List of covered drugs · INTRODUCTION Catamaran utilizes a Pharmacy and Therapeutics Committee (P &...
Transcript of List of covered drugs · INTRODUCTION Catamaran utilizes a Pharmacy and Therapeutics Committee (P &...
List of covered drugs
INTRODUCTION
Catamaran 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
Catamaran has a formulary structure which includes most prescription drugs. The formulary
structure features medications generics (with the lowest co-payments), preferred and non-
preferred brand-name drugs.
Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under
“GENERIC” have the same active ingredient as the brand-name versions but at a lower
cost.
Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs
that will generally have lower co-payments than non-preferred brand name drugs.
Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-
payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the Catamaran 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 generic,
preferred brand-name, and non-preferred brand-name medications. Health plans often design
prescription drug plans to encourage the use of generic and preferred brand-name drugs.
Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as
coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients
may also pay less for generic drugs, or they may be asked to pay the cost difference between
brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version
becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose
to provide coverage only for certain medications, time periods, doses, quantities, or for a
specific indications (e.g. they may exclude coverage for medications for unapproved, unproven,
or cosmetic indications). When coverage for medications is provided based on use or quantity,
Catamaran 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 Catamaran Member Services representative to determine specific
coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in
each drug category. The preferred brand name products are listed next, and non-preferred
brand products are listed last.
*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 Catamaran. 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
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Cefaclor ER
Cefotetan
Cefotetan/Dextrose
Cefoxitin Sodium
April 2014
Ceftin
Cefuroxime Sodium
ANTI-INFECTIVES
Cefuroxime/Dextrose
Mefoxin
PENICILLINS
Zinacef
GENERIC
Zinacef IN Iso-osmotic Dextrose
amoxicillin
Zinacef IN Iso-osmotic Diluent
amoxicillin/clavulanate potassium
THIRD GENERATION
amoxicillin/clavulanate potassium ER
GENERIC
ampicillin
cefdinir
ampicillin sodium
cefotaxime sodium
ampicillin-sulbactam
cefpodoxime proxetil
dicloxacillin sodium
ceftazidime
nafcillin sodium
ceftriaxone sodium
oxacillin sodium
NON PREFERRED
penicillin v potassium
Cedax
penicillin G potassium
Cefditoren Pivoxil
piperacillin sodium/ tazobactam sodium
Ceftazidime
piperacillin sodium/tazobactam sodium
Ceftazidime/Dextrose
piperacillin/tazobactam
Ceftibuten
NON PREFERRED
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin
Ceftriaxone/Dextrose
Ampicillin
Claforan
Ampicillin Sodium
Claforan/D5W
Ampicillin-sulbactam
Fortaz
Augmentin
Rocephin
Augmentin ES-600
Spectracef
Augmentin XR
Suprax
Bactocill IN Dextrose
Tazicef
Bicillin C-R
FOURTH GENERATION
Bicillin L-a
GENERIC
Moxatag
cefepime
Nafcillin Sodium
NON PREFERRED
Nallpen Iso-osmotic IN Dextrose
Cefepime
Nallpen/Dextrose
Maxipime
Penicillin G Potassium IN Iso-osmotic Dextrose
Penicillin G Procaine
MACROLIDES
Penicillin G Sodium
GENERIC
Pfizerpen-G
azithromycin
Timentin
clarithromycin
Unasyn
clarithromycin ER
Unasyn Bulk Pack
erythromycin
Zosyn
NON PREFERRED
Azithromycin
CEPHALOSPORIN
Biaxin
FIRST GENERATION
Biaxin XL
GENERIC
Biaxin XL PAC
cefadroxil
Dificid
cefazolin sodium
E.e.s. Granules
cephalexin
E.e.s. 400
NON PREFERRED
Ery-TAB
Ancef
Eryped 200
Cefazolin Sodium
Eryped 400
Cefazolin Sodium/Dextrose
Erythrocin Lactobionate
Cephalexin
Erythrocin Stearate
Keflex
Erythromycin Base
SECOND GENERATION
Erythromycin Ethylsuccinate
GENERIC
PCE
cefaclor
Zithromax
cefoxitin sodium
Zithromax Tri-PAK
cefprozil
Zithromax Z-PAK
cefuroxime axetil
Zmax
cefuroxime sodium
NON PREFERRED
TETRACYCLINES
Cefaclor
Effective April 1, 2014 v.3
©Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization.
1
GENERIC
Isotonic Gentamicin
demeclocycline HCL
Kanamycin Sulfate
doxycycline
Streptomycin Sulfate
doxycycline hyclate
Tobi
doxycycline hyclate DR
Tobramycin Sulfate/Sodium Chloride
doxycycline monohydrate
minocycline HCL
SULFONAMIDES
minocycline HCL ER
PREFERRED
NON PREFERRED
Sulfisoxizole
Adoxa
NON PREFERRED
Adoxa PAK 1/100
Sulfadiazine
Adoxa PAK 1/150
Adoxa PAK 2/100
ANTIMYCOBACTERIAL AGENTS
Alodox Convenience Kit
GENERIC
Avidoxy DK
ethambutol HCL
Doryx
isoniazid
Doxycycline Hyclate
pyrazinamide
Dynacin
rifampin
Minocin
PREFERRED
Minocin Kit
Mycobutin
Monodox
Priftin
Morgidox 1X100MG
Seromycin
Morgidox 2X100MG
Sirturo
Nicazeldoxy 30 Kit
NON PREFERRED
Nicazeldoxy 60 Kit
Capastat Sulfate
Nutridox
Cycloserine
Ocudox
Isoniazid
Oraxyl
Myambutol
Solodyn
Paser
Tetracycline HCL
Rifadin
Vibramycin
Rifamate
Rifater
QUINOLONES
Trecator
GENERIC
ciprofloxacin
ANTIFUNGALS
ciprofloxacin ER
GENERIC
ciprofloxacin HCL
fluconazole
ciprofloxacin I.V.-IN D5W
fluconazole IN dextrose
levofloxacin
fluconazole IN NACL
levofloxacin IN D5W
flucytosine
ofloxacin
griseofulvin microsize
PREFERRED
griseofulvin ultramicrosize
Avelox
itraconazole
Avelox Abc Pack
ketoconazole
NON PREFERRED
nystatin
Cipro
terbinafine HCL
Cipro I.V.-IN D5W
voriconazole
Cipro XR
PREFERRED
Factive
Cancidas
Levaquin
Mycamine
Noroxin
Noxafil
NON PREFERRED
AMINOGLYCOSIDES
Abelcet
GENERIC
Ambisome
amikacin sulfate
Amphotec
gentamicin sulfate
Amphotericin B
gentamicin sulfate pediatric
Ancobon
gentamicin sulfate/sodium chloride
Diflucan
gentamicin sulfate/0.9% sodium chloride
Eraxis
isotonic gentamicin
Fluconazole IN NACL
neomycin sulfate
Grifulvin V
paromomycin sulfate
Gris-peg
tobramycin
Lamisil
tobramycin sulfate
Onmel
PREFERRED
Sporanox
Tobi Podhaler
Sporanox Pulsepak
NON PREFERRED
Terbinex
Bethkis
Vfend
Gentamicin Sulfate/0.9% Sodium Chloride
Vfend IV
Effective April 1, 2014
2
ANTIVIRALS
Epivir HBV
Famvir
GENERIC
Flumadine
abacavir
Foscarnet Sodium
abacavir sulfate/lamivudine/zidovudine
Foscavir
acyclovir
Hepsera
acyclovir sodium
Infergen
adefovir dipivoxil
Olysio
cidofovir
Rebetol
didanosine
Retrovir
famciclovir
Rimantalist
ganciclovir
Sovaldi
lamivudine
Trizivir
lamivudine/zidovudine
Tyzeka
nevirapine
Valtrex
ribavirin
Videx EC
rimantadine HCL
Viramune
stavudine
Virazole
valacyclovir HCL
Vistide
zidovudine
Zerit
PREFERRED
Ziagen
Aptivus
Zovirax
Atripla
Baraclude
ANTIMALARIALS
Complera
Crixivan
GENERIC
Edurant
atovaquone/proguanil HCL
Emtriva
chloroquine phosphate
Epzicom
hydroxychloroquine sulfate
Fuzeon
mefloquine HCL
Incivek
quinine sulfate
Intelence
PREFERRED
Invirase
Coartem
Isentress
Daraprim
Kaletra
Primaquine Phosphate
Lexiva
NON PREFERRED
Moderiba
Aralen
Nevirapine
Atovaquone/Proguanil HCL
Norvir
Malarone
Peg-intron
Plaquenil
Peg-intron Redipen
Qualaquin
Peg-intron Redipen PAK 4
Pegasys
AMEBICIDES
Pegasys Proclick
NON PREFERRED
Prezista
Yodoxin
Relenza Diskhaler
Rescriptor
ANTHELMINTICS
Retrovir IV Infusion
PREFERRED
Reyataz
Albenza
Ribapak
Stromectol
Ribasphere
NON PREFERRED
Ribatab
Biltricide
Selzentry
Stribild
MISC. ANTI-INFECTIVES
Sustiva
GENERIC
Tamiflu
aztreonam
Tivicay
bacitracin
Truvada
clindamycin palmitate HCL
Valcyte
clindamycin phosphate
Victrelis
clindamycin phosphate add-vantage
Videx Pediatric
clindamycin phosphate pharmacy bulk package
Viracept
clindamycin phosphate IN D5W
Viramune XR
clindamycin HCL
Viread
colistimethate sodium
NON PREFERRED
erythromycin/sulfisoxazole
Acyclovir Sodium
imipenem/cilastatin
Combivir
meropenem
Copegus
metronidazole
Cytovene
metronidazole IN NACL 0.79%
Epivir
polymyxin b sulfate
Effective April 1, 2014
3
sulfamethoxazole/trimethoprim
Zanosar
sulfamethoxazole/trimethoprim DS
NON PREFERRED
tinidazole
Carboplatin
trimethoprim
Ceenu
vancomycin HCL
Cisplatin
PREFERRED
Cyclophosphamide
Alinia
Eloxatin
Cayston
Ifex
Dapsone
Ifosfamide
Mepron
Temodar
Nebupent
Thiotepa
Tygacil
Xifaxan
ANTIBIOTICS
Zyvox
GENERIC
NON PREFERRED
bleomycin sulfate
Azactam
dactinomycin
Azactam IN Iso-osmotic Dextrose
daunorubicin HCL
Bacitracin
doxorubicin HCL
Bactrim
doxorubicin HCL liposome
Bactrim DS
epirubicin HCL
Chloramphenicol Sodium Succinate
idarubicin HCL
Cleocin
mitomycin
Cleocin IN D5W
mitoxantrone HCL
Cleocin Pediatric Granules
PREFERRED
Cleocin Phosphate
Daunoxome
Clindamycin Phosphate
Valstar
Coly-mycin M
NON PREFERRED
Cubicin
Adriamycin
Doribax
Cerubidine
Flagyl
Cosmegen
Flagyl ER
Doxil
Invanz
Ellence
Ketek
Epirubicin HCL
Lincocin
Idamycin PFS
Merrem
Metro IV
ANTINEOPLASTIC ENZYMES
Neutrexin
PREFERRED
Pentam 300
Elspar
Primaxin IV
Erwinaze
Primaxin IV Add-vantage
Oncaspar
Primsol
Sulfamethoxazole/Trimethoprim
ANTIMETABOLITES
Synercid
GENERIC
Tindamax
azacitidine
Vancocin HCL
cladribine
Vancomycin HCL
cytarabine
Vancomycin HCL IN Dextrose
cytarabine aqueous
Vibativ
decitabine
floxuridine
ANTINEOPLASTICS, ETC
fludarabine phosphate
ALKYLATING AGENTS
fluorouracil
GENERIC
gemcitabine HCL
carboplatin
mercaptopurine
cisplatin
methotrexate
ifosfamide
methotrexate sodium
melphalan hydrochloride
PREFERRED
oxaliplatin
Alimta
temozolomide
Arranon
PREFERRED
Clolar
Alkeran
Depocyt
Bicnu
Folotyn
Busulfex
Tabloid
Gliadel Wafer
Trexall
Hexalen
Xeloda
Leukeran
NON PREFERRED
Lomustine
Cytarabine
Mustargen
Dacogen
Myleran
Fludara
Treanda
Fludarabine Phosphate
Effective April 1, 2014
4
Gemcitabine
cyclosporine modified
Gemzar
mycophenolate mofetil
Purinethol
mycophenolic acid DR
Vidaza
sirolimus
tacrolimus
ANGIOGENESIS INHIBITORS
PREFERRED
Azasan
PREFERRED
Pomalyst
Avastin
Rapamune
Zaltrap
Revlimid
Thalomid
ANTIBODIES
NON PREFERRED
PREFERRED
Astagraf XL
Adcetris
Atgam
Arzerra
Azathioprine Sodium
Bexxar
Cellcept
Campath
Cellcept Intravenous
Erbitux
Cyclosporine Modified
Herceptin
Imuran
Kadcyla
Myfortic
Perjeta
Neoral
Rituxan
Nulojix
Vectibix
Prograf
Yervoy
Sandimmune
Zevalin Y-90
Simulect
NON PREFERRED
Thymoglobulin
Gazyva
Zortress
HORMONAL AGENTS
MITOTIC INHIBITORS
GENERIC
GENERIC
anastrozole
etoposide
bicalutamide
paclitaxel
exemestane
vincristine sulfate
flutamide
vinorelbine tartrate
letrozole
PREFERRED
leuprolide acetate
Abraxane
megestrol acetate
Docefrez
tamoxifen citrate
Etopophos
PREFERRED
Halaven
Depo-provera
Ixempra Kit
Eligard
Jevtana
Emcyt
Marqibo
Fareston
Taxotere
Faslodex
Teniposide
Firmagon
Vumon
Lupron Depot
NON PREFERRED
Lysodren
Docetaxel
Megestrol Acetate
Etoposide
Nilandron
Navelbine
Soltamox
Paclitaxel
Trelstar Depot
Vinblastine Sulfate
Trelstar Depot Mixject
Trelstar LA
ENZYME INHIBITORS
Trelstar LA Mixject
PREFERRED
Trelstar Mixject
Afinitor
Vantas
Afinitor Disperz
Xtandi
Bosulif
Zoladex
Caprelsa
Zytiga
Cometriq
NON PREFERRED
Gilotrif
Arimidex
Gleevec
Aromasin
Iclusig
Casodex
Inlyta
Femara
Istodax
Megace Oral
Jakafi
Kyprolis
IMMUNOMODULATORS
Mekinist
GENERIC
Nexavar
azathioprine
Sprycel
cyclosporine
Effective April 1, 2014
5
Stivarga
PREFERRED
Sutent
Fusilev
Tafinlar
Totect
Tarceva
Voraxaze
Tasigna
NON PREFERRED
Torisel
Calcium Folinate
Tykerb
Ethyol
Vandetanib
Leucovorin Calcium
Velcade
Mesnex
Votrient
Zinecard
Xalkori
Zelboraf
CHEMOTHERAPY ADJUNCTS
Zolinza
PREFERRED
NON PREFERRED
Elitek
Imbruvica
Kepivance
TOPOISOMERASE I INHIBITOR
ANTINEOPLASTIC COMBO
GENERIC
NON PREFERRED
irinotecan
Ifosfamide/Mesna
topotecan HCL
NON PREFERRED
CARDIOVASCULAR DRUGS
Camptosar
PHOSPHODIESTERASE INHBTR
Hycamtin
GENERIC
Topotecan HCL
milrinone lactate
milrinone IN dextrose
RADIOPHARMACEUTICALS
PREFERRED
CARDIAC GLYCOSIDES
Bexxar 131 Iodine
GENERIC
Metastron
digoxin
Quadramet
NON PREFERRED
NON PREFERRED
Digoxin
Xofigo
Lanoxin
Lanoxin Pediatric
CELLULAR IMMUNOTHERAPY
PREFERRED
ANTIANGINAL AGENTS
Provenge
GENERIC
isosorbide dinitrate
ANTINEOPLASTICS MISC.
isosorbide dinitrate ER
GENERIC
isosorbide mononitrate
dacarbazine
isosorbide mononitrate ER
hydroxyurea
nitroglycerin
pentostatin
nitroglycerin lingual
tretinoin
nitroglycerin transdermal
PREFERRED
nitroglycerin IN dextrose 5%
Actimmune
nitroglycerin IN 5% dextrose
Alferon N
PREFERRED
Intron-a
Dilatrate SR
Intron-a W/Diluent
Nitro-bid
Matulane
Nitrostat
Photofrin
Ranexa
Proleukin
NON PREFERRED
Sylatron
Imdur
Synribo
Isordil Titradose
Targretin
Isosorbide Dinitrate
Theracys
Nitro-dur
Tice Bcg
Nitroglycerin
Trisenox
Nitroglycerin IN Dextrose 5%
Uvadex
Nitroglycerin Lingual
NON PREFERRED
Nitrolingual Pumpspray
Dacarbazine
Nitromist
Hydrea
Nipent
BETA BLOCKERS
GENERIC
CHEMOTHERAPY RESCUE
acebutolol HCL
GENERIC
atenolol
amifostine
betaxolol HCL
dexrazoxane
bisoprolol fumarate
leucovorin calcium
carvedilol
mesna
esmolol HCL
Effective April 1, 2014
6
labetalol HCL
Procardia XL
metoprolol succinate ER
Sular
metoprolol tartrate
Tiazac
nadolol
Verapamil HCL
propranolol HCL
Verelan
propranolol HCL ER
Verelan PM
sotalol HCL
sotalol HCL (AF)
ANTIARRHYTHMICS
PREFERRED
GENERIC
Bystolic
adenosine
Coreg CR
amiodarone HCL
NON PREFERRED
disopyramide phosphate
Betapace
flecainide acetate
Betapace AF
ibutilide fumarate
Brevibloc
lidocaine HCL
Coreg
lidocaine HCL IN D5W
Corgard
lidocaine HCL/dextrose
Hypertenevide-12.5
mexiletine HCL
Inderal LA
propafenone HCL
Innopran XL
propafenone HCL ER
Kerlone
quinidine gluconate CR
Levatol
quinidine gluconate ER
Lopressor
quinidine sulfate
Pindolol
PREFERRED
Propranolol HCL
Tikosyn
Sectral
NON PREFERRED
Sotalol Hydrochloride
Adenocard
Tenormin
Amiodarone HCL
Timolol Maleate
Cordarone
Toprol XL
Corvert
Trandate
Lidocaine HCL
Zebeta
Multaq
Nexterone
CALCIUM CHANNEL BLOCKERS
Norpace
GENERIC
Norpace CR
amlodipine besylate
Procainamide HCL
diltiazem CD
Quinidine Gluconate
diltiazem HCL
Quinidine Sulfate ER
diltiazem HCL ER
Rythmol
felodipine ER
Rythmol SR
nicardipine HCL
Tambocor
nifedipine
Xylocaine
nifedipine ER
nimodipine
ACE INHIBITORS
nisoldipine
GENERIC
verapamil HCL
benazepril HCL
verapamil HCL ER
captopril
verapamil HCL SR
enalapril maleate
NON PREFERRED
enalaprilat
Adalat CC
fosinopril sodium
Calan
lisinopril
Calan SR
moexipril HCL
Cardene I.v.
perindopril erbumine
Cardene IV
quinapril HCL
Cardene SR
ramipril
Cardizem
trandolapril
Cardizem CD
NON PREFERRED
Cardizem LA
Accupril
Cleviprex
Aceon
Dilacor XR
Altace
Diltiazem HCL
Epaned
Hypertenipine-2.5
Lotensin
Isoptin SR
Mavik
Isradipine
Prinivil
Nisoldipine
Univasc
Nisoldipine ER
Vasotec
Norvasc
Zestril
Nymalize
Procardia
Effective April 1, 2014
7
ANGIOTENSIN RCPTR BLOCKER
nadolol/bendroflumethiazide
quinapril/hydrochlorothiazide
GENERIC
telmisartan/amlodipine
candesartan cilexetil
valsartan/hydrochlorothiazide
eprosartan mesylate
PREFERRED
irbesartan
Amturnide
losartan potassium
Azor
telmisartan
Benicar HCT
PREFERRED
Exforge
Benicar
Exforge HCT
Diovan
Micardis HCT
NON PREFERRED
Tarka
Atacand
Tekamlo
Avapro
Tekturna HCT
Cozaar
Tribenzor
Edarbi
NON PREFERRED
Micardis
Accuretic
Teveten
Atacand HCT
Avalide
DIRECT RENIN INHIBITORS
Captopril/Hydrochlorothiazide
PREFERRED
Clorpres
Tekturna
Corzide
Diovan HCT
ANTIHYPERTENSIVES MISC.
Dutoprol
GENERIC
Edarbyclor
clonidine HCL
Hypertensolol
doxazosin mesylate
Hyzaar
eplerenone
Lopressor HCT
fenoldopam mesylate
Lotensin HCT
guanfacine HCL
Lotrel
hydralazine HCL
Lytensopril
methyldopa
Lytensopril-90
minoxidil
Methyldopa/Hydrochlorothiazide
prazosin HCL
Propranolol/Hydrochlorothiazide
terazosin HCL
Tenoretic 100
PREFERRED
Tenoretic 50
Demser
Teveten HCT
Dibenzyline
Twynsta
NON PREFERRED
Uniretic
Cardura
Vaseretic
Catapres
Zestoretic
Catapres-tts-1
Ziac
Catapres-tts-2
Catapres-tts-3
DIURETICS
Corlopam
GENERIC
Inspra
acetazolamide
Methyldopate HCL
acetazolamide sodium
Minipress
acetazolamide ER
Nexiclon XR
amiloride HCL
Nitropress
amiloride/hydrochlorothiazide
Phentolamine Mesylate
bumetanide
Reserpine
chlorothiazide
Tenex
chlorothiazide sodium
Vecamyl
furosemide
hydrochlorothiazide
ANTIHYPERTENSIVE COMBO
indapamide
GENERIC
mannitol
amlodipine besylate/benazepril hydrochloride
methazolamide
amlodipine besylate/benazepril HCL
metolazone
atenolol/chlorthalidone
spironolactone
benazepril HCL/hydrochlorothiazide
spironolactone/hydrochlorothiazide
bisoprolol fumarate/hydrochlorothiazide
torsemide
candesartan cilexetil/hydrochlorothiazide
triamterene/hydrochlorothiazide
enalapril maleate/hydrochlorothiazide
NON PREFERRED
fosinopril sodium/hydrochlorothiazide
Acetazolamide
irbesartan/hydrochlorothiazide
Aldactazide
lisinopril/hydrochlorothiazide
Aldactone
losartan potassium/hydrochlorothiazide
Chlorothiazide
metoprolol/hydrochlorothiazide
Chlorthalidone
moexipril/hydrochlorothiazide
Effective April 1, 2014
8
Demadex
Simcor
Diamox
Vascepa
Diuril
Vytorin
Dyazide
Welchol
Dyrenium
Zetia
Edecrin
NON PREFERRED
Furosemide
Advicor
Introl
Altoprev
Lasix
Antara
Maxzide
Colestid
Maxzide-25
Colestid Flavored
Methyclothiazide
Fenofibric Acid
Microzide
Fenoglide
Neptazane
Fibricor
Sodium Diuril
Kynamro
Sodium Edecrin
Lescol
Torsemide
Lescol XL
Triamterene/Hydrochlorothiazide
Lipitor
Zaroxolyn
Livalo
Lofibra
VASOPRESSORS
Lopid
Mevacor
GENERIC
Niacor
dobutamine HCL
Niaspan
dobutamine HCL/D5W
Pravachol
dobutamine/dextrose 5%
Questran
dopamine HCL
Questran Light
dopamine HCL-dextrose 5%
Tricor
dopamine HCL/dextrose 5%
Triglide
dopamine/D5W
Trilipix
ephedrine sulfate
Zocor
midodrine HCL
norepinephrine bitartrate
CARDIOVASCULAR - MISC.
phenylephrine HCL
PREFERRED
GENERIC
Epipen 2-PAK
amlodipine besylate/atorvastatin calcium
Epipen-JR 2-PAK
epoprostenol sodium
NON PREFERRED
papaverine HCL
Adrenaclick
sildenafil citrate
Adrenalin
PREFERRED
Auvi-q
Adcirca
Dobutamine/Dextrose 5%
Caverject
Dopamine HCL
Caverject Impulse
Epinephrine
Cialis
Levophed
Edex
Neo-synephrine
Letairis
Phenylephrine HCL
Muse
Opsumit
ANTIHYPERLIPIDEMICS
Remodulin
Revatio
GENERIC
Tracleer
atorvastatin calcium
Tyvaso
cholestyramine
Tyvaso Refill
cholestyramine light
Tyvaso Starter
colestipol HCL
Veletri
colestipol HCL for oral suspension
Ventavis
fenofibrate
Viagra
fenofibrate micronized
NON PREFERRED
fenofibric acid DR
Adempas
fluvastatin
Amlodipine Besylate/Atorvastatin Calcium
gemfibrozil
Bidil
lovastatin
Caduet
niacin ER
Flolan
pravastatin sodium
Levitra
simvastatin
Natrecor
PREFERRED
Staxyn
Crestor
Stendra
Juxtapid
Lipofen
DERMATOLOGICALS
Liptruzet
Lovaza
Effective April 1, 2014
9
ACNE PRODUCTS
Sodium Sulfacetamide/Sulfur
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
GENERIC
Sodium Sulfacetamide/Sulfur IN Urea
adapalene
Sulfoam
benzoyl peroxide
Sumadan Kit
benzoyl peroxide SHORT contact
Sumadan Wash
clindamycin phosphate
Sumadan XLT
clindamycin/benzoyl peroxide
Sumaxin
erythromycin
Sumaxin CP Kit
erythromycin/benzoyl peroxide
Sumaxin Ts
sodium sulfacetamide
Sumaxin Wash
sodium sulfacetamide/sulfur
Tretin-x
sodium sulfacetamide/sulfur cleanser
Vanoxide-HC
sodium sulfacetamide/sulfur cleansing cloths
Zacare 4% Kit
sodium sulfacetamide/sulfur green
Zacare 8% Kit
sodium sulfacetamide/sulfur wash
sulfacetamide sodium
ROSACEA AGENTS
sulfacetamide sodium/sulfur cleanser
tretinoin
GENERIC
tretinoin microsphere
metronidazole
tretinoin microsphere P.M.
PREFERRED
PREFERRED
Finacea
Acanya
Finacea Plus
Atralin
Oracea
Epiduo
NON PREFERRED
Veltin
Metrocream
Ziana
Metrogel
NON PREFERRED
Metrolotion
Absorica
Mirvaso
Aczone
Noritate
Akne-mycin
Rosadan Kit
Avar
Avar LS
ANTIBIOTICS - TOPICAL
Avar LS Cleanser
GENERIC
Avar-e LS
mupirocin
Azelex
mupirocin calcium
Benzac Ac Wash
NON PREFERRED
Benzac W Wash
Altabax
Benzaclin
Bactroban
Benzaclin With P.M.
Centany
Benzamycin
Centany AT
Benzamycinpak
Cortisporin
Benzefoam
Gentamicin Sulfate
Benzefoamultra
Benziq
ANTIFUNGALS - TOPICAL
Benziq LS
GENERIC
Claravis
ciclopirox
Clarifoam EF
ciclopirox nail lacquer
Cleocin-t
ciclopirox olamine
Clindacin Etz
clotrimazole
Clindacin PAC
clotrimazole/betamethasone dipropionate
Clindagel
econazole nitrate
Delos
ketoconazole
Differin
nystatin
Duac
nystatin/triamcinolone
Erygel
PREFERRED
Evoclin
Nystatin
Fabior
Nystatin Domestic
Inova
Nystatin Foreign
Inova 4/1 Acne Control Therapy
NON PREFERRED
Inova 8/2 Acne Control Therapy
Ciclodan Cream Kit
Klaron
Ciclodan Solution Kit
Lavoclen-4 Creamy Wash
Ciclopirox Topical Solution Kit
Lavoclen-8 Creamy Wash
Cnl8 Nail Kit
Nuox
Ecoza
Retin-a
Ertaczo
Retin-a Micro
Exelderm
Retin-a Micro P.M.
Extina
Riax
Halotin
Rosanil
Ketodan Kit
Effective April 1, 2014
10
Lamisil Spray
Glycolic Acid 70% High Purity
Loprox
Ovace Plus
Loprox Shampoo
Ovace Plus Wash
Lotrisone
Ovace Wash
Mentax
Promiseb
Naftin
Promiseb Complete
Nizoral
Seb-prev
Oxistat
Selenium Sulfide
Pediaderm AF Complete Kit
Selrx
Pedipirox-4 Nail
Selsun Shampoo
Penlac Nail Lacquer
Sodium Sulfacetamide/Urea
Vusion
Tersi Foam
Xolegel
TL Triseb
Xolegel Corepak
Xolegel Duo/Head & Shoulders
CORTICOSTEROIDS - TOPICAL
Xolegel Duo/Xolex
GENERIC
alclometasone dipropionate
ANTIVIRALS - TOPICAL
amcinonide
GENERIC
augmented betamethasone dipropionate
acyclovir
betamethasone dipropionate
PREFERRED
betamethasone valerate
Denavir
clobetasol propionate
NON PREFERRED
clobetasol propionate emollient
Lidovir
desonide
Xerese
desoximetasone
Zovirax
diflorasone diacetate
fluocinolone acetonide
ANTI-INFLAMMATORY AGENTS
fluocinonide
fluocinonide emollient base
PREFERRED
fluocinonide-e
Voltaren
fluticasone propionate
NON PREFERRED
halobetasol propionate
Flector
hydrocortisone
Lidoprofen
hydrocortisone acetate/aloe
Pennsaid
hydrocortisone butyrate
Vopac
hydrocortisone butyrate (lipid)
Vopac GB
hydrocortisone butyrate (lipophilic)
Vopac Kt
hydrocortisone valerate
hydrocortisone IN absorbase
ANTIPRURITICS
mometasone furoate
NON PREFERRED
prednicarbate
Prudoxin
triamcinolone acetonide
Zonalon
PREFERRED
Pramosone
ANTIPSORIATICS
Pramosone E
GENERIC
Taclonex
acitretin
NON PREFERRED
calcipotriene
Aclovate
PREFERRED
Ala Scalp
Oxsoralen Ultra
Amcinonide
Tazorac
Apexicon E
8-mop
Capex
NON PREFERRED
Carmol-HC
Calcitriol
Clobex
Dovonex
Clocortolone Pivalate
Dritho-creme HP
Clocortolone Pivalate P.M.
