List of covered drugs - unionhealth.org National Formulary...Generic drugs: Most generic drugs are...

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

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

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

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

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

NON PREFERRED

Cefaclor

Cefaclor ER

Cefotetan

January 2015

Cefotetan/Dextrose

Cefoxitin Sodium

ANTI-INFECTIVES

Ceftin

Cefuroxime Sodium

PENICILLINS

Cefuroxime/Dextrose

GENERIC

Mefoxin

amoxicillin

Zinacef

amoxicillin/clavulanate potassium

Zinacef IN Iso-osmotic Dextrose

amoxicillin/clavulanate potassium ER

Zinacef IN Iso-osmotic Diluent

ampicillin

THIRD GENERATION

ampicillin sodium

GENERIC

ampicillin-sulbactam

cefdinir

dicloxacillin sodium

cefotaxime sodium

nafcillin sodium

cefpodoxime proxetil

oxacillin sodium

ceftazidime

penicillin v potassium

ceftriaxone sodium

penicillin G potassium

NON PREFERRED

piperacillin sodium/ tazobactam sodium

Cedax

piperacillin sodium/tazobactam sodium

Cefditoren Pivoxil

piperacillin/tazobactam

Ceftazidime

NON PREFERRED

Ceftazidime/Dextrose

Amoxicillin

Ceftibuten

Amoxicillin ER

Ceftriaxone IN Iso-osmotic Dextrose

Ampicillin

Ceftriaxone/Dextrose

Ampicillin Sodium

Claforan

Ampicillin-sulbactam

Claforan/D5W

Augmentin

Fortaz

Augmentin ES-600

Rocephin

Augmentin XR

Spectracef

Bactocill IN Dextrose

Suprax

Bicillin C-R

Tazicef

Bicillin L-a

FOURTH GENERATION

Moxatag

GENERIC

Nafcillin Sodium

cefepime

Nallpen Iso-osmotic IN Dextrose

NON PREFERRED

Nallpen/Dextrose

Cefepime

Penicillin G Potassium IN Iso-osmotic Dextrose

Maxipime

Penicillin G Procaine

Penicillin G Sodium

MACROLIDES

Pfizerpen-G

GENERIC

Timentin

azithromycin

Unasyn

clarithromycin

Unasyn Bulk Pack

clarithromycin ER

Zosyn

erythromycin

NON PREFERRED

CEPHALOSPORIN

Azithromycin

FIRST GENERATION

Biaxin

GENERIC

Biaxin XL

cefadroxil

Biaxin XL PAC

cefazolin sodium

Dificid

cephalexin

E.e.s. Granules

NON PREFERRED

E.e.s. 400

Ancef

Ery-TAB

Cefazolin Sodium

Eryped 200

Cefazolin Sodium/Dextrose

Eryped 400

Cephalexin

Erythrocin Lactobionate

Keflex

Erythrocin Stearate

SECOND GENERATION

Erythromycin Base

GENERIC

Erythromycin Ethylsuccinate

cefaclor

PCE

cefoxitin sodium

Zithromax

cefprozil

Zithromax Tri-PAK

cefuroxime axetil

Zithromax Z-PAK

cefuroxime sodium

Zmax

Effective January 1, 2015 v.1

©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

1

TETRACYCLINES

NON PREFERRED

Bethkis

GENERIC

Gentamicin Sulfate/0.9% Sodium Chloride

demeclocycline HCL

Isotonic Gentamicin

doxycycline

Streptomycin Sulfate

doxycycline hyclate

Tobi

doxycycline hyclate DR

Tobramycin Sulfate/Sodium Chloride

doxycycline monohydrate

minocycline HCL

SULFONAMIDES

minocycline HCL ER

NON PREFERRED

PREFERRED

Acticlate

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

Dynacin

pyrazinamide

Minocin

rifabutin

Minocin Kit

rifampin

Monodox

PREFERRED

Morgidox 1X100MG

Priftin

Morgidox 2X100MG

Seromycin

Nicazeldoxy 30 Kit

Sirturo

Nicazeldoxy 60 Kit

NON PREFERRED

Nutridox

Capastat Sulfate

Ocudox

Cycloserine

Oraxyl

Isoniazid

Solodyn

Myambutol

Tetracycline HCL

Mycobutin

Vibramycin

Paser

Rifadin

QUINOLONES

Rifamate

GENERIC

Rifater

ciprofloxacin

Trecator

ciprofloxacin ER

ciprofloxacin HCL

ANTIFUNGALS

ciprofloxacin I.V.-IN D5W

GENERIC

levofloxacin

fluconazole

levofloxacin IN D5W

fluconazole IN dextrose

moxifloxacin HCL

fluconazole IN NACL

ofloxacin

flucytosine

Ofloxacin

griseofulvin microsize

NON PREFERRED

griseofulvin ultramicrosize

Avelox

itraconazole

Avelox Abc Pack

ketoconazole

Cipro

nystatin

Cipro I.V.-IN D5W

terbinafine HCL

Cipro XR

voriconazole

Factive

PREFERRED

Levaquin

Cancidas

Noroxin

Mycamine

Noxafil

AMINOGLYCOSIDES

NON PREFERRED

GENERIC

Abelcet

amikacin sulfate

Ambisome

gentamicin sulfate

Amphotec

gentamicin sulfate pediatric

Amphotericin B

gentamicin sulfate/sodium chloride

Ancobon

gentamicin sulfate/0.9% sodium chloride

Diflucan

isotonic gentamicin

Eraxis

neomycin sulfate

Fluconazole IN NACL

paromomycin sulfate

Grifulvin V

tobramycin

Gris-peg

tobramycin sulfate

Lamisil

PREFERRED

Onmel

Tobi Podhaler

Sporanox

Sporanox Pulsepak

Effective January 1, 2015

2

Terbinex

Viracept

Vfend

Viread

Vfend IV

NON PREFERRED

Acyclovir Sodium

ANTIVIRALS

Baraclude

Combivir

GENERIC

Copegus

abacavir

Cytovene

abacavir sulfate/lamivudine/zidovudine

Epivir

acyclovir

Epivir HBV

acyclovir sodium

Famvir

adefovir dipivoxil

Flumadine

cidofovir

Foscarnet Sodium

didanosine

Foscavir

entecavir

Hepsera

famciclovir

Infergen

ganciclovir

Rebetol

lamivudine

Retrovir

lamivudine/zidovudine

Rimantalist

nevirapine

Sitavig

nevirapine ER

Triumeq

ribavirin

Trizivir

rimantadine HCL

Tyzeka

stavudine

Valtrex

valacyclovir HCL

Videx EC

zidovudine

Viramune

PREFERRED

Viramune XR

Aptivus

Virazole

Atripla

Vistide

Complera

Zerit

Crixivan

Ziagen

Edurant

Zovirax

Emtriva

Epzicom

ANTIMALARIALS

Fuzeon

Incivek

GENERIC

Intelence

atovaquone/proguanil HCL

Invirase

chloroquine phosphate

Isentress

hydroxychloroquine sulfate

Kaletra

mefloquine HCL

Lexiva

quinine sulfate

Moderiba

PREFERRED

Moderiba 1200 Dose Pack

Coartem

Moderiba 800 Dose Pack

Daraprim

Nevirapine

Primaquine Phosphate

Norvir

NON PREFERRED

Olysio

Aralen

Peg-intron

Malarone

Peg-intron Redipen

Plaquenil

Peg-intron Redipen PAK 4

Qualaquin

Pegasys

Pegasys Proclick

AMEBICIDES

Prezista

NON PREFERRED

Relenza Diskhaler

Yodoxin

Rescriptor

Retrovir IV Infusion

ANTHELMINTICS

Reyataz

PREFERRED

Ribasphere

Albenza

Ribasphere Ribapak

Stromectol

Ribatab

NON PREFERRED

Selzentry

Biltricide

Sovaldi

Stribild

MISC. ANTI-INFECTIVES

Sustiva

GENERIC

Tamiflu

atovaquone

Tivicay

aztreonam

Truvada

bacitracin

Valcyte

clindamycin palmitate HCL

Victrelis

clindamycin phosphate

Videx Pediatric

clindamycin phosphate add-vantage


3

clindamycin phosphate pharmacy bulk package

melphalan hydrochloride

clindamycin phosphate IN D5W

oxaliplatin

clindamycin HCL

temozolomide

colistimethate sodium

Lomustine

imipenem/cilastatin

PREFERRED

meropenem

Alkeran

metronidazole

Bicnu

metronidazole IN NACL 0.79%

Busulfex

polymyxin b sulfate

Gliadel Wafer

sulfamethoxazole/trimethoprim

Hexalen

sulfamethoxazole/trimethoprim DS

Leukeran

tinidazole

Mustargen

trimethoprim

Myleran

vancomycin HCL

Treanda

Dapsone

Valchlor

PREFERRED

Zanosar

Alinia

NON PREFERRED

Cayston

Carboplatin

Dalvance

Ceenu

Nebupent

Cisplatin

Tygacil

Cyclophosphamide

Xifaxan

Eloxatin

Zyvox

Ifex

NON PREFERRED

Ifosfamide

Azactam

Temodar

Azactam IN Iso-osmotic Dextrose

Bacitracin

ANTIBIOTICS

Bactrim

GENERIC

Bactrim DS

bleomycin sulfate

Chloramphenicol Sodium Succinate

daunorubicin HCL

Cleocin

doxorubicin HCL

Cleocin IN D5W

doxorubicin HCL liposome

Cleocin Pediatric Granules

epirubicin HCL

Cleocin Phosphate

idarubicin HCL

Clindamycin Phosphate

mitomycin

Coly-mycin M

mitoxantrone HCL

Cubicin

PREFERRED

Doribax

Daunoxome

First-vancomycin 25

Valstar

First-vancomycin 50

NON PREFERRED

Flagyl

Adriamycin

Flagyl ER

Cosmegen

Invanz

Doxil

Ketek

Ellence

Lincocin

Epirubicin HCL

Mepron

Idamycin PFS

Merrem

Metro IV

ANTINEOPLASTIC ENZYMES

Neutrexin

PREFERRED

Orbactiv

Elspar

Pentam 300

Erwinaze

Primaxin IV

Oncaspar

Primaxin IV Add-vantage

Primsol

ANTIMETABOLITES

Sivextro

GENERIC

Sulfamethoxazole/Trimethoprim

azacitidine

Synercid

capecitabine

Tindamax

cladribine

Vancocin HCL

cytarabine

Vancomycin HCL

cytarabine aqueous

Vancomycin HCL IN Dextrose

decitabine

Vibativ

floxuridine

fludarabine phosphate

ANTINEOPLASTICS, ETC

fluorouracil

ALKYLATING AGENTS

gemcitabine HCL

GENERIC

mercaptopurine

carboplatin

methotrexate

cisplatin

methotrexate sodium

ifosfamide


4

PREFERRED

Trelstar Mixject

Alimta

Vantas

Arranon

Xtandi

Clolar

Zoladex

Depocyt

Zytiga

Folotyn

NON PREFERRED

Purixan

Arimidex

Tabloid

Aromasin

Trexall

Casodex

NON PREFERRED

Femara

Cytarabine

Megace Oral

Dacogen

Fludara

IMMUNOMODULATORS

Fludarabine Phosphate

GENERIC

Gemcitabine

azathioprine

Gemzar

cyclosporine

Purinethol

cyclosporine modified

Vidaza

mycophenolate mofetil

Xeloda

mycophenolic acid DR

sirolimus

ANGIOGENESIS INHIBITORS

tacrolimus

PREFERRED

PREFERRED

Avastin

Azasan

Cyramza

Pomalyst

Zaltrap

Rapamune

Revlimid

ANTIBODIES

Thalomid

NON PREFERRED

PREFERRED

Astagraf XL

Adcetris

Atgam

Arzerra

Cellcept

Bexxar

Cellcept Intravenous

Erbitux

Cyclosporine Modified

Gazyva

Imuran

Herceptin

Myfortic

Kadcyla

Neoral

Perjeta

Nulojix

Rituxan

Prograf

Vectibix

Sandimmune

Yervoy

Simulect

Zevalin Y-90

Thymoglobulin

NON PREFERRED

Zortress

Keytruda

MITOTIC INHIBITORS

HORMONAL AGENTS

GENERIC

GENERIC

etoposide

anastrozole

paclitaxel

bicalutamide

vincristine sulfate

exemestane

vinorelbine tartrate

flutamide

PREFERRED

letrozole

Abraxane

leuprolide acetate

Docefrez

megestrol acetate

Etopophos

tamoxifen citrate

Halaven

PREFERRED

Ixempra Kit

Depo-provera

Jevtana

Eligard

Marqibo

Emcyt

Taxotere

Fareston

Teniposide

Faslodex

Vumon

Firmagon

NON PREFERRED

Lupron Depot

Docetaxel

Lysodren

Etoposide

Megestrol Acetate

Navelbine

Nilandron

Paclitaxel

Soltamox

Vinblastine Sulfate

Trelstar Depot

Trelstar Depot Mixject

ENZYME INHIBITORS

Trelstar LA

Trelstar LA Mixject


5

PREFERRED

Sylatron

Afinitor

Synribo

Afinitor Disperz

Targretin

Bosulif

Theracys

Caprelsa

Tice Bcg

Cometriq

Trisenox

Gilotrif

Uvadex

Gleevec

NON PREFERRED

Iclusig

Dacarbazine

Imbruvica

Hydrea

Inlyta

Nipent

Istodax

Jakafi

CHEMOTHERAPY RESCUE

Kyprolis

GENERIC

Mekinist

amifostine

Nexavar

dexrazoxane

Sprycel

leucovorin calcium

Stivarga

mesna

Sutent

PREFERRED

Tafinlar

Fusilev

Tarceva

Totect

Tasigna

Voraxaze

Torisel

NON PREFERRED

Tykerb

Calcium Folinate

Velcade

Ethyol

Votrient

Leucovorin Calcium

Xalkori

Mesnex

Zelboraf

Zinecard

Zolinza

Zykadia

CHEMOTHERAPY ADJUNCTS

NON PREFERRED

PREFERRED

Beleodaq

Elitek

Zydelig

Kepivance

TOPOISOMERASE I INHIBITOR

ANTINEOPLASTIC COMBO

GENERIC

NON PREFERRED

irinotecan

Ifosfamide/Mesna

topotecan HCL

NON PREFERRED

CARDIOVASCULAR DRUGS

Camptosar

PHOSPHODIESTERASE INHBTR

Hycamtin

GENERIC

Irinotecan

milrinone lactate

Topotecan HCL

milrinone IN dextrose

RADIOPHARMACEUTICALS

CARDIAC GLYCOSIDES

PREFERRED

GENERIC

Bexxar 131 Iodine

digoxin

Metastron

NON PREFERRED

Quadramet

Digoxin

NON PREFERRED

Lanoxin

Xofigo

Lanoxin Pediatric

CELLULAR IMMUNOTHERAPY

ANTIANGINAL AGENTS

PREFERRED

GENERIC

Provenge

isosorbide dinitrate

isosorbide dinitrate ER

ANTINEOPLASTICS MISC.

isosorbide mononitrate

GENERIC

isosorbide mononitrate ER

dacarbazine

nitroglycerin

hydroxyurea

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


6

NON PREFERRED

Verapamil HCL

Imdur

NON PREFERRED

Isordil Titradose

Adalat CC

Isosorbide Dinitrate

Calan

Nitro-dur

Calan SR

Nitroglycerin

Cardene I.v.

Nitroglycerin IN Dextrose 5%

Cardene IV

Nitroglycerin Lingual

Cardene SR

Nitrolingual Pumpspray

Cardizem

Nitromist

Cardizem CD

Nitronal

Cardizem LA

Cleviprex

BETA BLOCKERS

Dilacor XR

Diltiazem HCL

GENERIC

Hypertenipine-2.5

acebutolol HCL

Isoptin SR

atenolol

Isradipine

betaxolol HCL

Nisoldipine

bisoprolol fumarate

Nisoldipine ER

carvedilol

Norvasc

esmolol HCL

Nymalize

labetalol HCL

Procardia

metoprolol succinate ER

Procardia XL

metoprolol tartrate

Sular

nadolol

Tiazac

pindolol

Verelan

propranolol HCL

Verelan PM

propranolol HCL ER

sotalol HCL

ANTIARRHYTHMICS

sotalol HCL (AF)

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

Hemangeol

mexiletine HCL

Hypertenevide-12.5

propafenone HCL

Inderal LA

propafenone HCL ER

Inderal XL

quinidine gluconate CR

Innopran XL

quinidine gluconate ER

Kerlone

quinidine sulfate

Levatol

Quinidine Sulfate

Lopressor

PREFERRED

Propranolol HCL

Tikosyn

Sectral

NON PREFERRED

Tenormin

Adenocard

Timolol Maleate

Amiodarone HCL

Toprol XL

Cordarone

Trandate

Corvert

Zebeta

Lidocaine HCL

Multaq

CALCIUM CHANNEL BLOCKERS

Nexterone

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

verapamil HCL

GENERIC

verapamil HCL ER

benazepril HCL

verapamil HCL SR

captopril


7

enalapril maleate

Nitropress

enalaprilat

Phentolamine Mesylate

fosinopril sodium

Reserpine

lisinopril

Tenex

moexipril HCL

Vecamyl

perindopril erbumine

quinapril HCL

ANTIHYPERTENSIVE COMBO

ramipril

GENERIC

trandolapril

amlodipine besylate/benazepril hydrochloride

NON PREFERRED

amlodipine besylate/benazepril HCL

Accupril

atenolol/chlorthalidone

Aceon

benazepril HCL/hydrochlorothiazide

Altace

bisoprolol fumarate/hydrochlorothiazide

Epaned

candesartan cilexetil/hydrochlorothiazide

Lotensin

enalapril maleate/hydrochlorothiazide

Mavik

fosinopril sodium/hydrochlorothiazide

Prinivil

irbesartan/hydrochlorothiazide

Univasc

lisinopril/hydrochlorothiazide

Vasotec

losartan potassium/hydrochlorothiazide

Zestril

metoprolol/hydrochlorothiazide

moexipril/hydrochlorothiazide

ANGIOTENSIN RCPTR BLOCKER

nadolol/bendroflumethiazide

GENERIC

quinapril/hydrochlorothiazide

candesartan cilexetil

telmisartan/amlodipine

eprosartan mesylate

telmisartan/hydrochloroth

irbesartan

telmisartan/hydrochlorothiazide

losartan potassium

valsartan/hydrochlorothiazide

telmisartan

PREFERRED

valsartan

Amturnide

PREFERRED

Azor

Benicar

Benicar HCT

NON PREFERRED

Exforge

Atacand

Exforge HCT

Avapro

Tarka

Cozaar

Tekamlo

Diovan

Tekturna HCT

Edarbi

Tribenzor

Micardis

NON PREFERRED

Teveten

Accuretic

Atacand HCT

DIRECT RENIN INHIBITORS

Avalide

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 Kit

methyldopa

Lytensopril-90

minoxidil

Lytensopril-90 Kit

prazosin HCL

Methyldopa/Hydrochlorothiazide

terazosin HCL

Micardis HCT

PREFERRED

Propranolol/Hydrochlorothiazide

Demser

Tenoretic 100

Dibenzyline

Tenoretic 50

NON PREFERRED

Teveten HCT

Cardura

Twynsta

Catapres

Uniretic

Catapres-tts-1

Vaseretic

Catapres-tts-2

Zestoretic

Catapres-tts-3

Ziac

Corlopam

Inspra

DIURETICS

Methyldopate HCL

Minipress


8

GENERIC

Northera

acetazolamide

Phenylephrine HCL

acetazolamide sodium

acetazolamide ER

ANTIHYPERLIPIDEMICS

amiloride HCL

GENERIC

amiloride/hydrochlorothiazide

atorvastatin calcium

bumetanide

cholestyramine

chlorothiazide

cholestyramine light

chlorothiazide sodium

colestipol HCL

furosemide

colestipol HCL for oral suspension

hydrochlorothiazide

fenofibrate

indapamide

fenofibrate micronized

mannitol

fenofibric acid DR

methazolamide

fluvastatin

metolazone

gemfibrozil

spironolactone

lovastatin

spironolactone/hydrochlorothiazide

niacin ER

torsemide

omega-3-acid ethyl esters

triamterene/hydrochlorothiazide

pravastatin sodium

Chlorothiazide

simvastatin

Chlorthalidone

PREFERRED

Triamterene/Hydrochlorothiazide

Crestor

NON PREFERRED

Fenofibrate

Acetazolamide

Juxtapid

Aldactazide

Lipofen

Aldactone

Liptruzet

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

Zaroxolyn

Lipitor

Livalo

VASOPRESSORS

Lofibra

GENERIC

Lopid

dobutamine HCL

Lovaza

dobutamine HCL/D5W

Mevacor

dobutamine/dextrose 5%

Niacor

dopamine HCL

Niaspan

dopamine HCL-dextrose 5%

Pravachol

dopamine HCL/dextrose 5%

Questran

dopamine/D5W

Questran Light

ephedrine sulfate

Tricor

midodrine HCL

Triglide

norepinephrine bitartrate

Trilipix

phenylephrine HCL

Zocor

PREFERRED

Auvi-q

CARDIOVASCULAR - MISC.

Epipen 2-PAK

GENERIC

Epipen-JR 2-PAK

amlodipine besylate/atorvastatin calcium

NON PREFERRED

epoprostenol sodium

Adrenaclick

papaverine HCL

Adrenalin

sildenafil

Dobutamine/Dextrose 5%

sildenafil citrate

Dopamine HCL

PREFERRED

Epinephrine

Adcirca

Levophed

Adempas


9

Caverject

Benzefoam

Caverject Impulse

Benzefoamultra

Cialis

Benziq

Edex

Benziq LS

Letairis

Clarifoam EF

Muse

Cleocin-t

Opsumit

Clindacin Etz

Remodulin

Clindacin PAC

Tracleer

Clindagel

Tyvaso

Differin

Tyvaso Refill

Duac

Tyvaso Starter

Erygel

Veletri

Evoclin

Ventavis

Fabior

Viagra

Inova

NON PREFERRED

Inova 4/1 Acne Control Therapy

Bidil

Inova 8/2 Acne Control Therapy

Caduet

Klaron

Flolan

Lavoclen-4 Creamy Wash

Levitra

Lavoclen-8 Creamy Wash

Natrecor

Neuac Kit

Orenitram

Nuox

Revatio

Plexion

Staxyn

Plexion Cleanser

Stendra

Plexion Cleansing Cloths

Retin-a

DERMATOLOGICALS

Retin-a Micro

Retin-a Micro P.M.

ACNE PRODUCTS

Riax

GENERIC

Rosanil

adapalene

Sodium Sulfacetamide/Sulfur

benzoyl peroxide

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

benzoyl peroxide SHORT contact

Sodium Sulfacetamide/Sulfur IN Urea


Sulfoam

clindamycin/benzoyl peroxide

Sumadan Kit

erythromycin

Sumadan Wash

erythromycin/benzoyl peroxide

Sumadan XLT

sodium sulfacetamide

Sumaxin

sodium sulfacetamide/sulfur

Sumaxin CP Kit

sodium sulfacetamide/sulfur cleanser

Sumaxin Ts

sodium sulfacetamide/sulfur cleansing cloths

Sumaxin Wash

sodium sulfacetamide/sulfur green

Tretin-x

sodium sulfacetamide/sulfur w/sunscreen

Vanoxide-HC

sodium sulfacetamide/sulfur wash

Veltin

sulfacetamide sodium

Zacare 4% Kit

sulfacetamide sodium/sulfur cleanser

Zacare 8% Kit

tretinoin

tretinoin microsphere

ROSACEA AGENTS

tretinoin microsphere P.M.

GENERIC

Claravis

metronidazole

PREFERRED

PREFERRED

Acanya

Finacea

Atralin

Mirvaso

Epiduo

Oracea

Ziana

NON PREFERRED

NON PREFERRED

Metrocream

Absorica

Metrogel

Aczone

Metrolotion

Akne-mycin

Noritate

Avar

Rosadan Kit

Avar LS

Avar LS Cleanser

ANTIBIOTICS - TOPICAL

Avar-e LS

GENERIC

Azelex

mupirocin

Benzac Ac Wash

mupirocin calcium

Benzac W Wash

Centany

Benzaclin

NON PREFERRED

Benzaclin With P.M.

Altabax

Benzamycin

Bactroban

Benzamycinpak


10

Centany AT

K.b.g.l. IN Teroderm Cream

Cortisporin

Lidoprofen

Gentamicin Sulfate

Pennsaid

Neo-synalar

Vopac

Neo-synalar Kit

Vopac GB

Vopac Kt

ANTIFUNGALS - TOPICAL

ANTIPRURITICS

GENERIC

ciclopirox

NON PREFERRED

ciclopirox nail lacquer

Prudoxin

ciclopirox olamine

Zonalon

clotrimazole

clotrimazole/betamethasone dipropionate

ANTIPSORIATICS

econazole nitrate

GENERIC

ketoconazole

acitretin

nystatin

calcipotriene

nystatin/triamcinolone

methoxsalen

PREFERRED

Calcitriol

Nystatin

PREFERRED

Nystatin Domestic

Tazorac

Nystatin Foreign

8-mop

NON PREFERRED

NON PREFERRED

Ciclodan Cream Kit

Dovonex

Ciclodan Solution Kit

Dritho-creme HP

Ciclopirox Topical Solution Kit

Oxsoralen Ultra

Cnl8 Nail Kit

Soriatane

Ecoza

Sorilux

Ertaczo

Stelara

Exelderm

Vectical

Extina

Zithranol

Halotin

Zithranol-rr

Jublia

Kerydin

ANTISEBORRHEIC AGENTS

Ketodan Kit

GENERIC

Lamisil Spray

selenium sulfide

Loprox


Loprox Shampoo

sodium sulfacetamide wash

Lotrisone

NON PREFERRED

Luzu

Glycolic Acid

Mentax

Glycolic Acid 70% High Purity

Naftin

Ovace Plus

Nizoral

Ovace Plus Wash

Oxistat

Ovace Wash

Pediaderm AF Complete Kit

Promiseb

Pedipirox-4 Nail

Promiseb Complete

Penlac Nail Lacquer

Seb-prev

Vusion

Selenium Sulfide

Xolegel

Selrx

Xolegel Corepak

Selsun Shampoo

Xolegel Duo/Head & Shoulders

Sodium Sulfacetamide/Urea

Xolegel Duo/Xolex

Tersi Foam

TL Triseb

ANTIVIRALS - TOPICAL

GENERIC

CORTICOSTEROIDS - TOPICAL

acyclovir

GENERIC

PREFERRED

alclometasone dipropionate

Denavir

amcinonide

NON PREFERRED

augmented betamethasone dipropionate

Lidovir

betamethasone dipropionate

Xerese

betamethasone valerate

Zovirax

calcipotriene/betamethasone dipropionate

clobetasol propionate

ANTI-INFLAMMATORY AGENTS

clobetasol propionate emollient

GENERIC

desonide

diclofenac sodium

desoximetasone

PREFERRED

diflorasone diacetate

Voltaren

fluocinolone acetonide

NON PREFERRED

fluocinonide

Flector

fluocinonide emollient base


11

fluocinonide-e

Taclonex

fluticasone propionate

Temovate

halobetasol propionate

Temovate E

hydrocortisone

Texacort

hydrocortisone acetate/aloe

Topicort

hydrocortisone butyrate

Triamcinolone Acetonide

hydrocortisone butyrate (lipid)

Trianex

hydrocortisone butyrate (lipophilic)

U-cort

hydrocortisone valerate

Ultravate

hydrocortisone IN absorbase

Ultravate PAC

mometasone furoate

Ultravate X

prednicarbate

Vanos

triamcinolone acetonide

Verdeso

Apexicon E

Westcort

Desoximetasone

PREFERRED

IMMUNOMODULATING AGENTS

Pramosone

GENERIC

Pramosone E

imiquimod

Tucks Anti-itch

PREFERRED

NON PREFERRED

Elidel

Aclovate

Protopic

Ala Scalp

NON PREFERRED

Amcinonide

Aldara

Capex

Zyclara

Carmol-HC

Zyclara P.M.

Clobex

Clocortolone Pivalate

DERMATOLOGICALS - MISC.

Clocortolone Pivalate P.M.

