2016 FormulAry oF Covered PresCriPtion drugs
Transcripción
2016 FormulAry oF Covered PresCriPtion drugs
2016 Formulary of Covered Prescription Drugs SelectHealth Updated April 2016 Any questions? Call toll-free 1-866-469-7774 TTY: 711 8 am to 6 pm, Monday - Friday 1250 Broadway, 11th Floor, New York, NY 10001 www.vnsnychoice.org/selecthealth © 2016 VNSNY Choice VNSNY CHOICE SelectHealth Formulary April 2016 Foreword MedImpact is a Pharmacy Benefit Manager for VNSNY CHOICE SelectHealth. This document represents the efforts of the MedImpact Healthcare Systems Pharmacy and Therapeutics (P & T) and Formulary Committees to provide physicians and pharmacists with a method to evaluate the safety, efficacy and costeffectiveness of commercially available drug products. A structured approach to the drug selection process is essential in ensuring continuing patient access to rational drug therapies. This is accomplished through the auspices of the MedImpact P & T and Formulary Committees. These committees meet quarterly and more often as warranted to ensure clinical relevancy of the Formulary. To accommodate changes to this document, updates are made accessible as necessary. Access to the most current version of the VNSNY CHOICE SelectHealth Formulary can be obtained by visiting www.vnsnychoice.org The MedImpact P & T and Formulary Committees use the following criteria in the evaluation of drug selection for VNSNY CHOICE SelectHealth Formulary: ● Drug safety profile ● Drug efficacy ● Comparison of relevant therapeutic benefits to current formulary agents of similar use, and to minimize therapeutic duplication where possible ● Cost-effectiveness relative to comparable therapies How to Use the Formulary The Formulary is a list of medications available to VNSNY CHOICE SelectHealth members under their pharmacy benefit. All drugs are listed by their generic names and most common proprietary (branded) name. The Formulary may be accessed by using the index, either by generic or proprietary name and by therapeutic drug category. In situations where an FDA approved generic equivalent is available, brand names are listed for reference purposes only, and do not denote coverage for the brand, unless specifically noted. All drugs are listed in each category in alphabetical order by generic name. Where an FDA approved generic is available for the listed generic name, the generic name is bolded. For certain agents within the Formulary, a recommended prescribing guideline may apply. These are denoted throughout the document using the following symbols: AGE G PA QL Age Edit Gender Edit Prior Authorization Quantity Limit ST Step Therapy Coverage may depend on patient age Coverage may depend on patient gender Requires specific physician request process Coverage may be limited to specific quantities per prescription and/or time period Coverage may depend on previous use of another drug Please refer to the prescribing guideline appendix within this document for details regarding specific agents. VNSNY Page 1 of 75 Benefit Coverage and Limitations This printed Formulary does not provide information regarding the specific coverage and limitations an individual member may be subject to. Many members have specific benefit inclusions, exclusions, copays, or a lack of coverage, which are not reflected in the Formulary. The Formulary applies only to outpatient drugs provided to members, and does not apply to medications used in inpatient settings. If a member has any specific questions regarding their coverage, they should contact VNSNY CHOICE SelectHealth Member Services at 1-866-469-7774 Monday through Friday, 8:00 am to 6:00 pm. TTY users call 711. Depending upon a member’s specific benefit parameters, the following topics may apply: 1. Generic Substitution When available, FDA approved generic drugs are to be used in all situations, regardless of the brand name indicated. The generic names are bolded in the formulary listing wherever an FDA approved generic drug product is available. Greater economy is realized through the use of generic equivalents. This policy is not meant to preclude or supplant any state statutes that may exist. All drugs that are or become available generically are subject to review by MedImpact’s Pharmacy and Therapeutics Committee. MedImpact approves such multi-source drugs for addition to the MAC list based on the following criteria: ● ● ● A multi-source drug product manufactured by at least one (1) nationally marketed company. At least one (1) of the generic manufacturer’s products must have an “A” rating or the generic product has been determined to be unassociated with efficacy, safety or bioequivalence concerns by the MedImpact P & T Committee. Drug product will be approved for generic substitution by the MedImpact P & T Committee. This list is reviewed and updated periodically based on the clinical literature and pharmacokinetic characteristics of currently available versions of these drug products. If a member or physician requests a brand name product in lieu of an approved generic, and physician determines that there is a documented medical need for the brand equivalent, a request for coverage may be made using the medication request process at 1-888-678-7741, 24 hours a day, and 7 days a week. 2. Tier Benefit Design The Formulary may be applied to a tier benefit design, where the member shares the cost of prescription drug therapy based on the drug’s tier and copayment or coinsurance. In most instances, generically available drugs will be covered in a separate lower tier (low copay), preferred branded drugs listed on the Formulary will be covered under a higher tier, and branded drugs not on the Formulary will be covered under a separate non-preferred branded drug copay tier. Essential health benefit/preventative medications, if available on your plans formulary (applies to new and non-grandfathered plans), will be covered without cost sharing (zero copay). TIER DEFINITIONS: TIER 1: Preferred generic medications (formulary agents) TIER 2: Preferred brand medications (formulary agents) TIER 3: Non-preferred medications (non-formulary agents) TIER 4: Zero Copay/Preventative medications TIER 5: Over the Counter (OTC) VNSNY Page 2 of 75 3. Medication Request Process Depending upon plan benefit design, a medication request process may apply as follows: A. Coverage Exceptions: Drugs that are listed in the Formulary with associated Prior Authorization (PA) require evaluation, per MedImpact P & T Committee Prior Authorization guidelines prior to dispensing at a network pharmacy. Each request will be reviewed on an individual patient need basis. If the request does not meet the guidelines established by the P & T Committee, the request will not be approved and alternative therapy may be recommended. B. Obtaining Coverage Coverage, questions or information regarding the medication request or formulary process may be obtained by: 1. Faxing a completed Medication Request Form to MedImpactat 1-858-790-7100. 2. Contacting MedImpact at 1-888-678-7741and providing all necessary information requested. MedImpact will provide an authorization number, specific for the medical need, for all approved requests. Non-approved requests may be appealed. The prescriber must provide information to support the appeal on the basis of medical necessity. Prior Authorization is generally not available for drugs that are specifically excluded by benefit design. 4. General Exclusions A. Drugs specifically listed as not covered. B. Any drug products used for cosmetic purposes. C. Experimental drug products or any drug product used in an experimental manner. D. Replacement of lost or stolen medication. E. Non-self-administered injectable drug products unless otherwise specified in the Formulary listing. F. Foreign sourced drugs or drugs not approved by the United States Food & Drug Administration, except in certain cases of drug shortage, when allowed under the individual’s pharmacy benefit. The P & T and Formulary Committees recognize that not all medical needs can be met with this document and encourage inquiries about alternative therapies. 5. Pharmacist and Physician Communication The Formulary is a tool to promote cost-effective prescription drug use. The P & T and Formulary Committees have made every attempt to create a document that meets all therapeutic needs; however, the art of medicine makes this a formidable task. MedImpact welcomes the participation of physicians, pharmacists, and ancillary medical providers, in this dynamic process. Physicians and pharmacists are encouraged to direct any suggestions, comments or formulary additions to MedImpact at the following address: Chairperson, Pharmacy & Therapeutics Committee MedImpact Healthcare Systems, Inc. 10181 Scripps Gateway Court San Diego, CA 92131 VNSNY Page 3 of 75 Medication Request Form (MRF) MedImpact Healthcare Systems, Inc. DO NOT WRITE IN BLOCKED AREAS FOR INTERNAL USE ONLY Contacted: Physician: Pharmacy: Patient: Attn: Prior Authorization Department 10181 Scripps Gateway Court San Diego, CA 92131 Phone 1-888-678-7741 Phone: 1-888-678-7741 Fax: 858-790-7100 DO NOT WRITE IN BLOCKED AREAS FOR INTERNAL USE ONLY Approved: Denied: Returned: PA #: Instructions: This form is to be used by participating physicians and providers to obtain coverage for a non-formulary drug for which there is no suitable alternative available. Please complete this form and fax to MedImpact Healthcare Systems, Inc. at 1-858 790-7100 or please call 1-888-678-7741 with this information. If you have any questions regarding this process, please contact MedImpact’s Customer Service at 1-888-678-7741), 24 hours a day, 7 days a week. Review Criteria: The following guidelines are used in reviewing medication requests: 1. The use of Formulary Drug Products is contraindicated in the patient. 2. The patient has failed an appropriate trial of Formulary or related agents. 3. The choices available in the Formulary are not suited for the present patient care need and the drug selected is required for patient safety. 4. The use of a Formulary Drug Product may provoke an underlying medical condition, which would be detrimental to patient care VNSNY Page 4 of 75 Medication Request Information (please complete each section of this form prior to transmittal): Patient’s Health Plan (required): Patient Name (required): Patient ID # (required): Physician Name/Specialty: Physician ID#/DEA#: Patient DOB (required): Physician Area Code and Telephone Number: ( Diagnosis (required): - Physician Area Code and Fax Number (required): ( Pharmacy used by Member: ) ) - Pharmacy Area Code and Telephone Number: ( ) - Drug Requested: Quantity (per month): Dose: Length of Treatment (please be specific): Strength: Dosage Form (e.g., Oral, Injection): Reason for Medication Request (please be specific, give detail): Other Medications Tried and/or Failed (please be specific, give detail including reason for failure): Other Pertinent History (relative or pertaining to this request): VNSNY Page 5 of 75 Formulario de VNSNY CHOICE SelectHealth Abril de 2016 Prólogo MedImpact es un administrador del beneficio de farmacia para VNSNY CHOICE SelectHealth. Este documento representa los esfuerzos de los Comités de Farmacia y Terapéutica de MedImpact Healthcare Systems (Pharmacy and Therapeutics, P & T) y el Formulario para proporcionar a los médicos y farmacéuticos un método para evaluar la seguridad, eficacia y rentabilidad de los productos medicinales disponibles comercialmente. Un enfoque estructurado al proceso de selección del medicamento es esencial para asegurar el acceso continuo del paciente a las terapias racionales de medicamentos. Esto se lleva a cabo a través de los auspicios de los Comités de P & T y la Lista de medicamentos de MedImpact. Estos comités se reúnen trimestralmente y con más frecuencia si es necesario para asegurar la relevancia clínica de la lista de medicamentos. Para adaptar los cambios a este documento, las actualizaciones se encuentran accesibles según sea necesario. El acceso a la versión más actualizada del Formulario de VNSNY CHOICE SelectHealth se puede obtener visitando www.vnsnychoice.org Los Comités de P & T y de la Lista de medicamentos de MedImpact usan los siguientes criterios en la evaluación de selección de medicamentos para la Lista de medicamentos de VNSNY CHOICE SelectHealth: • Perfil de seguridad del medicamento • Eficacia del medicamento • Comparación de beneficios terapéuticos relevantes con agentes actuales de uso similar de la Lista de medicamentos, y para minimizar duplicidad terapéutica cuando sea posible • Costo-efectividad en relación a terapias comparables Cómo usar la Lista de medicamentos La Lista de medicamentos es un listado de medicamentos disponibles para los afiliados de VNSNY CHOICE SelectHealth bajo su beneficio de farmacia. Todos los medicamentos están listados por sus nombres genéricos y nombre comercial más común (marca). Puede obtener acceso a la Lista de medicamentos usando el índice, ya sea por nombre genérico o comercial y por categoría terapéutica del medicamento. En situaciones en las que un genérico equivalente aprobado por la FDA esté disponible, los nombres de marca se encuentran listados únicamente por motivos de referencia y no denotan cobertura de la marca, a menos que se especifique. Todos los medicamentos se encuentran listados en cada categoría en orden alfabético por nombre genérico. Cuando un medicamento genérico aprobado por la FDA está disponible para el nombre genérico listado, el nombre genérico se encuentra en negrita. Para ciertos agentes dentro de la Lista de medicamentos, puede aplicar un lineamiento de prescripción recomendada. Estos se indican en todo el documento usando los siguientes símbolos: EDAD G PA QL Editar la edad Editar el género Autorización previa Límite de cantidad ST Terapia de pasos La cobertura puede depender de la edad del paciente La cobertura puede depender del género del paciente Requiere de un proceso específico de solicitud del médico La cobertura puede estar limitada a cantidades específicas por receta médica o por período de tiempo La cobertura puede depender del uso previo de otro medicamento Consulte el apéndice de lineamientos de recetas en este documento para obtener detalles sobre agentes específicos. Cobertura de beneficios y limitaciones Este formulario impreso no proporciona información relacionada con la cobertura y limitaciones específicas a las que un afiliado individual puede estar sujeto. Muchos afiliados tienen inclusiones de beneficios, exclusiones, copagos específicos o falta de cobertura, los cuales no se reflejan en la Lista de medicamentos. La Lista de medicamentos aplica únicamente a los medicamentos para pacientes ambulatorios proporcionados a afiliados y no aplica a los medicamentos que se usan en entornos para pacientes hospitalizados. Si un afiliado tiene preguntas específicas en relación a su cobertura, deberá comunicarse a Servicios del afiliado de VNSNY CHOICE SelectHealth al 1-866-469-7774, de lunes a viernes de 8:00 a. m. a 6:00 p. m. Los usuarios de TTY deben llamar al 711. VNSNY Page 6 of 75 Dependiendo de los parámetros de beneficios específicos del afiliado, los siguientes temas pueden aplicar: 1. Sustitución de genéricos Cuando se encuentren disponibles, los medicamentos genéricos aprobados por la FDA se usarán en todos los casos, independientemente del nombre de marca indicado. Los nombres genéricos se encuentran en negrita en la lista de medicamentos donde se encuentre un producto medicinal genérico aprobado por la FDA que esté disponible. Se obtiene mayor ahorro con el uso de equivalentes genéricos. Esta política no tiene el propósito de excluir o reemplazar los estatutos del estado que puedan existir. Todos los medicamentos que se encuentran o lleguen a estar disponibles como genéricos están sujetos a revisión por parte del Comité de farmacia y terapéutica de MedImpact. MedImpact aprueba dichos medicamentos de múltiples fuentes para agregarlos a la lista MAC con base en los siguientes criterios: • Producto medicinal de múltiple fuente fabricado por al menos una (1) empresa comercializada a nivel nacional. • Al menos uno (1) de los productos genéricos del fabricante debe tener una calificación “A” o que se haya determinado que el producto genérico no está asociado con problemas de eficacia, seguridad o bioequivalencia por parte del Comité de P & T de MedImpact. • El producto medicinal será aprobado para sustitución genérica por parte del Comité de P & T de MedImpact. Esta lista se revisa y actualiza periódicamente con base en la literatura clínica y características farmacocinéticas de las versiones disponibles actualmente de estos productos medicinales. Si un afiliado o médico solicita un producto de marca en lugar de un genérico aprobado, y el médico determina que existe una necesidad médica documentada de la marca equivalente, se puede realizar una solicitud de cobertura usando el proceso de solicitud de medicamentos al 1-888-678-7741, las 24 horas del día, los 7 días de la semana. 2. Diseño de beneficios por nivel La Lista de medicamentos se puede aplicar a un diseño de beneficios por niveles, donde el afiliado comparte el costo de la terapia con medicamentos con receta médica con base en el nivel del medicamento, copago o coaseguro. En la mayoría de los casos, los medicamentos genéricos disponibles serán cubiertos en un nivel más bajo por separado (copago bajo), los medicamentos preferidos de marca listados en la Lista de medicamentos serán cubiertos bajo un nivel más alto, y los medicamentos de marca que no se encuentran en el formulario serán cubiertos bajo un nivel de copago de medicamento de marca no preferida por separado. Los medicamentos esenciales para la salud de beneficio o preventiva, si están disponibles en el formulario de sus planes (aplica a planes nuevos y que no cuentan con derechos adquiridos), serán cubiertos sin costo compartido (cero copago). VNSNY Page 7 of 75 DEFINICIONES DE LOS NIVELES: NIVEL 1: Medicamentos genéricos preferidos (agentes de la Lista de medicamentos) NIVEL 2: Medicamentos de marca preferidos (agentes de la Lista de medicamentos) NIVEL 3: Medicamentos no preferidos (agentes que no son de la Lista de medicamentos) NIVEL 4: Medicamentos con cero copago o de prevención NIVEL 5: De venta libre (OTC) 3. Proceso de solicitud de medicamentos Dependiendo del diseño de beneficios del plan, puede aplicar un proceso de solicitud de medicamentos de la siguiente forma: A. Excepciones de cobertura: Los medicamentos que se listan en el formulario de autorización previa asociado (PA) requieren evaluación, según las pautas de autorización previa del Comité de P & T de MedImpact antes de su distribución en una farmacia de la red. Cada solicitud será revisada en base a la necesidad individual del paciente. Si la solicitud no cumple con los lineamientos establecidos por el Comité de P & T, la solicitud no será aprobada y puede que se recomiende terapia alternativa. B. Obtención de cobertura La cobertura, preguntas o información con respecto a la solicitud de medicamentos o proceso del formulario pueden obtenerse: 1. Enviando por fax un Formulario de solicitud de medicamentos a MedImpact al 1-858-790-7100. 2. Comunicándose a MedImpact al 1-888-678-7741 y proporcionando toda la información necesaria que se le solicite. MedImpact le proporcionará un número de autorización, especifico para la necesidad médica, para todas las solicitudes aprobadas. Las solicitudes no aprobadas pueden ser apeladas. La persona que escribe las recetas debe proporcionar información para apoyar la apelación basándose en la necesidad médica. La autorización previa generalmente no está disponible para medicamentos que están excluidos específicamente por el diseño de los beneficios. 4. Exclusiones generales A. Medicamentos específicamente listados como no cubiertos. B. Cualquier producto medicinal usado para propósitos cosméticos. C. Productos medicinales experimentales o cualquier producto medicinal usado de forma experimental. D. Reposición de medicamento perdido o robado. E. Productos medicinales inyectables no autoadministrables, a menos que se especifique de otra manera en la Lista de medicamentos. F. Medicamentos de fuentes extranjeras o medicamentos no aprobados por la Administración de Alimentos y Medicamentos de los Estados Unidos, excepto en ciertos casos de escasez de medicamentos, cuando sea permitido bajo beneficio de la farmacia de la persona. Los Comités de P & T y de la Lista de medicamentos reconocen que no todas las necesidades médicas se pueden cubrir con este documento y fomentan las investigaciones sobre terapias alternativas. VNSNY Page 8 of 75 5. Comunicación del farmacéutico y el médico La Lista de medicamentos es una herramienta para promover que el uso de medicamentos con receta médica sea rentable. Los Comités de P & T y de la Lista de medicamentos han realizado todos los esfuerzos para crear un documento que cumpla con todas las necesidades terapéuticas; sin embargo, el arte de la medicina hace de esto una tarea enorme. MedImpact da la bienvenida a la participación de médicos, farmacéuticos y proveedores de servicios médicos auxiliares, en este proceso dinámico. Exhortamos a los médicos y farmacéuticos a dirigir cualquier sugerencia, comentarios o adiciones a la Lista de medicamentos a MedImpact a la siguiente dirección: Chairperson, Pharmacy & Therapeutics Committee MedImpact Healthcare Systems, Inc. 10181 Scripps Gateway Court San Diego, CA 92131 Formulario de Solicitud de Medicamentos (MRF) de MedImpact Healthcare Systems, Inc. NO ESCRIBA EN LAS ÁREAS Attn: Prior Authorization BLOQUEADAS Department ÚNICAMENTE PARA USO INTERNO NO ESCRIBA EN LAS ÁREAS BLOQUEADAS ÚNICAMENTE PARA USO INTERNO Contactado: 10181 Scripps Gateway Court San Diego, CA 92131 Aprobado: Médico: Farmacia: Paciente: Teléfono 1-888-678-7741 Teléfono: 1-888-678-7741 Fax: 858-790-7100 Denegado: Devuelto: N.º de PA: Instrucciones: Esta lista de medicamentos es para el uso de los médicos y proveedores participantes para obtener cobertura para un medicamento que no se encuentre en la lista de medicamentos para el cual no existe una alternativa adecuada disponible. Llene este formulario y envíelo por fax a MedImpact Healthcare Systems, Inc. al 1858-790-7100 o llame al 1-888-678-7741 con esta información. Si tiene preguntas en relación a este proceso, comuníquese a Servicio al Cliente de MedImpact al 1-888-678-7741, las 24 horas del día, los 7 días de la semana. Criterios de revisión: Los siguientes lineamientos se usan al revisar las solicitudes de medicamentos: 1. El uso de los productos medicinales de la lista de medicamentos está contraindicado para el paciente. 2. El paciente ha fallado una prueba adecuada de los agentes de la lista de medicamentos o agentes relacionados. 3. Las opciones disponibles en la Lista de medicamentos no son adecuadas para las necesidades de atención presentes del paciente y el medicamento elegido se requiere por seguridad del paciente. 4. El uso del producto medicinal de la lista de medicamentos puede provocar una condición médica subyacente, que sería en detrimento de la atención al paciente. VNSNY Page 9 of 75 Información de solicitud de medicación (por favor, llene cada sección de este formulario previo a su transmisión): Nombre del paciente (obligatorio): Plan de salud del paciente (obligatorio): N.º de Id. del paciente (obligatorio): Nombre del médico/especialidad: N.° de Id. del médico /N.° de DEA: Fecha de nacimiento del paciente (requerida): Código de área y número telefónico del médico: ( Diagnóstico (obligatorio): Código de área y número de fax del médico (obligatorio): ( Farmacia que usa el afiliado: ) ) Código de área y número telefónico de la farmacia: ( ) Medicamento solicitado: Cantidad (por mes): Dosis: Duración del tratamiento (especifique): Concentración: Presentación (por ejemplo: oral, inyección): Motivo de la solicitud del medicamento (especifique, proporcione detalles): Otros medicamentos que se hayan probado o hayan fallado (especifique, dé detalles incluyendo la razón del fallo): Otros pertinentes a la historia (relacionados o pertenecientes a esta solicitud): VNSNY Page 10 of 73 T1 levocetirizine dihydrochloride ALLERGY 2nd Gen Antihistamine & Decongestant T1 levocetirizine dihydrochloride Combinations T5 loratadine T5 loratadine T5 cetirizine hcl/pseudoephedrine CETIRIZINEPSEUDOEPHEDRINE ER(OTC) T1 fexofenadine/pseudoephALLERGY RELIEFedrine D(OTC) T5 loratadine/pseudoephed CLARITIN-D 12 rine HOUR(OTC) T5 loratadine/pseudoephed CLARITIN-D 24 rine HOUR(OTC) Nasal Antihistamine T1 azelastine hcl T1 olopatadine hcl ORALAIR PA GRASTEK PA RAGWITEK PA T2 T2 T2 T2 T5 T1 T1 T1 T1 T2 T1 T1 T1 T1 T1 T1 T1 QL, ST QL QL QL QL CETIRIZINE HCL CETIRIZINE HCL(OTC) DESLORATADINE FEXOFENADINE HCL(OTC) aprepitant aprepitant aprepitant aprepitant dimenhydrinate EMEND(CAP DS PK) QL EMEND(CAP)(125 MG) QL EMEND(CAP)(40 MG) QL EMEND(CAP)(80 MG) QL MOTION SICKNESS(OTC) dronabinol DRONABINOL QL, ST granisetron hcl GRANISETRON HCL QL, ST meclizine hcl MECLIZINE HCL meclizine hcl MECLIZINE HCL(OTC) netupitant/palonosetron AKYNZEO QL hcl ondansetron ONDANSETRON ODT ondansetron hcl ONDANSETRON QL HCL(SOLUTION) ondansetron hcl ONDANSETRON HCL(TAB) prochlorperazine PROCHLORPERAZINE prochlorperazine PROCHLORPERAZINE maleate MALEATE promethazine hcl PROMETHEGAN trimethobenzamide hcl TRIMETHOBENZAMI DE HCL ASTHMA AND COPD Adrenergic Agents,catecholamines T1 epinephrine EPINEPHRINE Anticholinergic, Orally Inhaled Short Acting Antihistamines - 2nd Generation VNSNY T2 beclomethasone QNASL dipropionate T1 flunisolide FLUNISOLIDE T1 fluticasone propionate FLUTICASONE PROPIONATE T1 fluticasone propionate FLUTICASONE PROPIONATE(OTC) T2 mometasone furoate NASONEX Antiemetic/antivertigo Agents T1 brompheniramine J-TAN PD(OTC) maleate T4 carbinoxamine maleate CARBINOXAMINE MALEATE(LIQUID) T1 carbinoxamine maleate CARBINOXAMINE MALEATE(TAB) T4 chlorpheniramine ALLERGY(OTC) maleate T4 clemastine fumarate CLEMASTINE FUMARATE T1 clemastine fumarate CLEMASTINE FUMARATE(OTC) T1 cyproheptadine hcl CYPROHEPTADINE HCL T4 diphenhydramine hcl DIPHENHYDRAMINE HCL(CAP)(OTC) T5 diphenhydramine hcl DIPHENHYDRAMINE HCL(ELIXIR)(OTC) T4 diphenhydramine hcl DIPHENHYDRAMINE HCL(LIQUID)(OTC) T4 diphenhydramine hcl DIPHENHYDRAMINE HCL(SYRUP)(OTC) T4 diphenhydramine hcl DIPHENHYDRAMINE HCL(TAB)(OTC) T4 hydroxyzine hcl HYDROXYZINE HCL T4 hydroxyzine pamoate HYDROXYZINE PAMOATE T4 hydroxyzine pamoate VISTARIL T4 promethazine hcl PHENERGAN T1 promethazine hcl PROMETHAZINE HCL T1 desloratadine T1 fexofenadine hcl QL QL, ST ANTIEMESIS/ANTIVERTIGO Antihistamines - 1st Generation T1 cetirizine hcl T1 cetirizine hcl AZELASTINE HCL OLOPATADINE HCL Nasal Anti-inflammatory Steroids Allergenic Extracts, Therapeutics T2 gr pol-orc/sw ver/rye/kent/tim T2 grass pollen-timothy, standard T2 weed pollen-short ragweed LEVOCETIRIZINE QL, ST DIHYDROCHLORIDE (SOLUTION) LEVOCETIRIZINE DIHYDROCHLORIDE (TAB) CLARITIN(OTC) LORATADINE(OTC) T2 ipratropium bromide T1 ipratropium bromide QL ATROVENT HFA IPRATROPIUM BROMIDE QL Anticholinergics, Orally Inhaled Long Acting T2 tiotropium bromide T2 umeclidinium bromide SPIRIVA RESPIMAT INCRUSE ELLIPTA QL QL Page 11 of 75 Beta-adrenergic Agents T1 metaproterenol sulfate METAPROTERENOL SULFATE Beta-adrenergic Agents, Inhaled, Short Acting T1 albuterol sulfate T2 albuterol sulfate T1 levalbuterol hcl T1 terbutaline sulfate ALBUTEROL SULFATE VENTOLIN HFA LEVALBUTEROL HCL TERBUTALINE SULFATE Beta-adrenergic Agents, Inhaled, Ultra-long Acting T2 olodaterol hcl STRIVERDI RESPIMAT QL Beta-adrenergic Agents, Orally Inhaled,long Acting T2 formoterol fumarate PERFOROMIST QL Beta-adrenergic And Anticholinergic Combinations T2 ipratropium/albuterol sulfate T1 ipratropium/albuterol sulfate T2 tiotropium br/olodaterol hcl T2 umeclidinium brm/vilanterol tr COMBIVENT RESPIMAT IPRATROPIUMALBUTEROL STIOLTO RESPIMAT QL ANORO ELLIPTA QL Beta-adrenergic And Glucocorticoid Combinations T2 T2 T2 T2 fluticasone/salmeterol fluticasone/salmeterol fluticasone/vilanterol mometasone/formoterol ADVAIR DISKUS ADVAIR HFA BREO ELLIPTA DULERA QL QL QL QL Glucocorticoids, Orally Inhaled T1 budesonide T1 budesonide T1 budesonide T2 flunisolide BUDESONIDE(AMPUL QL -NEB)(0.25MG/2ML) BUDESONIDE(AMPUL QL -NEB)(0.5 MG/2ML) BUDESONIDE(AMPUL QL -NEB)(1 MG/2 ML) AEROSPAN QL Leukotriene Receptor Antagonists T1 montelukast sodium T1 zafirlukast MONTELUKAST SODIUM ZAFIRLUKAST Mast Cell Stabilizers T1 cromolyn sodium CROMOLYN SODIUM Phosphodiesterase-4 (pde4) Inhibitors T2 roflumilast DALIRESP Respiratory Aids,devices,equipment T1 compressor, for nebulizer DEVILBISS COMPACT(OTC) T1 compressor, for nebulizer DEVILBISS PULMOAIDE T1 compressor, for nebulizer DEVILBISS PULMOAIDE(OTC) VNSNY QL, ST T1 compressor, for nebulizer DEVILBISS PULMOMATE(OTC) T1 compressor, for nebulizer PULMO-AIDE T1 compressor, for nebulizer PULMO-AIDE(OTC) T1 compressor, for nebulizer SUNRISE COMPRESSORNEBULIZER T1 inhaler, assist devices ACE AEROSOL CLOUD ENHANCER T1 inhaler, assist devices AEROCHAMBER MINI T1 inhaler, assist devices AEROCHAMBER MV T1 inhaler, assist devices AEROCHAMBER PLUS FLOW-VU T1 inhaler, assist devices AEROCHAMBER WITH FLOWSIGNAL T1 inhaler, assist devices AEROCHAMBER ZSTAT PLUS T1 inhaler, assist devices AEROTRACH PLUS T1 inhaler, assist devices BREATHERITE T1 inhaler, assist devices BREATHRITE T1 inhaler, assist devices EASIVENT T1 inhaler, assist devices E-Z SPACER T1 inhaler, assist devices LITEAIRE T1 inhaler, assist devices MICROCHAMBER T1 inhaler, assist devices MICROSPACER T1 inhaler, assist devices OPTICHAMBER DIAMOND T1 inhaler, assist devices POCKET CHAMBER T1 inhaler, assist devices PRIMEAIRE T1 inhaler, assist devices PROCHAMBER T1 inhaler, assist devices RITEFLO T1 inhaler, assist devices VORTEX T1 inhaler, assist devices VORTEX VHC FROG MASK T1 inhaler, assist devices VORTEX VHC LADYBUG MASK T1 inhaler,assist EASIVENT device,accesory T1 inhaler,assist LITETOUCH device,accesory T1 inhaler,assist MOUTHPIECE(OTC) device,accesory T1 inhaler,assist ONE WAY device,accesory MOUTHPIECE(OTC) T1 inhaler,assist OPTICHAMBER device,accesory T1 inhaler,assist PANDA MASK(OTC) device,accesory T1 inhaler,assist PEDIATRIC PANDA device,accesory MASK(OTC) T1 inhaler,assist SIDESTREAM device,accesory PEDIATRIC(OTC) T1 inhaler,assist SILICONE MASK device,accesory T1 inhaler,assist SILICONE device,accesory MASK(OTC) T1 mucus clearing device FLUTTER T1 mucus clearing device QUAKE T5 nasal airflow strips BREATHE RIGHT(OTC) T5 nasal airflow strips NASAL STRIPS(OTC) T1 nebulizer AEROECLIPSE II T1 nebulizer AIRS DISPOSABLE NEBULIZER(OTC) Page 12 of 75 T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 T1 T1 T1 T1 nebulizer nebulizer nebulizer nebulizer nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 T1 T1 T1 T1 nebulizer/compressor nebulizer/compressor nebulizer/compressor nebulizer/compressor nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor T1 nebulizer/compressor VNSNY ALTERA NEBULIZER BABY NEBULIZER COMPACT COMPRESSOR NEBULIZER(OTC) COMPACT ULTRASONIC NEBULIZER(OTC) COMPMIST COMPRESSOR NEBULIZER(OTC) DEVILBISS DISPOSABLE NEBULIZER(OTC) ERAPID NEBULIZER INSPIRATION LC D NEBULIZER SET LC PLUS LC SPRINT NEBULIZER MICRO AIR(OTC) MICRO PLUS MINI PLUS NEBULIZER MINICOMP COMPRESSOR NEBULIZER(OTC) PARI LC SPRINT SINUS PRODIGY MINI-MIST SIDESTREAM SIDESTREAM NEBULIZER SIDESTREAM PLUS COMP-AIR ELITE COMPRESSOR SYST COMP-AIR ELITE COMPRESSOR SYST(OTC) COMP-AIR NEBULIZER COMPRESSOR COMP-AIR NEBULIZER COMPRESSOR(OTC) DEVILBISS TRAVELER INNOSPIRE ELEGANCE INNOSPIRE ESSENCE INSPIRATION ELITE MICRO ELITE MINIELITE PARI SINUS AEROSOL SYSTEM PRONEB ULTRA II PULMONEB LT COMPRESSOR NEBUL(OTC) SAMI THE SEAL TREK S COMBO PACK TREK S COMPACT COMPRESSOR T1 nebulizer/compressor T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 VIOS AEROSOL DELIVERY SYSTEM peak flow meter AIRZONE PEAK FLOW METER(OTC) peak flow meter ASSESS(OTC) peak flow meter ASTHMA CHECK(OTC) peak flow meter ASTHMAMENTOR(OT C) peak flow meter IN-CHECK NASAL WITH MASK(OTC) peak flow meter IN-CHECK ORAL(OTC) peak flow meter MICROLIFE PEAK FLOW(OTC) peak flow meter MINI-WRIGHT PEAK FLOW METER peak flow meter PEAK-AIR(OTC) peak flow meter PERSONAL BEST(OTC) peak flow meter PIKO 1(OTC) peak flow meter POCKET PEAK(OTC) peak flow meter TRUZONE PEAK FLOW METER peak flow meter/inh asst AEROGEAR ASTHMA dev ACTION KIT peak flow meter/inh asst ASTHMAPACK dev CHILDREN'S spirometers and IN-CHECK DIAL(OTC) accessories spirometers and PFLEX TRAINER accessories spirometers and THRESHOLD IMT accessories spirometers and THRESHOLD PEP accessories spirometers and WINDMILL accessories TRAINER(OTC) vaporizer VAPORIZER(OTC) vaporizer VICKS WARM STEAM VAPORIZER(OTC) vaporizer WARM STEAM VAPORIZER(OTC) vaporizer-humidifier VAPORIZER supply CLEANING TABLETS(OTC) vaporizer-humidifier VAPORIZER supply INHALANT(OTC) Xanthines T1 caffeine citrated CAFFEINE CITRATE T2 theophylline anhydrous THEO-24 T1 theophylline anhydrous THEOPHYLLINE ANHYDROUS AUTONOMIC NERVOUS SYSTEM DISORDERS Alzheimer's Therapy, Nmda Receptor Antagonists T1 memantine hcl T1 memantine hcl MEMANTINE HCL(SOLUTION) MEMANTINE HCL(TAB DS PK) QL QL Page 13 of 75 T1 memantine hcl T2 memantine hcl T2 memantine hcl MEMANTINE QL HCL(TAB) NAMENDA XR(CAP 24 QL DSPK) NAMENDA XR(CAP QL SPR 24) Alzheimer's Thx,nmda Recept Antag & Cholines Inhib T2 memantine hcl/donepezil NAMZARIC hcl QL, ST Cholinesterase Inhibitors TRAZODONE HCL Serotonin-norepinephrine Reuptake-inhib T4 desvenlafaxine DESVENLAFAXINE ER T4 desvenlafaxine KHEDEZLA T4 desvenlafaxine fumarate DESVENLAFAXINE FUMARATE ER T4 desvenlafaxine succinate PRISTIQ ER T4 duloxetine hcl CYMBALTA T4 duloxetine hcl DULOXETINE HCL T4 levomilnacipran FETZIMA hydrochloride T4 venlafaxine hcl VENLAFAXINE HCL ER T1 donepezil hcl T1 galantamine hbr QL Ssri & 5ht1a Partial Agonist Antidepressant T1 QL T4 vilazodone hydrochlorideVIIBRYD T2 T1 T1 T1 DONEPEZIL HCL GALANTAMINE HBR(CAP24H PEL) galantamine hbr GALANTAMINE HBR(TAB) pyridostigmine bromide MESTINON pyridostigmine bromidePYRIDOSTIGMINE BROMIDE rivastigmine RIVASTIGMINE rivastigmine tartrate RIVASTIGMINE T4 trazodone hcl QL, ST QL, ST QL, ST QL, ST QL QL QL, ST QL, ST Ssri & Serotonin Receptor Modulator Antidepressant QL T4 vortioxetine hydrobromide BRINTELLIX QL, ST BEHAVIORAL HEALTH - Tricyclic Antidepressant/phenothiazine Combinatns ANTIDEPRESSANTS T4 perphenazine/amitripty PERPHENAZINEline hcl AMITRIPTYLINE Alpha-2 Receptor Antagonist Antidepressants T4 mirtazapine T4 mirtazapine MIRTAZAPINE REMERON Maois - Non-selective & Irreversible T4 isocarboxazid T4 phenelzine sulfate MARPLAN PHENELZINE SULFATE T4 tranylcypromine sulfatePARNATE Norepinephrine And Dopamine Reuptake Inhib T4 bupropion hbr APLENZIN QL, ST Selective Serotonin Reuptake Inhibitor T4 citalopram hydrobromide T4 citalopram hydrobromide T4 escitalopram oxalate T4 T4 T4 T4 T4 escitalopram oxalate fluoxetine hcl fluoxetine hcl fluoxetine hcl fluvoxamine maleate T4 T4 T4 T4 T4 paroxetine hcl paroxetine hcl paroxetine mesylate paroxetine mesylate sertraline hcl VNSNY T4 T4 T4 T4 T4 T4 T4 T4 T4 T4 T4 T4 T4 amitriptyline hcl amoxapine clomipramine hcl desipramine hcl doxepin hcl imipramine hcl imipramine pamoate maprotiline hcl nortriptyline hcl nortriptyline hcl protriptyline hcl trimipramine maleate trimipramine maleate CELEXA AMITRIPTYLINE HCL AMOXAPINE ANAFRANIL NORPRAMIN DOXEPIN HCL IMIPRAMINE HCL TOFRANIL-PM MAPROTILINE HCL NORTRIPTYLINE HCL PAMELOR PROTRIPTYLINE HCL SURMONTIL TRIMIPRAMINE MALEATE BEHAVIORAL HEALTH - OTHER CITALOPRAM HBR ESCITALOPRAM OXALATE LEXAPRO FLUOXETINE HCL PROZAC SARAFEM FLUVOXAMINE MALEATE PAXIL PAXIL CR BRISDELLE PEXEVA SERTRALINE HCL Adrenergics, Aromatic, Non-catecholamine T1 dextroamphetamine sulfate T1 dextroamphetamine sulfate T1 dextroamphetamine sulfate QL, ST QL, ST Serotonin-2 Antagonist/reuptake Inhibitors T4 nefazodone hcl T4 trazodone hcl Tricyclic Antidepressants & Rel. Non-sel. Ru-inhib NEFAZODONE HCL OLEPTRO ER DEXTROAMPHETAMI NE SULFATE(SOLUTION) DEXTROAMPHETAMI NE SULFATE(TAB)(10 MG) DEXTROAMPHETAMI NE SULFATE(TAB)(5 MG) ZENZEDI QL QL QL T2 dextroamphetamine QL, ST sulfate T1 dextroamphetamine/am DEXTROAMPHETAMI QL phetamine NE-AMPHETAMINE T2 lisdexamfetamine VYVANSE QL, ST dimesylate QL, ST Page 14 of 75 T1 methamphetamine hcl METHAMPHETAMINE QL HCL Anti-alcoholic Preparations T1 disulfiram DISULFIRAM T2 naltrexone microspheres VIVITROL Anti-anxiety Drugs T4 buspirone hcl T4 lithium carbonate T4 lithium citrate EQUETRO LITHIUM CARBONATE LITHOBID LITHIUM Antipsych,dopamine Antag.,diphenylbutylpiperidines T4 pimozide Antipsychotics,dopamine Antagonists, Thioxanthenes T4 thiothixene THIOTHIXENE Antagonists,butyrophenones T4 haloperidol HALOPERIDOL T4 haloperidol decanoate HALDOL DECANOATE 50 T4 haloperidol decanoate HALOPERIDOL DECANOATE T4 haloperidol lactate HALOPERIDOL LACTATE Anti-psychotics,phenothiazines T4 chlorpromazine hcl ORAP Antipsychotics, Atyp, D2 Partial Agonist/5ht Mixed T4 T4 aripiprazole T2 aripiprazole T4 aripiprazole T4 T4 T4 T4 ABILIFY QL, ST ABILIFY MAINTENA ARIPIPRAZOLE QL, ST Antipsychotics, Dopamine & Serotonin Antagonists T2 loxapine T4 loxapine succinate GEODON Antipsychotics,dopamine BUSPIRONE HCL Anti-mania Drugs T4 carbamazepine T4 lithium carbonate T4 ziprasidone mesylate ADASUVE LOXAPINE CHLORPROMAZINE HCL fluphenazine decanoate FLUPHENAZINE DECANOATE fluphenazine hcl FLUPHENAZINE HCL perphenazine PERPHENAZINE thioridazine hcl THIORIDAZINE HCL trifluoperazine hcl TRIFLUOPERAZINE HCL Hypnotics, Melatonin Mt1/mt2 Receptor Agonists Antipsychotics,atypical,dopamine,& Serotonin T4 ramelteon T4 tasimelteon Antag Monoamine Oxidase(mao) Inhibitors T4 T4 T4 T4 T4 T4 T4 T4 selegiline T4 T4 T4 T4 T4 T2 T4 T4 T4 T4 T2 T4 T4 T4 T4 T2 T4 asenapine maleate clozapine clozapine clozapine iloperidone iloperidone lurasidone hcl SAPHRIS QL, ST CLOZAPINE QL CLOZARIL QL VERSACLOZ QL, ST FANAPT(TAB DS PK) QL, ST FANAPT(TAB) QL, ST LATUDA(TAB)(120 QL, ST MG) lurasidone hcl LATUDA(TAB)(20 MG) QL, ST lurasidone hcl LATUDA(TAB)(40 MG) QL, ST lurasidone hcl LATUDA(TAB)(60 MG) QL, ST lurasidone hcl LATUDA(TAB)(80 MG) QL, ST olanzapine ZYPREXA QL olanzapine pamoate ZYPREXA RELPREVV paliperidone INVEGA(TAB ER QL, ST 24H)(1.5 MG) paliperidone INVEGA(TAB ER QL, ST 24H)(3 MG) paliperidone INVEGA(TAB ER QL, ST 24H)(6 MG) paliperidone INVEGA(TAB ER QL, ST 24H)(9 MG) paliperidone palmitate INVEGA SUSTENNA quetiapine fumarate SEROQUEL QL quetiapine fumarate SEROQUEL XR QL, ST risperidone RISPERDAL(SOLUTIO QL N) risperidone RISPERDAL(TAB) QL risperidone microspheres RISPERDAL CONSTA ziprasidone hcl GEODON QL VNSNY ROZEREM HETLIOZ QL, ST PA EMSAM QL Narcolepsy And Sleep Disorder Therapy Agents T1 modafinil MODAFINIL PA NALOXONE HCL NARCAN NALTREXONE HCL QL Narcotic Antagonists T1 naloxone hcl T2 naloxone hcl T1 naltrexone hcl Sedative-hypnotics,non-barbiturate T4 diphenhydramine hcl T4 T4 T4 T4 T4 T4 T4 T4 T4 diphenhydramine hcl doxepin hcl eszopiclone suvorexant zaleplon zolpidem tartrate zolpidem tartrate zolpidem tartrate zolpidem tartrate NIGHTTIME SLEEP AID(OTC) ZZZQUIL(OTC) SILENOR QL, ST LUNESTA QL BELSOMRA QL, ST SONATA QL EDLUAR QL, ST INTERMEZZO QL, ST ZOLPIDEM TARTRATEQL ZOLPIMIST QL, ST Ssri &antipsych,atyp,dopamine&serotonin Antag Comb T4 olanzapine/fluoxetine hcl T4 olanzapine/fluoxetine hcl OLANZAPINEFLUOXETINE HCL SYMBYAX QL QL Page 15 of 75 Tx For Adhd - Selective Alpha-2a Receptor Agonist T1 clonidine hcl T1 guanfacine hcl CLONIDINE HCL ER QL GUANFACINE HCL ER QL Tx For Attention Deficit-hyperact(adhd)/narcolepsy T1 dexmethylphenidate hcl DEXMETHYLPHENID AGE, ATE HCL ER QL T2 dexmethylphenidate hcl FOCALIN XR AGE, QL T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(CPBP 50-50)(20 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(CPBP 50-50)(30 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(CPBP 50-50)(40 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(TAB ER 24H)(18 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(TAB ER 24H)(27 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(TAB ER 24H)(36 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(TAB ER 24H)(54 QL MG) T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(TAB ER)(10 MG) QL T1 methylphenidate hcl METHYLPHENIDATE AGE, ER(TAB ER)(20 MG) QL T2 methylphenidate hcl QUILLIVANT XR QL, ST T2 methylphenidate hcl RITALIN LA AGE, QL Tx For Attention Deficit-hyperact.(adhd), Nri-type T2 atomoxetine hcl T2 atomoxetine hcl T2 atomoxetine hcl T2 atomoxetine hcl T2 atomoxetine hcl T2 atomoxetine hcl T2 atomoxetine hcl STRATTERA(CAP)(10 QL MG) STRATTERA(CAP)(100 QL MG) STRATTERA(CAP)(18 QL MG) STRATTERA(CAP)(25 QL MG) STRATTERA(CAP)(40 QL MG) STRATTERA(CAP)(60 QL MG) STRATTERA(CAP)(80 QL MG) T2 dofetilide T2 dronedarone hcl T1 flecainide acetate T1 mexiletine hcl T1 propafenone hcl T1 quinidine gluconate T1 quinidine sulfate TIKOSYN MULTAQ FLECAINIDE ACETATE MEXILETINE HCL PROPAFENONE HCL QUINIDINE GLUCONATE QUINIDINE SULFATE CARDIOVASCULAR DISEASE CARDIAC STIMULANT Digitalis Glycosides T2 digoxin T1 digoxin DIGOXIN(SOLUTION) DIGOXIN(TAB) CARDIOVASCULAR DISEASE HYPERTENSION Ace Inhibitor/calcium Channel Blocker Combination T1 amlodipine besylate/benazepril AMLODIPINE BESYLATEBENAZEPRIL T1 trandolapril/verapamil TRANDOLAPRILhcl VERAPAMIL ER Ace Inhibitor/thiazide & Thiazide-like Diuretic T1 benazepril/hydrochloro BENAZEPRILthiazide HYDROCHLOROTHIA ZIDE T1 captopril/hydrochlorothCAPTOPRILiazide HYDROCHLOROTHIA ZIDE T1 enalapril/hydrochloroth ENALAPRILiazide HYDROCHLOROTHIA ZIDE T1 fosinopril/hydrochlorot FOSINOPRILhiazide HYDROCHLOROTHIA ZIDE T1 lisinopril/hydrochloroth LISINOPRILiazide HYDROCHLOROTHIA ZIDE T1 moexipril/hydrochlorot MOEXIPRILhiazide HYDROCHLOROTHIA ZIDE T1 quinapril/hydrochlorot QUINAPRILhiazide HYDROCHLOROTHIA ZIDE CARDIOVASCULAR DISEASE - Alpha/beta-adrenergic Blocking Agents ARRHYTHMIA T1 carvedilol T2 carvedilol phosphate T1 labetalol hcl Antiarrhythmics T1 amiodarone hcl T1 disopyramide phosphate T2 disopyramide phosphate VNSNY AMIODARONE HCL DISOPYRAMIDE PHOSPHATE NORPACE CR CARVEDILOL COREG CR LABETALOL HCL Alpha-adrenergic Blocking Agents T1 doxazosin mesylate DOXAZOSIN MESYLATE T1 phenoxybenzamine hcl phenoxybenzamine hcl Page 16 of 75 T1 prazosin hcl T1 terazosin hcl PRAZOSIN HCL TERAZOSIN HCL Antihypertensives, Vasodilators Angioten.receptr Antag./cal.chanl Blkr/thiazide Cb T1 hydralazine hcl T1 minoxidil T1 amlodipine/valsartan/h AMLODIPINEcthiazid VALSARTAN-HCTZ Beta-adrenergic Blocking Agents ST Angiotensin Receptor Antag./thiazide Diuretic Comb T1 irbesartan/hydrochlorotIRBESARTANhiazide HYDROCHLOROTHIA ZIDE T1 losartan/hydrochlorothi LOSARTANazide HYDROCHLOROTHIA ZIDE T2 olmesartan/hydrochlorot BENICAR HCT ST hiazide T1 valsartan/hydrochlorot VALSARTANhiazide HYDROCHLOROTHIA ZIDE Angiotensin Receptor Antgnst & Calc.channel Blockr T1 amlodipine/valsartan AMLODIPINEVALSARTAN ST Antihypertensives, Ace Inhibitors T1 benazepril hcl T1 enalapril maleate T1 T1 T1 T1 fosinopril sodium lisinopril moexipril hcl perindopril erbumine T1 quinapril hcl T1 ramipril T1 trandolapril BENAZEPRIL HCL ENALAPRIL MALEATE FOSINOPRIL SODIUM LISINOPRIL MOEXIPRIL HCL PERINDOPRIL ERBUMINE QUINAPRIL HCL RAMIPRIL TRANDOLAPRIL T1 T1 T1 T1 acebutolol hcl atenolol betaxolol hcl bisoprolol fumarate T1 metoprolol succinate T1 metoprolol tartrate T2 T1 T1 T1 T1 nebivolol hcl pindolol propranolol hcl sotalol hcl timolol maleate Related T1 atenolol/chlorthalidone ATENOLOLCHLORTHALIDONE T1 bisoprolol BISOPROLOLfumarate/hctz HYDROCHLOROTHIA ZIDE T1 metoprolol/hydrochloro METOPROLOLthiazide HYDROCHLOROTHIA ZIDE T1 nadolol/bendroflumethi NADOLOLazide BENDROFLUMETHIA ZIDE T1 propranolol/hydrochlor PROPRANOLOLothiazid HYDROCHLOROTHIA ZID Calcium Channel Blocking Agents T1 amlodipine besylate Antagonist T1 T1 T1 T1 T1 T1 T2 T1 T2 olmesartan medoxomil T1 telmisartan T1 valsartan IRBESARTAN LOSARTAN POTASSIUM BENICAR TELMISARTAN VALSARTAN ST diltiazem hcl felodipine isradipine nicardipine hcl nifedipine nimodipine nimodipine verapamil hcl Antihypertensives, Sympatholytic Loop Diuretics T1 clonidine CLONIDINE T1 clonidine hcl CLONIDINE HCL T1 clonidine CLORPRES hcl/chlorthalidone T1 guanfacine hcl GUANFACINE HCL T1 methyldopa METHYLDOPA T1 methyldopa/hydrochlor METHYLDOPAothiazide HYDROCHLOROTHIA ZIDE T1 reserpine RESERPINE T1 bumetanide T1 furosemide T1 torsemide VNSNY ACEBUTOLOL HCL ATENOLOL BETAXOLOL HCL BISOPROLOL FUMARATE METOPROLOL SUCCINATE METOPROLOL TARTRATE BYSTOLIC PINDOLOL PROPRANOLOL HCL SOTALOL TIMOLOL MALEATE Beta-adrenergic Blocking Agents/thiazide & Antihypertensives, Angiotensin Receptor T1 irbesartan T1 losartan potassium HYDRALAZINE HCL MINOXIDIL AMLODIPINE BESYLATE CARTIA XT FELODIPINE ER ISRADIPINE NICARDIPINE HCL NIFEDIPINE ER NIMODIPINE NYMALIZE VERAPAMIL ER PA BUMETANIDE FUROSEMIDE TORSEMIDE Potassium Sparing Diuretics T1 amiloride hcl T1 spironolactone AMILORIDE HCL SPIRONOLACTONE Potassium Sparing Diuretics In Combination T1 amiloride/hydrochlorot AMILORIDEhiazide HYDROCHLOROTHIA ZIDE Page 17 of 75 T1 spironolact/hydrochloro SPIRONOLACTONEthiazid HCTZ T1 triamterene/hydrochlor TRIAMTERENEothiazid HYDROCHLOROTHIA ZID T2 rosuvastatin calcium T2 rosuvastatin calcium T2 rosuvastatin calcium Pulm Anti-htn,soluble Guanylate Cyclase T2 rosuvastatin calcium T1 simvastatin Stimulator T2 riociguat ADEMPAS PA T1 simvastatin Pulm.anti-htn,sel.c-gmp Phosphodiesterase T5 T1 simvastatin Inhib T1 simvastatin T2 T2 T1 T2 ambrisentan sildenafil citrate sildenafil citrate tadalafil LETAIRIS REVATIO SILDENAFIL ADCIRCA PA PA PA PA Pulmonary Anti-htn, Endothelin Receptor Antihyperlipidemic - Mtp Inhibitor T2 lomitapide mesylate Antagonist T2 bosentan T2 macitentan T1 simvastatin CRESTOR(TAB)(10 QL, ST MG) CRESTOR(TAB)(20 QL, ST MG) CRESTOR(TAB)(40 QL, ST MG) CRESTOR(TAB)(5 MG) QL, ST SIMVASTATIN(TAB) (10 MG) SIMVASTATIN(TAB) (20 MG) SIMVASTATIN(TAB) (40 MG) SIMVASTATIN(TAB)(5 MG) SIMVASTATIN(TAB) ST (80 MG) JUXTAPID PA Antihyperlipidemic - PCSK9 Inhibitor TRACLEER OPSUMIT PA PA T2 evolocumab T2 evolocumab REPATHA SURECLICKPA REPATHA SYRINGE PA Pulmonary Antihypertensives, Prostacyclin-type Antihyperlipidemic-hmg Coa Reductase T2 T2 T2 T2 T2 T2 Inhib.