2015 essential health benefits formulary reference guide · 2015 essential health benefits...

2015 Essential Health Benefits Formulary Reference Guide

List of covered drugs

INTRODUCTION

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

FORMULARY DESIGN

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

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

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

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

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

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

REASONABLE MEDICAL MANAGEMENT

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

United States Department of Labor, Catamaran’s reasonable medical and utilization management functions apply to ACA preventive drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

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

SAVING ON OUT-OF-POCKET COSTS

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

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

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other benefit sponsors design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for specific conditions (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, Catamaran may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Catamaran Member Services representative to determine specific coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed in the following order: generics, generic preventive, preferred brand name, non-preferred brand name, brand name preventive,

specialty drugs. In addition, immediately preceding the index is a section listing ACA preventive drugs by category.

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management activities of catamaran. The presence of a medication on this formulary list does not guarantee coverage. To see the most up-to-date formulary, please visit your member website. You may also call Member Services at the number listed on your ID card to request a copy be mailed to you.

35756461v.2

Table of Contents

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

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

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

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

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

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

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

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

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

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

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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

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

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

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

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

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

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

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

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

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

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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

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

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

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

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

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

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

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

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

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

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

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

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

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

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

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

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

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

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

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

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

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

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

GENERAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

ACA PREVENTIVE DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

ASPIRIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

FLUORIDE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

FOLIC ACID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

IMMUNIZATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

IRON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

SMOKING CESSATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

VITAMIN D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

BOWEL PREPARATION AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

BREAST CANCER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Zinacef

Zinacef IN Iso-osmotic Diluent

THIRD GENERATION

GENERIC

April 2015

cefdinir

cefotaxime sodium

ANTI-INFECTIVES

cefpodoxime proxetil

ceftazidime

PENICILLINS

ceftriaxone sodium

GENERIC

tazicef

amoxicillin

tazidime

amoxicillin/clavulanate potassium

Cefditoren Pivoxil

amoxicillin/clavulanate potassium ER

Ceftazidime

ampicillin

Ceftazidime/Dextrose

ampicillin sodium

Ceftriaxone IN Iso-osmotic Dextrose

ampicillin-sulbactam

Ceftriaxone/Dextrose

dicloxacillin sodium

NON PREFERRED

nafcillin sodium

Cedax

oxacillin sodium

Ceftibuten

penicillin v potassium

Claforan

penicillin G potassium

Suprax

piperacillin sodium/ tazobactam sodium

FOURTH GENERATION

piperacillin sodium/tazobactam sodium

GENERIC

piperacillin/tazobactam

cefepime

Amoxicillin

Cefepime

Ampicillin

NON PREFERRED

Ampicillin Sodium

Maxipime

Ampicillin-sulbactam

FIFTH GENERATION

Nafcillin Sodium

NON PREFERRED

Penicillin G Potassium IN Iso-osmotic Dextrose

Teflaro

Penicillin G Procaine

Penicillin G Sodium

MACROLIDES

Pfizerpen-G

GENERIC

PREFERRED

azithromycin

Augmentin

clarithromycin

NON PREFERRED

clarithromycin ER

Amoxicillin ER

erythromycin

Bactocill IN Dextrose

Azithromycin

Bicillin C-R

E.e.s. 400

Bicillin L-a

Erythromycin Base

Moxatag

Erythromycin Ethylsuccinate

Timentin

NON PREFERRED

DificidQL

CEPHALOSPORIN

Ery-TAB

FIRST GENERATION

Erythrocin Lactobionate

GENERIC

PCE

cefadroxil

Zithromax

cefazolin sodium

cephalexin

TETRACYCLINES

Cefazolin Sodium

GENERIC

Cefazolin Sodium/Dextrose

avidoxy

Cephalexin

demeclocycline HCL

SECOND GENERATION

doxy 100

GENERIC

doxycycline

cefaclor

doxycycline hyclate

cefoxitin sodium

doxycycline hyclate DR

cefprozil

doxycycline monohydrate

cefuroxime axetil

minocycline HCL

cefuroxime sodium

minocycline HCL ER

Cefaclor

morgidox 1X100MG

Cefaclor ER

morgidox 2X100MG

Cefotetan

Minocin

Cefotetan/Dextrose

Tetracycline HCL

Cefoxitin Sodium

NON PREFERRED

Cefuroxime Sodium

Alodox Convenience Kit

Cefuroxime/Dextrose

Ocudox

NON PREFERRED

Solodyn

Ceftin

Mefoxin

Effective April 1, 2015 v.1

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

1

QUINOLONES

griseofulvin ultramicrosize

itraconazolePA

GENERIC

ketoconazole

ciprofloxacin

nystatin

ciprofloxacin ER

terbinafine HCLQL

ciprofloxacin HCL

voriconazole

ciprofloxacin I.V.-IN D5W

Amphotericin B

levofloxacin

Fluconazole IN NACL

levofloxacin IN D5W

PREFERRED

moxifloxacin HCL

Cancidas

ofloxacin

Lamisil

Ciprofloxacin HCL

Mycamine

Ofloxacin

Noxafil

PREFERRED

SporanoxPA

Avelox

NON PREFERRED

NON PREFERRED

Abelcet

Factive

Ambisome

Noroxin

Amphotec

Eraxis

AMINOGLYCOSIDES

Terbinex

GENERIC

amikacin sulfate

ANTIVIRALS

gentamicin sulfate

GENERIC

gentamicin sulfate pediatric

abacavir

gentamicin sulfate/sodium chloride

abacavir sulfate/lamivudine/zidovudineQL

gentamicin sulfate/0.9% sodium chloride

acyclovir

isotonic gentamicin

acyclovir sodium

neomycin sulfate

cidofovir

paromomycin sulfate

didanosine

tobramycin sulfate

famciclovirQL

Gentamicin Sulfate/0.9% Sodium Chloride

ganciclovir

Isotonic Gentamicin

lamivudine

Streptomycin Sulfate

lamivudine/zidovudine

Tobramycin Sulfate/Sodium Chloride

nevirapine

SPECIALTY

nevirapine ER

tobramycinPA

rimantadine HCL

Tobi PodhalerQL

stavudine

valacyclovir HCLQL

SULFONAMIDES

zidovudine

GENERIC

Acyclovir Sodium

Sulfadiazine

Foscarnet Sodium

PREFERRED

ANTIMYCOBACTERIAL AGENTS

Aptivus

GENERIC

AtriplaQL

ethambutol HCL

CompleraQL

isoniazid

Crixivan

pyrazinamide

Edurant

rifabutin

Emtriva

rifampin

Epivir HBV

Isoniazid

Epzicom

PREFERRED

FuzeonQL,PA

Priftin

Intelence

Seromycin

Invirase

Sirturo

Isentress

NON PREFERRED

Kaletra

Capastat Sulfate

Lexiva

Cycloserine

Nevirapine

Paser

Norvir

Rifamate

Prezista

Rifater

Relenza DiskhalerQL

Trecator

Rescriptor

Retrovir IV Infusion

ANTIFUNGALS

Reyataz

GENERIC

SelzentryPA

bio-statin

StribildQL

fluconazole

Sustiva

fluconazole IN dextrose

TamifluQL

fluconazole IN NACL

TruvadaPA

flucytosine

Videx Pediatric

griseofulvin microsize

Effective April 1, 2015

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

Viracept

clindamycin phosphate add-vantage

Viramune

clindamycin phosphate pharmacy bulk package

Viramune XR

clindamycin phosphate IN D5W

Viread

clindamycin HCL

Ziagen

colistimethate sodium

SPECIALTY

e.s.p.

adefovir dipivoxilQL,PA

imipenem/cilastatin

entecavirQL,PA

linezolid

moderiba

meropenem

ribasphere

metronidazole

ribavirin

metronidazole IN NACL 0.79%

valganciclovir

polymyxin b sulfate

BaracludeQL,PA

sulfamethoxazole/trimethoprim

HarvoniPA

sulfamethoxazole/trimethoprim DS

Infergen

sulfatrim pediatric

Moderiba

tinidazole

Moderiba 1200 Dose Pack

trimethoprim

Moderiba 800 Dose Pack

vancomycin HCL

OlysioPA

Bacitracin

Peg-intronPA

Chloramphenicol Sodium Succinate

Peg-intron RedipenPA

Clindamycin Phosphate

Peg-intron Redipen PAK 4PA

Dapsone

PegasysPA

Sulfamethoxazole/Trimethoprim

Pegasys ProclickPA

Vancomycin HCL

PegintronPA

Vancomycin HCL IN Dextrose

Rebetol

PREFERRED

Ribasphere

Alinia

Ribasphere Ribapak

Nebupent

Ribatab

SivextroQL

SovaldiPA

Tygacil

Tivicay

XifaxanPA

TyzekaQL,PA

ZyvoxQL

Valcyte

NON PREFERRED

VictrelisPA

Azactam IN Iso-osmotic Dextrose

Virazole

Cubicin

Doribax

ANTIMALARIALS

Flagyl ER

Invanz

GENERIC

Ketek

atovaquone/proguanil HCL

Lincocin

chloroquine phosphate

Primsol

hydroxychloroquine sulfate

Vibativ

mefloquine HCL

SPECIALTY

quinine sulfatePA

CaystonPA

Primaquine Phosphate

QualaquinPA

ANTINEOPLASTICS, ETC

PREFERRED

Coartem

ALKYLATING AGENTS

Daraprim

GENERIC

Lomustine

AMEBICIDES

PREFERRED

NON PREFERRED

Alkeran

Yodoxin

Gleostine

Leukeran

ANTHELMINTICS

SPECIALTY

GENERIC

carboplatin

ivermectin

cisplatin

PREFERRED

cyclophosphamide

Albenza

ifosfamide

NON PREFERRED

melphalan hydrochloride

Biltricide

oxaliplatin

temozolomidePA

MISC. ANTI-INFECTIVES

Bicnu

Busulfex

GENERIC

Carboplatin

atovaquone

Cisplatin

aztreonam

Cyclophosphamide

baciim

Eloxatin

bacitracin

Gliadel Wafer

clindamycin palmitate HCL

Hexalen

clindamycin phosphate



Ifex

PREFERRED

Ifosfamide

Bexxar

Mustargen

SPECIALTY

MyleranPA

AdcetrisPA

Temodar

ArzerraPA

Treanda

Erbitux

ValchlorPA

GazyvaPA

Zanosar

HerceptinPA

KadcylaPA

ANTIBIOTICS

PerjetaPA

RituxanPA

GENERIC

Vectibix

bleomycin sulfate

YervoyPA

SPECIALTY

Zevalin Y-90

adriamycin

daunorubicin HCL

HORMONAL AGENTS

doxorubicin HCL

doxorubicin HCL liposome

GENERIC

epirubicin HCL

anastrozole

idarubicin HCL

bicalutamide

lipodox

exemestane

lipodox 50

flutamide

mitomycin

letrozole

mitoxantrone HCLPA

megestrol acetate

Adriamycin

PREVENTIVE

Daunoxome

tamoxifen citrate

Epirubicin HCL

PREFERRED

Valstar

Depo-provera

Emcyt

ANTINEOPLASTIC ENZYMES

Fareston

Nilandron

SPECIALTY

Soltamox

Elspar

SPECIALTY

ErwinazePA

leuprolide acetatePA

Oncaspar

EligardQL,PA

Faslodex

ANTIMETABOLITES

FirmagonQL,PA

GENERIC

Lupron DepotQL,PA

adrucil

Lysodren

fluorouracil

Trelstar DepotQL,PA

methotrexate

Trelstar Depot MixjectQL,PA

methotrexate sodium

Trelstar LAQL,PA

PREFERRED

Trelstar LA MixjectQL,PA

Trexall

Trelstar MixjectQL,PA

SPECIALTY

VantasQL,PA

azacitidinePA

XtandiPA

capecitabinePA

ZoladexQL,PA

cladribine

ZytigaPA

cytarabine

cytarabine aqueous

IMMUNOMODULATORS

decitabinePA

GENERIC

floxuridine

azathioprine

fludarabine phosphate

cyclosporine

gemcitabine HCL

cyclosporine modified

mercaptopurine

gengraf

Alimta

hecoria

Arranon

mycophenolate mofetil

Clolar

mycophenolic acid DR

Cytarabine

sirolimus

Depocyt

tacrolimus

Folotyn

Cyclosporine Modified

Gemcitabine

PREFERRED

Tabloid

Azasan

Rapamune

ANGIOGENESIS INHIBITORS

Sandimmune

SPECIALTY

NON PREFERRED

Avastin

Atgam

ZaltrapPA

Cellcept Intravenous

NulojixPA

ANTIBODIES

Prograf



Simulect

Hycamtin

Thymoglobulin

Irinotecan

ZortressPA

Topotecan HCL

SPECIALTY

PomalystPA

RADIOPHARMACEUTICALS

RevlimidPA

PREFERRED

ThalomidPA

Bexxar 131 Iodine

Metastron

MITOTIC INHIBITORS

Quadramet

GENERIC

SPECIALTY

Docetaxel

Xofigo

PREFERRED

Teniposide

CELLULAR IMMUNOTHERAPY

SPECIALTY

PREFERRED

docetaxel

ProvengePA

etoposide

paclitaxel

ANTINEOPLASTICS MISC.

toposar

GENERIC

vincasar PFS

hydroxyurea

vincristine sulfate

PREFERRED

vinorelbine tartrate

Photofrin

Abraxane

Uvadex

Docefrez

SPECIALTY

Etopophos

dacarbazine

Etoposide

tretinoin

HalavenPA

Actimmune

Ixempra Kit

Alferon N

JevtanaPA

Dacarbazine

Marqibo

ErivedgePA

Paclitaxel

Intron APA

Vinblastine Sulfate

Intron-aPA

Intron-a W/DiluentPA

ENZYME INHIBITORS

Matulane

SPECIALTY

Nipent

AfinitorPA

Proleukin

Afinitor DisperzPA

SylatronPA

BosulifPA

SynriboPA

CaprelsaQL,PA

TargretinPA

CometriqPA

Theracys

GilotrifPA

Tice Bcg

GleevecPA

Trisenox

IclusigPA

ImbruvicaPA

CHEMOTHERAPY RESCUE

InlytaPA

GENERIC

IstodaxPA

leucovorin calcium

JakafiPA

Calcium Folinate

KyprolisPA

Leucovorin Calcium

MekinistPA

PREFERRED

NexavarPA

Fusilev

SprycelPA

SPECIALTY

StivargaPA

amifostine

SutentPA

dexrazoxane

TafinlarPA

mesna

TarcevaPA

Mesnex

TasignaPA

Totect

Torisel

Voraxaze

TykerbPA

VelcadePA

CHEMOTHERAPY ADJUNCTS

VotrientPA

SPECIALTY

XalkoriPA

Elitek

ZelborafPA

Kepivance

ZolinzaPA

ZydeligPA

ANTINEOPLASTIC COMBO

SPECIALTY

TOPOISOMERASE I INHIBITOR

Ifosfamide/Mesna

SPECIALTY

irinotecan

CARDIOVASCULAR DRUGS

topotecan HCL

PHOSPHODIESTERASE INHBTR

Camptosar



GENERIC

GENERIC

milrinone lactate

afeditab CR

milrinone IN dextrose

amlodipine besylate

cartia XT

CARDIAC GLYCOSIDES

dilt-CD

dilt-XR

GENERIC

diltiazem CD

digitek

diltiazem HCL

digox

diltiazem HCL CD

digoxin

diltiazem HCL ER

Digoxin

diltzac

felodipine ER

ANTIANGINAL AGENTS

matzim LA

GENERIC

nicardipine HCL

isoditrate ER

nifediac CC

isosorbide dinitrate

nifedical XL

isosorbide dinitrate ER

nifedipine

isosorbide mononitrate

nifedipine ER

isosorbide mononitrate ER

nimodipine

minitran

nisoldipine

nitro-time

taztia XT

nitroglycerin

verapamil HCL

nitroglycerin lingual

verapamil HCL ER

nitroglycerin transdermal

verapamil HCL SR

nitroglycerin ER

Diltiazem HCL

nitroglycerin IN dextrose 5%

Isradipine

nitroglycerin IN 5% dextrose

Nisoldipine

Isosorbide Dinitrate

Nisoldipine ER

Nitroglycerin

Verapamil HCL

Nitroglycerin IN Dextrose 5%

PREFERRED

NON PREFERRED

Dilatrate SR

Cardene IV

Nitro-bid

Cardizem LA

Nitrostat

RanexaPA

ANTIARRHYTHMICS

NON PREFERRED

GENERIC

Nitro-dur

adenosine

Nitroglycerin Lingual

amiodarone HCL

Nitromist

disopyramide phosphate

flecainide acetate

BETA BLOCKERS

ibutilide fumarate

GENERIC

lidocaine HCL

acebutolol HCL

lidocaine HCL IN D5W

atenolol

lidocaine HCL/dextrose

betaxolol HCL

mexiletine HCL

bisoprolol fumarate

pacerone

carvedilol

propafenone HCL

esmolol HCL

propafenone HCL ER

labetalol HCL

quinidine gluconate CR

metoprolol succinate ER

quinidine gluconate ER

metoprolol tartrate

quinidine sulfate

nadolol

Amiodarone HCL

pindolol

Lidocaine HCL

propranolol HCL

Procainamide HCL

propranolol HCL ER

Quinidine Gluconate

sorine

Quinidine Sulfate

sotalol HCL

Quinidine Sulfate ER

sotalol HCL (AF)

PREFERRED

Propranolol HCL

Tikosyn

Timolol Maleate

NON PREFERRED

PREFERRED

Multaq

Bystolic

Nexterone

Coreg CR

Norpace CR

NON PREFERRED

Inderal XL

ACE INHIBITORS

Innopran XL

GENERIC

Levatol

benazepril HCL

captopril

CALCIUM CHANNEL BLOCKERS

enalapril maleate



enalaprilat

Methyldopa/Hydrochlorothiazide

fosinopril sodium

Propranolol/Hydrochlorothiazide

lisinopril

PREFERRED

moexipril HCL

Amturnide

perindopril erbumine

Azor

quinapril HCL

Benicar HCT

ramipril

Tarka

trandolapril

Tekamlo

Tekturna HCT

ANGIOTENSIN RCPTR BLOCKER

Tribenzor

NON PREFERRED

GENERIC

EdarbyclorPA,ST

candesartan cilexetilPA,ST

Teveten HCTPA,ST

eprosartan mesylate

irbesartan

DIURETICS

losartan potassium

telmisartan

GENERIC

valsartan

acetazolamide

PREFERRED

acetazolamide sodium

Benicar

acetazolamide ER

NON PREFERRED

amiloride HCL

EdarbiPA,ST

amiloride/hydrochlorothiazide

bumetanide

DIRECT RENIN INHIBITORS

chlorothiazide

chlorothiazide sodium

PREFERRED

furosemide

Tekturna

hydrochlorothiazide

indapamide

ANTIHYPERTENSIVES MISC.

mannitol

GENERIC

methazolamide

clonidine HCL

metolazone

doxazosin mesylate

osmitrol viaflex

eplerenone

spironolactone

fenoldopam mesylate

spironolactone/hydrochlorothiazide

guanfacine HCL

torsemide

hydralazine HCL

triamterene/hydrochlorothiazide

methyldopa

Acetazolamide

minoxidil

Chlorothiazide

prazosin HCL

Chlorthalidone

terazosin HCL

Furosemide

Methyldopate HCL

Methyclothiazide

Phentolamine Mesylate

Torsemide

Reserpine

Triamterene/Hydrochlorothiazide

PREFERRED

Demser

NON PREFERRED

Dibenzyline

Dyrenium

Edecrin

ANTIHYPERTENSIVE COMBO

Sodium Edecrin

GENERIC

amlodipine besylate/benazepril hydrochloride

VASOPRESSORS

amlodipine besylate/benazepril HCL

GENERIC

amlodipine besylate/valsartan

dobutamine HCL

amlodipine/valsartan/hctz

dobutamine HCL/D5W

atenolol/chlorthalidone

dobutamine/dextrose 5%

benazepril HCL/hydrochlorothiazide

dopamine HCL

bisoprolol fumarate/hydrochlorothiazide

dopamine HCL-dextrose 5%

candesartan cilexetil/hydrochlorothiazide

dopamine HCL/dextrose 5%

enalapril maleate/hydrochlorothiazide

dopamine/D5W

fosinopril sodium/hydrochlorothiazide

ephedrine sulfate

irbesartan/hydrochlorothiazide

midodrine HCL

lisinopril/hydrochlorothiazide

norepinephrine bitartrate

losartan potassium/hydrochlorothiazide

phenylephrine HCL

metoprolol/hydrochlorothiazide

Dobutamine/Dextrose 5%

moexipril/hydrochlorothiazide

Dopamine HCL

nadolol/bendroflumethiazide

Epinephrine

quinapril/hydrochlorothiazide

Levophed

telmisartan/amlodipine

Phenylephrine HCL

telmisartan/hydrochloroth

PREFERRED

telmisartan/hydrochlorothiazide

Auvi-q

valsartan/hydrochlorothiazide

Epipen 2-PAK

Captopril/Hydrochlorothiazide



Epipen-JR 2-PAK

TyvasoQL,PA

Tyvaso RefillQL,PA

ANTIHYPERLIPIDEMICS

Tyvaso StarterQL,PA

VeletriPA

GENERIC

VentavisQL,PA

atorvastatin calcium

cholestyramine

DERMATOLOGICALS

cholestyramine light

colestipol HCL

ACNE PRODUCTS

colestipol HCL for oral suspension

GENERIC

fenofibrate

adapalenePA

fenofibrate micronized

amnesteem

fenofibric acid DR

avar cleanser

fluvastatin

avar-e emollient

gemfibrozil

avar-e green

lovastatin

avitaPA

micronized colestipol HCL

benzepro

niacin ER

benzepro SHORT contact

omega-3-acid ethyl esters

benziq wash

pravastatin sodium

benzoyl peroxide

prevalite

benzoyl peroxide wash acne treatment pack

simvastatin

benzoyl peroxide SHORT contact

Fenofibric Acid

bp cleansing wash

Niacor

bp foam

PREFERRED

bp foaming wash

Crestor

bp wash

Fenofibrate

bp 10-1

Lipofen

cerisa wash

Liptruzet

claravis

Simcor

claris clarifying wash

Vascepa

clearplex x

Vytorin

clindacin etz pledgets

Welchol

clindacin-p

Zetia

clindamax

NON PREFERRED


Altoprev

clindamycin/benzoyl peroxide

Fenoglide

ery

Fibricor

erythromycin

Livalo

erythromycin/benzoyl peroxide

Triglide

lavoclen-4 acne wash kit

SPECIALTY

lavoclen-8 acne wash kit

JuxtapidQL,PA

myorisan

KynamroQL,PA

neuac

oscion cleanser

CARDIOVASCULAR - MISC.

pr benzoyl peroxide wash

GENERIC

prascion

amlodipine besylate/atorvastatin calcium

prascion fc

cardioplegic

prascion ra with sunscreens

isoxsuprine HCL

rosanil cleanser

papaverine HCL

se bpo wash

Isoxsuprine HCL

se 10-5 ss

PREFERRED

sodium sulfacetamide

CaverjectQL

sodium sulfacetamide/sulfur

Caverject ImpulseQL

sodium sulfacetamide/sulfur cleanser

CialisQL

sodium sulfacetamide/sulfur cleansing cloths

MuseQL

sodium sulfacetamide/sulfur green

ViagraQL

sodium sulfacetamide/sulfur w/sunscreen

NON PREFERRED

sodium sulfacetamide/sulfur wash

Bidil

ss 10-2

SPECIALTY

sss 10-5

epoprostenol sodium

sss 10%-5%

sildenafilQL,PA

sulfacetamide sodium

sildenafil citrateQL,PA

sulfacetamide sodium/sulfur cleanser

AdcircaQL,PA

sulfacleanse 8/4

AdempasQL,PA

tretinoinPA

LetairisQL,PA

tretinoin microspherePA

OpsumitQL,PA

tretinoin microsphere P.M.PA

RemodulinPA

virti-sulf

RevatioQL,PA

zenatane

TracleerQL,PA

zencia



Bpo

Mentax

Bpo 3% Foaming Cloths

Naftin


Oxistat


Pedipirox-4 NailPA

Claravis

Xolegel

Lavoclen-4 Creamy Wash

Lavoclen-8 Creamy Wash

ANTIVIRALS - TOPICAL

Sodium Sulfacetamide/Sulfur

GENERIC

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

acyclovir

Sodium Sulfacetamide/Sulfur IN Urea

PREFERRED

Zaclir Cleansing

Denavir

Zovirax

PREFERRED

Acanya

ANTI-INFLAMMATORY AGENTS

AtralinPA

GENERIC

DifferinPA

diclofenac sodiumQL,PA

EpiduoPA

PREFERRED

ZianaPA

VoltarenQL

NON PREFERRED

NON PREFERRED

Absorica

FlectorQL,PA

Azelex

Tretin-xPA

ANTIPRURITICS

VeltinPA

NON PREFERRED

Prudoxin

ROSACEA AGENTS

Zonalon

GENERIC

metronidazole

ANTIPSORIATICS

rosadan

GENERIC

Doxycycline

acitretin

PREFERRED

calcipotriene

Finacea

calcitrene

Oracea

methoxsalen

Calcitriol

ANTIBIOTICS - TOPICAL

Dritho-creme HP

GENERIC

PREFERRED

mupirocin

TazoracQL,PA

mupirocin calcium

8-mop

Centany

NON PREFERRED

Gentamicin Sulfate

Vectical

NON PREFERRED

SPECIALTY

Altabax

StelaraPA

Cortisporin

ANTISEBORRHEIC AGENTS

ANTIFUNGALS - TOPICAL

GENERIC

GENERIC

seb-prev wash

ciclodan

selenium sulfide

ciclopirox


ciclopirox nail lacquer

sodium sulfacetamide wash

ciclopirox olamine

Glycolic Acid

ciclopirox treatmentPA

Glycolic Acid 70% High Purity

clotrimazole

Seb-prev

clotrimazole/betamethasone dipropionate

Selenium Sulfide

dermazene

Sodium Sulfacetamide/Urea

econazole nitrate

NON PREFERRED

exoderm

Ovace Plus

hydrocortisone/iodoquinol

ketoconazole

CORTICOSTEROIDS - TOPICAL

ketodan

GENERIC

nyamyc

ala cort

nystatin

alclometasone dipropionate

nystatin/triamcinolone

alphatrex

nystop

apexicon

pedi-dri

augmented betamethasone dipropionate

versiclear

betamethasone dipropionate

Ciclopirox Topical Solution Kit

betamethasone valerate

NON PREFERRED

calcipotriene/betamethasone dipropionateQL,PA

Cnl8 Nail KitPA

clobetasol propionate

Ertaczo

clobetasol propionate e

Exelderm

clobetasol propionate emollient



clodan

NON PREFERRED

cormax scalp application

Zyclara

desonide

Zyclara P.M.

desoximetasone

diflorasone diacetate

DERMATOLOGICALS - MISC.

fluocinolone acetonide

GENERIC

fluocinolone acetonide body

acticin

fluocinolone acetonide scalp

alphaquin HP

fluocinonide

ammonium lactate

fluocinonide-e

cerovel

fluticasone propionate

diclofenac sodium

halac

episone CRE

halobetasol propionate

finasteride

halonate PAC

fluorouracil

hydrocortisone

glydo

hydrocortisone acetate/aloe

grafco silver nitrate applicator

hydrocortisone acetate/pramoxine

hydroquinone

hydrocortisone butyrate

hydroquinone time release

hydrocortisone butyrate (lipid)

hygel

hydrocortisone butyrate (lipophilic)

hypercare

hydrocortisone valerate

laclotion

hydrocortisone IN absorbase

lactic acid

lokara

lactic acid e

mometasone furoate

lactic acid w/vitamin e

prednicarbate

latrix

scalacort

lidocaine

triamcinolone acetonide

lidocaine HCL

triderm

lidocaine HCL jelly

Amcinonide

lidocaine/prilocaine

Apexicon E

lidopin

Desoximetasone

lindane

Diflorasone Diacetate

mafenide acetate

Synalar

malathion

Triamcinolone Acetonide

melpaque HP

Trianex

melquin HP

U-cort

nuquin HP

PREFERRED

permethrin

Pramosone

podofilox

Pramosone E

pramox gel

TaclonexQL,PA

rea LO 39

Tucks Anti-itch

rea LO 40

NON PREFERRED

remergent HQ

Capex

remeven

Clocortolone Pivalate

salacyn

Clocortolone Pivalate P.M.

salicylic acid

Cloderm

salicylic acid cream

Cloderm P.M.

salicylic acid lotion

Cordran

salicylic acid wart remover

Cordran Tape

silver sulfadiazine

Dermasorb Ta

skin bleaching

Desonate

skin bleaching/sunscreen

Desowen Cream/Cetaphil Lotion

sodium hyaluronate

Desowen Lotion/Cetaphil Cream

ssd

Desowen Ointment/Cetaphil Lotion

thermazene

Halog

tropazone

Kenalog

u-kera e

Locoid

umecta mousse

Pediaderm HC

urea

Pediaderm Ta

urea hydrating

Texacort

urea nail

Ultravate PAC

urea topical

Verdeso

urea IN zinc undecylenate/lactic acid vehicle

urea 40% nail film

IMMUNOMODULATING AGENTS

urea-c40

GENERIC

x-viate

imiquimod

Arzol Silver Nitrate App Licators

tacrolimus

Cem-urea

PREFERRED

Coal TAR

Elidel

CARB-o-philic 40



CARB-o-philic/40

Rayos

Salvax

Solu-cortef

Silver Nitrate

Veripred 20

TL hydroquinone

PREFERRED

ANDROGENS-ANABOLIC

Carac

GENERIC

Condylox

danazol

Fluorouracil

oxandroloneQL,PA

Oxsoralen

testosterone cypionatePA

RegranexPA

testosterone enanthatePA

Sulfamylon

TestosteronePA,ST

NON PREFERRED

Testosterone P.M.PA,ST

Avage

PREFERRED

Eurax

Androgel

Fluoroplex

Androgel P.M.

Natroba

Androxy

Panretin

Axiron

Picato

Methitest

Refissa

NON PREFERRED

Renova

Anadrol-50PA

Renova P.M.