GENERIC

Clodan Kit

ammonium lactate

Cloderm

episone CRE

Cloderm P.M.

lactic acid

Cordran

lactic acid e

Cordran Tape

lactic acid w/vitamin e

Cutivate

lidocaine

Derma-smoothe/FS Body

lidocaine HCL

Derma-smoothe/FS Body Oil

lidocaine HCL jelly

Derma-smoothe/FS Scalp

lidocaine/prilocaine

Derma-smoothe/FS Scalp Oil

lindane

Dermasorb HC

malathion

Dermasorb Ta

permethrin

Dermatop

podofilox

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

Diflorasone Diacetate

urea topical

Diprolene

urea IN zinc undecylenate/lactic acid vehicle

Diprolene AF

urea 40% nail film

Elocon

Cem-urea

Epifoam

PREFERRED

First-hydrocortisone

Condylox

Halog

Oxsoralen

Halonate

NON PREFERRED

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

Coal TAR

Scalacort DK

Cocaine HCL

Synalar

Dermasorb XM

Synalar Cream Kit

Drysol

Synalar Ointment Kit

Elenzapatch

Synalar Ts


12

Eletone

Umecta

Eletone Twinpack

Umecta Nail Film

Elimite

Umecta PD

Emla

Uramaxin

Emulsion SB

Uramaxin GT

Epiceram

Uramaxin GT Kit

Ethyl Chloride

Utopic

Ethyl Chloride/Fine Pinpoint

Veregen

Ethyl Chloride/Fine Stream

Vexa

Ethyl Chloride/Medium Jet Stream

Virasal

Ethyl Chloride/Medium Stream

Witch Hazel

Ethyl Chloride/Mist

Xclair

Eurax

Xerac Ac

Gebauers Pain Ease

Xylocaine

Gebauers Spray And Stretch

Genadur

ENDOCRINE AND METABOLIC

Genadur Kit

CORTICOSTEROIDS

Gordofilm

GENERIC

Gordons Urea

betamethasone sodium phosphate/betamethasone acetate

Hydro 35

Hydro 40 Foam

budesonide

Hylatopic

dexamethasone

Hylatopic Plus

dexamethasone sodium phosphate

Hylira

fludrocortisone acetate

HPR

hydrocortisone

HPR Plus

methylprednisolone

HPR Plus/Mb Hydrogel

methylprednisolone acetate

Kerafoam

methylprednisolone dose pack

Kerafoam 42

methylprednisolone sodiumsuccinate

Keralac

prednisolone

Keralyt

prednisolone sodium phosphate

Keralyt Scalp

prednisone

Lac-hydrin

A-hydrocort

Latrix XM

Dexamethasone Sodium Phosphate

Lidocaine HCL

PREFERRED

Lidocaine/Prilocaine

Uceris

Lidoderm

NON PREFERRED

Lycelle

Aristospan Intra-articular

Mb Hydrogel

Aristospan Intralesional

Medi-derm/L-RX

Celestone

Natroba

Celestone-soluspan

Neosalus

Cortef

Neosalus CP

Cortisone Acetate

Nivatopic Plus

Depo-medrol

Nuvail

Dexamethasone

Ovide

Dexamethasone Intensol

Pliaglis

Dexpak 10 Day

Pr Cream

Dexpak 13 Day

Presera

Dexpak 6 Day

Pruclair

Entocort EC

Prumyx

FLO-pred

Pyrogallic Acid

Interarticular Joint Kit

Qutenza

Kenalog-10

Salex

Kenalog-40

Salex Cream

Medrol

Salex Lotion

Medrol Dosepak

Salicylic Acid

Millipred

Salicylic Acid IN Ammonium Lactate Vehicle

Millipred DP

Salkera

Orapred

Salvax

Orapred Odt

Salvax Duo Plus

Pediapred

Sklice

Prednisolone Sodium Phosphate

Spinosad

Prednisone

Sulfurated Lime

Prednisone Intensol

Synera

Prelone

Tetrix

Rayos

Tropazone

Solu-cortef

TL-cermide

Solu-medrol

Ulesfia

Veripred 20

Ultrasal-ER


13

ANDROGENS-ANABOLIC

GENERIC

desogestrel/ethinyl estradiol

GENERIC

drospirenone/ethinyl estradiol

danazol

levonorgestrel

oxandrolone

levonorgestrel and ethinyl estradiol

testosterone cypionate

levonorgestrel/ethinyl estradiol

testosterone enanthate

norethindrone

Testosterone

norethindrone acetate/ethinyl estradiol

Testosterone P.M.

norethindrone acetate/ethinyl estradiol/ferrous fumarate

PREFERRED

norgestimate/ethinyl estradiol

Androgel

Ogestrel

Androgel P.M.

PREFERRED

Androxy

Beyaz

Axiron

Loestrin 24 FE

NON PREFERRED

Lomedia 24 FE

Anadrol-50

LO Loestrin FE

Androderm

Minastrin 24 FE

Android

Natazia

Aveed

Safyral

Depo-testosterone

NON PREFERRED

First-testosterone

Amethyst

First-testosterone Mc Compounding Kit

Brevicon-28

Fortesta

Cyclessa

Oxandrin

Desogen

Striant

Ella

Testim

Estrostep FE

Testopel

Falessa

Testred

Femcon FE

Vogelxo

Generess FE

Vogelxo P.M.

Loestrin FE 1.5/30

Loestrin FE 1/20

ESTROGENS

Loestrin 1.5/30-21

GENERIC

Loestrin 1/20-21

estradiol

Loseasonique

estradiol valerate

LO Minastrin FE

estradiol/norethindrone acetate

Mircette

estropipate

Modicon

Jinteli

Necon 1/50-28

PREFERRED

Necon 10/11-28

Alora

Nor-QD

Cenestin

Nordette-28

Combipatch

Norinyl 1+35

Enjuvia

Norinyl 1+50

Evamist

Ortho Micronor

Minivelle

Ortho Tri-cyclen

Premphase

Ortho Tri-cyclen LO

Prempro

Ortho-cept

Vivelle-dot

Ortho-cyclen

NON PREFERRED

Ortho-novum 1/35

Activella

Ortho-novum 7/7/7

Angeliq

Ovcon-35

Climara

Plan B

Climara Pro

Plan B One-step

Delestrogen

Quartette

Depo-estradiol

Seasonique

Divigel

Tri-norinyl 28

Duavee

Yasmin 28

Elestrin

Yaz

Estrace

Zovia 1/50e

Estrasorb

Estrogel

PROGESTINS

Estropipate

GENERIC

Femhrt Low Dose

medroxyprogesterone acetate

Menest

norethindrone acetate

Menostar

progesterone

Prefest

PREFERRED

Premarin

Makena

NON PREFERRED

CONTRACEPTIVES

Aygestin


14

Megace ES

BIGUANIDES

Prometrium

GENERIC

Provera

metformin HCL

metformin HCL ER

ANTIDIABETIC AGENTS

PREFERRED

Riomet

INSULIN

NON PREFERRED

PREFERRED

Fortamet

Humalog

Glucophage

Humalog Kwikpen

Glucophage XR

Humalog Mix 50/50

Glumetza

Humalog Mix 50/50 Kwikpen

MEGLITINIDE ANALOGUES

Humalog Mix 75/25

GENERIC

Humalog Mix 75/25 Kwikpen

nateglinide

Humulin N

repaglinide

Humulin N Kwikpen

NON PREFERRED

Humulin N U-100 Pen

Prandin

Humulin R

Starlix

Humulin R U-500 (concentrated)

DIABETIC OTHER

Humulin 70/30

PREFERRED

Humulin 70/30 Kwikpen

Glucagen

Humulin 70/30 Pen

Glucagen Hypokit

Lantus

Glucagon Emergency Kit

Lantus Solostar

Invokana

Levemir

Proglycem

Levemir Flexpen

NON PREFERRED

Levemir Flextouch

Farxiga

Novolin N

Jardiance

Novolin N Relion

Korlym

Novolin R

ALPHA-GLUCOSIDASE INHIBIT

Novolin R Relion

GENERIC

Novolin 70/30

acarbose

Novolin 70/30 Relion

NON PREFERRED

Novolog

Glyset

Novolog Flexpen

Precose

Novolog Mix 70/30

DPP-4 INHIBITORS

Novolog Mix 70/30 Prefilled Flexpen

PREFERRED

Novolog Penfill

Januvia

NON PREFERRED

Onglyza

Apidra

Tradjenta

Apidra Solostar

NON PREFERRED

Relion R

Nesina

AMYLIN ANALOGS

INSULIN SENSITIZING AGENT

PREFERRED

GENERIC

Symlinpen 120

pioglitazone HCL

Symlinpen 60

NON PREFERRED

INCRETIN MIMETIC AGENTS

Actos

PREFERRED

Avandia

Bydureon

ANTIDIABETIC COMBINATIONS

Byetta

GENERIC

Victoza

glipizide/metformin HCL

NON PREFERRED

glyburide/metformin HCL

Tanzeum

pioglitazone HCL-glimepiride

SULFONYLUREAS

pioglitazone HCL/metformin HCL

GENERIC

PREFERRED

glimepiride

Actoplus Met XR

glipizide

Janumet

glipizide ER

Janumet XR

glyburide

Jentadueto

glyburide micronized

Juvisync

tolazamide

Kombiglyze XR

Glyburide

Prandimet

NON PREFERRED

NON PREFERRED

Amaryl

Actoplus Met

Chlorpropamide

Appformin

Diabeta

Appformin-d

Glucotrol

Avandamet

Glucotrol XL

Avandaryl

Glynase

Duetact

Tolazamide

Glucovance

Tolbutamide


15

Invokamet

Ovidrel

Kazano

Oseni

LHRH/GNRH AGONIST

PREFERRED

BISPHOSPHONATES

Lupron Depot-PED

GENERIC

Supprelin LA

alendronate sodium

Synarel

ibandronate sodium

NON PREFERRED

pamidronate disodium

Lupaneta Pack

risedronate sodium

zoledronic acid

GNRH/LHRH ANTAGONISTS

PREFERRED

PREFERRED

Atelvia

Cetrotide

Fosamax Plus D

Ganirelix Acetate

NON PREFERRED

Actonel

GROWTH HORMONES

Alendronate Sodium

PREFERRED

Binosto

Norditropin Cartridge

Boniva

Norditropin Flexpro

Etidronate Disodium

Norditropin Nordiflex Pen

Fosamax

Nutropin

Pamidronate Disodium

Nutropin AQ Nuspin 10

Reclast


Zoledronic Acid


Zometa

Nutropin AQ Pen

NON PREFERRED

CALCITONINS

Genotropin

GENERIC

Genotropin Miniquick

calcitonin salmon

Humatrope

calcitonin-salmon

Humatrope Combo Pack

NON PREFERRED

Omnitrope

Fortical

Saizen

Miacalcin

Saizen Click.easy

Serostim

PARATHYROID HORMONE

Tev-tropin

PREFERRED

Zorbtive

Forteo

GHRH

RANK LIGAND INHIBITORS

NON PREFERRED

PREFERRED

Egrifta

Xgeva

NON PREFERRED

SOMATOMEDINS

Prolia

NON PREFERRED

Increlex

CALCIUM REGULATORS - MISC

NON PREFERRED

SOMATOSTATIC AGENTS

Ganite

GENERIC

octreotide acetate

HORMONE RECEPTOR MDLTR

PREFERRED

GENERIC

Sandostatin Lar Depot

raloxifene hydrochloride

Signifor

NON PREFERRED

Somatuline Depot

Evista

NON PREFERRED

Osphena

Sandostatin

FERTILITY REGULATORS

GH RECEPTOR ANTAGONISTS

GENERIC

PREFERRED

chorionic gonadotropin

Somavert

clomiphene citrate

PREFERRED

POSTERIOR PITUITARY

Bravelle

GENERIC

Follistim AQ

desmopressin acetate

Repronex

vasopressin

NON PREFERRED

PREFERRED

Gonal-f

Stimate

Gonal-f RFF

NON PREFERRED

Gonal-f RFF Pen

Ddavp

Gonal-f RFF Rediject

Pitressin Synthetic

Menopur


16

CORTICOTROPIN

Tirosint

Triostat

PREFERRED

Westhroid

H.p. Acthar

Westhroid-p

Wp Thyroid

PROLACTIN INHIBITORS

GENERIC

GASTROINTESTINAL

cabergoline

LAXATIVES

VASOPRESSIN ANTAGONISTS

GENERIC

PREFERRED

lactulose

Samsca

peg 3350/electrolytes

NON PREFERRED

peg-3350/electrolytes

Vaprisol

peg-3350/NACL/NA bicarbonate/KCL

polyethylene glycol 3350

PROGESTERONE ANTAGONISTS

PREFERRED

Halflytely Bowel Prep/Flavor Packs

NON PREFERRED

Moviprep

Mifeprex

Suclear

Suprep Bowel Prep

METABOLIC MODIFIERS

NON PREFERRED

GENERIC

Cascara Sagrada

calcitriol

Colyte-flavor Packs

doxercalciferol

Golytely

levocarnitine

Kristalose

paricalcitol

Mineral Oil Heavy

sodium phenylbutyrate

Nulytely/Flavor Packs

PREFERRED

Osmoprep

Aldurazyme

Prepopik

Carbaglu

Cystadane

ANTIDIARRHEALS

Elaprase

GENERIC

Fabrazyme

diphenoxylate/atropine

Kuvan

loperamide HCL

Lumizyme

opium

Myalept

opium tincture

Myozyme

NON PREFERRED

Naglazyme

Diphenoxylate/Atropine

Orfadin

Fulyzaq

Ravicti

Lomotil

Sensipar

Motofen

Vimizim

Opium Tincture (paregoric)

NON PREFERRED

Restora RX

Ammonul

Rezyst IM

Buphenyl

Rezyst SB

Carnitor

Vsl#3 DS

Carnitor SF

Hectorol

ANTACIDS

Rocaltrol

Zemplar

NON PREFERRED

Sodium Bicarbonate

THYROID AGENTS

ULCER DRUGS

GENERIC

levothyroxine sodium

GENERIC

liothyronine sodium

atropine sulfate

methimazole

cimetidine

propylthiouracil

cimetidine HCL

PREFERRED

dicyclomine HCL

Armour Thyroid

esomeprazole sodium

NON PREFERRED

famotidine

Cytomel

glycopyrrolate

Levothyroxine Sodium

hyoscyamine sulfate

Nature-throid

hyoscyamine sulfate odt

Nature-throid Nt-2.5

hyoscyamine sulfate ER

Synthroid

hyoscyamine sulfate SR

Tapazole

lansoprazole

Thyrolar-1

lansoprazole/amoxicillin/clarithromycin

Thyrolar-1/2

methscopolamine bromide

Thyrolar-1/4

misoprostol

Thyrolar-2

nizatidine

Thyrolar-3

omeprazole


17

omeprazole/sodium bicarbonate

PREFERRED

pantoprazole sodium

Aloxi

rabeprazole sodium

Emend

ranitidine HCL

Sancuso

sucralfate

Transderm-scop

Dicyclomine HCL

NON PREFERRED

Esomeprazole Sodium

Anzemet

Famotidine

Cesamet

Gastrinex NF

Diclegis

PREFERRED

Dimenhydrinate

Carafate

Granisol

Nexium

Marinol

Nexium 24HR

Tigan

Pylera

Zofran

NON PREFERRED

Zofran Odt

Aciphex

Zuplenz

Aciphex Sprinkle

Anaspaz

DIGESTIVE AIDS

Atropen

PREFERRED

Atropine Sulfate

Creon

Axid

Pancrelipase

Belladonna & Opium

Sucraid

Belladonna Alkaloids & Opium

Viokace

Bentyl

NON PREFERRED

Cantil

Pancreaze

Cuvposa

Pertzye

Cytotec

Ultresa

Deprizine Fusepaq

Zenpep

Dexilant

Digex NF

GASTROINTESTINAL - MISC.

Esomeprazole Strontium

GENERIC

Famotidine Premixed

balsalazide disodium

First-lansoprazole

calcium acetate

First-omeprazole

cromolyn sodium

Gabitidine

hydrocort ene 100MG

Glycate

hydrocortisone

Helidac

hydrocortisone acetate/lidocaine HCL

Levbid

hydrocortisone acetate/pramoxine

Levsin

lactulose

Levsin/SL

lidocaine HCL/hydrocortisone acetate

Nexium I.v.

mesalamine

Omeclamox-PAK

metoclopramide HCL

Omeprazole + Syrspend SF Alka

sulfasalazine

Pamine

ursodiol

Pamine Forte

PREFERRED

Pamine FQ

Amitiza

Pepcid

Analpram Advanced

Prevacid

Asacol HD

Prevacid Solutab

Canasa

Prevpac

Chenodal

Prilosec

Cimzia

Propantheline Bromide

Cimzia Starter Kit

Protonix

Cortifoam

Robinul

Delzicol

Robinul Forte

Fosrenol

Scopolamine Hydrobromide

Lialda

Sentradine

Linzess

Symax Duotab

Lotronex

Zantac

Pentasa

Zegerid

Proctofoam HC

Rectiv

ANTIEMETICS

Relistor

GENERIC

Renvela

dronabinol

Sevelamer Carbonate

granisetron HCL

NON PREFERRED

meclizine HCL

Actigall

ondansetron odt

Analpram-HC

ondansetron HCL

Analpram-HC Singles

trimethobenzamide HCL

Anusol-HC


18

Apriso

Vesicare

Azulfidine

NON PREFERRED

Azulfidine EN-TABS

Detrol

Colazal

Detrol LA

Cortenema

Ditropan XL

Dexpanthenol

Enablex

Dipentum

Sanctura

Eliphos

Sanctura XR

Entereg

Urecholine

Entyvio

Gastrocrom

VAGINAL PRODUCTS

Gattex

GENERIC

Giazo


Lidocaine HCL-hydrocortisone Acetate With Aloe

metronidazole vaginal

Metozolv Odt

terconazole

Phoslo

PREFERRED

Phoslyra

Clindesse

Procort

Crinone

Proctocort

Endometrin

Reglan

Estrace

Remicade

Estring

Renagel

Vagifem

Rowasa

NON PREFERRED

Sfrowasa

Avc

Urso Forte

Cleocin

Urso 250

Fem PH

Velphoro

Femring

First-progesterone VGS 100 Compounding Kit

GENITOURINARY



URINARY ANTI-INFECTIVES


GENERIC


methenamine hippurate

Gynazole-1

methenamine mandelate

Metrogel-vaginal

nitrofurantoin

Premarin

nitrofurantoin macrocrystals

Relagard

nitrofurantoin monohydrate

Terazol 3

nitrofurantoin monohydrate/macrocrystals

Terazol 7

NON PREFERRED

Furadantin

GENITOURINARY - MISC.

Hiprex

GENERIC

Macrobid

alfuzosin HCL ER

Macrodantin

citric acid/sodium citrate

Methenamine Mandelate

finasteride

Monurol

hydrochloric acid

Prosed/DS

phenazopyridine HCL

Urelle

potassium citrate ER

Uretron D/S

potassium citrate-citric acid crystals

Urex

tamsulosin HCL

Uribel

PREFERRED

Urimar-t

Cystagon

Urogesic-blue

Elmiron

Uroqid #2

Procysbi

Rapaflo

URINARY ANTISPASMODICS

Renacidin

GENERIC

NON PREFERRED

bethanechol chloride

Avodart

flavoxate HCL

Cardura XL

oxybutynin chloride

Citrolith

oxybutynin chloride ER

Cytra-3

tolterodine tartrate

Flomax

tolterodine tartrate ER

Jalyn

trospium chloride

K-phos NO 2

trospium chloride ER

Lithostat

PREFERRED

Oracit

Gelnique

Proscar

Myrbetriq

Pyridium

Oxytrol

Shohls Solution Modified

Oxytrol For Women

Thiola

Toviaz


19

Tricitrates

Integra Plus

Urocit-k 10

Irospan 24/6

Urocit-k 15

Is 24/6

Urocit-k 5

Maxaron Forte

Uroxatral

Maxfe

Multigen

HEMATOLOGICAL

Multigen Folic

Multigen Plus

HEMATOPOIETIC AGENTS

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

GENERIC

cyanocobalamin

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

folic acid

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

Natalvirt Flt

sodium ferric gluconate complex/sucrose

Nephron Fa

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

Novaferrum

Omontys

PREFERRED

Pre-folic

Cerezyme

Proferrin-forte

Cyanocobalamin

Protectiron

Droxia

Tandem F

Elelyso

Tandem Plus

Feraheme

Zavesca

Ferrex 150 Forte Plus

Ferrex 28

ANTICOAGULANTS

Leukine

GENERIC

Mozobil

argatroban

Nascobal

enoxaparin sodium

Neulasta

fondaparinux sodium

Neumega

heparin lock

Neupogen

heparin lock flush

Nplate

heparin lock flush for flushing vascular access devices

Procrit

heparin lock flush/NACL for flushing vascular access devices

Promacta

Venofer

heparin sodium

Vpriv

heparin sodium dcu

NON PREFERRED

heparin sodium lock flush

Albafort

heparin sodium/sodium chloride 0.9% premix

Animi-3

heparin sodium/D5W

Animi-3/Vitamin D

heparin sodium/NACL 0.9%

Aranesp Albumin Free

warfarin sodium

B-6 Folic Acid

PREFERRED

Biferarx

Eliquis

Cenfol

Pradaxa

Centratex

Xarelto

Cerdelga

NON PREFERRED

Corvite 150

Angiomax

Divista

Argatroban

Ed Cyte F

Arixtra

Epogen

Coumadin

Feriva

Fragmin

Ferivafa

Heparin Lock Flush

Ferralet 90

Heparin Sodium

Ferrlecit

Heparin Sodium/D5W

Ferro-plex Hematinic

Heparin Sodium/NACL 0.45%

Ferrotrin

Heparin Sodium/Sodium Chloride 0.9%

Folgard RX

Iprivask

Folic Acid

Lovenox

Folivane-f

Folivane-plus

HEMOSTATICS

Foltrate

GENERIC

Fusion Plus

aminocaproic acid

Granix

tranexamic acid

Hematogen Fa

NON PREFERRED

Hematron-AF

Amicar

Hemocyte Plus

Aminocaproic Acid

Hemocyte-f

Artiss

Hydroxocobalamin

Astringyn

Icar-c Plus

Cyklokapron

Injectafer

Evicel

Integra F

Evithrom


20

Lysteda

Tnkase

Recothrom

Trental

Recothrom Spray Kit

Voluven

Thrombin-jmi Diluent

Zontivity

Thrombin-jmi Epistaxis

Thrombin-jmi Syringe Spray Kit

MOUTH/THROAT/DENTAL AGENT

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

Thrombogen

GENERIC

Tisseel

cevimeline HCL

Trasylol

chlorhexidine gluconate

chlorhexidine gluconate oral rinse

HEMATOLOGICAL - MISC.

clotrimazole

GENERIC

lidocaine viscous

anagrelide hydrochloride

lidocaine HCL

cilostazol

lidocaine HCL viscous

clopidogrel

nystatin

dipyridamole

pilocarpine hydrochloride

hetastarch 6%/NACL

pilocarpine HCL

pentoxifylline ER

stannous fluoride oral rinse

ticlopidine HCL


PREFERRED

triamcinolone IN orabase

Advate

NON PREFERRED

Aggrenox

Aquoral

Alphanate/Von Willebrand Factor Complex/Human

Caphosol

Alphanine SD

Debacterol

Alprolix

Evoxac

Benefix

First-bxn Mouthwash

Berinert

First-dukes Mouthwash

Brilinta

First-marys Mouthwash

Corifact

First-mouthwash Blm

Effient

Gel-kam Oral Care Rinse

Feiba NF

Gelclair

Helixate FS

Lta 360 Kit

Hemofil M

Nafrinse Daily/Acidulated

Humate-p

Nafrinse Daily/Neutral

Koate-dvi

Nafrinse Weekly

Kogenate FS

Neutrasal

Kogenate FS Bio-set

Numoisyn

Monoclate-p

Orafate

Mononine

Oravig

Novoseven

Peridex

Novoseven Rt

Prevident

Recombinate

Prothelial

Riastap

Salagen

Soliris

Tretten

NEUROLOGY, CNS, PSYCH

Wilate

ANTIANXIETY AGENTS

Xyntha

GENERIC

Xyntha Solofuse

alprazolam

NON PREFERRED

alprazolam odt

Activase

alprazolam ER

Aggrastat

buspirone HCL

Agrylin

chlordiazepoxide HCL

Cathflo Activase

clorazepate dipotassium

Firazyr

diazepam

Hespan

droperidol

Hextend

gene-xene TAB 15MG

Integrilin

gene-xene TAB 3.75MG

Kalbitor

gene-xene TAB 7.5MG

Kinlytic

hydroxyzine pamoate

LMD 10% Dextrose 5%

hydroxyzine HCL

LMD 10% Sodium Chloride 0.9%

lorazepam

Persantine

meprobamate

Plavix

oxazepam

Pletal

Hydroxyzine Pamoate

Protamine Sulfate

NON PREFERRED

Reopro

Alprazolam Intensol

Retavase

Ativan

Retavase Half-kit

Diazepam


21

Diazepam Intensol

Khedezla

Gabavale-5

Lexapro

Gabazolamine

Luvox CR

Gabazolamine-0.5

Maprotiline HCL

Hydroxyzine HCL

Marplan

Lorazepam Intensol

Nardil

Niravam

Norpramin

Sentrazolam AM 0.25

Nortriptyline HCL

Tranxene T

Oleptro

Valium

Pamelor

Vistaril

Parnate

Xanax

Paxil

Xanax XR

Paxil CR

Pexeva

ANTIDEPRESSANTS

Prozac

Prozac Weekly

GENERIC

Remeron

amitriptyline HCL

Remeron Soltab

bupropion HCL

Sentraflox AM-10

bupropion HCL ER

Sentralopram AM-10

bupropion HCL SR

Sentravil PM-25

bupropion HCL XL

Sentroxatine

citalopram hydrobromide

Surmontil

clomipramine HCL

Tofranil

desipramine HCL

Tofranil-PM

doxepin HCL

Trazamine

duloxetine HCL

Venlafaxine HCL ER

escitalopram oxalate

Vivactil

fluoxetine DR

Wellbutrin

fluoxetine HCL

Wellbutrin SR

fluvoxamine maleate

Wellbutrin XL

fluvoxamine maleate ER

Zoloft

imipramine pamoate

imipramine HCL

ANTIPSYCHOTICS

mirtazapine

mirtazapine odt

GENERIC

nefazodone HCL

chlorpromazine HCL

nortriptyline HCL

clozapine

paroxetine HCL

fluphenazine decanoate

paroxetine HCL ER

fluphenazine HCL

phenelzine sulfate

haloperidol

protriptyline HCL

haloperidol decanoate

sertraline HCL

haloperidol lactate

tranylcypromine sulfate

lithium carbonate

trazodone HCL

lithium carbonate ER

trimipramine maleate

loxapine

venlafaxine HCL

loxapine succinate

venlafaxine HCL ER

olanzapine

Amoxapine

olanzapine odt

Doxepin HCL

perphenazine

Nefazodone HCL

prochlorperazine

PREFERRED

prochlorperazine edisylate

Pristiq

prochlorperazine maleate

Viibryd

quetiapine fumarate

NON PREFERRED

risperidone

Anafranil

risperidone odt

Aplenzin

thioridazine HCL

Appbutamone

thiothixene

Appbutamone-d

trifluoperazine HCL

Brintellix

ziprasidone HCL

Celexa

PREFERRED

Cymbalta

Abilify

Desvenlafaxine ER

Abilify Discmelt

Effexor XR

Abilify Maintena

Emsam

Latuda

Fetzima

Risperdal Consta

Fetzima Titration Pack

Seroquel XR

Fluoxetine HCL

NON PREFERRED

Forfivo XL

Adasuve

Gaboxetine

Chlorpromazine HCL


22

Clozapine Odt

ADHD, NARCOLEPSY, ETC.