Soriatane
Cloderm
Sorilux
Cloderm P.M.
Stelara
Cordran
Vectical
Cordran SP
Zithranol
Cordran Tape
Zithranol-rr
Cutivate
Derma-smoothe/FS Body
ANTISEBORRHEIC AGENTS
Derma-smoothe/FS Body Oil
GENERIC
Derma-smoothe/FS Scalp
selenium sulfide
Derma-smoothe/FS Scalp Oil
sodium sulfacetamide
Dermasorb HC
sodium sulfacetamide wash
Dermasorb Ta
NON PREFERRED
Dermatop
Glycolic Acid
Effective April 1, 2014
11
Desonate
salicylic acid
Desowen
salicylic acid cream
Desowen Cream/Cetaphil Lotion
salicylic acid lotion
Desowen Lotion/Cetaphil Cream
sodium hyaluronate
Desowen Ointment/Cetaphil Lotion
urea
Desoximetasone
urea topical
Diflorasone Diacetate
urea IN zinc undecylenate/lactic acid vehicle
Diprolene
urea 40% nail film
Diprolene AF
PREFERRED
Elocon
Condylox
Epifoam
Eurax
First-hydrocortisone
Oxsoralen
Halog
NON PREFERRED
Halonate
Aluminum Acetate
Kenalog
Aluvea
Locoid
Anacaine
Locoid Lipocream
Arnica Flower
Luxiq
Atopiclair
Nucort
Aurstat
Nuzon
Aurstat Anti-itch Hydrogel
Olux
Aurstat Anti-itch Hydrogel Kit
Olux-e
Benzoin Compound Tincture
Pandel
Benzoin Tincture
Pediaderm HC
Boric Acid
Pediaderm Ta
Cem-urea
Scalacort DK
Coal TAR
Synalar
Cocaine HCL
Synalar Cream Kit
Dermasorb XM
Synalar Ointment Kit
Drysol
Synalar Ts
Elenzapatch
Temovate
Eletone
Temovate E
Elimite
Texacort
Emla
Topicort
Emulsion SB
Triamcinolone Acetonide
Epiceram
Trianex
Ethyl Chloride
Ultravate
Ethyl Chloride/Fine Pinpoint
Ultravate PAC
Ethyl Chloride/Fine Stream
Ultravate X
Ethyl Chloride/Medium Jet Stream
Vanos
Ethyl Chloride/Medium Stream
Verdeso
Ethyl Chloride/Mist
Westcort
Gebauers Pain Ease
Gebauers Spray And Stretch
IMMUNOMODULATING AGENTS
Genadur
Genadur Kit
GENERIC
Gordofilm
imiquimod
Gordons Urea
PREFERRED
Green Soap
Elidel
Hydro 35
Protopic
Hydro 40 Foam
Zyclara
Hylatopic
Zyclara P.M.
Hylatopic Plus
NON PREFERRED
Hylatopic Plus/Aurstat
Aldara
Hylira
HPR
DERMATOLOGICALS - MISC.
HPR Plus
GENERIC
HPR Plus/Mb Hydrogel
ammonium lactate
Kerafoam
episone CRE
Kerafoam 42
lactic acid
Keralyt
lactic acid e
Keralyt Scalp
lactic acid w/vitamin e
Lac-hydrin
lidocaine
Latrix XM
lidocaine HCL
Lidocaine HCL
lidocaine HCL jelly
Lidocaine/Prilocaine
lidocaine/prilocaine
Lidoderm
lindane
Lycelle
malathion
Mb Hydrogel
permethrin
Mimyx
podofilox
Natroba
Effective April 1, 2014
12
Neosalus
Depo-medrol
Neosalus CP
Dexamethasone
Nuvail
Dexamethasone Intensol
Ovide
Dexamethasone Sodium Phosphate
Pliaglis
Dexpak 10 Day
Pontocaine
Dexpak 13 Day
Pr Cream
Dexpak 6 Day
Presera
Entocort EC
Pruclair
FLO-pred
Prumyx
Kenalog-10
Pyrogallic Acid
Kenalog-40
Qutenza
Medrol
Radigel
Medrol Dosepak
Salex
Millipred
Salex Cream
Millipred DP
Salex Lotion
Orapred
Salicylic Acid
Orapred Odt
Salicylic Acid IN Ammonium Lactate Vehicle
Pediapred
Salkera
Prednisolone Sodium Phosphate
Salvax
Prednisone
Salvax Duo Plus
Prednisone Intensol
Sklice
Prelone
Spinosad
Rayos
Sulfurated Lime
Solu-cortef
Synera
Solu-medrol
Tetrix
Veripred 20
Tropazone
TL-cermide
ANDROGENS-ANABOLIC
Ulesfia
GENERIC
Umecta
danazol
Umecta Nail Film
oxandrolone
Umecta PD
testosterone cypionate
Uramaxin
testosterone enanthate
Uramaxin GT
PREFERRED
Uramaxin GT Kit
Androderm
Utopic
Androgel
Veregen
Androgel P.M.
Virasal
Androxy
Witch Hazel
Axiron
Xclair
NON PREFERRED
Xerac Ac
Anadrol-50
Xylocaine
Android
Delatestryl
ENDOCRINE AND METABOLIC
Depo-testosterone
First-testosterone
CORTICOSTEROIDS
First-testosterone Mc Compounding Kit
GENERIC
Fortesta
betamethasone sodium phosphate/betamethasone acetate
Oxandrin
budesonide
Striant
dexamethasone
Testim
dexamethasone sodium phosphate
Testopel
fludrocortisone acetate
Testred
hydrocortisone
methylprednisolone
ESTROGENS
methylprednisolone acetate
GENERIC
methylprednisolone dose pack
estradiol
methylprednisolone sodiumsuccinate
estradiol valerate
prednisolone
estradiol/norethindrone acetate
prednisolone sodium phosphate
estropipate
prednisone
PREFERRED
PREFERRED
Alora
Uceris
Cenestin
NON PREFERRED
Combipatch
Aristospan Intra-articular
Enjuvia
Aristospan Intralesional
Evamist
Celestone
Minivelle
Celestone-soluspan
Premphase
Cortef
Prempro
Cortisone Acetate
Vivelle-dot
Effective April 1, 2014
13
NON PREFERRED
Ortho-novum 7/7/7
Activella
Ovcon-35
Angeliq
Plan B
Climara
Plan B One-step
Climara Pro
Quartette
Delestrogen
Seasonique
Depo-estradiol
Tri-norinyl 28
Divigel
Yasmin 28
Duavee
Yaz
Elestrin
Zovia 1/50e
Estrace
Estrasorb
PROGESTINS
Estrogel
GENERIC
Estropipate
medroxyprogesterone acetate
Femhrt Low Dose
norethindrone acetate
Jinteli
progesterone
Menest
PREFERRED
Menostar
Makena
Prefest
NON PREFERRED
Premarin
Aygestin
Megace ES
CONTRACEPTIVES
Prometrium
GENERIC
Provera
desogestrel/ethinyl estradiol
drospirenone/ethinyl estradiol
ANTIDIABETIC AGENTS
levonorgestrel
INSULIN
levonorgestrel and ethinyl estradiol
PREFERRED
levonorgestrel/ethinyl estradiol
Humalog
norethindrone
Humalog Kwikpen
norgestimate/ethinyl estradiol
Humalog Mix 50/50
PREFERRED
Humalog Mix 50/50 Kwikpen
Beyaz
Humalog Mix 75/25
Loestrin 24 FE
Humalog Mix 75/25 Kwikpen
Lomedia 24 FE
Humulin N
LO Loestrin FE
Humulin N Kwikpen
Minastrin 24 FE
Humulin N U-100 Pen
Natazia
Humulin R
Safyral
Humulin R U-500 (concentrated)
NON PREFERRED
Humulin 70/30
Amethyst
Humulin 70/30 Kwikpen
Brevicon-28
Humulin 70/30 Pen
Cyclessa
Lantus
Desogen
Lantus Solostar
Ella
Levemir
Estrostep FE
Levemir Flexpen
Femcon FE
Novolog
Generess FE
Novolog Flexpen
Loestrin FE 1.5/30
Novolog Mix 70/30
Loestrin FE 1/20
Novolog Mix 70/30 Prefilled Flexpen
Loestrin 1.5/30-21
Novolog Penfill
Loestrin 1/20-21
NON PREFERRED
Loseasonique
Apidra
LO Minastrin FE
Apidra Solostar
Mircette
Novolin N
Modicon
Novolin N Relion
Necon 1/50-28
Novolin R
Necon 10/11-28
Novolin R Relion
Nor-QD
Novolin 70/30
Nordette-28
Novolin 70/30 Relion
Norinyl 1+35
Relion N
Norinyl 1+50
Relion N Innolet
Ogestrel
Relion R
Ortho Evra
Relion 70/30
Ortho Micronor
Relion 70/30 Innolet
Ortho Tri-cyclen
AMYLIN ANALOGS
Ortho Tri-cyclen LO
PREFERRED
Ortho-cept
Symlinpen 120
Ortho-cyclen
Symlinpen 60
Ortho-novum 1/35
INCRETIN MIMETIC AGENTS
Effective April 1, 2014
14
PREFERRED
ANTIDIABETIC COMBINATIONS
Bydureon
GENERIC
Byetta
glipizide/metformin HCL
NON PREFERRED
glyburide/metformin HCL
Victoza
pioglitazone HCL-glimepiride
SULFONYLUREAS
pioglitazone HCL/metformin HCL
GENERIC
PREFERRED
glimepiride
Actoplus Met XR
glipizide
Janumet
glipizide ER
Janumet XR
glyburide
Juvisync
glyburide micronized
Kombiglyze XR
tolazamide
Prandimet
NON PREFERRED
NON PREFERRED
Amaryl
Actoplus Met
Chlorpropamide
Appformin
Diabeta
Appformin-d
Glucotrol
Avandamet
Glucotrol XL
Avandaryl
Glyburide
Duetact
Glynase
Glucovance
Tolazamide
Jentadueto
Tolbutamide
Kazano
BIGUANIDES
Oseni
GENERIC
metformin HCL
BISPHOSPHONATES
metformin HCL ER
GENERIC
PREFERRED
alendronate sodium
Riomet
ibandronate sodium
NON PREFERRED
pamidronate disodium
Fortamet
zoledronic acid
Glucophage
PREFERRED
Glucophage XR
Actonel
Glumetza
Atelvia
MEGLITINIDE ANALOGUES
NON PREFERRED
GENERIC
Alendronate Sodium
nateglinide
Binosto
repaglinide
Boniva
NON PREFERRED
Didronel
Prandin
Etidronate Disodium
Starlix
Fosamax
DIABETIC OTHER
Fosamax Plus D
PREFERRED
Pamidronate Disodium
Glucagen
Reclast
Glucagen Hypokit
Skelid
Glucagon Emergency Kit
Zoledronic Acid
Invokana
Zometa
Proglycem
NON PREFERRED
CALCITONINS
Korlym
GENERIC
ALPHA-GLUCOSIDASE INHIBIT
calcitonin salmon
GENERIC
calcitonin-salmon
acarbose
NON PREFERRED
NON PREFERRED
Fortical
Glyset
Miacalcin
Precose
DPP-4 INHIBITORS
PARATHYROID HORMONE
PREFERRED
PREFERRED
Januvia
Forteo
Onglyza
NON PREFERRED
RANK LIGAND INHIBITORS
Nesina
PREFERRED
Tradjenta
Xgeva
INSULIN SENSITIZING AGENT
NON PREFERRED
GENERIC
Prolia
pioglitazone HCL
NON PREFERRED
CALCIUM REGULATORS - MISC
Actos
NON PREFERRED
Avandia
Ganite
Effective April 1, 2014
15
HORMONE RECEPTOR MDLTR
GENERIC
octreotide acetate
PREFERRED
PREFERRED
Evista
Sandostatin Lar Depot
NON PREFERRED
Signifor
Osphena
Somatuline Depot
NON PREFERRED
FERTILITY REGULATORS
Sandostatin
GENERIC
chorionic gonadotropin
GH RECEPTOR ANTAGONISTS
clomiphene citrate
PREFERRED
PREFERRED
Somavert
Bravelle
Follistim AQ
POSTERIOR PITUITARY
Menopur
Repronex
GENERIC
NON PREFERRED
desmopressin acetate
Clomid
vasopressin
Gonal-f
PREFERRED
Gonal-f RFF
Stimate
Gonal-f RFF Pen
NON PREFERRED
Gonal-f RFF Rediject
Ddavp
Ovidrel
Pitressin Synthetic
LHRH/GNRH AGONIST
CORTICOTROPIN
PREFERRED
PREFERRED
Lupron Depot-PED
Acthar HP
Supprelin LA
Synarel
PROLACTIN INHIBITORS
NON PREFERRED
GENERIC
Lupaneta Pack
cabergoline
GNRH/LHRH ANTAGONISTS
VASOPRESSIN ANTAGONISTS
PREFERRED
PREFERRED
Cetrotide
Samsca
Ganirelix Acetate
NON PREFERRED
Vaprisol
GROWTH HORMONES
PREFERRED
PROGESTERONE ANTAGONISTS
Norditropin Cartridge
NON PREFERRED
Norditropin Flexpro
Mifeprex
Norditropin Nordiflex Pen
Nutropin
METABOLIC MODIFIERS
Nutropin AQ
GENERIC
Nutropin AQ Nuspin 10
calcitriol
Nutropin AQ Nuspin 20
doxercalciferol
Nutropin AQ Nuspin 5
levocarnitine
Nutropin AQ Pen
paricalcitol
NON PREFERRED
sodium phenylbutyrate
Genotropin
PREFERRED
Genotropin Miniquick
Aldurazyme
Humatrope
Carbaglu
Humatrope Combo Pack
Cystadane
Omnitrope
Elaprase
Saizen
Fabrazyme
Saizen Click.easy
Hectorol
Serostim
Kuvan
Tev-tropin
Lumizyme
Zorbtive
Myozyme
Naglazyme
GHRH
Orfadin
NON PREFERRED
Ravicti
Egrifta
Sensipar
NON PREFERRED
SOMATOMEDINS
Ammonul
NON PREFERRED
Buphenyl
Increlex
Carnitor
Carnitor SF
SOMATOSTATIC AGENTS
Rocaltrol
Zemplar
Effective April 1, 2014
16
THYROID AGENTS
NON PREFERRED
Sodium Bicarbonate
GENERIC
levothyroxine sodium
ULCER DRUGS
liothyronine sodium
methimazole
GENERIC
propylthiouracil
atropine sulfate
PREFERRED
cimetidine
Armour Thyroid
cimetidine HCL
NON PREFERRED
dicyclomine HCL
Cytomel
esomeprazole sodium
Levothyroxine Sodium
famotidine
Nature-throid
glycopyrrolate
Nature-throid Nt-2.5
hyoscyamine sulfate
Synthroid
hyoscyamine sulfate odt
Tapazole
hyoscyamine sulfate ER
Thyrolar-1
hyoscyamine sulfate SR
Thyrolar-1/2
lansoprazole
Thyrolar-1/4
lansoprazole/amoxicillin/clarithromycin
Thyrolar-2
methscopolamine bromide
Thyrolar-3
misoprostol
Tirosint
nizatidine
Triostat
omeprazole
Westhroid
omeprazole/sodium bicarbonate
Westhroid-p
pantoprazole sodium
Wp Thyroid
rabeprazole sodium
ranitidine HCL
GASTROINTESTINAL
sucralfate
PREFERRED
LAXATIVES
Carafate
GENERIC
Nexium
lactulose
Pylera
peg 3350/electrolytes
NON PREFERRED
peg-3350/electrolytes
Aciphex
peg-3350/NACL/NA bicarbonate/KCL
Aciphex Sprinkle
polyethylene glycol 3350
Anaspaz
PREFERRED
Atropen
Halflytely Bowel Prep/Flavor Packs
Atropine Sulfate
Kristalose
Axid
Moviprep
Belladonna & Opium
Suclear
Belladonna Alkaloids & Opium
Suprep Bowel Prep
Bentyl
NON PREFERRED
Cantil
Cascara Sagrada
Cuvposa
Colyte-flavor Packs
Cytotec
Golytely
Dexilant
Mineral Oil Heavy
Dicyclomine HCL
Nulytely/Flavor Packs
Digex NF
Osmoprep
Esomeprazole Strontium
Prepopik
Famotidine Premixed
Senna
First-lansoprazole
Senna Leaves
First-omeprazole
Gabitidine
ANTIDIARRHEALS
Gastrinex NF
GENERIC
Glycate
diphenoxylate/atropine
Helidac
loperamide HCL
Levbid
opium
Levsin
opium tincture
Levsin/SL
NON PREFERRED
Nexium I.v.
Diphenoxylate/Atropine
Omeclamox-PAK
Fulyzaq
Omeprazole + Syrspend SF Alka
Lomotil
Pamine
Motofen
Pamine Forte
Paregoric
Pamine FQ
Rezyst IM
Pepcid
Rezyst SB
Prevacid
Vsl#3 DS
Prevacid Solutab
Prevpac
ANTACIDS
Prilosec
Effective April 1, 2014
17
Propantheline Bromide
Canasa
Protonix
Chenodal
Robinul
Cimzia
Robinul Forte
Cimzia Starter Kit
Scopolamine Hydrobromide
Cortifoam
Sentradine
Delzicol
Symax Duotab
Fosrenol
Zantac
Lialda
Zegerid
Linzess
Lotronex
ANTIEMETICS
Pentasa
Proctofoam HC
GENERIC
Rectiv
dronabinol
Relistor
granisetron HCL
Renvela
meclizine HCL
NON PREFERRED
ondansetron odt
Actigall
ondansetron HCL
Analpram-HC
ondansetron HCL/dextrose
Analpram-HC Singles
trimethobenzamide HCL
Anusol-HC
PREFERRED
Apriso
Aloxi
Azulfidine
Emend
Azulfidine EN-TABS
Sancuso
Colazal
Transderm-scop
Cortenema
NON PREFERRED
Dexpanthenol
Antivert
Dipentum
Anzemet
Eliphos
Cesamet
Entereg
Coca Cola Syurp
Gastrocrom
Diclegis
Gattex
Dimenhydrinate
Giazo
Granisol
Lidocaine HCL-hydrocortisone Acetate With Aloe
Marinol
Lidocaine HCL/Hydrocortisone Acetate
Tigan
Metozolv Odt
Zofran
Phoslo
Zofran Odt
Phoslyra
Zuplenz
Procort
Proctocort
DIGESTIVE AIDS
Reglan
PREFERRED
Remicade
Creon
Renagel
Pancrelipase
Rowasa
Sucraid
Sfrowasa
Viokace
Urso Forte
Zenpep
Urso 250
NON PREFERRED
Velphoro
Pancreaze
Z-pram
Pertzye
Ultresa
GENITOURINARY
GASTROINTESTINAL - MISC.
URINARY ANTI-INFECTIVES
GENERIC
GENERIC
balsalazide disodium
methenamine hippurate
calcium acetate
methenamine mandelate
cromolyn sodium
nitrofurantoin
hydrocort ene 100MG
nitrofurantoin macrocrystals
hydrocortisone
nitrofurantoin monohydrate
hydrocortisone acetate/pramoxine
nitrofurantoin monohydrate/macrocrystals
lactulose
NON PREFERRED
lidocaine HCL/hydrocortisone acetate
Furadantin
mesalamine
Hiprex
metoclopramide HCL
Macrobid
sulfasalazine
Macrodantin
ursodiol
Methenamine Mandelate
PREFERRED
Monurol
Amitiza
Prosed/DS
Analpram Advanced
Urelle
Asacol
Uretron D/S
Asacol HD
Urex
Effective April 1, 2014
18
Uribel
PREFERRED
Urimar-t
Cystagon
Urogesic-blue
Elmiron
Uroqid #2
Procysbi
Rapaflo
URINARY ANTISPASMODICS
Renacidin
NON PREFERRED
GENERIC
Avodart
bethanechol chloride
Cardura XL
flavoxate HCL
Citrolith
oxybutynin chloride
Cytra-3
oxybutynin chloride ER
Flomax
tolterodine tartrate
Jalyn
tolterodine tartrate ER
K-phos NO 2
trospium chloride
Lithostat
trospium chloride ER
Oracit
PREFERRED
Potassium Citrate
Gelnique
Potassium Citrate ER
Oxytrol
Proscar
Oxytrol For Women
Pyridium
Toviaz
Shohls Solution Modified
Vesicare
Sodium Citrate
NON PREFERRED
Thiola
Detrol
Tricitrates
Detrol LA
Urocit-k 10
Ditropan XL
Urocit-k 15
Enablex
Urocit-k 5
Myrbetriq
Uroxatral
Sanctura
Sanctura XR
HEMATOLOGICAL
Urecholine
HEMATOPOIETIC AGENTS
VAGINAL PRODUCTS
GENERIC
GENERIC
cyanocobalamin
clindamycin phosphate
folic acid
metronidazole vaginal
folic acid/vitamin b-6/vitamin b-12
terconazole
sodium ferric gluconate complex/sucrose
PREFERRED
PREFERRED
Clindesse
Aranesp Albumin Free
Crinone
Cerezyme
Endometrin
Cyanocobalamin
Estrace
Droxia
Estring
Elelyso
Vagifem
Feraheme
NON PREFERRED
Ferrex 150 Forte Plus
Avc
Ferrex 28
Cleocin
Leukine
Fem PH
Mozobil
Femring
Nascobal
First-progesterone VGS 100 Compounding Kit
Neulasta
First-progesterone VGS 200 Compounding Kit
Neumega
First-progesterone VGS 25 Compounding Kit
Neupogen
First-progesterone VGS 400 Compounding Kit
Nplate
First-progesterone VGS 50 Compounding Kit
Procrit
Gynazole-1
Promacta
Metrogel-vaginal
Venofer
Nystatin Vaginal
Vitamin B12/Folic Acid
Premarin
Vpriv
Relagard
NON PREFERRED
Terazol 3
Albafort
Terazol 7
Animi-3
Animi-3/Vitamin D
GENITOURINARY - MISC.
B-6 Folic Acid
GENERIC
Biferarx
alfuzosin HCL ER
Cenfol
citric acid/sodium citrate
Centratex
finasteride
Corvite 150
hydrochloric acid
Divista
phenazopyridine HCL
Ed Cyte F
tamsulosin HCL
Epogen
Effective April 1, 2014
19
Feriva
Heparin Sodium/NACL 0.45%
Ferivafa
Heparin Sodium/Sodium Chloride 0.9%
Ferralet 90
Iprivask
Ferrlecit
Lovenox
Ferro-plex Hematinic
Ferrotrin
HEMOSTATICS
Folgard RX
GENERIC
Folic Acid
aminocaproic acid
Folivane-f
tranexamic acid
Folivane-plus
NON PREFERRED
Foltrate
Amicar
Fusion Plus
Aminocaproic Acid
Granix
Artiss
Hematogen Fa
Astringyn
Hematron-AF
Cyklokapron
Hemocyte Plus
Evicel
Hemocyte-f
Evithrom
Hydroxocobalamin
Lysteda
Icar-c Plus
Recothrom
Injectafer
Recothrom Spray Kit
Integra F
Thrombin-jmi Diluent
Integra Plus
Thrombin-jmi Epistaxis
Iron
Thrombin-jmi Syringe Spray Kit
Irospan 24/6
Thrombin-jmi W/Dil Spray P.M. Actuator
Maxaron Forte
Thrombogen
Multigen
Tisseel
Multigen Folic
Trasylol
Multigen Plus
Natalvirt Flt
HEMATOLOGICAL - MISC.
Nephron Fa
GENERIC
Novaferrum
anagrelide hydrochloride
Omontys
cilostazol
Pre-folic
clopidogrel
Proferrin-forte
dipyridamole
Protectiron
hetastarch 6%/NACL
Tandem F
pentoxifylline ER
Tandem Plus
ticlopidine HCL
Zavesca
PREFERRED
Advate
ANTICOAGULANTS
Aggrenox
GENERIC
Alphanate/Von Willebrand Factor Complex/Human
argatroban
Alphanine SD
enoxaparin sodium
Benefix
fondaparinux sodium
Berinert
heparin lock
Brilinta
heparin lock flush
Corifact
heparin lock flush for flushing vascular access devices
Effient
heparin lock flush/NACL for flushing vascular access devices
Feiba NF
Feiba VH Immuno
heparin sodium
Helixate FS
heparin sodium dcu
Hemofil M
heparin sodium lock flush
Humate-p
heparin sodium/sodium chloride 0.9% premix
Koate-dvi
heparin sodium/D5W
Kogenate FS
heparin sodium/NACL 0.9%
Kogenate FS Bio-set
warfarin sodium
Monoclate-p
PREFERRED
Mononine
Eliquis
Novoseven
Pradaxa
Novoseven Rt
Xarelto
Recombinate
NON PREFERRED
Riastap
Angiomax
Soliris
Argatroban
Wilate
Arixtra
Xyntha
Coumadin
Xyntha Solofuse
Fragmin
NON PREFERRED
Heparin Lock Flush
Activase
Heparin Sodium
Aggrastat
Heparin Sodium/D5W
Agrylin
Effective April 1, 2014
20
Cathflo Activase
alprazolam ER
Firazyr
buspirone HCL
Hespan
chlordiazepoxide HCL
Hextend
clorazepate dipotassium
Integrilin
diazepam
Kalbitor
droperidol
Kinlytic
gene-xene TAB 15MG
LMD 10% Dextrose 5%
gene-xene TAB 3.75MG
LMD 10% Sodium Chloride 0.9%
gene-xene TAB 7.5MG
Persantine
hydroxyzine pamoate
Plavix
hydroxyzine HCL
Pletal
lorazepam
Protamine Sulfate
meprobamate
Reopro
oxazepam
Retavase
NON PREFERRED
Retavase Half-kit
Alprazolam Intensol
Tnkase
Ativan
Trental
Diazepam
Voluven
Diazepam Intensol
Gabavale-5
MOUTH/THROAT/DENTAL AGENT
Gabazolamine
Gabazolamine-0.5
Hydroxyzine HCL
GENERIC
Hydroxyzine Pamoate
cevimeline HCL
Lorazepam Intensol
chlorhexadine gluconate oral rinse
Niravam
chlorhexidine gluconate
Sentrazolam AM 0.25
chlorhexidine gluconate oral rinse
Tranxene T
clotrimazole
Valium
lidocaine viscous
Vistaril
lidocaine HCL
Xanax
nystatin
Xanax XR
pilocarpine hydrochloride
pilocarpine HCL
ANTIDEPRESSANTS
stannous fluoride oral rinse
GENERIC
triamcinolone acetonide
amitriptyline HCL
triamcinolone IN orabase
bupropion HCL
NON PREFERRED
bupropion HCL ER
Aquoral
bupropion HCL SR
Caphosol
bupropion HCL XL
Debacterol
citalopram hydrobromide
Evoxac
clomipramine HCL
First-bxn Mouthwash
desipramine HCL
First-dukes Mouthwash
doxepin HCL
First-marys Mouthwash
duloxetine HCL
First-mouthwash Blm
escitalopram oxalate
Gel-kam Oral Care Rinse
fluoxetine DR
Gelclair
fluoxetine HCL
Gelx
fluvoxamine maleate
Lta 360 Kit
fluvoxamine maleate ER
Mucotrol
imipramine pamoate
Nafrinse Daily/Acidulated
imipramine HCL
Nafrinse Daily/Neutral
mirtazapine
Nafrinse Weekly
mirtazapine odt
Neutrasal
nefazodone HCL
Numoisyn
nortriptyline HCL
Orafate
paroxetine HCL
Oramagicrx
paroxetine HCL ER
Oravig
phenelzine sulfate
Peridex
protriptyline HCL
Prevident
sertraline HCL
Prothelial
tranylcypromine sulfate
Salagen
trazodone HCL
Salicept
trimipramine maleate
venlafaxine HCL
NEUROLOGY, CNS, PSYCH
venlafaxine HCL ER
ANTIANXIETY AGENTS
PREFERRED
GENERIC
Pristiq
alprazolam
alprazolam odt
Effective April 1, 2014
21
Viibryd
prochlorperazine maleate
NON PREFERRED
quetiapine fumarate
Amoxapine
risperidone
Anafranil
risperidone odt
Aplenzin
thioridazine HCL
Appbutamone
thiothixene
Appbutamone-d
trifluoperazine HCL
Brintellix
ziprasidone HCL
Celexa
PREFERRED
Cymbalta
Abilify
Desvenlafaxine ER
Abilify Discmelt
Doxepin HCL
Abilify Maintena
Effexor XR
Latuda
Emsam
Risperdal Consta
Fetzima
Seroquel XR
Fetzima Titration Pack
NON PREFERRED
Fluoxetine HCL
Adasuve
Forfivo XL
Chlorpromazine HCL
Gaboxetine
Clozapine Odt
Khedezla
Clozaril
Lexapro
Equetro
Luvox CR
Fanapt
Maprotiline HCL
Fanapt Titration Pack
Marplan
Fazaclo
Nardil
Fluphenazine Decanoate
Nefazodone HCL
Fluphenazine HCL
Norpramin
Geodon
Nortriptyline HCL
Haldol
Oleptro
Haldol Decanoate 100
Pamelor
Haldol Decanoate 50
Parnate
Invega
Paxil
Invega Sustenna
Paxil CR
Lithium Carbonate
Pexeva
Lithium Citrate
Prozac
Lithobid
Prozac Weekly
Loxitane
Remeron
Risperdal
Remeron Soltab
Risperdal M-TAB
Sentraflox AM-10
Saphris
Sentralopram AM-10
Seroquel
Sentravil PM-25
Versacloz
Sentroxatine
Zyprexa
Surmontil
Zyprexa Relprevv
Tofranil
Zyprexa Zydis
Trazamine
Venlafaxine HCL ER
HYPNOTICS
Vivactil
GENERIC
Wellbutrin
estazolam
Wellbutrin SR
flurazepam HCL
Wellbutrin XL
phenobarbital
Zoloft
phenobarbital sodium
temazepam
ANTIPSYCHOTICS
triazolam
GENERIC
zaleplon
chlorpromazine HCL
zolpidem tartrate
clozapine
zolpidem tartrate ER
fluphenazine HCL
PREFERRED
haloperidol
Chloral Hydrate
haloperidol decanoate
Lunesta
haloperidol lactate
Rozerem
lithium carbonate
NON PREFERRED
lithium carbonate ER
Ambien
loxapine
Ambien CR
loxapine succinate
Amytal Sodium
olanzapine
Butisol Sodium
olanzapine odt
Doral
perphenazine
Edluar
prochlorperazine
Gabazolpidem-5
prochlorperazine edisylate
Halcion
Effective April 1, 2014
22
Intermezzo
clonazepam odt
Luminal
divalproex sodium
Nembutal Sodium
divalproex sodium DR
Phenobarbital
divalproex sodium ER
Phenobarbital Sodium
ethosuximide
Precedex
felbamate
Quazepam
fosphenytoin sodium
Restoril
gabapentin
Seconal
lamotrigine
Sentrazolpidem PM-5
lamotrigine ER
Silenor
levetiracetam
Somnote
levetiracetam ER
Sonata
oxcarbazepine
Strazepam
phenytoin
Zolpimist
phenytoin sodium
phenytoin sodium extended
ADHD, NARCOLEPSY, ETC.
