexpen

GENERIC

Novolog Penfill

Alogliptin

Toujeo Solostar

PREFERRED

NON PREFERRED

Januvia

ApidraST

Onglyza

Apidra SolostarST

NON PREFERRED

HumalogST

Tradjenta

Humalog KwikpenST

INSULIN SENSITIZING AGENT

Humalog Mix 50/50ST

GENERIC

Humalog Mix 50/50 KwikpenST

pioglitazone HCL

Humalog Mix 75/25ST

NON PREFERRED

Humalog Mix 75/25 KwikpenST

Avandia

Humulin NST

ANTIDIABETIC COMBINATIONS

Humulin N KwikpenST

GENERIC

Humulin RST

glipizide/metformin HCL

Humulin R U-500 (concentrated)ST

glyburide/metformin HCL

Humulin 70/30ST

pioglitazone HCL-glimepiride

Humulin 70/30 KwikpenST

pioglitazone HCL/metformin HCL

LevemirST

Alogliptin/Metformin HCL

Levemir FlexpenST

Alogliptin/Pioglitazone

Levemir FlextouchST

Repaglinide/Metformin Hydrochloride

AMYLIN ANALOGS

PREFERRED

PREFERRED

Actoplus Met XR

Symlinpen 120PA

Janumet

Symlinpen 60PA

Janumet XR

INCRETIN MIMETIC AGENTS

Kombiglyze XR

PREFERRED

Bydureon

BISPHOSPHONATES

Byetta

GENERIC

TrulicityQL,ST

alendronate sodium

Victoza

ibandronate sodiumQL

SULFONYLUREAS

risedronate sodiumQL,ST

GENERIC

risedronate sodium DRQL,ST

glimepiride

Etidronate Disodium

glipizide

PREFERRED

glipizide ER

Alendronate Sodium

glipizide XL

Fosamax Plus DQL

glyburide

SPECIALTY

glyburide micronized

pamidronate disodium

tolazamide

zoledronic acidPA

Chlorpropamide

Pamidronate Disodium

Glyburide

Zoledronic AcidPA

Tolazamide

ZometaPA

Tolbutamide

NON PREFERRED

Diabeta



CALCITONINS vasopressin

SPECIALTY

GENERIC

Stimate

calcitonin salmonQL

calcitonin-salmonQL

CORTICOTROPIN

NON PREFERRED

Miacalcin SPECIALTY

H.p. ActharPA

PARATHYROID HORMONE

PROLACTIN INHIBITORS

SPECIALTY

ForteoQL GENERIC

cabergoline

RANK LIGAND INHIBITORS

VASOPRESSIN ANTAGONISTS

SPECIALTY

ProliaQL,PA SPECIALTY

XgevaPA SamscaQL

HORMONE RECEPTOR MDLTR METABOLIC MODIFIERS

GENERIC GENERIC

raloxifene hydrochloride calcitriol

doxercalciferol

FERTILITY REGULATORS levocarnitine

paricalcitol

SPECIALTY

PREFERRED

chorionic gonadotropinQL

SensiparPA

clomiphene citrate

NON PREFERRED

novarelQL

Hectorol

pregnyl w/diluent benzyl alcohol/NACLQL

SPECIALTY

serophene

sodium phenylbutyrate

AldurazymePA

LHRH/GNRH AGONIST

Buphenyl

SPECIALTY

Carbaglu

Lupron Depot-PEDQL,PA

Cystadane

Supprelin LAQL,PA

ElaprasePA

Synarel

FabrazymePA

KanumaPA

GROWTH HORMONES

KuvanPA

SPECIALTY

LumizymePA

Norditropin CartridgeQL,PA

MyaleptPA

Norditropin FlexproQL,PA

MyozymePA

Norditropin Nordiflex PenQL,PA

NaglazymePA

Nutropin AQ Nuspin 10QL,PA

Orfadin


RavictiPA


StrensiqPA

Nutropin AQ PenQL,PA

VimizimPA

SerostimQL,PA

ZorbtiveQL,PA

THYROID AGENTS

GENERIC

GHRH

levo-t

SPECIALTY

levothyroxine sodium

EgriftaQL,PA

levoxyl

liothyronine sodium

SOMATOMEDINS

methimazole

SPECIALTY

propylthiouracil

IncrelexPA

unithroid

unithroid direct

SOMATOSTATIC AGENTS

NP thyroid

SPECIALTY

NP thyroid 60

octreotide acetatePA

NP thyroid 90

Sandostatin Lar DepotPA

PREFERRED

SigniforQL,PA

Armour Thyroid

Somatuline DepotQL,PA

NON PREFERRED

Thyrolar-1

GH RECEPTOR ANTAGONISTS

Thyrolar-1/2

SPECIALTY

Thyrolar-1/4

SomavertPA

Thyrolar-2

Thyrolar-3

POSTERIOR PITUITARY

GENERIC

GASTROINTESTINAL

desmopressin acetate



LAXATIVES Gastrinex NF

Nizatidine

GENERIC

PREFERRED

constulose

Carafate

gavilyte-h

NON PREFERRED

lactulose

Aciphex SprinkleQL

peg-prep

Atropen

pegylax

Cantil

polyethylene glycol 3350

Cuvposa

PREVENTIVE

DexilantQL

gavilyte-c

Esomeprazole StrontiumQL

gavilyte-n/flavor pack

NexiumQL

gavilyte-G

Omeclamox-PAK

peg 3350/electrolytes

Pylera

peg-3350/electrolytes

peg-3350/NACL/NA bicarbonate/KCL

ANTIEMETICS

trilyte

PREFERRED GENERIC

Moviprep dronabinolQL,PA

Suprep Bowel Prep granisetron HCLQL

NON PREFERRED meclizine HCL

Osmoprep ondansetron odtQL

Prepopik ondansetron HCLQL

trimethobenzamide HCL

ANTIDIARRHEALS PREFERRED

Aloxi

GENERIC

EmendQL

diphenoxylate/atropine

SancusoQL

lofene

Transderm-scop

loperamide HCL

NON PREFERRED

opium

AkynzeoQL

opium tincture

AnzemetQL

CesametQL,PA

ULCER DRUGS

GranisolQL

GENERIC

atropine sulfate

DIGESTIVE AIDS

chlordiazepoxide HCL/clidinium bromide

PREFERRED

cimetidine

Creon

cimetidine HCL

Pancrelipase

dicyclomine hci

NON PREFERRED

dicyclomine HCL

ZenpepST

ed-spaz

SPECIALTY

esomeprazole magnesiumQL

Sucraid

esomeprazole sodium

famotidine

GASTROINTESTINAL - MISC.

glycopyrrolate

hyomax-SL GENERIC

hyoscyamine sulfate alosetron hydrochloride

hyoscyamine sulfate odt ana-lex

hyoscyamine sulfate ER balsalazide disodium

hyoscyamine sulfate SR calcium acetate

hyosyne colocort

lansoprazoleQL cromolyn sodium

lansoprazole/amoxicillin/clarithromycin enulose

methscopolamine bromide generlac

misoprostol hydrocort ene 100MG

nizatidine hydrocortisone

nulev hydrocortisone acetate/lidocaine HCL

omeprazoleQL hydrocortisone acetate/pramoxine

omeprazole/sodium bicarbonateQL lactulose

oscimin lidazone HC

oscimin SR lidocaine HCL/hydrocortisone acetate

pantoprazole sodiumQL mesalamine

rabeprazole sodiumQL metoclopramide odt

ranitidine HCL metoclopramide HCL

sucralfate pramcort

symax fastabs procto-MED HC

symax-SL procto-PAK

symax-SR proctosol HC

Esomeprazole Sodium proctozone-HC

Famotidine sulfasalazine



ursodiol oxybutynin chloride

PREFERRED oxybutynin chloride ER

AmitizaQL tolterodine tartrate

Asacol HD tolterodine tartrate ER

Canasa trospium chloride

Chenodal trospium chloride ER

Cortifoam PREFERRED

Delzicol Gelnique

Fosrenol Myrbetriq

Lialda OxytrolQL

LinzessQL Toviaz

Pentasa Vesicare

Rectiv

RelistorQL,PA VAGINAL PRODUCTS

Renvela

GENERIC

Sevelamer Carbonate

clindamycin phosphate

NON PREFERRED

metronidazole vaginal

Dipentum

terconazole

Phoslyra

vandazole

Renagel

zazole

SPECIALTY

PREVENTIVE

CimziaQL,PA

vcf vaginal contraceptivegel

Cimzia Starter KitQL,PA

PREFERRED

GattexPA

Estrace

RemicadeQL,PA

Vagifem

NON PREFERRED

GENITOURINARY

Avc

Gynazole-1

URINARY ANTI-INFECTIVES

PREVENTIVE

GENERIC

Encare

azuphen mb

Options Gynol II Vaginal Contraceptive

hyolev mb

Shur-seal

hyophen

Today Sponge

indiomin mb

Vcf Vaginal Contraceptive Film

me/naphos/mb/hyo 1

Vcf Vaginal Contraceptive Foam

methenamine hippurate

SPECIALTY

methenamine mandelate

Crinone

nitrofurantoin

nitrofurantoin macrocrystals

GENITOURINARY - MISC.

nitrofurantoin monohydrate

GENERIC

nitrofurantoin monohydrate/macrocrystals

acetic acid 0.25%

phosphasal

alfuzosin HCL ER

ur n-c

aminoacetic acid

uramit mb

argyle sterile saline 100ML

urelle

citric acid/sodium citrate

uretron d/s

curity sterile saline

uribel

cytra k crystals

urin d/s

cytra-k

uro-blue

cytra-2

uro-l

dutasteride

uro-mp

dutasteride/tamsulosin hydrochloride

uroav-b

dutasteride/tamsulosin HCL

uroav-81

finasteride

urolet mb

glycine

urophen mb

neomycin/polymyxin b sulfates

uryl

phenazo

ustell

phenazopyridine HCL

uta

potassium citrate ER

uticap

potassium citrate-citric acid crystals

utira-c

potassium citrate/citric acid

utrona-c

potassium citrate/sodium citrate/citric acid

NON PREFERRED

sodium chloride

Monurol

sodium chloride 0.9%

sodium citrate/citric acid

URINARY ANTISPASMODICS

tamsulosin HCL

GENERIC

taron-crystals

bethanechol chloride

tricitrates

darifenacin hydrobromide ER

virtrate-k

darifenacin ER

virtrate-2

flavoxate HCL



virtrate-3 ferrotabs

PREFERRED ferrous drops

Elmiron ferrous fumarate 324

Rapaflo ferrous gluconate

NON PREFERRED ferrous sulfate

Cardura XL ferrousul

SPECIALTY folic acid

Cystagon gnp folic acid

ProcysbiPA gnp iron

gnp slow release iron

HEMATOLOGICAL high potency iron

iferex 150

HEMATOPOIETIC AGENTS

iron

GENERIC

iron slow release

airavite

iron supplement

corvita 150

iron supplement childrens

cyanocobalamin

kp ferrous gluconate

dexferrum

kp ferrous sulfate

fabb

kp folic acid

ferocon

meijer ferrous sulfate

ferotrinsic

myferon 150

ferrocite plus

nu-iron 150

ferrogels forte

poly-iron 150

folbee

px folic acid

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

px iron

folplex 2.2

qc ferrous sulfate

foltrin

ra folic acid

hematinic plus vitamins/minerals

ra high potency iron

hematinic/folic acid

ra iron

hematogen

ra slow release iron

hematogen forte

slow iron

hemocyte-f

slow release iron

hemocyte-plus

slow FE

iferex 150 forte

slow-release iron

k-tan plus

sm folic acid

myferon 150 forte

sm iron

nufol

sm iron slow release

poly-iron 150 forte

sm slow release iron

polysaccharide iron forte

th folic acid

purevit dualfe plus

th iron

se-tan plus

th slow release iron

tricon

wee care

trigels-f forte

yl folic acid

virt-gard

CVS folic acid

virt-vite

CVS iron

AV-vite fb

Ferretts

Bp Vit 3

FE gluconate

FE c plus

FE TABS

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

HM folic acid

HM iron

TL gard RX

HM iron slow release

TL icon

HM slow release iron

TL-hem 150

PREFERRED

PREVENTIVE

Droxia

bprotected pedia iron

Nascobal

eq slow-release iron

PREVENTIVE

eql folic acid

CVS Slow Release Iron

eql iron supplement therapy

Elite Iron

eql slow release iron

Fa-8

ezfe 200

Femiron

fa-8

Feosol

feosol

Ferretts Chewable Iron

fer-iron

Ferretts IPS

ferate

Ferrimin 150

fergon

Ferro-sequels

ferosul

Ferrous Fumarate

ferrex 150

Ferrous Gluconate

ferric x-150

Ferrous Sulfate

ferro-bob

FE Aspartate

ferrocite

High Potency Iron



Iron albuked 5

Iron Chews Pediatric albumin human

Iron Up albumin-zlb

Mykidz Iron 10 albuminar-25

Novaferrum Pediatric Drops albuminar-5

Perfect Iron alburx

Profe albutein

Proferrin ES anagrelide hydrochloride

Slow Release Iron buminate

Sm Slow Release Iron cilostazol

SPECIALTY clopidogrel

sodium ferric gluconate complex/sucrose dipyridamole

Aranesp Albumin Free eptifibatide

CerezymePA flexbumin

ElelysoPA hetastarch 6%/NACL

EpogenPA human albumin grifols

LeukinePA kedbumin

MozobilQL,PA pentoxifylline ER

NeulastaPA plasbumin-25

Neulasta Onpro KitPA plasbumin-5

NeumegaPA ticlopidine HCL

NeupogenPA Aspirin/Dipyridamole

NplatePA PREFERRED

ProcritPA Aggrenox

PromactaPA Brilinta

VprivPA Effient

ZavescaPA Zontivity

NON PREFERRED

ANTICOAGULANTS Aggrastat

SPECIALTY

GENERIC

Advate

argatroban

Alphanate/Von Willebrand Factor Complex/Human

bivalirudin

Alphanine SD

enoxaparin sodiumQL

Bebulin

fondaparinux sodiumQL

Benefix

hep flush-10

Berinert

heparin lock

Ceprotin

heparin lock flush

Cinryze

heparin lock flush for flushing vascular access devices

Coagadex

heparin lock flush/NACL for flushing vascular access devices

Corifact

heparin sodium

Eloctate

heparin sodium dcu

Feiba

heparin sodium lock flush

Feiba NF

heparin sodium/sodium chloride 0.9% premix

Firazyr

heparin sodium/D5W

Helixate FS

heparin sodium/NACL 0.9%

Hemofil M

jantoven

Humate-p

monoject pharma grade flush syringe/heparin lock

Idelvion

monoject prefill advanced heparin lock flush

Kalbitor

sash kit for flushing vascular access devices

Koate-dvi

warfarin sodium

Kogenate FS

PREFERRED

Kogenate FS Bio-set

EliquisQL

Monoclate-p

PradaxaQL

Mononine

XareltoQL

Novoseven

Xarelto Starter PackQL

Novoseven Rt

NON PREFERRED

Obizur

Argatroban

Profilnine

FragminQL

Profilnine SD

SavaysaQL

Recombinate

Riastap

HEMOSTATICS

Rixubis

GENERIC SolirisPA

aminocaproic acid Thrombate Iii W/10 ML Sterile Water

tranexamic acid Thrombate Iii W/20 ML Sterile Water

Tretten

HEMATOLOGICAL - MISC. Wilate

Xyntha

GENERIC

Xyntha Solofuse

albuked 25



MOUTH/THROAT/DENTAL AGENT bupropion HCL SRQL

bupropion HCL XLQL

citalopram hydrobromide

GENERIC

clomipramine HCL

cavarest

desipramine HCL

cavirinse

doxepin HCL

cevimeline HCL

duloxetine HCLQL

chlorhexidine gluconate

escitalopram oxalate

chlorhexidine gluconate oral rinse

fluoxetine DRQL

clinpro 5000

fluoxetine HCL

clotrimazole

fluvoxamine maleate

controlrx

fluvoxamine maleate ERQL

denta 5000 plus

imipramine pamoate

dentagel

imipramine HCL

easygel

mirtazapine

fluoridex daily defense

mirtazapine odt

fluoridex daily defense enhanced whitening

nefazodone HCL

fluoridex daily defense sensitivity relief

nortriptyline HCL

karigel

paroxetine HCL

karigel-n

paroxetine HCL ER

lidocaine viscous

phenelzine sulfate

lidocaine HCL viscous

protriptyline HCL

neutragard advanced

sertraline HCL

neutral sodium fluoride

tranylcypromine sulfate

nystatin

trazodone HCL

oralone

trimipramine maleate

paroex

venlafaxine HCL

periogard

venlafaxine HCL ER

phos-flur

Amoxapine

pilocarpine hydrochloride

Doxepin HCL

pilocarpine HCL

Maprotiline HCL

stannous fluoride oral rinse

Nefazodone HCL

topex topical anesthetic

Nortriptyline HCL

triamcinolone acetonide

Venlafaxine HCL ER

triamcinolone IN orabase

PREFERRED

SF

PristiqQL

SF 5000 plus

NON PREFERRED

NON PREFERRED

AplenzinQL

Oravig

Duloxetine HCLQL

EmsamQL

NEUROLOGY, CNS, PSYCH

Marplan

ANTIANXIETY AGENTS

Paxil

GENERIC

ViibrydQL

alprazolam

Viibryd Starter PackQL

alprazolam odt

alprazolam ER

ANTIPSYCHOTICS

alprazolam XR

GENERIC

buspirone HCL

aripiprazoleQL

chlordiazepoxide HCL

chlorpromazine HCL

clorazepate dipotassium

clozapineQL

diazepam

clozapine odtQL

diazepam intensol

compazine

droperidol

compro

gene-xene TAB 15MG

fluphenazine decanoate

gene-xene TAB 3.75MG

fluphenazine HCL

gene-xene TAB 7.5MG

haloperidol

hydroxyzine pamoate

haloperidol decanoate

hydroxyzine HCL

haloperidol lactate

lorazepam

lithium carbonate

lorazepam intensol

lithium carbonate ER

meprobamate

loxapine

oxazepam

loxapine succinate

Diazepam

olanzapineQL

Hydroxyzine Pamoate

olanzapine odtQL

paliperidone ERQL,ST

ANTIDEPRESSANTS

perphenazine

GENERIC

prochlorperazine

amitriptyline HCL

prochlorperazine edisylate

bupropion HCL

prochlorperazine maleate

bupropion HCL ERQL



quetiapine fumarateQL methylphenidate HCL ERQL

risperidoneQL methylphenidate HCL SRQL

risperidone odtQL modafinilQL,PA

risperidone M-TABQL zenzediQL

thioridazine HCL Methylphenidate HCL ER

thiothixene ProcentraQL

trifluoperazine HCL PREFERRED

ziprasidone HCLQL DaytranaQL

Aripiprazole OdtQL NuvigilQL,PA

Clozapine OdtQL Quillivant XRQL

PREFERRED StratteraQL

AbilifyQL VyvanseQL

Abilify DiscmeltQL NON PREFERRED

Abilify Maintena ConcertaQL

LatudaQL Focalin XRQL

Molindone Hydrochloride

Risperdal Consta ANTICONVULSANTS

Seroquel XRQL

GENERIC

NON PREFERRED

carbamazepine

FanaptQL,ST

carbamazepine ER

Fanapt Titration PackQL,ST

clonazepam

FazacloQL

clonazepam odt

Geodon

divalproex sodium

Invega Sustenna

divalproex sodium DR

Invega Trinza

divalproex sodium ER

Lithium

epitol

RexultiQL,ST

ethosuximide

SaphrisQL,ST

felbamate

Zyprexa Relprevv

fosphenytoin sodium

gabapentin

HYPNOTICS

lamotrigine

GENERIC lamotrigine odt

dexmedetomidine HCL lamotrigine titration

estazolam lamotrigine ER

eszopicloneQL levetiracetam

flurazepam HCL levetiracetam ER

phenobarbital oxcarbazepine

temazepam phenytoin

triazolam phenytoin infatabs

zaleplonQL phenytoin sodium

zolpidem tartrateQL phenytoin sodium extended

zolpidem tartrate ERQL primidone

Flurazepam HCL roweepra

Phenobarbital tiagabine hydrochloride

Phenobarbital Sodium topiragen

Quazepam topiramate

Triazolam valproate sodium

PREFERRED valproic acid

RozeremQL zonisamide

SPECIALTY PREFERRED

HetliozQL,PA Banzel

Celontin

ADHD, NARCOLEPSY, ETC. Dilantin

Fycompa

GENERIC

Gabitril

amphetamine/dextroamphetamineQL

LyricaQL

caffeine citrate

Onfi

clonidine HCL ER

Peganone

dexedrineQL

Potiga

dexmethylphenidate HCLQL

Vimpat

dexmethylphenidate HCL ERQL

NON PREFERRED

dextroamphetamine sulfateQL

Lamictal

dextroamphetamine sulfate ERQL

Stavzor

doxapram HCL

SPECIALTY

guanfacine ER

SabrilPA

metadate ERQL

methamphetamine HCLQL

ANTIPARKINSON AGENTS

methylphenidate hydrochloride

methylphenidate HCLQL GENERIC

methylphenidate HCL CDQL amantadine HCL



benztropine mesylate nicotine transdermal system step 2QL

bromocriptine mesylate nicotine transdermal system step 3QL

carbidopa px stop smoking aidQL

carbidopa/levodopa qc nicotine polacrilexQL

carbidopa/levodopa odt ra mini nicotineQL

carbidopa/levodopa ER ra nicotineQL

entacapone ra nicotine polacrilexQL

pramipexole dihydrochloride ra nicotine transdermal system step 3QL

pramipexole dihydrochloride ER sm nicotineQL

ropinirole ER sm nicotine polacrilexQL

ropinirole HCL sm nicotine transdermal systemQL

selegiline HCL sw nicotine polacrilexQL

tolcapone tgt nicotine gumQL

trihexyphenidyl HCL tgt nicotine polacrilexQL

Carbidopa/Levodopa/Entacapone tgt nicotine step oneQL

PREFERRED tgt nicotine step threeQL

Azilect tgt nicotine step twoQL

Mirapex ER thriveQL

NON PREFERRED CVS nicotineQL

NeuproST CVS nicotine lozengeQL

SPECIALTY CVS nicotine polacrilexQL

ApokynQL,PA CVS nicotine polacrilex starterQL

CVS nicotine transdermal systemQL

NEUROLOGY, PSYCH - MISC. CVS nts step 1QL

HM nicotine polacrilexQL

GENERIC

HM nicotine transdermal systemQL

acamprosate calcium DR

HM nicotine transdermal system step 3QL

disulfiram

SR nicotine gumQL

donepezil HCL

PREFERRED

ergoloid mesylates

GraliseQL

galantamine hydrobromide

Gralise StarterQL

memantine hydrochloride

Namenda XRQL

memantine HCL

Namenda XR Titration PackQL

memantine HCL titration PAK

Nuedexta

olanzapine/fluoxetineQL

SavellaQL

pimozide

PREVENTIVE

rivastigmine tartrate

ChantixQL

rivastigmine transdermal system

Chantix Continuing Month PAKQL

Ergoloid Mesylates

Chantix Starting Month PAKQL

Galantamine Hydrobromide

Nicotine Transdermal SystemQL

Perphenazine/Amitriptyline

NON PREFERRED

PREVENTIVE

HorizantQL,PA

buprobanQL

PREVENTIVE

bupropion HCL SRQL

Nicotrol InhalerQL

eq nicotineQL

Nicotrol NsQL

eq nicotine gum refillQL

SPECIALTY

eq nicotine gum starterQL

glatopaQL,PA

eq nicotine polacrilexQL

tetrabenazinePA

eq nicotine step 3QL

AmpyraQL,PA

eql nicotineQL

AubagioQL,PA

eql nicotine polacrilexQL

AvonexQL,PA

eql nicotine polacrilex refillQL

Avonex Pen

eql nicotine polacrilex starterQL

BetaseronQL,PA

gnp nicotine mini lozengeQL

CopaxoneQL,PA

gnp nicotine polacrilexQL

GilenyaQL,PA

gnp nicotine polacrilex miniQL

LemtradaPA

goodsense nicotine gumQL

Rebif

kls quit2QL

Rebif Rebidose

kls quit4QL

Rebif Rebidose Titration Pack

nicoreliefQL

Rebif Titration Pack

nicotineQL

TecfideraQL,PA

nicotine mini lozengeQL

Tecfidera Starter PackQL,PA

nicotine polacrilexQL

TysabriQL,PA

nicotine polacrilex refillQL

XyremQL,PA

nicotine polacrilex starter kitQL

nicotine step 1QL

NEUROMUSCULAR AGENTS

nicotine step 2QL

nicotine step 3QL GENERIC

nicotine transdermal systemQL atracurium besylate

nicotine transdermal system step 1QL cisatracurium besylate



pancuronium bromide trifluridine

riluzoleQL,PA trimethoprim sulfate/polymyxin b sulfate

rocuronium bromide Bacitracin

vecuronium bromide PREFERRED

SPECIALTY Besivance

BotoxQL,PA Moxeza

DysportQL,PA Natacyn

MyoblocQL,PA Vigamox

XeominQL,PA NON PREFERRED

Ciloxan

MUSCULOSKELETAL AGENTS Tobrex

Zirgan

GENERIC

baclofen

ARTIFICIAL TEAR/LUBRICANT

carisoprodol

carisoprodol/aspirin NON PREFERRED

carisoprodol/aspirin/codeine Lacrisert

chlorzoxazone

cyclobenzaprine HCL BETA-BLOCKERS

dantrolene sodium

GENERIC

metaxall

betaxolol HCL

metaxalone

carteolol HCL

methocarbamol

dorzolamide HCL/timolol maleate

orphenadrine citrate

levobunolol HCL

orphenadrine citrate ER

timolol maleate

revonto

timolol maleate ophthalmic gel forming

tizanidine HCL

Metipranolol

Metaxalone

PREFERRED

Orphenadrine/Asa/Caffeine

Combigan

NON PREFERRED

NON PREFERRED

Lorzone

Betimol

SPECIALTY

MonoviscPA

OPHTHALMIC STEROIDS

OrthoviscPA

GENERIC

SynviscPA

dexamethasone sodium phosphate

Synvisc OnePA

fluorometholone

neo-polycin HC

ANTIMYASTHENIC AGENTS

neomycin/polymyxin/bacitracin/hydrocortisone

GENERIC

neomycin/polymyxin/dexamethasone

neostigmine methylsulfate

poly-dex

pyridostigmine bromide

prednisolone acetate

Guanidine HCL

sulfacetamide sodium/prednisolone sodium phosphate

PREFERRED

tobramycin/dexamethasone

Mestinon

PREFERRED

Alrex

OPHTHALMOLOGY AND OTIC

FML

Lotemax

ANTI-INFECTIVES

Pred Mild

GENERIC

Tobradex

ak-poly-bac

Tobradex ST

bacitracin/polymyxin b

NON PREFERRED

ciprofloxacin HCL

Durezol

erythromycin

Flarex

garamycin

Ozurdex

gatifloxacin

Vexol

gentak

gentamicin sulfate

PROSTAGLANDINS

ilotycin

GENERIC

levofloxacin

latanoprostQL

neo-polycin

BimatoprostQL

neomycin/bacitracin/polymyxin

PREFERRED

neomycin/polymyxin/bacitracin zinc

LumiganQL

neomycin/polymyxin/gramicidin

Travatan ZQL

ofloxacin

polycin

CYCLOPLEGIC MYDRIATICS

polycin b

polymyxin b sulfate/trimethoprim sulfate GENERIC

romycin atropine sulfate

sodium sulfacetamide atropine-care

sulfacetamide sodium cyclopentolate hydrochloride

tobramycin sulfate cyclopentolate HCL



homatropaire IlevroQL

homatropine HBR NevanacQL

mydral Pataday

tropicamide NON PREFERRED

Acuvail

DECONGESTANTS Alocril

Alomide

GENERIC

Azopt

altafrin

Emadine

neofrin

Lastacaft

phenylephrine HCL

SPECIALTY

CystaranQL,PA

MIOTICS

Eylea

GENERIC

Jetrea

pilocarpine HCL

Lucentis

PREFERRED

Macugen

Phospholine Iodide

Visudyne

NON PREFERRED

Isopto Carbachol

OTIC AGENTS

GENERIC

ADRENERGIC AGENTS

acetasol HC

GENERIC

acetic acid

apraclonidine

antipyrine/benzocaine

brimonidine tartrate

aurodex

PREFERRED

fluocinolone acetonide

Alphagan P

fluocinolone acetonide ear drops

NON PREFERRED

hydrocortisone/acetic acid

Iopidine

neomycin/polymyxin/hydrocortisone

neomycin/polymyxin/HC

IMMUNOMODULATORS

ofloxacin

PREFERRED

otic care

RestasisQL,PA

oticin

PREFERRED

LOCAL ANESTHETICS

Ciprodex

GENERIC

NON PREFERRED

altacaine

Coly-mycin S

parcaine

Cortisporin-tc

proparacaine HCL

tetcaine

OXYTOCICS

tetracaine HCL

tetravisc

GENERIC

tetravisc forte

methergine

methylergonovine maleate

OPHTHALMICS - MISC.

