medpro pap drug list april 1, 2013 · medpro pap drug list april 1, ... clorazepate potasium...

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1 MEDPro PAP Drug List APRIL 1, 2013 The purpose of the drug is list is to give you access to those medications that are available on the Prescription Assistance Programs. Please note: This list is subject to additions and removal at the direction of each manufacturing company. The list will be updated quarterly. Members will be informed at time of initial evaluation. abacavir abacavir/lamivudine abacavir/lamivudine/zidovudine abatacept abciximab Abelcet Abilify Abraxane absorbable gelatin acamprosate acarbose Accolate Accupril Accuretic acebutolol Aceon acetaminophen and codeine phosphate acetaminophen/caffeine/dihydrocodeine (Panlor DC) acetaminophen/caffeine/dihydrocodeine (Panlor SS) acetaminophen/oxycodone acetaminophen/tramadol acetohydroxamic acid Aciphex acitretin Actemra Acthar Actimmune Activase Activella ACTOplus met Acuvail Aczone Adacel

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Page 1: MEDPro PAP Drug List APRIL 1, 2013 · MEDPro PAP Drug List APRIL 1, ... clorazepate potasium clotrimazole 10 . ... lorazepam losartan losartan/hydrochlorothiazide Lotemax Lotensin

1

MEDPro PAP Drug List

APRIL 1, 2013

The purpose of the drug is list is to give you access to those medications that are available on the

Prescription Assistance Programs. Please note: This list is subject to additions and removal at the

direction of each manufacturing company. The list will be updated quarterly. Members will be informed

at time of initial evaluation.

abacavir

abacavir/lamivudine

abacavir/lamivudine/zidovudine

abatacept

abciximab

Abelcet

Abilify

Abraxane

absorbable gelatin

acamprosate

acarbose

Accolate

Accupril

Accuretic

acebutolol

Aceon

acetaminophen and codeine phosphate

acetaminophen/caffeine/dihydrocodeine (Panlor DC)

acetaminophen/caffeine/dihydrocodeine (Panlor SS)

acetaminophen/oxycodone

acetaminophen/tramadol

acetohydroxamic acid

Aciphex

acitretin

Actemra

Acthar

Actimmune

Activase

Activella

ACTOplus met

Acuvail

Aczone

Adacel

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2

Adagen Adalat CC adalimumab adapalene

adapalene 0.1%/benzoyl peroxide 2.5%

Adcirca

adefovir dipivoxil

Adek

Adenoscan

adenosine

Adrucil

Advair Diskus

Advair HFA

Advate

Advicor ER

Aerobid

Aerobid-M

Aerochamber

Aerochamber with Mask

afeditab cr

Afinitor

agalsidase

Aggrenox

Alamast

albendazole

Albenza

albuterol inhalers

albuterol/ipratropium

Alcortin

Aldactazide

Aldactone

Aldara

Aldomet

Aldurazyme

alefacept

alfuzosin

alglucerase injection

alglucosidase alfa

Alimta

Alinia

aliskiren

aliskiren/hydrochlorothiazide

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3

aliskiren/valsartan

alitretinoin

Alkeran

almotriptan

Alodox

Aloxi

alpha1-proteinase inhibitor

alpha1-proteinase inhibitor (human)

Alphagan P

Alphanate

AlphaNine SD

alprazolam

alprazolam

alprostadil injection- aqueous

Alrex

Altabax

Altace

alteplase recombinant

altretamine

Amaryl

ambenonium

AmBisome

ambrisentan

Amen

Amevive

Aminophylline

aminophylline

amiodarone

amiodipine,valsartan,hydrochlorothiazide

Amitiza

amlodipine

amlodipine/atorvastatin

amlodipine/olmesartan medoxmil

amlodipine/valsartan

Amoxil

amphotericin b lipid complex

amphotericin b liposome for injection

amylase/lipase/pancrelipase/protease

Anadrol-50

Anafranil

anakinra

Analpram

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4

Anaprox DS

anastrozole

Ancoban

Androgel

Androgel 1%

Angeliq

Angiomax

anidulafungin

Ansaid

antihemophiliac factor (recombinant)

Antivert

Anucort-HC

Anusol-HC

Apidra (case by case)

