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Transcript of Select Formulary Reference Guide - Consolidated … Formulary Reference Guide ... your member...
Select Formulary Reference Guide
Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
Your formulary has a formulary structure which includes most prescription drugs. The formulary structure features medications generics (with the lowest co-payments), preferred and non-preferred brand-name drugs.
• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.
• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.
• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.
Select Formulary Reference Guide
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management
activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary
status of your medication, please visit your member website or call member services at the number listed on your ID card.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.
All OptumTM
trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or
registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
cefotetan
cefoxitin sodium
cefprozil
cefuroxime axetil
January 2017 cefuroxime sodium
PREFERRED
ANTI-INFECTIVES Cefaclor
NON PREFERRED
PENICILLINS
Cefaclor ER
GENERIC
Cefotan
amoxicillin
Cefotetan
amoxicillin/clavulanate potassium
Cefotetan/Dextrose
amoxicillin/clavulanate potassium ER
Cefoxitin Sodium
ampicillin
Ceftin
ampicillin sodium
Cefuroxime Sodium
ampicillin-sulbactam
Zinacef
dicloxacillin sodium
THIRD GENERATION
nafcillin sodium
GENERIC
oxacillin sodium
cefdinir
penicillin v potassium
cefixime
penicillin G potassium
cefotaxime sodium
piperacillin sodium/ tazobactam sodium
cefpodoxime proxetil
piperacillin sodium/tazobactam sodium
ceftazidime
piperacillin/tazobactam
ceftriaxone sodium
Amoxicillin/Clavulanate Potassium
Cefotaxime Sodium
PREFERRED
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin
NON PREFERRED
Ampicillin
Cedax
NON PREFERRED
Cefditoren Pivoxil
Amoxicillin ER
Ceftazidime/Dextrose
Ampicillin Sodium
Ceftibuten
Augmentin
Ceftriaxone Sodium
Augmentin ES-600
Ceftriaxone/Dextrose
Augmentin XR
Claforan
Bactocill IN Dextrose
Claforan/D5W
Bicillin C-R
Fortaz
Bicillin L-a
Rocephin
Moxatag
Spectracef
Nafcillin
Suprax
Nafcillin Sodium
Tazicef
Penicillin G Potassium IN Iso-osmotic Dextrose
FOURTH GENERATION
Penicillin G Procaine
GENERIC
Penicillin G Sodium
cefepime
Pfizerpen-G
NON PREFERRED
Timentin
Cefepime
Unasyn
Cefepime/Dextrose
Unasyn Bulk Pack
Maxipime
Zosyn
MACROLIDES
CEPHALOSPORIN
GENERIC
FIRST GENERATION
azithromycin
GENERIC
clarithromycin
cefadroxil
clarithromycin ER
cefazolin sodium
erythromycin
cephalexin
erythromycin ethylsuccinate
PREFERRED
Azithromycin
Cephalexin
PREFERRED
NON PREFERRED
E.e.s. 400
Ancef
Erythromycin Base
Cefazolin
Erythromycin Ethylsuccinate
Cefazolin Sodium
NON PREFERRED
Cefazolin Sodium/Dextrose
Biaxin
Cefazolin/Dextrose
Dificid
Cefazolin/D5W
E.e.s. Granules
Cefazolin/Sodium Chloride
Ery-TAB
Keflex
Eryped 200
SECOND GENERATION
Eryped 400
GENERIC
Erythrocin Lactobionate
cefaclor
Erythrocin Stearate
Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.
1
PCE GENERIC
Zithromax amikacin sulfate
Zithromax Tri-PAK gentamicin sulfate
Zithromax Z-PAK gentamicin sulfate pediatric
Zmax gentamicin sulfate/0.9% sodium chloride
isotonic gentamicin
TETRACYCLINES neomycin sulfate
paromomycin sulfate
GENERIC
tobramycin
demeclocycline HCL
tobramycin sulfate
doxycycline
Tobramycin
doxycycline hyclate
PREFERRED
doxycycline hyclate DR
Bethkis
doxycycline monohydrate
NON PREFERRED
minocycline HCL
Gentamicin Sulfate/0.9% Sodium Chloride
minocycline HCL ER
Kitabis PAK
tetracycline hydrochloride
Streptomycin Sulfate
Tetracycline HCL
Tobi
NON PREFERRED
Tobi Podhaler
Acticlate
Tobramycin Sulfate
Adoxa
Adoxa PAK 1/100
SULFONAMIDES
Adoxa PAK 1/150
Adoxa PAK 2/100 PREFERRED
Alodox Convenience Kit Sulfadiazine
Avidoxy DK
Benzodox 30 Kit ANTIMYCOBACTERIAL AGENTS
Benzodox 60 Kit
GENERIC
Doryx
ethambutol HCL
Doryx Mpc
isoniazid
Minocin
pyrazinamide
Minocin Kit
rifabutin
Monodox
rifampin
Morgidox 1X100MG
NON PREFERRED
Morgidox 1X50MG Kit
Capastat Sulfate
Morgidox 2X100MG
Cycloserine
Nicazeldoxy 30 Kit
Isoniazid
Nicazeldoxy 60 Kit
Myambutol
Nutridox
Mycobutin
Ocudox
Paser
Solodyn
Priftin
Targadox
Rifadin
Vibramycin
Rifamate
Rifater
QUINOLONES
Sirturo
GENERIC Trecator
ciprofloxacin
ciprofloxacin ER ANTIFUNGALS
ciprofloxacin HCL
GENERIC
ciprofloxacin I.V.-IN D5W
fluconazole
levofloxacin
fluconazole IN dextrose
levofloxacin IN D5W
fluconazole IN NACL
levofloxacin IN 5% dextrose
flucytosine
moxifloxacin HCL
griseofulvin microsize
Ciprofloxacin HCL
griseofulvin ultramicrosize
Ofloxacin
itraconazole
NON PREFERRED
ketoconazole
Avelox
nystatin
Avelox Abc Pack
terbinafine HCL
Cipro
voriconazole
Cipro I.V.-IN D5W
NON PREFERRED
Cipro XR
Abelcet
Ciprofloxacin
Ambisome
Factive
Amphotec
Levaquin
Amphotericin B
Moxifloxacin HCL
Ancobon
Noroxin
Cancidas
Cresemba
AMINOGLYCOSIDES
Diflucan
Eraxis
Effective January 1, 2017
2
Fluconazole IN NACL Tivicay
Grifulvin V Triumeq
Gris-peg Truvada
Lamisil Tybost
Mycamine Videx Pediatric
Noxafil Viracept
Onmel Viread
Sporanox Vitekta
Sporanox Pulsepak Zepatier
Vfend NON PREFERRED
Vfend IV Acyclovir Sodium
Baraclude
ANTIVIRALS Combivir
Copegus
GENERIC
Cytovene
abacavir
Daklinza
abacavir sulfate/lamivudine/zidovudine
Epivir
abacavir/lamivudine
Epivir HBV
acyclovir
Epzicom
acyclovir sodium
Famvir
adefovir dipivoxil
Flumadine
cidofovir
Foscavir
didanosine
Hepsera
entecavir
Moderiba
famciclovir
Moderiba 1200 Dose Pack
ganciclovir
Moderiba 800 Dose Pack
lamivudine
Olysio
lamivudine/zidovudine
Peg-intron
nevirapine
Peg-intron Redipen
nevirapine ER
Peg-intron Redipen PAK 4
ribavirin
Pegintron
rimantadine HCL
Rapivab
stavudine
Rebetol
valacyclovir HCL
Relenza Diskhaler
valganciclovir
Retrovir
valganciclovir hydrochlorde
Ribasphere
zidovudine
Ribasphere Ribapak
Nevirapine
Rimantalist
PREFERRED
Sitavig
Aptivus
Tamiflu
Atripla
Technivie
Complera
Trizivir
Crixivan
Tyzeka
Descovy
Valcyte
Edurant
Valtrex
Emtriva
Victrelis
Epclusa
Videx EC
Evotaz
Viekira PAK
Fuzeon
Viekira XR
Genvoya
Viramune
Harvoni
Viramune XR
Intelence
Virazole
Invirase
Vistide
Isentress
Zerit
Kaletra
Ziagen
Lexiva
Zovirax
Norvir
Odefsey
ANTIMALARIALS
Pegasys
Pegasys Proclick GENERIC
Prezcobix atovaquone/proguanil HCL
Prezista chloroquine phosphate
Rescriptor hydroxychloroquine sulfate
Retrovir IV Infusion mefloquine HCL
Reyataz quinine sulfate
Ribatab Primaquine Phosphate
Selzentry PREFERRED
Sovaldi Daraprim
Stribild NON PREFERRED
Sustiva Aralen
Effective January 1, 2017
3
Coartem First-metronidazole 100
Malarone First-metronidazole 50
Plaquenil First-vancomycin 25
Qualaquin First-vancomycin 50
Flagyl
AMEBICIDES Flagyl ER
Impavido
PREFERRED
Invanz
Yodoxin
Ketek
Lincocin
ANTHELMINTICS
Lincomycin/Lidocaine
GENERIC
Mepron
ivermectin
Meropenem/Sodium Chloride
PREFERRED
Merrem
Biltricide
Metro IV
NON PREFERRED
Neutrexin
Albenza
Orbactiv
Emverm
Pentam 300
Stromectol
Primaxin IV
Primaxin IV Add-vantage
MISC. ANTI-INFECTIVES
Primsol
GENERIC
Sivextro
atovaquone
Sulfamethoxazole/Trimethoprim
aztreonam
Synercid
bacitracin
Tindamax
clindamycin
Tygacil
clindamycin palmitate HCL
Vancocin HCL
clindamycin phosphate
Vancomycin
clindamycin phosphate add-vantage
Vancomycin Hydrochloride
clindamycin phosphate pharmacy bulk package
Vancomycin Hydrochloride/Dextrose
clindamycin phosphate IN D5W
Vancomycin Hydrochloride/NACL
clindamycin HCL
Vancomycin Hydrochloride/Sodium Chloride
colistimethate sodium
Vancomycin HCL
dapsone
Vancomycin HCL + Syrspendsf PH4
daptomycin
Vancomycin HCL IN Dextrose
imipenem/cilastatin
Vibativ
lincomycin HCL
Xifaxan
linezolid
Zerbaxa
meropenem
Zyvox
metronidazole
metronidazole IN NACL 0.79%
ANTINEOPLASTICS, ETC
polymyxin b sulfate
ALKYLATING AGENTS
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim DS GENERIC
tinidazole carboplatin
trimethoprim cisplatin
vancomycin HCL cyclophosphamide
Linezolid ifosfamide
PREFERRED melphalan hydrochloride
Alinia oxaliplatin
Nebupent temozolomide
NON PREFERRED Lomustine
Avycaz PREFERRED
Azactam Alkeran
Azactam IN Iso-osmotic Dextrose Bicnu
Bactrim Busulfex
Bactrim DS Hexalen
Cayston Leukeran
Chloramphenicol Sodium Succinate Mustargen
Cleocin Myleran
Cleocin IN D5W Treanda
Cleocin Pediatric Granules Zanosar
Cleocin Phosphate NON PREFERRED
Clin Single Use Kit Bendeka
Clindamycin Phosphate Cisplatin
Coly-mycin M Cyclophosphamide
Cubicin Eloxatin
Cubicin RF Evomela
Dalvance Gleostine
Doribax Gliadel Wafer
Effective January 1, 2017
4
Ifex ANGIOGENESIS INHIBITORS
Ifosfamide
PREFERRED
Temodar
Avastin
Thiotepa
Zaltrap
Valchlor
NON PREFERRED
Yondelis
Cyramza
ANTIBIOTICS
ANTIBODIES
GENERIC
PREFERRED
bleomycin sulfate
Adcetris
daunorubicin HCL
Arzerra
doxorubicin HCL
Erbitux
doxorubicin HCL liposome
Herceptin
epirubicin HCL
Perjeta
idarubicin HCL
Yervoy
mitomycin
NON PREFERRED
mitoxantrone HCL
Blincyto
Doxorubicin HCL
Darzalex
Mitomycin
Empliciti
PREFERRED
Gazyva
Daunoxome
Kadcyla
NON PREFERRED
Keytruda
Bleo 15k
Opdivo
Cosmegen
Portrazza
Doxil
Rituxan
Ellence
Tecentriq
Idamycin PFS
Unituxin
Vectibix
ANTINEOPLASTIC ENZYMES
Zevalin Y-90
PREFERRED
Oncaspar HORMONAL AGENTS
NON PREFERRED
GENERIC
Erwinaze
anastrozole
bicalutamide
ANTIMETABOLITES
exemestane
GENERIC flutamide
azacitidine letrozole
capecitabine leuprolide acetate
cladribine megestrol acetate
cytarabine nilutamide
cytarabine aqueous tamoxifen citrate
decitabine Hydroxyprogesterone Caproate
fludarabine phosphate PREFERRED
fluorouracil Emcyt
gemcitabine Fareston
gemcitabine HCL Faslodex
mercaptopurine Lupron Depot
methotrexate Lysodren
methotrexate sodium Zoladex
Floxuridine NON PREFERRED
Methotrexate Sodium Arimidex
PREFERRED Aromasin
Alimta Casodex
Arranon Depo-provera
Clolar Eligard
Folotyn Femara
Tabloid Firmagon
NON PREFERRED Megace Oral
Cytarabine Aqueous Nilandron
Dacogen Soltamox
Fludara Trelstar
Gemzar Trelstar Mixject
Purinethol Vantas
Purixan Xtandi
Trexall Zytiga
Vidaza
Xeloda IMMUNOMODULATORS
GENERIC
azathioprine
Effective January 1, 2017
5
cyclosporine Torisel
cyclosporine modified Tykerb
mycophenolate mofetil Velcade
mycophenolic acid DR Xalkori
sirolimus Zolinza
tacrolimus NON PREFERRED
Azathioprine Afinitor Disperz
PREFERRED Alecensa
Atgam Beleodaq
Cellcept Intravenous Bosulif
Thalomid Cabometyx
NON PREFERRED Cometriq
Astagraf XL Cotellic
Azasan Farydak
Cellcept Gilotrif
Cyclosporine Modified Gleevec
Envarsus XR Ibrance
Imuran Iclusig
Myfortic Imbruvica
Neoral Inlyta
Nulojix Iressa
Pomalyst Lenvima 10 MG Daily Dose
Prograf Lenvima 14 MG Daily Dose
Rapamune Lenvima 18 MG Daily Dose
Revlimid Lenvima 20 MG Daily Dose
Sandimmune Lenvima 24 MG Daily Dose
Simulect Lenvima 8 MG Daily Dose
Thymoglobulin Lynparza
Zortress Ninlaro
Stivarga
MITOTIC INHIBITORS Sutent
Tagrisso
GENERIC
Tarceva
docetaxel
Tasigna
etoposide
Votrient
paclitaxel
Zelboraf
vincristine sulfate
Zydelig
vinorelbine tartrate
Zykadia
PREFERRED
Abraxane
TOPOISOMERASE I INHIBITOR
Etoposide
Halaven GENERIC
Ixempra Kit irinotecan
Jevtana irinotecan HCL
NON PREFERRED topotecan HCL
Docefrez NON PREFERRED
Docetaxel Camptosar
Docetaxel (non-alcohol Formula) Hycamtin
Etopophos Irinotecan
Marqibo Onivyde
Navelbine Topotecan HCL
Paclitaxel
Taxotere RADIOPHARMACEUTICALS
Teniposide
PREFERRED
Vinblastine Sulfate
Xofigo
NON PREFERRED
ENZYME INHIBITORS
Metastron
GENERIC Quadramet
imatinib mesylate
PREFERRED CELLULAR IMMUNOTHERAPY
Afinitor
PREFERRED
Caprelsa
Provenge
Istodax
Istodax (overfill)
ANTINEOPLASTICS MISC.
Jakafi
GENERIC
Kyprolis
bexarotene
Mekinist
dacarbazine
Nexavar
hydroxyurea
Sprycel
tretinoin
Tafinlar
Effective January 1, 2017
6
PREFERRED nitroglycerin
Actimmune nitroglycerin lingual
Alferon N nitroglycerin transdermal
Matulane nitroglycerin ER
Proleukin nitroglycerin IN dextrose 5%
Theracys nitroglycerin IN 5% dextrose
Tice Bcg Nitroglycerin Lingual
Trisenox PREFERRED
NON PREFERRED Dilatrate SR
Dacarbazine Isosorbide Dinitrate ER
Hydrea Nitro-bid
Intron A Nitro-dur
Intron A W/Diluent Ranexa
Nipent NON PREFERRED
Photofrin Gonitro
Sylatron Imdur
Synribo Isordil Titradose
Targretin Nitroglycerin
Uvadex Nitroglycerin IN Dextrose 5%
Nitrolingual Pumpspray
CHEMOTHERAPY RESCUE Nitromist
Nitronal
GENERIC
Nitrostat
amifostine
dexrazoxane
BETA BLOCKERS
leucovorin calcium
levoleucovorin GENERIC
levoleucovorin calcium acebutolol HCL
mesna atenolol
PREFERRED betaxolol HCL
Leucovorin Calcium bisoprolol fumarate
NON PREFERRED carvedilol
Ethyol esmolol HCL
Fusilev labetalol HCL
Levoleucovorin metoprolol succinate ER
Mesnex metoprolol tartrate
Totect nadolol
Voraxaze pindolol
Zinecard propranolol HCL
propranolol HCL ER
CHEMOTHERAPY ADJUNCTS sotalol HCL
sotalol HCL (AF)
PREFERRED
Metoprolol Tartrate
Kepivance
PREFERRED
NON PREFERRED
Bystolic
Elitek
Propranolol HCL
Timolol Maleate
ANTINEOPLASTIC COMBO
NON PREFERRED
NON PREFERRED
Betapace
Lonsurf
Betapace AF
Brevibloc
CARDIOVASCULAR DRUGS
Coreg
PHOSPHODIESTERASE INHBTR
Coreg CR
GENERIC
Corgard
milrinone lactate
Esmolol HCL
milrinone IN dextrose
Hemangeol
Hypertenevide-12.5
CARDIAC GLYCOSIDES
Inderal LA
GENERIC
Inderal XL
digoxin
Innopran XL
PREFERRED
Kerlone
Lanoxin
Levatol
NON PREFERRED
Lopressor
Digoxin
Sectral
Lanoxin Pediatric
Sotalol Hydrochloride
Sotylize
ANTIANGINAL AGENTS
Tenormin
GENERIC
Toprol XL
isosorbide dinitrate
Trandate
isosorbide mononitrate
Zebeta
isosorbide mononitrate ER
Effective January 1, 2017
7
CALCIUM CHANNEL BLOCKERS Norpace
Procainamide HCL
GENERIC
Quinidine Gluconate
amlodipine besylate
Rythmol
diltiazem CD
Rythmol SR
diltiazem HCL
Tikosyn
diltiazem HCL CD
Xylocaine
diltiazem HCL ER
felodipine ER
ACE INHIBITORS
isradipine
nicardipine HCL GENERIC
nifedipine benazepril HCL
nifedipine ER captopril
nimodipine enalapril maleate
nisoldipine enalaprilat
verapamil HCL fosinopril sodium
verapamil HCL ER lisinopril
verapamil HCL SR moexipril HCL
NON PREFERRED perindopril erbumine
Adalat CC quinapril HCL
Calan ramipril
Calan SR trandolapril
Cardene IV NON PREFERRED
Cardizem Accupril
Cardizem CD Aceon
Cardizem LA Altace
Cleviprex Epaned
Diltiazem Hydrochloride/Sodium Chloride Lotensin
Diltiazem HCL Mavik
Hypertenipine-2.5 Prinivil
Nisoldipine Qbrelis
Nisoldipine ER Univasc
Norvasc Vasotec
Nymalize Zestril
Procardia
Procardia XL ANGIOTENSIN RCPTR BLOCKER
Sular
GENERIC
Tiazac
candesartan cilexetil
Verelan
irbesartan
Verelan PM
losartan potassium
telmisartan
ANTIARRHYTHMICS
valsartan
GENERIC Eprosartan Mesylate
adenosine PREFERRED
amiodarone HCL Benicar
disopyramide phosphate NON PREFERRED
dofetilide Atacand
flecainide acetate Avapro
ibutilide fumarate Cozaar
lidocaine HCL Diovan
lidocaine HCL IN D5W Edarbi
lidocaine HCL/dextrose Micardis
mexiletine HCL Teveten
propafenone HCL
propafenone HCL ER DIRECT RENIN INHIBITORS
quinidine gluconate CR
PREFERRED
quinidine gluconate ER
Tekturna
quinidine sulfate
Amiodarone HCL
ANTIHYPERTENSIVES MISC.
Quinidine Sulfate ER
GENERIC
PREFERRED
clonidine HCL
Norpace CR
doxazosin
Quinidine Sulfate
doxazosin mesylate
NON PREFERRED
eplerenone
Adenocard
fenoldopam mesylate
Cordarone
guanfacine HCL
Corvert
hydralazine HCL
Lidocaine HCL
methyldopa
Multaq
minoxidil
Nexterone
phenoxybenzamine hydrochloride
Effective January 1, 2017
8
prazosin HCL Hyzaar
terazosin HCL Lopressor HCT
PREFERRED Lotensin HCT
Reserpine Lotrel
NON PREFERRED Lytensopril Kit
Cardura Lytensopril-90 Kit
Catapres Micardis HCT
Catapres-tts-1 Prestalia
Catapres-tts-2 Tarka
Catapres-tts-3 Tekamlo
Corlopam Tenoretic 100
Demser Tenoretic 50
Dibenzyline Teveten HCT
Inspra Twynsta
Methyldopate HCL Vaseretic
Minipress Zestoretic
Nitropress Ziac
Phentolamine Mesylate
Tenex DIURETICS
Vecamyl
GENERIC
acetazolamide
ANTIHYPERTENSIVE COMBO
acetazolamide sodium
GENERIC acetazolamide ER
amlodipine besylate/benazepril hydrochloride amiloride HCL
amlodipine besylate/benazepril HCL amiloride/hydrochlorothiazide
amlodipine besylate/valsartan bumetanide
amlodipine/valsartan/hctz chlorothiazide
atenolol/chlorthalidone chlorothiazide sodium
benazepril HCL/hydrochlorothiazide chlorthalidone
bisoprolol fumarate/hydrochlorothiazide ethacrynate sodium
candesartan cilexetil/hydrochlorothiazide ethacrynic acid
enalapril maleate/hydrochlorothiazide furosemide
fosinopril sodium/hydrochlorothiazide hydrochlorothiazide
irbesartan/hydrochlorothiazide indapamide
lisinopril/hydrochlorothiazide mannitol
losartan potassium/hydrochlorothiazide methazolamide
metoprolol/hydrochlorothiazide metolazone
moexipril/hydrochlorothiazide spironolactone
nadolol/bendroflumethiazide spironolactone/hydrochlorothiazide
quinapril/hydrochlorothiazide torsemide
telmisartan/amlodipine triamterene/hydrochlorothiazide
telmisartan/hydrochlorothiazide Acetazolamide
trandolapril/verapamil HCL Chlorothiazide
trandolapril/verapamil HCL ER Chlorthalidone
valsartan/hydrochlorothiazide Triamterene/Hydrochlorothiazide
PREFERRED PREFERRED
Amlodipine/Olmesartan Medoxomil Furosemide
Azor Methyclothiazide
Benicar HCT NON PREFERRED
Captopril/Hydrochlorothiazide Aldactazide
Dutoprol Aldactone
Methyldopa/Hydrochlorothiazide Bumex
Metoprolol Succinate ER/Hydrochlorothiazide Demadex
Propranolol/Hydrochlorothiazide Diamox
Tekturna HCT Diuril
Tribenzor Dyazide
NON PREFERRED Dyrenium
Accuretic Edecrin
Amturnide Keveyis
Atacand HCT Lasix
Avalide Maxzide
Byvalson Maxzide-25
Clorpres Microzide
Corzide Neptazane
Diovan HCT Sodium Diuril
Edarbyclor Sodium Edecrin
Exforge Torsemide
Exforge HCT Zaroxolyn
Hypertensolol
Effective January 1, 2017
9
VASOPRESSORS Vytorin
Welchol
GENERIC
NON PREFERRED
dobutamine HCL
Advicor
dobutamine HCL/D5W
Altoprev
dobutamine/dextrose 5%
Antara
dopamine HCL
Colestid
dopamine HCL-dextrose 5%
Colestid Flavored
dopamine HCL/dextrose 5%
Crestor
dopamine/D5W
Fenoglide
ephedrine sulfate
Juxtapid
midodrine HCL
Kynamro
norepinephrine bitartrate
Lescol
phenylephrine HCL
Lescol XL
PREFERRED
Lipitor
Epipen 2-PAK
Livalo
Epipen-JR 2-PAK
Lofibra
NON PREFERRED
Lopid
Adrenaclick
Lovaza
Adrenalin
Mevacor
Adyphren II
Niaspan
Adyphren Kit
Omega-3/D-3 Wellness Pack
Akovaz
Pravachol
Auvi-q
Questran
Dopamine HCL
Questran Light
Ephedrine Sulfate
Repatha
Ephedrine Sulfate/Sodium Chloride
Repatha Pushtronex System
Epinephrine
Repatha Sureclick
Epinephrine HCL
Tricor
Episnap
Triglide
Epy II Kit
Trilipix
Epy Kit
Zetia
Levophed
Zocor
Norepinephrine Bitartrate/Dextrose
Norepinephrine Bitartrate/Sodium Chloride
CARDIOVASCULAR - MISC.
Norepinephrine/Sodium Chloride
Northera GENERIC
Phenylephrine Hydrochloride/Dextrose amlodipine besylate/atorvastatin calcium
Phenylephrine HCL epoprostenol sodium
Phenylephrine HCL/Sodium Chloride papaverine HCL
Phenylephrine/Sodium Chloride sildenafil
Vazculep sildenafil citrate
PREFERRED
ANTIHYPERLIPIDEMICS Adempas
Cialis
GENERIC
Letairis
atorvastatin calcium
Opsumit
cholestyramine
Remodulin
cholestyramine light
Tracleer
colestipol HCL
Veletri
fenofibrate
Viagra
fenofibrate micronized
NON PREFERRED
fenofibric acid DR
Adcirca
fluvastatin
Bidil
fluvastatin sodium ER
Caduet
gemfibrozil
Corlanor
lovastatin
Entresto
niacin ER
Flolan
omega-3-acid ethyl esters
Levitra
pravastatin sodium
Muse
rosuvastatin calcium
Natrecor
simvastatin
Orenitram
Fenofibrate
Revatio
Fenofibric Acid
Staxyn
PREFERRED
Stendra
Fibricor
Tyvaso
Lipofen
Tyvaso Refill
Niacor
Tyvaso Starter
Praluent
Uptravi
Simcor
Ventavis
Vascepa
Effective January 1, 2017
10
DERMATOLOGICALS Inova 8/2 Acne Control Therapy
Klaron
ACNE PRODUCTS
Neuac Kit
GENERIC
Nuox
adapalene
Onexton
adapalene P.M.
Plexion
benzoyl peroxide
Plexion Cleanser
benzoyl peroxide SHORT contact
Plexion Cleansing Cloths
clindamycin phosphate
Prascion Ra With Sunscreens
clindamycin phosphate/tretinoin
Retin-a
clindamycin/benzoyl peroxide
Retin-a Micro
erythromycin
Retin-a Micro P.M.
erythromycin/benzoyl peroxide
Riax
sodium sulfacetamide
Rosula
sodium sulfacetamide/sulfur
Sodium Sulfacetamide/Sulfur
sodium sulfacetamide/sulfur cleanser
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
sodium sulfacetamide/sulfur cleansing cloths
Sodium Sulfacetamide/Sulfur IN Urea
sodium sulfacetamide/sulfur green
Sulfoam
sodium sulfacetamide/sulfur w/sunscreen
Sumadan Kit
sodium sulfacetamide/sulfur wash
Sumadan Wash
sulfacetamide sodium
Sumadan XLT
sulfacetamide sodium/sulfur
Sumaxin
sulfacetamide sodium/sulfur cleanser
Sumaxin CP Kit
tretinoin
Sumaxin Ts
tretinoin microsphere
Sumaxin Wash
tretinoin microsphere P.M.
Tretin-x
PREFERRED
Triseon
Clindagel
Vanoxide-HC
Retinoic Acid
Veltin
Retinoic Acid-all Trans
Zacare 4% Kit
Tretinoin
Zacare 8% Kit
Tretinoin (all-trans Retinoic Acid)
Ziana
NON PREFERRED
Absorica
ROSACEA AGENTS
Acanya
GENERIC
Aczone
metronidazole
Adapalene
Doxycycline
Akne-mycin
PREFERRED
Atralin
Mirvaso
Avar
Soolantra
Avar LS
NON PREFERRED
Avar LS Cleanser
Finacea
Avar-e LS
Metrocream
Azelex
Metrogel
Benzac Ac Wash
Metrolotion
Benzaclin
Noritate
Benzaclin With P.M.
Oracea
Benzamycin
Rosadan Kit
Benzamycinpak
Benzefoam
ANALGESICS - TOPICAL
Benzefoam Ultra
NON PREFERRED
Benzefoamultra
A.a.g.c. Kit IN Teroderm
Benziq
Baclofen
Benziq LS
Equipto-baclofen
Clarifoam EF
Cleocin-t
ANTIBIOTICS - TOPICAL
Clindacin Etz
Clindacin PAC GENERIC
Clindap-t mupirocin
Clinoin mupirocin calcium
Dermapak Plus PREFERRED
Differin Centany
Duac Gentamicin Sulfate
Epiduo NON PREFERRED
Epiduo Forte Altabax
Erygel Bactroban
Evoclin Centany AT
Fabior Cortisporin
Inova Neo-synalar
Inova 4/1 Acne Control Therapy Neo-synalar Kit
Effective January 1, 2017
11
ANTIFUNGALS - TOPICAL Dsg PAK
Emvoren
GENERIC
Equipto-naproxen
ciclopirox
Extardol
ciclopirox nail lacquer
Flector
ciclopirox olamine
Innoprax-5
clotrimazole
K.b.g.l. IN Teroderm Cream
clotrimazole/betamethasone dipropionate
Ketophene Rapidpaq
econazole nitrate
Ketorolac 2% Gel
ketoconazole
Lidoprofen
naftifine hydrochloride
Novoclair
nystatin
Nuvya
nystatin/triamcinolone
Pennsaid
oxiconazole nitrate
Voltaren
PREFERRED
Vopac
Ala-quin
Vopac GB
Exoderm
Vopac Kt
NON PREFERRED
Xrylix
Ciclodan Cream Kit
Zyvodol
Ciclodan Solution Kit
Cnl8 Nail Kit
ANTIPRURITICS
Dermacinrx Therazole PAK
Ecoza GENERIC
Ertaczo Doxepin Hydrochloride
Exelderm NON PREFERRED
Extina Prudoxin
Halotin Zonalon
Jublia
Kerydin ANTIPSORIATICS
Ketodan Kit
GENERIC
Loprox
acitretin
Loprox Shampoo
calcipotriene
Lotrisone
methoxsalen
Luzu
Calcitriol
Mentax
PREFERRED
Naftifine HCL
Anthralin
Naftin
Dritho-creme HP
Nizoral
Stelara
Nyata
Vectical
Oxistat
NON PREFERRED
Pediaderm AF Complete Kit
Cosentyx
Penlac Nail Lacquer
Cosentyx Sensoready Pen
Recura
Dovonex
Vusion
Oxsoralen Ultra
Xolegel
Soriatane
Xolegel Corepak
Sorilux
Xolegel Duo/Head & Shoulders
Taltz
Xolegel Duo/Xolex
Tazorac
Zithranol
ANTIVIRALS - TOPICAL
Zithranol-rr
GENERIC 8-mop
acyclovir
NON PREFERRED ANTISEBORRHEIC AGENTS
Denavir
GENERIC
Lidovir
selenium sulfide
Xerese
sodium sulfacetamide
Zovirax
sodium sulfacetamide wash
NON PREFERRED
ANTIHISTAMINES-TOPICAL
Glycolic Acid
NON PREFERRED Glycolic Acid 70% High Purity
Allo-pax Ovace Plus
Nazirex Ovace Plus Wash
Ovace Wash
ANTI-INFLAMMATORY AGENTS Promiseb
Promiseb Complete
GENERIC
Selrx
diclofenac sodium
Tersi Foam
NON PREFERRED
TL Triseb
Dermacinrx Lexitral Pharmapak
Diclofenac Sodium
Dipentocaine
Effective January 1, 2017
12
CORTICOSTEROIDS - TOPICAL Olux-e
Pandel
GENERIC
Pediaderm HC
alclometasone dipropionate
Pediaderm Ta
augmented betamethasone dipropionate
Rrb PAK
betamethasone dipropionate
Scalacort DK
betamethasone valerate
Sernivo
calcipotriene/betamethasone dipropionate
Silazone Pharmapak
clobetasol propionate
Silazone-II
clobetasol propionate emollient
Synalar
desonide
Synalar Cream Kit
desoximetasone
Synalar Ointment Kit
fluocinolone acetonide
Synalar Ts
fluocinonide
Taclonex
fluocinonide-e
Temovate
flurandrenolide
Temovate E
fluticasone propionate
Texacort
halobetasol propionate
Topicort
hydrocortisone
Triamsil Combipak
hydrocortisone butyrate
Trianex
hydrocortisone butyrate (lipid)
Triderma Forte
hydrocortisone butyrate (lipophilic)
Ultravate
hydrocortisone valerate
Ultravate X
hydrocortisone IN absorbase
Validerm
mometasone furoate
Vanos
prednicarbate
Verdeso
triamcinolone acetonide
Westcort
Amcinonide
Xilapak
Desoximetasone
Diflorasone Diacetate
IMMUNOMODULATING AGENTS
PREFERRED
Pramosone GENERIC
NON PREFERRED imiquimod
Aclovate tacrolimus
Advanced Allergy Collection Kit PREFERRED
Ala Scalp Elidel
Capex NON PREFERRED
Clobex Aldara
Clocortolone Pivalate Protopic
Clocortolone Pivalate P.M. Zyclara
Clodan Kit Zyclara P.M.
Cloderm
Cloderm P.M. DERMATOLOGICALS - MISC.