AndrodermPA,ST

Sklice

StriantPA,ST

Spinosad

Testim

Synera

VogelxoPA,ST

TargretinPA

Vogelxo P.M.PA,ST

Tretinoin Emollient

Ulesfia

ESTROGENS

Veregen

GENERIC

SPECIALTY

covaryx

ValchlorPA

covaryx HS

eemt

ENDOCRINE AND METABOLIC

eemt HS

CORTICOSTEROIDS

esterified estrogens/methltestosterone

esterified estrogens/methyltestosterone

GENERIC

esterified estrogens/methyltestosterone DS

a-methapred

esterified estrogens/methyltestosterone HS

baycadron

estradiol

betamethasone sodium phosphate/betamethasone acetate

estradiol valerate

budesonide

estradiol/norethindrone acetate

dexamethasone

estropipate

dexamethasone sodium phosphate

lopreeza

fludrocortisone acetate

mimvey

hydrocortisone

mimvey LO

methylprednisolone

ortho-est

methylprednisolone acetate

Estropipate

methylprednisolone dose pack

Jinteli

methylprednisolone sodiumsuccinate

PREFERRED

prednisolone

Cenestin

prednisolone sodium phosphate

Combipatch

prednisolone sodium phosphate odt

Enjuvia

prednisone

Evamist

A-hydrocort

Minivelle

Cortisone Acetate

Premarin

Dexamethasone

Premphase

Dexamethasone Sodium Phosphate

Prempro

Prednisolone Sodium Phosphate

NON PREFERRED

Prednisone

Alora

PREFERRED

Estrogel

Uceris

Menest

NON PREFERRED

Depo-medrol

CONTRACEPTIVES

Dexamethasone Intensol

GENERIC

Dexpak 10 Day

Amethyst

Dexpak 13 Day

Necon 1/50-28

Dexpak 6 Day

Necon 10/11-28

Millipred

Zovia 1/50e

Millipred DP

PREVENTIVE

Orapred Odt

altavera

Prednisone Intensol

alyacen 1/35



alyacen 7/7/7

microgestin FE

amethiaQL

microgestin FE 1.5/30

amethia LOQL

microgestin 1.5/30

apri

microgestin 1/20

aranelle

mono-linyah

aubra

mononessa

aviane

my way

azurette

myzilra

balziva

necon 0.5/35-28

briellyn

necon 1/35

camila

necon 7/7/7

camreseQL

next choice one dose

camrese LOQL

nikki

caziant

nora-be

cesia

norethindrone

chateal

norethindrone acetate/ethinyl estradiol

cryselle-28

norethindrone acetate/ethinyl estradiol/ferrous fumarate

cyclafem 1/35

norgestimate/ethinyl estradiol

cyclafem 7/7/7

norlyroc

dasetta 1/35

nortrel 0.5/35 (28)

dasetta 7/7/7

nortrel 1/35

dayseeQL

nortrel 7/7/7

deblitane

ocella

delyla

orsythia

desogestrel/ethinyl estradiol

philith

drospirenone/ethinyl estradiol

pimtrea

elinest

pirmella 1/35

emoquette

pirmella 7/7/7

enpresse-28

portia-28

enskyce

previfem

errin

quasenseQL

estarylla

reclipsen

falmina

sharobel

gianvi

solia

gildagia

sprintec 28

gildess FE 1.5/30

sronyx

gildess FE 1/20

syeda

gildess 1.5/30

tarina FE 1/20

gildess 1/20

tilia FE

gildess 24 FE

tri-estarylla

heather

tri-legest FE

introvaleQL

tri-linyah

jencycla

tri-previfem

jolessaQL

tri-sprintec

jolivette

trinessa

junel FE 1.5/30

trivora-28

junel FE 1/20

velivet

junel 1.5/30

vestura

junel 1/20

viorele

kariva

vyfemla

kelnor 1/35

wera

kurvelo

wymzya FE

larin FE 1.5/30

xulane

larin FE 1/20

zarah

larin 1.5/30

zenchent

larin 1/20

zenchent FE

leena

zovia 1/35e

lessina

Ogestrel

levonest

PREFERRED

levonorgestrel

Beyaz

levonorgestrel and ethinyl estradiolQL

LO Loestrin FE

levonorgestrel/ethinyl estradiol

Minastrin 24 FE

levora 0.15/30-28

Safyral

lomedia 24 FE

PREVENTIVE

loryna

Natazia

low-ogestrel

NuvaringQL

lutera

NON PREFERRED

lyza

Depo-subq Provera 104QL

marlissa

Ella

medroxyprogesterone acetateQL



PREVENTIVE

Glyburide

Implanon

Tolazamide

Mirena

Tolbutamide

Nexplanon

NON PREFERRED

Paragard Intrauterine Copper Contraceptive T380a

Diabeta

Skyla

BIGUANIDES

GENERIC

PROGESTINS

metformin HCL

metformin HCL ER

GENERIC

PREFERRED

medroxyprogesterone acetate

Riomet

norethindrone acetate

NON PREFERRED

progesterone

Glumetza

SPECIALTY

MEGLITINIDE ANALOGUES

MakenaPA

GENERIC

nateglinide

ANTIDIABETIC AGENTS

repaglinide

INSULIN

DIABETIC OTHER

PREFERRED

PREFERRED

Lantus

Glucagen

Lantus Solostar

Glucagen Hypokit

Novolin N

Glucagon Emergency Kit

Novolin N Relion

InvokanaPA

Novolin R

Proglycem

Novolin R Relion

NON PREFERRED

Novolin 70/30

Cycloset

Novolin 70/30 Relion

ALPHA-GLUCOSIDASE INHIBIT

Novolog

GENERIC

Novolog Flexpen

acarbose

Novolog Mix 70/30

NON PREFERRED

Novolog Mix 70/30 Prefilled Flexpen

Glyset

Novolog Penfill

DPP-4 INHIBITORS

NON PREFERRED

PREFERRED

ApidraPA,ST

Januvia

Apidra SolostarPA,ST

Onglyza

HumalogPA,ST

NON PREFERRED

Humalog KwikpenPA,ST

Tradjenta

Humalog Mix 50/50PA,ST

INSULIN SENSITIZING AGENT

Humalog Mix 50/50 KwikpenPA,ST

GENERIC

Humalog Mix 75/25PA,ST

pioglitazone HCL

Humalog Mix 75/25 KwikpenPA,ST

NON PREFERRED

Humulin NPA,ST

Avandia

Humulin N KwikpenPA,ST

ANTIDIABETIC COMBINATIONS

Humulin N U-100 PenPA,ST

GENERIC

Humulin RPA,ST

glipizide/metformin HCL

Humulin R U-500 (concentrated)PA,ST

glyburide/metformin HCL

Humulin 70/30PA,ST

pioglitazone HCL-glimepiride

Humulin 70/30 KwikpenPA,ST

pioglitazone HCL/metformin HCL

Humulin 70/30 PenPA,ST

PREFERRED

LevemirPA,ST

Actoplus Met XR

Levemir FlexpenPA,ST

Janumet

Levemir FlextouchPA,ST

Janumet XR

AMYLIN ANALOGS

Juvisync

PREFERRED

Kombiglyze XR

Symlinpen 120PA

Prandimet

Symlinpen 60PA

NON PREFERRED

INCRETIN MIMETIC AGENTS

Jentadueto

PREFERRED

Bydureon

BISPHOSPHONATES

Byetta

GENERIC

Victoza

alendronate sodium

SULFONYLUREAS

ibandronate sodiumQL

GENERIC

risedronate sodiumQL,PA,ST

glimepiride

Alendronate Sodium

glipizide

Etidronate Disodium

glipizide ER

PREFERRED

glipizide XL

Fosamax Plus DQL

glyburide

NON PREFERRED

glyburide micronized

ActonelPA,ST

tolazamide

Chlorpropamide



AtelviaQL,PA,ST

Humatrope Combo PackPA

BinostoQL

Norditropin CartridgePA

SPECIALTY

Norditropin FlexproPA

pamidronate disodium

Norditropin Nordiflex PenPA

zoledronic acidPA

NutropinPA

Pamidronate Disodium

Nutropin AQ Nuspin 10PA

Zoledronic AcidPA


ZometaPA


Nutropin AQ PenPA

CALCITONINS

OmnitropePA

SaizenPA

GENERIC

Saizen Click.easyPA

calcitonin salmonQL

SerostimPA

calcitonin-salmonQL

Tev-tropinPA

ForticalQL

ZorbtivePA

NON PREFERRED

Miacalcin

GHRH

PARATHYROID HORMONE

SPECIALTY

EgriftaQL,PA

SPECIALTY

ForteoQL

SOMATOMEDINS

RANK LIGAND INHIBITORS

SPECIALTY

IncrelexPA

SPECIALTY

ProliaQL,PA

SOMATOSTATIC AGENTS

XgevaPA

SPECIALTY

CALCIUM REGULATORS - MISC

octreotide acetatePA

Sandostatin Lar DepotPA

NON PREFERRED

SigniforQL,PA

Ganite

Somatuline DepotPA

HORMONE RECEPTOR MDLTR

GH RECEPTOR ANTAGONISTS

GENERIC

SPECIALTY

raloxifene hydrochloride

SomavertPA

FERTILITY REGULATORS

POSTERIOR PITUITARY

GENERIC

GENERIC

clomiphene citrate

desmopressin acetate

serophene

vasopressin

SPECIALTY

SPECIALTY

chorionic gonadotropinQL

Stimate

novarelQL

pregnyl w/diluent benzyl alcohol/NACLQL

CORTICOTROPIN

BravelleQL

Follistim AQQL

SPECIALTY

Gonal-fQL,PA

H.p. ActharPA

Gonal-f RFFQL,PA

Gonal-f RFF PenQL,PA

PROLACTIN INHIBITORS

Gonal-f RFF RedijectQL,PA

GENERIC

Menopur

cabergoline

OvidrelQL

RepronexQL

VASOPRESSIN ANTAGONISTS

SPECIALTY

LHRH/GNRH AGONIST

SamscaQL

SPECIALTY

Lupron Depot-PEDQL,PA

METABOLIC MODIFIERS

Supprelin LAQL,PA

GENERIC

Synarel

calcitriol

doxercalciferol

GNRH/LHRH ANTAGONISTS

levocarnitine

SPECIALTY

paricalcitol

CetrotideQL

PREFERRED

Ganirelix AcetateQL

SensiparPA

NON PREFERRED

GROWTH HORMONES

Hectorol

SPECIALTY

Paricalcitol

GenotropinPA

Zemplar

Genotropin MiniquickPA

SPECIALTY

HumatropePA

sodium phenylbutyrate



AldurazymePA

ANTIDIARRHEALS

Buphenyl

GENERIC

CarbagluPA

diphenoxylate/atropine

Cystadane

lofene

ElaprasePA

lonox

FabrazymePA

loperamide HCL

KuvanPA

opium

LumizymePA

opium tincture

MyaleptPA

Diphenoxylate/Atropine

MyozymePA

Opium Tincture (paregoric)

NaglazymePA

NON PREFERRED

Orfadin

Motofen

RavictiPA

VimizimPA

ANTACIDS

GENERIC

THYROID AGENTS

Sodium Bicarbonate

GENERIC

levothyroxine sodium

ULCER DRUGS

levoxyl

GENERIC

liothyronine sodium

atropine sulfate

methimazole

chlordiazepoxide HCL/clidinium bromide

propylthiouracil

cimetidine

unithroid

cimetidine HCL

unithroid direct

dicyclomine HCL

Levothyroxine Sodium

ed-spaz

Nature-throid

esomeprazole sodium

NP thyroid

famotidine

NP thyroid 30

glycopyrrolate

NP thyroid 60

hyomax-SL

NP thyroid 90

hyoscyamine sulfate

Westhroid

hyoscyamine sulfate odt

PREFERRED

hyoscyamine sulfate ER

Armour Thyroid

hyoscyamine sulfate SR

NON PREFERRED

hyosyne

Thyrolar-1

lansoprazoleQL

Thyrolar-1/2

lansoprazole/amoxicillin/clarithromycin

Thyrolar-1/4

methscopolamine bromide

Thyrolar-2

misoprostol

Thyrolar-3

nizatidine

nulev

GASTROINTESTINAL

omeprazoleQL

LAXATIVES

omeprazole/sodium bicarbonateQL

oscimin

GENERIC

oscimin SR

constulose

pantoprazole sodiumQL

lactulose

rabeprazole sodiumQL,PA,ST

pegylax

ranitidine HCL

polyethylene glycol 3350

sucralfate

Cascara Sagrada

symax fastabs

Mineral Oil Heavy

symax-SL

PREVENTIVE

symax-SR

gavilyte-c

Atropine Sulfate

gavilyte-n/flavor pack

Belladonna & Opium

gavilyte-G

Belladonna Alkaloids & Opium

peg 3350/electrolytes

Dicyclomine HCL

peg-3350/electrolytes

Esomeprazole Sodium

peg-3350/NACL/NA bicarbonate/KCL

Famotidine

trilyte

Famotidine Premixed

PREFERRED

Gastrinex NF

Moviprep

Propantheline Bromide

Suclear

Scopolamine Hydrobromide

Suprep Bowel Prep

PREFERRED

NON PREFERRED

Carafate

Colyte-flavor Packs

NexiumQL

Golytely

Pylera

Kristalose

NON PREFERRED

Osmoprep

Aciphex SprinkleQL,PA,ST

Prepopik

Atropen

Cantil



Cuvposa

procto-PAK

DexilantQL,PA,ST

proctosol HC

Donnatal

proctozone-HC

Donnatal Extentabs

rectacort-HC

Esomeprazole StrontiumQL,PA,ST

sulfasalazine

First-lansoprazole

sulfazine

Helidac

sulfazine EC

Omeclamox-PAK

ursodiol

Prevacid SolutabQL,PA,ST

Dexpanthenol

PrilosecQL,PA,ST

Lidocaine HCL-hydrocortisone Acetate With Aloe

ZegeridQL,PA,ST

PREFERRED

AmitizaQL

ANTIEMETICS

Analpram Advanced

Analpram-HC

GENERIC

Asacol HD

dronabinolQL,PA

Canasa

granisetron HCLQL

Chenodal

meclizine HCL

Cortifoam

ondansetron odtQL

Delzicol

ondansetron HCLQL

Fosrenol

trimethobenzamide HCL

Lialda

univert

LinzessQL

Dimenhydrinate

Lotronex

PREFERRED

Pentasa

Aloxi

Proctofoam HC

EmendQL

Rectiv

SancusoQL

RelistorPA

Transderm-scop

Renvela

NON PREFERRED

Sevelamer Carbonate

AnzemetQL

NON PREFERRED

CesametQL,PA

Apriso

GranisolQL

Dipentum

ZuplenzQL

Giazo

Phoslyra

DIGESTIVE AIDS

Renagel

PREFERRED

SPECIALTY

Creon

CimziaPA

Pancrelipase

Cimzia Starter KitPA

Viokace

GattexPA

NON PREFERRED

RemicadePA

PertzyePA,ST

UltresaPA,ST

GENITOURINARY

ZenpepPA,ST

SPECIALTY

URINARY ANTI-INFECTIVES

Sucraid

GENERIC

hyophen

GASTROINTESTINAL - MISC.

methenamine hippurate

GENERIC

methenamine mandelate

ana-lex

nitrofurantoin

anucort-HC

nitrofurantoin macrocrystals

balsalazide disodium

nitrofurantoin monohydrate

calcium acetate

nitrofurantoin monohydrate/macrocrystals

colocort

phosphasal

cromolyn sodium

ur n-c

enulose

urelle

generlac

uretron d/s

grx hicort 25

uribel

hemril-30

urin d/s

hydrocort ene 100MG

uro-blue

hydrocortisone

uro-l

hydrocortisone acetate

uro-mp

hydrocortisone acetate/lidocaine HCL

uryl

hydrocortisone acetate/pramoxine

ustell

hydrocortisone acetate/pramoxine HCL

uta

lactulose

uticap

lidazone HC

utira-c

lidocaine HCL/hydrocortisone acetate

utrona-c

mesalamine

Methenamine Mandelate

metoclopramide HCL

Urimar-t

pramcort



NON PREFERRED

potassium citrate ER

Monurol

potassium citrate-citric acid crystals

potassium citrate/citric acid

URINARY ANTISPASMODICS

potassium citrate/sodium citrate/citric acid

sodium chloride

GENERIC

sodium chloride 0.9%

bethanechol chloride

sodium citrate/citric acid

flavoxate HCL

tamsulosin HCL

oxybutynin chloride

taron-crystals

oxybutynin chloride ER

tricitrates

tolterodine tartrate

virtrate-3

tolterodine tartrate ER

Cytra-3

trospium chloride

Sorbitol

trospium chloride ER

Sorbitol-mannitol

PREFERRED

PREFERRED

Gelnique

Elmiron

Myrbetriq

Rapaflo

OxytrolQL

Renacidin

Oxytrol For WomenQL

NON PREFERRED

Toviaz

Avodart

Vesicare

Cardura XL

NON PREFERRED

Oracit

EnablexPA,ST

SPECIALTY

Cystagon

VAGINAL PRODUCTS

ProcysbiPA

GENERIC


HEMATOLOGICAL

metronidazole vaginal

terconazole

HEMATOPOIETIC AGENTS

vandazole

GENERIC

zazole

airavite

Miconazole 3

corvita 150

PREFERRED

cyanocobalamin

Clindesse

dexferrum

Endometrin

fabb

Estrace

ferocon

EstringQL

ferotrinsic

Vagifem

ferrocite plus

NON PREFERRED

ferrogels forte

Avc

folbee

Cleocin

folcaps

Gynazole-1

folic acid

PREVENTIVE

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

Encare

folplex 2.2

Options Conceptrol Vaginal Contraceptive

foltrin

Options Gynol II Vaginal Contraceptive

hematinic plus vitamins/minerals

Shur-seal

hematinic/folic acid

Today Sponge

hematogen

Vcf Vaginal Contraceptive Film

hematogen forte

Vcf Vaginal Contraceptive Foam

hemocyte-f

SPECIALTY

hemocyte-plus

Crinone

iferex 150 forte

infed

GENITOURINARY - MISC.

myferon 150 forte

GENERIC

nufol

acetic acid 0.25%

poly-iron 150 forte

alfuzosin HCL ER

polysaccharide iron forte

aminoacetic acid

purevit dualfe plus

argyle sterile saline 100ML

se-tan plus

citric acid/sodium citrate

tricon

curity sterile saline

trigels-f forte

cytra k crystals

virt-vite

cytra-k

B-6 Folic Acid

cytra-2

Bp Vit 3

finasteride

Ed Cyte F

glycine

Ferraplus 90

hydrochloric acid

Folic Acid

neomycin/polymyxin b sulfates

FE c plus

phenazo

Hematogen Fa

phenazopyridine HCL

Hydroxocobalamin



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

HM folic acid

HM iron

Multigen

HM iron slow release

Multigen Folic

PREFERRED

Multigen Plus

Droxia

Tandem F

Feraheme

TL gard RX

Ferrex 150 Forte Plus

TL icon

Ferrex 28

TL-fol 500

Nascobal

TL-hem 150

Venofer

PREVENTIVE

NON PREFERRED

bprotected pedia iron

Foltrate

eq slow-release iron

PREVENTIVE

eql folic acid

CVS Slow Release Iron

eql iron supplement therapy

Elite Iron

eql slow release iron

Fa-8

ezfe 200

Femiron

fa-8

Feosol

feosol

Ferretts Chewable Iron

fer-iron

Ferretts IPS

ferate

Ferrimin 150

ferosul

Ferro-sequels

ferretts

Ferrous Fumarate

ferrex 150

Ferrous Gluconate

ferric x-150

Ferrous Sulfate

ferro-bob

FE Aspartate

ferrocite

High Potency Iron

ferrotabs

Iron

ferrous drops

Iron Chews Pediatric

ferrous fumarate 324

Iron Up

ferrous gluconate

Mykidz Iron 10

ferrous sulfate

Novaferrum Pediatric Drops

ferrousul

Perfect Iron

ferus

Profe

gnp folic acid

Proferrin ES

gnp iron

Sm Slow Release Iron

gnp slow release iron

SPECIALTY

high potency iron

sodium ferric gluconate complex/sucrose

iferex 150

Aranesp Albumin FreePA

iron

CerezymePA

iron slow release

ElelysoPA

iron supplement

EpogenPA

iron supplement childrens

LeukinePA

kp ferrous gluconate

MozobilQL,PA

kp ferrous sulfate

NeulastaPA

kp folic acid

Neulasta Delivery KitPA

meijer ferrous sulfate

NeumegaPA

myferon 150

NeupogenPA

nu-iron 150

NplatePA

poly-iron 150

ProcritPA

px folic acid

PromactaPA

px iron

VprivPA

qc ferrous sulfate

ZavescaPA

ra folic acid

ra high potency iron

ANTICOAGULANTS

ra iron

GENERIC

ra slow release iron

argatroban

slow iron

enoxaparin sodiumQL

slow release iron

fondaparinux sodiumQL

sm folic acid

hep flush-10

sm iron

heparin lock

sm iron slow release

heparin lock flush

th folic acid

heparin lock flush for flushing vascular access devices

th iron

heparin lock flush/NACL for flushing vascular access devices

th slow release iron

wee care

heparin sodium

yl folic acid

heparin sodium dcu

CVS folic acid

heparin sodium lock flush

CVS iron

heparin sodium/sodium chloride 0.9% premix

FE gluconate

FE TABS



heparin sodium/D5W

Alphanine SD

heparin sodium/NACL 0.9%

Bebulin

jantoven

Bebulin VH

monoject pharma grade flush syringe/heparin lock

Benefix

monoject prefill advanced heparin lock flush

Berinert

sash kit for flushing vascular access devices

Ceprotin

warfarin sodium

Cinryze

Acd Formula A

Corifact

Acd Formula B

Eloctate

Acd-a Noclot-50

Feiba

Anticoagulant Citrate Dextrose Solution A

Feiba NF

Anticoagulant Sodium Citrate

Firazyr

Argatroban

Helixate FS

Heparin Lock Flush

Hemofil M

Heparin Sodium

Humate-p

Heparin Sodium/D5W

Kalbitor

Heparin Sodium/NACL 0.45%

Koate-dvi

Heparin Sodium/Sodium Chloride 0.9%

Kogenate FS

PREFERRED

Kogenate FS Bio-set

EliquisQL

Monoclate-p

PradaxaQL

Mononine

XareltoQL

Novoseven

Xarelto Starter PackQL

Novoseven Rt

NON PREFERRED

Profilnine SD

FragminQL

Recombinate

Riastap

HEMOSTATICS

Rixubis

SolirisPA

GENERIC

Thrombate Iii W/10 ML Sterile Water

aminocaproic acid

Thrombate Iii W/20 ML Sterile Water

tranexamic acid

Tretten

Aminocaproic Acid

Wilate

Xyntha

HEMATOLOGICAL - MISC.

Xyntha Solofuse

GENERIC

albuked 25

MOUTH/THROAT/DENTAL AGENT

albuked 5

albumin human

albumin-zlb

GENERIC

albuminar-25

cavarest

albuminar-5

cavirinse

alburx

cevimeline HCL

albutein

chlorhexidine gluconate

anagrelide hydrochloride

chlorhexidine gluconate oral rinse

buminate

clinpro 5000

cilostazol

clotrimazole

clopidogrel

controlrx

dipyridamole

denta 5000 plus

flexbumin

dentagel

hetastarch 6%/NACL

easygel

human albumin grifols

fluoridex daily defense

kedbumin

fluoridex daily defense enhanced whitening

pentoxifylline ER

fluoridex daily defense sensitivity relief

plasbumin-25

karigel

plasbumin-5

karigel-n

ticlopidine HCL

lidocaine viscous

LMD 10% Dextrose 5%

lidocaine HCL

LMD 10% Sodium Chloride 0.9%

lidocaine HCL viscous

Protamine Sulfate

neutragard advanced

PREFERRED

neutral sodium fluoride

Aggrenox

nystatin

Brilinta

oralone

Effient

paroex

Zontivity

perio MED

NON PREFERRED

periogard

Aggrastat

phos-flur

Integrilin

pilocarpine hydrochloride

SPECIALTY

pilocarpine HCL

Advate

stannous fluoride oral rinse

Alphanate/Von Willebrand Factor Complex/Human

topex topical anesthetic



triamcinolone acetonide

Desvenlafaxine ERQL

triamcinolone IN orabase

Doxepin HCL

Aquoral

Fluoxetine HCL

Numoisyn

Maprotiline HCL

SF

Nefazodone HCL

SF 5000 plus

Nortriptyline HCL

NON PREFERRED

Venlafaxine HCL ER

Oravig

PREFERRED

PristiqQL

NEUROLOGY, CNS, PSYCH

NON PREFERRED

AplenzinQL

ANTIANXIETY AGENTS

EmsamQL,PA

GENERIC

Forfivo XLQL

alprazolam

Marplan

alprazolam odt

Paxil

alprazolam ER

ViibrydQL

alprazolam XR

buspirone HCL

ANTIPSYCHOTICS

chlordiazepoxide HCL

GENERIC

clorazepate dipotassium

chlorpromazine HCL

diazepam

clozapineQL

diazepam intensol

compazine

droperidol

compro

gene-xene TAB 15MG

fluphenazine decanoate

gene-xene TAB 3.75MG

fluphenazine HCL

gene-xene TAB 7.5MG

haloperidol

hydroxyzine pamoate

haloperidol decanoate

hydroxyzine HCL

haloperidol lactate

lorazepam

lithium carbonate

meprobamate

lithium carbonate ER

oxazepam

loxapine

Diazepam

loxapine succinate

Hydroxyzine HCL

olanzapineQL

Hydroxyzine Pamoate

olanzapine odtQL

perphenazine

ANTIDEPRESSANTS

prochlorperazine

GENERIC

prochlorperazine edisylate

amitriptyline HCL

prochlorperazine maleate

budeprion SRQL

quetiapine fumarateQL

bupropion HCL

risperidoneQL

bupropion HCL ERQL

risperidone odtQL

bupropion HCL SRQL

risperidone M-TABQL

bupropion HCL XLQL

thioridazine HCL

citalopram hydrobromide

thiothixene

clomipramine HCL

trifluoperazine HCL

desipramine HCL

ziprasidone HCLQL

doxepin HCL

Chlorpromazine HCL

duloxetine HCLQL

Clozapine OdtQL

escitalopram oxalate

Fluphenazine HCL

fluoxetine DRQL

Lithium

fluoxetine HCL

Lithium Carbonate

fluvoxamine maleate

PREFERRED

fluvoxamine maleate ERQL

AbilifyQL

imipramine pamoate

Abilify DiscmeltQL

imipramine HCL

Abilify Maintena

mirtazapine

LatudaQL

mirtazapine odt

Risperdal Consta

nefazodone HCL

Seroquel XRQL

nortriptyline HCL

NON PREFERRED

paroxetine HCL

FanaptQL,PA,ST

paroxetine HCL ER

Fanapt Titration PackQL,PA,ST

phenelzine sulfate

FazacloQL

protriptyline HCL

Geodon

sertraline HCL

InvegaQL,PA,ST

tranylcypromine sulfate

Invega Sustenna

trazodone HCL

SaphrisQL,PA,ST

trimipramine maleate

venlafaxine HCLQL

HYPNOTICS

venlafaxine HCL ERQL

Amoxapine



GENERIC

GENERIC

dexmedetomidine HCL

carbamazepine

estazolam

carbamazepine ER

eszopicloneQL

clonazepam

flurazepam HCL

clonazepam odt

midazolam HCL

divalproex sodium

phenobarbital

divalproex sodium DR

temazepam

divalproex sodium ER

triazolam

epitol

zaleplonQL

ethosuximide

zolpidem tartrateQL

felbamate

zolpidem tartrate ERQL

fosphenytoin sodium

Flurazepam HCL

gabapentin

Phenobarbital

lamotrigine

Phenobarbital Sodium

lamotrigine odt

Quazepam

lamotrigine ER

PREFERRED

levetiracetam

RozeremQL

levetiracetam ER

NON PREFERRED

oxcarbazepine

IntermezzoQL

phenytoin

SilenorQL

phenytoin infatabs

SPECIALTY

phenytoin sodium

HetliozQL,PA

phenytoin sodium extended

primidone

ADHD, NARCOLEPSY, ETC.

tiagabine hydrochloride

topiragen

GENERIC

topiramate

amphetamine/dextroamphetamineQL

valproate sodium

benzphetamine HCLPA

valproic acid

caffeine citrate

zonisamide

clonidine HCL ER

Levetiracetam

dexedrineQL

dexmethylphenidate HCLQL

PREFERRED

dexmethylphenidate HCL ERQL

Banzel

dextroamphetamine sulfateQL

Celontin

dextroamphetamine sulfate ERQL

Diazepam

diethylpropion HCLPA

Dilantin

diethylpropion HCL ERPA

Fycompa

doxapram HCL

Gabitril

guanfacine ER

LyricaQL

metadate ERQL

Onfi

methamphetamine HCLQL

Peganone

methylphenidate hydrochloride

Potiga

methylphenidate HCLQL

Tegretol-XR

methylphenidate HCL CDQL

Vimpat

methylphenidate HCL ERQL

NON PREFERRED

methylphenidate HCL SRQL

Diastat Pediatric

modafinilQL,PA

Lamictal

phendimetrazine tartratePA

Lamictal Odt

phentermine HCLPA

Stavzor

zenzediQL

SPECIALTY

Caffeine/Sodium Benzoate

SabrilPA

Diethylpropion HCLPA

Methylphenidate HCL ERQL

ANTIPARKINSON AGENTS

Phendimetrazine Tartrate ERPA

ProcentraQL

GENERIC

PREFERRED

amantadine HCL

DaytranaQL

benztropine mesylate

NuvigilQL,PA

bromocriptine mesylate

Quillivant XRQL

carbidopa

StratteraQL

carbidopa/levodopa

VyvanseQL

carbidopa/levodopa odt

NON PREFERRED

carbidopa/levodopa ER

ConcertaQL

entacapone

Focalin XRQL

pramipexole dihydrochloride

Kapvay Dose Pack

ropinirole ER

XenicalPA

ropinirole HCL

selegiline HCL

ANTICONVULSANTS

trihexyphenidyl HCL

Amantadine HCL



Carbidopa/Levodopa/Entacapone

CVS nts step 1QL

PREFERRED

HM nicotine polacrilexQL

Azilect

HM nicotine transdermal systemQL

Mirapex ER

HM nicotine transdermal system step 3QL

NON PREFERRED

SR nicotine gumQL

Neupro

PREFERRED

Tasmar

Exelon

SPECIALTY

GraliseQL,PA

ApokynPA

Gralise StarterQL,PA

Namenda

NEUROLOGY, PSYCH - MISC.

Namenda Titration PAK

Namenda XRQL

GENERIC

Namenda XR Titration PackQL

acamprosate calcium DR

Nuedexta

disulfiram

SavellaQL

donepezil HCL

PREVENTIVE

ergoloid mesylates

ChantixQL

fluoxetine

Chantix Continuing Month PAKQL

galantamine

Chantix Starting Month PAKQL

galantamine hydrobromide

Nicotine Transdermal SystemQL

olanzapine/fluoxetine

NON PREFERRED

rivastigmine tartrate

HorizantQL,PA

Chlordiazepoxide/Amitriptyline

Orap

Galantamine Hydrobromide

PREVENTIVE

Perphenazine/Amitriptyline

Nicotrol InhalerQL

Nicotrol NsQL

PREVENTIVE

SPECIALTY

buprobanQL

AmpyraQL,PA

bupropion HCL SRQL

AubagioQL,PA

eq nicotineQL

AvonexQL,PA

eq nicotine gum refillQL

Avonex PenQL,PA

eq nicotine gum starterQL

BetaseronQL,PA

eq nicotine polacrilexQL

CopaxoneQL,PA

eq nicotine step 3QL

ExtaviaQL,PA

eql nicotineQL

GilenyaQL,PA

eql nicotine polacrilexQL

RebifQL,PA

eql nicotine polacrilex refillQL

Rebif RebidoseQL,PA

eql nicotine polacrilex starterQL

Rebif Rebidose Titration PackQL,PA

gnp nicotine polacrilexQL

Rebif Titration PackQL,PA

gnp nicotine polacrilex miniQL

TecfideraQL,PA

kls quit2QL

Tecfidera Starter PackQL,PA

kls quit4QL

TysabriQL,PA

nicoreliefQL

XenazinePA

nicotineQL

XyremQL,PA

nicotine polacrilexQL

nicotine polacrilex refillQL

NEUROMUSCULAR AGENTS

nicotine polacrilex starter kitQL

nicotine step 1QL

GENERIC

nicotine step 2QL

atracurium besylate

nicotine step 3QL

cisatracurium besylate

nicotine transdermal systemQL

pancuronium bromide

px stop smoking aidQL

riluzoleQL,PA

qc nicotine polacrilexQL

rocuronium bromide

ra mini nicotineQL

vecuronium bromide

ra nicotineQL

SPECIALTY

ra nicotine polacrilexQL

BotoxPA

ra nicotine transdermal system step 3QL

DysportPA

sm nicotineQL

MyoblocPA

sm nicotine polacrilexQL

XeominPA

sw nicotine polacrilexQL

tgt nicotine gumQL

MUSCULOSKELETAL AGENTS

tgt nicotine polacrilexQL

GENERIC

tgt nicotine step oneQL

baclofen

tgt nicotine step threeQL

carisoprodol

tgt nicotine step twoQL

carisoprodol/aspirin

thriveQL

carisoprodol/aspirin/codeine

CVS nicotineQL

chlorzoxazone

CVS nicotine polacrilexQL

cyclobenzaprine HCL

CVS nicotine polacrilex starterQL

dantrolene sodium

CVS nicotine transdermal systemQL

metaxalone



methocarbamol

NON PREFERRED

orphenadrine citrate

Azasite

orphenadrine citrate ER

Ciloxan

orphenadrine/asa/caffeine

Tobrex

revonto

Zirgan

tizanidine HCL

Carisoprodol

ARTIFICIAL TEAR/LUBRICANT

Dantrolene Sodium

NON PREFERRED

Enovarx-cyclobenzaprine HCL

Lacrisert

PREFERRED

Gablofen

BETA-BLOCKERS

Lioresal Intrathecal

GENERIC

NON PREFERRED

betaxolol HCL

Lorzone

carteolol HCL

SPECIALTY

dorzolamide HCL/timolol maleate

EuflexxaPA

levobunolol HCL

HyalganPA

timolol maleate

MonoviscPA

timolol maleate ophthalmic gel forming

OrthoviscPA

Istalol

SupartzPA

Levobunolol HCL

SynviscPA

Metipranolol

Synvisc OnePA

PREFERRED

Combigan

ANTIMYASTHENIC AGENTS

NON PREFERRED

GENERIC

Betimol

neostigmine methylsulfate

Betoptic-s

pyridostigmine bromide

Guanidine HCL

OPHTHALMIC STEROIDS

Regonol

GENERIC

PREFERRED

dexamethasone sodium phosphate

Mestinon

fluorometholone

Mestinon Timespan

neo-polycin HC

Prostigmin

neomycin/polymyxin/bacitracin/hydrocortisone

neomycin/polymyxin/dexamethasone

OPHTHALMOLOGY AND OTIC

poly-dex

ANTI-INFECTIVES

prednisolone acetate

sulfacetamide sodium/prednisolone sodium phosphate

GENERIC

tobramycin/dexamethasone

ak-poly-bac

Neomycin/Polymyxin/Hydrocortisone

bacitracin/polymyxin b

Prednisolone Sodium Phosphate

ciprofloxacin HCL

PREFERRED

erythromycin

Alrex

garamycin

FML

gatifloxacin

Lotemax

gentak

Pred Mild

gentamicin sulfate

Retisert

ilotycin

Tobradex

levofloxacin

Tobradex ST

neo-polycin

Zylet

neomycin/bacitracin/polymyxin

NON PREFERRED

neomycin/polymyxin/bacitracin zinc

Blephamide S.o.p.

neomycin/polymyxin/gramicidin

Durezol

ofloxacin

Flarex

polycin

Ozurdex

polycin b

Vexol

polymyxin b sulfate/trimethoprim sulfate

romycin

PROSTAGLANDINS


sulfacetamide sodium

GENERIC

tobramycin sulfate

latanoprostQL

trifluridine

PREFERRED

trimethoprim sulfate/polymyxin b sulfate

LumiganQL

Bacitracin

Travatan ZQL

Sulfacetamide Sodium

TravoprostQL

PREFERRED

NON PREFERRED

Besivance

ZioptanQL

Moxeza

Natacyn

CYCLOPLEGIC MYDRIATICS

Vigamox

GENERIC

atropine sulfate



atropine-care

ful-GLO

cyclopentolate HCL

green GLO lissamine greenophthalmic strips

homatropaire

ketorolac tromethamine

homatropine HBR

lissamine green

mydral

ocucoat viscoadherent

tropicamide

Ak-fluor

Atropine Sulfate

PREFERRED

Bepreve

DECONGESTANTS

BromdayQL

IlevroQL

GENERIC

NevanacQL

altafrin

Pataday

neofrin

Patanol

phenylephrine HCL

ProlensaQL

Naphazoline HCL

NON PREFERRED

Acuvail

MIOTICS

Alocril

GENERIC

Alomide

pilocarpine HCL

Azopt

PREFERRED

Emadine

Phospholine Iodide

Lastacaft

Pilopine HS

SPECIALTY

NON PREFERRED

CystaranQL,PA

Isopto Carbachol

Eylea

Jetrea

ADRENERGIC AGENTS

Lucentis

GENERIC

Macugen

apraclonidine

Visudyne

brimonidine tartrate

PREFERRED

OTIC AGENTS

Alphagan P

GENERIC

NON PREFERRED

acetasol HC

Iopidine

acetic acid

aero otic HC

IMMUNOMODULATORS

antipyrine/benzocaine

PREFERRED

aurax

RestasisQL,PA

aurodex

cortic-nd

LOCAL ANESTHETICS

cyotic

GENERIC

exotic-HC

altacaine

fluocinolone acetonide

parcaine

fluocinolone acetonide ear drops

proparacaine HCL

hydrocortisone/acetic acid

tetcaine

neomycin/polymyxin/hydrocortisone

tetracaine HCL

neomycin/polymyxin/HC

tetravisc

ofloxacin

tetravisc forte

otic care

oticin

OPHTHALMICS - MISC.