oxytocin

GENERIC

ak-fluor

PAIN MANAGEMENT

altafluor

ANALGESICS - NONNARCOTIC

azelastine HCL

balanced salt GENERIC

balanced salt solution alagesic LQ

bio GLO butalbital/acetaminophen

bromfenac butalbital/acetaminophen/caffeine

bss butalbital/aspirin/caffeine

cromolyn sodium capacet

diclofenac sodium choline magnesium trisalicylate

dorzolamide HCL clonidine HCL

epinastine HCL diflunisal

flucaine duraxin

fluor-i-strips a.t. ed-flex

fluorescein-benoxinate esgic

fluorescein/proparacaine margesic

flurbiprofen sodium marten-TAB

flurox salsalate

ful-GLO tencon

green GLO lissamine greenophthalmic strips zebutal

ketorolac tromethamine PREVENTIVE

lissamine green adult aspirin EC low strength

olopatadine HCL aspir-low

PREFERRED aspir-81

Bepreve aspirin



aspirin adult low dose th enteric aspirin

aspirin adult low strength CVS aspirin

aspirin childrens CVS aspirin adult low dose

aspirin enteric coated adult low strength CVS aspirin adult low strength

aspirin low dose CVS aspirin child

aspirin low strength CVS aspirin low dose

aspirin EC CVS aspirin low strength

aspirin EC low dose CVS aspirin EC

aspirin 81 CVS childrens aspirin

aspirin 81 low dose CVS enteric aspirin

aspirtab EC-81 aspirin

bayer advanced aspirin regular strength HM aspirin

bayer aspirin HM aspirin EC

bayer aspirin regimen HM aspirin EC low dose

bayer aspirin EC low dose MM aspirin

bayer chewable low dose SB aspirin

bayer low dose SB aspirin EC

childrens aspirin SB childrens aspirin

childrens aspirin low strength SB low dose asa EC

coated aspirin PREVENTIVE

ecotrin Aspirin Low Dose

ecotrin low strength SPECIALTY

ecpirin Prialt

enteric coated aspirin

eq adult aspirin low strength ANALGESICS - OPIOID

eq aspirin

GENERIC

eq aspirin adult low dose

acetaminophen/caffeine/dihydrocodeine

eq aspirin low dose

acetaminophen/codeine

eq aspirin EC

acetaminophen/codeine #2

eq childrens aspirin


eql adult aspirin low strength


eql aspirin

acetaminophen/codeine phosphate

eql aspirin low dose

alfentanil

eql aspirin EC

ascomp/codeine

eql childrens aspirin

buprenorphine HCLQL,PA

gnp adult aspirin low strength

buprenorphine HCL/naloxone HCLQL,PA

gnp aspirin

butalbital/acetaminophen/caffeine/codeine

gnp aspirin low dose

butalbital/aspirin/caffeine/codeine

goodsense aspirin low dose

butorphanol tartrate

kls aspirin low dose

codeine sulfate

kls aspirin EC

duramorph

kp aspirin

endocet

meijer aspirin EC

endodan

miniprin low dose

fentanylQL

norwich aspirin

fentanyl citrate oral transmucosalQL,PA

px aspirin

hydrocodone bitartrate/acetaminophen

px enteric aspirin

hydrocodone/acetaminophen

qc aspirin

hydrocodone/ibuprofen

qc aspirin low dose

hydromorphone HCL

qc childrens aspirin

hydromorphone HCL dosette

ra aspirin

hydromorphone HCL ERQL

ra aspirin adult low dose

ibudone

ra aspirin adult low strength

lorcet

ra aspirin childrens

lorcet plus

ra aspirin EC

lorcet HD

ra aspirin EC adult low strength

lortab

ra childrens aspirin

meperidine HCL

sm aspirin

methadone HCL

sm aspirin adult low strength

methadone HCL intensol

sm aspirin enteric coated

methadose

sm aspirin EC low strength

morphine sulfate

sm childrens aspirin

morphine sulfate ERQL

st joseph aspirin

nalbuphine HCL

st joseph low dose aspirin

oxycodone HCL

tgt aspirin

oxycodone/acetaminophen

tgt aspirin low dose

oxycodone/aspirin

tgt childrens aspirin

oxycodone/ibuprofen

tgt enteric-coated aspirin

oxymorphone hydrochloride

th aspirin

oxymorphone hydrochloride ERQL

th aspirin low dose



pentazocine/naloxone HCL Tolmetin Sodium

reprexain PREFERRED

roxicet Ridaura

tramadol hydrochloride/acetaminophen NON PREFERRED

tramadol HCL Nalfon

tramadol HCL ERQL Naprelan

verdrocet Rheumatrex

vicodin SprixQL

vicodin ES SPECIALTY

vicodin HP ArcalystPA

xylon EnbrelQL,PA

zamicet Enbrel SureclickQL,PA

Aspirin-caffeine-dihydrocodeine HumiraPA

FentanylQL Humira Pediatric Crohns Disease Starter PackPA

Hydrocodone/Acetaminophen Humira PenPA

Hydromorphone HCL ERQL Humira Pen-crohns DiseasestarterPA

Hydromorphone HCL/Sodium Chloride Humira Pen-psoriasis StarterPA

Levorphanol Tartrate IlarisQL,PA

Morphine Sulfate KineretPA

Morphine Sulfate ERQL OrenciaQL,PA

Oxycodone HCL ERQL SimponiPA

PREFERRED Simponi AriaQL,PA

ButransQL,PA

LazandaQL,PA MIGRAINE PRODUCTS

Nucynta

GENERIC

Nucynta ERQL

almotriptan malateQL,ST

Opana ER (crush Resistant)QL

dihydroergotamine mesylate

OxycontinQL

frovatriptan succinateQL,ST

SuboxoneQL,PA

naratriptan HCLQL

NON PREFERRED

rizatriptan benzoateQL

EmbedaQL

rizatriptan benzoate odtQL

ExalgoQL

sumatriptan succinateQL

Oxaydo

sumatriptan succinate refillQL

Talwin

zolmitriptanQL

zolmitriptan odtQL

ANTI-INFLAMMATORY

Dihydroergotamine MesylateQL

GENERIC Sumatriptan SuccinateQL

celecoxibQL PREFERRED

diclofenac potassium RelpaxQL

diclofenac sodium DR NON PREFERRED

diclofenac sodium ER Cafergot

diclofenac sodium/misoprostol Ergomar

etodolac ZomigQL,ST

etodolac ER Zomig Nasal SprayQL,ST

flurbiprofen

ibuprofen GOUT AGENTS

ibuprofen lysine

GENERIC

indomethacin

allopurinol

indomethacin ER

probenecid

inflammacin

probenecid/colchicine

ketoprofen

PREFERRED

ketorolac tromethamineQL

Colchicine

leflunomide

Colcrys

mefenamic acid

Uloric

meloxicam

SPECIALTY

nabumetone

KrystexxaPA

naproxen

naproxen kit

LOCAL ANESTHETICS-INJ

naproxen sodium

GENERIC

naproxen sodium CR

bupivacaine spinal

naproxen sodium ER

bupivacaine HCL

naproxen DR

bupivacaine/epinephrine

oxaprozin

chloroprocaine HCL

piroxicam

lidocaine HCL

sulindac

lidocaine/epinephrine

tolmetin sodium

polocaine

Fenoprofen Calcium

polocaine-mpf

Meclofenamate Sodium

ropivacaine

Naproxen

ropivacaine HCL



sensorcaine promethazine/dextromethorphan

sensorcaine-mpf promethazine/phenylephrine

sensorcaine-mpf spinal promethazine/phenylephrine/codeine

sensorcaine-mpf/epinephrine pulmosal

sensorcaine/epinephrine sodium chloride

xylocaine dental tussigon

Tetracaine HCL

ANTIASTHMATIC/COPD AGENTS

RESPIRATORY, ALLERGY, ETC

GENERIC

albuterol

ANTIHISTAMINES

albuterol sulfate

GENERIC

albuterol sulfate ER

arbinoxa

albuterol TAB 4MG

bpm

aminophylline

carbinoxamine maleate

budesonide

cetirizine HCL

difil-G forte

clemastine fumarate

epinephrine HCL

cyproheptadine HCL

ipratropium bromideQL

desloratadine

ipratropium bromide/albuterol sulfateQL

diphenhydramine HCL

levalbuterolQL

levocetirizine dihydrochloride

levalbuterol HCLQL

pharbedryl

montelukast sodium

phenadoz

terbutaline sulfate

phenergan

theochron

promethazine HCL

theophylline

promethazine HCL plain

theophylline CR

promethegan

theophylline ER

Clemastine Fumarate

zafirlukast

Dexchlorpheniramine Maleate

Cromolyn Sodium

NON PREFERRED

Metaproterenol Sulfate

Clarinex

PREFERRED

Desloratadine Odt

Arcapta NeohalerQL

Asmanex HFAQL

NASAL AGENTS

Asmanex Twisthaler 120 Metered DosesQL

GENERIC


azelastine HCLQL


budesonideQL


flunisolideQL


fluticasone propionateQL

Atrovent HFAQL

ipratropium bromideQL

Combivent RespimatQL

mometasone furoateQL

Daliresp

olopatadine HCLQL

DuleraQL

triamcinolone acetonideQL

Foradil AerolizerQL

PREFERRED

PerforomistQL

DymistaQL

Proair HFAQL

NON PREFERRED

Proair RespiclickQL

Bactroban Nasal

Pulmicort FlexhalerQL

QvarQL

COUGH/COLD/ALLERGY

Serevent DiskusQL

GENERIC

Spiriva HandihalerQL

acetylcysteine

Spiriva RespimatQL

benzonatate

Stiolto RespimatQL

biotuss

SymbicortQL

biotuss pediatric

Tudorza PressairQL

bpm pseudo

NON PREFERRED

bromfed DM

BrovanaQL

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Elixophyllin

giltuss pediatric

Incruse ElliptaQL

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Lufyllin

hydrocodone bitartrate/homatropine methylbromide

Theo-24

hydrocodone polistirex/chlorpheniramine polistirex

Zyflo CR

hydrocodone/homatropine

SPECIALTY

hydromet

NucalaQL,PA

nebusal

XolairPA

nortuss-DE

phenylephrine/guaifenesin

RESPIRATORY AGENTS - MISC

promethazine VC plain

SPECIALTY

promethazine VC/codeine

Aralast NPPA

promethazine-DM

EsbrietPA

promethazine/codeine



GlassiaPA Fluvirin 2013-2014

KalydecoPA Fluvirin 2014-2015

OfevPA Fluvirin 2015-2016

Prolastin-cPA Fluzone High-dose PF 2013-2014

PulmozymePA Fluzone High-dose PF 2014-2015

ZemairaPA Fluzone High-dose PF 2015-2016

Fluzone Intradermal

TOXOIDS Fluzone Intradermal Quadrivalent 2015-2016

Fluzone Pediatric PF 2013-2014

Fluzone PF 2013-2014

PREFERRED

Fluzone PF 2014-2015

Tetanus Toxoid Adsorbed

Fluzone Quadrivalent 2013-2014

PREVENTIVE


Adacel


Boostrix

Fluzone Split 2013-2014

Daptacel


Diphtheria/Tetanus Toxoids Adsorbed Pediatric


Infanrix

Gardasil

Kinrix

Gardasil 9

Pediarix

Havrix

Pentacel

Hiberix

Quadracel

Ipol Inactivated IPV

Tenivac

M-m-r II

Tetanus/Diphtheria Toxoids-adsorbed

Medical Provider EZ Flu Shot PF 2013-2014

Tetanus/Diphtheria Toxoids-adsorbed Adult

Medical Provider EZ Flu Shot PF 2014-2015

Medical Provider EZ Flu Shot 2013-2014

VACCINES



PREFERRED

Medical Provider Single Use EZ Flu Shot

Bcg Vaccine

Menactra

Biothrax

Menhibrix

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

Menomune-a/C/Y/W-135

Ixiaro

Menveo

Rabavert

Pedvax HIB

Typhim VI

Pneumovax 23

Vivotif

Pneumovax 23/1 Dose

Yf-vax

Pneumovax 23/5 Dose

PREVENTIVE

Prevnar 13

Acthib

Proquad

Afluria PF 2012-2013

Recombivax HB


Rotarix


Rotateq


Trumenba

Afluria 2012-2013

Twinrix

Afluria 2013-2014

Vaqta

Afluria 2014-2015

Varivax

Afluria 2015-2016

Zostavax

Bexsero

Cervarix

VITAMINS

Comvax

VITAMINS

Engerix-b

GENERIC

Fluarix Quadrivalent 2013-2014

ascorbic acid


ergocalciferol


mega-c/a plus

Fluarix 2013-2014

ortho-CS 250

Fluarix 2014-2015

phytonadione

Flublok 2013-2014

thiamine HCL

Flublok 2014-2015

vitamin c 222MG

Flublok 2015-2016

vitamin d

Flucelvax 2013-2014

vitamin k1

Flucelvax 2014-2015

PREVENTIVE

Flucelvax 2015-2016

aqueous vitamin d infants

Flulaval Quadrivalent 2013-2014

bio-d-mulsion


bio-d-mulsion forte


bprotected pedia d-vite

Flulaval 2013-2014

calcidol

Flulaval 2014-2015

calciferol

Flumist Quadrivalent

d 1000

Fluvirin PF 2013-2014

d 10000

Fluvirin PF 2014-2015



d 2000 PA vitamin d-3

d 400 PA vitamin d-3 gummy

d 5000 PREFERRED

d-vita Mephyton

d-1000 PREVENTIVE

d-1000 extra strength Baby Super Daily D3

d-2000 maximum strength Ddrops

d-3-5 Decara

d-400 D3 Dots

d-5000 HM Vitamin D3

d-5000 maximum strength Optimal D3 M

decara Replesta

delta d3 Replesta Childrens

dialyvite vitamin d 5000 Replesta Nx

dialyvite vitamin d3 max Sm Vitamin D3 Maximum Strength

d2000 ultra strength Super Daily D3

d3 Thera-d 4000

d3 adult Vitamelts Vitamin D

d3 adult gummy Vitamin D2

d3 high potency Vitamin D3

d3 kids Wellesse Vitamin D3

d3 maximum strength

d3 super strength MULTIVITAMINS

d3 ultra strength

GENERIC

d3 2000

b-complex 100

d3-1000

b-plex

d3-50

b-plex plus

eql childrens vitamin d gummies

biocel

eql vitamin d-3

corvita

eql vitamin d3

corvite free

gnp vitamin d

dialyvite

gnp vitamin d maximum strength

floriva plus

gnp vitamin d super strength

folbee plus

gnp vitamin d3 extra strength

folbee plus cz

healthy kids vitamin d3

infuvite

just d

infuvite adult

kp vitamin d

infuvite pediatric

maximum d3

lysiplex plus

nat-rul vitamin d

mult-vitamin/fluoride

natural vitamin d-3

multi vitamin/fluoride

optimal-d

multi-vit/fluoride

optimal-d pack

multi-vit/iron/fluoride

opurity vitamin d

multi-vitamin/fluoride

pronutrients vitamin d3

multi-vitamin/fluoride/iron

ra vitamin d-3

multivitamin with fluoride

sm vitamin d

multivitamin/fluoride

sm vitamin d3

multivitamins/fluoride

th vitamin d3

mynephrocaps

thera-d rapid repletion

nephronex

thera-d sport

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

thera-d 2000

nutrifac ZX

vitajoy daily d gummies

rena-vite RX

vitamin d high potency

renal

vitamin d 400

renalpren

vitamin d-1000

reno CAPS

vitamin d-1000 maximum strength

tri-vit/fluoride

vitamin d-3

tri-vitamin/fluoride

vitamin d-400

triphrocaps

vitamin d3

triple-vitamin/fluoride

vitamin d3 adult gummies

urosex

vitamin d3 high potency

v-c forte

vitamin d3 maximum strength

vic-forte

vitamin d3 super strength

virt-vite plus

vitamin d3 400

virt-CAPS

CVS d3

vita s forte

CVS vitamin d

vita-min

CVS vitamin d 5000 high-potency

vitacel

CVS vitamin d3

vitamax pediatric

HM vitamin d

vitamin b-complex 100

HM vitamin d3



vitamins a/c/d/fluoride Prenatal Vitamins

vol-care RX Px Prenatal Multivitamins

vp-vite RX Ra Prenatal

Bp Folinatal Plus B Sm Prenatal Vitamins

Bp Multinatal Plus PREVENTIVE

Cavan-EC Sod DHA Atabex Prenatal

Complete Natal DHA Brainstrong Prenatal

Completenate Cadeau DHA

CO-natal Fa Centrum Specialist Prenatal

Elite-OB CVS Prenatal

Escavite LQ CVS Prenatal Gummy/DHA/Folic Acid

Inatal Advance CVS Prenatal Multi+dha

Inatal GT Enfamil Expecta

Inatal Ultra Gnp Daily Prenatal

M-vit Gnp Prenatal

Macnatal CN DHA Goodsense Prenatal Vitamins

Mynatal Advance Healthy Mama Be Well Rounded

Mynatal Plus HM One Daily Prenatal Combo

Mynatal Ultracaplet HM Prenatal

Mynatal-z Kp Prenatal Multivitamins

Mynate 90 Plus Mission Prenatal

MVC-fluoride Nat-rul Prenatal Vitamins

Obstetrix EC One A Day Womens Prenatal/DHA

Pr Natal 400 One A Day Womens Prenatal1

Pr Natal 400 EC One-a-day Womens Prenatal

Pr Natal 430 Prenatal Complete

Pr Natal 430 EC Prenatal Multi + DHA

Prenaissance Plus Prenatal Multi +dha

Prenaplus Prenatal Multivitamin + DHA

Prenatabs Fa Prenatal Multivitamin Plus DHA

Prenatabs RX Prenatal One Daily

Prenatal Ad Prenatal Plus DHA

Prenatal Plus Prenatal Vitamin

Prenatal 19 Prenatal/Omega-3/Folic Acid/Iron

Prenatal-u PA Prenatal Formula

PNV-select Qc Prenatal

PNV-DHA Ra One Daily

Quflora Pediatric Ra Prenatal Formula/Folicacid

Se-natal 19 Right Step Prenatal

Se-tan DHA Similac Prenatal Early Shield

Taron-prex Sm One Daily Prenatal

Triadvance Stuart One

Tricare Stuart Prenatal

Trinatal RX 1 Th Prenatal Vitamins

Trinate Your Life Multi Prenatal

Ultimatecare One

Ultimatecare One NF MEDICAL DEVICES

Ultra TABS

DIABETIC SUPPLIES

Vinate C

PREFERRED

Vinate Care

Accu-chek Fastclix LancetsQL

Vinate IC

Accu-chek Multiclix LancetsQL

Vinate II

Accu-chek Safe-t-pro LancetsQL

Vinate M

Accu-chek Safe-t-pro PluslancetsQL

Vinate One

Accu-chek Soft Touch LancetsQL

Vitafol-OB

Accu-chek Softclix LancetsQL

Vp-zel

Acti-lance Lancets 28GQL

PREVENTIVE

Acti-lance Lite Safety Lancets 28GQL

sm prenatal vitamins

Acti-lance Special Safety Lancets 17GQL

Classic Prenatal

Acti-lance Special Safetylancets 17GQL

Eql Prenatal Formula

Acti-lance Universal Safety Lancets 23GQL

Gnp Prenatal Vitamins

Active 1ST Blood Lancets 30G/Easy Twist CAPQL

Mission Prenatal HP

Advocate LancetsQL

Multi Prenatal

Advocate Lancets 30GQL

Perry Prenatal

Advocate Safety LancetsQL

Pre-natal Formula

Advocate Safety Lancets 26GQL

Prenatal

Agamatrix Ultra-thin Lancets 33GQL

Prenatal And Iron

Assure Comfort Lancets Ultra Thin 28GQL

Prenatal Formula

Assure Comfort Lancets Ultra Thin 30GQL

Prenatal Forte

Assure Haemolance Plus High Flow 18GQL

Prenatal Low Iron



Assure Haemolance Plus Low Flow 25GQL BD Insulin Syringe/U-100/2ML/27.5G X 5/8"QL

Assure Haemolance Plus Micro Flow 28GQL BD Insulin Syringe/U-100/2ML/29G X 1/2"QL

Assure Haemolance Plus Normal Flow 21GQL BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"QL

Assure Haemolance Plus Pediatric BladeQL BD Integra Syringe/Retracting Needle/1ML/25G X 1"QL

Assure Lance LancetsQL BD Lancet Ultrafine 30GQL

Assure Lance Lancets 21GQL BD Lancet Ultrafine 33GQL

Assure Lance Plus Safety Lancets 25GQL BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"QL

Assure Lance Plus Safety Lancets 30GQL

BD Microtainer LancetsQL

Assure LancetsQL

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

Aurora Lancet Super Thin 30GQL

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

Aurora Lancet Thin 23GQL

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

AF Lancets Super ThinQL

BD Pen Needle/Ultrafine/29G X 12.7MMQL

AT Last LancetsQL

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

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

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

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

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

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

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

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

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

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

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

BD-insul SYR Mis LO DoseQL

Bayer Microlet LancetsQL

Careone Lancet ThinQL

Bullseye Mini Safety LancetsQL

Careone Lancet Ultra ThinQL

Bullseye Safety LancetsQL

Cleanlet Lancets 28GQL

BD Autoshield Duo 30G X 3/16"QL

Clever Chek Lancets UltrathinQL

BD Autoshield 29G X 3/16"QL

Clever Chek Lancets Ultrathin 30GQL

BD Autoshield 29G X 5/16"QL

Coaguchek LancetsQL

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

Comfort Assured Lancets Micro Thin 33GQL

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

Comfort Assured Lancets Super Thin 28GQL

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

Comfort LancetsQL

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

CVS Lancets Micro Thin 33GQL

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

CVS Lancets OriginalQL

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

CVS Lancets Thin 26GQL

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

CVS Lancets Ultra Thin 30GQL

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

CVS Lancets 21GQL

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

CVS Ultra Thin LancetsQL

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

Diastar Easy Test II Lancets 30GQL

Diastar Easy Test Lancets30GQL

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

Droplet Lancets Ultra Thin 30GQL

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

Drug Mart Lancets ThinQL

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

Drug Mart Lancets Ultra ThinQL

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

Drug Mart On-the-go Lancets Gentle 30GQL

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

Drug Mart Unilet Lancets Super Thin 30GQL

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

Drug Mart Unilet Lancets Ultra Thin 28GQL

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"QL Duane Reade Lancet Alternate Site 26GQL

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"QL Duane Reade Lancet Super Thin 30GQL

BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2"QL Duane Reade Lancet Ultra Thin 28GQL

BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64"QL E-z Ject LancetsQL

BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16"QL E-z Ject Lancets ColorQL

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"QL E-z Ject Lancets Super ThinQL

BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2"QL E-z Ject Lancets Super Thin 30GQL

BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64"QL E-z Ject Lancets Thin 26GQL

BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16"QL E-z Ject Lancets 21GQL

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"QL E-ZJECT Lancets Micro-thin 33GQL

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"QL Easy Comfort LancetsQL

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"QL Easy Comfort Lancets 30G/Pull TopQL

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16"QL Easy Comfort Lancets 30G/Thin TopQL

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"QL Easy Touch Lancets 21G/Pressure ActivatedQL



BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"QL Easy Touch Lancets 26G/Pull-topQL

BD Insulin Syringe Ultrafine/1ML/30G X 1/2"QL Easy Touch Lancets 26G/TwistQL

BD Insulin Syringe Ultrafine/1ML/31G X 5/16"QL Easy Touch Lancets 28G/Pressure ActivatedQL

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

Easy Touch Lancets 28G/Pull-topQL

Easy Touch Lancets 28G/TwistQL

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

Easy Touch Lancets 30G/Button-activatedQL

Easy Touch Lancets 30G/Pressure ActivatedQL

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



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

Easy Touch Lancets 32G/Pressure ActivatedQL

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


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




Easy Touch Lancets 33G/TwistQL HM Lancets Ultra Thin 30GQL

Easy Touch Safety Lancets21G/Pressure ActivatedQL IN Touch Diabetes Management Software

Easy Touch Safety Lancets23G/Pressure ActivatedQL IN Touch Sterile Lancets 30GQL

Easy Touch Safety Lancets26G/Button ActivatedQL Kinney LancetsQL

Easy Touch Safety Lancets26G/Pressure ActivatedQL Kinney Thin LancetsQL

Easy Touch Safety Lancets28G/Button ActivatedQL Kroger LancetsQL

Easy Touch Safety Lancets28G/Pressure ActivatedQL Kroger Lancets Micro Thin33GQL

Easy Twist & CAP LancetsQL Kroger Lancets Super ThinQL

Easytest II LancetsQL Kroger Lancets ThinQL

Easytest LancetsQL Kroger Lancets Thin 26GQL

Embrace Lancets Ultra Thin 30GQL Kroger Lancets Ultrathin 30GQL

Eql Color Lancets Micro Thin 33GQL Kroger Lancets 21GQL

Eql Color Lancets 21GQL LancetsQL

Eql Super Thin Lancets 30GQL Lancets Bullseye SafetyQL

Eql Thin Lancets 26GQL Lancets Micro Thin 33GQL

EZ Smart Blood Glucose LancetsQL Lancets Safety Seal 21GQL

EZ-lets Lancets 21GQL Lancets Safety Seal 26GQL

EZ-lets Lancets 23GQL Lancets Safety Seal 28GQL

EZ-lets Lancets 26G Super-softQL Lancets Safety Seal 30GQL

EZ-lets Lancets 28G Ultra-softQL Lancets Super Thin 28GQL

EZ-lets Lancets 30GQL Lancets ThinQL

Fifty50 Safety Seal Lancets 30GQL Lancets Twist TopQL

Fifty50 Safety Seal Lancets 32GQL Lancets Ultra FineQL

Fifty50 Unilet Lancets 33GQL Lancets Ultra ThinQL

Fine 30QL Lancets Ultra Thin 30GQL

Fingerstix LancetsQL Lancets 26G Twist TopQL

Fora LancetsQL Lancets 28GQL

Freds Pharmacy Unilet Lancets Super Thin 30GQL Lancets 30GQL

Freds Pharmacy Unilet Lancets Ultra Thin 28GQL Lancets 30G Twist TopQL

Freestyle LancetsQL Lancets 30G/Twist TopQL

Freestyle Unistick II LancetsQL Lancets 31G Twist TopQL

Gentle-let GP LancetsQL Lancets 33G Universal DesignQL

Gentle-let Lancets General Purpose Style/Fine PointQL Leader Lancets ColoredQL

Gentle-let Lancets General Purpose Style/Medium PointQL Leader Super Thin LancetQL

Gentle-let Lancets Safety Style/Fine PointQL Leader Thin LancetsQL

Gentle-let Lancets Safety Style/Medium PointQL Liberty Blood Glucose MeterQL

Global Inject Ease Lancets 28GQL Liberty Glucose Control Mid

Global Inject Ease Lancets 30GQL Liberty Glucose Control Normal

Glucocom Lancets 28GQL Liberty Medical Lancets 30GQL

Glucocom Lancets 30GQL Liberty Mini Lancing Device

Glucocom Lancets 33GQL Liberty Test StripsQL

Glucose Control Normal Lifescan Unistik II LancetsQL

Glucose Control Solution Lifescan Unistik 2 Deep PenetrationQL

Glucosource LancetsQL Lite Touch LancetsQL

Gmate Lancets 30GQL Litetouch Lancets Micro Thin 33GQL

Gnp LancetsQL Live Better Lancet Super Thin 30GQL

Gnp Lancets Micro Thin 33GQL Live Better Lancet Ultra Thin 28GQL

Gnp Lancets Super Thin 30GQL Longs Lancets StandardQL

Gnp Lancets ThinQL Longs Lancets ThinQL

Gnp Lancets Thin 26GQL Longs Lancets Ultra ThinQL

Gnp Lancets 21GQL Medichoice Pre-set Safety Lancet Dual UseQL

Gnp Micro Thin Lancets 33GQL Medichoice Pre-set Safety Lancet Low FlowQL

Gnp Super Thin Lancets/30GQL Medichoice Pre-set Safety Lancet Medium FlowQL

H&h Thinlet Lancets 26GQL Medichoice Pre-set Safety Lancet Moderate FlowQL

H&h Thinlet Super Thin Lancets 30GQL Medichoice Safety Lancet ExtraQL

H-e-b Incontrol Lancets Micro Thin 33GQL Medichoice Safety Lancet NormalQL

H-e-b Incontrol Lancets Super Thin 30GQL Medicine Shoppe LancetsQL

H-e-b Incontrol Lancets Ultra Thin 28GQL Medicine Shoppe Lancets ThinQL

HaemolanceQL Medisense Thin LancetsQL

Haemolance Low Flow LancetsQL Medlance Plus Extra Lancets 21GQL

Haemolance PlusQL Medlance Plus LancetsQL

Haemolance Plus High FlowQL Medlance Plus Lancets Lite 25GQL

Haemolance Plus Low FlowQL Medlance Plus Lite Lancets 25GQL

Haemolance Plus Max FlowQL Medlance Plus Special Lancets 0.8MMQL

Haemolance Plus Pediatric FlowQL Medlance Plus Superlite 30GQL

Healthwise Lancets 30GQL Medlance Plus Superlite 30G/Comfort MaxQL

Healthy Accents Unilet Lancets Super Thin 30GQL Medlance Plus Universal Lancets 21GQL

Hy-vee LancetsQL Medlance Plus/Lite 25GQL

Hy-vee Thin LancetsQL Medlance/ExtraQL

HM Lancets Micro Thin 33GQL Medlance/LiteQL



Medlance/UniversalQL Qc LancetsQL

Meijer Color Lancets Universal 33GQL Qc Lancets Super ThinQL

Meijer LancetsQL Qc Lancets ThinQL

Meijer Lancets ThinQL Qc Lancets Ultra ThinQL

Meijer Lancets Universal 33GQL Qc Unilet Lancets 28G/Ultra ThinQL

Meijer Super Thin LancetsQL Qc Unilet Lancets 33G/Micro ThinQL

Microlet LancetsQL Ra E-ZJECT Color Lancets Micro-thin 33GQL

Microtainer Safety Flow Lancet/Sterile/Single-useQL Ra E-ZJECT Lancets Thin 26GQL

Monolet LancetsQL Ra E-ZJECT Lancets Thin 28GQL

Monolet Opd LancetsQL Ra E-ZJECT Lancets Ultra Thin 30GQL

Monolettor Safety LancetsQL Ra E-ZJECT Lancets 28GQL

Myglucohealth Mgh Softlance Lancets 30GQL Reality LancetsQL

Netgroup LancetsQL Reality Trigger LancetsQL

Nova Safety Lancets 23GQL Relion Lancets Micro-thin33GQL

Nova Safety Lancets 28GQL Relion Lancets Standard 21GQL

Nova Sureflex LancetsQL Relion Lancets Thin 26GQL

On Call LancetsQL Relion Lancets Ultra-thin30GQL

On Call Plus LancetsQL Relion Thin LancetsQL

Onetouch Club Lancets Fine PointQL Relion Ultra Thin LancetsQL

Onetouch Combo PackQL Relion Ultra Thin Lancets30GQL

Onetouch Delica Lancets Extra Fine 33GQL Relion Ultra Thin Plus Lancets 32GQL

Onetouch Delica Lancets Fine 30GQL Relion Ultra Thin Plus Lancets 33GQL

Onetouch Delica Lancing Device Renew Advanced Lancing Cartridge RefillsQL

Onetouch Finepoint LancetsQL Rexall Lancets Ultra ThinQL

Onetouch LancetsQL Rightest Gl300 LancetsQL

Onetouch Ping Meter Remote Safe-t-lance Low Flow 25GQL

Onetouch Suresoft Lancing Device/18G Safe-t-lance Normal Flow 21GQL

Onetouch Suresoft Lancing Device/21G Safe-t-lance Plus Safety Lancet High FlowQL

Onetouch Suresoft Lancing Device/28G Safe-t-lance Plus Safety Lancet Low FlowQL

Onetouch Ultra BlueQL Safe-t-lance Plus Safety Lancet Normal FlowQL

Onetouch Ultra Control Safety Lancet 21G/Pressure ActivatedQL

Onetouch Ultra MiniQL Safety Lancet 28G/Pressure ActivatedQL

Onetouch Ultra 2QL Safety LancetsQL

Onetouch Ultralink System (hex)QL Safety Lancets 21GQL

Onetouch Ultralink System (DEC)QL Safety Lancets 28GQL

Onetouch Ultrasoft LancetsQL Safety Let LancetsQL

Onetouch VerioQL Safety Seal Lancets 28GQL

Onetouch Verio Control Solution High Safety Seal Lancets 30GQL

Onetouch Verio Flex Bloodglucose Monitoring SystemQL Safety-glide Insulin Syringe/0.3ML/29G X 1/2"QL

Onetouch Verio IQ Blood Glucose Monitoring SystemQL Sapscare Twist Top Lancets 30GQL

Onetouch Verio Mid Control Solution Shopko On-the-go Comfort Lancets 30GQL

Onetouch Verio Sync Bloodglucose Monitoring SystemQL Shopko Unilet Lancets Super Thin 30GQL

Onetouch Verio Test StripsQL Shopko Unilet Lancets Ultra Thin 28GQL

Penlet II Automatic Bloodsampler Side Button Safety Lancet21GQL

Penlet II Replacement CAPS Single-letQL

Penlet II Replacement CAPS-deep Sm Lancets 21GQL

Penlet II Replacement CAPS-regular Sm Micro Thin Lancets 33GQL

Perfect Lancets 30GQL Sm Super Thin LancetsQL

Perfect Pressure Activated Safety Lancets 28GQL Sm Super Thin Lancets 30GQL

Pharmacist Choice Ultra Thin LancetsQL Sm Thin Lancets 26GQL

Pharmacist Choice Ultra Thin Lancets 28GQL Smart Diabetes Vantage Universal Lancets 30GQL

Pharmacist Choice Ultra Thin Lancets 30GQL Smart Sense Color Lancets Universal 33GQL

Pharmacist Choice Ultra Thin Lancets 31GQL Smart Sense Standard Lancets Universal 21GQL

Pharmacist Choice Ultra Thin Lancets 33GQL Smart Sense Super Thin Lancets Universal 30GQL

Pharmacy Counter LancetsQL Smart Sense Thin Lancets Universal 26GQL

Precision Thin LancetsQL Smartest Lancets 28GQL

Precision Thins GP LancetQL Solus V2 Pressure Activated Safety Lancets 28GQL

Precision Ultra LancetQL Solus V2 Twist Lancets 30GQL

Preferred Plus Lancets Colored 21GQL Sterilance TLQL

Preferred Plus Lancets Super Thin 30GQL Super Thin LancetsQL

Preferred Plus Lancets Thin 26GQL Sure Comfort Lancets 28GQL

Pressure Activated Safetylancet 21GQL Sure Comfort Lancets 30GQL

Prodigy Pressure Activated Safety LancetsQL Sure-lance Flat LancetsQL

Prodigy Safety LancetsQL Sure-lance Lancets 26GQL

Prodigy Twist Top LancetsQL Sure-lance Thin Lancets 28GQL

Pss Select GP LancetsQL Sure-lance Ultra Thin LancetsQL

Pss Select Safety LancetsQL Sure-touch Lancets UniversalQL

Push Button Safety Lancets 21GQL Surelite LancetsQL

Push Button Safety Lancets 28GQL Surestep Glucose Control

Px Lancets Ultra ThinQL Surestep Glucose Control Solution



Surestep Pro High Glucosecontrol Vitalet Pro LancetsQL

Surestep Pro Linearity Kit Vitalet Pro Plus LancetsQL

Surestep Pro Low Glucose Control W&f Lancets Colored 21GQL

Surestep Pro Normal Glucose Control W&f Lancets 26GQL

SB Lancets ThinQL Walgreens Advanced Travellancets 28GQL

SB Lancets Ultra ThinQL Walgreens Comfort Assuredlancets Micro Thin/33GQL

Techlite AST LancetsQL Walgreens Comfort Assuredlancets Super Thin/28GQL

Techlite LancetsQL Walgreens LancetsQL

Techlite Lancets 30GQL Walgreens Thin LancetsQL

Tgt Lancet Alternate SiteQL Walgreens Ultra Thin LancetsQL

Tgt Lancet Micro Thin 33GQL 1ST Choice Lancets Super ThinQL

Tgt Lancet Super Thin 30GQL 1ST Choice Lancets ThinQL

Tgt Lancet Thin 23GQL 1ST Choice Lancets Ultra ThinQL

Tgt Lancet Thin 26GQL 1ST Tier Unilet Comfortouch Lancets 28GQL

Tgt Lancet Ultra Thin 28GQL 1ST Tier Unilet Comfortouch Lancets 30GQL

Tgt Lancet Ultra Thin 30GQL NON PREFERRED

Thinlets GP LancetsQL Accu-chek Active Glucose Control Solution

Thinlets LancetQL Accu-chek Active StripsQL

Todays Health Super Thin Lancets 30GQL Accu-chek AvivaQL

Todays Health Ultra Thin Lancets 28GQL Accu-chek Aviva PlusQL

Travel Lancets 30GQL Accu-chek Comfort Curve Control Solution (2 Levels)

Trueplus Lancets 26GQL Accu-chek Comfort Curve Linearity Solution

Trueplus Lancets 28GQL Accu-chek Comfort Curve Test StripsQL

Trueplus Lancets 28G Super ThinQL Accu-chek Compact Blue Control Solution (2 Levels)

Trueplus Lancets 30GQL Accu-chek Compact PlusQL

Trueplus Lancets 30G Ultra ThinQL Accu-chek Compact Plus Care KitQL

Trueplus Lancets 33GQL Accu-chek Compact Plus Clear Control Solution (2 Levels)

Trueplus Lancets 33G Micro ThinQL Accu-chek Compact Test DrumQL

Trueplus Safety Lancets 28GQL Accu-chek Fastclix Lancetdevice Kit

Ulticare Thin Lancets 30GQL Accu-chek Instant Glucosecontrol Solution (2 Levels)

Ultilet Classic LancetsQL Accu-chek Multiclix Lanc Et Device Kit

Ultilet LancetsQL Accu-chek Nano SmartviewQL

Ultilet Lancets 33GQL Accu-chek Smartview Control

Ultilet Safety Lancets 23GQL Accu-chek Smartview StripsQL

Ultra Thin Lancets 28GQL Accu-chek Softclix Lancetdevice

Ultra Thin Lancets 30GQL Accu-chek Softclix Lancetdevice Kit

Ultra-thin II Auto LancetQL Accu-chek VoicemateQL

Ultra-thin II Lancets 28GQL Adjustable Lancing Device

Ultra-thin II Lancets 30GQL Advocate Insulin Pen Needles 29GX12.7MMQL

Ultra-thin II Safety Autolancets 26GQL Advocate Insulin Pen Needles 31GX5MMQL

Unilet Comfortouch LancetQL Advocate Insulin Pen Needles 31GX8MMQL

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

Unilet Excelite IIQL Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"QL

Unilet G.p. LancetQL Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"QL

Unilet G.p. Superlite LancetQL Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"QL

Unilet GP 28 Ultra ThinQL Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"QL

Unilet LancetQL Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"QL

Unilet Lancets Micro-thin33GQL Advocate Insulin Syringe/U-100/1ML/29GX1/2"QL

Unilet Lancets Super-thin30GQL Advocate Insulin Syringe/U-100/1ML/30GX5/16"QL

Unilet Lancets Ultra-thin 28GQL Advocate Insulin Syringe/U-100/1ML/31GX5/16"QL

Unilet Superlite LancetQL Advocate Lancing Device

Unistik Safety Lancets 28GQL Advocate Rapid-safe Lancing Device

Unistik Safety Lancets 30GQL Alternate Site Lancing Device

Unistik Touch Safety Lancets 21GQL Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"QL

Unistik Touch Safety Lancets 23GQL Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"QL

Unistik Touch Safety Lancets 28GQL Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"QL