Cordran
GENERIC
Cordran Tape
ammonium lactate
Cutivate
episone CRE
Derma-smoothe/FS Body
lactic acid
Derma-smoothe/FS Scalp
lactic acid e
Dermasorb HC
lactic acid w/vitamin e
Dermasorb Ta
lidocaine
Dermatop
lidocaine HCL
Dermazone
lidocaine HCL jelly
Desonate
lidocaine-prilocaine-cream base
Desowen
lidocaine/prilocaine
Diprolene
lindane
Diprolene AF
malathion
Elocon
permethrin
Enstilar
podofilox
Epifoam
salicylic acid
First-hydrocortisone
salicylic acid cream
Halog
salicylic acid lotion
Kenalog
salicylic acid ER
Locoid
sodium hyaluronate
Locoid Lipocream
urea
Luxiq
urea topical
Micort-HC
urea IN zinc undecylenate/lactic acid vehicle
Noxipak
urea 40% nail film
Nucort
PREFERRED
Nuzon
Drysol
Olux
Eurax
Effective January 1, 2017
13
Lindane Lidothol
NON PREFERRED Lidotral
Accucaine Lycelle
Acuicyn Daily Eyelid & Eyelash Cleanser Mb Hydrogel
Alevicyn Antipruritic SG Medi-derm/L-RX
Aluvea Megrix
Anacaine Natroba
Arnica Flower Neosalus
Astero Neosalus CP
Atopiclair Neuvaxin
Aurstat Anti-itch Hydrogel Nivatopic Plus
Aurstat Anti-itch Hydrogel Kit Nusrugepak Surgical Prep/Carepak
Avenova Nuvail
Avenova/Neutrox Ovide
Benzoin Compound Tincture Oxsoralen
Benzoin Tincture Pliaglis
Boric Acid Pr Cream
Ceracade Presera
Coal TAR Pruclair
Cocaine HCL Prumyx
Condylox Pyrogallic Acid
Copasil Qutenza
Dermacinrx Clorhexacin Relyyks
Dermacinrx Duopatch Pharmapak Relyyt
Dermacinrx Neurotral Pharmapak Salex
Dermacinrx Phn PAK Salex Cream
Dermacinrx Surgical Pharmapak Salex Lotion
Dermacinrx Zrm PAK Salicylic Acid
Dermasorb XM Salicylic Acid IN Ammonium Lactate Vehicle
Dermawerx Surgical Plus PAK Salvax
Dermazyl Salvax Duo Plus
Eletone Scar Patch
Eletone Twinpack Sebuderm
Elimite Sinelee
Emla Sklice
Emulsion SB Solaice
Entty Spray Emulsion Soothee
Epiceram Spinosad
Ethyl Chloride Sulfurated Lime
Ethyl Chloride/Fine Pinpoint Supracil
Ethyl Chloride/Fine Stream Synera
Ethyl Chloride/Medium Jet Stream Tetrix
Ethyl Chloride/Medium Stream Tropazone
Ethyl Chloride/Mist Ulesfia
Gebauers Pain Ease Ultrasal-ER
Gebauers Spray And Stretch Umecta
Genadur Umecta Nail Film
Genadur Kit Umecta PD
Gordofilm Uramaxin
Gordons Urea Uramaxin GT
Hydro 35 Uramaxin GT Kit
Hydro 40 Foam Utopic
Hylatopic Veinpuncture Px1 Phlebotomy System
Hylatopic Plus Venipuncture Cpi
Hylira Veregen
HPR Verrunex
HPR Plus Vexa
HPR Plus Hydrogel Kit Virasal
HPR Plus/Mb Hydrogel Xerac Ac
IV Infusion Cpi Xeralux
Keralac Xylocaine
Keralyt
Keralyt Scalp ENDOCRINE AND METABOLIC
Lac-hydrin
CORTICOSTEROIDS
Latrix XM
GENERIC
Ldo Plus
betamethasone sodium phosphate/betamethasone acetate
Lido-RX 4.1
Lidocaine And Tetracaine Cream
budesonide
Lidocaine HCL
dexamethasone
Lidoderm
Effective January 1, 2017
14
dexamethasone sodium phosphate Triamcinolone/Lidocaine
fludrocortisone acetate Triloan II Suik
hydrocortisone Triloan Suik
methylprednisolone Uceris
methylprednisolone acetate Veripred 20
methylprednisolone dose pack
methylprednisolone sodiumsuccinate ANDROGENS-ANABOLIC
prednisolone
GENERIC
prednisolone sodium phosphate
danazol
prednisolone sodium phosphate odt
methyltestosterone
prednisone
oxandrolone
Dexamethasone Sodium Phosphate
testosterone
PREFERRED
testosterone cypionate
Cortisone Acetate
testosterone enanthate
Dexamethasone
testosterone P.M.
Medrol
Testosterone
Millipred
Testosterone P.M.
Prednisone
PREFERRED
Prednisone Intensol
Androderm
NON PREFERRED
Androgel P.M.
Aristospan Intra-articular
Androxy
Betalido
NON PREFERRED
Betaloan Suik
Anadrol-50
Betamethasone SP
Androgel
Celestone-soluspan
Android
Cortef
Aveed
Depo-medrol
Axiron
Dermacinrx Cinlone-i Cpi
Depo-testosterone
Dexamethasone Intensol
First-testosterone
Dexlido
First-testosterone Mc Compounding Kit
Dexlido-m
Fortesta
Dexpak 10 Day
Natesto
Dexpak 13 Day
Oxandrin
Dexpak 6 Day
Striant
Doubledex
Testim
Dyural-l
Testone Cik
Dyural-lm
Testopel
Dyural-40
Testred
Dyural-80
Vogelxo
Entocort EC
Vogelxo P.M.
Interarticular Joint Kit
Kenalog-10
ESTROGENS
Kenalog-40
GENERIC
LT Injection Kit
estradiol
Marbeta-l
estradiol valerate
Marbeta-25
estradiol/norethindrone acetate
Mardex-25
norethindrone acetate/ethinyl estradiol
Medrol Dosepak
Estropipate
Medroloan II Suik
PREFERRED
Medroloan Suik
Climara Pro
Methylprednisolone
Duavee
Methylprednisolone PF
Menest
Methylprednisolone/Lidocaine
Premphase
Millipred DP
Prempro
Mlk F4 Kit
NON PREFERRED
Mlp A-2
Activella
Orapred Odt
Alora
Pediapred
Angeliq
Prednisolone Sodium Phosphate
Biest/Progesterone
Pro-c-dure 5 Kit
Climara
Pro-c-dure 6 Kit
Combipatch
Rayos
Delestrogen
Readysharp-k
Depo-estradiol
Readysharp-p40
Divigel
Readysharp-p80
Elestrin
Solu-cortef
Enjuvia
Solu-medrol
Estrace
Triamcinolone
Estradiol
Triamcinolone Acetonide PF
Estrogel
Triamcinolone PF
Effective January 1, 2017
15
Evamist megestrol acetate
Femhrt Low Dose norethindrone acetate
Menostar progesterone
Minivelle PREFERRED
Prefest Makena
Premarin NON PREFERRED
Vivelle-dot Aygestin
Medroxyprogesterone/Lidocaine
CONTRACEPTIVES Megace ES
Progesterone 10% Kit
GENERIC
Prometrium
desogestrel/ethinyl estradiol
Provera
drospirenone/ethinyl estradiol
drospirenone/ethinyl estradiol/levomefolate calcium
ANTIDIABETIC AGENTS
levonorgestrel
levonorgestrel and ethinyl estradiol INSULIN
levonorgestrel/ethinyl estradiol PREFERRED
norethindrone Humalog
norethindrone & ethinyl estradiol ferrous fumarate Humalog Kwikpen
norethindrone acetate/ethinyl estradiol Humalog Mix 50/50
norethindrone acetate/ethinyl estradiol/ferrous fumarate Humalog Mix 50/50 Kwikpen
norgestimate/ethinyl estradiol Humalog Mix 75/25
Levonorgestrel Humalog Mix 75/25 Kwikpen
PREFERRED Humulin N
Natazia Humulin N Kwikpen
Necon 1/50-28 Humulin R
Necon 10/11-28 Humulin R U-500 (concentrated)
Norinyl 1+50 Humulin R U-500 Kwikpen
Nuvaring Humulin 70/30
Zovia 1/50e Humulin 70/30 Kwikpen
NON PREFERRED Lantus
Beyaz Lantus Solostar
Brevicon-28 Levemir
Cyclessa Levemir Flextouch
Desogen Novolin N
Ella Novolin N Relion
Estrostep FE Novolin R
Falessa Novolin R Relion
Femcon FE Novolin 70/30
Generess FE Novolin 70/30 Relion
Loestrin FE 1.5/30 Novolog
Loestrin FE 1/20 Novolog Flexpen
Loestrin 1.5/30-21 Novolog Mix 70/30
Loestrin 1/20-21 Novolog Mix 70/30 Prefilled Flexpen
Loseasonique Novolog Penfill
LO Loestrin FE Toujeo Solostar
Minastrin 24 FE NON PREFERRED
Mircette Afrezza
Modicon Apidra
Nor-QD Apidra Solostar
Norinyl 1+35 Tresiba Flextouch
Ortho Micronor AMYLIN ANALOGS
Ortho Tri-cyclen NON PREFERRED
Ortho Tri-cyclen LO Symlinpen 120
Ortho-cept Symlinpen 60
Ortho-cyclen INCRETIN MIMETIC AGENTS
Ortho-novum 1/35 PREFERRED
Ortho-novum 7/7/7 Bydureon
Ovcon-35 Bydureon Pen
Quartette Byetta
Safyral Trulicity
Seasonique Victoza
Taytulla NON PREFERRED
Tri-norinyl 28 Tanzeum
Yasmin 28 SULFONYLUREAS
Yaz GENERIC
glimepiride
PROGESTINS glipizide
glipizide ER
GENERIC
glyburide
medroxyprogesterone acetate
glyburide micronized
Effective January 1, 2017
16
tolazamide Repaglinide/Metformin Hydrochloride
Glyburide PREFERRED
Tolazamide Invokamet
PREFERRED Invokamet XR
Chlorpropamide Janumet
Diabeta Janumet XR
Tolbutamide Jentadueto
NON PREFERRED Jentadueto XR
Amaryl Synjardy
Glucotrol NON PREFERRED
Glucotrol XL Actoplus Met
Glynase Actoplus Met XR
BIGUANIDES Appformin
GENERIC Appformin-d
metformin HCL Avandamet
metformin HCL ER Avandaryl
NON PREFERRED Duetact
Fortamet Glucovance
Glucophage Glyxambi
Glucophage XR Kazano
Glumetza Kombiglyze XR
Riomet Oseni
MEGLITINIDE ANALOGUES Prandimet
GENERIC Xigduo XR
nateglinide
repaglinide BISPHOSPHONATES
NON PREFERRED
GENERIC
Prandin
alendronate sodium
Starlix
ibandronate sodium
DIABETIC OTHER
pamidronate disodium
PREFERRED
risedronate sodium
Glucagen Hypokit
risedronate sodium DR
Glucagon Emergency Kit
zoledronic acid
Invokana
PREFERRED
Jardiance
Alendronate Sodium
Proglycem
NON PREFERRED
NON PREFERRED
Actonel
Cycloset
Atelvia
Farxiga
Binosto
Korlym
Boniva
ALPHA-GLUCOSIDASE INHIBIT
Etidronate Disodium
GENERIC
Fosamax
acarbose
Fosamax Plus D
miglitol
Pamidronate Disodium
NON PREFERRED
Reclast
Glyset
Zoledronic Acid
Precose
Zometa
DPP-4 INHIBITORS
GENERIC
CALCITONINS
Alogliptin
GENERIC
PREFERRED
calcitonin salmon
Januvia
calcitonin-salmon
Tradjenta
NON PREFERRED
NON PREFERRED
Fortical
Nesina
Miacalcin
Onglyza
INSULIN SENSITIZING AGENT
PARATHYROID HORMONE
GENERIC
PREFERRED
pioglitazone HCL
Forteo
NON PREFERRED
NON PREFERRED
Actos
Natpara
Avandia
ANTIDIABETIC COMBINATIONS
RANK LIGAND INHIBITORS
GENERIC
PREFERRED
glipizide/metformin HCL
Prolia
glyburide/metformin HCL
Xgeva
pioglitazone HCL-glimepiride
pioglitazone HCL/metformin HCL
HORMONE RECEPTOR MDLTR
Alogliptin/Metformin HCL
Alogliptin/Pioglitazone
Effective January 1, 2017
17
GENERIC Sandostatin Lar Depot
raloxifene hydrochloride Signifor
NON PREFERRED Signifor Lar
Evista Somatuline Depot
Osphena
GH RECEPTOR ANTAGONISTS
FERTILITY REGULATORS
NON PREFERRED
GENERIC Somavert
chorionic gonadotropin
clomiphene citrate POSTERIOR PITUITARY
PREFERRED
GENERIC
Gonal-f
desmopressin acetate
Gonal-f RFF
vasopressin
Gonal-f RFF Rediject
NON PREFERRED
NON PREFERRED
Ddavp
Bravelle
Pitressin Synthetic
Follistim AQ
Stimate
Menopur
Vasopressin/Sodium Chloride
Ovidrel
Vasostrict
LHRH/GNRH AGONIST
CORTICOTROPIN
PREFERRED
PREFERRED
Lupron Depot-PED
H.p. Acthar
Supprelin LA
Synarel
PROLACTIN INHIBITORS
NON PREFERRED
GENERIC
Lupaneta Pack
cabergoline
GNRH/LHRH ANTAGONISTS
VASOPRESSIN ANTAGONISTS
PREFERRED
PREFERRED
Cetrotide
Samsca
NON PREFERRED
NON PREFERRED
Ganirelix Acetate
Vaprisol
GROWTH HORMONES
PROGESTERONE ANTAGONISTS
PREFERRED
NON PREFERRED
Norditropin Cartridge
Mifeprex
Norditropin Flexpro
Norditropin Nordiflex Pen
METABOLIC MODIFIERS
Nutropin AQ Nuspin 10
GENERIC
Nutropin AQ Nuspin 20
calcitriol
Nutropin AQ Nuspin 5
doxercalciferol
Nutropin AQ Pen
levocarnitine
Saizen
paricalcitol
Saizen Click.easy
sodium phenylacetate/sodium benzoate
Serostim
sodium phenylbutyrate
NON PREFERRED
PREFERRED
Genotropin
Aldurazyme
Genotropin Miniquick
Carbaglu
Humatrope
Elaprase
Humatrope Combo Pack
Fabrazyme
Omnitrope
Kuvan
Tev-tropin
Lumizyme
Zomacton
Myozyme
Zorbtive
Naglazyme
NON PREFERRED
GHRH
Ammonul
NON PREFERRED
Buphenyl
Egrifta
Carnitor
Carnitor SF
SOMATOMEDINS
Cystadane
PREFERRED
Hectorol
Increlex
Kanuma
Myalept
SOMATOSTATIC AGENTS
Orfadin
GENERIC Ravicti
octreotide acetate Rocaltrol
NON PREFERRED Sensipar
Sandostatin Strensiq
Effective January 1, 2017
18
Vimizim ANTACIDS
Xuriden
NON PREFERRED
Zemplar
Sodium Bicarbonate
THYROID AGENTS
ULCER DRUGS
GENERIC
GENERIC
levothyroxine sodium
atropine sulfate
liothyronine sodium
chlordiazepoxide HCL/clidinium bromide
methimazole
cimetidine
propylthiouracil
cimetidine HCL
NON PREFERRED
dicyclomine HCL
Armour Thyroid
esomeprazole magnesium
Cytomel
esomeprazole sodium
Levothyroxine Sodium
famotidine
Nature-throid
glycopyrrolate
Nature-throid Nt-2.5
hyoscyamine sulfate
Synthroid
hyoscyamine sulfate odt
Tapazole
hyoscyamine sulfate ER
Thyrolar-1
hyoscyamine sulfate SR
Thyrolar-1/2
lansoprazole
Thyrolar-1/4
lansoprazole/amoxicillin/clarithromycin
Thyrolar-2
methscopolamine bromide
Thyrolar-3
misoprostol
Tirosint
nizatidine
Triostat
omeprazole
Westhroid
omeprazole/sodium bicarbonate
Wp Thyroid
pantoprazole sodium
rabeprazole sodium
GASTROINTESTINAL
ranitidine HCL
sucralfate
LAXATIVES
Esomeprazole Sodium
GENERIC
Famotidine
lactulose
Nizatidine
mineral oil heavy
PREFERRED
peg 3350/electrolytes
Dexilant
peg-3350/electrolytes
Omeclamox-PAK
peg-3350/NACL/NA bicarbonate/KCL
Propantheline Bromide
polyethylene glycol 3350
Pylera
NON PREFERRED
Symax Duotab
Cascara Sagrada
NON PREFERRED
Colyte-flavor Packs
Aciphex
Gialax
Aciphex Sprinkle
Golytely
Anaspaz
Kristalose
Atropen
Moviprep
Atropine Sulfate
Nulytely/Flavor Packs
Belladonna & Opium
Osmoprep
Belladonna Alkaloids & Opium
Pcp 100
Bentyl
Prepopik
Cantil
Suclear
Carafate
Suprep Bowel Prep
Cuvposa
Cytotec
ANTIDIARRHEALS
Deprizine Fusepaq
GENERIC
Deprizine Rapidpaq
diphenoxylate/atropine
Esomeprazole Strontium
loperamide HCL
Famotidine Premixed
opium
First-lansoprazole
opium tincture
First-omeprazole
PREFERRED
Gabitidine
Diphenoxylate/Atropine
Gastrinex NF
Paregoric
Glycopyrrolate
NON PREFERRED
Levbid
Fulyzaq
Levsin
Lomotil
Levsin/SL
Motofen
Librax
Mytesi
Nexium
Restora RX
Nexium I.v.
Restora Sprinkles
Omeprazole + Syrspend SF Alka
Rezyst IM
Pamine
Vsl#3 DS
Effective January 1, 2017
19
Pamine Forte metoclopramide HCL
Pamine FQ sulfasalazine
Pepcid ursodiol
Prevacid Mesalamine DR
Prevacid Solutab PREFERRED
Prevpac Amitiza
Prilosec Apriso
Protonix Canasa
Robinul Cimzia
Robinul Forte Cimzia Starter Kit
Scopolamine Hydrobromide Lialda
Sentradine Linzess
Zantac Proctofoam HC
Zegerid Remicade
Renvela
ANTIEMETICS Sevelamer Carbonate
Sfrowasa
GENERIC
Stelara
dronabinol
NON PREFERRED
granisetron HCL
Actigall
meclizine HCL
Analpram Advanced
ondansetron odt
Analpram-HC
ondansetron HCL
Analpram-HC Singles
trimethobenzamide HCL
Anusol-HC
PREFERRED
Asacol HD
Aloxi
Auryxia
NON PREFERRED
Azulfidine
Akynzeo
Azulfidine EN-TABS
Anzemet
Chenodal
Cesamet
Cholbam
Diclegis
Colazal
Dimenhydrinate
Cortenema
Emend
Cortifoam
Granisol
Delzicol
Marinol
Dexpanthenol
Ondansetron Hydrochloride/Sodium Chloride
Dipentum
Sancuso
Eliphos
Sustol
Entereg
Tigan
Entyvio
Transderm-scop
Fosrenol
Varubi
Gastrocrom
Zofran
Gattex
Zofran Odt
Giazo
Zuplenz
Inflectra
Lidocaine HCL-hydrocortisone Acetate With Aloe
DIGESTIVE AIDS
Lotronex
PREFERRED
Metoclopramide Odt
Creon
Metozolv Odt
Pancrelipase
Movantik
Zenpep
Ocaliva
NON PREFERRED
Pentasa
Pancreaze
Phoslo
Pertzye
Phoslyra
Sucraid
Procort
Ultresa
Proctocort
Viokace
Rectiv
Reglan
GASTROINTESTINAL - MISC.
Relistor
GENERIC
Renagel
alosetron hydrochloride
Rowasa
balsalazide disodium
Uceris
calcium acetate
Urso Forte
cromolyn sodium
Urso 250
hydrocort ene 100MG
Velphoro
hydrocortisone
Viberzi
hydrocortisone acetate/pramoxine
lactulose
GENITOURINARY
lidocaine HCL/hydrocortisone acetate
URINARY ANTI-INFECTIVES
mesalamine
metoclopramide odt
Effective January 1, 2017
20
GENERIC Terazol 3
methenamine hippurate Terazol 7
methenamine mandelate Vagifem
nitrofurantoin
nitrofurantoin macrocrystals GENITOURINARY - MISC.
nitrofurantoin monohydrate
GENERIC
nitrofurantoin monohydrate/macrocrystals
alfuzosin HCL ER
PREFERRED
citric acid/sodium citrate
Methenamine Mandelate
dutasteride
NON PREFERRED
dutasteride/tamsulosin hydrochloride
Furadantin
dutasteride/tamsulosin HCL
Hiprex
finasteride
Macrobid
phenazopyridine HCL
Macrodantin
potassium citrate ER
Monurol
potassium citrate-citric acid crystals
Uretron D/S
potassium citrate/citric acid
Urimar-t
potassium citrate/sodium citrate/citric acid
Urogesic-blue
sodium citrate/citric acid
tamsulosin HCL
URINARY ANTISPASMODICS
tricitrates
GENERIC PREFERRED
bethanechol chloride Cytra-3
darifenacin hydrobromide ER Elmiron
flavoxate HCL Rapaflo
oxybutynin chloride NON PREFERRED
oxybutynin chloride ER Avodart
tolterodine tartrate Cardura XL
tolterodine tartrate ER Cystagon
trospium chloride Flomax
trospium chloride ER Jalyn
PREFERRED K-phos NO 2
Vesicare Lithostat
NON PREFERRED Oracit
Detrol Procysbi
Detrol LA Proscar
Ditropan XL Pyridium
Enablex Shohls Solution Modified
Gelnique Thiola
Myrbetriq Urocit-k 10
Oxytrol Urocit-k 15
Toviaz Urocit-k 5
Urecholine Uroxatral
VAGINAL PRODUCTS HEMATOLOGICAL
GENERIC
HEMATOPOIETIC AGENTS
clindamycin phosphate
GENERIC
metronidazole vaginal
cyanocobalamin
terconazole
folic acid
PREFERRED
folic acid/vitamin b-6/vitamin b-12
Premarin
sodium ferric gluconate complex/sucrose
NON PREFERRED
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Avc
Cleocin PREFERRED
Clindesse Aranesp Albumin Free
Crinone Cerezyme
Endometrin Folitab 500
Estrace Granix
Estring Mozobil
Fem PH Neumega
Femring Neupogen
First-progesterone VGS 100 Compounding Kit Nplate
First-progesterone VGS 200 Compounding Kit Procrit
First-progesterone VGS 25 Compounding Kit Zarxio
First-progesterone VGS 400 Compounding Kit NON PREFERRED
First-progesterone VGS 50 Compounding Kit Abaneu-SL
Gynazole-1 Albafort
Metrogel-vaginal Animi-3
Nuvessa Animi-3/Vitamin D
Relagard B-12 Kit
Effective January 1, 2017
21
B-6 Folic Acid Triferic
Biferarx Venofer
Cenfol Vpriv
Centratex Zavesca
Cerdelga Zolate
Ciferex
Corvite 150 ANTICOAGULANTS
Dermacinrx Purefolix
GENERIC
Divista
argatroban
Droxia
bivalirudin
Ed Cyte F
enoxaparin sodium
Elelyso
fondaparinux sodium
Epogen
heparin lock
Feraheme
heparin lock flush
Feriva
heparin lock flush for flushing vascular access devices
Feriva 21/7
heparin lock flush/NACL for flushing vascular access devices
Ferivafa
heparin sodium
Ferralet 90
heparin sodium dcu
Ferrex 150 Forte Plus
heparin sodium lock flush
Ferrex 28
heparin sodium/sodium chloride 0.9% premix
Ferrlecit
heparin sodium/D5W
Ferro-plex Hematinic
heparin sodium/NACL 0.9%
Ferrotrin
warfarin sodium
Focalgin Dss
PREFERRED
Folene
Pradaxa
Folgard RX
Xarelto
Folic Acid
Xarelto Starter Pack
Folivane-f
NON PREFERRED
Folivane-plus
Angiomax
Folixapure
Argatroban
Foltrate
Arixtra
Fusion Plus
Coumadin
Fusion Sprinkles
Defitelio
Hematogen Fa
Eliquis
Hematron-AF
Fragmin
Hemocyte Plus
Heparin Lock Flush
Hemocyte-f
Heparin Sodium
Hydroxocobalamin
Heparin Sodium/D5W
Icar-c Plus
Heparin Sodium/NACL
Infed
Heparin Sodium/NACL 0.45%
Injectafer
Heparin Sodium/Sodium Chloride
Integra F
Heparin Sodium/Sodium Chloride PF
Integra Plus
Heparin Sodium/Sodium Chloride 0.9%
Irospan 24/6
Heparin Sodium/Sodium CH Loride
Is 24/6
Iprivask
Leukine
Lovenox
Maxaron Forte
Savaysa
Maxfe
Sodium Citrate
Methionine/Inositol/Choline/Cyanocobalamin
Mircera
HEMOSTATICS
Multigen
Multigen Folic GENERIC
Multigen Plus aminocaproic acid
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
tranexamic acid
NON PREFERRED
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Amicar
Aminocaproic Acid
Nascobal
Artiss
Natalvirt Flt
Astringyn
Nephron Fa
Cyklokapron
Neulasta
Evicel
Neulasta Onpro Kit
Evithrom
Novaferrum
Lysteda
Nufera
Recothrom
Omontys
Recothrom Spray Kit
Pre-folic
Thrombin-jmi Diluent
Proferrin-forte
Thrombin-jmi Epistaxis
Promacta
Thrombin-jmi Syringe Spray Kit
Protectiron
Thrombin-jmi W/Dil Spray P.M. Actuator
Tandem F
Tandem Plus
Effective January 1, 2017
22
Thrombogen Reopro
Tisseel Tnkase
Tisseel VH Voluven
Xyntha
HEMATOLOGICAL - MISC. Xyntha Solofuse
Yosprala
GENERIC
Zontivity
anagrelide hydrochloride
cilostazol
MOUTH/THROAT/DENTAL AGENT
clopidogrel
dipyridamole
eptifibatide
GENERIC
hetastarch 6%/NACL
cevimeline HCL
pentoxifylline ER
chlorhexidine gluconate
ticlopidine HCL
chlorhexidine gluconate oral rinse
Aspirin/Dipyridamole
clotrimazole
PREFERRED
lidocaine viscous
Advate
lidocaine HCL viscous
Alphanate/Von Willebrand Factor Complex/Human
nystatin
Alphanine SD
pilocarpine hydrochloride
Bebulin
pilocarpine HCL
Benefix
stannous fluoride oral rinse
Berinert
triamcinolone acetonide
Brilinta
triamcinolone IN orabase
Cinryze
Lidocaine HCL
Corifact
NON PREFERRED
Effient
Aquoral
Feiba
Caphosol
Feiba NF
Debacterol
Firazyr
Evoxac
Hemofil M
First-bxn Mouthwash
Humate-p
First-dukes Mouthwash
Koate-dvi
First-marys Mouthwash
Monoclate-p
First-mouthwash Blm
Mononine
Gel-kam Oral Care Rinse
Novoseven
Gelclair
Novoseven Rt
Nafrinse Daily/Acidulated
Profilnine
Nafrinse Daily/Neutral
Profilnine SD
Nafrinse Weekly
Recombinate
Neutrasal
Riastap
Numoisyn
Soliris
Orafate
Ticlopidine HCL
Oravig
Wilate
Peridex
NON PREFERRED
Prevident
Activase
Prothelial
Aggrastat
Salagen
Aggrenox
Salivamax
Agrylin
Salivate RX
Cathflo Activase
Durlaza
NEUROLOGY, CNS, PSYCH
Helixate FS
ANTIANXIETY AGENTS
Hespan
GENERIC
Hextend
alprazolam
Integrilin
alprazolam odt
Ixinity
alprazolam ER
Kalbitor
buspirone HCL
Kengreal
chlordiazepoxide HCL
Kinlytic
clorazepate dipotassium
Kogenate FS
diazepam
Kogenate FS Bio-set
droperidol
Kovaltry
gene-xene TAB 15MG
LMD 10% Dextrose 5%
gene-xene TAB 3.75MG
LMD 10% Sodium Chloride 0.9%
gene-xene TAB 7.5MG
Novoeight
hydroxyzine pamoate
Nuwiq
hydroxyzine HCL
Persantine
lorazepam
Plavix
meprobamate
Pletal
oxazepam
Protamine Sulfate
Diazepam
Effective January 1, 2017
23
Hydroxyzine Pamoate Effexor XR
NON PREFERRED Elavil
Alprazolam Intensol Emsam
Ativan Fetzima
Gabavale-5 Fetzima Titration Pack
Gabazolamine Gaboxetine
Gabazolamine-0.5 Irenka
Hydroxyzine HCL Khedezla
Lorazepam Lexapro
Sentrazolam AM 0.25 Luvox CR
Tranxene T Marplan
Valium Nardil
Vistaril Norpramin
Xanax Oleptro
Xanax XR Pamelor
Parnate
ANTIDEPRESSANTS Paxil CR
Pexeva
GENERIC
Prozac
amitriptyline HCL
Prozac Weekly
bupropion HCL
Remeron
bupropion HCL ER
Remeron Soltab
bupropion HCL SR
Sentraflox AM-10
bupropion HCL XL
Sentralopram AM-10
citalopram hydrobromide
Sentravil PM-25
clomipramine HCL
Sentroxatine
desipramine HCL
Surmontil
doxepin HCL
Tofranil
duloxetine HCL
Tofranil-PM
escitalopram oxalate
Trazamine
fluoxetine DR
Trintellix
fluoxetine HCL
Viibryd
fluvoxamine maleate
Viibryd Starter Pack
fluvoxamine maleate ER
Vivactil
imipramine pamoate
Wellbutrin
imipramine HCL
Wellbutrin SR
mirtazapine
Wellbutrin XL
mirtazapine odt
Zoloft
nefazodone HCL
nortriptyline HCL
ANTIPSYCHOTICS
paroxetine HCL
paroxetine HCL ER GENERIC
phenelzine sulfate aripiprazole
protriptyline HCL aripiprazole odt
sertraline HCL chlorpromazine HCL
tranylcypromine sulfate clozapine
trazodone HCL clozapine odt
trimipramine maleate fluphenazine decanoate
venlafaxine HCL fluphenazine HCL
venlafaxine HCL ER haloperidol
Amoxapine haloperidol decanoate
Doxepin HCL haloperidol lactate
Nefazodone HCL lithium carbonate
Nortriptyline HCL lithium carbonate ER
Venlafaxine HCL ER loxapine
PREFERRED loxapine succinate
Fluoxetine HCL olanzapine
Forfivo XL olanzapine odt
Maprotiline HCL paliperidone ER
Paxil perphenazine
Pristiq prochlorperazine
NON PREFERRED prochlorperazine edisylate
Anafranil prochlorperazine maleate
Aplenzin quetiapine fumarate
Appbutamone risperidone
Brintellix risperidone odt
Celexa thioridazine HCL
Cymbalta thiothixene
Desvenlafaxine ER trifluoperazine HCL
Duloxetine HCL ziprasidone HCL
Effective January 1, 2017
24
Clozapine Odt Lunesta
PREFERRED Nembutal Sodium
Abilify Discmelt Phenobarbital Sodium
Fluphenazine HCL Precedex
Saphris Restoril
Seroquel XR Rozerem
NON PREFERRED Seconal
Abilify Seconal Sodium
Abilify Maintena Sentrazolpidem PM-5
Adasuve Silenor
Aristada Sonata
Chlorpromazine HCL Strazepam
Clozaril Zolpimist
Equetro
Fanapt ADHD, NARCOLEPSY, ETC.
Fanapt Titration Pack
GENERIC
Fazaclo
amphetamine/dextroamphetamine
Geodon
armodafinil
Haldol
caffeine citrate
Haldol Decanoate 100
clonidine HCL ER
Haldol Decanoate 50
dexmethylphenidate HCL
Invega
dexmethylphenidate HCL ER
Invega Sustenna
dextroamphetamine sulfate
Invega Trinza
dextroamphetamine sulfate ER
Latuda
doxapram HCL
Lithium
guanfacine ER
Lithium Carbonate
methamphetamine HCL
Lithobid
methylphenidate hydrochloride
Molindone Hydrochloride
methylphenidate HCL
Nuplazid
methylphenidate HCL CD
Rexulti
methylphenidate HCL ER
Risperdal
methylphenidate HCL SR
Risperdal Consta
modafinil
Risperdal M-TAB
Armodafinil
Seroquel
Methylphenidate HCL ER
Versacloz
PREFERRED
Vraylar
Strattera
Zyprexa
Vyvanse
Zyprexa Relprevv
NON PREFERRED
Zyprexa Zydis
Adderall
Adderall XR
HYPNOTICS
Adzenys XR-odt
GENERIC Aptensio XR
dexmedetomidine HCL Cafcit
estazolam Caffeine/Sodium Benzoate
eszopiclone Concerta
phenobarbital Daytrana
temazepam Desoxyn
triazolam Dexedrine
zaleplon Dopram
zolpidem tartrate Dyanavel XR
zolpidem tartrate ER Evekeo
Flurazepam HCL Focalin
Phenobarbital Focalin XR
Quazepam Intuniv
Triazolam Kapvay
NON PREFERRED Metadate CD
Ambien Methylin
Ambien CR Nuvigil
Amytal Sodium Procentra
Belsomra Provigil
Butisol Sodium Quillichew ER
Dexmedetomidine HCL Quillivant XR
Doral Ritalin
Edluar Ritalin LA
Gabazolpidem-5 Sentramodafin AM-100
Halcion Zenzedi
Hetlioz
Intermezzo
Effective January 1, 2017
25
ANTICONVULSANTS Peganone
Phenytek
GENERIC
Potiga
carbamazepine
Qudexy XR
carbamazepine ER
Sabril
clonazepam
Spritam
clonazepam odt
Stavzor
divalproex sodium
Tegretol
divalproex sodium DR
Tegretol-XR
divalproex sodium ER
Therapentin-60
ethosuximide
Therapentin-90
felbamate
Topamax
fosphenytoin sodium
Topamax Sprinkle
gabapentin
Topiramate ER
lamotrigine
Trileptal
lamotrigine odt
Trokendi XR
lamotrigine titration
Vimpat
lamotrigine ER
Zarontin
levetiracetam
Zonegran
levetiracetam ER
oxcarbazepine
ANTIPARKINSON AGENTS
phenytoin
phenytoin sodium GENERIC
phenytoin sodium extended amantadine HCL
primidone benztropine mesylate
tiagabine hydrochloride bromocriptine mesylate
topiramate carbidopa
valproate sodium carbidopa/levodopa
valproic acid carbidopa/levodopa odt
zonisamide carbidopa/levodopa ER
Diazepam entacapone
PREFERRED pramipexole dihydrochloride
Diastat Acudial pramipexole dihydrochloride ER
Diastat Pediatric ropinirole ER
Lyrica ropinirole HCL
NON PREFERRED selegiline HCL
Aptiom tolcapone
Banzel trihexyphenidyl HCL
Briviact Carbidopa/Levodopa/Entacapone
Carbatrol PREFERRED
Celontin Apokyn
Cerebyx NON PREFERRED
Depacon Amantadine HCL
Depakene Azilect
Depakote Cogentin
Depakote ER Comtan
Depakote Sprinkles Duopa
Dilantin Eldepryl
Dilantin Infatabs Lodosyn
Dilantin-125 Mirapex
Fanatrex Fusepaq Mirapex ER
Felbatol Neupro
Fycompa Parlodel
Gabitril Requip
Keppra Requip XL
Keppra XR Rytary
Klonopin Sinemet
Lamictal Sinemet CR
Lamictal Chewable Dispersible Stalevo 100
Lamictal Odt Stalevo 125
Lamictal Starter/Not Taking Carbamazepine Stalevo 150
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Stalevo 200
Stalevo 50
Lamictal Starter/Taking Valproate
Stalevo 75
Lamictal XR
Tasmar
Levetiracetam
Zelapar
Mysoline
Neurontin
NEUROLOGY, PSYCH - MISC.