oto-end 10

GENERIC

otomax-HC

ak-fluor

pramoxine-HC

akorn balanced salt solution

Acetic Acid/Aluminum Acetate

altafluor

Antipyrine/Benzocaine

azelastine HCL

Ciprofloxacin

balanced salt

Myoxin

balanced salt solution

Otozin

bio GLO

PREFERRED

bromfenac

Ciprodex

bss

NON PREFERRED

cromolyn sodium

Cipro HC

diclofenac sodium

Coly-mycin S

dorzolamide HCL

Cortisporin-tc

epinastine HCL

flucaine

OXYTOCICS

fluor-i-strips a.t.

fluorescein-benoxinate

GENERIC

fluorescein/proparacaine

methylergonovine maleate

fluorets

oxytocin

flurbiprofen sodium

flurox



PAIN MANAGEMENT

gnp adult aspirin low strength

gnp aspirin

ANALGESICS - NONNARCOTIC

gnp aspirin low dose

GENERIC

goodsense aspirin low dose

ali-flex

kls aspirin low dose

biogesic

kls aspirin EC

butalbital/acetaminophen

kp aspirin

butalbital/acetaminophen/caffeine

meijer aspirin EC

butalbital/apap/caffeine

miniprin low dose

butalbital/aspirin/caffeine

norwich aspirin

capacet

px aspirin

choline magnesium trisalicylate

px enteric aspirin

clonidine HCL

qc aspirin

diflunisal

qc aspirin low dose

dologesic

qc childrens aspirin

dolorex

ra aspirin

duraxin

ra aspirin adult low dose

ed-flex

ra aspirin adult low strength

esgic

ra aspirin childrens

margesic

ra aspirin EC

marten-TAB

ra aspirin EC adult low strength

salsalate

ra childrens aspirin

tencon

sm aspirin

zebutal

sm aspirin adult low strength

zflex

sm aspirin enteric coated

Alpain

sm aspirin low dose

Butalbital/Aspirin/Caffeine

sm aspirin EC low strength

Choline Magnesium Trisalicylate

sm childrens aspirin

Esgic

st joseph aspirin

Rhinoflex-650

tgt aspirin

Tencon

tgt aspirin low dose

Zgesic

tgt childrens aspirin

PREVENTIVE

tgt enteric-coated aspirin

adult aspirin EC low strength

th aspirin

aspir-low

th aspirin low dose

aspir-81

th enteric aspirin

aspirin

CVS aspirin

aspirin adult low strength

CVS aspirin adult low dose

aspirin childrens

CVS aspirin adult low strength

aspirin enteric coated adult low strength

CVS aspirin child

aspirin low dose

CVS aspirin low dose

aspirin low strength

CVS aspirin low strength

aspirin EC

CVS aspirin EC

aspirin EC low dose

CVS childrens aspirin

aspirin EC LO-dose

CVS enteric aspirin

aspirin 81

EC-81 aspirin

aspirin 81 low dose

HM aspirin

aspirtab

HM aspirin EC

bayer advanced aspirin regular strength

HM aspirin EC low dose

bayer aspirin

MM aspirin

bayer aspirin regimen

SB aspirin

bayer aspirin EC low dose

SB aspirin EC

bayer chewable low dose

SB childrens aspirin

bayer low dose

SB low dose asa EC

childrens aspirin

PREVENTIVE

childrens aspirin low strength

Adult Aspirin Low Strength

ecotrin low strength

Aspirin Low Dose

ecpirin

Medi-seltzer

enteric coated aspirin

SPECIALTY

eq adult aspirin low strength

Prialt

eq aspirin

eq aspirin adult low dose

ANALGESICS - OPIOID

eq aspirin low dose

GENERIC

eq aspirin EC

acetaminophen/codeine

eq childrens aspirin

acetaminophen/codeine #2

eql adult aspirin low strength


eql aspirin


eql aspirin low dose

acetaminophen/codeine phosphate

eql aspirin EC

alfentanil

eql childrens aspirin



ascomp/codeine

Tramadol HCL ERQL

astramorph

Trezix

buprenorphine HCLQL,PA

PREFERRED

buprenorphine HCL/naloxone HCLQL,PA

ButransQL,PA

butalbital/acetaminophen/caffeine/codeine

LazandaQL,PA

butalbital/aspirin/caffeine/codeine

NucyntaQL

butorphanol tartrateQL

Nucynta ERQL

codeine sulfate

Opana ER (crush Resistant)QL

duramorph

Oxycodone HCL ERQL

endocet

OxycontinQL

endodan

SuboxoneQL,PA

fentanylQL

NON PREFERRED

fentanyl citrate

AbstralQL,PA

fentanyl citrate oral transmucosalQL,PA

ConzipQL

hydrocodone bitartrate/acetaminophen

Depodur

hydrocodone/acetaminophen

EmbedaQL

hydrocodone/ibuprofen

ExalgoQL

hydrogesic

FentoraQL,PA

hydromorphone HCL

Hydromorphone HCL ERQL

hydromorphone HCL ERQL

Infumorph 200

ibudone

Infumorph 500

lorcet

KadianQL

lorcet plus

Oxecta

lorcet HD

SubsysQL,PA

lortab

Talwin

meperidine HCL

meperitab

ANTI-INFLAMMATORY

methadone HCL

GENERIC

methadone HCL intensol

celecoxibQL,PA

methadose

diclofenac potassium

morphine sulfate

diclofenac sodium DR

morphine sulfate ERQL

diclofenac sodium ER

nalbuphine HCL

diclofenac sodium/misoprostol

oxycodone HCL

etodolac

oxycodone/acetaminophen

etodolac ER

oxycodone/aspirin

flurbiprofen

oxycodone/ibuprofen

ibuprofen

oxymorphone hydrochloride

indomethacin

oxymorphone hydrochloride ERQL

indomethacin sodium

pentazocine/acetaminophen

indomethacin ER

pentazocine/naloxone HCL

ketoprofen

reprexain

ketorolac tromethamineQL

roxicet

leflunomide

stagesic

mefenamic acid

sufentanil citrate

meloxicam

tramadol hydrochloride/acetaminophenQL

nabumetone

tramadol HCLQL

naproxen

tramadol HCL ERQL

naproxen sodium

verdrocet

naproxen DR

vicodin

oxaprozin

vicodin ES

piroxicam

vicodin HP

sulindac

xylon

tolmetin sodium

zamicet

Fenoprofen Calcium

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

Indomethacin

Aspirin-caffeine-dihydrocodeine

Ketoprofen ER

Codeine Sulfate

Ketorolac Tromethamine

CO-gesic

Meclofenamate Sodium

Hydrocodone Bitartrate/Acetaminophen

Meloxicam

Hydrocodone/Acetaminophen

Tolmetin Sodium

Hydromorphone HCL

PREFERRED

Hydromorphone HCL Dosette

Ridaura

Levorphanol Tartrate

NON PREFERRED

Meperidine HCL

Nalfon

Methadone HCL

Naprelan

Methadose

Rheumatrex

Methadose Sugar-free

SprixQL

Morphine Sulfate

VimovoQL

Morphine Sulfate Add-vantage

Oxycodone HCL



SPECIALTY

polocaine

ActemraPA

polocaine-mpf

ArcalystPA

ropivacaine

EnbrelPA

ropivacaine HCL

Enbrel SureclickPA

sensorcaine

HumiraPA

sensorcaine-mpf

Humira Pediatric Crohns Disease Starter PackPA

sensorcaine-mpf spinal

Humira PenPA

sensorcaine-mpf/epinephrine

Humira Pen-crohns DiseasestarterPA

sensorcaine/epinephrine

Humira Pen-psoriasis StarterPA

xylocaine dental

IlarisPA

BD Pudendal/Local Block Tray 1% Lidocaine

KineretPA

Lidocaine HCL/Dextrose

OrenciaPA

Mepivacaine HCL

SimponiPA

Tetracaine HCL

Simponi AriaPA

XeljanzPA

GENERAL ANESTHETICS

GENERIC

MIGRAINE PRODUCTS

compound 347

GENERIC

etomidate

dihydroergotamine mesylate

fresenius propoven

isometheptene mucate/caffeine/acetaminophen

isoflurane

isometheptene/dichloralphenazone/acetaminophen

ketamine HCL

migragesic ida

propofol

naratriptan HCLQL

sevoflurane

nodolor

sojourn

rizatriptan benzoateQL

terrell

rizatriptan benzoate odtQL

sumatriptan succinateQL

RESPIRATORY, ALLERGY, ETC

sumatriptan succinate refillQL

ANTIHISTAMINES

zolmitriptanQL

GENERIC

zolmitriptan odtQL

arbinoxa

Dihydroergotamine MesylateQL

bpm

Isometheptene/Caffeine/Acetaminophen

carbinoxamine maleate

Migralam

cetirizine HCL

SumatriptanQL

clemastine fumarate

Sumatriptan SuccinateQL

cyproheptadine HCL

PREFERRED

desloratadine

RelpaxQL

desloratadine odt

NON PREFERRED

diphenhydramine HCL

AlsumaQL,PA,ST

levocetirizine dihydrochloride

AxertQL,PA,ST

pharbedryl

Cafergot

phenadoz

Ergomar

phenergan

FrovaQL,PA,ST

promethazine HCL

Sumavel DoseproQL,PA,ST

promethazine HCL plain

TreximetQL,PA,ST

promethegan

ZomigQL,PA,ST

Brompheniramine Tannate

Zomig Nasal SprayQL,PA,ST

Clemastine Fumarate

Dexchlorpheniramine Maleate

GOUT AGENTS

Respa-BR

GENERIC

NON PREFERRED

allopurinol

Clarinex

probenecid

probenecid/colchicine

NASAL AGENTS

PREFERRED

GENERIC

Colchicine

azelastine HCLQL

Colcrys

budesonideQL,PA,ST

Uloric

flunisolideQL

SPECIALTY

fluticasone propionateQL

KrystexxaPA

ipratropium bromideQL

olopatadine HCLQL

LOCAL ANESTHETICS-INJ

triamcinolone acetonideQL

GENERIC

FlunisolideQL

bupivacaine spinal

PREFERRED

bupivacaine HCL

DymistaQL

bupivacaine/epinephrine

NasonexQL

chloroprocaine HCL

NON PREFERRED

lidocaine HCL

Bactroban Nasal

lidocaine/epinephrine

Beconase AQQL,PA,ST



OmnarisQL,PA,ST

montelukast sodium

QnaslQL,PA,ST

terbutaline sulfate

Qnasl ChildrensPA,ST

theochron

Tyzine

theophylline

Tyzine Pediatric Nasal Drops

theophylline CR

VeramystQL,PA,ST

theophylline ER

ZetonnaQL,PA,ST

theophylline/D5W

zafirlukastPA

COUGH/COLD/ALLERGY

Cromolyn Sodium

Metaproterenol Sulfate

GENERIC

Theophylline/D5W

acetylcysteine

PREFERRED

benzonatate

Arcapta NeohalerQL

biotuss

Asmanex HFAQL

biotuss pediatric

Asmanex Twisthaler 120 Metered DosesQL

bpm pseudo


bromfed DM

Asmanex Twisthaler 30 Me Tered DosesQL

bromphen/pseudoephedrine HCL/dextromethorphan HBR


giltuss pediatric


hydrocodone bitartrate/chlorpheniramine maleate/PSE


hydrocodone bitartrate/homatropine methylbromide

Atrovent HFAQL

hydrocodone polistirex/chlorpheniramine polistirex

Combivent

hydrocodone/homatropine

Combivent RespimatQL

hydromet

Daliresp

nebusal

DuleraQL

nortuss-DE

Foradil AerolizerQL

phenylephrine/guaifenesin

PerforomistQL

promethazine VC

Proair HFAQL

promethazine VC/codeine

PulmicortQL

promethazine-DM

Pulmicort FlexhalerQL

promethazine/codeine

QvarQL

promethazine/dextromethorphan

Serevent DiskusQL

pulmosal

Spiriva HandihalerQL

sodium chloride

Spiriva RespimatQL

tgq 7.5PEH/4BRM/15DM

SymbicortQL

tussafed EX

Tudorza PressairQL

tussigon

NON PREFERRED

Albatussin NN

Advair DiskusQL,PA,ST

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Advair HFAQL,PA,ST

Giltuss TR

AlvescoQL,PA,ST

Nortuss-EX

Breo ElliptaQL,PA,ST

Promethazine VC Plain

BrovanaQL

Promethazine VC/Codeine

Elixophyllin

Rescon-JR

Flovent DiskusQL,PA,ST

Tgq 15DM/5PEH/2CPM

Flovent HFAQL,PA,ST

Tgq 30PSE/150GFN/15DM

Lufyllin

Tgq 30PSE/3BRM/15DM

Maxair AutohalerQL

Tgq 50PSE/3BRM/30DM

Proventil HFAQL

Theo-24

PREFERRED

Ventolin HFAQL

Tussicaps

Xopenex HFAQL

NON PREFERRED

ZyfloPA

Clarinex-d 12 HOUR

Zyflo CRPA

Clarinex-d 24 HOUR

SPECIALTY

Rezira

XolairPA

ANTIASTHMATIC/COPD AGENTS

RESPIRATORY AGENTS - MISC

GENERIC

SPECIALTY

albuterol sulfate

Aralast NPPA

albuterol sulfate ER

GlassiaPA

albuterol TAB 4MG

KalydecoPA

aminophylline

Prolastin-cPA

budesonide

PulmozymePA

difil-G forte

ZemairaPA

epinephrine HCL

ipratropium bromideQL

TOXOIDS

ipratropium bromide/albuterol sulfateQL

levalbuterolQL

PREFERRED

levalbuterol HCLQL

Tetanus Toxoid Adsorbed



PREVENTIVE

Influenza A (h1n1) Monovalent 2009

Adacel

Ipol Inactivated IPV

Boostrix

M-m-r II W/Diluent 10 Dose

Daptacel

Medical Provider EZ Flu Shot PF 2012-2013

Diphtheria/Tetanus Toxoids Adsorbed Pediatric


Infanrix


Kinrix

Medical Provider EZ Flu Shot 2013-2014

Pediarix


Pentacel

Menactra

Tenivac

Menhibrix

Tetanus/Diphtheria Toxoids-adsorbed Adult

Menomune-a/C/Y/W-135

Menveo

VACCINES

Pedvax HIB

Physicians EZ Use Flu Kit 2012-2013

Pneumovax 23

GENERIC

Pneumovax 23/1 Dose

Bcg Vaccine

Pneumovax 23/5 Dose

PREFERRED

Prevnar 13

Biothrax

Proquad

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

Recombivax HB

Ixiaro

Rotarix

Rabavert

Rotateq

Typhim VI

Trumenba

Vivotif Berna

Twinrix

Yf-vax

Vaqta

PREVENTIVE

Varivax

Acthib

Zostavax

Afluria PF 2012-2013


VITAMINS


Afluria 2012-2013

VITAMINS

Afluria 2013-2014

GENERIC

Afluria 2014-2015

ascorbic acid

Bexsero

decara

Cervarix

ergocalciferol

Comvax

mega-c/a plus

Engerix-b

ortho-CS 250

Fluarix Quadrivalent 2013-2014

phytonadione


thiamine HCL

Fluarix 2013-2014

vitamin c 222MG

Fluarix 2014-2015

vitamin d

Flublok 2013-2014

vitamin k1

Flublok 2014-2015

Aminobenzoate Potassium

Flucelvax 2013-2014

Pyridoxine HCL

Flucelvax 2014-2015

Vitamin K1

Flulaval Quadrivalent 2013-2014

Wheat Germ


PREVENTIVE

Flulaval 2013-2014

aqueous vitamin d infants

Flulaval 2014-2015

bio-d-mulsion

Flumist Nasal Vaccine 2012-2013

bio-d-mulsion forte

Flumist Quadrivalent

bprotected pedia d-vite

Fluvirin PF 2013-2014

d 1000


d 10000

Fluvirin 2013-2014

d 2000

Fluvirin 2014-2015

d 400

Fluzone High-dose PF 2013-2014

d 5000


d-vita

Fluzone Intradermal

d-1000

Fluzone Intradermal Quadrivalent

d-1000 extra strength

Fluzone Pediatric PF 2013-2014

d-2000 maximum strength

Fluzone PF 2013-2014

d-3-5


d-400

Fluzone Quadrivalent 2013-2014

d-5000



Fluzone Split 2013-2014

delta d3


dialyvite vitamin d 5000

Gardasil

d2000 ultra strength

Gardasil 9

d3

Havrix

d3 adult

Hiberix

d3 high potency



d3 kids

Wellesse Vitamin D3

d3 maximum strength

d3 super strength

MULTIVITAMINS

d3 ultra strength

GENERIC

d3-1000

b-complex

d3-50

b-complex 100

eql childrens vitamin d gummies

b-plex

eql vitamin d-3

b-plex plus

eql vitamin d3

biocel

gnp vitamin d

choice-TABS

gnp vitamin d maximum strength

corvita

gnp vitamin d super strength

corvite free

gnp vitamin d3 extra strength

dialyvite

healthy kids vitamin d3

folbee plus

just d

folbee plus cz

kp vitamin d

infuvite

maximum d3

infuvite adult

nat-rul vitamin d

infuvite pediatric

optimal-d

lysiplex plus

optimal-d pack

mult-vitamin/fluoride

opurity vitamin d

multi vitamin/fluoride

pronutrients vitamin d3

multi-vit/fluoride

ra vitamin d-3

multi-vit/iron/fluoride

sm vitamin d

multi-vitamin/fluoride

sm vitamin d3

multi-vitamin/fluoride/iron

th vitamin d3

multivitamin with fluoride

thera-d rapid repletion

multivitamin/fluoride

thera-d sport

multivitamins/fluoride

thera-d 2000

mynephrocaps

vitamin d high potency

nephronex

vitamin d 400

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

vitamin d-1000

nutrifac ZX

vitamin d-1000 maximum strength

rena-vite RX

vitamin d-3

renal

vitamin d-400

renalpren

vitamin d3

reno CAPS

vitamin d3 adult gummies

strovite plus

vitamin d3 high potency

tri-vit/fluoride

vitamin d3 maximum strength

tri-vitamin/fluoride

vitamin d3 super strength

triphrocaps

CVS childrens vitamin d for bone health

triple-vitamin/fluoride

CVS vitamin d

urosex

CVS vitamin d infants

v-c forte

CVS vitamin d 5000 high-potency

vic-forte

CVS vitamin d3

virt-vite plus

HM vitamin d

virt-CAPS

HM vitamin d3

vita s forte

PA vitamin d-3

vita-min

PA vitamin d-3 gummy

vitacel

PREFERRED

vitamax pediatric

Mephyton

vitamin b-complex 100

NON PREFERRED

vitamins a/c/d/fluoride

Potaba

vol-care RX

PREVENTIVE

Bp Folinatal Plus B

CVS Vitamin D3

Bp Multinatal Plus

Ddrops

Cavan-EC Sod DHA

Dialyvite Vitamin D3 Max

Cod Liver Oil

D3

Complete Natal DHA

D3 Dots

Completenate

HM Vitamin D3

CO-natal Fa

Replesta

Elite-OB

Replesta Childrens

Escavite LQ

Replesta Nx

Folbecal

Sm Vitamin D3 Maximum Strength

Inatal Advance

Super Daily D3

Inatal GT

Thera-d 4000

Inatal Ultra

Vitamelts Vitamin D

M-vit

Vitamin D

Macnatal CN DHA

Vitamin D3

Mynatal Advance

Vitamin D3 400



Mynatal Plus

M.v.i. Adult

Mynatal Ultracaplet

M.v.i. Pediatric

Mynatal-z

M.v.i.-12 Without Vitamin K

Mynate 90 Plus

Neevo DHA

MVC-fluoride

Nicadan

Neurodep

Nicazel

Obstetrix EC

Nicazel Forte

OB-natal One

Nutricap

Pr Natal 400

Prefera OB

Pr Natal 400 EC

Prefera OB + DHA

Pr Natal 430

Preferaob One

Pr Natal 430 EC

Req 49+

Prenaissance Plus

Siderol

Prenaplus

Strovite One

Prenatabs Fa

Tri-zel

Prenatabs RX

Vinate DHA RF

Prenatal Ad

PREVENTIVE

Prenatal Low Iron

Atabex Prenatal

Prenatal Plus

Brainstrong Prenatal

Prenatal Plus Iron

Centrum Specialist Prenatal

Prenatal 19

CVS Prenatal

Prenatal-u

CVS Prenatal Gummy/DHA/Folic Acid

PNV-select

CVS Prenatal Multi+dha

PNV-DHA

Enfamil Expecta

Quflora Pediatric

Gnp Daily Prenatal

Se-natal 19

Gnp Prenatal

Se-tan DHA

Goodsense Prenatal Vitamins

Seton Et-EC

Healthy Mama Be Well Rounded

Setonet

HM One Daily Prenatal Combo

Strovite Forte

HM Prenatal

Taron-prex

Kp Prenatal Multivitamins

Tri-vit/Fluoride/Iron

Mission Prenatal

Triadvance

Nat-rul Prenatal Vitamins

Tricare

One A Day Womens Prenatal/DHA

Trinatal RX 1

One-a-day Womens Prenatal

Trinate

Prenatal Complete

Ultimatecare One

Prenatal Multi +dha

Ultimatecare One NF

Prenatal Multivitamin + DHA

Ultra TABS

Prenatal One Daily

Vinate C

Prenatal Plus DHA

Vinate Care

Prenatal/Omega-3/Folic Acid/Iron

Vinate GT

PA Prenatal Formula

Vinate IC

Qc Prenatal

Vinate II

Ra One Daily

Vinate M

Ra Prenatal Formula/Folicacid

Vinate One

Right Step Prenatal

Vinate Pn Care

Similac Prenatal Early Shield

Vinate Ultra

Sm One Daily Prenatal

Vitafol-OB

Stuart One

Vp-zel

Stuart Prenatal

PREVENTIVE

Stuart Prenatal + DHA

sm prenatal vitamins

Th Prenatal Vitamins

Classic Prenatal

Your Life Multi Prenatal

Eql Prenatal Formula

Gnp Prenatal Vitamins

MEDICAL DEVICES

Mission Prenatal HP

DIABETIC SUPPLIES

Multi Prenatal

PREFERRED

Perry Prenatal

Accu-chek Fastclix LancetsQL

Pre-natal Formula

Accu-chek Multiclix LancetsQL

Prenatal

Accu-chek Safe-t-pro LancetsQL

Prenatal And Iron

Accu-chek Safe-t-pro PluslancetsQL

Prenatal Formula

Accu-chek Soft Touch LancetsQL

Prenatal Forte

Accu-chek Softclix LancetsQL

Prenatal Vitamins

Acti-lance Lancets 28GQL

Px Prenatal Multivitamins

Acti-lance Lite Safety Lancets 28GQL

Ra Prenatal

Acti-lance Special Safety Lancets 17GQL

Sm Prenatal Vitamins

Acti-lance Special Safetylancets 17GQL

NON PREFERRED

Acti-lance Universal Safety Lancets 23GQL

AP-zel

Advocate LancetsQL

Bacmin



Advocate Safety LancetsQL

BD Pen Needle/Ultrafine/29G X 12.7MMQL

Agamatrix Ultra-thin Lancets 33GQL

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

Amigo Insulin P.M.

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

Animas Vibe Insulin P.M.

Careone Lancet ThinQL

Animas Vibe Insulin P.M./Black

Careone Lancet Ultra ThinQL

Animas Vibe Insulin P.M./Blue

Cartridge IR 1000 3ML

Animas Vibe Insulin P.M./Limelight Green

Cartridge IR 1200

Animas Vibe Insulin P.M./Pink Glow

Cartridge P.M.

Assure Comfort Lancets Ultra Thin 28GQL

Cleanlet Lancets 28GQL

Assure Comfort Lancets Ultra Thin 30GQL

Clever Chek Lancets UltrathinQL

Assure Haemolance Plus High Flow 18GQL

Clever Chek Lancets Ultrathin 30GQL

Assure Haemolance Plus Low Flow 25GQL

Coaguchek LancetsQL

Assure Haemolance Plus Micro Flow 28GQL

Comfort Assured Lancets Micro Thin 33GQL

Assure Haemolance Plus Normal Flow 21GQL

Comfort Assured Lancets Super Thin 28GQL

Assure Haemolance Plus Pediatric BladeQL

Comfort Infusion Set 23"/17MM

Assure Lance LancetsQL


Assure LancetsQL


Aurora Lancet Super Thin 30GQL

Comfort LancetsQL

Aurora Lancet Thin 23GQL

Comfort SHORT Infusion Set 23"/13MM

AF Lancets Super ThinQL


AT Last LancetsQL


Bayer Microlet LancetsQL

Contact Detach Infusion Set 23" 6MM/29G

Bullseye Mini Safety LancetsQL


Bullseye Safety LancetsQL


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


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

CVS Lancets Micro Thin 33GQL

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

CVS Lancets OriginalQL

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

CVS Lancets Thin 26GQL

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

CVS Lancets Ultra Thin 30GQL

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

CVS Lancets 21GQL

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

CVS Ultra Thin LancetsQL

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

Diastar Easy Test II Lancets 30GQL

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

Diastar Easy Test Lancets30GQL

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

Droplet Lancets Ultra Thin 30GQL

Drug Mart Lancets ThinQL

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

Drug Mart Lancets Ultra ThinQL

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

Drug Mart On-the-go Lancets Gentle 30GQL

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

Drug Mart Unilet Lancets Super Thin 30GQL

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

Drug Mart Unilet Lancets Ultra Thin 28GQL

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

Duane Reade Lancet Alternate Site 26GQL

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

Duane Reade Lancet Super Thin 30GQL

Duane Reade Lancet Ultra Thin 28GQL

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

E-z Ject LancetsQL

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

E-z Ject Lancets ColorQL

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

E-z Ject Lancets Super ThinQL

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

E-z Ject Lancets Super Thin 30GQL

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

E-z Ject Lancets Thin 26GQL

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

E-z Ject Lancets 21GQL


E-ZJECT Lancets Micro-thin 33GQL


Easy Comfort LancetsQL


Easy Comfort Lancets 30G/Pull TopQL

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

Easy Comfort Lancets 30G/Thin TopQL

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

Easy Touch Lancets 21G/Pressure ActivatedQL

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



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


Easy Touch Lancets 28G/TwistQL

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


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


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




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



Easy Touch Safety Lancets21G/Pressure ActivatedQL

BD Lancet Ultrafine 30GQL


BD Lancet Ultrafine 33GQL

Easy Touch Safety Lancets26G/Button ActivatedQL

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


Easy Touch Safety Lancets28G/Button ActivatedQL

BD Microtainer LancetsQL


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

Easy Twist & CAP LancetsQL

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

Easytest II LancetsQL

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



Easytest LancetsQL

Insulin P.M. IR2020 Blue

Embrace Lancets Ultra Thin 30GQL

Insulin P.M. IR2020 Green

Eql Color Lancets Micro Thin 33GQL

Insulin P.M. IR2020 Red

Eql Color Lancets 21GQL

Insulin P.M. IR2020 Silver

Eql Super Thin Lancets 30GQL

Kinney LancetsQL

Eql Thin Lancets 26GQL

Kinney Thin LancetsQL

EZ Smart Blood Glucose LancetsQL

Kroger LancetsQL

EZ-lets Lancets 21GQL

Kroger Lancets Micro Thin33GQL


Kroger Lancets Super ThinQL

EZ-lets Lancets 26G Super-softQL

Kroger Lancets ThinQL

EZ-lets Lancets 28G Ultra-softQL

Kroger Lancets Thin 26GQL


Kroger Lancets Ultrathin 30GQL

Fasttake Compact Monitoring SystemQL

Kroger Lancets 21GQL

Fasttake Test StripsQL

LancetsQL

Fifty50 Safety Seal Lancets 30GQL

Lancets Bullseye SafetyQL

Fifty50 Safety Seal Lancets 32GQL

Lancets Micro Thin 33GQL

Fine 30QL

Lancets Safety Seal 21GQL

Fingerstix LancetsQL


Fora LancetsQL


Freds Pharmacy Unilet Lancets Super Thin 30GQL


Freds Pharmacy Unilet Lancets Ultra Thin 28GQL

Lancets Super Thin 28GQL

Freestyle LancetsQL

Lancets ThinQL

Freestyle Unistick II LancetsQL

Lancets Twist TopQL

Gentle-let GP LancetsQL

Lancets Ultra FineQL

Gentle-let Lancets General Purpose Style/Fine PointQL

Lancets Ultra ThinQL

Gentle-let Lancets General Purpose Style/Medium PointQL

Lancets Ultra Thin 30GQL

Gentle-let Lancets Safety Style/Fine PointQL

Lancets 26G Twist TopQL

Gentle-let Lancets Safety Style/Medium PointQL

Lancets 28GQL

Global Inject Ease Lancets 28GQL

Lancets 30GQL

Global Inject Ease Lancets 30GQL


Glucocom Lancets 28GQL



Leader Lancets ColoredQL


Leader Super Thin LancetQL

Glucopro Syringe Reservoir/3ML/Needle/22G X 3/8"

Leader Thin LancetsQL

Glucose Control Normal

Liberty Blood Glucose MeterQL

Glucose Control Solution

Liberty Glucose Control Mid

Glucosource LancetsQL

Liberty Glucose Control Normal

Gmate Lancets 30GQL

Liberty Test StripsQL

Gnp LancetsQL

Lifescan Unistik II LancetsQL

Gnp Lancets Micro Thin 33GQL

Lifescan Unistik 2 Deep PenetrationQL

Gnp Lancets Super Thin 30GQL

Lite Touch LancetsQL

Gnp Lancets ThinQL

Litetouch Lancets Micro Thin 33GQL

Gnp Lancets Thin 26GQL

Live Better Lancet Super Thin 30GQL

Gnp Lancets 21GQL

Live Better Lancet Ultra Thin 28GQL

Gnp Micro Thin Lancets 33GQL

Longs Lancets StandardQL

Gnp Super Thin Lancets/30GQL

Longs Lancets ThinQL

H&h Thinlet Lancets 26GQL

Longs Lancets Ultra ThinQL

H&h Thinlet Super Thin Lancets 30GQL

Medichoice Pre-set Safety Lancet Dual UseQL

H-e-b Incontrol Lancets Super Thin 30GQL

Medichoice Pre-set Safety Lancet Low FlowQL

H-e-b Incontrol Lancets Ultra Thin 28GQL

Medichoice Pre-set Safety Lancet Medium FlowQL

HaemolanceQL

Medichoice Pre-set Safety Lancet Moderate FlowQL

Haemolance Low Flow LancetsQL

Medichoice Safety Lancet ExtraQL

Haemolance PlusQL

Medichoice Safety Lancet NormalQL

Haemolance Plus High FlowQL

Medicine Shoppe LancetsQL

Haemolance Plus Low FlowQL

Medicine Shoppe Lancets ThinQL

Haemolance Plus Max FlowQL

Medisense Thin LancetsQL

Haemolance Plus Pediatric FlowQL

Medlance Plus Extra Lancets 21GQL

Healthwise Lancets 30GQL

Medlance Plus LancetsQL

Healthy Accents Unilet Lancets Super Thin 30GQL

Medlance Plus Lancets Lite 25GQL

Hy-vee LancetsQL

Medlance Plus Lite Lancets 25GQL

Hy-vee Thin LancetsQL

Medlance Plus Special Lancets 0.8MMQL

HM Lancets Micro Thin 33GQL

Medlance Plus Superlite 30GQL

HM Lancets Ultra Thin 30GQL

Medlance Plus Superlite 30G/Comfort MaxQL

Inset Infusion Set 23" 6MM

Medlance Plus Universal Lancets 21GQL


Medlance Plus/Lite 25GQL


Medlance/ExtraQL


Medlance/LiteQL

Inset 30 Infusion Set 23"

Medlance/UniversalQL

Inset 30 Infusion Set 43"

Meijer Color Lancets Universal 33GQL

Insulin P.M. IR2020 Black

Meijer LancetsQL



Meijer Lancets ThinQL

Pss Select Safety LancetsQL

Meijer Lancets Universal 33GQL

Px LancetsQL

Meijer Super Thin LancetsQL

Px Lancets Ultra ThinQL

Microlet LancetsQL

Qc LancetsQL

Microtainer Safety Flow Lancet/Sterile/Single-useQL

Qc Lancets Super ThinQL

Monolet LancetsQL

Qc Lancets ThinQL

Monolet Opd LancetsQL

Qc Lancets Ultra ThinQL

Monolettor Safety LancetsQL

Ra E-ZJECT Color Lancets Micro-thin 33GQL

Myglucohealth Mgh Softlance Lancets 30GQL

Ra E-ZJECT Lancets Thin 26GQL

Netgroup LancetsQL

Ra E-ZJECT Lancets Thin 28GQL

Nova Safety Lancets 23GQL

Ra E-ZJECT Lancets Ultra Thin 30GQL

Nova Safety Lancets 28GQL

Ra E-ZJECT Lancets 28GQL

Nova Sureflex LancetsQL

Reality LancetsQL

Novofine Autocover 30GX8MMQL

Reality Trigger LancetsQL

Novofine 30GX8MMQL

Relion LancetsQL

Novofine 32GX6MMQL

Relion Lancets Micro-thin33GQL

Novotwist 30GX8MMQL

Relion Lancets Standard 21GQL

Novotwist 32GX5MMQL

Relion Lancets Thin 26GQL

On Call LancetsQL

Relion Lancets Ultra-thin30GQL

On Call Plus LancetsQL

Relion Thin LancetsQL

Onetouch Basic SystemQL

Relion Ultra Thin LancetsQL

Onetouch Basic/Profile Test StripsQL

Relion Ultra Thin Lancets30GQL

Onetouch Club Lancets Fine PointQL

Relion Ultra Thin Plus Lancets 32GQL

Onetouch Combo PackQL

Relion Ultra Thin Plus Lancets 33GQL

Onetouch Delica Lancets Extra Fine 33GQL

Renew Advanced Lancing Cartridge RefillsQL

Onetouch Delica Lancets Fine 30GQL

Rexall Lancets Ultra ThinQL

Onetouch Finepoint LancetsQL

Rightest Gl300 LancetsQL

Onetouch LancetsQL

Safe-t-lance Low Flow 25GQL

Onetouch Ping Insulin P.M.