Unistik Touch Safety Lancets 30GQL Aqua Lance Adjustable Lancing Device

Unistik 3 GentleQL Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"QL

Universal 1 Lancets Thin 26GQL

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

Universal 1 Lancets Ultra Thin 30GQL

Aurora Pen Needles 29GX12MMQL

V-go 20

Aurora Pen Needles 31G X 6MMQL

V-go 30

Aurora Pen Needles 31G X 8MMQL

V-go 40

Aurora Unifine Pentips/Mini/31GX3/16"QL

Value Plus Lancets Standard 21GQL

Aurora Unifine Pentips/32GX5/32"QL

Value Plus Lancets Super Thin 30GQL

Auto-lancet

Value Plus Lancets Thin 26GQL

Auto-lancet Mini

Valumark Lancet Super Thin 30GQL

Autolet Impression

Valumark Lancet Ultra Thin 28GQL

Autolet Impression Lancing Device

Vida Mia Unilet Lancets Super Thin 30GQL

Autolet II Clinisafe

Vida Mia Unilet Lancets Ultra Thin 28GQL

Autolet Lite Clinisafe



Autolet Lite Starter Pack Clickfine Pen Needle Universal/31GX1/4"QL

Autolet Mini Clickfine Pen Needle Universal/31GX5/16"QL

Autolet Platforms Clickfine Pen Needle 32GX5/32"QL

Bayer Microlet 2 Lancing Device Clickfine Pen Needles/31GX1/4"QL

BD Lancet Device Clickfine Pen Needles/31GX5/16"QL

Cardiocom Lancing Device Clickfine Universal Pen Needles 31GX5/16"QL

Carefine Pen Needle 32GX4MMQL Closercare

Carefine Pen Needles 29GX1/2"QL Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"QL

Carefine Pen Needles 30GX5/16"QL Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"QL

Carefine Pen Needles 31GX6MMQL Comfort Assist Insulin Syringe/0.3ML/31G X 5/16"QL




Careone Advanced Lancing Device Comfort Assist Insulin Syringe/1ML/29G X 1/2"QL

Careone Insulin Syringes/0.3ML/30G X 1/2"QL Comfort Assist Insulin Syringe/1ML/30G X 5/16"QL

Careone Insulin Syringes/0.3ML/31G X 5/16"QL Comfort Assist Insulin Syringe/1ML/31G X 5/16"QL

Careone Insulin Syringes/0.5ML/30G X 1/2"QL CVS Insulin Syringe/0.3ML/29G X 1/2"QL

Careone Insulin Syringes/0.5ML/31G X 5/16"QL CVS Insulin Syringe/0.3ML/30G X 1/2"QL

Careone Insulin Syringes/1ML/30G X 1/2"QL CVS Insulin Syringe/0.5ML/29G X 1/2"QL

Careone Insulin Syringes/1ML/31GX5/16"QL CVS Insulin Syringe/0.5ML/30G X 1/2"QL

Careone Unifine Pentips Pen Needles 32GX4MMQL CVS Insulin Syringe/1ML/29G X 1/2"QL

Careone Unifine Pentips Plus Pen Needles 29GX12MMQL CVS Lancing Device

Careone Unifine Pentips Plus Pen Needles 31GX5MMQL Diascreen Liquid Urine Controls

Careone Unifine Pentips Plus Pen Needles 31GX6MMQL Diascreen 1b

Careone Unifine Pentips Plus Pen Needles 31GX8MMQL Diascreen 1k

Careone Unifine Pentips Plus Pen Needles 32GX4MMQL Diascreen 1G

Careone Unifine Pentips 29GX12MMQL Diascreen 10

Careone Unifine Pentips 31GX5MMQL Diascreen 2GK

Careone Unifine Pentips 31GX6MMQL Diascreen 2GP

Careone Unifine Pentips 31GX8MMQL Diascreen 3

Chemstrip Bg Log Book Diascreen 4nl

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MMQL

Diascreen 4obl

Diascreen 4PH

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

Diascreen 5

Diascreen 6

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

Diascreen 7

Diascreen 8


Diascreen 9

Droplet Lancing Device


Droplet Pen Needles 29GX10MMQL














Drug Mart Adjustable Lancing Device


Drug Mart Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"QL



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






Clever Choice Comfort EZ Pen Needles 29GX12MMQL Drug Mart Ultra Comfort Insulin Syringe/1ML/29G X 1/2"QL

Clever Choice Comfort EZ Pen Needles 31GX5MMQL Drug Mart Ultra Comfort Insulin Syringe/1ML/30G X 5/16"QL

Clever Choice Comfort EZ Pen Needles 31GX6MMQL

Drug Mart Unifine Pentips 31GX5MMQL


Drug Mart Unifine Pentipsplus 32GX4MMQL


Drug Mart Unifine Pentips29G X 12MMQL


Drug Mart Unifine Pentips31GX6MMQL






Duane Reade Unifine Pentips 29G X 12MMQL


Duane Reade Unifine Pentips 31G X 6MM Ultra SHORTQL


Duane Reade Unifine Pentips 31G X 8MM SHORTQL


Easy Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2"QL



Easy Comfort Insulin Syringe/U-100/1ML/30G X 1/2"QL Eql Insulin Syringe/U-100/0.3ML/29G X 1/2"QL

Easy Comfort Insulin Syringe/0.3ML/30G X 5/16"QL Eql Insulin Syringe/U-100/0.5ML/29G X 1/2"QL

Easy Comfort Insulin Syringe/0.5ML/30G X 5/16"QL Eql Insulin Syringe/U-100/1ML/29G X 1/2"QL

Easy Comfort Insulin Syringe/0.5ML/31G X 5/16"QL Eql Insulin Syringe/0.3ML/29G X 1/2"QL

Easy Comfort Insulin Syringe/1ML/30G X 5/16"QL Eql Insulin Syringe/0.3ML/30G X 5/16"QL

Easy Comfort Insulin Syringe/1ML/31G X 5/16"QL Eql Insulin Syringe/0.3ML/31G X 5/16"QL

Easy Comfort Pen Needles 31GX1/4"QL Eql Insulin Syringe/0.5ML/29G X 1/2"QL



Easy Comfort Pen Needles 32GX5/32"QL Eql Insulin Syringe/1ML/29G X 1/2"QL

Easy Mini Eject Lancing Device Eql Insulin Syringe/1ML/30G X 5/16"QL

Easy Mini Lancing Device Eql Insulin Syringe/1ML/31G X 5/16"QL

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"QL

Eql SHORT Pen Needles 31G X 8MMQL

Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16"QL


Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16"QL

Eql Ultra SHORT Pen Needles 31G X 6MMQL


Excel Comfort Point Insulin Pen Needles 31G X 4MMQL

Exel Comfort Point Insulin Pen Needles 29G X 12MMQL




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

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

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



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



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

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


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



Fifty50 Lancing Device


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


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


Fifty50 Pen Needles 31GX5MMQL

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

Fifty50 Pen Needles/31GX8MMQL






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


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

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



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


Easy Touch Insulin Syringe/1ML/30G X 5/16"QL Fora Lancing Device

Easy Touch Lancing Device/Ejector Fora Lancing Device/Clearcap

Easy Touch Pen Needles 29GX1/2"QL Freds Pharmacy Autolet Lancing Device

Easy Touch Pen Needles 31GX1/4"QL Freds Pharmacy Unifine Pentips Pen Needles 32GX4MMQL

Easy Touch Pen Needles 31GX5/16"QL

Freds Pharmacy Unifine Pentips Plus 31GX5MMQL


Freds Pharmacy Unifine Pentips Plus 31GX8MMQL


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


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

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

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"QL

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


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


Gentle-let Platforms 2.4MM

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"QL

Gentle-let Platforms 3.0MM

Easy Touch 32GX5MMQL

Global Ease Inject Pen Needles 29GX12MMQL

Easy Touch 32GX6MMQL


Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2"QL



Global Ease Inject Pen Neeedles 31GX5MMQL


Global Inject Ease Insulin Syringe/U-100/0.3ML/29G X 1/2"QL


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






Elite-thin Insulin Syringe/0.3ML/31G X 5/16"QL Global Inject Ease Insulin Syringe/U-100/0.3ML/31G X 5/16"QL

Elite-thin Insulin Syringe/0.5ML/29G X 1/2"QL


Elite-thin Insulin Syringe/0.5ML/30G X 5/16"QL

Elite-thin Insulin Syringe/1ML/29G X 5/16"QL

Elite-thin Insulin Syringe/1ML/30G X 5/16"QL




Healthwise Mini Pen Needles 31GX6MMQL

Healthwise Pen Needles 29GX12MMQL


Healthwise SHORT Pen Needles 31GX8MMQL

Healthwise Unifine Pentips Pen Needles 32GX4MMQL


Healthy Accents Autolet Impression Lancing Device

Healthy Accents Unifine Pentips Pen Needles 29GX12MMQL



Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2"QL







Hypolance AST Lancing Kit


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


Global Lancing Device


Glucocom Autolink Telemonitoring System

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

Glucolet 2 Automatic Lancing Device


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





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


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





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






Glucosource Lancet Device


Gmate Lancing Device


Gnp Clickfine Pen Needle Universal/31GX5/16"QL


Gnp Clickfine Universal Pen Needles 31GX1/4"QL

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

Gnp Clickfine Universal Pen Needles 31GX5/16"QL


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





Insupen Pen Needles 32G X4MMQL


Insupen Sensitive 32GX6MMQL


Insupen Sensitive 32GX8MMQL


Insupen Ultrafin 29GX12MMQL



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





Insupen 33GX4MMQL


IN Touch Lancing Device

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

Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16"QL

Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORTQL

Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16"QL


Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16"QL

Kinray Insulin Syringe/0.5ML/29G X 1/2"QL


Kmart Valu Plus Insulin Syringe/0.3ML/30GQL





Kmart Valu Plus Insulin Syringe/1ML/29GQL


Kmart Valu Plus Insulin Syringe/1ML/30GQL

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

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


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


Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORTQL



Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORTQL


H-e-b Incontrol Advanced Lancing Device Kroger Insulin Syringe/1ML/29G X 1/2"QL

H-e-b Incontrol Pen Needles 29GX12MMQL Kroger Insulin Syringe/1ML/30G X 5/16"QL

H-e-b IN Control Pen Needles 31GX5MMQL Kroger Insulin Syringe/1ML/31G X 5/16"QL

H-e-b IN Control Pen Needles 31GX6MMQL Kroger Lancing Device

H-e-b IN Control Pen Needles 31GX8MMQL Kroger Pen Needles 29G X 12MMQL

H-e-b IN Control Pen Needles/Nano/32GX4MMQL Kroger Pen Needles 31G X 8MMQL

H-e-b IN Control Unifine Pentips Plus 31GX5MMQL Kroger Pen Needles 31GX1/4"QL

H-e-b IN Control Unifine Pentips Plus 32GX4MMQL Lancet Device Adjustable

Health Care Lancing Device Lancet Device With Ejector

Healthwise Lancing Pen Lancet Transporter Case



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

Lancing Device Adjustable

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

Lanzo

Leader Advanced Lancing Device

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

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


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



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


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





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

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


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


Monoject Insulin Syringe/1MLQL


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

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

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

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

Leader Unifine Pentips/Mini/31GX3/16"QL Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"QL

Leader Unifine Pentips/Nano/32GX5/32"QL


Leader Unifine Pentips/Plus/32GX5/32"QL

Lite Touch Lancing Device


Lite Touch Lancing Pen

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


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

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


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

Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"QL Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"QL

Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"QL

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

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





Monojector End CAPS


Monojector Opd End CAPS


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

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

Litetouch Pen Needles 29GX12.7MMQL

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

Litetouch Pen Needles 31G X 6MMQL

Litetouch Pen Needles 31GX8MM SHORTQL

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

Live Better Advanced Lancing Device

Live Better Pen Needles 29G X 12MMQL

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

Live Better Pen Needles 31G X 12MMQL

Live Better Pen Needles 31G X 6MMQL Multi-lancet Device

Longs Insulin Syringe/0.5ML/31G X 5/16"QL Multi-lancet Device 2

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

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









MS Insulin Syringe/1ML/29G X 1/2"QL


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


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

Nova Sureflex Lancing Device

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

Novofine Autocover 30GX8MMQL

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

Novofine Plus 32GX4MMQL

Medic Insulin Syringe/0.3ML/30G X 5/16"QL

Novofine 30GX8MMQL

Medic Insulin Syringe/0.5ML/30G X 5/16"QL

Novofine 32GX6MMQL

Medicine Shoppe Pen Needles 29G X 12MMQL

Novotwist 30GX8MMQL


Novotwist 32GX5MMQL


On Call Lancing Device

Meijer Pen Needles 29G X 12MMQL

On Call Plus Lancing Device


Pen Needles 29G X 12MMQL


Pen Needles 29GX1/2"QL

Mini Lancing Device


Monoject Insulin Syringe Regular LUER Tip/Softpack/1MLQL

Pen Needles 31G X 1/4" SHORTQL

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"QL Pen Needles 31G X 3/16"QL

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"QL Pen Needles 31G X 5MMQL

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

Pen Needles 31G X 6MMQL


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

Pen Needles 31GX8MMQL

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

Pen Needles 32GX4MMQL



Pentips 31GX5MMQL Ra Pen Needles 31G X 5MM 3/16"QL

Pentips 31GX8MMQL Ra Pen Needles 31G X 8MM 5/16"QL

Pentips 32GX4MMQL Reality Insulin Syringe/U-100/0.5ML/28G X 1/2"QL

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"QL Reality Insulin Syringe/U-100/0.5ML/29G X 1/2"QL

Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2"QL Reality Insulin Syringe/U-100/1ML/28G X 1/2"QL

Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"QL Reality Insulin Syringe/U-100/1ML/29G X 1/2"QL

Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"QL Relion Insulin Syringe/U -100/0.5ML/29GQL

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"QL Relion Insulin Syringe/U-00/1ML/29G X 1/2"QL

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

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

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

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



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










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

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


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


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

Preferred Plus Unifine Pentips 29G X 12MMQL

Relion Lancing Device

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORTQL

Relion Mini Pen Needles 31GX6MMQL

Relion Pen Needles 29GX12MMQL

Preferred Plus Unifine Pentips 31G X 8MM SHORTQL


Preferred Plus Unifine Pentips 32GX4MMQL


Preferred Plus Unifine Pentips/Mini/31GX5MMQL

Relion SHORT Pen Needles 31GX8MMQL

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

Relion 2-IN-1 Lancing Device 25G

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

Relion 2-IN-1 Lancing Device 30G

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

Renew Advanced Lancing Device

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

Rightest GD-L500 Alternate Site Adapter

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

Rightest GD500 Lancing Device

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

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

Prodigy Lancing Device


Pss Select Platforms


Px Advanced Lancing Device

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

Px Extra SHORT Pen Needles 31GX6MMQL

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

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

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/29G X 1/2"QL



Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16"QL


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

Select-lite Device/Lancets

Px Insulin Syringe/U-100/1ML/31G X 5/16"QL

Select-lite Lancing Device

Px Lancet Auto Injector

Shopko Autolet Lancing Device

Px Mini Pen Needles 31GX5MMQL

Shopko Unifine Pentips Pen Needles/Micro/32GX4MMQL

Px Pen Needle 29GX12MMQL

Shopko Unifine Pentips Pen Needles/Mini/31GX5MMQL

Px Pen Needle 31GX8MMQL

Shopko Unifine Pentips Pen Needles/Original/29GX12MMQL

Px Shortlength Pen Needles/31GX8MMQL

PC Unifine Pentips 29G X 1/2"QL Shopko Unifine Pentips Pen Needles/SHORT/31GX8MMQL

PC Unifine Pentips 31G X 5MM MiniQL

Simple Diagnostics Lancing Device

PC Unifine Pentips 31G X 6MM Ultra SHORTQL

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

PC Unifine Pentips 31G X 8MM SHORTQL


Qc Advanced Lancing Device


Qc Insulin Syringe 0.5ML/29GQL


Qc Insulin Syringe 0.5ML/30GQL


Qc Insulin Syringe 1ML/29GQL

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

Qc Insulin Syringe/0.3ML/29GQL


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



Sm Insulin Syringe/0.3ML/31G X 5/16"QL


Sm Insulin Syringe/0.5ML/31G X 5/16"QL

Qc Insulin Syringe/1ML/29G X 1/2"QL

Sm Insulin Syringe/1ML/31G X 5/16"QL

Qc Insulin Syringe/1ML/30GQL

Smart Diabetes Vantage Lancing Device

Qc Insulin Syringe/1ML/31G X 5/16"QL

Solus V2 Lancing Device

Qc Pen Needles 29G X 12MMQL

Sterilance PA


Supreme II Confidence Paddles


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

Qc Unifine Pentips 32GX4MMQL


Ra Insulin Syringe/U-100/0.5ML/30G X 5/16"QL


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

Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16QL

Ra Insulin Syringe/0.5ML/29G X 1/2"QL


Ra Insulin Syringe/1ML/29G X 1/2"QL


Ra Lancing Device



Sure Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2"QL Todays Health Advanced Lancing Device

Sure Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2"QL Todays Health Mini Pen Needles 31G X 1/4"QL

Sure Comfort Insulin Syringe/U-100/0.5ML/30G X 5/16"QL Todays Health Original Pen Needles 29G X 1/2"QL

Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16QL Todays Health SHORT Pen Needles 31G X 5/16"QL

Sure Comfort Insulin Syringe/U-100/1ML/28G X 1/2"QL Topcare Clickfine Universal Pen Eedles 31GX1/4"QL

Sure Comfort Insulin Syringe/U-100/1ML/29G X 1/2"QL Topcare Clickfine Universal Pen Eedles 31GX5/16"QL

Sure Comfort Insulin Syringe/U-100/1ML/30G X 1/2"QL Topcare Ultra Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2"QL

Sure Comfort Insulin Syringe/U-100/1ML/30G X 5/16"QL

Topcare Ultra Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2"QL

Sure Comfort Insulin Syringe/U-100/1ML/31G X 5/16"QL

Sure Comfort Lancing Pen

Topcare Ultra Comfort Insulin Syringe/U-100/1ML/29G X 1/2"QL

Sure Comfort Pen Needles 29GX1/2" 12.7MMQL

Sure Comfort Pen Needles 30GX5/16" SHORTQL

Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"QL

Sure Comfort Pen Needles 31GX3/16" (5MM)QL

Sure Comfort Pen Needles 31GX5/16" (8MM)QL


Sure Comfort Pen Needles 32GX5/32"QL

Sure Comfort Pen Needles 32GX6MMQL Topcare Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"QL

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


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

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

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16"QL

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

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16"QL


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






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


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


Tracer II 3 Volt Battery

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

Truedraw Lancing Device


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





Sure-pen


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


SB Insulin Syringe/U-100/0.5ML/30G X 5/16"QL


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



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



Techlite Pen Needles/31G X 5MMQL


Techlite Pen Needles/31G X 6 MMQL



Ulti-lance Automatic/ Clear Tip


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


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


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

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


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


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

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

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

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


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



Terumo Insulin Syringe/1ML/27G X 1/2"QL





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

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

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


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



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


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


Tgt Advanced Lancing Device


Tgt Lancing Device


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





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








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

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










Ulticare Insulin Syringe/0.5ML/30G X 1/2"QL Unifine Pentips Plus 31GX6MMQL

Ulticare Insulin Syringe/0.5ML/30G X 5/16"QL Unifine Pentips Plus 31GX8MMQL

Ulticare Insulin Syringe/1ML/28G X 1/2"QL Unifine Pentips Plus 32GX4MMQL

Ulticare Insulin Syringe/1ML/29G X 1/2"QL Unifine Pentips 29GX12MMQL

Ulticare Insulin Syringe/1ML/30G X 1/2"QL Unifine Pentips 31G X 3/16"QL

Ulticare Insulin Syringe/1ML/30G X 5/16"QL Unifine Pentips 31G X 6MMQL

Ulticare Micro Pen Needles 31G X 8MMQL Unifine Pentips 31G X 8MMQL

Ulticare Micro Pen Needles 32G X 4MMQL Unifine Pentips 31GX5MMQL

Ulticare Micro Pen Needles/31G X 8MMQL Unifine Pentips 31GX6MMQL

Ulticare Micro Pen Needles/32G X 4MMQL Unifine Pentips 31GX8MMQL

Ulticare Mini Pen Needles Ulti-fine IVQL Unifine Pentips 32GX4MMQL

Ulticare Mini Pen Needles 31GX6MMQL Unistik CZT Comfort

Ulticare Mini Pen Needles/31G X 6MMQL Unistik CZT Normal

Ulticare Mini Pen Needles31GX6MMQL Unistik 1

Ulticare Original Pen Needles Ulti-fineQL Unistik 2

Ulticare Pen Needles/29G X 12.7MMQL Unistik 2 Comfort

Ulticare SHORT Pen Needles Ulti-fine IVQL Unistik 2 Extra

Ulticare SHORT Pen Needles 31GX8MMQL Unistik 2 Neonatal

Ulticare SHORT Pen Needles/31G X 8MMQL Unistik 2 Normal

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4"QL Unistik 2 Super

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4"QL Unistik 3

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4"QL Unistik 3 Comfort

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4"QL Unistik 3 Extra

Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2"QL Unistik 3 Neonatal

Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16"QL Unistik 3 Normal

Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2"QL Urin-tek

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16"QL V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"QL

Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2"QL V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"QL

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"QL V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"QL

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"QL V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"QL

Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16"QL V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"QL

Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16"QL Value Health Insulin Syringe/U-100/0.5ML/29G X 1/2"QL

Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16"QL Value Health Insulin Syringe/U-100/1ML/29G X 1/2"QL

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"QL Value Plus Lancing Device

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"QL Valumark Pen Needles 29GX12MMQL

Ultilet Pen Needle 32GX4MM/SHORTQL Valumark Pen Needles 31G X 6MMQL

Ultilet SHORT Pen Needles 31GX5/16"QL Valumark Pen Needles 31G X 8MMQL

Ultilet SHORT Pen Needles31GX3/16"QL Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"QL

Ultra Comfort Insulin Syringe/U-100/0.3ML/30G X 5/16"QL Vanishpoint Insulin Syringe/1ML/29G X 1/2"QL

Ultra Comfort Insulin Syringe/U-100/0.5ML/28G X 1/2"QL Vida Mia Autolet Lancing Device

Ultra-comfort Insulin Syringe/U-100/0.3ML/29G X 1/2"QL Vida Mia Unifine Pentips Mini 31GX6MMQL

Ultra-comfort Insulin Syringe/U-100/0.3ML/30G X 5/16"QL Vida Mia Unifine Pentips Original 29GX12MMQL

Ultra-comfort Insulin Syringe/U-100/0.3ML/31G X 5/16"QL Vida Mia Unifine Pentips 32GX4MMQL

Ultra-comfort Insulin Syringe/U-100/0.5ML/28G X 1/2"QL Vida Mia Unipfine Pentipsshort 31GX8MMQL

Ultra-comfort Insulin Syringe/U-100/0.5ML/29G X 1/2"QL Vp Insulin Syringe/U-100/0.3ML/29G X 1/2"QL

Ultra-comfort Insulin Syringe/U-100/0.5ML/30G X 5/16"QL Wd Medic Insulin Syringe/0.3ML/29G X 1/2"QL

Ultra-comfort Insulin Syringe/U-100/0.5ML/31G X 5/16"QL Wd Medic Insulin Syringe/0.3ML/30G X 5/16"QL

Ultra-comfort Insulin Syringe/U-100/1ML/28G X 1/2"QL Wd Medic Insulin Syringe/0.5ML/29G X 1/2"QL

Ultra-comfort Insulin Syringe/U-100/1ML/29G X 1/2"QL Wd Medic Insulin Syringe/0.5ML/30G X 5/16"QL

Ultra-comfort Insulin Syringe/U-100/1ML/30G X 5/16"QL Wd Medic Insulin Syringe/1ML/29G X 1/2"QL

Ultra-comfort Insulin Syringe/U-100/1ML/31G X 5/16"QL Wd Medic Insulin Syringe/1ML/30G X 5/16"QL

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

Wegmans Unifine Pentips Plus 32GX4MMQL

Wegmans Unifine Pentips Plus/Mini/31GX5MMQL


Wegmans Unifine Pentips Plus/SHORT/31GX8MMQL

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MMQL


1ST Tier Unifine Pentips /Mini/31GX5MMQL

1ST Tier Unifine Pentips Plus 31GX8MMQL


1ST Tier Unifine Pentips Plus 32GX4MMQL

1ST Tier Unifine Pentips Plus/Mini/31GX5MMQL

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

1ST Tier Unifine Pentips Plus/Original/29GX12MMQL

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

1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MMQL

1ST Tier Unifine Pentips 29GX12MMQL

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


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


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


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

Ultra-thin II Pen Needles 29GX1/2"QL

MEDICAL DEVICES - MISC

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

PREFERRED

Ultralance

Aerochamber Mini Aerosol ChamberQL

Unifine Pentips Plus 29GX12MMQL

Unifine Pentips Plus 31GX5MMQL



Aerochamber MVQL MicrospacerQL

Aerochamber Plus Flow VUQL Nessi Spacer/Large MaskQL

Aerochamber Plus Flow-VUQL Nessi Spacer/MouthpieceQL

Aerochamber Plus Flow-VU/Large MaskQL Nessi Spacer/Small/MED MaskQL

Aerochamber Plus Flow-VU/MaskQL Optichamber AdvantageQL

Aerochamber Plus Flow-VU/Medium MaskQL Optichamber DiamondQL

Aerochamber Plus Flow-VU/Small MaskQL Optichamber Diamond/Largeface MaskQL

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

Optichamber Diamond/Medium Face MaskQL

Optichamber Diamond/Smallface MaskQL

Aerochamber Z-stat Plus/FlowsignalQL

OptihalerQL

Aerochamber Z-stat Plus/Large MaskQL

Optihaler MDI Drug Delivery SystemQL

Aerochamber Z-stat Plus/Medium MaskQL

Panda Mask Large

Aerochamber Z-stat Plus/Small MaskQL

Panda Mask Medium

Aerochamber/FlowsignalQL

Panda Mask Small

Aerovent Plus Holding Chamber/CollapsibleQL

Pediatric Panda Mask

Alcoh-glove Contoured Wipe

Pharmacist Choice Alcoholprep Pads

Alcoh-wipe 12" X 12"

Pocket ChamberQL

Alcohol Pads

Pocket SpacerQL

Alcohol Prep Pads

Qc Alcohol Swabs

Alcohol Preps

Ra Alcohol Swabs

Alcohol Swabs

Reality Swabs

Alcohol Swabstick

Relion Alcohol Swabs

Alcohol Wipes

RitefloQL

Arial ChamberQL

Saps Care Alcohol Prep Pads

BreatheriteQL

Shopko Alcohol Swabs

Breatherite Collapsible Adult Spacer W/MaskQL

Sm Alcohol Prep Pads

Breatherite Collapsible Child Spacer W/MaskQL

Sure Comfort Alcohol Prep Pads

Breatherite Collapsible Infant Spacer W/MaskQL

Sure-prep Alcohol Prep Pads

Breatherite Collapsible Small Child Spacer W/MaskQL

SB Alcohol Prep Pads

Breatherite Collapsible Spacer W/ Neonate MaskQL

Tgt Alcohol Swabs

Breatherite Rigid Spacer W/MaskQL

Valved Holding ChamberQL

Breatherite W/Large MaskQL

Vortex Valved Holding ChamberQL

Breatherite W/Medium MaskQL

WatchhalerQL

Breatherite W/Small MaskQL

Webcol Alcohol Prep Large 1 Ply

BD Swabs Single Use

Webcol Alcohol Prep Large 2 Ply

BD Swabs Single Use Butterfly

Webcol Alcohol Prep Medium 2 Ply

Curity Alcohol Preps/Medium 2 Ply

Curity Alcohol Swabs

MISCELLANEOUS

CVS Alcohol Prep Swabs

CVS Alcohol Swabs

GENERIC

CVS Prep Pads

acetylcysteine

E-z SpacerQL

adenosine

E-z Spacer The Body Guards PackQL

alprostadil

EasiventQL

aminorelief rms

Easivent/Mask-largeQL

aminosyn II 8.5%/electrolytes

Easivent/Mask-mediumQL

aminosyn 8.5%/electrolytes

Easivent/Mask-smallQL

argyle sterile water 100ML

Easy Touch Alcohol Prep Pads/Medium

calcium chloride

Fifty50 Alcohol Prep Pads

calcium gluconate

FlexichamberQL

chloromag

Flexichamber Adult Mask/Small

clinisol SF 15%

Flexichamber Child Mask/Large

cosyntropin

Flexichamber Child Mask/Small

cysteine HCL

Global Alcohol Prep Ease Pads

deferoxamine mesylate

Gnp Alcohol Swabs

dehydrated alcohol

Healthwise Alcohol Prep Pads

delflex-lm/1.5% dextrose

Inspirachamber/Anti-static Valved/MouthpieceQL

dextrose 10%

Inspirachamber/LargeQL

dextrose 10% flex container

Inspirachamber/Soothermask/Inspiramask/MediumQL

dextrose 2.5%/sodium chloride 0.45%

Inspirachamber/Soothermask/Inspiramask/SmallQL

dextrose 2.5%/NACL 0.45%

Inspirease Bags

dextrose 30% partial fill

Inspirease Drug Delivery SystemQL

dextrose 5%

Inspirease Mouthpiece

dextrose 5% viaflex

Inspirease Reservoir Bags

dextrose 5%/lactated ringers

LiteaireQL

dextrose 5%/potassium chloride 0.15%

Mask Vortex/Baby Whirl Duckling

dextrose 5%/ringers

Mask Vortex/Child/Frog

dextrose 5%/sodium chloride 0.2%

Mask Vortex/Spinner The Duck


Mask Vortex/Toddler/Lady Bug


Meijer Alcohol Swabs Extra-thick

MicrochamberQL



dextrose 5%/sodium chloride 0.9% potassium chloride 0.15% D5W/NACL 0.45%

dextrose 5%/NACL 0.2% potassium chloride 0.15% D5W/NACL 0.45% viaflex

dextrose 5%/NACL 0.33% potassium chloride 0.15% NACL 0.9%

dextrose 5%/NACL 0.45% potassium chloride 0.15%/D5W

dextrose 5%/NACL 0.9% potassium chloride 0.15%/NACL 0.9%

dextrose 50% potassium chloride 0.22% D5W/NACL 0.45%

dextrose 70% potassium chloride 0.224%/D5W/NACL 0.45%

dipyridamole potassium chloride 0.224%D5W/NACL 0.45% viaflex

effer-k potassium chloride 0.3%/ NACL 0.9%

effervescent pot chloride potassium chloride 0.3%/D5W

effervescent potassium potassium chloride 0.3%/NACL 0.9%/viaflex

effervescent potassium/chloride potassium phosphate

flumazenil potassium phosphates

fomepizole premasol

formadon ringers injection

formaldehyde ringers irrigation

indigo carmine saline flush

indocyanine green saline flush zr/sterile field

intralipid sodium acetate

isolyte-m/dextrose 5% sodium bicarbonate

isosulfan blue sodium bicarbonate partial fill

k-effervescent sodium chloride

k-prime sodium chloride bacteriostatic

k-sol sodium chloride flush

k-vescent sodium chloride pab

kendall sodium chloride flush sodium chloride 0.45%

kionex sodium chloride 0.45% viaflex

klor-CON sodium phosphate

klor-CON m10 sodium polystyrene sulfonate

klor-CON m20 sodium thiosulfate

klor-CON sprinkle sps

klor-CON 10 sterile diluent for epoprostenol sodium

klor-CON 8 sterile water for injection

klor-CON/EF sterile water irrigation

l-cysteine HCL sterile water irrigation plastic bottle

lactated ringers sterile water irrigation w/hanger

lactated ringers dextrose 5% viaflex swabflush saline flush

lactated ringers irrigation tis-u-sol

lactated ringers viaflex tpn electrolytes

lanolin virt-phos 250 neutral

liposyn iii AV-phos 250 neutral

magnesium chloride BD posiflush

magnesium sulfate Delflex-lm/2.5% Dextrose

methylene blue Delflex-lm/4.25% Dextrose

monoject pharma grade flush syringe Delflex-sm/1.5% Dextrose

monoject sodium chloride flush Delflex-sm/2.5% Dextrose

morrhuate sodium KCL 0.075%/D5W/NACL 0.45%

multitrace-4 concentrate KCL 0.15%/D5W/ NACL 0.3%

multitrace-5 concentrate KCL 0.15%/D5W/NACL 0.2%

n-acetyl-l-cysteine KCL 0.15%/D5W/NACL 0.45%

naloxone HCL KCL 0.15%/D5W/NACL 0.9%

naltrexone HCL KCL 0.3%/D5W/NACL 0.45%

normal saline flush MD-gastroview

normal saline flush for flushing vascular access devices Naloxone HCL

normal saline i.v. flush Potassium Chloride ER

nutrilipid PREVENTIVE

nutrilyte fluor-a-day

nutrilyte II fluoride

phospha 250 neutral fluoritab

physiolyte flura-drops

physiosol irrigation karidium

plenamine ludent

potassium acetate nafrinse

potassium chloride nafrinse drops

potassium chloride CR sodium fluoride

potassium chloride ER PREFERRED

potassium chloride SR Chemet

potassium chloride 0.15% /NACL 0.45% viaflex Chemstrip-k

potassium chloride 0.15% w/NACL 0.9% viaflex Cuprimine

potassium chloride 0.15% D5W/NACL 0.33% Fluor-a-day



Hyperrab S/D aspirin EC low dose

K-phos aspirin 81

NON PREFERRED aspirin 81 low dose

Acetest aspirtab

Chek-stix Combo PAK Urinalysis Control bayer advanced aspirin regular strength

Chek-stix Control bayer aspirin

Depen Titratabs bayer aspirin regimen

Effer-k bayer aspirin EC low dose

Isolyte-s bayer chewable low dose

Ketocare bayer low dose

Ketone Test Strips childrens aspirin

Ketostix childrens aspirin low strength

Klor-CON M15 coated aspirin

Narcan ecotrin

Plasma-lyte A ecotrin low strength

Plasma-lyte-148 ecpirin

Plasma-lyte-56/D5W enteric coated aspirin

Relion Ketone eq adult aspirin low strength

Relion Ketone Test Strips eq aspirin

Veltassa eq aspirin adult low dose

SPECIALTY eq aspirin low dose

Adagen eq aspirin EC

BenlystaPA eq childrens aspirin

BivigamPA eql adult aspirin low strength

Carimune NanofilteredPA eql aspirin

CytogamPA eql aspirin low dose

ExjadePA eql aspirin EC

FerriproxPA eql childrens aspirin

Flebogamma DifPA gnp adult aspirin low strength

Gamastan S/DPA gnp aspirin

Gammagard LiquidPA gnp aspirin low dose

Gammagard S/DPA goodsense aspirin low dose

Gammagard S/D Iga Less Than 1mcg/MLPA kls aspirin low dose

GammakedPA kls aspirin EC

GammaplexPA kp aspirin

Gamunex-cPA meijer aspirin EC

Hepagam B miniprin low dose

HizentraPA norwich aspirin

Hyperhep B S/D px aspirin

Hyperrho S/D px enteric aspirin

Hyperrho S/D Mini-dose qc aspirin

JadenuPA qc aspirin low dose

Micrhogam Ultra-filtered Plus qc childrens aspirin

Nabi-HB ra aspirin

OctagamPA ra aspirin adult low dose

PrivigenPA ra aspirin adult low strength

Rhogam Ultra-filtered Plus ra aspirin childrens

Rhophylac ra aspirin EC

SynagisPA ra aspirin EC adult low strength

Syprine ra childrens aspirin

ThyrogenQL,PA sm aspirin

Vivitrol sm aspirin adult low strength

Winrho SDF sm aspirin enteric coated

XiaflexPA sm aspirin EC low strength

sm childrens aspirin

ACA PREVENTIVE DRUGS st joseph aspirin

st joseph low dose aspirin

ASPIRIN

tgt aspirin

PREVENTIVE

tgt aspirin low dose

adult aspirin EC low strength

tgt childrens aspirin

aspir-low

tgt enteric-coated aspirin

aspir-81

th aspirin

aspirin

th aspirin low dose

aspirin adult low dose

th enteric aspirin

aspirin adult low strength

CVS aspirin

aspirin childrens

CVS aspirin adult low dose

aspirin enteric coated adult low strength

CVS aspirin adult low strength

aspirin low dose

CVS aspirin child

aspirin low strength

CVS aspirin low dose

aspirin EC

CVS aspirin low strength



CVS aspirin EC introvaleQL

CVS childrens aspirin jencycla

CVS enteric aspirin jolessaQL

EC-81 aspirin jolivette

HM aspirin juleber

HM aspirin EC junel FE 1.5/30

HM aspirin EC low dose junel FE 1/20

MM aspirin junel FE 24

SB aspirin junel 1.5/30

SB aspirin EC junel 1/20

SB childrens aspirin kaitlib FE

SB low dose asa EC kariva

PREVENTIVE kelnor 1/35

Aspirin Low Dose kimidess

kurvelo

CONTRACEPTIVES larin FE 1.5/30

larin FE 1/20

PREVENTIVE

larin 1.5/30

aftera

larin 1/20

altavera

larin 24 FE

alyacen 1/35

layolis FE

alyacen 7/7/7

leena

amethiaQL

lessina

amethia LOQL

levonest

amethyst

levonorgestrel

apri

levonorgestrel and ethinyl estradiolQL

aranelle

levonorgestrel/ethinyl estradiol

ashlynaQL

levora 0.15/30-28

aubra

lomedia 24 FE

aviane

loryna

azurette

low-ogestrel

balziva

lutera

bekyree

lyza

blisovi FE 1.5/30

marlissa

blisovi FE 1/20

medroxyprogesterone acetateQL

blisovi 24 FE

microgestin FE

briellyn

microgestin FE 1.5/30

camila

microgestin 1.5/30

camreseQL

microgestin 1/20

camrese LOQL

microgestin 24 FE

caziant

mono-linyah

chateal

mononessa

cryselle-28

my way

cyclafem 1/35

myzilra

cyclafem 7/7/7

necon 0.5/35-28

cyred

necon 1/35

dasetta 1/35

necon 7/7/7

dasetta 7/7/7

next choice one dose

dayseeQL

nikki

deblitane

nora-be

delyla

norethindrone

desogestrel/ethinyl estradiol

norethindrone & ethinyl estradiol ferrous fumarate

drospirenone/ethinyl estradiol

norethindrone acetate/ethinyl estradiol

econtra EZ

norethindrone acetate/ethinyl estradiol/ferrous fumarate

elinest

norgestimate/ethinyl estradiol

emoquette

norlyroc

enpresse-28

nortrel 0.5/35 (28)