Aplenzin

Apligraf

apraclonidine

aprepitant

Apresoline

Aptivus

AquaDek

Aralast

Aralen

Aranesp

Arava Generic Only Leflunomide

arginine

Aricept

Aricept ODT

Arimidex

aripiprazole

Arixtra

armodafanil

Armour Thyroid

Aromasin

Arranon

arsenic trioxide

Artane

Arthrotec

artmether and lumefantrine

Arzerra

asenapine

Asmanex

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Asmanex Twisthaler

aspirin/extended release dipyridamole

Atacand

atazanavir sulfate

Atgam

Ativan

atomoxetine

Atopiclair (nonsteroidal cream)

atorvastatin

atovaquone

atovaquone and proguanil hydrochloride

Atripla

Atrovent

Augmentin

Augmentin ES

Augmentin ES-600

Augmentin XR

Avandamet

Avandaryl

Avandia

Avastin

Avelox

Avodart

Axert

Axid

azacitidine

Azasan

azathioprine

azelaic acid

Azilect

azithromycin

Azmacort

Azopt

Azor

Azulfidine

bacitracin

Bacitracin

baclofen

Bactroban

balsalazide disodium

Banzel

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Baraclude

bcg

beclomethasone inhaled

beclomethasone nasal

Beconase

Beconase AQ

bendamustine

bendamustine

bendroflumethiazide/nadolol

Benefix

Benicar

Benicar HCT

Bentyl

BenzaClin

benzalkonium chloride

benzocaine

benzoyl peroxide

benzphetamine

Berinert

Betagan

betaine anhydrous

betamethasone

betamethasone

betamethasone dipropionate

betamethasone valerate

betamethasone/clotrimazole

Betapace

Betapace AF

Betaseron

betaxolol

Betimol

Betoptic S

bevacizumab

bexarotene

Bexxar

Biafine

biafine

bicalutamide

Bicitra

BiCNU

BiDil

bi-layered skin substitute

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Biltricide

bimatoprost

Bion Tears

bivalirudin

Bleomycin

Bleomycin

bleomycin

Blocadren

Blocadren

Boniva

Boniva

bortezomib

bosentan

Botox

Botox

botulinum toxin type a

brimonidine

brimonidine tartrate

brinzolamide

brompheniramine

budesonide

budesonide inhalation suspension

budesonide/formoterol fumarate dihydrate

Bumex

Bumex

Bupap

Buphenyl

buprenorphine

bupropion

bupropion hydrobromide

BuSpar

buspirone

butalbital/acetaminophen

Byetta

Bystolic

c (Cleocin Pediatric)

c (Procardia)

c1 esterase inhibitor

Caduet

Calan

Calan SR

Calcilo XD

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calcitriol

calcium acetate

Campral

Camptosar

canakinumab

Canasa

Cancidas

candesartan cilexetil

candesartan cilexetil hydrochlorothiazide

Cantil

capecitabine

Capex

Caphosol

Capoten

Capozide

capromab pendetide

captopril/hctz

Carac

Carafate

carbachol

carbamazepine

Carbatrol

carbenicillin

carbidopa

carbidopa

carbinoxamine

Carboplatin

carboplatin

carboprost tromethamine

Cardarone

Cardene

Cardura

Cardura XL

Carimune NF

carisoprodol

carmustine

Carnitor

Carteolol

carteolol

carteolol ophthalmic solution

Casodex

caspofungin

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Catapres

Catapres-TTS Transdermal

Cathflo

Caverject

CeeNU

cefdinir (Omnicef)

cefdinir (Omni-Pac)

cefditoren pivoxil

cefpodoxime

ceftazidime

Ceftin

cefuroxime axetil

cefuroxime for injection

Celebrex

celecoxib

Celexa Generic Only Citalipram

Cellcept

Celontin

Centany

Cerebyx

Ceredase

Cerefolin NAC

Cerezyme

certolizumab pegol

Cetacaine

cetirizine hcl

cetrorelix

Cetrotide

cetuximab

cevimeline

Chantix

Chemet

chlorambucil

chlordiazepoxide

chloroquine

chlorpheniramine/hydrocodone

Chlorthalidone

chlorthalidone

chlorthalidone

chlorzoxazone

choriogonadotropin alfa

Cialis

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ciclesonide

ciclopirox

cidofovir

cilostazol

Ciloxan

cinacalcet

CINRYZE

Cipro

Cipro HC

Ciprodex

ciprofloxacin ophthalmic solution

ciprofloxacin/hydrocortisone ophthalmic solution

citrate, potassium and potassium citrate

citric acid/sodium citrate

cladribine

Clarinex

Clarinex-D Extended Release

clarithromycin

Cleocin

Cleocin Pediatric

Cleocin T

clevidipine butyrate

Cleviprex

Climara

Climara Pro

Clinac BPO

clindamycin

clindamycin (Cleocin T)

clindamycin (Cleocin)

clindamycin phosphate (Cleocin HCL)

clindamycin phosphate (Cleocin Phosphate)

clindamycin/benzoyl peroxide

Clinoril

clobetasol

clobetasol propionate

Clobex

clomipramine

clonazepam

clopidogrel

clorazepate potasium

clotrimazole

10

Page 11: MEDPro PAP Drug List APRIL 1, 2013 · MEDPro PAP Drug List APRIL 1, ... clorazepate potasium clotrimazole 10 . ... lorazepam losartan losartan/hydrochlorothiazide Lotemax Lotensin

clozapine

Clozapine

Clozaril

coagulant complex inhibitor

coagulation factor ix (human)