Safe-t-lance Normal Flow 21GQL

Onetouch Ping Meter Remote

Safe-t-lance Plus Safety Lancet High FlowQL

Onetouch Profile SystemQL

Safe-t-lance Plus Safety Lancet Low FlowQL

Onetouch Ultra BlueQL

Safe-t-lance Plus Safety Lancet Normal FlowQL

Onetouch Ultra Control

Safety Lancet 2MMQL

Onetouch Ultra MiniQL

Safety Lancet 21G/Pressure ActivatedQL

Onetouch Ultra System KitQL

Safety Lancet 28G/Pressure ActivatedQL

Onetouch Ultra 2QL

Safety LancetsQL

Onetouch Ultralink System (hex)QL

Safety Lancets 21GQL

Onetouch Ultralink System (DEC)QL

Safety Lancets 28GQL

Onetouch UltrasmartQL

Safety Let LancetsQL

Onetouch Ultrasoft LancetsQL

Safety Seal Lancets 28GQL

Onetouch VerioQL

Safety Seal Lancets 30GQL

Onetouch Verio Control Solution High

Sapscare Twist Top Lancets 30GQL

Onetouch Verio IQ Blood Glucose Monitoring SystemQL

Shopko On-the-go Comfort Lancets 30GQL

Onetouch Verio Mid Control Solution

Shopko Unilet Lancets Super Thin 30GQL

Onetouch Verio Sync Bloodglucose Monitoring SystemQL

Shopko Unilet Lancets Ultra Thin 28GQL

Onetouch Verio Test StripsQL

Single-letQL

Pen Needles 29G X 12MMQL

Sm Lancets 21GQL

Pen Needles 29GX1/2"QL

Sm Micro Thin Lancets 33GQL


Sm Super Thin LancetsQL

Pen Needles 31G X 1/4" SHORTQL

Sm Super Thin Lancets 30GQL

Pen Needles 31G X 3/16"QL

Sm Thin Lancets 26GQL

Pen Needles 31G X 6MMQL

Smart Diabetes Vantage Universal Lancets 30GQL


Smart Sense Color Lancets Universal 33GQL

Perfect Lancets 30GQL

Smart Sense Standard Lancets Universal 21GQL

Perfect Pressure Activated Safety Lancets 28GQL

Smart Sense Super Thin Lancets Universal 30GQL

Pharmacist Choice Ultra Thin LancetsQL

Smart Sense Thin Lancets Universal 26GQL

Pharmacist Choice Ultra Thin Lancets 28GQL

Smartest Lancets 28GQL


Solus V2 Pressure Activated Safety Lancets 28GQL


Solus V2 Twist Lancets 30GQL


Sterilance TLQL

Pharmacy Counter LancetsQL

Super Thin LancetsQL

Precision Thin LancetsQL

Sure Comfort Lancets 28GQL

Precision Thins GP LancetQL

Sure Comfort Lancets 30GQL

Precision Ultra LancetQL

Sure-lance Flat LancetsQL

Preferred Plus Lancets Colored 21GQL

Sure-lance Lancets 26GQL

Preferred Plus Lancets Super Thin 30GQL

Sure-lance Thin Lancets 28GQL

Preferred Plus Lancets Thin 26GQL

Sure-lance Ultra Thin LancetsQL

Prodigy Pressure Activated Safety LancetsQL

Sure-touch Lancets UniversalQL

Prodigy Twist Top LancetsQL

Surelite LancetsQL

Pss Select GP LancetsQL

Surestep Glucose Control



Surestep Glucose Control Solution

Walgreens Comfort Assuredlancets Super Thin/28GQL

Surestep Pro High Glucosecontrol

Walgreens LancetsQL

Surestep Pro Low Glucose Control

Walgreens Thin LancetsQL

Surestep Pro Normal Glucose Control

Walgreens Ultra Thin LancetsQL

Surestep Pro Test StripsQL

1ST Choice Lancets Super ThinQL

Surestep Test StripsQL

1ST Choice Lancets ThinQL

SB Lancets ThinQL

1ST Choice Lancets Ultra ThinQL

SB Lancets Ultra ThinQL

1ST Tier Unilet Comfortouch Lancets 28GQL

Techlite AST LancetsQL

1ST Tier Unilet Comfortouch Lancets 30GQL

Techlite LancetsQL

NON PREFERRED

Techlite Lancets 30GQL

Accu-chek Active Glucose Control Solution

Tgt Lancet Alternate SiteQL

Accu-chek Active StripsQL

Tgt Lancet Micro Thin 33GQL

Accu-chek AvivaQL

Tgt Lancet Super Thin 30GQL

Accu-chek Aviva PlusQL

Tgt Lancet Thin 23GQL

Accu-chek Combo

Tgt Lancet Thin 26GQL

Accu-chek Comfort Curve Control Solution (2 Levels)

Tgt Lancet Ultra Thin 28GQL

Accu-chek Comfort Curve Linearity Solution

Tgt Lancet Ultra Thin 30GQL

Accu-chek Comfort Curve Test StripsQL

Thinlets GP LancetsQL

Accu-chek Compact Blue Control Solution (2 Levels)

Thinlets LancetQL

Accu-chek Compact PlusQL

Todays Health Super Thin Lancets 30GQL

Accu-chek Compact Plus Care KitQL

Todays Health Ultra Thin Lancets 28GQL

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

Travel Lancets 30GQL

Accu-chek Compact Test DrumQL

Trueplus Lancets 26GQL

Accu-chek Fastclix Lancetdevice Kit


Accu-chek Instant Glucosecontrol Solution (2 Levels)

Trueplus Lancets 28G Super ThinQL

Accu-chek Multiclix Lanc Et Device Kit


Accu-chek Nano SmartviewQL

Trueplus Lancets 30G Ultra ThinQL

Accu-chek Rapid-d Infusion Set/24"/10MM



Trueplus Lancets 33G Micro ThinQL


Trueplus Safety Lancets 28GQL


Ulticare Thin Lancets 30GQL


Ultilet Basic Lancets 30GQL


Ultilet Classic LancetsQL


Ultilet LancetsQL


Ultilet Lancets 33GQL


Ultilet Safety Lancets 23GQL

Accu-chek Smartview Control

Ultra Thin Lancets 28GQL

Accu-chek Smartview StripsQL

Ultra Thin Lancets 30GQL

Accu-chek Softclix Lancetdevice Kit

Ultra-thin II Auto LancetQL

Accu-chek Spirit Adapter Kit

Ultra-thin II Lancets 28GQL

Accu-chek Spirit Battery Kit

Ultra-thin II Lancets 30GQL

Accu-chek Spirit Insulin P.M. Kit

Ultra-thin II Safety Autolancets 26GQL

Accu-chek Tender II Infusion Set/24"/13MM

Unilet Comfortouch LancetQL


Unilet ExceliteQL


Unilet Excelite IIQL


Unilet G.p. LancetQL


Unilet G.p. Superlite LancetQL

Accu-chek VoicemateQL

Unilet GP 28 Ultra ThinQL

Liberty Mini Lancing Device

Unilet LancetQL

Onetouch Delica Lancing Device

Unilet Superlite LancetQL

Onetouch Suresoft Lancing Device/18G

Unistik 3 GentleQL


Universal 1 Lancets Thin 26GQL


Universal 1 Lancets Ultra Thin 30GQL

Prodigy Autocode Blood Glucose Monitoring SystemQL

V-go 20

Prodigy Autocode Blood Glucose Monitoring/TalkingQL

V-go 30

Prodigy NO Coding Blood Glucose Test StripsQL

V-go 40

Prodigy Pocket Blood Glucose Meter KitQL

Value Plus Lancets Standard 21GQL

Prodigy Voice Blood Glucose Meter KitQL

Value Plus Lancets Super Thin 30GQL

Value Plus Lancets Thin 26GQL

MEDICAL DEVICES - MISC

Valumark Lancet Super Thin 30GQL

PREFERRED

Valumark Lancet Ultra Thin 28GQL

Aerochamber Mini Aerosol ChamberQL

Vida Mia Unilet Lancets Super Thin 30GQL

Aerochamber MVQL

Vida Mia Unilet Lancets Ultra Thin 28GQL

Aerochamber Plus Flow VUQL

Vitalet Pro LancetsQL

Aerochamber Plus Flow-VUQL

Vitalet Pro Plus LancetsQL

Aerochamber Plus Flow-VU/Large MaskQL

W&f Lancets Colored 21GQL

Aerochamber Plus Flow-VU/MaskQL

W&f Lancets 26GQL

Aerochamber Plus Flow-VU/Medium MaskQL

Walgreens Advanced Travellancets 28GQL

Aerochamber Plus Flow-VU/Small MaskQL

Walgreens Comfort Assuredlancets Micro Thin/33GQL



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

Panda Mask Small

Pediatric Panda Mask

Aerochamber Z-stat Plus/FlowsignalQL

Pharmacist Choice Alcoholprep Pads

Aerochamber Z-stat Plus/Large MaskQL

Pocket ChamberQL

Aerochamber Z-stat Plus/Medium MaskQL

Pocket SpacerQL

Aerochamber Z-stat Plus/Small MaskQL

Qc Alcohol Swabs

Aerochamber/FlowsignalQL

Ra Alcohol Swabs

Alcoh-glove Contoured Wipe

Reality Swabs

Alcoh-wipe 12" X 12"

Relion Alcohol Swabs

Alcohol Pads

RitefloQL

Alcohol Prep Pads

Saps Care Alcohol Prep Pads

Alcohol Swabs

Shopko Alcohol Swabs

Alcohol Wipes

Sm Alcohol Prep Pads

Arial ChamberQL

Sure Comfort Alcohol Prep Pads

BreatheriteQL

Sure-prep Alcohol Prep Pads

Breatherite Collapsible Adult Spacer W/MaskQL

SB Alcohol Prep Pads

Breatherite Collapsible Child Spacer W/MaskQL

Tgt Alcohol Swabs

Breatherite Collapsible Infant Spacer W/MaskQL

Ultilet Alcohol Swab

Breatherite Collapsible Small Child Spacer W/MaskQL

Ultilet Alcohol Swabs

Breatherite Collapsible Spacer W/ Neonate MaskQL

Valved Holding ChamberQL

Breatherite Rigid Spacer W/MaskQL

Vortex Valved Holding ChamberQL

Breatherite W/Large MaskQL

WatchhalerQL

Breatherite W/Medium MaskQL

Webcol Alcohol Prep Large 1 Ply

Breatherite W/Small MaskQL

Webcol Alcohol Prep Large 2 Ply

BD Swabs Single Use

Webcol Alcohol Prep Medium 2 Ply

BD Swabs Single Use Butterfly

Curity Alcohol Preps/Medium 2 Ply

MISCELLANEOUS

Curity Alcohol Swabs

CVS Alcohol Prep Swabs

GENERIC

CVS Alcohol Swabs

acetylcysteine

Detachable Face Mask

adenosine

E-z SpacerQL

alprostadil

E-z Spacer The Body Guards PackQL

amino acids

EasiventQL

aminosyn II 8.5%/electrolytes

Easivent/Mask-largeQL

aminosyn 8.5%/electrolytes

Easivent/Mask-mediumQL

aminosyn-hf

Easivent/Mask-smallQL

argyle sterile water 100ML

Easy Touch Alcohol Prep Pads/Medium

calcium chloride

Fifty50 Alcohol Prep Pads

calcium gluconate

Global Alcohol Prep Ease Pads

chloromag

Gnp Alcohol Swabs

chromium chloride

Healthwise Alcohol Prep Pads

clinisol SF 15%

Inspirachamber/Anti-static Valved/MouthpieceQL

cosyntropin

Inspirachamber/Soothermask/Inspiramask/MediumQL

cysteine HCL

Inspirachamber/Soothermask/Inspiramask/SmallQL

deferoxamine mesylate

Inspirease Bags

dehydrated alcohol

Inspirease Drug Delivery SystemQL

delflex-lm/1.5% dextrose

Inspirease Mouthpiece

delflex-LC/1.5% dextrose

Inspirease Reservoir Bags

dextrose 10%

LiteaireQL

dextrose 10% flex container

Mask Vortex/Baby Whirl Duckling

dextrose 2.5%/sodium chloride 0.45%

Mask Vortex/Child/Frog

dextrose 2.5%/NACL 0.45%

Mask Vortex/Spinner The Duck

dextrose 30%

Mask Vortex/Toddler/Lady Bug

dextrose 30% partial fill

Meijer Alcohol Swabs Extra-thick

dextrose 5%

MicrochamberQL

dextrose 5% viaflex

MicrospacerQL

dextrose 5%/lactated ringers

Nessi Spacer/Large MaskQL

dextrose 5%/potassium chloride 0.15%

Nessi Spacer/MouthpieceQL

dextrose 5%/ringers

Nessi Spacer/Small/MED MaskQL

dextrose 5%/sodium chloride 0.2%

Optichamber AdvantageQL


Optichamber DiamondQL


Optichamber Diamond/Largeface MaskQL


Optichamber Diamond/Medium Face MaskQL

dextrose 5%/NACL 0.2%

Optichamber Diamond/Smallface MaskQL


Optichamber Valved Holding Chamber


Optichamber/Mask


OptihalerQL

dextrose 50%

Optihaler MDI Drug Delivery SystemQL

dextrose 70%

Panda Mask Large

Panda Mask Medium



dipyridamole

potassium chloride 0.15%/D5W

effer-k

potassium chloride 0.22% D5W/NACL 0.45%

effervescent pot chloride

potassium chloride 0.224%/D5W/NACL 0.45%

effervescent potassium

potassium chloride 0.224%D5W/NACL 0.45% viaflex

effervescent potassium/chloride

potassium chloride 0.3%/D5W

flumazenil

potassium chloride 0.3%/NACL 0.9%/viaflex

folastin

potassium phosphate

folbic

potassium phosphates

fomepizole

premasol

formadon

ringers injection

formaldehyde

ringers irrigation

hepatamine

saline flush

hepatasol

saline flush zr/sterile field

indigo carmine

scleromate sodium morrhuate

indocyanine green

sodium acetate

intralipid

sodium bicarbonate

isolyte-m/dextrose 5%

sodium bicarbonate partial fill

isosulfan blue

sodium chloride

k-effervescent

sodium chloride bacteriostatic

k-prime

sodium chloride flush

k-sol

sodium chloride pab

k-vescent

sodium chloride 0.45%

kendall sodium chloride flush

sodium chloride 0.45% viaflex

kionex

sodium phosphate

klor-CON

sodium polystyrene sulfonate

klor-CON m10

sodium thiosulfate

klor-CON m20

sterile diluent for epoprostenol sodium

klor-CON 10

sterile water for injection

klor-CON 8

sterile water irrigation

klor-CON/EF

sterile water irrigation plastic bottle

l-cysteine HCL

sterile water irrigation w/hanger

lactated ringers

swabflush saline flush

lactated ringers dextrose 5% viaflex

tis-u-sol

lactated ringers irrigation

tpn electrolytes

lactated ringers viaflex

virt-phos 250 neutral

lanolin

virt-vite forte

liposyn iii

vp-precip

magnesium chloride

zinc sulfate

magnesium sulfate

Ammonium Molybdate

methylene blue

Antivenin Latrodectus Mactans

monoject pharma grade flush syringe

Antivenin Micrurus Fulvius

monoject sodium chloride flush

BD posiflush

morrhuate sodium

Calcium-folic Acid Plus D

multitrace-4 concentrate

Chromium Chloride

multitrace-5 concentrate

Clinimix E 4.25%/Dextrose 25%

n-acetyl-l-cysteine

Clinimix 4.25%/Dextrose 10%

naloxone HCL


naltrexone HCL


normal saline flush

Copper Sulfate

normal saline flush for flushing vascular access devices

Copper Trace Metal

normal saline i.v. flush

Cysteine HCL

normosol-m IN D5W

Delflex-lm/2.5% Dextrose

nutrilipid

Delflex-lm/4.25% Dextrose

nutrilyte

Delflex-sm/1.5% Dextrose

nutrilyte II

Delflex-sm/2.5% Dextrose

phospha 250 neutral

Dextrose 10%/NACL 0.2%

physiolyte


physiosol irrigation


potassium acetate

Dextrose 20%

potassium bicarbonate

Dextrose 25%

potassium chloride

Dextrose 40%

potassium chloride CR

Dextrose 5% /Electrolyte #48 Viaflex

potassium chloride ER


potassium chloride SR


potassium chloride 0.15% /NACL 0.45% viaflex

Freamine Iii

potassium chloride 0.15% w/NACL 0.9% viaflex

Hyperlyte-CR


Imogam Rabies-ht


KCL 0.075%/D5W/NACL 0.45%

potassium chloride 0.15% D5W/NACL 0.45% viaflex

KCL 0.15%/D5W/ NACL 0.3%

potassium chloride 0.15% NACL 0.9%

KCL 0.15%/D5W/Lr



KCL 0.15%/D5W/NACL 0.2%

Magnebind 400

KCL 0.15%/D5W/NACL 0.225%

Metafolbic

KCL 0.15%/D5W/NACL 0.45%

Phisohex

KCL 0.15%/D5W/NACL 0.9%

Plasma-lyte A

KCL 0.3%/D5W/Lr IV Lac Ring

Plasma-lyte-148

KCL 0.3%/D5W/NACL 0.45%

Vayacog

KCL 0.3%/D5W/NACL 0.9%

Vayarin

L-methyl-b6-b12

Vayarol

L-methylfolate

Vita-respa

L-methylfolate Calcium

L-methylfolate CA/P-5-P.M.-CBL

SPECIALTY

Lecithin

AdagenPA

Lmthf/Pyridoxine HCL/Cyanocobalamin

BenlystaPA

Lozi-flur

BivigamPA

Magnesium Sulfate

Carimune NanofilteredPA

Magnesium Sulfate IN D5W

CytogamPA

Multitrace-4

ExjadePA

Multitrace-4 Neonatal

FerriproxPA

Multitrace-5

Flebogamma DifPA

MD-gastroview

Gamastan S/DPA

Naloxone HCL

Gammagard LiquidPA

Normosol -r

Gammagard S/DPA

Normosol-r IN D5W

Gammagard S/D Iga Less Than 1mcg/MLPA

Potassium Acetate

GammakedPA

Potassium Chloride

GammaplexPA

Potassium Chloride ER

Gamunex-cPA

Potassium Chloride 0.15% /NACL 0.45% Viaflex

Hepagam B

Potassium Chloride 0.15%/NACL 0.9%

HizentraPA

Potassium Chloride 0.3%/ NACL 0.9%

Hyperhep B S/D

Saccharin Sodium

Hyperrho S/D

Selenium

Hyperrho S/D Mini-dose

Sodium Chloride

Micrhogam Ultra-filtered Plus

Sodium Fluoride

Nabi-HB

Sodium Lactate

OctagamPA

Sodium Saccharin Dihydrate

PrivigenPA

Tryptophan

Rhogam Ultra-filtered Plus

Vp-gstn

Rhophylac

Zinc Sulfate

SynagisPA

Zinc Trace Metal

Syprine

PREVENTIVE

ThyrogenQL,PA

fluor-a-day

Vivitrol

fluoride

Winrho SDF

fluoritab

XiaflexPA

flura-drops

karidium

ACA PREVENTIVE DRUGS

ludent

ASPIRIN

nafrinse

PREVENTIVE

nafrinse drops

adult aspirin EC low strength

sodium fluoride

aspir-low

PREFERRED

aspir-81

Chemet

aspirin

Chemstrip-k

aspirin adult low strength

Cuprimine

aspirin childrens

Fluor-a-day

aspirin enteric coated adult low strength

Hyperrab S/D

aspirin low dose

K-phos

aspirin low strength

NON PREFERRED

aspirin EC

Botox Cosmetic

aspirin EC low dose

Cerefolin

aspirin EC LO-dose

Cyanocobalamin/Levomefolate Calcium/Pyridoxine HCL

aspirin 81

Depen Titratabs

aspirin 81 low dose

Effer-k

aspirtab

Fluorabon

bayer advanced aspirin regular strength

Flura-drops

bayer aspirin

Folbic RF

bayer aspirin regimen

Foltx

bayer aspirin EC low dose

Galzin

bayer chewable low dose

Isolyte-s

bayer low dose

Klor-CON M15

childrens aspirin

L-methyl-mc



childrens aspirin low strength

PREVENTIVE

ecotrin low strength

Adult Aspirin Low Strength

ecpirin

Aspirin Low Dose

enteric coated aspirin

Medi-seltzer

eq adult aspirin low strength

eq aspirin

CONTRACEPTIVES

eq aspirin adult low dose

GENERIC

eq aspirin low dose

Amethyst

eq aspirin EC

Necon 1/50-28

eq childrens aspirin

Necon 10/11-28

eql adult aspirin low strength

Zovia 1/50e

eql aspirin

PREVENTIVE

eql aspirin low dose

altavera

eql aspirin EC

alyacen 1/35

eql childrens aspirin

alyacen 7/7/7

gnp adult aspirin low strength

amethiaQL

gnp aspirin

amethia LOQL

gnp aspirin low dose

apri

goodsense aspirin low dose

aranelle

kls aspirin low dose

aubra

kls aspirin EC

aviane

kp aspirin

azurette

meijer aspirin EC

balziva

miniprin low dose

briellyn

norwich aspirin

camila

px aspirin

camreseQL

px enteric aspirin

camrese LOQL

qc aspirin

caziant

qc aspirin low dose

cesia

qc childrens aspirin

chateal

ra aspirin

cryselle-28

ra aspirin adult low dose

cyclafem 1/35

ra aspirin adult low strength

cyclafem 7/7/7

ra aspirin childrens

dasetta 1/35

ra aspirin EC

dasetta 7/7/7

ra aspirin EC adult low strength

dayseeQL

ra childrens aspirin

deblitane

sm aspirin

delyla

sm aspirin adult low strength

desogestrel/ethinyl estradiol

sm aspirin enteric coated

drospirenone/ethinyl estradiol

sm aspirin low dose

elinest

sm aspirin EC low strength

emoquette

sm childrens aspirin

enpresse-28

st joseph aspirin

enskyce

tgt aspirin

errin

tgt aspirin low dose

estarylla

tgt childrens aspirin

falmina

tgt enteric-coated aspirin

gianvi

th aspirin

gildagia

th aspirin low dose

gildess FE 1.5/30

th enteric aspirin

gildess FE 1/20

CVS aspirin

gildess 1.5/30

CVS aspirin adult low dose

gildess 1/20

CVS aspirin adult low strength

gildess 24 FE

CVS aspirin child

heather

CVS aspirin low dose

introvaleQL

CVS aspirin low strength

jencycla

CVS aspirin EC

jolessaQL

CVS childrens aspirin

jolivette

CVS enteric aspirin

junel FE 1.5/30

EC-81 aspirin

junel FE 1/20

HM aspirin

junel 1.5/30

HM aspirin EC

junel 1/20

HM aspirin EC low dose

kariva

MM aspirin

kelnor 1/35

SB aspirin

kurvelo

SB aspirin EC

larin FE 1.5/30

SB childrens aspirin

larin FE 1/20

SB low dose asa EC

larin 1.5/30



larin 1/20

zenchent FE

leena

zovia 1/35e

lessina

Ogestrel

levonest

PREFERRED

levonorgestrel

Beyaz

levonorgestrel and ethinyl estradiolQL

LO Loestrin FE

levonorgestrel/ethinyl estradiol

Minastrin 24 FE

levora 0.15/30-28

Safyral

lomedia 24 FE

PREVENTIVE

loryna

Natazia

low-ogestrel

NuvaringQL

lutera

NON PREFERRED

lyza

Depo-subq Provera 104QL

marlissa

PREVENTIVE

medroxyprogesterone acetateQL

Encare

microgestin FE

Fc Female Condom

microgestin FE 1.5/30

Fc2 Female Condom

microgestin 1.5/30

Femcap

microgestin 1/20

Omniflex Diaphragm

mono-linyah

Options Conceptrol Vaginal Contraceptive

mononessa

Options Gynol II Vaginal Contraceptive

my way

Ortho Diaphragm All-flex/65MM

myzilra


necon 0.5/35-28


necon 1/35


necon 7/7/7

Ortho Diaphragm Coil Spring Kit 100

next choice one dose


nikki


nora-be

Ortho Diaphragm Flat Spring Kit 55

norethindrone


norethindrone acetate/ethinyl estradiol


norethindrone acetate/ethinyl estradiol/ferrous fumarate


norgestimate/ethinyl estradiol


norlyroc


nortrel 0.5/35 (28)


nortrel 1/35


nortrel 7/7/7


ocella

Prentif Cavity-rim Cervical CAP

orsythia

Prentif Fitting Set

philith

Shur-seal

pimtrea

Vcf Vaginal Contraceptive Film

pirmella 1/35

Vcf Vaginal Contraceptive Foam

pirmella 7/7/7

Wide-seal Silicone Diaphragm Kit 60

portia-28


previfem


quasenseQL


reclipsen


sharobel


solia


sprintec 28


sronyx

PREVENTIVE

syeda

Implanon

tarina FE 1/20

Mirena

tilia FE

Nexplanon

tri-estarylla

Skyla

tri-legest FE

tri-linyah

FLUORIDE

tri-previfem

GENERIC

tri-sprintec

Lozi-flur

trinessa

Sodium Fluoride

trivora-28

PREVENTIVE

velivet

fluor-a-day

vestura

fluoride

viorele

fluoritab

vyfemla

flura-drops

wera

karidium

wymzya FE

ludent

xulane

nafrinse

zarah

nafrinse drops

zenchent



sodium fluoride

IMMUNIZATIONS

PREFERRED

PREVENTIVE

Fluor-a-day

Acthib

NON PREFERRED

Adacel

Fluorabon


Flura-drops



FOLIC ACID

Afluria 2012-2013

GENERIC

Afluria 2013-2014

M-vit

Afluria 2014-2015

Prenaplus

Bexsero

Prenatal Low Iron

Boostrix

Prenatal Plus

Cervarix

Tricare

Comvax

PREVENTIVE

Daptacel

eql folic acid

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

fa-8

Engerix-b

folic acid


gnp folic acid


kp folic acid

Fluarix 2013-2014

px folic acid

Fluarix 2014-2015

ra folic acid

Flublok 2013-2014

sm folic acid

Flublok 2014-2015

sm prenatal vitamins

Flucelvax 2013-2014

th folic acid

Flucelvax 2014-2015

yl folic acid


Classic Prenatal


CVS folic acid

Flulaval 2013-2014

Eql Prenatal Formula

Flulaval 2014-2015

Gnp Prenatal Vitamins

Flumist Nasal Vaccine 2012-2013

HM folic acid

Flumist Quadrivalent

Mission Prenatal HP


Multi Prenatal


Perry Prenatal

Fluvirin 2013-2014

Pre-natal Formula

Fluvirin 2014-2015

Prenatal


Prenatal And Iron


Prenatal Formula

Fluzone Intradermal

Prenatal Forte

Fluzone Intradermal Quadrivalent

Prenatal Vitamins

Fluzone Pediatric PF 2013-2014

Px Prenatal Multivitamins


Ra Prenatal


Sm Prenatal Vitamins


PREVENTIVE


Atabex Prenatal


CVS Prenatal


Fa-8

Gardasil

Gnp Daily Prenatal

Gardasil 9

Gnp Prenatal

Havrix

Goodsense Prenatal Vitamins

Hiberix

HM One Daily Prenatal Combo

Infanrix

HM Prenatal

Influenza A (h1n1) Monovalent 2009

Kp Prenatal Multivitamins

Ipol Inactivated IPV

Mission Prenatal

Kinrix

Nat-rul Prenatal Vitamins

M-m-r II W/Diluent 10 Dose

One-a-day Womens Prenatal


Prenatal Complete


Prenatal Multi +dha


Prenatal One Daily


PA Prenatal Formula


Qc Prenatal

Menactra

Ra One Daily

Menomune-a/C/Y/W-135

Ra Prenatal Formula/Folicacid

Menveo

Right Step Prenatal

Pediarix

Sm One Daily Prenatal

Pedvax HIB

Stuart Prenatal

Pentacel

Stuart Prenatal + DHA

Physicians EZ Use Flu Kit 2012-2013

Th Prenatal Vitamins

Pneumovax 23

Pneumovax 23/1 Dose



Pneumovax 23/5 Dose

PREVENTIVE

Prevnar 13

CVS Slow Release Iron

Proquad

Elite Iron

Recombivax HB

Femiron

Rotarix

Feosol

Rotateq

Ferretts IPS

Tenivac

Ferrimin 150

Tetanus/Diphtheria Toxoids-adsorbed Adult

Ferro-sequels

Trumenba

Ferrous Fumarate

Twinrix

Ferrous Gluconate

Vaqta

Ferrous Sulfate

Varivax

FE Aspartate

Zostavax

High Potency Iron

Iron

IRON

Iron Chews Pediatric

Iron Up

PREVENTIVE

Mykidz Iron 10

bprotected pedia iron

Novaferrum Pediatric Drops

eq slow-release iron

Perfect Iron

eql iron supplement therapy

Profe

eql slow release iron

Proferrin ES

ezfe 200

Sm Slow Release Iron

feosol

fer-iron

SMOKING CESSATION

ferate

ferosul

PREVENTIVE

ferretts

buprobanQL

ferrex 150

bupropion HCL SRQL

ferric x-150

eq nicotineQL

ferro-bob

eq nicotine gum refillQL

ferrocite

eq nicotine gum starterQL

ferrotabs

eq nicotine polacrilexQL

ferrous drops

eq nicotine step 3QL

ferrous fumarate 324

eql nicotineQL

ferrous gluconate

eql nicotine polacrilexQL

ferrous sulfate

eql nicotine polacrilex refillQL

ferrousul

eql nicotine polacrilex starterQL

ferus

gnp nicotine polacrilexQL

gnp iron

gnp nicotine polacrilex miniQL

gnp slow release iron

kls quit2QL

high potency iron

kls quit4QL

iferex 150

nicoreliefQL

iron

nicotineQL

iron slow release

nicotine polacrilexQL

iron supplement

nicotine polacrilex refillQL

iron supplement childrens

nicotine polacrilex starter kitQL

kp ferrous gluconate

nicotine step 1QL

kp ferrous sulfate

nicotine step 2QL

meijer ferrous sulfate

nicotine step 3QL

myferon 150

nicotine transdermal systemQL

nu-iron 150

px stop smoking aidQL

poly-iron 150

qc nicotine polacrilexQL

px iron

ra mini nicotineQL

qc ferrous sulfate

ra nicotineQL

ra high potency iron

ra nicotine polacrilexQL

ra iron

ra nicotine transdermal system step 3QL

ra slow release iron

sm nicotineQL

slow iron

sm nicotine polacrilexQL

slow release iron

sw nicotine polacrilexQL

sm iron

tgt nicotine gumQL

sm iron slow release

tgt nicotine polacrilexQL

th iron

tgt nicotine step oneQL

th slow release iron

tgt nicotine step threeQL

wee care

tgt nicotine step twoQL

CVS iron

thriveQL

FE gluconate

CVS nicotineQL

FE TABS

CVS nicotine polacrilexQL

HM iron

CVS nicotine polacrilex starterQL

HM iron slow release

CVS nicotine transdermal systemQL

CVS nts step 1QL



HM nicotine polacrilexQL

vitamin d

HM nicotine transdermal systemQL

vitamin d high potency

HM nicotine transdermal system step 3QL

vitamin d 400

SR nicotine gumQL

vitamin d-1000

PREVENTIVE

vitamin d-1000 maximum strength

ChantixQL

vitamin d-3

Chantix Continuing Month PAKQL

vitamin d-400

Chantix Starting Month PAKQL

vitamin d3

Nicotine Transdermal SystemQL

vitamin d3 adult gummies

PREVENTIVE

vitamin d3 high potency

Nicotrol InhalerQL

vitamin d3 maximum strength

Nicotrol NsQL

vitamin d3 super strength

CVS childrens vitamin d for bone health

VITAMIN D

CVS vitamin d

CVS vitamin d infants

GENERIC

CVS vitamin d 5000 high-potency

decara

CVS vitamin d3

PREVENTIVE

HM vitamin d

aqueous vitamin d infants

HM vitamin d3

bio-d-mulsion

PA vitamin d-3

bio-d-mulsion forte

PA vitamin d-3 gummy

bprotected pedia d-vite

PREVENTIVE

d 1000

CVS Vitamin D3

d 10000

Ddrops

d 2000

Dialyvite Vitamin D3 Max

d 400

D3

d 5000

D3 Dots

d-vita

HM Vitamin D3

d-1000

Replesta

d-1000 extra strength

Replesta Childrens


Replesta Nx

d-3-5

Sm Vitamin D3 Maximum Strength

d-400

Super Daily D3

d-5000

Thera-d 4000


Vitamelts Vitamin D

delta d3

Vitamin D

dialyvite vitamin d 5000

Vitamin D3

d2000 ultra strength

Vitamin D3 400

d3

Wellesse Vitamin D3

d3 adult

d3 high potency

BOWEL PREPARATION AGENTS

d3 kids

d3 maximum strength

PREVENTIVE

d3 super strength

gavilyte-c

d3 ultra strength

gavilyte-n/flavor pack

d3-1000

gavilyte-G

d3-50

peg 3350/electrolytes

eql childrens vitamin d gummies

peg-3350/electrolytes

eql vitamin d-3

peg-3350/NACL/NA bicarbonate/KCL

eql vitamin d3

trilyte

gnp vitamin d

NON PREFERRED

gnp vitamin d maximum strength

Colyte-flavor Packs

gnp vitamin d super strength

Golytely

gnp vitamin d3 extra strength

healthy kids vitamin d3

BREAST CANCER

just d

PREVENTIVE

kp vitamin d

tamoxifen citrate

maximum d3

nat-rul vitamin d

optimal-d

optimal-d pack

opurity vitamin d

pronutrients vitamin d3

ra vitamin d-3

sm vitamin d

sm vitamin d3

th vitamin d3

thera-d rapid repletion

thera-d sport

thera-d 2000

Effective April 1, 2015 v.1

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; ©Catamaran 2015. All Rights Reserved. May not be copied or distributed without authorization.