enskyce

nortrel 1/35

errin

nortrel 7/7/7

estarylla

ocella

fallback solo

opcicon one-step

falmina

orsythia

gianvi

philith

gildagia

pimtrea

gildess FE 1.5/30

pirmella 1/35

gildess FE 1/20

pirmella 7/7/7

gildess 1.5/30

portia-28

gildess 1/20

previfem

gildess 24 FE

quasenseQL

heather

reclipsen



setlakinQL Wide-seal Silicone Diaphragm Kit 75

sharobel Wide-seal Silicone Diaphragm Kit 80

sprintec 28 Wide-seal Silicone Diaphragm Kit 85

sronyx Wide-seal Silicone Diaphragm Kit 90

syeda Wide-seal Silicone Diaphragm Kit 95

take action PREVENTIVE

tarina FE 1/20 Implanon

tilia FE Liletta

tri-estarylla Mirena

tri-legest FE Nexplanon

tri-linyah Skyla

tri-previfem

tri-sprintec FLUORIDE

tri-LO-estarylla

PREVENTIVE

tri-LO-marzia

fluor-a-day

tri-LO-sprintec

fluoride

trinessa

fluoritab

trinessa LO

flura-drops

trivora-28

karidium

vcf vaginal contraceptivegel

ludent

velivet

nafrinse

vestura

nafrinse drops

vienva

sodium fluoride

viorele

PREFERRED

vyfemla

Fluor-a-day

wera

wymzya FE

FOLIC ACID

zarah

GENERIC

zenchent

M-vit

zenchent FE

Prenaplus

zovia 1/35e

Prenatal Plus

Levonorgestrel

Tricare

Ogestrel

PREVENTIVE

Xulane

eql folic acid

PREFERRED

fa-8

LO Loestrin FE

folic acid

Minastrin 24 FE

gnp folic acid

PREVENTIVE

kp folic acid

Natazia

px folic acid

NuvaringQL

ra folic acid

NON PREFERRED

sm folic acid

Depo-subq Provera 104QL

sm prenatal vitamins

PREVENTIVE

th folic acid

Caya

yl folic acid

Encare

Classic Prenatal

Fc Female Condom

CVS folic acid

Fc2 Female Condom

Eql Prenatal Formula

Femcap

Gnp Prenatal Vitamins

Omniflex Diaphragm

HM folic acid

Options Gynol II Vaginal Contraceptive

Mission Prenatal HP

Ortho Diaphragm Coil Spring Kit 100

Multi Prenatal


Perry Prenatal


Pre-natal Formula

Ortho Diaphragm Flat Spring Kit 55

Prenatal


Prenatal And Iron


Prenatal Formula


Prenatal Forte


Prenatal Low Iron


Prenatal Vitamins


Px Prenatal Multivitamins


Ra Prenatal


Sm Prenatal Vitamins

Prentif Cavity-rim Cervical CAP

PREVENTIVE

Prentif Fitting Set

Atabex Prenatal

Shur-seal

CVS Prenatal

Vcf Vaginal Contraceptive Film

Fa-8

Vcf Vaginal Contraceptive Foam

Gnp Daily Prenatal

Wide-seal Silicone Diaphragm Kit 60

Gnp Prenatal


Goodsense Prenatal Vitamins




HM One Daily Prenatal Combo Fluzone Quadrivalent 2014-2015

HM Prenatal Fluzone Quadrivalent 2015-2016

Kp Prenatal Multivitamins Fluzone Split 2013-2014

Mission Prenatal Fluzone Split 2014-2015

Nat-rul Prenatal Vitamins Fluzone Split 2015-2016

One-a-day Womens Prenatal Gardasil

Prenatal Complete Gardasil 9

Prenatal Multi +dha Havrix

Prenatal One Daily Hiberix

Prenatal Vitamin Infanrix

PA Prenatal Formula Ipol Inactivated IPV

Qc Prenatal Kinrix

Ra One Daily M-m-r II

Ra Prenatal Formula/Folicacid Medical Provider EZ Flu Shot PF 2013-2014

Right Step Prenatal Medical Provider EZ Flu Shot PF 2014-2015

Sm One Daily Prenatal Medical Provider EZ Flu Shot 2013-2014

Stuart Prenatal Medical Provider EZ Flu Shot 2014-2015

Th Prenatal Vitamins Medical Provider EZ Flu Shot 2015-2016

Medical Provider Single Use EZ Flu Shot

IMMUNIZATIONS Menactra

Menomune-a/C/Y/W-135

PREVENTIVE

Menveo

Acthib

Pediarix

Adacel

Pedvax HIB


Pentacel


Pneumovax 23


Pneumovax 23/1 Dose


Pneumovax 23/5 Dose

Afluria 2012-2013

Prevnar 13

Afluria 2013-2014

Proquad

Afluria 2014-2015

Quadracel

Afluria 2015-2016

Recombivax HB

Bexsero

Rotarix

Boostrix

Rotateq

Cervarix

Tenivac

Comvax

Tetanus/Diphtheria Toxoids-adsorbed

Daptacel

Tetanus/Diphtheria Toxoids-adsorbed Adult

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Trumenba

Engerix-b

Twinrix


Vaqta


Varivax


Zostavax

Fluarix 2013-2014

Fluarix 2014-2015

IRON

Flublok 2013-2014

Flublok 2014-2015 PREVENTIVE

Flublok 2015-2016 bprotected pedia iron

Flucelvax 2013-2014 eq slow-release iron

Flucelvax 2014-2015 eql iron supplement therapy

Flucelvax 2015-2016 eql slow release iron

Flulaval Quadrivalent 2013-2014 ezfe 200

Flulaval Quadrivalent 2014-2015 feosol

Flulaval Quadrivalent 2015-2016 fer-iron

Flulaval 2013-2014 ferate

Flulaval 2014-2015 fergon

Flumist Quadrivalent ferosul

Fluvirin PF 2013-2014 ferrex 150

Fluvirin PF 2014-2015 ferric x-150

Fluvirin 2013-2014 ferro-bob

Fluvirin 2014-2015 ferrotabs

Fluvirin 2015-2016 ferrous drops

Fluzone High-dose PF 2013-2014 ferrous gluconate

Fluzone High-dose PF 2014-2015 ferrous sulfate

Fluzone High-dose PF 2015-2016 ferrousul

Fluzone Intradermal gnp iron

Fluzone Intradermal Quadrivalent 2015-2016 gnp slow release iron

Fluzone Pediatric PF 2013-2014 high potency iron

Fluzone PF 2013-2014 iferex 150

Fluzone PF 2014-2015 iron

Fluzone Quadrivalent 2013-2014 iron slow release



iron supplement gnp nicotine polacrilex miniQL

iron supplement childrens goodsense nicotine gumQL

kp ferrous gluconate kls quit2QL

kp ferrous sulfate kls quit4QL

meijer ferrous sulfate nicoreliefQL

myferon 150 nicotineQL

nu-iron 150 nicotine mini lozengeQL

poly-iron 150 nicotine polacrilexQL

px iron nicotine polacrilex refillQL

qc ferrous sulfate nicotine polacrilex starter kitQL

ra high potency iron nicotine step 1QL

ra iron nicotine step 2QL

ra slow release iron nicotine step 3QL

slow iron nicotine transdermal systemQL

slow release iron nicotine transdermal system step 1QL

slow FE nicotine transdermal system step 2QL

slow-release iron nicotine transdermal system step 3QL

sm iron px stop smoking aidQL

sm iron slow release qc nicotine polacrilexQL

sm slow release iron ra mini nicotineQL

th iron ra nicotineQL

th slow release iron ra nicotine polacrilexQL

wee care ra nicotine transdermal system step 3QL

CVS iron sm nicotineQL

Ferretts sm nicotine polacrilexQL

FE gluconate sm nicotine transdermal systemQL

FE TABS sw nicotine polacrilexQL

HM iron tgt nicotine gumQL

HM iron slow release tgt nicotine polacrilexQL

HM slow release iron tgt nicotine step oneQL

PREVENTIVE tgt nicotine step threeQL

CVS Slow Release Iron tgt nicotine step twoQL

Elite Iron thriveQL

Femiron CVS nicotineQL

Feosol CVS nicotine lozengeQL

Ferretts IPS CVS nicotine polacrilexQL

Ferrimin 150 CVS nicotine polacrilex starterQL

Ferro-sequels CVS nicotine transdermal systemQL

Ferrous Fumarate CVS nts step 1QL

Ferrous Gluconate HM nicotine polacrilexQL

Ferrous Sulfate HM nicotine transdermal systemQL

FE Aspartate HM nicotine transdermal system step 3QL

High Potency Iron SR nicotine gumQL

Iron PREVENTIVE

Iron Chews Pediatric ChantixQL

Iron Up Chantix Continuing Month PAKQL

Mykidz Iron 10 Chantix Starting Month PAKQL

Novaferrum Pediatric Drops Nicotine Transdermal SystemQL

Perfect Iron PREVENTIVE

Profe Nicotrol InhalerQL

Proferrin ES Nicotrol NsQL

Slow Release Iron

Sm Slow Release Iron VITAMIN D

PREVENTIVE

SMOKING CESSATION

aqueous vitamin d infants

PREVENTIVE bio-d-mulsion

buprobanQL bio-d-mulsion forte

bupropion HCL SRQL bprotected pedia d-vite

eq nicotineQL d 1000

eq nicotine gum refillQL d 10000

eq nicotine gum starterQL d 2000

eq nicotine polacrilexQL d 400

eq nicotine step 3QL d 5000

eql nicotineQL d-vita

eql nicotine polacrilexQL d-1000

eql nicotine polacrilex refillQL d-1000 extra strength

eql nicotine polacrilex starterQL d-2000 maximum strength

gnp nicotine mini lozengeQL d-3-5

gnp nicotine polacrilexQL d-400



d-5000 Optimal D3 M

d-5000 maximum strength Replesta

decara Replesta Childrens

delta d3 Replesta Nx

dialyvite vitamin d 5000 Sm Vitamin D3 Maximum Strength

dialyvite vitamin d3 max Super Daily D3

d2000 ultra strength Thera-d 4000

d3 Vitamelts Vitamin D

d3 adult Vitamin D3

d3 adult gummy Wellesse Vitamin D3

d3 high potency

d3 kids BOWEL PREPARATION AGENTS

d3 maximum strength

PREVENTIVE

d3 super strength

gavilyte-c

d3 ultra strength

gavilyte-n/flavor pack

d3 2000

gavilyte-G

d3-1000

peg 3350/electrolytes

d3-50

peg-3350/electrolytes

eql childrens vitamin d gummies

peg-3350/NACL/NA bicarbonate/KCL

eql vitamin d-3

trilyte

eql vitamin d3

gnp vitamin d

BREAST CANCER

gnp vitamin d maximum strength

ORAL CHEMO

gnp vitamin d super strength

tamoxifen citrate

gnp vitamin d3 extra strength

healthy kids vitamin d3

just d

kp vitamin d

maximum d3

nat-rul vitamin d

natural vitamin d-3

optimal-d

optimal-d pack

opurity vitamin d

pronutrients vitamin d3

ra vitamin d-3

sm vitamin d

sm vitamin d3

th vitamin d3

thera-d rapid repletion

thera-d sport

thera-d 2000

vitajoy daily d gummies

vitamin d

vitamin d high potency

vitamin d 400

vitamin d-1000

vitamin d-1000 maximum strength

vitamin d-3

vitamin d-400

vitamin d3

vitamin d3 adult gummies

vitamin d3 high potency

vitamin d3 maximum strength

vitamin d3 super strength

vitamin d3 400

CVS d3

CVS vitamin d

CVS vitamin d 5000 high-potency

CVS vitamin d3

HM vitamin d

HM vitamin d3

PA vitamin d-3

PA vitamin d-3 gummy

PREVENTIVE

Baby Super Daily D3

Ddrops

Decara

D3 Dots

HM Vitamin D3

Effective July 1, 2016 v.1

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.

47

Index

A

Acti-lance Lancets 28G, 28 Mask, 40

Acti-lance Lite Safety Lancets 28G, 28 Aerochamber Plus Flow-VU/Small Mask, 40

A-hydrocort, 10

Acti-lance Special Safety Lancets 17G, 28

abacavir, 2

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 40

abacavir sulfate/lamivudine/zidovudine, 2

Acti-lance Special Safetylancets 17G, 28

Abelcet, 2

Acti-lance Universal Safety Lancets 23G, 28

Aerochamber Z-stat Plus/Flowsignal, 40

Abilify, 19

Aerochamber Z-stat Plus/Large Mask, 40

Abilify Discmelt, 19

Actimmune, 5 Aerochamber Z-stat Plus/Medium Mask, 40

Abilify Maintena, 19

Active 1ST Blood Lancets 30G/Easy Twist CAP, 28

Abraxane, 4

Aerochamber Z-stat Plus/Small Mask, 40

acamprosate calcium DR, 20

Actoplus Met XR, 12 Aerochamber/Flowsignal, 40

acarbose, 12

Acuvail, 22 Aerovent Plus Holding Chamber/Collapsible, 40

Accu-chek Active Glucose Control Solution, 32

acyclovir, 2, 8

acyclovir sodium, 2 AF Lancets Super Thin, 29

Accu-chek Active Strips, 32

Adacel, 26, 45 afeditab CR, 6

Accu-chek Aviva, 32

Adagen, 42 Afinitor, 5

Accu-chek Aviva Plus, 32

Adcetris, 4 Afinitor Disperz, 5

Accu-chek Comfort Curve Control Solution (2 Levels), 32

Adcirca, 7 Afluria 2012-2013, 26, 45

adefovir dipivoxil, 2 Afluria 2013-2014, 26, 45

Accu-chek Comfort Curve Linearity Solution, 32

Adempas, 7 Afluria 2014-2015, 26, 45

adenosine, 6, 40 Afluria 2015-2016, 26, 45

Accu-chek Comfort Curve Test Strips, 32

Adjustable Lancing Device, 32 Afluria PF 2012-2013, 26, 45

Accu-chek Compact Blue Control Solution (2 Levels), 32

adriamycin, 3 Afluria PF 2013-2014, 26, 45

Adriamycin, 3 Afluria PF 2014-2015, 26, 45

Accu-chek Compact Plus, 32

adrucil, 4 Afluria PF 2015-2016, 26, 45

Accu-chek Compact Plus Care Kit, 32

adult aspirin EC low strength, 22, 42 aftera, 10, 43

Accu-chek Compact Plus Clear Control Solution (2 Levels), 32

Advate, 17 Agamatrix Ultra-thin Lancets 33G, 28

Advocate Insulin Pen Needles 29GX12.7MM, 32

Aggrastat, 17

Accu-chek Compact Test Drum, 32

Aggrenox, 17

Accu-chek Fastclix Lancetdevice Kit, 32

Advocate Insulin Pen Needles 31GX5MM, 32

airavite, 16

Accu-chek Fastclix Lancets, 28

ak-fluor, 22

Accu-chek Instant Glucosecontrol Solution (2 Levels), 32

Advocate Insulin Pen Needles 31GX8MM, 32

ak-poly-bac, 21

Akynzeo, 14

Accu-chek Multiclix Lanc Et Device Kit, 32

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 32

ala cort, 9

alagesic LQ, 22

Accu-chek Multiclix Lancets, 28


Albenza, 3

Accu-chek Nano Smartview, 32

albuked 25, 17

Accu-chek Safe-t-pro Lancets, 28


albuked 5, 17

Accu-chek Safe-t-pro Pluslancets, 28

albumin human, 17

Accu-chek Smartview Control, 32


albumin-zlb, 17

Accu-chek Smartview Strips, 32

albuminar-25, 17

Accu-chek Soft Touch Lancets, 28


albuminar-5, 17

Accu-chek Softclix Lancetdevice, 32

alburx, 17

Accu-chek Softclix Lancetdevice Kit, 32


albutein, 17

Accu-chek Softclix Lancets, 28

albuterol, 25

Accu-chek Voicemate, 32

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 32

albuterol sulfate, 25

acebutolol HCL, 6

albuterol sulfate ER, 25

acetaminophen/caffeine/dihydrocodeine, 23


albuterol TAB 4MG, 25

alclometasone dipropionate, 9

acetaminophen/codeine, 23


Alcoh-glove Contoured Wipe, 40

acetaminophen/codeine #2, 23

Alcoh-wipe 12" X 12", 40


Advocate Lancets, 28 Alcohol Pads, 40


Advocate Lancets 30G, 28 Alcohol Prep Pads, 40

acetaminophen/codeine phosphate, 23

Advocate Lancing Device, 32 Alcohol Preps, 40

acetasol HC, 22

Advocate Rapid-safe Lancing Device, 32 Alcohol Swabs, 40

acetazolamide, 7

Advocate Safety Lancets, 28 Alcohol Swabstick, 40

Acetazolamide, 7

Advocate Safety Lancets 26G, 28 Alcohol Wipes, 40

acetazolamide ER, 7

Aerochamber Mini Aerosol Chamber, 39 Aldurazyme, 13

acetazolamide sodium, 7

Aerochamber MV, 40 alendronate sodium, 12

Acetest, 42

Aerochamber Plus Flow VU, 40 Alendronate Sodium, 12

acetic acid, 22

Aerochamber Plus Flow-VU, 40 alfentanil, 23

acetic acid 0.25%, 15

Aerochamber Plus Flow-VU/Large Mask, 40

Alferon N, 5

acetylcysteine, 25, 40

alfuzosin HCL ER, 15

Aciphex Sprinkle, 14

Aerochamber Plus Flow-VU/Mask, 40 Alimta, 4

acitretin, 8

Aerochamber Plus Flow-VU/Medium Alinia, 3

Acthib, 26, 45

Alkeran, 3

ampicillin-sulbactam, 1 aspirin adult low strength, 23, 42

allopurinol, 24

Ampicillin-sulbactam, 1 aspirin childrens, 23, 42

almotriptan malate, 24

Ampyra, 20 aspirin EC, 23, 42

Alocril, 22

Amturnide, 7 aspirin EC low dose, 23, 42

Alogliptin, 12

ana-lex, 14 aspirin enteric coated adult low strength, 23, 42

Alogliptin/Metformin HCL, 12

Anadrol-50, 10

Alogliptin/Pioglitazone, 12

anagrelide hydrochloride, 17 aspirin low dose, 23, 42

Alomide, 22

anastrozole, 4 Aspirin Low Dose, 23, 43

alosetron hydrochloride, 14

Androgel, 10 aspirin low strength, 23, 42

Aloxi, 14

Androgel P.M., 10 Aspirin-caffeine-dihydrocodeine, 24

Alphagan P, 22

Androxy, 10 Aspirin/Dipyridamole, 17

Alphanate/Von Willebrand Factor Complex/Human, 17

anodynz, 9 aspirtab, 23, 42

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 32

Assure Comfort Lancets Ultra Thin 28G, 28

Alphanine SD, 17

alphatrex, 9

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 32

Assure Comfort Lancets Ultra Thin 30G, 28

alprazolam, 18

alprazolam ER, 18

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 32

Assure Haemolance Plus High Flow 18G, 28

alprazolam odt, 18

alprazolam XR, 18

antipyrine/benzocaine, 22 Assure Haemolance Plus Low Flow 25G, 29

alprostadil, 40

Anzemet, 14

Alrex, 21

Apexicon E, 9 Assure Haemolance Plus Micro Flow 28G, 29

Altabax, 8

Apidra, 12

altacaine, 22

Apidra Solostar, 12 Assure Haemolance Plus Normal Flow 21G, 29

altafluor, 22

Aplenzin, 18

altafrin, 22

Apokyn, 20 Assure Haemolance Plus Pediatric Blade, 29

altavera, 10, 43

apraclonidine, 22

Alternate Site Lancing Device, 32

apri, 10, 43 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 32

alyacen 1/35, 10, 43

Aptivus, 2

alyacen 7/7/7, 10, 43

Aqua Lance Adjustable Lancing Device, 32

Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 32

amantadine HCL, 19

Ambisome, 2

aqueous vitamin d infants, 26, 46 Assure Lance Lancets, 29

Amcinonide, 9

Aralast NP, 25 Assure Lance Lancets 21G, 29

amethia, 10, 43

aranelle, 10, 43 Assure Lance Plus Safety Lancets 25G, 29

amethia LO, 10, 43

Aranesp Albumin Free, 17

amethyst, 10, 43

arbinoxa, 25 Assure Lance Plus Safety Lancets 30G, 29

amifostine, 5

Arcalyst, 24

amikacin sulfate, 1

Arcapta Neohaler, 25 Assure Lancets, 29

amiloride HCL, 7

argatroban, 17 AT Last Lancets, 29

amiloride/hydrochlorothiazide, 7

Argatroban, 17 Atabex Prenatal, 28, 44

aminoacetic acid, 15

argyle sterile saline 100ML, 15 atenolol, 6

aminocaproic acid, 17

argyle sterile water 100ML, 40 atenolol/chlorthalidone, 6

aminophylline, 25

Arial Chamber, 40 Atgam, 4

aminorelief rms, 40

aripiprazole, 18 atorvastatin calcium, 7

aminosyn 8.5%/electrolytes, 40

Aripiprazole Odt, 19 atovaquone, 3

aminosyn II 8.5%/electrolytes, 40

Armour Thyroid, 13 atovaquone/proguanil HCL, 3

amiodarone HCL, 6

Arranon, 4 atracurium besylate, 20

Amitiza, 15

Arzerra, 4 Atripla, 2

amitriptyline HCL, 18

Asacol HD, 15 Atropen, 14

amlodipine besylate, 6

ascomp/codeine, 23 atropine sulfate, 14, 21

amlodipine besylate/atorvastatin calcium, 7

ascorbic acid, 26 atropine-care, 21

ashlyna, 10, 43 Atrovent HFA, 25

amlodipine besylate/benazepril HCL, 6

Asmanex HFA, 25 Aubagio, 20

amlodipine besylate/benazepril hydrochloride, 6

Asmanex Twisthaler 120 Metered Doses, 25

aubra, 10, 43

augmented betamethasone dipropionate, 9

amlodipine besylate/valsartan, 6


amlodipine/valsartan/hctz, 6

Augmentin, 1

ammonium lactate, 9


aurodex, 22

amnesteem, 8

Aurora Lancet Super Thin 30G, 29

Amoxapine, 18


Aurora Lancet Thin 23G, 29

amoxicillin, 1

Aurora Pen Needles 29GX12MM, 32

amoxicillin/clavulanate potassium, 1


Aurora Pen Needles 31G X 6MM, 32

Amoxicillin/Clavulanate Potassium, 1

Aurora Pen Needles 31G X 8MM, 32

amoxicillin/clavulanate potassium ER, 1

aspir-81, 22, 42 Aurora Unifine Pentips/32GX5/32", 32

amphetamine/dextroamphetamine, 19

aspir-low, 22, 42 Aurora Unifine Pentips/Mini/31GX3/16", 32

Amphotec, 2

aspirin, 22, 42

Amphotericin B, 2

aspirin 81, 23, 42 Auto-lancet, 32

ampicillin, 1

aspirin 81 low dose, 23, 42 Auto-lancet Mini, 32

ampicillin sodium, 1

aspirin adult low dose, 23, 42 Autolet II Clinisafe, 32

Autolet Impression, 32

bayer advanced aspirin regular strength, 23, 42

5ML/29G X 1/2", 29

Autolet Impression Lancing Device, 32

BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 29

Autolet Lite Clinisafe, 32

bayer aspirin, 23, 42

Autolet Lite Starter Pack, 33

bayer aspirin EC low dose, 23, 42 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 29

Autolet Mini, 33

bayer aspirin regimen, 23, 42

Autolet Platforms, 33

bayer chewable low dose, 23, 42 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 29

Auvi-q, 7

bayer low dose, 23, 42

AV-phos 250 neutral, 41

Bayer Microlet 2 Lancing Device, 33 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 29

AV-vite fb, 16

Bayer Microlet Lancets, 29

avalin-RX, 9

Bcg Vaccine, 26 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 29

Avandia, 12

BD Autoshield 29G X 3/16", 29

avar cleanser, 8

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

avar-e emollient, 8

BD Autoshield Duo 30G X 3/16", 29

avar-e green, 8

BD Insulin Syringe LUER-LOK/U-100/1ML, 29

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

Avastin, 4

Avc, 15

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 29

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 29

Avelox, 1

aviane, 10, 43

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 29

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 29

avidoxy, 1

Avonex, 20

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 29

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 29

Avonex Pen, 20

Axiron, 10

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 29

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 29

azacitidine, 4

Azactam IN Iso-osmotic Dextrose, 3

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 29

BD Insulin Syringe/U-100/1ML/27G X 1/2", 29

Azasan, 4

azathioprine, 4

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 29


Azathioprine, 4

azelastine HCL, 22, 25

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 29

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 29

Azelex, 8

Azilect, 20

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 29


azithromycin, 1

Azithromycin, 1

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

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

Azopt, 22

Azor, 7

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

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 29

aztreonam, 3

azuphen mb, 15

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 29

BD Lancet Device, 33

azurette, 10, 43

BD Lancet Ultrafine 30G, 29

B

BD Insulin Syringe Slip Tip/U-100/1ML, 29

BD Lancet Ultrafine 33G, 29

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 29

b-complex 100, 27

BD Insulin Syringe U-40/1ML/25G X 5/8", 29

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 29

BD Microtainer Lancets, 29

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 29

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 29

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 29

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 29

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 29

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 29

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 29

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 29

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 29

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 29

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

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 29


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

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 29


BD Pen Needles SHORT/Ultrafine/31G X 5/16", 29

b-plex, 27

b-plex plus, 27


BD posiflush, 41

Baby Super Daily D3, 27, 47

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

baciim, 3

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 29

bacitracin, 3

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

Bacitracin, 21

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 29

bacitracin/polymyxin b, 21

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 29

baclofen, 21


Bactocill IN Dextrose, 1

BD Swabs Single Use, 40

Bactroban Nasal, 25


BD Swabs Single Use Butterfly, 40

balanced salt, 22

BD-insul SYR Mis LO Dose, 29

balanced salt solution, 22


Bebulin, 17

balsalazide disodium, 14

bekyree, 10, 43

balziva, 10, 43


benazepril HCL, 6

Banzel, 19

benazepril HCL/hydrochlorothiazide, 6

Baraclude, 2

BD Insulin Syringe Ultrafine/U-100/0. Bendeka, 3

baycadron, 10

Benefix, 17

Breatherite Collapsible Adult Spacer W/Mask, 40

calcium acetate, 14

Benicar, 6

calcium chloride, 40

Benicar HCT, 7

Breatherite Collapsible Child Spacer W/Mask, 40

calcium gluconate, 40

Benlysta, 42

camila, 10, 43

benzepro, 8

Breatherite Collapsible Infant Spacer W/Mask, 40

Camptosar, 5

benzepro creamy wash, 8

camrese, 10, 43

benzepro foaming cloths, 8

Breatherite Collapsible Small Child Spacer W/Mask, 40

camrese LO, 10, 43

benzepro SHORT contact, 8

Canasa, 15

benziq wash, 8

Breatherite Collapsible Spacer W/ Neonate Mask, 40

Cancidas, 2

benzonatate, 25

candesartan cilexetil, 6

benzoyl peroxide, 8

Breatherite Rigid Spacer W/Mask, 40 candesartan cilexetil/hydrochlorothiazide, 7

benzoyl peroxide SHORT contact, 8

Breatherite W/Large Mask, 40

benztropine mesylate, 20

Breatherite W/Medium Mask, 40 Cantil, 14

Bepreve, 22

Breatherite W/Small Mask, 40 capacet, 22

Berinert, 17

briellyn, 10, 43 Capastat Sulfate, 2

Besivance, 21

Brilinta, 17 capecitabine, 3

betamethasone dipropionate, 9

brimonidine tartrate, 22 Capex, 9

betamethasone sodium phosphate/betamethasone acetate, 10

bromfed DM, 25 Caprelsa, 5

bromfenac, 22 captopril, 6

betamethasone valerate, 9

bromocriptine mesylate, 20 Carafate, 14

Betaseron, 20

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 25

CARB-o-philic 40, 10

betaxolol HCL, 6, 21

CARB-o-philic/40, 10

bethanechol chloride, 15

Brovana, 25 Carbaglu, 13

Betimol, 21

bss, 22 carbamazepine, 19

bexarotene, 5

budesonide, 10, 25(2) carbamazepine ER, 19

Bexsero, 26, 45

Bullseye Mini Safety Lancets, 29 carbidopa, 20

bicalutamide, 4

Bullseye Safety Lancets, 29 carbidopa/levodopa, 20

Bicillin C-R, 1

bumetanide, 7 carbidopa/levodopa ER, 20

Bicillin L-a, 1

buminate, 17 carbidopa/levodopa odt, 20

Bicnu, 3

Buphenyl, 13 Carbidopa/Levodopa/Entacapone, 20

Bidil, 7

bupivacaine HCL, 24 carbinoxamine maleate, 25

Biltricide, 3

bupivacaine spinal, 24 carboplatin, 3

Bimatoprost, 21

bupivacaine/epinephrine, 24 Cardene IV, 6

bio GLO, 22

buprenorphine HCL, 23 Cardiocom Lancing Device, 33

bio-d-mulsion, 26, 46

buprenorphine HCL/naloxone HCL, 23 cardioplegic, 7

bio-d-mulsion forte, 26, 46

buproban, 20, 46 Cardizem LA, 6

bio-statin, 2

bupropion HCL, 18 Cardura XL, 16

biocel, 27

bupropion HCL ER, 18 Carefine Pen Needle 32GX4MM, 33

Biothrax, 26

bupropion HCL SR, 18, 20, 46 Carefine Pen Needles 29GX1/2", 33

biotuss, 25

bupropion HCL XL, 18 Carefine Pen Needles 30GX5/16", 33

biotuss pediatric, 25

buspirone HCL, 18 Carefine Pen Needles 31GX6MM, 33

bisoprolol fumarate, 6

Busulfex, 3 Carefine Pen Needles 31GX8MM, 33

bisoprolol fumarate/hydrochlorothiazide, 6

butalbital/acetaminophen, 22 Carefine Pen Needles 32GX5MM, 33

butalbital/acetaminophen/caffeine, 22 Carefine Pen Needles 32GX6MM, 33

bivalirudin, 17

butalbital/acetaminophen/caffeine/codeine, 23

Careone Advanced Lancing Device, 33

Bivigam, 42

Careone Insulin Syringes/0.3ML/30G X 1/2", 33

bleomycin sulfate, 3

butalbital/aspirin/caffeine, 22

Blincyto, 4

butalbital/aspirin/caffeine/codeine, 23 Careone Insulin Syringes/0.3ML/31G X 5/16", 33

blisovi 24 FE, 10, 43

butorphanol tartrate, 23

blisovi FE 1.5/30, 10, 43

Butrans, 24 Careone Insulin Syringes/0.5ML/30G X 1/2", 33

blisovi FE 1/20, 10, 43

Bydureon, 12

Boostrix, 26, 45

Byetta, 12 Careone Insulin Syringes/0.5ML/31G X 5/16", 33

Bosulif, 5

Bystolic, 6

Botox, 21

C Careone Insulin Syringes/1ML/30G X 1/2", 33

bp 10-1, 8

cabergoline, 13

bp foam, 8

Careone Insulin Syringes/1ML/31GX5/16", 33

Cadeau DHA, 28

bp foaming wash, 8

Cafergot, 24

Bp Folinatal Plus B, 28

Careone Lancet Thin, 29

caffeine citrate, 19

Bp Multinatal Plus, 28

Careone Lancet Ultra Thin, 29

calcidol, 26

Bp Vit 3, 16

Careone Unifine Pentips 29GX12MM, 33

calciferol, 26

bp wash, 8


calcipotriene, 8

bpm, 25


calcipotriene/betamethasone dipropionate, 9

bpm pseudo, 25


bpo 6% foaming cloths, 8

Careone Unifine Pentips Pen Needles 32GX4MM, 33

calcitonin salmon, 13

bprotected pedia d-vite, 26, 46

calcitonin-salmon, 13

bprotected pedia iron, 16, 45

Careone Unifine Pentips Plus Pen Needles 29GX12MM, 33

calcitrene, 8

Brainstrong Prenatal, 28

Calcitriol, 8

Breatherite, 40

Careone Unifine Pentips Plus Pen

calcitriol, 13

Needles 31GX5MM, 33

Chemstrip-k, 41 Syringe/0.3ML/30G X 1/2", 33


Chenodal, 15 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 33

childrens aspirin, 23, 42


childrens aspirin low strength, 23, 42 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 33

chlordiazepoxide HCL, 18


chlordiazepoxide HCL/clidinium bromide, 14

Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 33

Carimune Nanofiltered, 42

chlorhexidine gluconate, 18 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 33

carisoprodol, 21

chlorhexidine gluconate oral rinse, 18

carisoprodol/aspirin, 21

chloromag, 40 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 33

carisoprodol/aspirin/codeine, 21

chloroprocaine HCL, 24

carteolol HCL, 21

chloroquine phosphate, 3 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 33

cartia XT, 6

chlorothiazide, 7

carvedilol, 6

Chlorothiazide, 7 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 33

Cavan-EC Sod DHA, 28

chlorothiazide sodium, 7

cavarest, 18

chlorpromazine HCL, 18 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 33

cavirinse, 18

Chlorpropamide, 12

Caya, 44

Chlorthalidone, 7 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 33

Cayston, 3

chlorzoxazone, 21

caziant, 10, 43

cholestyramine, 7 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 33

Cedax, 1

cholestyramine light, 7

cefaclor, 1

choline magnesium trisalicylate, 22 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 33

