2019 select formulary - southern scripts pharmacy benefit manager scripts select print… ·...

2019 Select Formulary

Effective 01/01/2019

The Formulary List is a guide providing tier designation for common medicines within select therapeutic categories. The Formulary List may not include all drugs covered by your prescription drug benefit. Generic medicines are available within many of the therapeutic categories listed, in addition to categories not listed, and should be considered as the first line of prescribing.

For benefit coverage or restrictions please check your benefit plan document(s). This listing is revised periodically as new drugs and new prescribing information becomes available. It is recommended that you bring this list of medications when you or a covered family member sees a physician or other healthcare provider.

Tier Definitions1 Generics2 Preferred Brands3 Non-Preferred Brands4 Excluded Drugs - 100% Patient Liability

(ST) Step Therapy(PA) Prior Authorization

Major Drug Class OverviewNon-Preferred and Excluded* Drugs With Preferred Options

2019

PreferredNon-Preferred / Excluded *Drug Class

ANALGESICSANTIARTHRITICS EUFLEXXA*, GEL-ONE*, HYALGAN*,

MONOVISC*, ORTHOVISC*

DUROLANE, GELSYN-3, SUPARTZ,

SUPARTZ FX, SYNVISC, SYNVISC ONE

NARCOTICS ABSTRAL*, EMBEDA*, FENTORA*, KADIAN,

ZOHYDRO ER

fentanyl, fentanyl citrate oral transmucosal,

morphine sulfate er, oxycodone hcl,

HYSINGLA ER, NUCYNTA ER, OXYCONTIN

ANTI-INFECTIVESANTIVIRALS REBETOL moderiba, ribavirin, RIBASPHERE RIBAPAK

HEPATITIS C DAKLINZA*, EPCLUSA*, HARVONI*,

SOVALDI*, ZEPATIER*

MAVYRET

TETRACYCLINES DOXYCYCLINE*, ORACEA minocycline hcl, tetracycline hcl, SOLODYN

CARDIACANGIOTENSIN RECEPTOR BLOCKER BENICAR HCT, EDARBI, EDARBYCLOR candesartan cilexetil/hydrochlorothiazide,

irbesartan/hydrochlorothiazide, losartan

potassium/hydrochlorothiazide,

valsartan/hydrochlorothiazide

ANTICOAGULANTS PRADAXA* clopidogrel, ELIQUIS, XARELTO

ANTI-HYPERLIPIDEMICS VYTORIN atorvastatin calcium, ezetimibe,

ezetimibe/simvastatin, rosuvastatin calcium,

simvastatin, LIVALO

CNSADHD ADDERALL XR amphetamine/dextroamphetamine er

ANTIDEPRESSANTS PEXEVA, SARAFEM citalopram hydrobromide, escitalopram

oxalate, fluoxetine hcl, fluvoxamine

maleate, paroxetine hcl, paroxetine hcl er,

sertraline hcl, trazodone hcl, VIIBRYD

ANTI-PSYCHOTIC FANAPT, REXULTI aripiprazole, olanzapine, olanzapine odt,

quetiapine fumarate, quetiapine fumarate

er, LATUDA, SAPHRIS

SLEEP ZOLPIMIST eszopiclone, zaleplon, zolpidem tartrate,

zolpidem tartrate er, BELSOMRA,

ROZEREM

DIABETESDPP-4 ALOGLIPTIN*, KAZANO*, KOMBIGLYZE

XR*, NESINA*, ONGLYZA*, OSENI*

JANUMET XR, JANUVIA, JENTADUETO,

TRADJENTA

INCRETINS BYDUREON PEN*, BYETTA*, TANZEUM* OZEMPIC, TRULICITY, VICTOZA

INSULIN AFREZZA, APIDRA*, HUMALOG*,

HUMALOG MIX 50/50*, HUMALOG MIX

75/25*, HUMULIN 70/30*, HUMULIN N*,

HUMULIN R*

FIASP, FIASP FLEXTOUCH, NOVOLIN

70/30, NOVOLOG FLEXPEN, NOVOLOG

MIX 70/30, NOVOLOG PENFILL

INSULIN: LONG ACTING BASAGLAR KWIKPEN* LANTUS, LANTUS SOLOSTAR, LEVEMIR,

TOUJEO SOLOSTAR, TRESIBA

FLEXTOUCH

OTHER GLUMETZA, RIOMET metformin hcl er

SGLT-2 INVOKAMET*, INVOKANA* FARXIGA, JARDIANCE, SYNJARDY,

XIGDUO XR


DIABETESTESTING ACCU-CHEK AVIVA CONNECT*,

ACCU-CHEK AVIVA PLUS*, ADVOCATE

BLOOD GLUCOSE MONITORING SYSTEM*,

BAYER BREEZE 2 TEST DISC*, BAYER

CONTOUR BLOOD GLUCOSE TEST

STRIPS*, EMBRACE BLOOD GLUCOSE TEST

STRIPS*, FREESTYLE TEST STRIPS*,

PRODIGY AUTOCODE BLOOD GLUCOSE

MONITORING SYSTEM*, TRUE METRIX

BLOOD GLUCOSETEST STRIPS*, TRUE

METRIX SELF MONITORING BLOOD

GLUCOSE STRIPS*, TRUETRACK SMART

SYSTEM*, UNISTRIP1 GENERIC*

ONETOUCH ULTRA BLUE, ONETOUCH

VERIO TEST STRIPS

ENDOCRINEESTROGENS CLIMARA PRO*, ESTRACE, ESTROGEL* estradiol, DIVIGEL, ESTRING, PREMARIN

FERTILITY AGENTS BRAVELLE*, FOLLISTIM AQ*, GANIRELIX

ACETATE*, PREGNYL W/DILUENT

BENZYLALCOHOL/NACL*

clomiphene citrate, CETROTIDE, GONAL-F,

MENOPUR, NOVAREL

PROGESTINS CRINONE ENDOMETRIN

TESTOSTERONE AXIRON*, FORTESTA*, NATESTO*,

STRIANT, TESTIM*, VOGELXO*

testosterone cypionate, ANDROGEL,

ANDROGEL PUMP

GASTROINTESTINALDIGESTIVE ENZYMES PANCREAZE*, PERTZYE* CREON, VIOKACE, ZENPEP

OTHER DELZICOL*, DIPENTUM, LIALDA balsalazide disodium, AMITIZA, APRISO,

LINZESS, PENTASA

PROTON PUMP INHIBITORS DEXILANT* lansoprazole, omeprazole, pantoprazole

sodium

GROWTH HORMONESGENOTROPIN*, HUMATROPE*, NUTROPIN

AQ NUSPIN 10*, OMNITROPE*, SAIZEN

CLICK.EASY*, ZOMACTON*, ZORBTIVE*

NORDITROPIN FLEXPRO

HEMATOLOGYARANESP ALBUMIN FREE*, EPOGEN*,

MIRCERA*

PROCRIT

MUSCULOSKELETALANTI-INFLAMMATORY ** CIMZIA*, ILUMYA, KEVZARA, KINERET*,

ORENCIA*, REMICADE*, SILIQ*, SIMPONI*,

TALTZ*, TREMFYA

ACTEMRA, COSENTYX, COSENTYX

SENSOREADY PEN, ENBREL SURECLICK,

ENTYVIO, HUMIRA PEN, OTEZLA,

STELARA, XELJANZ, XELJANZ XR

(1) Trial of TWO preferred products required [documentation required]

(2) Trial of ONE preferred product required

(3) Trial of Humira required / Other preferred products not requiring Humira first for Psoriasis are Cosentyx, Otezla & Stelara

Non-Preferred Products Preferred ProductsIndication

CIMZIA (1) or KEVZARA (1) or KINERET (1) or

ORENCIA (1) or SIMPONI 50mg (1)

ACTEMRA or ENBREL or HUMIRA or XELJANZ

or XELJANZ XRRheumatoid Arthritis

ORENCIA (2) ENBREL or HUMIRAJuvenille Idiopathic Arthritis

CIMZIA (1) or SIMPONI 50mg (1) COSENTYX or ENBREL or HUMIRAAnkylosing Spondylitis

CIMZIA (1) or ORENCIA (1) or OTEZLA (2) or

SIMPONI 50mg (1) or TALTZ (1) or XELJANZ (1) or

XELJANZ XR (1)

COSENTYX or ENBREL or HUMIRA or

STELARAPsoriatic Arthritis

CIMZIA (1) or ILUMYA (1) or SILIQ (1) or TALTZ (1)

or TREMFYA (1)

COSENTYX or HUMIRA or OTEZLA or STELARAPlaque Psoriasis

CIMZIA (1) HUMIRA or STELARACrohn's Disease

SIMPONI 100mg (2) or XELJANZ (2) or XELJANZ XR

(2)

HUMIRAUlcerative Colitis


GLAUCOMA COSOPT PF, SIMBRINZA, ZIOPTAN* dorzolamide hcl, latanoprost, AZOPT,

COMBIGAN, TRAVATAN Z

NSAIDS ACUVAIL*, NEVANAC* bromfenac, diclofenac sodium, ketorolac

tromethamine, ILEVRO, PROLENSA

OTICMISCELLANEOUS CETRAXAL ciprofloxacin

RESPIRATORYASTHMA/COPD DULERA*, INCRUSE ELLIPTA*, TUDORZA

PRESSAIR*

ADVAIR DISKUS, ANORO ELLIPTA, BREO

ELLIPTA, STIOLTO RESPIMAT, SYMBICORT

BETA AGONISTS FORADIL AEROLIZER, PROVENTIL HFA*,

XOPENEX HFA*

ARCAPTA NEOHALER, PERFOROMIST,

PROAIR HFA, VENTOLIN HFA

INHALED STEROIDS ALVESCO*, ASMANEX TWISTHALER 120

METERED DOSES*

ARNUITY ELLIPTA, FLOVENT DISKUS,

FLOVENT HFA, PULMICORT FLEXHALER,

QVAR

NASAL STEROIDS BECONASE AQ*, NASONEX, OMNARIS*,

QNASL*, ZETONNA*

flunisolide, fluticasone propionate,

DYMISTA

TOPICALACNE ATRALIN, AVAGE, AZELEX, BENZACLIN

WITH PUMP, EPIDUO, VELTIN*

adapalene, clindamycin phosphate/tretinoin,

clindamycin/benzoyl peroxide,

erythromycin, tretinoin, ACANYA,

TAZORAC

MISCELLANEOUS ALDARA, ZYCLARA PUMP* fluorouracil, imiquimod, PICATO

ROSACEA NORITATE, SOOLANTRA metronidazole, FINACEA

UROLOGICALANTISPASMODICS ENABLEX, GELNIQUE oxybutynin chloride, oxybutynin chloride er,

tolterodine tartrate, trospium chloride,

MYRBETRIQ, TOVIAZ, VESICARE

ERECTILE DYSFUNCTION CIALIS, LEVITRA*, STAXYN*, STENDRA*,

VIAGRA

sildenafil citrate, tadalafil

Please Note: Drugs Marked with * are Excluded

Additional covered alternatives m ay be available. Costs for covered alternatives m ay vary. Other

prescription benefit considerations m ay apply.