Onfi
GENERIC
Oxtellar XR
acamprosate calcium DR
Effective January 1, 2017
26
disulfiram NEUROMUSCULAR AGENTS
donepezil HCL
GENERIC
ergoloid mesylates
atracurium besylate
galantamine hydrobromide
cisatracurium besylate
glatopa
pancuronium bromide
memantine hydrochloride
riluzole
memantine HCL
rocuronium bromide
memantine HCL titration PAK
vecuronium bromide
olanzapine/fluoxetine
PREFERRED
pimozide
Botox
rivastigmine tartrate
NON PREFERRED
rivastigmine transdermal system
Anectine
tetrabenazine
Dysport
Ergoloid Mesylates
Exondys 51
Galantamine Hydrobromide
Myobloc
PREFERRED
Nimbex
Ampyra
Quelicin
Avonex
Quelicin 1000
Avonex Pen
Rilutek
Betaseron
Rocuronium Bromide
Chlordiazepoxide/Amitriptyline
Succinylcholine Chloride
Copaxone
Vecuronium Bromide
Namenda XR
Vecuronium Bromide/Sodiumchloride
Namenda XR Titration Pack
Xeomin
Namzaric
Zemuron
Perphenazine/Amitriptyline
Tecfidera
MUSCULOSKELETAL AGENTS
Tecfidera Starter Pack
GENERIC
NON PREFERRED
baclofen
Addyi
carisoprodol
Antabuse
carisoprodol/aspirin
Aricept
carisoprodol/aspirin/codeine
Aricept Odt
chlorzoxazone
Aubagio
cyclobenzaprine HCL
Brisdelle
dantrolene sodium
Campral
metaxalone
Convenience PAK
methocarbamol
Dermacinrx Dpn PAK
orphenadrine citrate
Exelon
orphenadrine citrate ER
Extavia
tizanidine HCL
Fluoxetine
Metaxalone
Gilenya
PREFERRED
Gralise
Euflexxa
Gralise Starter
Gablofen
Horizant
Lioresal Intrathecal
Lemtrada
Synvisc
Namenda
Synvisc One
Namenda Titration PAK
NON PREFERRED
Nuedexta
Amrix
Orap
Cyclobenzaprine Comfort PAC
Plegridy
Cyclophene Rapidpaq
Plegridy Starter Pack
Dantrium
Razadyne
Dantrium IV
Razadyne ER
Fexmid
Rebif
First-baclofen 1
Rebif Rebidose
First-baclofen 5
Rebif Rebidose Titration Pack
Flexepax
Rebif Titration Pack
Gel-one
Sarafem
Gelsyn-3
Savella
Genvisc 850
Savella Titration Pack
Hyalgan
Smartrx Gaba Kit
Hymovis
Smartrx Gaba-v Kit
Lorvatus Pharmapak
Symbyax
Lorzone
Tysabri
Metaxall CP
Xenazine
Monovisc
Xyrem
Norflex
Zinbryta
Orthovisc
Parafon Forte DSC
Effective January 1, 2017
27
Prazolamine Viroptic
Robaxin Zirgan
Robaxin-750 Zymaxid
Ryanodex
Skelaxin ARTIFICIAL TEAR/LUBRICANT
Soma
NON PREFERRED
Supartz
Lacrisert
Supartz Fx
Tabradol Fusepaq
BETA-BLOCKERS
Tabradol Rapidpaq
GENERIC
Therabenzaprine-60
betaxolol HCL
Therabenzaprine-90
carteolol HCL
Therabenzaprine-90-5
dorzolamide HCL/timolol maleate
Tizanidine Comfort PAC
levobunolol HCL
Zanaflex
timolol maleate
timolol maleate ophthalmic gel forming
ANTIMYASTHENIC AGENTS
Metipranolol
GENERIC
PREFERRED
neostigmine methylsulfate
Betoptic-s
pyridostigmine bromide
Combigan
pyridostigmine bromide ER
Timoptic Ocudose
PREFERRED
NON PREFERRED
Guanidine HCL
Betagan
NON PREFERRED
Betimol
Bloxiverz
Cosopt
Enlon
Cosopt PF
Enlon-plus
Istalol
Mestinon
Timoptic
Mestinon Timespan
Timoptic-xe
Neostigmine Methylsulfate
Regonol
OPHTHALMIC STEROIDS
GENERIC
OPHTHALMOLOGY AND OTIC
dexamethasone sodium phosphate
ANTI-INFECTIVES fluorometholone
neomycin/polymyxin/bacitracin/hydrocortisone
GENERIC
neomycin/polymyxin/dexamethasone
bacitracin/polymyxin b
prednisolone acetate
ciprofloxacin HCL
sulfacetamide sodium/prednisolone sodium phosphate
erythromycin
tobramycin/dexamethasone
gatifloxacin
PREFERRED
gentamicin sulfate
Dexamethasone Sodium Phosphate
levofloxacin
FML
neomycin/bacitracin/polymyxin
FML Forte
neomycin/polymyxin/bacitracin zinc
Pred Mild
neomycin/polymyxin/gramicidin
Prednisolone Sodium Phosphate
ofloxacin
NON PREFERRED
polymyxin b sulfate/trimethoprim sulfate
Alrex
sodium sulfacetamide
Blephamide
sulfacetamide sodium
Blephamide S.o.p.
tobramycin sulfate
Durezol
trifluridine
Flarex
trimethoprim sulfate/polymyxin b sulfate
FML Liquifilm
PREFERRED
Lotemax
Bacitracin
Maxidex
Moxeza
Maxitrol
Natacyn
Neomycin/Polymyxin/Hydrocortisone
Sulfacetamide Sodium
Omnipred
Vigamox
Pred Forte
NON PREFERRED
Pred-G
Azasite
Pred-G S.o.p.
Besivance
Prednisolone/Moxifloxacin
Betadine Ophthalmic Prep
Prednisolone/Moxifloxacin/Bromfenac
Bleph-10
Tobradex
Ciloxan
Tobradex ST
Garamycin
Vexol
Mitosol
Zylet
Neosporin
Ocuflox
PROSTAGLANDINS
Polytrim
Tobrex
Effective January 1, 2017
28
GENERIC ketorolac tromethamine
latanoprost olopatadine HCL
Bimatoprost PREFERRED
Travoprost Azopt
PREFERRED Pataday
Lumigan Pazeo
Travatan Z NON PREFERRED
NON PREFERRED Acular
Rescula Acular LS
Xalatan Acuvail
Zioptan Alocril
Alomide
CYCLOPLEGIC MYDRIATICS Bepreve
Bromfenac
GENERIC
Bromsite
atropine sulfate
Cystaran
cyclopentolate hydrochloride
Elestat
cyclopentolate HCL
Emadine
homatropine HBR
Ilevro
Atropine Sulfate
Lastacaft
NON PREFERRED
Nevanac
Cyclogyl
Ocufen
Cyclomydril
Optivar
Isopto Atropine
Patanol
Prolensa
DECONGESTANTS
Trusopt
GENERIC
phenylephrine HCL
OTIC AGENTS
PREFERRED
GENERIC
Naphazoline HCL
acetic acid
antipyrine/benzocaine
MIOTICS
fluocinolone acetonide
GENERIC
fluocinolone acetonide ear drops
pilocarpine HCL
hydrocortisone/acetic acid
PREFERRED
neomycin/polymyxin/hydrocortisone
Phospholine Iodide
neomycin/polymyxin/HC
NON PREFERRED
ofloxacin
Isopto Carpine
PREFERRED
Acetic Acid/Aluminum Acetate
ADRENERGIC AGENTS
Ciprodex
GENERIC
Pramotic
apraclonidine
NON PREFERRED
brimonidine tartrate
Antipyrine/Benzocaine
PREFERRED
Cetraxal
Alphagan P
Cipro HC
Simbrinza
Ciprofloxacin
NON PREFERRED
Coly-mycin S
Iopidine
Cortisporin-tc
Dermotic
IMMUNOMODULATORS
Floxin Otic
NON PREFERRED
Otiprio
Restasis
Otovel
Otozin
LOCAL ANESTHETICS
Vosol HC
GENERIC
proparacaine HCL
OXYTOCICS
tetracaine HCL
NON PREFERRED
GENERIC
Akten
methylergonovine maleate
Alcaine
oxytocin
NON PREFERRED
OPHTHALMICS - MISC.
Cervidil
GENERIC
Hemabate
azelastine HCL
Oxytocin
bromfenac
Oxytocin/Lactated Ringers
cromolyn sodium
Pitocin
diclofenac sodium
Prepidil
dorzolamide HCL
Prostin E2
epinastine HCL
flurbiprofen sodium
Effective January 1, 2017
29
PAIN MANAGEMENT Oxycodone HCL ER
PREFERRED
ANALGESICS - NONNARCOTIC
Embeda
GENERIC
Hydromorphone HCL
butalbital/acetaminophen
Opana ER (crush Resistant)
butalbital/acetaminophen/caffeine
Oxycodone/Ibuprofen
butalbital/aspirin/caffeine
Oxycontin
choline magnesium trisalicylate
Suboxone
diflunisal
Zubsolv
salsalate
NON PREFERRED
PREFERRED
Abstral
Choline Magnesium Trisalicylate
Actiq
Dologesic
Alfenta
Prialt
Avinza
NON PREFERRED
Belbuca
Allzital
Bunavail
Bupap
Buprenex
Disalcid
Butrans
Esgic
Capital/Codeine
Fioricet
Codeine Sulfate
Fiorinal
Conzip
Levacet
Demerol
Ofirmev
Dilaudid
Vanatol LQ
Dilaudid-HP
Dolophine
ANALGESICS - OPIOID
Duragesic
GENERIC
Exalgo
acetaminophen/caffeine/dihydrocodeine
Fentanyl Citrate
acetaminophen/codeine
Fentanyl Citrate/NACL
acetaminophen/codeine #2
Fentanyl Citrate/Sodium Chloride
acetaminophen/codeine #3
Fentora
acetaminophen/codeine #4
Fioricet/Codeine
acetaminophen/codeine phosphate
Fiorinal/Codeine #3
alfentanil
Hycet
buprenorphine HCL
Hydromorphone Hydrochloride/ NACL
buprenorphine HCL/naloxone HCL
Hydromorphone Hydrochloride/NACL
butalbital/acetaminophen/caffeine/codeine
Hydromorphone Hydrochloride/Sodium Chloride
butalbital/aspirin/caffeine/codeine
Hydromorphone HCL/NACL
butorphanol tartrate
Hysingla ER
codeine sulfate
Ibudone
fentanyl
Infumorph 200
fentanyl citrate oral transmucosal
Infumorph 500
hydrocodone bitartrate/acetaminophen
Ionsys
hydrocodone/acetaminophen
Kadian
hydrocodone/ibuprofen
Lazanda
hydromorphone hydrochloride
Levorphanol Tartrate
hydromorphone HCL
Lortab
hydromorphone HCL dosette
Meperidine HCL
hydromorphone HCL ER
Methadone HCL
meperidine HCL
Methadose
methadone HCL
Methadose Sugar-free
morphine sulfate
Morphine Sulfate Add-vantage
morphine sulfate ER
Morphine Sulfate/NACL
nalbuphine HCL
Morphine Sulfate/Sodium Chloride
oxycodone HCL
MS Contin
oxycodone/acetaminophen
Norco
oxycodone/aspirin
Nucynta
oxymorphone hydrochloride
Nucynta ER
oxymorphone hydrochloride ER
Opana
pentazocine/naloxone HCL
Oxaydo
tramadol hydrochloride/acetaminophen
Oxycodone/Acetaminophen
tramadol HCL
Percocet
tramadol HCL ER
Percodan
Aspirin-caffeine-dihydrocodeine
Primlev
Fentanyl
Probuphine Implant Kit
Hydrocodone/Acetaminophen
Remifentanil HCL
Hydromorphone HCL/Sodium Chloride
Reprexain
Meperidine Hydrochloride/Sodium Chloride
Roxicet
Morphine Sulfate
Roxicodone
Morphine Sulfate ER
Subsys
Effective January 1, 2017
30
Synalgos-dc Arava
Synapryn Fusepaq Arcalyst
Talwin Arthrotec 50
Theracodeine-300 Arthrotec 75
Theracodophen-325 Caldolor
Theratramadol-60 Capxib Kit
Theratramadol-90 Cataflam
Tramadol HCL ER Celebrex
Trezix Daypro
Tylenol/Codeine #3 Derma Silkrx Anodynexa PAK
Tylenol/Codeine #4 Derma Silkrx Diclopak
Ultiva Dermacinrx Inflammatral PAK
Ultracet Duexis
Ultram Dyloject
Ultram ER Enbrel
Vicoprofen Enbrel Sureclick
Xartemis XR EC-naprosyn
Xodol Feldene
Xtampza ER Fenortho
Zamicet Flanax Pain Relief Kit
Zohydro ER Ibuprofen Comfort PAC
Indocin
ANTI-INFLAMMATORY Indomethacin
IC 400
GENERIC
IC 800
celecoxib
Ketorocaine-l
diclofenac potassium
Ketorocaine-lm
diclofenac sodium DR
Ketorolac Tromethamine
diclofenac sodium ER
Kineret
diclofenac sodium/misoprostol
Lodine
etodolac
Meloxicam Comfort PAC
etodolac ER
Mobic
flurbiprofen
Nalfon
ibuprofen
Naprelan
ibuprofen lysine
Naprosyn
indomethacin
Naproxen Comfort PAC
indomethacin ER
Neoprofen
ketoprofen
Orencia
ketorolac tromethamine
Orencia Clickject
leflunomide
Otezla
mefenamic acid
Otrexup
meloxicam
Ponstel
nabumetone
Prastera
naproxen
Previdolrx Analgesic PAK
naproxen sodium
Rheumatrex
naproxen sodium CR
Ridaura
naproxen sodium ER
Sprix
oxaprozin
Therafeldamine
piroxicam
Theraprofen-60
sulindac
Theraprofen-800
tolmetin sodium
Theraprofen-90
Meclofenamate Sodium
Theraproxen-500
Naproxen
Theraproxen-60
Tolmetin Sodium
Theraproxen-90
PREFERRED
Tivorbex
Fenoprofen Calcium
Toronova II Suik
Humira
Toronova Suik
Humira Pediatric Crohns Disease Starter Pack
Trepadiclofen-25
Humira Pen
Trepoxicam-7.5
Humira Pen-crohns Diseasestarter
Vimovo
Humira Pen-psoriasis Starter
Vivlodex
Ilaris
Voltaren-XR
Ketoprofen ER
Xeljanz
Meloxicam
Xeljanz XR
Rasuvo
Zipsor
Simponi
Zorvolex
Simponi Aria
NON PREFERRED
MIGRAINE PRODUCTS
Actemra
Anaprox DS
Effective January 1, 2017
31
GENERIC NON PREFERRED
almotriptan Articadent Dental
almotriptan malate Bupivacaine Hydrochloride/Sodium Chloride
dihydroergotamine mesylate BD Pudendal/Local Block Tray 1% Lidocaine
frovatriptan succinate Carbocaine
naratriptan HCL Citanest Forte Dental
rizatriptan benzoate Citanest Plain Dental
rizatriptan benzoate odt Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
sumatriptan
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
sumatriptan succinate
sumatriptan succinate refill
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
zolmitriptan
zolmitriptan odt
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
Dihydroergotamine Mesylate
Sumatriptan Succinate
Exparel
NON PREFERRED
Lidocaine HCL
Alsuma
Lidocaine HCL/Dextrose
Amerge
Marcaine
Axert
Marcaine/Epinephrine
Cafergot
Marlido-25
Cambia
Marvona Suik
D.h.e. 45
Mld Kit
Ergomar
Monoject Bone Marrow Biopsy Prepping Tray
Frova
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Imitrex
Imitrex Statdose Refill Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Imitrex Statdose System
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Maxalt
Maxalt-MLT
Naropin
Migergot
Nesacaine
Migral
Nesacaine-mpf
Migranal
Readysharp-a
Migranow
Ropivacaine
Onzetra Xsail
Ropivacaine Hydrochloride/Sodium Chloride
Relpax
Sensorcaine-mpf/Epinephrine
Sumavel Dosepro
Turkel Paracentesis Procedure Tray/8french
Treximet
Xylocaine
Zecuity
Xylocaine-mpf
Zembrace Symtouch
Xylocaine-mpf/Epinephrine
Zomig
Xylocaine/Epinephrine
Zomig Nasal Spray
Zomig ZMT
RESPIRATORY, ALLERGY, ETC
ANTIHISTAMINES
GOUT AGENTS
GENERIC
GENERIC
carbinoxamine maleate
allopurinol
cetirizine HCL
probenecid
clemastine fumarate
probenecid/colchicine
cyproheptadine HCL
PREFERRED
desloratadine
Colcrys
diphenhydramine HCL
Uloric
levocetirizine dihydrochloride
NON PREFERRED
promethazine HCL
Aloprim
promethazine HCL plain
Colchicine
Clemastine Fumarate
Krystexxa
Desloratadine Odt
Mitigare
PREFERRED
Zurampic
Allegra Allergy Childrens
Zyloprim
Dexchlorpheniramine Maleate
NON PREFERRED
LOCAL ANESTHETICS-INJ
Brompheniramine
GENERIC
Brompheniramine Tannate
bupivacaine HCL
Clarinex
bupivacaine/epinephrine
Dicopanol Fusepaq
lidocaine HCL
Dicopanol Rapidpaq
lidocaine/epinephrine
Karbinal ER
ropivacaine
Phenergan
ropivacaine HCL
Respa-BR
Tetracaine HCL
Xyzal
Effective January 1, 2017
32
NASAL AGENTS Hypersal
Nebusal
GENERIC
Neotuss Plus
azelastine HCL
Obredon
budesonide
Panatuss Dxp
flunisolide
Relhist
fluticasone propionate
Rescon-JR
ipratropium bromide
Rezira
mometasone furoate
Semprex-d
olopatadine HCL
Tessalon Perles
triamcinolone acetonide
Tussicaps
PREFERRED
Tussionex Pennkinetic Extended Release
Dymista
Tuzistra XR
NON PREFERRED
Vituz
Adrenalin
Zonatuss
Astepro
Zutripro
Atrovent
Bactroban Nasal
ANTIASTHMATIC/COPD AGENTS
Beconase AQ
Dermacinrx Azenase PAK GENERIC
Dermacinrx Ticanase PAK albuterol
Flonase albuterol sulfate
Nasonex albuterol sulfate ER
Omnaris albuterol TAB 4MG
Patanase aminophylline
Qnasl budesonide
Qnasl Childrens epinephrine HCL
Rhinocort Aqua ipratropium bromide
Ticaspray ipratropium bromide/albuterol sulfate
Tyzine levalbuterol
Tyzine Pediatric Nasal Drops levalbuterol HCL
Veramyst montelukast sodium
Zetonna terbutaline sulfate
theophylline
COUGH/COLD/ALLERGY theophylline CR
theophylline ER
GENERIC
zafirlukast
acetylcysteine
Cromolyn Sodium
benzonatate
PREFERRED
bromphen/pseudoephedrine HCL/dextromethorphan HBR
Advair Diskus
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Advair HFA
hydrocodone bitartrate/homatropine methylbromide
Anoro Ellipta
hydrocodone polistirex/chlorpheniramine polistirex
Arnuity Ellipta
hydrocodone/homatropine
Breo Ellipta
phenylephrine/guaifenesin
Combivent Respimat
promethazine-DM
Elixophyllin
promethazine/codeine
Flovent Diskus
promethazine/dextromethorphan
Flovent HFA
promethazine/phenylephrine
Foradil Aerolizer
promethazine/phenylephrine/codeine
Incruse Ellipta
sodium chloride
Metaproterenol Sulfate
Benzonatate
Proair HFA
PREFERRED
Proair Respiclick
Dallergy
Pulmicort Flexhaler
J-max
Qvar
Mucinex Maximum Strength
Serevent Diskus
Promethazine/Phenylephrine
Spiriva Handihaler
NON PREFERRED
Spiriva Respimat
Carbaphen 12
Stiolto Respimat
Carbaphen 12 PED
Symbicort
Clarinex-d 12 HOUR
Ventolin HFA
Codar AR
Xolair
Cpb Wc
NON PREFERRED
Decon-a
Accolate
Exactuss
Aerospan
Flowtuss
Alvesco
Gilphex TR
Arcapta Neohaler
Giltuss
Asmanex HFA
Giltuss TR
Asmanex Twisthaler 120 Metered Doses
Hycofenix
Asmanex Twisthaler 14 Metered Doses
Hyper-sal
Effective January 1, 2017
33
Asmanex Twisthaler 30 Metered Doses Afluria Quadrivalent 2016-2017
Asmanex Twisthaler 60 Metered Doses Afluria 2014-2015
Asmanex Twisthaler 7 Metered Doses Afluria 2015-2016
Atrovent HFA Afluria 2016-2017
Bevespi Aerosphere Bcg Vaccine
Brovana Bexsero
Cinqair Biothrax
Daliresp Cervarix
Dulera Comvax
Isuprel Engerix-b
Lufyllin Fluad 2016-2017
Nucala Fluarix Quadrivalent 2014-2015
Perforomist Fluarix Quadrivalent 2015-2016
Proventil HFA Fluarix Quadrivalent 2016-2017
Pulmicort Fluarix 2014-2015
Pulmophylline Flublok 2014-2015
Singulair Flublok 2015-2016
Striverdi Respimat Flublok 2016-2017
Theo-24 Flucelvax Quadrivalent 2016-2017
Theophylline/D5W Flucelvax 2014-2015
Tudorza Pressair Flucelvax 2015-2016
Utibron Neohaler Flulaval Quadrivalent 2014-2015
Vospire ER Flulaval Quadrivalent 2015-2016
Xopenex Flulaval Quadrivalent 2016-2017
Xopenex Concentrate Flulaval 2014-2015
Xopenex HFA Flumist Quadrivalent
Zyflo Fluvirin PF 2014-2015
Zyflo CR Fluvirin 2014-2015
Fluvirin 2015-2016
RESPIRATORY AGENTS - MISC Fluvirin 2016-2017
Fluzone High-dose PF 2014-2015
PREFERRED
Fluzone High-dose PF 2015-2016
Pulmozyme
Fluzone High-dose PF 2016-2017
NON PREFERRED
Fluzone PF 2014-2015
Aralast NP
Fluzone Quadrivalent 2014-2015
Curosurf
Fluzone Quadrivalent 2015-2016
Esbriet
Fluzone Quadrivalent 2016-2017
Glassia
Fluzone Split 2014-2015
Infasurf
Fluzone Split 2015-2016
Kalydeco
Gardasil
Ofev
Gardasil 9
Orkambi
Havrix
Prolastin-c
Hiberix
Surfaxin
Imovax Rabies (h.d.c.v.)
Survanta Intratracheal
Ipol Inactivated IPV
Zemaira
Ixiaro
M-m-r II
TOXOIDS
Medical Provider EZ Flu Shot 2014-2015
Medical Provider EZ Flu Shot 2015-2016
NON PREFERRED
Medical Provider Single Use EZ Flu Shot
Adacel
Menactra
Boostrix
Menhibrix
Daptacel
Menomune-a/C/Y/W-135
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Menveo
Infanrix
Pedvax HIB
Kinrix
Pneumovax 23
Pediarix
Pneumovax 23/1 Dose
Pentacel
Pneumovax 23/5 Dose
Quadracel
Prevnar 13
Tenivac
Proquad
Tetanus/Diphtheria Toxoids-adsorbed
Rabavert
Tetanus/Diphtheria Toxoids-adsorbed Adult
Recombivax HB
Rotarix
VACCINES
Rotateq
Trumenba
NON PREFERRED
Twinrix
Acthib
Typhim VI
Afluria PF 2014-2015
Vaqta
Afluria PF 2015-2016
Varivax
Afluria PF 2016-2017
Vaxchora
Effective January 1, 2017
34
Vivotif One A Day Womens Prenatal/DHA
Yf-vax One A Day Womens Prenatal1
Zostavax One-a-day Womens Prenatal
OB Complete
VITAMINS OB Complete One
OB Complete Petite
VITAMINS
OB Complete Premier
GENERIC
OB Complete/DHA
ascorbic acid
Poly-VI-flor
ergocalciferol
Poly-VI-flor FS
phytonadione
Poly-VI-flor/Iron
pyridoxine HCL
Prefera OB
thiamine HCL
Prefera OB + DHA
vitamin c 222MG
Prenata
vitamin d
Prenatal Vitamin
vitamin k1
Prenatal Vitamins
PREFERRED
Prenate AM
Mephyton
Prenate Elite
Vitamin A
Prenate Essential
NON PREFERRED
Prenate Star
Aquasol A Parenteral
Provida OB
Drisdol
Right Step Prenatal
Niacin
Select-OB
Vitamin K1
Stuart Prenatal
Wheat Germ
Taron-bc
Taron-c DHA
MULTIVITAMINS
Theranatal Core Nutrition
GENERIC
Tri-VI-flor
b-complex 100
Tricare Prenatal
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Tricare Prenatal Compleat
PREFERRED
Tricare Prenatal DHA One
Atabex EC
Tricare Prenatal 1
Atabex Prenatal
Vinacal B
Bal-care DHA
Vinate AZ Extra
Citranatal B-calm
Vinate Calcium
Citranatal RX
Vinate DHA RF
Clinical Nutrients Prenatal Formula
Vita-pren
Concept DHA
Vitafol Gummies
Concept OB
Vitafol-nano
Duet DHA Balanced
Vitamedmd Redichew RX
Duet DHA 400
Vitapearl
Duet DHA 400EC
Viva DHA
Duet DHA 430
Your Life Multi Prenatal
Duet DHA 430EC
Zatean-pn
Enbrace HR
Zatean-pn Plus
Escavite
NON PREFERRED
Escavite D
Adrenal C Formula
Folbee Plus Cz
Albafort
Folcaps Omega 3
Bacmin
Folivane-OB
Citranatal Assure
Healthy Mama Be Well Rounded
Citranatal DHA
Marnatal-f
Citranatal Harmony
Mission Prenatal
Citranatal 90 DHA
Mteryti
Cod Liver Oil
Mteryti Folic 5
Corvite
Mykidz Iron Fl
Crnatal
Mynatal
Dialyvite Supreme D
Natachew
Dialyvite 3000
Natalvit
Dialyvite 5000
Natelle One
Dialyvite/Zinc
Neevo DHA
Floriva
Nestabs
Focalgin CA
Nestabs DHA
Focalgin 90 DHA
Newgen
Folet DHA
Niva-plus
Folet One
O-CAL Fa
Folgard OS
O-CAL Prenatal
Folivane-prx DHA NF
Obstetrix DHA
Fortavit
Obtrex
Gesticare DHA
Obtrex DHA
Infuvite
Effective January 1, 2017
35
Infuvite Adult MEDICAL DEVICES
Infuvite Pediatric
DIABETIC SUPPLIES
M.v.i. Adult
PREFERRED
M.v.i. Pediatric
Accu-chek Active Strips
M.v.i.-12 Without Vitamin K
Accu-chek Aviva
Natalvirt CA
Accu-chek Aviva Connect
Natalvirt 90 DHA
Accu-chek Aviva Plus
Nephplex RX
Accu-chek Comfort Curve Test Strips
Nephro-vite RX
Accu-chek Compact Plus
Nephrocaps
Accu-chek Compact Plus Care Kit
Nephrocaps QT
Accu-chek Compact Test Drum
Nestabs Abc
Accu-chek Fastclix Lancetdevice Kit
Nexa Plus
Accu-chek Fastclix Lancets
Nicadan
Accu-chek Multiclix Lanc Et Device Kit
Nicadan ZX
Accu-chek Multiclix Lancets
Nicazel
Accu-chek Nano Smartview
Nicazel Forte
Accu-chek Safe-t-pro Lancets
Nicomide
Accu-chek Safe-t-pro Pluslancets
Nutricap
Accu-chek Smartview Strips
Nutrivit
Accu-chek Soft Touch Lancets
Obstetrix One
Accu-chek Softclix Lancetdevice Kit
Ocuvel
Accu-chek Softclix Lancets
OB Complete Gold
Accu-chek Voicemate
Paire OB
Accutrend Glucose
Preferaob +dha
Active 1ST Blood Lancets 30G/Easy Twist CAP
Preferaob One
Advocate Insulin Pen Needles 29GX12.7MM
Prefol-DHA
Advocate Insulin Pen Needles 31GX5MM
Prenate
Advocate Insulin Pen Needles 31GX8MM
Prenate DHA
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"
Prenate Enhance
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"
Prenate Mini
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"
Prenate Pixie
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"
Prenate Restore
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"
Preque 10
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"
Protect Plus
Advocate Insulin Syringe/U-100/1ML/29GX1/2"
Provida DHA
Advocate Insulin Syringe/U-100/1ML/30GX5/16"
Quflora FE
Advocate Insulin Syringe/U-100/1ML/31GX5/16"
R-natal OB
Advocate Lancets
Renatabs
Advocate Lancets 30G
Renatabs With Iron
Advocate Safety Lancets
Req 49+
Advocate Safety Lancets 26G
Select-ob+dha
Agamatrix Ultra-thin Lancets 33G
Siderol
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"
Strovite Forte
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"
Strovite One
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"
Supervite
Assure Haemolance Plus High Flow 18G
Supervite EC
Assure Haemolance Plus Low Flow 25G
Support-500
Assure Haemolance Plus Micro Flow 28G
Synagex
Assure Haemolance Plus Normal Flow 21G
Synatek
Assure Haemolance Plus Pediatric Blade
Texavite LQ
Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Triveen-duo DHA
Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Triveen-prx RNF
Assure Lance Lancets
TL G-FOL OS
Assure Lance Lancets 21G
Udamin SP
Assure Lance Plus Safety Lancets 25G
Vemavite-prx 2
Assure Lance Plus Safety Lancets 30G
Vitafol
Assure Lancets
Vitafol Fe+
Aurora Lancet Super Thin 30G
Vitafol Ultra
Aurora Lancet Thin 23G
Vitafol-ob+dha
Aurora Pen Needles 29GX12MM
Vitafol-one
Aurora Pen Needles 31G X 6MM
Vital-d RX
Aurora Pen Needles 31G X 8MM
Vitamedmd One RX/Quatrefolic
Autolet Platforms
Vitamedmd Plus RX/Quatre Folic
AF Lancets Super Thin
Vitaroca Plus
AT Last Lancets
Vitatrue
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"
Zatean-pn DHA
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"
Zatean-CH
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Effective January 1, 2017
36
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2" BD-insul SYR Mis LO Dose
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2" Carefine Pen Needle 32GX4MM
Bayer Microlet Lancets Carefine Pen Needles 29GX1/2"
Bullseye Safety Lancets Carefine Pen Needles 30GX5/16"
BD Autoshield Duo 30G X 3/16" Carefine Pen Needles 31GX6MM
BD Autoshield 29G X 3/16" Carefine Pen Needles 31GX8MM
BD Autoshield 29G X 5/16" Careone Lancet Thin
BD Insulin Syringe LUER-LOK/U-100/1ML Careone Lancet Ultra Thin
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2" Cleanlet Lancets 28G
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2" Clever Chek Lancets Ultrathin
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8" Clever Chek Lancets Ultrathin 30G
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2" Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2" Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G 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"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2"
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
BD Insulin Syringe Slip Tip/U-100/1ML
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe U-40/1ML/25G X 5/8"
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2"
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64" Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 29GX12MM
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 31GX6MM
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 32GX4MM
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 32GX8MM
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 33GX4MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Clever Choice Comfort EZ Pen Needles 33GX5MM
Clever Choice Comfort EZ Pen Needles 33GX6MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Clever Choice Comfort EZ Pen Needles 33GX8MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Coaguchek Lancets
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe/U-500/0.5ML/31G X 15/64"
Comfort Assist Insulin Syringe/1ML/29G X 1/2"
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/30G X 5/16"
BD Integra Syringe/Retracting Needle/1ML/25G X 1"
Comfort Assist Insulin Syringe/1ML/31G X 5/16"
BD Lancet Ultrafine 30G
Comfort Lancets
BD Lancet Ultrafine 33G
Diastar Easy Test II Lancets 30G
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Diastar Easy Test Lancets30G
Droplet Lancets Ultra Thin 30G
BD Microtainer Lancets
Droplet Pen Needles 29GX12MM
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Droplet Pen Needles 31GX5MM
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Droplet Pen Needles 31GX6MM
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Droplet Pen Needles 31GX8MM
BD Pen Needle/Ultrafine/29G X 12.7MM
Droplet Pen Needles 32GX4MM
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Droplet Pen Needles 32GX8MM
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Drug Mart On-the-go Lancets Gentle 30G
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"
Drug Mart Unilet Lancets Super Thin 30G
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"
Drug Mart Unilet Lancets Ultra Thin 28G
Duane Reade Unifine Pentips 29G X 12MM
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT
Effective January 1, 2017
37
Duane Reade Unifine Pentips 31G X 8MM SHORT Embrace Lancets Ultra Thin 30G
E-z Ject Lancets Eql SHORT Pen Needles 31G X 8MM
E-z Ject Lancets Color Eql Ultra SHORT Pen Needles 31G X 6MM
E-z Ject Lancets Super Thin Excel Comfort Point Insulin Pen Needles 31G X 4MM
E-z Ject Lancets Super Thin 30G Exel Comfort Point Insulin Pen Needles 29G X 12MM
E-z Ject Lancets Thin 26G Exel Comfort Point Insulin Pen Needles 31G X 6MM
E-z Ject Lancets 21G Exel Comfort Point Insulin Pen Needles 31G X 8MM
E-ZJECT Lancets Micro-thin 33G Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2" Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2" Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16"
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16"
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"
EZ Smart Blood Glucose Lancets
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"
EZ-lets Lancets 21G
EZ-lets Lancets 23G
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"
EZ-lets Lancets 26G Super-soft
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"
EZ-lets Lancets 28G Ultra-soft
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"
EZ-lets Lancets 30G
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2"
Fifty50 Pen Needles 31G X3/16" (5MM)
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Fifty50 Pen Needles 31G X5/16" (8MM)
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2"
Fifty50 Pen Needles 31GX5MM
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16"
Fifty50 Pen Needles/31GX8MM
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"
Fifty50 Pen Needles/32GX4MM
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2"
Fifty50 Safety Seal Lancets 30G