Cefaclor, 1

chorionic gonadotropin, 13

cefadroxil, 1

Cialis, 7 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 33

cefazolin sodium, 1

ciclodan, 8

cefdinir, 1

ciclopirox, 8 Clever Choice Comfort EZ Pen Needles 29GX12MM, 33

Cefditoren Pivoxil, 1

ciclopirox nail lacquer, 8

cefepime, 1

ciclopirox olamine, 8 Clever Choice Comfort EZ Pen Needles 31GX5MM, 33

cefixime, 1

ciclopirox treatment, 8

cefotaxime sodium, 1

cidaleaze, 9 Clever Choice Comfort EZ Pen Needles 31GX6MM, 33

cefotetan, 1

cidofovir, 2

Cefotetan, 1

cilostazol, 17 Clever Choice Comfort EZ Pen Needles 31GX8MM, 33

Cefotetan/Dextrose, 1

Ciloxan, 21

cefoxitin sodium, 1

cimetidine, 14 Clever Choice Comfort EZ Pen Needles 32GX4MM, 33

cefpodoxime proxetil, 1

cimetidine HCL, 14

cefprozil, 1

Cimzia, 15 Clever Choice Comfort EZ Pen Needles 32GX5MM, 33

ceftazidime, 1

Cimzia Starter Kit, 15

Ceftin, 1

Cinryze, 17 Clever Choice Comfort EZ Pen Needles 32GX6MM, 33

Ceftriaxone IN Iso-osmotic Dextrose, 1

Ciprodex, 22

ceftriaxone sodium, 1

ciprofloxacin, 1 Clever Choice Comfort EZ Pen Needles 32GX8MM, 33

cefuroxime axetil, 1

ciprofloxacin ER, 1

cefuroxime sodium, 1

ciprofloxacin HCL, 1, 21 Clever Choice Comfort EZ Pen Needles 33GX4MM, 33

Cefuroxime Sodium, 1

Ciprofloxacin HCL, 1

celecoxib, 24

ciprofloxacin I.V.-IN D5W, 1 Clever Choice Comfort EZ Pen Needles 33GX5MM, 33

Cellcept Intravenous, 4

cisatracurium besylate, 20

Celontin, 19

cisplatin, 3 Clever Choice Comfort EZ Pen Needles 33GX6MM, 33

Cem-urea, 10

Cisplatin, 3

Cenestin, 10

citalopram hydrobromide, 18 Clever Choice Comfort EZ Pen Needles 33GX8MM, 33

Centrum Specialist Prenatal, 28

citric acid/sodium citrate, 15

cephalexin, 1

cladribine, 4 Clickfine Pen Needle 32GX5/32", 33

Ceprotin, 17

Claforan, 1 Clickfine Pen Needle Universal/31GX1/4", 33

ceramax, 9

claravis, 8

Cerezyme, 17

Clarinex, 25 Clickfine Pen Needle Universal/31GX5/16", 33

cerisa wash, 8

claris clarifying wash, 8

cerovel, 9

clarithromycin, 1 Clickfine Pen Needles/31GX1/4", 33

Cervarix, 26, 45

clarithromycin ER, 1 Clickfine Pen Needles/31GX5/16", 33

Cesamet, 14

Classic Prenatal, 28, 44 Clickfine Universal Pen Needles 31GX5/16", 33

cetirizine HCL, 25

Cleanlet Lancets 28G, 29

cevimeline HCL, 18

clearplex x, 8 clindacin etz pledgets, 8

Chantix, 20, 46

clemastine fumarate, 25 clindacin-p, 8

Chantix Continuing Month PAK, 20, 46

Clemastine Fumarate, 25 clindamax, 8

Chantix Starting Month PAK, 20, 46

Clever Chek Lancets Ultrathin, 29 clindamycin, 3

chateal, 10, 43

Clever Chek Lancets Ultrathin 30G, 29 clindamycin HCL, 3

Chek-stix Combo PAK Urinalysis Control, 42

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 33

clindamycin palmitate HCL, 3

clindamycin phosphate, 3, 8, 15

Chek-stix Control, 42

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 33

clindamycin phosphate add-vantage, 3

Chemet, 41

clindamycin phosphate IN D5W, 3

Chemstrip Bg Log Book, 33

Clever Choice Comfort EZ Insulin clindamycin phosphate pharmacy bulk

package, 3

compro, 18 CVS Prenatal, 28, 44

clindamycin/benzoyl peroxide, 8

Comvax, 26, 45 CVS Prenatal Gummy/DHA/Folic Acid, 28

clinisol SF 15%, 40

Concerta, 19

clinpro 5000, 18

Condylox, 10 CVS Prenatal Multi+dha, 28

clobetasol propionate, 9

constulose, 14 CVS Prep Pads, 40

clobetasol propionate e, 9

controlrx, 18 CVS Slow Release Iron, 16, 46

clobetasol propionate emollient, 9

Copaxone, 20 CVS Ultra Thin Lancets, 29

clodan, 9

Cordran, 9 CVS vitamin d, 27, 47

Clolar, 4

Cordran Tape, 9 CVS vitamin d 5000 high-potency, 27, 47

clomiphene citrate, 13

Coreg CR, 6 CVS vitamin d3, 27, 47

clomipramine HCL, 18

Corifact, 17 cyanocobalamin, 16

clonazepam, 19

cormax scalp application, 9 cyclafem 1/35, 10, 43

clonazepam odt, 19

Cortifoam, 15 cyclafem 7/7/7, 10, 43

clonidine HCL, 6, 22

Cortisporin, 8 cyclobenzaprine HCL, 21

clonidine HCL ER, 19

Cortisporin-tc, 22 cyclopentolate HCL, 21

clopidogrel, 17

corvita, 27 cyclopentolate hydrochloride, 21

clorazepate dipotassium, 18

corvita 150, 16 Cyclophosphamide, 3

Closercare, 33

corvite free, 27 cyclophosphamide, 3

clotrimazole, 8, 18

cosyntropin, 40 Cycloset, 12

clotrimazole/betamethasone dipropionate, 8

Cotellic, 5 cyclosporine, 4

Creon, 14 cyclosporine modified, 4

clozapine, 18

Cresemba, 2 cyproheptadine HCL, 25

clozapine odt, 18

Crinone, 15 cyred, 10, 43

Clozapine Odt, 19

Crixivan, 2 Cystadane, 13

Cnl8 Nail Kit, 8

cromolyn sodium, 14, 22 Cystagon, 16

CO-natal Fa, 28

Cromolyn Sodium, 25 Cystaran, 22

Coagadex, 17

cryselle-28, 10, 43 cysteine HCL, 40

Coaguchek Lancets, 29

Cubicin, 3 cytarabine, 4

Coartem, 3

Cuprimine, 41 Cytarabine, 4

coated aspirin, 23, 42

Curity Alcohol Preps/Medium 2 Ply, 40 cytarabine aqueous, 4

codeine sulfate, 23

Curity Alcohol Swabs, 40 Cytogam, 42

Colchicine, 24

curity sterile saline, 15 cytra k crystals, 15

Colcrys, 24

Cuvposa, 14 cytra-2, 15

colestipol HCL, 7

CVS Alcohol Prep Swabs, 40 cytra-k, 15

colistimethate sodium, 3

CVS Alcohol Swabs, 40 D

colocort, 14

CVS aspirin, 23, 42

d 1000, 26, 46

Coly-mycin S, 22

CVS aspirin adult low dose, 23, 42

d 10000, 26, 46

Combigan, 21

CVS aspirin adult low strength, 23, 42

d 2000, 27, 46

Combipatch, 10

CVS aspirin child, 23, 42

d 400, 27, 46

Combivent Respimat, 25

CVS aspirin EC, 23, 43

d 5000, 27, 46

Cometriq, 5

CVS aspirin low dose, 23, 42

d-1000, 27, 46

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 33

CVS aspirin low strength, 23, 42

d-1000 extra strength, 27, 46

CVS childrens aspirin, 23, 43

d-2000 maximum strength, 27, 46

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 33

CVS d3, 27, 47

d-3-5, 27, 46

CVS enteric aspirin, 23, 43

d-400, 27, 46


CVS folic acid, 16, 44

d-5000, 27, 47

CVS Insulin Syringe/0.3ML/29G X 1/2", 33

d-5000 maximum strength, 27, 47


d-vita, 27, 46


d2000 ultra strength, 27, 47


d3, 27, 47


d3 2000, 27, 47


d3 adult, 27, 47


d3 adult gummy, 27, 47

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 33

D3 Dots, 27, 47

CVS Insulin Syringe/1ML/29G X 1/2", 33

d3 high potency, 27, 47


CVS iron, 16, 46

d3 kids, 27, 47

CVS Lancets 21G, 29

d3 maximum strength, 27, 47


CVS Lancets Micro Thin 33G, 29

d3 super strength, 27, 47

CVS Lancets Original, 29

d3 ultra strength, 27, 47

Comfort Assured Lancets Micro Thin 33G, 29

CVS Lancets Thin 26G, 29

d3-1000, 27, 47

CVS Lancets Ultra Thin 30G, 29

d3-50, 27, 47

Comfort Assured Lancets Super Thin 28G, 29

CVS Lancing Device, 33

dacarbazine, 5

CVS nicotine, 20, 46

Dacarbazine, 5

Comfort Lancets, 29

CVS nicotine lozenge, 20, 46

Daklinza, 2

compazine, 18

CVS nicotine polacrilex, 20, 46

Daliresp, 25

Complera, 2

CVS nicotine polacrilex starter, 20, 46

danazol, 10

Complete Natal DHA, 28

CVS nicotine transdermal system, 20, 46

dantrolene sodium, 21

Completenate, 28

CVS nts step 1, 20, 46

Dapsone, 3

Daptacel, 26, 45

40 diltiazem HCL ER, 6

Daraprim, 3

dextrose 30% partial fill, 40 Dipentum, 15

darifenacin ER, 15

dextrose 5%, 40 diphenhydramine HCL, 25

darifenacin hydrobromide ER, 15

dextrose 5% viaflex, 40 diphenoxylate/atropine, 14

Darzalex, 4

dextrose 5%/lactated ringers, 40 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 26, 45

dasetta 1/35, 10, 43

dextrose 5%/NACL 0.2%, 41

dasetta 7/7/7, 10, 43

dextrose 5%/NACL 0.33%, 41 dipyridamole, 17, 41

daunorubicin HCL, 3

dextrose 5%/NACL 0.45%, 41 disopyramide phosphate, 6

Daunoxome, 3

dextrose 5%/NACL 0.9%, 41 disulfiram, 20

daysee, 10, 43

dextrose 5%/potassium chloride 0.15%, 40

divalproex sodium, 19

Daytrana, 19

divalproex sodium DR, 19

Ddrops, 27, 47

dextrose 5%/ringers, 40 divalproex sodium ER, 19

deblitane, 10, 43

dextrose 5%/sodium chloride 0.2%, 40 dobutamine HCL, 7

decara, 27, 47

dextrose 5%/sodium chloride 0.33%, 40 dobutamine HCL/D5W, 7

Decara, 27, 47

dextrose 5%/sodium chloride 0.45%, 40 dobutamine/dextrose 5%, 7

decitabine, 4

dextrose 5%/sodium chloride 0.9%, 41 Docefrez, 4

deferoxamine mesylate, 40

dextrose 50%, 41 docetaxel, 4

dehydrated alcohol, 40

dextrose 70%, 41 Docetaxel, 4

delflex-lm/1.5% dextrose, 40

Diabeta, 12 Docetaxel (non- Alcohol Formula), 4

Delflex-lm/2.5% Dextrose, 41

dialyvite, 27 Docetaxel (non-alcohol Formula), 4

Delflex-lm/4.25% Dextrose, 41

dialyvite vitamin d 5000, 27, 47 donepezil HCL, 20

Delflex-sm/1.5% Dextrose, 41

dialyvite vitamin d3 max, 27, 47 dopamine HCL, 7

Delflex-sm/2.5% Dextrose, 41

Diascreen 10, 33 Dopamine HCL, 7

delta d3, 27, 47

Diascreen 1b, 33 dopamine HCL-dextrose 5%, 7

deltasone, 10

Diascreen 1G, 33 dopamine HCL/dextrose 5%, 7

delyla, 11, 43

Diascreen 1k, 33 dopamine/D5W, 7

Delzicol, 15

Diascreen 2GK, 33 Doribax, 3

demeclocycline HCL, 1

Diascreen 2GP, 33 dorzolamide HCL, 22

Demser, 6

Diascreen 3, 33 dorzolamide HCL/timolol maleate, 21

Denavir, 8

Diascreen 4nl, 33 doxapram HCL, 19

denta 5000 plus, 18

Diascreen 4obl, 33 doxazosin, 6

dentagel, 18

Diascreen 4PH, 33 doxazosin mesylate, 6

Depen Titratabs, 42

Diascreen 5, 33 doxepin HCL, 18

Depo-medrol, 10

Diascreen 6, 33 Doxepin HCL, 18

Depo-provera, 4

Diascreen 7, 33 Doxepin Hydrochloride, 8

Depo-subq Provera 104, 11, 44

Diascreen 8, 33 doxercalciferol, 13

Depocyt, 4

Diascreen 9, 33 doxorubicin HCL, 3

desipramine HCL, 18

Diascreen Liquid Urine Controls, 33 Doxorubicin HCL, 3

desloratadine, 25

Diastar Easy Test II Lancets 30G, 29 doxorubicin HCL liposome, 3

Desloratadine Odt, 25

Diastar Easy Test Lancets30G, 29 doxy 100, 1

desmopressin acetate, 13

diazepam, 18 doxycycline, 1

desogestrel/ethinyl estradiol, 11, 43

Diazepam, 18 Doxycycline, 8

desonide, 9

diazepam intensol, 18 doxycycline hyclate, 1

desoximetasone, 9

diclofenac potassium, 24 doxycycline hyclate DR, 1

Desoximetasone, 9

diclofenac sodium, 8, 9, 22 doxycycline monohydrate, 1

dexamethasone, 10

diclofenac sodium DR, 24 dronabinol, 14

Dexamethasone, 10

diclofenac sodium ER, 24 droperidol, 18

Dexamethasone Intensol, 10

diclofenac sodium/misoprostol, 24 Droplet Lancets Ultra Thin 30G, 29

dexamethasone sodium phosphate, 10, 21

diclotral PAK, 8 Droplet Lancing Device, 33

dicloxacillin sodium, 1 Droplet Pen Needles 29GX10MM, 33

Dexamethasone Sodium Phosphate, 10

dicyclomine hci, 14 Droplet Pen Needles 29GX12MM, 33

Dexchlorpheniramine Maleate, 25

dicyclomine HCL, 14 Droplet Pen Needles 31GX5MM, 33

dexedrine, 19

didanosine, 2 Droplet Pen Needles 31GX6MM, 33

dexferrum, 16

Dificid, 1 Droplet Pen Needles 31GX8MM, 33

Dexilant, 14

difil-G forte, 25 Droplet Pen Needles 32GX4MM, 33

dexmedetomidine HCL, 19

Diflorasone Diacetate, 9 Droplet Pen Needles 32GX5MM, 33

dexmethylphenidate HCL, 19

diflunisal, 22 Droplet Pen Needles 32GX6MM, 33

dexmethylphenidate HCL ER, 19

digitek, 5 Droplet Pen Needles 32GX8MM, 33

Dexpak 10 Day, 10

digox, 5 drospirenone/ethinyl estradiol, 11, 43

Dexpak 13 Day, 10

digoxin, 5 Droxia, 16

Dexpak 6 Day, 10

dihydroergotamine mesylate, 24 Drug Mart Adjustable Lancing Device, 33

dexrazoxane, 5

Dihydroergotamine Mesylate, 24 Drug Mart Lancets Thin, 29

dextroamphetamine sulfate, 19

Dilantin, 19 Drug Mart Lancets Ultra Thin, 29

dextroamphetamine sulfate ER, 19

Dilatrate SR, 5 Drug Mart On-the-go Lancets Gentle 30G, 29

dextrose 10%, 40

dilt-XR, 6

dextrose 10% flex container, 40

diltiazem CD, 6 Drug Mart Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 33

dextrose 2.5%/NACL 0.45%, 40

diltiazem HCL, 6

dextrose 2.5%/sodium chloride 0.45%,

diltiazem HCL CD, 6 Drug Mart Ultra Comfort Insulin

Syringe/0.3ML/30G X 5/16", 33

5/16", 34 100/1ML/31G X 5/16", 34

Drug Mart Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 33

Easy Comfort Insulin Syringe/1ML/31G X 5/16", 34

Easy Touch Lancets 21G/Pressure Activated, 29


Easy Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2", 33



Easy Comfort Insulin Syringe/U-100/1ML/30G X 1/2", 34


Drug Mart Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 33

Easy Comfort Lancets, 29 Easy Touch Lancets 26G/Pull-top, 29

Easy Comfort Lancets 30G/Pull Top, 29 Easy Touch Lancets 26G/Twist, 29

Drug Mart Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 33

Easy Comfort Lancets 30G/Thin Top, 29 Easy Touch Lancets 28G/Pressure Activated, 29

Easy Comfort Pen Needles 31GX1/4", 34

Drug Mart Unifine Pentips 31GX5MM, 33


Easy Touch Lancets 28G/Pull-top, 29

Drug Mart Unifine Pentips29G X 12MM, 33

Easy Touch Lancets 28G/Twist, 29


Easy Touch Lancets 30G/Button-activated, 29

Drug Mart Unifine Pentips31GX6MM, 33





Drug Mart Unifine Pentipsplus 32GX4MM, 33

Easy Mini Eject Lancing Device, 34 Easy Touch Lancets 30G/Pull-top, 29

Easy Mini Lancing Device, 34 Easy Touch Lancets 30G/Twist, 29

Drug Mart Unilet Lancets Super Thin 30G, 29

Easy Touch 32GX5MM, 34 Easy Touch Lancets 32G/Pressure Activated, 29

Easy Touch 32GX6MM, 34

Drug Mart Unilet Lancets Ultra Thin 28G, 29

Easy Touch Alcohol Prep Pads/Medium, 40

Easy Touch Lancets 32G/Pull-top, 29


Duane Reade Lancet Alternate Site 26G, 29

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 34


Easy Touch Lancing Device/Ejector, 34

Duane Reade Lancet Super Thin 30G, 29


Easy Touch Pen Needles 29GX1/2", 34


Duane Reade Lancet Ultra Thin 28G, 29



Duane Reade Unifine Pentips 29G X 12MM, 33




Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 33


Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 34

Easy Touch Pen Needles/31G X 3/16", 34

Duane Reade Unifine Pentips 31G X 8MM SHORT, 33


Easy Touch Safety Lancets21G/Pressure Activated, 30

Dulera, 25

duloxetine HCL, 18



Duloxetine HCL, 18

duramorph, 23


Easy Touch Safety Lancets26G/Button Activated, 30

duraxin, 22

Durezol, 21

Easy Touch Insulin Syringe/1ML/30G X 5/16", 34


dutasteride, 15

dutasteride/tamsulosin HCL, 15

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 34

Easy Touch Safety Lancets28G/Button Activated, 30

dutasteride/tamsulosin hydrochloride, 15

Dymista, 25

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 34


Dyrenium, 7

Dysport, 21

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 34

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 34

E

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 34


E-z Ject Lancets, 29

E-z Ject Lancets 21G, 29

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 34


E-z Ject Lancets Color, 29

E-z Ject Lancets Super Thin, 29


Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 34

E-z Ject Lancets Super Thin 30G, 29

E-z Ject Lancets Thin 26G, 29


Easy Twist & CAP Lancets, 30

E-z Spacer, 40

easygel, 18

E-z Spacer The Body Guards Pack, 40


Easytest II Lancets, 30

E-ZJECT Lancets Micro-thin 33G, 29

Easytest Lancets, 30

e.s.p., 3


EC-81 aspirin, 23, 43

Easivent, 40

econazole nitrate, 8

Easivent/Mask-large, 40

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 34

econtra EZ, 11, 43

Easivent/Mask-medium, 40

ecotrin, 23, 42

Easivent/Mask-small, 40


ecotrin low strength, 23, 42

Easy Comfort Insulin Syringe/0.3ML/30G X 5/16", 34

ecpirin, 23, 42


ed-flex, 22


ed-spaz, 14


Edarbi, 6


Edecrin, 7

Easy Touch Insulin Syringe/U- Edurant, 2

Easy Comfort Insulin Syringe/1ML/30G X

effer-k, 41

enpresse-28, 11, 43 Eql Prenatal Formula, 28, 44

Effer-k, 42

enskyce, 11, 43 Eql SHORT Pen Needles 31G X 8MM, 34

effervescent pot chloride, 41

entacapone, 20

effervescent potassium, 41

entecavir, 2 eql slow release iron, 16, 45

effervescent potassium/chloride, 41

enteric coated aspirin, 23, 42 Eql Super Thin Lancets 30G, 30

Effient, 17

enulose, 14 Eql Thin Lancets 26G, 30

Egrifta, 13

ephedrine sulfate, 7 Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16", 34

Elaprase, 13

epinastine HCL, 22

Elelyso, 17

Epinephrine, 7 Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16", 34

elenzapatch, 9

epinephrine HCL, 25

Elidel, 9

Epipen 2-PAK, 7 Eql Ultra SHORT Pen Needles 31G X 6MM, 34

Eligard, 4

Epipen-JR 2-PAK, 7

elinest, 11, 43

epirubicin HCL, 3 eql vitamin d-3, 27, 47

Eliquis, 17

Epirubicin HCL, 3 eql vitamin d3, 27, 47

Elite Iron, 16, 46

episone CRE, 9 Eraxis, 2

Elite-OB, 28

epitol, 19 Erbitux, 4

Elite-thin Insulin Syringe/0.3ML/31G X 5/16", 34

Epivir HBV, 2 ergocalciferol, 26

eplerenone, 6 ergoloid mesylates, 20


Epogen, 17 Ergoloid Mesylates, 20

epoprostenol sodium, 7 Ergomar, 24


Eprosartan Mesylate, 6 Erivedge, 5

eptifibatide, 17 errin, 11, 43

Elite-thin Insulin Syringe/1ML/29G X 5/16", 34

Epzicom, 2 Ertaczo, 8

eq adult aspirin low strength, 23, 42 Erwinaze, 3

Elite-thin Insulin Syringe/1ML/30G X 5/16", 34

eq aspirin, 23, 42 ery, 8

eq aspirin adult low dose, 23, 42 Ery-TAB, 1

Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2", 34

eq aspirin EC, 23, 42 Erythrocin Lactobionate, 1

eq aspirin low dose, 23, 42 erythromycin, 1, 8, 21


eq childrens aspirin, 23, 42 Erythromycin Base, 1

eq nicotine, 20, 46 erythromycin/benzoyl peroxide, 8


eq nicotine gum refill, 20, 46 Esbriet, 25

eq nicotine gum starter, 20, 46 Escavite LQ, 28


eq nicotine polacrilex, 20, 46 escitalopram oxalate, 18

eq nicotine step 3, 20, 46 esgic, 22

Elite-thin Insulin Syringe/U-100/1ML/28G X 1/2", 34

eq slow-release iron, 16, 45 esmolol HCL, 6

eql adult aspirin low strength, 23, 42 esomeprazole magnesium, 14


eql aspirin, 23, 42 esomeprazole sodium, 14

eql aspirin EC, 23, 42 Esomeprazole Sodium, 14


eql aspirin low dose, 23, 42 Esomeprazole Strontium, 14

eql childrens aspirin, 23, 42 estarylla, 11, 43


eql childrens vitamin d gummies, 27, 47 estazolam, 19

Eql Color Lancets 21G, 30 Estrace, 15

Elitek, 5

Eql Color Lancets Micro Thin 33G, 30 estradiol, 10

Elixophyllin, 25

eql folic acid, 16, 44 estradiol valerate, 10

Ella, 11

Eql Insulin Syringe/0.3ML/29G X 1/2", 34 estradiol/norethindrone acetate, 10

Elmiron, 16

Eql Insulin Syringe/0.3ML/30G X 5/16", 34

estropipate, 10

Eloctate, 17

eszopiclone, 19

Emadine, 22


ethacrynate sodium, 7

Embeda, 24

ethambutol HCL, 2

Embrace Lancets Ultra Thin 30G, 30

Eql Insulin Syringe/0.5ML/29G X 1/2", 34 ethosuximide, 19

Emcyt, 4


Etidronate Disodium, 12

Emend, 14

etodolac, 24

emoquette, 11, 43


etodolac ER, 24

Empliciti, 4

Etopophos, 4

Emsam, 18

Eql Insulin Syringe/1ML/29G X 1/2", 34 Etoposide, 4

Emtriva, 2

Eql Insulin Syringe/1ML/30G X 5/16", 34 etoposide, 4

enalapril maleate, 6

Eql Insulin Syringe/1ML/31G X 5/16", 34 Eurax, 10

enalapril maleate/hydrochlorothiazide, 7

Eql Insulin Syringe/U-100/0.3ML/29G X 1/2", 34

Evamist, 10

enalaprilat, 6

Evotaz, 2

Enbrel, 24

Eql Insulin Syringe/U-100/0.5ML/29G X 1/2", 34

Exalgo, 24

Enbrel Sureclick, 24

Excel Comfort Point Insulin Pen Needles 31G X 4MM, 34

Encare, 15, 44

Eql Insulin Syringe/U-100/1ML/29G X 1/2", 34

endocet, 23

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 34

endodan, 23

eql iron supplement therapy, 16, 45

Enfamil Expecta, 28

eql nicotine, 20, 46 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 34

Engerix-b, 26, 45

eql nicotine polacrilex, 20, 46

Enjuvia, 10

eql nicotine polacrilex refill, 20, 46 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 34

enoxaparin sodium, 17

eql nicotine polacrilex starter, 20, 46

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 34

Feosol, 16, 46 Fluarix 2014-2015, 26, 45

fer-iron, 16, 45 Fluarix Quadrivalent 2013-2014, 26, 45


ferate, 16, 45 Fluarix Quadrivalent 2014-2015, 26, 45

fergon, 16, 45 Fluarix Quadrivalent 2015-2016, 26, 45


ferocon, 16 Flublok 2013-2014, 26, 45

ferosul, 16, 45 Flublok 2014-2015, 26, 45


ferotrinsic, 16 Flublok 2015-2016, 26, 45

Ferretts, 16, 46 flucaine, 22


Ferretts Chewable Iron, 16 Flucelvax 2013-2014, 26, 45

Ferretts IPS, 16, 46 Flucelvax 2014-2015, 26, 45

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 34

ferrex 150, 16, 45 Flucelvax 2015-2016, 26, 45

ferric x-150, 16, 45 fluconazole, 2


Ferrimin 150, 16, 46 fluconazole IN dextrose, 2

Ferriprox, 42 fluconazole IN NACL, 2


ferro-bob, 16, 45 flucytosine, 2

Ferro-sequels, 16, 46 fludarabine phosphate, 4

Exelderm, 8

ferrocite, 16 fludrocortisone acetate, 10

exemestane, 4

ferrocite plus, 16 Flulaval 2013-2014, 26, 45

Exjade, 42

ferrogels forte, 16 Flulaval 2014-2015, 26, 45

Eylea, 22

ferrotabs, 16, 45 Flulaval Quadrivalent 2013-2014, 26, 45

EZ Smart Blood Glucose Lancets, 30

ferrous drops, 16, 45 Flulaval Quadrivalent 2014-2015, 26, 45

EZ-lets Lancets 21G, 30

Ferrous Fumarate, 16, 46 Flulaval Quadrivalent 2015-2016, 26, 45


ferrous fumarate 324, 16 flumazenil, 41

EZ-lets Lancets 26G Super-soft, 30

ferrous gluconate, 16, 45 Flumist Quadrivalent, 26, 45

EZ-lets Lancets 28G Ultra-soft, 30

Ferrous Gluconate, 16, 46 flunisolide, 25


ferrous sulfate, 16, 45 fluocinolone acetonide, 9, 22

ezfe 200, 16, 45

Ferrous Sulfate, 16, 46 fluocinolone acetonide body, 9

F

ferrousul, 16, 45 fluocinolone acetonide ear drops, 22

Fibricor, 7 fluocinolone acetonide scalp, 9

fa-8, 16, 44

Fifty50 Alcohol Prep Pads, 40 fluocinonide, 9

Fa-8, 16, 44

Fifty50 Lancing Device, 34 fluocinonide-e, 9

fabb, 16

Fifty50 Pen Needles 31G X3/16" (5MM), 34

fluor-a-day, 41, 44

Fabrazyme, 13

Fluor-a-day, 41, 44

Factive, 1

Fifty50 Pen Needles 31G X5/16" (8MM), 34

fluor-i-strips a.t., 22

fallback solo, 11, 43

fluorescein-benoxinate, 22

falmina, 11, 43

Fifty50 Pen Needles 31GX5MM, 34 fluorescein/proparacaine, 22

famciclovir, 2

Fifty50 Pen Needles/31GX8MM, 34 fluoride, 41, 44

famotidine, 14

Fifty50 Pen Needles/32GX4MM, 34 fluoridex daily defense, 18

Famotidine, 14

Fifty50 Pen Needles/32GX6MM, 34 fluoridex daily defense enhanced whitening, 18

Fanapt, 19

Fifty50 Safety Seal Lancets 30G, 30

Fanapt Titration Pack, 19

Fifty50 Safety Seal Lancets 32G, 30 fluoridex daily defense sensitivity relief, 18