ANALGESICSANTIARTHRITICSDUROLANE 2Prefilled Syringe

GELSYN-3 2Solution Prefilled Syringe

SUPARTZ 2Solution Prefilled Syringe

SUPARTZ FX 2Solution Prefilled Syringe

SYNVISC 2Solution Prefilled Syringe

SYNVISC ONE 2Solution Prefilled Syringe

EUFLEXXA 4Solution Prefilled Syringe

GEL-ONE 4Prefilled Syringe

GENVISC 850 4Solution Prefilled Syringe

HYALGAN 4Solution Prefilled Syringe

HYMOVIS 4Solution Prefilled Syringe

MONOVISC 4Solution Prefilled Syringe

ORTHOVISC 4Solution Prefilled Syringe

HEADACHEdihydroergotamine mesylate 1Solution

isometheptene/dichloralphenazone/acetaminophen 1Capsule

naratriptan hcl 1Tablet

rizatriptan benzoate 1Tablet

sumatriptan 1Solution

sumatriptan succinate 1Tablet

sumatriptan succinate 1Solution Auto-injector

zolmitriptan 1Tablet

zolmitriptan odt 1Tablet Disintegrating

ZOMIG 2Solution

AXERT 3Tablet

CAFERGOT 3Tablet

ERGOMAR 3Tablet Sublingual

FROVA 3Tablet

RELPAX 3Tablet

SUMAVEL DOSEPRO 4Solution Jet-injector

TREXIMET 4Tablet

MISCELLANEOUSdiflunisal 1Tablet

salsalate 1Tablet

tramadol hcl 1Tablet

tramadol hcl er 1Tablet Extended Release 24 Hour

tramadol hydrochloride/acetaminophen 1Tablet

CONZIP 3Capsule Extended Release 24 Hour

NARCOTIC ANTAGONIST (NON-OPIOD)LUCEMYRA 2

NARCOTIC ANTAGONISTS (OPIOD)buprenorphine hcl/naloxone hcl 1Tablet Sublingual

naltrexone hcl 1Tablet

NARCAN 2Liquid

SUBOXONE 2Film

VIVITROL 2Suspension Reconstituted

ZUBSOLV 2Tablet Sublingual

EVZIO 4Solution Auto-injector

NARCOTICSacetaminophen/codeine 1Tablet

acetaminophen/codeine 1Solution

buprenorphine hcl 1Tablet Sublingual

butalbital/acetaminophen/caffeine 1Tablet

butalbital/acetaminophen/caffeine/codeine 1Capsule

butalbital/aspirin/caffeine 1Capsule

butalbital/aspirin/caffeine/codeine 1Capsule

codeine sulfate 1Tablet

fentanyl 1Patch 72 Hour

fentanyl citrate oral transmucosal 1Lozenge on a Handle

Printed Date:12/6/2018

| 2019 Select FormularyData Last Updated:12/6/2018

NARCOTICShydrocodone bitartrate/acetaminophen 1Solution

hydrocodone/acetaminophen 1Tablet

hydrocodone/ibuprofen 1Tablet

hydromorphone hcl 1Tablet

meperidine hcl 1Solution

methadone hcl 1Solution

methadone hcl 1Tablet Soluble

morphine sulfate 1Suppository

morphine sulfate er 1Tablet Extended Release

oxycodone hcl 1Solution

oxycodone/acetaminophen 1Tablet

oxycodone/aspirin 1Tablet

oxycodone/ibuprofen 1Tablet

oxymorphone hydrochloride 1Tablet

FLECTOR 2Patch

HYSINGLA ER 2Tablet ER 24 Hour Abuse-Deterrent

NUCYNTA 2Tablet

NUCYNTA ER 2Tablet Extended Release 12 Hour

OXYCONTIN 2Tablet ER 12 Hour Abuse-Deterrent

BUPRENORPHINE 3Patch Weekly

CAPITAL/CODEINE 3Suspension

KADIAN 3Capsule Extended Release 24 Hour

PRIMLEV 3Tablet

SUBSYS 3Liquid

ZOHYDRO ER 3Capsule ER 12 Hour Abuse-Deterrent

ABSTRAL 4Tablet Sublingual

EMBEDA 4Capsule Extended Release

FENTORA 4Tablet

NSAIDS

celecoxib 1Capsule

diclofenac potassium 1Tablet

diclofenac sodium er 1Tablet Extended Release 24 Hour

diclofenac sodium/misoprostol 1Tablet Delayed Release

etodolac 1Tablet

fenoprofen calcium 1Tablet

flurbiprofen 1Tablet

indomethacin 1Capsule

ketoprofen 1Capsule

ketorolac tromethamine 1Tablet

meclofenamate sodium 1Capsule

mefenamic acid 1Capsule

meloxicam 1Suspension

meloxicam 1Tablet

nabumetone 1Tablet

naproxen 1Tablet

naproxen sodium 1Tablet

oxaprozin 1Tablet

piroxicam 1Capsule

sulindac 1Tablet

tolmetin sodium 1Capsule

CELEBREX 3Capsule

DUEXIS 3Tablet

INDOCIN 3Suppository

SPRIX 3Solution

VOLTAREN 3Gel

ZIPSOR 3Capsule

ZORVOLEX 3Capsule

NALFON 4Capsule



NSAIDSVIMOVO 4Tablet Delayed Release

ANTI-INFECTIVESANTIFUNGALclotrimazole 1Troche

fluconazole 1Tablet

fluconazole 1Suspension Reconstituted

flucytosine 1Capsule

griseofulvin microsize 1Suspension

griseofulvin microsize 1Tablet

griseofulvin ultramicrosize 1Tablet

itraconazole 1Capsule

ketoconazole 1Tablet

nystatin 1Suspension

nystatin 1Tablet

terbinafine hcl 1Tablet

voriconazole 1Suspension Reconstituted

voriconazole 1Tablet

NOXAFIL 2Suspension

SPORANOX 2Solution

LAMISIL 3Tablet

ONMEL 3Tablet

ANTIMALARIALSatovaquone/proguanil hcl 1Tablet

chloroquine phosphate 1Tablet

hydroxychloroquine sulfate 1Tablet

mefloquine hcl 1Tablet

quinine sulfate 1Capsule

COARTEM 2Tablet

DARAPRIM 2Tablet

PRIMAQUINE PHOSPHATE 2Tablet

ANTIMYCOBACTERIALScycloserine 1Capsule

ethambutol hcl 1Tablet

isoniazid 1Tablet

pyrazinamide 1Tablet

rifampin 1Capsule

SIRTURO 2Tablet

PASER 3Packet

RIFATER 3Tablet

TRECATOR 3Tablet

ANTIPARASITICSmetronidazole 1Tablet

paromomycin sulfate 1Capsule

tinidazole 1Tablet

ALBENZA 2Tablet

ALINIA 2Tablet

ALINIA 2Suspension Reconstituted

BILTRICIDE 3Tablet

FLAGYL ER 3Tablet Extended Release 24 Hour

MEPRON 3Suspension

STROMECTOL 3Tablet

ANTIVIRALSacyclovir 1Capsule

acyclovir 1Suspension

acyclovir 1Tablet

amantadine hcl 1Capsule

amantadine hcl 1Syrup

famciclovir 1Tablet

lamivudine 1Tablet

moderiba 1Tablet



ANTIVIRALSoseltamivir phosphate 1Capsule

ribasphere 1Capsule

ribavirin 1Capsule

rimantadine hcl 1Tablet

valacyclovir hcl 1Tablet

EPIVIR HBV 2Solution

RIBASPHERE RIBAPAK 2Tablet

BARACLUDE 3Tablet

REBETOL 3Solution

SITAVIG 3Tablet

TAMIFLU 3Suspension Reconstituted

VALCYTE 3Solution Reconstituted

VALCYTE 3Tablet

CEPHALOSPORINScefaclor 1Suspension Reconstituted

cefaclor 1Capsule

cefadroxil 1Suspension Reconstituted

cefadroxil 1Capsule

cefdinir 1Capsule

cefdinir 1Suspension Reconstituted

cefprozil 1Suspension Reconstituted

cefprozil 1Tablet

ceftibuten 1Capsule

ceftibuten 1Suspension Reconstituted

cephalexin 1Suspension Reconstituted

cephalexin 1Tablet

CEFTIN 3Suspension Reconstituted

SUPRAX 3Suspension Reconstituted

ERYTHROMYCINS/MACROLIDS

azithromycin 1Suspension Reconstituted

clarithromycin 1Suspension Reconstituted

clarithromycin 1Tablet

clarithromycin er 1Tablet Extended Release 24 Hour

ery-tab 1Tablet Delayed Release

erythromycin base 1Tablet

erythromycin ethylsuccinate 1Tablet

DIFICID 3Tablet

HEPATITIS CMAVYRET 2 (PA)Tablet

* Based on Clinical Indications Only

DAKLINZA 4Tablet

EPCLUSA 4Tablet

HARVONI 4Tablet

OLYSIO 4Capsule

SOVALDI 4Tablet

ZEPATIER 4Tablet

HIVabacavir 1Tablet

abacavir sulfate/lamivudine/zidovudine 1Tablet

didanosine 1Capsule Delayed Release

lamivudine/zidovudine 1Tablet

nevirapine 1Suspension

nevirapine 1Tablet

ritonavir 1

stavudine 1Solution Reconstituted

stavudine 1Capsule

zidovudine 1Capsule

zidovudine 1Syrup

zidovudine 1Tablet



HIVAPTIVUS 2Capsule

APTIVUS 2Solution

ATRIPLA 2Tablet

COMPLERA 2Tablet

CRIXIVAN 2Capsule

DESCOVY 2Tablet

EDURANT 2Tablet

EMTRIVA 2Solution

EMTRIVA 2Capsule

GENVOYA 2Tablet

INTELENCE 2Tablet

INVIRASE 2Tablet

ISENTRESS 2Tablet

KALETRA 2Tablet

LEXIVA 2Suspension

NORVIR 2Solution

NORVIR 2Tablet

ODEFSEY 2Tablet

PREZISTA 2Suspension

PREZISTA 2Tablet

RESCRIPTOR 2Tablet

SELZENTRY 2Tablet

STRIBILD 2Tablet

TIVICAY 2Tablet

TRUVADA 2Tablet

VIDEXPEDIATRIC 2Solution Reconstituted

VIRACEPT 2Tablet

EPIVIR 3Solution

EPZICOM 3Tablet

KALETRA 3Solution

LEXIVA 3Tablet

REYATAZ 3Capsule

SUSTIVA 3Capsule

VIREAD 3Tablet

ZIAGEN 3Solution

MISCELLANEOUSclindamycin hcl 1Capsule

clindamycin palmitate hcl 1Solution Reconstituted

dapsone 1Tablet

linezolid 1Tablet

methenamine hippurate 1Tablet

methenamine mandelate 1Tablet

nitrofurantoin macrocrystals 1Capsule

nitrofurantoin monohydrate 1Capsule

sulfadiazine 1Tablet

sulfamethoxazole/trimethoprim 1Tablet

sulfamethoxazole/trimethoprim 1Suspension

trimethoprim 1Tablet

vancomycin hcl 1Capsule

TOBI PODHALER 2Capsule

XIFAXAN 2Tablet

FIRVANQ 3

MONUROL 3Packet

PRIMSOL 3Solution

SIVEXTRO 3Tablet

ZYVOX 3Tablet

PENICILLINSamoxicillin 1Tablet



PENICILLINSamoxicillin 1Suspension Reconstituted

amoxicillin/clavulanate potassium 1Suspension Reconstituted

amoxicillin/clavulanate potassium 1Tablet

amoxicillin/clavulanate potassium er 1Tablet Extended Release 12 Hour

ampicillin 1Suspension Reconstituted

ampicillin 1Capsule

dicloxacillin sodium 1Capsule

penicillin v potassium 1Tablet

penicillin v potassium 1Solution Reconstituted

QUINOLONESciprofloxacin er 1Tablet Extended Release 24 Hour

ciprofloxacin hcl 1Tablet

levofloxacin 1Solution

levofloxacin 1Tablet

TETRACYCLINESdemeclocycline hcl 1Tablet

doxycycline hyclate 1Tablet

doxycycline monohydrate 1Capsule

minocycline hcl 1Capsule

morgidox 1x100mg 1Capsule

tetracycline hcl 1Capsule

SOLODYN 2Tablet Extended Release 24 Hour

ACTICLATE 3Tablet

DORYX 3Tablet Delayed Release

MINOCIN 3Capsule

MONODOX 3Capsule

ORACEA 3Capsule Delayed Release

VIBRAMYCIN 3Syrup

DOXYCYCLINE 4Capsule Delayed Release

VAGINAL

clindamycin phosphate 1Cream

metronidazole vaginal 1Gel

miconazole 3 1Suppository

terconazole 1Suppository

terconazole 1Cream

AVC 3Cream

GYNAZOLE-1 3Cream

CANANTIDEPRESSANTSSAVELLA 2 (PA)Tablet

* Coverage based on indication.