&niacin iloprost tromethamine selexipag treprostinil treprostinil diolamine treprostinil sodium treprostinil/neb accessories T2 treprostinil/nebulizer/acc esor VENTAVIS UPTRAVI TYVASO ORENITRAM ER REMODULIN TYVASO PA PA PA PA PA PA TYVASO PA T2 niacin/simvastatin T2 niacin/simvastatin T2 niacin/simvastatin T2 niacin/simvastatin Thiazide And Related Diuretics T2 niacin/simvastatin T1 chlorothiazide T1 chlorthalidone T1 hydrochlorothiazide Bile Salt Sequestrants CHLOROTHIAZIDE CHLORTHALIDONE HYDROCHLOROTHIA ZIDE INDAPAMIDE METHYCLOTHIAZIDE METOLAZONE Vasodilators, Combination T1 cholestyramine (with sugar) T1 cholestyramine/asparta me T2 colesevelam hcl T1 colestipol hcl T2 isosorb dinit/hydralazine BIDIL hcl Lipotropics T1 indapamide T1 methyclothiazide T1 metolazone CARDIOVASCULAR DISEASE - LIPID IRREGULARITY Antihyperlipidemic - Apo B-100 Synthesis Inhibitor T2 mipomersen sodium KYNAMRO Antihyperlipidemic - Hmg Coa Reductase Inhibitors T1 atorvastatin calcium T1 lovastatin T1 pravastatin sodium VNSNY ATORVASTATIN CALCIUM LOVASTATIN PRAVASTATIN SODIUM PA SIMCOR(TBMP 24HR)(1000-20MG) SIMCOR(TBMP 24HR)(1000-40 MG) SIMCOR(TBMP 24HR)(500MG-20MG) SIMCOR(TBMP 24HR)(500MG-40MG) SIMCOR(TBMP 24HR)(750MG-20MG) QL, ST QL, ST QL, ST QL, ST QL, ST CHOLESTYRAMINE PREVALITE WELCHOL COLESTIPOL HCL T2 ezetimibe ZETIA T1 fenofibrate FENOFIBRATE T1 fenofibrate FENOFIBRATE nanocrystallized T2 fenofibrate TRIGLIDE nanocrystallized T1 fenofibrate,micronized FENOFIBRATE T1 fenofibric acid FENOFIBRIC ACID T1 fenofibric acid (choline) FENOFIBRIC ACID T1 gemfibrozil GEMFIBROZIL T2 icosapent ethyl VASCEPA T1 niacin NIACIN ER T1 omega-3 acid ethyl OMEGA-3 ACID esters ETHYL ESTERS QL ST QL ST QL Page 18 of 75 Niacin Preparations T1 niacin Contraceptives,oral NIACIN(OTC) CARDIOVASCULAR DISEASE MISCELLANEOUS AGENTS Adrenergic Vasopressor Agents T2 droxidopa T1 midodrine hcl NORTHERA MIDODRINE HCL PA Antianginal & Anti-ischemic Agents,nonhemodynamic T2 ranolazine T2 ranolazine RANEXA(TAB ER 12H)(1000 MG) RANEXA(TAB ER 12H)(500 MG) QL QL Antihyperlip - Hmg-coa&calcium Channel Blocker Cb T1 amlodipine/atorvastatinAMLODIPINEATORVASTATIN QL CARDIOVASCULAR DISEASE VASODILATION Vasodilators,coronary T1 amyl nitrite T2 isosorbide dinitrate T1 isosorbide dinitrate T1 T2 T2 T1 T2 AMYL NITRITE ISORDIL ISOSORBIDE DINITRATE isosorbide mononitrate ISOSORBIDE MONONITRATE ER nitroglycerin NITRO-BID nitroglycerin NITRO-DUR nitroglycerin NITROGLYCERIN PATCH nitroglycerin NITROSTAT Vasodilators,peripheral T1 ergoloid mesylates T1 isoxsuprine hcl T1 papaverine hcl ERGOLOID MESYLATES ISOXSUPRINE HCL PAPAVERINE HCL VNSNY BEYAZ ST SAFYRAL ST NATAZIA OCELLA ST KELNOR 1-35 MY WAY(OTC) LEVORA-28 CAMRESE QL QUARTETTE NORETHIN-ETH ESTRA FERROUS FUM NORA-BE LOESTRIN MICROGESTIN LO LOESTRIN FE MICROGESTIN FE MINASTRIN 24 FE NECON ORTHO-NOVUM NORINYL 1+50 SPRINTEC CRYSELLE ELLA QL Diaphragms/cervical Cap QL T4 diaphragms, wide seal WIDE SEAL DIAPHRAGM Oxytocics Contraceptives,injectable T4 medroxyprogesterone acetate T4 medroxyprogesterone acetate APRI T4 norelgestromin/ethin.es ORTHO EVRA tradiol Contraceptives, Intravaginal, Systemic NUVARING AZURETTE Contraceptives,transdermal CONTRACEPTION/OXYTOCICS T4 etonogestrel/ethinyl estradiol T4 desoge.estradiol/e.estradiol T4 desogestrel-ethinyl estradiol T4 drospir/eth estra/levomefol ca T4 drospir/eth estra/levomefol ca T4 estradiol valerate/dienogest T4 ethinyl estradiol/drospirenone T4 ethynodiol d-ethinyl estradiol T4 levonorgestrel T4 levonorgestrel-ethin estradiol T4 l-norgest/e.estradione.estrad T4 l-norgest/e.estradione.estrad T4 noreth-ethinyl estradiol/iron T4 norethindrone T4 norethindrone ac-eth estradiol T4 norethindrone ac-eth estradiol T4 norethindronee.estradiol-iron T4 norethindronee.estradiol-iron T4 norethindronee.estradiol-iron T4 norethindrone-ethinyl estrad T4 norethindrone-ethinyl estrad T4 norethindronemestranol T4 norgestimate-ethinyl estradiol T4 norgestrel-ethinyl estradiol T4 ulipristal acetate DEPO-PROVERA QL DEPO-SUBQ PROVERA 104 QL T1 methylergonovine maleate METHYLERGONOVIN E MALEATE Page 19 of 75 COUGH AND COLD 1st Gen Antihistamine & Decongestant Astringents T5 aluminum acetate Combinations Rosacea Agents, Topical T1 phenylephrine PROMETHAZINE VC hcl/prometh hcl T1 triprolidine/pseudoephe APRODINE(OTC) drine T1 metronidazole Antitussives,non-narcotic T1 benzonatate BENZONATATE Decongestant-expectorant Combinations T1 guaifenesin/phenylephriCHEST CONGESTION ne hcl RELIEF PE(OTC) Decongestants, Oral T5 pseudoephedrine hcl SINUS 12 HOUR(OTC) Expectorants T5 guaifenesin Q-TUSSIN(OTC) T1 benzalkonium chloride REVITADERM(OTC) T1 chloroxylenol PERICLEAN(OTC) T1 hydrocortisone/iodoqui HYDROCORTISONEnol IODOQUINOL T1 iodine/potassium iodide IODINE(OTC) T1 methylbenzethonium BEDSIDE-CARE(OTC) chloride T5 silver SILVASORB(OTC) T5 silver SILVERMED(OTC) T1 silver chloride SILVER GEL(OTC) T1 silver nitrate SILVER NITRATE T5 silver/sodium alginate ARGLAES(OTC) DERMATOLOGY - ANTIINFECTIVE Topical Antibiotics decongest T5 bacitracin T5 bacitracin zinc T1 T1 T1 Non-narc Antitussive-1st Gen Antihistamine Comb. T2 T1 promethazine/dextrome PROMETHAZINE-DM thorphan T1 Non-narcotic Antitussive And Expectorant Comb. T1 T5 guaifenesin/dextrometh Q-TUSSIN DM(OTC) orphan Nose Preparations, Vasoconstrictors T5 oxymetazoline hcl NASAL SPRAY(OTC) METRONIDAZOLE Topical Preparations,antibacterials Non-narc Antituss-1st Gen. AntihistamineT1 brompheniram/phenyle NIVA-HIST DM(OTC) phrine/dm T1 brompheniramine/pseu BROMPHENIRAMINEdoephed/dm PSEUDOEPHED-DM T1 chlorpheniramine/phen NOHIST-DM(OTC) yleph/dm ALUMINUM ACETATE(OTC) T1 T1 T1 BACITRACIN(OTC) BACITRACIN ZINC(OTC) bacitracin/polymyxin b BACITRACINsulfate POLYMYXIN(OTC) clindamycin phosphate CLINDAMYCIN PHOSPHATE erythromycin ERYTHROMYCIN base/ethanol erythromycin/benzoyl BENZAMYCINPAK peroxide erythromycin/benzoyl ERYTHROMYCINperoxide BENZOYL PEROXIDE gentamicin sulfate GENTAMICIN SULFATE mupirocin MUPIROCIN mupirocin calcium MUPIROCIN neomycn/baci zn/pmyx TRIPLE ANTIBIOTIC bs/pramox PLUS(OTC) Sympathomimetic Agents Topical Antifungal/antiinflammatory,steriod Agent T5 pseudoephedrine hcl T5 pseudoephedrine hcl T1 clotrimazole/betametha CLOTRIMAZOLEsone dip BETAMETHASONE T5 pseudoephedrine hcl T1 pseudoephedrine hcl NEXAFED(OTC) SUDOGEST(TAB ER)(OTC) SUDOGEST(TAB)(30 MG)(OTC) SUDOGEST(TAB)(60 MG)(OTC) DERMATOLOGY - ACNE Acne Agents,systemic T1 isotretinoin CLARAVIS Acne Agents,topical T1 clindamycin phos/benzoyl perox VNSNY CLINDAMYCINBENZOYL PEROXIDE Topical Antifungals T1 ciclopirox CICLOPIROX T1 ciclopirox olamine CICLOPIROX T1 ciclopirox/ure/camph/m CICLOPIROX enth/euc T1 clotrimazole CLOTRIMAZOLE T1 clotrimazole CLOTRIMAZOLE(OT C) T1 econazole nitrate ECONAZOLE NITRATE T1 gentian viol/brlnt TRIPLE DYE grn/proflav T1 ketoconazole KETOCONAZOLE T1 miconazole nitrate MICONAZOLE NITRATE(OTC) Page 20 of 75 T1 T2 T1 T1 T1 T2 T2 T5 naftifine hcl naftifine hcl nystatin nystatin/triamcin NAFTIFINE HCL NAFTIN NYSTATIN NYSTATINTRIAMCINOLONE sodium thiosulfate/sal EXODERM acid sulconazole nitrate EXELDERM terbinafine hcl LAMISIL(OTC) tolnaftate TOLNAFTATE(OTC) Topical Antiparasitics T2 T1 T1 T5 T5 crotamiton lindane permethrin permethrin piperonyl butoxide/pyrethrins EURAX LINDANE PERMETHRIN PERMETHRIN(OTC) LICE KILLING(OTC) Topical Antivirals T1 acyclovir T2 acyclovir T5 docosanol ACYCLOVIR ZOVIRAX ABREVA(OTC) Topical Sulfonamides T1 mafenide acetate T1 silver sulfadiazine MAFENIDE ACETATE SILVER SULFADIAZINE DERMATOLOGY ANTIINFLAMMATORY Topical Antibiotics/antiinflammatory,steroidal T2 neomycin/bacitra/polymyCORTISPORIN xin/hc T2 neomycin/polymyxin b CORTISPORIN sulf/hc T1 fluocinonide/emollient FLUOCINONIDE-E base T2 flurandrenolide CORDRAN T1 fluticasone propionate FLUTICASONE PROPIONATE T1 halobetasol propionate HALOBETASOL PROPIONATE T1 hc/mineral HYDROCORTISONE oil/petrolat,wht T2 hydrocort/sal SCALACORT DK acid/sulf/shmp#1 T1 hydrocortisone HYDROCORTISONE T5 hydrocortisone HYDROCORTISONE(O TC) T2 hydrocortisone TEXACORT T5 hydrocortisone acetate HYDROCORTISONE ACETATE(OTC) T1 hydrocortisone U-CORT acetate/urea T1 hydrocortisone HYDROCORTISONE butyrate BUTYRATE T2 hydrocortisone probutate PANDEL T1 hydrocortisone valerate HYDROCORTISONE VALERATE T5 hydrocortisone/aloe HYDROCORTISONEvera ALOE(OTC) T5 hydrocortisone/aloe/vit. ANTI-ITCH e/a/d CREME(OTC) T5 hydrocortisone/oatmeal AVEENO(OTC) /aloe/e T1 mometasone furoate MOMETASONE FUROATE T1 prednicarbate PREDNICARBATE T1 triamcinolone acetonideTRIAMCINOLONE ACETONIDE Topical Anti-inflammatory, Nsaids T1 diclofenac sodium DICLOFENAC SODIUM VOLTAREN Topical Anti-inflammatory Steroidal T2 diclofenac sodium T1 alclometasone ALCLOMETASONE dipropionate DIPROPIONATE T1 amcinonide AMCINONIDE T1 betamethasone BETAMETHASONE dipropionate DIPROPIONATE T1 betamethasone valerate BETAMETHASONE VALERATE T1 betamethasone/propyle BETAMETHASONE ne glyc DIPROPIONATE T1 clobetasol propionate CLOBETASOL PROPIONATE T1 clobetasol CLOBETASOL propionate/emoll EMOLLIENT T1 clocortolone pivalate CLOCORTOLONE PIVALATE T1 desonide DESONIDE T1 desoximetasone DESOXIMETASONE T2 diflorasone APEXICON E diacetate/emoll T1 fluocinolone acetonide FLUOCINOLONE ACETONIDE T1 fluocinolone/shower capFLUOCINOLONE ACETONIDE T1 fluocinonide FLUOCINONIDE DERMATOLOGY - MISCELLANEOUS VNSNY Antiseborrheic Agents T1 emollient combination LOUTREX no.85 T1 selenium sulfide SELENIUM SULFIDE T1 sulfacetamide sodium SODIUM SULFACETAMIDE Antiseptics,general T1 alcohol antiseptic pads T1 alcohol antiseptic pads T2 alcohol antiseptic pads T1 alcohol antiseptic pads T1 alcohol antiseptic pads T1 alcohol antiseptic pads T1 alcohol antiseptic pads ALCOHOL PADS(OTC) ALCOHOL PREP PADS(OTC) ALCOHOL PREP SWABS(OTC) ALCOHOL SWAB(OTC) ALCOHOL SWABS(OTC) ALCOHOL WIPES(OTC) CURITY ALCOHOL PREPS(OTC) Page 21 of 75 T1 alcohol antiseptic pads T2 alcohol antiseptic pads T2 alcohol antiseptic pads T1 alcohol antiseptic pads T2 alcohol antiseptic pads T1 alcohol antiseptic pads T1 alcohol antiseptic pads T1 alcohol antiseptic pads EASY TOUCH ALCOHOL PREP PADS(OTC) IV ANTISEPTIC WIPES(OTC) IV PREP WIPES(OTC) SINGLE USE SWAB(OTC) SURE COMFORT ALCOHOL(OTC) SURE-PREP ALCOHOL PREP PADS(OTC) ULTILET ALCOHOL SWAB(OTC) WEBCOL(OTC) Deodorants T5 ostomy supply T5 ostomy supply T5 ostomy supply T5 ostomy supply T1 sodium citrate FRESHNET(OTC) HEX-ON LIGHT(OTC) ODOR ELIMINATOR DROPS(OTC) ULTRA-FRESH(OTC) M9(OTC) Emollients T1 aloe vera/collagen T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 ALOE VESTA CLEANSING(OTC) aloe vera/collagen ALOE VESTA(OTC) aloe vera/collagen PERISCENT(OTC) aloe vera/collagen SENSI-CARE(OTC) aloe/la/ceramide/silicone SILICONE SCAR(OTC) &tape aloe/lac ac/ceramides HYPER-HEAL(OTC) 3,3b,6,1 ammonium lactate AMMONIUM LACTATE ammonium lactate AMMONIUM LACTATE(OTC) emol53/namgfs/ha/nahy HPR PLUS-MB pochlorit HYDROGEL emollient #56/hyaluronic DERMAPLEX(OTC) acid emollient combination PRUTECT no.10 emollient combination EMULSION SB no.32 emollient combination PRUMYX no.35 emollient combination RESTORE SKIN no.36 CONDITIONING(OTC) emollient combination HPR PLUS no.53 emollient combination ATRAPRO HYDROGEL no.60 emollient combo no.47 &ATRAPRO CP no.60 glycerin/dimethicone SENSITIVE SKIN MOISTURE(OTC) lactic acid LACTIC ACID lanolin DRY SKIN alcohol/mo/w.pet/ceres THERAPY(OTC) T1 lanolin/aloe vera/prop gly T1 mineral oil/lan oil/prop gly T1 mineral oil/petrolatum,white T1 pantothenic acid/aloe vera T1 petrolatum,white T1 silicones/adhesive tape T1 silicones/adhesive tape T1 silicones/adhesive tape T1 T1 T1 T1 silicones/adhesive tape vitamin e vitamin e/aloe vera vite ac/grape/hyaluronic acid HYDROCERIN(OTC) EXCEL-GEL(OTC) SECURA PROTECTIVE(OTC) SILICONE DISC(OTC) SILICONE ROLL(OTC) SILICONE SHEET(OTC) SILICONE TAPE(OTC) VITAMIN E(OTC) WOUND GEL(OTC) PRUCLAIR Irrigants T1 acetic acid ACETIC ACID T1 mannitol/sorbitol SORBITOLsolution MANNITOL T1 nacl irrigat/decyl SEA-CLENS(OTC) glucoside T1 neomycin su/polymyx b NEOMYCINsulf POLYMYXIN B T1 ringers solution RINGERS IRRIGATION T1 sodium chloride irrig SODIUM CHLORIDE solution T1 sorbitol solution SORBITOL T1 water for WATER irrigation,sterile Irritants/counter-irritants T1 methyl salicylate T1 methyl salicylate/isopropanol METHYL SALICYLATE(OTC) ISOPROPYLWINTERGREEN(OTC) Keratolytics T5 benzoyl peroxide T1 benzoyl peroxide T5 benzoyl peroxide T1 benzoyl peroxide T5 benzoyl peroxide T2 T1 T1 T1 podofilox podofilox podophyllum resin potassium hydroxide T1 salicylic acid VNSNY SOOTHE & COOL PERINEAL WASH(OTC) BALNEOL(OTC) ACNE MEDICATION(OTC) BENZOYL PEROXIDE(CLEANSE R)(OTC) BENZOYL PEROXIDE(GEL)(10 %)(OTC) BENZOYL PEROXIDE(GEL)(2.5 %)(OTC) BENZOYL PEROXIDE(LOTION) (OTC) CONDYLOX PODOFILOX PODOCON-25 POTASSIUM HYDROXIDE SALICYLIC ACID Page 22 of 75 T1 salicylic acid/ceramide SALICYLIC ACID cmb #1 T1 silver nitrate applicator SILVER NITRATE APPLICATOR T1 urea UREA T1 urea/hyaluronate UREA sodium T1 urea/lactic ac/zn BP-50% UREA undecylenate T1 urea/lactic acid/salicylic LATRIX ac Oxidizing Agents T1 hydrogen peroxide HYDROGEN PEROXIDE(OTC) Protectives T1 benzethonium chloride T1 benzoin T1 carbit/equis xt/ethan/chit/msm T1 dimethicone T1 hyaluron sod/allantoin/aloe xt T1 hyaluronate sodium T1 petrolatum,white NEW SKIN(OTC) BENZOIN(OTC) GENADUR ONE STEP PERINEAL(OTC) RADIAPLEXRX BIONECT WHITE PETROLATUM(OTC) T1 protect cmb2/ceramide PR CREAM 1,3,6-11 T1 zinc AMERIGEL(OTC) acetate/meadowsweet/o ak GRX RINSEFREE(OTC) Topical Agents,miscellaneous T1 urea CARB-O-PHILIC Topical Anti-inflammatory Steroid-local Anesthetic T2 hydrocortisone/pramoxin ANALPRAM HC e T1 hydrocortisone/pramox HYDROCORTISONEine PRAMOXINE HCL T2 hydrocortisone/pramoxin PRAMOSONE e T1 lidocaine/hydrocortison LIDOCAINEe ac HYDROCORTISONE Topical Antineoplastic & Premalignant Lesion Agnts T2 bexarotene T1 diclofenac sodium T1 T2 T2 T2 fluorouracil ingenol mebutate ingenol mebutate mechlorethamine hcl T1 dyclonine hcl/benzethonium cl T1 ethyl chloride T1 lidocaine T1 lidocaine hcl T1 lidocaine hcl/collagen T1 lidocaine/prilocaine T1 vit e/lidocain/alo ver/colagn Topical Preparations,miscellaneous T1 benzethonium chloride BEDSIDE-CARE PERINEAL(OTC) T1 calcium carbonate/na NAIL SCRUB(OTC) hypochlor T1 honey MEDIHONEY(OTC) T1 povidone-iodine BETADINE(OTC) T1 povidone-iodine POVIDONEIODINE(OTC) T1 skin cleanser comb no.34 PROSHIELD FOAM & SPRAY(OTC) Topical/mucous Membr./subcut. Enzymes T1 trypsin/balsam peru/castor oil GRANULEX DERMATOLOGY - PIGMENTATION DISORDERS TARGRETIN PA DICLOFENAC PA SODIUM FLUOROURACIL PICATO(GEL)(0.015 %) QL PICATO(GEL)(0.05 %) QL VALCHLOR PA T1 hydroquinone T1 hydroquinone microspheres T1 hydroquinone/ferric oxide T1 oxybenzone/octinox/hquinone HYDROQUINONE HYDROQUINONE MELPAQUE HP ALPHAQUIN HP Topical Hyperpigmentation Agents T2 methoxsalen OXSORALEN DERMATOLOGY PSORIASIS/ECZEMA Antipsoriatic Agents,systemic T2 methoxsalen T1 methoxsalen, rapid T2 secukinumab T2 secukinumab T2 secukinumab T2 secukinumab 8-MOP METHOXSALEN COSENTYX (2 SYRINGES) COSENTYX PEN COSENTYX PEN (2 PENS) COSENTYX SYRINGE PA PA PA PA Antipsoriatics Agents T2 anthralin T1 calcipotriene T1 calcitriol VNSNY LIQUID BANDAGE(OTC) ETHYL CHLORIDE LIDOCAINE LIDOCAINE HCL REGENECARE LIDOCAINEPRILOCAINE REGENECARE Hypopigmentation Agents Shampoos/lotion T1 soap Topical Local Anesthetics DRITHOCREME HP CALCIPOTRIENE CALCITRIOL ST ST ST Page 23 of 75 T2 tazarotene TAZORAC T1 repaglinide T1 tolazamide T1 tolbutamide Topical Agents,miscellaneous T1 collagen,bovine Antihyperglycemic, Insulin-response Enhancer T1 T1 pioglitazone hcl T1 T1 T1 TRIPLE HELIX COLLAGEN(OTC) skin cleanser PERIANAL CLEANSING(OTC) skin cleanser PERIFRESH(OTC) skin cleanser comb no.20 RESTORE SKIN CLEANSER(OTC) skin cleanser comb no.21 RESTORE WOUND CLEANSER(OTC) REPAGLINIDE TOLAZAMIDE TOLBUTAMIDE Antihyperglycemic, Sglt-2 & Dpp-4 Inhibitor Comb. T2 empagliflozin/linagliptin GLYXAMBI TACROLIMUS T1 metformin hcl T2 metformin hcl AGE, ST Topical Vit D Analog/antiinflammatory, Steroidal T1 calcipotriene/betamethaCALCIPOTRIENEST sone BETAMETHASONE DP DIABETES Antihypergly, (dpp-4) Inhibitor & Biguanide Comb. T2 linagliptin/metformin hcl JENTADUETO T2 sitagliptin JANUMET phos/metformin hcl T2 sitagliptin JANUMET XR(TBMP phos/metformin hcl 24HR)(100-1000MG) T2 sitagliptin JANUMET XR(TBMP phos/metformin hcl 24HR)(50-1000 MG) T2 sitagliptin JANUMET XR(TBMP phos/metformin hcl 24HR)(50MG-500MG) QL QL QL QL QL Antihypergly,incretin Mimetic T2 albiglutide T2 dulaglutide TANZEUM TRULICITY QL, ST QL, ST Antihyperglycemc-sod/gluc Cotransport2(sglt2)inhib T2 canagliflozin T2 empagliflozin INVOKANA JARDIANCE QL, ST QL, ST Antihyperglycemic, Alpha-glucosidase Inhib T1 acarbose TRADJENTA JANUVIA QL QL Antihyperglycemic, Insulin-release Stimulant Type T1 T1 T1 T2 T1 T1 chlorpropamide glimepiride glipizide glyburide glyburide glyburide,micronized T1 nateglinide VNSNY CHLORPROPAMIDE GLIMEPIRIDE GLIPIZIDE DIABETA GLYBURIDE GLYBURIDE MICRONIZED NATEGLINIDE T1 glipizide/metformin hcl GLIPIZIDEMETFORMIN T1 glyburide/metformin GLYBURIDEhcl METFORMIN HCL T1 repaglinide/metformin REPAGLINIDEhcl METFORMIN HCL Antihyperglycemic-glucocorticoid Receptor Blocker T2 mifepristone KORLYM PA Antihyperglycemic-sglt2 Inhibitor & Biguanide Comb T2 canagliflozin/metformin INVOKAMET hcl T2 empagliflozin/metformin SYNJARDY hcl QL, ST QL, ST Antihyperglycm,insul-resp.enhancer & Biguanide Cmb T2 pioglitazone hcl/metformin hcl T1 pioglitazone hcl/metformin hcl ACTOPLUS MET XR ST PIOGLITAZONEMETFORMIN ST Blood Sugar Diagnostics T2 blood sugar diagnostic T2 blood sugar diagnostic Antihyperglycemic, Dpp-4 Inhibitors T2 linagliptin T2 sitagliptin phosphate Cmb T2 blood sugar diagnostic SYMLINPEN 120 SYMLINPEN 60 METFORMIN HCL RIOMET Antihyperglycemic,insulin-rel Stim.& Biguanide T2 blood sugar diagnostic ACARBOSE Antihyperglycemic, Amylin Analog-type T2 pramlintide acetate T2 pramlintide acetate QL, ST Antihyperglycemic,biguanide Type Topical Immunosuppressive Agents T1 tacrolimus PIOGLITAZONE HCL FREESTYLE INSULINX(OTC) FREESTYLE LITE(OTC) FREESTYLE(OTC) PRECISION XTRA(OTC) Diabetic Supplies T1 blood glucose ctl high,nml&low T2 T1 T5 T1 MYGLUCOHEALTH CONTROL SOLUTION(OTC) blood glucose ctl ON CALL EXPRESS high,nml&low CONTROL SOLN(OTC) blood-gluc PARADIGM REALtransmitter/sensor TIME blood-gluc.meter& wrist ADVOCATE REDIbp mon CODE DUO(OTC) blood-glucose & ketone NOVAMAX PLUS ctl nml GLU-KET(OTC) Page 24 of 75 T5 blood-glucose meter T5 lancing device T2 T5 lancing device T2 T2 T2 T1 T1 T1 T1 T1 T1 T1 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 T5 EVENCARE MINI MONITOR SYSTEM(OTC) blood-glucose meter FREESTYLE FREEDOM LITE(OTC) blood-glucose meter FREESTYLE INSULINX(OTC) blood-glucose meter FREESTYLE LITE METER(OTC) blood-glucose meter PRECISION XTRA(OTC) blood-glucose transmitterMINILINK REALTIME TRANSMITTER infusion set for insulin COMFORT pump infusion set for insulin CONTACT DETACH pump INFUSION SET infusion set for insulin MINIMED pump infusion set for insulin MIO INFUSION SET pump infusion set for insulin QUICK-SET pump PARADIGM infusion set for insulin SURE-T PARADIGM pump lancing device ADJUSTABLE LANCING DEVICE(OTC) lancing device ADVOCATE LANCING DEVICE(OTC) lancing device ADVOCATE RAPIDSAFE(OTC) lancing device ALTERNATE SITE LANCING DEVICE(OTC) lancing device AQUA LANCE LANCING DEVICE(OTC) lancing device AUTO-LANCET MINI(OTC) lancing device AUTOLET LANCING DEVICE(OTC) lancing device CARELANCE ULT LANCING DEVICE(OTC) lancing device CAREONE(OTC) lancing device CARESENS PREM LANCING DEVICE(OTC) lancing device DROPLET LANCING DEVICE(OTC) lancing device EASY CLICK(OTC) lancing device EASY TOUCH LANCING DEVICE(OTC) lancing device FORA LANCING DEVICE(OTC) lancing device GLUCOLET 2(OTC) lancing device GMATE LANCING DEVICE(OTC) lancing device HEALTHY ACCENTS AUTOLET(OTC) VNSNY T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 lancing device T5 T5 T5 T5 T5 lancing device lancing device lancing device lancing device lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 T5 T5 T5 lancing device/lancets lancing device/lancets lancing device/lancets lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T2 lancing device/lancets T5 lancing device/lancets INCONTROL LANCING DEVICE(OTC) LANCET DEVICE(OTC) LANCING DEVICE(OTC) LANCING SYSTEM(OTC) LITE TOUCH(OTC) MINI LANCING DEVICE(OTC) ON CALL LANCING DEVICE(OTC) ON CALL PLUS LANCING DEVICE(OTC) PRODIGY LANCING DEVICE(OTC) RELIAMED MINI LANCING DEVICE(OTC) RIGHTEST GD500(OTC) SMARTDIABETES VANTAGE(OTC) SOFTCLIX(OTC) SURE COMFORT LANCING PEN(OTC) SUREFLEX(OTC) SURE-PEN(OTC) TRUEDRAW(OTC) ULTI-LANCE(OTC) ACCU-CHEK FASTCLIX(OTC) ACCU-CHEK SOFTCLIX(OTC) ACCU-CHEK(OTC) ADVANCED LANCING DEVICE(OTC) AUTOLET IMPRESSION(OTC) GLUCOLET 2(OTC) HYPOLANCE(OTC) LANCING DEVICE(OTC) LANZO(OTC) MICROLET 2(OTC) MULTI-LANCET(OTC) ONETOUCH DELICA(OTC) ONETOUCH SURESOFT(OTC) PENLET PLUS BLOOD SAMPLER(OTC) SOLUS V2 LANCING DEVICE(OTC) SUREFLEX(OTC) ULTI-LANCE(OTC) UNISTIK 2 EXTRA(OTC) UNISTIK 2 NORMAL UNISTIK 2 NORMAL(OTC) Page 25 of 75 T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T5 lancing device/lancets T1 subcutaneous insulin pump T1 subcutaneous insulin pump T1 subcutaneous insulin pump T1 subcutaneous insulin pump T1 subcutaneous insulin pump UNISTIK 2(OTC) UNISTIK 3 COMFORT(OTC) UNISTIK 3 NEONATAL(OTC) UNISTIK 3(OTC) ANIMAS 2020 T5 insulin regular, human T5 insulin regular, human INSULIN PUMP Urine Glucose/acetone Test Aids,strips OMNIPOD T1 urine gluc-acet comb.tst,strip T1 urine gluc-acet comb.tst,strip T1 urine glucose test,strip DIASTIX REAGENT(OTC) T1 urine glucose test,tablet CLINITEST REAGENT(OTC) ONETOUCH PING Ear Preparations Anti-inflammatory T1 fluocinolone acetonide FLUOCINOLONE oil ACETONIDE OIL Ear Preparations, Misc. Anti-infectives T1 acetic acid T1 acetic acid/aluminum acetate T1 acetic acid/hydrocortisone REGRANEX Hyperglycemics T1 ciprofloxacin hcl CIPROFLOXACIN HCL T1 neomycin/polymyxin b NEOMYCINsulf/hc POLYMYXIN-HC Otic Preparations,anti-inflammatory-antibiotics Insulins T2 insulin lispro T2 insulin lispro T2 insulin lispro protamin/lispro T2 insulin lispro protamin/lispro T2 insulin lispro protamin/lispro T2 insulin lispro protamin/lispro T5 insulin nph hum/reg insulin hm T5 insulin nph hum/reg insulin hm T5 insulin nph human isophane T5 insulin nph human isophane VNSNY ACETIC ACID ACETIC ACIDALUMINUM HYDROCORTISONEACETIC ACID Ear Preparations,antibiotics T5 dextrose GLUCOSE(OTC) T5 dextrose/dextrin/maltos INSTAe GLUCOSE(OTC) T2 glucagon,human GLUCAGON recombinant EMERGENCY KIT T2 insulin lispro CHEMSTRIP UGK(OTC) KETO-DIASTIX REAGENT(OTC) EAR - GENERAL DISORDERS Diabetic Ulcer Preparations,topical T2 insulin glargine,hum.rec.anlog T2 insulin glargine,hum.rec.anlog T2 insulin glargine,hum.rec.anlog T2 insulin lispro LANTUS QL T2 ciprofloxacin hcl/dexameth LANTUS SOLOSTAR QL ELECTROLYTE REGULATION TOUJEO SOLOSTAR QL Electrolyte Depleters HUMALOG KWIKPEN U-100 HUMALOG KWIKPEN U-200 HUMALOG(CARTRID GE) HUMALOG(VIAL) HUMALOG MIX 50-50 QL T1 calcium acetate T1 calcium carbonate/mag carb/fa T2 sevelamer carbonate T2 sevelamer hcl T1 sodium polystyrene sulfonate QL QL QL QL HUMALOG MIX 50-50 QL KWIKPEN HUMALOG MIX 75-25 QL HUMALOG MIX 75-25 QL KWIKPEN HUMULIN 70/30 QL KWIKPEN(OTC) HUMULIN 70-30(OTC) QL HUMULIN N KWIKPEN(OTC) HUMULIN N(OTC) QL QL Urine Glucose Test Aids REVEL PROGRAMMABLE PUMP T1 sub-q insulin device, 20 VGO 20 unit T1 sub-q insulin device, 30 VGO 30 unit T1 sub-q insulin device, 40 VGO 40 unit T2 becaplermin HUMULIN R U-500 HUMULIN R(OTC) QL CIPRODEX CALCIUM ACETATE MAGNEBIND 400 RX RENVELA RENAGEL KIONEX Potassium Replacement T1 pot chloride/pot bicarb/cit ac T1 potassium bicarbonate/cit ac T1 potassium chloride POTASSIUM CHLORIDE EFFER-K POTASSIUM CHLORIDE Sodium/saline Preparations T1 0.9 % sodium chloride NORMAL SALINE FLUSH T1 sodium chloride 0.45 % SODIUM CHLORIDE QL Page 26 of 75 ENDOCRINE DISORDER - OTHER Antidiuretic And Vasopressor Hormones T1 desmopressin (nonrefrigerated) T1 desmopressin acetate T1 desmopressin acetate T1 danazol DANAZOL ENDOCRINE DISORDER - THYROID Antithyroid Preparations DESMOPRESSIN ACETATE DDAVP DESMOPRESSIN ACETATE T1 methimazole T1 propylthiouracil METHIMAZOLE PROPYLTHIOURACIL Iodine Containing Agents Antineoplastic Lhrh(gnrh) Agonist,pituitary Suppr. T1 potassium iodide SSKI T1 potassium iodide/iodine STRONG IODINE T2 leuprolide acetate T1 leuprolide acetate Thyroid Hormones ELIGARD LEUPROLIDE ACETATE PA T1 levothyroxine sodium Bone Formation Stim. Agents - Parathyroid T1 liothyronine sodium Hormone T2 teriparatide FORTEO QL T2 thyroid,pork T1 thyroid,pork LEVOTHYROXINE SODIUM LIOTHYRONINE SODIUM ARMOUR THYROID NATURE-THROID Bone Resorption Inhibitor & Vitamin D EYE - GENERAL DISORDERS Combinations Eye Antibiotic-corticoid Combinations T2 alendronate sodium/vitamin d3 FOSAMAX PLUS D T1 neo/polymyx b sulf/dexameth Bone Resorption Inhibitors T1 alendronate sodium T1 T1 T1 T1 T1 ALENDRONATE QL SODIUM(SOLUTION) alendronate sodium ALENDRONATE SODIUM(TAB) calcitonin,salmon,synth CALCITONINetic SALMON etidronate disodium ETIDRONATE DISODIUM ibandronate sodium IBANDRONATE SODIUM raloxifene hcl RALOXIFENE HCL PA, QL Growth Hormones T2 somatropin T2 somatropin T2 somatropin T2 somatropin T2 somatropin NORDITROPIN FLEXPRO SEROSTIM(VIAL)(4 MG) SEROSTIM(VIAL)(5 MG) SEROSTIM(VIAL)(6 MG) ZORBTIVE PA PA PA PA PA Hyperparathyroid Tx Agents - Vitamin D Analogtype T1 doxercalciferol T1 paricalcitol DOXERCALCIFEROL PARICALCITOL Insulin-like Growth Factor-1 (igf-1) Hormones T2 mecasermin INCRELEX PA Leptin Hormone Analogs T2 metreleptin MYALEPT QL T1 T2 T1 T2 NEOMYCINPOLYMYXINDEXAMETH neomycin su/baci NEOMYCINzn/poly/hc BACITRACIN-POLYHC tobramycin/dexamethaso TOBRADEX ne tobramycin/dexamethasTOBRAMYCINone DEXAMETHASONE tobramycin/lotepred etab ZYLET Eye Antihistamines T1 azelastine hcl T1 epinastine hcl T1 olopatadine hcl Eye Antiinflammatory Agents T1 dexamethasone sod phosphate T2 difluprednate T1 fluorometholone T2 fluorometholone T2 fluorometholone T2 fluorometholone acetate T1 flurbiprofen sodium T1 T2 T2 T2 T2 T2 T1 T1 DEXAMETHASONE SODIUM PHOSPHATE DUREZOL FLUOROMETHOLONE FML FORTE FML S.O.P. FLAREX FLURBIPROFEN SODIUM ketorolac tromethamineKETOROLAC TROMETHAMINE loteprednol etabonate ALREX loteprednol etabonate LOTEMAX nepafenac ILEVRO nepafenac NEVANAC prednisolone acetate PRED MILD prednisolone acetate PREDNISOLONE ACETATE prednisolone sod PREDNISOLONE phosphate SODIUM PHOSPHATE Pituitary Suppressive Agents Eye Antivirals T1 cabergoline T2 ganciclovir VNSNY CABERGOLINE AZELASTINE HCL EPINASTINE HCL OLOPATADINE HCL ZIRGAN Page 27 of 75 T1 trifluridine TRIFLURIDINE EYE - GLAUCOMA Eye Local Anesthetics Carbonic Anhydrase Inhibitors T1 benoxinate ALTAFLUOR hcl/fluorescein na T1 proparacaine hcl PROPARACAINE HCL T1 proparacaine/fluorescei FLUCAINE n sod T1 tetracaine hcl TETRACAINE HCL T1 tetracaine hcl/pf TETRACAINE HCL T1 acetazolamide Miotics/other Intraoc. Pressure Reducers T1 apraclonidine hcl T1 T2 T1 T2 T2 T1 Eye Sulfonamides T1 sulfacetamide sodium SULFACETAMIDE SODIUM T1 sulfacetamide/prednisol SULFACETAMIDEone sp PREDNISOLONE T2 sulfacetm na/prednisol acBLEPHAMIDE T2 sulfacetm na/prednisol acBLEPHAMIDE S.O.P. NAPHAZOLINE HCL PHENYLEPHRINE HCL Ophthalmic Antibiotics T1 bacitracin/polymyxin b sulfate T2 besifloxacin hcl T2 ciprofloxacin hcl T1 ciprofloxacin hcl T1 erythromycin base T1 gatifloxacin T1 gentamicin sulfate T1 T2 T2 T1 levofloxacin moxifloxacin hcl moxifloxacin hcl neomycin su/bacitra/polymyxin T1 neomycin/polymyxn b/gramicidin T1 ofloxacin T1 polymyxin b sulf/trimethoprim T1 tobramycin T2 tobramycin AK-POLY-BAC BESIVANCE CILOXAN CIPROFLOXACIN HCL ERYTHROMYCIN GATIFLOXACIN GENTAMICIN SULFATE LEVOFLOXACIN MOXEZA VIGAMOX NEOMYCINBACITRACINPOLYMYXIN NEOMYCINPOLYMYXINGRAMICIDIN OFLOXACIN POLYMYXIN B SULTRIMETHOPRIM TOBRAMYCIN TOBREX T1 atropine sulfate T1 cyclopentolate hcl T1 homatropine hbr T1 tropicamide Ophthalmic Mast Cell Stabilizers T1 cromolyn sodium T2 lodoxamide tromethamine T2 nedocromil sodium CROMOLYN SODIUM ALOMIDE ALOCRIL Ophthalmic Preparations, Miscellaneous T5 sodium chloride VNSNY SODIUM CHLORIDE(OTC) ATROPINE SULFATE CYCLOPENTOLATE HCL HOMATROPAIRE TROPICAMIDE EYE - MISCELLANEOUS Artificial Tears type RESTASIS QL QL Mydriatics Ophthalmic Anti-inflammatory ImmunomodulatorT2 cyclosporine betaxolol hcl betaxolol hcl bimatoprost bimatoprost brimonidine tartrate brimonidine tartrate APRACLONIDINE HCL BETAXOLOL HCL BETOPTIC S BIMATOPROST LUMIGAN ALPHAGAN P BRIMONIDINE TARTRATE COMBIGAN T2 brimonidine tartrate/timolol T2 brinzolamide AZOPT T2 brinzolamide/brimonidin SIMBRINZA e tart T1 carteolol hcl CARTEOLOL HCL T1 dorzolamide hcl DORZOLAMIDE HCL T1 dorzolamide hcl/timolol DORZOLAMIDEmaleat TIMOLOL T1 latanoprost LATANOPROST T1 levobunolol hcl LEVOBUNOLOL HCL T1 metipranolol METIPRANOLOL T1 pilocarpine hcl PILOCARPINE HCL T2 timolol BETIMOL T1 timolol maleate TIMOLOL MALEATE T2 travoprost TRAVATAN Z QL T1 travoprost TRAVOPROST QL (benzalkonium) Eye Vasoconstrictors T1 naphazoline hcl T1 phenylephrine hcl ACETAZOLAMIDE QL T5 dextran ARTIFICIAL 70/hypromellose TEARS(OTC) T5 dextran ARTIFICIAL 70/hypromellose/pf TEARS(OTC) T5 dextran BION TEARS(OTC) 70/hypromellose/pf T5 dextran/hypromellose/gly TEARS NATURALE cerin FORTE(OTC) T5 glycerin/propylene ARTIFICIAL glycol TEARS(OTC) T5 hypromellose NATURAL BALANCE TEARS(OTC) T5 petrolat,wht/min oil/sod LUBRICANT chl EYE(OTC) T5 polyvinyl alcohol ARTIFICIAL TEARS(OTC) T5 polyvinyl ARTIFICIAL alcohol/povidone TEARS(OTC) Page 28 of 75 T2 rivaroxaban Eye Diagnostic Agents T1 fluorescein sodium BIOGLO T2 rivaroxaban Eye Irrigations T2 factor ix T2 factor ix human recombinant Eye Preparations, Miscellaneous CLEANSING EYELID PADS(OTC) CLEANSING EYELID WIPES(OTC) EYELID WIPES(OTC) T2 epoetin alfa T1 pentoxifylline ARTIFICIAL TEARS(OTC) REFRESH LACRILUBE(OTC) REFRESH P.M.(OTC) PA Colchicine COLCHICINE PROBENECIDCOLCHICINE QL Hyperuricemia Tx - Purine Inhibitors T1 allopurinol T2 febuxostat ALLOPURINOL ULORIC QL PROBENECID HEMATOLOGICAL DISORDERS Anticoagulants,coumarin Type T1 warfarin sodium T1 tranexamic acid AMINOCAPROIC ACID TRANEXAMIC ACID CITRATE PHOSPHATE DEXTROSE SODIUM CITRATE Direct Factor Xa Inhibitors T2 T2 T2 T2 apixaban apixaban rivaroxaban rivaroxaban VNSNY T1 enoxaparin sodium T1 enoxaparin sodium T1 enoxaparin sodium Citrates As Anticoagulants T1 citrate phosphate dextros soln T1 sodium citrate T1 enoxaparin sodium WARFARIN SODIUM Antifibrinolytic Agents T1 aminocaproic acid T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T2 dalteparin sodium,porcine T1 enoxaparin sodium T1 enoxaparin sodium Uricosuric Agents T1 probenecid PROCRIT PA PENTOXIFYLLINE Heparin And Related Preparations GOUT AND RELATED DISEASES T1 colchicine T1 colchicine/probenecid ALPHANINE SD BENEFIX Hemorrheologic Agents ARTIFICIAL TEARS(OTC) SOOTHE XP(OTC) CYSTARAN QL Hematinics,other Ophthalmic Cystine Depleting Agents T2 cysteamine hcl QL Factor Ix Preparations T1 balanced salt soln non- EYE WASH(OTC) surg #6 T5 eyelid cleanser combination #5 T5 eyelid cleanser combination #5 T5 eyelid cleanser combination #6 T5 lanolin/min oil/petrolat,wht T5 mineral oil, light/mineral oil T5 mineral oil/petrolatum,white T5 mineral oil/petrolatum,white T5 mineral oil/petrolatum,white XARELTO(TAB)(15 MG) XARELTO(TAB)(20 MG) ELIQUIS(TAB)(2.5 MG)QL ELIQUIS(TAB)(5 MG) QL XARELTO(TAB DS PK) QL XARELTO(TAB)(10 QL MG) T1 enoxaparin sodium T1 enoxaparin sodium T1 fondaparinux sodium T1 fondaparinux sodium FRAGMIN(SYRINGE) (10000/ML) FRAGMIN(SYRINGE) (12500/0.5) FRAGMIN(SYRINGE) (15000/0.6) FRAGMIN(SYRINGE) (18000/0.72) FRAGMIN(SYRINGE) (2500/0.2ML) FRAGMIN(SYRINGE) (5000/0.2ML) FRAGMIN(SYRINGE) (7500/0.3ML) FRAGMIN(VIAL) QL ENOXAPARIN SODIUM(SYRINGE) (100 MG/ML) ENOXAPARIN SODIUM(SYRINGE) (120MG/.8ML) ENOXAPARIN SODIUM(SYRINGE) (150 MG/ML) ENOXAPARIN SODIUM(SYRINGE) (30MG/0.3ML) ENOXAPARIN SODIUM(SYRINGE) (40MG/0.4ML) ENOXAPARIN SODIUM(SYRINGE) (60MG/0.6ML) ENOXAPARIN SODIUM(SYRINGE) (80MG/0.8ML) ENOXAPARIN SODIUM(VIAL) FONDAPARINUX SODIUM(SYRINGE) (10MG/0.8ML) FONDAPARINUX SODIUM(SYRINGE) (2.5 MG/0.5) QL QL QL QL QL QL QL QL QL QL QL QL QL QL QL QL QL Page 29 of 75 T1 fondaparinux sodium QL T1 QL T1 T1 T1 T1 T1 FONDAPARINUX SODIUM(SYRINGE) (5MG/0.4ML) fondaparinux sodium FONDAPARINUX SODIUM(SYRINGE) (7.5MG/0.6) heparin sod,porcine/0.9 HEPARIN FLUSH % nacl heparin sodium,porcine HEPARIN SODIUM heparin HEPARIN SODIUMsodium,porcine/d5w D5W heparin HEPARIN SODIUMsodium,porcine/ns/pf 0.9% NACL heparin HEPARIN FLUSH sodium,porcine/pf filgrastim pegfilgrastim sargramostim tbo-filgrastim NEUPOGEN NEULASTA LEUKINE GRANIX T1 clopidogrel bisulfate T1 T2 T2 T1 dipyridamole prasugrel hcl ticagrelor ticlopidine hcl PA PA PA PA ANAGRELIDE HCL PA, QL Thrombopoietin Receptor Agonists T2 eltrombopag olamine PROMACTA PA Topical Hemostatics T1 thrombin (bovine) THROMBIN-JMI Vitamin K Preparations T2 phytonadione T1 phytonadione MEPHYTON VITAMIN K1 T1 estradiol QL T1 QL T1 T2 T1 T2 T2 T2 T2 T1 T1 ESTRADIOL(PATCH TDSW) estradiol ESTRADIOL(PATCH TDWK) estradiol ESTRADIOL(TAB) estradiol/norethindrone COMBIPATCH acet estradiol/norethindrone ESTRADIOLacet NORETHINDRONE ACETAT estrogen,con/m-progest PREMPHASE acet estrogen,con/m-progest PREMPRO acet estrogens, conjugated PREMARIN estrogens,esterified MENEST estropipate ESTROPIPATE norethindrone ac-eth JINTELI estradiol T1 medroxyprogesterone MEDROXYPROGESTE acetate RONE ACETATE T1 norethindrone acetate NORETHINDRONE ACETATE T1 progesterone PROGESTERONE T1 progesterone,micronize PROGESTERONE d IMMUNIZATION Androgenic Agents T2 igg/hyaluronidase,recom binant T2 immun glob g (igg)/gly/iga 50+ T2 immun glob g (igg)/gly/iga 50+ T2 immun glob g (igg)/gly/iga 50+ T2 immun glob g(igg)/pro/iga 0-50 T2 testosterone T2 testosterone T2 testosterone VNSNY ANDROXY QL METHYLTESTOSTEROPA NE OXANDROLONE PA ANDROGEL(GEL MD PA PMP)(1.25G (1%)) ANDROGEL(GEL MD PA PMP)(20.25/1.25) ANDROGEL(GEL PA PACKET)(1.25G-1.62) ANDROGEL(GEL PA PACKET)(2.5G-1.62%) QL Progestational Agents Antisera T1 oxandrolone T1 testosterone PA Estrogenic Agents HORMONAL DEFICIENCY T1 fluoxymesterone T1 methyltestosterone PA PA PA T2 estrogens,conj/bazedoxif DUAVEE ene CILOSTAZOL CLOPIDOGREL(TAB) QL (300 MG) CLOPIDOGREL(TAB) (75 MG) DIPYRIDAMOLE EFFIENT QL BRILINTA QL TICLOPIDINE HCL IPRIVASK PA Mod(serm)comb Thrombin Inhibitors,sel.,direct,&rev.-hirudin Type T2 desirudin ANDROGEL(GEL PACKET)(25MG(1%)) testosterone ANDROGEL(GEL PACKET)(50 MG (1%)) testosterone AXIRON testosterone TESTOSTERONE testosterone cypionate TESTOSTERONE CYPIONATE testosterone enanthate TESTOSTERONE ENANTHATE Estrogen & Selective Estrogen Recept Platelet Reducing Agents T1 anagrelide hcl T1 T1 Platelet Aggregation Inhibitors T1 cilostazol T1 clopidogrel bisulfate PA T2 T1 T1 Leukocyte (wbc) Stimulants T2 T2 T2 T2 T1 testosterone HYQVIA PA GAMMAGARD LIQUID GAMMAKED PA GAMUNEX-C PA HIZENTRA PA PA Page 30 of 75 IMMUNOSUPPRESSION/MODULATIO N Immunomodulators T1 imiquimod T2 interferon alfa2b,recomb. IMIQUIMOD INTRON A PA, QL PA Immunosuppressives T1 T1 T2 T1 azathioprine cyclosporine cyclosporine cyclosporine, modified AZATHIOPRINE CYCLOSPORINE SANDIMMUNE CYCLOSPORINE MODIFIED T2 everolimus ZORTRESS T1 mycophenolate mofetil MYCOPHENOLATE MOFETIL T1 mycophenolate sodium MYCOPHENOLIC ACID T2 sirolimus RAPAMUNE T1 sirolimus SIROLIMUS T2 tacrolimus ASTAGRAF XL T1 tacrolimus TACROLIMUS Ketolides T2 telithromycin Absorbable Sulfonamides T1 sulfamethoxazole/trime SULFAMETHOXAZOL thoprim E-TRIMETHOPRIM Betalactams Cephalosporins - 1st Generation T1 cefadroxil T1 cephalexin CEFADROXIL CEPHALEXIN Cephalosporins - 2nd Generation T1 T1 T2 T1 cefaclor cefprozil cefuroxime axetil cefuroxime axetil T1 T2 T1 T2 T1 T2 T1 azithromycin azithromycin clarithromycin erythromycin base erythromycin base erythromycin base erythromycin ethylsuccinate T2 erythromycin ethylsuccinate T1 erythromycin stearate T2 fidaxomicin CAYSTON CEFACLOR CEFPROZIL CEFTIN CEFUROXIME KETEK Macrolides INFECTIOUS DISEASE - BACTERIAL T2 aztreonam lysine T2 methenam/me PROSED-DS blue/ba/salicy/hyo T1 methenamine hippurateMETHENAMINE HIPPURATE T1 methenamine METHENAMINE mandelate MANDELATE T2 mth/me blue/sod PHOSPHASAL phos/phen/hyos T2 mth/me blue/sod URETRON D-S phos/phen/hyos T2 mth/me blue/sod URIN D.S. phos/phen/hyos T1 mth/me blue/sod URO-MP phos/phen/hyos T2 trimethoprim PRIMSOL T1 trimethoprim TRIMETHOPRIM PA AZITHROMYCIN ZMAX CLARITHROMYCIN ERY-TAB ERYTHROMYCIN PCE E.E.S. 200 ERYPED 400 ERYTHROCIN STEARATE DIFICID Nitrofuran Derivatives T1 nitrofurantoin T1 nitrofurantoin macrocrystal T1 nitrofurantoin monohyd/m-cryst NITROFURANTOIN NITROFURANTOIN NITROFURANTOIN MONO-MACRO Oxazolidinones T1 linezolid T2 tedizolid phosphate LINEZOLID SIVEXTRO Cephalosporins - 3rd Generation Penicillins T1 cefdinir T1 cefditoren pivoxil T1 amoxicillin AMOXICILLIN T1 amoxicillin/potassium AMOXICILLINclav CLAVULANATE POTASS T2 amoxicillin/potassium AUGMENTIN clav T1 ampicillin trihydrate AMPICILLIN TRIHYDRATE T1 dicloxacillin sodium DICLOXACILLIN SODIUM T2 penicillin g benzathine BICILLIN L-A T1 penicillin v potassium PENICILLIN V POTASSIUM T1 cefixime T2 cefixime T1 cefpodoxime proxetil T1 ceftibuten CEFDINIR CEFDITOREN PIVOXIL CEFIXIME SUPRAX CEFPODOXIME PROXETIL CEFTIBUTEN Chemotherapeutics, Antibacterial, Misc. T1 methen/m-blue/sal/na USTELL phos/hyos T1 methen/sod phos/meth UROGESIC-BLUE blue/hyos T1 methenam/me HYOPHEN blue/ba/salicy/hyo VNSNY QL, ST PA Quinolones T1 ciprofloxacin T1 ciprofloxacin hcl CIPROFLOXACIN CIPROFLOXACIN HCL Page 31 of 75 T1 ciprofloxacin/ciprofloxa CIPROFLOXACIN ER hcl T1 levofloxacin LEVOFLOXACIN T1 moxifloxacin hcl MOXIFLOXACIN HCL T1 ofloxacin OFLOXACIN Tetracyclines T1 demeclocycline hcl T2 doxycycline calcium T1 doxycycline hyclate T1 doxycycline monohydrate T1 doxycycline monohydrate T1 doxycycline monohydrate T1 doxycycline monohydrate T1 doxycycline monohydrate T1 doxycycline monohydrate T1 minocycline hcl T1 tetracycline hcl DEMECLOCYCLINE HCL VIBRAMYCIN DOXYCYCLINE QL, ST HYCLATE DOXYCYCLINE QL MONOHYDRATE(CA P) DOXYCYCLINE MONOHYDRATE(SUS P RECON) DOXYCYCLINE QL, ST MONOHYDRATE(TAB) (100 MG) DOXYCYCLINE QL MONOHYDRATE(TAB) (150 MG) DOXYCYCLINE QL MONOHYDRATE(TAB) (50 MG) DOXYCYCLINE QL MONOHYDRATE(TAB) (75 MG) MINOCYCLINE HCL TETRACYCLINE HCL INFECTIOUS DISEASE - FUNGAL clotrimazole fluconazole flucytosine itraconazole itraconazole ketoconazole terbinafine hcl terbinafine hcl voriconazole T1 dapsone T2 thalidomide DAPSONE THALOMID PA, QL Anti-mycobacterium Agents T4 T4 T4 T4 T4 T4 T4 aminosalicylic acid ethambutol hcl ethambutol hcl ethionamide isoniazid pyrazinamide rifabutin PASER ETHAMBUTOL HCL MYAMBUTOL TRECATOR ISONIAZID PYRAZINAMIDE MYCOBUTIN Antitubercular Antibiotics T4 T4 T4 T4 T4 bedaquiline fumarate cycloserine rifampin rifampin/isoniazid rifapentine SIRTURO CYCLOSERINE RIFAMPIN RIFAMATE PRIFTIN PA Lincosamides T1 clindamycin hcl CLINDAMYCIN HCL T1 clindamycin palmitate CLINDAMYCIN hcl PALMITATE HCL Rifamycins And Related Derivative Antibiotics T2 rifaximin XIFAXAN PA Vancomycin And Derivatives T1 vancomycin hcl VANCOMYCIN HCL QL INFECTIOUS DISEASE - PARASITIC 2nd Gen. Anaerobic Antiprotozoal-antibacterial Antifungal Agents T1 T1 T1 T1 T2 T1 T2 T1 T1 Antileprotics T1 tinidazole CLOTRIMAZOLE FLUCONAZOLE FLUCYTOSINE ITRACONAZOLE SPORANOX KETOCONAZOLE LAMISIL TERBINAFINE HCL VORICONAZOLE Antifungal Antibiotics T1 griseofulvin, microsize GRISEOFULVIN T1 nystatin NYSTATIN INFECTIOUS DISEASE - TINIDAZOLE Amebacides T1 paromomycin sulfate PAROMOMYCIN SULFATE Anaerobic Antiprotozoal-antibacterial Agents T2 metronidazole T1 metronidazole FLAGYL ER METRONIDAZOLE Anthelmintics T1 ivermectin T2 praziquantel IVERMECTIN BILTRICIDE Antimalarial Drugs T1 neomycin sulfate NEOMYCIN SULFATE T2 tobramycin TOBI PODHALER PA T1 tobramycin in 0.225% TOBRAMYCIN PA nacl T1 atovaquone/proguanil ATOVAQUONEhcl PROGUANIL HCL T1 chloroquine phosphate CHLOROQUINE PHOSPHATE T1 hydroxychloroquine HYDROXYCHLOROQ sulfate UINE SULFATE T1 mefloquine hcl MEFLOQUINE HCL T2 primaquine phosphate PRIMAQUINE T2 pyrimethamine DARAPRIM PA T1 quinine sulfate QUININE SULFATE Antibacterial Agents,miscellaneous Antiprotozoal Drugs,miscellaneous T1 glycine urologic solution T1 atovaquone ATOVAQUONE T2 pentamidine isethionate NEBUPENT MISCELLANEOUS Aminoglycosides VNSNY GLYCINE Page 32 of 75 INFECTIOUS DISEASE - VIRAL T1 nevirapine T2 rilpivirine hcl Antiviral Monoclonal Antibodies Antivirals, Hiv-specific, Nucleoside Analog, Rti T2 palivizumab SYNAGIS PA Antivirals, General T1 acyclovir T1 famciclovir T2 oseltamivir phosphate T2 oseltamivir phosphate T2 oseltamivir phosphate T2 oseltamivir phosphate T2 T1 T1 T1 ribavirin rimantadine hcl valacyclovir hcl valganciclovir hcl ACYCLOVIR FAMCICLOVIR TAMIFLU(CAP)(30 MG) TAMIFLU(CAP)(45 MG) TAMIFLU(CAP)(75 MG) TAMIFLU(SUSP RECON) VIRAZOLE RIMANTADINE HCL VALACYCLOVIR VALGANCICLOVIR HCL T1 didanosine QL QL QL QL QL T2 QL T2 T2 T2 T2 T2 T2 QL QL QL QL QL Antivirals, Hiv-spec, Nucleoside-nucleotide Analog T2 emtricitabine/tenofovir TRUVADA QL Antivirals, Hiv-spec., Nucleoside Analog, Rti Comb T2 abacavir EPZICOM sulfate/lamivudine T1 abacavir/lamivudine/zi ABACAVIRdovudine LAMIVUDINEZIDOVUDINE T1 lamivudine/zidovudine LAMIVUDINEZIDOVUDINE QL QL Antivirals, Hiv-specific, Ccr5 Co-receptor Antag. T2 maraviroc SELZENTRY Antivirals, Hiv-specific, Fusion Inhibitors T2 enfuvirtide FUZEON QL Antivirals, Hiv-specific, Non-nucleoside, Rti T2 T2 T2 T1 delavirdine mesylate efavirenz etravirine nevirapine VNSNY RESCRIPTOR SUSTIVA INTELENCE NEVIRAPINE(ORAL SUSP) T1 didanosine T2 T2 T2 T1 didanosine emtricitabine emtricitabine lamivudine T1 lamivudine T2 darunavir ethanolate T2 T1 didanosine T1 lamivudine Antivirals, Hiv-spec, Non-peptidic Protease Inhib PREZISTA(ORAL SUSP) darunavir ethanolate PREZISTA(TAB)(150 MG) darunavir ethanolate PREZISTA(TAB)(400 MG) darunavir ethanolate PREZISTA(TAB)(600 MG) darunavir ethanolate PREZISTA(TAB)(75 MG) darunavir ethanolate PREZISTA(TAB)(800 MG) darunavir/cobicistat PREZCOBIX tipranavir APTIVUS tipranavir/vitamin e tpgs APTIVUS T1 abacavir sulfate T2 abacavir sulfate T1 didanosine T1 stavudine T1 stavudine T1 zidovudine T1 zidovudine T1 zidovudine NEVIRAPINE(TAB) EDURANT QL ABACAVIR QL ZIAGEN QL DIDANOSINE(CAP QL DR)(125 MG) DIDANOSINE(CAP QL DR)(200 MG) DIDANOSINE(CAP DR)(250 MG) DIDANOSINE(CAP DR)(400 MG) VIDEX QL EMTRIVA(CAP) QL EMTRIVA(SOLUTION) QL LAMIVUDINE(SOLUTIQL ON) LAMIVUDINE(TAB) QL (150 MG) LAMIVUDINE(TAB) QL (300 MG) STAVUDINE(CAP) QL STAVUDINE(SOLN QL RECON) ZIDOVUDINE(CAP) QL ZIDOVUDINE(SYRUP) QL ZIDOVUDINE(TAB) QL Antivirals, Hiv-specific, Nucleotide Analog, Rti T2 tenofovir disoproxil fumarate T2 tenofovir disoproxil fumarate VIREAD(POWDER) QL VIREAD(TAB) QL Antivirals, Hiv-specific, Protease Inhibitor Comb T2 lopinavir/ritonavir T2 lopinavir/ritonavir T2 lopinavir/ritonavir KALETRA(SOLUTIO N) KALETRA(TAB) (100MG-25MG) KALETRA(TAB) (200MG-50MG) QL QL QL Antivirals, Hiv-specific, Protease Inhibitors T2 atazanavir sulfate T2 atazanavir sulfate/cobicistat T2 fosamprenavir calcium T2 indinavir sulfate T2 nelfinavir mesylate T2 ritonavir T2 ritonavir T2 ritonavir T2 saquinavir mesylate T2 saquinavir mesylate REYATAZ EVOTAZ QL LEXIVA CRIXIVAN VIRACEPT NORVIR(CAP) NORVIR(SOLUTION) NORVIR(TAB) INVIRASE(CAP) INVIRASE(TAB) QL QL QL QL QL Antivirals,hiv-1 Integrase Strand Transfer Inhibtr T2 dolutegravir sodium T2 elvitegravir T2 raltegravir potassium TIVICAY VITEKTA ISENTRESS QL QL Page 33 of 75 Artv Cmb Nucleoside,nucleotide,&non-nucleoside T2 methotrexate/pf Rti T2 methotrexate/pf T2 efavirenz/emtricitab/teno ATRIPLA fovir T2 emtricitab/rilpiviri/tenofo ODEFSEY ala T2 emtricitab/rilpivirine/ten COMPLERA ofov QL T2 methotrexate/pf QL T2 methotrexate/pf TYBOST QL Anti-inflammatory, Pyrimidine Synthesis Inhibitor T1 leflunomide PA PA Inh T2 abatacept PA T2 c1 esterase inhibitor T2 c1 esterase inhibitor T2 c1 esterase inhibitor, recomb T2 lamivudine T1 lamivudine T1 T1 T1 T1 T2 T1 Hepatitis C Treatment Agents peginterferon alfa-2a peginterferon alfa-2a ribavirin ribavirin PEGASYS PA PEGASYS PROCLICK PA REBETOL RIBASPHERE INFLAMMATORY DISEASE Anti-arthritic And Chelating Agents T2 penicillamine T2 penicillamine CUPRIMINE DEPEN Anti-arthritic, Folate Antagonist Agents T2 methotrexate/pf T2 methotrexate/pf T2 methotrexate/pf T2 methotrexate/pf T2 methotrexate/pf T2 methotrexate/pf VNSNY RASUVO(AUTO INJECT)(10MG/0.2ML) RASUVO(AUTO INJECT)(12.5/0.25) RASUVO(AUTO INJECT)(15MG/0.3ML) RASUVO(AUTO INJECT)(17.5/0.35) RASUVO(AUTO INJECT)(20MG/0.4ML) RASUVO(AUTO INJECT)(22.5/0.45) QL, ST ORENCIA PA BERINERT CINRYZE RUCONEST PA PA PA budesonide cortisone acetate dexamethasone hydrocortisone methylprednisolone methylprednisolone T2 T2 T1 T1 prednisolone prednisolone prednisolone prednisolone sod phosphate T1 prednisone T2 prednisone BUDESONIDE EC CORTISONE ACETATE DEXAMETHASONE HYDROCORTISONE MEDROL METHYLPREDNISOL ONE MILLIPRED MILLIPRED DP PREDNISOLONE PREDNISOLONE SODIUM PHOSPHATE PREDNISONE PREDNISONE INTENSOL Interleukin-6 (il-6) Receptor Inhibitors T2 tocilizumab ACTEMRA Janus Kinase (jak) Inhibitors QL, ST T2 tofacitinib citrate QL, ST QL, ST PA FIRAZYR QL, ST QL, ST PA C1 Esterase Inhibitors Glucocorticoids EPIVIR HBV LAMIVUDINE HBV OTEZLA Bradykinin B2 Receptor Antagonists Hepatitis B Treatment Agents T2 T2 T2 T1 LEFLUNOMIDE Antinflammatory, Sel.costim.mod.,t-cell Inhibitor T2 icatibant acetate SOVALDI PA Inhib. T2 apremilast Hep C Virus,nucleotide Analog Ns5b Polymerase T2 sofosbuvir SIMPONI Anti-inflammatory,phosphodiesterase-4(pde4) QL Combo. HARVONI QL, ST T2 golimumab Hep C Virus - Ns5a & Ns5b Polymerase Inhib. T2 ledipasvir/sofosbuvir QL, ST QL Cytochrome P450 Inhibitors T2 cobicistat QL, ST Inhibitor Arv Comb-nrtis & Integrase Inhibitor T2 abacavir/dolutegravir/lamTRIUMEQ ivudi QL, ST Anti-inflammatory Tumor Necrosis Factor Arv Cmb-nrti,n(t)rti, Integrase Inhibitor T2 elviteg/cobi/emtric/tenof GENVOYA o ala T2 elvitegr/cobicist/emtric/te STRIBILD nof RASUVO(AUTO INJECT)(25MG/0.5ML) RASUVO(AUTO INJECT)(27.5/0.55) RASUVO(AUTO INJECT)(30MG/0.6ML) RASUVO(AUTO INJECT)(7.5MG/0.15) PA XELJANZ PA Mineralocorticoids T1 fludrocortisone acetate FLUDROCORTISONE ACETATE Nsaids, Cyclooxygenase 2 Inhibitor - Type T1 celecoxib CELECOXIB Page 34 of 75 Nsaids, Cyclooxygenase Inhibitor-type Hemorrhoidal Prep, Anti-infam Steroid/local T1 diclofenac potassium Anesth T1 T1 hydrocort/pramoxin/em HYDROCORTISONEol/pram#1 PRAMOXINE T1 hydrocortisone/lidocain LIDOCAINEe/aloe HYDROCORTISONE T1 hydrocortisone/pramox ANALPRAM HC ine T1 hydrocortisone/pramox HYDROCORTISONEine PRAMOXINE T2 hydrocortisone/pramoxin PROCTOFOAM-HC e T1 lidocaine/hydrocortison LIDOCAINEe ac HYDROCORTISONE T1 T2 T1 T1 T5 T1 T5 T2 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 DICLOFENAC POTASSIUM diclofenac sodium DICLOFENAC SODIUM etodolac ETODOLAC fenoprofen calcium FENOPROFEN CALCIUM(CAP) fenoprofen calcium FENOPROFEN CALCIUM(TAB) flurbiprofen FLURBIPROFEN ibuprofen CHILDREN'S MOTRIN(OTC) ibuprofen IBUPROFEN ibuprofen IBUPROFEN(OTC) indomethacin INDOCIN indomethacin INDOMETHACIN ketoprofen KETOPROFEN ketorolac tromethamineKETOROLAC TROMETHAMINE meclofenamate sodium MECLOFENAMATE SODIUM meloxicam MELOXICAM nabumetone NABUMETONE naproxen NAPROXEN naproxen sodium NAPROXEN SODIUM oxaprozin OXAPROZIN piroxicam PIROXICAM sulindac SULINDAC tolmetin sodium TOLMETIN SODIUM Irritable Bowel Agents,guanylate Cylase-c Agonist T2 linaclotide T1 hydrocortisone PROCTOZONE-HC T1 hydrocortisone acetate HYDROCORTISONE ACETATE Rectal/lower Bowel Prep.,glucocort. T1 hydrocortisone DISORDERS - OTHER Ammonia Inhibitors T2 glycerol phenylbutyrate RAVICTI T1 lactulose GENERLAC LIDOCAINE HCL VISCOUS T5 bismuth subsalicylate DISORDERS - BOWEL INFLAMMAT T5 bismuth subsalicylate T1 loperamide hcl T1 loperamide hcl Bowel Antiinflamatory Agents T5 loperamide hcl SULFADIAZINE Chronic Inflam. Colon Dx, 5-a-salicylat,rectal Tx T2 mesalamine CANASA T1 mesalamine MESALAMINE T1 mesalamine w/cleansing MESALAMINE wipes T5 T5 T5 T1 T1 BALSALAZIDE DISODIUM APRISO SULFASALAZINE Drugs To Tx Chronic Inflamm. Disease Of Colon VNSNY CIMZIA URSODIOL Laxatives And Cathartics aminosalicylat T2 certolizumab pegol PEPTO-BISMOL TOGO(OTC) PINK BISMUTH(OTC) LOPERAMIDE LOPERAMIDE(CAP) (OTC) LOPERAMIDE(LIQUI D)(OTC) Bile Salts T1 ursodiol Drug Tx-chronic Inflam. Colon Dx,5- T2 mesalamine T1 sulfasalazine PA Antidiarrheals LOWER GASTROINTESTINAL T1 balsalazide disodium HYDROCORTISONE LOWER GASTROINTESTINAL Local Anesthetics T1 sulfadiazine QL Rectal Preparations LOCAL ANESTHESIA T1 lidocaine hcl LINZESS PA T2 T1 T2 T5 bisacodyl castor oil docusate sodium fos/maltodextrin fructooligosaccharides/p olydex lactulose lactulose lubiprostone magnesium hydroxide T5 methylcellulose T5 mineral oil BISACODYL(OTC) CASTOR OIL(OTC) DOC-Q-LACE(OTC) FIBER-STAT(OTC) FIBER-STAT(OTC) KRISTALOSE LACTULOSE AMITIZA PHILLIPS' MILK OF MAGNESIA(OTC) CITRUCEL(OTC) MINERAL OIL(OTC) QL Page 35 of 75 T1 peg 3350/na sulf,bicarb,cl/kcl T2 peg 3350/na sulf,bicarb,cl/kcl T1 polyethylene glycol 3350 T1 polyethylene glycol 3350 T5 psyllium husk T5 psyllium husk (with sugar) T5 psyllium husk (with sugar) T5 psyllium husk/aspartame T5 psyllium husk/aspartame GAVILYTE-C T2 enzalutamide T1 flutamide T2 nilutamide GOLYTELY WAL-MUCIL(OTC) PA, QL T1 PA, QL T2 CAPECITABINE(TAB) (150 MG) capecitabine CAPECITABINE(TAB) (500 MG) mercaptopurine MERCAPTOPURINE mercaptopurine PURIXAN methotrexate sodium METHOTREXATE methotrexate sodium TREXALL methotrexate sodium/pf METHOTREXATE SODIUM trifluridine/tipiracil hcl LONSURF T1 anastrozole T1 exemestane T1 letrozole ANASTROZOLE EXEMESTANE LETROZOLE T2 vismodegib ERIVEDGE PA, QL Antineoplastic - Janus Kinase (jak) Inhibitors T2 ruxolitinib phosphate JAKAFI PA, QL Antineoplastic - Mek1 And Mek2 Kinase Inhibitors T2 cobimetinib fumarate COTELLIC PA, QL Antineoplastic - Mtor Kinase Inhibitors BISAC-EVAC(OTC) ENEMEEZ(OTC) T2 everolimus T2 everolimus MOVANTIK T2 everolimus QL GATTEX T2 everolimus T2 everolimus PA AFINITOR DISPERZ PA AFINITOR(TAB)(10 PA, QL MG) AFINITOR(TAB)(2.5 PA, QL MG) AFINITOR(TAB)(5 MG)PA, QL AFINITOR(TAB)(7.5 PA MG) MISCELLANEOUS AGENTS Antineoplastic Immunomodulator Agents Anaphylaxis Therapy Agents T2 lenalidomide T2 peginterferon alfa-2b T2 pomalidomide EPINEPHRINE EPIPEN JR 2-PAK T1 guanidine hcl T1 pilocarpine hcl T2 degarelix acetate BETHANECHOL CHLORIDE GUANIDINE HCL PILOCARPINE HCL T2 degarelix acetate T2 T2 T2 T2 T2 Alkylating Agents altretamine hydroxyurea melphalan temozolomide HEXALEN HYDROXYUREA ALKERAN TEMOZOLOMIDE PA Antiandrogenic Agents T2 abiraterone acetate T1 bicalutamide VNSNY ZYTIGA BICALUTAMIDE PA, QL QL PA FIRMAGON(VIAL)(120 QL MG) FIRMAGON(VIAL)(80 QL MG) Antineoplastic Systemic Enzyme Inhibitors NEOPLASTIC DISEASE T2 T1 T2 T1 REVLIMID SYLATRON POMALYST Antineoplastic Lhrh(gnrh) Antagonist,pituit.supprs Parasympathetic Agents T1 bethanechol chloride PA Antineoplastic - Hedgehog Pathway Inhibitor Sbs - Glucagon-like Peptide-2 (glp-2) Analogs T1 epinephrine T2 epinephrine ST Antineoplastic Aromatase Inhibitors Narcotic Antagonists, Peripherally-acting T2 teduglutide QL T1 capecitabine T1 T2 T1 T2 T1 Laxatives, Local/rectal T2 naloxegol oxalate PA, QL Antimetabolites POLYETHYLENE GLYCOL 3350 