Fareston, 4

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 34

Farydak, 5

fluoritab, 41, 44

Faslodex, 4

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 34

fluorometholone, 21

Fazaclo, 19

Fluoroplex, 10

Fc Female Condom, 44

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 34

fluorouracil, 4, 9

Fc2 Female Condom, 44

fluoxetine DR, 18

FE Aspartate, 16, 46

Fifty50 Unilet Lancets 33G, 30 fluoxetine HCL, 18

FE c plus, 16

Finacea, 8 fluphenazine decanoate, 18

FE gluconate, 16, 46

finasteride, 15 fluphenazine HCL, 18

FE TABS, 16, 46

Fine 30, 30 flura-drops, 41, 44

Feiba, 17

Fingerstix Lancets, 30 flurandrenolide, 9

Feiba NF, 17

Firazyr, 17 flurazepam HCL, 19

felbamate, 19

Firmagon, 4 Flurazepam HCL, 19

felodipine ER, 6

Flagyl ER, 3 flurbiprofen, 24

Femcap, 44

Flarex, 21 flurbiprofen sodium, 22

Femiron, 16, 46

flavoxate HCL, 15 flurox, 22

fenofibrate, 7

Flebogamma Dif, 42 flutamide, 4

Fenofibrate, 7

flecainide acetate, 6 fluticasone propionate, 9, 25

fenofibrate micronized, 7

flexbumin, 17 fluvastatin, 7

Fenofibric Acid, 7

Flexichamber, 40 fluvastatin sodium ER, 7

fenofibric acid DR, 7

Flexichamber Adult Mask/Small, 40 Fluvirin 2013-2014, 26, 45

Fenoglide, 7

Flexichamber Child Mask/Large, 40 Fluvirin 2014-2015, 26, 45

fenoldopam mesylate, 6

Flexichamber Child Mask/Small, 40 Fluvirin 2015-2016, 26, 45

Fenoprofen Calcium, 24

floriva plus, 27 Fluvirin PF 2013-2014, 26, 45

fentanyl, 23

floxuridine, 4 Fluvirin PF 2014-2015, 26, 45

Fentanyl, 24

Floxuridine, 4 fluvoxamine maleate, 18

fentanyl citrate oral transmucosal, 23

Fluarix 2013-2014, 26, 45 fluvoxamine maleate ER, 18

feosol, 16, 45

Fluzone High-dose PF 2013-2014, 26, 45

Fusilev, 5 Gleostine, 3

Fuzeon, 2 Gliadel Wafer, 3


fyavolv, 10 glimepiride, 12

Fycompa, 19 glipizide, 12


G glipizide ER, 12

glipizide XL, 12

gabapentin, 19

Fluzone Intradermal, 26, 45

glipizide/metformin HCL, 12

Gabitril, 19

Fluzone Intradermal Quadrivalent 2015-2016, 26, 45

Global Alcohol Prep Ease Pads, 40

galantamine hydrobromide, 20

Global Ease Inject Pen Needles 29GX12MM, 34

Galantamine Hydrobromide, 20

Fluzone Pediatric PF 2013-2014, 26, 45

Gamastan S/D, 42

Fluzone PF 2013-2014, 26, 45


Gammagard Liquid, 42

Fluzone PF 2014-2015, 26, 45

Gammagard S/D, 42

Fluzone Quadrivalent 2013-2014, 26, 45


Gammagard S/D Iga Less Than 1mcg/ML, 42



Global Ease Inject Pen Neeedles 31GX5MM, 34

Gammaked, 42

Fluzone Split 2013-2014, 26, 45

Gammaplex, 42

Fluzone Split 2014-2015, 26, 45

Global Inject Ease Insulin Syringe/U-100/0.3ML/29G X 1/2", 34

Gamunex-c, 42

Fluzone Split 2015-2016, 26, 45

ganciclovir, 2

FML, 21


garamycin, 21

Focalin XR, 19

Gardasil, 26, 45

folbee, 16


Gardasil 9, 26, 45

folbee plus, 27

Gastrinex NF, 14

folbee plus cz, 27


gatifloxacin, 21

folic acid, 16, 44

Gattex, 15

folic acid/vitamin b-6/vitamin b-12, 16


gavilyte-c, 14, 47

Folotyn, 4

gavilyte-G, 14, 47

folplex 2.2, 16


gavilyte-h, 14

foltrin, 16

gavilyte-n/flavor pack, 14, 47

fomepizole, 41


Gazyva, 4

fondaparinux sodium, 17

Gelnique, 15

Fora Lancets, 30


gemcitabine, 4

Fora Lancing Device, 34

gemcitabine HCL, 4

Fora Lancing Device/Clearcap, 34


gemfibrozil, 7

Foradil Aerolizer, 25

gene-xene TAB 15MG, 18

formadon, 41

Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2", 35

gene-xene TAB 3.75MG, 18

formaldehyde, 41

gene-xene TAB 7.5MG, 18

Forteo, 13


generlac, 14

Fosamax Plus D, 12

gengraf, 4

fosinopril sodium, 6


gentak, 21

fosinopril sodium/hydrochlorothiazide, 7

gentamicin sulfate, 1, 21

fosphenytoin sodium, 19


gentamicin sulfate pediatric, 1

Fosrenol, 15

gentamicin sulfate/0.9% sodium chloride, 1

Fragmin, 17


Freds Pharmacy Autolet Lancing Device, 34

Gentle-let GP Lancets, 30

Global Inject Ease Lancets 28G, 30

Gentle-let Lancets General Purpose Style/Fine Point, 30

Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM, 34

Global Inject Ease Lancets 30G, 30

Global Lancing Device, 35

Gentle-let Lancets General Purpose Style/Medium Point, 30

Freds Pharmacy Unifine Pentips Plus 31GX5MM, 34

Glucagen Hypokit, 12

Glucagon Emergency Kit, 12

Gentle-let Lancets Safety Style/Fine Point, 30

Freds Pharmacy Unifine Pentips Plus 31GX8MM, 34

Glucocom Autolink Telemonitoring System, 35

Gentle-let Lancets Safety Style/Medium Point, 30

Freds Pharmacy Unilet Lancets Super Thin 30G, 30

Glucocom Lancets 28G, 30


Gentle-let Platforms 2.4MM, 34

Freds Pharmacy Unilet Lancets Ultra Thin 28G, 30


Gentle-let Platforms 3.0MM, 34

Glucolet 2 Automatic Lancing Device, 35

Geodon, 19

Freestyle Lancets, 30

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 35

gianvi, 11, 43

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 34

gildagia, 11, 43


gildess 1.5/30, 11, 43

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 34

gildess 1/20, 11, 43


gildess 24 FE, 11, 43

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 34

gildess FE 1.5/30, 11, 43


gildess FE 1/20, 11, 43

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 34

Gilenya, 20


Gilotrif, 5

Freestyle Unistick II Lancets, 30

giltuss pediatric, 25

frovatriptan succinate, 24


Glassia, 26

ful-GLO, 22

glatopa, 20

furosemide, 7

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

Gleevec, 5

X 1/2", 35

Gnp Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" SHORT, 35

Haemolance Plus High Flow, 30

Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 35

Haemolance Plus Low Flow, 30

Gnp Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 35

Haemolance Plus Max Flow, 30

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

Haemolance Plus Pediatric Flow, 30


Halaven, 4

Glucose Control Normal, 30

halobetasol propionate, 9

Glucose Control Solution, 30


Halog, 9

Glucosource Lancet Device, 35

halonate PAC, 9

Glucosource Lancets, 30


haloperidol, 18

glyburide, 12

haloperidol decanoate, 18

Glyburide, 12

Gnp Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 35

haloperidol lactate, 18

glyburide micronized, 12

Harvoni, 2

glyburide/metformin HCL, 12

Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 35

Havrix, 26, 45

glycine, 15

Health Care Lancing Device, 35

glycopyrrolate, 14

Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT, 35

Healthwise Alcohol Prep Pads, 40

glydo, 9

Healthwise Lancets 30G, 30

Glyset, 12

Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT, 35

Healthwise Lancing Pen, 35

Gmate Lancets 30G, 30

Healthwise Mini Pen Needles 31GX6MM, 35

Gmate Lancing Device, 35

gnp vitamin d, 27, 47

gnp adult aspirin low strength, 23, 42

gnp vitamin d maximum strength, 27, 47 Healthwise Pen Needles 29GX12MM, 35

Gnp Alcohol Swabs, 40

gnp vitamin d super strength, 27, 47 Healthwise SHORT Pen Needles 31GX8MM, 35

gnp aspirin, 23, 42

gnp vitamin d3 extra strength, 27, 47

gnp aspirin low dose, 23, 42

goodsense aspirin low dose, 23, 42 Healthwise Unifine Pentips Pen Needles 32GX4MM, 35

Gnp Clickfine Pen Needle Universal/31GX5/16", 35

goodsense nicotine gum, 20, 46

Goodsense Prenatal Vitamins, 28, 44 Healthy Accents Autolet Impression Lancing Device, 35

Gnp Clickfine Universal Pen Needles 31GX1/4", 35

grafco silver nitrate applicator, 9

grafco silver nitrate applicator 12", 9 Healthy Accents Unifine Pentips Pen Needles 29GX12MM, 35

Gnp Clickfine Universal Pen Needles 31GX5/16", 35

Gralise, 20

Gralise Starter, 20 Healthy Accents Unifine Pentips Pen Needles 31GX5MM, 35

Gnp Daily Prenatal, 28, 44

granisetron HCL, 14

gnp folic acid, 16, 44

Granisol, 14 Healthy Accents Unifine Pentips Pen Needles 31GX6MM, 35

Gnp Insulin Syringe/0.3ML/29G X 1/2", 35

green GLO lissamine greenophthalmic strips, 22

Healthy Accents Unifine Pentips Pen Needles 31GX8MM, 35


griseofulvin microsize, 2

griseofulvin ultramicrosize, 2 Healthy Accents Unifine Pentips Pen Needles 32GX4MM, 35


guanfacine ER, 19

guanfacine HCL, 6 Healthy Accents Unilet Lancets Super Thin 30G, 30


Guanidine HCL, 21

Gynazole-1, 15 healthy kids vitamin d3, 27, 47


H Healthy Mama Be Well Rounded, 28

heather, 11, 43

H&h Thinlet Lancets 26G, 30


hecoria, 4

H&h Thinlet Super Thin Lancets 30G, 30

Hectorol, 13

H-e-b IN Control Pen Needles 31GX5MM, 35


Helixate FS, 17

hematinic plus vitamins/minerals, 16


Gnp Insulin Syringe/1ML/28G X 1/2", 35

hematinic/folic acid, 16


hematogen, 16



hematogen forte, 16


hemocyte-f, 16

H-e-b IN Control Pen Needles/Nano/32GX4MM, 35

gnp iron, 16, 45

hemocyte-plus, 16

Gnp Lancets, 30

Hemofil M, 17

H-e-b IN Control Unifine Pentips Plus 31GX5MM, 35

Gnp Lancets 21G, 30

hep flush-10, 17

Gnp Lancets Micro Thin 33G, 30

Hepagam B, 42

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 35

Gnp Lancets Super Thin 30G, 30

heparin lock, 17

Gnp Lancets Thin, 30

heparin lock flush, 17

H-e-b Incontrol Advanced Lancing Device, 35

Gnp Lancets Thin 26G, 30

heparin lock flush for flushing vascular access devices, 17

Gnp Micro Thin Lancets 33G, 30

H-e-b Incontrol Lancets Micro Thin 33G, 30

gnp nicotine mini lozenge, 20, 46

heparin lock flush/NACL for flushing vascular access devices, 17

gnp nicotine polacrilex, 20, 46

H-e-b Incontrol Lancets Super Thin 30G, 30

gnp nicotine polacrilex mini, 20, 46

heparin sodium, 17

Gnp Prenatal, 28, 44

heparin sodium dcu, 17

H-e-b Incontrol Lancets Ultra Thin 28G, 30

Gnp Prenatal Vitamins, 28, 44

heparin sodium lock flush, 17

gnp slow release iron, 16, 45

heparin sodium/D5W, 17

H-e-b Incontrol Pen Needles 29GX12MM, 35

Gnp Super Thin Lancets/30G, 30

heparin sodium/NACL 0.9%, 17


heparin sodium/sodium chloride 0.9% premix, 17

H.p. Acthar, 13

Haemolance, 30


Herceptin, 4

Haemolance Low Flow Lancets, 30

hetastarch 6%/NACL, 17

Haemolance Plus, 30

Hetlioz, 19

hydrocortisone acetate/pramoxine, 14 indapamide, 7

Hexalen, 3

hydrocortisone butyrate, 9 Inderal XL, 6

Hiberix, 26, 45

hydrocortisone butyrate (lipid), 9 indigo carmine, 41

high potency iron, 16, 45

hydrocortisone butyrate (lipophilic), 9 indiomin mb, 15

High Potency Iron, 16, 46

hydrocortisone IN absorbase, 9 indocyanine green, 41

Hizentra, 42

hydrocortisone valerate, 9 indomethacin, 24

HM aspirin, 23, 43

hydrocortisone/acetic acid, 22 indomethacin ER, 24

HM aspirin EC, 23, 43

hydromet, 25 Infanrix, 26, 45

HM aspirin EC low dose, 23, 43

hydromorphone HCL, 23 inflammacin, 24

HM folic acid, 16, 44

hydromorphone HCL dosette, 23 infuvite, 27

HM iron, 16, 46

hydromorphone HCL ER, 23 infuvite adult, 27

HM iron slow release, 16, 46

Hydromorphone HCL ER, 24 infuvite pediatric, 27

HM Lancets Micro Thin 33G, 30

Hydromorphone HCL/Sodium Chloride, 24

Inlyta, 5

HM Lancets Ultra Thin 30G, 30

Innopran XL, 6

HM nicotine polacrilex, 20, 46

hydroxychloroquine sulfate, 3 Inspirachamber/Anti-static Valved/Mouthpiece, 40

HM nicotine transdermal system, 20, 46

hydroxyurea, 5

HM nicotine transdermal system step 3, 20, 46

hydroxyzine HCL, 18 Inspirachamber/Large, 40

hydroxyzine pamoate, 18 Inspirachamber/Soothermask/Inspiramask/Medium, 40

HM One Daily Prenatal Combo, 28, 45

Hydroxyzine Pamoate, 18

HM Prenatal, 28, 45

hyolev mb, 15 Inspirachamber/Soothermask/Inspiramask/Small, 40

HM slow release iron, 16, 46

hyomax-SL, 14

HM vitamin d, 27, 47

hyophen, 15 Inspirease Bags, 40

HM vitamin d3, 27, 47

hyoscyamine sulfate, 14 Inspirease Drug Delivery System, 40

HM Vitamin D3, 27, 47

hyoscyamine sulfate ER, 14 Inspirease Mouthpiece, 40

homatropaire, 22

hyoscyamine sulfate odt, 14 Inspirease Reservoir Bags, 40

homatropine HBR, 22

hyoscyamine sulfate SR, 14 Insulin Syringe/0.3ML/29G X 1", 35

Horizant, 20

hyosyne, 14 Insulin Syringe/0.3ML/29G X 1/2", 35

Humalog, 12

hypercare, 9 Insulin Syringe/0.3ML/30G X 5/16", 35

Humalog Kwikpen, 12

Hyperhep B S/D, 42 Insulin Syringe/0.3ML/31G X 5/16", 35

Humalog Mix 50/50, 12

Hyperrab S/D, 42 Insulin Syringe/0.5ML/27G X 1/2", 35

Humalog Mix 50/50 Kwikpen, 12

Hyperrho S/D, 42 Insulin Syringe/0.5ML/28G X 1/2", 35

Humalog Mix 75/25, 12

Hyperrho S/D Mini-dose, 42 Insulin Syringe/0.5ML/29G X 1/2", 35

Humalog Mix 75/25 Kwikpen, 12

Hypolance AST Lancing Kit, 35 Insulin Syringe/0.5ML/30G X 1/2", 35

human albumin grifols, 17

I Insulin Syringe/0.5ML/30G X 5/16", 35

Humate-p, 17

Insulin Syringe/0.5ML/31G X 5/16", 35

ibandronate sodium, 12

Humira, 24

Insulin Syringe/1ML/28G X 1/2", 35

Ibrance, 5

Humira Pediatric Crohns Disease Starter Pack, 24


ibudone, 23


ibuprofen, 24

Humira Pen, 24


ibuprofen lysine, 24

Humira Pen-crohns Diseasestarter, 24

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

ibutilide fumarate, 6

Humira Pen-psoriasis Starter, 24

Iclusig, 5

Humulin 70/30, 12


idarubicin HCL, 3

Humulin 70/30 Kwikpen, 12

Idelvion, 17

Humulin N, 12


iferex 150, 16, 45

Humulin N Kwikpen, 12

iferex 150 forte, 16

Humulin R, 12

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

Ifex, 3

Humulin R U-500 (concentrated), 12

ifosfamide, 3

Hy-vee Lancets, 30


Ifosfamide, 3

Hy-vee Thin Lancets, 30

Ilaris, 24

Hycamtin, 5


Ilevro, 22

hydralazine HCL, 6

ilotycin, 21

hydrochlorothiazide, 7


imatinib mesylate, 4

hydrocodone bitartrate/acetaminophen, 23

Imbruvica, 5

Insupen 33GX4MM, 35

imipenem/cilastatin, 3

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 25

Insupen Pen Needles 32G X4MM, 35

imipramine HCL, 18

Insupen Sensitive 32GX6MM, 35

imipramine pamoate, 18

hydrocodone bitartrate/homatropine methylbromide, 25

Insupen Sensitive 32GX8MM, 35

imiquimod, 9

Insupen Ultrafin 29GX12MM, 35

Imovax Rabies (h.d.c.v.), 26

hydrocodone polistirex/chlorpheniramine polistirex, 25


Implanon, 11, 44


IN Touch Diabetes Management Software, 30

hydrocodone/acetaminophen, 23


Hydrocodone/Acetaminophen, 24

Intelence, 2

IN Touch Lancing Device, 35

hydrocodone/homatropine, 25

intralipid, 41

IN Touch Sterile Lancets 30G, 30

hydrocodone/ibuprofen, 23

Intron A, 5

Inatal Advance, 28

hydrocort ene 100MG, 14

Intron A W/Diluent, 5

Inatal GT, 28

hydrocortisone, 9, 10, 14

introvale, 11, 43

Inatal Ultra, 28

hydrocortisone acetate/aloe, 9

Invanz, 3

Increlex, 13

hydrocortisone acetate/lidocaine HCL, 14

Invega Sustenna, 19

Incruse Ellipta, 25

Invega Trinza, 19

k-vescent, 41 Koate-dvi, 17

Invirase, 2

k2k pain relieving patch, 9 Kogenate FS, 17

Invokana, 12

Kadcyla, 4 Kogenate FS Bio-set, 17

Iopidine, 22

kaitlib FE, 11, 43 Kombiglyze XR, 12

Ipol Inactivated IPV, 26, 45

Kalbitor, 17 kp aspirin, 23, 42

ipratropium bromide, 25(2)

Kaletra, 2 kp ferrous gluconate, 16, 46

ipratropium bromide/albuterol sulfate, 25

Kalydeco, 26 kp ferrous sulfate, 16, 46

irbesartan, 6

Kanuma, 13 kp folic acid, 16, 44

irbesartan/hydrochlorothiazide, 7

karidium, 41, 44 Kp Prenatal Multivitamins, 28, 45

irinotecan, 5

karigel, 18 kp vitamin d, 27, 47

Irinotecan, 5

karigel-n, 18 Kroger Insulin Syringe/0.3ML/29G X 1/2", 35

iron, 16, 45

kariva, 11, 43

Iron, 17, 46

KCL 0.075%/D5W/NACL 0.45%, 41 Kroger Insulin Syringe/0.3ML/30G X 5/16", 35

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 16

KCL 0.15%/D5W/ NACL 0.3%, 41


Iron Chews Pediatric, 17, 46

KCL 0.15%/D5W/NACL 0.45%, 41

iron slow release, 16, 45


iron supplement, 16, 46

KCL 0.3%/D5W/NACL 0.45%, 41

iron supplement childrens, 16, 46

kedbumin, 17 Kroger Insulin Syringe/0.5ML/30G X 5/16", 35

Iron Up, 17, 46

kelnor 1/35, 11, 43

Isentress, 2

kendall sodium chloride flush, 41 Kroger Insulin Syringe/0.5ML/31G X 5/16", 35

isolyte-m/dextrose 5%, 41

Kepivance, 5

Isolyte-s, 42

Ketek, 3 Kroger Insulin Syringe/1ML/29G X 1/2", 35

isoniazid, 2

Ketocare, 42

Isoniazid, 2

ketoconazole, 2, 8 Kroger Insulin Syringe/1ML/30G X 5/16", 35

Isopto Carbachol, 22

ketodan, 8

isosorbide dinitrate, 5

Ketone Test Strips, 42 Kroger Insulin Syringe/1ML/31G X 5/16", 35

Isosorbide Dinitrate, 5

ketoprofen, 24

isosorbide mononitrate, 5

ketorolac tromethamine, 22, 24 Kroger Lancets, 30

isosorbide mononitrate ER, 5

Ketostix, 42 Kroger Lancets 21G, 30

isosulfan blue, 41

Keveyis, 7 Kroger Lancets Micro Thin33G, 30

isotonic gentamicin, 2

kimidess, 11, 43 Kroger Lancets Super Thin, 30

isradipine, 6

Kineret, 24 Kroger Lancets Thin, 30

Istodax, 5

Kinney Lancets, 30 Kroger Lancets Thin 26G, 30

itraconazole, 2

Kinney Thin Lancets, 30 Kroger Lancets Ultrathin 30G, 30

ivermectin, 3

Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16", 35

Kroger Lancing Device, 35

Ixempra Kit, 4

Kroger Pen Needles 29G X 12MM, 35

Ixiaro, 26

Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16", 35

Kroger Pen Needles 31G X 8MM, 35

J

Kroger Pen Needles 31GX1/4", 35

Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16", 35

Krystexxa, 24

Jadenu, 42

kurvelo, 11, 43

Jakafi, 5

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

Kuvan, 13

jantoven, 17

Kyprolis, 5

Janumet, 12

Kinrix, 26, 45 L

Janumet XR, 12

kionex, 41

Januvia, 12

l-cysteine HCL, 41

klofensaid II, 8

Jardiance, 12

labetalol HCL, 6

klor-CON, 41

jencycla, 11, 43

Lacrisert, 21

klor-CON 10, 41

Jetrea, 22

lactated ringers, 41

klor-CON 8, 41

jevantique LO, 10

lactated ringers dextrose 5% viaflex, 41

klor-CON m10, 41

Jevtana, 4

lactated ringers irrigation, 41

Klor-CON M15, 42

jinteli, 10

lactated ringers viaflex, 41

klor-CON m20, 41

jolessa, 11, 43

lactic acid, 9

klor-CON sprinkle, 41

jolivette, 11, 43

lactic acid e, 9

klor-CON/EF, 41

juleber, 11, 43

lactic acid w/vitamin e, 9

kls aspirin EC, 23, 42

junel 1.5/30, 11, 43

lactulose, 14(2)

kls aspirin low dose, 23, 42

junel 1/20, 11, 43

Lamictal, 19

kls quit2, 20, 46

junel FE 1.5/30, 11, 43

Lamisil, 2

kls quit4, 20, 46

junel FE 1/20, 11, 43

lamivudine, 2

Kmart Valu Plus Insulin Syringe/0.3ML/30G, 35

junel FE 24, 11, 43

lamivudine/zidovudine, 2

just d, 27, 47

lamotrigine, 19


Juxtapid, 7

lamotrigine ER, 19

K

lamotrigine odt, 19


lamotrigine titration, 19

k-effervescent, 41

Lancet Device Adjustable, 35

Kmart Valu Plus Insulin Syringe/1ML/29G, 35

K-phos, 42

Lancet Device With Ejector, 35

k-prime, 41

Lancet Transporter Case, 35

Kmart Valu Plus Insulin Syringe/1ML/30G, 35

k-sol, 41

Lancets, 30

k-tan plus, 16

Lancets 26G Twist Top, 30

Lancets 28G, 30

Leader Unifine Pentips/Mini/31GX3/16", 36

lidocaine/prilocaine, 9

Lancets 30G, 30

lidodextrapine, 9


Leader Unifine Pentips/Nano/32GX5/32", 36

lidopin, 9

Lancets 30G/Twist Top, 30

Lifescan Unistik 2 Deep Penetration, 30


Leader Unifine Pentips/Plus/32GX5/32", 36

Lifescan Unistik II Lancets, 30

Lancets 33G Universal Design, 30

Liletta, 11, 44

Lancets Bullseye Safety, 30

leena, 11, 43 lincomycin HCL, 3

Lancets Micro Thin 33G, 30

leflunomide, 24 lindane, 9

Lancets Safety Seal 21G, 30

Lemtrada, 20 linezolid, 3


Lenvima 10MG Daily Dose, 5 Linezolid, 3


Lenvima 14MG Daily Dose, 5 Linzess, 15


Lenvima 20MG Daily Dose, 5 liothyronine sodium, 13

Lancets Super Thin 28G, 30

Lenvima 24MG Daily Dose, 5 lipodox, 3

Lancets Thin, 30

lessina, 11, 43 lipodox 50, 3

Lancets Twist Top, 30

Letairis, 7 liposyn iii, 41

Lancets Ultra Fine, 30

letrozole, 4 lisinopril, 6

Lancets Ultra Thin, 30

leucovorin calcium, 5 lisinopril/hydrochlorothiazide, 7

Lancets Ultra Thin 30G, 30

Leucovorin Calcium, 5 lissamine green, 22

Lancing Device, 36

Leukeran, 3 Lite Touch Lancets, 30

Lancing Device Adjustable, 36

Leukine, 17 Lite Touch Lancing Device, 36

lanolin, 41

leuprolide acetate, 4 Lite Touch Lancing Pen, 36

lansoprazole, 14

levalbuterol, 25 Lite Touch Pen Needles/31G X 3/16", 36

lansoprazole/amoxicillin/clarithromycin, 14

levalbuterol HCL, 25 Liteaire, 40

Levatol, 6 Litetouch Insulin Syringe/0.3ML/29G X 1/2", 36

Lantus, 12

Levemir, 12

Lantus Solostar, 12

Levemir Flexpen, 12 Litetouch Insulin Syringe/0.3ML/30G X 5/16", 36

Lanzo, 36

Levemir Flextouch, 12

larin 1.5/30, 11, 43

levetiracetam, 19 Litetouch Insulin Syringe/0.3ML/31G X 5/16", 36

larin 1/20, 11, 43

levetiracetam ER, 19

larin 24 FE, 11, 43

levo-t, 13 Litetouch Insulin Syringe/0.5ML/30G X 5/16", 36

larin FE 1.5/30, 11, 43

levobunolol HCL, 21

larin FE 1/20, 11, 43

levocarnitine, 13 Litetouch Insulin Syringe/0.5ML/31G X 5/16", 36

Lastacaft, 22

levocetirizine dihydrochloride, 25

latanoprost, 21

levofloxacin, 1, 21 Litetouch Insulin Syringe/1ML/30G X 5/16", 36

latrix, 9

levofloxacin IN D5W, 1

Latuda, 19

levoleucovorin, 5 Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 36

layolis FE, 11, 43

Levoleucovorin, 5

Lazanda, 24

levoleucovorin calcium, 5 Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 36

Leader Advanced Lancing Device, 36

levonest, 11, 43

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

levonorgestrel, 11, 43 Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 36

Levonorgestrel, 11, 44


levonorgestrel and ethinyl estradiol, 11, 43

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


levonorgestrel/ethinyl estradiol, 11, 43 Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 36