CARDIACACE INHIBITORSamlodipine besylate/benazepril hydrochloride 1Capsule

benazepril hcl 1Tablet

benazepril hcl/hydrochlorothiazide 1Tablet

captopril 1Tablet

captopril/hydrochlorothiazide 1Tablet

enalapril maleate 1Tablet

fosinopril sodium 1Tablet

fosinopril sodium/hydrochlorothiazide 1Tablet

lisinopril 1Tablet

lisinopril/hydrochlorothiazide 1Tablet

moexipril hcl 1Tablet

moexipril/hydrochlorothiazide 1Tablet

perindopril erbumine 1Tablet

quinapril hcl 1Tablet

quinapril/hydrochlorothiazide 1Tablet

ramipril 1Capsule

trandolapril 1Tablet

ACCUPRIL 3Tablet



ACE INHIBITORSALTACE 3Capsule

EPANED 3Solution

LOTENSIN 3Tablet

MAVIK 3Tablet

PRINIVIL 3Tablet

QBRELIS 3Solution

TARKA 3Tablet Extended Release

VASOTEC 3Tablet

ZESTRIL 3Tablet

ANGIOTENSIN RECEPTOR BLOCKERcandesartan cilexetil 1Tablet

candesartan cilexetil/hydrochlorothiazide 1Tablet

eprosartan mesylate 1Tablet

irbesartan 1Tablet

irbesartan/hydrochlorothiazide 1Tablet

losartan potassium 1Tablet

losartan potassium/hydrochlorothiazide 1Tablet

olmesartan medoxomil 1Tablet

telmisartan 1Tablet

telmisartan/amlodipine 1Tablet

telmisartan/hydrochlorothiazide 1Tablet

valsartan 1Tablet

valsartan/hydrochlorothiazide 1Tablet

TEKAMLO 2Tablet

TEKTURNA 2Tablet

TEKTURNA HCT 2Tablet

ATACAND HCT 3Tablet

AZOR 3Tablet

BENICAR 3Tablet

BENICAR HCT 3Tablet

DIOVAN HCT 3Tablet

EDARBI 3Tablet

EDARBYCLOR 3Tablet

EXFORGE 3Tablet

EXFORGE HCT 3Tablet

TRIBENZOR 3Tablet

ANTIARRHYTHMICamiodarone hcl 1Tablet

digoxin 1Tablet

digoxin 1Solution

disopyramide phosphate 1Capsule

flecainide acetate 1Tablet

mexiletine hcl 1Capsule

pacerone 1Tablet

procainamide hcl 1Solution

propafenone hcl 1Tablet

quinidine gluconate 1Solution

quinidine sulfate 1Tablet

quinidine sulfate er 1Tablet Extended Release

sorine 1Tablet

sotalol hcl 1Tablet

sotalol hcl (af) 1Tablet

MULTAQ 2Tablet

NORPACE CR 2Capsule Extended Release 12 Hour

TIKOSYN 3Capsule

ANTICOAGULANTScilostazol 1Tablet

clopidogrel 1Tablet

dipyridamole 1Tablet



ANTICOAGULANTSenoxaparin sodium 1Solution

fondaparinux sodium 1Solution

heparin sodium 1Solution

jantoven 1Tablet

pentoxifylline er 1Tablet Extended Release

ticlopidine hcl 1Tablet

warfarin sodium 1Tablet

BEVYXXA 2Capsule

BRILINTA 2Tablet

ELIQUIS 2Tablet

FRAGMIN 2Solution

MEPHYTON 2Tablet

XARELTO 2Tablet

XARELTO STARTER PACK 2Tablet Therapy Pack

AGGRENOX 3Capsule Extended Release 12 Hour

COUMADIN 3Tablet

EFFIENT 3Tablet

PRADAXA 4Capsule

ANTI-HYPERLIPIDEMICSamlodipine besylate/atorvastatin calcium 1Tablet

atorvastatin calcium 1Tablet

cholestyramine 1Packet

colestipol hcl 1Tablet

ezetimibe 1Tablet

ezetimibe/simvastatin 1Tablet

fenofibrate 1Tablet

fenofibric acid dr 1Capsule Delayed Release

fluvastatin 1Capsule

gemfibrozil 1Tablet

lovastatin 1Tablet

niacin er 1Tablet Extended Release

pravastatin sodium 1Tablet

prevalite 1Packet

rosuvastatin calcium 1Tablet

simvastatin 1Tablet

LIPOFEN 2Capsule

LIVALO 2Tablet

PRALUENT 2Solution Pen-injector

PRALUENT 2Solution Prefilled Syringe

REPATHA 2Solution Prefilled Syringe

REPATHA SURECLICK 2Solution Auto-injector

VASCEPA 2Capsule

ANTARA 3Capsule

CRESTOR 3Tablet

FENOGLIDE 3Tablet

JUXTAPID 3Capsule

LESCOL XL 3Tablet Extended Release 24 Hour

LOVAZA 3Capsule

NIACOR 3Tablet

TRIGLIDE 3Tablet

VYTORIN 3Tablet

WELCHOL 3Packet

WELCHOL 3Tablet

ZETIA 3Tablet

ALTOPREV 4Tablet Extended Release 24 Hour

BETA BLOCKERSacebutolol hcl 1Capsule

atenolol 1Tablet



BETA BLOCKERSatenolol/chlorthalidone 1Tablet

betaxolol hcl 1Tablet

bisoprolol fumarate 1Tablet

bisoprolol fumarate/hydrochlorothiazide 1Tablet

carvedilol 1Tablet

labetalol hcl 1Tablet

metoprolol tartrate 1Tablet

nadolol 1Tablet

nadolol/bendroflumethiazide 1Tablet

pindolol 1Tablet

propranolol hcl 1Solution

propranolol hcl 1Tablet

propranolol/hydrochlorothiazide 1Tablet

timolol maleate 1Tablet

BYSTOLIC 2Tablet

HEMANGEOL 2Solution

COREG CR 3Capsule Extended Release 24 Hour

LEVATOL 3Tablet

CALCIUM CHANNEL BLOCKERSafeditab cr 1Tablet Extended Release 24 Hour

amlodipine besylate 1Tablet

cartia xt 1Capsule Extended Release 24 Hour

diltiazem cd 1Capsule Extended Release 24 Hour

diltiazem hcl 1Tablet

diltiazem hcl er 1Capsule Extended Release 24 Hour

felodipine er 1Tablet Extended Release 24 Hour

isradipine 1Capsule

nifedipine 1Capsule

nifedipine er 1Tablet Extended Release 24 Hour

nimodipine 1Capsule

nisoldipine er 1Tablet Extended Release 24 Hour

taztia xt 1Capsule Extended Release 24 Hour

verapamil hcl 1Tablet

verapamil hcl er 1Capsule Extended Release 24 Hour

DIURETICSacetazolamide 1Tablet

amiloride hcl 1Tablet

amiloride/hydrochlorothiazide 1Tablet

bumetanide 1Tablet

chlorothiazide 1Tablet

eplerenone 1Tablet

furosemide 1Solution

hydrochlorothiazide 1Tablet

indapamide 1Tablet

methazolamide 1Tablet

methyclothiazide 1Tablet

metolazone 1Tablet

spironolactone 1Tablet

spironolactone/hydrochlorothiazide 1Tablet

torsemide 1Tablet

triamterene/hydrochlorothiazide 1Tablet

DYRENIUM 3Capsule

HEREDITARY ANGIOEDEMA (HAE)RUCONEST 2Solution Reconstituted

BERINERT 3Kit

CINRYZE 3Solution Reconstituted

HAEGARDA 3Solution Reconstituted

NITRATESisosorbide dinitrate 1Tablet



NITRATESisosorbide mononitrate 1Tablet

minitran 1Patch 24 Hour

nitroglycerin lingual 1Aerosol Solution

nitroglycerin transdermal 1Patch 24 Hour

DILATRATE SR 2Capsule Extended Release

NITRO-BID 2Ointment

NITRO-DUR 2Patch 24 Hour

NITROSTAT 3Tablet Sublingual

OTHERENTRESTO 2Tablet

RANEXA 2Tablet Extended Release 12 Hour

VECAMYL 3Tablet

OTHER ANTI-HYPERTENSIVESclonidine hcl 1Tablet

clorpres 1Tablet

doxazosin mesylate 1Tablet

guanfacine hcl 1Tablet

hydralazine hcl 1Tablet

methyldopa 1Tablet

methyldopa/hydrochlorothiazide 1Tablet

minoxidil 1Tablet

prazosin hcl 1Capsule

reserpine 1Tablet

terazosin hcl 1Capsule

BIDIL 3Tablet

CARDURA XL 3Tablet Extended Release 24 Hour

CNSADHDamphetamine/dextroamphetamine 1Tablet

amphetamine/dextroamphetamine er 1Capsule Extended Release 24 Hour

dexmethylphenidate hcl 1Tablet

dexmethylphenidate hcl er 1Capsule Extended Release 24 Hour

dextroamphetamine sulfate 1Solution

dextroamphetamine sulfate 1Tablet

guanidine hcl 1Tablet

methylphenidate hcl 1Tablet

methylphenidate hcl cd 1Capsule Extended Release

methylphenidate hydrochloride 1Solution

DAYTRANA 2Patch

MYDAYIS 2Capsule Extended Release 24 Hour

QUILLICHEW ER 2Tablet Chewable Extended Release

QUILLIVANT XR 2Suspension Reconstituted

VYVANSE 2Tablet Chewable

VYVANSE 2Capsule

ADDERALL XR 3Capsule Extended Release 24 Hour

ADZENYS XR-ODT 3Tablet Extended Release Disintegrating

FOCALIN XR 3Capsule Extended Release 24 Hour

INTUNIV 3Tablet Extended Release 24 Hour

STRATTERA 3Capsule