43

Index

A

Accu-chek Softclix Lancets, 31

adult aspirin EC low strength, 25, 38

Accu-chek Spirit Adapter Kit, 35

Adult Aspirin Low Strength, 25, 39

A-hydrocort, 11

Accu-chek Spirit Battery Kit, 35

Advair Diskus, 28

a-methapred, 11

Accu-chek Spirit Insulin P.M. Kit, 35

Advair HFA, 28

abacavir, 2

Accu-chek Tender II Infusion Set/24"/13MM, 35

Advate, 19

abacavir sulfate/lamivudine/zidovudine, 2

Advocate Lancets, 31

Abelcet, 2


Advocate Safety Lancets, 32

Abilify, 20

aero otic HC, 24

Abilify Discmelt, 20


Aerochamber Mini Aerosol Chamber, 35

Abilify Maintena, 20

Aerochamber MV, 35

Abraxane, 5


Aerochamber Plus Flow VU, 35

Absorica, 9

Aerochamber Plus Flow-VU, 35

Abstral, 26


Aerochamber Plus Flow-VU/Large Mask, 35

acamprosate calcium DR, 22

Acanya, 9

Accu-chek Voicemate, 35

Aerochamber Plus Flow-VU/Mask, 35

acarbose, 13

Acd Formula A, 19

Aerochamber Plus Flow-VU/Medium Mask, 35

Accu-chek Active Glucose Control Solution, 35

Acd Formula B, 19

Acd-a Noclot-50, 19

Aerochamber Plus Flow-VU/Small Mask, 35

Accu-chek Active Strips, 35

acebutolol HCL, 6

Accu-chek Aviva, 35

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 26

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 36

Accu-chek Aviva Plus, 35

Accu-chek Combo, 35

acetaminophen/codeine, 25

Aerochamber Z-stat Plus/Flowsignal, 36

Accu-chek Comfort Curve Control Solution (2 Levels), 35

acetaminophen/codeine #2, 25

Aerochamber Z-stat Plus/Large Mask, 36


Aerochamber Z-stat Plus/Medium Mask, 36

Accu-chek Comfort Curve Linearity Solution, 35


acetaminophen/codeine phosphate, 25

Aerochamber Z-stat Plus/Small Mask, 36

Accu-chek Comfort Curve Test Strips, 35

acetasol HC, 24

Aerochamber/Flowsignal, 36

Accu-chek Compact Blue Control Solution (2 Levels), 35

acetazolamide, 7

AF Lancets Super Thin, 32

Acetazolamide, 7

afeditab CR, 6

Accu-chek Compact Plus, 35

acetazolamide ER, 7

Afinitor, 5

Accu-chek Compact Plus Care Kit, 35

acetazolamide sodium, 7

Afinitor Disperz, 5

Accu-chek Compact Plus Clear Control Solution (2 Levels), 35

acetic acid, 24

Afluria 2012-2013, 29, 41

acetic acid 0.25%, 17

Afluria 2013-2014, 29, 41

Accu-chek Compact Test Drum, 35

Acetic Acid/Aluminum Acetate, 24

Afluria 2014-2015, 29, 41

Accu-chek Fastclix Lancetdevice Kit, 35

acetylcysteine, 28, 36

Afluria PF 2012-2013, 29, 41

Accu-chek Fastclix Lancets, 31

Aciphex Sprinkle, 15

Afluria PF 2013-2014, 29, 41

Accu-chek Instant Glucosecontrol Solution (2 Levels), 35

acitretin, 9

Afluria PF 2014-2015, 29, 41

Actemra, 27

Agamatrix Ultra-thin Lancets 33G, 32

Accu-chek Multiclix Lanc Et Device Kit, 35

Acthib, 29, 41

Aggrastat, 19

Acti-lance Lancets 28G, 31

Aggrenox, 19

Accu-chek Multiclix Lancets, 31

Acti-lance Lite Safety Lancets 28G, 31

airavite, 17

Accu-chek Nano Smartview, 35

Acti-lance Special Safety Lancets 17G, 31

ak-fluor, 24

Accu-chek Rapid-d Infusion Set/24"/10MM, 35

Ak-fluor, 24

Acti-lance Special Safetylancets 17G, 31

ak-poly-bac, 23


Acti-lance Universal Safety Lancets 23G, 31

akorn balanced salt solution, 24

ala cort, 9


acticin, 10

Albatussin NN, 28

Actimmune, 5

Albenza, 3


Actonel, 13

albuked 25, 19

Actoplus Met XR, 13

albuked 5, 19


Acuvail, 24

albumin human, 19

acyclovir, 2, 9

albumin-zlb, 19


acyclovir sodium, 2

albuminar-25, 19

Acyclovir Sodium, 2

albuminar-5, 19


Adacel, 29, 41

alburx, 19

Adagen, 38

albutein, 19


adapalene, 8

albuterol sulfate, 28

Adcetris, 4

albuterol sulfate ER, 28


Adcirca, 8

albuterol TAB 4MG, 28

adefovir dipivoxil, 3

alclometasone dipropionate, 9

Accu-chek Safe-t-pro Lancets, 31

Adempas, 8

Alcoh-glove Contoured Wipe, 36

Accu-chek Safe-t-pro Pluslancets, 31

adenosine, 6, 36

Alcoh-wipe 12" X 12", 36

Accu-chek Smartview Control, 35

adriamycin, 4

Alcohol Pads, 36

Accu-chek Smartview Strips, 35

Adriamycin, 4

Alcohol Prep Pads, 36

Accu-chek Soft Touch Lancets, 31

adrucil, 4

Alcohol Swabs, 36

Accu-chek Softclix Lancetdevice Kit, 35

Alcohol Wipes, 36

amlodipine besylate/benazepril HCL, 7

Arcapta Neohaler, 28

Aldurazyme, 15

amlodipine besylate/benazepril hydrochloride, 7

argatroban, 18

alendronate sodium, 13

Argatroban, 19

Alendronate Sodium, 13

amlodipine besylate/valsartan, 7

argyle sterile saline 100ML, 17

alfentanil, 25

amlodipine/valsartan/hctz, 7

argyle sterile water 100ML, 36

Alferon N, 5

ammonium lactate, 10

Arial Chamber, 36

alfuzosin HCL ER, 17

Ammonium Molybdate, 37

Armour Thyroid, 15

ali-flex, 25

amnesteem, 8

Arranon, 4

Alimta, 4

Amoxapine, 20

Arzerra, 4

Alinia, 3

amoxicillin, 1

Arzol Silver Nitrate App Licators, 10

Alkeran, 3

Amoxicillin, 1

Asacol HD, 16

allopurinol, 27

Amoxicillin ER, 1

ascomp/codeine, 26

Alocril, 24

amoxicillin/clavulanate potassium, 1

ascorbic acid, 29

Alodox Convenience Kit, 1

amoxicillin/clavulanate potassium ER, 1

Asmanex HFA, 28

Alomide, 24

amphetamine/dextroamphetamine, 21

Asmanex Twisthaler 120 Metered Doses, 28

Alora, 11

Amphotec, 2

Aloxi, 16

Amphotericin B, 2


Alpain, 25

ampicillin, 1

Alphagan P, 24

Ampicillin, 1

Asmanex Twisthaler 30 Me Tered Doses, 28

Alphanate/Von Willebrand Factor Complex/Human, 19

ampicillin sodium, 1

Ampicillin Sodium, 1


Alphanine SD, 19

ampicillin-sulbactam, 1

alphaquin HP, 10

Ampicillin-sulbactam, 1


alphatrex, 9

Ampyra, 22

alprazolam, 20

Amturnide, 7


alprazolam ER, 20

ana-lex, 16

alprazolam odt, 20

Anadrol-50, 11

aspir-81, 25, 38

alprazolam XR, 20

anagrelide hydrochloride, 19

aspir-low, 25, 38

alprostadil, 36

Analpram Advanced, 16

aspirin, 25, 38

Alrex, 23

Analpram-HC, 16

aspirin 81, 25, 38

Alsuma, 27

anastrozole, 4

aspirin 81 low dose, 25, 38

Altabax, 9

Androderm, 11

aspirin adult low strength, 25, 38

altacaine, 24

Androgel, 11

aspirin childrens, 25, 38

altafluor, 24

Androgel P.M., 11

aspirin EC, 25, 38

altafrin, 24

Androxy, 11

aspirin EC LO-dose, 25, 38

altavera, 11, 39

Animas Vibe Insulin P.M., 32

aspirin EC low dose, 25, 38

Altoprev, 8

Animas Vibe Insulin P.M./Black, 32

aspirin enteric coated adult low strength, 25, 38

Alvesco, 28

Animas Vibe Insulin P.M./Blue, 32

alyacen 1/35, 11, 39

Animas Vibe Insulin P.M./Limelight Green, 32

aspirin low dose, 25, 38

alyacen 7/7/7, 12, 39

Aspirin Low Dose, 25, 39

amantadine HCL, 21

Animas Vibe Insulin P.M./Pink Glow, 32

aspirin low strength, 25, 38

Amantadine HCL, 21

Anticoagulant Citrate Dextrose Solution A, 19

Aspirin-caffeine-dihydrocodeine, 26

Ambisome, 2

aspirtab, 25, 38

Amcinonide, 10

Anticoagulant Sodium Citrate, 19

Assure Comfort Lancets Ultra Thin 28G, 32

amethia, 12, 39

antipyrine/benzocaine, 24

amethia LO, 12, 39

Antipyrine/Benzocaine, 24

Assure Comfort Lancets Ultra Thin 30G, 32

Amethyst, 11, 39

Antivenin Latrodectus Mactans, 37

amifostine, 5

Antivenin Micrurus Fulvius, 37

Assure Haemolance Plus High Flow 18G, 32

Amigo Insulin P.M., 32

anucort-HC, 16

amikacin sulfate, 2

Anzemet, 16

Assure Haemolance Plus Low Flow 25G, 32

amiloride HCL, 7

AP-zel, 31

amiloride/hydrochlorothiazide, 7

apexicon, 9

Assure Haemolance Plus Micro Flow 28G, 32

amino acids, 36

Apexicon E, 10

aminoacetic acid, 17

Apidra, 13

Assure Haemolance Plus Normal Flow 21G, 32

Aminobenzoate Potassium, 29

Apidra Solostar, 13

aminocaproic acid, 19

Aplenzin, 20

Assure Haemolance Plus Pediatric Blade, 32

Aminocaproic Acid, 19

Apokyn, 22

aminophylline, 28

apraclonidine, 24

Assure Lance Lancets, 32

aminosyn 8.5%/electrolytes, 36

apri, 12, 39

Assure Lancets, 32

aminosyn II 8.5%/electrolytes, 36

Apriso, 16

astramorph, 26

aminosyn-hf, 36

Aptivus, 2

AT Last Lancets, 32

amiodarone HCL, 6

aqueous vitamin d infants, 29, 43

Atabex Prenatal, 31, 41

Amiodarone HCL, 6

Aquoral, 20

Atelvia, 14

Amitiza, 16

Aralast NP, 28

atenolol, 6

amitriptyline HCL, 20

aranelle, 12, 39

atenolol/chlorthalidone, 7

amlodipine besylate, 6

Aranesp Albumin Free, 18

Atgam, 4

amlodipine besylate/atorvastatin calcium, 8

arbinoxa, 27

atorvastatin calcium, 8

Arcalyst, 27

atovaquone, 3

atovaquone/proguanil HCL, 3

Baraclude, 3

100/1ML/25G X 5/8", 32

atracurium besylate, 22

baycadron, 11

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 32

Atralin, 9

bayer advanced aspirin regular strength, 25, 38

Atripla, 2

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 32

Atropen, 15

bayer aspirin, 25, 38

atropine sulfate, 15, 23

bayer aspirin EC low dose, 25, 38

BD Insulin Syringe/U-100/1ML/27G X 1/2", 32

Atropine Sulfate, 15, 24

bayer aspirin regimen, 25, 38

atropine-care, 24

bayer chewable low dose, 25, 38


Atrovent HFA, 28

bayer low dose, 25, 38

Aubagio, 22

Bayer Microlet Lancets, 32

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 32

aubra, 12, 39

Bcg Vaccine, 29

augmented betamethasone dipropionate, 9

BD Insulin Syringe LUER-LOK/U-100/1ML, 32


Augmentin, 1

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 32

BD Lancet Ultrafine 30G, 32

aurax, 24

BD Lancet Ultrafine 33G, 32

aurodex, 24

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 32

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 32

Aurora Lancet Super Thin 30G, 32

Aurora Lancet Thin 23G, 32

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 32

BD Microtainer Lancets, 32

Auvi-q, 7

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 32

Avage, 11

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 32

Avandia, 13

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

avar cleanser, 8

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 32

avar-e emollient, 8

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 32

avar-e green, 8

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

Avastin, 4

BD Pen Needle/Ultrafine/29G X 12.7MM, 32

Avc, 17

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 32

Avelox, 2

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 32

aviane, 12, 39

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 32

avidoxy, 1

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 32

avita, 8

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 32

Avodart, 17

BD posiflush, 37

Avonex, 22

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 32

BD Pudendal/Local Block Tray 1% Lidocaine, 27

Avonex Pen, 22

Axert, 27

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 32

BD Swabs Single Use, 36

Axiron, 11

BD Swabs Single Use Butterfly, 36

azacitidine, 4

BD Insulin Syringe Slip Tip/U-100/1ML, 32

Bebulin, 19

Azactam IN Iso-osmotic Dextrose, 3

Bebulin VH, 19

Azasan, 4

BD Insulin Syringe U-40/1ML/25G X 5/8", 32

Beconase AQ, 27

Azasite, 23

Belladonna & Opium, 15

azathioprine, 4

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 32

Belladonna Alkaloids & Opium, 15

azelastine HCL, 24, 27

benazepril HCL, 6

Azelex, 9

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 32

benazepril HCL/hydrochlorothiazide, 7

Azilect, 22

Benefix, 19

azithromycin, 1

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 32

Benicar, 7

Azithromycin, 1

Benicar HCT, 7

Azopt, 24

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 32

Benlysta, 38

Azor, 7

benzepro, 8

aztreonam, 3


benzepro SHORT contact, 8

azurette, 12, 39

benziq wash, 8

B


benzonatate, 28

benzoyl peroxide, 8

B-6 Folic Acid, 17


benzoyl peroxide SHORT contact, 8

b-complex, 30

benzoyl peroxide wash acne treatment pack, 8

b-complex 100, 30

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 32

b-plex, 30

benzphetamine HCL, 21

b-plex plus, 30

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 32

benztropine mesylate, 21

baciim, 3

Bepreve, 24

bacitracin, 3

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 32

Berinert, 19

Bacitracin, 3, 23

Besivance, 23

bacitracin/polymyxin b, 23

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

betamethasone dipropionate, 9

baclofen, 22

betamethasone sodium phosphate/betamethasone acetate, 11

Bacmin, 31

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 32

Bactocill IN Dextrose, 1

betamethasone valerate, 9

Bactroban Nasal, 27

BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 32

Betaseron, 22

balanced salt, 24

betaxolol HCL, 6, 23

balanced salt solution, 24

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 32

bethanechol chloride, 17

balsalazide disodium, 16

Betimol, 23

balziva, 12, 39

BD Insulin Syringe/Detachable Needle/U-

Betoptic-s, 23

Banzel, 21

Bexsero, 29, 41

bromfed DM, 28

capacet, 25

Bexxar, 4

bromfenac, 24

Capastat Sulfate, 2

Bexxar 131 Iodine, 5

bromocriptine mesylate, 21

capecitabine, 4

Beyaz, 12, 40

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 28

Capex, 10

bicalutamide, 4

Caprelsa, 5

Bicillin C-R, 1

Brompheniramine Tannate, 27

captopril, 6

Bicillin L-a, 1

Brovana, 28

Captopril/Hydrochlorothiazide, 7

Bicnu, 3

bss, 24

Carac, 11

Bidil, 8

budeprion SR, 20

Carafate, 15

Biltricide, 3

budesonide, 11, 27, 28

CARB-o-philic 40, 10

Binosto, 14

Bullseye Mini Safety Lancets, 32

CARB-o-philic/40, 11

bio GLO, 24

Bullseye Safety Lancets, 32

Carbaglu, 15

bio-d-mulsion, 29, 43

bumetanide, 7

carbamazepine, 21

bio-d-mulsion forte, 29, 43

buminate, 19

carbamazepine ER, 21

bio-statin, 2

Buphenyl, 15

carbidopa, 21

biocel, 30

bupivacaine HCL, 27

carbidopa/levodopa, 21

biogesic, 25

bupivacaine spinal, 27

carbidopa/levodopa ER, 21

Biothrax, 29

bupivacaine/epinephrine, 27

carbidopa/levodopa odt, 21

biotuss, 28

buprenorphine HCL, 26

Carbidopa/Levodopa/Entacapone, 22

biotuss pediatric, 28

buprenorphine HCL/naloxone HCL, 26

carbinoxamine maleate, 27

bisoprolol fumarate, 6

buproban, 22, 42

carboplatin, 3

bisoprolol fumarate/hydrochlorothiazide, 7

bupropion HCL, 20

Carboplatin, 3

bupropion HCL ER, 20

Cardene IV, 6

Bivigam, 38

bupropion HCL SR, 20, 22, 42

cardioplegic, 8

bleomycin sulfate, 4

bupropion HCL XL, 20

Cardizem LA, 6

Blephamide S.o.p., 23

buspirone HCL, 20

Cardura XL, 17

Boostrix, 29, 41

Busulfex, 3

Careone Lancet Thin, 32

Bosulif, 5

butalbital/acetaminophen, 25

Careone Lancet Ultra Thin, 32

Botox, 22

butalbital/acetaminophen/caffeine, 25

Carimune Nanofiltered, 38

Botox Cosmetic, 38

butalbital/acetaminophen/caffeine/codeine, 26

carisoprodol, 22

bp 10-1, 8

Carisoprodol, 23

bp cleansing wash, 8

butalbital/apap/caffeine, 25

carisoprodol/aspirin, 22

bp foam, 8

butalbital/aspirin/caffeine, 25

carisoprodol/aspirin/codeine, 22

bp foaming wash, 8

Butalbital/Aspirin/Caffeine, 25

carteolol HCL, 23

Bp Folinatal Plus B, 30

butalbital/aspirin/caffeine/codeine, 26

cartia XT, 6

Bp Multinatal Plus, 30

butorphanol tartrate, 26

Cartridge IR 1000 3ML, 32

Bp Vit 3, 17

Butrans, 26

Cartridge IR 1200, 32

bp wash, 8

Bydureon, 13

Cartridge P.M., 32

bpm, 27

Byetta, 13

carvedilol, 6

bpm pseudo, 28

Bystolic, 6

Cascara Sagrada, 15

Bpo, 9

C

Cavan-EC Sod DHA, 30

Bpo 3% Foaming Cloths, 9

cavarest, 19

cabergoline, 14


Caverject, 8

Cafergot, 27


Caverject Impulse, 8

caffeine citrate, 21

bprotected pedia d-vite, 29, 43

cavirinse, 19

Caffeine/Sodium Benzoate, 21

bprotected pedia iron, 18, 42

Cayston, 3

calcipotriene, 9

Brainstrong Prenatal, 31

caziant, 12, 39

calcipotriene/betamethasone dipropionate, 9

Bravelle, 14

Cedax, 1

Breatherite, 36

cefaclor, 1

calcitonin salmon, 14

Breatherite Collapsible Adult Spacer W/Mask, 36

Cefaclor, 1

calcitonin-salmon, 14

Cefaclor ER, 1

calcitrene, 9

Breatherite Collapsible Child Spacer W/Mask, 36

cefadroxil, 1

Calcitriol, 9

cefazolin sodium, 1

calcitriol, 14

Breatherite Collapsible Infant Spacer W/Mask, 36

Cefazolin Sodium, 1

calcium acetate, 16

Cefazolin Sodium/Dextrose, 1

calcium chloride, 36

Breatherite Collapsible Small Child Spacer W/Mask, 36

cefdinir, 1

Calcium Folinate, 5

Cefditoren Pivoxil, 1

calcium gluconate, 36

Breatherite Collapsible Spacer W/ Neonate Mask, 36

cefepime, 1

Calcium-folic Acid Plus D, 37

Cefepime, 1

camila, 12, 39

Breatherite Rigid Spacer W/Mask, 36

cefotaxime sodium, 1

Camptosar, 5

Breatherite W/Large Mask, 36

Cefotetan, 1

camrese, 12, 39

Breatherite W/Medium Mask, 36

Cefotetan/Dextrose, 1

camrese LO, 12, 39

Breatherite W/Small Mask, 36

cefoxitin sodium, 1

Canasa, 16

Breo Ellipta, 28

Cefoxitin Sodium, 1

Cancidas, 2

briellyn, 12, 39

cefpodoxime proxetil, 1

candesartan cilexetil, 7

Brilinta, 19

cefprozil, 1

candesartan cilexetil/hydrochlorothiazide, 7

brimonidine tartrate, 24

ceftazidime, 1

Bromday, 24

Ceftazidime, 1

Cantil, 15

Ceftazidime/Dextrose, 1

ciclopirox nail lacquer, 9

Cloderm, 10

Ceftibuten, 1

ciclopirox olamine, 9

Cloderm P.M., 10

Ceftin, 1

Ciclopirox Topical Solution Kit, 9

Clolar, 4

Ceftriaxone IN Iso-osmotic Dextrose, 1

ciclopirox treatment, 9

clomiphene citrate, 14

ceftriaxone sodium, 1

cidofovir, 2

clomipramine HCL, 20

Ceftriaxone/Dextrose, 1

cilostazol, 19

clonazepam, 21

cefuroxime axetil, 1

Ciloxan, 23

clonazepam odt, 21

cefuroxime sodium, 1

cimetidine, 15

clonidine HCL, 7, 25

Cefuroxime Sodium, 1

cimetidine HCL, 15

clonidine HCL ER, 21

Cefuroxime/Dextrose, 1

Cimzia, 16

clopidogrel, 19

celecoxib, 26

Cimzia Starter Kit, 16

clorazepate dipotassium, 20

Cellcept Intravenous, 4

Cinryze, 19

clotrimazole, 9, 19

Celontin, 21

Cipro HC, 24

clotrimazole/betamethasone dipropionate, 9

Cem-urea, 10

Ciprodex, 24

Cenestin, 11

ciprofloxacin, 2

clozapine, 20

Centany, 9

Ciprofloxacin, 24

Clozapine Odt, 20

Centrum Specialist Prenatal, 31

ciprofloxacin ER, 2

Cnl8 Nail Kit, 9

cephalexin, 1

ciprofloxacin HCL, 2, 23

CO-gesic, 26

Cephalexin, 1

Ciprofloxacin HCL, 2

CO-natal Fa, 30

Ceprotin, 19

ciprofloxacin I.V.-IN D5W, 2

Coaguchek Lancets, 32

Cerefolin, 38

cisatracurium besylate, 22

Coal TAR, 10

Cerezyme, 18

cisplatin, 3

Coartem, 3

cerisa wash, 8

Cisplatin, 3

Cod Liver Oil, 30

cerovel, 10

citalopram hydrobromide, 20

codeine sulfate, 26

Cervarix, 29, 41

citric acid/sodium citrate, 17

Codeine Sulfate, 26

Cesamet, 16

cladribine, 4

Colchicine, 27

cesia, 12, 39

Claforan, 1

Colcrys, 27

cetirizine HCL, 27

claravis, 8

colestipol HCL, 8

Cetrotide, 14

Claravis, 9

colestipol HCL for oral suspension, 8

cevimeline HCL, 19

Clarinex, 27

colistimethate sodium, 3

Chantix, 22, 43

Clarinex-d 12 HOUR, 28

colocort, 16

Chantix Continuing Month PAK, 22, 43

Clarinex-d 24 HOUR, 28

Coly-mycin S, 24

Chantix Starting Month PAK, 22, 43

claris clarifying wash, 8

Colyte-flavor Packs, 15, 43

chateal, 12, 39

clarithromycin, 1

Combigan, 23

Chemet, 38

clarithromycin ER, 1

Combipatch, 11

Chemstrip-k, 38

Classic Prenatal, 31, 41

Combivent, 28

Chenodal, 16

Cleanlet Lancets 28G, 32

Combivent Respimat, 28

childrens aspirin, 25, 38

clearplex x, 8

Cometriq, 5

childrens aspirin low strength, 25, 39

clemastine fumarate, 27

Comfort Assured Lancets Micro Thin 33G, 32

Chloramphenicol Sodium Succinate, 3

Clemastine Fumarate, 27

chlordiazepoxide HCL, 20

Cleocin, 17

Comfort Assured Lancets Super Thin 28G, 32

chlordiazepoxide HCL/clidinium bromide, 15

Clever Chek Lancets Ultrathin, 32

Clever Chek Lancets Ultrathin 30G, 32

Comfort Infusion Set 23"/17MM, 32

Chlordiazepoxide/Amitriptyline, 22

clindacin etz pledgets, 8


chlorhexidine gluconate, 19

clindacin-p, 8


chlorhexidine gluconate oral rinse, 19

clindamax, 8

Comfort Lancets, 32

chloromag, 36

clindamycin HCL, 3

Comfort SHORT Infusion Set 23"/13MM, 32

chloroprocaine HCL, 27

clindamycin palmitate HCL, 3

chloroquine phosphate, 3

clindamycin phosphate, 3, 8, 17


chlorothiazide, 7

Clindamycin Phosphate, 3

Chlorothiazide, 7

clindamycin phosphate add-vantage, 3


chlorothiazide sodium, 7

clindamycin phosphate IN D5W, 3

chlorpromazine HCL, 20

clindamycin phosphate pharmacy bulk package, 3

compazine, 20

Chlorpromazine HCL, 20

Complera, 2

Chlorpropamide, 13

clindamycin/benzoyl peroxide, 8

Complete Natal DHA, 30

Chlorthalidone, 7

Clindesse, 17

Completenate, 30

chlorzoxazone, 22

Clinimix 4.25%/Dextrose 10%, 37

compound 347, 27

choice-TABS, 30


compro, 20

cholestyramine, 8


Comvax, 29, 41

cholestyramine light, 8

Clinimix E 4.25%/Dextrose 25%, 37

Concerta, 21

choline magnesium trisalicylate, 25

clinisol SF 15%, 36

Condylox, 11

Choline Magnesium Trisalicylate, 25

clinpro 5000, 19

constulose, 15

chorionic gonadotropin, 14

clobetasol propionate, 9

Contact Detach Infusion Set 23" 6MM/29G, 32

chromium chloride, 36

clobetasol propionate e, 9

Chromium Chloride, 37

clobetasol propionate emollient, 9


Cialis, 8

Clocortolone Pivalate, 10

ciclodan, 9

Clocortolone Pivalate P.M., 10


ciclopirox, 9

clodan, 10


CVS vitamin d 5000 high-potency, 30, 43

dasetta 1/35, 12, 39

CVS vitamin d infants, 30, 43

dasetta 7/7/7, 12, 39

controlrx, 19

CVS vitamin d3, 30, 43

daunorubicin HCL, 4

Conzip, 26

CVS Vitamin D3, 30, 43

Daunoxome, 4

Copaxone, 22

cyanocobalamin, 17

daysee, 12, 39

Copper Sulfate, 37

Cyanocobalamin/Levomefolate Calcium/Pyridoxine HCL, 38

Daytrana, 21

Copper Trace Metal, 37

Ddrops, 30, 43

Cordran, 10

cyclafem 1/35, 12, 39

deblitane, 12, 39

Cordran Tape, 10

cyclafem 7/7/7, 12, 39

decara, 29, 43

Coreg CR, 6

cyclobenzaprine HCL, 22

decitabine, 4

Corifact, 19

cyclopentolate HCL, 24

deferoxamine mesylate, 36

cormax scalp application, 10

cyclophosphamide, 3

dehydrated alcohol, 36

cortic-nd, 24

Cyclophosphamide, 3

delflex-LC/1.5% dextrose, 36

Cortifoam, 16

Cycloserine, 2

delflex-lm/1.5% dextrose, 36

Cortisone Acetate, 11

Cycloset, 13

Delflex-lm/2.5% Dextrose, 37

Cortisporin, 9

cyclosporine, 4

Delflex-lm/4.25% Dextrose, 37

Cortisporin-tc, 24

cyclosporine modified, 4

Delflex-sm/1.5% Dextrose, 37

corvita, 30

Cyclosporine Modified, 4

Delflex-sm/2.5% Dextrose, 37

corvita 150, 17

cyotic, 24

delta d3, 29, 43

corvite free, 30

cyproheptadine HCL, 27

delyla, 12, 39

cosyntropin, 36

Cystadane, 15

Delzicol, 16

covaryx, 11

Cystagon, 17

demeclocycline HCL, 1

covaryx HS, 11

Cystaran, 24

Demser, 7

Creon, 16

cysteine HCL, 36

Denavir, 9

Crestor, 8

Cysteine HCL, 37

denta 5000 plus, 19

Crinone, 17

cytarabine, 4

dentagel, 19

Crixivan, 2

Cytarabine, 4

Depen Titratabs, 38

cromolyn sodium, 16, 24

cytarabine aqueous, 4

Depo-medrol, 11

Cromolyn Sodium, 28

Cytogam, 38

Depo-provera, 4

cryselle-28, 12, 39

cytra k crystals, 17

Depo-subq Provera 104, 12, 40

Cubicin, 3

cytra-2, 17

Depocyt, 4

Cuprimine, 38

Cytra-3, 17

Depodur, 26

Curity Alcohol Preps/Medium 2 Ply, 36

cytra-k, 17

Dermasorb Ta, 10

Curity Alcohol Swabs, 36

D

dermazene, 9

curity sterile saline, 17

desipramine HCL, 20

d 1000, 29, 43

Cuvposa, 16

desloratadine, 27

d 10000, 29, 43

CVS Alcohol Prep Swabs, 36

desloratadine odt, 27

d 2000, 29, 43

CVS Alcohol Swabs, 36

desmopressin acetate, 14

d 400, 29, 43

CVS aspirin, 25, 39

desogestrel/ethinyl estradiol, 12, 39

d 5000, 29, 43

CVS aspirin adult low dose, 25, 39

Desonate, 10

d-1000, 29, 43

CVS aspirin adult low strength, 25, 39

desonide, 10

d-1000 extra strength, 29, 43

CVS aspirin child, 25, 39

Desowen Cream/Cetaphil Lotion, 10

d-2000 maximum strength, 29, 43

CVS aspirin EC, 25, 39

Desowen Lotion/Cetaphil Cream, 10

d-3-5, 29, 43

CVS aspirin low dose, 25, 39

Desowen Ointment/Cetaphil Lotion, 10

d-400, 29, 43

CVS aspirin low strength, 25, 39

desoximetasone, 10

d-5000, 29, 43

CVS childrens aspirin, 25, 39

Desoximetasone, 10

d-5000 maximum strength, 29, 43

CVS childrens vitamin d for bone health, 30, 43

Desvenlafaxine ER, 20

d-vita, 29, 43

Detachable Face Mask, 36

d2000 ultra strength, 29, 43

CVS enteric aspirin, 25, 39

dexamethasone, 11

d3, 29, 43

CVS folic acid, 18, 41

Dexamethasone, 11

D3, 30, 43

CVS iron, 18, 42

Dexamethasone Intensol, 11

d3 adult, 29, 43

CVS Lancets 21G, 32

dexamethasone sodium phosphate, 11, 23

D3 Dots, 30, 43

CVS Lancets Micro Thin 33G, 32

d3 high potency, 29, 43

CVS Lancets Original, 32

Dexamethasone Sodium Phosphate, 11

d3 kids, 30, 43

CVS Lancets Thin 26G, 32

Dexchlorpheniramine Maleate, 27

d3 maximum strength, 30, 43

CVS Lancets Ultra Thin 30G, 32

dexedrine, 21

d3 super strength, 30, 43

CVS nicotine, 22, 42

dexferrum, 17

d3 ultra strength, 30, 43

CVS nicotine polacrilex, 22, 42

Dexilant, 16

d3-1000, 30, 43

CVS nicotine polacrilex starter, 22, 42

dexmedetomidine HCL, 21

d3-50, 30, 43

CVS nicotine transdermal system, 22, 42

dexmethylphenidate HCL, 21

dacarbazine, 5

CVS nts step 1, 22, 42

dexmethylphenidate HCL ER, 21

Dacarbazine, 5

CVS Prenatal, 31, 41

Dexpak 10 Day, 11

Daliresp, 28

CVS Prenatal Gummy/DHA/Folic Acid, 31

Dexpak 13 Day, 11

danazol, 11

Dexpak 6 Day, 11

dantrolene sodium, 22

CVS Prenatal Multi+dha, 31

Dexpanthenol, 16