levora 0.15/30-28, 11, 43


Levorphanol Tartrate, 24 Litetouch Lancets Micro Thin 33G, 30

levothyroxine sodium, 13 Litetouch Pen Needles 29GX12.7MM, 36


levoxyl, 13 Litetouch Pen Needles 31G X 6MM, 36

Lexiva, 2 Litetouch Pen Needles 31GX8MM SHORT, 36


Lialda, 15

Liberty Blood Glucose Meter, 30 Lithium, 19


Liberty Glucose Control Mid, 30 lithium carbonate, 18

Liberty Glucose Control Normal, 30 lithium carbonate ER, 18

Leader Insulin Syringe/1ML/28G X 1/2", 36

Liberty Medical Lancets 30G, 30 Livalo, 7

Liberty Mini Lancing Device, 30 Live Better Advanced Lancing Device, 36


Liberty Test Strips, 30 Live Better Lancet Super Thin 30G, 30

lidazone HC, 14 Live Better Lancet Ultra Thin 28G, 30


lidenza patch, 9 Live Better Pen Needles 29G X 12MM, 36

lidocaine, 9


lidocaine HCL, 6, 9, 24 Live Better Pen Needles 31G X 12MM, 36

lidocaine HCL IN D5W, 6

Leader Lancets Colored, 30

lidocaine HCL jelly, 9 Live Better Pen Needles 31G X 6MM, 36

Leader Super Thin Lancet, 30

lidocaine HCL viscous, 18 livixil PAK, 9

Leader Thin Lancets, 30

lidocaine HCL/dextrose, 6 LO Loestrin FE, 11, 44

Leader Unifine Pentips Plus/Mini/31GX3/16", 36

lidocaine HCL/hydrocortisone acetate, 14 Locoid, 9

lidocaine viscous, 18 lofene, 14

Leader Unifine Pentips Plus/SHORT/31GX5/16", 36

lidocaine-prilocaine-cream base, 9 lokara, 9

lidocaine/epinephrine, 24 lomedia 24 FE, 11, 43

Lomustine, 3

marten-TAB, 22 mefenamic acid, 24

Longs Insulin Syringe/0.5ML/31G X 5/16", 36

Mask Vortex/Baby Whirl Duckling, 40 mefloquine HCL, 3

Mask Vortex/Child/Frog, 40 Mefoxin, 1

Longs Lancets Standard, 30

Mask Vortex/Spinner The Duck, 40 mega-c/a plus, 26

Longs Lancets Thin, 30

Mask Vortex/Toddler/Lady Bug, 40 megestrol acetate, 4, 12

Longs Lancets Ultra Thin, 30

Matulane, 5 Meijer Alcohol Swabs Extra-thick, 40

Lonsurf, 5

matzim LA, 6 meijer aspirin EC, 23, 42

loperamide HCL, 14

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 36

Meijer Color Lancets Universal 33G, 31

lopreeza, 10

meijer ferrous sulfate, 16, 46

lorazepam, 18

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 36

Meijer Lancets, 31

lorazepam intensol, 18

Meijer Lancets Thin, 31

lorcet, 23

maximum d3, 27, 47 Meijer Lancets Universal 33G, 31

lorcet HD, 23

Maxipime, 1 Meijer Pen Needles 29G X 12MM, 36

lorcet plus, 23

MD-gastroview, 41 Meijer Pen Needles 31G X 6MM, 36

lorenza, 9

me/naphos/mb/hyo 1, 15 Meijer Pen Needles 31G X 8MM, 36

lortab, 23

meclizine HCL, 14 Meijer Super Thin Lancets, 31

loryna, 11, 43

Meclofenamate Sodium, 24 Mekinist, 5

Lorzone, 21

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

meloxicam, 24

losartan potassium, 6

melphalan hydrochloride, 3

losartan potassium/hydrochlorothiazide, 7

Medic Insulin Syringe/0.5ML/30G X 5/16", 36

memantine HCL, 20

memantine HCL titration PAK, 20

Lotemax, 21

Medical Provider EZ Flu Shot 2013-2014, 26, 45

memantine hydrochloride, 20

lovastatin, 7

Menactra, 26, 45

low-ogestrel, 11, 43


Menest, 10

loxapine, 18

Menhibrix, 26

loxapine succinate, 18


Menomune-a/C/Y/W-135, 26, 45

LP lite PAK, 10

Mentax, 8

Lucentis, 22

Medical Provider EZ Flu Shot PF 2013-2014, 26, 45

Menveo, 26, 45

ludent, 41, 44

meperidine HCL, 23

Lufyllin, 25

Medical Provider EZ Flu Shot PF 2014-2015, 26, 45

Mephyton, 27

Lumigan, 21

meprobamate, 18

Lumizyme, 13

Medical Provider Single Use EZ Flu Shot, 26, 45

mercaptopurine, 3

Lupron Depot, 4

meropenem, 3

Lupron Depot-PED, 13

Medichoice Pre-set Safety Lancet Dual Use, 30

mesalamine, 14

lutera, 11, 43

mesna, 5

Lynparza, 5

Medichoice Pre-set Safety Lancet Low Flow, 30

Mesnex, 5

Lyrica, 19

Mestinon, 21

lysiplex plus, 27

Medichoice Pre-set Safety Lancet Medium Flow, 30

metadate ER, 19

Lysodren, 4

Metaproterenol Sulfate, 25

lyza, 11, 43

Medichoice Pre-set Safety Lancet Moderate Flow, 30

metaxall, 21

M

metaxalone, 21

Medichoice Safety Lancet Extra, 30 Metaxalone, 21

M-m-r II, 26, 45

Medichoice Safety Lancet Normal, 30 metformin HCL, 12

M-vit, 28, 44

Medicine Shoppe Lancets, 30 metformin HCL ER, 12

Macnatal CN DHA, 28

Medicine Shoppe Lancets Thin, 30 methadone HCL, 23

Macugen, 22

Medicine Shoppe Pen Needles 29G X 12MM, 36

methadone HCL intensol, 23

mafenide acetate, 9

methadose, 23

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


methamphetamine HCL, 19

methazolamide, 7



methenamine hippurate, 15

methenamine mandelate, 15


Medisense Thin Lancets, 30 methergine, 22

Medlance Plus Extra Lancets 21G, 30 methimazole, 13


Medlance Plus Lancets, 30 Methitest, 10

Medlance Plus Lancets Lite 25G, 30 methocarbamol, 21

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

Medlance Plus Lite Lancets 25G, 30 methotrexate, 4

Medlance Plus Special Lancets 0.8MM, 30

methotrexate sodium, 4

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 36

Methotrexate Sodium, 4

Medlance Plus Superlite 30G, 30 methoxsalen, 8

magnesium chloride, 41

Medlance Plus Superlite 30G/Comfort Max, 30

methscopolamine bromide, 14

magnesium sulfate, 41

Methyclothiazide, 7

Makena, 12

Medlance Plus Universal Lancets 21G, 30

methyldopa, 6

malathion, 9

Methyldopate HCL, 6

mannitol, 7

Medlance Plus/Lite 25G, 30 methylene blue, 41

Maprotiline HCL, 18

Medlance/Extra, 30 methylergonovine maleate, 22

margesic, 22

Medlance/Lite, 30 methylphenidate HCL, 19

marlissa, 11, 43

Medlance/Universal, 31 methylphenidate HCL CD, 19

Marplan, 18

medroxyprogesterone acetate, 11, 12, 43 methylphenidate HCL ER, 19

Marqibo, 4

Methylphenidate HCL ER, 19

Monoclate-p, 17 Mononine, 17

methylphenidate HCL SR, 19

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 36

Monovisc, 21

methylphenidate hydrochloride, 19

montelukast sodium, 25

methylprednisolone, 10

Monoject Insulin Syringe/1ML, 36 Monurol, 15

methylprednisolone acetate, 10

Monoject Insulin Syringe/1ML/31G X 5/16", 36

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 36

methylprednisolone dose pack, 10

methylprednisolone sodiumsuccinate, 10

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 36

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 36

methyltestosterone, 10

Metipranolol, 21

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 36

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 36

metoclopramide HCL, 14

metoclopramide odt, 14

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 36

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 36

metolazone, 7

metoprolol succinate ER, 6

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 36

morgidox 1X100MG, 1

metoprolol tartrate, 6

morgidox 2X100MG, 1

Metoprolol Tartrate, 6

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 36

morphine sulfate, 23

metoprolol/hydrochlorothiazide, 7

Morphine Sulfate, 24

metronidazole, 3, 8

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 36

morphine sulfate ER, 23

metronidazole IN NACL 0.79%, 3

Morphine Sulfate ER, 24

metronidazole vaginal, 15

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 36

morrhuate sodium, 41

mexiletine HCL, 6

Moviprep, 14

Miacalcin, 13

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 36

Moxatag, 1

Micrhogam Ultra-filtered Plus, 42

Moxeza, 21

Microchamber, 40

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 36

moxifloxacin HCL, 1

microgestin 1.5/30, 11, 43

Mozobil, 17

microgestin 1/20, 11, 43

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

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

microgestin 24 FE, 11, 43


microgestin FE, 11, 43

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 36

microgestin FE 1.5/30, 11, 43


Microlet Lancets, 31


micronized colestipol HCL, 7


Microspacer, 40



Microtainer Safety Flow Lancet/Sterile/Single-use, 31

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


midodrine HCL, 7

migryl, 9

Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 36

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

milrinone IN dextrose, 5

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

milrinone lactate, 5

monoject pharma grade flush syringe, 41 MS Insulin Syringe/1ML/31G X 5/16", 36

mimvey, 10

monoject pharma grade flush syringe/heparin lock, 17

mult-vitamin/fluoride, 27

mimvey LO, 10

Multaq, 6

Minastrin 24 FE, 11, 44

monoject prefill advanced heparin lock flush, 17

Multi Prenatal, 28, 44

Mini Lancing Device, 36

multi vitamin/fluoride, 27

miniprin low dose, 23, 42

monoject sodium chloride flush, 41 Multi-lancet Device, 36

minitran, 5

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

Multi-lancet Device 2, 36

minocycline HCL, 1

multi-vit/fluoride, 27

minocycline HCL ER, 1


multi-vit/iron/fluoride, 27

minoxidil, 6

multi-vitamin/fluoride, 27

Mirapex ER, 20


multi-vitamin/fluoride/iron, 27

Mirena, 11, 44

multitrace-4 concentrate, 41

mirtazapine, 18


multitrace-5 concentrate, 41

mirtazapine odt, 18

multivitamin with fluoride, 27

misoprostol, 14


multivitamin/fluoride, 27

Mission Prenatal, 28, 45

multivitamins/fluoride, 27

Mission Prenatal HP, 28, 44


mupirocin, 8

mitomycin, 3

mupirocin calcium, 8

Mitomycin, 3


Mustargen, 3

mitoxantrone HCL, 3

MVC-fluoride, 28

MM aspirin, 23, 43

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 36

my way, 11, 43

modafinil, 19

Myalept, 13

moderiba, 2


Mycamine, 2

Moderiba, 2

mycophenolate mofetil, 4

Moderiba 1200 Dose Pack, 2


mycophenolic acid DR, 4

Moderiba 800 Dose Pack, 2

mydral, 22

moexipril HCL, 6

Monojector End CAPS, 36 myferon 150, 16, 46

moexipril/hydrochlorothiazide, 7

Monojector Opd End CAPS, 36 myferon 150 forte, 16

Molindone Hydrochloride, 19

Monolet Lancets, 31 Myglucohealth Mgh Softlance Lancets 30G, 31

mometasone furoate, 9, 25

Monolet Opd Lancets, 31

mondoxyne nl, 1

Monolettor Safety Lancets, 31 Mykidz Iron 10, 17, 46

mono-linyah, 11, 43

mononessa, 11, 43 Myleran, 3

Mynatal Advance, 28

nephronex, 27 Nitrostat, 5

Mynatal Plus, 28

Nessi Spacer/Large Mask, 40 nizatidine, 14

Mynatal Ultracaplet, 28

Nessi Spacer/Mouthpiece, 40 Nizatidine, 14

Mynatal-z, 28

Nessi Spacer/Small/MED Mask, 40 nora-be, 11, 43

Mynate 90 Plus, 28

Netgroup Lancets, 31 Norditropin Cartridge, 13

mynephrocaps, 27

neuac, 8 Norditropin Flexpro, 13

Myobloc, 21

Neulasta, 17 Norditropin Nordiflex Pen, 13

myorisan, 8

Neulasta Onpro Kit, 17 norepinephrine bitartrate, 7

Myozyme, 13

Neumega, 17 norethindrone, 11, 43

Myrbetriq, 15

Neupogen, 17 norethindrone & ethinyl estradiol ferrous fumarate, 11, 43

myzilra, 11, 43

Neupro, 20

N

neutragard advanced, 18 norethindrone acetate, 12

neutral sodium fluoride, 18 norethindrone acetate/ethinyl estradiol, 10, 11, 43

n-acetyl-l-cysteine, 41

Nevanac, 22

Nabi-HB, 42

nevirapine, 2 norethindrone acetate/ethinyl estradiol/ferrous fumarate, 11, 43

nabumetone, 24

Nevirapine, 2

nadolol, 6

nevirapine ER, 2 norgestimate/ethinyl estradiol, 11, 43

nadolol/bendroflumethiazide, 7

Nexavar, 5 norlyroc, 11, 43

nafcillin sodium, 1

Nexium, 14 normal saline flush, 41

nafrinse, 41, 44

Nexplanon, 11, 44 normal saline flush for flushing vascular access devices, 41

nafrinse drops, 41, 44

next choice one dose, 11, 43

naftifine hydrochloride, 8

Nexterone, 6 normal saline i.v. flush, 41

Naglazyme, 13

niacin ER, 7 Noroxin, 1

nalbuphine HCL, 23

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 27

Norpace CR, 6

Nalfon, 24

nortrel 0.5/35 (28), 11, 43

naloxone HCL, 41

nicardipine HCL, 6 nortrel 1/35, 11, 43

Naloxone HCL, 41

nicorelief, 20, 46 nortrel 7/7/7, 11, 43

naltrexone HCL, 41

nicotine, 20, 46 nortriptyline HCL, 18

Namenda XR, 20

nicotine mini lozenge, 20, 46 Nortriptyline HCL, 18

Namenda XR Titration Pack, 20

nicotine polacrilex, 20, 46 nortuss-DE, 25

Naprelan, 24

nicotine polacrilex refill, 20, 46 Norvir, 2

naproxen, 24

nicotine polacrilex starter kit, 20, 46 norwich aspirin, 23, 42

Naproxen, 24

nicotine step 1, 20, 46 Nova Safety Lancets 23G, 31

naproxen DR, 24

nicotine step 2, 20, 46 Nova Safety Lancets 28G, 31

naproxen kit, 24

nicotine step 3, 20, 46 Nova Sureflex Lancets, 31

naproxen sodium, 24

nicotine transdermal system, 20, 46 Nova Sureflex Lancing Device, 36

naproxen sodium CR, 24

Nicotine Transdermal System, 20, 46 Novaferrum Pediatric Drops, 17, 46

naproxen sodium ER, 24

nicotine transdermal system step 1, 20, 46

novarel, 13

naratriptan HCL, 24

Novofine 30GX8MM, 36

Narcan, 42


Novofine 32GX6MM, 36

Nascobal, 16

Novofine Autocover 30GX8MM, 36

Nat-rul Prenatal Vitamins, 28, 45


Novofine Plus 32GX4MM, 36

nat-rul vitamin d, 27, 47

Novolin 70/30, 12

Natacyn, 21

Nicotrol Inhaler, 20, 46 Novolin 70/30 Relion, 12

Natazia, 11, 44

Nicotrol Ns, 20, 46 Novolin N, 12

nateglinide, 12

nifedical XL, 6 Novolin N Relion, 12

natural vitamin d-3, 27, 47

nifedipine, 6 Novolin R, 12

Nebupent, 3

nifedipine ER, 6 Novolin R Relion, 12

nebusal, 25

nikki, 11, 43 Novolog, 12

necon 0.5/35-28, 11, 43

Nilandron, 4 Novolog Flexpen, 12

necon 1/35, 11, 43

nimodipine, 6 Novolog Mix 70/30, 12

necon 7/7/7, 11, 43

Ninlaro, 5 Novolog Mix 70/30 Prefilled Flexpen, 12

nefazodone HCL, 18

Nipent, 5 Novolog Penfill, 12

Nefazodone HCL, 18

nisoldipine, 6 Novoseven, 17

neo-polycin, 21

Nitro-bid, 5 Novoseven Rt, 17

neo-polycin HC, 21

nitro-time, 5 Novotwist 30GX8MM, 36

Neo-synalar, 8

nitrofurantoin, 15 Novotwist 32GX5MM, 36

neofrin, 22

nitrofurantoin macrocrystals, 15 Noxafil, 2

neomycin sulfate, 2

nitrofurantoin monohydrate, 15 NP thyroid, 13

neomycin/bacitracin/polymyxin, 21

nitrofurantoin monohydrate/macrocrystals, 15

NP thyroid 60, 13

neomycin/polymyxin b sulfates, 15

NP thyroid 90, 13

neomycin/polymyxin/bacitracin zinc, 21

nitroglycerin ER, 5 Nplate, 17

neomycin/polymyxin/bacitracin/hydrocortisone, 21

nitroglycerin IN 5% dextrose, 5 nu-iron 150, 16, 46

nitroglycerin IN dextrose 5%, 5 Nucala, 25

neomycin/polymyxin/dexamethasone, 21

nitroglycerin lingual, 5 Nucynta, 24

neomycin/polymyxin/gramicidin, 21

Nitroglycerin Lingual, 5 Nucynta ER, 24

neomycin/polymyxin/HC, 22

nitroglycerin transdermal, 5 Nuedexta, 20

neomycin/polymyxin/hydrocortisone, 22

Nitromist, 5 nufol, 16

neostigmine methylsulfate, 21

nulev, 14

Onetouch Verio Control Solution High, 31

oxaliplatin, 3

Nulojix, 4

oxandrolone, 10

nutrifac ZX, 27

Onetouch Verio Flex Bloodglucose Monitoring System, 31

oxaprozin, 24

nutrilipid, 41

Oxaydo, 24

nutrilyte, 41

Onetouch Verio IQ Blood Glucose Monitoring System, 31

oxazepam, 18

nutrilyte II, 41

oxcarbazepine, 19

Nutropin AQ Nuspin 10, 13

Onetouch Verio Mid Control Solution, 31 oxiconazole nitrate, 8


Onetouch Verio Sync Bloodglucose Monitoring System, 31

Oxistat, 8


Oxsoralen, 10

Nutropin AQ Pen, 13

Onetouch Verio Test Strips, 31 oxybutynin chloride, 15

Nuvaring, 11, 44

Onfi, 19 oxybutynin chloride ER, 15

Nuvigil, 19

Onglyza, 12 oxycodone HCL, 23

nyamyc, 8

Onivyde, 5 Oxycodone HCL ER, 24

nystatin, 2, 8, 18

Opana ER (crush Resistant), 24 oxycodone/acetaminophen, 23

nystatin/triamcinolone, 8

opcicon one-step, 11, 43 oxycodone/aspirin, 23

nystop, 8

Opdivo, 4 oxycodone/ibuprofen, 23

O

opium, 14 Oxycontin, 24

opium tincture, 14 oxymorphone hydrochloride, 23

Obizur, 17

Opsumit, 7 oxymorphone hydrochloride ER, 23

Obstetrix EC, 28

Optichamber Advantage, 40 oxytocin, 22

ocella, 11, 43

Optichamber Diamond, 40 Oxytrol, 15

Octagam, 42

Optichamber Diamond/Largeface Mask, 40

Ozurdex, 21

octreotide acetate, 13

P

Ofev, 26

Optichamber Diamond/Medium Face Mask, 40

ofloxacin, 1, 21, 22

PA Prenatal Formula, 28, 45

Ofloxacin, 1

PA vitamin d-3, 27, 47

Optichamber Diamond/Smallface Mask, 40

Ogestrel, 11, 44

PA vitamin d-3 gummy, 27, 47

olanzapine, 18

pacerone, 6

Optihaler, 40

olanzapine odt, 18

paclitaxel, 4

Optihaler MDI Drug Delivery System, 40

olanzapine/fluoxetine, 20

Paclitaxel, 4

Optimal D3 M, 27, 47

olopatadine HCL, 22, 25

paliperidone ER, 18

optimal-d, 27, 47

Omeclamox-PAK, 14

pamidronate disodium, 12

optimal-d pack, 27, 47

omega-3-acid ethyl esters, 7

Pamidronate Disodium, 12

Options Gynol II Vaginal Contraceptive, 15, 44

omeprazole, 14

Pancrelipase, 14

omeprazole/sodium bicarbonate, 14

pancuronium bromide, 21

opurity vitamin d, 27, 47

Omniflex Diaphragm, 44

Panda Mask Large, 40

Oracea, 8

On Call Lancets, 31

Panda Mask Medium, 40

oralone, 18

On Call Lancing Device, 36

Panda Mask Small, 40

Oravig, 18

On Call Plus Lancets, 31

Panretin, 10

Orencia, 24

On Call Plus Lancing Device, 36

pantoprazole sodium, 14

Orenitram, 7

Oncaspar, 3

papaverine HCL, 7

Orfadin, 13

ondansetron HCL, 14

Paragard Intrauterine Copper Contraceptive T380a, 11

orphenadrine citrate, 21

ondansetron odt, 14

orphenadrine citrate ER, 21

One A Day Womens Prenatal/DHA, 28

parcaine, 22

Orphenadrine/Asa/Caffeine, 21

One A Day Womens Prenatal1, 28

paricalcitol, 13

orsythia, 11, 43

One-a-day Womens Prenatal, 28, 45

paroex, 18

Ortho Diaphragm Coil Spring Kit 100, 44

Onetouch Club Lancets Fine Point, 31

paromomycin sulfate, 2


Onetouch Combo Pack, 31

paroxetine HCL, 18


Onetouch Delica Lancets Extra Fine 33G, 31

paroxetine HCL ER, 18

Ortho Diaphragm Flat Spring Kit 55, 44

Paser, 2


Onetouch Delica Lancets Fine 30G, 31

Pataday, 22


Onetouch Delica Lancing Device, 31

Paxil, 18


Onetouch Finepoint Lancets, 31

PC Unifine Pentips 29G X 1/2", 37


Onetouch Lancets, 31

PC Unifine Pentips 31G X 5MM Mini, 37


Onetouch Ping Meter Remote, 31

PC Unifine Pentips 31G X 6MM Ultra SHORT, 37


Onetouch Suresoft Lancing Device/18G, 31


PC Unifine Pentips 31G X 8MM SHORT, 37



ortho-CS 250, 26

PCE, 1

ortho-est, 10


pedi-dri, 8

Orthovisc, 21

Pediarix, 26, 45

oscimin, 14

Onetouch Ultra 2, 31

Pediatric Panda Mask, 40

oscimin SR, 14

Onetouch Ultra Blue, 31

Pedipirox-4 Nail, 8

oscion cleanser, 8

Onetouch Ultra Control, 31

Pedvax HIB, 26, 45

osmitrol viaflex, 7

Onetouch Ultra Mini, 31

peg 3350/electrolytes, 14, 47

Osmoprep, 14

Onetouch Ultralink System (DEC), 31

peg-3350/electrolytes, 14, 47

otic care, 22

Onetouch Ultralink System (hex), 31

peg-3350/NACL/NA bicarbonate/KCL, 14, 47

oticin, 22

Onetouch Ultrasoft Lancets, 31

oxacillin sodium, 1

Onetouch Verio, 31

Peg-intron, 2

Peg-intron Redipen, 2

phenytoin infatabs, 19 potassium chloride 0.15% NACL 0.9%, 41

Peg-intron Redipen PAK 4, 2

phenytoin sodium, 19

peg-prep, 14

phenytoin sodium extended, 19 potassium chloride 0.15% w/NACL 0.9% viaflex, 41

Peganone, 19

philith, 11, 43

Pegasys, 2

phos-flur, 18 potassium chloride 0.15%/D5W, 41

Pegasys Proclick, 2

Phoslyra, 15 potassium chloride 0.15%/NACL 0.9%, 41

Pegintron, 2

phospha 250 neutral, 41

pegylax, 14

phosphasal, 15 potassium chloride 0.22% D5W/NACL 0.45%, 41

Pen Needles 29G X 12MM, 36

Phospholine Iodide, 22

Pen Needles 29GX1/2", 36

Photofrin, 5 potassium chloride 0.224%/D5W/NACL 0.45%, 41


physiolyte, 41

Pen Needles 31G X 1/4" SHORT, 36

physiosol irrigation, 41 potassium chloride 0.224%D5W/NACL 0.45% viaflex, 41

Pen Needles 31G X 3/16", 36

phytonadione, 26


Picato, 10 potassium chloride 0.3%/ NACL 0.9%, 41


pilocarpine HCL, 18, 22


pilocarpine hydrochloride, 18 potassium chloride 0.3%/D5W, 41

Pen Needles 31GX8MM, 36

pimozide, 20 potassium chloride 0.3%/NACL 0.9%/viaflex, 41

Pen Needles 32GX4MM, 36

pimtrea, 11, 43

penicillin G potassium, 1

pindolol, 6 potassium chloride CR, 41

penicillin v potassium, 1

pioglitazone HCL, 12 potassium chloride ER, 41

Penlet II Automatic Bloodsampler, 31

pioglitazone HCL-glimepiride, 12 Potassium Chloride ER, 41

Penlet II Replacement CAPS, 31

pioglitazone HCL/metformin HCL, 12 potassium chloride SR, 41

Penlet II Replacement CAPS-deep, 31

piperacillin sodium/ tazobactam sodium, 1

potassium citrate ER, 15

Penlet II Replacement CAPS-regular, 31

potassium citrate-citric acid crystals, 15

Pentacel, 26, 45

piperacillin sodium/tazobactam sodium, 1 potassium citrate/citric acid, 15

Pentasa, 15

piperacillin/tazobactam, 1 potassium citrate/sodium citrate/citric acid, 15

pentazocine/naloxone HCL, 24

pirmella 1/35, 11, 43

Pentips 31GX5MM, 37

pirmella 7/7/7, 11, 43 potassium phosphate, 41

Pentips 31GX8MM, 37

piroxicam, 24 potassium phosphates, 41

Pentips 32GX4MM, 37

plasbumin-25, 17 Potiga, 19

pentoxifylline ER, 17

plasbumin-5, 17 pr benzoyl peroxide wash, 8

Perfect Iron, 17, 46

Plasma-lyte A, 42 Pr Natal 400, 28

Perfect Lancets 30G, 31

Plasma-lyte-148, 42 Pr Natal 400 EC, 28

Perfect Pressure Activated Safety Lancets 28G, 31

Plasma-lyte-56/D5W, 42 Pr Natal 430, 28

plenamine, 41 Pr Natal 430 EC, 28

Perforomist, 25

Pneumovax 23, 26, 45 Pradaxa, 17

perindopril erbumine, 6

Pneumovax 23/1 Dose, 26, 45 Praluent, 7

periogard, 18

Pneumovax 23/5 Dose, 26, 45 pramcort, 14

Perjeta, 4

PNV-DHA, 28 pramipexole dihydrochloride, 20

permethrin, 9

PNV-select, 28 pramipexole dihydrochloride ER, 20

perphenazine, 18

Pocket Chamber, 40 pramox gel, 9

Perphenazine/Amitriptyline, 20

Pocket Spacer, 40 prascion, 8

Perry Prenatal, 28, 44

podofilox, 9 prascion fc, 8

pharbedryl, 25

polocaine, 24 pravastatin sodium, 7

Pharmacist Choice Alcoholprep Pads, 40

polocaine-mpf, 24 prazosin HCL, 6

Pharmacist Choice Ultra Thin Lancets, 31

poly-dex, 21 Pre-natal Formula, 28, 44

poly-iron 150, 16, 46 Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 37

Pharmacist Choice Ultra Thin Lancets 28G, 31

poly-iron 150 forte, 16

polycin, 21 Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 37


polycin b, 21

polyethylene glycol 3350, 14 Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 37


polymyxin b sulfate, 3

polymyxin b sulfate/trimethoprim sulfate, 21

Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 37


polysaccharide iron forte, 16 Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 37

Pharmacy Counter Lancets, 31

Pomalyst, 4

phenadoz, 25

portia-28, 11, 43 Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 37

phenazo, 15

Portrazza, 4

phenazopyridine HCL, 15

potassium acetate, 41 Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 37

phenelzine sulfate, 18

potassium chloride, 41

phenergan, 25

potassium chloride 0.15% /NACL 0.45% viaflex, 41

Precision Thin Lancets, 31

phenobarbital, 19

Precision Thins GP Lancet, 31

Phenobarbital, 19

potassium chloride 0.15% D5W/NACL 0.33%, 41

Precision Ultra Lancet, 31

Phenobarbital Sodium, 19

Pred Mild, 21

phenoxybenzamine hydrochloride, 6

potassium chloride 0.15% D5W/NACL 0.45%, 41

prednicarbate, 9

phenylephrine HCL, 7, 22

prednisolone, 10

phenylephrine/guaifenesin, 25

potassium chloride 0.15% D5W/NACL 0.45% viaflex, 41

prednisolone acetate, 21

phenytoin, 19

prednisolone sodium phosphate, 10

prednisolone sodium phosphate odt, 10

prevalite, 7 propranolol HCL, 6

prednisone, 10

previfem, 11, 43 propranolol HCL ER, 6

Prednisone, 10

Prevnar 13, 26, 45 propylthiouracil, 13

Prednisone Intensol, 10

Prezcobix, 2 Proquad, 26, 45

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

Prezista, 2 protriptyline HCL, 18

Prialt, 23 provenza, 9


Priftin, 2 Pss Select GP Lancets, 31

Primaquine Phosphate, 3 Pss Select Platforms, 37


primidone, 19 Pss Select Safety Lancets, 31

Primsol, 3 Pulmicort Flexhaler, 25


Pristiq, 18 pulmosal, 25

Privigen, 42 Pulmozyme, 26


Proair HFA, 25 purevit dualfe plus, 16

Proair Respiclick, 25 Push Button Safety Lancets 21G, 31

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

probenecid, 24 Push Button Safety Lancets 28G, 31

probenecid/colchicine, 24 Px Advanced Lancing Device, 37


Procentra, 19 px aspirin, 23, 42

prochlorperazine, 18 px enteric aspirin, 23, 42


prochlorperazine edisylate, 18 Px Extra SHORT Pen Needles 31GX6MM, 37

prochlorperazine maleate, 18

Preferred Plus Lancets Colored 21G, 31

Procrit, 17 px folic acid, 16, 44

Preferred Plus Lancets Super Thin 30G, 31

procto-MED HC, 14 Px Insulin Syringe/U-100/0.3ML/30G X 1/2", 37

procto-PAK, 14

Preferred Plus Lancets Thin 26G, 31

proctosol HC, 14 Px Insulin Syringe/U-100/0.3ML/31G X 5/16", 37

Preferred Plus Unifine Pentips 29G X 12MM, 37

proctozone-HC, 14

Procysbi, 16 Px Insulin Syringe/U-100/0.5ML/30G X 1/2", 37

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 37

Prodigy Insulin Mini Pen Needles/31G X 3/16", 37

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

Preferred Plus Unifine Pentips 31G X 8MM SHORT, 37

Prodigy Insulin Pen Needles/29G X 1/2", 37

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

Preferred Plus Unifine Pentips 32GX4MM, 37

Prodigy Insulin SHORT Penneedles/31G X 5/16", 37

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

Preferred Plus Unifine Pentips/Mini/31GX5MM, 37

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 37

px iron, 16, 46

pregnyl w/diluent benzyl alcohol/NACL, 13

Prodigy Insulin Syringe/1/2ML/31G X 5/16", 37

Px Lancet Auto Injector, 37

Px Lancets Ultra Thin, 31

Premarin, 10

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

Px Mini Pen Needles 31GX5MM, 37

premasol, 41

Px Pen Needle 29GX12MM, 37

premium lidocaine, 9

Prodigy Lancing Device, 37 Px Pen Needle 31GX8MM, 37

Premphase, 10

Prodigy Pressure Activated Safety Lancets, 31

Px Prenatal Multivitamins, 28, 44

Prempro, 10

Px Shortlength Pen Needles/31GX8MM, 37

Prenaissance Plus, 28

Prodigy Safety Lancets, 31

Prenaplus, 28, 44

Prodigy Twist Top Lancets, 31 px stop smoking aid, 20, 46

Prenatabs Fa, 28

Profe, 17, 46 Pylera, 14

Prenatabs RX, 28

Proferrin ES, 17, 46 pyrazinamide, 2

Prenatal, 28, 44

Profilnine, 17 pyridostigmine bromide, 21

Prenatal 19, 28

Profilnine SD, 17 Q

Prenatal Ad, 28

progesterone, 12

Qc Advanced Lancing Device, 37

Prenatal And Iron, 28, 44

Proglycem, 12

Qc Alcohol Swabs, 40

Prenatal Complete, 28, 45

Prograf, 4

qc aspirin, 23, 42

Prenatal Formula, 28, 44

Prolastin-c, 26

qc aspirin low dose, 23, 42

Prenatal Forte, 28, 44

Proleukin, 5

qc childrens aspirin, 23, 42

Prenatal Low Iron, 28, 44

Prolia, 13

qc ferrous sulfate, 16, 46

Prenatal Multi + DHA, 28

Promacta, 17

Qc Insulin Syringe 0.5ML/29G, 37

Prenatal Multi +dha, 28, 45

promethazine HCL, 25

Qc Insulin Syringe 0.5ML/30G, 37

Prenatal Multivitamin + DHA, 28

promethazine HCL plain, 25

Qc Insulin Syringe 1ML/29G, 37

Prenatal Multivitamin Plus DHA, 28

promethazine VC plain, 25

Qc Insulin Syringe/0.3ML/29G, 37

Prenatal One Daily, 28, 45

promethazine VC/codeine, 25

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

Prenatal Plus, 28, 44

promethazine-DM, 25


Prenatal Plus DHA, 28

promethazine/codeine, 25


Prenatal Vitamin, 28, 45

promethazine/dextromethorphan, 25

Prenatal Vitamins, 28, 44

promethazine/phenylephrine, 25

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

Prenatal-u, 28

promethazine/phenylephrine/codeine, 25

Qc Insulin Syringe/1ML/30G, 37

Prenatal/Omega-3/Folic Acid/Iron, 28

promethegan, 25

Qc Insulin Syringe/1ML/31G X 5/16", 37

Prentif Cavity-rim Cervical CAP, 44

pronutrients vitamin d3, 27, 47

Qc Lancets, 31

Prentif Fitting Set, 44

propafenone HCL, 6

Qc Lancets Super Thin, 31

Prepopik, 14

propafenone HCL ER, 6

Qc Lancets Thin, 31

Pressure Activated Safetylancet 21G, 31

proparacaine HCL, 22

Qc Lancets Ultra Thin, 31

qc nicotine polacrilex, 20, 46

rea LO 39, 9 Relion Pen Needles 31GX8MM, 37

Qc Pen Needles 29G X 12MM, 37

rea LO 40, 9 Relion Pen Needles 32GX4MM, 37


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

Relion SHORT Pen Needles 31GX8MM, 37


Qc Prenatal, 28, 45

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

Relion Thin Lancets, 31

Qc Unifine Pentips 32GX4MM, 37

Relion Ultra Thin Lancets, 31

Qc Unilet Lancets 28G/Ultra Thin, 31

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

Relion Ultra Thin Lancets30G, 31

Qc Unilet Lancets 33G/Micro Thin, 31

Relion Ultra Thin Plus Lancets 32G, 31

Quadracel, 26, 45

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

Relion Ultra Thin Plus Lancets 33G, 31

quasense, 11, 43

Relistor, 15

Quazepam, 19

Reality Lancets, 31 Relpax, 24

quetiapine fumarate, 19

Reality Swabs, 40 remeven, 9

Quflora Pediatric, 28

Reality Trigger Lancets, 31 Remicade, 15

Quillivant XR, 19

Rebetol, 2 Remodulin, 7

quinapril HCL, 6

Rebif, 20 rena-vite RX, 27

quinapril/hydrochlorothiazide, 7

Rebif Rebidose, 20 Renagel, 15

quinidine gluconate CR, 6

Rebif Rebidose Titration Pack, 20 renal, 27

quinidine gluconate ER, 6

Rebif Titration Pack, 20 renalpren, 27

quinidine sulfate, 6

reciphexamine, 9 Renew Advanced Lancing Cartridge Refills, 31

Quinidine Sulfate, 6

reclipsen, 11, 43

quinine sulfate, 3

Recombinate, 17 Renew Advanced Lancing Device, 37

Qvar, 25

Recombivax HB, 26, 45 reno CAPS, 27

R

Rectiv, 15 Renvela, 15

Regranex, 10 repaglinide, 12

Ra Alcohol Swabs, 40

relador PAK, 9 Repaglinide/Metformin Hydrochloride, 12

ra aspirin, 23, 42

relador PAK plus, 9 Repatha, 7

ra aspirin adult low dose, 23, 42

releevia ML, 9 Repatha Sureclick, 7

ra aspirin adult low strength, 23, 42

Relenza Diskhaler, 2 Replesta, 27, 47

ra aspirin childrens, 23, 42

Relion 2-IN-1 Lancing Device 25G, 37 Replesta Childrens, 27, 47

ra aspirin EC, 23, 42

Relion 2-IN-1 Lancing Device 30G, 37 Replesta Nx, 27, 47

ra aspirin EC adult low strength, 23, 42

Relion Alcohol Swabs, 40 reprexain, 24

ra childrens aspirin, 23, 42

Relion Insulin Syringe/U -100/0.5ML/29G, 37

Rescriptor, 2

Ra E-ZJECT Color Lancets Micro-thin 33G, 31

Restasis, 22

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 37

Retrovir IV Infusion, 2

Ra E-ZJECT Lancets 28G, 31

Revlimid, 4

Ra E-ZJECT Lancets Thin 26G, 31

Relion Insulin Syringe/U-100/0.3ML/29G, 37

revonto, 21

Ra E-ZJECT Lancets Thin 28G, 31

Rexall Lancets Ultra Thin, 31

Ra E-ZJECT Lancets Ultra Thin 30G, 31

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

Rexulti, 19

ra folic acid, 16, 44

Reyataz, 2

ra high potency iron, 16, 46


Rheumatrex, 24

Ra Insulin Syringe/0.5ML/29G X 1/2", 37

Rhogam Ultra-filtered Plus, 42

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


Rhophylac, 42

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

Riastap, 17


ribasphere, 2

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

Ribasphere, 2


Ribasphere Ribapak, 2

ra iron, 16, 46

Ribatab, 2

Ra Lancing Device, 37


ribavirin, 2

ra mini nicotine, 20, 46

Ridaura, 24

ra nicotine, 20, 46


rifabutin, 2

ra nicotine polacrilex, 20, 46

Rifamate, 2

ra nicotine transdermal system step 3, 20, 46


rifampin, 2

Rifater, 2

Ra One Daily, 28, 45

Relion Insulin Syringe/U-100/1ML/30G, 37

Right Step Prenatal, 28, 45

Ra Pen Needles 31G X 5MM 3/16", 37

Rightest GD-L500 Alternate Site Adapter, 37

Ra Pen Needles 31G X 8MM 5/16", 37


Ra Prenatal, 28, 44

Rightest GD500 Lancing Device, 37

Ra Prenatal Formula/Folicacid, 28, 45


Rightest Gl300 Lancets, 31

ra slow release iron, 16, 46

riluzole, 21

ra vitamin d-3, 27, 47

Relion Ketone, 42 rimantadine HCL, 2

Rabavert, 26

Relion Ketone Test Strips, 42 ringers injection, 41

rabeprazole sodium, 14

Relion Lancets Micro-thin33G, 31 ringers irrigation, 41

raloxifene hydrochloride, 13

Relion Lancets Standard 21G, 31 Riomet, 12

ramipril, 6

Relion Lancets Thin 26G, 31 risedronate sodium, 12

Ranexa, 5

Relion Lancets Ultra-thin30G, 31 risedronate sodium DR, 12

ranitidine HCL, 14

Relion Lancing Device, 37 Risperdal Consta, 19

Rapaflo, 16

Relion Mini Pen Needles 31GX6MM, 37 risperidone, 19

Rapamune, 4

Relion Pen Needles 29GX12MM, 37 risperidone M-TAB, 19

Ravicti, 13

risperidone odt, 19

Saphris, 19 Shopko Unilet Lancets Super Thin 30G, 31

Riteflo, 40

Saps Care Alcohol Prep Pads, 40

Rituxan, 4

Sapscare Twist Top Lancets 30G, 31 Shopko Unilet Lancets Ultra Thin 28G, 31

rivastigmine tartrate, 20

sash kit for flushing vascular access devices, 17

rivastigmine transdermal system, 20

Shur-seal, 15, 44

Rixubis, 17

Savaysa, 17 Side Button Safety Lancet21G, 31

rizatriptan benzoate, 24

Savella, 20 Signifor, 13

rizatriptan benzoate odt, 24

SB Alcohol Prep Pads, 40 sildenafil, 7

rocuronium bromide, 21

SB aspirin, 23, 43 sildenafil citrate, 7

romycin, 21

SB aspirin EC, 23, 43 silver sulfadiazine, 9

ropinirole ER, 20

SB childrens aspirin, 23, 43 Similac Prenatal Early Shield, 28

ropinirole HCL, 20

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

Simple Diagnostics Lancing Device, 37

ropivacaine, 24

Simponi, 24

ropivacaine HCL, 24

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

Simponi Aria, 24

rosadan, 8

Simulect, 4

rosanil cleanser, 8

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

simvastatin, 7

rosula, 8

Single-let, 31

rosuvastatin calcium, 7


sirolimus, 4

Rotarix, 26, 45

Sirturo, 2

Rotateq, 26, 45


Sivextro, 3

roweepra, 19

Sklice, 10

roxicet, 24

SB Lancets Thin, 32 Skyla, 11, 44

Rozerem, 19

SB Lancets Ultra Thin, 32 slow FE, 16, 46

S

SB low dose asa EC, 23, 43 slow iron, 16, 46

scalacort, 9 slow release iron, 16, 46

Sabril, 19

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

Slow Release Iron, 17, 46

Safe-t-lance Low Flow 25G, 31

slow-release iron, 16, 46

Safe-t-lance Normal Flow 21G, 31

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16", 37

Sm Alcohol Prep Pads, 40

Safe-t-lance Plus Safety Lancet High Flow, 31

sm aspirin, 23, 42

se 10-5 ss, 8 sm aspirin adult low strength, 23, 42

Safe-t-lance Plus Safety Lancet Low Flow, 31

se bpo wash, 8 sm aspirin EC low strength, 23, 42

Se-natal 19, 28 sm aspirin enteric coated, 23, 42

Safe-t-lance Plus Safety Lancet Normal Flow, 31

Se-tan DHA, 28 sm childrens aspirin, 23, 42

se-tan plus, 16 sm folic acid, 16, 44

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

seb-prev wash, 9 Sm Insulin Syringe/0.3ML/31G X 5/16", 37

Select-lite Device/Lancets, 37


Select-lite Lancing Device, 37 Sm Insulin Syringe/0.5ML/31G X 5/16", 37

selegiline HCL, 20


selenium sulfide, 9 Sm Insulin Syringe/1ML/31G X 5/16", 37

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

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

Sensipar, 13

sensorcaine, 25 Sm Insulin Syringe/U-100/0.3ML/30G X 5/16", 37

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

sensorcaine-mpf, 25

sensorcaine-mpf spinal, 25 Sm Insulin Syringe/U-100/0.5ML/28G X 1/2", 37

Safety Lancet 21G/Pressure Activated, 31

sensorcaine-mpf/epinephrine, 25

sensorcaine/epinephrine, 25 Sm Insulin Syringe/U-100/0.5ML/29G X 1/2", 37

Safety Lancet 28G/Pressure Activated, 31

Serevent Diskus, 25

serophene, 13 Sm Insulin Syringe/U-100/0.5ML/30G X 5/16", 37

Safety Lancets, 31

Seroquel XR, 19

Safety Lancets 21G, 31

Serostim, 13 Sm Insulin Syringe/U-100/1ML/28G X 1/2", 37

Safety Lancets 28G, 31

sertraline HCL, 18

Safety Let Lancets, 31

setlakin, 11, 44 Sm Insulin Syringe/U-100/1ML/29G X 1/2", 37

Safety Seal Lancets 28G, 31

Sevelamer Carbonate, 15

Safety Seal Lancets 30G, 31

SF, 18 Sm Insulin Syringe/U-100/1ML/30G X 5/16", 37

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 31

SF 5000 plus, 18

sharobel, 11, 44 sm iron, 16, 46

salacyn, 9

Shopko Alcohol Swabs, 40 sm iron slow release, 16, 46

salicylic acid, 9

Shopko Autolet Lancing Device, 37 Sm Lancets 21G, 31

Salicylic Acid, 10

Shopko On-the-go Comfort Lancets 30G, 31

Sm Micro Thin Lancets 33G, 31

salicylic acid cream, 9

sm nicotine, 20, 46

salicylic acid lotion, 9

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 37

sm nicotine polacrilex, 20, 46

salicylic acid wart remover, 9

sm nicotine transdermal system, 20, 46

saline flush, 41

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 37

Sm One Daily Prenatal, 28, 45

saline flush zr/sterile field, 41

sm prenatal vitamins, 28, 44

salsalate, 22

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 37

Sm Prenatal Vitamins, 28, 44

Samsca, 13

sm slow release iron, 16, 46

Sancuso, 14

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 37

Sm Slow Release Iron, 17, 46

Sandimmune, 4

Sm Super Thin Lancets, 31

Sandostatin Lar Depot, 13

Sm Super Thin Lancets 30G, 31

Sprycel, 5 5ML/28G X 1/2", 37

Sm Thin Lancets 26G, 31

sps, 41 Sure Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

sm vitamin d, 27, 47

SR nicotine gum, 20, 46

sm vitamin d3, 27, 47

sronyx, 11, 44 Sure Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2", 38

Sm Vitamin D3 Maximum Strength, 27, 47

ss 10-2, 8

ssd, 9 Sure Comfort Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

Smart Diabetes Vantage Lancing Device, 37

sss 10%-5%, 8

sss 10-5, 8 Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16, 38

Smart Diabetes Vantage Universal Lancets 30G, 31

st joseph aspirin, 23, 42

st joseph low dose aspirin, 23, 42 Sure Comfort Insulin Syringe/U-100/1ML/28G X 1/2", 38