Clozaril

GENERIC

Compazine

amphetamine/dextroamphetamine

Equetro

caffeine citrate

Fanapt

clonidine HCL ER

Fanapt Titration Pack

dexmethylphenidate HCL

Fazaclo

dexmethylphenidate HCL ER

Fluphenazine HCL

dextroamphetamine sulfate

Geodon

dextroamphetamine sulfate ER

Haldol

doxapram HCL

Haldol Decanoate 100

methamphetamine HCL

Haldol Decanoate 50

methylphenidate hydrochloride

Invega

methylphenidate HCL

Invega Sustenna

methylphenidate HCL CD

Lithium Carbonate

methylphenidate HCL ER

Lithium Citrate

methylphenidate HCL SR

Lithobid

modafinil

Loxitane

Methylphenidate HCL ER

Risperdal

Procentra

Risperdal M-TAB

PREFERRED

Saphris

Daytrana

Seroquel

Intuniv

Versacloz

Nuvigil

Zyprexa

Quillivant XR

Zyprexa Relprevv

Strattera

Zyprexa Zydis

Vyvanse

NON PREFERRED

HYPNOTICS

Adderall

GENERIC

Adderall XR

dexmedetomidine HCL

Cafcit

estazolam

Caffeine/Sodium Benzoate

eszopiclone

Concerta

flurazepam HCL

Desoxyn

phenobarbital

Dexedrine

temazepam

Dopram

triazolam

Focalin

zaleplon

Focalin XR

zolpidem tartrate

Kapvay

zolpidem tartrate ER

Kapvay Dose Pack

Flurazepam HCL

Metadate CD

Phenobarbital

Methylin

PREFERRED

Provigil

Chloral Hydrate

Ritalin

Hetlioz

Ritalin LA

Rozerem

Ritalin SR

NON PREFERRED

Sentramodafin AM-100

Ambien

Zenzedi

Ambien CR

Amytal Sodium

ANTICONVULSANTS

Butisol Sodium

GENERIC

Doral

carbamazepine

Edluar

carbamazepine ER

Gabazolpidem-5

clonazepam

Halcion

clonazepam odt

Intermezzo

divalproex sodium

Lunesta

divalproex sodium DR

Nembutal Sodium

divalproex sodium ER

Phenobarbital Sodium

ethosuximide

Precedex

felbamate

Quazepam

fosphenytoin sodium

Restoril

gabapentin

Seconal

lamotrigine

Sentrazolpidem PM-5

lamotrigine ER

Silenor

levetiracetam

Sonata

levetiracetam ER

Strazepam

oxcarbazepine

Zolpimist

phenytoin

phenytoin sodium

phenytoin sodium extended


23

primidone

carbidopa/levodopa odt

tiagabine hydrochloride

carbidopa/levodopa ER

topiramate

entacapone

valproate sodium

pramipexole dihydrochloride

valproic acid

ropinirole ER

zonisamide

ropinirole HCL

PREFERRED

selegiline HCL

Banzel

trihexyphenidyl HCL

Celontin

PREFERRED

Diazepam

Apokyn

Fycompa

Azilect

Lyrica

Mirapex ER

Onfi

NON PREFERRED

Oxtellar XR

Amantadine HCL

Peganone

Carbidopa/Levodopa/Entacapone

Potiga

Cogentin

Tegretol-XR

Comtan

NON PREFERRED

Eldepryl

Aptiom

Lodosyn

Carbatrol

Mirapex

Cerebyx

Neupro

Depacon

Parcopa

Depakene

Parlodel

Depakote

Requip

Depakote ER

Requip XL

Depakote Sprinkles

Sinemet

Diastat Acudial

Sinemet CR

Diastat Pediatric

Stalevo 100

Dilantin

Stalevo 125

Dilantin Infatabs

Stalevo 150

Felbatol

Stalevo 200

Gabitril

Stalevo 50

Keppra

Stalevo 75

Keppra XR

Tasmar

Klonopin

Zelapar

Lamictal

Lamictal Chewable Dispersible

NEUROLOGY, PSYCH - MISC.

Lamictal Odt

GENERIC

Lamictal Starter/Not Taking Carbamazepine

acamprosate calcium DR

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

disulfiram

donepezil HCL

Lamictal Starter/Taking Valproate

fluoxetine

Lamictal XR

galantamine

Levetiracetam

galantamine hydrobromide

Mysoline

olanzapine/fluoxetine

Neurontin

rivastigmine tartrate

Phenytek

PREFERRED

Qudexy XR

Ampyra

Sabril

Avonex

Stavzor

Avonex Pen

Tegretol

Copaxone

Therapentin-60

Gralise

Therapentin-90

Gralise Starter

Topamax

Namenda

Topamax Sprinkle

Namenda Titration PAK

Topiramate ER

Namenda XR

Trileptal

Namenda XR Titration Pack

Trokendi XR

Nuedexta

Vimpat

Rebif

Zarontin

Rebif Rebidose

Zonegran

Rebif Rebidose Titration Pack

Rebif Titration Pack

ANTIPARKINSON AGENTS

Savella

GENERIC

Tecfidera

amantadine HCL

Tecfidera Starter Pack

benztropine mesylate

Xenazine

bromocriptine mesylate

Xyrem

carbidopa

NON PREFERRED

carbidopa/levodopa

Antabuse


24

Aricept

Dantrium IV

Aricept Odt

Euflexxa

Aubagio

Fexmid

Betaseron

Flexeril

Brisdelle

Hyalgan

Campral

Lorzone

Chlordiazepoxide/Amitriptyline

Norflex

Ergoloid Mesylates

Parafon Forte DSC

Exelon

Prazolamine

Extavia

Robaxin

Gilenya

Robaxin-750

Horizant

Ryanodex

Orap

Skelaxin

Perphenazine/Amitriptyline

Soma

Razadyne

Supartz

Razadyne ER

Therabenzaprine-60

Sarafem

Therabenzaprine-90

Savella Titration Pack

Therabenzaprine-90-5

Symbyax

Tizanidine Comfort PAC

Tysabri

Zanaflex

NEUROMUSCULAR AGENTS

ANTIMYASTHENIC AGENTS

GENERIC

GENERIC

atracurium besylate

neostigmine methylsulfate

cisatracurium besylate

pyridostigmine bromide

pancuronium bromide

PREFERRED

riluzole

Mestinon Timespan

rocuronium bromide

Prostigmin

vecuronium bromide

NON PREFERRED

NON PREFERRED

Bloxiverz

Anectine

Enlon

Botox

Enlon-plus

Dysport

Guanidine HCL

Myobloc

Mestinon

Nimbex

Regonol

Quelicin

Quelicin 1000

OPHTHALMOLOGY AND OTIC

Rilutek

ANTI-INFECTIVES

Xeomin

GENERIC

Zemuron

bacitracin/polymyxin b

ciprofloxacin HCL

MUSCULOSKELETAL AGENTS

erythromycin

GENERIC

gatifloxacin

baclofen

gentamicin sulfate

carisoprodol

levofloxacin

carisoprodol/aspirin

neomycin/bacitracin/polymyxin

carisoprodol/aspirin/codeine

neomycin/polymyxin/bacitracin zinc

chlorzoxazone

neomycin/polymyxin/gramicidin

cyclobenzaprine HCL

ofloxacin

dantrolene sodium

polymyxin b sulfate/trimethoprim sulfate

metaxalone


methocarbamol

sulfacetamide sodium

orphenadrine citrate

tobramycin sulfate

orphenadrine citrate ER

trifluridine

orphenadrine/asa/caffeine

trimethoprim sulfate/polymyxin b sulfate

tizanidine HCL

PREFERRED

Carisoprodol

Besivance

Dantrolene Sodium

Moxeza

PREFERRED

Natacyn

Gablofen

Vigamox

Lioresal Intrathecal

NON PREFERRED

Monovisc

Azasite

Orthovisc

Bacitracin

Synvisc

Betadine Ophthalmic Prep

Synvisc One

Bleph-10

NON PREFERRED

Ciloxan

Amrix

Garamycin

Cyclobenzaprine Comfort PAC

Mitosol

Dantrium

Neosporin


25

Ocuflox

PROSTAGLANDINS

Polytrim

GENERIC

Sulfacetamide Sodium

latanoprost

Tobrex

PREFERRED

Viroptic

Lumigan

Zirgan

Travatan Z

Zymaxid

Travoprost

NON PREFERRED

ARTIFICIAL TEAR/LUBRICANT

Rescula

NON PREFERRED

Xalatan

Lacrisert

Zioptan

BETA-BLOCKERS

CYCLOPLEGIC MYDRIATICS

GENERIC

GENERIC

betaxolol HCL

atropine sulfate

carteolol HCL

cyclopentolate HCL

dorzolamide HCL/timolol maleate

homatropine HBR

levobunolol HCL

NON PREFERRED

timolol maleate

Atropine Sulfate

timolol maleate ophthalmic gel forming

Cyclogyl

Metipranolol

Cyclomydril

PREFERRED

Isopto Atropine

Combigan

Isopto Homatropine

NON PREFERRED

Isopto Hyoscine

Betagan

Betimol

DECONGESTANTS

Betoptic-s

GENERIC

Cosopt

phenylephrine HCL

Cosopt PF

NON PREFERRED

Istalol

Mydfrin

Levobunolol HCL

Naphazoline HCL

Timoptic

Timoptic Ocudose

MIOTICS

Timoptic-xe

GENERIC

pilocarpine HCL

OPHTHALMIC STEROIDS

PREFERRED

GENERIC

Phospholine Iodide

dexamethasone sodium phosphate

Pilopine HS

fluorometholone

NON PREFERRED

neomycin/polymyxin/bacitracin/hydrocortisone

Isopto Carbachol

neomycin/polymyxin/dexamethasone

Isopto Carpine

prednisolone acetate

sulfacetamide sodium/prednisolone sodium phosphate

ADRENERGIC AGENTS

tobramycin/dexamethasone

GENERIC

PREFERRED

apraclonidine

Alrex

brimonidine tartrate

FML

NON PREFERRED

Lotemax

Alphagan P

Pred Mild

Iopidine

Retisert

Simbrinza

Tobradex ST

Zylet

IMMUNOMODULATORS

NON PREFERRED

PREFERRED

Blephamide

Restasis

Blephamide S.o.p.

Durezol

LOCAL ANESTHETICS

Flarex

GENERIC

FML Forte

proparacaine HCL

FML Liquifilm

tetracaine HCL

Maxidex

NON PREFERRED

Maxitrol

Akten

Neomycin/Polymyxin/Hydrocortisone

Alcaine

Omnipred

Pred Forte

OPHTHALMICS - MISC.

Pred-G

GENERIC

Pred-G S.o.p.

azelastine HCL

Prednisolone Sodium Phosphate

bromfenac

Tobradex

cromolyn sodium

Vexol

diclofenac sodium


26

dorzolamide HCL

PAIN MANAGEMENT

epinastine HCL

ANALGESICS - NONNARCOTIC

flurbiprofen sodium

GENERIC

ketorolac tromethamine

butal/asa/caff

PREFERRED

butalbital/acetaminophen

Bepreve

butalbital/acetaminophen/caffeine

Bromday

butalbital/apap/caffeine

Bromfenac

butalbital/asa/caffeine

Cystaran

choline magnesium trisalicylate

Ilevro

diflunisal

Jetrea

salsalate

Nevanac

Butalbital/Aspirin/Caffeine

Pataday

NON PREFERRED

Patanol

Alagesic LQ

Prolensa

Bupap

NON PREFERRED

Dolgic Plus

Acular

Dologesic

Acular LS

Equagesic

Acuvail

Esgic

Alocril

Esgic-plus

Alomide

Fioricet

Azopt

Fiorinal

Elestat

Levacet

Emadine

Mst 600

Lastacaft

Ofirmev

Ocufen

Orbivan

Optivar

Orbivan CF

Trusopt

Phrenilin Forte

Rhinoflex-650

OTIC AGENTS

Staflex

GENERIC

Tencon

acetic acid

antipyrine/benzocaine

ANALGESICS - OPIOID

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

acetaminophen/codeine

hydrocortisone/acetic acid

acetaminophen/codeine #2

neomycin/polymyxin/hydrocortisone


neomycin/polymyxin/HC


ofloxacin

acetaminophen/codeine phosphate

PREFERRED

alfentanil

Ciprodex

buprenorphine HCL

NON PREFERRED

buprenorphine HCL/naloxone HCL

Acetic Acid/Aluminum Acetate

butalbital/acetaminophen/caffeine/codeine

Antipyrine/Benzocaine

butalbital/aspirin/caffeine/codeine

Auralgan

butorphanol tartrate

Cetraxal

codeine sulfate

Cipro HC

fentanyl

Ciprofloxacin

fentanyl citrate oral transmucosal

Coly-mycin S

hydrocodone bitartrate/acetaminophen

Cortisporin

hydrocodone/acetaminophen

Cortisporin-tc

hydrocodone/ibuprofen

Cresylate

hydromorphone HCL

Dermotic

hydromorphone HCL ER

Myoxin

meperidine HCL

Otozin

methadone HCL

Pramotic

morphine sulfate

Vosol HC

morphine sulfate ER

nalbuphine HCL

OXYTOCICS

oxycodone HCL

oxycodone/acetaminophen

GENERIC

oxycodone/aspirin

methylergonovine maleate

oxycodone/ibuprofen

oxytocin

oxymorphone hydrochloride

NON PREFERRED

oxymorphone hydrochloride ER

Cervidil

pentazocine/acetaminophen

Hemabate

pentazocine/naloxone HCL

Pitocin

tramadol hydrochloride/acetaminophen

Prepidil

tramadol HCL

Prostin E2

tramadol HCL ER


27

Hydrocodone Bitartrate/Acetaminophen

Theracodophen-low-90

PREFERRED

Theracodophen-325

Butrans

Theracodophen-650

Lazanda

Theracodophen-750

Nucynta

Theratramadol-60

Nucynta ER

Theratramadol-90

Opana ER (crush Resistant)

Tramadol HCL ER

Oxycontin

Trezix

Suboxone

Tylenol/Codeine #3

Zubsolv

Tylenol/Codeine #4

NON PREFERRED

Ultiva

Abstral

Ultracet

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Ultram

Actiq

Ultram ER

Alfenta

Vicoprofen

Aspirin-caffeine-dihydrocodeine

Xartemis XR

Avinza

Xodol

Bunavail

Xolox

Buprenex

Zohydro ER

Capital/Codeine

Zolvit

Codeine Sulfate

Zydone

Conzip

Demerol

ANTI-INFLAMMATORY

Dilaudid

GENERIC

Dilaudid-HP

diclofenac potassium

Dolophine

diclofenac sodium DR

Dolophine HCL

diclofenac sodium ER

Duragesic

diclofenac sodium/misoprostol

Exalgo

etodolac

Fentora

etodolac ER

Fioricet/Codeine

flurbiprofen

Fiorinal/Codeine #3

ibuprofen

Hycet

indomethacin

Hydrocodone/Acetaminophen

indomethacin sodium

Hydromorphone HCL

indomethacin ER

Hydromorphone HCL Dosette

ketoprofen

Hydromorphone HCL ER

ketorolac tromethamine

Ibudone

leflunomide

Infumorph 200

mefenamic acid

Infumorph 500

meloxicam

Kadian

nabumetone

Levorphanol Tartrate

naproxen

Liquicet

naproxen sodium

Lorcet Plus

oxaprozin

Lorcet 10/650

piroxicam

Lortab

sulindac

Magnacet

tolmetin sodium

Maxidone

Meclofenamate Sodium

Meperidine HCL

Tolmetin Sodium

Methadone HCL

PREFERRED

Methadose

Arcalyst

Methadose Sugar-free

Celebrex

Morphine Sulfate

Humira

Morphine Sulfate Add-vantage

Humira Pen

MS Contin

Humira Pen-crohns Diseasestarter

Norco

Humira Pen-psoriasis Starter

Opana

Ridaura

Oxecta

Zorvolex

Oxycodone HCL

NON PREFERRED

Percocet

Actemra

Percodan

Anaprox

Primlev

Anaprox DS

Reprexain

Arava

Roxicet

Arthrotec 50

Roxicodone

Arthrotec 75

Rybix Odt

Caldolor

Subsys

Cataflam

Synalgos-dc

Daypro

Talwin

Duexis

Theracodeine-300


28

Enbrel

Cafergot

Enbrel Sureclick

Cambia

EC-naprosyn

D.h.e. 45

Feldene

Dihydroergotamine Mesylate

Fenoprofen Calcium

Ergomar

Ibuprofen Comfort PAC

Frova

Ilaris

Imitrex

Indocin

Imitrex Statdose Refill

Indocin IV

Imitrex Statdose System

Indomethacin

Maxalt

IC 400

Maxalt-MLT

IC 800

Migergot

Ketoprofen ER

Migral

Ketorolac Tromethamine

Migranal

Kineret

Sumatriptan

Meloxicam

Zomig

Meloxicam Comfort PAC

Zomig ZMT

Mobic

Nalfon

GOUT AGENTS

Naprelan

GENERIC

Naprosyn

allopurinol

Naproxen Comfort PAC

probenecid

Neoprofen

probenecid/colchicine

Orencia

PREFERRED

Otezla

Colcrys

Otrexup

Krystexxa

Ponstel

Uloric

Prastera

NON PREFERRED

Rasuvo

Aloprim

Rheumatrex

Zyloprim

Simponi

Simponi Aria

LOCAL ANESTHETICS-INJ

Sprix

GENERIC

Therafeldamine

bupivacaine HCL

Theraprofen-60

bupivacaine/epinephrine

Theraprofen-800

chloroprocaine HCL

Theraprofen-90

lidocaine HCL

Theraproxen-500

lidocaine/epinephrine

Theraproxen-60

ropivacaine HCL

Theraproxen-90

Tetracaine HCL

Trepadiclofen-25

NON PREFERRED

Trepoxen-250

BD Pudendal/Local Block Tray 1% Lidocaine

Trepoxicam-7.5

Carbocaine

Vimovo

Duocaine

Voltaren-XR

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

Xeljanz

Zipsor

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

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

MIGRAINE PRODUCTS

GENERIC

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

dihydroergotamine mesylate

naratriptan HCL

Exparel

rizatriptan benzoate

Lidocaine HCL/Dextrose

rizatriptan benzoate odt

Marcaine

sumatriptan succinate

Marcaine W/O Epi

sumatriptan succinate refill

Marcaine/Epinephrine

zolmitriptan

Mepivacaine HCL

zolmitriptan odt

Monoject Bone Marrow Biopsy Prepping Tray

Isometheptene/Caffeine/Acetaminophen

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

Sumatriptan Succinate

PREFERRED

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

Relpax

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

Sumavel Dosepro

Treximet

Naropin

Zomig Nasal Spray

Nesacaine

NON PREFERRED

Nesacaine-mpf

Alsuma

Sensorcaine-mpf/Epinephrine

Amerge

Turkel Paracentesis Procedure Tray/8french

Axert

Xylocaine


29

Xylocaine-mpf

hydrocodone bitartrate/homatropine methylbromide

Xylocaine-mpf/Epinephrine

hydrocodone polistirex/chlorpheniramine polistirex

Xylocaine/Epinephrine

hydrocodone/homatropine

phenylephrine/guaifenesin

RESPIRATORY, ALLERGY, ETC

promethazine-DM

promethazine/codeine

ANTIHISTAMINES

promethazine/dextromethorphan

GENERIC

sodium chloride

carbinoxamine maleate

PREFERRED

cetirizine HCL

Tussicaps

clemastine fumarate

NON PREFERRED

cyproheptadine HCL

Alahist Ac

desloratadine

Alahist DHC

desloratadine odt

Carbaphen 12

diphenhydramine HCL

Carbaphen 12 PED

levocetirizine dihydrochloride

Clarinex-d 12 HOUR

promethazine HCL

Clarinex-d 24 HOUR

promethazine HCL plain

Cpb Wc

Clemastine Fumarate

Decon-a

NON PREFERRED

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Brompheniramine Tannate

Clarinex

Donatuss Dc

Clarinex Reditabs

Exactuss

Dexchlorpheniramine Maleate

Gilphex TR

Dicopanol Fusepaq

Giltuss

Doxytex

Giltuss PED-c

Ed-chlor-tan

Giltuss TR

Karbinal ER

Hyper-sal

Palgic

Hypersal

Phenergan

J-cof DHC

Respa-BR

J-max DHC

Xyzal

Nebusal

Neotuss Plus

NASAL AGENTS

Panatuss Dxp

GENERIC

Pediatex TD

azelastine HCL

Pediatex TDM

budesonide

Poly-tussin DHC

flunisolide

Relhist

fluticasone propionate

Rescon-JR

ipratropium bromide

Rescon-MX


Rezira

Flunisolide

Semprex-d

PREFERRED

Suttar-SF

Dymista

Suttar-2

Nasonex

Tessalon Perles

Phenylephrine HCL

Tussionex Pennkinetic Extended Release

Qnasl

Vituz

NON PREFERRED

Zonatuss

Adrenalin

Zutripro

Astelin

Astepro

ANTIASTHMATIC/COPD AGENTS

Atrovent

GENERIC

Bactroban Nasal

albuterol sulfate

Beconase AQ

albuterol sulfate ER

Flonase

albuterol TAB 4MG

Nasacort AQ

aminophylline

Omnaris

budesonide

Patanase

cromolyn sodium

Rhinocort Aqua

epinephrine HCL

Tyzine

ipratropium bromide

Tyzine Pediatric Nasal Drops

ipratropium bromide/albuterol sulfate

Veramyst

levalbuterol

Zetonna

levalbuterol HCL

montelukast sodium

COUGH/COLD/ALLERGY

terbutaline sulfate

GENERIC

theophylline

acetylcysteine

theophylline CR

benzonatate

theophylline ER

bromphen/pseudoephedrine HCL/dextromethorphan HBR

theophylline/D5W

hydrocodone bitartrate/chlorpheniramine maleate/PSE


30

zafirlukast

Glassia

PREFERRED

Infasurf

Advair Diskus

Surfaxin

Advair HFA

Survanta Intratracheal

Anoro Ellipta

Arcapta Neohaler

TOXOIDS

Asmanex Twisthaler 120 Metered Doses


PREFERRED

Asmanex Twisthaler 30 Me Tered Doses

Adacel


Boostrix


Daptacel


Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Atrovent HFA

Infanrix

Breo Ellipta

Kinrix

Combivent

Pediarix

Combivent Respimat

Pentacel

Daliresp

Tenivac

Dulera

Tetanus Toxoid Adsorbed

Flovent Diskus

Tetanus/Diphtheria Toxoids-adsorbed Adult

Flovent HFA

Foradil Aerolizer

VACCINES

Perforomist

Proair HFA

PREFERRED

Pulmicort Flexhaler

Acthib

Qvar

Afluria PF 2012-2013

Serevent Diskus


Spiriva Handihaler


Symbicort

Afluria 2012-2013

Tudorza Pressair

Afluria 2013-2014

Ventolin HFA

Afluria 2014-2015

NON PREFERRED

Biothrax

Accolate

Cervarix

Accuneb

Comvax

Adrenalin

Engerix-b

Aerospan

Fluarix Quadrivalent 2013-2014

Alvesco

Fluarix Quadrivalent 2014-2015

Brondil

Fluarix 2012-2013

Brovana

Fluarix 2013-2014

Duoneb

Fluarix 2014-2015

Elixophyllin

Flublok 2013-2014

Isuprel

Flublok 2014-2015

Lufyllin

Flucelvax 2012-2013

Maxair Autohaler

Flucelvax 2013-2014

Metaproterenol Sulfate

Flucelvax 2014-2015

Proventil HFA

Flulaval Quadrivalent 2013-2014

Pulmicort

Flulaval Quadrivalent 2014-2015

Pulmophylline

Flulaval 2012-2013

Senophylline

Flulaval 2013-2014

Singulair

Flulaval 2014-2015

Striverdi Respimat

Flumist Nasal Vaccine 2012-2013

Theo-24

Flumist Quadrivalent

Theophylline/D5W

Fluvirin PF 2012-2013

Vospire ER


Xolair


Xopenex

Fluvirin 2012-2013

Xopenex Concentrate

Fluvirin 2013-2014

Xopenex HFA

Fluvirin 2014-2015

Zyflo

Fluzone High-dose PF 2012-2013

Zyflo CR



RESPIRATORY AGENTS - MISC

Fluzone Intradermal

PREFERRED

Fluzone Pediatric PF 2012-2013

Kalydeco

Fluzone Pediatric PF 2013-2014

Prolastin-c

Fluzone PF 2012-2013

Pulmozyme


Zemaira


NON PREFERRED

Fluzone Quadrivalent 2013-2014

Aralast NP

Fluzone Quadrivalent 2014-2015

Curosurf

Fluzone Split 2012-2013


31


Mynatal Advance


Mynatal Ultracaplet

Gardasil

Obstetrix EC

Havrix

OB-natal One

Hiberix

Perry Prenatal

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

Pr Natal 400

Influenza A (h1n1) Monovalent 2009

Pr Natal 400 EC

Ipol Inactivated IPV

Pr Natal 430

Ixiaro

Pr Natal 430 EC

M-m-r II W/Diluent 10 Dose

Prenatabs RX

Medical Provider EZ Flu Shot 2014-2015

Prenatal Ad

Menactra

Prenatal Vitamins

Menhibrix

Prenatal-u

Menomune-a/C/Y/W-135

Quflora Pediatric

Menveo

Taron-prex

Pedvax HIB

Tricare

Pneumovax 23

Trinate

Pneumovax 23/1 Dose

Vinate C

Pneumovax 23/5 Dose

Vinate Care

Prevnar 13

Vinate GT

Proquad

Vinate IC

Rabavert

Vinate II

Recombivax HB

Vinate M

Rotarix

Vinate One

Rotateq

Vinate Pn Care

Twinrix

Vitafol-OB

Typhim VI

NON PREFERRED

Vaqta

Adrenal C Formula

Varivax

Albafort

Vivotif Berna

Atabex EC

Yf-vax

Atabex Prenatal

Zostavax

B-nexa

NON PREFERRED

Bacmin

Bcg Vaccine

Bal-care DHA

Bal-care DHA Essential

VITAMINS

Cavan-alpha Kit

Citranatal Assure

VITAMINS

Citranatal B-calm

GENERIC

Citranatal DHA

ascorbic acid

Citranatal Harmony

ergocalciferol

Citranatal RX

phytonadione

Citranatal 90 DHA

thiamine HCL

Cod Liver Oil

vitamin c 222MG

Concept DHA

vitamin d

Concept OB

vitamin k1

Corvite

PREFERRED

Crnatal

Mephyton

Dialyvite Supreme D

NON PREFERRED

Dialyvite 3000

Aquasol A Parenteral

Dialyvite 5000

Decara

Dialyvite/Zinc

Drisdol

Diatx ZN

Pyridoxine HCL

Duet DHA

Vitamin K1

Duet DHA Balanced

Wheat Germ

Duet DHA EC

Duet DHA 400

MULTIVITAMINS

Duet DHA 400EC

GENERIC

Duet DHA 430

b-complex

Duet DHA 430EC

b-complex 100

Escavite

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

Escavite D

CO-natal Fa

Folcaps Omega 3

Elite-OB

Folet DHA

Folbecal

Folet One

Inatal Advance

Folgard OS

Inatal GT

Folivane-prx DHA NF

Inatal Ultra

Folivane-OB

M-vit

Fortavit

Macnatal CN DHA

Gesticare DHA

Mission Prenatal HP

M.v.i. Adult


32

M.v.i. Pediatric

Strovite

M.v.i.-12 Without Vitamin K

Strovite Forte

Marnatal-f

Strovite One

Moms Choice RX

Supervite

Mykidz Iron Fl

Supervite EC

Mynatal

Support-500

Natachew

Synagex

Natafort

Synatek

Natalvirt CA

Taron-bc

Natalvirt 90 DHA

Taron-c DHA

Natalvit

Taron-duo EC

Natelle One

Tri-VI-flor

Neevo DHA

Tricare Prenatal Compleat

Nephplex RX

Tricare Prenatal DHA One

Nephro-vite RX

Triveen-duo DHA

Nephrocaps

Triveen-prx RNF

Nephrocaps QT

Triveen-ten

Nestabs

Triveen-u

Nestabs Abc

TL G-FOL OS

Nestabs DHA

Udamin

Newgen

Udamin SP

Nexa Plus

Vemavite-prx 2

Nexa Select

Vinacal

Nicadan

Vinacal B

Nicazel

Vinate AZ Extra

Nicazel Forte

Vinate Calcium

Nicomide

Vinate DHA

Nutricap

Vinate DHA RF

Nutrivit

Vita-pren

O-CAL Fa

Vitafol

O-CAL Prenatal

Vitafol Ultra

Obstetrix DHA

Vitafol-nano

OB Complete

Vitafol-ob+dha

OB Complete One

Vitafol-one

OB Complete Petite

Vitafol-plus

OB Complete Premier

Vitafol-pn

OB Complete 400

Vital-d RX

OB Complete/DHA

Vitamedmd One RX/Quatrefolic

Paire OB

Vitamedmd Plus RX/Quatre Folic

Poly-VI-flor

Vitamedmd Redichew RX

Poly-VI-flor/Iron

Vitamedmd Redichew RX/Quatrefolic

Prefera OB

Vitapearl

Prefera OB + DHA

Vitaroca Plus

Preferaob One

Viva CT Prenatal

Prefol-DHA

Viva DHA

Prenata

Zatean-pn

Prenate

Zatean-pn DHA

Prenate AM

Zatean-pn Plus

Prenate DHA

Zatean-CH

Prenate Elite

Prenate Enhance

MEDICAL DEVICES

Prenate Essential

DIABETIC SUPPLIES

Prenate Mini

PREFERRED

Prenate Pixie

Accu-chek Fastclix Lancets

Prenate Restore

Accu-chek Multiclix Lancets

Prenate Star

Accu-chek Safe-t-pro Lancets

Prenexa

Accu-chek Safe-t-pro Pluslancets

Preque 10

Accu-chek Soft Touch Lancets

Protect Plus

Accu-chek Softclix Lancets

Protectbone

Advocate Lancets

Protectnatal

Advocate Safety Lancets

Provida OB

Agamatrix Ultra-thin Lancets 33G

R-natal OB

Assure Haemolance Plus High Flow 18G

Renatabs

Assure Haemolance Plus Low Flow 25G

Renatabs With Iron

Assure Haemolance Plus Micro Flow 28G

Renax

Assure Haemolance Plus Normal Flow 21G

Req 49+

Assure Haemolance Plus Pediatric Blade

Select-ob+dha

Assure Lance Lancets

Select-OB

Assure Lancets

Siderol


33

Aurora Lancet Super Thin 30G

E-z Ject Lancets Super Thin 30G

Aurora Lancet Thin 23G

E-z Ject Lancets Thin 26G

AF Lancets Super Thin

E-z Ject Lancets 21G

AT Last Lancets

E-ZJECT Lancets Micro-thin 33G

Bayer Microlet Lancets

Easy Touch Lancets 21G/Pressure Activated

Bullseye Safety Lancets


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


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


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

Easy Touch Lancets 28G/Twist

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


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


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


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


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


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

Easy Touch Safety Lancets21G/Pressure Activated

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


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

Easy Touch Safety Lancets26G/Button Activated

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


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

Easy Touch Safety Lancets28G/Button Activated

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


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"