ALZHEIMER'Sgalantamine hydrobromide er 1Capsule Extended Release 24 Hour

memantine hcl 1Tablet

rivastigmine tartrate 1Capsule

NAMZARIC 2Capsule ER 24 Hour Therapy Pack

NAMZARIC 2Capsule Extended Release 24 Hour

EXELON 3Patch 24 Hour

NAMENDA 3Solution

NAMENDA XR 4Capsule Extended Release 24 Hour

ANTICONVULSANTScarbamazepine 1Suspension



ANTICONVULSANTScarbamazepine 1Tablet

carbamazepine er 1Tablet Extended Release 12 Hour

clonazepam 1Tablet

clonazepam odt 1Tablet Disintegrating

diazepam 1Gel

divalproex sodium dr 1Tablet Delayed Release

divalproex sodium er 1Tablet Extended Release 24 Hour

epitol 1Tablet

ethosuximide 1Capsule

ethosuximide 1Solution

felbamate 1Tablet

felbamate 1Suspension

fosphenytoin sodium 1Solution

gabapentin 1Capsule

gabapentin 1Tablet

lamotrigine 1Tablet

levetiracetam 1Tablet

levetiracetam 1Solution

oxcarbazepine 1Tablet

oxcarbazepine 1Suspension

phenobarbital 1Elixir

phenobarbital 1Tablet

phenytoin 1Suspension

phenytoin sodium extended 1Capsule

primidone 1Tablet

tiagabine hydrochloride 1Tablet

topiramate 1Tablet

valproic acid 1Capsule

valproic acid 1Solution

zonisamide 1Capsule

BANZEL 2Tablet

FYCOMPA 2Tablet

LYRICA 2Capsule

ONFI 2Suspension

OXTELLAR XR 2Tablet Extended Release 24 Hour

PEGANONE 2Tablet

SABRIL 2Tablet

TROKENDI XR 2Capsule Extended Release 24 Hour

VIMPAT 2Solution

VIMPAT 2Tablet

DEPAKOTE ER 3Tablet Extended Release 24 Hour

EQUETRO 3Capsule Extended Release 12 Hour

GABITRIL 3Tablet

HORIZANT 3Tablet Extended Release

LAMICTAL ODT 3Tablet Disintegrating

LAMICTAL XR 3Kit

POTIGA 3Tablet

QUDEXY XR 3Capsule ER 24 Hour Sprinkle

LYRICA CR 4Tablet Extended Release 24 Hour

ANTIDEPRESSANTSamitriptyline hcl 1Tablet

amoxapine 1Tablet

bupropion hcl 1Tablet

bupropion hcl xl 1Tablet Extended Release 24 Hour

chlordiazepoxide/amitriptyline 1Tablet

citalopram hydrobromide 1Solution

citalopram hydrobromide 1Tablet



ANTIDEPRESSANTSclomipramine hcl 1Capsule

desipramine hcl 1Tablet

doxepin hcl 1Capsule

doxepin hcl 1Concentrate

duloxetine hcl 1Capsule Delayed Release Particles

escitalopram oxalate 1Tablet

fluoxetine hcl 1Capsule

fluoxetine hcl 1Solution

fluvoxamine maleate 1Tablet

imipramine hcl 1Tablet

imipramine pamoate 1Capsule

maprotiline hcl 1Tablet

mirtazapine 1Tablet

nefazodone hcl 1Tablet

nortriptyline hcl 1Capsule

nortriptyline hcl 1Solution

paroxetine hcl 1Tablet

paroxetine hcl er 1Tablet Extended Release 24 Hour

perphenazine/amitriptyline 1Tablet

phenelzine sulfate 1Tablet

protriptyline hcl 1Tablet

sertraline hcl 1Tablet

tranylcypromine sulfate 1Tablet

trazodone hcl 1Tablet

venlafaxine hcl 1Tablet

venlafaxine hcl er 1Capsule Extended Release 24 Hour

FETZIMA 2Capsule Extended Release 24 Hour

FETZIMA TITRATION PACK 2Capsule ER 24 Hour Therapy Pack

TRINTELLIX 2Tablet

VIIBRYD 2Kit

VIIBRYD 2Tablet

VIIBRYD STARTER PACK 2Kit

APLENZIN 3Tablet Extended Release 24 Hour

DESVENLAFAXINE ER 3Tablet Extended Release 24 Hour

EMSAM 3Patch 24 Hour

FORFIVO XL 3Tablet Extended Release 24 Hour

KHEDEZLA 3Tablet Extended Release 24 Hour

MARPLAN 3Tablet

PEXEVA 3Tablet

PRISTIQ 3Tablet Extended Release 24 Hour

SARAFEM 3Tablet

BRISDELLE 4Capsule

ANTIPARKINSONISMbenztropine mesylate 1Tablet

bromocriptine mesylate 1Tablet

carbidopa/levodopa 1Tablet

carbidopa/levodopa er 1Tablet Extended Release

carbidopa/levodopa/entacapone 1Tablet

entacapone 1Tablet

ropinirole hcl 1Tablet

selegiline hcl 1Tablet

trihexyphenidyl hcl 1Elixir

trihexyphenidyl hcl 1Tablet

RYTARY 2Capsule Extended Release

AZILECT 3Tablet

MIRAPEX ER 3Tablet Extended Release 24 Hour

STALEVO 75 3Tablet



ANTIPARKINSONISMTASMAR 3Tablet

XADAGO 3Tablet

ZELAPAR 3Tablet Disintegrating

NEUPRO 4Patch 24 Hour

ANTI-PSYCHOTICaripiprazole 1Tablet

chlorpromazine hcl 1Tablet

clozapine 1Tablet

clozapine odt 1Tablet Disintegrating

fluphenazine hcl 1Concentrate

fluphenazine hcl 1Tablet

haloperidol 1Concentrate

haloperidol 1Tablet

haloperidol decanoate 1Solution

loxapine succinate 1Capsule

olanzapine 1Tablet

olanzapine odt 1Tablet Disintegrating

olanzapine/fluoxetine 1Capsule

perphenazine 1Tablet

quetiapine fumarate 1Tablet

quetiapine fumarate er 1Tablet Extended Release 24 Hour

risperidone 1Tablet

risperidone odt 1Tablet Disintegrating

thioridazine hcl 1Tablet

thiothixene 1Capsule

trifluoperazine hcl 1Tablet

ziprasidone hcl 1Capsule

ABILIFY MAINTENA 2Prefilled Syringe

INVEGA SUSTENNA 2Suspension

INVEGA TRINZA 2Suspension

LATUDA 2Tablet

RISPERDAL CONSTA 2Suspension Reconstituted

SAPHRIS 2Tablet Sublingual

VRAYLAR 2Capsule Therapy Pack

VRAYLAR 2Capsule

ABILIFY 3Tablet

FANAPT 3Tablet

FAZACLO 3Tablet Disintegrating

ORAP 3Tablet

REXULTI 3Tablet

SEROQUEL XR 3Tablet Extended Release 24 Hour

VERSACLOZ 3Suspension

ANXIOLYTICSalprazolam 1Tablet

alprazolam er 1Tablet Extended Release 24 Hour

alprazolam odt 1Tablet Disintegrating

buspirone hcl 1Tablet

chlordiazepoxide hcl 1Capsule

clorazepate dipotassium 1Tablet

diazepam 1Tablet

diazepam intensol 1Concentrate

lorazepam 1Tablet

lorazepam intensol 1Concentrate

midazolam hcl 1Syrup

oxazepam 1Capsule

ALPRAZOLAM INTENSOL 3Concentrate

MISCELLANEOUSarmodafinil 1Tablet

lithium 1Solution



MISCELLANEOUSlithium carbonate 1Capsule

lithium carbonate er 1Tablet Extended Release

modafinil 1Tablet

BELVIQ 2Tablet

NUEDEXTA 2Capsule

SAXENDA 2Solution Pen-injector

SOLIRIS 3Solution

XENAZINE 3Tablet

CONTRAVE 4Tablet Extended Release 12 Hour

QSYMIA 4Capsule Extended Release 24 Hour

MULTIPLE SCLEROSISAMPYRA 2Tablet Extended Release 12 Hour

AUBAGIO 2Tablet

AVONEX 2Kit

BETASERON 2Kit

GILENYA 2Capsule

REBIF 2Solution Prefilled Syringe

REBIF REBIDOSE 2Solution Auto-injector

REBIF REBIDOSE TITRATIONPACK 2Solution Auto-injector

REBIF TITRATION PACK 2Solution Prefilled Syringe

TECFIDERA 2Capsule Delayed Release

COPAXONE 3Solution Prefilled Syringe

EXTAVIA 4Kit

SLEEPestazolam 1Tablet

eszopiclone 1Tablet

flurazepam hcl 1Capsule

quazepam 1Tablet

temazepam 1Capsule

zaleplon 1Capsule

zolpidem tartrate 1Tablet

zolpidem tartrate er 1Tablet Extended Release

BELSOMRA 2Tablet

ROZEREM 2Tablet

BUTISOL SODIUM 3Tablet

INTERMEZZO 3Tablet Sublingual

ZOLPIMIST 3Solution

DIABETESDPP-4JANUMET 2Tablet

JANUMET XR 2Tablet Extended Release 24 Hour

JANUVIA 2Tablet

JENTADUETO 2Tablet

TRADJENTA 2Tablet

ALOGLIPTIN 4Tablet

ALOGLIPTIN/METFORMIN HCL 4Tablet

KAZANO 4Tablet

KOMBIGLYZE XR 4Tablet Extended Release 24 Hour

NESINA 4Tablet

ONGLYZA 4Tablet

OSENI 4Tablet

INCRETINSOZEMPIC 2Solution Pen-injector

TRULICITY 2Solution Pen-injector

VICTOZA 2Solution Pen-injector

BYDUREON 4Suspension Reconstituted ER

BYDUREON PEN 4Pen-injector

BYETTA 4Solution Pen-injector

TANZEUM 4Pen-injector