POLYETHYLENE GLYCOL 3350(OTC) KONSYL(OTC) METAMUCIL(OTC) KONSYL(OTC) METAMUCIL MULTIHEALTH FIBER(OTC) T5 psyllium METAMUCIL SUGARhusk/aspartame FREE(OTC) T5 psyllium husk/aspartame WAL-MUCIL(OTC) T5 psyllium seed REGULOID(OTC) T5 psyllium seed (with NATURAL dextrose) FIBER(OTC) T5 psyllium seed (with REGULOID(OTC) sugar) T5 psyllium NATURAL seed/aspartame FIBER(OTC) T5 sennosides SENNA LAX(OTC) T1 sodium GAVILYTE-N chloride/nahco3/kcl/peg T5 bisacodyl T5 docusate sodium XTANDI FLUTAMIDE NILANDRON PA, QL afatinib dimaleate alectinib hydrochloride axitinib axitinib bosutinib T2 bosutinib T2 cabozantinib s-malate T2 ceritinib T2 crizotinib GILOTRIF ALECENSA INLYTA(TAB)(1 MG) INLYTA(TAB)(5 MG) BOSULIF(TAB)(100 MG) BOSULIF(TAB)(500 MG) COMETRIQ ZYKADIA XALKORI PA PA, QL PA, QL PA, QL PA, QL PA, QL PA, QL PA PA, QL Page 36 of 75 T2 dabrafenib mesylate T2 dasatinib T2 dasatinib T2 dasatinib T2 dasatinib T2 dasatinib T2 dasatinib T2 T2 T2 T2 T1 erlotinib hcl gefitinib ibrutinib idelalisib imatinib mesylate T1 imatinib mesylate T2 T2 T2 T2 T2 T2 T2 T2 T2 T2 T2 T2 T2 T2 ixazomib citrate lapatinib ditosylate lenvatinib mesylate nilotinib hcl olaparib osimertinib mesylate palbociclib pazopanib hcl ponatinib hcl ponatinib hcl regorafenib sorafenib tosylate sunitinib malate trametinib dimethyl sulfoxide T2 vandetanib T2 vandetanib T2 vemurafenib TAFINLAR PA SPRYCEL(TAB)(100 PA, QL MG) SPRYCEL(TAB)(140 PA, QL MG) SPRYCEL(TAB)(20 PA, QL MG) SPRYCEL(TAB)(50 PA, QL MG) SPRYCEL(TAB)(70 PA, QL MG) SPRYCEL(TAB)(80 PA, QL MG) TARCEVA PA, QL IRESSA PA IMBRUVICA PA ZYDELIG PA IMATINIB PA, QL MESYLATE(TAB)(100 MG) IMATINIB PA, QL MESYLATE(TAB)(400 MG) NINLARO PA TYKERB PA LENVIMA PA TASIGNA PA, QL LYNPARZA PA, QL TAGRISSO PA, QL IBRANCE PA VOTRIENT PA, QL ICLUSIG(TAB)(15 MG) PA, QL ICLUSIG(TAB)(45 MG) PA, QL STIVARGA PA, QL NEXAVAR PA, QL SUTENT PA, QL MEKINIST PA Selective Retinoid X Receptor Agonists CAPRELSA(TAB)(100 PA, QL MG) CAPRELSA(TAB)(300 PA, QL MG) ZELBORAF PA, QL Movement Disorders T1 bexarotene BEXAROTENE Steroid Antineoplastics T1 megestrol acetate MEGESTROL ACETATE NEUROLOGICAL DISEASE MISCELLANEOUS Agents To Treat Multiple Sclerosis T2 T2 T2 T1 T2 T2 T2 dimethyl fumarate fingolimod hcl glatiramer acetate glatiramer acetate interferon beta-1a interferon beta-1a interferon beta1a/albumin T2 interferon beta1a/albumin T2 interferon beta1a/albumin T2 teriflunomide TECFIDERA GILENYA COPAXONE GLATOPA AVONEX AVONEX PEN AVONEX ADMINISTRATION PACK REBIF PA PA PA PA PA PA PA REBIF REBIDOSE PA AUBAGIO PA Blkr T2 dalfampridine AMPYRA PA Fibromyalgia Agents,serotonin-norepineph Ru Inhib T2 milnacipran hcl T1 tetrabenazine SAVELLA TETRABENAZINE T2 panobinostat lactate PA T1 chlorhexidine gluconate CHLORHEXIDINE GLUCONATE T1 triamcinolone acetonideTRIAMCINOLONE ACETONIDE PA Nose Preparations Antibiotics T1 etoposide T2 omacetaxine mepesuccinate ETOPOSIDE SYNRIBO Chemotherapy Rescue/antidote Agents T1 leucovorin calcium LEUCOVORIN CALCIUM T2 mupirocin calcium STERILE TALC BACTROBAN NASAL Nose Preparations, Miscellaneous T1 ipratropium bromide Intrapleural Sclerosing Agents, Antineoplast. Adj. T1 talc IPRATROPIUM BROMIDE OTHER DRUGS Selective Estrogen Receptor Modulators Dietary Supplement, Miscellaneous T2 tamoxifen citrate T1 tamoxifen citrate T2 toremifene citrate T1 Albumen (Egg White) EGG-PRO T1 Amino Ac/Protein PROSOURCE PLUS Hydr/Whey Pro VNSNY SOLTAMOX TAMOXIFEN CITRATE FARESTON PA PA ORAL/PHARYNGEAL DISORDERS Dental Aids And Preparations Antineoplastics,miscellaneous PA Agts Tx Neuromusc Transmission Dis,pot-chan Antineoplastic,histone Deacetylase Inhibitors,hdis FARYDAK PA PA PA Page 37 of 75 T1 Amino Acid/Protein/Vit C/Zinc T1 Amino Acids/Protein Hydrolys T1 Amino Acids/Protein Hydrolys T1 Apple Juice T1 Caloric Supplement T1 Cranberry Juice T1 Dietary Supplement T1 Glucose Polymers T1 Lactose-Reduced Food PROSOURCE ZAC PA PROSOURCE NO PA CARB PROSOURCE NO PA CARB THICKENUP PA BENECALORIE PA THICKENUP PA SCANDISHAKE PA VITAJOULE PA ENSURE ACTIVE PA MUSCLE HEALTH T1 Lactose-Reduced Food ENSURE BONE PA HEALTH T1 Lactose-Reduced Food NUTRIHEAL PA T1 Lactose-Reduced Food NUTRITIONAL PA SHAKE T1 Lactose-Reduced Food NUTRITIONAL PA SHAKE PLUS T1 Lactose-Reduced Food PORTAGEN PA T1 Lactose-Reduced ISOSOURCE 1.5 CAL PA Food/Fiber T1 Lactose-Reduced JEVITY 1.2 CAL PA Food/Fiber T1 Maltodextrin SOL CARB PA T1 Milk Based Formula COMPLEAT PA PEDIATRIC T1 Milk Based THICKENUP PA Formula/Corn Starch T1 Ns Comb1/Fos/Inulin PEPTAMEN AF PA T1 Nut Tx, Lact-Reduced, BOOST VHC PA Iron T1 Nutrit NUTREN 1.5 FIBER PA Supp/Inulin/Fos/Fiber T1 Nutrit NUTREN JUNIOR PA Supp/Inulin/Fos/Fiber FIBER T1 Nutrit PEPTAMEN JUNIOR PA Supp/Inulin/Fos/Fiber FIBER T1 Nutritional Supplement NUTREN JUNIOR PA T1 Nutritional Supplement PEDIASURE PEPTIDE PA 1.5 CAL T1 Nutritional Supplement PEPTAMEN PA T1 Nutritional REPLETE WITH FIBER PA Supplement/Fiber T1 Orange Juice THICKENUP PA T1 Pedi PEDIASMART PA Nutrit.,Soy,Iron,Lf/Fiber ORGANIC DAIRY T1 Pediatric Nut,Milk PEDIASURE PA Based,Iron SIDEKICKS T1 Pediatric COMPLEAT PA Nutrit,Iron,Lf&Fiber PEDIATRIC REDUCED CAL T1 Pediatric PEDIASURE 1.5 WITH PA Nutrit,Iron,Lf&Fiber FIBER T1 Pediatric Nutrition, Iron, PEDIASURE 1.5 PA Lf T1 Protein Supplement PROSOURCE PA T1 Soy Protein ULTRAMINO PA Infant Formulas T1 Infant Form,Fe,LacFr,Hypoalr1 VNSNY PRODUCT 3232A PA T1 Infant Form,Propionic OA 1 Acidemia T1 Infant Formula, NEOCATE INFANT Iron/Dha/Ara DHA-ARA PA PA Metabolic Disease Enzyme Replace, Hypophosphatasia T2 asfotase alfa STRENSIQ PA Nut.Tx Phenylketonuria (Pku) Formulations T1 Nut. Therapy For Pku, No.49 T1 Nut. Tx For Pku With Iron #20 T1 Nut. Tx For Pku With Iron #27 T1 Nut. Tx For Pku With Iron #3 T1 Nut. Tx For Pku With Iron #35 T1 Nut. Tx For Pku With Iron #4 T1 Nut. Tx For Pku With Iron #40 T1 Nut. Tx For Pku With Iron #42 T1 Nut. Tx For Pku With Iron #45 T1 Nut. Tx For Pku With Iron #45 T1 Nut. Tx For Pku With Iron #48 T1 Nut. Tx For Pku With Iron #50 T1 Nut. Tx For Pku With Iron, #26 T1 Nut. Tx For Pku, #46 CAMINO-PRO PA RESTORE PERIFLEX ADVANCE PA PHENYLADE60 PA PERIFLEX JUNIOR PA PHENYLADE ESSENTIAL PKU COOLER 10 PA PKU LOPHLEX PA PKU LOPHLEX PA PHENYL-FREE 2 PA PHENYL-FREE 2HP PA PKU TRIO PA PHENYLADE RTD PKU 10 CAMINO PRO 15 PA CAMINO-PRO RESTORE PA PA PA Nutritional Therapy, Med Cond Special Formulation T1 Nut Sup,Glucose RESOURCE Intolerance #1 DIABETISHIELD T1 Nut Tx For Isovaleric LMD Acidemia T1 Nut Tx For Tyrosinemia TYR LOPHLEX W-Iron T1 Nut Tx Imp.Digest PEPTINEX DT Fxn,Soy&Fib1 T1 Nut Tx, Sulfite Ox. Def., XMET XCYS Iron MAXAMAID T1 Nut. Tx For Propionic MMA-PA COOLER Acidemia T1 Nut. Tx For Propionic OA2 Acidemia T1 Nut. Tx For Propionic OS 2 Acidemia T1 Nut.Soy,Lacfree/Fos/Dha PEPTAMEN /Epa/In BARIATRIC T1 Nut.Tx Ketogenic,Milk- KETOCAL 4:1 Base/Soy PA PA PA PA PA PA PA PA PA PA Page 38 of 75 T1 Nut.Tx,Impaired Renal RENA START PA Fxn,Whey T1 Nut.Tx,Metab.Dis,LeucinLEU-FREE COOLER PA e-Free T1 Nut.Tx,Metabolic HCU COOLER PA Dis,Methio-Fr T1 Nut.Tx,Metabolic HCU LOPHLEX PA Dis,Methio-Fr T1 Nut.Tx,Metabolic HCY 2 PA Dis,Methio-Fr T1 Nut.Tx,Metabolic HOM 2 PA Dis,Methio-Fr T1 Nut.Tx,Metabolic HOMINEX-2 PA Dis,Methio-Fr T1 Nut.Tx,Metabolic METHIONAID PA Dis,Methio-Fr T1 Nut.Tx,Metabolic XMET MAXAMAID PA Dis,Methio-Fr T1 Nut.Tx,Metabolic XMET MAXAMUM PA Dis,Methio-Fr T1 Nut.Tx. Metabolic HCU COOLER PA Disorder,Reg T1 Nut.Tx. Metabolic PERATIVE PA Disorder,Soy T1 Nut.Tx. Metabolic PFD 2 PA Disorder,Soy T1 Nut.Tx., Urea Cycle UCD ANAMIX JUNIOR PA Disorder T1 Nut.Tx., Urea Cycle UCD TRIO PA Disorder T1 Nut.Tx.,Elemental,Lac- XTRACAL PLUS PA Free/Mct T1 Nut.Tx.Comp. Immune IMPACT PEPTIDE 1.5 PA Systm,Reg CAL T1 Nut.Tx.Comp. Immune CRUCIAL PA Systm,Soy T1 Nut.Tx.Glu Int/Fos/Dha GLUCO BURST PA T1 Nut.Tx.Gluc BOOST GLUCOSE PA Intol,Lf,Soy/Fiber CONTROL T1 Nut.Tx.Gluc DIABETISOURCE AC PA Intol,Lf,Soy/Fiber T1 Nut.Tx.Gluc.Intoler,LacGLYTROL PA -Fr,Soy T1 Nut.Tx.Glucose RESOURCE DIABETIC PA Intolerance,Soy TF T1 Nut.Tx.Imp.Renal RENALCAL PA Fxn,Lac-Free T1 Nut.Tx.Impaired Digest ENSURE CLEAR PA Fxn T1 Nut.Tx.Impaired Digest EO28 SPLASH PA Fxn T1 Nut.Tx.Impaired Digest NEOCATE PA Fxn T1 Nut.Tx.Impaired Digest NEOCATE NUTRA PA Fxn T1 Nut.Tx.Impaired Digest PEPTAMEN JUNIOR PA Fxn T1 Nut.Tx.Impaired Digest F-A-A PA Fxn,Soy T1 Nut.Tx.Impaired Digest PEPTAMEN OS PA Fxn,Soy T1 Nut.Tx.Impaired NEOCATE JUNIOR PA Digest/Fiber WITH PREBIOTICS VNSNY T1 Nut.Tx.Impaired VITAL 1.0 CAL Digest/Fiber T1 Nut.Tx.Impaired VITAL 1.5 CAL Digest/Fiber T1 Nut.Tx.Impaired VITAL AF 1.2 CAL Digest/Fiber T1 Nut.Tx.Impaired NUTRIHEP Hepatic Fxn T1 Nut.Tx.Impaired Renal NEPRO Fxn,Soy T1 Nut.Tx.Pulm.Disord.Re NUTRIVENT 1.5 g,Lac-Fr T1 Nut.Tx.Pulm.Disord.So PULMOCARE y,Lac-Fr T1 Nutrit.Therapy, Msud ACERFLEX With Iron T1 Nutrit.Therapy, Msud BCAD 2 With Iron T1 Nutrit.Therapy, Msud CAMINO PRO 15 With Iron T1 Nutrit.Therapy, Msud MSUD LOPHLEX With Iron T1 Nutritional Tx, KETOCAL 3:1 Ketogenic,Milk T1 Nutritional Tx, KETOVOLVE Ketogenic,Whey PA PA PA PA PA PA PA PA PA PA PA PA PA Protein Replacement T1 Casein/Milk, Nf, Skim/Palm Oil T1 Infant Form. W-Iron Lf/Dha/Ara T1 Nut.Tx.Impaired Digest Fxn T1 Whey PRO-CAL PA ELECARE PA ELECARE JR PA IMMULIFE PA Thickening Agents, Oral T1 Cellulose Gum T1 Corn Starch T1 T1 T1 T1 Corn Starch Starch Starch Xanthan Gum THIK & CLEAR RESOURCE THICKENUP THICKENUP THICK NOW THICK-IT SIMPLYTHICK PA PA PA PA PA PA OTHER RESPIRATORY DISORDERS Antifibrotic Therapy - Pyridone Analogs T2 pirfenidone ESBRIET PA Cystic Fib.transmemb Conduct.reg.(cftr)potentiator T2 ivacaftor KALYDECO PA Cystic Fibrosis-cftr Potentiator & Corrector Comb. T2 lumacaftor/ivacaftor ORKAMBI PA ACETYLCYSTEINE PULMOZYME PA Mucolytics T1 acetylcysteine T2 dornase alfa Pulmonary Fibrosis - Systemic Enzyme Inhibitors T2 nintedanib esylate OFEV PA Page 39 of 75 PAIN MANAGEMENT - ANALGESICS Analgesic, Non-salicylate & Barbiturate Comb. T1 butalbital/acetaminoph BUTALBITALen ACETAMINOPHEN Analgesic,non-salicylate,barbiturate,&xanthine T1 morphine sulfate T1 morphine sulfate T1 morphine sulfate MORPHINE SULFATE ER(CPMP 24HR)(60 MG) MORPHINE SULFATE ER(CPMP 24HR)(75 MG) MORPHINE SULFATE ER(CPMP 24HR)(90 MG) MORPHINE SULFATE ER(TAB ER) NALBUPHINE HCL OXYCONTIN OXYCODONEACETAMINOPHEN NUCYNTA NUCYNTA ER Cmb T1 morphine sulfate T1 butalb/acetaminophen/c BUTALBITALaffeine ACETAMINOPHENCAFFE(CAP)(50-30040) T1 butalb/acetaminophen/c BUTALBITALaffeine ACETAMINOPHENCAFFE(TAB) T1 nalbuphine hcl T2 oxycodone hcl T1 oxycodone hcl/acetaminophen T2 tapentadol hcl T2 tapentadol hcl Analgesic/antipyretics, Salicylates Antimigraine Preparations T5 aspirin T5 aspirin/calcium carbonate/mag T1 choline sal/mag salicylate T1 diflunisal T1 salsalate ASPIRIN EC(OTC) TRI-BUFFERED ASPIRIN(OTC) CHOLINE MAG TRISALICYLATE DIFLUNISAL SALSALATE QL Analgesic/antipyretics,non-salicylate T5 acetaminophen MAPAP(OTC) Analgesics,narcotics T2 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 T1 buprenorphine BUTRANS QL fentanyl FENTANYL PA, QL fentanyl citrate FENTANYL CITRATE PA hydrocodone/acetamino HYDROCODONEQL phen ACETAMINOPHEN(SO LUTION)(10-325/15) hydrocodone/acetamino HYDROCODONEQL phen ACETAMINOPHEN(SO LUTION)(5-163/7.5) hydrocodone/acetamino HYDROCODONEQL phen ACETAMINOPHEN(SO LUTION)(7.5-325/15) hydrocodone/acetamino HYDROCODONEQL phen ACETAMINOPHEN(TA B)(10MG-325MG) hydrocodone/acetamino HYDROCODONEQL phen ACETAMINOPHEN(TA B)(5 MG-325MG) hydrocodone/acetamino HYDROCODONEQL phen ACETAMINOPHEN(TA B)(7.5-325MG) morphine sulfate MORPHINE SULFATE QL ER(CAP ER PEL) morphine sulfate MORPHINE SULFATE QL ER(CPMP 24HR)(120 MG) morphine sulfate MORPHINE SULFATE QL ER(CPMP 24HR)(30 MG) morphine sulfate MORPHINE SULFATE QL ER(CPMP 24HR)(45 MG) VNSNY T1 dihydroergotamine mesylate T1 dihydroergotamine mesylate QL QL QL QL QL QL QL QL DIHYDROERGOTAMI QL NE MESYLATE(AMPUL) DIHYDROERGOTAMI QL NE MESYLATE(SPRAY/PU MP) DIHYDROERGOTAMI NE MESYLATE(VIAL) CAFERGOT QL T1 dihydroergotamine mesylate T2 ergotamine tartrate/caffeine T1 rizatriptan benzoate RIZATRIPTAN QL T1 sumatriptan SUMATRIPTAN QL T1 sumatriptan succinate SUMATRIPTAN QL SUCCINATE(CARTRID GE) T1 sumatriptan succinate SUMATRIPTAN QL SUCCINATE(PEN INJCTR) T1 sumatriptan succinate SUMATRIPTAN QL SUCCINATE(TAB) T1 sumatriptan succinate SUMATRIPTAN QL SUCCINATE(VIAL) T2 zolmitriptan ZOMIG(SPRAY)(2.5 QL, ST MG) T2 zolmitriptan ZOMIG(SPRAY)(5 MG) QL, ST Narcotic Withdrawal Therapy Agents T2 buprenorphine hcl/naloxone hcl T2 buprenorphine hcl/naloxone hcl BUNAVAIL PA ZUBSOLV PA PARKINSONS DISEASE Antiparkinsonism Drugs,anticholinergic T4 benztropine mesylate T4 trihexyphenidyl hcl BENZTROPINE MESYLATE TRIHEXYPHENIDYL HCL Antiparkinsonism Drugs,other T1 amantadine hcl T2 apomorphine hcl AMANTADINE APOKYN PA, QL Page 40 of 75 T1 bromocriptine mesylate BROMOCRIPTINE MESYLATE T1 carbidopa/levodopa CARBIDOPALEVODOPA T1 carbidopa/levodopa/ent CARBIDOPAacapone LEVODOPAENTACAPONE T1 entacapone ENTACAPONE T1 pramipexole di-hcl PRAMIPEXOLE DIHYDROCHLORIDE T2 rasagiline mesylate AZILECT QL T1 ropinirole hcl ROPINIROLE HCL T2 rotigotine NEUPRO QL, ST T1 selegiline hcl SELEGILINE HCL Decarboxylase Inhibitors T1 carbidopa T4 carbamazepine T4 carbamazepine T4 carbamazepine T4 carbamazepine T4 T4 T4 T4 T4 T4 T4 T4 T4 T4 carbamazepine carbamazepine clobazam clobazam clonazepam diazepam diazepam diazepam divalproex sodium divalproex sodium T4 eslicarbazepine acetate T4 eslicarbazepine acetate T4 eslicarbazepine acetate T4 eslicarbazepine acetate T4 T4 T4 T4 T4 T4 T4 T4 ethosuximide ethosuximide ethotoin ezogabine ezogabine ezogabine ezogabine felbamate T4 felbamate VNSNY T4 T4 T4 T4 T4 T4 T4 T4 T4 gabapentin lacosamide lacosamide lamotrigine lamotrigine lamotrigine lamotrigine lamotrigine lamotrigine T4 lamotrigine T4 lamotrigine T4 lamotrigine T4 lamotrigine Anticonvulsants T1 carbamazepine T4 gabapentin T1 gabapentin CARBIDOPA SEIZURE DISORDER T1 carbamazepine T4 felbamate CARBAMAZEPINE(CP MP 12HR)(100 MG) CARBAMAZEPINE(CP MP 12HR)(200 MG) CARBAMAZEPINE(CP MP 12HR)(300 MG) CARBAMAZEPINE(OR AL SUSP) CARBAMAZEPINE(TA B CHEW) CARBAMAZEPINE(TA B) CARBATROL TEGRETOL XR ONFI(ORAL SUSP) QL, ST ONFI(TAB) QL, ST KLONOPIN DIASTAT DIASTAT ACUDIAL DIAZEPAM DEPAKOTE DIVALPROEX SODIUM ER APTIOM(TAB)(200 QL, ST MG) APTIOM(TAB)(400 QL, ST MG) APTIOM(TAB)(600 QL, ST MG) APTIOM(TAB)(800 QL, ST MG) ETHOSUXIMIDE ZARONTIN PEGANONE POTIGA(TAB)(200 MG)QL, ST POTIGA(TAB)(300 MG)QL, ST POTIGA(TAB)(400 MG)QL, ST POTIGA(TAB)(50 MG) QL, ST FELBAMATE(ORAL QL, ST SUSP) FELBAMATE(TAB)(400 QL, ST MG) T4 lamotrigine T4 T4 T4 T4 T4 T4 T4 lamotrigine levetiracetam levetiracetam levetiracetam methsuximide oxcarbazepine oxcarbazepine T4 oxcarbazepine T4 oxcarbazepine T4 oxcarbazepine T4 perampanel T4 perampanel T4 perampanel T4 perampanel T4 perampanel T4 perampanel T4 T4 T4 T4 T4 T4 T4 T4 T4 T4 phenytoin phenytoin phenytoin phenytoin sodium extended phenytoin sodium extended phenytoin sodium extended primidone primidone rufinamide rufinamide FELBAMATE(TAB)(600 QL, ST MG) GABAPENTIN(CAP) GABAPENTIN(SOLUTI ON) GABAPENTIN(TAB) VIMPAT(SOLUTION) QL, ST VIMPAT(TAB) QL, ST LAMICTAL LAMICTAL (BLUE) LAMICTAL (GREEN) LAMICTAL (ORANGE) LAMICTAL ODT LAMICTAL ODT (BLUE) LAMICTAL ODT (GREEN) LAMICTAL ODT (ORANGE) LAMICTAL XR (BLUE)ST LAMICTAL XR ST (GREEN) LAMICTAL XR ST (ORANGE) LAMOTRIGINE KEPPRA KEPPRA XR LEVETIRACETAM CELONTIN OXCARBAZEPINE OXTELLAR XR(TAB QL, ST ER 24H)(150 MG) OXTELLAR XR(TAB QL, ST ER 24H)(300 MG) OXTELLAR XR(TAB QL, ST ER 24H)(600 MG) TRILEPTAL FYCOMPA(TAB)(10 QL, ST MG) FYCOMPA(TAB)(12 QL, ST MG) FYCOMPA(TAB)(2 QL, ST MG) FYCOMPA(TAB)(4 QL, ST MG) FYCOMPA(TAB)(6 QL, ST MG) FYCOMPA(TAB)(8 QL, ST MG) DILANTIN DILANTIN-125 PHENYTOIN DILANTIN PHENYTEK PHENYTOIN SODIUM EXTENDED MYSOLINE PRIMIDONE BANZEL(ORAL SUSP) QL, ST BANZEL(TAB)(200 QL, ST MG) Page 41 of 75 T4 rufinamide T4 tiagabine hcl T4 tiagabine hcl T4 T4 T4 T4 T4 T4 T4 tiagabine hcl tiagabine hcl tiagabine hcl topiramate topiramate topiramate topiramate T4 topiramate T4 topiramate T4 topiramate T4 valproic acid T4 valproic acid (as sodium salt) T4 vigabatrin T4 zonisamide T4 zonisamide BANZEL(TAB)(400 QL, ST MG) GABITRIL(TAB)(12 QL, ST MG) GABITRIL(TAB)(16 QL, ST MG) GABITRIL(TAB)(2 MG) GABITRIL(TAB)(4 MG) TIAGABINE HCL QL, ST QUDEXY XR TOPAMAX TOPIRAMATE TROKENDI XR(CAP QL, ST ER 24H)(100 MG) TROKENDI XR(CAP QL, ST ER 24H)(200 MG) TROKENDI XR(CAP QL, ST ER 24H)(25 MG) TROKENDI XR(CAP QL, ST ER 24H)(50 MG) VALPROIC ACID VALPROIC ACID SABRIL ZONEGRAN ZONISAMIDE QL SKELETAL MUSCLE DISORDER UPPER GASTROINTESTINAL DISORDERS - DIGESTIVE Gastric Enzymes T2 sacrosidase T2 lipase/protease/amylase CREON T1 lipase/protease/amylase PANCRELIPASE 5,000 T2 lipase/protease/amylase ZENPEP UPPER GASTROINTESTINAL DISORDERS - SPASTIC DISEASE Anticholinergics/antispasmodics T1 dicyclomine hcl T1 hyoscyamine sulfate HYOSCYAMINE SULFATE T1 methscopolamine METHSCOPOLAMINE bromide BROMIDE T2 phenobarb/hyoscy/atropi DONNATAL ne/scop Inh T1 ipecac PA Skeletal Muscle Relaxants T1 baclofen T1 chlorzoxazone T1 cyclobenzaprine hcl T1 dantrolene sodium T1 methocarbamol T1 orphenadrine citrate T1 tizanidine hcl DICYCLOMINE HCL Belladonna Alkaloids Emetics KEVEYIS PA Pancreatic Enzymes Agents To Tx Periodic Paralysis - Carbon Anhyd T2 dichlorphenamide SUCRAID IPECAC(OTC) UPPER GASTROINTESTINAL DISORDERS - ULCER DISEASE BACLOFEN CHLORZOXAZONE CYCLOBENZAPRINE HCL DANTROLENE SODIUM METHOCARBAMOL ORPHENADRINE CITRATE TIZANIDINE HCL Antacids T5 aluminum hydroxide T5 calcium carbonate ALUMINUM HYDROXIDE(OTC) ANTACID EXTRA STRENGTH(OTC) MI ACID(OTC) T5 mag hydrox/al hydrox/simeth T5 mg FOAMING trisilicate/alh/nahco3/aa ANTACID(OTC) T5 sodium bicarbonate SODIUM BICARBONATE(OTC) SMOKING CESSATION Smoking Deterrent Agents Anticholinergics,quaternary Ammonium T5 nicotine T5 nicotine polacrilex Smoking Deterrent-nicotinic Recept.partial Agonist T1 glycopyrrolate GLYCOPYRROLATE T1 propantheline bromide PROPANTHELINE BROMIDE T4 varenicline tartrate Anti-ulcer Preparations NICODERM CQ(OTC) NICORETTE(OTC) CHANTIX Smoking Deterrents, Other T4 bupropion hcl BUPROBAN QL T1 misoprostol T2 sucralfate T1 sucralfate MISOPROSTOL CARAFATE SUCRALFATE Anti-ulcer-h.pylori Agents T1 lansoprazole/amoxiciln/ LANSOPRAZOLclarith AMOXICILCLARITHRO VNSNY QL Page 42 of 75 Histamine H2-receptor Inhibitors Urinary Tract Analgesic Agents T1 T5 T1 T1 T5 T1 T1 T5 T2 pentosan polysulfate sodium cimetidine cimetidine cimetidine hcl famotidine famotidine nizatidine ranitidine hcl ranitidine hcl CIMETIDINE CIMETIDINE(OTC) CIMETIDINE FAMOTIDINE FAMOTIDINE(OTC) NIZATIDINE RANITIDINE HCL RANITIDINE HCL(OTC) ELMIRON Urinary Tract Anesthetic/analgesic Agnt T1 phenazopyridine hcl PHENAZOPYRIDINE HCL Urinary Tract Antispasmodic, M(3) Selective Antag. T2 solifenacin succinate VESICARE ST Intestinal Motility Stimulants Urinary Tract Antispasmodic/antiincontinence T1 metoclopramide hcl Agent METOCLOPRAMIDE HCL QL, ST T2 fesoterodine fumarate T1 flavoxate hcl T1 oxybutynin chloride QL, ST T1 tolterodine tartrate Proton-pump Inhibitors T1 esomeprazole magnesium T2 esomeprazole magnesium T1 lansoprazole T1 lansoprazole T2 T1 T5 T1 lansoprazole omeprazole omeprazole pantoprazole sodium T1 rabeprazole sodium ESOMEPRAZOLE MAGNESIUM NEXIUM LANSOPRAZOLE LANSOPRAZOLE(OT C) PREVACID ST OMEPRAZOLE OMEPRAZOLE(OTC) PANTOPRAZOLE SODIUM RABEPRAZOLE QL SODIUM TOVIAZ FLAVOXATE HCL OXYBUTYNIN CHLORIDE TOLTERODINE TARTRATE Vaginal Antibiotics T1 clindamycin phosphate CLINDAMYCIN PHOSPHATE T1 metronidazole METRONIDAZOLE Vaginal Antifungals DISORDERS Benign Prostatic Hypertrophy/micturition Agents Vaginal Estrogen Preparations T1 T1 T1 T1 T2 estradiol T2 estradiol T2 estrogens, conjugated alfuzosin hcl dutasteride finasteride tamsulosin hcl ALFUZOSIN HCL ER DUTASTERIDE G, ST FINASTERIDE TAMSULOSIN HCL butoconazole nitrate miconazole nitrate miconazole nitrate miconazole nitrate terconazole GYNAZOLE 1 MICONAZOLE 3 MICONAZOLE 3(OTC) MONISTAT 3(OTC) TERCONAZOLE ESTRACE VAGIFEM PREMARIN Vaginal Sulfonamides Bph Agents,5-alpha-red Inh & Alpha-1-adr Antg T2 sulfanilamide Cmb VITAMIN AND/OR MINERAL T1 dutasteride/tamsulosin DUTASTERIDEhcl TAMSULOSIN G, ST Kidney Stone Agents T2 cysteamine bitartrate SODIUM CITRATE & CITRIC ACID PHOSPHA 250 NEUTRAL T1 potassium citrate POTASSIUM CITRATE ER T1 potassium citrate/citric CYTRA-K acid T1 sod/pot/k cit/sod cit/cit TRICITRATES acid VNSNY AVC DEFICIENCY Antioxidant Multivitamin Combinations PROCYSBI Urinary Ph Modifiers T1 citric acid/sodium citrate T1 phosphorus #1 ST VAGINAL DISORDERS T2 T1 T5 T5 T1 URINARY TRACT - FUNCTIONAL ST PA T5 beta-carotene(a) w-c & e/zn/cu T5 vit a,c & e/lutein/minerals T5 vit a/vit c/vit e/zinc/copper VISION-VITE + ZINC(OTC) I-VITE(OTC) PRESERVISION AREDS(OTC) Calcium Replacement T5 calcium carb &gluconate/vit d2 T5 calcium carbonate T5 calcium carbonate/vitamin d2 PARVA-CAL 500(OTC) CALCIUM(OTC) OYSTER SHELL CALCIUM W-VIT D(OTC) Page 43 of 75 T5 calcium carbonate/vitamin d3 OYSTER SHELL CALCIUM W-VIT D(OTC) T5 calcium citrate CALCITRATE(OTC) T1 calcium/mag/d3/b12/fa/ TL G-FOL OS b6/boron T5 calcium/multivitamin FOSFREE(OTC) with iron Fluoride Preparations T1 T2 T2 T1 sodium fluoride sodium fluoride sodium fluoride sodium fluoride/potassium nit T1 stannous fluoride FLUORIDE FLUORITAB FLURA-DROPS FLUORIDEX SENSITIVITY RELIEF GEL-KAM(OTC) Folic Acid Preparations T1 folic acid T1 folic acid T5 multivitmin/fa/lycopen/lutein FOLIC ACID FOLIC ACID(OTC) BIOCEL(OTC) Geriatric Vitamin Preparations T5 multivit with ironminerals T5 multivitamin with minerals T5 multivitamin with minerals/lut T5 multivitmin/fa/lycopen/lutein T5 mv, min #36/iron,carbonyl/fa SPECTRAVITE SENIOR(OTC) ONE DAILY 50 PLUS(OTC) CEROVITE SENIOR(OTC) CERTAVITE SENIORANTIOXIDANT(OTC) GERITOL COMPLETE(OTC) Iron Replacement T1 fe fumarate/cal/e/fa/multi vit T1 fe fumarate/doss/fa/bcom p,c T1 fe fumarate/vit c/b12/stomc T1 fe fumarate/vit c/b12if/fa T1 ferrous fumarate/folic acid T5 ferrous sulfate T5 ferrous sulfate T1 T1 T1 T1 T1 T1 VITAFOL NEPHRON FA HEMATOGEN Magnesium Salts Replacement FEROCON T5 magnesium T5 magnesium oxide HEMATINIC WITH FOLIC ACID FER-IN-SOL(OTC) FERROUS SULFATE(OTC) ferrous sulfate/vit c/fa FOLITAB 500(OTC) iron ag&fum/c/fa/mv FERREX 28 cmb11/ca-t iron MULTIGEN ag/c/b12/ca/suc.acid/sto m iron FERREX 150 FORTE aspgly&ps/c/b12/fa/ca/s PLUS uc iron aspgly,ps/c/succinic FERREX 150 acid PLUS(OTC) iron aspgly/c/b12/fa/ca- MULTIGEN FOLIC th/suc VNSNY T1 iron TARON FORTE bg,ps/vitc/b12/fa/calciu m T1 iron FOCALGIN DSS carb,gl/fa/b12/c/docusat e T1 iron fum & MULTIGEN PLUS ag/c/b12/fa/ca/succ T1 iron fum & ps FOLIVANE-F cmp/fa/vit c/b3 T1 iron SE-TAN PLUS fum&polysac#1/fa/mv no.18 T1 iron fum,ps/fa/vit b FOLIVANE-PLUS with c #9 T1 iron fumarate/vit c/vit TRIGELS-F FORTE b12/fa T1 iron polysac/iron HEMETAB heme/fa/b12 T5 iron polysaccharide FERREX 150(OTC) complex T1 iron ps cmplx/vit b12/fa POLY-IRON 150 FORTE T1 iron, carbonyl/fa/c/b- CORVITA 150 6/b12/zn T1 iron,carb/dss/b12if/fa/m TL-HEM 150 v-mn T2 iron,carb/fa#6/mv, min CORVITE 150 no.41 T1 iron,carbonyl/vit c/vit IRON 100 PLUS(OTC) b12/fa T1 iron/fa/b12/c/docusate FERRAPLUS 90 sodium T1 iron/fa/vit HEMATINIC PLUS bcomp,c/minerals T5 iron/liver ext/vit SIDEROL(OTC) bcomp,c/min T5 iron/mv,stress form STRESS FORMULA WITH IRON(OTC) T5 vit b comp/c/fa/iron STRESS FORMULA sulf/vite WITH IRON(OTC) T5 vit b comp/c/fa/iron/vit STRESS FORMULA e WITH IRON(OTC) MAGNESIUM(OTC) MAGNESIUM OXIDE(OTC) Mineral Replacement,miscellaneous T1 minerals/protein supplement PROVIMIN(OTC) Multivitamin Preparations T5 a/c/e/zinc/sod PROSIGHT(OTC) selenate/copper T1 amino acids/mv,th w- TYR COOLER(OTC) fe,mn T1 b complex with vitamin VITAMIN B-COMPLEX c WITH VIT C(CAP)(OTC) T5 b complex with vitamin VITAMIN B-COMPLEX c WITH VIT C(TAB)(OTC) Page 44 of 75 T5 beta-carotene(a) w-c & OCUTABS(OTC) e/min T5 cal/mag/b comp/vit WOMEN'S d3/hrb61 COMPLEX(OTC) T5 fa/mv,ca,iron,min/lycop MULTIVITAL(OTC) ene/lut T1 fe fumarate/fa/vit DIALYVITE 800 WITH bcomp,c IRON T5 folic acid/multivitESSENTIAL WOMAN min/lutein 50+(OTC) T5 folic acid/mv,fe,min ONE DAILY FOR WOMEN(OTC) T5 folic CERTA PLUS(OTC) acid/mv,fe,min/lutein T5 multivit with MULTIVITAMINS Wcalcium,iron,min CALCIUM-IRON(OTC) T5 multivit with ironMULTILEX(OTC) minerals T1 multivit, iron, min #5, STROVITE FORTE fa T1 multivit, min BACMIN cmb#20/iron/fa T5 multivit,ca,iron,min/fa/ DAILY ENERGY(OTC) hrb146 T5 multivit,tx,iron/calcm/f THERA-M(OTC) a/mins T5 multivitamin TAB-A-VITE(OTC) T1 multivitamin no.44/vit MULTIVITAMINSd3/k A,B,D,E,K,ZN T5 multivitamin with iron TAB-A-VITE WITH IRON(OTC) T5 multivitamin with MULTIVITAMINS minerals WITH MINERALS(OTC) T5 multivitamin,stress STRESS formula FORMULA(OTC) T5 multivitamin,stress STRESS FORMULA formula/zn WITH ZINC(OTC) T5 multivitamin,ther and VITAMIN AND minerals MINERALS(OTC) T5 multivitamin,therapeuti THERA(OTC) c T5 multivitamin/iron/folic CEROVITE acid ADVANCED FORMULA(OTC) T1 multivitamin-minerals V-C FORTE no.7/fa T5 multivitICAPS MV(OTC) min/fa/lutein/zeaxant T5 multivitCENTRUM SILVER min/fa/lycopen/lutein ULTRA MEN'S(OTC) T5 multivitSENTRY min/fa/lycopen/lutein SENIOR(OTC) T5 multivit-min/folic TRUEPLUS acid/vit k1 MULTIVITAMIN(OTC) T5 multivit-min/herbal MEN'S drugs BIOMULTIPLE(OTC) T5 multivitCENTURY ENERGY min/iron/fa/ginseng METABOLISM(OTC) T5 multivitCENTRUM SILVER min/iron/folic/lutein WOMEN(OTC) T5 multivitSPECTRAVITE ULTRA min/iron/folic/lutein WOMEN'S(OTC) VNSNY T5 multivitONE-A-DAY minerals/fa/lycopene MEN'S(OTC) T5 multivit-minerals/folic ONE DAILY acid ESSENTIAL(OTC) T5 multivitDAILY minerals/folic/ginkgo MULTIPLE(OTC) T5 multivits wCENTRAL-VITE(OTC) iron,hematinic T5 multivits,ca,min/iron/fa SPECTRAVITE /lycop MEN'S(OTC) T5 multivits,ca,minerals/iron ONE-A-DAY /fa WOMEN'S(OTC) T5 multivits,ca,minerals/ir THERA-M(OTC) on/fa T5 multivits,th w-ca,fe,oth THERAPEUTIC min M(OTC) T5 multivits,th w-fe,other THEREMS-M(OTC) min T1 multivits,therap wB-PLEX PLUS fe,hematin T5 mv wMEGA ca/iron/fa/lutein/hrb#17 MULTIVITAMIN(OTC) 9 T5 mv,ca,iron,min/fa/phyto CENTRAL-VITE sterol CARDIO(OTC) T5 mv,ca,iron,min/fa/phytostCENTRUM erol SPECIALIST HEART(OTC) T5 mv,ca,min/iron COMPLETE(OTC) fum/fa/lyco/lut T5 mv,ca,min/iron MULTI FOR HER(OTC) fum/fa/vit k T5 mv,ca,min/iron/fa/guar ONE-A-DAY ana/caff WOMEN'S(OTC) T5 mv,ca,min/iron/fa/lyc/lut/ SPECTRAVITE phyt CARDIO HEALTH(OTC) T5 mv,fe,min/gr tea lfxt DAILY MULTIPLE(OTC) T5 mv,fe,min/lutein THERATRUM COMPLETE(OTC) T5 mv,minerals/fa/lycopen DAILY e/ginkgo MULTIPLE(OTC) T5 mv/gnk bi ex/k.ginsg CENTRAL VITE(OTC) T5 mv-min/iron SUNVITE(OTC) fum/fa/k/lyco/lutn T5 mvMEGA MULTI(OTC) mn/fa/lycopene/lut/hb# 178 T1 om-3/calcium/d3/fa/mv ADVANCED AM/PM cmb 13 T1 omVIT 3 3/dha/epa/b12/fa/b6/ph ytost T5 vit a/vit c/vit ICAPS(OTC) e/zinc/copper T5 vitb&c/iron fum/fa/vit STRESS FORMULA e/aa#16 ENERGY(OTC) Pediatric Vitamin Preparations T1 fluoride/iron/vitamins TRI-VIT WITH a,c,d FLUORIDE-IRON T5 multivit with ironLYSIPLEX PLUS(OTC) minerals Page 45 of 75 T5 ped multivit #46/iron sulfate T1 ped mv a,c,d3 #21 wfluoride T1 ped mv a,c,d3 #38 wfluoride T1 pedi m.vit no.17 with fluoride T1 pedi multivit #65/vit d3/vit k T1 pedi multivit no.2 wfluoride T5 pedi multivits a,c,&d3 no.21 T1 pedi mv #45/fluoride/iron T1 pedi mv #75/fluoride/iron T1 pedi mv no.83 with fluoride T1 pedi mv no.84 with fluoride T1 pedi mvi no.12/sodium fluoride T1 pedi mvi no.16 with fluoride T1 pedi mvi no.82 with fluoride T5 pediatric multivitamin no.20 T5 vit a palmitate/vit c/vit d3 POLYVITAMIN WITH IRON(OTC) TRI-VITAMIN WITH FLUORIDE TRI-VI-FLORO MULTIVITAMIN WITH FLUORIDE MULTIVITAMINSA,B,D,E,K,ZN MULTIVITAMINS WITH FLUORIDE TRI-VITAMIN(OTC) MULTIVITAMINS WFLUORIDE-IRON MULTIVITAMINS WFLUORIDE-IRON QUFLORA QUFLORA MVC-FLUORIDE MULTIVITAMINS WITH FLUORIDE MULTIVITAMINS WITH FLUORIDE POLY-VITAMIN(OTC) TRI-VI-SOL(OTC) Prenatal Vitamin Preparations T1 iron,carbonyl/vit c/vit b12/fa T1 pn vit.w-o ca #7, iron,fa,dha T1 pnv #14/ferrous fum/folic acid T1 pnv #15/iron fum,ps/folic acid T1 pnv #19/iron ps&heme/folic/dha T1 pnv #8/iron ps cmp,aspg/fa/dha T1 pnv #87/iron bisgly/fa/dha T1 pnv 11-iron fum-folic acid-om3 T1 pnv combo #22/iron/fa/om3/dha T1 pnv combo#47/iron/fa #1/dha T1 pnv no.115/iron fumarate/fa T1 pnv no.118/iron fumarate/fa T1 pnv no.22/iron cbn&gluc/fa/dss T1 pnv no.66/iron,carbonyl/fa/ dha VNSNY ICAR-C PLUS ELITE OB DHA COMPLETENATE FOLIVANE-OB VP-HEME ONE PAIRE OB PLUS DHA TRI-TABS DHA C-NATE DHA HEMENATAL OB + DHA PNV-DHA PRENATAL 19 PRENATAL 19(OTC) VINACAL R-NATAL OB T1 pnv no10/iron SE-TAN DHA fum&p/fa/omega-3 T1 pnv OBSTETRIX DHA no12/iron,carb/fa/dss/o m-3 T1 pnv w-ca #40/iron PNV-SELECT fum/fa cmb#1 T1 pnv w-ca ULTIMATECARE ONE no.37/iron/fa/omega-3 T1 pnv wPNV-IRON ca8/iron/fa/lmefolate ca T1 pnv with ca VIRT-PN PLUS #68/iron/fa#1/dha T1 pnv with ca no.65/iron MARNATAL-F poly/fa T1 pnv with VOL-PLUS ca#74/iron/folic acid T1 pnv with TRIVEEN-ONE ca,no.62/iron/fa/dha T1 pnv with CALCIUM PNV ca,no.70/iron/fa/dha T1 pnv with PRENATAL PLUS ca,no.72/iron,carb/fa T1 pnv with PRENATAL PLUS ca,no.72/iron/fa T1 pnv w-o ca no5/fe PRENATAL-U fumarate/fa T1 pnv#16/iron fum & TARON-C DHA ps/fa/om-3 T1 pnv#21/iron ps& heme HEMENATAL OB polyp/fa T1 pnv#64/iron/lmfolate/al VINATE DHA RF gal/soy T1 pnv#79/iron/fa/lmfolate VINATE DHA ca/dha T1 pnv,ca,no.35/iron/fa/ds/ ULTIMATECARE ONE omeg-3 NF T1 pnv/ferrous MYNATE 90 PLUS fumarate/doss/fa T1 pnv/ferrous VINATE-M fumarate/fa/se T1 pnv/iron,carbonyl/docu MYNATAL sate/fa T1 pnv100/iron BAL-CARE DHA edta&ps/fa/omega3 ESSENTIAL T1 pnv115/iron PRENATAL 19 fumarate/fa/dss T1 pnv119/iron SE-NATAL 19 fumarate/fa/dss T1 pnv17/iron/fa/fish ELITE-OB 400 oil/dha/om T1 pnv19/iron bg hc&succ- PR NATAL 400 EC p/fa/om3 T1 pnv34/iron,carbonyl/fa/ VP-CH-PNV dss/dha T1 pnv39/iron TARON-PREX fumarate/fa/dss/dha PRENATAL T1 pnv53/iron b-g hclTRIVEEN-DUO DHA p/fa/omega3 T1 pnv54/iron b-g hclPR NATAL 430 p/fa/omega3 T1 pnv55/iron bg hc&succ- PR NATAL 430 EC p/fa/om3 Page 46 of 75 T1 pnv59/iron,carbonyl/fa/ VP-CH PLUS dss/dha T1 pnv66/iron VIRTPREX fumarate/fa/dss/dha T1 pnv69/iron,carbonyl/fa/ PRENAISSANCE PLUS dss/dha T1 pnv7/fe asp VINATE PN CARE gly/docusate/fa T1 pnv80/iron PRENAISSANCE fumarate/fa/dss/dha T1 pnv81/sod iron edta& BAL-CARE DHA ps/fa/om3 T5 pnv95/ferrous PRENATAL(OTC) fumarate/fa T1 prenat vit VITAFOL-OB+DHA comb.10/iron/fa/dha T1 prenatal EXTRA-VIRT PLUS #57/iron/fa/dss/dha DHA T1 prenatal comb PRENA1 CHEW no.42/folic acid T1 prenatal no.13/iron SELECT-OB ps/fa cb#1 T1 prenatal VP-PNV-DHA no.52/iron/fa/dha T1 prenatal VITAFOL NANO no.75/iron/folate #1 T1 prenatal vit VOL-TAB RX #76/iron,carb/fa T1 prenatal vit 15/iron VIRT-ADVANCE cb/fa/dss T1 prenatal vit 16/iron VIRT-VITE GT cb/fa/dss T1 prenatal vit 18/iron INATAL ULTRA cb/fa/dss T1 prenatal vit VINATE CARE no.109/iron/fa T1 prenatal vit O-CAL PRENATAL no.127/iron/fa T5 prenatal vit PRENATAL ONE no.129/iron/fa DAILY(OTC) T1 prenatal vit TRINATE no.73/iron/fa T1 prenatal vit PRENATABS FA no.78/iron/fa T1 prenatal vit#4/iron PUREFE OB PLUS fum,ps/fa T1 prenatal vit#86/iron NEWGEN bisgly/fa T5 prenatal vit#96/ferrous PRENATAL(OTC) fum/fa T1 prenatal vit/iron VINATE II bisglycin/fa T5 prenatal vit/iron PRENATAL fumarate/fa VITAMINS(OTC) T1 prenatal VINATE ONE vit27,calcium/iron/fa T1 prenatal vits#4/iron PUREFE PLUS fum/fa T1 pv w-o cal/iron ps SELECT-OB cplx/fa Prenatal Vitamins Without Iron T1 pnv w-o FOLBECAL iron/fa/calcium/b6/b12 VNSNY T1 pnv/fa/b6/calcium carb/ginger T1 pnv/fa/b6/calcium phos/ginger PRENAISSANCE NEXT-B PRENAISSANCE NEXT Vitamin A Preparations T5 vitamin a T5 vitamin a palmitate VITAMIN A(OTC) VITAMIN A(OTC) Vitamin B Preparations T1 b cmplx 4/vit VITAL-D RX d3/c/fa/zinc ox T1 b complex & c RENO CAPS no.20/folic acid T1 b12/levomefolate FOLBIC RF calcium/b-6 T1 cyanocobalamin/fa/pyri FOLBIC doxine T1 cyanocobalamin/fa/pyri FOLBIC(OTC) doxine T5 fa/vit b complex & VITAMIN B-COMPLEX c/rice bran WITH VIT C(OTC) T5 fa/vit DIALYVITE 800bcomp,c/zinc/vitamin d3 ULTRA D(OTC) T1 folic acid/b complex & c VIRT-VITE PLUS no.17 T1 folic acid/b DIALYVITE 3000 cplx/c/selen/zinc T1 folic acid/vit bcomp,c DIALYVITE T1 folic acid/vit FOLBEE PLUS CZ bcomp,c/cu/znox T1 vit b cmplx 3/fa/vit RENA-VITE RX c/biotin T1 vit b cmplx NEPHPLEX RX no3/fa/c/biot/zinc T5 vit b complex 100 cmb NATURAL BALANCED #2/herbs B-100(OTC) T5 vit b complex 100 cmb BALANCED B#3/herbs 100(OTC) T1 vit b cplx DIALYVITE ZINC #11/fa/c/biot/zn ox T1 vitamin b complex VITAMIN B COMPLEX(CAP)(OTC) T5 vitamin b complex VITAMIN B COMPLEX(TAB)(OTC) T5 vitamin b STRESS complex/minerals FORMULA(OTC) T1 vitamins b1,b2,b3,b5,& B-COMPLEX b6 Vitamin B1 Preparations T5 thiamine hcl VITAMIN B-1(OTC) T5 thiamine mononitrate VITAMIN B-1(OTC) Vitamin B12 Preparations T1 cyanocobalamin CYANOCOBALAMIN (vitamin b-12) INJECTION T1 cyanocobalamin/mecob NEURIN-SL alamin T1 hydroxocobalamin HYDROXOCOBALAMI N Vitamin B6 Preparations T5 pyridoxine hcl VITAMIN B-6(OTC) Page 47 of 75 Vitamin C Preparations T5 ascorbic acid VITAMIN C(OTC) T5 ascorbic acid/ascorbate ACEROLA C(OTC) sodium Vitamin D Preparations T1 calcitriol CALCITRIOL T5 cholecalciferol (vitamin VITAMIN D(OTC) d3) T5 cholecalciferol (vitamin VITAMIN D3(OTC) d3) T1 ergocalciferol (vitamin VITAMIN D2 d2) AGE AGE Zinc Replacement T1 zinc sulfate VNSNY ZINC SULFATE(OTC) Page 48 of 75 Preferred Drug List Medication Prescribing Limitations AGE RESTRICTIONS • DEXMETHYLPHENIDATE HCL ER • FOCALIN XR • METHYLPHENIDATE ER(CPBP 50-50)(20 MG) • METHYLPHENIDATE ER(CPBP 50-50)(30 MG) • METHYLPHENIDATE ER(CPBP 50-50)(40 MG) • METHYLPHENIDATE ER(TAB ER 24H)(18 MG) • METHYLPHENIDATE ER(TAB ER 24H)(27 MG) • METHYLPHENIDATE ER(TAB ER 24H)(36 MG) • METHYLPHENIDATE ER(TAB ER 24H)(54 MG) • METHYLPHENIDATE ER(TAB ER)(10 MG) • METHYLPHENIDATE ER(TAB ER)(20 MG) • RITALIN LA • TACROLIMUS • VITAMIN D(OTC) • VITAMIN D3(OTC) VNSNY <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years <= 18 years >= 2 years >= 65 years >= 65 years Page 49 of 75 Preferred Drug List Medication Prescribing Limitations QUANTITY RESTRICTIONS • ABACAVIR • ABILIFY • ABILIFY • ADVAIR DISKUS • ADVAIR HFA • AEROSPAN • AFINITOR(TAB)(10 MG) • AFINITOR(TAB)(2.5 MG) • AFINITOR(TAB)(5 MG) • AKYNZEO • ALECENSA • ALENDRONATE SODIUM(SOLUTION) • AMITIZA • AMLODIPINE-ATORVASTATIN • ANDROXY • ANORO ELLIPTA • APLENZIN • APOKYN • APTIOM(TAB)(200 MG) • APTIOM(TAB)(400 MG) • APTIOM(TAB)(600 MG) • APTIOM(TAB)(800 MG) • ARIPIPRAZOLE • ASPIRIN EC(OTC) • ATRIPLA • ATROVENT HFA • AZELASTINE HCL • AZILECT • BANZEL(ORAL SUSP) • BANZEL(TAB)(200 MG) • BANZEL(TAB)(400 MG) • BELSOMRA • BIMATOPROST • BOSULIF(TAB)(100 MG) • BOSULIF(TAB)(500 MG) • BREO ELLIPTA • BRILINTA • BRINTELLIX • BRISDELLE • BUDESONIDE(AMPULNEB)(0.25MG/2ML) • BUDESONIDE(AMPUL-NEB)(0.5 MG/2ML) • BUDESONIDE(AMPUL-NEB)(1 MG/2 ML) • BUTRANS • CAFERGOT • CAMRESE • CAPECITABINE(TAB)(150 MG) • CAPECITABINE(TAB)(500 MG) • CAPRELSA(TAB)(100 MG) • CAPRELSA(TAB)(300 MG) • CHANTIX • CLONIDINE HCL ER • CLOPIDOGREL(TAB)(300 MG) • CLOZAPINE • CLOZARIL • COLCHICINE • COMBIPATCH • COMETRIQ • COTELLIC VNSNY 60 units per 30 days 1 tablet per day Solution 30mL per day 60 units per 30 days 12 gm per 30 days 17.8 gm per 30 days 1 unit per 1 day 1 unit per 1 day 1 unit per 1 day 1 unit per 28 days 240 capsules per 30 days 75 ml per 7 days 2 units per 1 day 1 unit per 1 day 120 units per 30 days 60 units per 30 days 1 unit per 1 day 2 ml per 1 day 1 unit per 1 day 1 unit per 1 day 2 units per 1 day 2 units per 1 day 1 unit per 1 day 100 units per fill 30 units per 30 days 25.8 gm per 30 days 60 ml per 30 days 1 unit per 1 day 80 ml per 1 day 16 units per 1 day 8 units per 1 day 1 unit per 1 day 1 ml per 12 days 4 units per 1 day 1 unit per 1 day 60 units per 30 days 2 units per 1 day 1 unit per 1 day 1 unit per 1 day 120 ml per 30 days 120 ml per 30 days 60 ml per 30 days 1 unit per 7 days 10 units per 7 days 91 unit per 84 days 28 units per 21 day 112 units per 21 day 2 units per 1 day 1 unit per 1 day 2 units per 1 day 120 units per 30 days 4 units per 30 days 3 units per 1 day 3 units per 1 day 4 units per 1 day 2 units per 7 days 4 units per 1 day 63 tablets per 28 days • CRESTOR(TAB)(10 MG) 1 unit per 1 day • CRESTOR(TAB)(20 MG) 1 unit per 1 day • CRESTOR(TAB)(40 MG) 1 unit per 1 day • CRESTOR(TAB)(5 MG) 1 unit per 1 day • CYMBALTA 2 units per 1 day • DALIRESP 1 unit per 1 day • DEPO-PROVERA 1 ml per 84 days • DEPO-SUBQ PROVERA 104 .65 ml per 84 days • DESLORATADINE 1 unit per 1 day • DESVENLAFAXINE ER 1 unit per 1 day • DESVENLAFAXINE FUMARATE ER 1 unit per 1 day • DEXMETHYLPHENIDATE HCL ER 1 unit per 1 day • DEXTROAMPHETAMINE SULFATE(SOLUTION) 1800 ml per 30 days • DEXTROAMPHETAMINE SULFATE(TAB)(10 MG) 180 units per 30 days • DEXTROAMPHETAMINE SULFATE(TAB)(5 MG) 90 units per 30 days • DEXTROAMPHETAMINEAMPHETAMINE 2 units per 1 day • DIDANOSINE(CAP DR)(125 MG) 60 units per 30 days • DIDANOSINE(CAP DR)(200 MG) 60 units per 30 days • DIFICID 20 units per 30 days • DIHYDROERGOTAMINE MESYLATE(AMPUL) 15 ml per 14 days • DIHYDROERGOTAMINE MESYLATE(SPRAY/PUMP) 8 ml per 28 days • DOXYCYCLINE HYCLATE 2 units per 1 day • DOXYCYCLINE MONOHYDRATE(CAP) 2 units per 1 day • DOXYCYCLINE MONOHYDRATE(TAB)(100 MG) 2 units per 1 day • DOXYCYCLINE MONOHYDRATE(TAB)(150 MG) 2 units per 1 day • DOXYCYCLINE MONOHYDRATE(TAB)(50 MG) 2 units per 1 day • DOXYCYCLINE MONOHYDRATE(TAB)(75 MG) 2 units per 1 day • DRONABINOL 2 units per 1 day • DULERA 13 gm per 30 days • DULOXETINE HCL 2 units per 1 day • EDLUAR 1 unit per 1 day • EFFIENT 1 unit per 1 day • ELIQUIS(TAB)(2.5 MG) 2 units per 1 day • ELIQUIS(TAB)(5 MG) 74 units per 30 days • EMEND(CAP DS PK) 3 units per 21 day • EMEND(CAP)(125 MG) 3 units per 21 day • EMEND(CAP)(40 MG) 1 unit per 28 days • EMEND(CAP)(80 MG) 2 units per 21 day • EMSAM 1 unit per 1 day • EMTRIVA(CAP) 30 units per 30 days • EMTRIVA(SOLUTION) 720 ml per 30 days • ENOXAPARIN SODIUM(SYRINGE)(100 MG/ML) 20 ml per 30 days • ENOXAPARIN SODIUM(SYRINGE)(120MG/.8ML) 16 ml per 30 days • ENOXAPARIN SODIUM(SYRINGE)(150 MG/ML) 20 ml per 30 days • ENOXAPARIN SODIUM(SYRINGE)(30MG/0.3ML) 6 ml per 30 days Page 50 of 75 Preferred Drug List Medication Prescribing Limitations • ENOXAPARIN SODIUM(SYRINGE)(40MG/0.4ML) 8 ml per 30 days • ENOXAPARIN SODIUM(SYRINGE)(60MG/0.6ML) 12 ml per 30 days • ENOXAPARIN SODIUM(SYRINGE)(80MG/0.8ML) 16 ml per 30 days • ENOXAPARIN SODIUM(VIAL) 30 ml per 30 days • EPZICOM 30 units per 30 days • ERIVEDGE 1 unit per 1 day • ESOMEPRAZOLE MAGNESIUM 1 unit per 1 day • ESTRADIOL(PATCH TDSW) 2 units per 7 days • ESTRADIOL(PATCH TDWK) 1 unit per 7 days • EVOTAZ 1 unit per 1 day • FANAPT(TAB DS PK) 8 units per 28 days • FANAPT(TAB) 2 units per 1 day • FELBAMATE(ORAL SUSP) 30 ml per 1 day • FELBAMATE(TAB)(400 MG) 9 units per 1 day • FELBAMATE(TAB)(600 MG) 6 units per 1 day • FENTANYL 1 unit per 3 days • FETZIMA 1 unit per 1 day • FIRMAGON(VIAL)(120 MG) 2 units per 365 days • FIRMAGON(VIAL)(80 MG) 1 unit per 30 days • FLUNISOLIDE 25 ml per 30 days • FLUTICASONE PROPIONATE 16 gm per 30 days • FLUTICASONE PROPIONATE(OTC) 16 ml per 30 days • FOCALIN XR 1 unit per 1 day • FONDAPARINUX SODIUM(SYRINGE)(10MG/0.8ML) 8 ml per 30 days • FONDAPARINUX SODIUM(SYRINGE)(2.5 MG/0.5) 5 ml per 30 days • FONDAPARINUX SODIUM(SYRINGE)(5MG/0.4ML) 4 ml per 30 days • FONDAPARINUX SODIUM(SYRINGE)(7.5MG/0.6) 6 ml per 30 days • FORTEO 2.4 ml per 28 days • FRAGMIN(SYRINGE)(10000/ML) 10 ml per 30 days • FRAGMIN(SYRINGE)(12500/0.5) 5 ml per 30 days • FRAGMIN(SYRINGE)(15000/0.6) 6 ml per 30 days • FRAGMIN(SYRINGE)(18000/0.72)7.2 ml per 30 days • FRAGMIN(SYRINGE)(2500/0.2ML) 2 ml per 30 days • FRAGMIN(SYRINGE)(5000/0.2ML) 2 ml per 30 days • FRAGMIN(SYRINGE)(7500/0.3ML) 3 ml per 30 days • FRAGMIN(VIAL) 7.6 ml per 30 days • FUZEON 60 units per 30 days • FYCOMPA(TAB)(10 MG) 30 units per 30 days • FYCOMPA(TAB)(12 MG) 30 units per 30 days • FYCOMPA(TAB)(2 MG) 120 units per 30 days • FYCOMPA(TAB)(4 MG) 60 units per 30 days • FYCOMPA(TAB)(6 MG) 60 units per 30 days • FYCOMPA(TAB)(8 MG) 30 units per 30 days • GABITRIL(TAB)(12 MG) 4 units per 1 day • GABITRIL(TAB)(16 MG) 3 units per 1 day • GALANTAMINE HBR(CAP24H PEL) 30 units per 30 days • GALANTAMINE HBR(TAB) 60 units per 30 days • GENVOYA 1 tablet per day • GEODON 2 units per 1 day • GLYXAMBI 1 unit per 1 day • GRANISETRON HCL 8 units per 30 days • GUANFACINE HCL ER 1 unit per 1 day VNSNY • HUMALOG KWIKPEN U-100 30 ml per 28 days • HUMALOG KWIKPEN U-200 12 ml per 28 days • HUMALOG MIX 50-50 40 ml per 28 days • HUMALOG MIX 50-50 KWIKPEN 30 ml per 28 days • HUMALOG MIX 75-25 40 ml per 28 days • HUMALOG MIX 75-25 KWIKPEN 30 ml per 28 days • HUMALOG(CARTRIDGE) 30 ml per 28 days • HUMALOG(VIAL) 40 ml per 28 days • HUMULIN 70/30 KWIKPEN(OTC) 30 ml per 28 days • HUMULIN 70-30(OTC) 40 ml per 28 days • HUMULIN N KWIKPEN(OTC) 30 ml per 28 days • HUMULIN N(OTC) 40 ml per 28 days • HUMULIN R U-500 40 ml per 28 days • HUMULIN R(OTC) 40 ml per 28 days • HYDROCODONEACETAMINOPHEN(SOLUTION) (10-325/15) 184 ml per 1 day • HYDROCODONEACETAMINOPHEN(SOLUTION)(5163/7.5) 184 ml per 1 day • HYDROCODONEACETAMINOPHEN(SOLUTION) (7.5-325/15) 184 ml per 1 day • HYDROCODONEACETAMINOPHEN(TAB)(10MG325MG) 12 units per 1 day • HYDROCODONEACETAMINOPHEN(TAB)(5 MG325MG) 12 units per 1 day • HYDROCODONEACETAMINOPHEN(TAB)(7.5325MG) 12 units per 1 day • ICLUSIG(TAB)(15 MG) 2 units per 1 day • ICLUSIG(TAB)(45 MG) 1 unit per 1 day • IMATINIB MESYLATE(TAB)(100 MG) 3 tablets per day • IMATINIB MESYLATE(TAB)(400 MG) 2 tablets per day • IMIQUIMOD 24 units per 30 days • INCRUSE ELLIPTA 30 units per 30 days • INLYTA(TAB)(1 MG) 6 units per 1 day • INLYTA(TAB)(5 MG) 2 units per 1 day • INTERMEZZO 1 unit per 1 day • INVEGA(TAB ER 24H)(1.5 MG) 1 unit per 1 day • INVEGA(TAB ER 24H)(3 MG) 1 unit per 1 day • INVEGA(TAB ER 24H)(6 MG) 2 units per 1 day • INVEGA(TAB ER 24H)(9 MG) 1 unit per 1 day • INVIRASE(CAP) 300 units per 30 days • INVIRASE(TAB) 120 units per 30 days • INVOKAMET 2 units per 1 day • INVOKANA 30 units per 30 days • IPRIVASK 6 units per 30 days • JAKAFI 2 units per 1 day • JANUMET 2 units per 1 day • JANUMET XR(TBMP 24HR)(1001000MG) 1 unit per 1 day • JANUMET XR(TBMP 24HR)(501000 MG) 2 units per 1 day • JANUMET XR(TBMP 24HR)(50MG-500MG) 2 units per 1 day • JANUVIA 1 unit per 1 day • JARDIANCE 1 unit per 1 day • JENTADUETO 2 units per 1 day • KALETRA(SOLUTION) 390 ml per 30 days Page 51 of 75 Preferred Drug List Medication Prescribing Limitations • KALETRA(TAB)(100MG-25MG) 300 units per 30 days • KALETRA(TAB)(200MG-50MG) 120 units per 30 days • KHEDEZLA 1 unit per 1 day • LAMIVUDINE(SOLUTION) 900 ml per 30 days • LAMIVUDINE(TAB)(150 MG) 60 units per 30 days • LAMIVUDINE(TAB)(300 MG) 30 units per 30 days • LAMIVUDINE-ZIDOVUDINE 60 units per 30 days • LANSOPRAZOL-AMOXICILCLARITHRO 112 units per 10 days • LANTUS 40 ml per 28 days • LANTUS SOLOSTAR 30 ml per 28 days • LATUDA(TAB)(120 MG) 30 units per 30 days • LATUDA(TAB)(20 MG) 30 units per 30 days • LATUDA(TAB)(40 MG) 30 units per 30 days • LATUDA(TAB)(60 MG) 30 units per 30 days • LATUDA(TAB)(80 MG) 60 units per 30 days • LEVOCETIRIZINE DIHYDROCHLORIDE(SOLUTION) 10 ml per 1 day • LINZESS 1 unit per 1 day • LUMIGAN 1 ml per 12 days • LUNESTA 1 unit per 1 day • LYNPARZA 16 units per 1 day • MEMANTINE HCL(SOLUTION) 300 ml per 30 days • MEMANTINE HCL(TAB DS PK) 49 units per 28 days • MEMANTINE HCL(TAB) 60 units per 30 days • METHAMPHETAMINE HCL 150 units per 30 days • METHYLPHENIDATE ER(CPBP 50-50)(20 MG) 1 unit per 1 day • METHYLPHENIDATE ER(CPBP 50-50)(30 MG) 2 units per 1 day • METHYLPHENIDATE ER(CPBP 50-50)(40 MG) 1 unit per 1 day • METHYLPHENIDATE ER(TAB ER 24H)(18 MG) 1 unit per 1 day • METHYLPHENIDATE ER(TAB ER 24H)(27 MG) 1 unit per 1 day • METHYLPHENIDATE ER(TAB ER 24H)(36 MG) 2 units per 1 day • METHYLPHENIDATE ER(TAB ER 24H)(54 MG) 1 unit per 1 day • METHYLPHENIDATE ER(TAB ER)(10 MG) 3 units per 1 day • METHYLPHENIDATE ER(TAB ER)(20 MG) 90 units per 30 days • MORPHINE SULFATE ER(CAP ER PEL) 2 units per 1 day • MORPHINE SULFATE ER(CPMP 24HR)(120 MG) 2 units per 1 day • MORPHINE SULFATE ER(CPMP 24HR)(30 MG) 1 unit per 1 day • MORPHINE SULFATE ER(CPMP 24HR)(45 MG) 1 unit per 1 day • MORPHINE SULFATE ER(CPMP 24HR)(60 MG) 1 unit per 1 day • MORPHINE SULFATE ER(CPMP 24HR)(75 MG) 1 unit per 1 day • MORPHINE SULFATE ER(CPMP 24HR)(90 MG) 1 unit per 1 day • MORPHINE SULFATE ER(TAB ER) 3 units per 1 day • MOVANTIK 1 unit per 1 day • MYALEPT 1 unit per 1 day • NAMENDA XR(CAP 24 DSPK) 28 units per 28 days • NAMENDA XR(CAP SPR 24) 30 units per 30 days VNSNY • NAMZARIC • NARCAN 1 unit per 1 day 4 nasal sprays per 30 days 17 gm per 30 days 1 unit per 1 day 1200 ml per 30 days 60 units per 30 days 4 units per 1 day 1 unit per 1 day 150 units after 30 days 360 units per 30 days 450 ml per 30 days 360 units per 30 days 6 units per 1 day 2 units per 1 day 1 unit per 28 days 1 unit per 1 day • NASONEX • NEUPRO • NEVIRAPINE(ORAL SUSP) • NEVIRAPINE(TAB) • NEXAVAR • NEXIUM • NILANDRON • NORVIR(CAP) • NORVIR(SOLUTION) • NORVIR(TAB) • NUCYNTA • NUCYNTA ER • NUVARING • ODEFSEY • OLANZAPINE-FLUOXETINE HCL 1 unit per 1 day • OLEPTRO ER 3 units per 2 days • OLOPATADINE HCL 30.5 gm per 30 days • OMEGA-3 ACID ETHYL ESTERS 4 units per 1 day • ONDANSETRON HCL(SOLUTION) 50 ml per 15 days • ONFI(ORAL SUSP) 480 ml per 30 days • ONFI(TAB) 2 units per 1 day • ORTHO EVRA 3 units per 28 days • OXTELLAR XR(TAB ER 24H)(150 MG) 1 unit per 1 day • OXTELLAR XR(TAB ER 24H)(300 MG) 1 unit per 1 day • OXTELLAR XR(TAB ER 24H)(600 MG) 4 units per 1 day • OXYCODONEACETAMINOPHEN 12 units per 1 day • OXYCONTIN 2 capsules per day • OXYCONTIN 4 capsules per day • PERFOROMIST 120 ml per 30 days • PEXEVA 1 unit per 1 day • PICATO(GEL)(0.015 %) 3 units per 28 days • PICATO(GEL)(0.05 %) 2 units per 28 days • POTIGA(TAB)(200 MG) 3 units per 1 day • POTIGA(TAB)(300 MG) 3 units per 1 day • POTIGA(TAB)(400 MG) 3 units per 1 day • POTIGA(TAB)(50 MG) 9 units per 1 day • PREZCOBIX 1 unit per 1 day • PREZISTA(ORAL SUSP) 240 ml per 30 days • PREZISTA(TAB)(150 MG) 240 units per 30 days • PREZISTA(TAB)(400 MG) 60 units per 30 days • PREZISTA(TAB)(600 MG) 60 units per 30 days • PREZISTA(TAB)(75 MG) 480 units per 30 days • PREZISTA(TAB)(800 MG) 30 units per 30 days • PRISTIQ ER 1 unit per 1 day • QNASL 8.7 gm per 30 days • QUILLIVANT XR 360mL in 30 days • QUILLIVANT XR 240mL per 30 days • QUILLIVANT XR 300mL per 30 days • QUILLIVANT XR 60mL in 30 days, • RABEPRAZOLE SODIUM 1 unit per 1 day • RALOXIFENE HCL 1 unit per 1 day • RANEXA(TAB ER 12H)(1000 MG)60 units per 30 days • RANEXA(TAB ER 12H)(500 MG) 120 units per 30 days • RASUVO(AUTO INJECT)(10MG/0.2ML) .8 ml per 28 days Page 52 of 75 Preferred Drug List Medication Prescribing Limitations • RASUVO(AUTO INJECT)(12.5/0.25) • RASUVO(AUTO INJECT)(15MG/0.3ML) • RASUVO(AUTO INJECT)(17.5/0.35) • RASUVO(AUTO INJECT)(20MG/0.4ML) • RASUVO(AUTO INJECT)(22.5/0.45) • RASUVO(AUTO INJECT)(25MG/0.5ML) • RASUVO(AUTO INJECT)(27.5/0.55) • RASUVO(AUTO INJECT)(30MG/0.6ML) • RASUVO(AUTO INJECT)(7.5MG/0.15) • RESTASIS • REVLIMID • RISPERDAL(SOLUTION) • RISPERDAL(TAB) • RITALIN LA • RIVASTIGMINE • RIZATRIPTAN • ROZEREM • SABRIL • SAPHRIS • SEROQUEL • SEROQUEL XR • SILENOR • SIMCOR(TBMP 24HR)(100020MG) • SIMCOR(TBMP 24HR)(1000-40 MG) • SIMCOR(TBMP 24HR)(500MG20MG) • SIMCOR(TBMP 24HR)(500MG40MG) • SIMCOR(TBMP 24HR)(750MG20MG) • SONATA • SPIRIVA RESPIMAT • SPRYCEL(TAB)(100 MG) • SPRYCEL(TAB)(140 MG) • SPRYCEL(TAB)(20 MG) • SPRYCEL(TAB)(50 MG) • SPRYCEL(TAB)(70 MG) • SPRYCEL(TAB)(80 MG) • STAVUDINE(CAP) • STAVUDINE(SOLN RECON) • STIOLTO RESPIMAT • STIVARGA • STRATTERA(CAP)(10 MG) • STRATTERA(CAP)(100 MG) • STRATTERA(CAP)(18 MG) • STRATTERA(CAP)(25 MG) • STRATTERA(CAP)(40 MG) • STRATTERA(CAP)(60 MG) • STRATTERA(CAP)(80 MG) • STRIBILD • STRIVERDI RESPIMAT • SUMATRIPTAN VNSNY 1 ml per 28 days 1.2 ml per 28 days 1.4 ml per 28 days 1.6 ml per 28 days 1.8 ml per 28 days 2 ml per 28 days 2.2 ml per 28 days 2.4 ml per 28 days .6 ml per 28 days 64 units per 30 days 1 unit per 1 day 8 ml per 1 day 2 units per 1 day 1 unit per 1 day 30 units per 30 days 3 units per 5 days 1 unit per 1 day 6 units per 1 day 2 units per 1 day 3 units per 1 day 1 unit per 1 day 1 unit per 1 day 2 units per 1 day 1 unit per 1 day 1 unit per 1 day 1 unit per 1 day 2 units per 1 day 1 unit per 1 day 4 gm per 30 days 1 unit per 1 day 1 unit per 1 day 2 units per 1 day 1 unit per 1 day 1 unit per 1 day 1 unit per 1 day 60 units per 30 days 2400 ml per 30 days 4 gm per 30 days 3 units per 1 day 60 units per 30 days 30 units per 30 days 60 units per 30 days 60 units per 30 days 60 units per 30 days 30 units per 30 days 30 units per 30 days 30 units per 30 days 4 gm per 30 days 6 units per 15 days • SUMATRIPTAN SUCCINATE(CARTRIDGE) 1 ml per 14 days • SUMATRIPTAN SUCCINATE(PEN INJCTR) 1 ml per 14 days • SUMATRIPTAN SUCCINATE(TAB) 3 units per 5 days • SUMATRIPTAN SUCCINATE(VIAL) 1 ml per 14 days • SUTENT 