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2"
Fifty50 Safety Seal Lancets 32G
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Insulin Syringe/0.3ML/30G X 5/16"
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/29G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/30G X 5/16"
Fifty50 Unilet Lancets 33G
Easy Touch Insulin Syringe/1ML/30G X 5/16"
Fine 30
Easy Touch Lancets 21G/Pressure Activated
Fingerstix Lancets
Easy Touch Lancets 23G/Pressure Activated
Fora Lancets
Easy Touch Lancets 26G/Pressure Activated
Freestyle Lancets
Easy Touch Lancets 26G/Pull-top
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Lancets 26G/Twist
Easy Touch Lancets 28G/Pressure Activated
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Lancets 28G/Pull-top
Easy Touch Lancets 28G/Twist Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Lancets 30G/Button-activated
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"
Easy Touch Lancets 30G/Pressure Activated
Easy Touch Lancets 30G/Pull-top
Freestyle Unistick II Lancets
Easy Touch Lancets 30G/Twist
Gentle-let GP Lancets
Easy Touch Lancets 32G/Pressure Activated
Gentle-let Lancets General Purpose Style/Fine Point
Easy Touch Lancets 32G/Pull-top
Gentle-let Lancets General Purpose Style/Medium Point
Easy Touch Lancets 32G/Twist
Gentle-let Lancets Safety Style/Fine Point
Easy Touch Lancets 33G/Twist
Gentle-let Lancets Safety Style/Medium Point
Easy Touch Pen Needles 29GX1/2"
Gentle-let Platforms 2.4MM
Easy Touch Pen Needles 31GX1/4"
Gentle-let Platforms 3.0MM
Easy Touch Pen Needles 31GX5/16"
Glucocom Lancets 28G
Easy Touch Pen Needles 32GX5/32"
Glucocom Lancets 30G
Easy Touch Pen Needles/31G X 3/16"
Glucocom Lancets 33G
Easy Touch Safety Lancets21G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"
Easy Touch Safety Lancets23G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16"
Easy Touch Safety Lancets26G/Button Activated
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16"
Easy Touch Safety Lancets26G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2"
Easy Touch Safety Lancets28G/Button Activated
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Safety Lancets28G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16"
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16"
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16"
Glucosource Lancets
Gmate Lancets 30G
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"
H-e-b Incontrol Pen Needles 29GX12MM
Easy Twist & CAP Lancets
H-e-b IN Control Pen Needles 31GX6MM
Easytest II Lancets
H-e-b IN Control Pen Needles 31GX8MM
Easytest Lancets
H-e-b IN Control Unifine Pentips Plus 32GX4MM
Effective January 1, 2017
38
Haemolance Litetouch Insulin Syringe/0.3ML/29G X 1/2"
Haemolance Low Flow Lancets Litetouch Insulin Syringe/0.3ML/30G X 5/16"
Haemolance Plus Litetouch Insulin Syringe/0.3ML/31G X 5/16"
Haemolance Plus High Flow Litetouch Insulin Syringe/0.5ML/30G X 5/16"
Haemolance Plus Low Flow Litetouch Insulin Syringe/0.5ML/31G X 5/16"
Haemolance Plus Max Flow Litetouch Insulin Syringe/1ML/30G X 5/16"
Haemolance Plus Pediatric Flow Litetouch Lancets Micro Thin 33G
Healthwise Mini Pen Needles 31GX6MM Litetouch Pen Needles 29GX12.7MM
Healthwise Pen Needles 29GX12MM Litetouch Pen Needles 31G X 6MM
Healthwise SHORT Pen Needles 31GX8MM Litetouch Pen Needles 31GX8MM SHORT
Hy-vee Lancets Live Better Lancet Super Thin 30G
Insulin Syringe/U-100/0.3ML/29G X 1/2" Live Better Lancet Ultra Thin 28G
Insulin Syringe/U-100/0.5ML/28G X 1/2" Live Better Pen Needles 29G X 12MM
Insulin Syringe/U-100/0.5ML/29G X 1/2" Live Better Pen Needles 31G X 12MM
Insulin Syringe/U-100/1ML/28G X 1/2" Live Better Pen Needles 31G X 6MM
Insulin Syringe/U-100/1ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2"
Insulin Syringe/U-100/1ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16"
Insulin Syringe/U-100/1ML/31G X 5/16" Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Insulin Syringe/0.3ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16"
Insulin Syringe/0.3ML/29G X 1" Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Insulin Syringe/0.3ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"
Insulin Syringe/0.3ML/31G X 5/16" Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"
Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"
Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets
Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G
Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets
Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G
Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G
Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM
Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G
Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max
Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G
Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G
Insupen Ultrafin 29GX12MM Medlance/Extra
Insupen Ultrafin 30GX8MM Medlance/Lite
Insupen Ultrafin 31GX6MM Medlance/Universal
Insupen Ultrafin 31GX8MM Meijer Lancets Universal 30G
IN Touch Sterile Lancets 30G Meijer Super Thin Lancets
Lancet Transporter Case Microlet Lancets
Lancets Microtainer Safety Flow Lancet/Sterile/Single-use
Lancets Bullseye Safety Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML
Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"
Lancets Safety Seal 26G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"
Lancets Safety Seal 28G Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"
Lancets Safety Seal 30G
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"
Lancets Thin
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"
Lancets Twist Top
Lancets Ultra Fine
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"
Lancets Ultra Thin
Lancets 26G Twist Top
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"
Lancets 28G
Lancets 30G
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"
Lancets 30G Twist Top
Lancets 30G/Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"
Lancets 31G Twist Top
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"
Lancets 33G Universal Design
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Leader Unifine Pentips Plus/Mini/31GX3/16"
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Leader Unifine Pentips Plus/SHORT/31GX5/16"
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Leader Unifine Pentips/Mini/31GX3/16"
Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Leader Unifine Pentips/Nano/32GX5/32"
Monoject Insulin Syringe/U-100/1ML/30G X 5/16"
Leader Unifine Pentips/Plus/32GX5/32"
Monoject Insulin Syringe/1ML
Liberty Medical Lancets 30G
Monoject Insulin Syringe/1ML/31G X 5/16"
Lifescan Unistik II Lancets
Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"
Lifescan Unistik 2 Deep Penetration
Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"
Lite Touch Pen Needles/31G X 3/16"
Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2"
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"
Effective January 1, 2017
39
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2"
Monojector End CAPS Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"
Monojector Opd End CAPS Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"
Monolet Lancets Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"
Monolet Opd Lancets Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"
Monolettor Safety Lancets
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Precision Thin Lancets
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Precision Thins GP Lancet
Precision Ultra Lancet
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Preferred Plus Unifine Pentips 29G X 12MM
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Preferred Plus Unifine Pentips 31G X 8MM SHORT
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"
Myglucohealth Mgh Softlance Lancets 30G
Prodigy Insulin Syringe/1/2ML/31G X 5/16"
Netgroup Lancets
Prodigy Insulin Syringe/1ML/28G X 1/2"
Nova Safety Lancets 23G
Prodigy Pressure Activated Safety Lancets
Nova Safety Lancets 28G
Prodigy Safety Lancets
Nova Sureflex Lancets
Prodigy Twist Top Lancets
Novofine Plus 32GX4MM
Pss Select GP Lancets
On Call Lancets
Pss Select Platforms
On Call Plus Lancets
Pss Select Safety Lancets
Onetouch Club Lancets Fine Point
Px Lancets Ultra Thin
Onetouch Combo Pack
PC Unifine Pentips 29G X 1/2"
Onetouch Delica Lancets Extra Fine 33G
PC Unifine Pentips 31G X 6MM Ultra SHORT
Onetouch Delica Lancets Fine 30G
PC Unifine Pentips 31G X 8MM SHORT
Onetouch Finepoint Lancets
Qc Lancets Super Thin
Onetouch Lancets
Qc Lancets Ultra Thin
Onetouch Suresoft Lancing Device/18G
Qc Pen Needles 29G X 12MM
Onetouch Suresoft Lancing Device/21G
Qc Pen Needles 31G X 6MM
Onetouch Suresoft Lancing Device/28G
Qc Pen Needles 31G X 8MM
Onetouch Ultra Blue
Relion Insulin Syringe/U -100/0.5ML/29G
Onetouch Ultra Mini
Relion Insulin Syringe/U-00/1ML/29G X 1/2"
Onetouch Ultra 2
Relion Insulin Syringe/U-100/0.3ML/29G
Onetouch Ultralink System (hex)
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"
Onetouch Ultralink System (DEC)
Relion Insulin Syringe/U-100/0.3ML/30G
Onetouch Ultrasoft Lancets
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16"
Onetouch Verio
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16"
Onetouch Verio Flex Bloodglucose Monitoring System
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Onetouch Verio IQ Blood Glucose Monitoring System
Relion Insulin Syringe/U-100/0.5ML/30G
Onetouch Verio Sync Bloodglucose Monitoring System
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16"
Onetouch Verio Test Strips
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16"
Pen Needles 29G X 12MM
Relion Insulin Syringe/U-100/1ML/30G
Pen Needles 29GX1/2"
Relion Insulin Syringe/U-100/1ML/30G X 5/16"
Pen Needles 30GX5/16"
Relion Insulin Syringe/U-100/1ML/31G X 5/16"
Pen Needles 31G X 1/4" SHORT
Relion Lancets Micro-thin33G
Pen Needles 31G X 3/16"
Relion Lancets Standard 21G
Pen Needles 31G X 5MM
Relion Lancets Thin 26G
Pen Needles 31G X 6MM
Relion Lancets Ultra-thin30G
Pen Needles 31GX5/16"
Relion Mini Pen Needles 31GX6MM
Pen Needles 31GX6MM (1/4")
Relion Pen Needles 29GX12MM
Pen Needles 31GX8MM
Relion Pen Needles 31GX6MM
Pen Needles 31GX8MM (5/16")
Relion Pen Needles 31GX8MM
Pen Needles 32GX4MM
Relion Pen Needles 32GX4MM
Penlet II Replacement CAPS
Relion SHORT Pen Needles 31GX8MM
Penlet II Replacement CAPS-deep
Relion Thin Lancets
Penlet II Replacement CAPS-regular
Relion Ultra Thin Lancets
Pentips 29GX12MM
Relion Ultra Thin Lancets30G
Pentips 31GX5MM
Relion Ultra Thin Plus Lancets 32G
Pentips 31GX6MM
Relion Ultra Thin Plus Lancets 33G
Pentips 31GX8MM
Rexall Lancets Ultra Thin
Pentips 32GX4MM
Rightest Gl300 Lancets
Perfect Lancets 30G
Rightest GD-L500 Alternate Site Adapter
Perfect Pressure Activated Safety Lancets 28G
Safe-t-lance Low Flow 25G
Pharmacist Choice Ultra Thin Lancets
Safe-t-lance Normal Flow 21G
Pharmacist Choice Ultra Thin Lancets 28G
Safe-t-lance Plus Safety Lancet High Flow
Pharmacist Choice Ultra Thin Lancets 30G
Safe-t-lance Plus Safety Lancet Low Flow
Pharmacist Choice Ultra Thin Lancets 31G
Safe-t-lance Plus Safety Lancet Normal Flow
Pharmacist Choice Ultra Thin Lancets 33G
Safesnap Insulin Syringe/0.3ML/30G X 5/16"
Pharmacy Counter Lancets
Safesnap Insulin Syringe/0.5ML/29G X 1/2"
Effective January 1, 2017
40
Safesnap Insulin Syringe/0.5ML/30G X 5/16" Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"
Safesnap Insulin Syringe/1ML/28G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"
Safesnap Insulin Syringe/1ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"
Safety Lancet 21G/Pressure Activated Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"
Safety Lancet 28G/Pressure Activated Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"
Safety Lancets Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"
Safety Lancets 21G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"
Safety Lancets 28G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"
Safety Let Lancets Trueplus Lancets 26G
Safety Seal Lancets 28G Trueplus Lancets 28G
Safety Seal Lancets 30G Trueplus Lancets 28G Super Thin
Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Trueplus Lancets 30G
Shopko On-the-go Comfort Lancets 30G Trueplus Lancets 30G Ultra Thin
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Lancets 33G
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Lancets 33G Micro Thin
Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Safety Lancets 28G
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"
Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM
Ulticare Insulin Safety Syringe/1ML/29G X 1/2"
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"
Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"
Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Shopko Unilet Lancets Super Thin 30G
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"
Shopko Unilet Lancets Ultra Thin 28G
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"
Single-let
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"
Smart Diabetes Vantage Universal Lancets 30G
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"
Smart Sense Color Lancets Universal 33G
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16"
Smart Sense Standard Lancets Universal 21G
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16"
Smart Sense Super Thin Lancets Universal 30G
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2"
Smart Sense Thin Lancets Universal 26G
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2"
Smartest Lancets 28G
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16"
Solus V2 Pressure Activated Safety Lancets 28G
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16"
Solus V2 Twist Lancets 30G
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"
Sterilance PA
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"
Sterilance TL
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16"
Sure-fine Pen Needles 29GX1/2" 12.7MM
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"
Sure-fine Pen Needles 31GX3/16" 5MM
Ulticare Insulin Syringe/0.3ML/29G X 1/2"
Sure-fine Pen Needles 31GX5/16" 8MM
Ulticare Insulin Syringe/0.3ML/30G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ulticare Insulin Syringe/0.3ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Ulticare Insulin Syringe/0.5ML/28G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16"
Ulticare Insulin Syringe/0.5ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ulticare Insulin Syringe/0.5ML/30G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ulticare Insulin Syringe/0.5ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Ulticare Insulin Syringe/1ML/28G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16"
Ulticare Insulin Syringe/1ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"
Ulticare Insulin Syringe/1ML/30G X 1/2"
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"
Ulticare Insulin Syringe/1ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16"
Ulticare Micro Pen Needles 31G X 8MM
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16"
Ulticare Micro Pen Needles 32G X 4MM
Sure-lance Flat Lancets
Ulticare Micro Pen Needles/32G X 4MM
Sure-lance Lancets 26G
Ulticare Mini Pen Needles Ulti-fine IV
Sure-lance Thin Lancets 28G
Ulticare Mini Pen Needles 31GX6MM
Sure-lance Ultra Thin Lancets
Ulticare Mini Pen Needles/31G X 6MM
Sure-touch Lancets Universal
Ulticare Mini Pen Needles31GX6MM
Surelite Lancets
Ulticare Original Pen Needles Ulti-fine
Techlite AST Lancets
Ulticare Pen Needles/29G X 12.7MM
Techlite Lancets
Ulticare SHORT Pen Needles Ulti-fine IV
Techlite Lancets 30G
Ulticare SHORT Pen Needles 31GX8MM
Techlite Pen Needles/31G X 5MM
Ulticare SHORT Pen Needles/31G X 8MM
Techlite Pen Needles/31G X 6 MM
Ulticare Thin Lancets 30G
Techlite Pen Needles/31G X 8MM
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4"
Techlite Pen Needles/32G X 4MM
Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4"
Techlite Pen Needles/32G X 8MM
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4"
Thinlets GP Lancets
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4"
Thinlets Lancet
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16"
Ultilet Classic Lancets
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16"
Effective January 1, 2017
41
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Comfort
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Unistik 3 Extra
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Unistik 3 Extra Single Use Safety Lancets/21G
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Unistik 3 Gentle
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Unistik 3 Neonatal
Ultilet Lancets Unistik 3 Normal
Ultilet Lancets 33G Universal 1 Lancets Thin 26G
Ultilet Pen Needle 32GX4MM/SHORT Universal 1 Lancets Ultra Thin 30G
Ultilet Safety Lancets 23G V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ultilet SHORT Pen Needles 31GX5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ultilet SHORT Pen Needles31GX3/16" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ultra-thin II Auto Lancet V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Valumark Lancet Super Thin 30G
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"
Valumark Lancet Ultra Thin 28G
Valumark Pen Needles 29GX12MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16"
Valumark Pen Needles 31G X 6MM
Valumark Pen Needles 31G X 8MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16"
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"
Vanishpoint Insulin Syringe/1ML/29G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"
Vida Mia Unifine Pentips Mini 31GX6MM
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"
Vida Mia Unifine Pentips Original 29GX12MM
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"
Vida Mia Unifine Pentips 32GX4MM
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"
Vida Mia Unilet Lancets Super Thin 30G
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"
Vida Mia Unilet Lancets Ultra Thin 28G
Ultra-thin II Lancets 28G
Vida Mia Unipfine Pentipsshort 31GX8MM
Ultra-thin II Lancets 30G
Vitalet Pro Lancets
Ultra-thin II Mini Pen Neeedles/31GX3/16"
Vitalet Pro Plus Lancets
Ultra-thin II Pen Needles 29GX1/2"
W&f Lancets Colored 21G
Ultra-thin II Pen Needles/SHORT/31GX5/16"
W&f Lancets 26G
Ultra-thin II Safety Autolancets 26G
Walgreens Lancets
Ultralance
Walgreens Thin Lancets
Unifine Pentips Plus 29GX12MM
Walgreens Ultra Thin Lancets
Unifine Pentips Plus 31GX5MM
1ST Choice Lancets Super Thin
Unifine Pentips Plus 31GX6MM
1ST Choice Lancets Thin
Unifine Pentips Plus 31GX8MM
1ST Choice Lancets Ultra Thin
Unifine Pentips 29GX12MM
1ST Tier Unifine Pentips 29GX12MM
Unifine Pentips 31G X 3/16"
1ST Tier Unifine Pentips 31GX6MM
Unifine Pentips 31G X 6MM
1ST Tier Unifine Pentips 31GX8MM
Unifine Pentips 31G X 8MM
Unifine Pentips 31GX5MM
MEDICAL DEVICES - MISC
Unifine Pentips 31GX6MM
PREFERRED
Unifine Pentips 31GX8MM
Aerochamber Mini Aerosol Chamber
Unifine Pentips 32GX4MM
Aerochamber MV
Unilet Comfortouch Lancet
Aerochamber Plus Flow VU
Unilet Excelite
Aerochamber Plus Flow-VU
Unilet Excelite II
Aerochamber Plus Flow-VU/Large Mask
Unilet G.p. Lancet
Aerochamber Plus Flow-VU/Mask
Unilet G.p. Superlite Lancet
Aerochamber Plus Flow-VU/Medium Mask
Unilet GP 28 Ultra Thin
Aerochamber Plus Flow-VU/Small Mask
Unilet Lancet
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Unilet Lancets Micro-thin33G
Unilet Lancets Super-thin30G
Aerochamber Z-stat Plus/Flowsignal
Unilet Lancets Ultra-thin 28G
Aerochamber Z-stat Plus/Large Mask
Unilet Superlite Lancet
Aerochamber Z-stat Plus/Medium Mask
Unistik CZT Comfort
Aerochamber Z-stat Plus/Small Mask
Unistik CZT Normal
Aerochamber/Flowsignal
Unistik Safety Lancets 28G
Aerovent Plus Holding Chamber/Collapsible
Unistik Safety Lancets 30G
Arial Chamber
Unistik Touch Safety Lancets 21G
Breatherite
Unistik Touch Safety Lancets 23G
Breatherite Collapsible Adult Spacer W/Mask
Unistik Touch Safety Lancets 28G
Breatherite Collapsible Child Spacer W/Mask
Unistik Touch Safety Lancets 30G
Breatherite Collapsible Infant Spacer W/Mask
Unistik 1
Breatherite Collapsible Small Child Spacer W/Mask
Unistik 2
Breatherite Collapsible Spacer W/ Neonate Mask
Unistik 2 Comfort
Breatherite Rigid Spacer W/Mask
Unistik 2 Extra
Breatherite W/Large Mask
Unistik 2 Neonatal
Breatherite W/Medium Mask
Unistik 2 Normal
Unistik 2 Super
Effective January 1, 2017
42
Breatherite W/Small Mask
Clever Choice Anti-staticvalved Holding Chamber/Adult Large
Clever Choice Anti-staticvalved Holding Chamber/Medium
Clever Choice Anti-staticvalved Holding Chamber/Small
Compact Space Chamber/Anti-static
Compact Space Chamber/Anti-static/Large Mask
Compact Space Chamber/Anti-static/Medium Mask
Compact Space Chamber/Anti-static/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Flexichamber
Flexichamber Adult Mask/Small
Flexichamber Child Mask/Large
Flexichamber Child Mask/Small
Inspirachamber/Anti-static Valved/Mouthpiece
Inspirachamber/Large
Inspirachamber/Soothermask/Inspiramask/Medium
Inspirachamber/Soothermask/Inspiramask/Small
Inspirease Bags
Inspirease Drug Delivery System
Inspirease Mouthpiece
Inspirease Reservoir Bags
Liteaire
Mask Vortex/Baby Whirl Duckling
Mask Vortex/Child/Frog
Mask Vortex/Spinner The Duck
Mask Vortex/Toddler/Lady Bug
Microchamber
Microspacer
Nessi Spacer/Large Mask
Nessi Spacer/Mouthpiece
Nessi Spacer/Small/MED Mask
Optichamber Advantage
Optichamber Advantage/Large Mask
Optichamber Advantage/Medium Face Mask
Optichamber Advantage/Small Face Mask
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optichamber Face Mask/Large
Optichamber Face Mask/Medium
Optichamber Face Mask/Small
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Vortex Valved Holding Chamber
Watchhaler
MISCELLANEOUS
NON PREFERRED
Chemet
Exjade
Ferriprox
Jadenu
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.
43
Index
A
Actigall, 20 Advocate Insulin Syringe/U-100/1ML/29GX1/2", 36
Actimmune, 7
A.a.g.c. Kit IN Teroderm, 11
Actiq, 30 Advocate Insulin Syringe/U-100/1ML/30GX5/16", 36
abacavir, 3
Activase, 23
abacavir sulfate/lamivudine/zidovudine, 3
Active 1ST Blood Lancets 30G/Easy Twist CAP, 36
Advocate Insulin Syringe/U-100/1ML/31GX5/16", 36
abacavir/lamivudine, 3
Abaneu-SL, 21
Activella, 15 Advocate Lancets, 36
Abelcet, 2
Actonel, 17 Advocate Lancets 30G, 36
Abilify, 25
Actoplus Met, 17 Advocate Safety Lancets, 36
Abilify Discmelt, 25
Actoplus Met XR, 17 Advocate Safety Lancets 26G, 36
Abilify Maintena, 25
Actos, 17 Adyphren II, 10
Abraxane, 6
Acuicyn Daily Eyelid & Eyelash Cleanser, 14
Adyphren Kit, 10
Absorica, 11
Adzenys XR-odt, 25
Abstral, 30
Acular, 29 Aerochamber Mini Aerosol Chamber, 42
acamprosate calcium DR, 26
Acular LS, 29 Aerochamber MV, 42
Acanya, 11
Acuvail, 29 Aerochamber Plus Flow VU, 42
acarbose, 17
acyclovir, 3, 12 Aerochamber Plus Flow-VU, 42
Accolate, 33
acyclovir sodium, 3 Aerochamber Plus Flow-VU/Large Mask, 42
Accu-chek Active Strips, 36
Acyclovir Sodium, 3
Accu-chek Aviva, 36
Aczone, 11 Aerochamber Plus Flow-VU/Mask, 42
Accu-chek Aviva Connect, 36
Adacel, 34 Aerochamber Plus Flow-VU/Medium Mask, 42
Accu-chek Aviva Plus, 36
Adalat CC, 8
Accu-chek Comfort Curve Test Strips, 36
adapalene, 11 Aerochamber Plus Flow-VU/Small Mask, 42
Accu-chek Compact Plus, 36
Adapalene, 11
Accu-chek Compact Plus Care Kit, 36
adapalene P.M., 11 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 42
Accu-chek Compact Test Drum, 36
Adasuve, 25
Accu-chek Fastclix Lancetdevice Kit, 36
Adcetris, 5 Aerochamber Z-stat Plus/Flowsignal, 42
Accu-chek Fastclix Lancets, 36
Adcirca, 10 Aerochamber Z-stat Plus/Large Mask, 42
Accu-chek Multiclix Lanc Et Device Kit, 36
Adderall, 25 Aerochamber Z-stat Plus/Medium Mask, 42
Adderall XR, 25
Accu-chek Multiclix Lancets, 36
Addyi, 27 Aerochamber Z-stat Plus/Small Mask, 42
Accu-chek Nano Smartview, 36
adefovir dipivoxil, 3 Aerochamber/Flowsignal, 42
Accu-chek Safe-t-pro Lancets, 36
Adempas, 10 Aerospan, 33
Accu-chek Safe-t-pro Pluslancets, 36
Adenocard, 8 Aerovent Plus Holding Chamber/Collapsible, 42
Accu-chek Smartview Strips, 36
adenosine, 8
Accu-chek Soft Touch Lancets, 36
Adoxa, 2 AF Lancets Super Thin, 36
Accu-chek Softclix Lancetdevice Kit, 36
Adoxa PAK 1/100, 2 Afinitor, 6
Accu-chek Softclix Lancets, 36
Adoxa PAK 1/150, 2 Afinitor Disperz, 6
Accu-chek Voicemate, 36
Adoxa PAK 2/100, 2 Afluria 2014-2015, 34
Accucaine, 14
Adrenaclick, 10 Afluria 2015-2016, 34
Accupril, 8
Adrenal C Formula, 35 Afluria 2016-2017, 34
Accuretic, 9
Adrenalin, 10, 33 Afluria PF 2014-2015, 34
Accutrend Glucose, 36
Advair Diskus, 33 Afluria PF 2015-2016, 34
acebutolol HCL, 7
Advair HFA, 33 Afluria PF 2016-2017, 34
Aceon, 8
Advanced Allergy Collection Kit, 13 Afluria Quadrivalent 2016-2017, 34
acetaminophen/caffeine/dihydrocodeine, 30
Advate, 23 Afrezza, 16
Advicor, 10 Agamatrix Ultra-thin Lancets 33G, 36
acetaminophen/codeine, 30
Advocate Insulin Pen Needles 29GX12.7MM, 36
Aggrastat, 23
acetaminophen/codeine #2, 30
Aggrenox, 23
acetaminophen/codeine #3, 30
Advocate Insulin Pen Needles 31GX5MM, 36
Agrylin, 23
acetaminophen/codeine #4, 30
Akne-mycin, 11
acetaminophen/codeine phosphate, 30
Advocate Insulin Pen Needles 31GX8MM, 36
Akovaz, 10
acetazolamide, 9
Akten, 29
Acetazolamide, 9
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 36
Akynzeo, 20
acetazolamide ER, 9
Ala Scalp, 13
acetazolamide sodium, 9
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16", 36
Ala-quin, 12
acetic acid, 29
Albafort, 21, 35
Acetic Acid/Aluminum Acetate, 29
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16", 36
Albenza, 4
acetylcysteine, 33
albuterol, 33
Aciphex, 19
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2", 36
albuterol sulfate, 33
Aciphex Sprinkle, 19
albuterol sulfate ER, 33
acitretin, 12
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16", 36
albuterol TAB 4MG, 33
Aclovate, 13
Alcaine, 29
Actemra, 31
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16", 36
alclometasone dipropionate, 13
Acthib, 34
Aldactazide, 9
Acticlate, 2
Aldactone, 9
amlodipine besylate/benazepril HCL, 9 Appformin, 17
Aldara, 13
amlodipine besylate/benazepril hydrochloride, 9
Appformin-d, 17
Aldurazyme, 18
apraclonidine, 29
Alecensa, 6
amlodipine besylate/valsartan, 9 Apriso, 20
alendronate sodium, 17
Amlodipine/Olmesartan Medoxomil, 9 Aptensio XR, 25
Alendronate Sodium, 17
amlodipine/valsartan/hctz, 9 Aptiom, 26
Alevicyn Antipruritic SG, 14
ammonium lactate, 13 Aptivus, 3
Alfenta, 30
Ammonul, 18 Aquasol A Parenteral, 35
alfentanil, 30
Amoxapine, 24 Aquoral, 23
Alferon N, 7
amoxicillin, 1 Aralast NP, 34
alfuzosin HCL ER, 21
Amoxicillin, 1 Aralen, 3
Alimta, 5
Amoxicillin ER, 1 Aranesp Albumin Free, 21
Alinia, 4
amoxicillin/clavulanate potassium, 1 Arava, 31
Alkeran, 4