INSULIN



INSULINFIASP 2Solution

FIASP FLEXTOUCH 2Solution Pen-injector

NOVOLIN 70/30 2Suspension

NOVOLIN N 2Suspension

NOVOLIN R 2Solution

NOVOLOG 2Solution

NOVOLOG FLEXPEN 2Solution Pen-injector

NOVOLOG MIX 70/30 2Suspension

NOVOLOG MIX 70/30 PREFILLED FLEXPEN 2Suspension Pen-injector

NOVOLOG PENFILL 2Solution Cartridge

SOLIQUA 100/33 2Solution Pen-injector

XULTOPHY 100/3.6 2Solution Pen-injector

AFREZZA 3Powder

ADMELOG 4Solution

ADMELOG SOLOSTAR 4Solution Pen-injector

APIDRA 4Solution

APIDRA SOLOSTAR 4Solution Pen-injector

HUMALOG 4Solution

HUMALOG MIX 50/50 4Suspension

HUMALOG MIX 75/25 4Suspension

HUMULIN 70/30 4Suspension

HUMULIN N 4Suspension

HUMULIN R 4Solution

HUMULIN R U-500 (CONCENTRATED) 4Solution

HUMULIN R U-500 KWIKPEN 4Solution Pen-injector

INSULIN: LONG ACTINGLANTUS 2Solution

LANTUS SOLOSTAR 2Solution Pen-injector

LEVEMIR 2Solution

LEVEMIR FLEXTOUCH 2Solution Pen-injector

TOUJEO SOLOSTAR 2Solution Pen-injector

TRESIBA FLEXTOUCH 2Solution Pen-injector

BASAGLAR KWIKPEN 4Solution Pen-injector

OTHERacarbose 1Tablet

metformin hcl 1Tablet

metformin hcl er 1Tablet Extended Release 24 Hour

nateglinide 1Tablet

repaglinide 1Tablet

CYCLOSET 2Tablet

GLUCAGEN HYPOKIT 2Solution Reconstituted

GLUCAGON EMERGENCY KIT 2Kit

SYMLINPEN 120 2Solution Pen-injector

GLUMETZA 3Tablet Extended Release 24 Hour

GLYSET 3Tablet

RIOMET 3Solution

SGLT-2FARXIGA 2Tablet

JARDIANCE 2Tablet

SYNJARDY 2Tablet

SYNJARDY XR 2Tablet Extended Release 24 Hour

XIGDUO XR 2Tablet Extended Release 24 Hour

INVOKAMET 4Tablet

INVOKANA 4Tablet

SGLT-2 / DPP-4GLYXAMBI 2Tablet

QTERN 3Tablet

SULFONYLUREASglimepiride 1Tablet

glipizide er 1Tablet Extended Release 24 Hour



SULFONYLUREASglipizide/metformin hcl 1Tablet

glyburide 1Tablet

glyburide micronized 1Tablet

glyburide/metformin hcl 1Tablet

TESTINGBD INSULIN SYRINGE MICROFINE IV/U-100/1ML/28G X 1/2" 2Miscellaneous

BD NEEDLE/27G X 1/2" 2Miscellaneous

BD PEN NEEDLE/MINI/ULTRAFINE/31G X 3/16" 2Miscellaneous

DEXCOM G4 PLATINUM RECEIVER KIT 2Device

DEXCOM G5 MOBILE RECEIVERKIT 2Device

ONETOUCH ULTRA 2 2Kit

ONETOUCH ULTRA BLUE 2Strip

ONETOUCH VERIO FLEX BLOODGLUCOSE MONITORING SYSTEM2Kit

ONETOUCH VERIO IQ BLOOD GLUCOSE MONITORING SYSTEM2Kit

ONETOUCH VERIO SYNC BLOODGLUCOSE MONITORING SYSTEM2Kit

ONETOUCH VERIO TEST STRIPS 2Strip

TRUEPLUS INSULIN SYRINGE/U-100/0.3ML/29G X 1/2" 2Miscellaneous







TRUEPLUS INSULIN SYRINGE/U-100/1ML/28G X 1/2" 2Miscellaneous




TRUEPLUS LANCETS 28G 2Miscellaneous

TRUEPLUS LANCETS 30G ULTRA THIN 2Miscellaneous

TRUEPLUS LANCETS 33G 2Miscellaneous

TRUEPLUS PEN NEEDLES 29GX12MM 2Miscellaneous





ACCU-CHEK AVIVA CONNECT 4Kit

ACCU-CHEK AVIVA PLUS 4Strip

ACCU-CHEK COMPACT PLUS 4Strip

ACCU-CHEK NANO SMARTVIEW 4Kit

ACCU-CHEK SMARTVIEW STRIPS 4Strip

ACCUTREND GLUCOSE 4Strip

ADVOCATE BLOOD GLUCOSE MONITORING SYSTEM 4Device

AGAMATRIX PRESTO TEST STRIPS 4Strip

ASSURE PLATINUM TEST STRIPS 4Strip

ASSURE PRISM MULTI TEST STRIPS 4Strip

BAYER BREEZE 2 TEST DISC 4Disk

BAYER CONTOUR BLOOD GLUCOSE TEST STRIPS 4Strip

BAYER CONTOUR NEXT BLOODGLUCOSE TEST 4Strip

CLEVER CHEK TEST STRIPS 4Strip

EMBRACE BLOOD GLUCOSE TEST STRIPS 4Strip

FORA GD20 TEST STRIPS 4Strip

FREESTYLE INSULINX BLOODGLUCOSE TEST 4Strip

FREESTYLE INSULINX BLOODGLUCOSE TEST STRIPS 4Strip

FREESTYLE LITE TEST STRIPS 4Strip

FREESTYLE TEST STRIPS 4Strip

GE100 BLOOD GLUCOSE TESTSTRIPS 4Strip

GLUCOCARD 01 SENSOR PLUS 4Strip

GLUCOCARD EXPRESSION BLOOD GLUCOSE TEST STRIPS4Strip



TESTINGGLUCOCARD VITAL TEST STRIPS 4Strip

IN TOUCH BLOOD GLUCOSE TEST STRIPS 4Strip

NOVA MAX GLUCOSE TEST STRIPS 4Strip

OPTIUM TEST STRIPS 4Strip

OPTIUMEZ TEST STRIPS 4Strip

PRECISION PCX PLUS TEST STRIPS 4Strip

PRECISION QID TEST STRIPS 4Strip

PRECISION XTRA BLOOD GLUCOSE TEST STRIPS 4Strip

PRODIGY AUTOCODE BLOOD GLUCOSE MONITORING SYSTEM4Device

PRODIGY NO CODING BLOOD GLUCOSE TEST STRIPS 4Strip

TRUE METRIX BLOOD GLUCOSETEST STRIPS 4Strip

TRUE METRIX SELF MONITORING BLOOD GLUCOSE STRIPS4Strip

TRUETEST STRIPS 4Strip

TRUETRACK SMART SYSTEM 4Kit

TRUETRACK TEST 4Strip

UNISTRIP1 GENERIC 4Strip

TZDpioglitazone hcl 1Tablet

pioglitazone hcl/metformin hcl 1Tablet

pioglitazone hcl-glimepiride 1Tablet

ENDOCRINEADRENAL HORMONESdexamethasone 1Tablet

fludrocortisone acetate 1Tablet

hydrocortisone 1Tablet

methylprednisolone acetate 1Suspension

methylprednisolone dose pack 1Tablet Therapy Pack

prednisolone 1Solution

prednisone 1Tablet

SOLU-CORTEF 2Solution Reconstituted

H.P. ACTHAR 3Gel

ORAPRED ODT 3Tablet Disintegrating

RAYOS 4Tablet Delayed Release

CONTRACEPTIVESaltavera 1Tablet

alyacen 1/35 1Tablet

amethia 1Tablet

amethyst 1Tablet

apri 1Tablet

aranelle 1Tablet

aubra 1Tablet

aviane 1Tablet

azurette 1Tablet

balziva 1Tablet

briellyn 1Tablet

camrese 1Tablet

caziant 1Tablet

chateal 1Tablet

cryselle-28 1Tablet

cyclafem 1/35 1Tablet

dasetta 7/7/7 1Tablet

daysee 1Tablet

elinest 1Tablet

emoquette 1Tablet

enpresse-28 1Tablet

enskyce 1Tablet

estarylla 1Tablet

falmina 1Tablet

gianvi 1Tablet



CONTRACEPTIVESgildagia 1Tablet

introvale 1Tablet

jolessa 1Tablet

junel 1.5/30 1Tablet

kariva 1Tablet

kelnor 1/35 1Tablet

kurvelo 1Tablet

larin fe 1.5/30 1Tablet

leena 1Tablet

lessina 1Tablet

levonest 1Tablet

levora 0.15/30-28 1Tablet

lomedia 24 fe 1Tablet

loryna 1Tablet

low-ogestrel 1Tablet

lutera 1Tablet

marlissa 1Tablet

microgestin 1/20 1Tablet

mono-linyah 1Tablet

mononessa 1Tablet

myzilra 1Tablet

necon 1/50-28 1Tablet

nortrel 1/35 1Tablet

ocella 1Tablet

orsythia 1Tablet

philith 1Tablet

pimtrea 1Tablet

pirmella 7/7/7 1Tablet

portia-28 1Tablet

previfem 1Tablet

quasense 1Tablet

reclipsen 1Tablet

sprintec 28 1Tablet

sronyx 1Tablet

syeda 1Tablet

tilia fe 1Tablet

tri-estarylla 1Tablet

tri-linyah 1Tablet

trinessa 1Tablet

tri-previfem 1Tablet

tri-sprintec 1Tablet

trivora-28 1Tablet

velivet 1Tablet

vestura 1Tablet

viorele 1Tablet

wera 1Tablet

wymzya fe 1Tablet Chewable

zarah 1Tablet

zenchent 1Tablet

zovia 1/35e 1Tablet

LO LOESTRIN FE 2Tablet

NUVARING 2Ring

OGESTREL 2Tablet

SKYLA 2Intrauterine Device

TAYTULLA 2Capsule

BEYAZ 3Tablet

GENERESS FE 3Tablet Chewable



CONTRACEPTIVESNATAZIA 3Tablet

ORTHO TRI-CYCLEN LO 3Tablet

QUARTETTE 3Tablet

SAFYRAL 3Tablet

ESTROGENSesterified estrogens/methyltestosterone hs 1Tablet

estradiol 1Patch Weekly

estradiol/norethindrone acetate 1Tablet

jinteli 1Tablet

COMBIPATCH 2Patch Twice Weekly

DIVIGEL 2Gel

DUAVEE 2Tablet

ESTRING 2Ring

MINIVELLE 2Patch Twice Weekly

PREMARIN 2Cream

PREMARIN 2Tablet

PREMPHASE 2Tablet

PREMPRO 2Tablet

ALORA 3Patch Twice Weekly

ANGELIQ 3Tablet

ESTRACE 3Cream

FEMHRT LOW DOSE 3Tablet

PREFEST 3Tablet

CLIMARA PRO 4Patch Weekly