1 unit per 1 day • SYLATRON 1 unit per 28 days • SYMBYAX 1 unit per 1 day • SYNJARDY 2 units per 1 day • TAGRISSO 1 tablet per day • TAMIFLU(CAP)(30 MG) 40 units per 183 days • TAMIFLU(CAP)(45 MG) 20 units per 183 days • TAMIFLU(CAP)(75 MG) 20 units per 183 days • TAMIFLU(SUSP RECON) 360 ml per 183 days • TANZEUM 4 units per 28 days • TARCEVA 1 unit per 1 day • TASIGNA 4 units per 1 day • THALOMID 2 units per 1 day • TIAGABINE HCL 4 units per 1 day • TOUJEO SOLOSTAR 7.5 ml per 28 days • TRADJENTA 1 unit per 1 day • TRAVATAN Z 1 ml per 12 days • TRAVOPROST 1 ml per 12 days • TRIUMEQ 1 unit per 1 day • TROKENDI XR(CAP ER 24H)(100 MG) 1 unit per 1 day • TROKENDI XR(CAP ER 24H)(200 MG) 2 units per 1 day • TROKENDI XR(CAP ER 24H)(25 MG) 1 unit per 1 day • TROKENDI XR(CAP ER 24H)(50 MG) 1 unit per 1 day • TRULICITY 2 ml per 28 days • TRUVADA 30 units per 30 days • ULORIC 30 units per 30 days • VANCOMYCIN HCL 40 units per 30 days • VASCEPA 4 units per 1 day • VERSACLOZ 18 ml per 1 day • VIDEX 1200 ml per 30 days • VIIBRYD 1 unit per 1 day • VIMPAT(SOLUTION) 1200 ml per 30 days • VIMPAT(TAB) 2 units per 1 day • VIREAD(POWDER) 225 gm per 30 days • VIREAD(TAB) 30 units per 30 days • VITEKTA 1 unit per 1 day • VOTRIENT 4 units per 1 day • VYVANSE 1 unit per 1 day • XALKORI 2 units per 1 day • XARELTO(TAB DS PK) 51 unit per 30 days • XARELTO(TAB)(10 MG) 1 unit per 1 day • XARELTO(TAB)(15 MG) 42 tablets for the first 21 days; followed by 30 tablets per 30 days • XARELTO(TAB)(20 MG) 1 unit per 1 day • XTANDI 4 units per 1 day • ZELBORAF 8 units per 1 day • ZENZEDI 90 units per 30 days • ZETIA 1 unit per 1 day • ZIAGEN 900 ml per 30 days • ZIDOVUDINE(CAP) 180 units per 30 days • ZIDOVUDINE(SYRUP) 1800 ml per 30 days Page 53 of 75 Preferred Drug List Medication Prescribing Limitations • ZIDOVUDINE(TAB) • ZOLPIDEM TARTRATE • ZOLPIMIST • ZOMIG(SPRAY)(2.5 MG) • ZOMIG(SPRAY)(5 MG) • ZYPREXA • ZYTIGA VNSNY 60 units per 30 days 1 unit per 1 day 7.7 ml per 30 days 12 units per 30 days 6 units per 15 days 1 unit per 1 day 4 units per 1 day Page 54 of 75 Preferred Drug List Medication Prescribing Limitations STEP THERAPY EDITS • ABILIFY • ABILIFY • ACTOPLUS MET XR • ADASUVE • AMLODIPINE-VALSARTAN • AMLODIPINE-VALSARTAN-HCTZ • APLENZIN • APTIOM(TAB)(200 MG) • APTIOM(TAB)(400 MG) • APTIOM(TAB)(600 MG) • APTIOM(TAB)(800 MG) • ARIPIPRAZOLE • BANZEL(ORAL SUSP) • BANZEL(TAB)(200 MG) • BANZEL(TAB)(400 MG) • BELSOMRA • BENICAR • BENICAR HCT • BEYAZ VNSNY Trial of 2 of the following: olanzapine, quetiapine IR, risperidone, risperidone ODT, ziprasidone, venlafaxine, paroxetine, sertraline, citalopram, fluoxetine, or escitalopram in the past 365 days. Trial of 2 of the following: olanzapine, quetiapine IR, risperidone, risperidone ODT, ziprasidone, venlafaxine, paroxetine, sertraline, citalopram, fluoxetine, or escitalopram in the past 365 days. Trial of metformin, metformin ER, sulfonylurea (e.g., glyburide, glipizide) or pioglitazone within the past 120 days 26411, 26409, 67665, 67663, 67661, 67662, 98524), risperidone (GPID = 16135, 16136, 16137, 16138, 16139, 92872,92872), risperidone ODT (GPID = 19178, 19179, 19541, 25024, 25025,24448), ziprasidone (HICL = 21974), venlafaxine (HICL=08847), paroxetine (HICL=07344, 25796), sertraline (HICL=06324), citalopram (HICL=10321), fluoxetine (HICL=01655), or escitalopram (HICL=24022) in the past 365 days. Trial of ACE or ACE combination (benazepril,captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril, amlodipine besylate/benazepril, fosinopril/hctz, enalapril/hctz, captopril/hctz, quinapril/hctz, benazepril/hctz, lisinopril/hctz, moexipril/hctz, trandolapril/verapamil) OR ACE combination or formulary generic ARB or ARB combination (irbesartan, losartan, losartan/hctz, irbesartan/hctz, valsartan/hctz) within the past 120 days Trial of ACE or ACE combination (benazepril,captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril, amlodipine besylate/benazepril, fosinopril/hctz, enalapril/hctz, captopril/hctz, quinapril/hctz, benazepril/hctz, lisinopril/hctz, moexipril/hctz, trandolapril/verapamil) OR ACE combination or formulary generic ARB or ARB combination (irbesartan, losartan, losartan/hctz, irbesartan/hctz, valsartan/hctz) within the past 120 days Trial of bupropion hcl SR or XL within the past 120 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide required within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide required within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide required within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide required within the past 365 days Trial of 2 of the following: olanzapine, quetiapine IR, risperidone, risperidone ODT, ziprasidone, venlafaxine, paroxetine, sertraline, citalopram, fluoxetine, or escitalopram in the past 365 days. Trial of lamotrigine, valproic acid or topiramate within the past 120 days Trial of lamotrigine, valproic acid or topiramate within the past 120 days Trial of lamotrigine, valproic acid or topiramate within the past 120 days Trial of zolpidem IR, zaleplon or eszopiclone within the past 120 days Trial of ACE or ACE combination (benazepril,captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril, amlodipine besylate/benazepril, fosinopril/hctz, enalapril/hctz, captopril/hctz, quinapril/hctz, benazepril/hctz, lisinopril/hctz, moexipril/hctz, trandolapril/verapamil) OR ACE combination or formulary generic ARB or ARB combination (irbesartan, losartan, losartan/hctz, irbesartan/hctz, valsartan/hctz) within the past 120 days Trial of ACE or ACE combination (benazepril,captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril, amlodipine besylate/benazepril, fosinopril/hctz, enalapril/hctz, captopril/hctz, quinapril/hctz, benazepril/hctz, lisinopril/hctz, moexipril/hctz, trandolapril/verapamil) OR ACE combination or formulary generic ARB or ARB combination (irbesartan, losartan, losartan/hctz, irbesartan/hctz, valsartan/hctz) within the past 120 days Trial of two different non-drospirenone oral contraceptives (containing levonorgestrel, norethindrone, norgestimate, norgestrel, desogestrel, or ethinynodiol ace.) within the past 365 days Page 55 of 75 Preferred Drug List Medication Prescribing Limitations • BRINTELLIX • BRISDELLE • CALCIPOTRIENE • CALCIPOTRIENE-BETAMETHASONE DP • CALCITRIOL • CRESTOR(TAB)(10 MG) • CRESTOR(TAB)(20 MG) • CRESTOR(TAB)(40 MG) • CRESTOR(TAB)(5 MG) • DALIRESP • DESVENLAFAXINE ER • DESVENLAFAXINE FUMARATE ER • DIFICID • DOXYCYCLINE HYCLATE • DOXYCYCLINE MONOHYDRATE(TAB)(100 MG) • DRITHOCREME HP • DRONABINOL • DUTASTERIDE • DUTASTERIDE-TAMSULOSIN • EDLUAR • ESOMEPRAZOLE MAGNESIUM • FANAPT(TAB DS PK) • FANAPT(TAB) • FELBAMATE(ORAL SUSP) • FELBAMATE(TAB)(400 MG) • FELBAMATE(TAB)(600 MG) • FETZIMA • FYCOMPA(TAB)(10 MG) • FYCOMPA(TAB)(12 MG) • FYCOMPA(TAB)(2 MG) • FYCOMPA(TAB)(4 MG) • FYCOMPA(TAB)(6 MG) • FYCOMPA(TAB)(8 MG) • GABITRIL(TAB)(12 MG) VNSNY Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, venlafaxine IR, venlafaxine ER, mirtazapine, or bupropion within the past 365 days Trial of paroxetine or venlafaxine within the past 120 days Trial of a topical corticosteroid within the past 120 days Trial of a topical corticosteroid within the past 120 days Trial of a topical corticosteroid within the past 120 days Trial of atorvastatin 40mg or atorvastatin 80mg within the past 120 days Trial of atorvastatin 40mg or atorvastatin 80mg within the past 120 days Trial of atorvastatin 40mg or atorvastatin 80mg within the past 120 days Trial of two of the following: atorvastatin, lovastatin, pravastatin or simvastatin within the past 365 days Trial of Spiriva, Incruse, Striverdi, Breo Ellipta, Advair Diskus or Dulera required within the past 120 days Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, venlafaxine IR, venlafaxine ER, mirtazapine, or bupropion within the past 365 days Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, venlafaxine IR, venlafaxine ER, mirtazapine, or bupropion within the past 365 days Trial of vancomycin capsules within the past 120 days Trial of doxycycline monohydrate within the past 120 days Trial of generic doxycycline monohydrate 100mg capsules within the past 120 days Trial of a topical corticosteroid within the past 120 days Trial of ondansetron, corticosteroids and Emend within the past 365 days Trial of Proscar, alfuzosin, doxazosin, prazosin, silodosin, tamsulosin or terazosin within the past 120 days Trial of finasteride 5mg, alfuzosin, doxazosin, prazosin, silodosin, tamsulosin or terazosin in the last 120 days Trial of zolpidem IR/ER (Ambien) within the past 180 days Trial of omeprazole, lansoprazole or pantoprazole within the past 120 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of lamotrigine or topiramate within the past 120 days Trial of lamotrigine or topiramate within the past 120 days Trial of lamotrigine or topiramate within the past 120 days Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, venlafaxine IR, venlafaxine ER, mirtazapine, or bupropion within the past 365 days Trial of two of the following: carbamzepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide within the past 365 days Trial of two of the following: carbamzepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide within the past 365 days Trial of two of the following: carbamzepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide within the past 365 days Trial of two of the following: carbamzepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide within the past 365 days Trial of two of the following: carbamzepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide within the past 365 days Trial of two of the following: carbamzepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid or divalproex, topiramate, or zonisamide within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Page 56 of 75 Preferred Drug List Medication Prescribing Limitations • GABITRIL(TAB)(16 MG) • GLYXAMBI • GRANISETRON HCL • INTERMEZZO • INVEGA(TAB ER 24H)(1.5 MG) • INVEGA(TAB ER 24H)(3 MG) • INVEGA(TAB ER 24H)(6 MG) • INVEGA(TAB ER 24H)(9 MG) • INVOKAMET • INVOKANA • JARDIANCE • KHEDEZLA • LAMICTAL XR (BLUE) • LAMICTAL XR (GREEN) • LAMICTAL XR (ORANGE) • LATUDA(TAB)(120 MG) • LATUDA(TAB)(20 MG) • LATUDA(TAB)(40 MG) • LATUDA(TAB)(60 MG) • LATUDA(TAB)(80 MG) Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of metformin/metformin combination OR formulary sulfonylurea OR pioglitazone/pioglitazone combination in the past 120 days. Trial of ondansetron tablets or ODT within the past 120 days Trial of zolpidem IR (Ambien) within the past 120 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of metformin/metformin combination OR formulary sulfonylurea OR pioglitazone/pioglitazone combination in the past 120 days. Trial of metformin/metformin combination OR formulary sulfonylurea OR pioglitazone/pioglitazone combination in the past 120 days. Trial of metformin/metformin combination OR formulary sulfonylurea OR pioglitazone/pioglitazone combination in the past 120 days. Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, venlafaxine IR, venlafaxine ER, mirtazapine, or bupropion within the past 365 days Trial of lamotrigine IR within the past 120 days Trial of lamotrigine IR within the past 120 days Trial of lamotrigine IR within the past 120 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days • LEVOCETIRIZINE DIHYDROCHLORIDE(SOLUTION) • NAMZARIC • NEUPRO • NEXIUM • NIACIN ER Trial of desloratadine or levocetirizine tablet within the past 120 days Trial of donepezil and memantine within the past 365 days Trial of pramipexole IR or ropinirole IR within the past 120 days Trial of omeprazole, lansoprazole or pantoprazole within the past 120 days Trial of two of the following: generic/multisource statin (atorvastatin, lovastatin, pravastatin or simvastatin), gemfibrozil or genofibrate within the past 365 days • OCELLA Trial of two different non-drospirenone oral contraceptives (containing levonorgestrel, norethindrone, norgestimate, norgestrel, desogestrel, or ethinynodiol ace.) within the past 365 days • OLEPTRO ER Trial of immediate release trazodone within the past 120 days • OLOPATADINE HCL Trial of Astelin (azelastine) within the past 120 days • ONFI(ORAL SUSP) Trial of lamotrigine or topiramate within the past 120 days • ONFI(TAB) Trial of lamotrigine or topiramate within the past 120 days • OXTELLAR XR(TAB ER 24H)(150 MG) Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days • OXTELLAR XR(TAB ER 24H)(300 MG) Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days • OXTELLAR XR(TAB ER 24H)(600 MG) Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days • PEXEVA Trial of paroxetine HCL IR within the past 120 days • PIOGLITAZONE-METFORMIN Trial of metformin, metformin ER, sulfonylurea (e.g., glyburide, glipizide) or pioglitazone within the past 120 days VNSNY Page 57 of 75 Preferred Drug List Medication Prescribing Limitations • POTIGA(TAB)(200 MG) • POTIGA(TAB)(300 MG) • POTIGA(TAB)(400 MG) • POTIGA(TAB)(50 MG) • PREVACID • PRISTIQ ER • PURIXAN • QNASL • QUILLIVANT XR • QUILLIVANT XR • QUILLIVANT XR • QUILLIVANT XR • RASUVO(AUTO INJECT)(10MG/0.2ML) • RASUVO(AUTO INJECT)(12.5/0.25) • RASUVO(AUTO INJECT)(15MG/0.3ML) • RASUVO(AUTO INJECT)(17.5/0.35) • RASUVO(AUTO INJECT)(20MG/0.4ML) • RASUVO(AUTO INJECT)(22.5/0.45) • RASUVO(AUTO INJECT)(25MG/0.5ML) • RASUVO(AUTO INJECT)(27.5/0.55) • RASUVO(AUTO INJECT)(30MG/0.6ML) • RASUVO(AUTO INJECT)(7.5MG/0.15) • ROZEREM • SAFYRAL • SAPHRIS • SEROQUEL XR • SILENOR • SIMCOR(TBMP 24HR)(1000-20MG) • SIMCOR(TBMP 24HR)(1000-40 MG) • SIMCOR(TBMP 24HR)(500MG-20MG) • SIMCOR(TBMP 24HR)(500MG-40MG) • SIMCOR(TBMP 24HR)(750MG-20MG) • SIMVASTATIN(TAB)(80 MG) • SYNJARDY • TACROLIMUS • TANZEUM • TIAGABINE HCL VNSNY Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of omeprazole, lansoprazole or pantoprazole within the past 120 days Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, venlafaxine IR, venlafaxine ER, mirtazapine, or bupropion within the past 365 days Trial of mercaptopurine tablet within the past 120 days Trial of fluticasone or flunisolide within the past 365 days Trial of Ritalin LA or Metadate CD within past 120 days Trial of Ritalin LA or Metadate CD within past 120 days Trial of Ritalin LA or Metadate CD within past 120 days Trial of Ritalin LA or Metadate CD within past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of methotrexate tablet or solution for injection within the past 120 days Trial of one of the following: eszopiclone(Lunesta), zolpidem IR (Ambien) or zaleplon (Sonata) within the past 120 days Trial of two different non-drospirenone oral contraceptives (containing levonorgestrel, norethindrone, norgestimate, norgestrel, desogestrel, or ethinynodiol ace.) within the past 365 days Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of two of the following: olanzapine/ODT, quetiapine IR, risperidone/ODT, ziprasidone, sertraline, fluoxetine, venlafaxine, paroxetine, citalopram, or escitalopram within the past 365 days Trial of one of the following: eszopiclone(Lunesta), zolpidem IR (Ambien) or zaleplon (Sonata) within the past 120 days Trial of two of the following: atorvastatin, lovastatin, pravastatin or simvastatin within the past 365 days Trial of two of the following: atorvastatin, lovastatin, pravastatin or simvastatin within the past 365 days Trial of two of the following: atorvastatin, lovastatin, pravastatin or simvastatin within the past 365 days Trial of two of the following: atorvastatin, lovastatin, pravastatin or simvastatin within the past 365 days Trial of two of the following: atorvastatin, lovastatin, pravastatin or simvastatin within the past 365 days Trial of simvastatin 80mg or Vytorin 10/80mg within the past 120 days Trial of metformin, metformin ER, sulfonylurea (e.g., glyburide, glipizide), pioglitazone or a combination product containing any two of the three aforementioned agents within the past 120 days Trial of a topical corticosteroid within the past 120 days Trial of metformin/metformin combination OR formulary sulfonylurea OR pioglitazone/pioglitazone combination in the past 120 days. Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Page 58 of 75 Preferred Drug List Medication Prescribing Limitations • TOLTERODINE TARTRATE • TOVIAZ • TRIGLIDE • TROKENDI XR(CAP ER 24H)(100 MG) • TROKENDI XR(CAP ER 24H)(200 MG) • TROKENDI XR(CAP ER 24H)(25 MG) • TROKENDI XR(CAP ER 24H)(50 MG) • TRULICITY • VERSACLOZ • VESICARE • VIIBRYD • VIMPAT(SOLUTION) • VIMPAT(TAB) • VYVANSE • ZENZEDI • ZOLPIMIST • ZOMIG(SPRAY)(2.5 MG) • ZOMIG(SPRAY)(5 MG) VNSNY Trial of oxybutynin IR or obybutynin XL within the past 120 days Trial of oxybutynin or oxybutynin ER within the past 120 days Trial of gemifibrozil or generic fenofibrate within the past 120 days Trial of topiramate IR within the past 120 days Trial of topiramate IR within the past 120 days Trial of topiramate IR within the past 120 days Trial of topiramate IR within the past 120 days Trial of metformin/metformin combination OR formulary sulfonylurea OR pioglitazone/pioglitazone combination in the past 120 days. Trial of two generic atypical antipsychotics: olanzapine/ODT, quetiapine IR, risperidone/ODT or ziprasidone within the past 365 days Trial of oxybutynin or oxybutynin ER within the past 120 days Trial of two of the following: generic paroxetine, fluoxetine, citalopram, sertraline, escitalopram, mirtazapine or bupropion, or venlafaxine IR/ER within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of two of the following: carbamazepine, gabapentin, lamotrigine, levetiracetam IR or ER, oxcarbazepine, valproic acid, divalproex, topiramate or zonisamide within the past 365 days Trial of one of the following: SSRI, topiramate, generic/multisource mixed amphetamine salts (Adderall IR/XR), or methylphenidate (IR, ER, LA, CD) within the past 120 days Trial of a multisource dextroamphetamine sulfate tablet or dextroamphetamine solution within the past 120 days Trial of zolpidem IR (Ambien) within the past 120 days Trial of sumatriptan or rizatriptan within the past 180 days Trial of sumatriptan or rizatriptan within the past 180 days Page 59 of 75 Preferred Drug List Medication Prescribing Limitations PRIOR AUTHORIZATION RESTRICTIONS • ACERFLEX • ACTEMRA • ADCIRCA • ADEMPAS • AFINITOR DISPERZ • AFINITOR(TAB)(10 MG) • AFINITOR(TAB)(2.5 MG) • AFINITOR(TAB)(5 MG) • AFINITOR(TAB)(7.5 MG) • ALECENSA • AMPYRA • ANDROGEL(GEL MD PMP)(1.25G (1%)) • ANDROGEL(GEL MD PMP)(20.25/1.25) • ANDROGEL(GEL PACKET)(1.25G-1.62) • ANDROGEL(GEL PACKET)(2.5G-1.62%) • ANDROGEL(GEL PACKET)(25MG(1%)) • ANDROGEL(GEL PACKET)(50 MG (1%)) • APOKYN • AUBAGIO • AVONEX • AVONEX ADMINISTRATION PACK • AVONEX PEN • AXIRON • BCAD 2 • BENECALORIE • BERINERT • BEXAROTENE • BOOST GLUCOSE CONTROL • BOOST VHC • BOSULIF(TAB)(100 MG) • BOSULIF(TAB)(500 MG) • BUNAVAIL • CAMINO PRO 15 • CAMINO-PRO RESTORE • CAPECITABINE(TAB)(150 MG) • CAPECITABINE(TAB)(500 MG) • CAPRELSA(TAB)(100 MG) • CAPRELSA(TAB)(300 MG) • CAYSTON • CIMZIA • CINRYZE • COMETRIQ • COMPLEAT PEDIATRIC • COMPLEAT PEDIATRIC REDUCED CAL • COPAXONE • COSENTYX (2 SYRINGES) • COSENTYX PEN • COSENTYX PEN (2 PENS) • COSENTYX SYRINGE • COTELLIC • CRUCIAL • CYSTARAN • DARAPRIM • DIABETISOURCE AC • DICLOFENAC SODIUM • EGG-PRO • ELECARE • ELECARE JR • ELIGARD • ENSURE ACTIVE MUSCLE HEALTH • ENSURE BONE HEALTH • ENSURE CLEAR VNSNY • EO28 SPLASH • ERIVEDGE • ESBRIET • F-A-A • FARESTON • FARYDAK • FENTANYL • FENTANYL CITRATE • FIRAZYR • GAMMAGARD LIQUID • GAMMAKED • GAMUNEX-C • GATTEX • GILENYA • GILOTRIF • GLATOPA • GLUCO BURST • GLYTROL • GRANIX • GRASTEK • HARVONI • HCU COOLER • HCU LOPHLEX • HCY 2 • HETLIOZ • HIZENTRA • HOM 2 • HOMINEX-2 • HYQVIA • IBRANCE • ICLUSIG(TAB)(15 MG) • ICLUSIG(TAB)(45 MG) • IMATINIB MESYLATE(TAB)(100 MG) • IMATINIB MESYLATE(TAB)(400 MG) • IMBRUVICA • IMIQUIMOD • IMMULIFE • IMPACT PEPTIDE 1.5 CAL • INCRELEX • INLYTA(TAB)(1 MG) • INLYTA(TAB)(5 MG) • INTRON A • IPRIVASK • IRESSA • ISOSOURCE 1.5 CAL • JAKAFI • JEVITY 1.2 CAL • JUXTAPID • KALYDECO • KETOCAL 3:1 • KETOCAL 4:1 • KETOVOLVE • KEVEYIS • KORLYM • KYNAMRO • LENVIMA • LETAIRIS • LEU-FREE COOLER • LEUKINE • LMD • LONSURF • LYNPARZA Page 60 of 75 Preferred Drug List Medication Prescribing Limitations • MEKINIST • METHIONAID • METHYLTESTOSTERONE • MMA-PA COOLER • MODAFINIL • MSUD LOPHLEX • NEOCATE • NEOCATE INFANT DHA-ARA • NEOCATE JUNIOR WITH PREBIOTICS • NEOCATE NUTRA • NEPRO • NEULASTA • NEUPOGEN • NEXAVAR • NINLARO • NORDITROPIN FLEXPRO • NORTHERA • NUTREN 1.5 FIBER • NUTREN JUNIOR • NUTREN JUNIOR FIBER • NUTRIHEAL • NUTRIHEP • NUTRITIONAL SHAKE • NUTRITIONAL SHAKE PLUS • NUTRIVENT 1.5 • NYMALIZE • OA 1 • OA2 • OFEV • OPSUMIT • ORALAIR • ORENCIA • ORENITRAM ER • ORKAMBI • OS 2 • OTEZLA • OXANDROLONE • PEDIASMART ORGANIC DAIRY • PEDIASURE 1.5 • PEDIASURE 1.5 WITH FIBER • PEDIASURE PEPTIDE 1.5 CAL • PEDIASURE SIDEKICKS • PEGASYS • PEGASYS PROCLICK • PEPTAMEN • PEPTAMEN AF • PEPTAMEN BARIATRIC • PEPTAMEN JUNIOR • PEPTAMEN JUNIOR FIBER • PEPTAMEN OS • PEPTINEX DT • PERATIVE • PERIFLEX ADVANCE • PERIFLEX JUNIOR • PFD 2 • PHENYLADE ESSENTIAL • PHENYLADE RTD PKU 10 • PHENYLADE60 • PHENYL-FREE 2 • PHENYL-FREE 2HP • PKU COOLER 10 • PKU LOPHLEX • PKU TRIO • POMALYST VNSNY • PORTAGEN • PRO-CAL • PROCRIT • PROCYSBI • PRODUCT 3232A • PROMACTA • PROSOURCE • PROSOURCE NO CARB • PROSOURCE PLUS • PROSOURCE ZAC • PULMOCARE • PULMOZYME • RAGWITEK • RALOXIFENE HCL • RAVICTI • REBIF • REBIF REBIDOSE • REMODULIN • RENA START • RENALCAL • REPATHA SURECLICK • REPATHA SYRINGE • REPLETE WITH FIBER • RESOURCE DIABETIC TF • RESOURCE DIABETISHIELD • RESOURCE THICKENUP • REVATIO • REVLIMID • RUCONEST • SCANDISHAKE • SEROSTIM(VIAL)(4 MG) • SEROSTIM(VIAL)(5 MG) • SEROSTIM(VIAL)(6 MG) • SILDENAFIL • SIMPLYTHICK • SIMPONI • SIRTURO • SIVEXTRO • SOL CARB • SOVALDI • SPRYCEL(TAB)(100 MG) • SPRYCEL(TAB)(140 MG) • SPRYCEL(TAB)(20 MG) • SPRYCEL(TAB)(50 MG) • SPRYCEL(TAB)(70 MG) • SPRYCEL(TAB)(80 MG) • STIVARGA • STRENSIQ • SUCRAID • SUTENT • SYNAGIS • SYNRIBO • TAFINLAR • TAGRISSO • TARCEVA • TARGRETIN • TASIGNA • TECFIDERA • TEMOZOLOMIDE • TESTOSTERONE • TESTOSTERONE CYPIONATE • TESTOSTERONE ENANTHATE • TETRABENAZINE • THALOMID Page 61 of 75 Preferred Drug List Medication Prescribing Limitations • THICK NOW • THICKENUP • THICK-IT • THIK & CLEAR • TOBI PODHALER • TOBRAMYCIN • TRACLEER • TYBOST • TYKERB • TYR LOPHLEX • TYVASO • UCD ANAMIX JUNIOR • UCD TRIO • ULTRAMINO • UPTRAVI • VALCHLOR • VENTAVIS • VITAJOULE • VITAL 1.0 CAL • VITAL 1.5 CAL • VITAL AF 1.2 CAL • VOTRIENT • XALKORI • XELJANZ • XIFAXAN • XMET MAXAMAID • XMET MAXAMUM • XMET XCYS MAXAMAID • XTANDI • XTRACAL PLUS • ZELBORAF • ZORBTIVE • ZUBSOLV • ZYDELIG • ZYKADIA • ZYTIGA VNSNY Page 62 of 75 Preferred Drug List Medication Prescribing Limitations GENDER LIMITS • DUTASTERIDE • DUTASTERIDE-TAMSULOSIN VNSNY Male Only Male Only Page 63 of 75 Index -#0.9 % SODIUM CHLORIDE............................................ 26 8-MOP............................................................................... 23 -AA/C/E/ZINC/SOD SELENATE/COPPER.........................44 ABACAVIR................................................................. 33, 50 ABACAVIR SULFATE..................................................... 33 ABACAVIR SULFATE/LAMIVUDINE...........................33 ABACAVIR/DOLUTEGRAVIR/LAMIVUDI.................. 34 ABACAVIR/LAMIVUDINE/ZIDOVUDINE...................33 ABACAVIR-LAMIVUDINE-ZIDOVUDINE.................. 33 ABATACEPT.....................................................................34 ABILIFY................................................................15, 50, 55 ABILIFY MAINTENA..................................................... 15 ABIRATERONE ACETATE............................................. 36 ABREVA(OTC).................................................................21 ACARBOSE...................................................................... 24 ACCU-CHEK FASTCLIX(OTC)......................................25 ACCU-CHEK SOFTCLIX(OTC)......................................25 ACCU-CHEK(OTC)..........................................................25 ACE AEROSOL CLOUD ENHANCER...........................12 ACEBUTOLOL HCL........................................................ 17 ACERFLEX.................................................................39, 60 ACEROLA C(OTC)...........................................................48 ACETAMINOPHEN......................................................... 40 ACETAZOLAMIDE..........................................................28 ACETIC ACID............................................................ 22, 26 ACETIC ACID/ALUMINUM ACETATE .........................26 ACETIC ACID/HYDROCORTISONE............................. 26 ACETIC ACID-ALUMINUM...........................................26 ACETYLCYSTEINE........................................................ 39 ACNE MEDICATION(OTC)............................................ 22 ACTEMRA.................................................................. 34, 60 ACTOPLUS MET XR.................................................24, 55 ACYCLOVIR.............................................................. 21, 33 ADASUVE.................................................................. 15, 55 ADCIRCA................................................................... 18, 60 ADEMPAS...................................................................18, 60 ADJUSTABLE LANCING DEVICE(OTC)..................... 25 ADVAIR DISKUS....................................................... 12, 50 ADVAIR HFA..............................................................12, 50 ADVANCED AM/PM....................................................... 45 ADVANCED LANCING DEVICE(OTC)........................ 25 ADVOCATE LANCING DEVICE(OTC)......................... 25 ADVOCATE RAPID-SAFE(OTC)................................... 25 ADVOCATE REDI-CODE DUO(OTC)........................... 24 AEROCHAMBER MINI...................................................12 AEROCHAMBER MV..................................................... 12 AEROCHAMBER PLUS FLOW-VU............................... 12 AEROCHAMBER WITH FLOWSIGNAL.......................12 AEROCHAMBER Z-STAT PLUS.................................... 12 AEROECLIPSE II............................................................. 12 AEROGEAR ASTHMA ACTION KIT ............................ 13 AEROSPAN.................................................................12, 50 AEROTRACH PLUS.........................................................12 AFATINIB DIMALEATE................................................. 36 AFINITOR DISPERZ................................................. 36, 60 AFINITOR(TAB)(10 MG).................................... 36, 50, 60 AFINITOR(TAB)(2.5 MG)................................... 36, 50, 60 AFINITOR(TAB)(5 MG)...................................... 36, 50, 60 AFINITOR(TAB)(7.5 MG)......................................... 36, 60 AIRS DISPOSABLE NEBULIZER(OTC)....................... 12 AIRZONE PEAK FLOW METER(OTC)......................... 13 AK-POLY-BAC................................................................. 28 AKYNZEO.................................................................. 11, 50 ALBIGLUTIDE.................................................................24 ALBUMEN (EGG WHITE)..............................................37 ALBUTEROL SULFATE.................................................. 12 ALCLOMETASONE DIPROPIONATE........................... 21 ALCOHOL ANTISEPTIC PADS............................... 21, 22 ALCOHOL PADS(OTC)...................................................21 ALCOHOL PREP PADS(OTC)........................................ 21 ALCOHOL PREP SWABS(OTC).....................................21 ALCOHOL SWAB(OTC)..................................................21 ALCOHOL SWABS(OTC)............................................... 21 ALCOHOL WIPES(OTC).................................................21 ALECENSA.......................................................... 36, 50, 60 ALECTINIB HYDROCHLORIDE................................... 36 ALENDRONATE SODIUM............................................. 27 ALENDRONATE SODIUM(SOLUTION).................27, 50 ALENDRONATE SODIUM(TAB)................................... 27 ALENDRONATE SODIUM/VITAMIN D3......................27 ALFUZOSIN HCL............................................................ 43 ALFUZOSIN HCL ER...................................................... 43 ALKERAN........................................................................ 36 ALLERGY RELIEF-D(OTC)........................................... 11 ALLERGY(OTC).............................................................. 11 ALLOPURINOL............................................................... 29 ALOCRIL.......................................................................... 28 ALOE VERA/COLLAGEN.............................................. 22 ALOE VESTA CLEANSING(OTC)................................. 22 ALOE VESTA(OTC).........................................................22 VNSNY ALOE/LA/CERAMIDE/SILICONE&TAPE.................... 22 ALOE/LAC AC/CERAMIDES 3,3B,6,1.......................... 22 ALOMIDE.........................................................................28 ALPHAGAN P.................................................................. 28 ALPHANINE SD.............................................................. 29 ALPHAQUIN HP.............................................................. 23 ALREX.............................................................................. 27 ALTAFLUOR.................................................................... 28 ALTERA NEBULIZER.....................................................13 ALTERNATE SITE LANCING DEVICE(OTC).............. 25 ALTRETAMINE................................................................36 ALUMINUM ACETATE...................................................20 ALUMINUM ACETATE(OTC)........................................ 20 ALUMINUM HYDROXIDE............................................ 42 ALUMINUM HYDROXIDE(OTC).................................. 42 AMANTADINE.................................................................40 AMANTADINE HCL........................................................40 AMBRISENTAN...............................................................18 AMCINONIDE..................................................................21 AMERIGEL(OTC)............................................................ 23 AMILORIDE HCL............................................................17 AMILORIDE/HYDROCHLOROTHIAZIDE................... 17 AMILORIDE-HYDROCHLOROTHIAZIDE...................17 AMINO AC/PROTEIN HYDR/WHEY PRO....................37 AMINO ACID/PROTEIN/VIT C/ZINC............................38 AMINO ACIDS/MV,TH W-FE,MN..................................44 AMINO ACIDS/PROTEIN HYDROLYS......................... 38 AMINOCAPROIC ACID.................................................. 29 AMINOSALICYLIC ACID.............................................. 32 AMIODARONE HCL....................................................... 16 AMITIZA.................................................................... 35, 50 AMITRIPTYLINE HCL................................................... 14 AMLODIPINE BESYLATE............................................. 17 AMLODIPINE BESYLATE/BENAZEPRIL.................... 16 AMLODIPINE BESYLATE-BENAZEPRIL....................16 AMLODIPINE/ATORVASTATIN.....................................19 AMLODIPINE/VALSARTAN.......................................... 17 AMLODIPINE/VALSARTAN/HCTHIAZID................... 17 AMLODIPINE-ATORVASTATIN.............................. 19, 50 AMLODIPINE-VALSARTAN.................................... 17, 55 AMLODIPINE-VALSARTAN-HCTZ........................ 17, 55 AMMONIUM LACTATE..................................................22 AMMONIUM LACTATE(OTC)....................................... 22 AMOXAPINE................................................................... 14 AMOXICILLIN.................................................................31 AMOXICILLIN/POTASSIUM CLAV.............................. 31 AMOXICILLIN-CLAVULANATE POTASS................... 31 AMPICILLIN TRIHYDRATE.......................................... 31 AMPYRA.................................................................... 37, 60 AMYL NITRITE............................................................... 19 ANAFRANIL.................................................................... 14 ANAGRELIDE HCL.........................................................30 ANALPRAM HC........................................................ 23, 35 ANASTROZOLE.............................................................. 36 ANDROGEL(GEL MD PMP)(1.25G (1%))............... 30, 60 ANDROGEL(GEL MD PMP)(20.25/1.25).................30, 60 ANDROGEL(GEL PACKET)(1.25G-1.62)................ 30, 60 ANDROGEL(GEL PACKET)(2.5G-1.62%)...............30, 60 ANDROGEL(GEL PACKET)(25MG(1%))................30, 60 ANDROGEL(GEL PACKET)(50 MG (1%))..............30, 60 ANDROXY..................................................................30, 50 ANIMAS 2020...................................................................26 ANORO ELLIPTA...................................................... 12, 50 ANTACID EXTRA STRENGTH(OTC)........................... 42 ANTHRALIN.................................................................... 23 ANTI-ITCH CREME(OTC)..............................................21 APEXICON E....................................................................21 APIXABAN.......................................................................29 APLENZIN............................................................14, 50, 55 APOKYN...............................................................40, 50, 60 APOMORPHINE HCL..................................................... 40 APPLE JUICE................................................................... 38 APRACLONIDINE HCL.................................................. 28 APREMILAST.................................................................. 34 APREPITANT................................................................... 11 APRI.................................................................................. 19 APRISO............................................................................. 35 APRODINE(OTC).............................................................20 APTIOM(TAB)(200 MG)......................................41, 50, 55 APTIOM(TAB)(400 MG)......................................41, 50, 55 APTIOM(TAB)(600 MG)......................................41, 50, 55 APTIOM(TAB)(800 MG)......................................41, 50, 55 APTIVUS.......................................................................... 33 AQUA LANCE LANCING DEVICE(OTC).....................25 ARGLAES(OTC).............................................................. 20 ARIPIPRAZOLE...................................................15, 50, 55 ARMOUR THYROID....................................................... 27 ARTIFICIAL TEARS(OTC)....................................... 28, 29 ASCORBIC ACID.............................................................48 ASCORBIC ACID/ASCORBATE SODIUM....................48 ASENAPINE MALEATE..................................................15 ASFOTASE ALFA............................................................ 38 ASPIRIN............................................................................40 ASPIRIN EC(OTC)..................................................... 40, 50 ASPIRIN/CALCIUM CARBONATE/MAG..................... 40 ASSESS(OTC)...................................................................13 ASTAGRAF XL................................................................ 31 ASTHMA CHECK(OTC)................................................. 13 ASTHMAMENTOR(OTC)............................................... 13 ASTHMAPACK CHILDREN'S........................................ 13 ATAZANAVIR SULFATE.................................................33 ATAZANAVIR SULFATE/COBICISTAT......................... 33 ATENOLOL...................................................................... 17 ATENOLOL/CHLORTHALIDONE.................................17 ATENOLOL-CHLORTHALIDONE.................................17 ATOMOXETINE HCL......................................................16 ATORVASTATIN CALCIUM........................................... 18 ATOVAQUONE.................................................................32 ATOVAQUONE/PROGUANIL HCL................................ 32 ATOVAQUONE-PROGUANIL HCL................................32 ATRAPRO CP................................................................... 22 ATRAPRO HYDROGEL.................................................. 22 ATRIPLA.....................................................................34, 50 ATROPINE SULFATE...................................................... 28 ATROVENT HFA........................................................11, 50 AUBAGIO................................................................... 37, 60 AUGMENTIN................................................................... 31 AUTO-LANCET MINI(OTC)...........................................25 AUTOLET IMPRESSION(OTC)......................................25 AUTOLET LANCING DEVICE(OTC)............................ 25 AVC................................................................................... 43 AVEENO(OTC).................................................................21 AVONEX..................................................................... 37, 60 AVONEX ADMINISTRATION PACK.......................37, 60 AVONEX PEN.............................................................37, 60 AXIRON...................................................................... 30, 60 AXITINIB..........................................................................36 AZATHIOPRINE.............................................................. 31 AZELASTINE HCL..............................................11, 27, 50 AZILECT.....................................................................41, 50 AZITHROMYCIN.............................................................31 AZOPT.............................................................................. 28 AZTREONAM LYSINE....................................................31 AZURETTE.......................................................................19 -BB CMPLX 4/VIT D3/C/FA/ZINC OX.............................. 47 B COMPLEX & C NO.20/FOLIC ACID..........................47 B COMPLEX WITH VITAMIN C................................... 44 B12/LEVOMEFOLATE CALCIUM/B-6..........................47 BABY NEBULIZER......................................................... 13 BACITRACIN................................................................... 20 BACITRACIN ZINC......................................................... 20 BACITRACIN ZINC(OTC).............................................. 20 BACITRACIN(OTC).........................................................20 BACITRACIN/POLYMYXIN B SULFATE............... 20, 28 BACITRACIN-POLYMYXIN(OTC)................................20 BACLOFEN...................................................................... 42 BACMIN............................................................................45 BACTROBAN NASAL..................................................... 37 BALANCED B-100(OTC)................................................ 47 BALANCED SALT SOLN NON-SURG #6..................... 29 BAL-CARE DHA..............................................................47 BAL-CARE DHA ESSENTIAL....................................... 46 BALNEOL(OTC).............................................................. 22 BALSALAZIDE DISODIUM...........................................35 BANZEL(ORAL SUSP)........................................41, 50, 55 BANZEL(TAB)(200 MG)..................................... 41, 50, 55 BANZEL(TAB)(400 MG)..................................... 42, 50, 55 BCAD 2....................................................................... 39, 60 B-COMPLEX.................................................................... 47 BECAPLERMIN............................................................... 26 BECLOMETHASONE DIPROPIONATE........................ 11 BEDAQUILINE FUMARATE.......................................... 32 BEDSIDE-CARE PERINEAL(OTC)................................23 BEDSIDE-CARE(OTC).................................................... 20 BELSOMRA..........................................................15, 50, 55 BENAZEPRIL HCL.......................................................... 17 BENAZEPRIL/HYDROCHLOROTHIAZIDE................. 16 BENAZEPRIL-HYDROCHLOROTHIAZIDE.................16 BENECALORIE..........................................................38, 60 BENEFIX.......................................................................... 29 BENICAR....................................................................17, 55 BENICAR HCT...........................................................17, 55 BENOXINATE HCL/FLUORESCEIN NA...................... 28 BENZALKONIUM CHLORIDE...................................... 20 BENZAMYCINPAK......................................................... 20 BENZETHONIUM CHLORIDE...................................... 23 BENZOIN..........................................................................23 BENZOIN(OTC)............................................................... 23 BENZONATATE............................................................... 20 BENZOYL PEROXIDE.................................................... 22 BENZOYL PEROXIDE(CLEANSER)(OTC)...................22 BENZOYL PEROXIDE(GEL)(10 %)(OTC).................... 22 BENZOYL PEROXIDE(GEL)(2.5 %)(OTC)................... 22 Page 64 of 75 Index BENZOYL PEROXIDE(LOTION)(OTC)........................ 22 BENZTROPINE MESYLATE.......................................... 40 BERINERT.................................................................. 34, 60 BESIFLOXACIN HCL......................................................28 BESIVANCE..................................................................... 28 BETA-CAROTENE(A) W-C & E/MIN............................ 45 BETA-CAROTENE(A) W-C & E/ZN/CU........................ 43 BETADINE(OTC)............................................................. 23 BETAMETHASONE DIPROPIONATE........................... 21 BETAMETHASONE VALERATE................................... 21 BETAMETHASONE/PROPYLENE GLYC..................... 21 BETAXOLOL HCL.....................................................17, 28 BETHANECHOL CHLORIDE.........................................36 BETIMOL..........................................................................28 BETOPTIC S..................................................................... 28 BEXAROTENE..................................................... 23, 37, 60 BEYAZ........................................................................ 19, 55 BICALUTAMIDE............................................................. 36 BICILLIN L-A...................................................................31 BIDIL.................................................................................18 BILTRICIDE..................................................................... 32 BIMATOPROST..........................................................28, 50 BIOCEL(OTC).................................................................. 44 BIOGLO............................................................................ 29 BION TEARS(OTC)......................................................... 28 BIONECT.......................................................................... 23 BISAC-EVAC(OTC)..........................................................36 BISACODYL...............................................................35, 36 BISACODYL(OTC).......................................................... 35 BISMUTH SUBSALICYLATE........................................ 35 BISOPROLOL FUMARATE............................................ 17 BISOPROLOL FUMARATE/HCTZ.................................17 BISOPROLOL-HYDROCHLOROTHIAZIDE.................17 BLEPHAMIDE..................................................................28 BLEPHAMIDE S.O.P........................................................28 BLOOD GLUCOSE CTL HIGH,NML&LOW.................24 BLOOD SUGAR DIAGNOSTIC......................................24 BLOOD-GLUC TRANSMITTER/SENSOR....................24 BLOOD-GLUC.METER& WRIST BP MON.................. 24 BLOOD-GLUCOSE & KETONE CTL NML.................. 24 BLOOD-GLUCOSE METER........................................... 25 BLOOD-GLUCOSE TRANSMITTER.............................25 BOOST GLUCOSE CONTROL................................. 39, 60 BOOST VHC...............................................................38, 60 BOSENTAN...................................................................... 18 BOSULIF(TAB)(100 MG).................................... 36, 50, 60 BOSULIF(TAB)(500 MG).................................... 36, 50, 60 BOSUTINIB...................................................................... 36 BP-50% UREA..................................................................23 B-PLEX PLUS...................................................................45 BREATHE RIGHT(OTC)..................................................12 BREATHERITE................................................................ 12 BREATHRITE...................................................................12 BREO ELLIPTA..........................................................12, 50 BRILINTA................................................................... 30, 50 BRIMONIDINE TARTRATE............................................28 BRIMONIDINE TARTRATE/TIMOLOL........................ 28 BRINTELLIX........................................................14, 50, 56 BRINZOLAMIDE.............................................................28 BRINZOLAMIDE/BRIMONIDINE TART...................... 28 BRISDELLE..........................................................14, 50, 56 BROMOCRIPTINE MESYLATE..................................... 41 BROMPHENIRAM/PHENYLEPHRINE/DM................. 20 BROMPHENIRAMINE MALEATE................................ 11 BROMPHENIRAMINE/PSEUDOEPHED/DM............... 20 BROMPHENIRAMINE-PSEUDOEPHED-DM...............20 BUDESONIDE............................................................12, 34 BUDESONIDE EC............................................................34 BUDESONIDE(AMPUL-NEB)(0.25MG/2ML).........12, 50 BUDESONIDE(AMPUL-NEB)(0.5 MG/2ML)..........12, 50 BUDESONIDE(AMPUL-NEB)(1 MG/2 ML)............12, 50 BUMETANIDE................................................................. 17 BUNAVAIL..................................................................40, 60 BUPRENORPHINE.......................................................... 40 BUPRENORPHINE HCL/NALOXONE HCL................. 40 BUPROBAN......................................................................42 BUPROPION HBR............................................................14 BUPROPION HCL............................................................42 BUSPIRONE HCL............................................................ 15 BUTALB/ACETAMINOPHEN/CAFFEINE.................... 40 BUTALBITAL/ACETAMINOPHEN................................ 40 BUTALBITAL-ACETAMINOPHEN................................40 BUTALBITAL-ACETAMINOPHEN-CAFFE(CAP)(50300-40)...............................................................................40 BUTALBITAL-ACETAMINOPHEN-CAFFE(TAB)........40 BUTOCONAZOLE NITRATE......................................... 43 BUTRANS...................................................................40, 50 BYSTOLIC........................................................................17 -CC1 ESTERASE INHIBITOR............................................ 34 C1 ESTERASE INHIBITOR, RECOMB..........................34 CABERGOLINE............................................................... 27 VNSNY CABOZANTINIB S-MALATE.........................................36 CAFERGOT................................................................ 40, 50 CAFFEINE CITRATE.......................................................13 CAFFEINE CITRATED....................................................13 CAL/MAG/B COMP/VIT D3/HRB61.............................. 45 CALCIPOTRIENE...................................................... 