Embrace Lancets Ultra Thin 30G

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

EZ Smart Blood Glucose Lancets

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

EZ-lets Lancets 21G

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

EZ-lets Lancets 23G

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

EZ-lets Lancets 26G Super-soft


EZ-lets Lancets 28G Ultra-soft


EZ-lets Lancets 30G


Fasttake Test Strips

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

Fifty50 Safety Seal Lancets 30G

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

Fifty50 Safety Seal Lancets 32G

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

Fine 30

Fingerstix Lancets

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

Fora Lancets

Freestyle Lancets

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

Freestyle Unistick II Lancets

Gentle-let GP Lancets

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

Gentle-let Lancets General Purpose Style/Fine Point

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

Gentle-let Lancets General Purpose Style/Medium Point


Gentle-let Lancets Safety Style/Fine Point

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

Gentle-let Lancets Safety Style/Medium Point


Glucocom Lancets 28G

BD Lancet Ultrafine 30G


BD Lancet Ultrafine 33G


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

Glucosource Lancets

Gmate Lancets 30G

BD Microtainer Lancets

H&h Thinlet Lancets 26G

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

H&h Thinlet Super Thin Lancets 30G

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

Haemolance

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

Haemolance Low Flow Lancets

BD Pen Needle/Ultrafine/29G X 12.7MM

Haemolance Plus

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

Haemolance Plus High Flow

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

Haemolance Plus Low Flow

Careone Lancet Thin

Haemolance Plus Max Flow

Careone Lancet Ultra Thin

Haemolance Plus Pediatric Flow

Cleanlet Lancets 28G

Hy-vee Lancets

Clever Chek Lancets Ultrathin

Lancets

Clever Chek Lancets Ultrathin 30G

Lancets Bullseye Safety

Coaguchek Lancets

Lancets Safety Seal 21G

Comfort Lancets


Diastar Easy Test II Lancets 30G


Diastar Easy Test Lancets30G


Droplet Lancets Ultra Thin 30G

Lancets Thin

Drug Mart On-the-go Lancets Gentle 30G

Lancets Twist Top

Drug Mart Unilet Lancets Super Thin 30G

Lancets Ultra Fine

Drug Mart Unilet Lancets Ultra Thin 28G

Lancets Ultra Thin

E-z Ject Lancets

Lancets 26G Twist Top

E-z Ject Lancets Color

Lancets 28G

E-z Ject Lancets Super Thin


34

Lancets 30G

Onetouch Ultrasoft Lancets


Onetouch Verio Control Solution High


Onetouch Verio IQ Blood Glucose Monitoring System

Liberty Control Solution High

Onetouch Verio Mid Control Solution

Liberty Control Solution Normal

Onetouch Verio Sync Bloodglucose Monitoring System

Liberty Glucose Control Level 1

Onetouch Verio Test Strips

Liberty Glucose Control Level 2

Pen Needles 29G X 12MM

Liberty Glucose Control Mid

Pen Needles 29GX1/2"

Liberty Glucose Control Normal


Liberty Mini Lancing Device

Pen Needles 31G X 1/4" SHORT

Liberty Next Generation Blood Glucose Monitor

Pen Needles 31G X 3/16"