Coartem

Cogentin

Cognex

Colazal

Colchicine

colchicine

Colcrys

colesevelam

Colestid

colestipol

Combigan

CombiPatch

Combivent

Combivir

Compazine

Concerta

conivaptan

Copaxone

Copegus

Cordarone

Coreg CR

Corgard

Cortef

corticosteriod ophthalmic

corticotropin

Corvert

Corzide

Cosmegen

Cosopt

Coumadin

Covera HS

Covera-HS

Creon DR

Crestor

Crinone 8%

Crixivan

11

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Crolom

cromolyn inhaled

cromolyn ophthalmic

cromolyn sodium

Cubicin

Cuprimine

Cyclinex-1

Cyclinex-2

cyclopentolate

cyclopentolate hydrochloride/ phenylephrine hydrochloride

cyclosporine

Cyclosporine

cyclosporine ophthalmic

Cyklokapron

Cymbalta

Cystadane

cytarabine liposome

Cytotec

Dacarbazine

dacarbazine

daclizumab

Dacogen

dactinomycin

Dalmane

dalteparin

dapsone

daptomycin

Daraprim

darbepoetin alfa

darifenacin

darunavir

dasatinib

Daunorubicin

daunorubicin

Daypro

decitabine

deferasirox

delavirdine mesylate

Deltasone

Demadex

Demser

Demulen ethynodiol

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denileukin diftitox

Depakene

Depakote

Depakote ER

Deplin

Depo SubQ Provera

DepoCyt

Depo-Estradiol Depo-

Medrol Depo-Provera

Depo-subQ provera 104 contraceptive

Depo-Testosterone

desloratadine

desmopressin

desmopressin acetate

desogestrel/ethinyl estradiol

desonide

desvenlafaxine

Desyrel

Detrol

Detrol LA

Dexedrine Spansule

dexlansoprazole

dexmethyiphenidate

dexrazoxane

dextran/hydroxypropyl methylcellulose

dextroamphetamine

Diabeta Micronase

Diabeta Micronase

Diabeta/Micronase

Diabinese

Diastat AcuDial

Diatx Zn

diazepam

diazepam rectal gel

diazoxide

Dibenzyline

Didrex

Didronel

Differin

Diflucan

dihydroergotamine nasal spray

13

Page 14: MEDPro PAP Drug List APRIL 1, 2013 · MEDPro PAP Drug List APRIL 1, ... clorazepate potasium clotrimazole 10 . ... lorazepam losartan losartan/hydrochlorothiazide Lotemax Lotensin

Dilacor XR

Dilantin

Dilantin-125

Diltia XR

diltiazem

diltiazem er

Diovan

Diovan HCT

diphenoxylate/atropine

diphtheria toxid conjugate vaccine

Diprolene

Diprolene AF

Diprosone

dipyridamole/aspirin

Disalcid

disopyramide

Ditropan

Ditropan XL

divalproex

divalproex sodium

docetaxel

dofetilide

dolasetron

donepezil

Donnatal

dornase alfa

dorzolamide

dorzolamide/timolol

Dostinex

doxepin

doxercalciferol

Doxil

doxorubicin hcl liposome

Drisdol

dronedarone

drospirenone & ethinyl estradiol

drospirenone/estradiol

drotrecogin alfa

Droxia

Duetact

duloxetine

DuoTrav

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Duragesic

Duragesic CII

dutasteride

Dyazide

Dynacin

Dynacirc CR

Dyrenium

echothiophate

econazole nitrate

Econopred Plus

eculizumab

Edecrin

efalizumab

efavirenz

efavirenz/emtricitabine/tenofovir

Effexor XR

Effient

eflornithine

Elavil

Eldepryl

EleCare

Eletone

eletriptan

Elidel

ELIGARD

Elitek

Ellence

Elmiron

Elocon

eltrombopag

Embeda CII

Emcyt

emedastine

Emend

emolent

emtricitabine

emtricitabine/tenofovir

Emtriva

Enablex

Enbrel

Enfacare LIPIL

Enfamil AR LIPIL

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Enfamil Human Milk Fortifer

Enfamil Premature LIPIL with Iron

enfuvirtide

Enjuvia

Enlive!