Dantrolene Sodium, 23

CVS Slow Release Iron, 18, 42

dexrazoxane, 5

Dapsone, 3

CVS Ultra Thin Lancets, 32

dextroamphetamine sulfate, 21

Daptacel, 29, 41

CVS vitamin d, 30, 43

dextroamphetamine sulfate ER, 21

Daraprim, 3

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 28

dihydroergotamine mesylate, 27

Drug Mart Unilet Lancets Super Thin 30G, 32

Dihydroergotamine Mesylate, 27

Dilantin, 21

Drug Mart Unilet Lancets Ultra Thin 28G, 32

Dilatrate SR, 6

dextrose 10%, 36

dilt-CD, 6

Duane Reade Lancet Alternate Site 26G, 32

dextrose 10% flex container, 36

dilt-XR, 6

Dextrose 10%/NACL 0.2%, 37

diltiazem CD, 6

Duane Reade Lancet Super Thin 30G, 32


diltiazem HCL, 6


Diltiazem HCL, 6

Duane Reade Lancet Ultra Thin 28G, 32

dextrose 2.5%/NACL 0.45%, 36

diltiazem HCL CD, 6

Dulera, 28

dextrose 2.5%/sodium chloride 0.45%, 36

diltiazem HCL ER, 6

duloxetine HCL, 20

diltzac, 6

duramorph, 26

Dextrose 20%, 37

Dimenhydrinate, 16

duraxin, 25

Dextrose 25%, 37

Dipentum, 16

Durezol, 23

dextrose 30%, 36

diphenhydramine HCL, 27

Dymista, 27

dextrose 30% partial fill, 36

diphenoxylate/atropine, 15

Dyrenium, 7

Dextrose 40%, 37

Diphenoxylate/Atropine, 15

Dysport, 22

dextrose 5%, 36

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 29, 41

E

Dextrose 5% /Electrolyte #48 Viaflex, 37

dextrose 5% viaflex, 36

E-z Ject Lancets, 32

dipyridamole, 19, 37

dextrose 5%/lactated ringers, 36

E-z Ject Lancets 21G, 32

disopyramide phosphate, 6

dextrose 5%/NACL 0.2%, 36

E-z Ject Lancets Color, 32

disulfiram, 22


E-z Ject Lancets Super Thin, 32

divalproex sodium, 21


E-z Ject Lancets Super Thin 30G, 32

divalproex sodium DR, 21


E-z Ject Lancets Thin 26G, 32

divalproex sodium ER, 21


E-z Spacer, 36

dobutamine HCL, 7


E-z Spacer The Body Guards Pack, 36

dobutamine HCL/D5W, 7

dextrose 5%/potassium chloride 0.15%, 36

E-ZJECT Lancets Micro-thin 33G, 32

dobutamine/dextrose 5%, 7

E.e.s. 400, 1

Dobutamine/Dextrose 5%, 7

dextrose 5%/ringers, 36

e.s.p., 3

Docefrez, 5

dextrose 5%/sodium chloride 0.2%, 36

Easivent, 36

Docetaxel, 5


Easivent/Mask-large, 36

docetaxel, 5


Easivent/Mask-medium, 36

dologesic, 25


Easivent/Mask-small, 36

dolorex, 25

dextrose 50%, 36

Easy Comfort Lancets, 32

donepezil HCL, 22

dextrose 70%, 36

Easy Comfort Lancets 30G/Pull Top, 32

Donnatal, 16

Diabeta, 13

Easy Comfort Lancets 30G/Thin Top, 32

Donnatal Extentabs, 16

dialyvite, 30

Easy Touch Alcohol Prep Pads/Medium, 36

dopamine HCL, 7

dialyvite vitamin d 5000, 29, 43

Dopamine HCL, 7

Dialyvite Vitamin D3 Max, 30, 43

Easy Touch Lancets 21G/Pressure Activated, 32

dopamine HCL-dextrose 5%, 7

Diastar Easy Test II Lancets 30G, 32

dopamine HCL/dextrose 5%, 7

Diastar Easy Test Lancets30G, 32


dopamine/D5W, 7

Diastat Pediatric, 21

Doribax, 3

diazepam, 20


dorzolamide HCL, 24

Diazepam, 20, 21

dorzolamide HCL/timolol maleate, 23

diazepam intensol, 20


doxapram HCL, 21

Dibenzyline, 7

doxazosin mesylate, 7

diclofenac potassium, 26

Easy Touch Lancets 28G/Twist, 32

doxepin HCL, 20

diclofenac sodium, 9, 10, 24


Doxepin HCL, 20

diclofenac sodium DR, 26

doxercalciferol, 14

diclofenac sodium ER, 26


doxorubicin HCL, 4

diclofenac sodium/misoprostol, 26


doxorubicin HCL liposome, 4

dicloxacillin sodium, 1

doxy 100, 1

dicyclomine HCL, 15


doxycycline, 1

Dicyclomine HCL, 15


Doxycycline, 9

didanosine, 2

Easy Touch Safety Lancets21G/Pressure Activated, 32

doxycycline hyclate, 1

diethylpropion HCL, 21

doxycycline hyclate DR, 1

Diethylpropion HCL, 21


doxycycline monohydrate, 1

diethylpropion HCL ER, 21

Dritho-creme HP, 9

Differin, 9

Easy Touch Safety Lancets26G/Button Activated, 32

dronabinol, 16

Dificid, 1

droperidol, 20

difil-G forte, 28


Droplet Lancets Ultra Thin 30G, 32

diflorasone diacetate, 10

drospirenone/ethinyl estradiol, 12, 39

Diflorasone Diacetate, 10

Easy Touch Safety Lancets28G/Button Activated, 32

Droxia, 18

diflunisal, 25

Drug Mart Lancets Thin, 32

digitek, 6


Drug Mart Lancets Ultra Thin, 32

digox, 6

Drug Mart On-the-go Lancets Gentle 30G, 32

digoxin, 6

Easy Twist & CAP Lancets, 32

Digoxin, 6

easygel, 19

Easytest II Lancets, 32

epinastine HCL, 24

esomeprazole sodium, 15

Easytest Lancets, 33

Epinephrine, 7

Esomeprazole Sodium, 15

EC-81 aspirin, 25, 39

epinephrine HCL, 28

Esomeprazole Strontium, 16

econazole nitrate, 9

Epipen 2-PAK, 7

estarylla, 12, 39

ecotrin low strength, 25, 39

Epipen-JR 2-PAK, 8

estazolam, 21

ecpirin, 25, 39

epirubicin HCL, 4

esterified estrogens/methltestosterone, 11

Ed Cyte F, 17

Epirubicin HCL, 4

ed-flex, 25

episone CRE, 10

esterified estrogens/methyltestosterone, 11

ed-spaz, 15

epitol, 21

Edarbi, 7

Epivir HBV, 2

esterified estrogens/methyltestosterone DS, 11

Edarbyclor, 7

eplerenone, 7

Edecrin, 7

Epogen, 18

esterified estrogens/methyltestosterone HS, 11

Edurant, 2

epoprostenol sodium, 8

eemt, 11

eprosartan mesylate, 7

Estrace, 17

eemt HS, 11

Epzicom, 2

estradiol, 11

effer-k, 37

eq adult aspirin low strength, 25, 39

estradiol valerate, 11

Effer-k, 38

eq aspirin, 25, 39

estradiol/norethindrone acetate, 11

effervescent pot chloride, 37

eq aspirin adult low dose, 25, 39

Estring, 17

effervescent potassium, 37

eq aspirin EC, 25, 39

Estrogel, 11

effervescent potassium/chloride, 37

eq aspirin low dose, 25, 39

estropipate, 11

Effient, 19

eq childrens aspirin, 25, 39

Estropipate, 11

Egrifta, 14

eq nicotine, 22, 42

eszopiclone, 21

Elaprase, 15

eq nicotine gum refill, 22, 42

ethambutol HCL, 2

Elelyso, 18

eq nicotine gum starter, 22, 42

ethosuximide, 21

Elidel, 10

eq nicotine polacrilex, 22, 42

Etidronate Disodium, 13

Eligard, 4

eq nicotine step 3, 22, 42

etodolac, 26

elinest, 12, 39

eq slow-release iron, 18, 42

etodolac ER, 26

Eliquis, 19

eql adult aspirin low strength, 25, 39

etomidate, 27

Elite Iron, 18, 42

eql aspirin, 25, 39

Etopophos, 5

Elite-OB, 30

eql aspirin EC, 25, 39

etoposide, 5

Elitek, 5

eql aspirin low dose, 25, 39

Etoposide, 5

Elixophyllin, 28

eql childrens aspirin, 25, 39

Euflexxa, 23

Ella, 12

eql childrens vitamin d gummies, 30, 43

Eurax, 11

Elmiron, 17

Eql Color Lancets 21G, 33

Evamist, 11

Eloctate, 19

Eql Color Lancets Micro Thin 33G, 33

Exalgo, 26

Eloxatin, 3

eql folic acid, 18, 41

Exelderm, 9

Elspar, 4

eql iron supplement therapy, 18, 42

Exelon, 22

Emadine, 24

eql nicotine, 22, 42

exemestane, 4

Embeda, 26

eql nicotine polacrilex, 22, 42

Exjade, 38

Embrace Lancets Ultra Thin 30G, 33

eql nicotine polacrilex refill, 22, 42

exoderm, 9

Emcyt, 4

eql nicotine polacrilex starter, 22, 42

exotic-HC, 24

Emend, 16

Eql Prenatal Formula, 31, 41

Extavia, 22

emoquette, 12, 39

eql slow release iron, 18, 42

Eylea, 24

Emsam, 20

Eql Super Thin Lancets 30G, 33

EZ Smart Blood Glucose Lancets, 33

Emtriva, 2

Eql Thin Lancets 26G, 33

EZ-lets Lancets 21G, 33

Enablex, 17

eql vitamin d-3, 30, 43


enalapril maleate, 6

eql vitamin d3, 30, 43

EZ-lets Lancets 26G Super-soft, 33

enalapril maleate/hydrochlorothiazide, 7

Eraxis, 2

EZ-lets Lancets 28G Ultra-soft, 33

enalaprilat, 7

Erbitux, 4


Enbrel, 27

ergocalciferol, 29

ezfe 200, 18, 42

Enbrel Sureclick, 27

ergoloid mesylates, 22

F

Encare, 17, 40

Ergomar, 27

fa-8, 18, 41

endocet, 26

Erivedge, 5

Fa-8, 18, 41

endodan, 26

errin, 12, 39

fabb, 17

Endometrin, 17

Ertaczo, 9

Fabrazyme, 15

Enfamil Expecta, 31

Erwinaze, 4

Factive, 2

Engerix-b, 29, 41

ery, 8

falmina, 12, 39

Enjuvia, 11

Ery-TAB, 1

famciclovir, 2

Enovarx-cyclobenzaprine HCL, 23

Erythrocin Lactobionate, 1

famotidine, 15

enoxaparin sodium, 18

erythromycin, 1, 8, 23

Famotidine, 15

enpresse-28, 12, 39

Erythromycin Base, 1

Famotidine Premixed, 15

enskyce, 12, 39

Erythromycin Ethylsuccinate, 1

Fanapt, 20

entacapone, 21

erythromycin/benzoyl peroxide, 8

Fanapt Titration Pack, 20

entecavir, 3

Escavite LQ, 30

Fareston, 4

enteric coated aspirin, 25, 39

escitalopram oxalate, 20

Faslodex, 4

enulose, 16

esgic, 25

Fasttake Compact Monitoring System, 33

ephedrine sulfate, 7

Esgic, 25

Epiduo, 9

esmolol HCL, 6

Fasttake Test Strips, 33

Fazaclo, 20

First-lansoprazole, 16

Flura-drops, 38, 41

Fc Female Condom, 40

Flagyl ER, 3

flurazepam HCL, 21

Fc2 Female Condom, 40

Flarex, 23

Flurazepam HCL, 21

FE Aspartate, 18, 42

flavoxate HCL, 17

flurbiprofen, 26

FE c plus, 17

Flebogamma Dif, 38

flurbiprofen sodium, 24

FE gluconate, 18, 42

flecainide acetate, 6

flurox, 24

FE TABS, 18, 42

Flector, 9

flutamide, 4

Feiba, 19

flexbumin, 19

fluticasone propionate, 10, 27

Feiba NF, 19

Flovent Diskus, 28

fluvastatin, 8

felbamate, 21

Flovent HFA, 28

Fluvirin 2013-2014, 29, 41

felodipine ER, 6

floxuridine, 4

Fluvirin 2014-2015, 29, 41

Femcap, 40

Fluarix 2013-2014, 29, 41

Fluvirin PF 2013-2014, 29, 41

Femiron, 18, 42

Fluarix 2014-2015, 29, 41

Fluvirin PF 2014-2015, 29, 41

fenofibrate, 8

Fluarix Quadrivalent 2013-2014, 29, 41

fluvoxamine maleate, 20

Fenofibrate, 8

Fluarix Quadrivalent 2014-2015, 29, 41

fluvoxamine maleate ER, 20

fenofibrate micronized, 8

Flublok 2013-2014, 29, 41

Fluzone High-dose PF 2013-2014, 29, 41

Fenofibric Acid, 8

Flublok 2014-2015, 29, 41

fenofibric acid DR, 8

flucaine, 24

Fluzone High-dose PF 2014-2015, 29, 41

Fenoglide, 8

Flucelvax 2013-2014, 29, 41

fenoldopam mesylate, 7

Flucelvax 2014-2015, 29, 41

Fluzone Intradermal, 29, 41

Fenoprofen Calcium, 26

fluconazole, 2

Fluzone Intradermal Quadrivalent, 29, 41

fentanyl, 26

fluconazole IN dextrose, 2

Fluzone Pediatric PF 2013-2014, 29, 41

fentanyl citrate, 26

fluconazole IN NACL, 2

Fluzone PF 2013-2014, 29, 41

fentanyl citrate oral transmucosal, 26

Fluconazole IN NACL, 2

Fluzone PF 2014-2015, 29, 41

Fentora, 26

flucytosine, 2

Fluzone Quadrivalent 2013-2014, 29, 41

feosol, 18, 42

fludarabine phosphate, 4

Fluzone Quadrivalent 2014-2015, 29, 41

Feosol, 18, 42

fludrocortisone acetate, 11

Fluzone Split 2013-2014, 29, 41

fer-iron, 18, 42

Flulaval 2013-2014, 29, 41

Fluzone Split 2014-2015, 29, 41

Feraheme, 18

Flulaval 2014-2015, 29, 41

FML, 23

ferate, 18, 42

Flulaval Quadrivalent 2013-2014, 29, 41

Focalin XR, 21

ferocon, 17

Flulaval Quadrivalent 2014-2015, 29, 41

folastin, 37

ferosul, 18, 42

flumazenil, 37

Folbecal, 30

ferotrinsic, 17

Flumist Nasal Vaccine 2012-2013, 29, 41

folbee, 17

Ferraplus 90, 17

Flumist Quadrivalent, 29, 41

folbee plus, 30

ferretts, 18, 42

flunisolide, 27

folbee plus cz, 30

Ferretts Chewable Iron, 18

Flunisolide, 27

folbic, 37

Ferretts IPS, 18, 42

fluocinolone acetonide, 10, 24

Folbic RF, 38

ferrex 150, 18, 42

fluocinolone acetonide body, 10

folcaps, 17

Ferrex 150 Forte Plus, 18

fluocinolone acetonide ear drops, 24

folic acid, 17, 41

Ferrex 28, 18

fluocinolone acetonide scalp, 10

Folic Acid, 17

ferric x-150, 18, 42

fluocinonide, 10

folic acid/vitamin b-6/vitamin b-12, 17

Ferrimin 150, 18, 42

fluocinonide-e, 10

Follistim AQ, 14

Ferriprox, 38

fluor-a-day, 38, 40

Folotyn, 4

ferro-bob, 18, 42

Fluor-a-day, 38, 41

folplex 2.2, 17

Ferro-sequels, 18, 42

fluor-i-strips a.t., 24

Foltrate, 18

ferrocite, 18, 42

Fluorabon, 38, 41

foltrin, 17

ferrocite plus, 17

fluorescein-benoxinate, 24

Foltx, 38

ferrogels forte, 17

fluorescein/proparacaine, 24

fomepizole, 37

ferrotabs, 18, 42

fluorets, 24

fondaparinux sodium, 18

ferrous drops, 18, 42

fluoride, 38, 40

Fora Lancets, 33

Ferrous Fumarate, 18, 42

fluoridex daily defense, 19

Foradil Aerolizer, 28

ferrous fumarate 324, 18, 42

fluoridex daily defense enhanced whitening, 19

Forfivo XL, 20

ferrous gluconate, 18, 42

formadon, 37

Ferrous Gluconate, 18, 42

fluoridex daily defense sensitivity relief, 19

formaldehyde, 37

ferrous sulfate, 18, 42

Forteo, 14

Ferrous Sulfate, 18, 42

fluoritab, 38, 40

Fortical, 14

ferrousul, 18, 42

fluorometholone, 23

Fosamax Plus D, 13

ferus, 18, 42

Fluoroplex, 11

Foscarnet Sodium, 2

Fibricor, 8

fluorouracil, 4, 10

fosinopril sodium, 7

Fifty50 Alcohol Prep Pads, 36

Fluorouracil, 11

fosinopril sodium/hydrochlorothiazide, 7

Fifty50 Safety Seal Lancets 30G, 33

fluoxetine, 22

fosphenytoin sodium, 21

Fifty50 Safety Seal Lancets 32G, 33

fluoxetine DR, 20

Fosrenol, 16

Finacea, 9

fluoxetine HCL, 20

Fragmin, 19

finasteride, 10, 17

Fluoxetine HCL, 20

Freamine Iii, 37

Fine 30, 33

fluphenazine decanoate, 20

Freds Pharmacy Unilet Lancets Super Thin 30G, 33

Fingerstix Lancets, 33

fluphenazine HCL, 20

Firazyr, 19

Fluphenazine HCL, 20

Freds Pharmacy Unilet Lancets Ultra Thin 28G, 33

Firmagon, 4

flura-drops, 38, 40

Freestyle Lancets, 33

Geodon, 20

gnp vitamin d, 30, 43

Freestyle Unistick II Lancets, 33

gianvi, 12, 39

gnp vitamin d maximum strength, 30, 43

fresenius propoven, 27

Giazo, 16

gnp vitamin d super strength, 30, 43

Frova, 27

gildagia, 12, 39

gnp vitamin d3 extra strength, 30, 43

ful-GLO, 24

gildess 1.5/30, 12, 39

Golytely, 15, 43

furosemide, 7

gildess 1/20, 12, 39

Gonal-f, 14

Furosemide, 7

gildess 24 FE, 12, 39

Gonal-f RFF, 14

Fusilev, 5

gildess FE 1.5/30, 12, 39

Gonal-f RFF Pen, 14

Fuzeon, 2

gildess FE 1/20, 12, 39

Gonal-f RFF Rediject, 14

Fycompa, 21

Gilenya, 22

goodsense aspirin low dose, 25, 39

G

Gilotrif, 5

Goodsense Prenatal Vitamins, 31, 41

giltuss pediatric, 28

grafco silver nitrate applicator, 10

gabapentin, 21

Giltuss TR, 28

Gralise, 22

Gabitril, 21

Glassia, 28

Gralise Starter, 22

Gablofen, 23

Gleevec, 5

granisetron HCL, 16

galantamine, 22

Gleostine, 3

Granisol, 16

galantamine hydrobromide, 22

Gliadel Wafer, 3

green GLO lissamine greenophthalmic strips, 24

Galantamine Hydrobromide, 22

glimepiride, 13

Galzin, 38

glipizide, 13

griseofulvin microsize, 2

Gamastan S/D, 38

glipizide ER, 13

griseofulvin ultramicrosize, 2

Gammagard Liquid, 38

glipizide XL, 13

grx hicort 25, 16

Gammagard S/D, 38

glipizide/metformin HCL, 13

guanfacine ER, 21

Gammagard S/D Iga Less Than 1mcg/ML, 38

Global Alcohol Prep Ease Pads, 36

guanfacine HCL, 7

Global Inject Ease Lancets 28G, 33

Guanidine HCL, 23

Gammaked, 38

Global Inject Ease Lancets 30G, 33

Gynazole-1, 17

Gammaplex, 38

Glucagen, 13

H

Gamunex-c, 38

Glucagen Hypokit, 13

ganciclovir, 2

H&h Thinlet Lancets 26G, 33

Glucagon Emergency Kit, 13

Ganirelix Acetate, 14

H&h Thinlet Super Thin Lancets 30G, 33

Glucocom Lancets 28G, 33

Ganite, 14

H-e-b Incontrol Lancets Super Thin 30G, 33


garamycin, 23


Gardasil, 29, 41

H-e-b Incontrol Lancets Ultra Thin 28G, 33

Glucopro Syringe Reservoir/3ML/Needle/22G X 3/8", 33

Gardasil 9, 29, 41

Gastrinex NF, 15

H.p. Acthar, 14

Glucose Control Normal, 33

gatifloxacin, 23

Haemolance, 33

Glucose Control Solution, 33

Gattex, 16

Haemolance Low Flow Lancets, 33

Glucosource Lancets, 33

gavilyte-c, 15, 43

Haemolance Plus, 33

Glumetza, 13

gavilyte-G, 15, 43

Haemolance Plus High Flow, 33

glyburide, 13

gavilyte-n/flavor pack, 15, 43

Haemolance Plus Low Flow, 33

Glyburide, 13

Gazyva, 4

Haemolance Plus Max Flow, 33

glyburide micronized, 13

Gelnique, 17

Haemolance Plus Pediatric Flow, 33

glyburide/metformin HCL, 13

Gemcitabine, 4

halac, 10

glycine, 17

gemcitabine HCL, 4

Halaven, 5

Glycolic Acid, 9

gemfibrozil, 8

halobetasol propionate, 10

Glycolic Acid 70% High Purity, 9

gene-xene TAB 15MG, 20

Halog, 10

glycopyrrolate, 15

gene-xene TAB 3.75MG, 20

halonate PAC, 10

glydo, 10

gene-xene TAB 7.5MG, 20

haloperidol, 20

Glyset, 13

generlac, 16

haloperidol decanoate, 20

Gmate Lancets 30G, 33

gengraf, 4

haloperidol lactate, 20

gnp adult aspirin low strength, 25, 39

Genotropin, 14

Harvoni, 3

Gnp Alcohol Swabs, 36

Genotropin Miniquick, 14

Havrix, 29, 41

gnp aspirin, 25, 39

gentak, 23

Healthwise Alcohol Prep Pads, 36

gnp aspirin low dose, 25, 39

gentamicin sulfate, 2, 23

Healthwise Lancets 30G, 33

Gnp Daily Prenatal, 31, 41

Gentamicin Sulfate, 9

Healthy Accents Unilet Lancets Super Thin 30G, 33

gnp folic acid, 18, 41

gentamicin sulfate pediatric, 2

gnp iron, 18, 42

gentamicin sulfate/0.9% sodium chloride, 2

healthy kids vitamin d3, 30, 43

Gnp Lancets, 33

Healthy Mama Be Well Rounded, 31

Gnp Lancets 21G, 33

Gentamicin Sulfate/0.9% Sodium Chloride, 2

heather, 12, 39

Gnp Lancets Micro Thin 33G, 33

hecoria, 4

Gnp Lancets Super Thin 30G, 33

gentamicin sulfate/sodium chloride, 2

Hectorol, 14

Gnp Lancets Thin, 33

Gentle-let GP Lancets, 33

Helidac, 16

Gnp Lancets Thin 26G, 33

Gentle-let Lancets General Purpose Style/Fine Point, 33

Helixate FS, 19

Gnp Micro Thin Lancets 33G, 33

hematinic plus vitamins/minerals, 17

gnp nicotine polacrilex, 22, 42

Gentle-let Lancets General Purpose Style/Medium Point, 33

hematinic/folic acid, 17

gnp nicotine polacrilex mini, 22, 42

hematogen, 17

Gnp Prenatal, 31, 41

Gentle-let Lancets Safety Style/Fine Point, 33

Hematogen Fa, 17

Gnp Prenatal Vitamins, 31, 41

hematogen forte, 17

gnp slow release iron, 18, 42

Gentle-let Lancets Safety Style/Medium Point, 33

hemocyte-f, 17

Gnp Super Thin Lancets/30G, 33

hemocyte-plus, 17

Hemofil M, 19

Humira Pen-psoriasis Starter, 27

hyoscyamine sulfate SR, 15

hemril-30, 16

Humulin 70/30, 13

hyosyne, 15

hep flush-10, 18

Humulin 70/30 Kwikpen, 13

hypercare, 10

Hepagam B, 38

Humulin 70/30 Pen, 13

Hyperhep B S/D, 38

heparin lock, 18

Humulin N, 13

Hyperlyte-CR, 37

heparin lock flush, 18

Humulin N Kwikpen, 13

Hyperrab S/D, 38

Heparin Lock Flush, 19

Humulin N U-100 Pen, 13

Hyperrho S/D, 38

heparin lock flush for flushing vascular access devices, 18

Humulin R, 13

Hyperrho S/D Mini-dose, 38

Humulin R U-500 (concentrated), 13

I

heparin lock flush/NACL for flushing vascular access devices, 18

Hy-vee Lancets, 33

ibandronate sodium, 13

Hy-vee Thin Lancets, 33

ibudone, 26

heparin sodium, 18

Hyalgan, 23

ibuprofen, 26

Heparin Sodium, 19

Hycamtin, 5

ibutilide fumarate, 6

heparin sodium dcu, 18

hydralazine HCL, 7

Iclusig, 5

heparin sodium lock flush, 18

hydrochloric acid, 17

idarubicin HCL, 4

heparin sodium/D5W, 19

hydrochlorothiazide, 7

iferex 150, 18, 42

Heparin Sodium/D5W, 19

hydrocodone bitartrate/acetaminophen, 26

iferex 150 forte, 17

Heparin Sodium/NACL 0.45%, 19

Ifex, 4

heparin sodium/NACL 0.9%, 19

Hydrocodone Bitartrate/Acetaminophen, 26

ifosfamide, 3

Heparin Sodium/Sodium Chloride 0.9%, 19

Ifosfamide, 4

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 28

Ifosfamide/Mesna, 5

heparin sodium/sodium chloride 0.9% premix, 18

Ilaris, 27

hydrocodone bitartrate/homatropine methylbromide, 28

Ilevro, 24

hepatamine, 37

ilotycin, 23

hepatasol, 37

hydrocodone polistirex/chlorpheniramine polistirex, 28

Imbruvica, 5

Herceptin, 4

imipenem/cilastatin, 3

hetastarch 6%/NACL, 19

hydrocodone/acetaminophen, 26

imipramine HCL, 20

Hetlioz, 21

Hydrocodone/Acetaminophen, 26

imipramine pamoate, 20

Hexalen, 3

hydrocodone/homatropine, 28

imiquimod, 10

Hiberix, 29, 41

hydrocodone/ibuprofen, 26

Imogam Rabies-ht, 37

high potency iron, 18, 42

hydrocort ene 100MG, 16

Imovax Rabies (h.d.c.v.), 29

High Potency Iron, 18, 42

hydrocortisone, 10, 11, 16

Implanon, 13, 40

Hizentra, 38

hydrocortisone acetate, 16

Inatal Advance, 30

HM aspirin, 25, 39

hydrocortisone acetate/aloe, 10

Inatal GT, 30

HM aspirin EC, 25, 39

hydrocortisone acetate/lidocaine HCL, 16

Inatal Ultra, 30

HM aspirin EC low dose, 25, 39

hydrocortisone acetate/pramoxine, 10, 16

Increlex, 14

HM folic acid, 18, 41

indapamide, 7

HM iron, 18, 42

hydrocortisone acetate/pramoxine HCL, 16

Inderal XL, 6

HM iron slow release, 18, 42

indigo carmine, 37

HM Lancets Micro Thin 33G, 33

hydrocortisone butyrate, 10

indocyanine green, 37

HM Lancets Ultra Thin 30G, 33

hydrocortisone butyrate (lipid), 10

indomethacin, 26

HM nicotine polacrilex, 22, 43

hydrocortisone butyrate (lipophilic), 10

Indomethacin, 26

HM nicotine transdermal system, 22, 43

hydrocortisone IN absorbase, 10

indomethacin ER, 26

HM nicotine transdermal system step 3, 22, 43

hydrocortisone valerate, 10

indomethacin sodium, 26

hydrocortisone/acetic acid, 24

Infanrix, 29, 41

HM One Daily Prenatal Combo, 31, 41

hydrocortisone/iodoquinol, 9

infed, 17

HM Prenatal, 31, 41

hydrogesic, 26

Infergen, 3

HM vitamin d, 30, 43

hydromet, 28

Influenza A (h1n1) Monovalent 2009, 29, 41

HM vitamin d3, 30, 43

hydromorphone HCL, 26

HM Vitamin D3, 30, 43

Hydromorphone HCL, 26

Infumorph 200, 26

homatropaire, 24

Hydromorphone HCL Dosette, 26

Infumorph 500, 26

homatropine HBR, 24

hydromorphone HCL ER, 26

infuvite, 30

Horizant, 22

Hydromorphone HCL ER, 26

infuvite adult, 30

Humalog, 13

hydroquinone, 10

infuvite pediatric, 30

Humalog Kwikpen, 13

hydroquinone time release, 10

Inlyta, 5

Humalog Mix 50/50, 13

Hydroxocobalamin, 17

Innopran XL, 6

Humalog Mix 50/50 Kwikpen, 13

hydroxychloroquine sulfate, 3

Inset 30 Infusion Set 23", 33

Humalog Mix 75/25, 13

hydroxyurea, 5

Inset 30 Infusion Set 43", 33

Humalog Mix 75/25 Kwikpen, 13

hydroxyzine HCL, 20

Inset Infusion Set 23" 6MM, 33

human albumin grifols, 19

Hydroxyzine HCL, 20


Humate-p, 19

hydroxyzine pamoate, 20


Humatrope, 14

Hydroxyzine Pamoate, 20


Humatrope Combo Pack, 14

hygel, 10

Inspirachamber/Anti-static Valved/Mouthpiece, 36

Humira, 27

hyomax-SL, 15

Humira Pediatric Crohns Disease Starter Pack, 27

hyophen, 16

Inspirachamber/Soothermask/Inspiramask/Medium, 36

hyoscyamine sulfate, 15

Humira Pen, 27

hyoscyamine sulfate ER, 15

Inspirachamber/Soothermask/Inspiramask/Small, 36

Humira Pen-crohns Diseasestarter, 27

hyoscyamine sulfate odt, 15

Inspirease Bags, 36

Ixempra Kit, 5

klor-CON 10, 37

Inspirease Drug Delivery System, 36

Ixiaro, 29

klor-CON 8, 37

Inspirease Mouthpiece, 36

J

klor-CON m10, 37

Inspirease Reservoir Bags, 36

Klor-CON M15, 38

Jakafi, 5

Insulin P.M. IR2020 Black, 33

klor-CON m20, 37

jantoven, 19

Insulin P.M. IR2020 Blue, 33

klor-CON/EF, 37

Janumet, 13

Insulin P.M. IR2020 Green, 33

kls aspirin EC, 25, 39

Janumet XR, 13

Insulin P.M. IR2020 Red, 33

kls aspirin low dose, 25, 39

Januvia, 13

Insulin P.M. IR2020 Silver, 33

kls quit2, 22, 42

jencycla, 12, 39

Integrilin, 19

kls quit4, 22, 42

Jentadueto, 13

Intelence, 2

Koate-dvi, 19

Jetrea, 24

Intermezzo, 21

Kogenate FS, 19

Jevtana, 5

intralipid, 37

Kogenate FS Bio-set, 19

Jinteli, 11

Intron A, 5

Kombiglyze XR, 13

jolessa, 12, 39

Intron-a, 5

kp aspirin, 25, 39

jolivette, 12, 39

Intron-a W/Diluent, 5

kp ferrous gluconate, 18, 42

junel 1.5/30, 12, 39

introvale, 12, 39

kp ferrous sulfate, 18, 42

junel 1/20, 12, 39

Invanz, 3

kp folic acid, 18, 41

junel FE 1.5/30, 12, 39

Invega, 20

Kp Prenatal Multivitamins, 31, 41

junel FE 1/20, 12, 39

Invega Sustenna, 20

kp vitamin d, 30, 43

just d, 30, 43

Invirase, 2

Kristalose, 15

Juvisync, 13

Invokana, 13

Kroger Lancets, 33

Juxtapid, 8

Iopidine, 24

Kroger Lancets 21G, 33

K

Ipol Inactivated IPV, 29, 41

Kroger Lancets Micro Thin33G, 33

ipratropium bromide, 27, 28

Kroger Lancets Super Thin, 33

k-effervescent, 37

ipratropium bromide/albuterol sulfate, 28

Kroger Lancets Thin, 33

K-phos, 38

irbesartan, 7

Kroger Lancets Thin 26G, 33

k-prime, 37

irbesartan/hydrochlorothiazide, 7

Kroger Lancets Ultrathin 30G, 33

k-sol, 37

irinotecan, 5

Krystexxa, 27

k-vescent, 37

Irinotecan, 5

kurvelo, 12, 39

Kadcyla, 4

iron, 18, 42

Kuvan, 15

Kadian, 26

Iron, 18, 42

Kynamro, 8

Kalbitor, 19

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 18

Kyprolis, 5

Kaletra, 2

L

Kalydeco, 28

Iron Chews Pediatric, 18, 42

Kapvay Dose Pack, 21

l-cysteine HCL, 37

iron slow release, 18, 42

karidium, 38, 40

L-methyl-b6-b12, 38

iron supplement, 18, 42

karigel, 19

L-methyl-mc, 38

iron supplement childrens, 18, 42

karigel-n, 19

L-methylfolate, 38

Iron Up, 18, 42

kariva, 12, 39

L-methylfolate CA/P-5-P.M.-CBL, 38

Isentress, 2

KCL 0.075%/D5W/NACL 0.45%, 37

L-methylfolate Calcium, 38

isoditrate ER, 6

KCL 0.15%/D5W/ NACL 0.3%, 37

labetalol HCL, 6

isoflurane, 27

KCL 0.15%/D5W/Lr, 37

laclotion, 10

isolyte-m/dextrose 5%, 37

KCL 0.15%/D5W/NACL 0.2%, 38

Lacrisert, 23

Isolyte-s, 38

KCL 0.15%/D5W/NACL 0.225%, 38

lactated ringers, 37

isometheptene mucate/caffeine/acetaminophen, 27

KCL 0.15%/D5W/NACL 0.45%, 38

lactated ringers dextrose 5% viaflex, 37

KCL 0.15%/D5W/NACL 0.9%, 38

lactated ringers irrigation, 37

Isometheptene/Caffeine/Acetaminophen, 27

KCL 0.3%/D5W/Lr IV Lac Ring, 38

lactated ringers viaflex, 37

KCL 0.3%/D5W/NACL 0.45%, 38

lactic acid, 10

isometheptene/dichloralphenazone/acetaminophen, 27

KCL 0.3%/D5W/NACL 0.9%, 38

lactic acid e, 10

kedbumin, 19

lactic acid w/vitamin e, 10

isoniazid, 2

kelnor 1/35, 12, 39

lactulose, 15, 16