Liberty Next Generation Blood Glucose Test Strips

Pen Needles 31G X 6MM

Lifescan Unistik II Lancets


Lifescan Unistik 2 Deep Penetration

Perfect Lancets 30G

Litetouch Lancets Micro Thin 33G

Perfect Pressure Activated Safety Lancets 28G

Live Better Lancet Super Thin 30G

Pharmacy Counter Lancets

Live Better Lancet Ultra Thin 28G

Precision Thin Lancets

Medisense Thin Lancets

Precision Thins GP Lancet

Medlance Plus Extra Lancets 21G

Precision Ultra Lancet

Medlance Plus Lancets

Prodigy Pressure Activated Safety Lancets

Medlance Plus Lancets Lite 25G

Prodigy Twist Top Lancets

Medlance Plus Lite Lancets 25G

Pss Select GP Lancets

Medlance Plus Special Lancets 0.8MM

Pss Select Safety Lancets

Medlance Plus Superlite 30G

Px Lancets Ultra Thin

Medlance Plus Superlite 30G/Comfort Max

Qc Lancets Super Thin

Medlance Plus Universal Lancets 21G

Qc Lancets Ultra Thin

Medlance Plus/Lite 25G

Relion Lancets

Medlance/Extra

Relion Lancets Micro-thin33G

Medlance/Lite

Relion Lancets Standard 21G

Medlance/Universal

Relion Lancets Thin 26G

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


Smart Sense Super Thin Lancets Universal 30G


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


35

Sure-touch Lancets Universal

Agamatrix Presto Test Strips

Surelite Lancets

Ascensia Autodisc Test Strips

Surestep Pro Test Strips

Assure II

Surestep Test Strips

Assure II Check Strip

Techlite AST Lancets

Assure II Test Strips

Techlite Lancets

Assure Platinum Test Strips

Techlite Lancets 30G

Assure Pro Test Strips

Thinlets GP Lancets

Assure 3 Test Strips

Thinlets Lancet

Assure 4 Test Strips

Trueplus Lancets 26G

AT Last Test Strips


Bayer Breeze 2 Test Disc

Trueplus Lancets 28G Super Thin

Bayer Contour Blood Glucose Test Strips


Bayer Contour Next Blood Glucose Test

Trueplus Lancets 30G Ultra Thin

Bg Star Blood Glucose Test


Bioscanner Glucose Test Strips

Trueplus Lancets 33G Micro Thin

Blood Glucose Test Strips

Trueplus Safety Lancets 28G

Blood Glucose Test Strips Premium

Ulticare Thin Lancets 30G

Careone Blood Glucose Test Strips/Premium

Ultilet Basic Lancets 30G

Careone Blood Glucose Test Strips/Value

Ultilet Classic Lancets

Caresens N Blood Glucose Test Strips

Ultilet Lancets

Choice DM Fora G20 Test Strips

Ultilet Lancets 33G

Clever Chek Auto-code Test Strips

Ultilet Safety Lancets 23G

Clever Chek Auto-code Voice Test Strips

Ultra-thin II Auto Lancet

Clever Chek Test Strips

Ultra-thin II Lancets 28G

Clever Choice Auto-code Pro Test Strips

Ultra-thin II Lancets 30G

Clever Choice Micro Test Strips

Ultra-thin II Safety Autolancets 26G

Control AST

Unilet Comfortouch Lancet

Control Test Strips

Unilet Excelite

CVS Advanced Glucose Meter Test Strips

Unilet Excelite II

Duo-care Test Strips

Unilet G.p. Lancet

Easy Step Test Strips

Unilet G.p. Superlite Lancet

Easy Touch Glucose Test Strips

Unilet GP 28 Ultra Thin

Easy Touch Healthpro Glucose Test Strips

Unilet Lancet

Easygluco

Unilet Superlite Lancet

Easymax Test Strips

Unistik 3 Gentle

Easymax 15 Test Strips

Universal 1 Lancets Thin 26G

Easypro Blood Glucose Test Strips

Universal 1 Lancets Ultra Thin 30G

Easypro Plus

Valumark Lancet Super Thin 30G

Eclipse Test Strips

Valumark Lancet Ultra Thin 28G

Element Plus Test Strips

Vida Mia Unilet Lancets Super Thin 30G

Element Test Strips

Vida Mia Unilet Lancets Ultra Thin 28G

Embrace Blood Glucose Test Strips

Vitalet Pro Lancets

Embrace Evo Blood Glucosetest Strips

Vitalet Pro Plus Lancets

Embrace Pro Blood Glucosetest Strips

W&f Lancets Colored 21G

Envision Autocode Test Strips

W&f Lancets 26G

Eql Truetrack Test

Walgreens Lancets

Evencare + Blood Glucose Test Strip

Walgreens Thin Lancets

Evencare Blood Glucose Test Strip

Walgreens Ultra Thin Lancets

Evencare G2 Test Strips

1ST Choice Lancets Super Thin

Evencare G3 Test Strips

1ST Choice Lancets Thin

Evolution Autocode

1ST Choice Lancets Ultra Thin

Exactech R-s-G Test Strips

NON PREFERRED

Exactech Test Strips

Accu-chek Active Strips

EZ Smart Blood Glucose Test Strips

Accu-chek Aviva

EZ Smart Plus Blood Glucose Test Strips

Accu-chek Aviva Plus

Fifty50 Glucose Test Strip 2.0

Accu-chek Comfort Curve Test Strips

Fora D10 Blood Glucose Test Strips

Accu-chek Compact Plus

Fora D15c Blood Glucose Test Strips

Accu-chek Compact Test Drum

Fora D15z Blood Glucose Test Strips

Accu-chek Smartview Strips

Fora D15G Blood Glucose Test Strips

Accutrend Glucose

Fora D20 Blood Glucose Test Strips

Acura Blood Glucose Test Strips

Fora GD20 Test Strips

Advance Intuition Test Strips

Fora G20 Blood Glucose Test Strips

Advance Micro-draw Test Strips

Fora G30a Blood Glucose Test Strips

Advocate Redi-code

Fora G71a Blood Glucose Test Strips

Advocate Redi-code+ Test Strips

Fora G90 Blood Glucose Test Strips

Advocate Test Strips

Fora V10 Blood Glucose Test Strips

Agamatrix Amp NO Code Test Strips


Agamatrix Jazz Test Strips


Agamatrix Keynote Test Strips



36

Fora V30a Blood Glucose Test Strips

Truetest Blood Glucose T Est

Foracare GD40

Truetest Blood Glucose T Est Strips

Foracare Premium V10 Teststrips

Truetest Strips

Foracare Test N Go Test Strips

Truetrack Blood Glucose Test

Freestyle Insulinx Blood Glucose Test

Truetrack Test

Freestyle Insulinx Blood Glucose Test Strips

Ultima Test Strips

Freestyle Lite Test Strips

Ultratrak Pro Test Strips

Freestyle Test Strips

Ultratrak Ultimate Test Strips

Gluco Perfect 3 Test Strips

Unistrip1 Generic

Glucocard Expression Blood Glucose Test Strips

Victory Agm-4000 Test Strips

Glucocard Vital Test Strips

Vocal Point Blood Glucose Test Strips

Glucocard X-sensor

Wavesense Presto Test Strips

Glucocard 01 Sensor

Glucocard 01 Test Strips

MEDICAL DEVICES - MISC

Glucocom Test Strips

PREFERRED

Glucolab Test Strips

Aerochamber Mini Aerosol Chamber

Gluconavii Blood Glucose Test Strips

Aerochamber MV

Gmate Blood Glucose Test Strips

Aerochamber Plus Flow VU

Infinity Blood Glucose Test Strips

Aerochamber Plus Flow-VU

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

Aerochamber Plus Flow-VU/Large Mask

Maxima Blood Glucose Teststrips

Aerochamber Plus Flow-VU/Mask

Microdot Test Strips

Aerochamber Plus Flow-VU/Medium Mask

Myglucohealth Blood Glucose Test

Aerochamber Plus Flow-VU/Small Mask

Neutek 2tek Test Strips

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

Nexgen Test Strips

Aerochamber Z-stat Plus/Flowsignal

Nova Max Glucose Test Strips

Aerochamber Z-stat Plus/Large Mask

On Call Express Blood Glucose Test Strips

Aerochamber Z-stat Plus/Medium Mask

On Call Plus Blood Glucose Test

Aerochamber Z-stat Plus/Small Mask

On Call Vivid Blood Glucose Test

Aerochamber/Flowsignal

On Call Vivid Blood Glucose Test Strips

Arial Chamber

Optium Test Strips

Breatherite

Optiumez Test Strips

Breatherite Collapsible Adult Spacer W/Mask

Optumrx Blood Glucose Test

Breatherite Collapsible Child Spacer W/Mask

Pharmacist Choice Autocode Blood Glucose Test Strips

Breatherite Collapsible Infant Spacer W/Mask

Pocketchem EZ Blood Glucose Test Strips

Breatherite Collapsible Small Child Spacer W/Mask

Precision Point Of Care Test Strips

Breatherite Collapsible Spacer W/ Neonate Mask

Precision PCX

Breatherite Rigid Spacer W/Mask

Precision PCX Plus Test Strips

Breatherite W/Large Mask

Precision QID Test Strips

Breatherite W/Medium Mask

Precision Sof-tact Test Strips

Breatherite W/Small Mask

Precision XTRA Blood Glucose Test Strips

E-z Spacer

Prestige Test Strips

E-z Spacer The Body Guards Pack

Prodigy NO Coding Blood Glucose Test Strips

Easivent

Pts Panels Glucose Test

Easivent/Mask-large

Quicktek Test Strips

Easivent/Mask-medium

Quintet Ac Blood Glucose Test Strips

Easivent/Mask-small

Quintet Blood Glucose Test Strips

Inspirease Bags

Refuah Plus Blood Glucosetest Strips

Inspirease Drug Delivery System

Relion Blood Glucose Teststrips

Inspirease Mouthpiece

Relion Confirm/Micro Test Strips

Inspirease Reservoir Bags

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

Liteaire

Relion Prime Blood Glucose Test Strips

Mask Vortex/Baby Whirl Duckling

Relion Ultima Blood Glucose Test Strips

Mask Vortex/Child/Frog

Relion Ultima Test Strips

Mask Vortex/Spinner The Duck

Reveal Blood Glucose Test

Mask Vortex/Toddler/Lady Bug

Rexall Blood Glucose Test Strips

Microchamber

Rightest GS100 Blood Glucose Test Strips

Microspacer


Nessi Spacer/Large Mask


Nessi Spacer/Mouthpiece

Smart Diabetes Xpres Blood Glucose Test Strips

Nessi Spacer/Small/MED Mask

Smart Sense Premium Bloodglucose Strips

Optichamber Advantage

Smart Sense Value Blood Glucose Strips

Optichamber Diamond

Smartest Blood Glucose Test Strips

Optichamber Diamond/Largeface Mask

Solus V2 Audible Test

Optichamber Diamond/Medium Face Mask

Supreme Test Strips

Optichamber Diamond/Smallface Mask

Sure Edge Blood Glucose Test Strips

Optihaler

Sure-test Easyplus Mini Blood Glucose Test Strips

Optihaler MDI Drug Delivery System

Surechek Blood Glucose Test Strips

Panda Mask Large

Telcare Blood Glucose Test Strips

True Metrix Blood Glucosetest Strips


37

Panda Mask Medium

Panda Mask Small

Pediatric Panda Mask

Pocket Chamber

Pocket Spacer

Riteflo

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

PREFERRED

Chemet

Exjade

NON PREFERRED

Ferriprox

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective January 1, 2015 v.1

©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

38

Index

A

Acular LS, 27

Afluria PF 2013-2014, 31

Acura Blood Glucose Test Strips, 36

Afluria PF 2014-2015, 31

A-hydrocort, 13

Acuvail, 27

Agamatrix Amp NO Code Test Strips, 36

abacavir, 3

acyclovir, 3, 11

Agamatrix Jazz Test Strips, 36

abacavir sulfate/lamivudine/zidovudine, 3

acyclovir sodium, 3

Agamatrix Keynote Test Strips, 36

Abelcet, 2

Acyclovir Sodium, 3

Agamatrix Presto Test Strips, 36

Abilify, 22

Aczone, 10

Agamatrix Ultra-thin Lancets 33G, 33

Abilify Discmelt, 22

Adacel, 31

Aggrastat, 21

Abilify Maintena, 22

Adalat CC, 7

Aggrenox, 21

Abraxane, 5

adapalene, 10

Agrylin, 21

Absorica, 10

Adasuve, 22

Akne-mycin, 10

Abstral, 28

Adcetris, 5

Akten, 26

acamprosate calcium DR, 24

Adcirca, 9

Ala Scalp, 12

Acanya, 10

Adderall, 23

Alagesic LQ, 27

acarbose, 15

Adderall XR, 23

Alahist Ac, 30

Accolate, 31

adefovir dipivoxil, 3

Alahist DHC, 30

Accu-chek Active Strips, 36

Adempas, 9

Albafort, 20, 32

Accu-chek Aviva, 36

Adenocard, 7

Albenza, 3

Accu-chek Aviva Plus, 36

adenosine, 7

albuterol sulfate, 30

Accu-chek Comfort Curve Test Strips, 36

Adoxa, 2

albuterol sulfate ER, 30

Accu-chek Compact Plus, 36

Adoxa PAK 1/100, 2

albuterol TAB 4MG, 30

Accu-chek Compact Test Drum, 36

Adoxa PAK 1/150, 2

Alcaine, 26

Accu-chek Fastclix Lancets, 33

Adoxa PAK 2/100, 2

alclometasone dipropionate, 11

Accu-chek Multiclix Lancets, 33

Adrenaclick, 9

Aldactazide, 9

Accu-chek Safe-t-pro Lancets, 33

Adrenal C Formula, 32

Aldactone, 9

Accu-chek Safe-t-pro Pluslancets, 33

Adrenalin, 9, 30, 31

Aldara, 12

Accu-chek Smartview Strips, 36

Adriamycin, 4

Aldurazyme, 17

Accu-chek Soft Touch Lancets, 33

Advair Diskus, 31

alendronate sodium, 16

Accu-chek Softclix Lancets, 33

Advair HFA, 31

Alendronate Sodium, 16

Accuneb, 31

Advance Intuition Test Strips, 36

Alfenta, 28

Accupril, 8

Advance Micro-draw Test Strips, 36

alfentanil, 27

Accuretic, 8

Advate, 21

Alferon N, 6

Accutrend Glucose, 36

Advicor, 9

alfuzosin HCL ER, 19

acebutolol HCL, 7

Advocate Lancets, 33

Alimta, 5

Aceon, 8

Advocate Redi-code, 36

Alinia, 4

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28

Advocate Redi-code+ Test Strips, 36

Alkeran, 4

Advocate Safety Lancets, 33

allopurinol, 29

acetaminophen/codeine, 27

Advocate Test Strips, 36

Alocril, 27

acetaminophen/codeine #2, 27

Aerochamber Mini Aerosol Chamber, 37

Alodox Convenience Kit, 2


Aerochamber MV, 37

Alomide, 27


Aerochamber Plus Flow VU, 37

Aloprim, 29

acetaminophen/codeine phosphate, 27

Aerochamber Plus Flow-VU, 37

Alora, 14

acetazolamide, 9

Aerochamber Plus Flow-VU/Large Mask, 37

Aloxi, 18

Acetazolamide, 9

Alphagan P, 26

acetazolamide ER, 9

Aerochamber Plus Flow-VU/Mask, 37

Alphanate/Von Willebrand Factor Complex/Human, 21

acetazolamide sodium, 9

Aerochamber Plus Flow-VU/Medium Mask, 37

acetic acid, 27

Alphanine SD, 21

Acetic Acid/Aluminum Acetate, 27

Aerochamber Plus Flow-VU/Small Mask, 37

alprazolam, 21

acetylcysteine, 30

alprazolam ER, 21

Aciphex, 18

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 37

Alprazolam Intensol, 21

Aciphex Sprinkle, 18

alprazolam odt, 21

acitretin, 11

Aerochamber Z-stat Plus/Flowsignal, 37

Alprolix, 21

Aclovate, 12

Aerochamber Z-stat Plus/Large Mask, 37

Alrex, 26

Actemra, 28

Aerochamber Z-stat Plus/Medium Mask, 37

Alsuma, 29

Acthib, 31

Altabax, 10

Acticlate, 2

Aerochamber Z-stat Plus/Small Mask, 37

Altace, 8

Actigall, 18

Aerochamber/Flowsignal, 37

Altoprev, 9

Actimmune, 6

Aerospan, 31

Aluvea, 12

Actiq, 28

AF Lancets Super Thin, 34

Alvesco, 31

Activase, 21

Afinitor, 6

amantadine HCL, 24

Activella, 14

Afinitor Disperz, 6

Amantadine HCL, 24

Actonel, 16

Afluria 2012-2013, 31

Amaryl, 15

Actoplus Met, 15

Afluria 2013-2014, 31

Ambien, 23

Actoplus Met XR, 15

Afluria 2014-2015, 31

Ambien CR, 23

Actos, 15

Afluria PF 2012-2013, 31

Ambisome, 2

Acular, 27

amcinonide, 11

Antara, 9

21G, 33

Amcinonide, 12

antipyrine/benzocaine, 27

Assure Haemolance Plus Pediatric Blade, 33

Amerge, 29

Antipyrine/Benzocaine, 27

Amethyst, 14

Anusol-HC, 18

Assure II, 36

Amicar, 20

Anzemet, 18

Assure II Check Strip, 36

amifostine, 6

Apexicon E, 12

Assure II Test Strips, 36

amikacin sulfate, 2

Apidra, 15

Assure Lance Lancets, 33

amiloride HCL, 9

Apidra Solostar, 15

Assure Lancets, 33

amiloride/hydrochlorothiazide, 9

Aplenzin, 22

Assure Platinum Test Strips, 36

aminocaproic acid, 20

Apokyn, 24

Assure Pro Test Strips, 36

Aminocaproic Acid, 20

Appbutamone, 22

Astagraf XL, 5

aminophylline, 30

Appbutamone-d, 22

Astelin, 30

amiodarone HCL, 7

Appformin, 15

Astepro, 30

Amiodarone HCL, 7

Appformin-d, 15

Astringyn, 20

Amitiza, 18

apraclonidine, 26

AT Last Lancets, 34

amitriptyline HCL, 22

Apriso, 19

AT Last Test Strips, 36

amlodipine besylate, 7

Aptiom, 24

Atabex EC, 32

amlodipine besylate/atorvastatin calcium, 9

Aptivus, 3

Atabex Prenatal, 32

Aquasol A Parenteral, 32

Atacand, 8

amlodipine besylate/benazepril HCL, 8

Aquoral, 21

Atacand HCT, 8

amlodipine besylate/benazepril hydrochloride, 8

Aralast NP, 31

Atelvia, 16

Aralen, 3

atenolol, 7

ammonium lactate, 12

Aranesp Albumin Free, 20

atenolol/chlorthalidone, 8

Ammonul, 17

Arava, 28

Atgam, 5

Amoxapine, 22

Arcalyst, 28

Ativan, 21

amoxicillin, 1

Arcapta Neohaler, 31

Atopiclair, 12

Amoxicillin, 1

argatroban, 20

atorvastatin calcium, 9

Amoxicillin ER, 1

Argatroban, 20

atovaquone, 3

amoxicillin/clavulanate potassium, 1

Arial Chamber, 37

atovaquone/proguanil HCL, 3

amoxicillin/clavulanate potassium ER, 1

Aricept, 25

atracurium besylate, 25

amphetamine/dextroamphetamine, 23

Aricept Odt, 25

Atralin, 10

Amphotec, 2

Arimidex, 5

Atripla, 3

Amphotericin B, 2

Aristospan Intra-articular, 13

Atropen, 18

ampicillin, 1

Aristospan Intralesional, 13

atropine sulfate, 17, 26

Ampicillin, 1

Arixtra, 20

Atropine Sulfate, 18, 26

ampicillin sodium, 1

Armour Thyroid, 17

Atrovent, 30

Ampicillin Sodium, 1

Arnica Flower, 12

Atrovent HFA, 31

ampicillin-sulbactam, 1

Aromasin, 5

Aubagio, 25

Ampicillin-sulbactam, 1

Arranon, 5

augmented betamethasone dipropionate, 11

Ampyra, 24

Arthrotec 50, 28

Amrix, 25

Arthrotec 75, 28

Augmentin, 1

Amturnide, 8

Artiss, 20

Augmentin ES-600, 1

Amytal Sodium, 23

Arzerra, 5

Augmentin XR, 1

Anacaine, 12

Asacol HD, 18

Auralgan, 27

Anadrol-50, 14

Ascensia Autodisc Test Strips, 36

Aurora Lancet Super Thin 30G, 34

Anafranil, 22

ascorbic acid, 32

Aurora Lancet Thin 23G, 34

anagrelide hydrochloride, 21

Asmanex Twisthaler 120 Metered Doses, 31

Aurstat, 12

Analpram Advanced, 18

Aurstat Anti-itch Hydrogel, 12

Analpram-HC, 18


Aurstat Anti-itch Hydrogel Kit, 12

Analpram-HC Singles, 18

Auvi-q, 9

Anaprox, 28

Asmanex Twisthaler 30 Me Tered Doses, 31

Avalide, 8

Anaprox DS, 28

Avandamet, 15

Anaspaz, 18


Avandaryl, 15

anastrozole, 5

Avandia, 15

Ancef, 1


Avapro, 8

Ancobon, 2

Avar, 10

Androderm, 14


Avar LS, 10

Androgel, 14

Avar LS Cleanser, 10

Androgel P.M., 14

Aspirin-caffeine-dihydrocodeine, 28

Avar-e LS, 10

Android, 14

Assure 3 Test Strips, 36

Avastin, 5

Androxy, 14

Assure 4 Test Strips, 36

Avc, 19

Anectine, 25

Assure Haemolance Plus High Flow 18G, 33

Aveed, 14

Angeliq, 14

Avelox, 2

Angiomax, 20

Assure Haemolance Plus Low Flow 25G, 33

Avelox Abc Pack, 2

Animi-3, 20

Avidoxy DK, 2

Animi-3/Vitamin D, 20

Assure Haemolance Plus Micro Flow 28G, 33

Avinza, 28

Anoro Ellipta, 31

Avodart, 19

Antabuse, 24

Assure Haemolance Plus Normal Flow

Avonex, 24

Avonex Pen, 24

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 34

Lidocaine, 29

Axert, 29

Beconase AQ, 30

Axid, 18

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 34

Beleodaq, 6

Axiron, 14

Belladonna & Opium, 18

Aygestin, 14

BD Insulin Syringe Slip Tip/U-100/1ML, 34

Belladonna Alkaloids & Opium, 18

azacitidine, 4

benazepril HCL, 7

Azactam, 4

BD Insulin Syringe U-40/1ML/25G X 5/8", 34

benazepril HCL/hydrochlorothiazide, 8

Azactam IN Iso-osmotic Dextrose, 4

Benefix, 21

Azasan, 5

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34

Benicar, 8

Azasite, 25

Benicar HCT, 8

azathioprine, 5

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34

Bentyl, 18

azelastine HCL, 26, 30

Benzac Ac Wash, 10

Azelex, 10

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34

Benzac W Wash, 10

Azilect, 24

Benzaclin, 10

azithromycin, 1

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34

Benzaclin With P.M., 10

Azithromycin, 1

Benzamycin, 10

Azopt, 27


Benzamycinpak, 10

Azor, 8

Benzefoam, 10

aztreonam, 3


Benzefoamultra, 10

Azulfidine, 19

Benziq, 10

Azulfidine EN-TABS, 19


Benziq LS, 10

B

Benzoin Compound Tincture, 12

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34

Benzoin Tincture, 12

B-6 Folic Acid, 20

benzonatate, 30

b-complex, 32

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 34

benzoyl peroxide, 10

b-complex 100, 32

benzoyl peroxide SHORT contact, 10

B-nexa, 32

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34

benztropine mesylate, 24

bacitracin, 3

Bepreve, 27

Bacitracin, 4, 25

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34

Berinert, 21

bacitracin/polymyxin b, 25

Besivance, 25

baclofen, 25

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 34

Betadine Ophthalmic Prep, 25

Bacmin, 32

Betagan, 26

Bactocill IN Dextrose, 1

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 34

betamethasone dipropionate, 11

Bactrim, 4

betamethasone sodium phosphate/betamethasone acetate, 13

Bactrim DS, 4

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34

Bactroban, 10

betamethasone valerate, 11

Bactroban Nasal, 30

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34

Betapace, 7

Bal-care DHA, 32

Betapace AF, 7

Bal-care DHA Essential, 32

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34

Betaseron, 25

balsalazide disodium, 18

betaxolol HCL, 7, 26

Banzel, 24

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34

bethanechol chloride, 19

Baraclude, 3

Bethkis, 2

Bayer Breeze 2 Test Disc, 36

BD Insulin Syringe/U-100/1ML/27G X 1/2", 34

Betimol, 26

Bayer Contour Blood Glucose Test Strips, 36

Betoptic-s, 26


Bexxar, 5

Bayer Contour Next Blood Glucose Test, 36

Bexxar 131 Iodine, 6

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 34

Beyaz, 14

Bayer Microlet Lancets, 34

Bg Star Blood Glucose Test, 36

Bcg Vaccine, 32


Biaxin, 1

BD Insulin Syringe LUER-LOK/U-100/1ML, 34

Biaxin XL, 1

BD Lancet Ultrafine 30G, 34

Biaxin XL PAC, 1

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 34

BD Lancet Ultrafine 33G, 34

bicalutamide, 5

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 34

Bicillin C-R, 1

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 34

Bicillin L-a, 1

BD Microtainer Lancets, 34

Bicnu, 4

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 34

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34

Bidil, 10

Biferarx, 20

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 34

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34

Biltricide, 3

Binosto, 16

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 34

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34

Bioscanner Glucose Test Strips, 36

Biothrax, 31

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 34

BD Pen Needle/Ultrafine/29G X 12.7MM, 34

bisoprolol fumarate, 7

bisoprolol fumarate/hydrochlorothiazide, 8

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 34

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34

bleomycin sulfate, 4

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 34

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34

Bleph-10, 25

Blephamide, 26

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 34

BD Pudendal/Local Block Tray 1%

Blephamide S.o.p., 26

Blood Glucose Test Strips, 36

Butrans, 28

Careone Lancet Thin, 34

Blood Glucose Test Strips Premium, 36

Bydureon, 15

Careone Lancet Ultra Thin, 34

Bloxiverz, 25

Byetta, 15

Caresens N Blood Glucose Test Strips, 36

Boniva, 16

Bystolic, 7

Boostrix, 31

C

carisoprodol, 25

Boric Acid, 12

Carisoprodol, 25

cabergoline, 17

Bosulif, 6

carisoprodol/aspirin, 25

Caduet, 10

Botox, 25

carisoprodol/aspirin/codeine, 25

Cafcit, 23

Bravelle, 16

Carmol-HC, 12

Cafergot, 29

Breatherite, 37

Carnitor, 17

caffeine citrate, 23

Breatherite Collapsible Adult Spacer W/Mask, 37

Carnitor SF, 17

Caffeine/Sodium Benzoate, 23

carteolol HCL, 26

Calan, 7

Breatherite Collapsible Child Spacer W/Mask, 37

carvedilol, 7

Calan SR, 7

Cascara Sagrada, 17

calcipotriene, 11

Breatherite Collapsible Infant Spacer W/Mask, 37

Casodex, 5

calcipotriene/betamethasone dipropionate, 11

Cataflam, 28

Breatherite Collapsible Small Child Spacer W/Mask, 37

Catapres, 8

calcitonin salmon, 16

Catapres-tts-1, 8

calcitonin-salmon, 16

Breatherite Collapsible Spacer W/ Neonate Mask, 37

Catapres-tts-2, 8

Calcitriol, 11

Catapres-tts-3, 8

calcitriol, 17

Breatherite Rigid Spacer W/Mask, 37

Cathflo Activase, 21

calcium acetate, 18

Breatherite W/Large Mask, 37

Cavan-alpha Kit, 32

Calcium Folinate, 6

Breatherite W/Medium Mask, 37

Caverject, 10

Caldolor, 28

Breatherite W/Small Mask, 37

Caverject Impulse, 10

Cambia, 29

Breo Ellipta, 31

Cayston, 4

Campral, 25

Brevibloc, 7

Cedax, 1

Camptosar, 6

Brevicon-28, 14

Ceenu, 4

Canasa, 18

Brilinta, 21

cefaclor, 1

Cancidas, 2

brimonidine tartrate, 26

Cefaclor, 1

candesartan cilexetil, 8

Brintellix, 22

Cefaclor ER, 1

candesartan cilexetil/hydrochlorothiazide, 8

Brisdelle, 25

cefadroxil, 1

Bromday, 27

cefazolin sodium, 1

Cantil, 18

bromfenac, 26

Cefazolin Sodium, 1

Capastat Sulfate, 2

Bromfenac, 27

Cefazolin Sodium/Dextrose, 1

capecitabine, 4

bromocriptine mesylate, 24

cefdinir, 1

Capex, 12

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 30

Cefditoren Pivoxil, 1

Caphosol, 21

cefepime, 1

Capital/Codeine, 28

Brompheniramine Tannate, 30

Cefepime, 1

Caprelsa, 6

Brondil, 31

cefotaxime sodium, 1

captopril, 7

Brovana, 31

Cefotetan, 1

Captopril/Hydrochlorothiazide, 8

budesonide, 13, 30(2)