enoxaparin

Ensure

Ensure High Calcium

Ensure High Protein

Ensure Plus

entacapone

entecavir

Epiduo

Epirubicin

epirubicin

Epivir Epivir-

HBV

eplerenone

epoetin alfa

Epogen

epoprostenol

eprosartan

Epzicom

Equetro

Eraxis

Erbitux

ergocalciferol

erlotinib

Ertaczo

ertapenem

escitalopram

Esidrix

Eskalith

esomeprazole magnesium

Estrace

Estraderm

estramustine

Estring

Estrogel

estrogens conjugated

estrogens, conjugated b

estropipate

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eszopiclone

etanercept

etanercept

ethacrynic acid

ethinyl estradiol/ethynodiol

ethinyl estradiol/levonorgestrel

ethinyl estradiol/norelgestromin transdermal

ethinyl estradiol/norethindrone

ethionamide

ethosuximide

ethotoin

etidronate

etodolac

etonogestrel/ethinyl estradiol

Etopophos

etoposide

etoposide phosphate

etravirine

everolimus

Evista

Evoclin

Evoxac

Exelon

exemestane

exenatide

Exforge

Exforge HCT

Exjade

Extavia

Extina

eye vitamin & mineral supplement

ezetimibe

Fabrazyme

factor ix

factor ix complex

factor viii

Fanapt

Fareston

Faslodex

febuxostat

Feiba VH

felbamate

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Felbatol

Feldene

Femara

fenofibric acid

fentanyl buccal

fentanyl patch

fentanyl transdermal system

Fentora

Feraheme

ferumoxytol

fesoterodine fumarate

fexofenadine/pseudoephedrine

Fibricor

fibrinogen concentrates (human)

filgrastim

Flagyl

Flarex

flavocoxid

flavoxate

flecainade

Flector

Flolan

Flovent

Flovent Diskus

Flovent HFA

flucinolone acetonide/hydroquinone/tretinoin

flucytosine

fludarabine

Fludarabine

flunisolide inhaled

fluocinolone shampoo

fluocinolone topical

fluorometholone

fluorouracil

fluphenazine

flurazepam

flurbiprofen

fluticasone

fluticasone propionate

fluticasone/ salmeterol

fluvastatin

Focalin

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Focalin XR

follintropin alpha

Folotyn

Foltx

Folvite

fondaparinux

formula infant

formula infant (Enfacare LIPIL)

Fortaz

Forteo

Fosamax

fosamprenavir

fosinopril

fosphenytoin

Fosrenol

Fosteum

Fragmin

FreeStyle Flash Meter

FreeStyle Glucose Test Strips

FreeStyle Lite

FreeStyle Meter

Frova

frovatriptan

fulvestrant

Fuzeon T-20

gabapentin

Gabitril

galantamine

galsulfase

Galzin

Gammagard

Gardasil

Gelfilm

gemcitabine

gemfibrozil

gemtuzumab ozogamicin

Gemzar

Gengraf

Genotropin

Genotropin [rDNA origin]

Genotropin Miniquick

Genotropin Pen

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GentleEase LIPIL

Geocillin

Geodon

glatiramer

Gleevec

Gliadel

GlucaGen Hypokit

glucagon

Glucagon Emergency Kit

Glucerna

Glucerna Shake

Glucophage

Glucophage XR

Glucorol XL

Glucotrol

Glucotrol XL

Glucovance

Glutarex-1

Glutarex-2

glycopyrrolate (Robinul)

Glynase

Glynase PresTab

Glynase Prestab

Glyset

golimumab

goserelin

granisetron

Grifulvin V

griseofulvin

Halcion

Haldol

Haldol Dec

Hectorol

Helixate FS

Hemabate

hemin

Hemofil-M AHF

hepatitis a vaccine, inactivated

hepatitis b vaccine [recombinant]

Hepsera

Herceptin

hexachlorophene

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Hexalen Hi-

Cal

high molecular weight hyaluronan

Hiprex

histrelin

homatropine hydrobromide

Hominex-1

Hominex-2

Humalog (not over age 65)

Humalog Mix (not over age 65)

Humalog Mix50/50 (not over age 65)

Humalog Mix75/25 (not over age 65)

HumaPen Luxura HD

HumaPen Memoir

Humate-P

Humatrope

HumatroPen

Humira

Humulin 50/50 (not over age 65)

Humulin 70/30 (not over age 65)

Humulin N (not over age 65)

Humulin R (not over age 65)

Hyalgan

hyaluronate sodium

Hycamtin

Hydrea

HydroDIURIL

HydroDiuril

hydroquinone usp 4%

hydroxychloroquine

hydroxypropyl cellulose opthalmic insert

hydroxyurea

hydroxyzine

hylan g-f 20

hypromellose

Hytrin

ibandronate

ibritumomab tiuxetan

ibutilide fumarate

I-Caps Eye Vitamin AREDS Formula I-

Caps Lutein & Zeaxanthin Formula I-

Caps Multivitamin Formula

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Idamycin

Idarubicin

idarubicin

Ifosfamide

ifosfamide

Ilaris

iloperidone

iloprost

imatinib

Imdur

imiglucerase

imipenem/cilastatin

imipramine

imiquimod

immune globulin intravenous (human)

immune globulin subcutaneous

Imogam

Imovax

Inderal

indinavir

Indocin

InFed

Infergen

infliximab

inhaler spacer

Innohep

InnoPran XL

Inspra

Insulin (search by specific name)