primidone
tiagabine hydrochloride
GENERIC
topiramate
amphetamine/dextroamphetamine
valproate sodium
caffeine citrate
valproic acid
clonidine HCL ER
zonisamide
dexmethylphenidate HCL
PREFERRED
dexmethylphenidate HCL ER
Banzel
dextroamphetamine sulfate
Celontin
dextroamphetamine sulfate ER
Diazepam
doxapram HCL
Lamictal Odt
methamphetamine HCL
Lyrica
methylphenidate hydrochloride
Onfi
methylphenidate HCL
Peganone
methylphenidate HCL CD
Potiga
methylphenidate HCL ER
Tegretol-XR
methylphenidate HCL SR
NON PREFERRED
modafinil
Carbatrol
PREFERRED
Cerebyx
Daytrana
Depacon
Intuniv
Depakene
Quillivant XR
Depakote
Strattera
Depakote ER
Vyvanse
Depakote Sprinkles
NON PREFERRED
Diastat Acudial
Adderall
Diastat Pediatric
Adderall XR
Dilantin
Cafcit
Dilantin Infatabs
Caffeine/Sodium Benzoate
Felbatol
Concerta
Fycompa
Desoxyn
Gabitril
Dexedrine
Keppra
Dopram
Keppra XR
Focalin
Klonopin
Focalin XR
Lamictal
Kapvay
Lamictal Chewable Dispersible
Kapvay Dose Pack
Lamictal Starter/Not Taking Carbamazepine
Metadate CD
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Methylin
Methylphenidate HCL ER
Lamictal Starter/Taking Valproate
Nuvigil
Lamictal XR
Procentra
Levetiracetam
Provigil
Mysoline
Ritalin
Neurontin
Ritalin LA
Oxtellar XR
Ritalin SR
Phenytek
Sentramodafin AM-100
Sabril
Zenzedi
Stavzor
Tegretol
ANTICONVULSANTS
Therapentin-60
GENERIC
Therapentin-90
carbamazepine
Topamax
carbamazepine ER
Topamax Sprinkle
clonazepam
Trileptal
Trokendi XR
Effective April 1, 2014
23
Vimpat
Nuedexta
Zarontin
Rebif
Zonegran
Rebif Rebidose
Rebif Rebidose Titration Pack
ANTIPARKINSON AGENTS
Rebif Titration Pack
Savella
GENERIC
Tecfidera
amantadine HCL
Tecfidera Starter Pack
benztropine mesylate
Xenazine
bromocriptine mesylate
Xyrem
carbidopa/levodopa
NON PREFERRED
carbidopa/levodopa odt
Antabuse
carbidopa/levodopa CR
Aricept
carbidopa/levodopa ER
Aricept Odt
carbidopa/levodopa SR
Aubagio
entacapone
Betaseron
pramipexole dihydrochloride
Brisdelle
ropinirole ER
Campral
ropinirole HCL
Chlordiazepoxide/Amitriptyline
selegiline HCL
Ergoloid Mesylates
trihexyphenidyl HCL
Exelon
PREFERRED
Extavia
Apokyn
Gilenya
Azilect
Horizant
Lodosyn
Orap
Mirapex ER
Perphenazine/Amitriptyline
NON PREFERRED
Razadyne
Amantadine HCL
Razadyne ER
Carbidopa/Levodopa/Entacapone
Sarafem
Cogentin
Savella Titration Pack
Comtan
Symbyax
Eldepryl
Tysabri
Mirapex
Neupro
NEUROMUSCULAR AGENTS
Parcopa
Parlodel
GENERIC
Requip
atracurium besylate
Requip XL
cisatracurium besylate
Sinemet
pancuronium bromide
Sinemet CR
riluzole
Stalevo 100
rocuronium bromide
Stalevo 125
vecuronium bromide
Stalevo 150
NON PREFERRED
Stalevo 200
Anectine
Stalevo 50
Botox
Stalevo 75
Dysport
Tasmar
Myobloc
Zelapar
Nimbex
Quelicin
NEUROLOGY, PSYCH - MISC.
Quelicin 1000
Rilutek
GENERIC
Xeomin
acamprosate calcium DR
Zemuron
disulfiram
donepezil HCL
MUSCULOSKELETAL AGENTS
fluoxetine
galantamine
GENERIC
galantamine hydrobromide
baclofen
olanzapine/fluoxetine
carisoprodol
rivastigmine tartrate
carisoprodol/aspirin
PREFERRED
carisoprodol/aspirin/codeine
Ampyra
chlorzoxazone
Avonex
cyclobenzaprine HCL
Avonex Pen
dantrolene sodium
Copaxone
metaxalone
Gralise
methocarbamol
Gralise Starter
orphenadrine citrate
Namenda
orphenadrine citrate ER
Namenda Titration PAK
orphenadrine/asa/caffeine
Namenda XR
tizanidine HCL
Namenda XR Titration Pack
Effective April 1, 2014
24
PREFERRED
NON PREFERRED
Euflexxa
Bacitracin
Gablofen
Betadine Ophthalmic Prep
Hyalgan
Bleph-10
Lioresal Intrathecal
Ciloxan
Orthovisc
Garamycin
NON PREFERRED
Mitosol
Amrix
Neosporin
Carisoprodol
Ocuflox
Cyclobenzaprine Comfort PAC
Polytrim
Dantrium
Sulfacetamide Sodium
Dantrium IV
Tobrex
Fexmid
Viroptic
Flexeril
Zirgan
Lorzone
Zymaxid
Norflex
Parafon Forte DSC
ARTIFICIAL TEAR/LUBRICANT
Prazolamine
NON PREFERRED
Robaxin
Lacrisert
Robaxin-750
Skelaxin
BETA-BLOCKERS
Soma
GENERIC
Therabenzaprine-60
betaxolol HCL
Therabenzaprine-90
carteolol HCL
Therabenzaprine-90-5
dorzolamide HCL/timolol maleate
Tizanidine Comfort PAC
levobunolol HCL
Zanaflex
metipranolol
timolol maleate
ANTIMYASTHENIC AGENTS
timolol maleate ophthalmic gel forming
GENERIC
PREFERRED
neostigmine methylsulfate
Betoptic-s
pyridostigmine bromide
Combigan
PREFERRED
NON PREFERRED
Mestinon Timespan
Betagan
Prostigmin
Betimol
NON PREFERRED
Cosopt
Bloxiverz
Cosopt PF
Enlon
Istalol
Enlon-plus
Levobunolol HCL
Guanidine HCL
Optipranolol
Mestinon
Timoptic
Regonol
Timoptic Ocudose
Timoptic-xe
OPHTHALMOLOGY AND OTIC
OPHTHALMIC STEROIDS
ANTI-INFECTIVES
GENERIC
GENERIC
dexamethasone sodium phosphate
bacitracin/polymyxin b
fluorometholone
ciprofloxacin HCL
neomycin/polymyxin/bacitracin/hydrocortisone
erythromycin
neomycin/polymyxin/dexamethasone
gatifloxacin
prednisolone acetate
gentamicin sulfate
sulfacetamide sodium/prednisolone sodium phosphate
levofloxacin
tobramycin/dexamethasone
neomycin/bacitracin/polymyxin
PREFERRED
neomycin/polymyxin/bacitracin zinc
Alrex
neomycin/polymyxin/gramicidin
Durezol
ofloxacin
FML
polymyxin b sulfate/trimethoprim sulfate
Lotemax
sodium sulfacetamide
Pred Mild
sulfacetamide sodium
Retisert
tobramycin sulfate
Tobradex ST
trifluridine
Zylet
trimethoprim sulfate/polymyxin b sulfate
NON PREFERRED
PREFERRED
Blephamide
Azasite
Blephamide S.o.p.
Besivance
Flarex
Moxeza
FML Forte
Natacyn
FML Liquifilm
Vigamox
Maxidex
Effective April 1, 2014
25
Maxitrol
NON PREFERRED
Neomycin/Polymyxin/Hydrocortisone
Akten
Omnipred
Alcaine
Pred Forte
Pred-G
OPHTHALMICS - MISC.
Pred-G S.o.p.
GENERIC
Prednisolone Sodium Phosphate
azelastine HCL
Tobradex
bromfenac
Vexol
cromolyn sodium
diclofenac sodium
PROSTAGLANDINS
dorzolamide HCL
GENERIC
epinastine HCL
latanoprost
flurbiprofen sodium
PREFERRED
ketorolac tromethamine
Lumigan
PREFERRED
Travatan Z
Bepreve
Travoprost
Bromday
NON PREFERRED
Bromfenac
Rescula
Cystaran
Xalatan
Ilevro
Zioptan
Jetrea
Nevanac
CYCLOPLEGIC MYDRIATICS
Pataday
Patanol
GENERIC
Prolensa
atropine sulfate
NON PREFERRED
cyclopentolate HCL
Acular
homatropine HBR
Acular LS
NON PREFERRED
Acuvail
Atropine Sulfate
Alocril
Cyclogyl
Alomide
Cyclomydril
Azopt
Isopto Atropine
Elestat
Isopto Homatropine
Emadine
Isopto Hyoscine
Lastacaft
Ocufen
DECONGESTANTS
Optivar
GENERIC
Trusopt
phenylephrine HCL
NON PREFERRED
OTIC AGENTS
Mydfrin
GENERIC
Naphazoline HCL
acetic acid
antipyrine/benzocaine
MIOTICS
fluocinolone acetonide
GENERIC
fluocinolone acetonide ear drops
pilocarpine HCL
hydrocortisone/acetic acid
PREFERRED
neomycin/polymyxin/hydrocortisone
Phospholine Iodide
neomycin/polymyxin/HC
Pilopine HS
ofloxacin
NON PREFERRED
PREFERRED
Isopto Carbachol
Ciprodex
Isopto Carpine
NON PREFERRED
Acetic Acid/Aluminum Acetate
ADRENERGIC AGENTS
Auralgan
GENERIC
Cetraxal
apraclonidine
Cipro HC
brimonidine tartrate
Ciprofloxacin
NON PREFERRED
Coly-mycin S
Alphagan P
Cortisporin
Iopidine
Cortisporin-tc
Simbrinza
Cresylate
Dermotic
IMMUNOMODULATORS
Myoxin
PREFERRED
Otozin
Restasis
Pramotic
Vosol HC
LOCAL ANESTHETICS
GENERIC
OXYTOCICS
proparacaine HCL
tetracaine HCL
Effective April 1, 2014
26
oxycodone HCL
GENERIC
oxycodone/acetaminophen
methylergonovine maleate
oxycodone/aspirin
oxytocin
oxycodone/ibuprofen
NON PREFERRED
oxymorphone hydrochloride
Cervidil
oxymorphone hydrochloride ER
Hemabate
pentazocine/acetaminophen
Pitocin
pentazocine/naloxone HCL
Prepidil
tramadol hydrochloride/acetaminophen
Prostin E2
tramadol HCL
tramadol HCL ER
PAIN MANAGEMENT
PREFERRED
Butrans
ANALGESICS - NONNARCOTIC
Fentora
GENERIC
Nucynta
butal/asa/caff
Nucynta ER
butalbital/acetaminophen
Opana ER (crush Resistant)
butalbital/acetaminophen/caffeine
Oxycontin
butalbital/apap/caffeine
Suboxone
butalbital/asa/caffeine
NON PREFERRED
choline magnesium trisalicylate
Abstral
diflunisal
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate
salsalate
Actiq
PREFERRED
Alfenta
Halfprin
Aspirin-caffeine-dihydrocodeine
NON PREFERRED
Avinza
Alagesic LQ
Buprenex
Bupap
Capital/Codeine
Butalbital/Aspirin/Caffeine
Codeine Phosphate
Dolgic Plus
Codeine Sulfate
Dologesic
Conzip
Equagesic
Demerol
Esgic
Dilaudid
Esgic-plus
Dilaudid-HP
Fioricet
Dolophine
Fiorinal
Dolophine HCL
Levacet
Duragesic
Mst 600
Exalgo
Ofirmev
Fioricet/Codeine
Orbivan
Fiorinal/Codeine #3
Orbivan CF
Hycet
Phrenilin Forte
Hydrocodone Bitartrate/Acetaminophen
Rhinoflex-650
Hydrocodone/Acetaminophen
Staflex
Hydromorphone HCL
Tencon
Hydromorphone HCL Dosette
Ibudone
ANALGESICS - OPIOID
Infumorph 200
GENERIC
Infumorph 500
acetaminophen/codeine
Kadian
acetaminophen/codeine #2
Lazanda
acetaminophen/codeine #3
Levorphanol Tartrate
acetaminophen/codeine #4
Liquicet
acetaminophen/codeine phosphate
Lorcet Plus
alfentanil
Lorcet 10/650
buprenorphine HCL
Lortab
buprenorphine HCL/naloxone HCL
Magnacet
butalbital/acetaminophen/caffeine/codeine
Maxidone
butalbital/aspirin/caffeine/codeine
Meperidine HCL
butorphanol tartrate
Methadone HCL
fentanyl
Methadose
fentanyl citrate oral transmucosal
Methadose Sugar-free
hydrocodone bitartrate/acetaminophen
Morphine Sulfate
hydrocodone/acetaminophen
Morphine Sulfate Add-vantage
hydrocodone/ibuprofen
Morphine Sulfate IN Dextrose 5%
hydromorphone HCL
MS Contin
meperidine HCL
Norco
methadone HCL
Opana
morphine sulfate
Oxecta
morphine sulfate ER
Oxycodone HCL
nalbuphine HCL
Pentazocine/Naloxone HCL
Effective April 1, 2014
27
Percocet
Vimovo
Percodan
NON PREFERRED
Primlev
Actemra
Reprexain
Anaprox
Roxicet
Anaprox DS
Roxicodone
Arava
Rybix Odt
Arthrotec 50
Subsys
Arthrotec 75
Synalgos-dc
Caldolor
Talwin
Cataflam
Theracodeine-300
Clinoril
Theracodophen-low-90
Daypro
Theracodophen-325
Duexis
Theracodophen-650
Enbrel
Theracodophen-750
Enbrel Sureclick
Theratramadol-60
EC-naprosyn
Theratramadol-90
Feldene
Tramadol HCL ER
Fenoprofen Calcium
Trezix
Ibuprofen Comfort PAC
Tylenol/Codeine #3
Ilaris
Tylenol/Codeine #4
Indocin
Tylox
Indocin IV
Ultiva
Indomethacin
Ultracet
IC 400
Ultram
IC 800
Ultram ER
Ketoprofen ER
Vicoprofen
Ketorolac Tromethamine
Xodol
Kineret
Xolox
Meclofenamate Sodium
Zamicet
Meloxicam
Zohydro ER
Meloxicam Comfort PAC
Zolvit
Mobic
Zubsolv
Nalfon
Zydone
Naprelan
Naprosyn
ANTI-INFLAMMATORY
Naproxen Comfort PAC
Neoprofen
GENERIC
Orencia
diclofenac potassium
Otrexup
diclofenac sodium DR
Ponstel
diclofenac sodium ER
Rheumatrex
diclofenac sodium XR
Simponi
diclofenac sodium/misoprostol
Simponi Aria
etodolac
Sprix
etodolac ER
Therafeldamine
flurbiprofen
Theraprofen-60
ibuprofen
Theraprofen-800
indomethacin
Theraprofen-90
indomethacin sodium
Theraproxen-500
indomethacin ER
Theraproxen-60
ketoprofen
Theraproxen-90
ketorolac tromethamine
Tolmetin Sodium
leflunomide
Trepadiclofen-25
mefenamic acid
Trepoxen-250
meloxicam
Trepoxicam-7.5
nabumetone
Voltaren-XR
naproxen
Xeljanz
naproxen sodium
Zipsor
oxaprozin
Zorvolex
piroxicam
sulindac
MIGRAINE PRODUCTS
tolmetin sodium
PREFERRED
GENERIC
Arcalyst
dihydroergotamine mesylate
Celebrex
naratriptan HCL
Humira
rizatriptan benzoate
Humira Pen
rizatriptan benzoate odt
Humira Pen-crohns Diseasestarter
sumatriptan succinate
Humira Pen-psoriasis Starter
sumatriptan succinate refill
Ridaura
zolmitriptan
Effective April 1, 2014
28
zolmitriptan odt
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
PREFERRED
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Relpax
Sumavel Dosepro
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Treximet
Zomig Nasal Spray
Naropin
NON PREFERRED
Nesacaine
Alsuma
Nesacaine-mpf
Amerge
Pontocaine
Axert
Pontocaine Niphanoid
Cafergot
Sensorcaine-mpf/Epinephrine
Cambia
Turkel Paracentesis Procedure Tray/8french
D.h.e. 45
Xylocaine
Dihydroergotamine Mesylate
Xylocaine-mpf
Ergomar
Xylocaine-mpf/Epinephrine
Frova
Xylocaine/Epinephrine
Imitrex
Imitrex Statdose Refill
RESPIRATORY, ALLERGY, ETC
Imitrex Statdose System
ANTIHISTAMINES
Maxalt
GENERIC
Maxalt-MLT
carbinoxamine maleate
Migergot
cetirizine HCL
Migral
clemastine fumarate
Migranal
cyproheptadine HCL
Sumatriptan
desloratadine
Zomig
desloratadine odt
Zomig ZMT
diphenhydramine HCL
levocetirizine dihydrochloride
GOUT AGENTS
promethazine HCL
GENERIC
promethazine HCL plain
allopurinol
NON PREFERRED
allopurinol sodium
Aerohist
probenecid
Ahist
probenecid/colchicine
Brompheniramine Tannate
PREFERRED
Clarinex
Colcrys
Clarinex Reditabs
Krystexxa
Clemastine Fumarate
Uloric
Dexchlorpheniramine Maleate
NON PREFERRED
Doxytex
Aloprim
Ed Chlorped
Zyloprim
Ed-chlor-tan
Palgic
LOCAL ANESTHETICS-INJ
Phenergan
GENERIC
Promethegan
bupivacaine HCL
Respa-BR
bupivacaine/epinephrine
Xyzal
chloroprocaine HCL
lidocaine HCL
NASAL AGENTS
lidocaine/epinephrine
GENERIC
tetracaine HCL
azelastine HCL
NON PREFERRED
flunisolide
BD Pudendal/Local Block Tray 1% Lidocaine
fluticasone propionate
Carbocaine
ipratropium bromide
Duocaine
triamcinolone acetonide
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
PREFERRED
Astepro
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
Nasonex
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
Phenylephrine HCL
Qnasl
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
NON PREFERRED
Adrenalin
Exparel
Astelin
Lidocaine HCL/Dextrose
Atrovent
Marcaine
Bactroban Nasal
Marcaine W/O Epi
Beconase AQ
Marcaine/Epinephrine
Dymista
Mepivacaine HCL
Flonase
Monoject Bone Marrow Biopsy Prepping Tray
Flunisolide
Nasacort AQ
Effective April 1, 2014
29
Omnaris
Poly H.S. DHC
Patanase
Poly H.S. Nc
Rhinocort Aqua
Poly-tussin DHC
Tyzine
Poly-tussin EX
Tyzine Pediatric Nasal Drops
Relhist
Veramyst
Rescon-JR
Zetonna
Rescon-MX
Rezira
COUGH/COLD/ALLERGY
Semprex-d
Suttar-SF
GENERIC
Suttar-2
acetylcysteine
Tessalon
benzonatate
Tessalon Perles
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Tussafed EX
hydrocodone bitartrate/homatropine methylbromide
Tussionex Pennkinetic Extended Release
hydrocodone polistirex/chlorpheniramine polistirex
Vituz
hydrocodone/homatropine
Z-cof I
phenylephrine/guaifenesin
Zonatuss
promethazine-DM
Zutripro
promethazine/codeine
promethazine/dextromethorphan
ANTIASTHMATIC/COPD AGENTS
sodium chloride
PREFERRED
GENERIC
Tussicaps
albuterol sulfate
NON PREFERRED
albuterol sulfate ER
Alahist Ac
albuterol TAB 4MG
Alahist DHC
aminophylline
Allfen CD
budesonide
Allfen CDX
cromolyn sodium
Ambifed CD
epinephrine HCL
Ambifed CDX
ipratropium bromide
Ambifed-G CD
ipratropium bromide/albuterol sulfate
Ambifed-G CDX
levalbuterol
Carbaphen 12
levalbuterol HCL
Carbaphen 12 PED
montelukast sodium
Clarinex-d 12 HOUR
terbutaline sulfate
Clarinex-d 24 HOUR
theophylline
Cotab A
theophylline CR
Cotab AX
theophylline ER
Cotabflu
theophylline/D5W
Cpb Wc
zafirlukast
Decon-a
PREFERRED
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Advair Diskus
Advair HFA
Donatuss Dc
Arcapta Neohaler
Exactuss
Asmanex 120 Metered Doses
Gilphex TR
Asmanex 14 Metered Doses
Giltuss
Asmanex 30 Metered Doses
Giltuss Pediatric
Asmanex 60 Metered Doses
Giltuss PED-c
Asmanex 7 Metered Doses
Giltuss TR
Atrovent HFA
Hyper-sal
Breo Ellipta
Hypersal
Combivent
J-cof DHC
Combivent Respimat
J-max DHC
Daliresp
Maxifed CD
Dulera
Maxifed CDX
Foradil Aerolizer
Maxifed-G CD
Perforomist
Maxifed-G CDX
Proair HFA
Maxiflu CD
Pulmicort Flexhaler
Maxiflu CDX
Qvar
Maxiphen CD
Serevent Diskus
Maxiphen CDX
Spiriva Handihaler
Nebusal
Symbicort
Neotuss Plus
Tudorza Pressair
Panatuss Dxp
Ventolin HFA
Pediatex TD
NON PREFERRED
Pediatex TDM
Accolate
Phenflu CD
Accuneb
Phenflu CDX
Adrenalin
Effective April 1, 2014
30
Aerospan
Engerix-b
Alvesco
Fluarix Quadrivalent 2013-2014
Anoro Ellipta
Fluarix 2012-2013
Brondil
Fluarix 2013-2014
Brovana
Flublok 2013-2014
Duoneb
Flucelvax 2012-2013
Elixophyllin
Flucelvax 2013-2014
Flovent Diskus
Flulaval Quadrivalent 2013-2014
Flovent HFA
Flulaval 2012-2013
Isuprel
Flulaval 2013-2014
Lufyllin
Flumist Nasal Vaccine 2012-2013
Maxair Autohaler
Flumist Quadrivalent
Metaproterenol Sulfate
Fluvirin PF 2012-2013
Proventil HFA
Fluvirin PF 2013-2014
Pulmicort
Fluvirin 2012-2013
Pulmophylline
Fluvirin 2013-2014
Senophylline
Fluzone High-dose PF 2012-2013
Singulair
Fluzone High-dose PF 2013-2014
Theo-24
Fluzone Intradermal
Theophylline/D5W
Fluzone Pediatric PF 2012-2013
Vospire ER
Fluzone Pediatric PF 2013-2014
Xolair
Fluzone PF 2012-2013
Xopenex
Fluzone PF 2013-2014
Xopenex Concentrate
Fluzone Quadrivalent 2013-2014
Xopenex HFA
Fluzone Split 2012-2013
Zyflo
Fluzone Split 2013-2014
Zyflo CR
Gardasil
Havrix
RESPIRATORY AGENTS - MISC
Hiberix
Imovax Rabies (h.d.c.v.)