Cefotetan/Dextrose, 1

Carafate, 18

Bullseye Safety Lancets, 34

cefoxitin sodium, 1

Carbaglu, 17

bumetanide, 9

Cefoxitin Sodium, 1

carbamazepine, 23

Bunavail, 28

cefpodoxime proxetil, 1

carbamazepine ER, 23

Bupap, 27

cefprozil, 1

Carbaphen 12, 30

Buphenyl, 17

ceftazidime, 1

Carbaphen 12 PED, 30

bupivacaine HCL, 29

Ceftazidime, 1

Carbatrol, 24

bupivacaine/epinephrine, 29

Ceftazidime/Dextrose, 1

carbidopa, 24

Buprenex, 28

Ceftibuten, 1

carbidopa/levodopa, 24

buprenorphine HCL, 27

Ceftin, 1

carbidopa/levodopa ER, 24

buprenorphine HCL/naloxone HCL, 27

Ceftriaxone IN Iso-osmotic Dextrose, 1

carbidopa/levodopa odt, 24

bupropion HCL, 22

ceftriaxone sodium, 1

Carbidopa/Levodopa/Entacapone, 24

bupropion HCL ER, 22

Ceftriaxone/Dextrose, 1

carbinoxamine maleate, 30

bupropion HCL SR, 22

cefuroxime axetil, 1

Carbocaine, 29

bupropion HCL XL, 22

cefuroxime sodium, 1

carboplatin, 4

buspirone HCL, 21

Cefuroxime Sodium, 1

Carboplatin, 4

Busulfex, 4

Cefuroxime/Dextrose, 1

Cardene I.v., 7

butal/asa/caff, 27

Celebrex, 28

Cardene IV, 7

butalbital/acetaminophen, 27

Celestone, 13

Cardene SR, 7

butalbital/acetaminophen/caffeine, 27

Celestone-soluspan, 13

Cardizem, 7

butalbital/acetaminophen/caffeine/codeine, 27

Celexa, 22

Cardizem CD, 7

Cellcept, 5

Cardizem LA, 7

butalbital/apap/caffeine, 27

Cellcept Intravenous, 5

Cardura, 8

butalbital/asa/caffeine, 27

Celontin, 24

Cardura XL, 19

Butalbital/Aspirin/Caffeine, 27

Cem-urea, 12

Careone Blood Glucose Test Strips/Premium, 36

butalbital/aspirin/caffeine/codeine, 27

Cenestin, 14

Butisol Sodium, 23

Cenfol, 20

Careone Blood Glucose Test Strips/Value, 36

butorphanol tartrate, 27

Centany, 10

Centany AT, 11

Citranatal DHA, 32

clotrimazole/betamethasone dipropionate, 11

Centratex, 20

Citranatal Harmony, 32

cephalexin, 1

Citranatal RX, 32

clozapine, 22

Cephalexin, 1

citric acid/sodium citrate, 19

Clozapine Odt, 23

Cerdelga, 20

Citrolith, 19

Clozaril, 23

Cerebyx, 24

cladribine, 4

Cnl8 Nail Kit, 11

Cerezyme, 20

Claforan, 1

CO-natal Fa, 32

Cervarix, 31

Claforan/D5W, 1

Coaguchek Lancets, 34

Cervidil, 27

Claravis, 10

Coal TAR, 12

Cesamet, 18

Clarifoam EF, 10

Coartem, 3

cetirizine HCL, 30

Clarinex, 30

Cocaine HCL, 12

Cetraxal, 27

Clarinex Reditabs, 30

Cod Liver Oil, 32

Cetrotide, 16

Clarinex-d 12 HOUR, 30

codeine sulfate, 27

cevimeline HCL, 21

Clarinex-d 24 HOUR, 30

Codeine Sulfate, 28

Chemet, 38

clarithromycin, 1

Cogentin, 24

Chenodal, 18

clarithromycin ER, 1

Colazal, 19

Chloral Hydrate, 23

Cleanlet Lancets 28G, 34

Colcrys, 29

Chloramphenicol Sodium Succinate, 4

clemastine fumarate, 30

Colestid, 9

chlordiazepoxide HCL, 21

Clemastine Fumarate, 30

Colestid Flavored, 9

Chlordiazepoxide/Amitriptyline, 25

Cleocin, 4, 19

colestipol HCL, 9

chlorhexidine gluconate, 21

Cleocin IN D5W, 4

colestipol HCL for oral suspension, 9

chlorhexidine gluconate oral rinse, 21

Cleocin Pediatric Granules, 4

colistimethate sodium, 4

chloroprocaine HCL, 29

Cleocin Phosphate, 4

Coly-mycin M, 4

chloroquine phosphate, 3

Cleocin-t, 10

Coly-mycin S, 27

chlorothiazide, 9

Clever Chek Auto-code Test Strips, 36

Colyte-flavor Packs, 17

Chlorothiazide, 9

Clever Chek Auto-code Voice Test Strips, 36

Combigan, 26

chlorothiazide sodium, 9

Combipatch, 14

chlorpromazine HCL, 22

Clever Chek Lancets Ultrathin, 34

Combivent, 31

Chlorpromazine HCL, 22

Clever Chek Lancets Ultrathin 30G, 34

Combivent Respimat, 31

Chlorpropamide, 15

Clever Chek Test Strips, 36

Combivir, 3

Chlorthalidone, 9

Clever Choice Auto-code Pro Test Strips, 36

Cometriq, 6

chlorzoxazone, 25

Comfort Lancets, 34

Choice DM Fora G20 Test Strips, 36

Clever Choice Micro Test Strips, 36

Compazine, 23

cholestyramine, 9

Cleviprex, 7

Complera, 3

cholestyramine light, 9

Climara, 14

Comtan, 24

choline magnesium trisalicylate, 27

Climara Pro, 14

Comvax, 31

chorionic gonadotropin, 16

Clindacin Etz, 10

Concept DHA, 32

Cialis, 10

Clindacin PAC, 10

Concept OB, 32

Ciclodan Cream Kit, 11

Clindagel, 10

Concerta, 23

Ciclodan Solution Kit, 11

clindamycin HCL, 4

Condylox, 12

ciclopirox, 11

clindamycin palmitate HCL, 3

Control AST, 36

ciclopirox nail lacquer, 11

clindamycin phosphate, 3, 10, 19

Control Test Strips, 36

ciclopirox olamine, 11

Clindamycin Phosphate, 4

Conzip, 28

Ciclopirox Topical Solution Kit, 11

clindamycin phosphate add-vantage, 3

Copaxone, 24

cidofovir, 3

clindamycin phosphate IN D5W, 4

Copegus, 3

cilostazol, 21

clindamycin phosphate pharmacy bulk package, 4

Cordarone, 7

Ciloxan, 25

Cordran, 12

cimetidine, 17

clindamycin/benzoyl peroxide, 10

Cordran Tape, 12

cimetidine HCL, 17

Clindesse, 19

Coreg, 7

Cimzia, 18

clobetasol propionate, 11

Coreg CR, 7

Cimzia Starter Kit, 18

clobetasol propionate emollient, 11

Corgard, 7

Cipro, 2

Clobex, 12

Corifact, 21

Cipro HC, 27

Clocortolone Pivalate, 12

Corlopam, 8

Cipro I.V.-IN D5W, 2

Clocortolone Pivalate P.M., 12

Cortef, 13

Cipro XR, 2

Clodan Kit, 12

Cortenema, 19

Ciprodex, 27

Cloderm, 12

Cortifoam, 18

ciprofloxacin, 2

Cloderm P.M., 12

Cortisone Acetate, 13

Ciprofloxacin, 27

Clolar, 5

Cortisporin, 11, 27

ciprofloxacin ER, 2

clomiphene citrate, 16

Cortisporin-tc, 27

ciprofloxacin HCL, 2, 25

clomipramine HCL, 22

Corvert, 7

ciprofloxacin I.V.-IN D5W, 2

clonazepam, 23

Corvite, 32

cisatracurium besylate, 25

clonazepam odt, 23

Corvite 150, 20

cisplatin, 4

clonidine HCL, 8

Corzide, 8

Cisplatin, 4

clonidine HCL ER, 23

Cosmegen, 4

citalopram hydrobromide, 22

clopidogrel, 21

Cosopt, 26

Citranatal 90 DHA, 32

clorazepate dipotassium, 21

Cosopt PF, 26

Citranatal Assure, 32

Clorpres, 8

Coumadin, 20

Citranatal B-calm, 32

clotrimazole, 11, 21

Cozaar, 8

Cpb Wc, 30

demeclocycline HCL, 2

Dialyvite/Zinc, 32

Creon, 18

Demerol, 28

Diamox, 9

Crestor, 9

Demser, 8

Diastar Easy Test II Lancets 30G, 34

Cresylate, 27

Denavir, 11

Diastar Easy Test Lancets30G, 34

Crinone, 19

Depacon, 24

Diastat Acudial, 24

Crixivan, 3

Depakene, 24

Diastat Pediatric, 24

Crnatal, 32

Depakote, 24

Diatx ZN, 32

cromolyn sodium, 18, 26, 30

Depakote ER, 24

diazepam, 21

Cubicin, 4

Depakote Sprinkles, 24

Diazepam, 21, 24

Curosurf, 31

Depo-estradiol, 14

Diazepam Intensol, 22

Cutivate, 12

Depo-medrol, 13

Dibenzyline, 8

Cuvposa, 18

Depo-provera, 5

Diclegis, 18

CVS Advanced Glucose Meter Test Strips, 36

Depo-testosterone, 14

diclofenac potassium, 28

Depocyt, 5

diclofenac sodium, 11, 26

cyanocobalamin, 20

Deprizine Fusepaq, 18

diclofenac sodium DR, 28

Cyanocobalamin, 20

Derma-smoothe/FS Body, 12

diclofenac sodium ER, 28

Cyclessa, 14

Derma-smoothe/FS Body Oil, 12

diclofenac sodium/misoprostol, 28

Cyclobenzaprine Comfort PAC, 25

Derma-smoothe/FS Scalp, 12

dicloxacillin sodium, 1

cyclobenzaprine HCL, 25

Derma-smoothe/FS Scalp Oil, 12

Dicopanol Fusepaq, 30

Cyclogyl, 26

Dermasorb HC, 12

dicyclomine HCL, 17

Cyclomydril, 26

Dermasorb Ta, 12

Dicyclomine HCL, 18

cyclopentolate HCL, 26

Dermasorb XM, 12

didanosine, 3

Cyclophosphamide, 4

Dermatop, 12

Differin, 10

Cycloserine, 2

Dermotic, 27

Dificid, 1

cyclosporine, 5

desipramine HCL, 22

diflorasone diacetate, 11

cyclosporine modified, 5

desloratadine, 30

Diflorasone Diacetate, 12

Cyclosporine Modified, 5

desloratadine odt, 30

Diflucan, 2

Cyklokapron, 20

desmopressin acetate, 16

diflunisal, 27

Cymbalta, 22

Desogen, 14

Digex NF, 18

cyproheptadine HCL, 30

desogestrel/ethinyl estradiol, 14

digoxin, 6

Cyramza, 5

Desonate, 12

Digoxin, 6

Cystadane, 17

desonide, 11

dihydroergotamine mesylate, 29

Cystagon, 19

Desowen, 12

Dihydroergotamine Mesylate, 29

Cystaran, 27

Desowen Cream/Cetaphil Lotion, 12

Dilacor XR, 7

cytarabine, 4

Desowen Lotion/Cetaphil Cream, 12

Dilantin, 24

Cytarabine, 5

Desowen Ointment/Cetaphil Lotion, 12

Dilantin Infatabs, 24

cytarabine aqueous, 4

desoximetasone, 11

Dilatrate SR, 6

Cytomel, 17

Desoximetasone, 12

Dilaudid, 28

Cytotec, 18

Desoxyn, 23

Dilaudid-HP, 28

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, 26

Diovan HCT, 8

Dacogen, 5

Dipentum, 19

Daliresp, 31

Dexamethasone Sodium Phosphate, 13

diphenhydramine HCL, 30

Dalvance, 4

Dexchlorpheniramine Maleate, 30

diphenoxylate/atropine, 17

danazol, 14

Dexedrine, 23

Diphenoxylate/Atropine, 17

Dantrium, 25

Dexilant, 18

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 31

Dantrium IV, 25

dexmedetomidine HCL, 23

dantrolene sodium, 25

dexmethylphenidate HCL, 23

Diprolene, 12

Dantrolene Sodium, 25

dexmethylphenidate HCL ER, 23

Diprolene AF, 12

Dapsone, 4

Dexpak 10 Day, 13

dipyridamole, 21

Daptacel, 31

Dexpak 13 Day, 13

disopyramide phosphate, 7

Daraprim, 3

Dexpak 6 Day, 13

disulfiram, 24

daunorubicin HCL, 4

Dexpanthenol, 19

Ditropan XL, 19

Daunoxome, 4

dexrazoxane, 6

Diuril, 9

Daypro, 28

dextroamphetamine sulfate, 23

divalproex sodium, 23

Daytrana, 23

dextroamphetamine sulfate ER, 23

divalproex sodium DR, 23

Ddavp, 16

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 30

divalproex sodium ER, 23

Debacterol, 21

Divigel, 14

Decara, 32

Divista, 20

decitabine, 4

dobutamine HCL, 9

Diabeta, 15

Decon-a, 30

dobutamine HCL/D5W, 9

Dialyvite 3000, 32

Delestrogen, 14

dobutamine/dextrose 5%, 9

Dialyvite 5000, 32

Delzicol, 18

Dobutamine/Dextrose 5%, 9

Dialyvite Supreme D, 32

Demadex, 9

Docefrez, 5

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 29

Eclipse Test Strips, 36

Docetaxel, 5

econazole nitrate, 11

Dolgic Plus, 27

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 29

Ecoza, 11

Dologesic, 27

Ed Cyte F, 20

Dolophine, 28

Durezol, 26

Ed-chlor-tan, 30

Dolophine HCL, 28

Dutoprol, 8

Edarbi, 8

Donatuss Dc, 30

Dyazide, 9

Edarbyclor, 8

donepezil HCL, 24

Dymista, 30

Edecrin, 9

dopamine HCL, 9

Dynacin, 2

Edex, 10

Dopamine HCL, 9

Dyrenium, 9

Edluar, 23

dopamine HCL-dextrose 5%, 9

Dysport, 25

Edurant, 3

dopamine HCL/dextrose 5%, 9

E

Effexor XR, 22

dopamine/D5W, 9

Effient, 21

E-z Ject Lancets, 34

Dopram, 23

Egrifta, 16

E-z Ject Lancets 21G, 34

Doral, 23

Elaprase, 17

E-z Ject Lancets Color, 34

Doribax, 4

Eldepryl, 24

E-z Ject Lancets Super Thin, 34

Doryx, 2

Elelyso, 20

E-z Ject Lancets Super Thin 30G, 34

dorzolamide HCL, 27

Element Plus Test Strips, 36

E-z Ject Lancets Thin 26G, 34

dorzolamide HCL/timolol maleate, 26

Element Test Strips, 36

E-z Spacer, 37

Dovonex, 11

Elenzapatch, 12

E-z Spacer The Body Guards Pack, 37

doxapram HCL, 23

Elestat, 27

E-ZJECT Lancets Micro-thin 33G, 34

doxazosin mesylate, 8

Elestrin, 14

E.e.s. 400, 1

doxepin HCL, 22

Eletone, 13

E.e.s. Granules, 1

Doxepin HCL, 22

Eletone Twinpack, 13

Easivent, 37

doxercalciferol, 17

Elidel, 12

Easivent/Mask-large, 37

Doxil, 4

Eligard, 5

Easivent/Mask-medium, 37

doxorubicin HCL, 4

Elimite, 13

Easivent/Mask-small, 37

doxorubicin HCL liposome, 4

Eliphos, 19

Easy Step Test Strips, 36

doxycycline, 2

Eliquis, 20

Easy Touch Glucose Test Strips, 36

doxycycline hyclate, 2

Elite-OB, 32

Easy Touch Healthpro Glucose Test Strips, 36

doxycycline hyclate DR, 2

Elitek, 6

doxycycline monohydrate, 2

Elixophyllin, 31

Easy Touch Lancets 21G/Pressure Activated, 34

Doxytex, 30

Ella, 14

Drisdol, 32

Ellence, 4


Dritho-creme HP, 11

Elmiron, 19

dronabinol, 18

Elocon, 12


droperidol, 21

Eloxatin, 4

Droplet Lancets Ultra Thin 30G, 34

Elspar, 4


drospirenone/ethinyl estradiol, 14

Emadine, 27

Droxia, 20

Embrace Blood Glucose Test Strips, 36

Easy Touch Lancets 28G/Twist, 34

Drug Mart On-the-go Lancets Gentle 30G, 34

Embrace Evo Blood Glucosetest Strips, 36


Drug Mart Unilet Lancets Super Thin 30G, 34

Embrace Lancets Ultra Thin 30G, 34


Embrace Pro Blood Glucosetest Strips, 36


Drug Mart Unilet Lancets Ultra Thin 28G, 34

Emcyt, 5


Drysol, 12

Emend, 18


Duac, 10

Emla, 13

Easy Touch Safety Lancets21G/Pressure Activated, 34

Duavee, 14

Emsam, 22

Duet DHA, 32

Emtriva, 3


Duet DHA 400, 32

Emulsion SB, 13

Duet DHA 400EC, 32

Enablex, 19

Easy Touch Safety Lancets26G/Button Activated, 34

Duet DHA 430, 32

enalapril maleate, 8

Duet DHA 430EC, 32

enalapril maleate/hydrochlorothiazide, 8


Duet DHA Balanced, 32

enalaprilat, 8

Duet DHA EC, 32

Enbrel, 29

Easy Touch Safety Lancets28G/Button Activated, 34

Duetact, 15

Enbrel Sureclick, 29

Duexis, 28

Endometrin, 19


Dulera, 31

Engerix-b, 31

duloxetine HCL, 22

Enjuvia, 14

Easy Twist & CAP Lancets, 34

Duo-care Test Strips, 36

Enlon, 25

Easygluco, 36

Duocaine, 29

Enlon-plus, 25

Easymax 15 Test Strips, 36

Duoneb, 31

enoxaparin sodium, 20

Easymax Test Strips, 36

Duragesic, 28

entacapone, 24

Easypro Blood Glucose Test Strips, 36

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 29

entecavir, 3

Easypro Plus, 36

Entereg, 19

Easytest II Lancets, 34

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 29

Entocort EC, 13

Easytest Lancets, 34

Entyvio, 19

EC-naprosyn, 29

Envision Autocode Test Strips, 36

Ethyl Chloride/Medium Stream, 13

Femcon FE, 14

Epaned, 8

Ethyl Chloride/Mist, 13

Femhrt Low Dose, 14

ephedrine sulfate, 9

Ethyol, 6

Femring, 19

Epiceram, 13

Etidronate Disodium, 16

fenofibrate, 9

Epiduo, 10

etodolac, 28

Fenofibrate, 9

Epifoam, 12

etodolac ER, 28

fenofibrate micronized, 9

epinastine HCL, 27

Etopophos, 5

Fenofibric Acid, 9

Epinephrine, 9

etoposide, 5

fenofibric acid DR, 9

epinephrine HCL, 30

Etoposide, 5

Fenoglide, 9

Epipen 2-PAK, 9

Euflexxa, 25

fenoldopam mesylate, 8

Epipen-JR 2-PAK, 9

Eurax, 13

Fenoprofen Calcium, 29

epirubicin HCL, 4

Evamist, 14

fentanyl, 27

Epirubicin HCL, 4

Evencare + Blood Glucose Test Strip, 36

fentanyl citrate oral transmucosal, 27

episone CRE, 12

Evencare Blood Glucose Test Strip, 36

Fentora, 28

Epivir, 3

Evencare G2 Test Strips, 36

Feraheme, 20

Epivir HBV, 3

Evencare G3 Test Strips, 36

Feriva, 20

eplerenone, 8

Evicel, 20

Ferivafa, 20

Epogen, 20

Evista, 16

Ferralet 90, 20

epoprostenol sodium, 9

Evithrom, 20

Ferrex 150 Forte Plus, 20

eprosartan mesylate, 8

Evoclin, 10

Ferrex 28, 20

Epzicom, 3

Evolution Autocode, 36

Ferriprox, 38

Eql Truetrack Test, 36

Evoxac, 21

Ferrlecit, 20

Equagesic, 27

Exactech R-s-G Test Strips, 36

Ferro-plex Hematinic, 20

Equetro, 23

Exactech Test Strips, 36

Ferrotrin, 20

Eraxis, 2

Exactuss, 30

Fetzima, 22

Erbitux, 5

Exalgo, 28

Fetzima Titration Pack, 22

ergocalciferol, 32

Exelderm, 11

Fexmid, 25

Ergoloid Mesylates, 25

Exelon, 25

Fibricor, 9

Ergomar, 29

exemestane, 5

Fifty50 Glucose Test Strip 2.0, 36

Ertaczo, 11

Exforge, 8

Fifty50 Safety Seal Lancets 30G, 34

Erwinaze, 4

Exforge HCT, 8

Fifty50 Safety Seal Lancets 32G, 34

Ery-TAB, 1

Exjade, 38

Finacea, 10

Erygel, 10

Exparel, 29

finasteride, 19

Eryped 200, 1

Extavia, 25

Fine 30, 34

Eryped 400, 1

Extina, 11

Fingerstix Lancets, 34

Erythrocin Lactobionate, 1

EZ Smart Blood Glucose Lancets, 34

Fioricet, 27

Erythrocin Stearate, 1

EZ Smart Blood Glucose Test Strips, 36

Fioricet/Codeine, 28

erythromycin, 1, 10, 25

EZ Smart Plus Blood Glucose Test Strips, 36

Fiorinal, 27

Erythromycin Base, 1

Fiorinal/Codeine #3, 28

Erythromycin Ethylsuccinate, 1

EZ-lets Lancets 21G, 34

Firazyr, 21

erythromycin/benzoyl peroxide, 10


Firmagon, 5

Escavite, 32

EZ-lets Lancets 26G Super-soft, 34

First-bxn Mouthwash, 21

Escavite D, 32

EZ-lets Lancets 28G Ultra-soft, 34

First-dukes Mouthwash, 21

escitalopram oxalate, 22


First-hydrocortisone, 12

Esgic, 27

F

First-lansoprazole, 18

Esgic-plus, 27

First-marys Mouthwash, 21

Fabior, 10

esmolol HCL, 7

First-mouthwash Blm, 21

Fabrazyme, 17

esomeprazole sodium, 17

First-omeprazole, 18

Factive, 2

Esomeprazole Sodium, 18

First-progesterone VGS 100 Compounding Kit, 19

Falessa, 14

Esomeprazole Strontium, 18

famciclovir, 3

estazolam, 23


famotidine, 17

Estrace, 14, 19

Famotidine, 18

estradiol, 14


Famotidine Premixed, 18

estradiol valerate, 14

Famvir, 3

estradiol/norethindrone acetate, 14


Fanapt, 23

Estrasorb, 14

Fanapt Titration Pack, 23

Estring, 19


Fareston, 5

Estrogel, 14

Farxiga, 15

estropipate, 14

First-testosterone, 14

Faslodex, 5

Estropipate, 14

First-testosterone Mc Compounding Kit, 14

Fasttake Test Strips, 34

Estrostep FE, 14

Fazaclo, 23

eszopiclone, 23

First-vancomycin 25, 4

Feiba NF, 21

ethambutol HCL, 2

First-vancomycin 50, 4

felbamate, 23

ethosuximide, 23

Flagyl, 4

Felbatol, 24

Ethyl Chloride, 13

Flagyl ER, 4

Feldene, 29

Ethyl Chloride/Fine Pinpoint, 13

Flarex, 26

felodipine ER, 7

Ethyl Chloride/Fine Stream, 13

flavoxate HCL, 19

Fem PH, 19

Ethyl Chloride/Medium Jet Stream, 13

flecainide acetate, 7

Femara, 5

Flector, 11

Fluzone High-dose PF 2013-2014, 31

fosinopril sodium/hydrochlorothiazide, 8

Flexeril, 25


fosphenytoin sodium, 23

FLO-pred, 13

Fluzone Intradermal, 31

Fosrenol, 18

Flolan, 10

Fluzone Pediatric PF 2012-2013, 31

Fragmin, 20

Flomax, 19

Fluzone Pediatric PF 2013-2014, 31

Freestyle Insulinx Blood Glucose Test, 37

Flonase, 30

Fluzone PF 2012-2013, 31

Flovent Diskus, 31

Fluzone PF 2013-2014, 31

Freestyle Insulinx Blood Glucose Test Strips, 37

Flovent HFA, 31

Fluzone PF 2014-2015, 31

floxuridine, 4

Fluzone Quadrivalent 2013-2014, 31

Freestyle Lancets, 34

Fluarix 2012-2013, 31

Fluzone Quadrivalent 2014-2015, 31

Freestyle Lite Test Strips, 37

Fluarix 2013-2014, 31

Fluzone Split 2012-2013, 31

Freestyle Test Strips, 37

Fluarix 2014-2015, 31


Freestyle Unistick II Lancets, 34

Fluarix Quadrivalent 2013-2014, 31


Frova, 29

Fluarix Quadrivalent 2014-2015, 31

FML, 26

Fulyzaq, 17

Flublok 2013-2014, 31

FML Forte, 26

Furadantin, 19

Flublok 2014-2015, 31

FML Liquifilm, 26

furosemide, 9

Flucelvax 2012-2013, 31

Focalin, 23

Furosemide, 9

Flucelvax 2013-2014, 31

Focalin XR, 23

Fusilev, 6

Flucelvax 2014-2015, 31

Folbecal, 32

Fusion Plus, 20

fluconazole, 2

Folcaps Omega 3, 32

Fuzeon, 3

fluconazole IN dextrose, 2

Folet DHA, 32

Fycompa, 24

fluconazole IN NACL, 2

Folet One, 32

G

Fluconazole IN NACL, 2

Folgard OS, 32

gabapentin, 23

flucytosine, 2

Folgard RX, 20

Gabavale-5, 22

Fludara, 5

folic acid, 20

Gabazolamine, 22

fludarabine phosphate, 4

Folic Acid, 20

Gabazolamine-0.5, 22

Fludarabine Phosphate, 5

folic acid/vitamin b-6/vitamin b-12, 20

Gabazolpidem-5, 23

fludrocortisone acetate, 13

Folivane-f, 20

Gabitidine, 18

Flulaval 2012-2013, 31

Folivane-OB, 32

Gabitril, 24

Flulaval 2013-2014, 31

Folivane-plus, 20

Gablofen, 25

Flulaval 2014-2015, 31

Folivane-prx DHA NF, 32

Gaboxetine, 22

Flulaval Quadrivalent 2013-2014, 31

Follistim AQ, 16

galantamine, 24

Flulaval Quadrivalent 2014-2015, 31

Folotyn, 5

galantamine hydrobromide, 24

Flumadine, 3

Foltrate, 20

ganciclovir, 3

Flumist Nasal Vaccine 2012-2013, 31

fondaparinux sodium, 20

Ganirelix Acetate, 16

Flumist Quadrivalent, 31

Fora D10 Blood Glucose Test Strips, 36

Ganite, 16

flunisolide, 30

Fora D15c Blood Glucose Test Strips, 36

Garamycin, 25

Flunisolide, 30

Fora D15G Blood Glucose Test Strips, 36

Gardasil, 32

fluocinolone acetonide, 11, 27

Gastrinex NF, 18

fluocinolone acetonide ear drops, 27

Fora D15z Blood Glucose Test Strips, 36

Gastrocrom, 19

fluocinonide, 11

Fora D20 Blood Glucose Test Strips, 36

gatifloxacin, 25

fluocinonide emollient base, 11

Fora G20 Blood Glucose Test Strips, 36

Gattex, 19

fluocinonide-e, 12

Fora G30a Blood Glucose Test Strips, 36

Gazyva, 5

fluorometholone, 26

Fora G71a Blood Glucose Test Strips, 36

Gebauers Pain Ease, 13

fluorouracil, 4

Fora G90 Blood Glucose Test Strips, 36

Gebauers Spray And Stretch, 13

fluoxetine, 24

Fora GD20 Test Strips, 36

Gel-kam Oral Care Rinse, 21

fluoxetine DR, 22

Fora Lancets, 34

Gelclair, 21

fluoxetine HCL, 22

Fora V10 Blood Glucose Test Strips, 36

Gelnique, 19

Fluoxetine HCL, 22


Gemcitabine, 5

fluphenazine decanoate, 22


gemcitabine HCL, 4

fluphenazine HCL, 22


gemfibrozil, 9

Fluphenazine HCL, 23

Fora V30a Blood Glucose Test Strips, 37

Gemzar, 5

flurazepam HCL, 23

Foracare GD40, 37

Genadur, 13

Flurazepam HCL, 23

Foracare Premium V10 Teststrips, 37

Genadur Kit, 13

flurbiprofen, 28

Foracare Test N Go Test Strips, 37

gene-xene TAB 15MG, 21

flurbiprofen sodium, 27

Foradil Aerolizer, 31

gene-xene TAB 3.75MG, 21

flutamide, 5

Forfivo XL, 22

gene-xene TAB 7.5MG, 21

fluticasone propionate, 12, 30

Fortamet, 15

Generess FE, 14

fluvastatin, 9

Fortavit, 32

Genotropin, 16

Fluvirin 2012-2013, 31

Fortaz, 1

Genotropin Miniquick, 16

Fluvirin 2013-2014, 31

Forteo, 16

gentamicin sulfate, 2, 25

Fluvirin 2014-2015, 31

Fortesta, 14

Gentamicin Sulfate, 11

Fluvirin PF 2012-2013, 31

Fortical, 16

gentamicin sulfate pediatric, 2


Fosamax, 16

gentamicin sulfate/0.9% sodium chloride, 2


Fosamax Plus D, 16

fluvoxamine maleate, 22

Foscarnet Sodium, 3

Gentamicin Sulfate/0.9% Sodium Chloride, 2

fluvoxamine maleate ER, 22

Foscavir, 3


fosinopril sodium, 8

gentamicin sulfate/sodium chloride, 2

Gentle-let GP Lancets, 34

Gralise Starter, 24

hetastarch 6%/NACL, 21

Gentle-let Lancets General Purpose Style/Fine Point, 34

granisetron HCL, 18

Hetlioz, 23

Granisol, 18

Hexalen, 4

Gentle-let Lancets General Purpose Style/Medium Point, 34

Granix, 20

Hextend, 21

Grifulvin V, 2

Hiberix, 32

Gentle-let Lancets Safety Style/Fine Point, 34

Gris-peg, 2

Hiprex, 19

griseofulvin microsize, 2

homatropine HBR, 26

Gentle-let Lancets Safety Style/Medium Point, 34

griseofulvin ultramicrosize, 2

Horizant, 25

guanfacine HCL, 8

HPR, 13

Geodon, 23

Guanidine HCL, 25

HPR Plus, 13

Gesticare DHA, 32

Gynazole-1, 19

HPR Plus/Mb Hydrogel, 13

Giazo, 19

H

Humalog, 15

Gilenya, 25

Humalog Kwikpen, 15

H&h Thinlet Lancets 26G, 34

Gilotrif, 6

Humalog Mix 50/50, 15

H&h Thinlet Super Thin Lancets 30G, 34

Gilphex TR, 30

Humalog Mix 50/50 Kwikpen, 15

H.p. Acthar, 17

Giltuss, 30

Humalog Mix 75/25, 15

Haemolance, 34

Giltuss PED-c, 30

Humalog Mix 75/25 Kwikpen, 15

Haemolance Low Flow Lancets, 34

Giltuss TR, 30

Humate-p, 21

Haemolance Plus, 34

Glassia, 31

Humatrope, 16

Haemolance Plus High Flow, 34

Gleevec, 6

Humatrope Combo Pack, 16

Haemolance Plus Low Flow, 34

Gliadel Wafer, 4

Humira, 28

Haemolance Plus Max Flow, 34

glimepiride, 15

Humira Pen, 28

Haemolance Plus Pediatric Flow, 34

glipizide, 15

Humira Pen-crohns Diseasestarter, 28

Halaven, 5

glipizide ER, 15

Humira Pen-psoriasis Starter, 28

Halcion, 23

glipizide/metformin HCL, 15

Humulin 70/30, 15

Haldol, 23

Glucagen, 15

Humulin 70/30 Kwikpen, 15

Haldol Decanoate 100, 23

Glucagen Hypokit, 15

Humulin 70/30 Pen, 15

Haldol Decanoate 50, 23

Glucagon Emergency Kit, 15

Humulin N, 15

Halflytely Bowel Prep/Flavor Packs, 17

Gluco Perfect 3 Test Strips, 37

Humulin N Kwikpen, 15

halobetasol propionate, 12

Glucocard 01 Sensor, 37

Humulin N U-100 Pen, 15

Halog, 12

Glucocard 01 Test Strips, 37

Humulin R, 15

Halonate, 12

Glucocard Expression Blood Glucose Test Strips, 37

Humulin R U-500 (concentrated), 15

haloperidol, 22

Hy-vee Lancets, 34

haloperidol decanoate, 22

Glucocard Vital Test Strips, 37

Hyalgan, 25

haloperidol lactate, 22

Glucocard X-sensor, 37

Hycamtin, 6

Halotin, 11

Glucocom Lancets 28G, 34

Hycet, 28

Havrix, 32


hydralazine HCL, 8

Hectorol, 17


Hydrea, 6

Helidac, 18

Glucocom Test Strips, 37

Hydro 35, 13

Helixate FS, 21

Glucolab Test Strips, 37

Hydro 40 Foam, 13

Hemabate, 27

Gluconavii Blood Glucose Test Strips, 37

hydrochloric acid, 19

Hemangeol, 7

Glucophage, 15

hydrochlorothiazide, 9

Hematogen Fa, 20

Glucophage XR, 15

hydrocodone bitartrate/acetaminophen, 27

Hematron-AF, 20

Glucosource Lancets, 34

Hemocyte Plus, 20

Glucotrol, 15

Hydrocodone Bitartrate/Acetaminophen, 28

Hemocyte-f, 20

Glucotrol XL, 15

Hemofil M, 21

Glucovance, 15

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 30

heparin lock, 20

Glumetza, 15

heparin lock flush, 20

glyburide, 15

hydrocodone bitartrate/homatropine methylbromide, 30

Heparin Lock Flush, 20

Glyburide, 15

heparin lock flush for flushing vascular access devices, 20

glyburide micronized, 15

hydrocodone polistirex/chlorpheniramine polistirex, 30

glyburide/metformin HCL, 15

heparin lock flush/NACL for flushing vascular access devices, 20

Glycate, 18

hydrocodone/acetaminophen, 27

Glycolic Acid, 11

Hydrocodone/Acetaminophen, 28

heparin sodium, 20

Glycolic Acid 70% High Purity, 11

hydrocodone/homatropine, 30

Heparin Sodium, 20

glycopyrrolate, 17

hydrocodone/ibuprofen, 27

heparin sodium dcu, 20

Glynase, 15

hydrocort ene 100MG, 18

heparin sodium lock flush, 20

Glyset, 15

hydrocortisone, 12, 13, 18

heparin sodium/D5W, 20

Gmate Blood Glucose Test Strips, 37

hydrocortisone acetate/aloe, 12

Heparin Sodium/D5W, 20

Gmate Lancets 30G, 34

hydrocortisone acetate/lidocaine HCL, 18

Heparin Sodium/NACL 0.45%, 20

Golytely, 17

hydrocortisone acetate/pramoxine, 18

heparin sodium/NACL 0.9%, 20

Gonal-f, 16

hydrocortisone butyrate, 12

Heparin Sodium/Sodium Chloride 0.9%, 20

Gonal-f RFF, 16

hydrocortisone butyrate (lipid), 12

Gonal-f RFF Pen, 16

hydrocortisone butyrate (lipophilic), 12

heparin sodium/sodium chloride 0.9% premix, 20

Gonal-f RFF Rediject, 16

hydrocortisone IN absorbase, 12

Gordofilm, 13

hydrocortisone valerate, 12

Hepsera, 3

Gordons Urea, 13

hydrocortisone/acetic acid, 27

Herceptin, 5

Gralise, 24

hydromorphone HCL, 27

Hespan, 21

Hydromorphone HCL, 28

Infasurf, 31

Istodax, 6

Hydromorphone HCL Dosette, 28

Infergen, 3

Isuprel, 31

hydromorphone HCL ER, 27

Infinity Blood Glucose Test Strips, 37

itraconazole, 2

Hydromorphone HCL ER, 28

Influenza A (h1n1) Monovalent 2009, 32

Ixempra Kit, 5

Hydroxocobalamin, 20

Infumorph 200, 28

Ixiaro, 32

hydroxychloroquine sulfate, 3

Infumorph 500, 28

J

hydroxyurea, 6

Injectafer, 20

J-cof DHC, 30

hydroxyzine HCL, 21

Inlyta, 6

J-max DHC, 30

Hydroxyzine HCL, 22

Innopran XL, 7

Jakafi, 6

hydroxyzine pamoate, 21

Inova, 10

Jalyn, 19

Hydroxyzine Pamoate, 21

Inova 4/1 Acne Control Therapy, 10

Janumet, 15

Hylatopic, 13

Inova 8/2 Acne Control Therapy, 10

Janumet XR, 15

Hylatopic Plus, 13

Inspirease Bags, 37

Januvia, 15

Hylira, 13

Inspirease Drug Delivery System, 37

Jardiance, 15

hyoscyamine sulfate, 17

Inspirease Mouthpiece, 37

Jentadueto, 15

hyoscyamine sulfate ER, 17

Inspirease Reservoir Bags, 37

Jetrea, 27

hyoscyamine sulfate odt, 17

Inspra, 8

Jevtana, 5

hyoscyamine sulfate SR, 17

Insulin Syringe/0.5ML/30G X 5/16", 37

Jinteli, 14

Hyper-sal, 30

Integra F, 20

Jublia, 11

Hypersal, 30

Integra Plus, 20

Juvisync, 15

Hypertenevide-12.5, 7

Integrilin, 21

Juxtapid, 9

Hypertenipine-2.5, 7

Intelence, 3

K

Hypertensolol, 8

Interarticular Joint Kit, 13

Hyzaar, 8

Intermezzo, 23

K-phos NO 2, 19

I

Introl, 9

K.b.g.l. IN Teroderm Cream, 11

Intron-a, 6

Kadcyla, 5

ibandronate sodium, 16

Intron-a W/Diluent, 6

Kadian, 28

Ibudone, 28

Intuniv, 23

Kalbitor, 21

ibuprofen, 28

Invanz, 4

Kaletra, 3

Ibuprofen Comfort PAC, 29

Invega, 23

Kalydeco, 31

ibutilide fumarate, 7

Invega Sustenna, 23

Kapvay, 23

IC 400, 29

Invirase, 3

Kapvay Dose Pack, 23

IC 800, 29

Invokamet, 16

Karbinal ER, 30

Icar-c Plus, 20

Invokana, 15

Kazano, 16

Iclusig, 6

Iopidine, 26

Keflex, 1

Idamycin PFS, 4

Ipol Inactivated IPV, 32

Kenalog, 12

idarubicin HCL, 4

ipratropium bromide, 30(2)