23, 56 CALCIPOTRIENE/BETAMETHASONE........................ 24 CALCIPOTRIENE-BETAMETHASONE DP............ 24, 56 CALCITONIN,SALMON,SYNTHETIC..........................27 CALCITONIN-SALMON.................................................27 CALCITRATE(OTC)........................................................ 44 CALCITRIOL........................................................23, 48, 56 CALCIUM ACETATE.......................................................26 CALCIUM CARB &GLUCONATE/VIT D2................... 43 CALCIUM CARBONATE.......................................... 42, 43 CALCIUM CARBONATE/MAG CARB/FA....................26 CALCIUM CARBONATE/NA HYPOCHLOR................23 CALCIUM CARBONATE/VITAMIN D2........................ 43 CALCIUM CARBONATE/VITAMIN D3........................ 44 CALCIUM CITRATE....................................................... 44 CALCIUM PNV................................................................46 CALCIUM(OTC).............................................................. 43 CALCIUM/MAG/D3/B12/FA/B6/BORON...................... 44 CALCIUM/MULTIVITAMIN WITH IRON.................... 44 CALORIC SUPPLEMENT............................................... 38 CAMINO PRO 15................................................. 38, 39, 60 CAMINO-PRO RESTORE......................................... 38, 60 CAMRESE.................................................................. 19, 50 CANAGLIFLOZIN........................................................... 24 CANAGLIFLOZIN/METFORMIN HCL......................... 24 CANASA........................................................................... 35 CAPECITABINE...............................................................36 CAPECITABINE(TAB)(150 MG)........................ 36, 50, 60 CAPECITABINE(TAB)(500 MG)........................ 36, 50, 60 CAPRELSA(TAB)(100 MG)................................ 37, 50, 60 CAPRELSA(TAB)(300 MG)................................ 37, 50, 60 CAPTOPRIL/HYDROCHLOROTHIAZIDE....................16 CAPTOPRIL-HYDROCHLOROTHIAZIDE................... 16 CARAFATE....................................................................... 42 CARBAMAZEPINE................................................... 15, 41 CARBAMAZEPINE(CPMP 12HR)(100 MG)................. 41 CARBAMAZEPINE(CPMP 12HR)(200 MG)................. 41 CARBAMAZEPINE(CPMP 12HR)(300 MG)................. 41 CARBAMAZEPINE(ORAL SUSP)................................. 41 CARBAMAZEPINE(TAB CHEW).................................. 41 CARBAMAZEPINE(TAB)............................................... 41 CARBATROL....................................................................41 CARBIDOPA.....................................................................41 CARBIDOPA/LEVODOPA.............................................. 41 CARBIDOPA/LEVODOPA/ENTACAPONE................... 41 CARBIDOPA-LEVODOPA.............................................. 41 CARBIDOPA-LEVODOPA-ENTACAPONE...................41 CARBINOXAMINE MALEATE......................................11 CARBINOXAMINE MALEATE(LIQUID)..................... 11 CARBINOXAMINE MALEATE(TAB)............................11 CARBIT/EQUIS XT/ETHAN/CHIT/MSM......................23 CARB-O-PHILIC.............................................................. 23 CARELANCE ULT LANCING DEVICE(OTC)..............25 CAREONE(OTC).............................................................. 25 CARESENS PREM LANCING DEVICE(OTC)..............25 CARTEOLOL HCL...........................................................28 CARTIA XT...................................................................... 17 CARVEDILOL.................................................................. 16 CARVEDILOL PHOSPHATE.......................................... 16 CASEIN/MILK, NF, SKIM/PALM OIL........................... 39 CASTOR OIL.................................................................... 35 CASTOR OIL(OTC)......................................................... 35 CAYSTON................................................................... 31, 60 CEFACLOR.......................................................................31 CEFADROXIL...................................................................31 CEFDINIR.........................................................................31 CEFDITOREN PIVOXIL..................................................31 CEFIXIME........................................................................ 31 CEFPODOXIME PROXETIL........................................... 31 CEFPROZIL...................................................................... 31 CEFTIBUTEN...................................................................31 CEFTIN............................................................................. 31 CEFUROXIME..................................................................31 CEFUROXIME AXETIL.................................................. 31 CELECOXIB..................................................................... 34 CELEXA............................................................................14 CELLULOSE GUM.......................................................... 39 CELONTIN....................................................................... 41 CENTRAL VITE(OTC).................................................... 45 CENTRAL-VITE CARDIO(OTC)....................................45 CENTRAL-VITE(OTC).................................................... 45 CENTRUM SILVER ULTRA MEN'S(OTC).................... 45 CENTRUM SILVER WOMEN(OTC).............................. 45 CENTRUM SPECIALIST HEART(OTC)........................ 45 CENTURY ENERGY METABOLISM(OTC)..................45 CEPHALEXIN.................................................................. 31 CERITINIB........................................................................36 CEROVITE ADVANCED FORMULA(OTC).................. 45 CEROVITE SENIOR(OTC).............................................. 44 CERTA PLUS(OTC)..........................................................45 CERTAVITE SENIOR-ANTIOXIDANT(OTC)................44 CERTOLIZUMAB PEGOL.............................................. 35 CETIRIZINE HCL............................................................ 11 CETIRIZINE HCL(OTC)..................................................11 CETIRIZINE HCL/PSEUDOEPHEDRINE..................... 11 CETIRIZINE-PSEUDOEPHEDRINE ER(OTC)..............11 CHANTIX................................................................... 42, 50 CHEMSTRIP UGK(OTC).................................................26 CHEST CONGESTION RELIEF PE(OTC)..................... 20 CHILDREN'S MOTRIN(OTC)......................................... 35 CHLORHEXIDINE GLUCONATE..................................37 CHLOROQUINE PHOSPHATE....................................... 32 CHLOROTHIAZIDE.........................................................18 CHLOROXYLENOL........................................................ 20 CHLORPHENIRAMINE MALEATE...............................11 CHLORPHENIRAMINE/PHENYLEPH/DM.................. 20 CHLORPROMAZINE HCL..............................................15 CHLORPROPAMIDE....................................................... 24 CHLORTHALIDONE.......................................................18 CHLORZOXAZONE........................................................ 42 CHOLECALCIFEROL (VITAMIN D3)........................... 48 CHOLESTYRAMINE.......................................................18 CHOLESTYRAMINE (WITH SUGAR).......................... 18 CHOLESTYRAMINE/ASPARTAME.............................. 18 CHOLINE MAG TRISALICYLATE................................ 40 CHOLINE SAL/MAG SALICYLATE..............................40 CICLOPIROX....................................................................20 CICLOPIROX OLAMINE................................................ 20 CICLOPIROX/URE/CAMPH/MENTH/EUC...................20 CILOSTAZOL................................................................... 30 CILOXAN......................................................................... 28 CIMETIDINE.................................................................... 43 CIMETIDINE HCL........................................................... 43 CIMETIDINE(OTC)......................................................... 43 CIMZIA....................................................................... 35, 60 CINRYZE.................................................................... 34, 60 CIPRODEX....................................................................... 26 CIPROFLOXACIN............................................................31 CIPROFLOXACIN ER......................................................32 CIPROFLOXACIN HCL.......................................26, 28, 31 CIPROFLOXACIN HCL/DEXAMETH........................... 26 CIPROFLOXACIN/CIPROFLOXA HCL.........................32 CITALOPRAM HBR........................................................ 14 CITALOPRAM HYDROBROMIDE................................ 14 CITRATE PHOSPHATE DEXTROS SOLN.................... 29 CITRATE PHOSPHATE DEXTROSE............................. 29 CITRIC ACID/SODIUM CITRATE................................. 43 CITRUCEL(OTC)............................................................. 35 CLARAVIS........................................................................20 CLARITHROMYCIN....................................................... 31 CLARITIN(OTC).............................................................. 11 CLARITIN-D 12 HOUR(OTC).........................................11 CLARITIN-D 24 HOUR(OTC).........................................11 CLEANSING EYELID PADS(OTC)................................29 CLEANSING EYELID WIPES(OTC)..............................29 CLEMASTINE FUMARATE........................................... 11 CLEMASTINE FUMARATE(OTC)................................. 11 CLINDAMYCIN HCL...................................................... 32 CLINDAMYCIN PALMITATE HCL................................32 CLINDAMYCIN PHOS/BENZOYL PEROX.................. 20 CLINDAMYCIN PHOSPHATE................................. 20, 43 CLINDAMYCIN-BENZOYL PEROXIDE.......................20 CLINITEST REAGENT(OTC)......................................... 26 CLOBAZAM..................................................................... 41 CLOBETASOL EMOLLIENT..........................................21 CLOBETASOL PROPIONATE.........................................21 CLOBETASOL PROPIONATE/EMOLL..........................21 CLOCORTOLONE PIVALATE........................................21 CLOMIPRAMINE HCL................................................... 14 CLONAZEPAM................................................................ 41 CLONIDINE......................................................................17 CLONIDINE HCL.......................................................16, 17 CLONIDINE HCL ER................................................ 16, 50 CLONIDINE HCL/CHLORTHALIDONE....................... 17 CLOPIDOGREL BISULFATE..........................................30 CLOPIDOGREL(TAB)(300 MG)............................... 30, 50 CLOPIDOGREL(TAB)(75 MG)....................................... 30 CLORPRES....................................................................... 17 CLOTRIMAZOLE...................................................... 20, 32 CLOTRIMAZOLE(OTC)..................................................20 CLOTRIMAZOLE/BETAMETHASONE DIP................. 20 CLOTRIMAZOLE-BETAMETHASONE........................ 20 CLOZAPINE............................................................... 15, 50 CLOZARIL..................................................................15, 50 C-NATE DHA....................................................................46 COBICISTAT.....................................................................34 COBIMETINIB FUMARATE...........................................36 COLCHICINE............................................................. 29, 50 COLCHICINE/PROBENECID......................................... 29 Page 65 of 75 Index COLESEVELAM HCL..................................................... 18 COLESTIPOL HCL.......................................................... 18 COLLAGEN,BOVINE...................................................... 24 COMBIGAN......................................................................28 COMBIPATCH............................................................30, 50 COMBIVENT RESPIMAT............................................... 12 COMETRIQ.......................................................... 36, 50, 60 COMFORT........................................................................ 25 COMPACT COMPRESSOR NEBULIZER(OTC)........... 13 COMPACT ULTRASONIC NEBULIZER(OTC).............13 COMP-AIR ELITE COMPRESSOR SYST..................... 13 COMP-AIR ELITE COMPRESSOR SYST(OTC)........... 13 COMP-AIR NEBULIZER COMPRESSOR..................... 13 COMP-AIR NEBULIZER COMPRESSOR(OTC)...........13 COMPLEAT PEDIATRIC...........................................38, 60 COMPLEAT PEDIATRIC REDUCED CAL..............38, 60 COMPLERA......................................................................34 COMPLETE(OTC)............................................................45 COMPLETENATE............................................................ 46 COMPMIST COMPRESSOR NEBULIZER(OTC)......... 13 COMPRESSOR, FOR NEBULIZER................................12 CONDYLOX..................................................................... 22 CONTACT DETACH INFUSION SET............................ 25 COPAXONE................................................................37, 60 CORDRAN........................................................................21 COREG CR....................................................................... 16 CORN STARCH................................................................39 CORTISONE ACETATE...................................................34 CORTISPORIN................................................................. 21 CORVITA 150................................................................... 44 CORVITE 150................................................................... 44 COSENTYX (2 SYRINGES)......................................23, 60 COSENTYX PEN....................................................... 23, 60 COSENTYX PEN (2 PENS)....................................... 23, 60 COSENTYX SYRINGE..............................................23, 60 COTELLIC............................................................ 36, 50, 60 CRANBERRY JUICE....................................................... 38 CREON..............................................................................42 CRESTOR(TAB)(10 MG)..................................... 18, 50, 56 CRESTOR(TAB)(20 MG)..................................... 18, 50, 56 CRESTOR(TAB)(40 MG)..................................... 18, 50, 56 CRESTOR(TAB)(5 MG)....................................... 18, 50, 56 CRIXIVAN........................................................................ 33 CRIZOTINIB.....................................................................36 CROMOLYN SODIUM.............................................. 12, 28 CROTAMITON................................................................. 21 CRUCIAL.................................................................... 39, 60 CRYSELLE....................................................................... 19 CUPRIMINE..................................................................... 34 CURITY ALCOHOL PREPS(OTC)................................. 21 CYANOCOBALAMIN (VITAMIN B-12)........................47 CYANOCOBALAMIN INJECTION................................ 47 CYANOCOBALAMIN/FA/PYRIDOXINE...................... 47 CYANOCOBALAMIN/MECOBALAMIN...................... 47 CYCLOBENZAPRINE HCL............................................42 CYCLOPENTOLATE HCL.............................................. 28 CYCLOSERINE................................................................32 CYCLOSPORINE....................................................... 28, 31 CYCLOSPORINE MODIFIED.........................................31 CYCLOSPORINE, MODIFIED........................................31 CYMBALTA................................................................14, 50 CYPROHEPTADINE HCL............................................... 11 CYSTARAN................................................................ 29, 60 CYSTEAMINE BITARTRATE.........................................43 CYSTEAMINE HCL.........................................................29 CYTRA-K..........................................................................43 -DDABRAFENIB MESYLATE............................................ 37 DAILY ENERGY(OTC)....................................................45 DAILY MULTIPLE(OTC).................................................45 DALFAMPRIDINE........................................................... 37 DALIRESP............................................................ 12, 50, 56 DALTEPARIN SODIUM,PORCINE................................ 29 DANAZOL........................................................................ 27 DANTROLENE SODIUM................................................ 42 DAPSONE......................................................................... 32 DARAPRIM................................................................ 32, 60 DARUNAVIR ETHANOLATE......................................... 33 DARUNAVIR/COBICISTAT............................................ 33 DASATINIB...................................................................... 37 DDAVP.............................................................................. 27 DEGARELIX ACETATE.................................................. 36 DELAVIRDINE MESYLATE...........................................33 DEMECLOCYCLINE HCL..............................................32 DEPAKOTE.......................................................................41 DEPEN.............................................................................. 34 DEPO-PROVERA....................................................... 19, 50 DEPO-SUBQ PROVERA 104.....................................19, 50 DERMAPLEX(OTC)........................................................ 22 DESIPRAMINE HCL....................................................... 14 DESIRUDIN...................................................................... 30 DESLORATADINE.....................................................11, 50 VNSNY DESMOPRESSIN (NONREFRIGERATED)................... 27 DESMOPRESSIN ACETATE........................................... 27 DESOG-E.ESTRADIOL/E.ESTRADIOL........................ 19 DESOGESTREL-ETHINYL ESTRADIOL..................... 19 DESONIDE....................................................................... 21 DESOXIMETASONE....................................................... 21 DESVENLAFAXINE........................................................14 DESVENLAFAXINE ER......................................14, 50, 56 DESVENLAFAXINE FUMARATE................................. 14 DESVENLAFAXINE FUMARATE ER............... 14, 50, 56 DESVENLAFAXINE SUCCINATE................................. 14 DEVILBISS COMPACT(OTC).........................................12 DEVILBISS DISPOSABLE NEBULIZER(OTC)............ 13 DEVILBISS PULMO-AIDE............................................. 12 DEVILBISS PULMO-AIDE(OTC).................................. 12 DEVILBISS PULMOMATE(OTC).................................. 12 DEVILBISS TRAVELER..................................................13 DEXAMETHASONE........................................................34 DEXAMETHASONE SOD PHOSPHATE.......................27 DEXAMETHASONE SODIUM PHOSPHATE............... 27 DEXMETHYLPHENIDATE HCL....................................16 DEXMETHYLPHENIDATE HCL ER................. 16, 49, 50 DEXTRAN 70/HYPROMELLOSE.................................. 28 DEXTRAN 70/HYPROMELLOSE/PF.............................28 DEXTRAN/HYPROMELLOSE/GLYCERIN.................. 28 DEXTROAMPHETAMINE SULFATE............................ 14 DEXTROAMPHETAMINE SULFATE(SOLUTION)...... 14, 50 DEXTROAMPHETAMINE SULFATE(TAB)(10 MG)...... 14, 50 DEXTROAMPHETAMINE SULFATE(TAB)(5 MG)...... 14, 50 DEXTROAMPHETAMINE/AMPHETAMINE................ 14 DEXTROAMPHETAMINE-AMPHETAMINE..........14, 50 DEXTROSE.......................................................................26 DEXTROSE/DEXTRIN/MALTOSE................................ 26 DIABETA.......................................................................... 24 DIABETISOURCE AC............................................... 39, 60 DIALYVITE...................................................................... 47 DIALYVITE 3000............................................................. 47 DIALYVITE 800 WITH IRON......................................... 45 DIALYVITE 800-ULTRA D(OTC).................................. 47 DIALYVITE ZINC............................................................47 DIAPHRAGMS, WIDE SEAL..........................................19 DIASTAT........................................................................... 41 DIASTAT ACUDIAL........................................................ 41 DIASTIX REAGENT(OTC)............................................. 26 DIAZEPAM....................................................................... 41 DICHLORPHENAMIDE.................................................. 42 DICLOFENAC POTASSIUM........................................... 35 DICLOFENAC SODIUM............................... 21, 23, 35, 60 DICLOXACILLIN SODIUM............................................31 DICYCLOMINE HCL...................................................... 42 DIDANOSINE...................................................................33 DIDANOSINE(CAP DR)(125 MG)............................33, 50 DIDANOSINE(CAP DR)(200 MG)............................33, 50 DIDANOSINE(CAP DR)(250 MG)..................................33 DIDANOSINE(CAP DR)(400 MG)..................................33 DIETARY SUPPLEMENT................................................38 DIFICID.................................................................31, 50, 56 DIFLORASONE DIACETATE/EMOLL.......................... 21 DIFLUNISAL....................................................................40 DIFLUPREDNATE........................................................... 27 DIGOXIN.......................................................................... 16 DIGOXIN(SOLUTION)....................................................16 DIGOXIN(TAB)................................................................ 16 DIHYDROERGOTAMINE MESYLATE......................... 40 DIHYDROERGOTAMINE MESYLATE(AMPUL)...... 40, 50 DIHYDROERGOTAMINE MESYLATE(SPRAY/PUMP) ..................................................................................... 40, 50 DIHYDROERGOTAMINE MESYLATE(VIAL)............. 40 DILANTIN........................................................................ 41 DILANTIN-125.................................................................41 DILTIAZEM HCL.............................................................17 DIMENHYDRINATE....................................................... 11 DIMETHICONE................................................................23 DIMETHYL FUMARATE................................................37 DIPHENHYDRAMINE HCL..................................... 11, 15 DIPHENHYDRAMINE HCL(CAP)(OTC)...................... 11 DIPHENHYDRAMINE HCL(ELIXIR)(OTC)................. 11 DIPHENHYDRAMINE HCL(LIQUID)(OTC)................ 11 DIPHENHYDRAMINE HCL(SYRUP)(OTC)................. 11 DIPHENHYDRAMINE HCL(TAB)(OTC)...................... 11 DIPYRIDAMOLE............................................................. 30 DISOPYRAMIDE PHOSPHATE..................................... 16 DISULFIRAM...................................................................15 DIVALPROEX SODIUM..................................................41 DIVALPROEX SODIUM ER............................................41 DOCOSANOL...................................................................21 DOC-Q-LACE(OTC).........................................................35 DOCUSATE SODIUM................................................35, 36 DOFETILIDE.................................................................... 16 DOLUTEGRAVIR SODIUM............................................33 DONEPEZIL HCL............................................................ 14 DONNATAL...................................................................... 42 DORNASE ALFA............................................................. 39 DORZOLAMIDE HCL..................................................... 28 DORZOLAMIDE HCL/TIMOLOL MALEAT.................28 DORZOLAMIDE-TIMOLOL...........................................28 DOXAZOSIN MESYLATE.............................................. 16 DOXEPIN HCL........................................................... 14, 15 DOXERCALCIFEROL..................................................... 27 DOXYCYCLINE CALCIUM........................................... 32 DOXYCYCLINE HYCLATE............................... 32, 50, 56 DOXYCYCLINE MONOHYDRATE...............................32 DOXYCYCLINE MONOHYDRATE(CAP).............. 32, 50 DOXYCYCLINE MONOHYDRATE(SUSP RECON)...... 32 DOXYCYCLINE MONOHYDRATE(TAB)(100 MG)...... 32, 50, 56 DOXYCYCLINE MONOHYDRATE(TAB)(150 MG)...... 32, 50 DOXYCYCLINE MONOHYDRATE(TAB)(50 MG)...... 32, 50 DOXYCYCLINE MONOHYDRATE(TAB)(75 MG)...... 32, 50 DRITHOCREME HP.................................................. 23, 56 DRONABINOL..................................................... 11, 50, 56 DRONEDARONE HCL.................................................... 16 DROPLET LANCING DEVICE(OTC)............................ 25 DROSPIR/ETH ESTRA/LEVOMEFOL CA.................... 19 DROXIDOPA.................................................................... 19 DRY SKIN THERAPY(OTC)...........................................22 DUAVEE............................................................................30 DULAGLUTIDE............................................................... 24 DULERA..................................................................... 12, 50 DULOXETINE HCL................................................... 14, 50 DUREZOL.........................................................................27 DUTASTERIDE.................................................... 43, 56, 63 DUTASTERIDE/TAMSULOSIN HCL.............................43 DUTASTERIDE-TAMSULOSIN......................... 43, 56, 63 DYCLONINE HCL/BENZETHONIUM CL.................... 23 -EE.E.S. 200.......................................................................... 31 EASIVENT........................................................................12 EASY CLICK(OTC)......................................................... 25 EASY TOUCH ALCOHOL PREP PADS(OTC).............. 22 EASY TOUCH LANCING DEVICE(OTC)..................... 25 ECONAZOLE NITRATE..................................................20 EDLUAR............................................................... 15, 50, 56 EDURANT........................................................................ 33 EFAVIRENZ...................................................................... 33 EFAVIRENZ/EMTRICITAB/TENOFOVIR..................... 34 EFFER-K........................................................................... 26 EFFIENT..................................................................... 30, 50 EGG-PRO.................................................................... 37, 60 ELECARE................................................................... 39, 60 ELECARE JR.............................................................. 39, 60 ELIGARD....................................................................27, 60 ELIQUIS(TAB)(2.5 MG)............................................ 29, 50 ELIQUIS(TAB)(5 MG)............................................... 29, 50 ELITE OB DHA................................................................ 46 ELITE-OB 400.................................................................. 46 ELLA................................................................................. 19 ELMIRON......................................................................... 43 ELTROMBOPAG OLAMINE........................................... 30 ELVITEG/COBI/EMTRIC/TENOFO ALA......................34 ELVITEGR/COBICIST/EMTRIC/TENOF.......................34 ELVITEGRAVIR............................................................... 33 EMEND(CAP DS PK)................................................ 11, 50 EMEND(CAP)(125 MG).............................................11, 50 EMEND(CAP)(40 MG)...............................................11, 50 EMEND(CAP)(80 MG)...............................................11, 50 EMOL53/NAMGFS/HA/NAHYPOCHLORIT................ 22 EMOLLIENT #56/HYALURONIC ACID........................22 EMOLLIENT COMBINATION NO.10............................22 EMOLLIENT COMBINATION NO.32............................22 EMOLLIENT COMBINATION NO.35............................22 EMOLLIENT COMBINATION NO.36............................22 EMOLLIENT COMBINATION NO.53............................22 EMOLLIENT COMBINATION NO.60............................22 EMOLLIENT COMBINATION NO.85............................21 EMOLLIENT COMBO NO.47 & NO.60......................... 22 EMPAGLIFLOZIN............................................................24 EMPAGLIFLOZIN/LINAGLIPTIN.................................. 24 EMPAGLIFLOZIN/METFORMIN HCL..........................24 EMSAM.......................................................................15, 50 EMTRICITAB/RILPIVIRI/TENOFO ALA......................34 EMTRICITAB/RILPIVIRINE/TENOFOV....................... 34 EMTRICITABINE.............................................................33 EMTRICITABINE/TENOFOVIR..................................... 33 EMTRIVA(CAP)......................................................... 33, 50 EMTRIVA(SOLUTION)............................................. 33, 50 Page 66 of 75 Index EMULSION SB.................................................................22 ENALAPRIL MALEATE..................................................17 ENALAPRIL/HYDROCHLOROTHIAZIDE................... 16 ENALAPRIL-HYDROCHLOROTHIAZIDE................... 16 ENEMEEZ(OTC).............................................................. 36 ENFUVIRTIDE................................................................. 33 ENOXAPARIN SODIUM................................................. 29 ENOXAPARIN SODIUM(SYRINGE)(100 MG/ML)...... 29, 50 ENOXAPARIN SODIUM(SYRINGE)(120MG/.8ML)...... 29, 50 ENOXAPARIN SODIUM(SYRINGE)(150 MG/ML)...... 29, 50 ENOXAPARIN SODIUM(SYRINGE)(30MG/0.3ML)...... 29, 50 ENOXAPARIN SODIUM(SYRINGE)(40MG/0.4ML)...... 29, 51 ENOXAPARIN SODIUM(SYRINGE)(60MG/0.6ML)...... 29, 51 ENOXAPARIN SODIUM(SYRINGE)(80MG/0.8ML)...... 29, 51 ENOXAPARIN SODIUM(VIAL)...............................29, 51 ENSURE ACTIVE MUSCLE HEALTH.................... 38, 60 ENSURE BONE HEALTH......................................... 38, 60 ENSURE CLEAR........................................................39, 60 ENTACAPONE................................................................. 41 ENZALUTAMIDE............................................................ 36 EO28 SPLASH............................................................ 39, 60 EPINASTINE HCL........................................................... 27 EPINEPHRINE............................................................11, 36 EPIPEN JR 2-PAK.............................................................36 EPIVIR HBV..................................................................... 34 EPOETIN ALFA............................................................... 29 EPZICOM....................................................................33, 51 EQUETRO.........................................................................15 ERAPID NEBULIZER......................................................13 ERGOCALCIFEROL (VITAMIN D2)............................. 48 ERGOLOID MESYLATES...............................................19 ERGOTAMINE TARTRATE/CAFFEINE........................ 40 ERIVEDGE........................................................... 36, 51, 60 ERLOTINIB HCL............................................................. 37 ERYPED 400..................................................................... 31 ERY-TAB........................................................................... 31 ERYTHROCIN STEARATE............................................. 31 ERYTHROMYCIN................................................20, 28, 31 ERYTHROMYCIN BASE.......................................... 28, 31 ERYTHROMYCIN BASE/ETHANOL............................ 20 ERYTHROMYCIN ETHYLSUCCINATE........................31 ERYTHROMYCIN STEARATE.......................................31 ERYTHROMYCIN/BENZOYL PEROXIDE................... 20 ERYTHROMYCIN-BENZOYL PEROXIDE................... 20 ESBRIET..................................................................... 39, 60 ESCITALOPRAM OXALATE..........................................14 ESLICARBAZEPINE ACETATE..................................... 41 ESOMEPRAZOLE MAGNESIUM...................... 43, 51, 56 ESSENTIAL WOMAN 50+(OTC)................................... 45 ESTRACE..........................................................................43 ESTRADIOL............................................................... 30, 43 ESTRADIOL VALERATE/DIENOGEST........................ 19 ESTRADIOL(PATCH TDSW)....................................30, 51 ESTRADIOL(PATCH TDWK)................................... 30, 51 ESTRADIOL(TAB)...........................................................30 ESTRADIOL/NORETHINDRONE ACET.......................30 ESTRADIOL-NORETHINDRONE ACETAT..................30 ESTROGEN,CON/M-PROGEST ACET.......................... 30 ESTROGENS, CONJUGATED.................................. 30, 43 ESTROGENS,CONJ/BAZEDOXIFENE.......................... 30 ESTROGENS,ESTERIFIED............................................. 30 ESTROPIPATE.................................................................. 30 ESZOPICLONE................................................................ 15 ETHAMBUTOL HCL.......................................................32 ETHINYL ESTRADIOL/DROSPIRENONE................... 19 ETHIONAMIDE............................................................... 32 ETHOSUXIMIDE............................................................. 41 ETHOTOIN....................................................................... 41 ETHYL CHLORIDE......................................................... 23 ETHYNODIOL D-ETHINYL ESTRADIOL....................19 ETIDRONATE DISODIUM..............................................27 ETODOLAC...................................................................... 35 ETONOGESTREL/ETHINYL ESTRADIOL...................19 ETOPOSIDE......................................................................37 ETRAVIRINE....................................................................33 EURAX..............................................................................21 EVENCARE MINI MONITOR SYSTEM(OTC)............. 25 EVEROLIMUS............................................................31, 36 EVOLOCUMAB............................................................... 18 EVOTAZ...................................................................... 33, 51 EXCEL-GEL(OTC)...........................................................22 EXELDERM......................................................................21 EXEMESTANE................................................................. 36 EXODERM........................................................................21 EXTRA-VIRT PLUS DHA............................................... 47 VNSNY EYE WASH(OTC).............................................................29 EYELID CLEANSER COMBINATION #5..................... 29 EYELID CLEANSER COMBINATION #6..................... 29 EYELID WIPES(OTC)..................................................... 29 E-Z SPACER..................................................................... 12 EZETIMIBE...................................................................... 18 EZOGABINE.................................................................... 41 -FFA/MV,CA,IRON,MIN/LYCOPENE/LUT....................... 45 FA/VIT B COMPLEX & C/RICE BRAN.........................47 FA/VIT BCOMP,C/ZINC/VITAMIN D3.......................... 47 F-A-A...........................................................................39, 60 FACTOR IX.......................................................................29 FACTOR IX HUMAN RECOMBINANT.........................29 FAMCICLOVIR................................................................ 33 FAMOTIDINE...................................................................43 FAMOTIDINE(OTC)........................................................ 43 FANAPT(TAB DS PK)..........................................15, 51, 56 FANAPT(TAB)......................................................15, 51, 56 FARESTON................................................................. 37, 60 FARYDAK...................................................................37, 60 FE FUMARATE/CAL/E/FA/MULTIVIT......................... 44 FE FUMARATE/DOSS/FA/BCOMP,C............................ 44 FE FUMARATE/FA/VIT BCOMP,C................................ 45 FE FUMARATE/VIT C/B12/STOMC.............................. 44 FE FUMARATE/VIT C/B12-IF/FA.................................. 44 FEBUXOSTAT.................................................................. 29 FELBAMATE....................................................................41 FELBAMATE(ORAL SUSP)................................41, 51, 56 FELBAMATE(TAB)(400 MG)............................. 41, 51, 56 FELBAMATE(TAB)(600 MG)............................. 41, 51, 56 FELODIPINE.................................................................... 17 FELODIPINE ER.............................................................. 17 FENOFIBRATE.................................................................18 FENOFIBRATE NANOCRYSTALLIZED....................... 18 FENOFIBRATE,MICRONIZED.......................................18 FENOFIBRIC ACID......................................................... 18 FENOFIBRIC ACID (CHOLINE).................................... 18 FENOPROFEN CALCIUM.............................................. 35 FENOPROFEN CALCIUM(CAP)....................................35 FENOPROFEN CALCIUM(TAB).................................... 35 FENTANYL...........................................................40, 51, 60 FENTANYL CITRATE............................................... 40, 60 FER-IN-SOL(OTC)........................................................... 44 FEROCON.........................................................................44 FERRAPLUS 90................................................................44 FERREX 150 FORTE PLUS.............................................44 FERREX 150 PLUS(OTC)................................................44 FERREX 150(OTC).......................................................... 44 FERREX 28....................................................................... 44 FERROUS FUMARATE/FOLIC ACID............................44 FERROUS SULFATE........................................................44 FERROUS SULFATE(OTC)............................................. 44 FERROUS SULFATE/VIT C/FA...................................... 44 FESOTERODINE FUMARATE....................................... 43 FETZIMA.............................................................. 14, 51, 56 FEXOFENADINE HCL.................................................... 11 FEXOFENADINE HCL(OTC)......................................... 11 FEXOFENADINE/PSEUDOEPHEDRINE...................... 11 FIBER-STAT(OTC)........................................................... 35 FIDAXOMICIN.................................................................31 FILGRASTIM................................................................... 30 FINASTERIDE..................................................................43 FINGOLIMOD HCL......................................................... 37 FIRAZYR.................................................................... 34, 60 FIRMAGON(VIAL)(120 MG)....................................36, 51 FIRMAGON(VIAL)(80 MG)......................................36, 51 FLAGYL ER......................................................................32 FLAREX............................................................................27 FLAVOXATE HCL............................................................43 FLECAINIDE ACETATE..................................................16 FLUCAINE........................................................................28 FLUCONAZOLE.............................................................. 32 FLUCYTOSINE................................................................ 32 FLUDROCORTISONE ACETATE................................... 34 FLUNISOLIDE..................................................... 11, 12, 51 FLUOCINOLONE ACETONIDE.....................................21 FLUOCINOLONE ACETONIDE OIL............................. 26 FLUOCINOLONE/SHOWER CAP..................................21 FLUOCINONIDE..............................................................21 FLUOCINONIDE/EMOLLIENT BASE.......................... 21 FLUOCINONIDE-E..........................................................21 FLUORESCEIN SODIUM............................................... 29 FLUORIDE........................................................................44 FLUORIDE/IRON/VITAMINS A,C,D............................. 45 FLUORIDEX SENSITIVITY RELIEF.............................44 FLUORITAB..................................................................... 44 FLUOROMETHOLONE...................................................27 FLUOROMETHOLONE ACETATE................................ 27 FLUOROURACIL.............................................................23 FLUOXETINE HCL..........................................................14 FLUOXYMESTERONE................................................... 30 FLUPHENAZINE DECANOATE.....................................15 FLUPHENAZINE HCL.................................................... 15 FLURA-DROPS................................................................ 44 FLURANDRENOLIDE.................................................... 21 FLURBIPROFEN.............................................................. 35 FLURBIPROFEN SODIUM............................................. 27 FLUTAMIDE.....................................................................36 FLUTICASONE PROPIONATE...........................11, 21, 51 FLUTICASONE PROPIONATE(OTC)...................... 11, 51 FLUTICASONE/SALMETEROL.....................................12 FLUTICASONE/VILANTEROL......................................12 FLUTTER..........................................................................12 FLUVOXAMINE MALEATE...........................................14 FML FORTE......................................................................27 FML S.O.P......................................................................... 27 FOAMING ANTACID(OTC)............................................42 FOCALGIN DSS...............................................................44 FOCALIN XR....................................................... 16, 49, 51 FOLBECAL.......................................................................47 FOLBEE PLUS CZ........................................................... 47 FOLBIC............................................................................. 47 FOLBIC RF....................................................................... 47 FOLBIC(OTC)...................................................................47 FOLIC ACID..................................................................... 44 FOLIC ACID(OTC)...........................................................44 FOLIC ACID/B COMPLEX & C NO.17..........................47 FOLIC ACID/B CPLX/C/SELEN/ZINC.......................... 47 FOLIC ACID/MULTIVIT-MIN/LUTEIN.........................45 FOLIC ACID/MV,FE,MIN................................................45 FOLIC ACID/MV,FE,MIN/LUTEIN................................ 45 FOLIC ACID/VIT BCOMP,C........................................... 47 FOLIC ACID/VIT BCOMP,C/CU/ZNOX........................ 47 FOLITAB 500(OTC)......................................................... 44 FOLIVANE-F.................................................................... 44 FOLIVANE-OB................................................................. 46 FOLIVANE-PLUS.............................................................44 FONDAPARINUX SODIUM......................................29, 30 FONDAPARINUX SODIUM(SYRINGE)(10MG/0.8ML) ..................................................................................... 29, 51 FONDAPARINUX SODIUM(SYRINGE)(2.5 MG/0.5) ..................................................................................... 29, 51 FONDAPARINUX SODIUM(SYRINGE)(5MG/0.4ML) ..................................................................................... 30, 51 FONDAPARINUX SODIUM(SYRINGE)(7.5MG/0.6)...... 30, 51 FORA LANCING DEVICE(OTC)................................... 25 FORMOTEROL FUMARATE.......................................... 12 FORTEO...................................................................... 27, 51 FOS/MALTODEXTRIN....................................................35 FOSAMAX PLUS D......................................................... 27 FOSAMPRENAVIR CALCIUM.......................................33 FOSFREE(OTC)................................................................44 FOSINOPRIL SODIUM................................................... 17 FOSINOPRIL/HYDROCHLOROTHIAZIDE.................. 16 FOSINOPRIL-HYDROCHLOROTHIAZIDE.................. 16 FRAGMIN(SYRINGE)(10000/ML)........................... 29, 51 FRAGMIN(SYRINGE)(12500/0.5)............................ 29, 51 FRAGMIN(SYRINGE)(15000/0.6)............................ 29, 51 FRAGMIN(SYRINGE)(18000/0.72).......................... 29, 51 FRAGMIN(SYRINGE)(2500/0.2ML)........................ 29, 51 FRAGMIN(SYRINGE)(5000/0.2ML)........................ 29, 51 FRAGMIN(SYRINGE)(7500/0.3ML)........................ 29, 51 FRAGMIN(VIAL).......................................................29, 51 FREESTYLE FREEDOM LITE(OTC).............................25 FREESTYLE INSULINX(OTC).................................24, 25 FREESTYLE LITE METER(OTC).................................. 25 FREESTYLE LITE(OTC)................................................. 24 FREESTYLE(OTC)...........................................................24 FRESHNET(OTC).............................................................22 FRUCTOOLIGOSACCHARIDES/POLYDEX................ 35 FUROSEMIDE.................................................................. 17 FUZEON......................................................................33, 51 FYCOMPA(TAB)(10 MG).................................... 41, 51, 56 FYCOMPA(TAB)(12 MG).................................... 41, 51, 56 FYCOMPA(TAB)(2 MG)...................................... 41, 51, 56 FYCOMPA(TAB)(4 MG)...................................... 41, 51, 56 FYCOMPA(TAB)(6 MG)...................................... 41, 51, 56 FYCOMPA(TAB)(8 MG)...................................... 41, 51, 56 -GGABAPENTIN..................................................................41 GABAPENTIN(CAP)....................................................... 41 GABAPENTIN(SOLUTION)........................................... 41 GABAPENTIN(TAB)........................................................41 GABITRIL(TAB)(12 MG).................................... 42, 51, 56 GABITRIL(TAB)(16 MG).................................... 42, 51, 57 GABITRIL(TAB)(2 MG).................................................. 42 GABITRIL(TAB)(4 MG).................................................. 42 GALANTAMINE HBR..................................................... 14 GALANTAMINE HBR(CAP24H PEL)..................... 