PREFERRED
Influenza A (h1n1) Monovalent 2009
Kalydeco
Ipol Inactivated IPV
Prolastin
Ixiaro
Prolastin-c
Je-vax
Pulmozyme
M-m-r II W/Diluent 10 Dose
Zemaira
Menactra
NON PREFERRED
Menhibrix
Aralast NP
Menomune-a/C/Y/W-135
Curosurf
Menveo
Glassia
Pedvax HIB
Infasurf
Pneumovax 23/1 Dose
Survanta Intratracheal
Pneumovax 23/5 Dose
Prevnar 13
TOXOIDS
Proquad
Rabavert
PREFERRED
Recombivax HB
Adacel
Rotarix
Boostrix
Rotateq
Daptacel
Twinrix
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Typhim VI
Infanrix
Vaqta
Kinrix
Varivax
Pediarix
Vivotif Berna
Pentacel
Yf-vax
Tenivac
Zostavax
Tetanus Toxoid Adsorbed
NON PREFERRED
Tetanus/Diphtheria Toxoids-adsorbed Adult
Bcg Vaccine
Tripedia
VITAMINS
VACCINES
VITAMINS
GENERIC
PREFERRED
ascorbic acid
Acthib
ergocalciferol
Afluria PF 2012-2013
phytonadione
Afluria PF 2013-2014
thiamine HCL
Afluria 2012-2013
vitamin c 222MG
Afluria 2013-2014
vitamin d
Biothrax
vitamin k1
Cervarix
Comvax
Effective April 1, 2014
31
PREFERRED
M-vit
Mephyton
Macnatal CN DHA
NON PREFERRED
Marnatal-f
Aquasol A Parenteral
Maxinate
Ascorbic Acid
Moms Choice RX
Decara
Mykidz Iron Fl
Drisdol
Mynatal
Pyridoxine HCL
Mynatal Advance
Vitamin K1
Mynatal Ultracaplet
Wheat Germ
Natachew
Natafort
MULTIVITAMINS
Natalvirt CA
Natalvirt 90 DHA
GENERIC
Natalvit
b-complex
Natelle One
b-complex 100
Natelle-EZ
NON PREFERRED
Neevo
Adrenal C Formula
Neevo DHA
Albafort
Nephplex RX
Atabex EC
Nephro-vite RX
Atabex Prenatal
Nephrocaps
B-nexa
Nephrocaps QT
Bacmin
Nestabs
Bal-care DHA
Nestabs Abc
Bal-care DHA Essential
Nestabs DHA
Cavan-alpha Kit
Nexa Plus
Citranatal Assure
Nexa Select
Citranatal B-calm
Nicazel
Citranatal DHA
Nicazel Forte
Citranatal Harmony
Nicomide
Citranatal RX
Nutricap
Citranatal 90 DHA
Nutrivit
Cod Liver Oil
O-CAL Fa
Concept DHA
O-CAL Prenatal
Concept OB
Obstetrix DHA
Corvite
Obstetrix EC
Crnatal
OB Complete
CO-natal Fa
OB Complete One
Dialyvite Supreme D
OB Complete Petite
Dialyvite 3000
OB Complete Premier
Dialyvite 5000
OB Complete 400
Dialyvite/Zinc
OB Complete/DHA
Diatx ZN
OB-natal One
Duet DHA
Paire OB
Duet DHA Balanced
Poly-VI-flor
Duet DHA EC
Poly-VI-flor/Iron
Duet DHA 400
Pr Natal 400
Duet DHA 400EC
Pr Natal 400 EC
Duet DHA 430
Pr Natal 430
Duet DHA 430EC
Pr Natal 430 EC
Elite OB With DHA
Prefera OB
Elite-OB
Prefera OB + DHA
Elite-OB 400
Preferaob One
Escavite
Prefol-DHA
Escavite LQ
Prenata
Folbecal
Prenatabs RX
Folcaps Omega 3
Prenatal Ad
Folgard OS
Prenatal-u
Folivane-prx DHA NF
Prenate
Folivane-EC Calcium DHA NF
Prenate AM
Folivane-OB
Prenate DHA
Fortavit
Prenate Elite
Gesticare DHA
Prenate Enhance
Inatal Advance
Prenate Essential
Inatal GT
Prenate Mini
Inatal Ultra
Prenate Restore
Levomefolate PNV
Prenexa
M.v.i. Adult
Preque 10
M.v.i. Pediatric
Promar
M.v.i.-12 Without Vitamin K
Protect Cardio
Effective April 1, 2014
32
Protect Plus
Vitamedmd Plus RX/Quatre Folic
Protect Plus NR
Vitamedmd Redichew RX/Quatrefolic
Protectbone
Vitapearl
Protectnatal
Vitaroca Plus
Provida OB
Viva CT Prenatal
Quflora Pediatric
Viva DHA
R-natal OB
Zatean-pn
Renatabs
Zatean-pn DHA
Renatabs With Iron
Zatean-pn Plus
Renax
Zatean-CH
Req 49+
Select-ob+dha
MEDICAL DEVICES
Select-OB
DIABETIC SUPPLIES
Siderol
PREFERRED
Strovite
Accu-chek Active Glucose Control Solution
Strovite Forte
Accu-chek Active Strips
Strovite One
Accu-chek Aviva
Supervite
Accu-chek Aviva Plus
Supervite EC
Accu-chek Comfort Curve Control Solution (2 Levels)
Support-500
Accu-chek Comfort Curve Linearity Solution
Synagex
Accu-chek Comfort Curve Test Strips
Synatek
Accu-chek Compact Blue Control Solution (2 Levels)
Tandem DHA
Accu-chek Compact Plus Care Kit
Tandem OB
Accu-chek Compact Plus Clear Control Solution (2 Levels)
Taron EC Calcium
Accu-chek Compact Strips
Taron-bc
Accu-chek Compact Test Drum
Taron-c DHA
Accu-chek Fastclix Lancetdevice Kit
Taron-duo EC
Accu-chek Fastclix Lancets
Taron-prex
Accu-chek Instant Glucosecontrol Solution (2 Levels)
Taron-EC CAL
Accu-chek Multiclix Lanc Et Device Kit
Tri RX
Accu-chek Multiclix Lancets
Tri-VI-flor
Accu-chek Nano Smartview
Tricare
Accu-chek Safe-t-pro Lancets
Tricare DHA 301
Accu-chek Safe-t-pro Pluslancets
Tricare Prenatal Compleat
Accu-chek Smartview Control
Tricare Prenatal DHA One
Accu-chek Smartview Strips
Trinate
Accu-chek Soft Touch Lancets
Triveen-duo DHA
Accu-chek Softclix Lancetdevice Kit
Triveen-one
Accu-chek Softclix Lancets
Triveen-prx RNF
Accu-chek Voicemate
Triveen-ten
Advocate Lancets
Triveen-u
Advocate Safety Lancets
TL G-FOL OS
Agamatrix Ultra-thin Lancets 33G
Udamin
Assure Haemolance Plus High Flow 18G
Udamin SP
Assure Haemolance Plus Low Flow 25G
Vemavite-prx 2
Assure Haemolance Plus Micro Flow 28G
Vinacal
Assure Haemolance Plus Normal Flow 21G
Vinacal B
Assure Haemolance Plus Pediatric Blade
Vinate AZ
Assure Lance Lancets
Vinate AZ Extra
Assure Lancets
Vinate C
Aurora Lancet Super Thin 30G
Vinate Calcium
Aurora Lancet Thin 23G
Vinate Care
AF Lancets Super Thin
Vinate DHA
AT Last Lancets
Vinate GT
Bayer Microlet Lancets
Vinate IC
Bullseye Safety Lancets
Vinate II
BD Insulin Syringe LUER-LOK/U-100/1ML
Vinate M
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Vinate One
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Vinate Pn Care
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Vita-pren
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Vitafol
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Vitafol Ultra
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Vitafol-ob+dha
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Vitafol-one
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Vitafol-plus
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Vitafol-pn
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Vitafol-OB
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Vital-d RX
BD Insulin Syringe Slip Tip/U-100/1ML
Vitamedmd One RX/Quatrefolic
Effective April 1, 2014
33
BD Insulin Syringe U-40/1ML/25G X 5/8"
Easy Touch Safety Lancets28G/Pressure Activated
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Easy Twist & CAP Lancets
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Easytest II Lancets
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Easytest Lancets
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
EZ Smart Blood Glucose Lancets
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
EZ-lets Lancets 21G
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
EZ-lets Lancets 23G
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
EZ-lets Lancets 26G Super-soft
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
EZ-lets Lancets 28G Ultra-soft
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
EZ-lets Lancets 30G
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Fasttake Test Strips
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Fifty50 Safety Seal Lancets 30G
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Fifty50 Safety Seal Lancets 32G
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Fine 30
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Fingerstix Lancets
Fora Lancets
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Freestyle Lancets
Freestyle Unistick II Lancets
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Gentle-let GP Lancets
Gentle-let Lancets General Purpose Style/Fine Point
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Gentle-let Lancets General Purpose Style/Medium Point
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Gentle-let Lancets Safety Style/Fine Point
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Gentle-let Lancets Safety Style/Medium Point
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Glucocom Lancets 28G
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Glucocom Lancets 30G
BD Lancet Ultrafine 30G
Glucocom Lancets 33G
BD Lancet Ultrafine 33G
Glucosource Lancets
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
H&h Thinlet Lancets 26G
H&h Thinlet Super Thin Lancets 30G
BD Microtainer Lancets
Haemolance
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Haemolance Low Flow Lancets
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Haemolance Plus
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Haemolance Plus High Flow
BD Pen Needle/Ultrafine/29G X 12.7MM
Haemolance Plus Low Flow
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Haemolance Plus Max Flow
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Haemolance Plus Pediatric Flow
Careone Lancet Thin
Hy-vee Lancets
Careone Lancet Ultra Thin
Lancets
Cleanlet Lancets 28G
Lancets Bullseye Safety
Clever Chek Lancets Ultrathin
Lancets Safety Seal 21G
Clever Chek Lancets Ultrathin 30G
Lancets Safety Seal 26G
Coaguchek Lancets
Lancets Safety Seal 28G
Comfort Lancets
Lancets Safety Seal 30G
Diastar Easy Test II Lancets 30G
Lancets Thin
Diastar Easy Test Lancets30G
Lancets Twist Top
Droplet Lancets Ultra Thin 30G
Lancets Ultra Fine
Drug Mart On-the-go Lancets Gentle 30G
Lancets Ultra Thin
Drug Mart Unilet Lancets Super Thin 30G
Lancets 26G Twist Top
Drug Mart Unilet Lancets Ultra Thin 28G
Lancets 28G
E-z Ject Lancets
Lancets 30G
E-z Ject Lancets Color
Lancets 30G Twist Top
E-z Ject Lancets Super Thin
Lancets 31G Twist Top
E-z Ject Lancets Super Thin 30G
Lifescan Unistik II Lancets
E-z Ject Lancets Thin 26G
Lifescan Unistik 2 Deep Penetration
E-z Ject Lancets 21G
Litetouch Lancets Micro Thin 33G
E-ZJECT Lancets Micro-thin 33G
Live Better Lancet Super Thin 30G
Easy Touch Lancets 21G/Pressure Activated
Live Better Lancet Ultra Thin 28G
Easy Touch Lancets 23G/Pressure Activated
Medisense Thin Lancets
Easy Touch Lancets 26G/Pressure Activated
Medlance Plus Extra Lancets 21G
Easy Touch Lancets 28G/Pressure Activated
Medlance Plus Lancets
Easy Touch Lancets 28G/Twist
Medlance Plus Lancets Lite 25G
Easy Touch Lancets 30G/Pressure Activated
Medlance Plus Lite Lancets 25G
Easy Touch Lancets 30G/Twist
Medlance Plus Special Lancets 0.8MM
Easy Touch Lancets 32G/Pressure Activated
Medlance Plus Superlite 30G
Easy Touch Lancets 32G/Twist
Medlance Plus Superlite 30G/Comfort Max
Easy Touch Lancets 33G/Twist
Medlance Plus Universal Lancets 21G
Easy Touch Safety Lancets21G/Pressure Activated
Medlance Plus/Lite 25G
Easy Touch Safety Lancets23G/Pressure Activated
Medlance/Extra
Easy Touch Safety Lancets26G/Button Activated
Medlance/Lite
Easy Touch Safety Lancets26G/Pressure Activated
Medlance/Universal
Easy Touch Safety Lancets28G/Button Activated
Effective April 1, 2014
34
Meijer Super Thin Lancets
Relion Lancets Ultra-thin30G
Microlet Lancets
Relion Thin Lancets
Microtainer Safety Flow Lancet/Sterile/Single-use
Relion Ultra Thin Lancets
Monolet Lancets
Relion Ultra Thin Lancets30G
Monolet Opd Lancets
Relion Ultra Thin Plus Lancets 32G
Monolettor Safety Lancets
Relion Ultra Thin Plus Lancets 33G
Myglucohealth Mgh Softlance Lancets 30G
Renew Advanced Lancing Cartridge Refills
Netgroup Lancets
Rexall Lancets Ultra Thin
Nova Safety Lancets 23G
Rightest Gl300 Lancets
Nova Safety Lancets 28G
Safe-t-lance Low Flow 25G
Nova Sureflex Lancets
Safe-t-lance Normal Flow 21G
Novofine Autocover 30GX8MM
Safe-t-lance Plus Safety Lancet High Flow
Novofine 30GX8MM
Safe-t-lance Plus Safety Lancet Low Flow
Novofine 32GX6MM
Safe-t-lance Plus Safety Lancet Normal Flow
Novotwist 30GX8MM
Safety Lancet 2MM
Novotwist 32GX5MM
Safety Lancet 21G/Pressure Activated
On Call Lancets
Safety Lancet 28G/Pressure Activated
On Call Plus Lancets
Safety Lancets
Onetouch Basic System
Safety Lancets 21G
Onetouch Basic/Profile Test Strips
Safety Lancets 28G
Onetouch Club Lancets Fine Point
Safety Let Lancets
Onetouch Combo Pack
Safety Seal Lancets 28G
Onetouch Delica Lancets Extra Fine 33G
Safety Seal Lancets 30G
Onetouch Delica Lancets Fine 30G
Shopko On-the-go Comfort Lancets 30G
Onetouch Delica Lancing Device
Shopko Unilet Lancets Super Thin 30G
Onetouch Finepoint Lancets
Shopko Unilet Lancets Ultra Thin 28G
Onetouch Lancets
Single-let
Onetouch Ping Meter Remote
Smart Diabetes Vantage Universal Lancets 30G
Onetouch Profile System
Smart Sense Color Lancets Universal 33G
Onetouch Suresoft Lancing Device/18G
Smart Sense Standard Lancets Universal 21G
Onetouch Suresoft Lancing Device/21G
Smart Sense Super Thin Lancets Universal 30G
Onetouch Suresoft Lancing Device/28G
Smart Sense Thin Lancets Universal 26G
Onetouch Ultra Blue
Smartest Lancets 28G
Onetouch Ultra Control
Solus V2 Pressure Activated Safety Lancets 28G
Onetouch Ultra Mini
Solus V2 Twist Lancets 30G
Onetouch Ultra System Kit
Sterilance TL
Onetouch Ultra 2
Sure-lance Flat Lancets
Onetouch Ultralink System (hex)
Sure-lance Lancets 26G
Onetouch Ultralink System (DEC)
Sure-lance Thin Lancets 28G
Onetouch Ultrasmart
Sure-lance Ultra Thin Lancets
Onetouch Ultrasoft Lancets
Sure-touch Lancets Universal
Onetouch Verio Control Solution High
Surelite Lancets
Onetouch Verio IQ Blood Glucose Monitoring System
Surestep Pro Test Strips
Onetouch Verio Mid Control Solution
Surestep Test Strips
Onetouch Verio Sync Bloodglucose Monitoring System
Techlite AST Lancets
Onetouch Verio Test Strips
Techlite Lancets
Pen Needles 29G X 12MM
Techlite Lancets 30G
Pen Needles 29GX1/2"
Thinlets GP Lancets
Pen Needles 30GX5/16"
Thinlets Lancet
Pen Needles 31G X 1/4" SHORT
Trueplus Lancets 26G
Pen Needles 31G X 3/16"
Trueplus Lancets 28G
Pen Needles 31G X 6MM
Trueplus Lancets 28G Super Thin
Pen Needles 31GX5/16"
Trueplus Lancets 30G
Perfect Lancets 30G
Trueplus Lancets 30G Ultra Thin
Perfect Pressure Activated Safety Lancets 28G
Trueplus Lancets 33G
Pharmacy Counter Lancets
Trueplus Lancets 33G Micro Thin
Precision Thin Lancets
Trueplus Safety Lancets 28G
Precision Thins GP Lancet
Ulticare Thin Lancets 30G
Precision Ultra Lancet
Ultilet Basic Lancets 30G
Prodigy Pressure Activated Safety Lancets
Ultilet Classic Lancets
Prodigy Twist Top Lancets
Ultilet Lancets
Pss Select GP Lancets
Ultilet Lancets 33G
Pss Select Safety Lancets
Ultilet Safety Lancets 23G
Px Lancets Ultra Thin
Ultra-thin II Auto Lancet
Qc Lancets Super Thin
Ultra-thin II Lancets 28G
Qc Lancets Ultra Thin
Ultra-thin II Lancets 30G
Relion Lancets
Ultra-thin II Safety Autolancets 26G
Relion Lancets Micro-thin33G
Unilet Comfortouch Lancet
Relion Lancets Standard 21G
Unilet Excelite
Relion Lancets Thin 26G
Unilet Excelite II
Effective April 1, 2014
35
Unilet G.p. Lancet
Element Plus Test Strips
Unilet G.p. Superlite Lancet
Element Test Strips
Unilet GP 28 Ultra Thin
Embrace Blood Glucose Test Strips
Unilet Lancet
Envision Autocode Test Strips
Unilet Superlite Lancet
Eql Truetrack Test
Unistik 3 Gentle
Evencare + Blood Glucose Test Strip
Universal 1 Lancets Thin 26G
Evencare Blood Glucose Test Strip
Universal 1 Lancets Ultra Thin 30G
Evencare G2 Test Strips
Valumark Lancet Super Thin 30G
Evencare G3 Test Strips
Valumark Lancet Ultra Thin 28G
Evolution Autocode
Vida Mia Unilet Lancets Super Thin 30G
Exactech R-s-G Test Strips
Vida Mia Unilet Lancets Ultra Thin 28G
Exactech Test Strips
Vitalet Pro Lancets
EZ Smart Blood Glucose Test Strips
Vitalet Pro Plus Lancets
EZ Smart Plus Blood Glucose Test Strips
W&f Lancets Colored 21G
Fifty50 Glucose Test Strip 2.0
W&f Lancets 26G
Fora D10 Blood Glucose Test Strips
Walgreens Lancets
Fora D15c Blood Glucose Test Strips
Walgreens Thin Lancets
Fora D15z Blood Glucose Test Strips
Walgreens Ultra Thin Lancets
Fora D15G Blood Glucose Test Strips
1ST Choice Lancets Super Thin
Fora D20 Blood Glucose Test Strips
1ST Choice Lancets Thin
Fora GD20 Test Strips
1ST Choice Lancets Ultra Thin
Fora G20 Blood Glucose Test Strips
NON PREFERRED
Fora G30a Blood Glucose Test Strips
Accutrend Glucose
Fora G71a Blood Glucose Test Strips
Acura Blood Glucose Test Strips
Fora G90 Blood Glucose Test Strips
Advance Intuition Test Strips
Fora V10 Blood Glucose Test Strips
Advance Micro-draw Test Strips
Fora V12 Blood Glucose Test Strips
Advocate Redi-code
Fora V20 Blood Glucose Test Strips
Advocate Redi-code+ Test Strips
Fora V22 Blood Glucose Test Strips
Advocate Test Strips
Fora V30a Blood Glucose Test Strips
Agamatrix Amp NO Code Test Strips
Foracare GD40
Agamatrix Jazz Test Strips
Foracare Premium V10 Teststrips
Agamatrix Keynote Test Strips
Foracare Test N Go Test Strips
Agamatrix Presto Test Strips
Freestyle Insulinx Blood Glucose Test
Ascensia Autodisc Test Strips
Freestyle Insulinx Blood Glucose Test Strips
Assure II
Freestyle Lite Test Strips
Assure II Check Strip
Freestyle Test Strips
Assure II Test Strips
Gluco Perfect 3 Test Strips
Assure Platinum Test Strips
Glucocard Expression Blood Glucose Test Strips
Assure Pro Test Strips
Glucocard Vital Test Strips
Assure 3 Test Strips
Glucocard X-sensor
Assure 4 Test Strips
Glucocard 01 Sensor
AT Last Test Strips
Glucocard 01 Test Strips
Bayer Breeze 2 Test Disc
Glucocom Test Strips
Bayer Contour Blood Glucose Test Strips
Glucolab Test Strips
Bayer Contour Next Blood Glucose Test
Gluconavii Blood Glucose Test Strips
Bg Star Blood Glucose Test
Gmate Blood Glucose Test Strips
Bioscanner Glucose Test Strips
Infinity Blood Glucose Test Strips
Blood Glucose Test Strips
Insulin Syringe/0.5ML/30G X 5/16"
Blood Glucose Test Strips Premium
Liberty Next Generation Blood Glucose Test Strips
Careone Blood Glucose Test Strips/Premium
Maxima Blood Glucose Teststrips
Careone Blood Glucose Test Strips/Value
Microdot Test Strips
Caresens N Blood Glucose Test Strips
Myglucohealth Blood Glucose Test
Choice DM Fora G20 Test Strips
Neutek 2tek Test Strips
Clever Chek Auto-code Test Strips
Nexgen Test Strips
Clever Chek Auto-code Voice Test Strips
Nova Max Glucose Test Strips
Clever Chek Test Strips
On Call Plus Blood Glucose Test
Clever Choice Auto-code Pro Test Strips
On Call Vivid Blood Glucose Test
Clever Choice Micro Test Strips
Optium Test Strips
Control AST
Optiumez Test Strips
Control Test Strips
Optumrx Blood Glucose Test
Duo-care Test Strips
Pharmacist Choice Autocode Blood Glucose Test Strips
Easy Step Test Strips
Pocketchem EZ Blood Glucose Test Strips
Easy Touch Glucose Test Strips
Precision Point Of Care Test Strips
Easygluco
Precision PCX
Easymax Test Strips
Precision PCX Plus Test Strips
Easymax 15 Test Strips
Precision QID Test Strips
Easypro Blood Glucose Test Strips
Precision Sof-tact Test Strips
Easypro Plus
Precision XTRA Blood Glucose Test Strips
Eclipse Test Strips
Prestige Test Strips
Effective April 1, 2014
36
Prodigy Autocode Blood Glucose Test Strips
E-z Spacer
Prodigy NO Coding Blood Glucose Test Strips
E-z Spacer The Body Guards Pack
Pts Panels Glucose Test
Easivent
Quicktek Test Strips
Easivent/Mask-large
Quintet Ac Blood Glucose Test Strips
Easivent/Mask-medium
Quintet Blood Glucose Test Strips
Easivent/Mask-small
Refuah Plus Blood Glucosetest Strips
Inspirease Bags
Relion Blood Glucose Teststrips
Inspirease Drug Delivery System
Relion Confirm/Micro Test Strips
Inspirease Mouthpiece
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Inspirease Reservoir Bags
Relion Prime Blood Glucose Test Strips
Liteaire
Relion Ultima Blood Glucose Test Strips
Mask Vortex/Baby Whirl Duckling
Relion Ultima Test Strips
Mask Vortex/Child/Frog
Reveal Blood Glucose Test
Mask Vortex/Spinner The Duck
Rexall Blood Glucose Test Strips
Mask Vortex/Toddler/Lady Bug
Rightest GS100 Blood Glucose Test Strips
Microchamber
Rightest GS300 Blood Glucose Test Strips
Microspacer
Rightest GS550 Blood Glucose Test Strips
Nessi Spacer/Large Mask
Smart Diabetes Xpres Blood Glucose Test Strips
Nessi Spacer/Mouthpiece
Smart Sense Premium Bloodglucose Strips
Nessi Spacer/Small/MED Mask
Smart Sense Value Blood Glucose Strips
Optichamber Advantage
Smartest Blood Glucose Test Strips
Optichamber Diamond
Solus V2 Audible Test
Optichamber Diamond/Largeface Mask
Supreme Test Strips
Optichamber Diamond/Medium Face Mask
Sure Edge Blood Glucose Test Strips
Optichamber Diamond/Smallface Mask
Sure-test Easyplus Mini Blood Glucose Test Strips
Optihaler
Surechek Blood Glucose Test Strips
Optihaler MDI Drug Delivery System
Telcare Blood Glucose Test Strips
Panda Mask Large
Truetest Blood Glucose T Est
Panda Mask Medium
Truetest Blood Glucose T Est Strips
Panda Mask Small
Truetest Strips
Pediatric Panda Mask
Truetrack Blood Glucose Test
Pocket Chamber
Truetrack Test
Pocket Spacer
Ultima Test Strips
Riteflo
Ultratrak Pro Test Strips
Vortex Valved Holding Chamber
Ultratrak Ultimate Test Strips
Watchhaler
Unistrip1 Generic
Victory Agm-4000 Test Strips
MISCELLANEOUS
Vocal Point Blood Glucose Test Strips
Wavesense Presto Test Strips
PREFERRED
Chemet
MEDICAL DEVICES - MISC
Exjade
PREFERRED
NON PREFERRED
Aerochamber Mini Aerosol Chamber
Ferriprox
Aerochamber MV
Pentetate Calcium Trisodium
Aerochamber Plus Flow VU
Pentetate Zinc Trisodium
Aerochamber Plus Flow-VU
Aerochamber Plus Flow-VU/Large Mask
Aerochamber Plus Flow-VU/Mask
Aerochamber Plus Flow-VU/Medium Mask
Aerochamber Plus Flow-VU/Small Mask
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Aerochamber Z-stat Plus/Flowsignal
Aerochamber Z-stat Plus/Large Mask
Aerochamber Z-stat Plus/Medium Mask
Aerochamber Z-stat Plus/Small Mask
Aerochamber/Flowsignal
Arial Chamber
Breatherite
Breatherite Collapsible Adult Spacer W/Mask
Breatherite Collapsible Child Spacer W/Mask
Breatherite Collapsible Infant Spacer W/Mask
Breatherite Collapsible Small Child Spacer W/Mask
Breatherite Collapsible Spacer W/ Neonate Mask
Breatherite Rigid Spacer W/Mask
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
Effective April 1, 2014 v.3
©Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization.