Amoxicillin/Clavulanate Potassium, 1 Arcalyst, 31
Allegra Allergy Childrens, 32
amoxicillin/clavulanate potassium ER, 1 Arcapta Neohaler, 33
Allo-pax, 12
amphetamine/dextroamphetamine, 25 argatroban, 22
allopurinol, 32
Amphotec, 2 Argatroban, 22
Allzital, 30
Amphotericin B, 2 Arial Chamber, 42
almotriptan, 32
ampicillin, 1 Aricept, 27
almotriptan malate, 32
Ampicillin, 1 Aricept Odt, 27
Alocril, 29
ampicillin sodium, 1 Arimidex, 5
Alodox Convenience Kit, 2
Ampicillin Sodium, 1 aripiprazole, 24
Alogliptin, 17
ampicillin-sulbactam, 1 aripiprazole odt, 24
Alogliptin/Metformin HCL, 17
Ampyra, 27 Aristada, 25
Alogliptin/Pioglitazone, 17
Amrix, 27 Aristospan Intra-articular, 15
Alomide, 29
Amturnide, 9 Arixtra, 22
Aloprim, 32
Amytal Sodium, 25 armodafinil, 25
Alora, 15
Anacaine, 14 Armodafinil, 25
alosetron hydrochloride, 20
Anadrol-50, 15 Armour Thyroid, 19
Aloxi, 20
Anafranil, 24 Arnica Flower, 14
Alphagan P, 29
anagrelide hydrochloride, 23 Arnuity Ellipta, 33
Alphanate/Von Willebrand Factor Complex/Human, 23
Analpram Advanced, 20 Aromasin, 5
Analpram-HC, 20 Arranon, 5
Alphanine SD, 23
Analpram-HC Singles, 20 Arthrotec 50, 31
alprazolam, 23
Anaprox DS, 31 Arthrotec 75, 31
alprazolam ER, 23
Anaspaz, 19 Articadent Dental, 32
Alprazolam Intensol, 24
anastrozole, 5 Artiss, 22
alprazolam odt, 23
Ancef, 1 Arzerra, 5
Alrex, 28
Ancobon, 2 Asacol HD, 20
Alsuma, 32
Androderm, 15 ascorbic acid, 35
Altabax, 11
Androgel, 15 Asmanex HFA, 33
Altace, 8
Androgel P.M., 15 Asmanex Twisthaler 120 Metered Doses, 33
Altoprev, 10
Android, 15
Aluvea, 14
Androxy, 15 Asmanex Twisthaler 14 Metered Doses, 33
Alvesco, 33
Anectine, 27
amantadine HCL, 26
Angeliq, 15 Asmanex Twisthaler 30 Metered Doses, 34
Amantadine HCL, 26
Angiomax, 22
Amaryl, 17
Animi-3, 21 Asmanex Twisthaler 60 Metered Doses, 34
Ambien, 25
Animi-3/Vitamin D, 21
Ambien CR, 25
Anoro Ellipta, 33 Asmanex Twisthaler 7 Metered Doses, 34
Ambisome, 2
Antabuse, 27
Amcinonide, 13
Antara, 10 Aspirin-caffeine-dihydrocodeine, 30
Amerge, 32
Anthralin, 12 Aspirin/Dipyridamole, 23
Amicar, 22
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 36
Assure Haemolance Plus High Flow 18G, 36
amifostine, 7
amikacin sulfate, 2
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 36
Assure Haemolance Plus Low Flow 25G, 36
amiloride HCL, 9
amiloride/hydrochlorothiazide, 9
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 36
Assure Haemolance Plus Micro Flow 28G, 36
aminocaproic acid, 22
Aminocaproic Acid, 22
antipyrine/benzocaine, 29 Assure Haemolance Plus Normal Flow 21G, 36
aminophylline, 33
Antipyrine/Benzocaine, 29
amiodarone HCL, 8
Anusol-HC, 20 Assure Haemolance Plus Pediatric Blade, 36
Amiodarone HCL, 8
Anzemet, 20
Amitiza, 20
Apidra, 16 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 36
amitriptyline HCL, 24
Apidra Solostar, 16
amlodipine besylate, 8
Aplenzin, 24 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 36
amlodipine besylate/atorvastatin calcium, 10
Apokyn, 26
Appbutamone, 24 Assure Lance Lancets, 36
Assure Lance Lancets 21G, 36
Avonex Pen, 27 BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 37
Assure Lance Plus Safety Lancets 25G, 36
Avycaz, 4
Axert, 32 BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 37
Assure Lance Plus Safety Lancets 30G, 36
Axiron, 15
Aygestin, 16 BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 37
Assure Lancets, 36
azacitidine, 5
Astagraf XL, 6
Azactam, 4 BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 37
Astepro, 33
Azactam IN Iso-osmotic Dextrose, 4
Astero, 14
Azasan, 6 BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 37
Astringyn, 22
Azasite, 28
AT Last Lancets, 36
azathioprine, 5 BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 37
Atabex EC, 35
Azathioprine, 6
Atabex Prenatal, 35
azelastine HCL, 29, 33 BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 37
Atacand, 8
Azelex, 11
Atacand HCT, 9
Azilect, 26 BD Insulin Syringe Slip Tip/U-100/1ML, 37
Atelvia, 17
azithromycin, 1
atenolol, 7
Azithromycin, 1 BD Insulin Syringe U-40/1ML/25G X 5/8", 37
atenolol/chlorthalidone, 9
Azopt, 29
Atgam, 6
Azor, 9 BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 37
Ativan, 24
aztreonam, 4
Atopiclair, 14
Azulfidine, 20 BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 37
atorvastatin calcium, 10
Azulfidine EN-TABS, 20
atovaquone, 4
B BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 37
atovaquone/proguanil HCL, 3
B-12 Kit, 21
atracurium besylate, 27
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 37
B-6 Folic Acid, 22
Atralin, 11
b-complex 100, 35
Atripla, 3
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 37
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36
Atropen, 19
atropine sulfate, 19, 29
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 37
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 36
Atropine Sulfate, 19, 29
Atrovent, 33
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 37
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 36
Atrovent HFA, 34
Aubagio, 27
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 37
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36
augmented betamethasone dipropionate, 13
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 37
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 37
Augmentin, 1
Augmentin ES-600, 1
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 37
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 37
Augmentin XR, 1
Aurora Lancet Super Thin 30G, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2", 37
bacitracin, 4
Aurora Lancet Thin 23G, 36
Bacitracin, 28
Aurora Pen Needles 29GX12MM, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64", 37
bacitracin/polymyxin b, 28
Aurora Pen Needles 31G X 6MM, 36
Baclofen, 11
Aurora Pen Needles 31G X 8MM, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16", 37
baclofen, 27
Aurstat Anti-itch Hydrogel, 14
Bacmin, 35
Aurstat Anti-itch Hydrogel Kit, 14
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 37
Bactocill IN Dextrose, 1
Auryxia, 20
Bactrim, 4
Autolet Platforms, 36
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 37
Bactrim DS, 4
Auvi-q, 10
Bactroban, 11
Avalide, 9
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 37
Bactroban Nasal, 33
Avandamet, 17
Bal-care DHA, 35
Avandaryl, 17
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 37
balsalazide disodium, 20
Avandia, 17
Banzel, 26
Avapro, 8
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 37
Baraclude, 3
Avar, 11
Bayer Microlet Lancets, 37
Avar LS, 11
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 37
Bcg Vaccine, 34
Avar LS Cleanser, 11
BD Autoshield 29G X 3/16", 37
Avar-e LS, 11
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 37
BD Autoshield 29G X 5/16", 37
Avastin, 5
BD Autoshield Duo 30G X 3/16", 37
Avc, 21
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 37
BD Insulin Syringe LUER-LOK/U-100/1ML, 37
Aveed, 15
Avelox, 2
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 37
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 37
Avelox Abc Pack, 2
Avenova, 14
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 37
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 37
Avenova/Neutrox, 14
Avidoxy DK, 2
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 37
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 37
Avinza, 30
Avodart, 21
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 37
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 37
Avonex, 27
BD Insulin Syringe/U-100/1ML/27G X 1/2", 37
benzonatate, 33 Neonate Mask, 42
Benzonatate, 33 Breatherite Rigid Spacer W/Mask, 42
BD Insulin Syringe/U-100/1ML/28G X 1/2", 37
benzoyl peroxide, 11 Breatherite W/Large Mask, 42
benzoyl peroxide SHORT contact, 11 Breatherite W/Medium Mask, 42
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 37
benztropine mesylate, 26 Breatherite W/Small Mask, 43
Bepreve, 29 Breo Ellipta, 33
BD Insulin Syringe/U-100/2ML/29G X 1/2", 37
Berinert, 23 Brevibloc, 7
Besivance, 28 Brevicon-28, 16
BD Insulin Syringe/U-500/0.5ML/31G X 15/64", 37
Betadine Ophthalmic Prep, 28 Brilinta, 23
Betagan, 28 brimonidine tartrate, 29
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 37
Betalido, 15 Brintellix, 24
Betaloan Suik, 15 Brisdelle, 27
BD Integra Syringe/Retracting Needle/1ML/25G X 1", 37
betamethasone dipropionate, 13 Briviact, 26
betamethasone sodium phosphate/betamethasone acetate, 14
bromfenac, 29
BD Lancet Ultrafine 30G, 37
Bromfenac, 29
BD Lancet Ultrafine 33G, 37
Betamethasone SP, 15 bromocriptine mesylate, 26
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 37
betamethasone valerate, 13 bromphen/pseudoephedrine HCL/dextromethorphan HBR, 33
Betapace, 7
BD Microtainer Lancets, 37
Betapace AF, 7 Brompheniramine, 32
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 37
Betaseron, 27 Brompheniramine Tannate, 32
betaxolol HCL, 7, 28 Bromsite, 29
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 37
bethanechol chloride, 21 Brovana, 34
Bethkis, 2 budesonide, 14, 33(2)
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 37
Betimol, 28 Bullseye Safety Lancets, 37
Betoptic-s, 28 bumetanide, 9
BD Pen Needle/Ultrafine/29G X 12.7MM, 37
Bevespi Aerosphere, 34 Bumex, 9
bexarotene, 6 Bunavail, 30
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 37
Bexsero, 34 Bupap, 30
Beyaz, 16 Buphenyl, 18
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 37
Biaxin, 1 bupivacaine HCL, 32
bicalutamide, 5 Bupivacaine Hydrochloride/Sodium Chloride, 32
BD Pudendal/Local Block Tray 1% Lidocaine, 32
Bicillin C-R, 1
Bicillin L-a, 1 bupivacaine/epinephrine, 32
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 37
Bicnu, 4 Buprenex, 30
Bidil, 10 buprenorphine HCL, 30
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 37
Biest/Progesterone, 15 buprenorphine HCL/naloxone HCL, 30
Biferarx, 22 bupropion HCL, 24
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 37
Biltricide, 4 bupropion HCL ER, 24
Bimatoprost, 29 bupropion HCL SR, 24
BD-insul SYR Mis LO Dose, 37
Binosto, 17 bupropion HCL XL, 24
Bebulin, 23
Biothrax, 34 buspirone HCL, 23
Beconase AQ, 33
bisoprolol fumarate, 7 Busulfex, 4
Belbuca, 30
bisoprolol fumarate/hydrochlorothiazide, 9
butalbital/acetaminophen, 30
Beleodaq, 6
butalbital/acetaminophen/caffeine, 30
Belladonna & Opium, 19
bivalirudin, 22 butalbital/acetaminophen/caffeine/codeine, 30
Belladonna Alkaloids & Opium, 19
Bleo 15k, 5
Belsomra, 25
bleomycin sulfate, 5 butalbital/aspirin/caffeine, 30
benazepril HCL, 8
Bleph-10, 28 butalbital/aspirin/caffeine/codeine, 30
benazepril HCL/hydrochlorothiazide, 9
Blephamide, 28 Butisol Sodium, 25
Bendeka, 4
Blephamide S.o.p., 28 butorphanol tartrate, 30
Benefix, 23
Blincyto, 5 Butrans, 30
Benicar, 8
Bloxiverz, 28 Bydureon, 16
Benicar HCT, 9
Boniva, 17 Bydureon Pen, 16
Bentyl, 19
Boostrix, 34 Byetta, 16
Benzac Ac Wash, 11
Boric Acid, 14 Bystolic, 7
Benzaclin, 11
Bosulif, 6 Byvalson, 9
Benzaclin With P.M., 11
Botox, 27 C
Benzamycin, 11
Bravelle, 18
cabergoline, 18
Benzamycinpak, 11
Breatherite, 42
Cabometyx, 6
Benzefoam, 11
Breatherite Collapsible Adult Spacer W/Mask, 42
Caduet, 10
Benzefoam Ultra, 11
Cafcit, 25
Benzefoamultra, 11
Breatherite Collapsible Child Spacer W/Mask, 42
Cafergot, 32
Benziq, 11
caffeine citrate, 25
Benziq LS, 11
Breatherite Collapsible Infant Spacer W/Mask, 42
Caffeine/Sodium Benzoate, 25
Benzodox 30 Kit, 2
Calan, 8
Benzodox 60 Kit, 2
Breatherite Collapsible Small Child Spacer W/Mask, 42
Calan SR, 8
Benzoin Compound Tincture, 14
calcipotriene, 12
Benzoin Tincture, 14
Breatherite Collapsible Spacer W/
calcipotriene/betamethasone
dipropionate, 13
Cayston, 4 chlordiazepoxide HCL/clidinium bromide, 19
calcitonin salmon, 17
Cedax, 1
calcitonin-salmon, 17
cefaclor, 1 Chlordiazepoxide/Amitriptyline, 27
Calcitriol, 12
Cefaclor, 1 chlorhexidine gluconate, 23
calcitriol, 18
Cefaclor ER, 1 chlorhexidine gluconate oral rinse, 23
calcium acetate, 20
cefadroxil, 1 chloroquine phosphate, 3
Caldolor, 31
Cefazolin, 1 chlorothiazide, 9
Cambia, 32
cefazolin sodium, 1 Chlorothiazide, 9
Campral, 27
Cefazolin Sodium, 1 chlorothiazide sodium, 9
Camptosar, 6
Cefazolin Sodium/Dextrose, 1 chlorpromazine HCL, 24
Canasa, 20
Cefazolin/D5W, 1 Chlorpromazine HCL, 25
Cancidas, 2
Cefazolin/Dextrose, 1 Chlorpropamide, 17
candesartan cilexetil, 8
Cefazolin/Sodium Chloride, 1 chlorthalidone, 9
candesartan cilexetil/hydrochlorothiazide, 9
cefdinir, 1 Chlorthalidone, 9
Cefditoren Pivoxil, 1 chlorzoxazone, 27
Cantil, 19
cefepime, 1 Cholbam, 20
Capastat Sulfate, 2
Cefepime, 1 cholestyramine, 10
capecitabine, 5
Cefepime/Dextrose, 1 cholestyramine light, 10
Capex, 13
cefixime, 1 choline magnesium trisalicylate, 30
Caphosol, 23
Cefotan, 1 Choline Magnesium Trisalicylate, 30
Capital/Codeine, 30
cefotaxime sodium, 1 chorionic gonadotropin, 18
Caprelsa, 6
Cefotaxime Sodium, 1 Cialis, 10
captopril, 8
cefotetan, 1 Ciclodan Cream Kit, 12
Captopril/Hydrochlorothiazide, 9
Cefotetan, 1 Ciclodan Solution Kit, 12
Capxib Kit, 31
Cefotetan/Dextrose, 1 ciclopirox, 12
Carafate, 19
cefoxitin sodium, 1 ciclopirox nail lacquer, 12
Carbaglu, 18
Cefoxitin Sodium, 1 ciclopirox olamine, 12
carbamazepine, 26
cefpodoxime proxetil, 1 cidofovir, 3
carbamazepine ER, 26
cefprozil, 1 Ciferex, 22
Carbaphen 12, 33
ceftazidime, 1 cilostazol, 23
Carbaphen 12 PED, 33
Ceftazidime/Dextrose, 1 Ciloxan, 28
Carbatrol, 26
Ceftibuten, 1 cimetidine, 19
carbidopa, 26
Ceftin, 1 cimetidine HCL, 19
carbidopa/levodopa, 26
Ceftriaxone IN Iso-osmotic Dextrose, 1 Cimzia, 20
carbidopa/levodopa ER, 26
ceftriaxone sodium, 1 Cimzia Starter Kit, 20
carbidopa/levodopa odt, 26
Ceftriaxone Sodium, 1 Cinqair, 34
Carbidopa/Levodopa/Entacapone, 26
Ceftriaxone/Dextrose, 1 Cinryze, 23
carbinoxamine maleate, 32
cefuroxime axetil, 1 Cipro, 2
Carbocaine, 32
cefuroxime sodium, 1 Cipro HC, 29
carboplatin, 4
Cefuroxime Sodium, 1 Cipro I.V.-IN D5W, 2
Cardene IV, 8
Celebrex, 31 Cipro XR, 2
Cardizem, 8
celecoxib, 31 Ciprodex, 29
Cardizem CD, 8
Celestone-soluspan, 15 ciprofloxacin, 2
Cardizem LA, 8
Celexa, 24 Ciprofloxacin, 2, 29
Cardura, 9
Cellcept, 6 ciprofloxacin ER, 2
Cardura XL, 21
Cellcept Intravenous, 6 ciprofloxacin HCL, 2, 28
Carefine Pen Needle 32GX4MM, 37
Celontin, 26 Ciprofloxacin HCL, 2
Carefine Pen Needles 29GX1/2", 37
Cenfol, 22 ciprofloxacin I.V.-IN D5W, 2
Carefine Pen Needles 30GX5/16", 37
Centany, 11 cisatracurium besylate, 27
Carefine Pen Needles 31GX6MM, 37
Centany AT, 11 cisplatin, 4
Carefine Pen Needles 31GX8MM, 37
Centratex, 22 Cisplatin, 4
Careone Lancet Thin, 37
cephalexin, 1 citalopram hydrobromide, 24
Careone Lancet Ultra Thin, 37
Cephalexin, 1 Citanest Forte Dental, 32
carisoprodol, 27
Ceracade, 14 Citanest Plain Dental, 32
carisoprodol/aspirin, 27
Cerdelga, 22 Citranatal 90 DHA, 35
carisoprodol/aspirin/codeine, 27
Cerebyx, 26 Citranatal Assure, 35
Carnitor, 18
Cerezyme, 21 Citranatal B-calm, 35
Carnitor SF, 18
Cervarix, 34 Citranatal DHA, 35
carteolol HCL, 28
Cervidil, 29 Citranatal Harmony, 35
carvedilol, 7
Cesamet, 20 Citranatal RX, 35
Cascara Sagrada, 19
cetirizine HCL, 32 citric acid/sodium citrate, 21
Casodex, 5
Cetraxal, 29 cladribine, 5
Cataflam, 31
Cetrotide, 18 Claforan, 1
Catapres, 9
cevimeline HCL, 23 Claforan/D5W, 1
Catapres-tts-1, 9
Chemet, 43 Clarifoam EF, 11
Catapres-tts-2, 9
Chenodal, 20 Clarinex, 32
Catapres-tts-3, 9
Chloramphenicol Sodium Succinate, 4 Clarinex-d 12 HOUR, 33
Cathflo Activase, 23
chlordiazepoxide HCL, 23 clarithromycin, 1
clarithromycin ER, 1
Climara, 15 Combivent Respimat, 33
Cleanlet Lancets 28G, 37
Climara Pro, 15 Combivir, 3
clemastine fumarate, 32
Clin Single Use Kit, 4 Cometriq, 6
Clemastine Fumarate, 32
Clindacin Etz, 11 Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 37
Cleocin, 4, 21
Clindacin PAC, 11
Cleocin IN D5W, 4
Clindagel, 11 Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 37
Cleocin Pediatric Granules, 4
clindamycin, 4
Cleocin Phosphate, 4
clindamycin HCL, 4 Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 37
Cleocin-t, 11
clindamycin palmitate HCL, 4
Clever Chek Lancets Ultrathin, 37
clindamycin phosphate, 4, 11, 21 Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 37
Clever Chek Lancets Ultrathin 30G, 37
Clindamycin Phosphate, 4
Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 43
clindamycin phosphate add-vantage, 4 Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 37
clindamycin phosphate IN D5W, 4
Clever Choice Anti-staticvalved Holding Chamber/Medium, 43
clindamycin phosphate pharmacy bulk package, 4
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 37
Clever Choice Anti-staticvalved Holding Chamber/Small, 43
clindamycin phosphate/tretinoin, 11 Comfort Assist Insulin Syringe/1ML/29G X 1/2", 37
clindamycin/benzoyl peroxide, 11
Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 37
Clindap-t, 11 Comfort Assist Insulin Syringe/1ML/30G X 5/16", 37
Clindesse, 21
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 37
Clinical Nutrients Prenatal Formula, 35 Comfort Assist Insulin Syringe/1ML/31G X 5/16", 37
Clinoin, 11
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 37
clobetasol propionate, 13 Comfort Lancets, 37
clobetasol propionate emollient, 13 Compact Space Chamber/Anti-static, 43
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 37
Clobex, 13 Compact Space Chamber/Anti-static/Large Mask, 43
Clocortolone Pivalate, 13
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 37
Clocortolone Pivalate P.M., 13 Compact Space Chamber/Anti-static/Medium Mask, 43
Clodan Kit, 13
Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 37
Cloderm, 13 Compact Space Chamber/Anti-static/Small Mask, 43
Cloderm P.M., 13
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 37
Clolar, 5 Complera, 3
clomiphene citrate, 18 Comtan, 26
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 37
clomipramine HCL, 24 Comvax, 34
clonazepam, 26 Concept DHA, 35
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 37
clonazepam odt, 26 Concept OB, 35
clonidine HCL, 8 Concerta, 25
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 37
clonidine HCL ER, 25 Condylox, 14
clopidogrel, 23 Convenience PAK, 27
Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 37
clorazepate dipotassium, 23 Conzip, 30
Clorpres, 9 Copasil, 14
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 37
clotrimazole, 12, 23 Copaxone, 27
clotrimazole/betamethasone dipropionate, 12
Copegus, 3
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 37
Cordarone, 8
clozapine, 24 Cordran, 13
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 37
clozapine odt, 24 Cordran Tape, 13
Clozapine Odt, 25 Coreg, 7
Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 37
Clozaril, 25 Coreg CR, 7
Cnl8 Nail Kit, 12 Corgard, 7
Clever Choice Comfort EZ Pen Needles 29GX12MM, 37
Coaguchek Lancets, 37 Corifact, 23
Coal TAR, 14 Corlanor, 10
Clever Choice Comfort EZ Pen Needles 31GX5MM, 37
Coartem, 4 Corlopam, 9
Cocaine HCL, 14 Cortef, 15
Clever Choice Comfort EZ Pen Needles 31GX6MM, 37
Cod Liver Oil, 35 Cortenema, 20
Codar AR, 33 Cortifoam, 20
Clever Choice Comfort EZ Pen Needles 31GX8MM, 37
codeine sulfate, 30 Cortisone Acetate, 15
Codeine Sulfate, 30 Cortisporin, 11
Clever Choice Comfort EZ Pen Needles 32GX4MM, 37
Cogentin, 26 Cortisporin-tc, 29
Colazal, 20 Corvert, 8
Clever Choice Comfort EZ Pen Needles 32GX8MM, 37
Colchicine, 32 Corvite, 35
Colcrys, 32 Corvite 150, 22
Clever Choice Comfort EZ Pen Needles 33GX4MM, 37
Colestid, 10 Corzide, 9
Colestid Flavored, 10 Cosentyx, 12
Clever Choice Comfort EZ Pen Needles 33GX5MM, 37
colestipol HCL, 10 Cosentyx Sensoready Pen, 12
colistimethate sodium, 4 Cosmegen, 5
Clever Choice Comfort EZ Pen Needles 33GX6MM, 37
Coly-mycin M, 4 Cosopt, 28
Coly-mycin S, 29 Cosopt PF, 28
Clever Choice Comfort EZ Pen Needles 33GX8MM, 37
Colyte-flavor Packs, 19 Cotellic, 6
Combigan, 28 Coumadin, 22
Cleviprex, 8
Combipatch, 15 Cozaar, 8
Cpb Wc, 33
Debacterol, 23 dexamethasone sodium phosphate, 15, 28
Creon, 20
decitabine, 5
Cresemba, 2
Decon-a, 33 Dexamethasone Sodium Phosphate, 15, 28
Crestor, 10
Defitelio, 22
Crinone, 21
Delestrogen, 15 Dexchlorpheniramine Maleate, 32
Crixivan, 3
Delzicol, 20 Dexedrine, 25
Crnatal, 35
Demadex, 9 Dexilant, 19
cromolyn sodium, 20, 29
demeclocycline HCL, 2 Dexlido, 15
Cromolyn Sodium, 33
Demerol, 30 Dexlido-m, 15
Cubicin, 4
Demser, 9 dexmedetomidine HCL, 25
Cubicin RF, 4
Denavir, 12 Dexmedetomidine HCL, 25
Curosurf, 34
Depacon, 26 dexmethylphenidate HCL, 25
Cutivate, 13
Depakene, 26 dexmethylphenidate HCL ER, 25
Cuvposa, 19
Depakote, 26 Dexpak 10 Day, 15
cyanocobalamin, 21
Depakote ER, 26 Dexpak 13 Day, 15
Cyclessa, 16
Depakote Sprinkles, 26 Dexpak 6 Day, 15
Cyclobenzaprine Comfort PAC, 27
Depo-estradiol, 15 Dexpanthenol, 20
cyclobenzaprine HCL, 27
Depo-medrol, 15 dexrazoxane, 7
Cyclogyl, 29
Depo-provera, 5 dextroamphetamine sulfate, 25
Cyclomydril, 29
Depo-testosterone, 15 dextroamphetamine sulfate ER, 25
cyclopentolate HCL, 29
Deprizine Fusepaq, 19 Diabeta, 17
cyclopentolate hydrochloride, 29
Deprizine Rapidpaq, 19 Dialyvite 3000, 35
Cyclophene Rapidpaq, 27
Derma Silkrx Anodynexa PAK, 31 Dialyvite 5000, 35
cyclophosphamide, 4
Derma Silkrx Diclopak, 31 Dialyvite Supreme D, 35
Cyclophosphamide, 4
Derma-smoothe/FS Body, 13 Dialyvite/Zinc, 35
Cycloserine, 2
Derma-smoothe/FS Scalp, 13 Diamox, 9
Cycloset, 17
Dermacinrx Azenase PAK, 33 Diastar Easy Test II Lancets 30G, 37
cyclosporine, 6
Dermacinrx Cinlone-i Cpi, 15 Diastar Easy Test Lancets30G, 37
cyclosporine modified, 6
Dermacinrx Clorhexacin, 14 Diastat Acudial, 26
Cyclosporine Modified, 6
Dermacinrx Dpn PAK, 27 Diastat Pediatric, 26
Cyklokapron, 22
Dermacinrx Duopatch Pharmapak, 14 diazepam, 23
Cymbalta, 24
Dermacinrx Inflammatral PAK, 31 Diazepam, 23, 26
cyproheptadine HCL, 32
Dermacinrx Lexitral Pharmapak, 12 Dibenzyline, 9
Cyramza, 5
Dermacinrx Neurotral Pharmapak, 14 Diclegis, 20
Cystadane, 18
Dermacinrx Phn PAK, 14 diclofenac potassium, 31
Cystagon, 21
Dermacinrx Purefolix, 22 diclofenac sodium, 12, 29
Cystaran, 29
Dermacinrx Surgical Pharmapak, 14 Diclofenac Sodium, 12
cytarabine, 5
Dermacinrx Therazole PAK, 12 diclofenac sodium DR, 31
cytarabine aqueous, 5
Dermacinrx Ticanase PAK, 33 diclofenac sodium ER, 31
Cytarabine Aqueous, 5
Dermacinrx Zrm PAK, 14 diclofenac sodium/misoprostol, 31
Cytomel, 19
Dermapak Plus, 11 dicloxacillin sodium, 1
Cytotec, 19
Dermasorb HC, 13 Dicopanol Fusepaq, 32
Cytovene, 3
Dermasorb Ta, 13 Dicopanol Rapidpaq, 32
Cytra-3, 21
Dermasorb XM, 14 dicyclomine HCL, 19
D
Dermatop, 13 didanosine, 3
Dermawerx Surgical Plus PAK, 14 Differin, 11
D.h.e. 45, 32
Dermazone, 13 Dificid, 1
dacarbazine, 6
Dermazyl, 14 Diflorasone Diacetate, 13
Dacarbazine, 7
Dermotic, 29 Diflucan, 2
Dacogen, 5
Descovy, 3 diflunisal, 30
Daklinza, 3
desipramine HCL, 24 digoxin, 7
Daliresp, 34
desloratadine, 32 Digoxin, 7
Dallergy, 33
Desloratadine Odt, 32 dihydroergotamine mesylate, 32
Dalvance, 4
desmopressin acetate, 18 Dihydroergotamine Mesylate, 32
danazol, 15
Desogen, 16 Dilantin, 26
Dantrium, 27
desogestrel/ethinyl estradiol, 16 Dilantin Infatabs, 26
Dantrium IV, 27
Desonate, 13 Dilantin-125, 26
dantrolene sodium, 27
desonide, 13 Dilatrate SR, 7
dapsone, 4
Desowen, 13 Dilaudid, 30
Daptacel, 34
desoximetasone, 13 Dilaudid-HP, 30
daptomycin, 4
Desoximetasone, 13 diltiazem CD, 8
Daraprim, 3
Desoxyn, 25 diltiazem HCL, 8
darifenacin hydrobromide ER, 21
Desvenlafaxine ER, 24 Diltiazem HCL, 8
Darzalex, 5
Detrol, 21 diltiazem HCL CD, 8
daunorubicin HCL, 5
Detrol LA, 21 diltiazem HCL ER, 8
Daunoxome, 5
dexamethasone, 14 Diltiazem Hydrochloride/Sodium Chloride, 8
Daypro, 31
Dexamethasone, 15
Daytrana, 25
Dexamethasone Intensol, 15 Dimenhydrinate, 20
Ddavp, 18
Diovan, 8
Droplet Pen Needles 29GX12MM, 37 E-z Ject Lancets Thin 26G, 38
Diovan HCT, 9
Droplet Pen Needles 31GX5MM, 37 E-z Spacer, 43
Dipentocaine, 12
Droplet Pen Needles 31GX6MM, 37 E-z Spacer The Body Guards Pack, 43
Dipentum, 20
Droplet Pen Needles 31GX8MM, 37 E-ZJECT Lancets Micro-thin 33G, 38
diphenhydramine HCL, 32
Droplet Pen Needles 32GX4MM, 37 E.e.s. 400, 1
diphenoxylate/atropine, 19
Droplet Pen Needles 32GX8MM, 37 E.e.s. Granules, 1
Diphenoxylate/Atropine, 19
drospirenone/ethinyl estradiol, 16 Easivent, 43
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 34
drospirenone/ethinyl estradiol/levomefolate calcium, 16
Easivent/Mask-large, 43
Easivent/Mask-medium, 43
Diprolene, 13
Droxia, 22 Easivent/Mask-small, 43
Diprolene AF, 13
Drug Mart On-the-go Lancets Gentle 30G, 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 38
dipyridamole, 23
Disalcid, 30
Drug Mart Unilet Lancets Super Thin 30G, 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2", 38
disopyramide phosphate, 8
disulfiram, 27
Drug Mart Unilet Lancets Ultra Thin 28G, 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16", 38
Ditropan XL, 21
Diuril, 9
Drysol, 13 Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16", 38
divalproex sodium, 26
Dsg PAK, 12
divalproex sodium DR, 26
Duac, 11 Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 38
divalproex sodium ER, 26
Duane Reade Unifine Pentips 29G X 12MM, 37
Divigel, 15
Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 38
Divista, 22
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37
dobutamine HCL, 10
Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 38
dobutamine HCL/D5W, 10
Duane Reade Unifine Pentips 31G X 8MM SHORT, 38
dobutamine/dextrose 5%, 10
Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 38
Docefrez, 6
Duavee, 15
docetaxel, 6
Duet DHA 400, 35 Easy Touch Insulin Syringe/1ML/30G X 5/16", 38
Docetaxel, 6
Duet DHA 400EC, 35
Docetaxel (non-alcohol Formula), 6
Duet DHA 430, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 38
dofetilide, 8
Duet DHA 430EC, 35
Dologesic, 30
Duet DHA Balanced, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 38
Dolophine, 30
Duetact, 17
donepezil HCL, 27
Duexis, 31 Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 38
dopamine HCL, 10
Dulera, 34
Dopamine HCL, 10
duloxetine HCL, 24 Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 38
dopamine HCL-dextrose 5%, 10
Duloxetine HCL, 24
dopamine HCL/dextrose 5%, 10
Duopa, 26 Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 38
dopamine/D5W, 10
Duragesic, 30
Dopram, 25
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 38
Doral, 25
Doribax, 4
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
Doryx, 2
Doryx Mpc, 2
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2", 38
dorzolamide HCL, 29
dorzolamide HCL/timolol maleate, 28
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16", 38
Doubledex, 15
Dovonex, 12
Durezol, 28 Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 38
doxapram HCL, 25
Durlaza, 23
doxazosin, 8
dutasteride, 21 Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 38
doxazosin mesylate, 8
dutasteride/tamsulosin HCL, 21
doxepin HCL, 24