14, 51 GALANTAMINE HBR(TAB).....................................14, 51 GAMMAGARD LIQUID............................................30, 60 GAMMAKED............................................................. 30, 60 Page 67 of 75 Index GAMUNEX-C.............................................................30, 60 GANCICLOVIR................................................................ 27 GATIFLOXACIN.............................................................. 28 GATTEX......................................................................36, 60 GAVILYTE-C.................................................................... 36 GAVILYTE-N....................................................................36 GEFITINIB........................................................................37 GEL-KAM(OTC).............................................................. 44 GEMFIBROZIL.................................................................18 GENADUR........................................................................23 GENERLAC...................................................................... 35 GENTAMICIN SULFATE...........................................20, 28 GENTIAN VIOL/BRLNT GRN/PROFLAV.....................20 GENVOYA.................................................................. 34, 51 GEODON.................................................................... 15, 51 GERITOL COMPLETE(OTC)..........................................44 GILENYA.................................................................... 37, 60 GILOTRIF................................................................... 36, 60 GLATIRAMER ACETATE............................................... 37 GLATOPA....................................................................37, 60 GLIMEPIRIDE..................................................................24 GLIPIZIDE........................................................................ 24 GLIPIZIDE/METFORMIN HCL......................................24 GLIPIZIDE-METFORMIN...............................................24 GLUCAGON EMERGENCY KIT................................... 26 GLUCAGON,HUMAN RECOMBINANT.......................26 GLUCO BURST..........................................................39, 60 GLUCOLET 2(OTC).........................................................25 GLUCOSE POLYMERS................................................... 38 GLUCOSE(OTC).............................................................. 26 GLYBURIDE.....................................................................24 GLYBURIDE MICRONIZED...........................................24 GLYBURIDE,MICRONIZED...........................................24 GLYBURIDE/METFORMIN HCL...................................24 GLYBURIDE-METFORMIN HCL.................................. 24 GLYCERIN/DIMETHICONE...........................................22 GLYCERIN/PROPYLENE GLYCOL...............................28 GLYCEROL PHENYLBUTYRATE................................. 35 GLYCINE.......................................................................... 32 GLYCINE UROLOGIC SOLUTION................................32 GLYCOPYRROLATE....................................................... 42 GLYTROL................................................................... 39, 60 GLYXAMBI.......................................................... 24, 51, 57 GMATE LANCING DEVICE(OTC)................................ 25 GOLIMUMAB.................................................................. 34 GOLYTELY.......................................................................36 GR POL-ORC/SW VER/RYE/KENT/TIM...................... 11 GRANISETRON HCL.......................................... 11, 51, 57 GRANIX......................................................................30, 60 GRANULEX..................................................................... 23 GRASS POLLEN-TIMOTHY, STANDARD....................11 GRASTEK...................................................................11, 60 GRISEOFULVIN...............................................................32 GRISEOFULVIN, MICROSIZE....................................... 32 GRX RINSE-FREE(OTC).................................................23 GUAIFENESIN................................................................. 20 GUAIFENESIN/DEXTROMETHORPHAN.................... 20 GUAIFENESIN/PHENYLEPHRINE HCL...................... 20 GUANFACINE HCL................................................... 16, 17 GUANFACINE HCL ER.............................................16, 51 GUANIDINE HCL............................................................ 36 GYNAZOLE 1...................................................................43 -HHALDOL DECANOATE 50............................................. 15 HALOBETASOL PROPIONATE..................................... 21 HALOPERIDOL............................................................... 15 HALOPERIDOL DECANOATE...................................... 15 HALOPERIDOL LACTATE............................................. 15 HARVONI................................................................... 34, 60 HC/MINERAL OIL/PETROLAT,WHT............................ 21 HCU COOLER............................................................39, 60 HCU LOPHLEX..........................................................39, 60 HCY 2..........................................................................39, 60 HEALTHY ACCENTS AUTOLET(OTC) ........................ 25 HEMATINIC PLUS...........................................................44 HEMATINIC WITH FOLIC ACID...................................44 HEMATOGEN.................................................................. 44 HEMENATAL OB.............................................................46 HEMENATAL OB + DHA................................................46 HEMETAB........................................................................ 44 HEPARIN FLUSH.............................................................30 HEPARIN SOD,PORCINE/0.9 % NACL......................... 30 HEPARIN SODIUM..........................................................30 HEPARIN SODIUM,PORCINE....................................... 30 HEPARIN SODIUM,PORCINE/D5W..............................30 HEPARIN SODIUM,PORCINE/NS/PF............................30 HEPARIN SODIUM,PORCINE/PF..................................30 HEPARIN SODIUM-0.9% NACL.................................... 30 HEPARIN SODIUM-D5W................................................30 HETLIOZ.................................................................... 15, 60 HEXALEN........................................................................ 36 HEX-ON LIGHT(OTC).................................................... 22 VNSNY HIZENTRA................................................................. 30, 60 HOM 2......................................................................... 39, 60 HOMATROPAIRE............................................................ 28 HOMATROPINE HBR......................................................28 HOMINEX-2............................................................... 39, 60 HONEY............................................................................. 23 HPR PLUS.........................................................................22 HPR PLUS-MB HYDROGEL.......................................... 22 HUMALOG KWIKPEN U-100.................................. 26, 51 HUMALOG KWIKPEN U-200.................................. 26, 51 HUMALOG MIX 50-50..............................................26, 51 HUMALOG MIX 50-50 KWIKPEN.......................... 26, 51 HUMALOG MIX 75-25..............................................26, 51 HUMALOG MIX 75-25 KWIKPEN.......................... 26, 51 HUMALOG(CARTRIDGE)........................................26, 51 HUMALOG(VIAL).....................................................26, 51 HUMULIN 70/30 KWIKPEN(OTC).......................... 26, 51 HUMULIN 70-30(OTC)..............................................26, 51 HUMULIN N KWIKPEN(OTC).................................26, 51 HUMULIN N(OTC).................................................... 26, 51 HUMULIN R U-500....................................................26, 51 HUMULIN R(OTC).................................................... 26, 51 HYALURON SOD/ALLANTOIN/ALOE XT.................. 23 HYALURONATE SODIUM..............................................23 HYDRALAZINE HCL......................................................17 HYDROCERIN(OTC).......................................................22 HYDROCHLOROTHIAZIDE.......................................... 18 HYDROCODONE/ACETAMINOPHEN..........................40 HYDROCODONE-ACETAMINOPHEN(SOLUTION)(10325/15).........................................................................40, 51 HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5163/7.5)........................................................................40, 51 HYDROCODONEACETAMINOPHEN(SOLUTION)(7.5-325/15).........40, 51 HYDROCODONE-ACETAMINOPHEN(TAB)(10MG325MG)........................................................................40, 51 HYDROCODONE-ACETAMINOPHEN(TAB)(5 MG325MG)........................................................................40, 51 HYDROCODONE-ACETAMINOPHEN(TAB)(7.5325MG)........................................................................40, 51 HYDROCORT/PRAMOXIN/EMOL/PRAM#1................35 HYDROCORT/SAL ACID/SULF/SHMP#1.....................21 HYDROCORTISONE........................................... 21, 34, 35 HYDROCORTISONE ACETATE...............................21, 35 HYDROCORTISONE ACETATE(OTC).......................... 21 HYDROCORTISONE ACETATE/UREA.........................21 HYDROCORTISONE BUTYRATE................................. 21 HYDROCORTISONE PROBUTATE............................... 21 HYDROCORTISONE VALERATE.................................. 21 HYDROCORTISONE(OTC).............................................21 HYDROCORTISONE/ALOE VERA............................... 21 HYDROCORTISONE/ALOE/VIT.E/A/D........................ 21 HYDROCORTISONE/IODOQUINOL.............................20 HYDROCORTISONE/LIDOCAINE/ALOE.................... 35 HYDROCORTISONE/OATMEAL/ALOE/E....................21 HYDROCORTISONE/PRAMOXINE........................ 23, 35 HYDROCORTISONE-ACETIC ACID.............................26 HYDROCORTISONE-ALOE(OTC).................................21 HYDROCORTISONE-IODOQUINOL............................ 20 HYDROCORTISONE-PRAMOXINE.............................. 35 HYDROCORTISONE-PRAMOXINE HCL..................... 23 HYDROGEN PEROXIDE.................................................23 HYDROGEN PEROXIDE(OTC)...................................... 23 HYDROQUINONE........................................................... 23 HYDROQUINONE MICROSPHERES............................ 23 HYDROQUINONE/FERRIC OXIDE...............................23 HYDROXOCOBALAMIN................................................47 HYDROXYCHLOROQUINE SULFATE......................... 32 HYDROXYUREA.............................................................36 HYDROXYZINE HCL......................................................11 HYDROXYZINE PAMOATE........................................... 11 HYOPHEN........................................................................ 31 HYOSCYAMINE SULFATE.............................................42 HYPER-HEAL(OTC)........................................................22 HYPOLANCE(OTC).........................................................25 HYPROMELLOSE........................................................... 28 HYQVIA......................................................................30, 60 -IIBANDRONATE SODIUM...............................................27 IBRANCE....................................................................37, 60 IBRUTINIB....................................................................... 37 IBUPROFEN..................................................................... 35 IBUPROFEN(OTC)...........................................................35 ICAPS MV(OTC).............................................................. 45 ICAPS(OTC)..................................................................... 45 ICAR-C PLUS................................................................... 46 ICATIBANT ACETATE.................................................... 34 ICLUSIG(TAB)(15 MG)....................................... 37, 51, 60 ICLUSIG(TAB)(45 MG)....................................... 37, 51, 60 ICOSAPENT ETHYL....................................................... 18 IDELALISIB..................................................................... 37 IGG/HYALURONIDASE,RECOMBINANT................... 30 ILEVRO.............................................................................27 ILOPERIDONE.................................................................15 ILOPROST TROMETHAMINE....................................... 18 IMATINIB MESYLATE................................................... 37 IMATINIB MESYLATE(TAB)(100 MG)............. 37, 51, 60 IMATINIB MESYLATE(TAB)(400 MG)............. 37, 51, 60 IMBRUVICA...............................................................37, 60 IMIPRAMINE HCL.......................................................... 14 IMIPRAMINE PAMOATE................................................14 IMIQUIMOD.........................................................31, 51, 60 IMMULIFE..................................................................39, 60 IMMUN GLOB G (IGG)/GLY/IGA 50+.......................... 30 IMMUN GLOB G(IGG)/PRO/IGA 0-50.......................... 30 IMPACT PEPTIDE 1.5 CAL.......................................39, 60 INATAL ULTRA............................................................... 47 IN-CHECK DIAL(OTC)................................................... 13 IN-CHECK NASAL WITH MASK(OTC)........................13 IN-CHECK ORAL(OTC)..................................................13 INCONTROL LANCING DEVICE(OTC)....................... 25 INCRELEX..................................................................27, 60 INCRUSE ELLIPTA....................................................11, 51 INDAPAMIDE...................................................................18 INDINAVIR SULFATE..................................................... 33 INDOCIN.......................................................................... 35 INDOMETHACIN............................................................ 35 INFANT FORM,FE,LAC-FR,HYPOALR1...................... 38 INFANT FORM,PROPIONIC ACIDEMIA......................38 INFANT FORM. W-IRON LF/DHA/ARA....................... 39 INFANT FORMULA, IRON/DHA/ARA......................... 38 INFUSION SET FOR INSULIN PUMP...........................25 INGENOL MEBUTATE....................................................23 INHALER, ASSIST DEVICES.........................................12 INHALER,ASSIST DEVICE,ACCESORY......................12 INLYTA(TAB)(1 MG)...........................................36, 51, 60 INLYTA(TAB)(5 MG)...........................................36, 51, 60 INNOSPIRE ELEGANCE................................................ 13 INNOSPIRE ESSENCE.................................................... 13 INSPIRATION...................................................................13 INSPIRATION ELITE.......................................................13 INSTA-GLUCOSE(OTC)..................................................26 INSULIN GLARGINE,HUM.REC.ANLOG....................26 INSULIN LISPRO.............................................................26 INSULIN LISPRO PROTAMIN/LISPRO.........................26 INSULIN NPH HUM/REG INSULIN HM...................... 26 INSULIN NPH HUMAN ISOPHANE............................. 26 INSULIN PUMP............................................................... 26 INSULIN REGULAR, HUMAN...................................... 26 INTELENCE..................................................................... 33 INTERFERON ALFA-2B,RECOMB................................31 INTERFERON BETA-1A................................................. 37 INTERFERON BETA-1A/ALBUMIN..............................37 INTERMEZZO......................................................15, 51, 57 INTRON A.................................................................. 31, 60 INVEGA SUSTENNA...................................................... 15 INVEGA(TAB ER 24H)(1.5 MG).........................15, 51, 57 INVEGA(TAB ER 24H)(3 MG)............................15, 51, 57 INVEGA(TAB ER 24H)(6 MG)............................15, 51, 57 INVEGA(TAB ER 24H)(9 MG)............................15, 51, 57 INVIRASE(CAP)........................................................ 33, 51 INVIRASE(TAB)........................................................ 33, 51 INVOKAMET....................................................... 24, 51, 57 INVOKANA.......................................................... 24, 51, 57 IODINE(OTC)................................................................... 20 IODINE/POTASSIUM IODIDE........................................20 IPECAC............................................................................. 42 IPECAC(OTC)...................................................................42 IPRATROPIUM BROMIDE........................................11, 37 IPRATROPIUM/ALBUTEROL SULFATE...................... 12 IPRATROPIUM-ALBUTEROL........................................12 IPRIVASK............................................................. 30, 51, 60 IRBESARTAN...................................................................17 IRBESARTAN/HYDROCHLOROTHIAZIDE.................17 IRBESARTAN-HYDROCHLOROTHIAZIDE.................17 IRESSA........................................................................37, 60 IRON 100 PLUS(OTC)..................................................... 44 IRON AG&FUM/C/FA/MV CMB11/CA-T......................44 IRON AG/C/B12/CA/SUC.ACID/STOM......................... 44 IRON ASPGLY&PS/C/B12/FA/CA/SUC......................... 44 IRON ASPGLY,PS/C/SUCCINIC ACID .......................... 44 IRON ASPGLY/C/B12/FA/CA-TH/SUC..........................44 IRON BG,PS/VITC/B12/FA/CALCIUM.......................... 44 IRON CARB,GL/FA/B12/C/DOCUSATE........................ 44 IRON FUM & AG/C/B12/FA/CA/SUCC..........................44 IRON FUM & PS CMP/FA/VIT C/B3..............................44 IRON FUM&POLYSAC#1/FA/MV NO.18...................... 44 IRON FUM,PS/FA/VIT B WITH C #9............................. 44 IRON FUMARATE/VIT C/VIT B12/FA.......................... 44 IRON POLYSAC/IRON HEME/FA/B12.......................... 44 IRON POLYSACCHARIDE COMPLEX......................... 44 IRON PS CMPLX/VIT B12/FA........................................ 44 IRON, CARBONYL/FA/C/B-6/B12/ZN...........................44 IRON,CARB/DSS/B12IF/FA/MV-MN............................. 44 Page 68 of 75 Index IRON,CARB/FA#6/MV, MIN NO.41............................... 44 IRON,CARBONYL/VIT C/VIT B12/FA....................44, 46 IRON/FA/B12/C/DOCUSATE SODIUM......................... 44 IRON/FA/VIT BCOMP,C/MINERALS............................ 44 IRON/LIVER EXT/VIT BCOMP,C/MIN......................... 44 IRON/MV,STRESS FORM............................................... 44 ISENTRESS...................................................................... 33 ISOCARBOXAZID...........................................................14 ISONIAZID....................................................................... 32 ISOPROPYL-WINTERGREEN(OTC)............................. 22 ISORDIL............................................................................19 ISOSORB DINIT/HYDRALAZINE HCL........................18 ISOSORBIDE DINITRATE..............................................19 ISOSORBIDE MONONITRATE......................................19 ISOSORBIDE MONONITRATE ER................................19 ISOSOURCE 1.5 CAL................................................ 38, 60 ISOTRETINOIN................................................................20 ISOXSUPRINE HCL........................................................ 19 ISRADIPINE..................................................................... 17 ITRACONAZOLE.............................................................32 IV ANTISEPTIC WIPES(OTC)........................................22 IV PREP WIPES(OTC)..................................................... 22 IVACAFTOR..................................................................... 39 IVERMECTIN...................................................................32 I-VITE(OTC)..................................................................... 43 IXAZOMIB CITRATE......................................................37 -JJAKAFI..................................................................36, 51, 60 JANUMET...................................................................24, 51 JANUMET XR(TBMP 24HR)(100-1000MG)............24, 51 JANUMET XR(TBMP 24HR)(50-1000 MG).............24, 51 JANUMET XR(TBMP 24HR)(50MG-500MG)......... 24, 51 JANUVIA.................................................................... 24, 51 JARDIANCE......................................................... 24, 51, 57 JENTADUETO............................................................ 24, 51 JEVITY 1.2 CAL.........................................................38, 60 JINTELI.............................................................................30 J-TAN PD(OTC)................................................................ 11 JUXTAPID...................................................................18, 60 -KKALETRA(SOLUTION)............................................ 33, 51 KALETRA(TAB)(100MG-25MG)............................. 33, 52 KALETRA(TAB)(200MG-50MG)............................. 33, 52 KALYDECO................................................................39, 60 KELNOR 1-35...................................................................19 KEPPRA............................................................................ 41 KEPPRA XR..................................................................... 41 KETEK.............................................................................. 31 KETOCAL 3:1.............................................................39, 60 KETOCAL 4:1.............................................................38, 60 KETOCONAZOLE..................................................... 20, 32 KETO-DIASTIX REAGENT(OTC)................................. 26 KETOPROFEN..................................................................35 KETOROLAC TROMETHAMINE............................ 27, 35 KETOVOLVE.............................................................. 39, 60 KEVEYIS.................................................................... 42, 60 KHEDEZLA.......................................................... 14, 52, 57 KIONEX............................................................................ 26 KLONOPIN.......................................................................41 KONSYL(OTC).................................................................36 KORLYM.................................................................... 24, 60 KRISTALOSE................................................................... 35 KYNAMRO................................................................. 18, 60 -LLABETALOL HCL........................................................... 16 LACOSAMIDE................................................................. 41 LACTIC ACID.................................................................. 22 LACTOSE-REDUCED FOOD......................................... 38 LACTOSE-REDUCED FOOD/FIBER............................. 38 LACTULOSE.................................................................... 35 LAMICTAL....................................................................... 41 LAMICTAL (BLUE)......................................................... 41 LAMICTAL (GREEN)...................................................... 41 LAMICTAL (ORANGE)...................................................41 LAMICTAL ODT..............................................................41 LAMICTAL ODT (BLUE)................................................41 LAMICTAL ODT (GREEN).............................................41 LAMICTAL ODT (ORANGE)......................................... 41 LAMICTAL XR (BLUE)............................................ 41, 57 LAMICTAL XR (GREEN)......................................... 41, 57 LAMICTAL XR (ORANGE)...................................... 41, 57 LAMISIL........................................................................... 32 LAMISIL(OTC).................................................................21 LAMIVUDINE............................................................33, 34 LAMIVUDINE HBV........................................................ 34 LAMIVUDINE(SOLUTION)..................................... 33, 52 LAMIVUDINE(TAB)(150 MG)................................. 33, 52 LAMIVUDINE(TAB)(300 MG)................................. 33, 52 LAMIVUDINE/ZIDOVUDINE........................................ 33 LAMIVUDINE-ZIDOVUDINE..................................33, 52 LAMOTRIGINE................................................................41 LANCET DEVICE(OTC)................................................. 25 VNSNY LANCING DEVICE..........................................................25 LANCING DEVICE(OTC)............................................... 25 LANCING DEVICE/LANCETS.................................25, 26 LANCING SYSTEM(OTC).............................................. 25 LANOLIN ALCOHOL/MO/W.PET/CERES....................22 LANOLIN/ALOE VERA/PROP GLY.............................. 22 LANOLIN/MIN OIL/PETROLAT,WHT.......................... 29 LANSOPRAZOL-AMOXICIL-CLARITHRO........... 42, 52 LANSOPRAZOLE............................................................ 43 LANSOPRAZOLE(OTC)................................................. 43 LANSOPRAZOLE/AMOXICILN/CLARITH..................42 LANTUS......................................................................26, 52 LANTUS SOLOSTAR................................................ 26, 52 LANZO(OTC)................................................................... 25 LAPATINIB DITOSYLATE..............................................37 LATANOPROST............................................................... 28 LATRIX............................................................................. 23 LATUDA(TAB)(120 MG)..................................... 15, 52, 57 LATUDA(TAB)(20 MG)....................................... 15, 52, 57 LATUDA(TAB)(40 MG)....................................... 15, 52, 57 LATUDA(TAB)(60 MG)....................................... 15, 52, 57 LATUDA(TAB)(80 MG)....................................... 15, 52, 57 LC D NEBULIZER SET................................................... 13 LC PLUS........................................................................... 13 LC SPRINT NEBULIZER................................................ 13 LEDIPASVIR/SOFOSBUVIR.......................................... 34 LEFLUNOMIDE...............................................................34 LENALIDOMIDE............................................................. 36 LENVATINIB MESYLATE.............................................. 37 LENVIMA...................................................................37, 60 LETAIRIS....................................................................18, 60 LETROZOLE.................................................................... 36 LEUCOVORIN CALCIUM.............................................. 37 LEU-FREE COOLER................................................. 39, 60 LEUKINE.................................................................... 30, 60 LEUPROLIDE ACETATE.................................................27 LEVALBUTEROL HCL................................................... 12 LEVETIRACETAM.......................................................... 41 LEVOBUNOLOL HCL.....................................................28 LEVOCETIRIZINE DIHYDROCHLORIDE................... 11 LEVOCETIRIZINE DIHYDROCHLORIDE(SOLUTION) ............................................................................... 11, 52, 57 LEVOCETIRIZINE DIHYDROCHLORIDE(TAB)......... 11 LEVOFLOXACIN.......................................................28, 32 LEVOMILNACIPRAN HYDROCHLORIDE.................. 14 LEVONORGESTREL.......................................................19 LEVONORGESTREL-ETHIN ESTRADIOL.................. 19 LEVORA-28...................................................................... 19 LEVOTHYROXINE SODIUM......................................... 27 LEXAPRO......................................................................... 14 LEXIVA............................................................................. 33 LICE KILLING(OTC).......................................................21 LIDOCAINE......................................................................23 LIDOCAINE HCL.......................................................23, 35 LIDOCAINE HCL VISCOUS.......................................... 35 LIDOCAINE HCL/COLLAGEN...................................... 23 LIDOCAINE/HYDROCORTISONE AC....................23, 35 LIDOCAINE/PRILOCAINE.............................................23 LIDOCAINE-HYDROCORTISONE.......................... 23, 35 LIDOCAINE-PRILOCAINE............................................ 23 LINACLOTIDE................................................................. 35 LINAGLIPTIN.................................................................. 24 LINAGLIPTIN/METFORMIN HCL................................ 24 LINDANE..........................................................................21 LINEZOLID...................................................................... 31 LINZESS..................................................................... 35, 52 LIOTHYRONINE SODIUM.............................................27 LIPASE/PROTEASE/AMYLASE.....................................42 LIQUID BANDAGE(OTC)............................................... 23 LISDEXAMFETAMINE DIMESYLATE.........................14 LISINOPRIL......................................................................17 LISINOPRIL/HYDROCHLOROTHIAZIDE....................16 LISINOPRIL-HYDROCHLOROTHIAZIDE................... 16 LITE TOUCH(OTC)......................................................... 25 LITEAIRE......................................................................... 12 LITETOUCH..................................................................... 12 LITHIUM.......................................................................... 15 LITHIUM CARBONATE..................................................15 LITHIUM CITRATE......................................................... 15 LITHOBID........................................................................ 15 LMD............................................................................ 38, 60 L-NORGEST/E.ESTRADION-E.ESTRAD......................19 LO LOESTRIN FE............................................................ 19 LODOXAMIDE TROMETHAMINE............................... 28 LOESTRIN........................................................................ 19 LOMITAPIDE MESYLATE............................................. 18 LONSURF................................................................... 36, 60 LOPERAMIDE..................................................................35 LOPERAMIDE HCL.........................................................35 LOPERAMIDE(CAP)(OTC).............................................35 LOPERAMIDE(LIQUID)(OTC).......................................35 LOPINAVIR/RITONAVIR................................................ 33 LORATADINE.................................................................. 11 LORATADINE(OTC)........................................................11 LORATADINE/PSEUDOEPHEDRINE........................... 11 LOSARTAN POTASSIUM............................................... 17 LOSARTAN/HYDROCHLOROTHIAZIDE.....................17 LOSARTAN-HYDROCHLOROTHIAZIDE.................... 17 LOTEMAX........................................................................ 27 LOTEPREDNOL ETABONATE.......................................27 LOUTREX.........................................................................21 LOVASTATIN....................................................................18 LOXAPINE....................................................................... 15 LOXAPINE SUCCINATE.................................................15 LUBIPROSTONE..............................................................35 LUBRICANT EYE(OTC)................................................. 28 LUMACAFTOR/IVACAFTOR.........................................39 LUMIGAN.................................................................. 28, 52 LUNESTA................................................................... 15, 52 LURASIDONE HCL.........................................................15 LYNPARZA...........................................................37, 52, 60 LYSIPLEX PLUS(OTC)....................................................45 -MM9(OTC)........................................................................... 22 MACITENTAN................................................................. 18 MAFENIDE ACETATE.................................................... 21 MAG HYDROX/AL HYDROX/SIMETH........................ 42 MAGNEBIND 400 RX..................................................... 26 MAGNESIUM...................................................................44 MAGNESIUM HYDROXIDE.......................................... 35 MAGNESIUM OXIDE......................................................44 MAGNESIUM OXIDE(OTC)........................................... 44 MAGNESIUM(OTC)........................................................ 44 MALTODEXTRIN............................................................ 38 MANNITOL/SORBITOL SOLUTION............................ 22 MAPAP(OTC)................................................................... 40 MAPROTILINE HCL........................................................14 MARAVIROC....................................................................33 MARNATAL-F.................................................................. 46 MARPLAN........................................................................14 MECASERMIN.................................................................27 MECHLORETHAMINE HCL..........................................23 MECLIZINE HCL.............................................................11 MECLIZINE HCL(OTC).................................................. 11 MECLOFENAMATE SODIUM....................................... 35 MEDIHONEY(OTC).........................................................23 MEDROL...........................................................................34 MEDROXYPROGESTERONE ACETATE................ 19, 30 MEFLOQUINE HCL........................................................ 32 MEGA MULTI(OTC)........................................................45 MEGA MULTIVITAMIN(OTC).......................................45 MEGESTROL ACETATE................................................. 37 MEKINIST.................................................................. 37, 61 MELOXICAM...................................................................35 MELPAQUE HP................................................................ 23 MELPHALAN...................................................................36 MEMANTINE HCL....................................................13, 14 MEMANTINE HCL(SOLUTION)............................. 13, 52 MEMANTINE HCL(TAB DS PK)............................. 13, 52 MEMANTINE HCL(TAB)..........................................14, 52 MEMANTINE HCL/DONEPEZIL HCL..........................14 MENEST........................................................................... 30 MEN'S BIOMULTIPLE(OTC)..........................................45 MEPHYTON..................................................................... 30 MERCAPTOPURINE....................................................... 36 MESALAMINE.................................................................35 MESALAMINE W/CLEANSING WIPES....................... 35 MESTINON.......................................................................14 METAMUCIL MULTIHEALTH FIBER(OTC)................36 METAMUCIL SUGAR-FREE(OTC)............................... 36 METAMUCIL(OTC)......................................................... 36 METAPROTERENOL SULFATE.....................................12 METFORMIN HCL.......................................................... 24 METHAMPHETAMINE HCL....................................15, 52 METHEN/M-BLUE/SAL/NA PHOS/HYOS....................31 METHEN/SOD PHOS/METH BLUE/HYOS...................31 METHENAM/ME BLUE/BA/SALICY/HYO.................. 31 METHENAMINE HIPPURATE....................................... 31 METHENAMINE MANDELATE.................................... 31 METHIMAZOLE.............................................................. 27 METHIONAID............................................................39, 61 METHOCARBAMOL.......................................................42 METHOTREXATE........................................................... 36 METHOTREXATE SODIUM...........................................36 METHOTREXATE SODIUM/PF..................................... 36 METHOTREXATE/PF...................................................... 34 METHOXSALEN............................................................. 23 METHOXSALEN, RAPID............................................... 23 METHSCOPOLAMINE BROMIDE................................ 42 METHSUXIMIDE............................................................ 41 METHYCLOTHIAZIDE...................................................18 METHYL SALICYLATE................................................. 22 METHYL SALICYLATE(OTC)....................................... 22 METHYL SALICYLATE/ISOPROPANOL..................... 22 Page 69 of 75 Index METHYLBENZETHONIUM CHLORIDE......................20 METHYLCELLULOSE....................................................35 METHYLDOPA................................................................ 17 METHYLDOPA/HYDROCHLOROTHIAZIDE.............. 17 METHYLDOPA-HYDROCHLOROTHIAZIDE.............. 17 METHYLERGONOVINE MALEATE............................. 19 METHYLPHENIDATE ER(CPBP 50-50)(20 MG)...... 16, 49, 52 METHYLPHENIDATE ER(CPBP 50-50)(30 MG)...... 16, 49, 52 METHYLPHENIDATE ER(CPBP 50-50)(40 MG)...... 16, 49, 52 METHYLPHENIDATE ER(TAB ER 24H)(18 MG)...... 16, 49, 52 METHYLPHENIDATE ER(TAB ER 24H)(27 MG)...... 16, 49, 52 METHYLPHENIDATE ER(TAB ER 24H)(36 MG)...... 16, 49, 52 METHYLPHENIDATE ER(TAB ER 24H)(54 MG)...... 16, 49, 52 METHYLPHENIDATE ER(TAB ER)(10 MG)...... 16, 49, 52 METHYLPHENIDATE ER(TAB ER)(20 MG)...... 16, 49, 52 METHYLPHENIDATE HCL............................................16 METHYLPREDNISOLONE............................................ 34 METHYLTESTOSTERONE.......................................30, 61 METIPRANOLOL............................................................ 28 METOCLOPRAMIDE HCL............................................. 43 METOLAZONE................................................................ 18 METOPROLOL SUCCINATE..........................................17 METOPROLOL TARTRATE............................................17 METOPROLOL/HYDROCHLOROTHIAZIDE...............17 METOPROLOL-HYDROCHLOROTHIAZIDE.............. 17 METRELEPTIN................................................................ 27 METRONIDAZOLE............................................. 20, 32, 43 MEXILETINE HCL.......................................................... 16 MG TRISILICATE/ALH/NAHCO3/AA...........................42 MI ACID(OTC)................................................................. 42 MICONAZOLE 3.............................................................. 43 MICONAZOLE 3(OTC)................................................... 43 MICONAZOLE NITRATE......................................... 20, 43 MICONAZOLE NITRATE(OTC).....................................20 MICRO AIR(OTC)............................................................ 13 MICRO ELITE.................................................................. 13 MICRO PLUS....................................................................13 MICROCHAMBER...........................................................12 MICROGESTIN................................................................ 19 MICROGESTIN FE.......................................................... 19 MICROLET 2(OTC)..........................................................25 MICROLIFE PEAK FLOW(OTC)....................................13 MICROSPACER................................................................12 MIDODRINE HCL........................................................... 19 MIFEPRISTONE...............................................................24 MILK BASED FORMULA...............................................38 MILK BASED FORMULA/CORN STARCH.................. 38 MILLIPRED...................................................................... 34 MILLIPRED DP................................................................34 MILNACIPRAN HCL.......................................................37 MINASTRIN 24 FE...........................................................19 MINERAL OIL................................................................. 35 MINERAL OIL(OTC)....................................................... 35 MINERAL OIL, LIGHT/MINERAL OIL........................ 29 MINERAL OIL/LAN OIL/PROP GLY.............................22 MINERAL OIL/PETROLATUM,WHITE.................. 22, 29 MINERALS/PROTEIN SUPPLEMENT.......................... 44 MINI LANCING DEVICE(OTC)..................................... 25 MINI PLUS NEBULIZER................................................ 13 MINICOMP COMPRESSOR NEBULIZER(OTC)..........13 MINIELITE....................................................................... 13 MINILINK REAL-TIME TRANSMITTER..................... 25 MINIMED......................................................................... 25 MINI-WRIGHT PEAK FLOW METER...........................13 MINOCYCLINE HCL...................................................... 32 MINOXIDIL...................................................................... 17 MIO INFUSION SET........................................................25 MIPOMERSEN SODIUM................................................ 18 MIRTAZAPINE.................................................................14 MISOPROSTOL................................................................42 MMA-PA COOLER.................................................... 38, 61 MODAFINIL............................................................... 15, 61 MOEXIPRIL HCL.............................................................17 MOEXIPRIL/HYDROCHLOROTHIAZIDE....................16 MOEXIPRIL-HYDROCHLOROTHIAZIDE................... 16 MOMETASONE FUROATE.......................................11, 21 MOMETASONE/FORMOTEROL....................................12 MONISTAT 3(OTC).......................................................... 43 MONTELUKAST SODIUM.............................................12 MORPHINE SULFATE.....................................................40 MORPHINE SULFATE ER(CAP ER PEL)................40, 52 MORPHINE SULFATE ER(CPMP 24HR)(120 MG)...... 40, 52 VNSNY MORPHINE SULFATE ER(CPMP 24HR)(30 MG)...... 40, 52 MORPHINE SULFATE ER(CPMP 24HR)(45 MG)...... 40, 52 MORPHINE SULFATE ER(CPMP 24HR)(60 MG)...... 40, 52 MORPHINE SULFATE ER(CPMP 24HR)(75 MG)...... 40, 52 MORPHINE SULFATE ER(CPMP 24HR)(90 MG)...... 40, 52 MORPHINE SULFATE ER(TAB ER)........................ 40, 52 MOTION SICKNESS(OTC)............................................. 11 MOUTHPIECE(OTC)....................................................... 12 MOVANTIK................................................................ 36, 52 MOXEZA.......................................................................... 28 MOXIFLOXACIN HCL..............................................28, 32 MSUD LOPHLEX.......................................................39, 61 MTH/ME BLUE/SOD PHOS/PHEN/HYOS.................... 31 MUCUS CLEARING DEVICE........................................ 12 MULTAQ........................................................................... 16 MULTI FOR HER(OTC)...................................................45 MULTIGEN.......................................................................44 MULTIGEN FOLIC.......................................................... 44 MULTIGEN PLUS............................................................ 44 MULTI-LANCET(OTC)................................................... 25 MULTILEX(OTC).............................................................45 MULTIVIT WITH CALCIUM,IRON,MIN...................... 45 MULTIVIT WITH IRON-MINERALS.......................44, 45 MULTIVIT, IRON, MIN #5, FA....................................... 45 MULTIVIT, MIN CMB#20/IRON/FA.............................. 45 MULTIVIT,CA,IRON,MIN/FA/HRB146......................... 45 MULTIVIT,TX,IRON/CALCM/FA/MINS....................... 45 MULTIVITAL(OTC).........................................................45 MULTIVITAMIN.............................................................. 45 MULTIVITAMIN NO.44/VIT D3/K.................................45 MULTIVITAMIN WITH FLUORIDE..............................46 MULTIVITAMIN WITH IRON........................................ 45 MULTIVITAMIN WITH MINERALS....................... 44, 45 MULTIVITAMIN WITH MINERALS/LUT.................... 44 MULTIVITAMIN,STRESS FORMULA.......................... 45 MULTIVITAMIN,STRESS FORMULA/ZN....................45 MULTIVITAMIN,THER AND MINERALS................... 45 MULTIVITAMIN,THERAPEUTIC..................................45 MULTIVITAMIN/IRON/FOLIC ACID............................ 45 MULTIVITAMIN-MINERALS NO.7/FA.........................45 MULTIVITAMINS W-CALCIUM-IRON(OTC).............. 45 MULTIVITAMINS W-FLUORIDE-IRON....................... 46 MULTIVITAMINS WITH FLUORIDE............................46 MULTIVITAMINS WITH MINERALS(OTC)................ 45 MULTIVITAMINS-A,B,D,E,K,ZN............................ 45, 46 MULTIVIT-MIN/FA/LUTEIN/ZEAXANT...................... 45 MULTIVIT-MIN/FA/LYCOPEN/LUTEIN................. 44, 45 MULTIVIT-MIN/FOLIC ACID/VIT K1...........................45 MULTIVIT-MIN/HERBAL DRUGS................................ 45 MULTIVIT-MIN/IRON/FA/GINSENG............................ 45 MULTIVIT-MIN/IRON/FOLIC/LUTEIN.........................45 MULTIVIT-MINERALS/FA/LYCOPENE....................... 45 MULTIVIT-MINERALS/FOLIC ACID............................45 MULTIVIT-MINERALS/FOLIC/GINKGO..................... 45 MULTIVITS W-IRON,HEMATINIC................................45 MULTIVITS,CA,MIN/IRON/FA/LYCOP........................ 45 MULTIVITS,CA,MINERALS/IRON/FA......................... 45 MULTIVITS,TH W-CA,FE,OTH MIN.............................45 MULTIVITS,TH W-FE,OTHER MIN.............................. 45 MULTIVITS,THERAP W-FE,HEMATIN........................ 45 MUPIROCIN..................................................................... 20 MUPIROCIN CALCIUM............................................20, 37 MV W-CA/IRON/FA/LUTEIN/HRB#179........................ 45 MV, MIN #36/IRON,CARBONYL/FA............................. 44 MV,CA,IRON,MIN/FA/PHYTOSTEROL........................ 45 MV,CA,MIN/IRON FUM/FA/LYCO/LUT....................... 45 MV,CA,MIN/IRON FUM/FA/VIT K................................ 45 MV,CA,MIN/IRON/FA/GUARANA/CAFF..................... 45 MV,CA,MIN/IRON/FA/LYC/LUT/PHYT........................ 45 MV,FE,MIN/GR TEA LFXT............................................ 45 MV,FE,MIN/LUTEIN....................................................... 45 MV,MINERALS/FA/LYCOPENE/GINKGO....................45 MV/GNK BI EX/K.GINSG...............................................45 MVC-FLUORIDE............................................................. 46 MV-MIN/IRON FUM/FA/K/LYCO/LUTN...................... 45 MV-MN/FA/LYCOPENE/LUT/HB#178.......................... 