37
Index
A
Acetic Acid/Aluminum Acetate, 26
Mask, 37
acetylcysteine, 30
Aerochamber Plus Flow-VU/Small Mask, 37
abacavir, 3
Aciphex, 17
abacavir sulfate/lamivudine/zidovudine, 3
Aciphex Sprinkle, 17
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 37
Abelcet, 2
acitretin, 11
Abilify, 22
Aclovate, 11
Aerochamber Z-stat Plus/Flowsignal, 37
Abilify Discmelt, 22
Actemra, 28
Aerochamber Z-stat Plus/Large Mask, 37
Abilify Maintena, 22
Acthar HP, 16
Aerochamber Z-stat Plus/Medium Mask, 37
Abraxane, 5
Acthib, 31
Absorica, 10
Actigall, 18
Aerochamber Z-stat Plus/Small Mask, 37
Abstral, 27
Actimmune, 6
Aerochamber/Flowsignal, 37
acamprosate calcium DR, 24
Actiq, 27
Aerohist, 29
Acanya, 10
Activase, 20
Aerospan, 31
acarbose, 15
Activella, 14
AF Lancets Super Thin, 33
Accolate, 30
Actonel, 15
Afinitor, 5
Accu-chek Active Glucose Control Solution, 33
Actoplus Met, 15
Afinitor Disperz, 5
Actoplus Met XR, 15
Afluria 2012-2013, 31
Accu-chek Active Strips, 33
Actos, 15
Afluria 2013-2014, 31
Accu-chek Aviva, 33
Acular, 26
Afluria PF 2012-2013, 31
Accu-chek Aviva Plus, 33
Acular LS, 26
Afluria PF 2013-2014, 31
Accu-chek Comfort Curve Control Solution (2 Levels), 33
Acura Blood Glucose Test Strips, 36
Agamatrix Amp NO Code Test Strips, 36
Acuvail, 26
Agamatrix Jazz Test Strips, 36
Accu-chek Comfort Curve Linearity Solution, 33
acyclovir, 3, 11
Agamatrix Keynote Test Strips, 36
acyclovir sodium, 3
Agamatrix Presto Test Strips, 36
Accu-chek Comfort Curve Test Strips, 33
Acyclovir Sodium, 3
Agamatrix Ultra-thin Lancets 33G, 33
Accu-chek Compact Blue Control Solution (2 Levels), 33
Aczone, 10
Aggrastat, 20
Adacel, 31
Aggrenox, 20
Accu-chek Compact Plus Care Kit, 33
Adalat CC, 7
Agrylin, 20
Accu-chek Compact Plus Clear Control Solution (2 Levels), 33
adapalene, 10
Ahist, 29
Adasuve, 22
Akne-mycin, 10
Accu-chek Compact Strips, 33
Adcetris, 5
Akten, 26
Accu-chek Compact Test Drum, 33
Adcirca, 9
Ala Scalp, 11
Accu-chek Fastclix Lancetdevice Kit, 33
Adderall, 23
Alagesic LQ, 27
Accu-chek Fastclix Lancets, 33
Adderall XR, 23
Alahist Ac, 30
Accu-chek Instant Glucosecontrol Solution (2 Levels), 33
adefovir dipivoxil, 3
Alahist DHC, 30
Adempas, 9
Albafort, 19, 32
Accu-chek Multiclix Lanc Et Device Kit, 33
Adenocard, 7
Albenza, 3
adenosine, 7
albuterol sulfate, 30
Accu-chek Multiclix Lancets, 33
Adoxa, 2
albuterol sulfate ER, 30
Accu-chek Nano Smartview, 33
Adoxa PAK 1/100, 2
albuterol TAB 4MG, 30
Accu-chek Safe-t-pro Lancets, 33
Adoxa PAK 1/150, 2
Alcaine, 26
Accu-chek Safe-t-pro Pluslancets, 33
Adoxa PAK 2/100, 2
alclometasone dipropionate, 11
Accu-chek Smartview Control, 33
Adrenaclick, 9
Aldactazide, 8
Accu-chek Smartview Strips, 33
Adrenal C Formula, 32
Aldactone, 8
Accu-chek Soft Touch Lancets, 33
Adrenalin, 9, 29, 30
Aldara, 12
Accu-chek Softclix Lancetdevice Kit, 33
Adriamycin, 4
Aldurazyme, 16
Accu-chek Softclix Lancets, 33
Advair Diskus, 30
alendronate sodium, 15
Accu-chek Voicemate, 33
Advair HFA, 30
Alendronate Sodium, 15
Accuneb, 30
Advance Intuition Test Strips, 36
Alfenta, 27
Accupril, 7
Advance Micro-draw Test Strips, 36
alfentanil, 27
Accuretic, 8
Advate, 20
Alferon N, 6
Accutrend Glucose, 36
Advicor, 9
alfuzosin HCL ER, 19
acebutolol HCL, 6
Advocate Lancets, 33
Alimta, 4
Aceon, 7
Advocate Redi-code, 36
Alinia, 4
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 27
Advocate Redi-code+ Test Strips, 36
Alkeran, 4
Advocate Safety Lancets, 33
Allfen CD, 30
acetaminophen/codeine, 27
Advocate Test Strips, 36
Allfen CDX, 30
acetaminophen/codeine #2, 27
Aerochamber Mini Aerosol Chamber, 37
allopurinol, 29
acetaminophen/codeine #3, 27
Aerochamber MV, 37
allopurinol sodium, 29
acetaminophen/codeine #4, 27
Aerochamber Plus Flow VU, 37
Alocril, 26
acetaminophen/codeine phosphate, 27
Aerochamber Plus Flow-VU, 37
Alodox Convenience Kit, 2
acetazolamide, 8
Aerochamber Plus Flow-VU/Large Mask, 37
Alomide, 26
Acetazolamide, 8
Aloprim, 29
acetazolamide ER, 8
Aerochamber Plus Flow-VU/Mask, 37
Alora, 13
acetazolamide sodium, 8
Aerochamber Plus Flow-VU/Medium
Aloxi, 18
acetic acid, 26
Alphagan P, 26
Amturnide, 8
Arzerra, 5
Alphanate/Von Willebrand Factor Complex/Human, 20
Amytal Sodium, 22
Asacol, 18
Anacaine, 12
Asacol HD, 18
Alphanine SD, 20
Anadrol-50, 13
Ascensia Autodisc Test Strips, 36
alprazolam, 21
Anafranil, 22
ascorbic acid, 31
alprazolam ER, 21
anagrelide hydrochloride, 20
Ascorbic Acid, 32
Alprazolam Intensol, 21
Analpram Advanced, 18
Asmanex 120 Metered Doses, 30
alprazolam odt, 21
Analpram-HC, 18
Asmanex 14 Metered Doses, 30
Alrex, 25
Analpram-HC Singles, 18
Asmanex 30 Metered Doses, 30
Alsuma, 29
Anaprox, 28
Asmanex 60 Metered Doses, 30
Altabax, 10
Anaprox DS, 28
Asmanex 7 Metered Doses, 30
Altace, 7
Anaspaz, 17
Aspirin-caffeine-dihydrocodeine, 27
Altoprev, 9
anastrozole, 5
Assure 3 Test Strips, 36
Aluminum Acetate, 12
Ancef, 1
Assure 4 Test Strips, 36
Aluvea, 12
Ancobon, 2
Assure Haemolance Plus High Flow 18G, 33
Alvesco, 31
Androderm, 13
amantadine HCL, 24
Androgel, 13
Assure Haemolance Plus Low Flow 25G, 33
Amantadine HCL, 24
Androgel P.M., 13
Amaryl, 15
Android, 13
Assure Haemolance Plus Micro Flow 28G, 33
Ambien, 22
Androxy, 13
Ambien CR, 22
Anectine, 24
Assure Haemolance Plus Normal Flow 21G, 33
Ambifed CD, 30
Angeliq, 14
Ambifed CDX, 30
Angiomax, 20
Assure Haemolance Plus Pediatric Blade, 33
Ambifed-G CD, 30
Animi-3, 19
Ambifed-G CDX, 30
Animi-3/Vitamin D, 19
Assure II, 36
Ambisome, 2
Anoro Ellipta, 31
Assure II Check Strip, 36
amcinonide, 11
Antabuse, 24
Assure II Test Strips, 36
Amcinonide, 11
Antara, 9
Assure Lance Lancets, 33
Amerge, 29
antipyrine/benzocaine, 26
Assure Lancets, 33
Amethyst, 14
Antivert, 18
Assure Platinum Test Strips, 36
Amicar, 20
Anusol-HC, 18
Assure Pro Test Strips, 36
amifostine, 6
Anzemet, 18
Astagraf XL, 5
amikacin sulfate, 2
Apexicon E, 11
Astelin, 29
amiloride HCL, 8
Apidra, 14
Astepro, 29
amiloride/hydrochlorothiazide, 8
Apidra Solostar, 14
Astringyn, 20
aminocaproic acid, 20
Aplenzin, 22
AT Last Lancets, 33
Aminocaproic Acid, 20
Apokyn, 24
AT Last Test Strips, 36
aminophylline, 30
Appbutamone, 22
Atabex EC, 32
amiodarone HCL, 7
Appbutamone-d, 22
Atabex Prenatal, 32
Amiodarone HCL, 7
Appformin, 15
Atacand, 8
Amitiza, 18
Appformin-d, 15
Atacand HCT, 8
amitriptyline HCL, 21
apraclonidine, 26
Atelvia, 15
amlodipine besylate, 7
Apriso, 18
atenolol, 6
amlodipine besylate/atorvastatin calcium, 9
Aptivus, 3
atenolol/chlorthalidone, 8
Aquasol A Parenteral, 32
Atgam, 5
Amlodipine Besylate/Atorvastatin Calcium, 9
Aquoral, 21
Ativan, 21
Aralast NP, 31
Atopiclair, 12
amlodipine besylate/benazepril HCL, 8
Aralen, 3
atorvastatin calcium, 9
amlodipine besylate/benazepril hydrochloride, 8
Aranesp Albumin Free, 19
atovaquone/proguanil HCL, 3
Arava, 28
Atovaquone/Proguanil HCL, 3
ammonium lactate, 12
Arcalyst, 28
atracurium besylate, 24
Ammonul, 16
Arcapta Neohaler, 30
Atralin, 10
Amoxapine, 22
argatroban, 20
Atripla, 3
amoxicillin, 1
Argatroban, 20
Atropen, 17
Amoxicillin, 1
Arial Chamber, 37
atropine sulfate, 17, 26
amoxicillin/clavulanate potassium, 1
Aricept, 24
Atropine Sulfate, 17, 26
amoxicillin/clavulanate potassium ER, 1
Aricept Odt, 24
Atrovent, 29
amphetamine/dextroamphetamine, 23
Arimidex, 5
Atrovent HFA, 30
Amphotec, 2
Aristospan Intra-articular, 13
Aubagio, 24
Amphotericin B, 2
Aristospan Intralesional, 13
augmented betamethasone dipropionate, 11
ampicillin, 1
Arixtra, 20
Ampicillin, 1
Armour Thyroid, 17
Augmentin, 1
ampicillin sodium, 1
Arnica Flower, 12
Augmentin ES-600, 1
Ampicillin Sodium, 1
Aromasin, 5
Augmentin XR, 1
ampicillin-sulbactam, 1
Arranon, 4
Auralgan, 26
Ampicillin-sulbactam, 1
Arthrotec 50, 28
Aurora Lancet Super Thin 30G, 33
Ampyra, 24
Arthrotec 75, 28
Aurora Lancet Thin 23G, 33
Amrix, 25
Artiss, 20
Aurstat, 12
Aurstat Anti-itch Hydrogel, 12
Bcg Vaccine, 31
5/8", 34
Aurstat Anti-itch Hydrogel Kit, 12
BD Insulin Syringe LUER-LOK/U-100/1ML, 33
BD Insulin Syringe/U-100/2ML/29G X 1/2", 34
Auvi-q, 9
Avalide, 8
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 33
BD Lancet Ultrafine 30G, 34
Avandamet, 15
BD Lancet Ultrafine 33G, 34
Avandaryl, 15
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 33
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 34
Avandia, 15
Avapro, 8
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 33
BD Microtainer Lancets, 34
Avar, 10
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34
Avar LS, 10
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 33
Avar LS Cleanser, 10
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34
Avar-e LS, 10
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 33
Avastin, 5
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34
Avc, 19
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 33
Avelox, 2
BD Pen Needle/Ultrafine/29G X 12.7MM, 34
Avelox Abc Pack, 2
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 33
Avidoxy DK, 2
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34
Avinza, 27
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 33
Avodart, 19
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34
Avonex, 24
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 33
Avonex Pen, 24
BD Pudendal/Local Block Tray 1% Lidocaine, 29
Axert, 29
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 33
Axid, 17
Beconase AQ, 29
Axiron, 13
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 33
Belladonna & Opium, 17
Aygestin, 14
Belladonna Alkaloids & Opium, 17
azacitidine, 4
BD Insulin Syringe Slip Tip/U-100/1ML, 33
benazepril HCL, 7
Azactam, 4
benazepril HCL/hydrochlorothiazide, 8
Azactam IN Iso-osmotic Dextrose, 4
BD Insulin Syringe U-40/1ML/25G X 5/8", 34
Benefix, 20
Azasan, 5
Benicar, 8
Azasite, 25
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34
Benicar HCT, 8
azathioprine, 5
Bentyl, 17
Azathioprine Sodium, 5
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34
Benzac Ac Wash, 10
azelastine HCL, 26, 29
Benzac W Wash, 10
Azelex, 10
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34
Benzaclin, 10
Azilect, 24
Benzaclin With P.M., 10
azithromycin, 1
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34
Benzamycin, 10
Azithromycin, 1
Benzamycinpak, 10
Azopt, 26
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 34
Benzefoam, 10
Azor, 8
Benzefoamultra, 10
aztreonam, 3
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 34
Benziq, 10
Azulfidine, 18
Benziq LS, 10
Azulfidine EN-TABS, 18
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 34
Benzoin Compound Tincture, 12
B
Benzoin Tincture, 12
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34
benzonatate, 30
B-6 Folic Acid, 19
benzoyl peroxide, 10
b-complex, 32
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 34
benzoyl peroxide SHORT contact, 10
b-complex 100, 32
benztropine mesylate, 24
B-nexa, 32
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34
Bepreve, 26
bacitracin, 3
Berinert, 20
Bacitracin, 4, 25
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34
Besivance, 25
bacitracin/polymyxin b, 25
Betadine Ophthalmic Prep, 25
baclofen, 24
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 34
Betagan, 25
Bacmin, 32
betamethasone dipropionate, 11
Bactocill IN Dextrose, 1
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 34
betamethasone sodium phosphate/betamethasone acetate, 13
Bactrim, 4
Bactrim DS, 4
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34
betamethasone valerate, 11
Bactroban, 10
Betapace, 7
Bactroban Nasal, 29
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34
Betapace AF, 7
Bal-care DHA, 32
Betaseron, 24
Bal-care DHA Essential, 32
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34
betaxolol HCL, 6, 25
balsalazide disodium, 18
bethanechol chloride, 19
Banzel, 23
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34
Bethkis, 2
Baraclude, 3
Betimol, 25
Bayer Breeze 2 Test Disc, 36
BD Insulin Syringe/U-100/1ML/27G X 1/2", 34
Betoptic-s, 25
Bayer Contour Blood Glucose Test Strips, 36
Bexxar, 5
BD Insulin Syringe/U-100/1ML/28G X 1/2", 34
Bexxar 131 Iodine, 6
Bayer Contour Next Blood Glucose Test, 36
Beyaz, 14
BD Insulin Syringe/U-100/2ML/27.5G X
Bg Star Blood Glucose Test, 36
Bayer Microlet Lancets, 33
Biaxin, 1
bupropion HCL, 21
carbinoxamine maleate, 29
Biaxin XL, 1
bupropion HCL ER, 21
Carbocaine, 29
Biaxin XL PAC, 1
bupropion HCL SR, 21
carboplatin, 4
bicalutamide, 5
bupropion HCL XL, 21
Carboplatin, 4
Bicillin C-R, 1
buspirone HCL, 21
Cardene I.v., 7
Bicillin L-a, 1
Busulfex, 4
Cardene IV, 7
Bicnu, 4
butal/asa/caff, 27
Cardene SR, 7
Bidil, 9
butalbital/acetaminophen, 27
Cardizem, 7
Biferarx, 19
butalbital/acetaminophen/caffeine, 27
Cardizem CD, 7
Biltricide, 3
butalbital/acetaminophen/caffeine/codeine, 27
Cardizem LA, 7
Binosto, 15
Cardura, 8
Bioscanner Glucose Test Strips, 36
butalbital/apap/caffeine, 27
Cardura XL, 19
Biothrax, 31
butalbital/asa/caffeine, 27
Careone Blood Glucose Test Strips/Premium, 36
bisoprolol fumarate, 6
Butalbital/Aspirin/Caffeine, 27
bisoprolol fumarate/hydrochlorothiazide, 8
butalbital/aspirin/caffeine/codeine, 27
Careone Blood Glucose Test Strips/Value, 36
Butisol Sodium, 22
bleomycin sulfate, 4
butorphanol tartrate, 27
Careone Lancet Thin, 34
Bleph-10, 25
Butrans, 27
Careone Lancet Ultra Thin, 34
Blephamide, 25
Bydureon, 15
Caresens N Blood Glucose Test Strips, 36
Blephamide S.o.p., 25
Byetta, 15
Blood Glucose Test Strips, 36
Bystolic, 7
carisoprodol, 24
Blood Glucose Test Strips Premium, 36
C
Carisoprodol, 25
Bloxiverz, 25
carisoprodol/aspirin, 24
cabergoline, 16
Boniva, 15
carisoprodol/aspirin/codeine, 24
Caduet, 9
Boostrix, 31
Carmol-HC, 11
Cafcit, 23
Boric Acid, 12
Carnitor, 16
Cafergot, 29
Bosulif, 5
Carnitor SF, 16
caffeine citrate, 23
Botox, 24
carteolol HCL, 25
Caffeine/Sodium Benzoate, 23
Bravelle, 16
carvedilol, 6
Calan, 7
Breatherite, 37
Cascara Sagrada, 17
Calan SR, 7
Breatherite Collapsible Adult Spacer W/Mask, 37
Casodex, 5
calcipotriene, 11
Cataflam, 28
calcitonin salmon, 15
Breatherite Collapsible Child Spacer W/Mask, 37
Catapres, 8
calcitonin-salmon, 15
Catapres-tts-1, 8
Calcitriol, 11
Breatherite Collapsible Infant Spacer W/Mask, 37
Catapres-tts-2, 8
calcitriol, 16
Catapres-tts-3, 8
calcium acetate, 18
Breatherite Collapsible Small Child Spacer W/Mask, 37
Cathflo Activase, 21
Calcium Folinate, 6
Cavan-alpha Kit, 32
Caldolor, 28
Breatherite Collapsible Spacer W/ Neonate Mask, 37
Caverject, 9
Cambia, 29
Caverject Impulse, 9
Campath, 5
Breatherite Rigid Spacer W/Mask, 37
Cayston, 4
Campral, 24
Breatherite W/Large Mask, 37
Cedax, 1
Camptosar, 6
Breatherite W/Medium Mask, 37
Ceenu, 4
Canasa, 18
Breatherite W/Small Mask, 37
cefaclor, 1
Cancidas, 2
Breo Ellipta, 30
Cefaclor, 1
candesartan cilexetil, 8
Brevibloc, 7
Cefaclor ER, 1
candesartan cilexetil/hydrochlorothiazide, 8
Brevicon-28, 14
cefadroxil, 1
Brilinta, 20
cefazolin sodium, 1
Cantil, 17
brimonidine tartrate, 26
Cefazolin Sodium, 1
Capastat Sulfate, 2
Brintellix, 22
Cefazolin Sodium/Dextrose, 1
Capex, 11
Brisdelle, 24
cefdinir, 1
Caphosol, 21
Bromday, 26
Cefditoren Pivoxil, 1
Capital/Codeine, 27
bromfenac, 26
cefepime, 1
Caprelsa, 5
Bromfenac, 26
Cefepime, 1
captopril, 7
bromocriptine mesylate, 24
cefotaxime sodium, 1
Captopril/Hydrochlorothiazide, 8
Brompheniramine Tannate, 29
Cefotetan, 1
Carafate, 17
Brondil, 31
Cefotetan/Dextrose, 1
Carbaglu, 16
Brovana, 31
cefoxitin sodium, 1
carbamazepine, 23
budesonide, 13, 30
Cefoxitin Sodium, 1
carbamazepine ER, 23
Bullseye Safety Lancets, 33
cefpodoxime proxetil, 1
Carbaphen 12, 30
bumetanide, 8
cefprozil, 1
Carbaphen 12 PED, 30
Bupap, 27
ceftazidime, 1
Carbatrol, 23
Buphenyl, 16
Ceftazidime, 1
carbidopa/levodopa, 24
bupivacaine HCL, 29
Ceftazidime/Dextrose, 1
carbidopa/levodopa CR, 24
bupivacaine/epinephrine, 29
Ceftibuten, 1
carbidopa/levodopa ER, 24
Buprenex, 27
Ceftin, 1
carbidopa/levodopa odt, 24
buprenorphine HCL, 27
Ceftriaxone IN Iso-osmotic Dextrose, 1
carbidopa/levodopa SR, 24
buprenorphine HCL/naloxone HCL, 27
ceftriaxone sodium, 1
Carbidopa/Levodopa/Entacapone, 24
Ceftriaxone/Dextrose, 1
Cipro, 2
clobetasol propionate emollient, 11
cefuroxime axetil, 1
Cipro HC, 26
Clobex, 11
cefuroxime sodium, 1
Cipro I.V.-IN D5W, 2
Clocortolone Pivalate, 11
Cefuroxime Sodium, 1
Cipro XR, 2
Clocortolone Pivalate P.M., 11
Cefuroxime/Dextrose, 1
Ciprodex, 26
Cloderm, 11
Celebrex, 28
ciprofloxacin, 2
Cloderm P.M., 11
Celestone, 13
Ciprofloxacin, 26
Clolar, 4
Celestone-soluspan, 13
ciprofloxacin ER, 2
Clomid, 16
Celexa, 22
ciprofloxacin HCL, 2, 25
clomiphene citrate, 16
Cellcept, 5
ciprofloxacin I.V.-IN D5W, 2
clomipramine HCL, 21
Cellcept Intravenous, 5
cisatracurium besylate, 24
clonazepam, 23
Celontin, 23
cisplatin, 4
clonazepam odt, 23
Cem-urea, 12
Cisplatin, 4
clonidine HCL, 8
Cenestin, 13
citalopram hydrobromide, 21
clonidine HCL ER, 23
Cenfol, 19
Citranatal 90 DHA, 32
clopidogrel, 20
Centany, 10
Citranatal Assure, 32
clorazepate dipotassium, 21
Centany AT, 10
Citranatal B-calm, 32
Clorpres, 8
Centratex, 19
Citranatal DHA, 32
clotrimazole, 10, 21
cephalexin, 1
Citranatal Harmony, 32
clotrimazole/betamethasone dipropionate, 10
Cephalexin, 1
Citranatal RX, 32
Cerebyx, 23
citric acid/sodium citrate, 19
clozapine, 22
Cerezyme, 19
Citrolith, 19
Clozapine Odt, 22
Cerubidine, 4
cladribine, 4
Clozaril, 22
Cervarix, 31
Claforan, 1
Cnl8 Nail Kit, 10
Cervidil, 27
Claforan/D5W, 1
CO-natal Fa, 32
Cesamet, 18
Claravis, 10
Coaguchek Lancets, 34
cetirizine HCL, 29
Clarifoam EF, 10
Coal TAR, 12
Cetraxal, 26
Clarinex, 29
Coartem, 3
Cetrotide, 16
Clarinex Reditabs, 29
Coca Cola Syurp, 18
cevimeline HCL, 21
Clarinex-d 12 HOUR, 30
Cocaine HCL, 12
Chemet, 37
Clarinex-d 24 HOUR, 30
Cod Liver Oil, 32
Chenodal, 18
clarithromycin, 1
Codeine Phosphate, 27
Chloral Hydrate, 22
clarithromycin ER, 1
Codeine Sulfate, 27
Chloramphenicol Sodium Succinate, 4
Cleanlet Lancets 28G, 34
Cogentin, 24
chlordiazepoxide HCL, 21
clemastine fumarate, 29
Colazal, 18
Chlordiazepoxide/Amitriptyline, 24
Clemastine Fumarate, 29
Colcrys, 29
chlorhexadine gluconate oral rinse, 21
Cleocin, 4, 19
Colestid, 9
chlorhexidine gluconate, 21
Cleocin IN D5W, 4
Colestid Flavored, 9
chlorhexidine gluconate oral rinse, 21
Cleocin Pediatric Granules, 4
colestipol HCL, 9
chloroprocaine HCL, 29
Cleocin Phosphate, 4
colestipol HCL for oral suspension, 9
chloroquine phosphate, 3
Cleocin-t, 10
colistimethate sodium, 3
chlorothiazide, 8
Clever Chek Auto-code Test Strips, 36
Coly-mycin M, 4
Chlorothiazide, 8
Clever Chek Auto-code Voice Test Strips, 36
Coly-mycin S, 26
chlorothiazide sodium, 8
Colyte-flavor Packs, 17
chlorpromazine HCL, 22
Clever Chek Lancets Ultrathin, 34
Combigan, 25
Chlorpromazine HCL, 22
Clever Chek Lancets Ultrathin 30G, 34
Combipatch, 13
Chlorpropamide, 15
Clever Chek Test Strips, 36
Combivent, 30
Chlorthalidone, 8
Clever Choice Auto-code Pro Test Strips, 36
Combivent Respimat, 30
chlorzoxazone, 24
Combivir, 3
Choice DM Fora G20 Test Strips, 36
Clever Choice Micro Test Strips, 36
Cometriq, 5
cholestyramine, 9
Cleviprex, 7
Comfort Lancets, 34
cholestyramine light, 9
Climara, 14
Complera, 3
choline magnesium trisalicylate, 27
Climara Pro, 14
Comtan, 24
chorionic gonadotropin, 16
Clindacin Etz, 10
Comvax, 31
Cialis, 9
Clindacin PAC, 10
Concept DHA, 32
Ciclodan Cream Kit, 10
Clindagel, 10
Concept OB, 32
Ciclodan Solution Kit, 10
clindamycin HCL, 3
Concerta, 23
ciclopirox, 10
clindamycin palmitate HCL, 3
Condylox, 12
ciclopirox nail lacquer, 10
clindamycin phosphate, 3, 10, 19
Control AST, 36
ciclopirox olamine, 10
Clindamycin Phosphate, 4
Control Test Strips, 36
Ciclopirox Topical Solution Kit, 10
clindamycin phosphate add-vantage, 3
Conzip, 27
cidofovir, 3
clindamycin phosphate IN D5W, 3
Copaxone, 24
cilostazol, 20
clindamycin phosphate pharmacy bulk package, 3
Copegus, 3
Ciloxan, 25
Cordarone, 7
cimetidine, 17
clindamycin/benzoyl peroxide, 10
Cordran, 11
cimetidine HCL, 17
Clindesse, 19
Cordran SP, 11
Cimzia, 18
Clinoril, 28
Cordran Tape, 11
Cimzia Starter Kit, 18
clobetasol propionate, 11
Coreg, 7
Coreg CR, 7
Dantrium, 25
Dexedrine, 23
Corgard, 7
Dantrium IV, 25
Dexilant, 17
Corifact, 20
dantrolene sodium, 24
dexmethylphenidate HCL, 23
Corlopam, 8
Dapsone, 4
dexmethylphenidate HCL ER, 23
Cortef, 13
Daptacel, 31
Dexpak 10 Day, 13
Cortenema, 18
Daraprim, 3
Dexpak 13 Day, 13
Cortifoam, 18
daunorubicin HCL, 4
Dexpak 6 Day, 13
Cortisone Acetate, 13
Daunoxome, 4
Dexpanthenol, 18
Cortisporin, 10, 26
Daypro, 28
dexrazoxane, 6
Cortisporin-tc, 26
Daytrana, 23
dextroamphetamine sulfate, 23
Corvert, 7
Ddavp, 16
dextroamphetamine sulfate ER, 23
Corvite, 32
Debacterol, 21
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 30
Corvite 150, 19
Decara, 32
Corzide, 8
decitabine, 4
Cosmegen, 4
Decon-a, 30
Diabeta, 15
Cosopt, 25
Delatestryl, 13
Dialyvite 3000, 32
Cosopt PF, 25
Delestrogen, 14
Dialyvite 5000, 32
Cotab A, 30
Delos, 10
Dialyvite Supreme D, 32
Cotab AX, 30
Delzicol, 18
Dialyvite/Zinc, 32
Cotabflu, 30
Demadex, 9
Diamox, 9
Coumadin, 20
demeclocycline HCL, 2
Diastar Easy Test II Lancets 30G, 34
Cozaar, 8
Demerol, 27
Diastar Easy Test Lancets30G, 34
Cpb Wc, 30
Demser, 8
Diastat Acudial, 23
Creon, 18
Denavir, 11
Diastat Pediatric, 23
Crestor, 9
Depacon, 23
Diatx ZN, 32
Cresylate, 26
Depakene, 23
diazepam, 21
Crinone, 19
Depakote, 23
Diazepam, 21, 23
Crixivan, 3
Depakote ER, 23
Diazepam Intensol, 21
Crnatal, 32
Depakote Sprinkles, 23
Dibenzyline, 8
cromolyn sodium, 18, 26, 30
Depo-estradiol, 14
Diclegis, 18
Cubicin, 4
Depo-medrol, 13
diclofenac potassium, 28