dutasteride/tamsulosin hydrochloride, 21 Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 38
Doxepin HCL, 24
Dutoprol, 9
Doxepin Hydrochloride, 12
Dyanavel XR, 25 Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2", 38
doxercalciferol, 18
Dyazide, 9
Doxil, 5
Dyloject, 31 Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 38
doxorubicin HCL, 5
Dymista, 33
Doxorubicin HCL, 5
Dyrenium, 9 Easy Touch Lancets 21G/Pressure Activated, 38
doxorubicin HCL liposome, 5
Dysport, 27
doxycycline, 2
Dyural-40, 15 Easy Touch Lancets 23G/Pressure Activated, 38
Doxycycline, 11
Dyural-80, 15
doxycycline hyclate, 2
Dyural-l, 15 Easy Touch Lancets 26G/Pressure Activated, 38
doxycycline hyclate DR, 2
Dyural-lm, 15
doxycycline monohydrate, 2
E Easy Touch Lancets 26G/Pull-top, 38
Drisdol, 35
Easy Touch Lancets 26G/Twist, 38
E-z Ject Lancets, 38
Dritho-creme HP, 12
Easy Touch Lancets 28G/Pressure Activated, 38
E-z Ject Lancets 21G, 38
dronabinol, 20
E-z Ject Lancets Color, 38
droperidol, 23
Easy Touch Lancets 28G/Pull-top, 38
E-z Ject Lancets Super Thin, 38
Droplet Lancets Ultra Thin 30G, 37
Easy Touch Lancets 28G/Twist, 38
E-z Ject Lancets Super Thin 30G, 38
Easy Touch Lancets 30G/Button-activated, 38
Ellence, 5 Eql Ultra SHORT Pen Needles 31G X 6MM, 38
Elmiron, 21
Easy Touch Lancets 30G/Pressure Activated, 38
Elocon, 13 Equetro, 25
Eloxatin, 4 Equipto-baclofen, 11
Easy Touch Lancets 30G/Pull-top, 38
Emadine, 29 Equipto-naproxen, 12
Easy Touch Lancets 30G/Twist, 38
Embeda, 30 Eraxis, 2
Easy Touch Lancets 32G/Pressure Activated, 38
Embrace Lancets Ultra Thin 30G, 38 Erbitux, 5
Emcyt, 5 ergocalciferol, 35
Easy Touch Lancets 32G/Pull-top, 38
Emend, 20 ergoloid mesylates, 27
Easy Touch Lancets 32G/Twist, 38
Emla, 14 Ergoloid Mesylates, 27
Easy Touch Lancets 33G/Twist, 38
Empliciti, 5 Ergomar, 32
Easy Touch Pen Needles 29GX1/2", 38
Emsam, 24 Ertaczo, 12
Easy Touch Pen Needles 31GX1/4", 38
Emtriva, 3 Erwinaze, 5
Easy Touch Pen Needles 31GX5/16", 38
Emulsion SB, 14 Ery-TAB, 1
Easy Touch Pen Needles 32GX5/32", 38
Emverm, 4 Erygel, 11
Easy Touch Pen Needles/31G X 3/16", 38
Emvoren, 12 Eryped 200, 1
Enablex, 21 Eryped 400, 1
Easy Touch Safety Lancets21G/Pressure Activated, 38
enalapril maleate, 8 Erythrocin Lactobionate, 1
enalapril maleate/hydrochlorothiazide, 9 Erythrocin Stearate, 1
Easy Touch Safety Lancets23G/Pressure Activated, 38
enalaprilat, 8 erythromycin, 1, 11, 28
Enbrace HR, 35 Erythromycin Base, 1
Easy Touch Safety Lancets26G/Button Activated, 38
Enbrel, 31 erythromycin ethylsuccinate, 1
Enbrel Sureclick, 31 Erythromycin Ethylsuccinate, 1
Easy Touch Safety Lancets26G/Pressure Activated, 38
Endometrin, 21 erythromycin/benzoyl peroxide, 11
Engerix-b, 34 Esbriet, 34
Easy Touch Safety Lancets28G/Button Activated, 38
Enjuvia, 15 Escavite, 35
Enlon, 28 Escavite D, 35
Easy Touch Safety Lancets28G/Pressure Activated, 38
Enlon-plus, 28 escitalopram oxalate, 24
enoxaparin sodium, 22 Esgic, 30
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 38
Enstilar, 13 esmolol HCL, 7
entacapone, 26 Esmolol HCL, 7
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 38
entecavir, 3 esomeprazole magnesium, 19
Entereg, 20 esomeprazole sodium, 19
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16", 38
Entocort EC, 15 Esomeprazole Sodium, 19
Entresto, 10 Esomeprazole Strontium, 19
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 38
Entty Spray Emulsion, 14 estazolam, 25
Entyvio, 20 Estrace, 15, 21
Easy Twist & CAP Lancets, 38
Envarsus XR, 6 estradiol, 15
Easytest II Lancets, 38
Epaned, 8 Estradiol, 15
Easytest Lancets, 38
Epclusa, 3 estradiol valerate, 15
EC-naprosyn, 31
ephedrine sulfate, 10 estradiol/norethindrone acetate, 15
econazole nitrate, 12
Ephedrine Sulfate, 10 Estring, 21
Ecoza, 12
Ephedrine Sulfate/Sodium Chloride, 10 Estrogel, 15
Ed Cyte F, 22
Epiceram, 14 Estropipate, 15
Edarbi, 8
Epiduo, 11 Estrostep FE, 16
Edarbyclor, 9
Epiduo Forte, 11 eszopiclone, 25
Edecrin, 9
Epifoam, 13 ethacrynate sodium, 9
Edluar, 25
epinastine HCL, 29 ethacrynic acid, 9
Edurant, 3
Epinephrine, 10 ethambutol HCL, 2
Effexor XR, 24
Epinephrine HCL, 10 ethosuximide, 26
Effient, 23
epinephrine HCL, 33 Ethyl Chloride, 14
Egrifta, 18
Epipen 2-PAK, 10 Ethyl Chloride/Fine Pinpoint, 14
Elaprase, 18
Epipen-JR 2-PAK, 10 Ethyl Chloride/Fine Stream, 14
Elavil, 24
epirubicin HCL, 5 Ethyl Chloride/Medium Jet Stream, 14
Eldepryl, 26
Episnap, 10 Ethyl Chloride/Medium Stream, 14
Elelyso, 22
episone CRE, 13 Ethyl Chloride/Mist, 14
Elestat, 29
Epivir, 3 Ethyol, 7
Elestrin, 15
Epivir HBV, 3 Etidronate Disodium, 17
Eletone, 14
eplerenone, 8 etodolac, 31
Eletone Twinpack, 14
Epogen, 22 etodolac ER, 31
Elidel, 13
epoprostenol sodium, 10 Etopophos, 6
Eligard, 5
Eprosartan Mesylate, 8 etoposide, 6
Elimite, 14
eptifibatide, 23 Etoposide, 6
Eliphos, 20
Epy II Kit, 10 Euflexxa, 27
Eliquis, 22
Epy Kit, 10 Eurax, 13
Elitek, 7
Epzicom, 3 Evamist, 16
Elixophyllin, 33
Eql SHORT Pen Needles 31G X 8MM, 38
Evekeo, 25
Ella, 16
Evicel, 22
Evista, 18
Feiba, 23 First-baclofen 1, 27
Evithrom, 22
Feiba NF, 23 First-baclofen 5, 27
Evoclin, 11
felbamate, 26 First-bxn Mouthwash, 23
Evomela, 4
Felbatol, 26 First-dukes Mouthwash, 23
Evotaz, 3
Feldene, 31 First-hydrocortisone, 13
Evoxac, 23
felodipine ER, 8 First-lansoprazole, 19
Exactuss, 33
Fem PH, 21 First-marys Mouthwash, 23
Exalgo, 30
Femara, 5 First-metronidazole 100, 4
Excel Comfort Point Insulin Pen Needles 31G X 4MM, 38
Femcon FE, 16 First-metronidazole 50, 4
Femhrt Low Dose, 16 First-mouthwash Blm, 23
Exel Comfort Point Insulin Pen Needles 29G X 12MM, 38
Femring, 21 First-omeprazole, 19
fenofibrate, 10 First-progesterone VGS 100 Compounding Kit, 21
Exel Comfort Point Insulin Pen Needles 31G X 6MM, 38
Fenofibrate, 10
fenofibrate micronized, 10 First-progesterone VGS 200 Compounding Kit, 21
Exel Comfort Point Insulin Pen Needles 31G X 8MM, 38
Fenofibric Acid, 10
fenofibric acid DR, 10 First-progesterone VGS 25 Compounding Kit, 21
Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 38
Fenoglide, 10
fenoldopam mesylate, 8 First-progesterone VGS 400 Compounding Kit, 21
Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 38
Fenoprofen Calcium, 31
Fenortho, 31 First-progesterone VGS 50 Compounding Kit, 21
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 38
fentanyl, 30
Fentanyl, 30 First-testosterone, 15
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 38
Fentanyl Citrate, 30 First-testosterone Mc Compounding Kit, 15
fentanyl citrate oral transmucosal, 30
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 38
Fentanyl Citrate/NACL, 30 First-vancomycin 25, 4
Fentanyl Citrate/Sodium Chloride, 30 First-vancomycin 50, 4
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 38
Fentora, 30 Flagyl, 4
Feraheme, 22 Flagyl ER, 4
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 38
Feriva, 22 Flanax Pain Relief Kit, 31
Feriva 21/7, 22 Flarex, 28
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 38
Ferivafa, 22 flavoxate HCL, 21
Ferralet 90, 22 flecainide acetate, 8
Exelderm, 12
Ferrex 150 Forte Plus, 22 Flector, 12
Exelon, 27
Ferrex 28, 22 Flexepax, 27
exemestane, 5
Ferriprox, 43 Flexichamber, 43
Exforge, 9
Ferrlecit, 22 Flexichamber Adult Mask/Small, 43
Exforge HCT, 9
Ferro-plex Hematinic, 22 Flexichamber Child Mask/Large, 43
Exjade, 43
Ferrotrin, 22 Flexichamber Child Mask/Small, 43
Exoderm, 12
Fetzima, 24 Flolan, 10
Exondys 51, 27
Fetzima Titration Pack, 24 Flomax, 21
Exparel, 32
Fexmid, 27 Flonase, 33
Extardol, 12
Fibricor, 10 Floriva, 35
Extavia, 27
Fifty50 Pen Needles 31G X3/16" (5MM), 38
Flovent Diskus, 33
Extina, 12
Flovent HFA, 33
EZ Smart Blood Glucose Lancets, 38
Fifty50 Pen Needles 31G X5/16" (8MM), 38
Flowtuss, 33
EZ-lets Lancets 21G, 38
Floxin Otic, 29
EZ-lets Lancets 23G, 38
Fifty50 Pen Needles 31GX5MM, 38 Floxuridine, 5
EZ-lets Lancets 26G Super-soft, 38
Fifty50 Pen Needles/31GX8MM, 38 Fluad 2016-2017, 34
EZ-lets Lancets 28G Ultra-soft, 38
Fifty50 Pen Needles/32GX4MM, 38 Fluarix 2014-2015, 34
EZ-lets Lancets 30G, 38
Fifty50 Safety Seal Lancets 30G, 38 Fluarix Quadrivalent 2014-2015, 34
F
Fifty50 Safety Seal Lancets 32G, 38 Fluarix Quadrivalent 2015-2016, 34
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 38
Fluarix Quadrivalent 2016-2017, 34
Fabior, 11
Flublok 2014-2015, 34
Fabrazyme, 18
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 38
Flublok 2015-2016, 34
Factive, 2
Flublok 2016-2017, 34
Falessa, 16
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 38
Flucelvax 2014-2015, 34
famciclovir, 3
Flucelvax 2015-2016, 34
famotidine, 19
Fifty50 Unilet Lancets 33G, 38 Flucelvax Quadrivalent 2016-2017, 34
Famotidine, 19
Finacea, 11 fluconazole, 2
Famotidine Premixed, 19
finasteride, 21 fluconazole IN dextrose, 2
Famvir, 3
Fine 30, 38 fluconazole IN NACL, 2
Fanapt, 25
Fingerstix Lancets, 38 Fluconazole IN NACL, 3
Fanapt Titration Pack, 25
Fioricet, 30 flucytosine, 2
Fanatrex Fusepaq, 26
Fioricet/Codeine, 30 Fludara, 5
Fareston, 5
Fiorinal, 30 fludarabine phosphate, 5
Farxiga, 17
Fiorinal/Codeine #3, 30 fludrocortisone acetate, 15
Farydak, 6
Firazyr, 23 Flulaval 2014-2015, 34
Faslodex, 5
Firmagon, 5 Flulaval Quadrivalent 2014-2015, 34
Fazaclo, 25
Flulaval Quadrivalent 2015-2016, 34
fondaparinux sodium, 22 gemcitabine, 5
Flulaval Quadrivalent 2016-2017, 34
Fora Lancets, 38 gemcitabine HCL, 5
Flumadine, 3
Foradil Aerolizer, 33 gemfibrozil, 10
Flumist Quadrivalent, 34
Forfivo XL, 24 Gemzar, 5
flunisolide, 33
Fortamet, 17 Genadur, 14
fluocinolone acetonide, 13, 29
Fortavit, 35 Genadur Kit, 14
fluocinolone acetonide ear drops, 29
Fortaz, 1 gene-xene TAB 15MG, 23
fluocinonide, 13
Forteo, 17 gene-xene TAB 3.75MG, 23
fluocinonide-e, 13
Fortesta, 15 gene-xene TAB 7.5MG, 23
fluorometholone, 28
Fortical, 17 Generess FE, 16
fluorouracil, 5
Fosamax, 17 Genotropin, 18
Fluoxetine, 27
Fosamax Plus D, 17 Genotropin Miniquick, 18
fluoxetine DR, 24
Foscavir, 3 gentamicin sulfate, 2, 28
fluoxetine HCL, 24
fosinopril sodium, 8 Gentamicin Sulfate, 11
Fluoxetine HCL, 24
fosinopril sodium/hydrochlorothiazide, 9 gentamicin sulfate pediatric, 2
fluphenazine decanoate, 24
fosphenytoin sodium, 26 gentamicin sulfate/0.9% sodium chloride, 2
fluphenazine HCL, 24
Fosrenol, 20
Fluphenazine HCL, 25
Fragmin, 22 Gentamicin Sulfate/0.9% Sodium Chloride, 2
flurandrenolide, 13
Freestyle Lancets, 38
Flurazepam HCL, 25
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
Gentle-let GP Lancets, 38
flurbiprofen, 31
Gentle-let Lancets General Purpose Style/Fine Point, 38
flurbiprofen sodium, 29
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 38
flutamide, 5
Gentle-let Lancets General Purpose Style/Medium Point, 38
fluticasone propionate, 13, 33
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 38
fluvastatin, 10
Gentle-let Lancets Safety Style/Fine Point, 38
fluvastatin sodium ER, 10
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 38
Fluvirin 2014-2015, 34
Gentle-let Lancets Safety Style/Medium Point, 38
Fluvirin 2015-2016, 34
Freestyle Unistick II Lancets, 38
Fluvirin 2016-2017, 34
Frova, 32 Gentle-let Platforms 2.4MM, 38
Fluvirin PF 2014-2015, 34
frovatriptan succinate, 32 Gentle-let Platforms 3.0MM, 38
fluvoxamine maleate, 24
Fulyzaq, 19 Genvisc 850, 27
fluvoxamine maleate ER, 24
Furadantin, 21 Genvoya, 3
Fluzone High-dose PF 2014-2015, 34
furosemide, 9 Geodon, 25
Fluzone High-dose PF 2015-2016, 34
Furosemide, 9 Gesticare DHA, 35
Fluzone High-dose PF 2016-2017, 34
Fusilev, 7 Gialax, 19
Fluzone PF 2014-2015, 34
Fusion Plus, 22 Giazo, 20
Fluzone Quadrivalent 2014-2015, 34
Fusion Sprinkles, 22 Gilenya, 27
Fluzone Quadrivalent 2015-2016, 34
Fuzeon, 3 Gilotrif, 6
Fluzone Quadrivalent 2016-2017, 34
Fycompa, 26 Gilphex TR, 33
Fluzone Split 2014-2015, 34
G Giltuss, 33
Fluzone Split 2015-2016, 34
Giltuss TR, 33
gabapentin, 26
FML, 28
Glassia, 34
Gabavale-5, 24
FML Forte, 28
glatopa, 27
Gabazolamine, 24
FML Liquifilm, 28
Gleevec, 6
Gabazolamine-0.5, 24
Focalgin 90 DHA, 35
Gleostine, 4
Gabazolpidem-5, 25
Focalgin CA, 35
Gliadel Wafer, 4
Gabitidine, 19
Focalgin Dss, 22
glimepiride, 16
Gabitril, 26
Focalin, 25
glipizide, 16
Gablofen, 27
Focalin XR, 25
glipizide ER, 16
Gaboxetine, 24
Folbee Plus Cz, 35
glipizide/metformin HCL, 17
galantamine hydrobromide, 27
Folcaps Omega 3, 35
Glucagen Hypokit, 17
Galantamine Hydrobromide, 27
Folene, 22
Glucagon Emergency Kit, 17
ganciclovir, 3
Folet DHA, 35
Glucocom Lancets 28G, 38
Ganirelix Acetate, 18
Folet One, 35
Glucocom Lancets 30G, 38
Garamycin, 28
Folgard OS, 35
Glucocom Lancets 33G, 38
Gardasil, 34
Folgard RX, 22
Glucophage, 17
Gardasil 9, 34
folic acid, 21
Glucophage XR, 17
Gastrinex NF, 19
Folic Acid, 22
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 38
Gastrocrom, 20
folic acid/vitamin b-6/vitamin b-12, 21
gatifloxacin, 28
Folitab 500, 21
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 38
Gattex, 20
Folivane-f, 22
Gazyva, 5
Folivane-OB, 35
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16", 38
Gebauers Pain Ease, 14
Folivane-plus, 22
Gebauers Spray And Stretch, 14
Folivane-prx DHA NF, 35
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2", 38
Gel-kam Oral Care Rinse, 23
Folixapure, 22
Gel-one, 27
Follistim AQ, 18
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
Gelclair, 23
Folotyn, 5
Gelnique, 21
Foltrate, 22
Glucopro Insulin Syringe/U-100/0.
Gelsyn-3, 27
5ML/31G X 5/16", 38
haloperidol, 24 Humira, 31
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 38
haloperidol decanoate, 24 Humira Pediatric Crohns Disease Starter Pack, 31
haloperidol lactate, 24
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 38
Halotin, 12 Humira Pen, 31
Harvoni, 3 Humira Pen-crohns Diseasestarter, 31
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 38
Havrix, 34 Humira Pen-psoriasis Starter, 31
Healthwise Mini Pen Needles 31GX6MM, 39
Humulin 70/30, 16
Glucosource Lancets, 38
Humulin 70/30 Kwikpen, 16
Glucotrol, 17
Healthwise Pen Needles 29GX12MM, 39 Humulin N, 16
Glucotrol XL, 17
Healthwise SHORT Pen Needles 31GX8MM, 39
Humulin N Kwikpen, 16
Glucovance, 17
Humulin R, 16
Glumetza, 17
Healthy Mama Be Well Rounded, 35 Humulin R U-500 (concentrated), 16
glyburide, 16
Hectorol, 18 Humulin R U-500 Kwikpen, 16
Glyburide, 17
Helixate FS, 23 Hy-vee Lancets, 39
glyburide micronized, 16
Hemabate, 29 Hyalgan, 27
glyburide/metformin HCL, 17
Hemangeol, 7 Hycamtin, 6
Glycolic Acid, 12
Hematogen Fa, 22 Hycet, 30
Glycolic Acid 70% High Purity, 12
Hematron-AF, 22 Hycofenix, 33
glycopyrrolate, 19
Hemocyte Plus, 22 hydralazine HCL, 8
Glycopyrrolate, 19
Hemocyte-f, 22 Hydrea, 7
Glynase, 17
Hemofil M, 23 Hydro 35, 14
Glyset, 17
heparin lock, 22 Hydro 40 Foam, 14
Glyxambi, 17
heparin lock flush, 22 hydrochlorothiazide, 9
Gmate Lancets 30G, 38
Heparin Lock Flush, 22 hydrocodone bitartrate/acetaminophen, 30
Golytely, 19
heparin lock flush for flushing vascular access devices, 22
Gonal-f, 18
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 33
Gonal-f RFF, 18
heparin lock flush/NACL for flushing vascular access devices, 22
Gonal-f RFF Rediject, 18
hydrocodone bitartrate/homatropine methylbromide, 33
Gonitro, 7
heparin sodium, 22
Gordofilm, 14
Heparin Sodium, 22 hydrocodone polistirex/chlorpheniramine polistirex, 33
Gordons Urea, 14
heparin sodium dcu, 22
Gralise, 27
heparin sodium lock flush, 22 hydrocodone/acetaminophen, 30
Gralise Starter, 27
heparin sodium/D5W, 22 Hydrocodone/Acetaminophen, 30
granisetron HCL, 20
Heparin Sodium/D5W, 22 hydrocodone/homatropine, 33
Granisol, 20
Heparin Sodium/NACL, 22 hydrocodone/ibuprofen, 30
Granix, 21
Heparin Sodium/NACL 0.45%, 22 hydrocort ene 100MG, 20
Grifulvin V, 3
heparin sodium/NACL 0.9%, 22 hydrocortisone, 13, 15, 20
Gris-peg, 3
Heparin Sodium/Sodium CH Loride, 22 hydrocortisone acetate/pramoxine, 20
griseofulvin microsize, 2
Heparin Sodium/Sodium Chloride, 22 hydrocortisone butyrate, 13
griseofulvin ultramicrosize, 2
Heparin Sodium/Sodium Chloride 0.9%, 22
hydrocortisone butyrate (lipid), 13
guanfacine ER, 25
hydrocortisone butyrate (lipophilic), 13
guanfacine HCL, 8
heparin sodium/sodium chloride 0.9% premix, 22
hydrocortisone IN absorbase, 13
Guanidine HCL, 28
hydrocortisone valerate, 13
Gynazole-1, 21
Heparin Sodium/Sodium Chloride PF, 22 hydrocortisone/acetic acid, 29
H
Hepsera, 3 hydromorphone HCL, 30
Herceptin, 5 Hydromorphone HCL, 30
H-e-b IN Control Pen Needles 31GX6MM, 38
Hespan, 23 hydromorphone HCL dosette, 30
hetastarch 6%/NACL, 23 hydromorphone HCL ER, 30
H-e-b IN Control Pen Needles 31GX8MM, 38
Hetlioz, 25 Hydromorphone HCL/NACL, 30
Hexalen, 4 Hydromorphone HCL/Sodium Chloride, 30
H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38
Hextend, 23
Hiberix, 34 hydromorphone hydrochloride, 30
H-e-b Incontrol Pen Needles 29GX12MM, 38
Hiprex, 21 Hydromorphone Hydrochloride/ NACL, 30
homatropine HBR, 29
H.p. Acthar, 18
Horizant, 27 Hydromorphone Hydrochloride/NACL, 30
Haemolance, 39
HPR, 14 Hydromorphone Hydrochloride/Sodium Chloride, 30
Haemolance Low Flow Lancets, 39
HPR Plus, 14
Haemolance Plus, 39
HPR Plus Hydrogel Kit, 14 Hydroxocobalamin, 22
Haemolance Plus High Flow, 39
HPR Plus/Mb Hydrogel, 14 hydroxychloroquine sulfate, 3
Haemolance Plus Low Flow, 39
Humalog, 16 Hydroxyprogesterone Caproate, 5
Haemolance Plus Max Flow, 39
Humalog Kwikpen, 16 hydroxyurea, 6
Haemolance Plus Pediatric Flow, 39
Humalog Mix 50/50, 16 hydroxyzine HCL, 23
Halaven, 6
Humalog Mix 50/50 Kwikpen, 16 Hydroxyzine HCL, 24
Halcion, 25
Humalog Mix 75/25, 16 hydroxyzine pamoate, 23
Haldol, 25
Humalog Mix 75/25 Kwikpen, 16 Hydroxyzine Pamoate, 24
Haldol Decanoate 100, 25
Humate-p, 23 Hylatopic, 14
Haldol Decanoate 50, 25
Humatrope, 18 Hylatopic Plus, 14
halobetasol propionate, 13
Humatrope Combo Pack, 18 Hylira, 14
Halog, 13
Hymovis, 27
Inova 4/1 Acne Control Therapy, 11 ipratropium bromide/albuterol sulfate, 33
hyoscyamine sulfate, 19
Inova 8/2 Acne Control Therapy, 11 Iprivask, 22
hyoscyamine sulfate ER, 19
Inspirachamber/Anti-static Valved/Mouthpiece, 43
irbesartan, 8
hyoscyamine sulfate odt, 19
irbesartan/hydrochlorothiazide, 9
hyoscyamine sulfate SR, 19
Inspirachamber/Large, 43 Irenka, 24
Hyper-sal, 33
Inspirachamber/Soothermask/Inspiramask/Medium, 43
Iressa, 6
Hypersal, 33
irinotecan, 6
Hypertenevide-12.5, 7
Inspirachamber/Soothermask/Inspiramask/Small, 43
Irinotecan, 6
Hypertenipine-2.5, 8
irinotecan HCL, 6
Hypertensolol, 9
Inspirease Bags, 43 Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21
Hysingla ER, 30
Inspirease Drug Delivery System, 43
Hyzaar, 9
Inspirease Mouthpiece, 43 Irospan 24/6, 22
I
Inspirease Reservoir Bags, 43 Is 24/6, 22
Inspra, 9 Isentress, 3
ibandronate sodium, 17
Insulin Syringe/0.3ML/29G X 1", 39 isoniazid, 2
Ibrance, 6
Insulin Syringe/0.3ML/29G X 1/2", 39 Isoniazid, 2
Ibudone, 30
Insulin Syringe/0.3ML/30G X 5/16", 39 Isopto Atropine, 29
ibuprofen, 31
Insulin Syringe/0.3ML/31G X 5/16", 39 Isopto Carpine, 29
Ibuprofen Comfort PAC, 31
Insulin Syringe/0.5ML/27G X 1/2", 39 Isordil Titradose, 7
ibuprofen lysine, 31
Insulin Syringe/0.5ML/28G X 1/2", 39 isosorbide dinitrate, 7
ibutilide fumarate, 8
Insulin Syringe/0.5ML/29G X 1/2", 39 Isosorbide Dinitrate ER, 7
IC 400, 31
Insulin Syringe/0.5ML/30G X 1/2", 39 isosorbide mononitrate, 7
IC 800, 31
Insulin Syringe/0.5ML/30G X 5/16", 39 isosorbide mononitrate ER, 7
Icar-c Plus, 22
Insulin Syringe/0.5ML/31G X 5/16", 39 isotonic gentamicin, 2
Iclusig, 6
Insulin Syringe/1ML/28G X 1/2", 39 isradipine, 8
Idamycin PFS, 5
Insulin Syringe/1ML/29G X 1/2", 39 Istalol, 28
idarubicin HCL, 5
Insulin Syringe/1ML/30G X 5/16", 39 Istodax, 6
Ifex, 5
Insulin Syringe/1ML/31G X 5/16", 39 Istodax (overfill), 6
ifosfamide, 4
Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Isuprel, 34
Ifosfamide, 5
itraconazole, 2
Ilaris, 31
Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
IV Infusion Cpi, 14
Ilevro, 29
ivermectin, 4
imatinib mesylate, 6
Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Ixempra Kit, 6
Imbruvica, 6
Ixiaro, 34
Imdur, 7
Insulin Syringe/U-100/1ML/28G X 1/2", 39
Ixinity, 23
imipenem/cilastatin, 4
J
imipramine HCL, 24
Insulin Syringe/U-100/1ML/29G X 1/2", 39
imipramine pamoate, 24
J-max, 33
imiquimod, 13
Jadenu, 43
Insulin Syringe/U-100/1ML/30G X 5/16", 39
Imitrex, 32
Jakafi, 6
Imitrex Statdose Refill, 32
Jalyn, 21
Insulin Syringe/U-100/1ML/31G X 5/16", 39
Imitrex Statdose System, 32
Janumet, 17
Imovax Rabies (h.d.c.v.), 34
Janumet XR, 17
Insupen Sensitive 32GX8MM, 39
Impavido, 4
Januvia, 17
Insupen Ultrafin 29GX12MM, 39
Imuran, 6
Jardiance, 17
Insupen Ultrafin 30GX8MM, 39
IN Touch Sterile Lancets 30G, 39
Jentadueto, 17
Insupen Ultrafin 31GX6MM, 39
Increlex, 18
Jentadueto XR, 17
Insupen Ultrafin 31GX8MM, 39
Incruse Ellipta, 33
Jevtana, 6
Integra F, 22
indapamide, 9
Jublia, 12
Integra Plus, 22
Inderal LA, 7
Juxtapid, 10
Integrilin, 23
Inderal XL, 7
K
Intelence, 3
Indocin, 31
Interarticular Joint Kit, 15
K-phos NO 2, 21
indomethacin, 31
Intermezzo, 25
K.b.g.l. IN Teroderm Cream, 12
Indomethacin, 31
Intron A, 7
Kadcyla, 5
indomethacin ER, 31
Intron A W/Diluent, 7
Kadian, 30
Infanrix, 34
Intuniv, 25
Kalbitor, 23
Infasurf, 34
Invanz, 4
Kaletra, 3
Infed, 22
Invega, 25
Kalydeco, 34
Inflectra, 20
Invega Sustenna, 25
Kanuma, 18
Infumorph 200, 30
Invega Trinza, 25
Kapvay, 25
Infumorph 500, 30
Invirase, 3
Karbinal ER, 32
Infuvite, 35
Invokamet, 17
Kazano, 17
Infuvite Adult, 36
Invokamet XR, 17
Keflex, 1
Infuvite Pediatric, 36
Invokana, 17
Kenalog, 13
Injectafer, 22
Ionsys, 30
Kenalog-10, 15
Inlyta, 6
Iopidine, 29
Kenalog-40, 15
Innopran XL, 7
Ipol Inactivated IPV, 34
Kengreal, 23
Innoprax-5, 12
ipratropium bromide, 33(2)
Kepivance, 7
Inova, 11
Keppra, 26
Lancets 30G Twist Top, 39 levocetirizine dihydrochloride, 32
Keppra XR, 26
Lancets 30G/Twist Top, 39 levofloxacin, 2, 28
Keralac, 14
Lancets 31G Twist Top, 39 levofloxacin IN 5% dextrose, 2
Keralyt, 14
Lancets 33G Universal Design, 39 levofloxacin IN D5W, 2
Keralyt Scalp, 14
Lancets Bullseye Safety, 39 levoleucovorin, 7
Kerlone, 7
Lancets Safety Seal 21G, 39 Levoleucovorin, 7
Kerydin, 12
Lancets Safety Seal 26G, 39 levoleucovorin calcium, 7
Ketek, 4
Lancets Safety Seal 28G, 39 levonorgestrel, 16
ketoconazole, 2, 12
Lancets Safety Seal 30G, 39 Levonorgestrel, 16
Ketodan Kit, 12
Lancets Thin, 39 levonorgestrel and ethinyl estradiol, 16
Ketophene Rapidpaq, 12
Lancets Twist Top, 39 levonorgestrel/ethinyl estradiol, 16
ketoprofen, 31
Lancets Ultra Fine, 39 Levophed, 10
Ketoprofen ER, 31
Lancets Ultra Thin, 39 Levorphanol Tartrate, 30
Ketorocaine-l, 31
Lanoxin, 7 levothyroxine sodium, 19
Ketorocaine-lm, 31
Lanoxin Pediatric, 7 Levothyroxine Sodium, 19
Ketorolac 2% Gel, 12
lansoprazole, 19 Levsin, 19
ketorolac tromethamine, 29, 31
lansoprazole/amoxicillin/clarithromycin, 19
Levsin/SL, 19
Ketorolac Tromethamine, 31
Lexapro, 24
Keveyis, 9
Lantus, 16 Lexiva, 3
Keytruda, 5
Lantus Solostar, 16 Lialda, 20
Khedezla, 24
Lasix, 9 Liberty Medical Lancets 30G, 39
Kineret, 31
Lastacaft, 29 Librax, 19
Kinlytic, 23
latanoprost, 29 Lido-RX 4.1, 14
Kinrix, 34
Latrix XM, 14 lidocaine, 13
Kitabis PAK, 2
Latuda, 25 Lidocaine And Tetracaine Cream, 14
Klaron, 11
Lazanda, 30 lidocaine HCL, 8, 13, 32
Klonopin, 26
Ldo Plus, 14 Lidocaine HCL, 8, 14, 23, 32
Koate-dvi, 23
Leader Unifine Pentips Plus/Mini/31GX3/16", 39
lidocaine HCL IN D5W, 8
Kogenate FS, 23
lidocaine HCL jelly, 13
Kogenate FS Bio-set, 23
Leader Unifine Pentips Plus/SHORT/31GX5/16", 39
lidocaine HCL viscous, 23
Kombiglyze XR, 17
Lidocaine HCL-hydrocortisone Acetate With Aloe, 20
Korlym, 17
Leader Unifine Pentips/Mini/31GX3/16", 39
Kovaltry, 23
lidocaine HCL/dextrose, 8
Kristalose, 19
Leader Unifine Pentips/Nano/32GX5/32", 39
Lidocaine HCL/Dextrose, 32
Krystexxa, 32
lidocaine HCL/hydrocortisone acetate, 20
Kuvan, 18
Leader Unifine Pentips/Plus/32GX5/32", 39
lidocaine viscous, 23
Kynamro, 10
lidocaine-prilocaine-cream base, 13
Kyprolis, 6
leflunomide, 31 lidocaine/epinephrine, 32
L
Lemtrada, 27 lidocaine/prilocaine, 13
Lenvima 10 MG Daily Dose, 6 Lidoderm, 14
labetalol HCL, 7
Lenvima 14 MG Daily Dose, 6 Lidoprofen, 12
Lac-hydrin, 14
Lenvima 18 MG Daily Dose, 6 Lidothol, 14
Lacrisert, 28
Lenvima 20 MG Daily Dose, 6 Lidotral, 14
lactic acid, 13
Lenvima 24 MG Daily Dose, 6 Lidovir, 12
lactic acid e, 13
Lenvima 8 MG Daily Dose, 6 Lifescan Unistik 2 Deep Penetration, 39
lactic acid w/vitamin e, 13
Lescol, 10 Lifescan Unistik II Lancets, 39
lactulose, 19, 20
Lescol XL, 10 Lincocin, 4
Lamictal, 26
Letairis, 10 lincomycin HCL, 4
Lamictal Chewable Dispersible, 26
letrozole, 5 Lincomycin/Lidocaine, 4
Lamictal Odt, 26
leucovorin calcium, 7 lindane, 13
Lamictal Starter/Not Taking Carbamazepine, 26
Leucovorin Calcium, 7 Lindane, 14
Leukeran, 4 linezolid, 4
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 26
Leukine, 22 Linezolid, 4
leuprolide acetate, 5 Linzess, 20
Levacet, 30 Lioresal Intrathecal, 27
Lamictal Starter/Taking Valproate, 26
levalbuterol, 33 liothyronine sodium, 19
Lamictal XR, 26
levalbuterol HCL, 33 Lipitor, 10
Lamisil, 3
Levaquin, 2 Lipofen, 10
lamivudine, 3
Levatol, 7 lisinopril, 8
lamivudine/zidovudine, 3
Levbid, 19 lisinopril/hydrochlorothiazide, 9
lamotrigine, 26
Levemir, 16 Lite Touch Pen Needles/31G X 3/16", 39
lamotrigine ER, 26
Levemir Flextouch, 16 Liteaire, 43
lamotrigine odt, 26
levetiracetam, 26 Litetouch Insulin Syringe/0.3ML/29G X 1/2", 39
lamotrigine titration, 26
Levetiracetam, 26
Lancet Transporter Case, 39
levetiracetam ER, 26 Litetouch Insulin Syringe/0.3ML/30G X 5/16", 39
Lancets, 39
Levitra, 10
Lancets 26G Twist Top, 39
levobunolol HCL, 28 Litetouch Insulin Syringe/0.3ML/31G X 5/16", 39
Lancets 28G, 39
levocarnitine, 18
Lancets 30G, 39
Litetouch Insulin Syringe/0.5ML/30G X 5/16", 39
Lotrel, 9 Maxalt-MLT, 32
Lotrisone, 12 Maxaron Forte, 22
Litetouch Insulin Syringe/0.5ML/31G X 5/16", 39
Lotronex, 20 Maxfe, 22
lovastatin, 10 Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 39
Litetouch Insulin Syringe/1ML/30G X 5/16", 39
Lovaza, 10
Lovenox, 22 Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 39
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
loxapine, 24
loxapine succinate, 24 Maxidex, 28
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
LT Injection Kit, 15 Maxipime, 1
Lufyllin, 34 Maxitrol, 28
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 39
Lumigan, 29 Maxzide, 9
Lumizyme, 18 Maxzide-25, 9
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 39
Lunesta, 25 Mb Hydrogel, 14
Lupaneta Pack, 18 meclizine HCL, 20
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 39
Lupron Depot, 5 Meclofenamate Sodium, 31
Lupron Depot-PED, 18 Medi-derm/L-RX, 14
Litetouch Lancets Micro Thin 33G, 39
Luvox CR, 24 Medical Provider EZ Flu Shot 2014-2015, 34
Litetouch Pen Needles 29GX12.7MM, 39
Luxiq, 13
Litetouch Pen Needles 31G X 6MM, 39
Luzu, 12 Medical Provider EZ Flu Shot 2015-2016, 34
Litetouch Pen Needles 31GX8MM SHORT, 39
Lycelle, 14
Lynparza, 6 Medical Provider Single Use EZ Flu Shot, 34
Lithium, 25
Lyrica, 26
lithium carbonate, 24
Lysodren, 5 Medisense Thin Lancets, 39