Isoniazid, 2

Kenalog, 10

Lamictal, 21

Isopto Carbachol, 24

kendall sodium chloride flush, 37

Lamictal Odt, 21

isosorbide dinitrate, 6

Kepivance, 5

Lamisil, 2

Isosorbide Dinitrate, 6

ketamine HCL, 27

lamivudine, 2

isosorbide dinitrate ER, 6

Ketek, 3

lamivudine/zidovudine, 2

isosorbide mononitrate, 6

ketoconazole, 2, 9

lamotrigine, 21

isosorbide mononitrate ER, 6

ketodan, 9

lamotrigine ER, 21

isosulfan blue, 37

ketoprofen, 26

lamotrigine odt, 21

isotonic gentamicin, 2

Ketoprofen ER, 26

Lancets, 33

Isotonic Gentamicin, 2

ketorolac tromethamine, 24, 26

Lancets 26G Twist Top, 33

isoxsuprine HCL, 8

Ketorolac Tromethamine, 26

Lancets 28G, 33

Isoxsuprine HCL, 8

Kineret, 27

Lancets 30G, 33

Isradipine, 6

Kinney Lancets, 33


Istalol, 23

Kinney Thin Lancets, 33


Istodax, 5

Kinrix, 29, 41

Lancets Bullseye Safety, 33

itraconazole, 2

kionex, 37

Lancets Micro Thin 33G, 33

ivermectin, 3

klor-CON, 37

Lancets Safety Seal 21G, 33


Lexiva, 2

lorcet plus, 26


Lialda, 16

lortab, 26


Liberty Blood Glucose Meter, 33

loryna, 12, 40

Lancets Super Thin 28G, 33

Liberty Glucose Control Mid, 33

Lorzone, 23

Lancets Thin, 33

Liberty Glucose Control Normal, 33

losartan potassium, 7

Lancets Twist Top, 33

Liberty Mini Lancing Device, 35

losartan potassium/hydrochlorothiazide, 7

Lancets Ultra Fine, 33

Liberty Test Strips, 33

Lancets Ultra Thin, 33

lidazone HC, 16

Lotemax, 23

Lancets Ultra Thin 30G, 33

lidocaine, 10

Lotronex, 16

lanolin, 37

lidocaine HCL, 6, 10, 19, 27

lovastatin, 8

lansoprazole, 15

Lidocaine HCL, 6

low-ogestrel, 12, 40

lansoprazole/amoxicillin/clarithromycin, 15

lidocaine HCL IN D5W, 6

loxapine, 20

lidocaine HCL jelly, 10

loxapine succinate, 20

Lantus, 13

lidocaine HCL viscous, 19

Lozi-flur, 38, 40

Lantus Solostar, 13

Lidocaine HCL-hydrocortisone Acetate With Aloe, 16

Lucentis, 24

larin 1.5/30, 12, 39

ludent, 38, 40

larin 1/20, 12, 40

lidocaine HCL/dextrose, 6

Lufyllin, 28

larin FE 1.5/30, 12, 39

Lidocaine HCL/Dextrose, 27

Lumigan, 23

larin FE 1/20, 12, 39

lidocaine HCL/hydrocortisone acetate, 16

Lumizyme, 15

Lastacaft, 24

lidocaine viscous, 19

Lupron Depot, 4

latanoprost, 23

lidocaine/epinephrine, 27

Lupron Depot-PED, 14

latrix, 10

lidocaine/prilocaine, 10

lutera, 12, 40

Latuda, 20

lidopin, 10

Lyrica, 21

lavoclen-4 acne wash kit, 8

Lifescan Unistik 2 Deep Penetration, 33

lysiplex plus, 30

Lavoclen-4 Creamy Wash, 9

Lifescan Unistik II Lancets, 33

Lysodren, 4

lavoclen-8 acne wash kit, 8

Lincocin, 3

lyza, 12, 40

Lavoclen-8 Creamy Wash, 9

lindane, 10

M

Lazanda, 26

linezolid, 3

M-m-r II W/Diluent 10 Dose, 29, 41

Leader Lancets Colored, 33

Linzess, 16

M-vit, 30, 41

Leader Super Thin Lancet, 33

Lioresal Intrathecal, 23

M.v.i. Adult, 31

Leader Thin Lancets, 33

liothyronine sodium, 15

M.v.i. Pediatric, 31

Lecithin, 38

lipodox, 4

M.v.i.-12 Without Vitamin K, 31

leena, 12, 40

lipodox 50, 4

Macnatal CN DHA, 30

leflunomide, 26

Lipofen, 8

Macugen, 24

lessina, 12, 40

liposyn iii, 37

mafenide acetate, 10

Letairis, 8

Liptruzet, 8

Magnebind 400, 38

letrozole, 4

lisinopril, 7

magnesium chloride, 37

leucovorin calcium, 5

lisinopril/hydrochlorothiazide, 7

magnesium sulfate, 37

Leucovorin Calcium, 5

lissamine green, 24

Magnesium Sulfate, 38

Leukeran, 3

Lite Touch Lancets, 33

Magnesium Sulfate IN D5W, 38

Leukine, 18

Liteaire, 36

Makena, 13

leuprolide acetate, 4

Litetouch Lancets Micro Thin 33G, 33

malathion, 10

levalbuterol, 28

Lithium, 20

mannitol, 7

levalbuterol HCL, 28

lithium carbonate, 20

Maprotiline HCL, 20

Levatol, 6

Lithium Carbonate, 20

margesic, 25

Levemir, 13

lithium carbonate ER, 20

marlissa, 12, 40

Levemir Flexpen, 13

Livalo, 8

Marplan, 20

Levemir Flextouch, 13

Live Better Lancet Super Thin 30G, 33

Marqibo, 5

levetiracetam, 21

Live Better Lancet Ultra Thin 28G, 33

marten-TAB, 25

Levetiracetam, 21

LMD 10% Dextrose 5%, 19

Mask Vortex/Baby Whirl Duckling, 36

levetiracetam ER, 21

LMD 10% Sodium Chloride 0.9%, 19

Mask Vortex/Child/Frog, 36

levobunolol HCL, 23

Lmthf/Pyridoxine HCL/Cyanocobalamin, 38

Mask Vortex/Spinner The Duck, 36

Levobunolol HCL, 23

Mask Vortex/Toddler/Lady Bug, 36

levocarnitine, 14

LO Loestrin FE, 12, 40

Matulane, 5

levocetirizine dihydrochloride, 27

Locoid, 10

matzim LA, 6

levofloxacin, 2, 23

lofene, 15

Maxair Autohaler, 28

levofloxacin IN D5W, 2

lokara, 10

maximum d3, 30, 43

levonest, 12, 40

lomedia 24 FE, 12, 40

Maxipime, 1

levonorgestrel, 12, 40

Lomustine, 3

MD-gastroview, 38

levonorgestrel and ethinyl estradiol, 12, 40

Longs Lancets Standard, 33

meclizine HCL, 16

Longs Lancets Thin, 33

Meclofenamate Sodium, 26

levonorgestrel/ethinyl estradiol, 12, 40

Longs Lancets Ultra Thin, 33

Medi-seltzer, 25, 39

Levophed, 7

lonox, 15

Medical Provider EZ Flu Shot 2013-2014, 29, 41

levora 0.15/30-28, 12, 40

loperamide HCL, 15

Levorphanol Tartrate, 26

lopreeza, 11

Medical Provider EZ Flu Shot 2014-2015, 29, 41

levothyroxine sodium, 15

lorazepam, 20

Levothyroxine Sodium, 15

lorcet, 26

Medical Provider EZ Flu Shot PF 2012-2013, 29, 41

levoxyl, 15

lorcet HD, 26


mesna, 5

midazolam HCL, 21

Mesnex, 5

midodrine HCL, 7


Mestinon, 23

migragesic ida, 27

Mestinon Timespan, 23

Migralam, 27

Medichoice Pre-set Safety Lancet Dual Use, 33

metadate ER, 21

Millipred, 11

Metafolbic, 38

Millipred DP, 11

Medichoice Pre-set Safety Lancet Low Flow, 33

Metaproterenol Sulfate, 28

milrinone IN dextrose, 6

Metastron, 5

milrinone lactate, 6

Medichoice Pre-set Safety Lancet Medium Flow, 33

metaxalone, 22

mimvey, 11

metformin HCL, 13

mimvey LO, 11

Medichoice Pre-set Safety Lancet Moderate Flow, 33

metformin HCL ER, 13

Minastrin 24 FE, 12, 40

methadone HCL, 26

Mineral Oil Heavy, 15

Medichoice Safety Lancet Extra, 33

Methadone HCL, 26

miniprin low dose, 25, 39

Medichoice Safety Lancet Normal, 33

methadone HCL intensol, 26

minitran, 6

Medicine Shoppe Lancets, 33

methadose, 26

Minivelle, 11

Medicine Shoppe Lancets Thin, 33

Methadose, 26

Minocin, 1

Medisense Thin Lancets, 33

Methadose Sugar-free, 26

minocycline HCL, 1

Medlance Plus Extra Lancets 21G, 33

methamphetamine HCL, 21

minocycline HCL ER, 1

Medlance Plus Lancets, 33

methazolamide, 7

minoxidil, 7

Medlance Plus Lancets Lite 25G, 33

methenamine hippurate, 16

Mirapex ER, 22

Medlance Plus Lite Lancets 25G, 33

methenamine mandelate, 16

Mirena, 13, 40

Medlance Plus Special Lancets 0.8MM, 33

Methenamine Mandelate, 16

mirtazapine, 20

methimazole, 15

mirtazapine odt, 20

Medlance Plus Superlite 30G, 33

Methitest, 11

misoprostol, 15

Medlance Plus Superlite 30G/Comfort Max, 33

methocarbamol, 23

Mission Prenatal, 31, 41

methotrexate, 4

Mission Prenatal HP, 31, 41

Medlance Plus Universal Lancets 21G, 33

methotrexate sodium, 4

mitomycin, 4

methoxsalen, 9

mitoxantrone HCL, 4

Medlance Plus/Lite 25G, 33

methscopolamine bromide, 15

MM aspirin, 25, 39

Medlance/Extra, 33

Methyclothiazide, 7

modafinil, 21

Medlance/Lite, 33

methyldopa, 7

moderiba, 3

Medlance/Universal, 33

Methyldopa/Hydrochlorothiazide, 7

Moderiba, 3

medroxyprogesterone acetate, 12, 13, 40

Methyldopate HCL, 7

Moderiba 1200 Dose Pack, 3

mefenamic acid, 26

methylene blue, 37

Moderiba 800 Dose Pack, 3

mefloquine HCL, 3

methylergonovine maleate, 24

moexipril HCL, 7

Mefoxin, 1

methylphenidate HCL, 21

moexipril/hydrochlorothiazide, 7

mega-c/a plus, 29

methylphenidate HCL CD, 21

mometasone furoate, 10

megestrol acetate, 4

methylphenidate HCL ER, 21

mono-linyah, 12, 40

Meijer Alcohol Swabs Extra-thick, 36

Methylphenidate HCL ER, 21

Monoclate-p, 19

meijer aspirin EC, 25, 39

methylphenidate HCL SR, 21

monoject pharma grade flush syringe, 37

Meijer Color Lancets Universal 33G, 33

methylphenidate hydrochloride, 21

monoject pharma grade flush syringe/heparin lock, 19

meijer ferrous sulfate, 18, 42

methylprednisolone, 11

Meijer Lancets, 33

methylprednisolone acetate, 11

monoject prefill advanced heparin lock flush, 19

Meijer Lancets Thin, 34

methylprednisolone dose pack, 11

Meijer Lancets Universal 33G, 34

methylprednisolone sodiumsuccinate, 11

monoject sodium chloride flush, 37

Meijer Super Thin Lancets, 34

Metipranolol, 23

Monolet Lancets, 34

Mekinist, 5

metoclopramide HCL, 16

Monolet Opd Lancets, 34

meloxicam, 26

metolazone, 7

Monolettor Safety Lancets, 34

Meloxicam, 26

metoprolol succinate ER, 6

mononessa, 12, 40

melpaque HP, 10

metoprolol tartrate, 6

Mononine, 19

melphalan hydrochloride, 3

metoprolol/hydrochlorothiazide, 7

Monovisc, 23

melquin HP, 10

metronidazole, 3, 9

montelukast sodium, 28

Menactra, 29, 41

metronidazole IN NACL 0.79%, 3

Monurol, 17

Menest, 11

metronidazole vaginal, 17

morgidox 1X100MG, 1

Menhibrix, 29

mexiletine HCL, 6

morgidox 2X100MG, 1

Menomune-a/C/Y/W-135, 29, 41

Miacalcin, 14

morphine sulfate, 26

Menopur, 14

Miconazole 3, 17

Morphine Sulfate, 26

Mentax, 9

Micrhogam Ultra-filtered Plus, 38

Morphine Sulfate Add-vantage, 26

Menveo, 29, 41

Microchamber, 36

morphine sulfate ER, 26

meperidine HCL, 26

microgestin 1.5/30, 12, 40

morrhuate sodium, 37

Meperidine HCL, 26

microgestin 1/20, 12, 40

Motofen, 15

meperitab, 26

microgestin FE, 12, 40

Moviprep, 15

Mephyton, 30

microgestin FE 1.5/30, 12, 40

Moxatag, 1

Mepivacaine HCL, 27

Microlet Lancets, 34

Moxeza, 23

meprobamate, 20

micronized colestipol HCL, 8

moxifloxacin HCL, 2

mercaptopurine, 4

Microspacer, 36

Mozobil, 18

meropenem, 3

Microtainer Safety Flow Lancet/Sterile/Single-use, 34

mult-vitamin/fluoride, 30

mesalamine, 16

Multaq, 6

Multi Prenatal, 31, 41

Naprelan, 26

Nicazel, 31

multi vitamin/fluoride, 30

naproxen, 26

Nicazel Forte, 31

multi-vit/fluoride, 30

naproxen DR, 26

nicorelief, 22, 42

multi-vit/iron/fluoride, 30

naproxen sodium, 26

nicotine, 22, 42

multi-vitamin/fluoride, 30

naratriptan HCL, 27

nicotine polacrilex, 22, 42

multi-vitamin/fluoride/iron, 30

Nascobal, 18

nicotine polacrilex refill, 22, 42

Multigen, 18

Nasonex, 27

nicotine polacrilex starter kit, 22, 42

Multigen Folic, 18

Nat-rul Prenatal Vitamins, 31, 41

nicotine step 1, 22, 42

Multigen Plus, 18

nat-rul vitamin d, 30, 43


Multitrace-4, 38

Natacyn, 23


multitrace-4 concentrate, 37

Natazia, 12, 40

nicotine transdermal system, 22, 42

Multitrace-4 Neonatal, 38

nateglinide, 13

Nicotine Transdermal System, 22, 43

Multitrace-5, 38

Natroba, 11

Nicotrol Inhaler, 22, 43

multitrace-5 concentrate, 37

Nature-throid, 15

Nicotrol Ns, 22, 43

multivitamin with fluoride, 30

Nebupent, 3

nifediac CC, 6

multivitamin/fluoride, 30

nebusal, 28

nifedical XL, 6

multivitamins/fluoride, 30

necon 0.5/35-28, 12, 40

nifedipine, 6

mupirocin, 9

necon 1/35, 12, 40

nifedipine ER, 6

mupirocin calcium, 9

Necon 1/50-28, 11, 39

nikki, 12, 40

Muse, 8

Necon 10/11-28, 11, 39

Nilandron, 4

Mustargen, 4

necon 7/7/7, 12, 40

nimodipine, 6

MVC-fluoride, 31

Neevo DHA, 31

Nipent, 5

my way, 12, 40

nefazodone HCL, 20

nisoldipine, 6

Myalept, 15

Nefazodone HCL, 20

Nisoldipine, 6

Mycamine, 2

neo-polycin, 23

Nisoldipine ER, 6

mycophenolate mofetil, 4

neo-polycin HC, 23

Nitro-bid, 6

mycophenolic acid DR, 4

neofrin, 24

Nitro-dur, 6

mydral, 24

neomycin sulfate, 2

nitro-time, 6

myferon 150, 18, 42

neomycin/bacitracin/polymyxin, 23

nitrofurantoin, 16

myferon 150 forte, 17

neomycin/polymyxin b sulfates, 17

nitrofurantoin macrocrystals, 16

Myglucohealth Mgh Softlance Lancets 30G, 34

neomycin/polymyxin/bacitracin zinc, 23

nitrofurantoin monohydrate, 16

neomycin/polymyxin/bacitracin/hydrocortisone, 23

nitrofurantoin monohydrate/macrocrystals, 16

Mykidz Iron 10, 18, 42

Myleran, 4

neomycin/polymyxin/dexamethasone, 23

nitroglycerin, 6

Mynatal Advance, 30

neomycin/polymyxin/gramicidin, 23

Nitroglycerin, 6

Mynatal Plus, 31

neomycin/polymyxin/HC, 24

nitroglycerin ER, 6

Mynatal Ultracaplet, 31

Neomycin/Polymyxin/Hydrocortisone, 23

nitroglycerin IN 5% dextrose, 6

Mynatal-z, 31

neomycin/polymyxin/hydrocortisone, 24

nitroglycerin IN dextrose 5%, 6

Mynate 90 Plus, 31

neostigmine methylsulfate, 23

Nitroglycerin IN Dextrose 5%, 6

mynephrocaps, 30

nephronex, 30

nitroglycerin lingual, 6

Myobloc, 22

Nessi Spacer/Large Mask, 36

Nitroglycerin Lingual, 6

myorisan, 8

Nessi Spacer/Mouthpiece, 36

nitroglycerin transdermal, 6

Myoxin, 24

Nessi Spacer/Small/MED Mask, 36

Nitromist, 6

Myozyme, 15

Netgroup Lancets, 34

Nitrostat, 6

Myrbetriq, 17

neuac, 8

nizatidine, 15

myzilra, 12, 40

Neulasta, 18

nodolor, 27

N

Neulasta Delivery Kit, 18

nora-be, 12, 40

Neumega, 18

Norditropin Cartridge, 14

n-acetyl-l-cysteine, 37

Neupogen, 18

Norditropin Flexpro, 14

Nabi-HB, 38

Neupro, 22

Norditropin Nordiflex Pen, 14

nabumetone, 26

Neurodep, 31

norepinephrine bitartrate, 7

nadolol, 6

neutragard advanced, 19

norethindrone, 12, 40

nadolol/bendroflumethiazide, 7

neutral sodium fluoride, 19

norethindrone acetate, 13

nafcillin sodium, 1

Nevanac, 24

norethindrone acetate/ethinyl estradiol, 12, 40

Nafcillin Sodium, 1

nevirapine, 2

nafrinse, 38, 40

Nevirapine, 2

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 12, 40

nafrinse drops, 38, 40

nevirapine ER, 2

Naftin, 9

Nexavar, 5

norgestimate/ethinyl estradiol, 12, 40

Naglazyme, 15

Nexium, 15

norlyroc, 12, 40

nalbuphine HCL, 26

Nexplanon, 13, 40

normal saline flush, 37

Nalfon, 26

next choice one dose, 12, 40

normal saline flush for flushing vascular access devices, 37

naloxone HCL, 37

Nexterone, 6

Naloxone HCL, 38

niacin ER, 8

normal saline i.v. flush, 37

naltrexone HCL, 37

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 30

Normosol -r, 38

Namenda, 22

normosol-m IN D5W, 37

Namenda Titration PAK, 22

Niacor, 8

Normosol-r IN D5W, 38

Namenda XR, 22

Nicadan, 31

Noroxin, 2

Namenda XR Titration Pack, 22

nicardipine HCL, 6

Norpace CR, 6

Naphazoline HCL, 24

nortrel 0.5/35 (28), 12, 40

octreotide acetate, 14

Opsumit, 8

nortrel 1/35, 12, 40

ocucoat viscoadherent, 24

Optichamber Advantage, 36

nortrel 7/7/7, 12, 40

Ocudox, 1

Optichamber Diamond, 36

nortriptyline HCL, 20

ofloxacin, 2, 23, 24

Optichamber Diamond/Largeface Mask, 36

Nortriptyline HCL, 20

Ofloxacin, 2

nortuss-DE, 28

Ogestrel, 12, 40

Optichamber Diamond/Medium Face Mask, 36

Nortuss-EX, 28

olanzapine, 20

Norvir, 2

olanzapine odt, 20

Optichamber Diamond/Smallface Mask, 36

norwich aspirin, 25, 39

olanzapine/fluoxetine, 22

Nova Safety Lancets 23G, 34

olopatadine HCL, 27

Optichamber Valved Holding Chamber, 36

Nova Safety Lancets 28G, 34

Olysio, 3

Nova Sureflex Lancets, 34

Omeclamox-PAK, 16

Optichamber/Mask, 36

Novaferrum Pediatric Drops, 18, 42

omega-3-acid ethyl esters, 8

Optihaler, 36

novarel, 14

omeprazole, 15

Optihaler MDI Drug Delivery System, 36

Novofine 30GX8MM, 34

omeprazole/sodium bicarbonate, 15

optimal-d, 30, 43

Novofine 32GX6MM, 34

Omnaris, 28

optimal-d pack, 30, 43

Novofine Autocover 30GX8MM, 34

Omniflex Diaphragm, 40

Options Conceptrol Vaginal Contraceptive, 17, 40

Novolin 70/30, 13

Omnitrope, 14

Novolin 70/30 Relion, 13

On Call Lancets, 34

Options Gynol II Vaginal Contraceptive, 17, 40

Novolin N, 13

On Call Plus Lancets, 34

Novolin N Relion, 13

Oncaspar, 4

opurity vitamin d, 30, 43

Novolin R, 13

ondansetron HCL, 16

Oracea, 9

Novolin R Relion, 13

ondansetron odt, 16

Oracit, 17

Novolog, 13

One A Day Womens Prenatal/DHA, 31

oralone, 19

Novolog Flexpen, 13

One-a-day Womens Prenatal, 31, 41

Orap, 22

Novolog Mix 70/30, 13

Onetouch Basic System, 34

Orapred Odt, 11

Novolog Mix 70/30 Prefilled Flexpen, 13

Onetouch Basic/Profile Test Strips, 34

Oravig, 20

Novolog Penfill, 13

Onetouch Club Lancets Fine Point, 34

Orencia, 27

Novoseven, 19

Onetouch Combo Pack, 34

Orfadin, 15

Novoseven Rt, 19

Onetouch Delica Lancets Extra Fine 33G, 34

orphenadrine citrate, 23

Novotwist 30GX8MM, 34

orphenadrine citrate ER, 23

Novotwist 32GX5MM, 34

Onetouch Delica Lancets Fine 30G, 34

orphenadrine/asa/caffeine, 23

Noxafil, 2

Onetouch Delica Lancing Device, 35

orsythia, 12, 40

NP thyroid, 15

Onetouch Finepoint Lancets, 34

Ortho Diaphragm All-flex/65MM, 40

NP thyroid 30, 15

Onetouch Lancets, 34


NP thyroid 60, 15

Onetouch Ping Insulin P.M., 34


NP thyroid 90, 15

Onetouch Ping Meter Remote, 34


Nplate, 18

Onetouch Profile System, 34

Ortho Diaphragm Coil Spring Kit 100, 40

nu-iron 150, 18, 42

Onetouch Suresoft Lancing Device/18G, 35


Nucynta, 26


Nucynta ER, 26


Ortho Diaphragm Flat Spring Kit 55, 40

Nuedexta, 22


nufol, 17



nulev, 15


Nulojix, 4

Onetouch Ultra 2, 34


Numoisyn, 20

Onetouch Ultra Blue, 34


nuquin HP, 10

Onetouch Ultra Control, 34


Nutricap, 31

Onetouch Ultra Mini, 34


nutrifac ZX, 30

Onetouch Ultra System Kit, 34


nutrilipid, 37

Onetouch Ultralink System (DEC), 34

ortho-CS 250, 29

nutrilyte, 37

Onetouch Ultralink System (hex), 34

ortho-est, 11

nutrilyte II, 37

Onetouch Ultrasmart, 34

Orthovisc, 23

Nutropin, 14

Onetouch Ultrasoft Lancets, 34

oscimin, 15

Nutropin AQ Nuspin 10, 14

Onetouch Verio, 34

oscimin SR, 15


Onetouch Verio Control Solution High, 34

oscion cleanser, 8


osmitrol viaflex, 7

Nutropin AQ Pen, 14

Onetouch Verio IQ Blood Glucose Monitoring System, 34

Osmoprep, 15

Nuvaring, 12, 40

otic care, 24

Nuvigil, 21

Onetouch Verio Mid Control Solution, 34

oticin, 24

nyamyc, 9

Onetouch Verio Sync Bloodglucose Monitoring System, 34

oto-end 10, 24

nystatin, 2, 9, 19

otomax-HC, 24

nystatin/triamcinolone, 9

Onetouch Verio Test Strips, 34

Otozin, 24

nystop, 9

Onfi, 21

Ovace Plus, 9

O

Onglyza, 13

Ovidrel, 14

Opana ER (crush Resistant), 26

oxacillin sodium, 1

OB-natal One, 31

opium, 15

oxaliplatin, 3

Obstetrix EC, 31

opium tincture, 15

oxandrolone, 11

ocella, 12, 40

Opium Tincture (paregoric), 15

oxaprozin, 26

Octagam, 38

oxazepam, 20

Pegintron, 3

Phisohex, 38

oxcarbazepine, 21

pegylax, 15

phos-flur, 19

Oxecta, 26

Pen Needles 29G X 12MM, 34

Phoslyra, 16

Oxistat, 9

Pen Needles 29GX1/2", 34

phospha 250 neutral, 37

Oxsoralen, 11


phosphasal, 16

oxybutynin chloride, 17

Pen Needles 31G X 1/4" SHORT, 34

Phospholine Iodide, 24

oxybutynin chloride ER, 17

Pen Needles 31G X 3/16", 34

Photofrin, 5

oxycodone HCL, 26

Pen Needles 31G X 6MM, 34

Physicians EZ Use Flu Kit 2012-2013, 29, 41

Oxycodone HCL, 26


Oxycodone HCL ER, 26

penicillin G potassium, 1

physiolyte, 37

oxycodone/acetaminophen, 26

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

physiosol irrigation, 37

oxycodone/aspirin, 26

phytonadione, 29

oxycodone/ibuprofen, 26

Penicillin G Procaine, 1

Picato, 11

Oxycontin, 26

Penicillin G Sodium, 1

pilocarpine HCL, 19, 24

oxymorphone hydrochloride, 26

penicillin v potassium, 1

pilocarpine hydrochloride, 19

oxymorphone hydrochloride ER, 26

Pentacel, 29, 41

Pilopine HS, 24

oxytocin, 24

Pentasa, 16

pimtrea, 12, 40

Oxytrol, 17

pentazocine/acetaminophen, 26

pindolol, 6

Oxytrol For Women, 17

pentazocine/naloxone HCL, 26

pioglitazone HCL, 13

Ozurdex, 23

pentoxifylline ER, 19

pioglitazone HCL-glimepiride, 13

P

Perfect Iron, 18, 42

pioglitazone HCL/metformin HCL, 13

Perfect Lancets 30G, 34

piperacillin sodium/ tazobactam sodium, 1

PA Prenatal Formula, 31, 41

Perfect Pressure Activated Safety Lancets 28G, 34

PA vitamin d-3, 30, 43

piperacillin sodium/tazobactam sodium, 1

PA vitamin d-3 gummy, 30, 43

Perforomist, 28

piperacillin/tazobactam, 1

pacerone, 6

perindopril erbumine, 7

pirmella 1/35, 12, 40

paclitaxel, 5

perio MED, 19

pirmella 7/7/7, 12, 40

Paclitaxel, 5

periogard, 19

piroxicam, 26

pamidronate disodium, 14

Perjeta, 4

plasbumin-25, 19

Pamidronate Disodium, 14

permethrin, 10

plasbumin-5, 19

Pancrelipase, 16

perphenazine, 20

Plasma-lyte A, 38

pancuronium bromide, 22

Perphenazine/Amitriptyline, 22

Plasma-lyte-148, 38

Panda Mask Large, 36

Perry Prenatal, 31, 41

Pneumovax 23, 29, 41

Panda Mask Medium, 36

Pertzye, 16

Pneumovax 23/1 Dose, 29, 41

Panda Mask Small, 36

Pfizerpen-G, 1

Pneumovax 23/5 Dose, 29, 42

Panretin, 11

pharbedryl, 27

PNV-DHA, 31

pantoprazole sodium, 15

Pharmacist Choice Alcoholprep Pads, 36

PNV-select, 31

papaverine HCL, 8

Pharmacist Choice Ultra Thin Lancets, 34

Pocket Chamber, 36

Paragard Intrauterine Copper Contraceptive T380a, 13

Pocket Spacer, 36

Pharmacist Choice Ultra Thin Lancets 28G, 34

podofilox, 10

parcaine, 24

polocaine, 27

paricalcitol, 14


polocaine-mpf, 27

Paricalcitol, 14

poly-dex, 23

paroex, 19


poly-iron 150, 18, 42

paromomycin sulfate, 2

poly-iron 150 forte, 17

paroxetine HCL, 20


polycin, 23

paroxetine HCL ER, 20

polycin b, 23

Paser, 2

Pharmacy Counter Lancets, 34

polyethylene glycol 3350, 15

Pataday, 24

phenadoz, 27

polymyxin b sulfate, 3

Patanol, 24

phenazo, 17

polymyxin b sulfate/trimethoprim sulfate, 23

Paxil, 20

phenazopyridine HCL, 17

PCE, 1

phendimetrazine tartrate, 21

polysaccharide iron forte, 17

pedi-dri, 9

Phendimetrazine Tartrate ER, 21

Pomalyst, 5

Pediaderm HC, 10

phenelzine sulfate, 20

portia-28, 12, 40

Pediaderm Ta, 10

phenergan, 27

Potaba, 30

Pediarix, 29, 41

phenobarbital, 21

potassium acetate, 37

Pediatric Panda Mask, 36

Phenobarbital, 21

Potassium Acetate, 38

Pedipirox-4 Nail, 9

Phenobarbital Sodium, 21

potassium bicarbonate, 37

Pedvax HIB, 29, 41

phentermine HCL, 21

potassium chloride, 37

peg 3350/electrolytes, 15, 43

Phentolamine Mesylate, 7

Potassium Chloride, 38

peg-3350/electrolytes, 15, 43

phenylephrine HCL, 7, 24

potassium chloride 0.15% /NACL 0.45% viaflex, 37

peg-3350/NACL/NA bicarbonate/KCL, 15, 43

Phenylephrine HCL, 7

phenylephrine/guaifenesin, 28

Potassium Chloride 0.15% /NACL 0.45% Viaflex, 38

Peg-intron, 3

phenytoin, 21

Peg-intron Redipen, 3

phenytoin infatabs, 21

potassium chloride 0.15% D5W/NACL 0.33%, 37

Peg-intron Redipen PAK 4, 3

phenytoin sodium, 21

Peganone, 21

phenytoin sodium extended, 21


Pegasys, 3

philith, 12, 40

Pegasys Proclick, 3

potassium chloride 0.15% D5W/NACL 0.45% viaflex, 37

Preferred Plus Lancets Super Thin 30G, 34

Prodigy Pressure Activated Safety Lancets, 34

potassium chloride 0.15% NACL 0.9%, 37

Preferred Plus Lancets Thin 26G, 34

Prodigy Twist Top Lancets, 34

pregnyl w/diluent benzyl alcohol/NACL, 14

Prodigy Voice Blood Glucose Meter Kit, 35

potassium chloride 0.15% w/NACL 0.9% viaflex, 37

Premarin, 11

Profe, 18, 42

potassium chloride 0.15%/D5W, 37

premasol, 37

Proferrin ES, 18, 42

Potassium Chloride 0.15%/NACL 0.9%, 38

Premphase, 11

Profilnine SD, 19

Prempro, 11

progesterone, 13


Prenaissance Plus, 31

Proglycem, 13

Prenaplus, 31, 41

Prograf, 4

potassium chloride 0.224%/D5W/NACL 0.45%, 37

Prenatabs Fa, 31

Prolastin-c, 28

Prenatabs RX, 31

Prolensa, 24

potassium chloride 0.224%D5W/NACL 0.45% viaflex, 37

Prenatal, 31, 41

Proleukin, 5

Prenatal 19, 31

Prolia, 14

Potassium Chloride 0.3%/ NACL 0.9%, 38

Prenatal Ad, 31

Promacta, 18

Prenatal And Iron, 31, 41

promethazine HCL, 27

potassium chloride 0.3%/D5W, 37

Prenatal Complete, 31, 41

promethazine HCL plain, 27

potassium chloride 0.3%/NACL 0.9%/viaflex, 37

Prenatal Formula, 31, 41

promethazine VC, 28

Prenatal Forte, 31, 41

Promethazine VC Plain, 28

potassium chloride CR, 37

Prenatal Low Iron, 31, 41

promethazine VC/codeine, 28

potassium chloride ER, 37

Prenatal Multi +dha, 31, 41

Promethazine VC/Codeine, 28

Potassium Chloride ER, 38

Prenatal Multivitamin + DHA, 31

promethazine-DM, 28

potassium chloride SR, 37

Prenatal One Daily, 31, 41

promethazine/codeine, 28

potassium citrate ER, 17

Prenatal Plus, 31, 41

promethazine/dextromethorphan, 28

potassium citrate-citric acid crystals, 17

Prenatal Plus DHA, 31

promethegan, 27

potassium citrate/citric acid, 17

Prenatal Plus Iron, 31

pronutrients vitamin d3, 30, 43

potassium citrate/sodium citrate/citric acid, 17

Prenatal Vitamins, 31, 41

propafenone HCL, 6

Prenatal-u, 31

propafenone HCL ER, 6

potassium phosphate, 37

Prenatal/Omega-3/Folic Acid/Iron, 31

Propantheline Bromide, 15

potassium phosphates, 37

Prentif Cavity-rim Cervical CAP, 40

proparacaine HCL, 24

Potiga, 21

Prentif Fitting Set, 40

propofol, 27

pr benzoyl peroxide wash, 8

Prepopik, 15

propranolol HCL, 6

Pr Natal 400, 31

Prevacid Solutab, 16

Propranolol HCL, 6

Pr Natal 400 EC, 31

prevalite, 8

propranolol HCL ER, 6

Pr Natal 430, 31

previfem, 12, 40

Propranolol/Hydrochlorothiazide, 7

Pr Natal 430 EC, 31

Prevnar 13, 29, 42

propylthiouracil, 15

Pradaxa, 19

Prezista, 2

Proquad, 29, 42

pramcort, 16

Prialt, 25

Prostigmin, 23

pramipexole dihydrochloride, 21

Priftin, 2