Intal

Intelence

interferon alpha 1

interferon alpha 2b

interferon beta 1a

interferon beta 1b

interferon gamma 1b

intrauterine copper contraceptive

Intron-A

Invanz

Invega

Invega Sustenna

Invirase

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iodoquinol 1%/hydrocortisone 2%

Iopidine

Iquix

irbesartan

irbesartan/hydrochlorothiazide

irinotecan

Irinotecan

iritumomab tiuxetan

iron sucrose

ISENTRESS

Ismo

Isoptin

Isoptin SR

Isopto Atropine

Isopto Carbachol

Isopto Carpine

Isordil

isradipine

itraconazole I-

Valex-1

I-Valex-2

ivermectin

ixabepilone

Ixempra

Jantoven

Janumet

Januvia

Jevity 1 Cal

Jevity 1.2 Cal

Jevity 1.5 Cal

Juven

Kaletra

KAPIDEX

Kapidex

Kayexalate

Kenalog

Kepivance

Keppra

Keppra XR

Kerlone

ketaconozole

Ketek

Ketonex-1

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Ketonex-2

ketoprofen

Kineret Klaron

Klonopin Klor-

Con 10

Klor-Con 8 Klor-

Con M20

Kogenate FS K-

Phos #2

K-Phos M.F.

K-Phos Original

Kuvan

labetalol

lacosamide

Lacrisert

Lamictal

Lamictal XR

Lamisil

lamivudine

lamivudine/zidovudine

lamotrigine

Lanoxin

lansoprasole

lanthanum

Lantus SoloSTAR Pen (cae by case)

Lantus U-100 (case by case)

lapatinib

laronidase

Lasix

latanoprost

leflunomide

lenalidomide

Lescol

Lescol XL (fluvastatin)

Letairis

letrozole

Leukeran

leuprolide

Leuprolide

leuprolide acetate for depot injection

Levaquin

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Lexiscan

Lexiva

Lialda

Librium

Lidex

Lidoderm

Limbrel

Lincocin

lincomycin

linezolid

Lioresal

liothyronine

liotrix

lipase/amylase/protease

lipid topical

Lipitor

lisdexamfetamine dimesylate

Lithobid

Lithostat

LMX

Locoid

Lodine

Lodosyn

lodoxamide tromethamine

Lodrane 24

Lodrane 24D

Lomotil

lomustine

Loniten

Lonox

Lopid

lopinavir/ritonavir

Lopressor

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lorazepam losartan

losartan/hydrochlorothiazide

Lotemax

Lotensin

Lotensin HCT

Lotensin HCTZ

loteprednol etabonate/tobramycin

loteprednol ophthalmic

Lotrisone

Lovaza

Lovenox

Lozol

lubiprostone

lubricant eye drops

Lucentis

Lumigan

Lupron Depot

Lupron Depot PED

Luxiq

Lyrica

Lysodren

Lyvoxine

Macrobid

Macrodantin

Macugen

Malarone

maraviroc

Matulane

Mavik

Maxair Autohaler

Maxalt

Maxalt MLT

Maxalt-MLT

Maxitrol

Maxzide

measles, mumps, rebella virus vaccine live

mechlorethamine

meclizine

Meclizine

Medrol

mefenamic acid

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Megace ES

melphalan

memantine

Menactra

meningococcal polysacchaaide vaccine

Menomune

Menostar

mepenzolate

Mephyton

Mepron

mercaptopurine

Meridia

meropenem

Merrem

mesalamine

mesalamine extended release

mesna

Mesna

Mestinon

Metabolic Products

Metanx

metaxalone

metformin

methenamine hippurate

methocarbamol

Methotrexate

methotrexate

methoxsalen

methsuximide

methylcobalamin/methylfolate/n-acetylcystein

methylfolate

methylfolate/pyridoxal/methylcobalamin

methyliphenidate

methylnaltrexone bromide

methylphenidate

methylprednisolone

methylprednisolone acetate

Metipranolol

metipranolol

metipranolol ophthalmic

metolazone

MetroGel

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MetroGel-Vaginal

metronidazole

metyrosine

Mevacor

micafungin

Micardis

Micardis HCT

miconazole topical

Micronase

micronized glyburide

Microzide

miglitol

Migranal

milnaciprab hcl

Minipress

Minitran

Minizide

Minocin

minocycline

minoxidil

Mirapex

Mirena

mirtazapine

misoprostol

mitotane

mitoxantrone

M-M-R II

Mobic

modafinil

Modicon

Moduretic

mometasone

mometasone inhaled

mometasone nasal

mometasone topical

Monistat-3

Monistat-Derm

Monoclate-P

Monoket

MonoNine

Monopril

montelukast

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morphine

morphine sulfate and naltrexone hydrochloride

Motrin

MoviPrep

moxifloxacin

Multaq

mupirocin topical

Mustargen

Mycamine

Mycelex

Mycobutin

Mycolog

mycophenolate mofetil

mycophenolic acid

Mycostatin

Myfortic

Myleran

Mylotarg

Myozyme

Mysoline

Mytelase

nabumetone

nafarelin nasal spray

Naglazyme

naltrexone

Namenda Titration Pak

Naprosyn

naratriptan

Nardil

Nasonex

natalizumab

natamycin

Natrecor

Navane

nebivolol

needles

nelarabine

nelfinavir mesylate

Neocate

NeoProfen

Neoral

neostigmine

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nepafenac ophthalmic suspension