ESTROGEL 4Gel

VAGIFEM 4Tablet

FERTILITY AGENTSclomiphene citrate 1Tablet

CETROTIDE 2Kit

MENOPUR 2Solution Reconstituted

NOVAREL 2Solution Reconstituted

GONAL-F 2 (PA)Solution Reconstituted


BRAVELLE 4Solution Reconstituted

FOLLISTIM AQ 4Solution

GANIRELIX ACETATE 4Solution

HUMAN CHORIONIC GONADOTROPIN 4Powder

PREGNYL W/DILUENT BENZYLALCOHOL/NACL 4Solution Reconstituted

MISCELLANEOUScabergoline 1Tablet

calcitriol 1Capsule

desmopressin acetate 1Solution

desmopressin acetate 1Tablet

ADDYI 2Tablet

PROGESTINScamila 1Tablet

errin 1Tablet

heather 1Tablet

jencycla 1Tablet

jolivette 1Tablet

lyza 1Tablet

nora-be 1Tablet

norethindrone 1Tablet

progesterone 1Capsule

ENDOMETRIN 2Insert

CRINONE 3Gel

TESTOSTERONEandroxy 1Tablet

danazol 1Capsule

oxandrolone 1Tablet



TESTOSTERONEtestosterone cypionate 1Solution

ANDROGEL 2Gel

ANDROGEL PUMP 2Gel

ANDROID 3Capsule

DEPO-TESTOSTERONE 3Solution

STRIANT 3Miscellaneous

TESTOPEL 3Pellet

TESTRED 3Capsule

ANDRODERM 4Patch 24 Hour

AXIRON 4Solution

FORTESTA 4Gel

NATESTO 4Gel

TESTIM 4Gel

TESTOSTERONE 4Gel

TESTOSTERONE PUMP 4Gel

VOGELXO 4Gel

VOGELXO PUMP 4Gel

THYROIDlevothyroxine sodium 1Tablet

levoxyl 1Tablet

liothyronine sodium 1Tablet

methimazole 1Tablet

nature-throid 1Tablet

unithroid 1Tablet

ARMOUR THYROID 2Tablet

SSKI 3Solution

THYROLAR-1/4 3Tablet

TIROSINT 3Capsule

GASTROINTESTINALANTIDIARRHEALS

anaspaz 1Tablet Disintegrating

dicyclomine hcl 1Capsule

diphenoxylate/atropine 1Liquid

diphenoxylate/atropine 1Tablet

glycopyrrolate 1Tablet

hyoscyamine sulfate 1Solution

loperamide hcl 1Capsule

methscopolamine bromide 1Tablet

CUVPOSA 3Solution

ANTIEMETICdronabinol 1Capsule

granisetron hcl 1Tablet

meclizine hcl 1Tablet

ondansetron hcl 1Tablet

ondansetron hcl 1Solution

ondansetron odt 1Tablet Disintegrating

prochlorperazine 1Suppository

prochlorperazine maleate 1Tablet

trimethobenzamide hcl 1Capsule

BONJESTA 2Tablet Extended Release

DICLEGIS 2Tablet Delayed Release

SANCUSO 2Patch

ANZEMET 3Tablet

EMEND 3Capsule

TRANSDERM-SCOP 3Patch 72 Hour

ZUPLENZ 3Film

BOWEL EVACUANTSCLENPIQ 2Solution

PREPOPIK 2Packet

COLYTE-FLAVOR PACKS 3Solution Reconstituted



BOWEL EVACUANTSOSMOPREP 3Tablet

SUCLEAR 3Kit

MOVIPREP 3 (ST)Solution Reconstituted

* Must try and fail Clenpiq

SUPREP BOWEL PREP KIT 3 (ST)Solution

* Must try and fail Clenpiq

DIGESTIVE ENZYMESCREON 2Capsule Delayed Release Particles

SUCRAID 2Solution

VIOKACE 2Tablet

ZENPEP 2Capsule Delayed Release Particles

PANCREAZE 4Capsule Delayed Release Particles

PERTZYE 4Capsule Delayed Release Particles

H2 ANTAGONISTScimetidine 1Tablet

cimetidine hcl 1Solution

famotidine 1Tablet

famotidine 1Suspension Reconstituted

nizatidine 1Capsule

ranitidine hcl 1Tablet

ranitidine hcl 1Syrup

OTHERbalsalazide disodium 1Capsule

budesonide 1Capsule Delayed Release Particles

chlordiazepoxide hcl/clidinium bromide 1Capsule

constulose 1Solution

lactulose 1Solution

metoclopramide hcl 1Solution

metoclopramide hcl 1Tablet

misoprostol 1Tablet

sulfasalazine 1Tablet

sulfasalazine 1Tablet Delayed Release

ursodiol 1Capsule

AMITIZA 2Capsule

APRISO 2Capsule Extended Release 24 Hour

BELLADONNA 2Tincture

CHENODAL 2Tablet

KINEVAC 2Solution Reconstituted

LINZESS 2Capsule

MOVANTIK 2Tablet

PENTASA 2Capsule Extended Release

RELISTOR 2Solution

UCERIS 2Tablet Extended Release 24 Hour

VIBERZI 2Tablet

DIPENTUM 3Capsule

ENTEREG 3Capsule

GIAZO 3Tablet

KRISTALOSE 3Packet

LIALDA 3Tablet Delayed Release

LOTRONEX 3Tablet

RELISTOR 3Tablet

ASACOL HD 4Tablet Delayed Release

DELZICOL 4Capsule Delayed Release

TRULANCE 4Tablet

OTHER ULCER THERAPYlansoprazole/amoxicillin/clarithromycin 1Miscellaneous

sucralfate 1Tablet

CARAFATE 2Suspension

PYLERA 2Capsule



PROTON PUMP INHIBITORSlansoprazole 1Capsule Delayed Release

omeprazole 1Capsule Delayed Release

omeprazole/sodium bicarbonate 1Capsule

pantoprazole sodium 1Tablet Delayed Release

rabeprazole sodium 1Tablet Delayed Release

NEXIUM 3Capsule Delayed Release

NEXIUM 3Packet

DEXILANT 4Capsule Delayed Release

RECTALanucort-hc 1Suppository

colocort 1Enema

mesalamine 1Enema

CANASA 2Suppository

UCERIS 2Foam

ROWASA 3Kit

CORTIFOAM 4Foam

GROWTH HORMONES

NORDITROPIN FLEXPRO 2 (PA)Solution


EGRIFTA 4Solution Reconstituted

GENOTROPIN 4Solution Reconstituted

HUMATROPE 4Solution Reconstituted

NUTROPIN AQ NUSPIN 10 4Solution

OMNITROPE 4Solution

SAIZEN CLICK.EASY 4Solution Reconstituted

SEROSTIM 4Solution Reconstituted

ZOMACTON 4Solution Reconstituted

ZORBTIVE 4Solution Reconstituted

HEMATOLOGY

PROCRIT 2Solution

ZARXIO 2Solution Prefilled Syringe

NEULASTA 3Solution Prefilled Syringe

ARANESP ALBUMIN FREE 4Solution Prefilled Syringe

ARANESP ALBUMIN FREE 4Solution

EPOGEN 4Solution

GRANIX 4Solution Prefilled Syringe

MIRCERA 4Solution Prefilled Syringe

NEUPOGEN 4Solution Prefilled Syringe

IMMUNOSUPPRESSANTS

azathioprine 1Tablet

cyclosporine modified 1Solution

cyclosporine modified 1Capsule

gengraf 1Solution

gengraf 1Capsule

mycophenolate mofetil 1Capsule

sirolimus 1Tablet

tacrolimus 1Capsule

AZASAN 2Tablet

RAPAMUNE 2Solution

SANDIMMUNE 2Solution

ZORTRESS 2Tablet

ASTAGRAF XL 3Capsule Extended Release 24 Hour

CELLCEPT 3Suspension Reconstituted

NEORAL 3Capsule

NEORAL 3Solution

RAPAMUNE 3Tablet

SANDIMMUNE 3Capsule

INTERFERONS



ACTIMMUNE 2Solution

ALFERON N 2Solution

INTRON A W/DILUENT 2Solution Reconstituted

PEGASYS 2Solution

PEGINTRON 2Kit

PEG-INTRON REDIPEN 2Kit

SYLATRON 2Kit

MISCELLANEOUS

bupropion hcl sr 1Tablet Extended Release 12 Hour

calcitonin salmon 1Solution

cevimeline hcl 1Capsule

disulfiram 1Tablet

epinephrine 1Solution Auto-injector

epipen 2-pak 1Solution Auto-injector

epipen-jr 2-pak 1Solution Auto-injector

etidronate disodium 1Tablet

midodrine hcl 1Tablet

riluzole 1Tablet

CARBAGLU 2Tablet

CHANTIX CONTINUING MONTHPAK 2Tablet

EXJADE 2Tablet Soluble

VELPHORO 2Tablet Chewable

ADRENACLICK 3Solution Auto-injector

EPISNAP 3Kit

FOSRENOL 3Tablet Chewable

GELCLAIR 3Gel

RENAGEL 3Tablet

RENVELA 3Packet

SALIVAMAX 3Packet

AUVI-Q 4Solution Auto-injector

MUSCULOSKELETALANTI-INFLAMMATORYOTREXUP 2Solution Auto-injector

RASUVO 2Solution Auto-injector

ACTEMRA 2 (PA)Solution Prefilled Syringe


COSENTYX 2 (PA)Solution Prefilled Syringe


COSENTYX SENSOREADY PEN 2 (PA)Solution Auto-injector


ENBREL SURECLICK 2 (PA)Solution Auto-injector


ENTYVIO 2 (PA)Solution Reconstituted


HUMIRA PEN 2 (PA)Pen-injector Kit


OTEZLA 2 (PA)Tablet


STELARA 2 (PA)Solution Prefilled Syringe


XELJANZ 2 (PA)Tablet


XELJANZ XR 2 (PA)Tablet Extended Release 24 Hour


ILUMYA 3 (PA)


INFLECTRA 3 (PA)Solution Reconstituted


KEVZARA 3 (PA)Solution Prefilled Syringe


OLUMIANT 3 (PA)