Curosurf, 31
Depo-provera, 5
diclofenac sodium, 26
Cutivate, 11
Depo-testosterone, 13
diclofenac sodium DR, 28
Cuvposa, 17
Depocyt, 4
diclofenac sodium ER, 28
cyanocobalamin, 19
Derma-smoothe/FS Body, 11
diclofenac sodium XR, 28
Cyanocobalamin, 19
Derma-smoothe/FS Body Oil, 11
diclofenac sodium/misoprostol, 28
Cyclessa, 14
Derma-smoothe/FS Scalp, 11
dicloxacillin sodium, 1
Cyclobenzaprine Comfort PAC, 25
Derma-smoothe/FS Scalp Oil, 11
dicyclomine HCL, 17
cyclobenzaprine HCL, 24
Dermasorb HC, 11
Dicyclomine HCL, 17
Cyclogyl, 26
Dermasorb Ta, 11
didanosine, 3
Cyclomydril, 26
Dermasorb XM, 12
Didronel, 15
cyclopentolate HCL, 26
Dermatop, 11
Differin, 10
Cyclophosphamide, 4
Dermotic, 26
Dificid, 1
Cycloserine, 2
desipramine HCL, 21
diflorasone diacetate, 11
cyclosporine, 5
desloratadine, 29
Diflorasone Diacetate, 12
cyclosporine modified, 5
desloratadine odt, 29
Diflucan, 2
Cyclosporine Modified, 5
desmopressin acetate, 16
diflunisal, 27
Cyklokapron, 20
Desogen, 14
Digex NF, 17
Cymbalta, 21
desogestrel/ethinyl estradiol, 14
digoxin, 6
cyproheptadine HCL, 29
Desonate, 12
Digoxin, 6
Cystadane, 16
desonide, 11
dihydroergotamine mesylate, 28
Cystagon, 19
Desowen, 12
Dihydroergotamine Mesylate, 29
Cystaran, 26
Desowen Cream/Cetaphil Lotion, 12
Dilacor XR, 7
cytarabine, 4
Desowen Lotion/Cetaphil Cream, 12
Dilantin, 23
Cytarabine, 4
Desowen Ointment/Cetaphil Lotion, 12
Dilantin Infatabs, 23
cytarabine aqueous, 4
desoximetasone, 11
Dilatrate SR, 6
Cytomel, 17
Desoximetasone, 12
Dilaudid, 27
Cytotec, 17
Desoxyn, 23
Dilaudid-HP, 27
Cytovene, 3
Desvenlafaxine ER, 22
diltiazem CD, 7
Cytra-3, 19
Detrol, 19
diltiazem HCL, 7
D
Detrol LA, 19
Diltiazem HCL, 7
dexamethasone, 13
diltiazem HCL ER, 7
D.h.e. 45, 29
Dexamethasone, 13
Dimenhydrinate, 18
dacarbazine, 6
Dexamethasone Intensol, 13
Diovan, 8
Dacarbazine, 6
dexamethasone sodium phosphate, 13, 25
Diovan HCT, 8
Dacogen, 4
Dipentum, 18
dactinomycin, 4
Dexamethasone Sodium Phosphate, 13
diphenhydramine HCL, 29
Daliresp, 30
Dexchlorpheniramine Maleate, 29
diphenoxylate/atropine, 17
danazol, 13
Diphenoxylate/Atropine, 17
Duavee, 14
Activated, 34
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 31
Duet DHA, 32
Easy Touch Safety Lancets26G/Button Activated, 34
Duet DHA 400, 32
Diprolene, 12
Duet DHA 400EC, 32
Easy Touch Safety Lancets26G/Pressure Activated, 34
Diprolene AF, 12
Duet DHA 430, 32
dipyridamole, 20
Duet DHA 430EC, 32
Easy Touch Safety Lancets28G/Button Activated, 34
disopyramide phosphate, 7
Duet DHA Balanced, 32
disulfiram, 24
Duet DHA EC, 32
Easy Touch Safety Lancets28G/Pressure Activated, 34
Ditropan XL, 19
Duetact, 15
Diuril, 9
Duexis, 28
Easy Twist & CAP Lancets, 34
divalproex sodium, 23
Dulera, 30
Easygluco, 36
divalproex sodium DR, 23
duloxetine HCL, 21
Easymax 15 Test Strips, 36
divalproex sodium ER, 23
Duo-care Test Strips, 36
Easymax Test Strips, 36
Divigel, 14
Duocaine, 29
Easypro Blood Glucose Test Strips, 36
Divista, 19
Duoneb, 31
Easypro Plus, 36
dobutamine HCL, 9
Duragesic, 27
Easytest II Lancets, 34
dobutamine HCL/D5W, 9
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 29
Easytest Lancets, 34
dobutamine/dextrose 5%, 9
EC-naprosyn, 28
Dobutamine/Dextrose 5%, 9
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 29
Eclipse Test Strips, 36
Docefrez, 5
econazole nitrate, 10
Docetaxel, 5
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 29
Ecoza, 10
Dolgic Plus, 27
Ed Chlorped, 29
Dologesic, 27
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 29
Ed Cyte F, 19
Dolophine, 27
Ed-chlor-tan, 29
Dolophine HCL, 27
Durezol, 25
Edarbi, 8
Donatuss Dc, 30
Dutoprol, 8
Edarbyclor, 8
donepezil HCL, 24
Dyazide, 9
Edecrin, 9
dopamine HCL, 9
Dymista, 29
Edex, 9
Dopamine HCL, 9
Dynacin, 2
Edluar, 22
dopamine HCL-dextrose 5%, 9
Dyrenium, 9
Edurant, 3
dopamine HCL/dextrose 5%, 9
Dysport, 24
Effexor XR, 22
dopamine/D5W, 9
E
Effient, 20
Dopram, 23
Egrifta, 16
E-z Ject Lancets, 34
Doral, 22
Elaprase, 16
E-z Ject Lancets 21G, 34
Doribax, 4
Eldepryl, 24
E-z Ject Lancets Color, 34
Doryx, 2
Elelyso, 19
E-z Ject Lancets Super Thin, 34
dorzolamide HCL, 26
Element Plus Test Strips, 36
E-z Ject Lancets Super Thin 30G, 34
dorzolamide HCL/timolol maleate, 25
Element Test Strips, 36
E-z Ject Lancets Thin 26G, 34
Dovonex, 11
Elenzapatch, 12
E-z Spacer, 37
doxapram HCL, 23
Elestat, 26
E-z Spacer The Body Guards Pack, 37
doxazosin mesylate, 8
Elestrin, 14
E-ZJECT Lancets Micro-thin 33G, 34
doxepin HCL, 21
Eletone, 12
E.e.s. 400, 1
Doxepin HCL, 22
Elidel, 12
E.e.s. Granules, 1
doxercalciferol, 16
Eligard, 5
Easivent, 37
Doxil, 4
Elimite, 12
Easivent/Mask-large, 37
doxorubicin HCL, 4
Eliphos, 18
Easivent/Mask-medium, 37
doxorubicin HCL liposome, 4
Eliquis, 20
Easivent/Mask-small, 37
doxycycline, 2
Elite OB With DHA, 32
Easy Step Test Strips, 36
doxycycline hyclate, 2
Elite-OB, 32
Easy Touch Glucose Test Strips, 36
Doxycycline Hyclate, 2
Elite-OB 400, 32
Easy Touch Lancets 21G/Pressure Activated, 34
doxycycline hyclate DR, 2
Elitek, 6
doxycycline monohydrate, 2
Elixophyllin, 31
Easy Touch Lancets 23G/Pressure Activated, 34
Doxytex, 29
Ella, 14
Drisdol, 32
Ellence, 4
Easy Touch Lancets 26G/Pressure Activated, 34
Dritho-creme HP, 11
Elmiron, 19
dronabinol, 18
Elocon, 12
Easy Touch Lancets 28G/Pressure Activated, 34
droperidol, 21
Eloxatin, 4
Droplet Lancets Ultra Thin 30G, 34
Elspar, 4
Easy Touch Lancets 28G/Twist, 34
drospirenone/ethinyl estradiol, 14
Emadine, 26
Easy Touch Lancets 30G/Pressure Activated, 34
Droxia, 19
Embrace Blood Glucose Test Strips, 36
Drug Mart On-the-go Lancets Gentle 30G, 34
Emcyt, 5
Easy Touch Lancets 30G/Twist, 34
Emend, 18
Easy Touch Lancets 32G/Pressure Activated, 34
Drug Mart Unilet Lancets Super Thin 30G, 34
Emla, 12
Emsam, 22
Easy Touch Lancets 32G/Twist, 34
Drug Mart Unilet Lancets Ultra Thin 28G, 34
Emtriva, 3
Easy Touch Lancets 33G/Twist, 34
Emulsion SB, 12
Easy Touch Safety Lancets21G/Pressure Activated, 34
Drysol, 12
Enablex, 19
Duac, 10
enalapril maleate, 7
Easy Touch Safety Lancets23G/Pressure
enalapril maleate/hydrochlorothiazide, 8
Estrasorb, 14
Fasttake Test Strips, 34
enalaprilat, 7
Estring, 19
Fazaclo, 22
Enbrel, 28
Estrogel, 14
Feiba NF, 20
Enbrel Sureclick, 28
estropipate, 13
Feiba VH Immuno, 20
Endometrin, 19
Estropipate, 14
felbamate, 23
Engerix-b, 31
Estrostep FE, 14
Felbatol, 23
Enjuvia, 13
ethambutol HCL, 2
Feldene, 28
Enlon, 25
ethosuximide, 23
felodipine ER, 7
Enlon-plus, 25
Ethyl Chloride, 12
Fem PH, 19
enoxaparin sodium, 20
Ethyl Chloride/Fine Pinpoint, 12
Femara, 5
entacapone, 24
Ethyl Chloride/Fine Stream, 12
Femcon FE, 14
Entereg, 18
Ethyl Chloride/Medium Jet Stream, 12
Femhrt Low Dose, 14
Entocort EC, 13
Ethyl Chloride/Medium Stream, 12
Femring, 19
Envision Autocode Test Strips, 36
Ethyl Chloride/Mist, 12
fenofibrate, 9
Epaned, 7
Ethyol, 6
fenofibrate micronized, 9
ephedrine sulfate, 9
Etidronate Disodium, 15
Fenofibric Acid, 9
Epiceram, 12
etodolac, 28
fenofibric acid DR, 9
Epiduo, 10
etodolac ER, 28
Fenoglide, 9
Epifoam, 12
Etopophos, 5
fenoldopam mesylate, 8
epinastine HCL, 26
etoposide, 5
Fenoprofen Calcium, 28
Epinephrine, 9
Etoposide, 5
fentanyl, 27
epinephrine HCL, 30
Euflexxa, 25
fentanyl citrate oral transmucosal, 27
Epipen 2-PAK, 9
Eurax, 12
Fentora, 27
Epipen-JR 2-PAK, 9
Evamist, 13
Feraheme, 19
epirubicin HCL, 4
Evencare + Blood Glucose Test Strip, 36
Feriva, 20
Epirubicin HCL, 4
Evencare Blood Glucose Test Strip, 36
Ferivafa, 20
episone CRE, 12
Evencare G2 Test Strips, 36
Ferralet 90, 20
Epivir, 3
Evencare G3 Test Strips, 36
Ferrex 150 Forte Plus, 19
Epivir HBV, 3
Evicel, 20
Ferrex 28, 19
eplerenone, 8
Evista, 16
Ferriprox, 37
Epogen, 19
Evithrom, 20
Ferrlecit, 20
epoprostenol sodium, 9
Evoclin, 10
Ferro-plex Hematinic, 20
eprosartan mesylate, 8
Evolution Autocode, 36
Ferrotrin, 20
Epzicom, 3
Evoxac, 21
Fetzima, 22
Eql Truetrack Test, 36
Exactech R-s-G Test Strips, 36
Fetzima Titration Pack, 22
Equagesic, 27
Exactech Test Strips, 36
Fexmid, 25
Equetro, 22
Exactuss, 30
Fibricor, 9
Eraxis, 2
Exalgo, 27
Fifty50 Glucose Test Strip 2.0, 36
Erbitux, 5
Exelderm, 10
Fifty50 Safety Seal Lancets 30G, 34
ergocalciferol, 31
Exelon, 24
Fifty50 Safety Seal Lancets 32G, 34
Ergoloid Mesylates, 24
exemestane, 5
Finacea, 10
Ergomar, 29
Exforge, 8
Finacea Plus, 10
Ertaczo, 10
Exforge HCT, 8
finasteride, 19
Erwinaze, 4
Exjade, 37
Fine 30, 34
Ery-TAB, 1
Exparel, 29
Fingerstix Lancets, 34
Erygel, 10
Extavia, 24
Fioricet, 27
Eryped 200, 1
Extina, 10
Fioricet/Codeine, 27
Eryped 400, 1
EZ Smart Blood Glucose Lancets, 34
Fiorinal, 27
Erythrocin Lactobionate, 1
EZ Smart Blood Glucose Test Strips, 36
Fiorinal/Codeine #3, 27
Erythrocin Stearate, 1
EZ Smart Plus Blood Glucose Test Strips, 36
Firazyr, 21
erythromycin, 1, 10, 25
Firmagon, 5
Erythromycin Base, 1
EZ-lets Lancets 21G, 34
First-bxn Mouthwash, 21
Erythromycin Ethylsuccinate, 1
EZ-lets Lancets 23G, 34
First-dukes Mouthwash, 21
erythromycin/benzoyl peroxide, 10
EZ-lets Lancets 26G Super-soft, 34
First-hydrocortisone, 12
erythromycin/sulfisoxazole, 3
EZ-lets Lancets 28G Ultra-soft, 34
First-lansoprazole, 17
Escavite, 32
EZ-lets Lancets 30G, 34
First-marys Mouthwash, 21
Escavite LQ, 32
F
First-mouthwash Blm, 21
escitalopram oxalate, 21
First-omeprazole, 17
Fabior, 10
Esgic, 27
First-progesterone VGS 100 Compounding Kit, 19
Fabrazyme, 16
Esgic-plus, 27
Factive, 2
esmolol HCL, 6
First-progesterone VGS 200 Compounding Kit, 19
famciclovir, 3
esomeprazole sodium, 17
famotidine, 17
Esomeprazole Strontium, 17
First-progesterone VGS 25 Compounding Kit, 19
Famotidine Premixed, 17
estazolam, 22
Famvir, 3
Estrace, 14, 19
First-progesterone VGS 400 Compounding Kit, 19
Fanapt, 22
estradiol, 13
Fanapt Titration Pack, 22
estradiol valerate, 13
First-progesterone VGS 50 Compounding Kit, 19
Fareston, 5
estradiol/norethindrone acetate, 13
Faslodex, 5
First-testosterone, 13
Fluzone Intradermal, 31
Freestyle Insulinx Blood Glucose Test Strips, 36
First-testosterone Mc Compounding Kit, 13
Fluzone Pediatric PF 2012-2013, 31
Fluzone Pediatric PF 2013-2014, 31
Freestyle Lancets, 34
Flagyl, 4
Fluzone PF 2012-2013, 31
Freestyle Lite Test Strips, 36
Flagyl ER, 4
Fluzone PF 2013-2014, 31
Freestyle Test Strips, 36
Flarex, 25
Fluzone Quadrivalent 2013-2014, 31
Freestyle Unistick II Lancets, 34
flavoxate HCL, 19
Fluzone Split 2012-2013, 31
Frova, 29
flecainide acetate, 7
Fluzone Split 2013-2014, 31
Fulyzaq, 17
Flector, 11
FML, 25
Furadantin, 18
Flexeril, 25
FML Forte, 25
furosemide, 8
FLO-pred, 13
FML Liquifilm, 25
Furosemide, 9
Flolan, 9
Focalin, 23
Fusilev, 6
Flomax, 19
Focalin XR, 23
Fusion Plus, 20
Flonase, 29
Folbecal, 32
Fuzeon, 3
Flovent Diskus, 31
Folcaps Omega 3, 32
Fycompa, 23
Flovent HFA, 31
Folgard OS, 32
G
floxuridine, 4
Folgard RX, 20
gabapentin, 23
Fluarix 2012-2013, 31
folic acid, 19
Gabavale-5, 21
Fluarix 2013-2014, 31
Folic Acid, 20
Gabazolamine, 21
Fluarix Quadrivalent 2013-2014, 31
folic acid/vitamin b-6/vitamin b-12, 19
Gabazolamine-0.5, 21
Flublok 2013-2014, 31
Folivane-EC Calcium DHA NF, 32
Gabazolpidem-5, 22
Flucelvax 2012-2013, 31
Folivane-f, 20
Gabitidine, 17
Flucelvax 2013-2014, 31
Folivane-OB, 32
Gabitril, 23
fluconazole, 2
Folivane-plus, 20
Gablofen, 25
fluconazole IN dextrose, 2
Folivane-prx DHA NF, 32
Gaboxetine, 22
fluconazole IN NACL, 2
Follistim AQ, 16
galantamine, 24
Fluconazole IN NACL, 2
Folotyn, 4
galantamine hydrobromide, 24
flucytosine, 2
Foltrate, 20
ganciclovir, 3
Fludara, 4
fondaparinux sodium, 20
Ganirelix Acetate, 16
fludarabine phosphate, 4
Fora D10 Blood Glucose Test Strips, 36
Ganite, 15
Fludarabine Phosphate, 4
Fora D15c Blood Glucose Test Strips, 36
Garamycin, 25
fludrocortisone acetate, 13
Fora D15G Blood Glucose Test Strips, 36
Gardasil, 31
Flulaval 2012-2013, 31
Gastrinex NF, 17
Flulaval 2013-2014, 31
Fora D15z Blood Glucose Test Strips, 36
Gastrocrom, 18
Flulaval Quadrivalent 2013-2014, 31
Fora D20 Blood Glucose Test Strips, 36
gatifloxacin, 25
Flumadine, 3
Fora G20 Blood Glucose Test Strips, 36
Gattex, 18
Flumist Nasal Vaccine 2012-2013, 31
Fora G30a Blood Glucose Test Strips, 36
Gazyva, 5
Flumist Quadrivalent, 31
Fora G71a Blood Glucose Test Strips, 36
Gebauers Pain Ease, 12
flunisolide, 29
Fora G90 Blood Glucose Test Strips, 36
Gebauers Spray And Stretch, 12
Flunisolide, 29
Fora GD20 Test Strips, 36
Gel-kam Oral Care Rinse, 21
fluocinolone acetonide, 11, 26
Fora Lancets, 34
Gelclair, 21
fluocinolone acetonide ear drops, 26
Fora V10 Blood Glucose Test Strips, 36
Gelnique, 19
fluocinonide, 11
Fora V12 Blood Glucose Test Strips, 36
Gelx, 21
fluocinonide emollient base, 11
Fora V20 Blood Glucose Test Strips, 36
Gemcitabine, 5
fluocinonide-e, 11
Fora V22 Blood Glucose Test Strips, 36
gemcitabine HCL, 4
fluorometholone, 25
Fora V30a Blood Glucose Test Strips, 36
gemfibrozil, 9
fluorouracil, 4
Foracare GD40, 36
Gemzar, 5
fluoxetine, 24
Foracare Premium V10 Teststrips, 36
Genadur, 12
fluoxetine DR, 21
Foracare Test N Go Test Strips, 36
Genadur Kit, 12
fluoxetine HCL, 21
Foradil Aerolizer, 30
gene-xene TAB 15MG, 21
Fluoxetine HCL, 22
Forfivo XL, 22
gene-xene TAB 3.75MG, 21
Fluphenazine Decanoate, 22
Fortamet, 15
gene-xene TAB 7.5MG, 21
fluphenazine HCL, 22
Fortavit, 32
Generess FE, 14
Fluphenazine HCL, 22
Fortaz, 1
Genotropin, 16
flurazepam HCL, 22
Forteo, 15
Genotropin Miniquick, 16
flurbiprofen, 28
Fortesta, 13
gentamicin sulfate, 2, 25
flurbiprofen sodium, 26
Fortical, 15
Gentamicin Sulfate, 10
flutamide, 5
Fosamax, 15
gentamicin sulfate pediatric, 2
fluticasone propionate, 11, 29
Fosamax Plus D, 15
gentamicin sulfate/0.9% sodium chloride, 2
fluvastatin, 9
Foscarnet Sodium, 3
Fluvirin 2012-2013, 31
Foscavir, 3
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Fluvirin 2013-2014, 31
fosinopril sodium, 7
Fluvirin PF 2012-2013, 31
fosinopril sodium/hydrochlorothiazide, 8
gentamicin sulfate/sodium chloride, 2
Fluvirin PF 2013-2014, 31
fosphenytoin sodium, 23
Gentle-let GP Lancets, 34
fluvoxamine maleate, 21
Fosrenol, 18
Gentle-let Lancets General Purpose Style/Fine Point, 34
fluvoxamine maleate ER, 21
Fragmin, 20
Fluzone High-dose PF 2012-2013, 31
Freestyle Insulinx Blood Glucose Test, 36
Gentle-let Lancets General Purpose Style/Medium Point, 34
Fluzone High-dose PF 2013-2014, 31
Gentle-let Lancets Safety Style/Fine Point, 34
Grifulvin V, 2
homatropine HBR, 26
Gris-peg, 2
Horizant, 24
Gentle-let Lancets Safety Style/Medium Point, 34
griseofulvin microsize, 2
HPR, 12
griseofulvin ultramicrosize, 2
HPR Plus, 12
Geodon, 22
guanfacine HCL, 8
HPR Plus/Mb Hydrogel, 12
Gesticare DHA, 32
Guanidine HCL, 25
Humalog, 14
Giazo, 18
Gynazole-1, 19
Humalog Kwikpen, 14
Gilenya, 24
H
Humalog Mix 50/50, 14
Gilotrif, 5
Humalog Mix 50/50 Kwikpen, 14
H&h Thinlet Lancets 26G, 34
Gilphex TR, 30
Humalog Mix 75/25, 14
H&h Thinlet Super Thin Lancets 30G, 34
Giltuss, 30
Humalog Mix 75/25 Kwikpen, 14
Haemolance, 34
Giltuss PED-c, 30
Humate-p, 20
Haemolance Low Flow Lancets, 34
Giltuss Pediatric, 30
Humatrope, 16
Haemolance Plus, 34
Giltuss TR, 30
Humatrope Combo Pack, 16
Haemolance Plus High Flow, 34
Glassia, 31
Humira, 28
Haemolance Plus Low Flow, 34
Gleevec, 5
Humira Pen, 28
Haemolance Plus Max Flow, 34
Gliadel Wafer, 4
Humira Pen-crohns Diseasestarter, 28
Haemolance Plus Pediatric Flow, 34
glimepiride, 15
Humira Pen-psoriasis Starter, 28
Halaven, 5
glipizide, 15
Humulin 70/30, 14
Halcion, 22
glipizide ER, 15
Humulin 70/30 Kwikpen, 14
Haldol, 22
glipizide/metformin HCL, 15
Humulin 70/30 Pen, 14
Haldol Decanoate 100, 22
Glucagen, 15
Humulin N, 14
Haldol Decanoate 50, 22
Glucagen Hypokit, 15
Humulin N Kwikpen, 14
Halflytely Bowel Prep/Flavor Packs, 17
Glucagon Emergency Kit, 15
Humulin N U-100 Pen, 14
Halfprin, 27
Gluco Perfect 3 Test Strips, 36
Humulin R, 14
halobetasol propionate, 11
Glucocard 01 Sensor, 36
Humulin R U-500 (concentrated), 14
Halog, 12
Glucocard 01 Test Strips, 36
Hy-vee Lancets, 34
Halonate, 12
Glucocard Expression Blood Glucose Test Strips, 36
Hyalgan, 25
haloperidol, 22
Hycamtin, 6
haloperidol decanoate, 22
Glucocard Vital Test Strips, 36
Hycet, 27
haloperidol lactate, 22
Glucocard X-sensor, 36
hydralazine HCL, 8
Halotin, 10
Glucocom Lancets 28G, 34
Hydrea, 6
Havrix, 31
Glucocom Lancets 30G, 34
Hydro 35, 12
Hectorol, 16
Glucocom Lancets 33G, 34
Hydro 40 Foam, 12
Helidac, 17
Glucocom Test Strips, 36
hydrochloric acid, 19
Helixate FS, 20
Glucolab Test Strips, 36
hydrochlorothiazide, 8
Hemabate, 27
Gluconavii Blood Glucose Test Strips, 36
hydrocodone bitartrate/acetaminophen, 27
Hematogen Fa, 20
Glucophage, 15
Hematron-AF, 20
Glucophage XR, 15
Hydrocodone Bitartrate/Acetaminophen, 27
Hemocyte Plus, 20
Glucosource Lancets, 34
Hemocyte-f, 20
Glucotrol, 15
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 30
Hemofil M, 20
Glucotrol XL, 15
heparin lock, 20
Glucovance, 15
hydrocodone bitartrate/homatropine methylbromide, 30
heparin lock flush, 20
Glumetza, 15
Heparin Lock Flush, 20
glyburide, 15
hydrocodone polistirex/chlorpheniramine polistirex, 30
heparin lock flush for flushing vascular access devices, 20
Glyburide, 15
glyburide micronized, 15
hydrocodone/acetaminophen, 27
heparin lock flush/NACL for flushing vascular access devices, 20
glyburide/metformin HCL, 15
Hydrocodone/Acetaminophen, 27
Glycate, 17
hydrocodone/homatropine, 30
heparin sodium, 20
Glycolic Acid, 11
hydrocodone/ibuprofen, 27
Heparin Sodium, 20
Glycolic Acid 70% High Purity, 11
hydrocort ene 100MG, 18
heparin sodium dcu, 20
glycopyrrolate, 17
hydrocortisone, 11, 13, 18
heparin sodium lock flush, 20
Glynase, 15
hydrocortisone acetate/aloe, 11
heparin sodium/D5W, 20
Glyset, 15
hydrocortisone acetate/pramoxine, 18
Heparin Sodium/D5W, 20
Gmate Blood Glucose Test Strips, 36
hydrocortisone butyrate, 11
Heparin Sodium/NACL 0.45%, 20
Golytely, 17
hydrocortisone butyrate (lipid), 11
heparin sodium/NACL 0.9%, 20
Gonal-f, 16
hydrocortisone butyrate (lipophilic), 11
Heparin Sodium/Sodium Chloride 0.9%, 20
Gonal-f RFF, 16
hydrocortisone IN absorbase, 11
Gonal-f RFF Pen, 16
hydrocortisone valerate, 11
heparin sodium/sodium chloride 0.9% premix, 20
Gonal-f RFF Rediject, 16
hydrocortisone/acetic acid, 26
Gordofilm, 12
hydromorphone HCL, 27
Hepsera, 3
Gordons Urea, 12
Hydromorphone HCL, 27
Herceptin, 5
Gralise, 24
Hydromorphone HCL Dosette, 27
Hespan, 21
Gralise Starter, 24
Hydroxocobalamin, 20
hetastarch 6%/NACL, 20
granisetron HCL, 18
hydroxychloroquine sulfate, 3
Hexalen, 4
Granisol, 18
hydroxyurea, 6
Hextend, 21
Granix, 20
hydroxyzine HCL, 21
Hiberix, 31
Green Soap, 12
Hydroxyzine HCL, 21
Hiprex, 18
hydroxyzine pamoate, 21
Inova, 10
Jevtana, 5
Hydroxyzine Pamoate, 21
Inova 4/1 Acne Control Therapy, 10
Jinteli, 14
Hylatopic, 12
Inova 8/2 Acne Control Therapy, 10
Juvisync, 15
Hylatopic Plus, 12
Inspirease Bags, 37
Juxtapid, 9
Hylatopic Plus/Aurstat, 12
Inspirease Drug Delivery System, 37
K
Hylira, 12
Inspirease Mouthpiece, 37
K-phos NO 2, 19
hyoscyamine sulfate, 17
Inspirease Reservoir Bags, 37
Kadcyla, 5
hyoscyamine sulfate ER, 17
Inspra, 8
Kadian, 27
hyoscyamine sulfate odt, 17
Insulin Syringe/0.5ML/30G X 5/16", 36
Kalbitor, 21
hyoscyamine sulfate SR, 17
Integra F, 20
Kaletra, 3
Hyper-sal, 30
Integra Plus, 20
Kalydeco, 31
Hypersal, 30
Integrilin, 21
Kanamycin Sulfate, 2
Hypertenevide-12.5, 7
Intelence, 3
Kapvay, 23
Hypertenipine-2.5, 7
Intermezzo, 23
Kapvay Dose Pack, 23
Hypertensolol, 8
Introl, 9
Kazano, 15
Hyzaar, 8
Intron-a, 6
Keflex, 1
I
Intron-a W/Diluent, 6
Kenalog, 12
Intuniv, 23
ibandronate sodium, 15
Kenalog-10, 13
Invanz, 4
Ibudone, 27
Kenalog-40, 13
Invega, 22
ibuprofen, 28
Kepivance, 6
Invega Sustenna, 22
Ibuprofen Comfort PAC, 28
Keppra, 23
Invirase, 3
ibutilide fumarate, 7
Keppra XR, 23
Invokana, 15
IC 400, 28
Kerafoam, 12
Iopidine, 26
IC 800, 28
Kerafoam 42, 12
Ipol Inactivated IPV, 31
Icar-c Plus, 20
Keralyt, 12
ipratropium bromide, 29, 30
Iclusig, 5
Keralyt Scalp, 12
ipratropium bromide/albuterol sulfate, 30
Idamycin PFS, 4
Kerlone, 7
Iprivask, 20
idarubicin HCL, 4
Ketek, 4
irbesartan, 8
Ifex, 4
ketoconazole, 2, 10
irbesartan/hydrochlorothiazide, 8
ifosfamide, 4
Ketodan Kit, 10
irinotecan, 6
Ifosfamide, 4
ketoprofen, 28
Iron, 20
Ifosfamide/Mesna, 6
Ketoprofen ER, 28
Irospan 24/6, 20
Ilaris, 28
ketorolac tromethamine, 26, 28
Isentress, 3
Ilevro, 26
Ketorolac Tromethamine, 28
isoniazid, 2
Imbruvica, 6
Khedezla, 22
Isoniazid, 2
Imdur, 6
Kineret, 28
Isoptin SR, 7
imipenem/cilastatin, 3
Kinlytic, 21
Isopto Atropine, 26
imipramine HCL, 21
Kinrix, 31
Isopto Carbachol, 26
imipramine pamoate, 21
Klaron, 10
Isopto Carpine, 26
imiquimod, 12
Klonopin, 23
Isopto Homatropine, 26
Imitrex, 29
Koate-dvi, 20
Isopto Hyoscine, 26
Imitrex Statdose Refill, 29
Kogenate FS, 20
Isordil Titradose, 6
Imitrex Statdose System, 29
Kogenate FS Bio-set, 20
isosorbide dinitrate, 6
Imovax Rabies (h.d.c.v.), 31
Kombiglyze XR, 15
Isosorbide Dinitrate, 6
Imuran, 5
Korlym, 15
isosorbide dinitrate ER, 6
Inatal Advance, 32
Kristalose, 17
isosorbide mononitrate, 6
Inatal GT, 32
Krystexxa, 29
isosorbide mononitrate ER, 6
Inatal Ultra, 32
Kuvan, 16
isotonic gentamicin, 2
Incivek, 3
Kynamro, 9
Isotonic Gentamicin, 2
Increlex, 16
Kyprolis, 5
Isradipine, 7
indapamide, 8
L
Istalol, 25
Inderal LA, 7
Istodax, 5
labetalol HCL, 7
Indocin, 28
Isuprel, 31
Lac-hydrin, 12
Indocin IV, 28
itraconazole, 2
Lacrisert, 25
indomethacin, 28
Ixempra Kit, 5
lactic acid, 12
Indomethacin, 28
Ixiaro, 31
lactic acid e, 12
indomethacin ER, 28
J
lactic acid w/vitamin e, 12
indomethacin sodium, 28
lactulose, 17, 18
Infanrix, 31
J-cof DHC, 30