Nepro with Carb Steady

nesiritide

Neulasta

Neumega

Neurontin

Neutra-Phos-K

Nevanac

nevirapine

Nexavar

Nexium

niacin

niacin extended-release

Niacin TD

Niaspan ER

nicardipine (Cardene)

nicotine

nicotine inhaled

nicotine nasal

Nicotrol

Nicotrol Inhaler

Nicotrol NS

nifedipine

Nilandron

nilotinib

nilutamide

nitazoxanide

nitisinone

Nitro-Dur

nitrofurantoin

nitroglycerin

Nitroglycerin

nitroglycerin sa

nitroglycerin translingual

Nitrolingual

Nitroquick

Nitrostat

nizatidine

Nizoral

Nolvadex

nonsteroidal cream

norethindrone acetate/ethinoyl estradiol

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norfloxacin

Noritate

Noroxin

Norpace

Norpace CR

Norplant

System Norvasc

Norvir

Nouriva Repair

Novacort

Novantrone

NovoFine 30

Novolin 70/30 InnoLet

Novolin 70/30 Vials

Novolin N InnoLet

Novolin N Vials

Novolin R InnoLet

Novolin R Vials

NovoLog FlexPen

NovoLog FlexPen (insulin aspart rdna origin)

NovoLog Mix

NovoLog Mix 70/30 FlexPen Cartridges

Noxafil

nph human insulin (Humulin N)

Nplate

Nucynta

Nutramigen AA

LIPIL Nutramigen

LIPIL Nutropin AQ

oclerolide

ofatumumab

Ogen

olanzapine

olmesartan

olonzapine/fluoxetine

olopatadine hydrochloride

Olux

Olux/Olux-E Complete Pack

Olux-E

omalizumab

omega-3-acid ethyl esters

omeprazole

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omeprazole/sodium bicarbonate