RENFLEXIS 3 (PA)Solution Reconstituted


TREMFYA 3 (PA)Solution Prefilled Syringe




ANTI-INFLAMMATORYCIMZIA 4Kit

CIMZIA STARTER KIT 4Kit

KINERET 4Solution Prefilled Syringe

ORENCIA 4Solution Prefilled Syringe

ORENCIA CLICKJECT 4Solution Auto-injector

REMICADE 4Solution Reconstituted

SILIQ 4Solution Prefilled Syringe

SIMPONI 4Solution Auto-injector

TALTZ 4Solution Auto-injector

GOUT THERAPYallopurinol 1Tablet

probenecid 1Tablet

COLCRYS 2Tablet

ULORIC 2Tablet

MUSCLE RELAXANTSbaclofen 1Tablet

carisoprodol 1Tablet

carisoprodol/aspirin 1Tablet

carisoprodol/aspirin/codeine 1Tablet

chlorzoxazone 1Tablet

cyclobenzaprine hcl 1Tablet

dantrolene sodium 1Capsule

meprobamate 1Tablet

metaxalone 1Tablet

methocarbamol 1Tablet

orphenadrine citrate er 1Tablet Extended Release 12 Hour

tizanidine hcl 1Tablet

AMRIX 3Capsule Extended Release 24 Hour

LORZONE 3Tablet

OSTEOPOROSISalendronate sodium 1Tablet

alendronate sodium 1Solution

ibandronate sodium 1Tablet

FORTEO 2 (PA)Solution


ACTONEL 3Tablet

ATELVIA 3Tablet Delayed Release

BINOSTO 3Tablet Effervescent

FOSAMAX PLUS D 3Tablet

PROLIA 3 (PA)Solution


ONCOLOGY

anastrozole 1Tablet

bicalutamide 1Tablet

cytarabine 1Solution

exemestane 1Tablet

flutamide 1Capsule

hydroxyurea 1Capsule

imatinib mesylate 1Tablet

letrozole 1Tablet

leucovorin calcium 1Tablet

megestrol acetate 1Suspension

megestrol acetate 1Tablet

mercaptopurine 1Tablet

methotrexate 1Tablet

tamoxifen citrate 1Tablet

temozolomide 1Capsule

AFINITOR 2Tablet



AFINITOR DISPERZ 2Tablet Soluble

ALECENSA 2Capsule

BOSULIF 2Tablet

CAPRELSA 2Tablet

DROXIA 2Capsule

ELIGARD 2Kit

EMCYT 2Capsule

FARESTON 2Tablet

GILOTRIF 2Tablet

HYCAMTIN 2Capsule

ICLUSIG 2Tablet

IMBRUVICA 2Capsule

INLYTA 2Tablet

JAKAFI 2Tablet

LEUKERAN 2Tablet

LYSODREN 2Tablet

MATULANE 2Capsule

MEKINIST 2Tablet

MESNEX 2Tablet

NEXAVAR 2Tablet

POMALYST 2Capsule

REVLIMID 2Capsule

SPRYCEL 2Tablet

STIVARGA 2Tablet

SUTENT 2Capsule

TABLOID 2Tablet

TAFINLAR 2Capsule

TARCEVA 2Tablet

TASIGNA 2Capsule

THALOMID 2Capsule

TREXALL 2Tablet

TYKERB 2Tablet

VOTRIENT 2Tablet

XALKORI 2Capsule

ZELBORAF 2Tablet

ZOLINZA 2Capsule

ZYTIGA 2Tablet

BRAFTOVI 3

COMETRIQ 3Kit

GLEEVEC 3Tablet

MEGACE ES 3Suspension

MEKTOVI 3Tablet

SOLTAMOX 3Solution

TEMODAR 3Capsule

VIDAZA 3Suspension Reconstituted

XTANDI 4Capsule

OPHTHALMICANTIBIOTICSbacitracin 1Ointment

bacitracin/polymyxin b 1Ointment

ciprofloxacin hcl 1Solution

erythromycin 1Ointment

gatifloxacin 1Solution

gentamicin sulfate 1Ointment

gentamicin sulfate 1Solution

levofloxacin 1Solution

moxifloxacin hcl 1Solution

neomycin/bacitracin/polymyxin 1Ointment



ANTIBIOTICSneomycin/polymyxin/bacitracin/hydrocortisone 1Ointment

neomycin/polymyxin/dexamethasone 1Suspension

neomycin/polymyxin/dexamethasone 1Ointment

neomycin/polymyxin/gramicidin 1Solution

neomycin/polymyxin/hc 1Solution

neomycin/polymyxin/hydrocortisone 1Suspension

ofloxacin 1Solution

sodium sulfacetamide 1Solution

sulfacetamide sodium/prednisolone sodium phosphate 1Solution

tobramycin sulfate 1Solution

tobramycin/dexamethasone 1Suspension

trimethoprim sulfate/polymyxin b sulfate 1Solution

AZASITE 2Solution

CIPRODEX 2Suspension

MOXEZA 2Solution

NATACYN 2Suspension

TOBRADEX 2Ointment

TOBRADEX ST 2Suspension

ZYLET 2Suspension

BESIVANCE 3Suspension

BLEPH-10 3Solution

BLEPHAMIDE 3Suspension

BLEPHAMIDE S.O.P. 3Ointment

CILOXAN 3Ointment

CIPRO HC 3Suspension

COLY-MYCIN S 3Suspension

PRED-G S.O.P. 3Ointment

TOBREX 3Ointment

BETA BLOCKERS

betaxolol hcl 1Solution

carteolol hcl 1Solution

levobunolol hcl 1Solution

metipranolol 1Solution

timolol maleate 1Solution

BETIMOL 3Solution

BETOPTIC-S 3Suspension

ISTALOL 3Solution

TIMOPTIC OCUDOSE 4Solution

GLAUCOMAdorzolamide hcl 1Solution

dorzolamide hcl/timolol maleate 1Solution

latanoprost 1Solution

pilocarpine hcl 1Solution

AZOPT 2Suspension

COMBIGAN 2Solution

MITOSOL 2Kit

RHOPRESSA 2Solution

TRAVATAN Z 2Solution

VYZULTA 2Solution

COSOPT PF 3Solution

RESCULA 3Solution

SIMBRINZA 3Suspension

XALATAN 3Solution

LUMIGAN 4Solution

ZIOPTAN 4Solution

MISCELLANEOUSaltacaine 1Solution

apraclonidine 1Solution

azelastine hcl 1Solution



MISCELLANEOUSbrimonidine tartrate 1Solution

cromolyn sodium 1Solution

epinastine hcl 1Solution

flucaine 1Solution

fluorescein-benoxinate 1Solution

proparacaine hcl 1Solution

tetravisc 1Solution

trifluridine 1Solution

ALPHAGAN P 2Solution

BEPREVE 2Solution

CYSTARAN 2Solution

PAZEO 2Solution

RESTASIS 2Emulsion

RESTASIS MULTIDOSE 2Emulsion

XIIDRA 2Solution

ZIRGAN 2Gel

IOPIDINE 3Solution

LASTACAFT 3Solution

PATADAY 3Solution

PATANOL 3Solution

VIROPTIC 3Solution

ALOCRIL 4Solution

EMADINE 4Solution

MYDRIATICSatropine sulfate 1Solution

cyclopentolate hcl 1Solution

homatropine hbr 1Solution

tropicamide 1Solution

CYCLOGYL 3Solution

PAREMYD 3Solution

NSAIDSbromfenac 1Solution

diclofenac sodium 1Solution

flurbiprofen sodium 1Solution

ketorolac tromethamine 1Solution

ILEVRO 2Suspension

PROLENSA 2Solution

ACUVAIL 4Solution

NEVANAC 4Suspension

STEROIDSdexamethasone sodium phosphate 1Solution

fluorometholone 1Suspension

prednisolone acetate 1Suspension

ALREX 2Suspension

DUREZOL 2Emulsion

LOTEMAX 2Gel

LOTEMAX 2Ointment

LOTEMAX 2Suspension

FLAREX 4Suspension

FML FORTE 4Suspension

MAXIDEX 4Suspension

PRED MILD 4Suspension

VASOCONSTRICTORCYCLOMYDRIL 3Solution

OTICMISCELLANEOUSacetasol hc 1Solution

acetic acid 1Solution

ciprofloxacin 1Solution

hydrocortisone/acetic acid 1Solution



MISCELLANEOUSCETRAXAL 3Solution

RESPIRATORYANTIHISTAMINEScarbinoxamine maleate 1Tablet

carbinoxamine maleate 1Solution

clemastine fumarate 1Tablet

cyproheptadine hcl 1Tablet

desloratadine 1Tablet

diphenhydramine hcl 1Elixir

hydroxyzine hcl 1Tablet

hydroxyzine hcl 1Syrup

hydroxyzine pamoate 1Capsule

levocetirizine dihydrochloride 1Tablet

promethazine hcl 1Tablet

cyproheptadine hcl 3Syrup

SEMPREX-D 3Capsule

ANTITUSSIVEbenzonatate 1Capsule

bromfed dm 1Syrup

guaifenesin/codeine 1Solution

hydrocodone bitartrate/homatropine methylbromide 1Tablet

hydrocodone polistirex/chlorpheniramine polistirex 1Suspension Extended Release

promethazine vc/codeine 1Syrup

promethazine-dm 1Syrup

TUSSICAPS 2Capsule Extended Release 12 Hour

ASTHMA/COPDipratropium bromide/albuterol sulfate 1Solution

montelukast sodium 1Tablet

montelukast sodium 1Packet

zafirlukast 1Tablet

ADVAIR DISKUS 2Aerosol Powder Breath Activated

ADVAIR HFA 2Aerosol

ANORO ELLIPTA 2Aerosol Powder Breath Activated

ATROVENT HFA 2Aerosol Solution

BREO ELLIPTA 2Aerosol Powder Breath Activated

COMBIVENT RESPIMAT 2Aerosol Solution

DALIRESP 2Tablet

KALYDECO 2Tablet

PULMOZYME 2Solution

SPIRIVA RESPIMAT 2Aerosol Solution

STIOLTO RESPIMAT 2Aerosol Solution

SYMBICORT 2Aerosol

XOLAIR 2Solution Reconstituted

ZYFLO 3Tablet

AIRDUO RESPICLICK 113/14 4Aerosol Powder Breath Activated

DULERA 4Aerosol

INCRUSE ELLIPTA 4Aerosol Powder Breath Activated

TUDORZA PRESSAIR 4Aerosol Powder Breath Activated

UTIBRON NEOHALER 4Capsule

BETA AGONISTSalbuterol sulfate 1Syrup

albuterol sulfate 1Nebulization Solution

albuterol sulfate 1Tablet

levalbuterol hcl 1Nebulization Solution

metaproterenol sulfate 1Tablet

metaproterenol sulfate 1Syrup

terbutaline sulfate 1Tablet