Lamictal, 23
Infasurf, 31
J-max DHC, 30
Lamictal Chewable Dispersible, 23
Infergen, 3
Jakafi, 5
Lamictal Odt, 23
Infinity Blood Glucose Test Strips, 36
Jalyn, 19
Lamictal Starter/Not Taking Carbamazepine, 23
Influenza A (h1n1) Monovalent 2009, 31
Janumet, 15
Infumorph 200, 27
Janumet XR, 15
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 23
Infumorph 500, 27
Januvia, 15
Injectafer, 20
Je-vax, 31
Inlyta, 5
Jentadueto, 15
Lamictal Starter/Taking Valproate, 23
Innopran XL, 7
Jetrea, 26
Lamictal XR, 23
levonorgestrel/ethinyl estradiol, 14
Lomedia 24 FE, 14
Lamisil, 2
Levophed, 9
Lomotil, 17
Lamisil Spray, 11
Levorphanol Tartrate, 27
Lomustine, 4
lamivudine, 3
levothyroxine sodium, 17
loperamide HCL, 17
lamivudine/zidovudine, 3
Levothyroxine Sodium, 17
Lopid, 9
lamotrigine, 23
Levsin, 17
Lopressor, 7
lamotrigine ER, 23
Levsin/SL, 17
Lopressor HCT, 8
Lancets, 34
Lexapro, 22
Loprox, 11
Lancets 26G Twist Top, 34
Lexiva, 3
Loprox Shampoo, 11
Lancets 28G, 34
Lialda, 18
lorazepam, 21
Lancets 30G, 34
Liberty Next Generation Blood Glucose Test Strips, 36
Lorazepam Intensol, 21
Lancets 30G Twist Top, 34
Lorcet 10/650, 27
Lancets 31G Twist Top, 34
lidocaine, 12
Lorcet Plus, 27
Lancets Bullseye Safety, 34
lidocaine HCL, 7, 12, 21, 29
Lortab, 27
Lancets Safety Seal 21G, 34
Lidocaine HCL, 7, 12
Lorzone, 25
Lancets Safety Seal 26G, 34
lidocaine HCL IN D5W, 7
losartan potassium, 8
Lancets Safety Seal 28G, 34
lidocaine HCL jelly, 12
losartan potassium/hydrochlorothiazide, 8
Lancets Safety Seal 30G, 34
Lidocaine HCL-hydrocortisone Acetate With Aloe, 18
Lancets Thin, 34
Loseasonique, 14
Lancets Twist Top, 34
lidocaine HCL/dextrose, 7
Lotemax, 25
Lancets Ultra Fine, 34
Lidocaine HCL/Dextrose, 29
Lotensin, 7
Lancets Ultra Thin, 34
lidocaine HCL/hydrocortisone acetate, 18
Lotensin HCT, 8
Lanoxin, 6
Lidocaine HCL/Hydrocortisone Acetate, 18
Lotrel, 8
Lanoxin Pediatric, 6
Lotrisone, 11
lansoprazole, 17
lidocaine viscous, 21
Lotronex, 18
lansoprazole/amoxicillin/clarithromycin, 17
lidocaine/epinephrine, 29
lovastatin, 9
lidocaine/prilocaine, 12
Lovaza, 9
Lantus, 14
Lidocaine/Prilocaine, 12
Lovenox, 20
Lantus Solostar, 14
Lidoderm, 12
loxapine, 22
Lasix, 9
Lidoprofen, 11
loxapine succinate, 22
Lastacaft, 26
Lidovir, 11
Loxitane, 22
latanoprost, 26
Lifescan Unistik 2 Deep Penetration, 34
Lta 360 Kit, 21
Latrix XM, 12
Lifescan Unistik II Lancets, 34
Lufyllin, 31
Latuda, 22
Lincocin, 4
Lumigan, 26
Lavoclen-4 Creamy Wash, 10
lindane, 12
Luminal, 23
Lavoclen-8 Creamy Wash, 10
Linzess, 18
Lumizyme, 16
Lazanda, 27
Lioresal Intrathecal, 25
Lunesta, 22
leflunomide, 28
liothyronine sodium, 17
Lupaneta Pack, 16
Lescol, 9
Lipitor, 9
Lupron Depot, 5
Lescol XL, 9
Lipofen, 9
Lupron Depot-PED, 16
Letairis, 9
Liptruzet, 9
Luvox CR, 22
letrozole, 5
Liquicet, 27
Luxiq, 12
leucovorin calcium, 6
lisinopril, 7
Lycelle, 12
Leucovorin Calcium, 6
lisinopril/hydrochlorothiazide, 8
Lyrica, 23
Leukeran, 4
Liteaire, 37
Lysodren, 5
Leukine, 19
Litetouch Lancets Micro Thin 33G, 34
Lysteda, 20
leuprolide acetate, 5
lithium carbonate, 22
Lytensopril, 8
Levacet, 27
Lithium Carbonate, 22
Lytensopril-90, 8
levalbuterol, 30
lithium carbonate ER, 22
M
levalbuterol HCL, 30
Lithium Citrate, 22
M-m-r II W/Diluent 10 Dose, 31
Levaquin, 2
Lithobid, 22
M-vit, 32
Levatol, 7
Lithostat, 19
M.v.i. Adult, 32
Levbid, 17
Livalo, 9
M.v.i. Pediatric, 32
Levemir, 14
Live Better Lancet Super Thin 30G, 34
M.v.i.-12 Without Vitamin K, 32
Levemir Flexpen, 14
Live Better Lancet Ultra Thin 28G, 34
Macnatal CN DHA, 32
levetiracetam, 23
LMD 10% Dextrose 5%, 21
Macrobid, 18
Levetiracetam, 23
LMD 10% Sodium Chloride 0.9%, 21
Macrodantin, 18
levetiracetam ER, 23
LO Loestrin FE, 14
Magnacet, 27
Levitra, 9
LO Minastrin FE, 14
Makena, 14
levobunolol HCL, 25
Locoid, 12
Malarone, 3
Levobunolol HCL, 25
Locoid Lipocream, 12
malathion, 12
levocarnitine, 16
Lodosyn, 24
mannitol, 8
levocetirizine dihydrochloride, 29
Loestrin 1.5/30-21, 14
Maprotiline HCL, 22
levofloxacin, 2, 25
Loestrin 1/20-21, 14
Marcaine, 29
levofloxacin IN D5W, 2
Loestrin 24 FE, 14
Marcaine W/O Epi, 29
Levomefolate PNV, 32
Loestrin FE 1.5/30, 14
Marcaine/Epinephrine, 29
levonorgestrel, 14
Loestrin FE 1/20, 14
Marinol, 18
levonorgestrel and ethinyl estradiol, 14
Lofibra, 9
Marnatal-f, 32
Marplan, 22
Menostar, 14
Mevacor, 9
Marqibo, 5
Mentax, 11
mexiletine HCL, 7
Mask Vortex/Baby Whirl Duckling, 37
Menveo, 31
Miacalcin, 15
Mask Vortex/Child/Frog, 37
meperidine HCL, 27
Micardis, 8
Mask Vortex/Spinner The Duck, 37
Meperidine HCL, 27
Micardis HCT, 8
Mask Vortex/Toddler/Lady Bug, 37
Mephyton, 32
Microchamber, 37
Matulane, 6
Mepivacaine HCL, 29
Microdot Test Strips, 36
Mavik, 7
meprobamate, 21
Microlet Lancets, 35
Maxair Autohaler, 31
Mepron, 4
Microspacer, 37
Maxalt, 29
mercaptopurine, 4
Microtainer Safety Flow Lancet/Sterile/Single-use, 35
Maxalt-MLT, 29
meropenem, 3
Maxaron Forte, 20
Merrem, 4
Microzide, 9
Maxidex, 25
mesalamine, 18
midodrine HCL, 9
Maxidone, 27
mesna, 6
Mifeprex, 16
Maxifed CD, 30
Mesnex, 6
Migergot, 29
Maxifed CDX, 30
Mestinon, 25
Migral, 29
Maxifed-G CD, 30
Mestinon Timespan, 25
Migranal, 29
Maxifed-G CDX, 30
Metadate CD, 23
Millipred, 13
Maxiflu CD, 30
Metaproterenol Sulfate, 31
Millipred DP, 13
Maxiflu CDX, 30
Metastron, 6
milrinone IN dextrose, 6
Maxima Blood Glucose Teststrips, 36
metaxalone, 24
milrinone lactate, 6
Maxinate, 32
metformin HCL, 15
Mimyx, 12
Maxiphen CD, 30
metformin HCL ER, 15
Minastrin 24 FE, 14
Maxiphen CDX, 30
methadone HCL, 27
Mineral Oil Heavy, 17
Maxipime, 1
Methadone HCL, 27
Minipress, 8
Maxitrol, 26
Methadose, 27
Minivelle, 13
Maxzide, 9
Methadose Sugar-free, 27
Minocin, 2
Maxzide-25, 9
methamphetamine HCL, 23
Minocin Kit, 2
Mb Hydrogel, 12
methazolamide, 8
minocycline HCL, 2
meclizine HCL, 18
methenamine hippurate, 18
minocycline HCL ER, 2
Meclofenamate Sodium, 28
methenamine mandelate, 18
minoxidil, 8
Medisense Thin Lancets, 34
Methenamine Mandelate, 18
Mirapex, 24
Medlance Plus Extra Lancets 21G, 34
methimazole, 17
Mirapex ER, 24
Medlance Plus Lancets, 34
methocarbamol, 24
Mircette, 14
Medlance Plus Lancets Lite 25G, 34
methotrexate, 4
mirtazapine, 21
Medlance Plus Lite Lancets 25G, 34
methotrexate sodium, 4
mirtazapine odt, 21
Medlance Plus Special Lancets 0.8MM, 34
methscopolamine bromide, 17
Mirvaso, 10
Methyclothiazide, 9
misoprostol, 17
Medlance Plus Superlite 30G, 34
methyldopa, 8
mitomycin, 4
Medlance Plus Superlite 30G/Comfort Max, 34
Methyldopa/Hydrochlorothiazide, 8
Mitosol, 25
Methyldopate HCL, 8
mitoxantrone HCL, 4
Medlance Plus Universal Lancets 21G, 34
methylergonovine maleate, 27
Mobic, 28
Methylin, 23
modafinil, 23
Medlance Plus/Lite 25G, 34
methylphenidate HCL, 23
Moderiba, 3
Medlance/Extra, 34
methylphenidate HCL CD, 23
Modicon, 14
Medlance/Lite, 34
methylphenidate HCL ER, 23
moexipril HCL, 7
Medlance/Universal, 34
Methylphenidate HCL ER, 23
moexipril/hydrochlorothiazide, 8
Medrol, 13
methylphenidate HCL SR, 23
mometasone furoate, 11
Medrol Dosepak, 13
methylphenidate hydrochloride, 23
Moms Choice RX, 32
medroxyprogesterone acetate, 14
methylprednisolone, 13
Monoclate-p, 20
mefenamic acid, 28
methylprednisolone acetate, 13
Monodox, 2
mefloquine HCL, 3
methylprednisolone dose pack, 13
Monoject Bone Marrow Biopsy Prepping Tray, 29
Mefoxin, 1
methylprednisolone sodiumsuccinate, 13
Megace ES, 14
metipranolol, 25
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 29
Megace Oral, 5
metoclopramide HCL, 18
megestrol acetate, 5
metolazone, 8
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 29
Megestrol Acetate, 5
metoprolol succinate ER, 7
Meijer Super Thin Lancets, 35
metoprolol tartrate, 7
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 29
Mekinist, 5
metoprolol/hydrochlorothiazide, 8
meloxicam, 28
Metozolv Odt, 18
Monolet Lancets, 35
Meloxicam, 28
Metro IV, 4
Monolet Opd Lancets, 35
Meloxicam Comfort PAC, 28
Metrocream, 10
Monolettor Safety Lancets, 35
melphalan hydrochloride, 4
Metrogel, 10
Mononine, 20
Menactra, 31
Metrogel-vaginal, 19
montelukast sodium, 30
Menest, 14
Metrolotion, 10
Monurol, 18
Menhibrix, 31
metronidazole, 3, 10
Morgidox 1X100MG, 2
Menomune-a/C/Y/W-135, 31
metronidazole IN NACL 0.79%, 3
Morgidox 2X100MG, 2
Menopur, 16
metronidazole vaginal, 19
morphine sulfate, 27
Morphine Sulfate, 27
Nasacort AQ, 29
Neutrasal, 21
Morphine Sulfate Add-vantage, 27
Nascobal, 19
Neutrexin, 4
morphine sulfate ER, 27
Nasonex, 29
Nevanac, 26
Morphine Sulfate IN Dextrose 5%, 27
Natachew, 32
nevirapine, 3
Motofen, 17
Natacyn, 25
Nevirapine, 3
Moviprep, 17
Natafort, 32
Nexa Plus, 32
Moxatag, 1
Natalvirt 90 DHA, 32
Nexa Select, 32
Moxeza, 25
Natalvirt CA, 32
Nexavar, 5
Mozobil, 19
Natalvirt Flt, 20
Nexgen Test Strips, 36
MS Contin, 27
Natalvit, 32
Nexiclon XR, 8
Mst 600, 27
Natazia, 14
Nexium, 17
Mucotrol, 21
nateglinide, 15
Nexium I.v., 17
Multaq, 7
Natelle One, 32
Nexterone, 7
Multigen, 20
Natelle-EZ, 32
niacin ER, 9
Multigen Folic, 20
Natrecor, 9
Niacor, 9
Multigen Plus, 20
Natroba, 12
Niaspan, 9
mupirocin, 10
Nature-throid, 17
nicardipine HCL, 7
mupirocin calcium, 10
Nature-throid Nt-2.5, 17
Nicazel, 32
Muse, 9
Navelbine, 5
Nicazel Forte, 32
Mustargen, 4
Nebupent, 4
Nicazeldoxy 30 Kit, 2
Myambutol, 2
Nebusal, 30
Nicazeldoxy 60 Kit, 2
Mycamine, 2
Necon 1/50-28, 14
Nicomide, 32
Mycobutin, 2
Necon 10/11-28, 14
nifedipine, 7
mycophenolate mofetil, 5
Neevo, 32
nifedipine ER, 7
mycophenolic acid DR, 5
Neevo DHA, 32
Nilandron, 5
Mydfrin, 26
nefazodone HCL, 21
Nimbex, 24
Myfortic, 5
Nefazodone HCL, 22
nimodipine, 7
Myglucohealth Blood Glucose Test, 36
Nembutal Sodium, 23
Nipent, 6
Myglucohealth Mgh Softlance Lancets 30G, 35
Neo-synephrine, 9
Niravam, 21
neomycin sulfate, 2
nisoldipine, 7
Mykidz Iron Fl, 32
neomycin/bacitracin/polymyxin, 25
Nisoldipine, 7
Myleran, 4
neomycin/polymyxin/bacitracin zinc, 25
Nisoldipine ER, 7
Mynatal, 32
neomycin/polymyxin/bacitracin/hydrocortisone, 25
Nitro-bid, 6
Mynatal Advance, 32
Nitro-dur, 6
Mynatal Ultracaplet, 32
neomycin/polymyxin/dexamethasone, 25
nitrofurantoin, 18
Myobloc, 24
neomycin/polymyxin/gramicidin, 25
nitrofurantoin macrocrystals, 18
Myoxin, 26
neomycin/polymyxin/HC, 26
nitrofurantoin monohydrate, 18
Myozyme, 16
Neomycin/Polymyxin/Hydrocortisone, 26
nitrofurantoin monohydrate/macrocrystals, 18
Myrbetriq, 19
neomycin/polymyxin/hydrocortisone, 26
Mysoline, 23
Neoprofen, 28
nitroglycerin, 6
N
Neoral, 5
Nitroglycerin, 6
Neosalus, 13
nitroglycerin IN 5% dextrose, 6
nabumetone, 28
Neosalus CP, 13
nitroglycerin IN dextrose 5%, 6
nadolol, 7
Neosporin, 25
Nitroglycerin IN Dextrose 5%, 6
nadolol/bendroflumethiazide, 8
neostigmine methylsulfate, 25
nitroglycerin lingual, 6
nafcillin sodium, 1
Neotuss Plus, 30
Nitroglycerin Lingual, 6
Nafcillin Sodium, 1
Nephplex RX, 32
nitroglycerin transdermal, 6
Nafrinse Daily/Acidulated, 21
Nephro-vite RX, 32
Nitrolingual Pumpspray, 6
Nafrinse Daily/Neutral, 21
Nephrocaps, 32
Nitromist, 6
Nafrinse Weekly, 21
Nephrocaps QT, 32
Nitropress, 8
Naftin, 11
Nephron Fa, 20
Nitrostat, 6
Naglazyme, 16
Neptazane, 9
nizatidine, 17
nalbuphine HCL, 27
Nesacaine, 29
Nizoral, 11
Nalfon, 28
Nesacaine-mpf, 29
Nor-QD, 14
Nallpen Iso-osmotic IN Dextrose, 1
Nesina, 15
Norco, 27
Nallpen/Dextrose, 1
Nessi Spacer/Large Mask, 37
Nordette-28, 14
Namenda, 24
Nessi Spacer/Mouthpiece, 37
Norditropin Cartridge, 16
Namenda Titration PAK, 24
Nessi Spacer/Small/MED Mask, 37
Norditropin Flexpro, 16
Namenda XR, 24
Nestabs, 32
Norditropin Nordiflex Pen, 16
Namenda XR Titration Pack, 24
Nestabs Abc, 32
norepinephrine bitartrate, 9
Naphazoline HCL, 26
Nestabs DHA, 32
norethindrone, 14
Naprelan, 28
Netgroup Lancets, 35
norethindrone acetate, 14
Naprosyn, 28
Neulasta, 19
Norflex, 25
naproxen, 28
Neumega, 19
norgestimate/ethinyl estradiol, 14
Naproxen Comfort PAC, 28
Neupogen, 19
Norinyl 1+35, 14
naproxen sodium, 28
Neupro, 24
Norinyl 1+50, 14
naratriptan HCL, 28
Neurontin, 23
Noritate, 10
Nardil, 22
Neutek 2tek Test Strips, 36
Noroxin, 2
Naropin, 29
Norpace, 7
OB-natal One, 32
Onfi, 23
Norpace CR, 7
Obstetrix DHA, 32
Onglyza, 15
Norpramin, 22
Obstetrix EC, 32
Onmel, 2
nortriptyline HCL, 21
octreotide acetate, 16
Opana, 27
Nortriptyline HCL, 22
Ocudox, 2
Opana ER (crush Resistant), 27
Norvasc, 7
Ocufen, 26
opium, 17
Norvir, 3
Ocuflox, 25
opium tincture, 17
Nova Max Glucose Test Strips, 36
Ofirmev, 27
Opsumit, 9
Nova Safety Lancets 23G, 35
ofloxacin, 2, 25, 26
Optichamber Advantage, 37
Nova Safety Lancets 28G, 35
Ogestrel, 14
Optichamber Diamond, 37
Nova Sureflex Lancets, 35
olanzapine, 22
Optichamber Diamond/Largeface Mask, 37
Novaferrum, 20
olanzapine odt, 22
Novofine 30GX8MM, 35
olanzapine/fluoxetine, 24
Optichamber Diamond/Medium Face Mask, 37
Novofine 32GX6MM, 35
Oleptro, 22
Novofine Autocover 30GX8MM, 35
Olux, 12
Optichamber Diamond/Smallface Mask, 37
Novolin 70/30, 14
Olux-e, 12
Novolin 70/30 Relion, 14
Olysio, 3
Optihaler, 37
Novolin N, 14
Omeclamox-PAK, 17
Optihaler MDI Drug Delivery System, 37
Novolin N Relion, 14
omeprazole, 17
Optipranolol, 25
Novolin R, 14
Omeprazole + Syrspend SF Alka, 17
Optium Test Strips, 36
Novolin R Relion, 14
omeprazole/sodium bicarbonate, 17
Optiumez Test Strips, 36
Novolog, 14
Omnaris, 30
Optivar, 26
Novolog Flexpen, 14
Omnipred, 26
Optumrx Blood Glucose Test, 36
Novolog Mix 70/30, 14
Omnitrope, 16
Oracea, 10
Novolog Mix 70/30 Prefilled Flexpen, 14
Omontys, 20
Oracit, 19
Novolog Penfill, 14
On Call Lancets, 35
Orafate, 21
Novoseven, 20
On Call Plus Blood Glucose Test, 36
Oramagicrx, 21
Novoseven Rt, 20
On Call Plus Lancets, 35
Orap, 24
Novotwist 30GX8MM, 35
On Call Vivid Blood Glucose Test, 36
Orapred, 13
Novotwist 32GX5MM, 35
Oncaspar, 4
Orapred Odt, 13
Noxafil, 2
ondansetron HCL, 18
Oravig, 21
Nplate, 19
ondansetron HCL/dextrose, 18
Oraxyl, 2
Nucort, 12
ondansetron odt, 18
Orbivan, 27
Nucynta, 27
Onetouch Basic System, 35
Orbivan CF, 27
Nucynta ER, 27
Onetouch Basic/Profile Test Strips, 35
Orencia, 28
Nuedexta, 24
Onetouch Club Lancets Fine Point, 35
Orfadin, 16
Nulojix, 5
Onetouch Combo Pack, 35
orphenadrine citrate, 24
Nulytely/Flavor Packs, 17
Onetouch Delica Lancets Extra Fine 33G, 35
orphenadrine citrate ER, 24
Numoisyn, 21
orphenadrine/asa/caffeine, 24
Nuox, 10
Onetouch Delica Lancets Fine 30G, 35
Ortho Evra, 14
Nutricap, 32
Onetouch Delica Lancing Device, 35
Ortho Micronor, 14
Nutridox, 2
Onetouch Finepoint Lancets, 35
Ortho Tri-cyclen, 14
Nutrivit, 32
Onetouch Lancets, 35
Ortho Tri-cyclen LO, 14
Nutropin, 16
Onetouch Ping Meter Remote, 35
Ortho-cept, 14
Nutropin AQ, 16
Onetouch Profile System, 35
Ortho-cyclen, 14
Nutropin AQ Nuspin 10, 16
Onetouch Suresoft Lancing Device/18G, 35
Ortho-novum 1/35, 14
Nutropin AQ Nuspin 20, 16
Ortho-novum 7/7/7, 14
Nutropin AQ Nuspin 5, 16
Onetouch Suresoft Lancing Device/21G, 35
Orthovisc, 25
Nutropin AQ Pen, 16
Oseni, 15
Nuvail, 13
Onetouch Suresoft Lancing Device/28G, 35
Osmoprep, 17
Nuvigil, 23
Osphena, 16
Nuzon, 12
Onetouch Ultra 2, 35
Otozin, 26
Nymalize, 7
Onetouch Ultra Blue, 35
Otrexup, 28
nystatin, 2, 10, 21
Onetouch Ultra Control, 35
Ovace Plus, 11
Nystatin, 10
Onetouch Ultra Mini, 35
Ovace Plus Wash, 11
Nystatin Domestic, 10
Onetouch Ultra System Kit, 35
Ovace Wash, 11
Nystatin Foreign, 10
Onetouch Ultralink System (DEC), 35
Ovcon-35, 14
Nystatin Vaginal, 19
Onetouch Ultralink System (hex), 35
Ovide, 13
nystatin/triamcinolone, 10
Onetouch Ultrasmart, 35
Ovidrel, 16
O
Onetouch Ultrasoft Lancets, 35
oxacillin sodium, 1
Onetouch Verio Control Solution High, 35
oxaliplatin, 4
O-CAL Fa, 32
Oxandrin, 13
O-CAL Prenatal, 32
Onetouch Verio IQ Blood Glucose Monitoring System, 35
oxandrolone, 13
OB Complete, 32
oxaprozin, 28
OB Complete 400, 32
Onetouch Verio Mid Control Solution, 35
oxazepam, 21
OB Complete One, 32
Onetouch Verio Sync Bloodglucose Monitoring System, 35
oxcarbazepine, 23
OB Complete Petite, 32
Oxecta, 27
OB Complete Premier, 32
Onetouch Verio Test Strips, 35
Oxistat, 11
OB Complete/DHA, 32
Oxsoralen, 12
Peg-intron Redipen PAK 4, 3
Phospholine Iodide, 26
Oxsoralen Ultra, 11
Peganone, 23
Photofrin, 6
Oxtellar XR, 23
Pegasys, 3
Phrenilin Forte, 27
oxybutynin chloride, 19
Pegasys Proclick, 3
phytonadione, 31
oxybutynin chloride ER, 19
Pen Needles 29G X 12MM, 35
pilocarpine HCL, 21, 26
oxycodone HCL, 27
Pen Needles 29GX1/2", 35
pilocarpine hydrochloride, 21
Oxycodone HCL, 27
Pen Needles 30GX5/16", 35
Pilopine HS, 26
oxycodone/acetaminophen, 27
Pen Needles 31G X 1/4" SHORT, 35
Pindolol, 7
oxycodone/aspirin, 27
Pen Needles 31G X 3/16", 35
pioglitazone HCL, 15
oxycodone/ibuprofen, 27
Pen Needles 31G X 6MM, 35
pioglitazone HCL-glimepiride, 15
Oxycontin, 27
Pen Needles 31GX5/16", 35
pioglitazone HCL/metformin HCL, 15
oxymorphone hydrochloride, 27
penicillin G potassium, 1
piperacillin sodium/ tazobactam sodium, 1
oxymorphone hydrochloride ER, 27
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
oxytocin, 27
piperacillin sodium/tazobactam sodium, 1
Oxytrol, 19
Penicillin G Procaine, 1
piperacillin/tazobactam, 1
Oxytrol For Women, 19
Penicillin G Sodium, 1
piroxicam, 28
P
penicillin v potassium, 1
Pitocin, 27
Penlac Nail Lacquer, 11
Pitressin Synthetic, 16
paclitaxel, 5
Pennsaid, 11
Plan B, 14
Paclitaxel, 5
Pentacel, 31
Plan B One-step, 14
Paire OB, 32
Pentam 300, 4
Plaquenil, 3
Palgic, 29
Pentasa, 18
Plavix, 21
Pamelor, 22
pentazocine/acetaminophen, 27
Pletal, 21
pamidronate disodium, 15
pentazocine/naloxone HCL, 27
Pliaglis, 13
Pamidronate Disodium, 15
Pentazocine/Naloxone HCL, 27
Pneumovax 23/1 Dose, 31
Pamine, 17
Pentetate Calcium Trisodium, 37
Pneumovax 23/5 Dose, 31
Pamine Forte, 17
Pentetate Zinc Trisodium, 37
Pocket Chamber, 37
Pamine FQ, 17
pentostatin, 6
Pocket Spacer, 37
Panatuss Dxp, 30
pentoxifylline ER, 20
Pocketchem EZ Blood Glucose Test Strips, 36
Pancreaze, 18
Pepcid, 17
Pancrelipase, 18
Percocet, 28
podofilox, 12
pancuronium bromide, 24
Percodan, 28
Poly H.S. DHC, 30
Panda Mask Large, 37
Perfect Lancets 30G, 35
Poly H.S. Nc, 30
Panda Mask Medium, 37
Perfect Pressure Activated Safety Lancets 28G, 35
Poly-tussin DHC, 30
Panda Mask Small, 37
Poly-tussin EX, 30
Pandel, 12
Perforomist, 30
Poly-VI-flor, 32
pantoprazole sodium, 17
Peridex, 21
Poly-VI-flor/Iron, 32
papaverine HCL, 9
perindopril erbumine, 7
polyethylene glycol 3350, 17
Parafon Forte DSC, 25
Perjeta, 5
polymyxin b sulfate, 3
Parcopa, 24
permethrin, 12
polymyxin b sulfate/trimethoprim sulfate, 25
Paregoric, 17
perphenazine, 22
paricalcitol, 16
Perphenazine/Amitriptyline, 24
Polytrim, 25
Parlodel, 24
Persantine, 21
Pomalyst, 5
Parnate, 22
Pertzye, 18
Ponstel, 28
paromomycin sulfate, 2
Pexeva, 22
Pontocaine, 13, 29
paroxetine HCL, 21
Pfizerpen-G, 1
Pontocaine Niphanoid, 29
paroxetine HCL ER, 21
Pharmacist Choice Autocode Blood Glucose Test Strips, 36
Potassium Citrate, 19
Paser, 2
Potassium Citrate ER, 19
Pataday, 26
Pharmacy Counter Lancets, 35
Potiga, 23
Patanase, 30
phenazopyridine HCL, 19
Pr Cream, 13
Patanol, 26
phenelzine sulfate, 21
Pr Natal 400, 32
Paxil, 22
Phenergan, 29
Pr Natal 400 EC, 32
Paxil CR, 22
Phenflu CD, 30
Pr Natal 430, 32
PCE, 1
Phenflu CDX, 30
Pr Natal 430 EC, 32
Pediaderm AF Complete Kit, 11
phenobarbital, 22
Pradaxa, 20
Pediaderm HC, 12
Phenobarbital, 23
pramipexole dihydrochloride, 24
Pediaderm Ta, 12
phenobarbital sodium, 22
Pramosone, 11
Pediapred, 13
Phenobarbital Sodium, 23
Pramosone E, 11
Pediarix, 31
Phentolamine Mesylate, 8
Pramotic, 26
Pediatex TD, 30
phenylephrine HCL, 9, 26
Prandimet, 15
Pediatex TDM, 30
Phenylephrine HCL, 9, 29
Prandin, 15
Pediatric Panda Mask, 37
phenylephrine/guaifenesin, 30
Pravachol, 9
Pedipirox-4 Nail, 11
Phenytek, 23
pravastatin sodium, 9
Pedvax HIB, 31
phenytoin, 23
Prazolamine, 25
peg 3350/electrolytes, 17
phenytoin sodium, 23
prazosin HCL, 8
peg-3350/electrolytes, 17
phenytoin sodium extended, 23
Pre-folic, 20
peg-3350/NACL/NA bicarbonate/KCL, 17
Phoslo, 18
Precedex, 23
Peg-intron, 3
Phoslyra, 18
Precision PCX, 36
Peg-intron Redipen, 3
Precision PCX Plus Test Strips, 36
Procainamide HCL, 7
Provigil, 23
Precision Point Of Care Test Strips, 36
Procardia, 7
Prozac, 22
Precision QID Test Strips, 36
Procardia XL, 7
Prozac Weekly, 22
Precision Sof-tact Test Strips, 36
Procentra, 23
Pruclair, 13
Precision Thin Lancets, 35
prochlorperazine, 22
Prudoxin, 11
Precision Thins GP Lancet, 35
prochlorperazine edisylate, 22
Prumyx, 13
Precision Ultra Lancet, 35
prochlorperazine maleate, 22
Pss Select GP Lancets, 35
Precision XTRA Blood Glucose Test Strips, 36
Procort, 18
Pss Select Safety Lancets, 35
Procrit, 19
Pts Panels Glucose Test, 37
Precose, 15
Proctocort, 18
Pulmicort, 31
Pred Forte, 26
Proctofoam HC, 18
Pulmicort Flexhaler, 30
Pred Mild, 25
Procysbi, 19
Pulmophylline, 31
Pred-G, 26
Prodigy Autocode Blood Glucose Test Strips, 37
Pulmozyme, 31
Pred-G S.o.p., 26
Purinethol, 5
prednicarbate, 11
Prodigy NO Coding Blood Glucose Test Strips, 37
Px Lancets Ultra Thin, 35
prednisolone, 13
Pylera, 17
prednisolone acetate, 25
Prodigy Pressure Activated Safety Lancets, 35
pyrazinamide, 2
prednisolone sodium phosphate, 13
Pyridium, 19
Prednisolone Sodium Phosphate, 13, 26
Prodigy Twist Top Lancets, 35
pyridostigmine bromide, 25
prednisone, 13
Proferrin-forte, 20
Pyridoxine HCL, 32
Prednisone, 13
progesterone, 14
Pyrogallic Acid, 13
Prednisone Intensol, 13
Proglycem, 15
Q
Prefera OB, 32
Prograf, 5
Qc Lancets Super Thin, 35
Prefera OB + DHA, 32
Prolastin, 31
Qc Lancets Ultra Thin, 35
Preferaob One, 32
Prolastin-c, 31
Qnasl, 29
Prefest, 14
Prolensa, 26
Quadramet, 6
Prefol-DHA, 32
Proleukin, 6
Qualaquin, 3
Prelone, 13