Lithium Carbonate, 25
Lysteda, 22 Medlance Plus Extra Lancets 21G, 39
lithium carbonate ER, 24
Lytensopril Kit, 9 Medlance Plus Lancets, 39
Lithobid, 25
Lytensopril-90 Kit, 9 Medlance Plus Lancets Lite 25G, 39
Lithostat, 21
M Medlance Plus Lite Lancets 25G, 39
Livalo, 10
Medlance Plus Special Lancets 0.8MM, 39
M-m-r II, 34
Live Better Lancet Super Thin 30G, 39
M.v.i. Adult, 36
Live Better Lancet Ultra Thin 28G, 39
Medlance Plus Superlite 30G, 39
M.v.i. Pediatric, 36
Live Better Pen Needles 29G X 12MM, 39
Medlance Plus Superlite 30G/Comfort Max, 39
M.v.i.-12 Without Vitamin K, 36
Macrobid, 21
Live Better Pen Needles 31G X 12MM, 39
Medlance Plus Universal Lancets 21G, 39
Macrodantin, 21
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 39
Live Better Pen Needles 31G X 6MM, 39
Medlance Plus/Lite 25G, 39
LMD 10% Dextrose 5%, 23
Medlance/Extra, 39
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16", 39
LMD 10% Sodium Chloride 0.9%, 23
Medlance/Lite, 39
LO Loestrin FE, 16
Medlance/Universal, 39
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 39
Locoid, 13
Medrol, 15
Locoid Lipocream, 13
Medrol Dosepak, 15
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16", 39
Lodine, 31
Medroloan II Suik, 15
Lodosyn, 26
Medroloan Suik, 15
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 39
Loestrin 1.5/30-21, 16
medroxyprogesterone acetate, 16
Loestrin 1/20-21, 16
Medroxyprogesterone/Lidocaine, 16
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 39
Loestrin FE 1.5/30, 16
mefenamic acid, 31
Loestrin FE 1/20, 16
mefloquine HCL, 3
Makena, 16
Lofibra, 10
Megace ES, 16
Malarone, 4
Lomotil, 19
Megace Oral, 5
malathion, 13
Lomustine, 4
megestrol acetate, 5, 16
mannitol, 9
Lonsurf, 7
Megrix, 14
Maprotiline HCL, 24
loperamide HCL, 19
Meijer Lancets Universal 30G, 39
Marbeta-25, 15
Lopid, 10
Meijer Super Thin Lancets, 39
Marbeta-l, 15
Lopressor, 7
Mekinist, 6
Marcaine, 32
Lopressor HCT, 9
meloxicam, 31
Marcaine/Epinephrine, 32
Loprox, 12
Meloxicam, 31
Mardex-25, 15
Loprox Shampoo, 12
Meloxicam Comfort PAC, 31
Marinol, 20
lorazepam, 23
melphalan hydrochloride, 4
Marlido-25, 32
Lorazepam, 24
memantine HCL, 27
Marnatal-f, 35
Lortab, 30
memantine HCL titration PAK, 27
Marplan, 24
Lorvatus Pharmapak, 27
memantine hydrochloride, 27
Marqibo, 6
Lorzone, 27
Menactra, 34
Marvona Suik, 32
losartan potassium, 8
Menest, 15
Mask Vortex/Baby Whirl Duckling, 43
losartan potassium/hydrochlorothiazide, 9
Menhibrix, 34
Mask Vortex/Child/Frog, 43
Menomune-a/C/Y/W-135, 34
Mask Vortex/Spinner The Duck, 43
Loseasonique, 16
Menopur, 18
Mask Vortex/Toddler/Lady Bug, 43
Lotemax, 28
Menostar, 16
Matulane, 7
Lotensin, 8
Mentax, 12
Mavik, 8
Lotensin HCT, 9
Menveo, 34
Maxalt, 32
meperidine HCL, 30
metoprolol succinate ER, 7 Moderiba 800 Dose Pack, 3
Meperidine HCL, 30
Metoprolol Succinate ER/Hydrochlorothiazide, 9
Modicon, 16
Meperidine Hydrochloride/Sodium Chloride, 30
moexipril HCL, 8
metoprolol tartrate, 7 moexipril/hydrochlorothiazide, 9
Mephyton, 35
Metoprolol Tartrate, 7 Molindone Hydrochloride, 25
meprobamate, 23
metoprolol/hydrochlorothiazide, 9 mometasone furoate, 13, 33
Mepron, 4
Metozolv Odt, 20 Monoclate-p, 23
mercaptopurine, 5
Metro IV, 4 Monodox, 2
meropenem, 4
Metrocream, 11 Monoject Bone Marrow Biopsy Prepping Tray, 32
Meropenem/Sodium Chloride, 4
Metrogel, 11
Merrem, 4
Metrogel-vaginal, 21 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 32
mesalamine, 20
Metrolotion, 11
Mesalamine DR, 20
metronidazole, 4, 11 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 32
mesna, 7
metronidazole IN NACL 0.79%, 4
Mesnex, 7
metronidazole vaginal, 21 Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 32
Mestinon, 28
Mevacor, 10
Mestinon Timespan, 28
mexiletine HCL, 8 Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 39
Metadate CD, 25
Miacalcin, 17
Metaproterenol Sulfate, 33
Micardis, 8 Monoject Insulin Syringe/1ML, 39
Metastron, 6
Micardis HCT, 9 Monoject Insulin Syringe/1ML/31G X 5/16", 39
Metaxall CP, 27
Micort-HC, 13
metaxalone, 27
Microchamber, 43 Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 39
Metaxalone, 27
Microlet Lancets, 39
metformin HCL, 17
Microspacer, 43 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 39
metformin HCL ER, 17
Microtainer Safety Flow Lancet/Sterile/Single-use, 39
methadone HCL, 30
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 39
Methadone HCL, 30
Microzide, 9
Methadose, 30
midodrine HCL, 10 Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 39
Methadose Sugar-free, 30
Mifeprex, 18
methamphetamine HCL, 25
Migergot, 32 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 39
methazolamide, 9
miglitol, 17
methenamine hippurate, 21
Migral, 32 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 39
methenamine mandelate, 21
Migranal, 32
Methenamine Mandelate, 21
Migranow, 32 Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 39
methimazole, 19
Millipred, 15
Methionine/Inositol/Choline/Cyanocobalamin, 22
Millipred DP, 15 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 39
milrinone IN dextrose, 7
methocarbamol, 27
milrinone lactate, 7 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 39
methotrexate, 5
Minastrin 24 FE, 16
methotrexate sodium, 5
mineral oil heavy, 19 Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 39
Methotrexate Sodium, 5
Minipress, 9
methoxsalen, 12
Minivelle, 16 Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
methscopolamine bromide, 19
Minocin, 2
Methyclothiazide, 9
Minocin Kit, 2 Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
methyldopa, 8
minocycline HCL, 2
Methyldopa/Hydrochlorothiazide, 9
minocycline HCL ER, 2 Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Methyldopate HCL, 9
minoxidil, 8
methylergonovine maleate, 29
Mirapex, 26 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39
Methylin, 25
Mirapex ER, 26
methylphenidate HCL, 25
Mircera, 22 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39
methylphenidate HCL CD, 25
Mircette, 16
methylphenidate HCL ER, 25
mirtazapine, 24 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39
Methylphenidate HCL ER, 25
mirtazapine odt, 24
methylphenidate HCL SR, 25
Mirvaso, 11 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 39
methylphenidate hydrochloride, 25
misoprostol, 19
methylprednisolone, 15
Mission Prenatal, 35 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 39
Methylprednisolone, 15
Mitigare, 32
methylprednisolone acetate, 15
mitomycin, 5 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 39
methylprednisolone dose pack, 15
Mitomycin, 5
Methylprednisolone PF, 15
Mitosol, 28 Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 39
methylprednisolone sodiumsuccinate, 15
mitoxantrone HCL, 5
Methylprednisolone/Lidocaine, 15
Mld Kit, 32 Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 39
methyltestosterone, 15
Mlk F4 Kit, 15
Metipranolol, 28
Mlp A-2, 15 Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 39
metoclopramide HCL, 20
Mobic, 31
metoclopramide odt, 20
modafinil, 25 Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39
Metoclopramide Odt, 20
Moderiba, 3
metolazone, 9
Moderiba 1200 Dose Pack, 3 Monoject Ultra Comfort Insulin
Syringe/1ML/29G X 1/2", 40
Myrbetriq, 21 neomycin/polymyxin/bacitracin/hydrocortisone, 28
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 40
Mysoline, 26
Mytesi, 19 neomycin/polymyxin/dexamethasone, 28
Monojector End CAPS, 40
N neomycin/polymyxin/gramicidin, 28
Monojector Opd End CAPS, 40
neomycin/polymyxin/HC, 29
nabumetone, 31
Monolet Lancets, 40
Neomycin/Polymyxin/Hydrocortisone, 28
nadolol, 7
Monolet Opd Lancets, 40
neomycin/polymyxin/hydrocortisone, 29
nadolol/bendroflumethiazide, 9
Monolettor Safety Lancets, 40
Neoprofen, 31
Nafcillin, 1
Mononine, 23
Neoral, 6
nafcillin sodium, 1
Monovisc, 27
Neosalus, 14
Nafcillin Sodium, 1
montelukast sodium, 33
Neosalus CP, 14
Nafrinse Daily/Acidulated, 23
Monurol, 21
Neosporin, 28
Nafrinse Daily/Neutral, 23
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 40
neostigmine methylsulfate, 28
Nafrinse Weekly, 23
Neostigmine Methylsulfate, 28
Naftifine HCL, 12
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Neotuss Plus, 33
naftifine hydrochloride, 12
Nephplex RX, 36
Naftin, 12
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 40
Nephro-vite RX, 36
Naglazyme, 18
Nephrocaps, 36
nalbuphine HCL, 30
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 40
Nephrocaps QT, 36
Nalfon, 31
Nephron Fa, 22
Namenda, 27
Morgidox 1X100MG, 2
Neptazane, 9
Namenda Titration PAK, 27
Morgidox 1X50MG Kit, 2
Nesacaine, 32
Namenda XR, 27
Morgidox 2X100MG, 2
Nesacaine-mpf, 32
Namenda XR Titration Pack, 27
morphine sulfate, 30
Nesina, 17
Namzaric, 27
Morphine Sulfate, 30
Nessi Spacer/Large Mask, 43
Naphazoline HCL, 29
Morphine Sulfate Add-vantage, 30
Nessi Spacer/Mouthpiece, 43
Naprelan, 31
morphine sulfate ER, 30
Nessi Spacer/Small/MED Mask, 43
Naprosyn, 31
Morphine Sulfate ER, 30
Nestabs, 35
naproxen, 31
Morphine Sulfate/NACL, 30
Nestabs Abc, 36
Naproxen, 31
Morphine Sulfate/Sodium Chloride, 30
Nestabs DHA, 35
Naproxen Comfort PAC, 31
Motofen, 19
Netgroup Lancets, 40
naproxen sodium, 31
Movantik, 20
Neuac Kit, 11
naproxen sodium CR, 31
Moviprep, 19
Neulasta, 22
naproxen sodium ER, 31
Moxatag, 1
Neulasta Onpro Kit, 22
naratriptan HCL, 32
Moxeza, 28
Neumega, 21
Nardil, 24
moxifloxacin HCL, 2
Neupogen, 21
Naropin, 32
Moxifloxacin HCL, 2
Neupro, 26
Nascobal, 22
Mozobil, 21
Neurontin, 26
Nasonex, 33
MS Contin, 30
Neutrasal, 23
Natachew, 35
Mteryti, 35
Neutrexin, 4
Natacyn, 28
Mteryti Folic 5, 35
Neuvaxin, 14
Natalvirt 90 DHA, 36
Mucinex Maximum Strength, 33
Nevanac, 29
Natalvirt CA, 36
Multaq, 8
nevirapine, 3
Natalvirt Flt, 22
Multigen, 22
Nevirapine, 3
Natalvit, 35
Multigen Folic, 22
nevirapine ER, 3
Natazia, 16
Multigen Plus, 22
Newgen, 35
nateglinide, 17
mupirocin, 11
Nexa Plus, 36
Natelle One, 35
mupirocin calcium, 11
Nexavar, 6
Natesto, 15
Muse, 10
Nexium, 19
Natpara, 17
Mustargen, 4
Nexium I.v., 19
Natrecor, 10
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 22
Nexterone, 8
Natroba, 14
Niacin, 35
Nature-throid, 19
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 22
niacin ER, 10
Nature-throid Nt-2.5, 19
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 35
Navelbine, 6
Myalept, 18
Nazirex, 12
Myambutol, 2
Niacor, 10
Nebupent, 4
Mycamine, 3
Niaspan, 10
Nebusal, 33
Mycobutin, 2
Nicadan, 36
Necon 1/50-28, 16
mycophenolate mofetil, 6
Nicadan ZX, 36
Necon 10/11-28, 16
mycophenolic acid DR, 6
nicardipine HCL, 8
Neevo DHA, 35
Myfortic, 6
Nicazel, 36
nefazodone HCL, 24
Myglucohealth Mgh Softlance Lancets 30G, 40
Nicazel Forte, 36
Nefazodone HCL, 24
Nicazeldoxy 30 Kit, 2
Nembutal Sodium, 25
Mykidz Iron Fl, 35
Nicazeldoxy 60 Kit, 2
Neo-synalar, 11
Myleran, 4
Nicomide, 36
Neo-synalar Kit, 11
Mynatal, 35
nifedipine, 8
neomycin sulfate, 2
Myobloc, 27
nifedipine ER, 8
neomycin/bacitracin/polymyxin, 28
Myozyme, 18
Nilandron, 5
neomycin/polymyxin/bacitracin zinc, 28
nilutamide, 5
Nova Sureflex Lancets, 40 Ocufen, 29
Nimbex, 27
Novaferrum, 22 Ocuflox, 28
nimodipine, 8
Novoclair, 12 Ocuvel, 36
Ninlaro, 6
Novoeight, 23 Odefsey, 3
Nipent, 7
Novofine Plus 32GX4MM, 40 Ofev, 34
nisoldipine, 8
Novolin 70/30, 16 Ofirmev, 30
Nisoldipine, 8
Novolin 70/30 Relion, 16 Ofloxacin, 2
Nisoldipine ER, 8
Novolin N, 16 ofloxacin, 28, 29
Nitro-bid, 7
Novolin N Relion, 16 olanzapine, 24
Nitro-dur, 7
Novolin R, 16 olanzapine odt, 24
nitrofurantoin, 21
Novolin R Relion, 16 olanzapine/fluoxetine, 27
nitrofurantoin macrocrystals, 21
Novolog, 16 Oleptro, 24
nitrofurantoin monohydrate, 21
Novolog Flexpen, 16 olopatadine HCL, 29, 33
nitrofurantoin monohydrate/macrocrystals, 21
Novolog Mix 70/30, 16 Olux, 13
Novolog Mix 70/30 Prefilled Flexpen, 16 Olux-e, 13
nitroglycerin, 7
Novolog Penfill, 16 Olysio, 3
Nitroglycerin, 7
Novoseven, 23 Omeclamox-PAK, 19
nitroglycerin ER, 7
Novoseven Rt, 23 omega-3-acid ethyl esters, 10
nitroglycerin IN 5% dextrose, 7
Noxafil, 3 Omega-3/D-3 Wellness Pack, 10
nitroglycerin IN dextrose 5%, 7
Noxipak, 13 omeprazole, 19
Nitroglycerin IN Dextrose 5%, 7
Nplate, 21 Omeprazole + Syrspend SF Alka, 19
nitroglycerin lingual, 7
Nucala, 34 omeprazole/sodium bicarbonate, 19
Nitroglycerin Lingual, 7
Nucort, 13 Omnaris, 33
nitroglycerin transdermal, 7
Nucynta, 30 Omnipred, 28
Nitrolingual Pumpspray, 7
Nucynta ER, 30 Omnitrope, 18
Nitromist, 7
Nuedexta, 27 Omontys, 22
Nitronal, 7
Nufera, 22 On Call Lancets, 40
Nitropress, 9
Nulojix, 6 On Call Plus Lancets, 40
Nitrostat, 7
Nulytely/Flavor Packs, 19 Oncaspar, 5
Niva-plus, 35
Numoisyn, 23 ondansetron HCL, 20
Nivatopic Plus, 14
Nuox, 11 Ondansetron Hydrochloride/Sodium Chloride, 20
nizatidine, 19
Nuplazid, 25
Nizatidine, 19
Nusrugepak Surgical Prep/Carepak, 14 ondansetron odt, 20
Nizoral, 12
Nutricap, 36 One A Day Womens Prenatal/DHA, 35
Nor-QD, 16
Nutridox, 2 One A Day Womens Prenatal1, 35
Norco, 30
Nutrivit, 36 One-a-day Womens Prenatal, 35
Norditropin Cartridge, 18
Nutropin AQ Nuspin 10, 18 Onetouch Club Lancets Fine Point, 40
Norditropin Flexpro, 18
Nutropin AQ Nuspin 20, 18 Onetouch Combo Pack, 40
Norditropin Nordiflex Pen, 18
Nutropin AQ Nuspin 5, 18 Onetouch Delica Lancets Extra Fine 33G, 40
norepinephrine bitartrate, 10
Nutropin AQ Pen, 18
Norepinephrine Bitartrate/Dextrose, 10
Nuvail, 14 Onetouch Delica Lancets Fine 30G, 40
Norepinephrine Bitartrate/Sodium Chloride, 10
Nuvaring, 16 Onetouch Finepoint Lancets, 40
Nuvessa, 21 Onetouch Lancets, 40
Norepinephrine/Sodium Chloride, 10
Nuvigil, 25 Onetouch Suresoft Lancing Device/18G, 40
norethindrone, 16
Nuvya, 12
norethindrone & ethinyl estradiol ferrous fumarate, 16
Nuwiq, 23 Onetouch Suresoft Lancing Device/21G, 40
Nuzon, 13
norethindrone acetate, 16
Nyata, 12 Onetouch Suresoft Lancing Device/28G, 40
norethindrone acetate/ethinyl estradiol, 15, 16
Nymalize, 8
nystatin, 2, 12, 23 Onetouch Ultra 2, 40
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 16
nystatin/triamcinolone, 12 Onetouch Ultra Blue, 40
O Onetouch Ultra Mini, 40
Norflex, 27
Onetouch Ultralink System (DEC), 40
O-CAL Fa, 35
norgestimate/ethinyl estradiol, 16
Onetouch Ultralink System (hex), 40
O-CAL Prenatal, 35
Norinyl 1+35, 16
Onetouch Ultrasoft Lancets, 40
OB Complete, 35
Norinyl 1+50, 16
Onetouch Verio, 40
OB Complete Gold, 36
Noritate, 11
Onetouch Verio Flex Bloodglucose Monitoring System, 40
OB Complete One, 35
Noroxin, 2
OB Complete Petite, 35
Norpace, 8
Onetouch Verio IQ Blood Glucose Monitoring System, 40
OB Complete Premier, 35
Norpace CR, 8
OB Complete/DHA, 35
Norpramin, 24
Onetouch Verio Sync Bloodglucose Monitoring System, 40
Obredon, 33
Northera, 10
Obstetrix DHA, 35
nortriptyline HCL, 24
Onetouch Verio Test Strips, 40
Obstetrix One, 36
Nortriptyline HCL, 24
Onexton, 11
Obtrex, 35
Norvasc, 8
Onfi, 26
Obtrex DHA, 35
Norvir, 3
Onglyza, 17
Ocaliva, 20
Nova Safety Lancets 23G, 40
Onivyde, 6
octreotide acetate, 18
Nova Safety Lancets 28G, 40
Onmel, 3
Ocudox, 2
Onzetra Xsail, 32
oxazepam, 23 Pediapred, 15
Opana, 30
oxcarbazepine, 26 Pediarix, 34
Opana ER (crush Resistant), 30
oxiconazole nitrate, 12 Pediatric Panda Mask, 43
Opdivo, 5
Oxistat, 12 Pedvax HIB, 34
opium, 19
Oxsoralen, 14 peg 3350/electrolytes, 19
opium tincture, 19
Oxsoralen Ultra, 12 peg-3350/electrolytes, 19
Opsumit, 10
Oxtellar XR, 26 peg-3350/NACL/NA bicarbonate/KCL, 19
Optichamber Advantage, 43
oxybutynin chloride, 21 Peg-intron, 3
Optichamber Advantage/Large Mask, 43
oxybutynin chloride ER, 21 Peg-intron Redipen, 3
Optichamber Advantage/Medium Face Mask, 43
oxycodone HCL, 30 Peg-intron Redipen PAK 4, 3
Oxycodone HCL ER, 30 Peganone, 26
Optichamber Advantage/Small Face Mask, 43
oxycodone/acetaminophen, 30 Pegasys, 3
Oxycodone/Acetaminophen, 30 Pegasys Proclick, 3
Optichamber Diamond, 43
oxycodone/aspirin, 30 Pegintron, 3
Optichamber Diamond/Largeface Mask, 43
Oxycodone/Ibuprofen, 30 Pen Needles 29G X 12MM, 40
Oxycontin, 30 Pen Needles 29GX1/2", 40
Optichamber Diamond/Medium Face Mask, 43
oxymorphone hydrochloride, 30 Pen Needles 30GX5/16", 40
oxymorphone hydrochloride ER, 30 Pen Needles 31G X 1/4" SHORT, 40
Optichamber Diamond/Smallface Mask, 43
oxytocin, 29 Pen Needles 31G X 3/16", 40
Oxytocin, 29 Pen Needles 31G X 5MM, 40
Optichamber Face Mask/Large, 43
Oxytocin/Lactated Ringers, 29 Pen Needles 31G X 6MM, 40
Optichamber Face Mask/Medium, 43
Oxytrol, 21 Pen Needles 31GX5/16", 40
Optichamber Face Mask/Small, 43
P Pen Needles 31GX6MM (1/4"), 40
Optihaler, 43
Pen Needles 31GX8MM, 40
paclitaxel, 6
Optihaler MDI Drug Delivery System, 43
Pen Needles 31GX8MM (5/16"), 40
Paclitaxel, 6
Optivar, 29
Pen Needles 32GX4MM, 40
Paire OB, 36
Oracea, 11
penicillin G potassium, 1
paliperidone ER, 24
Oracit, 21
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Pamelor, 24
Orafate, 23
pamidronate disodium, 17
Orap, 27
Penicillin G Procaine, 1
Pamidronate Disodium, 17
Orapred Odt, 15
Penicillin G Sodium, 1
Pamine, 19
Oravig, 23
penicillin v potassium, 1
Pamine Forte, 20
Orbactiv, 4
Penlac Nail Lacquer, 12
Pamine FQ, 20
Orencia, 31
Penlet II Replacement CAPS, 40
Panatuss Dxp, 33
Orencia Clickject, 31
Penlet II Replacement CAPS-deep, 40
Pancreaze, 20
Orenitram, 10
Penlet II Replacement CAPS-regular, 40
Pancrelipase, 20
Orfadin, 18
Pennsaid, 12
pancuronium bromide, 27
Orkambi, 34
Pentacel, 34
Panda Mask Large, 43
orphenadrine citrate, 27
Pentam 300, 4
Panda Mask Medium, 43
orphenadrine citrate ER, 27
Pentasa, 20
Panda Mask Small, 43
Ortho Micronor, 16
pentazocine/naloxone HCL, 30
Pandel, 13
Ortho Tri-cyclen, 16
Pentetate Calcium Trisodium, 43
pantoprazole sodium, 19
Ortho Tri-cyclen LO, 16
Pentetate Zinc Trisodium, 43
papaverine HCL, 10
Ortho-cept, 16
Pentips 29GX12MM, 40
Parafon Forte DSC, 27
Ortho-cyclen, 16
Pentips 31GX5MM, 40
Paregoric, 19
Ortho-novum 1/35, 16
Pentips 31GX6MM, 40
paricalcitol, 18
Ortho-novum 7/7/7, 16
Pentips 31GX8MM, 40
Parlodel, 26
Orthovisc, 27
Pentips 32GX4MM, 40
Parnate, 24
Oseni, 17
pentoxifylline ER, 23
paromomycin sulfate, 2
Osmoprep, 19
Pepcid, 20
paroxetine HCL, 24
Osphena, 18
Percocet, 30
paroxetine HCL ER, 24
Otezla, 31
Percodan, 30
Paser, 2
Otiprio, 29
Perfect Lancets 30G, 40
Pataday, 29
Otovel, 29
Perfect Pressure Activated Safety Lancets 28G, 40
Patanase, 33
Otozin, 29
Patanol, 29
Otrexup, 31
Perforomist, 34
Paxil, 24
Ovace Plus, 12
Peridex, 23
Paxil CR, 24
Ovace Plus Wash, 12
perindopril erbumine, 8
Pazeo, 29
Ovace Wash, 12
Perjeta, 5
PC Unifine Pentips 29G X 1/2", 40
Ovcon-35, 16
permethrin, 13
PC Unifine Pentips 31G X 6MM Ultra SHORT, 40
Ovide, 14
perphenazine, 24
Ovidrel, 18
Perphenazine/Amitriptyline, 27
PC Unifine Pentips 31G X 8MM SHORT, 40
oxacillin sodium, 1
Persantine, 23
oxaliplatin, 4
Pertzye, 20
PCE, 2
Oxandrin, 15
Pexeva, 24
Pcp 100, 19
oxandrolone, 15
Pfizerpen-G, 1
Pediaderm AF Complete Kit, 12
oxaprozin, 31
Pharmacist Choice Ultra Thin Lancets, 40
Pediaderm HC, 13
Oxaydo, 30
Pediaderm Ta, 13
Pharmacist Choice Ultra Thin Lancets 28G, 40
28 Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 40
Polytrim, 28
Pharmacist Choice Ultra Thin Lancets 30G, 40
Pomalyst, 6 Preferred Plus Unifine Pentips 31G X 8MM SHORT, 40
Ponstel, 31
Pharmacist Choice Ultra Thin Lancets 31G, 40
Portrazza, 5 Prefest, 16
potassium citrate ER, 21 Prefol-DHA, 36
Pharmacist Choice Ultra Thin Lancets 33G, 40
potassium citrate-citric acid crystals, 21 Premarin, 16, 21
potassium citrate/citric acid, 21 Premphase, 15
Pharmacy Counter Lancets, 40
potassium citrate/sodium citrate/citric acid, 21
Prempro, 15
phenazopyridine HCL, 21
Prenata, 35
phenelzine sulfate, 24
Potiga, 26 Prenatal Vitamin, 35
Phenergan, 32
Pr Cream, 14 Prenatal Vitamins, 35
phenobarbital, 25
Pradaxa, 22 Prenate, 36
Phenobarbital, 25
Praluent, 10 Prenate AM, 35
Phenobarbital Sodium, 25
pramipexole dihydrochloride, 26 Prenate DHA, 36
phenoxybenzamine hydrochloride, 8
pramipexole dihydrochloride ER, 26 Prenate Elite, 35
Phentolamine Mesylate, 9
Pramosone, 13 Prenate Enhance, 36
phenylephrine HCL, 10, 29
Pramotic, 29 Prenate Essential, 35
Phenylephrine HCL, 10
Prandimet, 17 Prenate Mini, 36
Phenylephrine HCL/Sodium Chloride, 10
Prandin, 17 Prenate Pixie, 36
Phenylephrine Hydrochloride/Dextrose, 10
Prascion Ra With Sunscreens, 11 Prenate Restore, 36
Prastera, 31 Prenate Star, 35
phenylephrine/guaifenesin, 33
Pravachol, 10 Prepidil, 29
Phenylephrine/Sodium Chloride, 10
pravastatin sodium, 10 Prepopik, 19
Phenytek, 26
Prazolamine, 28 Preque 10, 36
phenytoin, 26
prazosin HCL, 9 Presera, 14
phenytoin sodium, 26
Pre-folic, 22 Prestalia, 9
phenytoin sodium extended, 26
Precedex, 25 Prevacid, 20
Phoslo, 20
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 40
Prevacid Solutab, 20
Phoslyra, 20
Prevident, 23
Phospholine Iodide, 29
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 40
Previdolrx Analgesic PAK, 31
Photofrin, 7
Prevnar 13, 34
phytonadione, 35
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 40
Prevpac, 20
pilocarpine HCL, 23, 29
Prezcobix, 3
pilocarpine hydrochloride, 23
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 40
Prezista, 3
pimozide, 27
Prialt, 30
pindolol, 7
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 40
Priftin, 2
pioglitazone HCL, 17
Prilosec, 20
pioglitazone HCL-glimepiride, 17
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 40
Primaquine Phosphate, 3
pioglitazone HCL/metformin HCL, 17
Primaxin IV, 4
piperacillin sodium/ tazobactam sodium, 1
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 40
Primaxin IV Add-vantage, 4
primidone, 26
piperacillin sodium/tazobactam sodium, 1
Precision Thin Lancets, 40 Primlev, 30
piperacillin/tazobactam, 1
Precision Thins GP Lancet, 40 Primsol, 4
piroxicam, 31
Precision Ultra Lancet, 40 Prinivil, 8
Pitocin, 29
Precose, 17 Pristiq, 24
Pitressin Synthetic, 18
Pred Forte, 28 Pro-c-dure 5 Kit, 15
Plaquenil, 4
Pred Mild, 28 Pro-c-dure 6 Kit, 15
Plavix, 23
Pred-G, 28 Proair HFA, 33
Plegridy, 27
Pred-G S.o.p., 28 Proair Respiclick, 33
Plegridy Starter Pack, 27
prednicarbate, 13 probenecid, 32
Pletal, 23
prednisolone, 15 probenecid/colchicine, 32
Plexion, 11
prednisolone acetate, 28 Probuphine Implant Kit, 30
Plexion Cleanser, 11
prednisolone sodium phosphate, 15 Procainamide HCL, 8
Plexion Cleansing Cloths, 11
Prednisolone Sodium Phosphate, 15, 28 Procardia, 8
Pliaglis, 14
prednisolone sodium phosphate odt, 15 Procardia XL, 8
Pneumovax 23, 34
Prednisolone/Moxifloxacin, 28 Procentra, 25
Pneumovax 23/1 Dose, 34
Prednisolone/Moxifloxacin/Bromfenac, 28
prochlorperazine, 24
Pneumovax 23/5 Dose, 34
prochlorperazine edisylate, 24
Pocket Chamber, 43
prednisone, 15 prochlorperazine maleate, 24
Pocket Spacer, 43
Prednisone, 15 Procort, 20
podofilox, 13
Prednisone Intensol, 15 Procrit, 21
Poly-VI-flor, 35
Prefera OB, 35 Proctocort, 20
Poly-VI-flor FS, 35
Prefera OB + DHA, 35 Proctofoam HC, 20
Poly-VI-flor/Iron, 35
Preferaob +dha, 36 Procysbi, 21
polyethylene glycol 3350, 19
Preferaob One, 36 Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 40
polymyxin b sulfate, 4
Preferred Plus Unifine Pentips 29G X 12MM, 40
polymyxin b sulfate/trimethoprim sulfate,
Prodigy Insulin Syringe/1/2ML/31G X
5/16", 40
Purixan, 5 Rebif Titration Pack, 27
Prodigy Insulin Syringe/1ML/28G X 1/2", 40
Px Lancets Ultra Thin, 40 Reclast, 17
Pylera, 19 Recombinate, 23
Prodigy Pressure Activated Safety Lancets, 40
pyrazinamide, 2 Recombivax HB, 34
Pyridium, 21 Recothrom, 22
Prodigy Safety Lancets, 40
pyridostigmine bromide, 28 Recothrom Spray Kit, 22
Prodigy Twist Top Lancets, 40
pyridostigmine bromide ER, 28 Rectiv, 20
Proferrin-forte, 22
pyridoxine HCL, 35 Recura, 12
Profilnine, 23
Pyrogallic Acid, 14 Reglan, 20
Profilnine SD, 23
Q Regonol, 28
progesterone, 16
Relagard, 21
Qbrelis, 8
Progesterone 10% Kit, 16
Relenza Diskhaler, 3
Qc Lancets Super Thin, 40
Proglycem, 17
Relhist, 33
Qc Lancets Ultra Thin, 40
Prograf, 6
Relion Insulin Syringe/U -100/0.5ML/29G, 40
Qc Pen Needles 29G X 12MM, 40
Prolastin-c, 34
Qc Pen Needles 31G X 6MM, 40
Prolensa, 29
Relion Insulin Syringe/U-00/1ML/29G X 1/2", 40
Qc Pen Needles 31G X 8MM, 40
Proleukin, 7
Qnasl, 33
Prolia, 17
Relion Insulin Syringe/U-100/0.3ML/29G, 40
Qnasl Childrens, 33
Promacta, 22
Quadracel, 34
promethazine HCL, 32
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Quadramet, 6
promethazine HCL plain, 32
Qualaquin, 4
promethazine-DM, 33
Relion Insulin Syringe/U-100/0.3ML/30G, 40
Quartette, 16
promethazine/codeine, 33
Quazepam, 25
promethazine/dextromethorphan, 33
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Qudexy XR, 26
promethazine/phenylephrine, 33
Quelicin, 27
Promethazine/Phenylephrine, 33
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Quelicin 1000, 27
promethazine/phenylephrine/codeine, 33
Questran, 10
Prometrium, 16
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Questran Light, 10
Promiseb, 12
quetiapine fumarate, 24
Promiseb Complete, 12
Relion Insulin Syringe/U-100/0.5ML/30G, 40
Quflora FE, 36
propafenone HCL, 8
Quillichew ER, 25
propafenone HCL ER, 8
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Quillivant XR, 25
Propantheline Bromide, 19
quinapril HCL, 8
proparacaine HCL, 29
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
quinapril/hydrochlorothiazide, 9
propranolol HCL, 7
Quinidine Gluconate, 8
Propranolol HCL, 7
Relion Insulin Syringe/U-100/1ML/30G, 40
quinidine gluconate CR, 8
propranolol HCL ER, 7
quinidine gluconate ER, 8
Propranolol/Hydrochlorothiazide, 9
Relion Insulin Syringe/U-100/1ML/30G X 5/16", 40
quinidine sulfate, 8
propylthiouracil, 19
Quinidine Sulfate, 8
Proquad, 34
Relion Insulin Syringe/U-100/1ML/31G X 5/16", 40
Quinidine Sulfate ER, 8
Proscar, 21
quinine sulfate, 3
Prostin E2, 29
Relion Lancets Micro-thin33G, 40
Qutenza, 14
Protamine Sulfate, 23
Relion Lancets Standard 21G, 40
Qvar, 33
Protect Plus, 36
Relion Lancets Thin 26G, 40
R
Protectiron, 22
Relion Lancets Ultra-thin30G, 40
Prothelial, 23
Relion Mini Pen Needles 31GX6MM, 40
R-natal OB, 36
Protonix, 20
Relion Pen Needles 29GX12MM, 40
Rabavert, 34
Protopic, 13
Relion Pen Needles 31GX6MM, 40
rabeprazole sodium, 19
protriptyline HCL, 24
Relion Pen Needles 31GX8MM, 40
raloxifene hydrochloride, 18
Provenge, 6
Relion Pen Needles 32GX4MM, 40
ramipril, 8
Proventil HFA, 34
Relion SHORT Pen Needles 31GX8MM, 40
Ranexa, 7
Provera, 16
ranitidine HCL, 19
Provida DHA, 36
Relion Thin Lancets, 40
Rapaflo, 21
Provida OB, 35
Relion Ultra Thin Lancets, 40
Rapamune, 6
Provigil, 25
Relion Ultra Thin Lancets30G, 40
Rapivab, 3
Prozac, 24
Relion Ultra Thin Plus Lancets 32G, 40
Rasuvo, 31
Prozac Weekly, 24
Relion Ultra Thin Plus Lancets 33G, 40
Ravicti, 18
Pruclair, 14
Relistor, 20
Rayos, 15
Prudoxin, 12
Relpax, 32
Razadyne, 27
Prumyx, 14
Relyyks, 14
Razadyne ER, 27
Pss Select GP Lancets, 40
Relyyt, 14
Readysharp-a, 32
Pss Select Platforms, 40
Remeron, 24
Readysharp-k, 15
Pss Select Safety Lancets, 40
Remeron Soltab, 24
Readysharp-p40, 15
Pulmicort, 34
Remicade, 20
Readysharp-p80, 15
Pulmicort Flexhaler, 33
Remifentanil HCL, 30
Rebetol, 3
Pulmophylline, 34