Omnicef

Omni-Pac Oncaspar ondansetron Onglyza ONTAK

Opium

opium

oprelvekin

Optimental

OptiPranolo

l Oracea

ORAP

Orencia

Oretic

Orfadin

Orthoclone OKT3

Orthovisc

Orudis

Osmolite 1 cal

Osmolite 1.2 cal

Osmolite 1.5 cal

OsmoPrep

oxaprozin

oxcarbazepine

Oxycontin

Oxepa

Oxsoralen

Oxsoralen-Ultra

oxymetholone

oxymorphone hydrochloride

Pacerone

Paclitaxel

paclitaxel

paclitaxel protein-bound

Palgic

palifermin

paliperidone

palivizumab

palonosetron

Pamelor

pamidronate

Panncrease MT 10

Pancrease MT 20

Pancrease MT 4

Pancrease MT16

Pancrecarb MS-16

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Pancrecarb MS-4

Pancrecarb MS-8

pancrelipase

Panhematin

panitumumab

Panlor DC

Panlor SS

Panretin

pantoprazole

Parafon Forte DSC

Parafon-Forte

ParaGard T 380A

paricalcitol

Parnate

Pataday

Patanol

Paxil

Paxil CR

pazopanib

PediaSure

PediaSure Enteral Formula

PediaSure Enteral Formula w/Fiber

PediaSure w/Fiber

pegademase bovine

Peganone

pegaptanib

pegaspargase

Pegasys

pegfilgrastim

peginterferon alfa-2a

peginterferon alfa-2b

PEG-Intron

pegvisomant

pemetrexed

pemirolast ophthalmic

Penlac

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Pentasa

pentosan polysulfate sodium

pentoxifylline

Pepcid

Perative

perindopril

Pfizerpen

phenelzine

Phenex-1

Phenex-2

phenobarbital

phenoxybenzamine

phenylephrine

phenytoin

PHisoHex

Phospholine Iodide

phytonadione

Pilocar

Pilopine HS

pimecrolimus topical

pimozide

pioglitazone

pioglitazone/glimedpiride

pirbuterol

piroxicam

Pivot 1.5 cal

Plaquenil

Pletal

pneumococcal polyvalent vaccine

Pneumovax 23

polifeprosan

PolyCitra

PolyCitra LC

PolyCitra LC Oral

Polycose

poly-l-lactic acid injectable

polythiazide/prazosin

Ponstel

posaconazole

Potaba

pralatrexate

pramipexole

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pramlintide

Pramosone

Prandin

prasugrel

Pravachol

praziquantel

Precision Xtra

Precose

Pred Forte

prednisolone acetate

pregabalin

Pregestimil LIPIL

Premarin

Premphase

Prempro

Prevacid Delayed Release

Prevacid SoluTab

Previfem

Prezista

Prialt

Primaxin

Primaxin IM

primidone

Prinivil

Prinzide

Pristiq

Privigen 10%

Proair HFA

procarbazine

Procrit

Proctocort

ProfilNine

Proglycem

Prograf

Prolixin

Prolixin Decanoate

Promacta

Promote

Promote with Fiber

propafenone

proparacaine hydrochloride Pro-

Phree

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Propimex-1

Propimex-2

propylthiouracil

Propylthiouracil

Proscar

ProstaScint

Prostigmin

Protonix

Protopic

protripyline

Proventil

Proventil HFA

Provera

Provimin

Prozac

Prozac Weekly

Pulmicort Flexhaler

Pulmicort Respules

Pulmocare

Pulmozyme

pyridostigmine

pyrimethamine

Quadramet

quadrivalent human papillomavirus

Qualaquin

quetiapine fumarate

quinapril

quinidine glucomate

Quinidine Gluconate

quinine sulfate

Quixin

QVAR

RabAvert

rabeprazole

rabies immune globulin

rabies vaccine

raloxifene

raltegravir

ramelteon

ramipril

ranibizumab

Rapamune

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Raptiva

rasagiline

rasburicase

Razadyne

Razadyne ER

RCF (Ross Carbohydrate Free)

Rebetol

Reclast

Recombinate rAHF

Recombivax HB

regadenoson

Reglan

Relafen

Relenza

Relistor

Relpax

Remeron

Remicade

Reminyl

Remodulin

Renova

Renvela

ReoPro

repaglinide

Requip XL (generic only)

Rescriptor

Restasis

Restoril

retapamulin topical

RetinA

Retin-A Micro

Retrovir

Revatio

Revlimid

Reyataz

R-Gene

rh immune globulin

Rheumatrex

Rhinocort Aqua

RiaSTAT

RibaPak

ribavirin

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rifabutin

rifaximin

Rilutek

riluzole

rimexolone ophthalmic

risedronate

risedronate

risedronate/calcium

Risperdal

Risperdal Consta Long Acting

Risperdal M

Risperdal M-TAB

risperidone

ritonavir

rituximab

rivastigmine

rizatriptan (

rizatriptan benzoate

Robaxin

Robinul

Robinul Forte

romiplostim

ropinirole

rosiglitazon/glimepiride

rosiglitazone

rosiglitazone/metformin

rosuvastatin

Rowasa

Rozerem

rufinamide

Ryzolt

sacrosidase

Saizen

saline

saline ophthalmic

salmeterol inhaled

salsalate

samarium sm 153 lexdronam

Sanctura XR

Sancuso

Sandimmune

Sandostatin LAR

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Saphris

sapropterin dihydrochloride

saquinavir

Savella

saxagliptin

Scandishake

Scanidcal

scopolamine

Sculptra

Sectral

selegiline

Selzentry

Sensipar

Septra DS

Septra SS

Serevent Diskus

Seroquel

Seroquel XR

Serostim

sertaconazole topical

sertraline

sevelamer carbonate

sibutramine

sildenafil

Simcor

Simply Saline Nasal Mist

Simponi

simvastatin

simvastatin/niacin

Sinemet

Sinemet CR

Sinequan

Singulair

sirolimus

sitagliptin

sitagliptin/metformin

Skelaxin

Skelid

Solfoton

solifenacin

Soliris

SOMA

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somatropin

Somavert

Sonata

sorafenib

Soriatane

Spectazole

Spectracef

Spiriva

Sporanox

Sprycel

Stelara

Stimate

Straint

Strattera

streptozocin

Striant

Stromectol

Suboxone

succimer

Sucraid

sucralfate

sulindac

sumatriptan

sumatriptan/naproxen sodium

sunitinib

supersaturated calcium phosphate rinse

Suplena with Carb Steady

Sustiva

Sutent

Symbicort

Symbyax

Symlin

Synagis

Synalar

Synarel

synthetic conjugated estrogens, b

Synthroid

Synvisc

Syprine

Systane (lubricant eye drops)