Kenalog-10, 13

Ifex, 4

ipratropium bromide/albuterol sulfate, 30

Kenalog-40, 13

ifosfamide, 4

Iprivask, 20

Kepivance, 6

Ifosfamide, 4

irbesartan, 8

Keppra, 24

Ifosfamide/Mesna, 6

irbesartan/hydrochlorothiazide, 8

Keppra XR, 24

Ilaris, 29

irinotecan, 6

Kerafoam, 13

Ilevro, 27

Irinotecan, 6

Kerafoam 42, 13

Imbruvica, 6

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20

Keralac, 13

Imdur, 7

Keralyt, 13

imipenem/cilastatin, 4

Irospan 24/6, 20

Keralyt Scalp, 13

imipramine HCL, 22

Is 24/6, 20

Kerlone, 7

imipramine pamoate, 22

Isentress, 3

Kerydin, 11

imiquimod, 12

Isometheptene/Caffeine/Acetaminophen, 29

Ketek, 4

Imitrex, 29

ketoconazole, 2, 11

Imitrex Statdose Refill, 29

isoniazid, 2

Ketodan Kit, 11

Imitrex Statdose System, 29

Isoniazid, 2

ketoprofen, 28

Imovax Rabies (h.d.c.v.), 32

Isoptin SR, 7

Ketoprofen ER, 29

Imuran, 5

Isopto Atropine, 26

ketorolac tromethamine, 27, 28

Inatal Advance, 32

Isopto Carbachol, 26

Ketorolac Tromethamine, 29

Inatal GT, 32

Isopto Carpine, 26

Keytruda, 5

Inatal Ultra, 32

Isopto Homatropine, 26

Khedezla, 22

Incivek, 3

Isopto Hyoscine, 26

Kineret, 29

Increlex, 16

Isordil Titradose, 7

Kinlytic, 21

indapamide, 9

isosorbide dinitrate, 6

Kinrix, 31

Inderal LA, 7

Isosorbide Dinitrate, 7

Klaron, 10

Inderal XL, 7

isosorbide dinitrate ER, 6

Klonopin, 24

Indocin, 29

isosorbide mononitrate, 6

Koate-dvi, 21

Indocin IV, 29

isosorbide mononitrate ER, 6

Kogenate FS, 21

indomethacin, 28

isotonic gentamicin, 2

Kogenate FS Bio-set, 21

Indomethacin, 29

Isotonic Gentamicin, 2

Kombiglyze XR, 15

indomethacin ER, 28

Isradipine, 7

Korlym, 15

indomethacin sodium, 28

Istalol, 26

Kristalose, 17

Infanrix, 31

Krystexxa, 29

Levacet, 27

Lipofen, 9

Kuvan, 17

levalbuterol, 30

Liptruzet, 9

Kynamro, 9

levalbuterol HCL, 30

Liquicet, 28

Kyprolis, 6

Levaquin, 2

lisinopril, 8

L

Levatol, 7

lisinopril/hydrochlorothiazide, 8

Levbid, 18

Liteaire, 37

labetalol HCL, 7

Levemir, 15

Litetouch Lancets Micro Thin 33G, 35

Lac-hydrin, 13

Levemir Flexpen, 15

lithium carbonate, 22

Lacrisert, 26

Levemir Flextouch, 15

Lithium Carbonate, 23

lactic acid, 12

levetiracetam, 23

lithium carbonate ER, 22

lactic acid e, 12

Levetiracetam, 24

Lithium Citrate, 23

lactic acid w/vitamin e, 12

levetiracetam ER, 23

Lithobid, 23

lactulose, 17, 18

Levitra, 10

Lithostat, 19

Lamictal, 24

levobunolol HCL, 26

Livalo, 9

Lamictal Chewable Dispersible, 24

Levobunolol HCL, 26

Live Better Lancet Super Thin 30G, 35

Lamictal Odt, 24

levocarnitine, 17

Live Better Lancet Ultra Thin 28G, 35

Lamictal Starter/Not Taking Carbamazepine, 24

levocetirizine dihydrochloride, 30

LMD 10% Dextrose 5%, 21

levofloxacin, 2, 25

LMD 10% Sodium Chloride 0.9%, 21

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24

levofloxacin IN D5W, 2

LO Loestrin FE, 14

levonorgestrel, 14

LO Minastrin FE, 14

levonorgestrel and ethinyl estradiol, 14

Locoid, 12

Lamictal Starter/Taking Valproate, 24

levonorgestrel/ethinyl estradiol, 14

Locoid Lipocream, 12

Lamictal XR, 24

Levophed, 9

Lodosyn, 24

Lamisil, 2

Levorphanol Tartrate, 28

Loestrin 1.5/30-21, 14

Lamisil Spray, 11

levothyroxine sodium, 17

Loestrin 1/20-21, 14

lamivudine, 3

Levothyroxine Sodium, 17

Loestrin 24 FE, 14

lamivudine/zidovudine, 3

Levsin, 18

Loestrin FE 1.5/30, 14

lamotrigine, 23

Levsin/SL, 18

Loestrin FE 1/20, 14

lamotrigine ER, 23

Lexapro, 22

Lofibra, 9

Lancets, 34

Lexiva, 3

Lomedia 24 FE, 14

Lancets 26G Twist Top, 34

Lialda, 18

Lomotil, 17

Lancets 28G, 34

Liberty Control Solution High, 35

Lomustine, 4

Lancets 30G, 35

Liberty Control Solution Normal, 35

loperamide HCL, 17


Liberty Glucose Control Level 1, 35

Lopid, 9


Liberty Glucose Control Level 2, 35

Lopressor, 7

Lancets Bullseye Safety, 34

Liberty Glucose Control Mid, 35

Lopressor HCT, 8

Lancets Safety Seal 21G, 34

Liberty Glucose Control Normal, 35

Loprox, 11


Liberty Mini Lancing Device, 35

Loprox Shampoo, 11


Liberty Next Generation Blood Glucose Monitor, 35

lorazepam, 21


Lorazepam Intensol, 22

Lancets Thin, 34

Liberty Next Generation Blood Glucose Test Strips, 35

Lorcet 10/650, 28

Lancets Twist Top, 34

Lorcet Plus, 28

Lancets Ultra Fine, 34

lidocaine, 12

Lortab, 28

Lancets Ultra Thin, 34

lidocaine HCL, 7, 12, 21, 29

Lorzone, 25

Lanoxin, 6

Lidocaine HCL, 7, 13

losartan potassium, 8

Lanoxin Pediatric, 6

lidocaine HCL IN D5W, 7

losartan potassium/hydrochlorothiazide, 8

lansoprazole, 17

lidocaine HCL jelly, 12

lansoprazole/amoxicillin/clarithromycin, 17

lidocaine HCL viscous, 21

Loseasonique, 14

Lidocaine HCL-hydrocortisone Acetate With Aloe, 19

Lotemax, 26

Lantus, 15

Lotensin, 8

Lantus Solostar, 15

lidocaine HCL/dextrose, 7

Lotensin HCT, 8

Lasix, 9

Lidocaine HCL/Dextrose, 29

Lotrel, 8

Lastacaft, 27

lidocaine HCL/hydrocortisone acetate, 18

Lotrisone, 11

latanoprost, 26

lidocaine viscous, 21

Lotronex, 18

Latrix XM, 13

lidocaine/epinephrine, 29

lovastatin, 9

Latuda, 22

lidocaine/prilocaine, 12

Lovaza, 9

Lavoclen-4 Creamy Wash, 10

Lidocaine/Prilocaine, 13

Lovenox, 20

Lavoclen-8 Creamy Wash, 10

Lidoderm, 13

loxapine, 22

Lazanda, 28

Lidoprofen, 11

loxapine succinate, 22

leflunomide, 28

Lidovir, 11

Loxitane, 23

Lescol, 9

Lifescan Unistik 2 Deep Penetration, 35

Lta 360 Kit, 21

Lescol XL, 9

Lifescan Unistik II Lancets, 35

Lufyllin, 31

Letairis, 10

Lincocin, 4

Lumigan, 26

letrozole, 5

lindane, 12

Lumizyme, 17

leucovorin calcium, 6

Linzess, 18

Lunesta, 23

Leucovorin Calcium, 6

Lioresal Intrathecal, 25

Lupaneta Pack, 16

Leukeran, 4

liothyronine sodium, 17

Lupron Depot, 5

Leukine, 20

Lipitor, 9

Lupron Depot-PED, 16

leuprolide acetate, 5

Luvox CR, 22

Medlance Plus/Lite 25G, 35

Methylin, 23

Luxiq, 12

Medlance/Extra, 35

methylphenidate HCL, 23

Luzu, 11

Medlance/Lite, 35

methylphenidate HCL CD, 23

Lycelle, 13

Medlance/Universal, 35

methylphenidate HCL ER, 23

Lyrica, 24

Medrol, 13

Methylphenidate HCL ER, 23

Lysodren, 5

Medrol Dosepak, 13

methylphenidate HCL SR, 23

Lysteda, 21

medroxyprogesterone acetate, 14

methylphenidate hydrochloride, 23

Lytensopril Kit, 8

mefenamic acid, 28

methylprednisolone, 13

Lytensopril-90, 8

mefloquine HCL, 3

methylprednisolone acetate, 13

Lytensopril-90 Kit, 8

Mefoxin, 1

methylprednisolone dose pack, 13

M

Megace ES, 15

methylprednisolone sodiumsuccinate, 13

Megace Oral, 5

Metipranolol, 26

M-m-r II W/Diluent 10 Dose, 32

megestrol acetate, 5

metoclopramide HCL, 18

M-vit, 32

Megestrol Acetate, 5

metolazone, 9

M.v.i. Adult, 32

Meijer Super Thin Lancets, 35

metoprolol succinate ER, 7

M.v.i. Pediatric, 33

Mekinist, 6

metoprolol tartrate, 7

M.v.i.-12 Without Vitamin K, 33

meloxicam, 28

metoprolol/hydrochlorothiazide, 8

Macnatal CN DHA, 32

Meloxicam, 29

Metozolv Odt, 19

Macrobid, 19

Meloxicam Comfort PAC, 29

Metro IV, 4

Macrodantin, 19

melphalan hydrochloride, 4

Metrocream, 10

Magnacet, 28

Menactra, 32

Metrogel, 10

Makena, 14

Menest, 14

Metrogel-vaginal, 19

Malarone, 3

Menhibrix, 32

Metrolotion, 10

malathion, 12

Menomune-a/C/Y/W-135, 32

metronidazole, 4, 10

mannitol, 9

Menopur, 16

metronidazole IN NACL 0.79%, 4

Maprotiline HCL, 22

Menostar, 14

metronidazole vaginal, 19

Marcaine, 29

Mentax, 11

Mevacor, 9

Marcaine W/O Epi, 29

Menveo, 32

mexiletine HCL, 7

Marcaine/Epinephrine, 29

meperidine HCL, 27

Miacalcin, 16

Marinol, 18

Meperidine HCL, 28

Micardis, 8

Marnatal-f, 33

Mephyton, 32

Micardis HCT, 8

Marplan, 22

Mepivacaine HCL, 29

Microchamber, 37

Marqibo, 5

meprobamate, 21

Microdot Test Strips, 37

Mask Vortex/Baby Whirl Duckling, 37

Mepron, 4

Microlet Lancets, 35

Mask Vortex/Child/Frog, 37

mercaptopurine, 4

Microspacer, 37

Mask Vortex/Spinner The Duck, 37

meropenem, 4

Microtainer Safety Flow Lancet/Sterile/Single-use, 35

Mask Vortex/Toddler/Lady Bug, 37

Merrem, 4

Matulane, 6

mesalamine, 18

Microzide, 9

Mavik, 8

mesna, 6

midodrine HCL, 9

Maxair Autohaler, 31

Mesnex, 6

Mifeprex, 17

Maxalt, 29

Mestinon, 25

Migergot, 29

Maxalt-MLT, 29

Mestinon Timespan, 25

Migral, 29

Maxaron Forte, 20

Metadate CD, 23

Migranal, 29

Maxfe, 20

Metaproterenol Sulfate, 31

Millipred, 13

Maxidex, 26

Metastron, 6

Millipred DP, 13

Maxidone, 28

metaxalone, 25

milrinone IN dextrose, 6

Maxima Blood Glucose Teststrips, 37

metformin HCL, 15

milrinone lactate, 6

Maxipime, 1

metformin HCL ER, 15

Minastrin 24 FE, 14

Maxitrol, 26

methadone HCL, 27

Mineral Oil Heavy, 17

Maxzide, 9

Methadone HCL, 28

Minipress, 8

Maxzide-25, 9

Methadose, 28

Minivelle, 14

Mb Hydrogel, 13

Methadose Sugar-free, 28

Minocin, 2

meclizine HCL, 18

methamphetamine HCL, 23

Minocin Kit, 2

Meclofenamate Sodium, 28

methazolamide, 9

minocycline HCL, 2

Medi-derm/L-RX, 13

methenamine hippurate, 19

minocycline HCL ER, 2

Medical Provider EZ Flu Shot 2014-2015, 32

methenamine mandelate, 19

minoxidil, 8

Methenamine Mandelate, 19

Mirapex, 24

Medisense Thin Lancets, 35

methimazole, 17

Mirapex ER, 24

Medlance Plus Extra Lancets 21G, 35

methocarbamol, 25

Mircette, 14

Medlance Plus Lancets, 35

methotrexate, 4

mirtazapine, 22

Medlance Plus Lancets Lite 25G, 35

methotrexate sodium, 4

mirtazapine odt, 22

Medlance Plus Lite Lancets 25G, 35

methoxsalen, 11

Mirvaso, 10

Medlance Plus Special Lancets 0.8MM, 35

methscopolamine bromide, 17

misoprostol, 17

Methyclothiazide, 9

Mission Prenatal HP, 32

Medlance Plus Superlite 30G, 35

methyldopa, 8

mitomycin, 4

Medlance Plus Superlite 30G/Comfort Max, 35

Methyldopa/Hydrochlorothiazide, 8

Mitosol, 25

Methyldopate HCL, 8

mitoxantrone HCL, 4

Medlance Plus Universal Lancets 21G, 35

methylergonovine maleate, 27

Mobic, 29

modafinil, 23

Myobloc, 25

neomycin/polymyxin/HC, 27

Moderiba, 3

Myoxin, 27

Neomycin/Polymyxin/Hydrocortisone, 26

Moderiba 1200 Dose Pack, 3

Myozyme, 17

neomycin/polymyxin/hydrocortisone, 27

Moderiba 800 Dose Pack, 3

Myrbetriq, 19

Neoprofen, 29

Modicon, 14

Mysoline, 24

Neoral, 5

moexipril HCL, 8

N

Neosalus, 13

moexipril/hydrochlorothiazide, 8

Neosalus CP, 13

nabumetone, 28

mometasone furoate, 12

Neosporin, 25

nadolol, 7

Moms Choice RX, 33

neostigmine methylsulfate, 25

nadolol/bendroflumethiazide, 8

Monoclate-p, 21

Neotuss Plus, 30

nafcillin sodium, 1

Monodox, 2

Nephplex RX, 33

Nafcillin Sodium, 1

Monoject Bone Marrow Biopsy Prepping Tray, 29

Nephro-vite RX, 33

Nafrinse Daily/Acidulated, 21

Nephrocaps, 33

Nafrinse Daily/Neutral, 21

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 29

Nephrocaps QT, 33

Nafrinse Weekly, 21

Nephron Fa, 20

Naftin, 11

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 29

Neptazane, 9

Naglazyme, 17

Nesacaine, 29

nalbuphine HCL, 27

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 29

Nesacaine-mpf, 29

Nalfon, 29

Nesina, 15

Nallpen Iso-osmotic IN Dextrose, 1

Monolet Lancets, 35

Nessi Spacer/Large Mask, 37

Nallpen/Dextrose, 1

Monolet Opd Lancets, 35

Nessi Spacer/Mouthpiece, 37

Namenda, 24

Monolettor Safety Lancets, 35

Nessi Spacer/Small/MED Mask, 37

Namenda Titration PAK, 24

Mononine, 21

Nestabs, 33

Namenda XR, 24

Monovisc, 25

Nestabs Abc, 33

Namenda XR Titration Pack, 24

montelukast sodium, 30

Nestabs DHA, 33

Naphazoline HCL, 26

Monurol, 19

Netgroup Lancets, 35

Naprelan, 29

Morgidox 1X100MG, 2

Neuac Kit, 10

Naprosyn, 29

Morgidox 2X100MG, 2

Neulasta, 20

naproxen, 28

morphine sulfate, 27

Neumega, 20

Naproxen Comfort PAC, 29

Morphine Sulfate, 28

Neupogen, 20

naproxen sodium, 28

Morphine Sulfate Add-vantage, 28

Neupro, 24

naratriptan HCL, 29

morphine sulfate ER, 27

Neurontin, 24

Nardil, 22

Motofen, 17

Neutek 2tek Test Strips, 37

Naropin, 29

Moviprep, 17

Neutrasal, 21

Nasacort AQ, 30

Moxatag, 1

Neutrexin, 4

Nascobal, 20

Moxeza, 25

Nevanac, 27

Nasonex, 30

moxifloxacin HCL, 2

nevirapine, 3

Natachew, 33

Mozobil, 20

Nevirapine, 3

Natacyn, 25

MS Contin, 28

nevirapine ER, 3

Natafort, 33

Mst 600, 27

Newgen, 33

Natalvirt 90 DHA, 33

Multaq, 7

Nexa Plus, 33

Natalvirt CA, 33

Multigen, 20

Nexa Select, 33

Natalvirt Flt, 20

Multigen Folic, 20

Nexavar, 6

Natalvit, 33

Multigen Plus, 20

Nexgen Test Strips, 37

Natazia, 14

mupirocin, 10

Nexium, 18

nateglinide, 15

mupirocin calcium, 10

Nexium 24HR, 18

Natelle One, 33

Muse, 10

Nexium I.v., 18

Natrecor, 10

Mustargen, 4

Nexterone, 7

Natroba, 13

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 20

niacin ER, 9

Nature-throid, 17

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 32

Nature-throid Nt-2.5, 17

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 20

Navelbine, 5

Niacor, 9

Nebupent, 4

Myalept, 17

Niaspan, 9

Nebusal, 30

Myambutol, 2

Nicadan, 33

Necon 1/50-28, 14

Mycamine, 2

nicardipine HCL, 7

Necon 10/11-28, 14

Mycobutin, 2

Nicazel, 33

Neevo DHA, 33

mycophenolate mofetil, 5

Nicazel Forte, 33

nefazodone HCL, 22

mycophenolic acid DR, 5

Nicazeldoxy 30 Kit, 2

Nefazodone HCL, 22

Mydfrin, 26

Nicazeldoxy 60 Kit, 2

Nembutal Sodium, 23

Myfortic, 5

Nicomide, 33

Neo-synalar, 11

Myglucohealth Blood Glucose Test, 37

nifedipine, 7

Neo-synalar Kit, 11

Myglucohealth Mgh Softlance Lancets 30G, 35

nifedipine ER, 7

neomycin sulfate, 2

Nilandron, 5

neomycin/bacitracin/polymyxin, 25

Mykidz Iron Fl, 33

Nimbex, 25

neomycin/polymyxin/bacitracin zinc, 25

Myleran, 4

nimodipine, 7

neomycin/polymyxin/bacitracin/hydrocortisone, 26

Mynatal, 33

Nipent, 6

Mynatal Advance, 32

Niravam, 22

neomycin/polymyxin/dexamethasone, 26

Mynatal Ultracaplet, 32

nisoldipine, 7

neomycin/polymyxin/gramicidin, 25

Nisoldipine, 7

Novolog Mix 70/30, 15

Omnitrope, 16

Nisoldipine ER, 7

Novolog Mix 70/30 Prefilled Flexpen, 15

Omontys, 20

Nitro-bid, 6

Novolog Penfill, 15

On Call Express Blood Glucose Test Strips, 37

Nitro-dur, 7

Novoseven, 21

nitrofurantoin, 19

Novoseven Rt, 21

On Call Lancets, 35

nitrofurantoin macrocrystals, 19

Novotwist 30GX8MM, 35

On Call Plus Blood Glucose Test, 37

nitrofurantoin monohydrate, 19

Novotwist 32GX5MM, 35

On Call Plus Lancets, 35

nitrofurantoin monohydrate/macrocrystals, 19

Noxafil, 2

On Call Vivid Blood Glucose Test, 37

Nplate, 20

On Call Vivid Blood Glucose Test Strips, 37

nitroglycerin, 6

Nucort, 12

Nitroglycerin, 7

Nucynta, 28

Oncaspar, 4

nitroglycerin IN 5% dextrose, 6

Nucynta ER, 28

ondansetron HCL, 18

nitroglycerin IN dextrose 5%, 6

Nuedexta, 24

ondansetron odt, 18

Nitroglycerin IN Dextrose 5%, 7

Nulojix, 5

Onetouch Basic System, 35

nitroglycerin lingual, 6

Nulytely/Flavor Packs, 17

Onetouch Basic/Profile Test Strips, 35

Nitroglycerin Lingual, 7

Numoisyn, 21

Onetouch Club Lancets Fine Point, 35

nitroglycerin transdermal, 6

Nuox, 10

Onetouch Combo Pack, 35

Nitrolingual Pumpspray, 7

Nutricap, 33

Onetouch Delica Lancets Extra Fine 33G, 35

Nitromist, 7

Nutridox, 2

Nitronal, 7

Nutrivit, 33

Onetouch Delica Lancets Fine 30G, 35

Nitropress, 8

Nutropin, 16

Onetouch Delica Lancing Device, 35

Nitrostat, 6

Nutropin AQ Nuspin 10, 16

Onetouch Finepoint Lancets, 35

Nivatopic Plus, 13


Onetouch Lancets, 35

nizatidine, 17


Onetouch Ping Meter Remote, 35

Nizoral, 11

Nutropin AQ Pen, 16

Onetouch Profile System, 35

Nor-QD, 14

Nuvail, 13

Onetouch Suresoft Lancing Device/18G, 35

Norco, 28

Nuvigil, 23

Nordette-28, 14

Nuzon, 12


Norditropin Cartridge, 16

Nymalize, 7

Norditropin Flexpro, 16

nystatin, 2, 11, 21


Norditropin Nordiflex Pen, 16

Nystatin, 11

norepinephrine bitartrate, 9

Nystatin Domestic, 11

Onetouch Ultra 2, 35

norethindrone, 14

Nystatin Foreign, 11

Onetouch Ultra Blue, 35

norethindrone acetate, 14

nystatin/triamcinolone, 11

Onetouch Ultra Control, 35

norethindrone acetate/ethinyl estradiol, 14

O

Onetouch Ultra Mini, 35

Onetouch Ultra System Kit, 35

O-CAL Fa, 33

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 14

Onetouch Ultralink System (DEC), 35

O-CAL Prenatal, 33

Onetouch Ultralink System (hex), 35

OB Complete, 33

Norflex, 25

Onetouch Ultrasmart, 35

OB Complete 400, 33

norgestimate/ethinyl estradiol, 14

Onetouch Ultrasoft Lancets, 35

OB Complete One, 33

Norinyl 1+35, 14

Onetouch Verio Control Solution High, 35

OB Complete Petite, 33

Norinyl 1+50, 14

OB Complete Premier, 33

Noritate, 10

Onetouch Verio IQ Blood Glucose Monitoring System, 35

OB Complete/DHA, 33

Noroxin, 2

OB-natal One, 32

Norpace, 7

Onetouch Verio Mid Control Solution, 35

Obstetrix DHA, 33

Norpace CR, 7

Onetouch Verio Sync Bloodglucose Monitoring System, 35

Obstetrix EC, 32

Norpramin, 22

octreotide acetate, 16

Northera, 9

Onetouch Verio Test Strips, 35

Ocudox, 2

nortriptyline HCL, 22

Onfi, 24

Ocufen, 27

Nortriptyline HCL, 22

Onglyza, 15

Ocuflox, 26

Norvasc, 7

Onmel, 2

Ofirmev, 27

Norvir, 3

Opana, 28

ofloxacin, 2, 25, 27

Nova Max Glucose Test Strips, 37

Opana ER (crush Resistant), 28

Ofloxacin, 2

Nova Safety Lancets 23G, 35

opium, 17

Ogestrel, 14

Nova Safety Lancets 28G, 35

opium tincture, 17

olanzapine, 22

Nova Sureflex Lancets, 35

Opium Tincture (paregoric), 17

olanzapine odt, 22

Novaferrum, 20

Opsumit, 10

olanzapine/fluoxetine, 24

Novofine 30GX8MM, 35

Optichamber Advantage, 37

Oleptro, 22

Novofine 32GX6MM, 35

Optichamber Diamond, 37

Olux, 12

Novofine Autocover 30GX8MM, 35

Optichamber Diamond/Largeface Mask, 37

Olux-e, 12

Novolin 70/30, 15

Olysio, 3

Novolin 70/30 Relion, 15

Optichamber Diamond/Medium Face Mask, 37

Omeclamox-PAK, 18

Novolin N, 15

omega-3-acid ethyl esters, 9

Novolin N Relion, 15

Optichamber Diamond/Smallface Mask, 37

omeprazole, 17

Novolin R, 15

Omeprazole + Syrspend SF Alka, 18

Novolin R Relion, 15

Optihaler, 37

omeprazole/sodium bicarbonate, 18

Novolog, 15

Optihaler MDI Drug Delivery System, 37

Omnaris, 30

Novolog Flexpen, 15

Optium Test Strips, 37

Omnipred, 26

Optiumez Test Strips, 37

Paire OB, 33

Pentam 300, 4

Optivar, 27

Palgic, 30

Pentasa, 18

Optumrx Blood Glucose Test, 37

Pamelor, 22

pentazocine/acetaminophen, 27

Oracea, 10

pamidronate disodium, 16

pentazocine/naloxone HCL, 27

Oracit, 19

Pamidronate Disodium, 16

Pentetate Calcium Trisodium, 38

Orafate, 21

Pamine, 18

Pentetate Zinc Trisodium, 38

Orap, 25

Pamine Forte, 18

pentoxifylline ER, 21

Orapred, 13

Pamine FQ, 18

Pepcid, 18

Orapred Odt, 13

Panatuss Dxp, 30

Percocet, 28

Oravig, 21

Pancreaze, 18

Percodan, 28

Oraxyl, 2

Pancrelipase, 18

Perfect Lancets 30G, 35

Orbactiv, 4

pancuronium bromide, 25

Perfect Pressure Activated Safety Lancets 28G, 35

Orbivan, 27

Panda Mask Large, 37

Orbivan CF, 27

Panda Mask Medium, 38

Perforomist, 31

Orencia, 29

Panda Mask Small, 38

Peridex, 21

Orenitram, 10

Pandel, 12

perindopril erbumine, 8

Orfadin, 17

pantoprazole sodium, 18

Perjeta, 5

orphenadrine citrate, 25

papaverine HCL, 9

permethrin, 12

orphenadrine citrate ER, 25

Parafon Forte DSC, 25

perphenazine, 22

orphenadrine/asa/caffeine, 25

Parcopa, 24

Perphenazine/Amitriptyline, 25

Ortho Micronor, 14

paricalcitol, 17

Perry Prenatal, 32

Ortho Tri-cyclen, 14

Parlodel, 24

Persantine, 21

Ortho Tri-cyclen LO, 14

Parnate, 22

Pertzye, 18

Ortho-cept, 14

paromomycin sulfate, 2

Pexeva, 22

Ortho-cyclen, 14

paroxetine HCL, 22

Pfizerpen-G, 1

Ortho-novum 1/35, 14

paroxetine HCL ER, 22

Pharmacist Choice Autocode Blood Glucose Test Strips, 37

Ortho-novum 7/7/7, 14

Paser, 2

Orthovisc, 25

Pataday, 27

Pharmacy Counter Lancets, 35

Oseni, 16

Patanase, 30

phenazopyridine HCL, 19

Osmoprep, 17

Patanol, 27

phenelzine sulfate, 22

Osphena, 16

Paxil, 22

Phenergan, 30

Otezla, 29

Paxil CR, 22

phenobarbital, 23

Otozin, 27

PCE, 1

Phenobarbital, 23

Otrexup, 29

Pediaderm AF Complete Kit, 11

Phenobarbital Sodium, 23

Ovace Plus, 11

Pediaderm HC, 12

Phentolamine Mesylate, 8

Ovace Plus Wash, 11

Pediaderm Ta, 12

phenylephrine HCL, 9, 26

Ovace Wash, 11

Pediapred, 13

Phenylephrine HCL, 9, 30

Ovcon-35, 14

Pediarix, 31

phenylephrine/guaifenesin, 30

Ovide, 13

Pediatex TD, 30

Phenytek, 24

Ovidrel, 16

Pediatex TDM, 30

phenytoin, 23

oxacillin sodium, 1

Pediatric Panda Mask, 38

phenytoin sodium, 23

oxaliplatin, 4

Pedipirox-4 Nail, 11

phenytoin sodium extended, 23

Oxandrin, 14

Pedvax HIB, 32

Phoslo, 19

oxandrolone, 14

peg 3350/electrolytes, 17

Phoslyra, 19

oxaprozin, 28

peg-3350/electrolytes, 17

Phospholine Iodide, 26

oxazepam, 21

peg-3350/NACL/NA bicarbonate/KCL, 17

Photofrin, 6

oxcarbazepine, 23

Peg-intron, 3

Phrenilin Forte, 27

Oxecta, 28

Peg-intron Redipen, 3

phytonadione, 32

Oxistat, 11

Peg-intron Redipen PAK 4, 3

pilocarpine HCL, 21, 26

Oxsoralen, 12

Peganone, 24

pilocarpine hydrochloride, 21

Oxsoralen Ultra, 11

Pegasys, 3

Pilopine HS, 26

Oxtellar XR, 24

Pegasys Proclick, 3

pindolol, 7

oxybutynin chloride, 19

Pen Needles 29G X 12MM, 35

pioglitazone HCL, 15

oxybutynin chloride ER, 19

Pen Needles 29GX1/2", 35

pioglitazone HCL-glimepiride, 15

oxycodone HCL, 27


pioglitazone HCL/metformin HCL, 15

Oxycodone HCL, 28

Pen Needles 31G X 1/4" SHORT, 35

piperacillin sodium/ tazobactam sodium, 1

oxycodone/acetaminophen, 27

Pen Needles 31G X 3/16", 35

oxycodone/aspirin, 27

Pen Needles 31G X 6MM, 35

piperacillin sodium/tazobactam sodium, 1

oxycodone/ibuprofen, 27


piperacillin/tazobactam, 1

Oxycontin, 28

penicillin G potassium, 1

piroxicam, 28

oxymorphone hydrochloride, 27

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Pitocin, 27

oxymorphone hydrochloride ER, 27

Pitressin Synthetic, 16

oxytocin, 27

Penicillin G Procaine, 1

Plan B, 14

Oxytrol, 19

Penicillin G Sodium, 1

Plan B One-step, 14

Oxytrol For Women, 19

penicillin v potassium, 1

Plaquenil, 3

P

Penlac Nail Lacquer, 11

Plavix, 21

Pennsaid, 11

Pletal, 21

paclitaxel, 5

Pentacel, 31

Plexion, 10

Paclitaxel, 5

Plexion Cleanser, 10

Preferaob One, 33

Prolastin-c, 31

Plexion Cleansing Cloths, 10

Prefest, 14

Prolensa, 27

Pliaglis, 13

Prefol-DHA, 33

Proleukin, 6

Pneumovax 23, 32

Prelone, 13

Prolia, 16

Pneumovax 23/1 Dose, 32

Premarin, 14, 19

Promacta, 20

Pneumovax 23/5 Dose, 32

Premphase, 14

promethazine HCL, 30

Pocket Chamber, 38

Prempro, 14

promethazine HCL plain, 30

Pocket Spacer, 38

Prenata, 33

promethazine-DM, 30

Pocketchem EZ Blood Glucose Test Strips, 37

Prenatabs RX, 32

promethazine/codeine, 30

Prenatal Ad, 32

promethazine/dextromethorphan, 30

podofilox, 12

Prenatal Vitamins, 32

Prometrium, 15

Poly-tussin DHC, 30

Prenatal-u, 32

Promiseb, 11

Poly-VI-flor, 33

Prenate, 33

Promiseb Complete, 11

Poly-VI-flor/Iron, 33

Prenate AM, 33

propafenone HCL, 7

polyethylene glycol 3350, 17

Prenate DHA, 33

propafenone HCL ER, 7

polymyxin b sulfate, 4

Prenate Elite, 33

Propantheline Bromide, 18

polymyxin b sulfate/trimethoprim sulfate, 25

Prenate Enhance, 33

proparacaine HCL, 26

Prenate Essential, 33

propranolol HCL, 7

Polytrim, 26

Prenate Mini, 33

Propranolol HCL, 7

Pomalyst, 5

Prenate Pixie, 33

propranolol HCL ER, 7

Ponstel, 29

Prenate Restore, 33

Propranolol/Hydrochlorothiazide, 8

potassium citrate ER, 19

Prenate Star, 33

propylthiouracil, 17

potassium citrate-citric acid crystals, 19

Prenexa, 33

Proquad, 32

Potiga, 24

Prepidil, 27

Proscar, 19

Pr Cream, 13

Prepopik, 17

Prosed/DS, 19

Pr Natal 400, 32

Preque 10, 33

Prostigmin, 25

Pr Natal 400 EC, 32

Presera, 13

Prostin E2, 27

Pr Natal 430, 32

Prestige Test Strips, 37

Protamine Sulfate, 21

Pr Natal 430 EC, 32

Prevacid, 18

Protect Plus, 33

Pradaxa, 20

Prevacid Solutab, 18