45 MY WAY(OTC).................................................................19 MYALEPT...................................................................27, 52 MYAMBUTOL..................................................................32 MYCOBUTIN................................................................... 32 MYCOPHENOLATE MOFETIL......................................31 MYCOPHENOLATE SODIUM....................................... 31 MYCOPHENOLIC ACID................................................. 31 MYGLUCOHEALTH CONTROL SOLUTION(OTC)...... 24 MYNATAL........................................................................ 46 MYNATE 90 PLUS........................................................... 46 MYSOLINE.......................................................................41 -NNABUMETONE................................................................35 NACL IRRIGAT/DECYL GLUCOSIDE..........................22 NADOLOL/BENDROFLUMETHIAZIDE.......................17 NADOLOL-BENDROFLUMETHIAZIDE...................... 17 NAFTIFINE HCL..............................................................21 NAFTIN.............................................................................21 NAIL SCRUB(OTC)......................................................... 23 NALBUPHINE HCL......................................................... 40 NALOXEGOL OXALATE................................................36 NALOXONE HCL............................................................ 15 NALTREXONE HCL........................................................ 15 NALTREXONE MICROSPHERES..................................15 NAMENDA XR(CAP 24 DSPK)................................ 14, 52 NAMENDA XR(CAP SPR 24)................................... 14, 52 NAMZARIC.......................................................... 14, 52, 57 NAPHAZOLINE HCL...................................................... 28 NAPROXEN...................................................................... 35 NAPROXEN SODIUM..................................................... 35 NARCAN.....................................................................15, 52 NASAL AIRFLOW STRIPS............................................. 12 NASAL SPRAY(OTC)...................................................... 20 NASAL STRIPS(OTC)..................................................... 12 NASONEX.................................................................. 11, 52 NATAZIA.......................................................................... 19 NATEGLINIDE................................................................. 24 NATURAL BALANCE TEARS(OTC).............................28 NATURAL BALANCED B-100(OTC).............................47 NATURAL FIBER(OTC).................................................. 36 NATURE-THROID........................................................... 27 NEBIVOLOL HCL............................................................17 NEBULIZER............................................................... 12, 13 NEBULIZER/COMPRESSOR..........................................13 NEBUPENT...................................................................... 32 NECON..............................................................................19 NEDOCROMIL SODIUM................................................ 28 NEFAZODONE HCL........................................................14 NELFINAVIR MESYLATE.............................................. 33 NEO/POLYMYX B SULF/DEXAMETH.........................27 NEOCATE................................................................... 39, 61 NEOCATE INFANT DHA-ARA................................ 38, 61 NEOCATE JUNIOR WITH PREBIOTICS.................39, 61 NEOCATE NUTRA.................................................... 39, 61 NEOMYCIN SU/BACI ZN/POLY/HC............................. 27 NEOMYCIN SU/BACITRA/POLYMYXIN.....................28 NEOMYCIN SU/POLYMYX B SULF.............................22 NEOMYCIN SULFATE.................................................... 32 NEOMYCIN/BACITRA/POLYMYXIN/HC.................... 21 NEOMYCIN/POLYMYXIN B SULF/HC.................. 21, 26 NEOMYCIN/POLYMYXN B/GRAMICIDIN................. 28 NEOMYCIN-BACITRACIN-POLY-HC...........................27 NEOMYCIN-BACITRACIN-POLYMYXIN....................28 NEOMYCIN-POLYMYXIN B......................................... 22 NEOMYCIN-POLYMYXIN-DEXAMETH..................... 27 NEOMYCIN-POLYMYXIN-GRAMICIDIN................... 28 NEOMYCIN-POLYMYXIN-HC...................................... 26 NEOMYCN/BACI ZN/PMYX BS/PRAMOX..................20 NEPAFENAC.................................................................... 27 NEPHPLEX RX................................................................ 47 NEPHRON FA...................................................................44 NEPRO........................................................................ 39, 61 NETUPITANT/PALONOSETRON HCL......................... 11 NEULASTA.................................................................30, 61 NEUPOGEN................................................................30, 61 NEUPRO............................................................... 41, 52, 57 NEURIN-SL...................................................................... 47 NEVANAC.........................................................................27 NEVIRAPINE................................................................... 33 NEVIRAPINE(ORAL SUSP)..................................... 33, 52 NEVIRAPINE(TAB)................................................... 33, 52 NEW SKIN(OTC)............................................................. 23 NEWGEN.......................................................................... 47 NEXAFED(OTC).............................................................. 20 NEXAVAR.............................................................37, 52, 61 NEXIUM............................................................... 43, 52, 57 NIACIN....................................................................... 18, 19 NIACIN ER................................................................. 18, 57 NIACIN(OTC)................................................................... 19 NIACIN/SIMVASTATIN...................................................18 NICARDIPINE HCL.........................................................17 NICODERM CQ(OTC)..................................................... 42 NICORETTE(OTC)...........................................................42 NICOTINE.........................................................................42 NICOTINE POLACRILEX...............................................42 NIFEDIPINE..................................................................... 17 NIFEDIPINE ER............................................................... 17 NIGHTTIME SLEEP AID(OTC)......................................15 NILANDRON..............................................................36, 52 NILOTINIB HCL.............................................................. 37 NILUTAMIDE...................................................................36 NIMODIPINE....................................................................17 Page 70 of 75 Index NINLARO................................................................... 37, 61 NINTEDANIB ESYLATE................................................ 39 NITRO-BID....................................................................... 19 NITRO-DUR..................................................................... 19 NITROFURANTOIN........................................................ 31 NITROFURANTOIN MACROCRYSTAL....................... 31 NITROFURANTOIN MONOHYD/M-CRYST................31 NITROFURANTOIN MONO-MACRO........................... 31 NITROGLYCERIN........................................................... 19 NITROGLYCERIN PATCH.............................................. 19 NITROSTAT...................................................................... 19 NIVA-HIST DM(OTC)......................................................20 NIZATIDINE.....................................................................43 NOHIST-DM(OTC)...........................................................20 NORA-BE..........................................................................19 NORDITROPIN FLEXPRO........................................27, 61 NORELGESTROMIN/ETHIN.ESTRADIOL.................. 19 NORETH-ETHINYL ESTRADIOL/IRON...................... 19 NORETHINDRONE......................................................... 19 NORETHINDRONE ACETATE....................................... 30 NORETHINDRONE AC-ETH ESTRADIOL.............19, 30 NORETHINDRONE-E.ESTRADIOL-IRON................... 19 NORETHINDRONE-ETHINYL ESTRAD...................... 19 NORETHINDRONE-MESTRANOL............................... 19 NORETHIN-ETH ESTRA FERROUS FUM....................19 NORGESTIMATE-ETHINYL ESTRADIOL...................19 NORGESTREL-ETHINYL ESTRADIOL....................... 19 NORINYL 1+50................................................................ 19 NORMAL SALINE FLUSH............................................. 26 NORPACE CR...................................................................16 NORPRAMIN................................................................... 14 NORTHERA................................................................19, 61 NORTRIPTYLINE HCL................................................... 14 NORVIR(CAP)............................................................33, 52 NORVIR(SOLUTION)................................................33, 52 NORVIR(TAB)............................................................ 33, 52 NOVAMAX PLUS GLU-KET(OTC)................................24 NS COMB1/FOS/INULIN................................................ 38 NUCYNTA.................................................................. 40, 52 NUCYNTA ER............................................................ 40, 52 NUT SUP,GLUCOSE INTOLERANCE #1......................38 NUT TX FOR ISOVALERIC ACIDEMIA....................... 38 NUT TX FOR TYROSINEMIA W-IRON........................ 38 NUT TX IMP.DIGEST FXN,SOY&FIB1.........................38 NUT TX, LACT-REDUCED, IRON................................. 38 NUT TX, SULFITE OX. DEF., IRON.............................. 38 NUT. THERAPY FOR PKU, NO.49................................ 38 NUT. TX FOR PKU WITH IRON #20............................. 38 NUT. TX FOR PKU WITH IRON #27............................. 38 NUT. TX FOR PKU WITH IRON #3............................... 38 NUT. TX FOR PKU WITH IRON #35............................. 38 NUT. TX FOR PKU WITH IRON #4............................... 38 NUT. TX FOR PKU WITH IRON #40............................. 38 NUT. TX FOR PKU WITH IRON #42............................. 38 NUT. TX FOR PKU WITH IRON #45............................. 38 NUT. TX FOR PKU WITH IRON #48............................. 38 NUT. TX FOR PKU WITH IRON #50............................. 38 NUT. TX FOR PKU WITH IRON, #26............................ 38 NUT. TX FOR PKU, #46.................................................. 38 NUT. TX FOR PROPIONIC ACIDEMIA........................ 38 NUT.SOY,LACFREE/FOS/DHA/EPA/IN.........................38 NUT.TX KETOGENIC,MILK-BASE/SOY......................38 NUT.TX,IMPAIRED RENAL FXN,WHEY.....................39 NUT.TX,METAB.DIS,LEUCINE-FREE..........................39 NUT.TX,METABOLIC DIS,METHIO-FR.......................39 NUT.TX. METABOLIC DISORDER,REG...................... 39 NUT.TX. METABOLIC DISORDER,SOY...................... 39 NUT.TX., UREA CYCLE DISORDER............................ 39 NUT.TX.,ELEMENTAL,LAC-FREE/MCT......................39 NUT.TX.COMP. IMMUNE SYSTM,REG....................... 39 NUT.TX.COMP. IMMUNE SYSTM,SOY....................... 39 NUT.TX.GLU INT/FOS/DHA.......................................... 39 NUT.TX.GLUC INTOL,LF,SOY/FIBER..........................39 NUT.TX.GLUC.INTOLER,LAC-FR,SOY....................... 39 NUT.TX.GLUCOSE INTOLERANCE,SOY....................39 NUT.TX.IMP.RENAL FXN,LAC-FREE.......................... 39 NUT.TX.IMPAIRED DIGEST FXN.................................39 NUT.TX.IMPAIRED DIGEST FXN,SOY........................ 39 NUT.TX.IMPAIRED DIGEST/FIBER............................. 39 NUT.TX.IMPAIRED HEPATIC FXN............................... 39 NUT.TX.IMPAIRED RENAL FXN,SOY......................... 39 NUT.TX.PULM.DISORD.REG,LAC-FR......................... 39 NUT.TX.PULM.DISORD.SOY,LAC-FR..........................39 NUTREN 1.5 FIBER...................................................38, 61 NUTREN JUNIOR......................................................38, 61 NUTREN JUNIOR FIBER..........................................38, 61 NUTRIHEAL.............................................................. 38, 61 NUTRIHEP..................................................................39, 61 NUTRIT SUPP/INULIN/FOS/FIBER.............................. 38 NUTRIT.THERAPY, MSUD WITH IRON...................... 39 NUTRITIONAL SHAKE............................................ 38, 61 NUTRITIONAL SHAKE PLUS................................. 38, 61 VNSNY NUTRITIONAL SUPPLEMENT......................................38 NUTRITIONAL SUPPLEMENT/FIBER......................... 38 NUTRITIONAL TX, KETOGENIC,MILK...................... 39 NUTRITIONAL TX, KETOGENIC,WHEY.................... 39 NUTRIVENT 1.5........................................................ 39, 61 NUVARING.................................................................19, 52 NYMALIZE................................................................ 17, 61 NYSTATIN.................................................................. 21, 32 NYSTATIN/TRIAMCIN................................................... 21 NYSTATIN-TRIAMCINOLONE..................................... 21 -OOA 1.............................................................................38, 61 OA2..............................................................................38, 61 OBSTETRIX DHA............................................................46 O-CAL PRENATAL.......................................................... 47 OCELLA......................................................................19, 57 OCUTABS(OTC)...............................................................45 ODEFSEY................................................................... 34, 52 ODOR ELIMINATOR DROPS(OTC)...............................22 OFEV...........................................................................39, 61 OFLOXACIN...............................................................28, 32 OLANZAPINE.................................................................. 15 OLANZAPINE PAMOATE...............................................15 OLANZAPINE/FLUOXETINE HCL............................... 15 OLANZAPINE-FLUOXETINE HCL......................... 15, 52 OLAPARIB........................................................................37 OLEPTRO ER....................................................... 14, 52, 57 OLMESARTAN MEDOXOMIL.......................................17 OLMESARTAN/HYDROCHLOROTHIAZIDE...............17 OLODATEROL HCL........................................................ 12 OLOPATADINE HCL..................................... 11, 27, 52, 57 OM-3/CALCIUM/D3/FA/MV CMB 13............................45 OM-3/DHA/EPA/B12/FA/B6/PHYTOST......................... 45 OMACETAXINE MEPESUCCINATE............................. 37 OMEGA-3 ACID ETHYL ESTERS........................... 18, 52 OMEPRAZOLE................................................................ 43 OMEPRAZOLE(OTC)...................................................... 43 OMNIPOD.........................................................................26 ON CALL EXPRESS CONTROL SOLN(OTC).............. 24 ON CALL LANCING DEVICE(OTC)............................. 25 ON CALL PLUS LANCING DEVICE(OTC).................. 25 ONDANSETRON..............................................................11 ONDANSETRON HCL.....................................................11 ONDANSETRON HCL(SOLUTION)........................ 11, 52 ONDANSETRON HCL(TAB).......................................... 11 ONDANSETRON ODT.................................................... 11 ONE DAILY 50 PLUS(OTC)............................................ 44 ONE DAILY ESSENTIAL(OTC)..................................... 45 ONE DAILY FOR WOMEN(OTC).................................. 45 ONE STEP PERINEAL(OTC).......................................... 23 ONE WAY MOUTHPIECE(OTC).................................... 12 ONE-A-DAY MEN'S(OTC).............................................. 45 ONE-A-DAY WOMEN'S(OTC)....................................... 45 ONETOUCH DELICA(OTC)........................................... 25 ONETOUCH PING........................................................... 26 ONETOUCH SURESOFT(OTC)......................................25 ONFI(ORAL SUSP)..............................................41, 52, 57 ONFI(TAB)............................................................41, 52, 57 OPSUMIT....................................................................18, 61 OPTICHAMBER...............................................................12 OPTICHAMBER DIAMOND.......................................... 12 ORALAIR....................................................................11, 61 ORANGE JUICE...............................................................38 ORAP.................................................................................15 ORENCIA....................................................................34, 61 ORENITRAM ER....................................................... 18, 61 ORKAMBI.................................................................. 39, 61 ORPHENADRINE CITRATE...........................................42 ORTHO EVRA............................................................19, 52 ORTHO-NOVUM..............................................................19 OS 2............................................................................. 38, 61 OSELTAMIVIR PHOSPHATE......................................... 33 OSIMERTINIB MESYLATE............................................37 OSTOMY SUPPLY........................................................... 22 OTEZLA...................................................................... 34, 61 OXANDROLONE....................................................... 30, 61 OXAPROZIN.....................................................................35 OXCARBAZEPINE.......................................................... 41 OXSORALEN................................................................... 23 OXTELLAR XR(TAB ER 24H)(150 MG)........... 41, 52, 57 OXTELLAR XR(TAB ER 24H)(300 MG)........... 41, 52, 57 OXTELLAR XR(TAB ER 24H)(600 MG)........... 41, 52, 57 OXYBENZONE/OCTINOX/H-QUINONE......................23 OXYBUTYNIN CHLORIDE............................................43 OXYCODONE HCL......................................................... 40 OXYCODONE HCL/ACETAMINOPHEN...................... 40 OXYCODONE-ACETAMINOPHEN.........................40, 52 OXYCONTIN..............................................................40, 52 OXYMETAZOLINE HCL................................................ 20 OYSTER SHELL CALCIUM W-VIT D(OTC).......... 43, 44 -PPAIRE OB PLUS DHA..................................................... 46 PALBOCICLIB................................................................. 37 PALIPERIDONE............................................................... 15 PALIPERIDONE PALMITATE.........................................15 PALIVIZUMAB................................................................ 33 PAMELOR.........................................................................14 PANCRELIPASE 5,000.....................................................42 PANDA MASK(OTC)....................................................... 12 PANDEL............................................................................21 PANOBINOSTAT LACTATE............................................37 PANTOPRAZOLE SODIUM............................................43 PANTOTHENIC ACID/ALOE VERA ..............................22 PAPAVERINE HCL...........................................................19 PARADIGM REAL-TIME................................................24 PARI LC SPRINT SINUS................................................. 13 PARI SINUS AEROSOL SYSTEM.................................. 13 PARICALCITOL...............................................................27 PARNATE..........................................................................14 PAROMOMYCIN SULFATE............................................32 PAROXETINE HCL..........................................................14 PAROXETINE MESYLATE............................................. 14 PARVA-CAL 500(OTC).................................................... 43 PASER............................................................................... 32 PAXIL................................................................................14 PAXIL CR..........................................................................14 PAZOPANIB HCL.............................................................37 PCE.................................................................................... 31 PEAK FLOW METER...................................................... 13 PEAK FLOW METER/INH ASST DEV..........................13 PEAK-AIR(OTC).............................................................. 13 PED MULTIVIT #46/IRON SULFATE............................ 46 PED MV A,C,D3 #21 W-FLUORIDE.............................. 46 PED MV A,C,D3 #38 W-FLUORIDE.............................. 46 PEDI M.VIT NO.17 WITH FLUORIDE.......................... 46 PEDI MULTIVIT #65/VIT D3/VIT K.............................. 46 PEDI MULTIVIT NO.2 W-FLUORIDE........................... 46 PEDI MULTIVITS A,C,&D3 NO.21................................46 PEDI MV #45/FLUORIDE/IRON.................................... 46 PEDI MV #75/FLUORIDE/IRON.................................... 46 PEDI MV NO.83 WITH FLUORIDE............................... 46 PEDI MV NO.84 WITH FLUORIDE............................... 46 PEDI MVI NO.12/SODIUM FLUORIDE........................ 46 PEDI MVI NO.16 WITH FLUORIDE..............................46 PEDI MVI NO.82 WITH FLUORIDE..............................46 PEDI NUTRIT.,SOY,IRON,LF/FIBER............................. 38 PEDIASMART ORGANIC DAIRY............................38, 61 PEDIASURE 1.5......................................................... 38, 61 PEDIASURE 1.5 WITH FIBER..................................38, 61 PEDIASURE PEPTIDE 1.5 CAL............................... 38, 61 PEDIASURE SIDEKICKS......................................... 38, 61 PEDIATRIC MULTIVITAMIN NO.20.............................46 PEDIATRIC NUT,MILK BASED,IRON.......................... 38 PEDIATRIC NUTRIT,IRON,LF&FIBER.........................38 PEDIATRIC NUTRITION, IRON, LF..............................38 PEDIATRIC PANDA MASK(OTC)..................................12 PEG 3350/NA SULF,BICARB,CL/KCL.......................... 36 PEGANONE......................................................................41 PEGASYS....................................................................34, 61 PEGASYS PROCLICK............................................... 34, 61 PEGFILGRASTIM............................................................30 PEGINTERFERON ALFA-2A..........................................34 PEGINTERFERON ALFA-2B..........................................36 PENICILLAMINE............................................................ 34 PENICILLIN G BENZATHINE........................................31 PENICILLIN V POTASSIUM.......................................... 31 PENLET PLUS BLOOD SAMPLER(OTC)..................... 25 PENTAMIDINE ISETHIONATE......................................32 PENTOSAN POLYSULFATE SODIUM..........................43 PENTOXIFYLLINE..........................................................29 PEPTAMEN.................................................................38, 61 PEPTAMEN AF.......................................................... 38, 61 PEPTAMEN BARIATRIC...........................................38, 61 PEPTAMEN JUNIOR................................................. 39, 61 PEPTAMEN JUNIOR FIBER..................................... 38, 61 PEPTAMEN OS.......................................................... 39, 61 PEPTINEX DT............................................................ 38, 61 PEPTO-BISMOL TO-GO(OTC).......................................35 PERAMPANEL................................................................. 41 PERATIVE.................................................................. 39, 61 PERFOROMIST.......................................................... 12, 52 PERIANAL CLEANSING(OTC)..................................... 24 PERICLEAN(OTC)...........................................................20 PERIFLEX ADVANCE...............................................38, 61 PERIFLEX JUNIOR................................................... 38, 61 PERIFRESH(OTC)............................................................24 PERINDOPRIL ERBUMINE........................................... 17 PERISCENT(OTC)........................................................... 22 PERMETHRIN..................................................................21 PERMETHRIN(OTC)....................................................... 21 PERPHENAZINE..............................................................15 PERPHENAZINE/AMITRIPTYLINE HCL.....................14 PERPHENAZINE-AMITRIPTYLINE............................. 14 PERSONAL BEST(OTC)................................................. 13 Page 71 of 75 Index PETROLAT,WHT/MIN OIL/SOD CHL........................... 28 PETROLATUM,WHITE............................................. 22, 23 PEXEVA................................................................ 14, 52, 57 PFD 2........................................................................... 39, 61 PFLEX TRAINER.............................................................13 PHENAZOPYRIDINE HCL............................................. 43 PHENELZINE SULFATE................................................. 14 PHENERGAN................................................................... 11 PHENOBARB/HYOSCY/ATROPINE/SCOP.................. 42 PHENOXYBENZAMINE HCL........................................16 PHENYLADE ESSENTIAL....................................... 38, 61 PHENYLADE RTD PKU 10.......................................38, 61 PHENYLADE60......................................................... 38, 61 PHENYLEPHRINE HCL..................................................28 PHENYLEPHRINE HCL/PROMETH HCL.....................20 PHENYL-FREE 2....................................................... 38, 61 PHENYL-FREE 2HP.................................................. 38, 61 PHENYTEK...................................................................... 41 PHENYTOIN.................................................................... 41 PHENYTOIN SODIUM EXTENDED............................. 41 PHILLIPS' MILK OF MAGNESIA(OTC)........................35 PHOSPHA 250 NEUTRAL.............................................. 43 PHOSPHASAL..................................................................31 PHOSPHORUS #1............................................................ 43 PHYTONADIONE............................................................ 30 PICATO(GEL)(0.015 %)............................................. 23, 52 PICATO(GEL)(0.05 %)............................................... 23, 52 PIKO 1(OTC).....................................................................13 PILOCARPINE HCL.................................................. 28, 36 PIMOZIDE........................................................................ 15 PINDOLOL....................................................................... 17 PINK BISMUTH(OTC).................................................... 35 PIOGLITAZONE HCL......................................................24 PIOGLITAZONE HCL/METFORMIN HCL................... 24 PIOGLITAZONE-METFORMIN............................... 24, 57 PIPERONYL BUTOXIDE/PYRETHRINS.......................21 PIRFENIDONE................................................................. 39 PIROXICAM..................................................................... 35 PKU COOLER 10....................................................... 38, 61 PKU LOPHLEX.......................................................... 38, 61 PKU TRIO................................................................... 38, 61 PN VIT.W-O CA #7, IRON,FA,DHA............................... 46 PNV #14/FERROUS FUM/FOLIC ACID........................ 46 PNV #15/IRON FUM,PS/FOLIC ACID........................... 46 PNV #19/IRON PS&HEME/FOLIC/DHA....................... 46 PNV #8/IRON PS CMP,ASPG/FA/DHA.......................... 46 PNV #87/IRON BISGLY/FA/DHA...................................46 PNV 11-IRON FUM-FOLIC ACID-OM3........................ 46 PNV COMBO #22/IRON/FA/OM3/DHA.........................46 PNV COMBO#47/IRON/FA #1/DHA.............................. 46 PNV NO.115/IRON FUMARATE/FA.............................. 46 PNV NO.118/IRON FUMARATE/FA.............................. 46 PNV NO.22/IRON CBN&GLUC/FA/DSS....................... 46 PNV NO.66/IRON,CARBONYL/FA/DHA...................... 46 PNV NO10/IRON FUM&P/FA/OMEGA-3......................46 PNV NO12/IRON,CARB/FA/DSS/OM-3.........................46 PNV W-CA #40/IRON FUM/FA CMB#1.........................46 PNV W-CA NO.37/IRON/FA/OMEGA-3........................ 46 PNV W-CA8/IRON/FA/LMEFOLATE CA...................... 46 PNV WITH CA #68/IRON/FA#1/DHA............................46 PNV WITH CA NO.65/IRON POLY/FA..........................46 PNV WITH CA#74/IRON/FOLIC ACID......................... 46 PNV WITH CA,NO.62/IRON/FA/DHA........................... 46 PNV WITH CA,NO.70/IRON/FA/DHA........................... 46 PNV WITH CA,NO.72/IRON,CARB/FA......................... 46 PNV WITH CA,NO.72/IRON/FA.....................................46 PNV W-O CA NO5/FE FUMARATE/FA......................... 46 PNV W-O IRON/FA/CALCIUM/B6/B12......................... 47 PNV#16/IRON FUM & PS/FA/OM-3...............................46 PNV#21/IRON PS& HEME POLYP/FA.......................... 46 PNV#64/IRON/LMFOLATE/ALGAL/SOY..................... 46 PNV#79/IRON/FA/LMFOLATE CA/DHA...................... 46 PNV,CA,NO.35/IRON/FA/DS/OMEG-3.......................... 46 PNV/FA/B6/CALCIUM CARB/GINGER........................ 47 PNV/FA/B6/CALCIUM PHOS/GINGER.........................47 PNV/FERROUS FUMARATE/DOSS/FA.........................46 PNV/FERROUS FUMARATE/FA/SE.............................. 46 PNV/IRON,CARBONYL/DOCUSATE/FA......................46 PNV100/IRON EDTA&PS/FA/OMEGA3........................ 46 PNV115/IRON FUMARATE/FA/DSS..............................46 PNV119/IRON FUMARATE/FA/DSS..............................46 PNV17/IRON/FA/FISH OIL/DHA/OM............................46 PNV19/IRON BG HC&SUCC-P/FA/OM3.......................46 PNV34/IRON,CARBONYL/FA/DSS/DHA..................... 46 PNV39/IRON FUMARATE/FA/DSS/DHA......................46 PNV53/IRON B-G HCL-P/FA/OMEGA3........................ 46 PNV54/IRON B-G HCL-P/FA/OMEGA3........................ 46 PNV55/IRON BG HC&SUCC-P/FA/OM3.......................46 PNV59/IRON,CARBONYL/FA/DSS/DHA..................... 47 PNV66/IRON FUMARATE/FA/DSS/DHA......................47 PNV69/IRON,CARBONYL/FA/DSS/DHA..................... 47 PNV7/FE ASP GLY/DOCUSATE/FA.............................. 47 VNSNY PNV80/IRON FUMARATE/FA/DSS/DHA......................47 PNV81/SOD IRON EDTA& PS/FA/OM3........................ 47 PNV95/FERROUS FUMARATE/FA................................47 PNV-DHA..........................................................................46 PNV-IRON.........................................................................46 PNV-SELECT....................................................................46 POCKET CHAMBER....................................................... 12 POCKET PEAK(OTC)......................................................13 PODOCON-25...................................................................22 PODOFILOX.....................................................................22 PODOPHYLLUM RESIN.................................................22 POLYETHYLENE GLYCOL 3350...................................36 POLYETHYLENE GLYCOL 3350(OTC)........................ 36 POLY-IRON 150 FORTE.................................................. 44 POLYMYXIN B SULF/TRIMETHOPRIM......................28 POLYMYXIN B SUL-TRIMETHOPRIM........................28 POLYVINYL ALCOHOL.................................................28 POLYVINYL ALCOHOL/POVIDONE........................... 28 POLYVITAMIN WITH IRON(OTC)................................46 POLY-VITAMIN(OTC)..................................................... 46 POMALIDOMIDE............................................................ 36 POMALYST................................................................ 36, 61 PONATINIB HCL............................................................. 37 PORTAGEN.................................................................38, 61 POT CHLORIDE/POT BICARB/CIT AC........................ 26 POTASSIUM BICARBONATE/CIT AC.......................... 26 POTASSIUM CHLORIDE................................................ 26 POTASSIUM CITRATE....................................................43 POTASSIUM CITRATE ER..............................................43 POTASSIUM CITRATE/CITRIC ACID...........................43 POTASSIUM HYDROXIDE.............................................22 POTASSIUM IODIDE...................................................... 27 POTASSIUM IODIDE/IODINE........................................27 POTIGA(TAB)(200 MG)...................................... 41, 52, 58 POTIGA(TAB)(300 MG)...................................... 41, 52, 58 POTIGA(TAB)(400 MG)...................................... 41, 52, 58 POTIGA(TAB)(50 MG)........................................ 41, 52, 58 POVIDONE-IODINE........................................................ 23 POVIDONE-IODINE(OTC)............................................. 23 PR CREAM....................................................................... 23 PR NATAL 400 EC............................................................46 PR NATAL 430..................................................................46 PR NATAL 430 EC............................................................46 PRAMIPEXOLE DI-HCL.................................................41 PRAMIPEXOLE DIHYDROCHLORIDE........................41 PRAMLINTIDE ACETATE.............................................. 24 PRAMOSONE...................................................................23 PRASUGREL HCL........................................................... 30 PRAVASTATIN SODIUM.................................................18 PRAZIQUANTEL............................................................. 32 PRAZOSIN HCL...............................................................17 PRECISION XTRA(OTC).......................................... 24, 25 PRED MILD......................................................................27 PREDNICARBATE...........................................................21 PREDNISOLONE............................................................. 34 PREDNISOLONE ACETATE...........................................27 PREDNISOLONE SOD PHOSPHATE...................... 27, 34 PREDNISOLONE SODIUM PHOSPHATE...............27, 34 PREDNISONE.................................................................. 34 PREDNISONE INTENSOL..............................................34 PREMARIN.................................................................30, 43 PREMPHASE....................................................................30 PREMPRO.........................................................................30 PRENA1 CHEW................................................................47 PRENAISSANCE..............................................................47 PRENAISSANCE NEXT.................................................. 47 PRENAISSANCE NEXT-B.............................................. 47 PRENAISSANCE PLUS...................................................47 PRENAT VIT COMB.10/IRON/FA/DHA........................ 47 PRENATABS FA............................................................... 47 PRENATAL #57/IRON/FA/DSS/DHA............................. 47 PRENATAL 19.................................................................. 46 PRENATAL 19(OTC)........................................................46 PRENATAL COMB NO.42/FOLIC ACID........................47 PRENATAL NO.13/IRON PS/FA CB#1........................... 47 PRENATAL NO.52/IRON/FA/DHA................................. 47 PRENATAL NO.75/IRON/FOLATE #1............................47 PRENATAL ONE DAILY(OTC).......................................47 PRENATAL PLUS.............................................................46 PRENATAL VIT #76/IRON,CARB/FA............................ 47 PRENATAL VIT 15/IRON CB/FA/DSS........................... 47 PRENATAL VIT 16/IRON CB/FA/DSS........................... 47 PRENATAL VIT 18/IRON CB/FA/DSS........................... 47 PRENATAL VIT NO.109/IRON/FA................................. 47 PRENATAL VIT NO.127/IRON/FA................................. 47 PRENATAL VIT NO.129/IRON/FA................................. 47 PRENATAL VIT NO.73/IRON/FA................................... 47 PRENATAL VIT NO.78/IRON/FA................................... 47 PRENATAL VIT#4/IRON FUM,PS/FA............................ 47 PRENATAL VIT#86/IRON BISGLY/FA.......................... 47 PRENATAL VIT#96/FERROUS FUM/FA....................... 47 PRENATAL VIT/IRON BISGLYCIN/FA......................... 47 PRENATAL VIT/IRON FUMARATE/FA........................ 47 PRENATAL VIT27,CALCIUM/IRON/FA........................47 PRENATAL VITAMINS(OTC).........................................47 PRENATAL VITS#4/IRON FUM/FA............................... 47 PRENATAL(OTC).............................................................47 PRENATAL-U................................................................... 46 PRESERVISION AREDS(OTC).......................................43 PREVACID.................................................................. 43, 58 PREVALITE...................................................................... 18 PREZCOBIX............................................................... 33, 52 PREZISTA(ORAL SUSP)...........................................33, 52 PREZISTA(TAB)(150 MG).........................................33, 52 PREZISTA(TAB)(400 MG).........................................33, 52 PREZISTA(TAB)(600 MG).........................................33, 52 PREZISTA(TAB)(75 MG)...........................................33, 52 PREZISTA(TAB)(800 MG).........................................33, 52 PRIFTIN............................................................................ 32 PRIMAQUINE.................................................................. 32 PRIMAQUINE PHOSPHATE...........................................32 PRIMEAIRE......................................................................12 PRIMIDONE..................................................................... 41 PRIMSOL.......................................................................... 31 PRISTIQ ER.......................................................... 14, 52, 58 PROBENECID.................................................................. 29 PROBENECID-COLCHICINE.........................................29 PRO-CAL.................................................................... 39, 61 PROCHAMBER................................................................ 12 PROCHLORPERAZINE...................................................11 PROCHLORPERAZINE MALEATE............................... 11 PROCRIT.....................................................................29, 61 PROCTOFOAM-HC......................................................... 35 PROCTOZONE-HC.......................................................... 35 PROCYSBI.................................................................. 43, 61 PRODIGY LANCING DEVICE(OTC).............................25 PRODIGY MINI-MIST.....................................................13 PRODUCT 3232A....................................................... 38, 61 PROGESTERONE.............................................................30 PROGESTERONE,MICRONIZED...................................30 PROMACTA................................................................30, 61 PROMETHAZINE HCL................................................... 11 PROMETHAZINE VC......................................................20 PROMETHAZINE/DEXTROMETHORPHAN............... 20 PROMETHAZINE-DM.....................................................20 PROMETHEGAN............................................................. 11 PRONEB ULTRA II.......................................................... 13 PROPAFENONE HCL...................................................... 16 PROPANTHELINE BROMIDE........................................42 PROPARACAINE HCL.................................................... 28 PROPARACAINE/FLUORESCEIN SOD........................ 28 PROPRANOLOL HCL..................................................... 17 PROPRANOLOL/HYDROCHLOROTHIAZID...............17 PROPRANOLOL-HYDROCHLOROTHIAZID...............17 PROPYLTHIOURACIL.................................................... 27 PROSED-DS......................................................................31 PROSHIELD FOAM & SPRAY(OTC)............................. 23 PROSIGHT(OTC)............................................................. 44 PROSOURCE.............................................................. 38, 61 PROSOURCE NO CARB........................................... 38, 61 PROSOURCE PLUS................................................... 37, 61 PROSOURCE ZAC..................................................... 38, 61 PROTECT CMB2/CERAMIDE 1,3,6-11..........................23 PROTEIN SUPPLEMENT................................................ 38 PROTRIPTYLINE HCL....................................................14 PROVIMIN(OTC)............................................................. 44 PROZAC............................................................................14 PRUCLAIR........................................................................22 PRUMYX.......................................................................... 22 PRUTECT..........................................................................22 PSEUDOEPHEDRINE HCL.............................................20 PSYLLIUM HUSK........................................................... 36 PSYLLIUM HUSK (WITH SUGAR)...............................36 PSYLLIUM HUSK/ASPARTAME................................... 36 PSYLLIUM SEED............................................................ 36 PSYLLIUM SEED (WITH DEXTROSE)........................ 36 PSYLLIUM SEED (WITH SUGAR)................................36 PSYLLIUM SEED/ASPARTAME.................................... 36 PULMO-AIDE.................................................................. 12 PULMO-AIDE(OTC)........................................................ 12 PULMOCARE.............................................................39, 61 PULMONEB LT COMPRESSOR NEBUL(OTC)............13 PULMOZYME............................................................ 39, 61 PUREFE OB PLUS........................................................... 47 PUREFE PLUS..................................................................47 PURIXAN....................................................................36, 58 PV W-O CAL/IRON PS CPLX/FA................................... 47 PYRAZINAMIDE............................................................. 32 PYRIDOSTIGMINE BROMIDE...................................... 14 PYRIDOXINE HCL.......................................................... 47 PYRIMETHAMINE..........................................................32 -QQNASL.................................................................. 11, 52, 58 Q-TUSSIN DM(OTC)....................................................... 20 Page 72 of 75 Index Q-TUSSIN(OTC)...............................................................20 QUAKE..............................................................................12 QUARTETTE.................................................................... 19 QUDEXY XR.................................................................... 42 QUETIAPINE FUMARATE............................................. 15 QUFLORA........................................................................ 46 QUICK-SET PARADIGM................................................ 25 QUILLIVANT XR.................................................16, 52, 58 QUINAPRIL HCL............................................................. 17 QUINAPRIL/HYDROCHLOROTHIAZIDE.................... 16 QUINAPRIL-HYDROCHLOROTHIAZIDE....................16 QUINIDINE GLUCONATE..............................................16 QUINIDINE SULFATE.....................................................16 QUININE SULFATE.........................................................32 -RRABEPRAZOLE SODIUM........................................43, 52 RADIAPLEXRX............................................................... 23 RAGWITEK................................................................ 11, 61 RALOXIFENE HCL............................................. 27, 52, 61 RALTEGRAVIR POTASSIUM.........................................33 RAMELTEON................................................................... 15 RAMIPRIL........................................................................ 17 RANEXA(TAB ER 12H)(1000 MG).......................... 19, 52 RANEXA(TAB ER 12H)(500 MG)............................ 19, 52 RANITIDINE HCL........................................................... 43 RANITIDINE HCL(OTC).................................................43 RANOLAZINE..................................................................19 RAPAMUNE..................................................................... 31 RASAGILINE MESYLATE..............................................41 RASUVO(AUTO INJECT)(10MG/0.2ML).......... 34, 52, 58 RASUVO(AUTO INJECT)(12.5/0.25)................. 34, 53, 58 RASUVO(AUTO INJECT)(15MG/0.3ML).......... 34, 53, 58 RASUVO(AUTO INJECT)(17.5/0.35)................. 34, 53, 58 RASUVO(AUTO INJECT)(20MG/0.4ML).......... 34, 53, 58 RASUVO(AUTO INJECT)(22.5/0.45)................. 34, 53, 58 RASUVO(AUTO INJECT)(25MG/0.5ML).......... 34, 53, 58 RASUVO(AUTO INJECT)(27.5/0.55)................. 34, 53, 58 RASUVO(AUTO INJECT)(30MG/0.6ML).......... 34, 53, 58 RASUVO(AUTO INJECT)(7.5MG/0.15)............. 34, 53, 58 RAVICTI......................................................................35, 61 REBETOL......................................................................... 34 REBIF.......................................................................... 37, 61 REBIF REBIDOSE..................................................... 37, 61 REFRESH LACRI-LUBE(OTC).......................................29 REFRESH P.M.(OTC)....................................................... 29 REGENECARE.................................................................23 REGORAFENIB............................................................... 37 REGRANEX......................................................................26 REGULOID(OTC)............................................................ 36 RELIAMED MINI LANCING DEVICE(OTC)............... 25 REMERON........................................................................ 14 REMODULIN............................................................. 18, 61 RENA START............................................................. 39, 61 RENAGEL......................................................................... 26 RENALCAL................................................................ 39, 61 RENA-VITE RX................................................................47 RENO CAPS..................................................................... 47 RENVELA.........................................................................26 REPAGLINIDE................................................................. 