Prolia, 15
Quartette, 14
Premarin, 14, 19
Promacta, 19
Quazepam, 23
Premphase, 13
Promar, 32
Quelicin, 24
Prempro, 13
promethazine HCL, 29
Quelicin 1000, 24
Prenata, 32
promethazine HCL plain, 29
Questran, 9
Prenatabs RX, 32
promethazine-DM, 30
Questran Light, 9
Prenatal Ad, 32
promethazine/codeine, 30
quetiapine fumarate, 22
Prenatal-u, 32
promethazine/dextromethorphan, 30
Quflora Pediatric, 33
Prenate, 32
Promethegan, 29
Quicktek Test Strips, 37
Prenate AM, 32
Prometrium, 14
Quillivant XR, 23
Prenate DHA, 32
Promiseb, 11
quinapril HCL, 7
Prenate Elite, 32
Promiseb Complete, 11
quinapril/hydrochlorothiazide, 8
Prenate Enhance, 32
propafenone HCL, 7
Quinidine Gluconate, 7
Prenate Essential, 32
propafenone HCL ER, 7
quinidine gluconate CR, 7
Prenate Mini, 32
Propantheline Bromide, 18
quinidine gluconate ER, 7
Prenate Restore, 32
proparacaine HCL, 26
quinidine sulfate, 7
Prenexa, 32
propranolol HCL, 7
Quinidine Sulfate ER, 7
Prepidil, 27
Propranolol HCL, 7
quinine sulfate, 3
Prepopik, 17
propranolol HCL ER, 7
Quintet Ac Blood Glucose Test Strips, 37
Preque 10, 32
Propranolol/Hydrochlorothiazide, 8
Quintet Blood Glucose Test Strips, 37
Presera, 13
propylthiouracil, 17
Qutenza, 13
Prestige Test Strips, 36
Proquad, 31
Qvar, 30
Prevacid, 17
Proscar, 19
R
Prevacid Solutab, 17
Prosed/DS, 18
Prevident, 21
Prostigmin, 25
R-natal OB, 33
Prevnar 13, 31
Prostin E2, 27
Rabavert, 31
Prevpac, 17
Protamine Sulfate, 21
rabeprazole sodium, 17
Prezista, 3
Protect Cardio, 32
Radigel, 13
Priftin, 2
Protect Plus, 33
ramipril, 7
Prilosec, 17
Protect Plus NR, 33
Ranexa, 6
Primaquine Phosphate, 3
Protectbone, 33
ranitidine HCL, 17
Primaxin IV, 4
Protectiron, 20
Rapaflo, 19
Primaxin IV Add-vantage, 4
Protectnatal, 33
Rapamune, 5
primidone, 23
Prothelial, 21
Ravicti, 16
Primlev, 28
Protonix, 18
Rayos, 13
Primsol, 4
Protopic, 12
Razadyne, 24
Prinivil, 7
protriptyline HCL, 21
Razadyne ER, 24
Pristiq, 21
Provenge, 6
Rebetol, 3
Proair HFA, 30
Proventil HFA, 31
Rebif, 24
probenecid, 29
Provera, 14
Rebif Rebidose, 24
probenecid/colchicine, 29
Provida OB, 33
Rebif Rebidose Titration Pack, 24
Rebif Titration Pack, 24
Retavase Half-kit, 21
Rowasa, 18
Reclast, 15
Retin-a, 10
Roxicet, 28
Recombinate, 20
Retin-a Micro, 10
Roxicodone, 28
Recombivax HB, 31
Retin-a Micro P.M., 10
Rozerem, 22
Recothrom, 20
Retisert, 25
Rybix Odt, 28
Recothrom Spray Kit, 20
Retrovir, 3
Rythmol, 7
Rectiv, 18
Retrovir IV Infusion, 3
Rythmol SR, 7
Refuah Plus Blood Glucosetest Strips, 37
Revatio, 9
S
Reveal Blood Glucose Test, 37
Sabril, 23
Reglan, 18
Revlimid, 5
Safe-t-lance Low Flow 25G, 35
Regonol, 25
Rexall Blood Glucose Test Strips, 37
Safe-t-lance Normal Flow 21G, 35
Relagard, 19
Rexall Lancets Ultra Thin, 35
Safe-t-lance Plus Safety Lancet High Flow, 35
Relenza Diskhaler, 3
Reyataz, 3
Relhist, 30
Rezira, 30
Safe-t-lance Plus Safety Lancet Low Flow, 35
Relion 70/30, 14
Rezyst IM, 17
Relion 70/30 Innolet, 14
Rezyst SB, 17
Safe-t-lance Plus Safety Lancet Normal Flow, 35
Relion Blood Glucose Teststrips, 37
Rheumatrex, 28
Relion Confirm/Micro Test Strips, 37
Rhinocort Aqua, 30
Safety Lancet 21G/Pressure Activated, 35
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 37
Rhinoflex-650, 27
Riastap, 20
Safety Lancet 28G/Pressure Activated, 35
Relion Lancets, 35
Riax, 10
Relion Lancets Micro-thin33G, 35
Ribapak, 3
Safety Lancet 2MM, 35
Relion Lancets Standard 21G, 35
Ribasphere, 3
Safety Lancets, 35
Relion Lancets Thin 26G, 35
Ribatab, 3
Safety Lancets 21G, 35
Relion Lancets Ultra-thin30G, 35
ribavirin, 3
Safety Lancets 28G, 35
Relion N, 14
Ridaura, 28
Safety Let Lancets, 35
Relion N Innolet, 14
Rifadin, 2
Safety Seal Lancets 28G, 35
Relion Prime Blood Glucose Test Strips, 37
Rifamate, 2
Safety Seal Lancets 30G, 35
rifampin, 2
Safyral, 14
Relion R, 14
Rifater, 2
Saizen, 16
Relion Thin Lancets, 35
Rightest Gl300 Lancets, 35
Saizen Click.easy, 16
Relion Ultima Blood Glucose Test Strips, 37
Rightest GS100 Blood Glucose Test Strips, 37
Salagen, 21
Salex, 13
Relion Ultima Test Strips, 37
Rightest GS300 Blood Glucose Test Strips, 37
Salex Cream, 13
Relion Ultra Thin Lancets, 35
Salex Lotion, 13
Relion Ultra Thin Lancets30G, 35
Rightest GS550 Blood Glucose Test Strips, 37
Salicept, 21
Relion Ultra Thin Plus Lancets 32G, 35
salicylic acid, 12
Relion Ultra Thin Plus Lancets 33G, 35
Rilutek, 24
Salicylic Acid, 13
Relistor, 18
riluzole, 24
salicylic acid cream, 12
Relpax, 29
rimantadine HCL, 3
Salicylic Acid IN Ammonium Lactate Vehicle, 13
Remeron, 22
Rimantalist, 3
Remeron Soltab, 22
Riomet, 15
salicylic acid lotion, 12
Remicade, 18
Risperdal, 22
Salkera, 13
Remodulin, 9
Risperdal Consta, 22
salsalate, 27
Renacidin, 19
Risperdal M-TAB, 22
Salvax, 13
Renagel, 18
risperidone, 22
Salvax Duo Plus, 13
Renatabs, 33
risperidone odt, 22
Samsca, 16
Renatabs With Iron, 33
Ritalin, 23
Sanctura, 19
Renax, 33
Ritalin LA, 23
Sanctura XR, 19
Renew Advanced Lancing Cartridge Refills, 35
Ritalin SR, 23
Sancuso, 18
Riteflo, 37
Sandimmune, 5
Renvela, 18
Rituxan, 5
Sandostatin, 16
Reopro, 21
rivastigmine tartrate, 24
Sandostatin Lar Depot, 16
repaglinide, 15
rizatriptan benzoate, 28
Saphris, 22
Reprexain, 28
rizatriptan benzoate odt, 28
Sarafem, 24
Repronex, 16
Robaxin, 25
Savella, 24
Req 49+, 33
Robaxin-750, 25
Savella Titration Pack, 24
Requip, 24
Robinul, 18
Scalacort DK, 12
Requip XL, 24
Robinul Forte, 18
Scopolamine Hydrobromide, 18
Rescon-JR, 30
Rocaltrol, 16
Seasonique, 14
Rescon-MX, 30
Rocephin, 1
Seb-prev, 11
Rescriptor, 3
rocuronium bromide, 24
Seconal, 23
Rescula, 26
ropinirole ER, 24
Sectral, 7
Reserpine, 8
ropinirole HCL, 24
Select-OB, 33
Respa-BR, 29
Rosadan Kit, 10
Select-ob+dha, 33
Restasis, 26
Rosanil, 10
selegiline HCL, 24
Restoril, 23
Rotarix, 31
selenium sulfide, 11
Retavase, 21
Rotateq, 31
Selenium Sulfide, 11
Selrx, 11
Sodium Bicarbonate, 17
Strattera, 23
Selsun Shampoo, 11
sodium chloride, 30
Strazepam, 23
Selzentry, 3
Sodium Citrate, 19
Streptomycin Sulfate, 2
Semprex-d, 30
Sodium Diuril, 9
Striant, 13
Senna, 17
Sodium Edecrin, 9
Stribild, 3
Senna Leaves, 17
sodium ferric gluconate complex/sucrose, 19
Stromectol, 3
Senophylline, 31
Strovite, 33
Sensipar, 16
sodium hyaluronate, 12
Strovite Forte, 33
Sensorcaine-mpf/Epinephrine, 29
sodium phenylbutyrate, 16
Strovite One, 33
Sentradine, 18
sodium sulfacetamide, 10, 11, 25
Suboxone, 27
Sentraflox AM-10, 22
sodium sulfacetamide wash, 11
Subsys, 28
Sentralopram AM-10, 22
sodium sulfacetamide/sulfur, 10
Suclear, 17
Sentramodafin AM-100, 23
Sodium Sulfacetamide/Sulfur, 10
Sucraid, 18
Sentravil PM-25, 22
sodium sulfacetamide/sulfur cleanser, 10
sucralfate, 17
Sentrazolam AM 0.25, 21
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10
Sular, 7
Sentrazolpidem PM-5, 23
sulfacetamide sodium, 10, 25
Sentroxatine, 22
sodium sulfacetamide/sulfur cleansing cloths, 10
Sulfacetamide Sodium, 25
Serevent Diskus, 30
sulfacetamide sodium/prednisolone sodium phosphate, 25
Seromycin, 2
sodium sulfacetamide/sulfur green, 10
Seroquel, 22
Sodium Sulfacetamide/Sulfur IN Urea, 10
sulfacetamide sodium/sulfur cleanser, 10
Seroquel XR, 22
sodium sulfacetamide/sulfur wash, 10
Sulfadiazine, 2
Serostim, 16
Sodium Sulfacetamide/Urea, 11
sulfamethoxazole/trimethoprim, 4
sertraline HCL, 21
Soliris, 20
Sulfamethoxazole/Trimethoprim, 4
Sfrowasa, 18
Solodyn, 2
sulfamethoxazole/trimethoprim DS, 4
Shohls Solution Modified, 19
Soltamox, 5
sulfasalazine, 18
Shopko On-the-go Comfort Lancets 30G, 35
Solu-cortef, 13
Sulfisoxizole, 2
Solu-medrol, 13
Sulfoam, 10
Shopko Unilet Lancets Super Thin 30G, 35
Solus V2 Audible Test, 37
Sulfurated Lime, 13
Solus V2 Pressure Activated Safety Lancets 28G, 35
sulindac, 28
Shopko Unilet Lancets Ultra Thin 28G, 35
Sumadan Kit, 10
Solus V2 Twist Lancets 30G, 35
Sumadan Wash, 10
Siderol, 33
Soma, 25
Sumadan XLT, 10
Signifor, 16
Somatuline Depot, 16
Sumatriptan, 29
sildenafil citrate, 9
Somavert, 16
sumatriptan succinate, 28
Silenor, 23
Somnote, 23
sumatriptan succinate refill, 28
Simbrinza, 26
Sonata, 23
Sumavel Dosepro, 29
Simcor, 9
Soriatane, 11
Sumaxin, 10
Simponi, 28
Sorilux, 11
Sumaxin CP Kit, 10
Simponi Aria, 28
sotalol HCL, 7
Sumaxin Ts, 10
Simulect, 5
sotalol HCL (AF), 7
Sumaxin Wash, 10
simvastatin, 9
Sotalol Hydrochloride, 7
Supervite, 33
Sinemet, 24
Sovaldi, 3
Supervite EC, 33
Sinemet CR, 24
Spectracef, 1
Support-500, 33
Single-let, 35
Spinosad, 13
Supprelin LA, 16
Singulair, 31
Spiriva Handihaler, 30
Suprax, 1
sirolimus, 5
spironolactone, 8
Supreme Test Strips, 37
Sirturo, 2
spironolactone/hydrochlorothiazide, 8
Suprep Bowel Prep, 17
Skelaxin, 25
Sporanox, 2
Sure Edge Blood Glucose Test Strips, 37
Skelid, 15
Sporanox Pulsepak, 2
Sure-lance Flat Lancets, 35
Sklice, 13
Sprix, 28
Sure-lance Lancets 26G, 35
Smart Diabetes Vantage Universal Lancets 30G, 35
Sprycel, 5
Sure-lance Thin Lancets 28G, 35
Staflex, 27
Sure-lance Ultra Thin Lancets, 35
Smart Diabetes Xpres Blood Glucose Test Strips, 37
Stalevo 100, 24
Sure-test Easyplus Mini Blood Glucose Test Strips, 37
Stalevo 125, 24
Smart Sense Color Lancets Universal 33G, 35
Stalevo 150, 24
Sure-touch Lancets Universal, 35
Stalevo 200, 24
Surechek Blood Glucose Test Strips, 37
Smart Sense Premium Bloodglucose Strips, 37
Stalevo 50, 24
Surelite Lancets, 35
Stalevo 75, 24
Surestep Pro Test Strips, 35
Smart Sense Standard Lancets Universal 21G, 35
stannous fluoride oral rinse, 21
Surestep Test Strips, 35
Starlix, 15
Surmontil, 22
Smart Sense Super Thin Lancets Universal 30G, 35
stavudine, 3
Survanta Intratracheal, 31
Stavzor, 23
Sustiva, 3
Smart Sense Thin Lancets Universal 26G, 35
Staxyn, 9
Sutent, 6
Stelara, 11
Suttar-2, 30
Smart Sense Value Blood Glucose Strips, 37
Stendra, 9
Suttar-SF, 30
Sterilance TL, 35
Sylatron, 6
Smartest Blood Glucose Test Strips, 37
Stimate, 16
Symax Duotab, 18
Smartest Lancets 28G, 35
Stivarga, 6
Symbicort, 30
Symbyax, 24
Tenormin, 7
Thyrolar-1/2, 17
Symlinpen 120, 14
Terazol 3, 19
Thyrolar-1/4, 17
Symlinpen 60, 14
Terazol 7, 19
Thyrolar-2, 17
Synagex, 33
terazosin HCL, 8
Thyrolar-3, 17
Synalar, 12
terbinafine HCL, 2
tiagabine hydrochloride, 23
Synalar Cream Kit, 12
Terbinex, 2
Tiazac, 7
Synalar Ointment Kit, 12
terbutaline sulfate, 30
Tice Bcg, 6
Synalar Ts, 12
terconazole, 19
ticlopidine HCL, 20
Synalgos-dc, 28
Tersi Foam, 11
Tigan, 18
Synarel, 16
Tessalon, 30
Tikosyn, 7
Synatek, 33
Tessalon Perles, 30
Timentin, 1
Synera, 13
Testim, 13
Timolol Maleate, 7
Synercid, 4
Testopel, 13
timolol maleate, 25
Synribo, 6
testosterone cypionate, 13
timolol maleate ophthalmic gel forming, 25
Synthroid, 17
testosterone enanthate, 13
T
Testred, 13
Timoptic, 25
Tetanus Toxoid Adsorbed, 31
Timoptic Ocudose, 25
Tabloid, 4
Tetanus/Diphtheria Toxoids-adsorbed Adult, 31
Timoptic-xe, 25
Taclonex, 11
Tindamax, 4
tacrolimus, 5
tetracaine HCL, 26, 29
tinidazole, 4
Tafinlar, 6
Tetracycline HCL, 2
Tirosint, 17
Talwin, 28
Tetrix, 13
Tisseel, 20
Tambocor, 7
Tev-tropin, 16
Tivicay, 3
Tamiflu, 3
Teveten, 8
Tizanidine Comfort PAC, 25
tamoxifen citrate, 5
Teveten HCT, 8
tizanidine HCL, 24
tamsulosin HCL, 19
Texacort, 12
TL G-FOL OS, 33
Tandem DHA, 33
Thalomid, 5
TL Triseb, 11
Tandem F, 20
Theo-24, 31
TL-cermide, 13
Tandem OB, 33
theophylline, 30
Tnkase, 21
Tandem Plus, 20
theophylline CR, 30
Tobi, 2
Tapazole, 17
theophylline ER, 30
Tobi Podhaler, 2
Tarceva, 6
theophylline/D5W, 30
Tobradex, 26
Targretin, 6
Theophylline/D5W, 31
Tobradex ST, 25
Tarka, 8
Therabenzaprine-60, 25
tobramycin, 2
Taron EC Calcium, 33
Therabenzaprine-90, 25
tobramycin sulfate, 2, 25
Taron-bc, 33
Therabenzaprine-90-5, 25
Tobramycin Sulfate/Sodium Chloride, 2
Taron-c DHA, 33
Theracodeine-300, 28
tobramycin/dexamethasone, 25
Taron-duo EC, 33
Theracodophen-325, 28
Tobrex, 25
Taron-EC CAL, 33
Theracodophen-650, 28
Tofranil, 22
Taron-prex, 33
Theracodophen-750, 28
Tofranil-PM, 22
Tasigna, 6
Theracodophen-low-90, 28
tolazamide, 15
Tasmar, 24
Theracys, 6
Tolazamide, 15
Taxotere, 5
Therafeldamine, 28
Tolbutamide, 15
Tazicef, 1
Therapentin-60, 23
tolmetin sodium, 28
Tazorac, 11
Therapentin-90, 23
Tolmetin Sodium, 28
Tecfidera, 24
Theraprofen-60, 28
tolterodine tartrate, 19
Tecfidera Starter Pack, 24
Theraprofen-800, 28
tolterodine tartrate ER, 19
Techlite AST Lancets, 35
Theraprofen-90, 28
Topamax, 23
Techlite Lancets, 35
Theraproxen-500, 28
Topamax Sprinkle, 23
Techlite Lancets 30G, 35
Theraproxen-60, 28
Topicort, 12
Tegretol, 23
Theraproxen-90, 28
topiramate, 23
Tegretol-XR, 23
Theratramadol-60, 28
topotecan HCL, 6
Tekamlo, 8
Theratramadol-90, 28
Topotecan HCL, 6
Tekturna, 8
thiamine HCL, 31
Toprol XL, 7
Tekturna HCT, 8
Thinlets GP Lancets, 35
Torisel, 6
Telcare Blood Glucose Test Strips, 37
Thinlets Lancet, 35
torsemide, 8
telmisartan, 8
Thiola, 19
Torsemide, 9
telmisartan/amlodipine, 8
thioridazine HCL, 22
Totect, 6
temazepam, 22
Thiotepa, 4
Toviaz, 19
Temodar, 4
thiothixene, 22
Tracleer, 9
Temovate, 12
Thrombin-jmi Diluent, 20
Tradjenta, 15
Temovate E, 12
Thrombin-jmi Epistaxis, 20
tramadol HCL, 27
temozolomide, 4
Thrombin-jmi Syringe Spray Kit, 20
tramadol HCL ER, 27
Tencon, 27
Thrombin-jmi W/Dil Spray P.M. Actuator, 20
Tramadol HCL ER, 28
Tenex, 8
tramadol hydrochloride/acetaminophen, 27
Teniposide, 5
Thrombogen, 20
Tenivac, 31
Thymoglobulin, 5
Trandate, 7
Tenoretic 100, 8
Thyrolar-1, 17
trandolapril, 7
Tenoretic 50, 8
tranexamic acid, 20
trospium chloride ER, 19
Unasyn, 1
Transderm-scop, 18
Trueplus Lancets 26G, 35
Unasyn Bulk Pack, 1
Tranxene T, 21
Trueplus Lancets 28G, 35
Unilet Comfortouch Lancet, 35
tranylcypromine sulfate, 21
Trueplus Lancets 28G Super Thin, 35
Unilet Excelite, 35
Trasylol, 20
Trueplus Lancets 30G, 35
Unilet Excelite II, 35
Travatan Z, 26
Trueplus Lancets 30G Ultra Thin, 35
Unilet G.p. Lancet, 36
Travoprost, 26
Trueplus Lancets 33G, 35
Unilet G.p. Superlite Lancet, 36
Trazamine, 22
Trueplus Lancets 33G Micro Thin, 35
Unilet GP 28 Ultra Thin, 36
trazodone HCL, 21
Trueplus Safety Lancets 28G, 35
Unilet Lancet, 36
Treanda, 4
Truetest Blood Glucose T Est, 37
Unilet Superlite Lancet, 36
Trecator, 2
Truetest Blood Glucose T Est Strips, 37
Uniretic, 8
Trelstar Depot, 5
Truetest Strips, 37
Unistik 3 Gentle, 36
Trelstar Depot Mixject, 5
Truetrack Blood Glucose Test, 37
Unistrip1 Generic, 37
Trelstar LA, 5
Truetrack Test, 37
Univasc, 7
Trelstar LA Mixject, 5
Trusopt, 26
Universal 1 Lancets Thin 26G, 36
Trelstar Mixject, 5
Truvada, 3
Universal 1 Lancets Ultra Thin 30G, 36
Trental, 21
Tudorza Pressair, 30
Uramaxin, 13
Trepadiclofen-25, 28
Turkel Paracentesis Procedure Tray/8french, 29
Uramaxin GT, 13
Trepoxen-250, 28
Uramaxin GT Kit, 13
Trepoxicam-7.5, 28
Tussafed EX, 30
urea, 12
Tretin-x, 10
Tussicaps, 30
urea 40% nail film, 12
tretinoin, 6, 10
Tussionex Pennkinetic Extended Release, 30
urea IN zinc undecylenate/lactic acid vehicle, 12
tretinoin microsphere, 10
tretinoin microsphere P.M., 10
Twinrix, 31
urea topical, 12
Trexall, 4
Twynsta, 8
Urecholine, 19
Treximet, 29
Tygacil, 4
Urelle, 18
Trezix, 28
Tykerb, 6
Uretron D/S, 18
Tri RX, 33
Tylenol/Codeine #3, 28
Urex, 18
Tri-norinyl 28, 14
Tylenol/Codeine #4, 28
Uribel, 19
Tri-VI-flor, 33
Tylox, 28
Urimar-t, 19
triamcinolone acetonide, 11, 21, 29
Typhim VI, 31
Urocit-k 10, 19
Triamcinolone Acetonide, 12
Tysabri, 24
Urocit-k 15, 19
triamcinolone IN orabase, 21
Tyvaso, 9
Urocit-k 5, 19
triamterene/hydrochlorothiazide, 8
Tyvaso Refill, 9
Urogesic-blue, 19
Triamterene/Hydrochlorothiazide, 9
Tyvaso Starter, 9
Uroqid #2, 19
Trianex, 12
Tyzeka, 3
Uroxatral, 19
triazolam, 22
Tyzine, 30
Urso 250, 18
Tribenzor, 8
Tyzine Pediatric Nasal Drops, 30
Urso Forte, 18
Tricare, 33
U
ursodiol, 18
Tricare DHA 301, 33
Utopic, 13
Uceris, 13
Tricare Prenatal Compleat, 33
Uvadex, 6
Udamin, 33
Tricare Prenatal DHA One, 33
V
Udamin SP, 33
Tricitrates, 19
Ulesfia, 13
Vagifem, 19
Tricor, 9
Uloric, 29
valacyclovir HCL, 3
trifluoperazine HCL, 22
Ulticare Thin Lancets 30G, 35
Valcyte, 3
trifluridine, 25
Ultilet Basic Lancets 30G, 35
Valium, 21
Triglide, 9
Ultilet Classic Lancets, 35
valproate sodium, 23
trihexyphenidyl HCL, 24
Ultilet Lancets, 35
valproic acid, 23
Trileptal, 23
Ultilet Lancets 33G, 35
valsartan/hydrochlorothiazide, 8
Trilipix, 9
Ultilet Safety Lancets 23G, 35
Valstar, 4
trimethobenzamide HCL, 18
Ultima Test Strips, 37
Valtrex, 3
trimethoprim, 4
Ultiva, 28
Valumark Lancet Super Thin 30G, 36
trimethoprim sulfate/polymyxin b sulfate, 25
Ultra-thin II Auto Lancet, 35
Valumark Lancet Ultra Thin 28G, 36
Ultra-thin II Lancets 28G, 35
Vancocin HCL, 4
trimipramine maleate, 21
Ultra-thin II Lancets 30G, 35
vancomycin HCL, 4
Trinate, 33
Ultra-thin II Safety Autolancets 26G, 35
Vancomycin HCL, 4
Triostat, 17
Ultracet, 28
Vancomycin HCL IN Dextrose, 4
Tripedia, 31
Ultram, 28
Vandetanib, 6
Trisenox, 6
Ultram ER, 28
Vanos, 12
Triveen-duo DHA, 33
Ultratrak Pro Test Strips, 37
Vanoxide-HC, 10
Triveen-one, 33
Ultratrak Ultimate Test Strips, 37
Vantas, 5
Triveen-prx RNF, 33
Ultravate, 12
Vaprisol, 16
Triveen-ten, 33
Ultravate PAC, 12
Vaqta, 31
Triveen-u, 33
Ultravate X, 12
Varivax, 31
Trizivir, 3
Ultresa, 18
Vascepa, 9
Trokendi XR, 23
Umecta, 13
Vaseretic, 8
Tropazone, 13
Umecta Nail Film, 13
vasopressin, 16
trospium chloride, 19
Umecta PD, 13
Vasotec, 7
Vecamyl, 8
Viramune XR, 3
Westhroid, 17
Vectibix, 5
Virasal, 13
Westhroid-p, 17
Vectical, 11
Virazole, 3
Wheat Germ, 32
vecuronium bromide, 24
Viread, 3
Wilate, 20
Velcade, 6
Viroptic, 25
Witch Hazel, 13
Veletri, 9
Vistaril, 21
Wp Thyroid, 17
Velphoro, 18
Vistide, 3
X
Veltin, 10
Vita-pren, 33
Xalatan, 26
Vemavite-prx 2, 33
Vitafol, 33
Xalkori, 6
venlafaxine HCL, 21
Vitafol Ultra, 33
Xanax, 21
venlafaxine HCL ER, 21
Vitafol-OB, 33
Xanax XR, 21
Venlafaxine HCL ER, 22
Vitafol-ob+dha, 33
Xarelto, 20
Venofer, 19
Vitafol-one, 33
Xclair, 13
Ventavis, 9
Vitafol-plus, 33
Xeljanz, 28
Ventolin HFA, 30
Vitafol-pn, 33
Xeloda, 4
Veramyst, 30
Vital-d RX, 33
Xenazine, 24
verapamil HCL, 7
Vitalet Pro Lancets, 36
Xeomin, 24
Verapamil HCL, 7
Vitalet Pro Plus Lancets, 36
Xerac Ac, 13
verapamil HCL ER, 7
Vitamedmd One RX/Quatrefolic, 33
Xerese, 11
verapamil HCL SR, 7
Vitamedmd Plus RX/Quatre Folic, 33
Xgeva, 15
Verdeso, 12
Vitamedmd Redichew RX/Quatrefolic, 33
Xifaxan, 4
Veregen, 13
Vitamin B12/Folic Acid, 19
Xodol, 28
Verelan, 7
vitamin c 222MG, 31
Xofigo, 6
Verelan PM, 7
vitamin d, 31
Xolair, 31
Veripred 20, 13
vitamin k1, 31
Xolegel, 11
Versacloz, 22
Vitamin K1, 32
Xolegel Corepak, 11
Vesicare, 19
Vitapearl, 33
Xolegel Duo/Head & Shoulders, 11
Vexol, 26
Vitaroca Plus, 33
Xolegel Duo/Xolex, 11
Vfend, 2
Vituz, 30
Xolox, 28
Vfend IV, 2
Viva CT Prenatal, 33
Xopenex, 31
Viagra, 9
Viva DHA, 33
Xopenex Concentrate, 31
Vibativ, 4
Vivactil, 22
Xopenex HFA, 31
Vibramycin, 2
Vivelle-dot, 13
Xtandi, 5
Vicoprofen, 28
Vivotif Berna, 31
Xylocaine, 7, 13, 29
Victory Agm-4000 Test Strips, 37
Vocal Point Blood Glucose Test Strips, 37
Xylocaine-mpf, 29
Victoza, 15
Xylocaine-mpf/Epinephrine, 29
Victrelis, 3
Voltaren, 11
Xylocaine/Epinephrine, 29
Vida Mia Unilet Lancets Super Thin 30G, 36
Voltaren-XR, 28
Xyntha, 20
Voluven, 21
Xyntha Solofuse, 20
Vida Mia Unilet Lancets Ultra Thin 28G, 36
Vopac, 11
Xyrem, 24
Vopac GB, 11
Xyzal, 29
Vidaza, 5
Vopac Kt, 11
Y
Videx EC, 3
Voraxaze, 6
Videx Pediatric, 3
voriconazole, 2
Yasmin 28, 14
Vigamox, 25
Vortex Valved Holding Chamber, 37
Yaz, 14
Viibryd, 22
Vosol HC, 26
Yervoy, 5
Vimovo, 28
Vospire ER, 31
Yf-vax, 31
Vimpat, 24
Votrient, 6
Yodoxin, 3
Vinacal, 33
Vpriv, 19
Z
Vinacal B, 33
Vsl#3 DS, 17
Z-cof I, 30
Vinate AZ, 33
Vumon, 5
Z-pram, 18
Vinate AZ Extra, 33
Vusion, 11
Zacare 4% Kit, 10
Vinate C, 33
Vytorin, 9
Zacare 8% Kit, 10
Vinate Calcium, 33
Vyvanse, 23
zafirlukast, 30
Vinate Care, 33
W
zaleplon, 22
Vinate DHA, 33
W&f Lancets 26G, 36
Zaltrap, 5
Vinate GT, 33
W&f Lancets Colored 21G, 36
Zamicet, 28
Vinate IC, 33
Walgreens Lancets, 36
Zanaflex, 25
Vinate II, 33
Walgreens Thin Lancets, 36
Zanosar, 4
Vinate M, 33
Walgreens Ultra Thin Lancets, 36
Zantac, 18
Vinate One, 33
warfarin sodium, 20
Zarontin, 24
Vinate Pn Care, 33
Watchhaler, 37
Zaroxolyn, 9
Vinblastine Sulfate, 5
Wavesense Presto Test Strips, 37
Zatean-CH, 33
vincristine sulfate, 5
Welchol, 9
Zatean-pn, 33
vinorelbine tartrate, 5
Wellbutrin, 22
Zatean-pn DHA, 33
Viokace, 18
Wellbutrin SR, 22
Zatean-pn Plus, 33
Viracept, 3
Wellbutrin XL, 22
Zavesca, 20
Viramune, 3
Westcort, 12
Zebeta, 7
Zegerid, 18
Zyflo, 31
Zelapar, 24
Zyflo CR, 31
Zelboraf, 6
Zylet, 25
Zemaira, 31
Zyloprim, 29
Zemplar, 16
Zymaxid, 25
Zemuron, 24
Zyprexa, 22
Zenpep, 18
Zyprexa Relprevv, 22
Zenzedi, 23
Zyprexa Zydis, 22
Zerit, 3
Zytiga, 5
Zestoretic, 8
Zyvox, 4
Zestril, 7
1
Zetia, 9
1ST Choice Lancets Super Thin, 36
Zetonna, 30
1ST Choice Lancets Thin, 36
Zevalin Y-90, 5
1ST Choice Lancets Ultra Thin, 36
Ziac, 8
8
Ziagen, 3
Ziana, 10
8-mop, 11
zidovudine, 3
Zinacef, 1
Zinacef IN Iso-osmotic Dextrose, 1
Zinacef IN Iso-osmotic Diluent, 1
Zinecard, 6
Zioptan, 26
ziprasidone HCL, 22
Zipsor, 28
Zirgan, 25
Zithranol, 11
Zithranol-rr, 11
Zithromax, 1
Zithromax Tri-PAK, 1
Zithromax Z-PAK, 1
Zmax, 1
Zocor, 9
Zofran, 18
Zofran Odt, 18
Zohydro ER, 28
Zoladex, 5
zoledronic acid, 15
Zoledronic Acid, 15
Zolinza, 6
zolmitriptan, 28
zolmitriptan odt, 29
Zoloft, 22
zolpidem tartrate, 22
zolpidem tartrate ER, 22
Zolpimist, 23
Zolvit, 28
Zometa, 15
Zomig, 29
Zomig Nasal Spray, 29
Zomig ZMT, 29
Zonalon, 11
Zonatuss, 30
Zonegran, 24
zonisamide, 23
Zorbtive, 16
Zortress, 5
Zorvolex, 28
Zostavax, 31
Zosyn, 1
Zovia 1/50e, 14
Zovirax, 3, 11
Zubsolv, 28
Zuplenz, 18
Zutripro, 30
Zyclara, 12
Zyclara P.M., 12
Zydone, 28