Protectbone, 33

pramipexole dihydrochloride, 24

Prevident, 21

Protectiron, 20

Pramosone, 12

Prevnar 13, 32

Protectnatal, 33

Pramosone E, 12

Prevpac, 18

Prothelial, 21

Pramotic, 27

Prezista, 3

Protonix, 18

Prandimet, 15

Priftin, 2

Protopic, 12

Prandin, 15

Prilosec, 18

protriptyline HCL, 22

Prastera, 29

Primaquine Phosphate, 3

Provenge, 6

Pravachol, 9

Primaxin IV, 4

Proventil HFA, 31

pravastatin sodium, 9

Primaxin IV Add-vantage, 4

Provera, 15

Prazolamine, 25

primidone, 24

Provida OB, 33

prazosin HCL, 8

Primlev, 28

Provigil, 23

Pre-folic, 20

Primsol, 4

Prozac, 22

Precedex, 23

Prinivil, 8

Prozac Weekly, 22

Precision PCX, 37

Pristiq, 22

Pruclair, 13

Precision PCX Plus Test Strips, 37

Proair HFA, 31

Prudoxin, 11

Precision Point Of Care Test Strips, 37

probenecid, 29

Prumyx, 13

Precision QID Test Strips, 37

probenecid/colchicine, 29

Pss Select GP Lancets, 35

Precision Sof-tact Test Strips, 37

Procainamide HCL, 7

Pss Select Safety Lancets, 35

Precision Thin Lancets, 35

Procardia, 7

Pts Panels Glucose Test, 37

Precision Thins GP Lancet, 35

Procardia XL, 7

Pulmicort, 31

Precision Ultra Lancet, 35

Procentra, 23

Pulmicort Flexhaler, 31

Precision XTRA Blood Glucose Test Strips, 37

prochlorperazine, 22

Pulmophylline, 31

prochlorperazine edisylate, 22

Pulmozyme, 31

Precose, 15

prochlorperazine maleate, 22

Purinethol, 5

Pred Forte, 26

Procort, 19

Purixan, 5

Pred Mild, 26

Procrit, 20

Px Lancets Ultra Thin, 35

Pred-G, 26

Proctocort, 19

Pylera, 18

Pred-G S.o.p., 26

Proctofoam HC, 18

pyrazinamide, 2

prednicarbate, 12

Procysbi, 19

Pyridium, 19

prednisolone, 13

Prodigy NO Coding Blood Glucose Test Strips, 37

pyridostigmine bromide, 25

prednisolone acetate, 26

Pyridoxine HCL, 32

prednisolone sodium phosphate, 13

Prodigy Pressure Activated Safety Lancets, 35

Pyrogallic Acid, 13

Prednisolone Sodium Phosphate, 13, 26

Q

prednisone, 13

Prodigy Twist Top Lancets, 35

Qc Lancets Super Thin, 35

Prednisone, 13

Proferrin-forte, 20

Qc Lancets Ultra Thin, 35

Prednisone Intensol, 13

progesterone, 14

Qnasl, 30

Prefera OB, 33

Proglycem, 15

Quadramet, 6

Prefera OB + DHA, 33

Prograf, 5

Qualaquin, 3

Quartette, 14

Relion R, 15

Rifamate, 2

Quazepam, 23

Relion Thin Lancets, 35

rifampin, 2

Qudexy XR, 24

Relion Ultima Blood Glucose Test Strips, 37

Rifater, 2

Quelicin, 25

Rightest Gl300 Lancets, 35

Quelicin 1000, 25

Relion Ultima Test Strips, 37

Rightest GS100 Blood Glucose Test Strips, 37

Questran, 9

Relion Ultra Thin Lancets, 35

Questran Light, 9

Relion Ultra Thin Lancets30G, 35


quetiapine fumarate, 22

Relion Ultra Thin Plus Lancets 32G, 35

Quflora Pediatric, 32

Relion Ultra Thin Plus Lancets 33G, 35


Quicktek Test Strips, 37

Relistor, 18

Quillivant XR, 23

Relpax, 29

Rilutek, 25

quinapril HCL, 8

Remeron, 22

riluzole, 25

quinapril/hydrochlorothiazide, 8

Remeron Soltab, 22

rimantadine HCL, 3

Quinidine Gluconate, 7

Remicade, 19

Rimantalist, 3

quinidine gluconate CR, 7

Remodulin, 10

Riomet, 15

quinidine gluconate ER, 7

Renacidin, 19

risedronate sodium, 16

quinidine sulfate, 7

Renagel, 19

Risperdal, 23

Quinidine Sulfate, 7

Renatabs, 33

Risperdal Consta, 22

Quinidine Sulfate ER, 7

Renatabs With Iron, 33

Risperdal M-TAB, 23

quinine sulfate, 3

Renax, 33

risperidone, 22

Quintet Ac Blood Glucose Test Strips, 37

Renew Advanced Lancing Cartridge Refills, 35

risperidone odt, 22

Quintet Blood Glucose Test Strips, 37

Ritalin, 23

Qutenza, 13

Renvela, 18

Ritalin LA, 23

Qvar, 31

Reopro, 21

Ritalin SR, 23

R

repaglinide, 15

Riteflo, 38

Reprexain, 28

Rituxan, 5

R-natal OB, 33

Repronex, 16

rivastigmine tartrate, 24

Rabavert, 32

Req 49+, 33

rizatriptan benzoate, 29

rabeprazole sodium, 18

Requip, 24

rizatriptan benzoate odt, 29

raloxifene hydrochloride, 16

Requip XL, 24

Robaxin, 25

ramipril, 8

Rescon-JR, 30

Robaxin-750, 25

Ranexa, 6

Rescon-MX, 30

Robinul, 18

ranitidine HCL, 18

Rescriptor, 3

Robinul Forte, 18

Rapaflo, 19

Rescula, 26

Rocaltrol, 17

Rapamune, 5

Reserpine, 8

Rocephin, 1

Rasuvo, 29

Respa-BR, 30

rocuronium bromide, 25

Ravicti, 17

Restasis, 26

ropinirole ER, 24

Rayos, 13

Restora RX, 17

ropinirole HCL, 24

Razadyne, 25

Restoril, 23

ropivacaine HCL, 29

Razadyne ER, 25

Retavase, 21

Rosadan Kit, 10

Rebetol, 3

Retavase Half-kit, 21

Rosanil, 10

Rebif, 24

Retin-a, 10

Rotarix, 32

Rebif Rebidose, 24

Retin-a Micro, 10

Rotateq, 32

Rebif Rebidose Titration Pack, 24

Retin-a Micro P.M., 10

Rowasa, 19

Rebif Titration Pack, 24

Retisert, 26

Roxicet, 28

Reclast, 16

Retrovir, 3

Roxicodone, 28

Recombinate, 21

Retrovir IV Infusion, 3

Rozerem, 23

Recombivax HB, 32

Revatio, 10

Ryanodex, 25

Recothrom, 21

Reveal Blood Glucose Test, 37

Rybix Odt, 28

Recothrom Spray Kit, 21

Revlimid, 5

Rythmol, 7

Rectiv, 18

Rexall Blood Glucose Test Strips, 37

Rythmol SR, 7

Refuah Plus Blood Glucosetest Strips, 37

Rexall Lancets Ultra Thin, 35

S

Reyataz, 3

Reglan, 19

Sabril, 24

Rezira, 30

Regonol, 25

Safe-t-lance Low Flow 25G, 35

Rezyst IM, 17

Relagard, 19

Safe-t-lance Normal Flow 21G, 35

Rezyst SB, 17

Relenza Diskhaler, 3

Safe-t-lance Plus Safety Lancet High Flow, 35

Rheumatrex, 29

Relhist, 30

Rhinocort Aqua, 30

Relion Blood Glucose Teststrips, 37

Safe-t-lance Plus Safety Lancet Low Flow, 35

Rhinoflex-650, 27

Relion Confirm/Micro Test Strips, 37

Riastap, 21

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

Safe-t-lance Plus Safety Lancet Normal Flow, 35

Riax, 10

Ribasphere, 3

Relion Lancets, 35

Safety Lancet 21G/Pressure Activated, 35

Ribasphere Ribapak, 3

Relion Lancets Micro-thin33G, 35

Ribatab, 3

Relion Lancets Standard 21G, 35

Safety Lancet 28G/Pressure Activated, 35

ribavirin, 3

Relion Lancets Thin 26G, 35

Ridaura, 28

Relion Lancets Ultra-thin30G, 35

Safety Lancet 2MM, 35

rifabutin, 2

Relion Prime Blood Glucose Test Strips, 37

Safety Lancets, 35

Rifadin, 2

Safety Lancets 21G, 35

Safety Lancets 28G, 35

35

Solodyn, 2

Safety Let Lancets, 35

Shopko Unilet Lancets Super Thin 30G, 35

Soltamox, 5

Safety Seal Lancets 28G, 35

Solu-cortef, 13

Safety Seal Lancets 30G, 35

Shopko Unilet Lancets Ultra Thin 28G, 35

Solu-medrol, 13

Safyral, 14

Solus V2 Audible Test, 37

Saizen, 16

Siderol, 33

Solus V2 Pressure Activated Safety Lancets 28G, 35

Saizen Click.easy, 16

Signifor, 16

Salagen, 21

sildenafil, 9

Solus V2 Twist Lancets 30G, 35

Salex, 13

sildenafil citrate, 9

Soma, 25

Salex Cream, 13

Silenor, 23

Somatuline Depot, 16

Salex Lotion, 13

Simbrinza, 26

Somavert, 16

salicylic acid, 12

Simcor, 9

Sonata, 23

Salicylic Acid, 13

Simponi, 29

Soriatane, 11

salicylic acid cream, 12

Simponi Aria, 29

Sorilux, 11

Salicylic Acid IN Ammonium Lactate Vehicle, 13

Simulect, 5

sotalol HCL, 7

simvastatin, 9

sotalol HCL (AF), 7

salicylic acid lotion, 12

Sinemet, 24

Sovaldi, 3

Salkera, 13

Sinemet CR, 24

Spectracef, 1

salsalate, 27

Single-let, 35

Spinosad, 13

Salvax, 13

Singulair, 31

Spiriva Handihaler, 31

Salvax Duo Plus, 13

sirolimus, 5

spironolactone, 9

Samsca, 17

Sirturo, 2

spironolactone/hydrochlorothiazide, 9

Sanctura, 19

Sitavig, 3

Sporanox, 2

Sanctura XR, 19

Sivextro, 4

Sporanox Pulsepak, 2

Sancuso, 18

Skelaxin, 25

Sprix, 29

Sandimmune, 5

Sklice, 13

Sprycel, 6

Sandostatin, 16

Smart Diabetes Vantage Universal Lancets 30G, 35

Staflex, 27

Sandostatin Lar Depot, 16

Stalevo 100, 24

Saphris, 23

Smart Diabetes Xpres Blood Glucose Test Strips, 37

Stalevo 125, 24

Sarafem, 25

Stalevo 150, 24

Savella, 24

Smart Sense Color Lancets Universal 33G, 35

Stalevo 200, 24

Savella Titration Pack, 25

Stalevo 50, 24

Scalacort DK, 12

Smart Sense Premium Bloodglucose Strips, 37

Stalevo 75, 24

Scopolamine Hydrobromide, 18

stannous fluoride oral rinse, 21

Seasonique, 14

Smart Sense Standard Lancets Universal 21G, 35

Starlix, 15

Seb-prev, 11

stavudine, 3

Seconal, 23

Smart Sense Super Thin Lancets Universal 30G, 35

Stavzor, 24

Sectral, 7

Staxyn, 10

Select-OB, 33

Smart Sense Thin Lancets Universal 26G, 35

Stelara, 11

Select-ob+dha, 33

Stendra, 10

selegiline HCL, 24

Smart Sense Value Blood Glucose Strips, 37

Sterilance TL, 35

selenium sulfide, 11

Stimate, 16

Selenium Sulfide, 11

Smartest Blood Glucose Test Strips, 37

Stivarga, 6

Selrx, 11

Smartest Lancets 28G, 35

Strattera, 23

Selsun Shampoo, 11

Sodium Bicarbonate, 17

Strazepam, 23

Selzentry, 3

sodium chloride, 30

Streptomycin Sulfate, 2

Semprex-d, 30

Sodium Diuril, 9

Striant, 14

Senophylline, 31

Sodium Edecrin, 9

Stribild, 3

Sensipar, 17

sodium ferric gluconate complex/sucrose, 20

Striverdi Respimat, 31

Sensorcaine-mpf/Epinephrine, 29

Stromectol, 3

Sentradine, 18

sodium hyaluronate, 12

Strovite, 33

Sentraflox AM-10, 22

sodium phenylbutyrate, 17

Strovite Forte, 33

Sentralopram AM-10, 22

sodium sulfacetamide, 10, 11, 25

Strovite One, 33

Sentramodafin AM-100, 23

sodium sulfacetamide wash, 11

Suboxone, 28

Sentravil PM-25, 22

sodium sulfacetamide/sulfur, 10

Subsys, 28

Sentrazolam AM 0.25, 22

Sodium Sulfacetamide/Sulfur, 10

Suclear, 17

Sentrazolpidem PM-5, 23

sodium sulfacetamide/sulfur cleanser, 10

Sucraid, 18

Sentroxatine, 22

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10

sucralfate, 18

Serevent Diskus, 31

Sular, 7

Seromycin, 2

sodium sulfacetamide/sulfur cleansing cloths, 10

sulfacetamide sodium, 10, 25

Seroquel, 23

Sulfacetamide Sodium, 26

Seroquel XR, 22

sodium sulfacetamide/sulfur green, 10

sulfacetamide sodium/prednisolone sodium phosphate, 26

Serostim, 16

Sodium Sulfacetamide/Sulfur IN Urea, 10

sertraline HCL, 22

sodium sulfacetamide/sulfur w/sunscreen, 10

sulfacetamide sodium/sulfur cleanser, 10

Sevelamer Carbonate, 18

Sulfadiazine, 2

Sfrowasa, 19

sodium sulfacetamide/sulfur wash, 10

sulfamethoxazole/trimethoprim, 4

Shohls Solution Modified, 19

Sodium Sulfacetamide/Urea, 11

Sulfamethoxazole/Trimethoprim, 4

Shopko On-the-go Comfort Lancets 30G,

Soliris, 21

sulfamethoxazole/trimethoprim DS, 4

sulfasalazine, 18

Tafinlar, 6

tetracaine HCL, 26

Sulfisoxizole, 2

Talwin, 28

Tetracaine HCL, 29

Sulfoam, 10

Tambocor, 7

Tetracycline HCL, 2

Sulfurated Lime, 13

Tamiflu, 3

Tetrix, 13

sulindac, 28

tamoxifen citrate, 5

Tev-tropin, 16

Sumadan Kit, 10

tamsulosin HCL, 19

Teveten, 8

Sumadan Wash, 10

Tandem F, 20

Teveten HCT, 8

Sumadan XLT, 10

Tandem Plus, 20

Texacort, 12

Sumatriptan, 29

Tanzeum, 15

Thalomid, 5

sumatriptan succinate, 29

Tapazole, 17

Theo-24, 31

Sumatriptan Succinate, 29

Tarceva, 6

theophylline, 30

sumatriptan succinate refill, 29

Targretin, 6

theophylline CR, 30

Sumavel Dosepro, 29

Tarka, 8

theophylline ER, 30

Sumaxin, 10

Taron-bc, 33

theophylline/D5W, 30

Sumaxin CP Kit, 10

Taron-c DHA, 33

Theophylline/D5W, 31

Sumaxin Ts, 10

Taron-duo EC, 33

Therabenzaprine-60, 25

Sumaxin Wash, 10

Taron-prex, 32

Therabenzaprine-90, 25

Supartz, 25

Tasigna, 6

Therabenzaprine-90-5, 25

Supervite, 33

Tasmar, 24

Theracodeine-300, 28

Supervite EC, 33

Taxotere, 5

Theracodophen-325, 28

Support-500, 33

Tazicef, 1


Supprelin LA, 16

Tazorac, 11


Suprax, 1

Tecfidera, 24

Theracodophen-low-90, 28

Supreme Test Strips, 37

Tecfidera Starter Pack, 24

Theracys, 6

Suprep Bowel Prep, 17

Techlite AST Lancets, 36

Therafeldamine, 29

Sure Edge Blood Glucose Test Strips, 37

Techlite Lancets, 36

Therapentin-60, 24

Sure-lance Flat Lancets, 35

Techlite Lancets 30G, 36

Therapentin-90, 24

Sure-lance Lancets 26G, 35

Tegretol, 24

Theraprofen-60, 29

Sure-lance Thin Lancets 28G, 35

Tegretol-XR, 24

Theraprofen-800, 29

Sure-lance Ultra Thin Lancets, 35

Tekamlo, 8

Theraprofen-90, 29

Sure-test Easyplus Mini Blood Glucose Test Strips, 37

Tekturna, 8

Theraproxen-500, 29

Tekturna HCT, 8

Theraproxen-60, 29

Sure-touch Lancets Universal, 36

Telcare Blood Glucose Test Strips, 37

Theraproxen-90, 29

Surechek Blood Glucose Test Strips, 37

telmisartan, 8

Theratramadol-60, 28

Surelite Lancets, 36

telmisartan/amlodipine, 8

Theratramadol-90, 28

Surestep Pro Test Strips, 36

telmisartan/hydrochloroth, 8

thiamine HCL, 32

Surestep Test Strips, 36

telmisartan/hydrochlorothiazide, 8

Thinlets GP Lancets, 36

Surfaxin, 31

temazepam, 23

Thinlets Lancet, 36

Surmontil, 22

Temodar, 4

Thiola, 19

Survanta Intratracheal, 31

Temovate, 12

thioridazine HCL, 22

Sustiva, 3

Temovate E, 12

thiothixene, 22

Sutent, 6

temozolomide, 4

Thrombin-jmi Diluent, 21

Suttar-2, 30

Tencon, 27

Thrombin-jmi Epistaxis, 21

Suttar-SF, 30

Tenex, 8

Thrombin-jmi Syringe Spray Kit, 21

Sylatron, 6

Teniposide, 5

Thrombin-jmi W/Dil Spray P.M. Actuator, 21

Symax Duotab, 18

Tenivac, 31

Symbicort, 31

Tenoretic 100, 8

Thrombogen, 21

Symbyax, 25

Tenoretic 50, 8

Thymoglobulin, 5

Symlinpen 120, 15

Tenormin, 7

Thyrolar-1, 17

Symlinpen 60, 15

Terazol 3, 19

Thyrolar-1/2, 17

Synagex, 33

Terazol 7, 19

Thyrolar-1/4, 17

Synalar, 12

terazosin HCL, 8

Thyrolar-2, 17

Synalar Cream Kit, 12

terbinafine HCL, 2

Thyrolar-3, 17

Synalar Ointment Kit, 12

Terbinex, 3

tiagabine hydrochloride, 24

Synalar Ts, 12

terbutaline sulfate, 30

Tiazac, 7

Synalgos-dc, 28

terconazole, 19

Tice Bcg, 6

Synarel, 16

Tersi Foam, 11

ticlopidine HCL, 21

Synatek, 33

Tessalon Perles, 30

Tigan, 18

Synera, 13

Testim, 14

Tikosyn, 7

Synercid, 4

Testopel, 14

Timentin, 1

Synribo, 6

Testosterone, 14

Timolol Maleate, 7

Synthroid, 17

testosterone cypionate, 14

timolol maleate, 26

Synvisc, 25

testosterone enanthate, 14

timolol maleate ophthalmic gel forming, 26

Synvisc One, 25

Testosterone P.M., 14

T

Testred, 14

Timoptic, 26

Tetanus Toxoid Adsorbed, 31

Timoptic Ocudose, 26

Tabloid, 5

Tetanus/Diphtheria Toxoids-adsorbed Adult, 31

Timoptic-xe, 26

Taclonex, 12

Tindamax, 4

tacrolimus, 5

tinidazole, 4

Trepoxen-250, 29

Tray/8french, 29

Tirosint, 17

Trepoxicam-7.5, 29

Tussicaps, 30

Tisseel, 21

Tretin-x, 10

Tussionex Pennkinetic Extended Release, 30

Tivicay, 3

tretinoin, 6, 10

Tizanidine Comfort PAC, 25

tretinoin microsphere, 10

Twinrix, 32

tizanidine HCL, 25

tretinoin microsphere P.M., 10

Twynsta, 8

TL G-FOL OS, 33

Tretten, 21

Tygacil, 4

TL Triseb, 11

Trexall, 5

Tykerb, 6

TL-cermide, 13

Treximet, 29

Tylenol/Codeine #3, 28

Tnkase, 21

Trezix, 28

Tylenol/Codeine #4, 28

Tobi, 2

Tri-norinyl 28, 14

Typhim VI, 32

Tobi Podhaler, 2

Tri-VI-flor, 33

Tysabri, 25

Tobradex, 26

triamcinolone acetonide, 12, 21, 30

Tyvaso, 10

Tobradex ST, 26

Triamcinolone Acetonide, 12

Tyvaso Refill, 10

tobramycin, 2

triamcinolone IN orabase, 21

Tyvaso Starter, 10

tobramycin sulfate, 2, 25

triamterene/hydrochlorothiazide, 9

Tyzeka, 3

Tobramycin Sulfate/Sodium Chloride, 2

Triamterene/Hydrochlorothiazide, 9

Tyzine, 30

tobramycin/dexamethasone, 26

Trianex, 12

Tyzine Pediatric Nasal Drops, 30

Tobrex, 26

triazolam, 23

U

Tofranil, 22

Tribenzor, 8

U-cort, 12

Tofranil-PM, 22

Tricare, 32

Uceris, 13

tolazamide, 15

Tricare Prenatal Compleat, 33

Udamin, 33

Tolazamide, 15

Tricare Prenatal DHA One, 33

Udamin SP, 33

Tolbutamide, 15

Tricitrates, 20

Ulesfia, 13

tolmetin sodium, 28

Tricor, 9

Uloric, 29

Tolmetin Sodium, 28

trifluoperazine HCL, 22

Ulticare Thin Lancets 30G, 36

tolterodine tartrate, 19

trifluridine, 25

Ultilet Basic Lancets 30G, 36

tolterodine tartrate ER, 19

Triglide, 9

Ultilet Classic Lancets, 36

Topamax, 24

trihexyphenidyl HCL, 24

Ultilet Lancets, 36

Topamax Sprinkle, 24

Trileptal, 24

Ultilet Lancets 33G, 36

Topicort, 12

Trilipix, 9

Ultilet Safety Lancets 23G, 36

topiramate, 24

trimethobenzamide HCL, 18

Ultima Test Strips, 37

Topiramate ER, 24

trimethoprim, 4

Ultiva, 28

topotecan HCL, 6

trimethoprim sulfate/polymyxin b sulfate, 25

Ultra-thin II Auto Lancet, 36

Topotecan HCL, 6

Ultra-thin II Lancets 28G, 36

Toprol XL, 7

trimipramine maleate, 22

Ultra-thin II Lancets 30G, 36

Torisel, 6

Trinate, 32

Ultra-thin II Safety Autolancets 26G, 36

torsemide, 9

Triostat, 17

Ultracet, 28

Torsemide, 9

Trisenox, 6

Ultram, 28

Totect, 6

Triumeq, 3

Ultram ER, 28

Toviaz, 19

Triveen-duo DHA, 33

Ultrasal-ER, 13

Tracleer, 10

Triveen-prx RNF, 33

Ultratrak Pro Test Strips, 37

Tradjenta, 15

Triveen-ten, 33

Ultratrak Ultimate Test Strips, 37

tramadol HCL, 27

Triveen-u, 33

Ultravate, 12

tramadol HCL ER, 27

Trizivir, 3

Ultravate PAC, 12

Tramadol HCL ER, 28

Trokendi XR, 24

Ultravate X, 12

tramadol hydrochloride/acetaminophen, 27

Tropazone, 13

Ultresa, 18

trospium chloride, 19

Umecta, 13

Trandate, 7

trospium chloride ER, 19

Umecta Nail Film, 13

trandolapril, 8

True Metrix Blood Glucosetest Strips, 37

Umecta PD, 13

tranexamic acid, 20

Trueplus Lancets 26G, 36

Unasyn, 1

Transderm-scop, 18


Unasyn Bulk Pack, 1

Tranxene T, 22

Trueplus Lancets 28G Super Thin, 36

Unilet Comfortouch Lancet, 36

tranylcypromine sulfate, 22


Unilet Excelite, 36

Trasylol, 21

Trueplus Lancets 30G Ultra Thin, 36

Unilet Excelite II, 36

Travatan Z, 26


Unilet G.p. Lancet, 36

Travoprost, 26

Trueplus Lancets 33G Micro Thin, 36

Unilet G.p. Superlite Lancet, 36

Trazamine, 22

Trueplus Safety Lancets 28G, 36

Unilet GP 28 Ultra Thin, 36

trazodone HCL, 22

Truetest Blood Glucose T Est, 37

Unilet Lancet, 36

Treanda, 4

Truetest Blood Glucose T Est Strips, 37

Unilet Superlite Lancet, 36

Trecator, 2

Truetest Strips, 37

Uniretic, 8

Trelstar Depot, 5

Truetrack Blood Glucose Test, 37

Unistik 3 Gentle, 36

Trelstar Depot Mixject, 5

Truetrack Test, 37

Unistrip1 Generic, 37

Trelstar LA, 5

Trusopt, 27

Univasc, 8

Trelstar LA Mixject, 5

Truvada, 3

Universal 1 Lancets Thin 26G, 36

Trelstar Mixject, 5

Tucks Anti-itch, 12

Universal 1 Lancets Ultra Thin 30G, 36

Trental, 21

Tudorza Pressair, 31

Uramaxin, 13

Trepadiclofen-25, 29

Turkel Paracentesis Procedure

Uramaxin GT, 13

Uramaxin GT Kit, 13

Verapamil HCL, 7

Vitafol-pn, 33

urea, 12

verapamil HCL ER, 7

Vital-d RX, 33

urea 40% nail film, 12

verapamil HCL SR, 7

Vitalet Pro Lancets, 36

urea IN zinc undecylenate/lactic acid vehicle, 12

Verdeso, 12

Vitalet Pro Plus Lancets, 36

Veregen, 13

Vitamedmd One RX/Quatrefolic, 33

urea topical, 12

Verelan, 7

Vitamedmd Plus RX/Quatre Folic, 33

Urecholine, 19

Verelan PM, 7

Vitamedmd Redichew RX, 33

Urelle, 19

Veripred 20, 13

Vitamedmd Redichew RX/Quatrefolic, 33

Uretron D/S, 19

Versacloz, 23

vitamin c 222MG, 32

Urex, 19

Vesicare, 19

vitamin d, 32

Uribel, 19

Vexa, 13

vitamin k1, 32

Urimar-t, 19

Vexol, 26

Vitamin K1, 32

Urocit-k 10, 20

Vfend, 3

Vitapearl, 33

Urocit-k 15, 20

Vfend IV, 3

Vitaroca Plus, 33

Urocit-k 5, 20

Viagra, 10

Vituz, 30

Urogesic-blue, 19

Vibativ, 4

Viva CT Prenatal, 33

Uroqid #2, 19

Vibramycin, 2

Viva DHA, 33

Uroxatral, 20

Vicoprofen, 28

Vivactil, 22

Urso 250, 19

Victory Agm-4000 Test Strips, 37

Vivelle-dot, 14

Urso Forte, 19

Victoza, 15

Vivotif Berna, 32

ursodiol, 18

Victrelis, 3

Vocal Point Blood Glucose Test Strips, 37

Utopic, 13

Vida Mia Unilet Lancets Super Thin 30G, 36

Uvadex, 6

Vogelxo, 14

V

Vida Mia Unilet Lancets Ultra Thin 28G, 36

Vogelxo P.M., 14

Voltaren, 11

Vagifem, 19

Vidaza, 5

Voltaren-XR, 29

valacyclovir HCL, 3

Videx EC, 3

Voluven, 21

Valchlor, 4

Videx Pediatric, 3

Vopac, 11

Valcyte, 3

Vigamox, 25

Vopac GB, 11

Valium, 22

Viibryd, 22

Vopac Kt, 11

valproate sodium, 24

Vimizim, 17

Voraxaze, 6

valproic acid, 24

Vimovo, 29

voriconazole, 2

valsartan, 8

Vimpat, 24

Vortex Valved Holding Chamber, 38

valsartan/hydrochlorothiazide, 8

Vinacal, 33

Vosol HC, 27

Valstar, 4

Vinacal B, 33

Vospire ER, 31

Valtrex, 3

Vinate AZ Extra, 33

Votrient, 6

Valumark Lancet Super Thin 30G, 36

Vinate C, 32

Vpriv, 20

Valumark Lancet Ultra Thin 28G, 36

Vinate Calcium, 33

Vsl#3 DS, 17

Vancocin HCL, 4

Vinate Care, 32

Vumon, 5

vancomycin HCL, 4

Vinate DHA, 33

Vusion, 11

Vancomycin HCL, 4

Vinate DHA RF, 33

Vytorin, 9

Vancomycin HCL IN Dextrose, 4

Vinate GT, 32

Vyvanse, 23

Vanos, 12

Vinate IC, 32

W

Vanoxide-HC, 10

Vinate II, 32

Vantas, 5

W&f Lancets 26G, 36

Vinate M, 32

Vaprisol, 17

W&f Lancets Colored 21G, 36

Vinate One, 32

Vaqta, 32

Walgreens Lancets, 36

Vinate Pn Care, 32

Varivax, 32

Walgreens Thin Lancets, 36

Vinblastine Sulfate, 5

Vascepa, 9

Walgreens Ultra Thin Lancets, 36

vincristine sulfate, 5

Vaseretic, 8

warfarin sodium, 20

vinorelbine tartrate, 5

vasopressin, 16

Watchhaler, 38

Viokace, 18

Vasotec, 8

Wavesense Presto Test Strips, 37

Viracept, 3

Vecamyl, 8

Welchol, 9

Viramune, 3

Vectibix, 5

Wellbutrin, 22

Viramune XR, 3

Vectical, 11

Wellbutrin SR, 22

Virasal, 13

vecuronium bromide, 25

Wellbutrin XL, 22

Virazole, 3

Velcade, 6

Westcort, 12

Viread, 3

Veletri, 10

Westhroid, 17

Viroptic, 26

Velphoro, 19

Westhroid-p, 17

Vistaril, 22

Veltin, 10

Wheat Germ, 32

Vistide, 3

Vemavite-prx 2, 33

Wilate, 21

Vita-pren, 33

venlafaxine HCL, 22

Witch Hazel, 13

Vitafol, 33

venlafaxine HCL ER, 22

Wp Thyroid, 17

Vitafol Ultra, 33

Venlafaxine HCL ER, 22

X

Vitafol-nano, 33

Venofer, 20

Vitafol-OB, 32

Xalatan, 26

Ventavis, 10

Vitafol-ob+dha, 33

Xalkori, 6

Ventolin HFA, 31

Vitafol-one, 33

Xanax, 22

Veramyst, 30

Vitafol-plus, 33

Xanax XR, 22

verapamil HCL, 7

Xarelto, 20

Zevalin Y-90, 5

1

Xartemis XR, 28

Ziac, 8

1ST Choice Lancets Super Thin, 36

Xclair, 13

Ziagen, 3

1ST Choice Lancets Thin, 36

Xeljanz, 29

Ziana, 10

1ST Choice Lancets Ultra Thin, 36

Xeloda, 5

zidovudine, 3

8

Xenazine, 24

Zinacef, 1

Xeomin, 25

Zinacef IN Iso-osmotic Dextrose, 1

8-mop, 11

Xerac Ac, 13

Zinacef IN Iso-osmotic Diluent, 1

Xerese, 11

Zinecard, 6

Xgeva, 16

Zioptan, 26

Xifaxan, 4

ziprasidone HCL, 22

Xodol, 28

Zipsor, 29

Xofigo, 6

Zirgan, 26

Xolair, 31

Zithranol, 11

Xolegel, 11

Zithranol-rr, 11

Xolegel Corepak, 11

Zithromax, 1

Xolegel Duo/Head & Shoulders, 11

Zithromax Tri-PAK, 1

Xolegel Duo/Xolex, 11

Zithromax Z-PAK, 1

Xolox, 28

Zmax, 1

Xopenex, 31

Zocor, 9

Xopenex Concentrate, 31

Zofran, 18

Xopenex HFA, 31

Zofran Odt, 18

Xtandi, 5

Zohydro ER, 28

Xylocaine, 7, 13, 29

Zoladex, 5

Xylocaine-mpf, 30

zoledronic acid, 16

Xylocaine-mpf/Epinephrine, 30

Zoledronic Acid, 16

Xylocaine/Epinephrine, 30

Zolinza, 6

Xyntha, 21

zolmitriptan, 29

Xyntha Solofuse, 21

zolmitriptan odt, 29

Xyrem, 24

Zoloft, 22

Xyzal, 30

zolpidem tartrate, 23

Y

zolpidem tartrate ER, 23

Zolpimist, 23

Yasmin 28, 14

Zolvit, 28

Yaz, 14

Zometa, 16

Yervoy, 5

Zomig, 29

Yf-vax, 32

Zomig Nasal Spray, 29

Yodoxin, 3

Zomig ZMT, 29

Z

Zonalon, 11

Zonatuss, 30

Zacare 4% Kit, 10

Zonegran, 24

Zacare 8% Kit, 10

zonisamide, 24

zafirlukast, 31

Zontivity, 21

zaleplon, 23

Zorbtive, 16

Zaltrap, 5

Zortress, 5

Zanaflex, 25

Zorvolex, 28

Zanosar, 4

Zostavax, 32

Zantac, 18

Zosyn, 1

Zarontin, 24

Zovia 1/50e, 14

Zaroxolyn, 9

Zovirax, 3, 11

Zatean-CH, 33

Zubsolv, 28

Zatean-pn, 33

Zuplenz, 18

Zatean-pn DHA, 33

Zutripro, 30

Zatean-pn Plus, 33

Zyclara, 12

Zavesca, 20

Zyclara P.M., 12

Zebeta, 7

Zydelig, 6

Zegerid, 18

Zydone, 28

Zelapar, 24

Zyflo, 31

Zelboraf, 6

Zyflo CR, 31

Zemaira, 31

Zykadia, 6

Zemplar, 17

Zylet, 26

Zemuron, 25

Zyloprim, 29

Zenpep, 18

Zymaxid, 26

Zenzedi, 23

Zyprexa, 23

Zerit, 3

Zyprexa Relprevv, 23

Zestoretic, 8

Zyprexa Zydis, 23

Zestril, 8

Zytiga, 5

Zetia, 9

Zyvox, 4

Zetonna, 30

List of covered drugs - unionhealth.org National Formulary...Generic drugs: Most generic drugs are...

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