Tabloid

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tacrine

tacrolimus

tadalafil

Tagamet

Tambocor

tamsulosin

tapentadol

Tarceva

Targretin

Tarka

Tasigna

Tasmar

tazarotene topical

Tazorac

Tears Again Hydrate

Tears Naturale Forte

Tears Naturale Free Lubricant

Tears Naturale PM

Tegretol XR

Tekturna

Tekturna HCT

telbivudine

telithromycin

telmisartan

telmisartan/amlodipine

telmisartan/hydrochlorathiazide

temazepam

Temodar

temozolomide

temsirolimus

tenecteplase

Tenex

teniposide

tenofovir

Tenoretic

Tenormin

Terazol 3

Terazol 7

terconazole vaginal

teriparatide

Tessalon

Testim 1%

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testosterone

tetanus toxoid/diptheria toxoid vaccine

tetanus toxoid/reduced diptheria toxoid/acellular pertussis

tetrabenazine

Teveten

Teveten HCT

Tev-Tropin

thalidomide

Thalitone

Thalomid Theo-

Dur Theo-Dur

ER

theophylline anhydrous

theophylline er

TheraCys

thioguanine

Thiola

thyroid desiccated

Thyrolar 1

Thyrolar 1/2

Thyrolar 1/4

Thyrolar 2

Thyrolar 3

thyrotropin alfa

tiagabine

Tiazac

ticarcillin/clavulanate

tice bcg,bcg live

TICE BCG,BCG LIVE

Ticlid

ticlodipine

Tikosyn

tiludronate

Timentin

Timoptic

tinzaparin

tiopronin

tiotropium

tiotropium inhaled

tipranaivr

tizanidine

TNKase

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TOBI

TobraDex

tocilizumab

Tofranil

Tofranil-PM

tolcapone

tolterodine

Topamax

topiramate

Toposar

topotecan

Toprol XL

toremifene

Torisel

torsemide

tositumomab

Toviaz

Tracleer

tramadol

tramadol hcl

Trandate

trandolapril

trandolapril and verapamil

tranexamic acid

Tranxene

tranylcypromine

trastuzumab

Travatan

travoprost ophthalmic

travoprost/timolol

TREANDA

Treanda

Trecator

Trelstar Depot

Trelstar LA

Trental

treprostinil

treprostinil sodium

tretinoin topical

Tretin-X

Treximet

triazolam

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tricitrates oral solution

Tricor

trientine

Trileptal

Trilipix

TriLuma

Tri-Previfem

triptorelin

Trisenox

Trizivir

tropicamide

trosplum choride

Trusopt

Truvada

TussiCaps

TwoCal HN

Tykerb

Tylox

Tyrex-1 (medical food)

Tyrex-2 (medical food)

Tyvasco

Tyvaso

Tyzeka

Uloric

ULORIC

Ultrace EC

Ultrace MT

Ultrace MT 18

Ultracet

Ultram

Ultram ER

Ultrase EC

Ultrase MT 12

Ultrase MT 18

Ultrase MT 20

Unisol 4 Saline

Urispas

Urocit-K

ustekinumab

Uvadex

Vagifem 18

Vagifem 8

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valacyclovir

Valcyte

valganciclovir

Valisone

Valium

valproic acid

valsartan

Valturna

Vancocin

vancomycin

Vantas

Vantin

Vaprisol

Vaqta

varapamil

vardenafil

varenicline

varicella virus vaccine live

Varivax

Vectibix

Vectical

Velcade

venlafaxine

Venofer

Ventavis

Ventolin

Ventolin HFA

Veramyst

Verdeso

VESIcare

Vexol

VFEND

Viagra

Vidaza

Vigamox

Vimpat

Vincasar PFS

vincristine

vinorelbine

Vinorelbine

Viokase 16

Viokase 8

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Viracept

Viramune

Viread

Vistaril

Vistide

Vital HN

Vital Jr

Vivactil

Vivaglobin

Voltaren

Voltaren Ophthalmic

Voltaren XR

voriconazole

vorinostat

Votrient

Vumon

Vytorin

Vyvanse

WelChol

WinRho

Wound wash saline

Xalatan

Xanax

Xanax XR

Xeloda

Xenazine

Xifaxan

Xigris

Xolair

Xyntha

Xyrem

Xyzal

Yttrium-90 Zevalin Kit

zafirlukast

zaleplon

Zanaflex

zanamivir

Zanosar

Zantac

Zarontin

Zaroxolyn

Zelapar

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47

Zemaira Zemplar

Zenapax Zenpep

Zephiran Zestoretic

Zestril Zetia

Zevalin Kit-Indium-111 Ziac

Ziagen ziconotide

zidovudine Zinacef zinc

oxide Zinc oxide zinc salts

Zinecard ziprasidone

Zithromax ZMax

Zmax Zocor Zofran Zofran

ODT Zoladex

zoledronic acid Zolinza

zolmitriptan Zoloft zolpidem

Zometa

Zomig Zomig-ZMT zonisamide

Zostavax

zoster vaccine live Zyban

Zylet Zyloprim Zyprexa

Zyprexa Zydis

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48

Zyrtec

Zyvox