24 REPAGLINIDE/METFORMIN HCL............................... 24 REPAGLINIDE-METFORMIN HCL............................... 24 REPATHA SURECLICK............................................ 18, 61 REPATHA SYRINGE................................................. 18, 61 REPLETE WITH FIBER............................................ 38, 61 RESCRIPTOR................................................................... 33 RESERPINE...................................................................... 17 RESOURCE DIABETIC TF....................................... 39, 61 RESOURCE DIABETISHIELD................................. 38, 61 RESOURCE THICKENUP.........................................39, 61 RESTASIS................................................................... 28, 53 RESTORE SKIN CLEANSER(OTC)............................... 24 RESTORE SKIN CONDITIONING(OTC)...................... 22 RESTORE WOUND CLEANSER(OTC)......................... 24 REVATIO.....................................................................18, 61 REVEL PROGRAMMABLE PUMP................................ 26 REVITADERM(OTC)....................................................... 20 REVLIMID............................................................36, 53, 61 REYATAZ.......................................................................... 33 RIBASPHERE................................................................... 34 RIBAVIRIN................................................................. 33, 34 RIFABUTIN...................................................................... 32 RIFAMATE........................................................................32 RIFAMPIN........................................................................ 32 RIFAMPIN/ISONIAZID................................................... 32 RIFAPENTINE..................................................................32 RIFAXIMIN...................................................................... 32 RIGHTEST GD500(OTC).................................................25 RILPIVIRINE HCL...........................................................33 RIMANTADINE HCL...................................................... 33 RINGERS IRRIGATION.................................................. 22 RINGERS SOLUTION..................................................... 22 RIOCIGUAT...................................................................... 18 VNSNY RIOMET............................................................................ 24 RISPERDAL CONSTA..................................................... 15 RISPERDAL(SOLUTION)......................................... 15, 53 RISPERDAL(TAB)..................................................... 15, 53 RISPERIDONE................................................................. 15 RISPERIDONE MICROSPHERES.................................. 15 RITALIN LA......................................................... 16, 49, 53 RITEFLO...........................................................................12 RITONAVIR...................................................................... 33 RIVAROXABAN...............................................................29 RIVASTIGMINE......................................................... 14, 53 RIVASTIGMINE TARTRATE.......................................... 14 RIZATRIPTAN............................................................40, 53 RIZATRIPTAN BENZOATE............................................ 40 R-NATAL OB.................................................................... 46 ROFLUMILAST............................................................... 12 ROPINIROLE HCL...........................................................41 ROSUVASTATIN CALCIUM...........................................18 ROTIGOTINE....................................................................41 ROZEREM............................................................ 15, 53, 58 RUCONEST................................................................ 34, 61 RUFINAMIDE............................................................ 41, 42 RUXOLITINIB PHOSPHATE.......................................... 36 -SSABRIL....................................................................... 42, 53 SACROSIDASE................................................................ 42 SAFYRAL................................................................... 19, 58 SALICYLIC ACID......................................................22, 23 SALICYLIC ACID/CERAMIDE CMB #1....................... 23 SALSALATE.....................................................................40 SAMI THE SEAL..............................................................13 SANDIMMUNE................................................................31 SAPHRIS...............................................................15, 53, 58 SAQUINAVIR MESYLATE............................................. 33 SARAFEM........................................................................ 14 SARGRAMOSTIM........................................................... 30 SAVELLA..........................................................................37 SCALACORT DK............................................................. 21 SCANDISHAKE......................................................... 38, 61 SEA-CLENS(OTC)........................................................... 22 SECUKINUMAB.............................................................. 23 SECURA PROTECTIVE(OTC)........................................22 SELECT-OB...................................................................... 47 SELEGILINE.................................................................... 15 SELEGILINE HCL........................................................... 41 SELENIUM SULFIDE......................................................21 SELEXIPAG...................................................................... 18 SELZENTRY.....................................................................33 SE-NATAL 19....................................................................46 SENNA LAX(OTC).......................................................... 36 SENNOSIDES...................................................................36 SENSI-CARE(OTC)..........................................................22 SENSITIVE SKIN MOISTURE(OTC).............................22 SENTRY SENIOR(OTC).................................................. 45 SEROQUEL.................................................................15, 53 SEROQUEL XR.................................................... 15, 53, 58 SEROSTIM(VIAL)(4 MG)......................................... 27, 61 SEROSTIM(VIAL)(5 MG)......................................... 27, 61 SEROSTIM(VIAL)(6 MG)......................................... 27, 61 SERTRALINE HCL.......................................................... 14 SE-TAN DHA....................................................................46 SE-TAN PLUS...................................................................44 SEVELAMER CARBONATE.......................................... 26 SEVELAMER HCL.......................................................... 26 SIDEROL(OTC)................................................................ 44 SIDESTREAM.................................................................. 13 SIDESTREAM NEBULIZER........................................... 13 SIDESTREAM PEDIATRIC(OTC).................................. 12 SIDESTREAM PLUS....................................................... 13 SILDENAFIL.............................................................. 18, 61 SILDENAFIL CITRATE...................................................18 SILENOR.............................................................. 15, 53, 58 SILICONE DISC(OTC).................................................... 22 SILICONE MASK.............................................................12 SILICONE MASK(OTC).................................................. 12 SILICONE ROLL(OTC)................................................... 22 SILICONE SCAR(OTC)................................................... 22 SILICONE SHEET(OTC)................................................. 22 SILICONE TAPE(OTC).................................................... 22 SILICONES/ADHESIVE TAPE....................................... 22 SILVASORB(OTC)............................................................20 SILVER..............................................................................20 SILVER CHLORIDE........................................................ 20 SILVER GEL(OTC).......................................................... 20 SILVER NITRATE............................................................ 20 SILVER NITRATE APPLICATOR...................................23 SILVER SULFADIAZINE................................................ 21 SILVER/SODIUM ALGINATE........................................ 20 SILVERMED(OTC).......................................................... 20 SIMBRINZA..................................................................... 28 SIMCOR(TBMP 24HR)(1000-20MG)................. 18, 53, 58 SIMCOR(TBMP 24HR)(1000-40 MG)................ 18, 53, 58 SIMCOR(TBMP 24HR)(500MG-20MG)............. 18, 53, 58 SIMCOR(TBMP 24HR)(500MG-40MG)............. 18, 53, 58 SIMCOR(TBMP 24HR)(750MG-20MG)............. 18, 53, 58 SIMPLYTHICK...........................................................39, 61 SIMPONI.....................................................................34, 61 SIMVASTATIN..................................................................18 SIMVASTATIN(TAB)(10 MG)......................................... 18 SIMVASTATIN(TAB)(20 MG)......................................... 18 SIMVASTATIN(TAB)(40 MG)......................................... 18 SIMVASTATIN(TAB)(5 MG)........................................... 18 SIMVASTATIN(TAB)(80 MG)................................... 18, 58 SINGLE USE SWAB(OTC).............................................. 22 SINUS 12 HOUR(OTC).................................................... 20 SIROLIMUS...................................................................... 31 SIRTURO.....................................................................32, 61 SITAGLIPTIN PHOS/METFORMIN HCL...................... 24 SITAGLIPTIN PHOSPHATE............................................24 SIVEXTRO..................................................................31, 61 SKIN CLEANSER............................................................ 24 SKIN CLEANSER COMB NO.20....................................24 SKIN CLEANSER COMB NO.21....................................24 SKIN CLEANSER COMB NO.34....................................23 SMARTDIABETES VANTAGE(OTC).............................25 SOAP................................................................................. 23 SOD/POT/K CIT/SOD CIT/CIT ACID.............................43 SODIUM BICARBONATE...............................................42 SODIUM BICARBONATE(OTC).................................... 42 SODIUM CHLORIDE.......................................... 22, 26, 28 SODIUM CHLORIDE 0.45 %.......................................... 26 SODIUM CHLORIDE IRRIG SOLUTION..................... 22 SODIUM CHLORIDE(OTC)............................................28 SODIUM CHLORIDE/NAHCO3/KCL/PEG................... 36 SODIUM CITRATE.................................................... 22, 29 SODIUM CITRATE & CITRIC ACID............................. 43 SODIUM FLUORIDE.......................................................44 SODIUM FLUORIDE/POTASSIUM NIT........................44 SODIUM POLYSTYRENE SULFONATE.......................26 SODIUM SULFACETAMIDE.......................................... 21 SODIUM THIOSULFATE/SAL ACID.............................21 SOFOSBUVIR.................................................................. 34 SOFTCLIX(OTC)..............................................................25 SOL CARB..................................................................38, 61 SOLIFENACIN SUCCINATE...........................................43 SOLTAMOX...................................................................... 37 SOLUS V2 LANCING DEVICE(OTC)............................25 SOMATROPIN.................................................................. 27 SONATA...................................................................... 15, 53 SOOTHE & COOL PERINEAL WASH(OTC).................22 SOOTHE XP(OTC)........................................................... 29 SORAFENIB TOSYLATE................................................ 37 SORBITOL........................................................................22 SORBITOL SOLUTION...................................................22 SORBITOL-MANNITOL................................................. 22 SOTALOL..........................................................................17 SOTALOL HCL.................................................................17 SOVALDI.................................................................... 34, 61 SOY PROTEIN.................................................................. 38 SPECTRAVITE CARDIO HEALTH(OTC)......................45 SPECTRAVITE MEN'S(OTC)..........................................45 SPECTRAVITE SENIOR(OTC)....................................... 44 SPECTRAVITE ULTRA WOMEN'S(OTC)..................... 45 SPIRIVA RESPIMAT.................................................. 11, 53 SPIROMETERS AND ACCESSORIES ........................... 13 SPIRONOLACT/HYDROCHLOROTHIAZID.................18 SPIRONOLACTONE........................................................ 17 SPIRONOLACTONE-HCTZ............................................ 18 SPORANOX...................................................................... 32 SPRINTEC........................................................................ 19 SPRYCEL(TAB)(100 MG)....................................37, 53, 61 SPRYCEL(TAB)(140 MG)....................................37, 53, 61 SPRYCEL(TAB)(20 MG)......................................37, 53, 61 SPRYCEL(TAB)(50 MG)......................................37, 53, 61 SPRYCEL(TAB)(70 MG)......................................37, 53, 61 SPRYCEL(TAB)(80 MG)......................................37, 53, 61 SSKI...................................................................................27 STANNOUS FLUORIDE..................................................44 STARCH............................................................................39 STAVUDINE..................................................................... 33 STAVUDINE(CAP).....................................................33, 53 STAVUDINE(SOLN RECON)....................................33, 53 STERILE TALC................................................................ 37 STIOLTO RESPIMAT.................................................12, 53 STIVARGA............................................................37, 53, 61 STRATTERA(CAP)(10 MG)...................................... 16, 53 STRATTERA(CAP)(100 MG).................................... 16, 53 STRATTERA(CAP)(18 MG)...................................... 16, 53 STRATTERA(CAP)(25 MG)...................................... 16, 53 STRATTERA(CAP)(40 MG)...................................... 16, 53 STRATTERA(CAP)(60 MG)...................................... 16, 53 STRATTERA(CAP)(80 MG)...................................... 16, 53 STRENSIQ.................................................................. 38, 61 STRESS FORMULA ENERGY(OTC).............................45 Page 73 of 75 Index STRESS FORMULA WITH IRON(OTC)........................ 44 STRESS FORMULA WITH ZINC(OTC)........................ 45 STRESS FORMULA(OTC)........................................ 45, 47 STRIBILD................................................................... 34, 53 STRIVERDI RESPIMAT............................................ 12, 53 STRONG IODINE.............................................................27 STROVITE FORTE........................................................... 45 SUBCUTANEOUS INSULIN PUMP...............................26 SUB-Q INSULIN DEVICE, 20 UNIT.............................. 26 SUB-Q INSULIN DEVICE, 30 UNIT.............................. 26 SUB-Q INSULIN DEVICE, 40 UNIT.............................. 26 SUCRAID....................................................................42, 61 SUCRALFATE.................................................................. 42 SUDOGEST(TAB ER)(OTC)............................................20 SUDOGEST(TAB)(30 MG)(OTC)....................................20 SUDOGEST(TAB)(60 MG)(OTC)....................................20 SULCONAZOLE NITRATE.............................................21 SULFACETAMIDE SODIUM.................................... 21, 28 SULFACETAMIDE/PREDNISOLONE SP...................... 28 SULFACETAMIDE-PREDNISOLONE........................... 28 SULFACETM NA/PREDNISOL AC................................28 SULFADIAZINE...............................................................35 SULFAMETHOXAZOLE/TRIMETHOPRIM................. 31 SULFAMETHOXAZOLE-TRIMETHOPRIM................. 31 SULFANILAMIDE........................................................... 43 SULFASALAZINE........................................................... 35 SULINDAC....................................................................... 35 SUMATRIPTAN..........................................................40, 53 SUMATRIPTAN SUCCINATE.........................................40 SUMATRIPTAN SUCCINATE(CARTRIDGE)..........40, 53 SUMATRIPTAN SUCCINATE(PEN INJCTR).......... 40, 53 SUMATRIPTAN SUCCINATE(TAB).........................40, 53 SUMATRIPTAN SUCCINATE(VIAL).......................40, 53 SUNITINIB MALATE...................................................... 37 SUNRISE COMPRESSOR-NEBULIZER........................12 SUNVITE(OTC)................................................................45 SUPRAX............................................................................31 SURE COMFORT ALCOHOL(OTC).............................. 22 SURE COMFORT LANCING PEN(OTC)....................... 25 SUREFLEX(OTC).............................................................25 SURE-PEN(OTC)..............................................................25 SURE-PREP ALCOHOL PREP PADS(OTC).................. 22 SURE-T PARADIGM....................................................... 25 SURMONTIL.................................................................... 14 SUSTIVA........................................................................... 33 SUTENT................................................................ 37, 53, 61 SUVOREXANT................................................................ 15 SYLATRON.................................................................36, 53 SYMBYAX..................................................................15, 53 SYMLINPEN 120............................................................. 24 SYMLINPEN 60............................................................... 24 SYNAGIS.................................................................... 33, 61 SYNJARDY...........................................................24, 53, 58 SYNRIBO....................................................................37, 61 -TTAB-A-VITE WITH IRON(OTC).................................... 45 TAB-A-VITE(OTC)...........................................................45 TACROLIMUS................................................ 24, 31, 49, 58 TADALAFIL..................................................................... 18 TAFINLAR..................................................................37, 61 TAGRISSO............................................................ 37, 53, 61 TALC................................................................................. 37 TAMIFLU(CAP)(30 MG)........................................... 33, 53 TAMIFLU(CAP)(45 MG)........................................... 33, 53 TAMIFLU(CAP)(75 MG)........................................... 33, 53 TAMIFLU(SUSP RECON)......................................... 33, 53 TAMOXIFEN CITRATE...................................................37 TAMSULOSIN HCL.........................................................43 TANZEUM............................................................ 24, 53, 58 TAPENTADOL HCL.........................................................40 TARCEVA............................................................. 37, 53, 61 TARGRETIN............................................................... 23, 61 TARON FORTE.................................................................44 TARON-C DHA................................................................ 46 TARON-PREX PRENATAL..............................................46 TASIGNA.............................................................. 37, 53, 61 TASIMELTEON................................................................ 15 TAZAROTENE..................................................................24 TAZORAC......................................................................... 24 TBO-FILGRASTIM.......................................................... 30 TEARS NATURALE FORTE(OTC).................................28 TECFIDERA............................................................... 37, 61 TEDIZOLID PHOSPHATE...............................................31 TEDUGLUTIDE............................................................... 36 TEGRETOL XR................................................................ 41 TELITHROMYCIN...........................................................31 TELMISARTAN................................................................17 TEMOZOLOMIDE..................................................... 36, 61 TENOFOVIR DISOPROXIL FUMARATE......................33 TERAZOSIN HCL............................................................ 17 TERBINAFINE HCL.................................................. 21, 32 TERBUTALINE SULFATE.............................................. 12 VNSNY TERCONAZOLE.............................................................. 43 TERIFLUNOMIDE...........................................................37 TERIPARATIDE............................................................... 27 TESTOSTERONE....................................................... 30, 61 TESTOSTERONE CYPIONATE................................ 30, 61 TESTOSTERONE ENANTHATE.............................. 30, 61 TETRABENAZINE.....................................................37, 61 TETRACAINE HCL......................................................... 28 TETRACAINE HCL/PF....................................................28 TETRACYCLINE HCL.................................................... 32 TEXACORT...................................................................... 21 THALIDOMIDE............................................................... 32 THALOMID.......................................................... 32, 53, 61 THEO-24........................................................................... 13 THEOPHYLLINE ANHYDROUS................................... 13 THERA(OTC)................................................................... 45 THERA-M(OTC)...............................................................45 THERAPEUTIC M(OTC)................................................. 45 THERATRUM COMPLETE(OTC).................................. 45 THEREMS-M(OTC)......................................................... 45 THIAMINE HCL...............................................................47 THIAMINE MONONITRATE..........................................47 THICK NOW...............................................................39, 62 THICKENUP.........................................................38, 39, 62 THICK-IT.................................................................... 39, 62 THIK & CLEAR..........................................................39, 62 THIORIDAZINE HCL...................................................... 15 THIOTHIXENE.................................................................15 THRESHOLD IMT........................................................... 13 THRESHOLD PEP............................................................13 THROMBIN (BOVINE)....................................................30 THROMBIN-JMI.............................................................. 30 THYROID,PORK..............................................................27 TIAGABINE HCL.................................................42, 53, 58 TICAGRELOR.................................................................. 30 TICLOPIDINE HCL......................................................... 30 TIKOSYN..........................................................................16 TIMOLOL......................................................................... 28 TIMOLOL MALEATE................................................17, 28 TINIDAZOLE................................................................... 32 TIOTROPIUM BR/OLODATEROL HCL........................ 12 TIOTROPIUM BROMIDE................................................11 TIPRANAVIR....................................................................33 TIPRANAVIR/VITAMIN E TPGS................................... 33 TIVICAY........................................................................... 33 TIZANIDINE HCL........................................................... 42 TL G-FOL OS....................................................................44 TL-HEM 150..................................................................... 44 TOBI PODHALER......................................................32, 62 TOBRADEX......................................................................27 TOBRAMYCIN.................................................... 28, 32, 62 TOBRAMYCIN IN 0.225% NACL.................................. 32 TOBRAMYCIN/DEXAMETHASONE............................27 TOBRAMYCIN/LOTEPRED ETAB................................ 27 TOBRAMYCIN-DEXAMETHASONE........................... 27 TOBREX........................................................................... 28 TOCILIZUMAB................................................................34 TOFACITINIB CITRATE................................................. 34 TOFRANIL-PM................................................................ 14 TOLAZAMIDE................................................................. 24 TOLBUTAMIDE............................................................... 24 TOLMETIN SODIUM...................................................... 35 TOLNAFTATE.................................................................. 21 TOLNAFTATE(OTC)........................................................21 TOLTERODINE TARTRATE..................................... 43, 59 TOPAMAX........................................................................ 42 TOPIRAMATE.................................................................. 42 TOREMIFENE CITRATE.................................................37 TORSEMIDE.................................................................... 17 TOUJEO SOLOSTAR................................................. 26, 53 TOVIAZ.......................................................................43, 59 TRACLEER.................................................................18, 62 TRADJENTA...............................................................24, 53 TRAMETINIB DIMETHYL SULFOXIDE......................37 TRANDOLAPRIL.............................................................17 TRANDOLAPRIL/VERAPAMIL HCL............................16 TRANDOLAPRIL-VERAPAMIL ER.............................. 16 TRANEXAMIC ACID...................................................... 29 TRANYLCYPROMINE SULFATE..................................14 TRAVATAN Z..............................................................28, 53 TRAVOPROST............................................................ 28, 53 TRAVOPROST (BENZALKONIUM).............................. 28 TRAZODONE HCL..........................................................14 TRECATOR.......................................................................32 TREK S COMBO PACK...................................................13 TREK S COMPACT COMPRESSOR.............................. 13 TREPROSTINIL............................................................... 18 TREPROSTINIL DIOLAMINE........................................18 TREPROSTINIL SODIUM...............................................18 TREPROSTINIL/NEB ACCESSORIES...........................18 TREPROSTINIL/NEBULIZER/ACCESOR.....................18 TREXALL......................................................................... 36 TRIAMCINOLONE ACETONIDE............................ 21, 37 TRIAMTERENE/HYDROCHLOROTHIAZID................18 TRIAMTERENE-HYDROCHLOROTHIAZID............... 18 TRI-BUFFERED ASPIRIN(OTC).................................... 40 TRICITRATES.................................................................. 43 TRIFLUOPERAZINE HCL.............................................. 15 TRIFLURIDINE................................................................28 TRIFLURIDINE/TIPIRACIL HCL.................................. 36 TRIGELS-F FORTE..........................................................44 TRIGLIDE...................................................................18, 59 TRIHEXYPHENIDYL HCL............................................. 40 TRILEPTAL...................................................................... 41 TRIMETHOBENZAMIDE HCL...................................... 11 TRIMETHOPRIM.............................................................31 TRIMIPRAMINE MALEATE.......................................... 14 TRINATE...........................................................................47 TRIPLE ANTIBIOTIC PLUS(OTC).................................20 TRIPLE DYE.....................................................................20 TRIPLE HELIX COLLAGEN(OTC)................................24 TRIPROLIDINE/PSEUDOEPHEDRINE......................... 20 TRI-TABS DHA................................................................ 46 TRIUMEQ................................................................... 34, 53 TRIVEEN-DUO DHA.......................................................46 TRIVEEN-ONE.................................................................46 TRI-VI-FLORO................................................................. 46 TRI-VI-SOL(OTC)............................................................ 46 TRI-VIT WITH FLUORIDE-IRON..................................45 TRI-VITAMIN WITH FLUORIDE.................................. 46 TRI-VITAMIN(OTC)........................................................ 46 TROKENDI XR(CAP ER 24H)(100 MG)............ 42, 53, 59 TROKENDI XR(CAP ER 24H)(200 MG)............ 42, 53, 59 TROKENDI XR(CAP ER 24H)(25 MG).............. 42, 53, 59 TROKENDI XR(CAP ER 24H)(50 MG).............. 42, 53, 59 TROPICAMIDE................................................................ 28 TRUEDRAW(OTC)...........................................................25 TRUEPLUS MULTIVITAMIN(OTC).............................. 45 TRULICITY.......................................................... 24, 53, 59 TRUVADA...................................................................33, 53 TRUZONE PEAK FLOW METER...................................13 TRYPSIN/BALSAM PERU/CASTOR OIL......................23 TYBOST......................................................................34, 62 TYKERB..................................................................... 37, 62 TYR COOLER(OTC)........................................................44 TYR LOPHLEX.......................................................... 38, 62 TYVASO......................................................................18, 62 -UUCD ANAMIX JUNIOR............................................ 39, 62 UCD TRIO...................................................................39, 62 U-CORT.............................................................................21 ULIPRISTAL ACETATE...................................................19 ULORIC...................................................................... 29, 53 ULTI-LANCE(OTC)......................................................... 25 ULTILET ALCOHOL SWAB(OTC).................................22 ULTIMATECARE ONE....................................................46 ULTIMATECARE ONE NF..............................................46 ULTRA-FRESH(OTC)...................................................... 22 ULTRAMINO..............................................................38, 62 UMECLIDINIUM BRM/VILANTEROL TR...................12 UMECLIDINIUM BROMIDE..........................................11 UNISTIK 2 EXTRA(OTC)............................................... 25 UNISTIK 2 NORMAL...................................................... 25 UNISTIK 2 NORMAL(OTC)........................................... 25 UNISTIK 2(OTC)..............................................................26 UNISTIK 3 COMFORT(OTC)..........................................26 UNISTIK 3 NEONATAL(OTC)........................................ 26 UNISTIK 3(OTC)..............................................................26 UPTRAVI.....................................................................18, 62 UREA................................................................................ 23 UREA/HYALURONATE SODIUM..................................23 UREA/LACTIC AC/ZN UNDECYLENATE....................23 UREA/LACTIC ACID/SALICYLIC AC .......................... 23 URETRON D-S................................................................. 31 URIN D.S.......................................................................... 31 URINE GLUC-ACET COMB.TST,STRIP....................... 26 URINE GLUCOSE TEST,STRIP..................................... 26 URINE GLUCOSE TEST,TABLET................................. 26 UROGESIC-BLUE............................................................31 URO-MP............................................................................ 31 URSODIOL....................................................................... 35 USTELL............................................................................ 31 -VVAGIFEM..........................................................................43 VALACYCLOVIR.............................................................33 VALACYCLOVIR HCL....................................................33 VALCHLOR................................................................ 23, 62 VALGANCICLOVIR HCL............................................... 33 VALPROIC ACID............................................................. 42 VALPROIC ACID (AS SODIUM SALT)......................... 42 VALSARTAN.................................................................... 17 VALSARTAN/HYDROCHLOROTHIAZIDE.................. 17 VALSARTAN-HYDROCHLOROTHIAZIDE.................. 17 VANCOMYCIN HCL................................................. 32, 53 Page 74 of 75 Index VANDETANIB.................................................................. 37 VAPORIZER..................................................................... 13 VAPORIZER CLEANING TABLETS(OTC)................... 13 VAPORIZER INHALANT(OTC)..................................... 13 VAPORIZER(OTC)...........................................................13 VAPORIZER-HUMIDIFIER SUPPLY............................. 13 VARENICLINE TARTRATE............................................ 42 VASCEPA.................................................................... 18, 53 V-C FORTE....................................................................... 45 VEMURAFENIB.............................................................. 37 VENLAFAXINE HCL...................................................... 14 VENLAFAXINE HCL ER................................................ 14 VENTAVIS.................................................................. 18, 62 VENTOLIN HFA.............................................................. 12 VERAPAMIL ER.............................................................. 17 VERAPAMIL HCL........................................................... 17 VERSACLOZ........................................................ 15, 53, 59 VESICARE..................................................................43, 59 VGO 20..............................................................................26 VGO 30..............................................................................26 VGO 40..............................................................................26 VIBRAMYCIN..................................................................32 VICKS WARM STEAM VAPORIZER(OTC).................. 13 VIDEX.........................................................................33, 53 VIGABATRIN................................................................... 42 VIGAMOX........................................................................ 28 VIIBRYD...............................................................14, 53, 59 VILAZODONE HYDROCHLORIDE.............................. 14 VIMPAT(SOLUTION).......................................... 41, 53, 59 VIMPAT(TAB)...................................................... 41, 53, 59 VINACAL..........................................................................46 VINATE CARE................................................................. 47 VINATE DHA................................................................... 46 VINATE DHA RF............................................................. 46 VINATE II......................................................................... 47 VINATE ONE....................................................................47 VINATE PN CARE........................................................... 47 VINATE-M........................................................................ 46 VIOS AEROSOL DELIVERY SYSTEM......................... 13 VIRACEPT........................................................................ 33 VIRAZOLE....................................................................... 33 VIREAD(POWDER)...................................................33, 53 VIREAD(TAB)............................................................ 33, 53 VIRT-ADVANCE.............................................................. 47 VIRT-PN PLUS................................................................. 46 VIRTPREX........................................................................ 47 VIRT-VITE GT..................................................................47 VIRT-VITE PLUS............................................................. 47 VISION-VITE + ZINC(OTC)........................................... 43 VISMODEGIB.................................................................. 36 VISTARIL......................................................................... 11 VIT 3..................................................................................45 VIT A PALMITATE/VIT C/VIT D3................................. 46 VIT A,C & E/LUTEIN/MINERALS................................ 43 VIT A/VIT C/VIT E/ZINC/COPPER......................... 43, 45 VIT B CMPLX 3/FA/VIT C/BIOTIN............................... 47 VIT B CMPLX NO3/FA/C/BIOT/ZINC........................... 47 VIT B COMP/C/FA/IRON SULF/VITE........................... 44 VIT B COMP/C/FA/IRON/VIT E..................................... 44 VIT B COMPLEX 100 CMB #2/HERBS......................... 47 VIT B COMPLEX 100 CMB #3/HERBS......................... 47 VIT B CPLX #11/FA/C/BIOT/ZN OX..............................47 VIT E/LIDOCAIN/ALO VER/COLAGN.........................23 VITAFOL...........................................................................44 VITAFOL NANO.............................................................. 47 VITAFOL-OB+DHA.........................................................47 VITAJOULE................................................................ 38, 62 VITAL 1.0 CAL...........................................................39, 62 VITAL 1.5 CAL...........................................................39, 62 VITAL AF 1.2 CAL.....................................................39, 62 VITAL-D RX..................................................................... 47 VITAMIN A...................................................................... 47 VITAMIN A PALMITATE................................................ 47 VITAMIN A(OTC)............................................................ 47 VITAMIN AND MINERALS(OTC).................................45 VITAMIN B COMPLEX...................................................47 VITAMIN B COMPLEX(CAP)(OTC)..............................47 VITAMIN B COMPLEX(TAB)(OTC)..............................47 VITAMIN B COMPLEX/MINERALS............................. 47 VITAMIN B-1(OTC).........................................................47 VITAMIN B-6(OTC).........................................................47 VITAMIN B-COMPLEX WITH VIT C(CAP)(OTC).......44 VITAMIN B-COMPLEX WITH VIT C(OTC)................. 47 VITAMIN B-COMPLEX WITH VIT C(TAB)(OTC).......44 VITAMIN C(OTC)............................................................ 48 VITAMIN D(OTC)...................................................... 48, 49 VITAMIN D2.................................................................... 48 VITAMIN D3(OTC).................................................... 48, 49 VITAMIN E....................................................................... 22 VITAMIN E(OTC)............................................................ 22 VITAMIN E/ALOE VERA............................................... 22 VITAMIN K1.................................................................... 30 VNSNY VITAMINS B1,B2,B3,B5,& B6........................................47 VITB&C/IRON FUM/FA/VIT E/AA#16..........................45 VITE AC/GRAPE/HYALURONIC ACID ........................ 22 VITEKTA.................................................................... 33, 53 VIVITROL.........................................................................15 VOL-PLUS........................................................................ 46 VOL-TAB RX....................................................................47 VOLTAREN.......................................................................21 VORICONAZOLE............................................................ 32 VORTEX........................................................................... 12 VORTEX VHC FROG MASK.......................................... 12 VORTEX VHC LADYBUG MASK................................. 12 VORTIOXETINE HYDROBROMIDE............................. 14 VOTRIENT............................................................37, 53, 62 VP-CH PLUS.....................................................................47 VP-CH-PNV...................................................................... 46 VP-HEME ONE................................................................ 46 VP-PNV-DHA................................................................... 47 VYVANSE.............................................................14, 53, 59 -WWAL-MUCIL(OTC).......................................................... 36 WARFARIN SODIUM...................................................... 29 WARM STEAM VAPORIZER(OTC)............................... 13 WATER.............................................................................. 22 WATER FOR IRRIGATION,STERILE............................ 22 WEBCOL(OTC)................................................................ 22 WEED POLLEN-SHORT RAGWEED............................ 11 WELCHOL........................................................................18 WHEY............................................................................... 39 WHITE PETROLATUM(OTC).........................................23 WIDE SEAL DIAPHRAGM.............................................19 WINDMILL TRAINER(OTC)..........................................13 WOMEN'S COMPLEX(OTC).......................................... 45 WOUND GEL(OTC).........................................................22 -XXALKORI............................................................. 36, 53, 62 XANTHAN GUM............................................................. 39 XARELTO(TAB DS PK).............................................29, 53 XARELTO(TAB)(10 MG)...........................................29, 53 XARELTO(TAB)(15 MG)...........................................29, 53 XARELTO(TAB)(20 MG)...........................................29, 53 XELJANZ.................................................................... 34, 62 XIFAXAN....................................................................32, 62 XMET MAXAMAID.................................................. 39, 62 XMET MAXAMUM...................................................39, 62 XMET XCYS MAXAMAID...................................... 38, 62 XTANDI................................................................ 36, 53, 62 XTRACAL PLUS........................................................39, 62 -ZZAFIRLUKAST................................................................ 12 ZALEPLON.......................................................................15 ZARONTIN....................................................................... 41 ZELBORAF...........................................................37, 53, 62 ZENPEP.............................................................................42 ZENZEDI.............................................................. 14, 53, 59 ZETIA..........................................................................18, 53 ZIAGEN.......................................................................33, 53 ZIDOVUDINE...................................................................33 ZIDOVUDINE(CAP).................................................. 33, 53 ZIDOVUDINE(SYRUP)............................................. 33, 53 ZIDOVUDINE(TAB).................................................. 33, 54 ZINC ACETATE/MEADOWSWEET/OAK..................... 23 ZINC SULFATE................................................................ 48 ZINC SULFATE(OTC)......................................................48 ZIPRASIDONE HCL........................................................ 15 ZIPRASIDONE MESYLATE........................................... 15 ZIRGAN............................................................................ 27 ZMAX................................................................................31 ZOLMITRIPTAN.............................................................. 40 ZOLPIDEM TARTRATE............................................ 15, 54 ZOLPIMIST.......................................................... 15, 54, 59 ZOMIG(SPRAY)(2.5 MG).................................... 40, 54, 59 ZOMIG(SPRAY)(5 MG)....................................... 40, 54, 59 ZONEGRAN..................................................................... 42 ZONISAMIDE.................................................................. 42 ZORBTIVE..................................................................27, 62 ZORTRESS........................................................................31 ZOVIRAX..........................................................................21 ZUBSOLV................................................................... 40, 62 ZYDELIG.................................................................... 37, 62 ZYKADIA................................................................... 36, 62 ZYLET...............................................................................27 ZYPREXA...................................................................15, 54 ZYPREXA RELPREVV................................................... 15 ZYTIGA................................................................ 36, 54, 62 ZZZQUIL(OTC)................................................................ 15 Page 75 of 75 2016 Formulary of Covered Prescription Drugs SelectHealth Any questions? 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