ARCAPTA NEOHALER 2Capsule

PERFOROMIST 2Nebulization Solution



BETA AGONISTSPROAIR HFA 2Aerosol Solution

PROAIR RESPICLICK 2Aerosol Powder Breath Activated

STRIVERDI RESPIMAT 2Aerosol Solution

VENTOLIN HFA 2Aerosol Solution

FORADIL AEROLIZER 3Capsule

PROVENTIL HFA 4Aerosol Solution

XOPENEX HFA 4Aerosol

INHALED STEROIDSbudesonide 1Suspension

ARNUITY ELLIPTA 2Aerosol Powder Breath Activated

FLOVENT DISKUS 2Aerosol Powder Breath Activated

FLOVENT HFA 2Aerosol

PULMICORT FLEXHALER 2Aerosol Powder Breath Activated

QVAR 2Aerosol Solution

TRELEGY ELLIPTA 2Aerosol Powder Breath Activated

ALVESCO 4Aerosol Solution

ASMANEX TWISTHALER 120 METERED DOSES 4Aerosol Powder Breath Activated

NASAL STEROIDSflunisolide 1Solution

fluticasone propionate 1Suspension

DYMISTA 2Suspension

NASONEX 3Suspension

BECONASE AQ 4Suspension

OMNARIS 4Suspension

QNASL 4Aerosol Solution

ZETONNA 4Aerosol Solution

OTHERazelastine hcl 1Solution

ipratropium bromide 1Solution

theophylline 1Solution

theophylline er 1Tablet Extended Release 12 Hour

AEROCHAMBER PLUS FLOW-VU/SMALL MASK 2Miscellaneous

AEROCHAMBER/FLOWSIGNAL 2Miscellaneous

PATANASE 3Solution

PAHsildenafil citrate 1Tablet

ADEMPAS 2Tablet

LETAIRIS 2Tablet

TRACLEER 2Tablet

ADCIRCA 3Tablet

TOPICALACNEadapalene 1Gel

benzoyl peroxide 1Foam

claravis 1Capsule

clindamycin phosphate 1Lotion

clindamycin phosphate 1Swab

clindamycin phosphate 1Foam

clindamycin phosphate 1Gel

clindamycin phosphate 1Solution

clindamycin phosphate/tretinoin 1Gel

clindamycin/benzoyl peroxide 1Gel

erygel 1Gel

erythromycin 1Gel

erythromycin 1Solution

erythromycin/benzoyl peroxide 1Gel

myorisan 1Capsule

pr benzoyl peroxide wash 1Liquid

sodium sulfacetamide/sulfur 1Lotion

sodium sulfacetamide/sulfur cleanser in urea 1Emulsion



ACNEtretinoin 1Cream

tretinoin 1Gel

tretinoin microsphere 1Gel

ABSORICA 2Capsule

ACANYA 2Gel

ONEXTON 2Gel

TAZORAC 2Gel

TAZORAC 2Cream

ACCUCAINE 3Kit

ACZONE 3Gel

ATRALIN 3Gel

AVAGE 3Cream

AVAR 3Pad

AZELEX 3Cream

BENZACLIN WITH PUMP 3Gel

BENZEFOAM 3Foam

CLINDAGEL 3Gel

DIFFERIN 3Lotion

EPIDUO 3Gel

FABIOR 3Foam

INOVA 3Kit

NUOX 3Gel

VELTIN 4Gel

ANESTHETICSlidocaine 1Ointment

lidocaine hcl/hydrocortisone acetate 1Cream

lidocaine/prilocaine 1Cream

NOVACORT 3Gel

PLIAGLIS 3Cream

ANTIBACTERIALSmupirocin 1Ointment

SULFAMYLON 2Cream

ALTABAX 3Ointment

CENTANY 3Ointment

ALCORTIN A 4Gel

ANTIFUNGALSciclopirox 1Suspension

ciclopirox 1Shampoo

ciclopirox 1Gel

clotrimazole 1Solution

clotrimazole 1Cream

clotrimazole/betamethasone dipropionate 1Lotion

clotrimazole/betamethasone dipropionate 1Cream

econazole nitrate 1Cream

ketoconazole 1Shampoo

ketoconazole 1Cream

nystatin 1Ointment

nystatin/triamcinolone 1Cream

JUBLIA 2Solution

LUZU 2Cream

ECOZA 3Foam

ERTACZO 3Cream

EXELDERM 3Solution

EXODERM 3Lotion

KERYDIN 3Solution

MENTAX 3Cream

NAFTIN 3Gel

NAFTIN 3Cream

OXISTAT 3Lotion



ANTIFUNGALSOXISTAT 3Cream

ANTIPSORIATICacitretin 1Capsule

calcipotriene 1Cream

calcipotriene 1Solution

calcipotriene 1Ointment

calcitrene 1Ointment

dritho-creme hp 1Cream

selenium sulfide 1Shampoo

selenium sulfide 1Lotion

sodium sulfacetamide 1Shampoo

sodium sulfacetamide wash 1Liquid

ENSTILAR 2Foam

TACLONEX 2Suspension

EPIFOAM 3Foam

OVACE PLUS 3Shampoo

PRAMOSONE 3Lotion

PRAMOSONE 3Cream

PRAMOSONE E 3Cream

SORILUX 3Foam

TERSI FOAM 3Foam

ZITHRANOL-RR 3Cream

ANTIVIRALSacyclovir 1Ointment

DENAVIR 3Cream

XERESE 4Cream

CORTICOSTEROIDS HIGH POTENCYamcinonide 1Lotion

amcinonide 1Ointment

amcinonide 1Cream

augmented betamethasone dipropionate 1Cream

betamethasone dipropionate 1Lotion

betamethasone dipropionate 1Ointment

betamethasone valerate 1Ointment

desoximetasone 1Gel

desoximetasone 1Ointment

desoximetasone 1Cream

diflorasone diacetate 1Cream

fluocinonide 1Ointment

fluocinonide 1Cream

fluocinonide emulsified base 1Cream

triamcinolone acetonide 1Cream

APEXICON E 3Cream

HALOG 3Cream

HALOG 3Ointment

TOPICORT 3Ointment

TOPICORT 4Liquid

CORTICOSTEROIDS VERY HIGH POTENCYclobetasol propionate 1Shampoo

clobetasol propionate 1Solution

clobetasol propionate 1Ointment

clobetasol propionate emollient 1Cream

halobetasol propionate 1Ointment

CLOBEX 3Liquid

MISCELLANEOUSfluorouracil 1Cream

imiquimod 1Cream

malathion 1Lotion

permethrin 1Cream

podofilox 1Solution



MISCELLANEOUSsilver sulfadiazine 1Cream

thermazene 1Cream

CARAC 2Cream

ELIDEL 2Cream

EUCRISA 2Ointment

LINDANE 2Shampoo

PICATO 2Gel

REGRANEX 2Gel

SANTYL 2Ointment

TOLAK 2Cream

ALDARA 3Cream

BIONECT 3Cream

BIONECT 3Gel

EURAX 3Cream

PROTOPIC 3Ointment

ZYCLARA 4Cream

ZYCLARA PUMP 4Cream

ROSACEAmetronidazole 1Cream

metronidazole 1Lotion

metronidazole 1Gel

rosadan 1Cream

rosadan 1Gel

FINACEA 2Foam

MIRVASO 2Gel

RHOFADE 2Cream

NORITATE 3Cream

SOOLANTRA 3Cream

TOPICAL CORTICOSTEROIDS LOW POTENCY

alclometasone dipropionate 1Ointment

alclometasone dipropionate 1Cream

desonide 1Ointment

desonide 1Lotion

fluocinolone acetonide 1Solution

fluocinolone acetonide 1Cream

hydrocortisone 1Cream

CAPEX 3Shampoo

DESONATE 3Gel

SYNALAR CREAM KIT 3Kit

TEXACORT 3Solution

VERDESO 4Foam

TOPICAL CORTICOSTEROIDS MEDIUM POTENCYbetamethasone valerate 1Lotion

betamethasone valerate 1Cream

fluticasone propionate 1Cream

fluticasone propionate 1Lotion

hydrocortisone butyrate 1Solution

hydrocortisone butyrate 1Cream

mometasone furoate 1Solution

mometasone furoate 1Ointment

prednicarbate 1Ointment

triderm 1Cream

CLODERM PUMP 3Cream

CORDRAN 3Cream

KENALOG 3Aerosol Solution

LOCOID 3Lotion

TRIANEX 3Ointment

UROLOGICALANTISPASMODICS



ANTISPASMODICSbethanechol chloride 1Tablet

flavoxate hcl 1Tablet

oxybutynin chloride 1Syrup

oxybutynin chloride 1

oxybutynin chloride 1Tablet

oxybutynin chloride er 1Tablet Extended Release 24 Hour

tolterodine tartrate 1Tablet

tolterodine tartrate er 1Capsule Extended Release 24 Hour

trospium chloride 1Tablet

MYRBETRIQ 2Tablet Extended Release 24 Hour

TOVIAZ 2Tablet Extended Release 24 Hour

VESICARE 2Tablet

ENABLEX 3Tablet Extended Release 24 Hour

GELNIQUE 3Gel

OXYTROL 3Patch Twice Weekly

BPHfinasteride 1Tablet

tamsulosin hcl 1Capsule

RAPAFLO 2Capsule

AVODART 3Capsule

JALYN 3Capsule

ERECTILE DYSFUNCTIONsildenafil citrate 1Tablet

tadalafil 1Tablet

CIALIS 3Tablet

VIAGRA 3Tablet

MUSE 3 (ST)Pellet

* Must try and fail generic Viagra and generic Cialis

LEVITRA 4Tablet

STAXYN 4Tablet Disintegrating

STENDRA 4Tablet

VACCINES

BOOSTRIX 2Suspension

ENGERIX-B 2Suspension

HAVRIX 2Suspension

INFANRIX 2Suspension

PNEUMOVAX 23/1 DOSE 2Injectable

PREVNAR 13 2Suspension

RECOMBIVAX HB 2Suspension

ROTATEQ 2Solution

SHINGRIX 2Suspension Reconstituted

TWINRIX 2Suspension

CERVARIX 3Suspension

GARDASIL 3Suspension

VITAMINS/ELECTROLYTES

calcium acetate 1Capsule

dialyvite 1Tablet

fluoride 1Tablet Chewable

folic acid 1Tablet

klor-con 1Packet

omega-3 acid ethyl esters 1

potassium chloride 1Solution

potassium chloride cr 1Tablet Extended Release

DUET DHA 400 2Miscellaneous

ELITE-OB 2Tablet

NASCOBAL 2Solution

OB COMPLETE 2Tablet

OBSTETRIX DHA 2Miscellaneous

PHOSLYRA 2Solution



PNV PRENATAL PLUS MULTIVITAMIN 2Tablet

PRENATABS RX 2Tablet

K-TAB 3Tablet Extended Release



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