Remodulin, 10
Rebif, 27
Pulmozyme, 34
Renagel, 20
Rebif Rebidose, 27
Purinethol, 5
Renatabs, 36
Rebif Rebidose Titration Pack, 27
Renatabs With Iron, 36
Rituxan, 5 Saizen Click.easy, 18
Renvela, 20
rivastigmine tartrate, 27 Salagen, 23
Reopro, 23
rivastigmine transdermal system, 27 Salex, 14
repaglinide, 17
rizatriptan benzoate, 32 Salex Cream, 14
Repaglinide/Metformin Hydrochloride, 17
rizatriptan benzoate odt, 32 Salex Lotion, 14
Repatha, 10
Robaxin, 28 salicylic acid, 13
Repatha Pushtronex System, 10
Robaxin-750, 28 Salicylic Acid, 14
Repatha Sureclick, 10
Robinul, 20 salicylic acid cream, 13
Reprexain, 30
Robinul Forte, 20 salicylic acid ER, 13
Req 49+, 36
Rocaltrol, 18 Salicylic Acid IN Ammonium Lactate Vehicle, 14
Requip, 26
Rocephin, 1
Requip XL, 26
rocuronium bromide, 27 salicylic acid lotion, 13
Rescon-JR, 33
Rocuronium Bromide, 27 Salivamax, 23
Rescriptor, 3
ropinirole ER, 26 Salivate RX, 23
Rescula, 29
ropinirole HCL, 26 salsalate, 30
Reserpine, 9
ropivacaine, 32 Salvax, 14
Respa-BR, 32
Ropivacaine, 32 Salvax Duo Plus, 14
Restasis, 29
ropivacaine HCL, 32 Samsca, 18
Restora RX, 19
Ropivacaine Hydrochloride/Sodium Chloride, 32
Sancuso, 20
Restora Sprinkles, 19
Sandimmune, 6
Restoril, 25
Rosadan Kit, 11 Sandostatin, 18
Retin-a, 11
Rosula, 11 Sandostatin Lar Depot, 18
Retin-a Micro, 11
rosuvastatin calcium, 10 Saphris, 25
Retin-a Micro P.M., 11
Rotarix, 34 Sarafem, 27
Retinoic Acid, 11
Rotateq, 34 Savaysa, 22
Retinoic Acid-all Trans, 11
Rowasa, 20 Savella, 27
Retrovir, 3
Roxicet, 30 Savella Titration Pack, 27
Retrovir IV Infusion, 3
Roxicodone, 30 Scalacort DK, 13
Revatio, 10
Rozerem, 25 Scar Patch, 14
Revlimid, 6
Rrb PAK, 13 Scopolamine Hydrobromide, 20
Rexall Lancets Ultra Thin, 40
Ryanodex, 28 Seasonique, 16
Rexulti, 25
Rytary, 26 Sebuderm, 14
Reyataz, 3
Rythmol, 8 Seconal, 25
Rezira, 33
Rythmol SR, 8 Seconal Sodium, 25
Rezyst IM, 19
S Sectral, 7
Rheumatrex, 31
Select-OB, 35
Sabril, 26
Rhinocort Aqua, 33
Select-ob+dha, 36
Safe-t-lance Low Flow 25G, 40
Riastap, 23
selegiline HCL, 26
Safe-t-lance Normal Flow 21G, 40
Riax, 11
selenium sulfide, 12
Safe-t-lance Plus Safety Lancet High Flow, 40
Ribasphere, 3
Selrx, 12
Ribasphere Ribapak, 3
Selzentry, 3
Safe-t-lance Plus Safety Lancet Low Flow, 40
Ribatab, 3
Semprex-d, 33
ribavirin, 3
Sensipar, 18
Safe-t-lance Plus Safety Lancet Normal Flow, 40
Ridaura, 31
Sensorcaine-mpf/Epinephrine, 32
rifabutin, 2
Sentradine, 20
Safesnap Insulin Syringe/0.3ML/30G X 5/16", 40
Rifadin, 2
Sentraflox AM-10, 24
Rifamate, 2
Sentralopram AM-10, 24
Safesnap Insulin Syringe/0.5ML/29G X 1/2", 40
rifampin, 2
Sentramodafin AM-100, 25
Rifater, 2
Sentravil PM-25, 24
Safesnap Insulin Syringe/0.5ML/30G X 5/16", 41
Right Step Prenatal, 35
Sentrazolam AM 0.25, 24
Rightest GD-L500 Alternate Site Adapter, 40
Sentrazolpidem PM-5, 25
Safesnap Insulin Syringe/1ML/28G X 1/2", 41
Sentroxatine, 24
Rightest Gl300 Lancets, 40
Serevent Diskus, 33
Safesnap Insulin Syringe/1ML/29G X 1/2", 41
Rilutek, 27
Sernivo, 13
riluzole, 27
Seroquel, 25
Safety Lancet 21G/Pressure Activated, 41
rimantadine HCL, 3
Seroquel XR, 25
Rimantalist, 3
Serostim, 18
Safety Lancet 28G/Pressure Activated, 41
Riomet, 17
sertraline HCL, 24
risedronate sodium, 17
Sevelamer Carbonate, 20
Safety Lancets, 41
risedronate sodium DR, 17
Sfrowasa, 20
Safety Lancets 21G, 41
Risperdal, 25
Shohls Solution Modified, 21
Safety Lancets 28G, 41
Risperdal Consta, 25
Shopko On-the-go Comfort Lancets 30G, 41
Safety Let Lancets, 41
Risperdal M-TAB, 25
Safety Seal Lancets 28G, 41
risperidone, 24
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 41
Safety Seal Lancets 30G, 41
risperidone odt, 24
Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 41
Ritalin, 25
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 41
Ritalin LA, 25
Safyral, 16
Riteflo, 43
Shopko Unifine Pentips Pen
Saizen, 18
Needles/Original/29GX12MM, 41
Sodium Sulfacetamide/Sulfur, 11 Striverdi Respimat, 34
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 41
sodium sulfacetamide/sulfur cleanser, 11 Stromectol, 4
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11
Strovite Forte, 36
Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 41
Strovite One, 36
sodium sulfacetamide/sulfur cleansing cloths, 11
Stuart Prenatal, 35
Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 41
Suboxone, 30
sodium sulfacetamide/sulfur green, 11 Subsys, 30
Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 41
Sodium Sulfacetamide/Sulfur IN Urea, 11 Succinylcholine Chloride, 27
sodium sulfacetamide/sulfur w/sunscreen, 11
Suclear, 19
Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 41
Sucraid, 20
sodium sulfacetamide/sulfur wash, 11 sucralfate, 19
Shopko Unilet Lancets Super Thin 30G, 41
Solaice, 14 Sular, 8
Soliris, 23 sulfacetamide sodium, 11, 28
Shopko Unilet Lancets Ultra Thin 28G, 41
Solodyn, 2 Sulfacetamide Sodium, 28
Soltamox, 5 sulfacetamide sodium/prednisolone sodium phosphate, 28
Siderol, 36
Solu-cortef, 15
Signifor, 18
Solu-medrol, 15 sulfacetamide sodium/sulfur, 11
Signifor Lar, 18
Solus V2 Pressure Activated Safety Lancets 28G, 41
sulfacetamide sodium/sulfur cleanser, 11
Silazone Pharmapak, 13
Sulfadiazine, 2
Silazone-II, 13
Solus V2 Twist Lancets 30G, 41 sulfamethoxazole/trimethoprim, 4
sildenafil, 10
Soma, 28 Sulfamethoxazole/Trimethoprim, 4
sildenafil citrate, 10
Somatuline Depot, 18 sulfamethoxazole/trimethoprim DS, 4
Silenor, 25
Somavert, 18 sulfasalazine, 20
Simbrinza, 29
Sonata, 25 Sulfoam, 11
Simcor, 10
Soolantra, 11 Sulfurated Lime, 14
Simponi, 31
Soothee, 14 sulindac, 31
Simponi Aria, 31
Soriatane, 12 Sumadan Kit, 11
Simulect, 6
Sorilux, 12 Sumadan Wash, 11
simvastatin, 10
sotalol HCL, 7 Sumadan XLT, 11
Sinelee, 14
sotalol HCL (AF), 7 sumatriptan, 32
Sinemet, 26
Sotalol Hydrochloride, 7 sumatriptan succinate, 32
Sinemet CR, 26
Sotylize, 7 Sumatriptan Succinate, 32
Single-let, 41
Sovaldi, 3 sumatriptan succinate refill, 32
Singulair, 34
Spectracef, 1 Sumavel Dosepro, 32
sirolimus, 6
Spinosad, 14 Sumaxin, 11
Sirturo, 2
Spiriva Handihaler, 33 Sumaxin CP Kit, 11
Sitavig, 3
Spiriva Respimat, 33 Sumaxin Ts, 11
Sivextro, 4
spironolactone, 9 Sumaxin Wash, 11
Skelaxin, 28
spironolactone/hydrochlorothiazide, 9 Supartz, 28
Sklice, 14
Sporanox, 3 Supartz Fx, 28
Smart Diabetes Vantage Universal Lancets 30G, 41
Sporanox Pulsepak, 3 Supervite, 36
Spritam, 26 Supervite EC, 36
Smart Sense Color Lancets Universal 33G, 41
Sprix, 31 Support-500, 36
Sprycel, 6 Supprelin LA, 18
Smart Sense Standard Lancets Universal 21G, 41
Stalevo 100, 26 Supracil, 14
Stalevo 125, 26 Suprax, 1
Smart Sense Super Thin Lancets Universal 30G, 41
Stalevo 150, 26 Suprep Bowel Prep, 19
Stalevo 200, 26 Sure-fine Pen Needles 29GX1/2" 12.7MM, 41
Smart Sense Thin Lancets Universal 26G, 41
Stalevo 50, 26
Stalevo 75, 26 Sure-fine Pen Needles 31GX3/16" 5MM, 41
Smartest Lancets 28G, 41
stannous fluoride oral rinse, 23
Smartrx Gaba Kit, 27
Starlix, 17 Sure-fine Pen Needles 31GX5/16" 8MM, 41
Smartrx Gaba-v Kit, 27
stavudine, 3
Sodium Bicarbonate, 19
Stavzor, 26 Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
sodium chloride, 33
Staxyn, 10
Sodium Citrate, 22
Stelara, 12, 20 Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 41
sodium citrate/citric acid, 21
Stendra, 10
Sodium Diuril, 9
Sterilance PA, 41 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 41
Sodium Edecrin, 9
Sterilance TL, 41
sodium ferric gluconate complex/sucrose, 21
Stimate, 18 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Stiolto Respimat, 33
sodium hyaluronate, 13
Stivarga, 6 Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
sodium phenylacetate/sodium benzoate, 18
Strattera, 25
Strazepam, 25 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
sodium phenylbutyrate, 18
Strensiq, 18
sodium sulfacetamide, 11, 12, 28
Streptomycin Sulfate, 2 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 41
sodium sulfacetamide wash, 12
Striant, 15
sodium sulfacetamide/sulfur, 11
Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/28G
X 1/2", 41
Tazicef, 1 theophylline, 33
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 41
Tazorac, 12 theophylline CR, 33
Tecentriq, 5 theophylline ER, 33
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 41
Tecfidera, 27 Theophylline/D5W, 34
Tecfidera Starter Pack, 27 Therabenzaprine-60, 28
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 41
Techlite AST Lancets, 41 Therabenzaprine-90, 28
Techlite Lancets, 41 Therabenzaprine-90-5, 28
Sure-lance Flat Lancets, 41
Techlite Lancets 30G, 41 Theracodeine-300, 31
Sure-lance Lancets 26G, 41
Techlite Pen Needles/31G X 5MM, 41 Theracodophen-325, 31
Sure-lance Thin Lancets 28G, 41
Techlite Pen Needles/31G X 6 MM, 41 Theracys, 7
Sure-lance Ultra Thin Lancets, 41
Techlite Pen Needles/31G X 8MM, 41 Therafeldamine, 31
Sure-touch Lancets Universal, 41
Techlite Pen Needles/32G X 4MM, 41 Theranatal Core Nutrition, 35
Surelite Lancets, 41
Techlite Pen Needles/32G X 8MM, 41 Therapentin-60, 26
Surfaxin, 34
Technivie, 3 Therapentin-90, 26
Surmontil, 24
Tegretol, 26 Theraprofen-60, 31
Survanta Intratracheal, 34
Tegretol-XR, 26 Theraprofen-800, 31
Sustiva, 3
Tekamlo, 9 Theraprofen-90, 31
Sustol, 20
Tekturna, 8 Theraproxen-500, 31
Sutent, 6
Tekturna HCT, 9 Theraproxen-60, 31
Sylatron, 7
telmisartan, 8 Theraproxen-90, 31
Symax Duotab, 19
telmisartan/amlodipine, 9 Theratramadol-60, 31
Symbicort, 33
telmisartan/hydrochlorothiazide, 9 Theratramadol-90, 31
Symbyax, 27
temazepam, 25 thiamine HCL, 35
Symlinpen 120, 16
Temodar, 5 Thinlets GP Lancets, 41
Symlinpen 60, 16
Temovate, 13 Thinlets Lancet, 41
Synagex, 36
Temovate E, 13 Thiola, 21
Synalar, 13
temozolomide, 4 thioridazine HCL, 24
Synalar Cream Kit, 13
Tenex, 9 Thiotepa, 5
Synalar Ointment Kit, 13
Teniposide, 6 thiothixene, 24
Synalar Ts, 13
Tenivac, 34 Thrombin-jmi Diluent, 22
Synalgos-dc, 31
Tenoretic 100, 9 Thrombin-jmi Epistaxis, 22
Synapryn Fusepaq, 31
Tenoretic 50, 9 Thrombin-jmi Syringe Spray Kit, 22
Synarel, 18
Tenormin, 7 Thrombin-jmi W/Dil Spray P.M. Actuator, 22
Synatek, 36
Terazol 3, 21
Synera, 14
Terazol 7, 21 Thrombogen, 23
Synercid, 4
terazosin HCL, 9 Thymoglobulin, 6
Synjardy, 17
terbinafine HCL, 2 Thyrolar-1, 19
Synribo, 7
terbutaline sulfate, 33 Thyrolar-1/2, 19
Synthroid, 19
terconazole, 21 Thyrolar-1/4, 19
Synvisc, 27
Tersi Foam, 12 Thyrolar-2, 19
Synvisc One, 27
Tessalon Perles, 33 Thyrolar-3, 19
T
Testim, 15 tiagabine hydrochloride, 26
Testone Cik, 15 Tiazac, 8
Tabloid, 5
Testopel, 15 Ticaspray, 33
Tabradol Fusepaq, 28
testosterone, 15 Tice Bcg, 7
Tabradol Rapidpaq, 28
Testosterone, 15 ticlopidine HCL, 23
Taclonex, 13
testosterone cypionate, 15 Ticlopidine HCL, 23
tacrolimus, 6, 13
testosterone enanthate, 15 Tigan, 20
Tafinlar, 6
testosterone P.M., 15 Tikosyn, 8
Tagrisso, 6
Testosterone P.M., 15 Timentin, 1
Taltz, 12
Testred, 15 Timolol Maleate, 7
Talwin, 31
Tetanus/Diphtheria Toxoids-adsorbed, 34
timolol maleate, 28
Tamiflu, 3
timolol maleate ophthalmic gel forming, 28
tamoxifen citrate, 5
Tetanus/Diphtheria Toxoids-adsorbed Adult, 34
tamsulosin HCL, 21
Timoptic, 28
Tandem F, 22
tetrabenazine, 27 Timoptic Ocudose, 28
Tandem Plus, 22
tetracaine HCL, 29 Timoptic-xe, 28
Tanzeum, 16
Tetracaine HCL, 32 Tindamax, 4
Tapazole, 19
Tetracycline HCL, 2 tinidazole, 4
Tarceva, 6
tetracycline hydrochloride, 2 Tirosint, 19
Targadox, 2
Tetrix, 14 Tisseel, 23
Targretin, 7
Tev-tropin, 18 Tisseel VH, 23
Tarka, 9
Teveten, 8 Tivicay, 3
Taron-bc, 35
Teveten HCT, 9 Tivorbex, 31
Taron-c DHA, 35
Texacort, 13 Tizanidine Comfort PAC, 28
Tasigna, 6
Texavite LQ, 36 tizanidine HCL, 27
Tasmar, 26
Thalomid, 6 TL G-FOL OS, 36
Taxotere, 6
Theo-24, 34 TL Triseb, 12
Taytulla, 16
Tnkase, 23
tretinoin microsphere P.M., 11 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 41
Tobi, 2
Trexall, 5
Tobi Podhaler, 2
Treximet, 32 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 41
Tobradex, 28
Trezix, 31
Tobradex ST, 28
Tri-norinyl 28, 16 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 41
tobramycin, 2
Tri-VI-flor, 35
Tobramycin, 2
Triamcinolone, 15 Trueplus Lancets 26G, 41
tobramycin sulfate, 2, 28
triamcinolone acetonide, 13, 23, 33 Trueplus Lancets 28G, 41
Tobramycin Sulfate, 2
Triamcinolone Acetonide PF, 15 Trueplus Lancets 28G Super Thin, 41
tobramycin/dexamethasone, 28
triamcinolone IN orabase, 23 Trueplus Lancets 30G, 41
Tobrex, 28
Triamcinolone PF, 15 Trueplus Lancets 30G Ultra Thin, 41
Tofranil, 24
Triamcinolone/Lidocaine, 15 Trueplus Lancets 33G, 41
Tofranil-PM, 24
Triamsil Combipak, 13 Trueplus Lancets 33G Micro Thin, 41
tolazamide, 17
triamterene/hydrochlorothiazide, 9 Trueplus Safety Lancets 28G, 41
Tolazamide, 17
Triamterene/Hydrochlorothiazide, 9 Trulicity, 16
Tolbutamide, 17
Trianex, 13 Trumenba, 34
tolcapone, 26
triazolam, 25 Trusopt, 29
tolmetin sodium, 31
Triazolam, 25 Truvada, 3
Tolmetin Sodium, 31
Tribenzor, 9 Tudorza Pressair, 34
tolterodine tartrate, 21
Tricare Prenatal, 35 Turkel Paracentesis Procedure Tray/8french, 32
tolterodine tartrate ER, 21
Tricare Prenatal 1, 35
Topamax, 26
Tricare Prenatal Compleat, 35 Tussicaps, 33
Topamax Sprinkle, 26
Tricare Prenatal DHA One, 35 Tussionex Pennkinetic Extended Release, 33
Topicort, 13
tricitrates, 21
topiramate, 26
Tricor, 10 Tuzistra XR, 33
Topiramate ER, 26
Triderma Forte, 13 Twinrix, 34
topotecan HCL, 6
Triferic, 22 Twynsta, 9
Topotecan HCL, 6
trifluoperazine HCL, 24 Tybost, 3
Toprol XL, 7
trifluridine, 28 Tygacil, 4
Torisel, 6
Triglide, 10 Tykerb, 6
Toronova II Suik, 31
trihexyphenidyl HCL, 26 Tylenol/Codeine #3, 31
Toronova Suik, 31
Trileptal, 26 Tylenol/Codeine #4, 31
torsemide, 9
Trilipix, 10 Typhim VI, 34
Torsemide, 9
Triloan II Suik, 15 Tysabri, 27
Totect, 7
Triloan Suik, 15 Tyvaso, 10
Toujeo Solostar, 16
trimethobenzamide HCL, 20 Tyvaso Refill, 10
Toviaz, 21
trimethoprim, 4 Tyvaso Starter, 10
Tracleer, 10
trimethoprim sulfate/polymyxin b sulfate, 28
Tyzeka, 3
Tradjenta, 17
Tyzine, 33
tramadol HCL, 30
trimipramine maleate, 24 Tyzine Pediatric Nasal Drops, 33
tramadol HCL ER, 30
Trintellix, 24 U
Tramadol HCL ER, 31
Triostat, 19
Uceris, 15, 20
tramadol hydrochloride/acetaminophen, 30
Trisenox, 7
Udamin SP, 36
Triseon, 11
Ulesfia, 14
Trandate, 7
Triumeq, 3
Uloric, 32
trandolapril, 8
Triveen-duo DHA, 36
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 41
trandolapril/verapamil HCL, 9
Triveen-prx RNF, 36
trandolapril/verapamil HCL ER, 9
Trizivir, 3
Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 41
tranexamic acid, 22
Trokendi XR, 26
Transderm-scop, 20
Tropazone, 14
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 41
Tranxene T, 24
trospium chloride, 21
tranylcypromine sulfate, 24
trospium chloride ER, 21
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 41
Travatan Z, 29
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Travoprost, 29
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 41
Trazamine, 24
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 41
trazodone HCL, 24
Ulticare Insulin Syringe/0.3ML/29G X 1/2", 41
Treanda, 4
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 41
Trecator, 2
Ulticare Insulin Syringe/0.3ML/30G X 1/2", 41
Trelstar, 5
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Trelstar Mixject, 5
Ulticare Insulin Syringe/0.3ML/30G X 5/16", 41
Trepadiclofen-25, 31
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
Trepoxicam-7.5, 31
Ulticare Insulin Syringe/0.5ML/28G X 1/2", 41
Tresiba Flextouch, 16
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
Tretin-x, 11
Ulticare Insulin Syringe/0.5ML/29G X 1/2", 41
tretinoin, 6, 11
Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 41
Tretinoin, 11
Ulticare Insulin Syringe/0.5ML/30G X 1/2", 41
Tretinoin (all-trans Retinoic Acid), 11
Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 41
tretinoin microsphere, 11
Ulticare Insulin Syringe/0.5ML/30G X
5/16", 41
Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 41
Umecta, 14
Ulticare Insulin Syringe/1ML/28G X 1/2", 41
Umecta Nail Film, 14
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 41
Umecta PD, 14
Ulticare Insulin Syringe/1ML/29G X 1/2", 41
Unasyn, 1
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 41
Unasyn Bulk Pack, 1
Ulticare Insulin Syringe/1ML/30G X 1/2", 41
Unifine Pentips 29GX12MM, 42
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
Unifine Pentips 31G X 3/16", 42
Ulticare Insulin Syringe/1ML/30G X 5/16", 41
Unifine Pentips 31G X 6MM, 42
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 41
Unifine Pentips 31G X 8MM, 42
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41
Unifine Pentips 31GX5MM, 42
Ultilet Classic Lancets, 41 Unifine Pentips 31GX6MM, 42
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 42
Unifine Pentips 31GX8MM, 42
Unifine Pentips 32GX4MM, 42
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 42
Unifine Pentips Plus 29GX12MM, 42
Unifine Pentips Plus 31GX5MM, 42
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 42
Unifine Pentips Plus 31GX6MM, 42
Unifine Pentips Plus 31GX8MM, 42
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16", 42
Unilet Comfortouch Lancet, 42
Unilet Excelite, 42
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 41
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 42
Unilet Excelite II, 42
Unilet G.p. Lancet, 42
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 42
Unilet G.p. Superlite Lancet, 42
Unilet GP 28 Ultra Thin, 42
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 41
Ultilet Lancets, 42 Unilet Lancet, 42
Ultilet Lancets 33G, 42 Unilet Lancets Micro-thin33G, 42
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16", 41
Ultilet Pen Needle 32GX4MM/SHORT, 42
Unilet Lancets Super-thin30G, 42
Unilet Lancets Ultra-thin 28G, 42
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16", 41
Ultilet Safety Lancets 23G, 42 Unilet Superlite Lancet, 42
Ultilet SHORT Pen Needles 31GX5/16", 42
Unistik 1, 42
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
Unistik 2, 42
Ultilet SHORT Pen Needles31GX3/16", 42
Unistik 2 Comfort, 42
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2", 41
Unistik 2 Extra, 42
Ultiva, 31 Unistik 2 Neonatal, 42
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
Ultra-thin II Auto Lancet, 42 Unistik 2 Normal, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 42
Unistik 2 Super, 42
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 41
Unistik 3, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16", 42
Unistik 3 Comfort, 42
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 41
Unistik 3 Extra, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16", 42
Unistik 3 Extra Single Use Safety Lancets/21G, 42
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 41
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16", 42
Unistik 3 Gentle, 42
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 41
Unistik 3 Neonatal, 42
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 42
Unistik 3 Normal, 42
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 41
Unistik CZT Comfort, 42
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 42
Unistik CZT Normal, 42
Ulticare Micro Pen Needles 31G X 8MM, 41
Unistik Safety Lancets 28G, 42
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 42
Unistik Safety Lancets 30G, 42
Ulticare Micro Pen Needles 32G X 4MM, 41
Unistik Touch Safety Lancets 21G, 42
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 42
Unistik Touch Safety Lancets 23G, 42
Ulticare Micro Pen Needles/32G X 4MM, 41
Unistik Touch Safety Lancets 28G, 42
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 42
Unistik Touch Safety Lancets 30G, 42
Ulticare Mini Pen Needles 31GX6MM, 41
Unituxin, 5
Ulticare Mini Pen Needles Ulti-fine IV, 41
Ultra-thin II Lancets 28G, 42 Univasc, 8
Ulticare Mini Pen Needles/31G X 6MM, 41
Ultra-thin II Lancets 30G, 42 Universal 1 Lancets Thin 26G, 42
Ultra-thin II Mini Pen Neeedles/31GX3/16", 42
Universal 1 Lancets Ultra Thin 30G, 42
Ulticare Mini Pen Needles31GX6MM, 41
Uptravi, 10
Ulticare Original Pen Needles Ulti-fine, 41
Ultra-thin II Pen Needles 29GX1/2", 42 Uramaxin, 14
Ultra-thin II Pen Needles/SHORT/31GX5/16", 42
Uramaxin GT, 14
Ulticare Pen Needles/29G X 12.7MM, 41
Uramaxin GT Kit, 14
Ulticare SHORT Pen Needles 31GX8MM, 41
Ultra-thin II Safety Autolancets 26G, 42 urea, 13
Ultracet, 31 urea 40% nail film, 13
Ulticare SHORT Pen Needles Ulti-fine IV, 41
Ultralance, 42 urea IN zinc undecylenate/lactic acid vehicle, 13
Ultram, 31
Ulticare SHORT Pen Needles/31G X 8MM, 41
Ultram ER, 31 urea topical, 13
Ultrasal-ER, 14 Urecholine, 21
Ulticare Thin Lancets 30G, 41
Ultravate, 13 Uretron D/S, 21
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 41
Ultravate X, 13 Urimar-t, 21
Ultresa, 20 Urocit-k 10, 21
Urocit-k 15, 21
Vaxchora, 34 Vinate AZ Extra, 35
Urocit-k 5, 21
Vazculep, 10 Vinate Calcium, 35
Urogesic-blue, 21
Vecamyl, 9 Vinate DHA RF, 35
Uroxatral, 21
Vectibix, 5 Vinblastine Sulfate, 6
Urso 250, 20
Vectical, 12 vincristine sulfate, 6
Urso Forte, 20
vecuronium bromide, 27 vinorelbine tartrate, 6
ursodiol, 20
Vecuronium Bromide, 27 Viokace, 20
Utibron Neohaler, 34
Vecuronium Bromide/Sodiumchloride, 27 Viracept, 3
Utopic, 14
Veinpuncture Px1 Phlebotomy System, 14
Viramune, 3
Uvadex, 7
Viramune XR, 3
V
Velcade, 6 Virasal, 14
Veletri, 10 Virazole, 3
V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 42
Velphoro, 20 Viread, 3
Veltin, 11 Viroptic, 28
V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 42
Vemavite-prx 2, 36 Vistaril, 24
Venipuncture Cpi, 14 Vistide, 3
V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 42
venlafaxine HCL, 24 Vita-pren, 35
venlafaxine HCL ER, 24 Vitafol, 36
V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 42
Venlafaxine HCL ER, 24 Vitafol Fe+, 36
Venofer, 22 Vitafol Gummies, 35
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 42
Ventavis, 10 Vitafol Ultra, 36
Ventolin HFA, 33 Vitafol-nano, 35
Vagifem, 21
Veramyst, 33 Vitafol-ob+dha, 36
valacyclovir HCL, 3
verapamil HCL, 8 Vitafol-one, 36
Valchlor, 5
verapamil HCL ER, 8 Vital-d RX, 36
Valcyte, 3
verapamil HCL SR, 8 Vitalet Pro Lancets, 42
valganciclovir, 3
Verdeso, 13 Vitalet Pro Plus Lancets, 42
valganciclovir hydrochlorde, 3
Veregen, 14 Vitamedmd One RX/Quatrefolic, 36
Validerm, 13
Verelan, 8 Vitamedmd Plus RX/Quatre Folic, 36
Valium, 24
Verelan PM, 8 Vitamedmd Redichew RX, 35
valproate sodium, 26
Veripred 20, 15 Vitamin A, 35
valproic acid, 26
Verrunex, 14 vitamin c 222MG, 35
valsartan, 8
Versacloz, 25 vitamin d, 35
valsartan/hydrochlorothiazide, 9
Vesicare, 21 vitamin k1, 35
Valtrex, 3
Vexa, 14 Vitamin K1, 35
Valumark Lancet Super Thin 30G, 42
Vexol, 28 Vitapearl, 35
Valumark Lancet Ultra Thin 28G, 42
Vfend, 3 Vitaroca Plus, 36
Valumark Pen Needles 29GX12MM, 42
Vfend IV, 3 Vitatrue, 36
Valumark Pen Needles 31G X 6MM, 42
Viagra, 10 Vitekta, 3
Valumark Pen Needles 31G X 8MM, 42
Vibativ, 4 Vituz, 33
Vanatol LQ, 30
Viberzi, 20 Viva DHA, 35
Vancocin HCL, 4
Vibramycin, 2 Vivactil, 24
Vancomycin, 4
Vicoprofen, 31 Vivelle-dot, 16
vancomycin HCL, 4
Victoza, 16 Vivlodex, 31
Vancomycin HCL, 4
Victrelis, 3 Vivotif, 35
Vancomycin HCL + Syrspendsf PH4, 4
Vida Mia Unifine Pentips 32GX4MM, 42 Vogelxo, 15
Vancomycin HCL IN Dextrose, 4
Vida Mia Unifine Pentips Mini 31GX6MM, 42
Vogelxo P.M., 15
Vancomycin Hydrochloride, 4
Voltaren, 12
Vancomycin Hydrochloride/Dextrose, 4
Vida Mia Unifine Pentips Original 29GX12MM, 42
Voltaren-XR, 31
Vancomycin Hydrochloride/NACL, 4
Voluven, 23
Vancomycin Hydrochloride/Sodium Chloride, 4
Vida Mia Unilet Lancets Super Thin 30G, 42
Vopac, 12
Vopac GB, 12
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 42
Vida Mia Unilet Lancets Ultra Thin 28G, 42
Vopac Kt, 12
Voraxaze, 7
Vanishpoint Insulin Syringe/1ML/29G X 1/2", 42
Vida Mia Unipfine Pentipsshort 31GX8MM, 42
voriconazole, 2
Vortex Valved Holding Chamber, 43
Vanos, 13
Vidaza, 5 Vosol HC, 29
Vanoxide-HC, 11
Videx EC, 3 Vospire ER, 34
Vantas, 5
Videx Pediatric, 3 Votrient, 6
Vaprisol, 18
Viekira PAK, 3 Vpriv, 22
Vaqta, 34
Viekira XR, 3 Vraylar, 25
Varivax, 34
Vigamox, 28 Vsl#3 DS, 19
Varubi, 20
Viibryd, 24 Vusion, 12
Vascepa, 10
Viibryd Starter Pack, 24 Vytorin, 10
Vaseretic, 9
Vimizim, 19 Vyvanse, 25
vasopressin, 18
Vimovo, 31 W
Vasopressin/Sodium Chloride, 18
Vimpat, 26
Vasostrict, 18
W&f Lancets 26G, 42
Vinacal B, 35
Vasotec, 8
W&f Lancets Colored 21G, 42
Walgreens Lancets, 42
Z Zolpimist, 25
Walgreens Thin Lancets, 42
Zomacton, 18
Zacare 4% Kit, 11
Walgreens Ultra Thin Lancets, 42
Zometa, 17
Zacare 8% Kit, 11
warfarin sodium, 22
Zomig, 32
zafirlukast, 33
Watchhaler, 43
Zomig Nasal Spray, 32
zaleplon, 25
Welchol, 10
Zomig ZMT, 32
Zaltrap, 5
Wellbutrin, 24
Zonalon, 12
Zamicet, 31
Wellbutrin SR, 24
Zonatuss, 33
Zanaflex, 28
Wellbutrin XL, 24
Zonegran, 26
Zanosar, 4
Westcort, 13
zonisamide, 26
Zantac, 20
Westhroid, 19
Zontivity, 23
Zarontin, 26
Wheat Germ, 35
Zorbtive, 18
Zaroxolyn, 9
Wilate, 23
Zortress, 6
Zarxio, 21
Wp Thyroid, 19
Zorvolex, 31
Zatean-CH, 36
X
Zostavax, 35
Zatean-pn, 35
Zosyn, 1
Xalatan, 29
Zatean-pn DHA, 36
Zovia 1/50e, 16
Xalkori, 6
Zatean-pn Plus, 35
Zovirax, 3, 12
Xanax, 24
Zavesca, 22
Zubsolv, 30
Xanax XR, 24
Zebeta, 7
Zuplenz, 20
Xarelto, 22
Zecuity, 32
Zurampic, 32
Xarelto Starter Pack, 22
Zegerid, 20
Zutripro, 33
Xartemis XR, 31
Zelapar, 26
Zyclara, 13
Xeljanz, 31
Zelboraf, 6
Zyclara P.M., 13
Xeljanz XR, 31
Zemaira, 34
Zydelig, 6
Xeloda, 5
Zembrace Symtouch, 32
Zyflo, 34
Xenazine, 27
Zemplar, 19
Zyflo CR, 34
Xeomin, 27
Zemuron, 27
Zykadia, 6
Xerac Ac, 14
Zenpep, 20
Zylet, 28
Xeralux, 14
Zenzedi, 25
Zyloprim, 32
Xerese, 12
Zepatier, 3
Zymaxid, 28
Xgeva, 17
Zerbaxa, 4
Zyprexa, 25
Xifaxan, 4
Zerit, 3
Zyprexa Relprevv, 25
Xigduo XR, 17
Zestoretic, 9
Zyprexa Zydis, 25
Xilapak, 13
Zestril, 8
Zytiga, 5
Xodol, 31
Zetia, 10
Zyvodol, 12
Xofigo, 6
Zetonna, 33
Zyvox, 4
Xolair, 33
Zevalin Y-90, 5
1
Xolegel, 12
Ziac, 9
Xolegel Corepak, 12
Ziagen, 3 1ST Choice Lancets Super Thin, 42
Xolegel Duo/Head & Shoulders, 12
Ziana, 11 1ST Choice Lancets Thin, 42
Xolegel Duo/Xolex, 12
zidovudine, 3 1ST Choice Lancets Ultra Thin, 42
Xopenex, 34
Zinacef, 1 1ST Tier Unifine Pentips 29GX12MM, 42
Xopenex Concentrate, 34
Zinbryta, 27 1ST Tier Unifine Pentips 31GX6MM, 42
Xopenex HFA, 34
Zinecard, 7 1ST Tier Unifine Pentips 31GX8MM, 42
Xrylix, 12
Zioptan, 29 8
Xtampza ER, 31
ziprasidone HCL, 24
8-mop, 12
Xtandi, 5
Zipsor, 31
Xuriden, 19
Zirgan, 28
Xylocaine, 8, 14, 32
Zithranol, 12
Xylocaine-mpf, 32
Zithranol-rr, 12
Xylocaine-mpf/Epinephrine, 32
Zithromax, 2
Xylocaine/Epinephrine, 32
Zithromax Tri-PAK, 2
Xyntha, 23
Zithromax Z-PAK, 2
Xyntha Solofuse, 23
Zmax, 2
Xyrem, 27
Zocor, 10
Xyzal, 32
Zofran, 20
Y
Zofran Odt, 20
Zohydro ER, 31
Yasmin 28, 16
Zoladex, 5
Yaz, 16
Zolate, 22
Yervoy, 5
zoledronic acid, 17
Yf-vax, 35
Zoledronic Acid, 17
Yodoxin, 4
Zolinza, 6
Yondelis, 5
zolmitriptan, 32
Yosprala, 23
zolmitriptan odt, 32
Your Life Multi Prenatal, 35
Zoloft, 24
zolpidem tartrate, 25
zolpidem tartrate ER, 25