Protamine Sulfate, 19

Pramosone, 10

Prilosec, 16

protriptyline HCL, 20

Pramosone E, 10

Primaquine Phosphate, 3

Provenge, 5

pramox gel, 10

primidone, 21

Proventil HFA, 28

pramoxine-HC, 24

Primsol, 3

Prudoxin, 9

Prandimet, 13

Pristiq, 20

Pss Select GP Lancets, 34

prascion, 8

Privigen, 38

Pss Select Safety Lancets, 34

prascion fc, 8

Proair HFA, 28

Pulmicort, 28

prascion ra with sunscreens, 8

probenecid, 27

Pulmicort Flexhaler, 28

pravastatin sodium, 8

probenecid/colchicine, 27

pulmosal, 28

prazosin HCL, 7

Procainamide HCL, 6

Pulmozyme, 28

Pre-natal Formula, 31, 41

Procentra, 21

purevit dualfe plus, 17

Precision Thin Lancets, 34

prochlorperazine, 20

px aspirin, 25, 39

Precision Thins GP Lancet, 34

prochlorperazine edisylate, 20

px enteric aspirin, 25, 39

Precision Ultra Lancet, 34

prochlorperazine maleate, 20

px folic acid, 18, 41

Pred Mild, 23

Procrit, 18

px iron, 18, 42

prednicarbate, 10

procto-PAK, 16

Px Lancets, 34

prednisolone, 11

Proctofoam HC, 16

Px Lancets Ultra Thin, 34

prednisolone acetate, 23

proctosol HC, 16

Px Prenatal Multivitamins, 31, 41

prednisolone sodium phosphate, 11

proctozone-HC, 16

px stop smoking aid, 22, 42

Prednisolone Sodium Phosphate, 11, 23

Procysbi, 17

Pylera, 15

prednisolone sodium phosphate odt, 11

Prodigy Autocode Blood Glucose Monitoring System, 35

pyrazinamide, 2

prednisone, 11

pyridostigmine bromide, 23

Prednisone, 11

Prodigy Autocode Blood Glucose Monitoring/Talking, 35

Pyridoxine HCL, 29

Prednisone Intensol, 11

Q

Prefera OB, 31

Prodigy NO Coding Blood Glucose Test Strips, 35

Qc Alcohol Swabs, 36

Prefera OB + DHA, 31

qc aspirin, 25, 39

Preferaob One, 31

Prodigy Pocket Blood Glucose Meter Kit, 35

qc aspirin low dose, 25, 39

Preferred Plus Lancets Colored 21G, 34

qc childrens aspirin, 25, 39

qc ferrous sulfate, 18, 42

Reality Trigger Lancets, 34

ribasphere, 3

Qc Lancets, 34

Rebetol, 3

Ribasphere, 3

Qc Lancets Super Thin, 34

Rebif, 22

Ribasphere Ribapak, 3

Qc Lancets Thin, 34

Rebif Rebidose, 22

Ribatab, 3

Qc Lancets Ultra Thin, 34

Rebif Rebidose Titration Pack, 22

ribavirin, 3

qc nicotine polacrilex, 22, 42

Rebif Titration Pack, 22

Ridaura, 26

Qc Prenatal, 31, 41

reclipsen, 12, 40

rifabutin, 2

Qnasl, 28

Recombinate, 19

Rifamate, 2

Qnasl Childrens, 28

Recombivax HB, 29, 42

rifampin, 2

Quadramet, 5

rectacort-HC, 16

Rifater, 2

Qualaquin, 3

Rectiv, 16

Right Step Prenatal, 31, 41

quasense, 12, 40

Refissa, 11

Rightest Gl300 Lancets, 34

Quazepam, 21

Regonol, 23

riluzole, 22

quetiapine fumarate, 20

Regranex, 11

rimantadine HCL, 2

Quflora Pediatric, 31

Relenza Diskhaler, 2

ringers injection, 37

Quillivant XR, 21

Relion Alcohol Swabs, 36

ringers irrigation, 37

quinapril HCL, 7

Relion Lancets, 34

Riomet, 13

quinapril/hydrochlorothiazide, 7

Relion Lancets Micro-thin33G, 34

risedronate sodium, 13

Quinidine Gluconate, 6

Relion Lancets Standard 21G, 34

Risperdal Consta, 20

quinidine gluconate CR, 6

Relion Lancets Thin 26G, 34

risperidone, 20

quinidine gluconate ER, 6

Relion Lancets Ultra-thin30G, 34

risperidone M-TAB, 20

quinidine sulfate, 6

Relion Thin Lancets, 34

risperidone odt, 20

Quinidine Sulfate, 6

Relion Ultra Thin Lancets, 34

Riteflo, 36

Quinidine Sulfate ER, 6

Relion Ultra Thin Lancets30G, 34

Rituxan, 4

quinine sulfate, 3

Relion Ultra Thin Plus Lancets 32G, 34

rivastigmine tartrate, 22

Qvar, 28

Relion Ultra Thin Plus Lancets 33G, 34

Rixubis, 19

R

Relistor, 16

rizatriptan benzoate, 27

Relpax, 27

rizatriptan benzoate odt, 27

Ra Alcohol Swabs, 36

remergent HQ, 10

rocuronium bromide, 22

ra aspirin, 25, 39

remeven, 10

romycin, 23

ra aspirin adult low dose, 25, 39

Remicade, 16

ropinirole ER, 21

ra aspirin adult low strength, 25, 39

Remodulin, 8

ropinirole HCL, 21

ra aspirin childrens, 25, 39

rena-vite RX, 30

ropivacaine, 27

ra aspirin EC, 25, 39

Renacidin, 17

ropivacaine HCL, 27

ra aspirin EC adult low strength, 25, 39

Renagel, 16

rosadan, 9

ra childrens aspirin, 25, 39

renal, 30

rosanil cleanser, 8

Ra E-ZJECT Color Lancets Micro-thin 33G, 34

renalpren, 30

Rotarix, 29, 42

Renew Advanced Lancing Cartridge Refills, 34

Rotateq, 29, 42

Ra E-ZJECT Lancets 28G, 34

roxicet, 26

Ra E-ZJECT Lancets Thin 26G, 34

reno CAPS, 30

Rozerem, 21

Ra E-ZJECT Lancets Thin 28G, 34

Renova, 11

S

Ra E-ZJECT Lancets Ultra Thin 30G, 34

Renova P.M., 11

ra folic acid, 18, 41

Sabril, 21

Renvela, 16

ra high potency iron, 18, 42

Saccharin Sodium, 38

repaglinide, 13

ra iron, 18, 42

Safe-t-lance Low Flow 25G, 34

Replesta, 30, 43

ra mini nicotine, 22, 42

Safe-t-lance Normal Flow 21G, 34

Replesta Childrens, 30, 43

ra nicotine, 22, 42

Safe-t-lance Plus Safety Lancet High Flow, 34

Replesta Nx, 30, 43

ra nicotine polacrilex, 22, 42

reprexain, 26

ra nicotine transdermal system step 3, 22, 42

Safe-t-lance Plus Safety Lancet Low Flow, 34

Repronex, 14

Req 49+, 31

Ra One Daily, 31, 41

Safe-t-lance Plus Safety Lancet Normal Flow, 34

Rescon-JR, 28

Ra Prenatal, 31, 41

Rescriptor, 2

Ra Prenatal Formula/Folicacid, 31, 41

Safety Lancet 21G/Pressure Activated, 34

Reserpine, 7

ra slow release iron, 18, 42

Respa-BR, 27

ra vitamin d-3, 30, 43

Safety Lancet 28G/Pressure Activated, 34

Restasis, 24

Rabavert, 29

Retisert, 23

rabeprazole sodium, 15

Safety Lancet 2MM, 34

Retrovir IV Infusion, 2

raloxifene hydrochloride, 14

Safety Lancets, 34

Revatio, 8

ramipril, 7

Safety Lancets 21G, 34

Revlimid, 5

Ranexa, 6

Safety Lancets 28G, 34

revonto, 23

ranitidine HCL, 15

Safety Let Lancets, 34

Rexall Lancets Ultra Thin, 34

Rapaflo, 17

Safety Seal Lancets 28G, 34

Reyataz, 2

Rapamune, 4

Safety Seal Lancets 30G, 34

Rezira, 28

Ravicti, 15

Safyral, 12, 40

Rheumatrex, 26

Rayos, 11

Saizen, 14

Rhinoflex-650, 25

rea LO 39, 10

Saizen Click.easy, 14

Rhogam Ultra-filtered Plus, 38

rea LO 40, 10

salacyn, 10

Rhophylac, 38

Reality Lancets, 34

salicylic acid, 10

Riastap, 19

Reality Swabs, 36

salicylic acid cream, 10

salicylic acid lotion, 10

sildenafil citrate, 8

sodium citrate/citric acid, 17

salicylic acid wart remover, 10

Silenor, 21

Sodium Edecrin, 7

saline flush, 37

Silver Nitrate, 11

sodium ferric gluconate complex/sucrose, 18

saline flush zr/sterile field, 37

silver sulfadiazine, 10

salsalate, 25

Simcor, 8

Sodium Fluoride, 38, 40

Salvax, 11

Similac Prenatal Early Shield, 31

sodium fluoride, 38, 41

Samsca, 14

Simponi, 27

sodium hyaluronate, 10

Sancuso, 16

Simponi Aria, 27

Sodium Lactate, 38

Sandimmune, 4

Simulect, 5

sodium phenylbutyrate, 14

Sandostatin Lar Depot, 14

simvastatin, 8

sodium phosphate, 37

Saphris, 20

Single-let, 34

sodium polystyrene sulfonate, 37

Saps Care Alcohol Prep Pads, 36

sirolimus, 4

Sodium Saccharin Dihydrate, 38

Sapscare Twist Top Lancets 30G, 34

Sirturo, 2

sodium sulfacetamide, 8, 9, 23

sash kit for flushing vascular access devices, 19

Sivextro, 3

sodium sulfacetamide wash, 9

skin bleaching, 10

sodium sulfacetamide/sulfur, 8

Savella, 22

skin bleaching/sunscreen, 10

Sodium Sulfacetamide/Sulfur, 9

SB Alcohol Prep Pads, 36

Sklice, 11

sodium sulfacetamide/sulfur cleanser, 8

SB aspirin, 25, 39

Skyla, 13, 40

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 9

SB aspirin EC, 25, 39

slow iron, 18, 42

SB childrens aspirin, 25, 39

slow release iron, 18, 42

sodium sulfacetamide/sulfur cleansing cloths, 8

SB Lancets Thin, 35

Sm Alcohol Prep Pads, 36

SB Lancets Ultra Thin, 35

sm aspirin, 25, 39

sodium sulfacetamide/sulfur green, 8

SB low dose asa EC, 25, 39

sm aspirin adult low strength, 25, 39

Sodium Sulfacetamide/Sulfur IN Urea, 9

scalacort, 10

sm aspirin EC low strength, 25, 39

sodium sulfacetamide/sulfur w/sunscreen, 8

scleromate sodium morrhuate, 37

sm aspirin enteric coated, 25, 39

Scopolamine Hydrobromide, 15

sm aspirin low dose, 25, 39

sodium sulfacetamide/sulfur wash, 8

se 10-5 ss, 8

sm childrens aspirin, 25, 39

Sodium Sulfacetamide/Urea, 9

se bpo wash, 8

sm folic acid, 18, 41

sodium thiosulfate, 37

Se-natal 19, 31

sm iron, 18, 42

sojourn, 27

Se-tan DHA, 31

sm iron slow release, 18, 42

solia, 12, 40

se-tan plus, 17

Sm Lancets 21G, 34

Soliris, 19

Seb-prev, 9

Sm Micro Thin Lancets 33G, 34

Solodyn, 1

seb-prev wash, 9

sm nicotine, 22, 42

Soltamox, 4

selegiline HCL, 21

sm nicotine polacrilex, 22, 42

Solu-cortef, 11

Selenium, 38

Sm One Daily Prenatal, 31, 41

Solus V2 Pressure Activated Safety Lancets 28G, 34

selenium sulfide, 9

sm prenatal vitamins, 31, 41

Selenium Sulfide, 9

Sm Prenatal Vitamins, 31, 41

Solus V2 Twist Lancets 30G, 34

Selzentry, 2

Sm Slow Release Iron, 18, 42

Somatuline Depot, 14

Sensipar, 14

Sm Super Thin Lancets, 34

Somavert, 14

sensorcaine, 27

Sm Super Thin Lancets 30G, 34

Sorbitol, 17

sensorcaine-mpf, 27

Sm Thin Lancets 26G, 34

Sorbitol-mannitol, 17

sensorcaine-mpf spinal, 27

sm vitamin d, 30, 43

sorine, 6

sensorcaine-mpf/epinephrine, 27

sm vitamin d3, 30, 43

sotalol HCL, 6

sensorcaine/epinephrine, 27

Sm Vitamin D3 Maximum Strength, 30, 43

sotalol HCL (AF), 6

Serevent Diskus, 28

Sovaldi, 3

Seromycin, 2

Smart Diabetes Vantage Universal Lancets 30G, 34

Spinosad, 11

serophene, 14

Spiriva Handihaler, 28

Seroquel XR, 20

Smart Sense Color Lancets Universal 33G, 34

Spiriva Respimat, 28

Serostim, 14

spironolactone, 7

sertraline HCL, 20

Smart Sense Standard Lancets Universal 21G, 34

spironolactone/hydrochlorothiazide, 7

Seton Et-EC, 31

Sporanox, 2

Setonet, 31

Smart Sense Super Thin Lancets Universal 30G, 34

sprintec 28, 12, 40

Sevelamer Carbonate, 16

Sprix, 26

sevoflurane, 27

Smart Sense Thin Lancets Universal 26G, 34

Sprycel, 5

SF, 20

SR nicotine gum, 22, 43

SF 5000 plus, 20

Smartest Lancets 28G, 34

sronyx, 12, 40

sharobel, 12, 40

sodium acetate, 37

ss 10-2, 8

Shopko Alcohol Swabs, 36

Sodium Bicarbonate, 15

ssd, 10

Shopko On-the-go Comfort Lancets 30G, 34

sodium bicarbonate, 37

sss 10%-5%, 8

sodium bicarbonate partial fill, 37

sss 10-5, 8

Shopko Unilet Lancets Super Thin 30G, 34

sodium chloride, 17, 28, 37

st joseph aspirin, 25, 39

Sodium Chloride, 38

stagesic, 26

Shopko Unilet Lancets Ultra Thin 28G, 34

sodium chloride 0.45%, 37

stannous fluoride oral rinse, 19

sodium chloride 0.45% viaflex, 37

stavudine, 2

Shur-seal, 17, 40

sodium chloride 0.9%, 17

Stavzor, 21

Siderol, 31

sodium chloride bacteriostatic, 37

Stelara, 9

Signifor, 14

sodium chloride flush, 37

Sterilance TL, 34

sildenafil, 8

sodium chloride pab, 37

sterile diluent for epoprostenol sodium,

37

Sustiva, 2

terrell, 27

sterile water for injection, 37

Sutent, 5

Testim, 11

sterile water irrigation, 37

sw nicotine polacrilex, 22, 42

Testosterone, 11

sterile water irrigation plastic bottle, 37

swabflush saline flush, 37

testosterone cypionate, 11

sterile water irrigation w/hanger, 37

syeda, 12, 40

testosterone enanthate, 11

Stimate, 14

Sylatron, 5

Testosterone P.M., 11

Stivarga, 5

symax fastabs, 15

Tetanus Toxoid Adsorbed, 28

Strattera, 21

symax-SL, 15

Tetanus/Diphtheria Toxoids-adsorbed Adult, 29, 42

Streptomycin Sulfate, 2

symax-SR, 15

Striant, 11

Symbicort, 28

tetcaine, 24

Stribild, 2

Symlinpen 120, 13

tetracaine HCL, 24

Strovite Forte, 31

Symlinpen 60, 13

Tetracaine HCL, 27

Strovite One, 31

Synagis, 38

Tetracycline HCL, 1

strovite plus, 30

Synalar, 10

tetravisc, 24

Stuart One, 31

Synarel, 14

tetravisc forte, 24

Stuart Prenatal, 31, 41

Synera, 11

Tev-tropin, 14

Stuart Prenatal + DHA, 31, 41

Synribo, 5

Teveten HCT, 7

Suboxone, 26

Synvisc, 23

Texacort, 10

Subsys, 26

Synvisc One, 23

Tgq 15DM/5PEH/2CPM, 28

Suclear, 15

Syprine, 38

Tgq 30PSE/150GFN/15DM, 28

Sucraid, 16

T

Tgq 30PSE/3BRM/15DM, 28

sucralfate, 15

Tgq 50PSE/3BRM/30DM, 28

Tabloid, 4

sufentanil citrate, 26

tgq 7.5PEH/4BRM/15DM, 28

Taclonex, 10

sulfacetamide sodium, 8, 23

Tgt Alcohol Swabs, 36

tacrolimus, 4, 10

Sulfacetamide Sodium, 23

tgt aspirin, 25, 39

Tafinlar, 5

sulfacetamide sodium/prednisolone sodium phosphate, 23

tgt aspirin low dose, 25, 39

Talwin, 26

tgt childrens aspirin, 25, 39

Tamiflu, 2

sulfacetamide sodium/sulfur cleanser, 8

tgt enteric-coated aspirin, 25, 39

tamoxifen citrate, 4, 43

sulfacleanse 8/4, 8

Tgt Lancet Alternate Site, 35

tamsulosin HCL, 17

Sulfadiazine, 2

Tgt Lancet Micro Thin 33G, 35

Tandem F, 18

sulfamethoxazole/trimethoprim, 3

Tgt Lancet Super Thin 30G, 35

Tarceva, 5

Sulfamethoxazole/Trimethoprim, 3

Tgt Lancet Thin 23G, 35

Targretin, 5, 11

sulfamethoxazole/trimethoprim DS, 3

Tgt Lancet Thin 26G, 35

tarina FE 1/20, 12, 40

Sulfamylon, 11

Tgt Lancet Ultra Thin 28G, 35

Tarka, 7

sulfasalazine, 16

Tgt Lancet Ultra Thin 30G, 35

taron-crystals, 17

sulfatrim pediatric, 3

tgt nicotine gum, 22, 42

Taron-prex, 31

sulfazine, 16

tgt nicotine polacrilex, 22, 42

Tasigna, 5

sulfazine EC, 16

tgt nicotine step one, 22, 42

Tasmar, 22

sulindac, 26

tgt nicotine step three, 22, 42

tazicef, 1

Sumatriptan, 27

tgt nicotine step two, 22, 42

tazidime, 1

sumatriptan succinate, 27

th aspirin, 25, 39

Tazorac, 9

Sumatriptan Succinate, 27

th aspirin low dose, 25, 39

taztia XT, 6

sumatriptan succinate refill, 27

th enteric aspirin, 25, 39

Tecfidera, 22

Sumavel Dosepro, 27

th folic acid, 18, 41

Tecfidera Starter Pack, 22

Supartz, 23

th iron, 18, 42

Techlite AST Lancets, 35

Super Daily D3, 30, 43

Th Prenatal Vitamins, 31, 41

Techlite Lancets, 35

Super Thin Lancets, 34

th slow release iron, 18, 42

Techlite Lancets 30G, 35

Supprelin LA, 14

th vitamin d3, 30, 43

Teflaro, 1

Suprax, 1

Thalomid, 5

Tegretol-XR, 21

Suprep Bowel Prep, 15

Theo-24, 28

Tekamlo, 7

Sure Comfort Alcohol Prep Pads, 36

theochron, 28

Tekturna, 7

Sure Comfort Lancets 28G, 34

theophylline, 28

Tekturna HCT, 7

Sure Comfort Lancets 30G, 34

theophylline CR, 28

telmisartan, 7

Sure-lance Flat Lancets, 34

theophylline ER, 28

telmisartan/amlodipine, 7

Sure-lance Lancets 26G, 34

theophylline/D5W, 28

telmisartan/hydrochloroth, 7

Sure-lance Thin Lancets 28G, 34

Theophylline/D5W, 28

telmisartan/hydrochlorothiazide, 7

Sure-lance Ultra Thin Lancets, 34

thera-d 2000, 30, 43

temazepam, 21

Sure-prep Alcohol Prep Pads, 36

Thera-d 4000, 30, 43

Temodar, 4

Sure-touch Lancets Universal, 34

thera-d rapid repletion, 30, 43

temozolomide, 3

Surelite Lancets, 34

thera-d sport, 30, 43

tencon, 25

Surestep Glucose Control, 34

Theracys, 5

Tencon, 25

Surestep Glucose Control Solution, 35

thermazene, 10

Teniposide, 5

Surestep Pro High Glucosecontrol, 35

thiamine HCL, 29

Tenivac, 29, 42

Surestep Pro Low Glucose Control, 35

Thinlets GP Lancets, 35

terazosin HCL, 7

Surestep Pro Normal Glucose Control, 35

Thinlets Lancet, 35

terbinafine HCL, 2

thioridazine HCL, 20

Terbinex, 2

Surestep Pro Test Strips, 35

thiothixene, 20

terbutaline sulfate, 28

Surestep Test Strips, 35

thrive, 22, 42

terconazole, 17

Thrombate Iii W/10 ML Sterile Water, 19

tranexamic acid, 19

Trueplus Lancets 28G, 35

Thrombate Iii W/20 ML Sterile Water, 19

Transderm-scop, 16

Trueplus Lancets 28G Super Thin, 35

Thymoglobulin, 5

tranylcypromine sulfate, 20


Thyrogen, 38

Travatan Z, 23

Trueplus Lancets 30G Ultra Thin, 35

Thyrolar-1, 15

Travel Lancets 30G, 35


Thyrolar-1/2, 15

Travoprost, 23

Trueplus Lancets 33G Micro Thin, 35

Thyrolar-1/4, 15

trazodone HCL, 20

Trueplus Safety Lancets 28G, 35

Thyrolar-2, 15

Treanda, 4

Trumenba, 29, 42

Thyrolar-3, 15

Trecator, 2

Truvada, 2

tiagabine hydrochloride, 21

Trelstar Depot, 4

Tryptophan, 38

Tice Bcg, 5

Trelstar Depot Mixject, 4

Tucks Anti-itch, 10

ticlopidine HCL, 19

Trelstar LA, 4

Tudorza Pressair, 28

Tikosyn, 6

Trelstar LA Mixject, 4

tussafed EX, 28

tilia FE, 12, 40

Trelstar Mixject, 4

Tussicaps, 28

Timentin, 1

Tretin-x, 9

tussigon, 28

Timolol Maleate, 6

tretinoin, 5, 8

Twinrix, 29, 42

timolol maleate, 23

Tretinoin Emollient, 11

Tygacil, 3

timolol maleate ophthalmic gel forming, 23

tretinoin microsphere, 8

Tykerb, 5

tretinoin microsphere P.M., 8

Typhim VI, 29

tinidazole, 3

Tretten, 19

Tysabri, 22

tis-u-sol, 37

Trexall, 4

Tyvaso, 8

Tivicay, 3

Treximet, 27

Tyvaso Refill, 8

tizanidine HCL, 23

Trezix, 26

Tyvaso Starter, 8

TL gard RX, 18

tri-estarylla, 12, 40

Tyzeka, 3

TL hydroquinone, 11

tri-legest FE, 12, 40

Tyzine, 28

TL icon, 18

tri-linyah, 12, 40

Tyzine Pediatric Nasal Drops, 28

TL-fol 500, 18

tri-previfem, 12, 40

U

TL-hem 150, 18

tri-sprintec, 12, 40

U-cort, 10

Tobi Podhaler, 2

tri-vit/fluoride, 30

u-kera e, 10

Tobradex, 23

Tri-vit/Fluoride/Iron, 31

Uceris, 11

Tobradex ST, 23

tri-vitamin/fluoride, 30

Ulesfia, 11

tobramycin, 2

Tri-zel, 31

Uloric, 27

tobramycin sulfate, 2, 23

Triadvance, 31

Ulticare Thin Lancets 30G, 35

Tobramycin Sulfate/Sodium Chloride, 2

triamcinolone acetonide, 10, 20, 27

Ultilet Alcohol Swab, 36

tobramycin/dexamethasone, 23

Triamcinolone Acetonide, 10

Ultilet Alcohol Swabs, 36

Tobrex, 23

triamcinolone IN orabase, 20

Ultilet Basic Lancets 30G, 35

Today Sponge, 17

triamterene/hydrochlorothiazide, 7

Ultilet Classic Lancets, 35

Todays Health Super Thin Lancets 30G, 35

Triamterene/Hydrochlorothiazide, 7

Ultilet Lancets, 35

Trianex, 10

Ultilet Lancets 33G, 35

Todays Health Ultra Thin Lancets 28G, 35

triazolam, 21

Ultilet Safety Lancets 23G, 35

Tribenzor, 7

Ultimatecare One, 31

tolazamide, 13

Tricare, 31, 41

Ultimatecare One NF, 31

Tolazamide, 13

tricitrates, 17

Ultra TABS, 31

Tolbutamide, 13

tricon, 17

Ultra Thin Lancets 28G, 35

tolmetin sodium, 26

triderm, 10

Ultra Thin Lancets 30G, 35

Tolmetin Sodium, 26

trifluoperazine HCL, 20

Ultra-thin II Auto Lancet, 35

tolterodine tartrate, 17

trifluridine, 23

Ultra-thin II Lancets 28G, 35

tolterodine tartrate ER, 17

trigels-f forte, 17

Ultra-thin II Lancets 30G, 35

topex topical anesthetic, 19

Triglide, 8

Ultra-thin II Safety Autolancets 26G, 35

topiragen, 21

trihexyphenidyl HCL, 21

Ultravate PAC, 10

topiramate, 21

trilyte, 15, 43

Ultresa, 16

toposar, 5

trimethobenzamide HCL, 16

umecta mousse, 10

topotecan HCL, 5

trimethoprim, 3

Unilet Comfortouch Lancet, 35

Topotecan HCL, 5

trimethoprim sulfate/polymyxin b sulfate, 23

Unilet Excelite, 35

Torisel, 5

Unilet Excelite II, 35

torsemide, 7

trimipramine maleate, 20

Unilet G.p. Lancet, 35

Torsemide, 7

Trinatal RX 1, 31

Unilet G.p. Superlite Lancet, 35

Totect, 5

Trinate, 31

Unilet GP 28 Ultra Thin, 35

Toviaz, 17

trinessa, 12, 40

Unilet Lancet, 35

tpn electrolytes, 37

triphrocaps, 30

Unilet Superlite Lancet, 35

Tracleer, 8

triple-vitamin/fluoride, 30

Unistik 3 Gentle, 35

Tradjenta, 13

Trisenox, 5

unithroid, 15

tramadol HCL, 26

trivora-28, 12, 40

unithroid direct, 15

tramadol HCL ER, 26

tropazone, 10

Universal 1 Lancets Thin 26G, 35

Tramadol HCL ER, 26

tropicamide, 24

Universal 1 Lancets Ultra Thin 30G, 35

tramadol hydrochloride/acetaminophen, 26

trospium chloride, 17

univert, 16

trospium chloride ER, 17

ur n-c, 16

trandolapril, 7


urea, 10

urea 40% nail film, 10

Venlafaxine HCL ER, 20

Vitafol-OB, 31

urea hydrating, 10

Venofer, 18

Vitalet Pro Lancets, 35

urea IN zinc undecylenate/lactic acid vehicle, 10

Ventavis, 8

Vitalet Pro Plus Lancets, 35

Ventolin HFA, 28

vitamax pediatric, 30

urea nail, 10

Veramyst, 28

Vitamelts Vitamin D, 30, 43

urea topical, 10

verapamil HCL, 6

vitamin b-complex 100, 30

urea-c40, 10

Verapamil HCL, 6

vitamin c 222MG, 29

urelle, 16

verapamil HCL ER, 6

vitamin d, 29, 43

uretron d/s, 16

verapamil HCL SR, 6

Vitamin D, 30, 43

uribel, 16

Verdeso, 10

vitamin d 400, 30, 43

Urimar-t, 16

verdrocet, 26

vitamin d high potency, 30, 43

urin d/s, 16

Veregen, 11

vitamin d-1000, 30, 43

uro-blue, 16

Veripred 20, 11

vitamin d-1000 maximum strength, 30, 43

uro-l, 16

versiclear, 9

uro-mp, 16

Vesicare, 17

vitamin d-3, 30, 43

urosex, 30

vestura, 12, 40

vitamin d-400, 30, 43

ursodiol, 16

Vexol, 23

vitamin d3, 30, 43

uryl, 16

Viagra, 8

Vitamin D3, 30, 43

ustell, 16

Vibativ, 3

Vitamin D3 400, 30, 43

uta, 16

vic-forte, 30

vitamin d3 adult gummies, 30, 43

uticap, 16

vicodin, 26

vitamin d3 high potency, 30, 43

utira-c, 16

vicodin ES, 26

vitamin d3 maximum strength, 30, 43

utrona-c, 16

vicodin HP, 26

vitamin d3 super strength, 30, 43

Uvadex, 5

Victoza, 13

vitamin k1, 29

V

Victrelis, 3

Vitamin K1, 29

Vida Mia Unilet Lancets Super Thin 30G, 35

vitamins a/c/d/fluoride, 30

v-c forte, 30

Vivitrol, 38

V-go 20, 35

Vida Mia Unilet Lancets Ultra Thin 28G, 35

Vivotif Berna, 29

V-go 30, 35

Vogelxo, 11

V-go 40, 35

Videx Pediatric, 2

Vogelxo P.M., 11

Vagifem, 17

Vigamox, 23

vol-care RX, 30

valacyclovir HCL, 2

Viibryd, 20

Voltaren, 9

Valchlor, 4, 11

Vimizim, 15

Voraxaze, 5

Valcyte, 3

Vimovo, 26

voriconazole, 2

valganciclovir, 3

Vimpat, 21

Vortex Valved Holding Chamber, 36

valproate sodium, 21

Vinate C, 31

Votrient, 5

valproic acid, 21

Vinate Care, 31

Vp-gstn, 38

valsartan, 7

Vinate DHA RF, 31

vp-precip, 37

valsartan/hydrochlorothiazide, 7

Vinate GT, 31

Vp-zel, 31

Valstar, 4

Vinate IC, 31

Vpriv, 18

Value Plus Lancets Standard 21G, 35

Vinate II, 31

vyfemla, 12, 40

Value Plus Lancets Super Thin 30G, 35

Vinate M, 31

Vytorin, 8

Value Plus Lancets Thin 26G, 35

Vinate One, 31

Vyvanse, 21

Valumark Lancet Super Thin 30G, 35

Vinate Pn Care, 31

W

Valumark Lancet Ultra Thin 28G, 35

Vinate Ultra, 31

Valved Holding Chamber, 36

W&f Lancets 26G, 35

Vinblastine Sulfate, 5

vancomycin HCL, 3

W&f Lancets Colored 21G, 35

vincasar PFS, 5

Vancomycin HCL, 3

Walgreens Advanced Travellancets 28G, 35

vincristine sulfate, 5

Vancomycin HCL IN Dextrose, 3

vinorelbine tartrate, 5

vandazole, 17

Walgreens Comfort Assuredlancets Micro Thin/33G, 35

Viokace, 16

Vantas, 4

viorele, 12, 40

Vaqta, 29, 42

Walgreens Comfort Assuredlancets Super Thin/28G, 35

Viracept, 3

Varivax, 29, 42

Viramune, 3

Vascepa, 8

Walgreens Lancets, 35

Viramune XR, 3

vasopressin, 14

Walgreens Thin Lancets, 35

Virazole, 3

Vayacog, 38

Walgreens Ultra Thin Lancets, 35

Viread, 3

Vayarin, 38

warfarin sodium, 19

virt-CAPS, 30

Vayarol, 38

Watchhaler, 36

virt-phos 250 neutral, 37

Vcf Vaginal Contraceptive Film, 17, 40

Webcol Alcohol Prep Large 1 Ply, 36

virt-vite, 17

Vcf Vaginal Contraceptive Foam, 17, 40

Webcol Alcohol Prep Large 2 Ply, 36

virt-vite forte, 37

Vectibix, 4

Webcol Alcohol Prep Medium 2 Ply, 36

virt-vite plus, 30

Vectical, 9

wee care, 18, 42

virti-sulf, 8

vecuronium bromide, 22

Welchol, 8

virtrate-3, 17

Velcade, 5

Wellesse Vitamin D3, 30, 43

Visudyne, 24

Veletri, 8

wera, 12, 40

vita s forte, 30

velivet, 12, 40

Westhroid, 15

vita-min, 30

Veltin, 9

Wheat Germ, 29

Vita-respa, 38

venlafaxine HCL, 20

Wide-seal Silicone Diaphragm Kit 60, 40

vitacel, 30

venlafaxine HCL ER, 20



Zinacef, 1


Zinacef IN Iso-osmotic Diluent, 1


zinc sulfate, 37


Zinc Sulfate, 38


Zinc Trace Metal, 38


Zioptan, 23

Wilate, 19

ziprasidone HCL, 20

Winrho SDF, 38

Zirgan, 23

wymzya FE, 12, 40

Zithromax, 1

X

Zoladex, 4

zoledronic acid, 14

x-viate, 10

Zoledronic Acid, 14

Xalkori, 5

Zolinza, 5

Xarelto, 19

zolmitriptan, 27

Xarelto Starter Pack, 19

zolmitriptan odt, 27

Xeljanz, 27

zolpidem tartrate, 21

Xenazine, 22

zolpidem tartrate ER, 21

Xenical, 21

Zometa, 14

Xeomin, 22

Zomig, 27

Xgeva, 14

Zomig Nasal Spray, 27

Xiaflex, 38

Zonalon, 9

Xifaxan, 3

zonisamide, 21

Xofigo, 5

Zontivity, 19

Xolair, 28

Zorbtive, 14

Xolegel, 9

Zortress, 5

Xopenex HFA, 28

Zostavax, 29, 42

Xtandi, 4

zovia 1/35e, 12, 40

xulane, 12, 40

Zovia 1/50e, 11, 39

xylocaine dental, 27

Zovirax, 9

xylon, 26

Zuplenz, 16

Xyntha, 19

Zyclara, 10

Xyntha Solofuse, 19

Zyclara P.M., 10

Xyrem, 22

Zydelig, 5

Y

Zyflo, 28

Zyflo CR, 28

Yervoy, 4

Zylet, 23

Yf-vax, 29

Zytiga, 4

yl folic acid, 18, 41

Zyvox, 3

Yodoxin, 3

1

Your Life Multi Prenatal, 31

Z

1ST Choice Lancets Super Thin, 35

1ST Choice Lancets Thin, 35

Zaclir Cleansing, 9

1ST Choice Lancets Ultra Thin, 35

zafirlukast, 28

1ST Tier Unilet Comfortouch Lancets 28G, 35

zaleplon, 21

Zaltrap, 4

1ST Tier Unilet Comfortouch Lancets 30G, 35

zamicet, 26

Zanosar, 4

8

zarah, 12, 40

Zavesca, 18

8-mop, 9

zazole, 17

zebutal, 25

Zegerid, 16

Zelboraf, 5

Zemaira, 28

Zemplar, 14

zenatane, 8

zenchent, 12, 40

zenchent FE, 12, 40

zencia, 8

Zenpep, 16

zenzedi, 21

Zetia, 8

Zetonna, 28

Zevalin Y-90, 4

zflex, 25

Zgesic, 25

Ziagen, 3

Ziana, 9

zidovudine, 2

2015 essential health benefits formulary reference guide · 2015 essential health benefits...

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