Smart Sense Color Lancets Universal 33G, 31

stannous fluoride oral rinse, 18

stavudine, 2 Sure Comfort Insulin Syringe/U-100/1ML/29G X 1/2", 38

Smart Sense Standard Lancets Universal 21G, 31

Stavzor, 19

Sterilance PA, 37 Sure Comfort Insulin Syringe/U-100/1ML/30G X 1/2", 38

Smart Sense Super Thin Lancets Universal 30G, 31

Sterilance TL, 31

sterile diluent for epoprostenol sodium, 41

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

Smart Sense Thin Lancets Universal 26G, 31

sterile water for injection, 41 Sure Comfort Insulin Syringe/U-100/1ML/31G X 5/16", 38

Smartest Lancets 28G, 31

sterile water irrigation, 41

sodium acetate, 41

sterile water irrigation plastic bottle, 41 Sure Comfort Lancets 28G, 31

sodium bicarbonate, 41

sterile water irrigation w/hanger, 41 Sure Comfort Lancets 30G, 31

sodium bicarbonate partial fill, 41

Stimate, 13 Sure Comfort Lancing Pen, 38

sodium chloride, 15, 25, 41

Stiolto Respimat, 25 Sure Comfort Pen Needles 29GX1/2" 12.7MM, 38

sodium chloride 0.45%, 41

Stivarga, 5

sodium chloride 0.45% viaflex, 41

Strattera, 19 Sure Comfort Pen Needles 30GX5/16" SHORT, 38

sodium chloride 0.9%, 15

Strensiq, 13

sodium chloride bacteriostatic, 41

Streptomycin Sulfate, 2 Sure Comfort Pen Needles 31GX3/16" (5MM), 38

sodium chloride flush, 41

Striant, 10

sodium chloride pab, 41

Stribild, 2 Sure Comfort Pen Needles 31GX5/16" (8MM), 38

sodium citrate/citric acid, 15

Stuart One, 28

sodium ferric gluconate complex/sucrose, 17

Stuart Prenatal, 28, 45 Sure Comfort Pen Needles 32GX5/32", 38

Suboxone, 24

sodium fluoride, 41, 44

Sucraid, 14 Sure Comfort Pen Needles 32GX6MM, 38

sodium hyaluronate, 9

sucralfate, 14

sodium phenylbutyrate, 13

sulfacetamide sodium, 8, 21 sure result dss premium pack, 8

sodium phosphate, 41

sulfacetamide sodium/prednisolone sodium phosphate, 21

Sure-fine Pen Needles 29GX1/2" 12.7MM, 38

sodium polystyrene sulfonate, 41

sodium sulfacetamide, 8, 9, 21

sulfacetamide sodium/sulfur, 8 Sure-fine Pen Needles 31GX3/16" 5MM, 38

sodium sulfacetamide wash, 9

sulfacetamide sodium/sulfur cleanser, 8

sodium sulfacetamide/sulfur, 8

sulfacleanse 8/4, 8 Sure-fine Pen Needles 31GX5/16" 8MM, 38

sodium sulfacetamide/sulfur cleanser, 8

Sulfadiazine, 2

sodium sulfacetamide/sulfur cleansing cloths, 8

sulfamethoxazole/trimethoprim, 3 Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 38

sulfamethoxazole/trimethoprim DS, 3

sodium sulfacetamide/sulfur green, 8

Sulfamylon, 10 Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 38

sodium sulfacetamide/sulfur w/sunscreen, 8

sulfasalazine, 14

sulfatrim pediatric, 3 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 38

sodium sulfacetamide/sulfur wash, 8

sulindac, 24

sodium thiosulfate, 41

sumatriptan succinate, 24 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 38

Soliris, 17

Sumatriptan Succinate, 24

Soltamox, 4

sumatriptan succinate refill, 24 Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

Solu-cortef, 10

Super Daily D3, 27, 47

Solus V2 Lancing Device, 37

Super Thin Lancets, 31 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

Solus V2 Pressure Activated Safety Lancets 28G, 31

Supprelin LA, 13

Suprax, 1 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 38

Solus V2 Twist Lancets 30G, 31

Supreme II Confidence Paddles, 37

Somatuline Depot, 13

Suprep Bowel Prep, 14 Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 38

Somavert, 13

Sure Comfort Alcohol Prep Pads, 40

sorine, 6

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

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

sotalol HCL, 6

sotalol HCL (AF), 6



Sovaldi, 3

Spiriva Handihaler, 25



Spiriva Respimat, 25

spironolactone, 7

Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16, 37

Sure-lance Flat Lancets, 31

spironolactone/hydrochlorothiazide, 7

Sure-lance Lancets 26G, 31

Sporanox, 2


Sure-lance Thin Lancets 28G, 31

sprintec 28, 11, 44

Sure-lance Ultra Thin Lancets, 31

Sprix, 24

Sure Comfort Insulin Syringe/U-100/0. Sure-pen, 38

Sure-prep Alcohol Prep Pads, 40

temazepam, 19 Tgt Lancet Micro Thin 33G, 32

Sure-touch Lancets Universal, 31

Temodar, 3 Tgt Lancet Super Thin 30G, 32

Surelite Lancets, 31

temozolomide, 3 Tgt Lancet Thin 23G, 32

Surestep Glucose Control, 31

tencon, 22 Tgt Lancet Thin 26G, 32

Surestep Glucose Control Solution, 31

Teniposide, 4 Tgt Lancet Ultra Thin 28G, 32

Surestep Pro High Glucosecontrol, 32

Tenivac, 26, 45 Tgt Lancet Ultra Thin 30G, 32

Surestep Pro Linearity Kit, 32

terazosin HCL, 6 Tgt Lancing Device, 38

Surestep Pro Low Glucose Control, 32

terbinafine HCL, 2 tgt nicotine gum, 20, 46

Surestep Pro Normal Glucose Control, 32

terbutaline sulfate, 25 tgt nicotine polacrilex, 20, 46

terconazole, 15 tgt nicotine step one, 20, 46

Sustiva, 2

Terumo Insulin Syringe/0.3ML/30G X 3/8", 38

tgt nicotine step three, 20, 46

Sutent, 5

tgt nicotine step two, 20, 46

sw nicotine polacrilex, 20, 46


th aspirin, 23, 42

swabflush saline flush, 41

th aspirin low dose, 23, 42

syeda, 11, 44


th enteric aspirin, 23, 42

Sylatron, 5

th folic acid, 16, 44

symax fastabs, 14

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

th iron, 16, 46

symax-SL, 14

Th Prenatal Vitamins, 28, 45

symax-SR, 14


th slow release iron, 16, 46

Symbicort, 25

th vitamin d3, 27, 47

Symlinpen 120, 12


Thalomid, 4

Symlinpen 60, 12

Theo-24, 25

Synagis, 42

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

theochron, 25

Synarel, 13

theophylline, 25

Synribo, 5


theophylline CR, 25

synvexia, 9

theophylline ER, 25

Synvisc, 21


thera-d 2000, 27, 47

Synvisc One, 21

Thera-d 4000, 27, 47

Syprine, 42

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

thera-d rapid repletion, 27, 47

T

thera-d sport, 27, 47

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

Theracys, 5

Tabloid, 4

thermazene, 9

Taclonex, 9


thiamine HCL, 26

tacrolimus, 4, 9

Thinlets GP Lancets, 32

Tafinlar, 5


Thinlets Lancet, 32

Tagrisso, 5

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

take action, 11, 44

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

Talwin, 24


Tamiflu, 2

Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 38

tamoxifen citrate, 4, 47


tamsulosin HCL, 15

testosterone, 10

Tarceva, 5

Testosterone, 10 Thinpro Insulin Syringe/0.5ML/28G X 1/2", 38

Targretin, 10

testosterone cypionate, 10

tarina FE 1/20, 11, 44

testosterone enanthate, 10 Thinpro Insulin Syringe/0.5ML/29G X 1/2", 38

taron-crystals, 15

testosterone P.M., 10

Taron-prex, 28

Testosterone P.M., 10 Thinpro Insulin Syringe/0.5ML/30G X 3/8", 38

Tasigna, 5

Tetanus Toxoid Adsorbed, 26

tazicef, 1

Tetanus/Diphtheria Toxoids-adsorbed, 26, 45


tazidime, 1

Tazorac, 8

Tetanus/Diphtheria Toxoids-adsorbed Adult, 26, 45

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

taztia XT, 6

Tecfidera, 20

tetcaine, 22 Thinpro Insulin Syringe/1ML/29G X 1/2", 38

Tecfidera Starter Pack, 20

tetrabenazine, 20

Techlite AST Lancets, 32

tetracaine HCL, 22 Thinpro Insulin Syringe/1ML/30G X 3/8", 38

Techlite Lancets, 32

Tetracaine HCL, 25

Techlite Lancets 30G, 32

tetracycline HCL, 1 Thinpro Insulin Syringe/1ML/31G X 3/8", 38

Techlite Pen Needles/31G X 5MM, 38

Tetracycline HCL, 1

Techlite Pen Needles/31G X 6 MM, 38

tetravisc, 22 thioridazine HCL, 19


tetravisc forte, 22 thiothixene, 19


tetrix, 9 thrive, 20, 46


Texacort, 9 Thrombate Iii W/10 ML Sterile Water, 17


Tgt Advanced Lancing Device, 38 Thrombate Iii W/20 ML Sterile Water, 17

Teflaro, 1

Tgt Alcohol Swabs, 40 Thymoglobulin, 4

Tekamlo, 7

tgt aspirin, 23, 42 Thyrogen, 42

Tekturna, 6

tgt aspirin low dose, 23, 42 Thyrolar-1, 13

Tekturna HCT, 7

tgt childrens aspirin, 23, 42 Thyrolar-1/2, 13

telmisartan, 6

tgt enteric-coated aspirin, 23, 42 Thyrolar-1/4, 13

telmisartan/amlodipine, 7

Tgt Lancet Alternate Site, 32 Thyrolar-2, 13

telmisartan/hydrochlorothiazide, 7

Thyrolar-3, 13

100/1ML/29G X 1/2", 38 trifluoperazine HCL, 19

tiagabine hydrochloride, 19

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

trifluridine, 21

Tice Bcg, 5

trigels-f forte, 16

ticlopidine HCL, 17


Triglide, 7

Tikosyn, 6

trihexyphenidyl HCL, 20

tilia FE, 11, 44


trilyte, 14, 47

Timentin, 1

trimethobenzamide HCL, 14

Timolol Maleate, 6

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

trimethoprim, 3

timolol maleate, 21

trimethoprim sulfate/polymyxin b sulfate, 21

timolol maleate ophthalmic gel forming, 21

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

trimipramine maleate, 18

tinidazole, 3

topex topical anesthetic, 18 Trinatal RX 1, 28

tis-u-sol, 41

topiragen, 19 Trinate, 28

Tivicay, 2

topiramate, 19 trinessa, 11, 44

tizanidine HCL, 21

toposar, 4 trinessa LO, 11, 44

TL gard RX, 16

topotecan HCL, 5 triphrocaps, 27

TL icon, 16

Topotecan HCL, 5 triple-vitamin/fluoride, 27

TL-hem 150, 16

Torisel, 5 Trisenox, 5

Tobi Podhaler, 2

torsemide, 7 Triumeq, 2

Tobradex, 21

Totect, 5 trivora-28, 11, 44

Tobradex ST, 21

Toujeo Solostar, 12 tropazone, 9

tobramycin, 2

Toviaz, 15 tropicamide, 22

tobramycin inhalation solution PAK, 2

tpn electrolytes, 41 trospium chloride, 15

tobramycin sulfate, 2, 21

Tracer II 3 Volt Battery, 38 trospium chloride ER, 15

tobramycin/dexamethasone, 21

Tracleer, 7 Truedraw Lancing Device, 38

Tobrex, 21

Tradjenta, 12 Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 38

Today Sponge, 15

tramadol HCL, 24

Todays Health Advanced Lancing Device, 38

tramadol HCL ER, 24 Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 38

tramadol hydrochloride/acetaminophen, 24

Todays Health Mini Pen Needles 31G X 1/4", 38

Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 38

trandolapril, 6

Todays Health Original Pen Needles 29G X 1/2", 38

trandolapril/verapamil HCL, 7 Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 38

trandolapril/verapamil HCL ER, 7

Todays Health SHORT Pen Needles 31G X 5/16", 38

tranexamic acid, 17 Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

Transderm-scop, 14

Todays Health Super Thin Lancets 30G, 32

tranylcypromine sulfate, 18 Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

Travatan Z, 21

Todays Health Ultra Thin Lancets 28G, 32

Travel Lancets 30G, 32 Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 38

trazodone HCL, 18

tolazamide, 12

Treanda, 3 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 38

Tolazamide, 12

Trecator, 2

Tolbutamide, 12

Trelstar, 4 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 38

tolcapone, 20

Trelstar Mixject, 4

tolmetin sodium, 24

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

Tolmetin Sodium, 24

Tretten, 17

tolterodine tartrate, 15

Trexall, 4 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 38

tolterodine tartrate ER, 15

tri-estarylla, 11, 44

Topcare Clickfine Universal Pen Eedles 31GX1/4", 38

tri-legest FE, 11, 44 Trueplus Lancets 26G, 32

tri-linyah, 11, 44 Trueplus Lancets 28G, 32

Topcare Clickfine Universal Pen Eedles 31GX5/16", 38

tri-LO-estarylla, 11, 44 Trueplus Lancets 28G Super Thin, 32

tri-LO-marzia, 11, 44 Trueplus Lancets 30G, 32

Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 38

tri-LO-sprintec, 11, 44 Trueplus Lancets 30G Ultra Thin, 32

tri-previfem, 11, 44 Trueplus Lancets 33G, 32


tri-sprintec, 11, 44 Trueplus Lancets 33G Micro Thin, 32

tri-vit/fluoride, 27 Trueplus Safety Lancets 28G, 32


tri-vitamin/fluoride, 27 Trulicity, 12

Triadvance, 28 Trumenba, 26, 45


triamcinolone acetonide, 9, 18, 25 Truvada, 2

triamcinolone IN orabase, 18 Tudorza Pressair, 25

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 38

triamterene/hydrochlorothiazide, 7 tussigon, 25

Triamterene/Hydrochlorothiazide, 7 Twinrix, 26, 45

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 38

triazolam, 19 Tybost, 2

Triazolam, 19 Tygacil, 3

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

Tribenzor, 7 Tykerb, 5

Tricare, 28, 44 Typhim VI, 26

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

tricitrates, 15 Tysabri, 20

tricon, 16 Tyvaso, 7

Topcare Ultra Comfort Insulin Syringe/U-

triderm, 9 Tyvaso Refill, 7

Tyvaso Starter, 7

X 5/16", 38 39

Tyzeka, 3

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

Ultilet Safety Lancets 23G, 32

U

Ultilet SHORT Pen Needles 31GX5/16", 39


u-kera e, 9

Ultilet SHORT Pen Needles31GX3/16", 39

Ulesfia, 10


Uloric, 24

Ultimatecare One, 28

Ulti-lance Automatic/ Clear Tip, 38


Ultimatecare One NF, 28

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 38

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

Ulticare Micro Pen Needles 31G X 8MM, 39

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 38

Ultra Comfort Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

Ulticare Micro Pen Needles 32G X 4MM, 39

Ulticare Insulin Syringe 1CC/28G U-100 1/2", 38

Ultra TABS, 28

Ulticare Micro Pen Needles/31G X 8MM, 39

Ultra Thin Lancets 28G, 32

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 38

Ultra Thin Lancets 30G, 32

Ulticare Micro Pen Needles/32G X 4MM, 39

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

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 38

Ulticare Mini Pen Needles 31GX6MM, 39 Ultra-comfort Insulin Syringe/U-100/0.3ML/30G X 5/16", 39

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 38

Ulticare Mini Pen Needles Ulti-fine IV, 39

Ulticare Mini Pen Needles/31G X 6MM, 39


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

Ulticare Mini Pen Needles31GX6MM, 39 Ultra-comfort Insulin Syringe/U-100/0.5ML/28G X 1/2", 39


Ulticare Original Pen Needles Ulti-fine, 39



Ulticare Pen Needles/29G X 12.7MM, 39

Ulticare SHORT Pen Needles 31GX8MM, 39



Ulticare SHORT Pen Needles Ulti-fine IV, 39



Ulticare SHORT Pen Needles/31G X 8MM, 39

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


Ulticare Thin Lancets 30G, 32 Ultra-comfort Insulin Syringe/U-100/1ML/29G X 1/2", 39


Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 39


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

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 39



Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 39

Ultra-thin II Auto Lancet, 32


Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 39

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 39


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


Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 38








Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 39


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

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 39

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

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

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 39

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

Ultilet Classic Lancets, 32 Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 39

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

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

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 39



Ultra-thin II Lancets 28G, 32


Ultra-thin II Lancets 30G, 32


Ultra-thin II Mini Pen Neeedles/31GX3/16", 39



Ultra-thin II Pen Needles 29GX1/2", 39

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 39

Ultra-thin II Pen Needles/SHORT/31GX5/16", 39


Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 39

Ultra-thin II Safety Autolancets 26G, 32


Ultralance, 39

Ultilet Lancets, 32 umecta mousse, 9


Ultilet Lancets 33G, 32 Unifine Pentips 29GX12MM, 39

Ultilet Pen Needle 32GX4MM/SHORT, Unifine Pentips 31G X 3/16", 39

Ulticare Insulin Syringe/U-100/0.5ML/31G

Unifine Pentips 31G X 6MM, 39

uroav-81, 15 vecuronium bromide, 21

Unifine Pentips 31G X 8MM, 39

uroav-b, 15 Velcade, 5

Unifine Pentips 31GX5MM, 39

urolet mb, 15 Veletri, 8


urophen mb, 15 velivet, 11, 44


urosex, 27 Veltassa, 42


ursodiol, 15 venlafaxine HCL, 18

Unifine Pentips Plus 29GX12MM, 39

uryl, 15 venlafaxine HCL ER, 18


ustell, 15 Venlafaxine HCL ER, 18


uta, 15 Ventavis, 8


uticap, 15 verapamil HCL, 6


utira-c, 15 verapamil HCL ER, 6

Unilet Comfortouch Lancet, 32

utrona-c, 15 verapamil HCL SR, 6

Unilet Excelite, 32

Uvadex, 5 verdrocet, 24

Unilet Excelite II, 32

V Veregen, 10

Unilet G.p. Lancet, 32

Vesicare, 15

v-c forte, 27

Unilet G.p. Superlite Lancet, 32

vestura, 11, 44

V-go 20, 32

Unilet GP 28 Ultra Thin, 32

Vexol, 21

V-go 30, 32

Unilet Lancet, 32

Viagra, 7

V-go 40, 32

Unilet Lancets Micro-thin33G, 32

Vibativ, 3

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

Unilet Lancets Super-thin30G, 32

vic-forte, 27

Unilet Lancets Ultra-thin 28G, 32

vicodin, 24


Unilet Superlite Lancet, 32

vicodin ES, 24

Unistik 1, 39

vicodin HP, 24


Unistik 2, 39

Victoza, 12

Unistik 2 Comfort, 39

Victrelis, 3

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

Unistik 2 Extra, 39

Vida Mia Autolet Lancing Device, 39

Unistik 2 Neonatal, 39

Vida Mia Unifine Pentips 32GX4MM, 39

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

Unistik 2 Normal, 39

Vida Mia Unifine Pentips Mini 31GX6MM, 39

Unistik 2 Super, 39

Vagifem, 15

Unistik 3, 39

Vida Mia Unifine Pentips Original 29GX12MM, 39

valacyclovir HCL, 2

Unistik 3 Comfort, 39

Valchlor, 3, 10

Unistik 3 Extra, 39

Vida Mia Unilet Lancets Super Thin 30G, 32

Valcyte, 3

Unistik 3 Gentle, 32

valganciclovir, 2

Unistik 3 Neonatal, 39

Vida Mia Unilet Lancets Ultra Thin 28G, 32

valproate sodium, 19

Unistik 3 Normal, 39

valproic acid, 19

Unistik CZT Comfort, 39

Vida Mia Unipfine Pentipsshort 31GX8MM, 39

valsartan, 6

Unistik CZT Normal, 39

valsartan/hydrochlorothiazide, 7

Unistik Safety Lancets 28G, 32

Videx Pediatric, 2

Valstar, 3

Unistik Safety Lancets 30G, 32

vienva, 11, 44

Value Health Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

Unistik Touch Safety Lancets 21G, 32

Vigamox, 21


Viibryd, 18

Value Health Insulin Syringe/U-100/1ML/29G X 1/2", 39


Viibryd Starter Pack, 18


Vimizim, 13

Value Plus Lancets Standard 21G, 32

unithroid, 13

Vimpat, 19

Value Plus Lancets Super Thin 30G, 32

unithroid direct, 13

Vinate C, 28

Value Plus Lancets Thin 26G, 32

Unituxin, 4

Vinate Care, 28

Value Plus Lancing Device, 39

Universal 1 Lancets Thin 26G, 32

Vinate IC, 28

Valumark Lancet Super Thin 30G, 32

Universal 1 Lancets Ultra Thin 30G, 32

Vinate II, 28

Valumark Lancet Ultra Thin 28G, 32

Uptravi, 8

Vinate M, 28

Valumark Pen Needles 29GX12MM, 39

ur n-c, 15

Vinate One, 28

Valumark Pen Needles 31G X 6MM, 39

uramit mb, 15

Vinblastine Sulfate, 4

Valumark Pen Needles 31G X 8MM, 39

ure-k, 9

vincasar PFS, 4

Valved Holding Chamber, 40

urea, 9

vincristine sulfate, 4

vancomycin HCL, 3

urea 40% nail film, 9

vinorelbine tartrate, 4

vandazole, 15

urea hydrating, 9

viorele, 11, 44

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 39

urea IN zinc undecylenate/lactic acid vehicle, 9

Viracept, 2

Viramune, 2

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

urea nail, 9

Virazole, 3

urea topical, 9

Viread, 2

Vantas, 4

urea-c40, 9

virt-CAPS, 27

Vaqta, 26, 45

urelle, 15

virt-gard, 16

Varivax, 26, 45

uretron d/s, 15

virt-phos 250 neutral, 41

Vascepa, 7

uribel, 15

virt-vite, 16

vasopressin, 13

urin d/s, 15

virt-vite plus, 27

Vcf Vaginal Contraceptive Film, 15, 44

Urin-tek, 39

virti-sulf, 8

Vcf Vaginal Contraceptive Foam, 15, 44

uro-blue, 15

virtrate-2, 15

vcf vaginal contraceptivegel, 15, 44

uro-l, 15

virtrate-3, 16

Vectibix, 4

uro-mp, 15

virtrate-k, 15

Vectical, 9

Visudyne, 22

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

zenatane, 8

vita s forte, 27

zenchent, 11, 44

vita-min, 27

Wd Medic Insulin Syringe/1ML/30G X 5/16", 39

zenchent FE, 11, 44

vitacel, 27

zencia, 8

Vitafol-OB, 28

Webcol Alcohol Prep Large 1 Ply, 40 Zenpep, 14

vitajoy daily d gummies, 27, 47

Webcol Alcohol Prep Large 2 Ply, 40 zenzedi, 19

Vitalet Pro Lancets, 32

Webcol Alcohol Prep Medium 2 Ply, 40 Zepatier, 3

Vitalet Pro Plus Lancets, 32

wee care, 16, 46 zeruvia, 10

vitamax pediatric, 27

Wegmans Unifine Pentips Plus 32GX4MM, 39

Zetia, 7

Vitamelts Vitamin D, 27, 47

Zevalin Y-90, 4

vitamin b-complex 100, 27

Wegmans Unifine Pentips Plus/Mini/31GX5MM, 39

Ziagen, 2

vitamin c 222MG, 26

zidovudine, 2

vitamin d, 26, 47

Wegmans Unifine Pentips Plus/SHORT/31GX8MM, 39

Zinacef, 1

vitamin d 400, 27, 47

ziprasidone HCL, 19

vitamin d high potency, 27, 47

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM, 39

Zirgan, 21

vitamin d-1000, 27, 47

Zithromax, 1

vitamin d-1000 maximum strength, 27, 47

Welchol, 7 Zoladex, 4

Wellesse Vitamin D3, 27, 47 zoledronic acid, 12

vitamin d-3, 27, 47

wera, 11, 44 Zoledronic Acid, 12

vitamin d-400, 27, 47

Wide-seal Silicone Diaphragm Kit 60, 44 Zolinza, 5

Vitamin D2, 27

Wide-seal Silicone Diaphragm Kit 65, 44 zolmitriptan, 24

vitamin d3, 27, 47

Wide-seal Silicone Diaphragm Kit 70, 44 zolmitriptan odt, 24

Vitamin D3, 27, 47

Wide-seal Silicone Diaphragm Kit 75, 44 zolpidem tartrate, 19

vitamin d3 400, 27, 47

Wide-seal Silicone Diaphragm Kit 80, 44 zolpidem tartrate ER, 19

vitamin d3 adult gummies, 27, 47

Wide-seal Silicone Diaphragm Kit 85, 44 Zometa, 12

vitamin d3 high potency, 27, 47

Wide-seal Silicone Diaphragm Kit 90, 44 Zomig, 24

vitamin d3 maximum strength, 27, 47

Wide-seal Silicone Diaphragm Kit 95, 44 Zomig Nasal Spray, 24

vitamin d3 super strength, 27, 47

Wilate, 17 zonisamide, 19

vitamin k1, 26

Winrho SDF, 42 Zontivity, 17

vitamins a/c/d/fluoride, 28

wymzya FE, 11, 44 Zorbtive, 13

Vitekta, 2

X Zortress, 4

Vivitrol, 42

Zostavax, 26, 45

x-viate, 10

Vivotif, 26

zovia 1/35e, 11, 44

Xalkori, 5

vol-care RX, 28

Zovirax, 8

Xarelto, 17

Voraxaze, 5

Zydelig, 5

Xarelto Starter Pack, 17

voriconazole, 2

Zyflo CR, 25

Xeomin, 21

Vortex Valved Holding Chamber, 40

Zykadia, 5

Xgeva, 13

Votrient, 5

Zyprexa Relprevv, 19

Xiaflex, 42

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

Zytiga, 4

Xifaxan, 3

Zyvox, 3

Xolair, 25

vp-vite RX, 28

1

Xolegel, 8

Vp-zel, 28

Xtandi, 4 1ST Choice Lancets Super Thin, 32

Vpriv, 17

Xulane, 11, 44 1ST Choice Lancets Thin, 32

vyfemla, 11, 44

xylocaine dental, 25 1ST Choice Lancets Ultra Thin, 32

Vytorin, 7

xylon, 24 1ST Tier Unifine Pentips /Mini/31GX5MM, 39

Vyvanse, 19

Xyntha, 17

W

Xyntha Solofuse, 17 1ST Tier Unifine Pentips 29GX12MM, 39

W&f Lancets 26G, 32

xyphex, 10 1ST Tier Unifine Pentips 31GX6MM, 39

W&f Lancets Colored 21G, 32

Xyrem, 20 1ST Tier Unifine Pentips 31GX8MM, 39

Walgreens Advanced Travellancets 28G, 32

Y 1ST Tier Unifine Pentips 32GX4MM, 39

1ST Tier Unifine Pentips Plus 31GX8MM, 39

Yervoy, 4

Walgreens Comfort Assuredlancets Micro Thin/33G, 32

Yf-vax, 26

1ST Tier Unifine Pentips Plus 32GX4MM, 39

yl folic acid, 16, 44

Walgreens Comfort Assuredlancets Super Thin/28G, 32

Yondelis, 3

1ST Tier Unifine Pentips Plus/Mini/31GX5MM, 39

Your Life Multi Prenatal, 28

Walgreens Lancets, 32

Z

Walgreens Thin Lancets, 32

1ST Tier Unifine Pentips Plus/Original/29GX12MM, 39

Walgreens Ultra Thin Lancets, 32

zafirlukast, 25

warfarin sodium, 17

1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM, 39

zaleplon, 19

Watchhaler, 40

Zaltrap, 4

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

1ST Tier Unilet Comfortouch Lancets 28G, 32

zamicet, 24

Zanosar, 3


1ST Tier Unilet Comfortouch Lancets 30G, 32

zarah, 11, 44

Zavesca, 17


8

zazole, 15

zebutal, 22

8-mop, 9


Zelboraf, 5

Zemaira, 26

SpanishSi usted, o alguien a quien usted está ayudando, tiene preguntas acerca de Common Ground Healthcare Cooperative, tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para hablar con un intérprete, llame al 1-877-514-2442.

HmongYog koj, los yog tej tus neeg uas koj pab ntawd, muaj lus nug txog Common Ground Healthcare Cooperative, koj muaj cai kom lawv muab cov ntshiab lus qhia uas tau muab sau ua koj hom lus pub dawb rau koj. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau [insert number here].

Chinese如果您，或是您正在協助的對象，有關於Common Ground Healthcare Cooperative 方面的問題，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，請撥電話在此插入數字 1-877-514-2442

GermanFalls Sie oder jemand, dem Sie helfen, Fragen zum Common Ground Healthcare Cooperative haben, haben Sie das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Um mit einem Dolmetscher zu sprechen, rufen Sie bitte die Nummer 1-877-514-2442 an.

Arabic ةدعاسملا ىلع لوصحلا يف قحلا كيدلف Common Ground Healthcare Cooperative صوصخب ةلئسأ هدعاست صخش ىدل وأ كيدل ناك نإ

تامولعملاو2442-514-877-1 ـب لصتا مجرتم عم ثدحتلل .ةفلكت ةيا نود نم كتغلب ةيرورضلا

RussianЕсли у вас или лица, которому вы помогаете, имеются вопросы по поводу Common Ground Healthcare Cooperative, то вы имеете право на бесплатное получение помощи и информации на вашем языке. Для разговора с переводчиком позвоните по телефону 1-877-514-2442.

Korean만약 귀하 또는 귀하가 돕고 있는 어떤 사람이 Common Ground Healthcare Cooperative 에 관해서 질문이 있다면 귀하는 그러한 도움과 정보를 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가 있습니다. 그렇게 통역사와 얘기하기 위해서는 1-877-514-2442로 전화하십시오.

Vietnamese Nếu quý vị, hay người mà quý vị đang giúp đỡ, có câu hỏi về Common Ground Healthcare Cooperative, quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn ngữ của mình miễn phí. Để nói chuyện với một thông dịch viên, xin gọi 1-877-514-2442.

Pennsylvania DutchWann du hoscht en Froog, odder ebber, wu du helfscht, hot en Froog baut Common Ground Healthcare Cooperative, hoscht du es Recht fer Hilf un Information in deinre eegne Schprooch griege, un die Hilf koschtet nix. Wann du mit me Interpreter schwetze witt, kannscht du 1-877-514-2442 uffrufe.

Laotianຖ້າທ່ານ, ຫ ຼືຄົນທ ່ທ່ານກໍາລັງຊ່ວຍເຫ ຼືອ, ມ ຄໍາຖາມກ່ຽວກັບ Common Ground Healthcare Cooperative, ທ່ານມ ສິດທ ່ຈະໄດ້ຮັບການຊ່ວຍເຫ ຼືອແລະຂໍ້ມູນຂ່າວສານທ ່ເປັນພາສາຂອງທ່ານບໍ່ມ ຄ່າໃຊ້ຈ່າຍ. ການໂອ້ລົມກັບນາຍພາສາ, ໃຫ້ໂທຫາ 1-877-514-2442.

FrenchSi vous, ou quelqu’un que vous êtes en train d’aider, a des questions à propos de Common Ground Healthcare Cooperative, vous avez le droit d’obtenir de l’aide et l’information dans votre langue à aucun coût. Pour parler à un interprète, appelez 1-877-514-2442.

Polish Jeśli Ty lub osoba, której pomagasz ,macie pytania odnośnie Common Ground Healthcare Cooperative, masz prawo do uzyskania bezpłatnej informacji i pomocy we własnym języku .Aby porozmawiać z tłumaczem, zadzwoń pod numer 1-877-514-2442

Hindi

यदि आपके ,या आप द्वारा सहायता ककए जा रहे ककसी व्यक्तत के Common Ground Healthcare Cooperative[] के बारे में प्रश्न हैं ,तो आपके पास अपनी भाषा में मुफ्त में सहायता और सूचना प्राप्त करने का अधिकार है। ककसी िुभाषषए से बात करने के लिए ,1-877-514-2442 पर कॉि करें।

AlbanianNëse ju, ose dikush që po ndihmoni, ka pyetje për Common Ground Healthcare Cooperative, keni të drejtë të merrni ndihmë dhe informacion falas në gjuhën tuaj. Për të folur me një përkthyes, telefononi numrin 1-877-514-2442.TagalogKung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Common Ground Healthcare Cooperative, may karapatan ka na makakuha ng tulong at impormasyon sa iyong wika ng walang gastos. Upang makausap ang isang tagasalin, tumawag sa 1-877-514-2442.

CGHC.EO.1076-2016

NOTICE OF FOREIGN LANGUAGE ASSISTANCE

Common Ground Healthcare Cooperative (CGHC) is required by law to include the following information with any significant document we provide you: Notice of Nondiscrimination and Availability of Language Assistance Services CGHC complies with applicable Federal civil rights laws and does not discriminate. This means that we do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. CGHC:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other

formats) • Provides free language services to people whose primary language is not English, such as:

o Qualified interpreters o Information written in other languages

If you need these services, please call 877-514-2442. If you believe that CGHC 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 by contacting:

Civil Rights Coordinator: Wayne Creggett Telephone Number: 414-269-4684 Mailing Address: 120 Bishop’s Way, Suite 150 Brookfield, WI 53005-6271 Fax Number: 262-754-9690 Email Address: [email protected]

You can file a grievance in person, by mail, fax, or email. If you need help filing a grievance, Wayne Creggett, Civil Rights Coordinator, is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

CGHC.EO.1074-2016

mailto:[email protected]

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

Foreign Language Assistance Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-514-2442. Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-877-514-2442. Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-877-514-2442。

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-877-514-2442. Arabic

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-877-514-2442

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-877-514-2442. Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-514-2442 번으로

전화해 주십시오. Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-877-514-2442. Pennsylvania Dutch Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-877-514-2442. Laotian ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-877-514-2442.. French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-877-514-2442. Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-877-514-2442. Hindi ध्यान द�: य�द आप िहंदी बोलते ह� तो आपके िलए मुफ्त म� भाषा सहायता सेवाएं उपलब्ध ह�। 1-877-514-2442. पर कॉल कर�। Albanian KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-877-514-2442. Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-514-2442.

2016 Formulary - Common Ground Healthcare Cooperative

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Transcript of 2016 Formulary - Common Ground Healthcare Cooperative